Abstract
A decrease in N-methyl-D-aspartate receptor (NMDAR) function is associated with age-related cognitive impairments. However, NMDAR antagonists are prescribed for cognitive decline associated with age-related neurodegenerative disease, raising questions as to the role of NMDAR activity in cognitive function during aging. The current studies examined effects of NMDAR blockade on cognitive task that are sensitive to aging. Young and middle-age rats were trained on the five-choice serial reaction time task (5-CSRTT) and challenged with MK-801 (0.025, 0.05, and 0.1 mg/kg or vehicle). Attention deficits were apparent in middle-age and performance of young and middle-age rats was enhanced for low doses of MK-801 (0.025 and 0.05). The beneficial effects on attention were reversed by the highest dose of MK-801. Older animals exhibited a delay-dependent impairment of episodic spatial memory examined on a delayed-matching to place water maze task. Similarly, a low dose of MK-801 (0.05 mg/kg) impaired performance with increasing delay and aged animals were more susceptible to disruption by NMDAR blockade. Despite MK-801 impairment of episodic spatial memory, MK-801 had minimal effects on spatial reference memory. Our results confirm that NMDARs contribute to rapidly acquired and flexible spatial memory and support the idea that a decline in NMDAR function contributes to the age-related impairments in cognition.
Keywords: aging, hippocampus, prefrontal cortex, NMDA receptor, episodic memory, attention, MK-801
Introduction
Cognitive aging is associated with weakening of episodic memory and executive function which, in the case of Alzheimer’s disease, can progress to more severe cognitive impairments and dementia (Albert, 2011; Alexander et al., 2012). In the case of aging, cognitive decline is associated with altered Ca2+ regulation and impaired synaptic function, including a decrease in the function of N-methyl-D-aspartate receptors (NMDARs) (Foster and Norris, 1997; Foster, 2007, 2012). The emergence of deficits in episodic memory and executive function are linked to decrease in the NMDAR-mediated synaptic responses in the hippocampus and prefrontal cortex (PFC), respectively (Foster and Norris, 1997; Foster, 2012; Kumar and Foster, 2013; Guidi et al., 2015). Similarly, β-amyloid (Aβ) impairs synaptic plasticity (Walsh et al., 2002; Shankar et al., 2007; Shankar et al., 2008) and rapidly decreases NMDAR responses (Snyder et al., 2005; Lacor et al., 2007; Dewachter et al., 2009), which may contribute to the onset of memory deficits associated with the early stages of Alzheimer’s disease.
While the onset of impaired episodic memory is associated with synaptic dysfunction, clinical dementia is more likely related to loss of connectivity throughout the brain, including cell death (DeKosky and Scheff, 1990; Terry et al., 1991; Scheff et al., 2007). Similarly, while a decline in NMDAR activation could underlie disruption of synaptic function early in Alzheimer’s disease, over activation of NMDARs may contribute to cell death. The idea that NMDAR activity contributes to neurotoxicity provides a basis for use of NMDAR antagonists to treat Alzheimer’s disease in order to limit the progression of cell loss (Rogawski and Wenk, 2003; Lipton, 2006). However, there is considerable confusion concerning the utility of NMDAR modulators to treat cognitive aging and Alzheimer’s disease. The low affinity activity-dependent NMDAR channel antagonist, memantine, has had mixed success in treating the symptoms of dementia and the progression of the disease (Schneider et al., 2011).
There are several reasons to predict that NMDAR blockade will have detrimental effects on cognition in older animals. In young animals, NMDAR antagonists impair the rapid acquisition and retention of flexible spatial information (i.e. episodic spatial memory) and an age-related impairment in episodic memory is associated with the decline in NMDAR function (Foster, 2012). Further, a decline in NMDAR function may contribute to the progression of neurodegeneration and cognitive decline. Synaptic NMDAR activity induces the expression of genes involved in the maintenance of neuronal health, which could protect cells from neurodegenerative processes (Papadia et al., 2008; Hardingham and Bading, 2010; Gleichmann et al., 2012). In the same way, a decline in NMDAR activity could underlie the decreased expression of synaptic and neuroprotective genes in aged-memory impaired animals (Blalock et al., 2003; Aenlle and Foster, 2010). Indeed, due to a decline NMDAR function with advancing age, it might be expected that older subjects are more susceptible to impairments following NMDAR blockade (Ingram et al., 1992).
Interestingly, some studies have reported that activity-dependent NMDAR channel antagonists at low doses have little effect or impair memory and yet improve attention and executive function in humans (Rammsayer, 2001; Ferris et al., 2007; Riepe et al., 2007; Wroolie et al., 2009; Nakamura et al., 2014) and in animals (Higgins et al., 2005; Smith et al., 2011; Pehrson et al., 2013; Benn and Robinson, 2014). Given that attention is an important factor in multiple cognitive processes that decline with aging, including executive function and memory, an understanding the dose dependent effect of NMDAR blockade with regard to age-sensitive cognitive processes is a critical question with clinical significance.
In the current study, low doses of the activity-dependent NMDAR channel blocker, MK-801, were used to examine spatial episodic memory and attention, cognitive processes that are sensitive to aging. We confirmed that performance on an attention task, which depends on the PFC, is impaired in middle-age rats (Guidi et al., 2015). NMDAR blockade produced a dose-dependent, biphasic enhancement in measures of attention for conditions that tax attentional demand. This enhancement was reversed by a higher dose of MK-801. An age-dependent impairment in retention of rapidly acquired episodic spatial memory was observed for the delayed-matching to place (DMTP) task, as the retention delay was increased beyond 30 min. MK-801 (0.05 mg/kg) impaired spatial episodic memory for a 30 min delay and aged animals were more susceptible to disruption. Finally, NMDAR blockade had minimal effects on spatial reference memory. The results indicate differential involvement of NMDARs in cognitive processes that depend on the PFC and hippocampus. NMDAR blockade and aging interact to impair hippocampal-dependent episodic memory, a form of memory that declines early in aging and Alzheimer’s disease. In contrast, NMDARs are not essential for spatial reference memory.
2. Methods
2.1 Subjects
For study 1, involving the 5-choice serial reaction time task (5-CSRTT), young (3–6 months, n = 14) and middle-age (10–14 months, n = 23) male Fisher 344 rats were employed. For study 2, involving spatial memory on the water maze, young (4–6 months, n = 10) and aged (18–20 months, n = 32) male Fisher 344 rats were employed. Five aged animals were unable to complete training on the cue or spatial tasks and were not included in the analysis. Animals were obtained from the National Institute on Aging colony (Taconic) through the University of Florida Animal Care and Service facility. All procedures involving animal subjects were reviewed and approved by the Institutional Animal Care and Use Committee and were in accordance with guidelines established by the U.S. Public Health Service Policy on Humane Care and Use of Laboratory Animals. The experimental timeline for behavioral characterization and drug testing is depicted in Figure 1.
2.2 Behavioral Tests
2.2.1 5-Choice Serial Reaction Time Task (5-CSRTT)
Apparatus
Behavioral training of animals on 5-CSRTT was conducted as previously published (Guidi et al., 2015). Testing was conducted in two identical standard rat testing chambers (30.5 × 25.4 × 30.5 cm; Coulbourn Instruments, Allentown, PA) with metal front and back walls, and transparent Plexiglas sidewalls. Each testing chamber was housed in a sound-attenuating cubicle, illuminated by a 3W house light. Each cage was equipped with a recessed food pellet delivery trough, located approximately 2 cm above the grid floor, in the center of the back wall. Each trough was fitted with a photobeam sensor to detect head entries and food reward pellet retrieval (45 mg grain based; Test Diet, Richmond, IN). A 1.12W light was used to illuminate the food trough. Five evenly spaced circular apertures, each containing 6 tricolored cue LED lights and a photobeam sensor, were set into the front metal wall 2 cm above the grid floor. The behavioral experiments were controlled through a computer interfaced with the testing chambers, and equipped with Graphic State v3.03 software (Coulbourn Instruments, Whitehall, PA).
Training Procedures
Rats were food restricted to 85% of their free-feeding weight and were maintained at this weight throughout the behavioral experiments (Fig 1). Each rat was tested in the same chamber throughout the experiment. For the first phase of training, rats were placed in the conditioning chambers for 15 min with the house-light on and the food magazine was filled with 10 food pellets to familiarize the animals with the training box. In the second phase, rats received two 30 min food magazine training sessions, during which 100 food pellets were delivered using a variable time schedule (mean = 60s). In the third phase of training, all nose poke openings were accessible to the animal and were illuminated for the entire 30 min session. Each time the rat placed its nose into the illuminated hole, a food pellet was delivered to the animal. This training was continued until the rats made at least 50 nose pokes during a single session.
Once trained to elicit a nose poke response for a food reward, the rats were then trained to nose poke in response to a brief 30-second visual stimulus that was presented pseudorandomly in only one of the five possible locations. At the beginning of each training/test session, the cage house light was illuminated and a single food pellet was delivered to the magazine without requiring a nose poke. The first trial was initiated when the rat collected the food pellet from the food magazine. After a fixed delay (inter-trial interval, ITI = 5 sec), one of the 5 holes was illuminated for a given stimulus duration. The rat was rewarded with a food pellet if it made a response to the illuminated hole or a response in that particular hole during a fixed period of time after the light stimulus was turned off (the limited hole hold period = 5 sec). This response was recorded as a correct response. The next trial was initiated when the rat retrieved the food pellet. Responses in a non-illuminated hole during the signal period (i.e. the stimulus duration + the limited hole hold period) were recorded as incorrect responses and failures to respond within the limited hold period were recorded as omissions. These resulted in a 5 sec period of darkness (time-out). A response in any hole during the ITI was recorded as a premature response and was followed by a time-out period as well. After a time-out, the next trial was initiated when the rat placed its nose into the empty, lit food magazine. The daily testing sessions consisted either of 100 trials or was terminated after 30 min of testing. During a 100-trial session, the light stimulus was presented an equal number of times in each of the five aperture positions.
Animals progressed to training on the next, shorter cue duration interval once performance at the previous cue duration met criterion (50 completed trials for two consecutive training sessions). The cue duration intervals used for training included 0.25, 0.5, 2.5, 10, and 30 sec. Finally, rats were trained on the variable cue paradigm in which the optical stimuli were presented at various durations (0.25, 0.5, 2.5, 10, and 30s) during a single testing session. Animals were trained for 5 consecutive days on the variable cue paradigm and stable performance, with >50% choice accuracy was observed for 0.5 sec cue duration (Fig 2).
Following training on the variable cue paradigm, rats received a systemic intraperitoneal injection of MK-801 (0.025, 0.05, and 0.1 mg/kg) or vehicle 30 min prior to entering the operant conditioning chamber for testing on the variable cue paradigm. Injections occurred every other day, and a washout day was implemented in between each drug treatment session to ensure there was no lingering drug affects from the previous day. Injections were randomized using a within subject design, such that each animal received each MK-801 treatment over the course of eight days. The doses of MK-801 (0.025, 0.05, and 0.1 mg/kg) employed were found to have minimal effect on motor function (Wozniak et al., 1990; Carey et al., 1998).
Direct measures of attention were assessed in terms of choice accuracy in detecting the light stimulus, expressed as a percentage of the total number of correct and incorrect trials (correct responses/total number of correct and incorrect responses). The number of omissions was expressed as a percentage (number of omissions/total number of trials). Premature responses (number of premature responses/total number of trials) were used as an index of inhibitory response control. The latency to respond to the cue and latency to collect the reward were also recorded.
2.2.2 Water Maze
Apparatus
Methods for training of animals on the water maze task have previously been described (Foster, 2012; Foster et al., 2012; Kumar et al., 2012; Lee et al., 2012; Kumar and Foster, 2013; Guidi et al., 2014). Animals were trained in a black tank, 1.7 m in diameter, positioned in a well-lit room containing (when appropriate) an assortment of 2- and 3-dimensional cues. Water (27 ± 2° C) was maintained at a level approximately 8 cm below the surface of the tank. Across all water maze tasks, training and probe trials were limited to 60 sec. Behavioral data were acquired with Noldus EthoVision computer tracking software (Noldus Information Technology, Leesburg, VA) and included cumulative path-length during training trials and time in quadrant and platform (12 cm diameter) crossing during probe trials.
Cue Discrimination Training
Rats were first trained on the cue discrimination version of the water escape task (Fig 1). Animals were habituated to the pool by allowing for a 30 sec free swim and 4-guided attempts to climb onto the escape platform from the 4 different cardinal directions. The platform was extended approximately 1 cm above the water level and a white Styrofoam flag was attached. Training consisted of five blocks comprised of three trials with all training massed into one day. Inter-trial intervals were 30 sec and inter-block intervals were approximately 15 minutes. For each trial, a rat was placed in the water in one of four equally spaced start locations (N, S, E, and W) and was allowed 60 sec to escape onto the platform. If an animal did not escape the water maze within the allotted time, the rat was gently guided to the platform. Rats remained on the platform between trials. After each trial block, the rats were placed in home cages under warming fans in order to prevent hypothermia. The platform position and start locations were randomized and relocated prior to the start of each subsequent trial. The distance traveled to find the platform was recorded and averaged for each block. Rats that failed to find the visible platform at least two times during the last three trials were removed from the study and were not included in the analysis.
Delayed-Matching to Place (DMTP) Task
Three days following cue discrimination, animals were trained on a modified version of the DMTP task, which is sensitive to NMDAR function and aging (Means and Kennard, 1991; Steele and Morris, 1999; Bizon et al., 2009; Morris et al., 2013). The platform was lowered to just beneath the water surface and animals were trained to find a hidden platform (3 trials per day), using a different location each day. The start position was always distal from the platform. Rats remained on the platform for 20 sec and then were moved to a holding chamber for the inter-trial interval (ITI) delay. For the first 3 days of the task, a 30 sec ITI was imposed between the trials to acclimate the rats to the spatial working memory task procedures. During the nine days of testing, the ITI between the first trial (the information trial) and the second trial (retention trial) was varied between 1, 30, or 120 min, such that each delay occurred three times. Rats remained on the platform for 30 sec and then were placed in home cages under warm air during the delay. The ITI between the second and third trial was set at 1 min. The distance traveled to find the platform was recorded for each trial and a savings score was calculated for trials two and three as the difference between the initial acquisition trial and subsequent testing trials (e.g. distance trial 1 – distance trial 2). The savings scores were averaged for three days of testing and animals that failed to exhibit a decrease in swim distance for the 30 min ITI were removed.
Following the initial characterization, animals were tested for the effects of MK-801 on the DMTP task using the 1 and 30 min ITI between the information and retention trials. Animals were randomized using a within subject design, such that each animal received systemic intraperitoneal injections of MK-801 (0.05 mg/kg) or vehicle, 30 min prior to the first training trial each day. Thus, each animal was tested four times, with a trial 2 delay of 1 and 30 min following an injection of MK-801 or vehicle. The injection days were separated by two days. Again, savings scores were calculated and used for analysis.
Spatial Reference Memory Task
Following testing on the DMTP task, animals were randomized to receive eight days of injections of MK-801 (0.05 mg/kg) or vehicle 30 min prior to spatial reference memory training using standard techniques (Guidi et al., 2014). For this task, the platform remained in the same location across days of training. The animals received four trials per day with each trial separated by 30 sec. Training continued for seven days. The distance traveled to find the platform was recorded and averaged for each day. On day eight, animals were injected with MK801 or vehicle 30 min prior to a probe trial in which the platform was removed. The time, the animal spent searching the goal and the opposite quadrant was recorded, as well as the number of platform crossings.
2.3 Statistical Analysis
Analyses of variance (ANOVAs) for repeated measures were carried out using StatView 5.0 (SAS Institute Inc, NC) and used to determine significant main effects and interactions. Post hoc ANOVAs and Fisher’s protected least significant difference comparisons, with the p-value set at 0.05, were used to further localize differences. Finally, in order to confirm learning on the water maze, one group student t-tests were used to determine if savings scores and discrimination index scores were different from that expected by chance.
3. Results
3.1 Dose Dependent Biphasic Effect of MK-801 on Performace of the 5-CSRTT
Following stable performance on the variable cue training (Fig 2), rats underwent a within-subject drug study, assessing the effects of systemic injections of MK-801 (0.025, 0.05, 0.1 mg/kg, and vehicle) on performance in the variable cue duration paradigm. A two-factor (age and drug dose) ANOVA, repeated across cue durations, performed on the choice accuracy indicated significant main effects of cue duration [F(4,560) = 196.25, p < 0.0001], age [F(1,140) = 4.74, p < 0.05], and MK-801 dose [F(3,140) = 6.72, p < 0.0005]. We confirmed a cue duration by age interaction [F(4,560) = 8.59, p < 0.0001] and post hoc tests collapsed across all drug doses indicated that the difference was primarily driven by better performance of young rats at the 0.5 and 0.25 sec cue durations (Fig. 3A). An interaction was also observed between cue duration and drug dose [F(4,560) = 2.43, p < 0.005]. Subsequent ANOVAs performed for each cue duration, and collapsed across age indicated that choice accuracy performance is significantly influenced by MK-801 for cue durations of 0.25 sec [F(3,140) = 5.86, p < 0.001] and 0.5 sec [F(3,140) = 4.33, p < 0.01] (Fig. 3B). Post hoc examination for these two cue durations revealed that the effect of drug dose on choice accuracy performance was largely due to a significant increase in accuracy for the two intermediate MK-801 doses compared to the 0.1 mg/kg dose. Additionally, the 0.025 and 0.05 mg/kg dose improved attentional performance at the 0.25 sec cue duration, relative to vehicle treatment. Interestingly, no age by drug dose interaction was observed for these biphasic effects.
The results indicate that biphasic effects were observed for shorter cue durations, which tax the attentional demands and for which age-related impairments were observed. In order to determine if the higher dose impaired performance, post hoc comparisons within each age group were performed by comparing choice accuracy for the vehicle and 0.1 mg/kg dose. A significant (p < 0.05) decrease in choice accuracy was observed only for middle-age animals at the longer cue durations of 30 sec (vehicle: 97 ± 1, 0.1 mg/kg MK-801: 92 ± 1.7) and 10 sec (vehicle: 96 ± 1, 0.1 mg/kg MK-801: 90 ± 2.3).
A similar pattern of results was obtained for measures of omissions (Fig. 4). A two-factor repeated measures ANOVA confirmed main effects of cue duration [F(4,560) = 98.37, p < 0.0001], age [F(1,140) = 8.81, p < 0.005], and dose of MK-801 [F(3,140) = 4.61, p < 0.005]. Moreover, a significant interaction was observed between cue duration and age [F(4,560) = 7.60, p < 0.0001]. Again, the age effect was primarily due to an increase in the percentage of omissions by middle-age rats for the lower cue durations and post hoc tests collapsed across all drug doses indicated better performance of young rats at the 2.5, 0.5, and 0.25 sec cue durations (Fig. 4A). A significant interaction was also detected between cue duration and MK-801 dose [F(12,560) = 3.61, p < 0.0001]. Subsequent ANOVAs performed for each cue duration, and collapsed across age, indicated that the percent omissions is influenced by the dose of MK-801 at 0.25 sec [F(3,144) = 5.18, p < 0.005], 0.5 sec [F(3,144) = 5.30, p < 0.005], 2.5 sec [F(3,144) = 3.15, p < 0.05]. Furthermore, post hoc examination revealed improved performance (decreased omissions) for the two intermediate doses, 0.025 and 0.05 mg/kg, relative to vehicle for the shortest cue durations (0.25 and 0.5 sec). Additionally, the percent omissions was decreased for the 0.025 and 0.05 mg/kg doses relative to the 0.1mg/kg dose at the 2.5, 0.5 and 0.25 sec cue durations. No age by dose interaction was observed for these cue durations. In order to determine if the higher dose impaired performance, post hoc comparisons within each age group were performed by comparing omissions for the vehicle and 0.1 mg/kg dose at each cue duration. A significant (p < 0.05) increase in the number of omissions was observed only for young animals at the 10 sec cue duration (vehicle: 1.7 ± 1, 0.1 mg/kg MK-801: 7.8 ± 2.2). The results indicate a biphasic effect of MK-801 on measures of attention with improved performance for lower doses at the shortest cue durations, where attentional deficits are observed. The higher dose reversed the benefits observed for lower doses and impairments for the highest dose of MK-801 were limited to longer cue durations that normally do not exhibit age-differences.
A two-factor ANOVA for choice latency indicated an effect of age [F(1,140) = 8.83, p < 0.005] and MK-801 dose [F(3,140) = 3.69, p < 0.05] in the absence of an interaction (Fig. 5A). The age effect for choice latency, collapsed across doses, was due to an increase in latency for middle-age animals (Young: 0.99 ± 0.06 sec, Middle-age: 1.41 ± 0.09 sec) consistent with previous reports (Guidi et al., 2015). For MK-801 effects, post hoc tests indicated that choice latency decreased for the two intermediate doses of MK-801 relative to the 0.1 mg/kg dose. Post hoc test of choice latency limited to for the vehicle and 0.1 mg/kg dose within each age group were not significant. An MK-801 dose effect [F(3,140) = 14.00, p < 0.0001], in the absence of an age difference or an age by dose interaction, was observed for premature responses, such that the percent premature responses increased as a function of drug dose (Fig. 5B). Post hoc test of premature responses limited to the vehicle and 0.1 mg/kg dose indicated a significant (p < 0.05) increase in premature responses for both age groups (Fig. 5B). In order to ensure that alterations in performance were not due to motor disturbances, we assessed the effect of MK-801 on magazine latency (Fig. 5C). No effect of age or drug dose was observed for this measure, indicating that MK-801, and the regimen of doses used, did not substantially influence the rodents’ ability to move between the two ends of the testing chamber. Finally, no age or dose effects were observed for the number of initiated trials.
Examination of performance on the three washout days between each drug treatment session confirmed age and cue duration interactions for choice accuracy [F(4,196) = 9.43, 0.0001] and post hoc test indicated increased accuracy of young relative to middle-age for the 0.25 sec cue duration (Fig 6). No effect of previous drug treatment was observed.
3.2 Low Dose of MK-801 Impairs Spatial Episodic Memory
For examination of age and MK-801 effects on the spatial water maze, young and aged rats were first tested on the cue discrimination task. Following testing on the DMTP and reference memory versions of the tasks (see below), a second session of cue discrimination testing was conducted for a subset of animals (young = 7, aged = 24). For the initial training, a main effect of age [F(1,4) = 15.71, p < 0.0005] and training [F(4,140) = 18.71, p < 0.0001] was observed (p < 0.05) due to superior performance by young during training blocks 2–4 (Fig 7). However, no difference was observed for the initial training block or the final training block. For the final cue test, an effect of training [F(4,116) = 3.36, p < 0.05] was observed in the absence of an age effect. The results confirm that aged animals initially exhibit slower procedural learning during water maze training but, over the course of training, aged animals were able to acquire the procedural aspects of the task to the same extent as the young rats (Foster, 2012).
Three days following the initial cue discrimination test, animals were trained on the DMTP task. For each set of trial delays (1, 30, 120 min) following the acquisition trial (trial 1), savings scores were calculated for trials 2 and 3 relative to the acquisition trial, and the savings for each trial were averaged across 3 days of testing (Fig 8A). One group t-tests were employed to determine if performance on trial 3 was different from trial 1 (i.e. savings score different from 0). All groups exhibited learning across the three trials such that trial 3 savings scores were greater than 0. An ANOVA across saving scores for trials 2 and 3 confirmed an effect of training [F(1,108) = 11.23, p < 0.0001] due to increased savings across the short delay (1 min) between trials 2 and 3. In addition, an age difference [F(1,108) = 9.39, p < 0.005] was observed and post hoc comparisons indicated an age difference in savings scores for trial 2 [F(1, 105) = 5.25, p < 0.05] and trial 3 [F(1, 105) = 8.08, p < 0.01] due to increased savings for young animals. Previous work indicates that older animals exhibit increased forgetting of spatial episodic information, such that impairments in retention are observed for delays beyond 30 min (Means and Kennard, 1991; Mabry et al., 1996; Bizon et al., 2009). Post hoc comparisons for each delay time confirmed impaired retention with advanced age, such that an age difference in savings scores [F(1, 35) = 6.06, p < 0.05] was observed only for the 2 hr delay between trials 1 and 2. Similarly, comparisons of trial 3 savings scores for each delay time indicated an age difference [F(1, 35) = 4.33, p < 0.05] for the 2 hr delay.
NMDAR antagonists disrupt retention of novel spatial information as retention intervals increase (Steele and Morris, 1999; Lee and Kesner, 2002; McDonald et al., 2005). Therefore, due to the age-related impairment in retention for the 120 min delay, only the 1 and 30 min time points were employed for examination of the effect of vehicle and MK-801 injections. For the vehicle treatment condition, t-tests comparing savings scores on trial 3 to chance, indicated that all groups learned for each delay condition. Indeed, an ANOVA across trials indicated no further improvement from trial 2 to trial 3, no effect of age, and no effect of trial delay (Fig 8B). Thus, in the vehicle condition, young and aged animals exhibited similar learning and memory for the 1 and 30 min delays. In contrast, an injection of MK-801 resulted in impaired learning for aged animals in the 30 min delay condition, such that this group did not exhibit significant savings on trial 3 (Fig 8C). An ANOVA indicated an interaction of age and training [F(1,70) = 7.68, p < 0.01] and a tendency for a trial delay effect (p = 0.05). ANOVAs within each age group to localize the age and training interaction, confirmed impairment in aged animals such that an increase in the savings scores was observed from trial 2 to trial 3 for young [(F(1,18) = 9.08, p < 0.01], but not for aged animals. Post hoc comparisons for trial 2 indicated a trial delay effect due to increased savings for trials with a 1 min delay, relative to the 30 min delay [(1, 70) = 4.89, p < 0.05) (Fig 8C), consistent with NMDAR involvement in the retention of novel spatial information (Steele and Morris, 1999; Lee and Kesner, 2002; McDonald et al., 2005). Thus, for both young and aged animals, MK-801 impaired retention on trial 2 as the delay was increased from 1 to 30 min. However, only young animals were able to utilize information from trial 2 to recover from this initial deficit, such that young animals exhibited improved performance on trial 3.
A subset of the animals were tested on acquisition of a spatial reference memory and were randomly assigned to receive MK-801 (0.05 mg/kg, Aged: n = 12, Young: n = 3) or vehicle (Aged: n = 12, Young: n = 4) 30 min before each day of training (Fig 9). A repeated measures ANOVA indicated an effect of age [F(1,27) = 11.43, p < 0.005] and training [F(6,162) = 5.59, p < 0.00001] in the absence of a drug treatment effect. An ANOVA for each day indicated that age effects were observed for days 2 and 4. We suspected that NMDAR blockade may have interacted with age to impair memory consolidation on day 2, following the initial acquisition on day 1. Previous work indicates age-related impairment of memory consolidation examined 24 hr after a single episode of water maze training (Aitken and Meaney, 1989; Foster et al., 1991; Norris and Foster, 1999; Foster et al., 2001; Driscoll et al., 2006; Foster and Kumar, 2007), and memory consolidation of novel spatial information is disrupted by NMDAR blockade (Kesner and Dakis, 1995; Holahan et al., 2005; McDonald et al., 2005). To determine whether NMDAR blockade may have contributed to an age-related impairment in consolidation, we examined age and drug effects for each day. In this case, the age difference was limited to MK-801 treated animals [(1,13) = 5.53, p < 0.05] on day 2, 24 hr after the initial training, consistent with the idea that NMDAR blockade contributed to a consolidation deficit in older animals.
A retention probe trial was delivered on day 8, 30 min after injection of MK-801 or vehicle. One group t-tests indicated that all groups exhibited a discrimination index above chance indicating that all groups acquired a spatial search strategy. Despite performing above chance, an age difference [F(1,26) = 5.88, p < 0.05] in the discrimination index was observed in the absence of an effect of drug treatment (Fig 9B). No effect of age or drug treatment was observed for the number of platform crossings (young vehicle = 5.0 ± 0.4, young MK-801 = 4.7 ± 2.0, aged vehicle = 3.0 ± 0.4, aged MK-801 = 4.0 ± 0.6).
4. Discussion
Neuronal survival and excitotoxicity depend on the level of NMDAR activity. Currently, the NMDAR channel blocker, memantine, is employed as a therapeutic treatment for cognitive decline associated with aging and Alzheimer’s disease. However, memantine has had mixed success in treating the symptoms of dementia and the progression of the disease (Schneider et al., 2011). The benefits or impairments associated with memantine treatment may relate to its low affinity for NMDARs and interaction with other transmitter systems. Furthermore, NMDAR activity is important for normal cognition. A decline in NMDAR function is associated with the emergence of cognitive impairment (Kumar and Foster, 2013; Guidi et al., 2015), suggesting that NMDAR blockade could disproportionately impair cognition during aging. To address the role of NMDARs in age-related cognitive decline, the current study examined the effects of a specific and high affinity NMDAR channel blocker, MK-801, on episodic memory and attention, cognitive processes that decline with advanced age and in Alzheimer’s disease.
4.1 NMDAR Involvement in Attention during Aging
We confirmed an age-dependent impairment in attention on the variable cue duration version of the 5-CSRTT. The deficits were limited to the shorter cue durations, when attentional load is increased (Jones et al., 1995; Muir et al., 1999; Harati et al., 2011; Guidi et al., 2015). In addition, we found a biphasic dose response curve for MK-801 effects on attention, with low doses of MK-801 improving choice accuracy and reducing omissions. The biphasic influence of MK-801 is consistent with previous work, which indicates that a high dose of MK-801 (≥ 0.1 mg/kg) impaired performance on the 5-CSRTT and low doses of MK-801 (≤ 0.05 mg/kg) or a GluN2B subunit selective antagonist can produce modest benefits, increasing correct choices and reducing omissions (Higgins et al., 2005; Smith et al., 2011; Pehrson et al., 2013; Benn and Robinson, 2014).
The beneficial effects observed for the high affinity NMDAR specific antagonist, MK-801, may be relevant to understanding the mechanisms for beneficial effects of memantine, which exhibits less specificity and low affinity for the NMDAR. Memantine has been reported to increase attention and executive function in postmenopausal women (Wroolie et al., 2009), elderly humans with memory complaints (Ferris et al., 2007), and people with probable Alzheimer’s disease (Riepe et al., 2007; Nakamura et al., 2014). It has been suggested that the beneficial effects may be related to the ability of memantine to act on other receptor systems including serotonin, nicotine, and dopamine receptors (Rammes et al., 2001; Aracava et al., 2005; Seeman et al., 2008). Indeed, for the typical dose of memantine (20 mg/day), the level of drug in the cerebrospinal fluid is considerably below the IC50 for blocking NMDARs (Kornhuber and Quack, 1995; Frankiewicz et al., 1996). Importantly, the current finding that low doses of MK-801, a high affinity and specific NMDAR antagonist, improved attention suggests that memantine effects on attention are likely due to NMDAR blockade.
It is possible that the increase in performance on the 5-CSRTT for the low MK-801 doses was due to activation of the PFC following NMDAR blockade in other brain regions that are more sensitive to NMDAR blockade. The 0.05 mg/kg dose which improved 5-CSRTT performance, impaired hippocampal-dependent episodic memory. Similarly, in most cases in which memantine was reported to improve attention and executive function, the drug either had little effect on memory or impaired learning and memory (Rammsayer, 2001; Ferris et al., 2007; Riepe et al., 2007; Wroolie et al., 2009; Nakamura et al., 2014). Previous work suggests that impaired hippocampal function or a decrease in hippocampal activation can result in recruitment of the PFC (Cabeza et al., 2004; Zelikowsky et al., 2013). Moreover, infusion of MK-801 into the hippocampus increases the activity of pyramidal cells in the PFC (Jodo et al., 2005). Thus, for low doses of MK-801, PFC functions may have been enhanced as compensation for or as a direct result of disruption of NMDARs in the hippocampus or other brain regions.
Alternatively, the biphasic response may have been due to differential effects on interneurons and pyramidal cells in the PFC. In this case, the most active neurons may be more readily influenced by NMDAR channel blockers such that channel blockers initially act on the fast spiking interneurons, reducing inhibitory circuits. This idea is consistent with observed differences in NMDAR function between interneurons and pyramidal cells of the PFC and work demonstrating that NMDAR blockade results in a decrease in inhibition (Jackson et al., 2004; Homayoun and Moghaddam, 2007; Xi et al., 2009; Povysheva and Johnson, 2012). Importantly, the age-related impairment in attention is thought to result from a decline in NMDAR function on dendritic spines on PFC pyramidal cells (Bloss et al., 2011; Morrison and Baxter, 2012; Guidi et al., 2015). Thus, if MK-801 is initially acting on interneurons to improve attention, and NMDAR function of interneurons is not altered with age, this could explain the finding that the beneficial effects of MK-801 were not age specific and were prominent in both age groups as attentional demand increased.
In contrast to the lower doses of MK-801, the highest dose of MK-801 impaired measures of attention and abolished the benefits observed for the lower doses. There are several reasons to think that the effect of MK-801 may represent an interaction with an age-related NMDAR hypofunction of principal neurons. First, it is important to note that the reversal of beneficial effects was mainly observed for the short duration cues where age-related deficits were also prevalent. Indeed, the effect of the highest dose for the short duration cues mimicked aging effects; decreasing choice accuracy, increasing omissions, and increasing choice latency. However, for the shorter cue durations, no age difference in the MK-801 mediated impairment was observed, suggesting possible floor effects. In this case, the age-related decline in NMDAR function could mediate impairment in attention, such that a further decrease in NMDAR function following antagonist treatment cannot further impair behavior. In contrast, age-relevant impairment for the highest MK-801 dose was observed for the longer cue durations, where performance was asymptotic and baseline age differences were not evident. For example, we confirm that no age difference is observed for the longest cue durations; however, middle-age animals were more sensitive to NMDAR disruption such that the highest MK-801 dose impaired choice accuracy in middle-age animals for these long duration cues.
The detrimental effects of NMDAR antagonists on attention provide a basis for the idea that NMDAR hypofunction in the PFC contributes to neuropsychological problems involving attention and executive function, including age-related impairments (Kotecha et al., 2002; Turic et al., 2004; Gaspar et al., 2009; Guidi et al., 2015). As noted above, the age-related impairment in attention is thought to result from NMDAR hypofunction of PFC pyramidal cells (Bloss et al., 2011; Morrison and Baxter, 2012; Guidi et al., 2015). There are several reasons to believe that the impairments observed for the higher MK-801 dose are mediated by blockade of NMDARs on pyramidal cells in the PFC. The increase in omissions and premature responses, observed for the highest dose of MK-801, is consistent with previous research indicating that direct infusion of MK-801 into PFC increases omissions (Pehrson et al., 2013) and premature responses (Benn and Robinson, 2014), suggesting that the highest dose of MK-801 was influencing PCF neurons. In contrast to benefit observed for the low affinity antagonist, memantine, impaired executive function and altered activity of PFC pyramidal neurons is routinely observed following treatment with high affinity NMDAR antagonists (Honey et al., 2003; Gouzoulis-Mayfrank et al., 2005; Homayoun and Moghaddam, 2007; Wang et al., 2013; Molina et al., 2014), suggesting that greater NMDAR antagonism influenced PFC pyramidal neurons. In fact, behavioral deficits are observed when the dose of memantine is increased to a level that is neuroprotective against NMDA induced neurotoxicity (Creeley et al., 2006), indicating that significant NMDAR blockade, even by a low affinity antagonist, impairs cognition. Together, the results indicate that antagonism of NMDARs located on pyramidal cell in the PFC results in impaired attention. The results are consistent with the idea that NMDAR hypofunction of PFC principal cells contributes to age-related impairment in attention (Guidi et al., 2015).
4.2. NMDAR Involvement in Episodic Memory During Aging
NMDAR channel blockers are employed to delay cognitive decline associated with Alzheimer’s disease. However, an early symptom of cognitive aging and Alzheimer’s disease is impaired episodic memory. Our previous work indicates that an age-related impairment in spatial episodic memory is linked to a decline in hippocampal NMDAR synaptic function (Foster, 2012; Kumar and Foster, 2013; Lee et al., 2014). In the current study, we confirmed that aged rats exhibit increased forgetting of episodic spatial information, observed as impairments on the retention trial for delays beyond 30 min (Means and Kennard, 1991; Mabry et al., 1996; Bizon et al., 2009).
Similar to effects of aging, we observed that NMDAR blockade impaired the retention of spatial episodic memory. In the current study, pre-treatment with a low dose of MK-801 (0.05 mg/kg) impaired retention on trial 2, as the delay increased from 1 to 30 min, regardless of age. The results support work that suggest NMDAR antagonists, delivered prior to acquisition, disrupt the retention of novel spatial information as retention intervals increase (Steele and Morris, 1999; Lee and Kesner, 2002; McDonald et al., 2005). Thus, both aging and NMDAR blockade are associated with impaired retention/consolidation of novel, rapidly acquired spatial information.
Due to the decline in NMDAR function with age, we hypothesized that MK-801 would impair behavior to a greater extent in older animals. Despite impaired retention over a 30 min interval, young animals treated with MK-801 were able to exhibit improved performance between trial 2 and 3. In contrast, aged animals did not exhibit an improvement and no savings was observed, indicating that aged animals were more susceptible to impairment following NMDAR blockade, possibly due to an initial NMDAR hypofunction. The increased susceptibility to NMDAR blockade in aged animals is also supported by the reference memory task in which aged-MK-801 treated animals exhibited impaired memory consolidation on day 2, 24 hr after the initial training episode.
Interestingly, while most aged animals exhibited impaired retention of an episodic spatial memory, observed as a lack of savings for the 120 min delay, all aged animals exhibited discrimination scores above chance for the reference memory task. The work supports the idea that the impairment of acquisition and retention of novel information is a more sensitive measure of age-related cognitive decline, which emerges earlier, and the proportion of animals with impaired episodic memory increases with advancing age (Foster, 2012; Kumar and Foster, 2013). Previous work in mutant mice with selective knockout of hippocampal NMDARs indicate NMDAR involvement in novel spatial memory acquired during a single episode, but not in the acquisition or recall of spatial reference memory acquired during distributed training (Nakazawa et al., 2003; McHugh et al., 2007; Bannerman et al., 2008; von Engelhardt et al., 2008). Certainly, any evidence for a drug effect on reference memory was limited to the second day of training for aged animals, again pointing to a possible influence of NMDAR antagonism interacting with an age-related NMDAR hypofunction to impair the acquisition or consolidation of novel spatial information. Indeed, in the current study, MK-801 impaired one trial episodic memory, but all groups acquired a spatial reference memory, supporting the idea for differential involvement of NMDARs in episodic and reference memory. The absence of a deficit in reference memory supports the idea that age-related impairment in the incremental acquisition of a reference memory represents a more serious progression of cognitive deficits, which is observed in a subset of the oldest animals, and is due to mechanisms other than or in addition to the decline in NMDAR function (Foster, 2012; Foster et al., 2012).
In conclusion, low doses of MK-801 improved measures of attention on the 5-CSRTT for both age groups and the highest doses (0.1 mg/kg) mimicked age effects, decreasing choice accuracy and increasing omissions. Our results for hippocampal-dependent spatial memory confirm that NMDARs are involved in spatial episodic memory, but are not essential for spatial reference memory. Aged animals were more susceptible to MK-801 mediated disruption on the DMTP task consistent with the idea that the decline in NMDAR function in the hippocampus contributes to the age-related impairment in episodic memory.
Highlights.
Lower doses of MK-enhanced attention under conditions that were age-sensitive.
Beneficial effects on attention were reversed by the highest dose of MK-801.
MK-801 produced delay-dependent impairment of spatial episodic memory.
MK-801 had minimal effects on spatial reference memory.
Aged rats were more susceptible to MK-801 mediated disruption of episodic memory.
Acknowledgments
Financial support by National Institutes of Aging Grant R01AG037984 and R37AG036800, and the Evelyn F. McKnight Brain Research Foundation is highly appreciated. Thanks to Dr. Jennifer Bizon for discussions about the behavioral tasks.
Footnotes
Authors do not have any competing financial interests.
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