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International Journal of Molecular Medicine logoLink to International Journal of Molecular Medicine
. 2017 Aug 3;40(4):1125–1133. doi: 10.3892/ijmm.2017.3089

Nova1 mediates resistance of rat pheochromocytoma cells to hypoxia-induced apoptosis via the Bax/Bcl-2/caspase-3 pathway

Hualing Li 1,2,3,4,5,*, Bei Lv 1,*, Ling Kong 1,*, Jing Xia 1, Ming Zhu 1, Lijuan Hu 1, Danyang Zhen 1, Yifan Wu 1, Xiaoqin Jia 1, Sujuan Zhu 6,, Hengmi Cui 2,4,5,7,
PMCID: PMC5593465  PMID: 28791345

Abstract

Neuro-oncological ventral antigen 1 (Nova1) is a well known brain-specific splicing factor. Several studies have identified Nova1 as a regulatory protein at the top of a hierarchical network. However, the function of Nova1 during hypoxia remains poorly understood. This study aimed to investigate the protective effect of Nova1 against cell hypoxia and to further explore the Bax/Bcl-2/caspase-3 pathway as a potential mechanism. During hypoxia, the survival rate of pheochromocytoma PC12 cells was gradually decreased and the apoptosis rate was gradually increased, peaking at 48 h of hypoxia. At 48 h after transfection of PC12 cells with pCMV-Myc-Nova1, the expression of Nova1 was significantly increased, with wide distribution in the cytoplasm and nucleus. Moreover, the survival rate was significantly increased and the apoptosis rate was significantly decreased. Additionally, the mRNA and protein expression levels of Bax and caspase-3 were significantly increased in the pCMV-Myc group and significantly decreased in the pCMV-Myc-Nova1 group, whereas that of Bcl-2 was significantly decreased in the pCMV-Myc group and significantly increased in the pCMV-Myc-Nova1 group. This study indicated that Nova1 could be linked to resistance to the hypoxia-induced apoptosis of PC12 cells via the Bax/Bcl-2/caspase-3 pathway, and this finding may be of significance for exploring novel mechanisms of hypoxia and the treatment of hypoxia-associated diseases.

Keywords: neuro-oncological ventral antigen 1, resistance, hypoxia, apoptosis, pathway

Introduction

Hypoxia is a common pathological process involving abnormal changes in the morphological structure, function and metabolism of tissue due to the lack of oxygen or clinically, to the barrier of oxygen use (13). Hypoxia of major organs, such as the brain and heart (47), often results in the death of the organism. The combination of the extent, speed, and duration of hypoxia and the organism's metabolic state determine the influence of hypoxia on the organism. Acute severe hypoxia often causes organ compensatory insufficiency, metabolic disorders, irreversible damage and even death (810), and chronic mild hypoxia often causes slight compensatory reactions (1113).

Brain hypoxia often causes severe changes to the internal and external environments of cells, often leading to necrosis or apoptosis and also often activating self-repair mechanisms in response to hypoxic injury (14,15). Recently, although neuronal apoptosis has been well documented at the molecular level, the mechanism remains unknown and the chaos of apoptosis may be closely associated with the genesis and development of multiple nervous system diseases, such as stroke (16,17), cerebral injury (18,19), neurologic tumors and neurodegenerative recession diseases (2023).

Neuro-oncological ventral antigen (Nova) is one of the first validated mammalian neuron-specific splicing factors, and has been identified as an antigen of paraneoplastic opsoclonus myoclonus ataxia (POMA) (24,25). Members of the Nova superfamily, including Nova1 and Nova2, are a type of RNA binding protein that is expressed only in the central nervous system and that can bind the YCAY motif of pre-mRNA of target genes both in vivo and in vitro via its KH domain, thereby regulating alternative splicing (26,27). Based on the differences in the target binding positions, Nova has a dual function as a splicing regulating factor, both promoting and inhibiting splicing. Nova can recruit other splicing factors when bound to the YCAY motif of pre-mRNA to promote the assembly of the spliceosome, or it can indirectly enhance the assembly of the spliceosome at weak splicing sites (28). In addition, due to steric hindrance, Nova can also inhibit the assembly of the spliceosome (25). Within the Nova superfamilly, Nova1 was initially speculated to regulate alternative splicing due to its KH domain, similar to hnRNP K and MER1. Nova1 is highly evolutionarily conserved and its amino acid homology among human, rat and mouse is 99%, indicating its significant function in organismal biology (29). As demonstrated by several studies, Nova1 can regulate the alternative splicing of neuronal transcripts, a process that is closely associated with all types of brain physiology and biochemistry, as well as complex nerve systems and elaborate regulatory processes (30). We also showed that Nova1 may mediate neuronal responsiveness after ischemia-reperfusion insults in the rat brain (29). Therefore, to ascertain whether Nova1 is involved in hypoxia injury and has a protective effect on neural cells after hypoxia injury, the eukaryotic expression vector pCMV-Myc-Nova1 was constructed. The results showed that Nova1 may protect against hypoxia-induced apoptosis in PC12 cells via Bax/Bcl-2/caspase-3 pathway. As expected, after overexpression of Nova1 protein in PC12 cells subjected to 48 h hypoxia, the rate of apoptosis was significantly decreased, the mRNA and protein expression levels of Bax and caspase-3 were significantly decreased, and the expression of Bcl-2 was significantly increased, indicating that Nova1 protects against the hypoxia-induced apoptosis of PC12 cells via the Bax/Bcl-2/caspase-3 pathway.

Materials and methods

Construction of eukaryotic expression vector pCMV-Myc-Nova1

Primers based on the full-length cDNA sequence of Nova1 (NM_002515.2) were designed according to GeneBank data (http://www.ncbi.nlm.nih.gov/genbank) and chemically synthesized by Invitrogen (Carlsbad, CA, USA) as follows: pU, 5′-TACGTCGACTATGATGGCGGCAGCTCCC-3′ (the SalI restriction site is underlined), and pD, 5′-TCCCTCGAGTCAACCCACTTTCTGAGG-3′ (the XhoI restriction site is underlined). Subsequently, a Nova1 cDNA fragment (1,503 bp) with SalI and XhoI restriction endonuclease sites was amplified from pCR4-TOPO-Nova1 by polymerase chain reaction (PCR) using the above-designed primers and then subcloned into the eukaryotic expression vector pCMV-Myc followed by direct sequencing.

Culturing of PC12 cells and transfection

PC12 cells purchased from the American Type Culture Collection (ATCC; Manassas, VA, USA) (CRL-1721™) were thawed from storage in liquid nitrogen using Dulbecco's modified Eagle's medium (DMEM) with 100 ml/l horse serum and 50 ml/l fetal bovine serum. The cells were then cultured to the logarithmic growth phase in a CO2-incubator with 5% CO2 at 37°C. After digestion with 0.25% Trypsin, the cell solution was diluted and incubated in a 6-well plate (3×105 cells/well) followed by culturing in a CO2-incubator with 5% CO2 at 37°C. When the cells reached ~80–90% confluence, a total of 2 µg of pCMV-Myc and pCMV-Myc-Nova1 plasmids was transfected into PC12 cells using Lipofectamine 2000 (Invitrogen) according to the manufacturer's instructions. First, 2 µg of plasmids, including pCMV-Myc and pCMV-Myc-Nova1, was mixed with 50 µl of Opti-MEM serum-free medium (solution A; Gibco, Grand Island, NY, USA). Then, 5 µl of Lipofectamine 2000 was mixed with 50 µl of Opti-MEM serum-free medium (solution B) and incubated at room temperature (RT) for 5 min. Finally, solution A and solution B were mixed and incubated at RT for 20 min, after which they were added to 6-well plates for transfection. At 24, 48, 72 and 96 h after transfection, the cells were collected for extraction of total RNA and total proteins as described below.

Extraction of total RNA

PC12 cells were washed twice (3 min each) with phosphate-buffered saline (PBS) to extract the total RNA according to the manufacturer's instructions. RNAiso Plus (9108; Takara, Otsu, Japan) was added to a 6-well plate (500 µl/well) and mixed, followed by being transferred to a new Eppendorf (EP) tube and incubated at 4°C for 5 min and then centrifuged at 12,000 rpm for 10 min. The supernatant was transferred to a new EP tube; 100 µl of chloroform was added followed by vortexing for 15 sec, incubation at RT for 3 min and centrifugation at 12,000 rpm for 15 min. The upper water phase was transferred to a new EP tube, and 250 µl of isopropanol was added and mixed. Then, the tube was placed in a −20°C refrigerator for 1–2 h and centrifuged at 12,000 rpm for 20 min at 4°C. The supernatant was discarded, and 1 ml of 75% ethanol was added, followed by centrifugation at 12,000 rpm for 5 min at 4°C, and this step was repeated once. The EP tube was incubated at RT for 5–10 min until the residual liquid had completely volatilized, and the pellet was dissolved with 20 µl DEPC ddH2O. The purity and the concentration of RNA were measured using ultraviolet spectroscopy.

Reverse transcription-quantitative polymerase chain reaction (RT-qPCR) assay

The above-extracted total RNA was used as a template in a reverse transcription reaction using a ReverTra Ace qPCR RT kit (FSQ-101; Toyobo, Osaka, Japan), according to the manufacturer's instructions. The reaction mixture, including 10 µl of 2X loading buffer, 1.2 µl of oligo(dT), 2 µl of RNA, 0.2 µl of MMLV, and 6.6 µl of DEPC ddH2O, was prepared and reacted at 65°C for 30 min, then at 42°C for 30 min, and then at 85°C for 10 min. Subsequently, a total of 100 ng of cDNA was used as the template in a RT-qPCR reaction using the SYBR® Premix Ex Taq™ kit (DRR420A; Takara), according to the manufacturer's instructions. The reaction mixture, including 10 µl of 2X master mix, 0.1 µl of forward primer, 0.1 µl of reverse primer, 2 µl of cDNA, 0.4 µl of Taq DNA polymerase, and 7.4 µl of ddH2O, was prepared and used to performed RT-qPCR according to the following program: one cycle of 95°C for 3 min; 40 cycles of 95°C for 12 sec, 62°C for 30 sec, and 72°C for 30 sec, using primers as follows: Nova1, pU, 5′-GGTCTCAGCCAAGCAGCAGCAA-3′ and pD, 5′-TTGCAGCAGTAGCAGCAGCCAG-3′; glyceraldehyde 3-phosphate dehydrogenase (GAPDH), pU, 5′-TGGATCTGACATGCCGCCTGGA-3′ and pD, 5′-AGGTCCACCACCCTGTTGCTGT-3′. The results were analyzed using SDS 1.4 software (Applied Biosystems, Foster City, CA, USA) based on the 2−ΔΔCt method, and histogram analysis was performed using Origin 9.5 software (http://www.originlab.com/).

Extraction of total protein

PC12 cells were washed with PBS twice (3 min each) to extract the total proteins according to the manufacturer's instructions [RIPA lysis buffer (P0013C); Beyotime, China]. Then, 50 µl cell lysis buffer [50 mmol/l Tris-Cl (pH 6.8), 2% SDS, 10% glycerol, 10 mM PMSF] was added, followed by incubation for 30 min on ice. Cells were collected using a cell scraper, and then transferred to an EP tube and centrifuged at 12,000 rpm for 15 min at 4°C. The supernatant was collected, and the protein concentration was measured using BCA protein assay reagent (Thermo Fisher Scientific Inc., Waltham, MA, USA).

Western blot assay

Samples of equal mass (35 µg) were fractionated by electrophoresis through 12% polyacrylamide gels and transferred to polyvinylidene difluoride (PVDF) membranes (GE Healthcare, Piscataway, NJ, USA) according to the manufacturer's instructions. The membranes were probed with rabbit-derived anti-Nova1 polyclonal antibody (HPA004155; 1:500 in TBST; Sigma, St. Louis, MO, USA) and mouse-derived anti-Bax (BA0315)/Bcl-2 (BA0412)/caspase-3 (BM3957)/GAPDH (BM1985) monoclonal antibody (1:500 in TBST) for 1.5 h at room temperature, followed by an HRP-conjugated goat anti-rabbit (BA1054) or anti-mouse (BA1050) secondary antibody (1:5,000 in TBST) (both from Wuhan Boster Biological Engineering Co., Ltd., Wuhan, China). Incubation was then carried out at RT for 1 h. After that, the chemiluminescent substrate luminal reagent (GE) and exposure to X-ray film were used to examine the immunolabeled bands. The optical densities of the bands were scanned and quantified using ImageJ software version 1.46 (http://rsb.info.nih.gov/ij/).

Cell immunocytochemistry assay

PC12 cells were plated on polylysine-coated converslips in 6-well plates at an inoculation density of 2×105/ml and were cultured in a CO2-incubator with 5% CO2 at 37°C for 15–30 min, and then 1 ml of DMEM was added and cells were cultured overnight. The following day, the plates were placed on ice, and the medium was discarded. The cells were washed 3 times (5 min each) with PBS. Cells were fixed with 4% paraformaldehyde for 30 min and then washed once with ddH2O (5 min) and once with PBS (5 min). Next, 3% H2O2 was added, incubation at RT for 30 min, and the cells were washed 3 times with PBS. Then, 0.3% Triton X-100 was applied, followed by incubation at RT for 30 min. Three washes (5 min each) with PBS and incubation with 5% BSA for 20 min at RT were carried out. The slides were then placed in a cassette, incubated overnight with rabbit-derived anti-Nova1 polyclonal antibody at 4°C, and washed 3 times (5 min each) with PBS. Subsequently, the slides were treated with biotinylated goat anti-rabbit IgG, and incubated at 37°C for 20 min followed by 3 washes with PBS. SABC reagent was applied for 20 min of incubation at 37°C, followed by 3 washes (5 min each) with PBS and development of DAB. The slides were dehydrated, cleared and mounted, and images were captured by microscopy. The average optical density was calculated using ImageJ software version 1.46 (http://rsb.info.nih.gov/ij/), and histogram analysis was performed using Origin 9.5 software (http://www.originlab.com/).

Establishment of a hypoxia model

PC12 cells were diluted, inoculated into 96-well plates at 5×104/ml, and cultured in a CO2-incubator with 5% CO2 at 37°C for 24 h. Then, the plates were placed in a hypoxic chamber, and a gas mixture of 95% N2 and 5% CO2 was pumped in for 1–2 min. The air outlet was closed, and then a gas mixture of 95% N2 and 5% CO2 was pumped in for 4 min. Then, the air inlet was closed, and cells were incubated in a CO2 incubator with 5% CO2 at 37°C for different durations of hypoxia, 0, 2, 4, 6, 8, 12, 24, 48 and 72 h. Cells were collected for cell proliferation assays using methyl thiazolyl tetrazolium (MTT) and apoptosis assays using flow cytometry as follows. In addition, images of cells at 0 and 48 h of hypoxia were captured using an inverted microscope.

To examine the effect hypoxia on the expression of Nova1, PC12 cells transfected with pCMV-Myc or pCMV-Myc-Nova1 were subjected to 48 h of hypoxia. Then the mRNA expression of Nova1 was examined by RT-qPCR, and the protein expression of Nova1 was examined by western blot analysis, and the distribution of Nova1 in PC12 cells was examined using immunocytochemistry. In addition, the apoptosis rate was examined by flow cytometry (Ex=488 nm, Em=530 nm). The mRNA expression levels of Bax, Bcl-2 and caspase-3 were examined by RT-qPCR and WB using the following primers: Bax, pU, 5′-CCAAGAAGCTGAGCGAGTGTC-3′ and pD, 5′-TGAGGACTCCAGCCACAAAGA-3′; Bcl-2, pU, 5′-TGAACCGGCATCTGCACAC-3′ and pD, 5′-CGTCTTCAGAGACAGCCAGGAG-3′; caspase-3, pU, 5′-GTGGAACTGACGATGATATGGC-3′ and pD, 5′-CGCAAAGTGACTGGATGAACC-3′; GAPDH, pU, 5′-TGGATCTGACATGCCGCCTGGA-3′ and pD, 5′-AGGTCCACCACCCTGTTGCTGT-3′.

Methyl thiazolyl tetrazolium (MTT) assay

After hypoxia as described above, 20 µl of MTT (final concentration, 5 mg/ml) was added to the cells, followed by incubation at 37°C for 4 h. The supernatant was then discarded; cells were treated with 150 µl of dimethyl sulfoxide (DMSO) to shock them for 5 min, and the optical density (OD) at 490 nm was recorded using a microplate reader, with cell-free conditions as a control. The cellular survival rate was calculated based on the following formula: Cellular survival rate = (OD490 of hypoxia group/OD490 of control group) × 100%.

Flow cytometric assay of apoptosis

Apoptosis was examined using the Annexin v-fitc apoptosis kit (BU-AP101; Biouniquer, San Diego, CA, USA) according to the manufacturer's instructions. After digestion with 0.25% trypsin, PC12 cells were washed twice with PBS and then centrifuged at 2,000 rpm for 5 min. Next, the cells were resuspended in 500 µl Annexin V binding buffer, and 5 µl of Annexin V-FITC was added to each sample, followed by the addition of 5 µl PI and reaction at RT for 10 min in the dark. Subsequently, the apoptosis rate was examined using flow cytometry (Ex=488 nm, Em=530 nm) and analyzed using Origin 9.5 software (http://www.originlab.com/).

Statistical analysis

All data are expressed as the mean ± SD. Statistical analysis was performed using SPSS software (version 21.0) (SPSS, Inc., Chicago, IL, USA) (http://spss.en.softonic.com/). In the Student's t-test, p<0.05 and p<0.01 indicate significant and highly significant differences, respectively.

Results

mRNA and protein expression levels of Nova1 are significantly increased in PC12 cells after transfection with pCMV-Myc-Nova1, and Nova1 is widely distributed in the cytoplasm and nucleus

To identify the time of optimal expression of Nova1 in PC12 cells, Nova1 mRNA and protein expression was examined by RT-qPCR, western blot analysis and cell immunocytochemistry at 24, 48, 72 and 96 h after transfection, and the optimal expression time was 48 h after transfection (data not shown). At 48 h after transfection with pCMV-Myc-Nova1, the mRNA and protein expression levels of Nova1 were significantly increased compared to those in the control and pCMV-Myc groups (p<0.01) (Fig. 1A and B), and Nova1 protein was also increased in the cytoplasm and nucleus (Fig. 1C).

Figure 1.

Figure 1

The mRNA and protein expression levels of neuro-oncological ventral antigen 1 (Nova1) in PC12 cells transfected with pCMV-Myc-Nova1 as detected by RT-qPCR, western blotting and cell immunocytochemistry. (A) The mRNA expression level of Nova1 as detected by RT-qPCR. (B) The protein expression level of Nova1 as detected by western blotting. (C) The protein expression and distribution of Nova1 as detected by cell immunocytochemistry. The images indicate that at 48 h after transfection, the mRNA and protein expression levels of Nova1 were significantly increased to a plateau, and widely distributed in the cytoplasm and nuclei (**p<0.01). Scale bar, 100 µm.

Prolonged hypoxia significantly decreases the cell survival rate and increases the apoptosis rate

With prolonged duration of hypoxia, the survival rate of PC12 cells was significantly decreased (p<0.01) (Fig. 2A). After 48 h of hypoxia, the cells showed shrinkage, the intercellular space was wider, and some cells had detached, floating in the medium (Fig. 2B). Additionally, the flow cytometry results showed that the survival rate of PC12 cells was significantly decreased, and the apoptosis rate of PC12 cells was constantly increased with prolonged hypoxia, peaking at 48 h of hypoxia (p<0.05, p<0.01) (Fig. 3).

Figure 2.

Figure 2

The survival rate and cell morphological structure of the PC12 cells during hypoxia as detected by methyl thiazolyl tetrazolium (MTT) assay and microscopy, respectively. (A) The survival rate of PC12 cells by MTT assay (**p<0.01). (B) Cell morphological structure of the PC12 cells by microscopy. The images indicate that the survival rate was gradually decreased with prolonged hypoxia. Cells showed shrinkage, the intercellular space was wider, and some cells had detached, floating in the medium at 48 h of hypoxia. Scale bar, 100 µm.

Figure 3.

Figure 3

Apoptosis and survival rates of the PC12 cells during hypoxia as determined by flow cytometry and linear graphing. (A) The apoptosis rate by flow cytometry. (B) The survival rate by linear graphing. The images indicate that the apoptosis rate was constantly increased and the survival rate was decreased with prolonged hypoxia (*p<0.05; **p<0.01).

mRNA and protein expression levels of Nova1 are significantly increased in PC12 cells following transfection with pCMV-Myc-Nova1 after 48 h of hypoxia and the level of Nova1 is higher than the control groups

As shown in the RT-qPCR results, after 48 h of hypoxia, the mRNA expression of Nova1 was significantly increased in the PC12 cells following transfection with pCMV-Myc-Nova1 in contrast to the control and pCMV-Myc groups (p<0.01) (Fig. 4A). Similarly, as shown by the western blot analysis and cell immunocytochemistry results, the protein expression of Nova1 was also significantly increased in the PC12 cells transfected with pCMV-Myc-Nova1 in contrast to the control and pCMV-Myc groups, and the level of Nova1 was much higher than that in the control and pCMV-Myc groups (p<0.01) (Fig. 4B and C).

Figure 4.

Figure 4

mRNA and protein expression levels of neuro-oncological ventral antigen 1 (Nova1) in PC12 cells transfected with pCMV-Myc-Nova1 as determined by RT-qPCR, western blotting and cell immunocytochemistry at 48 h hypoxia. (A) The mRNA expression level of Nova1 by RT-qPCR at 48 h hypoxia. (B) The protein expression level of Nova1 by western blotting at 48 h hypoxia. (C) The protein expression level and distribution of Nova1 assay by cell immunocytochemistry at 48 h hypoxia. The images indicate that at 48 h hypoxia, the mRNA and protein expression levels were significantly increased (**p<0.01). Scale bar, 100 µm.

The apoptosis rate after 48 h of hypoxia is significantly decreased in PC12 cells following transfection with pCMV-Myc-Nova1

As shown by the flow cytometry results, after 48 h of hypoxia, the apoptosis rate of PC12 cells was significantly decreased by transfection with pCMV-Myc-Nova1 compared with the control and pCMV-Myc groups (p<0.01) (Fig. 5). Significantly, after 48 h of hypoxia, the mRNA and protein expression levels of Bax and caspase-3 were significantly increased in the pCMV-Myc group in comparison to the control and significantly decreased in the pCMV-Myc-Nova1 group in comparison to the pCMV-Myc group (p<0.01) (Fig. 6). Furthermore, the mRNA and protein expression levels of Bcl-2 were significantly decreased in the pCMV-Myc group in comparison to the control, and significantly increased in the pCMV-Myc-Nova1 group in comparison to the pCMV-Myc group (p<0.01) (Fig. 6). These results indicate that Nova1 induces resistance to hypoxia-induced apoptosis in PC12 cells via the Bax/Bcl-2/caspase-3 pathway.

Figure 5.

Figure 5

The apoptosis rate of the PC12 cells transfected with pCMV-Myc-Nova1 as detected by flow cytometry. (A) The apoptosis rate by flow cytometry. (B) The apoptosis rate as shown by a histogram. The images indicate that the apoptosis rate was constantly increased after 48 h hypoxia and significantly decreased after transfection of pCMV-Myc-Nova1 (**p<0.01).

Figure 6.

Figure 6

mRNA and protein expression level sof Bcl-2 associated gene X (Bax), B cell lymphoma gene-2 (Bcl-2) and caspase-3 as determined by RT-qPCR and western blotting in the PC12 cells after 48 h hypoxia. (A) The mRNA expression levels of Bax, Bcl-2 and caspase-3 by RT-qPCR. (B) The protein expression levels of Bax, Bcl-2 and caspase-3 by western blotting. The images indicate that after 48 h hypoxia, the mRNA and protein expression levels of Bax and caspase-3 were significantly increased, and also obviously decreased after transfection of pCMV-Myc-Nova1, and that of Bcl-2 was significantly decreased, and also obviously increased after transfection of pCMV-Myc-Nova1 (*p<0.05; **p<0.01).

Discussion

The present study demonstrated that Nova1 was highly expressed in PC12 cells at 48 h after transfection and was widely distributed in the cytoplasm and nucleus. After continuous hypoxia of untransfected PC12 cells, the cell survival rate was gradually decreased, and the apoptosis rate was gradually increased compared to the control. Upon 48 h of hypoxia in PC12 cells overexpressing Nova1, the cell apoptosis rate was significantly decreased and the survival rate was significantly increased. The mRNA and protein expression levels of Bax and caspase-3 were also significantly decreased, and the mRNA and protein expression levels of Bcl-2 were significantly increased, indicating that Nova1 could induce resistance to hypoxia-induced apoptosis in PC12 cells via the Bax/Bcl-2/caspase-3 pathway.

Recently, alternative splicing has been regarded as a major mechanism for increasing proteomic complexity and protein function diversity, and alternative splicing has been shown to play a significant role in the regulation of gene expression and protein function diversity (3133). Alternative splicing is much more common in the brain than in other organs (34,35), and it is also often involved in ischemia-reperfusion injury to the brain as described in our previous study (29). However, the mechanism by which Nova1 participates in ischemia-reperfusion injury of the brain remains unknown. To address this question, the eukaryotic expression vector pCMV-Myc was chosen for the expression of Nova1 cDNA. pCMV-Myc contains a strong promoter from cytomegalovirus (CMV) that can transcribe exogenous genes early and shows strong expression efficiency. Regarding the regulation of the CMV promoter, at 48 h after transfection with pCMV-Myc-Nova1, the mRNA and protein expression levels of Nova1 were significantly increased, and Nova1 was also increased in the cytoplasm and nucleus.

The brain accounts for only 2% of the body weight in humans but uses ~15% of the cardiac output and ~20% of oxygen consumption of the whole body. In addition, hypoxia produces even greater damage in the brain than in other tissues, and it severely affects the normal physiological functions of various organs (36,37). In the study of hypoxic injury of the brain and its associated diseases, stabilized neuronal hypoxia models have often been established in vitro, including the PC12 hypoxia model using a hypoxic chamber. PC12 cells are derived from rat pheochromocytoma cells, separated from a rat pheochromocytoma by Greene and Tischler in 1976. They show many characteristics of nerve cells (38). PC12 cells are therefore often used as an ideal in vitro cell model for nervous system diseases (3941). Here, PC12 cells were subjected to oxygen deprivation using a hypoxic chamber to mimic hypoxia, and the cell survival and apoptosis rates were examined by MTT assay and flow cytometry, respectively. After continuous hypoxia, the cell survival rate was gradually declined, and the apoptosis rate was steadily increased by hypoxia in a time-dependent manner. These results indicated that the PC12 cell hypoxia model was correctly established. After hypoxia, Nova1 protein expression was significantly increased, indicating that hypoxia could induce the strong splicing activity of Nova1 and that cells may activate a compensatory reaction. In addition, Nova1 protein was widely expressed in the cytoplasm and nuclei, especially in the nuclei indicating that Nova1 may be involved in the processing of RNAs in neurons.

Several studies have documented that apoptosis is induced both in the delayed neuronal cell death after transient brain hypoxia and by acute focal brain ischemia (4246). Normally, the anti-apoptosis and pro-apoptosis proteins are metastable in organisms, and it requires several pro-apoptosis elements to induce apoptosis. Bcl-2 is an anti-apoptosis protein and can regulate apoptosis by binding pro-apoptosis proteins, such as Bax, Bad or Bcl-xl; therefore the ratio of Bcl-2 to Bax has been regarded as a critical factor in cell survival or death (47,48). In this study, after 48 h of hypoxia, the mRNA expression level of Bcl-2 was significantly decreased, that of Bax was obviously increased, and the ratio of Bcl-2 to Bax was decreased. This indicated that the pro-apoptotic effect of Bax was greater than the anti-apoptotic effect of Bcl-2, finally resulting in apoptosis. After transfection of pCMV-Myc-Nova1, the mRNA and protein expression levels of Bcl-2 were increased, levels of Bax were significantly decreased, and the ratio of Bcl-2 to Bax was increased, thus indicating that Nova1 could protect against hypoxia-induced neuronal injury by regulating the ratio of Bcl-2 to Bax. Additionally, in comparison to the control, the mRNA and protein expression levels of caspase-3 were significantly increased after 48 h of hypoxia and significantly decreased upon transfection of pCMV-Myc-Nova1, indicating that Nova1 may be involved in regulating hypoxia-induced apoptosis via the caspase-3 pathway.

In conclusion, the eukaryotic expression vector pCMV-Myc-Nova1 was constructed and transfected into the PC12 cells during hypoxia. Our study demonstrated that Nova1 is associated with resistance to the hypoxia-induced apoptosis of PC12 cells via the Bax/Bcl-2/caspase-3 pathway. This discovery provides evidence of Nova1 to explore the novel mechanism during hypoxia.

Acknowledgments

We would like to thank Gorospe Myraim of the National Institute on Aging (NIA) (National Institutes of Health, Bethesda, MD, USA) for the antibody and plasmid pCMV-myc. This study was supported by the National Science Foundation of China (nos. 81671056, 81372237 and 81100862) and the Yangzhou University and CSC (no. 2015CXJ070).

Abbreviations

Nova1

neuro-oncological ventral antigen 1

POMA

paraneoplastic opsoclonus myoclonus ataxia

Bax

Bcl-2 associated gene X

Bcl-2

B cell lymphoma gene-2

caspase-3

cysteinyl aspartic acid specific protease-3

MTT

methyl thiazolyl tetrazolium

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