Ex vivo, formalin-fixed biological tissue sample are often used to validate MRI methods for in vivo applications. However, since fixation may alter the chemical and physical properties of tissue, including the cell membrane permeability, it is important to know how and whether fixation changes in water microdynamics and potentially affects MRI signals. In this work, we studied the transmembrane water exchange kinetics in live rat brain cortical tissue in vitro, and following formalin fixation. We found that the fixation process can significantly increase the transmembrane water exchange kinetics by increasing the cell membrane permeability to water.
We studied OCC at two conditions: (A) alive exhibing normal functional activity, perfused with ACSF at a constant temperature 34.0 (± 1.0) °C, and (B) 4% formalin fixed for approximately 1 hour, washed by PBS, and kept at room temperature 23.0 (± 1.0) °C. Longitudinal MR relaxometry with an extracellular gadolinium-based MR relaxation contrast agent (CA), Gadoteridol (Prohance (PH)), was used to distinguish intracellular and extracellular water compartments by increasing the extracellular waters’ longitudinal relaxation rate constant (R1o). A saturation-recovery (SR) MR sequence with 21 recovery times (t1) was used to measure sample R1 values at CA concentration of 5.0 mM. Details of this experimental method are provided in ref 5. The equilibrium longitudinal magnetization, M0, was assigned the value acquired at the longest t1 (= 5 s) The longitudinal magnetization at all other t1 values, M(t1), was subtracted from and normalized by M0. The quantity, [M0 - M(t1)]/M0 was fitted with empirical single-exponential and bi-exponential models,
$$\frac{M_{0}-M(t_{1})}{M_{0}}=(1-\alpha)e^{-R_1^{'}t_{1}}$$ (1)
$$\frac{M_{0}-M(t_{1})}{M_{0}}=(1-\alpha)[p_{sm}^{'}e^{-R_{1sm}^{'}t_{1}}+(1-p_{sm}^{'})e^{-R_{1lar}^{'}t_{1}}]$$ (2)
where $$$\cos^{-1}\alpha $$$ is the effective flip-angle of the saturation pulse, $$$R_{1sm}^{'} $$$ and $$$R_{1lar}^{'} $$$ are the small and large apparent relaxation rate constants, respectively, and $$$p_{sm}^{'} $$$ is the apparent fractional intensity of the $$$R_{1sm}^{'} $$$ signal.
Healthy live brain tissue (including OCC) transmembrane water exchange has been measured previously with MR CA perfusion or infusion: kio ~ 2 s-1.5,6 In the formalin-fixed OCC, the SR data is very close to a single-exponential decay, with a small $$$p_{sm}^{'} $$$ from bi-exponential fitting (0.011), close to the values obtained from MR SR data of ACSF only. This suggests that this small $$$p_{sm}^{'} $$$ might be a result of noise, rather than a second water compartment.
Two cases may explain the phenomena observed in formalin-fixed OCC: (1) fixation makes cell membrane permeable to the CA (PH in this case), and then the intra- and extracellular water compartments can no longer be distinguished by the R1 difference caused by CA localization; or (2) formalin fixation increases cell membrane permeability to water but not to PH, and the system reaches the fast-exchange-limit. In case (1), the cell membrane permeability to water must also be significantly increased since water molecules (Mw = 18) are much smaller than PH molecules (Mw = 559). In both cases, kio has been significantly enhanced, which agrees with other studies on erythrocyte ghost tissue model7. Transmembrane water exchange in live brain cortex involves two pathways: a passive pathway driven by diffusion across membrane and an active pathway mainly driven by the action of the Na+/K+ pump and associated with transport of ions and other molecules.5 Formalin fixation stops all active pathways. The lower temperature of the ex vivo experiments (23 oC vs 34 oC) should also reduce water exchange via the diffusion-based passive pathway. Thus, the mechanism behind the accelerated transmembrane water exchange kinetics in formalin-fixed OCC must be that that the fixative increases the lipid bilayer permeability to water.
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