title: Systemic methotrexate induces spatial memory deficits and depletes cerebrospinal fluid folate in rats.
abstract: OBJECTIVE
  Although most children with acute lymphoblastic leukemia (ALL) are cured, a subset manifests persistent, focal cognitive deficits. Methotrexate (MTX), a key component of leukemia treatment, is suspected to contribute to treatment-induced cognitive dysfunction. We sought to establish a rodent model in order to further investigate the underlying pathophysiology.
  
  
  METHODS
  Intraperitoneal MTX was given to Long-Evans rats on two schedules: acute (250 mg/kg once during adulthood), or chronic (1mg/kg twice weekly x4 doses, beginning at postnatal day 15, then weekly x6). Control rats were given saline injections on the same schedules. All male rats subsequently underwent behavioral testing designed to assess cognitive domains frequently impaired among children treated for ALL. Cerebrospinal fluid and serum folate concentrations were measured by HPLC.
  
  
  RESULTS
  Both acute and chronic MTX administration produced spatial memory deficits, without significantly altering visual memory, general exploration, activity or motor coordination. MTX administration was also associated with a marked reduction in serum and CSF folate and a decrease in the ratio of CSF S-adenosylmethionine to S-adenosylhomocysteine.
  
  
  CONCLUSIONS
  Similar to children treated for ALL, rats given systemic MTX develop focal cognitive deficits along with expected alterations in folate physiology.
authors.affiliation: Department of Pediatrics, Albert Einstein College of Medicine, 1300 Morris Park Ave, Forchheimer 702, Bronx, NY 10461, United States.
authors.forename: Yan
authors.initials: Y
authors.lastname: Li
authors.forename: Veena
authors.initials: V
authors.lastname: Vijayanathan
authors.forename: Maria E
authors.initials: ME
authors.lastname: Gulinello
authors.forename: Peter D
authors.initials: PD
authors.lastname: Cole
mesh_terms: D000818:Animals; D002851:Chromatography, High Pressure Liquid; D005492:Folic Acid / Q000097:blood / Q000134:cerebrospinal fluid*; D005493:Folic Acid Antagonists / Q000494:pharmacology*; D008297:Male; D008568:Memory / Q000187:drug effects*; D008727:Methotrexate / Q000494:pharmacology*; D051381:Rats; D020318:Rats, Long-Evans
chemical_list: D005493:Folic Acid Antagonists; D005492:Folic Acid; D008727:Methotrexate