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The Journal of Neuroscience, April 15, 2000, 20(8):2852-2859
Geranylgeranyl-Pyrophosphate, an Isoprenoid of Mevalonate
Cascade, Is a Critical Compound for Rat Primary Cultured Cortical
Neurons to Protect the Cell Death Induced by
3-Hydroxy-3-Methylglutaryl-CoA Reductase Inhibition
Tomoaki
Tanaka1,
Ichiro
Tatsuno1,
Daigaku
Uchida1,
Iku
Moroo1,
Hiroshi
Morio1,
Susumu
Nakamura1,
Yoshihiko
Noguchi1,
Tatsuji
Yasuda2,
Masatoshi
Kitagawa3,
Yasushi
Saito1, and
Aizan
Hirai1
1 Second Department of Internal Medicine, Chiba
University School of Medicine, Chiba, Japan, 2 Department
of Cell Chemistry, Institute of Cellular and Molecular Biology, Okayama
University Medical School, Okayama, Japan, and 3 Molecular
and Cellular Biology, Medical Institute of Bioregulation, Kyushu
University, Fukuoka, Japan
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ABSTRACT |
We investigated the role of the intrinsic mevalonate cascade in the
neuronal cell death (NCD) induced by the inhibition of 3-hydroxy-3-methylglutaryl-CoA (HMG-CoA) reductase in rat primary cortical neurons cultured from the brains of 17-d-old fetal SD rats. HMG-CoA reductase inhibitors induced NCD [HMG-CoA reductase inhibitor-induced NCD (H-NCD)] in time- and dose-dependent manners. The apoptotic characteristics were revealed by the formation of the DNA
ladder and by the electron microscopical observation. During the
progression of H-NCD, p53 was induced followed by the expression of
Bax. Although the mevalonate completely inhibited H-NCD, the
cholesterol did not. Thus, we examined two major metabolites of
mevalonate, geranylgeranyl-pyrophosphate (GGPP) and
farnesyl-pyrophosphate (FPP), using a novel liposome system for uptake
into the cells. GGPP, not FPP, prohibited H-NCD with inhibition of the
induction of p53 and Bax. The inhibition of HMG-CoA reductase decreased the amount of membrane-associated Rho small GTPase families, but not
Ras small GTPase, and GGPP restored the blockage by HMG-CoA reductase inhibitor in the translocation or redistribution of Rho small
GTPase families to membrane. These data indicated that (1) the
inhibition of the intrinsic mevalonate cascade induces the apoptotic
NCD with the induction of p53 followed by that of Bax, (2) the
inhibition of HMG-CoA reductase concomitantly causes blockage of the
translocation or redistribution of Rho small GTPase families, not Ras
small GTPase, to membrane, and (3) GGPP, not FPP, is one of the
essential metabolites in the mevalonate cascade for protecting neurons
from H-NCD.
Key words:
GGPP; mevalonate cascade; HMG-CoA reductase; neuron; cell
death; p53; Bax
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INTRODUCTION |
Mevalonate cascade has a crucial
role in the supply of cholesterol and is demonstrated at particularly
high concentrations in neuronal tissues (Suzuki, 1972 ). In the
developing brain, increases in cholesterol deposition appear to
coincide with the elaboration of axonal and dendritic membranes and
with the process of myelination (Kishimoto et al., 1965 ; Cunzer and
Davison, 1968 ; Bass et al., 1970a ,b ). The
3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase, which
converts HMG-CoA to mevalonate, is a rate-limiting enzyme of the
mevalonate cascade (Goldstein and Brown, 1990 ). It was reported that
the activity of HMG-CoA reductase is the highest in the early phase of
ontogenetic development of the brain and that the parallel change of
its activity with the maturation is observed using neuronal cell
cultures (Maltese and Volpe, 1979 ; Volpe et al., 1985 ). These data
clearly indicate that mevalonate cascade plays critical roles for the
differentiation, maturation, and maintenance of neuronal tissues.
Mevalonate cascade has been demonstrated to be involved in many
biological phenomenon such as proliferation and apoptosis in addition
to differentiation, maturation, and maintenance of cellular functions.
Recently, it was reported that HMG-CoA inhibitors induced the apoptosis
in not only proliferative cell lines (Reedquist et al., 1995 ; Miquel et
al., 1996 ; Satoh et al., 1996 ; Padayatty et al., 1997 ; Lee et al.,
1998 ), but also neurons (Pavlov et al., 1995 ).
Mevalonate acts as a precursor of not only cholesterol but also
isoprenoids for farnesyl and geranylgeranyl molecules, which have an
important signaling function (Casey and Seabra, 1996 ). It has been
demonstrated that the ability of an HMG-CoA reductase inhibitor to
interfere with the cell cycle progression and induce the apoptosis
could be attributed to its activity in suppressing the isoprenylation
of proteins rather than interruption of cholesterol synthesis
(Chakrabarti and Engleman, 1991 ; Ortiz et al., 1995 ). Geranylgeranyl-pyrophosphate (GGPP) and farnesyl-pyrophosphate (FPP), two components of isoprenoids, were reported to be major products of this pathway. The enzymes that catalyze the covalent attachment to farnesyl and geranylgeranyl moieties to proteins like
small GTPases are now well characterized (Casey and Seabra, 1996 ). It
was demonstrated that GGPP is an essential compound through the
activation of Rho small GTPase in the proliferation of rat
astrocytes (Tanaka et al., 1998 ), rat thyroid FRTL-5 cells (Hirai et
al., 1997 ; Noguchi et al., 1998 ; Nakamura et al., 1999 ), rat smooth
muscle cells (Terano et al., 1998 ), human mesangial cells (Nishimura et
al., 1999 ), and human lymphocytes (Tatsuno et al., 1997 ). These studies
were performed using the proliferative cells to clarify the roles of
isoprenoids in the proliferation, and the roles of these isoprenoids in
the development and maintenance of nonproliferative cells, especially
the neurons, have remained to be elucidated.
In the present study, we directed our focus on the mevalonate cascade,
especially the two major isoprenoids of GGPP and FPP, in the cell death
of rat cultured cortical neurons. We also tried to clarify the
mechanism of neuronal cell death from the view points of cell
death-related molecules such as p53 and the Bcl-2 protein family.
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MATERIALS AND METHODS |
Reagents
GGPP, FPP, and
3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) were
purchased from Sigma (St. Louis, MO). Antibodies against Rho A, Rho B,
and cdc42 were obtained from Santa Cruz Biotechnology (Santa Cruz, CA).
Anti-rat/mouse Bcl-2 and Bax antibodies were purchased from PharMingen
(San Diego, CA). Anti-Ras (NCC-RAS-004) antibody was kindly provided
from Dr. S. Hirohashi (National Cancer Center Research Institute,
Tokyo, Japan) (Kanai et al., 1987 ). DMEM nutrient mixture F-12
(DMEM/F-12) was purchased from Life Technologies (Gaithersburg,
MD). Horseradish-linked anti-rabbit Ig goat antibody, enhanced
chemiluminescence (ECL) detection reagent, and nick DNA labeling kit
were purchased from Amersham (Buckinghamshire, UK).
[ -32P]dCTP was purchased from NEN
Life Science (Boston, MA). Human HMG-CoA reductase cDNA probe,
lovastatin, simbastatin, and pravastatin were kindly provided by Dr. S. Kurakata (Sankyo Pharmaceutical Company, Tokyo, Japan).
Preparation of liposomes of isoprenoids
Liposomes containing isoprenoids were prepared as described
previously (Hirai et al., 1997 ; Tatsuno et al., 1997 ; Tanaka et al.,
1998 ). To make liposomes containing each, an aliquot of a mixture of
dipalmitoylphosphatidylcholine (5 µmol) and GGPP or FPP (200 µg)
was added to a pear shaped flask, and the solvent was removed by rotary
evaporation and a vacuum pump. The dried lipid film was then dispersed
in 0.5 ml of PBS. Warming the flask to 50°C facilitates smooth
dispersion. The liposomes were sonicated and stored at 4°C.
Cell culture
Rat cortical neurons were cultured as described previously
(Tatsuno et al., 1992 ; Morio et al., 1996 ) with slight modification. Timed-pregnant SD rats were obtained from Charles River Breeding Labs (Tokyo, Japan), and forebrains were removed from 17-d-old fetal SD
rats. Meninges were discarded, and the tissues were dispersed by
pipetting. Dissociated cortical cells were seeded onto 24-well culture
plates for DNA fragmentation assay, 96-well culture plates for MTT
assay, and 100 mm culture dishes (Costar Scientific Corporation, Cambridge, MA) precoated with 10 µg/ml poly-L-lysine at a
density of 5 × 105 live
cells/cm2 for immunoblotting and Northern
blotting. Brain cells were cultured with chemically defined medium
(DMEM/F-12 containing 2.5 mM L-glutamine, supplemented by 5 µg/ml insulin, 100 µg/ml human transferrin, 3 × 10 4 M selenium,
1 × 10 4 M putrescine,
2 × 10 8 M
progesterone, 1 × 10 12
M 17 -estradiol, 37.5 µg/ml bovine serum albumin (fatty
acid-free), 1 × 10 8 M
triiothyronine, and 1 × 10 7
M corticosterone), which contained 1.05 mM
Ca2+ and 0.7 mM
Mg2+, in an atmosphere of 95% air and 5%
CO2 at 37°C for 10 d before the
experiments. The purity of neurons at 14 d after culture was >95%, as determined by immunocytochemistry using the antibody against
microtubule-associated protein-2 (MAP-2), a specific marker for
neurons, (Boehringer Mannheim GmbH, Germany), and the contamination by
astrocytes was <5% by immunocytochemistry with antibody against glial
fibrillary acidic protein (GFAP), a specific marker of astrocytes (Boehringer Mannheim).
HMG-CoA reductase inhibitor-induced neuronal cell death
Cortical neurons were incubated with certain concentrations of
HMG-CoA reductase inhibitors (lovastatin, simvastatin, and pravastatin)
in an atmosphere of 95% air and 5% CO2 at
37°C in chemically defined medium for certain periods. The number of
live neurons was determined by cell count using fluorescein diacetate propidium iodide and the MTT assay as described below.
MTT assay. The number of live neurons was determined by the
mitochondrial conversion of MTT to formazan as detected by the change
of optical density at 570 nm. Neurons were incubated with MTT solution
(25 µl of MTT at 2 mg/ml in PBS per well; final concentration, 0.4 mg/ml) during the final 3 hr of the culture. At the end of the culture,
the cells were solubilized with 50 µl of 20% SDS in 0.02 N HCl and
the color intensity was measured on a microplate reader (TOSOH, Tokyo,
Japan) at 570 nm.
Cell-counting assay using fluorescein diacetate propidium iodide
stain. Fluorescein diacetate crosses the cell membrane and is
hydrolyzed by intracellular esterase to produce a green-yellow fluorescent compound. Neuronal injury curtails fluorescein diacetate staining and facilitates propidium iodide penetration and interaction with DNA to yield a bright red fluorescent complex. The percentage of
surviving neurons was calculated by assessing the ratio of fluorescein
diacetate/propidium iodide staining in photomicrographs.
DNA fragmentation analysis
The cells were washed with PBS and lysed with lysis buffer (10 mM Tris-HCl, pH 7.4, 5 mM EDTA, and 0.5%
Triton X-100) for 20 min at 4°C. The samples were centrifuged at
27,000 × g for 15 min at 4°C. The supernatants were
extracted with phenol, phenol/chloroform (vol/vol, 1:1), and
chloroform. The DNA was precipitated with 1/10 volume of 3 M sodium acetate, pH 5.2, and two volumes of ethanol. The DNA was suspended in TE buffer (10 mM Tris-HCl, pH 8.0, and 1 mM EDTA) and treated with 40 µg/ml RNase A for
1 hr at 37°C. The concentrations of DNA were determined by the
absorbance at 260 nm. DNA (20 µg) from the samples was subjected to
agarose gel electrophoresis on 2% gel in TAE buffer (40 mM Tris-acetate, pH 8.5, and 2 mM EDTA). Then the gel was stained with 0.5 µg/ml ethidium bromide for 10 min, and DNA was visualized under UV
light and photographed.
Morphological analysis by electron microscopy
Neurons were fixed with 3.0% glutaraldehyde in 0.1 M phosphate buffer, pH 7.4, at 4°C for 30 min, post-fixed
with 1% osmium tetroxide, stained in blocks with uranyl acetate, and
embedded in Epon 812. Ultrathin sections were cut on a DuPont
(Billerica, MA) MT 6000 ultramicrotome, stained with lead citrate, and
examined with an IEN-1200EX electron microscope (JEOL Nihon Denshi,
Tokyo, Japan).
Cell fractionation and immunoblotting
For whole-cell lysates, the cells were collected and resuspended
in cold lysis buffer (in mM): 50 HEPES, pH 7.0, 2 MgCl2, 250 NaCl, 0.1 EDTA, 0.1 EGTA, 1 DTT, 2 Na2VO4, 10 Na4P2O7, 10 NaF, 0.1% NP-40, 0.5 p-amidinophenyl methanesulfonyl
fluoride hydrochloride (p-APMSF), and a protease
inhibitor cocktail consisting of 2.5 µg/ml of pepstatin A, 2.5 µg/ml of antipain, 2.5 µg/ml of chymostatin, 0.25 mg/ml of
leupeptin, and 0.25 mg/ml of antipain. The cells were allowed to lyse
on ice for 60 min. The homogenate was centrifuged for 5 min in a
microfuge at 4°C, and the supernatant was frozen in aliquots at
70°C.
For subcellular fractionation, cells were disrupted by sonication in
hypotonic buffer (in mM: 5 Tris-HCl, pH 7.0, 5 NaCl, 1 CaCl2, 2 EGTA, 1 MgCl2, and
2 dithiothreitol) containing the protease inhibitor mixture and
separated into membrane- and cytosol-containing fractions by
centrifugation (100,000 × g, 30 min). Immunoblotting was performed as described previously (Hirai et al., 1997 ).
Northern blot analysis
The collected neurons were lysed in 25 mM sodium
citrate solution, pH 7.0, containing 4 M guanidinium
isothiocyanate and 0.1 M 2-mercaptoethanol. This
solution was placed on the top of CsCl solution (5.7 M
CsCl, pH 7.2, and 0.1 M EDTA) in tubes and centrifuged at
80,000 × g for 36 hr at 16°C. The pellets were
dissolved in TE buffer, and RNA was precipitated with 1/10 volume of 3 M sodium acetate, pH 5.2, and two volumes of
ethanol at 4°C for 20 min. The concentrations of RNA were determined
by absorbance at 260 nm. Total RNA samples (20 µg) were
electrophoretically separated on 1% formaldehyde agarose gel and
transferred onto nitrocellulose membranes for 48 hr. Prehybridization
was performed at 42°C for 16 hr in 1% Ficoll, 1% bovine serum
albumin, 1% polyvinylpyrolidone, sodium citrate solution (750 mM NaCl and 75 mM sodium
citrate, pH 7.0), 50% formamide, 50 mM sodium
phosphate, pH 6.5, and 100 µg/ml salmon sperm DNA. Then the membrane
was hybridized with 32P-labeled HMG-CoA
reductase probe at 42°C for 24 hr and washed by standard protocol.
Statistical analysis
Statistical differences within each experiment were determined
by ANOVA, and differences between groups were calculated by the
Fisher's exact test. A rejection level of p < 0.05 was considered significant. This analysis was performed on a personal
computer using the StatView J4.02 software statistical package (Abacus Concepts, Berkeley, CA).
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RESULTS |
Development of primary cultured rat cortical neurons
The primary cultured cortical neurons were obtained from the
brains of 17-d-old fetal SD rats. The development of these neurons according to morphology, MTT assay, and mRNA expression of HMG-CoA reductase are shown in Figure 1. Although
the shape of the neurons immediately after the preparation was round,
the neurites were being extended and connected to each other gradually
in a time-dependent manner (Fig. 1A). The
mitochondrial functions by MTT assay were shown to increase in a
time-dependent manner, reaching an equilibrium between days 6 and 10 (Fig. 1B). The mRNA of HMG-CoA reductase was present
at day 0, and its level increased to make a plateau at day 10 after the
culture (Fig. 1C). In the present study, we used the neurons
at day 10, where their development of neurons reached an equilibrium in
terms of morphology, MTT assay, and mRNA expression of HMG-CoA
reductase.

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Figure 1.
Development of primary cultured rat cortical
neurons. A, Morphological observations in neurons
immediately (Day 0) and 10 d (Day
10) after beginning the culture. B,
Developmental change in mitochondrial function of neurons by MTT assay.
Mitochondrial function was assayed by mitochondrial conversion to
formazan as detected by the change of optical density (OD) at 570 nm
during the final 3 hr of culture, as described in Materials and
Methods. Each point represents the mean ± SEM of triplicates.
C, Developmental change of mRNA expression of HMG-CoA
reductase. In Northern blot, RNA was isolated as indicated in the
figure, and the mRNA level for HMG-CoA reductase were analyzed as
described in Materials and Methods. The data shown was a representative
of three independent experiments.
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Neuronal cell death induced by HMG-CoA reductase inhibitors
The time course for neuronal cell death (NCD) induced by 300 µM pravastatin, an inhibitor of HMG-CoA reductase, is
shown in Figure 2A. The
live cell number was determined by MTT assay. The number of live
neurons started to decrease at 24 hr after the addition, was
significantly reduced at 36 hr, and progressively continued to decrease
during the following 72 hr. Approximately 90% of neurons had died by
96 hr or later (Fig. 2A). In some experiments, we
performed the cell counting assay using fluorescein diacetate propidium
iodide in parallel with the MTT assay to determine the number of live
cells (Fig. 2D). Although small numbers of dead neurons (red-stained round cells) were observed among the live neurons
in control (green-yellow cell body) (Fig. 2D), and
300 µM pravastatin induced NCD for almost all
neurons (Fig. 2D), there was a linear
correlation between the MTT assay and the number of live cells
(r2 = 0.987; p < 0.05; data not shown).

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Figure 2.
Neuronal cell death induced by H-NCD.
A, Time course of H-NCD. Primary cultured cortical
neurons were exposed to 300 µM pravastatin for the
indicated periods. B, Dose-dependent effect of
neurotoxicity by HMG-CoA inhibitors (pravastatin, simbastatin, and
lovastatin). Primary cultured cortical neurons were exposed to the
indicated concentrations of pravastatin, simbastatin, and lovastatin
for 72 hr. C, Dose-dependent effect of mevalonate to
reverse H-NCD. Neurons were incubated with the indicated concentrations
of mevalonate in the presence of 300 µM pravastatin. The
live cell number was assayed by mitochondrial conversion to formazan as
detected by the change of OD at 570 nm during the final 3 hr of
culture, as described in Materials and Methods. Each point represents
the mean ± SEM of triplicates. D, Morphological
observations of H-NCD. Fluorescein diacetate propidium iodide staining
72 hr after addition. Top, Control;
Middle, 300 µM pravastatin; and
Bottom, 0.03 mg/ml of mevalonate in the presence of 300 µM pravastatin. Fluorescein diacetate propidium
iodide staining was described in Materials and Methods. The dead
neurons were red-stained round cells, and the live
neurons had a green-yellow cell body. The data shown
was a representative of three independent experiments.
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The dose-dependent effect of neurotoxicity by HMG-CoA inhibitors
(pravastatin, simbastain, and lovastatin) over a 72 hr period is shown
in Figure 2B. Pravastatin progressively caused NCD at concentrations >10 µM in a dose-dependent
manner, and >90% of neurons died at 300 µM
pravastatin. Although simbastatin and lovastatin, which are less
hydrophilic than pravastatin, also induced NCD in a dose-dependent
manner, their neurotoxicities were 10 times more potent than that of
pravastatin (Fig. 2B).
The effect of mevalonate in the presence of pravastatin for 72 hr is
shown in Figure 2C. The NCD induced by 300 µM pravastatin was reversed by the addition of
mevalonate in a dose-dependent manner and was fully reversed at 0.01 mg/ml in the MTT assay (Fig. 2C). In the cell-counting assay
using fluorescein diacetate propidium iodide, it was clearly
demonstrated that mevalonate (0.03 mg/ml) completely inhibited NCD
induced by 300 µM pravastatin (Fig.
2D).
We examined the effect of cholesterol in HMG-CoA reductase inhibitors
(H-NCD) and found that neurons were not protected from H-NCD (data not
shown). These data clearly demonstrated that the observed H-NCD was
attributable to the decrease of mevalonate production occurring as a
consequence of HMG-CoA reductase inhibition and that metabolites of
mevalonate other than cholesterol might play a critical role in
H-NCD.
Roles of the isoprenoids GGPP and FPP in H-NCD
Mevalonate is a donor for the synthesis of several important
metabolites involved in the posttranslational modification of proteins.
It acts as an isoprenyl precursor for farnesyl and geranylgeranyl molecules, which have an important signaling function. Exogenous FPP
and/or GGPP might, therefore, be expected to counteract the effect of
pravastatin. Unfortunately, the experimental use of these compounds is
limited by their membrane impermeability and sensitivity to thiol
reagents present in the culture medium. Therefore, we chose a novel
approach to evaluate the role of isoprenoids in H-NCD: the preparation
of the liposomes of these isoprenoids.
The NCD induced by pravastatin was mostly reversed by the addition of
liposomes containing GGPP in a dose-dependent manner, although
neither liposomes containing FPP nor containing vehicle affected
the pravastatin-induced NCD (Fig. 3).
Such inability of FPP to overcome pravastatin blockage does not reflect
impaired entry into the cells, because the incorporation of
[3H]FPP in liposomes into neurons was
almost equal to that of [3H]GGPP (data
not shown). The addition of GGPP to neurons had no effect on their
viability in the absence of pravastatin (data not shown). Because GGPP
is biosynthetically derived from the single condensation of FPP and
isopentenyl-pyrophosphate (IPP), FPP could not be converted to
GGPP in pravastatin-treated cells. These results, therefore, indicate
that GGPP can protect neurons from H-NCD in the absence of
upstream intermediates of cholesterol biosynthesis (Fig. 3).

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Figure 3.
Effect of metabolites of mevalonate in H-NCD.
Effect of pravastatin and mevalonate metabolites in H-NCD. Rat cortical
neurons were cultured with the indicated concentrations of mevalonate
and its metabolites under inhibition by pravastatin (300 µM) for 72 hr. The data were a representative of three
independent experiments. Each liposome containing GGPP or FPP was
prepared to have the same concentration. GGPP, GGPP in
liposomes; FPP, FPP in liposomes;
Vehicle, vehicle in liposomes.
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Roles of isoprenoids in DNA ladder formation and apoptosis-related
molecules during H-NCD
The features of H-NCD were further examined by genomic DNA
analysis and by transmission electron microscopy. The genomic DNA extracted from neurons that had undergone H-NCD was analyzed by agarose
gel electrophoresis (Fig.
4B). Control DNA in
neurons without pravastatin already revealed a certain degree of ladder formation in nucleosome-length fragments, a biochemical indicator of
apoptosis, and this was consistent with the data from the cell counting
assay using fluorescein diacetate propidium iodide, in which small
numbers of dead neurons were observed among the live neurons in the
control (Fig. 2D). Pravastatin apparently enhanced the ladder formation in nucleosome-length fragments of DNA. In addition, electron microscopy demonstrated that the pravastatin exposure increased the number of dead neurons showing the apoptotic characteristic of compacted nuclei with marginated and condensed chromatin (data not shown). The formation of the DNA ladder and the
characteristic features observed by electron microscopy confirmed that
H-NCD possessed apoptotic characters. The changes of apoptosis-related molecules such as p53, Bcl-2, and Bax as observed by Western blot analysis are shown in Figure 4C. Both p53 and Bax were
dramatically accumulated by pravastatin, whereas the expression of
Bcl-2 was detected in the absence of pravastatin, and its level
slightly increased in H-NCD.

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Figure 4.
Roles of isoprenoids on DNA ladder formation and
apoptosis-related molecules in H-NCD. Rat cortical neurons incubated
with mevalonate (0.03 mg/ml), GGPP in liposomes (4 µM),
FPP in liposomes (4 µM), or vehicle for 24 hr in the
presence of pravastatin (300 µM). A,
Viability of neurons determined by MTT assay. The live cell number was
assayed by mitochondrial conversion to formazan as detected by the
change of OD at 570 nm during the final 3 hr of culture, as described
in Materials and Methods. Each column represents the mean ± SEM
of triplicates. B, Ladder formation of nucleosome-length
fragments of DNA. DNA fragmentation analysis was performed as described
in Materials and Methods. The data shown was a representative of three
independent experiments. C, Expression of p53, Bcl-2,
and Bax. Cell lysates (20 µg) were analyzed by immunoblotting with
antibodies against p53, Bcl-2, and Bax, as described in Materials and
Methods. The data shown was a representative of three independent
experiments.
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The DNA ladder formation induced by pravastatin was completely blocked
by mevalonate and GGPP, but not FPP, which was consistent with the
viability of neurons according to the MTT assay (Fig. 4A,B). The expressions of both p53 and Bax
induced by pravastatin were also blocked by mevalonate and GGPP (Fig.
4C).
Effect of pravastatin and isoprenoids on isoprenylation of small
GTPase(s) and their translocation to the membrane during H-NCD
Immunoblot analysis of membrane and cytosolic fractions revealed
that pravastatin blocked the translocation or redistribution of Rho A,
Rho B, and cdc42 from the cytoplasm to membrane 72 hr after the
addition of pravastatin in H-NCD (Fig.
5). Moreover, both mevalonate and GGPP
reversed the pravastatin-induced blockage of their translocation or
redistribution (Fig. 5). Ras small GTPase in membrane, which has been
reported to be isoprenylated by FPP, was not affected by treatment with
pravastatin. Although the effect was not as striking as for RhoA, RhoB,
and cdc42, Ras small GTPase in cytosol was increased by pravastatin
(Fig. 5).

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Figure 5.
Roles of mevalonate and isoprenoids in the
translocation of Rho GTPase family in H-NCD. Rat cortical neurons
incubated with mevalonate (0.03 mg/ml), GGPP in liposomes (4 µM), FPP in liposomes (4 µM), or vehicle
for 72 hr in the presence of pravastatin (300 µM). Crude
membrane- and cytosol-containing fractions were prepared as described
in Materials and Methods. Each lysate (20 µg) was analyzed by
immunoblotting with antibodies against Ras, Rho A, Rho B, and
cdc42.
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DISCUSSION |
In the present study, we demonstrated that HMG-CoA reductase mRNA
increases during culture, indicating that the mevalonate cascade is
activated and maturated during development. Its ontogenetic early
development in neuronal tissues has been also demonstrated by others
(Maltese and Volpe, 1979 ; Volpe et al., 1985 ). These data indicated
that the mevalonate cascade may play critical roles during development
in the brains.
Statins (HMG CoA reductase inhibitors) induce NCD in a time- and
dose-dependent manner, and H-NCD revealed typical features of apoptosis
in terms of DNA ladder formation and the morphological changes observed
by electron microscopy. This H-NCD was fully restored by the addition
of mevalonate, indicating that the observed H-NCD was attributable to
the decrease of mevalonate production occurring as a consequence of
HMG-CoA reductase inhibition.
We compared the potency of three statins (pravastatin, lovastatin, and
simvastatin) in H-NCD. Despite similarities in chemical structure,
pravastatin was less potent than lovastatin and simvastatin. Because
H-NCD was dependent on the production of mevalonate, their different
inhibitory potencies in HMG-CoA reductase of neurons might be
responsible for this biological difference in H-NCD. It was reported
that sterol synthesis was strongly inhibited by lovastatin and
simvastatin but to a much lesser extent by pravastatin in extrahepatic
cells (van Vliet et al., 1995 ). This might also be the case in neurons.
Pravastatin is more hydrophilic than simvastatin or lovastatin
(Serajuddin et al., 1991 ). These more hydrophilic drugs probably enter
extrahepatic cells.
It was suggested that the metabolite or metabolites of mevalonate other
than cholesterol play a critical role in H-NCD. Mevalonate acts as an
isoprenyl precursor for farnesyl and geranylgeranyl molecules, and it
is well known that GGPP and FPP are two major isoprenoids (Casey and
Seabra, 1996 ). Therefore, we chose a novel approach, that of preparing
the liposomes (Hirai et al., 1997 ; Tatsuno et al., 1997 ; Noguchi et
al., 1998 ; Terano et al., 1998 ; Nishimura et al., 1999 ), and found that
GGPP, not FPP, restored H-NCD. GGPP is biosynthetically derived from
the single condensation of FPP and IPP. Because IPP could not be
synthesized in pravastatin-treated cells, FPP could not be converted to
GGPP. This means that GGPP can rescue neurons from H-NCD in the absence
of upstream intermediates of cholesterol biosynthesis.
The mechanism of how GGPP protects neurons from H-NCD was unclear in
the present study. In the proliferation, it has been demonstrated that
the ability of an HMG-CoA reductase inhibitor to interfere with cell
cycle progression could be attributed to its activity in suppressing
the isoprenylation of proteins such as small GTPases rather than in
interrupting cholesterol synthesis (Chakrabarti and Engleman, 1991 ;
Ortiz et al., 1995 ). In this regard, we recently reported that
impairment of geranylgeranylation of cytoskeletal proteins such as Rho
proteins is the most likely molecular event in the inhibition of cell
cycle progression (Hirai et al., 1997 ; Tanaka et al., 1998 ). This may
also be the case in neurons. Therefore, we tried to determine the
subcellular distribution of Rho and related proteins in H-NCD. We found
that (1) pravastatin inhibited the translocation or redistribution of
Rho A, Rho B, and cdc42 to membrane, and that (2) mevalonate and GGPP
restored the blockage of translocation or redistribution of these Rho
proteins. Although Ras small GTPase (one of the farnesylated GTPases)
in membrane was not affected, Ras in the cytosolic fraction was
slightly accumulated. These data were in good agreement with the
protection of mevalonate and GGPP, not FPP, in H-NCD, suggesting that
the turnover of Rho small GTPase is more dynamic and that it is
continuously translocated or redistributed to membrane, whereas the
turnover of Ras is relatively slow. The similar difference in turnover between Rho and Ras was reported in FRTL-5 cells (Noguchi et al., 1998 ).
The physiological significance of geranylgeranylation for the
activation of Rho was well demonstrated in the proliferation using
botulinum C3 exoenzyme (Hirai et al., 1997 ; Tanaka et al., 1998 ).
Botulinum C3 exoenzyme was reported to inactivate Rho small GTPase(s)
by ADP ribosylating a specific asparagine residue and thereby
interfering with its biological actions, presumably affecting its
interaction with putative target protein or proteins (Kikuchi et al.,
1988 ; Narumiya et al., 1988 ; Nemoto et al., 1991 ). Therefore, we
examined the effect of C3 exoenzyme on the protection of GGPP from
H-NCD, and C3 had no effect at concentrations where it was reported to
inactivate Rho specifically (data not shown). The inability of C3
exoenzyme to abolish the effect of GGPP does not deny the physiological
significance of geranylgeranylation because other geranylgeranylated
proteins such as Rac and cdc42 might be critical and/or the combination
of inactivation of Rho with those of other geranylgeranylated proteins
might be important in H-NCD. In any case, further experiments should be
planned to address these questions.
In the present study, we found that HMG-CoA reductase inhibition
progressively induces both p53 and Bax, whereas Bcl-2 was present
without treatment and then slightly increased with the inhibition.
Mevalonate and GGPP protect neurons from H-NCD with the inhibition of
the induction of these molecules. The considerable evidence has been
accumulating to indicate that the tumor suppressor gene p53 is involved
in the regulation of cell death (el-Deiry et al., 1993 ; Xiong et al.,
1993 ; Symonds et al., 1994 ). Several studies demonstrated that p53 in
neurons is accumulated during neuronal cell death in vitro
and in vivo. The neurons derived from the p53 null mice
(P53 / ) were reported to be resistant to the excitotoxicity and
DNA-damaging agents both in vitro and in vivo
(Crumrine et al., 1994 ; Dessi et al., 1995 ; Wood and Youle, 1995 ;
Enokido et al., 1996a ,b ; Morrison et al., 1996 ; Sakhi et al., 1996 ;
Trimmer et al., 1996 ; Xiang et al., 1996 ; Hirata and Cadet, 1997 ). In
addition, overexpression of p53 using adenovirus vector dramatically
increased NCD (Xiang et al., 1996 ). Although these data clearly
indicated that p53 plays a critical role in some part of NCD, the
downstream of p53 has not been well characterized yet.
bcl-2 is a protooncogene isolated from human B-cell lymphoma (Tsujimoto
and Croce, 1986 ). The overexpression of Bcl-2 in vitro can
protect neurons from many kinds of insult (Garcia et al., 1992 ; Behl et
al., 1993 ; Kane et al., 1993 ; Zhong et al., 1993a ,b ; Allsopp et al.,
1995 ; Myers et al., 1995 ). After the ischemia, the upregulated
expression of Bax and the downregulated expression of Bcl-2 were
observed in the brain, suggesting that the disproportional expression
between Bax and Bcl-2 is critical for NCD because Bax is able to bind
to bcl-2 and other related anti-apoptotic family members to inhibit
their function (Shimazaki et al., 1994 ; Chen et al., 1995 ; Krajewski et
al., 1995 ; Chen et al., 1996 ). The expression of Bax was reported to be
increased by p53 (Selvakumaran et al., 1994 ; Miyashita and Reed, 1995 ),
and it was clarified that p53 is necessary for Bax-induced NCD (Xiang
et al., 1998 ). It is also possible that p53 activates cell death by
directly downregulating Bcl-2 gene expression in neurons (Selvakumaran et al., 1994 ). Therefore, it is not unreasonable to speculate that the
induction of p53 and Bax plays some roles during the process of H-NCD
in spite of the fact that direct evidence is still awaited.
Does the disruption of the mevalonate cascade provide one of the common
pathways in NCD induced by some pathophysiological conditions? This
represents another critical question because H-NCD has typical
apoptotic characteristics with the induction of p53 and Bax, which are
similar to those of other NCD such as ischemic, glutamate-induced and
-amyloid-induced models. In this regard, we examined the effect of
mevalonate and GGPP in glutamate- and -amyloid-induced neuronal cell
death, and neither mevalonate nor GGPP influenced NCD in these models
(data not shown), indicating that the disruption of the mevalonate
cascade is not involved in these NCD models. However, the possibility
that the mevalonate cascade is involved in some types of NCD still remains.
The statins are being widely used clinically for the treatment of
hypercholesterolemia. Do statins have some risk of the neurotoxicity in vivo at the clinical doses? In the present study, we
demonstrated that pravastatin progressively caused NCD at
concentrations of >10 µM, and both simbastatin
and lovastatin are 10 times or more potent than that of pravastatin. It
was reported that the Cmax of
pravastatin in the serum is ~0.1 µM in the
healthy subjects (Pan et al., 1993 ). In addition, it was
demonstrated that pravastatin was not detected in the CSF at the
clinical doses (Botti et al., 1991 ) and that the concentration of
lovastatin in CSF comprised ~20% of that in serum in healthy
subjects (Botti et al., 1991 ). Therefore, there seems to be little
possibility that the clinical dose of statins reach its concentration
enough to induce the NCD in the brains.
In summary, the NCD induced by the inhibition of HMG-CoA reductase
appears to be apoptotic with the induction of p53 and Bax, and GGPP is
one of the critical isoprenoids in the mevalonate cascade for
protecting neurons from H-NCD probably through the protein geranlygeranylation.
 |
FOOTNOTES |
Received Oct. 18, 1999; revised Jan. 18, 2000; accepted Feb. 1, 2000.
We thank Drs. M. Nishimura and T. Terano for their valuable advice and
Y. Tsuchikawa, Y. Okuda, and M. Maemori for their excellent assistance.
We also acknowledge Dr. S. Kurakata (Sankyo Pharmaceutical Company,
Tokyo, Japan) for the gift of pravastatin and cDNA of HMG-CoA reductase.
Correspondence should be addressed to Dr. Ichiro Tatsuno, Second
Department of Internal Medicine, Chiba University School of Medicine,
1-8-1 Inohana, Chuou-ku, Chiba-city Chiba, 260 Japan. E-mail:
ichico{at}intmed02.m.chiba-u.ac.jp.
 |
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T. Maeda, T. Kawane, and N. Horiuchi
Statins Augment Vascular Endothelial Growth Factor Expression in Osteoblastic Cells via Inhibition of Protein Prenylation
Endocrinology,
February 1, 2003;
144(2):
681 - 692.
[Abstract]
[Full Text]
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X. Li, L. Liu, J. C. Tupper, D. D. Bannerman, R. K. Winn, S. M. Sebti, A. D. Hamilton, and J. M. Harlan
Inhibition of Protein Geranylgeranylation and RhoA/RhoA Kinase Pathway Induces Apoptosis in Human Endothelial Cells
J. Biol. Chem.,
May 3, 2002;
277(18):
15309 - 15316.
[Abstract]
[Full Text]
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B. Agarwal, B. Halmos, A. S. Feoktistov, P. Protiva, W. G. Ramey, M. Chen, C. Pothoulakis, J.T. Lamont, and P. R. Holt
Mechanism of lovastatin-induced apoptosis in intestinal epithelial cells
Carcinogenesis,
March 1, 2002;
23(3):
521 - 528.
[Abstract]
[Full Text]
[PDF]
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D. A. Linseman, T. Laessig, M. K. Meintzer, M. McClure, H. Barth, K. Aktories, and K. A. Heidenreich
An Essential Role for Rac/Cdc42 GTPases in Cerebellar Granule Neuron Survival
J. Biol. Chem.,
October 12, 2001;
276(42):
39123 - 39131.
[Abstract]
[Full Text]
[PDF]
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