Abstract
Oxidative stress and mitochondrial dysfunction have been implicated in the pathology of HD, however the precise mechanisms by which mutant huntingtin modulates levels of oxidative damage in turn resulting in mitochondrial dysfunction are not known. We hypothesize that mutant huntingtin increases oxidative mtDNA damage leading to mitochondrial dysfunction. We measured nuclear and mitochondrial DNA lesions and mitochondrial bioenergetics in the STHdhQ7 and STHdhQ111 in vitro striatal model of HD. Striatal cells expressing mutant huntingtin show higher basal levels of mitochondrial-generated ROS and mtDNA lesions and a lower spare respiratory capacity. Silencing of APE1, the major mammalian apurinic/apyrimidinic (AP) endonuclease that participates in the base excision repair (BER) pathway, caused further reductions of spare respiratory capacity in the mutant huntingtin-expressing cells. Localization experiments show that APE1 increases in the mitochondria of wild type Q7 cells but not in the mutant huntingtin Q111 cells after treatment with hydrogen peroxide. Moreover, these results are recapitulated in human HD striata and HD skin fibroblasts that show significant mtDNA damage (increased lesion frequency and mtDNA depletion) and significant decreases in spare respiratory capacity, respectively. These data suggest that mtDNA is a major target of mutant huntingtin-associated oxidative stress and may contribute to subsequent mitochondrial dysfunction and that APE1 (and, by extension, BER) is an important target in the maintenance of mitochondrial function in HD.
Keywords: mitochondrial DNA, Huntington’s disease, mitochondrial respiration base excision repair, AP endonuclease, mitochondrial dysfunction
Introduction
HD is a neurodegenerative disorder characterized clinically by involuntary choreiform movements, behavioral abnormalities, and dementia and pathologically by neuronal loss in the striatum and cerebral cortex [1–3]. HD is caused by mutations in the huntingtin gene involving abnormal expansions of CAG-repeats resulting in abnormally long N-terminal polyglutamine stretches in the huntingtin protein [4].
Although huntingtin was identified as the causative gene in HD in 1993, the mechanisms by which huntingtin mutations lead to pathology remain unclear. One leading hypothesis is that mitochondrial dysfunction plays a critical role in this process. HD brains have decreased levels of electron transport chain complexes II and III [5–8], and mutant huntingtin decreases complex II activity in striatal neurons in vitro [9] and synaptosomal mitochondrial ATP production in vivo [10]. Mutant huntintin also sensitizes striatal neurons to calcium-induced decreases in state 3 respiration and mitochondrial membrane potential [11]. Mutant huntingtin also disrupts fast axonal trafficking [12] and more specifically mitochondrial motility [10, 13]. Finally, it has been shown that mutant huntintin associates directly with mitochondria [14–16], and does so in an age-dependent fashion that correlates with disease progression in HD model mice [10].
One mechanism by which mutant huntingtin could affect mitochondrial function is via oxidative stress. HD is associated with increased markers of oxidative stress in both humans and mouse models of the disorder. Oxidative damage to proteins and lipids are elevated in the striatum and cortex of human HD brains [17, 18] as is the oxidation marker 8-hydroxy-2’-deoxyguanosine (8-OHdG) in nuclear DNA (nDNA) [6, 19, 20]. Similarly, significant increases in brain and urinary 8-OHdG and in lipid peroxidation and protein nitration are evident in various mouse models of HD, which correlate with disease progression [21–25] and protein carbonylations are present in animal models of HD [26]. Aggregation of N-terminal fragments of mutant huntingtin was shown to contribute to increased generation of ROS [27] and huntingtin inclusion bodies have been associated with the generation of iron-dependent oxidative stress [28].
Mitochondrial DNA (mtDNA) is a major site of oxidative stress damage and the increased oxidative stress associated with mutant huntintin is likely to increase levels of mtDNA damage. Indeed, increased levels of 8-OHdG in mtDNA have been reported in cortex from HD postmortem brains [6]. Recently we demonstrated a progressive increase in mtDNA damage in the striatum and cerebral cortex in a transgenic HD mouse model [29]. Importantly, mtDNA damage was significantly higher in the brains of HD mice than wild type (WT) controls.
Most of the lesions induced by oxidative stress are repaired by the base excision repair (BER) pathway, which operates in both the nucleus and the mitochondria [30]. BER begins by the action of DNA glycosylases that cleave a base lesion, creating an apurinic/apyrimidinic (AP) site. The AP endonuclease 1 (APE1) recognizes the AP site and cleaves the DNA sugar-phosphate backbone on the 5’ side of the AP site, leaving a 3’ hydroxyl group, so that further processing can proceed via short patch or long patch mechanisms involving DNA repair polymerases and DNA ligases [31–33]. APE1 is present in the mitochondria [34–37] and in neurons in both the nucleus and the cytoplasm [38–41]. Moreover, APE1 localizes to the mitochondria in response to oxidative stress [34, 37, 42].
Certain nDNA repair enzymes appear to play a role in HD by driving the increase in the length of the causative CAG repeat expansion/mutation [43–46]. However, the role of mitochondrial repair proteins in HD has been less well studied. Specifically, the critical question of how the elevated mtDNA damage seen in HD mice may impact on mitochondrial function and how this may be influenced by mtDNA damage and repair remains to be answered.
In this study, we explored the role of mtDNA damage and repair on mitochondrial function in an in vitro model of HD. We show that mutant huntingtin-expressing cells exhibit extensive basal mtDNA damage and reduced spare respiratory capacity. Treatment with H2O2 resulted in further increases in oxidative mtDNA damage and decreases in spare respiratory capacity only in mutant huntingtin-expressing cells. Silencing of the BER enzyme APE1 significantly increases mitochondrial dysfunction particularly in mutant huntingtin-expressing cells. Finally, we recapitulate in human HD brains and in human HD skin fibroblasts the increased levels of mtDNA damage (increased lesion frequency and mtDNA depletion) and the reduction in spare respiratory capacity. Our results demonstrating that APE1 is important for the maintenance of mitochondrial function is a novel finding and supports our hypothesis that mtDNA damage may play a causal role in mitochondrial dysfunction associated with HD.
Materials and Methods
Human post-mortem brain samples
Human brain samples were kindly provided by the Harvard Brain Tissue Resource Center, McLean Hospital, Belmont, Massachusetts. Caudate/putamen from 4 control brains (AN12544, AN04073, AN02690, AN04211), 4 HD grade 3 brains (AN01682, AN17039, AN18554, AN10314) and 4 HD grade 4 brains (AN06034, AN02232, AN02426, AN13250) from adults of 55–63 years of age (controls) and 53–70 (grade 3 HD) and 35–76 years of age and grade 4 HD, respectively) were used for the analyses.
Cell culture and transfection
Immortalized progenitor cell lines STHdhQ111 mutant (Q111) and STHdhQ7 wild type (WT; Q7) were derived from striatal neurons from HdhQ111/Q111 and HdhQ7/Q7 mice (expressing 111 and 7 glutamine repeats, respectively) [47] and were kindly provided by Dr. Marcy McDonald, Massachusetts General Hospital. Cells were cultured in Dulbecco’s Modified Eagle Medium (DMEM) supplemented with 10% FBS, 100 U/mL penicillin, 100 µg/mL streptomycin, 2 mM L-glutamine and 400 µg/mL G418. Cells were grown at 33°C in a 5% CO2 incubator. Cells with passages lower than 14 were used in all experiments. Cells were transfected with Ape1 siRNA or scrambled control (IDT DNA) for 48 hrs using Lipofectamine 2000 reagent (Invitrogen) according to the manufacturer’s protocol.
Fibroblast cell culture
Human primary cultures of normal or HD diploid skin fibroblasts were purchased from the Coriell Cell Repositories (Coriell Institute for Medical Research, Camden, NJ). The HD fibroblasts (GM21756) are from a clinically affected individual with expanded CAG repeat alleles of 70 and 15. The number of expanded CAG repeats was determined in the same individual’s lymphoblasts. The normal fibroblasts (GM04390) are from an individual expressing normal huntingtin. Human fibroblasts were cultured in Dulbeco’s Minimum Essential Medium supplemented with 5% fetal bovine serum, Earle’s salts and non-essential amino acids. Cells were grown a maximum of 14 passages.
Treatment with hydrogen peroxide (H2O2)
For time course studies, 100,000 immortalized Q7 and Q111 cells were cultured for 96 hours prior to treatment with 200 µM H2O2. Cells were harvested at 6, 12 and 24 hours following treatment, washed twice with Hank’s Balanced Salt Solution, and detached using 0.05% trypsin in EDTA. Cell survival in control versus treated cultures was determined using the trypan blue exclusion method [48]. For the DNA damage assay, cells were treated with 200 µM H2O2 and harvested 3 hours following treatment for DNA isolation.
DNA damage analysis, calculation of DNA lesion frequencies and mtDNA relative copy number/abundance by quantitative PCR (QPCR)
DNA isolation, quantitation, and DNA lesion analysis was performed as previously described by our laboratory [29]. The QPCR assay is based on the principle that lesions that block DNA polymerase on the DNA template will decrease the amplification of the fragment of interest. Consequently, amplification is inversely proportional to the presence of damage. The amplification of a 10 kb mtDNA fragment and a 6.9 kb nDNA fragment were used to detect DNA lesions in the mouse immortalized cell lines as previously described [29]. We corrected for possible changes in rates of mtDNA replication by normalizing values for the 10 kb mtDNA fragment relative to those of a small mtDNA amplicon (116 bp). Because the probability of introducing a lesion into a small fragment is low, the amplification of a small fragment is independent of the presence of lesions and provides a measure of the steady-state levels of mtDNA.
To detect mtDNA lesions in human postmortem brains, we amplified a 6.8 kb mtDNA fragment following an initial denaturation for 45 seconds at 94°C, 23 cycles of denaturation for 15 seconds at 94°C and annealing/extension at 68°C for 12 minutes, and a final extension at 72°C for 10 minutes. The primer nucleotide sequences used for the human mtDNA fragment are the following: 5’-CCCAAGGCACCCCTCTGACA-3’ (forward) and 5’-GCCCGTGGGCGATTATGAGA-3’ (reverse). The primer nucleotide sequences for the amplification of a nDNA fragment were: 5’-TTGAGACGCATGAGACGTGCAG-3’ (forward) and 5’-TCACATTCTTGGCTGGGTGTGG-3’ (reverse) using 28 cycles and annealing/extension at 68°C.
Lesions were calculated using the Poisson equation as previously described [49, 50]. Briefly, the average lesion frequency per strand was calculated as λ=-ln AD/AO, where AD represents the amount of amplification of the damaged template and AO is the amount of amplification product from undamaged DNA. The results were expressed as a relative amplification ratio (AD/AO) and/or as lesion frequency per strand. Levels of mtDNA lesions in human postmortem brains were calculated comparing grade 3 brains to the controls whereas mtDNA lesions in the immortalized mouse cell lines were calculated comparing mutant Q111 cells to WT Q7 cells.
For the determination of mtDNA abundance in human postmortem brains, we amplified a 123 bp mtDNA fragment by performing an initial denaturation for 45 seconds at 94°C, followed by 29 cycles of denaturation for 15 seconds at 94°C and annealing/extension at 68°C for 45 seconds, and 45 seconds at 72°C. We used the following primer nucleotide sequences: 5’-CATGCAAGCATCCCCGTTCC-3’ (forward) and 5’–CTGTTTCCCGTGGGGGTGTG-3’ (reverse). The relative copy numbers were calculated as the relative amplification of the grade 3 HD brains compared to the control brains.
Mitochondria spare respiratory capacity measurements
Immortalized cells (30,000) and human primary normal or HD diploid skin fibroblasts (40,000) were seeded onto Seahorse microplates 48 hour prior to the analysis on the Seahorse XF24 extracellular flux analyzer following the manufacturer’s instructions. All experiments were performed at 37°C and the media contained 10 mM pyruvate. Oxygen consumption rate data consist of mean rates during each measurement cycles consisting of a mixing time of 30s and a wait time of 3 min followed by a data acquisition period of 3 min. Rates displayed are basal respiration (0–3’) and rates following addition of 2 µg/ml oligomycin (3–6’), 6 µm FCCP (6–9’), rotenone (1µM) and myxothiazol (2 µM).
Immunoblotting and immunocytochemistry
For Western blots, mitochondrial proteins were obtained from the immortalized Q7 and Q111 cell lines using the Qproteome Mitochondria Isolation kit (QIAGEN) and 20 µg of protein were electrophoresed on 12% bis-acrylamide gels prior to transfer to polyvinylidene difluoride membranes. Membranes were blocked with 5% powdered milk solution in 0.3% Tween 20 (0.05%)/phosphate-buffered saline solution before incubation with APE1 (1/500 dilution; Abcam), VDAC (1/2000; Abcam) and β-Actin (1/5000 dilution; Sigma). Protein bands were detected via chemiluminescence substrate for horseradish peroxidase (Amersham Biosciences) following incubation with peroxidase conjugated IgG (Santa Cruz Biotechnologies; 1/2500) and densitometry was measured using the Bio-Rad VersaDoc™ and the Quantity One software. Differences in protein loading were corrected using the expression of VDAC (mitochondrial fraction) and β-Actin. To determine mitochondrial localization of APE1, immortalized cells were treated with MitoTracker® red (Invitrogen) for 15 min and fixed with 4% paraformaldehyde for 15 min followed by blocking with 10% donkey serum for 30 min after which 1:500 APEX1 (Novus) was applied overnight at 4°C. Cells were incubated with Alexa-conjugated secondary antibody (1:1000) for 60 min in the dark at room temperature. Images were captured on a Zeiss LSM 510 confocal microscope. The image analysis was performed using MetaMorph (MDS Analytical Technologies).
Estimation of mitochondrial superoxide levels using confocal microscopy
Immortalized cells (30,000) were plated and after 48 h cells were washed with imaging buffer (120 mM NaCl, 3.5 mM KCl, 1.3 CaCl2, 1 mM MgCl2, 0.4 KH2PO4, 20 mM TES, 5 mM NaHCO3, 1.2 mM Na2SO4, 25 mM glucose) and labeled with MitoSOX™ red (2.5 µM; Invitrogen) for 10 min at 33°C. Cells were washed twice and incubated with MitoTracker® green (50 nM; Invitrogen) for 40 min at 33°C. Samples were analyzed using a Zeiss LSM 510 confocal system. Live imaging for MitoSOX™ red was performed at an excitation wavelength of 543 nm and emission of LP560 nm and MitoTracker® green at an excitation wavelength of 488 nm and emission of 515–530 nm. Images were acquired using a 63X-inverted objective. Determination of the relative intensities of the fluorescence was performed using the NIH Image J program. Background was subtracted and mean intensity was measured for the entire area. MitoSOX™ fluorescence was normalized using MitoTracker® fluorescence to correct for differences in mitochondrial abundance. MitoTracker® fluorescence was corrected for differences in cell numbers.
Measurement of caspase 3/7 activity
Immortalized cells were transfected with Ape1siRNA as described above, plated at 40,000 cells/well on collagen-coated 96-well plates, and incubated for 48 hr in DMEM containing 10% FBS and 100U/ml/100 mg/ml penicillin/streptomycin, followed by serum-deprivation for 24 hr before assaying as described by [51]. Cells were lysed in 50 ml of a 50/50 mixture of DMEM/Apo lysis buffer (Cell Technology Inc). Aliquots (10 ul) were taken for protein quantification by the Bradford method (Pierce) before the addition of DMEM/Apo lysis buffer including 20 mM DTT and 2% APO 3/7 HTS Substrate (Cell Technology, Inc.). The substrate used is a fluorescence-quenched Rhodamine-DEVD conjugate ((zDEVD) 2-Rhodamine 110) that fluoresces upon cleavage of DEVD by caspase 3/7. Fluorescence was read for 1 hr at 37°C using an excitation wavelength of 488 nm and emission wavelength of 530 nm.
Statistics
One-way ANOVA followed by Tuckey Kramer’s multiple comparison tests were used to compare the differences among the groups. Statistical comparisons in the QPCR and survival experiments were performed using student t test. SigmaStat was used to perform the descriptive and inferential analyses.
Results
Mutant huntingtin-expressing Q111 cells show increased basal levels of mitochondrial-generated ROS and decreased mitochondrial content
To test whether mutant huntingtin leads to increases in mitochondrial-generated ROS, we measured levels of mitochondrial-generated superoxide in mutant Q111 and WT Q7 striatal immortalized neuronal cells by using MitoSOX™ red. We show that mutant huntingtin-expressing Q111 cells show a significant 23% increase in the levels of mitochondrial-generated superoxide compared to WT Q7 cells (Fig. 1). In addition, we observe a significant 33% decrease in MitoTracker® green fluorescence in Q111 cells relative to WT cells (Fig. 1C) after normalizing for differences in cell numbers. To determine if the reduction in MitoTracker® green fluorescence results from changes in mitochondrial content, we performed Western blot analysis and show that Q111 cells exhibit a 31% reduction in the expression of VDAC (Fig. 1D).
Immortalized mutant huntingtin-expressing Q111 cells exhibit increased mtDNA lesions
To test the hypothesis that mtDNA is a major target of the oxidative stress associated with mutant huntingtin, we determined levels of mtDNA damage in immortalized WT versus huntingtin-expressing cells. We found that mutant cells exhibited significantly higher basal (control) levels of mtDNA lesions than WT cells (Fig. 2A). Damage in Q111 cells was observed as a significant damage frequency of 0.22 lesions per 10 kb per strand compared to WT cells (0.002 lesions per 10 kb per strand). We next show that treatment with H2O2 for 3 hours leads to a significant increase in the levels of mtDNA lesions in both cell lines, however, levels of damage were significantly higher in the mutant cells (0.33 versus 0.52 lesions per 10 kb per strand, respectively) (Fig. 2A). We also measured the presence of nuclear DNA (nDNA) lesions in the nuclear-encoded HPRT gene and no differences in the frequency of lesions were detected when comparing controls versus huntingtin-expressing cells (Fig. 2A). Interestingly, mutant Q111 cells show a significant 10% decrease in mtDNA abundance (p<0.001) relative to WT cells (Fig. 2B).
Mitochondrial DNA damage is associated with oxidative stress and the development of HD pathogenesis [29]. To determine the sensitivity of mutant Q111 and WT Q7 cells to oxidative damage, we treated cells with 200 µM H2O2 and determined cell viability 6, 12, and 24 hours after treatment. Our results show a time-dependent decrease in the percent of viable cells in both cell clones (Fig. 2C), however, mutant cells were more sensitive to H2O2-mediated cell death than WT cells following longer treatment (53.2% versus 69.0% cell survival 12 hours after treatment and 43.9% versus 21.8% after 24 hrs in Q7 versus mutant Q111, respectively).
Decreased mtDNA abundance and increased mtDNA lesions in human postmortem HD brain
To determine if mitochondrial damage is associated with disease progression, we determined the extent of mtDNA damage in striatum from grade 3 HD postmortem subjects and control individuals. We found a significant ~50% decrease in mtDNA abundance/copy number in grade 3 HD striata compared to control tissue (Fig. 3A). Next we measured DNA damage and found a significant increase in mtDNA lesion frequency in grade 3 HD brain as shown by 0.23 lesions per 10 kb per strand compared to striata from control individuals (Fig. 3B). We also measured the presence of nDNA damage in the nuclear-encoded β-globin gene and found a significant increase in nDNA lesions (0.27 lesions per 10 kb) compared to WT striata. The frequency of nDNA lesions was not significantly different from those in the mtDNA (Fig. 3B). Similar results were observed in mtDNA and nDNA from grade 4 HD striata compared to control tissue (data not shown).
Immortalized mutant huntingtin-expressing Q111 cells and human skin HD fibroblasts exhibit reduced spare respiratory capacity
Whether increases in mtDNA damage contribute to mitochondrial dysfunction in HD is unknown. To test whether mtDNA damage observed in mutant cells impacts on mitochondrial function, we utilized the Seahorse XF24 extracellular flux analyzer and measure oxygen consumption rate (OCR) and the extracellular acidifcation rate (ECAR) in cells [52] to estimate spare respiratory capacity (the mitochondrial capability to exceed the OCR required to maintain basic cellular metabolic needs) versus glycolysis [53]. Cells were exposed first to oligomycin, which inhibits the ATP synthase and caused the expected decrease in OCR in both Q111 and Q7 cells (Fig. 4A). To measure maximal mitochondrial respiratory capacity, we then treated cells with carbonylcyanide-4-trifluorometho-xyphenylhydrazone (FCCP), an uncoupler of mitochondrial respiration. Cells normally increase OCR in response to FCCP to maintain proton gradients and mitochondrial function. Mutant cells exhibited 50% less of an increase in OCR after FCCP treatment than did WT cells, suggesting that these cells have less spare respiratory capacity than WT controls. Administration of rotenone and myxothiazol (complex I and III inhibitors, respectively) also inhibited the OCR. Concomitant to the decrease in OCR, FCCP induced an increase in the ECAR in both cell clones indicating a compensatory switch to glycolysis for ATP production (Fig. 4B). However, Q111 cells show higher levels of ECAR than Q7 cells. In order to determine whether an acute oxidative stress insult affects the mitochondrial spare respiratory capacity, we exposed Q7 and Q111 cells to H2O2. We found that Q7 cells show a decrease of 18% in spare respiratory capacity after 200 µM H2O2 treatment for 24 hours. Interestingly mutant Q111 cells show a more dramatic decrease (40%) after H2O2 versus untreated Q111 cells (Fig. 5). The increase in mtDNA lesion frequency precedes the loss in spare respiratory capacity since no difference in spare respiratory capacity was observed 6 hours after H2O2 treatment (data not shown). To further test whether the reduced mitochondrial spare respiratory capacity observed in the immortalized Q111 mutant cell line is also present in HD patients, we measured mitochondrial OCR in a primary culture of HD diploid skin fibroblasts. We found a significant 24% decrease in OCR after FCCP compared to control human fibroblasts (Fig. 6).
Increased APE1 localization to the mitochondria of WT but not in mutant huntingtin-expressing cells following hydrogen peroxide treatment
Others have shown that APE1 is localized both in the nucleus and the cytoplasm and that after DNA damage, APE1 preferentially moves to the nucleus and to mitochondria [34–37]. We determined the localization of APE1 in the Q7 and Q111 cells by immunofluorescence and observed that APE1 preferentially localizes in the nucleus of both cell lines (Fig. 7). Interestingly, we observed that Q111 cells show more nuclear APE1 immunofluorescence than Q7 (p<0.01 versus untreated Q7 cells). To test whether increased levels of ROS affects APE1 localization, Q7 and Q111 cells were exposed to 200 µM H2O2 for 6 hours. Nuclear levels of APE1 immunofluorescence did not change in Q7 and Q111 after H2O2 treatment (Fig. 7C). However, APE1 intensity increased significantly by 20% in mitochondria of Q7 cells (p<0.01 versus untreated Q7 cells). Surprisingly, no changes in mitochondrial APE1 intensity were observed in Q111 cells. These results were confirmed by Western blot analysis (Fig. 7D).
Silencing of APE1 leads to reductions in spare respiratory capacity in mutant Q111 cells
To further test the hypothesis that mtDNA damage can contribute to mitochondrial dysfunction in mutant Q111 cells, we assessed whether silencing of Ape1 exacerbated mitochondrial dysfunction in these cells. We transfected WT and mutant cells with Ape1 siRNA or a scrambled sequence of siRNA as control. Western blot analysis showed that exposure of striatal cells to Ape1 siRNA consistently resulted in a significant 50–60% reduction in APE1 protein levels 48 hours following transfection, whereas scrambled siRNA had no significant effect on APE1 protein levels (Fig. 8A). We next tested whether spare respiratory capacity was affected in these cells. Indeed, we observe that silencing Ape1 results in a significant 47% and 57% decrease of spare respiratory capacity in Q7 and Q111 cells, respectively, relative to the Q7 scramble controls (Fig. 8B). However, the 10% difference observed between Q111 Ape1 versus Q7 Ape1 knockdowns was not statistically significant. Mutant Q111 cells after Ape1 silencing shows a significant 33% decrease versus Q111 scramble controls (Fig. 8).
To investigate the impact of Ape1 silencing on apoptotic cell death, we measured caspase 3/7 activity and found a significant increase in both cell clones following APE1 knockdown. Interestingly, the increase in caspase 3/7 activities was higher in Q111 versus Q7 cells (Fig. 9).
Discussion
The role of oxidative stress in HD is well recognized, however, the possible roles of subsequent ROS-mediated mtDNA damage and altered BER in HD pathogenesis have not been explored. In this study, we measured the formation of DNA damage in both mitochondrial and nuclear genomes in correlation with mitochondrial bioenergetics. In the Q7/Q111 in vitro striatal model of HD we found that: 1) striatal cells expressing mutant huntingtin show higher basal levels of mitochondrial-generated ROS and mtDNA lesions and a lower spare respiratory capacity than WT controls; 2) silencing Ape1 caused further reductions in spare respiratory capacity in mutant huntingtin-expressing cells; 3) human postmortem striata exhibit significant increases in the levels of mtDNA and nDNA lesion frequencies and significant mtDNA depletion; and 4) a primary culture of HD diploid skin fibroblast from a HD patient shows significant reductions in spare respiratory capacity compared to control skin fibroblasts. Thus, the main findings we observe in the immortalized Q111 cells are recapitulated in human HD striata and in human HD primary skin fibroblasts.
We show that the mtDNA damage observed in HD animal models and in mutant huntingtin-expressing cells versus WT cells also occurs in HD postmortem brain. We observe a significant increase in mtDNA damage in striatum from grade 3 HD subjects in the form of mtDNA lesions and mtDNA depletion. The increased levels of mtDNA damage in postmortem human HD striata and in mutant huntingtin-expressing cells versus WT cells extends our previous observations that the R6/2 mouse model of HD differs from WT in having greater age-dependent accumulation of mtDNA lesions [29]. We observe a significant increase in mtDNA damage in striatum from grade 3 HD subjects in the form of mtDNA lesions and mtDNA depletion. The increase in mtDNA lesions extends prior observations of mtDNA damage in the temporal and frontal cortex of HD patients [19, 54]. The increased mtDNA depletion in HD striata is consistent with mitochondria being targets of oxidative damage in HD, as mtDNA depletion may result from the high levels of mtDNA lesions that are present in the HD striata. In addition, increased mtDNA depletion is consistent with the significant loss of striatal neurons observed in grade 3 HD brains [55] and/or with impaired mitochondrial biogenesis [56]. Supporting our findings in human HD striata, the immortalized mutant huntingtin-expressing Q111 cells show both significant levels of mtDNA lesions and a significant 10% decrease in mtDNA abundance. These data are in accordance with previous observations of mtDNA depletion in human HD leukocytes [57].
The immortalized mutant cells sustained higher basal levels of mtDNA lesions compared to damage in a nDNA fragment, suggesting that mtDNA is more sensitive to oxidative damage in HD. These data are consistent with previous observations that mtDNA from striata of R6/2 mice hold eight-fold more lesions than nDNA [29]. However, our results in human postmortem HD striata show similar levels of mtDNA and nDNA lesions in late stage (grade 3) HD subjects. It is possible that sensitivity of the mtDNA to oxidative damage versus nDNA may be associated to the early phases of HD progression as mutant Q111 cells are derived from embryonic neurons. Thus, expression of mutant huntingtin is associated with increasing DNA instability in both mtDNA and in nDNA in mutant huntingtin-expressing cells and in late stage HD postmortem striata.
One consequence of oxidative damage to mtDNA may be impairment of mitochondrial respiratory capacity. We demonstrated that increased ROS and mtDNA lesions correlate with significantly decreased levels of respiration and spare respiratory capacity under basal conditions in mutant Q111 versus WT cells. Importantly, the reduced spare respiratory capacity observed in the immortalized Q111 mutant cell line was recapitulated in a primary culture of HD diploid skin fibroblasts from a HD patient, supporting the observation that reduced mitochondrial bioenergetics is not associated to secondary sublethal effects independent of the huntingtin mutation in the Q111 cells. Mitochondrial respiration and ATP production are reduced in mutant Q111 cells [58]. Interestingly, we observe a concomitant increase in glycolysis, with Q111 cells exhibiting higher levels of glycolysis than Q7 cells. This response could represent a compensatory effect to decreased respiration and ATP production in mutant cells, suggesting that HD cells may be more dependent on glycolysis than respiration to compensate for ATP production. These findings are consistent with previous proton nuclear magnetic resonance spectroscopy experiments in symptomatic HD patients in whom lactate levels were increased in the basal ganglia and cortex, consistent with a defect in energy metabolism [59]. In addition, increased glycolysis has been shown to correlate with decreased OCR in a mouse model of Alzheimer’s disease [60].
Increased levels of mtDNA damage precede mitochondrial dysfunction in mutant Q111 cells treated with H2O2. Consistent with these results are the sustained levels of age-dependent mtDNA lesions observed in the striatum of mouse models of HD [29]. Other neurodegenerative diseases are associated with impairment of mitochondrial metabolism that leads to increased ROS and mitochondrial dysfunction [61–63].
We found higher levels of mtDNA lesions and a significant decrease in spare respiratory capacity in mutant Q111 cells compared to WT cells after exposure to H2O2. By treating cells with H2O2, we created a far greater oxidative stress burden than the one produced by mutant huntingtin. These data suggest that in mutant cells, in the face of a lower spare respiratory capacity, increases in mtDNA damage coupled to an increased demand for ATP may lead to mitochondrial dysfunction. Therefore, maintenance of the spare respiratory capacity under conditions of increased mtDNA damage may be a critical factor in determining neuronal survival in HD. These data are consistent with previous observations that maintenance of spare respiratory capacity is required for survival of primary neuronal cultures after glutathione depletion [64], in synaptosomes after inhibition of Complexes I and II, and in cerebellar granule neurons after Complex I inhibition [65]. In addition, impairment of Complex I or mitochondrial metabolic enzymes by oxidative stress results in loss of spare respiratory capacity in dopaminergic neurons [66].
Increased nuclear and mitochondrial localization of APE1 after exogenous oxidative stress has been previously reported [36, 42, 67]. This movement to the mitochondrial compartment has been proposed as a defense mechanism to deal with increased oxidative mtDNA lesions [68]. In fact, mitochondrial targeting of a truncated form of APE1 results in increased survival in human umbilical vein endothelial cells treated with H2O2 [69]. Consistent with previous reports we observed increased mitochondrial APE1 localization in Q7 cells. However, we observed that Q111 cells did not show increased mitochondrial APE1 localization in response to H2O2 treatment. These results suggest that mutant huntingtin may interfere with the mitochondrial import of APE1, which could lead to the deficient mitochondrial bioenergetic phenotype of the Q111 cells. We also observed that APE1 staining did not increase in the nucleus of the Q7 nor the Q111 cells 6 hour after H2O2 treatment. QPCR experiments show that 3 hours after H2O2 treatment there where no nDNA lesions (Fig. 2A). It is possible that treatment with H2O2 did not increase nuclear APE1 levels due to the absence of nDNA lesions either because they were already repaired or the treatment conditions did not result in significant induction of lesions.
The higher levels of mtDNA damage seen in cells expressing mutant huntingtin could reflect higher lesion occurrence, decreased lesion repair, or both. Intriguingly, silencing of Ape1 in HD cells but not in WT cells leads to exacerbated mitochondrial dysfunction, suggesting that APE1 is more critical to mitochondrial function in cells expressing mutant huntingtin. Partial knock down of Ape1 did not cause mtDNA damage in WT cells and no further damage in mutant cells in comparison to their non-targeted siRNA controls (data not shown). It is possible that APE1 is already overwhelmed in Q111 cells due to the high levels of mtDNA lesions and that reducing APE1 levels results in mitochondrial effects as BER is the most important repair mechanism in the mitochondria. Although the 10% difference in spare respiratory capacity between WT and mutant Q111 cells after partial knock down of Ape1 was not statistically significant, the Q111 cells showed a higher magnitude of decrease. This finding may be anticipated if the mutant huntingtin expressing Q111 cells already have reached their bioenergetic limit as a result of silencing Ape1. Our results showing that silencing APE1 results in increased activation of caspases in both WT and mutant cells are consistent with previous studies examining oxidative stress-induced reductions in APE1 expression and increased neuronal apoptosis in rat hippocampus [70, 71]. Interestingly, we show that in the context of mutant huntingtin, caspase activation is further increased suggesting that apoptosis may be partially dependent on BER. Indeed, reduced expression of APE1 increases cytotoxicity and apoptosis in neurons and mouse fibroblasts and over-expression of APE1 is neuroprotective [41, 72, 73].
APE1 is both a DNA repair enzyme and a reduction/oxidation protein that activates various transcription factors involved in neuronal function [74–79]. Although our results of increased mitochondrial dysfunction in the context of the HD mutation after APE1 silencing are consistent with APE1 repair function, we cannot discard the possibility that either repair or transcriptional gene regulation (or both) may be important as both functions have been shown to be essential for cell survival [73].
We propose a model for the effect of mutant huntingtin in the Q111 cells on the induction of ROS and mtDNA damage in the pathophysiology of HD (Fig. 10). In mutant Q111 cells, damaged mtDNA (mtDNA lesions and mtDNA depletion) and/or deficient repair of mtDNA damage reduces the efficiency of mitochondria, resulting in decreased spare respiratory capacity. The occurrence of these events in mutant cells further implicate mtDNA damage and failure of mtDNA repair as critical events in the molecular cascade leading to neuronal dysfunction and cell death in HD. Furthermore, these results suggest that a moderate reduction of APE1 has little impact on mitochondrial function under basal conditions, but does have an impact under conditions of oxidative stress (H2O2 treatment) coupled with expression of mutant huntingtin. It is possible that age-dependent increases in mtDNA damage and/or a decline in mtDNA repair capacity could lead to persistent mtDNA damage and exacerbate huntingtin-induced toxicity, ultimately leading to a marked decline in mitochondrial function contributing to HD-like pathology.
Human HD striatum shows increased levels of mitochondrial DNA damage and depletion.
Human and mouse HD cells show reduced mitochondrial spare respiratory capacity.
Silencing of APE1 (BER) exacerbates mitochondrial dysfunction in HD cells.
Impaired mitochondrial localization of APE1 in HD cells after hydrogen peroxide.
Acknowledgments
We would like to thank Dr. Marcy E. McDonald (Harvard Medical School) for providing the STHdhQ7 and STHdhQ111 cells. The human postmortem brain samples were kindly provided by the Harvard Brain Tissue Resource Center, which is supported by grant number R24-MH068855. The authors acknowledge the help of Amarilys Irizarry Hernández, Graphic Designer of the University of Puerto Rico Medical Sciences Campus, School of Medicine in the development of the artwork (Figure 10). This work was supported in part by grants from the National Institutes of Neurological Diseases and Stroke (5U54-NS043011), the National Institute of General Medical Sciences (R25-GM061838), the National Center for Research Resources (2G12-RR003051) and the National Institute on Minority Health and Health Disparities (8G12-MD007600) from the National Institutes of Health.
Footnotes
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