Neurotoxicity resulting from ACR causes neuronal degeneration, neuronal energy inactivation, learning and memory alterations, and peripheral motor nerve injury (LoPachin et al., 2002a; Murray et al., 2020; Zhang et al., 2017). However, the underlying mechanism of ACR-induced neurotoxic phenotypes requires further clarification (Zong et al., 2019). This study indicates that neuroinflammation and neurotransmission impairment in the central neuron system contribute to ACR-mediated neurotoxicity at different intoxication periods in a time- and dose-dependent manner. Subsequently, it was confirmed that an increase in oxidative stress, as well as inflammatory cytokine release, and the activation of NLRP3-caspase 1-GSDMD related pathways represent essential responses to ACR-induced neurotoxicity. Additionally, the results reveal the biomarker of ACR-induced gait abnormality and neuronal survival, including α-syn aggression, a decrease in TH+ cell distribution and DA content, and the disruption of the ACh-related metabolism. This indicated that ACR-induced neurotoxicity was closely associated with the initiation and progression of neurodegenerative disease. Overall, these results enhance the understanding of the potential mechanisms of ACR-induced neurotoxicity. The cellular responses could present a more systematic insight for establishing alternative pathway strategies for assessing the risk associated with ACR.
In the central nervous system, ACR-induced damage is a systematic response that can be attributed to injury to the cerebellum and cerebrum. Gait abnormality, weakness of the skeletal muscles, and hind limb numbness are typical symptoms of ACR toxicity and are closely related to the dysfunction of the cerebellum and axon damage (Erkekoglu and Baydar, 2014). In this study, representative phenotypes, including an increase in the gait score and foot landing splay, started 21 d and 10 d after 25 mg/kg and 50 mg/kg ACR exposure, respectively (Fig. 1E). At the end of the intonation period (54th day), a slight gait abnormality was observed in the 5 mg/kg ACR exposure group. The histological results also confirmed ACR-induced neuron loss, Purkinje cells pyknosis, and inflammatory cell infiltration in cerebellum (Fig. 2G and Fig. 2H). In hippocampus, histological staining showed a loose, disordered cellular arrangement of pyramidal cells in the CA3 regions (Fig. 2A), while the number of Nissl bodies was visibly reduced in the DG regions of the medium- and high-dose ACR-exposed mice (Fig. 2E). CA3 is crucial for working memory processes, as well as retrieving and consolidating short-term memory, while DG is essential for spatial memory encoding (Denny et al., 2014). In line with our results, the ACR-induced injury of the CA3 and DG regions resulted in learning and memory damage during the Morris water maze test conducted by Liu et al. (Liu et al., 2020). Thus, neurological deficits of cerebellum and cerebrum could contribute to ACR-induced gait abnormality.
Evidence has shown that gait abnormality-related neurodegenerative alterations are related to decreased neuron function (Jafarian et al., 2015). The neurobiological markers of cholinergic and dopaminergic neurons were also investigated in this study, showing that ChAT and AChE were the key enzymes involved in the synthesis and metabolism of ACh (Vijayaraghavan et al., 2013). The data showed that ACR decreased the ACh level and inhibited the ChAT activity in a dose-dependent manner while significantly increasing AChE activity (Fig. 4A and Fig. 4B). Furthermore, the rate-limiting enzyme, TH, is responsible for the synthesis of DA, while TH-positive cells represent dopaminergic neurons (Daubner et al., 2011). Immunocytochemistry and Western blot analysis were used to assess the TH-positive cells and the expression of TH protein. Results showed that TH protein expression was significantly decreased, while a loss in dopaminergic neurons was evident in the striatum of the mice subjected to ACR treatment (Fig. 4G and Fig. 4E). Subsequently, all ACR doses reduced the DA levels in the brains of the mice (Fig. 4D), indicating that the dopaminergic neurons represent a primary site for ACR activity. Additionally, Barber and LoPachin (Barber and LoPachin, 2004) indicated that the neurological imperfections affiliated with ACR exposure are conciliated by damaged peripheral and central synaptic neurotransmission. α-syn is essential for adequately supplying synaptic vesicles in the presynaptic terminals in physiological conditions (Lautenschläger et al., 2017). Aggregated α-syn could induce fibrils and accumulate the pathological hallmark in neurodegenerative diseases (Stefanis, 2012). A high expression of aggregated α-syn was found in the brains of ACR-exposed mice (Fig. 4G). The mechanism by which α-syn aggregation induces neuronal toxicity may occur via α-syn and TH interaction, decreasing TH activity and releasing DA (Pan et al., 2012). Therefore, it is inferred that ACR-induced neurotoxicity occurs due to a decrease in the DA and ACh levels, reduced ChAT activity and TH expression, as well as an increase in AChE activity and α-syn aggregation, ultimately suppressing cholinergic and dopaminergic neuronal functionality.
Oxidative stress and inflammatory response are present during the entire neurological process of ACR intoxication. Exposure to ACR at 5 mg/kg, 25 mg/kg, and 50 mg/kg was associated with significant upregulation in the levels of ROS, MDA, and 8-OHdG, while downregulating the GSH levels in the brains of the mice (P < 0.05, Fig. 3). Unbalanced redox status and pro-inflammatory cytokine release are crucial mediators of neuroinflammation, further contributing to acute and chronic ACR-induced neurodegeneration in the central nervous system. Moreover, this study highlighted the involvement of the NLRP3 inflammasome pathway in ACR-induced neuroinflammation. In both the cerebellum and cerebrum, ACR-induced NF-κB-related NLRP3 priming allowed the assembly of the NLRP3 inflammasome, activating downstream signaling cascades, which included ASC, cleaved caspase-1, N-GSDMD, IL-1β, and IL-18 (Fig. 6 and Fig. 7). These findings were consistent with previous work, which reported the release of IL-1β in vitro (Zhao et al., 2017a, b). The results suggest that the NLRP3- caspase-1-GSDMD enrolled neuroinflammation, which occurred in both the cerebellum and cerebrum, possibly contributed to the pathogenesis of the gait abnormality and neurological deficit induced by ACR.
In recent years, the involvement of NLRP3-related pathways in exogenous chemically-induced neurotoxicity has received significant attention and include cadmium, arsenic trioxide, and molybdenum (Pei et al., 2019; Pi et al., 2021; Zhang et al., 2020), while concerns have been raised due to its association with neuroinflammation and neurodegenerative diseases. A study by Zong et al. in 2019 indicated that the neurotoxic effects of ACR included microglial activation, while neuroinflammation was found in both the BV2 cell model and the cerebral cortex of rats (Zong et al., 2019). Liu’s work further reported that chronic exposure to ACR caused microglial activation, causing the release of inflammatory factors. The IL-1β level was enhanced via NLRP3 inflammasome activation, increasing other inflammatory factors that directly caused neuronal damage in the cerebrum of rats (Liu et al., 2020). However, in previous research, the hippocampus and frontal cortex in the cerebrum were mainly considered to be associated with ACR-induced neurotoxicity (Liu et al., 2020). The cerebellum, skeletal muscle, and peripheral nerves are also vulnerable targets and are closely related to exogenous stimuli-induced gait abnormality and neurological injury (De La Monte and Kril, 2014). Here, our study fully demonstrated that neuronal damage, neurotransmission impairment, and neuroinflammation in both of the cerebellums and cerebrums of mice mutually contributed to ACR-induced gait abnormality. Additionally, the endpoints at different times in conjunction with exposure to the low, medium, and high ACR dosages represent acute, subacute, and sub-chronic neurotoxic responses in this study. Therefore, the causal relationship among behavioral phenomena, such as gait abnormality, and the potential mechanism of oxidative stress, inflammation response, neurotransmission impairment, and neuroinflammation, is more clearly evident in our study.