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The Vivian L. Smith Center for Neurologic Research, Departments of Neurobiology and Anatomy, Neurosurgery, University of Texas Medical School, Houston, Texas 77225
| Abstract |
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opioid receptors. In this study, we report that 1) TBI transiently increases prodynorphin mRNA in the hippocampus, 2) dynorphin peptide immunoreactivity is enhanced for up to 24 hr after TBI and 3) intracerebroventricular infusion of the
receptor antagonist nor-binaltorphimine (nor-BNI) impairs subsequent performance in a spatial memory task. These results suggest that dynorphin action may serve a beneficial role after TBI.
Key Words: dynorphin behavior hippocampus brain trauma kappa receptor
| Introduction |
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TBI causes neuronal depolarization, excessive excitatory neurotransmitter release, and increased intracellular calcium levels (11, 12). These events activate a variety of biochemical cascades, some of which may contribute to neuronal death and dysfunction whereas others participate in neuronal survival, growth, and plasticity pathways, possibly via alterations in gene expression. The prodynorphin gene contains several calcium-responsive enhancer elements in its promotor region, including calcium/cAMP-responsive element, TPA-responsive element, and downstream regulatory element and is highly responsive to calcium levels (1315). The prodynorphin protein is proteolytically processed to generate multiple bioactive dynorphin peptides, which are released after neuronal depolarization and participate in modulating neurotransmitter release, plasticity, long-term potentiation, and learning and memory (16, 17). For instance, dynorphin peptides acting via presynaptic
receptors have been shown to inhibit the release of glutamate from mossy fiber terminals in the hippocampus and alter long-term potentiation (17, 18). Based on its ability to alter neurotransmitter release and hippocampal plasticity, the examination of dynorphin expression and determination of its role in the behavioral deficits observed after brain injury may provide insights into TBI-associated hippocampal dysfunction. Although acute administration of dynorphin A has been reported to worsen neurological outcome (19) and bolus infusions of
-opioid antagonists have been suggested to improve cellular bioenergetics (20), the consequences of long-term infusions of kappa receptor antagonists are not known.
In this study, we examined the time course of prodynorphin mRNA expression as well as dynorphin peptides after lateral cortical impact injury in rodents. Intracerebroventricular administration of nor-binaltorphimine (nor-BNI) for 1 week after the injury adversely affected subsequent performance in a spatial memory task when compared with vehicle-treated controls. Taken together, these data suggest that endogenously generated dynorphin as a result of TBI may be beneficial.
| Materials and Methods |
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Production of Cortical Impact Injury.
All protocols involving the use of animals are in compliance with the National Institutes of Health Guide for the Care and Use of Laboratory Animals and approved by the Institutional Animal Care and Use Committee. A controlled cortical impact device was used to administer brain injury as previously described (21, 22). Briefly, rats were anesthetized with 4% isoflurane and a 2:1 N2O:O2 mixture, intubated, and mechanically ventilated with a 2% isoflurane and a 2:1 N2O:O2 mixture. The rat was then mounted in the injury device stereotaxic frame. The head was held in a horizontal plane, a midline incision was made, and bilateral 6-mm craniectomies were performed midway between the bregma and lambda with the medial edge of the craniectomies 1 mm lateral to the midline. Rats received a single impact at 2.3 mm deformation with an impact velocity of 6 m/s at an angle of 30 degrees from the vertical plane. Core body temperature was maintained at 3738°C by use of a rectal thermometer coupled to a heating pad. Sham rats were anesthetized and received a midline incision but were not injured. After injury or sham operation, the scalp was sutured and animals placed in an oxygenated chamber for monitoring during recovery.
Drug Preparation and Administration.
nor-BNI was prepared as a 1 mg/ml solution in sterile saline. Immediately after injury, animals were given a bolus infusion (2 µl) of either 1 mg/ml nor-BNI (n = 9) or saline (n = 9) into the contralateral lateral ventricle (-0.8 mm from bregma, 1.5 mm lateral to midline, and 4.0 mm below the surface of the skull). After the completion of the bolus injection, a brain infusion cannulae (Alzet) was implanted using the same stereotaxic coordinates as for the bolus injection and secured by dental cement. The cannulae were connected via catheter tubing to a 7-day mini-osmotic pump (Alzet) containing either 1 mg/ml nor-BNI or saline. The pump was placed in a subcutaneous pouch between the scapulas as described by the vendor. A flow moderator maintained the drug delivery at a rate of 1 µl/hr over the 7-day infusion period. On day 7 post-injury, animals were anesthetized with 4 ml/kg Equithesin (250 mM chloral hydrate, 10 mg/ml pentobarbital, 90 mM MgSO4, 10% ethanol, 40% propylene glycol), a small (1 cm) incision was made above the pump, the pump removed, and the catheter tubing cauterized. The incision was sutured and the animal was allowed to recover for an additional 7 days before being tested in the Morris water maze. Control animals for nonspecific effects of nor-BNI were infused and implanted as described above, but were not injured.
Isolation and Quantification of mRNA.
At the indicated time points, animals were killed and the ipsi- and contralateral hippocampi quickly removed while the brain was submerged under ice-cold artificial cerebrospinal fluid (10 mM HEPES, pH 7.2; 1.3 mM NaH2PO4; 3 mM KCl; 124 mM NaCl; 10 mM dextrose; 26 mM NaHCO3; and 2 mM MgCl2), snap frozen and stored at -80°C until required for RNA isolation. The tissue was homogenized in a guanadinium thiocyanate solution, and total RNA was isolated by phenol:chloroform extraction and ethanol precipitation (23). The total RNA concentration in each sample was quantified by ribogreen fluorescence according to the manufacturers protocol (Molecular Probes, Eugene, OR). Five hundred nanograms of total RNA was reverse transcribed for 2 hr at 42°C in a 20-µl reaction containing 50 mM Tris, pH 8.3; 75 mM KCl; 3 mM MgCl2; 10 mM DTT; 2.5 µM random hexamer; 1 mM each dNTP; 20 U RNasin; and 200 U Superscript II reverse transcriptase. To assess RNA samples for potential amplification from genomic DNA contamination, negative control RT reactions containing RNase A in place of the RNasin and reverse transcriptase were included. The level of expression of each target gene was quantified by amplification in triplicate of 1.3 µl of the resulting cDNA in a 30-µl reaction containing 18 mM Tris, pH 8.3; 55 mM KCl; 2 mM MgCl2; 2 mM DTT; 200 nM each oligonucleotide; 10 nM fluorescein; 1:75,000 dilution of Sybr green I; and 2 U AmpliTaq DNA polymerase. The following primer pairs were used for target mRNA quantification:
The amplification protocol consisted of one cycle at 95°C for 3 min followed by 40 cycles of 94°C for 30 s, 60°C (ß-actin) or 65°C (dynorphin) for 1 min, 72°C for 1 min. A melt curve protocol consisting of 70 cycles at 60°C for 10 s, +
0.5°C/cycle, was performed at the end of the amplification. Fluorescence data were acquired with a Bio-Rad iCycler and optical module and analyzed using the iCycler iQ Real-Time Detection System software. For quantification, a standard curve for each gene product was generated using increasing concentrations of cDNA derived from naive hippocampal total RNA to determine the linear range and amplification efficiency. The results for prodynorphin mRNA levels were normalized against the mRNA values obtained for ß-actin. Real-time PCR results were repeated in at least three independent experiments.
Immunohistochemistry.
Animals were killed with an overdose of chloral hydrate (1 g/kg) and transcardially perfused with 150 ml of heparinized phosphate-buffered saline (PBS) followed by 150 ml PBS containing 4% paraformaldehyde and 15% picric acid. Brains were removed and post-fixed overnight in perfusant. Brains were then cryoprotected in a 30% sucrose solution, embedded in OCT (Myers Laboratory), and sectioned into 40-micron thick slices using a cryostat. Free-floating slices were incubated overnight in Dyn A1-8 antibody (0.5 µg/ml) in PBS containing 2% bovine serum albumin, 2% normal goat serum, and 0.2% Triton X-100. Immunoreactivity was detected using a biotinylated anti-rabbit secondary antibody and a streptavidin-HRP conjugate. Immunoreactivity was visualized using a DAB kit (Vector) as described by the vendor. Slices were mounted on microscope slides and cover slipped using 50% glycerol/PBS. Immunohistochemistry results were repeated in at least three independent experiments.
Acute Neurological Assessments.
Acute neurological assessments were performed blind as to the animal treatments. Assessments of simple nonpostural somatosensory functions were conducted by recording the duration of suppression of responses to stimulation (1, 21). The corneal reflex was evaluated by lightly touching the cornea with a cotton swab to elicit an eye blink. The pinna reflex was elicited by pressure applied to the outer ear with a wooden applicator. Forward body movements in response to a tail pinch defined escape. More complex postural somatosensory function was assessed by recording the duration of suppression of the righting response. The righting response was defined as the animals ability to right itself three times consecutively after being placed on its back.
Assessment of Vestibulomotor Performance.
All behavioral tests were conducted blind. For beam balance, animals were pre-assessed by placing them on a narrow wooden beam (2.0 cm wide) and measuring the duration they remained on the beam for a maximum of 60 sec. Before injury, animals were given repeated training until capable of balancing on the beam for three consecutive trials of 60 sec in duration. After injury, animals were given three daily trials on the beam balance task to give an average daily score (24). Paw placement was evaluated by placing the animal on a wire grid (opening size of 2 x 2 cm) and counting the number of foot faults out of a total of 50 steps (25). A foot fault was defined as when a front paw misses and appears below the plane of the grid. Paw placement was repeated three times daily to give an average daily score.
Assessment of Spatial Memory Performance.
All behavioral tests were conducted blind. Cognitive function was examined using the hidden platform version of the Morris water maze (days 1418 post-injury) as described previously (1, 26). Testing began 14 days post-injury to ensure recovery from the pump-removal surgery. For each daily block of four trials, rats were placed by hand facing the wall in the pool. Animals started a trial once from each of four randomized start locations (north, south, west, southwest). Rats were given a maximum of 60 sec to find the platform. If a rat failed to find the platform after 60 sec, it was placed there by the experimenter. All rats were allowed to remain on the platform for 30 sec before being placed in a 37°C warming cage between trials. The intertrial interval was 4 min. Movement within the maze was recorded by use of a video camera and analyzed using a tracking device and software (Chromotrack, San Diego Instruments). After the completion of training, animals were given a 60-sec probe trial in which the platform was removed to determine any nonspatial influences to the water maze performance.
Histopathology.
After the completion of the behavioral testing, animals were overdosed with chloral hydrate (1 g/kg), perfused, and brain slices prepared as outlined in the immunohistochemistry section. To examine neuronal cell layers, sections were immunoreacted with an antibody for the neuron-specific marker NeuN (1 µg/ml) and detected with an anti-mouse-Alexafluor 568 secondary antibody by an experimenter who was kept blind with respect to the treatment. Cannulae placement was verified in representative animals by examination of the cannulae track using cresyl violet stained brain sections.
Statistics.
Data obtained from PCR reactions were normalized to ß-actin mRNA expression levels and compared using a one-way analysis of variance followed by a Student-Newman-Keul post-hoc analysis. Acute neurological reflex scores were compared using a Students t test for unpaired variables. For evaluation of behavioral data, a repeated measures analysis of variance was used to determine group main effects. A Fishers PLSD post-hoc test was used to determine group differences on specific days post-injury. Data were considered significant at P < 0.05. Data are presented as the mean ± S.E.M.
| Results |
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receptor action (29, 30). The duration of administration is based on the following observations: Because increased levels of prodynorphin mRNA were detected as early as 3 hr post-injury, administration of nor-BNI was initiated as soon as possible after the injury. On average, the time required for the preparation of the burr hole, implantation of the infusion syringe and initiation of the infusion was approximately 810 min. The duration of administration was based on our time course of enhanced dynorphin peptide immunoreactivity in the hippocampus, which appeared to remain elevated for at least 24 hr after the injury. A 1-week infusion paradigm was used to minimize any effect of the pump removal surgery on the motor skills testing that was to be performed on days 1-4 post-injury. Immediately after the surgery, a battery of neurological responses was measured (Fig. 3A
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Chronic Administration of the Kappa Antagonist nor-BNI Worsened Spatial Memory Performance.
To assess any effects that nor-BNI may have on Morris maze performance in the absence of injury, groups of uninjured animals were given a bolus, implanted with mini-osmotic pumps and infused for 7 days with either saline or nor-BNI as described above. When tested in the water maze task beginning on day 14 post-implantation, no significant differences in maze performance were detected between the two groups (Fig. 4A
). These animals required only 3 days of hidden platform training (12 trials) to be able to consistently locate the platform in under 10 s. By comparison, saline-treated injured animals required 5 days (20 trials) of training to reach the same performance level (Fig. 4B
). Figure 4B
shows that on the first 2 days of testing, the nor-BNI-treated animals required significantly longer to find the hidden platform compared with the saline-treated controls. By the third day of testing, however, the nor-BNI-treated animals performance in the maze was not significantly different than the control group. Analysis of swimming speed did not reveal any significant differences between the two groups (vehicle = 25.1 ± 1.8 cm/s vs nor-BNI = 27.9 ± 1.4 cm/s; ns) on the first two days of testing. When the injured animals were given a probe trial after the completion of training, no significant difference in latency was detected between the two groups for animals to cross the previous location of the hidden platform (Fig. 4B
), the number of platform crossings or quadrant preference (data not shown).
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After the completion of behavioral studies, animals were killed and brain tissues were used for histopathological analysis. Figure 5A
shows a representative picture of a cresyl violet stained brain section indicating the position of the injury (filled arrow) and the track of the cannulae (open arrow) used for infusion. Figures 5B and 5C
show representative photomicrographs of the hippocampal neuronal cell layers from vehicle and nor-BNI-treated injured animals immunoreacted with the neuron-specific antibody anti-NeuN. Chronic nor-BNI infusion does not appear to cause any overt change in the number of hippocampal neurons or thinning of neuronal layers relative to vehicle-treated controls. In addition, the staining patterns and intensities of the dendritic marker MAP-2a,b,c and the axonal marker synapsin were not grossly altered by the nor-BNI treatment (data not shown). When mRNA samples obtained from the animals used for the behavioral studies were compared for prodynorphin (Fig. 5D
) and kappa receptor levels (data not shown), no differences were found as a result of the nor-BNI treatment.
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| Discussion |
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receptor antagonist, nor-BNI, exacerbated the spatial memory defects observed after cortical impact injury. The findings from this study suggest that dynorphin action may be beneficial after TBI, possibly through their previously established role in limiting neuronal excitability by presynaptic inhibition of glutamate receptor-mediated neurotransmission or voltage-dependent Ca2+ channels (32).
Although studies have been performed to examine the role of dynorphin and opioid receptors after brain injury, these studies examined the influence of acute modulation of dynorphin peptide levels or
receptor function. For example, it has been reported that a bolus injection of dynorphin (Dyn A1-17) 15 min before TBI worsened neurological outcome (19, 33). Similarly, Vink et al. found that a bolus intravenous injection of the
opioid antagonist nor-BNI 30 min post-injury resulted in an improved neurological outcome (20). While these studies suggest a detrimental role for dynorphin, other studies have shown that pretreatment with
receptor agonists (e.g., U50, 488H and GR89696) can protect against ischemic cell death and attenuate neurological deficits (3436). The results from these and other studies have therefore provided contradictory evidence for a putative role of dynorphin in TBI pathophysiology. The results presented in this study using chronic infusion of a
receptor antagonist support the previous evidence indicating that dynorphin action after TBI may play a beneficial role.
The increased levels of prodynorphin mRNA detected in the hippocampus after TBI suggest a transcriptional upregulation of the prodynorphin gene. However, post-transcriptional mechanisms such as enhanced stability of mRNA can also result in increased steady-state mRNA levels. We have previously shown that calcium/cAMP response element binding protein phosphorylation in the granule neurons of the hippocampus is increased as early as 5 min after injury (26). In addition, the binding activity of the transcription factor complex activator protein-1 was also increased as a result of TBI (26). Activation of calcium/cAMP response element binding protein, activator protein-1, and/or other transcription factors, such as downstream regulatory element antagonist modulator, also known as calsenilin, could contribute to the elevated prodynorphin mRNA levels we observed (1315, 37). Although the mRNA was transiently upregulated, the immunoreactivity of dynorphin A1-8 peptides appeared to remain elevated for a prolonged period after the injury. Although qualitative in nature, dynorphin peptide immunoreactivity did not appear to return to control values until the 3-day time point (Fig. 2
). This prolonged increase in immunoreactivity may be due to the sequestration of the dynorphin peptides in synaptic vesicles, resulting in a slower catabolic rate.
Nor-BNI administration did not alter performance in motor and vestibulomotor tasks. However, when tested in the hidden platform version of the Morris water maze, animals treated with nor-BNI for 1 week after injury performed significantly worse than animals treated with vehicle, although no differences in swimming speed were observed. This poor performance was found to be associated with enhanced perimeter swimming (Fig. 4
). This deficit was specific to post-injury administration of nor-BNI, as animals that were infused with nor-BNI but not injured showed no significant difference in performance in the water maze task compared with vehicle-treated controls. Consistent with this, it has been previously shown that intrahippocampal administration of nor-BNI does not affect performance in the Morris water maze task (16). Once effective escape strategies were learned and perimeter swimming abandoned, both injured groups performed equally well.
Although performance in the Morris water maze has been reported to be dependent on hippocampal function, other brain structures may have contributed to the behavioral effects we observed after nor-BNI administration. For example, it has been previously shown that animals receiving lesions of the medial caudate putamen have poor performance in the water maze task, and that this performance is associated with enhanced perimeter swimming during the early phases of acquisition (38). Interestingly, similar deficits in the initial phases of acquisition have also been observed after systemic administration of high-doses of NMDA antagonists, suggesting that perturbations of glutamate signaling and/or neuronal degeneration can elicit thigmotaxic swimming behaviors as a result of impaired spatial search strategies (39). Because nor-BNI was infused into the ventricular system, the present study cannot exclude the involvement of other structures on the behavioral effects we observed for nor-BNI administration after injury. Furthermore, our histological and immunofluorescent examination of hippocampal sections did not reveal any gross cellular or morphological changes within the hippocampal subfields that could be associated with nor-BNI administration (Fig. 5
, data not shown). However, we cannot rule out any effect that enhanced dynorphin expression may have on the ultrastructural modifications and/or altered neuronal plasticity that have been observed after TBI (40, 41).
In summary, the results presented in this study show that the expression of prodynorphin is increased as a result of trauma, and that the blockade of dynorphin action after injury is detrimental for subsequent spatial performance. These results suggest that the enhanced expression of dynorphin after TBI may be an indicator for molecular events occurring in the hippocampus after TBI. However, the mechanism by which this occurs is not known at present. Based on the well-established role of dynorphin in reducing glutamate receptor-mediated neurotransmission and inhibiting voltage-dependent Ca2+ channels, it is possible that transient changes in dynorphin expression reduce these processes and limit the long-term consequences of their action. For example, it has been reported that calcium influx soon after brain trauma can activate calpain and increase the degradation of spectrin leading to delayed axonal failure and disconnection (42). In addition, the use of glutamate antagonists starting as early as 5 min after injury has been reported to decrease neuronal degeneration and reduce water maze deficits testing 11 days post-injury, suggesting that acute alterations in glutamate signaling as a result of trauma may contribute to long-lasting hippocampal dysfunction and memory deficits (43). Future studies aimed at investigating the molecular cascades altered as a result of nor-BNI administration may shed light on the biochemical basis of dynorphin protection.
| Acknowledgments |
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| Footnotes |
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1 To whom requests for reprints should be addressed at Department of Neurobiology and Anatomy, University of Texas Medical School, P.O. Box 20708, Houston, TX 77225. E-mail: p.dash{at}uth.tmc.edu ![]()
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