In vivo detection of d-amino acid oxidase with hyperpolarized d-[1-C-13]alanine

d-amino acid oxidase (DAO) is a peroxisomal enzyme that catalyzes the oxidative deamination of several neutral and basic d-amino acids to their corresponding alpha-keto acids. In most mammalian species studied, high DAO activity is found in the kidney, liver, brain and polymorphonuclear leukocytes, and its main function is to maintain low circulating d-amino acid levels. DAO expression and activity have been associated with acute and chronic kidney diseases and with several pathologies related to N-methyl-d-aspartate (NMDA) receptor hypo/hyper-function; however, its precise role is not completely understood. In the present study we show that DAO activity can be detected in vivo in the rat kidney using hyperpolarized d-[1-C-13]alanine. Following a bolus of hyperpolarized d-alanine, accumulation of pyruvate, lactate and bicarbonate was observed only when DAO activity was not inhibited. The measured lactate-to-d-alanine ratio was comparable to the values measured when the l-enantiomer was injected. Metabolites downstream of DAO were not observed when scanning the liver and brain. The conversion of hyperpolarized d-[1-C-13]alanine to lactate and pyruvate was detected in blood ex vivo, and lactate and bicarbonate were detected on scanning the blood pool in the heart in vivo; however, the bicarbonate-to-d-alanine ratio was significantly lower compared with the kidney. These results demonstrate that the specific metabolism of the two enantiomers of hyperpolarized [1-C-13]alanine in the kidney and in the blood can be distinguished, underscoring the potential of d-[1-C-13]alanine as a probe of d-amino acid metabolism.

Hyperpolarized 13C lactate as a substrate for in vivo metabolic studies in skeletal muscle

Josefina Adriana Maria Bastiaansen, Arnaud Comment, Rolf Gruetter, Yuhei Takado, Hikari Ananda Infinity Yoshihara

Resting skeletal muscle has a preference for the oxidation of lipids compared to carbohydrates and a shift towards carbohydrate oxidation is observed with increasing exercise. Lactate is not only an end product in skeletal muscle but also an important metabolic intermediate for mitochondrial oxidation. Recent advances in hyperpolarized MRS allow the measurement of substrate metabolism in vivo in real time. The aim of this study was to investigate the use of hyperpolarized 13C lactate as a substrate for metabolic studies in skeletal muscle in vivo. Carbohydrate metabolism in healthy rat skeletal muscle at rest was studied in different nutritional states using hyperpolarized [1-13C]lactate, a substrate that can be injected at physiological concentrations and leaves other oxidative processes undisturbed. 13C label incorporation from lactate into bicarbonate in fed animals was observed within seconds but was absent after an overnight fast, representing inhibition of the metabolic flux through pyruvate dehydrogenase (PDH). A significant decrease in 13C labeling of alanine was observed comparing the fed and fasted group, and was attributed to a change in cellular alanine concentration and not a decrease in enzymatic flux through alanine transaminase. We conclude that hyperpolarized [1-13C]lactate can be used to study carbohydrate oxidation in resting skeletal muscle at physiological levels. The herein proposed method allows probing simultaneously both PDH activity and variations in alanine tissue concentration, which are associated with metabolic dysfunctions. A simple alteration of the nutritional state demonstrated that the observed pyruvate, alanine, and bicarbonate signals are indeed sensitive markers to probe metabolic changes in vivo.

2014

Mechanistic studies of DNP and applications of hyperpolarized probes to study renal physiology and metabolism

Alice Radaelli

Dissolution dynamic nuclear polarization (dDNP) is a powerful technique that enhances the magnetic resonance signal of nuclear spins by several orders of magnitude. DNP relies on the principle of cross-relaxation by electron spins driven out of equilibrium to enhance nuclear polarization. When coupled to magnetic resonance spectroscopy/imaging (MRS/I), infusion of 13C-labeled tracers hyperpolarized via DNP in vivo provides real-time estimates of metabolic fluxes, physiological parameters and/or tissue perfusion. The present work focuses on fundamental aspects of DNP, in particular how sample composition affects the DNP of low-gamma nuclei, as well as on in vivo dDNP applications targeting renal metabolism and physiology. The DNP properties of the SA-BDPA radical were studied in a sample of 13C-urea. SA-BDPA, a water-soluble derivative of BDPA, is characterized by a small g-anisotropy and unresolved hyperfine coupling to protons. As a result, at 6.7 T, 1.1 K its ESR linewidth is much smaller than the 13C Larmor frequency, which enabled the observation for the first time of 13C DNP via the solid effect and pure thermal mixing, the latter defined as the process where the electron non-Zeeman reservoir alone provides the energy required for triple-spin flips. The effect of solvent deuteration on 6Li DNP and radical ESR properties was studied in 6LiCl water:glycerol solutions doped with either the nitroxide radical TEMPOL or the trityl radical OX063. Unexpectedly, the TEMPOL-doped samples polarized better than the trityl-doped ones. Across all samples, the relationship between the degree of solvent deuteration with the buildup time constant and polarization level was notably different from what has been reported for 13C. This behavior is indicative of DNP via a combination of the cross effect and thermal mixing mechanisms. The uptake and metabolism of hyperpolarized L-[1-13C]alaninamide was investigated in the rat kidney in vivo. This probe of aminopeptidase N, which can play a role in tumor growth, was previously studied in vitro. Our study showed that alanine production from alaninamide also occurs in vivo, however, with spectral overlap of substrate and product. Alaninamide, having a pKa of 7.9, proved to be sensitive to local pH. Three spectral peaks, corresponding to at least three environments with different pH values, could be observed in the kidney. The two peaks at higher pH were assigned to the blood extra- and (partially) intracellular compartments, while the third one was mainly in the inner part of the kidney. Finally, alaninamide was shown to also be sensitive to dissolved CO2, with the rapid formation of a carbamate adduct following infusion. The renal metabolism of D-[1-13C]alanine by D-amino acid oxidase (DAO) was also studied. Conversion of hyperpolarized D-alanine to pyruvate and further metabolism to lactate and bicarbonate was observed in the kidney only when DAO was not inhibited. DAO activity could also be detected in blood, where leukocytes express the enzyme, but not in the brain and liver, in line with their lower DAO activity. Overall, this thesis provides additional insight into how the experimental conditions can favor a particular DNP mechanism over another. It also significantly expands the scope of in vivo dDNP applications, showing that additional enzyme-catalyzed processes can be detected, along with the potential of amino-acid based hyperpolarized 13C sensors for physiological studies.

EPFL2021

In vivo metabolic studies in skeletal and cardiac muscle using ¹³C magnetic resonance spectroscopy

Josefina Adriana Maria Bastiaansen

Cardiac and skeletal muscle function relies on a continuous energy production via fatty acid metabolism and mitochondrial oxidation of pyruvate, with a fine balance between substrate delivery and utilization. Changes in metabolism are increasingly being implicated as playing an intrinsic role in many diseases, such as diabetes, cancer, and heart failure. Investigating and identifying fundamental metabolic processes are paramount to understanding pathologies. Beyond morphology and functional information, magnetic resonance can provide insights at a metabolic level using spectroscopic techniques such as 13C NMR. The low natural abundance and sensitivity of the 13C nucleus makes 13C NMR in biological systems challenging. In addressing this issue, hyperpolarized methods have emerged as a very promising tool, obtaining signal enhancements up to 10,000 fold. Spectra of hyperpolarized 13C labeled substrates and their downstream metabolic products offer insight into metabolic processes occurring in vivo within seconds after the injection. This thesis focused on the development of MR hyperpolarization methods and applications to study energy metabolism in cardiac and skeletal muscle in vivo. This ranged from development of the experimental frame work to mathematical tools to characterize the observed metabolic processes. Methods were developed to visualize 13C labeling kinetics of acetylcarnitine in vivo in resting skeletal muscle following the administration of hyperpolarized [1-13C]acetate. Two different, novel mathematical models were constructed to quantify the kinetic rate constants. Although separated by two enzymatic reactions, the conversion of acetate to acetylcarnitine was uniquely defined by the enzymatic activity of acetylCoA synthetase (ACS). A 13C MRS protocol was developed and implemented for hyperpolarized studies in the heart, which included selecting appropriate cardiac triggers to align the measurements with the cardiac phase. The 13C label propagation into acetylcarnitine and citrate could be measured in real time in the beating rat heart following the infusion of hyperpolarized [1-13C]acetate, using a newly constructed 13C RF coil which improved the detection sensitivity. The substantial spectral resolution at 9.4T and a triggered shimming and MR acquisition protocol allowed for the detection of citrate for the first time in vivo after injection of hyperpolarized [1-13C]acetate. Mathematical models were successfully extended to include mitochondrial oxidation and analytical expressions were derived to interpret the dynamic 13C labeling of citrate. Cardiac dysfunction is often associated with a shift in substrate preference, while diagnostic methods such as PET provide only information on substrate uptake. The potential of hyperpolarized 13C MRS to measure simultaneously lipid and carbohydrate oxidation was demonstrated in vivo, and the sensitivity of the method to a metabolic perturbation was assessed. Hyperpolarized [1-13C]butyrate and [1-13C]pyruvate were used as representatives of carbohydrate and lipid oxidation. Fasting led to significant changes in preference for the injected substrates. The appearance of a cohort of downstream metabolites (bicarbonate, lactate, alanine, glutamate, citrate, acetylcarnitine, β-hydroxybutyrate and acetoacetate) allowed the independent and simultaneous monitoring of myocardial oxidation of both fatty acid and carbohydrates in vivo and is a sensitive indicator of metabolic shift. Lactate is an important metabolic intermediate for mitochondrial oxidation. Carbohydrate metabolism in healthy rat skeletal muscle at rest was studied in different nutritional states using hyperpolarized [1-13C]lactate, which can be injected at physiological concentrations and leaves other oxidative processes undisturbed. A significant decrease in [1-13C]alanine and 13C bicarbonate were observed comparing both groups, attributed to a change in cellular alanine concentration and pyruvate dehydrogenase (PDH) flux. It was shown that lactate can be used to study carbohydrate oxidation in skeletal muscle at physiological levels and that the downstream metabolite signals are sensitive markers to probe metabolic changes. Since the detection of [5-13C]citrate and [5-13C]glutamate in the heart is hindered by the close proximity of the [1-13C]acetate resonance, acetylcarnitine could be an interesting substrate for hyperpolarized MR. Acetylcarnitine crosses the mitochondrial membrane easily, while skipping a few metabolic steps needed for acetate to cross the membrane. Moreover, it does not interfere with the detection of [5-13C]glutamate and [5-13C]citrate. [1-13C]Acetylcarnitine was successfully hyperpolarized and despite its short T1 it was possible to detect the formation of [5-13C]glutamate in the heart in vivo. Due to the absence of the [5-13C]citrate resonance, we hypothesized the existence of an intricate relationship between reaction, transport and relaxation rates in the choice of hyperpolarized substrates. Acetylcarnitine has relatively small poolsizes and has only been observed using hyperpolarized 13C MRS techniques. Therefore, it has not been possible to obtain reliable quantification of the metabolic turnover of acetylcarnitine, which is an essential intermediate in the metabolism of acetate. Methods were implemented to measure the oxidation of [2-13C]acetate locally with increased sensitivity at high field (14.1T), using a 1H-13C polarization transfer sequence. This allowed the observation of [2-13C]acetylcarnitine in vivo at 21.5 ppm, with a metabolic turnover time τ of 0.34 μmol/g/hr. The acetylcarnitine resonance assignment was confirmed by experiments infusing 13C labeled glucose. The measurement of the time courses of Glu C4 and C3 were also clearly observed, without lipid contamination. To conclude, this work presents novel metabolic information about skeletal and cardiac energy metabolism using developed methods in hyperpolarized 13C MRS. The use of hyperpolarized 13C substrates to measure absolute flux through metabolic pathways in vivo would not only revolutionize clinical diagnostic imaging but also serve as an important tool to better understand diseased metabolism and the metabolic effects of new drugs aimed to combat diseases.