Abstract
The dopamine (DA)-rich midbrain is known to be a key target of human immunodeficiency virus (HIV)-1. Studies of simian immunodeficiency virus (SIV)-induced neuropathogenesis recently established that there is a major disruption within the nigrostriatal dopaminergic system characterized by marked depletion of dopaminergic neurons, microglial cell activation, and reactive astrocytes. Using a human mesencephalic neuronal/glial culture model, which contains dopaminergic neurons, microglia, and astrocytes, experiments were performed to characterize the damage to dopaminergic neurons induced by HIV-1 gp120. Functional impairment was assessed by DA uptake, and neurotoxicity was measured by apoptosis and oxidative damage. Through the use of this mesencephalic neuronal/glial culture model, we were able to identify the relative sensitivity of dopaminergic neurons to gp120-induced damage, manifested as reduced function (decreased DA uptake), morphological changes, and reduced viability. We also showed that gp120-induced oxidative damage is involved in this neuropathogenic process.
Keywords: dopamine, gp120, neurons, oxidative stress
Introduction
Human immunodeficiency virus (HIV)-associated neurocognitive disorder (HAND), which includes asymptomatic neurocognitive impairment, mild neurocognitive disorder (MND), and the more severe HIV-associated dementia (HAD), continues to be an important clinical manifestation of HIV-1 infection in the age of antiretroviral therapy. Although the rates of HAD have declined due to antiretroviral therapy, it still remains the most common form of dementia in adults under age 40 and remains an independent risk factor for mortality despite antiretroviral therapy (Boisse et al, 2008). Clinically, HAD presents as subcortical dementia, with predominant basal ganglia involvement, leading to Parkinsonism, psychomotor slowing, as well as cognitive and behavioral impairment (Koutsilieri et al, 2002b).
Research over the past two decades has revealed that a network of factors, including the virotoxin gp120 and mediators released from activated glial cells, are involved in the neuropathogenesis of HIV (D’Aversa et al, 2005; Gendelman, 2005; Ghorpade et al, 2005; Gonzalez-Scarano and Martin-Garcia, 2005; Kaul and Lipton, 2006; Kaul et al, 2005; Mattson et al, 2005). The HIV-1 envelope protein gp120 enables HIV-1 entry into cells via its interaction with CD4 and the chemokine receptors CCR5 and CXCR4 and is one of the toxic viral proteins released by HIV-1–infected cells (D’Aversa et al, 2005). gp120 has a direct toxic effect on neurons (Corasaniti et al, 2000; Kaul and Lipton, 1999; Meucci et al, 1998), and by interacting with microglia/macrophages, facilitates the release of other neurotoxic mediators (Bezzi et al, 2001; Brenneman et al, 1988; Garden et al, 2002; Yi et al, 2004). Studies in our laboratory have shown that gp120-mediated toxicity is enhanced by substances of abuse such as morphine (Hu et al, 2005) and cocaine (Hu et al, 2006). More recent work has demonstrated that the nigrostriatal dopaminergic system is a critical brain region for the neuronal dysfunction and death seen in HAD (Aylward et al, 1993; Ferris et al, 2009; Gelman et al, 2006; Itoh et al, 2000; Koutsilieri et al, 2002a; Koutsilieri et al, 2002b; Nath et al, 2000; Paul et al, 2005; Sardar et al, 1996; Silvers et al, 2006; Wang et al, 2004). Dopamine (DA) is the main neurotransmitter in the nigrostriatal dopaminergic pathway and depletion of DA in this mesencephalic area underlies the clinical manifestations of Parkinson’s disease (PD); symptoms of PD have been well characterized in HAD (Koutsilieri et al, 2002b; Sardar et al, 1996). Recent studies of simian immunodeficiency virus (SIV)-induced neuropathogenesis established that there is a major disruption within the nigrostriatal dopaminergic system characterized by marked depletion of dopaminergic neurons, microglial cell activation, and reactive astrocytes (Czub et al, 2004; Scheller et al, 2005); these same histopathological abnormalities mirror those observed in HAD. The presence of gp120 expression in the brains of patients with HAD has been demonstrated, particularly in the area of the basal ganglia (Jones et al, 2000). One noteworthy feature of the substantia nigra that may help explain the susceptibility of this brain region to HIV-1–related damage is that this area contains a high concentration of microglial cells (Lawson et al, 1990), which are the only brain cell type that can support productive HIV-1 infection and are a rich source of neurotoxic reactive oxygen species (ROS) and cytokines/chemokines (Chao et al, 1995; Cosenza et al, 2002; Koenig et al, 1986; Wiley et al, 1986).
A growing body of evidence also supports the role of “oxidative stress” in HIV-1 neuropathogenesis (Aksenov et al, 2003, 2006; Minghetti et al, 2004; Mollace et al, 2001; Pocernich et al, 2005; Sheng et al, 2000; Turchan-Cholewo et al, 2006; Wallace et al, 2006). Brain sections obtained from patients with acquired immunodeficiency syndrome (AIDS) dementia show intense immunostaining for nitrotyrosine, indicating that reaction between nitric oxide (NO) and has led to peroxynitrite formation, resulting in oxidative damage (Boven et al, 1999). Furthermore, it has been reported that levels of the lipid peroxidation product HNE (4-hydroxy-2-nonenal) are increased in brain tissues of patients with HAD (Haughey et al, 2004). Among the cell types in the brain parenchyma, microglia are most capable of generating large quantities of the free radical (Chao et al, 1995), which is rapidly metabolized to the highly cytotoxic ROS hydrogen peroxide and hydroxyl radical. Unlike microglia from certain rodent species, human microglia do not express inducible nitric oxide synthase (iNOS) (Lee et al, 1993; Peterson et al, 1994; Rock et al, 2005), but when activated, they release abundant amounts of interleukin (IL)-1β, which in turn induces iNOS and production of the reactive nitrogen species (RNS) NO by human astrocytes (Hu et al, 1999). ROS, RNS, and peroxynitrite are regarded as the key mediators of oxidative damage in HAD.
Based upon findings that the mesencephalon, and specifically dopaminergic neurons, are important to HIV neuropathogenesis, as well as the growing appreciation that oxidative stress plays an important role in HIV neuropathogenesis, experiments were performed using a human mesencephalic neuronal/glial culture model to characterize the damage to dopaminergic neurons induced by gp120 by assessing functional impairment as measured by DA uptake, and to investigate neurotoxicity by assessing apoptosis and oxidative damage.
Results
Although the dopaminergic mesencephalic region is recognized as a key target area in HIV-1 neuropathogenesis, studies of the effects of gp120 specifically on human dopaminergic neurons have not been reported. Thus, we have developed an in vitro human mesencephalic neuronal/glial culture model (Figure 1A, B) that contains approximately 55% neurons, 40% astrocytes, and 5% microglia (Figure 1C). Additionally, double-staining using anti-NeuN (neuron-specific nuclear protein) or anti-MAP-2 (microtubule-associated protein-2) in combination with anti-GABA (γ-aminobutyric acid), anti-ChAT (choline acetyltransferase), or anti-TH (tyrosine hydroxylase) antibodies showed that the neurons are composed of 30% to 35% GABA-immunereactive (IR) neurons (GABAergic), 10% to 15% ChAT-IR neurons (cholinergic), and 5% to 10% TH-IR neurons (DAergic) relative to the neuronal cell population. Experiments performed in our laboratory have determined that the human mesencephalic neuronal/glial cultures do not contain noradrenergic cells by using the noradrenergic-specific marker, dopamine β-hydroxylase (DBH) (data not shown), a finding similar to other mesencephalon models (Bennett et al, 1995). The relative amount of TH-IR neurons is comparable to what has been reported previously in human (2% to 5%) (Dong et al, 1993; Silani et al, 1994) and in rodent (1% to 2%) (Liu et al, 2000; Yang et al, 2007) mesencephalic neuronal/glial cultures.
Figure 1.
Composition of human mesencephalic neuronal/glial cultures. Mesencephalic neuronal/glial cultures grown for 2 weeks were (A) immunostained with mouse anti-human CD68 (microglial marker, green; labeled with anti-mouse NL493) and rabbit anti-GFAP (astrocyte marker, red; labeled with anti-rabbit NL557), followed with biotinylated mouse anti-MAP-2 (neuronal marker, yellow; labeled with streptavidin NL637) and DAPI as nuclei counter stain (blue) (20×). Individual photomicrograph was acquired using Zeiss Axioscope (Jena, Germany) and the merged image was processed by Adobe Photoshop. (B) Mesencephalic neuronal/glial cultures grown for 2 weeks and stained for MAP-2 (red, a), tyrosine hydroxylase (TH, dopaminergic neuronal marker, green, b), and DAPI (blue, c), followed by a merged image (d) (20×). (C) Relative composition of the mesencephalic neuronal/glial culture was derived from cell counts of 15 fields each that were stained with anti-NeuN/anti-MAP-2, anti-GFAP, or anti-CD68 antibodies and nuclei counterstained with DAPI. Data presented are mean±SD of triplicates of two separate experiments using different brain tissue specimens.
In our first experiments, a more profound loss of DAergic neurons was noted when compared to GABAergic and cholinergic neurons, demonstrating their relative sensitivity to the detrimental effects of gp120 compared to other neurons of the mesencephalon (Figure 2A). To further characterize the neuronal impairment induced by gp120, we chose to investigate functional impairment of these cells by assessing DA, GABA, and choline uptake. In support of the notion that gp120 impairs DAergic neurons preferentially, we found that exposure to gp120 for 5 days decreased DA uptake significantly, in a concentration-dependent manner, compared to controls (including heat-inactivated gp120 and anti-CXCR4 controls) (Figure 2B, C). Uptake of GABA and choline by their respective neurons was not significantly impaired (Figure 2B). Additionally, loss of DAergic neurons and morphological changes manifest as blunting of DAergic neurites were observed after exposure to gp120 (Figure 3).
Figure 2.
Relative susceptibility of human DAergic neurons to gp120. (A) Relative loss of neurons with gp120 exposure (10 nM, 5 days) based on immunostain with anti-NeuN combined with anti-GABA, -ChAT, or -TH antibodies followed by quantification of positively stained cells. (B) Mesencephalic neuronal/glial cultures were treated with gp120 at the indicated concentrations for 5 days followed by 3H-GABA, 3H-choline, and 3H-DA addition for 10 min as a measurement of 3H-GABA, 3H-choline, and 3H-DA uptake for GABA transporter, acetylcholine transporter, and DAT activity, respectively. (C) Mesencephalic neuronal/glial cultures were treated with gp120 at the indicated concentrations for 5 days followed by 3H-DA addition for 10 min as a measurement of 3H-DA uptake for DAT activity. Heat-inactivated gp120 (10 nM, 85°C, 10 min) was used as a negative control. Data are mean±SD of triplicates of two to four separate experiments using different brain tissue specimens. *P <.05, **P <.01 versus respective control; ††P <.01 versus gp120.
Figure 3.
gp120-induces damage in DAergic neurons. Mesencephalic neuronal/glial cultures treated with gp120 (10 nM) for 5 days were immunocytochemically stained with rabbit anti-TH antibody developed with Vector ABC and DAB kit. Untreated Control showed numerous and extensive neurites, whereas gp120-treated cultures exhibited TH-IR cell reduction and marked loss and blunting of neurites (10×).
Because neuronal apoptosis is one of the histopathological hallmarks of HAD, the effect of gp120 on mesencephalon viability was assessed. We exposed our mesencephalic neuronal/glial culture to gp120 and assessed the level of apoptosis by measuring histone-associated DNA fragmentation by enzyme-linked immunosorbent assay (ELISA) (Figure 4A, B) and cytochrome c levels (Figure 4C). Peak apoptosis occurred at 5 days and with 10 nM of gp120 compared to controls, including heat-inactivated gp120 and anti-CXCR4 controls, thus supporting our hypothesis that gp120 induces apoptosis in our mesencephalic neuronal/glial cultures.
Figure 4.
gp120 induces apoptosis in human mesencephalic neuronal/glial cultures. (A) Treatment with gp120 (10 nM) over 7 days induced apoptosis of mesencephalic neuronal/glial cultures measured by cell death ELISA. (B) Mesencephalic neuronal/glial cultures exposed to gp120 for 5 days at the indicated concentrations or treated with the indicated antibodies for 1 h prior to gp120 (10 nM) for 5 days were measured by cell death ELISA. Heat-inactivated gp120 (10 nM, 85°C, 10 min) was used as negative control. (C) Cell lysates collected from mesencephalic neuronal/glial cultures treated as in B were used in a cytochrome c assay. Data are mean±SD of triplicates of two separate experiments using different brain tissue specimens. **P <.01 versus control (C); ††P <.01 versus gp120.
Oxidative stress is considered a major contributor to HIV-1 neuropathogenesis, and this mechanism of damage was examined. In support of the hypothesis that gp120 induces oxidative damage, we quantified 8-isoprostane levels (a measure of lipid peroxidation) in our mesencephalic neuronal/glial cultures and found that exposure to gp120 resulted in a concentration-dependent increase in 8-isoprostane levels, with a 4-fold increase seen with 10 nM gp120 (Figure 5). We then assessed the role of ROS and in this process and demonstrated an increase in intracellular ROS with exposure to gp120 (Figure 6A, B) and identified that superoxide was involved, as demonstrated by its concentration-dependent increase in response to gp120 (Figure 6C) and the partial reversal of gp120-induced impairment of DA uptake by the NADPH oxidase inhibitor diphenyleneiodonium (DPI) (Figure 6D).
Figure 5.
gp120 induces lipid peroxidation in human mesencephalic neuronal/glial cultures. (A) Mesencephalic neuronal/glial cultures were treated with gp120 at the indicated concentrations for 5 days or treated with the indicated antibodies for 1 h prior to gp120 (10 nM) for 5 days, followed by supernatant collection for 8-isoprostane assay. Heat-inactivated gp120 (10 nM, 85°C 10 min) was used as a negative control. Data are mean±SD of triplicates of two separate experiments using different brain tissue specimens. *P <.05, **P <.01 versus control (c); ††P <.01 versus gp120.
Figure 6.
gp120 induces ROS and production in human mesencephalic neuronal/glial cultures. (A) Treatment with gp120 (10 nM) over 5 days demonstrated increased intracellular ROS production in mesencephalic neuronal/glial cultures. (B) Mesencephalic neuronal/glial cultures exposed to gp120 for 5 days at the indicated concentrations were evaluated for intracellular ROS. (C) Mesencephalic neuronal/glial cultures exposed to gp120 for 3 days at the indicated concentrations were evaluated for production. (D) Mesencephalic neuronal/glial cultures were treated with gp120 (10 nM) for 5 days with or without the NADPH oxidase inhibitor diphenyleneiodonium (DPI), followed by 3H-DA addition for 10 min as a measurement of 3H-DA uptake for DAT activity. Data are representative of mean±SD of triplicates of three to four separate experiments using different brain tissue specimens. *P <.05, **P <.01 versus control.
Discussion
In the present study, we demonstrate for the first time that human DAergic neurons are preferentially sensitive to the neurotoxic effects of the HIV-1 surface glycoprotein gp120 when compared to GABAergic and cholinergic neurons, which are also present in the human mesencephalon. This damage was manifest by gp120-induced cellular loss, blunting of neurites, and impaired 3H-DA uptake. These results parallel the finding that DAergic neurons are reduced in patients with HAD (Itoh et al, 2000; Sardar et al, 1996), and specifically that dopamine transporters are significantly reduced in these patients compared with seronegative controls (Wang et al, 2004). Previous studies have shown that gp120 exposure results in decreased neuronal cellular numbers (Corasaniti et al, 2000; Kaul and Lipton, 1999; Meucci et al, 1998). Examination of the specific effect of gp120 on DAergic neurons in a rat model has shown a loss of DAergic neurons (Bachis et al, 2006; Mocchetti et al, 2007; Nath et al, 2000; Nosheny et al, 2006, 2007) and a decrease in 3H-DA uptake (Bennett et al, 1995; Wallace et al, 2006). In one study, which did not show a reduction in DAergic neurons, a reduction in dopamine neuron process length was observed (Bennett et al, 1995). Furthermore, in vivo experiments have shown that this DAergic neuronal loss is specific to the A9 DAergic cell group of the substantia nigra (Bachis et al, 2006; Mocchetti et al, 2007; Nosheny et al, 2006, 2007). The impairment of 3H-DA uptake by DAergic neurons in our study could be the result of either an alteration of KM or Vmax. Although definitive studies to resolve this were not performed, a blunting of DAergic neurites was observed in similar fashion to that seen in a rat model (Bennett et al, 1995), suggesting that the impaired 3H-DA uptake was due to an altered Vmax. The unique aspect of our results is the demonstration of the preferential sensitivity of human DAergic neurons to gp120-induced toxicity as compared to other neuronal types of the mesencephalic neuronal/glial cultures. Interestingly, this preferential sensitivity may not be specific for human cells only, as this sensitivity of DAergic neurons to gp120-induced toxicity has also been demonstrated in the pedal ganglia of the bivalve Mytilus (Stefano et al, 1993).
We also showed that gp120 induces apoptosis within the human mesencephalic neuronal/glial culture as measured by cell death ELISA and cytochrome c assay. Other investigators have reported apoptosis of rodent DAergic neurons after gp120 exposure, which appears to be caspase-3 related (Mocchetti et al, 2007).
Oxidative stress plays a role in HIV-1 neuropathogenesis (Aksenov et al, 2003, 2006; Minghetti et al, 2004; Mollace et al, 2001; Pocernich et al, 2005; Sheng et al, 2000; Turchan-Cholewo et al, 2006; Wallace et al, 2006). Microglia are the most capable brain cell type for generating large quantities of the free radical (Chao et al, 1995). Murine models of Parkinson’s disease have also demonstrated that selective toxicity of DAergic neurons to lipopolysaccharide (LPS) or 1-methyl-4-phenylpyridinium (MPP+) involve microglial-derived (Block et al, 2004; Gao et al, 2003). In the current study, oxidative damage in the mesencephalic neuronal/glial culture was demonstrated by enhanced levels of 8-isoprostanes (stable byproducts of oxidative damage to lipids), increased intracellular ROS, as well as evidence of the involvement of . Although many oxidative products may be involved in oxidative damage in our mesencephalic neuronal/glial cultures, it is likely that free radicals generated downstream from have important deleterious effects on DAergic neurons.
The effects observed in our experiments were most robust at the 10 nM concentration of gp120. Several other investigators have found that similar concentrations were necessary to elicit responses, including the use of in human microglia (gp120, 100 nM) (D’Aversa et al, 2005) and in rat neurons (gp120, 10−13 to 10−8 M [Bennett et al, 1995]; gp120, 2 nM [Yao et al, 2009]; and gp120, 5 nM [Bachis et al, 2006]). Our laboratory has also demonstrated that similar concentrations of gp120 induced apoptosis in human cortical neuronal cultures (Hu et al, 2005). Differences in gp120 sources and species (rodent versus human) used likely account for the diversity of concentrations used in various publications.
Results reported here show that gp120 preferentially damages DAergic neurons in a human mesencephalic neuronal/glial culture model, elicits apoptosis, and induces oxidative damage in a manner that involves the participation of O2−, and this human mesencephalic neuronal/glial culture model could be used in future studies to investigate involvement of such processes in damage to DAergic neurons and understand the relative sensitivity of DAergic neurons to gp120.
Methods
Human fetal brain tissue was obtained under protocol approved by the Human Subjects Research Committee at our institution.
Reagents
The following reagents were purchased from the indicated sources: Recombinant HIV-1 gp120LAV (IIIB), which has clade B origins (Protein Sciences, Meriden, CT); Dulbecco’s modified Eagle’s medium (DMEM), Hanks’ balanced salt solution (HBSS), penicillin, streptomycin, trypsin, glucose, bovine serum albumin, polyoxyethylenesorbitan monolaurate (Tween 20), phosphate-buffered saline (PBS), Krebs-Ringer buffer, paraformaldehyde, uridine, fluorodeoxyuridine, poly-D-lysine, superoxide dismutase (SOD), mazindol, goat or donkey serum, rabbit anti-γ-aminobutyric acid (GABA) antibody (Sigma-Aldrich, St. Louis, MO); rabbit anti-tyrosine hydroxylase (TH) antibody (Pel-Freez, Rogers, AR); fetal bovine serum (FBS) (Hyclone Laboratories, Logan, UT); mouse anti-microtubule-associated protein-2 (MAP-2), mouse anti-neuron-specific nuclear protein (NeuN), goat anti-choline acetyltransferase (ChAT) and rabbit anti-dopamine β-hydroxylase (DBH) antibodies (Chemicon, Temecula, CA); rabbit anti-glial fibrillary protein (GFAP) and mouse anti-CD68 antibodies (DAKO, Carpinteria, CA); streptavidin Northern Lights(NL)637 secondary antibody, donkey anti-rabbit NL557 and anti-mouse NL493 antibodies (R&D Systems, Minneapolis, MN); donkey anti-rabbit, anti-mouse, or anti-goat immunoglobulin G (IgG) rhodamine- or fluorescein isothiocyanate (FITC)-conjugated secondary antibodies (Jackson ImmunoResearch, West Grove, PA); propidium iodide (PI) and Hoechst stain 33342 (Roche, Indianapolis, IN); [7,8-3H]dopamine (DA, 50 Ci/mmol), 4-amino-n-[2,3-3H]butyric acid (GABA, 80 Ci/mmol)) and [methyl-3H]choline chloride (66.7 Ci/mmol) (GE Healthcare, Piscataway, NJ).
Assay kits
The following kits were purchased from the indicated sources: ApopTag in situ apoptosis detection kit (Chemicon); cell death detection kit (Roche); 8-isoprostane EIA kit (Cayman Chemical, Ann Arbor, MI); Vectastain ABC kit (Vector Laboratories, Burlingame, CA).
Mesencephalic neuronal/glial culture
Human fetal brain tissue was obtained from women undergoing elective abortion, in accordance with informed-consent guidelines and a protocol approved by the Human Subjects Research Committee at our institution. Mesencephalic neuronal/glial cultures were prepared from 8- to 12-week-old aborted human fetal brain tissues as described previously (Dong et al, 1993; Silani et al, 1994) with modification. In brief, ventral mesencephalon tissues were dissected and incubated in 0.1% trypsin for 15 min at 37°C, followed by washing twice with DMEM containing 10% FBS. After gentle mechanical trituration with pasture pipette, single-cell suspensions in DMEM containing 10% FBS and penicillin/streptomycin (100 U/ml/100 μg/ml) were stained with trypan blue to confirm cell viability before being plated onto poly-D-lysine–coated culture plates (5×105 cells/well or 1×105 cells/well in 24- or 96-well plates) or 4-well chamber slides (4×105 cells/well). On day 5, cell cultures were treated with uridine (33.6 μg/ml) and fluorodeoxyuridine (13.6 μg/ml), followed by medium replacement with DMEM and 10% FBS on day 6 and every 4 days thereafter. Presence of dopaminergic neurons was verified by 3H-DA uptake and immunocytochemical staining of tyrosine hydroxylase (TH). Twelve-day-old mesencephalic neuronal/glial cultures were used for all experiments. Because the nigrostriatal pathway expresses CXCR4, we elected to use the CXCR4-specific gp120LAV (IIIB) for all experiments (Banisadr et al, 2002).
Immunocytochemical staining
For neuronal staining, monoclonal anti-NeuN or anti-MAP-2 antibodies were used. To identify dopaminergic, GABAergic or cholinergic neurons, polyclonal anti-TH, -GABA, or -ChAT antibodies were used, respectively. Astrocytes and microglia were detected with anti-GFAP and -CD68 antibodies, respectively. Following previously described procedures (Bennett et al, 1995; Hu et al, 2005), mesencephalic neuronal/glial cell cultures grown in 24-well plates or 4-well chamber slides were fixed with 4% paraformaldehyde for 20 min, followed by washing with PBS and incubation with 10% normal goat or donkey serum containing 0.3% Triton X-100 in PBS for 1 h at room temperature (RT). After washing, primary antibodies were added and incubated overnight at 4°C (anti-NeuN/anti-MAP2 1:200, anti-TH/anti-GABA 1:1000, anti-ChAT 1:500, anti-GFAP 1:1000, and anti-CD68 1:100). After washing 4 times, secondary antibodies were added (donkey anti-mouse, -rabbit, or -goat FITC- or rhoda-mine-conjugated) for 1 h at RT. For triple staining, cell cultures were first stained with rabbit anti-GFAP and mouse anti-CD68 antibodies, labeled with donkey anti-rabbit NL557 and anti-mouse NL493 antibodies, and then incubated with biotinylated mouse anti-MAP-2 antibody (Leinco Technologies, St Louis, MO), followed by streptavidin NL637 secondary antibody, and nuclei counterstained with DAPI. To visualize gp120-induced morphology damage, cell cultures stained with anti-TH antibody were incubated with biotinylated goat anti-rabbit IgG for 60 min, followed by addition of Vectastain ABC reagents and color development with 3,3′-diaminobenzidine (DAB) (Vector Laboratories).
Dopamine, GABA, and choline transporter activity assays
High-affinity transporter activity assays were performed as previously described (Bennett et al, 1995; Chao et al, 1992). After treatment, mesencephalic neuronal/glial cell cultures were washed 3 times with DMEM or Krebs-Ringer buffer. For DA and GABA uptake, cultures were incubated with 3H-dopamine (50 nM) or 3H-GABA (100 nM) in DMEM for 10 min at 37°C. For choline uptake, 3H-choline (100 nM) in Krebs-Ringer buffer was added for 10 min at 37°C. After washing 3 times with cold DMEM or Krebs-Ringer buffer, cells were lysed in 2 N NaOH (300 μl), followed by lysate collection into scintillation cocktail for 3H radioactivity counting. Nonspecific dopamine, GABA, or choline uptake was observed in the presence of mazindol (10 μM), β-alanine (100 nM), or unlabeled choline (1 μM), respectively.
Assessment of oxidative tissue damage
All reactive species themselves are short-lived due to their highly reactive nature. For this reason, oxidative tissue damage is generally analyzed through measurement of secondary products indicative of oxidative damage. We assessed the level of oxidative damage to lipids using an 8-isoprostane enzyme immunoassay (EIA) kit to quantify the level of lipid peroxidation in samples and performed according to the manufacturer’s instructions (Cayman).
Cell death detection ELISA
Quantitative in vitro determination of cytoplasmic histone-associated DNA fragments after induced cell death was performed according to manufacturer’s protocol. To measure apoptosis, cell lysates from untreated control or treated cell cultures in 24-well plates were added to the streptavidin-coated 96-well ELISA plates together with anti-histone–biotinylated and anti-DNA–peroxidase antibodies. After incubation and washing, DNA fragments were captured and detected by a chromogenic enzyme-substrate reaction (Hu et al, 2006).
Quantikine Cytochrome c Immunoassay
The Quantikine Cytochrome c Immunoassay was purchased from R&D Systems. Briefly, a monoclonal antibody specific for cytochrome c was used in the precoated microplate. Standards and cell lysate samples were pipetted into the wells and any cytochrome c present was bound by the immobilized antibody. After washing away any unbound substances, an enzyme-linked monoclonal antibody specific for cytochrome c was added to the wells. Following a wash to remove any unbound antibody-enzyme reagent, a substrate solution was added to the wells and color develops in proportion to the amount of cytochrome c bound in the initial step. The color development was stopped and the intensity of the color was measured with a plate reader at 450 nm. The minimum detectable dose of cytochrome c is typically less than 0.31 ng/ml.
TUNEL staining
The TUNEL (deoxynucleotidyltransferase dUTP nick end labeling) technique used has been previously described (Hu et al, 2002). After treatment, cells were fixed in 4% paraformaldehyde for 20 min. ApopTag in situ apoptosis detection kit was used to label fragmented DNA ends with digoxigenin-11-UTP using terminal deoxynucleotidyl transferase. Fluorescein-labeled anti-digoxigenin antibody was then used to detect the labeled ends in the nuclei. After washing and air drying, the slides were examined under a fluorescence microscope.
Intracellular ROS assay
The production of intracellular ROS in human mesencephalic neuronal/glial cultures treated with gp120 was measured by 2′,7′-dichlorofluorescin diacetate (DCFH-DA; Invitrogen, Carlsbad, CA) as previously described (Block et al, 2004). Human mesencephalic neuronal/glial cultures (1×105 cells/well) were incubated with gp120 (0.4 to 10 nM) for 1, 3, or 5 days, followed by washing and addition of 20 μM DCFH-DA in HBSS (with Ca2 +) for 30 min before being read at 485 nm (excitation) and 530 nm (emission) with a fluorescence micro plate reader (Molecular Devices, Sunnyvale, CA). The results were presented as the ratio of the fluorescence of gp120-treated samples to that of the control samples.
Superoxide assay
The production of by human mesencephalic neuronal/glial cultures treated with gp120 was determined by measuring the superoxide dismutase (SOD)-inhibitable reduction of ferricytochrome c, as previously described (Chao et al, 1994) with slight modification. Human mesencephalic neuronal/glial cultures (1×105 cells/well) were incubated with gp120 (0.4 to 10 nM) for 3 days, followed by washing and addition of HBSS with or without SOD (500 U/ml) and then ferricytochrome c. Plate was read at 550 nm with a micro plate reader.
Statistical analysis for functional assays
For comparison of the means of two groups, Student’s t test was used. For comparison of means of multiple groups, analysis of variance (ANOVA) was performed, followed by either Fisher’s protected least significant difference (PLSD) test or Scheffe test.
Acknowledgments
This work was supported in part by U.S. Public Health Service grant DA025525.
Footnotes
This work has been presented in part at the 14th Annual Conference of the Society on NeuroImmune Pharmacology, Charleston, South Carolina; March 12–16, 2008; no. T-33.
Declaration of interest: None of the authors has a commercial or other association that might pose a conflict of interest with the current study.
References
- Aksenov MY, Aksenova MV, Nath A, Ray PD, Mactutus CF, Booze RM (2006). Cocaine-mediated enhancement of Tat toxicity in rat hippocampal cell cultures: the role of oxidative stress and D1 dopamine receptor. Neurotoxicology 27: 217–228. [DOI] [PubMed] [Google Scholar]
- Aksenov MY, Hasselrot U, Wu G, Nath A, Anderson C, Mactutus CF, Booze RM (2003). Temporal relationships between HIV-1 Tat-induced neuronal degeneration, OX-42 immunoreactivity, reactive astrocytosis, and protein oxidation in the rat striatum. Brain Res 987: 1–9. [DOI] [PubMed] [Google Scholar]
- Aylward EH, Henderer JD, McArthur JC, Brettschneider PD, Harris GJ, Barta PE, Pearlson GD (1993). Reduced basal ganglia volume in HIV-1-associated dementia: results from quantitative neuroimaging. Neurology 43: 2099–2104. [DOI] [PubMed] [Google Scholar]
- Bachis A, Aden SA, Nosheny RL, Andrews PM, Mocchetti I (2006). Axonal transport of human immunodeficiency virus type 1 envelope protein glycoprotein 120 is found in association with neuronal apoptosis. J Neurosci 26: 6771–6780. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Banisadr G, Fontanges P, Haour F, Kitabgi P, Rostene W, Melik Parsadaniantz S (2002). Neuroanatomical distribution of CXCR4 in adult rat brain and its localization in cholinergic and dopaminergic neurons. Eur J Neurosci 16: 1661–1671. [DOI] [PubMed] [Google Scholar]
- Bennett BA, Rusyniak DE, Hollingsworth CK (1995). HIV-1 gp120-induced neurotoxicity to midbrain dopamine cultures. Brain Res 705: 168–176. [DOI] [PubMed] [Google Scholar]
- Bezzi P, Domercq M, Brambilla L, Galli R, Schols D, De Clercq E, Vescovi A, Bagetta G, Kollias G, Meldolesi J, Volterra A (2001). CXCR4-activated astrocyte glutamate release via TNFalpha: amplification by microglia triggers neurotoxicity. Nat Neurosci 4: 702–710. [DOI] [PubMed] [Google Scholar]
- Block ML, Wu X, Pei Z, Li G, Wang T, Qin L, Wilson B, Yang J, Hong JS, Veronesi B (2004). Nanometer size diesel exhaust particles are selectively toxic to dopaminergic neurons: the role of microglia, phagocytosis, and NADPH oxidase. FASEB J 18: 1618–1620. [DOI] [PubMed] [Google Scholar]
- Boisse L, Gill MJ, Power C (2008). HIV infection of the central nervous system: clinical features and neuropathogenesis. Neurol Clin 26: 799–819, x. [DOI] [PubMed] [Google Scholar]
- Boven LA, Gomes L, Hery C, Gray F, Verhoef J, Portegies P, Tardieu M, Nottet HS (1999). Increased peroxynitrite activity in AIDS dementia complex: implications for the neuropathogenesis of HIV-1 infection. J Immunol 162: 4319–4327. [PubMed] [Google Scholar]
- Brenneman DE, Westbrook GL, Fitzgerald SP, Ennist DL, Elkins KL, Ruff MR, Pert CB (1988). Neuronal cell killing by the envelope protein of HIV and its prevention by vasoactive intestinal peptide. Nature 335: 639–642. [DOI] [PubMed] [Google Scholar]
- Chao CC, Gekker G, Sheng WS, Hu S, Tsang M, Peterson PK (1994). Priming effect of morphine on the production of tumor necrosis factor-alpha by microglia: implications in respiratory burst activity and human immunodeficiency virus-1 expression. J Pharmacol Exp Ther 269: 198–203. [PubMed] [Google Scholar]
- Chao CC, Hu S, Peterson PK (1995). Modulation of human microglial cell superoxide production by cytokines. J Leukoc Biol 58: 65–70. [DOI] [PubMed] [Google Scholar]
- Chao CC, Hu S, Tsang M, Weatherbee J, Molitor TW, Anderson WR, Peterson PK (1992). Effects of transforming growth factor-beta on murine astrocyte glutamine synthetase activity. Implications in neuronal injury. J Clin Invest 90: 1786–1793. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Corasaniti MT, Strongoli MC, Piccirilli S, Nistico R, Costa A, Bilotta A, Turano P, Finazzi-Agro A, Bagetta G (2000). Apoptosis induced by gp120 in the neocortex of rat involves enhanced expression of cyclooxygenase type 2 and is prevented by NMDA receptor antagonists and by the 21-aminosteroid U-74389G. Biochem Biophys Res Commun 274: 664–669. [DOI] [PubMed] [Google Scholar]
- Cosenza MA, Zhao ML, Si Q, Lee SC (2002). Human brain parenchymal microglia express CD14 and CD45 and are productively infected by HIV-1 in HIV-1 encephalitis. Brain Pathol 12: 442–455. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Czub S, Czub M, Koutsilieri E, Sopper S, Villinger F, Muller JG, Stahl-Hennig C, Riederer P, Ter Meulen V, Gosztonyi G (2004). Modulation of simian immunodeficiency virus neuropathology by dopaminergic drugs. Acta Neuropathol (Berl) 107: 216–226. [DOI] [PubMed] [Google Scholar]
- D’Aversa TG, Eugenin EA, Berman JW (2005). NeuroAIDS: contributions of the human immunodeficiency virus-1 proteins Tat and gp120 as well as CD40 to microglial activation. J Neurosci Res 81: 436–446. [DOI] [PubMed] [Google Scholar]
- Dong JF, Detta A, Bakker MH, Hitchcock ER (1993). Direct interaction with target-derived glia enhances survival but not differentiation of human fetal mesencephalic dopaminergic neurons. Neuroscience 56: 53–60. [DOI] [PubMed] [Google Scholar]
- Ferris MJ, Frederick-Duus D, Fadel J, Mactutus CF, Booze RM (2009). In vivo microdialysis in awake, freely moving rats demonstrates HIV-1 Tat-induced alterations in dopamine transmission. Synapse 63: 181–185. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gao HM, Liu B, Zhang W, Hong JS (2003). Critical role of microglial NADPH oxidase-derived free radicals in the in vitro MPTP model of Parkinson’s disease. FASEB J 17: 1954–1956. [DOI] [PubMed] [Google Scholar]
- Garden GA, Budd SL, Tsai E, Hanson L, Kaul M, D’Emilia DM, Friedlander RM, Yuan J, Masliah E, Lipton SA (2002). Caspase cascades in human immunodeficiency virus-associated neurodegeneration. J Neurosci 22: 4015–4024. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gelman BB, Spencer JA, Holzer CE, Soukup VM (2006). Abnormal striatal dopaminergic synapses in national neuroAIDS tissue consortium subjects with HIV encephalitis. J NeuroImmune Pharmacol 2: 410–420. [DOI] [PubMed] [Google Scholar]
- Gendelman HE (ed) (2005). The neurology of AIDS 2nd ed. Oxford, New York: Oxford University Press. [Google Scholar]
- Ghorpade A, Persidsky Y, Swindells S, Borgmann K, Persidsky R, Holter S, Cotter R, Gendelman HE (2005). Neuroinflammatory responses from microglia recovered from HIV-1-infected and seronegative subjects. J Neuroimmunol 163: 145–156. [DOI] [PubMed] [Google Scholar]
- Gonzalez-Scarano F, Martin-Garcia J (2005). The neuropathogenesis of AIDS. Nat Rev Immunol 5: 69–81. [DOI] [PubMed] [Google Scholar]
- Haughey NJ, Cutler RG, Tamara A, McArthur JC, Vargas DL, Pardo CA, Turchan J, Nath A, Mattson MP (2004). Perturbation of sphingolipid metabolism and ceramide production in HIV-dementia. Ann Neurol 55: 257–267. [DOI] [PubMed] [Google Scholar]
- Hu S, Ali H, Sheng WS, Ehrlich LC, Peterson PK, Chao CC (1999). Gp-41-mediated astrocyte inducible nitric oxide synthase mRNA expression: involvement of inter-leukin-1beta production by microglia. J Neurosci 19: 6468–6474. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hu S, Cheeran MC, Sheng WS, Ni HT, Lokensgard JR, Peterson PK (2006). Cocaine alters proliferation, migration, and differentiation of human fetal brain-derived neural precursor cells. J Pharmacol Exp Ther 318: 1280–1286. [DOI] [PubMed] [Google Scholar]
- Hu S, Sheng WS, Lokensgard JR, Peterson PK (2002). Morphine induces apoptosis of human microglia and neurons. Neuropharmacology 42: 829–836. [DOI] [PubMed] [Google Scholar]
- Hu S, Sheng WS, Lokensgard JR, Peterson PK (2005). Morphine potentiates HIV-1 gp120-induced neuronal apoptosis. J Infect Dis 191: 886–889. [DOI] [PubMed] [Google Scholar]
- Itoh K, Mehraein P, Weis S (2000). Neuronal damage of the substantia nigra in HIV-1 infected brains. Acta Neuropathol (Berl) 99: 376–384. [DOI] [PubMed] [Google Scholar]
- Jones MV, Bell JE, Nath A (2000). Immunolocalization of HIV envelope gp120 in HIVencephalitis with dementia. AIDS 14: 2709–2713. [DOI] [PubMed] [Google Scholar]
- Kaul M, Lipton SA (1999). Chemokines and activated macrophages in HIV gp120-induced neuronal apoptosis. Proc Natl Acad Sci U S A 96: 8212–8216. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kaul M, Lipton SA (2006). Mechanisms of neuroimmunity and neurodegeneration associated with HIV-1 infection and AIDS. J Neuroimmune Pharmacol 1: 138–151. [DOI] [PubMed] [Google Scholar]
- Kaul M, Zheng J, Okamato S, Gendelman HE, Lipton SA (2005). HIV-1 infection and AIDS: consequences for the central nervous system. Cell Death Differ 12: 893–904. [DOI] [PubMed] [Google Scholar]
- Koenig S, Gendelman HE, Orenstein JM, Dal Canto MC, Pezeshkpour GH, Yungbluth M, Janotta F, Aksamit A, Martin MA, Fauci AS (1986). Detection of AIDS virus in macrophages in brain tissue from AIDS patients with encephalopathy. Science 233: 1089–1093. [DOI] [PubMed] [Google Scholar]
- Koutsilieri E, Sopper S, Scheller C, ter Meulen V, Riederer P (2002a). Involvement of dopamine in the progression of AIDS dementia complex. J Neural Transm 109: 399–410. [DOI] [PubMed] [Google Scholar]
- Koutsilieri E, Sopper S, Scheller C, ter Meulen V, Riederer P (2002b). Parkinsonism in HIV dementia. J Neural Transm 109: 767–775. [DOI] [PubMed] [Google Scholar]
- Lawson LJ, Perry VH, Dri P, Gordon S (1990). Heterogeneity in the distribution and morphology of microglia in the normal adult mouse brain. Neuroscience 39: 151–170. [DOI] [PubMed] [Google Scholar]
- Lee SC, Dickson DW, Liu W, Brosnan CF (1993). Induction of nitric oxide synthase activity in human astrocytes by interleukin-1 beta and interferon-gamma. J Neuroimmunol 46: 19–24. [DOI] [PubMed] [Google Scholar]
- Liu B, Du L, Hong JS (2000). Naloxone protects rat dopaminergic neurons against inflammatory damage through inhibition of microglia activation and superoxide generation. J Pharmacol Exp Ther 293: 607–17. [PubMed] [Google Scholar]
- Mattson MP, Haughey NJ, Nath A (2005). Cell death in HIV dementia. Cell Death Differ 12 (Suppl 1): 893–904. [DOI] [PubMed] [Google Scholar]
- Meucci O, Fatatis A, Simen AA, Bushell TJ, Gray PW, Miller RJ (1998). Chemokines regulate hippocampal neuronal signaling and gp120 neurotoxicity. Proc Natl Acad Sci U S A 95: 14500–14505. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Minghetti L, Visentin S, Patrizio M, Franchini L, Ajmone-Cat MA, Levi G (2004). Multiple actions of the human immunodeficiency virus type-1 Tat protein on microglial cell functions. Neurochem Res 29: 965–978. [DOI] [PubMed] [Google Scholar]
- Mocchetti I, Nosheny RL, Tanda G, Ren K, Meyer EM (2007). Brain-derived neurotrophic factor prevents human immunodeficiency virus type 1 protein gp120 neurotoxicity in the rat nigrostriatal system. Ann N Y Acad Sci 1122: 144–154. [DOI] [PubMed] [Google Scholar]
- Mollace V, Nottet HS, Clayette P, Turco MC, Muscoli C, Salvemini D, Perno CF (2001). Oxidative stress and neuroAIDS: triggers, modulators and novel antioxidants. Trends Neurosci 24: 411–416. [DOI] [PubMed] [Google Scholar]
- Nath A, Anderson C, Jones M, Maragos W, Booze R, Mactutus C, Bell J, Hauser KF, Mattson M (2000). Neurotoxicity and dysfunction of dopaminergic systems associated with AIDS dementia. J Psychopharmacol 14: 222–227. [DOI] [PubMed] [Google Scholar]
- Nosheny RL, Ahmed F, Yakovlev A, Meyer EM, Ren K, Tessarollo L, Mocchetti I (2007). Brain-derived neurotrophic factor prevents the nigrostriatal degeneration induced by human immunodeficiency virus-1 glycoprotein 120 in vivo. Eur J Neurosci 25: 2275–2284. [DOI] [PubMed] [Google Scholar]
- Nosheny RL, Bachis A, Aden SA, De Bernardi MA, Mocchetti I (2006). Intrastriatal administration of human immunodeficiency virus-1 glycoprotein 120 reduces glial cell-line derived neurotrophic factor levels and causes apoptosis in the substantia nigra. J Neurobiol 66: 1311–1321. [DOI] [PubMed] [Google Scholar]
- Paul RH, Brickman AM, Navia B, Hinkin C, Malloy PF, Jefferson AL, Cohen RA, Tate DF, Flanigan TP (2005). Apathy is associated with volume of the nucleus accumbens in patients infected with HIV. J Neuropsychiatry Clin Neurosci 17: 167–171. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Peterson PK, Hu S, Anderson WR, Chao CC (1994). Nitric oxide production and neurotoxicity mediated by activated microglia from human versus mouse brain. J Infect Dis 170: 457–460. [DOI] [PubMed] [Google Scholar]
- Pocernich CB, Sultana R, Mohmmad-Abdul H, Nath A, Butterfield DA (2005). HIV-dementia, Tat-induced oxidative stress, and antioxidant therapeutic considerations. Brain Res Brain Res Rev 50: 14–26. [DOI] [PubMed] [Google Scholar]
- Rock RB, Hu S, Deshpande A, Munir S, May BJ, Baker CA, Peterson PK, Kapur V (2005). Transcriptional response of human microglial cells to interferon-gamma. Genes Immun 6: 712–719. [DOI] [PubMed] [Google Scholar]
- Sardar AM, Czudek C, Reynolds GP (1996). Dopamine deficits in the brain: the neurochemical basis of parkinsonian symptoms in AIDS. Neuroreport 7: 910–912. [DOI] [PubMed] [Google Scholar]
- Scheller C, Sopper S, Jenuwein M, Neuen-Jacob E, Tatschner T, Grunblatt E, ter Meulen V, Riederer P, Koutsilieri E (2005). Early impairment in dopaminergic neurotransmission in brains of SIV-infected rhesus monkeys due to microglia activation. J Neurochem 95: 377–387. [DOI] [PubMed] [Google Scholar]
- Sheng WS, Hu S, Hegg CC, Thayer SA, Peterson PK (2000). Activation of human microglial cells by HIV-1 gp41 and Tat proteins. Clin Immunol 96: 243–251. [DOI] [PubMed] [Google Scholar]
- Silani V, Mariani D, Donato FM, Ghezzi C, Mazzucchelli F, Buscaglia M, Pardi G, Scarlato G (1994). Development of dopaminergic neurons in the human mesencephalon and in vitro effects of basic fibroblast growth factor treatment. Exp Neurol 128: 59–76. [DOI] [PubMed] [Google Scholar]
- Silvers JM, Aksenov MY, Aksenova MV, Beckley J, Olton P, Mactutus CF, Booze RM (2006). Dopaminergic marker proteins in the substantia nigra of human immunodeficiency virus type 1-infected brains. J NeuroVirol 12: 140–145. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stefano GB, Sawada M, Smith EM, Hughes TK (1993). Selective effects of human immunodeficiency virus (HIV) gp120 on invertebrate neurons. Cell Mol Neurobiol 13: 569–577. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Turchan-Cholewo J, Liu Y, Gartner S, Reid R, Jie C, Peng X, Chen KC, Chauhan A, Haughey N, Cutler R, Mattson MP, Pardo C, Conant K, Sacktor N, McArthur JC, Hauser KF, Gairola C, Nath A (2006). Increased vulnerability of ApoE4 neurons to HIV proteins and opiates: protection by diosgenin and l-deprenyl. Neurobiol Dis 23: 109–119. [DOI] [PubMed] [Google Scholar]
- Wallace DR, Dodson S, Nath A, Booze RM (2006). Estrogen attenuates gp120- and tat1–72-induced oxidative stress and prevents loss of dopamine transporter function. Synapse 59: 51–60. [DOI] [PubMed] [Google Scholar]
- Wang GJ, Chang L, Volkow ND, Telang F, Logan J, Ernst T, Fowler JS (2004). Decreased brain dopaminergic transporters in HIV-associated dementia patients. Brain 127: 2452–2458. [DOI] [PubMed] [Google Scholar]
- Wiley CA, Schrier RD, Nelson JA, Lampert PW, Oldstone MB (1986). Cellular localization of human immunodeficiency virus infection within the brains of acquired immune deficiency syndrome patients. Proc Natl Acad Sci U S A 83: 7089–7093. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Yang Z, Yang S, Qian SY, Hong JS, Kadiiska MB, Tennant RW, Waalkes MP, Liu J (2007). Cadmium-induced toxicity in rat primary mid-brain neuroglia cultures: role of oxidative stress from microglia. Toxicol Sci 98: 488–494. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Yao H, Allen JE, Zhu X, Callen S, Buch S (2009). Cocaine and human immunodeficiency virus type 1 gp120 mediate neurotoxicity through overlapping signaling pathways. J NeuroVirol 15: 164–175. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Yi Y, Lee C, Liu QH, Freedman BD, Collman RG (2004). Chemokine receptor utilization and macrophage signaling by human immunodeficiency virus type 1 gp120: Implications for neuropathogenesis. J NeuroVirol 10 (Suppl 1): 91–96. [DOI] [PubMed] [Google Scholar]