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Abstract #0989

Hyperpolarized [1-13C]acetate kinetics and metabolism in translational animal model: cardiac real-time detection of metabolic flux of [13C]acetyl-carnitine in pigs

Alessandra Flori 1 , Matteo Liserani 2 , Francesca Frijia 3 , Vincenzo Lionetti 1 , Giulio Giovannetti 4,5 , Giacomo Bianchi 6 , Anar Dushpanova 1 , Jan Henrik Ardenkjaer-Larsen 7,8 , Giovanni Donato Aquaro 3 , Vincenzo Positano 9 , Maria Filomena Santarelli 4,5 , Luigi Landini 9,10 , Massimo Lombardi 3 , and Luca Menichetti 3,4

1 Scuola Superiore Sant'Anna, Institute of Life Sciences, Pisa, Italy, 2 Department of Physics, University of Pisa, Pisa, Italy, 3 Fondazione CNR/Regione Toscana G. Monasterio, Pisa, Italy, 4 Institute of Clinical Physiology, National Council of Research, Pisa, Italy, 5 MRI Unit, Fondazione CNR/Regione Toscana G. Monasterio, Pisa, Italy, 6 Cardiac Surgery Department, Ospedale del Cuore "G. Pasquinucci", Fondazione CNR/Regione Toscana G. Monasterio, Massa, Italy, 7 GE Healthcare, Denmark, 8 Department of Electrical Engineering, Technical University of Denmark, Denmark, 9 MRI Lab, Fondazione CNR/Regione Toscana G. Monasterio, Pisa, Italy, 10 Department of Information Engineering, University of Pisa, Pisa, Italy

We present an analysis based on the ratio of total areas under the curve (AUC), for real-time detection of metabolic flux and enzymatic reactions using [1-13C]acetate dissolution-DNP and MRS. Hyperpolarized sodium [1-13C]acetate (150 mM) was administered in pigs at rest and during inotropic stress with dobutamine: [1-13C]acetate and [1-13C]acetyl-carnitine were detected in a selected heart slice. [1-13C]acetate kinetics displayed a typical biphasic shape and the ratio of [1-13C]Acetyl-carnitine/[1-13C]acetate AUC showed a good correlation with Rate Pressure Product. We proved the feasibility of cardiac metabolic studies with hyperpolarized [1-13C]acetate using an approach alternative to kinetic model-based analysis, relevant for clinical translation.

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