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The Journal of Neuroscience, September 15, 2000, 20(18):6879-6887

Fas Receptor and Neuronal Cell Death after Spinal Cord Ischemia

Kohji Matsushita1, Yongqin Wu1, Jianhua Qiu1, Loic Lang-Lazdunski1, Lorenz Hirt1, Christian Waeber1, Bradley T. Hyman2, Junying Yuan3, and Michael A. Moskowitz1

1 Neuroscience Center and 2 Alzheimer's Disease Research Unit, Massachusetts General Hospital, Harvard Medical School, and 3 Department of Cell Biology, Harvard Medical School, Boston, Massachusetts 02129


    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Cell death from spinal cord injury is mediated in part by apoptotic mechanisms involving downstream caspases (e.g., caspase-3). Upstream mechanisms may involve other caspases such as procaspase-8, a 55 kDa apical caspase, which we found constitutively expressed within spinal cord neurons along with Fas. As early as 1.5 hr after transient ischemia, activated caspase-8 (p18) and caspase-8 mRNA appeared within neurons in intermediate gray matter and in medial ventral horn. We also detected evidence for an increase in death receptor complex by co-immunoprecipitation using Fas and anti-procaspase-8 after ischemia. At early time points, Fas and p18 were co-expressed within individual neurons, as were activated caspase-8 and caspase-3. Moreover, we detected p18 in cells before procaspase-3 cleavage product (p20), suggesting sequential activation. The appearance of cytosolic cytochrome c and gelsolin cleavage after ischemia was consistent with mitochondrial release and caspase-3 activation, respectively. Numerous terminal deoxynucleotidyl transferase-mediated DNA nick end-labeling-positive neurons contained p18 or p20 (65 and 80%, respectively), thereby supporting the idea that cells undergoing cell death contain both processed caspases. Our data are consistent with the idea that transient spinal cord ischemia induces the formation of a death-inducing signaling complex, which may participate in caspase-8 activation and sequential caspase-3 cleavage. Death receptors as well as downstream caspases may be useful therapeutic targets for limiting the death of cells in spinal cord.

Key words: caspase-8; caspase-3; spinal cord ischemia; Fas; DISC; cell death


    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Spinal cord injury after trauma or cerebral ischemia is a major cause of morbidity and mortality (Kouchoukos, 1991; Von Oppel et al., 1994; Cheshire et al., 1996). Many injured cells die by a necrotic mechanism characterized by disruption of nuclear and cell membranes and disintegration of cytoplasmic organelles (Garcia et al., 1995). Some cells die by a mechanism resembling apoptosis, as evidenced by caspase activation (Hara et al., 1997; Endres et al., 1998; Namura et al., 1998; Springer et al., 1999).

Caspases are important mediators of ischemic cell death. Procaspase-8 [Fas-associated death domain protein (FADD)-like interleukin-1beta converting enzyme or MORT1-associated CED-3 homolog] is a 55 kDa initiator caspase (Boldin et al., 1996; Fernandes-Alnemri et al., 1996; Muzio et al., 1996). Procaspase-8 can process itself after ligation of the Fas-tumor necrosis factor family of death receptors (Kischkel et al., 1995; Los et al., 1995; Medema et al., 1997). Fas, a 45 kDa membrane receptor, forms a death-inducing signaling complex (DISC) with an adaptor protein, FADD, and procaspase-8 (Nagata and Goldstein, 1995; Nagata, 1997). Active caspase-8 initiates downstream cleavage of caspase-3 by direct or mitochondrial-dependent mechanisms via BH3 interacting death domain agonist cleavage, leading to apoptosis (Kuwana et al., 1998; Stennicke et al., 1998). In addition, activated caspase-3 may cleave procaspase-8 (Slee et al., 1999; Woo et al., 1999), thereby amplifying the death process.

Procaspase-3 is a 32 kDa protein constitutively expressed within brain (Namura et al., 1998) and spinal cord (Hayashi et al., 1998). On activation, caspase-3 cleaves >40 different substrate proteins,

including cytoskeletal proteins, repair enzymes, protein kinases, and transcription factors (Stroh and Schulze-Osthoff, 1998). Inhibition of caspase-3 activation blocks apoptotic cell death within the ischemic CNS (Hara et al., 1997; Chen et al., 1998; Endres et al., 1998) or during embryological development (Kuida et al., 1996; Srinivasan et al., 1998). Procaspase-3 can be activated by at least two mechanisms, which involve cleavage by the active form of caspase-8 (Srinivasula et al., 1996; Scaffidi et al., 1998).

To explore the potential importance of apoptotic cell death in spinal cord, we developed a mouse model of spinal cord ischemia involving transient clamping of the left subclavian artery, aorta, and left internal mammary artery for 11 min followed by recirculation (Lang-Lazdunski et al., 2000). In this model, blood flow decreases in superficial distal spinal cord to <30% of baseline and recovers to baseline after reperfusion. The spinal cord lesion extends from T8 to L5 with little evidence of white matter injury at 5 d. More than 80% of animals develop sustained paraplegia.

We used this newly developed mouse model to examine caspases and related upstream mechanisms of potential importance to ischemic spinal cord injury. We demonstrate for the first time in vivo the co-existence of activated caspases within single cells undergoing cell death and evidence favoring assembly of a death-receptor complex under neuropathological conditions.


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

Ischemic models. Animal care and experimental protocols complied with The Principles of Laboratory Animal Care (Guide for the Care and Use of Laboratory Animals, National Institutes of Health publication 86-23). The operative procedures to produce transient spinal cord ischemia were performed using a previously described method (Lang-Lazdunski et al., 2000). Briefly, C57BL6 mice (male and female, 18-23 gm; Charles River, Wilmington, MA) were anesthetized with 3% halothane and maintained on 1-1.5% halothane in 100% O2 using a Fluotec 3 vaporizer (Colonial Medical, Amherst, NH). The operative field was exposed by a cervicothoracic incision followed by thoracotomy along the left sternal border. A clip was first placed on the left internal mammary artery. The exposed aortic arch and left subclavian artery were then gently isolated and cross-clamped between the left common carotid artery and the left subclavian artery and next at the origin of the left subclavian artery for 11 min followed by reperfusion. Core body temperature was monitored using a rectal probe and maintained at 36.5°C by a heating pad (FHC, Brunswick, ME). Subsequently, the animals were kept warm in a 31°C incubator. Only animals showing paraplegia were selected for study (n = 121 of 145). Mice were killed at 1, 1.5, 3, 6, 12, 18, and 24 hr. Unless otherwise indicated, at least five animals were used per data point.

Physiology. In a subgroup of animals, we monitored physiological parameters as described elsewhere (Lang-Lazdunski et al., 2000). Briefly, the left femoral artery was cannulated for arterial blood pressure and blood gas measurement. Arterial blood samples (40 µl) were analyzed for pH, arterial oxygen pressure (PaO2), arterial pressure of carbon dioxide (PaCO2), and base excess using a Ciba-Corning Diagnostics (Medfield, MA) 178 PH blood gas analyzer before thoracotomy and 10 min after reperfusion.

Immunoblotting. Protein samples were extracted from the ischemia zone (T8-L5). Excised tissue was immediately frozen and crushed into powder in liquid N2 and gently homogenized on ice using buffer A [10 mM HEPES buffer, pH 7.6, 42 mM KCl, 5 mM MgCl2, 1% SDS, 1 mM phenylmethylsulfonylfluoride (PMSF), 1 mM EDTA, 1 mM EGTA, 1 mM dithiothreitol, 1.5 µM pepstatin, 2 µM leupeptin, and 0.7 µM aprotinin]. The solution was then centrifuged at 20,800 × g for 30 min at 4°C.

Cytoplasmic and membrane fractions were isolated from fresh tissue as described by Bossy-Wetzel et al. (1998) with minor modifications. Briefly, fresh spinal cord tissue was homogenized in a glass Dounce homogenizer and a B pestle with buffer B (220 mM mannitol, 68 mM sucrose, 50 mM piperazine-N',N'-bis(ethanesulfonic acid)-KOH, pH 7.4, 50 mM KC1, 2 mM MgCl2, 5 mM EGTA, 1.5 µM pepstatin, 1.5 µm leupeptin, and 1 mM PMSF; 10 strokes). Homogenates were then spun at 16,000 × g for 15 min at 4°C. The supernatant (cytoplasmic fraction) was collected with a Pasteur pipette, and the pellet (membrane fraction) was further homogenized on ice using buffer A. The protein content of the different supernatants was assayed (Bio-Rad Laboratories, Hercules, CA). Ten micrograms of total protein or 2-10 µg of cytoplasmic and membrane proteins were subjected to SDS-PAGE and then transferred to a polyvinylidene fluoride membrane (Immobilon-P; Millipore, Bedford, MA). Five percent nonfat milk in TBS/T (10 mM Tris, pH 8, 150 mM NaCl, and 0.05% Tween 20) was used to reduce nonspecific binding. The blot was probed with polyclonal antisera raised in rabbits, directly against procaspase-8 (SK441, 1:1000), active form of caspase-8 (SK439, 1:1000), affinity-purified rabbit polyclonal antibody against Fas (1:500; Santa Cruz Biotechnology, Santa Cruz, CA), antisera against gelsolin (1:10,000; Kothakota et al., 1997), or monoclonal antibodies against cytochrome c (1:750, 7H8.2C12; PharMingen, San Diego, CA) or cytochrome oxidase subunit I (1 µg/ml, ID6-E1-A8; Molecular Probes, Eugene, OR) at 4°C overnight. Membranes were then washed with TBS/T three times and then exposed to horseradish peroxidase-conjugated anti-rabbit or anti-mouse IgG for 1 hr at 25°C. Proteins of interest were detected using the enhanced chemiluminescence (ECL) Western blotting detection system kit (Amersham Pharmacia Biotech, Arlington Heights, IL). The blots were exposed to Hyperfilm (ECL; Amersham, Oakville, Ontario, Canada). In each blot, alpha -tubulin was used as an internal standard.

Densitometry was performed on all gels. The relative density of bands was analyzed by an M4 imaging system (Imaging Research, Inc., St. Catherines, Ontario, Canada). Differences in band density were analyzed by paired Student's t test. p < 5% was considered significant.

To confirm antiserum specificity, primary antisera (SK441 and SK439) were preadsorbed with full-length (4 µg/ml) or fully cleaved human caspase-8 protein (8 µg/ml) at 4°C overnight, respectively.

Immunoprecipitation. To study whether ischemia or the addition of anti-CD95 antibody to Jurkat cells increased formation of a Fas death-receptor complex as reported previously, C57BL6 mice were subjected to 11 min of spinal cord ischemia and killed at 3, 6, 12, and 24 hr after reperfusion. Jurkat cells (American Type Culture Collection, Mannasas, VA) were maintained in RPMI 1640 medium supplemented with 10% fetal bovine serum, 100 U/ml penicillin, and 100 µg/ml streptomycin. These cells were treated with 100 ng/ml Fas (anti-human CD95 antibody; PharMingen) for 1, 2, and 3 hr. Both tissues and cells were placed in lysis buffer (20 mM Tris-HCl, pH 7.5, 140 mM NaCl, 1% Triton X-100, 2 mM EDTA, l mM p-amidinophenyl methanesulfonyl fluoride hydrochloride, 50 mM NaF, 1 mM Na3VO4, 10 mg/µl aprotinin, and 10% glycerol), homogenized, and centrifuged. The supernatants (30 mg of protein) were precleared by incubation with protein G-agarose and normal rabbit IgG for 2 hr at 4°C. These samples were incubated with 2 µg of anti-Fas antibody (M-2; Santa Cruz) at 4°C overnight or by 2 µg of anti-caspase-8 antibody (H-134; Santa Cruz) and then incubated with protein G-agarose for 1 hr at 4°C. The immunoprecipitates were washed five times with radioimmunoprecipitation assay buffer (50 mM Tris-HCl, pH 7.5, 0.1% SDS, 0.5% deoxycorticosterone, 1% NP-40, and 62.5 mM NaC1) and subsequently solubilized in sample buffer.

The immunoprecipitates were separated by 8-16% SDS-PAGE and transferred to an Immobilon-P membrane. After blocking with 5% nonfat milk in TBS/T, the membrane was incubated with anti-procaspase-8 antibody (SK441, 1:1000) or by Fas antibody (see above) and then incubated with the appropriate horseradish peroxidase-conjugated secondary antibody. Detection of procaspase-8, Fas, or beta -actin was achieved using an ECL system (Amersham, Buckinghamshire, UK). Procaspase-8 was also determined in spinal cord homogenates by immunoblotting. The relative density of bands was analyzed by an M4 imaging system.

Immunohistochemistry. Spinal cord (T12-L2) plus attached bone and muscle were removed rapidly en bloc and quickly frozen in liquid N2 vapor. Ten-micrometer sections were cut on a cryostat (HM505E; Microm, Walldorf, Germany) and thaw-mounted onto precleaned glass slides and kept at -80°C until use. Thawed sections were dried completely and post-fixed in absolute ethanol at -20°C for 10 min. After several washes in 0.1 M PBS, the sections were incubated with 10% normal goat serum (NGS) containing 0.3% Triton X-100 for 1 hr at 25°C. Immunohistochemical staining for caspase-8, caspase-3, or Fas was performed using the following rabbit polyclonal antisera: SK441 (1:500), SK440 (recognizes caspase-8, p18, 1:500), SK398 (recognizes active form of caspase-3, p20, 1:500) (Velier et al., 1999), or purified rabbit polyclonal anti-Fas antibody (1:100; Santa Cruz). Antisera or antibody were diluted in 2% NGS, 0.3% Triton X-100, and 0.1% NaN3 in PBS and then incubated at 4°C for 72 hr. After three rinses in PBS, sections were incubated for 1 hr at 25°C with biotinylated goat anti-rabbit IgG (1:300; Vector Laboratories, Burlingame, CA). After washing, the sections were incubated with streptavidin-conjugated Cy3 or Cy2 (1:1000; Jackson ImmunoResearch, West Grove, PA) in PBS containing 1.5% NGS for 30 min at 25°C.

To identify the phenotype of cells containing the mature and active forms of caspase-8, active caspase-3, and Fas, the sections were then incubated with NeuN monoclonal antibody (1:300; Chemicon, Temecula, CA) as a neuronal marker or Cy3-conjugated mouse monoclonal glial fibrillary acidic protein (GFAP) antibody (1:300; Sigma, St. Louis, MO) at 4°C overnight. The sections stained by NeuN were visualized after incubation with Bodipy fluorescein-conjugated goat anti-mouse IgG secondary antibody (Bodipy FL, 1:200; Molecular Probes, Eugene, OR) for 1 hr at 25°C. After washing with PBS, sections were dehydrated in ascending ethanol series, immersed in xylene, and coverslipped with Permount (Fisher Scientific, Pittsburgh, PA). Alternating sections were subjected to preadsorption by incubating SK440, SK398, or Fas with fully cleaved human caspase-8 protein (5 µg/ml), caspase-3-specific peptide (glycine-isoleucine-glutamic acid-threonine-aspartic acid, 5 µg/ml), or Fas specific-peptide (20 µg/ml; Santa Cruz) at 4°C overnight. Immunoreactivity before and after preadsorption was then compared.

Double labeling of caspase-8 and Fas. To detect the colocalization of caspase-8 (pro and active forms) with Fas receptor protein in cells, we performed double staining using primary antisera to caspase-8 and purified Fas antibody. Biotinylated Fas antibody was generated using a FluoReporter Mini-Biotin-XX protein-labeling kit (F-6347; Molecular Probes). Sections were incubated with SK441 or SK440 as above, and signals were directly visualized with Cy3 FL-conjugated anti-rabbit IgG antibody. Sections were then incubated with biotinylated anti-Fas antibody at 4°C for 72 hr, followed by the incubation with Cy2 FL streptavidin-conjugated secondary antibody at 25°C for 30 min.

All sections above were analyzed on a Leica DMRB/Bio-Rad MRC 1024 confocal microscope with a krypton-argon laser. For Bodipy FL or Cy2, the excitation filter was 488 nm, and the emission filter was 522 nm. For Cy3, excitation and emission filters were 568 and 585 nm, respectively. For terminal deoxynucleotidyl transferase (TdT)-mediated DNA nick-end labeling (TUNEL) and Fas, procaspase-8, caspase-8 p18, and caspase-3 p20 histochemistry, positive cells were counted from at least three tissue sections taken from upper, mid, and lower levels (T12-L2) per animal.

In situ hybridization. Before in situ hybridization, sections were thawed, air-dried, and fixed by immersion in 4% paraformaldehyde in 0.1 M PBS for 20 min and then treated with 3 mg/ml proteinase K for 30 min at 25°C. Sections were blocked with 0.25% acetic anhydride (10 min at 25°C), 0.2 N HCl (20 min at 25°C), and 0.1 M triethanolamine (10 min at 25°C). After dehydration in alcohol and delipidation with 100% chloroform, the sections were air-dried. Digoxigenin (DIG)-labeled antisense and sense oligonucleotide probes to mouse caspase-8 were synthesized in a tailing reaction containing 1 µg of oligonucleotide, 50 U of terminal transferase, 5 mM CoCl2, and 0.2 mM DIG-dUTP (Boehringer Mannheim, Indianapolis, IN). Labeled probe concentrations were determined according to the manufacturer's instructions. The antisense oligonucleotide specific for mouse caspase-8 is 5'-CCACGAGATTCTAGAAGGCTACCAAAGCGC-3' (GenBank accession number AJ 000641; nucleotides 721-740). Probes were diluted in hybridization buffer [50% (v/v) formamide, 5× SSC (750 mM NaCl and 75 mM sodium citrate), 20% (v/v) blocking solution (Boehringer Mannheim, Indianapolis, IN), 0.1% (w/v) N-lauroylsarcosine, and 0.02% (w/v) SDS] to achieve a final concentration of 25 fmol/ml. Prehybridization was performed at 45°C for 2 hr, and then hybridization with the probe was conducted at 45°C overnight in a humidified chamber with 50% formamide. Posthybridization washes were performed in decreasing salt concentrations (2, 1, and, 0.25× SSC) twice for 15 min for each at 37°C. The probe was detected by anti-DIG alkaline phosphatase (Boehringer Mannheim) and visualized by nitro-blue tetrazolium/5-bromo-4-chloro-3-indolyl-phosphate (Boehringer Mannheim) per the manufacturer's instructions. The specificity of in situ hybridization was determined by antisense and sense probes on adjacent sections. No staining was observed when either probe or anti-DIG antibody was omitted or when sections were pretreated with RNase.

Reverse transcription-PCR. Total RNA was isolated from normal or ischemic spinal cord reperfused for 1, 3, 6, 12, 18, and 24 hr by using TRIzol reagent (Life Technologies, Rockville, MD). One microgram of total RNA was treated with 1 U of amplification grade DNase I (Life Technologies) to eliminate residual genomic DNA and then was reverse transcribed into first-strand cDNA using oligo-dT primer and 200 U of Superscript II reverse transcriptase (Life Technologies). By using first-strand cDNA as a template, the specific primers for caspase-8 and the beta -actin housekeeping gene were subjected to PCR amplification. The number of cycles and reaction temperature conditions (below) were optimized to provide a linear relationship between the amount of input template and the amount of PCR product. Primers for mouse caspase-8 were 5'-GGCATCTGCTTTCCCTTGTTC-3' and 5'-ATCTTACGACGACTGCACTGC-3' (Sakamaki et al., 1998). cDNA was amplified for 30 cycles, consisting of 94°C for 30 sec, 60°C for 45 sec, and 72°C for 1 min. Primers for mouse beta -actin were 5'-GACCTGACAGACTACCTCAT-3' and 5'-AGACAGCACTGTGTTGGCTA-3', and the condition was 95°C for 1 min, 55°C for 1 min, and 72°C for 1 min, 25 cycles. PCR was performed in The DNA Engine (Peltier thermal cycle, model PTC-200; MJ Research, Watertown, MA). After amplification, 10 µl products were subjected to a 1% agarose gel and visualized by ethidium bromide staining. The relative density of bands was analyzed by the M4 imaging system.

TUNEL staining. To confirm the presence of cell death by an apoptotic-like mechanism TUNEL staining was performed according to the method of Gavrieli et al. (1992) with minor modifications. Briefly, after staining with primary and secondary antisera, sections were incubated with TdT buffer (30 mM Tris, pH 7.2, 140 mM sodium cacodylate, and 1 mM cobalt chloride) containing TdT enzyme (0.5 U/ml; Boehringer Mannheim, Indianapolis, IN) and biotin-16-dUTP (0.04 mM; Boehringer Mannheim) for 1 hr at 37°C. The reaction was terminated by incubating with 300 mM NaCl and 30 mM sodium citrate for 15 min at 25°C. After washing with 50 mM Tris-HCl, pH 7.7, sections were incubated with streptavidin-conjugated Cy3 in PBS containing 1.5% NGS for 30 min at 25°C. After three washes in Tris-HCl, pH 7.7, the sections were dehydrated in ascending ethanol series. After immersion in xylene, the sections were coverslipped in Permount.

DNA laddering. DNA was isolated using a QIAamp tissue kit (Qiagen, Valencia, CA). DNA concentration was determined by measuring its absorbance at 260 nm. DNA damage was assessed by a radioactive end-labeled method by terminal transferase (Tilly and Hsueh, 1993) with minor modifications (Endres et al., 1998). The DNA samples were labeled together with [alpha -32P]dideoxy-ATP (25 µCi; Amersham, Oakville, Ontario, Canada) and 25 U of terminal transferase (Boehringer Mannheim) in a final volume of 50 µl. The reaction was stopped by addition of 5 µl of 0.25 M EDTA, pH 8.0. Labeled DNA was separated from unincorporated radionucleotide by adding a 0.2× volume of 10 M ammonium acetate and a 3× volume of ice-cold 100% ethanol and incubating at -80°C for 60 min. The DNA was pelleted by centrifugation at 15,000 × g at 4°C for 30 min, washed with 80% ethanol, and allowed to air dry for 10 min with tubes inverted. The pellets were resuspended in 20 µl of Tris-EDTA buffer, pH 8.0. Three micrograms of the labeled DNA were electrophoresed on a 2% agarose gel (agarose 3:1; Amersco, Solon, OH) at 50 V for 3.5 hr, with 200 bp DNA fragments (Invitrogen, Carlsbad, CA) as markers. The agarose gels were placed on several sheets of Whatman (Madistone, UK) 3MM chromatography paper and dried in a slab gel dryer (model 224; Bio-Rad, Rockville Centre, NY) for 1 hr without heat. Dried gels were sealed in a plastic bag and exposed to Eastman Kodak (Rochester, NY) X-Omat films at 25°C for 6 hr. The experiment was repeated three times.


    RESULTS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Physiology

Separate animals (n = 5) were used to determine physiological variables during spinal cord ischemia. Baseline mean femoral artery blood pressure before and after thoracotomy was 70.9 ± 3.3 and 53.7 ± 3.9 mmHg (mean ± SD), respectively. During ischemia mean femoral artery blood pressure dropped to 10.0 ± 1.8 mmHg and recovered after reperfusion. The values for arterial pHa, PaCo2, PaO2 and base excess before versus after ischemia were 7.32 ± 0.03 versus 7.26 ± 0.08 (paired t test, p > 0.05), 47.3 ± 2.3 versus 31.3 ± 6.5 mmHg (p < 0.05), 477.9 ± 32.5 versus 239.5 ± 127.7 mmHg (p < 0.05), and -2.8 ± 1.9 versus -11.9 ± 2.3 (p < 0.05), respectively.

Histopathology

Three to six hours after reperfusion, eosinophilic staining appeared in the cytoplasm of medium- and small-sized neurons within intermediate and dorsal horn and in some large neurons within ventral horn (Fig. 1A,B). Over 12-24 hr the number of red neurons increased throughout gray matter (Fig. 1C,D), although laminae I and II of dorsal horn were relatively spared. White matter axonal degeneration was found only in the most severely damaged spinal cord (10% of total animals at 24 hr). Myelin and glial cells were relatively preserved early on at 6 hr (Fig. 1A) and at 5 d as detected by Luxol fast blue and H&E staining, respectively.



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  		Figure 1.   Histopathology of ischemic spinal cord (L1) after 11 min of ischemia and reperfusion. Degenerated red neurons (arrows) distribute mainly in intermediate gray and ventral horn with normal myelin staining after 6 (A, B), 12 (C), or 24 (D) hr of reperfusion (Luxol fast blue counterstained with hematoxylin and eosin).

Caspase-8 expression in normal spinal cord

The proform (p55) caspase-8 was found in gray matter neurons within NeuN-positive cells (Fig. 2A). (Note that NeuN staining was both extranuclear and nuclear in spinal neurons.) Only infrequently were procaspase-8-positive cells found in white matter. A band corresponding to the proform (p55) was constitutively expressed in normal mouse spinal cord homogenates (Fig. 2D).



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  		Figure 2.   Caspase-8 mRNA and protein in normal (N) and ischemic spinal cord. A, Procaspase-8 p55 protein was constitutively present in normal spinal neurons. p55 (red) was detected predominantly in NeuN-positive (green) cells within intermediate gray matter. B, Caspase-8 mRNA was detected in normal spinal neurons by in situ hybridization with a digoxigenin-labeled antisense oligonucleotide probe. It was upregulated in ischemic neurons 1 d after reperfusion (middle panel). The sense probe did not detect hybridization signals in an adjacent section. Scale bars, 20 µm. C, Caspase-8 mRNA was upregulated as early as 3 hr after reperfusion and remained elevated as late as 1 d, as detected by semiquantitative RT-PCR (top panel). beta -Actin was used as a housekeeping gene (bottom panel). Results are representative of three separate experiments. D, Immunoblot demonstrating procaspase-8 p55 constitutively expressed in normal spinal cord. After ischemia, p55 remained unchanged, but p18 appeared sometime between 6 and 18 hr after reperfusion. alpha -Tubulin was used as an internal standard. Each lane is from a separate animal. Results are representative of six individual experiments.

Caspase-8 mRNA was also detected in normal spinal cord. Hybridization of a caspase-8 oligonucleotide probe was readily detectable in normal gray matter with rare hybridization signal in white matter (Fig. 2B). The distribution and morphology of labeled cells were similar to those expressing caspase-8 immunoreactivity. Constitutive caspase-8 mRNA expression was confirmed by RT-PCR (Fig. 2C). A single amplified product of predicted size (545 bp) was detected, and full sequence analysis confirmed that this 545 bp fragment was identical to the known sequence of mouse caspase-8 mRNA (GenBank accession number AJ 000641).

Fas- and death-inducing signaling complex formation in spinal cord

Because ligation of the Fas receptor resides upstream of caspase-8 activation, we evaluated normal and ischemic cord for evidence of Fas receptor expression. Constitutive Fas expression was observed in medium- and large-sized neurons within intermediate or ventral horn in normal spinal cord. Microvessels were also Fas-positive. The staining was detected prominently near the outer cell membrane (Fig. 3A). After ischemia, the number and intensity of Fas-positive cells increased, and this was confirmed by immunoblot (Fig. 3B). Fas immunoreactivity was found in <10% of procaspase8-positive neurons before ischemia and in 10-20% of procaspase-8-positive neurons after ischemia (Fig. 3C, top panels). In contrast, Fas immunoreactivity colocalized with >50% (51 ± 14% at 6 hr) of p18-positive neurons after ischemia (Fig. 3C, bottom panels).



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  		Figure 3.   Fas expression in normal and ischemic spinal cord neurons. A, Fas immunoreactivity (red) was observed on the surface of NeuN-positive (green) cells within the anterior horn of normal spinal cord. B, Fas (45 kDa, arrow) was expressed in normal spinal cord and upregulated after ischemia at 24 but not 12 hr (data not shown). Normal liver was used as a positive control, and alpha -tubulin was used as an internal standard (bottom panel). C, Fas immunoreactivity (green) was observed in 10-20% of caspase-8 p55-positive (red) cells (top panels), whereas Fas immunoreactivity (green) was observed in >50% of caspase-8 p18-positive (red) cells (bottom panels) in medial aspect of ventral horn 6 hr after reperfusion. Scale bars, 20 µm.

We found a complex containing Fas and procaspase-8 in ischemic spinal cord (Fig. 4). Probing for the complex by first incubating with antibodies against procaspase-8 and probing the immunoprecipitants using Fas antibody, we found Fas (p45) increased after ischemia. The total p55 (Fig. 1D) and Fas (data not shown) did not change in spinal cord homogenate at 3 and 12 hr. Similar data were observed with Fas immunoprecipitation followed by probing with procaspase-8 antibody. In this instance, a band corresponding to p55 was detected. By contrast, beta -actin did not appear on these immunoblots, thereby emphasizing the specificity of the findings (data not shown). When Jurkat cells were activated by Fas ligation in vitro, the formation of a complex was detected using these antisera (Fig. 4B). Bands corresponding to Fas (p45) and procaspase-8 (p55) were present in the same location as blots from spinal cord. Hence, spinal cord ischemia appears to augment the death-inducing signaling complex. Using two different commercial antisera (FADD S-18, Santa Cruz; and AAP-211, Stressgen), FADD (a DISC component) was not detectable in Jurkat cells or spinal cord, probably because of insensitive reagents.



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  		Figure 4.   Increase in Fas-procaspase-8 death receptor complex after spinal cord ischemia (A) and Jurkat cell incubation with anti-CD95 antibody (B). C57BL6 mice were subjected to 11 min of ischemia and killed at the indicated times. Fas receptor and procaspase-8 (A) were immunoprecipitated as described in Materials and Methods. The immunoprecipitates were then probed on an immunoblot using either anti-caspase-8 or anti-Fas antibody. Bands corresponding to heavy- and light-chain IgG are not shown. B, Jurkat cells were incubated with anti-Fas antibody as described in Materials and Methods. An increase in p55 was observed. beta -Actin was not detected on these blots.

Caspase-8 and caspase-3 activation and TUNEL staining after ischemia

After demonstrating formation of a complex containing Fas receptor and procaspase-8, we next examined for caspase-8 and caspase-3 cleavage after spinal cord ischemia. Procaspase-8 immunoreactivity became more intense and more widespread in neurons throughout gray matter (data not shown), although the band did not change on immunoblotting (Fig. 2D). Caspase-8 mRNA hybridization signal was strongly increased 1 d after reperfusion (Fig. 2B) and showed a distribution pattern similar to enhanced p55 immunoreactivity (Fig. 5). The increase was evident as early as 3 hr and remained elevated as late as 1 d after reperfusion as detected by semiquantitative RT-PCR (Fig. 2C). The p18 cleavage product was detected by immunoblot sometime between 6 and 18 hr and increased 1 d after reperfusion (Fig. 2D). The specificity of the p55 or p18 band was confirmed by preincubation with full-length human caspase-8 or fully cleaved human caspase-8, respectively (data not shown).



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  		Figure 5.   Schematic diagrams showing the density and distribution of positive cells for caspase-8 mRNA, procaspase-8, caspase-8 p18, caspase-3 p20, Fas, and TUNEL in spinal cord at L1, 1 d after reperfusion. The dots represent the relative frequency of positive cells. Schematics are representative of at least six animals each.

Immunohistochemical evidence for the caspase-8 cleavage product (p18) appeared in neurons within ischemic ventral gray and intermediate zone (Fig. 6A); procaspase-3 cleavage product (p20) was also identified within the same regions (Fig. 6B). Some p18-labeled cells contained p20 immunoreactivity as detected in adjacent sections at 6 hr (Fig. 6C,D). The number of caspase-8- and -3-labeled cells increased over time, although the number of p18-positive neurons was significantly higher until 12 hr (Fig. 6E). The anatomical distribution of active caspase-8- and caspase-3-positive neurons was overlapping (Fig. 5).



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  		Figure 6.   Caspase-8 p18 and caspase-3 p20 in ischemic spinal neurons. Caspase-8 p18 (A) and caspase-3 p20 (B) immunoreactivity was detected in the cytoplasm of ischemic spinal neurons within the intermediate area 6 hr after reperfusion. Neurons were stained by NeuN (green). C, D, Both caspase-8 p18 (C, arrow) and caspase-3 p20 (D, arrow) were detected in single cells within anterior horn 6 hr after reperfusion. Arrowheads point to an identical NeuN-positive cell. Scale bar, 20 µm. E, The number of caspase-8 p18-positive neurons (filled bars) was significantly greater than that of caspase-3 p20 neurons (open bars) before 12 hr after reperfusion. The mean number of immunoreactive neurons was at the L1 level from three different mice (n = 3 per time point). *p < 0.05 (ANOVA with Bonferroni's post hoc analysis, mean ± SD).

To assess DNA damage, TUNEL staining and agarose gel electrophoresis were performed. TUNEL-positive cells appeared in dorsal horn and intermediate and medial aspects of ventral gray matter between 18 hr and 1 d (Fig. 7A,B). Activated caspases appeared within neurons showing evidence of DNA damage. Within ventral horn and intermediate gray matter, p18-labeled cells colocalized with NeuN (Fig. 6A) and TUNEL-positive cells (Fig. 7A, top panels). Most p20-labeled cells colocalized within TUNEL-positive cells (Fig. 7A, bottom panels). The number of TUNEL-positive cells containing p18 or p20 immunoreactivity was 66 ± 7 or 79 ± 7%, respectively within ventral horn and intermediate gray matter. There were very few p18- and p20-positive cells within superficial dorsal horn despite numerous TUNEL-positive cells (Fig. 5). DNA laddering was also detected (180-200 bp fragments; Fig. 7B). TUNEL-positive cells were mostly neurons, because they contained NeuN but not GFAP immunoreactivity (data not shown).



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  		Figure 7.   A, Appearance of active caspase-8 and caspase-3 in TUNEL-positive cells. Caspase-8 p18 (top panels) and caspase-3 p20 (bottom panels) are shown in the intermediate gray matter 1 d after reperfusion. Scale bar, 20 µm. B, DNA laddering was observed in ischemic spinal cord tissue 1 d after reperfusion. Arrows indicate bands in multiples of 180 bp DNA fragments. C, Cytochrome c (Cyt. c) was released into the cytosol 1 d after reperfusion. In control, cytochrome oxidase subunit I (Cox. I) was present in the membrane fraction and was not detectable in the cytoplasmic fraction. alpha -Tubulin was used as an internal standard. D, Gelsolin (86 kDa) was cleaved 1 d after reperfusion, compatible with cleavage by caspase-3. alpha -Tubulin was used as an internal standard. N, Normal spinal cord. This gel is representative of four.

Cytochrome c release and gelsolin cleavage after ischemia

We studied cytochrome c release and cleavage of gelsolin to provide additional evidence for the importance of caspase-mediated mechanisms. Cytochrome c appeared prominently in the cytoplasm 1 d after reperfusion with trace amounts at earlier time points, which did not differ from those of the nonischemic control (Fig. 7C). Cytochrome oxidase subunit I, present in the membrane fraction, was not detectable in the cytoplasmic fraction. Gelsolin (p86), a substrate cleaved by activated caspases, was cleaved 1 d after reperfusion (Fig. 7D).


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

We used a novel model of spinal cord ischemia to study activation of caspases and to examine the possibility of a caspase-mediated cascade promoting cell death. We identified both Fas and procaspase-8 within single neurons in normal lumbar spinal cord, including motoneurons as well as other overlapping populations of NeuN-positive cells expressing Fas (Fig. 3A) or procaspase-8 within normal spinal gray matter (Fig. 2A). Constitutive Fas expression was also found infrequently in non-neuronal cells (principally blood vessels), whereas procaspase-8 was constitutively expressed almost exclusively in neurons. Shortly after reversible ischemia (3 hr), we detected colocalization of Fas receptor with cleaved caspase-8 plus enhanced procaspase 8 turnover (RT-PCR and in situ hybridization; Fig. 2B,C). Procaspase-8 cleavage was reported by Velier et al. (1999) in mouse cortical gray matter neurons after permanent middle cerebral artery occlusion. Hence, ischemia triggers caspase 8 cleavage in spinal cord as well as within brain.

The coexistence of procaspase-8 and Fas within single cells raised the possibility that the Fas receptor may lie upstream of caspase-8 activation in spinal neurons. Ligation or oligomerization of Fas promotes formation of a DISC by recruiting and then activating procaspase-8 in tissues (Yin et al., 1999) and cells (Ferrari et al., 1998; Scaffidi et al., 1998; Feldenberg et al., 1999). We reasoned that if ischemia triggered formation of a death receptor complex, we would detect an increase in Fas afterng immunoprecipitation with p55 antibody and vice versa (Fig. 4A). We detected such changes on immunoblots after interruption of the blood supply to spinal cord (Fig. 4). These findings resembled what we observed after anti-CD95 antibody incubation with Jurkat cells (Fig. 4) and together point to the probability of an important upstream receptor-driven mechanism for caspase activation after spinal cord injury. Consistent with these findings in spinal cord, Fas and FasL become upregulated after cerebral ischemia, and lpr mice expressing dysfunctional Fas develop smaller lesions after reversible middle cerebral artery occlusion (Martin-Villalba et al., 1999).

The expression of Fas and caspase-8 has not been studied extensively in adult spinal cord, although in ischemic brain, increased mRNA was reported previously (Matsuyama et al., 1995). More is known about the developing nervous system. For example, Fas receptor mRNA, its antigen, and associated proteins are upregulated during the peak apoptosis in embryonic brain (Cheema et al., 1999), and this neuronal Fas receptor is functional as a death receptor (Felderhoff-Mueser et al., 2000). Moreover, Fas expression upregulates after cerebral hypoxic-ischemic injury in developing rat brain. In cultured embryonic motoneurons expressing Fas and FasL, programmed cell death is triggered via Fas death receptors, abrogated by isoleucine-glutamic acid-threonine-aspartic acid, a caspase 8 inhibitor, or by upregulation of an endogenous caspase 8 inhibitor. Together these data indicate that death of embryonic spinal neurons is triggered through the Fas death receptor (Raoul et al., 1999). Besides neurons, Fas is reportedly expressed in astrocytes (Bechmann et al., 1999) and microglia (Vogt et al., 1998) in adult nervous system, although there was little evidence for this in ischemic spinal cord at the examined time points.

In addition to the possibility of DISC formation, other evidence points to the importance of caspases-8 and -3 in ischemic cell death within spinal neurons. In our studies, co-localization of the caspase-3 cleavage product (p20) was detected in a subpopulation of p18-containing neurons. Assuming that both antibodies bind antigen with equal sensitivity (and knowing that caspase-3 is more abundantly expressed in nervous tissue; M. A. Moskowitz, unpublished observation), the data could indicate ischemia-induced sequential activation of procaspase-8 and procaspase-3 within spinal cord. Moreover, a substantial proportion of cells expressing active caspases were also TUNEL-positive (Fig. 7A). Sixty-six percent of TUNEL-positive cells contained caspase-8 p18, whereas an even larger percentage (79%) contained both TUNEL and caspase-3 p20 staining, again suggesting that these caspase family members are co-expressed and important for cell death in spinal cord. Involvement of other executioner caspases or non-caspase-mediated mechanisms may explain why apoptotic-like cell death developed within dorsal horn without caspase cleavage-8 or -3 (p18- or p20-stained cells). More studies are needed to clarify this point. From these data, we conclude that caspase-mediated mechanisms of cell death are prominent in spinal cord ischemia, and that caspase-8 and caspase-3 activation promote cell death in an overlapping cell population within intermediate and ventral gray matter.

Several studies suggest the significance of caspase-mediated cell death in models of ischemia. For example, cell loss induced by traumatic (Crowe et al., 1997; Liu et al., 1997) or ischemic (Kato et al., 1997; Mackey et al., 1997; Hayashi et al., 1998; Sakurai et al., 1998) spinal cord injury may be attributed, at least in part, to apoptotic mechanisms. Recently Springer et al. (1999) reported that caspase-3 enzymatic activity increases as early as 1 hr after spinal cord trauma, along with cytochrome c release and caspase-9 processing. We observed cytochrome c release from mitochondria and cleavage of gelsolin (Fig. 7C,D), a caspase-3 substrate, suggesting the importance of mitochondrial-dependent mechanisms (Li et al., 1997; Krajewski et al., 1999). Caspases are also activated in models of both global and focal cerebral ischemia. In models of reversible occlusion, onset of caspase cleavage is directly related to the intensity and severity of ischemia. After 2 hr of middle cerebral artery filament occlusion, caspase-3 cleavage appears within 5 min of reperfusion (Namura et al., 1998), whereas activation is first observed ~9 hr after reperfusion after 30 min of ischemia (Fink et al., 1998). In both focal models, mitochondrial release of cytochrome c anticipates or is concurrent with caspase activation. Using the same antisera in spinal cord homogenates, we noted that cytosolic cytochrome c appeared relatively delayed (24 hr) when compared with the onset of caspase activation, possibly indicating a predominance of type I cell death early on (Scaffidi et al., 1998).

In conclusion, we demonstrated that ischemia augmented association of key proteins within a DISC complex. In addition to this novel in vivo finding, we also provided evidence for caspase-8 and caspase-3 activation in neurons undergoing cell death. Consistent with published in vitro data, our findings support the notion that death receptors lie upstream of caspase-8 and -3, because Fas receptors were expressed in p18-positive cells, and many of these cells were TUNEL- and p20-positive. Because data from other ischemia models provide evidence that caspase-3 is cleaved before irreversible cell damage (Hara et al., 1997; Fink et al., 1998; Chen et al., 1998; Endres et al., 1998), caspase inhibitors may prove useful for treating ischemic spinal cord injury and other CNS conditions in which apoptotic-like cell death may be important (e.g., trauma and degenerative disease).


    FOOTNOTES

Received May 11, 2000; revised June 15, 2000; accepted June 26, 2000.

This work was supported by National Institutes of Health Stroke Program Project 5 P50 NS10828 and National Institutes of Health Grant 1 R01 NS374141. We acknowledge Kristy Kikly and Giora Z. Feuerstein (SmithKline Beecham) for advice and use of caspase antibodies. We also acknowledge Jean-Paul Vonsattel (Massachusetts General Hospital) for advice and Carolyn J. Smith for technical assistance.

Correspondence should be addressed to Dr. Michael A. Moskowitz, Massachusetts General Hospital, 149 13th Street, Room 6403, Charlestown, MA 02129. E-mail: Moskowitz{at}helix.mgh.harvard.edu.


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