Systemic administration of acromelic acid induces selective neuron damage in the rat spinal cord

Systemic administration of acromelic acid induces selective neuron damage in the rat spinal cord

Life Sciences, Vol. 49, pp. PL-91 - PL-96 Printed in the U.S.A. Pergamon Press PHARMACOLOGY LETTERS Accelerated Communication S Y S T E M I C A D M...

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Life Sciences, Vol. 49, pp. PL-91 - PL-96 Printed in the U.S.A.

Pergamon Press

PHARMACOLOGY LETTERS Accelerated Communication

S Y S T E M I C A D M I N I S T R A T I O N OF A C R O M E L I C A C I D I N D U C E S S E L E C T I V E N E U R O N D A M A G E IN THE R A T S P I N A L C O R D

Michiko

S h i n K w a k I, H i t o s h i Aizawa, Ishida*, a n d H a r u h i k o S h i n o z a k i *

N a t i o n a l I n s t i t u t e of N e u r o s c i e n c e , N a t i o n a l C e n t e r of N e u r o l o g y and Psychiatry (NCNP), 4-1-1, O g a w a h i g a s h i , K o d a i r a , T o k y o 187. *The T o k y o M e t r o p o l i t a n I n s t i t u t e of M e d i c a l S c i e n c e , 3 - 1 8 - 2 2 , H o n k o m a g o m e , B u n k y o - k u , T o k y o 113, Japan. (Submitted June 4, 1991; accepted July i0, 1991; received in final form July 23, 1991) Abstract. A single systemic administration of acromelic acid A (ACRO), a novel kainate analogue (kainoid), induces a series of characteristic behavioral changes in association with selective damage of interneurons in the caudal spinal cord in adult rats. When ACRO (5 mg/kg) was systemically administered, rats displayed forced extension of hindlimbs followed by frequent cramps and generalized convulsion. Most rats died during the convulsions without neuropathological change. Two rats developed long-lasting spastic paraparesis which persisted at least 3 months. Neuropathological changes were observed only in the rats with persistent paraparesis, in which neuron damage was identified selectively in small interneurons in the lumbosacral cord. The regional difference between kainate- and ACRO-induced neuron damage suggests the existence of plural kinds of kainate receptor subtypes. Introduction A c r o m e l i c a c i d is r e c e n t l y e x t r a c t e d f r o m a J a p a n e s e p o i s o n o u s m u s h r o o m , C l i t o c y b e a c r o m e l a l g a (ii) a n d a c r o m e l i c a c i d A (ACRO) (Fig. i) is the m o s t p o t e n t a m o n g k n o w n e x c i t a t o r y a m i n o a c i d s in the i s o l a t e d n e w b o r n rat s p i n a l c o r d (9,18). The d e p o l a r i z a t i o n i n d u c e d by A C R O in v i t r o is not a f f e c t e d by N M D A r e c e p t o r a n t a g o n i s t s but c o m p l e t e l y a b o l i s h e d by 6 - c y a n o - 7 - n i t r o q u i n o x a l i n e - 2 , 3 d i o n e (CNQX) (18). S i n c e s y s t e m i c a l l y a d m i n i s t e r e d k a i n a t e i n d u c e s s e l e c t i v e n e u r o n a l e x c i t a t i o n and d a m a g e in the l i m b i c s y s t e m of the rat (14), the p h a r m a c o l o g i c a l a n d s t r u c t u r a l h o m o l o g y w i t h k a i n a t e (Fig. i) i m p l i e s t h a t A C R O w o u l d i n d u c e a n e u r o n d a m a g e s i m i l a r to k a i n a t e in the m a m m a l i a n c e n t r a l n e r v o u s system. T h e s y s t e m i c e f f e c t s of A C R O w e r e h o w e v e r q u i t e d i s t i n c t f r o m t h o s e of k a i n a t e . The p r e s e n t s t u d y r e p o r t s the u n i q u e b e h a v i o r a l a n d n e u r o p a t h o l o g i c a l c h a n g e s in a d u l t rats i n d u c e d by the s y s t e m i c a d m i n i s t r a t i o n of ACRO. Our p r e l i m i n a r y r e s u l t s h a v e b e e n d e s c r i b e d elsewhere (12,17,18). Materials

and Methods

D u e to l i m i t e d a v a i l a b i l i t y of ACRO, we i n j e c t e d A C R O to rats in d o s e s n e a r the p r e s u m e d h a l f l e t h a l d o s e (LDs0). A C R O d i s s o l v e d in b u f f e r e d s a l i n e (pH 7.2) was a d m i n i s t e r e d s y s t e m i c a l l y in a s i n g l e d o s e of 2 to 5.5 m g / k g b o d y w e i g h t into 23 m a l e W i s t a r rats w e i g h ing 1 2 1 - 2 5 1 g (Table). T h r e e rats w e r e v e h i c l e - t r e a t e d . The rats l:To whom all the correspondence should be addressed. 0024-3205/91 $3.00 + .00 Copyright © 1991 Pergamon Press plc

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were left free in an e x p e r i m e n t a l field a f t e r the i n j e c t i o n a n d t h e i r b e h a v i o r s were c a r e f u l l y observed. On the 7th or 86th e x p e r i m e n t a l day, the rats were p e r f u s e d t r a n s c a r d i a l l y w i t h 200 ml of 3% p a r a f o r m a l d e h y d e a n d 0.5 % g l u t a r a l d e h y d e in 0.I M p h o s p h a t e b u f f e r (pH 7.4) u n d e r d e e p p e n t o b a r b i t a l a n e s t h e s i a . W h o l e b r a i n s a n d spinal cords w e r e d i s s e c t e d and b l o c k s of t i s s u e s were t r i m m e d and m o u n t e d in p a r a f f i n and cut into 3 or 5 ~tm sections. S e c t i o n s were s t a i n e d w i t h h e m a t o x y l i n a n d e o s i n (H.E.), K l 0 v e r - B a r r e r a (K.B.) and B o d i a n ' s s i l v e r stains.

H

HOOC=

H

N. ~._0

H

Acromelic acid A

Kainic acid FIG.

1.

For cytometry, sections of 5 ~m t h i c k n e s s w e r e cut f r o m the first sacral segment of the two p a r a p a r e t i c rats a n d of three c o n t r o l rats and s t a i n e d w i t h C r e s y l violet. All the n e u r o n s w i t h a v i s i b l e n u c l e o l u s in ten serial s e c t i o n s were counted. N e u r o n s were a r b i t r a r i l y d i v i d e d into three groups d e p e n d i n g on t h e i r diameter; large (over 20 ~m), i n t e r m e d i a t e (i0 to 20 ~m) a n d small (less than i0 ~tm) . D e g e n e r a t e d n e u r o n s were i d e n t i f i e d by p o o r s t a i n i n g a n d were not counted. M i c r o g l i a s with dark nuclei and a s t r o c y t e s w i t h l i g h t l y s t a i n e d n u c l e i were excluded. Ten serial s e c t i o n s of 5 ~m t h i c k n e s s were cut f r o m e a c h segment b e t w e e n the e i g h t h t h o r a c i c to the first c o c c y g e a l cord of the p a r a p a r e t i c rat s a c r i f i c e d on the 7th day a f t e r the i n j e c t i o n and s t a i n e d w i t h H.E., and the p o s i t i o n of d e g e n e r a t e d n e u r o n s were p l o t t e d on the h o r i z o n t a l axis of the g r a y matter. RESULTS The h a l f lethal dose (LD50) and the m i n i m u m lethal dose a p p e a r e d to be b e t w e e n 5 and 5.5 m g / k g and about 4 mg/kg, r e s p e c t i v e l y . We i n j e c t e d A C R O at a s u b c u t a n e o u s dose of 5 m g / k g in 16 rats and at v a r i o u s d o s e s in 7 rats (Table). At 5 mg/kg, A C R O r e p r o d u c i b l y i n d u c e d a series of b e h a v i o r a l changes, and two rats d e v e l o p e d l o n g - l a s t i n g s p a s t i c p a r a p a r e s i s . A f t e r the i n i t i a l s e d a t i v e stage w h i c h b e g a n s e v e r a l m i n u t e s after the i n j e c t i o n a n d l a s t e d for a p p r o x i m a t e l y 30 min, all rats b e g a n to move t h e i r tails like snake's a n d to b i t e them. Then, t h e i r h i n d l i m b s b e c a m e g r a d u a l l y e x t e n d e d a n d t h e i r b a c k slowly a n t e - f l e x e d w i t h e l e v a t i o n of the hip, w h i c h c o m p e l l e d the rats to walk on toes and led t h e m occasional falls. S u b s e q u e n t l y , rats were s u f f e r e d f r o m a t t a c k s of h i n d l i m b c r a m p w h i c h was i n i t i a l l y i n t e r m i t t e n t but later b e c a m e tonic. This h i n d l i m b cramp r e s e m b l e d s t r y c h n i n e - i n d u c e d t o n i c c o n v u l s i o n , e x c e p t for s p a r i n g the r o s t r a l h a l f of the b o d y a n d displaying righting reflex without respiratory difficulty. About

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1 h after the injection, ten rats were seized by generalized tonicc l o n i c c o n v u l s i o n s t h a t l a s t e d for 1 0 - 4 0 min. S i x r a t s d i e d d u r i n g t h e c o u r s e of t h e c o n v u l s i v e s e i z u r e . O f t h e f o u r s u r v i v i n g rats, two developed complete flaccid paraplegia which continued more than 2 h o u r s . T h e r a t s w e r e a l e r t a n d o c c a s i o n a l l y s q u e a k e d . On t h e f o l l o w i n g days, t h e r a t s d e v e l o p e d p a r a p a r e s i s of s e v e r e s p a s t i c i t y w h i c h was r e i n f o r c e d b y t o u c h i n g or p o k i n g . N o b l a d d e r b o w e l d i s t u r b a n c e was o b s e r v e d . The r a t s c o u l d m o v e u s i n g f o r e l i m b s a n d dragging their hindlimbs. The spastic paraparesis remained u n c h a n g e d u n t i l t h e r a t s w e r e s a c r i f i c e d for the h i s t o p a t h o l o g i c a l TABLE Behavioral

Changes

Sedation Hindlimb Extension Hindlimb Cramp Convulsion Death Persistent Paraparesis

Dosaqe

of A C R O

(mq/kq)

2 (i)

3 (i)

4(2)

5 (16)

1 0 0 0 0 0

1 1 0 0 0 0

2 2 1 1 1 0

16 16 16 I0 6 2

(N)

5.5

Numerals are the number of rats showing the listed behavioral changes after the injection of ACRO. (N): number of rats receiving each dose of ACRO, Convulsion: generalized tonic-clonic convulsion.

FIG.

2

A) Degenerated neuron with pyknotic nucleus (arrow) attached by microglias. H.E. Bar= i0 ~m. B) Degenerated neuron (arrow). Bodian's silver staining. C) Schematic diagram showing the position of degenerated neurons in the spinal segments. Each black circle represents one degenerated neuron appearing in one of 4 sections.

(3) 3 3 3 3 3 0

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a n a l y s i s on t h e 7 t h or 8 6 t h e x p e r i m e n t a l day. The o t h e r t w o surviving rats that transiently developed weak flaccid paraparesis a f t e r t h e c o n v u l s i o n s h o w e d n o r m a l b e h a v i o r o n t h e f o l l o w i n g days. T h e r a t s t h a t r e c e i v e d s m a l l e r d o s e s of A C R O d i s p l a y e d b e h a v i o r a l c h a n g e s t r a n s i e n t l y , a n d t h o s e r e c e i v e d 5.5 m g / k g d u r i n g t h e c o n v u l s i v e a t t a c k (Table).

died

H i s t o l o g i c a l c h a n g e s w e r e d e t e c t e d e x c l u s i v e l y in t w o r a t s t h a t developed persistent spastic paraparesis. There were numerous d e g e n e r a t e d n e u r o n s in the l u m b o s a c r a l s p i n a l s e g m e n t s of t h e rat s a c r i f i c e d on t h e 7 t h d a y a f t e r t h e i n j e c t i o n . D e g e n e r a t e d n e u r o n s were lightly eosinophilic with irregularly shrunken and strongly e o s i n o p h i l i c n u c l e i a n d s e v e r a l m i c r o g l i a s w e r e a t t a c h e d to t h e d e g e n e r a t e d n e u r o n s (Fig. 2a). In s i l v e r s t a i n i n g , n u m e r o u s a r g y r o p h i l i c g r a i n s w e r e o b s e r v e d in t h e c y t o p l a s m of t h e d e g e n e r a t e d neurons whose nuclei were intensely argyrophilic (Fig. 2b) . T h e degenerated n e u r o n s w e r e d i s t r i b u t e d in t h e c o r e p a r t of t h e g r a y m a t t e r in t h e l u m b o s a c r a l s e g m e n t s b u t not in t h e m o r e r o s t r a l s e g m e n t s (Fig. 2c) . The cytometry demonstrated that degenerated neurons were predomi n a n t l y s m a l l n e u r o n s (Fig. 3). In t h e s p i n a l c o r d of t h e p a r a p a r e t i c rat s a c r i f i c e d on t h e 8 6 t h e x p e r i m e n t a l day, no d e g e n e r a t e d

o Z

ioo

I

I

Iooo

Z

~o

> 20 ~ m

10 - 20 ~.m

Total

Laminae I & II

<10 ~ m

Cell Diameter

FIG.

3

Number of neurons in the first sacral segment in the paraparetic rat sacrificed 7 days (7 day) and 86 days (86 day) after the injection of ACRO (5 mg/kg). Columns with bars indicate the mean ± S.D. of the number of neurons appeared in ten sections. *:p<0.05, **:p<0.005, ***:p<0.001 by Student's t-test. Small neurons (diameter
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neurons were o b s e r v e d while small neurons were d e c r e a s e d in n u m b e r (Fig. 3). White columns, ventral roots and large a n t e r i o r horn cells were not a f f e c t e d in either p a r a p a r e t i c rats. These were the c h a r a c t e r i s t i c s o b s e r v e d t h r o u g h o u t the lumbar and sacral segments, while the c e r v i c a l and rostral t h o r a c i c segments were m o r p h o l o g i cally intact. The other structures were intact i n c l u d i n g the areas liable to s y s t e m i c kainate administration, such as the hippocampus, p y r i f o r m a n d e n t o r h i n a l cortices and a m y g d a l o i d nucleus (14), except for a some increase of the i m m u n o r e a c t i v i t y against GFAP in the s t r a t u m m o l e c u l a r e - l a c u n o s u m of CA1 and the CA4 in the parap a r e t i c rat s a c r i f i c e d on the 7th e x p e r i m e n t a l day.

Present e x a m i n a t i o n d i s c l o s e d the s e l e c t i v e d e g e n e r a t i o n of i n t e r n e u r o n s w h i c h r e s u l t e d in p e r s i s t e n t paraparesis. The p r e f e r e n c e of A C R O for the spinal neurons is unique among other kainoids w h i c h have a p r e f e r e n c e for the limbic system. A single systemic a d m i n i s t r a t i o n of kainate induces 'wet dog shakes' and c h a r a c t e r i s t i c limbic motor seizures with d e g e n e r a t i o n of neurons and tissue n e c r o s i s in the limbic system but not in the spinal cord (14). The effects of systemic a d m i n i s t r a t i o n of domoate, a n o t h e r kainoid, are quite similar to those of kainate w i t h p r e f e r e n c e for i n d u c i n g h e a d s c r a t c h i n g b e h a v i o r (19). On the other hand, spastic p a r a p a r e s i s with inducing selective d e g e n e r a t i o n of l u m b o s a c r a l i n t e r n e u r o n s have never b e e n o b s e r v e d after systemic a d m i n i s t r a t i o n of k a i n a t e or domoate. The m o r p h o l o g i c a l a l t e r a t i o n of the d e g e n e r a t e d i n t e r n e u r o n s in the rat w i t h p e r s i s t e n t p a r a p a r e s i s closely r e s e m b l e s that of the h i p p o c a m p a l CA1 p y r a m i d a l cells seen after s y s t e m i c a d m i n i s t r a t i o n of kainate (14) and 'ischemic cell change' (3). Furthermore, severe r i g i d o - s p a s t i c p a r a p a r e s i s a s s o c i a t e d with e x t e n s i v e i n t e r n e u r o n damage in the l u m b o s a c r a l cord is also induced by spinal ischemia in the dog, cat and rat (5,7). The p a t h o l o g i c a l s i m i l a r i t y suggests the p r e s e n c e of a common m e c h a n i s m u n d e r l y i n g the d e l a y e d n e u r o n a l death after b r a i n ischemia (i0) and neuron damage i n d u c e d by the kainoids. Since it seems reasonable to assume that A C R O acts p r i m a r i l y on kainate r e c e p t o r s a c c o r d i n g to p h a r m a c o l o g i c a l studies in vitro (9,15,18), the m a r k e d regional d i f f e r e n c e in n e u r o n a l e x c i t a t i o n and damage b e t w e e n kainate and A C R O would be e x p l a i n e d by a s s u m i n g d i f f e r e n t subtypes of kainate receptors for A C R O and kainate. A C R O causes a significant d e p o l a r i z a t i o n in the spinal dorsal root fibers of the n e w b o r n rat slightly more e f f e c t i v e l y than k a i n a t e (16). Since dorsal root C-fibers of immature rats are e f f e c t i v e l y d e p o l a r i z e d by kainate and domoate but weakly by N M D A or A M P A (1,3), A C R O p o s s e s s e s a c o n s i d e r a b l y h i g h a f f i n i t y for k a i n a t e receptors. A C R O is, however, c o n s i d e r a b l y less potent t h a n kainate in i n h i b i t i n g [3H]kainate b i n d i n g to the rat spinal cord s y n a p t i c m e m b r a n e s (2). Above e v i d e n c e suggests that there is a k a i n a t e r e c e p t o r subtype in the rat spinal cord r e s p o n d i n g p r e f e r e n t i a l l y to A C R O (tentatively called "ACRO receptor"). A human d i s e a s e analogous to the p a r a p a r e t i c rats i n d u c e d by A C R O is 'stiffman syndrome', a p r o g r e s s i v e n e u r o l o g i c a l d i s e a s e c h a r a c t e r i z e d by slowly a s c e n d i n g r i g i d o - s p a s t i c i t y with p a i n f u l

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spasms of limb a n d axial m u s c u l a t u r e (6). The salient n e u r o p a t h o l o g i c a l c h a n g e of s t i f f m a n s y n d r o m e is the m a r k e d loss of spinal i n t e r n e u r o n s a n d e x t e n s i v e g l i o s i s s p a r i n g b o t h large m o t o n e u r o n s in the v e n t r a l h o r n s a n d the c o r t i c o s p i n a l t r a c t (8,20). Since e x c i t a t o r y a m i n o acids are i m p l i c a t e d as a p a t h o g e n e s i s of seveal n e u r o l o g i c a l d i s e a s e s a f f e c t i n g the spinal c o r d i n c l u d i n g a m y o t r o p h i c l a t e r a l s c l e r o s i s (ALS), G u a m A L S - p a r k i n s o n - d e m e n t i a c o m p l e x a n d n e u r o l a t h y r i s m (13), the close s i m i l a r i t y of c l i n i c o p a t h o l o g i c a l p i c t u r e d e s e r v e s s c r u t i n y of the m e c h a n i s m u n d e r l y i n g n e u r o n d a m a g e i n d u c e d by ACRO. Acknowledaements We t h a n k to Prof. H a r u h i s a S h i r a h a m a for the g e n e r o u s gift of A C R O a n d t o Mrs K u m i k o M i u r a for e x c e l l e n t t e c h n i c a l a s s i s t a n c e . This study was p a r t i a l l y s u p p o r t e d by a G r a n t - i n - A i d for S c i e n t i f i c R e s e a r c h a n d a G r a n t - i n - A i d for S c i e n t i f i c R e s e a r c h on P r i o r i t y A r e a s f r o m the M i n i s t r y of Education, S c i e n c e a n d C u l t u r e of Japan. References i. 2. 3. 4. 5. 6. 7. 8. 9. I0. II. 12.

13. 14. 15. 16.

17. 18.

19. 20.

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