Abstract
Identification of reliable and robust biomarkers is crucial to enable early diagnosis of Parkinson disease (PD) and monitoring disease progression. While imperfect, the slow, chronic 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-induced non-human primate animal model system of parkinsonism is an abundant source of pre-motor or early stage PD biomarker discovery. Here, we present a study of a MPTP rhesus monkey model of PD that utilizes complementary quantitative iTRAQ-based proteomic, glycoproteomics and phosphoproteomics approaches. We compared the glycoprotein, non-glycoprotein, and phosphoprotein profiles in the putamen of asymptomatic and symptomatic MPTP-treated monkeys as well as saline injected controls. We identified 86 glycoproteins, 163 non-glycoproteins, and 71 phosphoproteins differentially expressed in the MPTP-treated groups. Functional analysis of the data sets inferred the biological processes and pathways that link to neurodegeneration in PD and related disorders. Several potential biomarkers identified in this study have already been translated for their usefulness in PD diagnosis in human subjects and further validation investigations are currently under way. In addition to providing potential early PD biomarkers, this comprehensive quantitative proteomic study may also shed insights regarding the mechanisms underlying early PD development. This article is part of a Special Issue entitled: Neuroproteomics: Applications in neuroscience and neurology.
Keywords: Parkinson disease; glycoproteomics; phosphoproteomics; 1-Methyl-4-phenyl-1, 2, 3, 6-tetrahydropyridine (MPTP); Macaca mulatta; putamen
Introduction
Parkinson disease (PD) is a chronic, progressively debilitating neurodegenerative disorder affecting 1–2% of persons over the age of 65 years worldwide [1, 2]. It is currently incurable, and treatment attempts are complicated by the advanced loss of neurons in the substantia nigra pars compacta (SNpc) present even at the earliest clinical manifestation of motor dysfunction [1–4]. Although PD has a prolonged prodromal phase during which non-motor clinical features as well as physiological abnormalities may be present [5], current PD diagnosis still largely relies on the more apparent classical clinical motor symptoms, which occur at later stages of the disease. At present, few diagnostic tools for unequivocal identification of PD patients at early stages are available [2, 6, 7]. This prevents early treatment that would potentially improve prognosis and impedes the progress of research toward treatments aimed at the preclinical population. Furthermore, there is currently no effective biomarker to predict or monitor PD progression.
Clinical premotor features, including olfactory disturbance, excessive daytime sleepiness, rapid eye movement behavior disorder, constipation, and depression, have been strongly linked to PD [5]. However, none of these signs alone are specific and sensitive enough for identifying premotor PD, thus limiting their clinical utilities to identifying high-risk individuals. The most sensitive tests developed to date as early PD biomarkers are based on imaging modalities, which can detect functional and structural abnormalities before the onset of motor dysfunction [6, 7]. However, the usefulness of neuroimaging techniques is limited by high cost, limited accessibility, and is subject to confounding factors such as medication and compensatory responses. Thus, a current major focus of early PD biomarker research is to identify biochemical marker candidates in the brain or body fluids, which might reflect the state of the disease. We have already investigated several potential cerebrospinal fluid (CSF) markers (known to be important in sporadic PD) in a cohort of symptomatic and asymptomatic subjects carrying one of the strongest risk factors for PD - the leucine rich repeat kinase 2 (LRRK2) gene mutations, and identified that some CSF protein levels correlated with the progressive loss of striatal dopaminergic functions as determined by positron emission tomography (PET) [8, 9]. The emergence of several –omics techniques, including transcriptomics, proteomics and metabolomics, has also greatly enhanced our ability to identify novel pathways and potential biomarkers for PD [7, 10, 11].
In the current study, using a non-human primate animal model of parkinsonism [12–14] and advanced unbiased proteomic profiling technologies, we intended to further identify key brain region proteins that are altered during the early disease stages and may be used as early PD biomarker candidates. In contrast to previous proteomic profiling studies in rodent models [15–21], we used 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) administered to monkeys via a slow intoxication protocol to produce a gradual development of nigral and striatal lesions mimicking the typical, chronic evolution of PD in humans [12, 13]. Additionally, we selectively enriched the glycoproteins and phosphoproteins and compared their proteomic profiles in the putamen samples collected at different states that mimic early stage parkinsonism, where no motor symptoms are apparent (asymptomatic) and later stage parkinsonism, where the cardinal motor symptoms are apparent (symptomatic). Differentially expressed proteins were identified between these states that were verified by behavioral, neuroimaging, and postmortem immunohistological measurements.
Materials and methods
Animals and experimental design
Fifteen adult female rhesus monkeys (Macaca mulatta, 4.5–8.5 kg) from the Yerkes National Primate Research Center colony were used in this study, in accordance with the guidelines from the National Institutes of Health. All procedures were approved by the Animal Care and Use Committee at Emory University (IACUC#: 256-2007Y, date: 08/2007). The animals were housed in a temperature-controlled room and exposed to a 12-h light/dark cycle. They were fed twice daily with monkey chow supplemented with fruits or vegetables. The animals had free access to water.
The 15 monkeys were divided into three groups. After collection of baseline behavioral and 2β-carbomethoxy-3β-(4-chlorophenyl)-8-(2-[18F]-fluoroethyl)-nortropane (18F-FECNT) PET imaging data using methods described previously [12, 13], these monkeys received a series of weekly intramuscular injections of either saline (Group 1, n=5) or MPTP (0.2–0.5 mg/kg body weight; Sigma-Aldrich, St. Louis, MO; Groups 2 and 3, n=5 for each group) (Fig. 1A). The animals were continuously monitored via behavioral observations and PET scans. After about 20–22 weeks of MPTP treatment, all Group 3 animals progressively developed moderate to severe parkinsonian symptoms according to the rating scale described previously [12, 13]. Group 2 animals, on the other hand, were sacrificed before any significant change in their motor behavior relative to baseline measurements appeared. At the termination of the experiment, part of the brain was frozen for mass spectrometry (MS) analysis. The remaining parts were used for the postmortem dopaminergic cell counts and striatal densitometry measurement of dopamine transporter (DAT) and tyrosine hydroxylase (TH) immunoreactivity as previously described [12, 13, 22].
Figure 1. Study design.
(A) MPTP treatment schedule. (B) Experimental scheme for comprehensive proteomic profiling of the glycoproteome and phosphoproteome. ASYM, asymptomatic MPTP-treated monkeys; CON, saline-injected controls; PET, positron emission tomography; SCX, strong cation exchange; SYM, symptomatic MPTP-treated monkeys.
Sample preparation
About 100 mg of frozen putamen tissue was quickly thawed on ice and homogenized using a glass-Teflon homogenizer in a lysis buffer [7 M urea, 2 M thiourea, 65 mM dithiothreitol (DTT), 2% 3-[(3-cholamidopropyl) dimethylamino]-1-propane sulfonate (CHAPS), and 1% (v/v) protease inhibitor cocktail (PIC; Cat.# P2714, Sigma-Aldrich, St Louis, MO, USA; prepared in 10 mL of H2O) for glycopeptide enrichment, or 150 mM NaCl, 0.1% NP-40, 0.1% Triton X-100, 10% glycerol, 1 μM okadaic acid, 1 mM phenylmethylsulfonyl fluoride (PMSF), 1 × Halt phosphatase inhibitor cocktail (Pierce/Thermo, Rockford, IL, USA), 1% (v/v) PIC in 20 mM 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid (HEPES; pH 7.5) for phosphopeptide enrichment]. The sample was further homogenized using a probe sonicator (microtip) with 10–20 pulses at low setting. The mixture was then centrifuged at 15,000 × g for 10 minutes (4°C) and the supernatant was transferred into a new centrifuge tube. For glycopeptide enrichment, proteins were precipitated from the supernatant by the addition of one volume TCA and eight volumes cold acetone and incubation at −20°C for 1 hour. The protein pellets were recovered by centrifugation at 15,000 × g for 10 minutes and 4°C and solubilized in 200 μL of digestion buffer [8M urea, 0.1% SDS and 2% Triton X-100 in 0.5 M triethyl ammonium bicarbonate buffer (TEAB), pH 8.5]. For phosphopeptide enrichment, the homogenate after sonication was used directly. The total protein concentration was estimated using a bicinchoninic acid assay (BCA; Pierce/Thermo). Equal amounts of protein from individual samples of control (5 cases), asymptomatic (5 cases), and symptomatic (5 cases) were pooled to create control (CON), asymptomatic (ASYM), and symptomatic (SYM) groups, respectively. At least three replicate pools were made for each group. A master pool sample was also created by combining equal amounts of all individual samples.
iTRAQ labeling
Labeling of peptides using the 4-plex iTRAQ reagent multiplex kit (AB SCIEX, Framingham, MA, USA) was performed as previously described [23], with minor modifications. Briefly, 100 μg of total protein from each pooled sample was reduced using 5 mM Tris (2-carboxyethyl) phosphine (TCEP) at 37°C for 1 hour. The mixture was then alkylated using 10 mM S-Methyl methane thiosulfonate (MMTS) for 10 minutes at room temperature. The sample was diluted 8 times with 0.5 M TEAB. Trypsin (Promega, San Luis Obispo, CA, USA) was then added at a 1:20 (w/w) enzyme to protein ratio and incubated for 2 hours at 37°C. Then, the same amount of trypsin was added and the incubation continued for 14–16 hours. Digested samples were evaporated to ~50 μL using a CentriVap concentrator (Labconco Inc, Kansas City, MO, USA) and then labeled with different iTRAQ reagents (CON – 114, ASYM – 115, SYM – 116, master pool – 117) following the manufacturer’s instructions. The labeled samples from the four groups were pooled together and desalted using a C18 cartridge (Waters, Milford, MA, USA) before glycopeptide or phosphopeptide enrichment.
Glycopeptide enrichment
Glycopeptide enrichment in pooled samples was performed using hydrazide resin as previously described [23, 24]. In brief, iTRAQ-labeled peptides were oxidized with 10 mM sodium periodate in an oxidation buffer (100 mM sodium acetate, 150 mM NaCl, pH 5.5) in the dark at room temperature for 1 hour with gentle mixing on a rotating shaker. The sample was then desalted through a C18 cartridge and collected in 0.1% trifluoroacetic acid (TFA)/80% acetonitrile (ACN). For each sample, 600 μL of hydrazide resin (Affi-Gel Hz Hydrazide Gel, Cat.# 153-6047, Bio-Rad, Hercules, CA, USA; 50% slurry) was washed and equilibrated in 0.1% TFA/50% ACN. Coupling of glycopeptides to the resin was then performed at room temperature for 22–24 hours. The resin was recovered by centrifugation at 3,000 × g for 5 minutes and then washed three times with 1.5 M NaCl, three times with 80% ACN, three times with 100% methanol, three times with deionized water, and finally three times with 0.1 M NH4HCO3 (pH 8.3). All supernatants were saved and combined for non-glycoprotein MS analysis. N-linked glycopeptides were recovered from the resin by PNGase F (NEB, Ipswich, MA, USA) cleavage for about 48 hours at 37°C. The supernatant containing the released glycopeptides was collected, and further extraction was performed by rinsing the resin 3 times with 0.05 M NH4HCO3 (pH 8.3) and then twice with 80% ACN. The samples were desalted using C18 cartridges before further analysis.
The non-glycopeptide mixture generated from the glycopeptide enrichment was further fractionated by strong cation exchange (SCX) chromatography before MS analysis. The sample was reconstituted in 1 mL buffer A (5 mM KH2PO4 and 25% ACN, pH 2.7–3.0) and fractionated using a PolySulfo-ethyl A (200 × 2.1 mm × 5-μm, 300 A) column (PolyLC, Columbia, MD, USA) on a Biologic Duo-Flow LC system (Bio-Rad). The peptides were separated with a linear gradient of 0% buffer B (5 mM KH2PO4, 25% ACN, 600 mM KCl, pH 2.7–3.0) to 100% B for 125 min at a flow rate of 0.2 mL/min. Fractions were collected and pooled to give approximately equal mass of total peptide per fraction based on a UV trace. Eight to nine SCX pools were made for each sample and desalted using C18 cartridges.
Phosphopeptide enrichment
Phosphopeptides were enriched using titanium dioxide (TiO2) affinity purification adapted from a published protocol [25]. Phosphopeptides in labeled samples were allowed to bind to TiO2 spin tips from a TiO2 Phosphopeptide Enrichment and Clean-up Kit (Pierce/Thermo), eluted from the spin tip, and cleaned using graphite spin columns (Pierce/Thermo) according to the manufacturer’s instructions. The samples were dried and resuspended in 0.5% TFA before MS analysis.
Mass spectrometry and protein quantification
For MALDI TOF/TOF tandem MS analysis, all three fractions (non-glycopeptides, glycopeptides, and phosphopeptides) were separated on a reversed-phase (RP) LC (Ultimate HPLC system, LC Packing/Dionex, Sunnyvale, CA, USA) coupled to a Probot™ spotting system (LC Packing/Dionex) using a linear gradient from 5 to 90% mobile phase B (80% ACN and 0.1% TFA in HPLC water) and mobile phase A (2% ACN and 0.1% TFA in HPLC water) for 120 min at a flow rate of 0.4 μL/min. The eluted fractions were mixed with matrix solution (recrystallized α-cyano-4-hydroxycinnamic acid, 7 mg/ml in 60% ACN and 2.6% ammonium citrate) at a 1:1 ratio and spotted onto a stainless MALDI plate. The spotted sample plates were analyzed using a 4800 Plus MALDI TOF/TOF™ (AB SCIEX) with a selected mass range of 800–3500 m/z and signal to noise (S/N) ratio greater than 50. MS/MS mass spectral data were analyzed using ProteinPilot software version 4.0 (AB SCIEX) referencing a M. mulatta database retrieved from UniProt (April 2012) with the following search parameters: MMTS for cysteine alkylation, trypsin specificity allowing up to 2 missed cleavages; biological modification, amino acid and substitutions were set for ID focus. For phosphopeptide-enriched samples, phosphorylation emphasis was used. The false discovery rate (FDR) of the identified protein was set to <5% and protein confidence greater than 95% was used with base correction. Background correction was considered to normalize the data. For non-glycoproteins, at least two peptide matches were considered for positive protein identification.
The glycopeptide and phosphopeptide fractions were also analyzed using a LTQ-Orbitrap XL mass spectrometer (Thermo Scientific, San Jose, CA, USA). Peptides were separated online with 75 μm i.d. × 20 cm home-packed fused silica columns (100 A Magic C18AQ: Michrom Bioresources, Auburn, CA, USA) using a nanoAcquity UPLC (Waters) with a 125 min 5–90 % acetonitrile/water gradient containing 0.1 % formic acid. Typical instrument settings were used and the top 20 most abundant ions were subjected to high-energy collision-induced dissociation (HCD) with normalized collision energy of 25%. All analyses were operated in positive ionization mode and the automatic gain control (AGC) was optimized to maintain constant ion populations. MS/MS mass spectral data were uploaded to SEQUEST (v27) and searched against the M. mulatta database and protein identifications were filtered by Peptide Prophet. The deamidation (+0.984 Da) of asparagine (N) was set as a dynamic modification as a result of deglycosylation with PNGase F; the threonine (T), tyrosine (Y), and serine (S) residues were set as being phosphorylated (+79.977 Da). All methionines (M) were allowed to be oxidized and methylthiolation (+45.988 Da) of cysteine (C) was considered as a static modification.
Protein (iTRAQ) quantification was expressed as a ratio with the CON levels (iTRAQ 114) as the denominator. A protein was considered differentially expressed if the iTRAQ ratio (e.g., ASYM/CON or SYM/CON) was ≥1.20 (increased) or ≤0.83 (decreased) [26].
Protein function and pathway analysis
Gene ontology (GO) analysis was performed on proteins associated with changes using the online AgBase-Goanna resource (version 2.0; http://agbase.msstate.edu/cgi-bin/tools/GOanna.cgi), which is a powerful homology-based approach for GO enrichment analysis [27], against the Agbase-UniProt database.
Results
MPTP treatment effects
Consistent with our previous findings [12, 13, 22], all MPTP-treated monkeys in the symptomatic (SYM) group displayed moderate to severe parkinsonian symptoms after 20–22 weeks of MPTP treatment, while monkeys in the saline control (CON) and asymptomatic (ASYM) groups did not show significant changes in their parkinsonism rating scores at the termination of the experiment. The different behavioral responses were correlated with the 18F-FECNT uptake in all striatal regions of interest (see representative PET images in Supplementary Fig. 1) as reported previously [12, 13].
Postmortem TH immunohistochemistry studies in the animals in the SYM group showed an almost complete loss of TH immunoreactivity in the dorsal striatum (Fig. 2 and Supplementary Fig. 2). Animals in the ASYM group displayed a less severe decrease in striatal TH immunoreactivity in all regions of interest compared with the SYM monkeys. The degree of TH depletion in all MPTP-treated monkeys was most severe in the post-commissural putamen regions of interest (putamen/motor, putamen/limbic) (Supplementary Fig. 2). Similar findings were found in striatal tissue immunostained for DAT, and significant depletion in the number of TH-immunoreactive neurons was also observed in the SNpc in MPTP-treated monkeys (Supplementary Fig. 3 and data not shown), confirming our previous observations [12, 13].
Figure 2. Tyrosine hydroxylase (TH) immunoreactivity in control and parkinsonian monkeys.
Average postmortem densitometry measurements are shown for different striatal regions in saline-injected controls (CON), asymptomatic (ASYM) and symptomatic (SYM) MPTP-treated monkeys. AC, accumbens; CA, caudate nucleus; PA: putamen associative (pre-commissural putamen); PL: putamen limbic (ventral post-commissural putamen); PM, putamen sensorimotor (dorsal post-commissural putamen).
Glycoprotein and non-glycoprotein profiling in asymptomatic and symptomatic MPTP monkeys
Given the significant changes observed in the striatum, particularly the putamen regions, in MPTP-treated monkeys, we focused the quantitative proteomic profiling on the putamen in this study, aiming to identify the proteins altered during the early disease stage before the apparent symptoms appeared (see Fig. 1B for the proteomic experimental design). Firstly, to maximize the chance of successful identification of proteins, particularly low abundant ones, we employed the commonly used hydrazide capture method [28] to enrich N-glycoproteins and separate proteins into the glyco- and non-glyco-fractions. Peptide and protein identification was accepted when the confidence was equal or greater than 95% and the FDR was less than 5%. Relative quantification was obtained through iTRAQ labeling. Samples were analyzed, at a minimum, in triplicates. Proteins identified at least twice in the experiments were counted in this study.
MS analysis of the iTRAQ-labeled glycopeptide-enriched samples provided a total of 295 glycopeptide identifications corresponding to 222 glycoproteins (Supplementary Table 1A and 1B). MALDI-TOF/TOF and LTQ-Orbitrap XL (with HCD) platforms generated partially overlapping but otherwise complementary results, in a manner similar to previous reports [29–31]. The MALDI-TOF/TOF system might perform slightly better to produce intense and reproducible iTRAQ reporter ions, but it appeared that reasonably accurate and compatible results can also be obtained on the LTQ-Oribitrap XL system (data not shown). Thus we combined the two sets of data to increase the protein and proteomic coverage.
Among the identified glycoproteins, 86 of them displayed at least 20% changes in either the asymptomatic or the symptomatic MPTP-treated group compared to the control group (see a complete list in Supplementary Table 2A). 27 of them showed significant (≥50%) early changes in the asymptomatic group (Table 1). Notably, some proteins displayed progressive changes as the disease advanced; for example, the levels of F7FY86_MACMU (ITAV_HUMAN, integrin alpha-V), G7N2R8_MACMU (SIRB1_HUMAN, signal-regulatory protein beta-1), and F6XVJ3_MACMU (HYOU1_HUMAN, hypoxia up-regulated protein 1) progressively increased in asymptomatic and symptomatic monkeys.
Table 1.
Selected altered glycoproteins identified in the MPTP monkey model
Accession no. | Name | ASYM:CON* | SYM:CON* | Human homolog |
---|---|---|---|---|
F7HJ53_MACMU | Uncharacterized protein | 50.28 | 50.19 | PGCB_HUMAN |
F6UWH5_MACMU | Uncharacterized protein (Fragment) | 44.45 | 0.60 | PTPR2_HUMAN |
G7N0R4_MACMU | Dihydropyrimidinase-related protein 2 | 21.63 | 22.52 | DPYL2_HUMAN |
F6Y0V7_MACMU | Uncharacterized protein (Fragment) | 21.43 | 10.44 | LAMP1_HUMAN |
G7NIM4_MACMU | Contactin-associated protein 1 | 20.85 | 18.57 | CNTP1_HUMAN |
F7C5T5_MACMU | Uncharacterized protein | 19.85 | 16.64 | CSPG2_HUMAN |
F7CT46_MACMU | Uncharacterized protein | 18.98 | 2.14 | TPBG_HUMAN |
F7G512_MACMU | Uncharacterized protein | 18.90 | 18.20 | NCAN_HUMAN |
F7FA05_MACMU | Uncharacterized protein (Fragment) | 15.43 | 12.14 | FOLH1_HUMAN |
G7NNG7_MACMU | Brain link protein 2 (Fragment) | 11.45 | 6.86 | HPLN4_HUMAN |
F7AV81_MACMU | Hemoglobin beta chain | 4.42 | 0.43 | HBB_HUMAN |
F6ZXF7_MACMU | Uncharacterized protein | 3.94 | 2.17 | B9EK55_HUMAN |
G7N2R8_MACMU | Signal-regulatory protein beta-1 | 3.68 | 5.78 | SIRB1_HUMAN |
F7HGN6_MACMU | Uncharacterized protein | 3.13 | 2.14 | DPP6_HUMAN |
G7MNJ0_MACMU | Putative uncharacterized protein (Fragment) | 2.82 | 1.50 | DPP6_HUMAN |
G7NQC3_MACMU | Hemoglobin alpha chain | 2.13 | 0.40 | HBA_HUMAN |
F7GZA4_MACMU | Uncharacterized protein | 2.00 | 1.33 | OMGP_HUMAN |
F6XVJ3_MACMU | Uncharacterized protein | 1.94 | 2.65 | HYOU1_HUMAN |
F6QEE7_MACMU | ADP-ribosyl cyclase 1 | 1.80 | 1.03 | CD38_HUMAN |
F7FY86_MACMU | Uncharacterized protein (Fragment) | 1.76 | 5.56 | ITAV_HUMAN |
G7MV77_MACMU | Proteoglycan link protein | 1.73 | 1.34 | HPLN1_HUMAN |
F6V3K6_MACMU | Uncharacterized protein | 1.65 | 1.76 | NFASC_HUMAN |
G7NNG6_MACMU | Chondroitin sulfate proteoglycan 3 | 1.65 | 1.74 | NCAN_HUMAN |
F7C5S6_MACMU | Uncharacterized protein | 1.62 | 1.46 | CSPG2_HUMAN |
G7NKA5_MACMU | Myelin basic protein | 1.59 | 0.73 | MBP_HUMAN |
G7NDG2_MACMU | Lysosomal acid phosphatase | 1.52 | 1.46 | PPAL_HUMAN |
G7N1N6_MACMU | Vimentin | 0.43 | 0.35 | VIME_HUMAN |
See a complete list of altered glycoproteins in Supplementary Table 2A.
ASYM, asymptomatic MPTP-treated monkeys; CON, saline-injected controls; SYM, symptomatic MPTP-treated monkeys.
To further characterize both the total identified set of glycoproteins and the subset of altered ones, a biological function and pathway analysis was performed using the online AgBase-Goanna resource. This sequence homology based tool was chosen to maximize homologous gene/protein annotations because of the limitation of the GO annotation of M. mulatta. The results indicated that the most enriched GO categories in altered glycoproteins included anatomical structure development, small molecule metabolic processes, transport, cell differentiation, signal transduction, cell adhesion, catabolic process, cellular nitrogen compound metabolic process, response to stress, cell-cell signaling, and cell death (Fig. 3A). The main enriched categories in all identified glycoproteins were similar to those in altered glycoproteins (Fig. 3B).
Figure 3. Gene ontology analysis of the identified proteins.
The top 10 enriched gene ontology categories are shown for (A) altered glycoproteins (displayed ≥20% changes in either the asymptomatic or the symptomatic MPTP-treated group compared to the control group), (B) all identified glycoproteins, (C) altered non-glycoproteins, (D) all identified non-glycoproteins, (E) altered phosphoproteins, and (F) all identified phosphoproteins.
The differential expression of non-glycoproteins in asymptomatic and symptomatic putamen samples was also investigated. A strong cation exchange (SCX) was used to reduce the complexity of the samples, and each of the resulting fractions was thoroughly analyzed using LC-MALDI MS/MS in at least 3 runs. A total of 838 proteins were identified with ≥2 confidently identified peptides (Supplementary Table 3). 163 of these identified proteins displayed ≥20% changes in MPTP-treated monkeys (Supplementary Table 2B). Many of the altered proteins, including F7H5G4_MACMU (UCHL1_HUMAN, ubiquitin carboxyl-terminal hydrolase isozyme L1), F6V387_MACMU (NFASC_HUMAN, neurofascin), G7N6I0_MACMU (LDHB_HUMAN, L-lactate dehydrogenase B chain), F6ZNF3_MACMU (GFAP_HUMAN, glial fibrillary acidic protein), G7N6Q4_MACMU (CNTN1_HUMAN, contactin-1), G7MZQ9_MACMU (CALB1_HUMAN, calbindin), F7HN33_MACMU (BASP1_HUMAN, brain acid soluble protein 1), F7H4X8_MACMU (SYUG_HUMAN, gamma-synuclein), G7NGJ8_MACMU and F6WHL1_MACMU (ALDOC_HUMAN, fructose-bisphosphate aldolase C), have been implicated in neurodegeneration in PD and other diseases [32–35]. GO analysis of the identified non-glycoproteins revealed similar results as those in glycoprotein clusters, however, the immune system processes became more enriched while cell adhesion dramatically dropped down to #26 (Fig. 3C and 3D).
Phosphoprotein profiling in asymptomatic and symptomatic MPTP monkeys
The analysis of phosphoproteins by iTRAQ labeling and TiO2-affinity enrichment revealed a total of 602 unique phosphopeptides corresponding to 313 phosphoproteins (Supplementary Table 4A and 4B). Of these phosphoproteins, 71 displayed at least 20% changes in MPTP-treated monkeys (Supplementary Table 2C) and 10 of them showed significant (≥50%) early changes in the asymptomatic group (Table 2). Some of the altered phosphoproteins [e.g., F6XTG8_MACMU (Tau_HUMAN, microtubule-associated protein tau), F7H4E3_MACMU and F7F8N7_MACMU (ANK2_HUMAN, ankyrin-2), G7NB43_MACMU and F6XD34_MACMU (BIN1_HUMAN, Myc box-dependent-interacting protein 1), G7N864_MACMU and F7FN49_MACMU (S4A10_HUMAN, sodium-driven chloride bicarbonate exchanger), Q9N0X9_MACMU and F7GT55_MACMU (STX1A_HUMAN, syntaxin-1A)] have already been proposed as potential biomarkers of PD [33, 35, 36], but many others have yet to be linked to PD. Thus, we have confirmed the presence of previously reported significant PD proteins, and generated a list of novel proteins that may yield insight into potentially new mechanisms underlying PD development. GO analysis of the altered and all identified phosphoproteins (Fig. 3E and 3F) revealed that the dominant GO term associated with phosphorylated proteins is associated with cell morphogenesis when phosphoproteins were compared with glycoproteins.
Table 2.
Selected altered phosphoproteins identified in the MPTP monkey model
Accession no. | Name | ASYM:CON* | SYM:CON* | Human homolog |
---|---|---|---|---|
G7NQJ4_MACMU | Fructose-bisphosphate aldolase | 3.71 | 1.30 | ALDOA_HUMAN |
G7NGM5_MACMU | Putative uncharacterized protein | 2.66 | 0.87 | NHRF1_HUMAN |
F7FKM0_MACMU | Uncharacterized protein | 2.64 | 3.28 | AKA12_HUMAN |
G7NM84_MACMU | Putative uncharacterized protein (Fragment) | 2.32 | 1.51 | CADM1_HUMAN |
G7NB43_MACMU | Putative uncharacterized protein | 2.09 | 2.96 | BIN1_HUMAN |
F6XT64_MACMU | Uncharacterized protein | 1.94 | 1.47 | NFM_HUMAN |
G7NKA5_MACMU | Myelin basic protein | 1.84 | 1.89 | MBP_HUMAN |
G7NA27_MACMU | Putative uncharacterized protein | 1.69 | 1.23 | SPTB2_HUMAN |
F7GUQ8_MACMU | Uncharacterized protein | 1.53 | 1.08 | DNJC5_HUMAN |
G7MK67_MACMU | Putative uncharacterized protein | 0.44 | 0.68 | ARP21_HUMAN |
See a complete list of altered phosphoproteins in Supplementary Table 2C.
ASYM, asymptomatic MPTP-treated monkeys; CON, saline-injected controls; SYM, symptomatic MPTP-treated monkeys.
Discussion
To our knowledge, our study represents the first large-scale proteomic analysis of striatum in the MPTP monkey model of PD. In the investigation we have identified quantitatively altered proteins in this model of parkinsonism with potential utility as early disease diagnostic biomarkers and biomarker candidates for the subtle changes that mark the progression from early to advanced stages. It should be noted that although animal models provide valuable contributions to biomarker discovery and insight as to the roles of biomarkers in the molecular circuitry and mechanisms underlying the pathogenesis of PD, or neurodegeneration in general, no animal model, including the MPTP mouse models utilized in recent proteomic studies [15–21] and the MPTP monkey model used in this study, is able to faithfully replicate the complexity of PD in humans. However, this MPTP monkey model reproduces important features of idiopathic PD in humans, namely the loss of dopamine-producing neurons, reduction in striatal dopamine level, and motor abnormalities [37–40]. The slow MPTP intoxication of primates used in this study may produce a more gradual development of nigral lesion, and critical thresholds can be established distinguishing between the asymptomatic and symptomatic parkinsonian stages [12–14]. Furthermore, this model may improve on the rodent models with respect to display of significant neuronal loss in non-dopaminergic regions (e.g., the locus coeruleus [13], the raphe, the center median and parafascicular thalamic nuclei [41]) known to be affected in PD [41].
The development of high performance quantitative MS-based methods has revolutionized biomarker discovery and currently stands at the forefront in identifying relevant disease-related biomarker candidates. Although a wide array of approaches is available, stable isotope labeling techniques, including the isobaric tags for relative and absolute quantification (iTRAQ) [42, 43] used in this study, are well suited in quantifying candidate biomarkers in disease versus control samples. With this strategy, highly sensitive and specific quantification with low limits of detection and quantification can be achieved. We and others have successfully implemented this approach in studies to characterize glycoproteins, and proteins generally associated with neurodegenerative disorders including PD and AD; moreover, the altered proteins identified with these techniques could be confirmed or validated using independent technologies such as Western blotting [26, 44–48]. The data presented here also suggests that LC-ESI-MS/MS and LC-MALDI-TOF/TOF could be complementary platforms when using iTRAQ technology. Employing both increases both protein and proteomic coverage over what would be obtained by either alone, particularly for complex samples.
A key advance of this investigation is that using glycopeptide and phosphopeptide enrichments along with iTRAQ labeling we have identified glycoproteins, non-glycoproteins, and phosphoproteins that are altered during the early stages in the MPTP-induced animal model system of parkinsonism; some of the identified proteins have already been linked to neurodegeneration. Glycosylation is an important and ubiquitous post-translational modification in proteins. Deregulated and aberrant protein glycosylation has been implicated in PD, Alzheimer disease (AD), and other neurodegenerative diseases [44]; and glycoproteins, which are prevalent among extracellular surface proteins and secreted proteins, are ideal sources of biomarkers. We have identified a class of glycoproteins that are highly up-regulated in putamen of asymptomatic monkeys known as proteoglycans. These glycoproteins play important roles in synaptic plasticity and serve as signaling molecules for neurite outgrowth in the central nervous system. The core proteins, brevican (PGCB), versican (CSPG2), neurocan (NCAN), and hyaluronan and proteoglycan link (HPLN4) were highly overexpressed in asymptomatic monkeys. For instance, the brevican core protein had a 50-fold enhancement in the asymptomatic group versus control and the level remained the same in the symptomatic group. Similar trends were observed in the other core proteins. Although CSPG2 and HPLN4 showed a reduction in the symptomatic group when compared to the asymptomatic group, the levels of these proteins were still significantly higher than the control group. The high levels of these glycoproteins in asymptomatic monkeys suggest that the increase of glycosylation in these proteins or their total protein levels may be an early event associated with neuronal loss and neurodegeneration.
The proteins DPYL2, PTPR2, LAMP1, TPBG, and FOLH1 were also up-regulated in asymptomatic monkeys and could serve as candidate early disease biomarkers. For example, DPYL2 was ~21-fold higher in asymptomatic group compared to control group. DPYL2 plays important roles in neuronal development, polarity, axon growth and guidance, neuronal growth cone collapse and cell migration. Zahid and co-workers showed that DPYL2 was up-regulated in the substantia nigra and cortex regions of AD patients using phosphoproteome profiling [35]. Furthermore, Castegna and co-workers showed that DPYL2 protein oxidation was significantly increased in AD brain, which suggests impaired neural network formation [49] and its potential mediation of neurodegeneration in an animal model of multiple sclerosis [50]. This protein might also be involved in the loss of spines seen on striatal neurons in PD and our MPTP monkey model [51]. Another protein that was up-regulated in asymptomatic monkeys is GCPII. GCPII (glutamate carboxypeptidase) is a transmembrane metallopeptidase found mainly in the brain, small intestine, and prostate, and it may convert the abundant neuropeptide, N-acetylaspartylglutamate, to glutamate. Glutamate excitotoxicity has been implicated as a mechanism of motor neuron degeneration in both amyotrophic lateral sclerosis (ALS) and familial ALS, and this might explain the role of GCPII inhibitors in preventing motor neuron cell death in both systems [52].
The proteins SIRB1, HYOU1, ITAV, SEM4D, and MDHM were progressively increased in MPTP-treated groups or increased in the later stage (symptomatic) only, suggesting their potential usage for disease staging and monitoring disease progression. The signal regulatory protein beta-1 (SIRPB1) is a DAP12-associated transmembrane receptor expressed in a subset of hematopoietic cells. Activation of SIRPB1 increased phagocytosis of microsphere beads, neural debris, and fibrillary amyloid beta and is identified as a novel IFN-induced microglial receptor that supports clearance of neural debris and amyloid beta aggregates by stimulating phagocytosis [53]. SIRPB1 is up-regulated and acted as a phagocytic receptor on microglia in amyloid precursor protein J20 (APP/J20) transgenic mice and in AD patients [53].
Phosphorylation is another important post-translational modification of proteins and plays an integral role in cellular processes including proliferation, cell differentiation, cell death, protein localization, degradation, and complex formation. Accumulating evidence shows that aberrant protein phosphorylation leads to cellular dysfunction, ultimately leading to diseases; and phosphorylated proteins appear to play a prominent role in the formation of pathologic inclusions in both PD and AD [54]. We have identified several phosphoproteins that were differentially expressed in asymptomatic compared to symptomatic monkeys such as G7N8T0 (MTAP2_HUMAN), G7NQJ4 (ALDOA_HUMAN), F7FKM0 (AKA12_HUMAN), G7NB43 (BIN1_HUMAN), F7FEE8 (NEUM_HUMAN), G7ME67 (PEA15_HUMAN), and F7FW77 (ZFY19_HUMAN). Aberrant phosphorylation of MTAP2 proteins leads to their dissociation from microtubules and the formation of neurofibrillary tangles, a hallmark of neurodegeneration. Although the exact function of MTAP2 is unknown, MTAPs may stabilize the microtubules against depolymerization [55–57].
Although some of the candidate biomarkers identified here have already been linked to neurodegeneration in humans, rigorous qualification and validation of these proteins in disease and healthy human subjects are needed to assess the utility and usefulness of these potential biomarkers in clinical settings. Some glycoproteins identified in this study, including PGCB, NCAN, PTPR2, and SEM4D, have been identified in human cerebrospinal fluid (CSF) using complementary approaches including lectin affinity purification and hydrazide chemistry [58]. Additionally, we have initiated evaluations of the diagnostic utility of the altered proteins identified in this study in human CSF and plasma samples in our related projects. For example, HYOU, LSAMP, N1CAM, and SEMA4D have been identified and validated in the plasma of PD patients using glycopeptide enrichment and selected reaction monitoring MS assay [59]. In addition, LRP1 when combined with a 5-peptide model has been found to perform well in differentiating patients with PD and healthy controls [60].
In addition to this unique proteomic investigation in non-human primates, several recent proteomic profiling studies investigated brain protein changes in MPTP mouse models [15–21]. For example, Chin et al [16] identified 86 proteins in mouse striatum with significant abundance changes following neurotoxin treatment that are related to mitochondrial dysfunction, oxidative stress, and apoptosis. A more recent MPTP mouse study observed a total of 518 proteins with substantial abundance changes across different brain regions [20]. Remarkably, in the current study, we observed similar affected categories of biological functions - specifically stress response, cell death, and energy metabolism. Some proteins identified in these previous mouse studies, such as the oligodendrocyte-myelin glycoprotein precursor (OMGp) [16], astrocytic phosphoprotein (PEA15) [20], cytochrome c oxidase (COX) subunits [17, 20] and glutathione S-transferase Mu (GSTM) [15, 16, 20], also displayed significant changes in our monkey study, particularly in the symptomatic group. The other changed proteins uniquely identified in our study could be specific to the monkey model; but as indicated earlier, some of these proteins have already been observed in human CSF or plasma with unique alterations in PD patients, arguing for the advantage of this slow progressive PD model. The other advantage of the current investigation is that we focused on glycoproteins and phosphoproteins that are altered during the early stages in the MPTP-induced neurodegeneration and those proteins might be better biomarker candidates. That said, there exists a limitation in our study that less than optimal protein annotation was observed due to the uncharacterized nature of the rhesus monkey proteome (database) compared to the human and rodent ones. Another limitation of the current study is that for ease of analysis, only the N-linked glycopeptides were analyzed by using a well-established and commonly employed protocol. Although N-linked glycosylation is particularly prevalent in proteins destined for the extracellular environment, i.e., more likely to be biomarker candidates, O-linked glycoproteins/peptides need to be further investigated (e.g., using proper specific cleavage methods) in future studies.
To summarize, this work represents the most comprehensive quantitative proteomic study of the MPTP monkey model of PD. We have identified striatal proteins, particularly glycoproteins and phosphoproteins, which may alter in abundance during early disease stages, even prior to motor symptoms. Our data also indicates that the altered proteins are heavily involved in cellular energy production, protection from oxidative damage, improper protein clearance, transport, and maintenance of synapse integrity. This study has provided potential biomarkers that are currently being further investigated, validated, and translated for their usefulness in early PD diagnosis in human subjects and may also shed insights into understanding the mechanisms underlying the progression from early PD to later stages.
Supplementary Material
Highlights.
Proteomic profiling in a chronic MPTP-induced non-human primate model of parkinsonism
Complementary quantitative iTRAQ-based, glyco- and phosphoproteomics approaches
Monkey states were verified by neuroimaging and postmortem immunohistological measurements
>300 differentially expressed proteins IDed in asymptomatic and symptomatic monkeys
Several identified proteins were translated for their usefulness in human PD diagnosis
Acknowledgments
This study was supported by generous grants from the National Institutes of Health (NIH) (R01 NS057567, U01 NS082137, P50 NS062684-6221, P30 ES007033-6364, R01 AG033398, R01 ES016873, and R01 ES019277 to JZ). It was also supported in part by the University of Washington’s Proteomics Resource (UWPR95794), a NIH infrastructure grant to the Yerkes National Primate Research Center (P51 OD011132), the Emory UDALL Center of Excellence for Parkinson’s Disease (P50 NS071669), and the National Natural Science Foundation of China (NSFC) projects (31200105 and 31470238).
Footnotes
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