Teddy Xuke Cai1,2, Nathan Hu Williamson1, Rea Ravin1,3, and Peter Joel Basser1
1Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, United States, 2Wellcome Centre for Integrative Neuroimaging, FMRIB, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom, 3Celoptics, Inc., Rockville, MD, United States
Synopsis
Keywords: Diffusion/other diffusion imaging techniques, Data Analysis, Exchange
Contrary
to prevailing views, recent work suggests that steady-state water exchange
between the intra- and extracellular space is driven, in part, by active metabolic
processes. To support these findings, we investigate whether exchange exhibits
multiexponential behavior consistent with distinct exchange processes. We find a
bimodal distribution of exchange times in live neural tissue, with only the
faster peak being reduced upon the introduction of a sodium-potassium pump inhibitor,
thus supporting the existence of active exchange. Furthermore, we describe a
time-efficient method of isolating exchange and fitting multiexponential
exchange times using diffusion exchange spectroscopy, paving the way for future
studies.
Introduction
The exchange of water between biological
microenvironments, namely between the intra- and extracellular space, is
generally considered to be a passive process mediated by membrane permeability.
Recent work, however, suggests that exchange (as measured by diffusion MR) is
linked to active, i.e., ATP-driven metabolic processes. Specifically, the exchange
rate, $$$k$$$, has been linked to the activity
of the sodium-potassium pump.1,2 Quantifying $$$k$$$ may provide functional information at the cellular
level, representing, potentially, a non-BOLD-based form of functional MR. While
promising, questions remain concerning both the methodology of measuring $$$k$$$ and its underlying biological correlates.
Here we explore whether exchange is adequately
described by a single parameter. Indeed, the existence of active exchange would
imply, at the least, two distinct exchange processes – the passive permeability
of the cell membrane, and exchange coupled to active processes like ion
transport – for which there is no a priori reason to assume equal rates.
Moreover, $$$k$$$ should scale with the local surface-to-volume
ratio.3,4 Therefore, we hypothesize that exchange times are broadly distributed with
potentially well-separated active and passive peaks.
To test this hypothesis, we measure probability
distribution functions of the exchange time, $$$P(\tau_k)=P(1/k)$$$, by
applying multiexponential analysis using numerical inverse Laplace transforms
(ILTs) to data in which the effect of exchange has been isolated. Using a low-field,
static gradient system, $$$P(\tau_k)$$$ data
were acquired from ex vivo neonatal mouse spinal cords in three
conditions: fixed, live, and live whilst treated with ouabain, a sodium-potassium
pump inhibitor. Theory
Previously, we demonstrated that the diffusion
exchange spectroscopy5 (DEXSY) sequence, in which two parallel diffusion encodings with
b-values $$$b_1$$$ and $$$b_2$$$ are separated by a mixing time, $$$t_m$$$, can be leveraged to measure
exchange whilst heavily sub-sampling the $$$(b_1,b_2)$$$ domain.6-8 First, the signal variation is
measured along an axis of constant total diffusion weighting $$$b_s=b_1+b_2$$$, removing the effects of non-exchanging,
Gaussian diffusion. Next, taking a ratio of signals at each $$$t_m$$$ normalizes $$$T_1$$$ relaxation. Finally, by varying $$$t_m$$$, the effect of exchange (during $$$t_m$$$) is isolated.
The apparent exchanging signal fraction $$$f_{\mathrm{exch}}(t_m)$$$ is
proportional to a log-ratio of the signal $$$I(b_1,b_2,t_m)$$$ at
the midpoint $$$I_{\mathrm{mid}}(t_m)=I(\tfrac{b_s}{2},\tfrac{b_s}{2},t_m)$$$ and
endpoint $$$I_{\mathrm{end}}(t_m)=I(b_s,0,t_m)$$$ of
the $$$b_d=b_1-b_2$$$ axis, normalizing to $$$t_m=0$$$ (Fig. 1):
$$f_{\mathrm{exch}}(t_m)=C_1\left[\ln\left(\frac{I_{\mathrm{mid}}(t_m)}{I_{\mathrm{end}}(t_m)}\right)-C_0\right],\;\;C_0=\ln\left(\frac{I_{\mathrm{mid}}(0)}{I_{\mathrm{end}}(0)}\right),$$
where $$$C_1$$$ is a proportionality constant. Note that $$$C_0$$$ encompasses restriction, exchange during
encodings, and other effects invariant with $$$t_m$$$.8 Exchange is modelled as
$$f_{\mathrm{exch}}(t_m)=f_\infty\left[1-\int_0^\infty\exp\left(-\frac{t_m}{\tau_k}\right)P(\tau_k)d\tau_k\right],$$
where $$$f_\infty=\lim_{t_m\to\infty}f_{\mathrm{exch}}(t_m)$$$ is the steady-state exchange fraction, corresponding to complete volume
turnover between compartments. Rearranging and substituting Eq. (1), $$$C_1$$$ cancels and
$$1-\frac{f_{\mathrm{exch}}(t_m)}{f_\infty}=1-\left[\frac{\ln\left(\frac{I_{\mathrm{mid}}(t_m)}{I_{\mathrm{end}}(t_m)}\right)-C_0}{\lim_{t_m\to\infty}\ln\left(\frac{I_{\mathrm{mid}}(t_m)}{I_{\mathrm{end}}(t_m)}\right)-C_0}\right]=\int_0^\infty\exp\left(-\frac{t_m}{\tau_k}\right)P(\tau_k)d\tau_k,$$
which is amenable to using an ILT to obtain $$$P(\tau_k)$$$.
Methods
The static gradient DEXSY
(SG-DEXSY) pulse sequence (Fig. 1) was
implemented on a PM-10 NMR MOUSE9 single-sided magnet at $$$\omega_0=13.79\;\mathrm{MHz}$$$, $$$B_0=0.3239\;\mathrm{T}$$$, $$$g=15.3\;\mathrm{T/m}$$$ with a home-built solenoid RF coil and test
chamber.10 RF pulse lengths $$$=2/2\;\mu\mathrm{s}$$$, pulse powers $$$=-22/-16\;\mathrm{dB}$$$, $$$\mathrm{TR}=2\;\mathrm{s}$$$, 8000 echo CPMG train
with $$$\mathrm{TE}=25\;\mu\mathrm{s}$$$, 8 points per echo,
and $$$0.5\;\mu\mathrm{s}$$$ dwell time.
Live (i.e., viable) and
fixed ex vivo neonatal (postnatal day 1–4) mouse spinal cords were
studied. Spinal cords were bathed in artificial cerebrospinal fluid at 95% O2/5%
CO2 and $$$25^{\circ}\mathrm{C}$$$. For the ouabain
treatment condition, ouabain was added at a saturating concentration of $$$100\;\mu\mathrm{M}$$$.1
Data were acquired at $$$b_s=4.5\;\mathrm{ms}/\mu\mathrm{m}^2$$$ over 69 values of $$$t_m=0.2-1000\;\mathrm{ms}$$$. A biexponential fit to
the log-ratio of signals was first performed to yield robust estimates of the
intercept $$$C_0$$$ and limit $$$f_\infty/C_1$$$ (Figs. 2a–c). The data were then renormalized following
Eq. (3) (Fig. 3) before performing an ILT using the Butler-Reeds-Dawson
algorithm11,12 with 200 points spaced log-linearly from $$$\tau_k=1\times10^{-3}-1\times10^{-4}\;\mathrm{ms}$$$. Data were also
sub-sampled to 15 values of $$$t_m$$$ (Fig. 3b) to assess the stability of the inversion with
minimal data, inverting with 50 points from $$$\tau_k=1\times10^{-2}-1\times10^{3}\;\mathrm{ms}$$$. Results
Inverted $$$P(\tau_k)$$$ distributions from fully sampled (Fig. 4a) and
sub-sampled (Fig. 4b) data are presented for the live, fixed, and live with
ouabain conditions. The distributions are scaled by $$$f_\infty/C_1$$$ to
facilitate comparison in absolute terms. The distributions are
broad. Live tissue exhibits a bimodal distribution with peaks centered at 2 and 72 $$$\mathrm{ms}$$$. In the ouabain case,
the faster peak is reduced. Fixed tissue is approximately unimodal. The
sub-sampled case shows similar trends, albeit less resolved. Importantly, the
distinct, short $$$\tau_k$$$ peak in live tissue remains.Discussion
Our results support that active and
passive exchange have well-separated exchange times. Of the two peaks in live tissue,
only the faster peak is reduced with ouabain, suggesting that fast exchange,
specifically, is an active process. Furthermore, we find that $$$P(\tau_k)$$$ is broadly distributed, consistent with a dependence on local microstructure.
Pairing $$$P(\tau_k)$$$ estimation
with other modalities, namely diffusion modelling, may provide additional information
about inter-compartment exchange.
Our method is uniquely
suited to such analysis. Other time-efficient methods of measuring exchange
(e.g., FEXSY13, the Kärger model14, etc.), generally rely on multi-parametric
fitting of the signal as exchange is not isolated. This greatly complicates the
application of ILTs to study exchange. In contrast, the presented approach reduces
to a form in which the signal is dependent only on exchange. Remaining
parameters ($$$C_0,f_\infty/C_1$$$) are experimentally
observable (Fig. 2c) leaving a simple kernel. Thus, we believe that our method
is optimal for such analysis.Acknowledgements
The authors would like to thank Dr. Melanie Falgairolle and Dr. Michael James O'Donovan for assistance with the preparation of spinal cords and the protocol for ouabain perturbation.References
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