New evidence on Iron, Copper accumulation and Zinc depletion and its correlation with DNA integrity in aging human brain regions

of the population and causes severe neuropsychological impairments and has been implicated in functional impairment. [2] What we mean by normal and healthy aging and for that matter what are the triggering risk factors for geriatric mental health problems are still puzzling. To understand this better, we need to explore the biology of aging properly. Both structural, chemical, functional brain imaging using magnetic resonance imaging and postmortem studies have demonstrated volume loss in brain in subjects with BD and also with aging. [3-6] Recent postmortem studies in BD have demonstrated reductions in number and density of nerve cells, as well as changes in cell body size and shape ABSTRACT Deoxyribonucleic acid (DNA) conformation and stability play an important role in brain function. Earlier studies reported alterations in DNA integrity in the brain regions of neurological disorders like Parkinson’s and Alzheimer’s diseases. However, there are only limited studies on DNA stability in an aging brain and the factors responsible for genomic instability are still not clear. In this study, we assess the levels of Copper (Cu), Iron (Fe) and Zinc (Zn) in three age groups (Group I: below 40 years), Group II: between 41-60 years) and Group III: above 61 years) in hippocampus and frontal cortex regions of normal brains. The number of samples in each group was eight. Genomic DNA was isolated and DNA integrity was studied by nick translation studies and presented as single and double strand breaks. The number of single strand breaks correspondingly increased with aging compared to double strand breaks. The strand breaks were more in frontal cortex compared to hippocampus. We observed that the levels of Cu and Fe are significantly elevated while Zn is significantly depleted as one progresses from Group I to Group III, indicating changes with aging in frontal cortex and hippocampus. But the elevation of metals was more in frontal cortical region compared to hippocampal region. There was a clear correlation between Cu and Fe levels versus strand breaks in aging brain regions. This indicates that genomic instability is progressive with aging and this will alter the gene expressions. To our knowledge, this is a new comprehensive database to date, looking at the levels of redox metals and corresponding strand breaks in DNA in two brain regions of the aging brain. The biological significance of these findings with relevance to mental health will be discussed.


INTRODUCTION
The failure in normal healthy aging leads to mental disorders in aged population. [1] Bipolar disorder (BD) is a major geriatric mental health problem. It affects about 1% Prof. TSS Rao won IAGMH -INTAS award at the Indian Association of Geriatric Mental Health Conference held at Trissur, December 4-5, 2009 www.indianjpsychiatry.org of neurons and glia, implicating specific cell pathology in the mood disorders and control aged brains. [4] These studies give an insight into the central role played by neuronal cell death in the pathology of psychiatric disorders and is absent in normal healthy aging. The major risk factors implicated in age related disorders, is the elevation in oxidative stress and failure in antioxidant mechanisms. [7][8][9][10][11][12] The oxidative stress phenomenon leads to DNA instability and gene expression failure in normal aging. Does the failure in repair mechanism lead to neuropsychiatric problems? The data base on this aspect is limited. A dysregulation in apoptotic mechanism is believed to play a role in a variety of neuropsychiatric disorders. [13][14][15][16][17][18][19] Further, DNA fragmentations have been well shown to be associated with neurodegenerative disorders like Parkinson disease (PD). [20][21][22][23] The current study aims to assess the genomic integrity in terms of DNA fragmentation and its relation to the levels of redox active metals in frontal cortex and hippocampal brain regions of different age groups and to ascertain whether altered genome integrity plays a role in geriatric psychiatric disorders. To the best of our knowledge, this study is first of its kind in human brain.

Subjects:
The data covering socio-demographic details and cause of death are given in Table 1.

Brain tissues
Brains were categorized into three groups. Group I: below 40 years, Group II: between 41-60 years and Group III: above 60 years. The two regions, namely hippocampus and frontal cortex of normal brains, were separated and stored at -80 o C until further use. Eight brain samples from each group were included in the study. Human brain samples were collected from the Depression Brain Bank of JSS Medical College and Hospital, Mysore, India. Autopsies were performed on donors with written informed consent obtained direct next of kin. The control human brains were collected from accident victims, who had no history of longterm illness, psychiatric diseases, dementia, or neurological disease prior to death. We have excluded subjects who had drug and alcohol abuse. The average postmortem interval between the time of death and collection of brain and freezing was ≤ six hours. Within one hour after death the body was kept in cool chamber maintained at 4˚C. The brain tissue was isolated and stored frozen at -80˚C till the analysis.

Isolation of DNA from brain tissue
Genomic DNA was isolated from hippocampus and frontal cortex of frozen brain tissue by standard 'phenolchloroform extraction' method after Sambrook et al. [24] with some modifications to prevent DNA fragmentation during isolation. Precautions were taken to prevent in vitro DNA damage during phenol-chloroform genomic DNA extraction. DNA concentration was measured using ultraviolet/visible spectrophotometer noting absorbance at 260 mm and purity checked by recording the ratio of absorbance at 260 nm/280 nm, which should be ideally between 1.6 and 1.8.  [26,27] it is assumed that about 50 TMP residues are added at each of the 3'-ends of the duplex DNA. From this, it is calculated that each femtomole of TMP incorporation would be equivalent to 1.2 x 10 7 3'-ends or half of that number minus one DSBs.

d) Statistical analysis
All the data obtained in this study were statistically treated and the significance of differences among samples was calculated according to Student's t test. The statistical analysis was carried out using Microsoft Excel 2000 Software.

RESULTS
Trace metals: The levels of Fe and Cu increased, Zn levels decreased from Group I to III. But the significant increase and decrease was more between Group II and III [ Table 2]. This data indicates that there was an accumulation of redox active metals like Cu and Fe with aging, while antioxidant metal was decreased with aging. The interesting point was, accumulation of metals was more in Frontal cortex compared to hippocampus. This data is novel and first of its kind in literature.

Single Strand Breaks
The most prevalent type of DNA damage in mammalian cell is the SSBs. Single-stranded breakage is the end point of Vasudevaraju, et al.: DNA integrity in aging human brain several types of structural insults inflicted on the genome by both endogenous and exogenous agents. [28] Table 3 shows numbers of SSBs per microgram of genomic DNA isolated from brain regions. Accumulations of SSBs were more frequent in group III compared to Group II and I. The result shows that frontal cortex (P<0.05) accumulated considerably higher number of SSBs compared to hippocampus.

Double Strand breaks
The DNA isolated from frontal cortex and hippocampus showed significantly higher number of DSBs than respective controls (P<0.01) Table 4. Further, frontal cortex accumulated more DSBs than SSBs. The increase in DSBs was more in Group III compared to Group I and II. The present result showed that frontal cortex has more DSBs than SSBs whereas hippocampus had the presence of both DSBs and SSBs accumulated.

DISCUSSION
The present study was done to assess the DNA topology in aging human brain and shows that the structural integrity and topology of genomic DNA is altered and also showed a correlation between redox metal accumulation and DNA strand breaks. The DNA integrity failure may lead to cell atrophy. Magnetic Resonance Imaging (MRI) studies showed that frontal cortex, temporal lobe, hippocampus, thalamus and cerebellum are important brain regions in the pathology of mental illness in adults. [3] The previous studies report that smaller cerebellum, [31] reduction in thalamus volume in adolescent [32] and frontal cortex size reduction [33,34] in BD compared to controls. Frontal cortex dysfunction plays a major role in the pathophysiology of the bipolar illness and is correlated with reduced frontal lobe size, neuropsychologic deficits [33,34] and loss of bundle coherence in prefrontal white matter tracts. [35] Other factors like oxidative stress, mitochondrial dysfunction, mitochondrial DNA-deletion, apoptosis are associated with progression of Bipolar mental illness. [9][10][11][12]36,37] The classical apoptotic DNA laddering pattern in aging brain due to strand breaks has great pathophysiological significance. According to Didier et al. [38] the DNA laddering on gel electrophoresis is a hallmark of end-stage apoptotic cell death and by this apoptosis can be distinguished from necrosis. Earlier studies have shown that cell death can also be preceded by DNA fragmentation by Ca 2+ , Mg 2+ dependent DNAase into 180 and 200bp fragments with endonuclease activation occurring early in the process of cell death. [39][40][41] The influences of peri-mortem conditions and of antemortem hypoxia on DNA fragmentation in postmortem tissue have been demonstrated in some previous studies. [42] However, we evaluated our results on DNA stability/damage and established that postmortem delay (<7) related DNA damage does not account for the changes in aging brains. It was earlier shown that DNA fragmentation reduces the high activation energy barrier required to induce the conformational and topological changes in DNA. [23] In addition, the recent study showed that there is an empiric link between late-life depression and Alzheimer's Disease (AD) suggesting that the depression may lead to development of AD in some individuals. [43,44] Our study is the first report to show that there is a selective increase of single strand and double strand breaks in DNA of normal aging brain. The DNA fragmentation can potentially be triggered through many endogenous and exogenous factors such as trace metals, oxidative stress, mitochondrial dysfunction, apoptosis, decreased antioxidant enzymes, genetic factors etc. [8][9][10][11]37] The first and most obvious possibility is that neurons may be exposed to oxidative stress. In addition, the postmortem studies have suggested that GABA cells in the anterior cerebral cortex of BD subjects were vulnerable to oxidative stress. [44] Genes play a central role in the clearance of free radicals generated by mitochondrial oxidation reactions such as glutathione synthase, catalase and superoxide dismutase (SOD)mediated reactions. [42] This suggests that the accumulation of reactive oxygen species (ROS) associated with the oxidative stress would tend to cause potential damage to DNA, proteins and lipids. [45] However, the intact DNA from hippocampus may represent an adaptive compensation to oxidative stress.
In support of this, other finding suggested that GABAergic cells in hippocampus may be resistant to kainic acidinduced excitotoxicity. [44] Our earlier studies have shown that metals like Fe, Al and Cu are accumulated more in BD and these metals can bind and nick DNA. Many of these insults potentially lead to single strand and double strand breaks in DNA leading to genomic instability. [42] Another possible reason for accumulated DNA fragmentation in aging brain could be due to decreased  Vasudevaraju, et al.: DNA integrity in aging human brain antioxidant enzymes such as glutathione synthase, catalase and SOD or decreased DNA repair capacity process in BD. Due to increased oxidative stress and genotoxic stress, the genomic DNA's structural integrity is under constant threat. Hence, any insufficiency in the machinery to counteract the damage leads to accumulation of DNA breaks. A decline in DNA stability signifies the shift between DNA damage and repair. In conclusion, this study is the first examination of the genome integrity in terms of DNA damage and its relation to redox metals levels in brain regions of aging groups. Further, this early and first study may provide initial insight to elucidate the correlation between the DNA damage and trace metals and its role in mental health.