Nerve agents are thought to induce brain damage through hyperstimulation of cholinergic receptors (
McDonough and Shih 1997). However, both glutamatergic and dopaminergic neurotransmitter systems mediate the biological and pathological effects of AChE inhibitors (
McDonough and Shih 1997;
Wonnacott 1997;
Wonnacott et al. 2000). Furthermore, the neostriatum has been implicated as a target of the long-term neurotoxic effects of organophosphates in clinical studies (
Haley et al. 2000;
Haley et al. 2009). To better understand the deleterious and pathogenic effects of these compounds, we examined the consequences of nerve agent exposure on dopamine signaling pathways, glutamate neurotransmission, and neuronal injury mechanisms in the neostriatum in rodent brain slices and whole animals
in vivo.
We found that CPF and PB increased PKA-dependent phosphorylation of downstream effectors of striatal dopamine neurotransmission including the GluR1 subunit of the AMPA receptor and/or DARPP-32 in slices and
in vivo. A previous study found that, high concentrations of nicotine induced a D1 receptor-dependent activation of PKA, and increased phosphorylation of Thr34 DARPP-32 through activation of the striatonigral pathway (
Hamada et al. 2004). However, given that a potent D1 receptor antagonist did not block the activation of striatal PKA, it is possible that at least a portion of the effects of CPF are mediated by pathways, such as those modulated by mAChR, which do not directly involve D1 receptor activation. Accordingly, acetylcholine released from striatal cholinergic interneurons interacts in a dynamic manner with dopamine signaling at multiple levels including presynaptic regulation of neurotransmitter release and postsynaptic effects (
Threlfell and Cragg 2011). The degree to which CPF activates PKA through non-dopamine mediated mechanisms may warrant further study. Moreover, the deleterious effects of these agents may occur across a spectrum of biological and pathological mechanisms. At relatively low levels of exposure, effects may be occur via AChR activation and subsequent dopamine release, while higher doses may induce dysregulation of Cdk5, removal of tonic inhibition of PKA, or direct covalent modifications due to organophosphate reactivity.
The effects of CPF on the phosphorylation state of downstream effectors of the D1 receptor/cAMP/PKA pathway suggest that nerve agents may exert some of their pathological effects via alterations in dopamine neurotransmission. CPF has been shown to increase dopamine turnover and to alter dopamine and other monoamine metabolite levels (
Moreno et al. 2008;
Eells and Brown 2009). Furthermore, CPF exposure during the gestational days of developing rats evoked long-term increases in serotonin and dopamine turnover (
Aldridge et al. 2005). Some of the positive effects of CPF on PKA activity in slices and whole animal subjects (see ) were not replicated when combined organophosphate regimens, including higher DEET concentrations, were used (see , for example). However, these more toxic exposures may have invoke mechanisms of neuronal injury associated with Cdk5/p25 that possibly occluded effects observed at lower doses.
Excessive glutamate release may constitute a principle cause of neuronal injury and death. ACh can modulate glutamate release through presynaptic α7 nACh receptors in striatal synaptosomes (
Marchi et al. 2002). Furthermore, nicotine has been shown to enhance hippocampal synaptic transmission on presynaptic terminals containing α7 nAChRs (
Gray et al. 1996). Consistent with these observations, CPF attenuated the inter-interval period between excitatory mini-EPSC events, presumably as a result of enhanced striatal glutamate release. Surprisingly, there are few other reports of the potentiation of striatal glutamate neurotransmission by AChE inhibitors. On the other hand, a study on the effects of nerve agent soman-induced seizures has shown that the levels of excitatory amino acids are attenuated following intoxication (
Shih and McDonough 1997). AChE inhibitors such as donepezil, rivastigmine, and galantamine are used as clinical treatments to delay or slow the onset of cognitive deficiencies accompanying Alzheimer’s disease pathology, and these compounds have been suggested to attenuate excitotoxicity in the hippocampus and cortex (
Standridge 2004;
Hansen et al. 2006). Furthermore, it has been suggested that the elicited neuroprotective effects of donepezil may involve down-regulation of NMDA receptors, thereby attenuating glutamate-induced Ca
2+ increase following α7 nAChRs activation (
Shen et al. 2010).
Nerve agents induce seizure-related brain damage through hyper-stimulation of cholinergic receptors. Subsequent excessive stimulation of the glutamatergic system triggers a prolonged intracellular increase in Ca
2+, causing the activation of secondary pathways responsible for neuronal injury (
McDonough and Shih 1997). NDMA receptor antagonists such as memantine, a drug used clinically to treat Alzheimer’s (
Thomas and Grossberg 2009), have been recognized for their ability to reduce Ca
2+ overload. However, controversy exists regarding their efficacy and resulting neurotoxic effects (
Filbert et al. 2005). Current studies are focused on identifying secondary intracellular signaling pathways that could be targeted for the development of therapeutics that prevent or alleviate the symptoms following nerve agent exposure.
DFP alone or as part of a combination of neurotoxicants meant to mimic the exposure encountered by veterans of the 1991 Persian Gulf War caused hyper-phosphorylation of Thr205 tau. Tau functions to stabilize the cytoskeleton, and its hyper-phosphorylation can result in the formation of neurofibrillary tangles and neurodegeneration (
Hanger et al. 2009). Phosphorylation at this site is Cdk5-dependent and it has been implicated as a biomarker for Alzheimer’s pathology (
Cruz et al. 2003;
Cruz and Tsai 2004). Cdk5 plays a critical role in corticogenesis, synaptic plasticity, drug addiction, and cognition (
Bibb 2003;
Angelo et al. 2006;
Cheung et al. 2006). Dysregulation of its activity may depend on prolonged NMDA receptor activation. The resulting intracellular Ca
2+ influx could then cause calpain-dependent conversion of p35 to p25 (
Lee et al. 2000). Unnecessary NMDA receptor activation due to excessive cholinergic stimulation is one of the most prominent effects of nerve agent exposure that ultimately leads to neuropathology (
McDonough and Shih 1997).
PB/DEET/DFP exposure also resulted in p25 generation and induction of aberrant Cdk5 activity in both striatum and hippocampus. Interestingly, the high levels of p25 in striatum correlated with a decrease in phospho-Thr75 DARPP-32, possibly disinhibiting PKA activity. Similar effects were induced by PB after an extensive delay from the time of exposure. High levels of nicotine also reduce Cdk5-dependent phosphorylation of DARPP-32 at Thr75, possibly through a dopamine-release dependent pathway (
Hamada et al. 2005). Moreover, induction of transgenic p25 overexpression reduced Thr75 DARPP-32, altered dopamine signaling, and shifted Cdk5 specificity with regard to physiological and aberrant substrates (
Meyer et al. 2008). Nonetheless, striatal signaling may be differentially dysregulated depending on the profile of exposure.
Our data indicate that dysregulation of Cdk5 is a component of the long-term effects that arise from exposure and is consistent with at least two reports suggesting organophosphates neurotoxicants dysregulate Cdk5 (
Wang et al. 2006;
Zhu et al. 2010). Thus, nerve agent-induced dysregulation of Cdk5 may dramatically affect striatal-dependent brain function, and may be relevant to subclinical neurotoxicity and disorders involving dopamine neurotransmission. For example, pregnant women exposed to pesticides such as chlorpyrifos and DEET have a higher risk to manifest deficits in fetal neurodevelopment and altered birth outcomes (
Berkowitz et al. 2004;
Barr et al. 2010). Prenatal insecticide exposure reduces IQ and delays mental and psychomotor development (
Rauh et al. 2006;
Bouchard et al. 2011;
Engel et al. 2011;
Rauh et al. 2011), and children with elevated urinary levels of OP metabolites had a higher ADHD prevalence (
Bouchard et al. 2010). Furthermore, a recent study has shown that chlorpyrifos oxon alters the firing activity of the locus coeruleus noradrenergic neurons, a brain region associated with anxiety and stress (
Cao et al. 2011). Taken together, the present study is among the first to examine the mechanisms by which organophosphates may alter brain function and cause long-term pathological effects. The secondary signaling targets identified here may contribute to the development of treatments to prevent or counter these neurotoxic effects.