Electrophysiological analysis of factors involved in the primary demyelinating diseases: the rabbit eye model system

Phospholipidosis in Neurons Caused by Posaconazole, without Evidence for Functional Neurologic Effects

The azole antifungal drug posaconazole caused phospholipidosis in neurons of the central nervous system, dorsal root ganglia of the spinal cord, and myenteric plexus in chronic toxicity studies in dogs. The time of onset, light and electron microscopic features, neurologic and electrophysiologic effects on the central and peripheral nervous systems, and potential for regression were investigated in a series of studies with a duration of up to one year. Nuclei of the medulla oblongata were the prominently affected areas of the brain. Neurons contained cytoplasmic vacuoles with concentrically whorled plasma membrane-like material (i.e., multilamellar bodies) morphologically identical to that commonly caused in other tissues by cationic amphiphilic drugs. Some axons in the brain and spinal cord were swollen and contained granular eosinophilic, electron-dense lysosomes. There were no features suggesting degeneration or necrosis of neurons or any associated elements of nervous tissue. The earliest and most consistent onset was in neurons of dorsal root ganglia. The observed neural phospholipidosis did not result in any alteration in the amplitude or latency of the auditory, visual, or somatosensory evoked potentials. The histopathologic changes did not progress or regress within the three-month postdose period. The results indicate that phospholipidosis can be induced in central and peripheral neurons of dogs by administration of posaconazole, but this change is not associated with functional effects in the systems evaluated.

Optic nerve magnetization transfer imaging and measures of axonal loss and demyelination in optic neuritis

Magnetization transfer imaging is an MRI technique that provides quantitative information about in vivo tissue integrity, including myelin and axonal content, and is expressed as the magnetization transfer ratio (MTR). The optic neuritis lesion can model the MS lesion in vivo and permits use of non-invasive markers of optic nerve myelination (visual evoked potential [VEP] latency) and retinal neuroaxonal loss (optical coherence tomography [OCT]) to provide further information about the in vivo substrates of optic nerve MTR. Twenty-five patients with optic neuritis were studied using an optic nerve MTR sequence, quantitative visual function testing, VEPs and OCT, along with 15 controls. MTR was reduced in affected nerves compared to both clinically unaffected nerves from patients and control nerves (P < 0.001). Whole-nerve MTR correlated modestly with central-field VEP latency but more strongly when lesion-only MTR was measured, when a modest correlation with whole-field VEP latency emerged. OCT-quantified retinal neuroaxonal loss also correlated with MTR. In conclusion, markers of optic nerve myelination and axonal loss both correlate with optic nerve MTR. Because axonal loss following optic neuritis also results in myelin loss, the relative contributions of the two pathological conditions to the MTR measures cannot be estimated from this study.

Long-range correlations in rabbit brain neural activity

We have analyzed the presence of persistence properties in rabbit brain electrical signals by means of non-equilibrium statistical physics tools. To measure long-memory properties of these experimental signals, we have first determined whether the data are fractional Gaussian noise (fGn) or fractional Brownian motion (fBm) by calculating the slope of the power spectral density plot of the series. The results show that the series correspond to fBm. Then, the data were studied by means of the bridge detrended scaled windowed variance analysis, detecting long-term correlation. Three different types of experimental signals have been studied: neural basal activity without stimulation, the response induced by a single flash light stimulus and the average of the activity evoked by 200 flash light stimulations. Analysis of the series revealed the existence of persistent behavior in all cases. Moreover, the results also exhibited an increasing correlation in the level of long-term memory from recordings without stimulation, to one sweep recording or 200 sweeps averaged recordings. Thus, brain neural electrical activity is affected not only by its most recent states, but also by previous states much more distant in the past.

Excitotoxic insults to the optic nerve alter visual evoked potentials

Excitotoxic oligodendroglial death is one of the mechanisms which has been proposed to underlie demyelinating diseases of the CNS. We describe here functional consequences of excitotoxic lesions to the rabbit optic nerve by studying the visual evoked potentials (VEPs) measured in the visual cortex. Nerves were slowly infused with the excitotoxin kainate a subcutaneously implanted osmotic pump which delivered the toxin through a cannula onto the optic nerve. Records of VEPs were obtained before pump implantation and at 1, 3 and 7 days post-implantation, and weekly evaluated thereafter for up to 4 months. We observed that the VEPs generated by light stimuli progressively changed in both amplitude and profile after the lesion as well as in comparison to those generated in control animals infused with vehicle. Histological examination of the damage caused by the excitotoxic insult showed that large areas of the optic nerve were demyelinated and their axons distorted. These observations were confirmed and extended by immunohistochemical analyses using markers to neurofilaments, myelin basic protein and the oligodendrocyte marker APC. The results of the present paper indicate that the consequences of excitotoxicity in the optic nerve share functional and morphological alterations which are found in demyelinating disorders. In addition, this experimental paradigm may be useful to evaluate the functional recovery of demyelinated optic nerves following various repair strategies.

Axon loss in the spinal cord determines permanent neurological disability in an animal model of multiple sclerosis

Multiple sclerosis (MS) is an inflammatory demyelinating disease of the central nervous system (CNS). Most patients undergo an initial relapsing-remitting (RR-MS) course that transforms into a relentless neurodegenerative disorder, termed secondary progressive (SP)-MS. Reversible inflammation and demyelination account readily for the pattern of RR-MS but provide an unsatisfactory explanation for irrevocable decline in SP-MS. Axon loss is thought to be responsible for progressive, non-remitting neurological disability during SP-MS. There is considerable potential for neuroprotective therapies in MS, but their application awaits animal models in which axonal loss correlates with permanent neurological disability. In this report, we describe quantitative immunohistochemical methods that correlate inflammation and axonal loss with neurological disability in chronic-relapsing experimental autoimmune encephalomyelitis (EAE). At first attack, CNS inflammation, but not axon loss, correlated with the degree of neurological disability. In contrast, fixed neurological impairment in chronic EAE correlated with axon loss that, in turn, correlated with the number of symptomatic attacks. As proposed for MS, these observations imply a causal relationship between inflammation, axon loss, and irreversible neurological disability. This chronic-relapsing EAE model provides an excellent platform for 2 critical objectives: investigating mechanisms of axon loss and evaluating efficacy of neuroprotective therapies.

Properties of the flash visual evoked potential recorded in the cat primary visual cortex

The flash visual evoked potential (F-VEP), elicited by a 100 ms diffuse light flash presented at 2 Hz, was examined in the cat primary visual cortex (Area 17). Intracortical F-VEP depth profiles were recorded to characterize waveform changes with electrode depth. A positive surface component, with a latency of 200 ms, was the dominant waveform feature within the cortex, reversing in polarity and increasing in magnitude as the cortex was penetrated. Other prominent components with latencies of 30, 50, 100, and 125 ms were also observed. Changes in the waveform with stimulus duration and illumination were examined and revealed the sensitivity of prominent components to stimulus parameters.

Imaging of physiologically evoked responses by electrical impedance tomography with cortical electrodes in the anaesthetized rabbit

The purpose of this study was to determine if electrical impedance tomography (EIT) could be used to image impedance changes of several per cent over tens of seconds, known to occur during evoked activity of the cerebral cortex. A ring of 16 electrodes was placed on the exposed superior surface of the brain of anaesthetized rabbits. EIT images were acquired every 15 s using a Sheffield Mark 1 EIT system. During periods of 2.5-3 min of intense photic stimulation of both eyes or electrical stimulation of a forepaw, reproducible impedance decreases of 4.5 +/- 2.7% and 2.7 +/- 2.4% (mean +/- SD) respectively occurred in appropriate cortical areas, with a time course similar to the period of stimulation. They were accompanied by adjacent smaller impedance increases. The decreases are probably due to increased blood flow and temperature; the cause of the adjacent increases may be a shadowing artefact of the reconstruction algorithm or due to physiological shrinkage of the extracellular space. This demonstrated, for the first time, that such small changes may be imaged under optimal conditions. These results are encouraging to the prospect that EIT may eventually be suitable for imaging evoked responses or epilepsy in human subjects.

Chronic inflammatory effects of interleukin-1 on the blood-retina barrier

The chronic effects of human recombinant IL-1 (hrIL-1) on the specialized vasculature of the central nervous system (CNS) and on the CNS itself have been examined over a 35-day period in the rabbit retina. A single intraocular injection of physiological levels of hrIL-1 (300 units) induced a biphasic inflammatory reaction with well-defined acute and chronic phases in the challenged eye. Quantitative histopathological examination of the vascularized portion of the retina in the IL-1-challenged eye documented a persistent mononuclear (MN) cell response that peaked 7-14 days post-challenge. Included in the MN cell count were perivascular plasma cells. Elevated protein levels in the vitreous persisted throughout the time points studied and alterations in vascular permeability of the epiretinal vessels were demonstrated by tracer leakage at 2 weeks post-challenge. The results show that exposure of the CNS-vasculature to IL-1 induces long-lasting inflammatory changes typical of a chronic inflammatory reaction.

Electrophysiological follow-up of acute and chronic experimental allergic encephalomyelitis in the Lewis rat

Cortical somatosensory evoked potentials (c-SEP) and flash visual evoked potentials (f-VEP) were serially recorded in acute monophasic and chronic relapsing experimental allergic encephalomyelitis (EAE) in the Lewis rat. In acute EAE, a significantly delayed latency and broadened peak of the c-SEP were observed corresponding to the clinical onset, and then returned to normal with the disappearance of clinical signs. In chronic EAE, the c-SEP showed the same changes as in acute EAE, also reflecting the first attack, remission and relapsing phase. However, chronic EAE, when paralysis had recovered in the relapsing phase, showed c-SEP abnormalities suggestive of subclinical active lesions. In contrast, the f-VEP showed no obvious abnormalities in acute or chronic EAE. These findings suggest that the c-SEP is an objective and sensitive index for detecting clinical and pathological changes in acute and chronic EAE in the Lewis rat.

Preliminary studies of cytokine-induced functional effects on the visual pathways in the rabbit

Epidural visual evoked potentials (VEP) were used to study the role of cytokines in the induction of pathophysiologic changes associated with inflammation in the central nervous system (CNS) of the rabbit. In normal rabbits, intraocular injection of human recombinant interferon-gamma (IFN-gamma) and tumor necrosis factor (TNF) increased the peak latency of the cortical VEP by more than 2 ms within 3 h of injection; equal volume injections of control substances had no effect. Alterations in conduction induced by IFN-gamma and TNF reversed within 24 h and could be reinduced by reinjection. Intraocular injection of recombinant human interleukin-1 beta (IL-1) induced a more progressive delay in conduction that peaked 24 h after intraocular challenge and reversed over the ensuing 48 h. Pathologic examination of the tissues indicated that the primary effect of these cytokines is on the vasculature and induces changes associated with inflammation. The results suggest that the acute reversible effects of cytokines on CNS function are associated with vascular events; further they support the sensitivity of the 'rabbit eye model' for studies on the pathophysiologic effect of inflammatory mediators on the CNS in vivo.