RETRACTED ARTICLE: Increased neuroinflammatory and arachidonic acid cascade markers, and reduced synaptic proteins, in brain of HIV-1 transgenic rats

Cognitive impairment has been reported in human immune deficiency virus-1- (HIV-1-) infected patients as well as in HIV-1 transgenic (Tg) rats. This impairment has been linked to neuroinflammation, disturbed brain arachidonic acid (AA) metabolism, and synapto-dendritic injury. We recently reported upregulated brain AA metabolism in 7- to 9-month-old HIV-1 Tg rats. We hypothesized that these HIV-1 Tg rats also would show upregulated brain inflammatory and AA cascade markers and a deficit of synaptic proteins. We measured protein and mRNA levels of markers of neuroinflammation and the AA cascade, as well as pro-apoptotic factors and synaptic proteins, in brains from 7- to 9-month-old HIV-1 Tg and control rats. Compared with control brain, HIV-1 Tg rat brain showed immunoreactivity to glycoprotein 120 and tat HIV-1 viral proteins, and significantly higher protein and mRNA levels of (1) the inflammatory cytokines interleukin-1β and tumor necrosis factor α, (2) the activated microglial/macrophage marker CD11b, (3) AA cascade enzymes: AA-selective Ca2+-dependent cytosolic phospholipase A2 (cPLA2)-IVA, secretory sPLA2-IIA, cyclooxygenase (COX)-2, membrane prostaglandin E2 synthase, 5-lipoxygenase (LOX) and 15-LOX, cytochrome p450 epoxygenase, and (4) transcription factor NF-κBp50 DNA binding activity. HIV-1 Tg rat brain also exhibited signs of cell injury, including significantly decreased levels of brain-derived neurotrophic factor (BDNF) and drebrin, a marker of post-synaptic excitatory dendritic spines. Expression of Ca2+-independent iPLA2-VIA and COX-1 was unchanged. HIV-1 Tg rats show elevated brain markers of neuroinflammation and AA metabolism, with a deficit in several synaptic proteins. These changes are associated with viral proteins and may contribute to cognitive impairment. The HIV-1 Tg rat may be a useful model for understanding progression and treatment of cognitive impairment in HIV-1 patients.


Background
Despite improved survival rates for human immunodeficiency virus (HIV-1)-infected patients due to antiretroviral therapy, HIV-1-associated neurocognitive disorders remain a significant public health burden [1,2]. Among HIV-1-infected patients, cognitive impairment is a serious complication of HIV-1-infection, and occurs in a substantial (15-50%) proportion of patients [2]. Indeed, a pilot study revealed high rates of asymptomatic neurocognitive impairment in perinatally infected HIVpositive young adults (67%) when compared with older subjects (19%) [3]. Another study highlighted that the prevalence of HIV-associated neurocognitive disorders is high even among long-standing aviremic HIV-positive patients [4].
Deficits in spatial learning also have been demonstrated in aged HIV-1 transgenic (Tg) rats [5,6]. The HIV-Tg rat contains the HIV-1 virus in its genome, but is not infectious because it lacks the gag and pol replication genes of the virus [7]. HIV-1 Tg rats express the functional viral envelope proteins glycoprotein (gp) 120 and trans-activator of transcription (Tat) in brain and circulating white cells [7]. It has been proposed that these rats can be used to examine effects of these envelope proteins in the absence of infection (viral replication), which may mimic the condition in patients given highly active antiretroviral therapy, who have limited (controlled) viral replication but persistent HIV-1 infection [8]. HIV-1 Tg rats demonstrate reduced spatial learning at 5 months of age, and by 7-9 months show neuroinflammation and upregulated brain arachidonic acid (AA) metabolic rates [5,6,9].
A relation of AA and its pro-inflammatory metabolites to neuronal apoptosis and synapse loss has been demonstrated in vivo and in vitro [22][23][24][25][26]. Furthermore, reduced dendritic spine density and complexity have been associated with deficits in learning, memory, and general cognitive function [12]. Neuronal loss also may result from insufficient trophic factors, including brainderived neurotrophic factor (BDNF) [27]. The postsynaptic dendritic proteins, drebrin and neurofilament light chain (L), are abundantly expressed in neurons [28][29][30][31], and changes in their expression have been used to evaluate neuronal damage [32,33]. Loss of drebrin has been associated with cognitive impairment in Alzheimer disease and mild cognitive impairment patients [32,[34][35][36][37]. However, an association between synapse loss and upregulation of the AA cascade has not been identified in vivo. In the current study we used 7-to 9month-old HIV-1 Tg rats to characterize the brain proinflammatory microenvironment and synaptic integrity (determined by levels of drebrin and neurofilament-L). We now show upregulated levels of AA cascade markers and of IL-1β and TNFα in the brain of these HIV-1 Tg rats, in association with lower levels of BDNF, drebrin and neurofilament-L.

Animals
This protocol was approved by the Animal Care and Use Committee of the Eunice Kennedy Shriver National Institute of Child Health and Human Development, and followed the National Institutes of Health Guide for the Care and Use of Laboratory Animals (NIH Publication 86-23). Seven-to 9-month-old male, specific pathogenfree, Fischer 344/Hsd HIV-1 Tg rats (n = 6) and agematched parental wild-type inbred Fischer 344/Hsd non-Tg control rats (n = 6) were purchased from Harlan Laboratories (Indianapolis, IN) and housed in an animal facility with controlled temperature, humidity, and 12-h light/dark cycle. Food (Teklad global 18% protein diet, 2018S (sterilized) for controls and 2918 (irradiated) for HIV-1 Tg rats (Harlan) [9] and water were provided ad libitum. After three days of acclimation, rats were anaesthetized with an overdose of CO 2 and decapitated. Their brain was rapidly excised, sagittally cut into four sections from the left and right hemispheres, frozen in 2methylbutane at -50°C, and stored at -80°C until studied. One section from the left hemisphere from each rat was used to isolate the cytosolic fraction, a corresponding section from the right hemisphere was used for total RNA extraction, and remaining sections from both hemispheres were used to prepare nuclear extracts.

Preparation of cytosolic fractions
Cytosolic brain fractions were prepared as reported [38]. One section from each brain was homogenized in a buffer containing 20 mM Tris-HCl (pH 7.4), 2 mM EGTA, 5 mM EDTA, 1.5 mM pepstatin, 2 mM leupeptin, 0.5 mM phenylmethylsulfonyl fluoride, 0.2 U/ml aprotinin, and 2 mM dithiothreitol, using a Polytron homogenizer. The homogenate was centrifuged at 100,000 g for 60 min at 4°C, and the resulting supernatant (cytosolic fraction) collected. Protein concentrations were determined using Bio-Rad Protein Reagent (Bio-Rad, Hercules, CA).

Transcription factor NF-Bp50 and NF-Bp65 activities
Nuclear extracts were prepared as reported [40,41] and protein concentrations were determined using Bio-Rad Protein Reagent (Bio-Rad). NF-Bp50 and NF-Bp65 activities were measured according to the manufacturer's instructions (Panomics, Freemont, CA), using nuclear extracts obtained from the control and HIV-1 Tg rats. Briefly, 10 μg of nuclear extract from each sample was preincubated with biotin-labeled NF-Bp50 or p65 oligonucleotides in a separate vial for 60 min. The labeled oligonucleotide-nuclear protein complexes were immobilized on a streptavidin-coated 96-well plate. The bound oligonucleotide nuclear protein complex was detected by adding NF-Bp50 or p65 antibody to the respective NF-Bp50 or p65 complex, followed by addition of secondary antibody conjugated to HRP. Color was developed with tetramethylbenzidine substrate and optical densities were measured at 450 nm. Values are expressed as percent of control. All experiments were conducted on 6 independent samples.

Measurement of active caspase-3 protein
Active caspase-3 protein was measured according to the manufacturer's instructions (Cell Signaling, Danvers, MA), using cytosolic brain fractions from the control and HIV-1 Tg rats Briefly, 100 μl (100 μg) of cytosolic fraction was incubated with pre-coated capture antibody in a microwell plate overnight at 4°C. After incubation, the target protein was captured by coated antibody. Following extensive washing, an HRP-linked secondary antibody was added to recognize the bound antibody complex. Color was developed with tetramethylbenzidine substrate and optical densities were measured at 450 nm. Values are expressed as percent of control. All experiments were conducted on 6 independent samples.

Immunohistochemistry
In a separate cohort of animals, astrocyte and microglia morphology was analyzed by immunohistochemistry. Following CO 2 anesthesia, the brain (n = 4) was rapidly excised, cut in the midsagittal plane, and the individual hemispheres immersion-fixed in 4% paraformaldehyde/ phosphate buffer (pH 7.2) for 18 h, followed by cryoprotection. Fifty-μm free-floating coronal serial cryosections of the forebrain were stored in solution (FD Neurotechnologies, Baltimore, MD) at -20°C. Sections (between +1.0 and 0.4 mm from bregma) were washed with phosphate buffered saline (PBS), equilibrated to room temperature (RT), transferred to 10 mM citrate buffer containing 0.05% Tween-20 and incubated 30 min at 80°C. Sections were then rinsed in PBS and incubated 2 h in blocking solution (2% goat serum, 1% bovine serum albumin, 0.1% Triton X-100 in automation buffer (Biomedia, Foster City, CA). Sections were incubated with anti-GFAP or ionized calcium binding adopter molecule 1 (Iba-1, 1:500, Dako, Glostrup, Denmark) in blocking solution for 18 h at 4°C, re-equilibrated to RT, washed with PBS, and incubated with Alexa Fluor antibody conjugates (1:250, Invitrogen, Carlsbad, CA) in blocking solution without Triton X-100 for 2 h at RT. Digital images of immunostaining in the somatosensory cortex and the dentate gyrus of the hippocampus were collected using a LSM 410 inverted confocal laser-scanning microscope (Carl Zeiss, Oberkochen, Germany) equipped with argon, HeNe, and iFlex 2000 PSU lasers. Image stacks were collected at 1.5 mm steps (20×) or 1.0 mm steps (63×) and displayed as a single image using 3D maximum projection.

Statistics
Data are expressed as mean ± SEM. We used t-tests for independent samples for group comparisons. We further tested significance using the false discovery rate (FDR) to correct for multiple comparisons. We set alpha = 0.01 to reduce type one error risk. An alpha = 0.01 and an n of 15 markers per mRNA and protein assays would give a 14% chance of at least one false positive for each mRNA and protein assay using the following formula 1-(1-.01)e 15 . A p value less than 0.01 and 0.001 is represented by ** and *** respectively.

Gp120 and tat proteins and neuroinflammatory markers in HIV-1 Tg rats
Gp120 and tat protein levels were detectable in cytosolic brain fractions of HIV-1 Tg but not of control rats (Figure 1A). Brain mRNA and protein levels for the astrocyte structural protein, GFAP, were not significantly altered in the HIV-1 Tg rats compared to controls (Figure 1B-C). As a molecular marker for activated microglia and macrophages [42], mRNA level of the CD11b was elevated significantly by 7.1-fold in the HIV-1 Tg compared with control brain ( Figure 1D), corresponding to a significant 190% elevation in CD11b protein ( Figure 1E) (p < 0.001).
To characterize regional specificity of the changes, we measured GFAP immunoreactivity and microglial markers in the hippocampus and somatosensory cortex. In contrast to the initial report on the HIV-1 Tg rat [7], histological examination of the somatosensory cortex (Figures 2 A-B) and of the hippocampus (Figures 2 C-D) did not indicate increased GFAP immunoreactivity in the HIV-1 Tg rats, as their cells maintained a normal thin process-bearing morphology and there was no evidence of astrocyte hypertrophy (Figures 2 E-H). When we examined the morphological phenotype of microglia within various brain regions using Iba-1+ to label diverse phenotypes, minimal differences from control were noted in the HIV-1 Tg rats (Figures 3 A-H). In the somatosensory cortex, microglia maintained a normal appearance with fine ramified processes and had no prominent evidence of activation or of a phagocytic phenotype (Figures 3 A-B). When these immunopositive cells were examined at higher magnification (Figures 3 E-F), the Iba-1+ cells displayed decreased arbor complexity. Given previous reports of deficits in a hippocampaldependent spatial memory task in HIV-1 Tg rats, we further examined the morphological phenotype of microglia within the dentate gyrus of the hippocampus. Overall labeling of Iba-1+ microglia was not significantly different in the HIV-1 Tg compared to control rats, with no evidence of overt microglia activation or amoeboid phenotype (Figures 3 C-D). At higher magnification, Iba-1+ microglia displayed fine processes and complicated arborization in the control brain ( Figure 3G). A distinct difference was noted in the Iba-1+ microglia in the HIV-1 Tg rat hippocampus, with the cells displaying diminished arbor complexity and approximately 50% shortened processes (p < 0.05 by t-test) as determined by a modified Sholl analysis ( Figure 3H), but with no evidence of amoeboid phagocytic microglia.

Increased proinflammatory cytokine response in HIV-1Tg brains
HIV-1 Tg rats showed significantly increased mRNA levels of inflammatory cytokines IL-1β (9.6-fold) (p < 0.001) and TNFα (3.5-fold) (p < 0.01) respectively (Figures 4A, B). These elevations corresponded to elevated brain protein levels of IL-1β (59%) and TNFα (45%) as compared to controls ( Figures 4C, D) (p < 0.01). There was a 73% increase in NF-Bp50 activity in HIV-1 Tg compared to control rat brain ( Figure 4E) (p < 0.01). However, NF-Bp65 activity did not differ significantly between groups ( Figure 4F). Figure 1 (A) Representative immunoblot of gp120 and tat protein in HIV-1 Tg rat brain (A), detected as described in Methods. mRNA levels of brain GFAP (B) and CD11b (D) in control and HIV-1 Tg rat brain, measured using real time RT-PCR, normalized to β-globulin and relative to control level (calibrator) using the ΔΔC T method. Representative immunoblots of (C) GFAP and (E) CD11b protein in control and HIV-1 Tg rat brain. Bar graphs are ratios of optical densities of individual protein bands to β-actin, expressed as percent of control. Data represent mean ± SEM, statistical significance: **p < 0.01, ***p < 0.001 as determined by unpaired ttest.
Upregulation of arachidonic cascade enzymes in HIV-1 Tg rat brain Brain protein and mRNA levels of a number of AA cascade markers were elevated significantly in HIV-1 Tg rats relative to controls. Mean mRNA levels of cPLA 2 -IVA, sPLA 2 -IIA and COX-2 were increased (p < 0.01) in HIV-1 Tg compared to control rats by 5-fold, 9-fold and   rats (B, D) and within the dentate gyrus of the hippocampus of control (E, G) and HIV-1 Tg (F, H) rats at 7 months of age. Images represent compiled zstack images collected throughout a 50 micron section. Higher magnification of individual representative cells demonstrates diminished arborization of Iba-1+ microglia primarily within the hippocampus. Microglia within defined regional areas were randomly selected (10/section/animal) and the projection distance of the processes was determined using a modified Sholl analysis. In the control brain, 90% (± 10%) of the processes projected past the 4 th Sholl while in the HIV-1 Tg rat this was decreased to only 40% (± 18%). Estimates of complexity of the dendritic branching were generated by counting the number of processes originating at cell body. The number of processes was not statistically different from the number in the HIV-1 Tg rat hippocampus, ranging between 5 and 6 in Tg rats and between 7 and 8 in controls, although complexity and secondary branching appeared lower. Figures 5A-C), but the iPLA 2 -VIA mRNA level did not differ between groups (HIV-1 Tg 0.92 ± 0.12 vs. control 1.00 ± 0.30). Mean mRNA levels of mPGES ( Figure 5D), COX-1 (HIV-1 Tg 0.87 ± 0.20 vs. control 1.00 ± 0.20) and cPGES (HIV-1 Tg 0.97 ± 0.20 vs. control 1.00 ± 0.20) were not significantly different between groups.

5-LOX, 15-LOX and p450 epoxygenase expression in HIV-1 Tg rat brain
There were statistically significant increases in mean brain mRNA levels of 5-LOX, 15-LOX and cytochrome p450 expoxygenase in HIV-1 Tg relative to control rats by 2.9-fold ( Figure 6A) (p < 0.001), 4.6-fold ( Figure 6B) (p < 0.01) and 4.4-fold ( Figure 6C), respectively. Upregulation of these was unaccompanied by significant elevations in the respective mean protein levels, whose increases in each case were only at p < 0.05 ( Figures  6D-F). Further, there was no significant difference in 12-LOX or TXS protein between groups (data not shown). Figure 4 mRNA levels of brain IL-1b (A) and TNFa (B) in control and HIV-1 Tg rats, measured using real time RT-PCR. Data are levels of brain IL-1β and TNFα in the HIV-1 Tg rat normalized to β-globulin and represented relative to control level (calibrator) using the ΔΔC T method. Representative immunoblots of (C) IL-1β and (D) TNFα protein in control and HIV-1 Tg rat brain. Bar graphs are ratios of optical densities of immunoblots to β-actin, expressed as percent of control (mean ± SEM). Representative brain transcription factor binding activities (DNA-protein complex) of NF-Bp50 (E) and NF-Bp65 (F) in control and HIV-1 Tg rats. DNA binding activity was measured in brain nuclear extracts as described in Methods. Data represent mean ± SEM. Statistical significance: **p < 0.01, ***p < 0.001 as determined by unpaired t-test.

Indications of neuronal damage and loss in HIV-1 Tg rat
The active caspase 3 protein level ( Figure 7A), and levels of neurofilament-L mRNA and protein ( Figures 7C, D) did not differ significantly between HIV-1 Tg and control rats, as the former mean decreased at p < 0.05 and the values for neurofilament-L increased only at p < 0.05. BDNF protein ( Figure 7B) and drebrin mRNA and protein ( Figures 7E, F) were significantly less in HIV Tg than control rats (p < 0.01).

Discussion
Direct effects of viral gp120 and tat proteins or secondary effects due to neuroinflammatory factors have been associated with HIV-1 infection and HIV-1 related cognitive impairment. HIV-1 Tg rats aged 7-9 months showed gp120 and tat protein in brain, accompanied by significantly elevated AA cascade markers. These differences were accompanied by significant (p < 0.01) elevations in mRNA levels of neuroinflammatory cytokines TNFα and IL-1β, and of the microglial marker CD11b, and reductions in mRNA and protein levels for the synaptic marker, drebrin. These changes occurred in the absence of significantly increased expression of GFAP protein, a marker of astrogliosis.

Elevations in the neuroinflammatory and the AA signaling cascade in HIV-1 Tg rats
We have reported increased cPLA 2 -IV and sPLA 2 -IIA activities in the brain of 7-to 9-month-old HIV-1 Tg rats [9]. Consistent with these findings, HIV-1 Tg rat brain in the present study showed elevated protein and mRNA levels (p < 0.01) of cPLA 2 -IVA and an elevated mRNA level of sPLA 2 -IIA, without a significant change in iPLA 2 -VIA or sPLA 2 -IIA protein levels. COX-2 mRNA and protein levels were significantly higher in HIV-1 Tg rats than controls, whereas COX-1, cPGES or TXS did not differ significantly, consistent with our report of an increased brain concentration of PGE 2 but not of TXB 2 in HIV-1 Tg rat brain [9]. mPGES protein and mRNA levels were also were not increased in HIV-1 Tg rats.
Our earlier study also showed elevated levels of leukotriene B 4 , a product of 5-LOX and leukotriene A 4 hydrolase, in the brain of HIV-1 Tg rats [9]. Consistent with that report, HIV-1 Tg brain in the present study showed significantly increased 5-LOX mRNA without a significant change in 12-LOX expression. This change was accompanied by increased mRNA levels of cytochrome p450 expoxygenase and 5-LOX. Given that epoxyeicosatrienoic acid produced by cytochrome p450 expoxygenase can be neuroprotective [43,44], the elevated brain mRNA level of cytochrome p450 epoxygenase in HIV-1 Tg may reflect a compensatory neuroprotective process. While elevations in protein levels of 5-LOX, 15-LOX and cytochrome p450 expoxygenase did not reach significance because of our requirement for multiple comparisons, in each case changes were in the same direction as elevations of the respective mRNA at p < 0.05.
The changes in the AA cascade markers noted in HIV-1 Tg rat brain may be related to microglial activation, with release of proinflammatory cytokines and activation of the NF-B transcription factor. NF-B binding sites are present on the promoter region of the gene transcripts of the AA cascade markers, cPLA 2 -IVA, sPLA 2 -IIA and COX-2 [45][46][47]. Cell culture studies have shown that IL-1β or TNFα can induce transcription of cPLA 2 , sPLA 2 and COX-2 genes in an NF-B-dependent manner [14][15][16][17]48]. NF-Bp50 is known to regulate transcription of pro-inflammatory genes [49,50] and can Figure 6 mRNA levels of brain 5-LOX BB (A), 15-LOX (B) and cytochrome p450 epoxygenase (C) in control and HIV-1 Tg rats, measured using real time TaqMan RT-PCR. Data represent individual transcript levels normalized to β-globulin, in HIV-1 Tg rat brain relative to control level (calibrator) using the ΔΔC T method. Representative immunoblots of (D) 5-LOX, (E) 15-LOX, and (F) cytochrome p450 epoxygenase protein in control and HIV-1 Tg rats. Bar graphs display ratios of optical densities of individual protein bands to β-actin, expressed as percent of control. Mean ± SEM, statistical significance: **p < 0.01, ***p < 0.001 as determined by an unpaired t-test.
influence HIV-1 gene expression [51]. Elevated DNA binding activity of NF-Bp50 in the HIV-1 Tg rat suggests that the elevated AA cascade markers in the current study may be related to increased levels of IL-1β and TNFα and increased NF-Bp50 DNA binding activity, but are independent of NF-Bp65.
In the absence of HIV-1 replication, the presence of gp120 and tat proteins in HIV-1 Tg rat brain likely account for microglial activation and the increased level of CD11b. In vitro, gp120 directly stimulates microglia and increases expression of CD11b [52]. However, microglia did show retraction of their processes and diminished complexity of arborization, which suggests an early reactive response. As we did not examine animals younger than 7 months, we cannot conclude that these changes were age-related. The altered microglial morphology in the hippocampus is of interest, given the role of the hippocampus in spatial learning tasks and the proposed involvement of microglia during synapse stripping and remodeling [53]. CD11b and Iba-1 cannot be used to distinguish between resident microglia and infiltrating blood borne monocytes. Thus, while we did not observe amoeboid brain macrophages, we cannot rule out a contribution of monocytes from the circulation, especially since gp120 can compromise the bloodbrain barrier [54].
In vitro, gp120 can stimulate AA release and PGE 2 formation in glial cells [19][20][21] and elevate levels of IL-1β in co-cultures of primary hippocampal neurons and astrocytes [19]. In the initial characterization of the HIV-1 Tg rat, a response of astrocytes was suggested by an increase in GFAP immunoreactivity [7]. In the current study, we did not find an astrocytic response. Consistent with no change in astroglial morphology, protein Figure 7 (A) Representative brain active caspase-3 level in control and HIV-1 Tg rats. The active caspase-3 level was measured in brain cytosolic fractions as described in Methods. Bar graphs are relative to control and were compared using an unpaired t-test, mean ± SEM. Representative immunoblots of BDNF (B), neurofilament-L (D) and drebrin (F) protein levels in control and HIV-1 Tg rats. Bar graphs display mean ± SEM optical densities of individual protein bands relative to β-actin, expressed as percent of control. mRNA levels of neurofilament-L (C) and drebrin (E) in control and HIV-1 Tg rat brain, measured using real time TaqMan RT-PCR. Data represent mean ± SEM mRNA levels in the HIV-1 Tg rat brain normalized to β-globulin, relative to control level (calibrator) using the ΔΔC T method. statistical significance: **p < 0.01, ***p < 0.001 as determined by an unpaired t-test. and mRNA levels of astroglial marker GFAP were not significantly altered. Further studies are needed to understand the role of astrocytes in HIV-1 infection. Similar to gp120, tat protein is also known to stimulate AA release and COX-2 expression in rat brain [55][56][57]. The changes observed with neuroinflammatory and AA cascade markers in HIV-1Tg rats could be due to the presence of tat protein in the HIV-1Tg brain. Altogether, viral proteins can induce neuroinflammatory and AA cascade markers in brain. Despite altered protein levels of the AA cascade enzymes 5-LOX, 12-LOX and p450 epoxygenase a p < 0.05 in HIV-1 Tg brain, these changes did not reach statistical significance at p < 0.01. This may be due to the small sample size; further studies are required to understand changes in HIV-1 Tg brain.

HIV-1 Tg rats show subtle changes in synaptic marker
Neuropathological features of human HIV-1 infection include cortical atrophy, altered dendritic arborization of neurons, and decreased synaptic density [10][11][12]58]. Neurons are vulnerable to both gp120 and the HIV-1 virus protein, tat [59,60]. Gp120 and tat are reported to induce apoptosis of neurons in vitro and in vivo [61][62][63] by activating caspases, particularly caspase-3 [59]. The current study did not show a statistically significant increase in the protein level of active caspase-3 in HIV-1 Tg rats. Damage and apoptosis of neurons would be manifest as a loss of neuronal and related markers. Within this framework, we now report a significantly lower mRNA and protein levels of the post-synaptic dendritic marker drebrin, and a reduced protein level of BDNF (p < 0.01). Protein and mRNA levels of neurofilament-L were reduced only at p < 0.05 in the HIV-1 Tg rats. Reduced BDNF is consistent with a report that gp120 reduces BDNF in rat brain in association with neuronal death [59]. A lifelong presence of gp120 in brain may impair neuronal development by reducing neurofilament and microtubule expression [32]. A significantly reduced level of drebrin suggests that altered synaptic structure contributes to cognitive-behavioral defects reported in the HIV-1 Tg rat [5,6].
In brain, microglia are the primary source of TNFα [64,65], and its release is implicated in neurotoxicity [66]. In HIV-1 Tg rats, elevated levels of IL-1β and TNFα and increased expression of AA cascade enzymes, have been implicated in neuronal damage [67] and cognitive-behavioral impairment [68][69][70][71][72][73]. A recent study indicates that similar changes could contribute to cognitive impairment in HIV-1 infected patients despite antiretroviral therapy [74]. An association of increased expression of AA cascade enzymes with neurocognitive/neurodegeneration also has been suggested for Alzheimer disease and vascular dementia [75,76]. In this regard, cPLA 2 inhibition or deletion improved learning and memory performance in a transgenic mouse model of Alzheimer disease [72]. Treatment with lithium or sodium valproate also was beneficial in HIV-1 associated dementia patients [77,78], possibly by attenuating neuroinflammation and an upregulated brain AA cascade [79,80]. Collectively, these observations suggest that neuroinflammation associated with increased AA metabolism can contribute to cognitive impairment, and that attenuation of AA release by inhibiting cPLA 2 may be beneficial.
The significant changes observed with AA cascade and neuroinflammation markers in HIV-1 Tg rats must be interpreted with caution because potential contamination of brain tissue by peripheral cells during cytosolic or total RNA isolation would give higher background levels for measured proteins, except for the neuron-specific marker drebrin. However, such changes are unlikely because we areported increased global brain AA incorporation from plasma in awake HIV-1 Tg rats [9]. Further examination is required to study the extent of activation of neuroinflammation and AA cascade markers in peripheral cells of HIV-1 Tg rats.
While differences between HIV-1 Tg and controls rates in several brain measures at the p < 0.05 level were not considered statistically significant because of the constraint of multiple comparisons (see Methods), they should be given some weight for several reasons, and might be reconsidered in the future with larger samples. This study was exploratory, and was focused on generating hypotheses that could be tested more discretely in the future. Importantly, many of the p < 0.05 changes in a protein occurred with a significant change at p < 0.01 in the respective mRNA, and vice versa, making the p < 0.05 change more credible.

Conclusion
Multiple markers of neuroinflammation and the AA cascade are upregulated, and levels of the postsynaptic markers drebrin and BDNF are reduced, in brain of 7to 9-month-old HIV-1 Tg rats compared with control rats. These changes may contribute to cognitive impairment in these rats, and likely are related to the presence of viral proteins that trigger activation of several pathways. Our study provides additional critical characterization of neuropathological changes in the mature HIV-1 Tg rat, further establishing this rat as a potentially useful animal model to examine disease progression and effects of therapeutic intervention that can impact treatment and understanding of cognitive and behavioral changes in HIV-1 infected patients. glial fibrillary acidic protein; gp120: glycoprotein 120; HIV: human immunodeficiency virus; IL-1β: interleukin-1β; iPLA 2: calcium-independent phospholipase A 2 ; mPGES: membrane prostaglandin E synthase; LOX: lipoxygenase; NF-κB: nuclear factor-kappa B; PG: prostaglandin; sPLA 2: secretory phospholipase A 2 ; TNFα: tumor necrosis factor α; Tg: transgenic; TX: thromboxane; TXS: thromboxane synthase.