Abstract
Aim:
To test the role of the Beclin 1-dependent autophagy pathway in brain damage during cerebral ischemia.
Methods:
Focal cerebral ischemia was established in rats using a middle cerebral artery occlusion (MCAO) model. A lentiviral vector-associated RNA interference (RNAi) system was stereotaxically injected into the ipsilateral lateral ventricle to reduce Beclin1 expression. We measured the ipsilateral infarct volume, autophagosome formation, neurogenesis and apoptosis, all of which could be modulated by Beclin1 RNAi.
Results:
On the 14th day after MCAO, Beclin1 downregulation by RNAi increased the population of neural progenitor cells (BrdU+-DCX+), newborn immature cells (BrdU+-Tuj-1+) and mature neurons (BrdU+-MAP-2+), and reduced the apoptosis of immature neurons (caspase-3+-DCX+ and caspase-3+-Tuj-1+) surrounding the ischemic core of the ipsilateral hemisphere. Furthermore, RNAi-mediated downregulation of Beclin1 decreased infarct volume and inhibited histological injury and neurological deficits.
Conclusion:
RNAi-mediated downregulation of Beclin1 improves outcomes after transient MCAO.
Keywords: autophagy, beclin1, apoptosis, stroke, RNA interference
Introduction
Apoptosis and necrosis are important modes of neuronal death induced by cerebral ischemia, but in recent years a third method of death, autophagy, has been studied1, 2, 3. Autophagy, which involves the formation of autophagosomes and autophagolysosomes, has been studied extensively as a caspase-independent cell death pathway and has been associated with ischemia and reperfusion in the heart and brain4, 5, 6, 7. Autophagy appears to occur after hypoxia-ischemia as an important mechanism of neuronal self-destruction, as well as after transient global ischemia and adult focal ischemia6, 7, 8, 9, 10. In addition, autophagy has also been recognized as a cell survival mechanism. It may protect neurons by eliminating damaged structures and delivering them to lysosomes for degrada–tion11, 12. Hence, whether autophagy is a friend or foe during cerebral ischemia/reperfusion remains to be seen. We therefore used a rat middle cerebral artery occlusion (MCAO) model to induce transient focal brain ischemia in the present study.
Beclin1, the homologue of the yeast autophagy gene 6 (Atg6), was first dissociated from the inhibitory Beclin1-Bcl-2 complex and was suggested as a potential link between autophagy and apoptosis13. Beclin1-deficient mice show a pronounced loss of autophagic vacuole formation14, 15, 16. In mammals, Beclin1 downregulation by RNA interference (RNAi) blocked cell death induced by autophagy17, 18. Furthermore, induction of autophagy and cardiac injury during the reperfusion phase were significantly attenuated in Beclin1−/− mice5. As a rapamycin-independent autophagy mechanism12, the role of the Beclin1-induced autophagy in brain ischemia needs more elucidation. Therefore, in the present study, lentiviral vectors encoding Beclin1 short hairpin RNA (LV-shBeclin1) were stereotaxically delivered into the ipsilateral lateral ventricle to inhibit ischemia-induced Beclin1 expression.
As previously reported, an increase in neurogenesis following ischemia has been considered to be necessary for functional recovery after stroke19, 20. Beclin1-dependent autophagy has been associated with neurogenesis in several models21, 22. These findings supporting the existence of a complex interplay between autophagy, cell proliferation and cell death during neural development22. However, it remains unknown whether autophagy has any influence on ischemia-induced neurogenesis. The present study addresses the role of Beclin1-dependent autophagy during the period of neurogenesis after transient MCAO.
Here, we demonstrate that RNAi-mediated downregulation of Beclin1 was protective following transient MCAO in vivo. Further, the present study is the first, to our knowledge, to examine the potential link between Beclin1-dependent autophagy, apoptosis, and neurogenesis in response to cerebral ischemia/reperfusion.
Materials and methods
Animals
Adult male Sprague-Dawley rats (250–270 g), provided by the Department of Animal, Health Science Center of Peking University, were housed in a laboratory animal room and maintained at 25±1 °C with 65%±5% humidity on a 12-h light/dark cycle (lights on from 07:30 to 19:30) for at least 1 week before the start of the experiments. Animals were given food and water ad libitum. All experimental protocols described in this study were approved by the Ethics Review Committee for Animal Experimentation of Xiyuan Hospital, China Academy of Chinese Medical Sciences.
Lentiviral vectors and shRNA injection
The design of the shRNA followed published guidelines23. Lentiviral vectors pGCL-LTR-RRE-U6 shRNA-CMV Luciferase-WRE-LTR (LV-shBeclin1) were generated. The shBeclin1 sense oligonucleotide sequence 5′-GGATCCCAACTCACAGCTCCATTACTTATTCAAG AGATAAGTAATGGAGCTGTGAGTTTTTTTGGATAGCTT-3′ and the shBeclin1 antisense oligonucleotide sequence 5′-AAGCTATCCAAAAAAACTCACAGCTCCATT ACTTATCTCTTGAATAAGTAATGGAGCTGTGAGTTGGGATCC-3′ were annealed and cloned into a pGC/U6 plasmid. One unrelated sequence (TTCTCCGAACGTGTCACGT) that shows no significant homology to any known rat gene (analyzed using a BLAST search) was used as an LV-control. Seven days before MCAO, 1.5 μL of concentrated viral solution was stereotaxically delivered into the ipsilateral lateral ventricle (coordinates from bregma: AP-0.8 mm, ML 1.4 mm, DV-3.6 mm from the pial surface).
Transient MCAO
Rats with physiological variables within normal ranges were subjected to transient focal cerebral ischemia induced by right MCAO as previously described24. In brief, rats were anesthetized with 3.5% chloral hydrate (350 mg/kg, ip) and were placed in a supine position. The body temperature of the rats was maintained at 37±0.5 °C during the surgical procedure. The right common carotid artery (CCA), internal carotid artery (ICA), and external carotid artery (ECA) were surgically exposed. The CCA was ligated distally and the ECA was ligated proximally to the bifurcation of the ICA and the ECA. A 3–0 silk suture was tied loosely around the ICA, and a microvascular clip was placed distally across the ICA. A 4–0 nylon monofilament suture with a rounded tip was inserted into the ICA through the CCA and gently advanced for a distance of 20 mm from the common carotid artery bifurcation to block the origin of the middle cerebral artery (MCA). The suture around the ICA was tightened, and the microvasculature clip was removed. Mean arterial blood pressure, heart rate, and arterial blood gases were analyzed during the surgical procedure. After 60 min of MCAO, the suture was pulled back until the tip reached the suture around the ICA to restore blood flow (reperfusion). Regional cerebral blood flow (rCBF) was measured during the focal ischemia surgery. Laser-Doppler flowmetry (Periflux, Perimed) was used to monitor rCBF. Recordings were made bilaterally from each animal for at least 10 min before, during, and within 30 min after reperfusion. After the wound had been closed, the animals were allowed to recover from anesthesia before they were returned to their home cages.
Luciferase assay
Luciferase activity was quantified by a luciferase assay system (Promega, Madison, WI) according to the manufacturer's protocol. The results were reported as luciferase activity/total protein.
Tissue preparation
Rats were sacrificed 24 h and 14 days after MCAO with an overdose of 3.5% chloral hydrate and were transcardially perfused with 0.9% saline solution followed by 4% ice-cold phosphate-buffered paraformaldehyde (PFA). Brains were removed, postfixed overnight, and equilibrated in phosphate-buffered 30% sucrose. Coronal sections at 1.0 to 0.2 mm from bregma were used for immunohistochemical staining and were cut on a freezing microtome (Leica CM3000, Germany) at a thickness of 25 μm.
Immunohistochemistry and immunofluorescence staining
Frozen sections were double-stained for immunofluorescence and cell phenotypes were identified by colocalization of phenotypic markers with BrdU, as previously described, using these primary antibodies (and their concentrations): Goat polyclonal anti-doublecortin (DCX) to label neural progenitor cells (1:100; Santa Cruz); rabbit polyclonal anti-microtubule-associated protein-2 (MAP-2) to label mature neurons (1:50; Cell Signaling); mouse monoclonal anti-βIII tubulin (Tuj-1) to label immature neurons (1:100; Chemicon, Temecula), and rabbit polyclonal anti-caspase-3 to label apoptosis of neurons (1:100; cell signaling). Secondary antibodies: anti-mouse, rabbit and goat IgG-fluorescein isothiocyanate (FITC) and IgG-Cy3 (1:200; Chemicon). Confocal images were taken with a Zeiss LSM-510 microscope.
Transmission electron microscopy (TEM)
TEM was used to evaluate the ultrastructural changes. Cerebral fragments were fixed with 2.5% glutaraldehyde solution overnight at 4 °C and were washed with PBS after being fixed with 1% osmic acid for 2 h. The samples were embedded in an Epon/Araldite mixture and stained with uranyl acetate and lead citrate, and then were observed under a 1230 type transmission electron microscope (Electron Co, Japan) and photographed.
Western blotting
Rats were sacrificed at 4, 10, and 24 h after reperfusion with an overdose of 3.5% chloral hydrate. Rat cerebral homogenates were collected and centrifuged for 4 min at 3000×g and the resulting supernatants spun at 20 000×g for 30 min. Supernatants were diluted into 0.5 mg protein/mL for the measurement of Beclin1 and LC3. Protein content was determined with BSA as a standard according to the Bradford method25. Protein samples (20 μg/lane) were separated by sodium dodecyl sulfate–polyacrylamide gel electrophoresis and transferred to PVDF membranes (Millipore, Billerica, MA) through electroblotting. Blots were stained with rabbit polyclonal anti-autophagy APG8a (MAP1LC3A) antibody (Abgent, San Diego, CA, USA) and rabbit polyclonal anti-Beclin1 antibody (Cell Signaling). Then the blots were developed by enhanced chemiluminescence using SuperSignal west femto maximum sensitivity substrate (Pierce, Rockford, IL) and Kodak X-AR film. The Bio-Rad Quantity One® 1-D Analysis Software system, version 4.4, was used to calculate the numerical value of every blot, and mean densitometric×areal values were depicted as bar graphs. All the experiments reported in this study were performed three times and the results were reproducible.
Measurement of infarct volume
At 14 days after reperfusion, the rats were deeply anesthetized with 3.5% chloral hydrate and then decapitated, after which the brains were rapidly removed. Coronal sections (n=6 for each group) were cut into 2-mm slices and stained with standard 2% 2,3,5-triphenyltetrazolium chloride (TTC, Sigma-Aldrich) for 10 min at 37 °C followed by overnight immersion in 4% formalin. Infarct volume, expressed as a percentage of whole-brain volume, was measured by an image processing and analysis system (1.25×objective, Q570IW, Leica, Germany) and was calculated by integration of the infarct area in each brain section along the rostral-caudal axis26.
Neurological deficit scores
Neurological deficit scores were determined at 24 h, 7 days and 14 days after MCAO as previously described27: no neurological deficit (value=0); left forelimb flexion when suspended by the tail or failure to extend right forepaw fully (value=1); left shoulder adduction when suspended by the tail (value=2); reduced resistance to lateral push toward the left side (value=3); spontaneous movement in all directions with circling to the left exhibited only if pulled by tail (value=4); circle or walk spontaneously only to the left (value=5); walk only when stimulated (value=6); no response to stimulation (value=7); and stroke-related death (value=8).
Hematoxylin and eosin (H&E) staining
The sections were stained using H&E according to the standard procedures and observed under an Olympus BX51 light microscope. Under a light microscope at 400× magnification, 5 nonoverlapping fields in each of the selected regions of interest (ROIs) were examined to determine the intact neurons and injured neurons.
Data quantification and statistical analysis
Regions of interest (ROIs) were defined as a zone with 250 μm width and 800 μm length in the SVZ, and as a box with 700 μm width and length in the peri-infarct striatum and cortex (Figure 1A). For immunofluorescence counting, four sections were obtained and the results were expressed as the average number per rat. All data were expressed as mean±SD. Statistical analysis was performed using SPSS, version 11.0. ANOVA or a nonparametric test was used for statistical analysis. P<0.05 was considered statistically significant.
Results
Autophagy activation surrounding the ischemic core
Beclin1 has been identified as a mammalian autophagy gene28. In the present study, cellular protein extracts from the ipsilateral cortex, striatum and dentate gyrus (DG) surrounding the ischemic core were assessed by Western blot analysis. Here, the expression of Beclin1 was significantly enhanced in all regions as early as 4 h after ischemia (Figure 1B–1D). LC3-II is correlated with the extent of autophagosome formation and LC3-II/LC3-I provides a important molecular marker for detection of autophagic activity14, 29. The present study indicated that the LC3-II/LC3-I ratio was significantly increased in the ipsilateral striatum and hippocampus at 4, 10, and 24 h after reperfusion and in the ipsilateral cortex at 24 h after reperfusion, as compared to sham operated animals (Figure 1B–1D). The structures of autophagosomes, bounded by two or more membranes and containing cytoplasmic ground substance or fragments of cellular organelles, were frequently observed in ipsilateral neurons (Figure 2). The results demonstrate that autophagy is activated by transient MCAO.
Beclin1 expression in ipsilateral hemisphere treated with LV-shBeclin1
In order to test whether I/R-induced autophagic injury was dependent on Beclin1 expression, we depleted endogenous Beclin1 levels by stereotaxic injection of LV-shBeclin1 7d before ischemia. Luciferase activity was quantified as the reporter in the present study. At day 3 (preoperative day 4), animals treated with lentiviral vectors containing the luciferase sequence demonstrated positive luciferase expression, which peaked at day 14 (Figure 3C). We showed that LV-shBeclin1 led to a reduction of Beclin1 protein compared with LV-control in targeted regions such as the ipsilateral cortex, striatum and DG in I/R rats (Figure 3A, 3B, 3D). There were no significant differences in the studied parameters between LV-control and LV-shBeclin1 groups (Table 1). In both groups, CBF was reduced to approximately 25% of baseline during MCAO and recovered during the reperfusion phase, reaching 57% and 62% of baseline in the LV-control and LV-shBeclin1 groups, respectively. There were no significant differences in the CBF between the LV-control and LV-shBeclin1 groups (Figure 3E).
Table 1. Physiological parameters in rats subjected to transient MCAO. n=5. Mean±SD.
Group | MABP (mmHg) | pH | pCO2 (mmHg) | pO2 (mmHg) | |
---|---|---|---|---|---|
Before MCAO | LV-control | 82±6 | 7.35±0.01 | 58±6 | 67±2 |
LV-shBeclin1 | 89±7 | 7.35±0.01 | 56±3 | 68±5 | |
Ischemia (30 min) | LV-control | 83±3 | 7.35±0.03 | 49±2 | 70±5 |
LV-shBeclin1 | 85±5 | 7.35±0.02 | 48±5 | 73±7 | |
Reperfusion (30 min) | LV-control | 80±6 | 7.35±0.02 | 45±4 | 79±6 |
LV-shBeclin1 | 81±4 | 7.35±0.01 | 45±2 | 77±3 |
Apoptosis of immature neurons surrounding the ischemic hemisphere
Double labeling of active caspase-3 (fragment of p17) and DCX/Tuj-1 (Casp+–DCX+/Casp+–Tuj-1+) was performed in the present study. Activated caspase-3 immunostaining appeared in Tuj-1+ and DCX+ cells in the ipsilateral striatum at 14 days of reperfusion. The Tuj-1+-Casp-3+ and DCX+-Casp-3+ cells were decreased by treatment with LV-shBeclin1 (Figure 4). The results indicated that downregulation of Beclin1 by RNAi reduced the apoptosis of immature neurons in response to reperfusion.
Infarct volume
Transient focal ischemia for 60 min caused infarction in the striatum and frontoparietal cortex on day 14 after reperfusion. Examination of serial brain sections showed that stereotaxic injection of LV-shBeclin1 into the ipsilateral lateral ventricle significantly decreased infarct volume compared with LV-control treatment 14 days after focal ischemia/reperfusion (Figure 5).
Histological outcomes and neurological deficits
In I/R rats treated with LV-control, most neurons were markedly shrunken, and some had pyknotic nuclei and eosinophilic cytoplasm near the boundary of the ischemic core. In the I/R+LV-shBeclin1 group, many neurons were slightly shrunken and surrounded by swollen cellular processes (Figure 6A–6D). Neurological deficit scoring was performed from 24 h to 14 days after reperfusion. Neurological deficit scores decreased in the I/R+LV-shBeclin1 group and significant differences were found at 24 h and 14 days after reperfusion compared with the I/R+LV-control group (Figure 6E). These findings indicate that LV-shBeclin1 protects against ischemic brain injury.
Accumulation, migration and maturity of newborn neurons
We next investigated whether reduction of Beclin1 expression by RNAi participated in neurogenesis in the ischemic brain. Double staining of BrdU and DCX (BrdU+-DCX+) was used to detect the proliferating neural progenitor cells. Increased number of BrdU+-DCX+ cells was observed in the subventricular zone (SVZ) 14 days post-ischemia. Beclin1 RNAi increased BrdU+-DCX+ cells in the ipsilateral SVZ of the MCAO group (Figure 7A–7B). To determine whether Beclin1 RNAi influenced differentiation of neural progenitor cells to neuronal lineage, we used BrdU+-Tuj-1+ to detect newborn immature neurons and used BrdU+-MAP-2+ to detect newborn mature neurons. Consistent with previous reports30, we observed that most of these double-staining cells were located at the medial striatum and frontal cortex from the lateral ventricle to the boundary of the ischemic core. Compared with the sham group, BrdU+-Tuj-1+ cells and BrdU+-MAP-2+ cells increased in the ipsilateral striatum and frontal cortex 14 days post-reperfusion. Beclin1 RNAi increased the number of BrdU+-Tuj-1+ cells and BrdU+-MAP-2+ cells in the ipsilateral striatum and frontal cortex 14 days after I/R (Figure 7C–J).
Discussion
RNAi-mediated downregulation of Beclin1 decreases apoptosis and promotes neurogenesis in the ischemic hemisphere, and reduces infarct volume and inhibits histological injury in response to transient MCAO. These findings suggest that Beclin1-dependent autophagy may be a target to repair ischemic injury after stroke.
Autophagy is stimulated by nutrient starvation and growth factor deprivation when cells are unable to take up external nutrients. The process involves the rearrangement of subcellular membranes into autophagosomes and autophagic vacuoles11, 31. Autophagy may be triggered by cerebral ischemia to eliminate damaged mitochondria, thereby aborting apoptosis and delaying necrosis. However, if cerebral reperfusion deficits are not corrected, sustaining a high level of “autophagic stress” will lead to massive lysosomal activation and ultimately cell demise32. It was reported that hypoxic/ischemic neuronal death was largely prevented by Atg7 deficiency9, 33. Induction of autophagy in the ischemic phase was accompanied by activation of AMP-activated protein kinase (AMPK), whereas ischemia/reperfusion stimulates autophagy through a Beclin1-dependent but AMPK-independent mechanism5. Here, Beclin1 levels and LC3-II/LC3-I increased together with profuse autophagosomes in the ipsilateral hemisphere in response to MCAO reperfusion (Figure 1, 2). The results support the view that the upregulation of Beclin1 is restricted to some neurons and it appears to be a response to an ischemic insult34.
Apoptosis and autophagy can occur concurrently within damaged neurons, leading to cell death of mixed morphological and biochemical features in stroke6, 35. Beclin1 has been proposed to coordinate both apoptosis and autophagy through direct interaction with the anti-apoptotic family members Bcl-2 and/or Bcl-X(L)36. The size of myocardial infarction after I/R was significantly smaller in the Beclin1+/− mice than in wild-type (WT) mice. Furthermore, the number of TUNEL-positive cells in the ischemic area was also smaller in Beclin1+/− mice than in WT mice5. Beclin1-upregulating cells are also the ones that express the active form of caspase-334, implying that Beclin1 may participate directly in initiating apoptotic signaling. In the present study, we demonstrated that RNAi-mediated downregulation of Beclin1 reduced the apoptosis of immature neurons surrounding the ischemic core (Figure 4). Furthermore, downregulation of Beclin1 by RNAi reduced infarct volume, improved histological outcomes and decreased neurological deficit scores (Figure 5 and 6). These findings indicate that LV-shBeclin1 protects against ischemic brain injury.
Recent studies have demonstrated that neurogenesis from endogenous precursors is induced after focal cerebral ischemia and increasing neurogenesis after stroke could be a therapeutic strategy19, 30, 37. Modulation of neurodevelopment following brain damage by altering Beclin1-dependent autophagy has been well documented. For example, ethanol promotes premature neural progenitor maturation via suppressing autophagy rather than initiating cell death21. Ambral is a gene that encodes the activating molecule in Beclin1-regulated autophagy. Mutant Ambralgt/gt embryos appear to have overgrowth of the nervous system due to impairment of basal autophagy38. However, it was also reported that Ambra 1, a novel activating molecule in Beclin1-regulated autophagy, plays a role in the development of the nervous system38. Hence, further investigation is needed to clarify the role of Beclin1-dependent autophagy in neurogenesis after cerebral ischemia. We further studied the effects of stereotaxic injection of LV-shBeclin1 on neurogenesis in the adult rat brain after a transient MCAO. As previously reported30, we observed that transient MCAO caused the proliferation of neural progenitor cells and promoted the maturation of newborn neurons in the ipsilateral hemisphere. Interestingly, we found that Beclin1 downregulation by RNAi increased the number of neural progenitor cells (BrdU+-DCX+), newborn immature (BrdU+-Tuj-1+) and mature neurons (BrdU+-MAP-2+) in the surrounding ischemic core of the ipsilateral hemisphere (Figure 7). These findings support the view that dysregulation of Beclin1-dependent autophagy may be linked to cell proliferation39, 40.
Taken together, the data show that inhibition of Beclin1 by RNAi provides neuroprotection, possibly via promotion of neurogenesis and inhibition of apoptosis. Our findings suggest that Beclin1 downregulation could be a therapeutic strategy to improve recovery after stroke.
Author contribution
Prof Jian-xun LIU designed the research; Dr Yong-qiu ZHENG and Dr Xin-zhi LI performed the research and analyzed the data; Prof Li XU and Yong-gang XU contributed new analytical tools and reagents; and Yong-qiu ZHENG wrote the paper.
Acknowledgments
This work was supported by Key Project of National Science Foundation of China (No 30830118) and the International Project of Ministry of Science and Technology (No 2006DFA31750).
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