Restoration of neuronal viability and synaptic plasticity through increased trophic support is widely regarded as a potential therapy for the cognitive declines that characterize aging. Previous studies have shown that in the hippocampal CA1 basal dendritic field deficits in the stabilization of long-term potentiation (LTP) are evident by middle age. The present study tested whether increasing endogenous brain-derived neurotrophic factor (BDNF) could reverse this age-related change. We report here that in middle-aged (8- to 10-mo-old) rats, in vivo treatments with a positive AMPA-type glutamate receptor modulator both increase BDNF protein levels in the cortical telencephalon and restore stabilization of basal dendritic LTP as assessed in acute hippocampal slices 18 h after the last drug treatment. These effects were not attributed to enhanced synaptic transmission or to facilitation of burst responses used to induce LTP. Increasing extracellular levels of BDNF by exogenous application to slices of middle-aged rats was also sufficient to rescue the stabilization of basal dendritic LTP. Finally, otherwise stable LTP in ampakine-treated middle-aged rats can be eliminated by infusion of the extracellular BDNF scavenger TrkB-Fc. Together these results indicate that increases in endogenous BDNF signaling can offset deficits in the postinduction processes that stabilize LTP.
Historically, age-related memory losses have been treated as sensitive indicators of late-in-life neuropathology, as is found in the early stages of Alzheimer's disease or the precedent mild cognitive impairment. Recent work, however, confirms the everyday experience that deterioration of memory begins far in advance of old age. For example, an analysis of cohorts of human subjects from the third through the ninth decades led to the conclusion that “… the magnitude of decline [of memory] is as great from 20 to 30 as it is from 70 to 80” (Park et al. 2002). Following on this, brain slice studies have shown that long-term potentiation (LTP), a presumed substrate of memory encoding, deteriorates, albeit only in particular groups of synapses, during the transition from young adulthood to early middle age in rat hippocampus (Rex et al. 2005).
To what degree can these regionally selective consequences of normal aging be corrected? One of the more widely embraced strategies for reversing the effects of brain aging involves increasing exposure to trophic factors (Mattson et al. 2004; Yuen and Mobley 1996), proteins with well-demonstrated capacities for sustaining and expanding neuronal connections (Conner et al. 2001; Mamounas et al. 1995), and promoting synaptic plasticity (for review see Bramham and Messaoudi 2005) in adult brain. Although most tests of this idea involve adding exogenous factors or new expression elements to the brain, pharmacological discoveries suggest means for increasing the production of endogenous growth factors in the absence of significant disturbances to behavior. It is well established that excitatory synaptic input regulates neuronal neurotrophin expression and that brain-derived neurotrophic factor (BDNF), in particular, is upregulated by even moderate increases in neuronal activity (Gall and Lauterborn 2000; Gall and Lynch 2005; Hall et al. 2000). Accordingly, the advent of drugs that positively modulate α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA)–type glutamate receptors (“ampakines”), and thereby enhance excitatory transmission (Staubli et al. 1994a), provided a potential means for increasing neurotrophin signaling in adult brain. Experimental tests showed that ampakines do in fact significantly elevate BDNF expression in vitro and in freely moving animals (Lauterborn et al. 2000, 2003; Mackowiak et al. 2002). Other studies established that ampakines do not disrupt brain activity or behavior and can be administered for weeks without deleterious effect (Goff et al. 2001; Hampson et al. 1998). Thus there appear to be no outstanding concerns blocking the use of these drugs in a neurotrophin strategy for treating age-related brain disorders. The present study applied this approach to test 1) whether in vivo ampakine treatments can elevate BDNF protein levels in forebrain of middle-aged rats and 2) whether such increases in BDNF availability are accompanied by a reversal of regional, age-related deficits in the stabilization of LTP.
Ampakine treatments and behavioral testing
All procedures were approved by the University of California Institutional Animal Care and Use Committee. The studies used middle-aged (8–10 mo; 450–600 g) adult male Sprague–Dawley rats (Charles Rivers Laboratories, Gilroy, CA) that matched the source and parameters used in our previous report of age effects on basal dendritic LTP (Rex et al. 2005). Rats were housed in pairs: one animal was randomly assigned to the ampakine-treatment regimen and the other was assigned to vehicle treatment. All animals received two intraperitoneal (ip) injections per day, at 8:00 to 9:00 am and 2:00 to 3:00 pm, for a total of 8 days (Fig. 1A). For the first 4 days, the rats received vehicle injections of normal saline plus 15–20% 2-hydroxypropyl-β-cyclodextrin (Sigma, St. Louis MO). After this period of acclimatization, rats assigned to drug treatment were injected for the next 4 days with the ampakine CX929 (5 mg/kg), whereas vehicle-assigned rats continued to receive injections of vehicle. Cohoused rat pairs were treated together: after each injection the pairs of rats were placed in an open field environment (consisting of a 110 × 55-cm opaque Plexiglas box containing compartments) for 20 min of exploration. Locomotor activity in the final cohort of rats was monitored and recorded on injection days 3 and 4 (before ampakine treatment) and days 5 and 6 (including the first 2 days of ampakine treatment) using an overhead-mounted video camera. Videos were converted to digital media and locomotor activity was traced by cursor and analyzed on a computer (in-house software, Python) for total distance traveled (in centimeters) and proportion of time active over the 20-min period. Data in graphs are represented as percentage activity during treatment sessions compared with pretreatment sessions (baseline) and significance was determined by two-tailed t-test. Data from days 4 (pretreatment) and 5 (treatment) were also binned in 5-min increments and analyzed to investigate motor activity throughout the 20-min observation period. Significance was assessed by two-way repeated-measures ANOVA for treatment effects across the 5-min bins (percentage of pretreatment baseline).
Hippocampal slice electrophysiology
At 18 h after the last ampakine injection, animals were killed and brains removed, and the two hemispheres were used for electrophysiology and protein measures, respectively. For electrophysiology, 350-μm-thick transverse slices through the midseptotemporal hippocampus were prepared on a vibrating tissue slicer (VT1000, Leica, Nusslock, Germany) and maintained at 30°C in an interface recording chamber as described (Rex et al. 2005) with continuous artificial cerebrospinal fluid (ACSF) perfusion at a rate of 60–70 ml/h. Slices equilibrated to the chamber for ≥1 h before recordings were initiated. Unless stated otherwise, a single glass electrode was placed within the most distal CA1b stratum (str.) oriens and was used to record field excitatory postsynaptic potentials (fEPSPs) from the basal dendrites of CA1 pyramidal cells (Fig. 1B). Responses were evoked by 0.03-Hz single-pulse stimulation of CA1c str. oriens using a twisted nichrome wire (65 μm) bipolar electrode (see Rex et al. 2005); with this stimulating electrode placement, fEPSPs would be expected to primarily reflect orthodromic stimulation of the highly topographic, basal dendritic Schaffer collateral/commissural afferents arising from pyramidal cells of field CA3a (Amaral and Witter 1985). Input–output curves and baseline measures were analyzed as described elsewhere (Rex et al. 2005). Synaptic potentiation was induced with theta-burst stimulation (TBS) (i.e., 10 bursts of 100-Hz stimulation with interburst intervals of 200 ms) (Kramar and Lynch 2003; Larson et al. 1986; Rex et al. 2005). Responses to individual theta bursts were analyzed to determine the burst area. To evaluate treatment effects on theta train facilitation, responses to each burst in the 10-burst theta train are presented as a percentage change from the area of the initial burst response (Kramar et al. 2004). Unless otherwise stated, group size values represent number of animals tested (values for each “n” within the group represent the mean of values from two to three slices from a given rat) and statistical significance was assessed using two-way repeated-measures ANOVA.
Drugs were administered to the bath by a second perfusion line connected to the main chamber input line after obtaining stable baseline fEPSPs for 10–20 min. BDNF (Chemicon, Temecula, CA) stock was prepared fresh immediately before slice preparation and diluted in ACSF before being added to the perfusion line. Stocks of recombinant TrkB-Fc and IgG-Fc chimeras (No., 688-TK and No., 110-HG; R&D Systems, Minneapolis, MN) (Cheng and Yeh 2005) were prepared in Tris-buffered saline containing 0.1% BSA and diluted in ACSF immediately before each experiment.
BDNF ELISA and Western blots
Hippocampi were dissected free and trimmed to include the dentate gyrus and hippocampus proper and homogenized in lysis buffer. Sample protein contents were measured (BioRad Protein Assay: BioRad Laboratories, Hercules, CA), volumes were adjusted to normalize μg/μl protein content, and then aliquots were processed for BDNF ELISA using the BDNF Emax Immunoassay System (Promega, Madison, WI) as described in detail elsewhere (Lauterborn et al. 2000). BDNF levels were determined relative to a standard curve constructed from measures of kit-supplied BDNF protein standards (0–500 pg BDNF protein) that were assayed simultaneously with experimental samples. Data are presented as means ± SE pg BDNF/100 μg of sample protein content.
To determine the effective TrkB-Fc dose for blocking BDNF signaling, Western blots assessed Trk phosphorylation in treated and control hippocampal slices (six slices/treatment condition) using a within-animal design. Tissues were homogenized in RIPA buffer, protein levels were measured using the BioRad Protein Assay (BioRad Laboratories), and sample volumes were adjusted to normalize μg/μl protein content. Samples were then separated by 4–12% gradient PAGE and processed for Western blot analysis as described elsewhere (Lin et al. 2005) using the enhanced chemiluminescence ECL Plus Detection System (Amersham Biosciences, Buckinghamshire, UK) to visualize immunoreactive bands. Target proteins were probed using antibodies against total TrkB (anti-TrkB, #611641, BD Biosciences, San Jose, CA; diluted to 1:1,000) and phosphorylated Trk (1:1,000, anti-phospho TrkA tyr490, No., 9141; Cell Signaling Technology, Danvers, MA): the latter antiserum recognizes the conserved Trk phosphorylation/activation site within TrkB (He et al. 2002).
The first goal was to determine whether daily injections with the ampakine CX929 upregulate BDNF protein levels in middle-aged rat hippocampus. CX929 was used because it has a short half-life (Rogers, unpublished data) and previous experiments in cultured slices showed that relatively brief exposures to ampakines are sufficient to induce BDNF (Lauterborn et al. 2000, 2003). These slice studies also demonstrated that after a single exposure to ampakine BDNF protein levels remain elevated for 2–3 days before returning to normal, and that after intermittent ampakine treatment increases (measured 18–24 h after drug infusion) can be sustained for ≥5 days (Lauterborn et al. 2003; Lauterborn and Gall, unpublished observations). Based on these results, we chose to test for LTP 18 h after the last of four daily treatments with CX929 (Fig. 1A).
Pilot studies identified an appropriate dose range for CX929 effects on BDNF expression in vivo (i.e., it was determined that 1, 2.5, and 5 mg/kg increased BDNF proteins levels in young adult rats with the effects of 5 mg/kg being greatest). Middle-aged rats (8–10 mo old) received twice-daily injections of 5 mg/kg CX929 or vehicle for 4 days, after which their brains were collected for ELISA and electrophysiological measures (below). CX929 has a half-life in rats of about 15 min, so any measured changes in BDNF protein would represent effects that persisted long after the inducing condition was eliminated. Figure 2 summarizes BDNF protein levels in hippocampal tissue from ampakine- and vehicle-treated rats. As shown (Fig. 2A), BDNF levels in CX929-treated rats were significantly greater than those in vehicle-treated rats (4.08 ± 0.56 vs. 2.49 ± 0.16 pg/100 μg, respectively; P = 0.02). This accords with work showing that abbreviated ampakine treatments can increase hippocampal BDNF mRNA in aged rats in vivo (Lauterborn et al. 2000).
In the present experiments, drugs were administered to well-handled rats engaged in a 20-min period of exploration and social interaction in a large open field after each injection. In addition to testing for neurotrophin increases in naturalistic circumstances, this procedure allowed for tests of whether the ampakine disturbed complex behavior during the brief period in which it was present at the highest levels. It should be noted that there is an extensive literature showing that hippocampal lesions have pronounced effects on exploratory activity (Campbell et al. 1971; Kimble 1963) and social behavior (Bannerman et al. 2001). As shown in Fig. 2, B and C, there were no differences between vehicle- and CX929-treated animals in measures of distance traveled (88.7 ± 14.1 vs. 93.1 ± 18.5% of baseline for vehicle- vs. ampakine-treated; P > 0.7, two-tailed t-test) and time spent traveling (94.1 ± 7.2 vs. 94.5 ± 14.2%, P > 0.8) during the period of social exploration. Further analysis of these behaviors during shorter time intervals (i.e., for each 5-min increment during the 20-min observation period) failed to detect transient alterations in locomotor behavior as a result of ampakine injection (P > 0.5 for distance traveled and percentage time moving, two-way repeated-measures ANOVA). Results presented in Fig. 2 are from rats allowed to explore in pairs including one ampakine- and one vehicle-treated rat. Similarly, behavioral testing of pairs of like-treated rats (i.e., two vehicle-treated or two ampakine-treated rats tested together) revealed no drug effect on distance traveled (92.2 ± 12.7 vs. 98.3 ± 13.1% for vehicle- and ampakine-treated rats, respectively; P > 0.6, two-tailed t-test) or time spent traveling (89.3 ± 9.3 vs. 95.9 ± 13.8%; P > 0.7).
Figure 3 describes the percentage LTP obtained in str. oriens of slices prepared from vehicle- versus ampakine-treated middle-aged rats. In agreement with an earlier report (Rex et al. 2005), TBS-induced potentiation of Schaffer collateral synapses in the CA1 basal dendritic field did not stabilize in slices from vehicle-treated middle-aged rats, as it does in slices from young adult rats, but instead decayed nearly to baseline within 60 min (117 ± 5% of baseline; mean ± SE). As in our prior study, and as indicated in Fig. 3B, there was little variability in response properties in slices from vehicle-treated middle-aged rats; i.e., slices from all rats tested showed impaired LTP stabilization. Very different results were obtained in slices from ampakine-treated rats with elevated BDNF levels: in these cases, potentiation was persistent, with fEPSP measures being 149 ± 7% of baseline at 60 min after TBS. The difference in percentage LTP between slices from vehicle- and ampakine-treated rats was significant (P < 0.001 for minutes 50–60, n = 12/group).
In a previous study (Rex et al. 2005) we found that LTP in the apical dendrites (str. radiatum) of control middle-aged rats was not detectably different from that described for young adult animals and thus does not exhibit the stabilization deficit associated with the basal dendrites. For Schaffer collateral innervation of the apical field, daily ampakine treatment had no significant effect on the magnitude or stability of potentiation (140 ± 11% for control and 146 ± 12% for experimental rats at 60 min after stimulation; P > 0.3 for minutes 50–60; Fig. 4A). Moreover, there were no differences between slices from vehicle- and ampakine-treated animals for str. radiatum fEPSP input/output curves (Fig. 4, B and C) or measures of burst responses (P > 0.4 and P > 0.5, respectively; two-way repeated-measures ANOVA). It should be noted that the presence of seemingly normal LTP in the apical dendrites argues against the possibility that the deficits in LTP stabilization within the basal dendritic field reflect a general problem with middle-aged hippocampus or slices prepared from it.
Increasing the size of theta-burst responses, either by enhancing synaptic currents or reducing factors that depress the responses during a train, can dramatically facilitate the induction of LTP (Arai and Lynch 1992). However, such effects do not appear to be responsible for the restoration of basal dendritic potentiation described above. Input/output curves for str. oriens fEPSPs (Fig. 4, D and E) were virtually identical for slices from ampakine- and vehicle-treated middle-aged rats (P > 0.5; two-way repeated-measures ANOVA), indicating that a given-sized stimulation pulse elicited about the same-sized response in the two groups of slices. Careful examination of the area of theta-burst responses also failed to identify between-group differences (Fig. 4, F and G). The absolute size of the initial burst response was not different in slices prepared from vehicle- versus ampakine-treated rats (P > 0.8, two-tailed t-test) nor was the degree to which the burst responses facilitated within a train (60 ± 7%; mean burst facilitation for bursts 2–10 for controls vs. 65 ± 7% for experimental slices; P > 0.5, two-way repeated-measures ANOVA) (Fig. 4G). Finally, the initial degree of potentiation recorded in the first minute after the theta-burst train was comparable for the two groups of slices; the mean for minute 1 was 222 ± 11% of baseline for controls and 237 ± 13% for slices from ampakine-treated rats. This observation reinforces the conclusion from the analysis of theta burst that the inducing conditions for LTP were comparable in the two groups of slices.
It should be noted that the shape of the composite response to a theta burst depends on frequency facilitation across four fEPSPs, whereas the size of the responses is influenced by inhibitory postsynaptic potentials (IPSPs) (Larson and Lynch 1986) and N-methyl-d-aspartate (NMDA)–receptor-mediated currents (Larson and Lynch 1988). The within-train facilitation effect illustrated in Fig. 4, F and G is in part governed by afterhyperpolarizing potentials (Arai and Lynch 1992; Kramár et al. 2004). Therefore the absence of differences in burst responses or theta-train facilitation between ampakine-treated and control groups indicates that the restoration of LTP in the former slices cannot be attributed to changes in these primary physiological variables.
Results from multiple studies using BDNF or its antagonists provide strong evidence that the neurotrophin promotes the formation of LTP and does so through the TrkB receptor (Chen et al. 1999; Figurov et al. 1996; Kang et al. 1997; Lu et al. 2005; Minichiello et al. 2002). Thus rather than acting directly on the mechanisms that consolidate LTP, ampakines could offset age-related losses in potentiation by the elevated BDNF levels described here. If so, then infusion of exogenous BDNF should restore stable potentiation to the basal dendrites of middle-aged slices, whereas antagonists of endogenous BDNF signaling should eliminate the rescued LTP in slices from ampakine-treated rats. Figure 5 summarizes a test of the first of these predictions. In accord with earlier reports (Kramar et al. 2004), bath application of 2 nM BDNF did not alter the slope of Schaffer collateral fEPSPs in response to single-pulse stimulation (Fig. 5, A and B). However, theta bursts delivered 50 min after the onset of BDNF infusion induced robust and persistent LTP that was significantly greater (P < 0.05 for minutes 50–60) than potentiation in untreated slices from the same rats.
The BDNF scavenger TrkB-Fc, a fusion construct that sequesters extracellular BDNF (Davis et al. 1994), was used to test whether—as predicted—competitively blocking the actions of released, endogenous BDNF eliminates the positive effects of daily ampakine treatment on basal dendritic LTP. Effective concentrations of TrkB-Fc were established using BDNF-induced Trk phosphorylation as a marker. Treatment of hippocampal slices with 60 ng/ml BDNF significantly increased Trk phosphorylation (3,888 ± 233 vs. 2,725 ± 35 optical density units for BDNF-treated vs. untreated slices, means ± SE; P < 0.05, paired t-test). TrkB-Fc inhibition of this effect was dose dependent (P < 0.001; one-way ANOVA; n = 10) with robust suppression at 1.0 μg/ml (Fig. 6, A and B), whereas blots that were stripped and reprobed with anti-TrkB showed no treatment effects on total TrkB protein levels (P > 0.9, one-way ANOVA). Treatment of hippocampal slices with 1.0 μg/ml TrkB-Fc alone did not influence basal phospho-Trk levels (data not shown) and, when applied to slices from ampakine-treated middle-aged rats, did not influence baseline fEPSPs through 30 min (Fig. 6C). However, as shown in Fig. 6D, 1.0 μg/ml TrkB-Fc blocked the restoration of LTP stabilization in ampakine-treated middle-aged rats. In these cases, TBS induced an initial potentiation that declined to near baseline levels over 60 min. In contrast, potentiation in slices from ampakine-treated middle-aged rats treated with the control chimeric immunoglobulin IgG-Fc (1.0 μg/ml) was stable through 1 h and was significantly greater than that in 1.0 μg/ml TrkB-Fc–treated slices (P < 0.05 for comparison of fEPSP slopes for 50–60 min post-TBS). TrkB-Fc at a lower concentration (0.2 μg/ml) caused a modest degradation of the potentiation as assessed at 50–60 min (Fig. 6D) but differences between this group and the IgG-Fc–treated slices were not statistically significant. Finally, TrkB-Fc (1.0 μg/ml) failed to significantly attenuate the reduced LTP found in slices from control (vehicle-treated) middle-aged animals: Percentage potentiation (group fEPSP slope means ± SE; % of baseline) at 60 min was 117 ± 8% (n = 3 slices) for control middle-aged slices and 117 ± 10% (n = 4) for comparable slices pretreated (as described above) with the scavenger (P > 0.6, two-way repeated-measures ANOVA for minutes 50–60). The initial level of potentiation was also equivalent in the two groups. The absence of a TrkB-Fc effect on LTP in the middle-aged slice indicates that the age-related deficit is specific for the neurotrophin-dependent component of the potentiation.
The above results constitute the first evidence that ampakines can be used to elevate endogenous BDNF protein levels in older rats, show that this effect occurs without evident disturbances to ongoing behavior, and establish that it can be achieved with surprisingly brief exposures to the drugs. It thus appears that a several minutes–long period, during which postsynaptic responses generated by behavior are enhanced, is adequate to produce substantial, long-lasting increases in BDNF protein. This accords with evidence that short bursts of excitatory afferent drive can significantly increase BDNF gene expression (Castrén et al. 1993) and that induced increases in BDNF protein persist for days after transient increases in mRNA (Gall and Lauterborn 2000; Nawa et al. 1995).
Taken together, these findings suggest a strategy for regulating neurotrophin levels in adult brain that is minimally disruptive with regard to physiology and behavior. There are no evident barriers to chronic ampakine treatment because the drugs, albeit in versions less potent than the one used here, have been administered for weeks to animals (Hampson et al. 1998) and humans (Goff et al. 2001) without notable side effects. Ampakines could thus be used to offset the declines in BDNF described for middle-aged rodents (Gooney et al. 2004; Hattiangady et al. 2005) and primates (Collier et al. 2005; Lommatzsch et al. 2005). Beyond this, elevating endogenous BDNF levels might reproduce the beneficial effects obtained with infusion of the exogenous neurotrophin (Conner et al. 2001; Patterson et al. 1996; see also O'Neill et al. 2004). A first step in testing these ideas will be to determine how large and reliable an increase can be achieved with daily, systemic ampakine injections and whether the effect can be maintained for longer periods than those tested in the present experiments.
Possibly related to the effects on BDNF, ampakine treatment produced a dramatic improvement in the stability of LTP in middle-aged slices at the one site (basal dendrites of field CA1) at which deficits have so far been identified (Rex et al. 2005). It seems likely that future studies will identify other regions with impairments in synaptic plasticity by early middle age and thereby provide targets for tests of the generality of results described here. Given that physiological testing in the present studies was carried out well after the last ampakine treatment, it is likely that the observed restoration of enduring LTP was attributable to the still-present elevations in the neurotrophin. BDNF promotes LTP in multiple ways (Barco et al. 2005; Kramar et al. 2004). It causes a substantial increase in theta-burst responses, in part at least by blocking potassium channels that normally reduce within-train response facilitation (Kramar et al. 2004). However, there was no evidence for such an effect in the present studies; responses to theta-stimulation trains were comparable in control and ampakine-treated cases. This suggests that the ampakine-induced increase in BDNF does not result in tonic stimulation of TrkB receptors or the downstream kinases responsible for governing postsynaptic responses to theta bursts (for discussion see Kramar et al. 2004).
Alternatively, increasing BDNF levels and signaling may have specifically augmented postinduction events that stabilize LTP. Recent studies showed that theta-burst stimulation causes BDNF release (Balkowiec and Katz 2002), with elevated levels persisting ≤12 min after the theta train (Aicardi et al. 2004). This observation raises the possibility that BDNF released during theta stimulation promotes cellular processes that stabilize LTP during the minutes after afferent stimulation. This interpretation is supported by present results showing that TrkB-Fc potently blocked LTP stabilization in slices from ampakine-treated animals, without significantly affecting induction and initial expression. It is also consistent with the somewhat different effects of exogenous BDNF, on one hand, and ampakine-induced increases in endogenous BDNF on the other, on middle-aged, basal dendritic LTP. Both treatments restored LTP stabilization, but exogenous BDNF also enhanced the immediate, posttetanic potentiation, whereas CX929 pretreatment did not. This may reflect the fact that exogenous BDNF was applied 50 min before stimulation and was therefore available to influence processes (e.g., NMDA receptor and potassium channel phosphorylation states, postsynaptic scaffold associations) (Iki et al. 2005; Kramar et al. 2004; Lin et al. 1998) before and during TBS, whereas the endogenous neurotrophin, released by TBS, would be available to influence processes only after the initial induction events. These results support the view that release of endogenous BDNF is necessary for the expression of restored LTP in ampakine-treated rats but do not establish that greater release of the neurotrophin is directly responsible for that restoration. However, multiple, independent lines of evidence support the hypothesis and it is certainly the most parsimonious explanation for the observed effect of the ampakine. Additional experiments will test the effects of blocking the increase in BDNF expression with ampakine treatments in vivo, although such studies will require controls for the baseline effects of reducing neurotrophin levels.
Independent of mechanism, the present results show for the first time that daily ampakine treatments can have enduring effects that reduce a deleterious effect of early aging (i.e., the lost capacity for stable basal dendritic LTP) on hippocampal physiology. Previous studies showed that the acute actions of these drugs can also restore potentiation to the basal dendrites (Rex et al. 2005) and offset age-related deterioration of spatial learning (Granger et al. 1996) in rats, and substantially improve memory retention scores in aged humans (Lynch et al. 1997). However, these earlier experiments assessed LTP or memory shortly after ampakine administration and the improvements were interpreted as being reflections of the acute effects of the drugs (Arai et al. 2004; Staubli et al. 1994b). A therapeutic strategy based on these earlier findings would thus require maintenance of effective drug levels throughout most of the subject's waking hours. Our current findings point to the unexpected possibility that intermittent, minutes-long exposures to appropriate ampakines can restore synaptic plasticity on a continuous basis. There are at present no experimental data addressing the prediction that daily treatments with short-half-life ampakines, and the restoration of LTP as reported here, will ameliorate age-related memory losses in tests carried out in the absence of the drugs. Retention deficits that emerge during middle age in rats (Erickson and Barnes 2003; Foster 1999) provide reasonable targets for a first test of this idea.
This research was supported by National Institutes of Health Grants NS-45260, AG-00358, and NS-051823. C. S. Rex was supported, in part, by National Institute of Mental Health Training Grant 5-T32-MH-14599-27.
The authors thank S. T. Cheng for assistance with ELISA assays and Cortex Pharmaceuticals (Irvine, CA) for generously providing the CX929.
The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked “advertisement” in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
- Copyright © 2006 by the American Physiological Society