Chi-Hyeon Yoo1,2, Do-Wan Lee1, Kyu-Ho Song1, Song-I Lim1,2, Dong-Cheol Woo2, and Bo-Young Choe1
1Department of Biomedical Engineering, and Research Institute of Biomedical Engineering, The Catholic University of Korea College of Medicine, Seoul, Korea, Republic of, 2Asan Institute for Life Science, Asan Medical Center, Seoul, Korea, Republic of
Synopsis
To investigate schizophrenia (SZ)-induced effects in the glutamatergic activity on prefrontal cortex of rat, we used proton magnetic resonance spectroscopy (¹H MRS) to estimate the concentration of glutamate (Glu) and glutamine (Gln). With a short echo time (TE) and 9.4 T of our study, Glu, Gln and glutamate-complex (Glx) were reliably quantified with a low Cramer-Raw
low bound (CRLB) value, and Glu, Glx showed significant increase. As our results the SZ-induced change in the glutamatergic activity can be reliably detected by ¹H MRS.Purpose
Recently, numerous studies suggested that in vivo proton magnetic
resonance spectroscopy (¹H MRS), with a capability of estimating the concentration of
metabolites in brain, could be an appropriate method for
investigating schizophrenia (SZ) (1). Previously, the results of MRS indicated
that the animal models of SZ represent increased glutamatergic activity on the
prefrontal cortex (PFC) which is consistent with the results of never-treated
first-episode patients (2). However, owing to spectral overlapping and the
J-coupling effect, an accurate quantification of glutamate (Glu) and glutamine
(Gln) at the clinical magnetic field , which is necessary for investigating
glutamatergic activity, was considered challenging (3). Using high magnetic field
and short echo time (TE), the Glu and Gln could be quantified accurately with a
small overlap. Therefore, the goal of this study was to investigate the change in
the glutamatergic activity on the PFC of the SZ rat model by estimating the
changes in the concentration of Glu and Gln with small overlap by using short
TE ¹H MRS at 9.4T.
MATERIALS AND METHODS
Six
8-week-old Sprague–Dawley rats underwent magnetic resonance imaging (MRI) and ¹H MRS. One day after the
acquisition of the baseline spectra, all the rats received Mk-801 (0.5 mg/kg) for 6 days. On the sixth day, ¹H MRS was performed 20 min after the administration of Mk-801. T2-weighted images (T2WI)
and ¹H MRS were acquired using a 9.4 T Agilent MR scanner. T2WI were acquired
in rat brain (slice thickness: 1.5 mm, matrix: 256 × 256) with following
parameters TR/Effective TE: 4000/32.95 ms, to locate voxel position. In
vivo ¹H MRS were acquired in the voxel (1.5 × 5 × 3 mm³) containing PFC using point-resolved spectroscopy (PRESS) sequence
(TR/TE: 5000/13.4 ms, average: 256). Water signal in the voxel was suppressed
by variable pulse power and optimized relaxation delays (VAPOR). Unsuppressed water signal was also obtained in the
same condition (average: 8). Obtained raw data were processed using
linear combination of model spectra (LCModel, version 6.3, Stephen W.
Provencher) software to estimate the concentration of the following 17
metabolites: alanine (Ala), aspartate (Asp), creatine (Cr), phosphocreatine
(PCr), γ-aminobutyric acid (GABA), glucose (Glc), Gln, Glu,
glycerophosphocholine (GPC), phosphocholine (PCh), glutathione (GSH),
myo-inositol (mIns), lactate (Lac), N-acetyl aspartate (NAA),
N-acetyl-aspartyl-glutamate (NAAG), scyllo-inositol, and taurine (Tau); and
total creatine (tCr) was defined to Cr + PCr. Reliability of the estimated concentration was assessed by the
Cramer-Raw low bound (CRLB) values; for the accurate interpretation, the
metabolites with CRLB value over 20% were excluded. Difference in metabolic
concentrations between the two time points was statistically analyzed using a
paired-sample t test with PASW statistics 18 (SPSS Inc.) software.
RESULTS
Fig. 2
shows the concentrations of the target metabolites (NAA, tCho
[GPC+PCho], Cr, GABA, Glu, Gln, Glx, Gln/Glu ratio) acquired from the PFC of
rats at baseline and on day 6. The result of
the paired-sample t test showed that the concentration of the Glu increased
significantly (**p < 0.001) from baseline (13.49 ±
0.99) to that on day 6 (14.30 ± 0.91). Moreover, Glx, which can be
considered as the total pool of glutamate, also showed a significant (*p <
0.05) increase between the two time points (18.18 ± 0.92 to 18.99 ± 0.91). No other
metabolite shows significant change of the concentration in two time points. Although
statistically not significant, the concentration of NAA (p = 0.060) and Cr (p =
0.082) changed. A limitation of our study was that the change in the
concentration of NAA and Cr was not elucidated owing to the small sample size.
Table 1 illustrates the CRLB values of the target metabolites as % mean ± SD
and the results of absolute concentration and relative ratio (/tCr) at the two
time point as mean ± SD. Considering the low CRLB value of the target metabolites, our estimation of the concentration was reliable.
DISCUSSION AND CONCLUSION
To investigate the effects of SZ in the
glutamatergic activity of the PFC of rats, we compared the concentrations of
Glu, Gln, Glx, Gln/Glu ratio at the two time points.
Based on the increased concentration of Glu and Glx, which is consistent with
previous findings (2), we suggest that SZ-induced change in glutamatergic
activity can be accurately detected by ¹H MRS. Moreover, owing to high resolution and
minimized J-evolution effects by 9.4 T and the short echo time for this study,
the results of the change in glutamatergic activity are more
significant than those of the previous study (2). Furthermore, we suggest that our
findings can contribute to further ¹H MRS studies investigating the efficacy of
antipsychotic drugs for SZ.
Acknowledgements
This study was supported by grants (2012-007883)
from the Mid-career Researcher Program through the National Research Foundation
(NRF) funded by the Ministry of Science, ICT & Future Planning (MSIP) of
Korea; the Korea Health Technology R&D Project through the Korea Health
Industry Development Institute (KHIDI), funded by the Ministry of Health &
Welfare, Republic of Korea (grant number: HI14C1135); and The Catholic
University of Korea – Sogang University Joint Research Project [B0001-00015, Development
of MR-Ultrasound guided High Intensity Focused Ultrasound treatment system].References
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