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Published on: March 11, 2020
Is brain lactate increased in Huntington's disease?
W R Wayne Martin1, Marguerite Wieler, Christopher C Hanstock
1Division of Neurology, University of Alberta, Edmonton, Alberta, Canada. wayne.martin@ualberta.ca
Huntington's disease (HD) patients show increased brain lactate, suggesting impaired energy metabolism. This study investigated cerebrospinal fluid (CSF) lactate's role in magnetic resonance spectroscopy (MRS) findings in HD.
Area of Science:
- Neuroscience
- Biochemistry
- Medical Imaging
Background:
- Impaired brain energy metabolism and increased lactate are implicated in Huntington's disease (HD) pathogenesis.
- Magnetic resonance spectroscopy (MRS) studies on HD metabolism have yielded conflicting results regarding lactate levels.
Purpose of the Study:
- To investigate the contribution of cerebrospinal fluid (CSF) lactate to MRS-detected metabolic changes in HD.
- To evaluate regional brain lactate levels in HD patients compared to controls using advanced MRS techniques.
Main Methods:
- Single voxel MRS at 3 Tesla was performed on 23 HD patients and 28 controls.
- MRS voxels were segmented into grey matter, white matter, and CSF.
- Regional lactate content was extrapolated to a hypothetical 100% brain voxel to control for CSF lactate variations.
Main Results:
- Significantly increased lactate/creatine and lactate/N-acetyl aspartate (Lac/NAA) ratios were observed in parieto-occipital and cerebellar regions of HD patients.
- Extrapolated Lac/NAA ratios in a theoretical 100% brain voxel were higher in HD patients, though not statistically significant.
- These findings suggest a potential, regionally non-specific increase in brain lactate in manifest HD.
Conclusions:
- Brain lactate content may be increased in manifest Huntington's disease, supporting impaired mitochondrial function and abnormal energy metabolism.
- The precise contribution of CSF lactate to observed MRS changes in HD requires further investigation.
- The study highlights potential metabolic alterations in HD, offering insights into disease mechanisms.
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