N-methyl-D-aspartate receptor blockade is neuroprotective in experimental autoimmune optic neuritis

J Neuropathol Exp Neurol. 2014 Jun;73(6):507-18. doi: 10.1097/NEN.0000000000000073.

Abstract

Optic neuritis is a common clinical manifestation of the chronic inflammatory CNS disease multiple sclerosis that can result in persistent visual impairment caused by degeneration of optic nerve axons and apoptosis of retinal ganglion cells (RGCs). Using a model of experimental autoimmune encephalomyelitis with optic neuritis (Brown Norway rats), we show that administration of the N-methyl-D-aspartate (NMDA) receptor antagonists memantine or MK801 results in RGC protection, axon protection, and reduced demyelination of optic nerves. Calcium imaging revealed that RGC responses to glutamate stimulation predominantly occurred via NMDA receptors and were inhibited by memantine in a dose-dependent manner. In contrast, oligodendrocytes were mainly responsive through the α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid/kainate receptor. This suggests that NMDA receptor blockade protected RGCs directly and that the protection was independent of effects on oligodendrocytes. Moreover, increased RGC survival was observed before the onset of optic nerve demyelination--when RGC degeneration had already started. These results indicate an important pathophysiologic role for NMDA receptor-mediated glutamate toxicity during the induction phase of this disease model and highlight a potential target for therapeutic neuroprotection in human optic neuritis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Animals, Newborn
  • Calcium / metabolism
  • Cells, Cultured
  • Cytokines / blood
  • Dizocilpine Maleate / therapeutic use*
  • Female
  • Memantine / therapeutic use*
  • Myelin Sheath / drug effects
  • Myelin Sheath / pathology
  • Myelin-Oligodendrocyte Glycoprotein / toxicity
  • Neuritis, Autoimmune, Experimental / chemically induced
  • Neuritis, Autoimmune, Experimental / complications*
  • Neuroprotective Agents / therapeutic use*
  • Oligodendroglia / drug effects
  • Oligodendroglia / metabolism
  • Oligodendroglia / pathology
  • Optic Nerve / pathology
  • Optic Neuritis / complications*
  • Optic Neuritis / drug therapy*
  • Optic Neuritis / pathology
  • Rats
  • Retinal Ganglion Cells / drug effects
  • Retinal Ganglion Cells / metabolism
  • Retinal Ganglion Cells / pathology
  • Stilbamidines

Substances

  • 2-hydroxy-4,4'-diamidinostilbene, methanesulfonate salt
  • Cytokines
  • Myelin-Oligodendrocyte Glycoprotein
  • Neuroprotective Agents
  • Stilbamidines
  • Dizocilpine Maleate
  • Calcium
  • Memantine