Hyperpolarized (HP) 13 C MRI provides the means to monitor lactate metabolism noninvasively in tumours. Since 13 C-lactate signal levels obtained from HP 13 C imaging depend on multiple factors, such as the rate of 13 C substrate delivery via the vasculature, the expression level of monocarboxylate transporters (MCTs) and lactate dehydrogenase (LDH), and the local lactate pool size, the interpretation of HP 13 C metabolic images remains challenging. In this study, ex vivo tissue extract measurements (i.e., NMR isotopomer analysis, western blot analysis) derived from an MDA-MB-231 xenograft model in nude rats were used to test for correlations between the in vivo 13 C data and the ex vivo measures. The lactate-to-pyruvate ratio from HP 13 C MRI was strongly correlated with [1-13 C]lactate concentration measured from the extracts using NMR (R = 0.69, p< 0.05), as well as negatively correlated with tumour wet weight (R = −0.60, p< 0.05).In this tumour model, both MCT1 and MCT4 expressions were positively correlated with wet weight ( = 0.78 and 0.93, respectively, p< 0.01). Lactate pool size and the lactate-to-pyruvate ratio were not significantly correlated.
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Methodsand Engineering, MR Spectroscopy (MRS) and Spectroscopic Imaging (MRSI) Methods, Hyperpolarized C13, Applications, Cancer, Animal model study, Applications, Cellular and molecular imaging, Cellular and molecular cancer imaging 1 INTRODUCTION Hyperpolarized (HP) 13 C MRI is an emerging contrast-enhanced technique for imaging metabolic processes in vivo. Through dynamic nuclear polarization (DNP), the signal level of 13 C-enriched substrates can be enhanced by 4-5 orders of magnitude and this enables detection of an injected bolus and its downstream 13 C-labeled metabolic products. 1 [1-13 C]pyruvate has been extensively studied as a substrate for HP 13 C MRI, due primarily to its relatively long T 1 and ability to probe an important bifurcation point of cellular respiration-pyruvate can enter the tricarboxylate (TCA) cycle to generate adenosine triphosphate (ATP) via oxidative phosphorylation, or, alternatively, produce ATP as it reduces to the metabolite lactate. 2,3 Taken together, these properties motivate noninvasive monitoring of [1-13 C]pyruvate, as well as the downstream metabolites [1-13 C]lactate, 13 C-bicarbonate, and [1-13 C]alanine. Metabolic reprogramming is now recognized as a hallmark of cancer, because it allows malignant cells to overcome various metabolic challenges, such as surviving nutrient-and oxygen-depleted environments and producing sufficient biosynthetic intermediates and energy for growth, as well as maintaining redox homeostasis while supporting a high metabolic rate. 4 Clinically, imaging metabolic alterations in cancer Abbreviations: ATP, adenosine triphosphate; C1Lac, [1-13 C]lactate concentration; C3Lac, [1-13 C]lactate concentration; DNP, dynamic nuclear polarization; EPI, echo planar imaging; FOV, field of view; HP, hyperpolarized; HP001, bis-1,1-(hydroxymethyl)-[1-13 C]cyclopropane-d s ; Lac/HP001, ratio of hype...