SUMMARY
Mitochondrial dysfunction and oxidative stress are common features of Down syndrome (DS). However, the underlying mechanisms are not known. We investigated the relationship between abnormal energy metabolism and oxidative stress with transcriptional and functional changes in DS cells. Impaired mitochondrial activity correlated with altered mitochondrial morphology. Increasing fusion capacity prevented morphological but not functional alterations in DS mitochondria. Sustained stimulation restored mitochondrial functional parameters but increased ROS production and cell damage, suggesting that reduced DS mitochondrial activity is an adaptive response to avoid injury and preserve basic cellular functions. Network analysis of genes overexpressed in DS cells demonstrated functional integration in pathways involved in energy metabolism and oxidative stress. Thus, while preventing extensive oxidative damage, mitochondrial downregulation may contribute to increased susceptibility of DS individuals to clinical conditions in which altered energy metabolism may play a role such as Alzheimer’s disease, diabetes, and some types of autistic spectrum disorders.
Keywords: Down syndrome, mitochondria, oxidative stress, mitochondrial fission and fusion, human aneuploidy, axonal transport, pancreatic β cells
INTRODUCTION
Down Syndrome (DS) or trisomy 21, is characterized by a complex phenotype that includes both developmental and chronic health complications (Roizen and Patterson, 2003). Altered mitochondrial activity and oxidative stress have long been associated with DS (Arbuzova et al., 2002; Brooksbank and Balazs, 1984)
For example, DS cortical neurons exhibit higher production of intracellular reactive oxygen species (ROS) and lipid peroxidation, which compromise neuronal survival (Busciglio and Yankner, 1995), and both DS neurons and astrocytes display an abnormal pattern of protein processing consistent with chronic energy deficits (Busciglio et al., 2002). Altered mitochondrial activity has been reported in DS fibroblasts (Valenti et al., 2011) and mitochondrial DNA mutations were found in DS brain tissue (Coskun and Busciglio, 2012).
Microarray profiling of DS neural progenitor cells indicates an association between altered chromosome 21-gene expression and cellular injury mediated by oxidative stress (Esposito et al., 2008). Similarly, DS amniotic fluid samples show altered activity of oxidative stress-associated genes early in pregnancy (Slonim et al., 2009).
Oxidative stress has been widely associated with impaired mitochondrial function and morphology, leading to disruption of cable-like morphology and impaired ATP production (Knott et al., 2008). Functional elongated mitochondria undergo remodeling in response to energy requirements, cellular stress or calcium oscillations (Chan, 2006), and mitochondrial fragmentation is correlated with reduced ATP and increased ROS production (Yu et al., 2006). With these considerations in mind, we assessed the relation between mitochondrial dysfunction, altered mitochondrial morphology, oxidative stress and transcriptional changes in DS cells. The results indicate that reduced mitochondrial metabolism in DS is associated with an adaptive response to prevent oxidative damage and preserve cellular function.
RESULTS
Altered morphology and increased oxidative stress in DS mitochondria
There is a close relationship between mitochondrial morphology and functional state. Marked alterations in mitochondrial function previously identified in DS cells (Busciglio et al., 2002) led us to examine mitochondrial morphology in NL and DS astrocytes (Fig 1A). Mitochondria were classified according to size in three groups: ≤3 μm, 3.1–15 μm and ≥15.1 μm. The mitochondrial network in DS cells is more fragmented, as demonstrated by a significant increase in the number of shorter mitochondria (both ≤3 μm and 3.1–15 μm groups) and reduced number of longer mitochondria (≥15.1 μm)(Fig 1B). Electron transport chain protein expression was similar in NL and DS cells (SFig 1A), indicating that morphological and functional changes were not related to changes in DS mitochondrial mass. We found shorter mitochondria in other DS primary cell types, including fibroblasts (SFig 1B), neurons (Fig 3) and pancreatic cells (Fig 4), suggesting generalized perturbations in DS mitochondrial function and morphology. Altered mitochondrial morphology is associated with functional impairment in DS cells, which exhibit reduced MMP, oxidoreductase (ox/red) activity and ATP generation (Busciglio et al., 2002). Given the close association between mitochondrial morphology and function, we investigated whether functional changes could be reverted by manipulating DS mitochondrial morphology. Mitofusin 1 (mfn1), a critical regulator of mitochondrial fusion, enhanced DS mitochondrial fusion (Fig 1C), increased the number of tubular mitochondria, and reduced the number of puncta-like ones (Fig 1D). However, mfn1 expression had no effect on MMP (Fig 1E and F). Similar results were obtained with mfn2 (data not shown)
Since correcting morphological alterations did not enhance DS mitochondrial function, we investigated whether DS cells actually possess the capacity to increase mitochondrial activity after metabolic stimulation. To achieve a sustained stimulation of mitochondria, we used 5 mM creatine for seven days (Andres et al., 2005). ATP level, ox/red activity and MMP were reduced in DS cells (Fig 1G, H and I). Creatine did not affect mitochondrial activity in NL cells but it markedly increased ox/red activity, ATP levels and MMP in DS cells (Fig 1G, H and I), indicating that upon stimulation, DS mitochondria possess the capacity to increase energy metabolism. However, creatine reduced DS cell survival while it had no effect in the viability of NL cultures (Fig 1J). One potential consequence of enhanced mitochondrial activity is increased free radical generation, which has been previously reported in DS (Busciglio & Yankner, 1995). Under basal conditions, DS cells exhibited 3-fold higher levels of superoxide expressed as the ratio of MitoSox red over Mitotracker green fluorescence area (NL: 4±1%, DS: 16±3%)(Fig 1K and L). Creatine nearly doubled superoxide levels in both NL and DS mitochondria (NL: 12±5% NL, DS: 31±9%)(Fig 1L). In addition, creatine increased lipid peroxidation in DS cells (Fig 1M), consistent with the observed decrease in cell viability (Fig 1J). Thus, DS mitochondria are capable of sustaining increased activity. However, it resulted in increased ROS generation, cellular damage and cell death.
Gene expression in DS cells is associated with a pattern of chronic oxidative stress
We performed a broad-spectrum microarray analysis using mRNA from 3 NL and 5 DS astrocyte cultures. The microarray output was validated for several genes (SFig 2A and SMethods). 92 genes discriminated between NL and DS samples (Fig 2A). 60 genes were upregulated (>1.45 fold), 11 of which are located in chromosome 21 (highlighted in red, Fig 2A). The other 32 genes were downregulated (<0.65 fold), none of which is localized in chromosome 21. Although chromosome 21 genes were overrepresented among upregulated genes (18.3%), the majority of them (81.7%) were located in other chromosomes.
Ingenuity analysis generated a network illustrating the relationship between overexpressed genes (SFig 2B). Three main pathways related to the upregulated genes were identified: 1- Nfr2-associated oxidative stress response, 2- oxidative stress, and 3- mitochondrial dysfunction (SFig 2B). All 3 pathways support the presence of chronic oxidative stress in DS. To explore the relation between gene expression and oxidative stress, we evaluated the expression of “DS signature genes” in NL astrocytes subjected to mild oxidative stress (50 μM H2O2 for 12 hr). In general, the changes in “DS signature genes” in NL astrocytes+H2O2 were smaller in magnitude than the ones in DS cells. However, in most cases, the expression in NL astrocytes+H2O2 shifted in the same direction as in DS cells, placing their profile somewhere between the DS and NL profiles (Fig 2B) and further suggesting that oxidative stress drives gene expression changes in DS cells.
Altered mitochondrial morphology and function in DS neurons
Since cells with high energy demands are especially susceptible to mitochondrial alterations, we assessed mitochondrial function in DS neurons.
Mitochondria were classified according to size as: puncta-like mitochondria (≤300 nm in diameter)(Fig 3A, small arrow); globular mitochondria, (600 to 1200 nm in diameter)(Fig 3A, arrow head); and tubular mitochondria (≥500 nm)(Fig 3A, big arrow). Mitochondria were also shorter in DS neurons (Fig 3B). Similar results were obtained using Mitotracker green and JC-1 (SFig 3A and B). JC-1 labeling revealed a marked reduction in MMP, which was accompanied by decreased ox/red activity and ATP levels (Fig 3C and SFig 3D and E). JC-1 formed aggregates in discrete domains of tubular and puncta-like mitochondria but never in globular mitochondria (SFig 3B), which frequently colocalized with lisosomal markers (SFig 3C), suggesting that the latter represent a subset of inactive or damaged mitochondria. Interestingly, discrete energized regions in both NL and DS mitochondria (SFig 3B and D) point to the existence of specific domains with different activity within individual mitochondria in human neurons.
Impaired mitochondrial transport in DS neurons
Since axonal transport is highly dependent on ATP and it is critical for synaptic activity and neuronal survival (Brady, 1991), we assessed anterograde mitochondrial transport in DS neurons. DS mitochondria moved slower (350±60 nm/sec) than NL mitochondria (1,100±130 nm/sec, Fig 3D and E). Conversely, we observed a higher number of moving mitochondria at any given time point in DS cells (38±7% in DS cells; 20±3% in NL cells; Fig 3F), which may be a compensatory change. Both parameters were affected by creatine, which also increased the number of energized mitochondria in DS neurons (SFig 3E). Thus, reduced mitochondrial function and ATP levels lead to impaired mitochondrial transport in DS neurons.
Functional alterations in DS pancreatic β cells are associated with reduced energy metabolism
Pancreatic cells also require relatively high metabolic rates to maintain secretory function. We examined mitochondrial morphology, activity and basal insulin secretion in NL and DS islet cell clusters (ICC)(Fig 4A). Both fetal pancreas and ICC expressed insulin and glucagon (Fig 4B, I and II). Mitochondria in β cells were visualized with anti-cytochrome C (Fig 4C). DS β cells exhibited fragmented mitochondria (DS, Fig 4D), as did NL β cells treated with 5 μM CCCP for 1 hr (NL+FCCP, Fig 4D). Oxido/reductase activity was reduced in DS ICC (73%±9% of NL ICC activity normalized as 100%). Since mitochondrial dysfunction is associated with intracellular amyloid β accumulation in DS cells (Busciglio et al., 2002), we assessed whether islet amyloid polypeptide (IAPP or amylin) accumulates in DS β cells. Insulin and IAPP are coexpressed and localize to the same vesicles in β cells (Fig 4E), which were labeled with A11, a conformation-specific antibody that recognizes IAPP oligomers (Kayed et al., 2007). We found increased A11-positive puncta in DS β cells, 7.3±2.6 puncta/cell in DS cells and 1.7±1.5 puncta/cell in NL cells, n=5 in both cases (Fig 4F, arrows). Thus, energy deficits may result in abnormal intracellular accumulation of IAPP in DS β cells. NL β cells secreted 4-fold more insulin than DS β cells (Fig 4G). In contrast, DS β cells secreted 8-fold more proinsulin than NL β cells (Fig 4H), indicating incomplete processing and reduced insulin secretion. Neither creatine (5mM) nor trolox (50 μM) alone had an effect on insulin or proinsulin secretion. However when both compounds were added together, we observed a slight increase in insulin (17 ± 5%) and a reduction in proinsulin (24 ± 4%) secretion in DS ICC (Fig 4G and H). None of the treatments had significant effect in insulin or proinsulin levels in NL cells (data not shown). Thus, mitochondrial downregulation may impair secretory function in DS β cells. The secretory deficits were partially corrected by combined treatment with an energy buffer and an antioxidant, underscoring the link between impaired cellular function, oxidative stress and mitochondrial alterations in DS.
DISCUSSION
Chronic oxidative stress and mitochondrial dysfunction are conspicuous features of DS (Arbuzova et al., 2002; Slonim et al., 2009). We found that mitochondrial morphology is consistently altered in DS cells, which exhibit increased fragmentation. Mitofusin overexpression reverted the fragmented phenotype. However, it did not improve MMP in DS cells. Consequently, we investigated whether DS mitochondria actually possessed the capacity to increase ATP production after metabolic stimulation. Creatine increased DS mitochondrial activity and mitochondrial anterograde movement, but it nearly doubled ROS levels, increased lipid peroxidation and reduced viability in DS cells. Thus, sustained stimulation resulted in increased DS cell damage and death, suggesting that the downregulation of DS mitochondria is part of an adaptive response to avoid excessive ROS generation and cellular injury.
From a broader perspective, the relation between mitochondrial morphology and function appears to be context-specific, depending on the cell’s state and the factors affecting it. For example, in insulinoma cells, ATP-dependent hormone secretion is not affected by induced mitochondrial fragmentation with a dominant negative form of mfn1 but is significantly reduced by hFis1 overexpression, which also generates a fragmented phenotype (Park et al., 2008). In the case of DS primary cells, mitochondria are more fragmented and both energy production and some cellular functions are impaired. Thus, the balance between mitochondrial morphology and function is complex and it is influenced by multiple factors.
We found 92 genes differentially expressed in DS cells. Ingenuity analysis generated a network of overexpressed genes indicative of a transcriptional response to oxidative stress (SFig 2). These changes in gene expression may orchestrate the cellular adaptations required to preserve homeostasis in DS cells, including downregulation of energy metabolism. This possibility is further supported by similar although less pronounced changes in the expression of “DS signature genes” in NL astrocytes under mild oxidative stress (Fig 4B). Under basal culture conditions, which are nevertheless pro-oxidant, and where DS energy metabolism is already impaired (Coskun and Busciglio, 2012; Valenti et al., 2011), the adaptive response would stabilize cell homeostasis at the expense of compromising cellular functions dependent on particular energy requirements, e.g. insulin secretion in β cells or axonal transport in neurons. At the organismal level, this adaptation may contribute to the increased susceptibility of DS individuals to pathologies in which energy metabolism appears to be compromised such as Alzheimer’s disease, diabetes, and some forms of autism (Capone et al., 2005; Esbensen, 2010; Lott and Head, 2005).
Recent studies have underscored the critical role of chronic superoxide production leading to mitochondrial dysfunction, telomere shortening and replicative senescence in human cells (Passos et al., 2007), further suggesting that the accelerated senescence phenotype characteristic of DS cells (Pallardo et al., 2010) may also be a direct result of cumulative oxidative damage and mitochondrial mutations (Coskun and Busciglio, 2012). Aneuploidies in general are detrimental to organismal and cellular function, altering cell metabolism and decreasing cell proliferation in yeast, mice and humans, regardless of which chromosome is affected (Williams et al., 2008). In fact, human fibroblasts harboring different aneuploidies display similar increased sensitivity and common cellular responses to chronic oxidative stress (Helguera and Busciglio, unpublished result). In this context, DS phenotypes at both cellular and system levels would arise from the interplay between specific changes in chromosome 21-gene expression operating on a background of generalized metabolic perturbations set off by the aneuploid state.
In summary, DS cells exhibit chronic energy deficits that appear to be part of an adaptive response to minimize oxidative damage and preserve cellular homeostasis. Depending on particular energy requirements, specific cellular functions will be affected in different cell types. In the case of DS pancreatic β cells, insulin secretion and proinsulin processing were significantly improved only when antioxidant treatment and mitochondrial stimulation were applied together. Thus, combined therapeutic strategies directed to prevent free radical damage while modulating energy metabolism may prove valuable for managing some of the clinical manifestations commonly associated with DS.
METHODS
Cell cultures
primary human cortical neuronal and astrocyte cultures were established from 10 DS (17–20 weeks of gestational age) and 10 age-matched control brain samples (Busciglio et al., 2002). The protocol for tissue procurement complied with Federal and Institutional guidelines for fetal research. Each experiment was replicated with at least 5 different normal and DS cultures. For most experiments, cortical neuronal and astrocyte cultures were used at 30–35 days in vitro. Fetal pancreatic cultures were generated from NL and DS fetal pancreases as described (Beattie et al., 1997). Mitochondrial and endocrine precursor cell function were analyzed at day 5 in culture.
Imaging
fluorescent images were generated with a Zeiss Axiovert 200 inverted microscope, and image analysis was performed with Axiovision software costumized macros. Mitochondria were classified in length intervals or according to pre-determined sizes as punctate, tubular and globular, and scored using Axiovision. Mitochondrial transport and quantification of mobile mitochondria were measured by time-lapse image analysis after a 20 min incubation with 100 nM Mitotracker green (detailed in Supplemental Methods).
Assessment of mitochondrial function
mitochondrial ox/red was measured using the MTS assay (Promega, Madison, WI, USA). JC-1 (Invitrogen) was used to assess mitochondrial membrane potential (MMP) as a ratio between JC1 red area (high MMP mitochondria) and JC1 green area (total mitochondria) after incubation with 200 nM JC1 for 20 min. An LDH assay was used to assess cell density (CytoTox 96®, Promega). ATP levels were measured using chemiluminescence (Cell titer Glo, Promega). For all experiments, lipid peroxidation, ox/red and ATP levels were normalized to LDH cellular levels or total protein content. Both normalization methods gave similar results.
Transfection
cells were transfected with Lipofectamine (Invitrogen) and the plasmid of interest in a ratio of 0.4 μg of DNA plus 1 μl of Lipofectamine per 500 μl of medium. Full-length mitofusin 1 (pmfn1) and mitofusin 2 (pmfn2) plasmids (Origene, Rockville, MD, USA) and mitochondrial targeted cyan fluorescent protein (pCFPmit) vector, (Clontech, Palo Alto, CA, USA) were confirmed by sequencing. Plasmid concentrations were selected after performing dose-response curves to find optimal conditions to stimulate fusion but avoiding hyperfusion of the mitochondrial network. None of the vectors caused hyperfusion nor they affected cell viability at the indicated concentrations.
Immunocytochemistry
cell cultures and ICCs were fixed with 4% paraformaldehyde/0.12 M sucrose in PBS and permeabilized with 0.1% Triton X-100 in PBS. Immunofluorescent preparations were visualized using Alexa-conjugated secondary antibodies (Invitrogen), as previously described (Helguera et al., 2005; Beattie et al., 1997). The following primary antibodies were used: sheep anti-cytochrome C (Abcam, Cambridge, UK), rabbit anti-insulin (clone C27C9, Cell Signaling, Danvers, MA, USA), mouse anti-IAP (Serotec, Raleigh, NC, USA), conformation-specific anti-oligomeric amyloid (A11, kindly provided by Dr C. Glabe, UCI).
Gene expression
profiles were generated using total mRNA from normal astrocytes (NL), normal astrocytes treated with H2O2 (50 μM for 24 hr) and DS astrocytes, and hybridized onto HumanRef-8 v2 Expression BeadChips (Illumina). See Supplemental Methods for technical details.
ELISA
commercial kits for insulin (ALPCO Diagnostics, Windham, NH, USA) and pro-insulin (LIMCO Research, St. Charles, MO, USA) were used according to manufacturer’s instructions. Conditioned media from NL and DS floating ICC were sampled after 5 days in culture.
Oxidative stress
mitochondrial superoxide was visualized using MitoSox red (Invitrogen), which emits red fluorescence when oxidized by superoxide. Cells were treated with MitoSox red (200 nM) for 10 min and co labeled with Mitotracker green (100 nM). The red/green ratio was used as an indicator of superoxide production per mitochondrial mass. Lipid peroxidation was detected using diphenyl-1-pyrenylphosphine (DPPP, Molecular Probes- Invitrogen). DPPP fluorescence was quantified in a Spectramax fluorometer (Molecular Devices).
Creatine treatment
cortical cultures were treated with 5 mM creatine for 7 days. ICCs were treated with 5 mM creatine for 2 days. (See Supplemental Methods).
Statistical procedures
Data were analyzed by one-way analysis of variance (ANOVA) followed by Tukey’s HSD test, when the experiment included three or more groups; and two-way ANOVA followed by Tukey’s HSD test for assays with two independent variables. Student’s t test was performed for paired observations. A value of p<0.05 was considered statistically significant. Results were expressed as the mean ± standard deviation (SD). All experiments were repeated at least 3–5 times using cultures derived from different NL and DS specimens. Each individual experiment was performed at least in triplicate samples.
Supplementary Material
Research Highlights.
Altered mitochondrial morphology in DS cells correlates with energy deficits
Enforced mitochondrial activity increases oxidative stress and reduces DS cell viability
The profile of gene expression in DS cells reflects chronic oxidative stress
Adaptive mitochondrial downregulation compromises DS cell function
Acknowledgments
We thank Drs Alberto Hayek (UCSD), Peter Butler (UCLA) and Alfredo Lorenzo (IMMF, CONICET, UNC) for expert advice. Drs Pablo Helguera and Gustavo Helguera are members of the National Council for Scientific and Technological Research (CONICET), Argentina. Supported by grants from The Larry L. Hillblom Foundation and NIH (HD38466) and Alzheimer’s Disease Research Center grant (AG16573).
Footnotes
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