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The Journal of Neuroscience, November 8, 2006, 26(45):11652-11664; doi:10.1523/JNEUROSCI.2490-06.2006

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Neurobiology of Disease
Broad-Spectrum Effects of 4-Aminopyridine to Modulate Amyloid _1–42-Induced Cell Signaling and Functional Responses in Human Microglia

Sonia Franciosi,¹ Jae K. Ryu,¹ Hyun B. Choi,^1,2 Lesley Radov,⁴ Seung U. Kim,^2,3 and James G. McLarnon¹

¹Departments of Anesthesiology, Pharmacology, and Therapeutics and ²Division of Neurology, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada V6T 1Z3, ³Brain Disease Research Center, Ajou University, Suwon 443-749, Korea, and ⁴Astra Zeneca CNS Discovery, Wilmington, Delaware 19850

	Abstract

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We investigated the modulating actions of the nonselective K⁺ channel blocker 4-aminopyridine (4-AP) on amyloid (A_1–42)-induced human microglial signaling pathways and functional processes. Whole-cell patch-clamp studies showed acute application of A_1–42 (5 µM) to human microglia led to rapid expression of a 4-AP-sensitive, non-inactivating outwardly rectifying K⁺ current (I_K). Intracellular application of the nonhydrolyzable analog of GTP, GTPS, induced an outward K⁺ current with similar properties to the A_1–42-induced I_K including sensitivity to 4-AP (IC₅₀ = 5 mM). Reverse transcriptase-PCR showed a rapid expression of a delayed rectifier Kv3.1 channel in A_1–42-treated microglia. A_1–42 peptide also caused a slow, progressive increase in levels of [Ca²⁺]_i (intracellular calcium) that was partially blocked by 4-AP. Chronic exposure of human microglia to A_1–42 led to enhanced p38 mitogen-activated protein kinase and nuclear factor B expression with factors inhibited by 4-AP. A_1–42 also induced the expression and production of the pro-inflammatory cytokines interleukin (IL)-1, IL-6, and tumor necrosis factor-, the chemokine IL-8, and the enzyme cyclooxygenase-2; 4-AP was effective in reducing all of these pro-inflammatory mediators. Additionally, toxicity of supernatant from A_1–42-treated microglia on cultured rat hippocampal neurons was reduced if 4-AP was included with peptide. In vivo, injection of A_1–42 into rat hippocampus induced neuronal damage and increased microglial activation. Daily administration of 1 mg/kg 4-AP was found to suppress microglial activation and exhibited neuroprotection. The overall results suggest that 4-AP modulation of an A_1–42-induced I_K (candidate channel Kv3.1) and intracellular signaling pathways in human microglia could serve as a therapeutic strategy for neuroprotection in Alzheimer's disease pathology.

Key words: Alzheimer's disease; amyloid peptide; 4-aminopyridine; microglia; inflammation; cytokines

	Introduction

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Alzheimer's disease (AD), a neurodegenerative disorder exhibiting a gradual decline in cognitive function, is characterized by the presence of neuritic plaques composed of neurofibrillary tangles and amyloid (A) peptide (Hardy, 1997; Selkoe, 2001). Statistically significant correlations between A_1–42 deposition and cognitive impairment have been established in AD brain (Naslund et al., 2000). A common finding in AD is the presence of activated microglia in the vicinity of neuritic plaques (Arends et al., 2000). Thus, A deposition could stimulate microglia into a reactive state, thereby evoking release of a milieu of inflammatory mediators that in assemblage cause neurotoxicity (Akiyama et al., 2000). A host of membrane receptors have been implicated in the transduction of A stimulation of microglia. These include RAGE (receptor of advanced glycation end products) (Yan et al., 1996), scavenger receptor class-A (El Khoury et al., 1996), serpin enzyme complex (Boland et al., 1996), formyl peptide receptor (Lorton et al., 2000), and a cell surface complex composed of integrin and integrin-associated protein and B-class scavenger receptor (Bamberger et al., 2003) also implicated in the phagocytosis of fibrillar peptide (Koenigsknecht and Landreth, 2004).

Specific intracellular signaling effectors are activated in microglia and THP-1 monocytes exposed to A peptide including tyrosine kinase-mediated pathways (McDonald et al., 1998; Combs et al., 1999). Peptide stimulation of tyrosine kinases was coupled to mobilization of intracellular Ca²⁺ and activation of protein kinase C and other downstream kinase activity (Combs et al., 1999). An important finding was that pharmacological modulation of components of these signaling pathways conferred neuroprotection (Combs et al., 1999). Other microglial signaling factors have been identified in peptide-stimulated cells; for example, binding of nonsteroidal anti-inflammatory drugs to the nuclear receptor peroxisome proliferator-activated receptor (PPAR) in microglia and THP-1 cells has been found as an anti-inflammatory strategy relevant to AD (Combs et al., 2000) and other neurodegenerative disorders (Sundararajan et al., 2006).

The nonselective K⁺ channel blocker 4-aminopyridine (4-AP) has been evaluated as a putative therapeutic in AD, presumably resulting from actions to prolong duration of action potential and thereby enhance neurotransmitter release (Glover, 1982). However, results from clinical trials using 4-AP have been ambiguous; in one study, cognitive deterioration was reduced in patients receiving 4-AP (Wesseling et al., 1984), whereas in a subsequent study, no significant difference between patients receiving 4-AP and those receiving placebo were reported (Davidson et al., 1988).

In this study, we investigated the effects of 4-AP on A_1–42-induced intracellular signaling pathways and functional responses of human microglia. 4-AP was effective in vitro in attenuating the A_1–42-induced upregulation of a K⁺ current, Ca²⁺ influx pathway, p38 mitogen-activated protein kinase (MAPK), and nuclear factor B (NF-B) activation and expression and production of a host of pro-inflammatory mediators. Also, in the presence of 4-AP, supernatant from A_1–42-treated microglia was less toxic to cultured neurons. In vivo 4-AP reduced microglial activation and was neuroprotective in peptide-injected rat hippocampus. These results indicate that 4-AP exhibits a wide-spectrum anti-inflammatory activity and neuroprotection both in vitro and in vivo.

	Materials and Methods

Top Abstract Introduction Materials and Methods Results Discussion References

 
Preparation of primary cultured human microglia. Human microglia were prepared according to procedures reported previously (Satoh et al., 1995). Briefly, embryonic brain tissues 12–18 weeks gestation were incubated in PBS containing 0.25% trypsin and DNase (40 µg/ml) for 30 min at 37°C. Enzyme-treated tissues were dissociated into single cells by gentle pipetting. Dissociated cells were then cultured into DMEM containing 5% horse serum, 5 mg/ml glucose, 20 µg/ml gentamicin, and 2.5 µg/ml amphotericin B. After 7–10 d of growth in culture flasks, freely-floating microglia were collected from a medium of mixed cell cultures. The purity of the microglial cultures was in excess of 98% as determined by immunostaining with the cell-specific markers CD11b or ricinus communis agglutinin-1. Use of embryonic human tissues was approved by the Clinical Screening Committee for Human Subjects of the University of British Columbia.

Electrophysiology. Procedures used in whole-cell patch-clamp studies have been described previously (McLarnon et al., 1997). Briefly, 1 d post-plated coverslips were placed on the stage of an inverted microscope (TMS; Nikon, Tokyo, Japan), and an amplifier (Axopatch 200B; Molecular Devices, Foster City, CA) was used to record macroscopic currents. Patch pipettes were fabricated using Corning (Corning, NY) glass number 7052 with resistances in the range of 2–4 M. Capacitance and series resistance were compensated manually on the amplifier. The whole-cell configuration was used, and data were sampled at 5 kHz with the low-pass filter set at 1 or 2 kHz. Protocols were generated by computer and consisted of applying a depolarizing step from a holding potential (V_H) of –60 mV to study outward K⁺ currents. All voltage-clamp experiments were performed with 500 µM 5-nitro-2-(3-phenylpropylamino) benzoic acid (NPPB) in bath solution to remove any chloride contribution to the overall whole-cell current. Data were recorded on disk and analyzed off-line using pClamp software. All experiments were performed at room temperature (20–22°C). The bath solution contained the following (in mM): 140 NaCl, 5 KCl, 1 CaCl₂, 1 MgCl₂, 10 glucose, and 10 HEPES, pH adjusted to 7.4. The pipette solution contained the following (in mM): 140 KCl, 10 NaCl, 1 MgCl₂, 0.5 EGTA, 1 ATP, and 10 HEPES, pH adjusted to 7.4.

Calcium spectrofluorometry. Levels of intracellular calcium ([Ca²⁺]_i) in human microglia were monitored using the calcium spectrofluorometry technique. One day post-plated cells on glass coverslips were loaded with 1 µM fura-2/AM (Invitrogen, Eugene, OR) with the solubilizing agent 0.02% pluronic acid in standard physiological solution (PSS). The PSS contained the following (in mM): 126 NaCl, 5 KCl, 1.2 MgCl₂, 1 CaCl₂, 10 D-glucose, and 10 HEPES, pH 7.4. In experiments performed with no Ca²⁺ in the extracellular solution, a Ca²⁺-free PSS was used in which the CaCl₂ was replaced with 1 mM EGTA. After the wash period in dye-free solution, the coverslips were mounted on the stage of a Zeiss (Oberkochen, Germany) Axiovert inverted microscope containing a 40x quartz objective lens. The cells were then exposed to alternating wavelengths of 340 and 380 nm UV light (bandwidth, ±5 nm) at intervals of 6 s, and emission light was passed through a 510 nm filter (bandwidth, ±20 nm). The signals were acquired from a digital camera (DVC-1300 camera; Photometrics, Tucson, AZ) and recorded using an imaging system (Empix Imaging, Mississauga, Ontario, Canada) as fluorescence ratios of 340/380 (F₃₄₀/F₃₈₀) every 6 s. Increases in [Ca²⁺]_i were expressed as 340/380 fluorescence ratios, and a 0.1 ratio change corresponds to 90 nM Ca²⁺. All experiments were performed at room temperature.

Phospho-p38 MAPK, NF-B, and COX-2 immunocytochemistry. The effects of stimuli on phosphorylated p38 MAPK (phospho-p38 MAPK), NF-B, and cyclooxygenase-2 (COX-2) in human microglia were determined using immunocytochemical procedures described previously (Nakajima et al., 1998; Tikka and Koistinaho, 2001; Choi et al., 2002). Briefly, after preincubation in serum-free medium for 48 h, cells were treated with A_1–42 (5 µM), 4-AP (2 mM), A_42–1, or A_1–42 in combination with 4-AP after a 30 min preincubation with 4-AP. Optimum treatment times with stimuli were chosen for each of the factors examined: phospho-p38 MAPK, 30 min; NF-B, 8 h; COX-2, 24 h. Subsequent to treatment with stimuli, cells were fixed with 4% paraformaldehyde in 0.1 M PBS, washed in PBS, and permeabilized in 0.2% Triton X-100 containing 5% normal goat serum (NGS) in 0.1 M PBS/0.5% bovine serum albumin (BSA) (BPBS) solution for 25 min. The cells were then incubated with rabbit anti-phospho-p38 MAPK (1:250 dilution; Cell Signaling Technology, Beverly, MA) or rabbit anti-human NF-B p65 (1:250 dilution; Santa Cruz Biotechnology, Santa Cruz, CA) to target the active p65 NF-B subunit. Phospho-p38 and p65 primary antibodies were incubated with 5% NGS in BPBS at 4°C for 48 h. To examine for COX-2, cells were incubated with rabbit anti-human COX-2 (1:200 dilution; Cayman Chemical, Ann Arbor, MI) containing 10% NGS in BPBS at 4°C for 72 h. After incubation with a primary antibody, cells were washed in PBS and subsequently incubated with Alexa Fluor-488 anti-rabbit IgG secondary antibody (1:100; Invitrogen) containing 5% NGS in BPBS at room temperature for 2 h. After a wash in PBS, cells were incubated in 4'-6'-diaminodino-2-phenylindole (DAPI; Invitrogen) at 1 µg/ml in PBS to visualize nuclei (blue) and determine cell numbers in the field of view. Cells were then washed in water and mounted onto glass slides using gelvatol, examined under a Zeiss Axioplan fluorescent microscope, and photographed using a cooled CCD camera. The ratio of positive cells to total number per field was determined in a blind manner from four representative fields in each independent experiment. Values are expressed as means ± SEM, and statistical significance was determined using one-way ANOVA and the Newman–Keuls multiple comparison post-test (p < 0.05).

Reverse transcriptase-PCR. Human fetal microglia were seeded into poly-L-lysine-coated 12-well plates at a density of 5 x 10⁴ cells/well. In experiments investigating the effects of 4-AP on A_1–42-induced expressions of pro-inflammatory mediators, human microglia were preincubated in serum-free conditions for 48 h to promote a resting state and subsequently treated for 8 h with A_1–42, 4-AP (2 mM), A_42–1, and A_1–42 in combination with 4-AP after a 30 min preincubation with 4-AP. For effects of A_1–42 on Kv expression, microglia were treated with A_1–42 for differing time periods: 10 min, 30 min, 1 h, and 2 h subsequent to incubation in serum-free medium for 48 h. Total RNA was isolated using TRIzol (Invitrogen-BRL, Gaithersburg, MD), subjected to DNase treatment, and processed for the first-strand cDNA synthesis using Moloney murine leukemia virus reverse transcriptase (RT) (Invitrogen-BRL). cDNA products were then amplified by PCR using a GeneAmp thermal cycler (Applied Biosystems, Foster City, CA) with Taq polymerase. Specific sense and antisense primers with the expected product size are summarized in Table 1. PCR consisted of an initial denaturation step of 95°C for 6 min, followed by a 30–40 cycle amplification program consisting of denaturation at 95°C for 35 s, annealing at 59°C for 1 min, and elongation at 72°C for 1 min. Glyceraldehyde-3-phosphate dehydrogenase (G3PDH) was used as a reaction standard. The amplified PCR products were identified by electrophoresis using 1.5% agarose gels containing ethidium bromide and visualized under UV light. The intensities of each band were measured by densitometry using the NIH ImageJ 1.24 software (National Institutes of Health, Bethesda, MD). The band intensities of PCR products in control and with stimuli were expressed as relative mRNA levels (mRNA values normalized to G3PDH).

View this table: [in this window] [in a new window]   Table 1. Primer sequences for RT-PCR

 
ELISA. ELISA kits (R & D Systems, Minneapolis, MN) were used to determine the production of tumor necrosis factor- (TNF-), interleukin (IL)-6, IL-1, and IL-8 in culture supernatants from human fetal microglia stimulated for 48 h with 5 µM A_1–42, A_1–42 in the maintained presence of 4-AP (2 mM) after a 30 min preincubation with 4-AP, 4-AP alone, or reverse peptide A_42–1 (5 µM). After incubation of microglia with stimuli, cell culture supernatants were collected and stored at –70°C.

Cytotoxicity of human fetal microglial supernatants on primary rat hippocampal neurons. Human fetal microglia were seeded into 24-well plates at 1.5 x 10⁵ cells/well. After a 48 h preincubation in serum-free medium, cells were treated for 48 h with A_1–42 (5 µM), 4-AP (2 mM), A_42–1, or A_1–42 in combination with 4-AP after a 30 min preincubation with 4-AP. After treatment with stimuli, cell-free supernatants were transferred to primary rat hippocampal neurons plated on glass coverslips.

Isolation of primary rat hippocampal neurons has been described previously (Sheldon et al., 2004). Briefly, 2- to 4-d-old Wistar rats were anesthetized and decapitated, and the hippocampi were removed. The hippocampi were then enzymatically treated and mechanically dissociated, and the resulting cell suspension was plated at a density of 5–7 x 10⁵ neurons cm^–2 onto glass coverslips coated with poly-D-lysine and laminin. The initial growth medium was DMEM/F-12 supplemented with 10% fetal bovine serum (Invitrogen Canada, Burlington, Ontario, Canada). After 24 h, this medium was changed to serum-free Neurobasal Medium A (Invitrogen Canada). Cultures were then fed every 4–5 d by half-changing the existing medium with fresh Neurobasal Medium A. Glial proliferation was inhibited 48 h after initial plating by adding 5–10 mM cytosine arabinoside (Sigma-Aldrich, St. Louis, MO). Neurons were used 12–15 d after plating.

Primary hippocampal neurons were treated with microglial conditioned medium or medium controls (conditioned medium not exposed to microglia) for 16 h. After treatment, cells were fixed with 4% paraformaldehyde in 0.1 M PBS. After a wash in PBS, cells were incubated in DAPI at 1 µg/ml in PBS to visualize nuclei. Cells were then washed in water and mounted onto glass slides using gelvatol, examined under a Zeiss fluorescent microscope, and photographed using a cooled CCD camera. The percentage of damaged neurons was determined by counting in a blind manner the number of fragmented/condensed nuclear-stained neurons by the overall number of positively DAPI-stained neurons. Control experiments consisted of incubating neurons with conditioned medium without microglial exposure. The effects of microglial conditioned medium and controls on neuronal viability were each determined from five independent experiments. Data are presented as mean ± SEM, and significance was determined by one-way ANOVA and the Newman–Keuls post hoc multiple comparison test (p < 0.05).

Effects of 4-AP on A_1–42-induced microglial activation and neurotoxicity in vivo. The procedure used for A_1–42 injection in vivo has been described previously (Jantaratnotai et al., 2003; Ryu et al., 2004). Briefly, male Sprague Dawley rats (250–280 g; Charles River, St. Constant, Quebec, Canada) were anesthetized with sodium pentobarbital (50 mg/kg, i.p.) and mounted in a stereotaxic apparatus (Kopf Instruments, Tujunga, CA). A_1–42 or A_42–1 (1 nmol in 2 µl) was injected slowly (0.2 µl/min) into the hippocampus [anteroposterior, –3.6 mm; mediolateral, –1.8 mm; dorsoventral, –3.2 mm; according to the atlas of Paxinos and Watson (1986)] using a 10 µl Hamilton syringe. The concentration of A used in the present study was in the range of 1–2 nmol used in previous experiments with stereotaxic injection of peptide (Weldon et al., 1998; Walsh et al., 2002). Vehicle control animals were given injections of the same solutions used for dissolving the peptide. 4-AP (Sigma-Aldrich) was dissolved in 0.9% saline and administered intraperitoneally at 1 mg/kg 15 min before A_1–42 injection, followed by once-daily injections of 1 mg/kg for 7 d. The doses of 4-AP used in this study are based on previous studies using 4-AP in rats (Casamenti et al., 1982; Haroutunian et al., 1985).

Seven days after A_1–42 injection, anesthetized rats were perfused transcardially with heparinized cold saline, followed by 4% paraformaldehyde. Brains were postfixed overnight in the same fixative and placed in 30% sucrose for cryoprotection. Serial coronal sections (40 µm) through the hippocampus were cut on a cryostat. For immunohistochemistry, free-floating brain sections were permeabilized with 0.2% Triton X-100 and 0.5% BSA in 0.1 M PBS for 30 min, blocked in PBS containing 0.5% BSA and 10% NGS for 30 min, and incubated overnight at room temperature in PBS containing 5% NGS and primary antibodies. The following primary antibodies were used: mouse anti-NeuN (1:1000; Chemicon, Temecula, CA) for neurons and mouse anti-ED1 (1:500; Serotec, Oxford, UK) for activated microglia/macrophages. For controls, primary antibodies were omitted. The following day, sections were incubated with biotinylated secondary antibody (1:200; Vector Laboratories, Burlingame, CA), visualized with the ABC Elite system (1:200; Vector Laboratories), and developed in 3,3'-diaminobenzidine (Sigma-Aldrich). The number of NeuN- or ED1-positive cells in the superior blade of the dentate granule cell layer was conducted on three consecutive sections as described previously (Ryu et al., 2004). Representative photomicographs were taken, and counting was performed using a Zeiss Axioplan 2 fluorescent microscope equipped with a DVC camera (Diagnostic Instruments, Sterling Heights, MI) and Northern Eclipse software (Empix Imaging). All quantitative analyses were performed in a blinded manner with values expressed as means ± SEM. Statistical comparisons were made using one-way ANOVA, followed by the Newman–Keuls post hoc multiple comparison test (GraphPad Prism 3.0; Graph Pad, San Diego, CA) with the significance level set at p < 0.05. All animal experiments were approved by the Animal Care Committee of the University of British Columbia.

Reagents. The A peptide (A_1–42) and reverse peptide (A_42–1) were purchased from California Peptide (Napa, CA), and fresh stock solution was prepared according to a method described previously (Walker et al., 2001) with slight modifications. Briefly, A_1–42 was prepared by first dissolving the peptide in 35% acetonitrile (Sigma-Aldrich), diluted to 1.5 mM with sterile water and then to 500 µM with incremental additions of PBS with vortexing between additions. The A solution was subsequently incubated at 37°C for 18 h to promote A fibrilization and aggregation and stored at –20°C. A similar procedure was followed for preparation of reverse peptide A_42–1. The vehicle control was prepared as described for the preparation of A_1–42, however A_1–42 was omitted. 4-AP, GTPS, iberiotoxin, NPPB, SKF96365, and tetraethylammonium (TEA) were purchased from Sigma-Aldrich, and apamin was a generous gift from Dr. J. Church (University of British Columbia).

	Results

Top Abstract Introduction Materials and Methods Results Discussion References

 
Acutely applied A_1–42 to human microglia induces a 4-AP-sensitive outward K⁺ current
A representative control current response to a depolarizing step (applied from a holding potential of –60 to +20 mV) is shown in Figure 1A. Current amplitudes were small in unstimulated human microglia (range, 40–70 pA), consistent with previous data from human (McLarnon et al., 1997) and rodent (Kettenmann et al., 1990; Norenberg et al., 1994) cells. Within 3 min after acute application of A_1–42 (at 5 µM) to human microglia, a rapidly activating outward current (labeled I_K), with an amplitude of 875 pA, was observed (Fig. 1A). The current exhibited no inactivation over the duration of depolarizing steps. Overall, the amplitude of the current induced with acute application of A_1–42 in human microglia increased 14-fold (to 850 ± 102 pA; n = 7) from currents under unstimulated conditions (59 ± 6 pA; n = 7). Subsequent washoff of the peptide allowed the current to recover to control levels (Fig. 1A).

View larger version (21K): [in this window] [in a new window]   Figure 1. A1–42 induces an outwardly rectifying current (IK) that is attributed to K+. A, A representative recording of the A1–42-induced outward K+ current (IK) in response to a depolarizing step in human microglia. The trace is a typical leak current evoked in control solution with a depolarization step to +20 mV from a holding potential of –60 mV. A1–42 (5 µM) elicited a large IK with the same step depolarization. The current recovered subsequent to washoff of A1–42. B, IK, induced by A1–42 (5 µM), with sequential depolarizing steps applied from –60 mV to a maximum level of +20 mV in 10 mV increments. C, The I–V relationship constructed from the pulse protocol shown indicates that the outward current induced by acute A1–42 was outwardly rectifying with a threshold of –40 mV. The figure is a representative recording from one cell. D, Determination of the reversal potential of the IK via analysis of tail currents. The protocol for tail current analysis consisted of applying a depolarizing step from –60 to +40 mV, followed by a secondary step to potentials varying from –100 to –20 mV. The resulting tail currents elicited with the secondary steps from –100 to –20 mV in a representative experiment are indicated by arrows. E, An I–V plot of tail current amplitudes versus step potential is shown, and results indicate that the reversal potential of the current is –78 mV, which is close to the equilibrium potential for K+.

 
Experiments were performed to characterize kinetic properties of I_K. The threshold for activation was determined using a series of depolarizing steps (applied from –60 mV to a maximum of +20 mV in 10 mV increments) (Fig. 1B). The corresponding plot of current amplitude versus step potential (I–V plot) is shown in Figure 1C. The current was outwardly rectifying in shape; overall, the activation threshold for I_K was –33.7 ± 2.4 mV (n = 4). The reversal potential for I_K was determined using analysis of tail currents with a protocol consisting of depolarizing steps (from –60 to +40 mV), followed by a series of variable potentials in the range from –100 to –20 mV (Fig. 1D). The initial current for each step (indicated by solid arrows in Fig. 1D) was then measured and plotted versus voltage. A typical tail current analysis of the outward current is shown in Figure 1E. A plot of tail current amplitudes versus step potential yielded an overall reversal of –76.2 ± 3.6 mV (n = 6) close to the equilibrium potential for K⁺ (in this study, E_rev for K⁺ = –84 mV). As noted in Materials and Methods, bath solutions included the compound NPPB (500 µM) to block anion currents.

The effects of 4-AP (at 2 mM) on the A_1–42 peptide-induced I_K are shown in Figure 2A. In this experiment, I_K was partially blocked to 52% of control by 4-AP; recovery of I_K was observed after washoff of 4-AP (Fig. 2A). Overall, 4-AP at 2 and 5 mM reduced I_K to 58.3 ± 7.3% (n = 3) and 38.4 ± 6.6% (n = 3) of control, respectively. Another nonselective K⁺ channel blocker, TEA, was also examined at a single concentration of 10 mM (data not shown); TEA inhibited I_K to 28 ± 5.9% (n = 3) of control.

View larger version (15K): [in this window] [in a new window]   Figure 2. A, IK is inhibited by the nonselective K+ channel inhibitor 4-AP. A representative recording from one cell is shown. The first trace is a typical current evoked in control solution with a depolarization step to +20 mV. A1–42 (5 µM) elicited IK with the same step depolarization. Application of 4-AP (2 mM) in the presence of A1–42 reduced IK to 52% of control. The current recovered subsequent to washoff of 4-AP with A1–42 maintained in bath solution. B, Typical profile of the intracellular GTPS-induced outward current. Intracellular application of GTPS (10 µM) via the electrode induced an outward current within minutes of rupture of the cell membrane in the whole-cell patch-clamp mode in response to a depolarizing step from –60 to +20 mV. Extracellular application of 4-AP (2 mM) reduced the outward K+ current to 65% of the control. Washoff of 4-AP allowed the current to recover. C, Concentration-dependent inhibition of the intracellular GTPS-induced outward K+ current by 4-AP. 4-AP was applied in the extracellular bath solution, and amplitudes of the GTPS-induced currents were measured in the presence of 4-AP and normalized to control amplitudes (C; current amplitude before 4-AP application). Results are a summary of the following: n = 4 cells for 1 mM; n = 6 cells for 2 mM; n = 10 cells for 5 mM; n = 4 cells for 10 mM; n = 3 cells for 20 mM.

 
Intracellular application of GTPS on signaling properties of human microglia
Previous work (McKinney and Gallin, 1993) has characterized a K⁺ current in macrophages induced by GTPS, which showed similar kinetic behavior to I_K. This prompted us to investigate intracellular GTPS as a putative activator for I_K in the present study. Small currents (near 40 pA) were elicited on initial formation of a whole-cell seal (data not shown), and after 4–5 min of dialysis of GTPS, a steady current with amplitude exceeding 1 nA was recorded in response to the depolarizing step to +20 mV (Fig. 2B). Overall, the mean amplitude of the GTPS-induced outward current was 1150 ± 110 pA (n = 9). The current induced with intracellular GTPS exhibited kinetic behavior very similar to I_K with rapid activation and no inactivation over the duration of depolarizing steps. The peak amplitude of this current was not significantly different from the A_1–42-induced I_K. Overall, the threshold for activation (data not shown) was –28.1 ± 1.7 mV (n = 4) and reversal potential (data not shown) was –68.4 ± 1.1 mV (n = 4) for the GTPS-activated outward current, which were not significantly different from the values measured for I_K induced by A_1–42 peptide (–34 mV for activation threshold and –76 mV for reversal potential, respectively).

The effects of acute application of 4-AP (2 mM) to the GTPS-induced K⁺ current are shown in Figure 2B. 4-AP reduced the current to 65% of control with partial recovery after washoff (Fig. 2B). Overall, 4-AP (2 mM) reduced the GTPS-induced outward K⁺ current to 61.3 ± 9.5% of control (n = 6), close to the value determined for I_K as induced by amyloid peptide (58%). The concentration-dependent effects of 4-AP on the GTPS-induced outward K⁺ current were determined (range of 4-AP, 1–20 mM) with results summarized in Figure 2C. Overall, an IC₅₀ value of 5 mM for 4-AP inhibition of the current was obtained. Several other pharmacological agents were tested for effects on the GTPS-activated current. TEA (10 mM) blocked the K⁺ current to 23.8 ± 3.7% of control (n = 3; data not shown). However, both iberiotoxin (50 nM) and apamin (100 nM) were ineffective (data not shown), suggesting that the G-protein-dependent current was not attributable to activation of a BK- or SK-type (large or small conductance) K_Ca channel. Interestingly, the GTPS-induced K⁺ current in macrophages was also insensitive to both apamin and charybdotoxin (McKinney and Gallin, 1993), an inhibitor of BK- and IK-type (large and intermediate conductance) K_Ca channels, further supporting the actions of intracellular GTPS to induce a similar current in both human microglia and macrophages.

A_1–42 induces the expression of Kv3.1
Based on electrophysiological data, the channel induced with acute A_1–42 displayed the profile of a delayed rectifier type of K⁺ channel. We examined a series of Kv channels (Kv1.1, Kv1.2, Kv1.3, Kv1.5, Kv1.6, Kv2.1, and Kv3.1) with delayed rectifier K⁺ channel properties reported previously in human cells (Jiang et al., 2002). Human microglia were incubated with A_1–42 for 10 min, 30 min, 1 h, and 2 h, and expression of each of the Kv channels was examined using RT-PCR. Results from a representative experiment are shown in Figure 3A, indicating a rapid time-dependent increase in Kv3.1 after a 10 min incubation with A_1–42. Peak expression occurred at 30 min and decreased at 1 and 2 h; no expression of Kv3.1 was evident after a 4 h exposure to peptide (data not shown). All other Kv channels (Kv1.1, Kv1.2, Kv1.3, Kv1.5, Kv1.6, and Kv2.1) showed basal expression in unstimulated human microglia. Incubation with reverse peptide A_42–1 (5 µM) had no effect on these Kv channel expressions.

View larger version (32K): [in this window] [in a new window]   Figure 3. A, A representative RT-PCR experiment of A1–42 (5 µM) treatment for 10 min, 30 min, 1 h, and 2 h on Kv1.1, Kv1.2, Kv1.3, Kv1.5, Kv1.6, Kv2.1, and Kv3.1 channel expression from n = 3 independent experiments. G3PDH served as a reaction standard. B, Summary of relative mRNA levels of Kv channels induced by A1–42. Results are expressed as mean ± SEM from n = 3 independent experiments. One-way ANOVA and the Newman–Keuls multiple comparison test was used to evaluate statistical significance. *p < 0.05 and **p < 0.001, statistical significance from control. C, PTX (100 ng/ml) before treatment (2 h) attenuated the effects of A1–42 (5 µM; 30 min) to increase the expression of Kv3.1.

 
Densitometry analysis of PCR product band intensities demonstrated the effect of A_1–42 to time-dependently increase Kv3.1 channel expression with no effects of A_1–42 to increase Kv1.1, Kv1.2, Kv1.3, Kv1.5, Kv1.6, and Kv2.1 channel expression. Results are summarized in Figure 3B. A_1–42 significantly increased Kv3.1 channel expression at 10 min by 5.6-fold compared with control (p < 0.05). Incubation with A_1–42 for 30 min significantly increased Kv3.1 channel expression further by 13-fold compared with Kv3.1 channel expression in control (p < 0.001). Kv3.1 channel expression remained elevated at 1 and 2 h; however, these increases were not significantly different from control (p > 0.05). Relative mRNA levels of Kv1.1, Kv1.2, Kv1.3, Kv1.5, Kv1.6, and Kv2.1 channels induced with different A_1–42 treatment times were not significantly different from control (p > 0.05).

Because data in patch-clamp studies above indicated that the A_1–42-induced I_K was mediated through a G-protein, the possibility that Kv3.1 expression induced with A_1–42 was regulated by a G-protein was investigated using RT-PCR. Results showed that pertussis toxin (PTX), an inhibitor of G_i-proteins, attenuated A_1–42-induced Kv3.1 expression (Fig. 3C). These results indicated that the expression of Kv3.1 was regulated by G_i-proteins.

4-AP attenuates the A_1–42-induced increase in [Ca²⁺]_i in human microglia
The effects of 4-AP on A_1–42-induced [Ca²⁺]_i responses in human microglia were next investigated. Application of A_1–42 (5 µM) evoked a slow, progressive increase in [Ca²⁺]_i, to a plateau level (Fig. 4A). In this experiment, a peak increase in [Ca²⁺]_i of 0.07 (F₃₄₀/F₃₈₀) was attained after 6 min of peptide application (n = 21 cells). In the maintained presence of peptide, the replacement of Ca²⁺-PSS with Ca²⁺-free PSS reduced the response to baseline levels. Overall, the mean amplitude of the response was 0.11 ± 0.01 (n = 98 cells) with Ca²⁺-free PSS decreasing responses to basal levels. The decrease in [Ca²⁺]_i induced with A_1–42 in Ca²⁺-free solution suggests that an influx pathway mediates the increase in [Ca²⁺]_i with A_1–42. This point was examined by applying A_1–42 in Ca²⁺-free solution, and exposure of human microglia to peptide had little effect to alter [Ca²⁺]_i (n = 23 cells) (Fig. 4B); a similar result was obtained in a total of 38 cells. In standard Ca²⁺-containing solution, acute application of reverse peptide A_42–1 (5 µM) had no effect to alter levels of [Ca²⁺]_i (data not shown).

View larger version (12K): [in this window] [in a new window]   Figure 4. A, Acute application of A1–42 induces a slow, progressive increase in [Ca2+]i. A representative trace of the increase in [Ca2+]i induced by A1–42 (5 µM) in Ca2+-PSS (n = 21 cells) is shown. Subsequent application of A1–42 in Ca2+-free PSS resulted in an immediate decrease in [Ca2+]i to baseline levels. B, The standard PSS was first exchanged for Ca2+-free PSS. Acute application of A1–42 (5 µM) in Ca2+-free PSS did not elicit an increase in [Ca2+]i (n = 23 cells). C, A representative trace of the effect of 4-AP on the Ca2+ influx pathway induced by A1–42 (n = 26 cells). Subsequent to the slow, progressive increase in [Ca2+]i induced by acute A1–42 (5 µM) in Ca2+ PSS, application of 4-AP (2 mM) rapidly decreased [Ca2+]i to baseline levels.

 
The effects of 4-AP on [Ca²⁺]_i increases evoked by peptide were examined at a single concentration of 2 mM. As shown in Figure 4C, A_1–42 induced a progressive increase in [Ca²⁺]_i that was maintained even after removal of A_1–42 (n = 26 cells). Application of 4-AP to plateau [Ca²⁺]_i decreased the response to baseline level. Overall, 4-AP (at 2 mM) inhibited the A_1–42-induced increase in [Ca²⁺]_i by 95 ± 0.5% (n = 149 cells). These results indicate that 4-AP is an effective inhibitor of a Ca²⁺ influx pathway induced by acute A_1–42 in human microglia.

Previous work has reported that a primary Ca²⁺ influx pathway in human microglia are store-operated channels (SOCs) with cells lacking expression of voltage-gated Ca²⁺ channels (McLarnon et al., 1999). We investigated the possibility that SOCs could mediate the entry of Ca²⁺ induced by A_1–42 by using SKF96365, an agent demonstrated to block SOCs in human microglia (Franciosi et al., 2002; Choi et al., 2003) and in other cells (Li et al., 1999). After attainment of a plateau in [Ca²⁺]_i with A_1–42, application of SKF96365 (50 µM) did not alter [Ca²⁺]_i (data not shown). This result suggests that a SOC does not contribute to the influx pathway induced by acute A_1–42 in human microglia.

Modulation of A_1–42-induced p38 MAPK and NF-B activation by 4-AP
We next used immunocytochemical analysis to investigate the effects of 4-AP on p38 MAPK and NF-B. Representative photomicrographs of the effects of 4-AP on A_1–42-induced p38 MAPK activation in human microglia are shown in Figure 5A (left). Under basal conditions, low numbers of phospho-p38 MAPK-positive cells were detected. Phospho-p38 MAPK was increased at the earliest time studied at 10 min after application of A_1–42 (5 µM) (data not shown). Stimulation with peptide for 30 min induced a marked increase in expression of phospho-p38 MAPK in microglia (Fig. 5A, green staining), which was partially blocked if 4-AP (2 mM) was included with A_1–42 treatment. 4-AP itself showed no effect to alter phospho-p38 MAPK from control. Results from four independent experiments are summarized in Figure 5A (right). Overall, A_1–42 significantly increased (by 371%) the number of cells expressing activated p38 MAPK (p < 0.001). 4-AP (2 mM), in the maintained presence of A_1–42, resulted in a significant reduction (by 58%) in the number of cells expressing phospho-p38 MAPK compared with stimulation with A_1–42 alone (p < 0.001). 4-AP (2 mM) or reverse peptide A_42–1 (5 µM) did not alter the basal level of phospho-p38 MAPK-stained cells from levels in control (p > 0.05).

View larger version (27K): [in this window] [in a new window]   Figure 5. Effects of 4-AP on A1–42-induced p38 MAPK and NF-B activation. A, Left, Representative photomicrographs of phosphorylated p38 (phospho-p38)-stained microglia. Green and blue indicate staining for phospho-p38 MAPK- and DAPI-positive nuclei, respectively. Under control conditions, little or no phospho-p38 MAPK expression was observed. A1–42 (5 µM) treatment of microglia for 30 min induced an intense expression of phospho-p38 MAPK. A1–42 in the maintained presence of 4-AP (2 mM) inhibited expression of phospho-p38 MAPK. Application of 4-AP (2 mM) alone had no effect on phospho-p38 MAPK expression. Right, The percentage of phospho-p38 MAPK-positive microglia relative to total cells is shown. Data are means ± SEM from four independent experiments. *p < 0.001, significance compared with control; **p < 0.001, significance compared with A1–42. B, Left, Effects of 4-AP on A1–42-induced NF-B activation. Representative photomicrographs of p65 (the active subunit of NF-B)-stained microglia are shown. Green and blue indicate staining for p65- and DAPI-positive nuclei, respectively. Under control conditions, little or no p65 expression was observed. A1–42 (5 µM) treatment of microglia for 8 h induced an intense expression of p65. A1–42 in the maintained presence of 4-AP (2 mM) inhibited expression of p65. Application of 4-AP (2 mM) alone had no effect on p65 expression. Right, The percentage of p65-positive microglia relative to total cells is shown. Data are means ± SEM from five independent experiments. *p < 0.01, significance compared with control; **p < 0.01, significance compared with A1–42.

 
4-AP was also effective in reducing A_1–42-induced activation of NF-B (Fig. 5B). A low number of cells expressed the active subunit of NF-B, p65, under basal conditions (Fig. 5B, green staining). p65 was increased at the earliest time studied for this factor (1 h after peptide application), with subsequent increases up to 24 h (data not shown). The effects of A_1–42 (5 µM) to increase the expression of p65 in microglia at 8 h of peptide exposure are shown in Figure 5B (left). In the presence of A_1–42 (5 µM), 4-AP (2 mM) attenuated the induction of NF-B with A_1–42 treatment. 4-AP itself showed no effect to alter p65 levels from control. Results from five independent experiments are shown in Figure 5B (right). Overall, A_1–42 induced a significant increase (by 493%) in p65-expressing cells (p < 0.01). 4-AP in the maintained presence of A_1–42 significantly decreased (by 60%) the number of cells expressing p65 (p < 0.01). 4-AP (2 mM) alone induced an increase in p65-positive cells; however, the increase was not significant (p > 0.05). The small trend in increased p65-expressing cells with 4-AP treatment could suggest a nonselective action of the compound. Application of reverse peptide (A_42–1) did not alter basal levels of p65-expressing cells (p > 0.05).

Effects of 4-AP on A_1–42-induced pro-inflammatory mediator expression and production in human microglia
An important component of the study was to determine the role of I_K in modulation of microglial functional processes. The effects of 4-AP on A_1–42-induced expression of the pro-inflammatory cytokines (IL-1, IL-6, TNF-), chemokine [CXCL8 (IL-8)], and inducible enzyme COX-2 were determined using RT-PCR. Results from a representative experiment are shown in Figure 6A. Overall, microglia express CXCL8 (IL-8) constitutively under unstimulated conditions, whereas IL-1, IL-6, TNF-, and COX-2 were not expressed. After an 8 h incubation with 5 µM A_1–42, increased expression of all pro-inflammatory mediators was observed. In the presence of A_1–42, 4-AP (2 mM) decreased the expression of all pro-inflammatory mediators. 4-AP alone had little or no effect on expressions of mediators. A_42–1 (5 µM) was ineffective to alter expression of pro-inflammatory mediators from control.

View larger version (39K): [in this window] [in a new window]   Figure 6. Effects of 4-AP on A1–42-induced expression and production of pro-inflammatory mediators by human microglia. A, Expression of IL-1, IL-6, IL-8, TNF-, and COX-2 were examined in microglia incubated for 8 h with A1–42, 4-AP, A1–42 in the presence of 4-AP (2 mM), or medium alone. Stimulation of microglia with vehicle solution or A42–1 (5 µM) alone served as control. The results shown are a representative of seven independent experiments. The expression of G3PDH served as a reaction standard. B, Summary of relative mRNA levels of inflammatory mediators induced by A1–42, 4-AP, and combined A1–42 and 4-AP. Results are expressed as mean ± SEM from n = 7 independent experiments. One-way ANOVA and the Newman–Keuls multiple comparison post-test were performed to evaluate statistical significance. *p < 0.05, statistically significant from control; **p < 0.05, statistically significant from A1–42-stimulated levels. Effects of A1–42, 4-AP, and A1–42 in the maintained presence of 4-AP on pro-inflammatory cytokine secretion by human microglia using ELISA. C–F, Data are mean ± SEM of TNF- from four independent experiments (C), IL-6 from three independent experiments (D), IL-1 from six independent experiments (E), and IL-8 from four independent experiments (F); each experiment was performed in duplicate. Human microglia were exposed to medium alone, A1–42 (5 µM), 4-AP (2 mM), A1–42 in the presence of 4-AP, or A42–1 for 48 h. One-way ANOVA and the Newman–Keuls multiple comparison post-test were performed to evaluate statistical significance. *p < 0.001, statistical significance from control; **p < 0.001, statistical significance from A1–42-stimulated levels.

 
Densitometry analysis was used for semiquantitative determination of PCR product band intensities. A summary of relative mRNA levels of inflammatory mediators induced with A_1–42 and 4-AP and of A_1–42 in the maintained presence of 4-AP is shown in Figure 6B (n = 7 experiments), and fold increases in relative mRNA levels of cytokines induced with the different stimuli compared with control are summarized in Table 2. Overall, A_1–42 (5 µM) increased relative mRNA levels of all pro-inflammatory mediators (relative to control) by (x fold increase) IL-1 (3.8), IL-6 (6.8), IL-8 (1.8), TNF- (3.6), and COX-2 (2.9) (p < 0.05). A_1–42 in the presence of 4-AP (2 mM) led to a significant decrease in pro-inflammatory mediator expression relative to A_1–42-stimulated levels by (x fold decrease) IL-1 (0.56), IL-6 (0.60), IL-8 (0.65), TNF- (0.61), and COX-2 (0.51) (p < 0.05). Stimulation with 4-AP alone led to a small increase in levels of pro-inflammatory mediators (relative to control) by (x fold increase) IL-1 (1.3), IL-6 (1.5), IL-8 (1.1), TNF- (1.5), and COX-2 (1.5); however, the increases were not significant (p > 0.05). A_42–1 did not alter relative mRNA levels of pro-inflammatory mediators from control (p > 0.05; data not shown).

View this table: [in this window] [in a new window]   Table 2. Fold increases in relative pro-inflammatory mediator mRNA induced by A1–42 and A1–42 plus 4-AP compared with relative mRNA in control using semiquantitative RT-PCR

 
We also investigated the effects of 4-AP on protein levels of pro-inflammatory factors with increased expressions as a result of A_1–42 stimulation. The productions of TNF-, IL-6, IL-1, and IL-8 were investigated after 48 h stimulation with A_1–42 in the presence and absence of 4-AP (2 mM) using ELISA. This time point was chosen as the optimum time point to determine the modulatory actions of 4-AP on cytokine production using ELISA, because protein levels continued to accumulate through 48 h and incubations with A_1–42 for periods longer than 24 h could induce both direct and indirect effects of the peptide (Walker et al., 2001). A summary of cytokine production with each of the stimuli is presented in Figure 6C–F, and fold increases in cytokine production compared with control are summarized in Table 3. A_1–42 increased secretion of TNF- (by 2.3-fold; n = 4 independent experiments) (Fig. 6C), IL-6 (by 46-fold; n = 3 independent experiments) (Fig. 6D), IL-1 (by 1.9-fold; n = 6 independent experiments) (Fig. 6E), and IL-8 (by 4.5-fold; n = 4 independent experiments) (Fig. 6F) and compared with basal levels in human microglia; all increases were significant (p < 0.001). A_1–42 in the maintained presence of 4-AP (2 mM) decreased levels of TNF- (to 0.54-fold), IL-6 (to 0.27-fold), IL-1 (to 0.74-fold), and IL-8 (to 0.53-fold) compared with A_1–42 alone; all decreases were significant (p < 0.001). The changes in levels of pro-inflammatory mediators induced with 4-AP and A_42–1 each alone were not significantly different from basal levels (p > 0.05).

View this table: [in this window] [in a new window]   Table 3. Fold increases in pro-inflammatory mediator production induced by A1–42 and A1–42 plus 4-AP compared with levels in control

 
The production of COX-2 after stimulation with A_1–42, 4-AP, or A_1–42 and 4-AP combined was determined using immunocytochemistry (Fig. 7A). Stimulation with A_1–42 (5 µM for 24 h) induced an increase in the number of COX-2-positive microglia (green staining) from control that was partially blocked with 4-AP (2 mM) in the maintained presence of A_1–42. 4-AP and A_42–1 each alone had no effect to alter COX-2 levels from control. A_1–42 significantly increased the percentage of microglia expressing COX-2 by 5.1-fold from control levels (p < 0.001) (Fig. 7B). 4-AP (2 mM) in the maintained presence of A_1–42 significantly decreased (by 0.43-fold) the percentage of COX-2-expressing cells (p < 0.01). 4-AP (2 mM) and A_42–1 (5 µM) each alone induced an increase in the percentage of COX-2-positive microglia compared with unstimulated conditions; however, the increases were not significant (p > 0.05).

View larger version (18K): [in this window] [in a new window]   Figure 7. Effects of 4-AP on A1–42-induced COX-2-expressing microglia. A, Representative photomicrographs of COX-2-stained microglia. Green and blue indicate staining for COX-2- and DAPI-positive nuclei, respectively. Under control conditions, little or no COX-2 expression was evident. Treatment of microglia for 24 h with A1–42 (5 µM) induced an intense expression of COX-2. A1–42 in the presence of 4-AP (2 mM) treatment inhibited production of COX-2. 4-AP alone had no effect on basal levels of COX-2 production. B, The percentage of COX-2-positive microglia relative to total cells is shown under the different experimental conditions. Data are means ± SEM from six independent experiments. *p < 0.001, significance compared with control; and **p < 0.01, significance compared with A1–42.

 
4-AP inhibits A_1–42-induced microglial mediated neurotoxicity
The modulatory potential of 4-AP on A_1–42-induced microglial neurotoxicity was investigated using DAPI staining. As shown in Figure 8A, incubation of neurons with medium from A_1–42-stimulated microglia (conditioned medium) resulted in increased numbers of neurons with condensed (bright fluorescent nuclei) and fragmented nuclei. 4-AP (2 mM) in the maintained presence of A_1–42 decreased microglial-mediated neurotoxicity. 4-AP alone had no effect to alter basal levels of neuronal viability. Unconditioned medium (medium containing stimuli but unexposed to microglia) had no effect on neuronal viability (representative figures not shown). The percentages of damaged primary hippocampal neurons induced by microglial conditioned medium as well as with unconditioned medium were obtained from n = 5 independent experiments for each of conditioned and unconditioned medium experiments, and results are summarized in Figure 8B. Overall, incubation of neurons with microglial conditioned medium induced a significant increase (by 232%) in the number of neurons with condensed nuclei compared with levels induced by unstimulated microglia (p < 0.001). 4-AP significantly reduced the amount of A_1–42-induced microglial neurotoxicity by 54% (p < 0.001). Conditioned medium from microglia treated with 4-AP and A_42–1 each separately increased the level of neuronal death by 9 and 14%, respectively, compared with basal levels; however, the increases were not significant (p > 0.05). Treatment of neurons with medium from unstimulated microglia did not alter the basal level of neuronal damage (p > 0.05). Incubation of neurons for 16 h with unconditioned medium containing A_1–42 (5 µM) alone and in the presence of 4-AP (2 mM), 4-AP alone, and A_42–1 (5 µM) did not alter the basal percentage of neuronal damage (p > 0.05).

View larger version (23K): [in this window] [in a new window]   Figure 8. Effects of microglial conditioned medium on neuronal survival. A, Representative photomicrographs of DAPI-stained primary hippocampal neurons treated for 16 h with microglial conditioned medium [microglia stimulated for 48 h with A1–42 (5 µM), 4-AP (2 mM), each alone, or in combination]. Condensed (arrow) and fragmented (arrowhead) nuclei indicate damaged neurons. Scale bar, 20 µm. B, Summary of microglial-mediated neurotoxicity results from n = 5 independent experiments and corresponding control experiments (neurons treated with unconditioned medium) from n = 5 independent experiments. *p < 0.001, statistically significant from medium of unstimulated microglia; **p < 0.001, statistically significant from conditioned medium of A1–42-stimulated microglia.

 
Effects of 4-AP on A_1–42-induced microglial activation and neuronal degeneration in vivo
The results from the in vitro studies suggested 4-AP as a wide-spectrum inhibitor of inflammatory responses in microglia. An important aspect of this study was to determine the anti-inflammatory potential and neuroprotective actions of 4-AP in vivo. This was done by microinjection of A_1–42 (1 nmol) into the dentate gyrus of rat hippocampus, and at 7 d after injection, both microglial activation and neuronal toxicity were determined. Animals receiving vehicle were used as control. The effects of 4-AP were investigated in rats administered 4-AP (1 mg/kg) intraperitoneally daily for 7 d.

The effect of 4-AP on A_1–42-induced neuronal toxicity in vivo was determined using NeuN, a marker of viable neurons. Representative NeuN-positive staining results from A_1–42 injection into the dentate granule cell layer of rat hippocampus, in the absence and presence of 4-AP, are presented in Figure 9A. Loss of NeuN-positive granule neurons was evident at 7 d after A_1–42 injection compared with vehicle. As shown in Figure 9A, 4-AP was effective in protecting neurons from A_1–42-induced damage. Little or no loss of neurons was observed with 4-AP or with A_42–1 applied separately. Overall, at 7 d after A_1–42 injection, the number of NeuN-positive neurons in the superior blade of dentate granule cell layer decreased by 18% compared with vehicle (Fig. 9C) (n = 4; p < 0.05). Treatment with 4-AP reduced the neurotoxic effect of A_1–42, because the number of NeuN-positive cells was significantly increased by 16% in A_1–42-injected brain administered 4-AP relative to the number of NeuN-positive cells in peptide-injected brain (n = 4; p < 0.05). No significant neuronal loss was observed in A_42–1-injected or 4-AP-treated rat brain (Fig. 9C) (n = 4/group; p > 0.05).

View larger version (67K): [in this window] [in a new window]   Figure 9. Effects of 4-AP on A1–42-induced hippocampal neuron degeneration and microglial activation in vivo. A, Representative photographs of tissue sections stained with NeuN antibody from the superior blade of dentate granule cell layer taken 7 d after injection with vehicle, A1–42 (1 nmol), A1–42 plus 4-AP (1 mg/kg, i.p.), and 4-AP and A42–1 (1 nmol). B, Representative photographs of tissue sections stained with ED1 from the superior blade of dentate granule cell layer taken from vehicle-injected rats, A