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Methamphetamine METH is one of the most widely abused synthetic drugs in the world. The users generally present hyperthermia HT and psychiatric symptoms. METH treatment increased core body temperature and up-regulated LDH activity and the molecular expression of canonical necroptotic factors in the striatum of rats. METH abuse can cause irreversible damage to many systems, such as the nervous system, the cardiovascular system, the digestive system, and the skin Cadet et al. Additionally to its strong addiction properties, METH has a strong toxic effect on the entire nervous system. Striatal neurons are extensively linked to multiple brain regions related to addiction, learning, and memory. They also play essential roles in stimulating and maintaining movement, emotional control, reward effect, and drug dependence Alexander et al. Studies have shown the degeneration of dopaminergic terminals and the death of cell bodies in the striatum following METH treatment Zhu et al. Apoptosis is the most focused type of neuronal cell death. However, the inhibition of the apoptotic pathway only partially inhibited METH-induced cell death Kanthasamy et al. Necroptosis is a regulated variant of necrosis that displays a necrotic morphological feature Font-Belmonte et al. Necroptosis can be regulated, initiated, transmitted, and executed by specific factors and blocked by several inhibitors, such as Necrostatin-1 Nec-1 He et al. In this pathway, RIP3 phosphorylation is a key step in the occurrence of necroptosis. Therefore, RIP3 has been the core and characteristic molecule in the study of necroptosis Meng et al. An elevated core body temperature can rapidly upregulate a variety of stress proteins, such as heat shock proteins HSPs Yan et al. National Institutes of Health. Primary cultures of rat striatum tissues were separated from fetal Sprague-Dawley SD rats embryonic day In brief, rat striatum tissues were extracted with the aid of a dissecting microscope under sterile conditions. Half of the culture media were replaced every 2 days. Male SD rats, each weighing — g at the beginning of the experiment, were obtained from the Animal Center of Central South University. Rats were sacrificed by decapitation at 1, 12, or 24 h after the last injection of METH or saline. The rectal temperature of rats was monitored by an electronic thermometer throughout METH treatment, at 30 min after each injection, and rectal temperature 30 min before METH treatment was considered as the baseline. After anesthetized by i. Firstly, we conducted the pretest study to explore the suitable concentration of the lentivirus for infecting primary cultured striatal neurons. Then change the medium after infecting for 24 h, and continue to infect for 72 h. The GFP positive cells were captured by a fluorescence microscope. The formal experiment was carried out for infecting primary cultured neurons at MOI:3 after infecting for 72 h. Propidium iodide PI staining was used to identify necrotic cells Shang et al. Images acquired with a fluorescence microscope using the same exposure time were captured for five random fields of each group. The LDH assay is a non-radioactive colorimetric assay. In brief, cell culture plates were centrifuged at 1, rpm for 5 min, followed by harvesting the cell-free culture supernatants from each well of the plate and then incubated with the working reagent mixture at RT for 30 min. Subsequently, the optical density of each well in the assay was measured with a microplate reader at the wavelength of and nm. The optical density is directly proportional to the LDH activity and the percentage of necrotic cells. Rat striatum tissues were quickly removed and immediately homogenized in 0. The optical density of each group was detected with a microplate reader at the wavelength of nm. All the staining procedures were in parallel and images were captured using the same settings at five random fields of view on each coverslip with a fluorescence microscope. We measured the protein concentration of these samples by BCA assay. And then high sensitivity chemiluminescence reagent CWBIO was used to visualize the immunoreactive bands. To ensure consistency of the results, all experiments were replicated at least three times. It usually reaches a peak 30 min after METH treatment. As shown in Figure 1A , there was no significant difference in the basal body temperature of rats treated with a saline solution. The temperatures also increased with the number of injections and reached about These results indicate that the rats treated with METH displayed higher temperatures than the rats treated with saline. Changes in core body temperature, LDH activity, and canonical necroptotic factors expression in the striatum of rats following METH administration. A METH treatment increased core body temperature. B Necrosis in the striatum of rats was determined by LDH cytotoxicity assay. Sal group. The activated forms of RIP3 and MLKL are optimal biomarkers to detect necrosis and to assess the diagnosis or prognostic of diseases related to necrotic injuries He et al. Therefore, we first speculated whether METH administration could cause the corresponding molecular changes in the striatum of rat brains Figures 1C—G. The purity of the striatal neuronal cells was assessed on the 7th day by immunoreactivity to microtubule association protein-2 Map In all, A Cell morphological changes of striatal neurons treated with METH for 3 and 6 h under a light microscope. To determine whether necroptosis occurred in primary cultures of striatum neurons exposed to METH and HT, we employed the necroptosis inhibitor Nec-1 and two necrosis detecting methods. We did not observe any apparent PI-positive cells necrotic cells after PI staining in the control group. The quantitative analysis of the number of necrotic cells showed that their number increased dramatically in the METH and HT treatment groups. However, the co-treatment with METH and HT significantly increased the expression of both canonical necroptotic molecules. CTL group. Firstly, we found the best working concentration of GA with literature reviews and experimental verifications Chen et al. This effect was reversed in cells pre-treated with GA Figure 5A. Thus, MOI: 3 was selected for further experiments. We observed few PI-positive cells necrotic cells in the control group and an increased number of necrotic cells following METH and HT treatment for 6 h. Of the three sequences, the shRNA 3 lentivirus-transfected group had the lowest number of necrotic cells Figure 6E. Therefore, the shRNA 3 lentivirus sequence was chosen in the following infective experiment. We did not detect obvious RIP3-positive green cells by immunostaining in the saline group but their number slightly increased after 1 h and significantly increased after 24 h in the METH group Figure 8B. Generally, neuronal death is observed with one-day intervals in rats. After one day, cell death may no longer be evident as the dying cells may have undergone phagocytosis before lysis Deng et al. Thus, we performed our experiments 24 h after the METH insult. LDH cytotoxicity assays in vivo were also conducted. METH group. G Necrosis in the striatum of rats was determined by LDH cytotoxicity assay. These results provided potential therapeutic targets and clinical diagnostic biomarkers for future use. Thus, animal in vivo and in vitro models have been highly useful in identifying the neurochemical and physiological mechanisms of METH-induced HT. Several dose regimens of METH administration have been evaluated in rodent studies, i. The core body temperature of rats reached 38— In the present study, a binge dose of METH significantly increased the core body temperature to The measured core body temperature was slightly lower than that observed in Chauhan et al. Thus, we performed our HT experiments in vitro at HSP is a group of highly conserved proteins that respond to several stressors, including heat stress. They also play a role in cellular repair and the induction of thermotolerance Yan et al. As an important chaperone molecule, HSP90 supports the folding of many important proteins, including signalling proteins and transcription factors. In response to stress, HSP gene expression is activated by cis -acting promoter elements which consist of variations of an inverted repeat sequence nGAAn called heat shock elements HSE and a homotrimeric DNA-binding transcription factor--heat shock factor 1 HSF1 in eukaryotic cells Ahn and Thiele, In this study and many others, the concentration of METH used to promote cell death is in the millimolar range, which is several orders of magnitude higher than that in the blood of abusers. For example, the mean blood concentration of METH in human abusers e. Melega et al. However, METH is distributed preferentially in the brain rather than in the plasma. The concentrations of METH in the frontal cortex, striatum, and cerebellum of rats were more than fold higher than in the plasma Melega et al. Meanwhile, systemic responses, such as immune responses and HT, might play crucial roles in METH-induced toxicity in vivo Papageorgiou et al. Therefore, the concentration of METH used to promote direct neurotoxicity in vitro should be higher than the one required in vivo. A millimolar range concentration is often used to study the mechanism of METH neurotoxicity in culture studies Huang et al. Moreover, we observed a particularly obvious increase in necrotic cell death 6 h after treatment with 4 mM METH, suggesting a high level of neuronal cytotoxicity. Therefore, we used this concentration to mimic the impact of high doses of METH in individuals who are acutely exposed to the substance. The sub-toxic effects of lower doses of METH 0. This mode of administration is also closer to an overdose in humans Davidson et al. METH primarily affects multiple functional areas in the human brain Lu et al. The striatum is associated with movement disorders and is involved in the control of attention, executive function, motivated behaviours, and neuropsychiatric conditions, such as compulsive disorders, psychoses, and addictive behaviours Zhu et al. METH exposure can cause neuronal apoptosis and autophagy. Many studies indicated that the death of striatal neurons occurred by apoptosis and autophagy after METH exposure Zhu et al. Xu et al. However, the inhibition of these molecules cannot protect all the neurons, indicating that apoptosis and autophagy may mediate the degeneration of only some of them. Since necrosis was discovered, it was mainly believed that it was a form of cell death that cannot be accurately intervened. When the necroptosis process was discovered, the research on necrosis received more attention. Multiple molecules are involved in necroptosis. This pathway is briefly described as follows: the death ligands bind to the corresponding receptors to pass the death signal into the cells. This may cause an excessive accumulation of ROS Chtourou et al. The formation of these pores can deregulate the balance in the concentration of metal ions inside and outside the cell membrane and eventually promote cell necrosis Cho et al. Our previous study showed that treatment with 4 mM METH for 12 h induced necroptosis in the cortical neurons of rats in vitro Xiong et al. Additionally, Zhao et al. Interestingly, pyroptosis, an inflammasome-associated regulatory necrosis, is closely associated with the pathogenesis of neurodegenerative diseases Wang et al. That is to say, METH abuse may cause a variety of regulatory cell necrosis. Further research is needed to clarify this hypothesis. KX and JY designed the study. L-S L conducted the experiments, analyzed the data, and prepared the article and images. KH prepared the article and images. All authors approved the final version of the article. All authors agreed to be accountable for all aspects of the study to ensure that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The authors thank all the authors for their contribution to this work. The authors would like to thank Professor Jufang Huang for providing the experimental platform. The authors would like to thank the language-editing service provided by Wordvice. Ahn, S. Genes Dev. Akerfelt, M. Cel Biol 11 8 , — Alexander, G. Ares-Santos, S. Neuropsychopharmacology 39 5 , — Badisa, R. Behrouzvaziri, A. PLoS One 10 5 , e Bowyer, J. Buffum, J. Overdose of 2. Psychoactive Drugs 33 4 , — Cadet, J. Neurotox Res. Calabresi, P. Neuroscience 78 1 , 39— Chatterjee, A. Care Med. Chauhan, H. Chen, W. Chen, X. ACS Chem. Cho, Y. Cell 6 , — Chtourou, Y. Crean, R. Neuroscience 2 , — Davidson, C. Brain Res. Degenhardt, L. Drug Pol. Deng, X. Ding, W. BMC Neurosci. Font-Belmonte, E. Neural Regen. Grad, I. PLoS One 5 12 , e Granado, N. Methamphetamine and Parkinson's Disease. Parkinsons Dis. Guo, L. Guo, W. Cancer Res. Gutierrez, A. He, J. He, S. Biomarkers for the Detection of Necroptosis. Cell Mol Life Sci 73 , — Herin, D. Psychopharmacology Berl 4 , — Hermane, J. Herring, N. Hu, X. Front Cel Dev Biol 9, Huang, E. Huang, J. Huang, W. Huang, Y. Jiang, N. Cell Death Discov 7 1 , Kanthasamy, K. Neuropharmacol 9 1 , 49— Kojima, T. Forensic Sci. Krasnova, I. Methamphetamine Toxicity and Messengers of Death. Kumar, P. Cold Spring Harb Protoc. Lepock, J. Hyperthermia 21 8 , — Li, D. Cell Chem Biol 23 2 , — Liao, L. Acta Biochim. Sin Shanghai 49 10 , — Lin, D. Liu, X. Cell Death Dis 7 7 , e Liu, Y. Lu, S. Sin Shanghai 53 5 , — Marco, C. Hyperthermia Associated with Methamphetamine and Cocaine Use. Mechan, A. Melega, W. Synapse 61 4 , — PubMed Abstract Google Scholar. Meng, L. Miller, D. Elevated Environmental Temperature and Methamphetamine Neurotoxicity. Papageorgiou, M. Methamphetamine and its Immune-Modulating Effects. Maturitas , 13— Paratz, E. The Cardiac Complications of Methamphetamines. Heart Lung Circ. Parhamifar, L. Methods Mol. Potvin, S. Raineri, M. Ren, W. Medicine Baltimore 95 5 , e Ruan, Z. Implications of Necroptosis for Cardiovascular Diseases. Sabrini, S. Neurotoxicology 77, 20— Shang, L. Sin Shanghai 49 2 , — Simon, S. Sprague, J. Body Temperature Regulation and Drugs of Abuse. Handb Clin. Sreedhar, A. FEBS Lett. Sun, L. Cell , — Tata, D. Addiction Suppl. Valian, N. Cel Biochem 6 , — Vieira, M. Voss, A. Development 1 , 1— Wang, M. Wang, S. Immunopharmacol 67, — Wang, Z. Cel Physiol 6 , — Histopathol 33 8 , — Weinlich, R. Necroptosis in Development, Inflammation and Disease. Cel Biol 18 2 , — Wen, X. Neuroscience 3 , — Wu, H. Free Radic. Wu, X. CNS Neurol. Drug Targets. Xiao, H. Science , — Xiong, K. Vitro 35, — Vitro 44, 1— Xu, X. Yamamoto, B. Amphetamine Toxicities: Classical and Emerging Mechanisms. Y Acad. Yan, W. Yan, Y. Pathophysiological Factors Underlying Heatstroke. Hypotheses 67 3 , — Yang, X. Yin, X. Yuan, J. Zhang, S. Regulation of Human Hsp90alpha Gene Expression. Zhao, X. Faseb j 35 5 , e Zhu, J. Keywords: methamphetamine, hyperthermia, heat shock protein 90 alpha, necroptosis, receptor-interacting protein 3. The use, distribution or reproduction in other forums is permitted, provided the original author s and the copyright owner s are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher. Top bar navigation. About us About us. Sections Sections. About journal About journal. Article types Author guidelines Editor guidelines Publishing fees Submission checklist Contact editorial office. Statistical Analysis To ensure consistency of the results, all experiments were replicated at least three times.

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