Abstract
Tight coupling of neuronal metabolism to synaptic activity is critical to ensure that the supply of metabolic substrates meets the demands of neuronal signaling. Given the impact of temperature on metabolism, and the wide fluctuations of brain temperature observed during clinical hypothermia, we examined the effect of temperature on neurometabolic coupling. Intrinsic fluorescence signals of the oxidized form of flavin adenine dinucleotide (FAD) and the reduced form of nicotinamide adenine dinucleotide (NADH), and their ratios, were measured to assess neural metabolic state and local field potentials were recorded to measure synaptic activity in the mouse brain. Brain slice preparations were used to remove the potential impacts of blood flow. Tight coupling between metabolic signals and local field potential amplitudes was observed at a range of temperatures below 29°C. However, above 29 °C, the metabolic and synaptic signatures diverged such that FAD signals were diminished, but local field potentials retained their amplitude. It was also observed that the declines in the FAD signals seen at high temperatures (and hence the decoupling between synaptic and metabolic events), is driven by low FAD availability at high temperatures. These data suggest that neurometabolic coupling, thought to be critical for ensuring the metabolic health of the brain, may show temperature dependence, and is related to temperature-dependent changes in FAD supplies.
Keywords: Neurometabolic coupling, Flavoprotein imaging, Temperature, Hypothermia, Auditory cortex, Hippocampus
Introduction
One century ago, Roy and Sherrington showed the coupling between neuronal activity and the delivery of energy through the cerebral vasculature [85]. In addition, metabolic dysfunction was shown to impair synaptic transmission or cell viability in many brain preparations [52,106,88,13,50,60]. Currently, most brain functional imaging techniques are conducted based on neurometabolic coupling theory [62]. Yet, the mechanisms linking brain activity to metabolism, and the impact of important physiological parameters, such as temperature, on neurometabolic coupling remain poorly understood. Given the high rate of metabolism and consequent heat production that occurs in the brain, fluctuations in local brain temperature can span up to 2–3°C degrees (reviewed in Wang et al.[104]). Furthermore, therapeutically, hypothermia has received increasingly intense clinical attention to protect against some brain injuries [6,38,73,26,91]. Therefore, it is critical to understand how brain temperature affects synaptic and metabolic activity in the brain. Previous studies have shown that neuronal resting membrane potential, the rate of neuronal firing, and the onset of depolarization and repolarization are temperature-dependent processes [55,103]. However, these studies did not simultaneously measure the impact of temperature on the cellular metabolism which could have modulated neuronal activity [39]. In contrast, many in-vivo and ex-vivo studies examined the impact of the temperature on cerebral blood flow and metabolic rate during hypoxia versus normal conditions [76,107,20,71], but they did not simultaneously measure the impact of temperature on the neuronal activity. Given the previous work demonstrating that temperature could impact both brain metabolism and neural activity, and the different metabolic demands that exist at different temperatures [51,103,20,79,8], we hypothesized that the coupling between neural activity and metabolic activity may be temperature dependent. To test this hypothesis, we simultaneously recorded local field potentials and endogenous metabolic signals such as oxidized flavin adenine dinucleotide (FAD++) and reduced nicotinamide adenine dinucleotide (NADH) across different temperatures. The oxidized (FAD++/NAD+) or the reduced (FADH2/NADH) forms of these coenzymes are directly involved in ATP production [67]. Delivering the electrons by these co-++(henceforth, FAD) and enzymes is associated with the oxidation of both FADH2 and NADH and to FAD NAD+ (henceforth, NAD) respectively, which leads to the increase of FAD and the decrease of NADH signals upon each neuronal activation [41]. In addition to their use in the diagnoses of some diseases like myocardial infarction and cancer [80,56], the fluorescence associated with FAD and NADH was previously characterized to measure metabolic activity in the brain tissue [66,43,58,81,92,100] Stimulation of mitochondrial oxidative phosphorylation is induced by the influx of calcium ions upon synaptic transmission, and approximately 80% of FAD signals come from postsynaptic activation [92,81,58]. As such, flavoprotein fluorescence imaging has been reported as a highly quantitative marker for neuronal and synaptic activity with a high degree of stability over hours [82,58–59,92–93,101]. Given that FAD and NADH represent different oxidative states, have signals that contain temporally different components [light vs dark phase (peak vs undershoot) of FAD signals][83], and own different excitation and emission spectra [67], tracking the change of FAD and NADH signals was considered an effective tool to test our hypothesis. Brain slices are a particularly useful tool for these studies since the impact of blood flow, which may dissipate heat and alter the metabolic milieu, is removed, providing the experimenter with complete control of the temperature and metabolic environment of the brain tissue.
Material and methods
Subjects
Adult (2–4 months) BALB/c mice (Jackson Laboratory) of both sexes were used. All applicable international, national, and/or institutional guidelines for the care and use of animals were followed. All surgical procedures were approved by the Institutional Animal Care and Use Committee (IACUC) at University of Illinois Urbana-Champaign. Animals were housed in animal care facilities approved by the American Association for Accreditation of Laboratory Animal Care (AAALAC). ARRIVE guidelines (Reporting in Vivo Experiments) were followed. Since each animal served as its own control, there was no randomization or blinding done.
Brain slicing
Mice were initially anesthetized with ketamine (100 mg/kg) and xylazine (3 mg/kg) intraperitoneally and transcardially perfused with chilled (4°C) sucrose-based slicing solution containing (in mM): 234 sucrose, 11 glucose, 26 NaHCO3, 2.5 KCl, 1.25 NaH2PO4, 10 MgCl2, 0.5 CaCl2. From the first group of mice, 600 μm thick auditory thalamocortical brain slices were obtained [15,97]. For the second group of mice guided by Allen brain atlas (http://www.brain-map.org/), 500 μm coronal slices were obtained at (+1.145 to −0.18 mm) from bregma to examine FAD and LFP signals of the spontaneous activity of layer 2/3 of the motor cortex. To elicit the spontaneous activity of the neuronal network, SR-95531 (Tocris, 1262, gabazine) was used to block the inhibitory inputs through its GABAA receptor blocking effect as shown before [108]. To examine the resting redox ratio under (cooling vs rewarming) or (normal vs hypoxic) conditions of the cortex, hippocampus, and thalamus, 500 μm coronal slices were obtained from a third group of mice at (−2.88 to −3.45 mm) from bregma. All slices were incubated for 30 minutes in 33°C incubation solution (in mM: 26 NaHCO3, 2.5 KCl, 10 glucose, 126 NaCl, 1.25 NaH2PO4, 3 MgCl2, and 1 CaCl2). After incubation, slices were transferred to a perfusion chamber coupled to an upright Olympus BX50 microscope, perfused with artificial cerebrospinal fluid (ACSF) containing (in mM: 26 NaHCO3, 2.5 KCl, 10 glucose, 126 NaCl, 1.25 NaH2PO4, 2 MgCl2, and 2 CaCl2), and bubbled with 95% oxygen/5% carbon dioxide. To avoid the negative impact of liquid flow turbulence on optical imaging, the flow rate was set to be between 3–6 ml.min−1. The slice was elevated from the bottom of the chamber by placing it on a mesh to deliver adequate oxygenation and drug perfusion to both surfaces of the slice [30–31].
Temperature modulation
The temperature in the imaging chamber was adjusted by a dual in-line heater/cooler probe SC-20 which was controlled by bipolar temperature controller CL-100 (Warner Instruments, Connecticut, USA). The temperature of the brain slice was changed either from 37 to 9°C or from 9 to 37°C in 4°C intervals. The temperature was automatically adjusted by a feedback thermometer which was located in the bath adjacent to the brain slice. Before taking any measurements, brain slices were kept 5 minutes at each temperature.
Changes in oxygen tension
Oxygen concentration was manipulated with a mixture of oxygen and nitrogen gases while keeping CO2 at a constant level at (5%) to maintain a stable pH. A dissolved oxygen meter, inO2 (Innovative Instruments, Inc), was used to measure oxygen concentration in ACSF. The oxygen meter was calibrated at 21°C and at 37°C individually, using ACSF perfused with 95% nitrogen/5%CO2 gas mixture for the minimum calibration point and with 95% oxygen/5%CO2 for the maximum calibration point. The bubbling rate of O2 and N2 gases was altered to adjust the oxygen concentration of the ACSF.
Slice stimulation
One second long trains of electrical pulses (300 μA, 40 Hz, 1 ms pulse width) were sent to the subcortical white matter of thalamocortical slices by a tungsten monopolar electrode every 20 seconds. The electrical parameters meet the lowest duty cycle that is required for the clearance of free radicals produced by electrical stimulation as reported in Varela, et al review [9]. In addition, this electrical paradigm generates consistent FAD signals as shown previously [97,57,96]. The parameters of the electrical pulses were adjusted by a B&K precision wave generator (model # 4063) and World Precision Instruments stimulation isolator (A-360). The stimulation was repeated five times with a 20 second delay before the first stimulation. To test the physiological reliability of FAD imaging as a quantitative tool for the neuronal activity, local field potential (LFP) signals were recorded from the auditory cortex after sending one electrical pulse (1ms long) at different current amplitudes (100–500 μA) to the white matter.
Electrophysiology
The change of FAD signals of auditory cortex (evoked by electrical stimulation of the white matter) or motor cortex (evoked by SR-95531) was simultaneously imaged with extracellular and/or intracellular recordings. For extracellular recording, a low-impedance (~10 μm diameter) glass electrode filled with ACSF was placed into layer 4 of auditory cortex or layer 2/3 of the motor cortex to measure LFP signals. LFP signals from auditory or motor cortex were amplified 10000 or 1000 times under 300 or 100 Hz high cutoff frequency, respectively, using a Dagan 2400 extracellular preamplifier and recorded using a PowerLab digitizer (AD Instruments). LabChart software (v.8) was used to capture the digitized LFP signals from auditory or motor cortex with 20 or 10 kHz sampling rate, respectively. The raw LFP signals were digitally filtered at a bandwidth of 1 to 100 Hz offline. A 30 ms smoothing window was applied to LFP signals from auditory cortex offline. Whole cell recording was performed using a visualized slice setup outfitted with infrared-differential interference contrast optics. Recording pipettes were pulled from borosilicate glass capillary tubes and had tip resistances of 2–5 MΩ when filled with intracellular solution, which contained (in mM: 117 K-gluconate, 13 KCl, 1.0 MgCl2, 0.07 CaCl2, 0.1 ethyleneglycol-bis(2-aminoethylether)-N,N,N′,N′-tetra acetic acid, 10.0 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid, 2.0 Na-ATP, 0.4 Na-GTP, and 0.5% biocytin, pH 7.3). A Multiclamp 700B amplifier and pClamp software (Molecular Devices) were used for data acquisition (20 kHz sampling).
Imaging and analysis
From the brain slice, the oxidized FAD and the reduced NADH endogenous fluorescence signals were measured. FAD signals were measured using a stable DC fluorescence illuminator (Prior Lumen 200) and a U-M49002Xl E-GFP Olympus filter cube set [excitation: 470–490 nm, dichroic 505 nm, emission 515 nm long pass]. NADH imaging was performed using a custom filter cube [excitation: 357/44 nm (BrightLine® bandpass filter, FF01-357/44-25, Semrock), dichroic 400 long pass (xf2001-400DCLP, Omega Optical), emission 440/40nm (BrightLine® bandpass filter, FF01-440/40-25-STR, Semrock)]. All data were collected using an infinity-corrected Olympus MacroXL 4X objective (NA 0.28) and OptiMOS camera (QImaging) using 4×4 binning (with resulting image size of 348×270 pixels) and Micro-Manager software [19]. For all imaging experiments, movies were simultaneously obtained with electric stimulation or LFP recording at 4 frames per second. A region of interest (ROI) was created, and the responses associated with evoked activity were expressed as a change in fluorescence over baseline fluorescence (Δf/f). In the cases of the electrically-evoked synaptic activity, an ROI was placed in the auditory cortex. Δf/f of both FAD and NADH signals associated with evoked activity was calculated with custom-written MATLAB software. For FAD signals associated with SPD events, the ROI was placed directly superficial to the site of LFP recording. Because of the random nature of the occurrence and the amplitude of SPD events, LFP and Δf/f measurements associated with each event were calculated manually using LabChart 8 and OriginPro software, respectively. For the assessment of the redox ratios, both FAD and NADH signals were imaged using the same imaging parameters. To examine the effect of temperature on the fluorescence of FAD and NADH compounds themselves, the fluorescence of 9.2 uM of FAD (Sigma, F6625-25MG) and NADH (Roche Diagnostics, 10128023001) compounds dissolved in ACSF was measured across different temperatures using the same imaging setup and temperature modulation used in the slice experiments. These data were used to normalize the endogenous FAD and NADH fluorescence signals as well as the redox ratios.
Induction of hypoxia
Hypoxic conditions were induced by using ACSF perfused with (95% nitrogen-5%CO2). Hypoxia was used to inhibit oxidation reactions and obtain the ceiling of NADH signals and the floor of FAD signals [24]. Both FAD and NADH signals of the brain slices at normal vs. hypoxic condition were imaged, and the redox ratio was then calculated for each condition at different temperatures. % of oxidative capacity was calculated using:
Statistics
One-way repeated measure ANOVA was used to evaluate Δf/f values associated with electrically-evoked activity and redox ratio under each individual condition. To do this, the average of Δf/f values of FAD or NADH signals resulting from five stimuli at each temperature were compared at different temperatures. Due to the spontaneous nature of SPD events, we compared them as individual events using one-way ANOVA to evaluate their frequency and LFP amplitude as well as FAD signal components including Δf/f, FAD signal peak amplitude, FAD signal undershoot amplitude, peak to peak (the difference between FAD signal peak and undershoot), and the area under the curve at different temperatures. Paired t-test was used only to compare different oxygen saturated ACSF solutions. Two-way repeated measures ANOVA was used only to compare between different brain structures or between different oxidative capacities across different temperatures. Fisher least significant difference (LSD) post-test was used for pairwise comparison. Effects were considered significant when p ≤ 0.05. The statistical analysis and plotting of graphs were done by OriginPro 2016 software. Based on the confidence limits calculated by (mean ± 2SDs), the identified outliers, which were higher than ±2SDs in both directions, were excluded from the statistical analysis as follows; (LFP, N = 9, SDs used=5, eliminated outliers=14 out of n 352), (Δf/f, N = 9, SDs used=4, eliminated outliers=12 out of n= 322), (FAD signal peak amplitude, N = 6, SDs used=3, eliminated outliers = 6 out of n=199), (FAD signal undershoot amplitude, N= 6, SDs used=2, eliminated outliers=2 out of n=67), and (Peak to peak, N= 6, SDs used=2, eliminated outliers=2 out of n =67). Throughout the manuscript, N = number of slices used while n = number of events analyzed. In all cases a single slice was used from each mouse.
Artworks
All artwork graphics were made using Origin Pro for line art and Adobe illustrator for arranging the combination art images.
Results
The metabolic signals associated with synaptic activity are temperature dependent
Endogenous FAD and NADH signals were used to track neuronal activity in the auditory cortex after electrically stimulating the subcortical white matter in auditory thalamocortical slices [97,57,15]. Here, sending electric stimulation, to the white matter evoked synaptic activity in the auditory cortex which was associated with an increase of the FAD signal (Figure 1A). The change of FAD signals induced by the electrical stimulation was temporally matched with LFP signals (Figure 1B). Both plots of calculated Δf/f of FAD and the amplitude of LFP signals derived from auditory cortex after the electrical stimulation of white matter adopted a linear relationship with current amplitude (Figure 1C). The significant correlation between Δf/f of FAD and the amplitude of LFP signals (Figure 1D) implicated the physiological sensitivity of FAD signals to track the neuronal activity. At high temperatures (≥29°C) the electrical stimulation of the white matter drove a biphasic change of both FAD and NADH signals of the auditory cortex. Each electrical stimulation was followed by FAD signal peak (oxidation of FADH2 to FAD) then FAD signal undershoot (reduction of FAD to FADH2) or NADH signal dip (oxidation of NADH to NAD) then NADH signal overshoot (reduction of NAD to NADH). In contrast, a monophasic change of both FAD (FAD signal peak) and NADH (NADH signal dip) was only shown at lower temperatures (≤25°C) after electrical stimulation (Figure 1E).
Δf/f for both FAD and NADH responses was then calculated across temperatures (Figure 2). Regardless the direction of temperature change (cooling vs. warming), FAD signal amplitude was strongly temperature-dependent with a maximum value at 25°C and minimum values at lower or higher temperature (Figure 2A). Cooling from 37°C increased the Δf/f of FAD, until a maximum value at 25°C (Figure 2B, N = 4, f (6,18) = 27.3, p = 4.16 × 10−8), then decreased with cooling below 21°C. Similarly, cooling increased Δf/f of NADH signals, but in the negative direction, until it reached its maximum absolute value at 29°C (Figure 2C, N = 3 f (6,12) = 11.68, p = 2.09 × 10−4), then decreased with further cooling below 21°C. Warming the slice from 13°C increased both Δf/f of FAD and NADH signals (Figure 2E–F, N = 4 and 3; f (6,18) = 16.96 and f (6,12) = 19.48; p = 1.6 × 10−6 and p = 1.54 × 10−5 for FAD and NADH signals, respectively) until they reached their maximum level at 25°C, then diminished by further warming above 25°C. Merging the Δf/f values of FAD and NADH signals at both conditions (cooling and warming) showed that the maximum of Δf/f values of both signals evoked by synaptic activity were observed at 25°C (red line, Figure 2D and G) such that Δf/f of FAD signals evoked by the synaptic activity at 37°C significantly dropped by 85% from that at room temperature (21°C) (Figure 2H–I, N = 4, t= 5.1, p=0.007).
To determine if the drop in the change in the FAD signal was due to the lower solubility of oxygen at 37°C compared to room temperature, the oxygen concentration at room temperature was adjusted to approximate the oxygen concentration at 37°C. This adjustment lowered ACSF oxygen saturation by 27%. Our results showed a nonsignificant decline Δf/f of FAD signals derived by electrically-evoked synaptic activity in the auditory cortex at both oxygen levels at room temperature (Figure 2J). In contrast with the temperature data, ACSF saturated with diminished oxygen at room temperature reduced Δf/f of FAD signals by only 22.1% from that obtained under ACSF saturated with 100% oxygen (Figure 2K, p=0.11). These data suggest that the effect of temperature on metabolism is not due to a drop in the oxygen concentration at 37°C.
Neurometabolic coupling is temperature dependent
In the presence of 4 μM SR95531, spontaneous activations were observed with FAD imaging, consisting of a relatively sharp rise in fluorescence, peaking at about 1 second after baseline, with a slow decline, returning to baseline after about 5–10 seconds (Figure 3B and Figure 3C, red trace). To determine the nature of these events, LFPs, were also measured during spontaneous events, and revealed a brief (50 ms) negative peak seen consistently in association with optical events (Figure 3C, black trace). Simultaneous recording of whole-cell voltage revealed a sharp depolarization crowned with an action potential followed by a sustained depolarization (Figure 3C, blue trace). These electrical events strongly resemble the extra- and intracellular manifestations of paroxysmal depolarizing events, respectively, [44,98–99,108] and therefore, we refer to them as SPDs.
LFP and FAD signals of the SPD events in layer 2/3 of the cortex demonstrated a highly synchronized pattern between their time traces across different temperatures (Figure 4A). As before, superimposed pseudocolored images were made to demonstrate the fluorescence intensity of FAD signals associated with SPD events. The merged image also showed the site of LFP recording electrode (Figure 4B). The expansion of an individual FAD signal shows the known prominent two phases of FAD signal (above vs below baseline) which were assigned as light (FAD signal peak) vs dark (FAD signal undershoot) phases, respectively (Figure 4C), as seen previously in other brain preparations [82,14,23]. The impacts of temperature on the components of FAD signal, the amplitude and frequency of the SPDs, and the coupling between electrical and metabolic signals were also investigated (Figure 5). We observed no SPD events in the presence of SR-95531 at 37°C, as indicated by both LFP or FAD time traces (Figure 4A).
Cooling increased the number of SPD events until their maximum number at 17°C, beyond which they significantly decreased in frequency upon further cooling to 13°C (Figure 5A, N = 9; F (6, 62) = 52.5; p < 1 × 10−9). Because of the absence of detected events at 37°C, data from this temperature point were excluded from the subsequent analysis. Similar to previous data [2], the maximum LFP amplitude was observed at 33°C, and remained constant with cooling until 25°C, below which it decreased significantly with subsequent cooling to 13°C (Figure 5B, N = 9, n = 352; F (5, 351) = 208.1; p < 1 × 10−9). Consistent with the profile of Δf/f of FAD signals evoked after electric stimulation under cooling (Figure 2B), the amplitude of Δf/f of FAD signals followed the same profile. Cooling the brain slice below 37°C increased the amplitude of Δf/f of FAD significantly until it reached its maximum level at 25°C. Further cooling below 25°C reduced Δf/f of FAD signals significantly until it reached its minimum level at 13°C (Figure 5C, N = 9, n = 322; F (5, 321) = 153.6; p < 1 × 10−9). Separation between the Δf/f of FAD and the LFP amplitudes was observed at temperatures above 29°C, implicating the presence of neurometabolic decoupling at those temperatures (Figure 5D, gray box). In contrast, a strong degree of neurometabolic coupling was observed at lower temperatures which was indicated by a complete overlap between Δf/f of FAD signals and LFP amplitudes at 25° C or below (Figure 5D). Both the FAD signal peak and the undershoot had their maximum excursions at intermediate temperatures, but in opposite directions and with maximum values at different temperatures.
At high temperatures, the dominant FAD excursion during SPDs was in the negative direction, similar to previous data from the hippocampus (Figure 4A) [40]. Cooling increased both FAD signal peak and undershoot amplitudes until they reached their maximum absolute values at 25°C for FAD signal peak and 29°C for FAD signal undershoot. Further cooling decreased both FAD signal components significantly (Figure 5E–F, N = 6, n= 199 and 67; F (5, 198) = 60.5 and F (5, 66) =11.8; p < 1 × 10−9 and = 4.9 × 10−8 for FAD signal peak and undershoot, respectively). The finding that FAD signal components have maximum excursions from baseline at different temperatures, and previous work suggesting that the FAD signal undershoot is selectively caused by glial metabolism [83] could suggest temperature-dependent differences in neuronal compared to glial metabolism [14,81,23]. This hypothesis was further examined by combining the measurements of both FAD signal components (i.e., by measuring the peak to peak amplitude). Peak to peak values showed that the maximum absolute magnitude of FAD signal undershoot appeared to compensate for the drop of FAD signal peak at 29°C. In contrast, the maximum of FAD signal peak compensated the drop of the FAD signal undershoot at 25°C before they decreased significantly by cooling further below 25°C (Figure 5G, N = 6, n = 67; F (5, 66) =11.9, P = 4.6 × 10−8). Merging the plots of FAD signal components showed a strong correlation between Δf/f and peak to peak of FAD signals (Figure 5H). This figure also demonstrates how peak-to-peak measurements exhibited the compensation done by the FAD signal undershoot for FAD signal peak and vice versa at 25–29°C (dotted black lines).
To determine whether the lowered oxygen solubility at 37°C was responsible for the temperature dependent changes described above, LFP and FAD signals were also measured during SPD events using ACSF solutions of different oxygen saturations (100% vs 73%) at room temperature (Figure 5I). The number of SPD events (Figure 5J, N = 3, t (4) = 1.17, p = 0.3), LFP amplitude (Figure 5K, N = 3, n= 36, t (34) = −1.57, p = 0.12), and Δf/f (Figure 5L, N = 3, n= 34, t (32) = 0.67, p = 0.50) of FAD signals associated with SPD events showed no significant difference between 100% and 73% oxygen saturated ACSF solutions. Therefore, as before, the impact of the change of oxygen tension mediated by temperature was minimal.
Temperature-dependent profile of redox ratios
Redox ratio is an established marker for the metabolic state of different tissue types including brain [97,65,25,90]. To determine if the temperature-dependent changes in FAD signals and neurometabolic signals described above were related to changes in resting redox state, both raw FAD and NADH endogenous fluorescence signals of brain slices were measured at different temperatures. A control experiment examining the effect of temperature on the fluorescence of FAD and NADH compounds showed that the fluorescence signals of both compounds had a negative relationship with temperature (data not shown) as previously reported for FAD [1]. As such, the endogenous FAD and NADH fluorescence signals of brain slices were normalized accordingly. The redox ratios (FAD/NADH) of the imaged regions of the cerebral cortex, hippocampus, and thalamus were then calculated. Under cooling, the redox ratio of all brain structures showed a temperature-dependent negative relationship with temperature (Figure 6A–B), though the FAD and NADH signals showed opposite profiles. Upon cooling, whereas, FAD signals showed a negative relationship with temperature, NADH signals showed a positive relationship with lowest baseline values in the cerebral cortex for both signals (Figure 6C–D). Similar general patterns were seen with re-warming for redox ratio, FAD, and NADH signals (Figures 6A, E–G). Interestingly, thalamus and hippocampus had a higher redox ratio than cortex at 9–21°C regardless the direction of temperature change (Figure 6B and E) In all three brain structures, redox ratios remained higher at all temperatures with rewarming retaining the same negative relationship with temperature (Figures 6H–J). Table 1 shows the results of the statistical analysis of this section.
Table 1.
Condition | Effect within | N | f | p | |
---|---|---|---|---|---|
Redox ratio | Cooling (Figure 6B) | Temperature | 4 | f (7, 42) = 261.3 | p <1×10−9 |
Brain structure | f (2, 42) = 205.6 | p =2.9×10−6 | |||
Temperature X Brain structure | f (14, 42) = 7.5 | p=1.5×10−7 | |||
Rewarming (Figure 6E) | Temperature | f (7, 42) = 2039.6 | p <1×10−9 | ||
Brain structure | f (2, 42) = 345.0 | p =6.4×10−7 | |||
Temperature X Brain structure | f (14, 42) = 26.9 | p <1×10−9 | |||
Cooling X Rewarming | Cortex (Figure 6H) | f (1, 21) = 764.6 | p =1.0 x10−4 | ||
Hippocampus (Figure 6I) | f (1, 21) = 1369.0 | p =4.3×10−5 | |||
Thalamus (Figure 6J) | f (1, 21) = 985.9 | p =7.0×10−5 | |||
FAD signals | Cooling (Figure 6C) | Temperature | f (7, 42) = 177.1 | p <1×10−9 | |
Brain structure | f (2, 42) = 47714.7 | p <1×10−9 | |||
Temperature X Brain structure | f (14, 42) = 19.4 | p <1×10−9 | |||
Rewarming (Figure 6F) | Temperature | f (7, 42) = 688.6 | p <1×10−9 | ||
Brain structure | f (2, 42) = 95153.0 | p <1×10−9 | |||
Temperature X Brain structure | f (14, 42) = 53.1 | p <1×10−9 | |||
NADH signals | Cooling (Figure 6D) | Temperature | f (7, 42) = 220.3 | p <1×10−9 | |
Brain structure | f (2, 42) = 4817.4 | p <1×10−9 | |||
Temperature X Brain structure | f (14, 42) = 23.6 | p <1×10−9 | |||
Rewarming (Figure 6G) | Temperature | f (7, 42) = 2422.1 | p <1×10−9 | ||
Brain structure | f (2, 42) = 24882.6 | p <1×10−9 | |||
Temperature X Brain structure | f (14, 42) = 75.2 | p <1×10−9 |
Cooling normalizes the oxidative state of brain tissue under hypoxia
As shown above (Figure 6A–G), high temperatures shifted the metabolism of the brain slice towards its reduced state indicated by lowering redox ratio, lowering FAD, and raising NADH signals, which mimics hypoxic like conditions [68]. In contrast, cooling was able to simulate a more oxidized state of the brain slice. To address the impact of cooling to normalize the state of brain tissue under hypoxia, the redox ratio of coronal brain slices was measured under different oxygen tensions. The induction of hypoxic conditions is expected to diminish oxidative phosphorylation and shift the metabolic reactions towards glycolysis [63,69]. This shift is expected to lead to a reduction in FAD fluorescence signals, an increase in NADH fluorescence signals, and lowering the redox ratio. As expected, it was observed that the redox ratio of cortex, hippocampus, and thalamus under hypoxia was significantly lower than normal conditions at all temperatures with retention of the negative relationship with temperature (Figure 7A–D, N = 3; F(1, 12) = 1368, 3308, and 1598; p= 7.2×10−4, 3.0×10−4, and 6.2×10−4, condition effect, F(6, 12) = 4.6, 20.0 and 9.29; p= 0.01, 1.3×10−5 and 6.2×10−4, interaction between temperature and condition for cortex, hippocampus, and thalamus, respectively). The interpolation between the redox ratio curves under hypoxia and normal conditions (the horizontal solid blue line) showed a tissue-specific temperature to which that tissue must be cooled to normalize the redox ratio. Cooling to 22.3 and 23°C was required to return the cortex and thalamus to their baseline values. However, the hippocampus required further cooling to 20.8°C to attain the same level of normalization of redox state (Figure 7B–D). The interaction between the redox ratio of the brain structures and temperature showed a significant difference under normoxic conditions at 13–25°C (Figure 7E, N = 3, f (12, 24) = 14.0, p = 4.7×10−8). In contrast, the redox ratio of all brain structures showed no significant difference under hypoxia (Figure 7F, N = 3, f (12, 24) = 0.92, p = 0.54). Based on these data, and given that hypoxia results in an increase in NADH and a reduction in FAD fluorescence signals, we considered that the calculated redox ratio under hypoxic conditions to be the lowest attainable redox ratio under our experimental conditions. The percent of oxidative capacity of all the brain structures showed a temperature-dependent inverted U-shape with a maximum level around room temperature (Figure 7H, N = 3, F (2,24) = 978, P = 4.1×10−6, within brain structures, F (6,24) = 4.0, P = 0.018, within temperature, F (12,24) = 2.9, P = 0.011, for interaction). This finding is consistent with our previous finding of Δf/f of FAD signals associated with synaptic activity (Figure 2B and E) and supports our assumption that oxidative capacity is maximal at intermediate temperatures. Although there was no significant difference in percent of oxidative capacity between the three brain structures across all temperatures, the interaction between brain structures and temperatures showed that the percent of oxidative capacity of hippocampus is greater than cortex only at 17–25°.
Discussion
Summary
A substantial change of FAD peak or NADH dip (Δf/f) associated with neuronal activity was observed to show strong temperature-dependence. During electrical stimulation and during spontaneous events, maximal FAD and NADH signal deviations from baseline were seen at temperatures between 21–29°C. With increasing temperature (≥29°C), the diminishment in magnitude of the FAD peak or NADH dip (the oxidation phase) was associated with the emergence of FAD undershoot and NADH overshoot (the reduction phase) to form a biphasic profile of FAD and NADH signals. In contrast, at cool temperatures (≤25°C) electrically evoked signals showed a monophasic profile of FAD and NADH signals. Further cooling below 21°C reduced the magnitude of this monophasic profile without any other changes. Synaptic activity in the cortex measured with LFPs was generally matched with FAD signals, except at temperatures above 29°C, where FAD signals dropped off while synaptic responses were retained. The inverted-U shape of the FAD signal deviations may be explained by temperature-dependence of resting FAD levels, whose levels decreased with increasing temperature. Finally, hypoxia caused strong changes in FAD and NADH levels that were normalized by cooling to room temperature where most of brain slice studies were conducted. However, the degree of cooling required was greater than that used clinically, and the hippocampus required the greatest degree of cooling, suggesting that hippocampal tissue may be more sensitive to hypoxia than thalamus or cortex. These data suggest that the coupling between synaptic activity and metabolic activity in the brain is temperature-dependent, and have implications for the use of FAD and NADH fluorescence signals as an imaging tool.
Methodological considerations
The biological factors that are sensitive to temperature in the whole animal, such as systemic or cerebral blood flow, blood pressure, and the affinity of oxygen to hemoglobin [53,109,4,72], were not present in the current preparation. As such, in the current study, it is not possible to account for the complex physiological environment of the brain and the network between brain and periphery. This limitation is mitigated by the fact that by removing these variables, the brain slice was nourished by a continuous supply of nutrients, electrolytes, and oxygen which permits a greater degree of control of physiological parameters than does a whole-animal preparation. In this study, 600 μm auditory thalamocortical brain slice was used to retain the connectivity between auditory thalamus and cortex, though slices at this thickness may create metabolic gradients across tissue depth [7,21,40]. We note that we have previously established that slices cut and perfused in the manners described in the Methods section, which include bi-level perfusion at high flow rates, maintain high tissue viability throughout the inner portions of the slice [104]. In addition, given the relatively poor penetration of blue and ultraviolet light into scattering tissues, we assume that the majority of the optical signals were generated from the surface 200 μm of the slice [3,110], where there is a good oxygen diffusion regardless the animal age [22,40].
An additional consideration is the rate of temperature change and physiological assessments used. The current study was focused on steady-state temperature change, giving the specimen time to accommodate after the temperature change. It is possible that during the equilibration time, cellular compensatory mechanisms could be triggered, which would be reflected in physiological and imaging measurements made in this study. Other investigators have used a more dynamic approach, measuring physiological changes that occur transiently after temperature change [16]. Interestingly, the results of the dynamic approach were generally similar to the results shown here. In the dynamic model used by others previously [16], the sudden temperature drop from 35 to 29°C increased =hippocampal neuronal excitability. Similarly, our model showed no SPD events at 37°C, but these events started to appear at 33°C, and the frequency of events increased by further cooling. The negative relationship between temperature and oxygen solubility has long been reported in both biological and artificial solutions [11,34,7]. Since our experiments were conducted in ACSF, the temperature-induced change of oxygen tension in ACSF could possibly be a confounding factor. Our data diminished this possibility by showing that exposure to a lower oxygen concentration that is normally induced by 37°C at room temperature did not have a significant impact on FAD signals evoked by electrical stimulation (Figures 2J–K) or spontaneously by SR-95531 (Figures 5I–L) compared to control.
As non-invasive method, optical imaging of endogenous fluorescence signals like FAD/NADH has a major advantage to study the living tissue without interfering its biochemical and physiological state. However, there are some pitfalls associated with this technique that should be taken into consideration. Photo damage and photo-bleaching associated with NADH imaging, where UV light is required for NADH excitation and could have a negative impact on the integrity of the tissue and the quality of the signal to noise ratio [37,54].
For this reason, NADH imaging was conducted for short periods of time (2 minutes for electrical evoked activity and 10 seconds for redox ratio per each temperature point). In addition, only FAD imaging (which uses a longer excitation wavelength than NAD imaging) was used to track SPD events, when a longer time (3–5 minutes per each temperature point) was needed. Finally, the spatial resolution of FAD and NADH imaging, as used in the current study, does not permit determination of the cellular sources of the measured signals. It may be useful ultimately to understand the cell types (neurons vs. glia, subtypes of each) responsible for the imaging signals. Two photon microscopy may ultimately permit this to happen, but to our knowledge, has not be used to measure FAD or NADH signals from brain slices previously.
Implications
Despite these methodological concerns, our data showed a strong agreement with previous studies. Temperature-mediated change in LFP amplitude was seen previously[2]. Here, the investigators observed that LFP amplitudes remained at their highest level at 31°C before they decayed with cooling of hippocampal slices isolated from guinea pig [2]. Similarly, it was reported that temperature range (21–23°C) held the highest peak of EPSPs evoked by a stimulating current to layer 2/3 of cat visual cortex [103]. The high frequency of SPD events induced by cooling was consistent with the work done on cultured hippocampal cells or hippocampal slices of the Swiss OF1 mouse, where cooling near to 28°C induced the increase of the cellular excitability of hippocampal neurons [16]. Our data showed that low temperatures kept the electron carriers at their oxidized state (↑ FAD and ↓ NADH), while high temperature kept them at their reduced state (↑ NADH and ↓ FAD) (Figure 6C, F, D, and G). Similarly, the induction of more reduction reactions by high temperatures could explain the appearance of the reduction phase of both FAD and NADH following the oxidation phase to form the electrically evoked biphasic transient change of FAD and NADH signals. Such biphasic profile of FAD and NADH signals was shown before by other studies conducted above 33°C [36,48,94]. In contrast, cooling, which induced more oxidation, drove only a monophasic transient change, which represents the oxidation reactions only, of FAD and NADH signals (Figure 1E).
Both temperatures (13 and 37°C) showed low vs no neuronal activity, respectively, which could implicate the lack of the energy needed to meet neuronal demands. However, the temperature change away from 13 and 37°C mobilized FAD and NADH which could explain the inverted U-shape of the Δf/f of FAD signals (Figure 2B, E, and 4C) and NADH signals (Figure 2C and F) of maximum values at 25°C. A similar temperature was reported to hold the maximum ATP production of the isolated rat liver mitochondria [18]. Therefore, plotting Δf only (FAD signal peak, Figure 5E) vs temperature superimposed the same inverted U-shaped profile as Δf/f (Figure 5H). The thermoregulation of oxidative phosphorylation could support our findings. It was reported that increasing temperature increased both respiration and phosphorylation rates in isolated muscle mitochondria of houseflies and rats [42,86]. However, increasing the temperature above 31°C in houseflies or 35°C in rats uncoupled the two processes and reduced mitochondrial oxidative phosphorylation efficiency [42,86]. Similarly, isolated rat brain mitochondria showed that the respiratory control ratio, which is the product of state 3 (phosphorylating respiration)/state 4 (non-phosphorylating respiration), had a temperature dependent inverted U-shape profile within range with a highest value at (20–25°C) [32].
Our data showed that LFP amplitude of SPD evoked by SR-95531 remained at its maximum level at high temperature which was decoupled to the Δf/f of FAD signals associated with this neuronal activity (derived by the oxidative phosphorylation) (Figure 5D). Interestingly, the rat brain slices were reported to have a higher anaerobic glycolysis with increasing the temperature with a maximum value at 38°C [105] which could indicate the increase in NADH fluorescence signals at high temperatures. Such higher anaerobic glycolysis could be a compensatory mechanism to meet the essential energy demand of brain slices. Energy insult situations were reported to drive the brain to undergo anaerobic respiration[89]. Further, under normal conditions, visual stimulation has been shown to increase the blood flow and glucose to the visual cortex without an increase in oxygen consumption, suggesting that brain activity can be partially met by anaerobic glycolysis [5]. Interestingly, the peak frequency of gamma oscillation of rat hippocampal slices was increased by increasing the temperature above 28°C. The same effect was attained by adding lactate after induction of glucose deprivation conditions to the hippocampal slice [87]. Given that lactate is known to be produced under brain anaerobic respiration [17]. The current study showed that different brain structures could have different metabolic responses elicited by cooling. Both thalamus and hippocampus were more responsive to the temperature change below 25°C in normoxic conditions compared to cortex in two separate experiments (Figures 6B, 6E, and 7E). However, hippocampus had a highest oxidative capacity which could be because of its higher metabolic demands, as previously observed [36,47]. Such effects made the hippocampus more vulnerable to the hypoxic insults, a result which is supported by previous studies [12,75]. The current study showed the positive impact of hypothermia to normalize the redox ratio under hypoxia, which implicated the protective role of hypothermia against oxidative insults. This finding was consistent with numerous experimental studies showing the positive impact of hypothermia on metabolism and survival rates [76,107,29,46,20]. Clinically, hypothermia is well recognized for its therapeutic impact in the treatment of some brain injuries [104] such as anoxic brain injury due to cardiac arrest [6,38,73], and hypoxic-ischemic neonatal encephalopathy [26,91].
Our data could also have significant methodological implications for imaging studies. The correlation between the higher blood flow carrying oxygen, uptake, and utilization of glucose and lactate upon neuronal activity is called neurometabolic coupling which has been reported by numerous in-vitro [49,61,77,102] and in-vivo [10,78,95] studies. In addition, most functional imaging techniques including PET, fMRI, and others were developed based on neurometabolic coupling to measure brain activity in normal versus pathological conditions [64,84,27]. In contrast, our data showed a neurometabolic decoupling above 29°C in brain slice. While FAD signals were used to track the neuronal activity in vivo, where the core body temperature of the subject was kept at 37–37.5°C [33,35], our study showed an inability to detect FAD signals at 37°C. Given that the neurometabolic coupling at 25°C was associated with the maximum oxidative capacity and the maximum metabolic change evoked by the neuronal activity, 37°C, the optimal temperature in vivo could possibly be shifted to lower temperature in vitro. This finding could have a great impact on the reliability of all in vitro experiments done at 37°C to mimic the physiological conditions. Although FAD imaging used to track the metabolic status or the neuronal activity of brain slices has been conducted at different temperatures across different studies, no studies were conducted above 33°C, which could support our assumption [28,45,57,70,97]. Despite the positive impact of cooling on metabolism, our results showed a low metabolic capacity at very low temperatures. This finding implicates a safe zone of cooling (21–29°C) which could mimic the clinical therapeutic cooling zone.
Conclusion
The current data demonstrate the effect of temperature on the metabolism and the neurometabolic coupling of mouse brain slice. Neuronal and metabolic activities were found to be decoupled with a temperature-dependent profile which could be caused by the effect of temperature on the basal metabolism of brain tissue. The higher metabolic performance of brain tissue that was held at 25°C which could have a positive experimental impact in the determination of the suitable temperature to conduct brain slice experiments. In addition, the protective role of cooling against hypoxia was shown, which supports the potential of therapeutic hypothermia for the protection against brain oxidative insults.
Acknowledgments
The Carle Neuroscience Institute supported the work. D.A.L. was supported by DC013073. The authors thank Dr. Eugene Kiyatkin (NIH), Dr. Robert Gennis (University of Illinois), Dr. Sanjiv Sinha (University of Illinois), Dr. Naoum Issa (University of Chicago), Dr. Jan Ramirez (Seattle Children’s Hospital) and Dr. Alfredo Garcia (Seattle Children’s Hospital) for their suggestions.
Footnotes
Disclosure/Conflict of Interest:
The authors have no conflicts of interest to disclose.
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