[en] Sepsis is a disease with a high and growing prevalence worldwide. Most studies on sepsis up to date have been focused on reduction of short-term mortality. This study investigates cognitive and neuroanatomical long-term consequences of sepsis in a rat model. Sepsis was induced in male Wistar rats weighing 250-300 g by an i.p. injection of bacterial lipopolysaccharide (LPS, 10 mg/kg). Three months after complete recovery from sepsis, animals showed memory deficits in the radial maze and changes in open field exploratory patterns but unaffected inhibitory avoidance learning. Behavioral findings were matched by sepsis-induced loss of neurons in the hippocampus and the prefrontal cortex on serial sections after NeuN-staining and reduced cholinergic innervation in the parietal cortex measured by immunoradiography of vesicular acetylcholine transporter (VAChT). Together these results suggest that sepsis can induce persistent behavioral and neuroanatomical changes and warrant studies of the neurological long-term consequences of sepsis in humans.
Disciplines :
Neurology
Author, co-author :
Semmler, Alexander; Department of Neurology, Sigmund-Freud-Strasse 25, University Hospital Bonn, 53105 Bonn, Germany. alexander.semmler@ukb.uni-bonn.de
Frisch, Christian; University Bonn, Department of Epileptology, Bonn, Germany
Debeir, Thomas; INSERM U679, Neurology and Experimental Therapeutics, Hôpital de la Salpêtrière, Paris, France
Ramanathan, Mutiah; University Hospital Bonn, Department of Neurology, 53105 Bonn, Germany
Okulla, Thorsten; University Hospital Bonn, Department of Neurology, 53105 Bonn, Germany
Klockgether, Thomas; University Hospital Bonn, Department of Neurology, 53105 Bonn, Germany
HENEKA, Michael ; University Münster, Department of Neurology, Münster, Germany
External co-authors :
yes
Language :
English
Title :
Long-term cognitive impairment, neuronal loss and reduced cortical cholinergic innervation after recovery from sepsis in a rodent model.
Angus D.C., Linde-Zwirble W.T., Lidicker J., Clermont G., Carcillo J., and Pinsky M.R. Epidemiology of severe sepsis in the United States: analysis of incidence, outcome, and associated costs of care. Crit. Care Med. 29 (2001) 1303-1310
Arvidsson U., Riedl M., Elde R., and Meister B. Vesicular acetylcholine transporter (VAChT) protein: a novel and unique marker for cholinergic neurons in the central and peripheral nervous systems. J. Comp. Neurol. 378 (1997) 454-467
Barichello T., Martins M.R., Reinke A., Feier G., Ritter C., Quevedo J., and Dal Pizzol F. Cognitive impairment in sepsis survivors from cecal ligation and perforation. Crit. Care Med. 33 (2005) 221-223
Barichello T., Martins M.R., Reinke A., Feier G., Ritter C., Quevedo J., and Dal Pizzol F. Long-term cognitive impairment in sepsis survivors. Crit. Care Med. 33 (2005) 1671
Barichello T., Fortunato J.J., Vitali A.M., Feier G., Reinke A., Moreira J.C., Quevedo J., and Dal Pizzol F. Oxidative variables in the rat brain after sepsis induced by cecal ligation and perforation. Crit. Care Med. 34 (2006) 886-889
Buras J.A., Holzmann B., and Sitkovsky M. Animal models of sepsis: setting the stage. Nat. Rev., Drug Discov. 4 (2005) 854-865
Chao C.C., Hu S., and Peterson P.K. Glia, cytokines, and neurotoxicity. Crit. Rev. Neurobiol. 9 (1995) 189-205
Ching S., Zhang H., Lai W., and Quan N. Peripheral injection of lipopolysaccharide prevents brain recruitment of leukocytes induced by central injection of interleukin-1. Neuroscience 137 (2006) 717-726
Debeir T., Saragovi H.U., and Cuello A.C. A nerve growth factor mimetic TrkA antagonist causes withdrawal of cortical cholinergic boutons in the adult rat. Proc. Natl. Acad. Sci. U. S. A. 96 (1999) 4067-4072
Dixon C.E., Kochanek P.M., Yan H.Q., Schiding J.K., Griffith R.G., Baum E., Marion D.W., and DeKosky S.T. One-year study of spatial memory performance, brain morphology, and cholinergic markers after moderate controlled cortical impact in rats. J. Neurotrauma 16 (1999) 109-122
Eckenstein F.P., Baughman R.W., and Quinn J. An anatomical study of cholinergic innervation in rat cerebral cortex. Neuroscience 25 (1988) 457-474
Gage F.H., Bjorklund A., and Stenevi U. Reinnervation of the partially deafferented hippocampus by compensatory collateral sprouting from spared cholinergic and noradrenergic afferents. Brain Res. 268 (1983) 27-37
Gilmor M.L., Nash N.R., Roghani A., Edwards R.H., Yi H., Hersch S.M., and Levey A.I. Expression of the putative vesicular acetylcholine transporter in rat brain and localization in cholinergic synaptic vesicles. J. Neurosci. 16 (1996) 2179-2190
Granja C., Dias C., Costa-Pereira A., and Sarmento A. Quality of life of survivors from severe sepsis and septic shock may be similar to that of others who survive critical illness. Crit. Care 8 (2004) R91-R98
Hauss-Wegrzyniak B., Vraniak P.D., and Wenk G.L. LPS-induced neuroinflammatory effects do not recover with time. NeuroReport 11 (2000) 1759-1763
Heidbreder C.A., and Groenewegen H.J. The medial prefrontal cortex in the rat: evidence for a dorso-ventral distinction based upon functional and anatomical characteristics. Neurosci. Biobehav. Rev. 27 (2003) 555-579
Heyland D.K., Hopman W., Coo H., Tranmer J., and McColl M.A. Long-term health-related quality of life in survivors of sepsis. Short Form 36: a valid and reliable measure of health-related quality of life. Crit. Care Med. 28 (2000) 3599-3605
Hu S., Peterson P.K., and Chao C.C. Cytokine-mediated neuronal apoptosis. Neurochem. Int. 30 (1997) 427-431
Jarrard L.E. What does the hippocampus really do?. Behav. Brain Res. 71 (1995) 1-10
Kolb B., and Walkey J. Behavioural and anatomical studies of the posterior parietal cortex in the rat. Behav. Brain Res. 23 (1987) 127-145
Liu B., Gao H.M., Wang J.Y., Jeohn G.H., Cooper C.L., and Hong J.S. Role of nitric oxide in inflammation-mediated neurodegeneration. Ann. N. Y. Acad. Sci. 962 (2002) 318-331
Luhmann H.J., Huston J.P., and Hasenohrl R.U. Contralateral increase in thigmotactic scanning following unilateral barrel-cortex lesion in mice. Behav. Brain Res. 157 (2005) 39-43
Mello E.S., Vianna M.R., Rodrigues C., Quevedo J., Moleta B.A., and Izquierdo I. Involvement of the medial precentral prefrontal cortex in memory consolidation for inhibitory avoidance learning in rats. Pharmacol. Biochem. Behav. 66 (2000) 615-622
Messaris E., Memos N., Chatzigianni E., Konstadoulakis M.M., Menenakos E., Katsaragakis S., Voumvourakis C., and Androulakis G. Time-dependent mitochondrial-mediated programmed neuronal cell death prolongs survival in sepsis. Crit. Care Med. 32 (2004) 1764-1770
Mesulam M.M., Mufson E.J., Wainer B.H., and Levey A.I. Central cholinergic pathways in the rat: an overview based on an alternative nomenclature (Ch1-Ch6). Neuroscience 10 (1983) 1185-1201
Mesulam M., Shaw P., Mash D., and Weintraub S. Cholinergic nucleus basalis tauopathy emerges early in the aging-MCI-AD continuum. Ann. Neurol. 55 (2004) 815-828
Mogensen J., Moustgaard A., Khan U., Wortwein G., and Nielsen K.S. Egocentric spatial orientation in a water maze by rats subjected to transection of the fimbria-fornix and/or ablation of the prefrontal cortex. Brain Res. Bull. 65 (2005) 41-58
Nelson C.L., Sarter M., and Bruno J.P. Prefrontal cortical modulation of acetylcholine release in posterior parietal cortex. Neuroscience 132 (2005) 347-359
Paxinos G., Watson C., Pennisi M., and Topple A. Bregma, lambda and the interaural midpoint in stereotaxic surgery with rats of different sex, strain and weight. J. Neurosci. Methods 13 (1985) 139-143
Perl T.M., Dvorak L., Hwang T., and Wenzel R.P. Long-term survival and function after suspected gram-negative sepsis. JAMA 274 (1995) 338-345
Perry E., Walker M., Grace J., and Perry R. Acetylcholine in mind: a neurotransmitter correlate of consciousness?. Trends Neurosci. 22 (1999) 273-280
Pine R.W., Wertz M.J., Lennard E.S., Dellinger E.P., Carrico C.J., and Minshew B.H. Determinants of organ malfunction or death in patients with intra-abdominal sepsis. A discriminant analysis. Arch. Surg. 118 (1983) 242-249
Reimann-Philipp U., Ovase R., Weigel P.H., and Grammas P. Mechanisms of cell death in primary cortical neurons and PC12 cells. J. Neurosci. Res. 64 (2001) 654-660
Ricceri L., Minghetti L., Moles A., Popoli P., Confaloni A., De Simone R., Piscopo P., Scattoni M.L., di Luca M., and Calamandrei G. Cognitive and neurological deficits induced by early and prolonged basal forebrain cholinergic hypofunction in rats. Exp. Neurol. 189 (2004) 162-172
Ringman J.M., and Cummings J.L. Current and emerging pharmacological treatment options for dementia. Behav. Neurol. 17 (2006) 5-16
Save E., and Poucet B. Hippocampal-parietal cortical interactions in spatial cognition. Hippocampus 10 (2000) 491-499
Schmitz C., and Hof P.R. Design-based stereology in neuroscience. Neuroscience 130 (2005) 813-831
Semmler A., Okulla T., Sastre M., Dumitrescu-Ozimek L., and Heneka M.T. Systemic inflammation induces apoptosis with variable vulnerability of different brain regions. J. Chem. Neuroanat. 30 (2005) 144-157
Sharshar T., Annane D., de la Grandmaison G.L., Brouland J.P., Hopkinson N.S., and Francoise G. The neuropathology of septic shock. Brain Pathol. 14 (2004) 21-33
Shulz D.E., Ego-Stengel V., and Ahissar E. Acetylcholine-dependent potentiation of temporal frequency representation in the barrel cortex does not depend on response magnitude during conditioning. J. Physiol. Paris 97 (2003) 431-439
Sprung C.L., Peduzzi P.N., Shatney C.H., Schein R.M., Wilson M.F., Sheagren J.N., and Hinshaw L.B. Impact of encephalopathy on mortality in the sepsis syndrome. The Veterans Administration Systemic Sepsis Cooperative Study Group. Crit. Care Med. 18 (1990) 801-806
Squire L.R., and Zola-Morgan S. The medial temporal lobe memory system. Science 253 (1991) 1380-1386
Stork O., Welzl H., Wolfer D., Schuster T., Mantei N., Stork S., Hoyer D., Lipp H., Obata K., and Schachner M. Recovery of emotional behaviour in neural cell adhesion molecule (NCAM) null mutant mice through transgenic expression of NCAM180. Eur. J. Neurosci. 12 (2000) 3291-3306
Willard L.B., Hauss-Wegrzyniak B., and Wenk G.L. Pathological and biochemical consequences of acute and chronic neuroinflammation within the basal forebrain cholinergic system of rats. Neuroscience 88 (1999) 193-200
Young G.B., Bolton C.F., Austin T.W., Archibald Y.M., Gonder J., and Wells G.A. The encephalopathy associated with septic illness. Clin. Invest. Med. 13 (1990) 297-304
Zhao X., Bausano B., Pike B.R., Newcomb-Fernandez J.K., Wang K.K., Shohami E., Ringger N.C., DeFord S.M., Anderson D.K., and Hayes R.L. TNF-alpha stimulates caspase-3 activation and apoptotic cell death in primary septo-hippocampal cultures. J. Neurosci. Res. 64 (2001) 121-131