Chao-Hsiung Hsu1, Stephen Lin1, Tirone Johnson2, Ke-Yi Wu1,3, Liang-Ron Chen1,4, Paul Wang1,3, Joseph Scafidi2, and Tsang-Wei Tu1
1Howard University, Washington, DC, United States, 2Children's National Medical Center, Washington, DC, United States, 3Fu Jen Catholic University, New Taipei City, Taiwan, 4Yuan Ze University, Taoyuan City, Taiwan
Synopsis
The study of
neurometabolites and the detection of glucose in the brain has relied on
anesthetized animals. Prolonged periods of anesthesia required for these
studies may affect these metabolites and the ability to interpret glucose
detection in the brain. However, performing post-mortem studies of
neurometabolites and glucose detection in the brain is difficult to interpret
because of rapid degradation. In this study, we utilized focal beam
microwave irradiation (FBMI) without anesthesia to collect brain tissue and
determine whether there is postmortem degradation of neurometabolites and
glucose using 1H-NMR and glucoCEST.
Introduction
The study of
neurometabolites and the detection of glucose in the brain has relied on
anesthetized animals. Prolonged periods of anesthesia required for these
studies may affect these metabolites and the ability to interpret glucose
detection in the brain [1]. However, performing post-mortem studies of
neurometabolites and glucose detection in the brain is difficult to interpret
because of rapid degradation [2]. In this study, we utilized focal beam
microwave irradiation (FBMI) without anesthesia to collect brain tissue and
determine whether there is postmortem degradation of neurometabolites and
glucose using 1H-NMR and glucoCEST.Materials and Methods
Five C57/BL6 mice
were administered 0.55 mg/g of D-glucose through intraperitoneal injection in
the awake state 15 minutes prior to sacrifice using FBMI. No anesthetic agents
were utilized. The head was quickly decapitated and the brain was kept in the
skull. The tissues were immediately transferred for 1H-NMR and
glucoCEST scans using a Bruker 9.4T spectrometer. The tissue was wrapped with
Parafilm and immersed in PBS solution for imaging with three glucose phantoms
in 3mM, 10mM, and 20mM concentration over 48 hours after fixation with FBMI. The
localized 1H-NMR were acquired using a PRESS sequence for
hippocampus. The NMR data were analyzed using LCModel for extracting NAA, Lac,
Cho, Myo-Inositol (Ins), Taurine (Tau), and Glutamate-Glutamine (Glx) levels. The
glucoCEST data were acquired by fast spin-echo sequence with MT pulse module
(2µT, 2000ms). The MT offset frequences (Δω) were
set from -1.6kHz to +1.6kHz with 40Hz stepping to sample 81 points covering the
frequency offset range from -4ppm to +4ppm to detect the proton metabolites of
glucose. CEST data were calibrated for B0/B1 field
inhomogeneity using WASSR [3] technique (0.35µT, 700ms) and spectral
interpolation. The glucoCEST contrast were
derived by asymmetry of magnetization transfer ratio (MTRasym)
calculating the area under the curve at 1.2ppm, 2.1ppm, 2.9ppm for mapping the
glucose levels in brain overtime [4].Results
1H-NMR detected a steep decreasing trend of NAA level
in brain within 24 h after fixation (Fig.1). The decreasing trend was slower from
24 h to 48 h, while Tau, Cho, and Lac consistently increased over time. Glx
showed a decreased trend within 48 h of time and Ins was not different after
microwave fixation. The glucoCEST contrast in the 3mM glucose phantom stably
maintained throughout the entire experiments (Fig. 2). The glucoCEST detected a
decreasing trend of glucose levels in hippocampus within 24 h and a slightly
increasing trend from 24 h to 48 h. Discussion and Conclusion
To perform any
metabolic functional studies, it is pertinent to collect tissue without
concerns for metabolic degradation of signal or influence of anesthetic agents,
all of which adversely affect mitochondria. This study shows the feasibility of
applying glucoCEST following microwave fixation to detect the glucose level in
the brain, which is usually unobservable by
1H-NMR. The decrease of
NAA indicated the degradation of neuronal cells, while the increase of Tau,
Cho, and Lac reflected the accumulation of metabolic products in anaerobic
glycolysis after death. The glucoCEST complimented the 1H-NMR to
identify the post-mortem changes of glucose level associated with NAA degradation
and Lac production in anaerobic glycolysis during tissue degradation.
Acknowledgements
No acknowledgement found.References
[1]
Choi IY, et al. J
Neurochem 2004;91,778-787;
[2] de Graaf
R, et al. J Neurochem 2009;109,494-501;
[3] Kim M, et
al. Magn Reson Med 2009;61:1441-1450.;
[4] Tu et al., Sci.Rep. 2018; 8:669