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Updated: Mar 5, 2026

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Published on: June 6, 2025
Hyperbaric oxygen therapy reduces renal lactate production.
Thomas S Nørlinger1, Per Mose Nielsen1, Haiyun Qi1
1Department of Clinical Medicine, MR Research Centre, Aarhus University, Aarhus, Denmark.
Hyperbaric oxygen therapy reduces intrarenal lactate production in diabetic rats, as shown by novel hyperpolarized [1-13C]pyruvate MRI. This technique monitors metabolic changes during hyperbaric oxygen (HBO) treatment.
Area of Science:
- Nephrology
- Biochemistry
- Medical Imaging
Background:
- Diabetic nephropathy is linked to intrarenal hypoxia.
- Hyperbaric oxygen (HBO) therapy is an established treatment, but its metabolic effects are unclear.
- Investigating HBO's impact on kidney metabolism in diabetes is crucial.
Purpose of the Study:
- To examine the effects of HBO on intrarenal metabolic alterations in a rat model of diabetes.
- To evaluate hyperpolarized [1-13C]pyruvate MRI as a method to monitor these metabolic changes.
Main Methods:
- Streptozotocin-induced diabetic and normoglycemic control rats were used.
- Hyperpolarized [1-13C]pyruvate Magnetic Resonance Imaging (MRI) assessed kidney energy metabolism.
- Rats received five days of HBO therapy.
Main Results:
- HBO therapy significantly reduced intrarenal lactate production in both diabetic and control rats.
- This reduction was observed three days post-therapy.
- Lactate dehydrogenase mRNA expression and activity remained unaffected by HBO.
Conclusions:
- Hyperbaric oxygen therapy can alter intrarenal metabolism by reducing lactate production.
- Hyperpolarized [1-13C]pyruvate MRI is a promising tool for monitoring HBO therapy effectiveness.
- This MRI technique visualizes pyruvate-to-lactate conversion, reflecting metabolic response to HBO.
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