Synopsis
Cerebral function relies on cooperative interaction between neuronal and glial cells. Anaesthetics modulate basal neuronal activity, and therefore the
so-called neurometabolic coupling, by targeting different receptors, such as
γ-aminobutyric acid type A (GABAA) receptors, in the case of
thiopental or α-chloralose anaesthesia. We investigated cortical metabolism in vivo using 13C magnetic
resonance spectroscopy (MRS) during infusion of [1,6-13C]glucose under
thiopental anesthesia. Data indicate glycolysis inhibition, decreased
mitochondrial oxidative metabolism and possible oxidation of three-carbon
molecules, namely lactate, which plasma concentration increased two-fold
(compared to α-chloralose anaesthesia).Introduction
Brain metabolism relies on synchronized interaction between
neurons and astrocytes [1]. Anaesthetics
modulate basal neuronal activity, and therefore the so-called neurometabolic
coupling, by acting on different molecular targets, such as γ-aminobutyric acid
type A (GABA
A) receptors, in the case of α-chloralose [2] or thiopental
[3] anaesthesia. The aim of this study was to characterize neuronal and astrocytic pathways
of energy metabolism in the rat cortex under thiopental anesthesia
in vivo by direct
13C MRS.
Materials and Methods
Sprague Dawley rats (n=7, 267±23 g) under thiopental (50 mg/kg bolus followed by a continuous intravenous
infusion rate of 90 mg/kg/h) anesthesia were
stereotaxically fixed and positioned in a homebuilt holder. MRS experiments
were performed on a 14.1 T/26 cm horizontal bore magnet with a homebuilt coil
consisting of a
1H quadrature surface coil combined to a
13C
linearly polarized surface coil. After FAST(EST)MAP shimming, localized
1H
and
13C spectra (during infusion of [1,6-
13C]glucose [1])
were acquired from a 94 μL volume in the
cortex with STEAM and semi-adiabatic distortionless enhancement by polarization
transfer (DEPT) combined with 3D-ISIS for
1H localization [4],
respectively. LCModel was used for analysis of both
1H and
13C
spectra [5]. The scaling of
13C fractional enrichment (FE) curves was
based on MRS of brain extracts [1]. Data was fitted to a two-compartment model and
variance of parameters was determined by Monte-Carlo analyses [6].
Results
The administration
of [1,6-
13C]glucose under thiopental anaesthesia increased plasma
lactate concentration by 104% compared to experiments under α-chloralose anaesthesia [1,7]. After 4 hours of [1,6-
13C]glucose
infusion, plasma and brain lactate FE was increased by 36% and 33%,
respectively, in the thiopental compared to α-chloralose anaesthesia. However,
at the end of the experiment, FE of glutamate and glutamine C4, C3 and C2, and
aspartate C3 and C2 was similar under both types of anaesthesia, as measured
ex vivo from the brain extracts. Glucose
transport analysis resulted in an apparent Michaelis constant (K
t)
of 4.5±8.1 mM, in an apparent
maximum transport (T
max) of 2.6±0.6 µmol/g/min and in a cerebral
metabolic rate (CMR
glc) of 0.26±0.09 µmol/g/min. Under thiopental anaesthesia,
the rate of glutamatergic neurotransmission i.e.
the glutamate-glutamine cycle (V
NT) was 0.06±0.01 µmol/g/min and
glutamine synthetase (V
GS) was 0.12±0.02 µmol/g/min. The flux through the
tricarboxylic acid cycle in astrocytes (V
TCAg) and
neurons (V
TCAn) were 0.27±0.03 µmol/g/min and 0.52±0.02 µmol/g/min,
respectively, resulting in a total cerebral metabolic rate of glucose (CMR
glc(ox))
of 0.42±0.02 µmol/g/min.
Discussion
Thiopental data from
13C MRS
in vivo indicate glycolysis reduction as well as decreased CMR
glc(ox), although still substantial as indicated by similar
amino acids FE at the end of the experiment. The mismatch between glycolytic flux and global mitochondrial
oxidative metabolism, depicted by CMR
glc(ox), suggests that other
substrates are substantially oxidized, probably lactate that was increased
two-fold in the plasma of rats anaesthetised with thiopental, relative to
experiments under α-chloralose anaesthesia [1,7].
Conclusion
Preliminary metabolic flux analysis of brain metabolism under thiopental
anaesthesia assessed
in vivo using
13C
MRS suggests that neuron-glia interactions are similar to those under α-chloralose anaesthesia. However, the reduction of
glycolysis under thiopental anaesthesia implies a substantial utilisation of
substrates other than glucose. Since lactate concentration was high, it may be the carbon source that
complements glucose in sustaining cortical oxidative metabolism under
thiopental anaesthesia.
Acknowledgements
This
work was supported by National Competence Center in Biomedical Imaging, Swiss National Science Foundation, and Centre d’Imagerie BioMédicale of the UNIL,
UNIGE, HUG, CHUV, EPFL, the Leenaards and Jeantet Foundations.
References
[1]
Duarte et al. (2011) Front Neuroenergetics 3:3 ; [2] Garrett &
Gan (1998) J. Pharmacol. Exp. Ther. ; [3] Rho et al, (1996) J. Physiol. (Lond.) ; [4] Henry et al. (2003) MRM 50:684 ; [5] Henry et
al. (2003) NMR Biomed 16:400 ; [6] Duarte et al, (2014) J Neurosci Res ; [7] Sonnay et al, ISMRM 2015 abstract #4627.