Radiation induced sub-acute, early delayed and late delayed changes in hippocampus: A successive MRS, DTI and behavioral evaluation after whole body radiation
Poonam Rana1, Mamta Arya Gupta1, Seenu Haridas2, Kailash Manda2, B S Hemanth Kumar1, and Subash Khushu1

1NMR Research Centre, INMAS, Delhi, India, 2Division of Radiation Biosciences, INMAS, Delhi, India

Synopsis

Nuclear accidents or terrorist activities may lead to moderate dose whole body radiation exposure to a mass population. Whole body radiation exposure may influence brain function but it has not been extensively studied. Present study was conducted on mice to look for whole body radiation induced delayed behavioural, metabolic and microstructural changes. The results illustrated changes in recognition memory, MRS and MD values till 8 months post-irradiation. At later time points (10 and 12 months post-irradiation), no profound effect of radiation exposure was observed which indicates that 5Gy whole body radiation dose exposure does not have late delayed radiation injury.

Introduction

Nuclear accidents or terrorist activities may lead to moderate dose whole body radiation exposure to a mass population. Ionizing radiation is known to influence brain and behaviour. Of all the brain regions, hippocampus is known to be highly sensitive to radiation injury. Radiation induced acute, early delayed and late delayed brain injury is often observed after fractionated partial or whole brain irradiation. However, effect of whole body radiation on brain is still a problem of research to work upon. A few recent studies have observed whole body radiation induced acute changes in brain1,2. Yet a comprehensive study is required to understand whole body radiation induced changes in brain at all the phases of injury like early delayed or late delayed. Therefore, the present study was planned to study whole radiation induced changes in hippocampus at different phases of radiation injury in animals employing two approaches, behaviour functions and advanced MR techniques.

Aim of the study

To look for cognitive, metabolic and microstructural changes in hippocampal region at acute, early delayed and late delayed phases of whole body radiation injury.

Materials and Methods

Study was conducted on 120 C57 male mice (8 to 10 weeks old). Out of 120 animals, 60 animals were irradiated with 5Gy of whole body radiation dose. The remaining 60 animals served as sham irradiated controls. The Behavioral, DTI and MRS experiments were carried out on 20 animals each at 1,3, 5, 8, 10 and 12 months (n=10 irradiated and n=10 sham) post-irradiation. All animal handling and experimental protocols were performed in strict accordance by institutional animal ethical committee. The spontaneous behavior activity and working memory in mice was evaluated using Opto-varimex 4 system and novel object recognition test. All MRS experiments were performed on anaesthetised animals (i.p., xylazine (10mg/kg BW) and ketamine (80mg/kg BW)) at 7T Bruker Biospec system. The MRS voxel was localised in the hippocampus (1.5 x 3.5 x 3.0 mm3; 15.75µl) and spectra were acquired using PRESS with TR/TE = 2500 msec/20msec and 512 averages.FID was processed using LC model for quantitation. DTI images were acquired using multi slice multi shot spin echo EPC sequence with TR/TE = 3800ms/31ms, number of gradient encoding directions = 46 and b = 672 s/mm. DTI analysis Java based software was used to generate FA and MD map and ROI was placed in left and right hippocampus for estimation of FA and MD values (Figure 1). Independent Students t test was performed to evaluate the differences among age matched control and irradiated groups.

Results and Discussion

: The data for MRS, DTI and behavioural parameters were acquired at sub acute (1 month), early delayed (3, 5 and 8 months) and late delayed phases (10 and 12 months) of radiation injury. The data showed non-significant changes in behavioural as well as DTI parameters at sub acute phase of radiation injury. During early delayed phase, there was a significant decrease in cognitive index/discrimination ratio indicating impairment in hippocampal dependent recognition memory (Figure 2). However, MRS based metabolic changes, in particular myoinositol level was observed from one month post-irradiation and continued till 8 months time point (Table 1a,1b). There was no significant change observed in FA values at any time point studied but MD values were significantly decreased mainly during early delayed phase (Table 1a, 1b). At later time points (10 and 12 month post-irradiation), no profound effect of radiation exposure was seen at behavioural, metabolic and microstructural level. It indicates that whole body radiation induced changes do not persist in late delayed phase and are reversible as no significant change in cognitive function observed as compared to placebo group. In whole body radiation, changes in brain are implicated due to systemic inflammatory response, which have been observed at acute phases in our earlier studies3. Effect of systemic inflammation on microenviroment may be considered as a plausible cause for hippocampus associated changes, which may have continued till early delayed phase. However, from our findings of insignificant changes at late delayed phases, it may be presumed that with time whole body radiation induced neuroinflammation and oxidative stress may have been receded resulting in changes revering back to normal. Secondly, 5Gy of whole body radiation exposure to mice is equivalent to 2.8Gy to human, which is a moderate dose and may have a reasonable effect that may not last for long.

Conclusion

Whole body radiation induced behavioral, metabolic and microstructual changes were observed till 8 months post-irradiation only. It is concluded from the study that whole body radiation of 5 Gy dose exposure does not have late delayed radiation injury.

Acknowledgements

No acknowledgement found.

References

1. Gupta, P Rana, R Trivedi, et al. Comparative evaluation of brain neurometabolites and DTI indices following whole body and cranial irradiation: a magnetic resonance imaging and spectroscopy study. NMR Biomed 2013, 26:1733-41.

2. R Trivedi, A R Khan, P Rana, et al. Radiation-Induced Early Changes in the Brain and Behavior: Serial Diffusion Tensor Imaging and Behavioral Evaluation after Graded Dose of Radiation. J Neuro Res 2012, 90:2009-19.

3. P Rana, S K Mishra, M Gupta et al. “DTI and Molecular Expression Based Studies Detects Radiation Induced Early Acute Neuroinflammatory Changes in Hippocampus”. Proceedings of ISMRM annual meeting held at Toronto, Canada in May 2015

Figures

Figure 1: Color-coded FA map from a male control mouse showing ROI placement on hippocampus

Figure 2: Recognition memory performance evaluated in terms of discrimination ratio/cognitive index in irradiated and control animals at different time points post-irradiation

Table 1a: Temporal changes in myoinositol level (obtained from MRS as mI/tCr ratio) and diffusion parameters FA and MD in irradiated group (R) and age matched control (C) at different time points post irradiation. *Significant at 0.05 level in respect of age matched control

Table 1b: Temporal changes in myoinositol level (obtained from MRS as mI/tCr ratio) and diffusion parameters FA and MD in irradiated group (R) and age matched control (C) at different time points post irradiation. *Significant at 0.05 level in respect of age matched control



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