Abstract
We evaluated the effect of lead (Pb) and ascorbic acid treatment of pregnant female rats on cerebellar development in pups. Pb was administered in drinking water (0.2% Pb acetate), and ascorbic acid (100 mg/kg) was administered through oral intubation. Fifteen female rats were randomly classified into control, Pb, and Pb plus ascorbic acid (PA) groups. The treatment of Pb and ascorbic acid treatments were terminated after birth to evaluate the effects on the gestational development of the cerebellum. At postnatal day 21 (PND21), pups were sacrificed, and blood Pb level was analyzed. Blood Pb levels of pups and dams were highest in the Pb group and reduced in the PA group. Immunohistochemistry and immunoblot assays were conducted to study the cerebellar expression levels of synaptic proteins. Along with a significant reduction in Purkinje cells, the reduction in presynaptic (synaptophysin) and postsynaptic (postsynaptic density protein 95, N-methyl-d-aspartate receptor subtype 1) marker proteins was observed in Pb-exposed pups. Ascorbic acid treatment significantly prevented Pb-induced impairment in the cerebellar synaptic proteins. Hypothesizing that brain-derived neurotrophic factor (BDNF) might be affected by Pb exposure given its importance in the regulation of synaptogenesis, we observed a Pb-induced decrease and ascorbic acid-mediated increase of BDNF in the cerebellum. Luxol fast blue staining and myelin basic protein analysis suggest that ascorbic acid treatment ameliorated the Pb exposure-induced reduction in the axonal fibers in the developing cerebellum. Overall, we conclude that ascorbic acid treatment during pregnancy can prevent Pb-induced impairments in the cerebellar development in rats.
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Introduction
Since ancient times, humans have used lead (Pb) for its malleable, ductile characteristics, low melting point, and sweet taste. The use of Pb in petrol in industrial times has significantly increased the risk of Pb exposure [1]. Although regulations have successfully reduced the amount of Pb in gasoline, Pb is still a threat to human health [2]. Environmentally, Pb is widely dispersed in water, soil, and the atmosphere because of the incineration of Pb-containing waste and the continued widespread use of Pb-containing products, such as batteries, solder in food cans, ceramic glazes, cosmetics, toys, pigments, and water pipelines [1,2,3,4]. Though Pb is noxious to people of all ages, the highest risk of complications in children, for whom no safe levels of Pb exist [3]. In particular, the immature brain is vulnerable to Pb-induced neurotoxicity because of the still developing blood-brain barrier and astrocytes. Prenatal Pb exposure increases the risk of developing mental illnesses such as schizophrenia and attention deficit hyperactivity disorder [5, 6]. In a study in monkeys, 23 years of Pb exposure from infancy increased the chances of developing Alzheimer’s disease pathology [7].
Synaptophysin is expressed in the presynaptic vesicular membrane as integral protein [8]. Synaptophysin is an ideal synaptic marker and is involved in synaptogenesis, synaptic neurotransmitter release, and synaptic plasticity [9, 10]. Synaptic impairment in neurodegenerative diseases is characterized by a reduction in synaptophysin [11]. Postsynaptically, the N-methyl-d-aspartate receptor (NMDAR) is linked with postsynaptic density protein 95 (PSD95), which is involved in neurotransmission and signal conduction. Many studies have suggested that expression levels of pre- and postsynaptic proteins are correlated, and these proteins are involved in the processes of learning and memory formation in the hippocampus [12, 13]. Pb exposure diminishes the synaptic synaptophysin, PSD-95, and NMDAR in the hippocampus, and this reduction is associated with the learning and memory impairments [14, 15]. Therefore, we hypothesized that Pb exposure may also interfere with the normal development of cerebellar synapses by affecting pre- and postsynaptic proteins. As newly generated neurons mature, their dendrites, perikarya, and axons participate in synapse formation. In the developing cerebellum, proper synaptogenesis along the inhibitory Purkinje cells and excitatory granule cells is important for the elaborate regulation of balance, motor coordination, and motor learning.
Pb-induced encephalopathy has been reported in adults and children [16]. Low and high doses of Pb exposure alter the development of two major neuron types in the rat cerebellum: Purkinje cells and granule cells [17, 18]. Additionally, ascorbic acid has been reported to act as an effective remedy for Pb-induced toxicity in several body systems. Ascorbic acid directly enhances the excretion of Pb and prevents Pb-induced oxidative stress by acting as antioxidant [19, 20]. In previous studies, ascorbic acid was effective in detoxifying the Pb-induced impairments in hippocampus and cerebellum [18, 19]. However, the effects of ascorbic acid on Pb-induced changes in synaptic protein expression and axonal development in the developing cerebellum have not been clearly determined. Therefore, to investigate the beneficial effects of ascorbic acid, we examined the synaptic proteins (synaptophysin, PSD95, and NMDAR1) and axonal myelin basic protein (MBP) in the developing cerebella of the pups from Pb-exposed pregnant rats.
Materials and Methods
Experimental Animals
All procedures involving animal models and treatments were conducted in accordance with the NIH Guide for the Care and Use of Laboratory Animals issued by the Institute of Laboratory Animal Resources, USA, 1996, and a protocol for it was approved by the Experimental Animal Laboratory and the Animal Care and Use Committee of the Konkuk University School of Veterinary Medicine. Female (n = 15) and male (n = 5) Sprague-Dawley (SD) rats (8 weeks old) were purchased from Koatech (Pyeongtaek, Gyeonggi-do, Korea) and they were housed under conditions of adequate temperature (23 °C) and humidity (60%) with a 12-h light/12-h dark cycle. After 1-week acclimation to the animal facility, rats were mated. Pregnancy was determined by confirming the presence of sperm in vaginal smears (or vaginal plugs), designating onset of pregnancy as day 0. Drug treatment to dams was started from day 0 until the end of the gestational period.
Drug Treatment
Pregnant SD female rats were randomly divided into three groups; the control group (n = 5), Pb group (n = 5), and Pb plus ascorbic acid (PA) group (n = 5). The pregnant rats were housed individually in the cage. The doses of Pb acetate and ascorbic acid were the same as in previous studies [18, 19]. Because people from ancient Rome to modern times have been exposed to Pb in water [2, 21], we administered Pb to rats via their drinking water. Accordingly, Pb acetate (0.2%, Sigma-Aldrich, USA) was dissolved in distilled water with glacial acetic acid (0.05%, Junsei Chemical Co., Tokyo, Japan) to prevent Pb precipitation. Ascorbic acid (100 mg/kg, Sigma-Aldrich) was freshly prepared in physiological saline for oral administration. To account for the effect of stress due to the process of oral intubation, rats in the control and Pb groups were orally administered the same volume of saline. Pb and ascorbic acid treatment was stopped from the time of the delivery of the pups until the end of the experiment on postnatal day (PND) 21. To exclude the effect of litter size on body weight gain, we selected 6 rat pups per dam. Body weight of pups (n = 24 per group) was measured on the last day of the experiment.
Luxol Fast Blue Stain and Immunohistochemistry
For histological analysis, the pups (n = 12 per group) were randomly selected and anesthetized on PND21 with ketamine (50 mg/kg) and xylazine (1 mg/kg). Then, the animals were perfused transcardially with heparinized phosphate-buffered saline (PBS, 0.1 M, pH 7.4), followed by 4% paraformaldehyde in 0.1 M phosphate buffer (pH 7.4). The rat cerebella were removed and postfixed in the same fixative overnight at 4 °C. Tissues were embedded in paraffin blocks and cut into 5-μm sections at multiple levels. Three slides per pup were selected, and a total of 36 sections per group were used in histological analysis. Luxol fast blue and hematoxylin and eosin (HE) staining was conducted using routine procedures. Briefly, to detect myelinated axonal fibers in the cerebellar cortex, deparaffinized sections were incubated in 0.1% Luxol fast blue solution in a 56 °C oven overnight. Then, sections were washed in graded ethyl alcohol and differentiated in a 0.05% lithium carbonate solution.
To detect synaptic proteins in the cerebellar cortex, immunohistochemistry for presynaptic synaptophysin and postsynaptic PSD95 and NMDAR1 was conducted. Additionally, to compare the effects of Pb and ascorbic acid on the development of myelinated axonal fibers, immunohistochemistry for myelin basic protein (MBP) was conducted. Briefly, deparaffinized sections were processed for antigen retrieval using citrate buffer (pH 6.0). These sections were sequentially treated with 0.3% hydrogen peroxide (H2O2) for quenching of endogenous peroxidase activity and 5% normal horse serum for blocking. Then, sections were incubated with primary antibodies against synaptophysin (rabbit, 1:1000, Abcam, Cambridge, UK), PSD95 (rabbit, 1:1000, Abcam), NMDAR1 (rabbit, 1:500, Millipore, Billerica, MA, USA), brain-derived neurotrophic factor (BDNF, rabbit, 1:500, Proteintech, IL, USA), or MBP (rabbit, 1:3000, Millipore) overnight at 4 °C. Subsequently, sections were exposed to biotinylated horse anti-rabbit IgG (1:400, Vector, Burlingame, CA, USA) and streptavidin peroxidase complex (1:400, Vector). They were then visualized by reaction to 3,3′-diaminobenzidine tetrachloride (DAB, Sigma) in 0.1 M Tris-HCl buffer (pH 7.2), counterstained with hematoxylin. Following dehydration and clearing, the sections were mounted in toluene-based mounting medium (Richard-Allan Scientific, Thermo Scientific).
All histopathological analyses described henceforth were performed by an investigator blind to rat treatment. The numbers of Purkinje cells were counted in micrographs obtained at × 100 magnification. The observations were carried out in two lobules (5th and 8th lobules) from the sagittal section of the cerebellar vermis [22].
Atomic Absorption Spectrometry for Blood Pb Level Analysis
At PND21, remaining pups (n = 12 per group) and dams were anesthetized with ketamine (50 mg/kg) and xylazine (1 mg/kg). Blood samples for Pb level analysis were collected through cardiac puncture. The measurement was conducted by an atomic absorption spectrophotometer (Perkin Elmer Zeeman 5100, Norwalk, USA) using an HGA-600 graphite furnace with Zeeman background correction. The absorption wavelength was 283.3 nm, and the r2 of a calibration curve was at least 0.995.
Western Blot Analysis
To detect synaptophysin, PSD95, NMDAR1, BDNF, and MBP expression in the cerebellum, brains of PND21 pups (n = 12 per group) were immediately dissected. The samples were frozen until use. The cerebellar tissues were homogenized in lysis buffer and centrifuged at 15,000g and the supernatant was separated. Proteins were quantified using Thermo Pierce® BCA protein assay kit (Thermo Fisher Scientific, Rockford, IL, USA). Proteins were separated on a 10% sodium dodecyl sulfate (SDS)-polyacrylamide gel and transferred to polyvinylidene fluoride (PVDF) membranes. The membranes were blocked by incubating with 5% skim milk in Tris-buffered saline (TBS, pH 7.4) for 1 h, followed by incubation with primary antibody against synaptophysin (rabbit, 1:5000, Abcam), PSD95 (rabbit, 1:2000, Abcam), NMDAR1 (rabbit, 1:1000, Millipore), MBP (rabbit, 1:3000, Millipore), or BDNF (rabbit, 1:2000, Proteintech) overnight at 4 °C. The blots were washed three times in TBS containing 0.1% Tween-20 and then incubated with a horseradish peroxidase-conjugated secondary antibody (1:2000). Bands were visualized using SuperSignal® West Pico Chemiluminescent Substrate (Thermo Fisher Scientific, Rockford, IL, USA). After several rounds of blotting, the relative optical density (ROD) of each band was measured using NIH ImageJ software.
Statistical Analysis
Values are expressed as the means ± standard error of the mean (SEM) for rats in each group, and significance levels of the differences between mean values were determined by one-way analysis of variance (ANOVA) followed by Tukey’s post hoc test for body weights and Bonferroni’s post hoc test for other data. Data were analyzed in GraphPad Prism 5.01 software (GraphPad Software, Inc., La Jolla CA, USA). Values of P < 0.05 were considered to be significant.
Results
Body Weight and Blood Pb Levels
Pb exposure during the gestational period did not affect the body weight gain of pups at PND21. Additionally, no signs of Pb-induced reproductive toxicity, such as abortion, stillbirth, reduction in the number of pups, and malformation of pups, were observed. Similar to our previous studies [18, 23], mean blood Pb level of pups was significantly increased by Pb exposure during the fetal period and was slightly but not significantly decreased by ascorbic acid treatment. However, the Pb-induced increase in blood Pb level in dams was significantly reduced by ascorbic acid treatment (Fig. 1).
Effect of Pb and Ascorbic Acid on Presynaptic Synaptophysin
Luxol fast blue and HE staining showed that a significant Pb-induced reduction in Purkinje cells in the cerebellar cortex was reversed by ascorbic acid treatment. Synaptophysin is expressed in the presynaptic vesicular membrane, and its pattern of change corresponds with synaptic changes [9]. In the present study, synaptophysin immunohistochemistry and immunoblot results suggest that Pb exposure deteriorated the development of synapses in the cerebellum, and ascorbic acid treatment ameliorated the reduction in synaptophysin immunoreactivity and protein expression (Figs. 2 and 5).
Effect of Lead/Ascorbic Acid on PSD95 and NMDAR1
In the cerebellum, postsynaptic PSD95 and NMDAR1 showed patterns of changes similar to those of presynaptic synaptophysin. Consistent with results from Li and colleagues [24], immunostaining primarily detected PSD95 and NMDAR1 in the somata of Purkinje cells. PSD95 is also located in the molecular layer where dendrites of Purkinje cells synapse with climbing and parallel fibers (Fig. 3). Respectively, Pb exposure and ascorbic acid co-treatment reduced and restored PSD95 and NMDAR1 immunoreactivity in the cerebellar cortex (Fig. 3). Accordingly, from immunoblotting, we observed that both PSD95 and NMDAR1 were reduced in the cerebellum by Pb exposure via placental transfer during the fetal period. However, ascorbic acid co-administration to gestational female rats prevented the Pb-induced reduction in the PSD95 and NMDAR1 protein levels in the cerebella of pups (Fig. 5).
Effect of Pb and Ascorbic Acid on Axonal Fibers and MBP
Figure 2 shows representative photographs of Luxol fast blue staining in the cerebellum. In the control group, myelinated fibers were mainly detected in the central core of white matter and surrounding granule cell layer in the cerebellar cortex. In Pb-exposed pups, the density of myelinated fibers was slightly reduced in the cerebellum. However, ascorbic acid treatment attenuated Pb-induced impairment of fiber development in the cerebellum. MBP immunoblot results showed a similar pattern of changes. MBP level was significantly reduced by gestational Pb exposure in the developing cerebellum, while ascorbic acid treatment restored MBP protein expression level in the cerebellum (Figs. 4 and 5).
Effect of Pb and Ascorbic Acid on BDNF
During brain development, BDNF is essential for the synaptic formation, synaptic differentiation, and branching of dendritic arbor [25]. Therefore, we focused on the Pb and ascorbic acid co-treatment-induced changes in cerebellar BDNF expression in relation to synaptic development. Previous study reported that BDNF is expressed in the Purkinje cells, inhibitory interneurons, and Bergman glia in adult cerebellum [26]. After immunostaining, BDNF immunoreactivity was primarily observed in the somata of Purkinje cells and fibers in the white matter of cerebellum at PND21. Pb exposure during gestational period negatively affected cerebellar development by reducing the BDNF-immunoreactive Purkinje cells and the expression of BDNF protein in the cerebellum. Compared to that in the Pb group, the reduction of BDNF-immunoreactive Purkinje cells and BDNF protein level was significantly attenuated by ascorbic acid administration in the cerebellum (Figs. 4 and 5).
Discussion
The brain is the primary location of Pb exposure-induced toxicity, and the immature developing brain is more susceptible than the mature adult brain. Neurons in the early postnatal cerebellum are immature, and glia and the blood-brain barrier are not completely developed. Normal synapse formation in the developing cerebellum is especially important for the cerebellar regulation of movement and balance. Therefore, we investigated the effects of gestational Pb exposure on cerebellar synapse development.
To investigate blood Pb level in pups and dams, we used atomic absorptive spectrometry. Low level of Pb exposure during the gestational period significantly increased the blood level of Pb both in pups and dams. However, ascorbic acid treatment differentially affected Pb level by nonsignificant and significant reductions in pups and dams, respectively. The difference between pups and dams may result from Pb excretion via milk, which reduces the Pb level in the dam and increases Pb level in the pups after cessation of Pb treatment. In a previous study, Hossain et al. reported that low Pb exposure in pregnant females increased the level of Pb in milk and pups’ brain [27].
Synaptogenesis in the rat cerebellum spans from the embryonic stage to the early postnatal period [28, 29]. In maturing neurons of the postnatal cerebellum, the growth of dendritic branches and axons is followed by synaptic formation. Synaptic maturation is associated with increased vesicles and density of pre- and postsynaptic membranes [28]. Synpatophysin is a molecular marker of the synapse, and it regulates neurotransmitter exocytosis from synaptic vesicles and recycling of synaptic vesicles [9, 10]. Normally, the cerebellar expression of presynaptic synaptophysin increases during the postnatal period and then stabilizes during adulthood [30]. At PND21, we investigated the expression pattern of synaptophysin in the cerebellum, detecting it in the molecular layer and granule cell layer of the cerebellar cortex. In the molecular layer, the dendrites of Purkinje cells receive parallel fibers, which are the axonal fibers of granule cells. In previous studies, the expression of synaptophysin in the postnatal rat cerebellum showed a similar pattern of distribution consistent with present results [31, 32]. Synaptic vesicles are present in neurons prior to and during synaptogenesis [33]. In the present study, Pb exposure during the fetal period impaired synaptophysin-immunoreactive synapses and synaptophysin expression level in the cerebellum. The detrimental effects of Pb exposure on synapses and synaptophysin were ameliorated by ascorbic acid treatment. In a previous study, synaptophysin expression increased with the maturation of cerebellar cells and synapse formation between granule cells and Purkinje cells or between mossy fibers and granule cells [32]. From these results, we suggest that gestational Pb exposure induces impairment in postnatal synaptophysin and synapse formation, and ascorbic acid treatment prevents these alterations.
Similar to presynaptic synaptophysin, low-level Pb exposure during prenatal and postnatal periods impaired the increase in postsynaptic PSD95 in the developing cerebellum. Gąssowska et al. also reported a similar pattern of change by showing a reduction in both synaptophysin and PSD95 levels in the Pb-exposed cerebellum [34]. Comparable to the cerebellum, long-term 0.2% Pb acetate treatment significantly reduced hippocampal expression of synaptophysin and PSD95 [15]. Compared to Pb-induced changes in postsynaptic PSD95 in the developing brain, the effect of ascorbic acid treatment on PSD95 expression has not yet been determined. In the present study, ascorbic acid administration prevented Pb-induced reduction in the cerebellar expression of synaptophysin and PSD95. PSD95 is an abundant PSD protein that can bind to other postsynaptic membrane proteins and cytoplasmic proteins. PSD95 functions as a scaffolding protein to assemble a specific set of signaling proteins, including NMDAR [35]. PSD95 is particularly abundant in excitatory synapses and is involved in synaptic plasticity in association with glutamatergic receptors, such as NMDAR and AMPAR [36].
Along with PSD95 expression levels, levels of the essential NMDAR1 were also decreased by gestational Pb exposure in the developing cerebellum. NMDAR is located in the postsynaptic membrane, and its substrate glutamate is released from presynaptic vesicles. PSD95 anchors and gathers NMDARs with downstream signals stimulating the transcription of BDNF and subsequent increase of synaptic proteins [37]. In the developing rat cerebellum, Pb exposure reduced the number of NMDAR1-immunoractive Purkinje cells and protein expression level of NMDAR1, and ascorbic acid treatment ameliorated these reductions. Consistent with these results, Alkondon et al. previously reported that Pb is an inhibitor of NMDAR-activated channel currents [38]. Along with decreasing NMDAR1 expression, Pb exposure also delays the switch from NMDAR1/NMDAR2B to NMDAR1/NMDAR2A during synaptogenesis [39]. Recent study additionally reported that ascorbic acid treatment was effective in activating NMDAR in the retinal cell cultures [40]. Moreover, we previously observed a reduction in inhibitory synaptic proteins in the developing cerebellum following gestational Pb exposure [18].
In a previous in vitro study, Pb reduced BDNF levels and induced cell death signaling pathway [37]. In the present in vivo study, a similar pattern was observed in the cerebellum; Pb reduced the protein expression level of BDNF, while ascorbic acid ameliorated the Pb-induced reduction. In addition, BDNF was expressed in the Purkinje cell and fibers in the white mater of the cerebellum. Pb-induced reduction in the BDNF-expressing Purkinje cells was ameliorated by ascorbic acid co-administration. From these results, we suggest that the change in BDNF expression explains the Pb-induced impairment and ascorbic acid-induced protection of cerebellar synaptic proteins. The ascorbic acid-mediated increase in BDNF ameliorates peroxide-induced oxidative stress in neurons [41]. In addition, ascorbic acid treatment at the same or twice the dose in stressed rats was effective in enhancing BDNF levels in brain homogenate [42]. In agreement with these results, the importance of BDNF in normal development of the cerebellum was shown through alterations in the arborization of Purkinje cells, pre- and postsynaptic specialization, layer formation, and foliation in the cerebella of BDNF-knockout mice [43].
The results of Luxol fast blue staining of lipoproteins in the myelin sheath and MBP immunoblot analysis showed prominent decreases in the cerebellum. MBP is an abundant protein in myelin and is used as a marker protein for oligodendrocytes, which form myelin around axonal fibers. The present findings suggest that Pb exposure during the gestational period deteriorates the development of myelinated axon fibers in the cerebellum. Ascorbic acid treatment protected myelinated fibers from Pb-induced impairment. In previous studies, ascorbic acid treatment initiated myelination by regulating basal lamina and myelin formation [44, 45]. The reduction of axonal fibers in the present study may be related to the Pb-induced reduction of the Purkinje cells which project axonal output from cortex to deeper area of the cerebellum [18]. Previous in vitro study also supported present positive effect of ascorbic acid by showing induction of myelination [46].
Summarizing, low-level Pb exposure during the gestational period negatively affects the normal development of the cerebellum by impairing synaptic protein expression and axonal fibers. Additionally, ascorbic acid treatment in Pb-exposed pregnant females protected the developing cerebellum of offsprings from Pb-induced alterations. The pattern of BDNF expression suggests that this neurotrophic factor is highly correlated with the respective Pb- and ascorbic acid-induced deterioration and restoration of cerebellar development. Therefore, we suggest that these observations will help us understand the mechanisms of Pb toxicity in the immature brain and support the therapeutic use of ascorbic acid in preventing Pb intoxication.
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Contributions
All authors conceived and designed the study. SMN, JSS, and JHL conducted animal modeling and histological analysis. ISC, THG, and BJC conducted animal caring and immunoblot analysis. SMN, ISC, BJC, and JHL collected and analyzed the data and wrote the manuscript. JHK and SSN participated in designing of the study, discussing of results, and revising the manuscript. All authors approved the final version of the manuscript.
Funding
This research was supported by the faculty research fund of Konkuk University and the Veterinary Science Research Institute of Konkuk University.
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Nam, S.M., Cho, IS., Seo, J.S. et al. Ascorbic Acid Attenuates Lead-Induced Alterations in the Synapses in the Developing Rat Cerebellum. Biol Trace Elem Res 187, 142–150 (2019). https://doi.org/10.1007/s12011-018-1354-6
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DOI: https://doi.org/10.1007/s12011-018-1354-6