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The Journal of Neuroscience, March 15, 2003, 23(6):2112
Ischemic Insults Derepress the Gene Silencer REST in Neurons
Destined to Die
Agata
Calderone,
Teresa
Jover*,
Kyung-min
Noh*,
Hidenobu
Tanaka ,
Hidenori
Yokota,
Ying
Lin,
Sonja Y.
Grooms,
Roodland
Regis,
Michael
V. L.
Bennett, and
R. Suzanne
Zukin
Department of Neuroscience, Albert Einstein College of Medicine,
Bronx, New York 10461
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ABSTRACT |
A subset of genes implicated in genetic and acquired neurological
disorders encode proteins essential to neural patterning and
neurogenesis. The gene silencing transcription factor neuronal repressor element-1 silencing transcription factor
(REST)/neuron-restrictive silencer factor (NRSF) plays a
critical role in elaboration of the neuronal phenotype. In neural
progenitor and non-neural cells, REST acts by repression of a subset of
neural genes important to synaptic plasticity and synaptic remodeling,
including the AMPA receptor (AMPAR) subunit GluR2. Here we show that
global ischemia triggers REST mRNA and protein expression. REST
suppresses GluR2 promoter activity and gene expression in neurons
destined to die. Because the GluR2 subunit governs AMPAR
Ca2+ permeability, these changes are expected to
have profound effects on neuronal survival. In keeping with this
concept, acute knockdown of the REST gene by antisense administration
prevents GluR2 suppression and rescues post-ischemic neurons from
ischemia-induced cell death in an in vitro model. To our
knowledge, our study represents the first example of ischemia-induced
induction of a master transcriptional regulator gene and its protein
expression critical to neural differentiation and patterning in adult
neurons. Derepression of REST is likely to be an important mechanism of
insult-induced neuronal death.
Key words:
REST; chromatin remodeling; transcription factors; AMPA receptors; neuronal insult; neuronal death; global ischemia; hippocampus
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Introduction |
The gene silencing transcription
factor neuronal repressor element-1 (RE1) silencing transcription
factor/neuron-restrictive silencer factor (REST/NRSF) is widely
expressed during embryogenesis and plays a strategic role in terminal
neuronal differentiation (Chong et al., 1995 ; Schoenherr et al., 1996 ).
In neural progenitor cells and non-neuronal cells, REST actively
represses a large array of neural-specific genes important to synaptic
plasticity and synaptic remodeling, including synaptic vesicle
proteins, structural proteins, voltage-sensitive ion channels, and
neurotransmitter receptors (for review, see Schoenherr et al., 1995 ).
Examples are synapsin I (Howland et al., 1991 ; Li et al., 1993 ; Schoch et al., 1996 ), NaCh II (Kraner et al., 1992 ; Chong et al., 1995 ), muscarinic acetylcholine m4 receptor (Wood et al., 1996 ; Mieda et al.,
1997 ), µ opioid receptor (Andria and Simon, 2001 ), SCG10 (Mori et
al., 1992 ), and the neuronal nicotinic acetylcholine receptor subunit
2 (Bessis et al., 1995 ) and AMPA receptor (AMPAR) subunit GluR2
(Myers et al., 1998 ). As neural progenitors differentiate and migrate
out of the ventricular zone, REST downregulation is essential for
induction and maintenance of the neural phenotype (Ballas et al.,
2001 ). Consistent with this idea, REST is required for mouse viability
(Chen et al., 1998 ), and overexpression of REST in differentiating
neurons disrupts neuronal gene expression and increases axon-guidance
errors (Paquette et al., 2000 ).
Recent studies have advanced our understanding of the molecular
underpinnings of REST-dependent silencing of target genes, including
GluR2. REST is a member of the Gli-Krüppel family of zinc-finger
transcriptional repressors and contains nine noncanonical zinc finger
motifs through which it binds the cis-acting RE1
within the promoter region of target genes (Chong et al., 1995 ;
Schoenherr et al., 1996 ). REST associates with the co-repressors Sin3A
and coREST, which in turn recruit histone deacetylase to the
promoters of target genes (Ballas et al., 2001 ). The co-repressor
complex silences gene transcription by deacetylation of core histone
proteins and tightening of the core chromatin complex, thus restricting access of the transcription machinery required for gene activation. Chromatin remodeling is a universal mechanism of transcriptional repression and is implicated in other histone-modulated processes, including DNA replication, recombination, and repair (for review, see
Chen et al., 2001 ).
AMPARs mediate fast synaptic transmission at excitatory synapses and
play important roles in synaptic remodeling, activity-dependent synaptic plasticity, and excitotoxic cell death. The GluR2 subunit governs a number of biophysical properties of AMPARs, including Ca2+ permeability (Hollmann et al., 1991 ;
Verdoorn et al., 1991 ; Burnashev et al., 1992 ), voltage-dependent block
by intracellular polyamines (Bowie and Mayer, 1995 ; Donevan and
Rogawski, 1995 ), single-channel conductance (Swanson et al., 1997 ), and
activity-dependent AMPAR recycling and targeting to the synapse (Liu
and Cull-Candy, 2000 ; Passafaro et al., 2001 ). Thus, an acute change in
the level of GluR2 expression would be expected to have profound
effects on synaptic activity and neuronal survival. The relative
expression of GluR2 in neurons is not static but is regulated in a
cell-specific manner during development (Pellegrini-Giampietro et al.,
1991 ) and remodeled by activity (Liu and Cull-Candy, 2000 ),
anti-psychotics (Fitzgerald et al., 1995 ), drugs of abuse (Fitzgerald
et al., 1996 ), and corticosteroids (Nair et al., 1998 ), and after
seizures (Pollard et al., 1993 ; Friedman et al., 1994 ; Prince et al.,
1995 ) or ischemic insult (Gorter et al., 1997 ).
A subset of genes implicated in genetic and acquired neurological
disorders encode proteins essential to neural patterning and
neurogenesis (Mehler and Gokhan, 2001 ). A hallmark of these disorders
is their delayed onset and high cell specificity of neuronal death.
Transient global ischemia associated with cardiac arrest induces
delayed, cell-specific death of hippocampal CA1 pyramidal neurons
(Tanaka et al., 2002 ). The substantial delay between ischemic insult
and onset of cell death is consistent with a role for transcriptional
changes. Ischemia triggers suppression of GluR2 expression in
vulnerable CA1 neurons. Because the GluR2 gene is a known target of
REST (Huang et al., 1999 ) and is implicated in AMPAR-mediated
excitotoxic cell death (Tanaka et al., 2000 ), these observations
implicate REST as a candidate mediator of ischemia-induced transcriptional changes including suppression of GluR2.
The present study was undertaken to examine the hypothesis that
induction of REST contributes to global ischemia-induced neuronal death. Here we show that global ischemia triggers expression of REST
and suppresses GluR2 promoter activity and gene expression in neurons
destined to die. In a slice culture model, acute knockdown of the REST
gene rescues post-ischemic neurons from ischemia-induced cell death,
indicating a causal relation between REST expression and neuronal
death. Thus ischemic insults derepress injury-induced derepression of a
gene implicated as a master regulator of the neuronal phenotype.
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Materials and Methods |
Global ischemia. Age-matched, adult male
Sprague Dawley rats (Charles River
Laboratories, Wilmington, MA), weighing 100-125 gm, were
maintained in a temperature- and light-controlled environment with a 14 hr light/10 hr dark cycle and were treated in accordance with the
principles and procedures of the National Institutes of Health
Guidelines for the Care and Use of Laboratory Animals. Rats were
fasted overnight and on the day of surgery were subjected to sham
operation (control animals), global ischemia, or ischemic preconditioning by four-vessel occlusion according to Pulsinelli and
Brierley (1979) . In brief, animals were anesthetized with halothane
(induction, 2%; maintenance, 0.5-1%). The vertebral arteries were
subjected to electrocauterization; common carotid arteries were exposed
and isolated with a 3-0 silk thread, and the wound was sutured.
Twenty-four hours later, the wound was reopened and carotid arteries
were occluded (10 min for global ischemia or 4 min for ischemic
preconditioning), followed by reperfusion. Arteries were visually
inspected to ensure adequate reflow, and then anesthesia was
discontinued. For sham operation, animals were subjected to the same
anesthesia and surgical procedures, except that the carotid arteries
were not occluded. Body temperature was maintained at 37°C with a
rectal thermistor and heat lamp during and after the induction of
global ischemia.
Histology. Neuronal damage was assessed by histological
examination of brain sections at the level of dorsal hippocampus from animals killed by decapitation at 24 hr after sham operation, at
48 hr after preconditioning, or at 12, 24, and 48 hr after global
ischemia. Animals were fixed by transcardiac perfusion with
paraformaldehyde (4%) under deep anesthesia. Brains were removed and
immersed in fixative (overnight at 4°C). Coronal sections (15 µm)
were cut with a cryotome and stained with toluidine blue.
In situ hybridization. To detect REST mRNA expression
in the hippocampus of control and experimental animals, animals were anesthetized with pentobarbital and killed by decapitation at 24 hr
after sham operation, at 48 hr after preconditioning, or at 12, 24, and
48 hr after global ischemia, or (for preconditioned animals) at 48 hr
after ischemic preconditioning, followed by global ischemia. REST mRNA
expression was assessed by in situ hybridization. Serial
coronal sections or fresh-frozen rat brain at the level of the dorsal
hippocampus was hybridized with
[35S]-labeled riboprobes directed to rat
REST (rREST), riboprobe 4 (a 460 bp fragment encoding the region
upstream of zinc finger 1 through zinc finger 2 within the N-terminal
domain of REST) or riboprobe 11 (a 360 bp fragment encoding the region
upstream of zinc finger 9 within the C-terminal domain of REST) (Palm
et al., 1998 ). GluR2 mRNA expression was assessed by in situ
hybridization as described (Tanaka et al., 2002 ). In brief,
coronal sections of rat brain at the level of the dorsal hippocampus
were probed with a full-length,
[35S]UTP-labeled RNA probe to GluR2
cDNA. RNA probes were transcribed by incubation of the corresponding
cDNA (1 hr at 37°C) with T3 polymerase (REST) or T7 polymerase
(GluR2) in the presence of [35S]UTP
using a Stratagene transcription kit. Radiolabeled probes were purified by phenol/chloroform extraction. Film autoradiograms were
quantitated as described (Tanaka et al., 2002 ).
Immunolabeling. To examine effects of global ischemia on
patterns of REST expression, animals were killed at 12, 24, and 48 hr
after global ischemia or at 24 hr after sham operation. Brains were
rapidly removed, frozen by immersion in 2-methylbutane at 42°C, and
stored at 70°C until sectioning. Brains were cut into sections (18 µm) in the coronal plane of the dorsal hippocampus by cryotome and
thaw mounted onto glass slides. Sections were fixed (4%
paraformaldehyde), blocked, and probed with anti-REST antibodies p73, a
polyclonal antibody directed to the N-terminal zinc-finger DNA binding
domain of the REST protein, or F3, a polyclonal antibody directed to
the ninth zinc finger within the C-terminal domain of REST [1:1000,
overnight at 4°C; gifts of Dr. Gail Mandel, State University of New
York, Stony Brook, NY (Chong et al., 1995 )], followed by biotinylated
goat anti-rabbit IgG (1:200; 1 hr at room temperature Vector
Laboratories, Burlingame, CA). Sections were incubated and
processed with avidin-biotin complex (Vectastain ABC kit, Vector
Labs) (1 hr at room temperature), followed by 3-3'-diaminobenzidine (Vector Labs). For immunolabeling
of cultured hippocampal slices, slices were fixed and probed with the
N-terminal antibody p73 and secondary antibody as above,
followed by fluorescein-avidin (1:500, 1 hr at room temperature;
Vector Labs). Images were viewed through a
Nikon inverted microscope ECLIPSE TE300, and images were acquired with a SPOT RT CCD-cooled camera with diagnostic software version 3.0.
Western blot analysis. To examine the effects of global
ischemia on REST and GluR2 protein abundance, Western blot analysis was
performed on protein samples isolated from hippocampal subfields of
experimental and control animals at 24 and 48 hr after global ischemia
as described (Opitz et al., 2000 ). Transverse slices of dorsal
hippocampus (1 mm) were cut with a Mcllwain tissue chopper. The CA1,
CA3, and DG subfields were rapidly microdissected and homogenized in
sample buffer containing phenylmethylsulfonyl fluoride (1 mM), and nuclear and cytosolic fractions were
isolated by differential centrifugation using a commercially available
kit (Pierce, Rockford, IL). As a positive control, protein
samples were prepared from primary cultures of astrocytes from the
brains of embryonic day 18 rats at 30 d in culture, as described
(Fan et al., 1999 ). Protein concentration was measured using a
bicinchoninic acid protein assay (Pierce). Aliquots of
protein extract (10 µg of total protein for GluR2 or 80 µg of total
protein for REST) were separated by gel electrophoresis on 10% (GluR2)
or 7.5% (REST) polyacrylamide gels. Bands were transferred to a
nitrocellulose membrane for immunoblotting with an antibody directed to
the N-terminal domain of REST (see above) or with an anti-GluR2
monoclonal antibody directed to a sequence within the N-terminal domain
of the GluR2 subunit (1:1000; PharMingen, San Diego, CA). The purity of
the subcellular fractions was verified with an antibody against the nuclear protein PARP (H-250; Santa Cruz Biotechnology,
Santa Cruz CA). For GluR1 and GluR2 protein expression, band
intensities were normalized to those for actin, which was used as a
loading control. In the case of REST protein expression in nuclear and cytosolic fractions of CA1 tissue, we performed equal loading of
samples, because actin is not expressed in nuclear tissue. In addition,
band densities of samples from experimental animals were normalized to
the corresponding control values on the same film to enable comparisons
of blots apposed to different films.
Chromatin immunoprecipitation assays. The levels of
acetylated H3 and H4 histones physically associated with the endogenous GluR2 promoter were assayed by the chromatin immunoprecipitation (ChIP)
assay according to the protocol provided by the manufacturer (anti-acetyl H3 and anti-acetyl H4 ChIP assay kits; Upstate
Biotechnology, Rochester, NY) as described (Huang et al., 1999 ).
Transverse slices of dorsal hippocampus (1 mm) from the brains of
control and experimental animals were cut with a Mcllwain tissue
chopper and immersed in 1% formaldehyde (2 hr at room temperature) to
cross-link histone proteins to DNA. The CA1 and CA3 subfields were
microdissected, and cell lysates were prepared and sonicated to afford
chromosomal DNA in the range of 0.2-3 kb. Antibodies directed against
acetylated H3 and H4 histone proteins were used to immunoprecipitate
chromatin, and immunocomplexes were collected on protein G-agarose
beads. After washes and elution, DNA was released from histones,
treated with proteinase K, and purified by phenol-chloroform
extraction and ethanol precipitation. To monitor the relative abundance
of GluR2 promoter physically associated with acetylated histone, DNA
samples were used as templates for PCR with GluR2-specific primers to
amplify a GluR2 genomic DNA fragment in the core of the GluR2 promoter
( 43 to +103 relative to the transcription start site). As standards,
samples of genomic DNA (10, 50, or 250 ng) were also amplified by PCR.
PCR products were subjected to electrophoresis on 2% ethidium
bromide-stained gels.
Slice culture and antisense administration. Organotypic
hippocampal slice cultures were prepared as described (Stoppini et al.,
1991 ). In brief, hippocampi were removed from the brains of 7- to
9-d-old Wistar rats and placed in ice-cold HBSS supplemented with
glucose (5 mg/ml) and sucrose (7 mg/ml). Transverse slices (400 µm)
were cut with a McIlwain tissue chopper and transferred to humidified
semiporous membranes (30 mm Millicell-CM tissue culture plate inserts;
four slices per membrane), placed in six-well tissue culture plates
containing 1.2 ml of culture medium (50% Eagle's MEM, 25%
heat-inactivated horse serum, 25% HBSS, 5 mg/ml glucose, and 1 mM glutamine), and maintained (37°C in 95%
air/5% CO2) for 14 d in vitro.
To induce oxygen glucose deprivation (OGD), slices were exposed to
serum-free, glucose-free medium saturated with 95%
N2/5% CO2 (45 min at
37°C) in an airtight anoxic chamber (Billups-Rothenberg,
Del Mar, CA). After OGD, slices were returned to oxygenated,
glucose-containing culture medium containing propidium iodide (5 µg/ml) (Molecular Probes, Eugene OR) under normoxic conditions until evaluation of neuronal injury.
Oligomer phosphodiester antisense oligodeoxynucleotides (15 mers)
were designed to target the rat REST mRNA: antisense 1, complementary
to nucleotides 462-476 (5'-CGGAAGGGTTTGGCC-3'), antisense 2, complementary to nucleotides 1596-1610 (5'-GGATGGGCCTCGGCG-3'), and antisense 3, complementary to nucleotides 2891-2905
(5'-TAGGAGGGGAGGCCA-3') of rat REST mRNA (GenBank accession number
NM031788). Filter-sterilized antisense, sense
(5'-GGCCAAACCCTTCCG-3') and missense (5'-GTCGTTGGCGGAGCA-3') oligodeoxynucleotides (20 µM) were added into the
culture medium immediately after OGD and maintained for 72 hr.
Oligodeoxynucleotide sequences exhibited no significant similarity to
any other known mammalian genes by a BLAST (Basic Local
Alignment Search Tool, a program for searching DNA sequence databases) search.
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Results |
Global ischemia triggers REST mRNA expression in CA1
pyramidal neurons
To examine the hypothesis that neuronal insults trigger induction
of REST in neurons destined to die, we induced global ischemia in adult
rats and examined REST mRNA expression in the hippocampus by in
situ hybridization. Global ischemia in rats provides a well established model of neuronal insult in which neuronal death is specific to CA1 pyramidal neurons and delayed by 3-4 d, allowing examination of the molecular mechanisms that underlie cell death. In
control hippocampus, REST mRNA expression was low but was spatially concentrated in the pyramidal cell layers of CA1 and CA3 and granule cell layer of dentate gyrus (Fig.
1a,b). In contrast,
the stratum radiatum and stratum oriens, which contain the apical and
basilar dendrites of the pyramidal neurons, exhibited little or no
signal (Fig. 1b). Because the stratum pyramidale of CA1
contains a nearly homogeneous (>95%) population of pyramidal neurons,
this finding indicates that principal neurons of the hippocampus
constitutively express REST mRNA at low abundance, but it does not rule
out the possibility that inhibitory interneurons and astroglia, which are interspersed throughout the molecular and dendritic layers, express
REST mRNA. Experiments in which in situ hybridization was
performed with a "sense" probe showed essentially no signal; this
finding indicates specificity of the hybridization technique.

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Figure 1.
Global ischemia increases REST mRNA expression in
CA1 pyramidal neurons. a-h, Film
autoradiograms of REST mRNA expression detected by in
situ hybridization with "riboprobe 11" (see Material
and Methods) of brain sections at the level of the dorsal hippocampus
from control (a, b; n = 3) and
experimental rats at 12 hr (c, d;
n = 9), 24 hr (e,
f; n = 8), and 48 hr
(g, h; n = 12) after global ischemia. i, Quantitative analysis of
REST mRNA expression in the CA1 (CA1) pyramidal cell layer
( ) and the dentate gyrus (DG) granule cell
layer ( ). At 24 hr after ischemia, REST mRNA expression was
increased significantly in the CA1 pyramidal cell layer and slightly,
but not significantly, increased in the DG granule cell layer. At 48 hr, REST was dramatically increased in the CA1 (arrowheads),
with significantly lower expression in DG and CA3 (data not analyzed,
but see autoradiograms). Experiments performed with "riboprobe
4" (see Material and Methods) showed similar results. Mean
optical density values are reported after normalization to the control
value for the corresponding subfield. Statistical significance was
assessed by ANOVA followed by Newman-Keuls test (*p < 0.05; **p < 0.01). Scale bars: a,
c, e, g, 400 µm; b,
d, f, h, 200 µm.
so, Stratum oriens; sp, stratum pyramidale;
sr, stratum radiatum.
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Global ischemia induced a marked upregulation of REST mRNA specifically
in CA1 pyramidal neurons (Fig. 1c-h). At 12 hr,
the increase in REST was marginal and did not achieve statistical significance. The increase in REST mRNA expression in the pyramidal cell layer of CA1 was pronounced at 24 hr (to 158 ± 13.01% of control; n = 4; p < 0.05;
n = 8) (Fig. 1e, f, i)
and at 48 hr (to 184 ± 15.64% of control; p < 0.01; n = 12) (Fig.
1g,h,i). The ischemia-induced increase
in REST mRNA was cell specific in that it was not significantly altered
in granule cells of the dentate gyrus (Fig.
1c,e,g,i) or in pyramidal
neurons of the CA3 (Fig. 1c,e,g).
These findings indicate that the upregulation of REST mRNA is confined
to neurons destined to die.
REST protein expression exhibits nuclear localization in
post-ischemic CA1 neurons
To determine whether neurons express REST protein and
whether ischemic insults alter REST protein expression, we examined REST protein expression by two methods: immunolabeling, which affords
information about the cellular and subcellular distribution of REST,
and Western blot analysis, which affords quantitative information about
REST protein abundance in subcellular fractions. REST immunolabeling
was performed on brain sections from control and experimental animals
probed with an antibody that recognizes the N-terminal DNA binding
domain of REST or with an antibody that recognizes the ninth zinc
finger contained within the C-terminal domain of REST. In control
hippocampus, REST protein detected with the N-terminal REST antibody
was at low abundance and spatially focused in the pyramidal cell layers
of CA1 and CA3 and in the granule cell layer of dentate gyrus (Fig.
2a-d). This
finding suggests that principal neurons of the hippocampus
constitutively express low levels of REST protein. In addition to
localization within the molecular layers, REST immunolabeling was also
observed in occasional scattered cells within the apical and basilar
dendrite layers of the stratum radiatum and stratum oriens of CA1 (Fig. 2b) and the stratum lucidum and stratum oriens of CA3 (Fig.
2d). These layers are interspersed with astroglia, which
express REST (Fig. 3), and inhibitory
interneurons, which express GluR2 at low abundance and therefore might
express REST in the differentiated state. Experiments in which
immunolabeling was performed in the absence of primary antibody showed
essentially no immunolabeling; this finding indicates specificity of
the technique.

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Figure 2.
Ischemia increases REST protein expression in
nuclei of CA1 pyramidal neurons. Coronal sections of rat brain at the
level of the dorsal hippocampus were probed with the p73 antibody, a
polyclonal antibody directed to the N-terminal DNA binding domain of
REST. Representative sections are shown from control
(a-d) and experimental animals at
12 hr (e-h), 24 hr
(i-l), and 48 hr
(m-p) after global ischemia
(n = 5 per treatment group). REST immunolabeling in
the entire hippocampus is shown at low magnification
(first column), in the CA1 at intermediate
(second column) and high magnification (third
column), and in the CA3 at intermediate magnification
(fourth column). Arrowheads point
to the CA1 pyramidal cell layer (e, i,
m). Arrows point to the nuclei of
post-ischemic CA1 neurons (g, k,
o). so, Stratum oriens;
sp, stratum pyramidale; sr, stratum
radiatum; slu, stratum lucidum. Scale bars:
a, e, i, m,
400 µm; b, d, f,
h, j, l, n,
p, 40 µm; c, g,
k, o, 10 µm.
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Figure 3.
Ischemia increases REST protein abundance in
CA1 cell nuclei. a, b, REST expression in
cytosolic (C) and nuclear
(N) protein samples isolated from CA1 of
control and ischemic animals, as assessed by Western blot analysis.
a, Representative Western blots probed with the
N-terminal antibody (see Material and Methods); b, REST
abundance for protein samples isolated from the CA1 of control and
experimental rats at 12, 24, and 48 hr after global ischemia
(n = 5 per time point). Equal loading was performed
to ensure that the same amount of protein was loaded in each lane. REST
protein was at low abundance in samples of control CA1. Ischemia
increased REST abundance in CA1 nuclei at 12, 24, and 48 hr after
insult. A sample from cultured rat brain astrocytes was used as a
positive control. Bars represent means ± SEMs. Statistical
significance was assessed by means of an ANOVA followed by
Newman-Keuls test (*p < 0.05;
**p < 0.01).
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Global ischemia induced a pronounced increase in REST protein
selectively in pyramidal neurons of the CA1 (Fig. 2). REST protein expression was significantly increased in CA1 neurons at 12 hr (the earliest time point examined) (Fig. 2e-g)
and was further increased at 24 hr (Fig. 2i-k)
and 48 hr (Fig. 2m-o) after ischemia. High-magnification images of post-ischemic hippocampus revealed that
REST protein expression was concentrated in the nuclei of CA1 pyramidal
cells, although labeling extended into the surrounding cytoplasm (Fig.
2g,k,o). The ischemia-induced increase
in REST protein was cell specific in that REST was not detectably
altered in CA3 pyramidal cells of experimental animals as late as 48 hr after ischemia (Fig.
2d,h,l,p). However, global
ischemia induced a slight, transient increase in REST expression in
dentate gyrus granule neurons, which survive after ischemia (Fig.
2i). Experiments performed with an antibody directed to the
C-terminal domain of the REST protein showed similar spatial and
temporal patterns of REST expression. The finding that REST mRNA and
protein are markedly increased in post-ischemic CA1 neurons suggests
that REST is under transcriptional control. The finding that the
increase in REST protein occurs before the increase in mRNA suggests
additional regulation of REST expression at the translational or
post-translational levels.
To quantify effects of global ischemia on REST protein abundance in the
nuclear and cytosolic fractions of CA1, Western blot analysis was
performed. Nuclear protein samples (extracts) isolated from the CA1 of
control and experimental rats were subjected to gel electrophoresis and
probed with the antibody directed to sequence within the N-terminal
domain of the REST protein. Protein abundance was assessed by image
analysis of band densities on Western blots. REST protein abundance in
the nuclear fraction of the CA1 of control animals was very low (Fig.
3a). Global ischemia markedly increased REST protein
abundance in the nuclear fraction of the hippocampal CA1, evident at 12 hr (to 424 ± 56% of control; p < 0.01;
n = 5), 24 hr (to 328 ± 85% of control;
n = 3; p < 0.05; n = 5), and 48 hr (to 276 ± 68% of control; n = 5;
Fig. 3b). REST protein expression was spatially restricted
to the nucleus, in that it was not detectable in the corresponding
cytosolic fractions of ischemic CA1 at any time point examined (Fig.
3a). Together, these findings indicate that at early times
after ischemic insult, REST protein expression is upregulated in CA1
neurons destined to die.
Global ischemia represses GluR2 promoter activity in the CA1
The results thus far indicate that ischemic insults dramatically
upregulate REST mRNA and protein expression in the nuclei and cytoplasm
of CA1 pyramidal neurons, but they do not provide information about
REST functional activity. REST represses GluR2 promoter activity by
deacetylation of core histone proteins associated with the GluR2
promoter (Huang et al., 1999 ). Because GluR2 is a known target of REST
and is implicated in one of the death cascades triggered by global
ischemia (Tanaka et al., 2000 ), we examined the acetylation state of
core histones over the GluR2 promoter. We reasoned that if REST
mediates transcriptional repression of GluR2 expression in
post-ischemic neurons, then induction of REST would promote
deacetylation of histone proteins over the GluR2 promoter.
We used a ChIP assay to measure the abundance of acetylated core
histone proteins H3 and H4 physically associated with the GluR2
proximal promoter in two subfields of the hippocampus, the vulnerable
CA1 and the resistant CA3. After chromosomal DNA was sheared to 0.2-3
kb, antibodies directed against acetylated H3 and H4 were used to
immunoprecipitate chromatin. PCR with GluR2-specific primers directed
to the promoter region was then used to monitor the amount of GluR2 DNA
in the immunoprecipitates (Fig.
4a,b) and in
genomic DNA as a control (Fig. 4c). In control CA1, a large abundance of GluR2 promoter was associated with acetylated H3 and H4
(Fig. 4a, control lanes). Induction of global
ischemia dramatically reduced the abundance of GluR2 associated with
acetylated H4 and H3 in the vulnerable CA1, evident at 24 and 48 hr
(Fig. 4a, ischemia lanes). In contrast, in CA3
global ischemia did not detectably alter the abundance of GluR2
associated with acetylated H3 or H4 as late as 48 hr after ischemia
(Fig. 4b). These findings suggest that global ischemia
suppresses GluR2 transcriptional activity by a mechanism involving
deacetylation of core histone proteins over GluR2 promoter and are
consistent with a model in which REST acts via histone deacetylation to
repress GluR2 gene expression.

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Figure 4.
Global ischemia reduces acetylated histone
proteins H3 and H4 over the GluR2 promoter. Microdissected tissues from
the CA1 (a) and CA3 (b) of
control and experimental animals at 24 and 48 hr after ischemia were
subjected to chromatin immunoprecipitation with antibodies
against acetylated H3 and H4 as described in Material and Methods. DNA
was purified from immunoprecipitates and subjected to amplification by
PCR with primers directed to the core region of the GluR2 promoter.
a, CA1, first lane, 100 and 200 bp size
markers labeled in c; second lane, as expected,
the size of the PCR product from genomic DNA (35 cycles) is 147 bp and
is bracketed on either side by size markers.
Omission of the histone antibodies showed negligible PCR product
(third and fourth lanes). Signal was prominent in
control CA1 and greatly reduced at 24 and 48 hr after ischemia. Each
lane represents a different animal. b, CA3.
Signal was prominent in both control and post-ischemic CA3.
c, A titration of genomic DNA shows that intensities of PCR
bands are proportional to the amount of input DNA (M, size
markers). Ischemia dramatically reduced the abundance of GluR2 promoter
associated with acetylated histones H3 and H4 in samples from CA1, but
not CA3, at 48 after global ischemia. no Ab, Primary
antibody omitted.
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Global ischemia represses GluR2 mRNA and protein expression
in CA1
To examine insult-induced alterations in expression of REST and a
REST target in the same experimental animals, we examined AMPAR GluR2
mRNA expression by in situ hybridization of brain sections
at the level of the dorsal hippocampus from control and ischemic rats
with an RNA probe directed to GluR2. As a control, we also examined
ischemia-induced changes in expression of the GluR1 gene, which is not
a target of REST. In control hippocampus, GluR2 mRNA expression was
highly visible in the pyramidal cell layers of CA1 and CA3 and in the
granule cell layer of the dentate gyrus (Fig.
5a). GluR2 mRNA was not
apparent in the stratum radiatum and stratum oriens of CA1 or in the
stratum lucidum and stratum oriens of CA3. Global ischemia induced a
marked, but cell-specific, reduction in GluR2 mRNA expression in the
pyramidal cell layer of CA1, evident at 24 hr (to 61.1 ± 2.84%
of control; p < 0.05; n = 8). GluR2
mRNA expression was markedly reduced at 48 hr (to 38.24 ± 3.36%
of control; p < 0.01; n = 12) (Fig.
5b). The reduction in GluR2 mRNA expression was cell
specific in that its expression was not altered in the granule cell
layer of the dentate gyrus (Fig. 5b) or in the pyramidal
cell layer of the CA3 (data not quantified, but see Fig.
5a). The ischemia-induced alteration in mRNA expression was
subunit specific, in that GluR1 mRNA was unchanged at 48 hr after
ischemia, the only time point at which it was evaluated (data not
shown). These findings confirm earlier studies (Pellegrini-Giampietro
et al., 1992 ; Gorter et al., 1997 ; Tanaka et al., 2002 ) and illustrate
that ischemia-induced upregulation of REST precedes GluR2
downregulation and that the two processes exhibit the same pattern of
cell specificity. These findings, together with those illustrated in
Figure 4, suggest that REST is functionally active in insulted neurons
and implicate a role for REST-dependent transcriptional repression in
ischemia-induced downregulation of GluR2.

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Figure 5.
Global ischemia suppresses GluR2 mRNA and protein
expression in CA1. a, Film autoradiograms of GluR2 mRNA
expression, as detected by in situ hybridization, in the
hippocampus of control (n = 4) and experimental rats at
12 hr (n = 8), 24 hr (n = 8),
and 48 hr (n = 12) after global ischemia.
b, Quantitative analysis of GluR2 mRNA expression in the
pyramidal cell layer of the CA1 (CA1, ) and in the
granule cell layer of the dentate gyrus (DG, ).
Global ischemia induced a marked suppression of GluR2 mRNA expression
specifically in the pyramidal neurons of the CA1 at 24 hr; suppression
was maximal at 48 hr. No changes were detected in the DG or CA3. Mean
optical densities are reported after normalization to the corresponding
control value for a given region as indicated in Materials and Methods.
Statistical significance was assessed by ANOVA followed by
Newman-Keuls test (*p < 0.05;
**p < 0.01). c, Representative
Western blots probed with a monoclonal antibody against a sequence
within the N-terminal domain of the GluR2 subunit; d,
relative GluR2 subunit abundance (defined as the ratio of
band densities of experimental vs control samples) for protein samples
isolated from the CA1 of control (n = 4) and
experimental rats at 24 hr (n = 6) and 48 hr
(n = 5) after ischemia. GluR2 abundance was
determined from band densities for GluR2 after normalization to the
band densities for actin, which served as a loading control. Relative
GluR2 subunit abundance was markedly decreased in CA1 at 48 hr. Bars
represent means ± SEMs. Statistical significance was assessed by
means of the Student's unpaired t test
(***p < 0.001).
|
|
We next examined the effects of global ischemia on GluR2 protein in CA1
by quantitative Western blot analysis. Protein samples from the CA1 and
dentate gyrus of experimental and control rats were subjected to
electrophoresis and probed with a monoclonal antibody directed to a
sequence within the N-terminal domain of the GluR2 subunit (Fig.
5c). Analysis of band densities indicated that global
ischemia reduced GluR2 subunit abundance in CA1, evident at 48 hr (to
57.2 ± 8.7% of control; p < 0.001;
n = 5) (Fig. 5d). The reduction was subfield
specific, in that ischemia did not alter GluR2 subunit abundance in
dentate gyrus as late as 48 hr (data not shown). The reduction in GluR2
protein was subunit specific, in that global ischemia does not alter
GluR1 protein expression (data not shown). These findings confirm
previous studies (Opitz et al., 2000 ; Tanaka et al.,
2002 ), and indicate that REST expression
occurs before GluR2 suppression and that both changes are specific to
CA1 pyramidal neurons.
Ischemic preconditioning acts upstream of REST to protect
CA1 neurons
The results reported thus far indicate that ischemia increases
REST expression and suppresses GluR2 promoter functional activity via a
histone deacetylase-dependent mechanism, but they do not establish a
causal relation between REST and GluR2 suppression. Ischemic
preconditioning is a well known phenomenon in which brief, sublethal
ischemic episodes afford robust protection of CA1 neurons against
subsequent, more severe insults. Ischemic preconditioning attenuates
ischemia-induced GluR2 downregulation (Tanaka et al., 2002 ) and thus
provides an experimental paradigm in which to address this issue. We
reasoned that, if REST were required for GluR2 suppression,
preconditioning might act by blocking REST upregulation.
In control rats, REST mRNA was at low levels throughout the cell layers
of the hippocampus (Figs. 1,
6a). Global ischemia markedly
enhanced REST mRNA expression in the pyramidal cell layer of CA1 (Fig.
6b); REST mRNA was enhanced at 48 hr (to 184 ± 15.6% of control; p < 0.01; n = 12) (Fig.
6e). REST mRNA expression was not altered in CA3 or dentate
gyrus (Figs. 1, Fig. 6b,f). In contrast,
in preconditioned rats, global ischemia induced a small, but
nonsignificant, upregulation of REST mRNA in the CA1 (to 128.2 ± 7.1% of control; n = 6) (Fig. 6e). Thus, at
48 hr after ischemia, the degree of REST expression was virtually the same in preconditioned and naive animals (Fig.
6a,c,e). Preconditioning alone did not
increase REST mRNA expression significantly in any hippocampal subfield
(n = 6) (Fig. 6d-f). The
finding that preconditioning prevents REST upregulation and GluR2
downregulation is consistent with, but does not prove, a causal
relation between REST and GluR2 suppression.

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Figure 6.
Ischemic preconditioning markedly attenuates
ischemia-induced expression of REST in CA1.
a-d, Film autoradiograms of REST mRNA
expression detected by in situ hybridization with
riboprobe 11 in the hippocampus of rats subjected to sham
operation (a), global ischemia
(b), ischemic preconditioning followed by global
ischemia (c), and preconditioning followed by
sham operation (d) at 48 hr after the
last reperfusion. Quantitative analyses of REST mRNA expression in the
pyramidal cell layer of the CA1 (e) and the
granule cell layer of the DG (f) for the
four treatment groups. Global ischemia increased rREST mRNA expression
in the hippocampal CA1 at 48 hr (n = 12) relative
to that of controls (n = 3). Ischemic preconditioning,
followed by global ischemia (n = 6), and ischemic
preconditioning alone (n = 6) induced modest, but
not statistically significant, increases in REST expression in the CA1.
No significant changes were observed in the resistant DG. Mean optical
densities are reported after normalization to the corresponding control
value for a given region as indicated in Material and Methods. Bars
represent means ± SEMs. Statistical significance was assessed by
ANOVA followed by Newman-Keuls test (*p < 0.05;
**p < 0.01). DG, Dentate gyrus;
cntrl, control; n.s., not
significant.
|
|
REST antisense prevents GluR2 suppression and rescues
post-ischemic CA1 neurons
To examine the impact of REST expression on ischemia-induced
neuronal death, we performed knockdown experiments in hippocampal slice
cultures with antisense oligodeoxynucleotides targeted to rat REST
mRNA. Knockdown of transcription factors and other proteins has proven
valuable in investigation of protein function in vivo and
in vitro (for review, see Wahlestedt, 1994 ; Weiss et al., 1997 ). OGD in slice cultures provides an in vitro model of
global ischemia and is ideal for administration of antisense
oligonucleotides. Neuronal death was assessed quantitatively by
propidium iodide uptake. OGD (45 min) induced death of CA1 pyramidal
neurons, evident at 72 hr (Fig.
7c,h). Neuronal
death was selective in that it was spatially restricted to the CA1
pyramidal layer, was not detectable in the CA3, and was only
occasionally detectable in the dentate gyrus (Fig. 7c).
Neuronal death was delayed in that propidium iodide uptake was barely
detectable at 24 hr and maximal at 72 hr (data not shown).
Administration of an antisense oligodeoxynucleotide directed to the 5'
end of rat REST mRNA immediately after OGD afforded robust protection
of CA1 neurons (n = 9; p < 0.01) (Fig. 7e,h). In contrast, the corresponding missense
(n = 9) (Fig. 7g,h) and sense
(n = 6) (Fig. 7h) oligonucleotides, as well
as antisense oligonucleotides directed to other regions of rat REST
mRNA (data not shown), had little or no effect on neuronal survival.
These findings provide evidence for the specificity of REST antisense in eliciting neuroprotection.

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Figure 7.
REST antisense blocks REST expression and rescues
CA1 neurons from OGD-induced death. a-g,
Propidium iodide labeling of organotypically cultured hippocampal
slices. a, Control slice. c, Ischemic
slice at 72 hr after OGD (45 min). The pyramidal cell layer of CA1
exhibits intense propidium iodide labeling, indicative of cell death.
e, REST antisense (20 µM, administered
immediately after OGD) prevents neuronal death. g, REST
missense (20 µM, administered immediately after OGD) was
without effect. OGD caused extensive neuronal death in the pyramidal
cell layer in CA1; REST antisense protected ~70% of CA1 neurons.
b, d, OGD induced REST expression in CA1
pyramidal neurons, as assessed by immunofluorescence detected with the
N-terminal antibody at 16 hr. f, REST antisense
suppressed ischemia-induced REST expression. h,
Quantitation of cell death. Propidium iodide fluorescence in the CA1
pyramidal cell layer, expressed as percentage of that in control slices
at 72 hr after OGD. **p < 0.01. Scale bars:
a-g, 400 µm; inset, 100 µm. cntrl, Control; AS, antisense;
MS, missense; S, sense.
|
|
To examine the molecular mechanism by which REST antisense affords
neuroprotection, we induced OGD in cultured hippocampal slices and
examined REST expression by immunofluorescence. In control hippocampal
slices, REST protein was at low abundance and spatially focused in the
pyramidal cell layers of CA1 and CA3 and in the granule cell layer of
dentate gyrus (Fig. 7b). OGD induced a pronounced increase
in REST protein in the cell bodies of CA1 pyramidal neurons (Fig.
7d and inset). REST protein expression was
cell-specific in that it was not detectably altered in the CA3 or
dentate gyrus (Fig. 7d). REST antisense markedly suppressed
REST expression in post-ischemic CA1 (Fig. 7f). These findings indicate that REST antisense affords neuroprotection by
suppressing REST expression in neurons destined to die and implicate
REST in ischemia-induced cell death.
To examine whether REST expression is causally related to GluR2
suppression, we induced OGD in slices and examined GluR2 protein expression by immunolabeling and Western blot analysis. In control hippocampal slices, GluR2 protein was at high abundance in the CA1 zone (Fig.
8a,d,
CNTRL lane, e). OGD induced a
significant decrease in GluR2 protein in CA1 (reduction to 69 ± 7%; n = 5) (Fig. 8b,d,
ischemia lane, e). REST
antisense prevented GluR2 suppression (Fig. 8c,d,
ischemia + AS lane, e). These
findings implicate REST in ischemia-induced suppression of GluR2.

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Figure 8.
REST antisense blocks GluR2 suppression.
a-c, GluR2 immunofluorescence in the CA1
of organotypically cultured hippocampal slices at 42 hr after OGD
(n = 4). a, Control slice. GluR2
immunofluorescence is intense in the CA1 pyramidal cell layer.
b, OGD induces GluR2 suppression in CA1 pyramidal
neurons. c, REST antisense (20 µM,
administered immediately after OGD) prevents ischemia-induced GluR2
suppression. d, Representative Western blot of samples from
the CA1 of cultured slices probed with a GluR2 antibody. OGD decreased
GluR2 protein expression in CA1 at 48 hr (OGD lane)
(n = 9). REST antisense (20 µM,
administered immediately after OGD) blocked GluR2 downregulation
(OGD + AS lane) (n = 3). REST sense (20 µM, administered immediately after OGD) was
without effect (OGD + S). e, Quantitation of
GluR2 protein expression, assessed by Western blot analysis. Band
densities were normalized to those for actin. **p < 0.01. Scale bar: (in c) a-c, 100 µm.
|
|
Global ischemia induces highly selective, delayed death of CA1
pyramidal neurons
To examine the spatial and temporal patterns of ischemia-induced
neuronal damage, we performed histological analysis of brain sections
at the level of dorsal hippocampus from animals killed at 48 hr and
7 d after global ischemia or 7 d after sham operation. At 48 hr after global ischemia, there was no histologically detectable neuronal death in any hippocampal subfield (Fig.
9c,d,g).
At 7 d after ischemia, the pyramidal cell layer of CA1 exhibited
dramatic loss of neurons, whereas CA3 and dentate gyrus showed no
damage (Fig. 9e-g).

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Figure 9.
Global ischemia induces selective, delayed
neuronal death in hippocampal CA1. a-f,
Toluidine blue staining of coronal brain sections at the level of the
dorsal hippocampus from control (a, b)
(n = 5) and experimental male rats subjected to global
ischemia at 48 hr (c, d)
(n = 9) and 7 d (e,
f) (n = 5) after ischemia.
Control animals were killed at 7 d after sham operation. At 48 hr
after global ischemia, there was no histologically detectable neuronal
death in any hippocampal subfield. At 7 d after ischemia, the
pyramidal cell layer of CA1 exhibited dramatic loss of neurons, whereas
CA3 and dentate gyrus showed no damage. Scale bars: a,
c, e, 400 µm; b,
d, f, 40 µm. g,
Quantitation of cell counts from brain sections illustrated in
a-f. To assess hippocampal injury, the
number of surviving neurons per 250 µm length in the pyramidal cell
layer of the medial CA1 was counted under a light microscope at 40×
magnification in sections. Neuronal counts from a minimum of four
microscopic sections per animal were analyzed; comparisons among group
means were made using the Student's t test
(***p < 0.001).
|
|
 |
Discussion |
REST is ubiquitously expressed during embryogenesis and plays a
strategic role in elaboration and specification of the neuronal phenotype by silencing a subset of neuron-specific genes in neural progenitors and non-neuronal cells (for review, see Schoenherr and
Anderson, 1995 ). The existence and functional role of REST in mature
neurons have remained obscure. The present study shows that,
under physiological conditions, principal neurons of the hippocampus
constitutively express REST protein at low abundance. Consistent with
its role as a transcriptional repressor, REST expression is localized
to the nuclei of hippocampal neurons. To our knowledge, these findings
represent the first demonstration of REST protein expression by neurons
in vivo. Findings in the present study are consistent with
observations that REST mRNA is expressed at low abundance by central
neurons of adult rat (Palm et al., 1998 ). Alternative RNA splicing of
REST generates at least five truncated isoforms, two of which are
neuron specific (Palm et al., 1998 ) and may function as dominant
negatives or "anti-silencers" when expressed in neuronal cell lines
(Shimojo et al., 1999 ). The persistent expression of REST mRNA and low levels of REST protein could reflect a role for REST in the fine-tuning of target genes implicated in activity-dependent synaptic plasticity (Shimojo et al., 1999 ) and specification of different neuronal cell types.
The present study also shows that ischemic insults trigger a pronounced
upregulation of REST mRNA and protein in selectively vulnerable CA1
neurons. Moreover, acute knockdown of the REST gene by administration
of antisense oligonucleotides to hippocampal slices rescues CA1 neurons
from OGD-induced death. These findings indicate a causal relation
between REST expression and neuronal death. Our findings are consistent
with observations that seizures markedly upregulate REST mRNA (Palm et
al., 1998 ) and suppress GluR2 promoter activity in vulnerable
hippocampal neurons (Huang et al., 2002 ) and suggest that
REST-dependent silencing of the AMPAR GluR2 gene may be a broad
mechanism of insult-induced delayed neuronal death. Accordingly,
perturbation of REST expression during embryogenesis causes cellular
apoptosis, aberrant differentiation and patterning, and lethality (Chen
et al., 1998 ).
Consistent with induction of REST, ischemia induces deacetylation of
core histone proteins over the GluR2 promoter, indicative of reduced
GluR2 promoter activity, and suppresses GluR2 mRNA and protein
expression in CA1 neurons. Acute knockdown of the REST gene by
administration of REST antisense to slice cultures prevents OGD-induced
GluR2 downregulation. These findings indicate a causal
relation between REST induction and GluR2 suppression in post-ischemic
neurons. Accordingly, ischemic preconditioning, a well established
neuroprotective strategy, significantly attenuated REST induction and
GluR2 downregulation. Together, these observations implicate
REST-dependent gene silencing and chromatin remodeling in
transcriptional repression of GluR2 in post-ischemic neurons. These
findings, however, do not rule out additional mechanisms of
transcriptional repression such as altered DNA methylation of the
cytosine-guanosine (CpG) dinucleotide island present in the
GluR2 promoter after ischemic insult (Huang et al., 1999 ).
Global ischemia is a neuronal insult that induces delayed, selective
death of CA1 pyramidal neurons. The molecular mechanisms underlying
ischemia-induced cell death are unclear. Our findings that ischemic
insults trigger REST expression, and that REST knockdown rescues CA1
neurons from cell death, strongly implicate REST in the signaling
cascades between neuronal insult and cell death. Considerable evidence
also implicates a role for AMPARs in ischemia-induced neuronal death
(Tanaka et al., 2000 ). Because AMPAR-mediated
Ca2+ influx is implicated in several
models of neuronal ischemia, and the GluR2 subunit governs
Ca2+ permeability of AMPARs, its
suppression would be expected to influence neuronal survival. Our
finding in the present study that REST suppresses GluR2 expression in
CA1 neurons provides further support for a role for REST in the
signaling cascades from neuronal insult to cell death. Although not
addressed in the present study, other REST targets such as neurotrophic
factor BDNF could also play a positive or negative role in neuronal death.
Recent advances suggest that a subset of cellular genes implicated in
genetic and acquired neurological disorders encode proteins essential
to neural patterning and neurogenesis (Mehler and Gokhan, 2001 ).
Dysregulation of REST and its target genes is implicated in the
pathogenesis of Down's syndrome (Bahn et al., 2002 ), Alzheimer's disease (Okazaki et al., 1995 ), and some medulloblastoma-derived cells
(Lawinger et al., 2000 ). To our knowledge, our study represents the
first example of injury-induced induction of a master transcriptional regulator gene and its protein expression critical to neural
differentiation in adult neurons. Derepression of REST in mature
neurons may be a broad mechanism of insult-induced neuronal death.
 |
FOOTNOTES |
Received Aug. 26, 2002; revised Dec. 14, 2002; accepted Dec. 16, 2002.
*
T.J. and K.N. contributed equally to this work.
Deceased, Oct. 13, 2002. We remember and honor Hidenobu
Tanaka for his scientific insight, creativity, technical acumen and his
warmth and sensitivity as a human being.
This work was supported by National Institutes of Health Grants
NS20752, NS31282 (R.S.Z.), and NS07512 (M.V.L.B.) and a grant from the
F. M. Kirby Foundation. M.V.L.B. is the Sylvia and Robert S. Olnick Professor of Neuroscience. We thank Dr. Anna Francesconi for
helpful scientific discussions, Dr. Gail Mandel for the generous gift
of REST antibodies, Dr. Tonis Timmusk for the REST riboprobes, and Judy
Wong for technical assistance. We acknowledge the Analytical Imaging
Facility of the Albert Einstein College of Medicine (Michael Cammer, Director).
Correspondence should be addressed to Dr. R. Suzanne Zukin, Department
of Neuroscience, Albert Einstein College of Medicine, 1300 Morris Park
Avenue, Bronx, NY 10461. E-mail: zukin{at}aecom.yu.edu.
 |
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