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Evaluation of renal metabolic response to partial ureteral obstruction with hyperpolarized C-13 MRI
Journal article   Peer reviewed

Evaluation of renal metabolic response to partial ureteral obstruction with hyperpolarized C-13 MRI

David J. Niles, Jeremy W. Gordon, Gengwen Huang, Shannon Reese, Erin B. Adamson, Arjang Djamali and Sean B. Fain
NMR in biomedicine, Vol.31(1), e3846
01/01/2018
DOI: 10.1002/nbm.3846
PMCID: PMC5736002
PMID: 29130537
url
https://www.ncbi.nlm.nih.gov/pmc/articles/5736002View
Open Access

Abstract

Hyperpolarized C-13 magnetic resonance imaging (MRI) may be used to non-invasively image the transport and chemical conversion of C-13-labeled compounds in vivo. In this study, we utilize hyperpolarized C-13 MRI to evaluate metabolic markers in the kidneys longitudinally in a mouse model of partial unilateral ureteral obstruction (pUUO). Partial obstruction was surgically induced in the left ureter of nine adult mice, leaving the right ureter as a control. H-1 and hyperpolarized [1-C-13]pyruvate MRI of the kidneys was performed 2days prior to surgery (baseline) and at 3, 7 and 14days post-surgery. Images were evaluated for changes in renal pelvis volume, pyruvate, lactate and the lactate to pyruvate ratio. After 14days, mice were sacrificed and immunohistological staining of both kidneys for collagen fibrosis (picrosirius red) and macrophage infiltration (F4/80) was performed. Statistical analysis was performed using a linear mixed effects model. Significant kidney x time interaction effects were observed for both lactate and pyruvate, indicating that these markers changed differently between time points for the obstructed and unobstructed kidneys. Both kidneys showed an increase in the lactate to pyruvate ratio after obstruction, suggesting a shift towards glycolytic metabolism. These changes were accompanied by marked hydronephrosis, fibrosis and macrophage infiltration in the obstructed kidney, but not in the unobstructed kidney. Our results show that pUUO is associated with increased pyruvate to lactate metabolism in both kidneys, with injury and inflammation specific to the obstructed kidney. The work also demonstrates the feasibility of the use of hyperpolarized C-13 MRI to study metabolism in renal disease.
Biophysics Spectroscopy Technology Life Sciences & Biomedicine Radiology, Nuclear Medicine & Medical Imaging Science & Technology

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