Abstract
The acute toxicity of organophosphates (OPs) has been studied extensively; however, much less attention has been given to the subject of repeated exposures that are not associated with overt signs of toxicity (i.e., subthreshold exposures). The objective of this study was to determine if the protracted spatial learning impairments we have observed previously after repeated subthhreshold exposures to the insecticide chlorpyrifos (CPF) or the alkylphosphate OP, diisopropylfluorophosphate (DFP) persisted for longer periods after exposure. Male Wistar rats (beginning at two months of age) were initially injected subcutaneously with CPF (10.0 or 18.0 mg/kg) or DFP (0.25 or 0.75 mg/kg) every other day for 30 days. After an extended OP-free washout period (behavioral testing begun 50 days after the last OP exposure), rats previously exposed to CPF, but not DFP, were impaired in a radial arm maze (RAM) win-shift task as well as a delayed non-match to position procedure. Later experiments (i.e., beginning 140 days after the last OP exposure) revealed impairments in the acquisition of a water maze hidden platform task associated with both OPs. However, only rats previously exposed to DFP were impaired in a second phase of testing when the platform location was changed (indicative of deficits of cognitive flexibility). These results indicate, therefore, that repeated, subthreshold exposures to CPF and DFP may lead to chronic deficits in spatial learning and memory (i.e., long after cholinesterase inhibition has abated) and that insecticide and alkylphosphate-based OPs may have differential effects depending on the cognitive domain evaluated.
Keywords: Organophosphate; Pesticide; Cholinesterase inhibitor; Chronic; Cognition, Cognitive Flexibility
1. Introduction
Organophosphate (OP)-based compounds comprise many of the highly toxic chemical warfare agents as well as the most common agricultural and commercial pesticides used worldwide. The acute toxicity of OPs to target and non-target organisms has been studied extensively and is believed to result from irreversible inhibition of cholinesterase enzymes and subsequent elevations in synaptic acetylcholine levels (reviewed, Ecobichon, 1991). Among the variety of deleterious effects observed, cognitive symptoms associated with acute and/or repeated exposures to OPs can linger for months to years after exposure and include deficits in reaction time, as well as impairments of information processing, attention, learning, and memory (Amr et al., 1997; Dassanayake et al., 2007; De Silva et al., 2006; Salvi et al., 2003, Singh and Sharma, 2000; Steenland et al., 1994 and Stephens et al., 1995). It should be noted, however, that prior to the last several years, most of the published human literature on OP exposure and cognition described the consequences of relatively high-level exposures that also resulted in overt symptoms of cholinergic toxicity. Considerably less attention has been given to the subject of chronic, “subthreshold” exposures (defined as exposure levels not associated with acute symptoms of toxicity) to OPs (especially in adults). In the studies that have looked at lower-level exposure to OPs, subjects with a previous history of acute poisoning have rarely been excluded (see Roldan-Tapia, 2005). In addition, a considerable amount of the data in humans was obtained via case reports or retrospective analyses and in many cases several pesticides (i.e., from different chemical classes) may have contributed to the neuropsychological effects.
Prospective animal studies have indicated that repeated subthreshold exposures to OPs can indeed result in cognitive deficits (e.g., deficits in delayed matching performance associated with the alkylphosphate diisopropylfluorophosphate, DFP, Bushnell et al.., 1991). Previous work in our laboratories have shown that repeated subthreshold exposures to the insecticide OP, chlorpyrifos (O,O-diethyl O-[3,5,6,-trichloro-2-pyridyl] phosphorothionate), can result in several (persistent) cognitive effects including deficits in sensorimotor gating, spatial learning, recognition memory, and sustained attention (Middlemore-Risher et al., 2010; Terry et al., 2003; 2007). In addition, we have provided some evidence that insecticide OPs when compared to alkylphosphate-based OPs can (in some circumstances) have differential effects depending on the cognitive domain evaluated. Notably, in studies where rats were repeatedly exposed to subthhreshold doses of the insecticide chlorpyrifos (CPF) or the alkylphosphate DFP and then evaluated behaviorally during a two week, OP-free washout period, both similar and disparate effects were observed depending on the type of behavioral task employed (Terry et al., 2007; 2011). Specifically, while both compounds were associated with spatial learning impairments in a water maze procedure, CPF, but not DFP was associated with impairments of prepulse inhibition of the acoustic startle response. Moreover, DFP, but not CPF, was associated with deficits in a spontaneous novel object recognition task (a rodent model of recognition memory).
One objective of the current study was to determine (in adult rats) if the spatial learning (i.e., water maze) impairments observed previously with both CPF and DFP during a 14 day OP-free washout period persisted for longer periods after OP exposure. Via a repeated acquisition version of the water maze task we also made a preliminary assessment of the effects of the OPs on cognitive flexibility. We also sought to determine if impairments would be observed in an appetitively motivated spatial task that employs components of working and short term memory (i.e., the 8-ram radial maze task). Again, we specifically focused on repeated, intermittent, and subthreshold exposures to the OPs. For the purposes of these studies, we have operationally defined “subthreshold exposures” as doses that do not produce overt signs of cholinergic toxicity such as muscle fasciculations, seizures, diarrhea, excessive urination, and salivation (see reviews, Rusyniak and Nanagas, 2004; Sungurtekin et al., 2006). We chose to evaluate a representative insecticide OP (CPF) and an alkylphosphate OP (DFP). CPF has been used extensively as an agricultural and commercial pesticide worldwide since its introduction in 1965 (reviewed, Eaton et al., 2008). DFP is a prototypical alkylphosphate OP (first described in 1941) that was originally synthesized by British researchers as a potential chemical warfare agent (see Saunders, 1957). It possesses a great deal of structural homology with other highly toxic nerve agents such as sarin and soman. The intermittent dosing regimen was used to provide a model for the types of environmental exposures that might be experienced by agricultural, industrial, or pest control workers, or individuals who live in and around areas where OP insecticides or nerve agents have been released (or by soldiers who are deployed in these areas).
2. Materials and Methods
2.1. Compound Formulation and Administration
Chlorpyrifos (CPF) was obtained from ChemService Inc. (Cat# PS-674, West Chester, PA, USA) and diisopropylflurophosphate was obtained from Sigma Aldrich (CAS 55-91-4, St. Louis, MO). All other chemicals except peanut oil (see below) were purchased from Fisher Scientific or Sigma Aldrich. CPF 10.0, 18.0 mg/kg, or vehicle (3% DMSO + 97% peanut oil (v/v) or DFP 0.25, 0.75, or vehicle (Kroger® Pure Peanut Oil, obtained locally, Augusta, GA, USA) were administered to rats by subcutaneous (s.c.) injection (N=8–12) in a volume of 0.7ml/kg every other day for 30 days, then they were given an extended washout period (i.e., 50 days) before behavioral testing (see below). Additional cohorts of animals (n=3–6) were administered the higher doses of the OPs for analysis of plasma and brain cholinesterase activity at various time points during a OP-free washout period. The dosing procedure was selected based on our previous studies (Terry et al., 2003; 2007; 2011) and was defined as subthreshold according to the definition provided above. Individual rats were weighed and monitored (in their home cages for a period of approximately 5 minutes each day) for visible cholinergic signs (diarrhea, excessive salivation or lacrimation, respiratory difficulties, muscle fasciculations) or other signs of distress throughout the study.
2.2. Test Subjects
Male albino Wistar rats (Harlan Sprague-Dawley, Inc., Indianapolis, IN, USA)) approximately 2 months old were housed individually in a temperature controlled room (25°C), maintained on a 12:12h reverse light-dark cycle (lights off at 6am) with free access to water and food except during radial arm maze testing in the animal cohorts that were behaviorally tested (see below in the behavioral methodology section). All behavioral testing began 2 hours after the initiation of the dark cycle with a minimum of 30 minutes habituation to the light environment prior to testing. All procedures employed during this study were reviewed and approved by the Georgia Health Sciences University Institutional Animal Care and Use Committee and are consistent with AAALAC guidelines. Measures were taken to minimize pain and discomfort in accordance with the National Institutes of Health Guide for the Care and Use of Laboratory Animals (NIH Publications No. 80-23) revised 1996.
2.3 Blood Collection, Brain Harvest, and Homogenization of Brain for Enzyme Assays
At the end of the washout period, rats were anesthetized with isoflurane and blood was collected via cardiac puncture using a 5.0 cc syringe fitted with a 18 G needle. 0.7 ml of blood was immediately added to a Microtainer® Plasma Separator Tube containing lithium heparin (BD catalog #365958). This tube was inverted eight times, and then centrifuged according to the BD protocol. The resulting plasma was aliquoted into 0.5 ml tubes, snap frozen in liquid nitrogen, and stored at −70° C until analyzed. Brains were then harvested and snap frozen in dry ice-chilled isopentane before storage at −70°C. Later, whole brains were homogenized in 4 volumes of a 0.1M Na/K Phosphate buffer pH 7.9 using a Wheaton Overhead Stirrer (Wheaton Industries, Inc., Millville, NJ) and Thomas USA B663 glass homogenization tubes (Thomas Scientific, Swedesboro, NJ). Homogenates were aliquoted into 0.5 ml tubes (20 μl/tube), stored at −20°C and later analyzed for total protein (BCA Assay Thermo Scientific Rockford, IL) and cholinesterase activity (see below).
2.4 Plasma and Brain Cholinesterase Activities
Cholinesterase activity in plasma samples and brain homogenates was measured according to Ellman et al. (1961) in a 96-well plate format at room temperature (see Gearhart et al. 2006 for additional details). Five microliters (5 μl) of plasma (100–130 μg protein/μl) or brain homogenate (20–50 μg protein/μl) were dispensed into the bottom of the wells of the 96-well plate (Fisher Scientific #12-565-501). An 8- or 12-channel pipeter was used to quickly add 310 μl of reaction mixture to the wells. The reaction mixture contained acetylthiocholine (0.48 mM; # D-8130, Sigma-Aldrich, Inc., St. Louis, MO) and dithiobisnitrobenzoic acid (0.52 mM; Acros # 102710050) in 0.1 M sodium phosphate buffer (pH 8.0). The microplate was shaken for ~30 seconds using a Jitterbug™ plate shaker (Boekel Scientific; Feasterville, PA), before placing the microplate in a µQuant™ Microplate Spectrophotometer (BioTek Instruments Inc.; Winooski, VT). The formation of reaction product (yellow color) was monitored by measuring absorbance at 412 nm every 2 min for 16 min. The cholinesterase-mediated reaction rate (moles/liter per min) was calculated by dividing the change in absorbance per minute by 13,600 (for details, see Ellman et al., 1961). Each plasma sample or brain homogenate was assayed in triplicate.
2.5. Behavioral Experiments
All rats evaluated in behavioral tests were handled beginning the day after arrival, and received a minimum of two weeks of daily handling prior to the initiation of behavioral testing. Behavioral experiments were conducted in rooms with ambient lighting of approximately 25–30 Lux (lumen/m2). To attenuate potential distraction associated with mechanical noise, radial arm maze testing (see below) was conducted in a room that was equipped with a white noise generator (San Diego Instruments, San Diego, CA) set to provide a constant background level of 70 dB. Test subjects were transferred (in their home cages) to the behavioral testing rooms each morning approximately 30 min before the beginning of experiments.
2.5.1 Radial Arm Maze (RAM) Procedure
RAM testing was initiated on day 50 of the OP-free washout. Beginning two weeks prior to habituation in the RAM apparatus, test subjects were food restricted to approximately 85% of normal ad libidum levels of consumption. RAM experiments were conducted in Med-Associates (MED-RAM-1R) computer-automated, 8-Arm Radial Mazes consisting of a central octagonal hub (arena) with automatic guillotine doors connected to aluminum arms radiating distally (45.7 cm long). IR-photo beam sensors were positioned at the entrance to each runway, and a food pellet receptacle and head entry detector was positioned at the end of each runway. The maze was positioned approximately 90 cm above the floor in a testing room with a number of extra-maze cues (composed of large geometrical shapes). This computer-automated method (used currently in our laboratory) has been previously published by us (see Terry et al., 2008).
Habituation Phase
Test subjects were given one 15 min free exploration (habituation) session on the Friday prior to the Monday in which the Win-Shift portion of testing was conducted. This was done so that the animals became acquainted with the radial arm maze apparatus, as well as the handling procedures associated with it. Reinforcement food pellets were scattered randomly around the entire maze area during this session.
Acquisition (Win-Shift Training)
After the habituation phase, subjects were trained in a win-shift procedure. A trial began when the experimenter placed the test subject into the central octagonal arena. After a 30 sec delay, all guillotine doors raised allowing access to all of the 8 arms. When the animal broke a photobeam in the pellet receptacle at the end of each runway a reward pellet was delivered once. When the rat moved back into the central arena all doors closed for 5 seconds and then reopened. All reentries into an arm that previously delivered a reward were scored as errors. All animals were trained in the win-shift task to meet a performance criterion of four consecutive days with ≤ 2 total errors. At this point, individual rats were moved to the Delayed non Match to Position task
Delayed non Match to Position (DNMTP)
DNMTP testing was similar to the acquisition mode except that two sessions were given in a trial block, with a predetermined delay imposed between the sessions. Testing began with an information (forced 4) session in which four of the eight arms are blocked, i.e. the animal could only investigate the four remaining open arms. This information session ended when all four arms were visited or when the trial timed out (15 min.). The animal remained in the testing room for the delay period. In the “free 8” (retention) session all eight arms were accessible; however, food reinforcement occurred only at the ends of the arms not visited in the previous information session. The test session continued until all four of the previously-blocked arms were visited, or until 15 min. elapsed. Any entry into an arm that had been visited in the information session (which then delivered no food reinforcement) or repeat visits to any arm during the second session was recorded as an error. Following the second (test) session in each trial block, the animal was returned to its home cage in the housing facility, until the next day's information session. Animals were initially trained with 15 min delays in the DNMTP task to achieve a criterion of ≤ 1 error for four consecutive sessions during the free eight sessions. Subsequently, longer delays of 1, 3, and 6 hr were presented at least twice in a pseudorandom fashion along with 15 min delays.
2.5.2 Water Maze Repeated Acquisition
Beginning on day 140 of OP washout, the subjects were evaluated for performance of a water maze spatial learning task using a modification of a procedure we have published previously (Terry et al., 2008).
Test Apparatus
These experiments were performed in a circular pool (diameter: 180 cm, height: 76 cm) made of black plastic and filled to a depth of 35 cm of water (maintained at 25.0±1.0°C). The pool was located in a large room with a number of extra-maze visual cues including geometric images (squares, triangles, circles etc.) hung on the wall, and black curtains used to hide the experimenter (visually) and the resting test subjects. Swimming activity of each rat was monitored via a television camera mounted overhead, which relayed information including latency to find the platform, total distance traveled, time and distance spent in each quadrant etc. to a video tracking system (Noldus EthoVision® Pro 3.1)
Hidden Platform Task
For hidden platform tests, an invisible (black) 10 cm × 10 cm square platform was submerged approximately 1.0 cm below the surface of the water and placed in the center of a quadrant (one-fourth of the total pool area defined via the tracking software). For each test session rats were given 4 trials per day for 5 consecutive days to locate and climb on to the hidden platform. A trial was initiated by placing the rat in the water directly facing the pool wall (i.e., nose approximately 2 cm from the wall) in one of the 4 quadrants. The daily order of entry into individual quadrants was pseudo-randomized such that all 4 quadrants were used once per day. For each trial, the rat was allowed to swim a maximum of 90 sec, in order to find the platform. When successful the rat was allowed a 30-sec rest period on the platform. If unsuccessful within the allotted time period, the rat was given a score of 90 sec and then physically placed on the platform and also allowed the 30-sec rest period. In either case the rat was given the next trial after an additional 1.5 min rest period (i.e., intertrial interval =2.0 min). After the last hidden platform test on day 5, the platform was switched to the opposite quadrant and a phase 2 of testing was conducted (i.e., an additional 4 trials per day for 5 consecutive days).
Visible Platform Task
After the last hidden platform test of phase 2, a visible platform test was performed as a general estimate of visual acuity. To accomplish this task, a highly visible (white) cover fitted with a small white flag was attached to the platform (dimensions with cover attached = 12 cm × 12 cm) which raised the surface approximately 1.0 cm above the surface of the water. Each rat was gently lowered into the water in the quadrant diametrically opposite to the platform quadrant and given one or more trials with a 90 sec time limit to locate and climb on to the platform. When a rat was successful (on its own accord without assistance) it was then given a series of 4 additional trials (with a 1.0 min intertrial interval) and the latency (in sec) to locate the platform was recorded. The platform was moved on each trial to a different quadrant (the subject was always entered from the opposite quadrant) until the test was conducted once in all 4 quadrants.
2.6. Statistics
All statistical analyses were performed using SigmaPlot Version 11 (SPSS Inc., Chicago, IL) or JMP™ version 5 (Cary, NC). Two- or three-way analysis of variance (with repeated measures) was used for treatment group comparisons. Student Newman Keuls multiple comparison procedures (SigmaPlot) and orthogonal t-tests (JMP) corrected for multiple comparisons via the method of Bonferroni were used to examine post hoc differences when indicated. Statistical significance was assessed using an alpha level of 0.05
3. Results
3.1. Cholinesterase Activity
Plasma and brain cholinesterase activity was assessed at different time points of OP washout in separate cohorts of rats that were not behaviorally tested. The higher dose of each OP was evaluated (i.e., CPF 18.0 mg/kg and DFP 0.75 mg/kg). As indicated in Fig 1, on the last day of OP exposure (i.e., day 0 of the OP-free washout), plasma cholinesterase activity was inhibited to a roughly similar degree by each OP (i.e., to approximately 21% of control in the CPF-treated animals and to approximately 30% of control in the DFP-treated animals). In the brain, however, cholinesterase activity was inhibited by a much greater degree in the DFP-treated animals (i.e., to approximately 16% of control versus approximately 48% of control in the CPF-treated animals). Interestingly, cholinesterase activity was inhibited to a greater degree at the 14 day washout time point in the CPF-treated animals than at the day 0 time point. Otherwise, cholinesterase activity increased in a time-dependent manner with more extended washout periods (in both OP-treated groups) and it was not significantly different from control levels at the 45 day time point in brain or plasma.
3.2 Radial Arm Maze
CPF
Fig 2A illustrates the effects of previous exposure to CPF (compared to vehicle-treated controls) on acquisition in an 8-arm radial maze win-shift task over 10 consecutive days of testing. There was a significant main effect of dose, F(2,33)=3.6, p<0.03; and day F(14,409)=14.9, p<0.001 (indicating that significant learning occurred over the 10 days of training), without a significant dose × day interaction, F(28,409)=1.3, p=0.15. Post hoc analysis indicated that both doses of CPF evaluated were associated with modest, but statistically significant (p<0.05) impairments of performance (compared to vehicle controls) on one or more days of testing. Fig 2B illustrates the effects of CPF on performance of a delayed non-match to position (DNMTP) task with delays. Again, there was a significant main effect of dose, F(2,31)=3.5, p<0.04; and delay F(3,83)=33.3, p<0.001 (indicating a decrement in performance with an increase in delay), without a significant dose × day interaction,, F(6,83)=0.2, p=0.96. Post hoc analysis indicated that both doses of CPF evaluated were associated with significant (p<0.05) or nearly significant (p<0.07) impairments of performance (compared to vehicle controls) at one or more of the delays imposed.
DFP
Fig 3A illustrates the effects of prior DFP exposure (compared to vehicle-treated controls) on acquisition in win-shift task over 10 consecutive days of testing. While there was a significant effect of day F(14,436)=12.9, p<0.001 (indicating significant learning over the 10 days of training), the main effect of dose and the dose × day interaction did not meet the required level of significance (i.e. p values were >0.05). Fig 3B illustrates the effects of DFP on performance of a delayed non match to position (DNMTP) task with delays. Again, there was a significant effect of delay F(3,88)=15.4, p<0.001 (indicating a decrement in performance with increasing delays), however, the main effect of dose and the dose × day interaction, did not meet the required level of significance (i.e. p values were >0.05).
3.3. Water Maze
CPF
Fig 4 illustrates the acquisition curves for each experimental group to locate a hidden platform in two phases of water maze testing in the CPF study. The following statistical results were obtained, main effect of dose, F(2,33)=1.6, p=0.21, phase, F(1,277)=167.8, p<0.001, day, F(4,277)=58.6, p<0.001, dose × phase, F(2,277)=3.2, p=0.04, dose × day, F(8,277)=1.5, p=0.17, phase × day, F(4,277)=16.8, p<0.001, dose × phase × day, F(8,277)=0.78, p=0.62. Thus, under vehicle control conditions, rats progressively learned to locate the hidden platform with increasing levels of efficiency over the course of the 5 days in each testing phase as indicated by the decreasing slope of the acquisition curves. In the first phase of testing, there was evidence of modest levels of impairment associated with both doses of CPF depending on the day of testing. There was no evidence of impairment in phase two. Swim speeds were also evaluated (see insets to each phase in Fig 4) and generally ranged between approximately 21.0 and 24 cm/sec in the various treatment groups and were not significantly different.
Visible Platform Test
After the last hidden platform trial of phase 2, visible platform tests (4 trials per session per group) were conducted to ensure that the test subjects did not exhibit crude deficits in visual acuity that might have confounded the water maze hidden platform analyses. The latencies for the 3 groups to find the visible platform (i.e., the mean of the 4 trials per session) ranged from 10.5 to 12.1 sec. There were no significant treatment-related effects observed in this procedure (i.e., all p values were >0.05, data not shown).
DPF
Fig 5 illustrates the acquisition curves for each experimental group to locate a hidden platform in two phases of water maze testing in the DFP study. The following statistical results were obtained, main effect of dose, F(2,29)=2.7, p=0.07, phase, F(1,2241)=167.2, p<0.001, day, F(4,241)=34.5, p<0.001, dose × phase, F(2,241)=3.3, p<0.04, dose × day, F(8,241)=0.7, p=0.72, phase × day, F(4,241)=4.8, p=0.001, dose × phase × day, F(8,241)=1.4, p=0.19. Again, under vehicle control conditions, rats progressively learned to locate the hidden platform with increasing levels of efficiency over the course of the 5 days during each testing phase as indicated by the decreasing slope of the acquisition curves. Both doses of DFP were associated significant levels of impairment in phase 1. In addition, the higher dose (0.75 mg/kg) was also associated with impairments in phase two. Swim speeds (see insets to each phase in Fig 5) generally ranged between approximately 22.0 and 28 cm/sec throughout the study in the various treatment groups and were not significantly different.
Visible Platform Test
The latencies for the 3 groups to find the visible platform (i.e., the mean of the 4 trials per session) ranged from 11.7 to 12.9 sec. There were no significant treatment-related effects observed in this procedure (i.e., all p values were >0.05, data not shown).
4 Discussion
As noted in the introduction, the primary objectives of this study were three fold: 1) to determine (in adult rats) if the protracted spatial learning impairments we have observed previously after subthhreshold exposures CPF and DFP persisted for longer periods of time, 2) to make a preliminary assessment of the effects of the OPs on cognitive flexibility via a repeated acquisition version of the water maze task, and 3) to determine if impairments of spatial working and short term memory would also be observed. For the later objective, the RAM procedure was selected since its performance relies on spatial working and short term memory (Levin et al., 1996; Olton and Papas, 1979), it is thought to reflect normal foraging strategies that rodents use in their natural environments (i.e., thus is ethologically relevant), and it is dependent on intact cholinergic function (reviewed, Decker and McGaugh, 1991), an important issue for this study. The water maze procedure was used to complement previous work by us and since it is also a visuospatial learning task that is sensitive to cholinergic alterations (McNamara and Skelton, 1993). In this context it is important to note that deficits in visuospatial processing have been identified as one of the negative outcomes in human patients previously exposed to OPs for chronic periods (Roldan-Tapia et al., 2005). As indicated in the results, rats previously exposed to CPF, but not DFP, were impaired in the RAM win-shift task and the DNMTP procedure, while subjects previously exposed to either OP demonstrated impairments in the acquisition of the water maze procedure (i.e., in Phase 1).
The basis of the differential effects of the OPs observed in the water maze and RAM is unclear, although we have encountered disparate (drug-related) effects on water maze and RAM performance previously (see Terry et al., 2008). As reviewed by Hodges (1996), a number of factors can potentially explain performance differences in water maze and RAM procedures including the free versus restrained search, differential availability and use of intra and extramaze cues, motivational issues (aversive search versus food reinforcement), and thus ostensibly similar spatial tasks may in fact be looking at different behavioral processes. It is also important to reiterate that the animals tested in the water maze task in our studies had 140 days of OP-free washout before the initiation of testing, whereas for the radial arm maze, testing began on the 50th day after OP termination. Another possible source of disparate effects of the OPs in the water maze and RAM could relate to their differential profiles of plasma and brain cholinesterase inhibition and recovery. Our selection of the doses of each OP to be evaluated in this study was based on their similar degrees of plasma cholinesterase inhibition observed in prior studies. For example, we previously observed that DFP 0.75 mg/kg and CPF 18.0 mg/kg resulted in approximately 80–90% inhibition in the plasma (without signs of overt toxicity) by day 7 of an alternate day dosing schedule (see Terry et al., 2007; 2011). In the current, study, the plasma and brain cholinesterase profiles in the OP-treated groups were somewhat different. Specifically, the degree of cholinesterase inhibition was greater in the brain than in the plasma on day 30 of DFP dosing and it recovered more slowly in the brain (compared to plasma) during the washout. Conversely, in the CPF-treated animals, cholinesterase inhibition in the brain was less pronounced than in the plasma on day 30 of dosing, and recovery during the washout period in the brain was biphasic (i.e., further inhibited on day 14 of washout, before improving toward control levels at subsequent time points). Plasma cholinesterase activity, however, did not exhibit the biphasic phenomenon of recovery and activity steadily increased over the course of the washout. This biphasic profile of cholinesterase inhibition and recovery from CPF in the brain could be related to its lipophilicity and tendency to accumulate in fatty tissues (e.g., the brain). CPF has an octanol-water partition coefficient (log Kow) of approximately 4.70 (Tomlin, 2006) and it has been observed (in rats) to accumulate in adipose tissues, but not in other tissue compartments (Bakke et al., 1976, see also review, Eaton et al., 2008). Thus it is possible, that its sustained effect on cholinesterase activity in the brain (i.e., for up to the 14th day of washout) could reflect its tendency to require additional time (compared to DFP) to redistribute out of fat stores. This argument is strengthened by the results of physiologically-based pharmacokinetic (PBPK) models indicating that DFP is cleared relatively rapidly from brain (Gearhart et al., 1994), while CPF sequesters in brain, especially after subcutaneous administration (Smith et al., 2009).
The differential effects in phase 2 of the water maze procedure (i.e., impairments after DFP, but not CPF exposure) were also intriguing. One potential interpretation of these data is that the greater degree of cholinesterase inhibition in the brain associated with DFP before washout might have resulted in some pathological process that was more persistent than that produced in the CPF-treated animals (although this would not explain the modest deficits observed in the CPF, but not the DFP-treated animals in the RAM). The DFP-related deficits in the second phase of water maze testing were suggestive of alterations in cognitive flexibility which is generally considered a subcomponent of executive function involving the shifting of strategies when the stimulus-response contingency changes (see Tanimura et al., 2008). Platform re-locating water maze tasks require cognitive flexibility and (given the importance of cognitive flexibility to human cognition) are suggested to be especially appropriate for extrapolation of learning and memory measures from rodent to human (Saab et al., 2011). Interestingly, deficits in cognitive (mental) flexibility were recently identified among the variety of neuropsychological performance deficits in a study of 127 agricultural workers with a history of low level exposure to organophosphate pesticides (Mackenzie Ross et al., 2010).
The mechanism of the protracted effects of OPs on cognition in this (and other) studies is unclear at present. While the inhibition of cholinesterase enzymes undoubtedly plays a key role in many aspects of the toxicology of OPs, there is considerable evidence that this mechanism cannot alone account for the wide range of disorders that have been reported (Duysen, et al., 2001, Pope, 1999). Not surprisingly (due to their highly reactive nature), OPs have been documented to alter the function of a variety other important enzymes and proteins (see reviews, Casida and Quistad, 2005 and Lopachin and Decaprio, 2005) and it has been suggested that interactions of OPs with non-cholinesterase targets may be particularly important to the more delayed and persistent effects associated with chronic exposure (see reviews, Costa, 2006; Lotti and Moretto, 2005). The list of non-cholinesterase targets for OPs (in environmentally relevant doses) includes neuropathy target esterase (Lush et al., 1998), acylpeptide hydrolase (Richards et al., 2000), M2 muscarinic receptors (Bomser and Casida 2001), fatty acid amide hydrolase (Quistad et al., 2001), cannabinoid CB1 receptors (Quistad et al., 2002), and albumin (Peeples et al., 2005). More recently, studies utilizing sophisticated mass spectrometric methods have indicated that in addition to their well-documented interactions with the active site serine in serine esterases and proteases, OPs can label a number of tyrosine and lysine-containing peptides (Grigoryana et al., 2009; Schopfer et al., 2010), i.e., interactions that could theoretically contribute to their deleterious effects.
We have provided evidence that repeated exposures to OPs can lead to persistent deficits in both anterograde and retrograde axonal transport (Terry et al., 2003; 2007). Additional studies in our laboratories (and our collaborator's laboratories) also indicated that OPs can disrupt kinesin-driven movement, covalently modify tubulin, and inhibit microtubule formation, i.e., factors that might contribute to the observed impairments in axonal transport (Gearhart et al., 2007; Grigoryan et al., 2008; Prendergast et al., 2007). We have also observed persistent OP-related alterations in neurotrophin receptors and cholinergic proteins (Terry et al., 2007; 2011) and have hypothesized that these effects might be related to the alterations in axonal transport. Finally, we have recently observed OP-related alterations in the dynamics and movement of mitochondria in rat cortical neurons (Middlemore-Risher et al., 2011). Collectively, the information provided here suggests that the mechanism of long term effects of OPs on cognition may be multifactorial, but could be related to covalent modifications of proteins that serve fundamental roles in neuronal function (axonal transport, mitochondrial dynamics, neurotrophin function, etc.).
There are some limitations to this study that should be discussed. As mentioned in the Introduction, our dosing paradigm in rats was designed to model subthreshold exposures to OPs that might be experienced by pesticide handlers/agricultural workers or individuals who live in and around areas where OP-nerve agents have been released. The maximal levels of plasma cholinesterase inhibition observed in our animal study (~70–80% for DFP and CPF, respectively) would likely be higher than that experienced by most of the aforementioned human individuals. In the more recent studies of agricultural workers conducted in the United States, the percentage of individual who handle pesticides detected with cholinesterase inhibition of greater than 40% has been relatively low (e.g., 4.6% in a study of 386 pesticide handlers in Washington State, see Furman et al., 2007). However, studies of pesticide handlers conducted around the world continue to detect some individuals with levels of cholinesterase inhibition of approximately 50% or greater who have not complained of acute symptoms. Examples include studies of sheep dippers in Australia (Dyer et al., 2001), farm workers in Ethiopia (Mekonnen and Ejigu, 2005) and cotton field workers in Egypt (Farahat et al., 2011). To our knowledge there have been no such studies to evaluate individuals who live in areas where OP-nerve agents have been released. Another potential limitation to our study is the route of administration of CPF. We chose the subcutaneous route due to the number of published animal studies for comparison and given the fact that OP exposure in humans often involves a combination of dermal, oral, and inhalation routes (i.e., routes that are difficult to model in rats, especially in combination). The relevance of the subcutaneous route for CPF administration in animal models has been challenged due to its unique pharmacokinetics (see Smith et al., 2009).
5. Conclusion
In conclusion, the results of this rodent study can be summarized as follows: 1) after an extended washout period (i.e., when cholinesterase activity had fully returned to normal in both plasma and brain), rats previously exposed to subthreshold doses of CPF, but not DFP, were impaired in a RAM win-shift task and a DNMTP procedure 2) subjects previously exposed to either OP demonstrated impairments in the acquisition of a water maze hidden platform task (i.e., in phase 1), however, only rats previously exposed to DFP demonstrated impairments in a second phase of water maze testing when the platform location was altered (i.e., suggestive if impairments in cognitive flexibility). These results thus support the premise that repeated, subthreshold exposures to commercial organophosphate pesticides like CPF as well as the alkylphosphate, DFP, may lead to protracted deficits in spatial learning and memory in the absence of cholinesterase inhibition. The observations are significant given the widespread use of OPs as pesticides worldwide as well as their potential employment in military and terrorist attacks. The results also further emphasize the need for additional (prospective) investigations to determine more definitively how subthreshold exposures to OPs of different classes may affect specific domains of cognition for extended periods of time.
Research Highlights
Subthreshold exposures to organophosphates lead to chronic deficits in spatial learning and memory.
Organophosphates-related cognitive deficits persist long after cholinesterase inhibition has abated.
Organophosphates may have differential effects depending on the cognitive domain evaluated.
Acknowledgments
The authors would like to thank Ms. Ashley Davis for her administrative assistance in preparing this article. This work was supported by The National Institute of Environmental Health Sciences (ES012241) to AVT.
Footnotes
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