Division of MR Research, The Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, USA.
Sci Adv. 2019 Aug 14;5(8):eaaw8357. doi: 10.1126/sciadv.aaw8357. eCollection 2019 Aug.
Chronic Kidney Disease (CKD) is a cardinal feature of methylmalonic acidemia (MMA), a prototypic organic acidemia. Impaired growth, low activity, and protein restriction affect muscle mass and lower serum creatinine, which can delay diagnosis and management of renal disease. We have designed an alternative strategy for monitoring renal function based on administration of a pH sensitive MRI agent and assessed this in a mouse model. This protocol produced three metrics: kidney contrast, ~4% for severe renal disease mice compared to ~13% and ~25% for moderate renal disease and healthy controls, filtration fraction (FF), ~15% for severe renal disease mice compared to ~79% and 100% for moderate renal disease and healthy controls, and variation in pH, ~0.45 units for severe disease mice compared to 0.06 and 0.01 for moderate disease and healthy controls. Our results demonstrate that MRI can be used for early detection and monitoring of CKD.
慢性肾脏病(CKD)是甲基丙二酸血症(MMA)的主要特征,MMA 是一种典型的有机酸血症。生长受损、活动减少和蛋白质限制会影响肌肉质量并降低血清肌酐水平,从而可能延迟肾脏疾病的诊断和治疗。我们设计了一种基于 pH 敏感 MRI 造影剂的替代肾功能监测策略,并在小鼠模型中进行了评估。该方案产生了三个指标:肾脏对比,严重肾脏疾病小鼠为4%,中度肾脏疾病和健康对照组为13%和25%;滤过分数(FF),严重肾脏疾病小鼠为15%,中度肾脏疾病和健康对照组为79%和 100%;以及 pH 值变化,严重疾病小鼠为0.45 个单位,中度疾病和健康对照组为 0.06 和 0.01。我们的结果表明,MRI 可用于早期检测和监测 CKD。