Abstract:
Background: Aluminum (Al) is known to be associated with etiology of different
neurodegenerative disorders especially of Alzheimer’s disease (AD) and is known to
produce AD like symptoms. It is widely reported that Al affects muscarinic
acetylcholine receptors but limited data is available for its effects on nicotinic
acetylcholine receptors (nAChRs). The aim of this study was to determine that how
Al affects hippocampus, amygdala and cortex dependent learning and memory
functions and expression of nAChRs and choline acetyltransferase (ChAT) genes.
Effect of Al on cholinergic biomarkers i.e. free choline and acetylcholine (Ach) level
were also investigated. Moreover acute effects of Al on nAChRs-mediated
modulation of persistent gamma oscillations in hippocampus was also studied.
Methods: In order to develop the AD mouse model, AlCl3.6H2O (250 mg/kg) was
administered to mice in drinking water 42 days. After completion of Al treatment the
learning and memory deficits were assessed via different behavior tests. nAChRs gene
expression was determined via RT-PCR in cortex, hippocampus and amygdala.
Inductively coupled plasma atomic emission spectrometry (ICP-AES) was used to
measure Al accumulation in brain. To determine how Al affects gamma oscillations,
field potential recordings were performed in CA3 area of acute hippocampal slices.
Results: The results of this study demonstrate that oral Al ingestion caused high
accumulation of Al in brain leading to neuropathological changes that suppressed
expression of nAChR genes and caused neurodegeneration. Longer in-vitro Al
exposure caused permanent changes in hippocampal oscillogenic circuitry and
changed its sensitivity to nAChR-modulation, leading to deficits in memory and
learning in AD mouse model. Moreover in spite of normal free choline availability
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Ach synthesis was reduced as a result of oral Al exposure. The reduced Ach synthesis
is caused by impaired recycling of Ach due to lower expression of ChAT gene. The
reduced Ach level causes deficits in cholinergic neurotransmission which leads to
memory and cognitive deficits. Moreover, hippocampus is the most affected brain
part after Al intoxication. This study suggests that interference with cholinergic
neurotransmission can be the underlying mechanism through which Al causes
memory and learning deficits and contributes to neuropathological changes leading to
AD.