Analysis of cancer metabolism by imaging hyperpolarized nuclei: prospects for translation to clinical research
Open accessAbstract
A major challenge in cancer biology is to monitor and understand cancer metabolism in vivo with the goal of improved diagnosis and perhaps therapy. Because of the complexity of biochemical pathways, tracer methods are required for detecting specific enzyme-catalyzed reactions. Stable isotopes such as (13)C or (15)N with detection by nuclear magnetic resonance provide the necessary information about tissue biochemistry, but the crucial metabolites are present in low concentration and therefore are beyond the detection threshold of traditional magnetic resonance methods. A solution is to improve sensitivity by a factor of 10,000 or more by temporarily redistributing the populations of nuclear spins in a magnetic field, a process termed hyperpolarization. Although this effect is short-lived, hyperpolarized molecules can be generated in an aqueous solution and infused in vivo where metabolism generates products that can be imaged. This discovery lifts the primary constraint on magnetic resonance imaging for monitoring metabolism-poor sensitivity-while preserving the advantage of biochemical information. The purpose of this report was to briefly summarize the known abnormalities in cancer metabolism, the value and limitations of current imaging methods for metabolism, and the principles of hyperpolarization. Recent preclinical applications are described. Hyperpolarization technology is still in its infancy, and current polarizer equipment and methods are suboptimal. Nevertheless, there are no fundamental barriers to rapid translation of this exciting technology to clinical research and perhaps clinical care.
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Metabolic imaging using hyperpolarization of 13C and other stable isotopes has considerable translational potential in human disease because of its high sensitivity, integration with MRI, lack of the need for radioactive tracers, and ability to probe the flux of specific enzymatic reactions in vivo.
“metabolic imaging using hyperpolarization of 13C and other stable isotopes has considerable translational potential in human disease because of its high sensitivity, integration with MRI, lack of the need for radioactive tracers, and in particular its ability to probe the flux of specific enzymatic reactions in vivo (Kurhanewicz et al., 2011).”
From Cellular Metabolism and Disease: What Do Metabolic Outliers Teach Us? (2012) · cites this paper as Kurhanewicz et al., 2011
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Advances in MR Spectroscopy of the Prostate
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Molecular imaging : principles and practice
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DNP-Hyperpolarized 13C Magnetic Resonance Metabolic Imaging for Cancer Applications
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Self-citationPiert, M., Park, H., Khan, A. S., Siddiqui, J., Hussain, H. K., Chenevert, T. L., Wood, D. P., Johnson, T. D., Shah, R. B., & Meyer, C. R. (2009) · Journal of Nuclear Medicine · doi:10.2967/jnumed.109.063396 · Cited by 83 · see citing works
Hyperpolarized 1H NMR Employing Low γ Nucleus for Spin Polarization Storage
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Self-citationFast metabolic imaging of systems with sparse spectra: Application for hyperpolarized 13C imaging
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Keshari, K. R., Kurhanewicz, J. V., Jeffries, R. E., Wilson, D. M., Dewar, B. J., Criekinge, M. V., Zierhut, M. L., Vigneron, D. B., & Macdonald, J. M. (2010) · Magnetic Resonance in Medicine · doi:10.1002/mrm.22225 · Cited by 79 · see citing works
Self-citationHyperpolarized MR Imaging: Neurologic Applications of Hyperpolarized Metabolism
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Imaging of branched chain amino acid metabolism in tumors with hyperpolarized 13 C ketoisocaproate
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Innovations in Radiotherapy Planning of Head and Neck Cancers: Role of PET
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Hyperpolarized Long-T1 Silicon Nanoparticles for Magnetic Resonance ImagingPreprint
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Single‐acquisition sequence for the measurement of oxygen partial pressure by hyperpolarized gas MRI
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Clinical Applications of Proton MR Spectroscopy in Oncology
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Proton magnetic resonance spectroscopy of brain tumors correlated with pathology1
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Hyperpolarized lithium‐6 as a sensor of nanomolar contrast agents
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In vivo proton magnetic resonance spectroscopy of breast lesions: an update
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Proton MRS of the breast in the clinical setting
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Generation of hyperpolarized substrates by secondary labeling with [1,1- 13 C] acetic anhydride
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Accelerated spectroscopic imaging of hyperpolarized C‐13 pyruvate using SENSE parallel imaging
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Producing over 100ml of highly concentrated hyperpolarized solution by means of dissolution DNP
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- Authors
- Kurhanewicz, J., Vigneron, D. B., Brindle, K., Chekmenev, E. Y., Comment, A., Cunningham, C. H., DeBerardinis, R. J., Green, G. G., Leach, M. O., Rajan, S. S., Rizi, R. R., Ross, B. D., Warren, W. S., & Malloy, C. R.
- Affiliations
- University of California, San Francisco (US)
- University of Cambridge (GB)
- Vanderbilt University (US)
- École Polytechnique Fédérale de Lausanne (CH)
- Sunnybrook Health Science Centre (CA)
- The University of Texas Southwestern Medical Center (US)
- University of York (GB)
- Institute of Cancer Research (GB)
- United States Food and Drug Administration (US)
- University of Pennsylvania (US)
- Huntington Medical Research Institutes (US)
- Duke University (US)
- Corresponding author
- Kurhanewicz, John
- ORCID
- Venue
- Neoplasia
- Publisher
- Elsevier BV
- Published
- 2011-02
- Volume
- 13
- Issue
- 2
- Pages
- 81-97
- ISSN
- 1476-5586 (ISSN-L)
- PMC
- PMC3033588
- OpenAlex
- W1912319529
- Cited by
- 681
- References
- 156
- Citations by year
- 2026: 14 · 2025: 13 · 2024: 12 · 2023: 25 · 2022: 20 · 2021: 21 · 2020: 40 · 2019: 40 · 2018: 59 · 2017: 67 · 2016: 78 · 2015: 58 · 2014: 83 · 2013: 64 · 2012: 58
- FWCI
- 33.70
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Neoplasia (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Infoscience (Ecole Polytechnique Fédérale de Lausanne) (submittedVersion)
- Infoscience (Ecole Polytechnique Fédérale de Lausanne) (submittedVersion, cc-by-nc-nd)
- Funders
- University of Pennsylvania
- National Institutes of Health
- National Institute of Standards and Technology
- National Heart, Lung, and Blood Institute
- National Cancer Institute
- National Institute of Diabetes and Digestive and Kidney Diseases
- National Institute of Biomedical Imaging and Bioengineering (R01EB002122)
- National Center for Research Resources (P41RR002584)
- Topics
- Physical Sciences › Chemistry › Spectroscopy › Advanced NMR Techniques and Applications
- Physical Sciences › Physics and Astronomy › Atomic and Molecular Physics, and Optics › Atomic and Subatomic Physics Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolomics and Mass Spectrometry Studies
- Keywords
- cancer metabolism, hyperpolarization, magnetic resonance imaging, metabolic imaging, clinical translation, preclinical applications
- MeSH terms
- Carbon Isotopes, Fumarates, Humans, Magnetic Resonance Imaging, Neoplasms, Biomarkers, Tumor, Pyruvic Acid, Positron-Emission Tomography, Metabolic Networks and Pathways
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