Elise Cook. BForensics (Hons) Forensic Biology and Toxicology. BSc Biomedical Science and Molecular Biology

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Acute and chronic toxicity of methamphetamine exposure in cultured neuronal cells Elise Cook BForensics (Hons) Forensic Biology and Toxicology BSc Biomedical Science and Molecular Biology This thesis is presented for the Honours degree in Biological Science at Murdoch University, School of Biological Sciences Western Australia November 2013

Declaration I declare that this thesis is my own account of my research and has not been previously submitted for a degree at any tertiary educational institution. Elise Cook Thesis word count: 15,588

Abstract Methamphetamine is a highly addictive psychostimulant drug with serious health consequences that include long-term neurotoxic effects. While the neurotoxic mechanisms are still not fully understood, monoamine release, production of reactive oxygen species and excitotoxicity are believed to be involved. There is currently no effective treatment to prevent these effects. Using metabolomic analysis to explore the effect of methamphetamine on neuronal cells with dose and time may help to elucidate the biochemical pathways affected, and provide an insight into methamphetamine neurotoxicity. A B50 neuroblastoma cell culture model was used in these experiments. Cell viability was assessed by lactate dehydrogenase assay and Trypan blue exclusion testing after 48 hours exposure to 1 mm methamphetamine. A dose curve was conducted exposing cells to a range of methamphetamine doses (100 nm, 1 µm, 10 µm, 100 µm and 1 mm) over 48 hours. A time course examined the 6-, 24- and 48-hour time points after B50 exposure to 1 mm methamphetamine. A gas chromatography-mass spectrometry metabolomic method was used to analyse the treated cells and cell media of the dose curve and time course. The metabolites found to contribute most to the variance between the samples were chosen for further study. Methamphetamine caused observable damage to B50 cells and cell viability which was found to be dose-dependent by Trypan blue testing, however, LDH results were inconclusive. The metabolites found to change over dose and time during methamphetamine exposure included amino acids, carbohydrates and fatty acids. The dose curve showed a build-up of carbohydrates, a decrease in octadecenoate and alterations to many amino acids with increasing dose. The results from the time course found an increase in L-glutamate and related metabolites, an increase in antioxidant amino acids and a decrease in carbohydrates over time. The changes suggest glutamate release, reactive oxygen species and disturbances to energy utilisation may be involved in the effect of methamphetamine upon neuronal cells. The study has confirmed that methamphetamine causes dose-dependent damage and death of neurons. Methamphetamine exposure resulted in quantifiable biochemical changes over dose and iii

time with the metabolite changes reflecting the known mechanisms of methamphetamine neurotoxicity. The result of this study furthers our understanding of neurochemical processes in response to methamphetamine and could potentially lead to the identification of therapeutic targets. iv

Table of Contents 1. Introduction... 1 1.1 The methamphetamine problem. 2 1.2 The effects of methamphetamine.4 1.2.1 Cardiovascular effects..4 1.2.2 Cognitive effects..4 1.2.3 Developmental effects..5 1.2.4 "Meth mouth"...5 1.2.5 Neurotoxic effects 6 1.2 Neurons and neurotransmitters 7 1.2.1 The neuron...7 1.2.1 Dopamine.8 1.2.2 Serotonin...10 1.2.3 Glutamate...11 1.4 Neurotoxicity of methamphetamine...12 1.41 Metabolism of methamphetamine...17 1.42 Methamphetamine addiction...17 1.5 Metabolomics.19 1.6 Gas chromatography-mass spectrometry...22 1.7 Aims...25 2. Materials and methods..26 2.1 Materials.26 2.1.1 Chemicals and kits.26 2.1.2 Cells...26 2.2 Methods.26 2.2.1 Cell culture 26 2.2.2 Cell counting.27 2.2.3 LDH assay.27 2.2.4 Harvesting.28 v

2.2.5 Extraction..29 2.2.6 Derivatization 29 2.2.7 Instrumental analysis.30 2.2.8 Data analysis..31 2.3 Experiments...31 2.3.1 LDH assay.31 2.3.2 Dose curve.31 2.3.3 Time course...32 3. Results... 33 3.1 Cell viability testing...33 3.2 Dose curve.37 3.2.1 Intracellular metabolites 37 3.2.2 Extracellular metabolites...41 3.3 Time course...46 3.3.1 Intracellular metabolites...46 3.3.2 Extracellular metabolites...50 4. Discussion... 55 4.1 Cell viability testing...55 4.2 Dose curve.56 4.2.1 Overall discussion of dose curve...59 4.3 Time course 60 4.3.1 Overall discussion of time course..63 4.4 Effect of methamphetamine...63 4.5 Limitations and expansions 64 4.6 Conclusion..66 5. References... 67 vi

Index to figures Figure 1.0 Chemical structures of methamphetamine and other psychostimulants 1 Figure 1.1 The two major routes of methamphetamine synthesis..3 Figure 1.21 Dental caries due to methamphetamine abuse 6 Figure 1.31 The basic structure of a neuron 7 Figure 1.32 The dopamine and serotonin pathways through the brain...9 Figure 1.33 The dopamine biosynthesis pathway.10 Figure 1.34 A serotonergic synapse..11 Figure 1.41 Pathways involved in methamphetamine neurotoxicity 12 Figure 1.42 Mechanisms whereby methamphetamine causes the release of dopamine and catecholamines..13 Figure 1.43 The main metabolic pathways of methamphetamine 18 Figure 1.51 Comparison of publications on metabolomic applications 20 Figure 1.61 Overview of the GC-MS instrument.23 Figure 3.11 Photographs of B50 cells after 48 hours of methamphetamine treatment 34 Figure 3.12 Cytotoxicity of methamphetamine measured by LDH assay 35 Figure 3.13 Cell viability after methamphetamine exposure measured by Trypan blue exclusion testing 36 Figure 3.21 PCA of GC-MS metabolomics data from B50 cells following exposure to methamphetamine at a range of doses..38 Figure 3.22 Changes in intracellular amino acids of B50 cells with dose of methamphetamine.39 Figure 3.23 Changes in intracellular metabolites of B50 cells with dose of methamphetamine..40 Figure 3.24 PCA of GC-MS metabolomic data from medium of B50 cells following exposure to methamphetamine at a range of doses...42 Figure 3.25 Changes in extracellular amino acids of B50 cells with dose of methamphetamine.43 Figure 3.26 Changes in extracellular amino acids of B50 cells with dose of methamphetamine.44 Figure 3.27 Changes in extracellular metabolites of B50 cells with dose of methamphetamine.45 Figure 3.31 PCA of GC-MS metabolomics data from B50 cells following 6, 24 or 48 hours exposure to methamphetamine.47 Figure 3.32 Changes over time of intracellular amino acids of B50 cells 48 vii

Figure 3.33 Changes over time of intracellular metabolites of B50 cells.49 Figure 3.34 PCA of GC-MS metabolomics data from medium of B50 cells following 6, 24 or 48 hours exposure to methamphetamine 51 Figure 3.35 Changes over time of extracellular amino acids of B50 cells 52 Figure 3.36 Changes over time of extracellular metabolites of B50 cells 53 Index to tables Table 1.5 A comparison of NMR, GC-MS and LC-MS.22 viii

List of abbreviations 5-HIAA 5-HT ATP B50 Ca 2+ CNS DAT DMEM EAA GABA GC 5-hydroxyindoleacetic acid 5-hydroxytryptamine Adenosine triphosphate B50 rat neuroblastoma cell line Calcium Central nervous system Dopamine transporter Dulbecco s modified Eagle s medium Excitatory amino acid γ-aminobutyric acid Gas chromatography IL-1 Interleukin 1 LC LDH m/z MAO MS MSTFA NMDA NMR nnos P2P PBS PCA PKC ROS SERT VMAT-2 Liquid chromatography Lactate dehydrogenase Mass to charge ratio Monoamine oxidase Mass spectrometry N-methyl-N-(trimethylsilyl)trifluroacetamide N-methyl- D -aspartate Nuclear magnetic resonance Nitric oxide synthase Phenyl-2-propanone Phosphate buffered solution Principal component analysis Protein kinase C Reactive oxygen species Serotonin transporter Vesicular monoamine transporter ix

Index to units o C Degrees centigrade µg Microgram µl Microlitre µm Micrometre µm Micromolar cm g g m mg ml mm mm rpm Centimetre Gram G-force Metre Microgram Millilitre Millimetre Millimolar Revolutions per minute x

Acknowledgements Although challenging, my Honours year has been one of the most rewarding experiences of my university education. It has given me an invaluable insight into the process of conducting research and taught me that persistence and hard work pays off. I have gained valuable knowledge from experienced supervisors and from being part of a fantastic team. I would like to sincerely thank my supervisors, Dr. Garth Maker and A/Prof. Ian Mullaney, for all their help throughout this year, for the support, patience and guidance they have given me. I would especially like to thank Garth for his proof reading, constructive feedback and always taking the time to answer my questions. I have enjoyed working with and, am immensely grateful to both of them. I extend my thanks to the metabolomics team: A/Prof. Robert Trengove, for his suggestions; Catherine Rawlinson, for her help and guidance with the GC-MS and my data processing; Maria Wenner, for her advice about my cells; Hayley Abbiss, for her assistance with the GC-MS; and to Dr. Joel Gummer, for answering my questions in the lab. To my fellow Honours students, thank you for listening to my troubles, for offering support and advice and most of all for making this year enjoyable. Lastly, I would like to thank my family for their support and understanding. I couldn t have completed this without them. xi