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Noninvasive in vivo imaging of diabetes-induced renal oxidative stress and response to therapy using hyperpolarized 13C dehydroascorbate magnetic resonance.

Abstract
Oxidative stress has been proposed to be a unifying cause for diabetic nephropathy and a target for novel therapies. Here we apply a new endogenous reduction-oxidation (redox) sensor, hyperpolarized (HP) (13)C dehydroascorbate (DHA), in conjunction with MRI to noninvasively interrogate the renal redox capacity in a mouse diabetes model. The diabetic mice demonstrate an early decrease in renal redox capacity, as shown by the lower in vivo HP (13)C DHA reduction to the antioxidant vitamin C (VitC), prior to histological evidence of nephropathy. This correlates with lower tissue reduced glutathione (GSH) concentration and higher NADPH oxidase 4 (Nox4) expression, consistent with increased superoxide generation and oxidative stress. ACE inhibition restores the HP (13)C DHA reduction to VitC with concomitant normalization of GSH concentration and Nox4 expression in diabetic mice. HP (13)C DHA enables rapid in vivo assessment of altered redox capacity in diabetic renal injury and after successful treatment.
AuthorsKayvan R Keshari, David M Wilson, Victor Sai, Robert Bok, Kuang-Yu Jen, Peder Larson, Mark Van Criekinge, John Kurhanewicz, Zhen J Wang
JournalDiabetes (Diabetes) Vol. 64 Issue 2 Pg. 344-52 (Feb 2015) ISSN: 1939-327X [Electronic] United States
PMID25187363 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Copyright© 2015 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered.
Chemical References
  • Carbon Isotopes
  • Receptors, Leptin
  • NADPH Oxidase 4
  • NADPH Oxidases
  • Nox4 protein, mouse
  • Glutathione
  • Dehydroascorbic Acid
Topics
  • Animals
  • Carbon Isotopes
  • Dehydroascorbic Acid (chemistry, metabolism)
  • Diabetes Mellitus (physiopathology)
  • Diabetic Nephropathies (metabolism)
  • Glutathione
  • Magnetic Resonance Imaging (methods)
  • Male
  • Mice
  • Mice, Knockout
  • NADPH Oxidase 4
  • NADPH Oxidases (genetics, metabolism)
  • Oxidative Stress
  • Receptors, Leptin

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