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The Journal of Neuroscience, August 15, 2001, 21(16):6069-6076
The Activation of Dopamine D4 Receptors Inhibits Oxidative
Stress-Induced Nerve Cell Death
Kumiko
Ishige,
Qi
Chen,
Yutaka
Sagara, and
David
Schubert
Cellular Neurobiology Laboratory, The Salk Institute for Biological
Studies, La Jolla, California 92037
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ABSTRACT |
Oxidative stress is thought to be the cause of nerve cell death in
many CNS pathologies, including ischemia, trauma, and neurodegenerative disease. Glutamate kills nerve cells that lack ionotropic glutamate receptors via the inhibition of the cystine-glutamate antiporter x , resulting in the inhibition of cystine uptake,
the loss of glutathione, and the initiation of an oxidative
stress cell death pathway. A number of catecholamines were found to
block this pathway. Specifically, dopamine and related ligands inhibit
glutamate-induced cell death in both clonal nerve cell lines and rat
cortical neurons. The protective effects of dopamine, apomorphine, and
apocodeine, but not epinephrine and norepinephrine, are antagonized by
dopamine D4 antagonists. A dopamine D4 agonist also protects, and this
protective effect is inhibited by U101958, a dopamine D4 antagonist.
Although the protective effects of some of the catecholamines are
correlated with their antioxidant activities, there is no correlation
between the protective and antioxidant activities of several other
ligands. Normally, glutamate causes an increase in reactive oxygen
species (ROS) and intracellular Ca2+. Apomorphine
partially inhibits glutamate-induced ROS production and blocks the
opening of cGMP-operated Ca2+ channels that lead to
Ca2+ elevation in the late part of the cell death
pathway. These data suggest that the protective effects of apomorphine
on oxidative stress-induced cell death are, at least in part, mediated
by dopamine D4 receptors via the regulation of cGMP-operated
Ca2+ channels.
Key words:
HT22 cells; cell death; apomorphine; apocodeine; dopamine
D4 receptors; glutamate; cGMP
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INTRODUCTION |
Dopamine and its five receptor
subtypes play diverse roles in the CNS. Their activation is thought to
adversely contribute to several neuropathological disorders, including
Parkinson's disease and schizophrenia (Seeman and Van Tol, 1994 ;
Sokoloff and Schwartz, 1995 ). In addition, dopamine may have a
neuroprotective role. Catecholamines, such as dopamine, norepinephrine,
and epinephrine, are thought to protect nerve cells at low doses by
virtue of their antioxidant activities, but are neurotoxic at high
doses, acting as pro-oxidants (Noh et al., 1999 ). It has also been
reported that dopamine receptor agonists have neuroprotective effects
that are caused by nonreceptor-mediated mechanisms. For example,
bromocriptine and apomorphine act as free radical scavengers (Yoshikawa
et al., 1994 ; Sam and Verbeke, 1995 ; Grünblatt et al.,
1999 ). In addition, dopamine D3 receptors are not critical for the
neuroprotection by the D3 agonist, pramipexole, in 3-acetyl
pyridine-treated rats (Sethy et al., 1997 ). In contrast, some
recent reports suggest receptor-mediated mechanisms for protection by
dopamine receptor agonists. For example, bromocriptine protects
dopaminergic neurons from levodopa-induced toxicity by
stimulating dopamine D2 receptors (Takashima et al., 1999 ).
HT22 cells are immortalized mouse hippocampal cells and can be
considered a model of oxidative toxicity on exposure to glutamate. HT22
cells have no ionotropic glutamate receptors (Maher and Davis, 1996 ),
but exogenous glutamate blocks cystine uptake into the cells via the
inhibition of the glutamate-cystine antiporter, resulting in decreases
in intracellular cysteine and glutathione (GSH). GSH is the major
intracellular antioxidant, and its loss leads to an inability of the
cell to deal with pro-oxidant conditions (oxidative stress). After GSH
depletion, there is an accumulation of reactive oxygen species (ROS)
and a large Ca2+ influx, resulting in a
form of programmed cell death that is distinct from apoptosis (Murphy
et al., 1989 ; Tan et al., 1998a ,b ; Maher and Schubert, 2000 ). The
accumulation of intracellular Ca2+ is by
Ca2+ influx through cGMP-operated
Ca2+ channels (Li et al., 1997b ). In this
study, we examined the neuroprotective mechanisms of dopamine and
related compounds on oxidative stress-induced nerve cell death in HT22
cells and primary rat cortical neurons. It is shown that the activation
of D4 receptors is responsible for protection from oxidative stress by
dopamine and its analogs.
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MATERIALS AND METHODS |
Materials. The oligonucleotides were purchased from
Sigma-Genosys (The Woodlands, TX). The chemicals used were:
[3H]spiperone (specific activity 610.5 GBq/mmol; NEN, Boston, MA); dopamine receptor D4 affinity purified
polyclonal antibody (Chemicon, Temecula, CA); 2',7'-dichlorofluorescein
diacetate (DCF), indo-acetoxymethylester (Indo-1), pluronic
F-127, and propidium iodode (all from Molecular Probes, Eugene, OR);
haloperidol and L745870 (Tocris Cookson, Ballwin, MO);
and 8-(4-clorophenylthio) cGMP (pCPT-cGMP), apomorphine, apocodeine,
PD168077, U101958, dopamine, and spiperone (Sigma, St. Louis, MO).
Cell culture and
3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium
bromide assay. The HT22 cells were propagated in DMEM that was supplemented with 10% fetal bovine serum (FBS). Cell survival was determined by the
3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide
(MTT) assay. MTT is taken up by recycling vesicles in which it
is reduced and cycled to the extracellular space (Liu et al., 1997 ). In
the HT22 system, it is a valid measure of cell death when compared with
trypan blue-based visual counting and colony formation (Maher and
Davis, 1996 ). Briefly, HT22 cells were dissociated with pancreatin
(Life Technologies, Gaithersburg, MD) and seeded onto 96-well
microtiter plates at a density of 2 × 103 cells per well in 100 µl of the same
medium. The next day, cells were treated with various
reagents according to the experimental design. Twenty hours
after the addition of glutamate, the culture medium was replaced with
fresh medium because some of the catecholamines directly reduced MTT at
the higher concentrations tested. In all cases, parallel dishes
containing no cells were used, and for each drug concentration, cells
with drug alone (no glutamate) were used to determine whether the drug
had a direct interaction with the cell. These controls ensured that no
direct reduction of MTT by the catecholamines occurred, and visual
counts were done to confirm the MTT data. In some cases, the calcein AM
viability assay (Molecular Probes) was used. For the MTT assay, 10 µl
of 2.5 mg/ml MTT solution was added then and incubated at 37°C for 4 hr, and 100 µl of solubilization solution (50% dimethylfomamide, 20% SDS, pH 4.8) was added. The next day, the absorption values at 570 nm were measured (Liu et al., 1997 ). The results are shown as the
percentage of the controls specified in each experiment. The primary
cortical cells were prepared as described by Sagara and Schubert
(1998) . In all cases, cell death was confirmed by visual inspection.
Total antioxidant activity assay. Total antioxidant activity
was measured using the procedure described by Miller et al., (1993) and
expressed as Trolox, a water-soluble vitamin E analog, equivalent
antioxidant capacity (TEAC). The TEAC value is the millimolar
concentration of a Trolox solution having the antioxidant capacity
equivalent to a 1.0 mM solution of sample under
investigation. Briefly, 1 ml of reaction mixture including 2.5 µM metmyoglobin, 150 µM
2,2'-azinobis(3-ethylbenzoline 6-sulfonate), 75 µM
H2O2, and 0.84% sample or
Trolox (for standard) in PBS was incubated for 7.5 min at 30°C; then
the absorbance at 734 nM was read at 7.5 min. The
data are normalized to 1 mM Trolox (TEAC activity).
GSH, ROS, and Ca2+
measurements. Total GSH was measured as described by Tan et
al. (1998a) , using pure reduced glutathione as the standard. ROS and
Ca2+ measurements were performed as
described by Tan et al. (1998a) by flow cytometry. ROS production and
intracellular Ca2+ were detected using
DCF and Indo-1, respectively. Briefly, the cells were incubated
with Indo-1 and pluronic F-127 for 25 min at 37°C; then DCF and
pancreatin were added, and cells were incubated for 5 min. Cells
were collected and washed once in HEPES buffer supplemented with 2%
dialyzed fetal bovine serum. Washed cells were resuspended in HEPES
buffer and kept on ice until flow cytometric analysis. DCF data were
collected with the 475 nm excitation and 525 nm emission wavelengths
and plotted as histograms using the data analysis program CELLQuest
(Becton Dickinson, Mountain View, CA). Indo-1 data were collected with
two emission wavelengths, 410 nm (FL32) and 485 nm (FL4). FL32 and FL4
reflect the fluorescence of Indo-1 with and without bound
Ca2+, respectively. The
Ca2+ concentration is presented as the
ratio of FL32/FL4 (Sagara, 1998 ; Tan et al., 1998a ). Data were analyzed
from 10,000 live cells as determined by the lack of propidium iodide fluorescence.
Reverse transcription polymerase chain reaction. Total RNA
was prepared from HT22 cells and various tissues of mice and then treated with DNase for 30 min at 15°C. Oligonucleotide primers used
for the PCR amplification were: D4-1, 5'-CCTTACCCAGCCTCCGGACGA-3', which corresponds to nucleotides 764-784 of the mouse D4 receptor sequence; and D4-2, 5'-GACACGAAGCAAGCCGGACA-3', which is complementary to nucleotides 1018-1037 of the same sequence. PCR products were electrophoresed on 2% agarose gels and detected by ethidium bromide.
Western blotting. HT22 cells were collected by scraping in
sample buffer. Mouse tissues were homogenized with a Polytron
(Kinematica, Basel, Switzerland) for 20 sec in PBS supplemented with a
mixture of protease inhibitors (Complete; Roche Molecular Biochemicals, Indianapolis, IN), and then centrifuged at 48,000 × g
for 30 min at 4°C. The resulting pellets were resuspended in sample
buffer (3% SDS, 1% glycerol, 0.5% 2-mercaptoethanol, 0.05%
bromophenol blue, and 80 mM Tris-HCl buffer, pH
6.8, with Complete protease inhibitors). The samples were heated for 3 min in boiling water, fractionated on 12% polyacrylamide gels, and
electroblotted onto membranes. Dopamine receptor D4 affinity purified
polyclonal antibody was used as the primary antibody. Immunoreactive
bands were detected with the ECL (Amersham Pharmacia Biotech, Arlington
Heights, IL) Western blotting detection reagents.
Binding assays. HT22 cells were homogenized with a Polytron
for 20 sec in 15 ml of 50 mM Tris-HCl buffer, pH
7.4, containing 1 mM EDTA, and then centrifuged
at 48,000 × g for 30 min at 4°C. The resulting
pellet, which constitutes the membrane fraction, was resuspended in 50 mM Tris-HCl buffer, pH 7.4. Binding assays were
performed as described by Maroto et al. (1995) , with minor modifications. Briefly, 0.5 nM
[3H]spiperone and the membrane fraction
(100-150 µg protein-assay tube) were incubated in 50 mM Tris-HCl buffer, pH 7.4, containing 125 mM NaCl, 5 mM KCl, 1 mM MgCl2, 1 mM CaCl2, and 0.1%
ascorbic acid for 2 hr at 4°C. The binding reaction was terminated by
rapid filtration through Whatman GF/C filters presoaked in 0.3%
polyethylenimine. The filters were immediately washed three times with
4 ml of ice-cold 50 mM Tris-HCl buffer, and
radioactivity was measured by liquid scintillation counting. The
nonspecific binding was determined in the presence of 100 µM haloperidol. Specific binding was estimated by subtracting nonspecific binding from total binding. Binding assays
were done in triplicate. Protein concentration was measured by the
Bradford method using bovine serum albumin as the standard.
Statistical analysis. The significance of differences
between two groups was assessed by Student's t test. The
significance of three or more groups was assessed by the Bonferroni test.
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RESULTS |
Effect of dopamine and related compounds on glutamate-induced
cell death
Because there have been suggestions in the literature that
catecholamines can protect nerve cells from oxidative stress (Noh et
al., 1999 ; Grünblatt et al., 1999 ), it was asked whether this phenomenon could be reproduced in a well characterized form of programmed cell death that is initiated by oxidative stress. HT22 cells, which lack ionotropic glutamate receptors, were exposed to
increasing concentrations of several catecholamines followed by 2.5 mM glutamate. Cell viability assays performed 20 hr later showed that glutamate alone kills >90% of the cells, whereas dopamine protects HT22 cells in a concentration-dependent manner (Fig. 1A). Apomorphine and
apocodeine, two other dopamine receptor ligands, are also protective
(Fig. 1A), whereas epinephrine and norepinephrine are
less active. Of the compounds tested, apomorphine was the most
effective, followed by apocodeine and dopamine. These compounds did not
affect control cell survival, and they also protected cells from higher
concentrations of glutamate (data not shown). In addition, apomorphine
protects rat cortical neurons lacking ionotropic glutamate receptors
from oxidative glutamate toxicity (Fig. 1B).

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Figure 1.
Protective effects of apomorphine and related
compounds on glutamate-induced cell death in HT22 cells and primary
cortical cells. HT22 (A) and 1-d-old primary
cortical (B) cells were incubated with various
drugs and 2.5 mM or 5 mM glutamate,
respectively, for 20 hr; then cell survival was measured by the MTT
assay. The results are presented as the mean ± SEM relative
percentage survival for three or four independent experiments each done
in triplicate. AM, Apomorphine (1 µM).
**p < 0.01 (vs no glutamate);
##p < 0.01 (vs glutamate alone).
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To confirm the data with the MTT assay and to visually present the
dramatic effects of the dopamine analogs on rescuing the cells from
glutamate toxicity, some of the conditions in Figure 1 were repeated
with the cell viability stain calcein AM. Calcein AM is a fluorogenic
esterase substrate that passes through the cell membrane and is
hydrolyzed inside the viable cell to the green fluorescent product
calcein (Vaughan et al., 1995 ). Then, live cells were quantitated (Fig.
2A); photomicrographs
of the cells are presented in Figure 2B. It is clear
that essentially all of the cells were killed by glutamate and that
both apocodeine and apomorphine rescue the cells. Quantitation using
calcein AM was, within experimental variation, the same as that using
the MTT assay (Fig. 1).

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Figure 2.
Viability assays using calcein AM. Cells
were treated as described below, and viability was determined 20 hr
later using calcein AM instead of MTT. A, Quantitation
of viable cells. Twenty microscopic fields containing between 0 and 80 (control) cells each were scored for viable calcein-positive cells, and
the average cells per field in the control (untreated) cultures was
given as 100%. The data are presented as the mean cell number relative
to control ± SEM. Cont., Control;
Glu, 2.5 mM glutamate; AC, 10 µM apocodeine; PD, 50 µM
PD168077; AM, 1 µM apomorphine;
L74, 3 µM L745870; cGMP,
2.5 mM pCPT-cGMP. The last three columns were from a
separate experiment than the first six. B,
Photomicrographs of calcein-stained HT22 cell cultures after
treatment with the reagents described in A and
Figure 1. The conditions are those described in A.
a, Control; b, glutamate;
c, glutamate plus apocodeine; d,
glutamate plus PD168077; e, glutamate plus apomorphine;
f, glutamate plus apomorphine plus L745870;
g, control; h, pCPT-cGMP;
i, pCPT-cGMP plus apomorphine.
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Because apomorphine and apocodeine are ligands for dopamine receptors
(Van Tol et al., 1991 ; Seeman and Van Tol, 1994 ), it is possible that
the activation of a dopamine receptor leads to protection. To define
the receptor subtype, dopamine receptor antagonists were assayed for
their reversal of apomorphine protection in HT22 cells. The protective
effects of apomorphine, apocodeine, and dopamine were all inhibited by
the D4 antagonists, L745870 and U101958, whereas the weaker protective
effects of epinephrine or norepinephrine were not affected by these
antagonists (Fig. 3A). The
inhibitory effects of dopamine D4 antagonists were not complete, but we
could not use higher concentrations because they were toxic. PD168077,
a dopamine D4 receptor agonist, also had a significant protective
effect on glutamate-induced cell death, and this protective effect was
also antagonized by U101958 (Figs. 1, 3B). The protective
effect of the D4 receptor agonist PD168077 and the antagonistic effect
of L745870 are also shown in Figure 2 using the calcein AM viability
stain. SCH23390, a dopamine D1 receptor antagonist; sulupiride, a
dopamine D2 receptor antagonist; and GR103691, a dopamine D3
antagonist, did not antagonize the protective effects of apomorphine or
apocodeine, nor did they affect cell survival in the absence of
glutamate (data not shown). These data suggest that the dopamine D4
receptor is involved in the protection of cells from oxidative stress
by apomorphine.

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Figure 3.
Inhibitory effects of D4 antagonists on the
neuroprotective effects by apomorphine and related compounds.
A, HT22 cells were incubated with glutamate (2.5 mM) and apomorphine (AM; 1 µM), apocodeine (AC; 1 µM),
dopamine (DA; 30 µM), epinephrine
(EP; 100 µM), or norepinephrine
(NE; 100 µM) in the presence or absence of
the D4 antagonists, L745870 (3 µM) or U101958 (10 µM), for 20 hr; then cell survival was measured by the
MTT assay. B, HT22 cells were incubated with 2.5 mM glutamate and 50 µM PD168077 in the
presence or absence of 10 µM U101958 for 20 hr; then cell
survival was measured by the MTT assay. The results are presented as
the mean ± SEM relative percentage survival for three independent
experiments. **p < 0.01 (vs control, no
glutamate); ##p < 0.01 (vs glutamate alone);
#p < 0.05 (vs glutamate alone);
@p < 0.05 (vs glutamate in each group). The
statistical analysis was performed with the Bonferroni
test.
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Antioxidant activity (TEAC)
It is possible that at least a part of the neuroprotection
by apomorphine and related compounds is attributable to their
antioxidant activity (Yoshikawa et al., 1994 ; Grünblatt et al.,
1999 ). To test the antioxidant activities of these compounds, we
measured their TEAC values, an index of antioxidant activity in
vitro (Table 1). Dopamine had the
highest antioxidant activity of the compounds shown in Figure
1A, and the antioxidant activity of apomorphine tended to be higher than that of epinephrine or norepinephrine. Apocodeine is a weak antioxidant, although it protects cells as well as
apomorphine (Fig. 1). In addition, the D4 agonist PD168077, which is
also protective, had no antioxidant activity. As shown in Figure
4, the potencies of the protective
effects were correlated with antioxidant activities in SKF38393,
7-hydroxy-dipropylaminotetralin (7-OH DPAT), catecholamines, and
serotonin. SKF38393 is a D1 agonist and has two phenolic hydroxyl
groups. 7-OH DPAT is a D3 agonist and has one phenolic hydroxyl group.
In contrast, there is no correlation between antioxidant activity and
neuroprotection with apomorphine, apocodeine, or PD168077. It is
therefore possible that the first group protects cells by virtue of
their antioxidant activity, whereas apomorphine, apocodeine, and
PD168077 do so by a different mechanism.

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Figure 4.
Relationship between the TEAC values and
protective effects on glutamate-induced cell death in HT22 cells. TEAC
values were obtained from Table 1. EC50 values for
suppression of 2.5 mM glutamate-induced cell death in HT22
cells were calculated from each concentration-response curve and are
presented as the mean of three or four independent experiments.
AM, Apomorphine; AC, apocodeine;
PD, PD168077; DA, dopamine;
SKF, SKF38393; DP,
7-hydroxy-dipropylaminotetralin (7-OH-DPAT); N,
norepinephrine; E, epinephrine; HT,
serotonin.
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Glutathione, ROS and Ca2+ levels
Oxidative glutamate toxicity is associated with the depletion of
GSH and the elevation of intracellular ROS and
Ca2+ (Tan et al., 1998a ). To determine
where in the programmed cell death pathway apomorphine blocked
toxicity, we measured intracellular GSH, ROS, and
Ca2+ levels. Dopamine, apomorphine, and
apocodeine did not prevent glutamate-induced glutathione depletion
(Fig. 5A), showing that this
early event in the oxidative stress pathway is not the target for these
compounds. In contrast, apomorphine, apocodeine, and dopamine partially
inhibited the ROS elevation (Fig. 5B). Dopamine showed the
strongest inhibition of ROS production, perhaps because of its powerful
antioxidant activity. Finally, all of the drugs inhibited
Ca2+ elevation completely (Fig.
5C). Because the influx of Ca2+
is a late event in the oxidative glutamate toxicity death program and
because some increase in intracellular
Ca2+ is required for maximum ROS
production (Tan et al., 1998a ), it follows that apomorphine and
apocodeine may inhibit cell death by blocking the influx of
Ca2+.

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Figure 5.
The effects of apomorphine, apocodeine, and
dopamine on glutathione (GSH) depletion, reactive
oxygen species (ROS) production, and
Ca2+ influx by glutamate. Cells were incubated with
2.5 mM (GSH) or 5 mM
(GSH, ROS, and
Ca2+) glutamate and each drug for 8 hr; then GSH, ROS and Ca2+ were measured as
described in Materials and Methods. GSH was calculated as nanomoles GSH
per milligram of protein and presented as a percentage of the control
value. ROS and Ca2+ were calculated as described in
Materials and Methods and presented as a percentage of control. All
results are presented as the mean ± SEM for four independent
experiments. -, Control; AM, apomorphine;
AC, apocodeine; DA, dopamine.
**p < 0.01 (vs no glutamate);
#p < 0.05 and ##p < 0.01 (vs
5 mM Glu).
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cGMP induced Ca2+ influx
In HT22 cells and cortical neurons, cGMP-dependent
Ca2+ channels are opened near the end of
the glutamate-induced cell death pathway (Li et al., 1997b ). To test
the possibility that apomorphine and apocodeine modulate these
Ca2+ channels, we examined the effects of
these compounds on cell death that was caused by the cell permeable
cGMP analog, pCPT-cGMP. pCPT-cGMP caused cell death in a
dose-dependent manner (data not shown), and
CoCl2, a nonselective
Ca2+ channel inhibitor, suppressed
pCPT-cGMP-induced cell death (Fig. 6A). Apomorphine,
apocodeine, PD168077, and dopamine also inhibited pCPT-cGMP-induced
cell death (Fig. 6A), showing that they act at a site
downstream from cGMP in the cell death pathway. The results with
apomorphine using calcein AM are shown in Figure 2. In addition,
pCPT-cGMP induced cell death in primary cortical neurons, and these
cells were protected by apomorphine (Fig. 6B).

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Figure 6.
Effects of dopamine receptor ligands on
cGMP-induced cell death in HT22 cells and primary cortical neurons.
HT22 (A) or 1-d-old cultured cortical
(B) cells were incubated with CoCl2
(50 µM), apomorphine (AM; 1 µM), apocodeine (AC; 1 µM),
dopamine (DA; 30 µM), or PD168077
(PD; 50 µM), followed by the addition of
2.5 mM pCPT-cGMP. Cell survival was measured by the MTT
assay 24 hr later. C, Glutamate was added to all samples
at 0 time, and 20 µM CoCl2, 1 µM apocodeine, 50 µM PD168077, 1 µM apocodeine plus 3 mM L745870 or 0.1 µg/ml actinomycin D were added at 2 hr intervals up to 10 hr; cell
viability was determined after 20 hr. The results are presented as the
mean ± SEM relative percentage survival for three independent
experiments. *p < 0.05 and
**p < 0.01 (vs no glutamate);
#p < 0.05 and ##p < 0.01 (vs
5 mM glutamate).
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If dopamine and its analogs protect cells primarily via the
inhibition of Ca2+ influx, then it would
be predicted that they protect cells from glutamate toxicity when added
very late in the cell death program in which the
Ca2+ influx occurs (Li et al., 1997b ; Tan
et al., 1998a ). In addition, this inhibition should parallel the time
course for cobalt protection, and both should occur much later than
happens with actinomycin D, for the requirement for mRNA synthesis is a
very early event (Tan et al., 1998a ). To test this possibility,
actinomycin D, CoCl2, the D4 agonist PD168077,
apocodeine or apocodeine, plus D4 antagonist L745870 were added to HT22
cells at 2 hr intervals after the addition of glutamate, and cell
viability was determined 20 hr later. Figure 6C shows that
cells are protected from glutamate when CoCl2,
apocodeine, or the D4 agonist is added up to 6 hr after glutamate,
whereas the protective effect of apocodeine was partially reversed by
L745870. Actinomycin D no longer inhibited toxicity when added after 2 hr. These results show that apocodeine protects cells late in the cell
death pathway via the activation of D4 receptors and are consistent
with both the cGMP and Ca2+ influx data.
Dopamine receptors in HT22 cells
The above experiments suggest that HT22 cells have dopamine D4
receptors that mediate the protective response. Three sets of
experiments were done to determine whether the HT22 cells express the
D4 receptor. D4 receptor mRNA was assayed by reverse transcription polymerase chain reaction (RT-PCR), Western blot experiments were performed to examine protein levels, and ligand binding assays were
performed to examine receptor function. In RT-PCR, amplification with
D4-1 and D4-2 primers generated a 195 bp cDNA fragment from the HT22
cells, mouse hippocampal RNA, and mouse cortical neuron RNA (Fig.
7A). The corresponding band
was not detected in mouse liver or kidney. Similarly, Western blots
with an antibody specific to D4 receptors showed that HT22 cells, mouse
hippocampal membranes, and mouse cortical neurons have dopamine D4
receptors (Fig. 7AII). In the liver and kidney, this
band was not observed. The molecular weight of these proteins was
estimated at 55 kDa. These data show that HT22 cells and the tissue
from which they were derived, mouse hippocampus, both express D4
receptors.

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Figure 7.
The expression of D4 receptors in HT22 cells.
A, RT-PCR and Western blot analysis of dopamine D4
receptors in HT22, hippocampal, and cortical cells. DNase-treated total
RNA with (+) or without (-) reverse transcription was amplified by PCR.
The estimated size of the PCR products was 195 bp. II,
Lanes of HT22 cell lysates contained 40 µg of protein, and the other
lanes contained 20 µg of protein. The estimated molecular weight of
the D4 receptor is 55 kDa in HT22 and hippocampal neurons and slightly
larger in cortical neurons. B, Representative Scatchard
plot of [3H]spiperone binding. The binding assay
was performed as described in Materials and Methods by using
concentrations of spiperone between 0.5 nM and 2.5 µM. C, Displacement curves for
[3H]spiperone binding. The binding assay was
performed as described in Materials and Methods. The results are
presented as the mean ± SEM of three to five independent
experiments. IC50 values are shown in Table 3.
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To further characterize the dopamine D4 receptors in HT22 cells, we
performed binding assays. Scatchard plots for the dopamine receptor
antagonist [3H]spiperone binding to HT22
cells are curvilinear (Fig. 7C), fitting a two site binding
model. As shown in Table 2, the
Kd values for high- and low-affinity
sites are 7.21 ± 0.56 nM and 466 ± 177 nM, respectively, and the
Bmax values are 28.88 ± 13.08 pmol/mg protein and 174.02 ± 51.99 pmol/mg protein,
respectively. Displacement experiments showed that various
nonselective and D4-selective ligands inhibited
[3H]spiperone binding (Fig.
7C, Table 3). The most
effective displacing agent was spiperone, followed by haloperidol. The
IC50 value for apomorphine was almost the same as
that of apocodeine. The displacing potency of dopamine was the same or
weaker than that of the D4 ligands, U101958, L745870, and PD168077.
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DISCUSSION |
The above data show that the activation of dopamine D4 receptors
can play a role in the protection of nerve cells from oxidative stress-induced cell death. This conclusion is based on the following observations. (1) Apomorphine, apocodeine, and dopamine all protect the
HT22 mouse hippocampal nerve cell line and rat cortical neurons from
oxidative stress induced by oxidative glutamate toxicity (Figs. 1, 2).
(2) This protective effect is reversed by D4 antagonists, but not by
D1, D2, or D3 antagonists (Fig. 3). (3) A selective D4 agonist,
PD168077, also protects neurons from oxidative stress (Figs. 1, 2). (4)
The protective effects of the D4 agonists cannot be explained by their
inherent antioxidant properties alone (Fig. 4, Table 1). (5) HT22 cells
express the mRNA, protein, and physiological binding properties of D4
dopamine receptors (Fig. 7, Tables 2, 3).
It has been suggested that the neuroprotective effects of
catecholamines, including dopamine, epinephrine, and norepinephrine are
attributable to their antioxidant activities and are not
receptor-mediated (Grünblatt et al., 1999 ; Noh et al., 1999 ). In
the above experiments, it is indeed shown that many catecholamines have
antioxidant activity, and that antioxidant activity may be part of the
neuroprotective effect of apomorphine. However, D4 receptor mechanisms
are more predominant than antioxidant activities because the protective effect of apomorphine, which is a relatively good antioxidant, is the
same as that of apocodeine, which is a relatively poor antioxidant, and
stronger than catecholamines, which are also good antioxidants (Table
1). In addition, the D4 agonist PD168077 has no antioxidant activity
but is very protective.
It is also known that exogenous dopamine can be neurotoxic. Dopamine is
degraded to hydrogen peroxide and dihydroxyphenylacetaldehyde by
monoamine oxidase or spontaneously oxidizes to form quinones, semiquinones, and again hydrogen peroxide. Several of these products can lead to the generation of reactive oxygen species such as hydroxyl
radicals. Therefore, there has been considerable interest in the
potential role of dopamine in CNS ischemia and trauma. Indeed it has
been established in several in vivo models that dopamine is
involved in the cell death pathway. For example, when brain lesions are
caused by malonate or 3-nitropropionic acid, two reagents that inhibit
energy metabolism, the experimental reduction of dopamine greatly
diminishes the extent of damage (Reynolds et al., 1998 ; Ferger et al.,
1999 ). These results are not, however, at odds with ours because the
nature of the insults is quite different (energy deprivation versus
oxidative stress) and the levels of multiple toxic agents released from
both dying nerve and activated glia are likely to be much higher in
severely traumatized CNS tissue than in oxidatively stressed nerve cell cultures. The significance of the dopamine D4 receptor activation may
be that it protects cells from gradual changes in low level oxidative
stress that occur in mild pathological insults and aging.
The mouse dopamine D4 receptor mRNA is found in the hippocampus and
other brain regions, and also in some peripheral tissues such as the
adrenal gland and the testes (Van Tol et al., 1991 ). It is not found in
other peripheral tissues, including liver and kidney. Our RT-PCR data
from mouse tissues (Fig. 7A) are consistent with the
published data with respect to the regional specificity of this
receptor and size of its mRNA. They also demonstrate that HT22 cells
express dopamine D4 receptor mRNA. The mouse D4 receptor has 387 amino
acids with a calculated molecular weight of 41,468 (Fishburn et al.,
1995 ; Suzuki et al., 1995 ). This molecular weight is smaller than the
estimated molecular weight from the western blots in this manuscript
but is consistent with the apparent molecular weight of the dopamine D4
receptor published by others, probably because of glycosylation (Suzuki
et al., 1995 ; Lanau et al., 1997 ).
Binding assays also show that dopamine D4 receptors are expressed in
the HT22 cells and that apomorphine and apocodeine bind the receptors
with higher affinities than dopamine. These data agree with those that
show that although apomorphine is a nonselective dopamine receptor
agonist, its affinity for D4 receptors is severalfold higher than that
of dopamine (Seeman and Van Tol, 1994 ). In addition, the affinities of
apomorphine and apocodeine for the D4 dopamine receptor in HT22 cells
are the same as the dopamine D4 antagonist U101958 and higher than the
D4 agonist PD168077. These data show that apomorphine, apocodeine, and
dopamine can all act as dopamine D4 agonists.
A great deal is understood about the programmed cell death pathway
initiated by glutamate in HT22 cells and primary cortical neurons
(Maher and Davis, 1996 ; Murphy et al., 1989 ; Li et al., 1997a ,b ; Tan et
al., 1998a ,b ). This knowledge makes it possible to determine at which
point in the pathway the drug-induced inhibition of cell death occurs.
There are two features of this pathway that are relevant to apomorphine
protection. First, maximum ROS production requires the influx of
extracellular Ca2+ (Li et al., 1997b ; Tan
et al., 1998a ). Second, the influx of Ca2+
is initiated by an accumulation of intracellular cGMP via the activation of soluble guanylate cyclase (Li et al., 1997b ). The data
presented here show that apomorphine, apocodeine, and dopamine inhibit
the cell death program at the level of cGMP-gated
Ca2+ influx. In the presence of these
compounds, ROS are elevated but do not reach their maximum levels (Fig.
5). This result is identical to that observed when the synthesis of
cGMP is blocked, preventing Ca2+ influx,
or when the Ca2+ channel is blocked by
cobalt (Li et al., 1997b ; Tan et al., 1998a ). The data are therefore
consistent with the block being associated with
Ca2+ influx, a conclusion confirmed by
Ca2+ imaging (Fig. 5). To more precisely
localize the site of protection, it was asked whether apomorphine
inhibits cell death that is caused by elevated intracellular cGMP. The
elevation of cGMP and the resultant opening of the cGMP-gated
Ca2+ channels are both necessary and
sufficient to cause cell death in oxidative glutamate toxicity (Li et
al., 1997b ). Figure 6 shows that apomorphine, apocodeine, and dopamine
all protect cells from elevated cGMP with a time of action
indistinguishable from that of cobalt. Therefore, it is most likely
that the activation of D4 receptors inhibits a step downstream of cGMP,
probably at the Ca2+ channel. Indeed, it
has been suggested that the activation of dopamine D4 receptors reduces
Ca2+ currents (Sokoloff and Schwartz,
1995 ). The present study shows that apomorphine, apocodeine, and
dopamine protect cells from oxidative stress-induced cell death by the
inhibition of Ca2+ channels through the
activation of dopamine D4 receptors.
 |
FOOTNOTES |
Received April 23, 2001; revised April 23, 2001; accepted May 31, 2001.
This work was supported by a Nihon University grant to K.I., the Bundy
Foundation Fellowship to Q.C., and grants from the United States
Department of Defense (DAMD 17-991-1-9562) and the National Institutes
of Health to D.S. We thank Drs. Pamela Maher, Richard Dargusch, and
Shirlee Tan for their comments on this manuscript.
Correspondence should be addressed to Dr. David Schubert, The Salk
Institute for Biological Studies, 10010 North Torrey Pines Road, La
Jolla, CA 92037. E-mail: schubert{at}salk.edu.
 |
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