Abstract
The lurcher (Lc) mice have served as a valuable model for neurodegeneration for decades. Although the responsible mutation was identified in genes encoding δ2 glutamate receptors (GluD2s), which are predominantly expressed in cerebellar Purkinje cells, how the mutant receptor (GluD2Lc) triggers cell death has remained elusive. Here, taking advantage of recent knowledge about the domain structure of GluD2, we reinvestigated Lc-mediated cell death, focusing on the “autophagic cell death” hypothesis. Although autophagy and cell death were induced by the expression of GluD2Lc in heterologous cells and cultured neurons, they were blocked by the introduction of mutations in the channel pore domain of GluD2Lc or by removal of extracellular Na+. In addition, although GluD2Lc is reported to directly activate autophagy, mutant channels that are not associated with n-PIST (neuronal isoform of protein-interacting specifically with TC10)–Beclin1 still caused autophagy and cell death. Furthermore, cells expressing GluD2Lc showed decreased ATP levels and increased AMP-activated protein kinase (AMPK) activities in a manner dependent on extracellular Na+. Thus, constitutive currents were likely necessary and sufficient to induce autophagy via AMPK activation, regardless of the n-PIST–Beclin1 pathway in vitro. Interestingly, the expression of dominant-negative AMPK suppressed GluD2Lc-induced autophagy but did not prevent cell death in heterologous cells. Similarly, the disruption of Atg5, a gene crucial for autophagy, did not prevent but rather aggravated Purkinje-cell death in Lc mice. Furthermore, calpains were specifically activated in Lc Purkinje cells. Together, these results suggest that Lc-mediated cell death was not caused by autophagy but necrosis with autophagic features both in vivo and in vitro.
Introduction
The lurcher (Lc) mouse is an autosomal semidominant mutant originally described five decades ago (Vogel et al., 2006). In heterozygous mice (Lc/+), cerebellar Purkinje cells specifically start to degenerate in a cell-autonomous manner by postnatal day 8 (P8), and most die during the second postnatal week; other cell types are eventually affected by secondary mechanisms (Wetts and Herrup, 1982). Lc/+ mice show prominent ataxic gait and poor rotarod performance during the third postnatal week, when about 90% of the Purkinje cells have disappeared. Lc is caused by a point mutation in the δ2 glutamate receptor (GluD2) (Zuo et al., 1997), which is predominantly expressed in cerebellar Purkinje cells. Because of this well-defined genetic lesion that affects a single cell type and causes obvious behavioral changes in vivo, the Lc mouse has served as a valuable model for studying the mechanisms of neurodegeneration.
Despite the identification of the responsible mutation in Lc mice, the mechanisms by which Purkinje cells die have remained elusive. Cell death was originally thought to be caused by excitotoxicity (Seeburg, 1997); continuous Na+ and some Ca2+ ions passing through constitutively open GluD2Lc channels were thought to depolarize Lc Purkinje cells and to activate various cell-death execution pathways. Later, wild-type GluD2 (GluD2wt) was shown to interact via its C terminus with the PSD-95/Dlg/ZO-1 (PDZ)-domain-containing protein n-PIST (neuronal isoform of protein-interacting specifically with TC10); this protein binds to Beclin1, a mammalian ortholog of yeast Atg6 (Kihara et al., 2001), thereby regulating the formation of autophagosomes. The expression of GluD2Lc, but not GluD2wt, in heterologous cells was shown to lead to the formation of Beclin1-positive autophagosome-like vesicles and to an increase in cell death (Yue et al., 2002). Indeed, electron microscopic and immunohistochemical analyses revealed autophagosomes in Lc/+ Purkinje cells. Interestingly, Purkinje cells in Lc/ho mice, in which a copy of the wild-type allele in Lc/+ mice was replaced with a null allele (ho), died earlier than those in Lc/+ mice, despite the fact that the Lc/ho Purkinje cells were less depolarized (Selimi et al., 2003). These findings led to an “autophagic cell death” hypothesis, in which the Lc mutation activates GluD2 so that Beclin1 is released to activate autophagy constitutively, leading to cell death in a manner that is independent of depolarization. Indeed, Lc/+ mutant mice have been cited as an example of cell death resulting from autophagy (Shintani and Klionsky, 2004; Rubinsztein et al., 2005). Nevertheless, how the moderate autophagic features observed in Lc/+ Purkinje cells would be sufficient to activate the massive cell death during the second postnatal week has been unclear (Dusart et al., 2006). In addition, a channel blocker was recently shown to block Lc/+ Purkinje cell death in cultured cerebellar slices (Zanjani et al., 2009); whether autophagy is involved in this form of cell death remains unclear. Here, taking advantage of recent knowledge about the domain structure of GluD2wt (Yuzaki, 2008), we reinvestigated Lc-mediated cell death in heterologous cells and cultured neurons as well as in Lc mice in vivo. We showed that Lc-mediated cell death was unlikely to be caused by autophagy; rather, constitutive ion flux per se caused excitotoxic cell death with autophagic features independent of the n-PIST–Beclin1 pathway.
Materials and Methods
Animals.
Purkinje-cell-specific Atg5-deficient mice (Atg5flox/flox; pcp2-Cre) were generated as described previously (Nishiyama et al., 2007) and crossed with Lc/+ mice (B6CBACa Aw-J/A-Grid2Lc/J; The Jackson Laboratory). GluD2wt and GluD2wt-ΔCT7 transgenic mice on a GluD2-null background were generated as described previously (Kakegawa et al., 2008). Genotypes were determined by PCR analysis of genomic DNA from mouse tail (Nishiyama et al., 2007). For genotyping the Lc/+ allele, exon 12 of the GluD2 gene was amplified by PCR using a forward primer (5′-GTT GTC TGT CTT GGC ACT GA-3′) and a reverse primer (5′-ATG TGC AGA GGG CTT TCC TT-3′) and subjected to digestion by a restriction endonuclease Fnu4HI (Bio-Rad). All procedures relating to the care and treatment of the animals were performed in accordance with the National Institutes of Health (NIH) guidelines. The animals were killed by decapitation after anesthetization with tribromoethanol.
cDNA constructs.
Site-directed mutagenesis was accomplished using the overlap extension PCR method to introduce mutations to cDNAs encoding GluD2 and GluK2. The cDNAs encoding enhanced green fluorescent protein (EGFP) and mCherry were kindly provided by Dr. R. Y. Tsien (University of California, San Diego, La Jolla, CA). We added cDNA encoding EGFP to the 5′ ends of a mammalian Atg8 ortholog LC3 and a mammalian Atg6p/Vps30p ortholog Beclin1 to produce EGFP-LC3 and EGFP-Beclin1, respectively. The nucleotide sequence of the amplified open reading frame was confirmed using bidirectional sequencing. The cDNAs were subcloned into the expression vector pCAGGS (provided by Dr. J. Miyazaki, Osaka University, Osaka, Japan). The expression vectors for dominant-negative AMP-activated protein kinase (AMPK) α (Woods et al., 2000; Mu et al., 2001), pcDNA3-Myc-AMPKα1-D157A, and pcDNA3-Myc-AMPKα2-K45R were generous gifts from Drs. D. Carling (Imperial College, London, UK) and M. Birnbaum (University of Pennsylvania, Philadelphia, PA), respectively.
Cell culture, transfection, and immunocytochemistry.
Human embryonic kidney 293 (HEK293) cells (CRL-1573; American Type Culture Collection) were maintained in 10% CO2 at 37°C in DMEM (Invitrogen) supplemented with 10% fetal bovine serum (Hyclone). One day before transfection, 0.5 × 105 cells were plated on poly-l-lysine-coated 12 mm coverslips. The cells were then transfected with a total of 1 μg of plasmids (the ratio of pCAGGS-GluD2 to pEGFP-LC3 was 3:1) using Lipofectamine 2000 (Invitrogen). To evaluate the ion dependency of Lc-mediated autophagy and cell death, the culture medium was changed to artificial CSF (ACSF) containing various concentrations of Na+ or Ca2+ at 6 h after transfection. Low-Na+-containing ACSF was prepared by replacing Na+ with equimolar N-methyl-d-glucosamine+ (NMDG+) in ACSF [150 mm NaCl, 5 mm KCl 5, 2 mm CaCl2, 1 mm MgCl2, 20 mm d-glucose, B-27 (Invitrogen), and 20 mm HEPES, pH 7.3, with KOH]. To prepare high-Ca2+-containing ACSF, NaCl was reduced to 50 mm, and the osmolarity was adjusted with sucrose. Cells were fixed with 4% paraformaldehyde at the indicated time points.
Dissociated cultures of hippocampal neurons were prepared from embryonic day 17 to 18 mice as described previously (Forrest et al., 1994), and kept in Neurobasal medium supplemented with B-27 and l-glutamine (Invitrogen). Cultured hippocampal neurons were transfected with plasmids encoding mCherry and GluD2 mutants with or without EGFP-LC3 using Lipofectamine 2000 at 12 d in vitro (DIV). The ratio of the three plasmids was 1:1:1 or 1:2:0. At 15 h after transfection, the neurons were fixed with 4% paraformaldehyde and washed with PBS. The cultures were first incubated with a blocking solution (2% goat serum, 2% bovine serum albumin (BSA), and 0.4% Triton X-100 in PBS) and were then incubated with rat anti-GluD2 (dilution, 1:300), chicken anti-GFP (dilution, 1:1000; Millipore), rabbit anti-MAP2 (dilution, 1:1000; Millipore), or mouse anti-Tau-1 (dilution, 1:200; Millipore). For visualization, secondary antibodies conjugated to 488 or 350 (diluted at 1:1000; Invitrogen) were used.
Quantification of autophagy and cell death in vitro.
For the quantification of autophagic activity in vitro, EGFP-LC3 fluorescence images were captured using a CCD camera (DP 70; Olympus) attached to a fluorescence microscope (BX60; Olympus). The number of vesicular structures of EGFP-LC3 in a cell was counted using a linear filter followed by an object detection algorithm using IPLab Spectrum 3.6 software (Signal Analytics) (supplemental Fig. 1A, available at www.jneurosci.org as supplemental material). For the quantification of cell death in vitro, the number of surviving cells was estimated by counting the EGFP-emitting signals on the coverslips. In addition, cell death was analyzed by propidium iodide (PI; Invitrogen) staining according to the manufacturer's protocol. Briefly, HEK293 cells were stained with 1 μg/ml PI for 10 min at room temperature, washed with PBS, and immediately examined under the fluorescent microscope. The quantification of cell death by PI staining (supplemental Fig. 1B,C, available at www.jneurosci.org as supplemental material) matched well with that by EGFP signals shown in main figures. Cellular ATP levels were measured using the ATP Bioluminescent Somatic Cell Assay Kit (Sigma-Aldrich) according to the manufacturer's protocol.
Calcium imaging.
One day before transfection, 1 × 105 HEK293 cells were plated on poly-l-lysine-coated 18 mm coverslips. The cells were transfected with 2.0 μg of pCAGGS-GluD2 or mutant GluD2s using Lipofectamine 2000. At 8, 14, and 23 h after transfection, the cells were loaded with 2 μm fura-2 AM (Invitrogen) in culture medium for 45 min at 37°C. After incubation, fura-2-loaded cells were placed in an experimental chamber, washed three times, and resuspended in ACSF. Following a 10–20 min de-esterification period, the cells were alternately excited at 340 nm (F340) and 380 nm (F380; exposure times of 400 ms and 100 ms, respectively) using a motorized filter wheel (Lambda 10-2; Sutter Instrument). Fluorescence emissions at 510 nm were captured with a cooled CCD digital camera (PXL; Photometric). The acquired images were analyzed using IPLab Spectrum 3.6 software, and the fluorescence intensity ratio F340/F380 was calculated. To identify the cells expressing GluD2 or mutant GluD2s, an immunohistochemical analysis was performed after the fura-2 measurements. Cells were fixed with 4% paraformaldehyde for 10 min at room temperature and incubated with a blocking solution for 1 h. The cells were then incubated with rat anti-GluD2 (dilution, 1:300) for 1 h. To visualize the bound primary antibody, the cells were incubated with Alexa 546-conjugated anti-rabbit antibodies (diluted 1:1000; Invitrogen).
Western blot analysis.
Nine hours and 15 h after transfection, HEK293 cells were washed with PBS, lysed in 1 × SDS sample buffer (62.5 mm Tris-HCl, 2% SDS, 10% glycerol, 50 mm DTT, 0.01% bromophenol blue) and incubated at 95°C for 5 min. The lysate was sonicated for 15 s and microcentrifuged for 2 min at 4°C. Whole cerebella of wild-type and Lc mice were homogenized by glass/Teflon homogenizer, and solubilized in 500 μl TNE buffer (50 mm NaF, 1% NP-40, 20 mm EDTA, 1 μm pepstatins, 2 μg/ml leupeptin, 10 μg/ml aprotinin, 0.1% SDS, 50 mm Tris-HCl, pH 8.0) for 1 h at 4°C. Soluble and insoluble fractions were separated by centrifugation at 11,500 × g for 20 min. Both fractions were incubated in SDS-PAGE sample buffer for 5 min at 95°C. After centrifugation, the supernatant was loaded onto SDS-polyacrylamide gels.
The proteins were transferred to polyvinylidene difluoride membranes (Immobilon-P; Millipore) and were allowed to react with anti-AMPKα, anti-AMPKα phosphothreonine 172-specific antibody (Cell Signaling Technology), anti-LC3 polyclonal antibody (Kabeya et al., 2000), anti-actin (Sigma), or an anti-136 kDa fragment of α-spectrin cleaved by calpain (kindly provided by Dr. T. C. Saido, Laboratory for Proteolytic Neuroscience, RIKEN Brain Science Institute, Saitama, Japan). Proteins were visualized using the chemiluminescence detection system ECL Plus (GE Healthcare).
Immunohistochemistry and quantification of cell death and axon swelling in cerebellar slices.
Under deep anesthesia, the mice were fixed by cardiac perfusion with 0.1 m sodium phosphate buffer (PB), pH 7.4, containing 4% paraformaldehyde (4% PFA/PB). The cerebellum was then removed and soaked in 4% PFA/PB for over 4 h. After rinsing the specimens with PBS, parasagittal slices (100 μm) were prepared using a microslicer (DTK-2000; Dosaka) and were permeabilized with 0.2% Triton X-100 in PBS with 2% normal goat serum and 2% BSA for 6 h at 4°C. Immunohistochemical staining was performed using antibodies against calbindin (1:1000; Millipore), synaptophysin (1:500; Sigma), or anti-136 kDa fragment of α-spectrin cleaved by calpain (1:1000) at 4°C, followed by incubation with Alexa 488- and Alexa 546-conjugated secondary antibodies. The stained slices were viewed using a confocal laser-scanning microscope (Fluoview; Olympus). For quantification of Purkinje cell death in cerebellar slices, the number of Purkinje cells was quantified from four lobules (lobules III, IV, VIII, and IX) using NIH Image software (Scion) as described previously (Nishiyama et al., 2007). For the quantification of axon terminal swelling of Purkinje cells, fluorescent images immunostained by anti-calbindin (a Purkinje cell marker) and anti-synaptophysin (a presynaptic marker) antibodies in the deep cerebellar nucleus (DCN) region were acquired. The area of Purkinje cell axons that were double immunopositive for calbindin and synaptophysin was calculated using a linear filter followed by an object detection algorithm using the IPLab Spectrum 3.6.
Data analysis and statistics.
The results are presented as the means ± SEM, and the statistical significance was defined as p < 0.05 using the unpaired Student's t test.
Results
In vitro system to monitor Lc-mediated cell death and autophagy
To better characterize Lc-mediated cell death in vitro, we coexpressed GluD2Lc or GluD2wt with EGFP in HEK293 cells (Fig. 1A). The number of EGFP-positive cells expressing GluD2Lc was significantly less than those expressing GluD2wt or none (mock) at 15 h after transfection (Fig. 1B,C). Similarly, the number of PI-positive dead cells was significantly increased in HEK293 cells expressing GluD2Lc than those expressing GluD2wt (supplemental Fig. 1B,C, available at www.jneurosci.org as supplemental material). Next, to examine whether this type of cell death involved autophagy, we cotransfected HEK293 cells with GluD2wt, GluD2Lc, or mock with EGFP-tagged LC3 (EGFP-LC3), a mammalian ortholog of yeast Atg8, which is strongly associated with autophagosomes. Cells expressing GluD2Lc displayed numerous EGFP-LC3-positive intracellular puncta at 15 h after transfection (Fig. 1D); the number of EGFP-LC3 puncta was significantly higher in GluD2Lc-transfected cells than in mock-transfected or GluD2wt-transfected cells (Fig. 1E). As reported previously (Yue et al., 2002), GluD2Lc also induced EGFP-Beclin1 clusters in HEK293 cells (supplemental Fig. 2, available at www.jneurosci.org as supplemental material); however, Beclin1 is only involved in the early phase of autophagy and is not tightly associated with autophagosomes. Therefore, using LC3 as a more specific marker for autophagosomes, these findings confirmed that Lc-mediated cell death and autophagosome formation were recapitulated in heterologous cells in vitro.
Currents carried by Na+, but not Ca2+, are necessary for Lc-mediated autophagy and cell death
Constitutive currents associated with GluD2Lc are mainly carried by monovalent cations, such as Na+ and K+, but also by some Ca2+ ions (Kohda et al., 2000; Wollmuth et al., 2000). To examine the role of constitutive currents in Lc-mediated cell death and autophagy, we introduced mutations to the channel pore domain of GluD2Lc (Fig. 2A). GluD2 contains a glutamine (Q) residue at the Q/R site of the channel pore domain; these residues at the equivalent position determine the Ca2+ permeability of AMPA or kainate receptors. Similarly, GluD2Lc-Q618R, in which arginine (R) is substituted for Q at the Q/R site, became essentially impermeable to Ca2+ (Kohda et al., 2000; Wollmuth et al., 2000). Nevertheless, GluD2Lc and GluD2Lc-Q618R induced a similar number of EGFP-LC3 puncta in HEK293 cells at 15 h after transfection (Fig. 2B). Although cell death was delayed in HEK293 cells expressing GluD2Lc-Q618R than in those expressing GluD2Lc, most cells eventually died at 36 h after transfection (Fig. 2C). The delay in cell death may have been caused by the lower current amplitudes in HEK293 cells expressing GluD2Lc-Q618R than in those expressing GluD2Lc (Kohda et al., 2000) (see below). These results suggest that Ca2+ ion flows were dispensable for autophagosome formation and death in cells expressing GluD2Lc.
The arginine substitution of a hydrophobic residue, which is located one position upstream of the Q/R site, disrupts the channel pore of AMPA and kainate receptors (Dingledine et al., 1992; Robert et al., 2002). Similarly, GluD2Lc-V617R, in which R is substituted for valine (V) at one position upstream of the Q/R site (Fig. 2A), prevented all ion flow through the channel despite its expression on the cell surface (Kakegawa et al., 2007). Interestingly, the expression of GluD2Lc-V617R did not induce the clustering of EGFP-LC3 in HEK293 cells (Fig. 2B). Similarly, Lc-mediated cell death was not observed in any of the cells expressing GluD2Lc-V617R at 15, 24, or 36 h after transfection (Fig. 2C). These results indicated that constitutive ion flow is required for GluD2Lc to induce autophagy and cell death in an in vitro Lc model.
To further examine the contribution of cation influx to Lc-mediated autophagy and cell death, we next varied the concentrations of Na+ in extracellular solutions of HEK293 cells expressing GluD2Lc or GluD2wt. When the extracellular Na+ concentration was decreased by replacing Na+ with N-methyl-d-glucosamine+ (NMDG+), which is a large molecule that cannot penetrate GluD2Lc channels, the number of EGFP-LC3 clusters in HEK293 cells expressing GluD2Lc decreased when more NMDG+ was used to replace Na+ and became similar to the number in cells expressing GluD2wt or mock (Fig. 2D). Similarly, the number of surviving cells increased proportionally (Fig. 2E). We also examined the effect of extracellular Ca2+ concentrations by incubating cells expressing GluD2Lc in extracellular solutions containing 2, 5, or 10 mm of Ca2+; lower or higher Ca2+ concentrations were not used to prevent nonspecific cell death. Within this range of Ca2+ concentrations, the numbers of EGFP-LC3 clusters and the percentages of surviving cells did not change significantly (Fig. 2D,E). Together, these results suggest that Lc-induced autophagy and cell death were mainly dependent on currents carried by Na+, but not by Ca2+, in an in vitro Lc model.
Constitutive ion flux is sufficient for Lc-mediated autophagy and cell death
According to the “autophagic cell death” model, Lc mutation activates the n-PIST–Beclin1 pathway through the C terminus of GluD2 (Yue et al., 2002; Selimi et al., 2003). Thus, to directly examine the involvement of this pathway, we prepared GluD2wt-ΔCT7 and GluD2Lc-ΔCT7, which lacked the C-terminal 7 amino acids essential for binding to n-PIST (Fig. 3A). If the release of n-PIST from the C terminus of GluD2Lc induces autophagy, the expression of GluD2wt-ΔCT7 would activate autophagy. However, the expression of GluD2wt-ΔCT7 did not induce any EGFP-LC3 clustering or cell death in HEK293 cells (Fig. 3B,C). Similarly, GluD2-null mice that expressed the GluD2wt-ΔCT7 transgene and those that expressed the GluD2wt transgene displayed similar number of surviving Purkinje cells in vivo (supplemental Fig. 3, available at www.jneurosci.org as supplemental material). Furthermore, cells expressing GluD2Lc-ΔCT7 (Fig. 3B,C) and cells expressing GluD2Lc (Fig. 2B,C) showed similar levels of cell death and autophagy. These results indicated that whether n-PIST binds to the C terminus of GluD2 or GluD2Lc does not affect autophagy and cell death in vitro and in vivo.
The GluK2 (GluR6) subunit of kainate receptors becomes constitutively open when an Lc-like mutation is introduced to the corresponding region (GluK2Lc) (Kohda et al., 2000). The expression of GluK2 or GluK2Lc does not activate the n-PIST–Beclin1 pathway because the C terminus of GluK2 does not bind to n-PIST (Fig. 3A). However, the expression of GluK2Lc, but not of GluK2wt, induced EGFP-LC3 clustering and cell death in HEK293 cells (Fig. 3B,C). Together, these results indicated that constitutive currents were sufficient to induce autophagy and cell death, regardless of the n-PIST–Beclin1 pathway.
Increased intracellular Ca2+ levels are not necessary for autophagy and cell death
Excitotoxicity in neurons is tightly associated with activation of various Ca2+-dependent pathways because of a rapid influx of Ca2+ through voltage-gated Ca2+ channels and Ca2+-permeable glutamate receptors (Slemmer et al., 2005). Although these channels are not highly expressed in HEK293 cells (Bangalore et al., 1996), and Lc-mediated autophagy and cell death were mainly dependent on Na+ influx (Fig. 2), elevated intracellular Na+ concentrations could indirectly increase Ca2+ levels by the reverse operation of plasma membrane Na+/Ca2+ exchanger. Thus, to determine whether intracellular Ca2+ accumulation is involved in Lc-mediated autophagy and cell death, we examined the changes in intracellular Ca2+ levels in HEK293 cells expressing GluD2wt, GluD2Lc, or GluD2Lc-Q618R at 9, 15, and 24 h after transfection using the Ca2+-sensitive dye fura-2. Cells expressing GluD2Lc showed significantly increased intracellular Ca2+ levels at each time point as early as 9 h after transfection (Fig. 4A,B). The Ca2+ levels in cells expressing GluD2Lc-Q618R were similar to those in cells expressing GluD2wt or mock at all time points (Fig. 4A,B), confirming that the Ca2+ permeability of GluD2Lc was disrupted by the Q618R mutation. Since GluD2Lc-Q618R induced cell death and autophagy (Fig. 2A,B), increased Ca2+ levels were not a prerequisite for Lc-mediated autophagy and cell death, at least in the in vitro heterologous cell model.
Lc-mediated cell death is accompanied by decreased intracellular ATP levels and cell swelling
How can constitutive Na+ influx induce autophagy and cell death? Since 50% of the total energy production of the brain is consumed by Na+-K+ ATPase to maintain Na+ homeostasis under physiological conditions (Ames, 2000), we hypothesized that intracellular ATP levels would be decreased in cells suffering from GluD2Lc-induced constitutive Na+ influx. Autophagy is known to be regulated by AMPK (Meijer and Codogno, 2007), which is activated by the phosphorylation of its catalytic α-subunit at Thr172 in response to an elevated intracellular AMP/ATP ratio (Carling, 2004). Immunoblot analyses using anti-AMPKα antibody and anti-phospho-Thr172 antibody revealed that AMPKα was more significantly phosphorylated in cells expressing GluD2Lc than in cells expressing GluD2wt (Fig. 5A,B). Similarly, immunoblot analyses indicated that the ratio of LC3-II (lipidated) to LC3-I (cytosolic), a reliable marker for the induction of autophagy (Kabeya et al., 2004), was significantly higher in cells expressing GluD2Lc than in cells expressing GluD2wt (Fig. 5A,B). Interestingly, the increased AMPKα phosphorylation level was detected as early as 9 h after the transfection of GluD2Lc, before increased LC3-II levels were observed at 15 h. We also found that the reduction of ATP levels in cells expressing GluD2Lc was proportionally prevented by replacing the increasing concentrations of extracellular Na+ with NMDG+ (supplemental Fig. 2, available at www.jneurosci.org as supplemental material). These results support the hypothesis that the expression of GluD2Lc decreased the intracellular ATP level, possibly by the overactivation of Na+-K+ ATPase, thereby inducing autophagy via AMPK activation.
To examine the role of AMPK activation in Lc-mediated autophagy and cell death, we inhibited AMPK by expressing its two dominant-negative AMPK mutants (AMPKα1DN and AMPKα2DN); the α subunit is encoded by the two genes α1 and α2 (Long and Zierath, 2006), and the suppression of either the α1 or the α2 subunit was not sufficient to block AMPK activity (data not shown), as reported previously (Viollet et al., 2003). Immunoblot analyses indicated that the increased LC3-II/LC3-I ratio observed in cells expressing GluD2Lc was significantly suppressed by the coexpression of AMPKα1DN and AMPKα2DN; the ratio became similar to that in cells expressing GluD2wt (Fig. 5C,D). Nevertheless, Lc-induced cell death was not prevented by the coexpression of AMPKα1DN and AMPKα2DN (Fig. 5E). These results suggest that although Lc-mediated autophagy was likely regulated by the AMPK pathway, Lc-induced cell death was not directly caused by autophagy.
Necrosis is generally the end result of bioenergetic catastrophe resulting from ATP depletion (Edinger and Thompson, 2004). Since necrotic cell death is known to be associated with persistent cell swelling, known as necrotic volume increase (Barros et al., 2001), we examined the morphological changes of HEK293 cells expressing GluD2Lc. More than half of HEK293 cells expressing GluD2Lc had been markedly swollen by 15 h when cell death was observed (supplemental Fig. 5, available at www.jneurosci.org as supplemental material). Averaged areas occupied by single cells were 105.7 ± 1.9 pixels for mock-transfected cells and 130.8 ± 4.4 pixels for GluD2Lc-expressing cells (mean ± SEM; p < 0.001; n > 20 cells). At 6 to 14 h after transfection, some cells were also associated with plasma membrane rupture, a morphological characteristic of the necrotic cell death (supplemental Movie 1, available at www.jneurosci.org as supplemental material). These results suggest that cell death was likely caused by necrosis in this in vitro Lc model.
GluD2Lc-mediated cell death and autophagy in neurons
Does GluD2Lc induce autophagy and death in neurons in the same manner as observed in heterologous cells? First, we examined the effect of the expression of GluD2Lc and its various mutants in dissociated hippocampal neurons in vitro. Cultured hippocampal neurons were cotransfected with plasmids encoding mCherry, EGFP-LC3, and each GluD2 variant at 12 DIV. Neurons expressing GluD2Lc, GluD2Lc-Q618R, or GluD2Lc-ΔCT7 showed a punctate pattern of EGFP-LC3 within their cell bodies at 15 h after transfection (Fig. 6A). In addition, the percentage of mCherry-positive cells was significantly reduced when GluD2Lc, GluD2Lc-Q618R, or GluD2Lc-ΔCT7 was coexpressed in neurons, indicating that many neurons had died by 15 h after transfection (Fig. 6B). In contrast, the expression of GluD2wt, GluD2Lc-V617R, or GluD2wt-ΔCT7 did not induce the clustering of EGFP-LC3 or cell death (Fig. 6A,B). These results were consistent with those obtained in heterologous cells (Figs. 1⇑–3), suggesting that Lc-induced autophagy and cell death were also caused by ion overload, not the n-PIST–Beclin1 pathway, in cultured neurons.
Focal swelling of axons has been reported as early signs of Purkinje cell death in Lc (Wang et al., 2006) and other neurodegenerative disorders (Coleman, 2005). Thus, we examined the morphology of neurites in hippocampal neurons expressing mCherry and each GluD2 mutant. A punctate pattern of mCherry was observed along neurites of neurons expressing GluD2Lc, GluD2Lc-Q618R, or GluD2Lc-ΔCT7, but not those expressing GluD2wt, GluD2wt-ΔCT7, or GluD2Lc-V617R (Fig. 6C). Immunostaining of axons using an axonal marker, tau-1, and a dendritic marker, microtubule-associated protein 2, revealed that axons of hippocampal neurons expressing GluD2Lc, GluD2Lc-Q618R, or GluD2Lc-ΔCT7 showed severe fragmentation with a series of bead-like varicosities and focal swellings (Fig. 6C). These results indicate that ion overload by expressing GluD2Lc caused not only cell death, but also axon swelling, a characteristic feature of Lc Purkinje cells.
Lc-mediated cell death is not rescued by the lack of autophagy in vivo
Finally, to examine the role of autophagy in Lc-mediated cell death in vivo, we crossed Lc mice with conditional Atg5 knock-out mice (Atg5flox/flox; pcp2-Cre), in which Atg5, a gene indispensable for autophagy, was selectively excised in cerebellar Purkinje cells as early as P6 and was fully established by P21 (Nishiyama et al., 2007). Although basal autophagy is necessary for physiological functions of neurons (Hara et al., 2006; Komatsu et al., 2006), Purkinje cells remain normal until 8 weeks after birth in Atg5flox/flox; pcp2-Cre mice (Nishiyama et al., 2007). We found that like Lc/+ mice, Lc/+ mice on an Atg5flox/flox; pcp2-Cre background showed a prominent ataxic gait (Fig. 7A; supplemental Movie 2, available at www.jneurosci.org as supplemental material) at P21. At P10, some Purkinje cells were already similarly lost in Lc/+ cerebellum both on wild-type and Atg5-null backgrounds (Fig. 7C; supplemental Fig. 4, available at www.jneurosci.org as supplemental material). Interestingly, at P21, Purkinje cells were significantly fewer in Lc/+ mice on an Atg5-null background than in Lc/+ mice (Fig. 7B,C). These results suggest that Lc-mediated cell death was not directly caused by autophagy activation either in vivo or in vitro; rather, autophagy may have protective roles against Lc-mediated neurodegeneration in vivo.
We next examined the morphology of Purkinje-cell axons, which make synapses with neurons in the DCNs, by immunohistochemical analyses using antibodies against calbindin, a Purkinje-cell marker, and synaptophysin, an axon terminal marker. At P21, the degree of axon swellings, which was quantified by measuring the total area that stained double-immunopositive for calbindin and synaptophysin in the DCN region, was similar between Lc/+ mice on an Atg5flox/flox; pcp2-Cre background and Lc/+ mice (Fig. 7D). Interestingly, at P10, mild axonal swelling of Purkinje cells was observed in Lc/+ mice, but not in Lc/+ mice on an Atg5flox/flox; pcp2-Cre background (Fig. 7B,D; supplemental Fig. 4, available at www.jneurosci.org as supplemental material). These results suggest that although autophagy is not involved in Lc cell death, it may partly contribute to the axonal swelling of Lc/+ Purkinje cells at early stages (see Discussion).
Finally, to further define the Lc cell death in vivo, we examined calpain-mediated proteolysis, which is often associated with necrotic neuronal death in ischemic and excitotoxic injury (Wang, 2000). Unlike HEK293 cells, neurons are equipped with various voltage-gated Ca2+ channels, and thus Na+-induced depolarization through GluD2Lc is likely followed by Ca2+ influx through these channels and activation of various Ca2+-dependent degradative enzymes, including calpains (Slemmer et al., 2005). Immunohistochemical analysis using an antibody against the 136 kDa fragment of α-spectrin cleaved by calpain (136 kf-spectrin) (Takano et al., 2005) detected specific immunoreactivity in Lc/+, but not in wild-type, Purkinje cells at P14 (Fig. 8A). Indeed, the immunoblot analyses using the anti-136 kf-spectrin antibody showed that α-spectrin was cleaved into a 136 kDa fragment in Lc/+ cerebellum (Fig. 8B). These results indicate that calpain-dependent structural breakdown is involved in Lc/+ cerebellum and support the hypothesis that Lc cell death was caused by necrosis in vivo.
Discussion
Although a point mutation in GluD2 has been identified as the cause of neurodegeneration in Lc mice, the mechanisms by which Lc Purkinje cells die have remained elusive. Here, we reinvestigated Lc-mediated cell death in vitro and in vivo, focusing on the autophagic cell death hypothesis.
Activation of autophagy by ion overload
We demonstrated that when the Na+ flow through GluD2Lc channels was disrupted by the introduction of mutations into the channel pore domain (Figs. 2, 6) or by replacing the extracellular Na+ ions with nonpermeable NMDG+ (Fig. 2), GluD2Lc no longer induced autophagy in HEK293 cells or cultured hippocampal neurons. Conversely, GluD2Lc-ΔCT7 or GluK2Lc, which do not associate with n-PIST–Beclin1 but allow constitutive ion influx, induced autophagy in HEK293 cells (Fig. 2) and cultured hippocampal neurons (Fig. 6). Therefore, constitutive currents were likely necessary and sufficient to induce autophagy, regardless of the n-PIST–Beclin1 pathway, at least in vitro.
Autophagy is an evolutionally conserved catabolic process through which macromolecules and ATP are regenerated from cytoplasmic components in response to nutrient starvation (Levine and Yuan, 2005). AMPK, a highly conserved sensor for intracellular ATP, is thought to induce autophagy in mammalian cells, as well as in yeast, by inhibiting mammalian target of rapamycin (mTOR) (Meijer and Codogno, 2007). We demonstrated that the expression of GluD2Lc decreased intracellular ATP levels in a manner that was dependent on the extracellular Na+ concentrations (supplemental Fig. 3, available at www.jneurosci.org as supplemental material) and activated AMPK before autophagy was activated (Fig. 5A,B). Furthermore, the expression of dominant-negative AMPKα prevented GluD2Lc-induced autophagy in heterologous cells (Fig. 5C,D). From these results, we propose that decreased ATP levels, which were probably caused by the overactivation of Na+-K+ ATPase in response to constitutive Na+ currents associated with GluD2Lc channels, activate AMPK and autophagy (supplemental Fig. 6, available at www.jneurosci.org as supplemental material).
The accumulation of autophagosomes has been observed during the early stages of many neurodegenerative disease, such as Alzheimer's disease (Yu et al., 2005), prion disease (Sikorska et al., 2004), Parkinson's disease (Zhu et al., 2003), and Huntington's disease (Li et al., 2001). In addition, autophagosomes are reportedly accumulated in neurons after hypoxia-ischemia (Koike et al., 2008), brain injury (Diskin et al., 2005), and glutamate application (Borsello et al., 2003; Sadasivan et al., 2006). Nevertheless, how autophagosomes become accumulated in neurons has remained mostly unclear. Impaired clearance might contribute to the accumulation of autophagosomes in neurons (Boland et al., 2008); however, the clearance pathway was intact in Lc/+ Purkinje cells (Wang et al., 2006). In addition, in Lc/+ Purkinje cells, enlarged dystrophic mitochondria were frequently observed (Caddy and Biscoe, 1979; Dumesnil-Bousez and Sotelo, 1992) and mitochondrial cytochrome oxidase activity was significantly increased (Vogel et al., 2001), suggesting that mitochondrial oxidative respiration was increased in response to the increased demand for ATP in Lc/+ Purkinje cells. Therefore, although autophagy could be triggered by several pathways, we postulate that AMPK activation in response to ion overload might be a major pathway in the activation of autophagy in Lc/+ mice and, possibly, in other neurodegenerative disorders.
The theory that autophagy was induced by the n-PIST–Beclin1 pathway in Lc/+ mice was based on two major findings. First, the coexpression of Beclin1 with n-PIST, but not with n-PIST lacking the PDZ domain, induced autophagosome formation in heterologous cells (Yue et al., 2002). However, because GluD2Lc was not coexpressed in this assay, whether n-PIST–Beclin1 was released from or activated by GluD2Lc was unclear. Second, Lc/ho Purkinje cells, which were less depolarized at P5, showed more autophagosomes than Lc/+ Purkinje cells (Selimi et al., 2003). The reason for this phenomenon is unclear, but Lc/ho Purkinje cells might have displayed early constitutive currents, which caused autophagy and cell death before the membrane potentials were measured in the remaining healthier cells at P5. Indeed, when the same amount of cDNA encoding GluD2Lc was used, HEK293 cells transfected with GluD2Lc alone (which mimicked Lc/ho) showed a larger leak current than those transfected with GluD2Lc and GluD2wt (which mimicked Lc/+) (Kohda et al., 2000). In addition, n-PIST–Beclin1 is reportedly localized at the Golgi apparatus (Kihara et al., 2001; Hicks and Machamer, 2005) and interacts with Golgi-associated proteins, whereas GluD2 is efficiently transported to the cell surface (Yuzaki, 2008). Thus, although Beclin1 is intimately involved in autophagy in neurons, GluD2Lc might not directly activate this pathway.
Lc-mediated cell death
The overexpression or deletion of the apoptosis-related genes Bcl-2 or Bax, respectively, did not completely prevent the degeneration of Lc Purkinje cells (Vogel et al., 2006). In addition, apoptosis requires normal ATP levels, whereas the ATP levels were decreased in HEK293 cells expressing GluD2Lc (Fig. 5; supplemental Fig. 2, available at www.jneurosci.org as supplemental material) and possibly in Lc Purkinje cells (Vogel et al., 2006). Therefore, apoptosis is unlikely to be the main mechanism for Lc-mediated Purkinje cell death. On the other hand, the expression of dominant-negative AMPKα, although preventing autophagy activation, did not rescue GluD2Lc-induced cell death (Fig. 5C,D). Furthermore, the disruption of Atg5 in Purkinje cells did not prevent but rather enhanced cell death at P21 in Lc mice (Fig. 7). These results suggest that Lc-mediated cell death was not caused by excessive autophagy activation either in vivo or in vitro.
GluD2Lc-mediated cell death was prevented when ion flow through GluD2Lc channels was disrupted in HEK293 cells and cultured hippocampal neurons (Figs. 2, 6). Very recently, a nonselective channel blocker, 1-naphthyl-acetyl spermine, was also shown to block Lc/+ Purkinje cell death in cultured cerebellar slices (Zanjani et al., 2009). Conversely, GluD2Lc-ΔCT7 or GluK2Lc receptors, which allowed constitutive ion influx, induced cell death in HEK293 cells and cultured hippocampal neurons (Figs. 2, 6). Therefore, Lc-mediated cell death was likely caused by excitotoxicity, in which the glutamate receptors were overstimulated, resulting in excess ion influx.
Necrotic cell death is known to be associated with persistent cell swelling, known as necrotic volume increase (Barros et al., 2001). In addition, necrosis is generally the end result of bioenergetic catastrophe resulting from ATP depletion (Edinger and Thompson, 2004). Thus, swelling and decreased ATP levels in HEK293 cells expressing GluD2Lc are consistent with a hypothesis that Lc-mediated cell death was caused by necrosis. Furthermore, necrotic neuronal death caused by excitotoxicity with excessive ion flux is often associated with calcium overload and activation of calpains in neurons. Indeed, we observed calpain-dependent specific proteolysis of α-spectrin in Lc/+ Purkinje cells (Fig. 8). Together, we suggest that Lc-mediated cell death, both in vitro and in vivo, likely represents necrosis resulting from ion overload through GluD2Lc channels, accompanied with features of autophagy.
Possible roles of autophagy in the Lc model
If autophagy serves as a mechanism for boosting ATP levels in cells suffering from ion overload, the blockade of autophagy would likely aggravate cell death in Lc/+ Purkinje cells. Indeed, the disruption of Atg5 in Purkinje cells significantly exacerbated Purkinje-cell death in Lc/+ mice at P21 (Fig. 7B,C), suggesting that autophagy plays a protective role against Lc-mediated cell death. In contrast, the blockade of autophagy by the expression of dominant-negative form of AMPKα did not aggravate GluD2Lc-induced cell death in HEK293 cells expressing GluD2Lc (Fig. 5). We postulate that autophagy activation might be insufficient or might act too slowly to prevent the rapidly progressing cell death caused by overexpression of GluD2Lc in the in vitro model. Indeed, the activation of autophagy by the inhibition of mTOR reduced neurodegeneration in mouse models of Huntington's disease (Sarkar et al., 2007) and traumatic brain injury (Erlich et al., 2007). Therefore, Lc mice will continue to be a valuable model of excitotoxic neurodegeneration for development of a new therapeutic approach targeting the autophagic pathway.
Axon swelling is a hallmark of axonal dystrophy, which is observed in many neurodegenerative disorders associated with excitotoxicity (Coleman, 2005). Indeed, hippocampal neurons expressing constitutively active channels (i.e., GluD2Lc, GluD2Lc- Q618R, or GluD2Lc-ΔCT7) showed severe axon dystrophy (Fig. 6C). In addition, the disruption of Atg5 in Lc/+ Purkinje cells did not prevent axonal swellings at P21 (Fig. 7B,D). These results indicate that axonal swellings in Lc mice were also caused by ion overload, not by the autophagic pathway.
It is unclear why the degree of axonal swellings was reduced in Lc/+ Purkinje cells on an Atg5flox/flox; pcp2-Cre background at P10 (Fig. 7D). Activation of the autophagic pathway in response to ion overload may have caused accumulation of autophagosomes and swelling in axons at early stages. Since axonal swellings are often observed during the early stages of various excitotoxic neurodegenerative disorders, additional studies are warranted to clarify the role of autophagy in axonal swelling and its pathological significance.
Footnotes
-
This work was supported by grants-in-aid from the Ministry of Education, Culture, Sports, Science and Technology of Japan (M.Y.), the Japan Society for the Promotion of Science (J.N.), the Takeda Science Foundation (M.Y.), and the Sankyo Foundation of Life Science (M.Y.). We thank Sakae Narumi for technical assistance.
-
The authors declare no competing financial interests.
- Correspondence should be addressed to Michisuke Yuzaki, Department of Physiology, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. myuzaki{at}a5.keio.jp.