Early detection of neurodegeneration in brain ischemia by manganese-enhanced MRI

Kevin C Chan1, Ke-xia Cai, Huan-xing Su

  • 1Laboratory of Biomedical Imaging and Signal Processing and the Department of Electrical and Electronic Engineering, The University of Hong Kong, Pokfulam, China. kevin_ccw@hkuusa.hku.hk

Insights

Manganese-enhanced MRI (MEMRI) detects early neurodegeneration after brain ischemia in rodents. This technique shows promise for identifying oxidative stress and gliosis, potentially revealing remote infarctions before secondary damage occurs.

Area of Science:

  • Neuroimaging
  • Neuroscience
  • Biomedical Engineering

Background:

  • Brain ischemia, including photothrombotic cortical injury (PCI) and transient middle cerebral artery occlusion (MCAO), leads to neurodegeneration.
  • Conventional MRI often fails to detect subtle, early-stage neurodegenerative changes.
  • Manganese-enhanced MRI (MEMRI) offers potential for enhanced sensitivity in detecting these changes.

Purpose of the Study:

  • To evaluate the efficacy of in vivo manganese-enhanced MRI (MEMRI) for detecting neurodegenerative alterations in rodent models of brain ischemia (PCI and MCAO).
  • To investigate the correlation between MEMRI signal and markers of oxidative stress and gliosis (GFAP, MnSOD, GS).
  • To explore the potential of manganese (Mn(2+)) to modulate infarct volume in ischemic brain regions.

Main Methods:

  • Systemic administration of Mn(2+) in rodent models of photothrombotic cortical injury (PCI) and transient middle cerebral artery occlusion (MCAO).
  • Acquisition of T1-weighted images to assess signal hyperintensity.
  • Comparison of MEMRI findings with GFAP, MnSOD, and GS immunoreactivities.
  • Measurement of infarct volumes in the MCAO model following Mn(2+) injection.

Main Results:

  • T1-weighted hyperintensity was observed in various brain regions following systemic Mn(2+) injection, correlating with GFAP, MnSOD, and GS immunoreactivities.
  • MEMRI detected changes not readily apparent with conventional MRI.
  • A significant reduction in posterior infarct volumes was observed in the MCAO model after Mn(2+) injection.

Conclusions:

  • Exogenous Mn(2+) injection enhances MEMRI for early detection of oxidative stress and gliosis in brain ischemia.
  • Manganese may play a role in mediating remote infarctions in transient focal cerebral ischemia prior to secondary damage.
  • MEMRI represents a promising tool for early diagnosis and understanding of ischemic brain injury progression.