Ke Zhou1, Ziyan Wang2, Jiaqiang Zhou3, Chunli Cai4, Yi-Cheng Hsu5, and Min wang1,3
1College of Biomedical Engineering & Instrument Science, Zhejiang University, Hangzhou, China, 2MR Research&Development Digital, Siemens Shenzhen Magnetic Resonance Ltd, Shenzhen, China, 3Department of Endocrinology, School of Medicine, Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou, China, 4Hangzhou Institute of Medicine, Chinese Academy of Sciences, Hangzhou, China, 5MR Collaboration, Siemens Healthcare Ltd, Shanghai, China
Synopsis
Keywords: Alzheimer's Disease, Diffusion/other diffusion imaging techniques, DW-MRS
Motivation: Diffusion-weighted MR Spectroscopy(DW-MRS) gives access to diffusion properties of endogenous intracellular metabolites to characterize brain cell microstructureµenvironment, which could potentially reflect changes in neuropathology during early Alzheimer's disease(AD).
Goal(s): To measure the time-dependent diffusion and kurtosis of the intracellular metabolites and water in the 3xTg-AD mouse.
Approach: In-vivo DW-MRS was applied to measure the hippocampus location at different diffusion-times(Td) in four 3xTg mice and four wild-type-C57BL/6 mice(200-day-old/females).
Results: The intracellular metabolites change distinctly compared to water in Td-dependency and restricted diffusion between AD and control group. The Kurtosis of metabolites increased significantly in early-AD while water diffusion showed no difference between 2 groups.
Impact: This work provides a unique insight into the diffusion time-dependency and kurtosis measurements of intracellular metabolites and water to probe the microstructural changes during the early presymptomatic stages of AD, which helps revealing some underlying processes during AD pathogenesis.
Introduction
DW-MRS allows for studying molecular diffusivity to reveal the
microstructural and microenvironmental properties in vivo. Metabolites are
intracellular and cell‐type specific (such as neuron-specific NAA and
astrocyte-specific Cho/Ins). By measuring diffusion time(Td) dependency
and kurtosis of metabolite diffusion with DW-MRS, we may probe the
microstructural and microenvironmental properties in brain tissue with
improved precision and specificity1–3. Recently, the diffusion Td-dependency of brain
metabolites has been measured in the mouse and human brain, showing promising
results as a potential biomarker for brain cell morphology4,5.
This work aims to explore the metabolites
and water diffusion properties in the 3xTg-AD mouse. While the previous work reported an increased Ins apparent diffusivity6, decreased extracellular lactate fraction7, and decreased levels of NAA8,9. Our goal is to find the Kurtosis
or Td-dependent diffusion change at the early-stage of AD which can be used as
the early marker for the potential alternations of brain cell microstructure.Methods
Instrument: Experiments were
performed on a 7T Bruker system, equipped with 570mT/m gradients and surface
receive coils.
In
vivo Experiment: Four
200-day-old females 3xTg mice and four wild-type C57BL/6 mice (age and
sex-matched) anesthetized with 1.5~2% isoflurane were scanned. The DW-MRS acquisitions were performed using a diffusion-weighted
STEAM sequence (TE=25.5ms, diffusion gradient duration(δ)=10ms) in the hippocampus
region. The scan parameters included: voxel size=2.5*7*2.5 mm3; bandwidth=4kHz and
2176 complex-datapoints. Spectra at different diffusion weightings (b=30, 3030, 6030, 10030 and 20030s/mm2,
128(metabolites)/8(water) repetitions) were acquired at Td/TM/TR=23.2/8.078/2000ms
and Td/TM/TR=253.2/238.078/2200ms.
Data Processing: Spectra were processed including coil combination, spectral
registration, and phase/frequency correction10. Also,
we performed eddy current correction using a non-water-suppressed reference
scan11. For
metabolites, each spectrum was analyzed with LCModel12. Fitting
was performed by using a nonlinear least-square regression, based on the
trust-region-reflective algorithm implemented in MATLAB. For each Td, the diffusion-weighted
signal S as a function of b was fitted to estimate the apparent diffusivity of
water or metabolite and kurtosis, using equation13 and
constraints as follows:
$$\ln (\frac{{{S}_{b}}}{{{S}_{0}}})=Db(\frac{DK}{6}b-1)$$
$$\text{constraints}\left\{ \begin{matrix} \frac{3}{DK}>{{b}_{\max }} \\ -\frac{3}{2K}<\ln (\frac{{{S}_{{{b}_{\max }}}}}{{{S}_{0}}}) \\\end{matrix} \right.$$
The constraints are determined by the fact
that the symmetry-axis and vertex of the quadratic function for the Kurtosis
model cannot exceed the lowest signal(max b-value).
Statistical Analysis: The paired
t-test was applied to assess Td-dependence intra-groups,
and the unpaired t-test was applied to assess diffusion properties inter-groups.Results
Representative
diffusion-weighted spectra are shown for AD(Fig.1b,d) and HC mouse(Fig.1c,e),
illustrating the signal attenuation in the hippocampus at
different Td.
Figure.2
presents the two groups of three main metabolites and water logarithm signal attenuation and fits with kurtosis.
For metabolites, the ADCs were decreased and the Kurtosis
increased of all three main metabolites along with the increasing Td in HC mice,
but this Td-dependency trend was not seen in AD mice for neither ADCs nor Kurtosis.
Also, in AD mice, the tNAA ADC was significantly lower, and the
Kurtosis of all three metabolites was significantly higher compared with the HC
group at Td=23.2ms(Table.1).
For water, the Td-dependence shows opposite
behavior to metabolites. Also, there is no difference found between 2 groups(Table.2).
Figure.3 shows metabolite concentrations of
the 2 groups, no change was found in metabolite concentrations between AD and
HC mice at this stage.Discussion
In this study, we used the kurtosis
time-dependent model to probe brain microstructure by the diffusion changes of
the water and metabolites in 3xTg-AD.
Measurements of purely intracellular
metabolites Td-dependence(up to 253.2ms) show opposite behavior to water, with
metabolites kurtosis increasing as a function of Td, which was also reported
in one recent animal study4.
In Table.1, the AD group shows no significant
difference in intracellular metabolites Td-dependence and higher kurtosis
compared with the HC group, which is a sign of disrupted intracellular structure
in early AD compared to normal aging.
At the same time, there is no significant
difference in the water diffusion properties between AD and HC, which shows that
the globally distributed water molecular is not capable of detecting early-stage
intracellular changes in AD while DW-MRS is more sensitive to the very small alternations
of brain microstructure.
Moreover, we demonstrated the concentration
of main metabolites in brain, and the changes of metabolite levels in AD reported
at a later stage by some previous studies6,8,14 were not found. It seems possible that marked morphological atrophy
was clearly shown at the 6-month in 3xTg-AD15.Conclusion
This study has found the alternations of
intracellular metabolites and water diffusion time-dependence in a relatively
early-stage of 3xTg mouse model of Alzheimer’s disease. The intracellular
metabolites show very different or opposite diffusion behavior compared to
water in diffusion time-dependency and spatial restriction in AD mice.Acknowledgements
No acknowledgement found.References
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