Ekaterina Zhurakovskaya1, Jaakko Paasonen1, Juuso Leikas2, Aaro Jalkanen2, Tiina Pirttimäki1, Rubin Aliev3,4, Heikki Tanila1, Markus Forsberg2, and Olli Gröhn1
1A.I.Virtanen Institute, University of Eastern Finland, Kuopio, Finland, 2School of Pharmacy, University of Eastern Finland, Kuopio, Finland, 3Moscow Institute of Physics and Technology, Moscow, Russian Federation, 4Institute of Theoretical and Experimental Biophysics, Pushchino, Russian Federation
Synopsis
6-hydroxydopamine
(6-OHDA) striatal lesion is a well-established rat model of early-stage
Parkinson’s disease. The aim of the
study was to compare connectivity patterns between 20 6-OHDA lesion rats and 10
sham controls under urethane anesthesia, modelling natural sleep, by using
functional magnetic resonance imaging (fMRI). We found that functional
connectivity patterns were disturbed in lesion animals. The decrease in functional
connectivity, however, occurred only in rapid eye movement (REM)-like state.
Furthermore, thalamocortical functional connectivity was correlating with
striatal dopamine depletion ratio, making these changes possible early
diagnostic markers for Parkinson’s disease.
Introduction
Parkinson’s disease
(PD) is a neurodegenerative disorder characterized by degeneration of
dopaminergic neurons in the substantia nigra pars compacta leading to a variety
of motor and non-motor symptoms. One class of the non-motor symptoms is sleep
disturbances, typically appearing several years before the onset of motor deficits1. Currently, the
most common approach to model early-stage PD in rodents is the unilateral
intracerebral injection of 6-hydroxydopamine (6-OHDA) into the striatum2.
It initiates a process of neuronal degeneration in nigrostriatal pathway, which
leads to dopamine depletion in striatum mimicking the pathophysiology of PD.
The effects of the partial lesioning on sleep are not well characterized.
Resting-state
functional magnetic resonance imaging (rsfMRI) is a powerful tool to explore whole-brain large-scale connectivity3.
However, studying natural sleep in animal models in magnet is practically
impossible due to the stress of animals induced by restrainment, sounds, and
vibration. Recent studies have exploited sleep models, such as
urethane anesthesia4,5.
As the combination of
partial striatal 6-OHDA lesion rat model and urethane-induced sleep could
provide a relevant platform for preclinical studies and drug development for
the early-stage PD, the aim of this study was to investigate whether any
changes in functional connectivity (FC) during sleep, similar to early-stage PD
patients, could be observed in preclinical experimental setup. Materials and methods
The study was
conducted in 20 lesioned and 10 sham-operated male Wistar rats weighing 270 –
360 g. Animals underwent partial unilateral striatal lesion as described
previously6. Five weeks after the 6-OHDA or sham lesion, each animal
was imaged with spin-echo echo-planar imaging sequence (TR = 2 s, TE = 45 ms,
resolution 0.5x0.5x0.9 mm, 17 slices) for 40 minutes under urethane anesthesia
(1.25 g/kg i.p.). Breathing, heart rate and temperature were monitored.
After rsfMRI scanning,
the animals were decapitated, both striata were dissected for dopamine level
analysis by a high performance liquid chromatography with electrochemical
detection as previously described6.
Sleep-like states were
detected using breathing rate fluctuations, as described by Wilson et al4. Functional
connectivity patterns were compared between lesion and sham animals in
NREM-like and REM-like states using set of 17 regions of interest. FC was
calculated based on Pearson’s correlation coefficient and compared between
groups after Fisher’s z-transform using t-test with false discovery rate
correction for multiple comparisons. Additionally, correlation between
thalamocortical connectivity and dopamine levels were investigated.Results
In 4/10 sham animals
and in 9/20 lesion animals we observed clear state changes between REM-like and
NREM-like state. Other animals were treated as being in NREM-like state7.
We found that FC patterns were disturbed in 6-OHDA lesioned animals compared to
sham rats. Interestingly, these disturbances depended on the sleep-like state
(Fig. 1). During REM-like state, corticocortical and corticostriatal
connections were substantially decreased in 6-OHDA lesion animals (Fig. 2). In
contrast, during NREM-like state, differences in FC between sham and lesion animals
were not significant (p > 0.8).
In addition, the
strength of ipsilateral thalamocortical connectivity correlated with dopamine
depletion ratio (Fig. 3) during REM-like state (p < 0.05), but not during
NREM-like state (p > 0.45). Discussion
We found that brain FC
patterns under urethane anesthesia differed between striatal 6-OHDA and sham
rats during the REM-like state. The observed changes had similarities with
clinical findings in PD patients measured during wakefulness: decreased FC from
putamen to sensorimotor cortex and contralateral putamen is observed already in
early stage of the disease8. In patients with average and advanced
stage of the disease decreased corticocortical and corticostriatal connectivity
is observed9,10.
The possible reason
for connectivity patterns being different only in one sleep-like state is the
direct participation of DA to sleep regulation. In support of that, the
strength of thalamocortical connectivity during REM-like state correlated with
the dopamine levels in the striatum. Further, the correlation between dopamine
ratio and thalamocortical connectivity implies that assessment of these
connections may serve as indirect biomarkers for the extent of dopamine
depletion in the striatum. Conclusion
This study shows that
the unilateral striatal 6-OHDA lesion rat model may serve as a preclinical
model for sleep disturbances observed in early-stage PD. More importantly, it
also holds promise as a model for developing and testing the effects of novel
neurorestorative treatments for early-stage PD.Acknowledgements
This work was supported by the Finnish Academy of Science and Letters.References
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