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Zeng BY, Salvage S, Jenner P. Effect and mechanism of acupuncture on Alzheimer's disease. INTERNATIONAL REVIEW OF NEUROBIOLOGY 2013; 111:181-95. [PMID: 24215923 DOI: 10.1016/b978-0-12-411545-3.00009-2] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Alzheimer's disease is the most common form of dementia diagnosed in the aging population worldwide. The cause of Alzheimer's is still not clear. There is no cure for the disease and current treatments are only symptomatic relieve. The search for new treatment is made ever more urgent due to increasing population aging. Acupuncture has been in practice in China for more than 3000 years and used to treat a wide variety of conditions including cardiovascular and psychiatric diseases, acute, and chronic pain. In this chapter, we review recent development on the effects and mechanisms of acupuncture on Alzheimer's disease. In Alzheimer's animal models, acupuncture stimulation at acupoints enhances cholinergic neurotransmission, trophic factor releasing, reduces apoptotic and oxidative damages, improves synaptic plasticity and decreases the levels of Aβ proteins in the hippocampus and relevant brain regions. The biochemical modulations by acupuncture in the brains of Alzheimer's models are correlated with the cognitive improvement. In Alzheimer's patients, functional brain images demonstrated that acupuncture increased in the activity in the temporal lobe and prefrontal lobe which are related to the memory and cognitive function. Although only a few acupuncture clinical studies with a small number of participants are reported, they represent an important step forward in the research of both acupuncture and Alzheimer's. Translation of acupuncture research in animal model studies into the human subjects will undoubtedly enhance acupuncture efficacy in clinical study and treatment which could eventually lead to a safer, well-tolerated and inexpensive form of care for Alzheimer's patients.
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Affiliation(s)
- Bai-Yun Zeng
- Neurodegenerative Disease Research Group, Institute of Pharmaceutical Science, School of Biomedical Sciences, King's College London, London, United Kingdom.
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Karlsson N, Kalm M, Nilsson MKL, Mallard C, Björk-Eriksson T, Blomgren K. Learning and activity after irradiation of the young mouse brain analyzed in adulthood using unbiased monitoring in a home cage environment. Radiat Res 2010; 175:336-46. [PMID: 21388277 DOI: 10.1667/rr2231.1] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Cranial radiotherapy during the treatment of pediatric malignancies may cause adverse late effects. It is important to find methods to assess the functional effects of ionizing radiation in animal models and to evaluate the possible ameliorating effects of preventive or reparative treatment strategies. We investigated the long-term effects of a single 8-Gy radiation dose to the brains of 14-day-old mice. Activity and learning were evaluated in adulthood using open field and trace fear conditioning (TFC). These established methods were compared with the novel IntelliCage platform, which enables unbiased analysis of both activity and learning over time in a home cage environment. Neither activity nor learning was changed after irradiation, as judged by the open field and TFC analyses. The IntelliCage, however, revealed both altered activity and learning impairment after irradiation. Place learning and reversal learning were both impaired in the IntelliCage 3 months after irradiation. These results indicate that activity and learning should be assessed using multiple methods and that unbiased analysis over time in a home cage environment may offer advantages in the detection of subtle radiation-induced effects on the young brain.
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Affiliation(s)
- Niklas Karlsson
- Center for Brain Repair and Rehabilitation, Institute of Neuroscience and Physiology, University of Gothenburg, SE 405 30, Sweden
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Villasana L, Pfankuch T, Raber J. Isoform-dependent effects of apoE on doublecortin-positive cells and microtubule-associated protein 2 immunoreactivity following (137)Cs irradiation. RADIATION AND ENVIRONMENTAL BIOPHYSICS 2010; 49:421-426. [PMID: 20458592 DOI: 10.1007/s00411-010-0290-4] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/15/2009] [Accepted: 04/19/2010] [Indexed: 05/29/2023]
Abstract
Previously we found apoE isoform-dependent effects of (137)Cs irradiation on cognitive function of female mice 3 months following irradiation. Alterations in the number of immature neurons and in the levels of the dendritic marker microtubule-associated protein 2 (MAP-2) might contribute to the cognitive changes following irradiation. Therefore, in the present study we determined if, following (137)Cs irradiation, there are apoE isoform-dependent effects on loss of doublecortin-positive neuroprogenitor cells or MAP-2 immumonoreactivity. In the dentate gyrus, CA1 and CA3 regions of the hippocampus, enthorhinal and sensorimotor cortex, and central and basolateral nuclei of the amygdala of apoE3 female mice, MAP-2 immunoreactivity increased 3 months following (137)Cs irradiation. In addition, at 8 h following irradiation, the number of doublecortin-positive cells was higher in apoE3 than apoE2 or apoE4 mice. Together, these data indicate that brains of apoE3 mice respond differently to (137)Cs irradiation than those of apoE2 or apoE4 mice.
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Affiliation(s)
- Laura Villasana
- Department of Behavioral Neuroscience, Oregon Health and Science University, Portland, OR 97239, USA
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HWANG IK, CHUNG JY, YOO DY, YI SS, YOUN HY, SEONG JK, YOON YS. Comparing the Effects of Acupuncture and Electroacupuncture at Zusanli and Baihui on Cell Proliferation and Neuroblast Differentiation in the Rat Hippocampus. J Vet Med Sci 2010; 72:279-84. [DOI: 10.1292/jvms.09-0374] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- In Koo HWANG
- Department of Anatomy and Cell Biology, College of Veterinary Medicine and BK21 Program for Veterinary Science, Seoul National University
| | - Jin Young CHUNG
- Department of Veterinary Internal Medicine, College of Veterinary Medicine, Seoul National University
| | - Dae Young YOO
- Department of Anatomy and Cell Biology, College of Veterinary Medicine and BK21 Program for Veterinary Science, Seoul National University
| | - Sun Shin YI
- Department of Anatomy and Cell Biology, College of Veterinary Medicine and BK21 Program for Veterinary Science, Seoul National University
- Department of Biomedical Sciences, College of Health Sciences, Marquette University
| | - Hwa Young YOUN
- Department of Veterinary Internal Medicine, College of Veterinary Medicine, Seoul National University
| | - Je Kyung SEONG
- Department of Anatomy and Cell Biology, College of Veterinary Medicine and BK21 Program for Veterinary Science, Seoul National University
| | - Yeo Sung YOON
- Department of Anatomy and Cell Biology, College of Veterinary Medicine and BK21 Program for Veterinary Science, Seoul National University
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Abstract
This review summarizes some of the topics discussed at the 28th Annual Symposium of the Society of Toxicologic Pathology. The symposium was held in Washington, DC, in 2009 and dealt with unintended adverse events associated with cranial irradiation as part of cancer therapy. We will discuss the importance of considering genetic susceptibility and sex differences in susceptibility to develop these adverse events. Further, we will discuss potential mechanisms contributing to these events, including alterations in neurogenesis and increased oxidative stress following irradiation and potential alterations in synaptic and dendritic markers.
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Affiliation(s)
- Jacob Raber
- Departments of Behavioral Neuroscience and of Neurology,
and Division of Neuroscience, ONPRC, Oregon Health and Science University,
Portland, Oregon, USA,
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Xavier GF, Costa VCI. Dentate gyrus and spatial behaviour. Prog Neuropsychopharmacol Biol Psychiatry 2009; 33:762-73. [PMID: 19375476 DOI: 10.1016/j.pnpbp.2009.03.036] [Citation(s) in RCA: 47] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2009] [Accepted: 03/30/2009] [Indexed: 10/20/2022]
Abstract
This article reviews evidence from studies employing colchicine-induced granule cell loss in the adult rat brain, and irradiation-induced hypoplasia of the neonatal dentate gyrus, on the performance of spatial and non-spatial behavioral tasks. The general picture emerging from this analysis reveals that the dentate gyrus granule cells are critically involved in spatial behavior, particularly when this requires the adoption of place strategies. This notion also provides an explanation for the behavioral effects of dentate gyrus granule cell loss seen in apparently non-spatial tasks.
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Affiliation(s)
- Gilberto Fernando Xavier
- Departamento de Fisiologia do Instituto de Biociências da Universidade de São Paulo, São Paulo, SP, Brazil.
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Kalm M, Fukuda A, Fukuda H, Ohrfelt A, Lannering B, Björk-Eriksson T, Blennow K, Márky I, Blomgren K. Transient inflammation in neurogenic regions after irradiation of the developing brain. Radiat Res 2009; 171:66-76. [PMID: 19138045 DOI: 10.1667/rr1269.1] [Citation(s) in RCA: 70] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2007] [Accepted: 09/08/2008] [Indexed: 11/03/2022]
Abstract
We characterized the inflammatory response after a single dose of 8 Gy to the brains of postnatal day 9 rats. Affymetrix gene chips revealed activation of multiple inflammatory mechanisms in the acute phase, 6 h after irradiation. In the subacute phase, 7 days after irradiation, genes related to neurogenesis and cell cycle were down-regulated, but glial fibrillary acidic protein (GFAP) was up-regulated. The concentrations of 14 different cytokines and chemokines were measured using a microsphere-based xMAP technology. CCL2, Gro/KC and IL-1alpha were the most strongly up-regulated 6 h after irradiation. CCL2 was expressed in astrocytes and microglia in the dentate gyrus and the subventricular zone (SVZ). Hypertrophy, but not hyperplasia, of astrocytes was demonstrated 7 days after irradiation. In summary, we found transient activation of multiple inflammatory mechanisms in the acute phase (6 h) after irradiation and activation of astrocytes in the subacute phase (7 days) after irradiation. It remains to be elucidated whether these transient changes are involved in the persistent effects of radiation observed on neurogenesis and cognition in rodents.
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Affiliation(s)
- Marie Kalm
- Center for Brain Repair and Rehabilitation, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden
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Kalm M, Lannering B, Björk-Eriksson T, Blomgren K. Irradiation-induced loss of microglia in the young brain. J Neuroimmunol 2008; 206:70-5. [PMID: 19070908 DOI: 10.1016/j.jneuroim.2008.11.002] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2008] [Revised: 10/27/2008] [Accepted: 11/03/2008] [Indexed: 11/19/2022]
Abstract
Irradiation-induced loss of neural stem and progenitor cells may contribute to cognitive deficits. Furthermore, subsequent inflammation inhibits neural progenitor cell differentiation. Here we have characterized the microglia response after a single dose of 8 Gy to the brains of postnatal day 9 or 21 rats. The number of Iba-1-positive microglia increased 6 h after IR but had decreased 7 days later, below control levels, and this decrease was more pronounced in P9 rats. Active caspase-3 and TUNEL staining revealed irradiation-induced microglia death. This age-dependent IR-induced loss of microglia likely affects both the response to IR and further brain development.
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Affiliation(s)
- Marie Kalm
- Center for Brain Repair and Rehabilitation, Institute of Neuroscience and Physiology, University of Gothenburg, Box 432, SE 405 30, Sweden
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Cheng H, Yu J, Jiang Z, Zhang X, Liu C, Peng Y, Chen F, Qu Y, Jia Y, Tian Q, Xiao C, Chu Q, Nie K, Kan B, Hu X, Han J. Acupuncture improves cognitive deficits and regulates the brain cell proliferation of SAMP8 mice. Neurosci Lett 2007; 432:111-6. [PMID: 18215464 DOI: 10.1016/j.neulet.2007.12.009] [Citation(s) in RCA: 82] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2007] [Revised: 11/25/2007] [Accepted: 12/01/2007] [Indexed: 01/06/2023]
Abstract
Senescence-accelerated mouse prone 8 (SAMP8) is an autogenic senile strain characterized by early cognitive impairment and age-related deterioration of learning and memory. To investigate the effect of acupuncture on behavioral changes and brain cell events, male 4-month-old SAMP8 and age-matched homologous normal aging SAMR1 mice were divided into four groups: SAMP8 acupuncture group (Pa), SAMP8 non-acupoint control group (Pn), SAMP8 control group (Pc) and SAMR1 normal control group (Rc). By Morris water maze test, the cognitive deficit of SAMP8 was revealed and significantly improved by "Yiqitiaoxue and Fubenpeiyuan" acupuncture. Meanwhile, by 5'-bromo-2'-deoxyuridine (BrdU) specific immunodetection, the decreased cell proliferation in dentate gyrus (DG) of SAMP8 was greatly enhanced by the therapeutic acupuncture, suggesting acupoint-related specificity. Even though no significant differences were found in ventricular/subventricular zones (VZ/SVZ) of the third ventricle (V3) and lateral ventricle (LV) between groups, we obtained interesting results: a stream-like distribution of newly proliferated cells presented along the dorsum of alveus hippocampi (Alv), extending from LV to corpus callosum (CC), and the therapeutic acupuncture showed a marked effect on this region. Our research suggests that acupuncture can induce different cell proliferation in different brain regions of SAMP8, which brings forth the need to explore further for the mechanism of cognitive deficits and acupuncture intervention in this field.
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Affiliation(s)
- Haiyan Cheng
- Tianjin Key Laboratory of Acupuncture and Moxibustion, Molecular Biology Laboratory, Acupuncture and Moxibustion Research Institute, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China
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Fukuda A, Fukuda H, Jönsson M, Swanpalmer J, Hertzman S, Lannering B, Björk-Eriksson T, Màrky I, Blomgren K. Progenitor cell injury after irradiation to the developing brain can be modulated by mild hypothermia or hyperthermia. J Neurochem 2005; 94:1604-19. [PMID: 16086699 DOI: 10.1111/j.1471-4159.2005.03313.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Ionizing radiation induced acute cell death in the dentate gyrus subgranular zone (SGZ) and the subventricular zone (SVZ). Hypomyelination was also observed. The effects of mild hypothermia and hyperthermia for 4 h after irradiation (IR) were studied in postnatal day 9 rats. One hemisphere was irradiated with a single dose of 8 Gy and animals were randomized to normothermia (rectal temperature 36 degrees C for 4 h), hypothermia (32 degrees C for 4 h) or hyperthermia (39 degrees C for 4 h). Cellular injury, e.g. chromatin condensation and nitrotyrosine formation, appeared to proceed faster when the body temperature was higher. Caspase-3 activation was more pronounced in the hyperthermia group and nuclear translocation of p53 was less pronounced in the hypothermia group 6 h after IR. In the SVZ the loss of nestin-positive progenitors was more pronounced (48%) and the size was smaller (45%) in the hyperthermia group 7 days post-IR. Myelination was not different after hypo- or hyperthermia. This is the first report to demonstrate that hypothermia may be beneficial and that hyperthermia may aggravate the adverse side-effects after radiation therapy to the developing brain.
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MESH Headings
- Animals
- Animals, Newborn
- Apoptosis/physiology
- Apoptosis/radiation effects
- Body Temperature/physiology
- Brain/growth & development
- Brain/physiopathology
- Brain/radiation effects
- Brain Damage, Chronic/physiopathology
- Brain Damage, Chronic/prevention & control
- Brain Damage, Chronic/therapy
- Caspase 3
- Caspases/metabolism
- Dentate Gyrus/growth & development
- Dentate Gyrus/physiopathology
- Dentate Gyrus/radiation effects
- Female
- Hyperthermia, Induced/adverse effects
- Hypothermia, Induced
- Intermediate Filament Proteins/metabolism
- Male
- Nerve Degeneration/physiopathology
- Nerve Degeneration/prevention & control
- Nerve Degeneration/therapy
- Nerve Tissue Proteins/metabolism
- Nestin
- Neurons/physiology
- Neurons/radiation effects
- Radiation Injuries, Experimental/physiopathology
- Radiation Injuries, Experimental/prevention & control
- Radiation Injuries, Experimental/therapy
- Radiation, Ionizing
- Rats
- Rats, Wistar
- Stem Cells/physiology
- Stem Cells/radiation effects
- Tumor Suppressor Protein p53/metabolism
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Affiliation(s)
- Aya Fukuda
- The Arvid Carlsson Institute of Neuroscience at the Institute of Clinical Neuroscience, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden
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Rola R, Raber J, Rizk A, Otsuka S, VandenBerg SR, Morhardt DR, Fike JR. Radiation-induced impairment of hippocampal neurogenesis is associated with cognitive deficits in young mice. Exp Neurol 2004; 188:316-30. [PMID: 15246832 DOI: 10.1016/j.expneurol.2004.05.005] [Citation(s) in RCA: 527] [Impact Index Per Article: 26.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2004] [Revised: 04/30/2004] [Accepted: 05/04/2004] [Indexed: 11/18/2022]
Abstract
Advances in the management of pediatric brain tumors have increased survival rates in children, but their quality of life is impaired due to cognitive deficits that arise from irradiation. The pathogenesis of these deficits remains unknown, but may involve reduced neurogenesis within the hippocampus. To determine the acute radiosensitivity of the dentate subgranular zone (SGZ), 21-day-old C57BL/J6 male mice received whole brain irradiation (2-10 Gy), and 48 h later, tissue was assessed using immunohistochemistry. Proliferating SGZ cells and their progeny, immature neurons, were decreased in a dose-dependent fashion. To determine if acute changes translated into long-term alterations in neurogenesis, mice were given a single dose of 5 Gy, and 1 or 3 months later, proliferating cells were labeled with 5-bromo-2'-deoxyuridine (BrdU). Confocal microscopy was used to determine the percentage of BrdU-labeled cells that showed mature cell phenotypes. X-rays significantly reduced the production of new neurons at both time points, while glial components showed no change or small increases. Measures of activated microglia and infiltrating, peripheral monocytes indicated that reduced neurogenesis was associated with a chronic inflammatory response. Three months after irradiation, changes in neurogenesis were associated with spatial memory retention deficits determined using the Morris water maze. Behavioral training and testing increased the numbers of immature neurons, most prominently in irradiated animals. These data provide evidence that irradiation of young animals induces a long-term impairment of SGZ neurogenesis that is associated with hippocampal-dependent memory deficits.
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Affiliation(s)
- Radoslaw Rola
- Brain Tumor Research Center, Department of Neurological Surgery, University of California, San Francisco, 94143, USA
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Moreira RDCM, Bueno JLO. Conditional discrimination learning and negative patterning in rats with neonatal hippocampal lesion induced by ionizing radiation. Behav Brain Res 2003; 138:29-44. [PMID: 12493628 DOI: 10.1016/s0166-4328(02)00227-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
This study was undertaken to investigate the associative process underlying serial feature positive conditional discrimination learning (X-->A+/A-) and the role of the hippocampus in the solution of tasks demanding a configural association strategy such as the negative patterning discrimination (XA-/X+/A+). It has been suggested that the hippocampus is essential for the learning of complex tasks, so, it is expected that hippocampal lesions would prove equally detrimental to performance in both tasks, but would not interfere with simple discrimination learning. Hippocampal lesions were made with X-radiation exposure to neonate rats after completion of a parametric study 'J. Neurosci. Methods 75 (1997) 41' that established the best radiation parameters to selectively lesion the hippocampal dentate gyrus. When adults, rats were submitted to a serial feature positive conditional discrimination task with the trials 'House light/Tone: water (H-->T+)', 'Tone: no water (T-)', and two simple discrimination with the trials 'Clicker: water (C+)' and 'Noise: no water (N-)' in Experiment I. In Experiment II, adult rats, irradiated and control, were submitted to the negative patterning task with the trials 'House light/Tone: no water (HT-)', 'House light: water (H+)', 'Tone: water (T+)', and to the non-conditional discrimination with the trial Noise: no water (N-)'. In contrast to the expectation of impaired performance in these tasks by lesioned rats, animals with damage to the hippocampal dentate gyrus learned the complex and the simple tasks as well as control subjects. These results suggest that the dentate gyrus does not participate directly in the modulation of acquisition of tasks demanding a complex strategy of occasion setting in procedures of serial conditional discrimination or a configural strategy, important for the negative patterning discrimination solution.
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Affiliation(s)
- Rita de Cássia Margarido Moreira
- Departamento de Psicologia e Educação-FFCLRP, Universidade de São Paulo, Av dos Bandeirantes 3900, 14049-901, Ribeirão Preto, SP Brazil
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Tada E, Parent JM, Lowenstein DH, Fike JR. X-irradiation causes a prolonged reduction in cell proliferation in the dentate gyrus of adult rats. Neuroscience 2000; 99:33-41. [PMID: 10924950 DOI: 10.1016/s0306-4522(00)00151-2] [Citation(s) in RCA: 227] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The effects of X-irradiation on proliferating cells in the dentate subgranular zone were assessed in young adult Fisher 344 rats exposed to a range of X-ray doses and followed for up to 120 days. Apoptosis was quantified using morphology and end-labeling immunohistochemistry, and cell proliferation was detected using antibodies against the thymidine analog BrdU and the cyclin-dependent kinase p34(cdc2). Radiation-induced apoptosis occurred rapidly, with maximum morphological and end-labeling changes observed 3-6h after irradiation. Twenty-four hours after irradiation cell proliferation was significantly reduced relative to sham-irradiated controls. The number of apoptotic nuclei increased rapidly with radiation dose, reaching a plateau at about 3Gy. The maximum number of apoptotic nuclei was substantially higher than the number of proliferating cells, suggesting that non-proliferating as well as proliferating cells in the subgranular zone were sensitive to irradiation. Subgranular zone cell proliferation was significantly reduced relative to age-matched controls 120 days after doses of 5Gy or higher. These findings suggest that neural precursor cells of the dentate gyrus are very sensitive to irradiation and are not capable of repopulating the subgranular zone at least up to 120 days after irradiation. This may help explain, in part, how ionizing irradiation induces cognitive impairments in animals and humans.
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Affiliation(s)
- E Tada
- Department of Neurosurgery, University of California, San Francisco, CA 94143, USA
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