A variety of nucleotide sugars (NS) are required for glycosylation of proteins and lipids to enhance and diversify cellular functions. The current 7T 31P MRS study, for the first time, reports the detection of four different NS species in human brain in vivo. They are tentatively assigned to UDP-glucose, UDP-galactose, UDP-N-acetylglucosamine, and UDP-N-acetylgalactosamine, collectively denoted as UDP(G). These UDP(G) species are responsible for the observation of a “quartet-like” signal at -9.8 ppm, which cannot be explained by the presence of only a single UDP(G) species such as UDP-glucose (as expected to be a simple doublet).
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