Muscle diffusion MRI reveals autophagic buildup in a mouse model for Pompe disease

Marlena Rohm1,2, Gabriele Russo3, Xavier Helluy3,4

  • 1Department of Neurology, Berufsgenossenschaftliches-University Hospital Bergmannsheil gGmbH, Ruhr-University Bochum, Bürkle-de-la-Camp-Platz 1, 44789, Bochum, Germany.

Scientific Reports
|December 21, 2023
PubMed

Insights

Diffusion MRI detects early muscle microstructural changes in Pompe disease mouse models. These changes correlate with autophagic buildup and fiber diameter, indicating diffusion MRI

Area of Science:

  • Neuromuscular Disorders
  • Quantitative Muscle MRI
  • Diffusion MRI

Background:

  • Quantitative muscle MRI (qMRI) is crucial for evaluating neuromuscular disorders.
  • Histopathological changes driving qMRI alterations in Pompe disease are not fully understood.
  • Early diffusion MRI changes in non-fat infiltrated muscles were observed in Pompe patients.

Purpose of the Study:

  • To investigate the histopathological basis of diffusion MRI changes in Pompe disease.
  • To correlate diffusion MRI findings with lysosomal and autophagic markers in a longitudinal mouse model.
  • To assess the utility of qMRI in detecting early disease-related microstructural alterations.

Main Methods:

  • Longitudinal study using Pompe (Gaa6neo/6neo) and wildtype mice (1-8 months).
  • Monthly 7T MRI scans including diffusion MRI, T2-mapping, and Dixon water-fat imaging.
  • Immunofluorescence analysis of quadriceps for lysosomal and autophagic markers, correlated with MRI data.

Main Results:

  • No significant differences in fat fraction or water-T2 between Pompe and wildtype mice.
  • Pompe mice showed increased fractional anisotropy and decreased mean diffusivity (MD) and radial diffusivity (RD).
  • Reduced RD and MD correlated negatively with autophagic markers and muscle fiber diameter.

Conclusions:

  • Diffusion MRI reveals microstructural changes in presymptomatic Pompe mouse muscles without fat infiltration.
  • These diffusion changes are linked to autophagic buildup and muscle fiber diameter alterations.
  • Diffusion MRI is a valuable tool for detecting early, non-fat-infiltrated muscle changes in Pompe disease, reflecting autophagic processes.