Abstract
Niemann-Pick type C (NPC) disease is an autosomal recessive neurodegenerative disorder characterized by intracellular accumulation of cholesterol and glycosphingolipids in many tissues including the brain. The disease is caused by mutations of either NPC1 or NPC2 gene and is accompanied by a severe loss of neurons in the cerebellum, but not in the hippocampus. NPC pathology exhibits some similarities with Alzheimer’s disease, including increased levels of amyloid β (Aβ)-related peptides in vulnerable brain regions, but very little is known about the expression of amyloid precursor protein (APP) or APP secretases in NPC disease. In the present study, we evaluated age-related alterations in the level/distribution of APP and its processing enzymes, β- and γ-secretases, in the hippocampus and cerebellum of Npc1−/− mice, a well-established model of NPC pathology. Our results show that levels and expression of APP and β-secretase are elevated in the cerebellum prior to changes in the hippocampus, whereas γ-secretase components are enhanced in both brain regions at the same time in Npc1−/− mice. Interestingly, a subset of reactive astrocytes in Npc1−/− mouse brains expresses high levels of APP as well as β- and γ-secretase components. Additionally, the activity of β-secretase is enhanced in both the hippocampus and cerebellum of Npc1−/− mice at all ages, while the level of C-terminal APP fragments is increased in the cerebellum of 10-week-old Npc1−/− mice. These results, taken together, suggest that increased level and processing of APP may be associated with the development of pathology and/or degenerative events observed in Npc1−/− mouse brains.
Keywords: Apoptosis, β-amyloid peptide, β-secretase, Cholesterol, γ-secretase, Neurodegeneration, Reactive astrocytes
INTRODUCTION
Niemann-Pick type C (NPC) disease is an autosomal recessive neurovisceral disorder characterized by abnormal accumulation of unesterified cholesterol and glycosphingolipids within the endosomal-lysosomal (EL) system in a number of tissues including the brain. These defects in cholesterol sequestration trigger abnormal liver and spleen function as well as widespread neurological deficits such as ataxia, dystonia, seizures and dementia that eventually lead to premature death (Mukerjee and Maxfield, 2004; Pacheco and Lieberman, 2008; Pentchev et al., 1995; Vance, 2006; Vanier and Suzuki, 1998). In the majority of cases, NPC disease is caused by loss-of-function mutations in the NPC1 gene, which encodes a transmembrane glycoprotein implicated in the intracellular transport of cholesterol (Carstea et al., 1997; Walkley and Suzuki, 2004). Interestingly, phenotypes similar to human NPC disease are also seen in Balb/cNctr-npcN/N mice which due to a spontaneous deletion/ insertion mutation in the Npc1 gene do not express Npc1 protein (Npc1−/−). These Npc1−/− mice are usually asymptomatic at birth but gradually develop tremor and ataxia and die prematurely between 10–12 weeks of age (Karten et al., 2003; Li et al., 2005; Loftus et al., 1997; Paul et al., 2004). At the cellular level, Npc1−/− mice show accumulation of unesterified cholesterol in the EL system, activation of microglia and astrocytes as well as loss of the myelin sheath throughout the central nervous system, phenotypes that are similar to those observed in human NPC disease. Progressive loss of neurons is also evident in the prefrontal cortex, thalamus, brainstem and cerebellum, but not much in the hippocampus (Baudry et al., 2003; German et al., 2001; Sarna et al., 2003). Although abnormal accumulation of cholesterol has been implicated in the loss of neurons in a variety of experimental paradigms, very little is currently known about the cellular changes that are associated with the degeneration of select populations of neurons in Npc1−/− mouse brains.
A number of earlier studies have shown that altered level/distribution of cholesterol can influence the sorting/processing of a variety of proteins including amyloid precursor protein (APP), which serves as the precursor for the amyloidogenic amyloid β (Aβ)-related peptides (Burns et al., 2003; Davis, 2008; Puglielli et al., 2003; Reid et al., 2007). The Aβ peptides have been implicated in the degeneration of synapses and neurons in Alzheimer’s disease (AD) pathology, which exhibits some similarities with NPC disease (St George-Hyslop and Petit, 2005; Kar et al., 2004; Koh and Cheung, 2006; Nixon, 2004; Selkoe, 2008). Under normal conditions, mature APP is proteolytically processed by non-amyloidogenic α-secretase or amyloidogenic β-secretase pathways. The α-secretase cleaves APP within the Aβ domain, yielding soluble N-terminal APPα and a 10kD C-terminal fragment (α-CTF) that can be further processed by γ-secretase to generate Aβ17–40/Aβ17–42 fragments. The β-secretase, on the other hand, cleaves APP to generate soluble APPβ and an Aβ-containing C-terminal fragment (β-CTF), which is subsequently processed via γ-secretase to yield full-length Aβ1–40/Aβ1–42 peptides (Clippingdale et al., 2001; Thinakaran and Koo, 2008). While β-secretase is an aspartyl protease called β-site APP cleaving enzyme (BACE1), γ-secretase comprises the aspartyl protease presenilin 1 or 2 (PS1/PS2) and three cofactors, i.e., nicastrin, presenilin enhancer 2 (PEN2) and anterior pharynx defective 1 (APH1) (Cole and Vassar, 2008; Steiner et al, 2008).
There is evidence that elevated cholesterol level/accumulation can enhance generation of Aβ-related peptides, whereas inhibition of cholesterol synthesis may lower Aβ levels (Fassbender et al., 2001; Frears et al., 1999; Puglielli et al., 2003; Simons et al., 1998; Yamazaki et al., 2001). Some recent studies have indicated that NPC pathology may be associated with an altered distribution of PS1, which can influence processing of APP leading to increased levels of Aβ peptide (Burns et al., 2003). This finding is partly supported by the observation that intracellular accumulation of Aβ1–42 and β-CTF is increased in vulnerable regions of the NPC brain (Jin et al., 2004; Yamazaki et al., 2001). Although these results suggest a role for Aβ in the development/progression of NPC pathology, at present, very little is known about the cellular origin or its association, if any, to the neuronal vulnerability observed in NPC brains. To address this issue, we evaluated age-related changes in the levels and distribution of APP and its processing enzyme BACE1, as well as four components of the γ-secretase complex, in the hippocampus and cerebellum of Npc1−/− and control mice. In parallel, we measured the activity of α- and β-secretases as well as the levels of α- and β-CTFs to establish whether APP processing in Npc1−/− mice is altered, leading to increased production of Aβ peptides.
MATERIALS AND METHODS
Materials
Polyacrylamide (4–20%) electrophoresis gels were purchased from Invitrogen (Burlington, ON, Canada) and the enhanced chemiluminescence kit was obtained from Amersham (Mississauga, ON, Canada). The characterization and specificity of the polyclonal anti-nicastrin, anti-PS1 and anti-PEN2 antisera used in this study have been described previously (Kodam et al., 2008; Vetrivel et al., 2004). The well characterized polyclonal APP C-terminus antibodies used in this study include CT15 (provided by Dr. E. Koo, University of California, San Diego, CA), 369 (provided by Dr. S. Gandy, Mount Sinai School of Medicine, New York, NY) and CTM1 (Vetrivel et al., 2009). Polyclonal anti-myelin associated glycoprotein (MAG) was obtained from Santa Cruz Biotechnology (San Diego, CA) and anti-BACE1, anti-APH1, anti-postsynaptic density protein-95 (PSD-95) and Fluoro-Jade C were purchased from Chemicon Int., (Temecula, CA). Polyclonal anti-glial fibrillary acidic protein (GFAP), anti-synaptophysin, anti-β-actin, anti-calbindin, fluorescein isothiocyanate (FITC) conjugated-lectin and filipin were from Sigma (Oakville, ON, Canada), whereas α- and β-secretase assay kits were purchased from R & D Systems, Inc. (Minneapolis, MN). Polyclonal anti-cleaved caspase-3 was from Cell Signaling (Beverly, MA), neuron-specific marker NeuroTrace red fluorescent Nissl stain was from Invitrogen (Burlington, ON, Canada) and monoclonal anti-glyceraldehyde-3-phosphate dehydrogenase (GAPDH) antibody was from Abcam Inc. (Cambridge, MA). Secondary antisera such as donkey anti-rabbit Texas Red, donkey anti-rabbit FITC and donkey anti-mouse FITC were from Jackson ImmunoResearch (West Grove, PA) and IR800 donkey anti-rabbit and IR680 donkey anti-mouse antibodies were from LI-COR Inc. (Lincoln, NE). All other chemicals were from either Sigma or Fisher Scientific (Whitby, ON, Canada).
Npc1−/− and control mice
The Npc1−/− (n = 78) and age-matched control mice (n = 78) were obtained from a breeding colony of Balb/cNctr-NpcN/+ mice set up at the University of Alberta after purchase of the original breeding pairs from Jackson Laboratories (Bar Harbor, ME, USA). The mice were maintained according to institutional guidelines and were supplied with food and water ad libitum. As Npc1−/− mice do not produce offspring, Npc1 heterozygous (Npc1+/−) mice were used to generate Npc1−/− and control (Npc1+/+) mice. The Npc1 genotype was determined from tail clippings by PCR analysis of genomic DNA (Karten et al., 2003). Npc1−/− and control mice from three different age groups (4-, 7- and 10-weeks old) were sacrificed by decapitation, their brains were rapidly removed and areas of interest (hippocampus and cerebellum) were dissected and frozen immediately in dry-ice for biochemical assays. For histological studies, Npc1−/− and control mice (4-, 7- and 10-weeks-old) were anesthetized with 8% chloral hydrate and then perfused with phosphate-buffered saline (PBS; 0.01M, pH 7.4), followed by 4% paraformaldehyde. Brains were sectioned (20 or 40 µm) on a cryostat and collected in a free-floating manner for further processing (Kodam et al., 2008).
Filipin Staining
Filipin specifically labels unesterified cholesterol (Boring and Geyer, 1974). Sections from Npc1−/− and control mouse brains were incubated in the dark with 125 µg/ml filipin in PBS for 3 h as described earlier (Amritraj et al., 2009a). In some cases, brain sections were first incubated overnight at 4°C with either FITC-conjugated lectin (1:100) or with anti-GFAP (1:100) antiserum, washed, exposed to Texas Red-conjugated secondary antibody (1:200) for 2 h and then incubated with filipin for 3 h. Stained sections were examined using a Zeiss Axioskop-2 microscope.
Fluoro-Jade C Staining
Fluoro-Jade C labels degenerating neurons, dendrites and axons (Schmued et al., 2005). Sections from 4-, 7- and 10-week-old Npc1−/− and control mouse brains were stained with 0.0001% Fluoro-Jade C in 0.1% acetic acid as described earlier (Amritraj et al., 2009a).
Immunoblotting
Brain tissues (hippocampus and cerebellum) from 4-, 7- and 10-week old Npc1−/− and control mice (4–6 animals/group) were homogenized in ice-cold radioimmunoprecipitation assay -lysis buffer [20 mM Tris–HCl (pH 8), 150 mM NaCl, 0.1% SDS, 1 mM EDTA, 1% Igepal CA-630, 50 mM NaF, 1 mM NaVO3, 10 µg/ml leupeptin and 10 µg/ml aprotinin]. The proteins were separated by electrophoresis on 4–20% polyacrylamide gels and then transferred to nitrocellulose membranes. The membranes were blocked with 5% non-fat milk and incubated overnight at 4°C with anti-synaptophysin (1:1000), anti-PSD-95 (1:1000), anti-APP (369, 1:1000), anti-BACE1 (1:100), anti-PS1 (1:1000), anti-nicastrin (1:200), anti-PEN2 (1:500) or anti-APH1 (1:100) antibodies. Membranes were then incubated with the appropriate horseradish peroxidase (HRP)-conjugated secondary antibodies (1:5000) and developed using an enhanced chemiluminescence detection kit. Membranes were subsequently reprobed with anti-β-actin (1:1000) antibody and immunoreactive proteins were quantified using MCID image analysis system (Kodam et al., 2008). For the APP CTF analysis, 50 µg of total protein from hippocampal and cerebellar regions of Npc1−/− and control mice were separated on 16% Tris-Tricine gels and probed simultaneously with rabbit polyclonal CT15 (1:1000) and mouse anti-GAPDH (1:20,000) antibodies. The proteins were detected with IR800 anti-rabbit and IR680 anti-mouse secondary antibodies. Immunoblots were then quantified using Odessey Infrared Imaging system (LI-COR Inc., Licocoln, NE, USA). The data are presented as mean ± S.E.M. and were analyzed using the two-tailed t-test with significance set at p < 0.05.
Immunostaining
Brain sections from different age groups of Npc1−/− and control mice (3–5 animals/group) were processed as described earlier (Kodam et al., 2008). For the enzyme-linked procedure, 40 µm sections were treated with 1% hydrogen peroxide for 30 min and then incubated overnight at 4°C with anti-APP (CTM1, 1:500), anti-BACE1 (1:100), anti-PS1 (1:500), anti-nicastrin (1:500), anti-PEN2 (1:500) or anti-APH1 (1:100) antiserum. Sections were then exposed to HRP-conjugated secondary antibodies for 1 h, and developed using the glucose-oxidase-nickel enhancement method. Immunostained sections were examined using a Zeiss Axioskop-2 microscope.
For double immunofluorescence staining, brain sections (20 µm) from Npc1−/− and control mice of different age groups were incubated overnight with a combination of anti-APP (CTM1, 1:100), anti-nicastrin (1:100), anti-PS1 (1:200), anti-PEN2 (1:100), anti-BACE1 (1:50), anti-APH1 (1:50), anti-calbindin (1:3000) or NeuroTrace (1:300), in combination with FITC-conjugated lectin (1:100), anti-GFAP (1:500), anti-MAG (1:500) or anti-cleaved caspase-3 (1:200) antisera. After incubation, sections were rinsed with PBS, exposed to Texas Red- or FITC-conjugated secondary antibodies (1:200), washed and mounted with Vectashield medium. Immunostained sections were examined under a Zeiss Axioskop-2 fluorescence microscope. To determine the number of reactive astrocytes expressing APP, morphometric analysis was carried out in both the hippocampus and cerebellum of 10-week-old Npc1−/− mice (n=4). For each animal, the number of GFAP-labeled astrocytes with or without APP was quantified using a 40X objective and a 10X eye-piece lenses on 5–8 fields from 6–8 consecutive sections (Amritraj et al., 2009b). Results obtained from all cases are presented as the percentage of reactive astrocytes expressing APP in the hippocampal and cerebellar regions.
Activity of α- and β-secretases
The hippocampus and cerebellum of 4-, 7- and 10-week-old Npc1−/− and control mice (4–6 animals/group) were processed to determine the activity of α-secretase and β-secretase using commercially available assay kits (Burns et al., 2003). Briefly, tissue samples were homogenized in sample buffer and added to a secretase-specific APP peptide substrates conjugated to the reporter molecules EDANS and DABCYL. In the uncleaved form, the fluorescent emissions from EDANS are quenched by the DABCYL moiety, whereas cleavage of the reporter peptide by the secretase separates the EDANS and DABCYL, allowing the release of a fluorescent signal. Thus, the level of secretase enzymatic activity in the homogenate is proportional to the fluorometric reaction measured at excitation/emission at 355/510 nm.
RESULTS
Altered cholesterol distribution, loss of neurons and glial activation in Npc1−/− mice
To determine the intracellular distribution of cholesterol in Npc1−/− mice, we performed filipin staining in brains of 4-, 7- and 10-week-old Npc1−/− and control mice (Fig. 1A–L). Little filipin staining was observed at any stage in either the hippocampus or cerebellum in control mice. However, filipin-labeled cholesterol was evident in most neurons of the hippocampus and cerebellum of 4-, 7- and 10-week-old Npc1−/− mice (Fig. 1A–D). Additionally, double labeling experiments revealed that most of the activated microglia and occasionally some reactive astrocytes were labeled with filipin in Npc1−/− mouse brains (Fig. 1E–L).
It was reported that Npc1−/− mice exhibit loss of neurons in defined regions of the brain such as the cerebellum, thalamus and brainstem but not in the hippocampus (German et al., 2001; Sarna et al., 2003). In keeping with these results we observed Fluoro-Jade C (Fig. 1M–P) and cleaved caspase-3-labelled (data not shown) cells in the cerebellum, but not in the hippocampus, of the Npc1−/− mouse brain. More of these degenerating cells were present at 4- and 7-weeks, but very few were observed in the 10-week-old cerebellum of Npc1−/− mice. We also observed a marked up-regulation of reactive astrocytes and microglia in the hippocampus and cerebellum of Npc1−/− mice compared to age-matched controls (Fig. 1E–H). The density of MAG-positive myelinated fibers, on the other hand, decreased progressively between 4- and 10-weeks in the Npc1−/− mouse brain (Fig. 1Q–T). Additionally, the presynaptic marker synaptophysin and post-synaptic marker PSD-95 were significantly decreased in an age-dependent manner in the cerebellum of Npc1−/− mouse brains. In the hippocampus, no marked alteration in synaptophysin level was evident at any stage, whereas the level of PSD-95 was decreased significantly only in 10-week-old Npc1−/− mice (Fig. 1U–X).
Levels and distribution of APP in Npc1−/− mice
To examine the possible involvement of Aβ-related peptides in NPC pathology, we evaluated the levels and expression of APP in the hippocampus and cerebellum of 4-, 7- and 10-week-old Npc1−/− mice compared to age-matched controls (Fig. 2). Our data revealed that APP levels in the hippocampus were significantly increased only in 10-week old Npc1−/− mice, whereas in the cerebellum a marked increase was evident in 7- as well as 10-week old Npc1−/− mice compared to age-matched controls (Fig. 2A–D). At the cellular level, APP immunoreactivity in control mice was distributed in neurons of the brain, as reported earlier (Beeson et al., 1994). The hippocampal formation exhibited intense immunoreactive APP primarily in CA1-CA3 pyramidal neurons and granule cells of the dentate gyrus. Occasionally, APP-immunoreactive neurons were apparent in the hilus region of the dentate gyrus (Fig. 2E). In the cerebellar region, most Purkinje cells showed APP expression in control brains (Fig. 2G). The overall expression of APP was modestly increased in the hippocampal neurons as well as in surviving cerebellar neurons in Npc1−/− mouse brains. Interestingly, a subset of GFAP-positive reactive astrocytes was found to express high levels of APP in the hippocampal and cerebellar regions of 4-, 7- and 10-week-old Npc1−/− mouse brains (Fig. 2I–P). Activated microglia did not express APP in brains of Npc1−/− mice at any age examined (Fig. 2Q–X). Quantitative analysis revealed that ~43% of hippocampal (GFAP, 71.3±2.7/field and GFAP+APP, 30.3±1.2/field) and ~54% of cerebellar (GFAP, 63.3±2.8/field and GFAP+APP, 34.3±3.5/field) astrocytes expressed APP in 10-week old Npc1−/− mouse brains.
Levels and distribution of BACE1 and γ-secretase components in Npc1−/− mice
To determine whether increased APP levels in Npc1−/− mouse brains were associated with a parallel increase in APP processing via the amyloidogenic pathway, we measured the levels/expression of BACE1 (Fig. 3) and subunits of the γ-secretase complex (Fig. 4–Fig. 7) in the hippocampus and cerebellum of Npc1−/− and control mice. Our results clearly showed that elimination of Npc1 significantly increased BACE1 levels in the hippocampus only in 10-week-old Npc1−/− mice, whereas in the cerebellum the increase was apparent both in 7- and10-week-old Npc1−/− mice compared to age-matched controls (Fig. 3A–D). As for components of the γ-secretase complex, levels of PS1 (Fig. 4A–D) were significantly higher in the hippocampus and cerebellum of 10-week-old Npc1−/− mice. The steady-state levels of nicastrin (Fig. 5A–D), PEN2 (Fig. 6A–D) and APH1 (Fig. 7A–D), on the other hand, were enhanced by elimination of Npc1 in mice from 7-weeks onwards in both the hippocampus and cerebellum.
At the cellular level, BACE1 (Fig. 3E, G) and γ-secretase components PS1 (Fig. 4E, G), nicastrin (Fig. 5E, G), PEN2 (Fig. 6E, G) and APH1 (Fig. 7E, G) were evident mostly in neurons in the normal brain. In the hippocampus, rather intense immunoreactivity was apparent in the CA1-CA3 pyramidal cell layer and in few medium-sized neurons scattered in the strata oriens and stratum radiatum. Within the dentate gyrus, granule cell somata were outlined by a fine mesh of weakly stained puncta and occasional strongly labeled neurons. In the cerebellum, immunoreactivity was evident in Purkinje cells as well as the granule cell layer. Double immunolabeling experiments of control mouse brains revealed that occasionally some astrocytes, but not microglia, exhibited BACE1 and PS1, but not nicastrin, PEN2 or APH1 immunoreactivity (data not shown). In comparison with the age-matched controls, the expression of BACE1, PS1, nicastrin, PEN2 and APH1 was modestly increased in the hippocampus as well as the cerebellum of Npc1−/− mouse brains from 7-week onwards. The increase was partly evident in hippocampal neurons as well as in the surviving cerebellar Purkinje cells. Interestingly, a subset of reactive astrocytes was found to express BACE1 (Fig. 3I–P), PS1 (Fig. 4I–P), nicastrin (Fig. 5I–P), PEN2 (Fig. 6I–P) and APH1 (Fig. 7I–P) in both the hippocampus and cerebellum of Npc1−/− mouse brains. The relative number of reactive astrocytes expressing BACE1 and components of the γ-secretase complex was consistently higher in the cerebellum than the hippocampus. In contrast to astrocytes, activated microglia did not express either BACE1 (Fig. 3Q–X) or components of γ-secretase i.e., PS1 (Fig. 4Q–X), nicastrin (Fig. 5Q–X), PEN2 (Fig. 6Q–X) and APH1 (Fig. 7Q–X) in the hippocampus or cerebellum of brains of Npc1−/− mice of any age examined.
Activities of α- and β-secretases in Npc1−/− mice
To determine whether redistribution of cholesterol within brain cells can influence APP processing, we measured the activity of α- and β-secretases as well as the levels of α- and β-CTFs in the hippocampal and cerebellar regions of Npc1−/− and control mice (Fig. 8). While the activity of α-secretase was not altered by elimination of Npc1 in 4-, 7- or 10-week-old mice (Fig. 8A, B), BACE activity was significantly higher in both the hippocampus and cerebellum of Npc1−/− mice at all age groups compared to the respective controls (Fig. 8C, D). Interestingly, the levels of α- and β-CTFs were not altered in the hippocampus at any age group of Npc1−/− mice, but were markedly elevated in the cerebellum of 10-week-old Npc1−/− mice (Fig. 8E–H).
DISCUSSION
The present study indicates that redistribution of cholesterol in NPC1 deficient mouse brains is associated with increased processing of APP, possibly leading to enhanced production of Aβ-related peptides. Our results reveal that i) Npc1−/− mice exhibit an age-dependent degeneration of neurons in the cerebellum but not in the hippocampus, albeit both regions show, activation of astrocytes as well as microglia, ii) cellular levels/expression of APP and BACE1, but not γ-secretase components, are increased by NPC1 deficiency earlier in the cerebellum than the hippocampus of the mouse brain, iii) a subset of reactive astrocytes in Npc1−/− mouse brains express higher levels of APP, BACE1 and γ-secretase and iv) β-secretase activity is markedly higher in the brain of Npc1−/− mice at all age groups, but levels of α- and β-CTFs are increased only in the cerebellum of 10-week-old Npc1−/− mice. Taken together, these results suggest that increased levels and processing of APP may be associated with the development of pathology and/or degenerative events that occur in Npc1−/− mouse brains.
Degeneration of neurons in Npc1−/− mice
Earlier studies have shown that Npc1−/− mice accumulate cholesterol within cells in almost all regions of the brain including the hippocampus and cerebellum as observed in the present study (Bi et al., 2005; Liao et al., 2007). However, severe loss of neurons is evident largely in the cerebellar Purkinje cells, whereas hippocampal neurons are relatively spared with the exception of some degenerating terminals in selected layers (German et al., 2001; Li et al., 2005; Sarna et al., 2003). At present, the underlying mechanisms associated with the loss of neurons remain unclear as events related to both apoptosis and autophagy have been identified in Npc1−/− mouse brains. Detection of TUNEL-positive and active caspase 3-immunoreactive Purkinje cells is consistent with cell death being due to apoptosis (Alvarez et al., 2008; Amritraj et al., 2009a; Wu et al., 2005). In keeping with these results, we also observed cleaved caspase-3 and Fluoro-Jade C-positive cells (i.e., Purkinje cells) in the cerebellum but not in the hippocampus of Npc1−/− mice. Interestingly, anti-apoptotic strategies, such as overexpression of Bcl-2 or treatment with minocycline, that are known to prevent apoptosis in some mouse models of neurodegenerative diseases, failed to protect neurons in Npc1−/− mice (Erickson and Bernard, 2002), raising the possibility that mechanisms other than apoptosis may be involved in NPC pathogenesis.
Influence of cholesterol accumulation on APP and its processing enzymes in Npc1−/− mice
Multiple lines of experiments have shown that elevated cholesterol levels can increase Aβ production, whereas inhibition of cholesterol synthesis can lower Aβ levels (Fassbender et al., 2001; Frears et al., 1999; Puglielli et al., 2003; Simons et al., 1998; Yamazaki et al., 2001). It is suggested that the critical factor influencing Aβ production may not be total cholesterol levels, but rather the ratio of free cholesterol to cholesterol ester, or the compartmentalization of cholesterol within the cell (see Puglielli et al., 2003). Considering the evidence that a subset of cellular APP, as well as β- and γ-secretases, are localized in cholesterol-rich lipid-raft domains (Tun et al., 2002; Vetrivel et al., 2004; Wahrle et al., 2002), it is likely that an increased level or an altered distribution of cholesterol enhances amyloidogenic APP processing leading to increased Aβ production. Consistent with these results, we observed a significant increase in the level/expression of APP and its processing enzymes, as well as activity of the enzyme BACE, in both the hippocampus and cerebellum of Npc1−/− mice, thus suggesting an overall increase in amyloidogenic potential. Interestingly, increased APP and BACE1 levels were evident earlier in the more vulnerable cerebellar region than in the hippocampus of Npc1−/− mice. Additionally, the levels of α- and β-CTFs were found to be significantly increased only in the cerebellum of 10-week-old Npc1−/− mice. While the increased levels of β-CTF may represent enhanced production/accumulation within cerebellar neurons (Jin et al., 2004), the significance of the increase in α-CTF in Npc1−/− mice remains unclear. Given the evidence that α-secretase activity is not altered and lysosomal functions are severely impaired in the cerebellum of Npc1−/− mice (Amritraj et al., 2009a; Liao et al., 2007), it is possible that increased α-CTF levels may reflect decreased lysosomal clearance of this polypeptide. Studies from cultured neurons revealed that cholesterol accumulation, following treatment with a class II amphiphilic drug U18666A, can lead to increased Aβ production and loss of neurons (Koh and Cheung, 2006; Yamazaki et al., 2001; but see Davis, 2008; Runz et al., 2002). There is also evidence that Npc1−/− mice can exhibit increased production of Aβ peptides that may be associated with the redistribution of PS1 to early endosomes and increased γ-secretase activity (Burns et al., 2003; Yamazaki et al., 2001). However, an earlier study which used hemibrain tissues, without cerebellum and brainstem from Npc1−/− mice (Burns et al., 2003), did not report any alteration in the levels of APP or BACE1 as observed in the present study. It is possible that APP and BACE1 levels are altered regionally, but these changes were masked in the whole brain lysate assay employed in the previous study
In control brains APP, BACE1 and γ-secretase components are usually localized in neurons of the hippocampus and cerebellum but not in glial cells (Beeson et al., 1994; Kodam et al., 2008; Rossner et al., 2001; Siman and Salidas, 2004; Sun et al., 2002). The present study showed that expression of APP and its processing enzymes is moderately increased in neurons of Npc1−/− mice compared to control mice in an age-dependent manner. Additionally, a subset of reactive astrocytes was consistently found to express higher levels of APP and its processing enzymes in the hippocampus and cerebellum of Npc1−/− mouse brains. The number of these astrocytes increased with the progression of disease pathology and was more evident in the cerebellum than in the hippocampus of Npc1−/− mice. At present, however, it remains unclear to what extent reactive astrocytes can accumulate Aβ-related peptides or contribute to the increased production/levels of Aβ peptides in Npc1−/− mouse brains. Some earlier studies have reported that expression of APP, BACE, PS1 and/or nicastrin can be induced in activated astrocytes following a variety of brain lesion paradigms such as cerebral ischemia, traumatic brain injury and kainic acid-induced excitotoxicity (Banati et al., 1995; Hartlage-Rubsamen et al. 2003; Nadler et al., 2008). There is also evidence that activated astrocytes located in close proximity to Aβ-containing neuritic plaques in AD brains and transgenic mice overproducing Aβ peptide express higher levels of APP and/or its processing enzymes (Hartlage-Rubsamen et al., 2003). Thus, the increased expression of APP and its processing enzymes in a subset of reactive astrocytes observed in the present study might not be specific to NPC pathology but could be a general phenomenon that results from or accompanies neurodegenerative events and/or chronic gliosis. It is possible that factors released from activated microglia and/or damaged neurons trigger astrocytic expression of APP and its processing enzymes (Rossner et al., 2005).
Possible implication of Aβ-related peptides in Npc1−/− mice
Earlier studies have shown that the cerebellum is most severely affected in NPC disease with profound loss of neurons, whereas the hippocampus displays some degenerating terminals without significant neuronal loss (Amritraj et al., 2009a; Li et al., 2005; Sarna et al., 2003). The present study revealed that levels of APP and BACE1 were increased earlier in the cerebellum than hippocampus and that components of γ-secretase are enhanced concomitantly in both the regions in response to NPC1 deficiency. This increase can be attributed partly to reactive astrocytes which are known to play a critical role in regulating disease pathogenesis. These results, together with increased BACE activity, suggest that enhanced production as well as accumulation of β-CTF and/or Aβ-related peptides may appear earlier in the cerebellum in Npc1−/− mice (Burns et al., 2003; Jin et al., 2004). Although intraneuronal accumulation of Aβ-related peptides has been hypothesized to be toxic to neurons in AD pathology (Wirths et al., 2004; Zhang et al., 2002), the implication of increased β-CTF or Aβ peptides in NPC pathology remains unclear. It has been shown that in NPC disease, the surviving Purkinje cells contain a significant amount of β-CTF/Aβ-related peptide, whereas the hippocampus displays only some accumulation of Aβ1–42 (Jin et al., 2004). Thus, it is possible that lack of overt neurodegeneration in the hippocampus of Npc1−/− mice may be associated with a higher threshold level, a later appearance and/or faster clearance of β-CTF/Aβ-related peptides, whereas increased level/accumulation or earlier generation of these peptides might cause the observed loss of neurons in the cerebellum. There is also evidence that Aβ peptides generated by astrocytes might contribute to the loss of neurons. This is supported by data showing that pharmacological treatments attenuating loss of neurons and/or disease pathology in animal models of neurodegeneration are accompanied by decreased level/expression of APP or its processing enzymes in reactive astrocytes (Lee et al., 2008; Panegyres and Hughes, 1998; Yamamoto et al., 2007). In summary, we have demonstrated that altered distribution of cholesterol can increase the levels/expression of APP and its processing enzymes, in both neurons and in reactive astrocytes, which might contribute either directly or indirectly to the pathological features associated with NPC disease.
ACKNOWLEDGEMENTS
This work is supported by grants from the Canadian Institutes of Health Research (SK and JEV), Ara Parseghian Medical Research Foundation (JEV), Alzheimer’s Association grant NIRG (KSV) and National Institutes of Health Grants AG021495 and AG019070 (GT). MM is a recipient of President’s International Doctoral award from the University of Alberta and a studentship award from the Alberta Heritage Foundation for Medical Research (AHFMR). KP is a recipient of studentship award from the AHFMR and Natural Sciences and Engineering Research Council of Canada. SK is a recipient of Canada Research Chair (Tier-II).
Abbreviations
- Aβ
amyloid β
- AD
Alzheimer’s disease
- APH1
anterior pharynx defective 1
- APP
amyloid precursor protein
- BACE
β-site APP cleaving enzyme
- CTF
C-terminal fragment
- EL
endosomal-lysosomal
- FITC
fluorescein isothiocyanate
- GAPDH
glyceraldehyde-3-phosphate dehydrogenase
- GFAP
glial fibrillary acidic protein
- HRP
horseradish peroxidase
- MAG
myelin associated glycoprotein
- NPC
Niemann-Pick type C
- PBS
phosphate-buffered saline
- PEN2
presenilin enhancer 2
- PSD-95
postsynaptic density-95
- PS1/2
presenilins 1/2
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