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Related Concept Videos

Pyruvate Oxidation01:15

Pyruvate Oxidation

After glycolysis, the charged pyruvate molecules enter the mitochondria via active transport and undergo three enzymatic reactions. These reactions ensure that pyruvate can enter the next metabolic pathway so that energy stored in the pyruvate molecules can be harnessed by the cells.
First, the enzyme pyruvate dehydrogenase removes the carboxyl group from pyruvate and releases it as carbon dioxide. The stripped molecule is then oxidized and releases electrons, which are then picked up by NAD+...
Fates of Pyruvate01:20

Fates of Pyruvate

Pyruvate is the end product of glycolysis, where glucose is oxidized to pyruvate, simultaneously reducing NAD+ to NADH. Two molecules of ATP are also produced by substrate-level phosphorylation.
In aerobic organisms, pyruvate is metabolized via the citric acid cycle to produce reduced coenzymes NADH and FADH2. These coenzymes are then oxidized in the electron transport chain to produce ATP and, in the process, regenerate the NAD+ and FAD. As seen in some cell types and organisms, fermentation...
Transient Ischemic Attack l: Introduction01:26

Transient Ischemic Attack l: Introduction

A transient ischemic attack (TIA) is a brief episode of neurological dysfunction caused by a temporary, focal reduction in cerebral blood flow. Although symptoms resemble those of an ischemic stroke, the interruption in perfusion is short-lived and does not cause permanent infarction. TIAs are clinically important because they often serve as early warning events for future stroke.Mechanisms of Transient Cerebral IschemiaTransient cerebral ischemia may arise through several mechanisms. One...
Oxygen Transport in the Blood01:27

Oxygen Transport in the Blood

Hemoglobin (Hb) is a crucial molecule in the human body, consisting of four polypeptide chains, each bound to an iron-containing heme group. This unique structure enables hemoglobin to bind to oxygen, with each molecule capable of combining with four molecules of oxygen, leading to rapid and reversible oxygen loading. When fully loaded with oxygen, it is called oxyhemoglobin, while hemoglobin that has released oxygen is called reduced hemoglobin or deoxyhemoglobin. As hemoglobin binds oxygen,...
Hypoxia01:23

Hypoxia

Hypoxia is a medical condition characterized by an inadequate oxygen supply to body tissues. It typically manifests as a bluish discoloration of the skin and mucosae, especially in fair-skinned individuals, when hemoglobin (Hb) saturation drops below 75%.
Types of Hypoxia
There are four primary types of hypoxia, each resulting from a different cause:
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Outcomes of Glycolysis01:13

Outcomes of Glycolysis

Nearly all the energy used by cells comes from the bonds that make up complex organic compounds. These organic compounds are broken down into simpler molecules, such as glucose. As a result, cells extract energy from glucose over many chemical reactions—a process called cellular respiration.
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Hyperpolarized 13C Metabolic Magnetic Resonance Spectroscopy and Imaging
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Transient decrease in tumor oxygenation after intravenous administration of pyruvate.

Keita Saito1, Shingo Matsumoto, Nallathamby Devasahayam

  • 1Radiation Biology Branch, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, Maryland 20892-1002, USA.

Magnetic Resonance in Medicine
|October 19, 2011
PubMed
Summary
This summary is machine-generated.

Injecting hyperpolarized carbon-13 labeled pyruvate for MRI scans temporarily lowers tumor oxygen levels. This transient hypoxia can impact radiotherapy effectiveness, highlighting the need to consider oxygen status in cancer imaging and treatment.

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Area of Science:

  • Biomedical Imaging
  • Oncology
  • Medical Physics

Background:

  • Hyperpolarized carbon-13 labeled pyruvate MRI is a key tool for tumor biochemical profiling and therapy response monitoring.
  • Exogenous pyruvate injection's impact on the tumor microenvironment, particularly oxygen status, is not fully understood.

Purpose of the Study:

  • To investigate the effect of bolus pyruvate injection on tumor oxygen status.
  • To assess the influence of pyruvate-induced transient hypoxia on radiotherapy efficacy.

Main Methods:

  • Electron paramagnetic resonance (EPR) oxygen imaging to measure partial pressure of oxygen (pO(2)).
  • Dynamic contrast-enhanced MRI (DCE-MRI) to evaluate tumor perfusion.
  • Immunohistochemical analysis using pimonidazole to detect hypoxia.

Main Results:

  • Pyruvate injection caused a significant, transient decrease in tumor pO(2) within 30 minutes, returning to baseline after 5 hours.
  • No significant changes in tumor perfusion were observed at the administered pyruvate dose.
  • Pyruvate injection led to transient tumor hypoxia, verified by pimonidazole staining.
  • Radiotherapy efficacy was reduced when administered during the period of pyruvate-induced transient hypoxia.

Conclusions:

  • Exogenous pyruvate injection transiently decreases tumor oxygen levels, a critical factor in hyperpolarized MRI.
  • The transient hypoxia induced by pyruvate can suppress radiotherapy efficacy.
  • Consideration of pyruvate-induced transient changes in tumor oxygen status is crucial for accurate interpretation of hyperpolarized MRI and optimizing cancer therapy.