Abstract
Purpose
The degree and dynamic progression of neuroinflammation after traumatic spinal cord injuries (SCI) are crucial determinants of the severity of injury and potential for recovery. We used Positron Emission Tomography (PET) to monitor neuroinflammation longitudinally, correlating it with Chemical Exchange Saturation Transfer (CEST) Magnetic Resonance Imaging (MRI) and behavior in contusion-injured rats. These studies help validate CEST metrics and confirm how imaging may be used to evaluate the efficacy of therapies and understand their mechanisms of action.
Procedures
12 SCI and 4 sham surgery rats were subjected to CEST MRI and PET-Translocator Protein (TSPO) scans for 8Â weeks following injury. Z-spectra from the SCI were analyzed using a 5-Lorentzian pool model for fitting. Weekly motor and somatosensory behavior were correlated with imaging metrics, which were validated through post-mortem histological and immuo-staining using ionized calcium-binding adaptor protein-1 (iba-1, microglia) and glial fibrillary acidic protein (GFAP, astrocytes).
Results
PET-TSPO showed widespread inflammation and post-mortem histology confirmed the presence of activated microglia. Changes in CEST and nuclear Overhauser Effect (NOE) peaks at 3.5Â ppm and -1.6Â ppm respectively were largest within the first week after injury and more pronounced in rostral versus caudal segments. These temporal indices of neuroinflammation corresponded to the recovery of locomotor behaviors and somatic sensation in rats with moderate contusion injury. The results confirm that CEST MRI metrics are sensitive indices of states of neuroinflammation within injured spinal cords.
Conclusions
The detection of dynamic spatiotemporal features of neuroinflammation progression underscores the importance of considering their timings and locations for neuroprotective and anti-inflammatory therapies. The availability of noninvasive MRI indices of neuroinflammation may facilitate clinical trials aimed at treatments that promote recovery after SCI.
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Data availability
The datasets acquired from the study and analysis code used are available from the corresponding author upon reasonable request.
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Acknowledgements
This study is supported by DOD Grant SC190134 (awarded to LMC) and acknowledges the support also of NIH award 1 S10 OD025085 (awarded to JCG). We acknowledge additional NIH support for instrumentation 1S10OD016245-01 and 1 S10RR023784-01. The authors gratefully acknowledge Zou Yue and Chaohui Tang for their assistance with surgical procedures and perfusion of animals, Drs. Yiu-Yin Cheung and Fei Liu and Radiochemistry core for radiotracer production, the Center for Small Animal Imaging (CSAI) staff for imaging support, and the Vanderbilt University Medical Center (VUMC) Translational Pathology Shared Resource Core (NCI/NIH Cancer Center Support Grant 2P30 CA068485-14) for their expertise with processing the spinal cord tissue histology.
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Mu, C., Reed, J.L., Wang, F. et al. Spatiotemporal Dynamics of Neuroinflammation Relate to Behavioral Recovery in Rats with Spinal Cord Injury. Mol Imaging Biol 26, 240–252 (2024). https://doi.org/10.1007/s11307-023-01875-w
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DOI: https://doi.org/10.1007/s11307-023-01875-w