Literature DB >> 35122511

Clozapine induces astrocyte-dependent FDG-PET hypometabolism.

Andréia Rocha1, Bruna Bellaver1, Débora G Souza1, Guilherme Schu1,2, Igor C Fontana1, Gianina T Venturin3, Samuel Greggio3, Fernanda U Fontella1, Manoela L Schiavenin1, Luiza S Machado1, Diogo Miron4, Jaderson C da Costa3, Pedro Rosa-Neto5,6, Diogo O Souza1,7, Luc Pellerin8, Eduardo R Zimmer9,10,11.   

Abstract

PURPOSE: Advances in functional imaging allowed us to visualize brain glucose metabolism in vivo and non-invasively with [18F]fluoro-2-deoxyglucose (FDG) positron emission tomography (PET) imaging. In the past decades, FDG-PET has been instrumental in the understanding of brain function in health and disease. The source of the FDG-PET signal has been attributed to neuronal uptake, with hypometabolism being considered as a direct index of neuronal dysfunction or death. However, other brain cells are also metabolically active, including astrocytes. Based on the astrocyte-neuron lactate shuttle hypothesis, the activation of the glutamate transporter 1 (GLT-1) acts as a trigger for glucose uptake by astrocytes. With this in mind, we investigated glucose utilization changes after pharmacologically downregulating GLT-1 with clozapine (CLO), an anti-psychotic drug.
METHODS: Adult male Wistar rats (control, n = 14; CLO, n = 12) received CLO (25/35 mg kg-1) for 6 weeks. CLO effects were evaluated in vivo with FDG-PET and cortical tissue was used to evaluate glutamate uptake and GLT-1 and GLAST levels. CLO treatment effects were also assessed in cortical astrocyte cultures (glucose and glutamate uptake, GLT-1 and GLAST levels) and in cortical neuronal cultures (glucose uptake).
RESULTS: CLO markedly reduced in vivo brain glucose metabolism in several brain areas, especially in the cortex. Ex vivo analyses demonstrated decreased cortical glutamate transport along with GLT-1 mRNA and protein downregulation. In astrocyte cultures, CLO decreased GLT-1 density as well as glutamate and glucose uptake. By contrast, in cortical neuronal cultures, CLO did not affect glucose uptake.
CONCLUSION: This work provides in vivo demonstration that GLT-1 downregulation induces astrocyte-dependent cortical FDG-PET hypometabolism-mimicking the hypometabolic signature seen in people developing dementia-and adds further evidence that astrocytes are key contributors of the FDG-PET signal.
© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Entities:  

Keywords:  Astrocytes; Clozapine; FDG-PET; GLT-1; Glucose; Glutamate

Mesh:

Substances:

Year:  2022        PMID: 35122511     DOI: 10.1007/s00259-022-05682-3

Source DB:  PubMed          Journal:  Eur J Nucl Med Mol Imaging        ISSN: 1619-7070            Impact factor:   10.057


  47 in total

1.  Glutamate uptake stimulates Na+,K+-ATPase activity in astrocytes via activation of a distinct subunit highly sensitive to ouabain.

Authors:  L Pellerin; P J Magistretti
Journal:  J Neurochem       Date:  1997-11       Impact factor: 5.372

2.  Preferential transport and metabolism of glucose in Bergmann glia over Purkinje cells: a multiphoton study of cerebellar slices.

Authors:  L F Barros; R Courjaret; P Jakoby; A Loaiza; C Lohr; J W Deitmer
Journal:  Glia       Date:  2009-07       Impact factor: 7.452

Review 3.  Brain Glucose Metabolism: Integration of Energetics with Function.

Authors:  Gerald A Dienel
Journal:  Physiol Rev       Date:  2019-01-01       Impact factor: 37.312

4.  Ultrastructural localization of GLUT 1 and GLUT 3 glucose transporters in rat brain.

Authors:  R L Leino; D Z Gerhart; A M van Bueren; A L McCall; L R Drewes
Journal:  J Neurosci Res       Date:  1997-09-01       Impact factor: 4.164

5.  Dichloroacetate effects on glucose and lactate oxidation by neurons and astroglia in vitro and on glucose utilization by brain in vivo.

Authors:  Yoshiaki Itoh; Takanori Esaki; Kazuaki Shimoji; Michelle Cook; Mona J Law; Elaine Kaufman; Louis Sokoloff
Journal:  Proc Natl Acad Sci U S A       Date:  2003-03-31       Impact factor: 11.205

6.  Competition between glucose and lactate as oxidative energy substrates in both neurons and astrocytes: a comparative NMR study.

Authors:  Anne-Karine Bouzier-Sore; Pierre Voisin; Véronique Bouchaud; Eric Bezancon; Jean-Michel Franconi; Luc Pellerin
Journal:  Eur J Neurosci       Date:  2006-09       Impact factor: 3.386

Review 7.  Sweet sixteen for ANLS.

Authors:  Luc Pellerin; Pierre J Magistretti
Journal:  J Cereb Blood Flow Metab       Date:  2011-10-26       Impact factor: 6.200

8.  Higher transport and metabolism of glucose in astrocytes compared with neurons: a multiphoton study of hippocampal and cerebellar tissue slices.

Authors:  Patrick Jakoby; Elke Schmidt; Iván Ruminot; Robin Gutiérrez; L Felipe Barros; Joachim W Deitmer
Journal:  Cereb Cortex       Date:  2012-10-04       Impact factor: 5.357

9.  Glutamate uptake into astrocytes stimulates aerobic glycolysis: a mechanism coupling neuronal activity to glucose utilization.

Authors:  L Pellerin; P J Magistretti
Journal:  Proc Natl Acad Sci U S A       Date:  1994-10-25       Impact factor: 11.205

10.  Glial glutamate transporters mediate a functional metabolic crosstalk between neurons and astrocytes in the mouse developing cortex.

Authors:  Brigitte Voutsinos-Porche; Gilles Bonvento; Kohichi Tanaka; Pascal Steiner; Egbert Welker; Jean-Yves Chatton; Pierre J Magistretti; Luc Pellerin
Journal:  Neuron       Date:  2003-01-23       Impact factor: 17.173

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