This study demonstrates that metabolic imaging of hyperpolarized [1-13C] pyruvate can detect increased hyperpolarized lactate production in vivo in a preclinical model of Traumatic Brain Injury. Correlative assays further demonstrate that this increased lactate is linked to the presence of pro-inflammatory macrophages that upregulate pyruvate dehydrogenase kinase 1, subsequently leading to regional pyruvate dehydrogenase inhibition. Metabolic imaging of hyperpolarized [1-13C] pyruvate thus has great potential to provide a novel tool for in vivo detection of neuroinflammation.
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