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Stroke. 2002;33:2978-2984
Published online before print October 24, 2002, doi: 10.1161/01.STR.0000038093.42512.0F
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(Stroke. 2002;33:2978.)
© 2002 American Heart Association, Inc.


Original Contributions

Endogenous Dopamine Amplifies Ischemic Long-Term Potentiation via D1 Receptors

Emilia Saulle, MD; Diego Centonze, MD; Ana B. Martín, PhD; Rosario Moratalla, PhD; Giorgio Bernardi, MD Paolo Calabresi, MD

From Clinica Neurologica, Dipartimento di Neuroscienze, Università "Tor Vergata," and IRCCS Fondazione Santa Lucia, Rome, Italy (E.S., D.C., G.B., P.C.); and Instituto Cajal, Consejo Superior de Investigaciones Científicas, Madrid, Spain (A.B.M., R.M.).

Correspondence to Paolo Calabresi, MD, Clinica Neurologica, Dipartimento di Neuroscienze, Università "Tor Vergata," Via di Tor Vergata 135, 00133 Rome, Italy. E-mail calabre{at}uniroma2.it


*    Abstract
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*Abstract
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down arrowMaterials and Methods
down arrowResults
down arrowDiscussion
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Background and Purpose— Several observations indicate that, during energy deprivation, endogenous dopamine may become neurotoxic. Accordingly, the nucleus striatum is a preferential site of silent infarcts in humans, and experimental ischemia caused by homolateral carotid occlusion selectively damages this dopamine-enriched brain area. In an attempt to clarify how dopamine takes part in ischemia-induced neuronal damage, we performed in vitro electrophysiological recordings from neurons of the nucleus striatum.

Methods— Intracellular recordings with sharp microelectrodes were performed from corticostriatal slices. Slices were obtained from both rats and wild-type and dopamine D1 receptor-lacking mice. In some experiments, the striatum was unilaterally denervated by injecting the dopamine-specific neurotoxin 6-hydroxydopamine in the homolateral substantia nigra. Dopamine agonists and antagonists, as well as drugs targeting the intracellular cascade coupled to dopamine receptor stimulation, were applied at known concentrations.

Results— Manipulation of the dopamine system failed to affect the membrane depolarization of striatal neurons exposed to combined oxygen and glucose deprivation of short duration, but it reduced the amplitude of postischemic long-term potentiation (LTP) expressed at corticostriatal synapses. In particular, pharmacological blockade or genetic inactivation of D1/cAMP/protein kinase A pathway prevented the long-term increase of the excitatory postsynaptic potential (EPSP) amplitude caused by a transient ischemic episode, while it failed to prevent the increase of the EPSP half-decay coupled to ischemic LTP.

Conclusions— The present data suggest that endogenous dopamine, via D1 receptors, selectively facilitates the expression of ischemic LTP on the AMPA-mediated component of the EPSPs, while it does not alter the expression of this form of synaptic plasticity on the N-methyl-D-aspartate-mediated component of corticostriatal synaptic potentials. Understanding the cellular and molecular mechanisms of ischemia-triggered excitotoxicity offers hope for the development of specific treatments able to interfere with this pathological process.


Key Words: apoptosis • electrophysiology • energy metabolism • excitotoxicity • neuronal plasticity • synapses


*    Introduction
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up arrowAbstract
*Introduction
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down arrowDiscussion
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Among the various neuronal subtypes of the brain, striatal spiny neurons are particularly vulnerable to ischemia.14 Abnormal release of excitatory amino acids is proposed to be a critical factor for neuronal death during ischemia,5,6 and, according to this hypothesis, in the ischemic striatum glutamate and aspartate concentrations increase significantly.79 Moreover, glutamate receptor antagonists prevent ischemic damage in this brain area.1012

Ischemia also causes a large increase in dopamine levels in the striatum,13 and considerable evidence supports the idea that monoamines or their metabolic by-products may become neurotoxic during metabolic impairment, either directly or from interplay with the glutamatergic system.14,15 In an in vitro model of striatal ischemia, for example, reduction of dopamine release has been found to be associated with a better histological outcome,13 and unilateral 6-hydroxydopamine (6-OHDA) lesion of the substantia nigra has been reported to reduce the volume of striatal necrosis induced by middle cerebral artery occlusion.16 Thus, the dopaminergic nigrostriatal pathway could be highly involved in the vulnerability of the striatum to ischemia, and glutamate-dopamine interactions may play a key role in striatal ischemic insult.

We have recently shown that in vitro ischemia (oxygen and glucose deprivation) induces a long-term potentiation (i-LTP) of excitatory glutamatergic transmission at corticostriatal synapses.17 This process depends on the stimulation of both N-methyl-D-aspartate (NMDA) and metabotropic glutamate receptors and includes the activation of mitogen-activated protein kinase ERK via protein kinase C.

In the present study, to investigate the molecular and cellular events associated with dopamine release during energy deprivation, we performed intracellular recordings from spiny neurons of the striatum. We demonstrate that an intricate sequence of intracellular signaling events is activated by the stimulation of D1 dopamine receptors in striatal neurons during a brief in vitro episode of ischemia, which leads to the amplification of i-LTP.


*    Materials and Methods
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up arrowAbstract
up arrowIntroduction
*Materials and Methods
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down arrowDiscussion
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Adult Wistar rats and wild-type and D1 -/- mice were used.18 All animal experiments were conducted in accordance with the 86/609/EEC directive, and all efforts were made to minimize animal suffering and to reduce the number of animals used. The preparation and maintenance of coronal slices have been described previously.4,17,19,20 Briefly, corticostriatal coronal slices (200 to 300 µm) were prepared from tissue blocks of the brain with the use of a vibratome. Slices were incubated in continuously oxygenated saline for 1 to 3 hours before they were placed in the recording chamber of the electrophysiological setup. Only a single slice was transferred to a recording chamber and submerged in a continuously flowing Krebs’ solution (35°C, 2 to 3 mL/min) gassed with 95% O2/5% CO2. To study ischemia in striatal neurons, slices were deprived of glucose by totally removing glucose from the perfusate and by adding sucrose to balance the osmolarity. This solution was gassed with a mixture of 95% N2/5% CO2 instead of the normal gas mixture. In some experiments the osmolarity was balanced by increasing the NaCl concentration.4,2022 Since experiments performed by using these different procedures to replace glucose gave similar results, all the data were pooled. Ischemic solutions entered the recording chamber no later than 20 seconds after a 3-way tap was turned. Complete replacement of the medium in the chamber was accomplished in approximately 90 seconds, as determined by the speed of diffusion of a colored solution. The composition of the control solution was as follows (in mmol/L): 126 NaCl, 2.5 KCl, 1.2 NaH2PO4, 2.4 CaCl2, 11 glucose, 25 NaHCO3. External magnesium ions were omitted to maximize the contribution of NMDA receptors in the induction of i-LTP.17 In all the experiments picrotoxin (200 µmol/L) was added to the external medium to avoid the contamination of the excitatory postsynaptic potentials (EPSPs) by a GABAA-mediated component.

Intracellular recording electrodes were filled with 2 mol/L KCl (30 to 60 M{Omega}). Signals were recorded with the use of an Axoclamp 2A amplifier, displayed on a separate oscilloscope, and stored on a digital system. For synaptic stimulation, bipolar electrodes were used. These stimulating electrodes were located either in the cortical areas close to the recording electrode or in the white matter between the cortex and the striatum to activate corticostriatal fibers.

To obtain unilateral nigrostriatal lesions, rats (anesthetized with 45 mg/kg body wt pentobarbital IP) were injected with 6-OHDA (8 µg/4 µL of saline containing 0.1% ascorbic acid) via a Hamilton syringe through a cannula inserted just rostral to the substantia nigra using stereotaxic coordinates.23 Twenty days later, the rats were tested with apomorphine (0.5 mg/kg SC), and contralateral turns were recorded with automatic rotameters for 3 hours. Only those rats that consistently made at least 200 contralateral turns were used for the electrophysiological studies. Rats were anesthetized with diethyl ether, and brain dissection confirmed that the nigrostriatal pathway was lesioned. This was established by the observation of a >95% loss of dopamine neurons in the substantia nigra compacta and the almost complete absence of dopamine terminals in the striatum. This was monitored with the use of a monoclonal antibody for tyrosine hydroxylase.19,24

Quantitative data on postischemic modifications are expressed as a percentage of the controls, the latter representing the mean of responses recorded during a stable period (15 to 30 minutes) before the ischemic episode. Values given in the text and in the figures are mean±SEM of changes in the respective cell populations. Student’s t test (for paired and unpaired observations) was used to compare the means. The characteristics of action potentials and of current-voltage curves in different experimental conditions were studied with the use of a fast chart recorder and a digital system (Nicolet System 400, Benchtop Waveform Acquisition System).

Drugs were applied by dissolving them to the desired final concentration in saline and by switching the perfusion from control saline to drug-containing saline. D-2-Amino-5-phosphonovalerate (APV) was from Sigma, and 6-cyano-7-nitroquinoxaline-2,3-dione (CNQX), quinpirole, and SKF 38393 were from RBI. Picrotoxin, SCH 23390, L-sulpiride, and forskolin were from Tocris Cookson. H89 was from Calbiochem.

Drugs were applied in the recording chamber for at least 10 minutes before the ischemic period and maintained throughout the experiment. None of the tested drugs affected membrane potential per se (at least n=5 and P>0.05 for each drug; data not shown) or input resistance (at least n=5 and P>0.05 for each drug; data not shown).


*    Results
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up arrowIntroduction
up arrowMaterials and Methods
*Results
down arrowDiscussion
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Characterization of i-LTP
All the data were collected from 150 striatal spiny neurons identified according to their electrophysiological properties.20

In control medium, a brief period (3 minutes) of oxygen and glucose deprivation caused a membrane depolarization associated with a decreased input resistance.17 In the present study all neurons used for data analysis presented a complete recovery to the preischemic resting membrane potential and input resistance values 3 to 6 minutes after the ischemic challenge. On return to control solution, the EPSP amplitude recovered and developed an i-LTP expressed on both the {alpha}-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) and NMDA components of corticostriatal EPSP.17 This form of synaptic plasticity started 4 to 6 minutes after the ischemic insult and lasted throughout the period of observation (usually >30 minutes and up to 3 hours). As expected, the increased amplitude of the EPSP was coupled to an augmented EPSP slope (n=16; P<0.001 at 20, 30, and 50 minutes for the 2 electrophysiological parameters). The EPSP half-decay time increased as well, likely reflecting a differential potentiation of the 2 components of the EPSP, with preferential facilitation of the slow NMDA-mediated part (Figure 1).



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Figure 1. Pharmacological blockade of D1- but not of D2-like receptors alters ischemic LTP. A, Traces show averages of EPSPs recorded from single experiments under control conditions (a), in the presence of the D1-like receptor antagonist SCH 23390 (10 µmol/L) (b), and in the presence of 3 µmol/L L-sulpiride, a D2-like receptor antagonist (c). The 2 superimposed traces show EPSPs before (pre-) the ischemic episode and 30 minutes after (post-ischemia) the insult. B through D, Time course of changes induced by 3 minutes of ischemia (black bar) on EPSP amplitude (B), slope (C), and half-decay time (D) in control conditions in the presence of SCH 23390 and L-sulpiride. E and F, Time course of membrane potential (E) and input resistance changes (F) caused by 3 minutes of ischemia in control conditions and after pharmacological manipulations.

Pharmacological Manipulation of Dopamine Receptors on i-LTP
The first step of the study was the analysis of the effects of selective D1- and D2-like dopamine receptor antagonists on i-LTP. The D1-like dopamine receptor antagonist SCH 23390 (10 µmol/L; n=15) fully prevented the potentiation induced by ischemia on EPSP amplitude (P>0.05 at 20, 30, and 50 minutes) but failed to prevent the increase of the half-decay time associated with a control i-LTP (P<0.001 at 20, 30, and 50 minutes). SCH 23390 not only failed to increase EPSP slope observed in control medium but caused an opposite effect on this electrophysiological parameter, ie, a significant reduction (P<0.01 at 20, 30, and 50 minutes). In contrast, L-sulpiride (3 µmol/L; n=15), a D2-like receptor antagonist, failed to affect EPSP amplitude, slope, and half-decay time potentiation induced by ischemia (P<0.001 for the 3 parameters) (Figure 1A to 1D). These receptor antagonists, applied by bath for at least 10 minutes before the ischemic insult, did not modify the changes of membrane potential and input resistance (Figure 1E and 1F) measured before, during, and after the ischemic period (P>0.05; n=15 for each drug). Moreover, neither antagonist altered the EPSP amplitude, slope, and half-decay time measured before the ischemic insult (P>0.05; n=15) (data not shown).

As previously shown,17 i-LTP was dependent on the activation of NMDA glutamate receptors. Accordingly, bath application of APV (50 µmol/L), an NMDA receptor antagonist, fully prevented the induction of i-LTP in striatal spiny neurons (n=5; P>0.05 for EPSP amplitude, slope, and half-decay time) (Figure 2).



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Figure 2. Pharmacological blockade of D1-like receptors does not alter postischemic potentiation of the NMDA receptor-mediated component of EPSPs. The effects of the NMDA receptor antagonist APV (30 µmol/L), the AMPA receptor antagonist CNQX (10 µmol/L), and CNQX (10 µmol/L) plus 10 µmol/L SCH 23390 on the various parameters of postischemic (30 minutes) EPSPs are shown.

Effect of SCH 23390 on i-LTP Recorded in the Presence of AMPA Receptor Antagonism
Both AMPA and NMDA components of the corticostriatal EPSPs are augmented by transient ischemia.17 Given the differential kinetic properties of the 2 ionotropic glutamate receptors, it is conceivable that the selective augmentation of the half-decay time of the EPSP observed in the presence of SCH 23390 is mainly attributable to the facilitation of NMDA-mediated responses. The delayed peak amplitude of the postischemic EPSP also corroborates this hypothesis. Accordingly, we found that SCH 23390 failed to affect i-LTP when this form of synaptic plasticity was induced in the presence of 10 µmol/L CNQX to block AMPA-mediated transmission (n=6 and P<0.01 for amplitude and slope increase in CNQX-bathed slices; n=5 and P<0.01 for amplitude and slope potentiation in CNQX plus SCH 23390-bathed slices) (Figure 2). Interestingly, although i-LTP of isolated NMDA receptor-mediated EPSPs had amplitude and slope changes comparable to those of i-LTP recorded on combined NMDA- and AMPA-mediated EPSPs (control i-LTP), its half-decay time was unaffected compared with the preischemic value, as expected for a synaptic potentiation expressed on a single component of the EPSP (P>0.05 in both CNQX- and CNQX plus SCH 23390-bathed slices) (Figure 2).

Effect of Dopamine Denervation on i-LTP
To further investigate the role of endogenous dopamine in i-LTP, we recorded striatal neurons obtained from 6-OHDA dopamine-denervated rats. In the dopamine-denervated striatal spiny neurons (n=7), the application of ischemia failed to cause long-term changes of the EPSP amplitude (P>0.05), but, in good agreement with the pharmacological experiments, the EPSP slope was decreased (P<0.001) and half-decay time was increased (P<0.001). In dopamine-denervated slices, application of SKF 38393 (10 µmol/L; n=6; P<0.001), a D1-like receptor agonist, restored the ischemia-induced potentiation of the EPSP amplitude, slope, and half-decay time (P<0.001 for the 3 parameters), while no clear effect was achieved by incubation with quinpirole (3 µmol/L; n=6), a D2-like receptor agonist. As expected, the effect of SKF 38392 on 6-OHDA-treated slices was prevented by prior incubation (10 minutes) with 10 µmol/L SCH 23390 (n=4) (Figure 3A). In these lesioned rats, the effects of ischemia on membrane potential and input resistance were not different from those measured in normal animals (Figure 3B and 3C).



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Figure 3. Dopamine denervation by unilateral 6-OHDA lesion prevents i-LTP, which is restored by a D1-like receptor agonist. A, Cumulative data show changes of EPSP amplitude, slope, and half-decay time recorded 30 minutes after ischemia in dopamine-denervated slices; in dopamine-denervated slices plus 10 µmol/L SKF 38393, a D1-like receptor agonist; in dopamine-denervated slices plus 3 µmol/L quinpirole, a D2-like receptor agonist; and in dopamine-denervated slices treated with SKF 38393 and preincubated with the D1-like receptor antagonist SCH 23390. B, Time course of membrane potential changes caused by 3 minutes of ischemia in 3 of the aforementioned experimental conditions. C, Time course of input resistance changes caused by 3 minutes of ischemia in the same experimental conditions.

Role of cAMP and Protein Kinase A in Dopamine-Stimulated i-LTP
Since D1-like receptors increase cAMP levels by stimulating adenylyl cyclase activity,25,26 we tested whether forskolin (10 µmol/L), a selective activator of this enzyme, was able to restore control i-LTP also in the presence of SCH 23390 and dopamine deafferentation, 2 experimental conditions in which D1-like receptors are not stimulated by endogenous dopamine. As expected, bath application (5 to 10 minutes) of forskolin was able to generate full i-LTP even in the presence of SCH 23390 or dopamine denervation (n=5 and P<0.001 in the 2 experimental conditions and for amplitude, slope, and half-decay time potentiation) (Figure 4A).



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Figure 4. Involvement of cAMP and PKA in the D1-like receptor-mediated modulation of i-LTP. A, Bath application of forskolin (10 µmol/L), an activator of adenylyl cyclase, reverses the inhibitory effects of SCH 23390 and dopamine denervation on i-LTP recorded 30 minutes after the ischemic insult. B, Intracellular application of the PKA inhibitor H89 (100 µmol/L) mimics the effects of D1-like receptor blockade in inhibiting i-LTP. Intraelectrode H89 alters neither the membrane potential (C) nor the input resistance changes (D) induced by 3 minutes of ischemia in striatal neurons.

The D1-like receptor-triggered elevation of cAMP results in the stimulation of protein kinase A (PKA). PKA is involved in several forms of synaptic plasticity in various brain areas.2628 Thus, we tested the effect of the selective PKA inhibitor H89 on i-LTP. As seen with SCH 23390- and dopamine-denervated rats, intracellular injection of H89 (100 µmol/L; n=8) blocked the postischemic increase of the EPSP amplitude (P>0.05) but caused a significant reduction of the slope (P<0.001) and an increased half-decay time (P<0.001) (Figure 4B). In addition, intraelectrode application of H89 failed to affect the ischemia-induced changes in membrane potential and input resistance (Figure 4C and 4D).

Analysis of i-LTP in Mice Lacking D1 Receptors
The D1-like dopamine receptor family includes 2 distinct subtypes of receptors, D1 and D5 receptors. Since the available pharmacological tools do not allow discrimination between these 2 subtypes of receptors, we performed electrophysiological experiments in slices obtained from D1 receptor-lacking (D1 -/-) mice. In D1 -/- striatal neurons, transient ischemia reduced the EPSP slope and enhanced the EPSP half-decay time (n=9; P<0.001 for the 2 parameters) without causing significant changes of the amplitude (n=9; P>0.05). As expected, incubation with 10 µmol/L SKF 38393 failed to restore i-LTP in D1 -/- slices (n=4; P>0.05). This suggests, therefore, that endogenous dopamine selectively binds to D1 receptors to produce i-LTP of the EPSP amplitude. Conversely, in normal (wild-type) mice, the potentiation induced by ischemia was expressed on amplitude, slope, and duration of corticostriatal EPSP, as seen in rats (n=8; P<0.001 for the 3 parameters) (Figure 5A and 5B). In both these experimental groups the ischemia-induced changes of membrane potential and input resistance were comparable to those measured in rats (Figure 5C and 5D).



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Figure 5. Involvement of dopamine D1 receptors in striatal i-LTP. A, Traces are corticostriatal EPSP averages recorded from single experiments in wild-type mice (WT) (a) and in mice lacking D1 receptors (b) before (pre-) and 30 minutes after (post-ischemia) a brief ischemic insult. B, Cumulative data on EPSP amplitude, slope, and half-decay time changes recorded 30 minutes after ischemia in wild-type mice, D1 -/- slices, and D1 -/- slices bathed with the D1-like receptor agonist SKF 38393. C, Time course of membrane potential changes caused by 3 minutes of ischemia in wild-type mice, D1 -/- slices, and D1 -/- slices incubated with SKF 38393. D, Time course of input resistance changes caused by 3 minutes of ischemia in wild-type mice, D1 -/- slices, and D1 -/- slices incubated with SKF 38393.


*    Discussion
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up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
*Discussion
down arrowReferences
 
To our knowledge, this study represents the first demonstration that endogenous dopamine plays a pivotal role in amplifying postischemic enhancement of excitatory transmission in the brain. In particular, we demonstrate in this study that stimulation of the D1/cAMP/PKA pathway by endogenous dopamine is a critical event for i-LTP, providing a possible explanation for the toxic effects of this transmitter after energy deprivation and in vivo ischemia. The nucleus striatum is a preferential site of silent infarcts in humans,29 and experimental ischemia caused by homolateral carotid occlusion selectively damages this dopamine-enriched brain area.30

It has been reported that endogenous dopamine, acting on D1-like receptors, controls physiological excitatory transmission in both cortical31,32 and striatal33 neurons. However, our study provides evidence supporting the involvement of D1 dopamine receptors in a pathological form of synaptic plasticity as well.

Although i-LTP requires the activation of NMDA but not AMPA receptors for its induction, it is expressed on both NMDA- and AMPA-mediated components of corticostriatal EPSPs.17 Interestingly, activation of D1 receptors by endogenous dopamine is necessary for the facilitatory and long-lasting effects on the AMPA component but not for the potentiation of the NMDA component of the EPSP. This conclusion is supported by the differential effects produced by the blockade of D1/cAMP/PKA pathway on the amplitude of i-LTP versus the EPSP slope and half-decay time. Accordingly, it is well established that while activation of AMPA receptors is mainly involved in the regulation of EPSP amplitude, the half-decay time of this potential is preferentially determined by the activation of NMDA receptors. Moreover, the slope of the EPSP is finely tuned according to the differential contribution of AMPA and NMDA components.34

The selective modulation exerted by endogenous dopamine on the AMPA-mediated component of the i-LTP may have profound pathophysiological implications. Striatal neurons oscillate in vivo between a depolarized "up" state and a hyperpolarized "down" state.35 It is conceivable that in the "up" state both AMPA and NMDA receptors are activated by glutamate released from corticostriatal terminals, while in the "down" state AMPA receptors are mainly operating. We can assume that a brief episode of ischemia would perturb both states of striatal neurons. In particular, endogenous dopamine, via D1 receptors, would greatly amplify AMPA transmission, transforming the normal oscillatory behavior in a persistent depolarized condition.

Ischemia causes acute necrotic death in the "core" of the ischemic area by leading to resting membrane potential disruption and neuronal swelling.6,36 Conversely, it activates apoptotic processes in the ischemic "penumbra," where sublethal energy substrate deprivation occurs, or when a short ischemic episode is followed by restoration of energy substrate supply.37,38 Interestingly, central neurons that display the morphological and biochemical features of the apoptotic process die several hours and even days after an ischemic episode,38 suggesting that an irreversible enhancement of glutamate-mediated transmission may be involved in this pathological process. Delayed ischemia-induced neuronal death, in fact, is blocked, as is i-LTP, by NMDA-glutamate receptor antagonists37,39 and can be replicated by exposure to glutamate receptor agonists.6

We hypothesize that the D1-like dopamine receptors necessary for the persistent potentiation of AMPA transmission observed in i-LTP are located postsynaptically on striatal spiny cells. Accordingly, the intracellular injection of the PKA blocker H89 fully prevented, as did SCH 23390 applied by bath, the ischemic potentiation of AMPA transmission. Further support of this conclusion was provided by a previous electrophysiological study that demonstrated that postsynaptic stimulation of the D1/PKA pathway facilitates AMPA transmission in isolated striatal spiny neurons.40

D1- but not D5-like receptors seem to be involved in i-LTP, as supported by the experiments performed with the use of D1 -/- mice. The specificity of this receptor may be useful to design specific treatments aimed at countering the injurious effects of dopamine receptor stimulation during ischemia, minimizing the side effects caused by the simultaneous blockade of D1 and D5 receptors by available pharmacological agents.

We recently reported that i-LTP is selectively expressed is striatal projection neurons. Striatal cholinergic interneurons, conversely, do not undergo long-lasting changes in the efficacy of excitatory transmission after transient in vitro ischemia.22 Interestingly, the differential neuronal vulnerability between spiny neurons and cholinergic interneurons is a striking feature of in vivo ischemia13 and has also been observed in Huntington’s disease, a pathological condition in which energy metabolism is impaired.41 This synaptic phenomenon, therefore, may represent the electrophysiological correlate of different pathological events that injure the striatum. Several other factors, however, might account for the differential vulnerability among striatal neuronal populations, such as a different distribution of ionotropic glutamate receptor subunits and of intracellular calcium-binding proteins.42

In the present study we have demonstrated that dopamine facilitates pathological synaptic plasticity via D1 receptors located on striatal spiny neurons. This mechanism may represent a critical step of the vicious cycle initiated by ischemia in the vulnerable regions of the brain. It is well known, in fact, that a massive release of dopamine occurs during ischemic events in the striatum and that endogenous dopamine amplifies the neuronal damage caused by excitotoxicity and energy deprivation.1316 Endogenous dopamine, however, can facilitate both acute necrotic and delayed apoptotic neuronal death by additional mechanisms, such as the control of intracellular calcium levels and the production of free radicals.43,44 The ischemia-induced abnormal release of endogenous dopamine in vulnerable brain areas, such as striatum, cerebral cortex, and hippocampus, may represent the critical factor that transforms a transient ischemic attack into an ischemic episode causing irreversible consequences for brain tissue and synaptic circuits. In fact, all of these vulnerable areas receive a dense dopaminergic innervation and express D1 receptors.45 Further studies are required to elucidate whether the mechanisms triggered by activation of dopamine receptors play a role in i-LTP in dopamine-enriched areas other than the striatum and in the clinical consequences of transient ischemic episodes in other brain areas and neuronal subtypes.


*    Acknowledgments
 
This study was supported by a Telethon (E. 729) grant and a CNR (Invecchiamento) grant to Dr Calabresi and by a MURST/CNR (legge 95/95) grant and a MURST/COFIN (2000) grant to Dr Bernardi. We wish to thank Massimo Tolu for technical assistance.

Received February 14, 2002; revision received June 3, 2002; accepted July 3, 2002.


*    References
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
up arrowDiscussion
*References
 
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