title: 31P magnetic resonance spectroscopy detection of response-predictive adenosine triphosphate decrease in irradiated radiation-induced fibrosarcoma-1 tumors.
abstract: OBJECTIVE
  In previous phosphorus-31 (31P) magnetic resonance (MR) spectroscopy studies of radiation-induced fibrosarcoma (RIF-1), tumor model single-dose x-ray irradiation was applied at subcurative doses. A more effective x-ray does was used in this study, allowing correlation of treatment efficacy with the early changes observed in the 31P MR spectra of RIF-1 tumors.
  
  
  METHODS
  Subcutaneous RIF-1 tumors of 60 mice were examined by 31P MR spectroscopy shortly before a single localized x-ray dose of 40 Gy and at eight times (2, 12, 24, 48, 72, 120, 168, and 216 hours) thereafter.
  
  
  RESULTS
  Early increases in the relative concentration of inorganic phosphate and decreases in adenosine triphosphate (ATP), most notably at 2 and 12 hours (each P < 0.00001), were observed that lasted up to 48 hours after irradiation. Phosphomonoester and tumor pH showed decreases that reversed even earlier. Reduction of ATP measured at 48 hours after irradiation was, however, correlated with percent tumor shrinkage observed during the subsequent weeks (r = -0.59; P < 0.00001).
  
  
  CONCLUSIONS
  Sustained loss of RIF-1 tumor ATP is predictive of treatment efficacy. Temporary depression of high-energy phosphate in favor of inorganic phosphate does not necessarily lead to cell death.
authors.affiliation: Magnetic Resonance Research Center, Cleveland Clinic Foundation, Ohio, USA.
authors.forename: P E
authors.initials: PE
authors.lastname: Sijens
authors.forename: N J
authors.initials: NJ
authors.lastname: Baldwin
authors.forename: T C
authors.initials: TC
authors.lastname: Ng
mesh_terms: D000255:Adenosine Triphosphate / Q000378:metabolism*; D000818:Animals; D005260:Female; D005354:Fibrosarcoma / Q000378:metabolism* / Q000473:pathology / Q000532:radiotherapy; D009682:Magnetic Resonance Spectroscopy; D051379:Mice; D008809:Mice, Inbred C3H; D009381:Neoplasms, Radiation-Induced / Q000378:metabolism* / Q000473:pathology / Q000532:radiotherapy; D010758:Phosphorus / Q000378:metabolism; D010759:Phosphorus Isotopes; D011829:Radiation Dosage; D012680:Sensitivity and Specificity; D012878:Skin Neoplasms / Q000378:metabolism* / Q000473:pathology / Q000532:radiotherapy; D014965:X-Rays
chemical_list: D010759:Phosphorus Isotopes; D010758:Phosphorus; D000255:Adenosine Triphosphate