<p>This thesis deals with the highly potent olfactory mucosa toxicant 2,6-dichlorophenyl methylsulphone (2,6-diClPh-MeSO₂) and its non-toxic 2,5-chlorinated isomer (2,5-diClPh-MeSO₂). In mice, both substances bind firmly in the olfactory mucosa and the olfactory bulb, which are important components of the sensory system. The 2,6-isomer induces olfactory mucosal necrosis with permanent loss of olfactory neuroepithelium and olfactory nerves. A major objective was to clarify the cause of this isomer-specific toxicity, and to identify which physicochemical characteristics determine the olfactory toxicity. The neurobehavioural toxicity of these substances was also examined.</p><p>The results revealed a rapid CYP-catalysed covalent binding of 2,6-diClPh-MeSO₂ in the rat olfactory mucosa, whereas the 2,5-dichlorinated isomer was not covalently bound. </p><p>Acute and chronic olfactory mucosal pathology were investigated and compared in rats and mice. Twenty-four hours after dosing to rats, 2,6-diClPh-MeSO₂ induced Bowman’s glands necrosis and sloughing of the olfactory epithelium similar to that previously reported in mice. At 3 weeks, however, there were dramatic differences in histological lesions. In mice, large parts of olfactory epithelium were replaced by respiratory-like epithelium. Large, bilateral, fibrous, cartilage and bone containing polyps occluding the lumen were confirmed. In rats, only minor patches of olfactory epithelium were replaced by a metaplastic atypical respiratory-like epithelium. 2,5-diClPh-MeSO₂ was non-toxic in rats as well as in mice.</p><p>In mice, 2,6-diClPh-MeSO₂ induced a dose-dependent and long-lasting ( ≥12 weeks) hyperactivity as well as long-lasting maze learning deficits. At 2 weeks hyperactivity and maze learning deficits were observed also in rats. Unexpectedly, 2,5-diClPh-MeSO₂ induced hyperactivity that lasted for two weeks. No effect on maze learning was observed with this isomer. No major differences between male and female rats or mice were found.</p><p>In conclusion, the results show that a CYP-catalysed formation and covalent binding of a reactive 2,6-diClPh-MeSO₂-metabolite in the Bowman’s glands precede the high olfactory mucosal toxicity in rodents. As determined by QSAR-modelling, a 2,6-dichlorinated benzene derivative with a large, polar, and strong electron withdrawing substituent in the primary position has the potential of being an olfactory mucosal toxicant. The observed 2,6-diClPh-MeSO₂-induced increase in motor activity, and maze learning deficits, were not correlated to the olfactory mucosal lesions. I propose that 2,6-diClPh-MeSO₂ causes a direct effect in the brain leading to neurobehaviuoral deficits. </p>

This thesis investigates the neurotoxic effects in mice neonatally co-exposed to different toxic environmental agents during a defined critical period of the brains's rapid growth and development. Environmental toxic agents are incorporated in our environment. The agents investigated in this thesis are ortho-substituted polychlorinated biphenyls (PCBs 52, and 153), co-planar PCB (PCB 126), polybrominated diphenyl ether (PBDE 99), methyl mercury (MeHg), and γ-radiation. Several epidemiological studies show that human exposure to environmental agents during early development can affect childhood cognitive development. The brain growth spurt (BGS) is defined by rapid growth and development of the immature brain. For rodents (rats and mice) the BGS is postnatal spanning the first 3-4 weeks after birth. For humans this period begins during the third trimester of pregnancy and continues throughout the first two years of life. Several studies have shown that the BGS period of the brain's development renders the brain vunerable and susceptible to insults caused by environmental agents. The combinations of environmental agents used in this thesis were: PCB 52 + PBDE 99, PCB 153 + MeHg, PCB 126 + MeHg, PBDE 99 + MeHg, and γ-radiation + MeHg. The studies presented in this thesis show that co-exposure to low doses of environmental agents lead to interaction effects. These effects of interaction include defective spontaneous behavior, diminished habituation capabilities and hyperactive condition, decreased learning and memory abilities, and reduction in the nicotinic cholinergic receptor densities. Traditionally environmental agents are evaluated one at a time to investigate their effects of toxicity. This thesis indicates that the effects of interaction caused by co-exposure were often seen at doses where exposure to the individual environmental agent alone did not cause any effect. The observed effect of co-exposure were often as pronounced as a dose up to ten times the individual environmental agent alone.

Title: “A comparative study of the impact of sustained and intermittent docetaxel chemotherapy in brain in a mouse model” Ji Zhang Master of Science Graduate Department of Pharmaceutical Sciences, University of Toronto November, 2011 Abstract A subset of patients suffers cognitive impairment during or long after chemotherapy. This may result from chemotherapeutic agents crossing the blood brain barrier (BBB). This thesis examined the effects of docetaxel (DTX) on brain toxicity, and the effects of different dosing schedules on brain DTX concentrations and neurotoxicity. Examination of DTX treated mice (total dose of 32mg/kg) revealed appreciable amounts of DTX crossed the BBB after either intermittent (four weekly doses) or sustained (one injection of DTX-PoLigel) administration despite differences in peak drug concentrations and overall exposure profiles. Measurements of autophagy and astrocytes activation not only provided evidence of DTX caused neurotoxicity in the central nervous system, but also revealed a link between dosing schedule and neurotoxicity. Furthermore, the discovery suggested connections between DTX brain exposure, diverse biological events (such as BBB permeability and reactive oxygen species activity), and the microenvironment at synapse-neuron junctions, which should be further explored.

Title: “A comparative study of the impact of sustained and intermittent docetaxel chemotherapy in brain in a mouse model” Ji Zhang Master of Science Graduate Department of Pharmaceutical Sciences, University of Toronto November, 2011 Abstract A subset of patients suffers cognitive impairment during or long after chemotherapy. This may result from chemotherapeutic agents crossing the blood brain barrier (BBB). This thesis examined the effects of docetaxel (DTX) on brain toxicity, and the effects of different dosing schedules on brain DTX concentrations and neurotoxicity. Examination of DTX treated mice (total dose of 32mg/kg) revealed appreciable amounts of DTX crossed the BBB after either intermittent (four weekly doses) or sustained (one injection of DTX-PoLigel) administration despite differences in peak drug concentrations and overall exposure profiles. Measurements of autophagy and astrocytes activation not only provided evidence of DTX caused neurotoxicity in the central nervous system, but also revealed a link between dosing schedule and neurotoxicity. Furthermore, the discovery suggested connections between DTX brain exposure, diverse biological events (such as BBB permeability and reactive oxygen species activity), and the microenvironment at synapse-neuron junctions, which should be further explored.

This thesis deals with the highly potent olfactory mucosa toxicant 2,6-dichlorophenyl methylsulphone (2,6-diClPh-MeSO2) and its non-toxic 2,5-chlorinated isomer (2,5-diClPh-MeSO2). In mice, both substances bind firmly in the olfactory mucosa and the olfactory bulb, which are important components of the sensory system. The 2,6-isomer induces olfactory mucosal necrosis with permanent loss of olfactory neuroepithelium and olfactory nerves. A major objective was to clarify the cause of this isomer-specific toxicity, and to identify which physicochemical characteristics determine the olfactory toxicity. The neurobehavioural toxicity of these substances was also examined. The results revealed a rapid CYP-catalysed covalent binding of 2,6-diClPh-MeSO2 in the rat olfactory mucosa, whereas the 2,5-dichlorinated isomer was not covalently bound. Acute and chronic olfactory mucosal pathology were investigated and compared in rats and mice. Twenty-four hours after dosing to rats, 2,6-diClPh-MeSO2 induced Bowman’s glands necrosis and sloughing of the olfactory epithelium similar to that previously reported in mice. At 3 weeks, however, there were dramatic differences in histological lesions. In mice, large parts of olfactory epithelium were replaced by respiratory-like epithelium. Large, bilateral, fibrous, cartilage and bone containing polyps occluding the lumen were confirmed. In rats, only minor patches of olfactory epithelium were replaced by a metaplastic atypical respiratory-like epithelium. 2,5-diClPh-MeSO2 was non-toxic in rats as well as in mice. In mice, 2,6-diClPh-MeSO2 induced a dose-dependent and long-lasting ( ≥12 weeks) hyperactivity as well as long-lasting maze learning deficits. At 2 weeks hyperactivity and maze learning deficits were observed also in rats. Unexpectedly, 2,5-diClPh-MeSO2 induced hyperactivity that lasted for two weeks. No effect on maze learning was observed with this isomer. No major differences between male and female rats or mice were found. In conclusion, the results show that a CYP-catalysed formation and covalent binding of a reactive 2,6-diClPh-MeSO2-metabolite in the Bowman’s glands precede the high olfactory mucosal toxicity in rodents. As determined by QSAR-modelling, a 2,6-dichlorinated benzene derivative with a large, polar, and strong electron withdrawing substituent in the primary position has the potential of being an olfactory mucosal toxicant. The observed 2,6-diClPh-MeSO2-induced increase in motor activity, and maze learning deficits, were not correlated to the olfactory mucosal lesions. I propose that 2,6-diClPh-MeSO2 causes a direct effect in the brain leading to neurobehaviuoral deficits.

Aβ oligomer-induced neurotoxicity has become an important area of therapeutic development in treating Alzheimer’s disease. Platelet-derived growth factor (PDGF) has been shown to be able to protect neurons against several neuronal insults such as ischemia and HIV1 toxin induced cytotoxicity. These neuroprotective effects correlate well with our previous results that demonstrate the neuroprotective effects of PDGF-BB, one of the PDGF receptor ligand subtypes, against NR2B containing NMDA receptor induced excitotoxicity, a possible underlying cause of Aβ oligomer induced synaptic dysfunction and neuronal death. This project examines the neuroprotective effect of PDGF-BB against Aβ1-42 oligomer induced cytotoxicity in both SH-SY5Y cells and primary hippocampal neurons. Cell viability was monitored by MTT assay and the affected signaling pathways were examined using pharmacological methods and Western blotting. The results demonstrated that Aβ1-42 oligomer elicited a dose-dependent toxicity with a sign of saturation at higher dosages, PDGF-BB failed to protect neurons against Aβ1-42 oligomer induced cytotoxicity. In contrast, Aβ1-42 oligomers strongly inhibit PDGF-BB induced mitogenesis in both SH-SY5Y cells and primary neurons. Further investigation using Western blotting to measure PDGF receptor expression and phosphorylation in SH-SY5Y cells showed that Aβ1-42 oligomer can inhibit PDGF-BB induced phosphorylation of PDGF β-receptor on Tyr1021, a site that is crucial for PLCγ mediated mitogenesis. These findings not only explained the poor neuroprotective effect elicited by PDGF-BB against Aβ1-42 oligomers, but also led to a novel hypothesis that Aβ1-42 oligomer may interfere with neurotrophic factor induced neuronal survival, either selectively or perhaps globally. Further exploration on this hypothesis will be able to shed light on this potentially novel mechanism of pathogenesis in Alzheimer’s disease.

Aβ oligomer-induced neurotoxicity has become an important area of therapeutic development in treating Alzheimer’s disease. Platelet-derived growth factor (PDGF) has been shown to be able to protect neurons against several neuronal insults such as ischemia and HIV1 toxin induced cytotoxicity. These neuroprotective effects correlate well with our previous results that demonstrate the neuroprotective effects of PDGF-BB, one of the PDGF receptor ligand subtypes, against NR2B containing NMDA receptor induced excitotoxicity, a possible underlying cause of Aβ oligomer induced synaptic dysfunction and neuronal death. This project examines the neuroprotective effect of PDGF-BB against Aβ1-42 oligomer induced cytotoxicity in both SH-SY5Y cells and primary hippocampal neurons. Cell viability was monitored by MTT assay and the affected signaling pathways were examined using pharmacological methods and Western blotting. The results demonstrated that Aβ1-42 oligomer elicited a dose-dependent toxicity with a sign of saturation at higher dosages, PDGF-BB failed to protect neurons against Aβ1-42 oligomer induced cytotoxicity. In contrast, Aβ1-42 oligomers strongly inhibit PDGF-BB induced mitogenesis in both SH-SY5Y cells and primary neurons. Further investigation using Western blotting to measure PDGF receptor expression and phosphorylation in SH-SY5Y cells showed that Aβ1-42 oligomer can inhibit PDGF-BB induced phosphorylation of PDGF β-receptor on Tyr1021, a site that is crucial for PLCγ mediated mitogenesis. These findings not only explained the poor neuroprotective effect elicited by PDGF-BB against Aβ1-42 oligomers, but also led to a novel hypothesis that Aβ1-42 oligomer may interfere with neurotrophic factor induced neuronal survival, either selectively or perhaps globally. Further exploration on this hypothesis will be able to shed light on this potentially novel mechanism of pathogenesis in Alzheimer’s disease.

Oxaliplatin is an anticancer drug widely used in cancer chemotherapy. This thesis evaluates whether a specific dose-banding scheme for oxaliplatin could replace the individual dosing method that is currently used in the oxaliplatin administration. Dose-banding was introduced into UK clinical practice in 2001, as it reduces delays in patients receiving their treatment and, through quality control and end-product testing, safeguards the infusion quality and patient safety. A range of studies were included in this thesis: an extended stability study on oxaliplatin infusions using a sequential temperature cycling design; studies on oxalate, a potential degradation product and metabolite of oxaliplatin which has been linked to oxaliplatin neurotoxicity and the development of an ex vivo pharmacokinetic (PK) simulation model to compare the effect of different oxaliplatin dosing methods on its therapeutic outcomes. The shelf-life of oxaliplatin infusions over a concentration range of 0.2 mg/mL – 0.7 mg/mL is extended to 84 days when stored at 2 – 8℃ plus a further 7 days after being left at room temperature (25℃) for 24 hours. This ensures the unused oxaliplatin infusions are safe to be re-issued to patients, which could reduce drug wastage. The oxalate study suggests that the dose-limiting neurotoxicity of oxaliplatin is unlikely to be directly related to the oxalate produced from oxaliplatin degradation in infusions or from the non-enzymic transformation of oxaliplatin in vivo because the oxalate levels from these routes are minor compared to the endogenous level. The safety and efficacy of dose-banding schemes was demonstrated by comparing the simulated PK characteristics gained from the ex vivo model. Dose-banding with the +10% maximum deviation was selected as the most promising dosing scheme for oxaliplatin. Finally, recommendations are made concerning the introduction of oxaliplatin dose-banding scheme into clinical practice, and on the benefits of harmonised dose-banding schemes.

As doenças neurodegenerativas tais como as doenças de Alzheimer, Parkinson e desordens cerebrovasculares constituem-se em uma das principais causas de morbidade e de mortalidade na vida adulta. Além disso, o desequilíbrio entre os sistemas de geração e de proteção antioxidante celulares, chamado de estresse oxidativo, desempenha um papel importante nos danos neuronais causados pelos processos isquêmicos, provocando alterações funcionais em macromoléculas e promovendo a lipoperoxidação de membranas. Substâncias com dupla atividade anticolinesterásica e antioxidante vêm sendo consideradas como uma nova abordagem terapêutica para o tratamento farmacológico da doença de Alzheimer, incentivando a investigação e o estudo de produtos naturais para o desenvolvimento de fármacos novos e eficientes. Nesse estudo empregamos um modelo in vitro de fatias hipocampais de ratos, submetidas à privação de oxigênio e glicose (POG) e os métodos de avaliação da toxicidade dos alcalóides empregados foram a liberação da enzima lactato desidrogenase (LDH) citosólica e redução do MTT (viabilidade mitocondrial). Os alcalóides boldina e vincamina promoveram um aumento de 40 % na liberação de LDH nas fatias que sofreram POG na concentração de 100 μM, além de aumentos significativos na liberação desta enzima também nas fatias controles. Psicolatina e reserpina também tiveram efeitos neurotóxicos. Foi verificado que a POG em fatias hipocampais promove uma diminuição nas medidas do potencial antioxidante total (TRAP) e reatividade antioxidante total (TAR), de 63 % e 16,5 %, respectivamente, além de causar um aumento nos níveis de malonodialdeído liberado pelas fatias, detectado pelo ensaio de espécies reativas ao ácido tiobarbitúrico (TBA-RS). Entretanto, este efeito foi revertido pela presença de boldina nas concentrações de 10 μM e de 50 μM. Este mesmo alcalóide, com reconhecida atividade antioxidante, também demonstrou ser um seqüestrador de radicais peroxila mais potente que o padrão Trolox. Além disso, os alcalóides indólicos monoterpênicos coronaridina, venalstonina, andrangina, vincadiformina e voacristina, além da boldina, exibiram potentes atividades antioxidante e anticolinesterásica em ensaios autobiográficos in vitro. / Neurodegenerative disorders, such as Alzheimer, Parkinson and cerebrovascular diseases are one of the major causes of morbidity and mortality in the middle aged and the elderly. Also, the imbalance between the activity of free radicals generation and scavenging systems, called oxidative stress, plays a important role in the neuronal damages caused by ischemia, leading to functional alterations in macromolecules and promoting lipoperoxidation in membranes. Acetylcholinesterase inhibitors and antioxidant compounds have been extensively investigated as new pharmacological strategies for the symptomatic treatment of Alzheimer disease. In this way, natural products are potentially important in an attempt to develope newer and safer drugs. In the present study, we selected the in vitro model of oxygen and glucose deprivation (OGD) in hippocampal slices and the methods used to assess the neurotoxicity of the alkaloids were cellular lactate dehydrogenase (LDH) release and reduction of MTT salt (mitochondrial activity). Both alkaloids boldine and vincamine 100 μM promoted a 40 % increase in LDH release in POG slices, as well as significant increases in the activity of this enzyme in control slices. Psychollatine and reserpine had also neurotoxic effects. It was also verified that OGD decreased the measurements of total antioxidant potential (TRAP) in 63 % and the total antioxidant reactivity (TAR) levels in 16.5 %, as well as an increase in the malondialdehyde levels by slices, which was detected by thiobarbituric acid-reactive substances (TBA-RS). However, this effect was prevented by the presence of boldine 10 μM and 50 μM. This alkaloid is a known antioxidant and it displayed a potent scavenger activity for peroxyl radicals, when compared with Trolox. Another finding is that the monoterpene indole alkaloids coronaridine, venalstonine, andrangine, vincadifformine, voacristine and also boldine exhibited both potent antioxidant and acetylcholinesterase inhibitor activities in in vitro autobiographic assays.

Os meios de contraste iodados são substâncias radiopacas utilizadas em mielografias e, muito embora o iohexol e o iopamidol sejam considerados seguros na rotina mielográfica de humanos e animais, eventos adversos são relacionados ao seu uso. O iobitridol foi desenvolvido mais recentemente, sendo seu desenho molecular obtido após pesquisas sobre a conformação, distribuição e natureza permanente da estrutura hidrofílica; no entanto, estudos referentes à neurotoxicidade do iobitridol com administração subaracnóide são escassos e inconclusivos. O objetivo do presente trabalho foi comparar a neurotoxicidade do iobitridol com a do iohexol, por via intracisternal em ratos Wistar, como avaliação pré-clínica da utilização deste como agente mielográfico. Foram utilizados 75 animais divididos em três grupos experimentais de 25 animais: iobitridol, iohexol e NaCl 0,9% (grupo controle), e; estes subdivididos em cinco subgrupos com cinco animais cada, com doses distintas de 200, 400, 600, 800 e 1000 mg I/kg, sendo utilizado no grupo controle o volume equivalente aos meios de contraste testados. Os animais foram avaliados no momento da aplicação do iohexol e iobitridol quanto a alterações do trato respiratório, e posteriormente, aos 5, 15, 30, 60, 120, 180 e 240 minutos após este procedimento, quanto a sinais de depressão e excitação, reflexos tátil de agarramento palmar, flexor, extensor, palpebral, pupilar e da pina, reação de endireitamento e posicionamento e resposta auditiva. Nos sete dias subseqüentes, foram avaliados diariamente quanto a estes parâmetros, e ainda mensurados o peso e a ingestão de ração e de água. Não foram observadas diferenças estatisticamente significativas entre os grupos testados com meios de contraste, em nenhum dos parâmetros avaliados. Nesse modelo animal o iobitridol demonstrou baixa neurotoxicidade, comparável a observada com o iohexol, tornando-o uma possibilidade alternativa para utilização pela via subaracnóidea para realização de mielografias. / The iodinated contrast agents are radiopaque substances used in myelography, and although the iohexol and iopamidol are considered safe in human and animal myelographic routine, adverse events are related to their use. The iobitridol was recently developed, and its molecular designs obtained after research on the configuration, distribution and permanent nature of hydrophilic structure; however, neurotoxicologic studies of iobitridol in subarachnoid administration are scarce and inconclusive. The purpose of this study was to compare the neurotoxicity of iobitridol with iohexol, by intracisternal administration in Wistar rats, as pre-clinical evaluation of the use of this substance as myelographic agent. Seventy five animals were used, divided into three experimental groups with twenty five animals: iobitridol, iohexol and NaCl 0,9% (control group); and they are divided into five subgroups of five animals each, with different doses of 200, 400, 600, 800 and 1000 mg I/kg, while the control group received the equivalent volume of contrast media tested. The animals were evaluated during injection of iohexol and iobitridol on changes of respiratory tract, and subsequently at 5, 15, 30, 60, 120, 180 and 240 minutes after this procedure, for signs of depression and excitement, tactile palmar grasp, flexor, extensor, palpebral, papillary and pinna reflexes, surface righting and placing reactions, and auditory startle test. The evaluations were assessed daily for seven days these parameters, and the body weight and food and water intake were also measured. There were no statistically significant differences between groups tested with respect to any of the evaluated parameters, in other words, in this animal model, the iobitridol demonstred low neurotoxicologic potential, comparable to the observed with iohexol. In conclusion, iobitridol should be a safe alternative to myelography.