Confounding neurodegenerative effects of manganese for in
vivo MR imaging in rat models of brain insults.
Bouilleret V, Cardamone L, Liu C, Koe AS, Fang K, Williams
JP, Myers DE, O'Brien TJ, Jones NC.
J Magn Reson Imaging. 2011 Oct;34(4):774-84
Manganese-enhanced magnetic resonance imaging (MeMRI) is an
exciting new technique which is being adopted by many groups. However, there is not yet a consensus on
appropriate dosages, number of repeat administrations, etc. This is important because high levels of manganese
can be neurotoxic, leading to a condition known as manganism. Somewhat similar to parkinson’s disease,
manganaism presents with motor controls, neurodegeneration, and psychiatric
disturbances. To examine the cumulative
effects of repeated treatments with a high concentration of manganese, this
paper compares the effects of repeated standard MRI (sMRI) with repeated MeMRI.
They used lateral fluid percussion injury (FPI, something
akin to a mini squirt gun, at over 3 atmospheres, shot directly in to the
sensory-motor cortex) in rats. These
rats were then monitored for anxiety, motor abilities, depression, stress
responsivity, epilepsy, weight, etc. One
group was given sMRI scans at one week before, and one week, one month, three
months, and six months after the injury.
The other group underwent MEMRI (100mg/kg intraperitoneally, 24hrs
pre-scan) at one week before, and one day, one week, one month, and six months
after the injury.
MEMRI did not change neuromotor scores during the 3 days
following the injury, but it did result in a significantly lower body weight
than sMRI controls. Lower weight gain
was also seen in FPI sMRI rats when compared to sham-injury sMRI controls. The
same effect was seen with the increases in brain volume at the one month and
six month points. The greatest regional
effects corresponded to the areas injured by FPI, suggesting that manganese
toxicity may occur in cells which have already sustained insult.
The MEMRI rats showed a strong increase in anxiety over sMRI
rats (per elevated plus maze test, time spent in closed arms), as well as
significant increase in depression-like behavior (decreased consumption of
sucrose water). Interestingly, Mn2+ treatment seemed to lead to a decrease in
post-traumatic stress epilepsy.
-DH