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化学交换饱和转移磁共振成像在3T下检测双环己酮草酰二腙小鼠模型中的髓鞘变化。

Chemical exchange saturation transfer MRI detects myelin changes in cuprizone mouse model at 3T.

作者信息

Chen Zilin, Huang Jianpan, Lai Joseph H C, Tse Kai-Hei, Xu Jiadi, Chan Kannie W Y

机构信息

Department of Biomedical Engineering, City University of Hong Kong, Hong Kong, China.

Department of Health Technology and Informatics, The Hong Kong Polytechnic University, Hong Kong, China.

出版信息

NMR Biomed. 2023 Mar 25:e4937. doi: 10.1002/nbm.4937.

Abstract

Chemical exchange saturation transfer (CEST) sensitively detects molecular alterations in the brain, such as relayed nuclear Overhauser effect (rNOE) CEST contrast at -3.5 ppm representing aliphatic protons in both lipids and proteins, and CEST contrast at 3.5 ppm correlating with amide proton in proteins. Myelin is rich in lipids and proteins, and therefore CEST can be explored as a biomarker for myelin pathology, which could contribute to the diagnosis and prognosis of multiple sclerosis (MS). In the current study, we investigate the specificity of aliphatic rNOE and the amide pool in myelin detection using the cuprizone (CPZ) mouse model, which recapitulates the demyelination and remyelination of MS. In this study, preclinical 3T MRI was performed in 19 male C57BL/6 mice. Mice in the normal control (NC) group (n = 9) were fed a normal diet for the whole course, while mice in the CPZ group (n = 10) were fed with CPZ for 10 weeks, followed by 4 weeks with a normal diet. The CEST contrast of rNOE (-3.5 ppm) and amide (3.5 ppm) in brain regions of the corpus callosum (CC) and the caudate putamen were compared. Statistical differences between the groups were calculated using two-way ANOVA. We observed significantly decreased rNOE (NC: 4.85% ± 0.09%/s vs. CPZ: 3.88% ± 0.18%/s, p = 0.007) and amide pool (NC: 3.20% ± 0.10%/s vs. CPZ: 2.46% ± 0.16%/s, p = 0.02) in the CC after 8 weeks on CPZ diet (p < 0.05). Moreover, the rNOE in the CPZ group recovered to a level comparable with the NC group at week 14 (p = 0.39), while amide remained at a level as low as that for the NC group (p = 0.051). Significant rNOE and amide changes, validated by immunohistochemistry results for demyelination and remyelination, demonstrate the huge potential of CEST for revealing myelin pathology, which has implications for MS identification at the clinical field strength of 3T.

摘要

化学交换饱和转移(CEST)能够灵敏地检测大脑中的分子变化,比如在-3.5 ppm处的弛豫核Overhauser效应(rNOE)CEST对比,它代表脂质和蛋白质中的脂肪族质子;以及在3.5 ppm处与蛋白质中的酰胺质子相关的CEST对比。髓磷脂富含脂质和蛋白质,因此CEST可作为一种用于检测髓磷脂病理状态的生物标志物进行研究,这可能有助于多发性硬化症(MS)的诊断和预后评估。在本研究中,我们使用铜螯合剂(CPZ)小鼠模型探究脂肪族rNOE和酰胺池在检测髓磷脂中的特异性,该模型可模拟MS的脱髓鞘和髓鞘再生过程。在这项研究中,对19只雄性C57BL/6小鼠进行了临床前3T磁共振成像(MRI)检查。正常对照组(NC,n = 9)的小鼠在整个实验过程中喂食正常饮食,而CPZ组(n = 10)的小鼠喂食CPZ 10周,随后再喂食4周正常饮食。比较了胼胝体(CC)和尾状核壳核脑区中rNOE(-3.5 ppm)和酰胺(3.5 ppm)的CEST对比。使用双向方差分析计算组间的统计学差异。我们观察到,在喂食CPZ饮食8周后,CC中的rNOE(NC:4.85%±0.09%/s vs. CPZ:3.88%±0.18%/s,p = 0.007)和酰胺池(NC:3.20%±0.10%/s vs. CPZ:2.46%±0.16%/s,p = 0.02)显著降低(p < 0.05)。此外,在第14周时,CPZ组的rNOE恢复到与NC组相当的水平(p = 0.39),而酰胺仍维持在与NC组相当的低水平(p = 0.051)。通过脱髓鞘和髓鞘再生的免疫组织化学结果验证的rNOE和酰胺的显著变化,证明了CEST在揭示髓磷脂病理状态方面的巨大潜力,这对3T临床场强下的MS识别具有重要意义。

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