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Diabetes 54:1780-1788, 2005
© 2005 by the American Diabetes Association, Inc.

Imaging ß-Cell Death With a Near-Infrared Probe

Zdravka Medarova1, Susan Bonner-Weir2, Myra Lipes2, and Anna Moore1

1 MGH/MIT/HMS Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital/Harvard Medical School, Boston, Massachusetts
2 Joslin Diabetes Center, Harvard Medical School, Boston, Massachusetts

Evidence exists for an essential role of ß-cell apoptosis in the pathology of type 1 and type 2 diabetes. Current methods for diabetes-associated apoptosis detection, however, suffer the drawbacks of relying on in situ–based strategies. In this study, we attempted to measure, both in vitro and ex vivo, levels of ß-cell apoptosis in diabetic mice using Cy5.5-labeled annexin V. We used streptozotocin-treated BALB/c mice and NOD mice of different ages as models of type 1 diabetes and db/db mice as a model of type 2 diabetes. With annexin V Cy5.5, we established differences in levels of apoptosis between diabetic and control animals. Intravenously administered annexin V Cy5.5 accumulated in pancreata of diabetic mice but not in nondiabetic controls. Furthermore, its localization was specific to apoptotic events within diabetic islets; its selectivity was supported by transferase-mediated dUTP nick-end labeling staining. Because annexin V defines an early marker of apoptosis and the developed probe is suitable for in vivo administration, it may provide a promising tool for real-time identification in intact animals of the earliest stages of diabetes-associated ß-cell death and for tracing the events that characterize the pathology of the disease.


Address correspondence and reprint requests to Anna Moore, PhD, MGH/MIT/HMS Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital/Harvard Medical School, Room 2301, Building 149, 13th St., Charlestown, MA 02129. E-mail: amoore{at}helix.mgh.harvard.edu

Abbreviations: 7-AAD, 7-amino-actinomycin; 99mTc, technetium-99m; FACS, fluorescence-activated cell sorting; FITC, fluorescein isothiocyanate; H&E, hematoxylin and eosin; MLDS, multiple low-dose streptozotocin; NIRF, near-infrared fluorescence; SHDS, single high-dose streptozotocin; STZ, streptozotocin; TUNEL, transferase-mediated dUTP nick-end labeling


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Copyright © 2005 by the American Diabetes Association.