Abstract
Intrinsic, striatal tyrosine hydroxylase-immunoreactive (TH-i) cells have received little consideration. In this study we have characterized these neurons and their regulatory response to nigrostriatal dopaminergic deafferentation. TH-i cells were observed in the striatum of both control and 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-treated monkeys; TH-i cell counts, however, were 3.5-fold higher in the striatum of MPTP-lesioned monkeys. To establish the dopaminergic nature of the TH-i cells, sections were double-labeled with antibodies to dopamine transporter (DAT). Immunofluorescence studies demonstrated that nearly all TH-i cells were double-labeled with DAT, suggesting that they contain the machinery to be functional dopaminergic neurons. Two types of TH-i cells were identified in the striatum: small, aspiny, bipolar cells with varicose dendrites and larger spiny, multipolar cells. The aspiny cells, which were more prevalent, corresponded morphologically to the GABAergic interneurons of the striatum. Double-label immunofluorescence studies using antibodies to TH and glutamate decarboxylase (GAD67), the synthetic enzyme for GABA, showed that 99% of the TH-i cells were GAD67-positive. Very few (<1%) of the TH-i cells, however, were immunoreactive for the calcium-binding proteins calbindin and parvalbumin. In summary, these results demonstrate that the dopaminergic cell population of the striatum responds to dopamine denervation by increasing in number, apparently to compensate for loss of extrinsic dopaminergic innervation. Moreover, this population of cells corresponds largely with the intrinsic GABAergic cells of the striatum. This study also suggests that the adult primate striatum does retain some intrinsic capacity to compensate for dopaminergic cell loss.
Keywords: striatum, dopaminergic cells, Parkinson’s disease-treated monkeys, dopamine transporter, glutamic acid decarboxylase, calbindin, parvalbumin
The clinical features of Parkinson’s disease result from degeneration of the nigrostriatal pathway and striatal dopamine deficiency (Ehringer and Hornykiewicz, 1960). The striatum, which is composed of caudate, putamen, and nucleus accumbens, is the major input nucleus of the basal ganglia. It is the target of inputs from the entire cortex and certain thalamic nuclei (parafascicular and centromedian nucleus) and provides output to other nuclei of the basal ganglia. The striatum is composed primarily of spiny projection neurons (DiFiglia et al., 1976; Bishop et al., 1982;Gerfen and Wilson, 1996), which constitute ∼95% of the striatal neuronal population (Kemp and Powell, 1971). These projection neurons are also the major target of afferents to the striatum. Morphological characteristics of these neurons include a cell body ranging from 10 to 20 μm in diameter, with four to seven primary dendrites arising from the soma and secondary and tertiary branches covered with spines. Projection neurons use GABA as a neurotransmitter (Parent et al., 1995) and contain glutamic acid decarboxylase (GAD), the synthetic enzyme for GABA (Kita and Kitai, 1988). Furthermore, retrograde tracer experiments have revealed that the majority of striatal calbindin-immunoreactive neurons are the source of striatonigral projections (Gerfen et al., 1985).
The remaining striatal neurons are interneurons (DiFiglia et al., 1976;Bishop et al., 1982) that have been classified into a variety of morphological and neurochemical subtypes. One subtype consists of large, aspiny, cholinergic neurons with cell body diameters ranging from 25 to 40 μm (Bolam et al., 1984). The other subtype includes the medium, aspiny neurons that can be further subdivided into two types. One uses GABA as a transmitter (Bolam et al., 1983; Oertel and Mugnaini, 1984; Smith et al., 1987; Pasik et al., 1988; Kita, 1993), is specifically stained with antibodies to parvalbumin (Gerfen et al., 1985; Cowan et al., 1990; Kita et al., 1990), and has a round or oval-shaped cell body, 8–15 μm in diameter, with two or three varicose dendrites extending from the soma (DiFiglia et al., 1976;Bishop et al., 1982). The other type of medium, aspiny interneuron is characterized by a fusiform cell body that stains for somatostatin, neuropeptide Y, or nitric oxide synthase (Vincent et al., 1983a,b;Smith and Parent, 1986; Dawson et al., 1991). These differ from GABAergic interneurons in that they have fusiform cell bodies and fewer dendritic branches (Gerfen and Wilson, 1996). In contrast to the well-characterized interneuron subtypes, another group of cells immunoreactive for tyrosine hydroxylase (TH-i) exists in the striatum, which have been described by Dubach et al. (1987) in nonhuman primates and by Tashiro et al. (1989) in rats. Apart from these initial descriptions, little consideration has been given to TH-i striatal cells in the adult striatum.
We have investigated the morphological characteristics, co-transmitter status, and catecholaminergic nature of TH-expressing cells in the striatum of adult rats and nonhuman primates. The effects of dopamine denervation on TH expression by adult striatal cells were also determined. Dopaminergic cells of the substantia nigra were selectively destroyed by treating rats with 6-hydroxydopamine (6-OHDA) (Ungerstedt, 1968, 1971) and rhesus monkeys with 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) (Burns et al., 1983; Langston et al., 1983; Heikkila et al., 1984). Our results suggest the adult striatum retains the ability to compensate, in part, for dopamine depletion.
MATERIALS AND METHODS
Animals. All animal use was in accordance with National Institutes of Health guidelines and was approved by the Emory University Institutional Animal Care and Use Committee. In this study, brains of seven adult rhesus monkeys, ranging in age from 7 to 14 years, and six adult Sprague Dawley rats were examined. Of the seven monkeys, three unlesioned monkeys were used as controls, two monkeys received unilateral infusions of MPTP (0.4 mg/kg) into the internal carotid artery to produce a stable contralateral parkinsonian syndrome, and the remaining two monkeys were rendered bilaterally parkinsonian by intramuscular injections of MPTP (0.5 mg/kg every 2–5 d) over 2–6 weeks. The two monkeys with intramuscular MPTP injections were part of a separate study, not reported here, wherein lesion of the right subthalamic nucleus was attempted unsuccessfully. Six rats with unilateral 6-OHDA lesions of the nigrostriatal pathway were obtained from Zivic Miller. The monkeys with unilateral lesions were killed about 2 years after receiving MPTP; those with bilateral parkinsonism were killed within 2 months of their last MPTP treatment. Rats were killed about 1 month after lesioning. None of the monkeys received more than two or three treatments with a dopaminergic drug, and none of the animals received any pharmacological treatment within 4 weeks of killing. After ketamine sedation, the monkeys were given an intravenous overdose of sodium pentobarbital, whereas the rats received an overdose of equithesin. The animals were intracardially perfused with 3 or 4% paraformaldehyde in 0.1 m phosphate buffer (PB), pH 7.2. The brains were removed and cryoprotected in a 30% sucrose solution in 0.1 m PB.
Immunocytochemistry. Fifty micrometer (40 μm for rats) coronal sections, cut on a freezing microtome, were collected in 0.1m PB containing 30% sucrose and 30% ethylene glycol and stored at −70°C. Sections through the striatum were thoroughly washed in 0.1 m PB to remove the cryoprotectant and incubated in 10% normal goat serum with 0.04% Triton X-100 in PB for 30 min. They were then incubated for 72 hr in the same solution containing either primary antibody to TH (1:500, rabbit polyclonal antibody, Pel-Freeze Biologicals; 1:1000, rabbit polyclonal antibody, Eugene Tech; 1:2000, mouse monoclonal antibody, Chemicon) or a mixture of primary antibodies, which would include antibodies to TH and antibodies to microtubule-associated protein 2 (MAP2; 1:500, a mouse monoclonal antibody; Sigma, St. Louis, MO), the dopamine transporter (DAT; 1:125, rat monoclonal antibody) (Miller et al., 1997), GAD67 (1:2000, rabbit polyclonal antibody; Chemicon), calbindin (CaBP; 1:200, mouse monoclonal antibody; Sigma), parvalbumin (PV; 1:500, mouse monoclonal antibody; Sigma), or neuronal nitric oxide synthase (nNOS; 2 μg/ml, rabbit polyclonal antibody; Upstate Biotechnology, Lake Placid, NY). Then the sections were rinsed in 0.1m PB and incubated for 2 hr in a combination of secondary antibodies. For immunofluorescence staining, TH was visualized using either fluorescein isothiocyanate (FITC) conjugated to goat anti-mouse or goat anti-rabbit IgG (1:200; Jackson ImmunoResearch, West Grove, PA); DAT was visualized using Texas Red conjugated to goat anti-rat IgG (1:200; Jackson ImmunoResearch); GAD67 and nNOS were visualized using Texas Red conjugated to goat anti-rabbit IgG; and MAP2, CaBP, and PV were visualized using Texas Red conjugated to goat anti-mouse IgG. Finally, the sections were rinsed in 0.1 mPB, mounted on gelatin-coated slides, and coverslipped using Vectashield (Vector Laboratories, Burlingame, CA). For enzyme-linked staining of TH-positive cells, the ABC biotin–avidin complex method was used, and 3,3′-diaminobenzidine tetrachloride was used to visualize the final product. For control sections, one or both of the primary antibodies were omitted.
The enzyme-linked immunostained sections were examined using a bright-field microscope (Olympus BH-2). The immunofluorescence-stained sections were visualized using conventional fluorescence and confocal microscopy. Images were collected on a Leitz fluorescence microscope linked to an MCID image analysis system (Imaging Research, St. Catharines, Ontario, Canada) with selective filter sets to visualize FITC or Texas Red separately as well as simultaneously. Confocal images were collected using a Meridian InSight point laser confocal system equipped with a Zeiss Axioplan microscope and argon and krypton lasers. The argon laser with a wavelength of 488 nm was used to excite FITC, and the krypton laser with a wavelength of 568 nm was used to excite Texas Red. For selective visualization of FITC and Texas Red, the 530/30 bandpass and the 605 long-pass filters were used, respectively. The confocal pinhole aperture setting varied from 40 to 113 μm depending on the chromophore used. Images were visualized using a Zeiss Plan-Neofluar 100× oil-immersion objective with a numerical aperture of 1.4. Control experiments with single-labeled sections confirmed that there was no “bleed” of fluorescence from FITC through the Texas Red filters or from Texas Red fluorescence through the FITC filters. Three-dimensional reconstructions of TH-i cells were made by obtaining a z series of optical sections at 0.5 μm steps throughout the section thickness and using the Meridian InSight IQ reconstruction software. For final output, images were processed using Adobe Photoshop.
Quantitation. Because of limited tissue availability, formal stereological techniques could not be used. Instead, all profiles of TH-i neurons (defined as a cell body with one or more processes) in the right and left caudate and putamen were counted from four anatomically matched sections from each of the animals. The sections used for profile counts were all simultaneously processed for immunocytochemistry and stained with the DAB reaction. The profile counts were made using a 20× objective. The four sections from each animal consisted of two sections at different levels anterior to and two sections at different levels of the anterior commissure (Fig.1). The counts were compared using an unpaired t test.
RESULTS
TH-i cells in the striatum of nonhuman primates
In normal monkeys, TH-i cells were found more frequently in certain portions of the striatum. Dorsally, the cells were concentrated toward the dorsal border of the striatum near the corpus callosum. Ventrally, the striatal distribution of TH-i cells appeared to be continuous with dopaminergic cell populations in the ventrobasal regions of the forebrain. Along the lateral edge of the putamen, the cells were present in the neuropil as well as in the adjacent white matter. A few cells also were present within the anterior limb of the internal capsule where it separates the caudate from the putamen. The TH-i cells were typically round or oval, measuring ∼6–12 μm in diameter (see Fig. 2A, 4A, 5). Compared with the TH-i cells of the substantia nigra, which are ∼25 μm in diameter (not shown), the striatal cells were smaller, with a few short, aspiny neuritic processes. The number of cells varied from monkey to monkey with an average of 66 cells in each section. Equivalent staining patterns were obtained in control and MPTP-lesioned monkeys regardless of which of the three anti-TH antibodies (Pel-Freez, Eugene Tech, or Chemicon) was used.
In the MPTP-treated monkeys, the general distribution of the TH-i cells within the striatum was the same as in the normal monkeys. However, the intensity of TH immunoreactivity and the number of TH-i cells were significantly greater in the MPTP-treated monkeys (Fig.2B), especially in the dorsal portions of the caudate and ventrolateral portions of the putamen. In the two monkeys with unilateral MPTP lesions, there was no difference in the number of TH-i cells in the denervated and control striatum; both were increased relative to controls. In other words, unilateral dopamine depletion was associated with a bilateral increase in TH-i neurons. In the control monkeys (n = 3), the average cell count was 265 ± 61 per four sections, whereas in MPTP-treated monkeys (pooled unilateral and bilateral; n = 4) the mean was 950 ± 200 per four sections, a ∼3.5-fold increase (p < 0.05; Fig.3).
Two distinct subtypes of TH-i striatal cells were identified; aspiny bipolar cells and spiny multipolar cells. More than 99% of the TH-i cells were of the aspiny, bipolar type, with cell bodies measuring 6–12 μm (Figs. 4A,5). Some of these neurons had varicose dendrites (Fig. 4), but most of the neurons had smooth, aspiny dendrites (Figs. 4A, 5). The neuritic processes of TH-i cells tended to be longer in the striatum of MPTP-treated monkeys, with dendrites extending 200–500 μm. A few multipolar TH-i cells (one to three per section; <1%) with numerous spines on the dendrites (Fig. 4B) were also identified in the striatum of MPTP-treated monkeys. These cells were larger (15–20 μm) than the aspiny bipolar cells.
The striatal TH-i cells uniformly co-expressed MAP2, a neuronal cell marker. All the TH-i cells and fibers in the striatum also double-labeled with antibodies to the dopamine transporter; a representative double-labeled cell is shown in Figure6. With few exceptions, the TH-i cells (∼99%) were immunoreactive for GAD67 (see Fig.7). Very few TH-i cells (about 1%) were double-labeled for CaBP (see Fig. 8) or PV (see Fig. 9). None of the TH-i cells stained with antibodies against nNOS. Although most of the neurons in the monkey brains contained some lipofuscin, a pigment associated with aging, the TH-i striatal cells were always devoid of these granules.
TH-i cells in the striatum of rats
In rat brain, we were unable to identify any TH-i cells in the intact striatum, contralateral to the 6-OHDA lesions. However, in the dopamine-depleted striatum, a few faintly stained TH-i cells with one or two short, spidery processes were located in the posterior parts of the ventral striatum (not shown). No TH-i neurons were detected in the more rostral and dorsal portions of striatum associated with motor functions.
DISCUSSION
The presence of intrinsic TH-positive cells in the striatum is not widely recognized despite two previous reports (Dubach et al., 1987;Tashiro et al., 1989). The reason why these neurons have not been studied in detail may be related to the widespread belief that dopaminergic innervation of the striatum is exclusively extrinsic. Using three different TH antibodies, we not only confirmed the presence of intrinsic TH-i neurons in the striatum of adult rhesus monkeys, as reported by Dubach et al. (1987), but also found upregulation of TH-i striatal cells in MPTP-lesioned monkeys. Using the same antibodies, we were unable to detect TH-i neurons in rat striatum, except for a few cells in the posterior ventral striatum of 6-OHDA lesioned rats.
Phenotype of TH-i cells in the striatum of MPTP-lesioned monkeys
Tyrosine hydroxylase catalyzes the conversion of tyrosine to dihydroxyphenylalanine. This is the first and rate-limiting step in the biosynthesis of catecholamines such as dopamine, epinephrine, and norepinephrine (Levitt et al., 1965). Antibodies to TH are used commonly to demonstrate catecholaminergic neurons and fibers (Hokfelt et al. 1984). Whether the TH-i cells detected in the striatum of normal monkeys (Dubach et al., 1987) and normal and dopamine-denervated rats (Tashiro et al., 1989) are dopaminergic is not known, however. Other TH-i cells, identified in intraocular grafts of fetal striatal tissue (Mahalik et al., 1989), organotypic slice cultures of neonatal striatum (Ostergaard et al., 1991), and dissociated cell cultures of fetal striatum (Du and Iacovitti, 1995; Du et al., 1995), also remain undefined. However, in the absence of immunoreactivity to dopamine-β-hydroxylase, dopa-decarboxylase and phenylethanolamine-N-methyltransferase, it was assumed that the TH-i cells were dopaminergic (Ostergaard et al. 1991). In this study, we established that striatal TH-i cells in adult monkeys were dopaminergic because they were also immunoreactive for DAT. Because DAT is a plasma membrane protein that is involved in the specific reuptake of dopamine, antibodies to DAT can be used as selective markers for dopaminergic neurons (Ciliax et al., 1995; Miller et al., 1997). Aside from establishing the dopaminergic nature of the TH-i neurons, DAT co-localization indicates that these neurons contain an essential part of the machinery needed by functioning dopaminergic neurons.
Except for a few spiny cells, the TH-i cells in the striatum of adult monkeys were predominantly (>99%) aspiny, bipolar neurons, similar to the cells described previously in intact striatum (Dubach et al., 1987;Tashiro et al., 1989), intraocular striatal grafts (Mahalik et al., 1989), and striatal slice cultures (Ostergaard et al., 1991). Based on previous morphological descriptions of striatal neurons (DiFiglia et al., 1976; Bishop et al., 1982; Bolam et al. 1983), the aspiny TH-i cells we and others have seen (Iacovitti, 1991; Ostergaard et al., 1991; Du et al., 1995) best correspond to GABAergic, aspiny neurons. Our double-label studies with antibodies to TH and GAD provide the first indication that TH-i cells in the primate striatum are also GABAergic. Dopamine differentiation factor-treated striatal neurons in culture expressing TH have been shown to co-express GAD67(Max et al., 1996). Aspiny GABAergic neurons have been characterized as local circuit neurons by Bolam et al. (1983), and striatal cells intensely stained for GAD67 have been demonstrated to be interneurons (Augood et al., 1995). In the present study, striatal interneurons, although retaining their GABAergic phenotype, were also apparently induced by dopamine depletion to co-express TH and DAT. It might be hypothesized that these GABAergic interneurons begin to produce dopamine in partial compensation for the decreased levels of dopamine in the striatum after MPTP.
Co-expression of TH and GABAergic phenotypes has been reported in adult cerebral cortex (Kosaka et al., 1987), retina (Wulle and Wagner, 1990), hypothalamus (Everitt et al., 1984), and olfactory bulb (Gall et al., 1987). In olfactory bulb, both GABA and dopamine have been demonstrated to be inhibitory to the mitral cells (Shepherd, 1971; Getchell and Shepherd, 1975; Nowycky et al., 1983). However, because of the distinct mechanisms and durations of action of GABA and dopamine (Alger and Nicoll, 1982; Benardo and Prince, 1982), one or the other neurotransmitter likely has predominant postsynaptic influence. Although the physiological relevance of co-expression of dopaminergic and GABAergic traits in the striatal cells is not known, it is possible that both neurotransmitters have physiological postsynaptic effects. Moreover, the presence of DAT on the TH-i neurons confers on them the ability to take up and buffer endogenous or exogenous dopamine.
Increase in TH-i cells in the striatum of MPTP-lesioned monkeys
In our studies with monkeys, nigrostriatal degeneration caused a 3.5-fold increase in striatal TH-i cells. Tashiro et al., (1989)reported a similar response in rats, although we were unable to reproduce their results. The increase TH-i striatal cells may be a response to the absence of appropriate dopaminergic inputs to striatum. It has long been considered that catecholamine transmitters are feedback inhibitors of TH (Spector et al., 1967; Zigmond et al., 1989), and it is possible that there exits a feedback mechanism whereby dopamine innervation regulates TH expression by striatal cells (Ostergaard et al., 1991). On the other hand, this would not fully explain the bilateral increase in TH-i striatal neurons seen after unilateral dopamine depletion in monkeys; other factors must also be involved. Expression of TH in striatal cells, triggered by loss of dopaminergic input, does not seem to be a transient phenomenon, because we found increased cells 2 months–2 years after MPTP treatment. The effects of dopaminergic therapy on these cells remains to be explored.
TH-i cells have been identified previously in the striatum of MPTP-treated monkeys, but it was reported that TH-i cell counts did not differ from those in control monkeys (Sladek et al., 1988). More recently, these investigators observed an increase in TH-i cell density in the striatum of one marginally affected, MPTP-treated monkey (Elsworth et al., 1996). It was not stated however, whether TH-i cells were seen or increased in the other, more severely affected monkeys. All the monkeys in our study were affected moderately to severely by MPTP. It would be of interest to examine expression of TH-i in the striata of animals with various degrees of neurochemical and behavioral evidence of dopamine depletion.
A subgroup of cultured striatal neurons has the inherent ability to express TH (Du et al., 1995). A few scattered TH-positive cells were observed in dissociated striatal cell cultures; however, when exposed to acidic fibroblast growth factor and a catecholamine, a 60% increase in TH-i cell density was observed. This suggests that de novo expression of the normally quiescent TH gene in noncatecholaminergic striatal neurons may be triggered under appropriate conditions (Iacovitti, 1991; Du and Iacovitti, 1995; Du et al., 1995). Glial cells, which are markedly increased after MPTP treatment (Francis et al., 1995), release growth factors (McMillian et al., 1994; Schwartz and Nishiyama, 1994). Also, striatal release of glutamate is enhanced after dopamine depletion (Calabresi et al., 1993;Yamamoto and Cooperman, 1994), and activation of glutamate receptors on cultured astrocytes can induce expression of NGF and bFGF mRNAs (Pechan et al., 1993). Thus, after dopamine denervation induced by MPTP, there may be a direct or indirect increase in astrocyte-specific expression of growth factors that, in turn, promotes increased striatal TH-i cell density. Future studies might address this possibility by examining TH expression in striatal cells after infusion of growth factors in normal and MPTP-treated monkeys.
Whether the increase in TH-i cells in the striatum of MPTP-treated monkeys represents cells with enhanced TH expression, which was previously undetectable immunocytochemically, acquisition of an additional phenotype by pre-existing GABAergic neurons, or “birth” of new neurons is unknown. Growth factors promote proliferation and differentiation of striatal ventricular zone cells in adult murine (Morshead et al., 1994), rat (Kirschenbaum and Goldman, 1995; Palmer et al., 1995), and human (Kirschenbaum et al., 1994) forebrain. It is conceivable that MPTP treatment triggers proliferation of these cells. The absence of lipofuscin in TH-i striatal cells, when it was present in most of the other striatal cells in the monkey, supports this possibility. Alternatively, it is possible that TH gene expression is triggered or enhanced in pre-existing striatal cells. It may be informative to examine the role of the Nurr1 receptor (Zetterstrom et al., 1997) and other regulatory components of cell fate specification, such as the sonic hedgehog signaling system (Hynes et al., 1995), that may determine dopaminergic fate of the striatal cells.
Significance
Traditionally, it has been believed that development of the mammalian brain involves a unique structural evolution that is accompanied in its final steps by permanent loss of regenerative capacity (Altman, 1962; Kaplan 1988; Noble et al., 1990). However, recent studies suggest that certain brain regions retain some stem cells or pluripotential neurons, possibly to help compensate for natural attrition, disease, or injury. Adult striatal dopaminergic cells are such a population in that they responded to dopamine denervation by increasing in number. This is of tremendous potential interest, particularly if they can be recruited to manufacture and release dopamine within the striatum in Parkinson’s disease. In this regard, studies to explore ways to manipulate TH expression in adult striatal cells will be of utmost importance.
Footnotes
This work was supported by United States Public Health Service Grants NS33779 (J.T.G.) and NS31937 (A.I.L. and M.R.D.) and a Mallinckrodt Scholar Award (J.T.G.). We thank Dr. Stacy Stephans for her comments on this manuscript.
Correspondence should be addressed to Dr. J. Timothy Greenamyre, Department of Neurology, Emory University, 1639 Pierce Drive, WMB 6000, Atlanta, GA 30322.
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