Abstract
Purpose
A feed-forward loop involving lactic acid production may potentially occur during the formation of idiopathic pulmonary fibrosis. To provide evidence for this feed-forward loop, we used acidoCEST MRI to measure the extracellular pH (pHe), while also measuring percent uptake of the contrast agent, lesion size, and the apparent diffusion coefficient (ADC).
Procedures
We developed a respiration-gated version of acidoCEST MRI to improve the measurement of pHe and percent uptake in lesions. We also used T2-weighted MRI to measure lesion volumes and diffusion-weighted MRI to measure ADC.
Results
The longitudinal changes in average pHe and % uptake of the contrast agent were inversely related to reduction in lung lesion volume. The average ADC did not change during the time frame of the study.
Conclusions
The increase in pHe during the reduction in lesion volume indicates a role for lactic acid in the proposed feed-forward loop of IPF
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Acknowledgments
This research is supported by the Better Than Ever Program, R01CA167183-01 and P50 CA95060. KMJ acknowledges support from the NIH Cardiovascular Training Grant T32HL007955 and T32HL066988 and the Parker B. Francis Foundation (RMK).
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The authors declare that they have no conflict of interest.
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Jones, K.M., Randtke, E.A., Howison, C.M. et al. Measuring Extracellular pH in a Lung Fibrosis Model with acidoCEST MRI. Mol Imaging Biol 17, 177–184 (2015). https://doi.org/10.1007/s11307-014-0784-6
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DOI: https://doi.org/10.1007/s11307-014-0784-6