(Stroke. 2002;33:1698.)
© 2002 American Heart Association, Inc.
Original Contributions |
-Aminobutyric AcidA Receptors Is Upregulated in CA1 Neurons of the Gerbil Hippocampus in the Ischemia-Tolerant State
From the Department of Neuropathology, Ruprecht-Karls University of Heidelberg, Heidelberg, Germany.
Correspondence to Clemens Sommer, MD, Laboratory of Neuropathology, Department of Pathology, University of Ulm, Albert-Einstein-Allee 11, D-89081 Ulm, Germany. E-mail clemens.sommer{at}medizin.uni-ulm.de
| Abstract |
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-aminobutyric acid (GABA)A receptors compared with ischemia severe enough to induce DND.
Methods With the use of quantitative receptor autoradiography, postischemic ligand binding of [3H]MK-801 and [3H]
-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid (AMPA) to excitatory N-methyl-D-aspartate (NMDA) and AMPA receptors as well as [3H]muscimol to inhibitory GABAA receptors in hippocampal subfields CA1, CA3, and the dentate gyrus were analyzed in 2 experimental paradigms. Gerbils were subjected to (1) a 5-minute ischemic period resulting in DND of CA1 neurons and (2) a 2.5-minute period of ischemia mediating tolerance induction.
Results [3H]MK-801 and [3H]AMPA binding values to excitatory NMDA and AMPA receptors showed a delayed decrease in relatively ischemia-resistant CA3 and dentate gyrus despite maintained neuronal cell density. [3H]Muscimol binding to GABAA receptors in CA1 neurons was transiently but significantly increased after preconditioning but not after global ischemia with consecutive neuronal death.
Conclusions Downregulation of ligand binding to glutamate receptors in relatively ischemia-resistant CA3 and dentate gyrus neurons destined to survive suggests marked synaptic reorganization processes despite maintained structural integrity. More importantly, upregulation of binding to inhibitory GABAA receptors in the hippocampus indicates a relative shift between inhibitory and excitatory neurotransmission that we suggest may participate in endogenous postischemic neuroprotection.
Key Words: autoradiography excitotoxicity ischemia neuroprotection receptors, AMPA receptors, GABA-A gerbils
| Introduction |
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-aminobutyric acid (GABA)-ergic system has been shown to protect vulnerable CA1 neurons against ischemic damage (for review, see Schwartz-Bloom and Sah7). Therefore, besides the induction of several genes coding for proteins thought to be involved in neuroprotective mechanisms, 8 changes in the postischemic expression, abundance, and function of neurotransmitter receptors may also contribute to the acquired ischemia resistance of hippocampal CA1 neurons.
The present study was designed to address the question of whether ligand binding to excitatory and/or inhibitory neurotransmitter receptors is specifically regulated after a 2.5-minute period of ischemia, usually used to induce ischemia tolerance. Therefore, postischemic receptor binding activities of [3H]MK-801 and [3H]
-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid (AMPA) to excitatory N-methyl-D-aspartate (NMDA) and AMPA receptors as well as [3H]muscimol to inhibitory GABAA receptors were analyzed after both 2.5 and 5 minutes of global ischemia in hippocampal subfields CA1, CA3, and the dentate gyrus (DG).
| Materials and Methods |
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Neuropathological Evaluation
Neuronal densities of hippocampal CA1 and CA3 pyramidal layers as well as of the DG granule cell layer were quantitatively assessed at 48 and 96 hours after reperfusion and in sham-operated animals by labeling neurons with a monoclonal antibody against the neuronal marker protein NeuN (dilution 1:2000), as previously described.11 Briefly, immunoreactivity was visualized with the use of the avidin-biotin complex method (Vectastain, Vector Laboratories). Sections were developed in 0.02% diaminobenzidine with 0.02% hydrogen peroxide. The reaction product was intensified by addition of 0.02% cobalt chloride and nickel ammonium sulfate. Hippocampal subfields CA1, CA3, and DG of both hemispheres were scanned at a magnification of x300. Two sets of 3 adjacent regions per area per hemisphere were recorded, averaged, and expressed as mean cell number per square millimeter ("neuronal density"). All data were statistically analyzed with the use of the general statistics module of Analyze-it for Microsoft Excel (Analyze-it Software, Ltd). Values were expressed as mean±SEM. Significant group effects were confirmed by ANOVA and Bonferroni error protection, with a significance level at P<0.05.
Receptor Autoradiography
Quantitative in vitro receptor autoradiography studies were performed with the use of [3H]MK-801, [3H]AMPA, and [3H]muscimol for labeling of NMDA, AMPA, and GABAA receptors, respectively.1215 Ligands were purchased from NEN Life Science Products Inc. Labeling and incubation procedures for the different binding sites were performed according to protocols of Zilles and colleagues.16 Briefly, incubation with [3H]MK-801, [3H]AMPA, and [3H]muscimol was always preceded by a preincubation period with the respective buffer to remove endogenous ligands. For demonstrating the maximal binding of [3H]MK-801 to NMDA receptors, the binding assay was performed in a magnesium- and zinc-free solution (50 mmol/L Tris-HCl buffer, pH 7.2) and in the presence of 30 µmol/L glycine and 50 µmol/L spermidine with 5 nmol/L [3H]MK-801 (specific activity, 21.7 Ci/mmol) at 22°C for 60 minutes. Incubation was terminated by washing with 2x 5 minutes of cold buffer and 2 seconds of H2O. AMPA receptors were labeled with 10 nmol/L [3H]AMPA (specific activity, 42.2. Ci/mmol) in 50 mmol/L Tris-acetate buffer (pH 7.2, containing 100 mmol/L KSCN) for 45 minutes at 4°C. Termination of the incubation was done with 3x 4-second rinses with cold buffer and postfixation with 2x 2-second rinses with acetone/glutaraldehyde solution. GABAA receptors were incubated with 3 nmol/L [3H]muscimol (50 mmol/L Tris-citrate buffer, pH 7.0) for 40 minutes at 4°C. Incubation was terminated with 3x 4-second rinses in cold buffer. Unspecific binding was determined by coincubation of alternating sections with labeled ligands and an excess of appropriate unlabeled competitor. After the final rinsing procedure, slides were carefully dried in either a stream of cool ([3H]MK-801 and [3H]muscimol) or hot ([3H]AMPA) air. Air-dried, tritium-labeled sections were coexposed with [3H]plastic standards (Microscales; Amersham) and brain-paste standards to a [3H]-sensitive film (Hyperfilm; Amersham) for 4 ([3H]AMPA) or 5 weeks ([3H]MK-801 and [3H]muscimol), respectively. Then autoradiographies were scanned in equal light conditions with a DMC video camera (Polaroid) and digitized with the AIS image analysis system (Imaging Research Inc). Gray value images of the coexposed plastic standards were used to compute a nonlinear calibration curve, which defined the relationship between gray values in the autoradiographs and concentrations of radioactivity. Plastic standards were calibrated to tissue standards with known concentration of radioactivity. Final values are expressed as femtomoles per milligram tissue (mean±SEM).
Quantitative analysis of radioactivity was performed in hippocampal subfields CA1 and CA3 within the dendritic strata oriens and radiatum as well as in the pyramidal cell layer. In the DG, ligand binding was analyzed in the dendritic stratum moleculare and in the granule cell layer. To this end, the respective region was marked on the monitor, and the gray values were automatically assessed by the imaging software. In all cases, nonspecific binding was just above the background labeling or not visible at all. Therefore, background density could be used as an estimate of nonspecific binding and subtracted from total binding.
Statistical analysis was performed with the general statistics module of Analyze-it for Microsoft Excel (Analyze-it Software, Ltd). For each ligand, reperfusion time point, and hippocampal region, mean concentration values were calculated. Significant group effects were confirmed by ANOVA and Bonferroni error protection, with a significance level at P<0.05.
| Results |
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Receptor Autoradiography
[3H]MK-801 Binding
5-Minute Ischemia
In control gerbils, highest hippocampal [3H]MK-801 binding values were present in stratum radiatum and stratum oriens of CA1, followed by stratum radiatum and stratum oriens of CA3, stratum moleculare of the dentate gyrus (DG), and the pyramidal and granule cell layer, respectively (Figure 1). This distribution pattern is in agreement with other studies investigating [3H]MK-801 binding in hippocampi of gerbils and rats.12,13 After global ischemia of 5 minutes duration, binding values of [3H]MK-801 in CA1 were maintained up to 24 hours, followed by a continuous and progressive reduction in all layers up to 39% of control values (Figure 2). In CA3, [3H]MK-801 binding density was transiently decreased in dendritic layers at 48 hours (Figure 2). In the DG, a transient decrease of [3H]MK-801 binding values was also detectable at 48 hours (Figure 2).
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2.5-Minute Ischemia
A preconditioning 2.5-minute period of ischemia caused no significant reduction of [3H]MK-801 binding values up to 96 hours after reperfusion in CA1 (Figure 2). In the CA3 subfield, [3H]MK-801 binding density in the pyramidal cell layer decreased between 30 minutes and 96 hours (Figure 2). [3H]MK-801 binding values were also transiently decreased in the granule cell layer of the DG between 24 and 96 hours (Figure 2).
[3H]AMPA Binding
5-Minute Ischemia
In control gerbils, highest binding values for [3H]AMPA were detected in stratum pyramidale of CA1 and CA3 and in stratum granulare of the DG compared with dendritic layers of these hippocampal subfields (Figure 1), a regional distribution pattern corresponding to that published for rat hippocampus.14 An ischemic period of 5 minutes duration caused a significant reduction of [3H]AMPA binding values as early as 30 minutes after reperfusion in stratum radiatum of CA1, followed by a recovery at 24 and 48 hours and a secondary decline at 96 hours (Figure 3). In strata oriens and pyramidale of CA1, [3H]AMPA binding densities were also significantly reduced at 96 hours after reperfusion. In stratum pyramidale of CA3, a delayed and significant reduction of [3H]AMPA binding values was detected at 24 hours and at all later time points investigated (Figure 3). [3H]AMPA binding densities were also significantly lowered in strata moleculare and granulare of the DG at 96 hours (Figure 3).
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2.5-Minute Ischemia
After an ischemic period of 2.5 minutes, a significant increase of [3H]AMPA binding was present at 24 hours throughout all layers of CA1 up to 171% of binding values in control gerbils and was followed by a continuous decrease to minimal 69% at 96 hours after reperfusion, which was not significant (Figure 3). In the CA3 subfield, [3H]AMPA binding was unchanged up to 48 hours and decreased to minimal 64% of binding values in control animals 96 hours after recirculation (Figure 3). Similarly, [3H]AMPA binding densities in the DG decreased significantly first at 96 hours of reperfusion (Figure 3).
[3H]Muscimol Binding
5-Minute Ischemia
In accordance with the literature, binding intensity of [3H]muscimol was strongest in CA1, followed by DG and CA3 (Figures 4 and 5). 12,15,17 In CA1, postischemic binding values were not significantly altered at any time point investigated. In CA3 and DG, [3H]muscimol binding was also not significantly changed (Figures 4 and 5).
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2.5-Minute Ischemia
Apart from stratum pyramidale at 30 minutes after recirculation, a preconditioning ischemic period of 2.5 minutes duration induced an increase of [3H]muscimol binding in CA1 throughout all layers between 30 minutes and 96 hours, which was significant between 8 and 48 hours (Figures 4 and 5). Four days after recirculation, [3H]muscimol binding in CA1 was still elevated (approximately 160% of control values). In CA3, [3H]muscimol was already significantly increased at 30 minutes, reached peak levels at 24 hours, and then decreased to 128% of control values at 96 hours after reperfusion (Figures 4 and 5). A marked increase of [3H]muscimol binding activity was also present in the DG between 30 minutes and 96 hours of reperfusion, with peak levels up to 234% of control levels at 8 hours (Figures 4 and 5).
Ratio Between Ligand Binding to Excitatory and Inhibitory Receptors
To obtain an impression of the balance between ligand binding to excitatory and inhibitory receptors in postischemic CA1, the ratio of binding values in all layers (both dendritic layers and pyramidal layer) of [3H]MK-801 plus [3H]AMPA versus [3H]muscimol, respectively, was calculated (Figure 6). After global ischemia of 5 minutes duration, the ratio remained constant up to 24 hours after reperfusion. A shift toward [3H]muscimol binding was first seen at 48 hours. In contrast, 2.5 minutes of ischemia shifted the ratio toward [3H]muscimol binding at 30 minutes and more markedly at 8 hours after reperfusion, persisting at this level up to 96 hours.
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| Discussion |
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The kinetics of [3H]muscimol binding in the ischemia-resistant CA1 subfield with a transient increase between 8 and 48 hours after 2.5 minutes of ischemia (Figures 4 and 5) suggest that postischemic upregulation of the GABAergic system in CA1 neurons does not depend on de novo synthesis of receptor proteins, since 528 or 6 hours29 after preconditioning, respectively, protein synthesis in CA1 is still virtually inhibited. Whether affinity of [3H]muscimol binding sites is increased, receptor internalization by endocytosis is inhibited,30 or as yet unknown mechanisms constitute the molecular basis of the observed upregulation of the inhibitory GABAergic system remains to be clarified in future studies. Comparing the kinetics of [3H]muscimol binding and the time course of brain protection does not fit very well at first sight: at 96 hours after a tolerance-inducing 2.5-minute period of ischemia, the time point when the second ischemic insult is superimposed in our model,10,11 enhancement of [3H]muscimol binding is still present yet is no longer significant. Several other investigations also describe protection against ischemic damage by preconditioning for at least 96 hours9 or 7 days.31 When we examine the ratio between ligand binding to excitatory and inhibitory receptors in CA1 after a preconditioning stimulus of 2.5-minute ischemia, however, a significant shift toward binding to inhibitory receptors persists up to 96 hours (Figure 6). Moreover, this shift is already present at 30 minutes after reperfusion, which may have an impact on the initiation of molecular mechanisms that confer neuroprotection.
One other study investigating postischemic [3H]muscimol binding in the gerbil hippocampus after ischemic preconditioning demonstrated no significant changes in ligand binding to GABAA receptors in either hippocampal CA1 and CA3 subfields at 7 days after reperfusion.32 Earlier time points were not analyzed. Although it cannot be excluded that this discrepancy is due to minor variations in the duration of the preconditioning ischemic period (2 versus 2.5 minutes), increased [3H]muscimol binding between 8 and 48 hours after reperfusion would have been missed by these authors.
Despite severe neuronal loss in CA1 after global ischemia of 5 minutes duration at 96 hours (Table), [3H]muscimol binding was not significantly reduced in CA1 at any time point investigated (Figures 4 and 5). This surprising phenomenon was also observed by other groups analyzing hippocampal agonist binding to GABAA receptors after global ischemia up to 733,34 or 27 days.35 One possible explanation for this persistence of nearly normal levels of [3H]muscimol binding in postischemic CA1 is an extremely delayed degradation of GABAA receptor binding sites. Alternatively, [3H]muscimol may bind to ischemia-resistant GABAergic interneurons36 or to astrocytes, which also possess GABAA receptors37 and proliferate after the ischemic insult.38 However, labeling of GABAA receptors by other ligands, eg, t-[35S]butylbicyclo-phosphothionate,39,40 [3H]SR-95531,41 or benzodiazepine antagonists42 led to a postischemic decrease in association with cell death.
As anticipated, binding to excitatory NMDA and AMPA receptors after 5 minutes of global ischemia decreased significantly in the vulnerable CA1 subfield in association with neuronal degeneration (Figures 2 and 3). Our present study demonstrates, however, that [3H]MK-801 and [3H]AMPA binding were also transiently reduced in relatively ischemia-resistant CA3 and DG granule neurons after both 5 and 2.5 minutes of global ischemia (Figures 2 and 3). These findings indicate that global ischemia also induces prolonged changes in the abundance of excitatory neurotransmitter receptors in hippocampal regions that do not undergo neuronal degeneration.
Surprisingly, [3H]AMPA binding values in CA1 neurons transiently decreased 24 hours after a preconditioning ischemic period of 2.5 minutes duration. There is experimental evidence suggesting that the high-affinity binding site of the AMPA receptorlabeled with the protocol used in the present studybecomes converted to a low-affinity binding site after insertion into the plasma membrane.14,4345 Therefore, the transient increase of [3H]AMPA binding most likely reflects an intracellular accumulation of AMPA receptors. There are 2 possible explanations for this phenomenon: the postischemic synthesis rate for AMPA receptors is increased, and/or receptor trafficking is altered. The former possibility seems to be relatively unlikely: immunohistochemically, protein expression of AMPA receptor subunits GluR1 and GluR2 in CA1 is not increased.11 Alsbo and colleagues46 demonstrated that GluR3 expression is unaltered after a preconditioning ischemic period in the rat CA1 subfield. The remaining GluR4 subunit, however, is only expressed at low levels in CA147 and is unlikely to contribute to the marked increase in [3H]AMPA ligand binding, as observed in the present study. More attractive is the latter possibility: AMPA receptors are continuously removed from the postsynaptic plasma membrane by endocytosis, followed by reinsertion or degradation.48 Thus, elevated [3H]AMPA ligand labeling due to intracellular accumulation of AMPA receptors after preconditioning would reflect disturbances in the balance between endocytosis, reinsertion, and degradation.
In conclusion, global ischemia of both 5 and 2.5 minutes duration causes bidirectional changes of ligand binding to excitatory versus inhibitory receptors, respectively, in the gerbil hippocampus. A reduction of [3H]MK-801 and [3H]AMPA binding to excitatory NMDA and AMPA receptors in relatively ischemia-resistant CA3 and DG granule neurons without neuronal degeneration was observed. This may imply that despite maintained structural integrity, marked postischemic synaptic reorganization processes occur on the subcellular level. More importantly, survival of CA1 neurons after a short ischemic period used for tolerance induction is associated with a transient increase of [3H]muscimol binding to GABAA receptors in hippocampal subfields CA1, CA3, and DG, whereas an ischemic period of 5 minutes duration and consecutive DND of hippocampal CA1 principal neurons fail to enhance [3H]muscimol binding in these regions. Thus, our data suggest that a relative shift between inhibitory and excitatory/excitotoxic hippocampal neurotransmission plays a pivotal role in endogenous postischemic neuroprotection of vulnerable neuronal subpopulations.
| Acknowledgments |
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Received June 29, 2001; revision received January 24, 2002; accepted February 19, 2002.
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