Kenneth W Fishbein1, Mikayla L Hall1, Mustapha Bouhrara1, Yulia Grigorova1, Jeffrey Long1, Christopher A Morrell1, Edward G Lakatta1, Peter Rapp1, Alexei Y Bagrov1, Richard G Spencer1, and Olga V Fedorova1
1National Institute on Aging, National Institutes of Health, Baltimore, MD, United States
Synopsis
Dahl salt-sensitive rats are a common preclinical model for hypertension.
We compared brain morphology and MRI contrast parameters (T2, T2*, MTR and
diffusion) in Dahl and Sprague-Dawley rats on low-salt and high-salt diets. Two
of five Dahl rats on a high-salt diet exhibited stroke lesions on T2 and diffusion-weighted
images. Dahl rats had smaller brain and hippocampus volumes and larger
percent ventricular volume relative to Sprague-Dawley rats, regardless of diet. Dahl rats on the high-salt diet
had thinner cortex, and longer T2 and shorter T2* in whole brain (excluding
lesions and ventricles). Dahl rat brains therefore exhibit distinct
morphological and contrast features on MRI, some of which are independent
of salt loading.Objectives
Dahl Salt-Sensitive (DSS) rats
1 differ from
their “ancestors”, Sprague-Dawley (SD) rats, by developing hypertension,
cardiovascular remodeling and fibrosis on a high salt (HS) diet. Hypertension
in DSS rats may affect cognitive functions and is a risk factor for
hemorrhagic stroke. Interestingly, while DSS rats are frequently used as a
model to examine brain vascular and neurochemical adaptation to hypertension,
very little has been published on the MRI appearance of the DSS rat brain
2-4 and none of these works have described its morphology or
contrast in vivo. Thus, we studied (i) the effect of
pre-disposition to salt-sensitive hypertension on the difference in brain
structures and composition, and (ii) the effect of HS diet on these
parameters.
Methods
All rat experiments were approved by the NIH/NIA IACUC. Six-week
old SD and DSS rats were given a HS (8% NaCl) or low salt (LS; 0.5% NaCl) diet
for 8 weeks; six rats were in each group. Body weight (BW) was measured, systolic blood pressure (SBP) was measured by tail cuff plethysmography, and the animals underwent
brain MRI. Imaging was performed on a Bruker Biospec 7T scanner with a 72 mm
transmit-receive resonator. Anesthesia was induced by inhalation of
isoflurane:O
2 mixture and maintained at
2-3% v/v during scanning. Vital signs were continuously monitored and
temperature maintained at 37-38°C. Multi-slice data were acquired with
1 mm section thickness and 200μm × 250μm in-plane resolution. T
2 and T
2*-weighted images were acquired using multi-slice multi-echo spin echo (SE; TE=9ms, TR=4s) and
multi-gradient echo (TE
1=2.4, ΔTE=3.7ms, TR=2s) sequences, respectively, with
20 echoes. Diffusion-weighted (DW) images (see Fig.1) were acquired with a fat-suppressed SE
sequence with TE=27.6ms, δ=7ms, Δ=14ms, b=2 or 212s/mm
2 and TR=4s with sensitizing gradients along H/F, A/P and L/R directions. Magnetization-transfer (MT)-weighted images were acquired with a
fat-suppressed SE sequence (TE=9ms, TR=3s) preceded by a square,
6kHz-off-resonance pulse of length 0 or 250ms, B
1=6μT. ROIs were manually traced on DW images for volume
calculations for whole brain and brain regions. T
2 and T
2* in each ROI were
calculated by a 3-parameter fit of mean ROI intensity over all pixels in all
slices containing the structure of interest versus TE. R
2'=(1/T
2*)-(1/T
2) was calculated as a measure of B
0 and susceptibility inhomogeneity. MT ratio was calculated
as MTR=1-M
sat/M
0. ADC's, mean diffusivity (MD) and fractional anisotropy (FA) were estimated from mean ROI intensities in
DW images. Effects of genotype (SD vs. DSS) and diet (LS vs. HS) were
evaluated by two-way ANOVA with Newman-Keuls post-hoc pairwise tests.
Statistical significance was defined as p<0.05.
Results
DSS rats had lower BW (LS: by 20%; HS: by 32%), and higher SBP
(LS: by 31 mmHg; HS: by 97 mmHg) than SD rats fed similar diets (Table 1).
After 8 weeks on a HS diet, DSS, unlike SD rats, became hypertensive; SBP
was higher by 16mmHg in SD rats on HS versus LS diet (ns), and by 82 mmHg in
DSS rats on HS versus LS diet. Total brain and hippocampus volume were
smaller in DSS versus SD rats on either diet but cerebellar
volumes were similar. Mean cortical thickness was smaller in DSS rats, but
only on HS diet. Percent ventricular volume was greater in DSS rats relative to
SD rats on LS diet. Obvious stroke lesions were detected on T
2 and diffusion-weighted MRI in two DSS rats, both on
HS diet (Fig. 3; compare Fig.2). Excluding T
2-hyperintense regions,
whole-brain T
2 was longer and T
2* shorter in DSS rats
on a HS diet versus control SD rats, resulting in greater R
2' (Table 2). No
significant differences
in MTR were found. FA was generally similar in all
groups while ADC in the A/P direction and MD were greater in DSS versus SD rats
on the same LS diet.
Discussion
Interestingly, regardless of diet, DSS rat brains were smaller than those of SD rats yet some differences were diet-dependent. As expected, HS diet induced hypertension in DSS rats, resulting in frank stroke lesions in some animals and greater T
2 and R
2' and shorter T
2* in this group in general. This is suggestive of microvascular disease and possibly microbleeds throughout the brain. The latter were evident as hypointensities adjacent to stroke lesions in the T
2-weighted images. Behavioral tests are now underway to assess the effects of thinner cortex in DSS rats on HS diet. These results underscore the utility of the DSS rat as a model for hypertension-induced stroke and subclinical, microscopic adaptations while pointing to underlying differences in brain structure and physiology resulting directly from genetic differences between DSS and SD rats.
Acknowledgements
This work was supported by the NIH/National Institute on Aging.References
1. Dahl LK, Knudsen KD, Heine MA, Leitl GJ. Effects of chronic excess salt ingestion. Modification of experimental hypertension in the rat by variations in the diet. Circ Res 1968;22:11-18.
2. Decano JL, Viereck JC, McKee AC, et al. Early-life sodium exposure unmasks susceptibility to stroke in hyperlipidemic, hypertensive heterozygous Tg25 rats transgenic for human cholesteryl ester transfer protein. Circulation 2009;119:1501-1509.
3. Li Z, Ward BD, Dwinell MR, et al. FMRI and fcMRI phenotypes map the genomic effect of chromosome 13 in Brown Norway and Dahl salt-sensitive rats. NeuroImage 2014;90:403-412.
4. Li C, Li Z, Ward BD et al., Enhancements of resting-state fcMRI networks by prior sensory stimulation. Brain Connectivity 2014;4:760-768.