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The Journal of Neuroscience, March 1, 2003, 23(5):1974
Glial Cell Line-Derived Neurotrophic Factor Increases
Stimulus-Evoked Dopamine Release and Motor Speed in Aged Rhesus Monkeys
Richard
Grondin*,
Wayne A.
Cass*,
Zhiming
Zhang,
John A.
Stanford,
Don M.
Gash, and
Greg
A.
Gerhardt
Department of Anatomy and Neurobiology and Morris K. Udall
Parkinson's Disease Research Center of Excellence, University of
Kentucky Medical Center, Lexington, Kentucky 40536-0298
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ABSTRACT |
Changes in the functional dynamics of dopamine release and
regulation in the basal ganglia have been posited to contribute to
age-related slowing of motor functions. Here, we report the effects of
glial cell line-derived neurotrophic factor (GDNF) on the
stimulus-evoked release of dopamine and motor speed in aged monkeys
(21-27 years of age; n = 10). Although no changes were observed in the vehicle controls (n = 5),
chronic infusions of 7.5 µg of GDNF per day for 2 months into the
right lateral ventricle initially increased hand movement speed up to
40% on an automated hand-reach task. These effects were maintained for at least 2 months after replacing GDNF with vehicle, and increased up
to another 10% after the reinstatement of GDNF treatment for 1 month.
In addition, upper-limb motor performance times of the aged
GDNF-treated animals (n = 5) recorded at the end of
the study were similar to those of five young adult monkeys (8-12
years of age). The stimulus-evoked release of dopamine was
significantly increased, up to 130% in the right caudate nucleus and
putamen and up to 116% in both the right and left substantia nigra of the aged GDNF recipients compared with vehicle controls. Also, basal
extracellular levels of dopamine were bilaterally increased, up to
163% in the substantia nigra of the aged GDNF-treated animals. The
data suggest that the effects of GDNF on the release of dopamine in the
basal ganglia may be responsible for the improvements in motor
functions and support the hypothesis that functional changes in
dopamine release may contribute to motor dysfunctions characterizing senescence.
Key words:
chronic GDNF; aging; rhesus monkeys; in
vivo microdialysis; basal ganglia; motor speed
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Introduction |
The progressive slowing of motor
functions and the development of parkinsonian signs are common features
seen with advancing age in humans (Bennett et al., 1996 ; Smith et al.,
1999 ). As in elderly humans, motor functions in monkeys also decline
with age, as seen by decreased home cage activity and increased
reaction times compared with young adult monkeys (Bachevalier et al.,
1991 ; Irwin et al., 1994 ; Ovadia et al., 1995 ; Emborg et al., 1998 ; Zhang et al., 2000 ). In correspondence with human aging, aged monkeys
are also significantly slower on tasks involving fine motor hand
movements than are young adult monkeys, and often display two or more
parkinsonian signs (Emborg et al., 1998 ; Gash et al., 1999 ; Zhang et
al., 2000 ).
Several alterations of the nigrostriatal dopaminergic system are seen
with aging in humans and monkeys. These age-related changes include
decreased tissue levels of nigrostriatal dopamine, decreased levels of
tyrosine hydroxylase and dopamine transporter, and decreased
stimulus-evoked release of nigrostriatal dopamine (Bannon et al., 1992 ;
Kish et al., 1992 ; Irwin et al., 1994 ; Gerhardt et al., 1995 , 2002 ;
Emborg et al., 1998 ). As in Parkinson's disease, these data suggest
that the nigrostriatal dopaminergic system may contribute to
age-associated motor dysfunctions seen in humans and monkeys. However,
unlike Parkinson's disease, the extensive loss (>60%) of dopamine
neurons in the pars compacta of the substantia nigra does not appear to
occur in normal aging, either in human senescence or in animal models
of aging (Fearnley and Lees, 1991 ; Irwin et al., 1994 ; Emborg et al.,
1998 ; Kubis et al., 2000 ; Gerhardt et al., 2002 ). Therefore, midbrain
dopaminergic cell loss alone cannot explain age-associated motor
deficits. Rather, changes in the functional dynamics of dopamine
release and regulation in the striatum and/or the substantia nigra
might better explain the motor declines seen during aging in nonhuman
primates, and possibly in humans (Gerhardt et al., 2002 ). If so,
interventions that would upregulate dopamine release in the basal
ganglia should improve the motor deficits characterizing normal aging.
The potent dopaminergic trophic factor glial cell line-derived
neurotrophic factor (GDNF) offers a promising approach to potentially repair and restore function to damaged dopaminergic neurons (Gash et
al., 1998 ). It has been hypothesized that GDNF mediates its effects, at
least in part, by regulating the neuronal excitability of midbrain
dopaminergic neurons (Yang et al., 2001 ). This GDNF-induced potentiation of neuronal excitability would result in an increase in
dopamine release, leading to an enhancement in motor functions (Yang et
al., 2001 ). A previous report by Kordower et al. (2000) investigated
the effects of GDNF in aged monkeys. In this study, viral vector
delivery of GDNF into the nigrostriatal dopaminergic system (striatum
and substantia nigra) of four aged monkeys was shown to increase tissue
levels of dopamine in the striatum and to increase the number of
tyrosine hydroxylase-immunoreactive (TH-IR) nigral neurons. However,
the effects of GDNF on motor behavior and dopamine release in aged
monkeys were not described and remain unclear. Thus, the present study
was designed to determine whether the intraventricular infusion of
exogenous GDNF can improve motor deficits in aged monkeys, and if so,
whether this improvement is associated with an increase in
nigrostriatal dopamine release. The 10 aged rhesus monkeys used in this
study ranged in age from 21 to 27 years, approximately equivalent to
63-81 years of age in humans (Andersen et al., 1999 ). For comparison,
a group of five young adult rhesus monkeys (8-12 years of age) was
tested in parallel on the same hand-reach motor task.
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Materials and Methods |
Animals. All procedures were conducted in the
Laboratory Animal Facilities of the University of Kentucky, which are
fully accredited by the Association for Assessment and Accreditation of
Laboratory Animal Care. The Animal Care and Use Committee of the
University of Kentucky approved all protocols. In addition, veterinarians skilled in the health care and maintenance of nonhuman primates supervised all animal care.
Five young adult (mean age, 10.3 ± 1.2 years) and 10 aged (mean
age, 23.8 ± 0.6 years) female rhesus monkeys (Macaca
mulatta) were obtained from a commercial supplier
(Covance, Alice, TX) and used in this study. The 10 aged
rhesus monkeys were matched for age and were randomly divided on
arrival into two groups of five animals. The animals were housed in
temperature-controlled rooms and maintained on a 12 hr light/dark
cycle. Their diet consisted of certified primate biscuits supplemented
daily with fresh fruit or vegetables; water was available ad
libitum. All animals were weighed weekly during the course of the study.
Surgical procedures. Under sterile field conditions, a
catheter (1 mm outer diameter, model 8770AS;
Medtronic, Minneapolis, MN) was stereotactically implanted
adjacent to the striatum into the right lateral ventricle of the 10 aged animals. The brain coordinates for intraventricular implantation
were determined by magnetic resonance imaging (MRI) before the surgery.
The ventricular catheter has a hole in the tip, with two adjacent side
holes for drug delivery. The catheter was subcutaneously connected via
flexible polyurethane tubing to a SynchroMed programmable pump (model
8616-10; Medtronic), that was implanted subcutaneously in
the lateral abdominal region as described by Grondin et al. (2001) . The
animals were anesthetized with isoflurane (1-3%) during these
procedures and were allowed 2 weeks to recover from the surgery.
Placement of the catheter into the right lateral ventricle was verified
by MRI. The right lateral ventricle was chosen to parallel our studies conducted in hemiparkinsonian monkeys (Gash et al., 1996 ), whereas programmable pumps were used to parallel the prolonged delivery of GDNF
studied previously in aged monkeys using viral vectors (Kordower et
al., 2000 ).
Drug treatments. Vehicle (10 mM
citrate, 150 mM NaCl buffer; Amgen
Inc., Thousand Oaks, CA) was infused throughout the 6 month study in five control animals (23.5 ± 1 years of age). The other five aged animals (24.1 ± 0.7 years of age) were initially
administered recombinant methionine human GDNF (Amgen) for
3 months. Because a pilot experiment had shown that the threshold for
inducing behavioral improvements in monkeys was >3.75 µg/d GDNF
(Grondin et al., 1998 ), the aged GDNF recipients received a daily dose
of 7.5 µg of GDNF that was delivered over 24 hr in a volume of 100 µl of citrate buffer (a 13 µl bolus of 0.075 mg/ml GDNF delivered
every 6 hr in addition to a basal flow rate of 2 µl/hr between each
bolus). Vehicle-treated animals received the same daily volume of
citrate buffer. The pumps were refilled every 4 weeks with either GDNF or vehicle by injections through the skin into a fill port (Grondin et
al., 2001 , 2002a ,b ).
Behavioral testing was interrupted during the third month of chronic
GDNF infusion, during which microdialysis experiments were conducted
(weeks 9-12). Behavioral evaluations were resumed on weeks 13-20,
during which all 10 aged animals received vehicle (washout period).
This washout period with the vehicle was conducted to determine whether
the behavioral effects would persist in the absence of GDNF. Finally,
reinstatement of treatment for 1 month was also performed to determine
whether GDNF could sustain or additionally increase motor speed after a
washout period. The study was terminated 6 months after beginning
treatment with either vehicle or GDNF (week 24).
Monkey movement analysis panel. We used our previously
described automated monkey movement analysis panel (mMAP) to
objectively quantify the upper-limb motor performance time of the
animals retrieving a miniature marshmallow from a platform placed in a receptacle chamber attached to the home cage (Gash et al., 1999 ; Grondin et al., 2000 ). The aged animals were first trained to a plateau
level of performance before receiving GDNF or vehicle. Data recorded
during the last of four testing sessions before initiating drug
treatment were used as a baseline. Testing occurred weekly and
consisted of 12 trials alternating between the right (six trials) and
left (six trials) hand using the appropriate armhole portal giving
access to the chamber. The data were analyzed using two parameters:
fine motor performance time and coarse motor performance time. On each
trial, fine motor performance time was considered to be the time the
hand was in the receptacle picking up the food reward. Coarse motor
performance time was recorded as the time for the upper limb to move
from the armhole portal to the food receptacle portal and then back
from the receptacle portal into the cage (i.e., the total time for a
trial minus the fine motor performance time). In addition, a group of
five young adult monkeys (10.3 ± 1.2 years of age) was preadapted
to routinely retrieve food from the receptacle chamber with each hand.
Baseline data were then collected using the platform task level, in
parallel with the aged animals. The peak performance recorded for each young adult monkey was used for comparison.
In vivo microdialysis. The brain coordinates for
microdialysis probe implantation were determined by MRI before the
surgery (Gerhardt et al., 2002 ). Nine weeks after beginning either
vehicle or GDNF administration, the aged animals were anesthetized with isoflurane (1-3%) and placed in an MRI-compatible Kopf stereotaxic apparatus (David Kopf Instruments, Tujunga, CA). Under sterile field conditions, small holes were drilled in the skull over the left
and right substantia nigra. Custom-made CMA/11 dialysis probes with a
membrane length of 3 mm and diameter of 0.24 mm (CMA
Microdialysis, North Chelmsford, MA) were then positioned
bilaterally in the substantia nigra and perfused continuously at a rate
of 1.2 µl/min with artificial CSF (in
mM: 145 NaCl, 2.7 KCl, 1.2 CaCl2, 1.0 MgCl2, 0.2 ascorbic acid, and 2.0 NaH2PO4, pH 7.4).
Microdialysate fractions were collected at 30 min intervals. After a 1 hr application of artificial CSF to collect baseline fractions, excess
potassium (100 mM KCl, 47.7 mM NaCl) was then included in the perfusate for a
single 30 min fraction
(t0-t30).
Two hours later, 250 µM amphetamine was
included in the perfusate for a single 30 min fraction
(t120-t150).
Three additional fractions were collected after discontinuing
amphetamine administration
(t180-t240).
Two weeks later (week 11), the same procedures were repeated
ipsilateral to the infusion site, in the right caudate nucleus and the
right putamen. Microdialysate fractions were analyzed using standard HPLC procedures coupled with electrochemical detection
(Cass, 1996 ; Gerhardt et al., 2002 ). Microdialysis data were expressed as the concentration of dopamine, homovanillic acid (HVA), or 3,4-dihydroxyphenylacetic acid (DOPAC) in the dialysates.
Statistical analysis. The mMAP data represent an average of
the left and right upper-limb motor time values, because there were no
significant differences observed between the left and right limb
values. Upper-limb motor performance times recorded in the aged animals
were analyzed using repeated-measures ANOVA, with treatment as
the between-subjects factor and week of treatment as the
within-subjects factor, followed by Newman-Keuls post hoc comparisons. The peak performance times obtained in the young adults
and the aged GDNF-treated recipients (week 24) were compared using
two-tailed independent-samples t tests.
ANOVA, with treatment as the between-subjects factor and the side of
brain as the within-subjects factor, was used to estimate differences
in nigral basal levels of dopamine, DOPAC, or HVA between aged animals
in the control and GDNF treatment groups, followed by Newman-Keuls
post hoc comparisons. Basal levels of extracellular
dopamine, DOPAC, or HVA in the caudate and putamen were analyzed
separately using independent-samples t tests. Basal levels
were defined as the average value of the two fractions preceding
stimulation by excess potassium. For statistical analysis of the
stimulus-evoked overflow of dopamine, the data were separated into
potassium-evoked overflow (30-120 min) and amphetamine-induced overflow (150-240 min). The data were then analyzed using three- or
two-factor repeated-measures ANOVA, with treatment as the
between-subjects factor and time of collection and side of the brain
(nigra only) as the within-subjects factor, followed by Newman-Keuls
post hoc comparisons (Cass and Manning, 1999 ).
p 0.05 was considered significant in all analyses.
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Results |
General observations
All 10 aged animals recovered without incident after placement of
the catheter into the lateral ventricle or after in vivo microdialysis procedures in the striatum and substantia nigra. A
repeated-measures ANOVA, with treatment as the between-subjects factor
and week of treatment as the within-subjects factor, revealed no
significant effects of chronic GDNF treatment on body weight compared
with vehicle treatment (p = 0.551; data not
shown). No other adverse effects (e.g., vomiting, self-mutilation, or
dyskinesias) were observed during the course of the 6 month study.
Motor function
The mMAP data represent an average of the left and right
upper-limb motor time values, because there were no significant
differences observed between the left- and right-limb values. As
quantified using the mMAP, the fine (hand) and coarse (arm) motor
performance times of the GDNF recipients were not significantly
different from those of the vehicle recipients before initiating
chronic GDNF treatment (Fig.
1A,B). The fine motor
performance times of the vehicle-treated animals did not improve
throughout the study, whereas their coarse motor performance times were
improved only at weeks 4 and 24 compared with their baseline
performance before the vehicle infusion (Fig.
1A,B). In contrast, the fine motor performance times
of the GDNF recipients were significantly improved compared with their
baseline performance before infusing GDNF or compared with the vehicle
recipients (Fig. 1A). A steady improvement (up to
40%) was initially observed in the GDNF-treated animals during the
first 2 months after GDNF infusion (Fig. 1A). These effects were retained during the 2 month washout period with the vehicle and increased additionally up to 50% after the reinstatement of GDNF treatment. Also, a significant and sustained improvement in
coarse motor performance time was seen during the study in the GDNF recipients compared with the vehicle recipients, starting at
week 6 (Fig. 1B).

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Figure 1.
Fine (hand) and coarse (arm) motor performance
time of aged rhesus monkeys treated chronically with GDNF or vehicle.
Testing was interrupted from weeks 9 to 12, during which microdialysis
experiments were conducted. The vehicle-treated animals did not improve
their fine motor performance times on the motor task throughout the
study, whereas their coarse motor times were improved at weeks 4 and 24 only (A, B). However, a significant and sustained
improvement in both fine (A) and coarse
(B) motor performance was seen in the GDNF
recipients compared with the vehicle recipients. The values shown are
means ± SEM. #p < 0.05 versus
baseline, same animals. *p < 0.05 versus vehicle
group at same time point.
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Compared with the fine motor movement time of the aged animals before
receiving GDNF (0.535 ± 0.05 sec), the young monkeys were twice
as fast at retrieving the food item from the receptacle chamber (i.e.,
0.250 ± 0.013 sec) (Fig.
2A). However, the fine motor performance time of the aged GDNF-treated animals (0.282 ± 0.012 sec) recorded at the end of the study was comparable with that of
the young adult monkeys, tested in parallel on the same automated
hand-reach task (Fig. 2A). Also, as seen in Figure 2, the coarse motor performance time of the aged animals before receiving GDNF (0.458 ± 0.024 sec) did not significantly differ from the coarse motor performance time of the young animals (i.e., 0.418 ± 0.027 sec) (Fig. 2B). In contrast, the coarse motor
performance time of the aged GDNF-treated animals observed by the end
of the study was better than that of the young adult monkeys. Indeed, the average coarse motor time of the aged GDNF-treated animals (0.310 ± 0.019 sec) was comparable with that of the fastest of the young animals (i.e., 0.320 sec).

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Figure 2.
Upper-limb motor performance time of young adult
rhesus monkeys and of aged rhesus monkeys treated chronically with
GDNF. The fine (hand) motor performance times (A)
of the aged GDNF recipients recorded at the end of the study were
comparable, whereas their coarse (arm) motor performance times
(B) were better than those of five young adult
rhesus monkeys tested in parallel on the same hand-reach task.
**p < 0.01 versus the young adult group;
two-tailed independent-samples t test.
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Microdialysis
In vivo microdialysis was used to investigate the
dynamics of dopamine release in the basal ganglia of aged rhesus
monkeys. Values were not corrected for in vitro recoveries,
because uncorrected values may be better correlated to true values
(Glick et al., 1994 ). Measurements were performed bilaterally in the
substantia nigra and unilaterally in the right striatum (caudate
nucleus and putamen) at 9 and 11 weeks, respectively, after beginning chronic infusions of either vehicle or GDNF into the right lateral ventricle. Chronic treatment with GDNF led to a significant
augmentation of dopamine overflow in the basal ganglia, namely, the
substantia nigra, caudate nucleus, and putamen (Fig.
3A-D). In the substantia nigra of the GDNF recipients, potassium-evoked overflow of dopamine was
significantly increased, by 116% on the left side and by 110% on the
right side, compared with vehicle recipients (Fig. 3A,B). Similarly, the amphetamine-induced overflow of dopamine was
significantly increased, by 86% in the left substantia nigra and by
95% in the right substantia nigra, compared with vehicle recipients
(Fig. 3A,B). No significant differences were seen between
the left and right sides of the substantia nigra. The potassium-evoked
overflow of dopamine was also increased, by 100% in the caudate
nucleus and by 130% in the putamen of the GDNF-treated animals (Fig.
3C,D). The amphetamine-induced overflow of dopamine in the
caudate nucleus and putamen was increased by 100 and 66%,
respectively, in the GDNF recipients compared with vehicle recipients
(Fig. 3C,D).

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Figure 3.
Evoked overflow of dopamine in the basal ganglia
of aged rhesus monkeys chronically treated with GDNF or vehicle. Excess
potassium (100 mM) was included in the perfusate for 30 min
starting at 0 min (horizontal bar above
K+), and 250 µm
D-amphetamine (AMPH) was
included in the perfusate for 30 min starting at 120 min
(horizontal bar above AMPH). Both
potassium-evoked and D-amphetamine-induced overflow of
dopamine in the substantia nigra (A, B), caudate nucleus
(C), and putamen (D) were
significantly increased in the GDNF recipients compared with the
vehicle recipients. The values shown are means ± SEM.
*p < 0.05 versus vehicle group at same time
point.
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In addition, basal levels of extracellular dopamine were significantly
increased, by 137% in the left substantia nigra and by 163% in the
right substantia nigra of the GDNF-treated animals (Fig.
4A). Again, no
significant differences were seen between the left and right sides of
the substantia nigra. In the caudate nucleus and putamen, there was a
nonsignificant trend for increased basal levels of extracellular
dopamine (Fig. 4B). Only HVA levels were
significantly increased, by 82% in the caudate nucleus of the
GDNF-treated animals (Fig. 4D).

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Figure 4.
Basal dialysate levels of dopamine and dopamine
metabolites in the basal ganglia of aged rhesus monkeys chronically
treated with GDNF or vehicle. For each compound, the basal level was
defined as the average value of the two fractions preceding stimulation
by excess potassium. Basal levels of extracellular dopamine were
significantly increased in the substantia nigra of the GDNF-treated
animals (A), whereas HVA levels were
significantly increased in the caudate nucleus
(D). The values shown are means ± SEM.
*p < 0.05 versus vehicle group. Lt,
Left; Rt, right.
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Discussion |
Motor function
Studies conducted in aged rats have demonstrated that GDNF
treatment can improve motor functions (Bowenkamp et al., 1996 ; Hebert
and Gerhardt, 1997 ; Lapchak et al., 1997b ). In the current study,
although their coarse motor times were improved at weeks 4 and 24, the
vehicle-treated animals did not improve their fine motor performance
times on the motor task throughout the study. However, the aged rhesus
monkeys administered GDNF were significantly faster on tasks involving
both fine (hand) and coarse (arm) motor movements of the upper limb,
compared with their baseline performance before infusing GDNF or
compared with the vehicle recipients. For each animal, the data
recorded during the last of four testing sessions before initiating
drug treatment were used as a baseline. We have shown previously that
aged rhesus monkeys reach a plateau level of performance by the third
session when tested on the platform task (Zhang et al., 2000 ).
Therefore, the improvement in motor functions seen in the GDNF
recipients is likely to be GDNF-related, because the animals were first
trained to a plateau level of performance with each hand before the
infusion of GDNF, virtually eliminating the possibility of a
learning effect. Alternatively, GDNF might be increasing motivation
rather than motor skills per se, or it might be doing both. For
instance, GDNF was shown to improve motor functions in rats and monkeys
in experimental settings in which no rewards were given to the
animals and in which motivation would not be expected to play a primary
role, such as home-cage activity levels (Hebert and Gerhardt, 1997 ;
Grondin et al., 2002b ). This would suggest that GDNF, by its effects on
dopamine, is most likely improving motor skills rather than increasing
motivation. However, the effects of GDNF on motivation cannot be ruled
out, particularly in a task in which it is hard to separate
motivational from motor effects, such as in our food-retrieval task,
which entails removing food items from a receptacle chamber. It remains
unclear why the vehicle-treated animals showed improvement
in their coarse motor times at weeks 4 and 24.
Interestingly, the fine and coarse motor performance times of the aged
GDNF recipients recorded at the end of the study were comparable with
or better than those of five young adult rhesus monkeys tested on the
same task. Indeed, the average coarse motor time of the aged
GDNF-treated animals was comparable with that of the fastest of the
young animals. Accordingly, we have shown previously that the
upper-limb motor performance of aged monkeys administered the indirect
dopamine agonist levodopa or the selective dopamine uptake inhibitor
1-(2-(bis(4-fluorophenyl)methoxy)ethyl)-4-(3-phenylpropyl) (GBR-12909)
piperazine was not only improved compared with their baseline
performance times, but was similar to that of young adult rhesus
monkeys administered saline (Grondin et al., 2000 ). The observation
that GDNF can significantly improve motor functions in aged rhesus
monkeys to a performance level similar to that of young adults is
important, considering that a major hallmark of aging in humans is the
slowing of motor movements (Bennett et al., 1996 ; Smith et al.,
1999 ).
This study also demonstrates that low doses of GDNF chronically infused
into the lateral ventricle promote behavioral improvements that are
maintained over time in aged rhesus monkeys, even in the absence of
GDNF for up to 2 months. First, these data suggest that GDNF receptors
are not prone to desensitization when chronically stimulated for
several consecutive weeks. In accordance, we have observed sustained
improvements in motor functions in
1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-exposed
parkinsonian monkeys chronically treated with GDNF for 12 weeks
(Grondin et al., 2002a ). Second, the accumulation of radiolabeled GDNF
in the nonhuman primate brain peaks between 48 and 72 hr after a single
intraventricular injection (Lapchak et al., 1998 ). Similarly,
radiolabeled GDNF accumulates in the rodent brain within 24 hr of a
single intraventricular injection, but only trace amounts of GDNF were
detected 1 week after the administration (Lapchak et al., 1997a ). This
indicates that intraventricular GDNF accumulates in the brain
parenchyma to stimulate targeted neurons and is then rapidly degraded
or cleared from the structure. However, in the present study, the
effects of GDNF on motor performance persisted for several weeks after
replacing GDNF with the vehicle, long after clearance from the basal
ganglia. Accordingly, previous studies have reported long-lasting motor
effects of GDNF of up to 1 month after a single intracerebral injection
in MPTP-treated rhesus monkeys (Gash et al., 1996 ). Our data suggest
that continuous stimulation of GDNF receptors may not be required for
GDNF to improve motor functions effectively. This observation could
have a significant impact on the future use of GDNF as a treatment for
neurodegenerative diseases such as Parkinson's disease (Brundin, 2002 ). Consequently, additional studies are needed to determine whether
improved motor behavior after chronic GDNF infusion can be sustained
for >2 months in the absence of GDNF and whether the response would be
different in aged versus MPTP-lesioned rhesus monkeys modeling
Parkinson's disease.
Dopaminergic functions
In the present study, potassium-evoked and
D-amphetamine-induced overflow of dopamine were
significantly increased (more than twofold) in the caudate nucleus, in
the putamen, and in both the left and right substantia nigra of the
GDNF recipients compared with vehicle recipients, 9-11 weeks after
beginning the chronic infusion of either GDNF or vehicle. In
comparison, the amphetamine-induced release of dopamine observed in the
putamen (222 ± 26 nM) and in the substantia nigra
(27 ± 6 nM, right side; 26 ± 8, left side) of
the GDNF-treated aged monkeys was similar to the amphetamine-induced response seen previously in the putamen (185 ± 31 nM)
and in the substantia nigra (23 ± 2 nM) of young
adult rhesus monkeys (Gerhardt et al., 2002 ). This suggests not only
that the chronic intraventricular administration of GDNF in aged rhesus
monkeys upregulates dopaminergic release processes in nigrostriatal
dopamine neurons, but that GDNF can augment the functional capacity of
dopamine neurons in aged monkeys to the same degree as seen in young
adult rhesus monkeys. These observations also indicate that GDNF
receptors and coupling mechanism(s) remain functional during aging. The drug D-amphetamine releases dopamine in a
calcium-independent but transporter-dependent manner. The increase in
the D-amphetamine-induced overflow of dopamine seen in the
substantia nigra and the striatum of the GDNF-treated animals could
indicate that there may be an upregulation in the function and/or
trafficking of dopamine transporters with the chronic infusion of GDNF.
The increase in the potassium-evoked release of dopamine also suggests
an upregulation in calcium-mediated dopamine release processes in the
basal ganglia. As measured by in vivo microdialysis, GDNF
was shown previously to augment basal and evoked overflow of striatal
dopamine in aged rats >3 weeks after single intranigral injections
(Hebert and Gerhardt, 1997 ), presumably long after clearance from the
basal ganglia (Lapchak et al., 1997a ). Thus, changes observed in basal
and evoked dopamine release were conceivably maintained during washout
in our aged animals. Clearly, additional studies are needed in aged
nonhuman primates to investigate whether the increased overflow of
dopamine seen in the basal ganglia during GDNF infusion is maintained
in the absence of GDNF.
Similarly to the bilateral increase in evoked dopamine overflow in the
substantia nigra, basal levels of extracellular dopamine were also
significantly increased (more than twofold) in both the right and left
substantia nigra of the GDNF-treated animals. No differences were
observed between sides. These bilateral effects support the widespread
distribution of the intraventricular delivery of GDNF and are
consistent with the diffusion and/or retrograde transport of GDNF from
the lateral ventricle or the striatum (adjacent to the ventricle) to
the substantia nigra in both rats and monkeys (Tomac et al., 1995 ;
Lapchak et al., 1997a , 1998 ). The bilateral effects observed in the
substantia nigra could explain the bilateral improvement in motor
functions, because there were no significant differences between the
left- and right-limb motor time values. Together, these observations
support the view that GDNF can have bilateral effects when infused into
one hemisphere of an animal (Gash et al., 1996 ; Grondin et al., 2002a ).
Changes in basal levels of extracellular dopamine in the substantia
nigra may reflect changes in the synthesis of dopamine and/or storage
of dopamine for somatodendritic release processes (Gerhardt et al.,
2002 ). We and others have shown consistently that GDNF increases the number of TH-IR neurons in the substantia nigra of aged and
MPTP-lesioned rhesus monkeys (Gash et al., 1996 ; Kordower et al., 2000 ;
Ai et al., 2002 ; Grondin et al., 2002a ). Thus, another possibility is that GDNF might have increased the number of TH-IR nigral neurons, leading to an increase in the basal and evoked release of dopamine in
the basal ganglia. In our hands, the intrastriatal delivery of GDNF in
aged monkeys resulted in an 18% increase in the number of TH-IR nigral
neurons (Ai et al., 2002 ). Whether these effects of GDNF on the number
of TH-IR nigral neurons can solely account for the twofold (up to
163%) increase in dopaminergic functions (release) remains unclear.
Alternatively, or in addition to its effects on the number of TH-IR
nigral neurons, GDNF might be acting on midbrain dopaminergic neurons
by potentiating neuronal excitability through a mechanism that involves
activation of mitogen-associated protein kinase, leading to an increase
in dopamine release (Yang et al., 2001 ). Clearly, the regulation of
extracellular dopamine is complex, and additional research is needed to
clarify the mechanisms through which GDNF is mediating its trophic
effects in the host brain.
Dopaminergic projections from the substantia nigra pars compacta to the
striatum (caudate nucleus and putamen) are well documented (Parent and
Hazrati, 1995 ). Although the striatum is the major target of midbrain
dopaminergic neurons, the globus pallidus (internal and external
segments), the subthalamic nucleus, and the substantia nigra pars
reticulata also receive significant dopaminergic input from the
substantia nigra pars compacta (Smith and Kieval, 2000 ). Whether GDNF
upregulates dopaminergic functions (release) in these nonstriatal
areas, particularly in the globus pallidus, is an interesting question.
Because these dopaminergic pathways play a major role in regulating
motor movement (Obeso et al., 2000 ), we suggest that the effects of
GDNF on the basal and stimulus-evoked release of dopamine in the
substantia nigra and striatum may be responsible for the improvements
in motor functions.
In summary, this study shows: (1) that GDNF increases the basal release
of dopamine in the substantia nigra and the evoked release of dopamine
in the striatum and substantia nigra of aged monkeys, (2) that GDNF can
significantly improve motor functions in aged rhesus monkeys to a
performance level comparable with that of young adults, and (3) that
continuous stimulation of GDNF receptors may not be required for GDNF
to improve motor functions effectively. The data also indicate that
GDNF increases motor speed by increasing dopamine function in the aging
nonhuman primate brain and support the hypothesis that functional
changes in dopamine release in the basal ganglia may contribute to the
motor dysfunctions characterizing normal aging in monkeys and possibly
in humans.
 |
FOOTNOTES |
Received June 13, 2002; revised Dec. 18, 2002; accepted Dec. 18, 2002.
*
R.G. and W.A.C. contributed equally to this work.
This work was supported by a postdoctoral fellowship award from the
Fond de la Recherche en Santé du Québec (R.G.) and
by United States Public Health Service Grants NS39787, AG13494,
AG06434, and MH01245. We thank Dr. Michael Klein at Amgen
Inc. for providing GDNF, Dr. Dennis Elseberry at Medtronic
Inc. for providing the pumps and associated hardware and
software, and Robin Avison, Tracy Barber, Michael Harned, Li-Ya Liu,
Aaron Loveland, Sheila McLean, Laura Peters, and Ashley Walton for
excellent technical support.
Correspondence should be addressed to Dr. Richard Grondin,
Anatomy and Neurobiology, University of Kentucky Medical Center, 305 Davis Mills Building, Magnetic Resonance Imaging and Spectroscopy Center, Lexington, KY 40536-0098. E-mail: regrom0{at}pop.uky.edu
 |
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Copyright © 2003 Society for Neuroscience 0270-6474/03/2351974-07$05.00/0
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