Improvements in Memory after Medial Septum Stimulation Are Associated with Changes in Hippocampal Cholinergic Activity and Neurogenesis

Deep brain stimulation (DBS) has been found to have therapeutic effects in patients with dementia, but DBS mechanisms remain elusive. To provide evidence for the effectiveness of DBS as a treatment for dementia, we performed DBS in a rat model of dementia with intracerebroventricular administration of 192 IgG-saporins. We utilized four groups of rats, group 1, unlesioned control; group 2, cholinergic lesion; group 3, cholinergic lesion plus medial septum (MS) electrode implantation (sham stimulation); group 4, cholinergic lesions plus MS electrode implantation and stimulation. During the probe test in the water maze, performance of the lesion group decreased for measures of time spent and the number of swim crossings over the previous platform location. Interestingly, the stimulation group showed an equivalent performance to the normal group on all measures. And these are partially reversed by the electrode implantation. Acetylcholinesterase activity in the hippocampus was decreased in lesion and implantation groups, whereas activity in the stimulation group was not different from the normal group. Hippocampal neurogenesis was increased in the stimulation group. Our results revealed that DBS of MS restores spatial memory after damage to cholinergic neurons. This effect is associated with an increase in hippocampal cholinergic activity and neurogenesis.

[1]  S. D. Berry,et al.  Hippocampal Theta Oscillations and Classical Conditioning , 2001, Neurobiology of Learning and Memory.

[2]  C. Shute,et al.  Confirmation from choline acetylase analyses of a massive cholinergic innervation to the rat hippocampus , 1967, The Journal of physiology.

[3]  Hideyuki Okano,et al.  Role of the cholinergic system in regulating survival of newborn neurons in the adult mouse dentate gyrus and olfactory bulb , 2006, Genes to cells : devoted to molecular & cellular mechanisms.

[4]  A. Chiba,et al.  A re-examination of the role of basal forebrain cholinergic neurons in spatial working memory , 1998, Neuropharmacology.

[5]  K. Davis,et al.  Neurochemical Correlates of Dementia Severity in Alzheimer's Disease: Relative Importance of the Cholinergic Deficits , 1995, Journal of neurochemistry.

[6]  J. Mulder,et al.  Input from the medial septum regulates adult hippocampal neurogenesis , 2005, Brain Research Bulletin.

[7]  A. Chiba,et al.  Cognitive functions of the basal forebrain , 1999, Current Opinion in Neurobiology.

[8]  T. Hisatsune,et al.  Cholinergic activation of hippocampal neural stem cells in aged dentate gyrus , 2011, Hippocampus.

[9]  T. J. Walsh,et al.  Behavioral and neurobiological alterations induced by the immunotoxin 192-IgG-saporin: cholinergic and non-cholinergic effects following i.c.v. injection , 1995, Brain Research.

[10]  P. Dutar,et al.  Alteration of NMDA receptor‐mediated synaptic responses in CA1 area of the aged rat hippocampus: Contribution of GABAergic and cholinergic deficits , 1998, Hippocampus.

[11]  P. Dutar,et al.  Potentiation of glutamatergic EPSPs in rat CA1 hippocampal neurons after selective cholinergic denervation by 192 IgG‐saporin , 1997, Synapse.

[12]  Uri Polat,et al.  Intracranial electrode implantation produces regional neuroinflammation and memory deficits in rats , 2010, Experimental Neurology.

[13]  R. Vertes,et al.  Brainstem-diencephalo-septohippocampal systems controlling the theta rhythm of the hippocampus. , 1997, Neuroscience.

[14]  R. Servatius,et al.  Damage of GABAergic neurons in the medial septum impairs spatial working memory and extinction of active avoidance: Effects on proactive interference , 2010, Hippocampus.

[15]  Hongjun Song,et al.  Adult neurogenesis in the mammalian central nervous system. , 2005, Annual review of neuroscience.

[16]  G. Lynch,et al.  Anatomical and functional aspects of the septo-hippocampal projections. , 1977, Ciba Foundation symposium.

[17]  K. Krnjević,et al.  Electrophysiological and pharmacological characteristics of facilitation of hippocampal population spikes by stimulation of the medial septum , 1982, Neuroscience.

[18]  M. Delong,et al.  Deep Brain Stimulation for Neurologic and Neuropsychiatric Disorders , 2006, Neuron.

[19]  N. Rajakumar,et al.  Selective Cholinergic Depletion in Medial Septum Leads to Impaired Long Term Potentiation and Glutamatergic Synaptic Currents in the Hippocampus , 2012, PloS one.

[20]  G. V. Goddard,et al.  Medial septal facilitation of hippocampal granule cell activity is mediated by inhibition of inhibitory interneurones , 1985, Brain Research.

[21]  L. Swanson The Rat Brain in Stereotaxic Coordinates, George Paxinos, Charles Watson (Eds.). Academic Press, San Diego, CA (1982), vii + 153, $35.00, ISBN: 0 125 47620 5 , 1984 .

[22]  J. D. Dudar The role of the septal nuclei in the release of acetylcholine from the rabbit cerebral cortex and dorsal hippocampus and the effect of atropine , 1977, Brain Research.

[23]  K. Gulya,et al.  The cholinergic system in Alzheimer's disease , 1997, Progress in Neurobiology.

[24]  Larry R Squire,et al.  Dentate gyrus-specific knockdown of adult neurogenesis impairs spatial and object recognition memory in adult rats. , 2009, Learning & memory.

[25]  R. Wennberg,et al.  A phase I trial of deep brain stimulation of memory circuits in Alzheimer's disease , 2010, Annals of neurology.

[26]  K. Courtney,et al.  A new and rapid colorimetric determination of acetylcholinesterase activity. , 1961, Biochemical pharmacology.

[27]  L. Wilkinson,et al.  Behavioural, histochemical and biochemical consequences of selective immunolesions in discrete regions of the basal forebrain cholinergic system , 1994, Neuroscience.

[28]  J. Winson Loss of hippocampal theta rhythm results in spatial memory deficit in the rat. , 1978, Science.

[29]  A. Toledano,et al.  Lesions and dysfunctions of the nucleus basalis as Alzheimer's disease models: general and critical overview and analysis of the long-term changes in several excitotoxic models. , 2004, Current Alzheimer research.

[30]  N. Robinson,et al.  Histochemistry of trauma after electrode implantation and stimulation in the hippocampus. , 1975, Archives of neurology.

[31]  R. Wennberg,et al.  Memory enhancement induced by hypothalamic/fornix deep brain stimulation , 2008, Annals of neurology.

[32]  L. Thal,et al.  192 immunoglobulin G-saporin produces graded behavioral and biochemical changes accompanying the loss of cholinergic neurons of the basal forebrain and cerebellar Purkinje cells , 1995, Neuroscience.

[33]  E. Kandel,et al.  Ablation of hippocampal neurogenesis impairs contextual fear conditioning and synaptic plasticity in the dentate gyrus , 2006, Proceedings of the National Academy of Sciences.

[34]  H. Dringenberg,et al.  Surprising similarity between mechanisms mediating low (1 Hz)-and high (100 Hz)-induced long-lasting synaptic potentiation in CA1 of the intact hippocampus , 2010, Neuroscience.

[35]  M. Danik,et al.  Distinct electrophysiological properties of glutamatergic, cholinergic and GABAergic rat septohippocampal neurons: novel implications for hippocampal rhythmicity , 2003, The Journal of physiology.

[36]  A. Meneses,et al.  Effects of hippocampal high‐frequency electrical stimulation in memory formation and their association with amino acid tissue content and release in normal rats , 2012, Hippocampus.

[37]  O. Lindvall,et al.  Forebrain acetylcholine regulates adult hippocampal neurogenesis and learning , 2005, Neurobiology of Aging.

[38]  Da Un Jeong,et al.  Decrease of GABAergic Markers and Arc Protein Expression in the Frontal Cortex by Intraventricular 192 IgG-Saporin , 2011, Dementia and Geriatric Cognitive Disorders.

[39]  T. Mandat,et al.  Microlesion Effect as a Predictor of the Effectiveness of Subthalamic Deep Brain Stimulation for Parkinson’s Disease , 2012, Stereotactic and Functional Neurosurgery.

[40]  P. Frankland,et al.  Stimulation of Entorhinal Cortex Promotes Adult Neurogenesis and Facilitates Spatial Memory , 2011, The Journal of Neuroscience.

[41]  M. Lyons Deep brain stimulation: current and future clinical applications. , 2011, Mayo Clinic proceedings.

[42]  H. Dringenberg,et al.  Alternating low frequency stimulation of medial septal and commissural fibers induces NMDA‐dependent, long‐lasting potentiation of hippocampal synapses in urethane‐anesthetized rats , 2009, Hippocampus.

[43]  I. Fried,et al.  Memory enhancement and deep-brain stimulation of the entorhinal area. , 2012, The New England journal of medicine.

[44]  C. Destrade,et al.  Relationships between septo-hippocampal cholinergic activation and the improvement of long-term retention produced by medial septal electrial stimulation in two inbred strains of mice , 1994, Behavioural Brain Research.

[45]  Elisabet Englund,et al.  Alzheimer’s Disease and the Cerebellum: A Morphologic Study on Neuronal and Glial Changes , 2001, Dementia and Geriatric Cognitive Disorders.

[46]  O. Halbach,et al.  Immunohistological markers for staging neurogenesis in adult hippocampus , 2007, Cell and Tissue Research.

[47]  Jesse Jackson,et al.  Medial septal modulation of the ascending brainstem hippocampal synchronizing pathways in the freely moving rat , 2006, Hippocampus.

[48]  A. Björklund,et al.  Selective Lesioning of the Basal Forebrain Cholinergic System by Intraventricular 192 IgG–saporin: Behavioural, Biochemical and Stereological Studies in the Rat , 1995, The European journal of neuroscience.

[49]  D. Price,et al.  Cholinergic systems: human diseases, animal models, and prospects for therapy. , 1993, Progress in brain research.

[50]  P. E. Gold,et al.  Impaired and spared cholinergic functions in the hippocampus after lesions of the medial septum/vertical limb of the diagonal band with 192 IgG‐saporin , 2004, Hippocampus.

[51]  K. Pang,et al.  Involvement of GABAergic and cholinergic medial septal neurons in hippocampal theta rhythm , 2005, Hippocampus.

[52]  Michael Pourfar,et al.  Assessing the microlesion effect of subthalamic deep brain stimulation surgery with FDG PET. , 2009, Journal of neurosurgery.

[53]  Martin N. Rossor,et al.  Purkinje cell loss and astrocytosis in the cerebellum in familial and sporadic Alzheimer's disease , 1996, Neuroscience Letters.

[54]  Clement Hamani,et al.  Deep brain stimulation for chronic neuropathic pain: Long-term outcome and the incidence of insertional effect , 2006, Pain.

[55]  Eric R Kandel,et al.  Low-frequency stimulation induces a pathway-specific late phase of LTP in the amygdala that is mediated by PKA and dependent on protein synthesis. , 2007, Learning & memory.

[56]  Jürgen Winkler,et al.  Transient expression of doublecortin during adult neurogenesis , 2003, The Journal of comparative neurology.

[57]  Jason S. Snyder,et al.  Inhibition of neurogenesis interferes with hippocampus‐dependent memory function , 2006, Hippocampus.

[58]  Jürgen Winkler,et al.  Doublecortin expression levels in adult brain reflect neurogenesis , 2005, The European journal of neuroscience.

[59]  P. Monmaur,et al.  Acetylcholine release in the hippocampus of the urethane anaesthetised rat positively correlates with both peak theta frequency and relative power in the theta band , 2000, Brain Research.

[60]  H. Freund,et al.  Cognitive functions in a patient with Parkinson-dementia syndrome undergoing deep brain stimulation. , 2009, Archives of neurology.

[61]  James G. Heys,et al.  Possible role of acetylcholine in regulating spatial novelty effects on theta rhythm and grid cells , 2012, Front. Neural Circuits.

[62]  M. Decker,et al.  Comparison of site-specific injections into the basal forebrain on water maze and radial arm maze performance in the male rat after immunolesioning with 192 IgG saporin , 1996, Behavioural Brain Research.

[63]  Y. Dan,et al.  Spike timing-dependent plasticity: a Hebbian learning rule. , 2008, Annual review of neuroscience.

[64]  S. Ovsepian Enhancement of the synchronized firing of CA1 pyramidal cells by medial septum preconditioning: Time-dependent involvement of muscarinic cholinoceptors and GABAB receptors , 2006, Neuroscience Letters.

[65]  J. Winkler,et al.  Decreased neurogenesis after cholinergic forebrain lesion in the adult rat , 2004, Journal of neuroscience research.