Alexey Yakovlev1,2,3, Andrei Manzhurtsev1,3, Petr Menshchikov3,4, Maxim Ublinskiy3, Tolib Akhadov1, and Natalia Semenova1,2,3
1Clinical and Research Institute of Emergency Pediatric Surgery and Trauma, Moscow, Russian Federation, 2N.N.Semenov Federal research center of Chemical Physics Russian Academy of Sciences, Moscow, Russian Federation, 3N.M. Emanuel Institute of Biochemical Physics RAS, Moscow, Russian Federation, 4Philips Healthcare, Moscow, Russian Federation
Synopsis
Changes in the concentration of neurotransmitters in response to a short (or event-related) stimulus in not well investigated. Due to low neurotransmitter cycle rates, these changes can be related to neurotransmitter release from vesicles. In this work, we measured a time course of Glx level in response to a short visual stimulus in a period exceeding the BOLD response using 3T MR scanner. This Glx level dynamic is considered as the release of Glu from the vesicles, reuptake, and refilling. For the first time, we investigated the dynamics of the BOLD-effect using the metabolic signal.
Introduction
Proton magnetic resonance spectroscopy (1H-MRS) allows
in-vivo measurement of neurotransmitter concentrations (such as GABA and
glutamate (Glu)) in humans. Few studies explore metabolic responses to
event-related stimuli [1,2,3,4] and in those works, some variations [Glu]
revealed in a short period were considered as neurotransmitter release rather
than metabolic changes. The present study aimed to investigate kinetics of glutamate
release and vesicles refilling. We measured the time course of Glu
concentration in response to a short visual stimulus in a period exceeding the
BOLD response.Methods
MR images
and single voxel 1H-MRS were acquired on a Philips Achieva dStream 3T MRI
System (Eindhoven, Netherlands) using a SENSE Head-8 coil. Eighteen healthy
subjects (11 males; mean age = 23.6 years, SD = 2.2) took part in the study.
The 4 Hz flashing checkerboard was used for stimulation in similar blocks (3s -
stimulus, 21s -black screen) (fig.1).
To find activation volume images were acquired
using gradient-echo echo-planar imaging (GE EPI) sequence with TR/TE = 3000/40
ms, flip angle =90°, in‐plane resolution =2.4 × 2.4 mm2, slice thickness = 4
mm, number of slices =30 and 120 measurements.
The fMRI
data were processed using the SPM12 software package. Statistical analysis of
the images was performed using GLM. As a result, an activation map was obtained
in response to visual stimulation. Spectral voxel volume was obtained and the
average intensity in the volume was defined for each participant.
During the
experiment activated region was found using iViewBOLD (tomograph software) to
localize spectroscopic voxel. The spectra were obtained using the PRESS
sequence (TR=2000 ms, TE=35ms, NSA=444 (12*37), voxel size - 20x30x20mm) and
were localized in the activated region of the visual cortex (fig.2). Spectra
were frequency and phase corrected, averaged within time points to produce
spectra for dynamic of metabolite levels after the short stimulus. We
identified the impact of BOLD effects in metabolite spectra by estimating the
differences in total creatine (tCr) singlet (3.03 ppm) linewidth between each
time point and the value at -1s (1 sec before the start presentation of the
stimulus, fig. 1). To correct for the BOLD effect, metabolite spectra
corresponding to each time point were line broadened by the difference in tCr
line width at this time point. Metabolites were quantified using LCModel with a
basis set of 17 simulated metabolites. For further statistical processing, the
signal intensity ratio of Glx/Cr and NAA/Cr was obtained.
The difference between the obtained values (Glx/Cr, NAA/Cr, and
linewidth of tCr) corresponding to individual time points was statistically
determined by repeated measures of ANOVA statistical test. Greenhouse-Geisser
corrections were utilized to adjust for violations of the sphericity
assumption. Post hoc Dunnett's
test was then run. Сorrelation
coefficient between Glx/Cr at 1s and fMRI-amplitude was assessed. Results
We found a statistically significant difference in
the ratio of Glx/Cr intensities (p=0,031, fig.3) between time points by rANOVA.
Post-hoc Dunnett's test (fig. 3) showed a statistically significant Glx/Cr
increase from -1 s to 1s (+0.17±0.04, p = 0.004), 3s (+0.15±0.05, p = 0.074),
19s (+0.16±0.04, p=0.013). Line width of tCr measurement showed a statistically significant line narrowing at 7s (-4,6±1,0%, p = 0,002). There is no correlation between spectral data and
amplitude of fMRI-response (r = 0,24, P>0,05). The inter-subject analysis of
GLX/Cr level over three consecutive periods (each period corresponded ~5 min)
of the study showed that there are no concentration changes (rANOVA: p=0.32). Discussion
We investigated changes in Glx level in a period
exceeding the BOLD response. At least two periods of growth of Glx/Cr ratio
were revealed. As Glu-Gln cycle rate is too small for these Glx/Cr changes, the
observed Glx/Cr time course can be considired to the release of Glu from the
vesicles, reuptake, and refilling. The rate of Glu refilling into synaptic
vesicles at an intact mammalian central synapse is estimated as 1/15 s-1. Around 80% of the initial Glu
vesicle concentration would be transported into a vesicle within 20s. This
value is close to our estimate.
Our work presents dynamic measurement of BOLD effects
in metabolite spectra using the tCr signal for the first time.Acknowledgements
No acknowledgement found.References
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