Abstract
Reactive oxygen species (ROS) damage to brain lipids, carbohydrates, proteins, and DNA may contribute to neurodegeneration. We previously reported that ER- and oxidative stress cause neuronal apoptosis in infantile neuronal ceroid lipofuscinosis (INCL), a lethal neurodegenerative storage disease, caused by palmitoyl-protein thioesterase-1(PPT1)-deficiency. Polyunsaturated fatty acids (PUFA) are essential components of cell membrane phospholipids in the brain and excessive ROS may cause oxidative damage PUFA leading to neuronal death. Using cultured neurons and neuroprogenitor cells from mice lacking Ppt1, which mimic INCL, we demonstrate that Ppt1-deficient neurons and neuroprogenitor cells contain high levels of ROS, which may cause perxidation of PUFA and render them incapable of providing protection against oxidative stress. We tested whether treatment of these cells with omega-3 or omega-6 PUFA protects the neurons and neuroprogenitor cells from oxidative stress and suppress apoptosis. We report here that both omega-3 and omega-6 fatty acids protect the Ppt1-deficient cells from ER- as well as oxidative stress and suppress apoptosis. Our results suggest that PUFA supplementation may have neuroprotective effects in INCL.
Keywords: INCL, palmitoyl-protein thioesterase-1, Batten disease, Neurodegenaration, ER-stress, Oxidative stress, Apoptosis, PUFA
The nervous system is highly enriched with an enormous variety of complex lipids, among which polyunsaturated fatty acids (PUFAs) predominate [reviewed in 1]. Despite their abundance in the mammalian brain, de novo synthesis of PUFAs such as arachidonic acid (AA) and docosahexanoic acid (DHA) does not occur. Thus, the diet is the sole source of these fatty acids or their precursors [1]. Previous studies have established the critical roles of PUFAs in the development of the nervous system. Moreover, nearly 50% of the fatty acids in phospholipids (PLs) of the outer segment of the photoreceptors are DHA [2] and in the neurons, DHA is also highly enriched in the PLs of the synaptic membrane and the synaptic vesicles [3]. Further, during neurite outgrowth markedly high levels of DHA are found in the growth cones [4].
While PUFAs are highly concentrated in neuronal synaptic membranes and synaptic vesicles their functions in the nervous system remains largely unknown [5]. In rat brain myelogenesis has been reported to be increased when the animals were fed a diet containing omega-3 fatty acid [6]. It has also been reported that dietary omega-3 fatty acids may have neurological benefits [7] including enhancement of gene expression in the brain [8]. Moreover, epidemiological studies have suggested that increased consumption of the omega-3 (n-3) PUFA may reduce the risk of neurodegenerative disorders such as Alzheimer's disease [9]. Neuroprotective effects of PUFA have also been demonstrated although a clear mechanism has not been defined [10].
Neuronal ceroid lipofuscinoses (NCLs), also known as Batten disease, are the most common (1 in 12,500 births) autosomal recessive neurodegenerative storage disorders of childhood [reviewed in 11]. The infantile form of NCL, or INCL, is the most devastating disease caused by mutations in the gene encoding palmitoyl-protein thioesterase-1 (PPT1) [12]. PPT1 catalyzes the cleavage of thioester linkages in palmitoylated polypeptides [13] facilitating the release of palmitate so that the protein can recycle or undergo degradation. Thus, PPT1-deficiency impairs recycling or degradation of palmitoylated proteins that are substrates of this enzyme contributing to INCL pathogenesis [14]. Children afflicted with INCL are normal at birth but by two years of age they undergo complete retinal degeneration causing blindness and by age four these children manifest no brain activity. They remain in a vegetative state for another 6–8 years before death. Currently, there is no effective treatment for any of the NCLs.
It has been reported that neuronal death in INCL is caused by apoptosis [15] although the molecular mechanism(s) of apoptosis, until recently, remained obscure. We previously reported that neuronal apoptosis in INCL and in Ppt1-knockout (Ppt1-KO) mice [16], which recapitulate virtually all pathological features of INCL [17], at least in part, is caused by oxidative- and endoplasmic reticulum (ER)-stresses [18–21]. Emerging evidence indicates that oxygen free radical damage to the brain lipids, carbohydrates, proteins, and DNA may contribute to neuronal cell death causing neurodegeneration [22]. Thus, even though the PUFA levels are the same in normal and PPT1-deficient brains, the highly oxidative environment present in the brain of INCL patients and in that of the Ppt1-KO mice these lipids may not be adequate to protect the neurons from oxidative stress. Therefore, we hypothesized that omega-3 and omega-6 fatty acids may have neuroprotective effects in Ppt1-deficient cells.
In the present study, we analyzed cultured PPT1-deficient neurons and neuronal progenitor cells derived from the fetal brain tissues of Ppt1-KO mice. We also explored the effects of PUFA-treatment of these cells, which markedly reduced the level of reactive oxygen species (ROS) and suppressed apoptosis. These results, for the first time, demonstrate that while endogenous PUFA levels in the Ppt1-KO mice appear to be similar to or even slightly higher compared with those of the WT littermates, PUFA-treatment suppresses oxidative stress and reduces neuronal apoptosis induced by these stresses raising the possibility that PUFA may have beneficial effects in INCL.
Neurons and neuronal progenitor cells were derived from 15-day-old Ppt1-KO and WT fetal mouse brains. The cells were cultured in Neurobasal Media (Invitrogen) containing B27 supplement. Mouse neurospheres were cultured in NeuroCult NSC Basal Medium (Stem Cell Technologies, Vancouver, BC, Canada) containing NeuroCult NSC proliferation supplements and human epidermal growth factors according to supplier’s instructions. INCL patient fibroblasts, carrying homozygous PPT1 missense mutations, A364T (R122W), were a generous gift from late Dr Krystyna Wisniewski. They were cultured in DMEM medium supplemented with 10% FBS at 37 °C at an atmosphere of 5% CO2 and 95% air.
The cultured neurons were incubated with fresh medium only, fresh medium containing either omega-3 (25µM) or omega-6 (25µM) fatty acids or a combination of both for 30 minutes followed by washing three times with culture media. The cells were then incubated for 48 h at 37°C at atmosphere of 5% CO2 and 95% air. Intracellular ROS was detected after the cells were incubated with 10µM of ROS-sensitive fluorescent probe 6-carboxy-2´,7´-dichlorodihydrofluorescein diacetate, (H2-DCFDA, Sigma) for 30 minutes. After washing twice with PBS, the cells were analyzed by FACS using FACScan (Becton Dickinson).
Treated neurons were homogenized in PhosphoSafe extraction reagent (EMD Biosciences). Twenty micrograms of total proteins from each sample were resolved by SDS-PAGE under denaturing and reducing conditions and Western blot analysis was performed as previously described (18). The primary antibodies used are: anti-cleaved caspase-3, anti-PARP1 (Cell Signaling), anti-Grp78/Bip (KDEL) (Stressgen), anti-GADD153/CHOP (Abcam), and anti-β-actin (Sigma). The second antibodies used are: goat anti-rabbit IgG (Santa Cruz Biotechnology); rabbit anti-mouse IgG (Santa Cruz Biotechnology). Chemiluminescent detection was performed by using Supersignal west pico luminol/enhancer solution (Pierce) according to the manufacturer's instructions.
Perfused brain tissues from 1-, 3- and 6-month old Ppt1-KO mice and their WT littermates were harvested, immediately frozen in liquid nitrogen, powdered under liquid nitrogen with a mortar and pestle, and stored at −85°C until analysed. All extractions were performed either in siliconized tubes (PGC Scientifics, Frederick, Maryland) or in glass tubes. A simple extraction method was developed [23]. Briefly, fifty microliters (~5.0 mg of the tissue) of homogenate from each tissue sample were added into 1 mL of MeOH with 100 pmol of 14:0 LPA as the internal standard (IS). After vortexing and incubation on ice for 10 min, the mixture was centrifuged (10,000Xg for 5minutes at room temperature), and 120 µL of supernatant were directly used for mass spectrometry (MS). MS analyses were performed using API-4000 (Applied Biosystems/MDS SCIEX) with the Analyst data acquisition system. Negative ion multiple reaction monitoring (MRM) and single ion monitor (SIR) mode were used for measurement of lipids. Standard curves were generated for quantitative analyses of all lipids. HPLC conditions were virtually identical to that previously reported [23]. Samples (10 µL) were loaded into an LC system (Agilent 1100) with an auto sampler. The mobile phase was MeOH/water/NH4OH (90:10:0.1, v/v/v) and the HPLC separations were 15 min/sample.
We previously reported that the neurons in the central nervous system of the Ppt1-KO mice suffer from mitochondrial dysfunction due to oxidative-stress [20, 21]. Oxidative stress causes collapse of the mitochondrial membrane potential, inhibition of ATP synthesis, release of cytochrome c into the cytosol, and cell death [22]. We therefore examined the levels of ROS in primary cultures of cortical neurons from the brain tissues of feti from Ppt1-KO mice and those of their WT littermates using ROS-sensitive fluorescent probe, H2-DCFDA. We found that cultured Ppt1-KO neurons (empty curve) showed a shift of the peak to the right compared to those from WT neurons (black filled curve), indicating an increased intracellular ROS level. (Fig. 1a). This result suggests that Ppt1-KO cortical neurons were under oxidative-stress. To confirm whether PUFA has anti-oxidative effect in the Ppt1-KO cortical neurons, we treated the neurons with omega-3 or omega-6 or a combination of both fatty acids. We found that compared to untreated Ppt1-KO neurons (black filled curve), those treated with omega-3, omega-6, or a combination of both PUFAs showed markedly decreased level of ROS (Fig. 1b). The cortical neurons from the WT feti did not show appreciable difference (Fig. 1c). Taken together these results suggest that both omega-3 and omega-6 fatty acids are capable of reducing ROS in Ppt1-KO neurons.
Figure 1. Reactive oxygen species (ROS) in neuronal progenitor cells.
ROS levels in of Ppt1- KO and WT neuronal progenitor cells from the brains of Ppt1-KO and WT mouse feti at 15th day of gestation. (a) Intracellular ROS level of Ppt1-KO and WT neuronal progenitor cells. (b) Intracellular ROS levels in Ppt1-KO neuronal progenitor cells with fatty acid treatment. (c) Intracellular ROS levels in WT neuronal progenitor cells with fatty acid treatment. Fluorescence was measured using 20,000 cells.
We previously reported that INCL fibroblasts and neurons from Ppt1-KO mice undergo ER-stress and oxidative-stresses, which mediate apoptosis [18–21]. We sought to determine whether the scavenger effects of PUFA for ROS may alter the ER-stress levels in PPT1-deficient neurons and suppress ER-stress mediated apoptosis. Accordingly, we determined whether the levels of ER-stress-marker proteins such as glucose responsive protein-78 (Grp-78/Bip) and growth arrest- and DNA damage-inducible gene 153 (GADD153) are reduced in the Ppt1-KO neurons after treatment with omega-3 or omega-6 PUFA. Our results show that both Grp-78/Bip and GADD153 proteins are markedly decreased in omega-3- and omega-6-treated Ppt1-deficient neurons (Fig. 2a and 2b). We then determined whether decreased ER-stress leads to the suppression of caspase-3 activation and poly (ADP-ribose) polymerase-1 (PARP1) cleavage, which are reliable measures of apoptosis. The results show that whereas untreated (control) Ppt1-KO neurons express high levels of cleaved caspases-3 (Fig. 2c, lane 1) those treated with omega-3 or omega-6 PUFA showed markedly reduced levels (Fig. 2c, lanes 2 and 3). Interestingly, treatment of the cells with a combination of omega-3 and omega-6 yielded results similar to the ones obtained from treatment with omega-3 or omega-6 PUFA (Fig. 2c, lane 4). These results suggest that treatment with a combination of omega-3 and omega-6 PUFA neither produces additive nor synergistic effects. We then evaluated the effects of PUFA-treatment on the levels of un-cleaved (inactive) and cleaved (active) PARP1 levels. The results showed that the untreated control Ppt1-deficient cells manifested high levels of both uncleaved- and cleaved-PARP1 (Fig 2d, lane 1) whereas treatment with omega-3 or omega-6 alone or in combination significantly reduced the levels of both uncleaved- and cleaved-PARP1 (Fig. 2d, lanes 2–4). Taken together these results suggest that PUFA-treatment suppresses apoptosis.
Figure 2. The effects of PUFA on ER-stress and apoptosis in WT and Ppt1-deficient neurons.
Omega-3- and omega-6-treatment decreased the levels of both ER stress-marker proteins as well as apoptosis-marker proteins. Untreated (cortical) neurons derived from the brains of 15-day old feti from Ppt1-KO mice and their WT littermates were used for Western blot analysis. Western blot analyses of the samples from a control (lane 1), from an omega-3 treated (lane 2), from an omega-6 treated (lane 3) and from omega-3 + omega-6 treated (lane 4) using antibodies to: GRP-78 (a), GADD153 (b), cleaved caspase-3 (c) and PARP1 (d).
So far, we have demonstrated that the ROS, ER-stress, and apoptosis levels in the cultured Ppt1-KO cortical neurons are reduced by PUFA-treatment most likely due to the ROS scavenging effects of PUFAs. To further confirm the above results, we analyzed the ROS levels in untreated and PUFA-treated Ppt1-deficient neuronal progenitor cells using H2-DCFDA. The results showed a shift of the fluorescence peak to the right in Ppt1-KO neuronal progenitor cells (black filled curve) compared with those of the neuronal progenitor cells from WT littermates (empty curve), indicating elevated intracellular ROS level (Fig. 3a). This result indicates that both cultured Ppt1-KO neurons and neuronal progenitor cells were under oxidative stress. To confirm whether PUFA exerts anti-oxidative effects on Ppt1-KO neuronal progenitor cells, we treated the cells with omega-3 or omega-6 PUFA. Compared with untreated control, omega-3- or omega-6-treated Ppt1-KO neuronal progenitor cells (gray filled curve) showed appreciably decreased intracellular ROS level (Fig. 3b). PUFA-treatment did not appear to cause any significant change in WT neuronal progenitor cells (Fig. 3c). Interestingly, PUFA-treatment did not change ROS levels in human INCL fibroblasts (Supplementary Fig. 1a–d) suggesting that while omega-3 and omega-6 may have beneficial effects on Ppt1-deficient neurons and neuronal progenitor cells these PUFAs may not manifest such effects on fibroblasts.
Figure 3. Effect of PUFAs on cultured neuroprogenitor cells from Ppt1-KO mice.

Cortical neurons were cultured from fetal brain tissues as described under Materials and Methods. (a) Intracellular ROS levels in cultured neurons from Ppt1-KO and WT feti. (b) Intracellular ROS levels in untreated cultured Ppt1-KO neurons (control) or those treated with either omega-3 or omega-6 or with a combination of both. (c) Intracellular ROS levels in untreated WT neurons or those treated with either omega-3 or omega-6 or a combination of both fatty acids. 3D-overlay was generated by CellQuest software (BD Biosciences).
Since PUFA-treatment reduced ROS levels, we sought to determine whether these fatty acids alleviated ER-stress. Accordingly, we determined the levels of ER-stress markers, Grp78/Bip and GADD153 levels in untreated and omega-3 and omega-6 PUFA-treated Ppt1-KO neuronal progenitor cells. The results showed that the levels of both Grp-78/Bip and GADD153 proteins are appreciably decreased in omega-3 or omega-6 treated cells compared with untreated controls (Fig. 4a and 4b). We then sought to determine whether the decreased ER-stress suppressed the levels of cleaved PARP1, a marker for apoptosis. Our results clearly indicated that compared with untreated control (Fig. 4c, lane 1) omega-3 or omega-6 PUFA-treated cells showed significantly reduced levels of cleaved PARP1 (Fig. 4c, lanes 2 and 3). These results suggest that treatment of Ppt1-KO neurons and neuronal progenitor cells with omega-3 and omega-6 PUFAs reduces both ER- and oxidative stresses and suppresses apoptosis.
Figure 4. The effects of PUFA-treatment ER stress and apoptosis.
Neuro-progenitor cells from the brains of 15-day old Ppt1-KO and WT mouse feti were used for Western blot analysis. Western blot analyses of the cell lysates from untreated control (lane 1), Omega-3 treated (lane 2) and Omega-6 treated (lane 3) were performed using antibodies to GRP-78 (a), GADD153 (b) and PARP1 (c).
We have previously reported that neurons from Ppt1-KO mouse brain and cultured fibroblast cells from INCL patients suffer from ER- and oxidative-stresses [18–21]. The anti-oxidative- [25] as well as anti-inflammatory-properties [26] of PUFA alone or in combination with curcumin, respectively, have been documented. Interestingly, it has been suggested that PUFA is an important modulator for unfolded protein-aggregation in relation to disease pathogenesis [27]. The fact that ER-stress mediates unfolded protein response in PPT1-deficient neurons leading to apoptosis [18], the results of our present study is in agreement with this suggestion. In our present study, we determined whether cultured PPT1-deficient neurons and neuronal progenitor cells that manifest ER- and oxidative-stress are protected from apoptosis induced by these stresses.
The ability of the mammalian brain to combat oxidative stress is somewhat limited. When brain encounters oxidative stress it responds by generating heat shock proteins that allow tolerance against more stress [28]. Oxygen free radical attack may lead to peroxidation of lipids generating several toxic oxidative products including lipid hydroxyperoxides [29]. Because PUFAs contain multiple double bonds, they are vulnerable to damage by free radicals. Thus, brain tissues may be damaged by oxidative stress. Even though brain contains high levels of PUFA in neurodegenerative diseases, elevated oxidative stress may generate PUFA peroxidation products [29]. Interestingly, a it has been demonstrated that PUFA supplementation stimulated the expression of heat shock protein-32 (hemeoxygenase-1), a stress-sensitive protein inducible by oxidative stress [29]. In the present study, we analyzed brain fatty acid levels in the brain of Ppt1-KO mice and their WT littermates at 1 and 6 months of age. The results showed that compared with the fatty acid levels in brain tissues from WT mice, those in the brain tissues of Ppt1-KO littermates are not significantly different (Supplementary Figure 2).
In light of the fact that the brain tissues of Ppt1-KO mice suffer from high oxidative stress, much of the fatty acids may be peroxidated and therefore are potentially inactive in scavenging free radicals. Alternatively, most of the PUFA in Ppt1-KO brain may be engaged in scavenging the elevated levels of ROS in order to protect the neurons. We are currently conducting a clinical trial in which INCL patients are treated with a combination of cysteamine bitartrate (cystagon) and N-acetylcysteine (mucomyst), both of which are potent anti-oxidants. This trial is being conducted to determine whether these anti-oxidant compounds are beneficial for INCL patients. While this clinical trial is ongoing, in the present study, we sought determine whether endogenous antioxidants in the brain (i.e. omega-3 and omega-6 PUFAs) are potential therapeutic targets. The results of our present in vitro experiments suggest that the cultured neurons and neuroprogenitor cells, when treated with exogenous omega-3 and omega-6 PUFAs responded by reducing the ER- as well as oxidative-stresses and suppressing apoptosis. Whether dietary supplementation of omega-3 and omega-6 PUFAs in Ppt1-KO mice would yield results similar to the ones obtained from our in vitro experiments remains to be determined.
Supplementary Material
Acknowledgements
We thank Dr. Sandra L. Hofmann for the generous gift of the Ppt1-KO mice generated in her laboratory [see ref. 16]. Extensive backcross experiments to obtain homogeneous C57 genetic background of these mice were carried out in the laboratory of Dr. Mark Sands. We thank Dr. Sands for providing a mating pair to establish our Ppt1-KO mouse colony. We also thank Drs. J.Y. Chou and I. Owens for critical review of the manuscript and helpful suggestions. This research was supported in whole by the Intramural Research Program of the Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health.
Footnotes
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References
- 1.Salem N, Jr., Litman B, Kim HY, Gawrisch K. Mechanisms of action of docosahexanoic acid in the nervous system. Lipids. 2001;36:945–959. doi: 10.1007/s11745-001-0805-6. [DOI] [PubMed] [Google Scholar]
- 2.Fliesler SJ, Anderson RE. Chemistry and metabolism of lipids in the vertebrate retina. Prog. Lipid Res. 1983;22:79–131. doi: 10.1016/0163-7827(83)90004-8. [DOI] [PubMed] [Google Scholar]
- 3.Breckenridge WC, Gombos G, Morgan IG. The lipid composition of adult rat brain synaptosomal plasma membranes. Biochim. Biophys. Acta. 1972;266:695–707. doi: 10.1016/0006-3002(72)90012-1. [DOI] [PubMed] [Google Scholar]
- 4.Martin RE, Bazan NG. Changing fatty acid content of growth cone lipids prior to synaptogenesis. J. Neurochem. 1992;59:318–325. doi: 10.1111/j.1471-4159.1992.tb08906.x. [DOI] [PubMed] [Google Scholar]
- 5.Marza E, Long T, Saiardi A, Sumakovic M, Eimer S, Hall DH, Lesa GM. Polyunsaturated fatty acids influence synaptojanin localization to regulate synaptic vesicle recycling. Mol. Biol. Cell. 2008;19:833–842. doi: 10.1091/mbc.E07-07-0719. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Salvati S, Sanchez M, Campeggi LM, Suchanek G, Breitschop H, Lassmann H. Accelerated myelinoogenesis by dietary lipids in rat brain. J. Neurochem. 1996;67:1744–1750. doi: 10.1046/j.1471-4159.1996.67041744.x. [DOI] [PubMed] [Google Scholar]
- 7.Dyall SC, Michael-Titus AT. Neurological benefits of omega-3 fatty acids. Neuromuscular Med. 2008;10:219–235. doi: 10.1007/s12017-008-8036-z. [DOI] [PubMed] [Google Scholar]
- 8.Kitajka K, Sinclair AJ, Weisinger RS, Weisinger HS, Mathai M, Jayasooriya AP, Halver JE, Puskás LG. Effects of dietary omega-3 polyunsaturated fatty acids on brain gene expression. Proc. Natl. Acad. Sci. USA. 2004;101:10931–10936. doi: 10.1073/pnas.0402342101. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Lim GP, Calon F, Morihara T, Yang F, Teter B, Ubeda O, Salem N, Jr, Frautschy SA, Cole GM. A diet enriched with the omega-3 fatty acid docosahexaenoic acid reduces amyloid burden in an aged Alzheimer mouse model. J. Neurosci. 2005;25:3032–3040. doi: 10.1523/JNEUROSCI.4225-04.2005. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10.Bazan NG. Omega-3 fatty acids, pro-inflammatory signaling and neuro-protection. Curr Opin Clin Nutr Metab Care. 2007;10:136–141. doi: 10.1097/MCO.0b013e32802b7030. [DOI] [PubMed] [Google Scholar]
- 11.Goebel HH, Wisniewski KE. Current state of clinical and morphological features in human NCL. Brain Pathol. 2004;14:61–69. doi: 10.1111/j.1750-3639.2004.tb00499.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Vesa J, Hellsten E, Verkruyse LA, Camp LA, Rapola J, Santavuori P, Hofmann SL, Peltonen L. Mutations in the palmitoyl protein thioesterase gene causing infantile neuronal ceroid lipofuscinosis. Nature. 1995;376:584–587. doi: 10.1038/376584a0. [DOI] [PubMed] [Google Scholar]
- 13.Camp LA, Hofmann SL. Purification and properties of a palmitoyl-protein thioesterase that cleaves palmitate from H-Ras. J Biol Chem. 1993;268:22566–22574. [PubMed] [Google Scholar]
- 14.Lu JY, Verkruyse LA, Hofmann SL. Lipid thioesters derived from acylated proteins accumulate in infantile neuronal ceroid lipofuscinosis: correction of the defect in lymphoblasts by recombinant palmitoyl-protein thioesterase. Proc Natl Acad Sci U S A. 1996;93:10046–10050. doi: 10.1073/pnas.93.19.10046. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.Riikonen R, Vanhanen SL, Tyynela J, Santavuori P, Turpeinen U. CSF insulin-like growth factor-1 in infantile neuronal ceroid lipofuscinosis. Neurology. 2000;54:1828–1832. doi: 10.1212/wnl.54.9.1828. [DOI] [PubMed] [Google Scholar]
- 16.Gupta P, Soyombo AA, Atashband A, Wisniewski KE, Shelton JM, Richardson JA, Hammer RE, Hofmann SL. Disruption of PPT1 or PPT2 causes neuronal ceroid lipofuscinosis in knockout mice. Proc Natl Acad Sci U S A. 2001;98:13566–13571. doi: 10.1073/pnas.251485198. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Bible E, Gupta P, Hofmann SL, Cooper JD. Regional and cellular neuropathology in the palmitoyl protein thioesterase-1 null mutant mouse model of infantile neuronal ceroid lipofuscinosis. Neurobiol Dis. 2004;16:346–359. doi: 10.1016/j.nbd.2004.02.010. [DOI] [PubMed] [Google Scholar]
- 18.Zhang Z, Lee YC, Kim SJ, Choi MS, Tsai PC, Xu Y, Xiao YJ, Zhang P, Heffer A, Mukherjee AB. Palmitoyl-protein thioesterase-1 deficiency mediates the activation of the unfolded protein response and neuronal apoptosis in INCL. Hum Mol Genet. 2006;15:337–346. doi: 10.1093/hmg/ddi451. [DOI] [PubMed] [Google Scholar]
- 19.Kim SJ, Zhang Z, Hitomi E, Lee YC, Mukherjee AB. Endoplasmic reticulum stress-induced caspase-4 activation mediates apoptosis and neurodegeneration in INCL. Hum Mol Genet. 2006;15:1826–1834. doi: 10.1093/hmg/ddl105. [DOI] [PubMed] [Google Scholar]
- 20.Kim SJ, Zhang Z, Lee YC, Mukherjee AB. Palmitoyl-protein thioesterase-1 deficiency leads to the activation of caspase-9 and contributes to rapid neurodegeneration in INCL. Hum Mol Genet. 2006;15:1580–1586. doi: 10.1093/hmg/ddl078. [DOI] [PubMed] [Google Scholar]
- 21.Wei H, Kim SJ, Zhang Z, Tsai PC, Wisniewski KE, Mukherjee AB. ER and oxidative stresses are common mediators of apoptosis in both neurodegenerative and non-neurodegenerative lysosomal storage disorders and are alleviated by chemical chaperones. Hum Mol Genet. 2008;17:469–477. doi: 10.1093/hmg/ddm324. [DOI] [PubMed] [Google Scholar]
- 22.Markesbery WR, Carney JM. Oxidative alterations in Alzheimer’s disease. Brain Pathol. 1999;9:133–146. doi: 10.1111/j.1750-3639.1999.tb00215.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Zhao Z, Xu Y. An extremely simple method for extraction of lysophospholipids and phospholipids from blood samples. J Lipid Res. 2010;51:652–659. doi: 10.1194/jlr.D001503. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24.Büeler H. Mitochondrial dynamics, cell death and pathogenesis of Parkinson’s disease. Apoptosis. 2010 Feb 4; doi: 10.1007/s10495-010-0465-0. [Epub ahead of print] [DOI] [PubMed] [Google Scholar]
- 25.Saw CL, Huang Y, Kong AN. Synergistic anti-inflammatory effects of low doses of curcumin in combination with polyunsaturated fatty acids: docosahexanoic acid or eicosapentanoic acid. Biochem. Pharmacol. 2010;79:421–430. doi: 10.1016/j.bcp.2009.08.030. [DOI] [PubMed] [Google Scholar]
- 26.Kim YJ, Takahashi R. Role of polyunsaturated fatty acids for misfolding protein aggregations: implication for neurodegenerative diseases. Ann N Y Acad Sci. 2006;1086:11–20. doi: 10.1196/annals.1377.021. [DOI] [PubMed] [Google Scholar]
- 27.Richter-Landsberg C, Goldbaum O. Stress proteins in neural cells: functional roles in health and disease. Cell. Mol. Life Sci. 2003;60:337–349. doi: 10.1007/s000180300028. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 28.Halliwell B. oxidative stress and neurodegeneration: where are we now? J. Neurochem. 2006;97:1634–1658. doi: 10.1111/j.1471-4159.2006.03907.x. [DOI] [PubMed] [Google Scholar]
- 29.Brand A, Bauer NG, Hallott A, Goldbaum O, Ghebremeskel K, Reifen R, Richter-Landsberg C. Membrane lipid modification by polyunsaturated fatty acids sensitizes oligodendroglial OLN-93 cells against oxidative stress and promotes up-regulation of heme oxygenase-1 (HSP32) J. Neurochem. 2010 Jan 22; doi: 10.1111/j.1471-4159.2010.06611.x. [Epub ahead of print] [DOI] [PubMed] [Google Scholar]
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