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葡萄糖刺激的化学交换饱和转移磁共振成像(CEST MRI)pH值映射用于改善对缺氧诱导因子1α表达改变的肿瘤的鉴别诊断。

Glucose stimulated CEST MRI pHe mapping for improved differentiation of tumors with altered hypoxia inducible factor 1alpha expression.

作者信息

Singh Aruna, Stabinska Julia, Krishnamachary Balaji, Sedaghat Farzad, Nimmagadda Sridhar, Bulte Jeff W M, Bhujwalla Zaver M, McMahon Michael T

机构信息

F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, 707 N. Broadway Ave., Baltimore, MD, 21205, USA.

Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

出版信息

Sci Rep. 2025 Aug 9;15(1):29129. doi: 10.1038/s41598-025-14102-z.

Abstract

Identification of highly aggressive tumors from benign phenotypes is an important diagnostic need, with increased expression of hypoxia-inducible factor-1α (HIF-1α) as one factor linked to tumor progression and treatment response. HIF-1α stabilization is closely linked to extracellular pH (pHe) through the regulation of glycolysis, proton transporters and vascular endothelial growth factor (VEGF). Magnetic resonance imaging (MRI)-based pHe measurement has shown promise in differentiating tumor phenotypes. In this study, we evaluated a new protocol designed to enhance tumor acidosis by administering glucose prior to pHe measurements in orthotopic human breast cancer xenografts. To demonstrate the utility of this approach, we used human triple-negative breast cancer (TNBC) MDA-MB-231 cells that were either wild type (231-WT) or genetically engineered to stably express short hairpin RNA (shRNA) against HIF-1α (231-HIF-1α-shRNA) or engineered to overexpress VEGF (231-VEGF). Iopamidol was administered for chemical exchange saturation transfer (CEST) MRI pHe mapping. We observed enhanced differentiation in the pHe maps following glucose administration, with mean pHe of 6.1 ± 0.12 (231-WT), 6.3 ± 0.04 (231-VEGF) and 6.58 ± 0.04 (231-HIF-1α-shRNA). Without glucose stimulation, the corresponding values were 6.31 ± 0.04 (231-WT), 6.30 ± 0.07 (231-VEGF), and 6.55 ± 0.04 (231-HIF-1α-shRNA). These findings were validated by immunoblotting and immunohistochemistry. Collectively our data demonstrate that CEST MRI pHe mapping can effectively differentiates tumors with low HIF-1α expression and that glucose stimulation enhances this differentiation, offering a valuable tool for improved tumor characterization.

摘要

从良性表型中识别出高侵袭性肿瘤是一项重要的诊断需求,缺氧诱导因子-1α(HIF-1α)表达增加是与肿瘤进展和治疗反应相关的一个因素。HIF-1α的稳定通过糖酵解、质子转运体和血管内皮生长因子(VEGF)的调节与细胞外pH(pHe)密切相关。基于磁共振成像(MRI)的pHe测量在区分肿瘤表型方面已显示出前景。在本研究中,我们评估了一种新方案,该方案通过在原位人乳腺癌异种移植瘤的pHe测量前给予葡萄糖来增强肿瘤酸中毒。为了证明这种方法的实用性,我们使用了人三阴性乳腺癌(TNBC)MDA-MB-231细胞,这些细胞要么是野生型(231-WT),要么经过基因工程改造以稳定表达针对HIF-1α的短发夹RNA(shRNA)(231-HIF-1α-shRNA),要么经过工程改造以过表达VEGF(231-VEGF)。给予碘帕醇进行化学交换饱和转移(CEST)MRI pHe映射。我们观察到给予葡萄糖后,pHe图中的分化增强,231-WT的平均pHe为6.1±0.12,231-VEGF为6.3±0.04,231-HIF-1α-shRNA为6.58±0.04。在没有葡萄糖刺激的情况下,相应的值分别为231-WT的6.31±0.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a49b/12334617/342e8871a974/41598_2025_14102_Fig1_HTML.jpg

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