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Microglia Activation in a Rodent Model of an Alcohol Use Disorder: the Importance of Phenotype, Initiation, and Duration of Activation

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Microglia Activation in a Rodent Model of an Alcohol Use Disorder: the Importance of Phenotype, Initiation, and Duration of Activation University of Kentucky UKnowledge Theses and Dissertations--Pharmacy College of Pharmacy 2013 MICROGLIA ACTIVATION IN A RODENT MODEL OF AN ALCOHOL USE DISORDER: THE IMPORTANCE OF PHENOTYPE, INITIATION, AND DURATION OF ACTIVATION Simon A. Marshall University of Kentucky, [email protected] Right click to open a feedback form in a new tab to let us know how this document benefits ou.y Recommended Citation Marshall, Simon A., "MICROGLIA ACTIVATION IN A RODENT MODEL OF AN ALCOHOL USE DISORDER: THE IMPORTANCE OF PHENOTYPE, INITIATION, AND DURATION OF ACTIVATION" (2013). Theses and Dissertations--Pharmacy. 25. https://uknowledge.uky.edu/pharmacy_etds/25 This Doctoral Dissertation is brought to you for free and open access by the College of Pharmacy at UKnowledge. It has been accepted for inclusion in Theses and Dissertations--Pharmacy by an authorized administrator of UKnowledge. For more information, please contact [email protected]. STUDENT AGREEMENT: I represent that my thesis or dissertation and abstract are my original work. Proper attribution has been given to all outside sources. I understand that I am solely responsible for obtaining any needed copyright permissions. I have obtained and attached hereto needed written permission statements(s) from the owner(s) of each third-party copyrighted matter to be included in my work, allowing electronic distribution (if such use is not permitted by the fair use doctrine). I hereby grant to The University of Kentucky and its agents the non-exclusive license to archive and make accessible my work in whole or in part in all forms of media, now or hereafter known. I agree that the document mentioned above may be made available immediately for worldwide access unless a preapproved embargo applies. I retain all other ownership rights to the copyright of my work. I also retain the right to use in future works (such as articles or books) all or part of my work. I understand that I am free to register the copyright to my work. REVIEW, APPROVAL AND ACCEPTANCE The document mentioned above has been reviewed and accepted by the student’s advisor, on behalf of the advisory committee, and by the Director of Graduate Studies (DGS), on behalf of the program; we verify that this is the final, approved version of the student’s dissertation including all changes required by the advisory committee. The undersigned agree to abide by the statements above. Simon A. Marshall, Student Dr. Kimberly Nixon, Major Professor Dr. James Pauly, Director of Graduate Studies MICROGLIA ACTIVATION IN A RODENT MODEL OF AN ALCOHOL USE DISORDER: THE IMPORTANCE OF PHENOTYPE, INITIATION, AND DURATION OF ACTIVATION DISSERTATION A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy in the College of Pharmacy at the University of Kentucky By S. Alex Marshall Lexington, Kentucky Co-Directors: Dr. Kimberly Nixon, Associate Professor of Pharmaceutical Sciences and Dr. James Pauly, Professor of Pharmaceutical Sciences Lexington, Kentucky 2013 Copyright © S. Alex Marshall 2013 ABSTRACT Chronic ethanol exposure results in neuroadaptations that drive the progression of an alcohol use disorder (AUD). One such driving force is alcohol-induced neurodegeneration. Neuroinflammation has been proposed as a mechanism underlying this damage. Although neuroinflammation is a physiological response to damage, overactivation of its pathways can lead to neurodegeneration. A hallmark indicator of neuroinflammation is microglial activation, but microglial activation is a heterogeneous continuum of phenotypes that can promote or inhibit neuroinflammation. Furthermore acute microglial activation is necessary to restore homeostasis, but prolonged activation can exacerbate damage. The diversity of microglia makes both the level and timecourse of activation vital to understanding their role in damage and/or recovery. The current set of experiments examines the effects of ethanol on microglia within the hippocampus and entorhinal cortex in a binge model of alcohol-induced neurodegeneration. In the first set of experiments, the phenotype of microglia activation was assessed using Raivich’s 5- stages of activation that separates pro- and anti-inflammatory forms of microglia. Morphological and functional assessments suggest that ethanol does not elicit classical microglial activation but instead induces partially activated microglia. In the second set of experiments, the earliest signs of microglial activation were determined to understand the initiation of microglial activation. Experiments indicated that activation occurred subsequent to previous evidence of neuronal damage; however, activation was accompanied by a loss of microglia and the discovery of dystrophic microglia. The final set of experiments examined whether alcohol-induced partial activation of microglia would show a differential response with further alcohol exposure. Experiments showed that animals previously exposed to ethanol showed a greater response to a second ethanol insult. Overall, these studies suggest that although alcohol may initially interrupt the normal microglia response, during abstinence from ethanol a partial activation phenotype appears that may contribute to recovery. Once activated, however, data suggest that these microglia are primed and upon subsequent exposure show an increased response. This heterogeneous microglial response with respect to time does not necessarily reflect a neuroinflammatory response that would be neurodegenerative but does imply that chronic ethanol consumption affects the normal neuroimmune system. KEYWORDS: microglia activation, alcohol use disorder, neurodegeneration, binge ethanol exposure, neuroinflammation MICROGLIA ACTIVATION IN A RODENT MODEL OF AN ALCOHOL USE DISORDER: THE IMPORTANCE OF PHENOTYPE, INITIATION, AND DURATION OF ACTIVATION By S. Alex Marshall Dr. Kimberly Nixon Co-Director of Dissertation Dr. James Pauly Co-Director of Dissertation Dr. James Pauly Director of Graduate Studies 9/6/2013 Date ACKNOWLEDGEMENTS Writing this dissertation was such a humbling experience because it reminded me that there are so many things we do not fully understand. With that in mind, I must first thank God who is not only omniscient but also gracious enough to share His knowledge with us. Secondly, I would like to thank my mentor Dr. Kimberly Nixon. Thanks for balancing my desire for independence with guided mentorship. Her patience and support helped me hone my skills as a researcher, professional, and educator. I would also like to thank the members of this committee who have assisted me over the last five years: Dr. James “Jim” Pauly, Dr. Linda Dwoskin, and Dr. Alexander “Sasha” Rabchevsky. Thanks for the guidance and insight that pushed me to probe deeper in the literature. A special thanks to Dr. Susan Barron who agreed to act as the outside examiner for this dissertation. None of this work would be possible without the support of my lab mates, both past and present: Dr. Matthew Kelso, Stephanie Morris, Dr. Daniel Liput, Chelsea Geil, Kevin Chen, Ayumi Deeny, and especially the current post-docs Drs. Justin McClain and Dayna Hayes. Thanks to my labmates for acting as both professional sounding boards and personal life coaches. It is because of the cooperative work atmosphere within the Nixon lab that I have truly enjoyed my tenure at UK. Thanks to all the staff whose tireless efforts played a major role in creating a culture that allowed me to focus on my research especially Catina Rossoll and Charolette Garland. I have been fortunate to be funded by various mechanisms while at UK including awards from the University of Kentucky Graduate School (Lyman T Johnson Award and travel stipends), the NIAAA (R01AA016959, R21AA016307, R41AA016499), and NIDA (T32 DA016176). iii To all my friends who have helped me along the way, I am forever grateful. A special thanks to my Bracktown Church family for keeping me uplifted, the members of UK’s BGPSA and diversity office for not allowing me to bury myself in books, the advisors and students of the BMW academy who let me practice my teaching skills, and my brothers in the Lexington Alumni Chapter of Kappa Alpha Psi Fraternity, Inc. for continually inspiring me to achieve. I also want to thank my family for their support throughout all my endeavors and for training me up to be the man I am today. I love you all: Percells, Marshalls, Boykins, Jacksons, Zanders, and Graddicks. To the three people I depend on most: Paula, Joseph, and Ashley Marshall. I appreciate all of your encouragement. Renee, thanks for your patience when the lab and work seemed to be my only focus. I am so lucky to have you at my side. Finally, I want to acknowledge those who have inadvertently inspired this work. In reflecting on why I chose to focus on alcohol abuse, I realized it was because of how much alcohol has shaped my life. From the death of my father at the hands of a drunk driver to witnessing the cognitive decline in the “neighborhood drunks”, my experiences have created a lifelong interest in understanding the mechanisms that underlie alcohol misuse. Even if my contribution is minute, furthering our understanding of the development of alcohol addiction will be a life well spent. Congratulations to my grandfather, Joseph E Marshall, Sr., who recognized an issue and has been sober for over 30 years. iv TABLE OF CONTENTS Acknowledgements ........................................................................................................ iii List of Tables ................................................................................................................
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