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The Journal of Neuroscience, August 1, 2000, 20(15):5715-5723

Delayed Mitochondrial Dysfunction in Excitotoxic Neuron Death: Cytochrome c Release and a Secondary Increase in Superoxide Production

C. Marc Luetjens1, Nguyen Truc Bui1, Bernd Sengpiel3, Gudrun Münstermann1, Monika Poppe1, Aaron J. Krohn1, Elke Bauerbach3, Josef Krieglstein3, and Jochen H. M. Prehn1, 2, 3

1 Interdisciplinary Center for Clinical Research, Research Group "Apoptosis and Cell Death" and 2 Department of Pharmacology and Toxicology, Westphalian Wilhelms-University, D-48149 Münster, and 3 Department of Pharmacology and Toxicology, Philipps-University, D-35032 Marburg, Germany


    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

An increased production of superoxide has been shown to mediate glutamate-induced neuron death. We monitored intracellular superoxide production of hippocampal neurons during and after exposure to the glutamate receptor agonist NMDA (300 µM). During a 30 min NMDA exposure, intracellular superoxide production increased significantly and remained elevated for several hours after wash-out of NMDA. After a 5 min exposure, superoxide production remained elevated for 10 min, but then rapidly returned to baseline. Mitochondrial membrane potential also recovered after wash-out of NMDA. However, recovery of mitochondria was transient and followed by delayed mitochondrial depolarization, loss of cytochrome c, and a secondary rise in superoxide production 4-8 hr after NMDA exposure. Treatment with a superoxide dismutase mimetic before the secondary rise conferred the same protection against cell death as a treatment before the first. The secondary rise could be inhibited by the complex I inhibitor rotenone (in combination with oligomycin) and mimicked by the complex III inhibitor antimycin A. To investigate the relationship between cytochrome c release and superoxide production, human D283 medulloblastoma cells deficient in mitochondrial respiration (rho - cells) were exposed to the apoptosis-inducing agent staurosporine. Treatment with staurosporine induced mitochondrial release of cytochrome c, caspase activation, and cell death in control and rho - cells. However, a delayed increase in superoxide production was only observed in control cells. Our data suggest that the delayed superoxide production in excitotoxicity and apoptosis occurs secondary to a defect in mitochondrial electron transport and that mitochondrial cytochrome c release occurs upstream of this defect.

Key words: excitotoxicity; glutamate; NMDA; mitochondria; reactive oxygen species; superoxide; cytochrome c; respiratory chain; apoptosis


    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Overactivation of glutamate receptors is responsible for excitotoxic neuron death after trauma, epileptic seizures, and cerebral ischemia (Choi, 1994). In most experimental and clinical settings, glutamate toxicity is mediated through activation of Ca2+ permeable NMDA receptors (Choi, 1994). Reduction of Ca2+ influx or intracellular Ca2+ chelation has been shown to prevent this process, suggesting that NMDA receptor-mediated cell death is triggered by neuronal Ca2+ overloading (Choi, 1987; Tymianski et al., 1993). However, the importance of the diverse events downstream of neuronal Ca2+ overloading is still controversial. Ca2+-induced nitric oxide production and activation of calpains have been shown to contribute to excitotoxic neurodegeneration (Siman et al., 1989; Dawson et al., 1991). Mitochondria have been shown to take up large amounts of Ca2+ during exposure to excitotoxins (White and Reynolds, 1995; Budd and Nicholls, 1996a,b; Peng and Greenamyre, 1998). This was initially believed to be a Ca2+-buffering mechanism that protects against "toxic" increases in cytosolic Ca2+ concentration. However, there is now considerable data suggesting that mitochondrial Ca2+ uptake is in fact necessary to trigger excitotoxic neuron death (Budd and Nicholls, 1996a,b; Castilho et al., 1998; Stout et al., 1998).

Mitochondrial Ca2+ overloading may activate neuronal cell death by at least three known mechanisms: (1) energy depletion, (2) release of pro-apoptotic factors, and (3) increased generation of reactive oxygen species (ROS). Energy depletion occurs when glutamate receptors are overactivated for a longer period of time and leads to a severe disturbance of neuronal ion homeostasis and, eventually, necrotic cell death (Ankarcrona et al., 1995). However, transient glutamate receptor overactivation, which is more likely to occur in acute neurological disorders, may lead to a recovery of the mitochondrial energetics and a delayed, apoptotic cell death (Ankarcrona et al., 1995). Mitochondrial Ca2+ overloading may trigger neuronal apoptosis via the release of pro-apoptotic factors from the mitochondrial intermembrane space into the cytosol (Liu et al., 1996; Andreyev et al., 1998). Release of cytochrome c, in particular, is able to activate a family of cysteine proteases, the caspases, which are required for most of the biochemical and morphological changes leading to apoptosis (Li et al., 1997). Finally Ca2+-induced mitochondrial dysfunction can lead to an increased production of ROS, in particular superoxide (Malis and Bonventre, 1985; Dykens, 1994). Indeed, it has been shown that mitochondria generate superoxide and related ROS during glutamate receptor overactivation (Lafon-Cazal et al., 1993; Dugan et al., 1995; Reynolds and Hastings, 1995; Bindokas et al., 1996; Patel et al., 1996) and that inhibition of superoxide formation reduces excitotoxic neuron death (Chan et al., 1990; Patel et al., 1996). In light of the increasing evidence that mitochondria are able to initiate excitotoxic and apoptotic neuron death, we investigated the role of mitochondrial superoxide production and cytochrome c release in NMDA neurotoxicity and apoptosis.


    MATERIALS AND METHODS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Materials. Antimycin A, NMDA, oligomycin, paraquat, rotenone, and staurosporine were from Sigma (Deisenhofen, Germany). Hydroethidine (HEt) and rhodamine-123 (R-123) were from Molecular Probes (Leiden, The Netherlands). The cell-permeable superoxide dismutase (SOD), mimetic manganese tetrakis (4-benzoyl acid), porphyrin (MnTBP) (Patel and Day, 1999), and the caspase substrate acetyl-DEVD-7-amido-4-methylcoumarin (Ac-DEVD-AMC) were purchased from Alexis (Grünstetten, Germany). Dizocilpine and tetrodotoxin were from RBI Biotrend (Cologne, Germany). All other chemicals came in analytical grade purity from Merck (Darmstadt, Germany).

Hippocampal neuron culture. Cultured hippocampal neurons were prepared from neonatal [postnatal day 1 (P1)] Fischer 344 rats as described (Krohn et al., 1998). Dissociated hippocampal neurons were plated at a density of 2 × 105 cells/cm2 onto poly-L-lysine-coated glass coverslips that were placed into 35 mm Petri dishes. For cytotoxicity assays, cells were plated onto poly-D-lysine-coated 24-well plates (Nunc, Wiesbaden, Germany). Cells were maintained in MEM medium supplemented with 10% NU-serum, 2% B-27 supplement (50 × concentrate), 2 mM L-glutamine, 20 mM D-glucose, 26.2 mM sodium bicarbonate, 100 U/ml penicillin, and 100 µg/ml streptomycin (Life Technologies, Karlsruhe, Germany). All experiments were performed on 14- or 15-d-old cultures. Animal care followed official governmental guidelines.

Generation and maintenance of human medulloblastoma D283 cells deficient in mitochondrial respiration. D283 cells originate from a human cerebellar medulloblastoma and are positive for neurofibrillary proteins, glutamine synthetase, MAP2, and neuron-specific enolase, but negative for glial fibrillary acidic protein and S-100 protein (Vinores et al., 1994). Human medulloblastoma D283 cells deficient in mitochondrial respiration (rho - cells) were generated by selective elimination of mitochondrial DNA (mtDNA) (M. Poppe, G. Münstermann, and J. H. M. Prehn, unpublished observations). Cells were exposed for 8 weeks to ethidium (Et) bromide (0.5 µg/ml; Sigma) in RMPI 1460 medium supplemented with glucose (4.5 mg/ml), sodium pyruvate (0.1 mg/ml), and uridine (50 µg/ml) (King and Attardi, 1989), as well as penicillin (100 U/ml), streptomycin (100 µg/ml), and 10% fetal calf serum (Life Technologies). Reduction of mtDNA content by a controlled Et bromide treatment leads to selective, voltage-driven uptake of Et into mitochondria, intercalation into mtDNA, and inhibition of mtDNA replication. mtDNA encodes subunits of mitochondrial complexes I, III, and IV that are required for mitochondrial respiration. Because the oxidative phosphorylation system in these cells is severely inhibited, cell growth depends on the presence of glucose and pyruvate as key components. D283 rho - cells maintained growth but exhibited a significant reduction in mtDNA-encoded proteins (see Fig. 8a). Withdrawal of pyruvate from the culture medium led to a rapid cell death of rho - cells, in contrast to control cells. Moreover, assessment of cytochrome c oxidase (complex IV) activity according to Vaillant and Nagley (1995) indicated that mitochondrial respiratory activity of rho - cells was significantly reduced, whereas complex II activity was unaltered compared with controls (Poppe, Münstermann, and Prehn, unpublished observations). Mitochondrial complex II (succinate dehydrogenase) contains only nucleus-encoded subunits. Exposure to rotenone, an inhibitor of complex I, induced significant cell death in control cultures, whereas rho - cells were resistant even to high concentrations of this inhibitor (see Fig. 8b). Similar results were obtained after exposure to the complex III inhibitor antimycin A (0.01-1 µM).

Induction of excitotoxic neuronal injury. Cultures were washed in HEPES-buffered saline (HBS) containing (in mM: 144 NaCl, 10 HEPES, 2 CaCl2, 1 MgCl2, 5 KCl, 10 D-glucose (320 mOsm, pH 7.4) and were then exposed for 5 min (brief exposure) or 30 min (prolonged exposure) to Mg2+-free HBS supplemented with 300 µM NMDA, 0.5 µM tetrodotoxin, and 100 nM glycine (Sengpiel et al., 1998). Control cultures were exposed to Mg2+-free HBS devoid of NMDA (sham exposure). After the exposure, cells were washed and returned to the original culture medium. Cell death was determined with trypan-blue uptake (0.5% in HBS, 5 min), which identifies membrane leakage, the endpoint of neuronal degeneration. A total number of 400-500 neurons were counted in three to four subfields of each culture. Cell counts were performed by two investigators without knowledge of the respective treatments, and the mean of the two results was used for statistical analysis.

Induction of apoptotic injury and assessment of caspase activity. Control and rho - D283 cells were exposed to the apoptosis-inducing protein kinase inhibitor staurosporine (3 µM) as described (Falcieri et al., 1993; Krohn et al., 1998). For caspase activity experiments, cells were lysed in 200 µl of lysis buffer [10 mM HEPES, pH 7.4, 42 mM KCl, 5 mM MgCl2, 1 mM phenylmethylsulfonyl fluoride, 0.1 mM EDTA, 0.1 mM EGTA, 1 mM dithiothreitol, 1 µg/ml pepstatin A, 1 µg/ml leupeptin, 5 µg/ml aprotinin, 0.5% 3-(3-cholamidopropyldimethyl-ammonio)-1-propane sulfonate]. Fifty microliters of this extract were added to 150 µl of reaction buffer [25 mM HEPES, 1 mM EDTA, 0.1% 3-(3-cholamidopropyldimethylammonio)-1-propane sulfonate, 10% sucrose, 3 mM dithiothreitol, pH 7.5] (Krohn et al., 1998). The reaction buffer was supplemented with 10 µM Ac-DEVD-AMC, a fluorogenic substrate preferentially cleaved by caspase-3, -7, and -8, but also caspase-1, -6, -9, and -10. Production of fluorescent AMC was monitored over 60 min using a fluorescent plate reader (HTS 7000, Perkin-Elmer, Langen, Germany) (excitation 380 nm, emission 460 nm). Fluorescence of blanks containing no cellular extracts was substracted from the values. Protein content was determined using the Pierce Coomassie Plus Protein Assay reagent (KMF, Cologne, Germany), and the caspase activity is expressed as change in fluorescent units per hour per microgram of protein.

HEt-based detection of intracellular superoxide production. Superoxide production of the hippocampal neurons was monitored by digital video microscopy using the probe HEt (Bindokas et al., 1996). HEt is taken up by living cells and oxidized by superoxide to its fluorescent product, Et. Et is retained intracellularly by stably binding to DNA and RNA. Digital video microscopy was conducted as described (Sengpiel et al., 1998) using a fluorescence microscope (Axiovert 100 inverted-stage microscope, Zeiss). Optics were as follows: excitation of 490 nm, dichroic mirror of 505 nm, and emission > 510 nm. Images were collected using a 40× fluorescence objective and an intensified CCD camera (C 2400-87, Hamamatsu, Herrsching, Germany). Sixteen frames were averaged every 20 sec. Images were digitized as 256 × 256 pixels. Before every experiment, a background image was taken that was later substracted from the images. Data were analyzed using Argus-50 software (Hamamatsu). HEt (2 µg/ml) was present in the extracellular solution during the entire experiment. The extracellular solution was exchanged every 5 min by a fresh solution. In the experiment shown in Figure 7, Et fluorescence was acquired using a 12-bit digital CCD camera (Visicam Visitron) and analyzed using Metamorph software (Universal Imaging Corporation, West Chester, PA). Experiments were conducted at room temperature.

Under conditions of mitochondrial depolarization and prolonged HEt exposure, mitochondrially generated Et may be released into the cytoplasm, resulting in an artificial fluorescence enhancement (Castilho et al., 1999). We therefore additionally quantified Et fluorescence of hippocampal neuron cultures after homogenizing the cells in lysis buffer (10% SDS, 0.1 M Tris, pH 7.5). Et fluorescence of cell lysates was quantified using a fluorescence plate reader (FL 500, Biotek; excitation 485 nm, emission 530 nm). Lysis buffer served as blanks. Protein content was determined using the Pierce BCA Micro Protein Assay kit (KMF), and Et fluorescence of cell lysates was expressed as fluorescence units per microgram of protein.

R-123-based estimation of mitochondrial membrane potential (Delta Psi m). R-123 is a cationic, lipophilic dye that accumulates in the negatively charged mitochondrial matrix according to the Nernst equation potential (Emaus et al., 1986; Ehrenberg et al., 1988). An R-123 stock was prepared at a concentration of 1 mg/ml in DMSO and stored at -20°C. Working stocks of 30 µM were made up fresh in distilled water. For estimation of Delta Psi m during the NMDA exposure, cells were incubated with 30 nM R-123 for 15 min in culture medium and were then exposed for 5 min to NMDA (300 µM) or Mg2+-free HBS (sham). For the estimation of Delta Psi m 2 and 6 hr after the NMDA exposure, cells were exposed to NMDA or Mg2+-free HBS (sham) for 5 min and returned to the original culture medium. After 2 or 6 hr, cells were loaded with 30 nM R-123 for 15 min in culture medium, and fluorescence was acquired. R-123 fluorescence was measured using an inverted Olympus IX70 microscope attached to a confocal laser scanning unit equipped with a 488 nm argon laser and a 20× fluorescence objective (Fluoview; Olympus, Hamburg, Germany). The dye was present in the extracellular solution during the entire course of the data collection. The regions of interest were monitored and focused by eye and then scanned once. Neurons were recognized by morphology as well as by their position in a higher plane than astrocytes. We obtained two images per scan: a transmission and a confocal fluorescence image. Data were analyzed using Metmorph software. Fluorescence data are given as the ratio between the average pixel intensity of the neuronal soma and the nucleus according to Wadia et al. (1998) to compensate for background differences and unequal R-123 loading.

Cytochemical detection of intracellular superoxide production. Intracellular superoxide production was cytochemically detected using the 3,3'-diaminobenzidine (DAB)/Mn method in which DAB is oxidized by Mn3+ derived from Mn2+ on oxidation by superoxide (Briggs et al., 1986). Hippocampal neurons were incubated for 60 min at 37°C in HBS supplemented with 2.5 mM DAB, 0.5 mM MnCl2 and 1 mM NaN3 in the presence or absence of mitochondrial respiratory chain inhibitors and in the presence of 1 µM dizocilpine. The cytochemical reaction was terminated by fixing the cells. Neurons with brown precipitates were considered positive and quantified by cell counting as described above.

Immunofluorescence microscopy and labeling of mitochondria. After exposure to NMDA, hippocampal neurons or D283 cells were washed, fixed and permeabilized. The primary antibody (mouse monoclonal anti-cytochrome c, 6H2.B4; PharMingen, San Diego, CA) was then added at a concentration of 10 µg/ml for 2 hr at room temperature in blocking buffer. After washing, Cy3-conjugated anti-mouse IgG (1:1000, Jackson Immunoresearch Laboratories, West Grove, PA) was added for 1 hr. Mitochondria were labeled using the potential-insensitive probe Mitotracker Green FM (200 nM) (Molecular Probes) before fixation as described previously (Krohn et al., 1999). In another set of experiments, mitochondria were labeled using a rabbit polyclonal anti-SOD-2 antibody (StressGene, Victoria, Canada) raised against rat SOD-2 diluted 1:300. Fluorescence was observed using an Eclipse TE300 inverted microscope (Nikon, Düsseldorf, Germany). Digital images of equal exposure were acquired using a SPOT-2 digital camera (Diagnostic Instruments, Sterling Heights, MI) and Metamorph software. Cytochrome c immunofluorescence of D283 cells was observed by confocal laser scanning microscopy as described above.

SDS-PAGE and Western blotting. D283 cells were rinsed with ice-cold PBS and lysed in Tris-buffered saline containing SDS, glycerin, and protease inhibitors. Protein content was determined using the Pierce BCA Micro Protein Assay kit, and samples were supplemented with 2-mercaptoethanol and denaturated at 95°C for 5 min. An equal amount of protein (20 µg) was separated with SDS-PAGE and blotted to nitrocellulose membranes (Protean BA 85; Schleicher & Schuell, Dassel, Germany). Nonspecific binding was blocked by incubation in Tris-buffered saline containing bovine serum albumin, non-fat dry milk, and 0.05% Tween-20 for 1 hr at room temperature. The blots were then incubated overnight at 4°C in blocking buffer containing the primary antibody. Antibodies used were a mouse monoclonal anti-cytochrome oxidase subunit I antibody (1D6-E1-A8; Molecular Probes) diluted 1:500, a rabbit polyclonal anti-Bcl-x antibody (kindly provided by Prof. C. Thompson, University of Pennsylvania) diluted 1:2000, or a mouse monoclonal anti-alpha -tubulin antibody (clone DM 1A; Sigma) diluted 1:1,000. Afterward, membranes were washed and incubated with anti-mouse or anti-rabbit IgG-horseradish peroxidase conjugate (1:5000; Promega, Mannheim, Germany). Antibody-conjugated peroxidase activity was visualized using the SuperSignal chemiluminescence reagent (Pierce, Rockford, IL).

Statistics. Data are given as means ± SEM. For statistical comparison, t test or one-way ANOVA followed by Tukey's test were used. For statistical comparison of Et and R-123 fluorescence data, Mann-Whitney U test and Kruskal-Wallis H-test for non-parametric data were used. P values smaller than 0.05 were considered to be statistically significant.


    RESULTS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Excitotoxic neuron death is sensitive to treatment with a cell-permeable SOD mimetic

To induce a Ca2+-dependent excitotoxic cell death, we exposed cultured rat hippocampal neurons to the selective glutamate receptor agonist NMDA (300 µM). A 5 min exposure to NMDA induced excitotoxic cell death in 36.3 ± 2.0% of the hippocampal neurons determined by the uptake of the membrane-impermeable dye trypan blue 24 hr after the exposure (Fig. 1). Prolonging the period of the NMDA exposure to 30 min increased excitotoxic neurodegeneration to 62.6 ± 4.9%. In agreement with previous reports demonstrating an important role of ROS in excitotoxic neuron death, NMDA-induced cell death after a brief or prolonged exposure was significantly reduced in cultures pretreated for 60 min with the cell-permeable SOD mimetic MnTBP (100 µM) (Fig. 1) or the lipophilic antioxidant (±)-alpha -tocopherol (100 µM) (data not shown). Despite the common sensitivity to antioxidant treatment, there were differences in the mode of cell death after the 5 and 30 min NMDA exposure. Immediately after termination of the 30 min NMDA exposure, there was a statistically significant increase in the percentage of trypan blue-positive cells that further increased over time. In contrast, after the 5 min NMDA exposure the percentage of damaged neurons did not increase up to 2 hr, but tended to increase after 4 hr, and eventually reached the level of statistical significance after 8 hr (Table 1).



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  		Figure 1.   Neuroprotection by the SOD mimetic MnTBP. Cultured rat hippocampal neurons were exposed to 300 µM NMDA in Mg2+-free HBS for either 5 or 30 min, washed, and returned to the original culture medium. Sham-washed cultures were exposed for 30 min to Mg2+-free HBS devoid of NMDA. Cultures were pretreated for 60 min with 100 µM MnTBP (MnT) or vehicle (Veh). Treatments were continued during and after the NMDA exposure. Cell death was quantified by trypan-blue uptake after 24 hr. Data are means ± SEM from n = 8-16 cultures in two to four experiments per treatment. Different from 5 min NMDA-exposed controls: *p < 0.05; different from 30 min NMDA-exposed controls: # p < 0.05.


                              
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  		Table 1.   Time course of neuronal degeneration after brief (5 min) or prolonged (30 min) exposure of cultured rat hippocampal neurons to NMDA

Recovery of mitochondrial superoxide production after toxic glutamate receptor overactivation

Because ROS appeared to be required for the expression of excitotoxic neuron death, we next monitored the time course of superoxide production during and after NMDA exposure. Superoxide production was determined with the oxidation-sensitive probe HEt in combination with digital video microscopy (Bindokas et al., 1996). Control experiments demonstrated a constant rate of HEt oxidation in cultures exposed to buffer (HBS) only (data not shown). When cells were continuously exposed to NMDA (300 µM), HEt oxidation increased significantly with a maximal rate after 10 min of exposure (Fig. 2a). We and others have shown previously that NMDA-induced Ca2+ influx and the subsequent production of superoxide via the mitochondrial respiratory chain cause this increase, because both removal of extracellular Ca2+ or pretreatment with inhibitors of mitochondrial complex I reduced NMDA-induced superoxide production (Dugan et al., 1995; Sengpiel et al., 1998; Castilho et al., 1999). Interestingly, when cells were exposed to NMDA for only 5 min (which was sufficient to cause excitotoxic neuron death), superoxide production remained elevated for a further 10 min period after wash-out of NMDA but then rapidly returned to baseline levels (Fig. 2b).



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  		Figure 2.   Superoxide production during and after exposure to NMDA. Cultures were incubated with HBS supplemented with 2 µg/ml HEt. The rate of HEt oxidation was determined in 5 min intervals using digital video microscopy. Extracellular solution was exchanged every 5 min by a fresh solution. a, Superoxide production increases during exposure to NMDA. Cultures were exposed for 5 min to Mg2+-free HBS (H) to record baseline superoxide production and were then exposed to NMDA (300 µM). b, Recovery of intracellular superoxide production after a brief glutamate receptor overactivation. Cultured rat hippocampal neurons were exposed to Mg2+-free HBS (H) for 5 min to record baseline superoxide production, and were then exposed to 300 µM NMDA for 5 min (N). Afterward, extracellular solution was exchanged for HBS supplemented with 1 µM of the NMDA antagonist dizocilpine. Data are means ± SEM from n = 27 and 65 neurons in four and nine experiments per treatment, respectively. Different from baseline superoxide production (HBS): *p < 0.05. A.U., Arbitrary fluorescence unit.

Delayed mitochondrial depolarization after toxic glutamate receptor overactivation

Mitochondrial depolarization has been shown to be an early signal specific for excitotoxin exposure (White and Reynolds, 1996). Moreover, it has been reported that delayed excitotoxic neuron death is associated with a recovery of mitochondrial membrane potential after excitotoxin exposure (Ankarcrona et al., 1995). We were therefore interested to determine the uptake of R-123, a voltage-sensitive probe that is widely used to detect changes in mitochondrial membrane potential, during and after the 5 min NMDA exposure. In cultures exposed to NMDA for 5 min, we observed a tendency toward a decrease in neuronal R-123 fluorescence ratios, which, however, did not reach the level of statistical significance (Student's t test: p = 0.231; Mann-Whitney U test: p = 0.712; n = 110 NMDA-exposed and n = 129 sham-exposed neurons in three separate experiments per treatment), suggesting that mitochondrial depolarization was absent or below the level of detection (Fig. 3). Moreover R-123 fluorescence ratios 2 hr after exposure to NMDA were indistinguishable from that of sham-exposed controls. However, a significant decline in the R-123 fluorescence ratio was observed 6 hr after the NMDA exposure, suggesting a delayed mitochondrial depolarization.



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  		Figure 3.   Mitochondrial potential changes during and after brief NMDA exposure. Live confocal microscopy imaging of R-123 uptake was performed in hippocampal neurons after a 5 min exposure to NMDA (300 µM) or Mg2+-free HBS (Sham), as well as 2 or 6 hr after the respective exposure. a, Histograms showing the average R-123 fluorescence ratio between the soma and the nucleus. Note that 6 hr after exposure to NMDA, neurons had a significantly lower ratio then in all other experimental configurations. Data are means ± SEM from n = 25-136 neurons and n = 3 separate experiments per treatment. Difference between respective NMDA- and sham-exposed cells: *p < 0.05. n.s., Not statistically significant. b, Top row, Confocal R-123 fluorescence images; bottom row, bright-field (BF) images. Images demonstrate different hippocampal neurons after sham exposure, 2 hr after, or 6 hr after a 5 min NMDA exposure. The sham and the 2 hr NMDA experiment show neurons with a clear fluorescence signal in the soma and almost none in the nucleus region; however, the 6 hr NMDA experiment shows a decrease in the cytoplasmic R-123 fluorescence, as well as an increased fluorescence in the nuclei, leading to an almost equally distributed R-123 dye. Scale bar, 10 µm.

Glutamate receptor overactivation induces mitochondrial cytochrome c release

Delayed excitotoxicity associated with a recovery of mitochondrial energetics has been suggested to exhibit features of apopototic cell death (Ankarcrona et al., 1995). Mitochondrial cytochrome c release is an important upstream trigger to activate apoptosis (Liu et al., 1996; Li et al., 1997) and in some systems is accompanied by mitochondrial depolarization (Kroemer et al., 1998; but see Bossy-Wetzel et al., 1998; Krohn et al., 1998, 1999). Therefore, we investigated changes in cytochrome c distribution after a 5 min NMDA exposure by immunofluorescence microscopy using a monoclonal antibody specific for native cytochrome c. In sham-exposed controls, cytochrome c immunoreactivity was distributed in the cytoplasm in a rod-like pattern that excluded the nucleus (Fig. 4). In cells exposed for 5 min to NMDA, a delayed loss of mitochondrial cytochrome c immunofluorescence occurred. Cytochrome c immunoreactivity was largely intact 2 hr after the NMDA exposure and colocalized with the potential-insensitive mitochondrial marker, Mitotracker Green FM. By 8 hr, in contrast, the majority of the hippocampal neurons showed decreased, diffuse cytochrome c immunofluorescence. In these cells, mitochondria could still be labeled with Mitotracker Green FM or by double-staining with an antibody against the mitochondrial matrix protein SOD-2. Quantification of cells that remained positive for mitochondrial markers and excluded trypan-blue revealed that cytochrome c loss occurred in 54.2 ± 2.7% of the hippocampal neurons, compared with 4.9 ± 0.4% in sham-exposed controls and 7.9 ± 0.2% in cultures 2 hr after the NMDA exposure (data from three separate experiments per treatment).



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  		Figure 4.   Loss of mitochondrial cytochrome c after glutamate receptor overactivation. a-c, Control culture 8 hr after sham exposure showing a punctate or rod-like cytochrome c immunofluorescence pattern that overlaps with Mitotracker Green FM fluorescence. d-f, Hippocampal neurons 2 hr after NMDA exposure (300 µM, 5 min). Note that cytochrome c immunofluorescence was largely intact and colocalized with Mitotracker Green. g-i, Eight hours after the NMDA exposure, hippocampal neurons lost their cytochrome c immunofluorescence, whereas Mitotracker Green FM fluorescence was largely preserved. j-l, Control culture 8 hr after sham exposure showing overlap of cytochrome c and SOD-2 immunofluorescence. m-o, Culture exposed to 300 µM NMDA for 5 min and fixed after 8 hr. Note a decreased and diffuse cytochrome c staining pattern, whereas SOD-2 immunofluorescence remained intense and punctate. Scale bar, 25 µm.

Loss of cytochrome c is accompanied by a secondary increase in mitochondrial superoxide production

A pronounced loss of cytochrome c as seen after NMDA exposure could be associated with a disruption of the mitochondrial electron transport and accumulation of reducing equivalents in the respiratory chain. One potential consequence thereof is an increased formation of superoxide attributable to a shift from the normal four-electron reduction of molecular oxygen to an one-electron reduction (Boveris et al., 1976; Turrens and Boveris, 1980). We were therefore interested in quantifying superoxide production in the hippocampal neuron cultures after the mitochondrial release of cytochrome c. Under conditions of mitochondrial depolarization (Fig. 3), mitochondrially generated Et may be released into the cytoplasm, resulting in an artificial fluorescence enhancement (Castilho et al., 1999). We therefore quantified the amount of HEt oxidized to Et over a period of 30 min in cell lysates prepared at various time points after a 5 min NMDA exposure. In support of the above hypothesis, we observed a secondary burst in superoxide production that reached the level of statistical significance after 4 hr (Fig. 5a). The lysate method also detected the immediate increase in HEt oxidation occurring during and shortly after a 5 min NMDA exposure [25.4 ± 1.8 arbitrary fluorescence unit (AU)/µg protein in cultures exposed for 5 min to NMDA and allowed to recover for 25 min vs 14.0 ± 2.8 AU/µg protein in sham-exposed cultures; n = 4 cultures per treatment; p = 0.015]. After the 30 min NMDA exposure, superoxide production remained elevated at a constant level for up to 8 hr (Fig. 5b).



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  		Figure 5.   Delayed superoxide production in excitotoxic neuron death. Cultured rat hippocampal neurons were exposed to 300 µM NMDA for either 5 min (a) or 30 min (b). Sham-washed cultures were exposed to Mg2+-free HBS. At the indicated time points after the exposure, cultures were treated with HEt (10 µg/ml) for 30 min at 37°C. Afterward, cells were homogenized with lysis buffer, and Et fluorescence of cellular extracts was quantified using a fluorescence microplate reader. Et fluorescence data are normalized for protein content. Data are means ± SEM from n = 6-8 cultures. Different from sham-exposed controls: *p < 0.05. The experiment was performed in triplicate (a) or duplicate (b) and yielded comparable results.

To verify our finding of the delayed increase in superoxide production with a different assay, we used a DAB/Mn cytochemical method to detect intracellular superoxide formation (Fig. 6). Cultures were exposed to Mg2+-free HBS (sham) or NMDA for 5 min and analyzed after 6 hr. A 5 min exposure to NMDA increased the percentage of positively stained neurons significantly. A treatment with the complex I inhibitor rotenone (2 µM) in combination with oligomycin (2 µM) to inhibit reversal of the mitochondrial ATP synthase (Budd and Nicholls, 1996a,b; Sengpiel et al., 1998) significantly decreased the delayed superoxide production, suggesting that the origin of the superoxide was mainly mitochondrial (Fig. 6).



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  		Figure 6.   Cytochemical detection of superoxide production in cultured rat hippocampal neurons after glutamate receptor overactivation. Cultured rat hippocampal neurons were exposed for 5 min to NMDA (300 µM) or Mg2+-free HBS (Sham), washed, and returned to the original culture medium. After 6 hr, the culture medium was replaced by HBS supplemented with 2.5 mM DAB, 0.5 mM MnCl2, 1 mM NaN3, 1 µM of the NMDA antagonist dizocilpine and mitochondrial respiratory chain inhibitors rotenone (2 µM) plus oligomycin (2 µM) (R/O), antimycin A (10 µM) (AA), or vehicle (Veh). As a negative control, the reaction was performed in the absence of MnCl2 (-Mn). Cultures were incubated for 60 min at 37°C, fixed, and analyzed for positive staining. a-d, Bright-field images of hippocampal neuron cultures 6 hr after sham exposure or NMDA exposure and treatment with or without antimycin A. Arrows indicate neurons with cytoplasmic precipitates. Scale bar, 50 µm. e, Quantification of Mn/DAB staining. Data are means ± SEM from six cultures in two separate experiments. *p < 0.05: difference between sham- and NMDA-exposed cultures; # p < 0.05: different from sham-exposed cultures. dagger  p < 0.05: different from NMDA-exposed cultures (ANOVA and Tukey's test; p < 0.05).

Disruption of electron flow at the level of complex III increases superoxide production

We then addressed the question of whether loss of cytochrome c could be functionally related to the secondary increase in superoxide production. Cytochrome c shuttles electrons between complexes III and IV of the mitochondrial respiratory chain. Treatment with the mitochondrial complex III inhibitor antimycin A (10 µM) also increased superoxide production in the hippocampal neurons shown by the DAB/Mn cytochemical assay (Fig. 6). An increased superoxide production after an exposure to antimycin A was also detected by quantifying HEt oxidation in individual hippocampal neurons (Fig. 7a).



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  		Figure 7.   Antimycin A- and paraquat-induced superoxide production after exposure to NMDA. Cultured rat hippocampal neurons were exposed to 300 µM NMDA or Mg2+-free HBS (Sham) for 5 min, washed, and returned to the original culture medium. After 8 hr, cultures were incubated at 37°C in HBS supplemented with 2 µg/ml HEt plus 1 µM dizocilpine, and 10 µM antimycin A (a), 100 µM paraquat (b), or vehicle. Et production of individual hippocampal neurons was quantified by fluorescence microscopy. Data are means ± SEM from n = 174-373 neurons in two separate experiments per treatment. *p < 0.05: Different from sham-exposed controls; # p < 0.05: different from NMDA-exposed controls; dagger  p < 0.05: different from respective drug-treated control. n.s., Not statistically significant. A.U., Arbitrary fluorescence units.

If electron flow was already inhibited at the level of complex III by a treatment with antimycin A, the NMDA-induced loss of cytochrome c should fail to stimulate a further increase in superoxide production. In fact, quantification of HEt oxidation demonstrated that NMDA failed to stimulate a secondary increase in superoxide production in cultures treated with antimycin A (Fig. 7a). In contrast, NMDA was able to stimulate a secondary increase in superoxide production in cultures treated with paraquat (100 µM), a redox cycling agent that increases superoxide independently of the activity of the mitochondrial respiratory chain (Smith et al., 1978) (Fig. 7b).

Cytochrome c release upstream of mitochondrial superoxide production

To establish whether superoxide production occurs upstream or downstream of mitochondrial cytochrome c release, we performed experiments in D283 cells lacking a functional respiratory chain (rho - cells). As shown in Figure 8a, rho - cells lacked expression of the mtDNA-encoded cytochrome oxidase subunit I. In contrast, expression of nuclear encoded proteins, including the anti-apoptotic protein Bcl-xl and the cytoskeletal protein alpha -tubulin, remained unchanged. Because D283 cells have no functional glutamate receptors, cytochrome c release was induced by an exposure to the apoptosis-inducing agent staurosporine. D283 rho - cells showed resistance to the toxic effect of the complex I inhibitor rotenone but were killed by staurosporine as readily as D283 control cells (Figs. 8b,c). Confocal laser scanning microscopy revealed that both control and rho - cells released cytochrome c from mitochondria after treatment with 3 µM staurosporine, resulting in a diffuse cytochrome c immunofluorescence and a redistribution of the immunofluorescence into the nucleus (Fig. 8d). Because release of cytochrome c triggers the activation of caspases, we determined caspase-3-like protease activity in cell lysates of control and rho - cells after the exposure to staurosporine. This treatment caused a significant increase in cleavage of the fluorigenic substrate Ac-DEVD-AMC in both cell types (Fig. 8e). However, an increased production of superoxide was observed only in control cells (Fig. 8f).



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  		Figure 8.   Cytochrome c release, caspase activation, and superoxide production in medulloblastoma D283 control and rho - cells. a, Western blot analysis showing reduced expression of cytochrome oxidase subunit I in rho - cells, whereas expression of Bcl-xl and alpha -tubulin remains unchanged. b, Rotenone is toxic to control cells, whereas rho - cells are resistant. Cells were incubated with rotenone, and cell viability was determined after 24 hr. Data are means ± SEM from n = 8 cultures per treatment. c, D283 control and rho - cells are equally sensitive to the apoptosis-inducing agent staurosporine. Cultures were exposed to staurosporine for 24 hr. Data are means ± SEM from n = 8 cultures per treatment. d, Cytochrome c release in D283 control and rho - cells detected 6 hr (Con) and 8 hr (rho -) after exposure to 3 µM staurosporine by immunofluorescence analysis and confocal laser scanning microscopy. Note the diffuse staining pattern in either cell type. Scale bar, 25 µm. e, Caspase-3-like protease activity increases in both D283 control and rho - cells. Cytosolic extracts were prepared 6 hr (Con) and 8 hr (rho -) after the exposure to staurosporine. Cleavage of fluorigenic Ac-DEVD-AMC was monitored over 1 hr using a fluorescent plate reader. Data are means ± SEM from n = 8 cultures per treatment. f, Superoxide production in D283 control and rho - cells. Cultures were exposed to 3 µM staurosporine for 6 hr (Con) and 8 hr (rho -) and treated with HEt (10 µg/ml) for the last 30 min of the exposure. Afterward, cells were homogenized with lysis buffer, and Et fluorescence of cellular extracts was quantified using a fluorescence microplate reader. Data are means ± SEM from n = 15 and 16 cultures, respectively. Different from respective vehicle-treated cultures: *p < 0.05.

Delayed administration of a SOD mimetic rescues neurons from excitotoxic neuron death

Finally, we investigated the importance of the delayed superoxide production for excitotoxic neuron death by determining the effect of a post-treatment with the SOD mimetic MnTBP. Treatment with MnTBP 2 hr after termination of the 5 min NMDA exposure (after the first increase in superoxide production, but before the secondary increase) conferred a similar degree of protection as achieved with the 1 hr pretreatment (Fig. 9; compare with Fig. 1). In contrast, MnTBP exerted no effect when administered 2 hr after a 30 min NMDA exposure (Fig. 9).



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  		Figure 9.   Post-treatment with the SOD mimetic MnTBP rescues hippocampal neurons from excitotoxic cell death. Cultured rat hippocampal neurons were exposed for 5 or 30 min to NMDA (300 µM) or Mg2+-free HBS (Sham), washed, and returned to the original culture medium. Two hours after the exposure, cultures received 100 µM MnTBP (MnT) or vehicle (Veh). After 22 hr, cell death was quantified by trypan-blue exclusion. Data are means ± SEM from n = 8-12 cultures in two to three separate experiments per treatment. Different from respective 5 min NMDA-exposed controls: *p < 0.05. n.s., Not statistically significant.

Interestingly, post-treatment of the hippocampal neuron cultures with the mitochondrial Ca2+ uptake inhibitor ruthenium red (25 µM) 2 hr after termination of the 5 min NMDA exposure was also able to reduce excitotoxic neuron death (19.9 ± 3.1% cell death in ruthenium red-treated, NMDA-exposed cultures vs 35.3 ± 2.4% cell death in NMDA-exposed cultures; p < 0.05; n = 4 cultures per treatment), supporting the concept of delayed mitochondrial dysfunction.


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

In the present study, we demonstrate that a brief exposure of cultured rat hippocampal neurons to the glutamate receptor agonist NMDA induced a delayed excitotoxic neuron death associated with a biphasic increase in superoxide production. The initial increase occurs during and shortly after the NMDA exposure. Cellular Ca2+ overloading and subsequent production of superoxide via the mitochondrial respiratory chain have been shown to cause this immediate increase (Dugan et al., 1995; Reynolds and Hastings, 1995; Bindokas et al., 1996; Sengpiel et al., 1998). The initial superoxide production rapidly returns to baseline levels after wash-out of NMDA, and mitochondria remain polarized (Figs. 2, 3). However, recovery of mitochondria is transient and subsequently followed by a delayed mitochondrial depolarization, release of cytochrome c, and a secondary rise in superoxide production (Figs. 3-5).

Mitochondrial Ca2+ overloading could be the key process to trigger both the immediate, potentially reversible, and the delayed mitochondrial dysfunction. Inhibition of mitochondrial Ca2+ uptake by mitochondrial depolarization during or shortly after glutamate receptor overactivation is able to prevent mitochondrial Ca2+ overloading and excitotoxic neuron death (Budd and Nicholls, 1996b; Castilho et al., 1998; Sengpiel et al., 1998; Stout et al., 1998). Peng and coworkers (1998) have recently demonstrated a prolonged mitochondrial Ca2+ overloading persisting after NMDA receptor overactivation in cultured striatal neurons. It is conceivable that this prolonged mitochondrial Ca2+ overloading induces a disturbance of mitochondrial functions that worsens over time, leading to mitochondrial depolarization and cytochrome c release. Alternatively, it is possible that mitochondria receive a second challenge once the excitotoxic cascade is activated. Lipid peroxidation, activation of proteases and lipases, or mitochondrial-independent generation of ROS may trigger a delayed dysfunction (Siman et al., 1989; Dawson et al., 1991; Choi, 1994). The role of delayed mitochondrial Ca2+ accumulation was supported in the present study by the protective effect of the mitochondrial Ca2+ uptake inhibitor ruthenium red administered 2 hr after the NMDA exposure. This protective effect appears to be equally or even more potent than those of NMDA antagonists or voltage-sensitive Ca2+ channel blockers when administered after excitotoxin exposure (Hartley and Choi, 1989; Prehn et al., 1995).

NMDA-induced mitochondrial Ca2+ uptake may result in increased permeability of the outer mitochondrial membrane and subsequent loss of the pro-apoptotic factor cytochrome c (Fig. 4). Ca2+-induced cytochrome c release may involve the opening of the mitochondrial permeability transition pore or pore-independent pathways (Andreyev and Fiskum, 1999; He et al., 2000). Although many studies have focused on the role of cytochrome c release to activate the caspase cascade (Liu et al., 1996; Li et al., 1997), loss of cytochrome c may also affect mitochondrial respiration and free radical production. Cytochrome c transports electrons between mitochondrial complexes III and IV. A disruption of the mitochondrial electron flow caused by a significant loss of cytochrome c will maintain complex I and the ubiquinone at complex II in the reduced state. This condition has previously been shown to favor one-electron reduction of molecular oxygen, presumably because of an autooxidation of complex I and ubiquinone (Boveris et al., 1976; Turrens and Boveris, 1980). This is a potential mechanism for the well known effect of complex III and IV inhibitors to increase the mitochondrial production of superoxide (Figs. 6, 7). In fact, inhibition of mitochondrial electron transfer at the level of complex I (under conditions that inhibit reversal of the mitochondrial ATP synthase) significantly reduced the secondary increase in superoxide production after NMDA exposure (Fig. 6).

Interestingly, cytochrome c release and superoxide production also occur at similar time points in the death cascade during trophic factor withdrawal- or staurosporine-induced neuronal apoptosis (Greenlund et al., 1995; Deshmukh and Johnson, 1998; Krohn et al., 1998, 1999; Martinou et al., 1999). Inhibition of mitochondrial electron flow and increased mitochondrial superoxide production secondary to cytochrome c release have been observed during Fas- and staurosporine-mediated apoptosis of Jurkat and HL60 cells (Krippner et al., 1996; Cai and Jones, 1998). In support of these data, NMDA failed to stimulate a secondary increase in superoxide production when electron flow through complex III was already inhibited by antimycin A (Fig. 7). Moreover, in a neural cell line deficient in mitochondrial respiration (medulloblastoma D283 rho - cells), cytochrome c release and activation of apoptosis were preserved, whereas an increased superoxide production could not be detected (Fig. 8) (also see Jiang et al., 1999). Therefore, cytochrome c release occurs upstream of mitochondria-derived ROS production.

It should also be noted that previous studies have found little evidence for a prominent activation of executioner caspases after glutamate receptor overactivation (Armstrong et al., 1997; Yu et al., 1999; Lankiewicz et al., 2000). The discrepancy between mitochondrial cytochrome c release and the lack of activation of executioner caspases in our model of excitotoxic neuron death has been shown to be attributable to Ca2+- and calpain-dependent suppression of the caspase cascade (Lankiewicz et al., 2000). On the other hand, the protective effect of post-treatment with the SOD mimetic MnTBP demonstrated that the secondary production of superoxide played an important role in the execution of excitotoxic neuron death (Fig. 9). Assuming that the delayed production of superoxide is caused by mitochondrial cytochrome c release (see Discussion above), loss of cytochrome c may induce cell death independent of caspases. Likewise, in several models of neuronal apoptosis, inhibition of executioner caspases is able to reduce the biochemical and morphological signs of apoptosis but does not necessarily inhibit cell death (Stefanis et al., 1996; Taylor et al., 1997; Krohn et al., 1998). On the other hand, inhibition of superoxide production has been shown to protect against neuronal apoptosis (Greenlund et al., 1995; Jordan et al., 1995; Schulz et al., 1996; Krohn et al., 1998). Therefore, delayed mitochondrial superoxide production may significantly contribute to neuron death in excitotoxicity and apoptosis.


    FOOTNOTES

Received Feb. 22, 2000; revised May 4, 2000; accepted May 9, 2000.

This work was supported by Interdisciplinary Center for Clinical Research (IZKF), Universität Münster (Bundesministerium für Bildung, Wissenschaft, Forschung und Technologie Grant 01 KS 9604/0) and DFG (Pr 338/9-1 and Forschergruppe "Neuroprotektion"). We thank Christiane Schettler for technical assistance.

C.M.L. and N.T.B. contributed equally to this work.

Correspondence should be addressed to Dr. Jochen H. M. Prehn, Interdisciplinary Center for Clinical Research (IZKF), Research Group "Apoptosis and Cell Death," Faculty of Medicine, Westphalian Wilhelms-University, Röntgenstrasse 21, D-48149 Münster, Germany. E-mail: prehn{at}uni-muenster.de.


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