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OtherBASIC SCIENCE INVESTIGATIONS

Preferential Labeling of Glial and Meningial Brain Tumors with [2-14C]Acetate

Gerald A. Dienel, David Popp, Paul D. Drew, Kelly Ball, Ali Krisht and Nancy F. Cruz
Journal of Nuclear Medicine August 2001, 42 (8) 1243-1250;
Gerald A. Dienel
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David Popp
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Paul D. Drew
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Kelly Ball
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Ali Krisht
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Nancy F. Cruz
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  • FIGURE 1.
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    FIGURE 1.

    Model for metabolic trapping of [14C]acetate involves preferential uptake into astrocyte or tumor from extracellular fluid through unidentified isoform of monocarboxylic acid transporter. Stimulation of acetate uptake into cell might be enhanced by high rate of glycolysis and lactate efflux, that is, transacceleration of acetate uptake by lactate export (6). Once in cell, acetate can be converted to acetyl coenzyme A (CoA) and metabolized further by various pathways, including entry into tricarboxylic acid (TCA) cycle, leading to incorporation of 14C into various acidic compounds, including α-ketoglutarate (αKG) and oxalacetate (OAA). Rapid transamination reactions would cause labeling of TCA cycle–derived amino acids, glutamate, glutamine, and aspartate. With longer experimental times, label derived from acetate would also be incorporated into lipid and protein.

  • FIGURE 2.
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    FIGURE 2.

    Metabolic labeling of C6 glioma tumors with [14C]acetate is illustrated in tumors grown in rat brain in vivo for 2 (A and B) or 3 (C) wk and assessed by autoradiography (A–C) and histologic staining (A and D). Autoradiographs show heterogeneous metabolic labeling by [14C]deoxyglucose (DG) and [2-14C]acetate in 2-wk-old intracerebral (A1 and A2) and extracerebral (B1–B3) tumors and in 3-wk-old necrotic tumors (C1–C3); different serial sections of same tumor (B2 and B3; C2 and C3) illustrate varied labeling of larger tumors, particularly in necrotic tumor. Thionin staining of sections near those used for autoradiography detects regions of densely packed cells in tumor (A3 and A4; D5–D8) compared with normal tissue. GFAP is marker for reactive astrocytes and also stains portions of C6 glioma tumors and zones surrounding tumors (D1–D4). Stained sections in D correspond to autoradiograph sections taken from same animals (B and C). Note low labeling of white matter (i.e., corpus callosum and subcortical white matter) by deoxyglucose and acetate (A–C), high labeling of lateral ventricle by acetate (B2 and B3), and relatively low labeling by acetate in boundary zone ventral to necrotic tumor (C2), which appears to coincide with GFAP-rich zone in 3-wk-old tumor (D4). Values for glucose use and net acetate uptake are presented in Table 1.

  • FIGURE 3.
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    FIGURE 3.

    Representative 20-μm-thick sections of slices of human glioblastoma (1–3) or meningioma (4–6) tumors that were incubated in vitro with [14C]acetate for 10–40 min show heterogeneous labeling. Arrows indicate local areas of more intense uptake of tracer.

Tables

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    TABLE 1

    Glucose Use and Acetate Uptake in Tumors and Rat Brain Tissue In Vivo

    Brain regionGlucose use (μmol/100 g/min)Net acetate uptake (mL/100 g/ min)
    Rat C6 glioma111.0 ± 34.0*9.9 ± 2.1†
     Contralateral brain tissue81.0 ± 5.03.9 ± 1.0
     Tumor/contralateral tissue1.4 ± 0.52.3 ± 0.3‡
    Human U-373 glioblastoma/astrocytoma112.0 ± 27.0*4.2 ± 0.1†
     Contralateral brain tissue86.0 ± 11.02.8 ± 0.5
     Tumor/contralateral tissue1.3 ± 0.21.5 ± 0.2
    Rat gray matter§
     Frontal cortex
      Right82.4 ± 7.44.8 ± 0.7
      Left77.3 ± 6.56.9 ± 2.0
     Sensorimotor cortex
      Right84.4 ± 7.84.6 ± 1.2
      Left75.4 ± 3.74.3 ± 1.4
     Caudate nucleus
      Right83.6 ± 8.53.3 ± 0.4
      Left76.6 ± 9.63.7 ± 0.8
     Sensory cortex
      Right87.6 ± 7.54.2 ± 0.8
      Left87.5 ± 7.94.1 ± 0.9
    Rat white matter§
     Forceps minor corpus callosum
      Right35.6 ± 2.82.2 ± 0.6
      Left35.5 ± 2.32.3 ± 0.2
     Genu of corpus callosum
      Right35.2 ± 2.42.5 ± 0.5
      Left32.0 ± 1.22.3 ± 0.4
    • ↵* P < 0.09 vs. contralateral tissue.

    • ↵† P < 0.005 vs. contralateral tissue.

    • ↵‡ P < 0.05 vs. deoxyglucose tumor-to-tissue ratio.

    • ↵§ Data are from rats implanted with C6 tumors.

    • Data are mean ± SD (C6 tumors: n = 6 for glucose use, n = 7 for acetate uptake; U-373 tumors: n = 4 per group for glucose use and acetate uptake).

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    TABLE 2

    Metabolism of [14C]Acetate in C6 Glioma Tumors and Rat Brain

    FractionPercentage of total 14C in acid extract (mean ± SD, n = 3)
    C6 tumorContralateral cerebral cortex
    Unmetabolized [14C]acetate5.0 ± 2.95.5 ± 1.9
    Acidic + any neutral metabolites37.0 ± 2.229.1 ± 0.8
    Amino acids + any basic metabolites59.6 ± 3.168.7 ± 2.9
    Total metabolized96.6 ± 2.697.7 ± 2.7
    • Proportions of labeled compounds recovered in acidic and amino acid fractions were not significantly different in tumor and contralateral tissue (P > 0.08, t test).

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    TABLE 3

    Net Uptake of [14C]Acetate into Human Tumor Samples Assayed In Vitro

    Tumor type/sampleAcetate uptake (μmol/100 g/min)
    Whole tumorHot spots
    Glioblastoma
     1 high grade1.902.60
     2 recurrent0.560.93
     3 low grade0.380.56
     4 recurrent1.201.60
     5 recurrent0.550.89
     6 unknown grade0.420.80
     Mean ± SD (n = 6)0.84 ± 0.601.20 ± 0.76
    Meningioma
     10.771.30
     20.520.83
     30.240.42
     41.602.40
     Mean ± SD (n = 4)0.78 ± 0.581.20 ± 0.80
    Pituitary adenoma
     10.220.36
     20.270.41
    Oligodendroglioma
     10.671.00
     20.270.39
    Gliotic tissue0.130.23
    • Data are average uptake into entire slice for all slices at all incubation times for each tumor and average for hot spots in same tumors.

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    TABLE 4

    In Vitro Metabolism of [14C]Acetate by Human Tumors

    Tumor typeTumor sampleIncubation time (min)Percentage of total 14C in acid extract
    Unmetabolized [14C]acetateAcidic + any neutral metabolitesAmino acids + any basic metabolites
    Glioblastoma11010123
    20631229
    210761016
    20202552
    310371751
    20201759
    Meningioma110582224
    40412627
    210423029
    20223547
    310112960
    20123058
    • Protein content of acid-extracted slices was 0.06–1.2 mg per sample. Recovery of 14C in fractions of acid extract was 101% ± 4%.

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Journal of Nuclear Medicine: 42 (8)
Journal of Nuclear Medicine
Vol. 42, Issue 8
August 1, 2001
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Preferential Labeling of Glial and Meningial Brain Tumors with [2-14C]Acetate
Gerald A. Dienel, David Popp, Paul D. Drew, Kelly Ball, Ali Krisht, Nancy F. Cruz
Journal of Nuclear Medicine Aug 2001, 42 (8) 1243-1250;

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Preferential Labeling of Glial and Meningial Brain Tumors with [2-14C]Acetate
Gerald A. Dienel, David Popp, Paul D. Drew, Kelly Ball, Ali Krisht, Nancy F. Cruz
Journal of Nuclear Medicine Aug 2001, 42 (8) 1243-1250;
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