Abstract
Spinocerebellar ataxia type 3 (SCA3) is an autosomal dominant neurodegenerative disorder caused by the expansion of a CAG trinucelotide repeat that encodes an abnormal polyglutamine (PolyQ) tract in the disease protein, ataxin-3. The formation of neuronal intranuclear inclusions in the specific brain regions is one of the pathological hallmarks of SCA3. Acceleration of the degradation of the mutant protein aggregates is proven to produce beneficial effects in SCA3 and other PolyQ diseases. Lithium is known to be neuroprotective in various models of neurodegenerative disease and can reduce the mutant protein aggregates by inducing autophagy. In this study, we explored the therapeutic potential of lithium in a SCA3 Drosophila model. We showed that chronic treatment with lithium chloride at specific doses notably prevented eye depigmentation, alleviated locomotor disability, and extended the median life spans of SCA3 transgenic Drosophila. By means of genetic approaches, we showed that co-expressing the mutant S9E, which mimicked the phosphorylated S9 state of Shaggy as done by lithium, also partly decreased toxicity of gmr-SCA3tr-Q78. Taken together, our findings suggest that lithium is a promising therapeutic agent for the treatment of SCA3 and other PolyQ diseases.
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Introduction
Spinocerebellar ataxia type 3 (SCA3) is one of nine polyglutamine (PolyQ) neurodegenerative disorders caused by the expansion of a CAG trinucelotide repeat that encodes an abnormal PolyQ tract in the disease protein, ataxin-3 [1]. Patients with SCA3 suffer from progressive loss of motor coordination, dysarthria, dysphagia, oculomotor dysfunction, and peripheral neuropathy [2, 3]. Symptoms usually occur in midlife and get worsen over the next 7–29 years [4]. Until now, there is no established therapy to arrest or reverse the course of the disease.
A unifying pathological feature of SCA3 is the formation of microscopically discernible aggregation in the nucleus or cytoplasm of affected neurons. Although the significance of these aggregations of mutant proteins in the pathogenesis of SCA3 remains a matter of controversy [5], recent neuropathologic studies suggested that the accumulating proteins might interact with various targets, including several transcriptional factors or cofactors [6], proteasome components [7], and molecular chaperones [8], resulting in dysfunction of recruiting proteins in neurons.
Acceleration of the degradation of mutant proteins is proven to prevent PolyQ disease progression. These mutant proteins are degraded via both the ubiquitin proteasome system (UPS) and the macroautophagy (which we also call autophagy) machinery [9]. Along with degradation by the UPS, autophagy forms the major route for degradation of disease-causing, cytoplasmic, aggregate-prone proteins [10]. Previous studies have shown a range of PolyQ proteins, including mutant huntingtin (Htt) fragments, alpha-synuclein, and full-length mutant ataxin-3, which are highly dependent on autophagy for their clearance [11–13]. When autophagy is up-regulated either by inhibiting the mammalian target of rapamycin (mTOR) [14, 15] or through mTOR-independent pathways [16], the clearance of mutant PolyQ proteins is enhanced and their toxicity is attenuated. Therefore, up-regulation of autophagy may be an effective therapeutic strategy for SCA3 and other PolyQ diseases.
Lithium, a monovalent cation, has been used to treat bipolar disorder for more than half a century. In addition to its antidepressant effect, the ability of lithium to up-regulate autophagy, through depleting free inositol and subsequently decreasing IP3 levels (a mTOR-independent pathway of up-regulating autophagy), has recently been reported [17, 18]. Moreover, lithium has been shown to exert its neuroprotective effects by increasing levels of the anti-apoptotic factor Bcl-2 [19] and by inhibiting the activity of caspase-3-induced glycogen synthase kinase (GSK-3) [20, 21]. It has been reported that lithium protects against polyglutamine toxicity in animal models of Huntington's disease (HD) [22] and spinocerebellar ataxia type 1 (SCA1) [23]. Because of this established function, we speculated that lithium could serve as a promising therapeutic strategy for SCA3 and other PolyQ diseases. In this study, we investigated and found the therapeutic potential of lithium chloride (LiCl) in a SCA3 Drosophila model.
Results
SCA3tr-Q78 Transgenic Fly Exhibits Neurodegenerative Phenotypes
To apply an incisive tool to explore the therapeutic potential of lithium, we have previously established a Drosophila model of SCA3 expressing forms of human gene encoding ataxin-3 protein in the developing eyes and in neurons using the GAL4/UAS system [24]. Compared to wild-type Drosophila phenotype (Fig. 1a–c), expression of a truncated form of the ataxin-3 protein with 78 polyglutamines produced deleterious neurodegenerative phenotypes. Weaker expression of SCA3tr-Q78 in eyes resulted in a mild disruption of the regular, external lattice of the eye in adult flies (Fig. 1d–f); stronger expression of SCA3tr-Q78 showed a greater loss of cell integrity, and the pigmentation of the adult flies was completely faded with black point-like necrosis (Fig. 1g–i). The fly eyes underwent late-onset, progressive degeneration during adult life.
To study the toxicity of SCA3tr-Q78 in neurons, flies homozygous for the neuronal driver nrv2-Gal4 were crossed to flies of genotype UAS-SCA3tr-Q78/TM3 and the percentage of flies with the nrv2-SCA3tr-Q78 transgene was evaluated. Expression of SCA3tr-78Q in neurons caused decreased locomotor ability and reduced life spans in adult flies (Figs. 2 and 3), and the effects were more dramatic in flies of genotype nrv2-SCA3tr-Q78 (s) (Figs. 2 and 3). All these results showed that expression of SCA3tr-78Q protein in flies resulted in late-onset, progressive, neurodegenerative phenotypes, which were quite similar to features of SCA3/MJD patients, thus allowed us to study a range of effects of LiCl treatment on SCA3 pathogenesis in vivo.
Lithium Chloride Treatment Prevents Against PolyQ-Induced Eye Depigmentation in SCA3tr-Q78 Transgenic Drosophila
Since previous study had shown that lithium could be reliably given to Drosophila through fly food and without lethality [25], we chose to administer fly with drug-containing medium. Daily doses of LiCl at 1, 5, 10, 15, 20, and 50 mM were administered to SCA3 Drosophila model before crosses. We carefully observed the external morphology of gmr-SCA3tr-Q78 Drosophila eyes in detail. Consistent with a previous study [22], prolonged treatment with LiCl at certain range (1–20 mM) resulted in a dramatic improvement of eye depigmentation at 5 days after eclosion, with obvious increase of pigmentation, decreased black point-like necrosis, and nearly normal ommatidial pattern of the photoreceptor rhabdomeres (Fig. 4). The most notable improvement was observed at the range of 15–20 mM (Fig. 4d, e, i, j, n, o). Possibly due to a very narrow therapeutic window of lithium [26] and a lower tolerance in fly compared with humans [25], when treated with LiCl at the dose of 50 mM, no eggs of parental flies survived to adulthood; the parental flies also died after treatment with LiCl for 10 days.
Lithium Chloride Ameliorates Locomotion Disability of SCA3tr-Q78 Transgenic Drosophila
To test whether LiCl could also protect against toxicity selectively involved in neurons, we analyzed the locomotor ability of nrv2-SCA3tr-Q78 flies using the positive phototactic climbing assay as described previously [27]. We randomly selected age-matched female flies into a 25-ml pipette and dropped them to the bottom by knocking the pipette. A fiberoptic lamp illuminated the pipette from the top and we measured the time for the first five flies to reach a line 17.5 cm from the bottom. By this method, we evaluated the climbing ability of flies at 1, 5, and 15 days after eclosion.
As can be obviously seen in Fig. 5a, when LiCl was administered at doses from 0 to 10 mM, all of the 1-day-old SCA3tr-Q78 transgenic flies (eclose from the pupal case for 1 day) showed a dose-dependent increase in locomotor ability compared to non-treated controls (P < 0.05), but as the doses gradually increased to 15 mM, the locomotor ability of 1-day-old nrv2-SCA3tr-Q78 (s) flies showed a mild decrease compared to flies treated at 10 mM. After treated at a dose of 20 mM, all 1-day-old SCA3tr-Q78-expressing flies required more time to cross the line, suggesting an optimum therapeutic dose after which the locomotor ability may be further impaired. In contrast, when treated with LiCl at the same doses over time, the nrv2-SCA3tr-Q27 flies showed no remarkable difference in the locomotor ability compared to non-treated controls (Fig. 5a). Similar results were observed at later time points (Fig. 5b, c). Thus, our data suggested that prolonged treatment with LiCl at a certain range positively benefited the SCA3 phenotypes, for which the proper doses might be from 10 to 15 mM.
Lithium Chloride Extends Survival Time of SCA3tr-Q78 Transgenic Drosophila
To further confirm the positive effects of LiCl on the SCA3 phenotypes, we then tested whether LiCl affected the survival time of nrv2-SCA3tr-Q78 flies. As shown in Fig. 6, all SCA3tr-Q78 transgenic flies treated with LiCl at doses from 5 to 15 mM had a striking extension of median life spans than the corresponding controls. The median life spans of the nrv2-SCA3tr-Q78 (w) and nrv2-SCA3tr-Q78 (s) increased from the original means of 47 and 41 days to 62 and 52 days, respectively. But when the doses were increased to 20 Mm (Fig. 6), the median life spans of the two fly strains (39 and 36 days, n = 200) did not significantly differ from that of non-treated controls (43 and 35 days, n = 200), further confirming the hypothesis that the beneficial effects of LiCl could be masked if used at higher doses. Thus, our results showed that LiCl could rescue PolyQ-induced toxicity in SCA3tr-Q78 transgenic Drosophila when used at an appropriate dose.
Inhibition of GSK3β/Shaggy Protects Against PolyQ-Mediated Eye Depigmentation of SCA3tr-Q78 Transgenic Drosophila
The fact that lithium serves as an inhibitor of GSK-3β to perturb Wnt pathway has been widely accepted [20–22]. A recent study, using pharmacological or genetic approaches, has found that inhibition of GSK-3β could rescue toxicity of aggregate-prone proteins in Drosophila models of HD [22] and Alzheimer's disease (AD) [28]. To test whether inhibition of GSK-3β by LiCl also rescues the PolyQ-induced toxicity in SCA3tr-Q78 transgenic Drosophila, we co-expressed in the eyes a dominant negative form of the kinase Shaggy (Sgg) (i.e., the GSK-3 fly ortholog), the S9E mutant, which mimics an inactive state of the GSK-3β. Although a heterozygous S9E mutation (i.e., absence of one functional copy of S9E) had no effect on the toxicity of gmr-SCA3tr-Q78 (Fig. 7b, e, h), a homozygous S9E mutation could partly suppress PolyQ-induced eye depigmentation, with decreased dark black spots, more regular compound eye structure, and increased pigment cells (Fig. 7c, f, i). Thus, our results indicated that the effect of LiCl in protecting against PolyQ-mediated eye depigmentation can partly be explained by the inhibition of GSK3β/shaggy.
To rule out the possibility that improvement of PolyQ-mediated eye depigmentation resulted from GAL4 levels but not because of the expression of the S9E mutant, we have also investigated the effects of an active Sgg in flies expressing SCA3tr-78Q protein. The expression of the kinase Sgg enhanced the toxicity of gmr-SCA3tr-Q78. Flies co-expressing SCA3tr-78Q and a heterozygous Sgg in eyes showed more serious eye depigmentation, including a greater loss of pigment cells, rough eye collapse, and a highly disordered ommatidial array (Fig. 8b, e, h). More deleterious effects were observed with a homozygous Sgg co-expression (Fig. 8c, f, i). Thus, our results further confirmed that inhibition of the Sgg activity could partly protect against PolyQ-mediated eye depigmentation.
Discussion
SCA3/MJD is an autosomal dominant neurodegenerative disorder characterized by a complex and pleiotropic phenotype, involving predominantly the cerebellar, oculomotor, pyramidal, extrapyramidal, and peripheral systems [29]. The main pathological lesions can be observed in the spinocerebellar system, as well as in the cerebellar dentate nucleus [29]. Previous studies [30, 31], in combination with our study results, have shown that overexpression of human ataxin-3 with an expanded polyglutamine repeat in flies leads to the progressive, late-onset neurodegenerative phenotypes. Drosophila, as an ideal and classical model to imitate and study inherited human neurological diseases, has a complex nervous system, organized into neural center much like the human brain [31]. Genes especially those involving the molecular mechanisms of PolyQ-mediated neurodegeneration between humans and flies are highly conserved [31]. It has been proved feasible to apply flies to elucidate mechanisms of the disease onset and progression related to the cerebellar lesions in PolyQ diseases [15, 24, 32].
Here, by using a faithful Drosophila model of SCA3/MJD, we showed that lithium administered at an appropriate dose reduced neurodegenerative phenotypes mediated by the mutant ataxin-3. Eye depigmentation was alleviated in LiCl-treated SCA3 Drosophila, and the effect was enhanced by increasing the dose within a certain range. Treatment with LiCl increased the locomotor ability of all nrv2-SCA3tr-Q78 fly strains, and with increasing dose and administration time, the effects first peaked and then declined. An extension of the Drosophila life span was apparent in nrv2-SCA3tr-Q78 fly strains treated at 10–15 mM, and when LiCl reached doses of 20 mM, the average life span of treated flies was gradually reduced. In addition, the previous study on the effect of lithium in SCA1 mice model also revealed that lithium attenuated toxicity of the full-length mutant ataxin-1 with 154 glutamine repeats [23]. Although the therapeutic window and toxic potential of lithium in human may be different from that in Drosophila or mouse models, similar beneficial effects of chronic lithium treatment on PolyQ-mediated neurodegeneration may provide with strong evidence for the significance of lithium as a potential treatment strategy for SCA3 and other PolyQ diseases.
The mechanism underlying neuroprotective effects by lithium has been extensively studied in various cellular and animal models. Up to now, at least two approaches, induction of autophagy and inhibition of GSK3β, have been put forward to be involved in lithium's neuroprotective effects against PolyQ-induced toxicity [17, 21]. In this study, we explored whether at least some of the neuroprotective effects of lithium in our SCA3 Drosophila model could be attributed to inhibition of GSK3β/shaggy.
GSK-3 is a serine/threonine kinase with α and β isoforms, which is expressed ubiquitously in mammalian tissues [33]. Lithium can act as a competitive inhibitor of magnesium, thereby inhibiting the kinase activity of GSK-3 [34–36]; lithium also inhibits GSK-3 by enhancing phosphorylation of GSK-3α at Ser21 or GSK-3β at Ser9 [36]. Chronic treatment with lithium has been shown to cause an increase in the phosphorylation of Ser-9 of GSK3β in mouse models of SCA1 [23] and AD [28], resulting in reduced toxicity of aggregate-prone proteins. Accordingly, by using genetic approach, we showed that co-expressing the mutant S9E [37], which mimicked the phosphorylated S9 state of sgg as done by lithium, also partly decreased the toxicity of gmr-SCA3tr-Q78. Possibly due to lithium's amelioration of the phenotypes of SCA3 Drosophila through more than one mechanism, the effects of the mutant S9E were not such remarkable as that of lithium. Thus, our results suggested that the lithium's neuroprotective effects might be at least partly explained by its roles in GSK3β/shaggy inhibition.
In conclusion, we have demonstrated that lithium used at an appropriate dose alleviates the phenotypes in SCA3 Drosophila model and that this neuroprotection is at least partly associated with lithium's action on GSK3β/shaggy inhibition. Although the dose and duration of lithium administration need to be further explored in clinical aspect, its therapeutic effects in our SCA3 Drosophila model bring hope and clues for therapy of SCA3 patients in the future.
Materials and Methods
Drosophila Stocks and Crosses
All fly stocks were raised on nutritional media containing a mixture of cornmeal, glucose, sucrose, agar, 10 % methylparaben, and yeast powder. The growth incubators were maintained at 25 °C on a 12:12-h light/dark cycle at 60–70 % relative humidity. The w 1118 strain was used as the background strain. GMR-GALl4 and NRV2-GAL4 were P {longGMR-GAL4}2 [38] and P {nrv2-GAL4.S}3 [39], respectively. They were obtained from the Bloomington Drosophila Stock Center. The UAS-SCA3tr-Q27, UAS-SCA3tr-Q78 (w), and UAS-SCA3tr-Q78 (s) [31] fly strains were also received from the Bloomington Drosophila Stock Center. Male flies expressing UAS constructs were crossed to female flies expressing the neuron-specific promoter nrv2 or the eye-specific promoter gmr, and flies P (w;gmr-GAL4/+;UAS-SCA3tr-Q27/+), P (w;gmr-GAL4/+;UAS-SCA3tr-Q78(w)/+), P (w;gmr-GAL4/UAS-SCA3tr-Q78(s);+/+), P(w;nrv2-GAL4/+;+/+;UAS-SCA3tr-Q27/+), P(w;nrv2-GAL4/+;+/+;UAS-SCA3tr-Q78(w)/+), and P (w;nrv2-GAL4/+;UAS-SCA3tr-Q78(s)/+;+/+) were generated.
To generate the mutant S9E in the gmr-SCA3tr-Q78(s) flies, the UAS-Sgg.S9E strain, which harbors a mutation that mimics the S9 phosphorylation [37], was purchased from the Bloomington Drosophila Stock Center. The virgin female flies, w; +/+; UAS-Sgg.S9E/TM3 were crossed with male flies, w; Cyo/Sco; TM3/TM6. The resultant F1 virgin females, w; Cyo/+; UAS-Sgg.S9E/TM3 were crossed with w; Sco/+; UAS-Sgg.S9E/TM6 males. The F2 male flies, w; Cyo/Sco; UAS-sgg.S9E were crossed with w; UAS-SCA3tr-Q78(s); TM3/TM6 females. The resultant F3 flies, w; UAS-SCA3tr-Q78(s)/Cyo; TM3/UAS-Sgg.S9E, can be distinguished by its wing and chaeta phenotype. Each virgin females were crossed with w; gmr-GAL4/Cyo; TM3/TM6 males. The final flies were w; UAS-SCA3tr-Q78(s)/gmr-GAL4; TM3/UAS-Sgg.S9E and w; UAS-SCA3tr -Q78(s)/gmr-GAL4; TM6/UAS-Sgg.S9E.
Lithium Treatment
All flies were exposed to different doses of LiCl mixed with instant fly food at the first day before crosses. They were reared on drug-containing media during the following stages: flies before crosses, egg, larva, pupa, and adults. To ensure its stability and efficacy, LiCl was first prepared at 100 mM concentration in ion-free water and then added at appropriate concentrations in standard medium after it was cooled to below 50 °C. Food colorants were used as an indicator to ensure the uniformity of the drug-containing media.
Drosophila Eye Morphology
Proboscises were removed from heads of 5-day-old adult flies and fixed in 2.5 % glutaraldehyde for 2 h, followed by 1 % osmic acid for 1 h. They were then rinsed in PBS, dehydrated in serial dilutions of acetone, and replaced by serial dilutions of isoamyl acetate. Tissues were embedded in OCT (Tissue Tech) and frozen by immersion in liquid nitrogen. Adult flies eyes were viewed on a 1000 cx electron microscope (JSM-6490LV, Japan, Hitachi).
Positive Phototaxis Assay
The locomotor ability of flies was analyzed as described [27]. Ten flies were randomly selected from each sample and placed into a 25-ml pipette that was sealed at the top with wax film to prevent escape animals (n = 200 animals per group for each genotype). A fiberoptic lamp illuminated the pipette from the top. After adapting for 8 s, we knocked the bottom of the pipette to drop the flies and recorded time for the first five flies to cross a line 17.5 cm from the bottom. Five trials were completed for each sample. ANOVA and rank-sum tests were used to test the differences in climbing ability among groups. A p value less than 0.05 was considered significant. Data were presented as the mean ± SEM.
Lifespan Analyses
All 1-day-old flies were transferred to glass vials containing 2 ml of the LiCl-containing food. In a vial, 20 flies were reared carefully to keep a good condition (n = 200 female flies per group for each genotype). Fresh solutions of LiCl were prepared daily at concentrations of 1, 5, 10, 15, and 20 mM, in standard cornmeal. In each vial, 2 ml of the standard media or of the LiCl-containing food was added. The dead flies were counted every day at 10:00 a.m. and survivors were transferred to freshly prepared food. Three trials were completed for each group. χ2 statistics was used to test the difference of life spans among groups. A p value less than 0.05 was considered significant.
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Acknowledgments
This study was supported by the National Basic Research Program (973 Program) (nos. 2012CB944601, 2012CB517902, and 2011CB510002 to Hong Jiang), New Century Excellent Talents in University (no. NCET-10-0836 to Hong Jiang), the National Natural Science Foundation of China (nos. 81271260, 30971585, 30871354, 30710303061, and 30400262 to Hong Jiang), and Undergraduate Innovation Project of Central South University (no. CY12400 to Hong Jiang).
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The co-authors report no conflict of financial interests relevant to the manuscript.
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Jia Dan-dan and Zhang Li contributed equally to this work.
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Jia, DD., Zhang, L., Chen, Z. et al. Lithium Chloride Alleviates Neurodegeneration Partly by Inhibiting Activity of GSK3β in a SCA3 Drosophila Model. Cerebellum 12, 892–901 (2013). https://doi.org/10.1007/s12311-013-0498-3
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DOI: https://doi.org/10.1007/s12311-013-0498-3