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The Journal of Neuroscience, November 15, 1999, 19(22):10107-10115
Null Mutation of c-fos Causes Exacerbation of
Methamphetamine-Induced Neurotoxicity
Xiaolin
Deng,
Bruce
Ladenheim,
Li-I
Tsao, and
Jean
Lud
Cadet
Molecular Neuropsychiatry Section, National Institute on Drug Abuse
Intramural Research Program, Baltimore, Maryland 21224
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ABSTRACT |
Methamphetamine neurotoxicity has been demonstrated in rodents and
nonhuman primates. These neurotoxic effects may be associated with
mechanisms involved in oxidative stress and the activation of immediate
early genes (IEG). It is not clear, however, whether these IEG
responses are involved in a methamphetamine-induced toxic cascade or in
protective mechanisms against the deleterious effects of the drug. As a
first step toward clarifying this issue further, the present study was
thus undertaken to assess the toxic effects of methamphetamine in
heterozygous and homozygous c-fos knock-out as well as wild-type mice.
Administration of methamphetamine caused significant reduction in
[125I]RTI-121-labeled dopamine uptake
sites, dopamine transporter protein, and tyrosine hydroxylase-like
immunohistochemistry in the striata of wild-type mice. These decreases
were significantly exacerbated in heterozygous and homozygous c-fos
knock-out mice, with the homozygous showing greater loss of striatal
dopaminergic markers. Moreover, in comparison with wild-type animals,
both genotypes of c-fos knock-out mice showed more DNA fragmentation, measured by the number of terminal deoxynucleotidyl
transferase-mediated dUTP nick-end-labeled nondopaminergic cells in
their cortices and striata. In contrast, wild-type mice treated with
methamphetamine demonstrated a greater number of glial fibrillary
acidic protein-positive cells than did c-fos knock-out mice. These
data suggest that c-fos induction in response to toxic doses of
methamphetamine might be involved in protective mechanisms against this
drug-induced neurotoxicity.
Key words:
methamphetamine; neurotoxicity; c-fos mutant; glial
fibrillary acidic protein; DNA fragmentation; cell death; apoptosis
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INTRODUCTION |
Methamphetamine (METH) is an illicit
drug that is abused throughout the world (Miller, 1991 ; Greberman and
Wada, 1994 ; Shaw, 1999 ). The acute administration of this agent can
cause neuropsychiatric complications including psychosis, coma, and
death (Lan et al., 1998 ). Abrupt cessation of use can cause withdrawal
symptoms akin to a suicidal depressive state (Murray, 1998 ). Although
the acute effects of the drug might be caused by increases in the
levels of synaptic dopamine (DA) (Stephans and Yamamoto, 1995 ), the
long-term effects might be secondary to persistent perturbations in
monoaminergic systems (Cadet and Brannock, 1998 ). For example, the
administration of METH can cause marked depletion of dopaminergic or
serotonergic markers in rodents (Ricaurte et al., 1982 ; Matsuda et al.,
1988 ; O'Callaghan and Miller, 1994 ; Hirata and Cadet, 1997a ,b ;
Fukumura et al., 1998 ), nonhuman primates (Villemagne et al., 1998 ),
and human METH users (Wilson et al., 1996 ; McCann et al., 1998 ).
Several laboratories are actively seeking to decipher the cellular and
molecular mechanisms of METH-induced neurotoxicity. A consensus has
been built that indicates that superoxide radicals, hydrogen peroxide,
and hydroxyl radicals (De Vito and Wagner, 1989 ; Cadet et al., 1994 ;
Giovanni et al., 1995 ; Hirata et al., 1996 , 1998b ; Fumagalli et al.,
1998 , 1999 ; Itzhak et al., 1998a ; Jayanthi et al., 1998 ; Yamamoto and
Zhu, 1998 ) as well as nitric oxide (Itzhak and Ali, 1996 ; Sheng et al.,
1996c ; Itzhak et al., 1998b ) might play major roles in METH toxicity.
However, because the formation of reactive species is associated with
complex pathophysiological changes, much remains to be done to
understand fully the mechanisms involved in the pathobiological
substrates induced by this drug. This laboratory has conducted studies
aimed at elucidating possible roles of immediate early genes (IEGs) and
their relationships to METH-mediated free radical production (Sheng et
al., 1996a ,b ; Asanuma and Cadet, 1998 ; Hirata et al., 1998a ). These
investigations have documented an association between METH-induced
superoxide radical production and IEG activation because transgenic
mice that overexpress the antioxidant enzyme CuZn superoxide dismutase (SOD) showed marked attenuation of these IEG responses, including c-fos- (Hirata et al., 1998a ) and AP-1-binding activity (Sheng et al., 1996a ,b ). On the basis of these results, however, it is not
clear whether METH-associated c-fos induction results in either protoxic or protective events. A protective role for c-fos is supported
by the demonstration that cells, which do not express c-fos, are more
sensitive to DNA-damaging agents (Haas and Kaina, 1995 ; Kaina et al.,
1997 ). c-fos has also been shown to be important for activating some
neurotrophic and/or neuroprotective factors (Herdegen and Leah,
1998 ).
The existence of a null mutation of c-fos in mice (Johnson et al.,
1992 ; Wang et al., 1992 ) offers a system in which the role of c-fos in
drug-induced neurodegeneration can be investigated. We, thus, used
these mutant mice to assess METH-induced deleterious effects in the
brain. We now report that the neurotoxicity of METH on both
dopaminergic and nondopaminergic systems is exacerbated in heterozygous
(+/ ) and homozygous ( / ) c-fos mutant mice.
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MATERIALS AND METHODS |
Animals, drug treatment, and temperature measurement.
Homozygous (Homo; / ) and heterozygous (Het; +/ ) c-fos knock-out
as well as wild-type (WT; +/+) mice obtained from The Jackson
Laboratory (Bar Harbor, ME) were used in these experiments. The
generation and derivation of these mice have been described previously
in detail (Johnson et al., 1992 ). All animal use procedures were according to the National Institutes of Health Guide for the Care and Use of Laboratory Animals and were approved by the local
animal care committee.
Homo, Het, and WT mice were given four injections of 10 mg/kg METH or
saline at 2 hr intervals. Similar protocols of METH administration have
been used extensively by us (Hirata et al., 1996 ) and others (Pu and
Vorhees, 1995 ; Fumagalli et al., 1998 ). Core body temperature was able
to be recorded in WT and +/ c-fos mice at 30 min intervals by the use
of a mouse rectal probe (YSI, Yellow Springs, OH), whereas / c-fos
mice were very susceptible to rectal injury and did not survive this
procedure in conjunction with METH administration. The mice were killed
at various time points after drug treatment. Brain tissues were
processed for the various assays as described below.
Autoradiographic assays. Binding assays for DA transporters
(DAT) were performed essentially as described previously by this laboratory with [125I]RTI-121
(specific activity, 2200 Ci/mmol) and 10 µM
GBR-12909 to determine nonspecific binding (Hirata et al., 1996 ;
Asanuma et al., 1998 ). [125I]RTI-121
binding in striatum was quantified using a Macintosh computer-based
image analysis system (Image, NIH) with standard curves generated from
125I microscales.
Tyrosine hydroxylase and glial fibrillary acidic protein
immunohistochemistry. The animals were perfused transcardially,
under deep pentobarbital anesthesia, first with saline followed by 40 ml of 4% paraformaldehyde in 0.1 M phosphate buffer
at 4°C. The brains were removed, post-fixed overnight in 4%
paraformaldehyde, and then allowed to equilibrate in 30% sucrose for
24 hr. Thirty micrometer coronal sections were then cut in a cryostat
(Bright Instrument Company, Huntindon, United Kingdom). Free-floating sections containing striatal areas were used for tyrosine hydoxylase (TH) and glial fibrillary acidic protein (GFAP) immunostaining. Briefly, sections were exposed to 1% hydrogen peroxide for 20 min and
then incubated for 30 min in 1% bovine serum albumin and 0.3% Triton
X-100, followed by incubation with either the TH (Calbiochem, La Jolla,
CA; polyclonal; 1:5000) or GFAP (Novo Laboratories; monoclonal; 1:100)
primary antibody. Subsequent processing with biotinylated secondary
antibody and ABC complex was performed according to the manufacturer's
procedures described in the ABC kit (Vector Laboratories, Burlingame,
CA). The free-floating sections were then reacted with
3,3'-diaminobenzidine (DAB) and hydrogen peroxide to visualize the
peroxidase reaction. At the end of the reaction, the sections were
mounted on microscope slides for further visualization and analysis.
To measure the relative intensity of TH-immunoreactivity (TH-IR), we
collected striatal image from each photomicrograph using Adobe
Photoshop. Image analysis of optical density (arbitrary unit) used the
computer-based program NIH Image. A similar approach to the assessment
of TH-IR fiber density has been validated previously using
6-hydroxydopamine-induced destruction of nigrostriatal DA pathways in
the rat (Burke et al., 1990 ). In that report, it was shown that there
was a significant correlation between circling behavior and the density
of TH fibers measured by image analysis. Subsequently, that approach
was used to demonstrate increased TH-IR fiber density after perinatal
asphyxia (Burke et al., 1991 ). GFAP-positive astrocytes were counted in
randomly chosen striatal subfields (600 × 900 µm). TH and GFAP
immunohistochemistry data were obtained from six sections per animal
(five to eight animals per group). Statistical analyses are described below.
Western blot. Analysis of DAT protein concentration in the
striata of c-fos knock-out and WT mice was performed by Western blot
(Fumagalli et al., 1999 ). Briefly, dissected striata were homogenized
in a buffer containing 320 mM sucrose, 5 mM
HEPES, 1 µg/ml leupeptin, 1 µg/ml aprotinin, and 1 µg/ml
pepstatin. Homogenates were centrifuged at 2000 × g
for 5 min, and the supernatant fraction was subsequently centrifuged at
30,000 × g for 30 min. The resulting pellet was
resuspended in the sample buffer (62.5 mM
Tris-HCl, 20% glycerol, 2% SDS, 0.01% bromphenol blue, and 1 mM dithiothreitol) and subjected to
SDS-PAGE (10%). Proteins were electrophoretically transferred
to a polyvinylidene difluoride (PVDF) membrane, and nonspecific sites
were blocked in 5% nonfat dry milk in Tris-buffered saline (135 mM NaCl, 2.5 mM KCl, 50 mM Tris, and 0.1% Tween 20, pH 7.4). Membranes
were then incubated in the presence of a polyclonal antibody to the N
terminus of DAT (DAT-Nt) (Chemicon, Temecula, CA; 1:500) in
Tris-buffered saline. DAT antibody binding and chemiluminescence enhancement were performed using the ECL Western blotting analysis system (Pharmacia, Piscataway, NJ). Densitometric analysis was performed and calibrated to coblotted dilutional standards of control
striatum. Blots were then stripped for 20 min at 80°C (8 M urea, 100 mM
2-mercaptoethanol, and 62.5 mM Tris, pH 6.8) and
reprobed with an antibody to -tubulin (Sigma, St. Louis, MO;
1:2000).
Terminal deoxynucleotidyl transferase-mediated dUTP nick-end
labeling histochemistry. A standard terminal deoxynucleotidyl transferase-mediated dUTP nick-end labeling (TUNEL) procedure for
frozen tissue sections was performed according to the manufacturer's manual (Boehringer Mannheim, Indianapolis, IN). Briefly,
slide-mounted sections were rinsed in 0.3% hydrogen peroxide-methanol
to block endogenous peroxidase. They were then rinsed in 0.1% Triton
X-100 in 0.1% sodium citrate for 2 min on ice to increase
permeabilization of the cells. To label damaged nuclei, 50 µl of the
TUNEL reaction mixture was added onto each sample in a humidified
chamber followed by a 60 min incubation at 37°C. The peroxidase
reaction was visualized with DAB-substrate solution. Procedures for
negative controls were performed as described in the manufacture's
manual and consisted of not adding the label solution (terminal
deoxynucleotidyl transferase) to the TUNEL reaction mixture. No
TUNEL-positive cells were observed in the negative controls.
TUNEL-positive cells were counted in the frontal cortex and striatum
using a Zeiss microscope (600 × 900 µm).
Statistical analyses. All data are presented as means ± SEM. The data were analyzed by ANOVA followed by Fisher's
protected least significant difference test using the statistical
program Statview 4.02. Criteria for significance were set at the 0.05 level.
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RESULTS |
[125I]RTI-121-binding autoradiography and
Western blotting for DAT
To test the long-term toxic effects of METH on DA terminals in
these mice, we performed DAT binding on coronal sections using receptor
autoradiographic technique and Western blot analysis of DAT protein.
Representative photomicrographs of
[125I]RTI-121-labeled DAT in the
striata are shown in Figure 1. The
intensity of binding is similar in saline-injected animals from the
three genotypes (Fig. 1A-C). As expected from our
previous results (Hirata and Cadet, 1997b ; Tsao et al., 1998 ), METH
injections caused marked decreases in the intensity of labeling in the
striata of mice killed 1 week after drug treatment. The METH-induced
decreases were more apparent in the c-fos knock-out mice (compare Fig.
1F with D,E). Figure 1G
shows the quantitative data obtained from the image analysis. There was
no significant difference in
[125I]RTI-121-labeled DAT among animals
of the three genotypes treated with saline. Injections of METH caused
marked decreases in striatal [125I]RTI-121-labeled DAT in the three
genotypes, with the Het and Homo c-fos knock-out mice showing somewhat
greater loss of binding. For example, METH caused ~72.7, 79.1, and
87.0% loss of DAT binding in WT, Het, and Homo c-fos mice,
respectively.

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Figure 1.
A-F, Effects of METH on
[125I]RTI-121-labeled striatal DA uptake sites in
WT (A, D), heterozygous (B, E), and
homozygous (C, F) c-fos mutant mice. Animals
received saline (A-C) or METH
(D-F) as described in Materials and Methods.
They were killed 1 week after drug treatment.
[125I]RTI-121-binding density is similar in the
three saline-treated genotypes (A-C). METH
administration caused marked reduction of DA uptake sites
(D-F), with the greatest decreases occurring in
c-fos / mice (F). G, The
results of the statistical analyses of the quantitative data obtained
from the image analyses. Values represent means ± SEM of five to
eight animals per group. Key to statistics: *p < 0.0001 in comparison with saline-treated mice of similar genotypes; !
p < 0.05, and !!p < 0.0001 in
comparison with METH-treated WT mice.
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DAT binding reflects interaction of the radioactive ligand
[125I]RTI-121 with its binding site on
the DAT protein. This might not necessarily reflect the concentration
of protein or loss of DA terminals because a number of factors
including redox status can affect the interaction of receptors with
their ligands. Thus, a rapid decrease in DAT function has been reported
after METH administration, at a time when there is no evidence of loss
of DA terminals (Fleckenstein et al., 1997 ). This loss of function has
been attributed to the production of superoxide radicals (Fleckenstein et al., 1997 ). Therefore, the concentration of DAT protein was measured
by the use of Western blotting. These experiments showed no significant
differences in DAT protein levels between the saline-injected WT, +/ ,
and / c-fos knock-out mice (Fig. 2).
Administration of METH reduced the DAT protein expression by 44.6, 57.9, and 78.8% in WT, +/ , and / c-fos mutant mice,
respectively. Fumagalli et al. (1999) have also reported significant
METH-induced decreases in DAT protein.

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Figure 2.
Representative immunoblot of the effects of METH
on DAT protein concentration. Lanes 1, 3, 5, From
saline-injected +/+, +/ , and / c-fos mutant mice, respectively.
Lanes 2, 4, 6, From METH-injected +/+, +/ , and /
c-fos knock-out mice, respectively. There were significant changes in
DAT concentration consisting of 44.6 ± 4.7, 57.9 ± 6.8, and
78.8 ± 5.3% decreases in +/+, / , and / c-fos knock-out
mice, respectively. -Tubulin is also shown and reveals similar
loading for all groups (6 mice per group). Nt, Antibody
against N terminus of the protein.
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TH immunohistochemistry
The use of DAT binding and Western blotting, described above,
reflects events at the level of striatal DA terminals that might not
necessarily reflect the integrity (or lack thereof) of DA axons. Thus,
to test further the toxic effects of METH on the striatal dopaminergic
system, we also used TH immunohistochemistry to examine the
architecture and density of DA fibers in mice killed 1 week after treatment.
Representative striatal sections for TH-IR are shown in Figure
3. In the control groups, densely stained
and closely packed TH-positive nerve processes are observed throughout
the striata of all three genotypes (Fig. 3A,C,E). In mice
killed 1 week after the last injection of the drug, there was a marked
reduction in TH staining that led to a looser-distributed TH fiber
network (Fig. 3B,D,F). These changes were much more
evident in / c-fos knock-out mice, which showed a very substantial
reduction in TH-IR in their striata (Fig. 3F). Figure
3G shows the quantification of METH-induced TH staining by
the Image program. There was no significant difference in the density
of TH fibers between animals from the three genotypes injected with
saline. However, there were marked differences in the toxic effects of
METH between the three genotypes, with the / c-fos knock-out
showing the greatest decreases. For example, in comparison with mice of
the same genotype injected with saline, the optical density of fibers
that remained TH-positive after METH treatment were ~79.0, 60.3, and
23.6% in +/+, +/ , and / c-fos knock-out mice, respectively.
Those results are somewhat parallel to those obtained for DAT protein,
as reported above.

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Figure 3.
Effects of METH on TH-like immunoreactivity in
mice. A-F, Animals were treated with either saline
(A, C, E) or METH (B, D, F) 1 week
after drug treatment as described in Materials and Methods. The
intensity of staining is comparable in the saline-treated mice of the
three genotypes (A, C, E). METH administration caused a
visually obvious reduction of TH staining (B, D,
F), which was more severe in homozygous c-fos knock-out
mice (F). G, The results of the
statistics for the semiquantitative data obtained using image analysis
are shown. Values represent means ± SEM of five to eight animals
(6 sections per animal) per group. Key to statistics:
*p < 0.001, and **p < 0.0001 in comparison with saline-treated mice of similar genotypes;
!p < 0.001, and !!p < 0.0001 in comparison with METH-treated WT mice. Scale bar, 100 µm.
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TUNEL histochemistry in the frontal cortex and the striatum
The data about DAT and TH reflect the typical toxic effects of
METH on striatal dopaminergic systems. Recently, however, it has been
reported that METH can cause apoptosis both in vitro (Cadet
et al., 1997 ; Stumm et al., 1999 ) and in vivo (Iwasa et al.,
1996 ). Thus, to assess the time course of possible METH-induced DNA
fragmentation, detected by the TUNEL reaction, we used animals killed
at 3 d and at 1 week after drug treatment. These time points correspond to times used previously by us (Hirata and Cadet, 1997a ,b ) and others (Pu et al., 1996 ; Sonsalla et al., 1996 ) to assess the toxic
effects of METH mostly on dopaminergic systems. In the case of
apoptotic DNA fragmentation, it is important to assess early time
points because cells undergoing apoptosis might be removed by
endogenous phagocytes and microglias before the damaged cells can lyse
and spill their contents into surrounding areas. Removal of these cells
helps to preserve the functional integrity of the surrounding tissue
(Ferrer et al., 1995 ; Sonnenfeld and Jacobs, 1995 ). Thus, attempts to
detect and quantify cells with double-stranded DNA breaks at much later
time points might be unsuccessful because the presence of these changes
might have occurred much earlier after a course of drug treatment.
As is observed in Figures 4,
5, and 6,
very few TUNEL-positive cells are seen in the frontal cortices and the
striata of animals from the three genotypes injected with saline.
However, the administration of doses of METH that are known to cause
significant perturbation in dopaminergic systems (Hirata and Cadet,
1997b ) (see above) caused marked increases in TUNEL-positive staining
in nondopaminergic cells in the cortex and striatum at both time points
used in the present study. In addition, the increases were more
prominent at the 3 d time point (Figs. 4-6). Counterstaining with
toluidine blue indicated that the TUNEL-positive cells were of neuronal origin (data not shown).

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Figure 4.
Representative photomicrographs of TUNEL-stained
frontal cortices of mice. Very few positive cells appeared in the
frontal cortices of saline-treated mice of the three genotypes
(A, D, G). METH caused marked increases in
TUNEL-positive cells at 3 d (B, E, H) and 1 week (C, F, I) after drug treatment. The
arrows point to typical positive cells. These
photomicrographs were generated by using a Carl Zeiss Laser Scanning
Confocal System with Axiovert 135-inverted microscopy. The objective
lens was 40×. Quantitative data are provided below (see Fig.
6).
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Figure 5.
Representative photomicrographs of TUNEL-stained
striata of mice. Very few positive cells could be seen in the striata
of saline-treated mice (A, D, G). As in the cortex, METH
caused marked increases in TUNEL-positive cells at 3 d (B,
E, H) and 1 week (C, F, I). The
arrows point to typical positive cells. The
photomicrographs were generated as described in Figure 4. Quantitative
data are provided below (see Fig. 6).
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Figure 6.
METH caused greater increases in TUNEL-positive
cells in the frontal cortex and striatum of c-fos knock-out than in WT
mice. The animals were treated and the brains were processed as
described in Materials and Methods. Values represent means ± SEM
of five to eight mice per group. Key to statistics:
*p < 0.05, **p < 0.001, and
***p < 0.0001 in comparison with METH-treated WT
mice killed at similar time points; !p < 0.05, !!p < 0.001, and !!!p < 0.0001 in comparison with saline-treated mice of similar
genotypes.
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Quantification of these changes revealed that, at the 3 d time
point, METH caused ~5.2-, 10.2-, and 17.1-fold increases in TUNEL-positive cells in the cortices of +/+, +/ , and +/ c-fos mice,
respectively; these increases at 1 week were ~2.7-, 5.0-, and
9.3-fold, respectively. A recent paper has also reported that degenerating Fluoro-Jade-positive nondopaminergic neurons in the rat
cortex occurred in the greatest number at 3 d after METH treatment (Eisch et al., 1998 ). In the striatum, at the 3 d time point, the
changes were ~5.0-, 7.3-, and 10.8-fold in the +/+, +/ , and /
c-fos knock-out mice, respectively; at 1 week, these increases were
2.8-, 4.3- and 6.0-fold, respectively (Fig. 6).
GFAP immunohistochemistry
Increased gliosis has been reported after a number of toxic
injuries to brain (Norton et al., 1992 ). Similar results have been
observed after METH administration to rodents (Pu and Vorhees, 1995 ;
Fukumura et al., 1998 ). We, thus, sought to determine whether METH-induced toxicity would be associated with reactive gliosis in the
present model. A few small GFAP-positive astrocytes were observed in
the brains of mice from all three genotypes injected with saline (Fig.
7A,C,E). These astrocytes are
characterized by small cell bodies and very fine and short processes.
As reported previously (Pu and Vorhees, 1995 ; Fukumura et al., 1998 ),
METH treatment causes marked increases in the number of astrocytes in
the striata of mice killed 1 week after drug treatment (Fig. 7B,D,F). The METH-induced astrocytes in the
wild-type mice were characterized by large densely stained cell bodies
as well as longer and extensive processes (Fig. 7B).
However, the METH-induced astrocytes in the +/ and / c-fos
knock-out mice did not show much of an increase in their size, in the
number of processes, or in the intensity of GFAP staining (compare Fig.
7B with D,F). Moreover, the number of
METH-induced astrocytes in the striata of the c-fos knock-out mice was
less than the number in the WT mice. Figure 7G shows the
quantitative data and revealed that the increases in METH-induced glial
cells showed a gene-dosage phenomenon, with the heterozygous and
homozygous c-fos knock-out mice showing respective changes that were
77.4 and 48.1% of those observed in wild-type mice.

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Figure 7.
A-F, Effects of METH on GFAP-like
immunohistochemistry in the striata of +/+ (A, B), +/
(C, D), and / (E, F) c-fos
knock-out mice. A few small positive astrocytes are seen in the striata
of saline-treated mice (A, C, E). METH caused marked
increases in the number of astrocytes in the striatum in mice killed 1 week after drug treatment (B, D, F). METH-induced
astrocytes were hypertrophic and densely stained in the WT mice
(B). However, in the c-fos +/
(D) and / (F) mice,
METH treatment caused a measurable increase in the number of
astrocytes, but these were small in size and weakly stained. The
arrows point to typical positive cells.
G, The statistical analyses of the data obtained from
the counts of GFAP-positive cells in the striatum. Values represent
means ± SEM from five to eight animals (6 sections per mouse) per
group. Key to statistics: *p < 0.0001 in
comparison with saline-treated mice of similar genotypes;
!p < 0.01 in comparison with METH-treated WT mice.
Scale bar, 100 µm.
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Temperature fluctuation
Because it has been reported that METH neurotoxicity is generally
related to increases in core body temperature (Bowyer et al., 1992 ;
Miller and O'Callaghan, 1994 ), we measured the effects of METH on
these mice. Figure 8 shows that METH
caused increases of core body temperature from 37.2 to ~39.5°C both
in WT and +/ c-fos knock-out mice. Statistical analyses revealed no
significant differences between the wild-type and heterozygous
mice.

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Figure 8.
Effects of METH on core temperature in WT and
heterozygous c-fos mutant mice. Core temperature was recorded in
animals every 30 min during the administration of METH. Values
represent means ± SEM from seven mice per group. There were no
statistical differences in the METH-induced temperature elevation
between the two genotypes of mice. Saline-treated animals did not
exhibit changes in core body temperature over time (data not shown for
the sake of clarity). Recorded ambient temperature was between 20.5 and
21.2°C.
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DISCUSSION |
The main finding of this study is that METH neurotoxicity is
exacerbated in c-fos mutant mice. This is supported by the following observations. First, METH caused greater depletion of markers of
dopaminergic systems in the striata of +/ and / c-fos knock-out mice, with markers at the levels of DA terminals (DAT binding and DAT
protein) being more severely affected by METH. Second, METH-induced DNA
fragmentation, measured by TUNEL-positive cells, was also more
prominent in nondopaminergic cells of the cortices and striata of these
c-fos mutant mice. It should be noted that this is the first
demonstration, using the TUNEL approach, that METH can cause apoptotic
DNA fragmentation in the brain. These results are consistent with both
in vitro (Cadet et al., 1997 ; Stumm et al., 1999 ) and
in vivo (Iwasa et al., 1996 ) studies showing that METH can
cause cell death via an apoptotic process.
Increased core body temperature has been reported to play a role in
METH neurotoxicity (Bowyer et al., 1992 , 1994 ; Miller and O'Callaghan,
1994 ; LaVoie and Hastings, 1999 ). Although most drugs that cause
hypothermia tend to offer protection against METH-induced damage (Ali
et al., 1994 ; Albers and Sonsalla, 1995 ), treatment with reserpine, a
well known hypothermic agent, has actually been reported to exacerbate
METH-induced toxicity (Wagner et al., 1983 ). When taken together, these
data suggest that increased temperature is one participant in a complex
series of events that cause the toxicity of METH. In the present
experiments, we did examine the possible contribution of temperature in
the exacerbation of METH-induced damage in the c-fos mutant mice;
however, because there were no significant differences in temperature
elevation between WT and +/ c-fos mice, it is very likely that the
observed increased toxicity in c-fos mutants is not secondary to a
temperature effect.
Another mechanism for the potentiation of METH-induced neurotoxicity
involves the possibility that METH metabolism might have been altered
in the c-fos mutant mice in such a way that METH might have accumulated
to a higher concentration in the brains of these mice. This
accumulation in METH might have occurred because the absence of c-fos
could have led to downregulation of the cytochrome P450 isoenzymes that
are involved in the metabolism of the drug (Baba et al., 1988 ; Lin et
al., 1995 , 1997 ) because of a lack of stimulation of putative
AP-1-binding sites that have been found in some cytochrome P450 genes
(Shaw et al., 1996 ; Quattrochi et al., 1998 ). This hypothesized
increase in METH levels might have caused greater increases in DA
release, higher temperature, as well as increased toxicity in the
mutant mice. However, we failed to find any evidence of differences in
METH-induced temperature regulation in the WT and c-fos mutants, thus
suggesting that changes in METH metabolism might not be sufficient to
explain the exacerbation in toxicity observed in these mice.
Nevertheless, it could still be argued that, even in the absence of
increased METH levels in the brains of c-fos mutants, it is still
possible that METH might have caused greater displacement of DA from
storage vesicles into the cytosol with secondary generation of reactive
oxygen species (ROS) within that compartment. However, this argument
would hold for only the exacerbations observed in the deleterious
effects of METH on striatal DA terminals of the c-fos knock-out mice.
Possible role of oxidative stress in METH-induced apoptosis
Although this discussion of METH-mediated toxicity via ROS had
been applied mainly to the pathological changes observed in monoaminergic terminals (for review, see Cadet and Brannock, 1998 ), it
is becoming quite clear that METH can exert its nefarious effects beyond these systems. In the present study, we have shown that METH
administration is associated with DNA fragmentation in intrinsic nondopaminergic neurons located in cortical and striatal regions of
mouse brains. The observations in the cortex are compatible with other
reports that METH can damage cortical cell bodies in rats (Pu et al.,
1996 ; Eisch et al., 1998 ). Although similar findings are now being
reported in mice for the first time, these results are consistent with
observations that METH can alter the dynamics of antioxidant enzymes in
cortical regions of mice (Jayanthi et al., 1998 ). It is also consistent
with the recent demonstration that METH can cause apoptosis and
activation of cell death-related genes in cortical cell cultures
(Stumm et al., 1999 ). The observations of DNA fragmentation in
intrinsic striatal cell bodies are also consistent with our recent
suggestions that METH can damage cells located postsynaptic to DA
terminals (Cadet et al., 1998 ). Although this remains to be fully
clarified, it is very likely that there are links between the pathways
that cause perturbations in DA terminals and DA axons and the
mechanisms that damage intrinsic cell bodies. Therefore, when taken
together, the exacerbation of METH-induced toxic effects on both
dopaminergic (terminal and fiber damage) and nondopaminergic
(apoptosis) systems suggests that c-fos might be involved in
stimulating coordinated protective pathways against toxic injuries.
Possible role of c-fos in protective mechanisms
The IEG c-fos, a component of the AP-1 transcription factor
(Rauscher et al., 1988 ), is widely distributed in the CNS (Senba and Ueyama, 1997 ) and is easily induced by multiple stimuli (Herdegen and Leah, 1998 ). In addition to its activation being dependent on
cellular redox status (Chakraborti and Chakraborti, 1998 ), c-fos can
also activate some antioxidant enzymes. For example, c-fos can interact
with the promoter of the glutathione S-transferase gene and
cause an increase in enzymatic activity (Moffat et al., 1994 ; Pinkus et
al., 1995 ). Glutathione S-transferase is known to act in the
glutathione pathway as a detoxifying enzyme, which gets rid of free
radicals (Hayes and Strange, 1995 ). c-fos can also stimulate the
antioxidant response element in the human NAD(P)H:quinone oxidoreductase gene (Li and Jaiswal, 1992 ). Moreover, c-fos can increase the levels of trophic or scaffolding factors via interaction with AP-1-binding sites located on the promoters of their genes (for
review, see Herdegen and Leah, 1998 ). These include nerve growth
factor, basic FGF, and BDNF (Shibata et al., 1991 ; Herdegen and Leah,
1998 ). Some of these factors can increase the activity of antioxidant
enzymes in addition to acting as survival factors (Mattson et al.,
1995 ; Skaper et al., 1998 ). Thus, c-fos induction by toxic doses of
METH (Sheng et al., 1996a ,b ; Hirata et al., 1998a ) might serve as an
oxidative stress response that could activate downstream molecular and
cellular events that participate in a coordinated protective response
against METH. These arguments for c-fos as a protective agent are
supported by reports that cells lacking c-fos are more sensitive to
some DNA-damaging agents in vitro (Haas and Kaina, 1995 ;
Kaina et al., 1997 ), in concordance with our present observations of
increased METH toxicity in c-fos knock-out mice. Thus, the prolonged
absence of c-fos could have rendered the brain more susceptible to
METH-induced injury by altering cellular redox status in the mice.
Possible role of c-fos in reactive gliosis
An unexpected finding in this report is the observation that,
although c-fos mutants are more susceptible to the toxicity of METH,
these mice show much less of a reactive gliotic response to the drug.
The attenuated gliotic response in the c-fos mutant might be caused by
a lack of stimulation of the AP-1-binding site located on the promoter
of the GFAP gene (Sarid, 1991 ) and suggests that transcription control
of the GFAP gene might be dependent mostly on c-fos. This line of
reasoning is compatible with previous data that had implicated c-fos
expression in astrocytic replication (Masood et al., 1993 ; Pennypacker
et al., 1996 ). Thus, it might not be unreasonable to suggest that,
because of the blunted glial response in the c-fos mutant mice,
METH-induced astrogliosis might actually be involved in mechanisms
aimed at protecting the brain or meant to help in axonal regeneration,
in addition to being a marker of neurotoxicity. This notion, although
speculative, is supported by reports that astrocytes can synthesize and
release neurotrophic factors that protect neurons from injury and death (Ridet et al., 1997 ; Kariko et al., 1998 ). For example, conditioned media from nigral astrocytes have been shown to improve the survival of
dopaminergic neurons (O'Malley et al., 1992 , 1994 ). Moreover, these
ideas are also supported by observations that astrocytes contain high
intracellular concentrations of antioxidants (Juurlink, 1997 ; Wilson,
1997 ). These ideas will need to be evaluated in these mutants using
various neurotoxic models that feature reactive gliosis.
Summary
In conclusion, this is the first report showing that c-fos mutant
mice are more sensitive to the toxic effects of METH on both
dopaminergic and nondopaminergic systems in the brains. These data
indicate that METH-induced c-fos activation is probably involved in a
cascade that stimulates pleiotropic protective mechanisms against the
deleterious effects of the drug. The present study also provides more
evidence to support the view that METH not only causes degeneration of
monoaminergic terminals but also causes damage to intrinsic striatal
and cortical cells via an apoptotic process. Further studies are also
needed to dissect the roles that METH-induced activated astrocytes
might play, via epigenetic mechanisms, in the repair of brain regions
affected by the drug.
 |
FOOTNOTES |
Received April 28, 1999; revised Aug. 25, 1999; accepted Aug. 25, 1999.
We thank the staff of the Animal Care Facility at the Division of
Intramural Research of the National Institutes of Health-National Institute on Drug Abuse for the impeccable care of the animals. We also
thank Dr. Teruo Hayashi for help with the Western and confocal
microscopy. We are very grateful to Ann Rea for help with the figures.
We are also very thankful to the reviewers whose suggestions helped to
improve this paper.
Correspondence should be addressed to Dr. Jean Lud Cadet, Molecular
Neuropsychiatry Section, National Institutes of Health-National Institute on Drug Abuse Intramural Research program, 5500 Nathan Shock
Drive, Baltimore, MD 21224. E-mail: JCADET{at}intra.nida.nih.gov.
 |
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