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Articles, Neurobiology of Disease

Marked Calpastatin (CAST) Depletion in Alzheimer's Disease Accelerates Cytoskeleton Disruption and Neurodegeneration: Neuroprotection by CAST Overexpression

Mala V. Rao, Panaiyur S. Mohan, Corrinne M. Peterhoff, Dun-Sheng Yang, Stephen D. Schmidt, Philip H. Stavrides, Jabbar Campbell, Yuanxin Chen, Ying Jiang, Peter A. Paskevich, Anne M. Cataldo, Vahram Haroutunian and Ralph A. Nixon
Journal of Neuroscience 19 November 2008, 28 (47) 12241-12254; DOI: https://doi.org/10.1523/JNEUROSCI.4119-08.2008
Mala V. Rao
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Panaiyur S. Mohan
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Corrinne M. Peterhoff
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Dun-Sheng Yang
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Stephen D. Schmidt
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Philip H. Stavrides
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Jabbar Campbell
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Yuanxin Chen
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Ying Jiang
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Peter A. Paskevich
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Anne M. Cataldo
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Vahram Haroutunian
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Ralph A. Nixon
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Abstract

Increased activity of calpains is implicated in synaptic dysfunction and neurodegeneration in Alzheimer's disease (AD). The molecular mechanisms responsible for increased calpain activity in AD are not known. Here, we demonstrate that disease progression is propelled by a marked depletion of the endogenous calpain inhibitor, calpastatin (CAST), from AD neurons, which is mediated by caspase-1, caspase-3, and calpains. Initial CAST depletion focally along dendrites coincides topographically with calpain II and ERK 1/2 activation, tau cleavage by caspase-3, and tau and neurofilament hyperphosphorylation. These same changes, together with cytoskeletal proteolysis and neuronal cell death, accompany CAST depletion after intrahippocampal kainic acid administration to mice, and are substantially reduced in mice overexpressing human CAST. Moreover, CAST reduction by shRNA in neuronal cells causes calpain-mediated death at levels of calcium-induced injury that are sublethal to cells normally expressing CAST. Our results strongly support a novel hypothesis that CAST depletion by multiple abnormally activated proteases accelerates calpain dysregulation in AD leading to cytoskeleton disruption and neurodegeneration. CAST mimetics may, therefore, be neuroprotective in AD.

  • apoptosis
  • caspase
  • calpain
  • tau
  • cdk5
  • ERK

Introduction

Calpains are calcium-dependent neutral cysteine proteases, cleave cellular proteins and modulate signal transduction pathways that regulate cell shape, adhesion and migration, and neuronal functions, including synaptic plasticity (Wu and Lynch, 2006). Calpains, composed of an 80 kDa catalytic subunit and a 30 kDa regulatory subunit, are classified as μ-calpains (Cal I) or m-calpains (Cal II), depending on the level of calcium required for their activation (Goll et al., 2003). Calpains are regulated by cytosol-to-membrane translocation, and by a calcium-dependent heat-stable inhibitor, calpastatin (CAST) (Goll et al., 1992). Brain CAST is a 120 kDa protein with four inhibitory domains liberated by calpain cleavage during the inhibitory process, releasing smaller fragments, ultimately inactivated by caspase proteolysis (Wang et al., 1998; Goll et al., 2003). Whether CAST tonically regulates calpain activity in neurons or buffers against pathological calpain activation is unresolved (Melloni et al., 2006).

Most calpain in neurons exists in latent form. Pathological activation of large stores of calpain during ischemia causes rapid cell death (Goll et al., 2003). Persistent calpain over-activation in injury or disease may stimulate signaling cascades involving cyclin-dependent kinase 5 (Cdk5) (Lee et al., 2000), extracellular regulated kinase (ERK) (Amadoro et al., 2006), glycogen synthase kinase 3 (GSK3) (Shiurba et al., 1996), or other kinases/phosphatases (Shea et al., 1996), all of which may lead to cytoskeleton hyperphosphorylation and either apoptosis or necrosis (Julien and Mushynski, 1998; Amadoro et al., 2006). Synthetic inhibitors of calpain exert varying levels of neuroprotection in animal and cellular models of brain injury, including ischemia, trauma, and excitotoxicity (Bartus et al., 1995). The precise contribution of calpain inhibition to neuroprotection remains unclear because these inhibitors modulate other cysteine or serine proteases that influence neurodegenerative processes in unknown ways (Carragher, 2006).

Abnormal calpain activation is observed early in AD (Saito et al., 1993) and disturbances in calcium homeostasis related, in part, to excitotoxicity, β-amyloid neurotoxicity, and free radical injury, are considered to be factors in AD pathogenesis (Lee et al., 2000; Law et al., 2001). Cal I activation is observed well before neurons degenerate, implying that neurons tolerate some degree of calpain activation, which mediates repair and survival responses and modulates synaptic plasticity (Battaglia et al., 2003; Wu and Lynch, 2006). Hyperactivation of Cal II is associated with translocation of activated calpain to tau aggregates, extensive neurofibrillary degeneration, and neuronal loss in AD (Grynspan et al., 1997b; Adamec et al., 2002).

In this study, we established CAST as a regulator of constitutive calpain activity in neurons in vivo and as a neuroprotectant against pathological activation of calpain in AD and kainate neurotoxicity. We observed marked CAST depletion in the brain as AD advances, and implicate caspase-1, caspase-3 and calpains in the underlying mechanisms. We further demonstrate in AD brain, transgenic mice, and cell models that depletion of CAST accelerates a cascade involving calpain-mediated activation of specific protein kinases and cytoskeleton disruption, leading ultimately to cell death. Blocking CAST depletion substantially prevents this cascade indicating the potential neuroprotective value of selective calpain inhibitors in AD and excitotoxic-related injury.

Materials and Methods

Human brain tissues and analysis.

Fixed and frozen postmortem brains from early stage (Braak stage III, n = 9), moderate to severe AD (Braak stage V, n = 15; Braak stage VI, n = 20), and age-matched, postmortem interval matched neurologically normal control (n = 20) cases were obtained from the Harvard Brain Tissue Resource Center (McLean Hospital, Belmont, MA) (Table 1). Tissues were also obtained from a series of 79 brains of both sexes ranging in age from 62 to 103 years from Drs. Vahram Haroutunian and Daniel P. Perl, Bronx VA Medical Center, Bronx NY, and Mt. Sinai Medical Center, New York, NY (Parvathy et al., 2001) (Table 2). These cases were part of an AD study cohort consisting of subjects that had been classified antemortem on the basis of clinical dementia rating (CDR) scores as either cognitively intact (CDR 0), questionably demented (CDR 0.5), mildly impaired (CDR 1), moderately impaired (CDR 2) or severely demented (CDR 5). The subject's age at death, cognitive status, and other clinical information were used to arrive at a final clinical diagnosis.

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Table 1.

Human brain tissues

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Table 2.

Human brain tissues

Production of human CAST transgenic mice.

Human CAST (hCAST) construct (Hitomi et al., 1998) was cloned into a Thymocyte differentiation antigen 1.1 (Thy1.1)-expression cassette. Thy1.1-hCAST construct was digested with EcoRI and NdeI (Hitomi et al., 1998) and fractionated on 0.7% SeaPlaqueGTG-agarose gels. Thy1.1-hCAST transgene fragment (9.4 kb) was gel purified by electroelution, phenol chloroform extraction, dialyzed with 3 changes of TE (10 mm Tris-HCl, pH 7.5 and 1 mm EDTA) in a collodion bag (Sartorius) at 4°C, filtered through 0.22 μm filter (Millex-GV4, Millipore), ethanol precipitated, and dissolved in DNA injection buffer (5 mm Tris-HCl, pH 8.0 and 0.1 mm EDTA). DNA was injected into FVBN embryos at New York University School of Medicine transgenic mouse facility, and founders were identified by Southern blotting. hCAST-expressing founders were bred with C57BL/6J mice to produce hCAST transgenic lines. The mice used in these studies were 4–5 months old.

Injection of kainic acid into hippocampus.

A 32-gauge needle of 0.5 μl syringe mounted on a Reproducibility Adapter (Hamilton) was inserted into the dorsal hippocampus [−2.3 mm anterior–posterior (AP), −2 mm medial-lateral (ML), and 1.8 mm dorsal-ventral (DV) of male mice] using bregma as a reference for AP and ML coordinates and the skull as a reference for DV coordinates (Franklin and Paxinos, 1997). Kainic acid (KA) solution (0.5 nmol/μl) was injected (0.2 μl) at a constant flow rate over 1 min. To prevent reflux of the injected solution along the needle track, the needle was held in a stationary position for an additional 2 min, then raised twice in 0.5 mm increments with a 1 min interval before the needle was completely removed. In each experiment, at least one mouse was injected with Evans blue using the same stereotaxic coordinates to confirm the exact delivery site of the injections. Seven days after single injection, mice were either perfused with 4% paraformaldehyde for immunocytochemistry (ICC) (n = 3–4 for each genotype) or total homogenates were made from hippocampus and analyzed by Western blotting (n = 5 mice for each genotype).

Cell culture.

SH-SY5Y human neuroblastoma cells (ATCC) were subjected to various treatments or transfected with CAST shRNA (0.5 μg; TransIT-LT1, Mirus Bio Corporation) reagent according to the manufacturer's instructions. After 24 h the medium was replaced with fresh medium. Cell viability was monitored for 2–3 d and the cells were immunostained with antibodies according to Cataldo et al. (1990). The images were captured on a Zeiss Axiovert 200M microscope equipped with Axiocam mRm digital camera (Carl Zeiss). Cells were counted using BioQuant Nova software version 5.508 (Bioquant).

CAST shRNA construct and transformations.

The siRNA sequence of CAST 5′-AAGCCGGGTGACAAGAAAAAA-3′ was used to construct shRNA plasmid. Briefly, complementary 60 bp polynucleotides, which contain a loop, head to head 21bp siRNA and ACC 65 I site at 5′ and ClaI at 3′ end were synthesized by Qiagen (GGTACCAAGCCGGGTGACAAGAAAAAATCTTCTTTTTTTCTTGTCACCCGGCTTATCGATA). The complementary oligonucleotides were annealed and 5′ phosphorylated with T4 PNK and inserted into shRNA vector (siGFP contains an eGFP marker, a Zeocin resistance gene, an H1RNA promoter and LacZ for blue/white selection) by T4 DNA ligase. The ligated DNA was transformed into One Shot Stbl3 chemically competent cells (Invitrogen) and Zeocin resistant colonies were screened with ClaI enzyme to identify CAST-shRNA clones, Endo-toxin free DNA (Qiagen) was made, transfected into SH-SY5Y cells, and pcDNA3.1 vector was used as a control.

Antibodies.

Commercial antibodies were obtained from the following sources: polyclonal antibody (pAb) caspase-1 (C-20), pAb Cdk5, pAb p35 (C-19), monoclonal antibody (mAb) tauC3 (Santa Cruz Biotechnology); pAb phosphorylation independent ERK1/2, pAb GSK3β (ser9), and pAb p35 (Cell Signaling Technology); pAb GSK 3α/β (pY279/216), p-ERK (thr202/204), and mAb total tau T46 (Invitrogen); mAb α-spectrin and mAb Neu N (Millipore); pAb GFAP and mAb tubulin (Sigma). Additional antibodies prepared in our laboratory include the following: pAb C-18/C-24 (Saito et al., 1993); sheep pAb I-2-7 (Grynspan et al., 1997b); mAb NF-L 21.4, MAP-2 and hCAST 3.1 (see below). Polyclonal Ab38 (calpain-cleaved α-spectrin) and Ab246 (caspase-cleaved α-spectrin) were the kind gifts of Dr. Robert Siman, University of Pennsylvania, Philadelphia, PA. Monoclonal tau antibodies AT-8 (Pierce) and PHF-1 were generously provided by Dr. Peter Davies, Albert Einstein School of Medicine, Bronx, NY.

Production of monoclonal NF-L (21.4) and MAP-2 antibody (18.1).

BALB/c mice were immunized with bovine spinal cord cytoskeletal preparations. Activated splenocytes were fused with SP2/0 cells, selected and grown. The cells producing the antibody toward NF-L and MAP-2 were expanded and ascites fluids with high titers were generated. These antibodies recognize only their specific antigens.

Production of monoclonal antibody to hCAST (3.1).

Recombinant hCAST domain 1 (Takara Biochemicals) was used as an immunogen to raise 3.1 mAb, as described above. The specificity of this mAb was tested on purified human CAST by Western blots and ICC of human brain.

Production of polyclonal Cal I antibodies.

Mouse Cal I peptide (NH2-C-DVVIDDLLPTKDGKLVFV-COOH) corresponding to amino acids 161–178 was synthesized and injected into rabbits. After initial boost, antiserum was tested on mouse brain extracts, recombinant Cal I and purified Cal II. The antibody detects 80 kDa calpain from mouse brain and recombinant Cal I but not Cal II on immunoblots.

Immunocytochemistry.

Mice were fixed by transcardiac perfusion of 4% paraformaldehyde in 0.1 m Na2HPO4-NaH2PO4, pH 7.5 buffer, delivered with a peristaltic pump at 20 ml/min for 5 min. Brains were removed and postfixed overnight in the same solution. Sections (40 μm) of fixed human or mouse tissue were immunostained as described previously (Cataldo et al., 1990) using the Avidin-biotin (ABC) kit (Vector Laboratories) with diaminobenzidine tetrahydrochloride as the chromogen. For fluorescence immunohistochemistry, secondary antibodies conjugated with Alexa Fluors 488 and 568 (Invitrogen) were used.

Morphometric analyses.

Sections from prefrontal cortices of 5 AD and 5 age-matched control brains were analyzed semiquantitatively by densitometric analyses. Sections were immunolabeled with I-2-7 antibody using the ABC technique, coded and analyzed blindly. The immunolabeled cortices were visualized under a microscope equipped with a Dege solid-state digital camera and Bioquant image analysis software (R and M Biometrics). Using a 100× oil-immersion objective (nA 1.518), a total of 25 small, medium and large neurons with visibly defined nuclei were selected at random for each cortical lamina. The perimeter of the neuron was traced and the area (in square micrometers) recorded. A second tracing outlining the perimeter of the nucleus was made and this area was subtracted. The average optical density representing the total area of the neuron was recorded on a scale of 0–255 (0, lowest density; 255, highest density). For each image filed, an image box was placed in the background region and the optical density recorded. A second set of 5 AD and 5 age-matched controls were run to confirm the results. Statistical computations were performed using Student's t test.

SDS-PAGE and Western blotting.

SDS-PAGE followed by Western blotting was performed according to Mohan and Nixon (1995). The immunoreactive bands were visualized with ECL reagent (Amersham), and the bands were quantified using MultiGauge software (Fuji film).

Preparation of tissue extracts.

Cerebral cortex from human brain (0.5 g) was homogenized as described previously (Schmidt et al., 2005) (but without leupeptin, antipain, and EGTA in samples subsequently used for caspase-1 and Cal II digestions), supernatants were boiled to inactivate endogenous calpain and heat stable CAST was recovered by centrifugation in supernatants. Mouse tissues were homogenized in a buffer (50 mm Tris-HCl, pH 8.0, 150 mm NaCl, 50 EDTA, 1% glycerol, 1 mm β-glycerophosphate, 1 mm NaF, 0.2 mm NaVaO4 and 0.1 mm PMSF) and centrifuged at 14,000 × g for 20′ at 4°C. Clear supernatants were assayed for protein content by the BCA method.

Calpastatin assay.

CAST activity was expressed as the degree to which Cal II activity is decreased. Cal II was partially purified from postmortem human brain as described previously (Vitto and Nixon, 1986), and Cal II activity was measured with 14C-azocasein as substrate, which was prepared by reductive alkylation using 14C-formaldehyde (Dottavio-Martin and Ravel, 1978). Multiple volumes of cytosolic and membrane fractions were incubated for 10 min at 4°C with the Cal II (0.3 μg) and the enzyme reaction was started at 30°C by adding 14C-azocasein to a final concentration of 0.025% in a reaction mixture containing 50 mm Tris-HCl, pH 7.4, 1 mm DTT and 2 mm CaCl2 for 30 min and was terminated by adding 10% TCA. Enzyme activity was measured as the percentage radioactivity in the acid soluble fraction after centrifugation. Inhibitory activity was expressed as U/ml. One unit was defined as the amount of inhibitor required to inhibit 50% activity of 0.3 μg of Cal II.

Caspase-1 and Cal II digestion of human brain extracts.

Caspase-1 digestion was performed according to Thornberry (1994). Briefly, 45 μg of protein from CAST-enriched heat stable supernatants of control human brains were digested in a reaction buffer containing 50 mm HEPES pH 7.4, 100 mm NaCl, 1 mm EDTA, 10% glycerol, 0.2% CHAPS, 10 mm DTT) and 1–5 μl (0.7–3.3 μm) of recombinant caspase-1 (Calbiochem) at 37°C for 2.5 h. Cal II digestion (Vitto and Nixon, 1986) of heat stable supernatants (45 μg of protein) was performed with 2 μg of purified Cal II from human brain (70,000 units/mg) and 5 mm CaCl2 at 30°C for 20 min. The enzyme reaction was stopped by boiling for 5 min followed by centrifugation at 13,000 × g for 10′ at 4°C and supernatants were immunoblotted with CAST antibody (I-2-7).

Calpain activation experiments.

Calpain activation was performed in SH-SY5Y cells by incubating with 5 μm ionomycin and 5 mm CaCl2 for 2 h at 37°C. The cells were washed with Hank's balanced salt solution, fixed and used for ICC.

All of the human and animal studies conducted in the study are approved and in compliance with the Nathan Kline Institute human IRB and IACUC. We confirm that informed consent was obtained from all human subjects.

Results

Calpastatin distribution in normal human brain

Western blot analysis with an affinity-purified sheep antiserum directed against human CAST (I-2-7) detected the major band of 110–120 kDa CAST (Mohan and Nixon, 1995) in human SH-SY5Y neuroblastoma cells (Fig. 1A, top, lane 1), human brain (Fig. 1A, top, lane 2), and mouse brain (Fig. 1A, top, lane 3). A human-specific monoclonal CAST antibody (CAST 3.1) recognized a similar ∼110–120 kDa band in SH-SY5Y cells and human brain (Fig. 1A, bottom, lanes 1 and 2) which was not detected in mouse brain. Minor bands at ∼70 and 41 kDa (Fig. 1A, top, lane 2) are CAST cleavage products generated by calpain (Grynspan et al., 1997a). In immunocytochemical analyses, the I-2-7 antibody prominently labeled the long dendritic arborizations of neurons throughout different regions of human brain, including the pyramidal neurons in laminas IV and V of frontal cortex (Fig. 1B1), hippocampal pyramids (Fig. 1B2), and cerebellar Purkinje cells (Fig. 1B3), whereas glial cells stained relatively weakly. The distribution of CAST (Fig. 1C1) closely resembled that of Cal II (C-24 antibody) (Fig. 1C2).

Figure 1.
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Figure 1.

CAST is depleted in prefrontal cortex (layers I-V) of AD brains. A, Cytosolic extracts from SH-SY5Y cells, homogenates of human and mouse brains were immunoblotted with two different CAST antibodies (I-2-7, top or CAST 3.1, bottom), revealing an immunoreactive band of 110–120 kDa corresponding to human CAST. B, In human control brain, CAST immunoreactivity (I-2-7) is localized predominantly within the soma (B1–B3, long arrows) and dendrites (B1–B3, arrowheads) of neurons in the frontal cortex, hippocampus, and cerebellum. C, An antibody to activated Cal II (C-24) (C2, arrows) immunolabeled neuronal populations in the same brain regions as CAST in a similar pattern (C1, arrows). In AD brain (D2, E2), CAST immunocytochemistry revealed a differential loss of immunoreactivity within several lamina of the cortical mantle compared with normal controls (D1, E1). In AD brains, reduction of CAST immunolabeling was most prominent in lamina III (D2, box; E2), whereas loss of CAST immunoreactivity was not detected in layer VI (asterisk, D2, F2). G, Densitometric analysis of brain sections immunostained for CAST under identical conditions show marked CAST reductions in AD (n = 5) in prefrontal neocortex layers I–V (p < 0.01) but not in layer VI compared with control (n = 5) brains. ***p < 0.01. I, Quantitative immunoblots indicate the levels of full-length CAST and its cleaved fragments revealed with I-2-7 and 3.1 antibodies are reduced in AD neocortex (H, I) (n = 5; *p < 0.05) compared with controls (n = 6). CAST inhibitory activity against calpain was also significantly reduced in prefrontal cortex (PFC) (J) (**p < 0.01) but not in cerebellum (CB) (J). In cases of AD subclassified by CDR scores ranging from 0 to 5, we found that CAST immunoreactivity declined as the severity of clinical dementia increased (K). Partial correlation coefficient between the CAST content and CDR score was r = −0.345 (p < 0.003) after controlling for age and PMI. C and Cont, Control.

Calpastatin is markedly depleted from dendrites in AD brain

We observed strong neuronal CAST immunolabeling in the cortices of control brains (Fig. 1D1,E1) contrasting with markedly reduced immunolabeling observed in these regions of AD cases (Fig. 1D2,E2). CAST immunoreactivity was particularly depleted along dendrites of layer III (Fig. 1E2) and layer V (data not shown) pyramidal neurons, but was relatively preserved in dendrites of neurons in layer VI of prefrontal neocortex (compare Fig. 1F1 and F2). Semiquantitative analyses of the laminar distribution of CAST immunoreactivity in frontal cortex from late-stage AD brains (n = 5) and age- and postmortem-interval (PMI)-matched controls (n = 5) under identical conditions indicated that CAST levels in AD brains were markedly reduced in layers I, II and III to 40 ± 11%, 44 ± 14% and 34 ± 8%, respectively compared with controls (p < 0.01 for all comparisons), moderately lowered in layers IV–V to 57 ± 17% and 44 ± 16%, respectively (p < 0.05 for all comparisons), but not significantly affected in layer VI (70 ± 15%) (Fig. 1G). Another set of 5 AD and 5 control brains yielded the same results (data not shown).

CAST depletion was further confirmed by quantitative immunoblot analyses of brains from individuals with moderate AD (Braak stage V) and normal controls. CAST levels (full-length) were markedly lower in cortex from AD brains compared with controls (Fig. 1H). In analyses of AD and control brains, total CAST levels were significantly lowered in prefrontal cortex (by I-2-7: 53 ± 10%; by CAST 3.1: 52 ± 8%; p < 0.05 for both comparisons; n = 6 for control cases, n = 5 for AD cases) (Fig. 1I) and were paralleled by reductions in CAST inhibitory activity assayed in vitro (Fig. 1J) (p < 0.0001). In contrast, CAST inhibitory activity was unaltered in the AD cerebellum, a brain region with minimal vulnerability to neurodegeneration (Fig. 1J).

CAST depletion from brain was progressive as AD advanced. A cohort of 79 individuals (Table 2) evaluated cognitively within a year of death was stratified into 5 groups based on their CDR scores (0, 0.5, 1, 2, and 5). Quantitative immunoblot analyses of prefrontal neocortex samples from these groups revealed that total CAST levels were lowered beginning at the CDR 2 stage (22%) and were markedly lowered (59%) in the CDR 5 group (Fig. 1K) (p < 0.02). A univariate analysis of covariance (ANCOVA) was performed with CAST content as the dependent variable, age, gender, and PMI as covariates, and CDR scores as fixed factors. This resulted in an F value of 3.119 (df: 4 and 65) and p < 0.021, indicating that classification of data based on the CDR scores explained the variation in CAST content after controlling for age, gender, and PMI. Post hoc pairwise comparisons showed statistically significant decreases in CAST content with increasing CDR score. Partial correlation coefficient between the CAST content and CDR score was r = −0.345, p < 0.003 after controlling for age and PMI (data not shown).

Calpastatin depletion is mediated by both caspase and calpain activation

In AD brain tissue, an antibody directed against the active site of Cal II (C-18) (Grynspan et al., 1997b) was used to label sections of frontal cortex from brains analyzed in Figure 1K ranging from CDR 0 to CDR 5. Concomitant with the loss of CAST in Figure 1K, immunoreactivity for Cal II increased at the CDR 2 stage and was strong throughout the frontal cortex in CDR 5 cases (Fig. 2A). Double label immunofluorescence studies with the C-18 and I-2-7 antibodies on sections from the early stage AD cases (Braak stage III) revealed that the appearance of activated Cal II immunoreactivity correlated with reduced CAST immunolabeling (Fig. 2B, arrowheads). CAST immunolabeling was absent in neurofibrillary tangles, which were intensely Cal II positive (Fig. 2B). Within individual neurites, the loss of CAST immunoreactivity in a given segment of the process (Fig. 2C, arrowheads) coincided with prominent Cal II immunoreactivity (Fig. 2C, arrows). Portions of neurites that were immunopositive for activated Cal II were usually also labeled by the antibodies AT8 (Fig. 2D) and PHF1 (Fig. 2E), which recognize tau phospho-variants associated with straight and paired helical filaments. Because Cal II activation was undetectable in control human brains with either C-18 or C-24 antibody, double immunolabeling for Cal II and CAST was not demonstrated.

Figure 2.
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Figure 2.

CAST depletion is associated with calpain activation and tau hyperphosphorylation in AD brain. A, Brain sections from AD patients with CDR scores ranging from 0 to 5 immunolabeled with C-18 antibody directed against the active form of Cal II exhibited a qualitative increase in immunostaining that correlated with the magnitude of the CDR score. B–E, Double immunolabeling of representative early (Braak stage III) (C–E) and moderate-severe stage AD brains (Braak stage V) (B) immunofluorescence with CAST (I-2-7), and C-18 shows an inverse relationship between CAST and activated Cal II immunoreactivities (C). In early stage AD cases, colocalization of activated Cal II (C-18) and phosphorylated tau antibodies AT-8 (D) or PHF-1 (E) was prominent, particularly within dystrophic neurites.

We have previously implicated calpain-dependent ERK activation in the hyperphosphorylation of cytoskeletal proteins in AD brain (Veeranna et al., 2004). Cdk5 and GSK3 are also involved in tau hyperphosphorylation (Shiurba et al., 1996; Cruz et al., 2003; Plattner et al., 2006), which prompted us to investigate the distribution of these kinases in AD. Double-immunolabeling with antibodies against CAST and p35/25 (supplemental Fig. 1A, available at www.jneurosci.org as supplemental material), detected no relationship between CAST depletion and altered abundance of p35/25 in neurites of perikarya, although currently available antibodies (C-19), which recognize both p35 and p25, cannot distinguish a possible conversion of p35 to p25 by immunocytochemistry. These results are consistent with additional quantitative Western blot analyses showing that total levels of cdk5 and the ratio of p35 to p25 in prefrontal cortex were not significantly different between AD (n = 11) and control (n = 11) brains (supplemental Fig. 1B, available at www.jneurosci.org as supplemental material). Levels of p25 were modestly reduced 30% (p < 0.05), in accordance with most previous analyses (Takashima et al., 2001; Taniguchi et al., 2001; Yoo and Lubec, 2001; Tandon et al., 2003; Cole et al., 2007). Additional double-immunofluorescence labeling with antibodies against the activated form of GSK3 (pY276α/pY216β) in control and AD brains, show that activated GSK3 was barely detected in dendrites of AD brains as reported previously (Shiurba et al., 1996), and its abundance in neuronal perikarya did not vary in neurons that were either strongly or weakly labeled by CAST antibodies (supplemental Fig. 1C, available at www.jneurosci.org as supplemental material). These results were consistent with measurements showing that the ratios of active to total GSK3β (supplemental Fig. 1D, available at www.jneurosci.org as supplemental material) and inactive to total GSK3β (supplemental Fig. 1D, available at www.jneurosci.org as supplemental material) were not significantly different in lysates from AD and control cortex.

Neuritic segments exhibiting calpain activation and CAST depletion were intensely immunopositive with an antibody against a cleavage product of tau, TauC3, in AD brain (Gamblin et al., 2003) (Fig. 3A). This cleavage is generated by caspase-3, a protease known to degrade CAST (Wang et al., 1998). Western blot analysis of CAST breakdown products in brain homogenates revealed a mean 2.5-fold increase in a 30 kDa band in AD cases that was almost imperceptible in controls (Fig. 3B, arrow) (p < 0.05). In addition, we observed mean increases of 43, 72, and 57% in CAST-immunoreactive bands at 28, 25, and 20 kDa, respectively, in AD cases compared with controls (Fig. 3B). Mean band intensity of the 30, 28, 25 and 20 kDa bands to corresponding 110 kDa bands were significantly higher in AD versus control cases (data not shown; n = 6 for control cases, n = 5 for AD cases). Heat stable CAST-enriched from control brains incubated with caspase-1, a caspase known to be activated early in AD and upregulated in expression as AD progresses (Zhu et al., 1999; Pompl et al., 2003), generated increasing levels of the 30 kDa band (Fig. 3C, arrow) in a time and concentration-dependent manner, and reduced the levels of CAST holoprotein and calpain-cleaved 70 and 41 kDa CAST breakdown products (Fig. 3C) that retain calpain-inhibitory activity. In contrast, incubation of CAST extracts with partially purified Cal II yielded increased levels of the 28, 25, and 20 kDa CAST fragments elevated in AD brains (Fig. 3D). Densitometric analyses of immunoblots probed with an antibody to caspase-1 detected a 10 kDa activated form of caspase-1, which was increased >3-fold in AD brains (Fig. 3E) compared with controls (p < 0.05; n = 6 for controls and n = 5 for AD cases).

Figure 3.
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Figure 3.

Caspase-calpain/calpastatin interactions in AD brain. A, Double immunolabeling using the antibodies TauC3 and C-18 revealed significant colocalization between caspase-3 cleaved tau and activated Cal II in AD brains. B, Western blot analysis of heat stable extracts of PFC from control and AD brains probed with CAST antibodies identified increased levels of 30 (arrows), 28, and 25, and 20 kDa (arrowheads) CAST immunoreactive bands in AD brains compared with age-matched controls (B) concomitantly with reduced levels of CAST holoprotein. C, Heat-stable CAST incubated with caspase-1 in vitro shows a time- and concentration-dependent generation of the 30 kDa fragment (C, arrow) but not the 25 or 20 kDa fragments (C, arrowheads). D, Calpain II digestion produced the 28, 25, and 20 kDa fragments but not the one at 30 kDa. E, Activated caspase-1, detected as the 10 kDa active subunit by Western blot, was increased in total extracts from AD brains compared with controls (**p < 0.01).

Calpastatin overexpression in neurons of transgenic mice modulates constitutive calpain-mediated proteolysis in vivo

To investigate how CAST levels influence neuronal vulnerability in vivo, we produced hCAST mice under the Thy-1.1 promoter containing expression cassette (Fig. 4A). Southern blot analysis of tail DNAs identified founders (Fig. 4B) and 5 hCAST lines were established by crossing founders to C57BL/6J mice. Immunoblot analyses of total brain extracts from the founder lines and littermate controls (Ntg) with the CAST antibodies I-2-7 (reactive with mouse and human) and CAST 3.1 (human-specific) showed that lines 5, 12, 16, 17, and 19 express the transgene (Fig. 4C), and that levels of immunoreactive CAST protein were 15, 17, 14, 9, and sevenfold higher, respectively, than the levels in Ntg mice (Fig. 4D, top). In all of these transgenic lines, hCAST was highly expressed in neuronal tissues including brain, optic nerve, spinal cord and sciatic nerve, but was not detected in peripheral tissues, i.e., kidney, liver, heart or skeletal muscle (data not shown). Heat-stable extracts of brain containing CAST from hCAST mice inhibited calpain II activity in a dose-dependent manner (Fig. 4D, bottom).

Figure 4.
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Figure 4.

hCAST overexpression in transgenic mice inhibits basal calpain activity. A, Schematic representation of Thy1.1-hCAST genomic organization and enzymes and probes used for screening the transgenic mice. B, hCAST transgenic founders contain a 3-kb hCAST fragment. C, Western blot analysis of brain extracts of Tg lines probed with CAST (I-2-7 and 3.1) antibodies confirm the presence of hCAST in these lines and the levels of CAST relative to levels of the low molecular weight form of neurofilaments (NF-L; 21.4), a neuronal marker. Heat stable extracts from these brains also show the abundance of hCAST in Tg brains by Ponceau S (Ponc S) staining (C, bottom). D, Densitometric analysis of the blots with I-2-7 antibody reveal that hCAST is expressed ∼15-fold higher than the levels of endogenous protein (D, top) and hCAST protein inhibited calpain activity in vitro in a dose dependent manner (D, bottom). E, F, Brain sections from the hippocampus of hCAST Tg (line 12) double labeled with antibodies to CAST and the neuronal marker MAP-2 (E) or the glial marker GFAP (F), showed CAST immunolabeling in neurons but not in glial cells (F). In panels G–R, WB analysis of brain extracts from non-transgenic (Ntg) mice (lanes 2, 4) and transgenic lines 5 (lane 1) and 12 (lane 3) indicate relative levels of hCAST (G), α-spectrin (H, S), MAP-2 (I, S), Cal I (J, S), Cal II (K, S), α-tubulin (L, S), ERK1/2 (M), p-ERK (N, S), Cdk5 (O), GSK3β total (P, S), active form of GSK3β (Q, S), and p35 (R, S). S, The densitometric analyses of immunoreactive proteins in panels H–R (n = 7–8 each, *p < 0.05; **p < 0.001).

Double immunofluorescence labeling of tissue sections from hCAST mice using antibodies to CAST and microtubule-associated protein 2 (MAP-2) (Fig. 4E) or glial fibrillary acidic protein (GFAP) (Fig. 4F) showed that hCAST was localized to neuronal soma and dendrites (Fig. 4E) but was absent in GFAP-positive astrocytes (Fig. 4F).

Our immunoblot analysis of brain extracts from hCAST and Ntg mice revealed that two well established calpain substrates, α-spectrin (Fig. 4H,S), and MAP-2 (Fig. 4I,S) were ∼2-fold more abundant in hCAST Tg than in Ntg mice. Interestingly, Cal I and Cal II levels also were elevated 1.4-fold (p < 0.03) and 2.5-fold (p < 0.05), respectively, in hCAST mice (Fig. 4J,K, S), suggesting that CAST overexpression slows calpain degradation in vivo. Levels of phospho-ERK (p-ERK), the activated form of the kinase, were modestly decreased (25%, p < 0.05), consistent with its regulation by calpain (Veeranna et al., 2004) (Fig. 4N,S). In contrast, several relatively poor calpain substrates, such as α-tubulin (Fig. 4L,S), total ERK1/2 (Fig. 4M), and Cdk5 (Fig. 4O) (Pareek et al., 2006) were unaltered in hCAST compared with Ntg mice. Moreover, the levels of activated form of GSK3β (pY216) (Fig. 4Q,S), the inactive form of GSK3β (pSer9) (data not shown) and total GSK3β (Fig. 4P,S) were not significantly altered by hCAST overexpression. In contrast, the cdk5 activator protein p35, which is a substrate for calpain (Kusakawa et al., 2000; Lee et al., 2000), was increased in the brains of hCAST mice (Fig. 4R,S).

Calpastatin overexpression blocks kainic acid induced neurodegeneration in vivo

Excitotoxicity is one of several mechanisms thought to be involved in neurodegeneration associated with AD (Louzada et al., 2004). To investigate the role of CAST in neuroprotection against calcium-induced injury in vivo, we injected KA (0.1 nmol) or phosphate buffered saline (PBS) into the hippocampi of hCAST and Ntg mice (Wang et al., 2005). KA promotes neuronal depolarization by binding to the non-NMDA glutamate receptors GluR5–7 and KA1-KA2, to induce calcium influx and calpain activation leading to seizures, neurodegeneration, and neuronal cell death (Siman et al., 1989; Xu et al., 2007). Neuronal degeneration after direct injection of KA is not dependent on seizure activity (Zaczek et al., 1981; French et al., 1982). Neither control nor hCAST Tg mice injected with PBS displayed observable seizures, whereas control mice injected with KA displayed seizures for 2 h after KA injection, each lasting for ∼60 s at 3 min intervals. hCAST mice that received KA remained stationary in one corner during the 2 h time period but overt seizures were not evident in these mice for a 24 h time period. Seven days after injection, we performed immunocytochemistry on KA and PBS-treated brain tissue from hCAST and Ntg mice using antibodies directed against the active site region of Cal II (C-24) (Fig. 5A–D), the calpain-cleaved 150 kDa product of α-spectrin (Fig. 5E–H), p-ERK (Fig. 5I–L), NeuN (Fig. 5M–P), and GFAP (Fig. 5Q–T). Cal II immunolabeling was negligible in the hippocampi of PBS-treated hCAST and Ntg mice (Fig. 5A,C). An intense C-24 immunoreactivity reflecting Cal II activation was detected within groups of CA1 pyramids in Ntg mice that received KA injections (Fig. 5B). In contrast to KA-treated Ntg mice, Cal II immunoreactivity was dramatically reduced in pyramidal neurons throughout the CA1 region of the hippocampus from KA-injected hCAST mice (Fig. 5D). We also found that KA administration to Ntg mice promoted increased immunolabeling of α-spectrin cleavage products in CA1 pyramids (Fig. 5F), compared with PBS treated animals (Fig. 5E,G), whereas KA-treated hCAST mice exhibited reduced levels of immunoreactivity (Fig. 5H). In Ntg mice receiving KA, phospho-ERK immunoreactivity was elevated (Fig. 5J) compared with that of PBS treated mice (Fig. 5I,K) but in KA-treated hCAST mice, CA1 neurons exhibited decreased immunoreactivity against p-ERK (Fig. 5L).

Figure 5.
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Figure 5.

Human CAST overexpression blocks KA induced excitotoxic cell death in mouse CA1 hippocampal neurons. hCAST transgenic (C, G, K, O, and S) and their littermate Ntg mice (A, E, I, M, and Q) were injected with PBS or PBS containing 0.1 nmol of kainic acid into the hippocampus of Ntg (B, F, J, N and R) or hCAST (D, H, L, P, and T) and hippocampal sections from the ipsilateral side were taken after 7 d, immunostained with antibodies against activated Cal II (A–D), spectrin breakdown products (E–H), p-ERK (I–L), Neu N (M–P), and GFAP (Q–T), and counterstained with cresyl violet (n = 3–4 each).

Immunocytochemistry using an antibody to the neuronal marker NeuN revealed a qualitative decrease in the number of CA1 pyramids in the hippocampus of KA-treated Ntg mice (Fig. 5N) compared with PBS-treated mice (Fig. 5M). Similarly, hCAST mice treated with KA displayed reduced numbers of NeuN-positive CA1 neurons (Fig. 5P) compared with PBS treated mice (Fig. 5O), but this decrease was less dramatic than that seen in KA-treated Ntg animals. As expected, KA treatment to Ntg mice produced a significant increase in the number of GFAP-positive astrocytes (Fig. 5R) in the hippocampus compared with PBS-treated Ntg animals (Fig. 5Q). The magnitude of gliosis was less prominent in hCAST mice receiving PBS (Fig. 5S) or KA (Fig. 5T) compared with Ntg mice treated with KA (Fig. 5R).

We next confirmed by Western blot analyses (Fig. 6) the immunocytochemical findings observed in the brains of hCAST and Ntg mice after KA administration. KA treatment in Ntg mice significantly reduced the levels of endogenous immunoreactive CAST (Fig. 6A), MAP-2 (Fig. 6C) and α-spectrin holoprotein (Fig. 6D,P), and increased levels of 150 kDa α-spectrin breakdown products (Fig. 6E) relative to β-tubulin (Fig. 6I). These changes were substantially reduced by the overexpression of hCAST in the transgenic mice. As expected, we found that KA treatment significantly elevated the levels of calpain-activated p-ERK (Fig. 6F,Q) relative to total ERK1/2 levels (Fig. 6G) and RT-97 (Fig. 6S), a phospho-epitope on NF-M regulated in part by ERK 1/2 (Rao et al., 2002), in the brains of Ntg but not in hCAST mice. KA treatment also increased the levels of immunoreactive caspase-3-cleaved tau (Fig. 6H,R). The increase in cleaved tau was significantly attenuated (p < 0.05) in KA-treated hCAST mice, indicating that caspase-3 activation in KA-treated Ntg mice may be a consequence of calpain activation. In contrast, levels of activated caspase-1 were unaltered by KA treatment (data not shown) indicating its activation in AD brain (Fig. 3) may be upstream of calpain activation.

Figure 6.
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Figure 6.

CAST overexpression prevents calpain-mediated ERK activation and cytoskeletal protein degradation in KA-treated mice. Equal amounts of hippocampal extracts from Ntg (lane 1), Ntg + kainic acid (lane 2), hCAST (lane 3), hCAST + kainic acid (lane 4) treated mice (as indicated in Fig. 5) were immunoblotted with I-2-7 to detect mCAST in Ntg mice (A) and with CAST 3.1 against hCAST (B), MAP-2 (C), full-length (D) and cleaved spectrin (E), p-ERK (F), total ERK1/2 (G), TauC3 (H), β-tubulin (I), total Tau (J), p-Tau (K, AT8), p-Tau (L, PHF1), Cdk5 (M), and p35/p25 (N, O) antibodies. Densitometry of spectrin (P), p-ERK/total ERK1/2 (Q), TauC3 (R), p-NF-M/total NF-M (S), total Tau (T), p-Tau/total tau (U, PHF1), p-Tau (V, AT8), and p25/p35 (W). (n = 5 each; *p < 0.05, **p < 0.003).

Because KA neurotoxicity is accompanied by ERK activation and could influence cell survival (Jeon et al., 2000) in part through changes in tau phosphorylation (Crespo-Biel et al., 2007), we tested whether KA-induced ERK activation increases tau phosphorylation. Total tau levels detected with T46 (Lee et al., 1991) were unchanged by KA treatment but were significantly higher at baseline in hCAST mice compared with Ntg mice (Fig. 6J,T), a change consistent with a role for calpain in tau turnover in vivo. The AT8 and PHF1 phosphoepitopes on tau known to be generated by ERK1/2, however, were disproportionately increased relative to total tau after KA treatment in Ntg mice (Fig. 6K,L,U,V, lane 2). This KA-induced increase in tau phosphorylation was substantially blocked in hCAST mice (Fig. 6K,L,U,V, lane 4). Although Cdk5 is capable of phosphorylating the same epitopes on tau, the levels of Cdk5 and p35 were not significantly changed in control or in hCAST mice treated with PBS or KA (Fig. 6M,N). The levels of p25, however, were modestly reduced in control mice treated with KA (p < 0.0001). p25 levels were higher in hCAST mice (30% when compared with NTg; p < 0.044) and KA treatment modestly lowered this level (12%, compared with hCAST alone; p < 0.034) (Fig. 6O). The ratio of p25/p35 modestly decreased in control and hCAST mice treated with KA (Fig. 6W) (p < 0.05). We also confirmed a previous finding (Takano et al., 2005) that p25/p35 ratios increase 24 h after KA administered at a tenfold higher concentration (data not shown) indicating that p35 and p25 metabolism shows different patterns depending on the KA neurotoxicity paradigm used. There was no significant change in levels of the activated form of GSK3β (pY216) (supplemental Fig. 2B, available at www.jneurosci.org as supplemental material), inactive form of GSK3β (pSer9) (supplemental Fig. 2A, available at www.jneurosci.org as supplemental material), total GSK3β (supplemental Fig. 2C,D, available at www.jneurosci.org as supplemental material), in the ratios of activated to total GSK3β (supplemental Fig. 2E, available at www.jneurosci.org as supplemental material) and inactive to total GSK3β (supplemental Fig. 2F, available at www.jneurosci.org as supplemental material) in control and hCAST Tg mice treated with PBS or KA.

CAST depletion by siRNA in neuronal cells accelerates calpain-mediated cell death

To investigate a possible direct role for CAST depletion in promoting calpain activation leading to neurodegeneration, we used RNA interference (RNAi) to lower CAST levels in human SH-SY5Y neuroblastoma cells. A short hairpin RNA (shRNA) vector was constructed for CAST (shRNA-CAST) and included enhanced green fluorescent protein (eGFP) as an endogenous reporter of shRNA-CAST transfection efficiency. Cells transfected with shRNA-CAST and expressing eGFP exhibited reduced CAST immunoreactivity (Fig. 7A). As a control, we also transfected SH-SY5Y cells with shRNA for carbonic anhydrase (CBR). As expected, cells transfected with shRNA-CBR exhibited reduced CBR immunolabeling but the intensity of CAST immunoreactivity was unaffected (data not shown). We also found that SH-SY5Y cells expressing shRNA-CAST displayed increased immunoreactivity of calpain cleaved spectrin with Ab38 antibody (Zhang et al., 2002) (Fig. 7B) and caspase-cleaved spectrin with Ab246 antibody (Fig. 7C). Thus, in SH-SY5Y cells, the depletion of CAST appears to promote the activation of calpain leading to caspase activation.

Figure 7.
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Figure 7.

CAST depletion by shRNA activates calpain and caspase-3 and increases vulnerability to calcium-induced cell death in SH-SY5Y cells. SH-SY5Y neuroblastoma cells were transfected with CAST-shRNA vector containing a GFP reporter (A–C), displaying significantly reduced levels of CAST relative to non-transfected cells, when cells were immunostained with anti-CAST antibody (A, arrow: GFP positive cell). CAST-depleted cells have increased calpain-specific spectrin breakdown products (Ab38; B) and caspase-3-specific spectrin breakdown products (Ab246; C). Under conditions of exogenous calcium exposure (E), CAST-depleted (GFP-positive) cells were disproportionately reduced in number relative to the total population of cells stained with DAPI, representing the control cell population (D). The graph represents relative proportions of GFP and DAPI-positive cells under conditions with and without calcium-treatment (F). Data are expressed as percentage of minus calcium control condition (F) (n = 5). ***p < 0.001.

Last, to examine the effect of CAST depletion on calcium induced cell injury, we generated a mixed population of SH-SY5Y cells that were positive or negative for shRNA-CAST as determined by eGFP expression. Cultures were grown in the absence (Fig. 7D, control) or presence (Fig. 7E) of Ca2+ (5 mm) for 2 h. We quantified the proportions of untransfected and CAST-depleted (eGFP-positive) cells lost in the presence or absence of supplemental Ca2+ by counting numbers of DAPI-stained and eGFP-positive cells. Untransfected cells (Fig. 7F, bars 1 and 2) were not significantly lost with Ca2+ treatment (Fig. 7F, bars 1 and 2). shRNA-CAST transfection alone did not lower cell numbers (Fig. 7F, bar 3), but Ca2+ treatment resulted in a 40% reduction in the number of shRNA-CAST transfected cells (p < 0.001) (Fig. 7F, bar 4). We found that the calpain inhibitor, calpeptin (20 μm), prevented cell death (data not shown) suggesting that cell vulnerability to calcium was mediated by calpain activation.

Discussion

Our findings show for the first time that CAST is markedly depleted in AD brain compared with normal controls and that this depletion involves the activation of at least two proteolytic systems, caspases (caspase-1 and -3) and calpains. Using AD brain, transgenic mice and cell models, we provide novel evidence that CAST depletion can act upstream of calpains to activate a calpain-dependent cascade of protein kinase activation, cytoskeletal protein hyperphosphorylation, cytoskeletal proteolysis and neurodegeneration (Fig. 8). CAST acts as a buffering mechanism against unwanted collateral protein cleavage during calpain activation (Goll et al., 2003) and it has been proposed that CAST negatively regulates calpain only under pathological conditions (Takano et al., 2005). Our findings provide the first evidence, to our knowledge, that CAST can modulate constitutive calpain activity in vivo. CAST overexpression in neurons significantly elevated the steady-state levels of well known calpain substrates, including tau and p35, the activator protein of Cdk5 that phosphorylates tau, establishing for the first time a role for calpain in tau turnover in vivo. CAST overexpression also raised levels of Cal I and II, indicating that the turnover of calpain is regulated in part by its endogenous inhibitor. Furthermore, selectively lowering CAST levels in cells with shRNA treatment increased the levels of calpain activation without inducing acute cell death. These results accord with observations that CAST interacts with calpains at physiological calcium levels (Melloni et al., 2006). Supporting a role for CAST in tonically regulating calpain activity are additional studies showing that a transient decline of CAST during myogenin-induced muscle differentiation activates calpain to levels required for myoblast fusion and differentiation (Barnoy and Kosower, 2007). Similar regulation of calpain activation by CAST is also required during PC12 differentiation (Vaisid et al., 2005).

Figure 8.
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Figure 8.

Schematic highlighting CAST depletion as both an upstream and downstream event in calpain activation and calpain-mediated cytoskeleton hyperphosphorylation and proteolysis leading to neurodegeneration in AD. The schematic illustrates the cross-talk between the calpain and caspase proteolytic systems in AD shown in this study. Other proposed influences on CAST levels and inhibitory functions that may promote calpain activation are also indicated.

Whether as a buffer or a tonic regulator of calpain activity, CAST exerted a significant neuroprotection against neurotoxicity in our studies. Higher CAST levels substantially prevented KA-induced cytoskeletal protein disruption, ERK activation, neurodegeneration and associated reactive gliosis. Interestingly, higher CAST levels blocked overt seizure activity at the tested dose of KA, raising the possibility that calpain activation is involved in the mechanism underlying seizure generation after intrahippocampal KA administration. In this regard, hippocampal seizure activity and seizure behavior are significantly more frequent in individuals with AD (Hesdorffer et al., 1996; Mendez and Lim, 2003; Amatniek et al., 2006). Protection against neurodegeneration by CAST is not related directly to seizure suppression, because seizure generation is not required for neurodegeneration in this paradigm (Zaczek et al., 1981; French et al., 1982).

Although total CAST levels were most strikingly depleted at later stages of AD when neuron loss is extensive, CAST disappeared focally along segments of dystrophic and atrophic neurites at early stages of AD, indicating a link between progressive CAST depletion and neurofibrillary neurodegeneration. These findings confirm one previous study of calpain inhibitory activity showing a decline within a group of AD brains as severity of neuropathology increased (Nilsson et al., 1990); however, our study establishes for the first time that CAST is depleted in AD brain compared with levels in normal controls. As a suicide substrate of calpains, CAST is most likely to be continuously turned over, in part, attributable to persistent calpain hyperactivation, which begins early in AD (Saito et al., 1993) in response to calcium dysregulation caused by AD risk factors, including Aβ toxicity (Fifre et al., 2006), oxidative stress (Ishihara et al., 2000), excitotoxicity (Xu et al., 2007), and presenilin mutations (Siman et al., 2000). In addition to calpains, however, caspases are also upregulated in neurons in AD (Matsui et al., 2006), particularly at the later disease stages when CAST-inhibitory activity is observed to decline most markedly. Caspases, particularly caspase-1, cleave CAST into inactive fragments (Wang et al., 1998), unlike calpains which cleave CAST into smaller polypeptides that retain some inhibitory activity. We demonstrated that caspase-1 is abnormally activated in AD brain (Fig. 3B,C,E) (Zhu et al., 1999), degrades hCAST holoprotein, and generates a specific CAST fragment, which was found in AD brain at significantly elevated levels. Interestingly, caspase-1 regulates CAST levels during PC12 cell and myoblast differentiation (Vaisid et al., 2005). These results support an interplay between the calpain and caspase proteolytic systems in neurofibrillary degeneration. In further support of this cross-talk, we observed that caspase-3, another caspase capable of degrading CAST holoprotein, is activated focally along neurites in the same locations where CAST is depleted. This finding accords with data that other caspase-cleaved proteins are also located in dystrophic neurites (Ayala-Grosso et al., 2006). The further observation that caspase 3-cleaved tau, but not activated caspase-1, increased in KA treated control but not in hCAST mice suggests that activation of caspase-3, but not of caspase-1, is downstream of calpain activation in neurotoxicity. These proteases, and possibly others, lower CAST to levels that could elevate constitutive calpain activity and increase the vulnerability of neurons to cytoskeleton disruption and cell death under conditions of calcium injury.

CAST depletion and calpain activation along dystrophic neurites coinciding with ERK1/2 activation and tau/neurofilament phosphorylation supports a close interrelationship among these events. This was further established in our studies of KA-mediated neurotoxicity. Cal II, which is activated as CAST is depleted from neurites, has been shown to be recruited to intraneuronal tau aggregates in AD brain (Adamec et al., 2002), and may be related to the tau truncations proposed to promote tau aggregation (Gamblin et al., 2003). Calpains activate signaling cascades mediated by Cdk5, ERK1/2, GSK3, PKC, and calcineurin, thereby regulating the phosphorylation states and functions of cytoskeletal proteins, including neurofilament subunits and tau (Shiurba et al., 1996; Lee et al., 2000; Lee and Tsai, 2003; Veeranna et al., 2004; Amadoro et al., 2006; Plattner et al., 2006). Calpain-mediated Cdk5 activation has been previously linked to tau hyperphosphorylation, and neurodegeneration in AD (Lee et al., 2000; Patrick et al., 1999; Taniguchi et al., 2001; Cruz et al., 2003; Lee and Tsai, 2003) and excitotoxic states (Crespo-Biel et al., 2007). We did not observe an increase in p35 conversion to p25 in Western blot analyses of AD brains, consistent with data from other labs (Tandon et al., 2003; Yoo and Lubec 2001; Taniguchi et al., 2001; Takashima et al., 2001; Cole et al., 2007). In our KA neurotoxicity paradigm, we did not see an increase in p35 conversion to p25 or p25/p35 ratio at a 0.1 nmol concentration of KA in control mice, although we have confirmed the higher p25/p35 ratios observed in mice by Takano et al. (2005) using higher KA doses for shorter periods (M. V. Rao, unpublished data). Although GSK3β activation has been implicated in amyloid-mediated events leading to cytoskeletal protein hyperphosphorylation in AD (Hooper et al., 2008), we observed no changes in distribution or abundance of active, inactive or total GSK3β. Less attention has been paid to a possible role of ERK in AD and our findings strongly support a role for calpain-mediated ERK activation in the hyperphosphorylation of neurofilament proteins and tau seen in AD brain, which is known to be dependent on MEK 1/2, the upstream regulator of ERK 1/2 (Veeranna et al., 2004). The reversal of these phosphorylation events in vivo by hCAST supports the neuroprotective role of CAST and the importance of gradual CAST depletion by caspases and calpains as a trigger for calpain-mediated cascades leading to neurodegeneration (Fig. 8).

We observed that lowering CAST levels by shRNA elevates constitutive calpain activity and sensitizes neuronal cells to calpain-mediated cell death after calcium injury. These results indicate that CAST depletion, mediated by caspases or other proteases, can be a cause of calpain overactivation rather than simply its consequence (Fig. 8). Supporting this possibility are data showing that the naturally high CAST levels in juvenile rodents compared with mature rats correlate with greater resistance of the young rats to calpain-mediated neuronal cell death (Wingrave et al., 2004). Conversely, pathological decreases in CAST mRNA expression during sepsis activate calpains (Wei et al., 2005). Aging-related declines in CAST have also been linked to pathologic changes in some tissues (Nilsson et al., 1990; Averna et al., 2001). In addition, preventing CAST decline because of caspase activation has cytoprotective effects in embolic cerebral ischemia (Han et al., 2006) and renal ischemia-reperfusion injury (Shi et al., 2000).

Synthetic calpain inhibitors have been shown to be neuroprotective under certain injury conditions, but this neuroprotection is inconsistent or incomplete in many cases. The calpain inhibitors used in previous studies, however, can inhibit other cysteine proteases, including cathepsins that may have anti or proapoptotic effects and other effects on cell survival in different injury paradigms (Carragher, 2006). Multiple proteolytic systems are often activated in pathologic states, as illustrated by our observations that caspases can become activated in some settings of calpain activation, and they can promote further calpain activation by degrading CAST (Fig. 8). These findings suggest that neuroprotective regimens may need to target multiple proteolytic systems selectively while avoiding effects on proteolytic systems that confer protection.

Footnotes

  • This work was supported by the National Institute on Aging Grants (AG005604, P01AG002219), the National Institute of Neurological Disorders and Stroke Grant (NS P01NS048447), and the Mitsubishi Chemical Corporation. We are grateful to Nicole Piorkowski for assistance with manuscript preparation. We are thankful to Dr. Masatoshi Maki (Nagoya University, Nagoya, Japan) for generously providing us with the CAST cDNA construct and Dr. Robert Siman for kindly providing Ab246 and Ab38 antibodies (University of Pennsylvania, Philadelphia, PA).

  • Correspondence should be addressed to Dr. Ralph A. Nixon, Nathan S. Kline Institute, 140 Old Orangeburg Road, Orangeburg, NY 10962. Nixon{at}nki.rfmh.org

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Journal of Neuroscience
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19 Nov 2008
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Marked Calpastatin (CAST) Depletion in Alzheimer's Disease Accelerates Cytoskeleton Disruption and Neurodegeneration: Neuroprotection by CAST Overexpression
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Marked Calpastatin (CAST) Depletion in Alzheimer's Disease Accelerates Cytoskeleton Disruption and Neurodegeneration: Neuroprotection by CAST Overexpression
Mala V. Rao, Panaiyur S. Mohan, Corrinne M. Peterhoff, Dun-Sheng Yang, Stephen D. Schmidt, Philip H. Stavrides, Jabbar Campbell, Yuanxin Chen, Ying Jiang, Peter A. Paskevich, Anne M. Cataldo, Vahram Haroutunian, Ralph A. Nixon
Journal of Neuroscience 19 November 2008, 28 (47) 12241-12254; DOI: 10.1523/JNEUROSCI.4119-08.2008

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Marked Calpastatin (CAST) Depletion in Alzheimer's Disease Accelerates Cytoskeleton Disruption and Neurodegeneration: Neuroprotection by CAST Overexpression
Mala V. Rao, Panaiyur S. Mohan, Corrinne M. Peterhoff, Dun-Sheng Yang, Stephen D. Schmidt, Philip H. Stavrides, Jabbar Campbell, Yuanxin Chen, Ying Jiang, Peter A. Paskevich, Anne M. Cataldo, Vahram Haroutunian, Ralph A. Nixon
Journal of Neuroscience 19 November 2008, 28 (47) 12241-12254; DOI: 10.1523/JNEUROSCI.4119-08.2008
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