广泛性焦虑大鼠前额叶皮质和海马磁共振波谱的研究

以广泛性焦虑大鼠为研究载体,探讨其前额叶皮质和海马组织质子磁共振波谱(1H-MRS)的变化及意义.大鼠分为正常组和模型组各8只,采用慢性情绪应激的方法建立广泛性焦虑大鼠模型,以国际公认的高架十字迷宫试验对其进行评价,在活体状态下,通过pharmascan70/16超导磁共振仪(7.0T)检测双侧海马及前额叶皮质N-乙酰天门冬氨酸(NAA)、胆碱(Cho)、谷氨酸(Glu)、肌酸(Cr)等代谢物水平,分别计算NAA、Cho和Glu与Cr的比值,进而对脑组织代谢进行定性及定量分析.正常组与广泛性焦虑组双侧海马及左侧前额叶皮质代谢物无明显差异(P0.05),广泛性焦虑大鼠右侧前额叶皮质NAA、Cho相对浓度较正常组显著降低(P0.05),Glu相对浓度则明显升高(P0.05).慢性焦虑情绪的产生可能与右侧前额叶皮质兴奋性神经递质谷氨酸的浓度升高、神经元的损伤或数量减少及细胞内信号转导的异常有关.     

大鼠脑缺血边缘区代谢物1H-MRS的研究

目的 利用不同的局灶性脑缺血模型，评价急性缺血后磁共振质子波谱（¹H-MRS）测定缺血后边缘区脑组织代谢和生物能量变化的时空规律. 为判定急性缺血预 后，进行有效的溶栓治疗提供有价值的生物化学信息. 方法 健康Sprague-Dawly大鼠9只，雌雄不拘，随机分为两组. A组（4只），自体血栓栓塞1 h；B组（5只），线栓法栓塞1 h. 分别 于栓塞后30、40、50、60 min进行¹HMRS检查，相对含量分析兴趣区（regio ns of interest, ROIs）氮-乙酰天门冬氨酸（NAA）、胆碱（Cho）和乳酸（Lac）等代谢产物的变化. 结果 以NAA、Cho、Lac与磷酸肌酸和肌酸（PCr+Cr）的谱峰积 分面积比值为判断标准，上述各代谢产物在兴趣区内于缺血后1 h内逐渐下降. 其中缺血后60 min，Cho/ （P Cr+Cr）、NAA/（PCr+Cr）及Lac/（PCr+Cr）的比值与缺血后50 min的比值统计学有显著性 差异（P<0.05）. 结论 ¹H-MRS技术为研究急性缺血性卒中后脑细胞代谢、生化能量状态提供了一个无创性、直接性、综合性的研究工具.     

一种脑代谢研究的有效方法——高分辨率磁共振波谱分析

介绍了一种脑代谢研究的有效方法.成年大鼠脑经漏斗法液氮冷冻,制备脑组织高氯酸提取物并冷冻干燥,所得固体溶于D2O后用¹H和³¹P磁共振波谱(MRS)检测.结果表明：脑高氯酸提取物的磁共振波谱有着极好的分辨率,³¹P MRS可以分辨出ATP、ADP、磷酸肌酸(PCr)、无机磷以及多种磷酯和糖磷;¹H MRS可以分辨出乳酸(Lac)、N-乙酰天冬氨酸(NAA)、胆碱(Cho)、肌酸(Cr)、GABA、肌醇(Ino)、琥珀酸(Suc)以及多种氨基酸.各波峰积分后得到各种物质的相对含量,而这些代谢中间产物的相对含量变化可以反应脑内的代谢状况和脑受损伤情况.     

1H MRS评价长期胰岛素治疗1型糖尿病大鼠海马代谢物的变化

本研究应用质子磁共振波谱（¹H MRS）技术对链脲佐菌素（STZ）诱导的1型糖尿病（T1DM）大鼠及长期胰岛素治疗的T1DM大鼠单侧海马的代谢物进行了分析. 结果发现,与对照组大鼠及胰岛素治疗组大鼠相比,T1DM模型组大鼠空腹血糖显著升高,体重显著降低（p < 0.05）.T1DM模型组肌醇（Ins）、牛磺酸（Tau）与谷氨酸（Glu）浓度较对照组显著升高（p = 0.000、p = 0.003、p = 0.014）.胰岛素治疗组Ins与Tau浓度较T1DM模型组显著降低（p = 0.000、p = 0.010）,与对照组无差别;而Glu、谷氨酸和谷氨酰胺（Glx）浓度较对照组显著升高（p = 0.007、p = 0.042）.本文结果表明T1DM大鼠海马区代谢物Ins浓度与Tau浓度对胰岛素治疗敏感.     

电刺激诱发大鼠慢性颞叶癫痫模型的磁共振成像和波谱特征的研究

应用磁共振成像(MRI)和质子定域波谱(¹H-MRS)对强直流电刺激大鼠基树突区诱发慢性颞叶癫痫模型进行研究. MRI实验表明： 随着强直流电刺激时间的延长,在T₂加权像(T₂-MRI)中,模型大鼠的海马区腹、中侧区单侧或双侧,呈现异常高信号,扩散加权像(DWI)信号呈低信号,质子密度像无明显改变,表明T₂值和表观扩散系数(ADC) 值较大的自由水比例增大. 磁共振波谱实验发现：模型大鼠T₂-MRI中信号异常区与其对侧区的¹H-MRS相比,NAA,PCr（包括Cr）和Cho的峰面积均无显著改变,表明在慢性颞叶癫痫模型早期¹H-MRS不能检测到神经元损伤或死亡.     

西洋参-石菖蒲对糖尿病认知障碍大鼠学习记忆相关脑区的影响

本文探究了西洋参-石菖蒲（X-S）药液对糖尿病认知障碍（DACD）大鼠学习记忆相关脑区的影响．腹腔注射链脲佐菌素（STZ）诱导糖尿病大鼠模型，并将动物分为糖尿病组和X-S组，STZ注射7天后给予X-S药，每日1次，连续113天；于STZ注射80天后采用Morris水迷宫方法筛选DACD和非认知障碍（DNCD）大鼠；120天后运用磁共振成像（MRI）技术扫描大鼠全脑，利用感兴趣区（ROI）法和基于体素形态学（VBM）法对各组大鼠大脑灰质和白质进行体积和密度的分析；并通过苏木精-伊红（HE）染色观察大鼠海马神经元的形态结构．ROI分析法显示：与DACD组相比，X-S组大鼠左侧颞叶联合皮质体积减小（p<0.05）；VBM分析法显示：与DACD组相比，X-S组大鼠海马CA1、CA3区及其它脑区的体积和密度或增高或降低（p<0.005）．HE染色结果显示：与DACD组相比，X-S组大鼠海马CA1、CA3区的细胞固缩及排列紊乱减轻．结果表明X-S药液对DACD大鼠与学习记忆相关的海马及其它脑区存在双向调节，从而发挥学习记忆能力的改善作用．     

基于1H NMR的代谢组学方法研究葛根芩连汤对高果糖诱导胰岛素抵抗大鼠粪便代谢组的影响

研究表明过量高果糖摄入可诱导胰岛素抵抗（IR）.葛根芩连汤（GQD）是临床常用的治疗2型糖尿病和胰岛素抵抗的中药之一,但其对果糖诱导的胰岛素抵抗的肠道菌群影响的相关研究甚少.本文采用基于核磁共振氢谱（¹H NMR）的代谢组学方法研究了GQD对高果糖诱导的胰岛素抵抗大鼠粪便代谢组的调控作用.通过连续8周给予大鼠10%果糖水喂养,成功建立胰岛素抵抗大鼠模型,GQD治疗组在果糖水喂养第5周至第8周同时给予GQD（18.2g/kg/day）灌胃.结果表明：与正常对照组相比,胰岛素抵抗模型组大鼠的饮水量、饮食量、体重和IR指数明显增加,空腹血糖值在第8周明显上升.在第8周末期,GQD治疗组的IR指数较胰岛素抵抗模型组显著降低,并且代谢紊乱得到改善：与胰岛素抵抗模型组相比,GQD治疗组胰岛素抵抗中丙酸、乙酸、琥珀酸、牛磺酸和甘油水平增加;而正丁酸、丙氨酸和谷氨酸的含量降低.这一结果表明GQD能够改善胰岛素抵抗所引起的大鼠氨基酸代谢、脂肪酸氧化和肠道微生物代谢等代谢紊乱状态.     

小鼠甲醇氧化应激的电子顺磁共振的研究

建立了小鼠甲醇中毒的氧化应激模型,研究了甲醇诱导小鼠产生氧化应激状态,探讨了大黄中草药和维生素C对小鼠甲醇氧化应激的保护作用. 模型小鼠共分为5个组：空白组、对照组、甲醇应激组、大黄组、维生素C（Vc）组. 利用电子自旋捕捉技术研究了小鼠甲醇氧化应激不同模型组小鼠体内的肝、肾、脾、心、肺和脑中产生的自由基强度的变化. 结果表明： 甲醇诱发了小鼠体内自由基的产生,甲醇组和生理盐水组相比,自由基的强度明显增强（显著性差异统计指标P<0.01);而大黄和Vc对小鼠甲醇氧化应激有保护作用,大黄组、Vc 组和甲醇组相比自由基的强度则明显降低（P<0.01).     

HR-MAS NMR研究大鼠颞叶、海马和内嗅皮质的生理代谢表征

颞叶结构参与了多种中枢退行性疾病的发生和发展. 了解生理状态下大鼠的这些脑区的代谢特征可以为动物模型的病理研究提供基础数据和参考. 本文采用高分辨魔角旋转核磁共振（HR-MAS NMR）波谱技术和主成分分析（PCA）方法对S.D.大鼠双侧颞叶、海马和内嗅皮质的代谢物进行了分析,结果发现这3个脑区的代谢表征存在显著差异. 颞叶区的N-乙酰天门冬氨酸和牛磺酸的浓度最高,肌醇和肌酸的浓度最低;海马区的甘氨酸和胆碱的浓度最高;而在内嗅皮质区则是谷氨酰氨的浓度最高. 另外,还证实了HR-MAS NMR-PCA技术是研究生理和病理状态下脑组织各亚结构代谢表征的一种有效的手段.     

9.4T下TX模型小鼠脑组织的扩散张量成像研究

本文首次应用9.4 T高场磁共振扩散张量成像（diffusion tensor imaging，DTI）技术，研究了Wilson疾病模型TX（toxic milk）小鼠的脑组织微观结构改变和结构连接情况.基于感兴趣区域（region of interest，ROI）的分析发现，与对照组相比，TX模型组的各向异性比值（fractional anisotropy，FA）在海马、尾状核和苍白球显著下降；平均扩散率（mean diffusivity，MD）则呈现上升趋势，但无统计学意义.纤维束追踪法结果表明TX模型组小鼠的脑结构连接并未受到严重破坏，证明了铜累积对脑组织的损伤具有区域性.     

Proton MR spectroscopy of cerebellitis

Single voxel proton MR spectroscopy ((1)H-MRS) of the vermis was obtained in two patients with cerebellitis. In the acute phase (1)H-MRS revealed low N-acetyl-aspartate (NAA)/creatine (Cr) and NAA/choline (Cho) and normal Cho/Cr ratios. Decrease of the concentration of NAA was confirmed by quantitative analysis in one patient. The NAA/Cr and NAA/Cho ratios and NAA concentration were increased in (1)H-MRS examinations obtained 10 and 24 months after the acute episode. (1)H-MRS demonstrates reversible metabolite changes in cerebellitis.     

Serial Precision of Metabolite Peak Area Ratios and Water Referenced Metabolite Peak Areas in Proton MR Spectroscopy of the Human Brain

The precision of cerebral proton magnetic resonance spectroscopy (MRS) measurements is critical both in the clinical setting and for research purposes. Marshall et al. have recently concluded that “disappointing in vivo repeatability…is likely to limit” the ability of MRS to detect modest changes. We present here a comprehensive study of the precision of short- and long-term metabolite peak area ratios and water referenced metabolite peak areas for long echo time point resolved spectroscopy (PRESS) spectra (repetition time (TR) = 2000 ms, echo time (TE) = 136 ms) acquired from the occipital lobes of normal volunteers and a phantom using a conventional whole body 1.5 T MR system and conventional acquisition and analysis protocols. Short-term in vitro precision determined by five repeat scans on five occasions was excellent as measured by a mean coefficient of variation (NAA/Cho = 1.3%, NAA/Cr + PCr = 1.0%, Cho/Cr + PCr = 1.6%, NAA/H₂O = 0.5%, Cho/H₂O = 1.2%, Cr + PCr/H₂O = 0.8%). Long term in vitro precision using 100 spectra acquired over 2 years was also very good (NAA/Cho = 2.7%, NAA/Cr + PCr = 1.4%, Cho/Cr + PCr = 2.2%, NAA/H₂O = 1.5%, Cho/H₂O = 2.4%, Cr + PCr/H₂O = 1.5%). Short-term in vivo precision determined by five repeat scans in a single scanning session on eight subjects was also excellent (NAA/Cho = 5.2%, NAA/Cr + PCr = 3.0%, Cho/Cr + PCr = 6.6%, NAA/H₂O = 1.4%, Cho/H₂O = 4.9%, Cr + PCr/H₂O = 2.7%) and only worsened slightly for long-term in vivo precision determined by five repeat scans on eight subjects over 3 months (NAA/Cho = 5.2%, NAA/Cr + PCr = 4.8%, Cho/Cr + PCr = 7.7%, NAA/H₂O = 2.5%, Cho/H₂O = 6.4%, Cr + PCr/H₂O = 3.8%). We attribute the excellent precision reported here to the use of highly automated techniques for voxel shimming, water suppression and peak area measurements. These results allow us to repudiate Marshall’s assertion regarding disappointing repeatability of in vivo MRS.     

Spectroscopic imaging of radiation-induced effects in the white matter of glioma patients

External radiation therapy of brain tumors may cause adverse effects on normal brain tissue, resulting in severe neuropsychological and cognitive impairment. We investigated the late delayed radiation effects in the white matter (WM) using (1)H magnetic resonance spectroscopic imaging ((1)HMRSI). Nine glioma patients with local radiation-induced signal abnormalities in the T(2)-weighted MR images were studied with nine age- and sex-matched controls. The metabolite ratios in the radiation-induced hyper intensity area (RIHA) and in the normal appearing white matter (NAWM) of the patients were compared with respective WM areas of the controls. In RIHA, choline/creatine (Cho/Cr) was 17% decreased (1.22 +/- 0.13 vs 1.47 +/- 0.16, p = 0.0027, significant (s), unpaired Student's t test with Bonferroni correction) in the patients compared to the controls, while there was no difference in N-acetyl aspartate/Cr (NAA/Cr) (2.49 +/- 0.57 vs 2.98 +/- 0.32, p = 0.039) or NAA/Cho (2. 03 +/- 0.40 vs 2.04 +/- 0.17, p = 0.95). In NAWM, Cho/Cr was 24% decreased (1.21 +/- 0.15 vs 1.59 +/- 0.13, p < 0.0001, s) and NAA/Cho was 20% increased (2.49 +/- 0.49 vs 1.98 +/- 0.15, p = 0. 0082, s) in the patients compared to the controls, while there was no difference in NAA/Cr (2.99 +/- 0.46 vs 3.16 +/- 0.32, p = 0.38). NAA(RIHA)/NAA(NAWM) was 25% decreased (0.75 +/- 0.20 vs 1.00 +/- 0. 12, p = 0.0043, s) and Cr(RIHA)/Cr(NAWM) was 16% decreased (0.89 +/- 0.15 vs 1.06 +/- 0.10, p = 0.013, s) in the patients compared to the controls, while there was no difference in Cho(RIHA)/Cho(NAWM) (0.92 +/- 0.23 vs 0.98 +/- 0.10, p = 0.47). (1)HMRSI reveals widespread chemical changes in the WM after radiation therapy. In RIHA, there is loss of NAA, Cho, and Cr implying axonal and membrane damage and in NAWM, there is loss of Cho, reflecting membrane damage.     

Experimental hypoxic–ischemic encephalopathy: comparison of apparent diffusion coefficients and proton magnetic resonance spectroscopy

This study aims to compare the apparent diffusion coefficients (ADCs) and proton magnetic resonance spectroscopy (¹H-MRS) in the first 24 h of acute hypoxic-ischemic brain damage (HIBD) in piglets. Twenty-five 7-day-old piglets were subjected to transient bilateral common carotid artery occlusion followed by ventilation with 4% oxygen for 1 h. Diffusion-weighted imaging (DWI) and ¹H-MRS were performed on cessation of the insult or at 3, 6, 12 or 24 h after resuscitation (all n=5). ADCs, N-acetylaspartate/choline (NAA/Cho), NAA/creatine (NAA/Cr), lactate/NAA (Lac/NAA), Lac/Cho and Lac/Cr were calculated. Cerebral injury was evaluated by pathological study and Hsp70 immunohistochemical analysis. On cessation of the insult, ADCs, NAA/Cho and NAA/Cr reduced, Lac/NAA, Lac/Cho and Lac/Cr increased. From 3 to 12 h after resuscitation, ADCs, Lac/NAA, Lac/Cho and Lac/Cr recovered, NAA/Cho and NAA/Cr reduced. Twenty-four hours after resuscitation, ADCs reduced once more, Lac/NAA, Lac/Cho and Lac/Cr increased again, whereas NAA/Cho and NAA/Cr decreased continuously. Pathological study revealed mild cerebral edema on cessation of the insult and more and more severe cerebral injury after resuscitation. No Hsp70-positive cells were detected on cessation of the insult. From 3 to 12 hours after resuscitation, Hsp70-positive cells gradually increased. Twenty-four hours after resuscitation, Hsp70-positive cells decreased. Throughout the experiment, changes in NAA/Cho and pathology had the best correlation (R=–0.729). In conclusion, NAA/Cho is the most precise ratio to reflect the pathological changes of early HIBD. Transient ADCs and Lac ratios recovery do not predict the reversal of histological damage of early HIBD. Reducing astrocytic swelling is of great clinical significance.     

Proton MR spectroscopy features of normal appearing white matter in neurofibromatosis type 1

To determine whether differences exist between neurofibromatosis type 1 (NF1) patients with or without focal lesions and healthy normal volunteers in the metabolite ratios of normal appearing white matter, 27 patients with NF1 (with parenchymal lesion, MR positive, n: 17; without parenchymal lesions, MR negative, n: 10) and 20 healthy volunteers underwent MRI and short TE (31 ms) proton MR spectroscopy (MRS). In 17 patients with parenchymal lesions, 61 focal lesions were detected by MRI. MRS was performed from normal appearing frontal and posterior parietal white matter (FWM and PWM) in NF1 and from control groups. NAA/Cr, Cho/Cr and MI/Cr ratios were calculated. Significant increase in Cho/Cr and MI/Cr ratios were found in FWM and PWM in MR negative and positive groups when compared to control group. NAA/Cr ratio in MR positive group was significantly decreased in FWM compared to control group. There were no significant differences between FWM and PWM in all metabolite ratios of MR negative group. MI/Cr ratio in MR positive group was significantly elevated in PWM compared to FWM. Metabolite changes detected by MRS could indicate demyelination and gliosis in normal appearing white matter in all NF1 patients, and additionally neuroaxonal damage in the FWM of NF1 patients with focal lesions. For that reason, in the clinical evaluation and follow-up of these patients MRS features of normal appearing white matter should be considered in addition to focal lesions.     

Magnetic resonance spectroscopy study of proton metabolite level changes in sensorimotor cortex after upper limb replantation-revascularization

We aimed to investigate the changes in proton metabolite levels at the motor and somatosensory cortex by magnetic resonance spectroscopy (MRS) after upper extremity replantation or revascularization. Nine patients who referred to our clinic suffering from major total (two) and subtotal (seven) amputation of the upper extremity were enrolled in this study. Mean time value between the injury and operation was 5.1 h. Mean follow-up period or mean time between the injury and MRS analysis was 26.2 months (ranging from 7 to 41 months). Voxels (TR: 2000; TE: 136 ms) were placed onto locations in the bilateral precentral and postcentral cortex area of the cerebral hemispheres that represent the upper extremity. Contralateral sides of the brain hemisphere that represent the injured extremity were accounted as control groups. Metabolite ratios [NAA (N-acetyl aspartate)/Cr (creatine) and Cho (choline)/Cr] of the motor and somatosensory cortex were calculated. The NAA/Cr and Cho/Cr metabolite ratios between the two groups were found to be insignificant, and these results may indicate that there is no remarkable somatosensorial cortex disruption or demyelination in these patients. Fifty-six percent of patients were found as functional according to Chen's scale.     

A chemical shift imaging study on regional metabolite distribution in a CADASIL family

A chemical shift imaging (CSI) study was performed to directly assess relative concentrations of N-acetylaspartate (NAA), Cho and Cr metabolites in normal- and abnormal-appearing brain tissue of asymptomatic and symptomatic members of a single family with a neuropathologic, genetic and electrophysiological confirmed diagnosis of cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy. The aim of the investigation was to evaluate clinical findings and metabolite abnormalities as early appearance of axonal injury in this syndrome. The main findings related statistically significant decreases in the mean metabolite ratios for NAA/Cr, NAA/Cho and Cho/Cr in the anterior parts in comparison with the posterior parts of the centrum semiovale in symptomatic and asymptomatic patients. The effect was considerably greater in the symptomatic patients, indicating a strong correlation between CSI and pathology results. No differences were found between the two areas in the control group. Although lactate signals were hardly detectable in individual spectra, there was a trend toward increased Lac/Cr values in the anterior parts with respect to the posterior parts in the patient group, with the effect particularly evident in the asymptomatic subjects with the gene mutation.     

Magnetic resonance spectroscopy of the brain in neurologically asymptomatic HIV-infected patients

The CNS involvement is frequently found in human immunodeficiency virus (HIV) infection. The purpose of our study was to determine whether proton magnetic resonance spectroscopy (MRS) could detect early brain involvement in neurologically asymptomatic HIV-infected patients with normal MR imagings and to find the correlation between MRS and the immune status. We performed MRS in 30 HIV seropositive neurologically asymptomatic patients with normal MRI and compared the MRS findings with 13 controls. A statistically significant reduction in N-acetylaspartate (NAA)/creatine (Cr) and N-acetylaspartate (NAA)/choline (Cho) in both centrum semiovale (p < 0.005) and thalamic areas (p < 0.05) was found. There is no statistically significant difference as to choline (Cho)/creatine (Cr) and myoinositol (mI)/creatine (Cr) ratios in both regions. The difference of NAA/Cr was more pronounced in the white matter than in the gray matter. As for the immune status, there was a trend towards correlation between CD4 counts and NAA/Cr but devoid of statistical significance. Our results suggest that MRS is more sensitive than conventional MR imaging in detecting CNS involvement in neurologically asymptomatic HIV patients and may, therefore, be used for early detection of brain damage induced by HIV.     

Reversal of myo-inositol metabolic level in the left dorsolateral prefrontal cortex of rats exposed to forced swimming test following desipramine treatment: an in vivo localized H-MRS study at 4.7 T

The forced swimming test (FST) is a useful paradigm that is relatively quick and simple to perform and has been utilized to predict antidepressant activity based on learned helplessness as a model of depression. To date, few studies have used proton magnetic resonance spectroscopy (¹H-MRS) to assess antidepressant effects in rats. The purpose of this study was to assess desipramine (DMI) effects on the left dorsolateral prefrontal cortex (DLPFC) of the rats, which were randomly assigned to three groups (control, n=10; FST+saline, n=10; FST+DMI, n=10), using single-voxel localization technique. All ¹H-MRS experiments were performed on a Bruker 4.7-T scanner with 400 mm bore magnet, allowing for acquisition of in vivo ¹H point-resolved spectroscopy spectra (TR/TE=3000/30 ms, number of data points=2048, NEX=512, voxel volume=27 μl, scan time=25 min). Proton metabolites were quantified automatically using LCModel software and were expressed as ratios to total creatine (Cr+PCr). Major target metabolites such as N-acetyl aspartate (NAA)+N-acetylaspartylglutamate (NAAG), glutamate+glutamine (Glu+Gln), glycerophosphorylcholine+phosphorylcholine (GPC+PCho), myo-inositol (mIns) and taurine (Tau) were successfully quantified with Cramer–Rao lower boundary ≤10%. There were significantly higher mIns/(Cr+PCr) and mIns/(NAA+NAAG) ratios in the FST+saline group compared to the control group. In the FST+DMI group, both mIns/(Cr+PCr) and mIns/(NAA+NAAG) ratios were significantly decreased to the level similar to those in the control group. No other metabolite ratios were significantly different among the three groups. Our findings suggest a possible role of altered mIns level within the left DLPFC of the rat model for depression.