Fluorescence labeling of a Na(V)1.7-targeted peptide for near-infrared nerve visualization Journal Article


Authors: Gonzales, J.; Pirovano, G.; Chow, C. Y.; Demetrio de Souza Franca, P.; Carter, L. M.; Klint, J. K.; Guru, N.; Lewis, J. S.; King, G. F.; Reiner, T.
Article Title: Fluorescence labeling of a Na(V)1.7-targeted peptide for near-infrared nerve visualization
Abstract: Background: Accidental peripheral nerve injury during surgical intervention results in a broad spectrum of potentially debilitating side effects. Tissue distortion and poor visibility can significantly increase the risk of nerve injury with long-lasting consequences for the patient. We developed and characterized Hs1a-FL, a fluorescent near-infrared molecule for nerve visualization in the operating theater with the aim of helping physicians to visualize nerves during surgery. Hs1a was derived from the venom of the Chinese bird spider, Haplopelma schmidti, and conjugated to Cy7.5 dye. Hs1a-FL was injected intravenously in mice, and harvested nerves were imaged microscopically and with epifluorescence. Results: Hs1a-FL showed specific and stable binding to the sodium channel NaV1.7, present on the surface of human and mouse nerves. Hs1a-FL allowed epifluorescence visualization of sciatic mouse nerves with favorable nerve-to-muscle contrast. Conclusions: Fluorescent NaV1.7-targeted tracers have the potential to be adopted clinically for the intraoperative visualization of peripheral nerves during surgery, providing guidance for the surgeon and potentially improving the standard of care. © 2020, The Author(s).
Keywords: immunohistochemistry; controlled study; nonhuman; animal cell; mouse; animal tissue; confocal microscopy; image analysis; fluorescent dye; animal experiment; animal model; histology; health care quality; dimethyl sulfoxide; quantitative analysis; escherichia coli; immunoblotting; nerve injury; high performance liquid chromatography; electrophysiology; synthesis; internalization; image reconstruction; optical coherence tomography; biodistribution; intraoperative; sciatic nerve; affinity chromatography; peripheral nerve injury; reversed phase high performance liquid chromatography; liquid chromatography-mass spectrometry; visibility; near infrared spectroscopy; epifluorescence microscopy; cell penetrating peptide; female; priority journal; article; autofluorescence imaging; whole cell patch clamp; near-infrared imaging; ic50; retention time; hs1a-fl; nerve imaging; sodium channel nav1.5; haplopelma; hs 1.lu cell line; ion channel selectivity; nerve visualization; nickel affinity chromatography
Journal Title: EJNMMI Research
Volume: 10
ISSN: 2191-219X
Publisher: Springer  
Date Published: 2020-05-14
Start Page: 49
Language: English
DOI: 10.1186/s13550-020-00630-4
PROVIDER: scopus
PMCID: PMC7225226
PUBMED: 32409881
DOI/URL:
Notes: Article -- Source: Scopus
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  1. Jason S Lewis
    456 Lewis
  2. Thomas Reiner
    136 Reiner
  3. Lukas M Carter
    79 Carter
  4. Navjot Guru
    13 Guru