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 O
2 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 shuttle
1 and the
glycogen shunt
2,3
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 (10
o
hard RF pulse, temporal resolution=3 s, spectral width/points=10 kHz/4096). A
volumetric single time-point spiral CSI sequence (field of view=80×80×60mm
3,
matrix size=16×16×12, spectral bandwidth/points=972.7Hz/96, acquisition time=4s,
20
o hard pulse) with a circularly reduced k-space sampling scheme was
used to acquire the CSI
4.
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 parameters
5:
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 HCO
3−
were detected. DCA increased the HCO
3−/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 HCO
3−
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.