Methotrexate induces astrocyte apoptosis by disrupting folate metabolism in the mouse juvenile central nervous system

Yanfei Shao1, Biqin Tan2, Jing Shi3

  • 1Department of Pharmacy, Zhejiang Provincial People's Hospital, Hangzhou Medical College, Hangzhou 310014, China; Department of Pharmacy, Hangzhou Medical College, Hangzhou 310053, China.

Toxicology Letters
|December 4, 2018
PubMed

Insights

Methotrexate (MTX) causes neurotoxicity by inducing astrocyte apoptosis, impacting the central nervous system. Folate supplementation may mitigate this MTX-induced toxicity in patients.

Area of Science:

  • Neuroscience
  • Cell Biology
  • Pharmacology

Background:

  • Methotrexate (MTX) is a key treatment for childhood acute lymphoblastic leukemia (ALL).
  • MTX is known to cause neurotoxicity, but the mechanisms remain unclear.
  • Astrocytes play crucial roles in central nervous system (CNS) function and homeostasis.

Purpose of the Study:

  • To investigate the neurovirulence of MTX on astrocytes in the CNS.
  • To elucidate the cellular mechanisms underlying MTX-induced neurotoxicity.

Main Methods:

  • In vitro studies using C6 astrocyte-like cell lines and primary rat astrocyte cultures.
  • In vivo studies in adolescent mice, examining spinal cord and brain tissues.
  • Assessment of astrocyte viability, GFAP expression, and apoptosis markers (PARP, pro-Caspase-3).
  • Evaluation of the effects of dihydrofolate reductase (DHFR) overexpression and folate supplementation.

Main Results:

  • MTX induced dose-dependent cytotoxicity in astrocytes in vitro.
  • MTX significantly reduced GFAP-labeled astrocytes in the mouse CNS.
  • MTX treatment led to apoptosis in astrocytes, evidenced by reduced PARP and pro-Caspase-3 levels.
  • Overexpression of DHFR or addition of folate reversed MTX-induced astrocyte toxicity via folate metabolism.

Conclusions:

  • MTX induces astrocyte apoptosis in vitro and in vivo, contributing to neurotoxicity.
  • Disruption of folate metabolism is implicated in MTX-induced astrocyte damage.
  • Folate supplementation presents a potential therapeutic strategy to alleviate MTX neurotoxicity.