Observation of in vivo lactate metabolism in skeletal muscle using hyperpolarized 13C MRS
JAE MO PARK1, Sonal Josan1, Dirk Mayer2, Ralph E Hurd3, Youngran Chung4, David Bendahan5, Daniel M Spielman1, and Thomas Jue4

1Radiology, Stanford University, Stanford, CA, United States, 2Diagnostic Radiology and Nuclear Medicine, University of Maryland, Baltimore, MD, United States, 3Applied Sciences Laboratory, GE Healthcare, Menlo Park, CA, United States, 4Biochemistry and Molecular Medicine, University of California - Davis, Davis, CA, United States, 5Centre de Resonance Magnetique Biologique et Medicale, Aix-Marseille University, Marseille, France

Synopsis

The present study reports the use of hyperpolarized [1-13C]lactate and [2-13C]pyruvate to measure the rapid pyruvate and lactate kinetics in rat skeletal muscle. The results provide support for a critical underpinning of both the glycogen shunt model and the intracellular lactate shuttle hypothesis, and cautions against an overly simplistic view of glycolytic end products as merely hypoxia biomarkers.

Background

The production of glycolytic end products, such as lactate, usually evokes a cellular shift from aerobic to anaerobic ATP generation and O2 insufficiency. In the classical view, muscle lactate must be exported to the liver for clearance. However, lactate also forms under well-oxygenated conditions, and this has led investigators to postulate lactate shuttling from non-oxidative to oxidative muscle fiber, where it can serve as a precursor. Indeed, the intracellular lactate shuttle1 and the glycogen shunt2,3 hypotheses expand the vision to include a dynamic mobilization and utilization of lactate during a muscle contraction cycle. Testing the tenability of these provocative ideas during a rapid contraction cycle has posed a technical challenge. The present study reports the use of hyperpolarized [1-13C]lactate and [2-13C]pyruvate to measure the rapid pyruvate and lactate kinetics in rat skeletal muscle.

Methods

Clinical GE 3T MR scanner and HyperSense DNP polarizer were used. Healthy male Sprague-Dawley rats (517–681g, N=12) were prepared for two studies. For the first study, metabolic kinetics was measured using the 40-mM hyperpolarized [1-13C]lactate before and 1hr after dichloroacetate (DCA), which stimulates pyruvate dehydrogenase (PDH) activity. To measure the spatial distribution of the metabolites in skeletal muscle, metabolite maps were acquired from one of the DCA-injected rats after an additional injection of hyperpolarized [1-13C]lactate. For the second study, metabolic kinetics was measured using 80-mM hyperpolarized [2-13C]pyruvate before and 1hr after DCA injection. A 13C surface coil (Ø=28mm) was placed on top of right rectus femoris of each animal. Dynamic free induction decay was measured for metabolic kinetics (10o hard RF pulse, temporal resolution=3 s, spectral width/points=10 kHz/4096). A volumetric single time-point spiral CSI sequence (field of view=80×80×60mm3, matrix size=16×16×12, spectral bandwidth/points=972.7Hz/96, acquisition time=4s, 20o hard pulse) with a circularly reduced k-space sampling scheme was used to acquire the CSI4. To obtain the maximum signal of 13C-labeled metabolic products, the CSI scan was started 25s after the start of the injection. Metabolites were quantified by integrating the respective peak in the absorption mode from time-averaged spectra (0–2min), followed by normalization to total carbon signal (tC). Temporal change of each metabolite signal was estimated from the peak integrals of the time-resolved spectra using two parameters5: τ and r. Time point (τ) where the half-maximum of each metabolite signal was achieved was compared to assess the metabolite production rate. The production rate of each metabolite was also estimated from the mean slope of the first four time points (r) following its appearance in the dynamic curve by linearly fitting the metabolite signal, which is then normalized to the initial mean slope of the injected substrate.

Results and Discussion

Fig. 1 shows the time-averaged 13C spectra in rat leg muscle acquired after an injection of hyperpolarized [1-13C]lactate. In control muscle, the metabolic products such as pyruvate, alanine, and HCO3 were detected. DCA increased the HCO3/tC ratio ~11 times. The pyruvate/alanine ratio decreased by 18%, whereas the pyruvate/lactate ratio fell by 60%. The composite metabolism and exchange rates (rx→y) relative to the time-dependent change of the lactate signal were also altered: rLac→HCO3- increased by a factor of ~10, rLac→Pyr decreased by a factor of 2 and rLac→Ala slightly decreased (Fig. 2). Fig. 3 shows the metabolic response to injected hyperpolarized [2-13C]pyruvate. In control muscle, only lactate and pyruvate had sufficient SNR to map the dynamic response confidently. With DCA, acetyl-carnitine, glutamate, and acetoacetate signals appeared prominently. The 13C label distribution of the metabolites and dynamic parameters are summarized in Fig. 4. 3D metabolite maps of lactate, alanine, pyruvate and HCO3 were reconstructed from the 2.5h post-DCA CSI data (Fig. 5). Normalized metabolite maps and a ratio map of products are shown in axial and coronal planes. Despite the large point spread function and partial volume effects, each metabolite map in both axial and coronal planes showed distinct distribution from the other metabolite maps. Both the intracellular lactate shuttle and glycogen shunt models require that muscle must mobilize and rapidly utilize lactate and can convert it quickly to acetyl CoA for oxidative metabolism in the mitochondria. Indeed, the present DNP studies have established that muscle can rapidly mobilize and use lactate. PDH poses no metabolic inertia and can compete readily with LDH to divert accumulated lactate to acetyl CoA. As a consequence, the results provide support for a critical underpinning of both the glycogen shunt model and the intracellular lactate shuttle hypothesis, and cautions against an overly simplistic view of glycolytic end products as merely hypoxia biomarkers. The findings have established a critical basis to conduct experiments underway that investigate muscle metabolism under pathophysiological conditions.

Acknowledgements

The project received funding support from the National Institutes of Health (P41 EB015891, AA05965, AA018681, AA13521-INIA, CA176836, OD012283 and EB009070), The Department of Defense (PC100427, The Lucas Foundation, France Berkeley Fund and GE Healthcare.

References

1. GA Brooks, Cell-cell and intracellular lactate shuttles. J. Physiol. 2009; 587:5591-5600.

2. RG Shulman and DL Rothman, The “glycogen shunt” in exercising muscle: a role for glycogen in muscle energetics and fatigue. Proc Natl Acad Sci USA 2001; 98: 457-461.

3. Y Chung, R Sharman, R Carlsen, SW Unger, D Larson and T Jue, Metabolic fluctuation during a muscle contraction cycle. Am J Physiol Cell Physiol 1998; 274: C846-C852.

4. JM Park, S Josan, T Jang, M Merchant, R Watkins, RE Hurd, LD Recht, D Mayer and DM Spielman, Volumetric spiral chemical shift imaging of hyperpolarized [2-13C]pyruvate in a rat c6 glioma model. Magn Reson Med 2015; doi: 10.1002/mrm.25766.

5. MA Schroeder, MA Ali, A Hulikova, CT Supuran, K Clarke, RD Vaughan-Jones, DJ Tyler P and Swietach, Extramitochondrial domain rich in carbonic anhydrase activity improves myocardial energetics. Proc Natl Acad Sci USA 2013; 110: E958-E967.

Figures

Figure 1. Time-averaged 13C signals from rat skeletal muscle after injection of 40 mM hyperpolarized [1-13C]lactate. (A) Control. (B) 1h after DCA infusion. Each spectrum is normalized to the corresponding [1-13C]lactate peak intensity and time averaged for 0–2min.

Figure 2. Different metabolite enzyme activity ratios in rat skeletal muscle after the injection of 40 mM hyperpolarized [1-13C]lactate. (A) Metabolite ratios calculated from time-averaged (0–2 min) spectra. (B) Metabolite production rates (r). (C) Time to half-maximum (τ). Asterisk indicates statistically significant difference between pre-/post-DCA measurements (*P<0.05).

Figure 3. Time-averaged 13C signals from rat skeletal muscle after injection of 80 mM hyperpolarized [2-13C]pyruvate. (A) Control. (B) 1 h after DCA infusion. Each spectrum is normalized by the corresponding [2-13C]pyruvate peak intensity and time averaged for 0–2min.

Figure 4. Different metabolite enzyme activity ratios in rat skeletal muscle after the injection of 80-mM hyperpolarized [2-13C]pyruvate. (A) Metabolite ratios. (B) Metabolite production rates (r). (C) Time to half-maximum (τ). Glutamate, acetyl-carnitine (ALCAR) and acetoacetate (AcAc) are detected post-DCA only. Asterisk indicates statistically significant difference between pre-/post-DCA measurements (*P<0.05). Double asterisks indicate that the metabolite was detected only post-DCA.

Figure 5. Overlays of anatomical and metabolite images of rat leg muscle acquired using hyperpolarized [1-13C]lactate. (A) Axial images. (B) Coronal images. 3D CSI image was collected 2.5h after DCA infusion.



Proc. Intl. Soc. Mag. Reson. Med. 24 (2016)
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