Biomedical Engineering Reference
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(D)
(C)
(B)
PCr
γ
-ATP
Pi
(A)
8.0
6.0
4.0
2.0
0.0
-2.0
(ppm)
Fig. 15.12. In vivo 31 P MSS MT measurements and four spectra acquired from a rep-
resentative human occipital lobe in the absence ( A ) and presence of complete RF sat-
uration on the resonance peak of ( B ) Pi (Step 2), (C) PCr (Step 3) and (D) γ-ATP (Step
1), respectively. The narrow arrows indicate the saturation sites and the wide arrows
indicate the signal reductions due to the magnetization transfer. Adapted from Du et al.
of Ref. (50) .
of PCr
Pi . For instance, the PCr saturation results in
a significant signal reduction for both
ATP
-ATP and Pi as shown
in Fig. 15.12C . All required steady-state saturated magnetiza-
tions can be determined by using the three saturated in vivo 31 P
spectra as shown in Fig. 15.12B-D , and all equilibrium mag-
netizations can be determined by using the control in vivo 31 P
spectrum as shown Fig. 15.12A . The values of these magneti-
zations were used to determine four rate constants ( k 1 , k 2 , k 1
and k 2 ) and four fluxes ( F ATP ase
γ
, F ATP ase
, F CK
f
and F CK
) asso-
r
r
f
ciated with the PCr
Pi exchange in the human brain.
These measured results and the ratios between the forward and
reverse fluxes are summarized in Fig. 15.13 indicating sev-
eral important observations. First, there is no statistical differ-
ence between the forward and reverse exchange fluxes for both
the CK reaction (i.e., F CK
f
ATP
versus F CK
; p = 0.38) and the
r
ATP ase reaction (i.e., F ATP ase
f versus F ATP as r ; p = 0.46) (50) .Sec-
ond, the ratios between the forward and reverse fluxes for the
CK reaction ( F CK
f
F CK
/
=
0. 95
±
0. 12) and the ATP ase reac-
r
tion ( F ATP ase
f
F ATP ase
0. 21) are close to unity. In gen-
eral, the CK fluxes reflect the nonoxidative phosphorylation and
the ATP ase fluxes, in contrast, reflect oxidative phosphorylation.
Both of these phosphorylation pathways can contribute to the
total ATP production flux (i.e., F total
f
/
=
1. 08
±
r
F ATP ase
f
F CK
f
=
+
= 73.9
mol/g/min) and the total ATP utilization flux (i.e., F total
μ
=
r
F ATP ase
F CK
mol/g/min). The ratio between F total
+
= 76.9
μ
r
r
f
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