Fei Du1,2, Yi Zhang1, Xiao-Hong
Zhu1, Wei Chen1
1Radiology, Center for Magnetic Resonance
Research, University of Minnesota, Minneapolis, MN, United States; 2Psychiatry,
McLean Hospital, Harvard University, Belmont, MA, United States
The
basal brain activity and function depends upon a constant supply of glucose
through the specific glucose transport mechanism mediated by transporter
molecules, referred to as the blood-brain barierr (BBB). Therein the
noninvasive method to reliably measure glucose cerebral metabolic rate and
transport constants are of importance for understanding underlying glucose
transport mechanism and energy consumption in the various physiological or
pathological conditions. For instance, in our previous studies, we observed
that compared to the light anesthesia (2% v-v isofulorane), brain glucose
concentration significantly decreased although cerebral metabolic rate of
glucose (CMRglc) decreased 37% at the iso-electric condition. This
observation of glucose reduction seemingly contradicted with other studies
showing a decreased brain glucose concentration accompanied by the increased
CMRglc due to the elevated stimulations. This apparent discrepancy
can be explained by the changes of blood plasma glucose concentrations, which
were found to be substantially decreased under the iso-electric conditions.
Another possible reason is alterations of glucose transport constants (KT
and Tmax). It was reported that pentobarbital reduced blood-brain
glucose transfer in the rat brain and the glucose transport constants
decreased compared to the awaken condition. Therefore, the aim of the current
study is to build-up a noninvasive method to reliably and simultaneously
measure CMRglc and transport constants for fully understanding
brain glucose concentration changes with alterations of anesthesia depth. The
method was introduced and implemented by simultaneously measuring plasma and
brain tissue glucose concentration time courses after stopping glucose
infusion.