Abstract

Phosphocholine (PC) and total choline (tCho) are increased in malignant breast tumors. In this study, we combined magnetic resonance spectroscopic imaging (MRSI), mass spectrometry (MS) imaging, and pathologic assessment of corresponding tumor sections to investigate the localization of choline metabolites and cations in viable versus necrotic tumor regions in the nonmetastatic MCF-7 and the highly metastatic MDA-MB-231 breast cancer xenograft models. In vivo three-dimensional MRSI showed that high tCho levels, consisting of free choline (Cho), PC, and glycerophosphocholine (GPC), displayed a heterogeneous spatial distribution in the tumor. MS imaging performed on tumor sections detected the spatial distributions of individual PC, Cho, and GPC, as well as sodium (Na+) and potassium (K+), among many others. PC and Cho intensity were increased in viable compared with necrotic regions of MDA-MB-231 tumors, but relatively homogeneously distributed in MCF-7 tumors. Such behavior may be related to the role of PC and PC-related enzymes, such as choline kinase, choline transporters, and others, in malignant tumor growth. Na+ and K+ colocalized in the necrotic tumor areas of MDA-MB-231 tumors, whereas in MCF-7 tumors, Na+ was detected in necrotic and K+ in viable tumor regions. This may be attributed to differential Na+/K+ pump functions and K+ channel expressions. Principal component analysis of the MS imaging data clearly identified different tumor microenvironmental regions by their distinct molecular signatures. This molecular information allowed us to differentiate between distinct tumor regions and tumor types, which may, in the future, prove clinically useful in the pathologic assessment of breast cancers.

Highlights

  • Phosphocholine (PC) and total choline–containing metabolite levels [tCho; glycerophosphocholine (GPC) + PC + free choline (Cho)] are elevated in brain [1], prostate [2, 3], colon [4], and lung tumors [5], in which the most aggressive tumors display the highest PC and tCho levels [6]

  • mass spectrometry (MS) imaging analyses showed a distinct difference in the lipid, and PC distribution of the highly invasive and metastatic, triple-negative MDA-MB-231 breast tumor model compared with the nonmetastatic, estrogen- and progesterone-positive, and ErbB2-negative MCF-7 breast tumor model

  • Previous studies have shown the importance of abnormal PC levels and other choline-related lipid metabolites in cancer cells [11, 20, 22], but the techniques used in these studies were unable to identify distinct tumor regions containing high PC levels

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Summary

Introduction

Phosphocholine (PC) and total choline–containing metabolite levels [tCho; glycerophosphocholine (GPC) + PC + free choline (Cho)] are elevated in brain [1], prostate [2, 3], colon [4], and lung tumors [5], in which the most aggressive tumors display the highest PC and tCho levels [6]. Elevated PC and tCho concentrations in cancers and provide potential therapeutic targets. Choline kinase has already been developed as a target for treatment [5, 12] and a predictive marker for cancer prognosis [5]. It is important to develop diagnostic applications to detect choline metabolites that can be translated to the clinic

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