Study2016

Muscle oxidative phosphorylation quantitation using creatine chemical exchange saturation transfer (CrCEST) MRI in mitochondrial disorders

DeBrosse C, Nanga RPR, Wilson N, D'Aquilla K, Elliott M, Hariharan H, Yan F, Wade K, Nguyen S, Worsley D, Parris-Skeete C, McCormick E, Xiao R, Cunningham ZZ, Fishbein L, Nathanson KL, Lynch DR, Stallings VA, Yudkoff M, Falk MJ, Reddy R, McCormack SE

JCI insight · 39 citations

How it was studied

Design
Case-control study (classified by our AI screen)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
University or hospital
University of Pennsylvania
Nonprofit
Pediatric Endocrine Society
Government
National Institutes of Health
Government
National Institute of Diabetes and Digestive and Kidney Diseases
Government
National Institute of Biomedical Imaging and Bioengineering
Government
National Center for Advancing Translational Sciences
Government
Eunice Kennedy Shriver National Institute of Child Health and Human Development
Government
NICHD NIH HHS
Government
NCATS NIH HHS
Government
NIBIB NIH HHS
Government
NIDDK NIH HHS
Grants
National Institute of Diabetes and Digestive and Kidney Diseases (P30 DK-019525); Eunice Kennedy Shriver National Institute of Child Health and Human Development (U54-HD086984); University of Pennsylvania (UL1-TR-000003); National Institute of Biomedical Imaging and Bioengineering (T32 EB020087); National Institute of Biomedical Imaging and Bioengineering (P41 EB015893); National Institute of Diabetes and Digestive and Kidney Diseases (K23 DK102659); National Institute of Diabetes and Digestive and Kidney Diseases (K12 DK094723); National Center for Advancing Translational Sciences (UL1-TR-001878); National Institutes of Health (NIH R03); National Center for Advancing Translational Sciences (UL1‐TR000003); National Institutes of Health (R03-DK082446); National Institutes of Health (UL1-TR-000003); National Institutes of Health (P41 EB015893); National Institutes of Health (EB015893); National Institutes of Health (K23 DK102659); National Institutes of Health (DK 19525); National Institutes of Health (K12DK094723)

Based on 11 listed funder(s).

Publication

Published
2016-11-02 · JCI Insight · vol. 1 · issue 18 · p. e88207
Publisher
American Society for Clinical Investigation
Cited
49 citations · more than 91% of similar papers · 3.1× the field average
Impact
Top 10% most cited in its field
References
54 works
Access
Open access (journal)
Research areas
Advanced MRI Techniques and Applications · Lanthanide and Transition Metal Complexes · Electron Spin Resonance Studies
Keywords
Creatine, Oxidative phosphorylation, Skeletal muscle, Creatine kinase, Phosphocreatine, Creatine Monohydrate, Internal medicine, Magnetic resonance imaging, Gastrocnemius muscle, Mitochondrion, Endocrinology, Mitochondrial disease, In vivo, Biology, Mitochondrial DNA, Chemistry, Medicine, Biochemistry, Pathology, Energy metabolism, Genetics
MeSH
muscle, skeletal, mitochondria, muscle, humans, mitochondrial diseases, creatine, phosphocreatine, magnetic resonance imaging, exercise test, oxidative phosphorylation, phosphorylation, adult, middle aged, female, male

22 authors

From US

  • Catherine DeBrosseUniversity of Pennsylvania
  • Ravi Prakash Reddy NangaUniversity of Pennsylvania
  • Neil E. WilsonUniversity of Pennsylvania
  • Kevin D’AquillaUniversity of Pennsylvania
  • Mark A. ElliottUniversity of Pennsylvania
  • Hari HariharanUniversity of Pennsylvania

Abstract

Systemic mitochondrial energy deficiency is implicated in the pathophysiology of many age-related human diseases. Currently available tools to estimate mitochondrial oxidative phosphorylation (OXPHOS) capacity in skeletal muscle in vivo lack high anatomic resolution. Muscle groups vary with respect to their contractile and metabolic properties. Therefore, muscle group-specific estimates of OXPHOS would be advantageous. To address this need, a noninvasive creatine chemical exchange saturation transfer (CrCEST) MRI technique has recently been developed, which provides a measure of free creatine. After exercise, skeletal muscle can be imaged with CrCEST in order to make muscle group-specific measurements of OXPHOS capacity, reflected in the recovery rate (τCr) of free Cr. In this study, we found that individuals with genetic mitochondrial diseases had significantly (P = 0.026) prolonged postexercise τCr in the medial gastrocnemius muscle, suggestive of less OXPHOS capacity. Additionally, we observed that lower resting CrCEST was associated with prolonged τPCr, with a Pearson's correlation coefficient of -0.42 (P = 0.046), consistent with previous hypotheses predicting that resting creatine levels may correlate with 31P magnetic resonance spectroscopy-based estimates of OXPHOS capacity. We conclude that CrCEST can noninvasively detect changes in muscle creatine content and OXPHOS capacity, with high anatomic resolution, in individuals with mitochondrial disorders.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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