Dienel Gerald A, Wang Robert Y, Cruz Nancy F
Department of Neurology, Slot 500, University of Arkansas for Medical Sciences, 4301 W. Markham Street, Shorey Building, Room 7S/15, Little Rock, AR 72205 U.S.A.
J Cereb Blood Flow Metab. 2002 Dec;22(12):1490-502. doi: 10.1097/01.WCB.0000034363.37277.89.
Interpretation of functional metabolic brain images requires understanding of metabolic shifts in working brain. Because the disproportionately higher uptake of glucose compared with oxygen ("aerobic glycolysis") during sensory stimulation is not fully explained by changes in levels of lactate or glycogen, metabolic labeling by [6-14C]glucose was used to evaluate utilization of glucose during brief brain activation. Increased labeling of tricarboxylic acid cycle-derived amino acids, mainly glutamate but also gamma-aminobutyric acid, reflects a rise in oxidative metabolism during aerobic glycolysis. The size of the glutamate, lactate, alanine, and aspartate pools changed during stimulation. Brain lactate was derived from blood-borne glucose and its specific activity was twice that of alanine, revealing pyruvate compartmentation. Glycogen labeling doubled during recovery compared with rest and activation; only 4% to 8% of the total 14C was recovered in lactate plus glycogen. Restoration of glycogen levels was slow, and diversion of glucose from oxidative pathways to restore its level could cause a prolonged reduction of the global O2/glucose uptake ratio. The rise in the brain glucose-oxygen uptake ratio during activation does not simply reflect an upward shift of glycolysis under aerobic conditions; instead, it involves altered fluxes into various (oxidative and biosynthetic) pathways with different time courses.
解读大脑功能代谢图像需要了解工作状态下大脑的代谢变化。由于在感觉刺激期间葡萄糖摄取量相对于氧气摄取量不成比例地更高(“有氧糖酵解”),乳酸或糖原水平的变化并不能完全解释这一现象,因此使用[6-14C]葡萄糖进行代谢标记来评估短暂大脑激活期间葡萄糖的利用情况。三羧酸循环衍生氨基酸(主要是谷氨酸,还有γ-氨基丁酸)标记增加,反映了有氧糖酵解期间氧化代谢的增加。刺激期间,谷氨酸、乳酸、丙氨酸和天冬氨酸池的大小发生了变化。脑乳酸来源于血液中的葡萄糖,其比活性是丙氨酸的两倍,揭示了丙酮酸的区室化。与静息和激活状态相比,恢复期间糖原标记增加了一倍;乳酸和糖原中总共只回收了14C总量的4%至8%。糖原水平的恢复缓慢,从氧化途径转移葡萄糖以恢复其水平可能会导致全球氧/葡萄糖摄取率长期降低。激活期间大脑葡萄糖-氧摄取率的升高并不简单地反映有氧条件下糖酵解的向上转变;相反它涉及到不同时间进程中进入各种(氧化和生物合成)途径的通量变化。