The experimental toxicology of metallic mercury on the murine peripheral motor system: a novel method of assessing axon calibre spectra using the phrenic nerve

Aging affects the number and morphological heterogeneity of rat phrenic motor neurons and phrenic motor axons

Diaphragm muscle (DIAm) motor units comprise a phrenic motor neuron (PhMN), the phrenic nerve and the muscle fibers innervated, with the size of PhMNs and axons characteristic of motor unit type. Smaller PhMNs and their axons comprise slow (type S) and fatigue-resistant (type FR) DIAm motor units, while larger PhMNs and their axons comprise more fatigable (type FF) motor units. With aging, we have shown a loss of larger PhMNs, consistent with selective atrophy of type IIx/IIb DIAm fibers and reduced maximum DIAm force. In the present study, we hypothesized that with aging there is a loss of larger myelinated phrenic α motor axons. Female and male young (6 months) and old (24 months) Fischer 344 rats were studied. PhMNs were retrogradely labeled by intrapleural injection of 488-conjugated CTB. The phrenic nerves were excised ~1 cm from the DIAm insertion and mounted in resin, and phrenic α motor axons were delineated based on size (i.e., >4 μm diameters). In older rats, the number of larger PhMNs and larger phrenic α motor axons were reduced. There were no differences in non-α axons. In addition, there was evidence of demyelination of larger phrenic α motor axons in older rats. Together, these findings are consistent with the selective age-related vulnerability of larger PhMNs and denervation of type FF motor units, which may underlie DIAm sarcopenia.

Occurrence of Volcanogenic Inorganic Mercury in Wild Mice Spinal Cord: Potential Health Implications

Mercury accumulation has been proposed as a toxic factor that causes neurodegenerative diseases. However, the hazardous health effects of gaseous elemental mercury exposure on the spinal cord in volcanic areas have not been reported previously in the literature. To evaluate the presence of volcanogenic inorganic mercury in the spinal cord, a study was carried out in São Miguel island (Azores, Portugal) by comparing the spinal cord of mice exposed chronically to an active volcanic environment (Furnas village) with individuals not exposed (Rabo de Peixe village), through the autometallographic silver enhancement histochemical method. Moreover, a morphometric and quantification analysis of the axons was carried out. Results exhibited mercury deposits at the lumbar level of the spinal cord in the specimens captured at the site with volcanic activity (Furnas village). A decrease in axon calibre and axonal atrophy was also observed in these specimens. Given that these are relevant hallmarks in the neurodegenerative pathologies, our results highlight the importance of the surveillance of the health of populations chronically exposed to active volcanic environments.

Abnormal Brain Connectivity Spectrum Disorders Following Thimerosal Administration: A Prospective Longitudinal Case-Control Assessment of Medical Records in the Vaccine Safety Datalink

BACKGROUND

Autism spectrum disorder (ASD), tic disorder (TD), and hyperkinetic syndrome of childhood (attention deficit disorder [ADD]/attention deficit hyperactivity disorder [ADHD]) are disorders recently defined as abnormal connectivity spectrum disorders (ACSDs) because they show a similar pattern of abnormal brain connectivity. This study examines whether these disorders are associated with exposure to thimerosal, a mercury (Hg)-based preservative.

METHODS

A hypothesis testing case-control study evaluated the Vaccine Safety Datalink for the potential dose-dependent odds ratios (ORs) for diagnoses of ASD, TD, and ADD/ADHD compared to controls, following exposure to Hg from thimerosal-containing Haemophilus influenzae type b vaccines administrated within the first 15 months of life. Febrile seizures, cerebral degeneration, and unspecified disorders of metabolism, which are not biologically plausibly linked to thimerosal, were examined as control outcomes.

RESULTS

On a per 25 μg Hg basis, cases diagnosed with ASD (OR = 1.493), TD (OR = 1.428), or ADD/ADHD (OR = 1.503) were significantly (P < .001) more likely than controls to have received increased Hg exposure. Similar relationships were observed when separated by gender. Cases diagnosed with control outcomes were no more likely than controls to have received increased Hg exposure.

CONCLUSION

The results suggest that Hg exposure from thimerosal is significantly associated with the ACSDs of ASD, TD, and ADD/ADHD.

Thimerosal-Preserved Hepatitis B Vaccine and Hyperkinetic Syndrome of Childhood

(1) BACKGROUND: Hyperkinetic syndrome of childhood (HKSoC) is an International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9) category in which the majority of the children are also diagnosed under the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR), where the umbrella term is "Attention-Deficit and Disruptive Behavior Disorders". The diagnostic criteria for HKSoC are developmentally inappropriate inattention, hyperactivity, and impulsivity. Some studies have implicated mercury (Hg) exposure as a risk factor. (2) METHODS: This hypothesis testing study; using the Vaccine Safety Datalink; assessed the toxicological effects of bolus exposure to organic-Hg from Thimerosal-containing vaccines (TCVs) by examining the relationship between Thimerosal-preserved hepatitis B vaccines (TM-HepB) given at varying levels and at specific intervals in the first six months after birth and the risk of a child being diagnosed with HKSoC. (3) RESULTS: Children diagnosed with HKSoC were significantly more likely to be exposed to increased organic-Hg from TM-HepB doses given within the first month (odds ratio = 1.45; 95% confidence interval (CI) = 1.30-1.62); within the first two months (odds ratio = 1.43; 95% CI = 1.28-1.59); and within the first six months (odds ratio = 4.51; 95% CI = 3.04-6.71) than controls. (4) CONCLUSION: The results indicate that increasing organic-Hg exposure from TCVs heightens the risk of a HKSoC diagnosis.

Statistical physics approach to quantifying differences in myelinated nerve fibers

We present a new method to quantify differences in myelinated nerve fibers. These differences range from morphologic characteristics of individual fibers to differences in macroscopic properties of collections of fibers. Our method uses statistical physics tools to improve on traditional measures, such as fiber size and packing density. As a case study, we analyze cross–sectional electron micrographs from the fornix of young and old rhesus monkeys using a semi-automatic detection algorithm to identify and characterize myelinated axons. We then apply a feature selection approach to identify the features that best distinguish between the young and old age groups, achieving a maximum accuracy of 94% when assigning samples to their age groups. This analysis shows that the best discrimination is obtained using the combination of two features: the fraction of occupied axon area and the effective local density. The latter is a modified calculation of axon density, which reflects how closely axons are packed. Our feature analysis approach can be applied to characterize differences that result from biological processes such as aging, damage from trauma or disease or developmental differences, as well as differences between anatomical regions such as the fornix and the cingulum bundle or corpus callosum.

Butenenitriles have low axonopathic potential in the rat

IDPN (3,3'-iminodipropionitrile) causes a neurofilamentous proximal axonopathy. This study addressed the hypothesis that the butenenitriles (allylnitrile, cis-crotononitrile and trans-crotononitrile) have an IDPN-like axonopathic potential. First, male adult rats were exposed (i.p.) to IDPN, allylnitrile, cis-crotononitrile or trans-crotononitrile at 3.25 mmol/kg/day, 0.89 mmol/kg/day, 1.79 mmol/kg/day, or 3.75 mmol/kg/day for 3 consecutive days, respectively; lumbar dorsal root ganglia were examined for axonal swelling eight days after dosing. IDPN caused axonal swelling, a few swollen axons were recorded in one trans-crotononitrile animal, and no axonal abnormalities were observed following cis-crotononitrile or allylnitrile. To further evaluate trans-crotononitrile, additional rats were given this nitrile through a 10-day i.p. dosing schedule (2.5 mmol/kg/day, 2.75 mmol/kg/day, 3.0 mmol/kg/day or 3.25 mmol/kg/day) or a 9-week drinking water exposure (12.3, 24.6 and 49.1mM, three weeks each), and examined by light and electron microscopy. Semithin sections revealed no overt swelling in axons from several locations of the nervous system after trans-crotononitrile; quantitative analysis in the L5 dorsal root ganglion showed no increase in proximal axon diameter in comparison to control animals. At the transmission electron microscopy level, pathological effects were mild; they were mostly found in the animals submitted to the 10-day dosing regimen, and did not include evidence of significant axonal swelling. Although an axonopathic potential for the three unsaturated 4-carbon nitriles cannot be excluded, the present data indicated that this potential is significantly lower than that of IDPN.

Atrophy of Large Myelinated Motor Axons and Declining Muscle Grip Strength Following Mercury Vapor Inhalation in Mice

The effects of acute mercury vapor (Hg(0)) exposure on the peripheral motor system have not been previously addressed in the literature. Early case studies report that acute exposure in humans can cause symptoms resembling motor neuron disease (MND). Mercury granules can be histochemically demonstrated in the cytoplasm of murine motor neurons following Hg(0) exposure, suggesting it is transported from the neuromuscular junction (NMJ) to the cell body by retrograde axonal transport mechanisms. We considered the hypothesis that morphological damage to the peripheral motor axonal cytoskeleton possibly involving neurofilaments (NFs) follows Hg(0) exposure. Eight-week-old wild type (Wt) 129S/v mice were exposed to 500 microg/m(3) of Hg(0) for 4 h in an experimental vapor exposure chamber. Forelimb grip strength (FGS) was measured over 4-wk intervals prior to removal of the murine phrenic nerves (MPN) 7 mo postexposure. Autometallography of 7-microm-thick spinal-cord sections from Hg(0)-exposed mice confirmed the presence of mercury deposits in ventral horn motor neurons. The morphology of the myelinated motor axons was assessed by computer-assisted image analysis of 1-microm-thick resin cross sections of the MPN. The group exposed to Hg(0) showed a significant reduction in the mean axon caliber, p < .0001. Gaussian spectral analysis of axon diameter distribution showed atrophy principally to large myelinated fibers, a subpopulation of axons that is also affected in MND. This atrophic change was also accompanied by an increased irregularity in axon shape. FGS initially increased with age until 20 wk and then progressively decreased after 22 wk to 36 wk. In conclusion, Hg(0) exposure appears to reduce axon diameter, suggesting axon caliber-determining cytoskeletal components such as neurofilaments may be damaged by heavy metal-induced oxidative stress mechanisms, resulting in functional changes to motor units.

Decreased neurofilament density in large myelinated axons of metallothionein-I, II knockout mice

Metallothioneins (MTs) are small proteins, two isoforms (I, II) of which bind metals. Their physiological role has been difficult to establish, but recent reports suggested that they serve an important function in nerve repair and in the protection against oxidative stress in the peripheral nervous system. We previously reported a decreased axon calibre in the large myelinated fibres of the phrenic nerve in the MT-I, II double knock out (MT-I, II KO) mouse model. We propose that this could be due to the effects of oxidative stress on neurofilaments (NFs). In this study, we examined the same subset of large myelinated axons using transmission electron microscopy (TEM). There was a decreased NF density in the axons of MT-I, II KO phrenic nerve (P<0.005). This observation may have novel therapeutic implications in the treatment of amyotrophic lateral sclerosis (ALS), particularly as the terminal phases of the disease involve respiratory insufficiency.