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Differentiation of Heterogeneous Mouse Liver from HCC by Hyperpolarized 13C Magnetic Resonance

Department of Radiology, Hadassah Medical Center, The Faculty of Medicine, Hebrew University of Jerusalem, Kalman Mann 1, Jerusalem 9112001, Israel
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
Received: 13 December 2019 / Revised: 10 January 2020 / Accepted: 24 December 2020 / Published: 8 January 2021
The clinical characterization of small hepatocellular carcinoma (HCC) lesions in the liver and differentiation from heterogeneous inflammatory or fibrotic background is important for early detection and treatment. Metabolic monitoring of hyperpolarized 13C-labeled substrates has been suggested as a new avenue for diagnostic magnetic resonance. The metabolism of hyperpolarized [1-13C]pyruvate was monitored in mouse precision-cut liver slices (PCLS) of aged MDR2-KO mice, which served as a model for heterogeneous liver and HCC that develops similarly to the human disease. The relative in-cell activities of lactate dehydrogenase (LDH) to alanine transaminase (ALT) were found to be 0.40 ± 0.06 (n = 3) in healthy livers (from healthy mice), 0.90 ± 0.27 (n = 3) in heterogeneously inflamed liver, and 1.84 ± 0.46 (n = 3) in HCC. Thus, the in-cell LDH/ALT activities ratio was found to correlate with the progression of the disease. The results suggest that the LDH/ALT activities ratio may be useful in the assessment of liver disease. Because the technology used here is translational to both small liver samples that may be obtained from image-guided biopsy (i.e., ex vivo investigation) and to the intact liver (i.e., in a noninvasive MRI scan), these results may provide a path for differentiating heterogeneous liver from HCC in human subjects. View Full-Text
Keywords: lactate dehydrogenase; alanine transaminase; MDR2 knockout; dissolution dynamic nuclear polarization; perfused precision cut liver slices lactate dehydrogenase; alanine transaminase; MDR2 knockout; dissolution dynamic nuclear polarization; perfused precision cut liver slices
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MDPI and ACS Style

Lev-Cohain, N.; Sapir, G.; Uppala, S.; Nardi-Schreiber, A.; Goldberg, S.N.; Adler-Levy, Y.; Sosna, J.; Gomori, J.M.; Katz-Brull, R. Differentiation of Heterogeneous Mouse Liver from HCC by Hyperpolarized 13C Magnetic Resonance. Sci 2021, 3, 8. https://doi.org/10.3390/sci3010008

AMA Style

Lev-Cohain N, Sapir G, Uppala S, Nardi-Schreiber A, Goldberg SN, Adler-Levy Y, Sosna J, Gomori JM, Katz-Brull R. Differentiation of Heterogeneous Mouse Liver from HCC by Hyperpolarized 13C Magnetic Resonance. Sci. 2021; 3(1):8. https://doi.org/10.3390/sci3010008

Chicago/Turabian Style

Lev-Cohain, Naama; Sapir, Gal; Uppala, Sivaranjan; Nardi-Schreiber, Atara; Goldberg, Shraga N.; Adler-Levy, Yael; Sosna, Jacob; Gomori, J. M.; Katz-Brull, Rachel. 2021. "Differentiation of Heterogeneous Mouse Liver from HCC by Hyperpolarized 13C Magnetic Resonance" Sci 3, no. 1: 8. https://doi.org/10.3390/sci3010008

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