Shun Kishimoto1, Jeffrey R Brender1, Jeeva Munasinghe2, Martin Lizak2, Yu Saito1, Kota Yamashita1, Otowa Yasunori1, Kazu Yamamoto1, James Mitchell1, and Murali C. Krishna1
1NIH/NCI, Bethesda,, MD, United States, 2NIH/NINDS, Bethesda,, MD, United States
Synopsis
Aberrant glycogen metabolism has been implicated
in vitro as a possible causative factor in multiple disorders. Progress has
been stymied due to the rapid degradation of glycogen post mortem and the lack
of methods for measuring glycogen metabolism in vivo. We show here that glucose
metabolism and local synthesis of glycogen can be measured in mice by short
echo PRESS following a single bolus of unlabeled glucose using a standard 3T
preclinical MRI using low rank reconstruction. Imaging of glycogen
synthesis was possible at 9.4T by CSI, where it was found in mice to be centered
on the olfactory bulb
Main Findings
Glycogen metabolism and glucose utilization in
mice can be followed in brain tissue semi-quantitatively by proton localized
MRS using standard 3T preclinical imaging systems.Introduction
Introduction Recent studies have pointed to glycogen an
essential participant in brain function. When this function is disturbed, as is
believed to happen in Alzheimer’s and certain metabolic diseases, neuronal
death can result. Glycogen status has proven difficult
to study as it is tightly regulated and sensitive to cellular conditions.(1)
Under stress conditions, such as those typically occurring during post mortem
analysis, glycogen degradative enzymes are rapidly activated.(2) An in vivo
method of measuring glycogen synthase activity would be helpful in this aspect
but has been hampered by the weak, broad signal and slow timescale at which
synthesis occurs, which limits traditional and hyperpolarized approaches,
respectively.Methods
For localized PRESS
spectra, a standard 17 cm bore Bruker BioSpec 3T preclinical imaging system was
used with a 3 mm x 3 mm x 3mm voxel size, a 2 second repetition time, a sweep
width of 10 ppm, a 16 second or 97 second echo time (as indicated) and 512 FID
points. The experiment was repeated 3000 times for a 100 minute acquisition
time. Glucose was given as a 50 mg IV bolus except as indicated. 8 x 8 CSI
experiments were acquired on a 9.4 T Biospec 94/30 horizontal scanner using a homebuilt head saddle
coil with a 20 mm FOV and 6 mm slice thickness with a a 2
second repetition time, a sweep width of 10 ppm and 512 FID points. Low rank
reconstruction to reduce noise was performed as in (3) using a rank of 5
(PRESS) or 5x8x8x10 (CSI)Results
Figure 1 shows sequential PRESS
spectra after denoising for after the injection of a 50 mg bolus for a 2 mm x 2
mm 2mm voxel centered (A) in the left hemisphere of a normal mouse brain, (B)
on a MC38 colon cancer subcutaneous leg xenograft on the left leg of a mouse, and
(C) in normal mouse muscle. The time evolution of the spectra is very different
in each tissue. Brain tissue (A) shows a steady uptake of glucose (broad peak
near 3.8 ppm) followed by a decrease suggestive of metabolism. This decrease is
mirrored by an increase near 5.2 ppm, which is characteristic of glycogen. These
changes were dose dependent and did not occur in a sham injection devoid of
glucose (Figure 2). The MC38 cancer xenograft (B) shows rapid uptake and metabolism of
glucose (presumably to lactate) without production of glycogen. As expected, muscle
tissue (C) shows an intense glycogen peak but is nearly static – there is no
evolution of any peak during the course of the hour long experiment.
Glucose and glycogen are the
dominant peaks at short (16 ms) echo times. At longer (97 ms) echo times, the
metabolism of glucose to glutamine/glutamate can be seen by the emergence of a
peaks at 2.26 ppm (Figure 3 right), although the intensity is very weak and can only
be detected after low rank denoising (Figure 3 left).
The results for localized
spectroscopy encouraged us to try imaging, using a higher field (9.4T instead
of 3T as in the previous experiments) to compensate for reduced signal averaging
and greater linewidth. Figure 4A shows the evolution of spectra in the coronal
plane after the injection of the glucose bolus. Although most peaks remain
static, large changes in the intensity of a single peak at the glycogen
position near 5.2 ppm are evident at the extreme anterior edge. This would localize
glycogen synthesis form glucose near the olfactory bulb, in agreement with post
mortem localization of glycogen synthase (Figure 4C). A map of the time evolution of the
5.2 ppm peak (Figure 4B) shows it rapidly increases in intensity within the
first 30 minutes before plateauing. Conclusion
Static levels of glycogen
have been studied intensively by MRS but the activity of glycogen synthase and
the dynamic response of the glycogen pathway have been difficult to study. Glycogen
synthesis and glucose utilization can be measured and imaged semi-quantitatively
pre-clinically following a bolus injection of glucose using noise reduction by
rank reduction to measure the glycogen and glucose peaks against a background of
noise. Acknowledgements
No acknowledgement found.References
1
Dienel G.A., Carlson G.M. (2019) Major Advances in Brain Glycogen Research:
Understanding of the Roles of Glycogen Have Evolved from Emergency Fuel Reserve
to Dynamic, Regulated Participant in Diverse Brain Functions. In: DiNuzzo M.,
Schousboe A. (eds) Brain Glycogen Metabolism. Advances in Neurobiology, vol 23.
Springer, Cham.
2
Hutchins
DA, Rogers KJ (1970) Physiological and drug-induced changes in the glycogen
content
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3 Brender,
J.R., Kishimoto, S., Merkle, H. et al. Dynamic Imaging of Glucose and Lactate
Metabolism by 13C-MRS without Hyperpolarization. Sci Rep 9, 3410 (2019).