Citation: Sarkar, S.; Vinokur, Z.;
Buitrago, B.; Mousa, L.; Sanchez, H.;
Basilicata, A.; Douglas, J.-A.;
Reddock, S. Imaging of
Transmetallation and Chelation
Phenomena Involving Radiological
Contrast Agents in Mineral-Rich
Fruits. Tomography 2022, 8, 1413–1428.
https://doi.org/10.3390/
tomography8030114
Academic Editor: Emilio Quaia
Received: 17 September 2021
Accepted: 17 May 2022
Published: 23 May 2022
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Article
Imaging of Transmetallation and Chelation Phenomena
Involving Radiological Contrast Agents in Mineral-Rich Fruits
Subhendra Sarkar * , Zoya Vinokur , Bleidis Buitrago, Lin Mousa, Hayley Sanchez, Analia Basilicata,
Jodi-Ann Douglas and Seanetta Reddock
Department of Radiologic Technology & Medical Imaging, New York City College of Technology, City University
of New York, New York, NY 11201, USA; zvinokur@citytech.cuny.edu (Z.V.);
bleidis.buitrago@mail.citytech.cuny.edu (B.B.); lin.mousa@mail.citytech.cuny.edu (L.M.);
hayleysa14@gmail.com (H.S.); analia.basilicata@mail.citytech.cuny.edu (A.B.);
jdouglas@citytech.cuny.edu (J.-A.D.); shumphreys@citytecch.cuny.edu (S.R.)
* Correspondence: ssarkar@citytech.cuny.edu
Abstract: Exogenous heavy metals or non-metallic waste products, for example lanthanide or iodi-
nated contrast media for radiological procedures, may interfere with the biochemical pools in patients
and in common food sources, creating an excess buildup of exogenous compounds which may reach
toxic levels. Although the mechanisms are unknown, our experiments were designed to test if this
toxicity can be attributed to “transmetallation” or “chelation” reactions freeing up lanthanides or
chelated transition metals in acidic fruits used as phantoms representing the biologically active
and mineral-rich carbohydrate matrix. The rapid breakdown of stable contrast agents have been
reported at a lower pH. The interaction of such agents with native metals was examined by direct
imaging of contrast infused fresh apples and sweet potatoes using low energy X-rays (40–44 kVp)
and by magnetic resonance imaging at 1.5 and 3T. The stability of the exogenous agents seemed to
depend on endogenous counterions and biometals in these fruits. Proton spin echo MR intensity
is sensitive to paramagnetic minerals and low energy X-ray photons are sensitively absorbed by
photoelectric effects in all abundant minerals and were compared before and after the infusion of
radiologic contrasts. Endogenous iron and manganese are believed to accumulate due to interactions
with exogenous iodine and gadolinium in and around the infusion spots. X-ray imaging had lower
sensitivity (detection limit approximately 1 part in 10
4
), while MRI sensitivity was two orders of
magnitude higher (approximately 1 part in 10
6
), but only for paramagnetic minerals like Mn and
Fe in our samples. MRI evidence of such a release of metal ions from the native pool implicates
transmetallation and chelation reactions that were triggered by infused contrast agents. Since Fe and
Mn play significant roles in the function of metalloenzymes, our results suggest that transmetallation
and chelation could be a plausible mechanism for contrast induced toxicity in vivo.
Keywords: GBCA; transmetallation; environmental toxins; mammographic soft X-ray; gadolinium;
iodinated contrast; X-ray; environmental pollution; radiological contrast media; chelation; T
1
and T
2
relaxations; contrast induced toxicity; magnetic resonance imaging
1. Introduction
1.1. Radiological Contrast Agents and Transmetallation: An Environmental Issue
Radiological contrast agents have significantly increased the diagnostic utility in the
past several decades as well as the buildup of harmful medical waste. However, the risk
and mitigation steps are not yet understood without more data on how these agents affect
enzyme actions and homeostasis. Out of 75 million yearly CT scans in the US, about half are
performed with iodinated X-ray contrast agents [1] that frequently cause mild to moderate
adverse reactions and life threatening events occurring at a rate of 1/10,000 [2]. Recently,
gadolinium based contrast agents (GBCA, with central lanthanide group metal ion) for MRI
Tomography 2022, 8, 1413–1428. https://doi.org/10.3390/tomography8030114 https://www.mdpi.com/journal/tomography