Hyperpolarized (HP) [1-13C]pyruvate [1] has been widely exploited for the metabolic processes. The development of this agent has enabled the in vitro and in vivo real-time detection of pyruvate-lactate metabolic conversion. The possibility of obtaining HP pyruvate using the cost effective and fast PHIP (ParaHydrogen Induced Polarization) method, instead of the dissolution Dynamic Nuclear Polarization (d-DNP), would allow a widespread application of this powerful diagnostic tool, that so far has been hampered by cost, technical complexity and intrinsically low polarization time. Here we report an in vitro and in vivo study carried out on different cancer cell lines and in vivo using PHIP-SAH HP-[1-13C]pyruvate.
The [1-13C] pyruvate was hyperpolarized by means of PHIP-SAH and added into cells suspension (at the concentration of 5.0 ± 0.2 mM), or injected through the tail vein (at the concentration of 48.1 ± 6.9 mM) of healthy and diseased mice.
MRS acquisition allowed the investigation of the kinetics of the metabolic exchange of the 13C HP label with lactate.
In the in vitro studies, a series of 13C-NMR spectra were acquired after addition of the HP dose to the suspension of cancer cells (at 600 MHz). By using a new perfusion set-up, less than 107 cells were sufficient for each experiment.
13C dynamic studies were performed and space-selective 13C-MR spectra acquired on voxel centred on the tissue of interest. Mice were anesthetized, catheterized through the tail vein and placed in 1 T (Aspect) or 3 T (Bruker Biospec) MRI scanner. The buffered solution containing HP pyruvate was injected in about 4-5 seconds and series of 13C-MR spectra were acquired, using small flip angle pulses and a tailored space-selective sequence.
The 13C signal enhancement observed for the carboxylate moiety of [1-13C]pyruvate resulted to be 5x104 times higher with respect to thermal polarization at 1 T, corresponding to a polarization level of 4.5 ± 0.5%. 13C hyperpolarization were back-calculated at time zero, its nascent value would have been 10.6 ± 1.5 %. In order to obtain a bio-compatible aqueous solution of the HP metabolite, we succeeded to avoid the hydrogenation co-solvent (ethanol), by modifying the hydrogenation procedure.
The improvement of the quality the used aqueous solution allowed to enhance the accuracy of our metabolic investigation, compared to previously reported results [3].
Different cancer cells lines were compared, characterized by a different degree of aggressiveness and ability to induce metastasis (Breast cancer cells: 4T1-168FARN, Prostate cancer cells: LnCap, DU145 and PC3).
In the in vivo experiments the 13C-MR spectra were acquired on a voxel centred on the tissue of interest to assess the metabolic build-up of lactate. Kinetic analysis of the metabolic exchange of the 13C label between [1-13C]pyruvate and [1-13C]lactate were carried out by monitoring the time courses of the signals of hyperpolarized lactate and pyruvate. The metabolic response of a control healthy mouse was compared to the one obtained in analogous experiments with tumour-bearing animals. As expected the 13C HP label exchange rate between pyruvate and lactate is markedly higher in the tumour bearing mice.
[1] Ardenkjaer-Larsen, J. H. et al. Increase in signal-to-noise ratio of > 10,000 times in liquid-state NMR. Proc. Natl. Acad. Sci. U. S. A. 100, 10158–63 (2003)
[2] Reineri, F., Boi, T. & Aime, S. ParaHydrogen Induced Polarization of 13C carboxylate resonance in acetate and pyruvate. Nat. Commun. 6, 5858 (2015).1] Gallagher, F. A., Kettunen, M. I. & Brindle, K. M. Biomedical applications of hyperpolarized 13C magnetic resonance imaging. Prog. Nucl. Magn. Reson. Spectrosc. 55, 285–295 (2009)
[3] Cavallari E., Carrera C., Sorge M., Bonne G., Muchir A., Aime S., Reineri F., “The 13C hyperpolarized pyruvate generated by ParaHydrogen detects the response of the heart to altered metabolism in real-time”, Scientific Reports, May 2018.