Abstract
Background
Homozygous or compound heterozygous mutations in the PTEN-induced kinase 1 (PINK1) gene are causative of autosomal recessive, early onset PD. Single heterozygous mutations have been repeatedly detected in a subset of patients as well as in non-affected subjects, and their significance has long been debated. Several neurophysiological studies from non-manifesting PINK1 heterozygotes have shown the existence of neural plasticity abnormalities, indicating the presence of specific endophenotypic traits in the heterozygous state.
Methods
In the present study, we performed a functional analysis of corticostriatal synaptic plasticity in heterozygous PINK1 knock-out (PINK1+/−) mice by a multidisciplinary approach.
Results
We found that, despite a normal motor behavior, repetitive activation of cortical inputs to striatal neurons failed to induce long-term potentiation (LTP), whereas long-term depression (LTD) was normal. Although nigral dopaminergic neurons exhibited normal morphological and electrophysiological properties with normal responses to dopamine receptor activation, we measured a significantly lower dopamine release in the striatum of PINK1+/−, compared to control mice, suggesting that a decrease in stimulus-evoked dopamine overflow acts as a major determinant for the LTP deficit. Accordingly, pharmacological agents capable of increasing the availability of dopamine in the synaptic cleft restored a normal LTP in heterozygous mice. Moreover, MAO-B inhibitors rescued a physiological LTP and a normal dopamine release.
Conclusions
Our results provide novel evidence for striatal plasticity abnormalities even in the heterozygous disease state. These alterations might be considered an endophenotype to this monogenic form of PD, and a valid tool to characterize early disease stage and design possible disease-modifying therapies.
Keywords: PINK1, autosomal recessive Parkinson’s disease, heterozygous mutations, synaptic plasticity, striatum
Introduction
Gene mutations are causative of distinct inherited forms of Parkinson’s disease (PD), playing a relevant role in the etiology of the disease. Mendelian forms of PD account for a relatively small fraction of PD cases, as only 20% of patients with an early-onset and no more than 3–5% of those with a late onset have a monogenic etiology, with classical autosomal recessive or dominant inheritance [1]. Homozygous or compound heterozygous mutations in the PINK1 gene cause PD with Lewy body pathology, characterized by early onset often in a limb, slow progression and good response to levodopa [2–4]. Single heterozygous mutations or rare variants in the PINK1 gene have been detected in a subset of sporadic PD patients, who show a later onset and clinical features indistinguishable to idiopathic PD, as well as in a similar proportion of healthy controls [3].
The loss of dopaminergic inputs to the dorsal striatum is currently thought to be the major cause for the appearance of motor symptoms in PD [5,6], that are preceded by a prolonged, though yet undefined pre-symptomatic window, characterized by a 30–50% reduction of basal ganglia dopamine (DA) levels [7,8], suggesting a substantial ability to compensate for nigrostriatal cell loss. Functional MRI studies in clinically unaffected carriers of PINK1 single heterozygous mutations showed an increase of cortical motor-related activity during execution of self-initiated movements [9], interpreted as a reorganization of the motor system in the pre-symptomatic disease stage [9–11]. Moreover, PET studies demonstrated a reduced striatal dopaminergic F-dopa uptake [11,12], suggesting that the natural progression of subclinical motor signs may precede an overt parkinsonian syndrome. Finally, neurophysiological studies demonstrated impaired temporal discrimination thresholds in PINK1 heterozygous healthy carriers [13].
Based on such evidence, the condition of non-manifesting PINK1 heterozygous carrier provides a unique model to study the effects of a subclinical dopaminergic dysfunction on motor learning and plasticity. We performed recordings from heterozygous PINK1 knock-out mice (PINK1+/−) [14] slices and explored how the heterozygous condition may interfere with normal expression of synaptic plasticity at corticostriatal synapses, and nigral dopaminergic neurons excitability. Additionally, this electrophysiological study was paralleled by behavioral and neurochemical analyses.
Materials and Methods
PINK1 mice and genotyping
Animal experiments were carried out in accord with EC, Internal Institutional Review Committee, EU directive and Italian rules (86/609/EEC; D.Lvo 116/1992, 63/2100 EU, 153/2001A–IHM and 5/2010 UV). Mice were generated and characterized as reported [14]. Breeding colonies of homozygous (PINK−/−), heterozygous knock-out mice (PINK1+/−), and of their wild-type littermates (PINK1+/+) were established at our animal house. All experiments were performed blindly. For genotyping, DNA was isolated from mouse-tail using the Extract-N-Amp Tissue PCR Kit (XNAT2, Sigma-Aldrich). To amplify the 324 and 501 bp fragments, three specific primers were utilized (10 μM; PINK1-F: 5′ AGA GGA TGC TAG TCC CTG TGA AGG G 3′; PINK1-X: 5′ ACA CTC AGT CCT TGG GCA ATG CTA 3′; NeoA: 5′ ACC AAA GAA GGG AGC CGG TTG 3′). PCR reactions were carried out with the Extract-N-Amp PCR reaction mix (XNAT2 kit) in a My Cycler thermal cycler (Bio-Rad; 35 cycles, annealing temperature 62°C). The 324 and 501 bp sequences were identified via 1.5% agarose gel electrophoresis using 2% SYBR Safe. Representative images of PCR products separated on 1.5% agarose gel (Fig. 1A) show the differences among genotypes. Line 2 identifies heterozygous mice.
Tissue slice preparation
All efforts were made to minimize the number of animals utilized and to reduce their suffering. Mice were sacrificed and corticostriatal parasagittal and nigral horizontal slices from substantia nigra pars compacta (SNpc) (290–350 μm) were prepared as described [15–18] in a Krebs’ solution bubbled with 95% O2 and 5% CO2. Individual slices were transferred into a recording chamber superfused with oxygenated Krebs’ medium, and maintained at 32–33°C. Nigral slices were kept at 34°–35°C.
Electrophysiology
Whole-cell patch-clamp were performed from medium spiny neurons (MSNs), visualized using infrared videomicroscopy, as described [14,18]. Recordings were made with an AxoPatch 200B amplifier coupled to pClamp 10.2 software (Molecular Devices), using borosilicate glass pipettes (resistance 2.5–5 MΩ). Membrane currents were continuously monitored and access resistance measured in voltage-clamp was in the range of 5–30 MΩ prior to electronic compensation (60–80% routinely used). Cells showing ≥ 20% change in series resistance during the experiment were discarded from the analysis. An internal solution with the following composition was used (in mM): 120 Cs-gluconate, 13.6 CsCl, 10 HEPES, 1.1 EGTA, 0.1 CaCl2, 2.5 Mg-ATP, and 0.3 Na-GTP, pH 7.3 [19,20].
For spontaneous glutamatergic excitatory post-synaptic currents (sEPSCs), MSNs were clamped at a holding potential of −60 mV [20], in the presence of picrotoxin (50 μM). sEPSCs were completely blocked by NMDA and AMPA receptor antagonists, MK-801 (30 μM) and CNQX (10 μM) respectively. Conversely, spontaneous GABAergic inhibitory post-synaptic currents (sIPSCs) were recorded at a holding potential of +10 mV, in the presence of MK-801 and CNQX. In these conditions sIPSCs were blocked by picrotoxin. To isolate both miniature excitatory and inhibitory postsynaptic currents (mEPSCs and mIPSCs, respectively) Tetrodotoxin (TTX, 1 μM), was added to the perfusing solution.
Sharp-electrode recordings of striatal and nigral neurons
Intracellular recording electrodes were filled with 2M KCl (30–60 MΩ). Signals were recorded with an Axoclamp 2B amplifier, displayed on an oscilloscope and stored on PC using Digidata 1322A and pClamp 10.2 (Molecular Device). A bipolar electrode was used to evoke corticostriatal excitatory postsynaptic potentials (EPSPs). Test stimuli were delivered at 0.1 Hz in picrotoxin. This electrophysiological approach was used to retain the fidelity of post-receptor signaling in synaptic plasticity experiments. For high frequency stimulation (HFS) protocol (three trains: 3s duration, 100 Hz frequency, 20s intervals) stimulus intensity was raised to suprathreshold levels. The amplitude of EPSPs was averaged and plotted as percentage of the control amplitude for 15 min before protocol induction. To optimize long-term potentiation (LTP) induction, magnesium was omitted from the external medium [17]. Nigral recordings were performed as described [15,21–24]. Dopaminergic neurons from the SNpc were identified by their electrophysiological properties. Traces were stored on pClamp10.2 running on a PC for off-line analysis.
Drug source and Statistical analysis
Drugs were from Tocris Cookson (UK), except for dopamine, nomifensine, L-Dopa, and tyramine (Sigma, Italy). Amphetamine was provided by Dr. N.B. Mercuri. Patch-clamp data were analyzed offline by Clampfit 10.2 (Molecular Devices), Origin 8 (Originlab Corp., Northampton, MA, USA) and Mini-Analysis 6.0 (Synaptosoft, Decatur, GA, USA) software. For analyzing spontaneous and miniature post-synaptic currents, the detection threshold (3–5 pA) was set to twice the noise after trace filtering (traces in Figures are not filtered). For data presented as mean ± SEM, statistical significance between groups was evaluated using a paired Student t-test, unpaired Student t-test or Wilcoxon rank-sum test. Percentage values are calculated for each single experiment and all data are presented as mean ± SEM for each condition. Student’s t-test and non-parametric Mann–Whitney test were used to compare means pre- and post-HFS/drug. Analysis of variance (ANOVA) test with a post-hoc Tukey test were performed among groups (P<0.05; alpha = 0.01). P was set at < 0.05.
Voltammetry
Amperometric detection of DA was obtained as described [23]. The tips of the carbon fiber electrodes (WPI) were gently positioned into corticostriatal slices. Constant potential amperometry was obtained with a WPI MicroC holding the electrodes at an oxidation potential of 0.55–0.60 V versus reference electrode Ag/AgCl [25,26]. Currents sampled at this oxidation peak potential were measured to provide profiles of DA concentration ([DA]o) versus time. Electrodes calibration was obtained by bath-perfusing DA (0.3–10 μM) in all experimental media. A supramaximal electrical stimulation of the striatum was obtained with a pulse of 1 mA, 80 μs. Data were analyzed by Student’s t test.
Histology and immunohistochemistry
Histological samples were obtained both from perfused animals and biocytin-loaded slices from both genotypes (Fig. 3B). Immediately after recording, slices containing biocytin-loaded cells were fixed in 4% paraformaldehyde in 0.1 M PB overnight (4°C). The slices were subsequently immersed in 30% PB/sucrose (4°C). They were then frozen with dry ice and cut into 35 μm-thick transverse sections. Sections derived from biocytin-loaded slices were incubated with Cy2- or Cy3-conjugated Streptavidin (1:200; Jackson Immunoresearch, USA) in PB 0.3% Triton X-100 for 1 h at RT, and images acquired as previously described [17].
For immunostaining assay mice were deeply anesthetized (avertin, 0.002 ml/0.01 kg) and perfused with ice-cold 4% paraformaldehyde. The dissected brain were equilibrated with 30% sucrose three overnights, and 30 μm-thick coronal sections were cut. Slices were preincubated with 10% normal donkey serum solution (NDS) in PBS 0.25% Triton X-100 (TPBS) for 1 h at RT and incubated with the primary antibody rabbit polyclonal anti-tyrosine hydroxylase 1:1500 (Ab-Cam cod. ab112) at +4°C overnight in TPBS 1% NDS. After 3 washes (10 min each) with TPBS, the sections were incubated with Cy3-conjugated donkey anti-rabbit secondary antibody (Jackson ImmunoResearch cod. 711-165-152) 1:200 for 2 h at RT. Sections were washed three times, (last wash in Dapi 0.01mg/ml) mounted with Vectashield (Vector Labs) on plus polarized glass slides and coverslipped. To test for the specificity of the antisera, primary antibody was substituted with normal serum and, accordingly, the immunolabeling was absent (data not shown). Images were acquired with Zeiss LSM 700 confocal laser scanning microscope as described [27]. For quantitative analysis the area of 425×425 μm corresponding to the SNpc was selected to count manually TH+ cells in serial coronal sections of adult PINK1+/− and PINK1+/+ mice.
Behavior
Locomotor activity was assessed in PINK1+/+ (n=6) and PINK1+/− (n=6) mice. The apparatus comprised five gray opaque Plexiglas chambers (20×10 cm) placed inside a sound-attenuated room. Individual mice were introduced into each chamber and accustomed to the apparatus for 60 min. Then, all mice were removed and left undisturbed inside their home cages [28]. Subsequently, mice were placed individually in the same cages they had experienced and tested for 60 min. Behavioral data were collected and analyzed by the ‘EthoVision’ (Noldus, The Netherlands) fully automated video tracking system [29]. Briefly, a CCD video camera was used to record the experimental system. The signal was then digitized (by a hardware device called a frame grabber) and passed on to the computer’s memory. Then digital data were analyzed using EthoVision software to measure distance “distance moved” (in cm) as an estimate of locomotor activity.
Rotarod
Motor coordination and balance were assessed (n=5 per genotype) using the Accelerating Rotarod apparatus (U. Basile, mod. 7650; Italy). The test phase consisted of three trials, of maximum 300 sec, separated by 15 min inter-trial intervals [30]. The rod was initially rotating at a 4 rpm constant speed to allow positioning of all mice in their respective lanes. Once all mice were positioned, the trial was started and the rod accelerated from 4 rpm to 40 rpm in 5 min. Latency at which each mouse fell off the rod were measured. Data were analyzed using two-tailed non-parametric Mann–Whitney test.
Results
Cell-count and activity of nigral dopaminergic neurons are unaffected in PINK1+/− mice
Neurodegeneration of nigral neurons is a pathological hallmark of PD. However in prodromal and early disease stages no obvious depletion has been reported [31–33].
Previous evidence revealed the absence of significant neuronal loss in the SNpc of PINK1−/− mice at the ages of 2–3 and 8–9 months [14]. Similarly, our morphological characterization of SNpc of PINK1+/− mice did not reveal significant alterations of nigral dopaminergic neurons as compared to their controls. We performed immunofluorescence experiments with specific antibodies for tyrosine hydroxylase (TH) to detect nigral dopaminergic neurons. In serial coronal sections of both PINK1+/− and PINK1+/+ mice, no macroscopic alterations in morphology and density of dopaminergic cell bodies or terminals were detected (data not shown). TH-immunoreactive neurons count in the SNpc did not show significant difference in the number of nigral dopaminergic neurons of PINK1+/− mice compared to PINK+/+ (Fig. 1B,C; p>0.05; PINK1+/+ =115 ± 4.9, PINK1+/− =114.8± 2.9).
Recordings of nigral neurons showed no significant change in the firing activity from PINK1+/− and PINK1+/+ mice (Fig. 1D,E; PINK1+/+ 3.6 ± 1.6 Hz; n=17; PINK1+/− 3.52 ± 1.9 Hz; n=14; p> 0.05 Mann-Whitney). In slices from PINK1+/+ and PINK1+/− mice, bath-application of DA (100 μM, 30 s) inhibited cell firing and hyperpolarized the cell membrane (Fig. 1D,E; PINK1+/+ 5.4 ± 1.3 mV; PINK1+/− 4.9 ± 2 mV, n=9 per group). Upon washout, the resting membrane potential (RMP) gradually recovered, and action potential discharge returned to control levels (Fig. 1D,E). The inhibitory effect of DA on nigral neurons is mediated specifically by somatodendritic D2 autoreceptors (D2R), as it is completely blocked by D2R antagonists [34] and is absent in D2R knock-out mice [15]. Accordingly, the D2R agonist quinpirole (300 nM, 1 min) caused a longer-lasting membrane hyperpolarization and blockade of the firing discharge in dopaminergic neurons from PINK1+/+ and PINK1+/− mice, respectively (Fig. 1F,G; 8.82 ± 3.3 min; 8.82 ± 2.9 min; n=8 per genotype; p> 0.05;), an effect that was prevented by the application of D2R antagonist sulpiride (3μM) (Fig. 1H).
Behavioral analysis
We assessed the locomotor activity of PINK1+/− mice using a battery of behavioral test. Firstly, we analyzed spontaneous locomotor activity showing no statistical difference between the two genotypes in the total distance travelled (Fig. 2A,B; session 1: PINK1+/+ 7833.8 ± 589.8 cm; PINK1+/− 7457.9 ± 610.9 cm; n=6 per genotype, p>0.05 two tailed Mann-Whitney; session 2: PINK1+/+ 5897.6 ± 457.7 cm, PINK1+/− 6015.7 ± 568.4 cm; n=6 per genotype, p>0.05 two tailed Mann-Whitney). Next, motor ability was further assessed by means of an accelerated rotarod test. Of interest, PINK1+/− mice performed equally when compared to their respective control (Fig. 2C; mean latency to fall PINK1+/+ 270 ± 12.4 s, PINK1+/− 284.9 ± 15.1 s, n=5 per genotype, p>0.05 two tailed Mann-Whitney).
Electrophysiological properties of striatal medium spiny neurons are not altered in PINK1 heterozygous mice
Several genetic mouse models of PD exhibit dysregulation of striatal circuitry [14,35,36]. Recordings were obtained from striatal MNSs of PINK1+/− and PINK1+/+ slices. MSNs had similar resting membrane potential (RMP, −82 ± 3.15 mV for PINK1+/+, n=28; −83.4 ± 3.9 mV for PINK1+/− n=32; p>0.05, Mann-Whitney), were silent at rest; current pulses caused tonic action potential discharge and strong inward rectification that did not differ among genotypes (Fig. 3A). Analysis of short-term synaptic plasticity, EPSPs and paired-pulse ratio were unchanged in PINK1+/− mice (data not shown; p>0.05). Random labelling with biocytin confirmed the peculiar features of MSNs, with medium-sized soma (10–20 μm), and extensive spiny dendritic trees (Fig. 3B). To detect possible changes in glutamate release probability, sEPSCs were recorded in the presence of the GABAA receptor antagonist picrotoxin (50 μM). The frequency and amplitude of glutamate-dependent sEPSCs did not differ from PINK1+/+ (n=12) and PINK1+/− (n=14) MSNs (Fig. 3C; frequency: PINK1+/+ 5.34 ± 0.1 Hz; PINK1+/− 4.63 ± 0.2 Hz; amplitude: PINK1+/+ 9.44 ± 0.6 pA, PINK1+/− 9.62 ± 0.6 pA; p>0.05 T-test). Kinetic properties, such as rise time, decay time constant and half width were similar (not shown; p>0.05). Next, we recorded miniature EPSCs (mEPSCs), in the presence of TTX, to block action potential-dependent glutamate release. As expected, TTX homogenously reduced mean frequencies but not amplitude of spontaneous events in both PINK1+/+ (n=10) and PINK1+/− (n=8) MSNs (Fig. 3C; frequency: PINK1+/+ 3.41±0.57 Hz; PINK1+/− 2.99±0.14 Hz; amplitude: PINK1+/+ 9.32±0.7, pA; PINK1+/− 9.25±0.81; pA; p>0.05 t-test). Likewise, mean values of GABAergic sIPSCs amplitude and frequencies were comparable between genotypes (Fig. 3D; frequency: PINK1+/+ 2.24±0.27 Hz; PINK1+/− 1.46±0.3 Hz; amplitude: PINK1+/+ 15.26±0.42 pA, PINK1+/− 14.98±0.8 pA; n=9 for each genotype; p>0.05 Wilcoxon test). Bath-application of TTX resulted in a reduction of mean frequencies of mIPSCs but not of amplitude in both PINK1+/+ and PINK1 +/− MSNs (Fig. 3D; frequency: PINK1+/+ 1.49±0.2 Hz, PINK1+/− 0.62± 0.11 Hz; amplitude: PINK1+/+ 15.32±0.56 pA, PINK1+/− 15.09±0.6 pA; n=11 for each genotype; p>0.05 Wilcoxon). Kinetic properties were unaltered (not shown).
Selective DA-dependent LTP deficit in heterozygous PINK1+/− mice
We have previously demonstrated that PINK1 inactivation is responsible for a marked impairment of bidirectional striatal synaptic plasticity [14]. Therefore, in attempt to better characterize whether the heterozygous mutation of PINK1 gene might influence corticostriatal synaptic plasticity, we analyzed long-term depression (LTD) and long-term potentiation (LTP). HFS of glutamatergic afferents in presence of picrotoxin led to the induction of a robust LTD in MSNs in parasagittal slices from PINK1+/+ (Fig. 4A; 54.62 ± 4.48 % of control, measured 25 min post-HFS; n=25). Similarly, in MSNs from PINK1+/− mice, HFS was able to cause an LTD that was indistinguishable from that measured in wild-type mice (Fig. 4A; 57.43 ± 5.13 % of control, 25 min post-HFS; n=28, p>0.05 ANOVA).
Removal of magnesium from the perfusing solution reveals an NMDA-mediated component of EPSPs and optimizes LTP induction [37]. Accordingly, HFS protocol invariably induced LTP in PINK1+/+ mice (Fig. 4B; 172.48 ± 4.45 % of control, 25 min post-HFS; n=23; Mann–Whitney, p< 0.05). Unexpectedly, LTP amplitude in PINK1+/− MSNs was significantly lower (Fig. 4B; 137.7 ± 6.4 %; 25 min post-HFS; n=32, p<0.05 t-test). The impairment of bidirectional plasticity could be observed also in PINK1−/− mice, as previously reported (data not shown).
To support the hypothesis that an impairment of DA release could play a major role in the LTP deficit, we performed amperometric recordings in striatal slices. Indeed, in response to electrical stimulation, striatal extracellular DA release evoked in PINK1+/− slices was significantly lower when compared to PINK1+/+ mice (Fig. 4C).
Increasing DA release restores corticostriatal LTP
It is well established that D1Rs play a crucial role in the control of the striatal LTP [38,39]. Thus we pretreated striatal slices with the selective D1R agonist SKF38393 (10 μM, 20 min), which failed to restore LTP (Fig. 4A; 141 ± 4.2%; n=9, p<0.05 Mann–Whitney). In an attempt to increase the available DA amount for release upon stimulation, we pretreated striatal slices with the DA precursor L-Dopa (100 μM; 30–45 min before the LTP induction protocol). In this condition, we recorded a partial LTP rescue in PINK1+/− MSNs (Fig. 5A; 151.7 ± 7.3%, n=8; p< 0.05 t-test). Next, to distinguish between a potential failure of reuptake process and a deficient DA release, slices were pretreated with nomifensine (30 min, 100 μM), a DA-reuptake inhibitor, or with the DA releaser amphetamine (30 min, 100 μM). Nomifensine was ineffective in rescuing LTP in PINK1+/− mice (Fig. 5B; 135.5 ± 8.3%, n=6; p>0.05 t-test). Conversely, amphetamine induced a complete recovery of striatal LTP in PINK1+/− MSNs (Fig. 5B; 172.3 ± 7.9%, n=11; p<0.05 Mann–Whitney) to levels comparable to those measured in PINK1+/+ mice.
The finding that amphetamine could restore LTP, led us to test a number of pharmacological agents capable of increasing synaptic DA levels. In a first set of experiments, we tested the “trace amine” tyramine, whose action relies on the ability to release cathecolamines in an amphetamine-like manner, through the displacement from synaptic vesicles and promoting reversal of plasma membrane transporters [40]. Pretreatment of striatal slices with tyramine (10 μM, 30–45 min) was followed by a complete rescue of striatal LTP in PINK1+/− mice (Fig. 6A; 163±11.8%; n=8, p<0.01 t-test).
Selective inhibition of brain MAO-B results in extension of the availability and activity of endogenous DA in the striatum through blockade of its degradation [15,41]. Firstly, we tested rasagiline (10 μM, 30–45 min), which did not cause, per sè, a significant change in EPSP amplitude, but failed to rescue LTP (Fig. 6B; 121.6 ± 11.3 %, n=9; p>0.05 Mann-Whitney). Selegiline, besides blocking MAO-B in an irreversible manner, acts also on neurotransmitter vesicular release through its amphetamine-like metabolite [42,43]. Indeed, slice preincubation with selegiline (30 μM, 2 hrs before HFS), resulted in a full rescue of striatal LTP (Fig. 6C, 164.7 ± 10.1%, n=11; p<0.01 Mann-Whitney). Our electrophysiological findings were paralleled by a set of amperometric recordings, which showed that pretreatment with selegiline (30 μM, n=18; p<0.05) completely rescued striatal DA content, whereas application of rasagiline (10 μM, n=14; p<0.05) only partially restored evoked DA release (Fig. 6D).
DISCUSSION
Compelling evidence obtained from animal models of monogenic forms of PD demonstrates remarkable abnormalities of DA-mediated neurotransmission and corticostriatal synaptic plasticity, indicative of a fundamental distortion of network function within the basal ganglia [14,16, for revs. see 44,45]. Recent neuroimaging studies of non-manifesting carriers of heterozygous mutations in the Parkin or PINK1 genes have unequivocally shown that a single mutant allele is associated with a dopaminergic nigrostriatal dysfunction conveying an increased risk to develop PD throughout lifetime [46–49].
Our findings provide novel evidence for a plausible cellular and synaptic correlate of the subclinical motor impairment observed in non-manifesting PINK1 heterozygotes, and have relevant pathophysiological implications for the role of PINK1 heterozygous mutations on DA-dependent synaptic plasticity. We show that, in heterozygous knockout mice, morphology and basic physiological cellular activity of both nigral and striatal neurons are preserved, as well as behavioral analyses. However, a significant decrease in evoked DA release paralleled a subtle alteration of LTP, whereas LTD expression was normal. More importantly, we report that drugs able to promote DA release, in an amphetamine-like manner, are able to restore plasticity deficits.
This study represents the first evidence that PINK1 haploinsufficiency differentially affects the expression of two distinct forms of corticostriatal synaptic plasticity. In fact, our data show a normal LTD and selective alteration of LTP in heterozygous PINK1 mice, whereas in homozygous PINK1 mice both forms of corticostriatal synaptic plasticity were impaired [14]. The precise process leading to such specific deficit of synaptic plasticity in the heterozygous condition remains to be established. We can hypothesize that the two distinct forms of synaptic plasticity may reflect the different stage of the disease course. In heterozygotes, when only one wild type PINK1 allele is normally functioning, the LTD is normally expressed, whereas the disruption of both PINK1 alleles, as it is seen in presence of homozygous or compound heterozygous mutations, represent both necessary and sufficient condition to determine the complete disruption of bidirectional corticostriatal synaptic plasticity. In support of this hypothesis, recent data emerging from a study conducted on a rodent model of early PD suggest that distinct degrees of DA denervation differentially affect the induction and maintenance of both corticostriatal LTP and LTD [50]. It is well accepted that the maintenance of dopaminergic tone governing striatal output is essential to preserve motor control [51,52]. Hence, the presence of a single mutant PINK1 allele may reflect an initial breakdown of the striatal DA homeostasis, which in turn influences the normal expression of striatal synaptic plasticity. These findings support the hypothesis that nigrostriatal dopaminergic dysfunction gives rise to an early dysfunction of basal ganglia circuits during the pre-symptomatic phase of the disease, which appears in agreement with our evidence of a normal motor behavior. A latent dopaminergic nigrostriatal dysfunction has been found also in non-manifesting individuals carrying heterozygous mutations in other autosomal recessive PD genes, such as Parkin [53–55]. Functional studies have demonstrated that a compensatory mechanism characterized by the recruitment of cortical motor areas may counteract the preclinical nigrostriatal dysfunction to ensure a normal level of performance during a motor sequence task [9,10,53,54].
At cellular level, available experimental evidence suggests that the complete expression of LTP requires a large amount of energy to enable the mobilization of synaptic vesicles from the reserve pool (RP), which is recruited only following HFS [56,57]. PINK1 plays an important role for cellular energy maintenance under increased demand, and PINK1 deficiency is related to mitochondrial respiratory defects [58,59]. Indeed, several reports indicate that mitochondria are essential for synaptic vesicle release under conditions of intense neuronal activity through vesicle mobilization from the RP, a process that requires numerous ATP-consuming steps [60–62]. Accordingly, it is plausible that a mitochondrial dysfunction may distinctively impact the maintenance of sufficient cellular ATP, affecting synaptic vesicle cycling required for synaptic plasticity induction. Studies from Drosophila reveal that deficiency or inactivation of PINK1 is associated with an impairment of mobilization of the RP during intense stimulation, affecting synaptic function [59]. More recently, studies from rodent models focused on the role of PINK1 in mitochondrial respiration, suggesting that loss of PINK1 causes defects in mitochondrial transmembrane potential through dysregulation of the mitochondrial permeability transition pore opening [58]. It is thus conceivable that changes in the mitochondrial ability to regenerate ATP may affect the magnitude of synaptic vesicle at presynaptic terminals, primarily via ATP synthesis.
A clear finding emerging from our work is the DA-dependence of striatal plasticity which has been matter of intense investigation [63,64]. Indeed, our data indicate a significant decrement in synaptic DA release at high frequencies of stimulation. Accordingly, displacement of neurotransmitter from storage areas to the synaptic cleft is able to restore LTP deficit, as observed with amphetamine, a DA releaser, but not with nomifensine, an uptake blocker. Notably, drugs exhibiting a similar, amphetamine-like pharmacodynamic profile restored LTP, such as tyramine and selegiline. Trace amines are found at low concentrations in neuronal tissues, where they are packed and released along with traditional amine compounds [65]. Trace amines have been shown to displace active biogenic amines and to act on transporters in an amphetamine-like manner, thereby promoting DA release and new DA synthesis [66,67].
Currently, strategies in PD treatment consider MAO-B inhibitors as they increase DA levels by blocking its degradation [15,41,68,69]. Indeed, DA levels are finely tuned by MAO enzymes, which exist in two functional isoforms, MAO-A and MAO-B. In line with current literature, our amperometric measurements revealed that, although to a different extent, both rasagiline and selegiline are able to increase DA striatal levels in PINK1+/− mice compared to controls. However, we found that only selegiline treatment was able to restore normal LTP expression. This is not surprising, as pharmacological properties of these two MAO-B inhibitors may account for such difference. In fact, selegiline and rasagiline exhibit distinct pharmacokinetic properties. Selegiline is metabolized in vivo to 1-amphetamine and to 1-methamphetamine [68] and has amphetamine-like properties [69], whilst rasagiline is metabolized to aminoindan, which is devoid of amphetamine-like actions [70]. It is therefore conceivable that the LTP rescue in PINK1 heterozygous mice is determined by the ability to force release from synaptic vesicles. The abnormalities of synaptic plasticity described in heterozygous mice might be considered an endophenotype to this monogenic form of PD, and a valid tool to design potentially disease-modifying therapies. This appears an intriguing working hypothesis, although results obtained from mouse models need to be interpreted with caution and further refined with additional analyses.
Acknowledgments
Support grants: Italian Ministry of Health (Giovani Ricercatori 2009), the Italian Ministry of Instruction, University and Research (MIUR, PRIN 2011), INAIL to AP; Italian Ministry of Health (Ricerca Corrente 2013, Ricerca Finalizzata Malattie Rare 2008, Giovani Ricercatori 2009), the Italian Telethon Foundation (GGP10140) and MIUR (FIRB Accordi di Programma 2010) to EMV; NIH NS041779 to JS.
We thank Mr. M. Tolu and V. Batocchi for their excellent technical assistance.
Footnotes
Conflict of interest: nothing to report.
Author roles: AP, NBM, PB: designed and wrote the paper. GM (Madeo), TS, GM (Martella), FP, MF, ECL performed the experiments and analyzed the data. GM (Madeo), GM (Martella), FP prepared illustrations. EMV, JS, SPA: reviewed critically the manuscript providing comments and revisions.
Financial disclosures: AP, NBM are employees at the University of Rome “Tor Vergata”, Italy, EMV at the University of Salerno, Italy; SPA at the Sapienza University of Rome; MF and PB are employees at Fondazione Santa Lucia; other authors: none. AP, EMV, NBM, JS, hold grants that are not related to the subject of the present study.
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