Comparison of linear versus macrocyclic gadolinium chelates in rat skeletal muscle

Mehmet Sabri Balik1, Fatma Beyazal Celiker2, Levent Tumkaya3

  • 1Department of Orthopedics and Traumatology, Faculty of Medicine, Recep Tayyip Erdogan University, Rize, Turkiye.

Abstract

Insights

Repeated doses of linear and macrocyclic gadolinium-based contrast agents (GBCAs) did not cause myofibril damage in rats. However, these agents did lead to a decrease in skeletal muscle fiber area, indicating potential subtle effects.

Area of Science:

  • Biomedical Science
  • Histopathology
  • Radiology

Background:

  • Gadolinium-based contrast agents (GBCAs) are widely used in medical imaging.
  • Concerns exist regarding the long-term effects of GBCAs, particularly linear and macrocyclic agents, on various tissues.
  • Skeletal muscle effects of repeated GBCA administration are not fully understood.

Purpose of the Study:

  • To investigate the histopathological effects of linear and macrocyclic GBCAs on skeletal muscle tissue.
  • To evaluate the potential for myofibril damage and cellular changes induced by repeated GBCA exposure.
  • To assess the role of caspase-3 and calcineurin pathways in GBCA-induced skeletal muscle alterations.

Main Methods:

  • Histopathological analysis was performed on Sprague-Dawley rats exposed to gadodiamide or gadoteric acid.
  • Rats received intravenous GBCAs (2 mmol/kg) or saline (sham) four times weekly for five weeks.
  • Control groups included healthy animals with no procedures.

Main Results:

  • No significant apoptotic myofibrils or caspase-3 expression were observed in GBCA-treated groups.
  • Calcineurin expression was not detected in myofibrils of treated or control groups.
  • Quantitative analysis revealed a statistically significant decrease in muscle fiber area in both gadodiamide and gadoteric acid groups compared to controls (p=0.001 and p=0.017, respectively).

Conclusions:

  • Repeated administration of linear and macrocyclic GBCAs does not induce myofibril damage via caspase-3 or calcineurin pathways in skeletal muscle.
  • Despite the absence of direct myofibril damage, GBCAs were associated with a reduction in skeletal muscle fiber size.
  • Further research is warranted to elucidate the mechanisms behind the observed decrease in muscle fiber area.

Related Concept Videos