Synopsis
Our results of noninvasive in vivo proton magnetic resonance spectroscopy are based on accurate monitoring
of the changes in lipid content, which were verified using the data on
saturated fatty acids and unsaturated fatty acids.PURPOSE
Numerous studies have indicated magnetic resonance (MR) imaging and proton MR spectroscopy (
1H MRS) as non-invasive tools to quantify lipids.
1 An increase in signal-to-noise (SNR)
for metabolite quantification shortens the total acquisition time of lipid data
and increases spectral resolution, thereby improving quantification of
metabolites and relaxation times.
2 The measurement of relaxation
time depends on fatty acid molecules and their degrees of unsaturation.
3
Lipid content that is measured by
1H MRS is thought to play an
important pathogenic role in conjunction with changes in saturated and
unsaturated fatty acids. These analytical methods are crucial for effective
therapeutic interventions and strategies against NAFLD. The objective of this
study was to determine the metabolic changes in a rat model of
high-fat-diet-induced NAFLD by using single-voxel
1H-MRS.
MATERIALS AND METHODS
The examinations were
performed on a 3.0 T scanner (Achieva Tx 3.0 T; Philips Medical Systems, The
Netherlands) using a 4-channel animal coil for higher resolution. This coil was
used for MR spectroscopy. This
method used point-resolved spectroscopy (PRESS) (repetition time/echo time= 6000/35 ms; number of signal averages= 64). Shimming was
performed by iterative VOI, and full width at half maximum (3 -
8 Hz) was achieved. Male Sprague-Dawley rats (n = 10) weighing
100-150 g were housed with ad
libitum access to water and HF diet for 15 weeks. The HF diet pellets contained
60% fat, 20% protein, and 20% carbohydrate. In order to avoid large blood
vessels, a voxel (0.8×0.8×0.8 cm
3) was placed in a homogeneous
area of the liver parenchyma during free breathing. To measure the lipid
content, we quantified total lipids ((-CH2-)
n/noise), total
saturated fatty acids (3(-CH
2-)/2(-CH
3)), total
unsaturated fatty acids (3(-CH
2-C=C-CH
2-)/4(-CH
3)),
total unsaturated bonds index (3(-CH=CH-)/2(-CH
3)), and
polyunsaturated bonds index (3(=C-CH
2-C=) / 2(-CH
3)) by
separating each peak area of (CH
2)
n, CH
2-C=C-CH
2,
=C-CH
2-C=, and CH=CH by CH
3. The -CH
3
(0.90 ppm) peak was used as an internal chemical shift reference. Each peak was
also scaled to the number of protons contributing to the resonance. Total lipid
content was measured by dividing the (-CH
2-)
n (1.30 ppm)
peak area by spectral noise acquired with the standard deviation of peak area
(from 7.30 to 11.30 ppm) when no lipid metabolites were detectable in the
liver. All statistical analyses were conducted using the Statistical Package
for the Social Sciences (SPSS version 21, IBM Corp. Armonk, NY, USA) using the
independent
t-test to determine
metabolic changes and to identify significant differences relative to the baseline.
RESULTS
Fig. 1
illustrates high spectral resolution and strong signals of methyl protons, methylene proton, allylic protons, diallylic
protons, and methane protons. According to Fig. 2A and B, total lipids and total
saturated fatty acids were substantially upregulated in high-fat-diet-fed rats
in comparison with baseline values (total lipids, 16.22±6.60×10
-4;
total saturated fatty acids, 10.26±1.91). The resulting data on lipid accumulation
were statistically significant in terms of total lipids at 3 weeks (78.65±36.20), 6 weeks (88.14±22.36), 9 weeks (78.55±31.29), and 15 weeks (107.87±39.95) after initiation of the
high-fat diet. There were early metabolic changes that appeared at 3 weeks.
Compared to the baseline level, the total level of saturated fatty acids
increased after 3, 6, 9, and 15 weeks of the high-fat diet. Early metabolic
changes appeared at 3 weeks (14.77±3.97). According to Fig. 2C, compared to baseline values (0.39±0.18), the
changes in total unsaturated fatty acids were statistically significant only at
9 weeks (0.63±0.23); the changes at 3 weeks, 6
weeks, and 15 weeks were not significant. According to Fig. 2D, compared to the
baseline values (0.47±0.22), the change in the total unsaturated bonds index
was statistically significant only at 15 weeks (0.59±0.35). At 9 and 15 weeks, this index decreased statistically significantly.
According to Fig. 2E, compared to baseline values (0.52±0.26), the changes in
the polyunsaturated bonds index were statistically significant between 3 weeks (0.99±0.39) and 9 weeks (0.83±0.24).
DISCUSSION AND CONCLUSION
In our
study, although total unsaturated fatty acids in the liver show no significant
changes until 6 weeks from
the baseline values, a significant increase was observed after 9 weeks of high-fat diet.
Similarly, a significant increase in the number of polyunsaturated bonds was
observed after 3 and 9 weeks. Our study suggests
that unsaturated fatty acids may be upregulated or downregulated in a chronic
model of NAFLD. In conclusion, this study of
1H
MRS shows sufficient spectral
resolution and SNR for the characterization of observable total lipids and
fatty acids. Our
results of noninvasive in vivo MRS are based on accurate monitoring of the
changes in lipid content, which were verified using the data on saturated fatty
acids and unsaturated fatty acids.
Acknowledgements
This
study was supported by a grant (2012-007883) from the Mid-career Researcher
Program through the National Research Foundation funded by the Ministry of
Science, ICT & Future Planning and by a grant of the Korea Health
Technology R & D Project through the Korea Health Industry Development
Institute, Funded by the Ministry of Health & Welfare (grant number:
HI14C1135).References
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