Gulf War Agent Exposure Causes Dose‐Dependent Impairment of Memory Formation and Exercise Intolerance in a Mouse Model of Gulf War Illness

Abstract

Gulf War Illness (GWI) is a chronic multi-symptom condition that still affects a third of veterans who served in the 1991 Persian Gulf War (GW). Latently-emerging and persistent symptoms fall into 5 general domains: neurological/cognition/mood, muscle/joint pain, respiratory, gastrointestinal disturbances and especially chronic fatigue. In particular, veterans exhibit CNS deficits in the neuropsychological domains of visuospatial abilities, attention/executive functioning, and learning/memory. GWI remains untreated due its poorly understood etiology and pathophysiology. It is suggested that GWI is a result of continuous exposure of military personnel to GW agents (pyridostigmine bromide, (PB), permethrin (PER), diethyltoluamide (DEET) and deployment/combat stress. To further investigate the cognitive manifestations of GWI pathophysiology, we studied the effects of chronic GW agent exposure in adult C57Bl/6N males utilizing a repeated measures design. The dosing paradigm consisted of 5 d/week for 28d of exposure to two doses of PB (6.5 mg/kg/d, 2x/d and 8.7 mg/kg/d, 1x/d; po), PER (1.3 mg/kg/d; top) in 70% ETOH, DEET (1650 mg/kg/d in DMSO) and stress 5 min/d (n=5–7/group). Two controls were included: sham (saline po, 70% ETOH and DMSO top) and sham/stress. Behavioral endpoints were measured at different timepoints post treatment (PT) up to PT160d. The 8.7 mg/kg/d dose was more effective in modeling cognitive deficits on the passive avoidance test since this group failed to avoid the aversive dark chamber at the 24h, and 7d and/or 3d retention timepoints at PT70. A repeat test at PT120 indicated that the 8.7 and sham/stress (P<.01) but not the 6.5 mg/kg/d group displayed retention of emotional reactivity memory at all test timepoints. In the novel object recognition test, performed at PT17, GW groupsbut not sham/stress displayed deficient memory retention at 24h (P<.01). On the Barnes Maze, no GW exposure effects on reference memory were noted during acquisition training nor a 24h acquisition probe trial. Since the neuropsychological deficits seen in GW chemical exposures can be exacerbated by comorbid mood-related conditions, animals were tested for anxiety and depression but no GW-specific effects were found. To model chronic fatigue, using a 5-day exercise endurance test we found that 8.7 mg/kg/d showed decreased latency to exhaustion at PT23 and PT161 compared to sham/stress (P<.05, P<.01). This effect could not be attributed to problems with motor coordination as measured on Suok and rotarod tests. In summary, the GW agent exposure paradigm produces specific cognitive deficits in associative aversive learning and novel object recognition memory but not visuospatial (reference) memory. GW agents also cause mice to tire faster during exercise without deficits in motor coordination. This animal model may be useful in examining common mechanisms underlying deficient cognitive performance and chronic fatigue in GWI.