[1] 14w Prolonged Nicotine Administration Results in Biphasic, Brain-Specific Changes in Kynurenate Levels in the Rat

[1] 273w The content of the endogenous NMDA and a7 nicotinic acetylcholine receptor antagonist kynurenate (KYNA) is increased in the cerebral cortex and cerebrospinal fluid of patients with schizophrenia. In view of the very high incidence of smoking in schizophrenic individuals, a study was designed to examine the effect of acute and prolonged nicotine administration on brain KYNA levels in experimental animals. Adult male rats received subcutaneous nicotine injections twice daily for up to 10 days, and animals were routinely killed 1 h after the last injection. Neither acute treatment nor a 2-day regimen with 1 mg/kg nicotine ( ¼ 0.35 mg/kg pure base) caused changes in cerebral KYNA levels. Four-or 6 day-treatment with this dose resulted in 20-40% decreases in cerebral KYNA content. Animals treated with 1 or 10 mg/kg nicotine for 10 days showed dose-dependent, significant increases in KYNA in hippocampus, striatum, and cortex, but not in the serum. Discontinuation of nicotine treatment for 7 days restored brain KYNA to control levels. Separate animals, implanted with osmotic minipumps delivering 2 mg/kg of nicotine/day for 10 days also showed significant elevations in brain KYNA. Hippocampal microdialysis, performed in animals receiving nicotine (1 mg/kg) for 10 days, revealed a significant increase in basal extracellular KYNA levels compared to controls, whereas acute treatment with this dose produced no such change. Measurements of KYNA's bioprecursor kynurenine in brain or blood did not reveal any nicotine-induced changes. These results indicate that nicotine has a brain-specific, biphasic effect on the transamination of kynurenine to KYNA. Such nicotine-induced fluctuations in brain KYNA may cause functional changes in processes that regulate glutamatergic and cholinergic neurotransmission in the normal and diseased brain.

[1] 309w Several lines of evidence suggest a role of nicotinic acetylcholine receptors (nAChRs) in the pathophysiology of schizophrenia (Adler et al, 1998;Guan et al, 1999;Breese et al, 2000;Leonard et al, 2000). This connection was initially proposed because of the high incidence of heavy smoking in schizophrenic individuals (Hughes et al, 1986;Lohr and Flynn, 1992). It was found later that nicotine can normalize auditory gating and visual attention deficits, which are prominent pathological features of schizophrenia (Adler et al, 1993;Sherr et al, 2002). This could conceivably be mediated by the a7 subtype of the nAChR, which is known to be critically involved in cognitive functions (Levin and Simon, 1998). An intuitively attractive inference of these studies is, therefore, that patients smoke heavily in an attempt to self-medicate, that is to correct various sensory abnormalities that are associated with the disease (Sandyk and Kay, 1991;Adler et al, 1993;Olincy et al, 1998). In line with this reasoning, auditory gating in animals can be specifically disrupted by selective antagonists of the a7 nAChR (Luntz-Leybman et al, 1992;Stevens et al, 1996Stevens et al, , 1998)). Conversely, a7 nAChR stimulation normalizes the auditory gating deficit that is observed in rats that have been reared in social isolation (O'Neill et al, 2003). These considerations have stimulated the development of a7 nAChR agonists such as ARR-17779 (Mullen et al, 2000), which interact directly with the binding site for acetylcholine, or of drugs such as galantamine (Reminyl s ), which increase nAChR activity by interacting with a site close to, but distinct from, the acetylcholine-binding site (Pereira et al, 1994(Pereira et al, , 2002;;Samochocki et al, 2003). It is also noteworthy that one measure of sensory gating abnormalities, diminished inhibition of the P50 evoked response to repeated auditory stimuli, has been linked to the chromosome 15q14 locus of the a7 nAChR gene (Freedman et al, 1997;Riley et al, 2000).

[2] 114w Compared to control subjects with similar smoking habits, a7 nAChR density is reduced in the cerebral cortex and hippocampus of individuals with schizophrenia (Freedman et al, 1995;Adler et al, 1998;Leonard et al, 2000;Guan et al, 1999). Therefore, since cerebral a7 nAChRs are normally upregulated in heavy smokers (Benwell et al, 1988;Breese et al, 2000) and after chronic nicotine administration in animals (Olale et al, 1997;Sparks and Pauly, 1999), a7 nAChRs in patients appear to have an abnormally blunted reaction to excessive smoking. This could be due to a dysfunction in any of several distinct endogenous mechanisms, which normally control a7 nAChR expression and activity in the brain (Albuquerque et al, 1997;Pereira et al, 2002).

[3] 214w In a first attempt to investigate the possible role of one of these mechanisms, we examined the effect of nicotine on kynurenic acid (KYNA), a tryptophan metabolite that is present in the mammalian brain in nanomolar concentrations (Moroni et al, 1988;Turski et al, 1988). KYNA, long known as an antagonist of the glycine coagonist site of the NMDA receptor (Kessler et al, 1989), blocks a7 nAChR activity at even lower, endogenous brain concentrations (Hilmas et al, 2001), and reductions in brain KYNA levels were recently found to increase a7 nAChR function (Alkondon et al, 2004). It is therefore conceivable that nicotine-induced fluctuations in brain KYNA levels influence the activity of a7 nAChRs (Hilmas et al, 2001). This concept, and the recent demonstration that KYNA levels are elevated in cortical brain regions and cerebrospinal fluid of schizophrenic patients (Erhardt et al, 2001a;Schwarcz et al, 2001) and that elevations in brain KYNA disrupt auditory sensory gating (Shepard et al, 2003), prompted us to examine the consequences of acute and prolonged nicotine administration on the disposition of KYNA and its bioprecursor kynurenine in rats. Our data, some of which have been communicated in a preliminary fashion (Hilmas et al, 2001), revealed that nicotine causes biphasic, brainspecific changes in KYNA levels without affecting the brain concentrations of kynurenine.

[1] 85w To determine the acute effects of nicotine on cerebral KYNA levels, animals received a single injection of nicotine (1 mg/ kg ( ¼ 0.35 mg/kg free base)). Examined after 1 or 2 h, this treatment did not cause significant changes in forebrain tissue KYNA (in fmol/mg protein: control, 163.5717.3; 1 h, 164.1728.6; 2 h, 166.2733.0; n ¼ 5 per group). Measurement of extracellular KYNA concentrations in hippocampal dialysates, too, revealed no acute effect of nicotine (1 mg/kg) for up to 5 h (n ¼ 5).

[2] 66w A 10-day treatment with nicotine caused dose-dependent increases in tissue KYNA levels in hippocampus, striatum, and frontal cortex. Whereas 0.1 mg/kg of nicotine was ineffective, 1 mg/kg of nicotine resulted in a 34-45% increase, and 10 mg/kg of nicotine caused an 82-107% increase in KYNA content in the three brain areas (Figure 1). These differences were found to be statistically significant in all brain regions sampled.

[3] 62w The tissue content of KYNA's bioprecursor kynurenine, too, was determined in the brains of animals receiving PBS or 1 mg/kg nicotine for 10 days (n ¼ 5 per group). The levels of kynurenine (in pmol/mg protein) in nicotine-treated rats (hippocampus, 2478; striatum, 2373; frontal cortex, 2076) were not significantly different from those in PBStreated rats (hippocampus, 2073; striatum, 2275; frontal cortex, 2476).

[4] 103w The time course of nicotine-induced changes in tissue KYNA content was examined in separate animals (Figure 2). After repeated administration of nicotine (1 mg/kg) for 2, 4, 6, 8, or 10 days, KYNA levels in hippocampus, striatum, and frontal cortex underwent biphasic changes over time. Repeated injections for 4 or 6 days resulted in 14-35% reductions in KYNA levels, which reached statistical significance in hippocampus and striatum. In contrast, a 10-day treatment with nicotine caused an approximately 40% increases in KYNA levels in all three brain areas (cf Figure 1). Treatment for 2 or 8 days had no significant effect on endogenous KYNA.

[1] 106w The present study demonstrated that prolonged, but not acute, nicotine administration causes significant changes in KYNA levels in the rat brain. In agreement with an earlier, preliminary experiment (Hilmas et al, 2001), these nicotineinduced changes were biphasic in nature, that is an initial 0 1 2 3 4 5 6 7 8 9 0 20 40 60 80 100 120 140 PBS Nicotine * * * * * * * * * * * * * * * * Hours KYNA (fmol/30 µl) Figure 3 Effect of repeated nicotine (1 mg/kg, s.c., b.i.d. for 10 days) or PBS administration on extracellular KYNA levels in the hippocampus.

[2] 140w Experiments were conducted as described in the text. Data are the mean7SEM of five animals per group. Nicotine treatment significantly elevated baseline extracellular KYNA concentrations (po0.05 vs PBSinjected animals; repeated measures ANOVA followed by Bonferroni's post hoc test for multiple comparisons). No changes in extracellular KYNA were seen after an additional acute injection of nicotine (1 mg/kg, s.c.) in these animals (arrow; p40.05 vs the respective baseline; repeated measures ANOVA followed by Bonferroni's post hoc test for multiple comparisons). significant reduction in KYNA was observed after 4 or 6 days of repeated injections, whereas a significant increase in KYNA was seen when nicotine was given for 10 days. These nicotine-induced fluctuations were not brain region-specific since similar effects were observed in the hippocampus, striatum, and frontal cortex. However, they were not accompanied by changes in the serum levels of KYNA.

[3] 88w The increases in brain tissue KYNA levels observed after 10 days of nicotine treatment were reversible, dose-dependent and, as documented by hippocampal microdialysis, associated with quantitatively similar elevations in the extracellular compartment. These results also resembled the increases in brain KYNA levels that were seen when the drug was injected s.c. twice daily (mimicking smoking) or administered by chronic infusion (mimicking a nicotine patch) for 10 days. Finally, nicotine treatment was found to have no effect on the concentration of KYNA's immediate bioprecursor, kynurenine, in brain or serum.

[4] 155w KYNA is a product of the kynurenine pathway of tryptophan degradation. In the mammalian brain, KYNA is formed through irreversible transamination of kynurenine by kynurenine aminotransferases (Guidetti et al, 1997). These enzymatic processes take place predominantly in astrocytes (Ceresoli-Borroni et al, 1999a;Guillemin et al, 2001;Kiss et al, 2003), which then readily liberate newly synthesized KYNA into the extracellular space for possible receptor interactions (Turski et al, 1989). Notably, KYNA production is controlled by several distinct factors and mechanisms. Some, such as kynurenine, competing aminoacid substrates, and 2-oxoacids, operate both in the periphery and in the brain. Others, for example the decrease in KYNA formation effected by reduced cellular energy metabolism or by depolarizing agents such as potassium or veratridine, are brain-specific (Gramsbergen et al, 1997). It remains to be seen if and to what extent astrocytic a7 nACh (Sharma and Vijayaraghavan, 2001) or NMDA (Krebs et al, 2003) receptors can directly influence cerebral KYNA formation.

[5] 141w KYNA formation can also be reduced by dopaminergic compounds such as amphetamine (Rassoulpour et al, 1998), L-DOPA (Wu et al, 2002), or selective dopamine receptor agonists (Poeggeler et al, 1998). These effects, too, are brain-specific and therefore qualitatively similar to the effect of prolonged nicotine administration described here. In fact, it is possible that dopaminergic mechanisms participate in the biphasic effects of nicotine on brain KYNA reported in the present study. Thus, nAChRs show both desensitization (Marks et al, 1983;Castro and Albuquerque, 1995) and subsequent supersensitivity (Schwartz andKellar, 1983, 1985;Wonnacott et al, 1990) in response to repeated or chronic nicotine treatment, and these adaptive changes may influence the nAChRs-mediated regulation of extracellular dopamine (Harsing et al, 1992;Marshall et al, 1997). In other words, nicotine could cause biphasic changes in brain KYNA formation indirectly by controlling dopamine release linked to nAChR activation.

[6] 90w Alternatively or in addition, the effects of prolonged nicotine administration on brain KYNA levels may involve glutamatergic mechanisms. Thus, activation of presynaptic a7 nACh receptors is associated with enhanced glutamatergic transmission (Alkondon et al, 1996;Gray et al, 1996). Chronic nicotine treatment results in changes in astrocytic glutamate transporters (Lim and Kim, 2001) and causes the functional upregulation of ionotropic glutamate receptors (Risso et al, 2004). These phenomena result in abnormal glutamatergic activity in response to prolonged nicotine treatment and could, in turn, compromise cerebral KYNA formation (Wu et al, 1992).

[7] 84w In neurobiological research, high concentrations of KYNA (X1 mM) are frequently used as a tool to block all ionotropic glutamate receptors (Perkins and Stone, 1982). Consequently, intracerebral application of large amounts of KYNA has long been known to exert neuroprotective and anticonvulsant effects in experimental animals (Foster et al, 1984). At much lower concentrations, KYNA inhibits the strychnine-insensitive glycine coagonist site of the NMDA receptor (IC 50 : 8mM; Kessler et al, 1989), and recent evidence favors a physiological action of KYNA as an

[8] 200w Hippocampus Striatum Frontal Cortex 0 50 100 150 200 250 300 PBS Nicotine Discont. + PBS Discont. + Nicotine * * * # # # # # # KYNA (fmol/mg protein) Figure 5 Effect of discontinuation of prolonged nicotine treatment. Two groups of animals received either PBS or nicotine (1 mg/kg, s.c., b.i.d.) for 10 days (n ¼ 5 per group). Two other groups received nicotine (1 mg/kg, s.c., b.i.d.) for 10 days. Nicotine administration was then discontinued. After 7 days, the animals received a single s.c. injection of either PBS ('Discont. þ PBS'; n ¼ 5) or nicotine (1 mg/kg; 'Discont. þ nicotine'; n ¼ 5) and were killed 1 h later. *po0.05 vs PBS; # po0.05 vs nicotine (repeated measures ANOVA followed by Bonferroni's post hoc test for multiple comparisons). No changes were seen between 'Discont. þ PBS' and 'Discont. þ nicotine' animals (p40.05; repeated measures ANOVA followed by Bonferroni's post hoc test for multiple comparisons). , b.i.d.), and the blood was processed as described in the text. Data are the mean7SEM (n ¼ 5 per group). No significant differences between PBS-and nicotine-treated rats were found (repeated measures ANOVA followed by Bonferroni's post hoc test for multiple comparisons).

[9] 91w allosteric, noncompetitive antagonist of the a7 nAChR (Hilmas et al, 2001;Alkondon et al, 2004). Endogenous KYNA may therefore affect neuronal excitability and vulnerability by directly or indirectly interfering with both cholinergic and glutamatergic neurotransmission (Harris et al, 1998;Poeggeler et al, 1998;Cozzi et al, 1999;Wu et al, 2000;Pereira et al, 2002;Schwarcz and Pellicciari, 2002;Sapko et al, 2003). Further, the changes in cerebral KYNA levels observed after prolonged nicotine administration may account for the ability of nicotine to influence neuronal viability in vivo (Akaike et al, 1994;Marin et al, 1994;O'Neill et al, 1998).

[10] 215w The present findings are also relevant for the pathophysiology of schizophrenia since both glutamate receptor and a7 nAChR dysfunction have been implicated in the disease process (Carlsson and Carlsson, 1990;Freedman et al, 1995;Tamminga, 1998;Leonard et al, 2000;Schilstr + om et al, 2000;Coyle and Tsai, 2004). Thus, the elevated levels of KYNA measured in the brain and cerebrospinal fluid (Erhardt et al, 2001a;Schwarcz et al, 2001) may contribute to the presumed hypoglutamatergic and hypocholinergic tone in schizophrenic individuals. Since brain KYNA levels are decreased 4 and 6 days after repeated nicotine administration, excessive smoking in the schizophrenic population could constitute an attempt to self-medicate (cf Introduction). Indeed, a reduction in brain KYNA enhances nicotinic and glutamatergic transmission (Alkondon et al, 2004) and could thus normalize gating (Adler et al, 1993) and eye-tracking (Olincy et al, 1998;Avila et al, 2003), deficit, and improve cognitive function (Mori and Mishina, 2003). However, the present data suggest that more prolonged exposure to nicotine may have the opposite, detrimental effects on sensory and cognitive modalities since brain KYNA levels are elevated (cf Shepard et al, 2003). In fact, even relatively modest increases in brain KYNA are known to significantly influence the electrophysiological properties of monoaminergic neurons (Erhardt et al, 2000(Erhardt et al, , 2001b(Erhardt et al, , 2002;;Schwieler and Erhardt, 2003).

[11] 186w The results described here raise several interesting issues for future research. For example, further studies will be required to elucidate the molecular and cellular mechanisms that underlie the biphasic effects of extended nicotine administration on cerebral KYNA formation and the reversal of brain KYNA to normal levels upon treatment cessation. In addition, the functional consequences of fluctuations in cerebral KYNA levels in response to prolonged exposure to nicotine, especially the effects on cholinergic and glutamatergic neurotransmission, need to be explored in detail. It will be especially important to evaluate whether concurrent treatment with antipsychotic drugs influences nicotine-induced changes in brain KYNA. Thus, neuroleptics are known to have reciprocal interactions with nicotine (Jann et al, 1986;Miller et al, 1990;Lee et al, 2001), affect smoking behavior (George et al, 1995) and, when administered chronically, reduce brain KYNA levels in rats (Ceresoli-Borroni et al, 1999b; cf also Schwieler and Erhardt, 2003). Evidence for interactions between prolonged nicotine and neuroleptic treatments in determining brain KYNA formation would further support the suggestion (Court et al, 1998) that smoking history be carefully assessed and considered in future biochemical studies in schizophrenic individuals.

[12] 86w In summary, the present results demonstrate that prolonged nicotine administration in rats has a brainspecific, biphasic and reversible effect on KYNA levels. Nicotine-induced fluctuations in brain KYNA may cause changes in glutamatergic and cholinergic neurotransmission and may play a role in the beneficial effects of nicotine in patients suffering from schizophrenia or other brain diseases. By inference, our study suggests possible clinical benefits from direct pharmacological manipulations of cerebral KYNA levels, which can be achieved by targeting enzymes of the kynurenine pathway (Schwarcz and Pellicciari, 2002).

[1] 25w KYNA, L-kynurenine, and nicotine (bitartrate salt) were purchased from Sigma Chemical Co. (St Louis, MO). All other chemicals were of the highest commercially available purity.

[2] 61w Adult male Sprague-Dawley rats (200-220 g) were purchased from Charles River Laboratories (Kingston, NY). The animals were housed in an AAALAC-approved animal facility under standard laboratory conditions, tht is, a 12/ 12 h light/dark cycle with free access to food and water. The experimental protocol was approved by the Institutional Animal Care and Use Committee of the University of Maryland, Baltimore.

[3] 68w Nicotine was dissolved in phosphate-buffered saline (PBS; pH 7.4) and administered either subcutaneously (s.c.) twice daily (every 12 h) or via osmotic minipumps (Alzet, Alza Corp., Palo Alto, CA; delivering 2 mg/kg of nicotine/day). Control animals received appropriate vehicle treatments. Animals treated s.c. were killed 1 h after the final injection, and animals treated with osmotic minipumps were killed on the morning of the final day of treatment.

[4] 190w Microdialysis was performed as reported previously (Wu et al, 1992). Briefly, the animals were anesthetized with chloral hydrate (360 mg/kg, i.p.) and mounted in a David Kopf stereotaxic frame. A guide cannula (outer diameter: 0.65 mm) was positioned on top of the hippocampus (AP: 3.4 mm posterior to bregma, L: 2.3 mm from the midline, V: 1.5 mm below the dura) and secured to the skull with anchor screws and acrylic dental cement. At least 20 h after surgery, a microdialysis probe (CMA/10, membrane length: 2 mm, Carnegie Medicin, Stockholm, Sweden) was inserted through the guide cannula, extending throughout the hippocampus. The probe was connected to a microperfusion pump (CMA/100, Carnegie Medicin) set to a speed of 1 ml/min and perfused with Ringer solution containing (in mM): NaCl, 144; KCl, 4.8; MgSO 4 , 1.2; CaCl 2 , 1.7; pH 6.7. In acute experiments, dialysate was collected every 30 min for a total of 7 h. In experiments where nicotine was administered for 10 days, animals received an additional injection of nicotine (1 mg/kg) 2 h after the collection of baseline samples, and microdialysis continued for an additional 7 h.

[5] 19w Protein was determined in aliquots of the original tissue homogenate according to the method of Lowry et al (1951).

[6] 41w Microdialysis data were not corrected for recovery from the probe (B20%; Wu et al, 1992). For all experiments, a repeated-measures analysis of variance (ANOVA) with appropriate post hoc analysis was used. A p-value of o0.05 was considered significant in all analyses.

[1] 162w Animals were killed by decapitation, and trunk blood was collected when indicated. The brain was removed, and hippocampus, striatum, and frontal cortex were rapidly dissected out, placed on dry ice and stored at À801C. On the day of the assay, the tissue was thawed and homogenized (1 : 10, w/v) in ultrapure water. A 300 ml aliquot of the homogenate was acidified with 75 ml of 6% perchloric acid. After centrifugation (10 min, 12 000g), an aliquot of the supernatant was diluted (1 : 1, v/v) with HPLC mobile phase (200 mM zinc acetate containing 3.5% acetonitrile, pH 6.2). A 200 ml aliquot of the sample was applied to a C 18 reversephase HPLC column (150 Â 4.6 mm; Alltech Associates, Deerfield, IL, USA; flow rate: 1.0 ml/min), and KYNA was eluted isocratically with a retention time of approximately 5 min. KYNA was detected fluorimetrically using a Perkin-Elmer LC 240 Fluorescence Detector (Beaconsfield, UK; excitation wavelength: 344 nm; emission wavelength: 398 nm).

[2] 24w To determine extracellular hippocampal KYNA levels, 30 ml microdialysate fractions were directly applied to the HPLC column, and KYNA was measured as described above.

[3] 51w For the measurement of kynurenine, 200 ml of the diluted acidic supernatant used for KYNA determination were applied to the same HPLC system described above. Kynurenine was eluted with a retention time of approximately 4 min and detected by UV spectroscopy at 365 nm (Beckman 160 Absorbance detector, Fullerton, CA, USA).

[4] 71w To determine serum levels of kynurenine and KYNA, trunk blood was immediately centrifuged (10 min, 12 000g). The supernatant plasma was diluted (1 : 5, v/v) with ultrapure water and acidified with 75 ml of 6% perchloric acid. After centrifugation (5 min, 12 000g), an aliquot of the serum was further diluted (1 : 1, v/v) with HPLC mobile phase, and 200 ml were subjected to HPLC analysis as described above.

[5] 11w All chromatographic data were recorded using a Hewlett-Packard 3390 A integrator.

[6] 86w To examine if changes in tissue levels are paralleled by changes in extracellular KYNA, hippocampal microdialysis was performed in rats treated with nicotine (1 mg/kg) for 10 days (Figure 3). The basal levels of KYNA in the nicotinetreated animals (3.670.4 nM) were significantly higher than in PBS-treated controls (2.470.5 nM). An additional acute injection of 1 mg/kg nicotine after the fourth sample collection, that is after 2 h of baseline determination, did not cause a significant change in extracellular KYNA levels in either nicotine-or PBS-treated rats.

[7] 41w Administration of nicotine (2 mg/kg ( ¼ 0.7 mg/kg free base) per day) via osmotic minipumps for 10 days resulted in a significant, approximately 70%, increase in KYNA content in hippocampus, striatum, and frontal cortex, compared to PBS-treated controls (Figure 4).

[8] 33w To determine the reversibility of the nicotine effect, repeated treatment with nicotine (1 mg/kg) was stopped after 10 days, and KYNA levels were determined in hippocampus, striatum, and frontal cortex 7 days later.

[9] 54w Compared to animals tested immediately after 10 days of repeated nicotine treatment, brain KYNA in these rats was significantly reduced and had in fact returned to control levels (Figure 5). In separate animals, an additional single challenge with nicotine (1 mg/kg) 7 days after nicotine discontinuation failed to affect brain KYNA levels (Figure 5).

[10] 42w Serum levels of kynurenine and KYNA were measured in animals that received repeated injections of nicotine (1 mg/ kg) for 2, 4, 6, 8, or 10 days. None of these treatment regimens caused changes in the levels of either metabolite (Table 1).