Rafal Janik1, Lynsie A.M. Thomason2, and Greg J. Stanisz1,2,3
1Medical Biophysics, University of Toronto, Toronto, ON, Canada, 2Physical Sciences, Sunnybrook Research Institute, Toronto, ON, Canada, 3Department of Nerurosurgery and Pediatric Neurosurgery, Medical University of Lublin, Lublin, Poland
Synopsis
A novel method for the detection of brain 5-HT, tryptophan, and 5-HIAA is presented. The method relies on the chemical exchange of an amide proton which is shifted outside the normal range for amide protons. This is demonstrate in-vivo in a rat model of 5-HT increase.Introduction
In this work we present what we believe to
be the first detection of serotonin along with it’s derivatives and substrate,
in vivo using a noninvasive technique. Serotonin (5-HT)
is uniquely amenable to being measured using CEST. 5HT, along with it’s
derivative 5HIAA and its substrate tryptophan, have a amide proton which is
shifted far outside (10.5ppm referenced to tetramethylsilane)
the usual range of exchangeable protons (fig. 1),
and 5-HT remains in the slow exchange
regime over the range of physiological pH values
1. 5-HT, 5-HIAA, and
tryptophan concentrations in the brain range from 10-100µM
2, and as a result cannot be directly and noninvasively measured. 5-HT
is currently implicated in the patho-physiology of major depressive and anxiety
disorders
3, and it is the target of many pharmacological interventions such as
mono amine oxidase inhibitors (MAOIs), and serotonin selective reuptake
inhibitors (SSRIs)
3.
Methods
All experiments where conducted on a Bruker
(Ettlingen, Germany) 70/30 Biospec MRI system.
Phantom experiments: Chemical exchange rates of 5-HT
phantoms of varying concentration (25mM,
15mM, 5mM, and 1mM) were
measured using a continuous wave (CW) saturation
prepared PRESS (repetition
time/echo time=10,000/25ms, saturation time=4,800ms) sequence
with variable saturation pulse powers (0.1-3.0µT) over a range of saturation
offsets (-2,500Hz to 3,000Hz, with 20Hz spacing). T
1 and T
2
relaxation time constants of the phantoms were
measured using an inversion prepared fast spin echo sequence (repetition
time/echo time=10,000/42ms, FSE factor=8) and a CPMG sequence (repetition
time/echo time spacing=10,000/5ms, number of echoes=128) respectively. The water line areas for each saturation time
were fit using full Bloch equation, including chemical exchange, simulations.
Measured T
1 and T
2 of the water pool were provided as
known parameters. In total four parameters were fit: the
parameters CEST exchange rate constant, Rex,
proton fraction of the CEST pool, Mob,
its longitudinal, T
1b
and transverse, T
2b
relaxation times. Phantom parameters were
then used for in vivo data analysis. Animal experiments: CEST spectra were
measured in 4 naïve rats and 5 rats treated with MAOIs and tryptophan (IP
injection 20 mg/kg tranylcypromine followed by 100mg/kg
L-tryptophan, animals were imaged
once they started exhibiting behavioral symptoms of 5-HT overload ~1.5 hours)2, in order to increase brain 5-HT,
before and after treatment. In vivo
CEST experiments were carried out using a saturation prepared echo planar
imaging sequence (repetition
time/echo time=5,000/21ms, saturation time=4800ms, saturation
offsets= -2,000Hz to 2,500Hz, with 20Hz spacing, saturation power=1.0µT). B
1
mapping before and after the CEST acquisition was performed using WASSR.
Reference frames at a saturation offset frequency of 20 kHz were acquired every
other. CEST spectra for each voxel were interpolated and shifted according to
the B
1 maps and averaged for anatomical ROI (cortical GM, WM,
hippocampus, and other subcortical GM). The average CEST spectra were fit using
five Lorentzian peaks, to account for the direct effect, semi-solid MT, NOE,
amide CEST, and amine CEST plus a sixth peak (5-HT) with
fixed position and width determined by the phantom experiments. 5-HT
CEST peak areas were compared with 5-HT
concentrations were assessed ex-vivo
using an enzyme-linked
immunosorbent assay (ELISA) (Rocky Mountain Diagnostics, Colorado, USA).
Results
The exchange rate of the amide proton, R
ex
on 5-HT (pH=7.4, T=37°) was measured. In phantoms the
area of the CEST peak correlated with 5-HT concentration (R=0.94, p<0.01).
Naïve animals
showed no statistically significant change in the area of the 5-HT CEST peak
between imaging sessions. Animals treated with MAOIs and tryptophan after the
first imaging session showed a statistically significant increase (14±3%
p<0.05) in the 5-HT CEST peak in the cortical gray matter ROI, consistent
with the expected increase in brain 5-HT levels. The increase in cortical 5-HT
CEST can be seen in individual animals as shown in figure 2. Data for both
naïve and treated animals is summarized in figure 3. The area of the 5-HT CEST
peak shows good linearity with ex vivo concentration of 5-HT. This work
represents the first in vivo MR measurement of 5-HT along with its substrate,
tryptophan, and derivative, 5-HIAA. We believe that this measurement will serve
as an important biomarker in future studies investigating the roll of serotonin
in major brain disorders.
Acknowledgements
No acknowledgement found.References
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C. B. & Owens, M. J. The role of serotonin in the pathophysiology of
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