Abstract
To characterize neuronal death, primary cortical neurons (C57/Black 6 J mice) were exposed to hydrogen peroxide (H2O2) and staurosporine. Both caused cell shrinkage, nuclear condensation, DNA fragmentation and loss of plasma membrane integrity. Neither treatment induced caspase-7 activity, but caspase-3 was activated by staurosporine but not H2O2. Each treatment caused redistribution from mitochondria of both endonuclease G (Endo G) and cytochrome c. Neurons knocked down for Endo G expression using siRNA showed reduction in both nuclear condensation and DNA fragmentation after treatment with H2O2, but not staurosporine. Endo G suppression protected cells against H2O2-induced cell death, while staurosporine-induced death was merely delayed. We conclude that staurosporine induces apoptosis in these neurons, but severe oxidative stress leads to Endo G-dependent death, in the absence of caspase activation (programmed cell death-type III). Therefore, oxidative stress triggers in neurons a form of necrosis that is a systematic cellular response subject to molecular regulation.
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Introduction
Oxidative stress is a feature of many neurodegenerative disorders and occurs chronically in diseases such as Parkinson’s and Alzheimer’s disease [reviewed in 1, 2]. In a more acute setting, oxidative stress is a significant pathogenic factor following cerebral ischemic reperfusion after stroke [reviewed in 3]. In many stroke models the generation of reactive oxygen species (ROS) is elevated following cerebral ischemia [4–8]. The severity of the cerebral ischemia and the subsequent reperfusion are considered to determine the particular cell death pathways triggered within injured neurons. Tissue injury in the stroke-affected brain has traditionally been considered to involve either necrosis or apoptosis. Thus, at the core or center of infarction, the most severe damage to neurons occurs, involving massive necrosis. Such death involves failure of ionic gradients across the plasma membrane (PM) and within cells associated with neuronal depolarization in the face of anoxia and reduced use of glucose by cells. At the boundary of the core and penumbra, excitotoxicity due to excess glutamate occurs; here the cells have adequate glucose supply, but die from ionic imbalances, significantly calcium overload [9]. Mechanisms of death by excitotoxicity have been appraised in substantial detail [10–13]. Apoptosis was initially regarded the predominant cell death process in the penumbra, in the face of multiple cellular insults including neurotransmitter overload, excess of K+ ions, as well as oxidative stress [reviewed in 9]. However, a broader spectrum of death responses, perhaps representing a continuum of possible death pathways ranging across apoptosis to necrosis [14–17] as well as autophagy and other mechanisms [18], is now considered to encompass the neuronal responses to the range of insults in the penumbra.
Therefore, cell death, once succinctly defined as either apoptotic (programmed with caspase activation) or necrotic (non-programmed without caspase involvement), can no longer be discriminated by such simple classification. Currently, programmed cell death (PCD) pathways are subdivided into three major types. These encompass PCD-type I (apoptosis), PCD-type II (autophagic cell death) and PCD-type III (programmed necrosis) [19]. PCD-type III therefore manifests features of necrosis by definition; however, it differs from unregulated necrosis in that PCD-type III can be regulated and can be inhibited like other forms of PCD. Necrosis is marked by cell swelling, gross PM rupture and little or no involvement of caspases [19].
There are several reports of cultured neuronal cells undergoing PCD-type III under various stimuli. These include descriptions of caspase-independent apoptosis in primary cerebellar granule cells and cortical neurons exposed to excitotoxic analogues, (e.g., AMPA, kainate) [10, 11, 13, 20]. However, features of neuronal death that warrant more substantial investigation involve the response to oxidative stress, particularly the role of caspases, and the possibility that PCD-type III is an outcome of neurons exposed to severe oxidative stress, as may occur in cerebral ischemia-reperfusion injury.
In this study we set out to determine whether primary murine cortical neurons undergo PCD-type III, triggered by oxidative insult. Endonuclease G (Endo G) was studied as a significant mediator of cell death in the absence of caspase activation [21]. There are two mitochondrial proteins, apoptosis-inducing factor (AIF) and Endo G, which drive apoptotic nuclear DNA fragmentation in the absence of caspases [13, 20–22]. However, AIF seems less useful than Endo G where oxidative stress is the insult because of the known antioxidant properties of AIF that underlie its involvement as a protector of cells against oxidative stress on the one hand and a death-mediating protein on the other [23, 24]; these dual roles confer ambiguity on the interpretation of experimental data. During death signaling, Endo G has been shown to translocate from the mitochondrial intermembrane space (IMS) to the nucleus to participate in non-specific DNA fragmentation, similar to its pro-death counterpart AIF [21, 22]. Moreover, the characterization of primary neuron dependency on Endo G in PCD signaling during oxidative insult has not been thoroughly undertaken until now.
We used primary embryonic cortical neurons from C57/Black 6 J mice, a murine strain frequently used as background for many genetic animal modifications [25, 26]. Hydrogen peroxide (H2O2) was used as the death-inducing oxidative insult, alongside staurosporine (STS), a widely used inducer of apoptosis [27] to help differentiate between PCD-type I and other PCD pathways. Analysis of caspase-dependent cell death together with knockdown of Endo G levels in cultured neurons revealed that, whereas STS induces apoptosis, H2O2 treatment leads to caspase-independent PCD-type III. Moreover, our data revealed a specific role for Endo G as a central component PCD-type III under oxidative insult.
Materials and methods
Cell culture
Primary cultures of murine neocortical neurons were established from embryonic day 15 C57/Black 6 J mice, as previously described [10, 28]. Under these conditions the cultures were essentially purely neuronal and contained <5% astrocytes [10, 28]. All experimentation received institutional ethical approval and was undertaken according to the Guidelines of the NH&MRC (Australia).
Short interfering RNA (siRNA) transfections
Endo G siRNAs (product name: Mm_Endog_4_HP Validated siRNA), AIF siRNA (product name: Mm_Pdcd8_3_HP Validated siRNA) and negative control siRNA were purchased from Qiagen (Germantown, MD, USA). Transfection of mouse primary cortical neurons with siRNA was carried out by using HiPerFect transfection reagent (Qiagen, Doncaster, Vic, Australia) according to the protocols provided by the manufacturer. Under these conditions, typically 50–70% of neuronal cells were transfected by control siRNA. Briefly, neurons were transfected in 6-well (for immunoblotting; 2.5 × 106 cells) or 24-well plates (on glass coverslips for microscopic imaging; 0.5 × 106 of cells) on day 3 in vitro. Neurons were subsequently left in culture until day 7 in vitro, where treatments with STS and H2O2 were performed.
Drug exposure
Guided by our previous work [10, 11], neuronal cultures were exposed to either 50 μmol/l H2O2 [30% (w/v), Merck, Melbourne, Vic, Australia] or 200 nmol/l STS (Sigma-Aldrich, Castle Hill, NSW, Australia) in minimum essential medium with antioxidant-free B-27 (Invitrogen, Melbourne, Vic, Australia). In some experiments, treatment of neurons with STS or H2O2 was also performed in the presence of a broad-spectrum caspase inhibitor z-Val-Ala-Asp(OCH3)-CH2F (zVAD-fmk) (Bachem, Bubendorf, Switzerland) at 100 μmol/l. Cells were pre-treated with zVAD-fmk in minimum essential medium with antioxidant-free B-27 30 min prior to treatment with STS or H2O2, with zVAD-fmk remaining in the medium during such subsequent treatments.
Cell viability
Cells from cultures were directly stained with 5 μg/ml of propidium iodide (PI) (Invitrogen-Molecular probes, Melbourne, Vic, Australia) in 1 × phosphate buffered saline, pH 7.4 (PBS). Following incubation for 5 min at 37°C, cells stained with PI were washed three times with 1 × PBS before being fixed with 3% paraformaldehyde in 1 × PBS at 22°C, before being mounted on glass slides [10, 29].
Nuclear morphology and TUNEL
Staining of nuclei with 4′,6-diamidino-2-phenylindole (DAPI; Invitrogen-Molecular Probes, Melbourne, Vic, Australia) was carried out as described [10] and morphology determined by confocal microscopy (see below). TUNEL staining was carried out using a TUNEL kit (Promega, Alexandria, NSW, Australia). Where DAPI was used in conjunction with TUNEL, DAPI was incubated with the samples following completion of TUNEL procedure for 5 min at 22°C; samples were then washed with 1 × PBS twice before mounting samples onto glass slides.
Immunocytochemistry
Immunocytochemistry was performed as described [29]. In the present work, following fixation and permeabilization, samples were then incubated with the following primary antibodies at optimal dilutions for 3 h at 22°C: rabbit polyclonal anti-active caspase-3 antibody at 1:500 (Neuromics, Edina MN); rabbit polyclonal anti-cleaved caspase-7 antibody at 1:100 (Cell Signaling, Danvers, MA); mouse monoclonal anti-cytochrome c (cyt c) antibody (clone 2410 6H2.B4) at 1:200 (BD Pharmingen, San Diego, CA); mouse monoclonal anti-AIF antibody (clone E-1) at 1:200 (Santa Cruz, CA); or rabbit polyclonal anti-Endo G antibody at 1:200 (Pro-Sci Inc, Poway, CA). Following incubation with the primary antibody, samples were processed as described [29].
Determination of mitochondrial polarization
Uptake of tetramethylrhodamine methyl ester (TMRM) (Invitrogen-Molecular Probes, Melbourne, Vic, Australia) into live neurons in culture was determined as described [10, 11]. In the present experiments cells were loaded with TMRM (150 nmol/l) after particular times of prior treatment with STS or H2O2. After washing cells with PBS, TMRM was maintained during subsequent incubation in minimum essential medium, without phenol red, prior to and during imaging. A depolarization control sample [10 μmol/l; Carboxy cyanide p-(trifluoromethoxy)phenylhydrazone (FCCP), Invitrogen-Molecular Probes, Melbourne, Vic, Australia] was also included, where relevant. Cells on coverslips were imaged directly by confocal microscopy.
Confocal microscopy
Samples were imaged by fluorescence laser scanning confocal microscopy using an Olympus FluoView500, IX81 inverted confocal microscope (Olympus, Melbourne, Vic, Australia), fitted with a UPlan Apo 60 ×/1.20w water immersion lens. Images were captured using Fluroview software (Olympus, Melbourne, Vic, Australia). In multiple fluorescence channel imaging, photomultiplier sensitivities, gain levels and offsets were adjusted to ensure that there was little or no bleed-through of fluorescence signal from one channel to the other. A Kalman filter was used to reduce background noise levels. The selected field was scanned five times using a “Frame Kalman” scan. All fields were scanned sequentially in order to reduce the incidence of ‘bleed through’ between each of the channels used. Three hundred cells were scored for each population scored, and three independent experiments were undertaken for each condition tested. Image Tool Software Ver 3.00 (developed by the Department of Dental Diagnostic Science at The University of Texas Health Science Center, San Antonio, Texas) was used to assist manual scoring of cellular morphologies.
Caspase-3 and caspase-7 fluorescence activity assays
Caspase-3 activity was measured directly by examining the binding of a FITC-DEVD-fmk substrate (Calbiochem, Kilsyth, Vic, Australia) to active caspase-3 in attached cells. Neurons were cultured in 96-well plates (0.1 × 106) and processed according to the manufacturer’s instructions. Cellular fluorescence was measured in relative fluorescence units (RFU) (excitation 485 nm/emission 530 nm), using a Fluorostar Optima plate reader (BMG Labtech, Mornington, Vic, Australia).
A caspase-7 fluorogenic/immunoassay kit (Calbiochem, Kilsyth, Victoria, Australia) was used to measure active caspase-7 in neurons. As per manufacturer’s instructions, cell lysates were first prepared in each well of the microtiter plate, and lysates were then applied to other 96-well plates coated with a polyclonal caspase-7 antibody, thereby to capture caspase-7. The adhered material in the well was then exposed to a DEVD-AFC substrate in the supplied buffer. The fluorescence of the bound substrate was measured in RFU (excitation 405 nm/emission 510 nm). Recombinant caspase-7 provided with the kit was used as the positive control.
Western immunoblotting
Following treatment with H2O2 and STS, cells were harvested by gentle scraping and centrifugation (800 g, 5 min) and treated with RIPA extraction buffer [10 mM Tris-HCl pH 8.0, 150 mM NaCl, 1% NP-40, 1% sodium deoxycholate, 0.1% SDS; protease inhibitor cocktail (Sigma-Aldrich, Castle Hill, NSW, Australia) was also added] for 5 min at 4°C. The supernatant obtained by centrifugation (15,000g, 15 min) at 4°C was retained for WB analyses. The protein concentration of supernatants was determined using a BCA Protein Assay Kit (Pierce). The proteins were denatured in Laemmli sample buffer (Bio-Rad, Hercules, CA) at 95°C for 5 min, and separation was carried out on a 12% NuPAGE Bis-Tris pre-cast gel (Invitrogen, Melbourne, Vic, Australia) where the protein ladder (10 μl) and sample (20 μl, 15–20 μg total protein) were separated at 200 V for 30 min. Routine procedures were used for transfer, washing, blocking and probing of blots. Membranes were incubated overnight at 4°C with either primary rabbit polyclonal anti-Endo G antibody (1:1,000; Pro-Sci Inc, Poway, CA), rabbit polyclonal anti-caspase-3 and anti-caspase-7 antibodies (1:1,000; Cell Signaling, Danvers, MA) or mouse monoclonal anti-β-actin antibody (1:400, Neomarkers, Fremont, CA) in 3% blotting reagent. Secondary Alexa488-labeled antibody (1:1,000; Invitrogen-Molecular Probes, Melbourne, Vic, Australia) was incubated for 2 h at room temperature. Visualization of specific bands was performed using a Typhoon Trio™ scanning system (GE Healthcare Life Sciences, Bundoora, Vic, Australia). Densitometry of the western immunoblot was performed using the ImageQuant™ TL software suite (GE Healthcare Life Sciences, Bundoora, Vic, Australia).
Statistical analysis
Comparative data sets were analyzed statistically by using one- and two-way ANOVA, followed by Bonferroni’s post hoc test (GraphPad Prism, San Diego, CA). One-way ANOVA was used for intra-group analysis, while two-way ANOVA was carried out to compare populations subjected to different treatments. The results are expressed as the mean ± SEM. The differences were considered significant at P < 0.05.
Results
General features of cell death induced by STS and H2O2
Cell death induced by STS or H2O2 was determined by scoring neurons for PI uptake, indicative of compromised PM integrity (Fig. 1a, upper rows). A steady increase in cell death over the course of 24 h consistent with the progression of apoptosis was observed after STS treatment (Fig. 1b). In contrast, H2O2 treatment induced a more rapid death; about 60% of cells took up PI after 4 h (Fig. 1b). After both treatments, in contrast to untreated neurons, the cells exhibited retracted neurites and condensed cell bodies (in proportion to PI uptake), but not the rapid cellular swelling (0.5–2 h) that is associated with necrosis.
Changes in nuclear morphology provide a basis for characterizing the mode of death. Apoptotic death in these neurons was measured by scoring neurons with condensed nuclei after DAPI staining, and DNA fragmentation was assessed using TUNEL. Neurons treated with STS exhibited condensed nuclei, which almost invariably showed a fragmented morphology typical of apoptosis (Fig. 1a, lower rows). The proportion of cells exhibiting these features increased with time, in parallel with PI uptake (Fig. 1b). On the other hand, neurons treated with H2O2 mostly exhibited condensed rounded nuclei with minimal fragmentation evident (Fig. 1a, lower rows). The incidence of such condensation over time was delayed relative to PI uptake at 4 h, where only 40% of nuclei were condensed, but this proportion doubled to about 80% after 12 h, comparable to PI uptake (Fig. 1b). When relatively high frequencies of condensed nuclei were observed, the proportion of nuclei that were both condensed and fragmented was found to be only about 1–2% (data not shown). These results raise the possibility that more than one type of cell death maybe occurring in response to H2O2 treatment.
Quantification of TUNEL-positive neurons confirmed the incidence of apoptotic death in response to STS treatment (Fig. 1a, lower rows). The incidence of DNA fragmentation in response to STS treatment increased at the same rate as those of nuclear condensation/fragmentation and PI uptake (Fig. 1b). Insult with H2O2 also induced DNA fragmentation monitored by TUNEL, but over the first 12 h this occurred at a slower rate than that seen for nuclear condensation (P < 0.01 ANOVA). However, these indices of nuclear modification reached similarly high levels (70–80%) after 24 h (Fig. 1b). The temporal dependence of PI uptake seen after exposure to H2O2 was significantly different to that observed as a consequence of treatment with STS (4 h and 12 h, P < 0.001 ANOVA). Taken together with the previous observation that loss of membrane integrity occurs faster than nuclear condensation at early times of H2O2 exposure, the data obtained for nuclear modification indicate that the cell death pathways invoked by H2O2 appear to be distinct from those corresponding to apoptosis. While some apoptosis is occurring in these dying neurons, the morphology of nuclei and the kinetics of DNA fragmentation monitored by TUNEL differ from those features seen with STS.
Mitochondrial membrane potential changes distinctly following STS or H2O2 treatment of neurons
Changes in mitochondrial membrane potential (ΔΨm) during treatment were studied using live cell imaging by monitoring the retention of the dye TMRM within mitochondria. TMRM fluorescence was visible within mitochondria in untreated control neurons and was efficiently dissipated with the uncoupler FCCP that collapses ΔΨm (Fig. 2a). Whereas STS-treated neurons showed strong fluorescence (in excess of that of untreated control cells, suggesting mitochondrial hyperpolarization), H2O2-treated cells showed almost complete depolarization of mitochondria (Fig. 2a, third row). Following correction of fluorescence for that of the FCCP-treated cells, TMRM fluorescence was quantified in the drug-treated populations over 4 h. Such quantification revealed that STS indeed invoked hyperpolarization of mitochondria (elevated ΔΨm) at 1 h (Fig. 2b), as often occurs during apoptosis induced by this drug [30]. After 4 h, fluorescence declined to that of untreated controls, possibly reflecting cyt c redistribution from mitochondria [31]. By contrast, a severe loss of ΔΨm occurred within the first hour of treatment with H2O2 (P < 0.001 ANOVA), and by 4 h, almost total depolarization of mitochondria had occurred (Fig. 2b). While depolarization, as such, is not a defining characteristic of apoptosis [30], the data show the mitochondrial response to STS and H2O2 to be quite different.
Caspase-3 and caspase-7 are minimally activated in response to oxidative stress
Downstream effector caspase-3 and caspase-7 were studied for activation to shed further light on the mode of cell death under oxidative insult. Single cell analysis was applied to determine the percentage of cortical neurons that reveal activated (cleaved) caspase-3 during cell death. Immunocytochemistry was used to identify neurons with cleaved caspase-3 (Fig. 3a). A proportion of STS-treated cells became labeled with antibody specific for activated caspase-3 (Fig. 3a). Quantification of such labeled neurons shows 30% activation by 24 h (Fig. 3b). However, scoring of neurons treated with H2O2 revealed negligible cleavage of caspase-3 compared to the untreated population (Fig. 3a and b).
Caspase-3 activity measurements using FITC-DEVD-fmk substrate were applied to confirm the activation of this enzyme in STS-treated neurons but not in those treated with H2O2 (Fig. 4a). Significantly, these assays also showed that progress towards caspase-3 activation induced by STS is strongly inhibited by the pan-caspase inhibitor z-VAD-fmk (Fig. 4a), confirming that these cultured cortical neurons are indeed capable of activating caspase-3. The dependence of these neurons on caspase-3 for apoptosis is not clear, because the single cell analysis (Fig. 3b) revealed STS treatment to induce caspase-3 activation in only 30% of cells after 24 h, despite 80% of neurons undergoing both nuclear DNA changes and cell death (Fig. 1b).
Studies of the apoptotic pathways in cells of C57/Black 6 J mice lacking caspase-3 revealed caspase-7 to be an alternative downstream caspase activated during cell death [32]. Therefore, a caspase-7 fluorogenic/immunoassay was used here to determine caspase-7 activity in primary cultured cortical neurons treated with STS or H2O2. Neither insult was observed to induce activated caspase-7 up to 24 h treatment (Fig. 4b), although a control sample containing activated caspase-7 showed a strong signal. These observations suggest that these cortical neurons show minimal activation of caspase-7 after either treatment with STS or H2O2. Since neither caspase-3 or caspase-7 is activated during the cell death induced by H2O2, it can be concluded that a death pathway distinct from apoptotic PCD-type I occurs after severe oxidative stress.
Redistribution of IMS proteins from mitochondria occurs during H2O2-induced cell death
To characterize the neuronal death process in more detail, involvement in cell death of apoptogenic mitochondrial proteins was assessed for both STS and H2O2. Cyt c, Endo G and AIF in treated neurons were studied using immunocytochemistry and confocal microscopy to establish the timing of redistribution from mitochondria of these pro-death proteins that normally reside in the IMS. As in previous work with immunocytochemical analysis of cyt c redistribution [10, 29], Endo G was scored as having been redistributed when the fluorescent signal changed from punctuate (i.e., localized to mitochondria) with a clearly evident nuclear void in the cellular fluorescence (Fig. 5a, upper row) to a dispersed distribution of fluorescence within the cell also covering the nucleus (marked by DAPI; Fig. 5a, lower row). Due to the rounded morphology of treated neurons, it was not possible to discern whether Endo G was entirely localized to the nucleus or retained some cytosolic distribution. Comparable images for AIF redistribution from mitochondria are shown in Supplementary Fig. 1.
Cyt c, Endo G and AIF were all found to be released from mitochondria progressively over 24 h in response to STS at a similar rate. Thus, at 24 h, redistribution occurred in more than 60% of neurons for cyt c and AIF (tested separately) (P < 0.05 ANOVA). At this time a slightly smaller proportion of cells (about 50%) has undergone redistribution of Endo G (P < 0.05 ANOVA) (Fig. 5b). The timing of release of these pro-death proteins from mitochondria in response to STS treatment is characteristic of apoptotic cell death, in relation to the timing of changes in nuclear morphology and the loss of membrane integrity (Fig. 5b).
By contrast, in response to H2O2 the neurons showed significant early redistribution for all three proteins (P < 0.05 ANOVA). Thus, at 4 h, more than 70% of H2O2-treated cells had undergone redistribution of cyt c (Fig. 5b). At this time point, each of Endo G and AIF (scored separately) showed redistribution in about 50% of treated cells. This early redistribution of these pro-death proteins occurred in parallel with the more rapid loss of PM integrity (PI uptake) seen in response to H2O2 as opposed to STS (Fig. 1b). The timing of Smac/DIABLO redistribution was also studied; this protein was shown to be released from mitochondria more or less concordantly with cyt c in response to both STS and H2O2 (data not shown). Exposure of cells to the inhibitor z-VAD-fmk during treatment with STS and H2O2 had no discernable effect on the redistribution kinetics of cyt c, AIF or Endo G (data not shown). This outcome may be explained by a lack of caspase activation, as demonstrated above in the previous section.
Suppression of cellular levels of Endo G delays nuclear modifications during H2O2 treatment
The lack of caspase activation in H2O2-treated neurons raises the question of the role of Endo G in the nuclear modifications seen during severe oxidative stress. In order to study the dependence on Endo G of nuclear modifications in terms of morphology and DNA fragmentation, siRNA was used to silence expression of Endo G. Knockdown of Endo G greater than 60% was routinely achieved with siRNA specific for Endo G mRNA (siEndoG) under conditions where non-specific RNA (nRNA) induced little or no change in cellular Endo G levels (Fig. 6a). Individual replicate experiments showed knockdown in the range 60–80% (data not shown). Changes in nuclear morphology and DNA fragmentation were monitored in neuronal populations transfected with control nRNA and siEndoG. For cells treated with STS, siEndoG showed some impairment in the progression of nuclear morphology changes at early times, but by 24 h there was no overall inhibition (Fig. 6b and c). The siEndoG had no effect on the progression of DNA fragmentation monitored by TUNEL (Supplementary Fig. 2A and B). This weak dependence in STS-treated cells on Endo G for nuclear modification is consistent with the activation of caspase-3, as these nuclear changes presumably mostly result from caspase-activated DNases. However, in the case of H2O2-treated cells, siEndoG substantially reduced the proportion of cells displaying condensed nuclei (Fig. 6b). Quantification showed suppression of nuclear morphology changes at all time points tested during H2O2 treatment (Fig. 6c) (P < 0.001, ANOVA). DNA fragmentation (TUNEL) was also significantly reduced after H2O2 treatment of neurons transfected with siEndoG relative to nRNA-transfected controls (Supplementary Fig. 2A and B) (24 h, P < 0.001, ANOVA). These findings demonstrate the dependence of neurons on Endo G in inducing nuclear modifications after H2O2 insult, but not after exposure to STS.
AIF has been well documented as another caspase-independent modulator of cell death in primary neurons [13, 20, 33]. To begin addressing its role in H2O2-induced nuclear modifications during cell death, AIF knockdown using siRNA (siAIF) was achieved in these cortical neurons (Supplementary Fig. 3A). However, it was found that when such siAIF-transfected neurons were placed in antioxidant-free medium, as routinely used in these studies, the majority of cells (over 80%) died prior to treatment with STS or H2O2 (Supplementary Fig. 3) (P < 0.0001, ANOVA). This outcome prevented any further investigation here into the role of AIF in cell death. Interestingly, these findings suggest that these cortical neurons may be dependent on the oxidoreductase activity of AIF as a key part of their antioxidant defense mechanism, as previously shown in other studies [23, 24].
Silencing of Endo G suppresses cell death in cortical neurons during H2O2-treatment
The role of Endo G in inducing cell death, as such, in cortical neurons was also studied to determine if this protein is a key component of PCD-type III under H2O2 insult. Therefore, siEndoG or nRNA were introduced into neurons before treatment with STS and H2O2, monitoring loss of PM integrity by PI uptake. The siEndoG showed no suppression of cell death after 24 h of STS treatment (Fig. 7a), although at earlier time points there was some delay in progression of STS-treated cells to death (Fig. 7b) (P < 0.001, ANOVA). In contrast, siEndoG almost completely suppressed cell death at all time points tested up to 24 h treatment with H2O2 (Fig. 7a and b) (P < 0.001, ANOVA). These results show that H2O2 induced a discrete form of PCD in these neurons, with Endo G shown to be a key modulator of this cell death cascade. Endo G may also have a minor role modulating apoptosis in STS-treated neurons.
Discussion
Features of neuronal cell death pathways under oxidative stress
Oxidative stress is a key trigger of cell death following ischemic reperfusion during stroke [34] and has also been implicated in other neurodegenerative diseases. Mitochondria are a suitable target for cell death investigations, not only because of their recognized role in cell death signaling, but also because they are a significant source of ROS generation during episodes of neuronal dysfunction [35]. In this study the cell death pathway triggered by H2O2 was characterized in order to determine whether cell death under these conditions is a programmed event or has the features characteristic of unregulated necrosis. Concurrent observations of injury characteristics were made with STS (an apoptotic inducer). We thereby demonstrated that in cortical neurons from C57 Black/6 J embryonic mice, STS induced a process with features of apoptosis (PCD-type I), namely delayed PM permeabilization, clear evidence of nuclear condensation and morphological fragmentation, as well as differential redistribution of apoptogenic IMS proteins (Fig. 8). However, activation of caspase-3 activity was relatively low. On the other hand, H2O2 induced a PCD-type III scenario involving disruption of ΔΨm and rapid loss of PM integrity, widespread nuclear condensation but without overt fragmentation, and redistribution of apoptogenic IMS proteins featuring early cyt c, Endo G and AIF release. Moreover, mitochondrial release of Endo G was shown to play a deterministic role, but no involvement of either caspase-3 or caspase-7 could be demonstrated (Fig. 8). The results are thus consistent with previous findings that H2O2 could trigger cell death in the absence of downstream caspase activity in some neuronal systems, depending on the insult intensity [36–38].
The present findings clearly emphasize the differential recruitment of mitochondria and their intrinsic pathway during cell death in neurons under STS and H2O2 treatments, and more precisely define the nature of the different PCD pathways under each insult. The lack of downstream caspase activation in response to H2O2, despite the release of cyt c, heightened the significance of AIF and Endo G redistribution under this insult. We showed explicitly that siRNA silencing of Endo G expression inhibited H2O2-induced cell death, revealing Endo G as a necessary executioner, and programmed necrosis (or PCD-type III) as the death pathway invoked, rather than unregulated necrosis under these conditions. By contrast, silencing of Endo G expression only delayed STS-induced cell death, confirming activation PCD-type I and suggesting that Endo G plays an ancillary role in apoptotic outcomes under these conditions.
The mechanisms that regulate PCD-type III for the most part are poorly defined. This scenario is largely due to its sharing similar features with unregulated necrosis. In the latter, more traumatic, cell response leading to death, it would be unlikely that silencing a known death-inducing protein (such as Endo G) would prevent or significantly slow the death process. In a recent reclassification of cell death pathways [39], alternative names were considered for the various death processes, comparable to the PCD nomenclature used here. In these terms, one subtype of programmed necrosis is termed “necroptosis,” which broadly covers the definition of PCD-type III. Necroptosis is distinct from other forms of programmed necrosis in that it depends on the activity of receptor interacting protein-1 (RIP-1) [40]. Necroptosis has been demonstrated to be involved in delayed cell death after ischemic brain injury in mice, which can be blocked by the necroptosis inhibitor, necrostatin-1 (Nec-1) [41]. Nec-1 has been shown to inhibit RIP-1 [42], as well as being capable of reducing ROS levels in neuronal cells, acting upstream of the ROS production, rather than scavenging ROS directly [41, 43]. Indeed the PCD-type III studied here may be necroptosis, and further investigation is warranted to investigate RIP-1 involvement. Moreover, based on our findings it would be worth determining whether Endo G is involved in all forms of programmed necrosis or only select subtypes. For example, it was recently shown that silencing of BNIP3 in rat primary cortical neurons during hypoxia prevented the redistribution of Endo G [44].
Deficits of caspase activation in C57/Black 6 J cortical neurons
STS treatment induced a classical apoptotic response that included the activation of caspase-3, but not caspase-7. The embryonic cortical neurons harvested from C57/Black 6 J mice appeared to have a predisposition towards caspase-independent cell death. The level of caspase-3 activation was lower than that previously reported during apoptosis in embryonic cortical neurons harvested from Swiss mice [10, 45], suggesting possible strain differences. A dependence on caspase-7 in the absence of active caspase-3, as has been reported in neurons of caspase-3 null mice [32], was also not evident here. Caspase-3 and caspase-7 null mice on a C57/Black 6 J background are viable, suggesting that these caspases are redundant during early embryonic development [46], which possibly explains the relatively weak manifestation of caspase activity seen in the embryonic neurons studied here.
The apparent deficit in caspase-3 activation seen here during H2O2 treatment might be the result of oxidation of the thiol group within the active cysteine of this enzyme, which has been demonstrated before with ROS in other non-neuronal systems [47, 48]. Other studies have suggested that H2O2 does not inhibit procaspase-3 activation directly, but rather through the inactivation of procaspase-9 further upstream in the cell death pathway. H2O2 has been reported to induce iron-mediated inhibition of procaspase-9 [49] or possibly depletion of ATP that is needed for proteolytic activation of caspase-9 [50]. We have found that caspase-9 is active in neurons after STS, but not H2O2 treatment (data not shown), suggesting that caspase-3 inhibition may be the result of caspase-9 deficiency upstream in the cell death cascade. These observations would also explain the lack of caspase activity despite the release of cyt c from mitochondria after H2O2 treatment. The lack of caspase recruitment in these neurons after H2O2 treatment has underscored the need for these cells to have other caspase-independent pathways that can enact PCD.
Individual roles for Endo G and AIF in caspase-independent cell death of neurons
Endo G has been reported by some to reside within the mitochondrial matrix, tethered to the inner membrane, where it was thought to be involved in either mitochondrial DNA synthesis or eliminating mitochondrial DNA damage [51–53]. Others have shown evidence that Endo G resides within the IMS, from which it can be redistributed with other IMS proteins during cell death [21, 22, 54]. These discrepancies in defining the localization of Endo G may be specific to the cell type or even species. We observed Endo G redistribution from mitochondria, which was somewhat delayed relative to that of cyt c after both STS and H2O2 treatments.
During PCD, Endo G is thought to relocate to the nucleus where it is involved in caspase-independent cleavage of chromatin and DNA. There has been some uncertainty as to whether Endo G is in fact a critical part of PCD. While Endo G has been claimed to have no discernable involvement in apoptosis in cells from Endo G-null mice [51, 55], others have shown that it plays a role in caspase-independent apoptosis [21, 22, 56]. We showed here that Endo G does have a critical role in caspase-independent cell death induced by H2O2, but not in STS-treated neurons (see above). Here, Endo G was shown to induce downstream nuclear changes and ultimately cell death in the absence of caspase activity in cortical neurons under H2O2 insult. The redistribution of Endo G has been reported in several neuronal systems [57–59]. However, while Endo G redistribution has been shown to occur in each of these settings, none of these studies was able to confirm that Endo G was directly involved in cell death.
AIF has been the central focus of much research into caspase-independent neuronal cell death [11, 20, 23, 33] and has, in some respect, provided some focus for research on Endo G [60]. AIF is known to be responsible for causing DNA fragmentation independent of caspase activity during PCD [61]. One of the issues raised by the present work was the ability of siEndoG to inhibit cell death, while AIF was still putatively available as an executioner. The explanation for this apparently critical role for Endo G may lie in the second function of AIF as an antioxidant, for which Endo G has no such demonstrated function. Thus, under oxidative stress, the oxidoreductase function of AIF is able to clear H2O2 [23]. It is plausible that AIF may have a primary function as an antioxidant, neutralizing H2O2 under conditions applied in the present work, which thereby obstructs it from performing its function a death executioner. This scenario may have facilitated a more dominant role for the alternative cell death signaling molecule Endo G. Our experience that ablation of AIF levels renders cells highly susceptible to oxidative stress induced death supports this view.
Differential response of mitochondria in neurons during PCD-type I and PCD-type III
We have shown that mitochondria have a central role in regulating PCD-type III (e.g., H2O2-treated neurons). Although mitochondria seem to play a similar role in PCD-type I (e.g., STS-treated neurons), they display contrasting kinetics in redistribution of apoptogenic proteins. It is likely that under H2O2 treatment the ΔΨm loss seen was a result of the mitochondrial permeability transition (MPT) having been effected, which may have accelerated the redistribution of IMS proteins, particularly Endo G and AIF. Conversely, the redistribution of IMS proteins proceeded independently of any ΔΨm loss during STS treatment, precluding the obligatory involvement of the MPT, in accordance with previous studies in many different systems [reviewed in 30, 62].
Perspectives on necrotic-type cell death in neurons
Following the onset of stroke, neuronal cell death has been thought to result from a combination of apoptosis and necrosis. While considerable attention has been paid to finding means by which apoptosis can be inhibited following stroke, necrosis has largely been overlooked due to it having been designated as an unregulated type of death. However, it is now apparent that some forms of necrosis in neurons could be regulated, in the sense that such death pathways are a systematic cellular response subject to molecular regulation. With oxidative stress and necrosis being implicated in other neurological disorders as well as stroke, it is possible that PCD-type III could be operative in many neuronal settings. Programmed necrosis has a number of potential advantages over passive (or “accidental”) necrosis for the cell under threat of elimination, being more energy efficient, up-regulating anti-oxidant responses and inducing less inflammation [16, 63]. In the context of a tissue injury at the organismal level, these issues are currently most relevant to hypoxic-ischemic injury in the perinatal brain [16, 64]. Moreover, it is relevant that PCD is a dynamic process and that, dependent upon context, different PCD pathways (across the apoptosis-necrosis continuum) can operate in parallel or sequentially with multiple switch-points between them [65].
This prospect gives rise to the need for further research to be undertaken to determine if more precise and regulated mechanisms play roles in cell death previously identified as necrosis. Moreover, our study suggests that during episodes of oxidative stress, such as those associated with ischemic reperfusion injury, ensuing necrosis-like events in stroke may well be subjected to therapeutic interventions.
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Acknowledgments
We thank Ms Irene Hatzinisiriou for assistance with confocal microscopy and gel scanning, and Dr. Danielle Smith for technical advice. This work was supported by the National Health and Medical Research Council (Australia).
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Higgins, G.C., Beart, P.M. & Nagley, P. Oxidative stress triggers neuronal caspase-independent death: Endonuclease G involvement in programmed cell death-type III. Cell. Mol. Life Sci. 66, 2773–2787 (2009). https://doi.org/10.1007/s00018-009-0079-2
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DOI: https://doi.org/10.1007/s00018-009-0079-2