Neurotox Res DOI 10.1007/s12640-016-9669-6
ORIGINAL ARTICLE
Modulation of Postnatal Neurogenesis by Perinatal Asphyxia: Effect of D1 and D2 Dopamine Receptor Agonists A. Tapia-Bustos1 • R. Perez-Lobos1 • V. Vı´o1 • C. Lespay-Rebolledo1 • E. Palacios1 • A. Chiti-Morales1 • D. Bustamante1 • M. Herrera-Marschitz1,2 P. Morales1,2
•
Received: 4 August 2016 / Revised: 6 September 2016 / Accepted: 8 September 2016 Ó Springer Science+Business Media New York 2016
Abstract Perinatal asphyxia (PA) is associated to delayed cell death, affecting neurocircuitries of basal ganglia and hippocampus, and long-term neuropsychiatric disabilities. Several compensatory mechanisms have been suggested to take place, including cell proliferation and neurogenesis. There is evidence that PA can increase postnatal neurogenesis in hippocampus and subventricular zone (SVZ), modulated by dopamine, by still unclear mechanisms. We have studied here the effect of selective dopamine receptor agonists on cell death, cell proliferation and neurogenesis in organotypic cultures from control and asphyxia-exposed rats. Hippocampus and SVZ sampled at 1–3 postnatal days were cultured for 20–21 days. At day in vitro (DIV) 19, cultures were treated either with SKF38393 (10 and 100 lM, a D1 agonist), quinpirole (10 lM, a D2 agonist) or sulpiride (10 lM, a D2 antagonist) ? quinpirole (10 lM) and BrdU (10 lM, a mitosis marker) for 24 h. At DIV 20–21, cultures were processed for immunocytochemistry for microtubule-associated protein-2 (MAP-2, a neuronal marker), and BrdU, evaluated by confocal microscopy.
Some cultures were analysed for cell viability at DIV 20–21 (LIVE/DEAD kit). PA increased cell death, cell proliferation and neurogenesis in hippocampus and SVZ cultures. The increase in cell death, but not in cell proliferation, was inhibited by both SKF38393 and quinpirole treatment. Neurogenesis was increased by quinpirole, but only in hippocampus, in cultures from both asphyxia-exposed and control-animals, effect that was antagonised by sulpiride, leading to the conclusion that dopamine modulates neurogenesis in hippocampus, mainly via D2 receptors. Keywords Neonatal hypoxia Neurogenesis Dopamine receptor Subventricular zone Hippocampus Rat
Introduction Perinatal asphyxia (PA) implies a deregulation of gas exchange resulting in hypoxemia, hypercapnia and metabolic acidosis in vital organs, including the brain (Low
& P. Morales
[email protected]
A. Chiti-Morales
[email protected]
A. Tapia-Bustos
[email protected]
D. Bustamante
[email protected]
R. Perez-Lobos
[email protected]
M. Herrera-Marschitz
[email protected]
V. Vı´o
[email protected] C. Lespay-Rebolledo
[email protected] E. Palacios
[email protected]
1
Programme of Molecular & Clinical Pharmacology, ICBM, Medical Faculty, University of Chile, Av. Independencia 1027, PO Box 8389100, Santiago, Chile
2
Biomedical Neuroscience Institute, BNI, ICBM, Medical Faculty, University of Chile, Santiago, Chile
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1997). Despite important advances in perinatal care, PA remains a severe condition, with high prevalence (1–10/ 1000 live births) worldwide, leading to mortality or longlasting neuropsychiatric dysfunctions in newborns (see Morales et al. 2011; Douglas-Escobar and Weiss 2015; Marriott et al. 2016; Farı´as et al. 2016). The interruption of oxygen supply causes energy failure, triggering a biochemical cascade leading to cell dysfunction and ultimately to cell death, affecting in particular neurocircuitries of basal ganglia and hippocampus (Klawitter et al. 2007; Morales et al. 2008; Neira-Pena et al. 2015). Several compensatory mechanisms have been reported to take place after PA including increased neurogenesis, observed in cornu Amonnis CA1 and dentate gyrus (DG) of hippocampus (Bartley et al. 2005; Morales et al. 2008), subventricular zone (SVZ, located in the lateral wall of the lateral ventricles), (Plane et al. 2004; Ong et al. 2005), striatum (Str) and neocortex (Inta et al. 2015). The effect of PA on cell death, cell proliferation and neurogenesis probably implies long-term deficits in dopamine (DA) systems, which have been shown to be vulnerable to PA (Andersson et al. 1995; Chen et al. 1997a, b; Morales et al. 2011; Lo´pez-Pe´rez et al. 2015). There is a rich network of dopaminergic fibres impinging onto neurogenic niches in DG and SVZ (Verney et al. 1985; Ho¨glinger et al. 2014). In rodents, experimental depletion of DA leads to a decrease of cell proliferation in DG and SVZ (Ho¨glinger et al. 2004), and there is a decrease in the number of neuronal progenitors in DG of patients suffering from Parkinson disease (Ho¨glinger et al. 2004). Also, apomorphine, a non-selective DA agonist, increases neuronal proliferation in DG, together with an increase in the expression of bFGF, growth factor associated to neurogenesis (O’Keeffe et al. 2009; Reuss and Unsicker 2000). DA antagonism has also been shown to induce neural stem/ progenitor cell division (Dawirs et al. 1998; Kippin et al. 2005; Yang et al. 2008; Aponso et al. 2008; Park and Enikolopov 2010), making evident that this issue has to be further investigated. Five dopaminergic receptors have been cloned, coupled to G-proteins, defining two DA receptor families, D1 and D2, based on different intracellular second messengers signalling pathways. The D1 family (D1 and D5 receptors) activates the enzyme adenylate cyclase via a Gs coupled protein, increasing intracellular cAMP levels, while the D2 family (including D2, D3 and D4 receptors) inhibits the same enzyme via a Gi and/or Go coupled protein (Giros et al.1989). A heterogeneous distribution of DA receptors has also been described (see Goldsmith and Joyce 1994; see Bentivoglio and Morelli 2005). A dense-specific amount of D5 has been not only described in DG, but also D2 and D3 receptors, as well as in medial Str, linked to
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the SVZ (Sokoloff et al.1990; Ohtani et al. 2003; Voorn et al. 1988). In proliferative germinal zones of the rat brain, DA receptors can already be observed at early embryonic periods (Lidow and Rakic 1995; Dı´az et al. 1997). Electron microscopy studies showed that neuroblasts (A cells) and transit-amplifying progenitor cells (C cells) express both D1 and D2 receptor subtypes, but the expression of D2 is several times stronger than that of D1 receptors (Ho¨glinger et al. 2004). No DA receptors have been observed on stem cells (B cells; Ho¨glinger et al. 2004). C cells also express the D3 receptor subtype (Dı´az et al.1997). Studies of our laboratory have showed that there is an increase of D2, but a decrease of D1 receptor levels in hippocampus 7 days after PA, although no changes have been observed in D1 or D2 receptor levels in SVZ under the same conditions. Thus, we have studied here the effects of selective DA receptor agonists on hippocampal and SVZ cell death, cell proliferation and neurogenesis using immunohistochemistry for BrdU and MAP-2 (proliferation and neuronal markers) in organotypic cultures from control and asphyxia-exposed rats. We found that dopamine agonists decrease cell death, and that the D2 receptor agonist quinpirole promotes neuronal proliferation, but only in hippocampus, providing a target for therapeutic strategies preventing neurologic and neuropsychiatric sequelae induced by PA.
Materials and Methods Animals Wistar albino rats from the animal station of the Molecular & Clinical Pharmacology Programme, ICBM, Faculty of Medicine, University of Chile, Santiago, Chile, were used along the experiments. The animals were kept on a temperature- and humidity-controlled environment with a 12/12 h light/dark cycle and fed ad libitum, when not used for the experiments, monitoring permanently the well being of the animals by qualified personnel. Ethic Statement All procedures were conducted in accordance with the animal care and use protocol established by a Local Ethics Committee for experimentation with laboratory animals at the Medical Faculty, University of Chile (Protocol CBA# 0389 FMUCH) and by the ad hoc commission of the Chilean Council for Science and Technology Research, (CONICYT), endorsing the principles of laboratory animal care (NIH; N° 86–23; revised 1985).
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Perinatal Asphyxia Pregnant Wistar rats within the last day of gestation (G22) were euthanized by neck dislocation and hysterectomized. One or two pups per rat dam were removed immediately and used as non-asphyxiated caesarean-delivered controls (CS). The remaining foetuses-containing uterine horns were immersed in a water bath at 37 °C for 21 min (asphyxia-exposed rats, AS). Following asphyxia, the uterine horns were incised and the pups excised, stimulated to breathe and after an approximately 60-min observation period on a warming pad, evaluated with a Apgar scale for rats, according to Dell’Anna et al. (1997). Organotypic Culture Different series of rat neonates of both sexes were used for preparing organotypic cultures, one to three days after birth according to Morales et al. (2005). The brain was rapidly removed under sterile conditions and stored in a Petri dish containing Dulbecco’s modified Eagle medium (DMEM; GIBCO BRL, Life Technologies AB, Ta¨by, Sweden). Coronal Sects. (300 lm) were cut by a microslicer (DTK2000, Dosaka CO, Japan; 300 lm thick) and stored in cold DMEM. The SVZ was dissected from a frontal slices. A 0.5–1-mm strip of SVZ tissue apposed to the striatum was dissected under the corpus callosum down to the ventral tip of the lateral ventricle (Lois and Alvarez-Buylla, 1993). Samples from hippocampus and SVZ were placed on a coverslip (NuncThermanox Coverslips; Nunc, Naperville, IL, USA), containing a spread layer of chicken plasma (25 lL), coagulated by bovine thrombin (20/350 lL DMEM, Sigma, St. Louis, MO, USA) (the standard thrombin solution contained 1000 NIH units in 750 lL of H2O). The coverslips were then transferred into sterile Nunc flat CT-tubes containing 750 lL of culture medium, and grown at 35 °C, and 10 % CO2 in a Cell Incubator using a roller device exposing the cultures to gaseous or water phases every minute (Morales et al. 2005; Klawitter et al. 2007). At DIV 3, the medium was changed to a serum-free medium (Neurobasal-A medium supplemented with B27 2 %, GIBCO BRL; glucose 5 mM; L-glutamine 2.5 mM, Sigma). The medium was changed every 3–4 days. In Vitro Monitoring and Cell Viability The progression of the cultures was periodically monitored with an inverted microscope equipped with Hoffmann optics (Nikon T100), taking representative pictures. Some cultures were analysed for cell viability at DIV 20–21 by the LIVE/DEADÒ Viability/Cytotoxicity kit L3224 (Molecular Probes, Eugene, OR, USA), using ethidium-
homodimer (EthD-1) and calcein-acetoxymethyl ester (AM) for labelling dead and alive cells, respectively. Alive cells are distinguished by a green fluorescence produced by the action of intracellular esterases that cleave the AM group, retaining the calcein dye within the alive cells. Dying cells are identified by a red fluorescence produced by EthD-1 entering the cells with damaged membranes and binding to nucleic acids. For quantification, six samples of 1.13 mm2 (*0.02 mm3) per culture were counted, according to Morales et al. (2005). Pharmacological Treatments At DIV 19–20, different groups of cultures (n = 4–5) were treated either with vehicle (0.1 M phosphate-buffered saline, PBS), SKF38393 (10 or 100 lM, D1 agonist, Smith Kline and French Labs, Philadelphia, PA), or quinpirole (10 lM, D2 agonist, LY 171555; Eli Lilly Co, Indianapolis, IN) and BrdU for 24 h. Another group of cultures was treated with sulpiride (Seeman 1980) (10 lM, D2 antagonist, racemic, Laboratoire Etudes et developpment Chimiques, France; dissolved in a drop of ethanol 99 % and diluted in PBS) for 2 h, then treated with quinpirole (10 lM) or vehicle, and BrdU (10 lM) (Sigma, USA) for 24 h, before formalin fixation (paraformaldehyde 4 %, PF; Sigma, in 0.1 M PBS, pH 7.4) for 45 min at 4 °C, rinsed and stored in 0.1 M PBS at 4 °C pending further experiments. Immunohistochemistry Fixed tissue was washed with 0.1 M PBS (3 9 5 min). DNA was denatured using 1 N HCl for 40 min. After washing cycles, the sections were permeabilised with 1 % Triton X-100 in 0.1 M PBS for 10 min, and pre-incubated in a blocking solution (6.5 % normal goat serum, NGS; 2 % bovine serum albumin, BSA; 0.5 % Triton X-100 in 0.1 M PBS) for 1 h at room temperature. A rat anti-BrdU antibody (Abcam ab6326, 1:750 dilutions in blocking solution) was applied overnight at 4 °C. Following extensively washings with 1 % NGS in 0.1 M PBS, cultures were incubated with a goat anti-rat secondary antibody (Alexafluor 488, 1:500 dilution in 1 % NGS in PBS 0.1 M) for 2 h. Then, tissue was washed with 0.5 % Triton X-100 in 0.1 M PBS, for 10 min. For MAP-2 immunohistochemistry, cultures were post-fixed in 4 % PF for 15 min at 4 °C, washed and pre-incubated in blocking solution (2 % horse serum, NHS); 2 % BSA; 0.5 % Triton X-100 in 0.1 M PBS) for 1 h. A chicken anti-MAP-2 antibody (Abcam ab5392, 1:750 dilution in blocking solution) was applied overnight at 4 °C. Following extensively washing with 0.5 % horse serum in 0.1 M PBS, cultures were incubated with goat anti-chicken secondary antibody
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(Alexafluor 594, 1:400) in 0.5 % horse serum in 0.1 M PBS, for 2 h. The tissue was washed, coverslipped with hydrophilic resin (Fluoromount) and examined with confocal microscopy (Olympus-fv10i). Image Processing and Sterologic Analysis Two parameters were quantified: (1) number of BrdU? cells/mm3, and (2) number of BrdU?/MAP-2? cells/mm3, as described by Morales et al. (2005). An investigator blinded to the treatment counted MAP-2? or BrdU? cells. Microphotographs (5–6) were taken from hippocampus or SVZ areas in the field of a confocal-inverted Olympusfv10i microscope with a 609 objective lens (NA 1,2). The area inspected was 0.04 mm2. The thickness (Z axis) was measured for each case. The number of cell proliferation was estimated by counting BrdU? cells, and neurogenesis by counting double labelled MAP-2?/BrdU? cells, expressed as cells/mm3, in cultures from CS and AS (n = 4–5), using ImageJ software. Cells were considered double-labelled when MAP-2 and BrdU immunoreactivity overlapped at four levels through a section (Z-step 1 lm). Statistical Analysis Values are expressed as mean ± SEM. Data were analysed by a proper Student’s t test, using GraphPad Prism software. *p \ 0.05 level, critical for statistically significant differences.
Results Perinatal Asphyxia An Apgar scale was applied approximately 60 min after delivery. Following 21 min of PA, the rate of survival was *70 %. Surviving pups showed a decreased respiratory frequency supported by gasping, decreased vocalisation, cyanotic skin, akinesia and rigidity (see Table 1). Organotypic Cultures In Vitro Evaluation and Cell Viability Organotypic cultures obtained from CS (n = 30) and AS (n = 30) neonates were monitored, assessing development on the coverslip (pictures were taken at DIV 1, 3, 11, 18 and 20–21 with a Nikon digital camera). At DIV 1, thickness of organotypic cultures was 300 lm, decreasing to *45 lm at DIV 20–21, measured at the stage of the confocal microscope (Z- axis). Hippocampus cultures (Fig. 1a, b) preserved the typical layering and the tissue structure, whereas SVZ cultures (Fig. 1c, d) became fused
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and integrated, adopting a circular shape at DIV 7. No differences in coverslip adhesion or development were observed in hippocampus or SVZ organotypic cultures from CS or AS animals, as previously reported (Morales et al. 2005). At DIV 20–21, a viability test was applied, one sample for each culture series. Many alive (green fluorescence, calcein-AM), but only some few dead (red fluorescence, EThD-1?) cells were observed in hippocampus (Fig. 2a) and SVZ (Fig. 2b) organotypic cultures from CS animals. The amount of dead cells/mm3 increased in cultures from AS, compared to that observed in vehicle-treated CS animals, both in hippocampus (*1.5 X; CS: 7418 ± 494.3 (n = 4); AS: 12395 ± 1341 cells/mm3 (n = 4); t = 3.482 df = 6, p \ 0.007) (Fig. 2c) and SVZ ([2 X; CS: 11195 ± 1419 (n = 3); AS: 27808 ± 5801 cells/mm3 (n = 5); t = 2.129 df = 6, p \ 0.0387) (Fig. 2d). Cell Death (EThD-11) Compared to the effect by the vehicle, SKF38393 (10 lM, SKF) treatment did not significantly affect the number of dying (EThD-1?) cells in hippocampus or SVZ from CS animals, but SKF38393 decreased the number of dying cells in hippocampus (by 70 % AS: 12395 ± 1341 (N = 4); ASKF: 3791 ± 1518 cells/mm3 (n = 4); t = 4.248 df = 6, p \ 0.0027) and SVZ (by 60 %, AS: 27808 ± 5801 (n = 5); ASKF: 11597 ± 2252 cells/mm3 (n = 5); t = 2.605 df = 8, p \ 0.0157) from AS animals compared to the corresponding vehicle condition (Fig. 2c, d). The number of EThD-1?cells/mm3 in hippocampus was decreased by quinpirole (10 lM, Q), compared to that produced by the vehicle, in cultures from both CS (CS: 7418 ± 494.3 (N = 4); CQ: 4396 ± 872.5 cells/mm3 (n = 4); t = 3.013 df = 6, p \ 0.0118) and AS animals (AS: 12395 ± 1341 (N = 4); AQ: 7051 ± 952.2 (n = 4); t = 3.249 df = 6, p \ 0.0087) (Fig. 2c). The effect of quinpirole in SVZ was only observed in cultures from AS animals (AS: 27808 ± 5801(n = 5); AQ: 11597 ± 2252 cells/mm3 (n = 5); t = 1.822 df = 8, p \ 0.05) (Fig. 2d). Cell Proliferation (BrdU1- Cells) At DIV 19, cultures were treated with vehicle, SKF38393 (10–100 lM), and/or quinpirole (10 lM) for 24 h, formalin fixed, and processed for immunocytochemistry using antibodies for MAP-2 and BrdU, evaluated with confocal microscopy. Representative microphotographs obtained by confocal microscopy of hippocampus (Fig. 3a, CS; Fig. 3b, AS) and SVZ (Fig. 4a, CS; Fig. 4b, AS) cultures, treated with vehicle, SKF38393 (10 lM), or quinpirole (10 lM), labelled for BrdU? (green) and MAP-2? (red) cells are shown. Arrows show double BrdU/MAP-2 labelled cells,
Neurotox Res Table 1 An Apgar scale for rodents Parameters
Control (Caesarean-delivered pups; 0 min asphyxia) (m = 26, n = 30)
Asphyxia-exposed pups (21 min asphyxia) (m = 26, n = 30)
5.97 ± 0.70
5.87 ± 0.73
Respiratory frequency (events x min )
78 ± 6
39 ± 22
Presence of gasping* (yes; %)
0%
33 %
Pink–Blue
100 %
0%
Blue–Pink–Blue
0%
100 %
Presence of vocalisations (yes, %) Spontaneous movements** (4, 3, 2, 1, 0)
100 % 4
27 % 0
Body weight (g) -1
Skin colour
An Apgar scale for evaluating the consequences of perinatal asphyxia 60 min after delivery. Data expressed as the mean ± SEM (m number of dams; n number of pups) * Gasping forced reflex inspirations. In control rats gasping is absent after 1 min ** 4 indicates coordinated and spontaneous movements, 0 indicates no movement
Fig. 1 Overview of organotypic cultures from hippocampus (a, b) and subventricular zone, SVZ (c, d). The progression of hippocampus (a, b) and SVZ (c, d) cultures is shown at days in vitro (DIV) 3 and DIV18. Observe that the thickness of organotypic cultures from Hippocampus b and SVZ d was decreased at DIV 18. Hippocampus cultures (b) preserved the typical layering and the tissue, whereas SVZ culture (d) became fused and integrated, adopting a circular shape. (Scale bar: 1000 lm)
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Fig. 2 Viability test of hippocampus and subventricular zone organotypic cultures from control and asphyxia-exposed rats: effect of dopamine agonists. At DIV 20–22, cell viability was evaluated in hippocampus (a) and subventricular zone (SVZ) (b) cultures. ab Representative microphotographs showing alive (Calcein-AM?, green fluorescence) and dead (EThD-1?, red fluorescence, arrows) cells in cultures from control and asphyxia-exposed rats, treated with vehicle, SKF38393 (10 lM) or quinpirole (10 lM), added directly into the culture medium for 24 h, before the viability test. Scale bar:
50 lm. Quantification of EThD-1? cells/mm3 in c hippocampus and d SVZ cultures treated with vehicle, SKF38393 or quinpirole, from control (open bars; N = 3–5) and asphyxia–exposed (filled bars; N = 4–5) rats. *p \ 0.05, **p \ 0.005, Student’s t test. aComparison between vehicle-treated cultures from asphyxia-exposed and control animals; bComparison between treatment and vehicle in cultures from control animals; cComparison between treatment and vehicle in cultures from asphyxia-exposed animals
indicating neuronal proliferation. Differences in size and shape of BrdU? nuclei (round, elongated, small and large nuclei) were observed, probably indicating different cell phenotypes. Stereological analysis revealed that PA induced a significant increase in cell proliferation (BrdU? cells/mm3) in both hippocampus (*1.5X; CS: 38441 ± 2766 (n = 5); AS: 57806 ± 5961 cells/mm3 (n = 5); t = 2.947 df = 8, p \ 0.009) (Fig. 3c) and SVZ (*1.5X, CS: 58117 ± 6389 (n = 5); AS: 77620 ± 6625 cells/mm3 (n = 6); t = 2.092 df = 9, p \ 0.033) (Fig. 4c), compared to the corresponding vehicle-treated CS controls. SKF38393 (10 lM) did not produce any effect on the number of BrdU?-cells in cultures from CS animals, but it appeared to reverse the effect of PA on cell proliferation. In order to verify this effect, the experiment was repeated with 100 lM of SKF38393, at which dose SKF38393
increased BrdU?-cell proliferation in hippocampus (*1.5X, CS: 38441 ± 2766 (n = 5); CSSKF100lM: 57734 ± 5477 (n = 5); t = 3.144 df = 8, p \ 0.007) and SVZ (*1.5X, CS: 58117 ± 6624 (n = 5); CSSKF100lM: 90326 ± 14231 (n = 4); t:2.229 df = 7, p \ 0,03) but only in CS animals when compared to the vehicle (Figs. 3c, 4c). Quinpirole (10 lM) increased cell proliferation in hippocampus ([1.5X; CS: 38441 ± 2766 (n = 5); CQ: 60382 ± 2962 (n = 5); t = 5.415 df = 8, p \ 0.0003) and SVZ ([1.5X; CS: 58117 ± 6389 (n = 5); CQ: 94058 ± 3968 cells/mm3 (n = 5); t = 4.779 df = 8, p \ 0.0007) from CS, compared to vehicle-treated controls, but that effect was not evident in cultures from AS rats, since cell proliferation was already enhanced under the vehicle condition (Figs. 3d, 4d).
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Fig. 3 Cell (BrdU?) and neuronal proliferation (BrdU?/MAP-2?) in hippocampus organotypic cultures from control and asphyxia-exposed rats: effect of dopamine agonists. Representative microphotographs obtained by confocal microscopy showing BrdU? (green) and MAP-2? (red)-cells in hippocampus organotypic culture from control (a) and asphyxia-exposed (b) rats. Arrows show BrdU/MAP-2 double labelling, indicating neuronal proliferation. Scale bar: 20 lm. Stereological quantification of BrdU?cells/mm3 in cultures from control (open bars) and asphyxia-exposed (filled bars) rats, treated with vehicle; SKF38393 (10 and 100 lM) (c); quinpirole (10 lM) and sulpiride ? quinpirole (10 lM each) (d), for 24 h (n = 4–5 for
each group). Stereological quantification of double-labelled (BrdU?/ MAP-2?) cells/mm3 in cultures from control (open bars) and asphyxia-exposed (filled bars) rats, treated for 24 h with vehicle; SKF38393 (10 and 100 lM) (e); quinpirole (10 lM), and sulpiride ? quinpirole (10 lM each) (f) (n = 4–5, for each group). *p \ 0.05, **p \ 0.005, Student’s t-test. aComparison between vehicle-treated cultures from asphyxia-exposed and control animals; b Comparison between treatment and vehicle in cultures from control animals; cComparison between treatment and vehicle in cultures from asphyxia-exposed animals; dComparison between sulpiride ? quinpirole versus quinpirole
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Fig. 4 Cell (BrdU?) and neuronal proliferation (BrdU?/MAP-2?) in SVZ organotypic cultures from control and asphyxia-exposed rats: effect of dopamine agonists. Representative microphotographs obtained by confocal microscopy showing BrdU? (green) and MAP-2? (red)-cells in SVZ organotypic culture from control (a) and asphyxia-exposed (b) rats. Arrows show BrdU/MAP-2 double labelling, indicating neuronal proliferation. Scale bar: 20 lm. Stereological quantification of BrdU?cells/mm3 in cultures from control (open bars) and asphyxia-exposed (filled bars) rats, treated with vehicle; SKF38393 (10 and 100 lM) (c); quinpirole (10 lM) and sulpiride ? quinpirole (10 lM each) (d), for 24 h (n = 4–5 for each
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group). Stereological quantification of double labelled (BrdU?/MAP2?) cells/mm3 in cultures from control (open bars) and asphyxiaexposed (filled bars) rats, treated for 24 h with vehicle; SKF38393 (10 and 100 lM) (e); quinpirole (10 lM), and sulpiride ? quinpirole (10 lM each) (f) (n = 4–5, for each group). *p \ 0.05, **p \ 0.005, Student’s t-test. aComparison between vehicle-treated cultures from asphyxia-exposed and control animals; bcomparison between treatment and vehicle in cultures from control animals; ccomparison between treatment and vehicle in cultures from asphyxia-exposed animals; dcomparison between sulpiride ? quinpirole versus quinpirole
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Neurogenesis (BrdU1/MAP-21) Double labelling revealed that approximately 40 % of BrdU? cells were also positive for MAP-2 in cultures from CS and AS animals (c.f. Figs. 3c, d, 4c, d). The number of BrdU?/MAP-2?-cells was increased in cultures from AS, compared to that from CS animals, but only in hippocampus reached the significance level (CS: 15788 ± 1832 (n = 5); AS: 21855 ± 2236 cells/mm3 (n = 5); t = 2.099 df = 8, p \ 0.0345; Fig. 3e). 100 lM of SKF38393 decreased neurogenesis by *40 %, but only in SVZ from CS animals (CS: 23908 ± 3074 (n = 5); CSKF: 13438 ± 3536 cells/mm3 (n = 5) t = 2.233 df = 7, p \ 0.0304) (see Figs. 3e, 4e). Quinpirole (10 lM) increased neurogenesis in hippocampus from CS animals ([1.7X; CS: 15788 ± 1832 (n = 5); CQ: 28230 ± 3214 cells/mm3 (n = 5); t = 3.363 df = 8, p \ 0.0049), and AS ([1.6X, AS: 21855 ± 2236 (n = 5); AQ 35480 ± 5366 cells/mm3 (n = 5); t = 2.344 df = 8, p \ 0.0236) animals, compared to that observed under the vehicle-treated condition (Fig. 3f). No significant effects were observed in SVZ (see Fig. 4f). D2 Antagonism on the Effect of Quinpirole The effect of sulpiride (10 lM, S), a selective D2 antagonist, was studied on the increase of neurogenesis elicited by quinpirole (10 lM) in hippocampus. Stereological analysis revealed that sulpiride prevented the effect of quinpirole on neurogenesis (BrdU?/MAP-2?-cells) in hippocampus from CS (CQ: 28230 ± 3214 (n = 5); CQ?S: 16860 ± 4164 cells/mm3 (n = 5); t = 2.162 df = 8, p \ 0.0313) and AS animals (AQ: 35480 ± 5366, (n = 5); AQ?S:12608 ± 1463, cells/mm3 (n = 4); t = 3.161 df = 6, p \ 0.0098) (Fig. 3f). No effect was observed on cell proliferation (Fig. 3d).
Discussion In the present study, we investigated the effect of PA on postnatal cell death, cell proliferation and neurogenesis, and on the modulation by DA agonists, in hippocampus and SVZ organotypic cultures. It was found that PA increased cell death, cell proliferation and neurogenesis in hippocampus and SVZ organotypic cultures. Treatment with the DA receptor agonists, SKF38393 (D1) or Quinpirole (D2), decreased significantly cell death in cultures from AS animals, but in cultures from CS animals that effect was only observed after quinpirole, only in hippocampus. Quinpirole increased cell proliferation and neurogenesis in hippocampus from CS animals, but in cultures from AS animals the effect of quinpirole was only
observed on neurogenesis. In SVZ, the effect of quinpirole on cell proliferation was only observed in cultures from CS animals. No effect was observed by a low dose of SKF38393 (10 lM), but 100 lM of SKF38393 produced a decrease of neurogenesis in SVZ from AS animals. No synergism was observed by simultaneously treating with SKF38393 ? quinpirole (10 lM, each) (data not shown). In hippocampus, the effect of quinpirole (10 lM) on neurogenesis was prevented by the selective D2 antagonist sulpiride (10 lM), in cultures from both asphyxia-exposed and control animals. Thus, the present results provide evidence that D2 is the receptor promoting postnatal neurogenesis in hippocampus, but not in SVZ. PA remains a severe clinical condition leading to neonatal mortality, and short- and long-term sequelae in the surviving infants (see Herrera-Marschitz et al. 2014). The pathophysiology underlying these long-term consequences is not fully understood, and there is no, at present, consensus on a therapeutic strategy, apart of hypothermia, showing protection only if started soon after the insult (see Wassink et al. 2014; Sabir and Cowan 2015). Postnatal establishment of neurocircuitries can be disturbed by metabolic insults, including PA, with long-term consequences (Pastuzko 1994; Morales et al. 2003; Klawitter et al. 2007). The dopaminergic pathways are main targets of the present study, implied in striatal and mesolimbic functions (see Herrera-Marschitz et al. 2011), as well as in postnatal neurogenesis (Ho¨glinger et al. 2004; Morales et al. 2011). Previous studies from our laboratory showed that PA induces a decrease in tyrosine hydroxylase (TH)-labelled cells, together with a decrease in cell viability in substantia nigra, suggesting an increased vulnerability of DA cells to hypoxic insult (Neira-Pena et al. 2015; Klawitter et al. 2007; Decker et al. 2003; Morales et al. 2003; Gross et al. 2000, 2005; Chen et al. 1997a, b). Vaarmann et al. (2013) showed that a low concentration of both D1 and D2- receptor agonists had protective effect on glutamate-induced cell death. Particularly, D2 receptor agonists have been shown to be neuroprotective in animal models of global cerebral ischemia (Liu et al. 1995; O’Neill et al. 1998). D2 receptor stimulation is associated with adenylate cyclase inhibition, reducing intracellular Ca?2 levels (Sawada et al. 1998; Vallar et al. 1990), which tamper the role of glutamate-mediated toxicity. In addition, it has been shown that stimulation of DA autoreceptors by D2 agonists may provide neuroprotection by scavenging oxidative radicals (ROS) that are produced by increased DA metabolism (Sawada et al. 1998). D2 receptors modulate the activity of TH, by competing with glutamate on SER19 and SER 40 phosphorylation sites, activating or deactivating the enzyme. Glutamate acts via NMDA receptors, phosphorylating TH via Ser 19 and 40,
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activating the enzyme, while DA inhibits the enzyme, dephosphorylating Ser 40, via D2 autoreceptors (Lindgren et al. 2001, 2003; Castro et al. 1999; Nisenbaum et al.1998; Zackheim and Abercrombie 2001). D2 agonists may also neuroprotect by a receptor independent manner, inducing the synthesis of ROS scavengers (Sawada et al. 1998), or acting themselves as scavengers (Nishibayashi et al. 1996). It has further been discussed that the neuroprotection produced by DA agonists is mediated by neurotrophic factors (Ohta et al. 2010; Fancellu et al. 2003). Another potential target is the vasculature of the CNS (Choi et al. 2006). A direct effect of DA upon the vasculature has been suggested, on the basis of increased cerebral blood flow measured after the administration of apomorphine, a non-selective dopamine receptor agonist (Ingvar et al. 1983). Indeed, DA has direct effects on brain microcirculation, inducing hemodynamic changes of many brain functions (Krimer et al. 1998), which can promote compensatory mechanisms after a hypoxic-ischemic insult. Thus, the neuroprotective effects of DA agonists could explain the decrease in the number of EThD-1? cells/mm3 observed in CS and AS cultures from hippocampus and SVZ (see Fig. 2). Several compensatory mechanisms have been proposed against the deleterious effects elicited by PA, including neurogenesis. Increased neurogenesis has been observed in DG, CA1 and SVZ after hypoxia/ischemia in rats (Jin et al. 2001; Nakatomi et al. 2002; Daval and Vert 2004; Morales et al. 2008; Bartley et al. 2005), as it is also shown here following PA. Neurogenesis was observed only in hippocampus following PA, but not in SVZ (Figs. 3e, 4e). Neurogenesis represented approximately 40 % of the total cell proliferation induced by the insult, supporting previous reports showing that PA induces cell proliferation with both glial and neuronal phenotypes (Morales et al. 2005, 2007, 2008). The involvement of DA on cell proliferation in rodents has been suggested by several studies (Baker et al. 2004; Ho¨glinger et al. 2004). DA regulates cell proliferation during embryonic development (Borta and Ho¨glinger 2007), and its receptors are expressed in the neurogenic regions of the brain (Dı´az et al. 1997). Ohtani et al. (2003) demonstrated that D1 receptor stimulation reduced the entry of progenitor cells to the S phase, whereas D2 receptors promote G1 to S phase entry, thereby driving proliferation. Furthermore, experimental depletion of DA (by DA antagonism, or 6-hydroxydopamine or MPTP lesions) results in decreased cell proliferation, both in hippocampus and SGZ, in rodents (Ho¨glinger et al. 2004; Yang et al. 2008; Khaindrava et al. 2011) and primates (O’Keeffe et al. 2009). D1 receptors might modulate neurogenesis, but indirectly, perhaps via GABAergic neurons (Goffin et al.
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2008). Nevertheless, no effects were observed here by treating with a low dose of SKF38393 (10 lM). 100 lM of SKF38393 produced instead a decrease of neurogenesis in SVZ of CS animals. It has been reported that DA-mediated proliferation is dependent on ciliary neurotrophic factor (CNTF), which is known to promote proliferation in the hipocampus and SVZ (Emsley and Hagg 2003; Yang et al. 2008; Mori et al. 2008). A recent study proposed that DA induces proliferation through Akt and extracellular signal-regulated kinase 1/2 signalling, while other studies suggest that DA stimulates the release of epidermal growth factor (EGF), which is known to promote proliferation of neural stem cells (O’Keeffe et al. 2009; Lao et al. 2013). In agreement, it has been shown that D2 and D3 receptor stimulation promotes proliferation of neural progenitor cells in SVZ (van Kampen et al. 2004) and hippocampus (Hiramoto et al. 2007; Coronas et al. 2004; van Kampen and Robertson 2005). When treated with apomorphine or a combination of D1 and D2 agonists (O’Keeffe et al. 2009; Yang et al. 2008), the expression of growth factors, such as EGF, CNTF and FGF-2, increased, promoting cell proliferation (O’Keeffe et al. 2009). Bromocriptine has also been shown to increase cell proliferation, prevented by sulpiride (Ho¨glinger et al. 2004; Coronas et al. 2004). The D2 receptor agonists, quinpirole and ropinerole, have been shown to reverse a decreased neurogenesis observed after DA de-afferentation, suggesting that postsynaptic D2 receptors regulate CNTF (Ho¨glinger et al. 2004; Yang et al. 2008; Sesack et al. 1994). A cooperation between D1 and D2 receptors on the regulation of bFGF levels has also been suggested, involving neurotrophic cascades contributing to neuronal repair and cell survival, in agreement with a report showing that both apomorphine and quinpirole up-regulate striatal bFGF mRNA levels, which can be prevented by SCH23390 (D1) or haloperidol (D2 antagonists) (Roceri et al. 2001). It has been shown that alterations in dopaminergic neurotransmission differentially increase neuronal expression of c-Fos, an immediate early response gene involved in brain cell proliferation and differentiation (Robertson et al. 1991; Hughes and Dragunow 1995). Activation of D1 and blocking D2 receptors elevates fos mRNA and Fosimmunoreactivity (Robertson and Jian 1995; Robertson and Fibiger 1992; Davoodi et al. 2014). Also, pharmacological studies revealed synergistic c-fos responses to combined D1- and D2-stimulation (Keefe and Gerfen 1995). Recent studies have showed that DA cells located in VTA and SNc innervate differentially the hippocampus and SVZ (Ho¨glinger et al. 2014). Because of their diversity, it is possible to speculate that neurogenic areas are differentially affected by region-specific changes in DA signalling (Ho¨glinger et al. 2014). Furthermore, previous
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studies have shown that there is heterogeneity in the DA systems, in term of trophic factors and neuropeptides, as well as electrophysiological and behavioural properties (Roeper 2013). Therefore, it is expected that neurogenesis induced by DA agonists is different in both neurogenic niches, which is consistent with our results. The present study provides evidence that quinpirole, a D2 agonist, increases neurogenesis in hippocampus following control and asphyxia-exposed conditions, while in the SVZ, the effect of quinpirole was only observed in cultures from CS animals (Fig. 4f), suggesting that the effect of PA abolishes the modulation of neurogenesis by DA, impairing the plasticity of the system in that area. That is a relevant observation, because the effect of PA on delayed cell death can be due to the interruption of postnatal plasticity rather than to a neurotoxic cascade. Modulating neurogenesis by D2 agonists provides perhaps a strategy for restoration of damaged neurocircuitries, which is interesting because there are clinical trials combining indirect and direct DA agonists for reducing longterm deficits associated to perinatal metabolic insults. Acknowledgments Contract Grant sponsors: FONDECYT-Chile 1110263; 1120079; 1170146; 1170074; Millenium Initiative-2010 BNI (P09-015-F; Chile). ATB (#21151232), RPL (#1110263), CLR (#21140281) are CONICYT PhD Fellows; VVM is a MECESUP (UCH0714) fellow. The skillful technical support by Mr Juan Santibanez, Ms Carmen Almeyda is acknowledged. Compliance with Ethical Standards Conflict of Interest All authors declare no conflict of interest on any section of the manuscript.
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