Dynamic sodium imaging at ultra-high field reveals progression in a preclinical migraine model.

Dynamic sodium imaging at ultra-high field reveals progression in a preclinical migraine model.
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DOI:
10.1097/j.pain.0000000000001307
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发表时间:
2018-10
期刊:
影响因子:
7.4
通讯作者:
Grant SC
Grant SC
中科院分区:
医学1区
文献类型:
--
作者:
Abad N;Rosenberg JT;Hike DC;Harrington MG;Grant SC

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Under the hypothesis that increased extracellular sodium induces sustained neuronal excitability with the onset and progression of migraine, this study evaluates dynamic in vivo 23Na fluxes in the brain of a preclinical rodent analogue of migraine. Ultra-high field 23Na MRI at 21.1 T has demonstrated potential to quantify sodium concentrations with good spatial and temporal resolution following the onset of central sensitization. Sprague-Dawley male rats with implanted intraperitoneal (IP) lines were studied by MRI before and after an in situ injection of 10 mg/kg of nitroglycerin (NTG) versus vehicle and saline controls. Slice-selective 23Na images were acquired using a multi-slice FID-based Chemical Shift Imaging sequence with resolution of 1.1 × 1.1 × 3 mm for a 9-min acquisition. A total of twenty-seven repeated scans were acquired over 1 h of baseline scanning and longitudinally up to 3 h post injection. Increases of 23Na MRI signal in the brainstem, extra-cerebral cerebrospinal fluid (CSF) and cisterna magna were evident almost immediately after NTG injection, gaining significance from controls in 36 min. The cerebellum and third ventricle also showed sustained trends of increased 23Na, with the former gaining significance at over 2 h post-NTG injection. The data provide evidence of an early change in sodium concentration, markedly in posterior fossa CSF and brainstem regions. Further study of fluctuations of sodium concentration and their modulation with treatments could help understand the dynamic features of migraine, location of a putative migraine generator, and guide development of therapeutic measures to correct the disturbance of sodium homeostasis.
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