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The Journal of Neuroscience, February 15, 1999, 19(4):1484-1491
Dopamine Quinone Formation and Protein Modification Associated
with the Striatal Neurotoxicity of Methamphetamine: Evidence against a
Role for Extracellular Dopamine
Matthew J.
LaVoie1 and
Teresa G.
Hastings1, 2
Departments of 1 Neuroscience and
2 Neurology, University of Pittsburgh, Pittsburgh,
Pennsylvania 15261
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ABSTRACT |
Methamphetamine-induced toxicity has been shown to require striatal
dopamine and to involve mechanisms associated with oxidative stress.
Dopamine is a reactive molecule that can oxidize to form free radicals
and reactive quinones. Although this has been suggested to contribute
to the mechanism of toxicity, the oxidation of dopamine has never been
directly measured after methamphetamine exposure. In this study we
sought to determine whether methamphetamine-induced toxicity is
associated with the oxidation of dopamine by measuring the binding of
dopamine quinones to cysteinyl residues on protein. We observed that
administration of neurotoxic doses of methamphetamine to rats resulted
in a two- to threefold increase in protein cysteinyl-dopamine in the
striatum 2, 4, and 8 hr after treatment. When methamphetamine was
administered at an ambient temperature of 5°C, no increase in
dopamine oxidation products was observed, and toxicity was prevented.
Furthermore, as shown by striatal microdialysis, animals treated with
methamphetamine at 5°C showed DA release identical to that of animals
treated at room temperature. These data suggest that the toxicity of
methamphetamine and the associated increase in dopamine oxidation are
not exclusively the result of increases in extracellular dopamine.
Because dopamine-induced modifications of protein structure and
function may result in cellular toxicity, it is likely that dopamine
oxidation contributes to methamphetamine-induced toxicity to dopamine
terminals, adding support to the role of dopamine and the evidence of
oxidative stress in this lesion model.
Key words:
cysteinyl-dopamine; dopamine quinone; dopamine oxidation; methamphetamine; neurotoxicity; oxidative stress
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INTRODUCTION |
Administration of high doses of the
indirect dopamine (DA) agonist methamphetamine (METH) has been shown to
result in damage to both DA and serotonin (5-HT) terminals, and perhaps
in cell loss, in the brains of rodents and nonhuman primates (Seiden et al., 1975 ; Hotchkiss and Gibb, 1980 ; Wagner et al., 1980 ; Ricaurte et
al., 1982 ; Sonsalla et al., 1996 ). It has been firmly established that
DA plays a role in the degeneration of both DA and 5-HT terminals. Pharmacological interventions that lower striatal DA content have proven protective against METH-induced toxicity (Gibb and Kogan, 1979 ;
Wagner et al., 1983 ; Schmidt et al., 1985 ; Johnson et al., 1987 ). It
has also been suggested that the magnitude of DA release after METH
exposure is predictive of its long-term toxicity (O'Dell et al.,
1991 ). These findings have clearly demonstrated a role for DA release
and/or redistribution in METH-induced toxicity; however, the exact
mechanism remains unclear.
Oxidative stress has also been implicated in METH-induced toxicity (for
review, see Cadet and Brannock, 1998 ). Early studies showed that
systemic administration of antioxidants such as ascorbate and vitamin E
attenuates METH-induced toxicity (De Vito and Wagner, 1989 ). The
formation of 6-hydroxydopamine, presumably via a reaction between DA
and the hydroxyl radical, was observed after administration of a single
high dose of METH (Seiden and Vosmer, 1984 ); however, this was not
observed by others (Karoum et al., 1993 ). More recently, Giovanni et
al. (1995) showed that after neurotoxic doses of METH, salicylate
administration resulted in increased formation of 2,3-dihydroxybenzoic acid, which is also indicative of hydroxyl radical production. Transgenic mice over-expressing the antioxidant enzyme Cu/Zn superoxide dismutase showed an attenuated response to toxic doses of METH (Cadet
et al., 1994 ; Hirata et al., 1995 ). An electron spin-trapping agent
capable of inactivating various free radicals has also been shown to
prevent METH-induced toxicity, as well as the toxicity of another
amphetamine analog (Colado and Green, 1995 ; Schmidt and Taylor, 1995 ;
Cappon et al., 1996 ). These reports have established the likelihood
that oxidative stress plays a role in the toxicity of METH.
Catecholamines have been shown to be toxic both in vivo and
in vitro via mechanisms of oxidative stress (Graham et al.,
1978 ; Rosenberg, 1988 ; Michel and Hefti, 1990 ; Mena et al., 1992 ;
Filloux and Townsend, 1993 ; Hastings et al., 1996 ). Under such
conditions, DA may oxidize to form superoxide and hydrogen peroxide,
which can then form the hydroxyl radical in the presence of transition metals (Graham, 1978 ). These are the same free radicals implicated in
METH-induced toxicity. DA oxidation also results in the formation of DA
quinone, which readily participates in nucleophilic addition reactions
with sulfhydryl groups on free cysteine, glutathione, or cysteine found
in protein (Graham et al., 1978 ; Fornstedt et al., 1986 ;
Hastings and Zigmond, 1994 ). The reaction between DA quinone and
cysteine results in the formation of 5-cysteinyl-DA (Fig.
1). Because cysteinyl residues are often
found at the active site of proteins, the covalent addition of the
catechol moiety to cysteine may inhibit protein function and possibly
lead to cellular damage and/or cell death. In addition, DA quinone is able to react with the sulfhydryl group of cysteine in glutathione, which may decrease levels of this important antioxidant. The reactive quinones and free radicals produced by the oxidation of DA may contribute to the oxidative stress associated with METH-induced toxicity.
In this study, we investigated whether administration of a neurotoxic
dose of METH to rats results in the formation of oxidative metabolites
of DA in the striatum and, if so, whether an intervention that
attenuates the toxicity of METH also prevents the oxidation of DA. We
observed that increases in DA oxidation occurred only under conditions
resulting in toxicity, suggesting that the oxidation of DA may
contribute to the mechanism of METH-induced damage to dopaminergic terminals.
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MATERIALS AND METHODS |
Animals and methamphetamine administration. Male
Sprague Dawley rats (Zivic-Miller, Allison Park, PA) weighing 325-375
gm were housed individually in suspended wire-mesh cages in a
temperature- and humidity-controlled environment. Food and water were
provided ad libitum, and animals were subject to a 12 hr
light/dark cycle. All procedures and handling techniques used were in
strict accordance with the National Institutes of Health Guide
for the Care and Use of Laboratory Animals. All materials were
purchased from Sigma (St. Louis, MO) unless otherwise noted.
METH or saline was administered subcutaneously to rats (15 mg of free
base/kg) for a total of four injections, with all injections spaced 2 hr apart. Core-body temperature was recorded in all animals at 30 min
intervals by the use of a small-animal rectal probe (YSI, Yellow
Springs, Ohio). Any animal that surpassed a threshold of 41.3°C was
placed in a plastic container of ice for 15 min to prevent
hyperthermia-related mortality. Animals to be treated with METH or
saline at a lowered ambient temperature were moved into a refrigerated
room, maintained at 5°C, 30 min before the first injection and
remained there until 1 hr after the last injection (a total of 7.5 hr).
They were then returned to the colony room, which was maintained at
23°C, and carefully monitored. Animals receiving METH or saline were
killed 2, 4, or 8 hr or 7 d after the fourth injection. Striatal
tissue collected at 2, 4, and 8 hr time points was analyzed for levels
of DA, dihydroxyphenylacetic acid (DOPAC), and DA oxidation products.
Striatal tissue collected at 7 d was analyzed for levels of DA,
DOPAC, 5-HT, and 5-hydroxyindoleacetic acid.
Analysis of monoamines and DA oxidation products. Animals
were killed by decapitation, and brains were rapidly dissected on ice.
Whole striata were removed, weighed, and then immediately frozen on dry
ice. Tissue was then stored at 80°C until analysis, at which time
striatal tissue (~24 mg) was homogenized in 1 ml of 0.1N perchloric
acid containing 0.2 mM sodium bisulfite, 1 mM
dithiothreitol, and 1 mM ascorbate. The homogenate was then centrifuged at 30,000 × g for 20 min. An aliquot (0.8 ml) of the resulting supernatant was extracted over alumina and
analyzed for free cysteinyl-DA, free cysteinyl-DOPAC, and
glutathione-DA by HPLC with electrochemical detection. The
protein pellet was washed once in 0.1N perchloric acid and then
hydrolyzed under vacuum in 6N HCl for 20 hr at 110°C. The hydrolysate
(containing modified amino acid residues) was freeze-dried to remove
the HCl and then redissolved in perchloric acid before extraction with alumina and final analysis on HPLC to determine the levels of protein
cysteinyl-DA and cysteinyl-DOPAC (Ito et al., 1988 ; Hastings and
Zigmond, 1994 ). For both free and protein cysteinyl-catechols, a
Waters Associates (Milford, MA) 460 amperometric detector set at an
oxidizing potential of +0.6 V was used to quantify samples. Analytes
were separated with a Microsorb 86-200-C5 column (5 µm; 250 × 4.6 mm; Rainin, Ridgefield, NJ). Sample peaks were compared with
synthesized standards (Rosengren et al., 1985 ). For the analysis of the
parent catechols DA and DOPAC, an aliquot of the supernatant was
extracted over alumina and injected onto an HPLC system equipped with
an ESA (Chelmsford, MA) Coulochem II coulometric detector set at
200 and +280 mV. This system was also used to determine the tissue
levels of DA, 5-HT, DOPAC, and 5-hydroxyindoleacetic acid 7 d
after METH. For 7 d analyses, an aliquot of the supernatant was
filtered (0.2 µm) and then injected directly onto the HPLC system.
When possible, data from both striata were averaged together before
statistical analysis. Student's t tests confirmed that no
hemispheric differences existed among the various analyses.
Striatal microdialysis. Concentric microdialysis probes were
constructed as described previously (Abercrombie and Finlay, 1991 ).
Rats were anesthetized with equithesin at 3 ml/kg [258 mM
chloral hydrate, 20% (v/v) Nembutal, 86 mM
MgSO4, and 25% (v/v) propylene glycol] before the
stereotaxic implantation of a probe into the left striatum (+0.5 mm
anteroposterior, +2.5 mm mediolateral from bregma, and 7.5 mm
dorsoventral to dura). Probes were secured to the skull using stainless
steel screws and dental acrylic and were continuously perfused with
artificial CSF (145 mM NaCl, 2.7 mM KCl,
1.0 mM MgCl2, and 1.2 mM
CaCl2) at a rate of 1.5 µl/min. A period of at
least 18 hr elapsed between the implantation of the microdialysis probe
and the start of the experiment. Dialysate was collected in 30 min
fractions and frozen at 80°C until analysis by HPLC for levels of
DA and DOPAC. Animals to be treated with METH at 5°C were placed into
a temperature-controlled chamber, initially kept at 23°C, ~1 hr
before the collection of the first baseline sample. The chamber was
rapidly brought down to 5°C 30 min before the first injection of
METH. A minimum of three samples was taken to establish baseline levels
of extracellular DA and DOPAC before the administration of four
systemic injections of METH.
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RESULTS |
Neurotoxic potential of METH
Tissue levels of DA and 5-HT measured several days after exposure
to METH have been shown to concur with the loss of striatal tyrosine
and tryptophan hydroxylase activities and thus seem to represent the
magnitude of monoaminergic terminal damage in the striatum (Ricaurte et
al., 1980 , 1982 ). Therefore, we measured the striatal content of DA and
5-HT at 7 d as an index of monoaminergic terminal loss after METH
administration. When rats were treated at room temperature (23°C),
METH caused significant depletions in striatal DA ( 47%) and 5-HT
( 61%) as compared with the levels in saline-injected controls (Fig.
2). This degree of terminal damage is
consistent with previous findings from our laboratory (Giovanni et al., 1995 ). 5-Hydroxyindoleacetic acid, the primary metabolite of 5-HT, was decreased ( 36%) at 7 d; however, DOPAC levels were not different from control values, indicative of increased DA turnover as suggested previously after METH (Robinson et al., 1990 ).
When METH was administered at a lowered ambient temperature (5°C),
tissue levels of DA and 5-HT (Fig. 2), as well as their primary
metabolites (data not shown), were not significantly different from
control levels at 7 d, demonstrating protection against
METH-induced toxicity.

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Figure 2.
Effect of METH on striatal
DA and 5-HT levels. Striatal tissue
levels of DA and 5-HT were measured
7 d after treatment with saline or METH (15 mg/kg × 4) at
room temperature (23°C) or at 5°C. Values are expressed as the
percent of control, as determined on a per experiment basis (mean ± SEM; n = 3-8). Control values for
DA were 75.96 ± 12.1 nmol/gm of tissue (23°C)
and 79.22 ± 3.95 nmol/gm of tissue (5°C). Control values for
5-HT were 2.31 ± 0.56 nmol/gm of tissue (23°C)
and 2.66 ± 0.33 nmol/gm of tissue (5°C). *, Significantly
different from control values (p < 0.05).
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Effects of METH on DA and reactive metabolites
Protein cysteinyl-DA and cysteinyl-DOPAC are stable oxidative
metabolites of DA and DOPAC. Therefore, measurement of these compounds
is not only an index of the oxidation of the parent catechols but also
a direct measure of protein modification. Animals treated with METH at
room temperature (23°C) showed significant increases in protein
cysteinyl-DA above that in saline-injected controls at 2, 4, and 8 hr
after the fourth injection of METH (Fig.
3). Cysteinyl-DA levels were increased to
284% at 2 hr, 193% at 4 hr, and 208% at 8 hr, as compared with
control levels. Protein cysteinyl-DOPAC, however, did not differ
significantly from control levels at any time point (Fig. 3). Free
cysteinyl-DA, free cysteinyl-DOPAC, and glutathione-DA were found in
the acid-soluble supernatant of some METH-treated striata, but this was
not a consistent observation. Control levels of these acid-soluble DA
oxidation products in a single rat striatum are typically below the
limit of detection by HPLC (Fornstedt et al., 1990 ; Hastings et
al., 1996 ).

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Figure 3.
Effect of METH on the levels of protein
cysteinyl-DA and cysteinyl-DOPAC. Levels
of protein cysteinyl-DA and
cysteinyl-DOPAC were examined in the striatum at 2, 4, and 8 hr after the last injection of METH (15 mg/kg × 4) at room
temperature (23°C) and were compared with levels in saline-injected
controls (mean ± SEM; n = 4-6). Control
values of protein cysteinyl-DA or
cysteinyl-DOPAC did not differ between time points and
therefore were combined. An overall ANOVA of the protein
cysteinyl-DA [F(3,18) = 5.8;
p < 0.01] and the protein
cysteinyl-DOPAC [F(3,18) = 1.2; p > 0.05] was followed by pairwise
comparisons with the Student's t test and layered
Bonferroni correction. *, Significantly different from control
(p < 0.05).
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Striatal tissue DA and DOPAC levels also were analyzed in animals
treated at room temperature at 2, 4, and 8 hr after the fourth
injection of METH (Fig. 4). It was
observed that METH caused a transient depletion of tissue DA ( 58%)
at 2 hr that returned to control levels by 8 hr. METH-treated animals
showed a persistent decrease in striatal DOPAC levels, 85% at 2 hr
and 68% at 8 hr after METH (Fig. 4).

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Figure 4.
Striatal DA and
DOPAC immediately after METH. Striatal tissue
DA and DOPAC levels were measured at 2, 4, and 8 hr after administration of METH (15 mg/kg × 4) at room
temperature (23°C) and were compared with levels in saline-injected
controls (mean ± SEM; n = 4-6). An overall
ANOVA of the DA [F(3,18) = 4.8; p < 0.05] and DOPAC
[F(3,18) = 51.1; p < 0.01] levels was followed by pairwise comparisons with the Student's
t test and layered Bonferroni correction. *,
Significantly different from control (p < 0.05).
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Effect of reduced ambient temperature on the oxidation of DA
To determine whether DA oxidation only occurred during conditions
resulting in toxicity, we analyzed protein cysteinyl-DA and
cysteinyl-DOPAC levels in striatum 2 hr after administration of either
METH or saline at 23 or 5°C. Again, we observed that animals
receiving METH at room temperature showed increased protein cysteinyl-DA at 2 hr (263% of control) (Fig.
5). However, animals administered METH at
5°C showed no change in the levels of cysteinyl-DA (Fig. 5). Protein
cysteinyl-DOPAC levels were not different from control (0.201 ± 0.03 nmol/gm of tissue) in either group (data not shown).

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Figure 5.
Effect of temperature on
METH-induced DA oxidation. Protein
cysteinyl-DA levels were examined in the striatum 2 hr
after administration of METH (15 mg/kg × 4) at an
ambient temperature of 5°C or at room temperature (23°C) and were
compared with the levels in saline-injected controls (mean ± SEM;
n = 4-7). Student's t tests were
used to compare the METH-treated striata with their
appropriate controls. *, Significantly different from control
(p < 0.05).
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Animal core-body temperatures were recorded at 30 min intervals for the
duration of the METH injection regimen (7 hr). The results showed that
animals treated with METH at 23°C had a hyperthermic response to the
drug (Fig. 6). However, animals that were
treated with METH at a reduced ambient temperature (5°C) did not
undergo hyperthermia but showed a severe hypothermic response to METH (Fig. 6). In fact the absolute magnitude of METH-induced hypothermia was several times greater than the magnitude of METH-induced
hyperthermia.

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Figure 6.
Effect of ambient temperature on the
thermoregulatory response to METH. Core-body temperature was recorded
in animals every 30 min during the administration of METH (15 mg/kg × 4; the four injections of METH indicated by
arrows) (mean ± SEM; n = 6-13). The dashed line represents the average
core-body temperature of nontreated animals before administration of
METH in both temperature conditions, because there was no difference in
initial core-body temperature. Saline-treated animals did not exhibit
changes in core-body temperature over time in either ambient
temperature, and therefore, these data are not shown.
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Temperature, however, did not influence the transient METH-induced
depletion of striatal DA and DOPAC. At 2 hr after METH, tissue DA and
DOPAC levels were decreased from control to a similar extent both in
animals treated at 23°C ( 64 and 51%, respectively) and in
animals treated at 5°C ( 71 and 54%, respectively) (Fig. 7).

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Figure 7.
Effect of temperature on the
METH-induced depletion of DA and
DOPAC. Striatal DA and
DOPAC levels were measured 2 hr after administration of
METH (15 mg/kg × 4) at 23 and 5°C (mean ± SEM; n = 4). Student's t tests
revealed significant depletions in tissue DA and
DOPAC, as compared with respective control levels. No
differences were observed across temperature conditions. *,
Significantly different from control (p < 0.05).
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Effect of ambient temperature on METH-induced DA release
Because the oxidation of DA may be influenced by the availability
of DA in the low-antioxidant environment of the extracellular fluid, we
used the technique of striatal microdialysis to compare the amount of
DA released when METH was administered at an ambient temperature of 23 or 5°C. Results showed that METH caused significant changes in
extracellular DA and DOPAC. Peak extracellular DA was increased 20-fold
above baseline in animals treated at both 23 and 5°C (Fig.
8A). No significant
difference in extracellular DA was observed between these two groups of
animals. Likewise, extracellular DOPAC was found to be decreased
similarly under both conditions (Fig. 8B).

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Figure 8.
The effect of METH on extracellular levels of
striatal DA and DOPAC. Extracellular
levels of striatal DA (A) and
DOPAC (B) were measured in the
striatum by in vivo microdialysis during METH
administration (15 mg/kg × 4) at both 5 and 23°C (mean ± SEM; n = 5). Arrows indicate each of
the four injections of METH. A two-way, repeated-measures ANOVA did not
reveal any differences between treatment conditions in either
extracellular DA [F(1,18) = 0.37; p > 0.05] or DOPAC
[F(1,18) = 1.98; p > 0.05].
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DISCUSSION |
In this study, we showed that four systemic injections of METH
resulted in toxicity to DA and 5-HT terminals in rat striatum and that
this toxicity was accompanied by a threefold increase in protein
cysteinyl-DA, a stable oxidative metabolite of DA. This increase
appeared greatest 2 hr after METH, but levels of protein cysteinyl-DA
remained significantly elevated for at least 8 hr after drug
administration. We observed that administration at 5°C prevented both
the acute increase in protein cysteinyl-DA and the long-term toxicity
of METH. These data suggest that a relationship exists between
METH-induced toxicity and DA oxidation.
The increase in protein cysteinyl-DA that preceded METH-induced
toxicity represents a direct measure of the covalent modification of
cysteinyl residues on protein by DA quinones. Although suggested in
previous studies (Schmidt et al., 1985 ; Sonsalla et al., 1986 ; Weihmuller et al., 1992 ; Stephans and Yamamoto, 1994 ), this is the
first direct evidence of the formation of DA quinone in
methamphetamine-induced toxicity. In fact, the generation of DA
quinones and binding to protein has been implicated in other studies of
protein inactivation and toxicity (Graham et al., 1978 ; Berman et al.,
1996 ; Hastings et al., 1996 ). Because of the complex nature of
METH-induced toxicity, there are likely many contributing factors.
However, the observed oxidation of DA provides one possible explanation
for the role of striatal DA in the long-term toxicity of METH.
The contribution of a threefold increase in protein cysteinyl-DA
formation to the toxicity of METH would depend highly on the proteins
targeted for modification. One cannot assume that the proteins modified
by DA quinones under basal conditions (control levels of cysteinyl-DA)
are the same proteins targeted under pathological conditions. METH
causes a redistribution of DA and increased oxidative stress within DA
cells (Cubells et al., 1994 ) that may allow for the covalent
modification of proteins that are normally not exposed to DA or DA
quinones. Therefore, a threefold increase in cysteinyl-DA may represent
a very significant challenge to cell viability. Other investigators
have reported similar increases in other indices of oxidative stress
associated with neurotoxic METH exposure (Giovanni et al., 1995 ;
Fleckenstein et al., 1997 ). The identification of proteins targeted for
modification by DA quinones is the focus of ongoing experiments in the laboratory.
At present, we cannot directly conclude which proteins were attacked by
DA quinones; however, several pieces of evidence suggest an
intracellular oxidation of DA. We observed that METH caused an acute
increase in protein cysteinyl-DA, whereas protein cysteinyl-DOPAC was
unchanged. Because both DA and DOPAC are capable of oxidizing and
binding to sulfhydryl groups on protein (Ito et al., 1988 ; Hastings and
Zigmond, 1994 ), the selective increase in cysteinyl-DA may reflect the
relative concentrations of DA and DOPAC at the site of oxidation. The
selective increase in cysteinyl-DA suggests that the oxidation occurred
in a compartment in which DA exists in higher concentrations than
DOPAC, such as the cytoplasm of a DA terminal. Presumably, the
intracellular concentration of DA is increased after METH
administration by the vesicular release of DA into the cytoplasm
(Cubells et al., 1994 ), and cytoplasmic DOPAC levels are decreased by
inhibition of monoamine oxidase by metabolites of METH (Egashira et
al., 1987 ). Therefore, the selective increase in cysteinyl-DA suggests
that the oxidation of DA occurs in the intracellular compartment.
However, in response to this regimen of METH, extracellular DA levels
increase considerably, which might promote DA oxidation in the
extracellular compartment. Indeed, extracellular DA increases ~2000%, and extracellular DOPAC levels decreased 83% from control (Fig. 8). Despite these changes, DOPAC levels are still 7.5-fold higher
than the peak levels of extracellular DA. Thus, if the oxidation of DA
occurred in the extracellular space, we would have expected increases
in cysteinyl-DOPAC, as well. These observations suggest that in the
case of METH-induced toxicity, the extracellular environment is not
involved in the oxidation of DA.
It was also observed that the toxicity of METH could be prevented if
administered at an ambient temperature of 5°C. This is in accordance
with previous findings showing that reduced environmental temperatures
prevent the severe hyperthermia necessary to generate the long-term
toxicity of METH (Bowyer et al., 1992 , 1994 ; Ali et al., 1994 ; Miller
and O'Callaghan, 1994 ; Albers and Sonsalla, 1995 ). In addition
to the prevention of METH-induced hyperthermia and toxicity, we also
observed no increase in DA oxidation products when METH was
administered at 5°C, suggesting a connection between increased DA
oxidation and the mechanism of toxicity. Animals treated at 5°C
actually showed a significant drug-induced hypothermia instead of
hyperthermia (Fig. 6), resulting in a greater net change in core-body
temperature than seen in animals treated at room temperature. As
suggested previously (Yehuda and Wurtman, 1972 ), these data show
that high doses of METH interfere with thermoregulation rather than
cause hyperthermia.
Microdialysis experiments demonstrated that the protection observed by
administration of METH at 5°C is not the result of decreased DA
release. This novel observation is important to understanding the
mechanism of METH-induced toxicity because it shows that reduced ambient temperature does not interfere with the pharmacological response to METH but merely prevents METH-induced hyperthermia. This is
further supported by the observation that striatal tissue levels of DA
and DOPAC are decreased to similar extents in both temperature
conditions 2 hr after METH (Fig. 7). These data are in contrast to
those in one previously reported study showing an attenuated release of
DA in response to METH (5 mg/kg × 4) at 4°C; however, this dose
did not result in toxicity (Bowyer et al., 1993 ). Our results also
clearly show that elevations in extracellular DA alone are not
sufficient to cause toxicity. Although extracellular DA may be
important to the mechanism of METH-induced toxicity, as proposed
previously (O'Dell et al., 1991 ), additional factors also must be involved.
Finally, our microdialysis data indicated that the rise in
extracellular DA was not sufficient to cause an increase in DA oxidation products. Because the extracellular environment has lower
antioxidant levels than the intracellular compartment (Schenk et al.,
1982 ), it might be expected that large increases in extracellular DA
would overload the antioxidant capacity, resulting in DA oxidation. However, animals treated at 5°C exhibited the same extracellular levels of DA as did animals treated at 23°C but did not show an increase in DA oxidation products. Overall, these results suggest that
the oxidation of DA may be more predictive of toxicity than are changes
in extracellular DA. However, it is clear that other factors such as
METH-induced hyperthermia play a key role in both the oxidation of DA
and the long-term toxicity of METH.
It has been well demonstrated that DA can oxidize and form cysteinyl-DA
via an autoxidation mechanism that is facilitated by the presence of
transition metals, such as iron (Graham, 1978 ). It is possible that the
METH-induced hyperthermia causes the release of free iron, as occurs in
liver (Skibba and Gwartney, 1997 ), thus promoting the oxidation of DA.
DA may also be oxidized via enzymatic mechanisms. We and others have
shown previously that prostaglandin H synthase has the ability to
oxidize DA and increase the formation of protein cysteinyl-DA
(Hastings, 1995 ; Mattammal et al., 1995 ). Other enzymes such as
lipoxygenase, tyrosinase, and xanthine oxidase also will oxidize DA
(Korytowski et al., 1987 ; Rosei et al., 1994 ; Foppoli et al.,
1997 ). It is possible that severe hyperthermia might result in the
activation or upregulation of proteins capable of oxidizing DA.
Pro-oxidants may also be formed in vivo that can react with
DA and increase the formation of protein cysteinyl-DA. METH-induced toxicity has been shown to involve increases in extracellular glutamate
(Nash and Yamamoto, 1992 ; Abekawa et al., 1994 ; Stephans and Yamamoto,
1994 ). The activation of glutamate receptors has been linked to the
formation of reactive oxygen and nitrogen species, such as superoxide
and nitric oxide (Lafon-Cazal et al., 1993 ; Gunasekar et al., 1995 ;
Reynolds and Hastings, 1995 ). Superoxide has been implicated in
METH-induced toxicity (Cadet et al., 1994 ; Hirata et al., 1995 ) and the
oxidation of catechols (Ito and Fujita, 1982 ). Superoxide also may
react with nitric oxide to produce peroxynitrite, another compound
shown to oxidize DA (LaVoie and Hastings, 1997 ). In fact, it has been
demonstrated that inhibition of neuronal nitric oxide synthase prevents
METH-induced toxicity (Di Monte et al., 1996 ; Itzhak and Ali, 1996 ).
Likewise, mice lacking the neuronal nitric oxide synthase gene
are resistant to the toxic effects of METH (Itzhak et al., 1998 ).
Therefore, additional work is needed to elucidate the possible
interactions of hyperthermia, nitric oxide, and DA oxidation and their
relevance to METH-induced toxicity.
DA also plays an important role in the toxicity of METH to 5-HT
terminals (Gibb and Kogan, 1979 ; Wagner et al., 1983 ; Schmidt et al.,
1985 ; Johnson et al., 1987 ), but the mechanism is unknown. It has been
speculated that the METH-induced increase in extracellular DA results
in DA uptake into 5-HT terminals, which may then oxidize and damage
5-HT terminals (Schmidt et al., 1985 ). Although evidence of the
inactivation of tryptophan hydroxylase, an enzyme unique to 5-HT
terminals, suggests an intracellular oxidative stress (Fleckenstein et
al., 1997 ), DA uptake alone does not seem sufficient to explain
METH-induced 5-HT terminal loss. Intrastriatal injections of high
concentrations of DA have been shown to cause a selective lesion of DA
terminals that correlates with the oxidation of catechols. These
injections of DA result in far greater extracellular concentrations of
DA than does METH administration, and yet 5-HT terminals are spared in
this model (Hastings et al., 1996 ; Rabinovic et al., 1996 ). Thus,
similar to the mechanism of toxicity to DA terminals, it seems that the
METH-induced toxicity to 5-HT terminals likely involves a complex
interaction of many factors.
This study has provided several lines of evidence suggesting that
increased DA oxidation is associated with the neurotoxicity of METH.
METH may either cause the generation of reactive species such as
superoxide or peroxynitrite, which are capable of oxidizing DA to DA
quinone, or may create an environment that favors the autoxidation or
the enzyme-catalyzed oxidation of DA. Regardless of the sequence of
events that leads to the oxidation of DA, generation of the DA quinone
seems to be linked to the toxicity of METH and may contribute to the
mechanism involved. These findings may be important not only to the
understanding of METH-induced toxicity but to the selective
vulnerability of monoaminergic terminals in neurodegeneration, as well.
 |
FOOTNOTES |
Received Sept. 8, 1998; revised Nov. 24, 1998; accepted Dec. 2, 1998.
This work was supported by National Institute on Drug Abuse Grants
DA09601 (T.G.H.) and DA05811 (M.J.L.). We thank Dr. Alan F. Sved for
helpful discussions and a critical review of this manuscript.
Correspondence should be addressed to Dr. Teresa G. Hastings, S-526
Biomedical Science Tower, Department of Neurology, University of
Pittsburgh, Pittsburgh, PA 15261.
 |
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R. R. Metzger, H. M. Haughey, D. G. Wilkins, J. W. Gibb, G. R. Hanson, and A. E. Fleckenstein
Methamphetamine-Induced Rapid Decrease in Dopamine Transporter Function: Role of Dopamine and Hyperthermia
J. Pharmacol. Exp. Ther.,
December 1, 2000;
295(3):
1077 - 1085.
[Abstract]
[Full Text]
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J. F. Bowyer, G. D. Newport, W. Slikker Jr., B. Gough, S. A. Ferguson, and J. Tor-Agbidye
An Evaluation of l-Ephedrine Neurotoxicity with Respect to Hyperthermia and Caudate/Putamen Microdialysate Levels of Ephedrine, Dopamine, Serotonin, and Glutamate
Toxicol. Sci.,
May 1, 2000;
55(1):
133 - 142.
[Abstract]
[Full Text]
[PDF]
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K. B. Burrows, W. L. Nixdorf, and B. K. Yamamoto
Central Administration of Methamphetamine Synergizes with Metabolic Inhibition to Deplete Striatal Monoamines
J. Pharmacol. Exp. Ther.,
March 1, 2000;
292(3):
853 - 860.
[Abstract]
[Full Text]
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X. Deng, B. Ladenheim, L.-I Tsao, and J. L. Cadet
Null Mutation of c-fos Causes Exacerbation of Methamphetamine-Induced Neurotoxicity
J. Neurosci.,
November 15, 1999;
19(22):
10107 - 10115.
[Abstract]
[Full Text]
[PDF]
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