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 generation
2.
While Keshari et al. and Bohndiek et al. estimated [NADPH]:[NADP
+]
using the balance of hyperpolarized
13C-dehydroascorbate and vitamic
C
3,4, a more recent study showed large variations in cytosolic [NAD
+]/[NADH]
in different cancer cells using hyperpolarized
13C-glucose
5. However,
13C-glucose
suffers a significantly short T
1 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
membrane
6, is useful
to measure intracellular pyruvate and lactate as the level of alanine
transaminase (ALT) in the serum is low
7. 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 change
8, 1 mL/kg of 40-% ethanol
was intravenously infused
9,
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 10
o 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 T
1 of
13C-labeled alanine.
Results and Discussion
Hyperpolarized [1-
13C]alanine
samples were measured as ~20 % of liquid-state polarization and ~69 s of T
1,
which is comparable to [1-
13C]pyruvate T
1, 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 liver
1. 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
size
10. 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 change
8.
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
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