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BIOCHEMICAL AND FUNCTIONAL STUDIES OF SYNAPTAMIDE (N-DOCOSAHEXAENOYLETHANOLAMINE), A METABOLITE OF DOCOSAHEXAENOIC ACID (DHA) THESIS PRESENTED BY SHILPA SONTI TO THE BOUVÉ GRADUATE SCHOOL OF HEALTH SCIENCES IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY IN PHARMACEUTICAL SCIENCES WITH SPECIALIZATION IN PHARMACOLOGY NORTHEASTERN UNIVERSITY BOSTON, MASSACHUSETTS December 13, 2016

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Page 1: Biochemical and functional effects of synaptamide (n ...cj82ps26x/... · b. rationale 35 c materials and general methods 38-41 c.1 animals 38 c.2 radioactive compounds 38 c.3 chemicals

BIOCHEMICAL AND FUNCTIONAL STUDIES OF SYNAPTAMIDE

(N-DOCOSAHEXAENOYLETHANOLAMINE),

A METABOLITE OF DOCOSAHEXAENOIC ACID (DHA)

THESIS PRESENTED BY SHILPA SONTI

TO THE BOUVÉ GRADUATE SCHOOL OF HEALTH SCIENCES IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE

DEGREE OF DOCTOR OF PHILOSOPHY IN PHARMACEUTICAL SCIENCES WITH

SPECIALIZATION IN PHARMACOLOGY

NORTHEASTERN UNIVERSITY BOSTON, MASSACHUSETTS

December 13, 2016

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2

Northeastern University

Bouvé College of Health Sciences

Dissertation Approval Dissertation title: BIOCHEMICAL AND FUNCTIONAL EFFECTS OF SYNAPTAMIDE,

(N-DOCOSAHEXAENOYLETHANOLAMINE), A METABOLITE OF

DOCOSAHEXAENOIC ACID (DHA) Author: SHILPA SONTI

Program: Doctor of Philosophy in Pharmaceutical Sciences with a specialization in

Pharmacology Approval for dissertation requirements for the Doctor of Philosophy in: Pharmaceutical Sciences

Dissertation Committee (Chairman) Date

Other committee members:

Date.

Date.

Date.

Date.

Date. __

Dean of the Bouve College Graduate School of Health Sciences:

Date.

Samuel Gatley

Ralph Loring

Robert Campbell

Barbara Shukitt-Hale

Jeanine Mount

Jonghan Kim

Ralph Loring

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GLOSSARY

ABSTRACT 6

ACKNOWLEDGEMENTS 7

LIST OF ABBREVIATIONS 8

LIST OF TABLES 10

LIST OF FIGURES 11

A BACKGROUND AND SIGNIFICANCE 14-34

A.1 SIGNIFICANCE 14

A.2 INTRODUCTION TO LIPIDS 14

A.3 FATTY ACIDS 18

A.4 DOCOSAHEXAENOIC ACID 21

A.4.1 SYNTHESIS, UPTAKE AND RELEASE OF DHA 21

A.4.2 ROLE OF DHA IN MEMBRANE SYNTHESIS AND MODULATION 25

A.4.3 ROLE OF DHA IN NEURITOGENESIS AND SYNAPTOGENESIS 27

A.5 IS DHA RESPONSIBLE FOR ALL THE EFFECTS SEEN WITH ITS SUPPLEMENTATION?

28

A.6 SYNAPTAMIDE (N-DOCOSAHEXAENOYLETHANOLAMINE) 30

A.6.1 SYNTHESIS, UPTAKE AND METABOLISM 31

A.6.2 FUNCTIONAL ROLE OF SYNAPTAMIDE 32

B. RATIONALE 35

C MATERIALS AND GENERAL METHODS 38-41

C.1 ANIMALS 38

C.2 RADIOACTIVE COMPOUNDS 38

C.3 CHEMICALS 38

C.4 EQUIPMENT 39

C.5 N27 CELL CULTURE 39

C.6 STATISTICAL ANALYSIS 41

D SYNTHESIS OF SYNAPTAMIDE 42-57

D.1 INTRODUCTION 42

D.2 METHODS 45

D.2.1 SYNTHESIS OF N-ACYLETHANOLAMINES IN MOUSE BRAIN HOMOGENATES

45

D.2.2 SYNTHESIS OF N-ACYLETHANOLAMINES IN N27 CELLS 46

D.2.3 LIPID EXTRACTION 46

D.2.4 RADIO-TLC ANALYSIS 46

D.3 RESULTS 47

D.3.1 SYNAPTAMIDE IS SYNTHESIZED IN MOUSE BRAIN HOMOGENATES 47

D.3.2 IN VITRO SYNAPTAMIDE SYNTHESIS 49

D.4 DISCUSSION 54

D.5 CONCLUSION 56

E UPTAKE OF SYNAPTAMIDE– IN VITRO AND IN VIVO STUDIES 58-86

E.1 INTRODUCTION 58

E.2 METHOD 61

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E.2.1 DETERMINATION OF TIME DEPENDENT SYNAPTAMIDE PARTITONING OVER TIME

62

E.2.2 ANALYSIS OF RADIOTRACER UPTAKE IN VIVO: MICRODISSECTION STUDIES

63

E.2.3 DETERMINATION OF RADIOTRACER UPTAKE IN VITRO 63

E.2.4 LIPID EXTRACTION FROM N27 CELLS 64

E.3 RESULTS 65

E.3.1 IN VIVO SYNAPTAMIDE UPTAKE 65

E.3.1.1 EXOGENOUS SYNAPTAMIDE ENTERS THE BRAIN 65

E.3.1.2 EXOGENOUS SYNAPTAMIDE IS TAKEN UP DIFFERENTIALLY INTO DIFFERENT BRAIN REGIONS

67

E.3.1.3 [14

C]SYNAPTAMIDE DISTRIBUTION PATTERN IN MOUSE BRAIN IS

DIFFERENT FROM THAT OF [14

C]ANANDAMIDE 68

E.3.1.4 [14

C]SYNAPTAMIDE UPTAKE IN VIVO IS HIGHER THAN THAT OF

[14

C]DHA. 70

E.3.2 IN VITRO UPTAKE STUDIES 72

E.3.2.1 ANANDAMIDE AND SYNAPTAMIDE HAVE SIMILAR UPTAKE PROFILES IN N27 CELLS

72

E.3.2.2 ANANDAMIDE AND SYNAPTAMIDE UPTAKE IN UNDIFFERENTIATED CELLS IS REGULATED BY THEIR HYDROLYSIS.

75

E.3.2.3 ANANDAMIDE AND SYNAPTAMIDE UPTAKE INTO UNDIFFERENTIATED N27 CELLS IS SIMILAR TO THAT OF AA AND DHA BUT NOT IN DIFFERENTIATING CELLS.

79

E.4 DISCUSSION 81

E.5 CONCLUSION 86

F ROLE OF FAAH ON SYNAPTAMIDE METABOLISM 87-111

F.1 INTRODUCTION 87

F.2 METHOD 88

F.2.1 MICRODISSECTION STUDIES WITH FAAH 88

F.2.2 FAAH ACTIVITY ASSAY 89

F.2.3 COMPETITION BINDING ASSAY 90

F.2.4 LIPID EXTRACTION 91

F.2.4.1 LIPID EXTRACTION FROM BRAIN HOMOGENATES 91

F.2.4.2 LIPID EXTRACTION FROM N27 CELLS 91

F.2.5 RADIO-TLC ANALYSIS 92

F.2.5.1 ONE-DIMENSIONAL TLC 92

F.2.5.2 TWO-DIMENSIONAL TLC 92

F.3 RESULTS 93

F.3.1 ROLE OF FAAH ON SYNAPTAMIDE UPTAKE IN VIVO 93

F.3.1.1 EFFECT OF FAAH INHIBITOR ON CRAIN AND BLOOD CARBON-14

LEVELS AFTER [14

C]SYNAPTAMIDE 93

F.3.2 ROLE OF FAAH ON SYNAPTAMIDE UPTAKE IN VITRO 94

F.3.2.1 SYNAPTAMIDE UNDERGOES HYDROLYSIS BY FAAH 94

F.3.2.2 THE HYDROLYSIS OF SYNAPTAMIDE BY FAAH IS SPONTANEOUS AS 97

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WELL AS TISSUE MEDIATED.

F.3.2.3 SYNAPTAMIDE INHIBITS ANANDAMIDE HYDROLYSIS IN CRUDE BRAIN HOMOGENATES.

98

F.3.3 END FATE OF SYNAPTAMIDE 100

F.3.3.1 SYNAPTAMIDE INCORPORATES INTO PHOSPHOLIPIDS IN VIVO. 100

F.3.3.2 SYNAPTAMIDE PARTITIONS INTO PHOSPHOLIPIDS IN VITRO. 101

F.3.3.3 PHOSPHOLIPID PARTITIONING OF [14C-ETHANOLAMINE]SYNAPTAMIDE VERSUS [14C-DOCOSAHEXAENOYL]SYNAPTAMIDE

105

F.4 DISCUSSION 107

F.5 CONCLUSION 110

G FUNCTIONAL EFFECT OF EXOGENOUS DHA AND SYNAPTAMIDE ON NEURITOGENESIS

112-128

G.1 INTRODUCTION 112

G.2 METHOD 114

G.2.1 NEURITE ANALYSIS 115

G.3 RESULTS 115

G.3.1 EFFECT OF SYNAPTAMIDE AND DHA ON TOTAL NEURITE LENGTH IN DIFFERENTIATED N27 CELLS.

117

G.3.2 EFFECT OF SYNAPTAMIDE ON INDIVIDUAL NEURITE LENGTH OF DIFFERENTIATED N27 CELLS

120

G.3.3 EFFECT OF SYNAPTAMIDE ON THE NUMCER OF INDIVIDUAL NEURITES IN DIFFERENTIATED N27 CELLS

122

G.3.4 SYNAPTAMIDE AND DHA UPTAKE AND METABOLISM MAY CONTRIBUTE TO THEIR EFFECT ON NEURITOGENESIS AND NEURITE ELONGATION

123

G.4 DISCUSSION 125

G.5 CONCLUSION 127

H CONCLUDING REMARKS 129-132

I REFERENCES 133-150

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ABSTRACT

The metabolite of docosahexaenoic acid (DHA), synaptamide, is reported to mediate the role of

DHA in neuritogenesis and synaptogenesis. Our long term goal is to identify the mechanism of

action involved in the purported neurogenic potential of synaptamide. In order to shed light on

its mechanism, gaps existing in the knowledge of synaptamide biochemistry have to close.

Thus, the objective of this dissertation is to investigate the fate of synaptamide in brain using

both in vivo and in vitro approaches.

The rationale behind this research is that, understanding the fate of synaptamide may aid in the

development of pharmacological interventions which might prove to be effective means in

overcoming neurological deficits. The specific aims for the proposed research are: 1) to

investigate the biosynthesis of synaptamide in vivo and in vitro; 2) To examine in vivo and in

vitro uptake of synaptamide; 3) To determine the role of FAAH in synaptamide metabolism and

its partitioning into phospholipids; 4) To analyze and compare a functional effect of synaptamide

with that of DHA.

This research is significant because resolving the metabolic fate of synaptamide can facilitate

the development of testable hypotheses which might eventually lead to the elucidation of its

biochemistry and signaling functions.

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ACKNOWLEDGEMENTS

First of all, I would like to thank my advisor Dr. Gatley for supporting me and guiding me during

my PhD study. He was an incredible mentor to me constantly motivating me and guiding me

through this journey. He was an inspiration to us all and encouraged me to come up with my

own ideas and never discouraged me from shooting at the stars. Without him, this project might

have never taken shape. He made spending a substantial six years at Northeastern University a

memorable journey.

I would also like to thank my committee members: Dr. Loring, Dr. Kim, Dr. Shukitt-Hale and Dr.

Campbell. Their input and suggestions during my proposal and progress report meetings

contributed significantly in shaping up my dissertation. In addition, I would also like to thank all

the past and present members of our lab who helped me during various stages of my project. I

would particularly like to thank Kun Hu who had always been my sounding board to come up

explanations and new experiments and Mansi Tolia who helped me immensely during the final

stages of my work. I would also like to thank the Office of Science (CER), U.S. Department of

Energy who partly supported my research.

None of this would have been possible without the support of my family. My parents‘ hard work

and perseverance is the reason I was able to come to the United States and pursue my dream.

They empathized with me during my every success and failure and constantly motivated me to

think positively. Their words of encouragement always gave me the stimulation I needed during

the long hours spent in lab. My younger brother, Siddharth has always been there for me,

offering me support whenever I experienced the ―PhD blues‖. I am extremely fortunate to have

my best friend as my husband! His patience, love and support have helped me keep my calm at

my most difficult times. He never let me feel I was alone in this journey, and for that I am ever so

grateful. Even my in-laws, who‘ve known me only for a short period, have been extremely

understanding of my ordeals. I would also like to make a special mention to my extended family

who always wished the very best for me. I honestly could not have asked for a better family!

Last but not least, I would like to thank all my friends here, as well as from India; especially

Namrata and Prisca, for truly being there for me when I needed them the most.

Finally, I would like to acknowledge my late uncle and Godfather: Dr. S.S.R. Murthy. He was my

inspiration and motivation behind pursuing a career in Science.

I dedicate this dissertation to my family.

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LIST OF ABBREVIATIONS

%IA/g: percentage of injected activity per gram [14C-arachidonoyl]anandamide, [3H- arachidonoyl]anandamide: anandamide labeled at the arachidonoyl moiety [14C-EA]anandamide: anandamide labeled at the ethanolamine moiety [14C-ethanolamine]synaptamide: synaptamide labeled at the ethanolamine moiety [14C-docosahexaenoyl]synaptamide: synaptamide labeled at the docosahexaenoyl moiety 1D-TLC: One Dimensional Thin Layer Chromatography 2D-TLC: Two Dimensional Thin Layer Chromatography AA: arachidonic acid AA-CoA: arachidonoyl-coenzyme A ACh4: α/β-hydrolase 4 ACHD6, ACHD12: αβ-hydrolase domain containing protein - 6 and - 12 ACSL6/ ACSL4: acyl-CoA synthase 6 acyl-CoA synthase 4 Acyl-CoA: acyl-coenzyme A AEA: anandamide Akt: Protein kinase C ALA: Alpha linolenic acid ATP: Adenosine triphosphate BBB: Blood Brain Barrier CB1 receptor: cannabinoid receptor 1 CB2 receptor: cannabinoid receptor 2 CD36KO: cluster of differentiation 36 knock out CoA: Co-enzyme A COX: Cyclooxygenase COX-2: cyclooxygenase-2 cPLA2: Cytosolic Phospholipase A2 CPM: counts per minute CREC: cyclic AMP response element binding protein BYP450: Cytochrome P450 dbcAMP: Dibutyryladenosine 3′,5′-cyclic monophosphate sodium DC: differentiating N27cells DHA: docosahexaenoic acid DHEA: docosahexaenoylethanolamide DLU/mm2: digital light units per mm2 DMSO: dimethyl sulfoxide EA: ethanolamine EC50: concentration of a drug that gives half-maximal response ER: endoplasmic reticulum FAAH: Fatty Acid Amide Hydrolase FABP: fatty acid binding protein FAT/ CD36: fatty acid translocase in combination with cluster of differentiation 36 FCS: Fetal Bovine Serum FLAT: FAAH-like-anandamide-transporter GAP-43: Growth Associated Protein-43 GP-NAE: glycerophospho-N-acylethanolamine

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GSK3C: glycogen synthase kinase 3C I.P.: intraperitoneal I.V.: intravenous IC50: concentration of an inhibitor where the response (or binding) is reduced by half IL-6: Interleukin 6 iPLA2: Inducible Phospholipase A2 LA: linolenic acid LOX: lipoxygenase LysoPC: lysophosphatidylcholine LYSO-PE: lyso-phosphatidylethanolamine MCP-1: Monocyte chemoattractant protein-1 Mfsd2a: Major Facilitator Superfamily Domain-containing protein 2A mTOR: mammalian target of rapamycin N27 cells: 1RBN27 cells NaCl: sodium chloride NAEs: N-acylethanolamines NAPE: N-acyl phosphatidylethanolamine NAPE-PLD: N-acyl phosphatidylethanolamine-selective phospholipase D NAT: N-acyltransferase N-DHPE: N-docosahexaenoylphosphatidylethanolamine NE-DHA: non-esterified DHA NGF: Nerve Growth Factor NPD1: neuroprotectin D1 PBS: Phosphate Buffered saline PC: phosphatidylcholine PE: phosphatidylethanolamine PET: positron emission tomography PF3845: FAAH inhibitor PI: Phosphatidylinositol PIP3: Phosphatidylinositol (3,4,5)-trisphosphate PLA/AT: phospholipase activity with O-acyltransferase activity PLA1: phospholipase A1 PLA2: phospholipase A2 PLC: phospholipase C PLD: phospholipase D PPAR-α: peroxisome proliferator-activated receptor alpha PS: phosphatidylserine PSD-45: postsynaptic density protein 45 PSS: phosphatidylserine synthase PUFA: polyunsaturated fatty acid RAR: retinoic acid receptor Rf: retention factor RXR: Retinoid X receptors SD: Standard Deviation

sn‑1 and sn‑2: nucleophilic substitution at position 1 or 2 of phospholipid

TLC: Thin-layer chromatography TME: Tris Magnesium EDTA UDC: undifferentiated N27 cells

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LIST OF TABLES Table A.1: Various classes of lipids and some of their subclasses

Table D.1: Average % IA/g in blood, brain and urine of mice over one hour treatment

Table D.2: Absolute signal intensity ratios of radiotracer accumulation in some brain regions.

Table D.3: Ratios of % [14C]DHA uptake and % [14C]synaptamide uptake in various brain

regions

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LIST OF FIGURES

Fig A.1: Classification of lipids based on their chemical structures

Fig A.2: Structure of an omega-3 fatty acid, Linolenic acid (18:3n-3)

Fig A.3: Biosynthesis of long chain polyunsaturated fatty acids.

Fig A.4: (A) Proposed schematic for uptake and incorporation of DHA into phospholipids. (C) A

schematic representing the transport of lysoPC-DHA across the BBB by Mfsd2a (Major

Facilitator Superfamily Domain-containing protein 2A) transporter

Fig A.5: Site of action of various phospholipases and the products formed.

Fig A.6: The role of DHA in the synthesis of phospholipid, phosphatidylserine and in membrane

modulation

Fig A.7: Summary of various metabolites of AA and DHA (and their functional implications)

released from membrane phospholipids by the action of PLA2

Fig A.8: Structure of synaptamide (N-docosahexaenoylethanolamine)

Fig D.1: Representative TLC used for the quantification of NAE synthesis.

Fig D.2: Quantification of TLCs of brain lipid extracts to determine NAE synthesis

Fig D.3: % radioactivity in chloroform extracts of N27 cells as determined from scintillation

counts

Fig D.4: Representative TLC images NAE synthesis from radiolabeled free fatty acid.

Fig D.5: (A and C) TLC Quantification of chloroform extracts of cells incubated with radiolabeled

fatty acids. (C) Anandamide synthesis in N27 cells from 200 nM [14C]arachidonic acid.

Fig D.6: Autoradiograph and charred TLC image representative of synaptamide synthesis in

N27 cells incubated with 200 nM [14C]DHA

Fig E.1: (A) Blood to brain ratio of [14C]synaptamide. (C) Average %IA/g radioactivity in Blood

and brain over time

Fig E.2: Analysis of the regional distribution of radiolabel in animals injected with 0.1μCi

[14C]synaptamide, 0.1μCi [14C]DHA and 1μCi [14C]ethanolamine (I.V.).

Fig E.3: The pattern of distribution of ethanolamine as a control as evaluated by

autoradiography

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Fig E.4: Comparison of uptake versus hydrolysis with [14C]anandamide and [14C]synaptamide in

N27 cells.

Fig E.5: Comparison of uptake and hydrolysis with [14C]anandamide versus [14C]synaptamide in

N27 cells.

Fig E.6: Comparison of [14C]anandamide uptake and hydrolysis in N27 cells with or without

PF3845

Fig E.7: Comparison of [14C]synaptamide uptake and hydrolysis in N27 cells with or without

PF3845

Fig E.8: Comparison of [14C]arachidonic acid and [14C]DHA uptake in N27 cells

Fig E.9: Comparison of NAE uptake versus their corresponding fatty acid uptake in N27 cells

Fig F.1: brain regional concentrations of 14C in animals euthanized 15 min after injection of

0.1μCi [14C] synaptamide (i.v.), with or without PF3458 pretreatment

Fig F.2: Time dependent increase in radioactive counts in the aqueous layers of brain

homogenates treated with [14C]anandamide and [14C]synaptamide

Fig F.3: Time dependent increase in the hydrolysis of [14C]anandamide and [14C]synaptamide in

brain homogenates

Fig F.4: Time dependent hydrolysis of [14C]anandamide and [14C]synaptamide in brain

homogenates treated with or without PF3845

Fig F.5: Comparison of N-acylethanolamine hydrolysis in tissue mediated and tissue

independent environments

Fig F.6: Representative graph showing displacement of [14C] anandamide binding to FAAH in

mouse brain homogenates by unlabeled anandamide (AEA), synaptamide (DEA) or DHA plus

ethanolamine (EP).

Fig F.7: Representative 1D-TLC autoradiograph of brain (A) and Blood (C) lipid extract from

mice euthanized after 0, 5, 15, 30 and 60 minutes after the administration of exogenous

[14C]synaptamide.

Fig F.8: Representative TLC images of anandamide and synaptamide uptake.

Fig F.9: 2D-TLC of standard non-radioactive phospholipids, PS: phosphatidylserine (A) and PC:

phosphatidylcholine (C) and cell lipid extract of N27 cells incubated with [14C-EA] Synaptamide

(C).

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Fig F.10: Quantification of TLC spots shows the partitioning of anandamide and synaptamide

into phospholipids of cells in the absence (A) or presence (C) of PF3845.

Fig F.11: Quantification of TLC spots shows the partitioning of [14C-EA] Synaptamide and [14C-

DHA] Synaptamide into phospholipids of cells in the absence (A) or presence (C) of PF3845

Fig G.1: Representative images of undifferentiated (A) and differentiated (C) N27 cells.

Fig G.2: The representative images and traces of differentiated N27 cells

Fig G.3: Estimation of total neurite length with increasing doses of either DHA or synaptamide

Fig G.4: Comparison of the Total neurite length of N27 cells treated with either DHA or

synaptamide.

Fig G.5: Representative graph of frequency distribution of total neurite length after either DHA

(A) or synaptamide (C) supplementation in differentiated N27 cells.

Fig G.6: Estimation of total length of individual neurites selected from randomly selected cells

supplemented with increasing doses of either DHA or synaptamide

Fig G.7: Representative graph of frequency distribution of individual neurite length after either

DHA (A) or synaptamide (C) supplementation in differentiated N27 cells

Fig G.8: Total number of neurites (sum of primary, secondary and tertiary Branches) from N27

cells (n=70) supplemented with either DHA or synaptamide

Fig G.9: Comparison of neurite lengths (A) and the number of neurites (C) from randomly

selected N27 cells (n=70) treated with either DHA 100 nM or synaptamide 100 nM.

Fig G.10: Time dependent phospholipid incorporation of exogenous [14C]DHA and [14C-

docosahexaenoyl]synaptamide in undifferentiated (A) and differentiating (C) N27 cells

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A. BACKGROUND AND SIGNIFICANCE

A.1. Significance

Docosahexaenoic acid (DHA; 22:6n-3) and arachidonic acid (AA; 20:4) are the major fatty acids

of the brain with crucial roles in neurodevelopment and proper brain functioning. While some of

their downstream effects can be explained by a direct role, others may be explained by their

bioactive metabolites. Consistent with this, many metabolites of arachidonic acid and DHA have

neuroprotective functions (e.g. – neuroprotectin D1, NPD1). Synaptamide, a recently discovered

endocannabinoid-like molecule that incorporates DHA is reported to mediate the neuritogenic

effects of DHA. The mechanism mediating this effect is poorly understood. This lack of

knowledge hinders the development of pharmacological interventions which may prove to be

effective means in overcoming neurological deficits. In order to be able to elucidate its

biochemical pathways, it is first important to understand the fate of synaptamide in the neural

cell. As an outcome of the proposed investigations, we expect to have determined not only the

metabolic profile of synaptamide, but also the possibility that DHA (released from synaptamide)

mediates some of its effects. The proposed research is significant because once the metabolic

fate of synaptamide in brain is known, it will facilitate the development of testable hypotheses,

finally leading to the elucidation of its biochemistry and signaling functions.

A.2. Introduction to lipids

Lipids can be defined as hydrophobic constituents of the cell which comprise a large number of

molecules with various combinations of fatty acids conjugated with different backbone

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structures. (Wenk, 2005). There are about 2000 different lipid species in mammalian cells, often

categorized into about 8 classes with a number of subclasses. The major categories and some

of their subclasses are listed in Table A.1 (Adibhatla et al., 2007).

Lipid class Subtypes

Fatty acyls Free fatty acids and conjugates; Eicosanoids; Docosanoids; Fatty

Alcohols, Aldehydes and Esters

Glycerolipids Mono-, di-, and triacylglycerol

Glycerophospholipids Phosphatidylcholine, Phosphatidylethanolamine, Phosphatidylserine,

Phosphatidylinositol

Sphingolipids beramide, Sphingomyelin, Glycosphingolipids (Gangliosides)

Sterol lipids Sterols including cholesterol, steroids, bile acids

Prenol lipids Isoprenoids, Polyprenols, Quinones

Saccharolipids Acylaminosugars, Acylaminosugar glycans

Polyketides Macrolide and Aromatic polyketides

Table A.1: Various classes of lipids and some of their subclasses.

Future Lipidol. 2007 Aug; 2(4): 403–422 (Adibhatla et al., 2007).

Lipids have important roles in normal neuronal biochemistry and physiology. They are integral

components of the plasma membrane that functions as a carrier between the intra and

extracellular compartments. Being inherent components of the membrane, they have a crucial

role in determining the localization of membrane proteins as well as in regulating their actions.

Lipids also influence important cellular functions such as exo- and endocytosis, information

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relay within and beyond the cells, etc., (Muller et al., 2015). The major components of the

mammalian membrane lipid fraction are glycerophospholipids, sphingolipids and the sterol lipid

cholesterol; chemical composition of each lipid class varying greatly with the cell type and

membrane (van Meer et al., 2008) (fig A.1). These lipids, alone or in combination with other

lipids, have the ability to stabilize in different phases by interacting with the changing

environment and to adapt by modifying their chemical structures, by altering their fatty acid

composition and phospholipid head-groups. This ability enables lipids to modulate cellular

communication (Piomelli et al., 2007).

Fig A.1: Classification of lipids based on their chemical structures. Highlighted in red are the core-

structures from which the various lipid classes take their name. Highlighted in blue are the

functional groups from which the various lipid subclasses take their name. Abbreviations: PC,

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phosphatidylcholine; PE, phosphatidylethanolamine; PS, phosphatidylserine; PG,

phosphatidylglycerol; PI, phosphatidylinositol; ber, ceramide; SM, sphingomyelin; Hexber,

hexosyl ceramide; Cho, cholesterol. (Paglia et al., 2015) open access

Glycerophospholipids have a glycerol backbone with fatty acids at sn-1 and sn-2 positions and a

head group at sn-3 position. An unsaturated fatty acid is usually conjugated at the sn-2 position

while a saturated fatty acid occupies the sn-1 position. Depending on the type of head group

occupying the sn-3 position, glycerophospholipids are categorized into phosphatidylcholines

(PC; glycerophosphocholines), phosphatidylethanolamines (PE;

glycerophosphoethanolamines), phosphatidylserines (PS; glycerophosphoserines) and

phosphatidylinositols (PI; glycerophosphoinositols). (Muller et al., 2015). Sphingolipids

constitute another major class of membrane lipids with a ceramide backbone. beramide consists

of a sphingosine molecule conjugated with a long chain saturated fatty acid. Sphingomyelin and

gangliosides are major sphingolipids in the brain (van Meer et al., 2002). Sterol lipids are non-

polar structural lipids and they integrate with glycerophospholipids and sphingolipids to form an

intricate cell membrane structure. The distribution of these 3 lipid classes varies with different

cell types and different organelles (van Meer et al., 2008).

A major factor that modifies membrane fluidity in the brain is the nature of the phospholipid

hydrophobic tail – the fatty acid residues linked to the sn‑1 and sn‑2 hydroxyl groups on the

glycerol backbone. At physiological temperatures, the length of a phospholipid molecule is

directly proportional to the number of carbon atoms and inversely proportional to the number of

double bonds present in its fatty acid chains (Piomelli et al., 2007).

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A.3. FATTY ACIDS

Long-chain fatty acids are a subset of lipids, comprising of hydrocarbons chains of various

lengths and terminate with a carboxylic acid group. Their synthesis is initiated by the

condensation of malonyl coenzyme A units by fatty acid synthetase complex. In animals, long

chain fatty acid chain length varies between 14-22 carbons (Christie). They are subcategorized into

saturated, mono- and polyunsaturated fatty acids. Different classes of major structural lipids

differ among themselves based on their fatty acid composition eg., sphingolipids incorporate

very long chain saturated and mono- or di-unsaturated fatty acids, ceramides incorporate

monounsaturated fatty acids and phospholipids have both saturated and polyunsaturated fatty

acids (Christie). The unsaturated fatty acid component, conjugated on the sn-2 position, is an

important determinant of the molecular flexibility and other properties of phospholipids.

The varying degrees of unsaturation offered by different fatty acids allows cells to modulate

membrane structure and function. Biological fatty acids can be of various lengths, and the

naming convention is to indicate the position of double bonds with reference to the terminal

methyl group. Regardless of the chain length, this is labeled omega (―ω‖ or sometimes ―n‖).

Long chain polyunsaturated fatty acids are of three types – omega-3, omega-6 and omega-9.

The term ω-3 or n-3 means that the third carbon-carbon bond from the end of the chain (the

omega carbon) is a double bond chain (Fig A.2).

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Fig A.2: Structure of an omega-3 fatty acid, Linolenic acid (18:3n-3)

(Accessed from http://psychology.wikia.com/wiki/Omega-3_fatty_acid on 11/15/2016)

The omega-3 and omega-6 fatty acids are considered as Essential Fatty Acids (EFAs) as their

biosynthesis requires precursors – linoleic acid (LA; 18:2n-6), linolenic acid (ALA; 18:3n-3) that

cannot be synthesized by animals and can therefore only be obtained through diet. Linoleic acid

and linolenic acid are synthesized in plants from stearic acid (SA; 18:0). Stearic acid is

converted to oleic acid (18:1 n-9) by Δ9- desaturase which is exported into the endoplasmic

reticulum where it is further acted upon by Δ12- and Δ15- desaturases to synthesize linoleic acid

and linolenic acid respectively (Huerlimann et al., 2014) (fig A.3). Higher mammals do not have

the desaturase enzymes (Δ9-, Δ12- and Δ15- desaturases) responsible for the conversion of oleic

acid into linoleic acid and linolenic acid (Pereira et al., 2003). This is the reason why linoleic acid

and linolenic acid are considered essential and have to be procured through diet.

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Fig A.3: Biosynthesis of long chain polyunsaturated fatty acids.

Gene, Volume 545, Issue 1, 2014, 36–44 (Huerlimann et al., 2014) with permission

Fatty acid desaturase enzymes are capable of introducing unsaturation in specific positions of

the fatty acid chains – from either the (tail) methyl- end of the chain or the carboxylic head

group-(front) end of the chain (Park et al., 2009). Cloth kinds of desaturase enzymes along with

elongases synthesize longer chain fatty acids (arachidonic acid (AA; 20:4n-6) and

docosahexaenoic acid (DHA; 22:6n-3)) from precursor fatty acids. Plants and lower animals

such as birds have both kinds of desaturase enzymes while humans only express ―front end‖

enzymes (Nakamura et al., 2004),(Tocher et al., 1998).

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A.4. Docosahexaenoic acid (DHA; 22:6n-3)

A.4.1. Synthesis, uptake and release of DHA

Essential fatty acids make up about 20% of the dry weight of the brain. One third of these

belong to the omega-3 PUFA family. DHA is the most abundant omega-3 polyunsaturated fatty

acid in the brain (Contreras et al., 2000). DHA accumulation in brain is gradual starting from the

third trimester of pregnancy until the brain is completely developed (Clandinin et al., 1980). It

was shown that brain ω3: ω6 ratio (contributed mainly by DHA) in the phospholipid

(phosphatidylethanolamine) component increased with age in children (children > toddler >

infant > fetus) (Martinez et al., 1998). This age-dependent DHA accretion pattern during brain

development was consistent over a wide variety of species including rats (Green et al., 1996)

and piglets (Purvis et al., 1982).

Biosynthesis of DHA takes place mainly in liver endoplasmic reticulum from linolenic acid

through chain elongation and desaturation (Sprecher, 2000) (fig 2). Δ4, Δ5 and Δ6-desaturases

are most important for this conversion (Kim, 2007). As the essential fatty acid precursors are

actively converted to DHA; its levels are never completely depleted. Amongst brain cells

(neurons, astrocytes, microglia, and oligodendrocytes), only astrocytes can synthesize DHA

(Moore et al., 1991). Neurons lack the Δ4 desaturase enzyme essential for DHA synthesis.

Astroglial DHA synthesis is negatively influenced by the availability of preformed DHA (Williard

et al., 2001) and thus may represent a quantitatively minor source for the neural DHA accretion,

making its procurement from diet very important, especially during embryonic development.

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It was assumed until recently that transport of DHA to the brain occurs from the free non-

esterified DHA (NE-DHA) bound to serum albumin. The NE-DHA would then cross the BBB as a

result of competition between the hydrophobic domain of albumin and that of the endothelial

layer (Picq et al., 2010). However, a recent article reports that DHA (and other polyunsaturated

fatty acids) is more efficiently taken up by the developing brain when esterified in

lysophosphatidylcholine (lysoPC-DHA) as compared to the non-esterified form, both forms

being bound to albumin (Lagarde M, 2000). In contrast, albumin bound NE-DHA was

preferentially taken up by heart and liver (Fig A.4A). Lysophosphatidylcholine, the major lipid

component of plasma but a minor component of phospholipids in cells and tissues, is derived

from phosphatidylcholine (PC) and is amphiphilic (Croset, 2000). It is expected that DHA will be

esterified at the sn-2 position of the lysophosphatidylcholine because the phosphatidylcholine

precursors have polyunsaturated fatty acids conjugated at this position. However, it has been

shown that sn-1-lyso-sn-2-DHA-phosphatidylcholine isomerizes at neutral pH to the more

thermodynamically stable sn-1-DHA-sn-2-lysophosphatidylcholine, and the ratio of the two

isomers depends on their half lives in plasma and on catabolism in tissues (Croset, 2000). While

both isomers are taken up by the brain in vivo to the same extent (Morash S C, 1989), the

mechanism by which they can cross the BBB was unknown until recently (Fig A.4A). The

metabolic fates of the isomers differ and also depend on the cell type. Both isomers are

reacylated in glial cells whereas sn-1-DHA-sn-2-lysophosphatidylcholine is deacylated and sn-

1-lyso-sn-2-DHA-phosphatidylcholine is reacylated in neurons (Morash S C, 1989). The

reacylation of either isoform forms sn-1-DHA-sn-2-DHA-phosphatidylcholine which is a

substrate for acyltransferases and phospholipases. Deacylation of either isomer forms

glycerophosphocholine, a source for choline in the brain.

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A B

FigA.4: (A) Proposed schematic for uptake and incorporation of DHA into phospholipids. DHA

produced from linolenic acid (LNA) in the liver is incorporated in lipoproteins, phospholipids and

triglycerides. Enzymes including phospholipase A1, endothelial lipase and lipoprotein lipase

generate lysoPC-DHA which is then taken up by the brain to be re-acylated and/or hydrolyzed to

provide DHA for incorporation into brain phospholipids. Interconversion between brain

phospholipids may also occur (Picq et al., 2010) reused with permission. (B) A schematic

representing the transport of lysoPC-DHA across the BBB by Mfsd2a (Major Facilitator

Superfamily Domain-containing protein 2A) transporter. (LysoPC-DHA can either be sn-2-DHA-sn-

1-lysophosphatidylcholine or sn-1-DHA-sn-2-lysophosphatidylcholine).

Possible mechanisms proposed for transport of fatty acids across the BBB to the brain are

diffusion and facilitated transport (Qi et al., 2002). Fatty acids may diffuse across membranes

using the ―flip flop‖ mechanism. This was observed in transport of fatty acids across the cell

membrane and other unilamellar membranes, but ―flip flop‖ transport across the BBB is poorly

characterized (Hamilton et al., 2001). Additionally, membrane proteins such as fatty acid

translocase in combination with cluster of differentiation 36 (FAT/ CD36) and cytosolic proteins

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such as fatty acid binding proteins (FABPs) are shown to facilitate the transport of fatty acids

(Abumrad et al., 1999). While CD36 dependent FATP was found to be most effective in fatty

acid transport; transport of DHA remained unchanged in CD36KO animals (Lo Van et al., 2016)

suggesting that other transporters maybe involved in DHA transport. It has been recently shown

that Mfsd2a (Major Facilitator Superfamily Domain-containing protein 2A), a protein expressed

in BBB endothelium, is responsible for the selective transport of DHA incorporated in

lysophosphatidylcholine over other forms of DHA or NE-DHA (Nguyen et al., 2014). Fig A.4C

demonstrates the possibility of selective transport of DHA incorporated in

lysophosphatidylcholine (either isomer) bound to albumin across the BBB into the brain it can

undergo metabolism.

Fig A.5: Site of action of various phospholipases and the products formed. Phospholipase A1 and

A2 cleave at sn-1 and sn-2 positions respectively to produce the corresponding free fatty acids

and lysophospholipids. Phospholipase C cleaves the phospholipid to form diacylglycerol and

Phospholipase D cleaves to form phosphatidic acid. R1 and R2 represent free fatty acids. X refers

to head groups (choline, ethanolamine, inositol, etc.) of the phospholipid. Accessed from

https://www.hindawi.com/journals/er/2011/392082/fig1/ on 11/15/16

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Phospholipases release free fatty acids – Arachidonic acid and DHA from phospholipids.

Depending on the site of their action, they are categorized into four classes – phospholipase A1

(PLA1; acts at sn-1 position of phospholipid), phospholipase A2 (PLA2; acts at sn-2 position of

phospholipid), phospholipase C (PLC) and phospholipase D (PLD) (Fig A.5). Since

polyunsaturated fatty acids are preferentially esterified at the sn-2 position of the phospholipids,

phospholipase A2s are responsible for releasing the free fatty acid. Studies using radiolabelled

fatty acids show in vitro and in vivo selectivity of cPLA2 and iPLA2 to arachidonic acid and DHA

respectively (Rapoport et al., 2011). DHA released from the ER is activated by the action of

acyl-CoA synthetase and acyltransferase to form docosahexaenoyl-CoA which is then

incorporated stereospecifically at the sn−2 position of new membrane phospholipids. The

enzyme involved in DHA acylation is Acsl6 (Marszalek et al., 2005a), which exhibits a low

affinity for this substrate (Km = 26 μM) (Reddy et al., 1984) relative to usual brain DHA levels

(1.3–1.5 μM) (Contreras et al., 2000). Some DHA that escapes this pathway is subjected to a

number of catabolic pathways resulting in bioactive metabolites such as docosanoids, resolvins,

etc. (Rapoport et al., 2007).

A.4.2. Role of DHA in membrane synthesis and modulation

DHA and arachidonic acid are the major polyunsaturated fatty acids in the brain. The half-life of

DHA in Blood of healthy human subjects is 20 ± 5.2 hours (Pawlosky et al., 2001) and 22.4 ±

2.9 hours in brain phosphatidylcholine which is much longer than that of AA (3.79 ± 0.12 hours)

implicating a preferential incorporation of DHA into phosphatidylcholine (Rapoport, 2005). DHA-

phosphatidylcholine can undergo transesterification to produce DHA-phosphatidylethanolamine.

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brain phosphatidylcholine or phosphatidylethanolamine can in turn produce phosphatidylserine

(PS) by Serine-Base-Exchange reaction mediated by PSS (phosphatidylserine synthase)

enzymes (Vance et al., 2004) (Fig A.6).

Fig A.6: The role of DHA in the synthesis of phospholipid, phosphatidylserine and in membrane

modulation (Adapted from Kim HY, OCL 2011; 18(5): 237-241) (Kim, 2007) reused with permission.

Phosphatidylserine represents the major negatively charged phospholipid class in mammalian

cell membranes, where it is localized mainly on the cytosolic side. Brain PSS enzymes

demonstrate a strong preference for DHA-containing phospholipids (18:0, 22:6n-3 > 18:0,

22:5n-6 > 18:0, 18:1 > 18:0, 20:4n-6 species) (Kim et al., 2004) for the synthesis of

phosphatidylserine. DHA enrichment in vitro can induce phosphatidylserine accumulation in

neuronal cells, primarily because of the accumulation of 18:0, 22:6-PS (Akbar et al., 2005).

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Diacylglycerol species containing DHA or arachidonic acid are preferentially utilized for

phosphatide synthesis as opposed to triglyceride synthesis (Marszalek et al., 2005b). Hence,

dietary DHA would increase the accumulation of 18:0, 22:6- phosphatidylserine in the

membrane which is responsible for healthy physiological functions. Phosphatidylserine

participates in constitutive cell signaling by interacting with important signaling proteins for their

activation. For example, interaction between protein kinase C and Raf-1 is modulated by levels

of phosphatidylserine in the membrane. Phosphatidylserine favors Akt translocation and

promotes cell surviving signals such as PIP3, thus playing a role in neuronal survival (Akbar et

al., 2005) (Fig A.6). This is particularly significant in suboptimal conditions, where the generation

of survival signals (PIP3) is limited.

A.4.3. Role of DHA in neuritogenesis and synaptogenesis

Neurogenesis (the generation of neurons) involves both proliferation and differentiation.

Neuronal differentiation in turn involves neuritogenesis and synaptogenesis. ‗‗Neurites‘‘ are

precursors of axons and dendrites that, once formed, serve to polarize the neuron. A growth

cone is the mobile tip of the neurite specialized for elongation (Clagett-Dame et al., 2006). DHA

promotes neuronal differentiation by influencing neurite growth and synaptogenesis (Kan et al.,

2007). The production of phospholipids and other membrane components is one of the pre-

requisites for neurite growth (Banker, 1996). Omega-3 polyunsaturated fatty acids present in

growth cones and synaptosomal membranes (Youdim, 2000) enable them to play a significant

role in the dynamics of synapses. When supplemented with DHA, the DHA-favored

phospholipids are incorporated in neuronal membranes and thus can influence the quaternary

structure of membrane proteins. DHA supplementation increased the levels of an axonal growth

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marker, growth associated protein-43 (GAP-43), a protein associated with growth cone

formation (Banker, 1996). DHA influences synapse formation through Retinoid X receptors

(RXRs). Retinoid X Receptor forms heterodimers with nuclear receptors such as retinoic acid

receptor (RAR), peroxisome proliferator-activated receptors (PPARs), or Nurr1 for

transcriptional regulation of target genes (Aarnisalo et al., 2002; Lane et al., 2005). These

dimers play an important role in neurodevelopment by regulating genes involved in the control

of synaptic plasticity, cytoskeleton, and membrane assembly, as well as signal transduction and

ion channel formation (Lane et al., 2005) (Maden, 2002). Being an endogenous ligand for

Retinoid X Receptor; DHA binds to Retinoid X Receptor within the functional dimer enhancing

its transcriptional activity. Nurr1–RXR signaling prevents the loss of synaptic proteins as DHA

supports neuronal survival, particularly of dopaminergic neurons in embryonic stage by binding

to RXR and influencing the formation of Nurr1–RXR heterodimers. These studies suggest

neuritogenic and synaptogenic roles for DHA.

A.5. Is DHA responsible for all the effects seen with its supplementation?

While there is evidence that indicates direct roles of DHA in bringing about some of its effects,

the possible involvement of its metabolites cannot be ignored. The free fatty acids released from

membrane phospholipids that escape acylation and re-incorporation can be subjected to

enzymatic or non-enzymatic catabolism. cyclooxygenase (COX), lipoxygenase (LOX),

cytochrome P450, and probably other enzymes can generate biologically active metabolites

from arachidonic acid and DHA that participate in signal transduction mediating some of their

beneficial effects (Phillis, Horrocks et al. 2006) (Fig A.7).

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Fig A.7: Summary of various metabolites of AA and DHA (and their functional implications)

released from membrane phospholipids by the action of PLA2. (Adapted from Tai EKK, Food

Funct., (2013)4, 1767-1775) (Tai et al., 2013) reused with permission.

LOX metabolites generated from arachidonic acid, in particular, have pro-inflammatory effects

(Piomelli, 1994). LOX-metabolites of DHA (resolvins and protectins to name a few) also serve

as signaling molecules accounting for anti-inflammatory effects of DHA. Non-enzymatic free

radical-mediated peroxidation of free fatty acids generates prostaglandin-like compounds – F2-

isoprostanes from arachidonic acid and F4-neuroprostanes from DHA respectively (Montuschi

et al., 2004). The levels of F4-neuroprostane levels in human brain and cerebrospinal fluid are

elevated in Alzheimer‘s disease suggesting that peroxidation products of DHA may serve as

potential biomarkers (Montuschi et al., 2004). DHA is transformed by a 15-LOX-like enzyme to

(10,17S)-docosatriene (Hong et al., 2003), also termed neuroprotectin D1 (NPD1) because of its

neuroprotective properties. In an Alzheimer's disease model, NPD1 suppressed αβ-42-induced

neurotoxicity by inducing neuroprotective and anti-apoptotic gene expression (Lukiw et al.,

2005). Synaptamide, an endocannabinoid-like metabolite of DHA was recently proposed to play

a role in mediating the neuritogenic effects of DHA (Kim et al., 2011). While some effects of

DHA can be explained by the formation of oxidative metabolites, the notion that neuritogenic

effects of DHA are mediated by synaptamide can only be evaluated if the biosynthesis and

enzymatic hydrolysis of this biochemical are understood.

A.6. Synaptamide (N-docosahexaenoylethanolamine)

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A.6.1. Synthesis, uptake and metabolism

Fig A.8: Structure of synaptamide (N-docosahexaenoylethanolamine)

Synaptamide (N-docosahexaenoylethanolamine) is found in brain tissue at levels comparable

with its structural analog, anandamide (N-arachidonoylethanolamine) (Bisogno T, 1999) (fig

A.8). The metabolic pathways involved in synaptamide biosynthesis remain unclear; however, it

has been proposed that it is biosynthesized from its corresponding N-acyl

phosphatidylethanolamine (NAPE) through a single NAPE-PLD-dependent pathway (NAPE-

PLD) (Schmid et al., 1996) similar to anandamide. The presence of didocosahexaenoyl

phosphatidylethanolamine or phosphatidylcholine, N-acyl transferase and N-DHPE (N-

docosahexaenoylphosphatidylethanolamine), the precursors for synaptamide synthesis have

been identified in the bovine retina (Bisogno T, 1999). The synthesis of synaptamide from DHA

was reported in hippocampal neurons (Cao et al., 2009), cortical neurons and neural stem cells

(Rashid et al., 2013); however, the mechanism of its synthesis and the presence of its

precursors in neural tissue is yet to be validated. It is not known whether synaptamide is

synthesized in the neuronal compartment or the glial compartment. Concurrently it is also

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unknown whether synaptamide given exogenously can transfer into the intracellular

compartment of neuronal cells. Studies suggest that a high-affinity transport system exists to

transport anandamide to neurons (Hillard et al., 2003). Based on the structural similarity with

anandamide, it is reasonable to assume that neurons can take up synaptamide and that intact

synaptamide might be present inside the cell for a period of time prior to its hydrolysis. It has

been proposed that hydrolysis of synaptamide releases free DHA and ethanolamine (Bisogno T,

1999). Inhibition of FAAH (Fatty Acid Amide Hydrolase) purportedly increased the functional

effect of synaptamide in vitro (Kim et al., 2011). Based on these reports, it can be assumed (but

it has not been confirmed, to our knowledge) that synaptamide may be a substrate for the

enzyme FAAH that hydrolyses anandamide. Intact synaptamide may also undergo enzymatic

oxidation to form novel bioactive products (Yang et al., 2011) with hypothesized anti-

inflammatory and anti-apoptotic roles.

A.6.2. Functional role of synaptamide

Synaptamide inhibited forskolin-mediated cAMP production (IC50 = 6 μM) in CHO–HCR cells

(Felder et al., 1993). Lipopolysaccharide-induced IL-6 and MCP-1 production was suppressed

by synaptamide in 3T3-L1 pre-adipocytes, suggesting an anti-inflammatory role in adipose

tissue (Balvers et al., 2010). Synaptamide also decreased the viability of the LNCaP and PC3

prostate cancer cell lines (IC50 120–130 μM) (Brown et al., 2010). Synaptamide levels in E-18

fetal hippocampi (155 ± 35 fmol/μmol) are significantly higher than the anandamide level (44±3

fmol/ μmol). This relatively high content suggests that synaptamide might have an important role

in the hippocampus. In support of this observation, synaptamide was found to stimulate neurite

growth, synaptogenesis and synaptic protein (synapsin-1, synaptophysin, PSD-45) expression

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in developing hippocampal neurons (Kim et al., 2011). DHA and synaptamide appear to target

the same transcriptional activity, since both promote the expression of similar specific synaptic

proteins raising the possibility that their effect on neuritogenesis and synaptogenesis is

interdependent.

It is still early to claim that the neuritogenic and synaptogenic effects of DHA are mediated by

synaptamide. Although studies show the increase in synaptic puncta and neurite length with

synaptamide administration, the same are observed with DHA supplementation, albeit at a

higher concentration (Kim et al., 2011) (Rashid et al., 2013). The concentration difference

between the two compounds could be explained in two ways – one, to consider synaptamide

being synthesized from DHA; two, that synaptamide can more efficiently cross the membrane

than DHA hence requiring less concentration. Once in the cellular compartment, synaptamide

can liberate free DHA through hydrolysis which can be accounted for the functional effects

seen. Given the role of DHA in neurogenesis and less efficient transport of non-esterified DHA

across membranes, the notion of synaptamide delivering DHA which can be incorporated into

synaptic membranes appears to be a possibility. To begin to gather evidence for or against this

hypothesis, further studies of synaptamide are required. Some of the questions that need to be

answered in these studies are:

What is the biosynthetic pathway of synaptamide?

Is synaptamide synthesized in neurons or glia?

Can neurons take up synaptamide?

Is synaptamide synthesized ubiquitously or is it specific to specific brain regions?

Does any physiological response trigger the synthesis of synaptamide?

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Is synaptamide synthesis observed only during developmental stages?

In the studies described in later sections of this dissertation, we attempted to understand what

happens to synaptamide in the brain; and if neuritogenesis and synaptogenesis seen after DHA

and synaptamide administration are due to synthesis of synaptamide from DHA or incorporation

of DHA by synaptamide.

The studies in the present Dissertation involved:

Administration of synaptamide labeled with carbon-14 in either the DHA or ethanolamine

moiety to mice, followed by evaluation of brain uptake of radiolabel and chromatographic

analysis of its chemical form

Radiochemical studies in N27 cells (rat fetal mesencephalic immortalized cells) to

complement the in vivo studies

Evaluation of the effects of unlabeled synaptamide (and of DHA) on neuritogenesis in

N27 cells.

With these studies we attempted to address our specific aims:

1. To detect the biosynthesis of synaptamide from exogenous DHA.

2. To examine in vivo and in vitro uptake of synaptamide.

3. To determine the role of FAAH in synaptamide metabolism and its partitioning into

phospholipids.

4. To analyze and compare a functional effect of synaptamide with that of DHA.

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B. RATIONALE

DHA is known to enhance cognition and memory by increasing synaptogenesis and

neuritogenesis in the hippocampus. Kim et al carried out several studies in primary hippocampal

and cortical neurons and concluded that the functional effects of DHA in these cultures are

mediated by its conversion into synaptamide, a derivative of DHA (Kim et al., 2011). We

employed an immortalized fetal mesencephalic cell line constituting 95% TH+ immortalized

dopaminergic cells: 1RCN27 cells (N27 cells), which are glial cell free, in our studies for the

following reasons: (1) Previous studies on synaptamide were carried in primary cell cultures

which comprise a mixture of various cell types. By using N27 cells, we wanted to document if

the synthesis of synaptamide from DHA can occur in the neuronal compartment as opposed to

the glial compartment which is where DHA is known to be synthesized. (2) We aimed to

determine whether synaptamide synthesis from DHA is specific to hippocampal and cortical

glutamatergic neurons. As DHA is known to support neuronal survival and differentiation in

dopaminergic neurons through its action on RXR (de Urquiza et al., 2000; Perlmann et al.,

2004), we wanted to investigate the possibility of synaptamide being responsible for these

effects. (3) As N27 cells were derived from fetal cells, the undifferentiated cells represent the

fetal ―dividing‖ nerve cells. These cells take on the properties of an adult neural cell with the

onset of differentiation (Clarkson et al., 1999). Using these cells in our experiments may provide

us with a preliminary insight about the importance of synaptamide (and DHA) supplementation

in developing as well as mature, adult neural cells. Hence, we used both undifferentiated and

differentiating cells in our studies.

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Arachidonic acid is an omega-6 fatty acid which is incorporated in its ethanolamide,

anandamide. Synaptamide incorporates DHA, an omega-3 polyunsaturated acid making it

structurally similar to anandamide. Based on this structural similarity, studies performed by Kim

et al largely assumed that synaptamide is synthesized from DHA endogenously via a similar

biosynthetic pathway as anandamide and that the functional effects of synaptamide are

terminated by its hydrolysis into DHA by FAAH. The rationale behind each of our specific aims

can thus be justified based on the following arguments:

1. The existence of synaptamide precursors (phospholipid precursors) can substantiate the

notion that synaptamide biosynthesis maybe similar to that of anandamide. One study

reported the presence of these precursors in bovine brain homogenates (Bisogno T,

1999) but no study addressed this issue in in vitro conditions. Thus, in our studies, we

attempt to investigate the presence of machinery responsible for synaptamide synthesis

in N27 cells.

2. Previous work carried out in our lab as well as by our collaborators demonstrated that

the N-acylethanolamines of fatty acids are better taken up in vivo than the free fatty

acids themselves. This was shown to be the case with the omega-6 fatty acid,

arachidonic acid and its N-acylethanolamine, anandamide (Glaser et al., 2006; Hu et al.,

In press), as well as with the shorter-chain, saturated fatty acid, myristic acid (C14:0)

and its N-acylethanolamine, myristoylethanolamide (Hu, 2016), which is an important

signaling molecule in plant species. The structural similarity between arachidonic acid

and DHA; and anandamide and synaptamide makes it reasonable to assume that in vivo

synaptamide uptake is higher than that of DHA. This may explain the potent activity of

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synaptamide in the experiments of Kim and co-workers (Kim et al., 2011), but there is no

evidence for this phenomenon in vitro. Hence, we attempted to evaluate the differences

between the uptake of free fatty acid and its corresponding ethanolamide in in vitro

conditions and compare it with in vivo uptake.

3. The second major assumption by Kim and co-workers (Kim et al., 2011; Rashid et al.,

2013) is that FAAH metabolizes synaptamide to DHA and ethanolamine, terminating its

functional effects. However, the substrate preference of FAAH to N-acylethanolamines

with very long acyl chains (>C20) has not yet been demonstrated. One study indirectly

looked at FAAH‘s substrate preference towards synaptamide (Bisogno T, 1999);

nevertheless no definitive studies appear to have been conducted. Since evidence in

support of this assumption was lacking we investigated the role of FAAH on

synaptamide metabolism.

4. The observation that synaptamide brings about neuritogenesis and synaptogenesis in

primary hippocampal and cortical cells at a lower concentration than DHA prompted Kim

and co-workers to hypothesize that synaptamide mediates the functional effect of DHA

(Kim et al., 2011). We attempted to validate and explain this functional effect of DHA and

exogenous synaptamide using a secondary neuronal cell line consisting of immortalized

fetal mesencephalic N27 cells.

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C. MATERIALS AND GENERAL METHODS

C.1. ANIMALS

Male Swiss Webster mice (Charles River Laboratories, Cambridge, MA) weighing 25 ~30 g

were used for all in vivo studies. Mice were maintained at the animal facility of Division of

Laboratory Animal Medicine (DLAM) on 12 hour alternating light and dark period, with access to

food and water ad libitum. Mice were treated in compliance with NIH guidelines for the use of

laboratory animals and according to a protocol approved by the Institutional Animal Care and

Use Committee (IACUC).

C.2. RADIOACTIVE COMPOUNDS

[14C]Arachidonic acid, [14C]ethanolamine and [14C-ethanolamine]anandamide were purchased

from American Radiolabeled Chemicals. [3H-ethanolamine]anandamide was obtained from

Moravek Pharmaceuticals. [14C]Docosahexaenoic acid was obtained from both American

Radiolabeled Chemicals and Moravek Pharmaceuticals. [14C-ethanolamine] synaptamide and

[14C-docosahexaenoyl]synaptamide were synthesized by Dr. Richard Duclos, Jr. in our lab.

C.3. CHEMICALS

RPMI 1640 with L-Glutamine (InVitrogen), Trypsin, Fetal bovine Serum, penicillin-streptomycin,

N1-supplement (Sigma-Aldrich), Dibutyryladenosine 3′,5′-byclic monophosphate sodium salt

(Sigma-Aldrich), dehydroepiandosterone, α-tocopherol (Sigma-Aldrich), non-radioactive

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docosahexaenoic acid (Nu-Chek Prep), non-radioactive synaptamide (synthesized by Dr.

Duclos in our lab), paraformaldehyde, 10% gelatin solution, DAPI Fluoromount-G

(southernbiotech; 0100-20). FAAH inhibitor PF3845 was provided by Dr. Duclos. TRIS, bovine

serum albumin were obtained from Sigma-Aldrich. Chloroform, acetone and methanol were

obtained from (Fisher scientific). Authentic phospholipid standards: 1-palmitoyl-2-hydroxy-sn-

glycero-3-phosphoethanolamine (856705P), L-α-phosphatidylinositol (840044P), 1-palmitoyl-2-

hydroxy-sn-glycero-3-phosphocholine (855675P), 1,2-dipalmitoyl-sn-glycero-3-phospho-L-

serine (840037P), 1,2-dipalmitoyl-sn-glycero-3-phosphoethanolamine (850705P) and 1,2-

dipalmitoyl-sn-glycero-3-phosphocholine (850355P) were procured from Avanti Polar Lipids.

Solvable and Ultima Gold™ XR, high flash-point liquid scintillation counter cocktail (Perkin

Elmer Las Inc) are used for dissolving the isolated tissue and quantification of counts

respectively.

C.4. EQUIPMENT

LS6500 Multi-Purpose Scintillation Counter (by beckman Coulter), cyclone® Plus Storage

Phosphor Imager, Resolution Storage Phosphor Screen and the OptiQuant software (by Perkin

Elmer Las Inc).TLCs were performed using preabsorbent silica gel G plates (Analtech, Newark,

DE, USA) and silica gel 60 F254 plates (EMD Millipore). Olympus CX-51 Fluorescent microscope

was used to get images for neurite analysis and the software BIOQUANT was used to acquire

images.

C.5. N27 CELL CULTURE

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The N27 cell line is an immortalized fetal rat mesencephalic cell line that produces dopamine

and expresses tyrosine hydroxylase and dopamine transporter. It was created by transfecting

fetal rat mesencephalon with a plasmid vector carrying LTa gene from SV40 virus (Adams et al.,

1996).

N27 cells (obtained as a gift from Dr. Freed‘s lab, University of Colorado; kindly donated by Dr.

Loring) were grown at 37°C in 5% CO2 in RPMI 1640 with L-glutamine supplemented with 10%

Fetal bovine Serum (FCS) and 1% penicillin-streptomycin. bells (between 8-20 passages) were

grown in 75 cm2 (T-75) cell culture flasks and for passaging, the confluent cells are separated

using 1.4 ul of trypsin. The cells were re-suspended in 10 ml fresh medium and seeded at a

density of 200,000 - 300,000 cells/well in 6 well plates at least 24 hours before experimental

treatment. For morphological studies cells are seeded on cover slips coated with 1 mg/ml

gelatin solution overnight inside 6-well plates (cell Treat). 24 hours following plating, the medium

was replaced with fresh medium supplemented with differentiating agents, Dibutyryladenosine

3′,5′-byclic monophosphate (dibutyryl cyclic AMP; 2mM) and dehydroepiandosterone (60 µg/ml)

and either DHA or synaptamide and the cells were allowed to differentiate for 72 hours. DHA

and synaptamide are complexed with fatty acid free BSA in the presence of α-tocopherol before

supplementation. 10 mM Stock solutions of DHA and synaptamide with α-tocopherol were made

in ethanol and aliquots for further dilution were stored at -80°C. Subsequent dilutions are made

at room temperature in 1% BSA; 20 µl of this diluted mixture is added to the culture medium

along with differentiating agent. The final concentrations of BSA and α-tocopherol in the culture

medium are 0.01% and 40 µM. The final concentrations of DHA and synaptamide in the culture

medium are 1 nM, 10 nM, 100 nM, 1 µM and 10 µM. After 72 hours, differentiation is stopped by

removing the medium and washing the cells with thrice with 1X PBS. cells grown on cover slips

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are then fixed with ice cold 4% paraformaldehyde for 20 minutes in the fume hood followed by

three washed with 1X PBS to wash out most paraformaldehyde. The cover slips are then

mounted immediately for neurite analysis. Neurite analysis was performed on 70 randomly

selected cells and 80 randomly selected neurites from them.

C.6. STATISTICAL ANALYSIS

Statistical analysis in most experiments is performed using student‘s T test. For neurite analysis,

one-way ANOVA was used to compare the differences between the functional effects caused

various doses of either synaptamide or DHA. Post hoc tests were performed using post hoc T

test with Bonferroni‘s correction

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D. SYNTHESIS OF SYNAPTAMIDE

D.1. INTRODUCTION

Endogenous or exogenous free fatty acids are able to undergo incorporation into complex lipids

only after they have been activated into their respective acyl-CoAs (Yan et al., 2015). Formation

of acyl-CoA utilizes ATP, coenzyme A and Mg2+ and ―fixes‖ the fatty acid inside the cell (Yan et

al., 2015). The conversion of fatty acid into fatty acid acyl-CoA is a two-step process: the fatty

acid first forms an intermediate with ATP (fatty acyl-AMP) which reacts with coenzyme A to form

fatty acyl-CoA (Mashek et al., 2007). The enzymes responsible for this conversion are acyl-CoA

synthases. Formation of arachidonyl-CoA and docosahexaenoyl-CoA require ASCL4 and

ASCL6 respectively (Kang et al., 1997; Marszalek et al., 2005a). Formation of an acyl-CoA is

not only an important step in its incorporation into phospholipids; it is also necessary for the

biosynthesis of the phospholipid precursors of the fatty acid‘s corresponding N-

acylethanolamine.

N-acylethanolamines (NAEs) are bioactive derivatives of fatty acids of various chain lengths that

have been identified in the mammalian brain. N-palmitoyl-, N-stearoyl- and N-oleoyl-, N-

linoleoyl-, N-linolenoyl-, N-dihomo-γ-linolenoyl- and N-arachidonoyl ethanolamine are some of

the most prominent N-acylethanolamines in the brain (Mechoulam et al., 1998). Many of these

N-acylethanolamines have specific functional roles in brain as well as other peripheral tissues –

N-palmitoylethanolamine has analgesic and anti-inflammatory functions whereas N-

oleoylethanolamine has a potent role in regulation of feeding (Freund T F, 2003). Anandamide

has a well-known role in the regulation of Cody temperature, locomotion, feeding and the

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perception of pain, anxiety and fear (Walker et al., 1999),(Williams et al., 1999). The existence

of N-docosahexaenoylethanolamine (synaptamide) has been known for a while but its

―bioactive‖ role has only been recently postulated and in the last decade there has been some

focus on elucidating the possible functions of synaptamide.

Several biosynthetic pathways for the synthesis of N-acylethanolamines have been proposed.

While the most widely known and accepted pathway involves the production of N-

acylethanolamines from their phospholipid precursors: N-acylphosphatidylethanolamines

(NaPEs) by the action of the enzyme phospholipase D (Schmid H, 1996), there are several

alternate pathways that contribute to the N-acylethanolamine synthesis. These are

phospholipase D independent synthetic pathways – N-acylphosphatidylethanolamines can

either be cleaved by phospholipase C (PLC) or α/β-hydrolase 4 (ACh4; a serine hydrolase) into

phospho-N-acylethanolamines (pNAEs) or glycerophospho-N-acylethanolamine (GP-NAE)

respectively. The pNAEs are dephosphorylated by phosphatases and GP-NAEs are cleaved by

phosphodiesterases into the corresponding N-acylethanolamines. These phospholipase D

independent pathways serve as ―back up‖ methods for the synthesis of these biomolecules (Liu

et al., 2008).

Anandamide is the most studied N-acylethanolamine. Its implication in many physiological

effects makes it an attractive subject. Although synaptamide is a structural analog of

anandamide, it is not an endocannabinoid as it has very poor affinity for cannabinoid receptors –

Ki~400 nM for synaptamide vs 38 nM for anandamide at porcine CB1 receptors (Sheskin et al.,

1997) and Ki~12.2 μM for synaptamide vs 540 nM for anandamide at human CB1 receptors

(Felder et al., 1993) while at the CB2 receptors, the EC50 for synaptamide~9.8 nM vs 0.3 nM

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for anandamide (Yang et al., 2011). As the two N-acylethanolamines are structural similar, the

information available about anandamide provides a resource to explore the fate of synaptamide.

One of the first proposed pathways for anandamide synthesis involves a simple, energy

independent condensation of free arachidonic acid and ethanolamine utilizing the enzyme

FAAH; in vitro evidence in support of this has been reported by several investigators (Devane W

A, 1994),(Kruszka et al., 1994). The apparent Km values of arachidonic acid and ethanolamine

for this reaction are ~100 μM and ~50 mM respectively (Ueda N, 1995). These values are much

higher than their physiological levels, so that formation of anandamide by reversal of the FAAH

reactions seems improbably (Siguira T, 1996). In fact, although this synthesis can be

demonstrated in vitro, evidence of this process in vivo is lacking. The most widely accepted

pathway involves the synthesis of anandamide from its phospholipid precursor, N-

arachidonoylphosphatidylethanolamine (NAPE; formed by the transacylase mediated N-

acylation of phosphatidylethanolamine). NAPE is then cleaved by an N-

arachidonoylphosphatidylethanolamine specific phospholipase D enzyme to release

anandamide and phosphatidic acid (Schmid H, 1996).

The first evidence of synaptamide synthesis was observed while investigating the synthesis of

fatty acyl ethanolamides from various long chain fatty acids (Devane W A, 1994). Synaptamide

synthesis was only mentioned, not stressed in this paper, as its levels were far less than those

of anandamide in bovine brain homogenates (Devane W A, 1994). The synthesis of

synaptamide from DHA was reported in hippocampal neurons (Cao et al., 2009), cortical

neurons and neural stem cells (Rashid et al., 2013); however, the mechanism of its synthesis

and the presence of its precursors in neural tissue was not characterized. There is no

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information yet regarding the site of synaptamide synthesis – whether it takes place in neurons

or glia -- or on the conditions required for its synthesis. This chapter attempts to address some

of the gaps in knowledge of synaptamide biosynthesis.

D.2. METHOD

D.2.1. Synthesis of N-acylethanolamines in mouse brain homogenates

We used a protocol developed by Ueda et. al (Ueda N, 1995), and modified it by involving the

addition of other co-factors to study the synthesis of N-acylethanolamines (anandamide and

synaptamide) from their corresponding fatty acids. Mouse brains from male SW mice were

obtained after euthanasia by cervical dislocation and 20 mg/ml homogenates were prepared

fresh with tris-magnesium-EDTA containing 3% bovine serum albumin. Protease and

phosphatase inhibitors were added to minimize enzymatic activity and homogenates were kept

on ice until radiolabelled substrate was added. The various reagents added were: ATP (1 mM);

PE (0.1 mM); ethanolamine (10 mM) and coenzyme A (1 mM). Incubations were started by

addition of 20 µM [14C]arachidonic acid or [14C]DHA to the homogenate and the mixture was

incubated at 37ºC for 60 minutes. The incubation mixture was vortexed every 5 minutes to

ensure uniform tissue contact with the added reagents. After termination of incubations, the

tissue lipids were extracted using the ―Folch‖ method. An aliquot of the tissue chloroform extract

collected was used to count total radioactivity using the liquid scintillation counter. Another

aliquot was spotted on a TLC plate along with standards and run in the chloroform/methanol/

ammonia (60:30:1) solvent system. After drying, the plates were apposed to phosphor screens

for 24 hours which were then scanned with the cyclone Plus Imager to obtain autoradiographs.

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Autoradiograph intensity was analyzed using the software OptiQuant. An average of four

experiments was considered for analysis.

D.2.2. Synthesis of N-acylethanolamines in N27 cells

N27 cells (both undifferentiated and differentiating cells) were incubated with 200 nM

[14C]arachidonic acid or [14C]DHA. After a set time, the medium was removed, and cell pellets

were harvested for analysis of radioactive lipids. An average of three experiments was

considered for analysis.

D.2.3. Lipid extraction

We followed the procedure of Folch et al. (Folch, Lees et al. 1957). 200 μl of the extraction

mixture (chloroform/methanol, 2:1) was added directly to the cell pellet or to the brain

homogenate and incubated at room temperature for 20 minutes. The suspension was sonicated

on ice twice (30 seconds each time) and was centrifuged at 14000 rpm for 15 minutes. The

supernatant was transferred to a tube with 0.9% NaCl (40 μl). 100 μl of chloroform was added to

cell debris for sonication and the suspension was centrifuged again for 15 minutes at 14000

rpm. The supernatants were mixed, vortexed and centrifuged again to separate the organic and

aqueous layers. Organic and aqueous phases were collected into separate tubes. Aliquots of

the aqueous and organic (chloroform) layers were assayed for total radioactivity by scintillation

counting and the remainder of the chloroform layer was stored at -80ºC until TLC analysis.

D.2.4. Radio-TLC analysis

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Chloroform extracts were subjected to one-dimensional thin-layer chromatography (TLC) on a

preabsorbent 20 X 10 cm silica gel G plate for about 150 min, using a mobile phase containing

chloroform/methanol/ammonia (60:30:1 v/v). [14C]arachidonic acid and [14C]anandamide; and

[14C]DHA and [14C]synaptamide standards were used to identify corresponding spots for

anandamide and synaptamide. Quantification of radioactive hot spots was performed using

Optiquant software (Version 5). The accumulation of radioactivity on a radio-TLC is shown as

intensity (in DLU/mm2) with the different levels of signal intensity reflecting the different amounts

of radioactivity. The autoradiograph was divided into lanes and the intensity of spots (in

DLU/mm2) in each lane was used for analysis. Image analysis was performed after subtracting

the background from the entire lane.

D.3. RESULTS

D.3.1. Synaptamide is synthesized in mouse brain homogenates

TLC analysis of brain homogenates demonstrated the synthesis of N-acylethanolamine from the

radiolabeled fatty acid (fig D.1).

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Fig D.1: Representative TLC used for the quantification of NAE synthesis. NAE synthesis ex-vivo

from 20 µM [14

C]arachidonic acid (A) and [14

C]docosahexaenoic acid (B). Legend (from left to

right): no added cofactors; added ATP (1 mM), PE (0.1 mM), EA (10 mM) and CoA (1 mM); no

added PE; no added EA; no added CoA; and no added ATP. (PE: phosphatidylethanolamine; EA:

ethanolamine; CoA: Co-enzyme A; ATP: Adenosine triphosphate)

We observed that even when no exogenous co-factors were added, there was some conversion

of the added free fatty acid into the corresponding ethanolamide. This can probably be

attributed to the presence of endogenous co-factors. As documented in fig D.1B, incubation of

brain homogenates with DHA resulted in the synthesis of synaptamide, possibly from a

corresponding N-docosahexaenoylphosphatidylethanolamine (NDPE) – PLD system. Addition

of all co-factors – phosphatidylethanolamine, ethanolamine, coenzyme A and ATP increased

anandamide and synaptamide synthesis (fig D.2). The absence of any one factor decreased

synaptamide synthesis but not to be low the endogenous baseline levels (fig D.2). This pattern

was consistent and reproducible thus confirming that all precursors play an important role in

synaptamide synthesis.

FIG D.1A FIG D.1B

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Fig D.2: Quantification of TLCs of brain lipid extracts to determine NAE synthesis – Anandamide

from [14

C]arachidonic acid (A), and synaptamide from [14

C]DHA. (B). Data is expressed as an

average of four experiments in terms of DLU/mm2. Error bars represent SEM. Legend (from left to

right): no added cofactors; added ATP (1 mM), PE (0.1 mM), EA (10 mM) and CoA (1 mM); no

added PE; no added EA; no added CoA; and no added ATP. (PE: phosphatidylethanolamine; EA:

ethanolamine; CoA: coenzyme A; ATP: Adenosine triphosphate)

The synthesis of synaptamide was least in homogenate incubations without coenzyme A and

ATP (fig D.2D) indicating that the presence of adequate concentrations of these two compounds

is the most important requirement for synaptamide synthesis; they are needed for production of

the coenzyme A thioester of DHA.

D.3.2. In vitro synaptamide synthesis

FIG D.2A FIG D.2B

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Lipid extracts of N27 (undifferentiated and differentiating) cells incubated with [14C]arachidonic

acid or [14C]DHA displayed a time dependent increase in radioactive counts (fig D.3).

Fig D.3: % Radioactivity in chloroform extracts of N27 cells as determined from scintillation

counts. N27 cells incubated with 200 nM [14

C]arachidonic acid (A) and [14

C]DHA (B). Data is

expressed in terms of % radioactivity in cell extracts. N=3; error bars represent SEM.

The time dependent increase in radioactivity of cell extracts could represent increased uptake of

[14C]arachidonic acid which in turn results in increased synthesis of its metabolites. To confirm

this, the chloroform extracts were subjected to TLC analysis (fig D.4).

FIG D.3A FIG D.3B

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Fig D.4: Representative TLC images NAE synthesis from radiolabeled free fatty acid. Anandamide

synthesis in undifferentiated (A) and differentiating (B) N27 cells incubated with 200 nM

[14

C]arachidonic acid. Synaptamide synthesis in undifferentiated (C) and differentiating (D) N27

cells incubated with 200 nM [14

C]DHA.

TLC analysis revealed no discernible free [14C]arachidonic acid or [14C]DHA in cell extracts and

that these exogenous fatty acids were converted into metabolites by the cells. To confirm the

observation from scintillation counting of chloroform extracts, we quantified the hot spots on

TLC image performing lane analysis. As evident from the TLC, there was a clear quantifiable

time dependent increase in total radioactivity in each lane (fig D.5A and B) which correlates well

with the scintillation counts (fig D.3A and B). Autoradiographs of the TLC images have a

FIG D.4A FIG D.4B FIG D.4C FIG D.4D

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―smudgy‖ appearance just below the actual hot spot, and this can be accounted to air-oxidation

of the standard as it runs along the silica plate in the mobile phase or as it dries out.

Fig D.5: TLC Quantification of chloroform extracts of cells incubated with radiolabelled fatty acids.

(A) [14

C]arachidonic acid and (B) [14

C]DHA. (C) Anandamide synthesis in N27 cells from 200 nM

FIG D.5A FIG D.5B

FIG D.5C

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[14

C]arachidonic acid. Data is expressed in terms of % DLU/mm2 normalized to the background.

N=3; error bars represent SD.

Anandamide synthesis was evident from the TLC (fig D.4) as its RF corresponded to that of the

standard. The extent of synthesis suggests time dependence, possibly contributing to the time

dependent radiolabel accumulation in cell extracts. Quantification of hot spots shows that the

synthesis of anandamide occurs to a similar extent in both undifferentiated and differentiating

cells (fig D.5C). This suggests that the decrease in total radiolabel accumulation in

differentiating cells does not reflect decreased anandamide synthesis but is caused by

decreased incorporation of the label into phospholipids.

In contrast to the situation with incubations containing [14C]arachidonic acid, synaptamide

synthesis from [14C]DHA was not observed in N27 cells. TLC analysis of cells treated with

[14C]DHA did not show a corresponding radioactive spot with the synaptamide standard (fig

D.4C and D). In order to confirm this, we co-spotted radioactive cell extracts (incubated with

[14C]DHA) and non-radioactive synaptamide and repeated the TLC analysis. Once the TLCs

were run and autoradiograph was recorded, we sprayed the TLC plates with copper

sulfate/phosphoric acid reagent, and the plates were charred in a hot oven. Charred spots

corresponding to the non-radioactive synaptamide standard were not observed, but several

other spots were revealed (fig D.6).

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Fig D.6: Autoradiograph (right) and charred (left) TLC image representative of synaptamide

synthesis in N27 cells incubated with 200 nM [14

C]DHA. Charred plates displayed non-radioactive

synaptamide (1) and various lipid classes DHA incorporates into: phospholipids (2, 3, and 4) and

other triglycerides (top). The autoradiograph displays lipid classes that incorporated [14

C]DHA.

D.4. DISCUSSION

N-acylphosphatidylethanolamines (NAPE’s) are the main phospholipid precursors for the

synthesis of N-acylethanolamines (Schmid H, 1996). via phospholipase D (Ueda et al., 2010).

Synthesis of N-acylphosphatidylethanolamine is the rate limiting step in N-acylethanolamine

formation and is usually mediated by the membrane associated enzyme, N-acyltransferase

(NAT). N-acyltransferase catalyzes the trans-acylation reaction (involving the transfer of the acyl

group in the sn-1 position) between a donor phospholipid (phosphatidylethanolamine,

1

2

3

4

COLD SYN

[14C] DHA

COLD SYN + [14C] DHA

COLD SYN

[14C] DHA

COLD SYN + [14C] DHA

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phosphatidylcholine, sn-1-acyl-sn-2-lysophosphatidylethanolamine or sn-1-acyl-sn-2-

lysophosphatidylcholine) and phosphatidylethanolamine. N-acyltransferase activation is

triggered in the presence of high levels of intracellular calcium (represents ―demand‖ for the

synthesis of N-acylethanolamine). (Wang et al., 2009). Members of the HRAS-like tumor

suppressor family (H-rev107 family) were reported to possess phospholipase activity as well as

O-acyltransferase activity (referred to as PLA/AT) and are also able to synthesize N-

acylethanolamine precursors (Uyama et al., 2012). One out of the five members of this family,

Hrasls5 (PLA/AT-5) has an N-acyltransferase-like activity which is independent of intracellular

calcium – hence the name iNAT (Jin et al., 2007). N-acylphosphatidylethanolamines synthesis

from free fatty acids or fatty acyl Co-A was documented only in plants (McAndrew et al., 1998).

Since the conditions for anandamide synthesis are well documented, the same were used to

determine the synthesis of synaptamide. The precursor of anandamide synthesis is N-

arachidonoylphosphatidylethanolamine, formed from phospholipids incorporating arachidonic

acid. The formation of arachidonoyl-phospholipids be gins with the synthesis of arachidonoyl-

CoA which is an energy dependent reaction utilizing ATP and coenzyme A (Wilson D B, 1982).

The concentrations of exogenous docosahexaenoic acid (20µM), coenzyme A (1 mM) and ATP

(10 mM) were determined based on the apparent Km values of each factor listed in literature for

anandamide synthesis. Arachidonic acid (Km: 100 µM) utilizes coenzyme A (Km: 180 µM) and

ATP (Km: 0.5 mM) to form arachidonoyl-CoA (Wilson D B, 1982). Phosphatidylethanolamine

and ethanolamine (50 mM) were also added to determine if they play a role in increasing the

synthesis of synaptamide. Our results clearly show that the involvement of ATP and Coenzyme-

A play an important role in synaptamide synthesis. This is in agreement with the fact that

formation of docosahexaenoyl-CoA is the most important step for the synthesis of the

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phospholipid precursor (N-docosahexaenoylphosphatidylethanolamine; NDPE) for the synthesis

of synaptamide.

While anandamide was synthesized from [14C]arachidonic acid in N27 cells, we were not able to

document the synthesis of synaptamide in N27 cells under the same conditions. This suggests

that the conditions required for the formation of docosahexaenoyl-CoA in vitro is different from

those required for the synthesis of arachidonoyl-CoA. It is also possible that N27 cells do not

express the required enzyme (ASCL6) for the synthesis of docosahexaenoyl-CoA: there are no

studies that demonstrated either the presence or absence of this enzyme in these cells. The

cells were incubated with the radiotracer for a maximum of 20 minutes. Another possibility for

the lack of synaptamide synthesis is that the incubation time may not be sufficient for its

synthesis from [14C]DHA. This is however unlikely as when cells were incubated with exogenous

synaptamide, it was rapidly metabolized (explained in detail in sections D and E) into

phospholipids. Therefore, if the rate of synthesis of synaptamide is slower than the rate of its

metabolism, intact synaptamide cannot be isolated or visualized.

D.5. CONCLUSION

Long-chain N-acylethanolamines (NAEs) and their precursors, N-

acylphosphatidylethanolamines (NAPEs), are trace constituents present in all cells and tissues.

Their cellular levels are tightly regulated. While saturated and monounsaturated N-

acylethanolamines represent the vast majority of cellular N-acylethanolamines, polyunsaturated

NAEs (especially arachidonoylethanolamide: anandamide) are produced ―on demand‖ and elicit

important physiological effects (Schmid, 2000). Docosahexaenoylethanolamide (synaptamide)

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is reported to have bioactive properties and its mechanism of synthesis has not yet been

explored. The process of endocannabinoid biosynthesis remains enigmatic despite the

abundance of studies performed to characterize it; especially anandamide – owing to its

implication in a number of important physiological functions. Under previously established

protocol, we reproduced the synthesis of anandamide from arachidonic acid as well as

demonstrated the synthesis of synaptamide from DHA in crude brain homogenates but failed to

do so in vitro in N27 cells.

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E. UPTAKE OF SYNAPTAMIDE – IN VITRO AND IN VIVO STUDIES

E.1. INTRODUCTION

Anandamide, N-arachidonoylethanolamine, is an endogenous ligand of the cannabinoid

receptors (CB1 and CB2) and of vanilloid receptors that functions as a neuromodulator and

affects a variety of physiological processes. Anandamide and other N-acylethanolamines are

particularly interesting as they are not synthesized and stored in vesicles like conventional

neurotransmitters but are synthesized ―on demand‖. The trigger for synthesis of anandamide is

elevation of intracellular calcium levels through cellular depolarization or receptor stimulation

(Rodriguez de Fonseca et al., 2005). Acylethanolamine action is terminated by enzymatic

hydrolysis.

Anandamide is released from the postsynaptic membrane when triggered by the calcium influx

that occurs by the activation of presynaptic glutamate receptors (Galligan, 2009). The

anandamide released can either act on postsynaptic cannabinoid receptors and inhibit

activation of excitatory stimulus or act on presynaptic cannabinoid receptors and inhibiting the

presynaptic stimulus. Although evidence supports a postsynaptic action of anandamide

(Giuffrida et al., 1999), its action on presynaptic receptors is dominant mainly because of the

abundance of CB1 receptors on the presynaptic terminals (Schlicker et al., 2001). Anandamide

hence is involved in ―retrograde signaling‖ where it causes a depolarization induced suppression

of inhibition (DSI) (Pitler et al., 1994; Wilson et al., 2001a; Wilson et al., 2001b) or depolarization

induced suppression of excitation (DSE) (Diana et al., 2004) in presynaptic terminals.

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Clearly, in order for anandamide to act on the presynaptic terminals, it has to cross membranes

to reach the receptor. In addition, the enzyme responsible for anandamide hydrolysis, FAAH

(Fatty Acid Amide Hydrolase) is localized to the Endoplasmic Reticulum (Gulyas et al., 2004) so

anandamide will have to reach the intracellular compartment to be inactivated. This makes the

study of uptake and transport of anandamide an important issue. Several attempts have been

made to investigate the mechanism behind anandamide uptake and intracellular transport. The

first report of anandamide uptake in cells was published in 1993 (Deutsch et al., 1993) and

since then, many studies have explored the mechanism(s) by which it enters cells. One of the

first mechanisms proposed to explain anandamide transport was energy independent,

saturable, time- and temperature- dependent facilitative diffusion which was reported to be

bidirectional (Hillard C J, 1997). Other studies reported an unsaturable anandamide uptake in

certain cell lines (Fasia et al., 2003). This controversial observation prompted the re-

examination of anandamide transport and results were interpreted by different workers both in

support of as well as against the involvement of a specific transporter protein. FABPs (Fatty

Acid binding Proteins), in particular FABP5 and FABP7 are shown to be involved in the uptake

of anandamide along with other lipophilic compounds such as fatty acids and fatty acid amides

(Sanson et al., 2014). A variant of FAAH, FLAT (FAAH-like-anandamide-transporter) was also

shown to specifically mediate anandamide transmembrane transport (Chicca et al., 2012; Leung

et al., 2013) suggesting that multiple mechanisms play a role in intracellular anandamide

trafficking. The details of the transmembrane transport are not clear yet. There has been a lot of

argument in support of, as well as against, the existence of a specific anandamide

transmembrane transporter. However, it is notable that no such specific transporter has been

cloned. A recent review article by Dale G. Deutsch on anandamide trafficking reflects that unlike

classical neurotransmitters, anandamide does not require a protein to enable its transmembrane

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transport, and that its intracellular trafficking is coupled to its internalization by fatty acid binding

proteins and subsequent hydrolysis by the enzyme fatty acid amide hydrolase (Deutsch, 2016).

Although much progress has been made in understanding these events, investigation of

diffusion and transport of highly lipophilic signaling molecules (such as anandamide) is fraught

with difficulties, and in vitro assays can suffer from artifacts and false negatives. Because of its

lipophilicity, the solubility of anandamide in aqueous media is extremely low and high non-

specific binding occurs to glass and plastic surfaces (Oddi et al., 2010), as well as to lipid

components of cells, tissue homogenates or membrane preparations used in experiments. This

makes the determination of the free concentration of anandamide impossible. Incorporation of

Bovine Serum Albumin (BSA) into assay media may minimize sticking to surfaces, but does not

alter the fact that the concentration of ―free‖ anandamide available for transport or enzymatic

hydrolysis is unknown. Thus kinetic parameters describing transport or metabolism are highly

dependent on experimental conditions. The concentration of BSA is thus an important

experimental variable. Albumin is a known carrier for a variety of hydrophobic compounds

including anandamide (Giuffrida et al., 2000). The concentration of albumin in human plasma is

~650 μM and that of anandamide is about 50 -200 nM making it possible for albumin to bind all

of the anandamide. It has been estimated that the free anandamide-to-bound anandamide ratio

in plasma is approximately 0.01% (Bojesen et al., 2003). The choice of BSA is hence important

to make sure that the non-specific binding of anandamide decreases while its uptake remains

significantly un-inhibited. Another important factor in determining anandamide uptake is

temperature. Many authors have reported a temperature dependent uptake of anandamide in –

cultured brain neurons (Di Marzo V, 1994), mouse N2A neuroblastoma and RCL-2H3 basophilic

leukemia cell lines (Jacobsson et al., 2001) and human keratinocytes (Oddi et al., 2005); the

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optimal uptake of anandamide in all cases being observed at 37ºC. One strategy to discern the

―specific uptake‖ of anandamide is to determine its uptake at 4ºC (where most cellular activity is

stopped) and subtracting it from the uptake observed at 37ºC (Thors et al., 2006).

Anandamide clearance from the extracellular domain and hence its uptake is determined as a

combination of its association with membrane lipids and its transportation into the cells. This

cellular uptake proceeds until equilibrium is established between intra- and extracellular

compartments. Intracellular metabolism of anandamide is a rate limiting factor that governs the

establishment of equilibrium and hence anandamide uptake into the cell (Fowler, 2012). FAAH

is associated with metabolizing anandamide in the cell and hence is postulated by many authors

to be involved in driving anandamide uptake (Glaser et al., 2005). None of the groups

steadfastly claimed that FAAH is the sole reason for anandamide uptake as some authors

reported evidence for a FAAH independent uptake of anandamide (Beltramo et al., 1997;

Kathuria et al., 2003).

The subject of anandamide uptake and metabolism, although well characterized, is still a

subject of great controversy. However, the models used for this study can also be extended to

explore the uptake of synaptamide. As synaptamide is structurally similar to anandamide, many

aspects involved in its uptake can be compared against those of anandamide, thus fostering

better understanding of synaptamide uptake.

E.2. METHODS

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E.2.1. Determination of synaptamide partitioning between Blood and brain compartments over

time.

1 μCi of [14C]synaptamide in 200 µl emulphor/ethanol/saline (1:1:18) was administered to Male

SW mice weighing 25-30g via tail vein injection. The solution for i.v. injection was prepared just

before starting each experiment, to limit the rearrangement or degradation of radiotracer.

Ethanol (the solvent in which the radiotracer was dissolved) was evaporated under a flow of

argon to protect against oxygen, after which the tracer was re-dissolved in

emulphor/ethanol/saline (1:1:18) vehicle. Before injecting into mice, 20 µl of the injection mixture

was assayed with the scintillation counter for the amount of radioactivity for the determination of

injected activity and the calculation of IA%/g values. After 0, 5, 15, 30 or 60 minutes mice were

euthanized by cervical dislocation, the brains removed immediately and placed in ice cold saline

for a few minutes to suspend enzymatic activity. Half the brain was weighed in scintillation vials,

and dissolved in ―Solvable‖ (tissue solubilizer). Scintillation cocktail was added to this mixture

and the radioactivity was assayed. Blood and urine samples were collected with fine tip transfer

pipettes when mice were euthanized, and weighed in scintillation vials. Blood samples were

bleached with hydrogen peroxide after dissolution and before addition of cocktail. Urine samples

were directly mixed with scintillation fluid. The counts per minute (CPM) and H# obtained from

the liquid scintillation counter were used to calculate the percent of injected activity per gram

(%IA/g) for the samples. The Blood/brain radioactivity concentration ratios were then calculated.

Two-tailed unpaired student's t test was used to make comparisons between percent IA/g

values with [14C]synaptamide, [14C]DHA and [14C]ethanolamine were made. Remaining half

brain and Blood samples were stored at -80ºC until TLC analysis. Data from three mice was

used for analysis.

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E.2.2. Analysis of radiotracer uptake in vivo: microdissection studies

Male SW mice (25-30g) were used for these experiments. Each mouse was administered 0.1

μCi of [14C]radiotracers in 200 µl emulphor/ethanol/saline (1:1:18) via tail vein injection. After 15

minutes, mice were euthanized by cervical dislocation, the brains removed immediately, and

microdissected on a filter paper wetted with 0.9% saline, using the forceps method.

Hypothalamus, olfactory tubercle, frontal cortex, hippocampus, striatum, cerebellum, brain stem,

mid brain, thalamus and rest of the brain were separated, weighed in scintillation vials, and

dissolved in tissue solubilizer. Scintillation cocktail (2-5 mL) was then added to each vial, and

the radioactivity quantified using liquid scintillation. Blood and urine samples were treated as

described above (E.2.1). In view of the low radioactivities injected, samples were counted for 30

minutes and carefully corrected for background. Data from eight mice was used for analysis.

E.2.3. Determination of radiotracer uptake in vitro

In vitro uptake studies were performed by incubating N27 cells with various radiotracers:

[14C]arachidonic acid, [14C]anandamide, [14C]DHA and [14C]synaptamide. The uptake assay

procedure was based on the method used by Fowler et al. (Fowler et al., 2004), later modified

by Oddi et al (Oddi et al., 2010). N27 cells were passaged in RPMI 1640 with 10% FCS and

plated in 7 cm2 tissue culture dishes at a density of 106 cells/ dish. 24 hours following seeding,

the medium was replaced by 1X HBSS with 0.1% BSA and the cells were used for uptake

experiments. For differentiating N27 cells, the cells are seeded at the same density in the tissue

culture dishes, and after 24 hours, differentiating agents – Dibutyryladenosine 3′,5′-byclic

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monophosphate (dibutyryl cyclic AMP; 2mM) and dehydroepiandosterone (60 µg/ml), were

added to the cells with fresh medium and allowed to differentiate for 48 hours. After 48 hours,

the medium was replaced with 1X HBSS with 0.1% BSA and the cells were used for uptake

experiments. The undifferentiated or differentiating cells were placed in a water bath maintained

at 37ºC. After about 10 minutes for equilibration at that temperature, the cells were incubated

with 200 nM radiotracer for 1, 2.5, 5 or 10 minutes. After the designated time, the reaction was

stopped by aspirating the HBSS into a scintillation vial and adding ice cold PBS with 1% BSA to

the petri dish and transferring it to ice. The cells were scraped off of the petri dish (in PBS) and

the suspension was centrifuged to get a cell pellet. The supernatant was discarded and the petri

dish was washed again with PBS with 1% BSA to recover any let over cells and this was added

to the cell pellet. The suspension was centrifuged again to recover the final cell pellet which was

kept on ice for lipid extraction. Control incubation was performed on ice and the cell pellet was

extracted using the same procedure as above.

For uptake studies with FAAH inhibited, the cells (both undifferentiated and differentiating cells)

were pre-incubated with 2 µM PF3845 in DMSO for 30 minutes at 37ºC before incubation with

the respective radiotracers. Data from three experiments for each condition was used for

analysis.

E.2.4. Lipid extraction from N27 cells

For lipid extraction of cell pellets from undifferentiated and differentiating cells, we followed the

procedure of Folch et al. (Folch, Lees et al. 1957). 200 μl of the extraction mixture

(chloroform/methanol, 2:1) was added directly to the cell pellet. The suspension was sonicated

on ice twice (30 seconds each time) and was centrifuged at 14000 rpm for 15 minutes. The

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supernatant was transferred to a tube with 0.9% NaCl (40 μl). 100 μl of chloroform was added to

cell debris for sonication and the suspension was centrifuged again for 15 minutes at 14000

rpm. The supernatants were mixed, vortexed and centrifuged again to separate the organic and

aqueous layers. Organic and aqueous phases were collected into separate tubes. The aqueous

layer and an aliquot of the organic (chloroform) layer was used for scintillation counting to

determine the radioactivity portioned into each phase and the rest of the chloroform layer was

stored at -80°C until TLC analysis.

E.3. RESULTS

E.3.1. In vivo synaptamide uptake

E.3.1.1. Exogenous synaptamide enters the brain.

Synaptamide administered to mice via tail vein injections rapidly gets into the brain – within a

minute. The ratio of synaptamide in blood to brain decreases in a time dependent manner with

almost negligible synaptamide levels in blood one hour after injection (fig E.1A).

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Fig E.1: (A) Blood to brain ratio of [14

C]synaptamide. Data expressed as the ratio of average %IA/g

radioactivity of synaptamide in Blood and brain, (C) Average %IA/g radioactivity in Blood and

brain over time. %IA/g given as mean ± SD; error bars represent SD. n=3 mice per time point.

The decrease in blood: brain synaptamide ratio could indicate that the brain takes up more

synaptamide from Blood over the course of time. Individual analysis of %IA/g in blood, brain and

urine indicate that the brain uptake of synaptamide is relatively constant over time, while its

presence in the blood decreased with time (fig E.1B and table E.1). This observation is

consistent with previous studies suggesting that the uptake of radiolabeled lipid (arachidonic

acid) is independent of cerebral blood flow (Chang et al., 1997).

TIME (MIN) 0 5 15 30 60

% IA/g in BRAIN 1.66 ± 0.29 1.79 ± 0.11 1.68 ± 0.12 1.96 ± 0.22 1.66 ± 0.38

% IA/g in BLOOD 15.90 ± 2.59 2.00 ± 0.25 1.23 ± 0.37 0.86 ± 0.12 0.56 ±0.07

% IA/g in URINE 6.42 ± 7.61 23.48 ± 23.48 47.46 ± 39.9 36.03 ± 16.37 36.18 ± 0.38

Fig E.1A Fig E.1B

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Table E.1: Time-course of 14

C concentration (% IA/g) in Blood, brain and urine of mice after

administration of [14

C-ethanolamine]synaptamide via a tail vein. Data are the mean SD; error

bars represent SD. n=3 mice per time point.

E.3.1.2. Exogenous synaptamide is taken up differentially into different brain regions

Regional brain uptake and distribution experiments were performed in mice using

microdissection experiments. [14C-ethanolamine]synaptamide was used to perform these

studies. To our knowledge, our laboratory is the first to synthesize 14C labeled synaptamide and

to perform uptake and distribution studies.

Fig E.2: brain regional distribution of radiolabel 15 min after animals were injected intravenously

with 0.1μCi [14

C]synaptamide, 0.1μCi [14

C]DHA or 1μCi [14

C]ethanolamine. Values of %IA/g are the

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mean s.d. with n = 3 for ethanolamine, and n = 8 for DHA and synaptamide. *p<0.05 when

compared to DHA.

The percent injected activity per gram for [14C]synaptamide after 15 minutes is shown in Fig E.2.

In order to ensure that the pattern seen is due to the uptake of intact synaptamide and rule out

the possibility of synaptamide breakdown, we administered another set of animals with

[14C]ethanolamine and [14C]DHA. The uptake pattern observed with these tracers is quite

different from that of synaptamide; thus confirming that synaptamide enters the brain as an

intact molecule.

E.3.1.3. [14C]Synaptamide distribution pattern in mouse brain is different from that of

[14C]anandamide.

The uptake of anandamide and arachidonic acid has been evaluated using autoradiography

technique (Hu et al., In press). The uptake pattern from autoradiography images is quantified in

terms of radioactive intensity (DLU/mm2). Although anandamide is a structural analog of

synaptamide; due to the difference in technique used and output unit, we cannot compare the

uptake of anandamide and synaptamide. The pattern of their distribution can however, be

compared. The distribution pattern of anandamide and synaptamide are different indicating a

different uptake profile and the possible implication that its functions are quite different than

those of anandamide (Fig E.3).

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Fig E.3: The pattern of distribution of ethanolamine as a control as evaluated by autoradiography.

The uptake pattern is uniform throughout except in ventricles (A and B) (Hu et al., In press) reused

with permission. The pattern of distribution of Anandamide as observed with autoradiography(C

and D) (Hu et al., In press). The pattern of synaptamide is quite different to the pattern of

anandamide or ethanolamine (E and F).

0

0.5

1

1.5

2

2.5

3

3.5

4

Cortex hippocampus thalamus striatum

%IA

/g

[14C] Synaptamide Absolute Values

0

0.5

1

1.5

2

2.5

3

3.5

4

Cortex hippocampus thalamus striatum

[%IA

/g (

regi

on

) /

%IA

/g (

wh

ole

bra

in)]

[14C] Synaptamide Relative Values

Fig E.3A and B

Fig E.3C and D

Fig E.3E and F

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E.3.1.4. [14C]Synaptamide uptake in vivo is higher than that of [14C]DHA.

Another notable observation made from autoradiography experiments was that the extent of

anandamide uptake is consistently higher than that of its corresponding acid, arachidonic acid

(table E.2). 36 days of exposure for various coronal brain slices revealed that the accumulation

of radioactivity produced with [14C]anandamide is 3 to 5 fold higher than that produced with

[14C]arachidonic acid (table E.2) (Hu et al., In press).

Absolute signal intensity (DLU/mm2)

(36 days exposure)

Signal intensity

ratios

brain regions

Wait time

after

injection

[14C]arachidonic

acid [14C]anandamide

[14C]anandamide /

[14C]arachidonic acid

Cortex

10min 1.97E+06 9.45E+06 4.79

100min 2.26E+06 1.10E+07 4.87

Hippocampus

10min 1.33E+06 5.84E+06 4.38

100min 1.52E+06 7.06E+06 4.65

Ventricular

epithelium

10min 3.74E+06 1.41E+07 3.76

100min 5.84E+06 1.91E+07 3.27

Thalamus

10min 1.89E+06 8.25E+06 4.36

100min 2.11E+06 9.92E+06 4.69

Striatum

10min 1.47E+06 6.66E+06 4.53

100min 1.76E+06 8.26E+06 4.70

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Table E.2: Absolute signal intensity ratios of radiotracer accumulation in some brain regions after

36 days of exposure for various coronal brain slices. Accumulation of [14

C]anandamide is higher

than that of [14

C]arachidonic acid. Reused with permission from (Hu et al., In press)

Based on their structural similarity, we expected synaptamide and DHA to follow a similar

pattern. Indeed, we did find that brain synaptamide uptake was higher than that of DHA (table

E.3). The % uptake was evaluated using microdissection experiments and comparing the %IA/g

values obtained by scintillation counting.

%IA/g [14

C]DHEA %IA/g [14

C]DHA

%IA/g

[14

C]DHEA/[14

C]DHA

Hypothalamus 2.34 0.95 2

Olfactory tubercle 1.65 0.90 2

Hippocampus 1.18 0.67 2

Striatum 1.25 0.75 2

cerebellum 1.91 0.85 2

Brain stem 2.29 0.88 3

Cortex 1.47 0.95 2

Thalamus 1.19 0.83 1

Rest of the brain 1.15 0.59 2

Midbrain 2.95 0.93 3

whole brain 1.53 0.71 2

Blood 2.10 1.25 2

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Table E.3: Ratios of % 14

C accumulation in various brain regions following the intravenous

administration of [14

C]DHA or [14

C]synaptamide in mice. N=8.

E.3.2. In vitro uptake studies

Previous in vitro studies demonstrate that a linear uptake trend for anandamide is observed

within the first 10 minutes of substrate addition (Fowler et al., 2004). Since little is known about

synaptamide uptake, the same conditions used to determine anandamide uptake were used to

study synaptamide uptake. We thus performed our uptake studies for 10 minutes – N27 cells

were incubated with 200 nM [14C-ethanolamine]anandamide for 1, 2.5, 5 and 10 minutes or [14C-

ethanolamine] synaptamide for 1, 2.5, 5, 10 and 20 minutes. The 20 minute time point was

chosen because in our preliminary studies we saw a slow but persistent accumulation of

radioactivity in the chloroform extracts over 10 minutes, and we wanted to determine whether

allowing the cells to incubate with synaptamide for a longer time point would yield the same

results as anandamide. To account for non-specific binding to culture plates, we performed

control incubation with cells on ice. In all cases, >90% of the radioactivity added to the

incubations was recovered. bell pellets were harvested and lipids were extracted in chloroform.

Hydrolysis of anandamide and synaptamide by the membrane enzymes is expected to release

[14C]ethanolamine which is water soluble and thus partitions into the aqueous phase and can be

easily quantified. The percentage of lipid uptake by the cells was determined by subtracting the

cell radiolabel uptake in control incubation from their uptake at 37ºC.

E.3.2.1. Anandamide and synaptamide have similar uptake profiles in N27 cells.

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The scintillation counts from the aqueous phase of cell lipid extracts revealed a time dependent

accumulation of radioactivity – which indicates that [14C-ethanolamine]anandamide as well as

[14C-ethanolamine]synaptamide are hydrolyzed to release water soluble [14C]ethanolamine in a

time dependent manner (fig E.4A and D) in undifferentiated cells. The scintillation counts from

the chloroform extract also revealed a time dependent increase in radiotracer accumulation in

undifferentiated cells, but not in differentiating cells (fig E.4A, B, D and E).

Fig E.4: Comparison of uptake versus hydrolysis with [14

C]anandamide and [14

C]synaptamide in

N27 cells: [14

C]anandamide uptake and hydrolysis in (A) undifferentiated and (B) differentiating

N27 cells; (C) [14

C]anandamide uptake in undifferentiated and differentiated cells;

[14

C]synaptamide uptake and hydrolysis in (D) undifferentiated and (E) differentiating N27 cells;

Fig E.4A Fig E.4B Fig E.4C

Fig E.4E Fig E.4D Fig E.4F

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(F) [14

C]synaptamide uptake in undifferentiated and differentiated cells. Data is expressed in terms

of % anandamide or synaptamide in cell lipid extract. Error bars represent SD; N=3. Statistical

analysis is done using student’s T test. *p<0.05 (comparison between uptake and hydrolysis at

each time point: A,B,D,E; comparison of uptake in undifferentiated and differentiating cells: C,F)

With both NAEs, uptake was significantly higher in undifferentiated cells than in differentiating

cells (fig E.4C and F).

The synaptamide uptake pattern was similar to that of anandamide, but its uptake was lower

than that of anandamide in both undifferentiated and differentiating cells (fig E.5 A and B). On

comparing the hydrolysis of both anandamide and synaptamide, in undifferentiated and

differentiating cells, the rate of hydrolysis of anandamide is significantly higher than that of

synaptamide (fig E.5 C and D; p<0.05). This suggests that the enzyme that hydrolyses N-

acylethanolamines hydrolyzes anandamide preferentially.

Fig E.5A Fig E.5B

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Fig E.5: Comparison of uptake and hydrolysis with [14

C]anandamide versus [14

C]synaptamide in

N27 cells: [14

C]anandamide and [14

C]synaptamide uptake in (A) undifferentiated and (B)

differentiating cells. [14

C]anandamide and [14

C]synaptamide hydrolysis in (C) undifferentiated and

(D) differentiating cells. Data is expressed in terms of % anandamide or synaptamide in cell lipid

extract. Error bars represent SD; N=3. Statistical analysis is done using student’s T test *p<0.05

(comparison between anandamide and synaptamide uptake: A, B and hydrolysis: C, D)

E.3.2.2. Anandamide and synaptamide uptake in undifferentiated cells is regulated by their

hydrolysis.

Anandamide uptake has been a subject of great controversy. Anandamide transport can be

considered as a three step process – adsorption, transmembrane transport and desorption

(Glaser et al., 2005). It is probably that anandamide diffuses passively across the cell

membrane, and that metabolism by FAAH into arachidonic acid and ethanolamine inside the

cell then drives the further uptake of anandamide into the cell, as equilibrium in concentration

gradient cannot be attained. Since we observed a similar pattern of uptake with both

anandamide and synaptamide, a similar effect of FAAH is expected to occur with the uptake of

Fig E.5C Fig E.5D

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both tracers. To determine the role of FAAH in determining the uptake pattern of anandamide

and synaptamide in N27 cells, we pre-incubated the cells with a specific FAAH inhibitor, PF3845

and carried out lipid extraction and TLC analyses.

Fig E.6: Comparison of [14

C]anandamide uptake and hydrolysis in N27 cells with or without

PF3845: [14

C]anandamide uptake and hydrolysis in (A) undifferentiated and (D) differentiating N27

cells pre-incubated with PF3845. [14

C]anandamide uptake and hydrolysis with or without PF3845

in undifferentiated (C and C) and differentiating (E and F) N27 cells. Data is expressed in terms of

% anandamide in cell lipid or aqueous extract. Error bars represent SD; N=3. Statistical analysis is

Fig E.6A Fig E.6B Fig E.6C

Fig E.6D Fig E.6E Fig E.6F

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done using student’s T test *p<0.05 (comparison between anandamide uptake: B and hydrolysis:

C in N27 cells incubated with or without PF3845)

When cells were pre-incubated with FAAH inhibitor, there was a significant decrease in

anandamide uptake and hydrolysis in undifferentiated cells suggesting that hydrolysis by FAAH

is the major driving force for anandamide uptake (fig E.6A, B and C). In contrast, in

differentiating cells FAAH inhibition did not seem to have an effect on either uptake or hydrolysis

(fig E.6D, E and F). This suggests that on differentiation, the N27 cells develop a FAAH

independent mechanism for the uptake of anandamide.

The results for synaptamide uptake studies after pre-incubation with PF3845 were similar to

those observed with anandamide. In undifferentiated cells synaptamide uptake and hydrolysis

rates were significantly lower when FAAH was inhibited (fig E.7A, B and C), while in

differentiating cells, on FAAH inhibition, there was no significant difference in the uptake of

either ethanolamide (fig E.7D, E and F).

Fig E.7A Fig E.7B Fig E.7C

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Fig E.7: Comparison of [14

C]synaptamide uptake and hydrolysis in N27 cells with or without

PF3845: [14

C]anandamide uptake and hydrolysis in (A) undifferentiated and (D) differentiating N27

cells pre-incubated with PF3845. [14

C]synaptamide uptake and hydrolysis with or without PF3845

in undifferentiated (B and C) and differentiating (E and F) N27 cells. Data is expressed in terms of

% anandamide in cell lipid or aqueous extract. Error bars represent SD; N=3. Statistical analysis is

done using student’s T test *p<0.05 (comparison between synaptamide uptake: B and hydrolysis:

C, F in N27 cells incubated with or without PF3845)

These experimental results indicate that FAAH, which is known to hydrolyze various N-

acylethanolamines, may also be responsible for hydrolyzing synaptamide into DHA and

ethanolamine. However, the inhibition by FAAH is only observed at longer time points for

synaptamide versus earlier time points for anandamide (fig E.6C vs E.7C; fig E.6C vs E.7C).

This indicates that FAAH has a greater ability to hydrolyze anandamide than it does

synaptamide. It was also found that FAAH does not completely inhibit synaptamide hydrolysis in

undifferentiated cells (fig E.7C) suggesting that FAAH may not be the sole enzyme that can

hydrolyze it.

Fig E.7D Fig E.7E Fig E.7F

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E.3.2.3. Anandamide and synaptamide uptake into undifferentiated N27 cells is similar to that of

AA and DHA but not in differentiating cells.

As we noticed different uptake rates for AA and anandamide as well as DHA and synaptamide

in vivo, we undertook to compare uptake of the two ethanolamides in vitro. The uptake studies

were repeated with 200 nM [14C]arachidonic acid and [14C]DHA and the uptake studies in

undifferentiated and differentiating cells were compared (fig E.8).

FIG E.8A

FIG E.8B

FIG E.8C FIG E.8D

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Fig E.8: Comparison of [14

C]arachidonic acid and [14

C]DHA uptake in N27 cells: (A)

[14

C]arachidonic acid and (B) [14

C]DHA uptake in undifferentiated and differentiating N27 cells.

Comparison of [14

C]arachidonic acid versus [14

C]DHA uptake in undifferentiated (C) and

differentiating (D) N27 cells. Data is expressed in terms of % AA and DHA in cell lipid extract. Error

bars represent SD; N=3. Statistical analysis is done using student’s T test *p<0.05 (comparison

between uptake in undifferentiated and differentiating cells: A, B; and comparison between AA

and DHA uptake: C in undifferentiated cells)

Uptake of arachidonic acid and DHA, in both undifferentiated and differentiating cells, increased

with incubation time, although the time dependent increase was greater in undifferentiated cells

(fig E.8A and D). More arachidonic acid was taken up into undifferentiated and differentiating

cells than DHA (fig E.8C and D).

The uptake rates of arachidonic acid and DHA were similar to those of anandamide and

synaptamide in undifferentiated cells (fig E.9A and B). In differentiating cells, however, we

observed that the uptake rates of arachidonic acid and DHA were higher than those of

anandamide and synaptamide (fig E.9C and D) unlike our results in vivo.

FIG E.9A FIG E.9B

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Fig E.9: Comparison of NAE uptake versus their corresponding fatty acid uptake in N27 cells: (A

and B) [14

C]arachidonic acid and [14

C]anandamide uptake and (C and D) [14

C]DHA and

[14

C]synaptamide in (A and C) undifferentiated and (B and D) differentiating N27 cells. Data is

expressed in terms of % radiotracer in cell lipid extract. Error bars represent SD; N=3. Statistical

analysis is done using student’s T test *p<0.05 (comparison between uptake of AA and

anandamide: C; and DHA and synaptamide uptake: D in N27 cells)

E.4. DISCUSSION

Previous in vivo work using [14C]arachidonic acid and [14C]anandamide from our lab

demonstrate that the two tracers have similar uptake profiles in the brain. However, the

accumulation of radioactivity after intravenous administration of [14C]anandamide is 3 to 5 fold

higher than that produced when [14C]arachidonic acid is injected (Hu et al., In press). This

phenomenon suggests that arachidonic acid (a fatty acid with negative charge and higher

polarity than anandamide) does not penetrate the Blood Brain Barrier as well as anandamide.

DHA (analogous to arachidonic acid) and synaptamide (analogous to anandamide) are both

expected to show a pattern similar to arachidonic acid and anandamide respectively, and the

FIG E.9C FIG E.9D

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pattern indeed was similar with synaptamide uptake being at least 2 fold higher than that of

DHA.

We failed to replicate this observation in vitro. The uptake rates of arachidonic acid and DHA

were found to be higher than those of anandamide and synaptamide. This suggests that

specialized uptake mechanisms present in in vivo environments are absent in vitro. As several

studies established previously, in vitro fatty acid uptake is based on either the process of simple

diffusion or the presence of transporter proteins, or a combination of both(Qi et al., 2002). The in

vitro system is not a dynamic system – there is no Blood flow that provides the cells with a

concentration gradient or to remove the accumulated end points. This reinforces the idea that in

vitro uptake is a saturable process because without continuous clearance of end products, there

is a decrease in the corresponding uptake process.

Arachidonic acid and DHA exhibit higher uptakes in undifferentiated N27 cells than do their

ethanolamides; uptake of arachidonic acid being higher than that of DHA. Fatty acid uptake in

cells is driven by a combination of simple diffusion followed by their utilization (binding or

metabolism) (Kamp et al., 2006). Their utilization (and hence uptake) however depends on

membrane enzymes such as the phospholipases and acyl-CoAs. These enzymes partition the

available free fatty acids into different metabolic fates (Kalant D, 2004). Phospholipases,

specifically phospholipase A2s are responsible for releasing free arachidonic acid and DHA

from membrane phospholipids and Acyl Co-A synthase (ACS) enzymes are responsible for

―fixing‖ the fatty acid in the cell (Mashek et al., 2007). Consequently, the expression and activity

of the specific phospholipases and ACS enzymes determine the fatty acid uptake and

incorporation. The release of arachidonic acid and DHA from membrane phospholipids is

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mediated by two separate phospholipases – calcium dependent cPLA2 is responsible for the

release of arachidonic acid and calcium independent (inducible) iPLA2 specifically releases

DHA (Strokin et al., 2003). The expression of these enzymes establishes the required

concentration gradient which drives the uptake of fatty acids. The released fatty acid is either

incorporated into other phospholipids or triglycerides, or is metabolized by a different set of

enzymes (LOX, COX, BYP450s, etc.) which generate second messengers that can start a

cascade of cellular functions (Rosa et al., 2009). This consumption of fatty acids maintains their

continuous influx simulating the ―dynamism‖ of in vivo environments.

According to the literature, 70% of PLA2 activity can be attributed to iPLA2 with its highest

activity recorded in striatum followed by hypothalamus and hippocampus while cPLA2 is

uniformly distributed all over the brain with a slightly higher activity in cerebellum than other

regions (Yang et al., 1999; Farooqui et al., 2004). Among various ACS enzymes, ACS6 is highly

expressed in brain tissues. This enzyme has a substrate specificity towards very long chain fatty

acids (>C20), specifically to DHA (Marszalek et al., 2005a). This indicates that DHA is

preferentially incorporated into the membrane and very little is available to be metabolized.

Arachidonic acid, on the other hand, is available for metabolism longer and hence its

incorporation into the membrane is slightly less than that of DHA. As a result, the turnover of

arachidonic acid is more rapid than that of DHA. We observed greater uptake of AA than DHA in

N27 cells. The relative expression of ACS6, PLA2 or COX and LOX in N27 cells is unknown and

hence information is lacking to explain the higher AA uptake.

Anandamide and synaptamide have similar uptake patterns in N27 cells as their corresponding

fatty acids. This is in contrast to what was observed in vivo where these ethanolamine

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containing fatty acid acids are taken up to a higher extent. Metabolism of these compounds

inside the cells is expected to be the driving force of these compounds. However, compared to

anandamide, the cellular synaptamide uptake is less suggesting that its metabolism in N27 cells

is slower than that of anandamide. Anandamide is the preferred substrate of fatty acid amide

hydrolase (FAAH), a serine hydrolase which is usually associated with the inner cell membrane.

In some cell lines it has been shown that anandamide transport was indeed mediated by

modulating FAAH activity (Day et al., 2001; Fowler et al., 2004). We hypothesize that in N27

cells too, anandamide incorporates itself into the membrane by either a flip flop mechanism or

by coupling to a fatty acid binding protein making it accessible to the membrane associated

FAAH which then hydrolyses it into its corresponding fatty acid (AA) and ethanolamine, thus

creating a concentration gradient that drives the uptake of more anandamide into the cell. To

confirm that it is indeed FAAH that is hydrolyzing synaptamide influencing its uptake, the cells

were pre-incubated with a specific, irreversible FAAH inhibitor – PF3845. Clocking FAAH activity

markedly decreased synaptamide uptake as well as hydrolysis thus substantiating our

hypothesis. Combining the facts – synaptamide uptake being less than that of anandamide with

a further decrease in synaptamide uptake with PF3845 administration – it can be suggested that

synaptamide is a substrate for FAAH, albeit a poor substrate and thus explain its uptake pattern.

Differentiation of N27 cells was initiated by adding dibutrylcyclicAMP (dbcAMP) and

dehydroepiandosterone to the incubations. The uptake of fatty acids decreased considerably

with the onset of differentiation. DbcAMP is known to enhance the activity of iPLA2 and to thus

increase the release of DHA (Strokin et al., 2003). The decrease of DHA in the lipid extracts of

differentiating cells when compared to undifferentiated cells may be explained by the theory that

the amount of DHA released from the membrane is more rapid and consistent with addition of

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dbcAMP than the amount of DHA being reincorporated. Increase in dbcAMP has no effect on

the activity of cPLA2 and the release of arachidonic acid (Strokin et al., 2003).

Before differentiation, N27 cells have a small nucleus and large cytoplasm – Undifferentiated

N27 cells are flat with a high cytoplasm-to-nucleus ratio. On differentiation, the cells become

more rounded, with decreased surface area and there is a large decrease in the cytoplasm -to-

nucleus ratio. As the rate of diffusion is expected to be proportional to the surface area of the

cell, it may be suggested that the amount of fatty acid diffusing into the differentiating cell is less

than that of the undifferentiated cell.

While the decreased uptake of DHA in differentiated cells may be explained based on above

observations, it is still unclear why arachidonic acid uptake is lower in differentiated cells. The

drop in surface area of the cells may contribute a little, but is not sufficient to explain the drastic

decrease.

The uptake of both arachidonic acid and of DHA in N27 cells decreased as the cells underwent

differentiation. Uncertain of whether this decrease is because of the changes in morphology of

the cells or because of the change in hydrolytic enzyme expression, experiments were repeated

after pre incubating differentiated cells with PF3845. Surprisingly there was no difference in the

uptake profiles when FAAH activity was blocked. It can thus be inferred that differentiation

modulates the activity of FAAH in a way that the uptake of the N-acylethanolamines becomes

FAAH independent. All the changes N27 cells undergo during differentiation have not yet been

documented, and further studies are required to explain the FAAH independent uptake process

in differentiating cells.

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E.5. CONCLUSION

To our knowledge, ours is the first study that compares the uptake of free fatty acids and their

ethanolamine metabolites both in vitro and in vivo. Our previous observations that the brain

uptake of fatty acids is lower than that of their respective ethanolamides in vivo (Hu et al. in

press; Pandey et al. 2014) is shown in this dissertation to also be true for DHA and

synaptamide. However, this was not the case in N27 cells – where we found that both

compounds were taken up by the cells to the same extent until the initiation of differentiation

after which their uptake decreased considerably.

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F. SYNAPTAMIDE METACOLISM: ROLE OF FAAH AND END FATE

F.1. INTRODUCTION

N-acylethanolamines that act on extracellular receptors are inactivated by uptake into the

postsynaptic cell followed by enzymatic hydrolysis (Gulyas et al., 2004). As anandamide is the

most extensively studied NAE, its metabolic pathway can be used to compare and understand

that of synaptamide. While the uptake of synaptamide is discussed in a previous chapter, this

chapter focuses on the second aspect of inactivation – enzymatic hydrolysis. It should be

noted, however, that in addition to hydrolysis to arachidonic acid and ethanolamine,

anandamide can undergo oxidation to bioactive metabolites by lipoxygenase (LOX),

cyclooxygenase (COX) and cytochrome P450‘s (Snider et al., 2009).

Fatty acid amide hydrolase (FAAH) is an intracellular serine hydrolase which hydrolyses N-

acylethanolamines (Ueda et al., 2000). FAAH is a membrane-bound protein, mainly found to be

associated with microsomal and mitochondrial subcellular fractions (Schmid et al., 1985). FAAH

can metabolize a number of other substrates in addition to anandamide such as – other fatty

acid amides (Cravatt et al., 1996) including oleamide (Maurelli s, 1995) and esters including 2-

arachidonoylglycerol (Goparaju et al., 1998). Structure analysis of FAAH revealed that it does

not have the classical Ser-His-Asp catalytic triad of serine hydrolase enzymes (Patricelli et al.,

1999). Instead, the catalytic site of FAAH contains two critical serine residues – ser217 and

ser241 – which when mutated, completely abolished its catalytic activity (Omeir et al., 1999).

Ser-241 of FAAH was identified as the catalytic nucleophile that can break the amide Cond of its

substrates (Patricelli et al., 1999).

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DHA and AA compartmentalize differentially and independently (Rapoport, 2003) into

phospholipids. Published data indicates that DHA is predominantly incorporated into

phosphatidylethanolamine (PE) followed by phosphatidylserine (PS) and phosphatidylcholine

(PC) while AA is incorporated predominantly into phosphatidylinositol (PI) and

phosphatidylcholine (Martinez et al., 1998). Within these phospholipid classes the site of

acylation (the sn-1 or sn-2 position) depends on the particular phospholipases and

transacylases involved (Lamaziere et al., 2011). If synaptamide is hydrolyzed by FAAH into

DHA, it would incorporate into phospholipids in the order phosphatidylethanolamine >

phosphatidylserine > phosphatidylcholine.

As demonstrated by our in vivo studies, synaptamide is taken up into the brain. However, the

fate of synaptamide, once it crosses the BBB, is not known. Using in vitro and in vivo studies,

we aimed to investigate the chemical modifications and hence the intracellular end fate of

synaptamide.

F.2. METHODS

F.2.1. Microdissection studies with FAAH

Male SW mice (25-30g/mouse) were injected with 10 mg/kg PF3845 in DMSO (100 µl)

intraperitoneously 3 hours prior to radiotracer injection to inactivate the enzyme FAAH. The

mice were injected with [14C]synaptamide and were euthanized by cervical dislocation 15

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minutes later. Brain dissection was then performed as described in section D.3.2. Data from

eight animals is used for analysis.

Another set of mice injected with [14C]synaptamide pretreated either with saline or PF3845 were

euthanized and the brain and blood samples collected were used for lipid extractions and TLC

analysis. Data from 5 animals is used for analysis

F.2.2. FAAH activity assay

FAAH activity was measured using a radiometric assay. We employed a modified version of the

protocol previously established by Deutsch and co-workers (Omeir et al., 1995). Mice were

euthanized by cervical dislocation and their brains were removed immediately. The whole brain

was homogenized using Tris Magnesium EDTA (TME) buffer with 2.5% Bovine Serum Albumin

(BSA) to make a final brain homogenate of various concentrations – 20 mg/ml, 10 mg/ml and

1.25 mg/ml. A portion of the brain homogenate prepared was pre-incubated with the selective

and irreversible FAAH inhibitor, PF3845 for 30 minutes at room temperature to validate that

these results are due to hydrolysis by FAAH. A solution of 0.2 mM PF3845 in DMSO was

prepared fresh before the start of each experiment. For incubations with inhibitor, 200 µl of the

tissue homogenates are taken into 1.5 ml microcentrifuge tube s and are supplemented with 2

µl of the prepared PF3845 solution. A stock solution of the substrate [14C-

ethanolamine]anandamide or [14C-ethanolamine]synaptamide (0.1μCi/100µl) was prepared and

kept on ice. 1µl of the prepared stock was added to the 200 µl of brain homogenates (of each

concentration) and incubated in the water bath at 37°C for 0, 15 or 30 minutes. This was

performed in triplicate. After the assigned time, the incubations were retrieved from the water

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bath and the reaction stopped by the addition of a 1ml mixture of ice cold chloroform and

methanol (1:1) plus 250µl 2N Hydrochloric acid. Because the hydrolysis product,

[14C]ethanolamine is slightly basic, it partitions into the acid layer. The radioactivity of the acid

layer hence reflects the extent of hydrolysis. After 30 minutes, all samples were centrifuged for

12 minutes at 4⁰C and at 14,000 rpm. Following centrifugation, 200 μl of the upper, aqueous

layer was pipetted into liquid scintillation vials to which the Ultima Gold™ XR scintillation

cocktail was added and radioactivity measured using a liquid scintillation counter. The increase

in accumulation of radioactivity in the acid layer with time represents the rate of hydrolysis of

substrate by FAAH. Data from three experiments was used for analysis.

F.2.3. Competition binding assay

Reactions were carried out with mouse brain homogenates (1.25 mg/ml; 200µl) incubated with

different concentrations of non-radioactive anandamide or synaptamide or DHA and

ethanolamine over the range 1 μM – 1 mM. To these reactions, 2 µl radiolabelled anandamide

(0.5 µCi/200 µl stock) was added and the reactions were incubated at 37°C for 10 minutes. The

reactions were stopped by addition of 1ml mixture of ice cold chloroform and methanol (1:1)

plus 250 µl 2N Hydrochloric acid. Samples were then centrifuged at 4⁰C for 12 minutes at

14,000 rpm. 200 μl of the upper, aqueous layer was transferred to liquid scintillation vials to

which the Ultima Gold™ XR scintillation cocktail was added and radioactivity was measured

using a liquid scintillation counter. The radioactive counts thus obtained reflected the

percentage of total radioactivity released to the aqueous layer and were used to calculate the %

specific radioligand binding which was plotted against the log concentration of the inhibitor – in

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this case, anandamide or synaptamide or DHA plus ethanolamine – using Graphpad Prism to

generate IC50 values in each case. Data from three experiments was used for analysis.

F.2.4. Lipid extraction

F.2.4.1. Lipid extraction from brain homogenates

Frozen brain samples were homogenized with chloroform and methanol (2:1 v/v) to make a

brain homogenate of 30 mg wet weight per ml. 250 µl of 40% urea and 250 µl of 5% sulfuric

acid were added to 500 µl of brain homogenate in a microcentrifuge tube and thoroughly

vortexed. When centrifuged, two layers were formed: a lower chloroform layer and an upper

aqueous layer with the protein deposit wedged in the middle. The aqueous and chloroform

layers were aspirated into separate tubes. To extract the lipids trapped under the protein

deposit, 200 µl of chloroform is added to it and was sonicated twice for 30 seconds each time.

Following vortexing and centrifugation the chloroform layer was added to that from the first

extraction. The aqueous layer was used for the quantification of aqueous metabolites and the

chloroform layer was stored at -80⁰C until used for TLC analysis.

Lipids from Blood samples were extracted similarly.

F.2.4.2. Lipid extraction from N27 cells

Lipid extraction of cell pellets from undifferentiated and differentiating cells was performed as

describe d in section C.3.4. Cell pellets were subjected to modified Folch extraction. Organic

and aqueous phases were collected. Radioactive counts in the aqueous layer and an aliquot of

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the organic (chloroform) layer were determined by the liquid scintillation counter; and the rest of

the chloroform layer was stored at -80⁰C for TLC analysis.

F.2.5. Radio-TLC analysis

Chloroform extracts were dried under argon and then re-dissolved in 20 µl of chloroform. 1 µl of

the extract was used to determine the total amount of radioactivity. To be able to visualize the

metabolites efficiently with only a few days‘ exposure, a fraction of the extract containing at least

a 1000 CPM radioactivity had to be spotted on the silica gel plate. To avoid overloading the

plates, the minimum amount of extract containing at least 1000 cpm was spotted. Two types of

analyses were carried out – 1-dimensional TLC to separate the major lipid classes in the cell or

brain extracts, and 2-dimensional TLC to identify the different phospholipids into which the lipids

partitioned.

F.2.5.1. One-dimensional TLC

Chloroform extracts from brain, Blood or cells were spotted on a 20 X 10 cm silica gel 60G F254

plates and run for about 150 min, using a mobile phase containing chloroform–methanol–

ammonia (60:30:1 v/v). Fatty acid and fatty acid ethanolamide standards were used to identify

corresponding spots from reactions in which [14C]anandamide or [14C]synaptamide were used.

F.2.5.2. Two-dimensional TLC

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Chloroform extracts from brain, Blood or cells were spotted on 10 X 10 cm silica gel 60G F254

plates and run in the first dimension for about 45 min in a mobile phase containing chloroform–

methanol–ammonia (65:35:5 v/v). The plates were allowed to dry thoroughly, turned at right

angles and then run in the second dimension for another 45 minutes in a mobile phase

containing chloroform-acetone-methanol-acetic acid-water (30:40:10:10:5). Authentic non-

radioactive phospholipid standards were visualized by charring.

Following development with the chosen solvent system in an air tight jar, the TLC plates were

air dried and then opposed to phosphor screens to produce autoradiograms. To confirm the

identities of radioactive spots, the TLC plates were either charred (to witness all standards and

metabolites – radioactive and non-radioactive) or sprayed with ninhydrin to visualize the

phospholipids with a free amino group. Iodine was also used to identify unsaturated

compounds.

F.3. RESULTS

F.3.1. Role of FAAH on synaptamide uptake in vivo

F.3.1.1. Effect of FAAH inhibitor on brain and Blood carbon-14 levels after [14C]synaptamide

Brain regional concentrations of 14C 15 min after intravenous injection of [14C]synaptamide to

control mice varied from 0.8 to 1.8 %IA/g in the order: brain stem>cerebellum>cortex,

hippocampus, striatum > rest of brain (Fig F.1). In mice pretreated with PF3845, the regional

differences were unchanged, but tissue radioactivity concentrations were 30-40% higher.

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However, the increases did not achieve statistical significance (p<0.05) except for

hippocampus. Blood levels of radioactivity were not significantly different between control and

pretreated animals.

Fig F.1: brain regional concentrations of 14

C in animals euthanized 15 min after injection of 0.1μCi

[14

C] synaptamide (i.v.), with or without PF3458 pretreatment (10 mg/kg; i.p. 3h before radiotracer).

%IA/g values expressed as mean ± SD; error bars represent SD; n=8. Statistical analysis is

performed using Student’s T test. *p<0.05 when compared to synaptamide administration without

PF3845.

F.3.2. Role of FAAH on synaptamide uptake in vitro

F.3.2.1. Synaptamide undergoes hydrolysis by FAAH.

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Figures F.2 and F.3 show the extent of hydrolysis of [14C-ethanolamine]anandamide and of [14C-

ethanolamine]synaptamide at 0, 15 and 30 min, using homogenate concentrations of 1.25, 10

and 20 mg/ml. Hydrolysis of both radiotracers increased with time and with homogenate

concentration, but the extent of hydrolysis was lower for synaptamide than for anandamide for

all conditions.

Fig F.2: Time dependent increase in radioactive counts in the aqueous layers of brain

homogenates treated with [14

C]anandamide and [14

C]synaptamide – (A) 1.25 mg/ml, (B) 10 mg/ml

and (C) 20 mg/ml. Data is expressed in terms of % radioactivity quantified in aqueous layers. Error

bars represent SD; N=3. Statistical analysis is performed using Student’s T test. *p<0.05

(comparison between anandamide and synaptamide hydrolysis)

Fig F .2A Fig F.2B Fig F.2C

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Fig F.3: Time dependent increase in the hydrolysis of (A) [14

C]anandamide and (B)

[14

C]synaptamide in brain homogenates – 1.25 mg/ml, 10 mg/ml and 20 mg/ml. Data is expressed

in terms of % radioactivity quantified in aqueous layers. Error bars represent SD; N=3.

In order to confirm if FAAH hydrolyzed synaptamide, the assay was repeated after pre-

incubating the brain homogenates with 2 µM PF3845 (Ki for FAAH = 230 nM). With FAAH

inhibition anandamide hydrolysis decreased significantly at all conditions, while synaptamide

hydrolysis was inhibited only at longer time points and at the higher tissue concentration (fig

F.4).

Fig F.3A Fig F.3B

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Fig F.4: Time dependent hydrolysis of [14

C]anandamide and [14

C]synaptamide in brain

homogenates treated with or without PF3845 – (A) 1.25 mg/ml, (B) 10 mg/ml and (C) 20 mg/ml.

Data is expressed in terms of % radiolabeled substrate hydrolyzed. Error bars represent SD; N=3.

Statistical analysis is performed using Student’s T test. *p<0.05 (comparison between anandamide

and synaptamide hydrolysis in the presence or absence of PF3845)

At time zero, there was no apparent effect of FAAH inhibition on anandamide or synaptamide

hydrolysis at any tissue concentrations.

F.3.2.2. The hydrolysis of synaptamide by FAAH is spontaneous as well as tissue mediated.

At time zero, some radioactivity was found in the aqueous fraction in experiments with both

anandamide and synaptamide, and these ―blank‖ values limited the sensitivity of the assay. To

determine the extent to which these counts were due to tissue mediated hydrolysis, we

performed experiments using homogenate that had been boiled to destroy enzymatic activity

(fig F.5).

Fig F.4A Fig F.4B Fig F.4C

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Fig F.5: Comparison of N-acylethanolamine hydrolysis in tissue mediated and tissue independent

environments. T: brain tissue homogenate (20 mg/ml); CT: Coiled brain tissue homogenate (20

mg/ml). Data is expressed in terms of % radiolabeled substrate hydrolyzed and released into the

aqueous layer. N=1.

For both ethanolamides, aqueous counts did increase to a limited extent in incubations using

Coiled tissue. This is presumably due to spontaneous, chemical, hydrolysis under the incubation

conditions. Pretreatment with PF3845 did not reduce aqueous counts in Coiled tissue

incubations to zero, perhaps because of the presence of some [14C]ethanolamine or other

water-soluble impurity in the radiotracer stock solutions. The greater extent of PF-inhibitable

hydrolysis of [14C[synaptamide in unboiled tissue can be attributed to the action of FAAH.

F.3.2.3. Synaptamide inhibits anandamide hydrolysis in crude brain homogenates

Fig F.5A Fig F.5B Fig F.5C

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We performed a competition binding assay to evaluate whether synaptamide inhibits

anandamide hydrolysis. A tissue concentration of 1.25 mg/ml was chosen to carry out this

experiment as anandamide hydrolysis was linear with time at this concentration. Linearity was

lost at higher concentrations as the substrate was depleted. Incubations were also done with

equimolar mixtures of DHA and ethanolamine to evaluate the extent of possible end-product

inhibition of FAAH.

Competition binding assay

0 1 2 3

0

5

10

15

AEA

EP

DEA

log conc (M)

% s

pe

cif

ic r

ad

iolig

an

d b

ind

ing

Fig F.6: Representative graph showing displacement of [14

C]anandamide binding to FAAH in

mouse brain homogenates (1.25mg/ml; 200 ul) by unlabeled anandamide (AEA), synaptamide

(DEA) or DHA plus ethanolamine (EP). % specific radioligand binding was plotted on y-axis and

log concentrations of the non-radioactive substrates were plotted on x-axis.

Both anandamide and synaptamide inhibited [14C] anandamide hydrolysis, with estimated IC50

values of 8 µM and 68 µM respectively (fig F.6). Mixtures of DHA and ethanolamine had no

effect. This confirms that synaptamide interacts with FAAH but with a lower affinity than

anandamide.

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F.3.3. End fate of synaptamide

F.3.3.1. Synaptamide incorporates into phospholipids in vivo.

Exogenously administered anandamide in mice is metabolized by FAAH and the released

arachidonic acid is rapidly incorporated into phospholipids (Glaser et al., 2006). We examined

the hydrolysis of exogenous synaptamide and its subsequent incorporation into phospholipids in

mouse brain and blood using 1D-TLC analysis and observed that synaptamide hydrolysis

causes incorporation of the 14C label into phosphatidylethanolmine (fig F.7A and B). This

incorporation was time dependent. Same incorporation pattern was observed with the use of

either [14C-ethanolamine]synaptamide or [14C-docosahexaenoyl]synaptamide.

Fig F.7A Fig F.7B Fig F.7C

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Fig F.7: Representative 1D-TLC autoradiograph of brain (A) and Blood (B) lipid extract from mice

euthanized after 0, 5, 15, 30 and 60 minutes after the administration of exogenous

[14

C]synaptamide. TLC of pure non-radioactive phospholipids used as a reference for RF values of

various phospholipids relative to each other (C). Mobile phase used:

chloroform:methanol:ammonia 60:30:1. Non-radioactive TLC spots were visualized by exposing

the plate to iodine vapor.

We confirmed that synaptamide ultimately partitions into phosphatidylethanolamine, using 1,2-

dipalmitoyl-sn-glycero-3-phosphoethanolamine (16:0 PE) as our non-radioactive standard

phosphatidylethanolamine. The RF of the PE from brain lipid extract was not the same as our

standard and this is probably due to the difference in fatty acid composition at the sn-1 position

of PE; DHA occupying its sn-2 position (fig F.7).

F.3.3.2. Synaptamide partitions into phospholipids in vitro.

The enzyme FAAH can liberate free fatty acids from fatty acid ethanolamides even in in vitro

systems which are then mainly incorporated into phospholipids (Chicca et al., 2012), (Di Marzo

V, 1994). Results from our experiments also substantiate this observation.

TLC analysis of chloroform extracts from differentiated and undifferentiated N27 cells treated

with [14C-ethanolamine]anandamide and [14C- ethanolamine]synaptamide reveal the chemical

nature of these lipids once taken up into the cell. Comparison with pure radioactive (fatty acid

and fatty acid ethanolamide) and non-radioactive (phospholipid) standards shows that along

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with corresponding ethanolamides, the radiolabel is incorporated into several other lipids –

phospholipids (fig F.8).

Fig F.8: Representative TLC images of anandamide and synaptamide uptake. Anandamide uptake

without (A) and with PF3845 (B) as well as synaptamide uptake in undifferentiated (A, C and D)

and differentiating (C and E) N27 cells incubated with either 200 nM [14

C-

ethanolamine]anandamide (A,B,C) or [14

C-ethanolamine]synaptamide (D,E).

Since the radiotracers are labeled on the ethanolamine moiety of the respective NAEs, the

ethanolamine released upon their hydrolysis is incorporated into phospholipids –

Fig F.8A Fig F.8B Fig F.8C

Fig F.8D Fig F.8E

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Phosphatidylethanolamine (PE) and lyso-phosphatidylethanolamine (LYSO-PE) – before it

escapes into the aqueous phase. We confirmed one of the spot corresponds to PE as when

sprayed with ninhydrin, the spot turned a bright pinkish-purple color indicative of a compound

with free amine. In cell lipid extracts along with phosphatidylethanolamine, the hydrolysis

products of synaptamide and anandamide also incorporated into other phospholipids with lower

RF. Since the RFs of phosphatidylcholine, phosphatidylserine and Lyso-

phosphatidylethanolamine were all similar in 1D-TLC, we performed a 2D-TLC to identify which

of these phospholipids incorporates DHA released from synaptamide. Since ninhydrin did not

reveal color in the second phospholipid, we hypothesized it could either be phosphatidylserine

or phosphatidylcholine. Based on the location of the spot on the charred plate loaded with

standard phosphatidylcholine and phosphatidylserine, we confirmed that DHA released from

synaptamide incorporates into PC (fig F.9).

Fig F.9: 2D-TLC of standard non-radioactive phospholipids, PS: phosphatidylserine (A) and PC:

phosphatidylcholine (B) and cell lipid extract of N27 cells incubated with [14

C-EA] Synaptamide

PS PC PC

Fig F.9A Fig F.9 B Fig F.9 C

Dim

ensio

n 1

Dimension 2

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(C). Mobile phase used: Dimension 1: chloroform:methanol:ammonia 65:35:5; Dimension 2:

chloroform:acetone:methanol:aceticacid:water 30:40:10:10:5. TLC spots are visualized by

charring the plates after spraying with a mixture of copper sulphate and concentrated sulfuric

acid.

Quantification of radioactive TLC spots confirmed a time-dependent increase in intensity in both

undifferentiated and differentiating N27 cells indicating increased incorporation of the label into

the lipid with time; incorporation being higher in undifferentiated cells (fig F.10A). From the TLC

and its quantification, we can confirm that synaptamide partitions into phospholipids, but to a

lesser degree than anandamide consistent with our previous observations that synaptamide

hydrolysis occurs slower than anandamide (fig F.10A).

As free fatty acids are released by FAAH, inhibition of FAAH should decrease the formation of

radiolabeled phospholipids. TLC analysis of lipid extracts of cells pretreated with PF3845 show

that FAAH inhibition significantly decreased the label incorporation into phospholipids and

increased the level of intact ethanolamide in cells (fig F.8 and F.10B).

There is evidence of synaptamide partitioning into phospholipid even when cells were

pretreated with PF3845 suggesting that there is some spontaneous hydrolysis of synaptamide

independent of FAAH (fig F.10B).

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Fig F.10: Quantification of TLC spots shows the partitioning of anandamide and synaptamide into

phospholipids of cells in the absence (A) or presence (B) of PF3845. Error bars represent SD; N=3

(anandamide), N=4 (synaptamide).

F.3.3.3. Phospholipid partitioning of [14C-ethanolamine]synaptamide versus [14C-

docosahexaenoyl]synaptamide

Fig F.10B

Fig F.10A

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Using synaptamide or anandamide labeled on the ethanolamine moiety only indicates that the

ethanolamine partitions into phosphatidylethanolamine or lysophosphatidylethanolamine. A

phospholipid can incorporate 2 fatty acids in it – one at sn-1 position (usually a saturated fatty

acid) and another at sn-2 position (usually mono or polyunsaturated fatty acid). bell and brain

extracts inherently have a number of various length chain fatty acids that can incorporate into

the labeled phosphatidylethanolamine. To determine the fate of docosahexaenoyl-chain of

synaptamide, we repeated both in vivo and in vitro experiments with synaptamide labeled on the

docosahexaenoyl moiety of synaptamide.

Fig F.11 A

Fig F.11 B

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Fig F.11: Quantification of TLC spots shows the partitioning of [14

C-EA] Synaptamide and [14

C-

DHA] Synaptamide into phospholipids of cells in the absence (A) or presence (B) of PF3845. Error

bars represent SD; N=3 ([14

C-DHA] Synaptamide), N=4 ([14

C-EA] Synaptamide).

TLC quantification indicates that in undifferentiated cells both [14C-ethanolamine]synaptamide

and [14C-docosahexaenoyl]synaptamide showed similar incorporation rates into phospholipids;

the rate increasing with time. However, in differentiating cells percentage of phospholipid formed

is higher with [14C-docosahexaenoyl]synaptamide indicating that phospholipid fraction

incorporates the DHA released from synaptamide (fig F.11A). Incubating cells with PF3845 did

inhibit the hydrolysis of synaptamide but not totally (fig F.11B).

F.4. DISCUSSION

The substrate specificity of FAAH is quite selective. The known substrate preference for FAAH

for hydrolysis is amide bond > ester bond, but a mutation at L142 reverses this preference

(ester bond > amide bond) (Patricelli M, 1999). Although FAAH preferentially hydrolyses primary

amides over ethanolamides, it hydrolyses long chain unsaturated fatty acid ethanolamides

faster than saturated fatty acid ethanolamides (Boger D, 2000). The rate of hydrolysis by FAAH

was found to increase with an increase in the degree of unsaturation in the ethanolamide; also,

FAAH preferentially hydrolyses the unsaturated compounds that assume a hair-pin confirmation

(Lang et al., 1999). Anandamide, a good substrate of FAAH, assumes the energy conserving

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hair pin confirmation, while no such information about synaptamide is known posing a question

as to whether synaptamide is really a substrate for FAAH.

It has been well established that FAAH can hydrolyze a wide range of N-acylethanolamines

such as anandamide and palmitoylethanolamide (Tiger et al., 2000) as well as N-

acylethanolamine analogues (Maccarrone et al., 1998). While evidence supports that

anandamide uptake can be regulated by its metabolism by FAAH (Deutsch et al., 2001), recent

studies show that the activity of FAAH is also influenced by its lipid environment. Anandamide

preferentially associates itself to lipid domains of the ER containing cholesterol. FAAH ―senses‖

the presence of this anandamide localized to the ER and preferentially hydrolyses it and this

preferential selectivity is limited to anandamide (Dainese et al., 2014). The association of

synaptamide with cholesterol is not known yet and this opens up a whole new possibility that the

modest effect of FAAH on synaptamide hydrolysis observed is probably because it is

inaccessible to FAAH. The brain is comprised of a variety of lipid domains consisting of a large

number of possible lipid substrates for FAAH which can bind before synaptamide does, thus

explaining a small role of FAAH in hydrolyzing synaptamide.

Anandamide metabolism into arachidonic acid and ethanolamine was previously demonstrated

in striatal and cortical neurons (Di Marzo V, 1994) as well as in human U937 leukemia cells

(Chicca et al., 2012) among many other cell lines. FAAH expression in these cells has been

documented (Maccarrone et al., 1998; Maccarrone et al., 2004). To date, FAAH expression or

FAAH activity has not been documented in N27 immortalized dopaminergic neural cells. We are

the first to perform a FAAH activity assay in these cells and prove that anandamide is

hydrolyzed in these cells. These cells are particularly interesting because undifferentiated cells

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are derived from rat fetal mesencephalon and represent ―developing cells‖ and the differentiated

cells undergo morphological changes and represent ―adult neuronal‖ cells. Our uptake results

show a FAAH dependent uptake of anandamide and synaptamide into undifferentiated cells. As

expected, inhibition of FAAH decreased the incorporation of the radiolabel into phospholipids

but this observation is absent in differentiating cells. The uptake of anandamide and

synaptamide into the cell, their metabolism and incorporation into phospholipids is still present,

but all processes seem to be independent of FAAH. The structural changes of N27 cells are still

not known, but it seems like with the onset of differentiation, N27 cells develop a FAAH

independent uptake process probably by inducing the expression of the putative

endocannabinoid transporter.

Many authors use anandamide as a prototype substrate for FAAH and many studies attempted

to establish its Km for FAAH. The km values range from 0.13 μM to 45 μM (Nicolussi et al.,

2015) and this wide variability can be attributed to different assay conditions as well as the fact

that the substrate (anandamide) and final end product (arachidonic acid) are both highly

lipophilic molecules with a tendency to ―stick‖ and form micelles that may modulate the rate of

hydrolysis (Omeir et al., 1995). Thus, in our experiments to identify synaptamide as an inhibitor

of anandamide hydrolysis, we chose tissue and substrate concentrations (1.25 mg/ml and 200

nM respectively) and the incubation time based on the study by Deutsch et al, (Deutsch et al.,

2001) after an exhaustive literature review.

As demonstrated with anandamide, synaptamide hydrolysis releases DHA which is rapidly

incorporated into phospholipids. Consistent with previous studies (Sundler et al., 1974),

exogenous DHA added (either as DHA or by its release from synaptamide) is incorporated into

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phosphatidylethanolamine and phosphatidylcholine (Nariai et al., 1994). CDP-

ethanolamine:diacylglycerol ethanolamine phosphotransferase, the enzyme involved in the

synthesis of phosphatidylethanolamine preferentially uses diacylglycerols rich in DHA (Kanoh et

al., 1975) explaining the presence of DHA in phosphatidylethanolamine. Since DHA is the

preferred fatty acid for the enzymes for phosphatidylserine (PS) synthesis (Kim et al., 2014), we

expected the cell and brain extracts incubated with synaptamide or DHA would result in the

formation of phosphatidylserine. 2D-TLC of lipid extracts did not reveal the formation of

phosphatidylserine suggesting that longer incubation times are probably required for its

synthesis or that N27 cells lack PSS2 enzymes which preferentially uses

phosphatidylethanolamine with DHA for the synthesis of phosphatidylserine (Kimura et al.,

2013).

F.5. CONCLUSION

Our in vivo uptake studies were consistent with the notion that FAAH can hydrolyze

synaptamide but slowly. While in vivo synaptamide uptake was not significantly impacted by

FAAH inhibition, there is a strong FAAH mediated synaptamide uptake and hydrolysis in N27

cells. This observation is consistent with the studies of Kim et al., who also reported an increase

in the levels of synaptamide in hippocampal neurons after the inhibition of FAAH (Kim et al.,

2011). However, only one study has looked at synaptamide as a potential substrate for FAAH

indirectly by testing its ability to inhibit anandamide hydrolysis in bovine retinas; by competing

with anandamide for FAAH – synaptamide (100 µM) was found to inhibit [14C]anandamide

hydrolysis in bovine retina (Bisogno T, 1999). Our FAAH activity assay results substantiate this

study and reveal that synaptamide at a high concentration is a substrate for FAAH. We further

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confirmed this by performing a competitive binding assay. Anandamide was potent enough to

bind to the enzyme in 250 µg wet tissue while at least 2 mg of wet tissue was required for FAAH

to have an effect on synaptamide. The IC50 value of synaptamide estimated from our

competition data was about 68 µM, and the physiological level of synaptamide is much less than

that making it an unlikely substrate for FAAH in vivo. This is consistent with the smaller effect of

FAAH inhibition on brain synaptamide uptake in vivo.

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G. FUNCTIONAL EFFECT OF EXOGENOUS DHA AND SYNAPTAMIDE ON

NEURITOGENESIS AND NEURITE GROWTH

G.1. INTRODUCTION

Neurons are specialized cells with neurites functioning as precursors of axons and dendrites

which play a role in polarization and developing synaptic connections. Neuritogenesis (and

synaptogenesis) occur just prior to the completion of neurogenesis following a cell and a region-

specific agenda (Youdim et al., 2000). Neurite outgrowth is heavily influenced by the

coordination between actin cytoskeleton and microtubular network (Clagett-Dame et al., 2006).

Neurite initiation be gins with the alignment of a dynamic microtubular system towards a point

where actin filaments (in the form of either lamellipodia or filopodia) are present at the periphery

to form a ―growth cone‖. The elongation of the growth cone preferentially occurs in areas where

the actin filopodia surround the actin lamellipodia. This arrangement of actin filaments is

influenced by the interaction between specific ligands (eg. laminin) with their receptors (eg.,

integrins) (da Silva et al., 2002). Actin filaments serve as a guide to direct the microtubular

movement as well as to generate a force within the structure that is stabilized by the

microtubular network (Rodriguez et al., 2003). There are many other signals that can cause

neurite elongation: Activation of AKT and its downstream targets such as glycogen synthase

kinase 3C (GSK3C) the mammalian target of rapamycin (mTOR), cyclic AMP response element

binding protein (CREB), all play a role in neurite outgrowth (Read et al., 2009). Chemokine

CXCL12 interaction with the chemokine receptor CXCR4 is also implicated in axon wiring and

neurite orientation (Yang et al., 2013).

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The growth of neurites, aside from involving cytoskeletal changes, also involves changes in

surface area. While evidence supports the presence of an inherent elastic stretch that can

increase the surface area of membrane bilayers at physiological conditions, that stretch is not

capable of causing massive changes in surface area that take place during neuritogenesis

(Futerman et al., 1996), suggesting the additional involvement of insertion of new membrane

(Tang, 2001). New membrane insertion corresponds to the synthesis and transport of

membrane proteins and lipids. Membrane proteins are synthesized in rough endoplasmic

reticulum (RER) and the Golgi complex, both of which are localized to the neuronal cell Cody.

Following their synthesis, the membrane proteins are packaged and transported along the

microtubules and possibly along the actin filaments until they reach their site of insertion

(Futerman et al., 1996). The synthesis and transport of membrane lipids is more complex. There

are four main classes of neuronal membrane lipids present in different proportions –

glycerolipids constituting about 60%, sterols constituting about 20%, glycosphingolipids (about

15%) and sphingomyelin (about 5%) (Futerman et al., 1996). Growth cones are rich in smooth

endoplasmic reticulum (SER) (Deitch et al., 1993), which is the main site for synthesis of

glycerophospholipids (mainly phosphatidylcholine) and of cholesterol, indicating that these are

the major lipids synthesized to be incorporated into growing neurites. Using double labeling

experiments with [14C]choline and [3H]choline, Vance and co-workers observed that

approximately 50% of the phospholipid (phosphatidylcholine) was synthesized locally in the

axons (Posse de Chaves et al., 1995). The remaining 50% is probably transported to the axons

from the cell body. Pulse chase experiments with [3H]glycerol confirmed the transport of newly

synthesized glycerophospholipids from the cell body (Pfenninger et al., 1983). The requirement

of the newly synthesized membrane components for insertion into neurites was confirmed when

neurite elongation was blocked on prolonged inhibition of the synthesis of membrane protein

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(Lein et al., 1991) or lipid (Harel et al., 1993; Posse de Chaves et al., 1995) as well as inhibiting

membrane transport (Osen-Sand et al., 1993).

DHA mediates many of these processes. A study by Green et al. (Green et al., 1999) reported

that just prior to synaptogenesis or neuritogenesis, an increased accumulation of DHA occurred

in rat embryonic neuronal cells. DHA supplementation results in its accumulation into cell body

which is then transported to the nerve growth cones in the form of phospholipids

(phosphatidylethanolamine > phosphatidylserine > phosphatidylcholine > phosphatidylinositol)

for the synthesis of new membrane (Martin, 1998). DHA also induces neuronal differentiation by

decreasing the expression of nestin and promoting the exit of cell cycle (Insua et al., 2003).

Moreover, DHA activates AKT pathway blocking cell death resulting in neurogenesis (Akbar et

al., 2005). DHA promoted neurite elongation initiated by NGF in PC 12 cells (Ikemoto et al.,

1997; Ikemoto et al., 1999). In addition, Calderon and Kim et al. demonstrated that reduced

DHA supplementation to hippocampal primary neuronal cultures resulted in decreased neurite

growth (Calderon et al., 2004). DHA is thought to trigger the activation of many transcriptional

factors by functioning as an endogenous ligand at the retinoid X receptors (RXRs) (de Urquiza

et al., 2000). Upon activation by DHA, RXRs tend to dimerize with other nuclear receptors such

as retinoic acid receptors (RARs), Peroxisome Proliferator-Activated receptors (PPARs) and

Nurr-1 receptors and influence neuronal membrane assembly, synaptic plasticity, cytoskeletal

organization, etc. (Maden, 2002; Wallen-Mackenzie et al., 2003). Combining the evidence in

support of effects of DHA, it can be concluded that it plays a key role in every stage of neuronal

development including neuritogenesis and neurite elongation.

G.2. METHOD

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G.2.1. Neurite analysis:

We employed a modified version of neurite analysis described by Cao et al. (Cao et al., 2005).

The cover slips with N27 cells mounted on glass slides using DAPI Fluoromount-G were

allowed to dry overnight in a dark place, and then the images for neurite analysis were taken

using an Olympus CX-51 Fluorescent microscope using bright field and DAPI filters.

Approximately 20 fields /cover slip were chosen and only non-clustered differentiated cells were

traced to ensure the precision of the measurements. To minimize bias, all traces were

performed by blinded observers. All raw data that was originally in units of pixels was converted

to units of μm based on a calibration image. A differentiated cell is defined as a cell with at least

one neurite. A neurite refers to any projection from the cell body of the cell which is longer than

the diameter of the cell body from which it projected. Neurite analysis was performed on 70

randomly selected cells and 80 randomly selected neurites from them. Neurite length was

measured using Simple Neurite Tracer plug-in of the NIH imaging software, Image J (version

1.48). The parameters considered for measurement are (1) total number of neurites, (2) total

neurite length per cell, and (3) total length of individual neurites. Neurite number (determined by

counting neurites) and total neurite length per cell (the sum of lengths of all neurites of a cell)

was measured in the randomly selected cells (n=70) with the entire soma and neurites clearly

identifiable. The total length of individual neurites was calculated from the lengths of randomly

selected neurites (n=80) from the 70 differentiated cells. Data from three experiments was

considered for this analysis.

G.3. RESULTS

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Using an in vitro DHA and synaptamide supplementation approach, we were able to study their

action on neurite growth. N27 cells were cultured for 3 days with differentiating agent and either

DHA or synaptamide at various concentrations. The representative images of undifferentiated

and differentiated cells treated with DAC are shown in Fig. G.1. This enabled us to document

morphological changes that occur in N27 cells during differentiation. Undifferentiated cells are

flat cells with large cytoplasm while differentiated cells have a more polarized morphology with a

large nucleus, little cytoplasm and long neuronal projections: neurites.

Fig G.1: Representative images of undifferentiated (A) and differentiated (C) N27 cells. bells were

stained for tyrosine hydroxylase using rabbit-anti-TH antibody (1:4000; AB192; Chemicon) to

identify the dopaminergic nature of the cell. Tyrosine hydroxylase immunoreactivity was

visualized by using biotinylated goat anti-rabbit secondary IgG antibody (1:250: #BA-1000: Vector

Labs) which after conjugation with Vector ABC reagent (to add avidin-HRP to biotin tag) develops

a brown color on addition of Vector DAB solution.

A B

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Fig G.2 shows the representative traces of the cell images in image J. These traces were used

to quantify the following parameters - (1) total neurite length, (2) total length of individual

neurites, and (3) total number of neurites.

Fig G.2: The representative images and traces of differentiated N27 cells. (A) Bright field, (B) DAPI,

(C) overlay, (D) traces. The traces were made after calibrating the image scale from pixels to µm.

G.3.1. Effect of synaptamide and DHA on total neurite length in differentiated N27 cells.

The total neurite length (the sum of primary, secondary and tertiary neurites) measured in cells

supplemented with DHA or with synaptamide did not show any significant dose-dependent

changes when compared with control cells; however, different dose-dependent effects occur

between the two. Synaptamide supplementation increased total neurite length at lower

concentrations, (1 nM) but decreased total neurite length at higher concentrations (10 µM).

DHA supplementation, however, showed a slow dose dependent increase in neurite length that

plateaued at higher concentrations (1 nM and 10 µM) (fig G.3). ANOVA analysis followed by

post hoc T-test with Bonferroni‘s correction on the total neurite length of the cells treated with

synaptamide in three different experiments showed that the increased neurite length in cells

TRACES

A B C D

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treated with low concentrations (1 nM to 100 nM) is significantly higher than in cells treated with

higher concentrations (1 µM and 10 µM). Surprisingly, post hoc t-test with Bonferroni‘s

correction did not show any difference between synaptamide supplemented cells and control

cells (fig G.3).

Fig G.3: Estimation of total neurite length with increasing doses of either DHA or synaptamide.

(N=3; n=70; analysis was done by one-way ANOVA with a post hoc t-test with Bonferroni’s

correction (within synaptamide doses used: *p<0.005 – when compared to total neurite length of

cells treated with 1 nM synaptamide and #p<0.005 when compared to total neurite length of cells

treated with 10 μM synaptamide).

Student‘s T test analysis showed that at lower concentrations (1 nM – 100 nM), the total neurite

length in cells treated with synaptamide is significantly higher than those treated with DHA

(p<0.05) (fig G.4). 10 nM synaptamide seemed to have a maximal effect on neurite elongation.

But since neither lipid showed a significant increase when compared with control cells treated

with just the differentiating agent, this significance becomes questionable.

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Fig G.4: Comparison of the Total neurite length of N27 cells treated with either DHA or

synaptamide. N=3; n=70; analysis was done by Student’s T test (*p<0.05; comparison between

DHA treated or synaptamide treated cells).

The frequency distribution of total neurite length of the 70 randomly selected cells shows that

lower concentrations of synaptamide (1, 10 or 100 nM) fewer cells tend to have shorter neurites.

In contrast, with higher concentrations of synaptamide (1 µM and 10 µM), the lengths of neurites

are similar to that of control cells. Cells supplemented with DHA have less skew when

compared with synaptamide, even at high concentrations, indicating that their supplementation

did not affect the length of neurites in any way (fig G.5 A and B).

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Fig G.5: Representative graph of frequency distribution of total neurite length after either DHA (A)

or synaptamide (B) supplementation in differentiated N27 cells. Synaptamide showed a more

skewed neurite distribution with more neurites with a longer length and fewer neurites with

shorter length. (N=1 experiment; n=70 cells).

Total neurite length is the sum of the lengths of all neurites (primary, secondary or tertiary). We

investigated further to see whether the number of neurites per cell, or the lengths of all neurites

were separately altered by supplementation with synaptamide or with DHA.

G.3.2. Effect of synaptamide on individual neurite length of differentiated N27 cells

From the 70 randomly selected cells, 80 neurites were randomly chosen to assess the lengths

of individual neurites. The total lengths were compared across various concentrations of DHA

and synaptamide and we observed the same trend as with total neurite lengths (fig G.6). DHA

treatment increased the length of neurites in a concentration dependent manner but treatment

Fig G.5A Fig G.5 B

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with synaptamide followed a different trend – there was an initial concentration dependent

increase in neurite length which was lost at higher concentrations

Fig G.6: Estimation of total length of individual neurites selected from randomly selected cells

supplemented with increasing doses of either DHA or synaptamide. (N=3 experiments; n=80

neurites).

We also looked at the frequency distribution of total length of the individual neurites. We found

that supplementation with neither DHA nor synaptamide was associated with the sprouting of

neurites whose lengths did not significantly deviate from those in unsupplemented incubations

(fig G.7A and B).

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Fig G.7: Representative graph of frequency distribution of individual neurite length after either

DHA (A) or synaptamide (C) supplementation in differentiated N27 cells. (N=1 (representative

image); n=80 neurites).

G.3.3. Effect of synaptamide on the number of individual neurites in differentiated N27 cells

We summed up the number of neurites per cell and plotted a frequency distribution graph to

look at the distribution of the proportion of cells with more neurites. Cells supplemented with

either DHA or synaptamide sprouted similar number of neurites as control cells (fig G.8).

Fig G.7A Fig G.7B

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Fig G.8: Total number of neurites (sum of primary, secondary and tertiary branches) from N27

cells (n=70) supplemented with either DHA or synaptamide. Data represented as the mean of 3

experiments. Error bars represent SD (N=3 experiments; n=70 cells).

G.3.4. Synaptamide and DHA uptake and metabolism may contribute to their effect on

neuritogenesis and neurite elongation

Based on our neurite analysis, we can conclude that neither synaptamide nor DHA had a

significant effect on neuritogenesis or neurite elongation in N27 cells. We wanted to take a

second look at the functional effect of these lipids on neurite elongation from the perspective of

DHA and synaptamide uptake and metabolism in these cells and try to understand the reason

behind the lack of their effect on neuritogenesis.

Radiolabeled synaptamide and DHA were added to N27 cells at a concentration of 200 nM in

order to study their uptake. Hence, the effect of these lipids at a concentration of 100 nM was

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closely re-examined to explain the observed effects on neuritogenesis and neurite elongation.

At 100 nM, the total neurite length of the cells, the lengths of individual neurites as well as the

number of neurites with synaptamide and DHA were similar. There was no statistical

significance between the two treatments (fig G.9).

Fig G.9: Comparison of neurite lengths (A) and the number of neurites (C) from randomly selected

N27 cells (n=70) treated with either DHA 100 nM or synaptamide 100 nM. Data represented as the

mean of 3 experiments. Error bars represent SD (N=3 experiments; n=70 cells).

This observation was consistent with our uptake studies. DHA and synaptamide are taken into

the cells at similar rates but with the onset of differentiation, DHA is taken up preferentially over

synaptamide. In both undifferentiated and differentiating cells, DHA and synaptamide partition

into phospholipids to the same extent (fig G.10) suggesting that both contribute to the synthesis

of membrane phospholipids to the same extent. This may explain, at least in part, the similar

effect of both DHA and synaptamide on neurite elongation in N27 cells. Although the

Fig G.9A Fig G.9B

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incorporation of DHA into phospholipids was higher than for synaptamide at early times, the

advantage was lost at later time-points (fig G.10).

Fig G.10: Time dependent phospholipid incorporation of exogenous [14

C]DHA and [14

C-

docosahexaenoyl]synaptamide in undifferentiated (A) and differentiating (C) N27 cells. Data

represented as the average % of radioactivity incorporated into phospholipids as quantified from

autoradiographs. Error bars represent SD (N=3 experiments; n=70 cells).

G.4. DISCUSSION

Synaptamide was found to play a role in neuritogenesis and neurite elongation in hippocampal

cultures (Kim et al., 2011). Based on the results from studies in hippocampal neurons, we

evaluated whether synaptamide and/or DHA increased neurite growth in N27 cells. N27 cells

are dopaminergic immortalized mesencephalic neural cells (Clarkson et al., 1999). Our data

indicate that neurite elongation was not increased by either synaptamide or by DHA.

Fig G.10A Fig G.10B

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The doses of synaptamide and DHA used for supplementing the cell culture were based on

previous studies which demonstrated a functional effect (Kim et al., 2011). We employed a dose

range of 1 nM to 10 µM of DHA and synaptamide for our analysis and even at concentrations as

high as 10 µM the effect of DHA was similar to that of control cells. This observation was in

contrast to previous studies that reported a toxic effect of DHA at 5 µM concentration on

hippocampal neurons (Cao et al., 2009). This discrepancy may be due to the fact that we used

an immortalized cell line instead of a primary culture. PUFAs are known to generate free

radicals which can result in cell death in primary neuron cultures. The N27 cells were treated

with dibutyryl-cAMP and dehydroepiandrosterone (a precursor for androgens) prior to adding

DHA or synaptamide. Androgen pretreatment in N27 cells is known to condition them against

oxidative damage (Holmes et al., 2013) and addition of dehydroepiandrosterone may possibly

prevent these cells from toxic effects of high concentrations of DHA and synaptamide. In

addition to this, we also supplemented our cultures with 40 µM α-tocopherol to minimize the

oxidation of DHA and synaptamide.

The lack of effect of DHA and synaptamide on neurite growth may be explained on the basis of

their neuronal uptake and metabolism. At 200 nM, both DHA and synaptamide were rapidly

taken up by the N27 cells and were incorporated into phospholipids. The incorporation of DHA

into phospholipids occurs to the same extent from either free acid or synaptamide. If DHA and

synaptamide contribute to new membrane synthesis, neurite growth will occur to the same

extent. The slight increase in neurite elongation by synaptamide may suggest an independent

action by functioning as a signaling molecule, but the lack of significance when compared with

the control cells rule out this possibility.

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Since DHA also did not cause neurite elongation in N27 cells, it can be suggested that N27 cells

have a different mechanism by which neurite elongation may take place. N27 cells are

immortalized rat fetal mesencephalic cells and even though they express neuron specific

markers, they are not considered as neurons. The differences between immortalized cells and

primary neuron cultures, while can be useful in some studies, may not be the best models for

determining neurogenic potential of growth factors.

G.5. CONCLUSION

Overall, there were no significant differences between synaptamide supplemented or control

(unsupplemented) cells or between DHA supplemented and control cells in terms of total neurite

length, number of neurites per cell, or lengths of individual neurites. In vitro systems provide a

great alternative platform to understand mechanisms underlying physiological/ pathological

processes in a simplified system which, in vivo are much more complex. The use of in vitro

neuronal systems facilitated the understanding the functioning of nervous system which is

challenging because mature neurons do not undergo cell division. The use of primary and

secondary neuronal cultures made advancement possible in understanding the functioning of

nervous systems (Gordon et al., 2013). Most primary cultures are derived from embryonic

tissues with limited cell-division properties. They are useful as they ―mimic‖ the properties of

neurons in vivo, but cannot be used in all studies due to the disadvantage of being difficult to

manipulate and study the effect of therapeutic interventions (Aldrich, 2016). Secondary neuronal

cultures are more useful as they can be manipulated easily to test various end points.

Secondary cultures are derived from fetal cells or neuronal tumors and are manipulated to

become immortalized so they can be grown easily with minimal variability between passages.

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As these cultures are derived from variant sources, their properties differ considerably from

neuronal cells in vivo (Welser-Alves, 2015). While addition of growth factors and other

transcription factors can induce a more ―neuronal‖ phenotype, they can not necessarily be used

to recapitulate the effect of these factors as observed in vivo. Our study was consistent with this

observation. The effects seen in vitro were only partially translatable to in vivo conditions.

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H. CONCLUDING REMARKS

The overall goal of this dissertation project was to examine the metabolism and biological

effects of N-docosahexaenoylethanolamine (DHA-ethanolamine; ―synaptamide‖). This

compound is structurally similar to the endocannabinoid, anandamide (N-

arachidonoylethanolamine), but incorporates the omega-3 polyunsaturated fatty acid,

docosahexaenoic acid (DHA) in place of the omega-6 fatty acid, arachidonic acid. Unlike

anandamide, synaptamide has very low affinity for cannabinoid receptors, but has recently been

proposed to be important for synapse-formation. Both arachidonic acid and DHA are major

contributors to the brain‘s content of esterified long chain fatty acid, and are therefore important

structural components of brain membranes. Arachidonic acid is the precursor of lipid signaling

molecules such as prostaglandins that are produced via the action of oxygenases, in addition to

its role as a precursor of endocannabinoids. Lipid signaling molecules derived from DHA are

less well understood than those derived from arachidonic acid.

The dissertation is divided into six sections, A—F.

Section A presents the biological background to the project. An important starting point was the

suggestion by Kim et al. (2011) that some effects of exogenous DHA might be mediated via

production of synaptamide.

Section C presents the experimental methods used. These included: administration of

radiolabeled synaptamide to mice, with and without pharmacological pre-treatment; brain

microdissection studies; tissue culture experiments using undifferentiated and differentiated N27

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neural cells; tissue extraction and radiochromatography of radiolabeled lipids produced from

labeled synaptamide and DHA; enzyme kinetic studies; and studies of uptake of labeled DHA

and synaptamide by cells.

In Section C, studies are described in which radiochromatographic evidence was sought for

biosynthesis of synaptamide from DHA. Analogous studies were also done to search for

production of anandamide from arachidonic acid. Following intravenous injection of carbon-14

labeled arachidonic acid and DHA to mice, radiolabeled anandamide and synaptamide,

respectively were detected in brain extracts. However, in incubations with N27 cells, labeled

anandamide was produced from labeled arachidonic acid, but labeled synaptamide was not

found in extracts of cells that had been incubated with labeled DHA. Thus it appears that the

suggestion of the Kim group that effects of DHA may be mediated via synaptamide formation is

not true, at least in N27 cells.

Section D describes in vivo and tissue culture experiments in which uptake of synaptamide,

labeled either in the DHA moiety or the ethanolamine moiety, and the formation of labeled DHA

and ethanolamine from these radiotracers, was examined. Labeled DHA and ethanolamine

were also employed in uptake experiments. Brain uptake of labeled synaptamide, expressed as

percent injected radioactivity per gram of tissue, was found to be greater for synaptamide than

for DHA, in agreement with previous studies of labeled anandamide and arachidonic acid in the

Gatley laboratory.

The main subject of Section E is metabolism of synaptamide by the enzyme fatty acid amide

hydrolase (FAAH). This enzyme terminates action of the endocannabinoid, anandamide, by

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cleaving its amide bond. In studies with mouse brain homogenates, it was found that

synaptamide was a poorer inhibitor of radioactive anandamide hydrolysis than was anandamide

itself. IC50 values were a factor-of-ten higher for synaptamide than anandamide. Using

radiolabeled synaptamide, enzyme-mediated hydrolysis was documented, but at a slower rate

than for anandamide. In vivo, radiolabeled phospholipids were found in brain after

administration of labeled synaptamide, confirming hydrolysis of synaptamide in vivo.

Pretreatment of mice with a potent inhibitor of FAAH significantly reduced but did not totally

eliminate formation of labeled phospholipids, suggesting some non-FAAH mediated hydrolysis

of synaptamide.

In Section F, tissue culture experiments in the N27 cells are describe d in which effects of

synaptamide and DHA on cell morphology were compared. There were no significant

differences between synaptamide supplemented or control (unsupplemented) cells or between

DHA supplemented and control cells in terms of total neurite length, number of neurites per cell,

or lengths of individual neurites. However, there were apparent significant differences (p

<0.005) between cells supplemented at 10 nM or 100 nM with DHA or with synaptamide for total

neurite length. One could speculate that DHA and synaptamide have opposing effects on

neuritogenesis at these concentrations, but in retrospect it is clear that N27 cells are not a good

model to evaluate Kim‘s inference (based on primary hippocampal cultures) that DHA acts via

synaptamide, since, as noted in Section C, we did not find [14C]synaptamide in N27 cells

incubated with [14C]DHA.

Much remains unclear about synaptamide that should be investigated in further studies. Thus

far, one group (Kim and co-workers) has been the main contributor in investigating the possible

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therapeutic potential of synaptamide. The findings in this dissertation are consistent with the

assumption that synaptamide has a similar biosynthetic pathway to that of anandamide, but do

not directly clarify the issue of whether documented effects of DHA in vivo are mediated via

synaptamide.

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