Abstract
Methamphetamine (Meth) is a powerful illicit psychostimulant, widely used for recreational purposes. Besides disrupting the monoaminergic system and promoting oxidative brain damage, Meth also causes neuroinflammation, contributing to synaptic dysfunction and behavioral deficits. Aberrant activation of microglia, the largest myeloid cell population in the brain, is a common feature in neurological disorders triggered by neuroinflammation. In this study, we investigated the mechanisms underlying the aberrant activation of microglia elicited by Meth in the adult mouse brain. We found that binge Meth exposure caused microgliosis and disrupted risk assessment behavior (a feature that usually occurs in individuals who abuse Meth), both of which required astrocyte-to-microglia crosstalk. Mechanistically, Meth triggered a detrimental increase of glutamate exocytosis from astrocytes (in a process dependent on TNF production and calcium mobilization), promoting microglial expansion and reactivity. Ablating TNF production, or suppressing astrocytic calcium mobilization, prevented Meth-elicited microglia reactivity and re-established risk assessment behavior as tested by elevated plus maze (EPM). Overall, our data indicate that glial crosstalk is critical to relay alterations caused by acute Meth exposure.
Subject terms: Addiction, Mechanisms of disease, Astrocyte, Microglia
Introduction
Methamphetamine (Meth) is a potent and highly addictive psychostimulant that causes persistent harmful effects in the central nervous system (CNS) [1, 2]. While initial Meth use leads to long-lasting euphoria, high energy, hyperactivity, hypersexuality, and decreased anxiety, repeated exposure results in anxiety, sleep disturbances, insomnia, paranoia, cognitive dysfunction and memory impairment, which are associated with brain damage in frontostriatal and limbic regions, including higher risk of stroke [3]. At the molecular level, Meth toxicity is classically characterized by severe disruption of the dopaminergic system, causing high oxidative stress, neuronal dysfunction [4, 5], and increased release of proinflammatory mediators and glutamate [6, 7].
There is a growing understanding that the interplay between neuronal and glial cells is essential for developing and maintaining addiction [8–10]. Gliotransmission is implicated in drug-seeking modulation, with a particular focus on glutamatergic signaling [11, 12], that can trigger calcium influx, leading to reactive oxygen species (ROS) formation and subsequent oxidative damage [13]. However, the overall contribution of such mechanisms to the addictive process remains unclear [14, 15].
Microglia and astrocytes play crucial roles in brain injury and repair [16, 17]. Still, their sustained reactivity—often increasing the production of proinflammatory mediators like tumor necrosis factor (TNF), glutamate, and ROS [18, 19]—may result in damage to the brain parenchyma [20, 21]. Upon exposure to psychoactive substances, microglia may also become highly reactive, augmenting the release of proinflammatory mediators [14]. Moreover, microglia reactivity increases the likelihood of relapse in early abstinence [10, 14]. Therefore, a better understanding of the role of microglia reactivity and associated brain immune-pathways in response to psychostimulants is paramount to implement relevant interventions for treating addictive behaviors. In accordance, we have demonstrated that binge alcohol administration to adult mice causes aberrant synaptic pruning and loss of prefrontal cortex excitatory synapses, increasing anxiety-like behavior, which is prevented by pharmacological blockade of Src activation or by reducing TNF production in microglia [22].
Here, we investigated how Meth interferes with microglia reactivity. Our results showed that the behavioral alterations caused by binge Meth exposure are mediated by astrocyte-microglia crosstalk in which release of glutamate from astrocytes in a TNF/IP3 receptor (IP3R)/SNARE-dependent manner leads to microglial activation, neuroinflammation, and ultimately to changes in mice behavior.
Materials and methods
Animals
All experiments were conducted following the Directive 2010/63/EU and approved by the competent authorities Direcção Geral de Alimentação e Veterinária (DGAV) and i3S Animal Ethical Committee (ref.2018-13-TS and DGAV ref.003891/2019-02-15). Researchers involved in animal experimentation were FELASA certified. All efforts were made to minimize animal suffering and the number of animals used.
Mice were housed under specific pathogen-free conditions, controlled environment (20 °C, 45–55% humidity) with an inverted 12 h/12 h light/dark cycle, and free access to food and water. Because of the potential behavioral variability related to the estrous cycle in females [23], only male mice were used. C57BL/6 male mice were obtained from the i3S animal facility. TNF knockout mice in the C57BL/6 background (referred herein as TNF KO) were kindly supplied by Professor Rui Appelberg (University of Porto). TNF KO mice [22] were maintained at i3S and genotyped by PCR using ATCCGCGACGTGGAACTGGCAGAA (forward) and CTGCCCGGACTCCGCAAAGTCTAA (reverse) primer pair. IP3R2 KO mice [24, 25] were housed at ICVS animal facility and genotyped by PCR using the primer pairs: WT (F, 5ʹ-ACCCTGATGAGGGAAGGTCT-3ʹ; R, 5ʹ-ATCGATTCATAGGGCACACC-3ʹ) and mutant allele (neo-specific primer: F, 5ʹ-AATGGGCTGACCGCTTCCTCGT-3ʹ; R, 5ʹ-TCTGAGAGTGCCTGGCTTTT-3ʹ).
Mice drug treatment
Mice were treated using a Meth binge protocol [26, 27] and randomly assigned to the treated group (4 × 5 mg/kg Meth, 2 h apart, intraperitoneally) or the control group (4x isovolumetric saline), and sacrificed 24 h after the first administration as schematized in Supplementary Fig. 1A. Since Meth causes hyperthermia [28], we controlled body temperature through infrared readings every 20 min using subcutaneous tags (Biomark, ID, USA). Meth significantly increased body temperature (Supplementary Fig. 1B) but without exceeding critical values. Methamphetamine hydrochloride was imported from Sigma-Aldrich (MO, USA) under a special INFARMED license (ref. 290-13).
Fluorescence-activated cell sorting (FACS) and RNA extraction for sequencing
Twenty-four hours after the first Meth administration, animals were perfused under deep anesthesia with ice-cold PBS. The brains were removed and collected in ice-cold medium A (HBSS, Thermo Scientific MA, USA) supplemented with 15 mM HEPES and 0.6% glucose. Microglia were isolated from adult mice brains as previously described [29]. Microglia (CD11b+CD45lowCD206-) were sorted on the FACS ARIA (BD Immunocytometry Systems, CA, USA) using the following antibodies: CD45-PE (103106), CD11b-PE/Cy7 (101215), and CD206-APC (141707), obtained from BioLegend (CA, USA). Total RNA was isolated using the RNeasy Plus Micro Kit (Qiagen, Düsseldorf, DE) according to the manufacturer’s instructions. RNA’s integrity was analyzed using the Bioanalyzer 2100 RNA Pico chips (Agilent Technologies, CA, USA), according to manufacturer instructions.
Library preparation and sequencing
Ion Torrent sequencing libraries were prepared according to the AmpliSeq Library prep kit protocol. Briefly, 1 ng of highly intact total RNA was reverse transcribed, the resulting cDNA was amplified for 16 cycles by adding PCR Master Mix, and the AmpliSeq mouse transcriptome gene expression primer pool. Amplicons were digested with the proprietary FuPa enzyme, then barcoded adapters were ligated onto the target amplicons. The library amplicons were bound to magnetic beads, and residual reaction components were washed off. Libraries were amplified, re-purified, and individually quantified using Agilent TapeStation High Sensitivity tape. Individual libraries were diluted to a 50 pM concentration and pooled equally. Emulsion PCR, templating and 550 chip loading were performed with an Ion Chef Instrument (Thermo Scientific). Sequencing was performed on an Ion S5XL™ sequencer (Thermo Scientific). Bioinformatic analyses are detailed in the Supplementary Methods section.
Flow cytometry
Microglia and macrophages were analyzed, as we previously described [30, 31]. Briefly, mice were anesthetized and perfused with ice-cold PBS. The whole brain was quickly removed and mechanically homogenized. The cell suspension was passed through a 100μm cell strainer and centrifuged over a discontinuous 70%/30% Percoll gradient. Cells on the interface were collected, pelleted, and resuspended in FACS buffer (2% BSA; 0.1% Sodium Azide in PBS). Cells were counted using the Countess TM automated counter (Thermo Scientific). For microglia and macrophage characterization, the following antibodies were used: CD45-PE (103106), CD11b-AF647 (101218), Ly6C-PerCP/Cy5.5 (128012), CCR2-PE/Cy7 (150611), and MHCII-BV421 (107631), obtained from BioLegend. Samples were evaluated on FACS Canto II (BD Immunocytometry Systems).
Immunohistochemistry
Mice were anesthetized and perfused with ice-cold PBS, followed by 4% paraformaldehyde (PFA). Brains were post-fixed overnight, cryoprotected using sucrose gradient (15 and 30%), embedded in OCT, frozen, and cryosectioned (coronally at 30 μm, between Bregma positions 1.0 mm–2.0 mm) in the CM3050S cryostat (Leica Biosystems, Wetzlar, DE). Brain sections were collected on adherent slides and stored at −20 °C.
For immunolabeling, brain slides were defrosted and permeabilized with 0.25% Triton X-100 for 15 min. Then, brain sections were blocked with 3% BSA, 0.1% Triton X-100 and 5% FBS for 1 h. Primary antibodies were incubated overnight (4 °C) under the manufacturer’s recommendations. After washing, sections were incubated with secondary antibodies conjugated to Alexa Fluor for 2 h (RT). After PBS washes, sections were mounted using Fluoroshield (Sigma-Aldrich) and visualized in a TCS SP5 II confocal microscope (Leica Biosystems). Antibodies are described in Supplementary Table 4.
Microglial morphometric analysis and CD68 in vivo immunolabeling
Coronal brain sections (30 µm) from the striatum and hippocampus were obtained using the CM3050S cryostat (Leica Biosystems). Brain sections were incubated (free floating) with blocking solution (10% horse serum, 0.2% Triton X-100 in PBS) for 1 h (RT). Primary antibodies (Supplementary Table 4) were incubated in blocking solution for 72 h (4 °C) with agitation. After several washes, secondary antibodies (Supplementary Table 4) were incubated for 24 h (4 °C) with agitation and nuclei were stained with DAPI. Images were acquired on a TCS SP5II resonant scanner confocal microscope (Leica Biosystems). Microglia 3D reconstructions were performed using the IMARIS software (version 9.6.1, Bitplane, Belfast, UK) for 13-17 cells/group from n = 3 mice per group.
Primary cultures
Primary mixed glial cultures were performed as previously described [30, 32]. Briefly, neonatal Wistar rats, C57BL/6 or TNF KO mice were sacrificed, and their cerebral cortices dissected and digested with 0.07% trypsin-EDTA in the presence of DNAse for 15 min (37 °C). Cells were dissociated and seeded in poly-D-Lysine-coated T-flasks at 1.5 × 106 cells/cm2 in DMEM GlutaMAX™-I supplemented with 10% FBS, 1% Penicillin-Streptomycin. Culture media was changed every three days up to 21 days. All cultures were kept at 37 °C with 95% air/ 5% CO2 in a humidified incubator.
To obtained purified microglia cultures, flasks were shaken (200 rpm, 2 h) to detach microglia. The culture media containing microglia were collected, centrifuged (453 g, 5 min), resuspended, and plated in glass coverslips at 2.5 × 105 cells/cm2 in DMEM-F12 GlutaMAXTM-I supplemented with 10% FBS, 0.1% Penicillin-Streptomycin and 1 ng/ml GM-CSF. Purified microglia were cultured for 4–7 days. Immunolabeling with CD11b showed a purity of 95–99%.
For purified astrocytic cultures, mixed glial cell cultures were shaken (220 rpm, overnight) to remove non-astrocytic cells. Next, astrocytes (adherent cells) were detached and split into non-coated T-flasks in DMEM GlutaMAX™-I supplemented with 10% FBS and 1% Penicillin-Streptomycin. Split cultures were re-split at least four times to obtain purified cultures. After that, astrocytes were plated at 2.5 × 104 cells/cm2 in non-coated plates and maintained for 3–4 days.
Preparation of astrocyte-conditioned medium
After two days in culture, astrocytes were left untreated (control) or incubated with 100 µM Meth [33] for 24 h. Untreated astrocyte-conditioned medium (ACM CT) and conditioned medium from Meth-treated astrocytes (ACM Meth) were collected, centrifuged for debris removal (1200 rpm, 5 min), and frozen at −80 °C until used. To evaluate astrocytic conditioned media’s effects, the culture media from purified microglial cell cultures were totally removed and cell were exposed to ACM CT or ACM Meth for 24 h.
Cell treatments
Microglia cells were treated with 100 µM Meth (Sigma-Aldrich), 1 µg/mL lipopolysaccharide (LPS, Sigma-Aldrich), 0.1µM-1mM glutamate (Sigma-Aldrich), or 100 µM (RS)-α-Cyclopropyl-4-phosphonophenylglycine (CPPG, Tocris, Bristol, UK). Astrocytes were treated with 100 µM Meth (Sigma-Aldrich), 10 µM BAPTA-AM, 500 nM XestosponginC (XeC, Tocris), 500 nM Tetanus toxin (tetX, Sigma-Aldrich), or 50 nM TNF (PeproTech, LND, UK).
Immunocytochemistry
Immunocytochemistry was performed as we previously described [30, 32]. Briefly, after fixation with 4% PFA, cultures were permeabilized with 0.1% Triton X-100 for 10 min and blocked with 3% BSA for 1 h. Next, cells were incubated with primary antibody under the manufacture’s recommendations, washed, and incubated with secondary antibodies conjugated with Alexa Fluor 488 or 568 for 1 h (RT). Finally, cells were incubated with DAPI, mounted, and visualized using a DMI6000B inverted microscope (Leica Microsystems) with an HCX Plan Apo 63x/1.3 NA glycerol immersion objective. Images were acquired with 2×2 binning using a digital CMOS camera (ORCA-Flash4.0 V2, Hamamatsu Photonics, Hamamatsu, JPN). Antibodies are described in Supplementary Table 5.
Phagocytic assay
The phagocytic assay was performed as previously described [34, 35]. Briefly, fluorescent latex beads (Sigma-Aldrich) were diluted in culture medium (0.001%) and incubated for 1 h. After that, cells were washed and fixed with 4% PFA. Immunocytochemistry for CD11b was performed, and the phagocytic efficiency of microglia was estimated as we did before [34].
Reactive oxygen species (ROS)
Primary microglia cultures were incubated with CellROX® green reagent (Thermo-Fisher Scientific), according to the manufacturer’s recommendations. Cells were observed using a DMI6000B inverted microscope (Leica Microsystems) with an HCX Plan Apo 63x/1.3 NA glycerol immersion objective. Images were acquired with 4 × 4 binning using a digital CMOS camera (ORCA-Flash4.0 V2, Hamamatsu Photonics).
Fluorescence quantification and colocalization analysis
For the intensity quantification, images were exported using the Leica LAS AF program in TIFF format (16-bit). Background subtraction, image segmentation, and determination of the intensity of the fluorescence signals were processed in FIJI software as before [30]. Automated fluorescence imaging and quantification in primary microglial cells seeded in 96-well plates (data from Fig. 3E and F) was further detailed in Supplementary Methods section. For colocalization analyses, images were acquired using an HCX Plan Apo 63x/1.4-0.6NA oil immersion objective in 16-bit sequential mode using bidirectional TCS mode at 100 Hz with the pinhole kept at one airy in the Leica TCS SP5 II confocal microscope (Leica Microsystems). The Coloc2 plug-in in FIJI was used to establish TNF/GFAP channels’ quantitative colocalization as we did before [32].
RNA extraction, cDNA synthesis, and qRT-PCR
Total RNA was isolated from hippocampus and striatum tissue using the PureLink® RNA Mini-Kit (Thermo-Fisher Scientific) according to the manufacturer’s specifications. RNA from cell cultures was isolated using the RNeasy Mini-Kit (Qiagen). cDNA synthesis was performed using 1 µg of total RNA using RT2 Easy First Strand Kit (Qiagen). qRT-PCR was performed using iQ™ SYBR®Green Supermix on an iQ™5 multicolor real-time PCR detection system (Bio-Rad, CA, USA). All primers (Sigma-Aldrich) are described in Supplementary Table 6. Raw data were analyzed using the 2-∆CT method with Yhwaz or S18 serving as internal control genes in cell cultures or brain tissue, respectively. Results were expressed in relative gene abundance.
FRET assays
Primary microglia or astrocytes were plated on plastic-bottom culture dishes μ-Dish35mm (iBidi, Martinsried, DE) and transfected with FRET biosensor for glutamate (pDisplay FLIPE-600n, plasmid 13545), ROS (pFRET-HSP33 cys, plasmid 16076) or calcium (pcDNA-D1ER, plasmid 36325), all from Addgene (MA, USA) using jetPRIME® (Polyplus, NY, USA). Imaging was performed using a Leica DMI6000B inverted microscope, and images were processed in FIJI software exactly as before [36].
Enzyme-linked immunosorbent assay (ELISA)
ELISA was used to quantify the concentration of glutamate present in ACM CT and ACM Meth following the instructions provided by the manufacturer (ImmuSmol, Bordeaux, FR). Absorbance at 450 nm, with wavelength correction at 620 nm, was measured with a multimode microplate reader (Synergy HT, Biotek, USA). Values corresponding to glutamate in µM were obtained by interpolating a standard curve using increasing glutamate concentrations (µM).
Elevated plus-maze (EPM)
Anxiety-like behavior was assessed using the elevated plus maze (EPM) test as we previously described [22, 37]. The test was performed 24 h after the first Meth administration, just before the euthanasia. The test was conducted in the dark phase of the light/dark cycle. The mice’s movement and location were analyzed by an automated tracking system equipped with an infrared-sensitive camera (Smart Video Tracking Software v 2.5, Panlab, Harvard Apparatus). The maze, made of opaque gray polyvinyl, consisted of four arms arranged in a cross-shape; two closed arms have surrounding walls (18 cm high), opposing two open arms (all arms 37 x 6 cm). The apparatus was elevated at the height of 50 cm. Each mouse was placed on the central platform facing an open arm and allowed to explore the maze for 5 min.
Statistical analysis
A 95% confidence interval was used, and statistical significance was set at P < 0.05. Results were expressed as mean ± SEM (standard error of the mean). Gene clusters were compared by contingency analysis using Fisher’s exact test and the Baptista-Pike method to calculate the odds ratio. Experimental units in individual replicates were evaluated for Gaussian distribution using the D’ & Pearson omnibus normality test. When comparing only two experimental groups, the unpaired Student t test with equal variance assumption was used for data with normal distribution, and the Mann-Whitney test was used otherwise. When comparing three or more groups, a one-way analysis of variance (ANOVA), followed by the Bonferroni or Tukey post hoc test was used for data with normal distribution, the Kruskal-Wallis test followed by Dunn’s multiple comparisons was used otherwise. To compare different groups with two independent variables, we used a two-way ANOVA followed by the two-stage linear step-up procedure of Benjamini, Krieger, and Yekutieli. All quantifications were performed blinded. Analysis were performed using the GraphPad Prism® software version 9.1.2. for macOS.
Results
Microglia exposed to Meth display a core cell cycle-related transcriptomic signature
To clarify the action of Meth in microglia, we used a binge pattern of Meth administration in adult mice (Supplementary Fig. 1A) and conducted RNA-Seq analysis in flow cytometry-sorted microglia (CD11b + CD45lowCD206-) from whole-brain tissue (Fig. 1A). Out of the 23,930 microglial transcripts identified, 207 were significantly altered after binge Meth administration (Fig. 1B, Supplementary Tables 1 and 2). To pinpoint the most relevant biological pathways altered in the microglial transcriptome after Meth exposure, we performed gene set enriched analysis (GSEA). GSEA using Wikipathways, KEEG, and REACTOME databases revealed a prominent upregulation of cell cycle-related pathways (including DNA Replication, Eukaryotic Transcription Initiation, Homologous recombination, Mismatch repair, DNA Repair, DNA Double-Strand Break, G2/M DNA damage checkpoint, Mitotic Cell Cycle, Cell Cycle) (Fig. 1C and detailed data in Supplementary Table 3), possibly associated with Meth-induced microglial expansion. Of note, the TNF-alpha NF-kB and the NOD-like receptor signaling pathways, both related to proinflammatory signaling, were also upregulated (Fig. 1C).
The combined cell cycle-related transcriptomic cluster (the top 50 upregulated transcripts are displayed as a network in Fig. 1D) contained as highest altered transcripts the DNA primase small subunit (Prim1), the DNA polymerase epsilon catalytic subunit A (Pole), the DNA polymerase epsilon subunit 3 (Pole3), the translocated promoter region, nuclear basket protein (Tpr), and the DNA helicases MCM5 and MCM6 (Fig. 1D). Thus, initiation of DNA replication, DNA mismatch repair, homologous recombination, and telomere C-strand synthesis (licensed by the epsilon DNA polymerase complex and the MCM complex via 3ʹ−5ʹ exodeoxyribonuclease and 3ʹ−5ʹ DNA helicase activities) are plausibly the most strongly affected microglial pathways following Meth exposure.
Next, we compared our cluster of 207 differentially expressed transcripts upon Meth exposure with clusters previously reported for the microglial signature program [38, 39], aging [40], disease-associated (DAM) [41], injury-related (IRM) [40], drug exposure [42, 43], or the microglial engulfment module [38] (Supplementary Fig. 1C and Table 7). Interestingly, we only found a positive association of the Meth-induced cluster with the aging clusters. These data indicate that Meth exposure does not affect the classical signature programs of healthy or diseased microglia but are in line with reports showing that Meth might foster cellular and tissue aging [44].
Meth activates microglia in vivo
Instructed by the RNA-Seq data, which showed a marked upregulation of cell cycle-related pathways, we evaluated the effect of Meth on microglial expansion. The increase in expression of cell cycle-related transcripts correlated with a significant expansion in the number of Iba1+ cells on tissue sections obtained from the striatum and the hippocampus (Fig. 1E) of mice exposed to Meth when compared to saline-treated (control) mice. This increase in microglial numbers was further confirmed by flow cytometry in whole-brain tissue (Fig. 1F and Supplementary Fig. 2A for gating strategy). We also analyzed the brain macrophage population (CD11b+ CD45high) and found no differences between Meth-treated and control mice in total, Ly6C+, or Ly6C+CCR2 + macrophages (Supplementary Fig. 2A). Because the RNA-Seq also showed Meth-induced alterations in microglial proinflammatory signaling, we evaluated the levels of MHCII, a classical microglial proinflammatory marker. We found an increase in the percentage of microglial cells expressing MHCII and an increase in the expression of MHCII in microglia from Meth exposed mice (Fig. 1G). We also evaluated changes in the expression of CD68, a lysosomal protein highly expressed in activated microglia. We found increased CD68 staining within microglia from the striatum and hippocampus (Fig. 1H).
To better characterize microglia activation, we analyzed several morphologic parameters in striatal and hippocampal microglia. Our results evidenced Meth-induced reduction in microglial total process length (Fig. 1I) and number of branching points, as well as reduced territorial area and territorial volume (Supplementary Fig. 2B). Sholl analysis confirmed such effect on microglial complexity (Supplementary Fig. 2C). In addition, we found a region effect (two-way ANOVA, showing significant region effect for CD68 expression p < 0.001, total process length p < 0.05, branching points p < 0.001, and territorial volume p < 0.05), which consistently showed that although microglial morphology differed between the striatum and the hippocampus, the degree of morphological alterations elicited by Meth was overtly similar in the microglia from these regions (Fig. 1I and Supplementary Fig. 2B). Together, these results indicate that binge Meth administration increases microglial numbers and activation.
Meth activates microglia in an astrocyte dependent-manner
Because Meth activated microglia in vivo, we used an in vitro approach to dissect the microglial response to Meth. Using primary microglial cultures, we found that Meth (100 µM) diminished microglial capacity to phagocyte inert fluorescent beads (Fig. 2A) and did not increase the formation of ROS (Fig. 2B) nor the expression of iNOS (Fig. 2C). We also observed no differences in the mRNA transcript abundance of the proinflammatory cytokines IL-1β, IL-6, and TNF compared to untreated microglia (CT, Fig. 2D). To further confirm that our microglial cultures were responsive to a classic proinflammatory stimulus, but not to Meth, we treated them with LPS (1 µg/mL). As expected, increased ROS formation and iNOS expression were observed in response to LPS (Supplementary Fig. 3A, B). We also analyzed classic microglial anti-inflammatory markers and found no significant alterations in arginase 1 expression (Fig. 2E) nor in the amounts of mRNA transcripts for IL-10 and TGFβ (Fig. 2F). Here, we concluded that Meth does not activate microglia in a cell-autonomous manner. Thus, the transcriptomic changes observed in the RNA-Seq and the microgliosis observed in vivo might result from the collective crosstalk between microglia and other cell types.
Because astrocyte-derived signaling is essential in microglial activation [45], we tested the hypothesis that astrocytes could mediate Meth-induced microglia activation. To do that, we exposed primary microglia to conditioned media (CM) obtained from primary astrocytes treated with Meth (ACM Meth) or CM from control astrocyte cultures (ACM CT). Neither Meth nor ACM Meth affected astrocytic or microglial viability (Supplementary Fig. 3C). Using the CellRox® green reagent, we found an increase in ROS production in primary microglia exposed to ACM Meth compared with cultures exposed to ACM CT (Fig. 2G). To confirm the CellRox® effect, we used the HSP FRET biosensor [46]. We observed a consistent and fast increase (within 5 min) of ROS generation in living primary microglia exposed to ACM Meth (Supplementary Fig. 4A). Besides, primary microglia treated with ACM Meth displayed higher mRNA levels of the proinflammatory markers iNOS, IL-1β, and IL-6, but not TNF (Fig. 2H). Primary microglia exposed to ACM Meth also displayed enhanced iNOS expression compared with cultures incubated with ACM CT (Supplementary Fig. 4B). Thus, we concluded that upon Meth exposure, astrocytes could induce microglial activation.
Meth causes glutamate release via TNF and IP3-dependent Ca2+ mobilization in astrocytes
Our RNA-Seq data revealed a Meth-induced enrichment of gene transcripts associated with the TNF-alpha NF-kB Signaling Pathway (Fig. 1C). However, TNF expression was not increased in microglia (Supplementary Table 1 and 3 and Fig. 2D), including in response to ACM Meth (Fig. 2H). Because we observed an increase in TNF transcripts in specific brain regions following Meth exposure (Supplementary Fig. 3D), and in line with previous reports [47], we hypothesized that astrocytes were increasing TNF production in response to Meth. Accordingly, we observed by double-labeling immunofluorescence an increase in TNF content in astrocytes (GFAP+ cells) in the hippocampus of mice exposed to Meth (Fig. 3A). The secretion of high amounts of TNF activates TNF receptor 1 (TNFR1) and leads to a substantial release of glutamate from primary astrocytes [48]. In agreement, using the glutamate-release FRET biosensor FLIPE600nSURFACE [49], we found that TNF promoted a fast and sustained release of glutamate from living astrocytes (Supplementary Fig. 4C). Meth also caused robust glutamate release in primary astrocytes from WT mice, an effect not observed in primary astrocytes from TNF-deficient mice, thereby confirming that autocrine TNF signaling plays a crucial role in Meth-induced glutamate release from astrocytes (Fig. 3B, Supplementary Fig. 4D and Supplementary Video 1 and 2).
Astrocytes can release glutamate from intracellular pools through various mechanisms, including Ca2+ -dependent and -independent pathways [50]. To test whether glutamate release from astrocytes under Meth exposure is Ca2+-dependent, we chelated cytosolic Ca2+with BAPTA-AM (10 µM) and observed an inhibition of Meth-induced glutamate release (Fig. 3C and Supplementary Fig. 4E), suggesting that elevation of cytosolic Ca2+ is necessary for Meth-triggered astrocytic glutamate release.
The rise in cytosolic Ca2+ required for glutamate release from astrocytes may originate from the endoplasmic reticulum (ER) through the Ca2+-release channel inositol triphosphate receptor (IP3R) [51]. Using the D1ER FRET biosensor [52], which detects the efflux of Ca2+ from the ER into the cytosol, we monitored the mobilization of Ca2+ in living astrocytes exposed to Meth or TNF (Supplementary Fig. 4F). Treatment of primary astrocytes with Meth (Supplementary Fig. 4F, blue circles) or TNF (Supplementary Fig. 4F red circles) triggered a fast and sustained decrease in the FRET/CFP ratio of the D1ER biosensor, indicating that both Meth and TNF promoted the mobilization of Ca2+ from the ER to the cytosol. To investigate the role of IP3R in Meth-induced Ca2+ -mobilization, we used Xestospongin C (XeC, 500 nM), an IP3R antagonist [53]. We observed that XeC abolished glutamate release in living primary astrocyte cultures exposed to Meth (Fig. 3C and Supplementary Fig. 4E) or TNF (Supplementary Fig. 4G) and concluded that IP3R-dependent Ca2+ mobilization is involved in Meth-induced glutamate release.
To test whether, in Meth-treated astrocytes, glutamate was released through an exocytic mechanism [54], we used the tetanus toxin (500 nM) to prevent Ca2+-dependent assembling of the dnSNARE complex and the fusion of exocytic vesicles with the membrane [55]. We observed a significant attenuation in the Meth-induced CFP/FRET ratio change of the FLIPE biosensor (Fig. 3C and Supplementary Fig. 4E), indicating that, in astrocytes, Meth stimulates the exocytosis of glutamate-containing vesicles in a Ca2+-dependent manner.
Because TNF controls astrocytic glutamate release, we hypothesized that TNF/glutamate signaling might be directly involved in microglia activation by astrocytes exposed to Meth. To test this hypothesis, we measured glutamate in the ACM and observed increased glutamate content in ACM Meth compared to ACM CT (Fig. 3D). To confirm that increasing the extracellular amounts of glutamate leads to microglial activation, we treated primary microglia with different glutamate concentrations (from 0.1 µM to 1 mM) and evaluated iNOS and CD68 expression. We found that glutamate concentrations of 0.1 µM or higher were sufficient to increase iNOS or CD68 expression (Fig. 3E), which confirms that Meth-induced increase in extracellular glutamate, including those in the range observed in the ACM (Fig. 3D), leads to microglial activation. To further show that microglial activation induced by ACM Meth depended on glutamate, we used the group II/III metabotropic glutamate receptor antagonist CPPG in microglia. We found that CPPG treatment blocked the microglial activation (here evaluated by ROS production) induced by ACM Meth (Fig. 3F).
Moreover, whereas the CM obtained from WT astrocytes exposed to Meth promoted ROS generation in primary microglia (Fig. 3G and Supplementary Fig. 4H), the CM obtained from TNF-deficient astrocytes exposed to Meth failed to increase microglial ROS production (Fig. 3G and Supplementary Fig. 4H). Thus, we concluded that TNF/glutamate signaling is necessary to induce microglial activation by astrocytes.
Microglia activation requires TNF and IP3R2-dependent Ca2+ mobilization
Because Meth activates microglia via TNF-to-IP3R signaling in astrocytes, we evaluated whether Meth-induced microgliosis required this signaling in vivo. Knowing that the IP3R isoform 2 is the primary IP3 receptor in astrocytes and the major source of Ca2+-translocation from the ER into the cytosol in these cells [56], we challenged IP3R2 KO and TNF KO mice with binge Meth administration (Supplementary Fig. 1A). We observed that the Meth-induced microgliosis in the striatum and the hippocampus was prevented in both KO mice compared to WT (Fig. 4A). Consistent with these findings, flow cytometry showed that the Meth-induced increase in the microglial population was also prevented in TNF and IP3R2 KO mice (Fig. 4B).
Excessive glutamate and microglia overactivation can negatively affect behavior [57]. Since Meth-induced TNF production led to glutamate release from astrocytes in an IP3R-dependent manner and activated microglia, we hypothesized that blocking TNF or IP3R signaling could also affect the behavioral alterations elicited by Meth. Because microglia activation seems to be related with changes in anxiety [58], which is also affected by Meth use, we tested WT, IP3R2 KO and TNF KO mice in the EPM. We found that WT mice exposed to Meth displayed increased time and distance traveled in the open arms (Fig. 4C) and decreased the frequency of stretch-attended postures, protected head dipping (Supplementary Fig. 5A, B), while the total traveled distance was lower than for the control saline group (Fig. 4C). The latency to enter open arms is also shown in Supplementary Fig. 5C. Such behavioral pattern in the EPM, which is consistent with reduced anxiety-like behavior and decreased risk assessment, was significantly attenuated in TNF or IP3R2 KO mice (Fig. 4C). These in vivo data confirm the relevance of the TNF/Ca2+ mobilization-signaling for Meth-induced microglia activation.
Discussion
Although Meth induces a microglia proinflammatory response in vivo [26, 59], the mechanisms involved in this process are still poorly understood. Herein, we found that Meth-induced microglia reactivity requires a crosstalk with astrocytes, mediated by glutamate release in a TNF- and IP3R/Ca2+-dependent manner and that blocking IP3R or TNF signaling prevented microglia activation elicited by Meth.
Consistently with previous findings [60, 61], our study shows that binge Meth caused microglial expansion, altered microglial morphology and increased the expression of proinflammatory markers that are hallmarks of many neurodegenerative diseases [62]. The range of enriched pathways related to cell cycle modulation associated with the microglial expansion confirmed the relevance of this Meth-induced effect. Astrocytic glutamate, likely in combination with TNF, is potentially involved in the proliferative effect of Meth on the microglia. The top upregulated cell cycle-related transcripts (revealed by the RNA-Seq) induced by Meth in microglia (Prim1, Pole, Pole3, MCM5, and MCM6) share a specific transcriptional regulatory program controlled by the transcription factor activating protein-1 (AP-1), whose activity strongly rely on cAMP and calcium signaling triggered by neurotransmitters and cytokines. Indeed, increasing the cytosolic levels of cAMP or calcium is one of the first signaling events elicited by exogenous glutamate (via activation of glutamate metabotropic receptors) or TNF (via the activity of TNFR1) that trigger AP-1-dependent transcriptional activation. Thus, triggering of AP-1-dependent transcription by glutamate/TNF signaling is likely involved in the mitogenic effect elicited by Meth in hippocampal and striatal microglia.
To characterize the molecular mechanisms involved in Meth-induced microglia activation, we analyzed Meth effects directly on purified microglia cultures. In contrast with a previous work reporting that Meth induces a proinflammatory response in an immortalized microglial cell line [63], our results demonstrated that Meth does not directly cause a proinflammatory phenotype in primary microglia. Likewise, our primary microglia cultures were responsive to LPS, excluding the possibility that the lack of a direct Meth effect could be due to microglia anergy [64]. Nonetheless, and corroborating our findings, Frank and colleagues observed that Meth fails to induce the expression of proinflammatory cytokines in microglial cultures despite upregulating IL-1, IL-6, and TNF in vivo [64]. Similarly, cocaine was also reported to be ineffective in inducing microglial TNF mRNA levels in vitro [65].
As Meth activated microglia in vivo, we tested the hypothesis that this activation could result from an interplay with other cell types. Reactive astrocytes [66] are observed in several models of Meth exposure [33, 67, 68], including human cerebral organoids [69], and are persistently associated with increased neurotoxicity and neuroinflammation, strengthening the likelihood of an astrocyte-mediated microglial response. Astrocytes seem to control immune activation via the secretion of multiple molecular factors [70, 71]; among them, TNF emerged as an essential mediator of brain homeostasis [72]. We demonstrated that Meth increased TNF content in hippocampal astrocytes, suggesting that TNF may play a crucial role in microglia activation by Meth-sensitized astrocytes. Indeed, it has been reported that an autocrine/paracrine TNF-dependent TNFR1 activation promotes glutamate release from astrocytes [48], while TNF inhibitors strongly reduce glutamate release in cultured astrocytes [73]. In line with this, we also observed that while Meth triggered rapid and sustained glutamate release from astrocytes obtained from WT mice, it failed to do so in astrocytes obtained from TNF KO. In addition, TNF downregulates the glutamate transporter EAAT-2 on astrocytes, compromising glutamate clearance from the extracellular space and promoting excitotoxic glutamate signaling [74, 75].
Excitotoxicity associates positively with the progression of several neurodegenerative diseases [76]. Meth, by acting on the trace amine-associated receptor 1 (TAAR1), induces excitotoxicity through downregulation of EAAT-2 transcription and activity in astrocytes [77]. In this context, our results strongly suggest that glutamate is a critical modulator in Meth-induced microglial activation. Corroborating this hypothesis, we observed that Meth failed to induce microgliosis, reduced anxiety-like behavior and loss of risk-assessment behavior in TNF-deficient mice. Interestingly, TNF-deficient mice were previously reported to self-administer more Meth [78], which according to our data, may also result from reduced astrocyte-microglia reactivity, and not only from increased dopamine availability, as previously suggested [27].
Astrocytes release glutamate through different pathways, including Ca2+-dependent and -independent mechanisms [50]. The ER serves as a major source for astrocytic mobilization of intracellular Ca2+ via IP3R [13, 79]. We evaluated the involvement of IP3 in Meth-induced glutamate release from astrocytes and confirmed that it occurred in an IP3-dependent way. Accordingly, when we administered Meth to IP3R2-deficient mice, microgliosis and behavioral changes were prevented, suggesting that astrocytic IP3R/Ca2+ signaling is required for microglia activation triggered by Meth. Although we focused on the TNF-dependent effect on glutamate release, TNF released from astrocytes can interact with TNFRs present in microglia and further contribute to the microglial activation observed in response to Meth. This fact is in accordance with our RNA-Seq data demonstrating an upregulation of the TNF-alpha NF-kB signaling pathway in microglia following exposure to Meth.
Astrocytes were also recently demonstrated as critical modulators of the reward system, responding to amphetamine-elicited dopaminergic signaling and regulating excitatory neurotransmission through adenosine receptors [80]. Our results provide further mechanistic insight reinforcing the role of astrocytes in reward and addiction by also controlling microglial reactivity.
Collectively, our findings show that astrocytes cause the activation of microglia in acute Meth-exposure via glutamate release in a TNF/IP3R2-Ca2+-dependent manner (Fig. 5). Understanding how microglial reactivity and neuroinflammation will adapt throughout prolonged exposure to Meth, particularly during withdrawal, will further increase the translational significance of our findings and contribute to identifying novel molecular targets with therapeutic value in psychostimulant abuse.
Supplementary information
Acknowledgements
We acknowledge the support of the following i3S Scientific Platforms: Animal Facility, Cell Culture and Genotyping (CCGen), Translational Cytometry Unit (TraCy), and the assistance of Mafalda Rocha (Genomics platform) and Maria Azevedo (ALM platform) and André Maia (BioSciences screening). We also acknowledge our late colleague Rui Applelberg for kindly make TNF KO mice available to us, and the designer Maria Summavielle for her contribution in assembling the figures that illustrate this publication. RS has contributed as first author.
Author contributions
Conception of the work—TC, CCP, RS, JBR, TS; Acquisition, analysis, or interpretation of data for the work—TC, CCP, RS, TOA, AFT, JB, AIS, JDM, SGG, JFO, AM, JBR, TS; Drafting the work or revising it critically—TC, CCP, RS, NS, JFO, JBR, TS; Final approval of the version to be published- TC, CCP, TS. Agreement to be accountable for all aspects of the work in ensuring accuracy and integrity—CCP and TS.
Funding
This work was financed by FEDER—Fundo Europeu de Desenvolvimento Regional funds through the COMPETE 2020 - Operational Programme for Competitiveness and Internationalisation (POCI), Portugal 2020, and by Portuguese funds through FCT—Fundação para a Ciência e a Tecnologia/Ministério da Ciência (FCT), Tecnologia e Ensino Superior in the framework of the project POCI-01-0145-FEDER-030647 (PTDC/SAU-TOX/30647/2017) in TS lab. FEDER Portugal (Norte-01-0145-FEDER-000008000008—Porto Neurosciences and Neurologic Disease Research Initiative at I3S, supported by Norte Portugal Regional Operational Programme (NORTE 2020), under the PORTUGAL 2020 Partnership Agreement, through the European Regional Development Fund (ERDF); FCOMP-01-0124-FEDER-021333). CCP and RS hold employment contracts financed by national funds through FCT –in the context of the program-contract described in paragraphs 4, 5, and 6 of art. 23 of Law no. 57/2016, of August 29, as amended by Law no. 57/2017 of July 2019. TC, TOA, AFT, JB, AIS and AM were supported by FCT (SFRH/BD/117148/2016, SFRH/BD/147981/2019, 2020.07188.BD, PD/BD/135450/2017, SFRH/BD/144324/2019, and IF/00753/2014). Work in JBR lab was supported by the FCT project PTDC/ MED-NEU/31318/2017. JFO was also supported by FCT projects PTDC/MED-NEU/31417/2017 and POCI-01-0145-FEDER-016818; Bial Foundation Grants 207/14 and 037/18, by National funds, through FCT - project UIDB/50026/2020; and by the projects NORTE-01-0145-FEDER-000013 and NORTE-01-0145-FEDER-000023, supported by Norte Portugal Regional Operational Programme (NORTE 2020), under the PORTUGAL 2020 Partnership Agreement, through the European Regional Development Fund (ERDF). Funding of i3S Scientific Platforms: Advanced Light Microscopy (ALM), a member of the national infrastructure PPBI-Portuguese Platform of BioImaging (POCI-01–0145-FEDER-022122); and Genomics through GenomePT project (POCI-01-0145-FEDER-022184), supported by COMPETE 2020—Operational Programme for Competitiveness and Internationalization (POCI), Lisboa Portugal Regional Operational Programme (Lisboa2020), Algarve Portugal Regional Operational Programme (CRESC Algarve2020), under the PORTUGAL 2020 Partnership Agreement, through the European Regional Development Fund (ERDF), and by FCT.
Competing interests
The authors declare no competing interests.
Footnotes
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
These authors contributed equally: Teresa Canedo, Camila Cabral Portugal.
Contributor Information
Camila Cabral Portugal, Email: camila.portugal@ibmc.up.pt.
Teresa Summavielle, Email: tsummavi@ibmc.up.pt.
Supplementary information
The online version contains supplementary material available at 10.1038/s41386-021-01139-7.
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