Jadegoud Yaligar1, Sanjay Kumar Verma 1, Venkatesh Gopalan 1, Anantharaj Rengaraj1, Tian Xianfeng1, and S. Sendhil Velan 1
1Laboratory of Metabolic Imaging, Singapore Bioimaging Consortium, A*STAR, Singapore
Synopsis
Vasculature
plays an important role in white and brown adipose tissue (WAT and BAT)
metabolism. In expanding WAT, abnormal vasculature may lead to energy (fat)
deposition whereas in activated BAT it may potentially facilitate the energy
consumption by oxidizing the fat. Understanding the vascular network and blood
perfusion properties of the activated BAT is important for triglyceride
clearance, increased blood flow and oxygen. In this feasibility study we have
investigated the vascular properties and blood perfusion rate constant of the
activated BAT by quantitative dynamic contrast enhanced MR imaging in a rodent
model.
Purpose
Evaluation
of
vascular perfusion properties in activated interscapular brown adipose
tissueIntroduction
Brown adipose tissue (BAT) is highly
vascularized endocrine organ with positive metabolic implications1. Microvasculature
of the adipose tissue is beneficial in regulating adipose tissue
inflammation and overall metabolic function2-3. Vascular endothelial
growth factor (VEGF) is the key element which governs vasculature/angiogenesis in
BAT and white adipose tissue (WAT). BAT can be optimally activated by
interventions including cold exposure and β3-adrenergic receptor mediated
sympathetic nerve stimulation (SNS). Understanding the vascular network and blood
perfusion properties of activated BAT is important for handling
triglyceride clearance, increased blood flow and oxygen. In this feasibility
study, we have investigated the vascular
properties and blood perfusion rate
constants of activated BAT by quantitative dynamic
contrast enhanced MR imaging (DCE-MRI) in rodent model.
Methods
Experimental procedures carried out were in
compliance and approved by local institutional
committee. Male Wister rats (n=10) of twelve weeks old were randomized into cold
exposed (Gp1) and thermoneutral (Gp2) groups. The Gp1 (n=5) rats were exposed
to 4 0C for ~ 6 hours in cold
chamber (ICP400 Memmert). The Gp2 (n=5) rats were maintained at thermoneutral
condition. Prior to imaging, animals were catheterized for injecting
the contrast agent gadolinium-diethylenetriamine pentaacetic acid (Gd-DTPA)
at 0.2 mmol/kg bodyweight of the animal. MRI measurements were carried out
on 7T Bruker ClinScan scanner using 72mm volume transmit and 20 mm
surface receive only coils. T2 imaging was performed by using spin
echo sequence with 12 echo times, parameters used were: FOV 42x42 mm, slice
thickness(ST) 1mm, TR 4819 ms, Av 2, resolution 0.328x0.328 mm. DCE-MRI was performed in iBAT
region by using 3D FLASH sequence with following parameters: TR/TE 4.4/0.88 ms,
flip angle 60, FOV 42x42 mm, slices 1 slab having 8 slices, ST 1mm,
resolution 0.328x0.328 mm, NA 1, images were acquired at 300 time frames with
temporal resolution 3.4sec for each time frame. Multi flip angle (FA20
to 280) data was acquired using 3D FLASH sequence to evaluate the
pre-contrast tissue T1 map. Mutual information based affine
registration was utilized to register the data to average pre-contrast stack.
The arterial input function (AIF) was extracted from concentration map by
drawing ROI in a artery. Reference region (RR) model was used to process the
DCE data by using DCE@urLAB software4. T1 values of blood
~2400ms and fat ~1000ms was utilized to compute
the concentration followed by fitting RR model5-6.
Results and Discussion
DCE-MRI is a non-invasive approach to study
vasculature. We
investigated blood perfusion parameters including kinetic transfer constant
(Ktrans), extravascular-extracellular
volume per unit of volume of tissue (ve) and concentration of
contrast agent in activated interscapular BAT (iBAT). Figures 1A, B shows uptake kinetics of Gd-DTPA contrast agent in iBAT of thermoneutral and cold
exposed animals. Uptake of contrast agent in iBAT of cold exposed animals was ~3 fold higher compared to thermoneutral group,
whereas it was insignificant in
interscapular WAT (iWAT). Figures 2A, B shows Ktrans maps
from iBAT region of thermoneutral and cold exposed animal. Ktrans is measure of volume transfer constant from blood plasma into the extravascular extracellular
space (EES). The Ktrans computed (Figure 3A) from iBAT of
thermoneutral animal increased from 0.20±0.01 mL/100g/min to 1.34 ± 0.1 mL/100g/min
in cold exposed animals. Significant (P<0.001) increase of Ktrans in cold exposed animal implies increased blood
flow due to BAT activation. BAT being densely vascularized, under activated
condition facilitates the blood perfusion to supply nutrients (substrates) and
oxygen for thermogenesis7. The ve (Figure 3B) also
increased significantly (P<0.05)
in cold exposed BAT indicating the increased volume of iBAT after cold induced
BAT activation as reported in our earlier studies8. Figures 4 A, B
shows the T2 map from iBAT of thermoneutral and cold exposed
animals. The T2 of the activated iBAT was 53.2±6.9 ms which was significantly
lower compared to 74.3±6 ms in thermoneutral state due to the combined effect
of increased blood flow and oxygen after cold stimulus. Cold induced iBAT
activation was validated by mRNA analysis UCP1 gene. UCP1 expression in cold
exposed animals was 8 times higher compared to thermoneutral animals.
Conclusion
In this study, we have utilized DCE-MRI to
investigate the microvasculature properties of BAT during activation. Quantitative
changes in blood perfusion are demonstrated in cold induced activated iBAT. Ktrans and Ve significantly increased
in cold exposed animals due to enhanced blood flow caused by SNS mediated BAT
activation. Uptake of contrast agent in
activated iBAT was higher than thermoneutral iBAT. This approach can be
translated to clinical setting to assess the quality of the BAT in obesity
and metabolic dysfunction.Acknowledgements
No acknowledgement found.References
(1). Xue, Y. et al, Adipose angiogenesis:
quantitative methods to study microvessel growth, regression and remodeling
in vivo. Nat. Protoc. 2010;5:912–920.
(2).
Sun K, et al, Dichotomous effects of VEGF-A on adipose tissue dysfunction. Proc
Natl Acad Sci USA. 2012;109:5874-5879.
(3). Sung H.K, et al, Adipose vascular
endothelial growth factor regulates metabolic homeostasis through angiogenesis.
Cell Metab. 2013;17:61-72.
(4). Ortuno J.E. et al, DCE@urLAB: a dynamic
contrast-enhanced MRI pharmacokinetic analysis tool for preclinical data. BMC
Bioinformatics. 2013;14:316.
(5).
Rane S. et al, Measurement of T1 of human arterial and venous blood at 7T.
Magn. Reons. Imaging. 2013;31:477-479.
(6).
Barbier EL1, et al. A model of
blood-brain barrier permeability to water: accounting for blood inflow and
longitudinal relaxation effects. Magn Reson Med. 2002;47:1100-9.
(7)
Cannon B. et al, Brown adipose tissue: function and physiological significance.
Physiol Rev. 2004;84:277-359
(8). Bhanu Prakash
KN, et al, Segmentation and characterization of interscapular brown adipose
tissue in rats by multi-parametric magnetic resonance imaging. MAGMA.
2016;29:277-286.