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1.
Acta Neurochir (Wien) ; 166(1): 190, 2024 Apr 24.
Article En | MEDLINE | ID: mdl-38653934

BACKGROUND: Cerebral perfusion pressure (CPP) management in the developing child with traumatic brain injury (TBI) is challenging. The pressure reactivity index (PRx) may serve as marker of cerebral pressure autoregulation (CPA) and optimal CPP (CPPopt) may be assessed by identifying the CPP level with best (lowest) PRx. To evaluate the potential of CPPopt guided management in children with severe TBI, cerebral microdialysis (CMD) monitoring levels of lactate and the lactate/pyruvate ratio (LPR) (indicators of ischemia) were related to actual CPP levels, autoregulatory state (PRx) and deviations from CPPopt (ΔCPPopt). METHODS: Retrospective study of 21 children ≤ 17 years with severe TBI who had both ICP and CMD monitoring were included. CPP, PRx, CPPopt and ΔCPPopt where calculated, dichotomized and compared with CMD lactate and lactate-pyruvate ratio. RESULTS: Median age was 16 years (range 8-17) and median Glasgow coma scale motor score 5 (range 2-5). Both lactate (p = 0.010) and LPR (p = < 0.001) were higher when CPP ≥ 70 mmHg than when CPP < 70. When PRx ≥ 0.1 both lactate and LPR were higher than when PRx < 0.1 (p = < 0.001). LPR was lower (p = 0.012) when CPPopt ≥ 70 mmHg than when CPPopt < 70, but there were no differences in lactate levels. When ΔCPPopt > 10 both lactate (p = 0.026) and LPR (p = 0.002) were higher than when ΔCPPopt < -10. CONCLUSIONS: Increased levels of CMD lactate and LPR in children with severe TBI appears to be related to disturbed CPA (PRx). Increased lactate and LPR also seems to be associated with actual CPP levels ≥ 70 mmHg. However, higher lactate and LPR values were also seen when actual CPP was above CPPopt. Higher CPP appears harmful when CPP is above the upper limit of pressure autoregulation. The findings indicate that CPPopt guided CPP management may have potential in pediatric TBI.


Brain Injuries, Traumatic , Cerebrovascular Circulation , Homeostasis , Intracranial Pressure , Lactic Acid , Humans , Brain Injuries, Traumatic/physiopathology , Brain Injuries, Traumatic/metabolism , Child , Adolescent , Homeostasis/physiology , Female , Male , Retrospective Studies , Intracranial Pressure/physiology , Cerebrovascular Circulation/physiology , Lactic Acid/metabolism , Lactic Acid/analysis , Microdialysis/methods , Pyruvic Acid/metabolism , Pyruvic Acid/analysis , Brain/metabolism , Brain/physiopathology
2.
IEEE Trans Biomed Eng ; 70(10): 2905-2913, 2023 10.
Article En | MEDLINE | ID: mdl-37097803

OBJECTIVE: Hyperpolarized [1-13C]-pyruvate magnetic resonance imaging is an emerging metabolic imaging method that offers unprecedented spatiotemporal resolution for monitoring tumor metabolism in vivo. To establish robust imaging biomarkers of metabolism, we must characterize phenomena that may modulate the apparent pyruvate-to-lactate conversion rate (kPL). Here, we investigate the potential effect of diffusion on pyruvate-to-lactate conversion, as failure to account for diffusion in pharmacokinetic analysis may obscure true intracellular chemical conversion rates. METHODS: Changes in hyperpolarized pyruvate and lactate signal were calculated using a finite-difference time domain simulation of a two-dimensional tissue model. Signal evolution curves with intracellular kPL values from 0.02 to 1.00 s-1 were analyzed using spatially invariant one-compartment and two-compartment pharmacokinetic models. A second spatially variant simulation incorporating compartmental instantaneous mixing was fit with the same one-compartment model. RESULTS: When fitting with the one-compartment model, apparent kPL underestimated intracellular kPL by approximately 50% at an intracellular kPL of 0.02 s-1. This underestimation increased for larger kPL values. However, fitting the instantaneous mixing curves showed that diffusion accounted for only a small part of this underestimation. Fitting with the two-compartment model yielded more accurate intracellular kPL values. SIGNIFICANCE: This work suggests diffusion is not a significant rate-limiting factor in pyruvate-to-lactate conversion given that our model assumptions hold true. In higher order models, diffusion effects may be accounted for by a term characterizing metabolite transport. Pharmacokinetic models used to analyze hyperpolarized pyruvate signal evolution should focus on carefully selecting the analytical model for fitting rather than accounting for diffusion effects.


Magnetic Resonance Imaging , Pyruvic Acid , Pyruvic Acid/analysis , Pyruvic Acid/pharmacokinetics , Carbon Isotopes/pharmacokinetics , Magnetic Resonance Imaging/methods , Computer Simulation , Lactic Acid
3.
PLoS One ; 17(1): e0262705, 2022.
Article En | MEDLINE | ID: mdl-35045129

Onion (Allium cepa L) is a major reservoir of important nutraceutical ingredients. Herein, nutraceutical profiling of elite germplasm was assessed and hybrids with improved nutraceutical quality were selected. The nutraceutical components were screened through Fourier Transform Infrared Spectroscopy (FTIR) analysis (scan range 4000-400cm-1) followed by spectrophotometric/colorimetric quantification in oven dried bulb samples. Line × Tester (L×T) analysis was used to identify potential hybrids with better nutraceutical quality. Based on common functional groups obtained from FTIR analysis, as well as bulb color, the onion genotypes were categorized into six groups viz., white, yellowish brown, light brown, dark brown, brown and purplish brown. Results indicated that the purplish brown, yellowish brown and dark brown genotypes had maximum concentration of pyruvic acid, total flavonoids and total phenolic content, while vitamin C content showed weak association with color pigmentation. The onion variety 'Onion Swat' contained the highest level of pyruvic acid (17.18 µM) and 'MKS8823GO' had the highest vitamin C content (13.83mg/100mL). The L×T analysis revealed that out of 35 crosses, 'MKS-77127 × Onion Swat' and 'MKS-77127 × MKS777' were the best hybrids with improved nutraceutical quality. Further, observations for specific combining ability, general combining ability, genetic versus environmental variance, heritability and heterosis indicated that the studied parameters were genetically inherited and could be improved significantly by adopting an appropriate breeding strategy.


Dietary Supplements/analysis , Onions/metabolism , Seeds/metabolism , Antioxidants/analysis , Flavonoids/analysis , Genotype , Onions/chemistry , Onions/genetics , Phenols/analysis , Phenotype , Pigmentation , Plant Breeding/methods , Plant Roots/chemistry , Pyruvic Acid/analysis , Spectrophotometry , Spectroscopy, Fourier Transform Infrared/methods
4.
Microb Cell Fact ; 20(1): 169, 2021 Aug 26.
Article En | MEDLINE | ID: mdl-34446023

BACKGROUND: Recently it was shown that production of recombinant proteins in E. coli BL21(DE3) using pET based expression vectors leads to metabolic stress comparable to a carbon overfeeding response. Opposite to original expectations generation of energy as well as catabolic provision of precursor metabolites were excluded as limiting factors for growth and protein production. On the contrary, accumulation of ATP and precursor metabolites revealed their ample formation but insufficient withdrawal as a result of protein production mediated constraints in anabolic pathways. Thus, not limitation but excess of energy and precursor metabolites were identified as being connected to the protein production associated metabolic burden. RESULTS: Here we show that the protein production associated accumulation of energy and catabolic precursor metabolites is not unique to E. coli BL21(DE3) but also occurs in E. coli K12. Most notably, it was demonstrated that the IPTG-induced production of hFGF-2 using a tac-promoter based expression vector in the E. coli K12 strain TG1 was leading to persistent accumulation of key regulatory molecules such as ATP, fructose-1,6-bisphosphate and pyruvate. CONCLUSIONS: Excessive energy generation, respectively, accumulation of ATP during recombinant protein production is not unique to the BL21(DE3)/T7 promoter based expression system but also observed in the E. coli K12 strain TG1 using another promoter/vector combination. These findings confirm that energy is not a limiting factor for recombinant protein production. Moreover, the data also show that an accelerated glycolytic pathway flux aggravates the protein production associated "metabolic burden". Under conditions of compromised anabolic capacities cells are not able to reorganize their metabolic enzyme repertoire as required for reduced carbon processing.


Adenosine Triphosphate/analysis , Escherichia coli K12/genetics , Escherichia coli K12/metabolism , Fructose/analysis , Pyruvic Acid/analysis , Recombinant Proteins/biosynthesis , Adenosine Triphosphate/metabolism , Carbon/metabolism , Fructose/chemistry , Fructose/metabolism , Pyruvic Acid/chemistry , Pyruvic Acid/metabolism , Recombinant Proteins/genetics
5.
Sci Rep ; 11(1): 15871, 2021 08 05.
Article En | MEDLINE | ID: mdl-34354178

Bedside detection and early treatment of lasting cerebral ischemia may improve outcome after out-of-hospital cardiac arrest (OHCA). This feasibility study explores the possibilities to use microdialysis (MD) for continuous monitoring of cerebral energy metabolism by analyzing the draining cerebral venous blood. Eighteen comatose patients were continuously monitored with jugular bulb and radial artery (reference) MD following resuscitation. Median time from cardiac arrest to MD was 300 min (IQR 230-390) with median monitoring time 60 h (IQR 40-81). The lactate/pyruvate ratio in cerebral venous blood was increased during the first 20 h after OHCA, and significant differences in time-averaged mean MD metabolites between jugular venous and artery measurements, were documented (p < 0.02). In patients with unfavorable outcome (72%), cerebral venous lactate and pyruvate levels remained elevated during the study period. In conclusion, the study indicates that jugular bulb microdialysis (JBM) is feasible and safe. Biochemical signs of lasting ischemia and mitochondrial dysfunction are frequent and associated with unfavorable outcome. The technique may be used in comatose OHCA patients to monitor biochemical variables reflecting ongoing brain damage and support individualized treatment early after resuscitation.


Brain Injuries/diagnosis , Brain Ischemia/diagnosis , Out-of-Hospital Cardiac Arrest/complications , Adult , Aged , Biomarkers/blood , Brain/metabolism , Brain Injuries/blood , Brain Ischemia/blood , Cerebral Veins/metabolism , Energy Metabolism , Feasibility Studies , Female , Humans , Lactic Acid/analysis , Lactic Acid/blood , Male , Microdialysis/methods , Middle Aged , Out-of-Hospital Cardiac Arrest/blood , Oxygen/metabolism , Prospective Studies , Pyruvic Acid/analysis , Pyruvic Acid/blood
6.
Acta Neurochir (Wien) ; 163(1): 139-149, 2021 01.
Article En | MEDLINE | ID: mdl-32839865

BACKGROUND: Cerebral ischemia and neuroinflammation following aneurysmal subarachnoid hemorrhage (SAH) are major contributors to poor neurological outcome. Our study set out to investigate in an exploratory approach the interaction between NO and energy metabolism following SAH as both hypoxia and inflammation are known to affect nitric oxide (NO) metabolism and NO in turn affects mitochondria. METHODS: In seven patients under continuous multimodality neuromonitoring suffering poor-grade aneurysmal SAH, cerebral metabolism and NO levels (determined as a sum of nitrite plus nitrate) were determined in cerebral microdialysate for 14 days following SAH. In additional ex vivo experiments, rat cortex homogenate was subjected to the NO concentrations determined in SAH patients to test whether these NO concentrations impair mitochondrial function (determined by means of high-resolution respirometry). RESULTS: NO levels showed biphasic kinetics with drastically increased levels during the first 7 days (74.5 ± 29.9 µM) and significantly lower levels thereafter (47.5 ± 18.7 µM; p = 0.02). Only during the first 7 days, NO levels showed a strong negative correlation with brain tissue oxygen tension (r = - 0.78; p < 0.001) and a positive correlation with cerebral lactate (r = 0.79; p < 0.001), pyruvate (r = 0.68; p < 0.001), glutamate (r = 0.65; p < 0.001), as well as the lactate-pyruvate ratio (r = 0.48; p = 0.01), suggesting mitochondrial dysfunction. Ex vivo experiments confirmed that the increase in NO levels determined in patients during the acute phase is sufficient to impair mitochondrial function (p < 0.001). Mitochondrial respiration was inhibited irrespectively of whether glutamate (substrate of complex I) or succinate (substrate of complex II) was used as mitochondrial substrate suggesting the inhibition of mitochondrial complex IV. The latter was confirmed by direct determination of complex IV activity. CONCLUSIONS: Exploratory analysis of our data suggests that during the acute phase of SAH, NO plays a key role in the neuronal damage impairing mitochondrial function and facilitating accumulation of mitochondrial substrate; further studies are required to understand mechanisms underlying this observation.


Brain Ischemia/etiology , Energy Metabolism , Nitric Oxide/metabolism , Subarachnoid Hemorrhage/complications , Subarachnoid Hemorrhage/metabolism , Animals , Brain Ischemia/metabolism , Cerebrum/chemistry , Cerebrum/metabolism , Female , Glutamic Acid/analysis , Glutamic Acid/metabolism , Humans , Lactic Acid/analysis , Lactic Acid/metabolism , Male , Microdialysis , Middle Aged , Mitochondria/metabolism , Nitric Oxide/analysis , Pyruvic Acid/analysis , Pyruvic Acid/metabolism , Rats
7.
Transplant Proc ; 53(1): 130-135, 2021.
Article En | MEDLINE | ID: mdl-32631580

OBJECTIVES: The clinical and biochemical manifestations of acute rejection after liver transplantation are nonspecific, and a liver biopsy is often needed to verify the diagnosis. This may delay treatment. The aim of this study was to evaluate whether monitoring of intrahepatic glucose, lactate, pyruvate, and glycerol by microdialysis can be used to predict rejection early after liver transplantation. METHODS: Seventy-one patients undergoing liver transplantation were included in the study. The patients were monitored using microdialysis for up to 6 days postoperatively. Patients who developed acute rejection within 1 month were identified according to standard protocol. Area under the curve (AUC) was calculated for 12-hour intervals for glucose, lactate, pyruvate, glycerol, and lactate/pyruvate ratio. Patients with and without rejection were compared with respect to these parameters, as well as standard liver blood investigations and time-zero biopsies. RESULTS: The lactate/pyruvate ratio was higher at 0 to 12 hours in the group with rejection as compared to the group without rejection. Glucose was lower in the group with rejection at 24 to 48 hours. Also, the intrahepatic lactate levels at 48 to 72 hours and pyruvate levels at 60 to 72 hours after liver transplantation, were higher in the rejection group. The lactate/pyruvate ratio at 0 to 12 hours and lactate at 60 to 72 hours were two independent risk factors for rejection within the first month after liver transplantation. No significant differences in glycerol levels could be detected between the two patient groups. CONCLUSIONS: Microdialysis monitoring following liver transplantation may be useful in the detection of the metabolic events that precede rejection. The metabolic patterns detected by microdialysis early after transplantation indicate a possible relation between primary ischemia-reperfusion injury and the development of rejection. Identifying these patterns may help to identify patients at risk for the development of acute rejection and may help select those who may benefit from higher dose of immunosuppression early after liver transplantation.


Graft Rejection/diagnosis , Liver Transplantation , Microdialysis/methods , Adult , Child , Female , Glucose/analysis , Glucose/metabolism , Glycerol/analysis , Glycerol/metabolism , Graft Rejection/metabolism , Humans , Infant , Lactic Acid/analysis , Lactic Acid/metabolism , Liver Transplantation/methods , Male , Middle Aged , Pyruvic Acid/analysis , Pyruvic Acid/metabolism
8.
Biotechnol Appl Biochem ; 68(6): 1396-1402, 2021 Dec.
Article En | MEDLINE | ID: mdl-33099806

Cancer cells meet their energy need by predominantly increased uptake of glucose, high rate of glycolysis, and increased production of lactate even in the presence of adequate oxygen.  This process was proposed by Otto Warburg and named after him as the Warburg effect. The development of drugs that target glucose intake and aerobic glycolysis or lactic acid secretion of cancer cells is a newer approach for drug discovery. We have tested five purified plants-derived compounds such as curcumin, quercetin, ellagic acid, resveratrol, and indole-3-carbinol in HeLa cells for cytotoxicity, inhibition of metastasis, and modulation of lactate-pyruvate metabolism. Standard biochemical methods were used for glucose, lactic acid, and pyruvic acid measurement. The cell viability was determined by MTT assay. Cell migration was checked by wound healing assay. A dose-dependent cytotoxic effect and inhibition of cell migration were observed in all the tested compounds. A decrease in the lactate and increase in pyruvate level was observed in all the tested compounds except ellagic acid. Our finding suggests that tested phytocompounds are associated with the metabolic reprogramming of cancer cells and execute the cytotoxic effect. These compounds could be used for cancer prevention and therapy.


Antineoplastic Agents, Phytogenic/pharmacology , Curcumin/pharmacology , Indoles/pharmacology , Lactic Acid/antagonists & inhibitors , Pyruvic Acid/metabolism , Quercetin/pharmacology , Resveratrol/pharmacology , Antineoplastic Agents, Phytogenic/chemistry , Antineoplastic Agents, Phytogenic/isolation & purification , Cell Movement/drug effects , Cell Proliferation/drug effects , Cell Survival/drug effects , Curcumin/chemistry , Curcumin/isolation & purification , Drug Screening Assays, Antitumor , HeLa Cells , Humans , Indoles/chemistry , Indoles/isolation & purification , Lactic Acid/analysis , Lactic Acid/metabolism , Pyruvic Acid/analysis , Quercetin/chemistry , Quercetin/isolation & purification , Resveratrol/chemistry , Resveratrol/isolation & purification , Tumor Cells, Cultured
9.
Proc Natl Acad Sci U S A ; 117(36): 22378-22389, 2020 09 08.
Article En | MEDLINE | ID: mdl-32839325

Hyperpolarized [1-13C]pyruvate magnetic resonance spectroscopic imaging (MRSI) is a noninvasive metabolic-imaging modality that probes carbon flux in tissues and infers the state of metabolic reprograming in tumors. Prevailing models attribute elevated hyperpolarized [1-13C]pyruvate-to-[1-13C]lactate conversion rates in aggressive tumors to enhanced glycolytic flux and lactate dehydrogenase A (LDHA) activity (Warburg effect). By contrast, we find by cross-sectional analysis using genetic and pharmacological tools in mechanistic studies applied to well-defined genetically engineered cell lines and tumors that initial hyperpolarized [1-13C]pyruvate-to-[1-13C]lactate conversion rates as well as global conversion were highly dependent on and critically rate-limited by the transmembrane influx of [1-13C]pyruvate mediated predominately by monocarboxylate transporter-1 (MCT1). Specifically, in a cell-encapsulated alginate bead model, induced short hairpin (shRNA) knockdown or overexpression of MCT1 quantitatively inhibited or enhanced, respectively, unidirectional pyruvate influxes and [1-13C]pyruvate-to-[1-13C]lactate conversion rates, independent of glycolysis or LDHA activity. Similarly, in tumor models in vivo, hyperpolarized [1-13C]pyruvate-to-[1-13C]lactate conversion was highly dependent on and critically rate-limited by the induced transmembrane influx of [1-13C]pyruvate mediated by MCT1. Thus, hyperpolarized [1-13C]pyruvate MRSI measures primarily MCT1-mediated [1-13C]pyruvate transmembrane influx in vivo, not glycolytic flux or LDHA activity, driving a reinterpretation of this maturing new technology during clinical translation. Indeed, Kaplan-Meier survival analysis for patients with pancreatic, renal, lung, and cervical cancers showed that high-level expression of MCT1 correlated with poor overall survival, and only in selected tumors, coincident with LDHA expression. Thus, hyperpolarized [1-13C]pyruvate MRSI provides a noninvasive functional assessment primarily of MCT1 as a clinical biomarker in relevant patient populations.


Carbon Isotopes/metabolism , Cell Membrane/metabolism , Lactic Acid/metabolism , Monocarboxylic Acid Transporters/metabolism , Pyruvic Acid/metabolism , Symporters/metabolism , Animals , Carbon Isotopes/analysis , Carbon Isotopes/chemistry , Cell Line, Tumor , Cell Membrane/chemistry , Female , Humans , Lactic Acid/analysis , Lactic Acid/chemistry , Magnetic Resonance Imaging , Mice , Mice, Inbred C57BL , Mice, Nude , Pyruvic Acid/analysis , Pyruvic Acid/chemistry
10.
Anal Chem ; 92(18): 12467-12472, 2020 09 15.
Article En | MEDLINE | ID: mdl-32830947

A buffer placed in brief contact in the skin was assayed by 1H NMR spectroscopy. We found that this passive extraction of the skin surface yields abundant metabolites. Metabolites of the skin surface originate from a variety of sources, including the sweat gland, which produces lactate from the glucose received from its capillary bed. Little is known about how metabolites resident on and within the skin surface respond to a metabolic or hemodynamic perturbation. As a possible application of epidermal metabolite profiling, we asked whether metabolites extracted from the skin surface are indicative of heart failure. The levels of lactate and other molecules were significantly lower in patients in heart failure than in individuals who reported healthy heart function, possibly due to reduced blood flow to the sweat gland resulting in a lack of tissue perfusion. Most amino acids were unchanged in levels, except for glycine and serine that increased as a percentage of all amino acids. These results have the potential in the long term to help decide the extent to which a patient has heart failure for which objective measures are lacking. Moreover, the results suggest that epidermal metabolite profiling may be useful for other assessments of human health.


Amino Acids/metabolism , Epidermis/metabolism , Lactic Acid/metabolism , Polymers/metabolism , Proteins/metabolism , Pyruvic Acid/metabolism , Amino Acids/analysis , Epidermis/chemistry , Humans , Lactic Acid/analysis , Lipids/analysis , Magnetic Resonance Spectroscopy , Polymers/analysis , Proteins/analysis , Pyruvic Acid/analysis
12.
Braz J Microbiol ; 51(3): 1247-1257, 2020 Sep.
Article En | MEDLINE | ID: mdl-31898248

There are different studies that aim to enhance the production of nisin by Lactococcus lactis since its chemical synthesis is not possible. In this study, glutathione (GSH) and pyruvate, which are known to reduce the oxidative stress of cells, have been shown to trigger the production of nisin at both transcriptional and translational levels in L. lactis cells grown under aerobic condition. Presence of GSH and pyruvate caused more nisin yield than the heme-supplemented medium. Moreover, the expression of genes that encode stress-related enzymes were apparently upregulated in the presence of GSH and pyruvate. It can be concluded that GSH and pyruvate contribute to the defense system of L. lactis cells and so that higher biomass was obtained which in turn enhance nisin production. Antioxidant effect of GSH and pyruvate was known; however, their stimulating effect on nisin production was shown for the first time in this study.


Anti-Bacterial Agents/biosynthesis , Glutathione/metabolism , Heme/metabolism , Lactococcus lactis/metabolism , Nisin/biosynthesis , Pyruvic Acid/metabolism , Bacterial Proteins/genetics , Bacterial Proteins/metabolism , Biomass , Culture Media/analysis , Culture Media/metabolism , Glutathione/analysis , Heme/analysis , Lactococcus lactis/genetics , Lactococcus lactis/growth & development , Pyruvic Acid/analysis
13.
Neurocrit Care ; 32(1): 135-144, 2020 02.
Article En | MEDLINE | ID: mdl-31037640

BACKGROUND: There is no uniform definition for cerebral microdialysis (CMD) probe location with respect to focal brain lesions, and the impact of CMD-probe location on measured molecule concentrations is unclear. METHODS: We retrospectively analyzed data of 51 consecutive subarachnoid hemorrhage patients with CMD-monitoring between 2010 and 2016 included in a prospective observational cohort study. Microdialysis probe location was assessed on all brain computed tomography (CT) scans performed during CMD-monitoring and defined as perilesional in the presence of a focal hypodense or hyperdense lesion within a 1-cm radius of the gold tip of the CMD-probe, or otherwise as normal-appearing brain tissue. RESULTS: Probe location was detected in normal-appearing brain tissue on 53/143 (37%) and in perilesional location on 90/143 (63%) CT scans. In the perilesional area, CMD-glucose levels were lower (p = 0.003), whereas CMD-lactate (p = 0.002), CMD-lactate-to-pyruvate-ratio (LPR; p < 0.001), CMD-glutamate (p = 0.002), and CMD-glycerol levels (p < 0.001) were higher. Neuroglucopenia (CMD-glucose < 0.7 mmol/l, p = 0.002), metabolic distress (p = 0.002), and mitochondrial dysfunction (p = 0.005) were more common in perilesional compared to normal-appearing brain tissue. Development of new lesions in the proximity of the CMD-probe (n = 13) was associated with a decrease in CMD-glucose levels, evidence of neuroglucopenia, metabolic distress, as well as increasing CMD-glutamate and CMD-glycerol levels. Neuroglucopenia was associated with poor outcome independent of probe location, whereas elevated CMD-lactate, CMD-LPR, CMD-glutamate, and CMD-glycerol levels were only predictive of poor outcome in normal-appearing brain tissue. CONCLUSIONS: Focal brain lesions significantly impact on concentrations of brain metabolites assessed by CMD. With the exception of CMD-glucose, the prognostic value of CMD-derived parameters seems to be higher when assessed in normal-appearing brain tissue. CMD was sensitive to detect the development of new focal lesions in vicinity to the neuromonitoring probe. Probe location should be described in the research reporting brain metabolic changes measured by CMD and integrated in statistical models.


Brain/metabolism , Microdialysis/methods , Subarachnoid Hemorrhage/metabolism , Aged , Aneurysm, Ruptured/complications , Aneurysm, Ruptured/therapy , Brain/diagnostic imaging , Brain Edema/etiology , Brain Ischemia/diagnostic imaging , Brain Ischemia/etiology , Brain Ischemia/metabolism , Cohort Studies , Female , Glucose/analysis , Glucose/metabolism , Glutamic Acid/analysis , Glutamic Acid/metabolism , Glycerol/analysis , Glycerol/metabolism , Humans , Hydrocephalus/etiology , Hydrocephalus/surgery , Intracranial Aneurysm/complications , Intracranial Aneurysm/therapy , Lactic Acid/analysis , Lactic Acid/metabolism , Male , Microdialysis/instrumentation , Middle Aged , Mitochondria/metabolism , Monitoring, Physiologic , Prospective Studies , Pyruvic Acid/analysis , Pyruvic Acid/metabolism , Retrospective Studies , Stress, Physiological , Subarachnoid Hemorrhage/complications , Subarachnoid Hemorrhage/therapy
14.
IEEE Trans Med Imaging ; 39(2): 320-327, 2020 02.
Article En | MEDLINE | ID: mdl-31283497

Kinetic modeling of the in vivo pyruvate-to-lactate conversion is crucial to investigating aberrant cancer metabolism that demonstrates Warburg effect modifications. Non-invasive detection of alterations to metabolic flux might offer prognostic value and improve the monitoring of response to treatment. In this clinical research project, hyperpolarized [1-13C] pyruvate was intravenously injected in a total of 10 brain tumor patients to measure its rate of conversion to lactate ( kPL ) and bicarbonate ( kPB ) via echo-planar imaging. Our aim was to investigate new methods to provide kPL and kPB maps with whole-brain coverage. The approach was data-driven and addressed two main issues: selecting the optimal model for fitting our data and determining an appropriate goodness-of-fit metric. The statistical analysis suggested that an input-less model had the best agreement with the data. It was also found that selecting voxels based on post-fitting error criteria provided improved precision and wider spatial coverage compared to using signal-to-noise cutoffs alone.


Brain Neoplasms , Brain , Echo-Planar Imaging/methods , Pyruvic Acid , Brain/diagnostic imaging , Brain/metabolism , Brain Neoplasms/diagnostic imaging , Brain Neoplasms/metabolism , Carbon Isotopes/analysis , Carbon Isotopes/pharmacokinetics , Humans , Image Interpretation, Computer-Assisted , Kinetics , Lactic Acid/analysis , Lactic Acid/metabolism , Pyruvic Acid/analysis , Pyruvic Acid/pharmacokinetics
15.
Anal Bioanal Chem ; 412(3): 657-667, 2020 Jan.
Article En | MEDLINE | ID: mdl-31828373

Pyruvic acid (PA) has been demonstrated to be an important cancer biomarker. Herein, carbon/carbon nanotube paste electrode was modified with the newly synthesized PA-imprinted polymer (MIP) and used as an enzyme-free sensor for PA assay. Methacrylic acid and ethylene glycol dimethacrylate were copolymerized in the presence of PA to prepare PA-IP. The MIP was characterized by scanning electron microscopy and Fourier transform infrared spectroscopy. To analyze PA by the MIP/CNT-CP electrode, the electrode was incubated in the PA solution for a constant time and then, the anodic differential pulse voltammetry signal was recorded. Both extraction and electrochemical determination solutions were the same, making the procedure simple and fast. Presence of the CNT in the MIP electrode led to a great enhancement in the PA signal. The MIP material not only pre-concentrated PA at the electrode surface but also increased the electron-exchange rate. This was confirmed by electrochemical impedance spectroscopy. The effects of electrode composition, extraction condition, and voltammetry parameters on the sensing efficiency were optimized. Dynamic linear range, detection limit, and RSD of the sensor were estimated to be 0.1-200 µM, 0.048 µM (S/N), and 3.6% (n = 3), respectively. The utility of the method was confirmed by appropriate analysis results obtained for the determination of PA in the plasma and urine samples. Graphical Abstract.


Biomarkers, Tumor/analysis , Molecular Imprinting/methods , Neoplasms/chemistry , Polymers/chemistry , Pyruvic Acid/analysis , Electrodes , Humans , Limit of Detection , Reproducibility of Results
16.
Electrophoresis ; 41(3-4): 175-182, 2020 02.
Article En | MEDLINE | ID: mdl-31743461

We report the first application of hydrophobic interaction between graphene oxide (GO) and negatively charged enzymes to fabricate CE-integrated immobilized enzyme microreactors (IMERs) by a simple and reliable immobilization procedure based on layer by layer assembly. L-lactate dehydrogenase (L-LDH), which is negatively charged during the enzymatic reaction, is selected as the model enzyme. Various spectroscopic techniques, including SEM, FTIR, and UV-vis are used to characterize the fabricated CE-IMERs, demonstrating the successful immobilization of enzymes on the negatively charged GO layer in the capillary surface. The IMER exhibits excellent repeatability with RSDs of inter-day and batch-to-batch less than 3.49 and 6.37%, respectively, and the activity of immobilized enzymes remains about 90% after five-day usage. The measured Km values of pyruvate and NADH of the immobilized L-LDH are in good agreement with those obtained by free enzymes. The results demonstrate that the hydrophobic interactions and/or π-π stacking is significant between the GO backbone and the aromatic residues of L-LDH and favorable to fabrication of CE-integrated IMERs. Finally, the method is successfully applied to the determination of pyruvate in beer samples.


Electrophoresis, Capillary/methods , Enzyme Assays/methods , Enzymes, Immobilized , L-Lactate Dehydrogenase , Beer/analysis , Biosensing Techniques , Enzymes, Immobilized/chemistry , Enzymes, Immobilized/metabolism , Graphite/chemistry , Hydrophobic and Hydrophilic Interactions , L-Lactate Dehydrogenase/chemistry , L-Lactate Dehydrogenase/metabolism , Limit of Detection , Linear Models , Pyruvic Acid/analysis , Reproducibility of Results
17.
Sci Rep ; 9(1): 19945, 2019 12 27.
Article En | MEDLINE | ID: mdl-31882718

Regulation of the energetic metabolism occurs fundamentally at the cellular level, so analytical strategies must aim to attain single cell resolution to fully embrace its inherent complexity. We have developed methods to utilize a toolset of metabolic FRET sensors for assessing lactate, pyruvate and 2-oxoglutarate levels of Drosophila tissues in vivo by imaging techniques. We show here how the energetic metabolism is altered by hypoxia: While some larval tissues respond to low oxygen levels by executing a metabolic switch towards lactic fermentation, the fat body and salivary glands do not alter their energetic metabolism. Analysis of tumor metabolism revealed that depending on the genetic background, some tumors undergo a lactogenic switch typical of the Warburg effect, while other tumors do not. This toolset allows for developmental and physiologic studies in genetically manipulated Drosophila individuals in vivo.


Drosophila melanogaster/metabolism , Fluorescence Resonance Energy Transfer/methods , Image Processing, Computer-Assisted/methods , Animals , Cell Line, Tumor , Cell Proliferation , Cell Transformation, Neoplastic , Drosophila melanogaster/genetics , Energy Metabolism/genetics , Glycolysis/physiology , Hypoxia/metabolism , Ketoglutaric Acids/analysis , Lactic Acid/analysis , Oxygen/metabolism , Pyruvic Acid/analysis
18.
J Vis Exp ; (151)2019 09 13.
Article En | MEDLINE | ID: mdl-31566618

The fundamental limit to in vivo imaging applications of hyperpolarized 13C-enriched compounds is their finite spin-lattice relaxation times. Various factors affect the relaxation rates, such as buffer composition, solution pH, temperature, and magnetic field. In this last regard, the spin-lattice relaxation time can be measured at clinical field strengths, but at lower fields, where these compounds are dispensed from the polarizer and transported to the MRI, the relaxation is even faster and difficult to measure. To have a better understanding of the amount of magnetization lost during transport, we used fast field-cycling relaxometry, with magnetic resonance detection of 13C nuclei at ~0.75 T, to measure the nuclear magnetic resonance dispersion of the spin-lattice relaxation time of hyperpolarized [1-13C]pyruvate. Dissolution dynamic nuclear polarization was used to produce hyperpolarized samples of pyruvate at a concentration of 80 mmol/L and physiological pH (~7.8). These solutions were rapidly transferred to a fast field-cycling relaxometer so that relaxation of the sample magnetization could be measured as a function of time using a calibrated small flip angle (3°-5°). To map the T1 dispersion of the C-1 of pyruvate, we recorded data for different relaxation fields ranging between 0.237 mT and 0.705 T. With this information, we determined an empirical equation to estimate the spin-lattice relaxation of the hyperpolarized substrate within the mentioned range of magnetic fields. These results can be used to predict the amount of magnetization lost during transport and to improve experimental designs to minimize signal loss.


Carbon Isotopes , Magnetic Fields , Magnetic Resonance Spectroscopy/methods , Pyruvic Acid/analysis , Buffers , Calibration , Hydrogen-Ion Concentration , Magnetics , Signal Processing, Computer-Assisted , Software , Temperature
19.
J Vis Exp ; (150)2019 08 17.
Article En | MEDLINE | ID: mdl-31475972

ATPase enzymes utilize the free energy stored in adenosine triphosphate to catalyze a wide variety of endergonic biochemical processes in vivo that would not occur spontaneously. These proteins are crucial for essentially all aspects of cellular life, including metabolism, cell division, responses to environmental changes and movement. The protocol presented here describes a nicotinamide adenine dinucleotide (NADH)-coupled ATPase assay that has been adapted to semi-high throughput screening of small molecule ATPase inhibitors. The assay has been applied to cardiac and skeletal muscle myosin II's, two actin-based molecular motor ATPases, as a proof of principle. The hydrolysis of ATP is coupled to the oxidation of NADH by enzymatic reactions in the assay. First, the ADP generated by the ATPase is regenerated to ATP by pyruvate kinase (PK). PK catalyzes the transition of phosphoenolpyruvate (PEP) to pyruvate in parallel. Subsequently, pyruvate is reduced to lactate by lactate dehydrogenase (LDH), which catalyzes the oxidation of NADH in parallel. Thus, the decrease in ATP concentration is directly correlated to the decrease in NADH concentration, which is followed by change to the intrinsic fluorescence of NADH. As long as PEP is available in the reaction system, the ADP concentration remains very low, avoiding inhibition of the ATPase enzyme by its own product. Moreover, the ATP concentration remains nearly constant, yielding linear time courses. The fluorescence is monitored continuously, which allows for easy estimation of the quality of data and helps to filter out potential artifacts (e.g., arising from compound precipitation or thermal changes).


Adenosine Triphosphatases/antagonists & inhibitors , Adenosine Triphosphatases/metabolism , Enzyme Inhibitors/pharmacology , High-Throughput Screening Assays/methods , NAD/metabolism , Adenosine Triphosphate/metabolism , Animals , Hydrolysis , Lactic Acid/analysis , Lactic Acid/metabolism , Myosin Type II/antagonists & inhibitors , Myosin Type II/metabolism , NAD/analysis , Oxidation-Reduction , Pyruvic Acid/analysis , Pyruvic Acid/metabolism
20.
Bol. latinoam. Caribe plantas med. aromát ; 18(5): 504-517, sept. 2019. ilus, tab, graf
Article En | LILACS | ID: biblio-1008288

Nowdays it is established that ischemic brain damage like ischemic stroke is one of the leading cause of death and disability in the population that assumes relevance development of anti-ischemic drugs. The work studied the anti-hypoxic and anti-ischemic effect of 7 plant extracts. Antihypoxic activity was assessed on models of hypobaric, hypercapnic, histotoxic, hematotoxic hypoxia. Anti-ischemic activity of test-extracts was studied on the focal cerebral ischemia model. Administration of Tagetes patula, Gaillardia pulchella, Sorbaria sorbifolia, Grossularia reclinata, Ribes nigrum, Rubus caesius and Lysimachia punctata extracts contributed to the necrosis zone reduction by 56.6% (p<0.05); 37.3% (p<0.05); 73.2% (p<0.05); 49.4% (p<0.05); 42.5% (p<0.05); 85.5% (p<0.05); 44.2% (p<0.05) and also restored aerobic metabolism in brain tissue. Test - objects increased of the animal lifespan under hypoxia conditions. Based on the data obtained, it is assumed that further studies of North Caucasus flora plant extracts as cerebro-protective agents are promising.


Hoy en día, se ha establecido que el daño cerebral isquémico, como el accidente cerebrovascular isquémico, es una de las principales causas de muerte y discapacidad en la población lo cual hace relevante el desarrollo fármacos antiisquémicos. En este trabajo se estudió el efecto antihipóxico y antiisquémico de siete extractos de plantas. La actividad antihipóxica se evaluó en modelos de hipoxia hipocrática, hipercápnica, histotóxica y hematotóxica. La actividad antiisquémica de los extractos de prueba se estudió en el modelo de isquemia cerebral focal. La administración de los extractos de Tagetes patula; Gaillardia pulchella; Sorbaria sorbifolia; Grossularia reclinata; Ribes nigrum; Rubus caesius y Lysimachia punctata contribuyeron a la reducción de la zona de necrosis en un 56,6% (p<0,05); 37,3% (p<0,05); 73,2% (p<0,05); 49,4% (p<0,05); 42,5% (p<0,05); 85,5% (p<0,05); 44.2% (p<0.05), respectivamente, además, de restaurar el metabolismo aeróbico en el tejido cerebral. Comparado con el control, se observó un aumento en el tiempo de sobrevida del animal en condiciones de hipoxia. Sobre la base de los interesantes datos obtenidos, se sugiere estudios adicionales de extractos de plantas de la flora del Cáucaso Norte como agentes protectores del cerebro.


Animals , Male , Mice , Rats , Plant Extracts/therapeutic use , Brain Ischemia/drug therapy , Hypoxia/drug therapy , Enzyme-Linked Immunosorbent Assay , Adenosine Triphosphate/analysis , Rats, Wistar , Lactic Acid/analysis , Pyruvic Acid/analysis , Mice, Inbred BALB C
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