Bliemsrieder, E.* ; Kaissis, G.* ; Grashei, M.* ; Topping, G.* ; Altomonte, J.* ; Hundshammer, C.* ; Lohöfer, F.* ; Heid, I.* ; Keim, D.* ; Gebrekidan, S.* ; Trajkovic-Arsic, M.* ; Winkelkotte, A.M.* ; Steiger, K.* ; Nawroth, R.* ; Siveke, J.* ; Schwaiger, M.* ; Makowski, M.* ; Schilling, F.* ; Braren, R.*
    
    
        
Hyperpolarized 13C pyruvate magnetic resonance spectroscopy for in vivo metabolic phenotyping of rat HCC.
    
    
        
    
    
        
        Sci. Rep. 11:1191 (2021)
    
    
    
      
      
	
	    The in vivo assessment of tissue metabolism represents a novel strategy for the evaluation of oncologic disease. Hepatocellular carcinoma (HCC) is a high-prevalence, high-mortality tumor entity often discovered at a late stage. Recent evidence indicates that survival differences depend on metabolic alterations in tumor tissue, with particular focus on glucose metabolism and lactate production. Here, we present an in vivo imaging technique for metabolic tumor phenotyping in rat models of HCC. Endogenous HCC was induced in Wistar rats by oral diethyl-nitrosamine administration. Peak lactate-to-alanine signal ratios (L/A) were assessed with hyperpolarized magnetic resonance spectroscopic imaging (HPMRSI) after [1-13C]pyruvate injection. Cell lines were derived from a subset of primary tumors, re-implanted in nude rats, and assessed in vivo with dynamic hyperpolarized magnetic resonance spectroscopy (HPMRS) after [1-13C]pyruvate injection and kinetic modelling of pyruvate metabolism, taking into account systemic lactate production and recirculation. For ex vivo validation, enzyme activity and metabolite concentrations were spectroscopically quantified in cell and tumor tissue extracts. Mean peak L/A was higher in endogenous HCC compared to non-tumorous tissue. Dynamic HPMRS revealed higher pyruvate-to-lactate conversion rates (kpl) and lactate signal in subcutaneous tumors derived from high L/A tumor cells, consistent with ex vivo measurements of higher lactate dehydrogenase (LDH) levels in these cells. In conclusion, HPMRS and HPMRSI reveal distinct tumor phenotypes corresponding to differences in glycolytic metabolism in HCC tumor tissue.
	
	
	    
	
       
      
	
	    
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        Article: Journal article
    
 
    
        Document type
        Scientific Article
    
 
    
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        english
    
 
    
        Publication Year
        2021
    
 
    
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        HGF-reported in Year
        2021
    
 
    
    
        ISSN (print) / ISBN
        2045-2322
    
 
    
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        2045-2322
    
 
    
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	    Volume: 11,  
	    Issue: 1,  
	    Pages: ,  
	    Article Number: 1191 
	    Supplement: ,  
	
    
 
    
        
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            Nature Publishing Group
        
 
        
            Publishing Place
            London
        
 
	
        
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        Reviewing status
        Peer reviewed
    
 
     
    
        POF-Topic(s)
        30205 - Bioengineering and Digital Health
    
 
    
        Research field(s)
        Enabling and Novel Technologies
    
 
    
        PSP Element(s)
        G-530014-001
    
 
    
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        Erfassungsdatum
        2022-09-13