Toxicology Letters, 24 (1985) 171-177
171
Elsevier
TOXLett.
1357
EFFECT OF ALCOHOL INTAKE ON SOME DISTURBANCES INDUCED BY CHRONIC EXPOSURE TO CARBON DISULPHIDE IN RATS, II. BIOCHEMICAL AND ULTRASTRUCTURAL ALTERATIONS IN THE PERIPHERAL NERVES (Carbon
disulphide;
JOLANTA
OPACKA,
ethanol;
peripheral
TERESA
neuropathy;
WRONSKA-NOFER,
rat)
JAN
KOLAKOWSKI*
and
BARBARA
OPALSKA*
Department of Biochemistry and *Department of Pathomorphology, Medicine, Teresy 8, 90-950 Lodz, P.O. Box 199 (Poland) (Received
October
(Accepted
December
26th,
Institute
of Occupational
1984)
21st,
1984)
SUMMARY The effect of chronic studied.
ethanol
Rats were exposed
the last 4 months peripheral
of the experiment.
nerve were estimated
ed. It was shown that EtOH nerves,
(EtOH)
i.e. an increase
ratio) and a decrease
on CSz-induced
Some biochemical
and ultrastructural
augmented
in cholesterol
the alterations
correlates
examinations
peripheral
content.
of Wallerian
of the peripheral
in lipid content
The magnitude
neuropathy
and to 10% EtOH
in rats was
as only drink
during
degeneration
of the
nerves were perform-
provoked
esters and in the ratio of cholesterol
in phospholipid
in the nerves was increased
administration
to 0.8 mg/l CS2 for 12-15 months
by CS2 in the peripheral
esters to free cholesterol
of ultrastructural
changes
induced
(E/F by CSz
by EtOH.
INTRODUCTION A problem of growing interest is the combined effect of EtOH and industrial solvents. So far very little is known about the case of EtOH and carbon disulphide [l], particularly with regard to the nervous system in experimental animals, although it is well known that both CS2 and EtOH are neurotoxic. In our previous study [2] we found that combined exposure to CS2 and EtOH might affect the function of the central nervous system (learning and memory in rats were depressed). Abbreviations:
EtOH,
ethanol;
E/F,
ratio of cholesterol
esters to free cholesterol;
vous system.
0378-4274/85/S
03.30 0 Elsevier
Science
Publishers
B.V.
PNS, peripheral
ner-
172
In the present paper we studied the effect of EtOH on CSz-induced alterations in the peripheral nervous system (PNS) of rats. It has been documented in morphological studies [3,4] that chronic exposure of rats to CS2 produces peripheral neuropathy characterized by the Wallerian-type axonal degeneration in which damage to the axon precedes disintegration of the myelin sheet. The nature of the peripheral neuropathy caused by chronic EtOH intake is a matter for discussion. Some data suggest a primary injury of the axon [5], others myelin degradation [6]. In our former study [7] we found that some biochemical correlates of Wallerian degeneration - i.e. the activity of fl-glucuronidase and the ratio E/F - were affected in C&induced axonopathy, and as the magnitude of these changes was associated with the degree of exposure, they could be useful as biochemical indicators of C&-induced neuropathy. In the present work, the biochemical measurements were supplemented by ultrastructural observations of peripheral nerves of rats. We found that EtOH augmented the disturbances in lipid content provoked by CS2, as well as the ultrastructural changes in the PNS. MATERIALS
AND
METHODS
Female white rats of the Wistar strain inhaled CSZ vapour at a concentration of 0.8 mg/l for 5 h per day, 6 days per week for 12 or 15 months. During the last 4 months of exposure to CS2 the rats were given only 10% EtOH to drink. Water and alcohol consumption was controlled daily. Intake of EtOH during the 4 months of exposure was 7-10 g/kg/day in both ‘EtOH’ and ‘CS2 + EtOH’ groups, without significant differences between those groups, and independent of the exposure period. The control rats were treated and kept in chambers under the same conditions as the exposed animals, without CS2 intoxication. 20 h After the last daily exposure to CS2, the animals were killed by decapitation. After bleeding, the sciatic and tibia1 nerves were isolated. For biochemical evaluation, nerves were frozen immediately in liquid nitrogen, and used for cholesterol, phospholipid and pglucuronidase determination according to the methods described previously [7]. For ultrastructural examination, nerves were fixed in 3,6% glutaraldehyde, postfixed in 1% osmium tetraoxide, processed through increasing concentrations of EtOH and embedded in Epon 812. Semithin sections stained with toluidine blue were prepared for preliminary examination by light microscopy. Thin sections were examined after staining in uranyl acetate and lead citrate, with a JEM 100-C electron microscope. RESULTS
A long-term (12-15 months) inhalation of CSZ vapour evoked in the rat PNS an increase of /3-glucuronidase activity and some disturbances in lipid content (Fig. l), principally an increase in esterified cholesterol and in the E/F ratio. The content of total and free cholesterol, as well as that of phospholipids, was slightly decreased.
173 (A)
200 * 180 160 140. 120 ’ 100. 80.
I
,
T
F
E
E/F
PL
8-GLC
T
F
E
EIF
pL* B-GLG
Fig. 1. Biochemical alterations in the peripheral nerves of rats exposed to EtOH ez.rzq CSZ n and CS2 + EtOH ~cmm,expressed as % control. Mean control values I SD.: total cholesterol (T), 26.0 + 5.1 mg/g tissue; cholesterol esters (E), 1.5 k 0.7 mg/g tissue; E/F ratio, 0.061 + 0.034; phospholipids (PL) as lipid phosphorus, 2.5 -t 0.3 mg/g tissue; @-glucuronidase @GLC), 1.79 & 0.35 pmol/h/g tissue. Number of’ animals per group: 7-10; (A) Rats exposed to 0.8 mg CSz/l air for 12 months and to 10% ethanol in drinking water for the last 4 months of the experiment, (B) Rats exposed to 0.8 mg CSJI air for 1.5months and to 10% ethanol in drinking water for the last 4 months of the experiment. *f’
These changes were more pronounced after 15 months of exposure to CS2. Administration of EtOH only did not significantly affect the above parameters. But EtOH as an additional toxic factor elevated the Iipid alterations induced by CS2; mostly an increase in cholesterol esters and in the E/F ratio as well as, to a lesser extent, a decrease in phospholipids was observed. No effect of EtOH on the changes in ,&glucuronidase activity provoked by CS2 was observed. Biochemical alterations were accompanied by changes in the morphological structure of axons. 4 months’ consumption of 10% EtOH resulted in mild changes in a few axons, in which a decreased number of neurotubules was found. Morphological alterations in myelin fibres of the peripheral nerves of rats exposed to CS2 for 12 months were related to axons and Schwann cells. Increased numbers of neurofilaments, and disappearance of neurotubules in the axoplasm were observed (Fig.2). Multivesicular structures and vacuoles loaded with glycogen were also found in some myelin fibres. Enlargement of rough endoplasmic reticulum canals, activation of Golgi apparatus and large amounts of free ribosomes in the Schwann cells were observed. Injured fibres were phagocytosed by active Schwann cells. The
Fig. 2. The sciatic
nerve of a rat exposed
neurofilaments
(F). Sparse neurotubules
magnification.
Normal
Fig. 3. Semithin
proportions
cross-section
to 0.8 mg C&/l
(T) are seen.
of neurofilaments
of the sciatic
x
air for 12 months.
16600.
Inset: Control
Axoplasm
filled with
sciatic nerve in the same
and neurotubules.
nerve of a rat exposed
to 0.8 mg C&/I
air for 12 months
(A) and that of a rat exposed to 0.8 mg CSz/l air for 12 months and to 10% ethanol in drinking water for the last 4 months of the experiment (B) Increased numbers of enlarged axons are seen in (B) compared to (A).
x 800.
175
morphological alterations in the myelin fibres of CSz-exposed rats after EtOH administration were similar to those induced by CS2 alone, but were found in a greater number of fibres (Fig. 3, A and B). Degenerated fibres were observed, ons were filled with neurofilaments and vesicles of various diameters
in which ax(Fig. 4).
DISCUSSION
C&-induced peripheral neuropathy, classified as filamentous [8], is morphologically characterized by swelling of the axon and accumulation of neurofilaments [3,4]. The biochemical alterations found in this axonopathy in rats are demonstrated by an increase in cholesterol esters, in the E/F ratio and in the activity of P-glucuronidase [7]. In the present paper it was shown that the alterations induced by CS2 in the rat PNS, both biochemical and ultrastructural, were augmented by chronic administration of EtOH. EtOH affected some biochemical correlates of C&-induced neuropathy, mainly the lipid parameters: cholesterol ester content, E/F ratio and, to a lesser extent, phospholipid content. The activity of P-glucuronidase was unaffected by EtOH. All parameters tested in the present study were the correlates of
Fig. 4. The sciatic nerve of a rat exposed to 0.8 mg C&/l ing water for the last 4 months of the experiment. various shapes and sizes. x 16600.
Axon
air for 12 months
and to 10% ethanol
filled with vesicular
and myelin
in drink-
structures
of
176
a second stage of peripheral nerve degeneration, i.e. cell proliferation and chemical degradation of myelin lipids [9]. The ultrastructural changes found in the peripheral nerves of rats exposed to C’S2 and EtOH were qualitatively similar to those observed after CS2 alone. EtOH increased the magnitude of C&-provoked changes which are typical of the axonopathy. No signs of demyelinisation of the nerve fibres were found. These findings indicate that chronic EtOH intake augmented the axon damage induced by CS2. The problem of pathogenesis of combined exposure to CS2 and EtOH on the PNS is interesting. Alcoholic polyneuropathy was often understood to be a consequence of B-vitamin deficiency [ 10,111. The toxic effects of CS2 were also considered to be a result of disturbances in the metabolism of B-vitamins [12,13]. It is possible that the increase in CS2 neurotoxicity due to chronic EtOH administration results from a disturbed balance in vitamin metabolism; this hypothesis should be tested experimentally.
ACKNOWLEDGEMENTS
The authors wish to thank Mrs. Wiesiawa Adamiak and Mrs. Zofia Rudnicka for their technical help. This work was supported by the Polish-American Agreement No. 05-008-2 and by Agreement No. Br. 8.01.76 with the Polish Artificial Fibres Union.
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