Open Access Article
Katharina
Fernsebner
*a,
Julia
Zorn
b,
Basem
Kanawati
a,
Alesia
Walker
a and
Bernhard
Michalke
a
aResearch Unit Analytical Biogeochemistry, Helmholtz Zentrum München – German Research Center for Environmental Health (GmbH), Ingolstädter Landstraße 1, D-85764 Neuherberg, Germany. E-mail: Katharina.Fernsebner@helmholtz-muenchen.de
bResearch Unit Comparative Medicine, Helmholtz Zentrum München – German Research Center for Environmental Health (GmbH), Ingolstädter Landstraße 1, D-85764 Neuherberg, Germany
First published on 17th February 2014
Occupationally or environmentally caused chronic exposure to Manganese (Mn) can lead to a degeneration of dopaminergic neurons inducing a Parkinson-like complaint called manganism. Deciphering the ongoing neurodegenerative mechanisms in the affected brain is still a major task for understanding the complex modes of action. Therefore, we applied a non-toxic, oral feeding in rats simulating a chronic exposure to Mn. Analysis of brain extracts by electrospray ionization Fourier transform resonance mass spectrometry (ESI-FT-ICR-MS) revealed an increase in markers of oxidative stress like glutathione disulfide (GSSG), prostaglandins, and 15(S)-HETE, a marker of lipid peroxidation. Furthermore, acetylcholinesterase (AchE) activity and glutamate concentrations were elevated in brain samples of Mn-supplemented rats, suggesting oxidative stress in the brain tissue. Application of ion chromatography coupled to inductively coupled plasma-optical emission spectrometry (IC-ICP-OES) further showed a shift of Fe(III) towards Fe(II) in the brain samples enabling for example the action of the Fenton reaction. This is the first time that changes in the Fe-species distribution could be related to Mn-induced neuroinflammation and is therefore enlarging the knowledge of this complex neurodegenerative condition. The combination of our findings provides substantial evidence that Mn-induced neuroinflammation leads to oxidative stress triggered by multifactorial pathophysiological processes.
Humans have a higher risk due to inappropriate protection when occupationally exposed to Mn.4–6 In particular, welders or miners are accounted to the high-risk group, respirating certain amounts of Mn-dust almost every day,7 which can contribute to certain health problems also post-occupationally.8 Moreover, as part of a worldwide increase in industrial emission9 or the use of organically bound Mn in pesticides and in MMT (methylcyclopentadienyl Mn tricarbonyl) as an anti-knock agent in gasoline, humans are also getting environmentally exposed to Mn leading to combined exposure scenarios.9
Along with overexposure, Mn has been shown to cross the cerebrospinal fluid barrier and to accumulate in the area of the basal ganglia.10 This is known to lead to psychological and motor disturbances similar to symptoms observed in Parkinson Disease (PD).11 Mechanisms for Mn-induced neurotoxicity are varied with mitochondrial inactivation as the primary route of action.12 This results in enhanced production of reactive oxygen species (ROS) in the affected brain areas leading to oxidative stress.13
The PD-like effects of manganism are thought to arise from the damage of output pathways downstream from the nigrostriatal dopaminergic pathway.14 In the striatum, dopamine along with γ-aminobutyric acid (GABA) controls motor behaviors, while their afferents arise from cortical glutamate, the major excitatory neurotransmitter.15,16 Therefore, Erikson et al. postulated that abnormal striatal glutamate (and/or GABA) metabolism may indirectly contribute to Mn-induced neurotoxicity in dopaminergic pathways.14 So far, it seems as if Mn disrupts glutamate transport systems resulting in reduced glutamate uptake and elevated extracellular glutamate concentrations primarily observed in astrocytes.17
Furthermore, several studies reported about an altered AchE activity due to Mn-substitution. AchE is an essential enzyme in the central nervous system (CNS), promoting the catalysis and transmission of the neurotransmitter acetylcholine in cholinergic synapses, involved in the regulation of intracellular calcium levels, neurite outgrowth and in neuronal survival.18 Therefore, AchE inhibitors are used for treatment of neurodegenerative disorders like Alzheimer's Disease (AD).19 In general, determination of AchE activity is often used for prediction of induced neurotoxicity as is the case with high Mn exposure. Nevertheless, it still remains unclear whether Mn-substitution leads to an increase or decrease in AchE activity, as Mn intoxication might act in a time and/or dose-dependent manner.
Based on this background, the aim of this study was to explore the effects of oral exposure of rats to Mn lasting several weeks as a model for chronic Mn exposure. The Mn feeding levels were adjusted for the induction of Mn-induced neuroinflammation. To elucidate the different mechanisms likely responsible for Mn-induced neuroinflammation, we determined both glutamate levels and AchE activity in rat brain extracts. Additionally, targeted metabolite analysis of rat brain samples by electrospray ionization Fourier transform ion cyclotron resonance mass spectrometry (ESI-FT-ICR-MS) was performed to obtain a deeper understanding of neurotoxic mechanisms due to Mn substitution. Such an approach was used to unravel possible markers of neuroinflammation or oxidative stress.
For further investigation of the molecular mechanism of Mn-overexposure, we determined Fe(II)/(III)ratios in the rat brain. Several neurodegenerative diseases such as AD, Huntington Disease, amyotrophic lateral sclerosis and also PD were associated with brain Fe accumulation with highest Fe concentrations observed in globus pallidus and substantia nigra amongst other brain areas.20 Fe, predominantly in the form of Fe(II), is known to catalyze the formation of reactive oxygen species (e.g. hydroxyl radical) and the initiation or enhancement of lipid peroxidation by reacting with hydrogen peroxide via the Fenton reaction.21 Hence, Fe can act as a highly neurotoxic agent.22 So far, there have been only a few studies on the relation between Fe and manganism. It is noteworthy that Mn is primarily elevated in Fe-rich brain regions during manganism and that Fe-deficiency can enhance Mn uptake into the brain.23,24 However, determination of different Fe oxidation states during Mn exposure has – to our knowledge – never been an objective of previous studies. Thus, our study will enhance current knowledge of ongoing Mn-related neurodegenerative mechanisms.
160 × g at 2 °C, Biofuge 17 RS, Heraeus-Sepatech, Osterode). The supernatant was transferred into an eppendorf tube while the pellet was resuspended in extraction buffer and centrifuged again (30 minutes at 20
160 × g at 2 °C). The supernatant was added to the one obtained before and the extract was deep-frozen at −80 °C in aliquots until analysis. The pellet was kept at 4 °C until microwave digestion (Microwave3000, Anton Paar, Austria). For the microwave digestion, the pellet was transferred into the quartz glass of the microwave device with 5 mL of distilled nitric acid. The used program was: 0–5 W for 5 minutes, 500 W for 10 minutes, 500–1000 W for 5 minutes, 1000 W for 45 minutes and back to 0 W within 15 minutes. After cooling of the cases the digested samples were filled up to 50 mL with aqua bidest and stored at room temperature until analysis. For each brain two extractions were performed yielding 12 extracts per group.
900 × g, the supernatant was diluted with 70% MeOH (1
:
10). The extracts were stored at −80 °C until measurement with ESI-FT-ICR-MS.
:
10 with aqua bidest and the acid digested pellets were measured undiluted. In both cases, 1 μg L−1 Rh was used as the internal standard. Plasma conditions were 15 L Ar per min for plasma gas, 1.45 L Ar per min for auxiliary gas and 1.14 L Ar per min for the sample gas at a RF power of 1260 W. The measurements were carried out in medium resolution with determination of the following isotopes: 55Mn; 103Rh. Before measurement, a so-called peak search was carried out to set the respective mass offset for each isotope for correct evaluation of masses. For calibration, a multielemental standard containing Mn was diluted with aqua bidest and a five point calibration with 0, 100, 250, 500 and 1000 μg L−1 containing 1 μg L−1 Rh as the internal standard was carried out. The best calibrated isotopes (at least R2 = 0.999×) were used for calculation of respective concentrations.
For determination of Fe levels in brain extracts and pellets ICP-OES analysis using an Optima 7300DV from Perkin Elmer was carried out. Therefore, extracts were diluted 1
:
10 with aqua bidest while acid digested pellets were measured undiluted. In both cases 100 μg L−1 Rh served as the internal standard. Quantification was achieved by measurement of 100 μg L−1 certified multi-elemental standard. Operating parameters were the same as described above (see ICP-OES measurement of nitric acid digested whole brain).
Accuracy of ICP-sf-MS and ICP-OES measurements and comparability between both instruments were checked by analyzing certified reference material (bovine liver, BCR 185; n = 3; certified values: Mn 9.3 ± 0.3 μg g−1). Mn was determined at 8.1 ± 0.08 μg g−1 or 8.49 ± 0.23 μg g−1 by ICP-sf-MS or ICP-OES, respectively. Measured element levels on both instruments thus were comparable.
:
10 with the assay buffer and sonicated on ice for 30 seconds. 100 μL of each sample and standard were transferred into a 96-well plate in duplets and 50 μL of the reaction mix was added according to the distributor's manual. After incubation for 20 minutes at room temperature, the fluorescent intensity was determined at 510 nm after excitation at 370–410 nm with a conventional plate reader (Safire2, Tecan).
:
10 dilution of brain extracts in the supplied assay buffer was used for measurement. 50 μL of samples or standards were added into a 96-well plate and 100 μL of the reaction mix was added according to the distributor's manual. After incubating the plate at 37 °C for 30 minutes with the exclusion of light, the OD was measured at 450 nm using the plate reader mentioned above.
25 μL of the extracts were injected via a syringe filter (0.45 μm, MEMBREX, membraPure Membrantechnik, Reinstwasser, Germany) to filter off any residues, which might have influenced column operating conditions. The column was cleaned regularly with 1.5 mM HCl with subsequent re-equilibration of the column. Before and after each run, a blank run with H2O was carried out to ensure no carryover. Elution time and peak areas were calculated by the use of the Clarity Software, while peak areas were utilized for determination of the percentage of Fe(II) and Fe(III) in the samples. Comparison with Fe standards yielded the retention times and was used for calculation of recovery. Therefore, Fe(II)Cl2·4H2O standard solutions were prepared in aqua bidest at different concentrations (100, 200, 300, 400 and 500 μg L−1) both for external calibration as well as for matrix addition analysis for comparison. Fe(III)citrate served as the standard for Fe(III) determination by adding HNO3 to the standard solutions to ensure release of total Fe(III) from the citrate complex. Due to the need of adding HNO3 to the Fe(III) standard, no matrix addition could be carried out and external calibration by standard addition was used for calculation of recovery of Fe(III). Stock solutions of 1 g L−1 in aqua bidest and extraction buffer were prepared freshly before analysis. Regarding Fe(III), standard solutions of 100, 250, 400, 500 and 750 μg L−1 were prepared with 30% HNO3 (V/V compared to added volume of standard).
ICR-FT-MS spectra were calibrated internally by using the exact masses of known rat brain metabolites. Calibration was performed using the data analysis software 4.1 (Bruker Daltonics, Bremen, Germany) and exported to peak lists at a signal to noise ratio (S/N) of 4. After calibration, mass lists were uploaded to MassTRIX web server in order to perform a subsequent annotation of masses within an error range of one ppm.
The results for measurement of Fe levels in the brain extracts and pellets as well as in the total brain, obtained in parallel by ICP-OES and ICP-sf-MS, are depicted in Fig. 1B. Total Fe concentrations were 8.9 μg g−1 brain for test rats and 13.4 μg g−1 brain for control rats. In a similar way, the concentrations in brain extracts and pellets were significantly decreased in test rats compared to those of control rats as well (extract: 3.7 ng g−1 brain compared to 6.9 ng g−1 brain in control rats; pellets: 5.8 ng g−1 brain compared to 7.0 ng g−1 brain in control rats). Calculation of extraction efficiency showed 48.9 ± 5.9% for control samples and 41.5 ± 3.8% for test samples. The recovery, calculated as described above, was averaged at 101.8 ± 5.8% (control: 99.2 ± 6.5%, test: 104.4 ± 5.1%). Hence, the extraction procedure was also specific for Fe.
AchE activity was significantly increased by 9% in test rat brain extracts (979 mU mL−1 g−1 brain in test rats compared to 896 mU mL−1 g−1 brain in control rats) as shown in Fig. 2A.
The increase in brain AchE activity is consistent with other studies of sub-acute treatment with Mn.27,29 For example, Chtourou et al. showed in a recent study that treatment of adult male Wistar rats with 20 mg mL−1 Mn in drinking water for 30 days resulted in a significant increase in AchE activity as well as a considerable increase in AchE expression in cerebellum.28 In contrast, long-term or chronic treatment of rats with Mn in drinking water (e.g. 1 mg mL−1 for 2 years30 or 10 mg mL−1 for 8 months31) resulted in significant decreases of AchE activity. Summarizing these findings from the literature it appears that AchE increases first as an acute response to Mn, however, after adoption of the organism a decrease after prolonged exposure periods is observed. As the feeding duration in our study was 53 days, the observed enhancement of AchE activity might still be a response to the acute Mn-induced oxidative stress in the test rat brains. However, the time frame in this study might present the edge between acute and chronic exposure compared to the time frame of the cited studies, explaining the only slight elevation of 9%. Possibly, a high response to the oral Mn substitution was already flattened at the time point of measurement.
However, we obtained a positive, exponential correlation (R2 = 0.7194) between AchE activity and increasing Mn concentrations, measured in brain extracts. The correlation indicates an upper limit of AchE activity (around 1000 mU mL−1 g−1 brain) occurring from Mn concentrations of 130 ng g−1 brain (Fig. 2B). This leads to the suggestion that above a certain Mn concentration, AchE activity is attenuated, maybe due to the inability to compensate for Mn-induced intoxication.
Taken together, our results indicate a Mn-dependent significant increase in AchE activity in the rat brain as a sign of antioxidative response to Mn-induced oxidative stress. Such a stress-induced increase in AchE activity was also reported in AD as well as by Melo et al., who observed an enhanced AchE activity in cultured cells due to oxidative stress.32,33
In Fig. 3A the results for measurement of glutamate concentrations in the brain extracts are depicted. In the test rat brain extracts, glutamate was significantly increased by 19% (2.21 mM g−1 brain compared to 1.85 mM g−1 brain).
Furthermore, correlation of glutamate with Mn concentrations in brain extracts indicated a linear, positive correlation (R2 = 0.4164) suggesting a Mn-dependent increase in glutamate concentrations (see Fig. 3B).
Mn is known to accumulate primarily in astrocytes, which are the most abundant cells in the CNS (appr. 50% of volume) and facilitate numerous essential functions like glutamate homeostasis, where Mn is a cofactor of the glutamine synthetase.34 Here, we observed and confirmed an accumulation of glutamate, presumably derived through Mn inhibition of glutamine synthetase, that was reported before.35 During excessive Mn accumulation in cultured rat astrocytes, glutamate transporters (GLAST and taurine receptor) were found to be impaired.36 A down regulation of expression and function of glutamate transporters led to a reduced glutamate uptake and an increased extracellular glutamate level in rat neonatal primary astrocytes, which then provoked excitatory neurotoxicity.37 Both, extracellular (198%, 150 μM MnCl2) and intracellular (170%, 300 μM MnCl2) glutamate levels were increased by a low-level Mn exposure to AF5 rat neural-derived cells,38 which is consistent with the outcome of other studies, where an Mn-induced increase in intracellular and extracellular glutamate levels was observed in astrocytes.39,40 Despite these detailed Mn-induced mechanisms on the molecular level of glutamate homeostasis, knowledge about glutamate levels in rat brain tissue is still conflicting. On the one hand, Lipe et al. applied 20 mg Mn per kg per d in rats leading to a significant increase of Mn and glutamate concentrations in the rat brain,41 while on the other hand exposure to 6 mg Mn per kg per d led to a decrease in glutamate concentrations.42 Therefore, it seems that lower Mn exposure results in a decrease of glutamate, while high Mn concentrations result in an increase of glutamate concentrations in the brain.14 In summary, our findings reinforce the results of the cellular models with an increase in glutamate concentrations due to Mn-substitution. In this context, glutamate is presumably contributing to the enhancement of oxidative stress by activation of glutamate-gated cation channels in neurodegenerative occasions in general, e.g. PD or Alzheimer's Disease.22 Elevated glutamate concentrations might also be a consequence of a NO-mediated mechanism, as NO was shown to increase the release of glutamate from glia and neurons leading to excitotoxicity.43
15(S)-HETE together with 12(S)-HETE are the metabolites of 12/15-lipoxygenase (12/15-LOX), one of several lipid-peroxidizing enzymes present in the plant and animal kingdoms.44 In general, LOXs insert molecular oxygen into free and esterified polyunsaturated fatty acids.45 So far, 12/15-LOX has been described mainly in neurons and also in some glial cells of the cerebrum, basal ganglia, and hippocampus.46 Interestingly, an increase in its metabolic products was not only observed in brain ischemia-reperfusion injury,47 but also in the brain of patients suffering from AD,48 suggesting an involvement of these metabolites in neurodegenerative disorders. Thus, 12/15-LOX might oxidize fatty acids in the cell membranes and therefore contribute to in vivo oxidative stress.49 The observed increase in 15(S)-HETE could be due to the Mn-induced formation of ROS in the brain, through direct activation of 12/15-LOX or by reaction of ROS products like H2O2 with Fe(II), which also contributes to lipid peroxidation.50 Furthermore, an activation of LOX was not only observed due to oxidative stress but also by interaction with NO.51 Therefore, the herein applied Mn substitution might contribute to a release of NO by activation of the inducible nitric oxide synthase in astrocytes52 leading to the assumption of a NO-mediated mechanism of Mn-induced oxidative stress in the brain.53
Another sign for inflammatory processes in the brain is the detected increase of the two prostaglandins PGH2 and PGB1, while the latter was only detected in the Mn-treated group. One of many responses to inflammation is the release of arachidonic acid and its conversion to proinflammatory prostaglandins.54 PGB1 is the non-enzymatic dehydration product of PGE1 and a metabolite of PBA1, which is known to modify the pressor responses to sympathetic nerve stimulation.55 PGH2 is the intermediate product in the synthesis of prostaglandins, which is produced from arachidonic acid and is the precursor metabolite for the synthesis of the prostaglandins from the I, E, F and D group. A disturbed arachidonic acid metabolism is – besides the mitochondrial respiratory chain and NADPH oxidase – the major source of ROS.56 Hence, the herein observed upregulated prostaglandins represent major proinflammatory lipid mediators57 and are a further sign of oxidative stress in the brain due to Mn substitution. Similar results were obtained by Santos et al., who observed an increase in PGE2 in rats, which received MnCl2 injections.58
Oxidative stress is further characterized by a depletion of GSH57 and an increase in GSSG.59 In our study, a specific decrease in GSH could not be detected using the applied method, but interestingly GSSG was significantly increased in Mn-treated rats. Therefore, we assume that due to the oxidative stress, the oxidized form of GSH (namely GSSG) is prevalently formed in the neuronal site. This in turn is a further hint for Mn-induced oxidative stress in the brain. Hernandez et al. also were able to observe an increase in GSH at low Mn concentrations but a decrease in GSH at higher levels of Mn in two different cell lines in vitro,60 presumably by shifting the balance towards GSSG.
These results of ESI-FT-ICR-MS all contribute to the supposed induction of oxidative stress due to Mn. Furthermore, they reveal deeper insight into the different mechanisms, which are discussed in the process of neurodegeneration due to Mn (see also Fig. 7).
After analyzing all brain extracts, we observed a significant (p = 0.015) shift of Fe(II)/(III)-homeostasis towards Fe(II) in the test rat brain extracts by comparison of area percent as shown in Fig. 5B.
The obtained concentrations of Fe(II) and Fe(III) were correlated with Mn concentrations in the brain extracts as shown in Fig. 6.
The correlation of Fe(II) showed a stronger, linear correlation with Mn concentrations in the brain extracts compared to the correlation of Fe(III) in both control (Fig. 6A) and test (Fig. 6B) rat brain extracts. This correlation was even slightly stronger in the test rat brain extracts (R2 = 0.6574 for test samples compared to R2 = 0.5714 for control samples). The correlation between Fe(II) and Mn was statistically significant both in control and test samples (p = 0.018 and p = 0.008, respectively). Correlation of Fe(III) with Mn showed no statistical significance both in control and test samples (p = 0.109 and p = 0.074, respectively). According to the slope of the trendline, these data indicate a stronger increase in Fe(II) (control: y = 41.465x + 147.66, R2 = 0.5714; test: y = 25.226x + 67.492, R2 = 0.6574) than Fe(III) (control: y = 19.691x − 26.062, R2 = 0.3256; test: y = 10.254x − 64.345, R2 = 0.3869) with higher Mn concentration in the rat brain indicating a misbalancing of the Fe(II)/Fe(III) redox couple.
Since Fe is a further “biometal”, which is a prerequisite of neurons, an abnormal distribution of Fe can lead to different brain injuries. Therefore, excessive Fe deposition in the CNS was observed in neurodegenerative diseases like Alzheimer's Disease, ALS and also PD.18,19,61 Acute brain injuries, like ischemia also lead to a release of Fe out of mitochondrial heme into neurons.62 In more detail, the degradation of heme will contribute to a release of Fe(II), which may then generate free radicals in the Fenton reaction and therefore lead to neuronal injury or damage.22,62 This possible mechanism of Fe-dependent neuronal damage is one of several proposed mechanisms. In the case of ischemia, the inhibition of detoxifying enzymes like SOD or glutathione peroxidase causes prevention of oxidation of Fe(II) to Fe(III).62 A missing increase in the expression of ferritin leads to an inhibited removal of the increased Fe(II).63 Both mechanisms thus promote Fe(II) accumulation. Especially the lack of removal of Fe(II) from neurons might also be the case in our study, which could be due to a competition for metal transporter binding as the body is engaged with neuronal clearing of Mn. Therefore, enzymes which are usually complexing Fe might now be occupied with Mn due to the need of removal of Mn. This in turn leads to an increase in the highly reactive free iron, which can then prompt oxidative stress via the Fenton reaction as shown in eqn (1):
| Fe(II) + H2O2 ⇌ FeOH2+ + ˙OH | (1) |
Interestingly, H2O2 can not only act as an oxidizing but rather as a reducing agent, prompting the reduction of Fe(III) to Fe(II):64
| Fe(III) + H2O2 ⇌ Fe(II) + O2− + 2H+ | (2) |
| Fe(III) + O2− ⇌ Fe(II) + O2 | (3) |
By assuming that ROS like H2O2 is already present in the brain tissue due to Mn intoxication58,65–67 this H2O2 might then react with the Fe(III) and the resulting Fe(II) might then further react via the Fenton reaction and produce more ROS (eqn (2)) or the resulting O2− then further reduces more Fe(III) (eqn (3)), producing even more Fe(II). This process might describe a vicious circle, where Mn might lead to the first step of generation of ROS and building a positive feedback loop by Fe-mediated ROS generation.64
Due to the similarities in molecular mechanisms of manganism to PD, a study in a PD-model in monkeys is of special interest. Therein, the induction of PD lead to an infiltration of Fe-containing microglia in the substantia nigra pars compacta, which was associated with the disappearance of dopaminergic neurons.68 Interestingly, also in PD no ferritin is found in neurons of substantia nigra but vicinal to dopaminergic neurons an abundance of reactive, ferritin-positive microglia were observed.69 These studies indicate that accumulation of Fe in neurodegeneration might arise from accumulation of Fe-containing inflammatory cells.62 These mechanisms of Fe-accumulation found in PD might also be true for manganism scenarios, so that Fe accumulates in or near dopaminergic neurons, is not transported and cannot be oxidized due to inactivity of antioxidative enzymes. The abundance of present Fe(II) can then react via the Fenton reaction by forming hydroxyl radicals leading to cell death. This can be indicated by our findings: initially, an increase in Mn concentrations results likely in an induction of oxidative stress, causing the shift in Fe-homeostasis in the brain and therefore enables the versatile Fe-induced neuronal injury mechanisms, which exaggerate the Mn induced neurodegenerative mechanism.
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