Simultaneous, quantitative measurement of local blood flow and glucose utilization in tissue samples in normal and injured feline brain

Hypo- and hyper-perfusion in MCI and AD identified by different ASL MRI sequences

Arterial spin labeling (ASL) perfusion MRI has been increasingly used in Alzheimer's Disease (AD) research. However, ASL MRI sequences differ greatly in terms of arterial blood signal preparations and data acquisition strategies, both leading to a large difference of signal-to-noise ratio (SNR). It is of great translational importance to compare the several widely used ASL MRI sequences regarding sensitivity of ASL measured cerebral blood flow (CBF) for detecting the between-group difference across the AD continuum. To this end, this study compared three ASL MRI sequences in AD research, including the 2D Pulsed ASL (PASL), 3D Background Suppressed (BS) PASL, and 3D BS Pseudo-Continuous ASL (PCASL). We used data from 100 healthy and cognitively normal elderly control (NC) subjects, 75 patients with mild cognitive impairment (MCI), and 57 Alzheimer's disease (AD) subjects from the AD neuroimaging initiative (ADNI). Both cross-sectional perfusion difference and perfusion versus clinical assessment correlations were examined. The major findings included: 3D PCASL sequence identified stronger patient versus control CBF/rCBF differences than 2D PASL and 3D PASL; MCI showed reduced CBF and CBF redistribution; CBF in orbito-frontal cortex presents a new U-shape change pattern from normal aging to MCI and to AD; 3D PCASL identified a negative rCBF to memory correlation while 2D PASL showed a positive correlation.

Associations of brain entropy (BEN) to cerebral blood flow and fractional amplitude of low-frequency fluctuations in the resting brain

Entropy is a fundamental trait of human brain. Using fMRI-based brain entropy (BEN) mapping, interesting findings have been increasingly revealed in normal brain and neuropsychiatric disorders. As BEN is still relatively new, an often-raised question is how much new information can this measure tell about the brain compared to other more established brain activity measures. The study aimed to address that question by examining the relationship between BEN and cerebral blood flow (CBF) and the fractional amplitude of low-frequency fluctuations (fALFF), two widely used resting state brain state measures. fMRI data acquired from a large cohort of normal subjects were used to calculate the three metrics; inter-modality associations were assessed at each voxel through the Pearson correlation analysis. A moderate to high positive BEN-CBF and BEN-fALFF correlations were found in orbito-frontal cortex (OFC) and posterior inferior temporal cortex (ITC); Strong negative BEN-fALFF correlations were found in visual cortex (VC), anterior ITC, striatum, motor network, precuneus, and lateral parietal cortex. Positive CBF-fALFF correlations were found in medial OFC (MOFC), medial prefrontal cortex (MPFC), left angular gyrus, and left precuneus. Significant gender effects were observed for all three metrics and their correlations. Our data clearly demonstrated that BEN provides unique information that cannot be revealed by CBF and fALFF.

Administration of excitatory amino acid antagonists via microdialysis attenuates the increase in glucose utilization seen following concussive brain injury

Immediately following concussive brain injury, cells exhibit an increase of energy demand represented by the activation of glucose utilization. We have proposed that this trauma-induced hypermetabolism reflects the effort of cells to restore normal ionic balance disrupted by massive ionic fluxes through transmitter-gated ion channels. In the present study, changes in local CMRglc following fluid-percussion concussive injury were determined using [14C]2-deoxy-D-glucose autoradiography, and the effects of in situ administration (via microdialysis) of excitatory amino acid (EAA) antagonists [kynurenic acid (KYN), 2-amino-5-phosphonovaleric acid (APV; 100 microM, 1 mM, and 10 mM), and 6-cyano-7-nitroquinoxaline-2,3-dine (CNQX; 300 microM, 1 mM, and 10 mM] on glucose utilization were investigated. Animals that did not receive dialysis showed a remarkable increase (up to 181% of normal control) in cortical glucose utilization following injury. In contrast, this high demand for glucose was reduced in areas infiltrated with KYN, APV, and CNQX. These results indicate that EAA-activated ion channels are involved in the posttraumatic increase in glucose utilization, reflecting the energy demand of cells required to drive pumping mechanisms against an ionic perturbation seen immediately following the concussive injury. The effects of KYN, APV, and CNQX suggest that although all subtypes of the glutamate receptor appear to be involved in this phenomenon, N-methyl-D-aspartate-activated channels may play a major role.