Abstract
While limb motor deficits of Parkinson’s disease (PD) are well characterized, the effects of striatal dopamine depletion on the motor cortex is poorly understood. We therefore aimed to 1) examine the effects of striatal dopamine depletion on forelimb function and cortical motor map topography and 2) explore potential relationships between forelimb function and cortical movement representations in an animal model of PD. Twenty-four male Long Evans rats were randomized to control or 6-hydroxydopamine (6-OHDA) groups. Animals in the 6-OHDA group underwent four unilateral 6-OHDA infusions into the striatum to induce striatal dopamine depletion. Four weeks later, animals were tested on a comprehensive battery of behavioral limb motor tasks followed by intracortical microstimulation to derive high-resolution topographic maps of forelimb movement representations. Standard tyrosine hydroxylase (TH) immunohistochemistry was performed and near infrared densitometry analysis utilized to assess TH depletion. Unilateral striatal dopamine depletion induced significant reductions in limb motor function that were reflected neurophysiologically as a reduction in cortical forelimb movement representations. Voluntary forelimb use, pasta handling, sunflower seed manipulation, and forelimb motor maps were all significantly impaired in 6-OHDA animals. A positive correlation was observed between forelimb function and motor map size, as well as two negative correlations between TH depletion with 1) motor map size and 2) forelimb function. The results clearly show how dysfunction within the basal ganglia thalamocortical loop resulting from nigrostriatal dopamine depletion disrupts corticospinal function.
Keywords: 6-Hydroxydopamine, 6-OHDA, parkinson’s disease, intracortical microstimulation, rodent, limb motor, motor map, forelimb function
INTRODUCTION
Parkinson’s Disease (PD) is a chronic, progressive and non-curable neurodegenerative disease associated with substantial morbidity, increased mortality and high economic burden [1]. Approximately 1.5 million Americans are currently diagnosed with PD at a cost of $23 billion dollars annually [1]. Hallmark characteristics of PD include resting tremor, bradykinesia, rigidity, and postural instability that are the clinical offprint of dysfunction within the basal ganglia thalamocortical (BGTC) loop. The basal ganglia-thalamocortical circuit model of PD contends that loss of nigrostriatal dopamine results in hyperactivity of inhibitory basal ganglia output to thalamic nuclei. This in turn inhibits thalamocortical projections and reduces cortical excitability contributing to the hypokinetic features of PD [2]. Support for this hypothesis comes from functional imaging studies in PD patients that reveal hypoactivity in the premotor and prefrontal cortex [3–6]. Further, neuronal recording studies in animal models of parkinsonism [7, 8] and in humans with dyskinesias [9] show aberrant activity within BGTC circuits. Lesions of the basal ganglia or thalamus that prevent excess inhibition within in the BGTC loop are highly effective in treating bradykinesia, rigidity and tremor in animals with experimental parkinsonism [10] and in PD patients [11] and decreases in movement related cortical activity can be partially reversed with dopamine replacement therapy [12–14]. The effects of such persistent changes in cortical excitability observed in PD on the functional organization of motor cortical areas are poorly understood. The finding that intrastriatal dopamine depletion reduces metabolic activity and immediate early gene expression within the rodent motor cortex [15, 16] suggests that there are enduring effects of imbalanced excitability on motor cortex function that may contribute to limb motor dysfunction. The investigation of cortical motor maps in response to striatal dopamine depletion using intracortical microstimulation (ICMS) in an animal model of PD provides a unique opportunity to critically evaluate the relationship between striatal dopamine depletion and motor cortex function.
Two investigators have utilized ICMS to examine the effects of dopamine depletion on topographical forelimb motor maps in rodents. Metz and colleagues [17] first examined the effects of unilateral lesions of 6-Hydroxydopamine (6-OHDA) into the medial fore-brain bundle (MFB) and reported preserved motor map topography despite forelimb motor impairments. More recently, Brown and colleagues [18] studied the effects of haloperidol as well as unilateral and bilateral 6-OHDA infusions into the striatum on forelimb motor map topography. These authors reported significant reductions in motor map area following haloperidol administration or bilateral 6-OHDA infusions and concluded that bilateral loss of dopamine is required to induce significant changes in motor map topography. However, the relationship between these changes and limb motor function is unknown. Thus, future investigation is warranted to directly examine relationships between motor behavior and motor maps in dopamine depleted systems. The purpose of the present study was to 1) examine the effects of unilateral striatal dopamine depletion on forelimb function and cortical motor map topography and 2) explore potential relationships between forelimb motor function and forelimb cortical movement representations.
METHODS
Animals
Twenty-four male Long Evans hooded rats (approximately 180 days old with body weight of 425–525g) were used in this experiment (Harlan, Indianapolis, Ind., USA). Animals were doubly housed in Plexigas cages (36 cm long, 20 cm wide and 21 cm deep) with sawdust bedding and maintained on a 12:12 h light:dark cycle with controlled temperature and humidity. All behavioral testing occurred during the light period of the cycle and the experiment was conducted in compliance with the guidelines of the University of Florida Animal Care and Use Committee. Rats were given seven days to acclimatize to the housing environment and then randomly assigned to either a 6-OHDA (n = 12) or control group (n = 12). Rats received ad libitum rat chow and water throughout the entire study.
6-OHDA infusions
Animals assigned to the 6-OHDA group received four unilateral 6-OHDA infusions into the left hemisphere following the protocol of Kirik et al. [19]. Rats were anaesthetized with isoflurane (4% induction, 1.5% maintenance; VIP-3000 Vaporizer, Matrix, Orchard Park, NY) and placed in a stereotaxic instrument (Kopf, Tujunga, CA) with the incisor bar set to skull flat. Infusion coordinates relative to bregma were: (AP +1.3 mm, ML −2.6 mm; −5.0 mm DV); (AP +0.9 mm, ML −3.0 mm; −5.0 mm DV); (AP −0.4 mm, ML −4.2 mm; −5.0 mm DV); (AP −1.3 mm, ML −4.5 mm; −5.0 mm DV) in the left hemisphere. At each infusion site, a microbur (0.45 mm in diameter) was made through the skull and a micropipette was lowered into the striatum at each coordinate. Using a computer assisted nanoinject microinfusion pump (World Precision Instruments, Sarasota, FL), 7μg (free base weight) of 6-OHDA hydrochloride (Sigma, Oakville, ON) dissolved in 0.1% ascorbic acid was infused at a rate of 1μl/min. The micropipette was left in place for 5 minutes to aid infusate diffusion before being slowly retracted from the brain. Following the four intrastriatal infusions, 4 cc of Ringers solution given subcutaneously (s.c.), the scalp sutured and betadine applied to the suture site.
Protocol
Animals remained in their home cages for four-weeks following infusion before initiating the test battery. Behavioral testing included cylinder exploration, vermicelli handling and sunflower seed opening tasks and was completed by blinded examiners.
Cylinder test
Animals were placed into a transparent cylinder (20 cm x 30 cm) for 5 minutes and video recorded for subsequent analysis of forelimb use during vertical exploration. The primary outcome variable for the cylinder test was the cylinder asymmetry ratio (CAR) as described by Shallert et al. [20]. The CAR was calculated as an index of voluntary forepaw use [(right touches + ½ number of both)/(right touches + left touches + both) × 100].
Sunflower seed opening
To test object manipulation abilities, animals were placed into a clear plastic arena with five sunflower seeds located in the upper right hand corner. A mirror was angled at a 120 degree angle at the back of the enclosure to allow visualization of sunflower manipulation in the instance that an animal faced away from the experimenter and towards the back of the enclosure. To acclimate animals to testing materials, sunflower seeds were included in their diet several days leading up to testing. The primary outcome measure for sunflower seed testing was total manipulation time (TMT) and defined as the total time spent manipulating, opening and placing the seed into the mouth (starting the moment the animal touched a seed and ending the second the animal dropped the shell and released the seed into the mouth) and represented the cumulative and total time across all five trials. The secondary outcome measure for sunflower seed testing was the total number of shell pieces (TSP) produced to open the five seeds. Animals were tested over two consecutive days and a two-day average TMT and TSP calculated.
Vermicelli handling test
Animals were presented with five 7 cm uncooked vermicelli strands (1.5 mm diameter; 0.15 g/piece; Mueller brand, distributed by American Pasta Co., Kansas City, MO) in their home cage and video recorded for subsequent analyses. To acclimate animals to pasta handling, they were given five strands of vermicelli in their home cages for several days prior to testing. The primary outcome measure for the vermicelli handling test was the vermicelli asymmetry ratio (VAR) as described by Allred et al. [21]. The VAR (%) is defined as the [(number right adjustments/total number of adjustments) x 100]. Time to eat (beginning when the pasta piece was grasped and ending when piece was released by the paws and disappeared into the mouth in seconds) was a secondary outcome measure for this task. For data analysis, the mean across the five trials was used.
Intracortical microstimulation
Within two weeks of the final training session, Intracortical Microstimulation (ICMS) was used to generate detailed maps of forelimb regions [22, 23] within the motor cortex ipsilateral to the 6-OHDA infusions. Prior to surgery animals were anesthetized with ketamine hydrochloride (70 mg/kg i.p.) and xylazine (5 mg/kg i.p.) with supplemental doses administered as needed. Careful attention was paid to breathing rate and whisking in order to determine when animals required supplemental doses of anesthetic. Further, stimulation of the internal capsule (see below) was also used to dissociate stimulation sites that were non-responsive due to anesthetic level versus experimental condition. Under sterile conditions, a craniotomy was performed over the left (ipsi-lesional) motor cortex and a small puncture made to the cisterna magna to prevent edema prior to removing the skull and dura. The exposed cortex was then covered in warm saline (37°C) and a digital image of the cortical surface taken and saved in CANVAS 10.0 (ACD Systems, Vancouver, BC) on a Macintosh Computer (Cupertino, CA). A glass microelectrode (controlled by a hydraulic microdrive) was used to make systematic penetrations across the cortex using the cortical surface image with a 300 μm superimposed grid as a guide. At each penetration site, the electrode was lowered to approximately 1550 μm (corresponding to cortical layer V). Stimulation consisted of thirteen, 200 μs cathodal pulses delivered at 350 Hz from an electrically isolated stimulation circuit at a rate of 1 Hz. Animals were in a prone position with the contralateral limb supported. Sites where no movement was detected at ≤60 μA were coded unresponsive. A secondary stimulation procedure within the ipsilateral internal capsule in 6-OHDA animals was performed in order to ensure nonresponsive sites, were not due to altered anesthesia levels. The microelectrode was placed into the internal capsule (3.0 AP, 3.0 ML, 7.0 DV) and stimulation passed at 40 μA. Movement of the forelimb was then confirmed. The primary outcome variable was total motor map area (mm2) for proximal and distal forelimb sites (TMA). The secondary outcome variable was the mean stimulation threshold (MST, μA).
Immunohistochemistry
Immediately following mapping, animals were perfused intracardially with 200 ml of phosphate buffered saline solution followed by 400 ml of 4% paraformaldehyde and decapitated for brain extraction. Brains were post fixed in 4% paraformaldehyde for 24 hours and then cut into 40-μm-thick coronal sections using a freezing microtome. Floating sections were washed with 0.01 M PBS and then treated for 15 min with 0.5% H2O2 +10% methanol in 0.01M PBS. Sections were preincubated with 3% normal horse serum (NHS)+0.1% Triton X-100 in 0.01M PBS, and then incubated overnight at room temperature with a 1 : 2000 dilution of a mouse anti-TH antibody (Chemicon, Temecula, CA). Following incubation, tissue was washed and incubated for 2 hours at room temperature with a secondary antibody directed against the species in which the primary antibody was raised. The reactions were then incubated with a near infrared secondary antibody for TH densitometry, IRdye 800 (LI-COR Biosciences, Lincoln, NE). Sections were mounted on subbed slides, dehydrated in ascending alcohol concentrations, cleared in xylene, and coverslipped in permount in a dark room.
Densitometry
Serial TH-labeled sections were scanned at a resolution of 21 μm and a 5.5 sensitivity setting on a LI-COR Odyssey scanner (LI-COR Biosciences). Using the Odyssey Infrared imaging system Application Software (Version 3.0), striatal sections were outlined and the value of the integrated intensity obtained from the right and left striatum of each section derived. TH depletion was calculated for each animal using the following formula: [(ε left integrated intensity/ε right integrated intensity) × 100] following the protocol of Manfredsson et al. [24].
Statistical analyses
Behavioral and mapping data were analyzed using a series of independent student t tests between control and 6-OHDA groups. Results were confirmed with the non-parametric Mann-Whitney U test. For these behavioral analyses, only those animals with TH depletion greater then 50% were included in the 6-OHDA group (see next section). Pearson’s Correlation analyses were also performed between TH depletion levels (%), forelimb behavioral outcomes and forelimb motor map area. For those correlation analyses involving TH depletion, only those animals injected with 6-OHDA were included in the analysis due to no range in depletion level in control animals. For all statistical tests, α was set at 0.05 and SPSS 18.0. (Chicago, IL) was used to compute all data. All descriptive statistics are reported as means±S.E.M unless otherwise indicated.
RESULTS
Densitometry
Three animals were excluded from the 6-OHDA group due to insufficient TH depletion (<50%). Of those animals included in the 6-OHDA group (n = 9), densitometry analyses revealed that mean TH depletion was 81% (range = 51–100; SD = 18.74; SEM = 6.62). Fluorescent immunoreactivity staining revealed that striatal 6-OHDA infusion resulted in loss of TH-positive cells in the striatum. Fig. 1B illustrates a representative lesion producing loss of dopaminergic innervation in the ipsi-lesional striatum.
Behavioral impairments
The 6-OHDA group displayed significant impairments across all behavioral tasks (Table 1). For cylinder testing, voluntary use in the right forelimb (CAR) decreased from 50.86% (±4.11) in the control group to 16.23% (±5.19) in the 6-OHDA group (p < 0.001). During sunflower seed testing, TMT increased from 63.60 sec (9.23) in the control group to 117.20 sec (± 24.31) in the 6-OHDA group and TSP increased from 12.40 (0.62) in the control group to 18.00 (1.38) in the 6-OHDA groups (p < 0.05). During vermicelli pasta handling, use of the right forelimb (VAR) decreased from 49.45% (±1.62) in the control group to 39.2% (±3.23) in the 6-OHDA group (p < 0.01). No differences were observed for the average time to eat the five vermicelli strands in comparison to controls (p > 0.05).
Table 1.
Motor Test | Measure | Control |
6-OHDA |
|||
---|---|---|---|---|---|---|
Mean | (S.E.M) | Mean | (S.E.M) | p Value | ||
Cylinder | CAR (%) | 50.86 | (4.11) | 16.23 | (5.19) | 0.001* |
Sunflower Opening | TMT (sec) | 63.60 | (9.23) | 117.20 | (24.31) | 0.02* |
TSP | 12.40 | (0.62) | 18.00 | (1.38) | 0.001* | |
Vermicelli Handling | VAR (%) | 49.45 | (1.62) | 39.12 | (3.23) | 0.007* |
Time to eat (sec) | 75.90 | (11.72) | 85.16 | (18.54) | 0.66 |
CAR = cylinder asymmetry ratio. VAR = vermicelli asymmetry ratio. TMT = total manipulation time. TSP = total shell pieces.
significant between groups difference (p < 0.05).
Motor map topography
No significant differences in the amounts of ketamine or xylazine as a function of body weight and duration of surgery were noted between control and 6-OHDA groups. Amounts of ketamine were 1.57 mg/kg/min (±0.12) for controls and 1.53 mg/kg/min (±0.14) for the 6-OHDA group (p > 0.05). Amounts of xylazine were 0.89 mg/kg/min (±0.0075) for controls and 0.03 mg/kg/min (±0.0073) for the 6-OHDA group (p > 0.05).
Representative motor maps for a control and 6-OHDA animal are shown in Fig. 1A and 1B respectively. A significant reduction in total forelimb motor map area was demonstrated for the 6-OHDA group (p < 0.05) (see Fig. 2C). No significant differences were noted in the size of proximal or distal forelimb maps (p > 0.05) or in forelimb area movement distribution (p > 0.05, Fig. 2D). Mean threshold current intensities required to elicit forelimb movements were 29.25 μA (±1.51) for controls and 26.54 μA (±4.77) for the 6-OHDA group (p > 0.05).
Relationship between forelimb function and forelimb motor maps
A significant positive correlation was revealed between forelimb motor map area and cylinder forelimb asymmetry ratio (r = 0.48 p < 0.05). In general, the greater the voluntary forelimb use, the larger the forelimb motor map observed (Fig. 3A). No other relations were revealed between map area and behavioral testing measures (p > 0.05).
Relationship between TH depletion forelimb function and forelimb motor maps
A significant negative correlation was observed between TH depletion and cylinder forelimb asymmetry (r = −0.85, p < 0.001) as well as between TH depletion and forelimb motor map area (r = −0.45, p < 0.05) (Figs. 3B and 3C respectively). The greater the dopamine depletion, the lower voluntary forelimb use in the contralateral limb and the smaller the forelimb motor map area observed.
DISCUSSION
This study demonstrates a clear relationship between striatal dopamine depletion, impairments in limb motor function and concomitant reductions in forelimb movement representations in the motor cortex. Forelimb use during voluntary exploration, pasta handling and sunflower seed manipulation, were all seen to be significantly impaired following unilateral striatal dopamine depletion. This suggests a generalized impairment in limb motor function and is consistent with the upper extremity impairments observed in PD patients. A reduction in the amount of forepaw use was observed in both the cylinder and vermicelli handling tasks as reflected by significantly lower asymmetry ratios than the control group and a greater amount of time being required to open sunflower seeds. Further, a significant relationship was found between the amount of voluntary forelimb use in the affected limb (cylinder asymmetry ratio) and forelimb cortical movement representations as well as TH depletion suggesting that the level of functional impairment is related to integrity of the forelimb motor maps and degree of dopamine depletion.
Similar to forelimb function, forelimb cortical motor maps were also impaired following unilateral striatal dopamine depletion. Specifically, forelimb motor map area was significantly smaller in the 6-OHDA animals compared to controls. No differences were noted, however, in forelimb motor thresholds or specific movement distributions. There are several possible explanations for the observed loss of movement representations. First, motor map topography is highly sensitive to changes in synapse number and strength within the motor cortex. Manipulations that reduce synapse number [25] or decrease synaptic strength [26] also reduce motor map size. The observed loss of movement representations in 6-OHDA animals may therefore result from a loss of synapse number and/or strength within the motor cortex. In keeping with the BGTC model, increased inhibition of the thalamus from striatal output nuclei could result in a weakening of thalamocortical afferents. Because ICMS induces movement via transynaptic activation of corticospinal neurons [27], a degradation of thalamocortical synapse could contribute to a reduction in motor map area. In support of this hypothesis, forelimb movements could be readily elicited in 6-OHDA animals via stimulation of the internal capsule. This stimulation protocol elicits movement by directly stimulating corticospinal axons and is not dependent upon transynaptic activation of cortical pyramidal neurons.
This is the third report documenting effects of dopamine depletion on forelimb topographic movement representations. Contrary to our results, Metz and colleagues [17] reported preserved forelimb motor map size in naïve and skilled reach trained rats following unilateral lesions to the MFB. A possible explanation for the observed discrepancy might be attributed to the different surgical techniques utilized for inducing striatal dopamine depletion (MFB vs. intrastriatal). While MFB lesions involve a single infusion that induces dopamine depletion within an acute time period (within 48 hours), dopamine depletion via intrastriatal lesions occurs in a gradual progression across four infusion sites and over two phases (typically complete by four weeks [19]. Thus, the mechanisms for inducing dopamine depletion within the striatum may differ between these two models (immediate vs. gradual) and may differentially affect motor cortex physiology.
Brown et al. [18] investigated effects of striatal dopamine depletion and systemic injections of the dopamine blocker haloperidol. These investigators observed a significant reduction in forelimb motor map area as well as a topographic reorganization (an increase in the size of distal to proximal forelimb movement representation) in bilaterally depleted animals and following haloperidol administration compared to control animals. Contrary to our findings, however, unilaterally depleted animals did not demonstrate significant reductions in forelimb motor map area. The TH depletion reported in this study, however, was mild (mean depletion level = 64.5%) as compared to the moderate–severe depletion observed in the present study (mean depletion level = 81%). Our observed relationship between forelimb motor map area and TH depletion level therefore suggests there is a relationship between forelimb motor map area and dopamine depletion, however this relationship is not linear. It appears that the loss of motor maps requires a critical level of dopamine depletion. Fig. 3C shows that only after 90% dopamine depletion does motor map area become significantly reduced. This may provide an explanation for the observed differences across studies following unilateral striatal dopamine depletion.
In summary, our results demonstrate that moderate-severe unilateral striatal dopamine depletion induces significant limb motor deficits that are reflected neurophysiologically as a reduction in forelimb motor cortex movement representations. Both cylinder forelimb asymmetry ratios and forelimb motor map area were related to the level of dopamine depletion, suggesting that both forelimb function and cortical movement representations are highly dependent on striatal dopamine levels. The results provide a neural mechanism by which maladaptive changes in activity within BGTC circuits induces long term changes in the functional organization of motor cortex and limb motor impairments in PD.
ACKNOWLEDGMENTS
This study was supported by a National Institute of Deafness and other Communication Disorders (NIDCD) training grant 1F32DC010569-01A1.
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