Noninvasive in vivo assessment of cytosolic redox-state in rat liver using hyperpolarized [1-13C]alanine
Jae Mo Park1, Ralph E Hurd2, Shie-Chau Liu1, and Daniel M Spielman1

1Radiology, Stanford University, Stanford, CA, United States, 2Applied Sciences Laboratory, GE Healthcare, Menlo Park, CA, United States

Synopsis

Intracellular [lactate]:[pyruvate] is an important biomarker of cytosolic redox-state, directly reflecting free cytosolic [NADH]:[NAD+]. Hyperpolarized [1-13C]alanine, which can be also transported across the plasma membrane, is useful to measure relative concentrations of intracellular pyruvate and lactate. In this work, we propose a simple method to assess in vivo cytosolic redox-state using hyperpolarized [1-13C]alanine, and demonstrate the ethanol-induced redox change in rat liver.

Background

13C-labeled pyruvate has been the most successful substrate to date for dynamic nuclear polarization (DNP) because of its essential role connecting multiple cellular metabolic pathways. A simple metric, 13C-lactate-to-13C-pyruvate ratio, is frequently used as it reflects lactate dehydrogenase (LDH) activity and intrinsic pool sizes. In addition, intracellular [lactate]:[pyruvate] is an important biomarker of cytosolic redox-state, directly reflecting free cytosolic [NADH]:[NAD+]1. The 13C-lactate-to-pyruvate ratio derived from infused hyperpolarized 13C-pyruvate, however, does not accurately measure cellular redox-state since much of the labeled pyruvate and lactate is in extracellular space, and is often affected by vascular perfusion and substrate transport via monocarboxylate transporter (MCT). Both NADH and NADPH are key components in cellular anti-oxidation systems; NADH-dependent reactive oxygen species (ROS) generation from mitochondria and NADPH oxidase-dependent ROS generation are two critical mechanisms of ROS generation2. While Keshari et al. and Bohndiek et al. estimated [NADPH]:[NADP+] using the balance of hyperpolarized 13C-dehydroascorbate and vitamic C3,4, a more recent study showed large variations in cytosolic [NAD+]/[NADH] in different cancer cells using hyperpolarized 13C-glucose5. However, 13C-glucose suffers a significantly short T1 even with deuteration and should go through multiple metabolic steps to produce pyruvate and lactate. Hyperpolarized [1-13C]alanine, which can be also transported across the plasma membrane6, is useful to measure intracellular pyruvate and lactate as the level of alanine transaminase (ALT) in the serum is low7. In this work, we propose a simple method to assess in vivo cytosolic redox-state using hyperpolarized [1-13C]alanine, and demonstrate the ethanol-induced redox change in rat liver.

Methods

All measurements were performed on a clinical 3T GE Signa PET/MR scanner using GE SPINlab DNP polarizer. A custom-built transmit/receive 13C surface coil (Ø = 28 mm) was placed on top of the livers of healthy male Wistar rats (440-453g, N = 2). Each animal was anesthetized with 2-3 % isoflurane in oxygen (~1.5 L/min), then administered a solution of 80-mM hyperpolarized [1-13C]alanine for the measurement of baseline redox-state. To induce a hepatic redox change8, 1 mL/kg of 40-% ethanol was intravenously infused9, followed by the measurement of the perturbed redox-state using another hyperpolarized [1-13C]alanine. MRS data were acquired following the injection of the hyperpolarized compounds using the dynamic free induction decay sequence with a 10o hard RF pulse (pulse width = 40 μs, spectral width = 5,000 Hz, 2,048 spectral points, acquisition time = 4 min, temporal resolution = 3 s). Independent phantom experiments were performed to estimate liquid polarization level and T1 of 13C-labeled alanine.

Results and Discussion

Hyperpolarized [1-13C]alanine samples were measured as ~20 % of liquid-state polarization and ~69 s of T1, which is comparable to [1-13C]pyruvate T1, after ~6 hrs of polarization. In vivo study showed lactate and pyruvate peaks in rat liver from an injection of hyperpolarized [1-13C]alanine (Fig. 1). Lactate-to-pyruvate ratio was measured from time-averaged (0-60s) spectra as 9.59 and 9.60 in two rats, which are consistent to the reported [lactate]/[pyruvate] in liver1. Although reliable temporal change of lactate production could be measured, signal-to-noise ratio (SNR) of pyruvate was not sufficient enough to measure pyruvate kinetics, probably because of the small intrinsic pyruvate pool size. Figure 2 shows a time-averaged spectrum and time-courses of 13C-labeled metabolites acquired from a representative rat liver. One potential way to augment the pyruvate and lactate SNRs is to co-inject unlabeled pyruvate to increase the pyruvate pool size10. The ratio was increased to 26.00 and 17.31, respectively, 45-min after the ethanol infusion (Fig. 3). The amount of increase is also in the range of previously reported ethanol-induced redox change8.

Acknowledgements

National Institutes of Health (R01 CA176836, R01 EB019018, S10 OD012283, P41 EB015891) of the United States. We also thank GE Healthcare and Stanford Gambhir-RSL grant.

References

1. DH Williamson, P Lund, and HA Krebs, The redox state of free nicotinamide-adenine dinucleotide in the cytoplasm and mitochondria of rat liver. Biochem J. 1967 May; 103(2): 514–527.

2. W Ying, NAD+/NADH and NADP+/NADPH in cellular functions and cell death: regulation and biological consequences. Antioxid Redox Signal. 2008 Feb;10(2):179-206.

3. KR Keshari, J Kurhanewicz, R Bok, PE Larson, DB Vigneron, and DM Wilson, Hyperpolarized 13C dehydroascorbate as an endogenous redox sensor for in vivo metabolic imaging. PNAS. 2011 Nov; 108(46), 18606–18611.

4. SE Bohndiek, MI Kettunen, D Hu, BWC Kennedy, J Boren, FA Gallagher, and KM Brindle, Hyperpolarized [1-13C]-ascorbic and dehydroascorbic acid: vitamin C as a probe for imaging redox status in vivo. J Am Chem Soc. 2011 Aug; 133(30), 11795–11801.

5. CE Christensen, M Karlsson, JR Winther, PR Jensen, and MH Lerche, Non-invasive in-cell determination of free cytosolic [NAD+]/[NADH] ratios using hyperpolarized glucose show large variations in metabolic phenotypes. J Biol Chem. 2014 Jan; 289(4), 2344–2352.

6. SK Joseph, NM Bradford, and JD McGivan, Characteristics of the transport of alanine, serine and glutamine across the plasma membrane of isolated rat liver cells. Biochem J. 1978 Dec 15; 176(3): 827–836.

7. S Hu, M Zhu, HA Yoshihara, DM Wilson, KR Keshari, PShin, G Reed, C von Morze, R Bok, PE Larson, J Kurhanewicz, and DB Vigneron, In vivo measurement of normal rat intracellular pyruvate and lactate levels after injection of hyperpolarized [1-(13)C]alanine. Magn Reson Imaging. 2011 Oct; 29(8): 1035–1040.

8. OA. Forsander, Influence of the metabolism of ethanol on the lactate/pyruvate ratio of rat-liver slices. Biochem J. 1966 Jan; 98(1): 244–247.

9. DM Spielman, D Mayer, Y-F Yen, J Tropp, RE Hurd, and A Pfefferbaum, In vivo measurement of ethanol metabolism in the rat liver using magnetic resonance spectroscopy of hyperpolarized [1-13C]pyruvate. Magn Reson Med. 2009 Aug; 62(2): 307-313.

10. R Hurd, D Spielman, S Josan, YF Yen, A Pfefferbaum, and D Mayer. Exchange-linked dissolution agents in dissolution-DNP (13)C metabolic imaging. Magn Reson Med. 2013 Oct;70(4):936-42.

Figures

Figure 1. Time-resolved spectra acquired from a rat liver using hyperpolarized [1-13C]alanine with a temporal resolution of 3s.

Figure 2. (A) Time-averaged (0-60s) spectrum and (B) time-courses of [1-13C]-labeled alanine, pyruvate, and lactate in a representative rat liver. The spectrum and time-course are normalized to the maximum alanine signal.

Figure 3. Effect of ethanol on hepatic redox-state. Time-averaged (0s-60s) in vivo spectra of a rat liver at (A) baseline and (B) 45-min after ethanol infusion. Each spectrum was normalized to the alanine peak.



Proc. Intl. Soc. Mag. Reson. Med. 24 (2016)
3672