Igor
Feinstein
1st
Year Graduate Student
Department:
School of Medicine
Graduate Program: Neuroscience
Advisor:
Mary Kritzer
Abstract (rotation):
Preceptor: Dr. Helene Benveniste, Department of Medicine, Brookhaven
National Laboratory
Title:
Adapting Proton Magnetic Resonance Spectroscopy for Non-invasively
Measuring Amine Neurotransmitters and their Major Metabolites in vivo
Igor
Feinstein and Helene Benveniste
I.
Feinstein1, M. Kritzer1, P. Djuric2,
Y. Li2, M. Yu3, S. Smith3, and H. Benveniste3,4
1Neurobiology and Behavior, Stony Brook University, Stony
Brook, New York 2Electrical and Computer Engineering, Stony
Brook University, 3Medical Department, Brookhaven National
Laboratory, Upton, New York 4Anesthesiology, Stony Brook
University
BACKGROUND:
For developmental disorders such as autism spectrum disorder and attention
deficit hyperactivity disorder, there is strong evidence that the neurotransmitters
dopamine (DA) and serotonin (5-HT) are key parts of disease etiology
and/or pharmacological intervention. However, until now it has not been
possible to systematically investigate amine transmitters or their metabolites
in either normal or diseased children because available techniques for
in vivo assessments, e.g., positron emission tomography, require injection
of radioactive trace molecules that cannot be ethically applied to these
groups. To overcome this barrier we are developing and validating an
approach to signal processing in proton magnetic resonance spectroscopy
(1HMRS) that will allow the neurochemical basis of brain
function and ultimately of brain dysfunction in developmental disorders
in children to be examined in vivo in a non-invasive way. We describe
here the application of a singular value decomposition (SVD) approach
to 1HMR spectra signal processing to measure 5-HT, its metabolite
5-hydroxyindolacetic acid (5-HIAA) and the DA metabolites HVA and DOPAC
and pilot studies that combine SVD/1HMRS with pharmacological stimulation
to validate the specificity of these measurements.
METHOD:
Nanomolar samples of 5-HT, 5-HIAA, HVA and DOPAC (Sigma Chemical Co,
St. Louis, MO) were used to first identify the frequency prior knowledge/chemical
shift values for these molecular moieties in vitro; these NMR
frequency signatures were then used in the iterative peak alignment,
estimation and mathematical filtering steps involved in the SVD-based
method of signal processing. This was applied to 1HMR spectra
obtained in normal rats [9.4T/210 horizontal bore magnet (Magnex)] where
anatomical scans (T2 MRI) were used to identify regions of interest.
RESULTS:
Fourier analyses of the 1HMR spectra from prefrontal cortex,
caudate and hippocampus, revealed all the expected peaks (gray, Fig.
1). SVD analyses further isolated smaller peaks at the chemical shift
values (ppm) for 5-HT, 5HIAA, and for DOPAC and HVA (colors, Fig 1).
That these peaks reflect the intended transmitter species is consistent
with the regional differences seen in their relative sizes; i.e., in
the DA rich prefrontal cortex and caudate, the DOPAC and HVA peaks are
larger than those for 5-HT and 5-HIAA, whereas the opposite is true
for the hippocampus where 5-HT innervation is more dense than that of
DA. However, further proof comes from experiments in which 1HMRS/SVD
was performed in rats injected i.p. with the selective 5-HT-reuptake
inhibitor imipramine (75 mg/kg). In these experiments, analyses of sequential
10 minute scans reveal steady baselines for DA and 5-HT metabolites
and a rapid, selective rise in 5-HIAA but not HVA or DOPAC induced by
imipramine (Fig. 2).
CONCLUSIONS:
These studies indicate that 1HMRS can be brought into the
new realm of measuring in vivo the amine transmitters and transmitter
metabolites which as a group are notorious for known or suspected roles
in nearly every form of major mental illness known, including disorders
like autism that strike children. On-going studies are using additional
pharmacological agents to confirm the identities of other SVD transmitter
peaks and piloting the approach to humans to open up the as yet unstudied
area of in vivo assessment of neurochemistry in the living, developing
human brain in health and disease.
Patent:
Title:
Method and Apparatus for Wireless Monitoring of Subjects Within a Magnetic
Field
Date Filed: April 1, 205
Authors: Igor Feinstein, James Kierstead, Helene Benveniste,
Veljko Radeka
Status: Patent Pending # 11/097918