Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-22T23:30:05.141Z Has data issue: false hasContentIssue false

Anti-HIV drugs promote β-amyloid deposition and impair learning and memory in BALB/c mice

Published online by Cambridge University Press:  07 May 2020

S.S. Zulu*
Affiliation:
School of Laboratory Medicine and Medical Sciences, College of Health Sciences, University of KwaZulu-Natal, Westville Campus, Durban, South Africa
O. Abboussi
Affiliation:
Division of Neuroscience, School of Medicine, Ninewells Hospital, University of Dundee, Dundee, UK
N. Simola
Affiliation:
Department of Biomedical Sciences, University of Cagliari, Cagliari, Italy
M.V. Mabandla
Affiliation:
School of Laboratory Medicine and Medical Sciences, College of Health Sciences, University of KwaZulu-Natal, Westville Campus, Durban, South Africa
W.M.U. Daniels
Affiliation:
School of Physiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
*
Author for correspondence: S.S. Zulu, Emails: [email protected] or [email protected]

Abstract

Objectives:

Growing evidence suggested that antiretroviral (ARV) drugs may promote amyloid beta (Aβ) accumulation in HIV-1-infected brain and the persistence of HIV-associated neurocognitive disorders (HANDs). It has also been shown that lipid peroxidation upregulates β-site amyloid precursor protein (APP) cleaving enzyme 1 (BACE1) expression and subsequently promotes Aβ peptide production. In the present study, we examined whether chronic exposure to the anti-HIV drugs tenofovir disoproxil fumarate (TDF) and nevirapine induces lipid peroxidation thereby promoting BACE1 and Aβ generation and consequently impair cognitive function in mice.

Methods:

TDF or nevirapine was orally administered to female BALB/c mice once a day for 8 weeks. On the 7th week of treatment, spatial learning and memory were assessed using the Morris water maze test. The levels of lipid peroxidation, BACE1, amyloid β 1-42 (Aβ1-42) and Aβ deposits were measured in the hippocampal tissue upon completion of treatment.

Results:

Chronic administration of nevirapine induced spatial learning and memory impairment in the Morris water maze test, whereas TDF did not have an effect. TDF and nevirapine administration increased hippocampal lipid peroxidation and Aβ1-42 concentration. Nevirapine further upregulated BACE1 expression and Aβ deposits.

Conclusion:

Our results suggest that chronic exposure to TDF and nevirapine contributes to hippocampal lipid peroxidation and Aβ accumulation, respectively, as well as spatial learning and memory deficits in mice even in the absence of HIV infection. These findings further support a possible link between ARV drug toxicity, Aβ accumulation and the persistence of HANDs.

Type
Original Article
Copyright
© Scandinavian College of Neuropsychopharmacology 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Akay, C, Cooper, M, Odeleye, A, Jensen, BK, White, MG, Vassoler, F, Gannon, PJ, Mankowski, J, Dorsey, JL and Buch, AM (2014a) Antiretroviral drugs induce oxidative stress and neuronal damage in the central nervous system. Journal of Neurovirology 20, 3953.CrossRefGoogle ScholarPubMed
Akay, C, Cooper, M, Odeleye, A, Jensen, BK, White, MG, Vassoler, F, Gannon, PJ, Mankowski, J, Dorsey, JL, Buch, AM, Cross, SA, Cook, DR, Pena, MM, Andersen, ES, Christofidou-Solomidou, M, Lindl, KA, Zink, MC, Clements, J, Pierce, RC, Kolson, DL and Jordan-Sciutto, KL (2014b) Antiretroviral drugs induce oxidative stress and neuronal damage in the central nervous system. Journal of Neurovirology 20, 3953.CrossRefGoogle ScholarPubMed
Allavena, C, Le Moal, G, Michau, C, Chiffoleau, A and Raffi, F (2006) Neuropsychiatric adverse events after switching from an antiretroviral regimen containing efavirenz without tenofovir to an efavirenz regimen containing tenofovir: a report of nine cases. Antiviral Therapy 11, 263265.Google Scholar
Amacher, DE (2014) Female gender as a susceptibility factor for drug-induced liver injury. Human & Experimental Toxicology 33, 928939.CrossRefGoogle ScholarPubMed
Andras, IE and Toborek, M (2013) Amyloid beta accumulation in HIV-1-infected brain: the role of the blood brain barrier. IUBMB Life 65, 4349.CrossRefGoogle ScholarPubMed
Apostolova, N, Blas-Garcia, A and Esplugues, JV (2011) Mitochondrial interference by anti-HIV drugs: mechanisms beyond Pol-gamma inhibition. Trends in Pharmacological Sciences 32, 715725.CrossRefGoogle ScholarPubMed
Apostolova, N, Gomez-Sucerquia, LJ, Moran, A, Alvarez, A, Blas-Garcia, A and Esplugues, JV (2010) Enhanced oxidative stress and increased mitochondrial mass during Efavirenz-induced apoptosis in human hepatic cells. British Journal of Pharmacology 160, 20692084.CrossRefGoogle ScholarPubMed
Arimon, M, Takeda, S, Post, KL, Svirsky, S, Hyman, BT and Berezovska, O (2015) Oxidative stress and lipid peroxidation are upstream of amyloid pathology. Neurobiology of Disease 84, 109119.CrossRefGoogle ScholarPubMed
Ayala, A, Muñoz, MF and Argüelles, S (2014) Lipid peroxidation: production, metabolism, and signaling mechanisms of malondialdehyde and 4-Hydroxy-2-Nonenal. Oxidative Medicine and Cellular Longevity 2014, 360438.CrossRefGoogle ScholarPubMed
Bienstock, RJ and Copeland, WC (2004) Molecular insights into NRTI inhibition and mitochondrial toxicity revealed from a structural model of the human mitochondrial DNA polymerase. Mitochondrion 4, 203213.CrossRefGoogle ScholarPubMed
Birkus, G, Hajek, M, Kramata, P, Votruba, I, Holy, A and Otova, B (2002) Tenofovir diphosphate is a poor substrate and a weak inhibitor of rat DNA polymerases alpha, delta, and epsilon*. Antimicrob Agents Chemother 46, 16101613.CrossRefGoogle Scholar
Boelen, E, Stassen, FR, van der Ven, AJ, Lemmens, MA, Steinbusch, HP, Bruggeman, CA, Schmitz, C and Steinbusch, HW (2007) Detection of amyloid beta aggregates in the brain of BALB/c mice after Chlamydia pneumoniae infection. Acta Neuropathologica 114, 255261.CrossRefGoogle ScholarPubMed
Brew, BJ, Pemberton, L, Blennow, K, Wallin, A and Hagberg, L (2005) CSF amyloid beta42 and tau levels correlate with AIDS dementia complex. Neurology 65, 14901492.CrossRefGoogle ScholarPubMed
Brown, LA, Jin, J, Ferrell, D, Sadic, E, Obregon, D, Smith, AJ, Tan, J and Giunta, B (2014a) Efavirenz promotes β-Secretase expression and increased Aβ 1-40, 42 via oxidative stress and reduced microglial phagocytosis: implications for HIV associated neurocognitive disorders (HAND). PLoS One 9, e95500.CrossRefGoogle Scholar
Brown, LAM., Jin, J, Ferrell, D, Sadic, E, Obregon, D, Smith, AJ., Tan, J and Giunta, B (2014b) Efavirenz promotes β-Secretase expression and increased Aβ1-40,42 via oxidative stress and reduced microglial phagocytosis: implications for HIV associated neurocognitive disorders (HAND). PLoS One 9, e95500.CrossRefGoogle Scholar
Bryant, AK, Ellis, RJ, Umlauf, A, Gouaux, B, Soontornniyomkij, V, Letendre, SL, Achim, CL, Masliah, E, Grant, I and Moore, DJ (2015) Antiretroviral therapy reduces neurodegeneration in HIV infection. AIDS 29, 323330.CrossRefGoogle ScholarPubMed
Ciccarelli, N, Fabbiani, M, di Giambenedetto, S, Fanti, I, Baldonero, E, Bracciale, L, Tamburrini, E, Cauda, R, de Luca, A and Silveri, MC (2011) Efavirenz associated with cognitive disorders in otherwise asymptomatic HIV-infected patients. Neurology 76, 14031409.CrossRefGoogle ScholarPubMed
Cote, HC, Magil, AB, Harris, M, Scarth, BJ, Gadawski, I, Wang, N, Yu, E, Yip, B, Zalunardo, N, Werb, R, Hogg, R, Harrigan, PR and Montaner, JS (2006) Exploring mitochondrial nephrotoxicity as a potential mechanism of kidney dysfunction among HIV-infected patients on highly active antiretroviral therapy. Antiviral Therapy 11, 7986.Google ScholarPubMed
Davies, S and Taylor, S (2013) Antiretroviral pharmacology. Medicine 41, 474478.CrossRefGoogle Scholar
de O’Leary, JC, Obregon, D, Fernandez, F, Tan, J and Giunta, B (2012) The impact of HAART on advanced brain aging: implications for mitochondrial dysfunction and APP processing. Journal of Antivirals and Antiretrovirals 10, 2.Google Scholar
de Oliveira, HM, Damiani, AP, Dias Rde, O, Romao, PR and Andrade, VM (2014) Effect of antiretroviral drugs on the DNA damage in mice. Environmental Toxicology and Pharmacology 37, 390395.CrossRefGoogle ScholarPubMed
di Domenico, F, Tramutola, A and Butterfield, DA (2017) Role of 4-hydroxy-2-nonenal (HNE) in the pathogenesis of alzheimer disease and other selected age-related neurodegenerative disorders. Free Radical Biology and Medicine 111, 253261.CrossRefGoogle ScholarPubMed
du Plessis, S, Perez, A, Fouche, JP, Phillips, N, Joska, JA, Vink, M, Myer, L, Zar, HJ, Stein, DJ and Hoare, J (2019) Efavirenz is associated with altered fronto-striatal function in HIV+ adolescents. Journal of Neurovirology 25, 783791.CrossRefGoogle ScholarPubMed
Ene, L, Duiculescu, D and Ruta, SM (2011) How much do antiretroviral drugs penetrate into the central nervous system?. Journal of Medicine and Life 4, 432439.Google ScholarPubMed
Esiri, MM, Biddolph, SC and Morris, CS (1998) Prevalence of Alzheimer plaques in AIDS. Journal of Neurology, Neurosurgery & Psychiatry 65, 2933.CrossRefGoogle Scholar
Ferrer, K and Rakhmanina, N (2013) Neuropsychiatric effects of tenofovir in comparison with other antiretroviral drugs. Neurobehavioral HIV Medicine 5, 110.Google Scholar
Gannon, PJ (2014) Assessing the Contribution Antiretroviral Therapy to Neuronal Damage and Death as a Mediator of Cognitive Decline in HIV-Associated Neurocognitive Disorders. Publicly Accessible Penn Dissertations, 1280.Google Scholar
Giunta, B, Ehrhart, J, Obregon, DF, Lam, L, Le, L, Jin, J, Fernandez, F, Tan, J and Shytle, RD (2011) Antiretroviral medications disrupt microglial phagocytosis of beta-amyloid and increase its production by neurons: implications for HIV-associated neurocognitive disorders. Molecular Brain 4, 23.CrossRefGoogle ScholarPubMed
Green, DA, Masliah, E, Vinters, HV, Beizai, P, Moore, DJ and Achim, CL (2005) Brain deposition of beta-amyloid is a common pathologic feature in HIV positive patients. AIDS 19, 407411.CrossRefGoogle ScholarPubMed
Hardy, J and Selkoe, DJ (2002) The amyloid hypothesis of Alzheimer’s disease: progress and problems on the road to therapeutics. Science 297, 353356.CrossRefGoogle ScholarPubMed
Howlett, DR, Richardson, JC, Austin, A, Parsons, AA, Bate, ST, Davies, DC and Gonzalez, MI (2004) Cognitive correlates of Aβ deposition in male and female mice bearing amyloid precursor protein and presenilin-1 mutant transgenes. Brain Research 1017, 130136.CrossRefGoogle ScholarPubMed
Hui, L, Ye, Y, Soliman, ML, Lakpa, KL, Miller, NM, Afghah, Z, Geiger, JD and Chen, X (2019) Antiretroviral drugs promote amyloidogenesis by De-acidifying endolysosomes. Journal of Neuroimmune Pharmacology, 110.CrossRefGoogle Scholar
Kohler, JJ, Hosseini, SH, Hoying-Brandt, A, Green, E, Johnson, DM, Russ, R, Tran, D, Raper, CM, Santoianni, R and Lewis, W (2009) Tenofovir renal toxicity targets mitochondria of renal proximal tubules. Laboratory Investigation 89, 513519.CrossRefGoogle ScholarPubMed
Kruger, NJ (2009) The Bradford method for protein quantitation. The Protein Protocols Handbook 15, 1724.CrossRefGoogle Scholar
Lebrecht, D, Venhoff, AC, Kirschner, J, Wiech, T, Venhoff, N and Walker, UA (2009) Mitochondrial tubulopathy in tenofovir disoproxil fumarate-treated rats. Journal of Acquired Immune Deficiency Syndromes 51, 258263.CrossRefGoogle ScholarPubMed
Little, CS, Joyce, TA, Hammond, CJ, Matta, H, Cahn, D, Appelt, DM and Balin, BJ (2014) Detection of bacterial antigens and Alzheimer’s disease-like pathology in the central nervous system of BALB/c mice following intranasal infection with a laboratory isolate of Chlamydia pneumoniae. Frontiers in Aging Neuroscience 6, 304.CrossRefGoogle ScholarPubMed
Mariani, E, Polidori, M, Cherubini, A and Mecocci, P (2005) Oxidative stress in brain aging, neurodegenerative and vascular diseases: an overview. Journal of Chromatography B 827, 6575.CrossRefGoogle ScholarPubMed
Mcarthur, JC, Steiner, J, Sacktor, N and Nath, A (2010) Human immunodeficiency virus-associated neurocognitive disorders: mind the gap. Annals of Neurology 67, 699714.Google ScholarPubMed
Montgomery, MK, Buttemer, WA and Hulbert, AJ (2012) Does the oxidative stress theory of aging explain longevity differences in birds? II. Antioxidant systems and oxidative damage. Experimental Gerontology 47, 211222.CrossRefGoogle ScholarPubMed
Mouton-Liger, F, Paquet, C, Dumurgier, J, Bouras, C, Pradier, L, Gray, F and Hugon, J (2012) Oxidative stress increases BACE1 protein levels through activation of the PKR-eIF2alpha pathway. Biochimica et Biophysica Acta 1822, 885896.CrossRefGoogle ScholarPubMed
Muche, A, Arendt, T and Schliebs, R (2017) Oxidative stress affects processing of amyloid precursor protein in vascular endothelial cells. PLoS One 12, e0178127.CrossRefGoogle ScholarPubMed
Nooka, S and Ghorpade, A (2017) HIV-1-associated inflammation and antiretroviral therapy regulate astrocyte endoplasmic reticulum stress responses. Cell Death Discovery 3, 1706117061.CrossRefGoogle ScholarPubMed
Ortega, M and Ances, BM (2014) Role of HIV in amyloid metabolism. Journal of Neuroimmune Pharmacology 9, 483491.CrossRefGoogle ScholarPubMed
Reddy, PH, Reddy, TP, Manczak, M, Calkins, MJ, Shirendeb, U and Mao, P (2011) Dynamin-related protein 1 and mitochondrial fragmentation in neurodegenerative diseases. Brain Research Reviews 67, 103118.CrossRefGoogle ScholarPubMed
Romão, PRT, Lemos, JC, Moreira, J, de Chaves, G, Moretti, M, Castro, AA, Andrade, VM, Boeck, CR, Quevedo, J and Gavioli, EC (2011) Anti-HIV drugs nevirapine and efavirenz affect anxiety-related behavior and cognitive performance in mice. Neurotoxicity Research 19, 7380.CrossRefGoogle ScholarPubMed
Sacktor, N, Lyles, RH, Skolasky, R, Kleeberger, C, Selnes, OA, Miller, EN, Becker, JT, Cohen, B and Mcarthur, JC (2001) HIV-associated neurologic disease incidence changes: multicenter AIDS cohort study, 1990–1998. Neurology 56, 257260.CrossRefGoogle ScholarPubMed
Schank, JC and Mcclintock, MK (1992) A coupled-oscillator model of ovarian-cycle synchrony among female rats. Journal of Theoretical Biology 157, 317362.CrossRefGoogle ScholarPubMed
Shah, A, Gangwani, MR, Chaudhari, NS, Glazyrin, A, Bhat, HK and Kumar, A (2016) Neurotoxicity in the post-HAART Era: caution for the antiretroviral therapeutics. Neurotoxicity Research 30, 677697.CrossRefGoogle ScholarPubMed
Sharma, B (2014) Oxidative stress in HIV patients receiving antiretroviral therapy. Current HIV Research 12, 1321.CrossRefGoogle ScholarPubMed
Solomon, IH, de Girolami, U, Chettimada, S, Misra, V, Singer, EJ and Gabuzda, D (2017) Brain and liver pathology, amyloid deposition, and interferon responses among older HIV-positive patients in the late HAART era. BMC Infectious Diseases 17, 151.Google ScholarPubMed
Streck, EL, Ferreira, GK, Scaini, G, Rezin, GT, Goncalves, CL, Jeremias, IC, Zugno, AI, Ferreira, GC, Moreira, J, Fochesato, CM and Romao, PR (2011) Non-nucleoside reverse transcriptase inhibitors efavirenz and nevirapine inhibit cytochrome C oxidase in mouse brain regions. Neurochemical Research 36, 962966.CrossRefGoogle ScholarPubMed
Tamagno, E, Guglielmotto, M, Aragno, M, Borghi, R, Autelli, R, Giliberto, L, Muraca, G, Danni, O, Zhu, X, Smith, MA, Perry, G, Jo, DG, Mattson, MP and Tabaton, M (2008) Oxidative stress activates a positive feedback between the gamma- and beta-secretase cleavages of the beta-amyloid precursor protein. Journal of Neurochemistry 104, 683695.Google ScholarPubMed
Tamagno, E, Guglielmotto, M, Monteleone, D and Tabaton, M (2012) Amyloid-β production: major link between oxidative stress and BACE1. Neurotoxicity Research 22, 208219.CrossRefGoogle ScholarPubMed
Tamagno, E, Parola, M, Bardini, P, Piccini, A, Borghi, R, Guglielmotto, M, Santoro, G, Davit, A, Danni, O, Smith, MA, Perry, G and Tabaton, M (2005) Beta-site APP cleaving enzyme up-regulation induced by 4-hydroxynonenal is mediated by stress-activated protein kinases pathways. Journal of Neurochemistry 92, 628636.Google ScholarPubMed
Turner, RS, Chadwick, M, Horton, WA, Simon, GL, Jiang, X and Esposito, G (2016) An individual with human immunodeficiency virus, dementia, and central nervous system amyloid deposition. Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring 4, 15.Google ScholarPubMed
Vassar, R, Bennett, BD, Babu-Khan, S, Kahn, S, Mendiaz, EA, Denis, P, Teplow, DB, Ross, S, Amarante, P, Loeloff, R, Luo, Y, Fisher, S, Fuller, J, Edenson, S, Lile, J, Jarosinski, MA, Biere, AL, Curran, E, Burgess, T, Louis, JC, Collins, F, Treanor, J, Rogers, G and Citron, M (1999) Beta-secretase cleavage of Alzheimer’s amyloid precursor protein by the transmembrane aspartic protease BACE. Science 286, 735741.CrossRefGoogle ScholarPubMed
Vorhees, CV and Williams, MT (2006) Morris water maze: procedures for assessing spatial and related forms of learning and memory. Nature Protocols 1, 848858.CrossRefGoogle ScholarPubMed
Wang, J, Tanila, H, Puoliväli, J, Kadish, I and Van Groen, T (2003) Gender differences in the amount and deposition of amyloidβ in APPswe and PS1 double transgenic mice. Neurobiology of Disease 14, 318327.CrossRefGoogle ScholarPubMed
Wise, ME, Mistry, K and Reid, S (2002) Drug points: neuropsychiatric complications of nevirapine treatment. Bmj 324, 879.CrossRefGoogle ScholarPubMed
Woods, SP, Moore, DJ, Weber, E and Grant, I (2009) Cognitive neuropsychology of HIV-associated neurocognitive disorders. Neuropsychology Review 19, 152168.CrossRefGoogle ScholarPubMed
Zopf, Y, Rabe, C, Neubert, A, Gaßmann, KG, Rascher, W, Hahn, EG, Brune, K and Dormann, H (2008) Women encounter ADRs more often than do men. European Journal of Clinical Pharmacology 64, 999.CrossRefGoogle ScholarPubMed
Zuena, AR, Giuli, C, Venerosi Pesciolini, A, Tramutola, A, Ajmone-Cat, MA, Cinque, C, Alema, GS, Giovine, A, Peluso, G, Minghetti, L, Nicolai, R, Calamandrei, G and Casolini, P (2013) Transplacental exposure to AZT induces adverse neurochemical and behavioral effects in a mouse model: protection by L-acetylcarnitine. PLoS One 8, e55753.CrossRefGoogle Scholar
Zulu, SS, Simola, N, Mabandla, MV and Daniels, WMU. (2018) Effect of long-term administration of antiretroviral drugs (Tenofovir and Nevirapine) on neuroinflammation and neuroplasticity in mouse hippocampi. Journal of Chemical Neuroanatomy 94, 8692.CrossRefGoogle ScholarPubMed
Supplementary material: File

Zulu et al. supplementary material

Figure S1

Download Zulu et al. supplementary material(File)
File 20.9 KB