Abstract
In differentiated axons almost all microtubules (MTs) uniformly point their plus ends towards the axonal tip. The uniform polar pattern provides the structural substrate for efficient organelle transport along axons. It is generally believed that the mass and pattern of MTs polar orientation remain unchanged in differentiated neurons. Here we examined long-term effects of the MTs stabilizing reagent paclitaxel (taxol) over MTs polar orientation and organelle transport in cultured Aplysia neurons. Unexpectedly, we found that rather than stabilizing the MTs, paclitaxel leads to their massive polar reconfiguration, accompanied by impaired organelle transport. Washout of paclitaxel does not lead to recovery of the polar orientation indicating that the new pattern is self-maintained. Taken together the data suggest that MTs in differentiated neurons maintain the potential to be reconfigured. Such reconfiguration may serve physiological functions or lead to degeneration. In addition, our observations offer a novel mechanism that could account for the development of peripheral neuropathy in patients receiving paclitaxel as an antitumor drug.
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Introduction
In axons and dendrites of differentiated neurons, microtubules (MTs) form continuous arrays that extend from the cell body to the distal tips of the neurites. Whereas in axons almost all MTs uniformly point their plus ends anterogradely, towards the axonal tips, in dendrites approximately half of the MTs point their plus ends retrogradely towards the cell body, and the other half anterogradely [7, 15]. In both axons and dendrites, the MTs are not attached to the centrosome or to other structures, and the mechanisms that maintain their typical pattern of polar orientations are not known. It is generally believed that the mass and the typical pattern of MTs polar orientation remain unchanged in differentiated neurons. Nevertheless, under experimental conditions, the pattern of MTs polar orientations along the neurites may be significantly altered in support of regenerative processes [13, 14, 21, 53] or under conditions that lead to degeneration [49]. These findings indicate that the potential to reconfigure the MT polar pattern is preserved in differentiated neurons and challenges the belief that the polar orientation of MTs is maintained constant, under physiological conditions.
Of particular interest is to consider the consequences of subjecting neurons to pharmacological reagents that alter the MTs dynamics, as a side effect in cancer therapeutics. For example, the MT stabilizing drug paclitaxel (taxol) is extensively used as an anti-tumor drug [25]. 35–50% of cancer patients that receive paclitaxel develop peripheral neuropathy [1, 57]. Using rat as a model system, it was demonstrated that whereas paclitaxel does not lead to massive axonal degeneration [17] it causes partial terminal arbors degeneration of A- and C-fibers in the epidermis [50]. This is temporally associated with a significant increase in spontaneous firing of action potential by the A- and C-fibers which presumably underlie the painful peripheral neuropathy [58]. Flatters and Bennet [17] and Xiao and Bennet [58] suggested that the paclitaxel-induced spontaneous firing is related to local depletion of energy resources due to paclitaxel-induced mitochondrial damage, and ensuing membrane depolarization. Since it was demonstrated that paclitaxel lead to impaired axoplasmic transport [38, 54], it is conceivable to assume that with time the excitable membrane properties of the neurites are altered leading to ectopic firing.
Here, we examined the hypothesis that as a side effect to the antitumor MTs-stabilizing functions, paclitaxel alters the dynamic properties of neuronal MTs leading to impaired organelle transport and peripheral neuropathy. Using confocal microscope imaging of the dynamic MTs plus ends and axoplasmic transport following days long exposure of cultured Aplysia neurons to low paclitaxel dosages (10–100 nM), we found that paclitaxel leads to reduction in the number of dynamic MTs and to reconfiguration of the dynamic MTs polar orientation, accompanied by impaired vesicles and mitochondrial transport.
The reported observations demonstrate that in contrast to the prevailing impression, the established pattern of dynamic MT polar orientations in differentiated neurons can be altered. Because of past difficulties to live-image the polar orientation of dynamic MTs, the possibility that MTs reorientation can take place and thereby alter the axoplasmic transport was not considered as a factor in promoting neurodegenerative diseases [11]. The present study demonstrates, at a basic level, that such mechanisms should be considered. Our observations offer a cell biological mechanism that could be considered to account for the development of peripheral neuropathy in humans undergoing antitumor treatment by paclitaxel.
Materials and methods
Cell culture
Neurons B1, B2 and bifurcated neurons from the buccal ganglia of Aplysia californica (Aplysia Resources Facility, Miami, FL, USA) were isolated and maintained in culture as described previously [33, 51]. In the present study, we refer to buccal neurons 1 and 2 collectively as B neurons.
Culture medium
The culture medium consisted of 10% filtered hemolymph, obtained from Aplysia facciata collected in the Mediterranean, diluted in modified Leibovitz’s L 15 Medium as described previously [51].
Chemicals and pharmacological reagents
Paclitaxel (Sigma–Aldrich) was stored in a stock solution of DMSO at a concentration of 10 mM, diluted to a concentration of 10 μM in ASW and further diluted to a working concentration of 100 or 10 nM at the culture dish. DMSO concentration never exceeded 0.001% in the culture dish.
The fluid phase pinocytotic marker—sulforhodamine 101 (SR101, Kodak) was prepared as a stock solution of 10 mM in double distilled water and further diluted before use in artificial sea water (ASW) to a final concentration of 40 μM. Imaging of retrogradely transported pinocytotic vesicles labeled by SR101 was performed as described by Erez et al. [13].
Mitochondria were labeled by rhodamine B-[(phenanthren-9-yl)aminocarbonyl]bezyl ester (RPAC—a gift of Prof. Ioav Cabantchick, The Hebrew University). RPAC was prepared as a 3.84 mM stock solution in DMSO, and further diluted in the experimental dish to a final concentration of 0.5 μM [13, 49].
mRNA preparation and injection
mRNAs were transcribed in vitro using the recombinant transcription system, as described by our laboratory [45]. GFP-tagged EB3 [37, 52], was cloned in pCS2+ expression vector as previously described [45]. The transcribed mRNAs were pressure-injected into the cell body cytoplasm of cultured neurons 4–24 h after plating, as described [45].
Confocal microscope imaging
The systems used for confocal imaging included a Nikon C1 confocal system mounted on a Nikon TE-2000 Eclipse microscope system with a Nikon plan-Apo chromat 60× 1.4 NA oil objective. This system was equipped with three lasers: blue diode (405 nm), argon (488 nm) and green HeNe (543 nm). Images were collected and processed using EZ-C1 software at 20–24°C.
GFP-tagged proteins were excited at 488 nm; the emitted fluorescence was collected using a 515/30 nm filter. SR101 and RPAC were excited with the 543 nm laser, and the emission was collected through a 605/75 nm filter.
Color coding of SR101, RPAC or hOACTL-GFP of time-lapse sequences was achieved as follows: consecutive images within a time-lapse series were colored from blue to red. The individual images were then projected to produce a single image in which a moving organelle changes its color as a function of time. Immobile objects appear white reflecting the summation of the rainbow.
Image analysis
Images were analyzed offline using NIH ImageJ software (Bethesda, MD, USA) and MATLAB (MathWorks, Natick, MA, USA) and Laserpix (Media Cybernetics, L.P.). The figures were prepared using Photoshop (Adobe Systems) and FreeHand software (Macromedia, San Francisco, CA, USA).
Quantification of the EB3-GFP comet tail length, velocity and directionality
Quantification of single EB3-GFP comet tail length, velocity and directionality was done by image processing in MATLAB, which included the following main steps: (a) an area of interest (AOI) was defined. (b) Frames were converted into binary images, such that EB3 labeled fluorescent “comet tails” were separated from the background. (c) Comet tail length was assessed. (d) The directionality of a single “comet tail” was defined by comparing its position in two consecutive frames, providing a movement vector of individual comet tails. (e) An angle histogram of 100 comet tails within the AOI was produced. (f) Based on the image acquisition rate and the movement vector of each comet tail, EB3-GFP propagation velocity was calculated.
Weighed vector of EB3-GFP comets
To simplify the presentation of the polar orientation of an entire MT population within the main axon, we developed a quantitative parameter in the form of a weighted vector. The equivalent length of the weighted vector represents the overall polar orientations of the EB3-GFP comet tails within a standard AOI of 75 × 20 μm. To calculate the weighted vector, the propagation angle of 50 randomly selected comet tails from a standard AOI were determined. All 50 individual EB3-GFP comet tails were assigned an equal vector size of 1 (in arbitrary units-AU). The x and y components of the 50 vectors were extracted and a weighed vector whose size represents the overall movement of these EB3-GFP comet tails in the axon was calculated.
Quantification of transport of SR101 labeled organelles
In each standard AOI analyzed regarding its EB3 properties, 20 SR101-labeled organelles were selected randomly. The organelles were manually tracked along five frames using ImageJ (MTrackJ plugin) and trajectory data was extracted. Using inter-frame interval we calculated the velocity of each organelle. We defined a motile vesicle as a vesicle moving faster than 0.015 m/s since even stationary organelles can exhibit motion in a very small scale. We next calculated the percentage of organelles moving retrogradely out of motile organelles.
Statistical analysis
To determine the significance of alteration in the averages of EB3-GFP number length and velocity we used t-test. To compare sector distributions we used the Chi-square test.
Results
Characterization of the number, length, and propagation velocity of the EB3-GFP comet tails in control neurons
Cultured Aplysia neurons are characterized by the extension of a main neurite (referred to as axon) from the cell body and the elaborate branching of neurites from the axon’s tip. The diameter of the axon is maintained constant in 90.48% of control neurons for over a week (n = 21, Fig. 1a).
As background information for the study of the long-term effects of paclitaxel over dynamic MTs and axoplasmic transport, we characterized the MTs dynamics along the main axons of cultured neurons for a period of 9 days. To that end we labeled the plus ends of dynamic MTs by intracellular microinjection of mRNA encoding the plus-end-tracking protein—EB3 (end binding protein 3) tagged by GFP [13, 14, 46, 49, 52]. EB3-GFP transiently binds to the polymerizing MTs plus ends. Thus, it moves with the growing MT’s plus end tips forming a comet tail-like structure (Fig. 1b and Supporting Movie S1A). EB3 serves as a functional linker between the dynamic plus ends of MTs and the surrounding molecular nano-environment [23, 24, 29]. Thus, its use as a probe to track the MTs plus ends should be done with care not to alter the neurons physiology. In a number of studies from our laboratory we found that EB3-GFP expression in cultured Aplysia neurons does not affect the growth patterns, rates of neurites outgrowth, regeneration of the axon after axotomy, excitable membrane properties and synaptic transmission [13, 14, 46, 49, 52].
The physical features of EB3-GFP comet tails and other plus end binding proteins such as EB1, EB3 and CLIP-170 reflect some of the basic MTs characteristics [19, 23, 29]. The number of comet tails is proportional to the number of dynamically polymerizing MTs. The length of the comet tails strongly coincides with the rate of the microtubule growth or shortening [29, 39]. The translocation velocity of EB3-GFP comet tails reflects either the addition rate of tubulin dimmers to MTs plus ends [24, 28, 34], or/and the transport rate of short microtubules decorated by EB3-GFP along longer MTs [3, 12].
Classical studies reported that whereas in axons the MTs point their plus end distally towards the tip of the axons, in dendrites approximately half of the MTs point the plus end in the opposite direction [4, 33]. Recently, it was recognized that in vertebrate axons approximately 18% of the MTs point the plus end retrogradely [34].
To characterize the directionality, number, length and propagation velocity of the EB3-GFP comet tails in cultured Aplysia neurons, we imaged neurons expressing EB3-GFP within a standard area of interest (AOI) of 75 μm × 20 μm in the main axon located 100–400 μm away from the cell body (Fig. 1a, c and Supporting Movie S1A). An example of the parameters collected from a single control neuron for up to 72 h after EB3-GFP mRNA microinjection is given in Fig. 2. Quantitative analysis of the above parameters measured from a population of neurons over time is detailed below.
Directionality of the MT plus ends in control neurons
Quantitative analysis of the MTs polar orientation performed on a group of five control neurons over a period of 7 days (Fig. 3a, b) revealed that the distribution of the MT polarity remained unchanged (see Statistical Appendix 1a). We analyzed 419, 401, 392 and 416 EB3-GFP comet tails 24 h, 72 h, 120 h and 7 days after EB3-GFP mRNA microinjection, respectively. In contrast to the prevailing view, which assumes that all MTs within axons point the plus end away from the cell body towards the tip of the axon [5], unbiased analysis readily revealed that approximately 30% of the MTs within the main neurite point their plus ends retrogradely and laterally rather than anterogradely (Fig. 3a). To simplify the presentation and discussion of the MTs polar orientations within an axon we subdivided the detailed angle histograms (Fig. 3a, b) to three categories as follows: (a) Anterograde direction—MTs that point their plus ends away from the cell body, within a section confined between 300° and 60°. (b) Retrograde direction—MTs that point their plus ends towards the cell body, within a section confined between 120° and 240°. (c) Lateral direction—microtubules that point their plus ends perpendicular to the anterograde or retrograde directions and are confined within 60 to 120° and 240 to 300° (Fig. 3a vertical lines and Fig. 3b). The unbiased analysis of control neurons revealed that the EB3-GFP labeled MTs are composed of a population in which 69.53% ± 1.97% of the plus ends point anterogradely, 14.23% ± 1.76% point retrogradely and 16.24 ± 0.77% point laterally. This distribution remained unchanged for over 7 days (see Statistical Appendix 1a).
Number of EB3-GFP comet tails in control neurons
The example depicted by Fig. 2 demonstrates that the number of EB3-GFP comet tails increases from the day of EB3-GFP mRNA injection, until 72 h post injection and remains statistically unchanged for the next days. In a quantitative analysis based on five neurons, the number of EB3-GFP comet tails increased by 12.75%, 24–72 h post EB3-GFP mRNA microinjection, from 169.4 ± 10.6 at 24 h (n = 5) to 191 ± 13.3 (n = 5) at 72 h. This increase was found to be statistically significant using t-test (n = 5; two-tailed; alpha = 0.05; p = 0.0368). Thereafter, the average number of comet tails was 178.13 ± 17.39 and 187.40 ± 28 on the 5th and 7th days after injection (correspondingly). These further changes were insignificant relative to each other (t-test; 72 h against 120 h; n = 5; two-tailed; alpha = 0.05; p = 0.3504; 120 h against 7 days; n = 5; two-tailed; alpha = 0.05; p = 0.5415). In summary, the number of EB3-GFP comet tails initially increases and reaches a steady state 3 days after the mRNA injection. We attribute the increase in the number of EB3-GFP comet tails to the time required for the neurons to translate, transport and reach a steady state concentration of the exogenous EB3-GFP probe.
EB3-GFP comet tails length in control neurons
The histogram of EB3-GFP comet tail lengths in control neurons fits an exponential distribution with a mean—μ of 0.86 ± 0.06 μm on the first day of observation (24 h after EB3-GFP mRNA microinjection), and 0.97 ± 0.05 μm 72 h following the microinjection (Fig. 2a, d, g). The increase in μ was not found significant using t-test (n = 5; two-tailed; alpha = 0.05; p = 0.308). 5 or 7 days later, the length of comets was 0.843 ± 0.02 μm and 0.854 ± 0.04 μm, respectively. At these points in time, the lengths did not significantly differ from initial observation (24–120 h; n = 5; two-tailed; alpha = 0.05; p = 0.8585, 24 h to 7 days; n = 5; two-tailed; alpha = 0.05; p = 0.9794).
Propagation velocity of EB3-GFP comet tails in control neurons
The propagation velocity of the EB3-GFP comet tails appeared to be bimodal, peaking at 0.1 and 0.2 μm/s. The average velocities did not change in any significant manner over a period of 9 days in culture. At 24 h from EB3-GFP mRNA microinjection, it was 0.134 ± 0.0015 μm/s, at 72 h 0.138 ± 0.004 μm/s, on the 5th day 0.123 ± 0.002 μm/s and on the 7th day 0.128 ± 0.004 μm/s. The differences among these values were statistically insignificant (t-test; n = 5; two-tailed; alpha = 0.05; p = 0.803, 0.4795 and 0.7431). The bimodal distribution was maintained over time (Fig. 2b, e, h). The propagation velocity measured by us is within the range of propagation velocities of EB3-GFP comet tails reported for vertebrate axons [24, 28, 34, 52] and non-neuronal cells [39].
To conclude, in control neurons the number of EB3-GFP comet tails initially increases reaching a steady state level on day 3. Their length, propagation velocity and polar orientation remained unchanged for a duration of 7 days.
Effects of long-term incubation of neurons in paclitaxel
To characterize the effects of paclitaxel on the dynamic MT population within an axon, we exposed cultured neurons to 10 or 100 nM paclitaxel for up to 7 days. We noted that in the presence of 10 or 100 nM paclitaxel, 30.43% (n = 23) and 70%, (n = 20) of the neurons (correspondingly) developed swellings along the main axons within 1–3 days (Fig. 1b, d and Supporting Movie S1B). These neurons tended to detach from the substrate within 4–7 days. In contrast, in control experiments only a small fraction of the neurons (9.52%, n = 21) developed swellings 4 days after plating.
Reconfiguration of the microtubules polar orientations by paclitaxel
To study the effect of paclitaxel on MTs polar orientation, we analyzed two experimental groups of EB3-GFP expressing neurons using the methods detailed above. A group of 21 neurons were exposed to 100 nM paclitaxel and a group of 22 neurons were exposed to 10 nM paclitaxel. To reduce the variability, the control neurons (n = 21 as described above) were isolated from the same ganglia from which the neurons used for the paclitaxel experiments were isolated.
The experiments were conducted as follows: 12 h after culturing, EB3-GFP encoding mRNA was microinjected into the neurons. 24 h after plating we imaged the axons and collected the parameters for analysis as described above. Thereafter, paclitaxel was applied to the culture medium, and neurons were imaged once every 24 h for a total duration of 7–9 days.
We found (Fig. 3c, d and Supporting Movies S1 and S5) that within 48 h of 100 nM paclitaxel application, the percentage of MTs pointing their plus ends anterogradely was significantly reduced by 15.31% (from 69.00 ± 1.5% to 53.69. ± 2.81%, see Statistical Appendix 2a). This reduction was accompanied by a significant increase in the percentage of MTs that point the plus ends retrogradely from 16.39 ± 1.34% to 27.68 ± 2.53%, and a non-significant increase in the lateral sectors from 14.61% ± 1% to 18.63 ± 3.34% (see Statistical Appendix 2a). Following 96 h in 100 nM paclitaxel, the fraction of MTs that point the plus end anterogradely was 47.93 ± 1.81% significantly lower than the initial value (see Statistical Appendix 2a), but not changed in respect to the value obtained at 48 h (paired t-test; n = 5 AOIs; two-tailed; alpha = 0.05; p = 0.2146). We also observed a significant increase in the percentage of retrogradely pointing plus ends to 34.07% ± 1.97% and a non-significant change in the percentage of plus end MTs oriented laterally to 17.94 ± 2.78% (see Statistical Appendix 2a). Following 7 days of incubation in 100 nM paclitaxel, a further reduction in the percentage of MTs that point the plus end anterogradely was noticed to 45.64 ± 1.79%, significant change in the retrograde sector to 32.03% ± 4.06% and a non-significant increase in the perpendicular sectors to 22.33 ± 1.67% (see Statistical Appendix 2a).
In summary, 100 nM paclitaxel leads to significant alterations in the polar orientations of the dynamic MTs such that the percentage of MTs plus ends pointing anterogradely is reduced by approximately 23% along 7 days and the percentage of MTs that point in all other directions, especially retrogradely, is increased. These alterations have significant effects on the axoplasmic transport as described below.
To estimate the paclitaxel concentration which induces alterations in the MT polar orientation and MTs dynamics, we repeated the above observations using 10 nM paclitaxel (Fig. 3e, f and Supporting Movies S1 and S2). In summary, 10 nM paclitaxel exerts similar qualitative effects as 100 nM except that they develop at a slower rate and to a lesser extent (see Statistical Appendix 2a and 2b).
Paclitaxel induces a reduction in the number of EB3-GFP comet tails
Paclitaxel stabilizes both plus and minus ends of MTs [25]. Consistently we found that paclitaxel led to a decrease in the number of detectable EB3-GFP comet tails (Fig. 4). Whereas before paclitaxel application (24 h following EB3-GFP mRNA microinjection), 208.19 ± 14.4 comet tails were detected within the standard AOI, 48 h after the application of 100 nM paclitaxel, the number was reduced to 142 ± 16.33. This reduction (−35.4%) was found to be significant using t-test (n = 5; two-tailed; alpha = 0.05; p = 0.039). The number of comet tails did not change any further with values of 133.6 ± 31.10 comets 96 h later, and 117.33 ± 11.66 comets 7 days later.
In seven neurons incubated with 10 nM paclitaxel, we found a reduction in the average number of EB3-GFP comet tails from 160.43 ± 9.59 before paclitaxel incubation, to 115.71 ± 5.55, 109.86 ± 4.69 and 71 ± 8.66 following 48 h, 96 h and 7 days, respectively. The reduction in comet tail number in the first 48 h was found significant (t-test; n = 7; two-tailed; alpha = 0.05; p = 0.024).
Paclitaxel induces shortening of the EB3-GFP comet tails
As early as 2 h after 100 nM paclitaxel application, shortening of EB3 comet tails was observed. Following 48 h of 100 nM paclitaxel incubation, a 15.6% reduction in EB3-GFP length from 0.81 ± 0.04 μm to 0.68 ± 0.025 μm was detected (Fig. 4). This shortening was found significant using t-test (n = 5; two-tailed; alpha = 0.05; p = 0.0118). 96 h and 7 days following application of paclitaxel, the comet tail length was 0.69 ± 0.04 μm and 0.63 ± 0.05 μm, respectively. This further shortening was not found significant (48 h to 96 h, n = 5; two-tailed; alpha = 0.05; p = 0.785, 96 h to 7 days, n = 5; two-tailed; alpha = 0.05; p = 0.3205). In neurons incubated with 10 nM paclitaxel, a significant shortening of 35.98% was noticed in the first 48 h from 0.87 ± 0.01 μm to 0.64 ± 0.01 μm (n = 7; two-tailed; alpha = 0.01; p = 0.0016). 96 h and 7 days following paclitaxel incubation, the comet tails length was of 0.59 ± 0.01 μm and 0.64 ± 0.01 μm, respectively. These changes were not significant relative to each other (48 h to 96 h; n = 7; two-tailed; alpha = 0.05; p = 0.186, 96 h to 7 days; n = 3; two-tailed; alpha = 0.05; p = 0.2449). These results indicate that comet tail length shortened in paclitaxel within the first 48 h and then remained stable.
Paclitaxel does not change the EB3-GFP comet tails translocation velocity
Measurement of the translocation velocity of individual EB3-GFP comet tails indicated that the bimodal velocity distribution of the untreated neurons changed following paclitaxel application such that the two peaks (0.1 and 0.2 μm/s) could not be detected (Fig. 4). Nevertheless, the average velocity before paclitaxel incubation significantly differed from the average velocity 48 h after application of 100 nM (0.13 ± 0.003 μm/s and 0.11 ± 0.007 μm/s respectively, t-test; n = 5; two-tailed; alpha = 0.05; p = 0.0143). The average velocity remained at 0.11 for 7 days. In neurons incubated with 10 nM paclitaxel, the average velocity remained constant at 0.12 μm/s for 7 days (n = 7).
Paclitaxel impairs organelle transport
To image retrograde transport, pinocytotic vesicles were labeled by the fluid phase pinocytotic marker—sulforhodamine 101 (SR101) as previously described by our laboratory [13, 49]. The labeled vesicles are transported retrogradely in a homogeneous manner along the entire cross section of the axon (n = 5, Fig. 5a, b and Supporting Movie S3). For the analysis we defined a motile organelle as a SR101 labeled fluorescent hotspot measuring 0.4–2.5 μm in size, which moves faster than 0.015 μm/s. According to this cutoff, 92.71 ± 3.61% of the SR101 labeled organelles in control neurons were dynamic. Of these motile organelles, 96.71 ± 1.35% were moving in a retrograde direction while the rest moved in the lateral and anterograde direction. In neurons exposed for 96 h to 10 nM paclitaxel (n = 5), a substantial fraction of the SR101 labeled organelles were stationary. We found that only 54.6 ± 10.21% were motile, and that 71.03% ± 14.67 out of the motile vesicles moved retrogradely (Fig. 5g, h and Supporting Movie S4). The percentage of motile organelles in control neurons and 10 nM paclitaxel treated neurons significantly differs. Within these populations, the percentage of retrogradely transported organelles is similar (see Statistical Appendix 3).
In neurons incubated for 48 h in 100 nM paclitaxel (n = 6), 40.44 ± 7.46% of SR101 labeled organelles were moving, while 72.96% ± 5.76% of dynamic vesicles were moving retrogradely (Fig. 5c, d, e, f and Supporting Movie S5). Both the percentage of motile organelles and the percentage of retrogradely transported organelles in control and 100 nM paclitaxel treated neurons significantly differ (see Statistical Appendix 3). The non-motile vesicles appeared to be trapped in aggregates between MTs that point their plus ends in different directions or where MTs were absent. This observation suggests that paclitaxel does not compete with molecular motors on MTs binding sites.
Transport of mitochondria was assessed using either RPAC [49] or the mitochondrial targeting sequence of human 3-oxoacyl-CoA thiolase (hOACTL) fused to GFP (hOACTL-GFP)[61]. In control neurons, bidirectional transport of elongated mitochondria is readily observed (Fig 6a, n = 7 for RPAC and n = 2 for hOACTL-GFP). Both in 10 nM paclitaxel (n = 4 and n = 3 for RPAC and hOACTL-GFP, respectively) and 100 nM paclitaxel (n = 3 and n = 4 for RPAC and hOACTL-GFP, respectively), transport of mitochondria was severely impaired (Fig 6b and c, Supporting movie S6). These observations implies that paclitaxel impairs the movement of mitochondria which is essential for many neuronal functions [43, 55].
Correlation between the loss of MTs polarity and impaired transport
The observations described above revealed that the relationship between the polar orientation of the MTs and transport directionality are not trivial. For example, whereas in control neurons approximately 70% of the MTs point their plus end anterogradely more than 90% of the SR101 labeled vesicles are transported retrogradely. To better establish the relationship between the polar orientation of the MT population and the directionality of SR101 labeled organelles transport, we calculated an unifying equivalent directional vector that represents the directional propagation of the entire population of EB3-GFP labeled MTs (see Materials and methods). We found that in the five control neurons, the average length of the equivalent vectors was 33.23 ± 1.9 AU and 48 h later the vector length was 32.04 ± 2.22 AU. This −3.58% length change was insignificant (see Statistical Appendix 1b). In contrast, in neurons that were exposed to 10 nM (n = 6) and 100 nM (n = 5) paclitaxel, the weighted vectors significantly decreased within 48 h time, from 24.13 ± 0.98 AU to 14.51 ± 2.37 AU (−53.16%) and from 29.00 ± 1.37 AU to 14.89 ± 0.62 AU (−35.24%), respectively. These results indicate that the length of the equivalent vector remained unchanged over time in control neurons, however in paclitaxel-incubated neurons it was shortened in a time and concentration dependent manner (see Statistical Appendix 1b and 2b). Interestingly, we found that in control and paclitaxel-incubated neurons, a higher value of the equivalent vector length corresponded to a higher percentage of SR101-labeled organelles, which were both motile and retrogradely transported (Fig. 7). Taken together, these results point out that the size of equivalent vector, which is a measure of the polar orientation of the MT population is shortened by paclitaxel application, and that transport impairments are correlated with this shortening of weighed vector.
Paclitaxel induced MTs polar reorganization and impaired axoplasmic transport is not reversible
An imperative question is whether the paclitaxel-induced polar configuration of the MTs is reversible. This question is of interest because of two reasons. First, if the altered MT configuration recovers to control state upon wash it implies that the presence of a MT stabilizing reagent alters the equilibrium among the many proteins that stabilize the MTs and thereby maintain a new steady state. Alternatively, if the altered MTs polar orientation does not recover upon wash, then paclitaxel operates by shifting one steady state to a new one. Another aspect of this question is the reports that discontinuity of paclitaxel treatment in patients does not always abolish the neuropathic pain [6]. To address this question, we incubated four neurons in 100 nM paclitaxel for 48 h and documented polar reorientation of the MTs and impaired retrograde transport as described above (Fig. 8a, b). Thereafter, the culture medium containing paclitaxel was extensively washed away. 24–72 h following paclitaxel washout, we observed that the length of individual EB3-GFP comet tails and their number increased (Fig. 8h, k), indicating that the paclitaxel was effectively washed away. However, the MTs polar orientation and retrograde transport remained abnormal (Fig. 8c, d, j, m and Supporting movie S7). These results suggest that once the abnormal polar MT organization is established it does not revert to the normal template.
Discussion
The results presented here imply that: (a) in contrast to the prevailing premise, the polar organization of the MTs in differentiated neurites can be altered. These observations raise the possibility that local and transient reconfiguration of the MTs polar orientation, under physiological or pathological conditions, might serve to modulate neuronal functions on one hand, or lead to degenerative processes on the other. (b) The neuropathic pain reported by patients who receive paclitaxel treatment [30] may result from the unexpected effects of paclitaxel on the MTs polar orientation. Namely, rather than “simply” stabilizing and condensing the MTs, long-term paclitaxel administration, induces MTs polar reconfiguration. This in-turn leads to different degrees of alterations in organelles transport (Fig. 7). The observed changes in MTs polar orientation do not recover after the withdrawal of the drug for up to 72 h suggesting that the newly formed MTs pattern is set to a new stable steady state (SS).
Reconfiguration of the MTs polar orientation in neurons
Two typical polar patterns of MT organization have been extensively documented in differentiated neurons. Axonal MTs have uniform orientation with their plus ends pointing towards the tip of the axons, whereas in dendrites MTs have mixed polar orientations (for review, [23]). Nevertheless, a number of studies documented that under experimental conditions the polar orientation of differentiated neurons can be altered [53, 60]. For example, in cultured Aplysia neurons, reversal of the MTs polar orientations was documented to occur within minutes of axotomy. In this case, massive MTs polar reconfiguration occurs in two steps: First, axotomy leads to a calcium dependent MTs depolymerization wave along the tip of the cut axon. This is followed by MTs repolymerization in a reversed polar orientation after the recovery of the calcium concentration [13, 20, 49, 63]. Stabilization of the retrograde orientation of the newly assembled MTs is attributed to molecular motors and organelles that accumulate at the site of MTs re-assembly [13]. The principles underlying this mechanism were elegantly proposed and analyzed for the cases of MT reorientation in injured fragments of melanophores [8, 9]. Transformation of the typical uniform MTs orientation in axons, which is not preceded by an obvious depolymerization wave, occurs in cultured Aplysia axons as a consequence of expressing mutant human tau [49]. In the observations reported here, paclitaxel-induced MTs polar reorientation develops slowly over a period of 24–48 h. The process is not associated with elevation of the free intracellular calcium concentration or a massive wave of MT fragmentation.
Currently we do not know what mechanism underlies the paclitaxel-induced MTs polar reconfiguration. Based on the literature, a number of mechanisms could be considered: As demonstrated earlier, it is conceivable that intracellular paclitaxel generates new nucleation sites that sequester tubulin dimmers from which newly assembled MTs extend in various directions in the form of MTs asters [10, 18, 35]. It is also possible that paclitaxel interferes with molecular mechanisms that actively maintain the MTs pattern. For example, under normal conditions dynein propels plus end-distal MTs anterogradely into the axon [2], and moves minus end-distal MTs towards the soma excluding them from the neurite [12, 62], it is theoretically possible that paclitaxel interferes with yet unknown mechanism that maintain the pre-existing polar orientation of the MT population, leading to gradual change from the highly ordered MTs polar orientation to a chaotic SS.
An alternative theoretical explanation could be that paclitaxel induces existing dynamic MTs to loop and polymerize in the opposite direction and that since we imaged the dynamics of the MTs tips by EB3, we could not detect the formation of such hypothetical loops. Formation of MTs loops was observed within growth cones either spontaneously or following treatment with taxol [22, 31, 42, 56], while the contrary was reported by others [32]. It should be noted that whereas MTs “looping” was observed within GCs in which active linear polymerization of the MTs may have been impeded by the GCs plasma membrane. In the present study on the other hand, the change in MTs polar patterns took place within a preformed axonal structure in which the plasma membrane cannot impede the linear polymerization of MTs. It is important to note that imaging of SR101 labeled organelles retrograde transport along relatively long stretches of MTs never revealed the presence of “looping” pathways.
Based on the above arguments and observations, we suggest that in the presence of low paclitaxel concentrations new SS level vis a vis the polar orientations of the entire MT population is reached. The new SS is manifested by a significant shift in the polar orientations of MTs along the axon. Hence, whereas in a control neuron ~70% of the MTs orient their plus ends anterogradely, ~15% retrogradely and the rest (~15%) laterally, in 100 nM paclitaxel the proportions are altered such that ~46% of the MTs point anterogradely, ~32% retrogradely and ~22% laterally. As evidenced by the relationships between the equivalent vector of MTs polarity and organelle transport (Fig. 7), we propose that the impaired organelle transport is the outcome of the altered MTs polar orientation. Most likely, it is not due to direct competition of paclitaxel with molecular motors on MTs binding sites. This is based on studies which documented organelle transport along MTs stabilized by paclitaxel [48].
On the possible mechanisms that account for paclitaxel-induced peripheral neuropathy
Currently paclitaxel is extensively used as an anti-tumor drug [25]. Neurotoxicity of taxanes is the dose-limiting side effect for their use in clinics. A subset of patients receiving paclitaxel as chemotherapy for breast, ovarian and non-small cell lung cancers develop sensory peripheral neuropathy [1, 30, 36, 41]. While the use of paclitaxel in treatment of various tumors is increasing [40], methods to eliminate paclitaxel-induced peripheral neuropathy and sensory dysfunction are not available.
Studies aimed at understanding the source of taxane-induced peripheral neuropathy suggested a number of possible mechanisms: In vivo and in vitro exposure of chick and rat dorsal root ganglia neurons to 200 μM–10 mM paclitaxel (concentration that exceed the clinical dosage by over two orders of magnitude) revealed that paclitaxel inhibits anterograde and retrograde transport. This was attributed to the increased MTs density [54]. At concentrations of 1 μM–10 mM paclitaxel induces MTs condensation and abnormal distribution of the endoplasmic reticulum in dorsal root ganglia neurons [35, 54]. Taxane-induced axonopathy was reported to culminate in dying back of axons [16, 44, 47] or intraepidermal loss of sensory terminal arbors [50]. Consistent with these observations, we observed pathological features in the form of axonal swelling, blebbing of neurites, and detachment of axons from the substrate after paclitaxel application. Flatters and Bennet [17] proposed that paclitaxel-evoked neuropathic pain is due to toxic effects on mitochondria which lead to membrane depolarization and ectopic firing. Impaired organelle transport as reported here is expected to alter the maintenance of the neuronal functions and structures. Thus, impaired mitochondrial transport, protein turn-over and membrane cycling are expected to change the biophysical membrane properties, depolarize the membrane and lead to generation of ectopic firing [59]. We did not study in the present study the electrophysiology of neurons exposed to paclitaxel for long periods and thus cannot corroborate these relations.
In addition, as described above, we found that the paclitaxel-induced MTs polar reorientation and transport defects are not reversible even after the removal of the drug for 3 days (Fig. 8). This is consistent with studies demonstrating that paclitaxel-induced peripheral neuropathy is only partially reversible upon termination of the treatment [6]. It has been demonstrated that paclitaxel concentration in cells is three orders of magnitude higher than the outside concentration, and that paclitaxel is retained in HeLa cells following washout for 24 h [26]. Thus, it would be conceivable that the recovery time of the axons may require long periods of wash. Nevertheless, we documented that within 24 h of paclitaxel washout the length of the EB3-GFP comet tails begins to recover suggesting that the intra axonal concentration of paclitaxel is effectively reduced. It is thus suggested that the new SS of the MTs population in combination with the distribution of the molecular motors and organelles is self-maintained for at least 3 days.
General implications
A comparison of human and Aplysia α and β -tubulin2 sequences resulted in 96–98% identities [49]. In vertebrates, paclitaxel was shown to compete with tau over MTs binding sites [27]. It is reasonable to assume that binding of paclitaxel to Aplysia MTs interferes with the association of Aplysia-tau in a similar manner to that reported for vertebrates. This is because Aplysia tubulin reveals a very strong similarity with human tubulin (96% identities, 99% positives for α-tubulin), and Aplysia MAP was found to contain three conserved MT binding repeats (E-values ranged between 1.9e-05 and 6.2e-12). Therefore, It is reasonable to assume that paclitaxel, which competes with tau over the MTs binding sites operates in Aplysia similarly to its operation in humans. In conclusion, the data presented in this study suggest that polar orientation of the MTs in differentiated neurons maintain the potential to be altered. Such alterations may serve physiological functions or lead to degeneration. In addition, our observations offer a mechanism that could account for the development of peripheral neuropathy in response to paclitaxel administration.
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Acknowledgments
This study was supported by the Israel Ministry of Health (300000-4955). Part of the work was done at the Charles E. Smith Family and Prof. Joel Elkes Laboratory for Psychobiology. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. We thank Prof. Reuma Falk for statistical advice. Or Shemesh was partially supported by the Dimitris N. Chorafas foundation and by George Elias and Ada Tsur. M. E. Spira is the Levi DeViali Prof. in Neurobiology.
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Movie S1. Paclitaxel induced MT polar reconfiguration. (A) EB3-GFP comet tails in control axon (before paclitaxel application), 100-200µm away from cell body. (B) The same axon, at the same location 72h after the application of 100nM paclitaxel into the bathing solution. The video contains 30 images, taken at intervals of 5.7 seconds. The frames are shown at a rate of 10/s. Scalebar: 10 µm (MPG 12.6 MB)
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Movie S2. Incubation of a neuron with 10nM paclitaxel. (A) EB3-GFP comet tails in a control axon (before application of paclitaxel). (B) The same axon, at the same location 96h after the addition of 10nM paclitaxel to the bathing solution. The video contains 30 images, taken at intervals of 5.7 seconds. The frames are shown at a rate of 10/s. Scalebar: 10 µm (MPG 8.52 MB)
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Movie S3. EB3-GFP comet tails and retrograde transport in a control neuron. (A) EB3-GFP comet tails in a control neuron (green), 200-300µm from cell body and (B) transport of SR101 labeled organells (red). The videos comprise 30 images, taken at intervals of 4.5 seconds. Scalebar: 10 µm (MPG 9.84 MB)
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Movie S4. 10nM paclitaxel leads to impaired transport of SR101 labeled organells. (A) EB3-GFP (green) comet tails in a neuron 72h after the onset of 100nM paclitaxel incubation, 200-300µm from cell body. (B) The transport of SR101 labeled pinocytotic organelles (red). The video comprises 30 images, taken at intervals of 5.7 seconds. Scalebar: 10 µm (MPG 9.84 MB)
Movie S5. 100nM paclitaxel leads to severe impairments in SR101 labeled vesicles. (A) The video (green) depicts EB3-GFP comet tails in a neuron 48h after the onset of 100nM paclitaxel incubation, 200-300µm from cell body. And (B), the transport of SR101 labeled pinocytotic vesicles. The video comprises 30 images, taken at intervals of 5.5 seconds. Scalebar: 10 µm (MPG 12.6 MB)
Movie S6. 100nM paclitaxel impedes mitochondrial transport. (A) A buccal neuron was injected with hOACTL-GFP mRNA and imaged 24h later. 25 frames of hOACTL-GFP labeled mitochondria were taken 5.3s apart. (B) Thereafter, the neuron was incubated with 100nM paclitaxel and imaged 24h later. 25 frames were taken at an interval of 5.3s. (C) The axon 72h following paclitaxel incubation. 25 frames were taken at an interval of 5.3s. Scalebar: 10µm (MPG 7.64 MB)
Movie S7. Washout of paclitaxel does not lead to recovery of the MTs polar pattern. The video depicts the same neuron presented in Fig. 8, 48h following 100nM paclitaxel washout. (A) EB3-GFP (green) comet tails in a neuron, 200-300µm from cell body. (B) The transport of SR101 labeled organells. The video comprises 30 images, taken at intervals of 5.5 seconds. Scalebar: 10 µm (MPG 12.6 MB)
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Shemesh, O.A., Spira, M.E. Paclitaxel induces axonal microtubules polar reconfiguration and impaired organelle transport: implications for the pathogenesis of paclitaxel-induced polyneuropathy. Acta Neuropathol 119, 235–248 (2010). https://doi.org/10.1007/s00401-009-0586-0
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DOI: https://doi.org/10.1007/s00401-009-0586-0