Lucy Liu1,2, Andre Bongers2, Lynne Bilston1,2, and Lauriane Jugé1,2
1Neuroscience Research Australia, Sydney, Australia, 2University of New South Wales, Sydney, Australia
Synopsis
Maternal infection during pregnancy can cause enlarged
ventricles and compromise brain microstructure, which conventional imaging
techniques cannot identify. We investigated the potential of magnetic resonance
elastography (MRE) and diffusion tensor imaging (DTI) in detecting brain
microstructural changes in offspring of Poly (I:C)-induced maternal immune
activated rats. Results showed that DTI and MRE were sensitive to
neurodevelopmental microstructural changes, but not to subtle longitudinal
microstructural changes related to maternal infection. DTI showed that white
matter injury differs between perinatal and adolescent Poly(I:C) rats, while MRE
was not sensitive enough to detect subtle compromise of gray matter
microstructure in Poly (I:C) rats.
Introduction
Maternal infection during pregnancy has been identified as a
risk factor for neurodevelopmental psychiatric disorders in offspring, such as schizophrenia1.
Some neurodevelopmental disorders cause enlarged lateral ventricles and smaller
brain volumes that can be depicted accurately with conventional imaging
techniques2, but not the early changes in
brain microstructure that occur in both gray and white matter regions prior to
the emergence of abnormal behaviour, and that may be treatable. Therefore, the
aim of this study was to investigate the potential value of magnetic resonance
elastography (MRE)3,4
and diffusion tensor imaging (DTI)5 in the detection of brain microstructural
changes during growth in a rodent model of maternal immune activation. Previous
studies have shown the capability of DTI and MRE to track brain microstructural
changes in the white and gray matter during early postnatal development in healthy
rats6,7. Methods
This study was approved by the local
animal care ethics committee. We studied 12 male offspring of mothers in whom
immune activation was stimulated during pregnancy by administration of the
viral mimic polyriboinosinic-polyribocytidylic acid ((Poly (I:C)8, 4
mg/kg) on gestational day 15, plus 8 male control
rats from saline-injected mother rats. All
rats underwent MR imaging (9.4T, Bruker) at 4 and 10 weeks after birth, to
characterise both early and late neurodevelopmental processes. T2-weighted MR images were collected to
quantify the ventricle cross-sectional area. MR elastography (800 Hz) was used
to measure cortical and caudate putamen shear modulus (G*). DTI (30 gradient
directions, b=765.8 s/mm2, and 5 images, b =0 s/mm2) was
conducted to quantify white matter (corpus callosum CC, internal and external
capsules IC/EC) diffusion properties: fractional anisotropy (FA), mean
diffusivity and axial/radial diffusivities (MD, AD and RD). Figure 1 shows
typical images/maps obtained with this protocol. Immediately after the second
scan, all brains were stained with luxol fast blue/cresyl violet to determine
myelin and nuclei density in the white matter and NeuN/Iba-1 antibodies to
quantify the number of neurons and microglia in the gray matter. Longitudinal data
were analysed by fitting a mixed model or using a repeated measure two-way
ANOVA followed by a Sidak's multiple comparisons test. At weeks 4 and 10, relationships between
ventricle size, MR metrics and histological measurements (only for week 10)
were assessed using Pearson correlations.Results
Ventricles were significantly enlarged in the
Poly (I:C) rats from week 4 compared to controls (F(1,18)= 33.5, P<0.001),
and were also larger at week 10 than at week 4 for controls (F(1,18)= 10.4, P =
0.005), but the interaction between group and week was not significant (F(1,18)=
0.5, P = 0.44, Figure 2A). IC RD was significantly higher in Poly (I:C) rats at
week 10, but not at week 4 (F(1,33) =
4.5, P = 0.04, Figure 2B). All other MR metrics did not differ between groups
at both time points, although cortical G*, CC FA/MD/AD, IC FA/AD, and EC
FA/MD/RD/AD changed over time in both groups. At week 4, larger ventricles were associated
with lower FA in CC and EC (r = -0.45, P = 0.04, and r = -0.53, P = 0.01,
respectively, Figure 3 A and B). At 10 weeks, an increase in ventricle size was
associated with increased white matter MR diffusion metrics (CC MD/AD, EC MD/RD/AD,
Figure 3 C and D) and corpus callosum myelin content (r = 0.49, P = 0.04). An
increase in cortical G* was associated with a decrease in local neuronal
density (r = -0.64, P = 0.01). Ventricle size and histological variables were
not associated with CP G* or IC diffusion measurements.Discussion
Ventricular enlargement was visible from week 4 in Poly
(I:C) rats, but the expansion did not seem to progress, as the difference in
ventricles size between groups was similar at week 10. This may be the reason
why DTI and MRE could not detect microstructural changes over time in the
Poly(I:C) rats, although they were sensitive to microstructural changes related
to neurodevelopmental growth in both white and gray matter. However, enlarged
ventricles were associated with decreased white matter FA in
perinatal brains (week 4), and then with increased MD, AD and RD in adolescents/
young adults (week 10), suggesting that DTI may be useful to characterise white
matter injury that may evolve during neurodevelopment in Poly (I:C) rats. Conclusion
DTI may be useful to improve our understanding of neuropathological
processes occurring in white matter of schizophrenic brains by characterising temporal
variations in white matter diffusion properties, as shown here in a rodent
model that exhibits similar neurodevelopmental changes. Measured changes in
diffusivity properties may reflect improper white matter development and deficiency
in connectivity that underlie cognitive impairments. In contrast, MRE was not
sensitive enough to detect subtle compromise of the gray matter microstructure
in poly (I:C) rats. Acknowledgements
This study was funded by the Rebecca L. Cooper foundation. LB is support by the National Health and Medical Research Council of Australia. The authors would like to thank the Biological Resources Imaging Laboratory
(Mark Wainwright Analytical Centre) and the Biomedical Imaging facility of the
University of New South Wales (UNSW, Australia) for technical support.References
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