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The Journal of Neuroscience, December 15, 2002, 22(24):10613-10620
An Essential Component in Steroid Synthesis, the Steroidogenic
Acute Regulatory Protein, Is Expressed in Discrete Regions of the
Brain
Steven R.
King1, 2, 3,
Pulak R.
Manna4,
Tomohiro
Ishii6,
Peter J.
Syapin5,
Stephen D.
Ginsberg7,
Kevin
Wilson4,
Lance P.
Walsh4,
Keith L.
Parker6,
Douglas M.
Stocco4,
Roy G.
Smith2, 3, and
Dolores J.
Lamb1, 3
1 Scott Department of Urology, 2 Huffington
Center on Aging, and 3 Department of Molecular and Cellular
Biology, Baylor College of Medicine, Houston, Texas 77030, Departments
of 4 Cell Biology and Biochemistry and
5 Pharmacology, Texas Tech University Health Sciences
Center, Lubbock, Texas 79430, 6 Departments of Internal
Medicine and Pharmacology, University of Texas Southwestern Medical
Center, Dallas, Texas 75390, and 7 Center for Dementia
Research, Nathan Kline Institute, New York University School of
Medicine, Orangeburg, New York 10962
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ABSTRACT |
Recent data implicate locally produced steroids, termed
neurosteroids, as regulators of neuronal function. Adrenal and gonadal steroidogenesis is controlled by changes in the steroidogenic acute
regulatory protein (StAR); however, little is known about the
regulation of neurosteroid production. We now demonstrate unequivocally
that StAR mRNA and protein are expressed within glia and neurons in
discrete regions of the mouse brain, and that glial StAR expression is
inducible. Consistent with a role in de novo
neurosteroidogenesis, StAR colocalizes with the cholesterol side-chain
cleavage enzyme P450scc in both mouse and human brains. These data support a role for StAR in the production of neurosteroids and identify potential sites of active de novo steroid
synthesis in the brain.
Key words:
neurosteroid; steroidogenic acute regulatory protein; P450scc; steroidogenesis; cholesterol side-chain
cleavage enzyme; StAR
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INTRODUCTION |
The rate-limiting step in steroid
biosynthesis is regulated by the steroidogenic acute regulatory protein
(StAR) (Stocco and Clark, 1996 ; Stocco, 2001 ). StAR mediates the
transfer of cholesterol from the outer to the inner mitochondrial
membrane, where cholesterol is then converted by cytochrome
P450scc to pregnenolone, the precursor for all
steroids. The critical role of StAR is demonstrated in humans and mice
by the observation that mutations in StAR result in congenital lipoid
adrenal hyperplasia (Lin et al., 1995 ; Bose et al., 1996 ; Caron et al.,
1997 ). Patients carrying this mutation cannot synthesize sufficient
levels of adrenal and gonadal steroids and, if untreated, die shortly
after birth. The essential function of StAR in steroidogenesis is
established for all tissues that synthesize steroid, except for the
human placenta and the brain.
The brain synthesizes neurosteroids de novo, especially
within glia (Corpechot et al., 1981 ; Koenig et al., 1995 ; Zwain and Yen, 1999 ; Compagnone and Mellon, 2000 ; Tsutsui et al., 2000 ), but the
relative roles of locally produced neuroactive steroids and those
converted from circulating precursors remain to be defined. Alterations
in levels of locally produced neurosteroids in the hypothalamus,
hippocampus, and other regions may serve as crucial paracrine
modulators of essential brain functions, including sexual drive,
learning, and memory (Majewska et al., 1986 ; Genazzani et al., 1995 ;
Frye et al., 1996 ; Calogero et al., 1998 ; Akwa et al., 2001 ). Deficits
in neurosteroid production may contribute to a variety of disorders,
including dementia, epilepsy, premenstrual syndrome, and postpartum
depression (Vallee et al., 1997 ; Smith et al., 1998 ; Beyenburg et al.,
1999 ). Consequently, it is critical that we understand the mechanism of
neurosteroid biosynthesis and regulation.
In response to trophic stimulation, StAR is rapidly synthesized as a 37 kDa preprotein. Before or during import into the mitochondria and
processing to 30 kDa forms, StAR stimulates intermembrane cholesterol
transfer (Krueger and Orme-Johnson, 1983 ; Epstein and Orme-Johnson,
1991 ; Stocco and Sodeman, 1991 ; Clark et al., 1994 ; King et al., 1995 ).
Direct evidence in support of this function was illustrated by
stimulation of steroidogenesis in COS1 cells after transient
coexpression of StAR and P450scc (Sugawara et al., 1995a ). Thus, given adequate availability of reducing equivalents for the enzymatic reaction, the sole requirements for the production of
steroid in a cell are the presence of P450scc and
continual de novo synthesis of StAR. Unlike
P450scc, StAR activity is acutely regulated, and
thus, StAR serves as a useful protein marker for ongoing steroidogenesis.
Expression of P450scc in the CNS has been
established previously (Le Goascogne et al., 1987 ), proving that the
brain has the capability to synthesize the steroid. However, a lack of
information on StAR localization has hampered efforts to characterize
steroid-producing cells and investigate the regulation of
neurosteroidogenesis. Although StAR mRNA was identified recently in the
brain (Furukawa et al., 1998 ; Wehrenberg et al., 2001 ), the protein was
not detected. Despite an initial report suggesting expression in the
hippocampus (Kimoto et al., 2001 ), controversy has been raised with
issues of specificity of the antisera used. Therefore, we set out to establish unambiguously whether or not StAR is expressed in the brain
and to identify potential sites of de novo neurosteroidogenesis.
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MATERIALS AND METHODS |
Materials. Media were obtained from Invitrogen
(Grand Island, NY). We used primary antisera against amino acids 88-98
of StAR (previously used to verify the loss of StAR in the StAR /
mouse) (Clark et al., 1994 ; Caron et al., 1997 ), an N-terminally
truncated form of StAR (N-62; kindly provided by W. L. Miller,
University of San Francisco, San Francisco, CA) (Bose et al., 1999 ),
recombinant StAR (a gift from D. B. Hales, University of Illinois,
Chicago, IL) (Hales et al., 2000 ), and glial fibrillary acidic protein (GFAP; Sigma, St. Louis, MO), as well as amino acids 421-441 and 509-526 of P450scc and monoclonal antisera
against neuronal-specific nuclear protein (NeuN) and GFAP
(Chemicon, Temecula, CA).
Preparation of astrocyte cultures and measurement of steroid
production. Astrocyte cultures were prepared from the
mesencephalon of 15- to 16-d-old Sprague-Dawley rat embryos as detailed
previously (Syapin et al., 2001 ) and dissected with the aid of a
stereomicroscope. The cells were maintained in standard glia medium
(HEPES-buffered F12/DMEM plus 10% FBS) to eliminate neuronal
contaminants for 9-12 d, until stable in appearance. We further
purified and expanded cultures twice by replating (1:2 splits) to
obtain confluent, quiescent, tertiary cultures in 2% FBS glia medium.
Cultures devoid of oligodendrocytes and microglia were used 2-14 d
later. Mouse MA-10 Leydig tumor cells (kindly provided by M. Ascoli,
University of Iowa, Iowa City, IA) were maintained in culture in
Waymouth's medium with 15% heat-inactivated horse serum (Clark et
al., 1994 ). Rat C6 glioma cells from the American Type Culture
Collection (Manassas, VA) were grown in high glucose-containing DMEM
with 5% FBS (Syapin, 1995 ).
To assess steroidogenic capability, HPLC was used. Glial cultures were
incubated with [3H]mevalanolactone in
the absence of serum and in the presence of 20 µM
SU-10603 (CIBA Pharmaceutical, Summit, NJ) and 5 µM
cyanoketone (Sterling-Winthrop, Rensselaer, NY), which inhibit
pregnenolone metabolism. Culture medium was extracted with two volumes
of water-saturated HPLC-grade ether, and the organic phase was dried
under a stream of nitrogen. This material was resuspended in 100 µl
of 60% methanol and chromatographed on a Cyano HPLC column (Microsorb
MV, 100 Å, 4.6 mm × 25 cm; Varian Chromatography Systems,
Walnut Creek, CA) using 60% methanol as the mobile phase at 0.8 ml/min. The following elution profile for several reference samples
(Sigma) was obtained (in min): mevalonate lactone, 4.00; pregnenolone, 9.68; testosterone, 6.64; and estradiol, 8.4. Material eluting between
9 and 10 min (elution time for pregnenolone) was collected and counted
in 15 ml of the scintillation mixture Scintiverse (Fisher Scientific,
Fair Lawn, NJ). No other fractions except those containing radiolabeled
mevalonate lactone or pregnenolone contained radioactivity, confirming
that metabolism of pregnenolone had been inhibited. Using this
procedure, steroid production was observed in astrocytes.
Semiquantitative reverse transcription-PCR and immunoblot
analysis. Total RNA (8-10 µg) was extracted from different
glial cultures derived from the same litter using Trizol (Invitrogen) and was used for semiquantitative reverse transcription (RT)-PCR (Manna
et al., 1999 ). We used primers for forward
(5'-GACCTTGAAAGGCTCAGGAAGAAC-3'; bases 51 to 27) and reverse
(5'-TAGCTGAAGATGGACAGACTTGC-3'; bases 931-908) amplification from
mouse StAR cDNA, normalizing for variations in RT-PCR efficiency using
forward (5'-GAAATCGCCAATGCCAACTC-3') and reverse
(5'-TCTTAGACCTGCGAGCCTCA-3') primers for L19 ribosomal protein
cDNA. Reverse transcription was performed using avian myeloblastosis
virus reverse transcriptase (Promega, Madison, WI), and amplification
was performed using Taq DNA polymerase (Promega) in the
presence of [ -32P]CTP. We used 22 cycles in the exponential phase of the PCR with a final cycle of
extension at 72°C for 16 min. The resultant products were separated
by 1.2% agarose gel electrophoresis, and the gels were vacuum-dried
and exposed to film.
Equal amounts of mitochondrial protein as determined by the Bradford
assay were separated by one-dimensional SDS-PAGE. Immunoblot analysis
was then performed using primary antisera and horseradish peroxidase-conjugated anti-rabbit IgG (Amersham Biosciences,
Piscataway, NJ) or anti-mouse IgG (Santa Cruz Biotechnology,
Santa Cruz, CA) and a Renaissance chemiluminescence kit (Perkin-Elmer,
Boston, MA) (Clark et al., 1994 ; King et al., 1995 ).
Relative band intensities for RT-PCR and Western blots were quantitated
(integrated optical densities) and analyzed using the Visage 2000 computer-assisted image analysis system (BioImage, Ann Arbor, MI). For
RT-PCR, bands of interest were normalized to L19 ribosomal protein mRNA
levels and compared with those of unstimulated cells. Statistical
analyses for these results are detailed in the figure legends.
Preparation of brain tissue. We perfused, fixed, and
dissected brains from terminally anesthetized male and female adult
C57BL/6 or StAR / mice of different ages. Adult animals were
perfused transcardially with PBS, followed by phosphate-buffered 4%
paraformaldehyde, pH 7.4, in phosphate buffer. Brains were removed and
placed into PBS. Brains were then fixed in 4%
p-formaldehyde for 2 hr before incubation on consecutive
nights with 12% and then 30% sucrose solutions in phosphate buffer,
pH 7.4, at 4°C. The brains were mounted in Tissue Tek optimal cutting
temperature compound (Miles Inc., Elkhart, IN) on a chuck and,
after equilibration to 20°C in a cryostat, 40-µm-thick coronal,
sagittal, and horizontal sections were cut and stored at 20°C in a
cryoprotectant solution (30% glycerol and 30% ethylene glycol in
0.2× phosphate buffer).
Neutral buffered formalin (10%) fixed nondemented human brain tissues
with no pathological evidence of neurodegenerative disease were
obtained from the Harvard Brain Tissue Resource Center (McLean Hospital, Belmont, MA). Forty micrometer sections were cut using a
vibratome and treated with methanol and hydrogen peroxide to quench
endoperoxidase activity before antibody incubation.
Immunohistochemistry and immunofluorescence. Selected
sections were washed several times in TBS and then left for 1 hr in blocking solution (0.01% Triton X-100, 2% serum, and 0.1 M Tris/HCl, pH 7.4). Samples were incubated
overnight at 4°C with primary antibody appropriately diluted in a
solution of 0.005% Triton X-100, 1% serum, and 0.1 M Tris. Immunoperoxidase labeling was then
performed using the Vectastain Elite ABC kit (Vector Laboratories, Burlingame, CA) according to the manufacturer's instructions. Samples
were stained with 0.05% 3,3'-diaminobenzidine (DAB; Sigma) or Vector
SG (Vector Laboratories) in 0.01% Triton X-100 and 0.1 M Tris mixed with 0.03%
H2O2 and 10 mM imidazole (for DAB) and then mounted on slides
(Ginsberg et al., 1995 , 2000 ).
For immunofluorescence detection, the secondary antisera used were
Alexa series red 594 and green 488 dye-conjugated anti-rabbit IgG
(Molecular Probes, Eugene, OR). After several washes in TBS, tissue was
then mounted and coverslipped with 1:1 Vectashield with or without
4',6'-diamidino-2-phenylindole (DAPI) stain (Vector Laboratories) as described previously (Ginsberg et al., 1995 , 2000 ).
Microscope images were taken using an Olympus Optical (Melville, NY)
BX51 microscope and a Nikon (Tokyo, Japan) E800 microscope system with
MetaView 5.0 software. In general, two to three male and female brains
of each group were used, and experiments were repeated three times with
all antisera.
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RESULTS |
StAR expression can be induced in cultured glial cells
Because glia represent a primary site for neurosteroidogenesis, we
first investigated whether StAR is present in astrocytes isolated from
rat mesencephalon and C6 glioma cells. These cell types have been
demonstrated previously to synthesize steroids (Hu et al., 1987 ;
Papadopoulos et al., 1992 ), and this was verified for astrocytes
with HPLC (data not shown). Expression of P450scc was observed by immunoblot analysis of protein from isolated
mitochondrial preparations (data not shown).
To investigate possible StAR expression, we stimulated these cells with
forskolin or dibutyryl cAMP (dbcAMP), which increases glial
neurosteroid production (Hu et al., 1987 ) and upregulates StAR and
steroid synthesis in peripheral tissues (Stocco and Clark, 1996 ). Using
semiquantitative RT-PCR, StAR mRNA was detected under basal conditions,
and its level increased ~200-300% with forskolin stimulation (Fig.
1A). Levels of StAR
similarly rose ~300% with dbcAMP stimulation (Fig.
1B). This increase was blocked when cells were
coincubated with the protein synthesis inhibitor cycloheximide (Fig.
1C). Thus, StAR is synthesized de novo in
response to stimulation by an agent that induces StAR expression in
classic steroidogenic tissues, such as the gonads and adrenal gland
(Stocco, 2001 ). Similar data were obtained with C6 glioma cells (data
not shown).

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Figure 1.
StAR is present in glia, and its expression is
inducible by cAMP. A, Basal levels of StAR mRNA were
detected by semiquantitative RT-PCR analysis (top,
quantified in bottom). Stimulation with 40 µM forskolin for 12 and 24 hr significantly increased
StAR mRNA levels by 170 and 260%, respectively. Bands of interest were
normalized to L19 ribosomal protein mRNA levels. Significant ratio
differences between groups were determined by one-way ANOVA
(p < 0.0001). Individual comparisons were also significant
(p < 0.01), except between 12 and 24 hr
controls (C), according to the Newman-Keuls
multiple comparison test. B, StAR levels significantly
increased with 0.5 mg/ml dbcAMP stimulation by 330% and remained high
over 24 hr, as revealed by immunoblot analysis (top,
quantified in bottom). This relatively long time course
may reflect a small population of StAR-expressing glia with high basal
activity, and thus high StAR levels before stimulation. Last
lane, Mitochondrial protein from positive control stimulated
mouse MA-10 (MA10) Leydig tumor cells shows a strong
StAR signal, confirming the identity of the glial band. The data
represent an experiment performed four times with similar results.
C, Cycloheximide (0.5 µM) inhibited
induction of StAR expression. Data in A-C represent two
separate experiments performed four times.
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Glial and neuronal cell populations in the brain express StAR
Having established StAR expression in cultured glia, we surveyed
various brain regions by immunohistochemistry to examine the
distribution of StAR. Given the low level of glial expression and
previous failures by others to detect StAR in paraffin-embedded sections (Pollack et al., 1997 ), a more sensitive technique was used to
enhance detection using free-floating frozen sections to preserve
antigenicity and increase antigen access. To ensure specificity of
labeling and to rule out cross-reactivity with the StAR homolog MLN64,
we used three different anti-StAR antisera, including an antipeptide
antisera, and tissues from StAR / mice, as a negative control.
Immunohistochemical analysis with each antisera yielded similar
findings, with specific staining in many regions of the CNS. Expression
of StAR was found in a minority of cells in the brain (likely one
source of previous failures to detect StAR). All three antisera
detected StAR in both neurons and glia in a similar pattern in the
brain. The majority of StAR-immunopositive cells exhibited a punctate
staining pattern within the somatodendritic domain, with apparent
nuclear exclusion, consistent with its known mitochondrial localization. Positively stained cell types were identified by morphology and dual-labeling with antisera directed against glial and
neuronal markers, GFAP and NeuN, respectively (Fig.
2). No evidence of positive
immunolabeling was observed in tissue sections from StAR knock-out
mice, which served as a negative control
(Figs. 3D,F,
4B, 5B), or
in control reactions in which the primary
or secondary antisera were omitted from the reactions (Fig.
3G).

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Figure 2.
StAR is expressed in both glia and neurons in the
brain. A, StAR expression in glia was demonstrated by
colocalization of StAR (reddish brown) with GFAP
(bluish gray) in the fimbria of the hippocampus
(thick arrow). The thin arrow identifies
a glial cell lacking StAR labeling. B, Neuronal
expression of StAR was established by colocalization of StAR
(reddish brown) with NeuN (bluish gray)
in the striatum. Scale bar, 10 µm.
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Figure 3.
The pons and striatum contain StAR-immunoreactive
cells. A-D, StAR-immunoreactive pontine neurons were
detected using antisera generated against the N-terminally truncated
form of StAR (A), amino acids 88-98 of StAR
(B), and recombinant StAR
(C), but not in StAR / animals
(D). Scale bar, 50 µm. E-G,
Immunopositive labeling for StAR in striatal neurons
(E) is in contrast to a lack of staining in
same-power magnifications of the striatum from a StAR / animal
(F) and striatum incubated without primary
antisera (G). Scale bar, 50 µm.
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Figure 4.
StAR is synthesized in the cerebellum and
hippocampus. A, B, Intense specific staining of Purkinje
cells (arrow) in the cerebellum was noted, but was
absent in StAR / mice (B). Scale bar, 50 µm.
C, In the hippocampus, StAR immunoreactivity was
observed in all zones of Ammon's horn (CA1-CA3) and in the dentate
gyrus (DG) in neurons such as hilar cells
(h) and in glia in the fornix
(f). Scale bar, 100 µm.
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Figure 5.
StAR localizes in the hypothalamus and preoptic
area. A, StAR-containing neurons in the lateral POA
(LPOA) and glia in the anterior commissure
(ac); note in B the lack of specific
staining in a similar section including the medial POA
(MPOA) from a StAR / mouse. Scale bar, 50 µm.
C, Low-power magnification of StAR labeling in the
anterior hypothalamus including the arcuate nucleus
(ARC), adjacent to the third ventricle
(3V). Scale bar, 100 µm. D, E,
Immunopositive neurons in the medial POA and arcuate nucleus. The
arrow in D indicates a neuron with an
apparently unstained nucleus, characteristic of mitochondrial protein
labeling. Scale bar, 25 µm.
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StAR was present in specific cell types in several regions of the
brain, including neurons in the pons (Fig. 3A-C), medium spiny neurons of the striatum (Figs. 2B,
3E), Purkinje cells of the cerebellum (Fig.
4A), and multiple regions of the hippocampus, including all zones of Ammon's horn (CA1-CA3), the dentate gyrus, and
glial labeling within the fornix (Fig. 4C). Other regions that expressed StAR included the neocortex, including glial
populations, and specific cell types in the thalamus (data not shown).
Steroid hormones play key roles in regulating sexual behavior and
reproduction, and StAR immunoreactivity was also observed in several
brain regions implicated in sexual behavior. In particular, StAR-immunoreactive neurons were localized to the olfactory bulb and
the hypothalamus, including the preoptic area (POA), whereas glial
staining was also found in the anterior commissure (Fig. 5A). Finally, StAR-immunoreactive neurons were also found in
the arcuate nucleus, a structure that is critical in
gonadotropin-releasing hormone (GnRH) signaling (Fig. 5C,D).
Collectively, the present data elucidate specific cell types within
discrete brain regions that express StAR.
Discrete cell populations in the brain express both StAR
and P450scc
De novo neurosteroidogenesis also requires expression
of the cholesterol side-chain cleavage enzyme
P450scc, which catalyzes the initial reaction in
the steroidogenic pathway. To determine the extent to which
StAR-positive cells are potentially capable of de novo
steroidogenesis, we examined whether or not they express P450scc by immunohistochemistry using two
different antisera. Both antisera produced immunopositive signals
localized in a manner typical of mitochondrial proteins, with punctate
cytoplasmic staining and nuclear exclusion. As seen with StAR,
P450scc immunoreactivity was observed in multiple
brain regions, including the cerebellum, pons, cerebral cortex, and
hypothalamus (Fig.
6A-E). As was the case
for StAR, P450scc immunoreactivity was present in
both various neuronal as well as glial populations (Fig.
6D,E). Most importantly, dual-label
immunohistochemical analyses revealed colocalization of StAR and
P450scc immunoreactivities in many cells in the
CNS, including cortical neurons (Fig. 6F). Using
triple-label immunofluorescence, a punctate pattern of labeling was
again observed with nuclear exclusion, as confirmed by DAPI staining,
consistent with a mitochondrial colocalization (Fig.
6G-J). The coordinate expression of StAR and
P450scc in specific cell types establishes that
these cells contain both the essential mediator of cholesterol delivery
and the enzyme that performs the initial reaction in the steroidogenic pathway.

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Figure 6.
StAR is expressed in steroidogenic cells in the
brain. A-C, P450scc immunoreactivity was
detected in the cerebellum (A), pons
(B), and cerebral cortex
(C). D, E, As with StAR,
P450scc (reddish brown) colocalized in
individual cells with NeuN (bluish gray), shown in the
cerebral cortex (D), and GFAP, as in the lateral
hypothalamus (indicated by thick arrow; cell lacking
P450scc indicated by an asterisk,
E), indicating expression in both neurons and glia.
F, StAR (bluish gray) and
P450scc (reddish brown) immunoreactivity
colocalized in cells within the cerebral cortex. G-J,
Nuclear-excluded immunofluorescence (by DAPI stain, G)
established for StAR (H, red) and
P450scc (I, green)
mitochondrial-type colocalization (visualized in three channels in
J), using DAPI, Texas Red, and FITC filters.
Scale bars: A, 100 µm; B-D, 50 µm;
E, F, G-J, 25 µm.
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Both StAR and P450scc are expressed and
colocalize in the human brain
To determine whether StAR and P450scc
protein expression could also be demonstrated in the human brain,
immunohistochemical techniques were once again used. Expression and
colocalization of both proteins were observed in the human CNS with an
apparent mitochondrial localization (Fig.
7). These results are consistent with the
data obtained with the rodent and support the conclusion that the human
brain contains sites of active neurosteroid synthesis.

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Figure 7.
Cells in the human brain express both StAR and
P450scc. A-C, Expression of StAR
(A, bluish gray) and P450scc
(B, reddish brown) was observed with
colocalization in various cell types including neurons in the human
frontal cortex (C, dual label). Scale bar, 25 µm.
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DISCUSSION |
The local production of neurosteroids such as
allopregnanolone and pregnenolone sulfate in the brain has been
implicated in the regulation of many important functions, such as
sexual behavior and memory. Inhibition of de novo synthesis
of neurosteroids reduced dendritic spine formation in Purkinje cells in
organotypic slice cultures (Sakamoto et al., 2002 ) and remyelination of
damaged nerves by Schwann cells (Koenig et al., 1995 ). In addition, low hippocampal levels of pregnenolone sulfate correlate with poor performance in memory tasks by rodents (Vallee et al., 1997 ). Administration of neurosteroids has been proposed as a therapeutic treatment for various pathologies such as seizure disorders and memory
loss attributable to aging (Akwa et al., 2001 ; for review, see
Mellon and Griffin, 2002 ). Unfortunately, although such data are
tantalizing, most studies of neurosteroids have been correlative or
involved intracerebroventricular administration of the hormones at
potentially supraphysiologic doses. Furthermore, although some data
suggest the local production of many different types of neurosteroids, there have been few enzyme colocalization studies to support these observations. Thus, functions for specific steroids in different cell
types have yet to be fully described. One important problem has been
the lack of information regarding the mechanism by which neurosteroids
are synthesized de novo. In the absence of evidence for the
presence of StAR, some reports proposed a role for the ubiquitous,
peripheral-type benzodiazepine receptor (PBR) (Papadopoulos et al.,
1992 ) or the StAR homolog MLN64 (Watari et al., 1997 ), a late endosomal
protein with unknown function (Moog-Lutz et al., 1997 ; Tsujishita and
Hurley, 2000 ; Alpy et al., 2001 ). The fact remains, however,
that only StAR has been unequivocally demonstrated as essential for the
regulated delivery of cholesterol to the steroidogenic complex (Stocco
and Clark, 1996 ; Stocco, 2001 ). The compelling evidence that StAR is a
critical player in regulated steroidogenesis comes primarily from
evidence provided by human subjects and knock-out mice with genetic
ablation of StAR (Lin et al., 1995 ; Bose et al., 1996 ; Caron et al.,
1997 ). Despite the presence of normal PBR, these individuals are
unable to produce androgens in amounts sufficient to virilize the
external genitalia, and they die because of an inability to synthesize
adrenal steroids (Lin et al., 1993 ; Caron et al., 1997 ).
The present studies unambiguously establish that StAR and
P450scc expression colocalize within discrete
cells in the brain. By using immunodetection techniques with an
antipeptide antisera against StAR that does not recognize MLN64 with
brain sections from StAR knock-out mice, we have completely excluded
the possibility that the immunohistochemical signal reflects expression
of the closely related MLN64 rather than StAR.
Glia are considered the primary source of neurosteroids.
Correspondingly, StAR was found in cultured rat astrocytes that
contained P450scc. As in peripheral tissues, StAR
expression was inducible through stimulation of the cAMP pathway. This
pathway is also important in acute induction of neurosteroidogenesis
(Hu et al., 1987 ). In contrast to the results of Kimoto et al. (2001) ,
no evidence was found for the existence of a StAR-precursor pool. Only
the 30 kDa mature protein was detected, and significantly, when cells
were stimulated in the presence of cycloheximide, StAR levels did not
increase. Therefore, the observed increase in StAR levels was caused by
new synthesis and not by processing from existing 37 kDa precursor proteins.
These results are important, because they reveal StAR expression in
cells that are steroidogenic. The regional pattern of P450scc expression is similar to that reported
previously for the rat (Le Goascogne et al., 1987 ; Iwahashi et al.,
1990 ; Compagnone et al., 1995 ) and correlates with StAR expression.
Moreover, P450scc and StAR immunoreactivity were
colocalized to individual cells. Because synthesis of StAR directly
results in increased mitochondrial intermembrane cholesterol transfer
to P450scc and hence, in steroid synthesis, it is
reasonable to propose that steroidogenesis in the CNS, like that in
peripheral tissues, is acutely regulated through a StAR-dependent mechanism.
It is difficult to provide a precise comparison of relative
levels of StAR in the brain and peripheral steroidogenic tissues (e.g.,
adrenal cortex and gonads), because only a subset of cells express
StAR, even in the regions that have the highest expression. Differences
in the percentage of steroidogenic cells can lead to incorrect
conclusions regarding the steroidogenic activity of the tissue.
Nonetheless, the level of P450scc protein in the rat brain has been estimated to be 1% of that found in mouse Y1 adrenocortical cells and MA-10 Leydig tumor cells, although
P450scc mRNA levels are at least four orders of
magnitude lower than in the adrenal gland (Mellon and Deschepper, 1993 ;
Compagnone et al., 1995 ; Beyenburg et al., 1999 ). The level of StAR
mRNA in the CNS is considerably higher than
P450scc levels (Furukawa et al., 1998 ).
Unfortunately, it is impossible to draw a conclusion with respect to
StAR levels based on mRNA data.
The present results provide compelling evidence that multiple neuronal
populations are steroidogenic. Because glia are primarily described as
the major steroidogenic cell type in the brain, it was unexpected that
StAR and P450scc expression could also be localized to neuronal cell types. Although some studies have suggested that P450scc expression may be confined
exclusively to glia (Iwahashi et al., 1990 ), recent publications
indicate that neuronal cell types, such as Purkinje cells and neurons
in the hippocampus and superior cervical ganglia, have the capacity to
synthesize steroid as well (Compagnone et al., 1995 ; Ukena et al.,
1998 ; Kimoto et al., 2001 ).
Colocalization of StAR and P450scc
immunoreactivity allows actively steroidogenic cells in the brain to be
identified. Coexpression of StAR and P450scc in
cells in various regions strongly supports the proposed roles for
neurosteroids. For instance, the presence of StAR and
P450scc in anterior hypothalamic structures,
including the POA, supports the possibility that StAR-mediated
neurosteroidogenesis regulates GnRH release and the dopaminergic
systems, which are essential for sexual drive and performance. Neuronal
staining in the hippocampus is consistent with a role for StAR in
proposed neurosteroid-modulated processes such as cognition and
neuroprotection, which is important for memory. Thus, StAR may serve as
a more sensitive marker for investigating changes in
neurosteroidogenesis under various conditions and pathologies than
current in vivo steroid assays.
The present data are also consistent with previous in situ
analyses. One study provided evidence for colocalization of StAR mRNA
with mRNAs for P450scc and 3 -hydroxysteroid
dehydrogenase in Purkinje cells (Furukawa et al., 1998 ), supporting a
role for locally produced progesterone in cerebellar development and
function (Ukena et al., 1999 ; Sakamoto et al., 2002 ). The presence of
aromatase mRNA in hippocampal cells that may contain StAR mRNA raises
the possibility that neurons may synthesize de novo
estrogen, which is an important factor in memory preservation
(Wehrenberg et al., 2001 ). Future studies will determine whether
neurosteroids are generally produced de novo within
individual neuronal populations or whether pregnenolone synthesis and
further conversion to other neurosteroids occur in separate distant or
neighboring cell types, as in the ovary or testis.
The presence of StAR in all cells that express
P450scc remains to be unambiguously confirmed. It
is conceivable that cell types may exist in the brain that lack
P450scc and use StAR for another purpose, such as
stimulating endogenous mitochondrial 26-hydroxylase activity (Sugawara
et al., 1995b ). Conversely, there may be cells that lack StAR and rely
on StAR-independent steroidogenesis, which occurs in only one known
tissue, the human placenta. More likely, cell types that contain only
P450scc may represent those that are
steroidogenically quiescent and activate production of StAR and steroid
in response to certain stimuli, such as neurotoxic stimulation in
hippocampal neurons.
Collectively, these data are consistent with the hypothesis
that StAR participates in the de novo production of
neurosteroids. The broad expression profile of StAR and
P450scc suggests that de novo
steroidogenesis plays multiple roles in brain function. However, the
physiologic importance of local neurosteroid production relative to
neuroactive steroids converted from steroid precursors generated in
peripheral sources (such as the adrenal gland) awaits the results of
additional studies. An advantage of localized neurosteroid synthesis
would be to allow greater selectivity for stimulation of specific
neurons. Through the generation of transgenic mice with brain-specific
knock-outs of StAR, it should be possible to dissect the relative roles
of neurosteroids derived from de novo production and those
arising from conversion of peripherally derived precursors. Together,
these results provide insight into the locations of neurosteroid
production and identify areas that could serve as targets for drug
intervention and therapy.
 |
FOOTNOTES |
Received June 28, 2002; revised Sept. 5, 2002; accepted Sept. 30, 2002.
This research was supported by grants from the Gilson Longenbaugh
Foundation and Alzheimer's Association Grant NIRG-00-2250 (S.D.G.); by
Texas Advanced Research Program Grant 010674-0013 (P.J.S.); by National
Institutes of Health (NIH) Grants DK54028 (K.L.P.), NS43939 (S.D.G.),
and HD17481 (D.M.S.); by the Robert A. Welch Foundation (D.M.S.); and
by NIH Grant T32-DK07763 and the Lalor Foundation (S.R.K.). We thank
J. C. Hutson, Y. O. Lukyanenko, J. Koss-Dertien, C. Y. Cutler, J. T. Le, and D. Alberts for their assistance.
Correspondence should be addressed to Dr. Dolores J. Lamb, Scott
Department of Urology, Room N730, Baylor College of Medicine, One
Baylor Plaza, Houston, TX 77030-3498. E-mail:
dlamb{at}www.urol.bcm.tmc.edu.
 |
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