Long-term NMDAR antagonism correlates reduced astrocytic glutamate uptake with anxiety-like phenotype

[This corrects the article on p. 219 in vol. 9, PMID: 26089779.].


Introduction
Anxiety disorders are among the most prevalent psychiatric conditions worldwide. These disorders have been associated with social isolation, alcoholism, and increased suicide attempts and are also considered to be risk factors for the development of additional psychiatric disorders (Gross and Hen, 2004). Hence, it is imperative to understand the neurobiological mechanisms that are associated with anxiety disorders. It has recently been proposed that a functional imbalance of the tripartite glutamatergic synapse plays a role in anxiety disorders (Clement and Chapouthier, 1998;Nutt and Malizia, 2001;Nemeroff, 2003;Machado-Vieira et al., 2009. Indeed, glutamatergic neurotransmission offers multiple potential pharmacological targets for treating anxiety-related disorders, such as postsynaptic receptor signaling, presynaptic glutamate release, and astrocytic glutamate uptake (Szabo et al., 2009;Zarate et al., 2010;Riaza Bermudo-Soriano et al., 2012;Pilc et al., 2013).
Currently, antagonism of N-methyl-D-aspartate receptor (NMDAR) has been proposed as a feasible strategy for reducing the major symptoms that are linked to anxiety-like behavior (Cortese and Phan, 2005). Indeed, when memantine, an NMDAR antagonist, is administered to patients presenting with depression, anxiety or obsessive-compulsive disorder, their neuropsychiatric symptoms appear to be relieved (Tariot et al., 2004;Sani et al., 2012). By contrast, a recent work demonstrated that chronic antagonism of NMDAR induces elevated anxiety in healthy mice (Hanson et al., 2014). Overall, the current data that are available regarding the association between the use of NMDAR antagonists and the presentation of anxiety-related behaviors refute a simple model of dose-effect and instead seem to be closely related to the regimen, type of drug, or route of administration (Silvestre et al., 1997;Riaza Bermudo-Soriano et al., 2012;Schwartz et al., 2012). Additionally, it is prudent to consider that glutamatergic neurotransmission involves not only neuronal receptors (ionotropic and metabotropic) but also astroglial transporters that participate in neuron-astrocyte coupling.
Two major astroglial Na + -dependent glutamate transporters, glutamate transporter 1 (GLT-1, also known as EAAT2) and glutamate aspartate transporter (GLAST, also known as EAAT1), take up glutamate from synapses to maintain the homeostasis that is necessary to orchestrate the physiological activity of receptors (Danbolt, 2001). Remarkably, cerebral GLT-1 and GLAST are predominately localized in astrocytes, with very low expression in other cell types (Zhou and Danbolt, 2014). Moreover, astrocytes account for 95% of the glutamate uptake activity in the brain (Danbolt et al., 1992;Lehre and Danbolt, 1998). Importantly, a recent work demonstrated that cerebral microinjection of the GLT-1 inhibitor, dihydrokainic acid (DHK), induced anhedonia and anxiety in rats (John et al., 2015). Thus, one could claim that astrocytic dysfunction may have a considerable impact on the expression of anxiety-like phenotypes (Bechtholt-Gompf et al., 2010;Schroeter et al., 2010;Lee et al., 2013). Based on the principles of neuron-astrocyte coupling, we hypothesized that long-term antagonism of NMDAR would impact astrocytic function and that this would likely affect anxiety phenotype.
In this study, we aimed to investigate the impact of long-term NMDAR antagonism by memantine on anxietyrelated paradigms and their potential association with astrocytic glutamate transport.

Animals
Three-month-old CF-1 mice were housed in standard cages (48 cm × 26 cm). The animals were kept in a room with controlled temperature (22 • C) under a 12 h light/12 h dark cycle (lights on at 7 am) and had free access to food and water. The mice (n = 40) were randomized into four groups: control (CO), memantine 5 mg (MN5), memantine 10 mg (MN10), and memantine 20 mg (MN20). To avoid social isolation, we maintained two animals per cage (Leasure and Decker, 2009). All behavioral tests were performed between 1:00 pm and 5:00 pm. All experiments were conducted in accordance with official governmental guidelines in compliance with the Federation of Brazilian Societies for Experimental Biology and were approved by the Ethical Committee of the Federal University of Rio Grande do Sul, Brazil.

Drug Administration
Memantine (Sigma, USA) was dissolved in distilled water at three different concentrations (0.5, 1.0, and 2.0 mg/mL) to standardize the volume used for oral administration and reach the desired dose. For 24 days, the animals received daily administration of either 5, 10, or 20 mg/kg of memantine, or an equivalent volume of distilled water, via oral gavage. Body weight and food intake were monitored. All groups received oral gavage at 1 h after each behavioral task.

Open Field Test
On the 22nd day, the animals were submitted to an open field task to evaluate spontaneous locomotion and exploratory activity. The apparatus was made of a black-painted box measuring 50 cm × 50 cm and was surrounded by 50 cm high walls. The experiments were conducted in a quiet room under low-intensity light (12 lx). Each mouse (n = 10 per group) was placed in the center of the arena, and the distance traveled (total and central zone), time spent in the central zone, and mean speed were measured over a course of 10 min . The experiment was recorded with a video camera that was positioned above the arena. The analysis was performed using a computeroperated tracking system (Any-maze, Stoelting, Woods Dale, IL, USA).

Light-Dark Task
On the 23rd day, the light-dark task was performed as previously described (Crawley and Goodwin, 1980) with some modifications to analyze anxiety profiles. The light-dark apparatus consisted of a wood rectangular box with two separated chambers. One chamber had black walls and floor (50 cm × 50 cm × 50 cm) and was not illuminated. The other side had white walls and floor (50 cm × 50 cm × 50 cm) and was illuminated by a 100 W white lamp that was placed overhead. The two compartments were separated by a wall, which had a small opening at floor level. For each experiment, an animal (n = 10 per group) was initially placed in the white chamber and then allowed to explore the two-chamber area for a duration of 5 min. The following parameters were recorded by a trained and blinded-to-treatment observer: number of transitions between the two chambers, time spent in the light chamber, and risk assessment behavior. After each experiment, the apparatus was cleaned with 70% alcohol and dried before being used with the next animal.

Elevated Plus-Maze Task
On the 24th day, the animals were submitted to an elevated plus-maze task to evaluate further signs of anxiety-like behavior. The elevated plus-maze was performed as previously described (Pellow, 1986). The elevated plus-maze apparatus consisted of two open arms (30 cm × 5 cm) and two enclosed arms (30 cm × 5 cm × 10 cm), which were separated by a central platform (5 cm × 5 cm) with the two identical arms of each type being placed opposite to each other. The height of the maze was 70 cm, and the experiments were conducted under dim red light in a quiet room. Each mouse (n = 10 per group) was individually placed onto the central platform of the plus-maze, facing one of the open arms, and was observed/recorded for 5 min by a trained and blinded-to-treatment observer. The time spent in the open arms and the total distance traveled were used for further analysis. After each session, the maze was cleaned with 70% ethanol. Data analysis was performed using a computer-operated tracking system (Any-maze, Stoelting, Woods Dale, IL, USA).

Glutamate Uptake Assay
On the 25th day, the animals (n = 6 per group) were sacrificed/dissected and left hippocampal and left frontoparietal cortical brain slices were taken for use in a glutamate uptake assay. The glutamate uptake assay was performed according to Thomazi et al. (2004). Brain hippocampal and frontoparietal cortical slices (0.4 mm) were obtained using a McIlwain tissue chopper and were pre-incubated for 15 min at 37 • C in Hank's balanced salt solution (HBSS), containing 137 mM NaCl, 0.63 mM Na 2 HPO 4 , 4.17 mM NaHCO 3 , 5.36 mM KCl, 0.44 mM KH 2 PO 4 , 1.26 mM CaCl 2 , 0.41 mM MgSO 4 , 0.49 mM MgCl 2 , and 1.11 mM glucose, at pH 7.2. Afterward, 0.66 and 0.33 Ci ml −1 L-[ 3 H]glutamate were added to a final 100 M concentration of glutamate for incubation with hippocampal and cortical samples, respectively. The incubations were stopped after 5 and 7 min for the hippocampal and cortical samples, respectively, with two ice-cold washes of 1 ml HBSS, which were immediately followed by the addition of 0.5 N NaOH. The samples were kept in this solution overnight. Nonspecific uptake was measured using the same protocol as described above, with differences in temperature (4 • C) and medium composition (N-methyl-D-glucamine instead of sodium chloride). Na + -dependent uptake was considered as the difference between the total uptake and the non-specific uptake. Note that astrocytic transport mediated by GLAST and GLT-1 is responsible for the Na + -dependent glutamate uptake (Anderson and Swanson, 2000). Both uptakes were performed in triplicate. Any radioactivity that was incorporated into the slices was measured using a liquid scintillation counter.

Statistical Analysis
Differences between groups were analyzed with analysis of variance (ANOVA) followed by Tukey's post hoc test. Correlations between behavioral assessments and glutamate uptake were analyzed by Pearson's correlation coefficient. The results are presented as mean values ± SEM. Differences were considered significant at p < 0.05.

Long-Term NMDAR Antagonism does not Alter Spontaneous Locomotion but Induces Anxiety-Like Behavior
Administration of memantine did not cause significant changes in either distance traveled [ Figure 1A (Figure 1C).

Long-Term NMDAR Antagonism Reduced Time Spent in the Light Compartment of the Light-Dark Box
In the light-dark box (Figure 1G), all of the doses of memantine that were tested significantly reduced the time spent in the light compartment by the memantine-administered mice compared to the CO group [ Figure 1D; F (3,36) = 7.364, MN5: p = 0.03, MN10: p = 0.002, MN20: p = 0.01]. However, transition numbers (light to dark) were unrelated to memantine administration [ Figure 1E; F (3,36) = 0.8257, p = 0.4884]. Additionally, there were no differences among groups in risk assessment index [ Figure 1F;

Correlation Between Anxiety-Like Behavior and Glutamate Uptake
A positive correlation was found between time spent in the light compartment of the light dark-box and glutamate uptake in the frontoparietal cortex (Figure 3A; p < 0.0001, R = 0.7289) and hippocampus ( Figure 3C; p = 0.03, R = 0.4337). Time spent in the open arms of the elevated plus-maze test was also correlated with glutamate uptake in the frontoparietal cortex ( Figure 3B; p = 0.03, R = 0.4313) and hippocampus (Figure 3D; p = 0.01, R = 0.4815).

Discussion
Our results demonstrated that long-term antagonism of NMDAR by memantine induces anxiety-like behavior in healthy CF-1 mice. Additionally, memantine decreased glutamate uptake activity in the frontoparietal cortex and in the hippocampus  with this phenomenon correlating with anxiety-like behavior. By contrast, the immunocontents of the astroglial glutamate transporters GLT-1 and GLAST were not affected.
Long-term administration of memantine did not induce significant changes in the spontaneous locomotion and exploratory activity of mice in the open field test. These findings imply that neither the dose nor the regimen of memantine that was used in our work led to non-specific effects such as sedation, which can potentially impair performance in anxiety-like tasks. This finding is in agreement with previous reports that have demonstrated that memantine administration does not alter locomotion or exploratory profiles (Reus et al., 2010). Conversely, we also showed that long-term memantine administration at doses of 5, 10, or 20 mg/kg leads to an anxiogenic phenotype that is manifested by decreased time spent in the light compartment (light-dark box) and reduced time spent in open arms (elevated plus-maze). Interestingly, a previous work showed that the administration of MK801, another non-competitive NMDAR antagonist, to rats induced an anxiety-like phenotype in the elevated plus-maze (Solati, 2011). In contrast to MK801, high doses of memantine (100 mg/kg) increased time spent in open arms, implying an anxiolytic effect. However, doses ranging from 10 to 30 mg/kg decreased time spent in open arms (∼40%), without reaching statistical significance, which suggests a trend representative of an anxiogenic-like effect (Minkeviciene et al., 2008). Additionally, chronic antagonism of NMDAR with piperine18 exacerbated anxiogenic symptoms in C57BL/6 mice (Hanson et al., 2014). Indeed, it would appear that the antagonism of NMDAR does not follow a linear dose-response effect in terms of modulating anxiety-like behavior.
It has also been shown that memantine plays a role in controlling synaptic glutamate release. In fact, Lu et al. (2010) have shown that memantine suppresses glutamate release in cortical synaptosomes. In this study, however, we showed that long-term administration of memantine reduces glutamate uptake without affecting the glutamate transporters expression, GLT-1 and GLAST, in the frontoparietal cortex and hippocampus. Based on these findings, one could argue that memantine-induced reduction of glutamate uptake by astrocytes is a direct adaptive response to the reduced release of glutamate by neurons. This assumption reinforces a theoretical framework in which neurons and astrocytes are capable of sensing each other while regulating tripartite glutamatergic synapses (Wade et al., 2013;Karus et al., 2015). However, further studies using additional methodologies, such as immunostaining and electron microscopy, are necessary to better understand neuron-astrocyte coupling in the context of anxiety-like phenotypes.
Interestingly, a recent work demonstrated that blockade of GLT-1 in the central amygdala was also capable of inducing anxiety-like behavior, which reinforces the association between astrocytic glutamate uptake activity and the development of an anxiety phenotype (John et al., 2015). Remarkably, we were able to show through linear correlation that decreased glutamate uptake activity in the hippocampus and frontoparietal cortex was significantly correlated with an increased anxiety-like response.

Conclusion
Long-term NMDAR antagonism by memantine induces an anxiety phenotype that is associated with reduced glutamate uptake activity in healthy CF-1 mice, which suggests that interactions between neurons and astrocytes can shape anxietyrelated behavior.