0043
Brain metabolic impairment after mild repetitive traumatic brain injury can be measured by hyperpolarized [1-13C]pyruvate and [13C]urea
Caroline Guglielmetti1,2, Kai Qiao1,2, Brice Tiret1,2, Karen Krukowski1,3, Amber Nolan3,4, Susanna Rosi1,3,5,6, and Myriam M. Chaumeil1,2
1Department of Physical Therapy and Rehabilitation Science, University of California San Francisco, San Francisco, CA, United States, 2Department of Radiology and Biomedical Sciences, University of California San Francisco, San Francisco, CA, United States, 3Brain and Spinal Injury Center, University of California San Francisco, San Francisco, CA, United States, 4Department of Pathology, University of California San Francisco, San Francisco, CA, United States, 5Department of Neurological Surgery, University of California San Francisco, San Francisco, CA, United States, 6Weill institute for Neuroscience, University of California San Francisco, San Francisco, CA, United States
Mild repetitive traumatic injury (rTBI) is associated with decreased HP lactate/pyruvate and pyruvate dehydrogenase activity in cortical areas three months after injury in a mouse model. HP 13C pyruvate and HP 13C urea increased in the entire brain in rTBI. T2 and T1 MRI failed to detect injury.
Representative HP metabolites heatmaps from a Sham and a rTBI mouse showing higher [1-13C]lactate levels in rTBI in subcortical areas. Higher HP [1-13C]pyruvate and HP 13C urea levels can be observed in the entire brain of rTBI compared to Sham. Heatmaps of HP [1-13C]lactate/pyruvate ratio show lower values in cortical areas in rTBI.
(A) T2 image and overlaid grid used for HP 13C MRSI analyses, red voxels indicate cortical areas and their corresponding HP 13C spectra for Sham and rTBI. Quantitative analyses of HP 13C (B) lactate, (C) pyruvate, (D) urea and (E) lactate/pyruvate for cortical areas. (F) T2 weighted image and HP 13C grid, red voxels indicate subcortical areas and corresponding HP 13C spectra. Quantitative analyses of HP 13C (G) lactate, (H) pyruvate, (I) urea and (J) lactate/pyruvate for subcortical areas.