PMID- 19525881 OWN - NLM STAT- MEDLINE DCOM- 20091117 LR - 20161125 IS - 1473-5628 (Electronic) IS - 0143-3636 (Linking) VI - 30 IP - 9 DP - 2009 Sep TI - Chronic effects of dietary carbohydrate variation on [18F]-2-fluoro-2-deoxyglucose uptake in rodent heart. PG - 675-80 LID - 10.1097/MNM.0b013e32832aa6e8 [doi] AB - PURPOSE: Measured cardiac [F]-2-fluoro-2-deoxyglucose (FDG) activity in human PET scans is variable despite efforts to standardize patient preparation. Heart uptake can obscure chest disease, and is of physiologic interest. Short-term carbohydrate (CHO) restriction can reduce FDG uptake, although unreliably, whereas long-term restriction of CHO has not been systematically studied. It would be valuable to understand FDG hearts' chronic dietary dependence. METHODS: Fifteen Wistar rats (age 4 weeks) were randomized to three diet groups (n = 5) of low (0.1% of total energy), intermediate (52%), and high (78%) CHO content (LC, IC, and HC, respectively). After 4 weeks, blood for ketone bodies (KB), glucose, insulin, and glucagon was obtained, followed in 2 days by whole-body PET with 37 MBq FDG. Diet groups were switched every 4 weeks to control for the effects of dietary order. Heart maximal standardized uptake value was compared among animals. RESULTS: Heart mean maximal standardized uptake value was dramatically reduced for LC (3.4+/-0.4; P<0.001) compared with either IC (10.9+/-0.7) or HC (11.0+/-0.7) (P=NS, IC vs. HC). KB (mumol/l) differed widely (P<0.001) in LC (718.6+/-40.0) versus IC (120.3+/-34.0) and HC (99.2+/-32.1) (P=NS, IC vs. HC), whereas glucose, insulin, and glucagon did not differ among the groups. CONCLUSION: Sustained CHO-restriction results in marked, reproducibly reduced cardiac FDG uptake. Six-fold to seven-fold increased KB concentrations provide alternative substrate to glucose. FAU - Fine, Eugene J AU - Fine EJ AD - Department of Nuclear Medicine, Albert Einstein College of Medicine, Bronx, NY 10461, USA. efine@aecom.yu.edu FAU - Miao, Weibing AU - Miao W FAU - Koba, Wade AU - Koba W FAU - Volek, Jeff S AU - Volek JS FAU - Blaufox, M Donald AU - Blaufox MD LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Nucl Med Commun JT - Nuclear medicine communications JID - 8201017 RN - 0 (Dietary Carbohydrates) RN - 0Z5B2CJX4D (Fluorodeoxyglucose F18) SB - IM MH - Animals MH - Blood Chemical Analysis MH - Body Weight/drug effects MH - Brain/drug effects/metabolism MH - Dietary Carbohydrates/*pharmacology MH - Fluorodeoxyglucose F18/*metabolism MH - Heart/*diagnostic imaging/*drug effects MH - Myocardium/*metabolism MH - Positron-Emission Tomography MH - Rats MH - Rats, Wistar MH - Time Factors EDAT- 2009/06/16 09:00 MHDA- 2009/11/18 06:00 CRDT- 2009/06/16 09:00 PHST- 2009/06/16 09:00 [entrez] PHST- 2009/06/16 09:00 [pubmed] PHST- 2009/11/18 06:00 [medline] AID - 10.1097/MNM.0b013e32832aa6e8 [doi] PST - ppublish SO - Nucl Med Commun. 2009 Sep;30(9):675-80. doi: 10.1097/MNM.0b013e32832aa6e8.