Measuring intracellular pH in the heart using hyperpolarized carbon dioxide and bicarbonate: a 13C and 31P magnetic resonance spectroscopy study.

AIMS: Technological limitations have restricted in vivo assessment of intracellular pH (pH(i)) in the myocardium. The aim of this study was to evaluate the potential of hyperpolarized [1-(13)C]pyruvate, coupled with (13)C magnetic resonance spectroscopy (MRS), to measure pH(i) in the healthy and dis...

Full description

Bibliographic Details
Main Authors: Schroeder, M, Swietach, P, Atherton, H, Gallagher, F, Lee, P, Radda, G, Clarke, K, Tyler, D
Format: Journal article
Language:English
Published: 2010
_version_ 1797058198330408960
author Schroeder, M
Swietach, P
Atherton, H
Gallagher, F
Lee, P
Radda, G
Clarke, K
Tyler, D
author_facet Schroeder, M
Swietach, P
Atherton, H
Gallagher, F
Lee, P
Radda, G
Clarke, K
Tyler, D
author_sort Schroeder, M
collection OXFORD
description AIMS: Technological limitations have restricted in vivo assessment of intracellular pH (pH(i)) in the myocardium. The aim of this study was to evaluate the potential of hyperpolarized [1-(13)C]pyruvate, coupled with (13)C magnetic resonance spectroscopy (MRS), to measure pH(i) in the healthy and diseased heart. METHODS AND RESULTS: Hyperpolarized [1-(13)C]pyruvate was infused into isolated rat hearts before and immediately after ischaemia, and the formation of (13)CO(2) and H(13)CO(3)(-) was monitored using (13)C MRS. The HCO(3)(-)/CO(2) ratio was used in the Henderson-Hasselbalch equation to estimate pH(i). We tested the validity of this approach by comparing (13)C-based pH(i) measurements with (31)P MRS measurements of pH(i). There was good agreement between the pH(i) measured using (13)C and (31)P MRS in control hearts, being 7.12 +/- 0.10 and 7.07 +/- 0.02, respectively. In reperfused hearts, (13)C and (31)P measurements of pH(i) also agreed, although (13)C equilibration limited observation of myocardial recovery from acidosis. In hearts pre-treated with the carbonic anhydrase (CA) inhibitor, 6-ethoxyzolamide, the (13)C measurement underestimated the (31)P-measured pH(i) by 0.80 pH units. Mathematical modelling predicted that the validity of measuring pH(i) from the H(13)CO(3)(-)/(13)CO(2) ratio depended on CA activity, and may give an incorrect measure of pH(i) under conditions in which CA was inhibited, such as in acidosis. Hyperpolarized [1-(13)C]pyruvate was also infused into healthy living rats, where in vivo pH(i) from the H(13)CO(3)(-)/(13)CO(2) ratio was measured to be 7.20 +/- 0.03. CONCLUSION: Metabolically generated (13)CO(2) and H(13)CO(3)(-) can be used as a marker of cardiac pH(i) in vivo, provided that CA activity is at normal levels.
first_indexed 2024-03-06T19:47:12Z
format Journal article
id oxford-uuid:22b70ae0-200b-4304-8748-38241c3d7824
institution University of Oxford
language English
last_indexed 2024-03-06T19:47:12Z
publishDate 2010
record_format dspace
spelling oxford-uuid:22b70ae0-200b-4304-8748-38241c3d78242022-03-26T11:40:13ZMeasuring intracellular pH in the heart using hyperpolarized carbon dioxide and bicarbonate: a 13C and 31P magnetic resonance spectroscopy study.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:22b70ae0-200b-4304-8748-38241c3d7824EnglishSymplectic Elements at Oxford2010Schroeder, MSwietach, PAtherton, HGallagher, FLee, PRadda, GClarke, KTyler, DAIMS: Technological limitations have restricted in vivo assessment of intracellular pH (pH(i)) in the myocardium. The aim of this study was to evaluate the potential of hyperpolarized [1-(13)C]pyruvate, coupled with (13)C magnetic resonance spectroscopy (MRS), to measure pH(i) in the healthy and diseased heart. METHODS AND RESULTS: Hyperpolarized [1-(13)C]pyruvate was infused into isolated rat hearts before and immediately after ischaemia, and the formation of (13)CO(2) and H(13)CO(3)(-) was monitored using (13)C MRS. The HCO(3)(-)/CO(2) ratio was used in the Henderson-Hasselbalch equation to estimate pH(i). We tested the validity of this approach by comparing (13)C-based pH(i) measurements with (31)P MRS measurements of pH(i). There was good agreement between the pH(i) measured using (13)C and (31)P MRS in control hearts, being 7.12 +/- 0.10 and 7.07 +/- 0.02, respectively. In reperfused hearts, (13)C and (31)P measurements of pH(i) also agreed, although (13)C equilibration limited observation of myocardial recovery from acidosis. In hearts pre-treated with the carbonic anhydrase (CA) inhibitor, 6-ethoxyzolamide, the (13)C measurement underestimated the (31)P-measured pH(i) by 0.80 pH units. Mathematical modelling predicted that the validity of measuring pH(i) from the H(13)CO(3)(-)/(13)CO(2) ratio depended on CA activity, and may give an incorrect measure of pH(i) under conditions in which CA was inhibited, such as in acidosis. Hyperpolarized [1-(13)C]pyruvate was also infused into healthy living rats, where in vivo pH(i) from the H(13)CO(3)(-)/(13)CO(2) ratio was measured to be 7.20 +/- 0.03. CONCLUSION: Metabolically generated (13)CO(2) and H(13)CO(3)(-) can be used as a marker of cardiac pH(i) in vivo, provided that CA activity is at normal levels.
spellingShingle Schroeder, M
Swietach, P
Atherton, H
Gallagher, F
Lee, P
Radda, G
Clarke, K
Tyler, D
Measuring intracellular pH in the heart using hyperpolarized carbon dioxide and bicarbonate: a 13C and 31P magnetic resonance spectroscopy study.
title Measuring intracellular pH in the heart using hyperpolarized carbon dioxide and bicarbonate: a 13C and 31P magnetic resonance spectroscopy study.
title_full Measuring intracellular pH in the heart using hyperpolarized carbon dioxide and bicarbonate: a 13C and 31P magnetic resonance spectroscopy study.
title_fullStr Measuring intracellular pH in the heart using hyperpolarized carbon dioxide and bicarbonate: a 13C and 31P magnetic resonance spectroscopy study.
title_full_unstemmed Measuring intracellular pH in the heart using hyperpolarized carbon dioxide and bicarbonate: a 13C and 31P magnetic resonance spectroscopy study.
title_short Measuring intracellular pH in the heart using hyperpolarized carbon dioxide and bicarbonate: a 13C and 31P magnetic resonance spectroscopy study.
title_sort measuring intracellular ph in the heart using hyperpolarized carbon dioxide and bicarbonate a 13c and 31p magnetic resonance spectroscopy study
work_keys_str_mv AT schroederm measuringintracellularphintheheartusinghyperpolarizedcarbondioxideandbicarbonatea13cand31pmagneticresonancespectroscopystudy
AT swietachp measuringintracellularphintheheartusinghyperpolarizedcarbondioxideandbicarbonatea13cand31pmagneticresonancespectroscopystudy
AT athertonh measuringintracellularphintheheartusinghyperpolarizedcarbondioxideandbicarbonatea13cand31pmagneticresonancespectroscopystudy
AT gallagherf measuringintracellularphintheheartusinghyperpolarizedcarbondioxideandbicarbonatea13cand31pmagneticresonancespectroscopystudy
AT leep measuringintracellularphintheheartusinghyperpolarizedcarbondioxideandbicarbonatea13cand31pmagneticresonancespectroscopystudy
AT raddag measuringintracellularphintheheartusinghyperpolarizedcarbondioxideandbicarbonatea13cand31pmagneticresonancespectroscopystudy
AT clarkek measuringintracellularphintheheartusinghyperpolarizedcarbondioxideandbicarbonatea13cand31pmagneticresonancespectroscopystudy
AT tylerd measuringintracellularphintheheartusinghyperpolarizedcarbondioxideandbicarbonatea13cand31pmagneticresonancespectroscopystudy