Programmed cell death was induced by HSV-tk gene therapy in rat BT4C glioma cells, and metabolite changes associated with cell damage were monitored in vivo by 1 H NMR spectroscopy and ex vivo by high resolution magic angle spinning (HRMAS) 1 H NMR, and in vitro in perchloric acid extracts of tumors. Metabolite concentrations, as quantified in vivo using water as an internal reference and in vitro in extracts, were correlated with cell density. The results showed that both in vivo and in vitro glycine and creatine concentrations followed volume-averaged cell density, whereas that of total choline-containing compounds was unaffected by a cell loss approaching 60%. Meanwhile, both saturated and unsaturated 1 H NMR visible lipids increased. HR-MAS 1 H NMR spectroscopy of the tumor samples at 14.1 tesla demonstrated the presence of nucleotide peaks from adenosine and uridine nucleotides in glioma samples ex vivo. The assignment of a doublet at 7.95 ppm to UDP was confirmed by spiking experiments of tumor extracts in conjunction with 1 H and 31 P NMR spectroscopy. HRMAS also resolved the choline-containing peak at 3.2 ppm in vivo into resonances from choline (3.20 ppm), phosphocholine (3.22 ppm), glycerophosphocholine (3.24 ppm), and taurine (3.26 ppm). These resonances were uncorrelated with temporal progression through programmed cell death. Our results show that 1 H NMR-detected lipids and some of the small molecular weight metabolites respond to gene therapy. However, the choline-containing compounds are unaffected by severe decline in cell density. The latter observation supports the idea that triacylglycerols, rather than membrane phospholipids, are the key components of 1 H NMR visible lipids, and it also casts doubt on the validity of resonance of choline-containing compounds as a diagnostic marker of programmed cell death in vivo.
Programmed cell death (PCD)1 involves a cascade of biochemical processes in an ATP-dependent manner, and the process is associated with substantial morphological alterations in the cell interior before phagocytosis (1-3). Recent evidence from cell culture studies points to a number of characteristic metabolic perturbations appearing in the early phase of PCD. These include affections of intermediary metabolism, such as accumulation of glycolytic intermediates fructose 1,6-bisphosphate, dihydroxy acetone phosphate, and glycerol-3-phosphate because of inhibition of glyceraldehyde-3-phosphate dehydrogenase (4), retention of CDP-choline (5) as a result of inhibition of CDP-choline:1,2-diacylglycerol choline phosphotransferase (6), and collapse of NAD(H) levels (5). The severe decline in NAD(H), leading to inhibition of glycolysis, may result from activation of poly(ADP-ribose) polymerase in apoptotic cells (5). Inhibition of CDP-choline:1,2-diacylglycerol choline phospotransferase leads to cessation of phosphatidylcholine biosynthesis (6), and it has been proposed that this might be one of the mechanisms explaining accumulation of 1 H NMR lipids into cells undergoing apoptosis (7,8). I...