NMR IN BIOMEDICINE NMR Biomed 11, 11–18 (1998) Monitoring of cell volume and water exchange time in perfused cells by diffusion-weighted 1H NMR spectroscopy Josef Pfeuffer, Ulrich FloÈgel and Dieter Leibfritz* Fachbereich Biologie/Chemie, UniversitaÈt Bremen, D-28334, Bremen, Germany Received 12 May 1997; revised 14 August 1997; accepted 26 August 1997 ABSTRACT: Diffusion of intracellular water was measured in perfused cells embedded in basement membrane gel threads. F98 glioma cells, primary astrocytes, and epithelial KB cells were used and were exposed to osmotic stress, immunosuppressiva, the water channel blocker p-chloromercuriobenzenesulfonate (pCMBS), and apoptotic conditions. With diffusion-weighted 1H NMR spectroscopy changes in the intracellular signal could be monitored and quantified with single signal (ss), constant diffusion time (ct), and constant gradient strength (cg) experiments. The temporal resolution of the ss monitoring was 3.5 s with a standard deviation of 0.5% of the signal intensity and 32 s (3%) with ct monitoring, respectively. A mean intracellular residence time of water was determined with the cg experiment to about 50 ms. Changes of this exchange time from (51.9 1.0) to (59.0 1.1) ms were observed during treatment with pCMBS. The changes in the diffusion attenuated signal could be simulated analytically varying the intracellular volume fraction and exchange time by combination of restricted diffusion (Tanner model) and water exchange (Kärger model). This sensitive and noninvasive NMR method on perfused cells allows to determine changes in the intracellular volume and residence time in a simple and accurate manner. Many further applications as anoxia, volume regulation, ischemia and treatment with various pharmaceuticals are conceiveable to follow up their effect on the cell volume and the exchange time of intracellular water. 1998 John Wiley & Sons, Ltd. KEYWORDS: 1H NMR; cell volume; exchange time; intracellular water; F98 glioma cells; primary astrocytes; KB cells; basement membrane gel INTRODUCTION Cell cultures are widely used to study metabolic pathways and serve as an in vitro model which allows much better experimental control of physiological parameters than tissue or in vivo studies. Various cell preparations are known depending upon the aim of the investigation, e.g. cells in suspension or immobilized cells grown on microcarrier beads, in hollow fiber bioreactors or in gel threads.1 Specific interest exists in the potential selection of intracellular information regarding metabolite, ion and water exchange. In order to get knowledge about selected compartments of a biological system2,3 different physical properties as relaxation times, refraction index, impedance or diffusion constants are used. This study focuses on NMR methods which are capable to quantify changes in the intracellular water and its exchange across the cell membrane. Cell volume measurements are mostly carried out by flow cytometry based on light scattering and conductiv*Correspondence to: D. Leibfritz, Universität Bremen, FB2-NW2, D28334, Bremen, Germany. E-mail: [email protected] Abbreviations used: BMG, basement membrane gel; DMEM, Dulbecco’s modified Eagle medium; pCMBS, p-chloromercuriobenzenesulfonate. 1998 John Wiley & Sons, Ltd. ity.4–8 With fluorescence or NMR spectroscopic methods one is able to quantify the intracellular signal by addition of intracellular or extracellular marker,9,10 relaxation11,12 or chemical shift13 reagents. Accurate changes of the cell diameter can also be detected by sophisticated video imaging.14 The intracellular water exchange time and the permeability of the cell membrane are assessable by influx or efflux techniques (using e.g. deuterated or tritiated water15–17 or Li, Na, Cs18–20) and spectroscopic fluorescence or NMR techniques relying on different relaxation21–26 or diffusion properties.27–29 Permeability changes can also be monitored by scattered light intensity measurements.30–32 Some of these methods have the disadvantage to be either applicable to cells in suspension only, which may affect the natural response of normally adherently growing cells, or to require the addition of chemicals to obtain the requested information, which also may exert undesired side effects. Recently, a noninvasive NMR method of acquiring intracellular water and metabolite signals has been described.33–35 The separation of extracellular and intracellular information is achieved using the different diffusion properties of the molecules in the compartments undergoing free and restricted diffusion. Intracellular water diffusion is restricted by the cell membrane and hereby the intracellular diffusion coefficient is apparently CCC 0952–3480/98/010011–08 $17.50 12 J. PFEUFFER, U. FLÖGEL AND D. LEIBFRITZ Table 1. Variation of the physiological parameters p2 and t2 in the analytical model and their effects on the relative intracellular signal intensity Srel. (a)a p2b Sreld (b) t 2 / msc Sreld 50 1.0 55 1.06 60 1.12 (c) p2 t 2 / ms Sreld 0.05 50 1.0 0.055 51.6 1.12 0.06 53.1 1.25 a 0.05 1.0 0.055 1.1 0.06 1.2 0.065 1.3 0.07 1.4 0.10 2.0 65 1.17 70 1.21 100 1.40 0.065 54.6 1.38 0.07 55.9 1.50 0.10 63.0 2.30 the data are plotted in Fig. 1; b t2 = 50 ms = Const; c p2 = 0.05 = Const; d Srel is calculated at b = 20000 s/mm2. lowered up to two orders of magnitude. At high fieldgradient strengths the intracellular signal component can be selected by diffusion-weighted 1H NMR spectroscopy. In this study diffusion-weighted 1H NMR spectroscopy is used to measure the intracellular water signal and to monitor alterations in cell volume and water exchange time on perfused cells. For the NMR measurements, the cells are embedded in basement membrane gel (BMG) threads, a substrate which permits the continuous monitoring of perfused cells over a couple of days under physiological conditions.36 The validity and evidence of the methods is confirmed and restrictions are discussed based on an analytical two-compartment model. MODEL The diffusion attenuation of the water signal measured by the pulsed-field-gradient spin echo technique was recently investigated in extended analytical simulations and experimental studies.37,38 In perfused glioma cells the time-dependence of the intracellular signal gave clear evidence for restricted diffusion at permeable boundaries. The cellular microstructure was characterized by a distribution of propagation lengths, and the mean residence time for intracellular water was determined to about 50 ms. A combination of the Tanner formula39 for restricted diffusion in a box and the Kärger equations40,41 for a two-compartment system with exchange was used for the analytical model calculations. The signal attenuation S = S (q̃2, tD, D1, D2, p2, t2, a, a) was dependent on the experimental parameters q̃2 and tD (q value and diffusion time), on the physiological parameters D1, D2, p2, t2 (extracellular/intracellular diffusion constant, intracellular volume fraction and exchange time), and on the morphological parameter a (box length). A Gaussian distribution of box lengths with mean a and width a was used to account for the complex cellular morphology with regard to cell shape and size. This model is able to describe the effects of physiological changes on the signal attenuation curves during cell swelling. p2 and t2 are varied in the Table 1 (a)–(c) and the resulting relative signal intensity Srel is calculated at b = 20 000 s/mm2. Cell volume Figure 1. Model calculation of the effects of cellular swelling on the diffusion attenuation (ct data) at large b values. The intracellular volume fraction is linearly varied by p2 = [0.05,0.06,¼,0.1]. Model parameters: diffusion constants D1,2 = 3.0/1.010ÿ3 mm2/s, intracellular exchange time t2 = 50 ms, box lengths' distribution a = 5 mm/ a = 10 mm, = 10 ms, tD = 35 ms 1998 John Wiley & Sons, Ltd. p2 Is increased by 100% from p2 = 0.05–0.1 (Table 1(a) and Fig. 1), while t2 = 50 ms and a = 5 mm / a = 10 mm is kept constant (the parameters = 10 ms, tD = 35 ms, and Gmax = 333 mT/m in Fig. 1 correspond to a typical ct experiment as shown in the next section). Srel correlates exactly with the intracellular volume fraction p2 for b > 4000 s/mm2, e.g. increasing p2 from 0.05 to 0.1 increases by 100% S(b > 4000). At small b values the extracellular signal component (free diffusion) mainly has control of the diffusion attenuation. At larger b values the intercept of the second signal component changes with the intracellular volume fraction (restricted intracellular diffusion) whereas the appertaining slope and curvature of the curves remain constant. The apparent, intracellular diffusion coefficient Dapp,intra = 0.027110ÿ3 mm2/s is determined from the negative slopes at b = 20000 s/mm2, which remains constant for all used pp The inherent apparent displacement 2. rapp = 6 Dapp tD is 2.39 mm. NMR IN BIOMEDICINE, VOL. 11, 11–18 (1998) MONITORING OF CELL VOLUME AND WATER EXCHANGE TIME Intracellular exchange time Another point of interest regarding cell physiology are changes in the membrane permeability. The corresponding parameter in the model is the intracellular exchange time which is related to the permeability by the volumeto-surface ratio of the cells.16 As simulated previously37,38 the mean intracellular residence time tintra can be calculated from the negative reciprocal slope of a cg experiment (see below) at larger q values and diffusion times. An increase of t2 from 50 to 100 ms also increases Srel up to 1.4 [Table 1(b)]. Dapp,intra decreases hereby slightly to 0.026510ÿ3 mm2/s (rapp to 2.36 mm). Variations of both parameters p2 and t2 are summarized in Table 1(c). The relative changes of the exchange time t2 are supposed to be proportional to the cubic root of the relative changes in p2 assuming a constant membrane permeability.16 Therefore the effect of t2 becomes much less dominant than the effect of p2, but is not neglegible. Cell swelling simulated by an 100% increase of p2 elevates the relative signal intensity Srel by 130%, which depends furthermore on the b value. Dapp,intra decreases slightly to 0.026910ÿ3 mm2/s and rapp to 2.38 mm. Different to the proposal of van Zijl et al.33 the intracellular volume fraction can not be calculated from the intercept of the second intracellular signal component in a straightforward manner. This model would hold only for completely impermeable cell walls. As intracellular water exchanges, the measured intracellular signal is lowered and the inherent intercept always underestimates the real intracellular volume fraction. Furthermore, as seen in Fig. 1 the extrapolated intercept depends on the chosen b range because the distribution of propagation lengths leads to a curvature of the intracellular signal component. Considering the signal attenuation S (q̃2, tD) as a function of the two independent experimental parameters q value q̃2 and diffusion time tD, leads to the two types of experiments (ct and cg), from which a different Dapp can be calculated: 1 @ ln S ~q2 ; tD ct Dapp : ÿ 1 tD @~q2 tD const Dcg app 1 @ ln S ~q2 ; tD 1 : ÿ 2 ÿ 2 ~ ~q intra q @tD ~ q2 const The interpretation of the data is more difficult because of the physiological situation which is a combination of extracellular free diffusion, intracellular restricted diffusion and exchange. To summarize, analytical modeling shows that the separated intracellular water signal at high diffusion-weighting can be used to monitor changes in intracellular volume and exchange time. Apparent intracellular diffusion coefficients and the mean intracel 1998 John Wiley & Sons, Ltd. 13 lular residence time can be evaluated independently from the slopes of ct and cg experiments, respectively. EXPERIMENTAL Cell cultures and materials The preparation of primary astrocytes, F98 rat glioma42,43 and human epidermoid KB cells for the NMR experiments, the used materials, pulse sequences and the data analysis were previously described.34,37,38,44 Standard culture medium was Dulbecco’s modified Eagle medium (DMEM) supplemented with 40 mm taurine and 5% fetal calf serum. For the NMR measurements, the cells were embedded in BMG threads, transferred under steril conditions into an 8-mm NMR tube with a perfusion insert and were perfused at 310 K with culture medium (1 mL/min) oxygenated with 95% O2/5% CO2. About 108 cells (determined by cell counting) were used in each experiment. An intracellular volume fraction of 0.05 was estimated based on an average cell diameter of 6–8 mM and a sample volume of 0.5 mL. The osmolarity of the media (hypotonic 180 mosm/L, isotonic 300 mosm/L, hypertonic 420 mosm/L) was modified by changing the NaCl concentration. The concentration of the immunosuppressiva (Cyclosporin A, Rapamycin) were 5 mg/mL, of hexadecylphosphocholine (Miltefosine) 70 mM, and of the water channel blocker p-chloromercuriobenzenesulfonate (pCMBS) 0.5 mM. Spectroscopy The diffusion-weighted 1H NMR experiments were conducted on a BRUKER AMX 360 MHz (8.4 T) system. The maximal available gradient strength with the 8-mm probe was 333 mT/m in z-direction. The diffusion-weighted spin echo signals were obtained by a 90°-t-180°-t sequence with unipolar gradients during t. The experimental parameters determining the diffusion attenuation were the gradient duration , the gradient strength G and the separation D of the leading edges of the gradients, which defines the q value as q̃2 = (g G)2, the diffusion time as tD = Dÿ/3, and the b value as b = q̃2 tD. While keeping the RF pulse interval t constant, T2 effects were excluded. Experiments were performed to observe the signal attenuation S dependent on G and D , i.e. the q value and the diffusion time. For ss experiments (single signal) successive signals at a constant G and D were acquired. For ct experiments (constant diffusion time) G was varied and D was kept constant, for cg experiments (constant gradient strength) correspondingly D was varied and G kept constant. To obtain the signal intensity S(G, D) = S(q̃2, tD) we performed a Fourier transformation, NMR IN BIOMEDICINE, VOL. 11, 11–18 (1998) 14 J. PFEUFFER, U. FLÖGEL AND D. LEIBFRITZ an automatic phase correction of the spectra and an integration of the water peak, using a five-point Newton– Cotes integration formula. Monitoring Three methods were used to monitor the intracellular water signal: ct monitoring (constant diffusion time experiment), ss monitoring (single signal at large b value), and cg monitoring (constant gradient experiment). ct Monitoring. In order to monitor the intracellular signal component, consecutive ct data were taken at high b values in the linear range b [15 000…25 000] s/mm2. One ct data set could be acquired in 32 s using 16 points with TR = 1.5 s (including the time for starting the sequence and saving the data). The apparent diffusion ct was calculated from the negative slope of coefficient Dapp ln S vs b value by linear regression. The inherent intercept then was proportional to the changes of the intracellular signal and could be plotted vs experimental time. ss Monitoring. The time resolution while monitoring the intracellular signal could be optimized by recording only a single signal at one singular large b value (b = 15000 s/ mm2) with a time resolution of 3.5 s. Hereby a Dapp could not be calculated, as only one signal was measured at a fixed b value. cg Monitoring. Consecutive cg data were taken at high diffusion times in the range tD = [42.3 …98.3] ms to monitor the mean intracellular exchange time tintra. Using 16 points with TR = 1.5 s the time resolution of 32 s was the same as with ct monitoring. tintra could be calculated from the negative reciprocal slope of ln S vs tD. ct/cg Monitoring. Simultaneous dynamical information about changes of the intracellular volume fraction and of the intracellular exchange time could be received with an alternated ct/cg monitoring. Hereby ct and cg experiments were performed alternately with a total time resolution of 70 s. RESULTS AND DISCUSSION A typical ct experiment on perfused F98 cells embedded in BMG threads is shown in Fig. 2. An apparent diffusion ct can be calculated from the negative coefficient Dapp slope of ln S vs b value. At small b values the signal is due to extracellular, free diffusing water and ct = (2.7 0.2)10ÿ3 mm2/s. At larger b values the Dapp ct = negative slope decreases rapidly to Dapp ÿ3 2 ct (0.060 0.002) 10 mm /s. The low Dapp is caused by the restricted diffusion of water inside the cells, which 1998 John Wiley & Sons, Ltd. Figure 2. Diffusion attenuated signal (ct experiment) vs b value measured on F98 glioma cells ( = 15 ms, tD = 15 ms, T = 306 K). The (apparent) diffusion coef®cients are evaluated at small and large b values from the negative slope by linear regression. The experimental data can not be explained by a simple bi-exponential two-compartment model as indicated by the continuous (linear regression at the limits) and dotted (bi-exponential ®t) lines provides the basis to separate intracellular from extracellular signal contributions and to detect the intracellular signal separately at large b values. As shown by the extrapolated lines at small and large b values in Fig. 2 the experimental data can neither be sufficiently described by the superposition of the two exponential curves (continuous line in Fig. 2), nor by a bi-exponential fit (dotted line). Changes of the intracellular signal component will be considered in the following part as a probe for the intracellular volume and exchange time during exposure to various cellular constraints such as osmotic stress, apoptotic conditions, immunosuppressive stress, and mercury reagents. Preliminary applications of these methods (ct/ss/cg monitoring) have been reported elsewhere.45–48 Other investigations have been carried out during oxygen deprivation, chronical osmotic stress, halted perfusion, hyperammonemia (on F98 cells)49–51, and swell behavior of oocytes (Xenopus laevis) with expressed water channels52. Monitoring changes in the intracellular volume Figure 3(a) shows ct experiments on primary astrocytes under diverse osmotic conditions. After exposure to hypoosmotic medium the astrocytes swell and the signal at large b values is increased. In hyperosmotic medium the cells shrink and signal is decreased. ct Monitoring. In Fig. 3(b) the intercepts of the consecutive ct data are normalized to 100% of the control values in isotonic medium. The standard deviation in control medium is 3%. After exposure to NMR IN BIOMEDICINE, VOL. 11, 11–18 (1998) MONITORING OF CELL VOLUME AND WATER EXCHANGE TIME 15 hypoosmotic conditions cell swelling of the F98 glioma cells is visible within minutes as well as the two-step regulatory volume decrease of the cells.53–57 These cells show a high overshoot of the intracellular signal (10–15 min) immediately after exposure to hypoosmotic medium and a regulatory volume decrease from 165 to 130% within 5 h of exposure to hypoosmotic stress. The calculated apparent intracellular diffusion coefficient remains constant within the experimental signal deviact = (0.0626 0.0005)10ÿ3 mm2/s (control) and tion, Dapp (0.061 0.002)10ÿ3 mm2/s (averaged over 6 h). ss Monitoring. Osmotic swelling and recovery of F98 cells is shown in Fig. 3(c) with a time resolution of 3.5 s. Swelling of the ensemble is achieved within 3 min. The standard deviation of the signal intensity in control medium is 0.53%, which is more than 5-fold better than the ct monitoring in Fig. 3(b). With this sensitive method the temperature dependence of the intracellular water signal has been examined at b = 15000 s/mm2. A decrease in temperature of a few Kelvin only leads to a significant increase of the intracellular signal intensity of 5% / K (measured at 310 K). Therefore the experimental setup demands an accurate temperature control. Figure 4 shows two further applications of ct monitoring, namely astrocyte swelling after exposure to the immunosuppressiva Cyclosporin A and Rapamycin [Fig. 4(a)] and shrinking of KB cells during Miltefosineinduced apoptosis [Fig. 4(b)]. Cyclosporin A induces a significantly larger cell swelling than Rapamycin on ct = (0.051 0.002)10ÿ3 mm2/s). primary astrocytes (Dapp This may reflect the observed secondary neurotoxic effects of these drugs on human patients.58 Apoptosis, the programmed cell death, induced by Miltefosine in KB cells, leads to a considerable volume decrease in the initial stage during the first 4 h upon induction ct = (0.046 0.002)10ÿ3 mm2/s).59,60,61 (Dapp Exchange of intracellular water Figure 3. Monitoring of changes in cell volume under osmotic stress on primary astrocytes (a) and F98 glioma cells (b,c). (a) ct experiments (constant diffusion time) under isoosmotic, hypoosmotic, and hyperosmotic conditions. (b) ct monitoring in the range b = [15108¼24270] s/mm2. (c) ss monitoring (single signal) at b = 15000 s/mm2 with a time resolution of 3.5 s ( = 10 ms, tD = 31.7 ms) 1998 John Wiley & Sons, Ltd. Figure 5 shows a cg experiment on F98 cells with gradient strength G = 250 mT/m. The mean intracellular residence time tintra = (48.6 0.3) ms is calculated from the negative reciprocal slope by linear regression in the range tD = [42.3…100] ms. According to the simulations only the data at high gradient strengths, i.e. large q values, are suitable to determine tintra correctly without extracellular signal contributions.37,38 The apparent intracellular diffusion coefficient is evaluated to ÿ3 mm2/s. Dcg app = (0.046 0.001)10 cg Monitoring. In Fig. 6. an alternated ct / cg monitoring is shown to receive information about cell volume and exchange time of F98 cells under treatment with pCMBS. The ct data of Fig. 6(a) and the cg data of Fig. 6(b) have NMR IN BIOMEDICINE, VOL. 11, 11–18 (1998) 16 J. PFEUFFER, U. FLÖGEL AND D. LEIBFRITZ Figure 4. ct monitoring of changes in cell volume (b = [15108¼24270] s/mm2, = 10 ms, tD = 31.7 ms). (a) Exposition of the immunosuppressiva Cyclosporin A (◊) and Rapamycin (&) to primary astrocytes. (b) Apoptosis, induced in epidermoid KB cells with Miltefosine Figure 5. cg experiment (constant gradient) with F98 glioma cells at gradient strength G = 250 mT/m qÄ2 = 448103 mmÿ2, tD = [17.3¼100] ms, = 10 ms). The mean intracellular residence time is calculated to tintra = (48.6 0.3) ms from the negative, reciprocal slope in the linear range at long diffusion times 1998 John Wiley & Sons, Ltd. Figure 6. Changes in cell volume and intracellular residence time of water upon treatment of F98 with the water channel blocker pCMBS as monitored by alternated ct/cg experiments (ct data: b = [15108¼24270] s/mm2, = 10 ms, tD = 31.7 ms. cg data: tD = [42.3¼98.3] ms, = 8 ms, G = 250 mT/m) been measured alternately. The standard deviation of the ct control is 0.9% and 1.0 ms of the cg control, respectively. Addition of 0.5 mM pCMBS to F98 cells leads to a biphasic swell process, i.e. an initial signal increase to 115% of the control value during the first hour and a further increase to 180% after the second hour of exposure. The intracellular exchange time increases hereby from (51.9 1.0) ms to (59.0 1.1) ms (standard deviation of 20 points). With higher concentrations (2mM) of pCMBS the intracellular signal increases up to 400% which has been observed by ct monitoring and light microscopic image analysis (data not shown).37 pCMBS binds selectively to sulfhydryl groups and is known to block a.o. mercury sensitive water channels,62– 68 e.g. in erythrocytes.25,27 As pCMBS shows several toxic effects onto the cells,69–73 not only the membrane permeability is changed. Initial swelling is probably caused by cell depolarization and inhibition of the Na, NMR IN BIOMEDICINE, VOL. 11, 11–18 (1998) MONITORING OF CELL VOLUME AND WATER EXCHANGE TIME K-ATPase. The second stage of the biphasic process may be explained by a dissociation of cytoskeletal elements permitting the massive swelling under osmotic forces.71 In conclusion, the results show that diffusion-weighted 1 H NMR spectroscopy is capable to monitor changes in cell volume with a time resolution in the order of seconds and can determine the mean residence time of intracellular water directly and noninvasively. The apparent intracellular diffusion coefficient is significantly lowered by the restricted diffusion of the intracellular water which is used to detect the intracellular signal separately. 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