Abstract
We have reported previously that intracranial application of near-infrared light (NIr) reduces clinical signs and offers neuroprotection in a subacute MPTP (1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine) monkey model of Parkinson’s disease. In this study, we explored whether NIr reduces the gliosis in this animal model. Sections of midbrain (containing the substantia nigra pars compacta; SNc) and striatum were processed for glial fibrillary acidic protein (to label astrocytes; GFAP) and ionised calcium-binding adaptor molecule 1 (to label microglia; IBA1) immunohistochemistry. Cell counts were undertaken using stereology, and cell body sizes were measured using ImageJ. Our results showed that NIr treatment reduced dramatically (~75 %) MPTP-induced astrogliosis in both the SNc and striatum. Among microglia, however, NIr had a more limited impact in both nuclei; although there was a reduction in overall cell size, there were no changes in the number of microglia in the MPTP-treated monkeys after NIr treatment. In summary, we showed that NIr treatment influenced the glial response, particularly that of the astrocytes, in our monkey MPTP model of Parkinson’s disease. Our findings raise the possibility of glial cells as a future therapeutic target using NIr.
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Introduction
Gliosis is the hypertrophy or proliferation of glial cells in response to neural damage by either stroke, trauma or neurodegenerative disease. Historically, gliosis has been associated with toxic, detrimental effects on neurones, by either inhibiting axonal regeneration by forming glial scars and/or secreting pro-inflammatory cytokines and other neurotoxic products. More recently, gliosis has also been associated with more beneficial effects after damage, for example with the release of neuroprotective agents such as glial-derived neurotrophic factor. The relationship between toxic and beneficial function appears complex, being dependent on an array of different factors and molecular signalling mechanisms, and may change with time period after the injury (McGeer and McGeer 1998, 2008; Barcia et al. 2003; Hamby and Sofroniew 2010; Halliday and Stevens 2011; Pekny et al. 2014; Pekny and Pekna 2014; Verkhratsky et al. 2014; Burda et al. 2016).
Parkinson’s disease is a major neurodegenerative movement disorder and is characterised by, not only a progressive loss of dopaminergic neurones in the substantia nigra pars compacta (SNc) and their terminations in the striatum (Blandini et al. 2000; Bergman and Deuschl 2002), but also a massive gliosis, particularly of astrocytes and microglia, the two major forms of glia (McGeer and McGeer 1998, 2008; Barcia et al. 2003).
Recently, we have shown that after application of the neuroprotective agent near-infrared light (NIr), there is a reduction in clinical signs and an increase in dopaminergic neurone survival in a monkey model (MPTP; 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine) of Parkinson’s disease (Darlot et al. 2016). In that study, NIr was delivered intracranially to a midline midbrain region close to the degenerative dopaminergic neurones in the SNc. Although the precise mechanism of NIr-induced neuroprotection is not clear, recent evidence indicates that NIr is a low-level stressor of cells and that activation of endogenous cellular stress responses is likely to be central to its efficacy (Chung et al. 2012; Rojas and Gonzalez-Lima 2011; Khan and Arany 2015). The main target of NIr appears to be cytochrome c oxidase, a key enzyme of the mitochondrial respiratory chain. This enzyme is a photoacceptor of light in the NIr range; NIr generates a redox change in cytochrome c oxidase that causes a transient change in mitochondrial membrane potential, leading to an increase in ATP (adenosine triphosphate) production and a burst in low levels of reactive oxygen species (Chung et al. 2012; Rojas and Gonzalez-Lima 2011; Begum et al. 2013; Gkotsi et al. 2014; Khan and Arany 2015). This, in turns, triggers a cascade of secondary downstream signalling pathways that collectively stimulate endogenous cell protection and repair mechanisms (Chung et al. 2012; Rojas and Gonzalez-Lima 2011; Khan and Arany 2015).
In the present study, we took the opportunity to examine this rare primate material further, by analysing the patterns of gliosis in our monkey MPTP model and after NIr treatment. We explored the organisation of astrocytes and microglia in both the SNc and striatum, the major regions of lesion after MPTP insult. We aimed to provide insight into the impact of NIr on the morphological aspects of the glial response after MPTP insult, to hopefully understand better how NIr offers neuroprotection in primates.
Methods
The brains of twenty-two adult Macaque monkeys (Macaca fascicularis) aged 4–5 years, weighing 5–7 kg, were analysed. All the experiments were approved by the Animal Ethics Committee COMETH (Grenoble), by the French Ministry for Research (protocol number 00562.02) and were performed in accordance with the European Communities Council Directive of 1986 (86/609/EEC) for care of laboratory animals.
These animals formed part of a larger study exploring the impact of NIr on the behaviour and survival of cells in the SNc and their terminations in the striatum (Darlot et al. 2016); there was no overlap of results between the present study and the previous one. In the previous study (Darlot et al. 2016), full details of the NIr optical fibre device and the entire experimental procedure were described; hence, only the major points of protocol will be outlined here.
We analysed the SNc and striatum of monkeys in three groups: (1) Control (n = 5): animals that received no MPTP treatment. Three monkeys had an optical fibre implant (but not activated) into the midbrain (see below), while two were left intact. We have shown that neither the surgical procedure nor optical fibre implant had any impact on behaviour and/or dopaminergic neurone number (Darlot et al. 2016) (2) MPTP (n = 11): animals that received MPTP injections over five or seven days (subacute MPTP model; Ashkan et al. 2007; Wallace et al. 2007; Darlot et al. 2016; Fig. 1); ten of these monkeys were left intact, and one had an optical fibre implant (not activated). There were no differences in the clinical scores nor dopaminergic neurone loss between the monkeys given different doses of MPTP; hence, the data were pooled (Darlot et al. 2016) (3) MPTP-NIr (n = 6): animals that received MPTP injections as above, in conjunction with optical fibre implants delivering NIr (Fig. 1). These monkeys formed the MPTP-NIr1 group of our previous study (Darlot et al. 2016), the group that showed few clinical signs and had clear evidence of neuroprotection. We chose this group for inclusion because it would provide the clearest indication of whether NIr had an impact on gliosis after MPTP insult.
Many of the animals were implanted stereotactically with a NIr optical fibre that was attached proximally to a 670 nm laser diode that was itself connected to the battery of an implantable stimulator. We targeted stereotactically a region close to the midline of the midbrain, near the SNc of both sides. After implantation, the skull opening was filled with biological cement and the overlying tissues were sutured (Moro et al. 2014; Reinhart et al. 2015; Darlot et al. 2016). Animals in the MPTP and MPTP-NIr groups received intramuscular MPTP injections (0.3 mg/kg/day; Sigma) for either five (total of 1.5 mg/kg) or seven (total of 2.1 mg/kg) days (Fig. 1). Monkeys in the MPTP-NIr group had the NIr device turned on (5 s ON/60 s OFF) a few minutes before each MPTP injection; the device remained turned on for the next 24-h period (Fig. 1). The output was 10 mW power, resulting in an estimated total dose of 25–35 J (Darlot et al. 2016). Twenty-four hours after the last MPTP injection, the device was turned off. During the bulk of the experimental period, from a week after surgery up until termination (i.e. 32 days; Fig. 1), monkeys were evaluated clinically using a modified J.S. Schneider scale, measuring a range of parameters, for example from posture to general activity and from facial expression to bradykinesia (Schneider et al. 2003; Darlot et al. 2016).
At the end of the experimental period, animals were anaesthetised with intramuscular injections of sodium pentobarbital (60 mg/kg) and had their brains aldehyde-fixed, cryoprotected and sectioned using a freezing microtome. Sections of midbrain and striatum (1/5 series) were incubated in either anti-glial fibrillary acidic protein (to label astrocytes; GFAP; 1:500; Z033429-2 Dako) or anti-ionised calcium-binding adaptor molecule 1 (to label microglia; IBA1; 1:500; 019-19741 Wako) followed by biotinylated anti-rabbit IgG and then Extravidin–peroxidase complex (1:20 EXTRA3-1KT Sigma). Sections were reacted in a 3,3′-diaminobenzidine tetrahydrochloride solution (D3939 Sigma) and then coverslipped. The midbrain sections were counterstained lightly with neutral red, as to reveal the nuclear boundaries of the SNc. For controls, sections were processed as described above except that no primary antibody was used. These control sections were immunonegative. The number of glial cells in the SNc and striatum was estimated using the optical fractionator method (StereoInvestigator, MBF Science) as described by previous studies (Shaw et al. 2010; Peoples et al. 2012; Moro et al. 2014; Johnstone et al. 2014; Reinhart et al. 2015; Darlot et al. 2016; El Massri et al. 2016). The cell body size of glia in the SNc and striatum was measured using ImageJ software. The cell bodies were traced from photomicrographs and the programme calculated the area of each cell (~20 cells from each animal). The results from the MPTP and MPTP-NIr groups are presented as a percentage difference in size relative to the Control group. One-way ANOVA was used for statistical group comparisons of immunoreactive cell numbers (GraphPad Prism).
Results
Our results on the patterns of GFAP and IBA1 immunoreactivity will be considered separately. Figure 2a shows a graph of the estimated total number of GFAP+ astrocytes in the SNc (black columns) and striatum (grey columns) of monkeys in the different experimental groups. There were clear differences in the number of GFAP+ astrocytes in both the SNc and striatum of the different groups. In both nuclei, there were 80–90 % more astrocytes in the MPTP group than in the Control. In the MPTP-NIr group, astrocyte number had reduced by ~75 % from the MPTP group, to near control levels (Fig. 2a). The differences in number between the groups were significant, for both the SNc (ANOVA: F = 19; p < 0.0001) and for the striatum (ANOVA: F = 14; p < 0.0001).
The photomicrographs in Fig. 2b–g extend further the patterns described above for the SNc (Fig. 2b, d, f) and striatum (Fig. 2c, e, g). In the Control group, there were many finely labelled fibres, but few GFAP+ cells in both the SNc (arrow Fig. 2b) and striatum (arrow Fig. 2c). In the MPTP group, a very different pattern was evident, with both nuclei being characterised by numerous, strongly labelled GFAP+ astrocytes (arrows Fig. 2d, e). In the MPTP-NIr group, GFAP immunoreactivity resembled the control monkeys, with a much sparser distribution of GFAP+ astrocytes—compared to the MPTP group—being seen across both nuclei (arrows Fig. 2f, g). The graph in Fig. 2h indicates that there were also clear differences in the size of the GFAP+ cell bodies between the groups; astrocytes in the MPTP group were considerably larger—and presumably activated—than those in the Control and MPTP-NIr group of both nuclei. The differences in cell body size between the groups were significant in the SNc (ANOVA: F = 72; p < 0.0001) and the striatum (ANOVA: F = 103; p < 0.0001).
For the IBA1+ microglia, the graph in Fig. 3a shows that differences in the estimated total numbers in the SNc (black columns) and striatum (grey columns) between the experimental groups were not as clear as they were for the GFAP+ astrocytes (Fig. 2a). In the SNc, the number of microglia were very similar in the different groups, while in the striatum, there was a 45–55 % increase in number in the MPTP and MPTP-NIr groups compared to Control group (Fig. 3a). The differences in number between the groups were significant for striatum (ANOVA: F = 12; p < 0.0001), but not for the SNc (ANOVA: F = 0.3; p > 0.05).
The photomicrographs in Fig. 3b–g indicate few differences in the morphology of IBA1+ microglia in the SNc (Fig. 3b, d, f) and striatum (Fig. 3c, e, g). The majority of cells had small cell bodies and finely labelled processes, the classical resting appearance (McGeer and McGeer 2008; Halliday and Stevens 2011). The only substantial difference we noted in the patterns of IBA1 immunoreactivity of the different groups was in the SNc of the MPTP group, where large amoeboid-like (and presumably activated) cells were often found (arrow Fig. 3d). We never saw these cells in the SNc of the other groups, nor in the striatum of any group. The presence of these cells in the SNc of the MPTP group presumably contributed to the substantial increase in the cell body size of the microglia compared to the Control and MPTP-NIr groups (Fig. 3h). The cell bodies of microglia in the MPTP group of the striatum were also larger than the other groups, but to a smaller extent. The differences in cell body size between the groups were significant in the SNc (ANOVA: F = 10; p < 0.0001) and the striatum (ANOVA: F = 5.1; p < 0.01).
Discussion
Previous studies have reported an increase in both astrocyte and microglia reactivity in the SNc and striatum of rodents after MPTP or 6-hydroxydopamine lesion (Francis et al. 1995; Strömberg et al. 1986; Reinhard et al. 1988; Członkowska et al. 1996; Kohutnicka et al. 1998; Fernagut et al. 2004; Johnstone et al. 2014; El Massri et al. 2016). In general, these studies indicate a proliferation of both astrocytes and microglia almost immediately after insult; thereafter, microglia tend to return to control-like levels before the astrocytes, within a matter of weeks (Członkowska et al. 1996; Kohutnicka et al. 1998). In primates, our knowledge of the glial response after parkinsonian insult is, given the rarity of the material, understandably scarce, but there are some reports on offer. In MPTP-treated monkeys (Hurley et al. 2003; McGeer et al. 2003) and Parkinson’s disease patients (McGeer et al. 1988; Mirza et al. 1999), an increase in microglia reactivity has been shown in the SNc, but not the striatum (Mirza et al. 1999; Hurley et al. 2003); in Parkinson’s disease patients, little if any astrocytic proliferation has been reported in the SNc and striatum (Mirza et al. 1999). It is likely that the limited astrogliosis and microgliosis reported in patients and MPTP-treated monkeys relates to the time period of examination; astrocytes and microglia may have been more active at earlier stages of the disease process in these cases, but this is yet to be determined.
Our results in MPTP-treated monkeys largely confirm and extend previous studies. We extend previous findings by showing a proliferation of reactive astrocytes in the SNc and striatum of MPTP-treated monkeys; the number and size of these cells increased from the controls. For microglia, the MPTP-treated monkeys showed an increase in number and cell size in the striatum, while in the SNc, although there was no change in number, cells were larger compared to the controls, with many having a reactive amoeboid-like morphology (see “Results”). Thus, in the time frame of our subacute MPTP model (Fig. 1), many aspects of the glia reaction after parkinsonian insult described above were captured.
The most novel finding of this study relates to the impact of NIr on this glial response in the primate SNc and striatum. In particular, we showed that NIr treatment reduced dramatically MPTP-induced astrogliosis in both nuclei. A similar reduction in astrogliosis by NIr has been shown also in the aged mouse retina (Begum et al. 2013). Among microglia, however, our findings indicated a more limited impact by NIr in MPTP-treated monkeys; although there was a reduction in cell size (due to fewer amoeboid-like cells, at least in the SNc), there were no changes in the number of microglia after NIr treatment. We have reported a similar pattern in an acute rodent MPTP model, where NIr reduced the number of astrocytes in the striatum, but had no effect on the microglia (Johnstone et al. 2014; El Massri et al. 2016). The impact on astrocytes in the SNc in rodents was less clear, however, but this may be due to the more acute nature of the MPTP model we used (Johnstone et al. 2014). Nevertheless, NIr was clearly more effective in reducing astrogliosis than microgliosis in both primate and rodent MPTP models.
The reason for this differential effect by NIr on the two types of glia is not clear, but two possibilities suggest themselves. First, the astrocytes may have receptors or other qualities that make them generically more likely to be influenced by NIr than microglia; this feature may be unique to parkinsonian insult, however, for it appears not the case in other disorders, for example multiple sclerosis (Muili et al. 2012), aged-related macular degeneration (Rutar et al. 2015) and traumatic brain injury (Khuman et al. 2012), where microgliosis has been reported to be reduced by NIr treatment. Second, at our stage of treatment in relation to insult, astrocytes may have been more sensitive to NIr treatment than microglia; at other stages in the disease process, microglia may have been more sensitive to NIr.
In conclusion, we have shown that in a primate model of Parkinson’s disease, NIr treatment reduced markedly astrogliosis in the SNc and striatum, two regions where our previous study has reported evidence for neuroprotection, an increase in dopaminergic neurone survival (Darlot et al. 2016). It is not known if this reduction in astrogliosis was due to the NIr acting on the astrocytes directly or secondary to the neuroprotection. If acting directly on the astrocytes, the NIr treatment could have stimulated a neuroprotective role for these glial cells, perhaps by triggering the cellular mechanisms outlined above (see “Introduction”), resulting in an increase in their secretion of anti-inflammatory agents and a reduction in their pro-inflammatory ones (McGeer and McGeer 2008). This, in turn, would have resulted in a greater survival of dopaminergic neurones in the SNc and their terminations in the striatum. With regard to the microgliosis, our results indicated that the impact of NIr was less distinct, but that could be due to the time frame limitations of our primate model. Future studies, particularly using cell culture models, may explore whether NIr-mediated neuroprotection involves the glial cells directly, in particular astrocytes. Overall, our results showed that NIr treatment influenced the glial response to parkinsonian insult; notwithstanding whether this influence was direct or secondary to the neuroprotection, our findings raise the possibility of glial cells as a future therapeutic target using NIr.
Abbreviations
- ATP:
-
Adenosine triphosphate
- GFAP:
-
Glial fibrillary acidic protein
- GP:
-
Globus pallidus
- IBA1:
-
Ionised calcium-binding adaptor molecule 1
- MPTP:
-
1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine
- NIr:
-
Near-infrared light
- R:
-
Red nucleus
- SNc:
-
Substantia nigra pars compacta
- SNr:
-
Substantia nigra pars reticulata
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Acknowledgments
We are forever grateful to Michael J Fox Foundation, Credit Agricole Sud Rhones Alpes, Fondation Philanthropique Edmond J Safra, France Parkinson and the French National Research Agency (ANR Carnot Institute), Tenix corp and Salteri family and our industry partners for funding this work. Daniel Johnstone is an Early Career Fellow of the NHMRC, Australia. We thank Sharon Spana, Diane Agay, Guillaume Barboux, Clément Perrin, Cyril Zenga and Mylène D’Orchymont for excellent technical assistance.
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El Massri, N., Moro, C., Torres, N. et al. Near-infrared light treatment reduces astrogliosis in MPTP-treated monkeys. Exp Brain Res 234, 3225–3232 (2016). https://doi.org/10.1007/s00221-016-4720-7
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DOI: https://doi.org/10.1007/s00221-016-4720-7