Skip to main content

Advertisement

Log in

Positron emission tomography using pyruvate-l-11C in two cases of mytochondrial encephalomyopathy

  • Case Report
  • Published:
Annals of Nuclear Medicine Aims and scope Submit manuscript

Abstract

Positron emission tomography (PET) using pyruvate-l-11C was carried out to investigate the in vivo metabolism of pyruvate in the brains of patients with mitochondrial encephalomyopathy and Leigh’s disease. Two epileptic patients were studied as control subjects. Radioactivity was eliminated from the brain tissue of the epileptic patients soon after injection of pyruvate-l-11C. PET images of mitochondrial encephalomyopathy patients showed an increase in radioactivity in the cerebral cortex, basal ganglia and thalamus, with elimination of radioactivity being slower than that of epileptic patients. One patient with Leigh’s disease showed similar PET images. PET using pyruvate-1-11C is useful for the evaluation of mitochondrial energy metabolism in the brain.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Shapira Y, Harel S, Russell A: Mitochondrial encephalomyopathy: A group of neuromuscular disorders with defects in oxidative metabolism.Isr J Med Sci 13: 161–164, 1977

    PubMed  CAS  Google Scholar 

  2. DiMauro S, Bonilla E, Zeviani M, et al: Mitochondrial myopathies.Ann Neurol 17: 521–538, 1985

    Article  PubMed  CAS  Google Scholar 

  3. Karpati G, Carpenter S, Labrisseau A, et al: The Kearns-Shy syndrome: Multisystem disease with mitochondrial abnormality demonstrated in skeletal muscle and skin.J Neurol Sci 19: 133–151, 1973

    Article  PubMed  CAS  Google Scholar 

  4. Rowland LP: Molecular genetics, pseudogenetics, and clinical neurology.Neurology 33: 1179–1195, 1983

    PubMed  CAS  Google Scholar 

  5. Fukuhara N, Tokiguchi S, Shirakawa K, et al: Myoclonus epilepsy associated with Ragged-red fibers (mitochondrial abnormalities): disease entity or a syndrome?J Neurol Sci 47: 117–133, 1980

    Article  PubMed  CAS  Google Scholar 

  6. Willems JL, Monnens LAH, Trijbels JMF, et al: Leigh’s encephalomyelopathy in a patient with cytochrome c oxidase deficiency in muscle tissue.Pediatrics 60: 850–851, 1977

    PubMed  CAS  Google Scholar 

  7. Adornato BT, O’Brien JS, Lampert PW, et al: Cerebral spongy degeneration of infancy. A biochemical and ultrastructural study of affected twins.Neurology (Minneap) 22: 202–210, 1972

    CAS  Google Scholar 

  8. French JH, Sherard ES, Lubell H, et al: Tricho-poliodystrophy: I. Report of a case and biochemical studies.Arch Neurol 26: 229–244, 1972

    PubMed  CAS  Google Scholar 

  9. Goldfischer S, Moore CL, Johnson AB, et al: Peroxisomal and mitochondrial defects in the cerebrohepato-renal syndrome.Science 182: 62–64, 1973

    Article  PubMed  CAS  Google Scholar 

  10. Sandbank U, Lerman P: Progressive cerebral poliodystrophy-Alper’s disease: Disorganized giant neuronal mitochondria on electron microscopy.J Neurol Neurosurg Psychiatry 35: 749–755, 1972

    Article  PubMed  CAS  Google Scholar 

  11. Prick M, Gabreels F, Renier W, et al: Pyruvate dehydrogenase deficiency restricted to brain.Neurology (Ny) 33: 398–404, 1981

    Google Scholar 

  12. Frackowiak RSJ, Lenzi GL, Jones T, et al: Quantitative measurement of regional cerebral blood flow and oxygen metabolism in man, using15O and positron emission tomography: Theory, procedure and normal values.J Comput Assist Tomogr 4: 727–736, 1980

    Article  PubMed  CAS  Google Scholar 

  13. Phelps ME, Huang SC, Hoffman EJ, et al: Tomographie measurement of local cerebral glucose metabolic rate in human with (18F) 2-fluoro-2-deoxy-D-glucose: Validation of method.Ann Neurol 6: 371–388, 1979

    Article  PubMed  CAS  Google Scholar 

  14. Hara T, Iio M, Izuchi R, et al: Synthesis of pyruvate-1-11C as a radiopharmaceutical for tumor imaging.Eur J Nucl Med 11: 275–278, 1985

    Article  PubMed  CAS  Google Scholar 

  15. Levine R, Haft DE: Carbohydrate homeostasis.N Engl J Med 283: 175–183, 1970

    Article  PubMed  CAS  Google Scholar 

  16. Kennaway NG, Bruist NRM, Darley-Usmar VM, et al: Lactic acidosis and mitochondrial myopathy associated with deficiency of several components of complex III of the respiratory chain.Pediatr Res 18: 991–999, 1984

    PubMed  CAS  Google Scholar 

  17. Drewes LR, Gilboe DD, Betz AL: Metabolic alteration in brain anoxic and subsequent recovery.Arch Neurol 29: 385–390, 1973

    PubMed  CAS  Google Scholar 

  18. Hart S, Peter RS, Matti V, et al: Brain mitochondrial function after ischemia and hypoxia: I. Ischemia induced by increased intracranial pressure.Arch Neurol 29: 408–416, 1973

    Google Scholar 

  19. Hara T, Yokoi F, Iio M: Brain ischemia and infarction positively visualized by pyruvate-l-11C using positron emission tomography.Eur J Nucl Med 12: 21–26, 1986

    Article  PubMed  CAS  Google Scholar 

  20. Welsh FA, Durity F, Langfitt TW: The appearance of regional variations in metabolism at a critical level of diffuse cerebral oligemia.J Neurochem 28: 71–79, 1977

    Article  PubMed  CAS  Google Scholar 

  21. Dora E: Glycolysis and epilepsy-induced changes in cerebrocortical NAD/NADH redox state.J Neurochem 41: 1774–1777, 1983

    Article  PubMed  CAS  Google Scholar 

  22. Young RSK, Yagel SK, Gonya-Magee T: Physiologic and metabolic alterations associated with seizures in normoxic and asphyxiated neonatal dogs.Epilepsia 25: 569–573, 1984

    Article  PubMed  CAS  Google Scholar 

  23. Hara T, Yokoi F: Difference of14C turnovers in brain and in transplanted glioma after intravenous injection of14C-l-pyruvate to rats.Eur J Nucl Med 12: 249–251, 1986

    Article  PubMed  CAS  Google Scholar 

  24. Lowry OH, Berger SJ, Carter JG, et al: Diversity of metabolic patterns in human brain tumors: Enzymes of energy metabolism and related metabolites and cofactors.J Neurochem 41: 994–1010, 1983

    Article  PubMed  CAS  Google Scholar 

  25. Tsukiyama T, Hara T, Iio M, et al: Preferential accumulation of11C in human brain tumors after intravenous injection of11C-l-pyruvate.Eur J Nucl Med 12: 244–248, 1986

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Toyoda, M., Sakuragawa, N., Arai, Y. et al. Positron emission tomography using pyruvate-l-11C in two cases of mytochondrial encephalomyopathy. Ann Nucl Med 3, 103–109 (1989). https://doi.org/10.1007/BF03164593

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03164593

Key words

Navigation