Abstract

Background: High protein (HP) diets have been proposed to reduce body weight in humans. The diets are known to alter energy metabolism, which can affect the quality of [18F]FDG PET heart images. In this preclinical study, we therefore explore the impact of a prolonged HP diet on myocardial [18F]FDG uptake. Methods: C57BL/6J (Black six (Bl6)) and apolipoprotein E-deficient (apoE−/−) mice were fed chow, a HP diet, or a low protein (LP) diet for 12 weeks. At baseline and after treatment, the animals were injected with 33.0 MBq of [18F]FDG and a 30 min PET/CT scan was made. Myocardial volume and [18F]FDG uptake were quantified using PET and the % of body fat was calculated from CT. Results: Myocardial [18F]FDG uptake was similar for all diets at the follow-up scan but an increase between baseline and follow-up scans was noticed in the LP groups. Myocardial volume was significantly smaller in the C57BL HP group compared to the other Bl6 groups. Body weight increased less in the two HP groups compared to the chow and LP groups. Body fat percentage was significantly higher in the LP groups. This effect was stronger in C57BL mice (28.7%) compared to apoE−/− mice (15.1%). Conclusions: Myocardial uptake of [18F]FDG in mice is not affected by increased protein intake but [18F]FDG uptake increases when the amount of protein is lowered. A lower body weight and percentage of body fat were noticed when applying a HP diet.

Highlights

  • A high protein diet is an increasingly popular strategy to treat obesity and to change body composition

  • We explored the impact of a prolonged high protein diet on the myocardial uptake of [18 F]FDG, and other relevant physiological parameters, such as myocardial volume, body weight, and the percentage of body fat

  • When comparing the average standardized uptake value (SUV) mean from the chow, low protein (LP), and High protein (HP) groups at the follow-up scan, no significant differences in myocardial [18 F]FDG uptake were found (Figure 1)

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Summary

Introduction

A high protein diet is an increasingly popular strategy to treat obesity and to change body composition. Protein diets have a high satiety value, leading to changes in appetitive signaling and a reduced energy intake, and, consecutively to loss of body weight [1,2]. For assessment of myocardial viability, an increased [18 F]FDG uptake is demanded. High protein (HP) diets have been proposed to reduce body weight in humans. In this preclinical study, we explore the impact of a prolonged HP diet on myocardial [18 F]FDG uptake. Myocardial volume and [18 F]FDG uptake were quantified using PET and the % of body fat was calculated from CT. Results: Myocardial [18 F]FDG uptake was similar for all diets at the follow-up scan but an increase between baseline and follow-up scans was noticed in the LP groups

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