Vike Nicole, Tang Jonathan, Talavage Thomas, Shi Riyi, Rispoli Joseph
Department of Basic Medical Sciences, Purdue University, West Lafayette, IN 47907.
Weldon School of Biomedical Engineering, Purdue University, West Lafayette, IN 47907.
Appl Magn Reson. 2019 Nov;50(11):1291-1303. doi: 10.1007/s00723-019-01148-2. Epub 2019 Jul 25.
An estimated 3.3 million people are living with a traumatic brain injury (TBI)-associated morbidity. Currently, only invasive and sacrificial methods exist to study neurochemical alterations following TBI. Nuclear magnetic resonance methods-magnetic resonance imaging (MRI) and spectroscopy (MRS)-are powerful tools which may be used non-invasively to diagnose a range of medical issues. These methods can be utilized to explore brain functionality, connectivity, and biochemistry. Unfortunately, many of the commonly studied brain metabolites (e.g., N-acetyl-aspartate, choline, creatine) remain relatively stable following mild to moderate TBI and may not be suitable for longitudinal assessment of injury severity and location. Therefore, a critical need exists to investigate alternative biomarkers of TBI, such as acrolein. Acrolein is a byproduct of lipid peroxidation and accumulates following damage to neuronal tissue. Acrolein has been shown to increase in post-mortem rat brain tissue following TBI. However, no methods exist to noninvasively quantify acrolein Currently, we have characterized the T and T of acrolein via NMR saturation recovery and Carr-Purcell-Meiboom-Gill experiments, accordingly, to maximize the signal-to-noise ratio of acrolein obtained with MRS. Additionally, we have quantified acrolein in water and whole-brain phantom using PRESS MRS and standard post-processing methods. With this potential novel biomarker for assessing TBI, we can investigate methods for predicting acute and chronic neurological dysfunction in humans and animal models. By quantifying and localizing acrolein with MRS, and investigating neurological outcomes associated with measures, patient-specific interventions could be developed to decrease TBI-associated morbidity and improve quality of life.
据估计,有330万人患有创伤性脑损伤(TBI)相关疾病。目前,研究TBI后神经化学变化的方法只有侵入性和牺牲性方法。核磁共振方法——磁共振成像(MRI)和波谱学(MRS)——是强大的工具,可用于非侵入性诊断一系列医学问题。这些方法可用于探索大脑功能、连通性和生物化学。不幸的是,许多常用的脑代谢物(如N-乙酰天门冬氨酸、胆碱、肌酸)在轻度至中度TBI后仍相对稳定,可能不适用于损伤严重程度和位置的纵向评估。因此,迫切需要研究TBI的替代生物标志物,如丙烯醛。丙烯醛是脂质过氧化的副产物,在神经元组织受损后会积累。TBI后,已证明大鼠死后脑组织中的丙烯醛会增加。然而,目前还没有非侵入性定量丙烯醛的方法。目前,我们通过核磁共振饱和恢复和Carr-Purcell-Meiboom-Gill实验对丙烯醛的T1和T2进行了表征,从而最大限度地提高了MRS获得的丙烯醛的信噪比。此外,我们使用PRESS MRS和标准后处理方法对水和全脑模型中的丙烯醛进行了定量。有了这种潜在的评估TBI的新型生物标志物,我们可以研究预测人类和动物模型中急性和慢性神经功能障碍的方法。通过用MRS对丙烯醛进行定量和定位,并研究与这些测量相关的神经学结果,可以制定针对患者的干预措施,以降低TBI相关疾病的发病率,提高生活质量。