Toni L. Ceckler

31P-NMR spectroscopy demonstrates decreased ATP levels in vivo as an early response to photodynamic therapy

31P-Nuclear magnetic resonance was used to monitor in situ phosphorus containing compounds in mammary tumors after photodynamic therapy, consisting of administration of hematoporphyrin derivative followed by photoradiation of the lesion. A rapid decrease in ATP along with an increase in Pi resonance intensities was observed. The beta-ATP/Pi ratio decreased by 1 hour, dropping in 2 to 8 hours to 0 to 20 percent of that found prior to photoradiation. Disrupted cells and pycnotic nuclei were observed 48 to 72 hours after photoradiation to a depth of approximately 5 mm. Together with previous studies in vitro, reduction in tumor ATP levels appears to be an early biochemical response to photodynamic therapy.

EARLY BIOCHEMICAL RESPONSES TO PHOTODYNAMIC THERAPY MONITORED BY NMR SPECTROSCOPY

Abstract Studies directed at determining the biochemical events that lead to tumor cytotoxicity following photodynamic therapy, a promising new approach for treatment of neoplasia, have demonstrated that exposure of R3230AC mammary tumors to hematoporphyrin derivative or Photofrin II plus visible light caused marked impairment of mitochondrial enzymes functioning in oxidative phosphorylation and electron transport. 31P‐NMR spectroscopy has now demonstrated that a rapid and striking decrease in NTP (ATP) levels, concomitant with a marked increase in P;, occurs in tumors shortly after photodynamic therapy. These effects appear to be fluence related. Possible changes in tumor vascularity, as detected by 2H‐NMR measurements of the uptake of D20, were not observed under the conditions studied. Taken together with our earlier results, we conclude that the reduction in tumor ATP levels in situ, probably via inhibition of mitochondrial function, is a direct and early response of neoplastic tissue to porphyrin‐induced photosensitization.

31P NMR Spectroscopy in Vivo of Two Murine Tumor Lines with Widely Different Fractions of Radiobiologically Hypoxic Cells

Energy and lipid metabolism as well as tumor pH in two murine tumor lines, the KHT and RIF-1 sarcomas, were studied using 31P NMR spectroscopy. Possible relationships between spectral parameters on the one hand and volume fraction of necrosis and fraction of radiobiologically hypoxic cells on the other were investigated. For both tumor lines the PCr and NTP beta resonances decreased and the Pi resonance increased significantly with increasing tumor volume in the volume range 100-4000 mm3. This decrease in bioenergetic status was accompanied by a decrease in tumor pH from about 7.2 to about 6.8. The NTP beta resonance and the tumor pH tended to be somewhat higher and the Pi resonance somewhat lower for the KHT than for the RIF-1 tumors. Linear relationships were found between tumor pH and Pi or (PCr + NTP beta)/Pi for both tumor lines (P much less than 0.05). The PME resonance increased slightly and the PDE resonance decreased slightly during tumor growth and were not significantly different for the KHT and the RIF-1 tumors. The volume fraction of necrosis was about 5 per cent in both lines at a tumor volume of 100 mm3 and increased to about 30 per cent (KHT) and 50 per cent (RIF-1) at a tumor volume of 4000 mm3. The fraction of radiobiologically hypoxic cells was found to increase from 12 to 23 per cent for the KHT line and from 0.9 to 1.7 per cent for the RIF-1 line when tumor volume was increased from about 200 to about 2000 mm3. The volume-dependence of the 31P NMR spectral parameters indicated increased nutritional deprivation and development of hypoxia and necrosis during tumor growth, and was thus qualitatively in good agreement with the changes observed in necrotic and hypoxic fraction. However, quantitative relationships between any spectral parameter and necrotic or hypoxic fraction across tumor lines were not found, implying that other physiological parameters and/or cellular characteristics may contribute significantly to a 31P NMR tumor spectrum. Consequently, 31P NMR spectra of untreated tumors have to be supplemented with other tumor data, e.g. rate of oxygen consumption, cell survival time under hypoxic stress and/or fraction of metabolically active, non-clonogenic hypoxic cells, to be useful in quantitative determination of tumor hypoxia and hence prediction of tumor radioresistance caused by hypoxia.

Hyperglycemia increases cerebral intracellular acidosis during circulatory arrest.

Phosphorus 31 nuclear magnetic resonance spectroscopy was used to assess cerebral high-energy phosphate metabolism and intracellular pH in normoglycemic and hyperglycemic sheep during hypothermic circulatory arrest. Two groups of sheep (n = 8 per group) were placed in a 4.7-T magnet and cooled to 15 degrees C using cardiopulmonary bypass. Spectra were acquired before and during circulatory arrest and during reperfusion and rewarming. Intracellular pH and adenosine triphosphate levels decreased during circulatory arrest. Compared with the normoglycemic animals, the hyperglycemic group was significantly more acidotic with the greatest difference observed during the first 20 minutes of reperfusion (6.40 +/- 0.08 versus 6.08 +/- 0.06; p < 0.001). Intracellular pH returned to baseline after 30 minutes of reperfusion in the normoglycemic group but did not reach baseline until 1 hour of reperfusion in the hyperglycemic animals. Adenosine triphosphate levels were significantly higher in the hyperglycemic group during circulatory arrest. Repletion of adenosine triphosphate during reperfusion was similar for both groups. These results support the hypothesis that hyperglycemia during cerebral ischemia drives anaerobic glycolysis and thus leads to increased lactate production and an increase [corrected] in the intracellular acidosis normally associated with ischemia.

Barbiturates Impair Cerebral Metabolism During Hypothermic Circulatory Arrest

Barbiturates have been used as a method of cerebral protection in patients undergoing open heart operations. Phosphorus 31 nuclear magnetic resonance spectroscopy was used to assess barbiturate-induced alterations in the cerebral tissue energy state during cardiopulmonary bypass, hypothermic circulatory arrest, and subsequent reperfusion. Sheep were positioned in a 4.7-T magnet with a radiofrequency coil over the skull. Nuclear magnetic resonance spectra were obtained at 37 degrees C, during cardiopulmonary bypass before and after drug administration at 37 degrees C and 15 degrees C, throughout a 1-hour period of hypothermic circulatory arrest, and during a 2-hour reperfusion period. A group of animals (n = 8) was administered a bolus of sodium thiopental (40 mg/kg) during bypass at 37 degrees C followed by an infusion of 3.3 mg.kg-1 x min-1 until hypothermic arrest. A control group of animals (n = 8) received no barbiturate. The phosphocreatine/adenosine triphosphate ratio, reflecting tissue energy state, was lower during cardiopulmonary bypass at 15 degrees C in the treated animals compared with controls (1.06 +/- 0.08 versus 1.36 +/- 0.17; p < 0.001). Lower phosphocreatine/adenosine triphosphate ratios were observed throughout all periods of arrest and reperfusion in the barbiturate-treated animals compared with controls (p < or = 0.01). Thiopental prevented the increase in cerebral energy state normally observed with hypothermia and resulted in a decrease in the energy state of the brain during hypothermic circulatory arrest and subsequent reperfusion. These results suggest that thiopental administration before a period of hypothermic circulatory arrest may prove detrimental to the preservation of the energy state of the brain.

Tritium-proton magnetization transfer as a probe of cross relaxation in aqueous lipid bilayer suspensions

Abstract Saturation-transfer experiments were used to characterize relaxation coupling between macromolecular and water hydrogen nuclei in a suspension of egg phosphatidylcholine/cholesterol in tritium-doped water. Saturation of the proton resonance from the restricted lipid environment ( 1 H r ) results in a decrease of the bulk-water proton ( 1 H f ) spin-lattice relaxation time and negative magnetization transfer to the water protons, whereas no effect on the 3 H f relaxation and a positive enhancement of the equilibrium 3 H f magnetization was observed. The positive 3 H f (enhancement can be accounted for by intramolecular 1 H f - 3 H f NOE with indirect 3 H f (saturation through magnetization transfer with the lipid proton pool. These results are consistent with lipid proton-water proton relaxation coupling via dipolar magnetization transfer in the spin-diffusion limit. Dynamic- and rigid-lattice spin-diffusion models are considered. Both models can account for the observed relaxation and magnetization transfer with limits imposed on the water-macromolecular dynamics on the basis of the absence of 1 H r - 3 H f coupling.

Phosphorus-31 NMR spectroscopy using a loop-gap resonator

Abstract The loop-gap resonator provides a simple and convenient alternative for large volume probes that are now practical for applications to NMR spectroscopy. A 400 ml probe is described for use in a large-bore magnet which is easily constructed, has high Q and excellent signal to noise that permits NMR spectroscopic examination of large volume but dilute samples.

Hetergeneous tumour response to photodynamic therapy assessed by in vivo localised 31P NMR spectroscopy

Photodynamic therapy (PDT) is efficacious in the treatment of small malignant lesions when all cells in the tumour receive sufficient drug, oxygen and light to induce a photodynamic effect capable of complete cytotoxicity. In large tumours, only partial effectiveness is observed presumably because of insufficient light penetration into the tissue. The heterogeneity of the metabolic response in mammary tumours following PDT has been followed in vivo using localised phosphorus NMR spectroscopy. Alterations in nucleoside triphosphates (NTP), inorganic phosphate (Pi) and pH within localised regions of the tumour were monitored over 24-48 h following PDT irradiation of the tumour. Reduction of NTP and increases in Pi were observed at 4-6 h after PDT irradiation in all regions of treated tumours. The uppermost regions of the tumours (those nearest the skin surface and exposed to the greatest light fluence) displayed the greatest and most prolonged reduction of NTP and concomitant increase in Pi resulting in necrosis. The metabolite concentrations in tumour regions located towards the base of the tumour returned a near pre-treatment levels by 24-48 h after irradiation. The ability to follow heterogeneous metabolic responses in situ provides one means to assess the degree of metabolic inhibition which subsequently leads to tumour necrosis.

Mitochondria In Cancer Cells As Targets Of Photodynamic Therapy

Encouraging results are being reported in treatment of cancer by photodynamic therapy, consisting of the administration of hematoporphyrin photosensitizers and subsequent illumination of the neoplastic lesion with visible light. Studies in our laboratory have peen directed towards defining cellular sites of action of these photosensitizers. Results obtained using a rodent mammary carcinoma in vitro and in vivo indicate that an important target of tumor photosensitization is the mitochondrion, effects that are manifested by inhibition of enzymes involved in electron transport and oxidative phosphorylation. These events in turn lead to a significant reduction in cellular ATP, which we suggest represents an early and important mechanism that contributes to the ensuing tumor cytotoxicity. Optimization of this mechanism could provide improved efficacy of treatment.

Early developmental exposure to benzodiazepine ligands alters brain31P-NMR spectra in young adult rats

Alterations in brain high energy phosphate compounds, using 31P-NMR (nuclear magnetic resonance) spectroscopy, were measured in vivo in young adult (3-4 months) rats following prenatal exposure to ligands acting specifically at benzodiazepine (BDZ) binding sites. The exposure induced a decrease in intracellular pH that indicated a predominant interaction of the drugs in utero with central-type BDZ receptor sites. Late gestational exposure to BDZ ligands also induced changes in brain phosphocreatine (PCr) utilization. Exposure to the lowest dose of DZ (1.0 mg/kg) but not the higher dose (2.5 mg/kg) induced a significant change in PCr utilization. Exposure to the central-type BDZ receptor antagonist RO15-1788 alone clearly altered PCr utilization in adult offspring, and DZ (2.5 mg/kg) when administered concurrently was not able to prevent this effect. Though exposure to a peripheral-type ligand (PK11195) had no effect by itself, it converted the effect of the high dose of DZ to that of the low dose. Together, these results indicate an interaction during development between the central and peripheral-type BDZ binding sites on organization and/or regulation of cellular energy metabolism. Normalized ATP levels were not changed by any prenatal treatment indicating adequate buffering of intracellular ATP by phosphocreatine. The dopaminergic antagonist haloperidol did not alter intracellular pH or any index of phosphate metabolism indicating a selective receptor mediated role for BDZ ligands in influences on the long term organization of intracellular phosphate metabolism.