Yohan van de Looij1,2, Justin M Dean3, Alistair J Gunn3, Petra S Hüppi1, and Stéphane V Sizonenko1
1Division of Child Growth & Development, Department of Pediatrics, University of Geneva, Geneva, Switzerland, 2Laboratory for Functional and Metabolic Imaging, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 3Department of Physiology, University of Auckland, Auckland, New Zealand
Synopsis
Infection-induced inflammation is a major cause of injury to
the white matter and grey matter structures of the brain in the early preterm infant.
In the present study, we assessed the long-term effects of early-life
inflammation on white and grey matter microstructure using diffusion tensor
imaging (DTI) and neurite orientation
dispersion and density imaging (NODDI) at 9.4T. In this study, we
characterized the microstructural consequences of LPS exposure in newborn pup
rats recovered to P21. Mild changes in white matter and cortical development
were observed without ventriculomegaly. DTI and NODDI can be used to assess
subtle changes following LPS exposure. Introduction
Infection-induced inflammation is a major cause of injury to
the white matter and grey matter structures of the brain in the early preterm infant.
Rodent models of neonatal inflammatory brain injury commonly utilize bacteria-derived
lipopolysaccharide (LPS) exposure in new-born pups, which exhibit a similar timing of neuronal and
oligodendroglial development to the very
preterm infant. In the present study, we assessed the long-term effects of
early-life inflammation on white and grey matter microstructure using diffusion
tensor imaging (DTI) and neurite orientation dispersion and
density imaging (NODDI)
at 9.4T.
Methods
Sprague-Dawley
rats received repeated intraperitoneal injection of low-dose LPS (300 mg/kg;
LPS group, n=9) or saline (CT group, n=9) once daily from postnatal (P) days 1
to 3. At P21 rats were sacrificed and brains were
formalin-fixed for subsequent histology and
ex-vivo MRI. MR experiments
were performed on an actively-shielded 9.4T/31cm magnet (Agilent) equipped with
12-cm gradient coils (400mT/m, 120µs) with a 2.5 mm diameter birdcage coil. A multi-b-value shell protocol was acquired using a spin-echo
sequence with the following parameters: FOV = 21×16 mm
2, matrix size
= 128×92, 12 slices of 0.6 mm thickness in the axial plane, 3 averages with
TE/TR = 45/2000 ms. A total of 96 diffusion
weighted images were acquired, 15 of them as b
0 reference images.
The remaining 81 were separated in 3 shells with the following distribution (#
of directions/b-value in s/mm
2): 21/1750, 30/3400 and 30/5100. All 81
directions were non-collinear and were uniformly distributed in each shell. The
total acquisition time was 15h per brain. Acquired data were fitted using the
NODDI toolbox [2].
The diffusion tensor (DT) was spatially normalized to the study-specific DT
template using DTI-TK [3]. The regions of interest (ROI) were drawn on the DT
study-specific template and were then transformed back to the subject space in
order to compute ROI-averaged estimates of DTI and NODDI maps. Six different
brain regions were identified on the DT-template: cortex (Cx), corpus callosum
(CC), internal capsule (IC), external capsule (EC), cingulum (Cg) and Striatum
(St). For statistics (LPS vs. CT), a
Mann Whitney test was used (significance: *P<0.05)
Results
No
overt trace of ventriculomegaly was observed. In the white matter, there was no
significant change observed between the groups in the CC and Cg, except for a
trend (P=0.05) of increased ODI in the
CC in LPS rats. There was a significant decrease in FA and increase in ODI in
the IC and EC in LPS rats. There was also a significant increase in
ficvf in the EC and an
increase in
fiso in the IC
in LPS rats compared to controls. By contrast, in the cerebral cortex there was
a significant increase in FA and decrease in ODI in LPS rats compared to controls.
Discussion and
conclusion
In
this study, we characterized the microstructural consequences of LPS exposure in
newborn pup rats recovered to P21. Mild changes in white matter and cortical
development were observed without ventriculomegaly. Cortical structure was
abnormally developed with potential growth retardation in dendritic
arborization (leading to increased FA and decreased ODI). Although there was
only a small effect on the CC (ODI increased) tracts, results from the EC and IC
were suggestive of myelination impairment, as characterized by a decrease in FA
and increase in ODI (fiber compaction defect) and an increase in ficvf (potential cytotoxic
edema) in the EC, and an increase in fiso
(potential vasogenic edema) in the IC.
In
conclusion, DTI and NODDI can be used to assess subtle changes in cerebral
impairment following LPS exposure. These techniques may be of high interest for
the clinical community of neonatologists due to their translational utility.
Acknowledgements
Fond
National Suisse (N° 31003A-135581/1), the CIBM of the UNIL, UNIGE, HUG, CHUV,
EPFL, Leenards and Jeantet foundation, the Neurological Foundation of NZ, and
the Auckland Medical Research Foundation of NZ.References
[1]
van de Looij Y Cur. Opin. in Neur. 2014 [2] Zhang H Neuroimage 2012 [3] Zhang H Med. Image Anal. 2006