Jadegoud Yaligar1, Sanjay Kumar Verma1, Rengaraj Anantharaj1, Venkatesh Gopalan1, Giang Le Thi Thu1, Kavita Kaur1, and S Sendhil Velan1
1Laboratory of Molecular Imaging, Singapore Bioimaging Consortium, Singapore, Singapore
Synopsis
Onset of hyperglycemia and lipotoxicity are associated
with reduced β-cell mass and function compromising insulin
secretion leading to insulin resistance. It is technically challenging to image
pancreas in rodents by conventional imaging approaches. In this
study we have utilized GdDOTA-diBPEN
to image the pancreas in control and high fat diet (HFD) fed rat model. HFD fed
rodent model shows increase in pancreatic fat and functional βcell
volume during compensatory phase which is due to the adaptive response to HFD.
Longitudinal assessment of pancreatic fat accumulation and βcell mass and function
will provide better insights associated with β-cell dysfunction.
Introduction
Onset of hyperglycemia is due
to reduced β-cell mass and function compromising insulin secretion leading
to insulin resistance. Insulin secretion declines when there is 65%
or more loss of β-cells1-3.
There are attempts to develop PET
tracers to target β-cells4 and are not suitable for longitudinal
assessment and pediatric population. Alternatively, MRI based contrast agents are
more suitable for longitudinal studies.
Recently, MRI based GdDOTA-diBPEN which is sensitive to Zn+2
ions released from β-cells has been
developed and evaluated in mice and patients5. In addition to hyperglycemia,
the lipotoxicity due to prolonged accumulation of fat in pancreas may also lead
to compromised β-cell function by down regulating
the insulin secreting genes6. In this study, we investigated the fat
accumulation and functional β-cell volume in the pancreas of high fat diet fed rodent
model.Methods
Eight weeks old, male Wister
rats were randomized into two groups. Group1 (n=5) animals were fed with chow
diet (CD) and Group2 (n=5) animals were fed with 60 % high fat diet (HFD) for 4
weeks. Prior to imaging, animals were fasted for 17-19 hours and catheterized
for injecting the MR contrast agent GdDOTA-diBPEN. MRI measurements were
carried out using 11.7T Bruker scanner. Before contrast injection, 3D-mGRE
Multi-point Dixon imaging was performed in abdomen with FOV-65x65mm2,
resolution-0.254x0.254mm, ST-35mm, TR-15ms, TE-1.28,1.47,1.66,185,2.04 and
2.23ms, average-1, FA-4°. Insulin secretion in pancreas was stimulated by Glucose (2
gm/Kg) and pre-contrast imaging was performed by using T1 weighted
2D-FLASH sequence with imaging parameters: FOV-65x65 mm2, ST-1mm, slices-35,
TR-350ms, TE-2.139ms, FA-35°. After glucose administration, GdDOTA-diBPEN was injected
(25mM/Kg B.W.) and imaging was initiated after 10 mts to allow the contrast
agent to bind to Zn+2 ions released by β-cells. 2D-FLASH sequence (35 slices) was repeatedly acquired for 1 hour with
an interval of 10 mts. Multi-point
Dixon data was processed for quantification of fat fraction (FF) by fitting to
6-peak fat model using ISMRM fat-water tool box7-8.
Enhancement of image contrast in pancreas was analyzed by computing the image
intensity difference between pre- and post-contrast images. Assuming bimodal histogram distribution of
difference image intermodes thresholding method was utilized to find the
enhancement in pancreas, which was then overlaid on contrast enhanced
anatomical images9.
Results and Discussion
In vivo characterization of pancreas by MR
imaging methods is very challenging in rodents due to its size and indefinite
structure. Figure 1A,B show the uptake
of contrast in pancreas from CD and HFD fed animals. During
glucose stimulated insulin secretion, the Zn+2 ions co-released
along with insulin from β-cells. Concentration of Zn+2
ions and insulin concentration in the extracellular matrix
gradually increase due to glucose response. Enhanced image intensity difference between
pre- and post-contrast images indicate the uptake of contrast agent by Zn+2 ions and directly proportional to
insulin release and β-cell function. The Zn+2 based
MR contrast agent GdDOTA-diBPEN is sensitive to image the functional β-cells
in pancreas5. Figure 2 shows quantitative changes
in volume of β-cells in CD and HFD animals. Functional β-cell volumes in CD and HFD fed animals were 98 ± 9.08 mm3
and 153 ± 12.06 mm3. β-cell volume in HFD fed animals was 1.58 times (P<0.05)
higher compared to CD group. Increase in β-cell volume
indicates the compensatory response of pancreas to release increased insulin due
to high fat dietary overload. During β-cell compensation phase,
it undergoes adoptive response and balances the glucose homeostasis. Figure
3A,B show FF images from CD and HFD animals, where contrast enhanced region generated
by taking difference in image intensities between pre- and post-contrast images
was overlaid on FF image as described in methods. In Figures 4A,B, the FF in
pancreas from HFD fed animal was significantly (P<0.05) higher compared
to CD group. Figure 5A, B show the representative
immunohistochemistry (IHC) insulin stained sections showing islet morphology
from CD and HFD animals. Average area computed from insulin positive
islet from HFD fed animals was significantly higher than CD group (Figure 5C). Increase
in islet area of HFD animals is consistent with increase in contrast uptake
volumes as observed in MR imaging, indicating the increase in functional β-cell volume in
response to high fat diet.Conclusions
It is technically challenging to image pancreas in
rodents by conventional imaging approaches. In this study we have imaged
pancreatic functional β-cells using Zn+2 sensitive MRI contrast agent in CD and HFD fed
animals and
demonstrated the increase in pancreatic fat and functional b-cell volume during β-cell compensatory
phase in response to HFD. Immunohistochemistry
results are in agreement with MR results. Our results show potential for longitudinal
assessment of pancreatic fat, β-cell mass and function during
the progression of diabetes.Acknowledgements
No acknowledgement found.References
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