Abstract
α-Synuclein (α-Syn) is enriched in nerve terminals. Two mutations in the α-Syn gene (Ala53→ Thr and Ala30→ Pro) occur in autosomal dominant familial Parkinson's disease. Mice overexpressing the human A53T mutant α-Syn develop a severe movement disorder, paralysis, and synucleinopathy, but the mechanisms are not understood. We examined whether transgenic mice expressing human wild-type or familial Parkinson's disease-linked A53T or A30P mutant α-syn develop neuronal degeneration and cell death. Mutant mice were examined at early- to mid-stage disease and at near end-stage disease. Age-matched nontransgenic littermates were controls. In A53T mice, neurons in brainstem and spinal cord exhibited large axonal swellings, somal chromatolytic changes, and nuclear condensation. Spheroid eosinophilic Lewy body-like inclusions were present in the cytoplasm of cortical neurons and spinal motor neurons. These inclusions contained human α-syn and nitrated synuclein. Motor neurons were depleted (∼75%) in A53T mice but were affected less in A30P mice. Axonal degeneration was present in many regions. Electron microscopy confirmed the cell and axonal degeneration and revealed cytoplasmic inclusions in dendrites and axons. Some inclusions were degenerating mitochondria and were positive for humanα-syn. Mitochondrial complex IV and V proteins were at control levels, but complex IV activity was reduced significantly in spinal cord. Subsets of neurons in neocortex, brainstem, and spinal cord ventral horn were positive for terminal deoxynucleotidyl transferase-mediated biotinylated UTP nick end labeling, cleaved caspase-3, and p53. Mitochondria in neurons had terminal deoxynucleotidyl transferase-mediated biotinylated UTP nick end labeling-positive matrices and p53 at the outer membrane. Thus, A53T mutant mice develop intraneuronal inclusions, mitochondrial DNA damage and degeneration, and apoptotic-like death of neocortical, brainstem, and motor neurons.
Keywords: axonopathy, DNA damage, motor neuron disease, neuronal apoptosis, nitrative stress, peroxynitrite, synucleinopathy
Introduction
Parkinson's disease (PD) is a chronically progressive, age-related, fatal neurological disease in humans that affects at least 1% of the population over 55 years of age (Olanow and Tatton, 1999). Resting tremor, rigidity, bradykinesia, gait disturbance, and postural instability characterize PD clinically. The neuropathological hallmarks of PD are degeneration and elimination of dopamine neurons in substantia nigra and other brainstem regions as well as the formation of proteinaceous intraneuronal or intraglial inclusions, known as Lewy bodies (LBs), composed of a dense core of filamentous material enshrouded by filaments 10–20 nm in diameter (Goedert, 2001). The molecular pathogenesis of PD is still not understood. Two forms of PD exist: idiopathic and heritable (familial). Most PD cases are idiopathic, with no known genetic component. The cause of idiopathic PD is unknown. Epidemiological studies reveal several risk factors for developing idiopathic PD in addition to aging, including exposure to pesticides, herbicides, and some industrial chemicals (Olanow and Tatton, 1999). Approximately 5–10% of PD patients have familial patterns of inheritance. Gene mutations with autosomal dominant or autosomal recessive inheritance patterns have been identified in familial forms of PD. PD-linked mutations occur in the genes encoding α-synuclein (α-syn), parkin, ubiquitin C-terminal hydrolyase-L1, PTEN (phosphatase and tensin homolog)-induced kinase-1, DJ-1, and leucine-rich repeat kinase-2 (Shen, 2004). Two mutations in the α-syn gene (Ala-53→ Thr and Ala-30→ Pro) have been found in rare autosomal dominant inherited forms of PD (Polymeropoulos et al., 1997; Krüger et al., 1998). Duplication and triplication in the α-syn gene are also causes of PD (Singleton et al., 2003).
α-Syn is a relatively small (140 amino acids), abundant protein found in cells throughout the nervous system and is particularly enriched in presynaptic nerve terminals (Maroteaux et al., 1988; Murphy et al., 2000; Lesuisse and Martin, 2002). Although the functions of α-Syn are not well known, it has roles at the presynaptic terminal (Chandra et al., 2004). α-Syn is a major structural component of LBs, but in most neurodegenerative diseases, LBs are associated with accumulation of wild-type (wt), not mutant, α-Syn (Goedert, 2001). In vitro, overexpression of wt or mutant α-Syn elevates the generation of intracellular reactive oxygen species (Junn and Mouradian, 2002), and aggregation of wt and mutated α-Syn is associated with enhanced cell death (Giasson et al., 2002). Several transgenic (Tg) mouse lines have been generated with various different promoters to drive overexpression of human wt or mutant α-Syn (Kahle et al., 2000; Masliah et al., 2000; van der Putten et al., 2000; Matsuoka et al., 2001; Giasson et al., 2002; Lee et al., 2002; Richfield et al., 2002; Gispert et al., 2003; Gomez-Isla et al., 2003; Yazawa et al., 2005). Tg mice overexpressing A53T mutant α-Syn develop a severe movement disorder and synucleinopathy (van der Putten et al., 2000; Giasson et al., 2002; Lee et al., 2002); however, it is still uncertain whether Tg α-Syn mice develop cell death and neuronal loss. In this study, we determined whether neuronal degeneration and cell death occur in Tg mice expressing human wt or mutant α-Syn.
Materials and Methods
Tg mice. The generation of Tg mice expressing high levels of human wt or mutant (A53T and A30P) α-Syn under the control of the mouse prion protein (PrP) promoter has been described (Lee et al., 2002). Mice expressing A53T α-Syn (lines G2-3 and H5), but not mice expressing wt (line I2-2) or A30P (O2) α-Syn, develop adult-onset progressive motor deficits, including reduced spontaneous activity with bradykinesia, mild ataxia, and dystonia, at ∼10–15 months of age followed by rapidly progressive paralysis and death (Lee et al., 2002). For histological studies, we evaluated A53T mice (line G2-3) at early to mid stages of disease (n = 6), defined by the presence of bradykinesia and ataxia, and at near end-stage disease (n = 15), defined by paralysis. Age-matched non-Tg littermates served as controls. Tg mice harboring the A30P mutant (n = 6; mean age, ∼20 months) and wt α-Syn (n = 6; mean age, 26 months) were also evaluated.
Tissue harvesting and processing for histology. Mice were anesthetized with an overdose of sodium pentobarbital and perfused through the heart with ice-cold PBS (100 mm), pH 7.4, followed by ice-cold 4% paraformaldehyde or 4% paraformaldehyde with 0.1% glutaraldehyde. After perfusion–fixation, the brain, spinal cord, and skeletal muscle were removed and then were processed in one of three ways. Samples of brain and skeletal muscle were processed for paraffin histology. Brain and muscle samples were cut as serial sections (12 μm) on a rotary microtome in the sagittal plane, with every 10th section stained with hematoxylin and eosin (H&E) and every 11th section stained with the terminal deoxynucleotidyl transferase-mediated biotinylated UTP nick end labeling (TUNEL) method (Portera-Cailliau et al., 1997; Martin and Liu, 2002b), as an assay for cell death based on the detection of DNA double-strand breaks. Alternatively, brains, spinal cords, and hindlimb skeletal muscles were placed in 20% glycerol for cryoprotection before frozen sectioning for cresyl violet staining, immunohistochemistry, or enzyme histochemistry or in phosphate buffer for vibratome sectioning for conventional electron microscopy (EM) and immunogold EM. Transverse serial symmetrical sections (40 μm) through brain and spinal cord were cut with a sliding microtome or vibratome and stored individually in 96-well plates.
Silver staining. Silver staining was used to visualize degenerating neuronal elements in brain and spinal cord sections of α-Syn mice and non-Tg age-matched control mice. Sections were processed with the FD NeuroSilver kit (FD Neurotechnologies, Baltimore, MD). For quantification of degeneration in spinal cord, entire transverse sections were digitized with an image analysis system. Inquiry software (Loats Associates, Westminster, MD) was used to measure the optical density of silver staining within the entire section (six to eight sections per mouse). The validation of this method has been described (Northington et al., 2001). Comparisons among groups were analyzed with a one-way ANOVA and a Newman–Keuls post hoc test.
Immunohistochemistry and enzyme histochemistry. The expression and localization patterns of human α-Syn, nitrated-Syn, cleaved caspase-3, p53, and phosphorylated neurofilament were examined at the light microscopic level in CNS or skeletal muscle by means of an immunoperoxidase method with diaminobenzidine as chromogen. Human α-Syn was detected with the Syn211 mouse monoclonal antibody (Sigma, St. Louis, MO) diluted at 1:1000, and human nitrated Syn was detected with the Syn12 mouse monoclonal antibody (Covance, Princeton, NJ) diluted at 1:500. The antibodies used to detect cleaved caspase-3 (Chemicon, Temecula, CA) and p53 (Cell Signaling, Beverly, MA) have been characterized previously and were used as described (Lok and Martin, 2002; Martin and Liu, 2002a; Martin, 2003). Phosphorylated neurofilament, an axonal marker, was detected with mouse monoclonal antibody SMI-31 (Sternberger Monoclonal, Lutherville, MD) diluted at 1:10,000.
Skeletal muscle was also examined for neurogenic atrophy and inflammatory changes. ATPase activity, pH 9.4, was visualized in sections of gastrocnemius and quadriceps with a histochemical protocol (Chayen et al., 1973). Cells positive for Mac-1 or CD68 were visualized in A53T mouse skeletal muscle with rat monoclonal antibody to mouse CD11b (Biosource, Camarillo, CA) or CD68 (Serotec, Indianapolis, IN) and immunoperoxidase labeling with diaminobenzidene as chromogen.
Cell counting. Profile counting was used to estimate the numbers of chomatolytic neurons in H&E sections, dying cells in TUNEL preparations, and cleaved caspase-3+ cells in immunolabeled sections. The regions analyzed were the retrorubral field and pontine reticular formation. In sagittal sections that were matched for level, the number of chromatolytic, TUNEL+, and caspase-3+ profiles were counted in six nonoverlapping microscopic fields at 1000× magnification. Motor neuron counts were made with the stereological optical dissector method as described (Calhoun et al., 1996; Martin and Liu, 2002a). Spinal cord sections were selected with a random start and then systematically sampled (every ninth section) to generate subsamples of sections from each mouse lumbar spinal cord that were mounted on glass slides and stained with cresyl violet for evaluation. Motor neurons were counted at 1000× magnification by using strict morphological criteria. These criteria included a round, open, pale nucleus (not condensed and darkly stained), globular Nissl staining of the cytoplasm, and a diameter of ∼30–40 μm. With these criteria, astrocytes, oligodendrocytes, and microglia were excluded from the counts. Group means and variances were evaluated statistically by one-way ANOVA and a Newman–Keuls post hoc test.
EM. Tg A53T mice and age-matched littermate control mice were evaluated for ultrastructural pathology in brainstem and spinal cord with conventional EM and immunogold EM. For conventional EM, brainstem and spinal cord samples were microdissected from vibratome sections, rinsed in phosphate buffer, placed in 2% osmium tetroxide for 2 h, dehydrated, and embedded in plastic. Semithin sections (1 μm) stained with 1% toluidine blue were screened for areas of interest, and then thin sections (gold interference color) were cut on an ultramicrotome (Sorvall, Norwalk, CT), contrasted with lead citrate and uranyl acetate, and viewed with a JEOL (Peabody, MA) 100S electron microscope.
DNA damage, human α-Syn, the mitochondrial marker cytochrome c oxidase subunit I (Cox-I), and p53 were examined in A53T and control mice by immunogold EM. Vibratome sections of brain and spinal cord were processed with an immunogold-silver intensification detection system and a flat sample–Epon embedding technique as described (Furuta et al., 1997; Martin and Liu, 2002a). For TUNEL–EM, vibratome sections were subjected to free-thaw and in situ DNA end-labeled as described (Portera-Cailliau et al., 1997), but with visualization of biotin-dUTP with goat anti-biotin conjugated with colloidal gold. For human α-Syn, Cox-I, and p53 localizations, sections were subjected to free-thaw, blocked in gelatin-bovine serum albumin, and then incubated (at 4°C) for 3–5 d with monoclonal antibody to human α-Syn (Sigma) or Cox-I (Invitrogen, Eugene, OR) or polyclonal antibody to p53 (Cell Signaling). After primary antibody incubation, sections were rinsed and incubated (at room temperature) with goat anti-mouse IgG or goat anti-rabbit IgG conjugated to 1 or 5 nm colloidal gold (Amersham Biosciences, Arlington Heights, IL) diluted 1:50 for 4 h, followed by silver enhancement solution for 10–20 min (Amersham Biosciences) or with no silver enhancement. Immunoreacted sections were examined microscopically, and areas of interest were microdissected. Samples were osmicated, dehydrated by graded concentrations of ethanol, and embedded in resin. Plastic blocks were thin-sectioned with ultramicrotomes (Sorvall). Ultrathin sections without contrasting were viewed and photographed with a JEOL electron microscope. Electron micrographs were made by an observer unaware of sample history.
Immunoblotting. The levels of mitochondrial complex IV protein, Cox-I, and the complex V protein, ATP synthase (β subunit), were evaluated in A53T and age-matched control mice by immunoblotting. Mice (n = 3 per genotype; 11–12 months old) were deeply anesthetized and decapitated, and the spinal cord and brain were removed quickly and frozen on dry ice. Spinal cord and frontal cortex samples were homogenized with a Brinkmann (Westbury, NY) Polytron in ice-cold 20 mm Tris-HCl, pH 7.4, containing 10% (w/v) sucrose, 200 mm mannitol, Complete Protease Inhibitor Cocktail (Roche Diagnostics, Basel, Switzerland), 0.1 mm phenylmethylsulfonyl fluoride, 10 mm benzamidine, 1 mm EDTA, and 5 mm EGTA. Crude homogenates were sonicated for 15 s and then centrifuged at 1000 × gav for 10 min (4°C). The supernatant was centrifuged at 54,000 × gav for 20 min (4°C) to yield soluble (S2) and mitochondria-enriched pellet (P2) fractions. The pellet fraction was washed (twice) by trituration in homogenization buffer followed by centrifugation and then finally resuspended in homogenization buffer (without sucrose) supplemented with 20% (w/v) glycerol. Protein concentrations were measured by a Bio-Rad (Hercules, CA) protein assay with bovine serum albumin as a standard. This subcellular fractionation protocol has been verified (Martin et al., 2003). Proteins from spinal cord and frontal cortex samples were subjected to 16% SDS-PAGE and transferred to nitrocellulose membrane by electroelution as described (Martin et al., 2003). The reliability of sample loading and electroblotting in each experiment was evaluated by staining nitrocellulose membranes with Ponceau S before immunoblotting. If transfer was not uniform, blots were discarded and gels were run again. Blots were blocked with 2.5% nonfat dry milk with 0.1% Tween 20 in 50 mm Tris-buffered saline, pH 7.4, and then incubated overnight at 4°C with antibody to Cox-I or ATP synthase (both from Invitrogen). The antibodies were used at concentrations for visualizing protein immunoreactivity within the linear range (Lok and Martin, 2002). After the primary antibody incubation, blots were washed and incubated with horseradish peroxidase-conjugated secondary antibody (0.2 μg/ml), developed with enhanced chemiluminescence (Pierce, Rockford, IL), and exposed to x-ray film.
To quantify protein immunoreactivity, films were scanned and densitometry was performed as described (Martin et al., 2003). Protein levels were expressed as relative optical density measurements. Immunodensities were normalized to Ponceau S-stained proteins. Statistical analyses of group means and variances were performed with a one-way ANOVA followed by a post hoc Newman–Keuls test for individual comparisons.
Cytochrome c oxidase activity assay. A colorimetric assay (Wharton and Tzagoloff, 1967) was used for biochemical measurement of Cox activity (Martin et al., 2000) in the spinal cord and frontal cortex of A53T and age-matched control mice (n = 3 mice per group; 11–12 months old). Briefly, reduced cytochrome c (ferrocytochrome c) was prepared freshly for each experiment by mixing 1% cytochrome c (Sigma) with sodium hydrosulfite in 10 mm potassium phosphate buffer. Samples (20 μg of protein) of mitochondrial-enriched membrane fractions, prepared as described previously (Martin et al., 2003), were reacted in a cuvette with ferrocytochrome c in potassium phosphate buffer (10 mm), pH 7.0, at room temperature. The decrease in absorbance was measured spectrophotometrically at 550 nm every 15 s for a period of 60 s. The activity was defined in terms of the first-order velocity constant. Statistical analyses of group means and variances were performed with a one-way ANOVA followed by a post hoc Newman–Keuls test for individual comparisons.
Results
We analyzed multiple lines of adult Tg α-Syn mice and age-matched non-Tg littermate control mice for neuropathology. These mice express high levels of wt human α-Syn (line I2-2) or familial PD-linked A30P (line O2) or A53T (line G2-3) mutant α-Syn (Lee et al., 2002). The brains and spinal cords of these mouse lines were studied for abnormalities with H&E and Nissl staining as well as immunohistochemical staining for human α-synuclein. A conspicuous feature of mice harboring mutant α-Syn, but not wt α-Syn, was that neurons in brainstem and spinal cord manifested somal chromatolytic changes (Fig. 1A,B), defined by distension of the cell body, displacement of the nucleus toward the periphery of the soma, and dissolution the Nissl substance. These neurons also showed nuclear condensation (Fig. 1A). Subsets of large neurons had this chromatolytic signature. Many were found in A53T mice, whereas their occurrence was lower in A30P mice. The number of brainstem chromatolytic neurons increased with disease progression in A53T mice (Fig. 1C). Very few neurons with chromatolytic changes were seen in age-matched non-Tg control mice (Fig. 1C). Large axonal swellings were also present throughout brainstem and spinal cord in A53T mice (Fig. 1B). Neurons containing inclusions were seen in A53T mice. Round eosinophilic LB-like inclusions were found in the cytoplasm of spinal motor neurons (Fig. 1D) and cortical neurons (Fig. 1G). Intraneuronal cytoplasmic inclusions were positive for human α-Syn (Fig. 1E) and nitrated Syn (Fig. 1F).
When Nissl-stained sections of spinal cord were examined, motor neurons appeared to be particularly lost at end-stage disease in mice harboring mutant α-Syn compared with age-matched littermate non-Tg mice (Fig. 1H,I). In the former mice, subsets of motor neurons had a pale cytoplasm and a condensed nucleus (Fig. 1J,K). Counts of lumbar motor neurons revealed a prominent (∼75%) depletion of motor neurons in A53T mice and a less dramatic loss in A30P mice (Fig. 1L). No significant loss of motor neurons was seen in Tg mice expressing wt human α-Syn at up to 22 months of age.
Prominent axonal degeneration was seen in silver-stained preparations of Tg mice with mutant α-Syn (Fig. 2). The most conspicuous degeneration was observed in the brainstem (Fig. 2A,B), spinal cord (Fig. 2C–H), and forebrain white matter (e.g., internal capsule; data not shown) of A53T mice. Axonal degeneration was seen less prominently in cerebral cortex and striatal white matter bundles (data not shown) of A53T mice. In spinal cord, axonal degeneration was selective and delineated specific tracts (Fig. 2D). The dorsal corticospinal tract in the dorsal column (Fig. 2D) and the rubrospinal tract in the dorsal lateral funiculus (Fig. 2D,E) had robust degeneration. Degenerating axons were also seen in the ventral root exit zones in the ventral funiculus (Fig. 2F). Densitometric quantification of silver staining revealed that spinal cord degeneration in A53T mice advanced with the progression of neurological deterioration (Fig. 2G). Moreover, subsets of motor neurons in A53T and A30P mice showed silver staining patterns indicative of apoptosis (Fig. 2 H). Axonal degeneration was sparse in Tg mice with wt human α-Syn (data not shown). Axonal degeneration was inconspicuous in age-matched littermate controls of mutant α-Syn mice (Fig. 2C,G).
EM was used to examine the subcellular localization of human α-Syn and the subcellular pathology in symptomatic A53T mice. Human α-Syn was detected in neuronal cell bodies, dendrites, and axons (Fig. 3F,G). It was localized within the cytosol and was associated with mitochondria and presynaptic active zones (Fig. 3F). Human α-Syn was seen occasionally at the nuclear membrane (data not shown). Immunogold labeling for human α-Syn was not seen in non-Tg mice, serving as a negative control. Pathologically, electron-dense cytoplasmic inclusions were observed in dendrites (Fig. 3A,B,D) and axons (Fig. 3C). Many of these inclusions had electron-dense perimeters with less dense cores. Other inclusions had long tubular shapes (Fig. 3D). Intradendritic inclusions were found near large, swollen mitochondria (Fig. 3B). Immunogold EM analysis confirmed that these structures contained human α-Syn (Fig. 3F,G). Some inclusions were degenerating mitochondria as identified by immunogold labeling for Cox-I (Fig. 3E). Cytoplasmic inclusions such as those shown in Figure 3 were not seen in age-matched non-Tg littermate controls.
Because structural evidence for mitochondrial abnormalities was found in A53T mice, these mice were examined for additional independent measurements for mitochondrial changes (Fig. 4). Western blotting revealed no evidence for significant changes in the protein levels of Cox-1 and ATP synthase in spinal cord and frontal cortex of 11- to 12-month-old A53T mice (Fig. 4A,B). In contrast, the catalytic activity of Cox was significantly lower in the spinal cord of A53T mice compared with age-matched littermate non-Tg controls (Fig. 4C). This defect was regionally selective, because no difference in Cox activity was seen in the frontal cortex of A53T mice (Fig. 4C).
A53T mice at early and late stages of disease were evaluated for neuronal cell death. TUNEL was used to identify cells with double-stranded DNA breaks. Subsets of neurons in brainstem, neocortex, and spinal cord ventral horn were TUNEL positive (Fig. 5A,B). Some motor neurons had TUNEL-positive structures within the cytoplasm, having an appearance suggestive of mitochondria, but otherwise the neurons appeared normal (Fig. 5C). To determine whether the cytoplasmic TUNEL was caused by mitochondrial labeling, TUNEL-EM was done with colloidal gold. Subsets of mitochondria contained TUNEL gold (Fig. 5C, inset). EM also revealed evidence for apoptotic cell death in the spinal cord of A53T mice based on the nuclear morphology (Fig. 5J). To probe into the mechanisms of neuronal death, sections were immunolabeled for cleaved caspase-3 and p53. In A53T mice, brainstem and spinal motor neurons were immunopositive for cleaved caspase-3 (Fig. 5D,E). Age-matched non-Tg littermate controls were negative for cleaved caspase-3. The number of cleaved caspase-3-positive neurons in brainstem mirrored the number of TUNEL-positive cells as disease progressed (Fig. 5F,G). Spinal motor neurons in A53T mice accumulated p53, whereas spinal motor neurons in age-matched littermate controls were negative for p53 (Fig. 5H,I). In motor neurons of A53T mice, mitochondria had p53 associated with the outer mitochondrial membrane, whereas the mitochondria in motor neurons from age-matched non-Tg littermate control mice had sparse p53 immunolabeling (Fig. 5K,L).
A53T mice developed extensive peripheral nerve degeneration and skeletal muscle disease (Fig. 6). Axonal degeneration was conspicuous in intramuscular peripheral nerve (Fig. 6A). Subsets of axons in peripheral nerve were enlarged, swollen, distorted, and vacuolated (Fig. 6A). In all affected A53T mice, marked loss of motor neurons was accompanied by evidence of skeletal muscle denervation and extensive muscle atrophy. H&E staining of skeletal muscle sections revealed that the normal, tightly packed, plump, myofiber pattern was replaced in A53T mice by shrunken, angular, atrophic myofibers (Fig. 6B,C). Histochemical staining for ATPase, pH 4.6, to distinguish between fast type 1 fibers and slow type 2 fibers revealed a loss of the type 1 myofiber staining and grouped atrophy in A53T mice (Fig. 6D,E). The death of myofibers in A53T mice was revealed by TUNEL (Fig. 6F). These abnormalities were not evident in age-matched non-Tg littermate control mice. Severe muscle pathology was indicated further by the infiltration of many small cells and evidence of sarcolysis in individual myofibers (Fig. 6G). Skeletal muscle inflammatory changes in A53T mice were confirmed by the presence of infiltrated CD68+ cells (Fig. 6H) and CD11b+ cells (Fig. 6I) into the muscle. The presence of infiltrated CD68+ cells was associated with the rounding of myofiber nuclei and the condensation of nuclear chromatin (Fig. 6H). Inflammatory changes were not seen in the skeletal muscle of age-matched non-Tg littermate control mice (Fig. 6J).
Discussion
This study provides new information about the development of neurological disease in α-Syn Tg mice. We found that mice harboring the A53T mutant variant of α-Syn have a robust neurodegeneration phenotype. These mice develop intraneuronal inclusions, mitochondrial degeneration, and cell death in neocortex, brainstem, and spinal cord. A53T mice formed LB-like inclusions in neocortical and spinal motor neurons and had profound loss of motor neurons that could account for their paralysis.
Various mouse lines expressing wt or mutant α-Syn have been described with varying pathological characteristics. Mice expressing wt α-Syn driven by a human platelet-derived growth factor-β promoter did not develop fatal disease, although they displayed modest impairments in motor function and developed amorphous nonfilamentous inclusions, most of which were intranuclear, and reduced striatal tyrosine hydroxylase (TH) immunoreactivity (Masliah et al., 2000). Mice expressing wt or mutant α-Syn driven by the TH promoter did not develop clinical or neuropathological phenotypes (Matsuoka et al., 2001). In contrast, mice expressing wt and mutant α-Syn under the control of the murine Thy-1 promotor developed pronounced motor deficits on the rotating rod task, intraneuronal α-Syn accumulation, axonal degeneration in spinal roots, and evidence of muscle denervation (van der Putten et al., 2000). With the mouse PrP promoter, Giasson et al. (2002) engineered mice expressing the A53T mutant and found that these mice become paralyzed and develop α-Syn inclusions, primarily in brainstem and spinal cord, and axonal degeneration in spinal roots. Similarly, Lee et al. (2002) generated Tg mice expressing human wt α-Syn as well as A53T and A30P mutant variants with the murine PrP promoter, with only the A53T mice developing profound adult-onset motor abnormalities that progressed to paralysis and death. These mice also showed neuronal accumulation of α-Syn and ubiquitin in brainstem and neocortex (Lee et al., 2002); however, no previous studies have reported evidence for neuronal cell death and loss in α-Syn Tg mice.
We show that the neurodegeneration in A53T mice is robust. Brainstem neurons and spinal motor neurons display a prominent chromatolysis reaction and axonal spheroids, typical of that seen with axonal injury (Lieberman, 1971). The presence of marked axonopathy was confirmed by silver staining, EM, and peripheral nerve neurofilament staining and was further indicated by neurogenic atrophy of skeletal muscle. Cell death, detected with the TUNEL method, was seen in neocortex, brainstem, and spinal cord. The considerable pathology in lower brainstem in A53T mice parallels the involvement of these regions in human PD (Braak et al., 2003). Early α-Syn lesions are confined chiefly to the lower brainstem in human PD, with involvement of the dorsal motor nucleus of the glossopharyngeal and vagal nerves (Braak et al., 2003). The substantia nigra was unremarkable in these mice, consistent other studies of α-Syn Tg mice failing to find evidence for substantial dopaminergic neuron degeneration and loss (Masliah et al., 2000; van der Putten et al., 2000; Giasson et al., 2002), even with expression of transgene driven by a TH promoter (Matsuoka et al., 2001).
We found that A53T mice develop mitochondrial pathology. Mitochondria in brainstem and spinal cord cells in A53T mice were dysmorphic as shown by EM. Subsets of mitochondria contained human α-Syn and were shrunken, swollen, or vacuolated. Some abnormal inclusions were degenerating mitochondria, as determined by Cox-I immunogold staining. A mitochondrial defect in A53T mice was further indicated by biochemical evidence revealing loss of Cox activity. Mitochondrial structure abnormalities and functional deficits have been seen in vitro in neurons overexpressing wt human α-Syn (Hsu et al., 2000). We observed a new type of mitochondrial pathology in A53T mice involving mitochondrial DNA damage as seen by TUNEL. Brainstem neurons and spinal motor neurons accumulated perinuclear TUNEL+ structures that were shown by TUNEL–immunogold EM to be mitochondria. Mitochondrial DNA damage was seen frequently in the absence of nuclear DNA damage in large brainstem neurons in A53T mice; thus, mitochondrial DNA damage could be an antecedent of neuronal cell death. The mechanisms for this mitochondrial DNA damage are possibly related to oxidative stress (Giasson et al., 2000). The presence of oxidative stress in mutant α-Syn Tg mice is shown by evidence that mitochondrial-associated metabolic proteins are oxidized in A30P mice (Poon et al., 2005). α-Syn can generate H2O2 (Turnbull et al., 2001). We found evidence for peroxynitrite-mediated oxidative–nitrative stress in A53T mouse motor neurons as indicated by the presence of nitrated synuclein. Nitrated synuclein formed inclusions in motor neurons consistent with in vitro data showing that peroxynitrite promotes the formation of stable α-Syn oligomers (Souza et al., 2000; Paxinou et al., 2001). Our data showing mitochondrial DNA damage is in line with the presence of peroxynitrite near mitochondria, because peroxynitrite is genotoxic by causing single- and double-strand breaks in DNA (Liu and Martin, 2001; Martin and Liu, 2002b). Moreover, our data showing loss of Cox-I enzyme activity without a change in protein level could be explained by oxidative inactivation.
The neuronal cell death seen in the brainstem and spinal cord of A53T mice appears to be a form of apoptosis. Motor neurons showed nuclear condensation as seen by silver and cresyl violet staining. EM showed that the nuclear morphology of degenerating cells in spinal cord is consistent with apoptosis (Martin, 2001). Moreover, subsets of affected neurons were positive for cleaved caspase-3 and p53. These changes seen in A53T mice are consistent with neuronal apoptosis induced by axotomy, particularly regarding the chromatolysis, chromatin condensation, and accumulation of DNA double-strand breaks detected with the TUNEL assay (Martin and Liu, 2002a). The mitochondria in motor neurons of A53T mice had p53 at the outer mitochondrial membrane. Recent studies have shown that p53 has a direct apoptogenic role at mitochondria (Mihara et al., 2003). p53 can mediate mitochondrial membrane permeabilization and apoptosis by activating Bax and Bak (Chipuk et al., 2004; Leu et al., 2004). Thus, the neuronal cell death seen in A53T mice appears to be apoptotic and involves p53 and caspase activation.
α-Syn has a role in cell death, but the precise pro-apoptotic versus anti-apoptotic roles in specific types of neurons remain to be delineated more clearly. Wild-type α-Syn can protect neurons from apoptosis by inhibition of caspase-3 (Alves da Costa et al., 2002). Mutations in α-Syn abolish its inhibitory modulation of caspase-3 (Alves da Costa et al., 2002). Aggregation of wt and PD-related mutated α-Syn is associated with enhanced cell death (Giasson et al., 2002). This process could be caused by the intrinsic pro-apoptotic properties of α-Syn or the loss of an anti-apoptotic function. The latter possibility is supported by evidence that α-Syn lowers the sensitivity of neurons to apoptosis driven by p53 (Alves da Costa et al., 2002) and activates MAPK (mitogen-activated protein kinase) survival pathways (Iwata et al., 2001). The functions of α-Syn might be context and neuron type dependent. For example, in vitro, α-Syn is pro-apoptotic in dopaminergic neurons, with toxicity requiring dopamine and the production of reactive oxygen species, but is neuroprotective in nondopaminergic cortical neurons (Xu et al., 2002); however, in vivo, TH promoter-driven expression of wt or mutant human α-Syn Tg mice is not toxic to mouse dopaminergic neurons (Matsuoka et al., 2001), but nigral dopamine neurons in rat and monkey are vulnerable to adeno-associated viral-mediated overexpression human wt and mutant α-Syn (Kirik et al., 2002, 2003).
The accountability for the high vulnerability of mouse motor neurons to A53T mutant human α-Syn is not clear. The forebrain, diencephalon, and midbrain of these mice express high levels of mRNA and protein for human α-Syn mRNA and protein (Lee et al., 2002), but these regions appear less vulnerable than spinal cord. Because A53T α-Syn causes axonopathy (van der Putten et al., 2000; Giasson et al., 2002), the high vulnerability of motor neurons to mutant α-Syn, including the formation of LB-like inclusions, could be related to their long myelinated axons and interactions with oligodendrocytes and Schwann cells for myelin support. Interestingly, the stability of α-Syn increases with aging (Li et al., 2004a), whereas axonal transport of α-Syn declines with aging (Li et al., 2004b), possibly contributing to axonal aggregation and inclusion formation. In human amyotrophic lateral sclerosis, spinal motor neurons can display LB-like filamentous inclusions (Kato et al., 1989; Murayama et al., 1989), most of which are ubiquitinated (Kato et al., 1989), and significant abnormal α-Syn staining of spheroids and corticospinal axons (Doherty et al., 2004).α-Syn is also upregulated in motor neurons in Tg mice expressing mutant human Cu/Zn superoxide dismutase (Chung et al., 2003); however, motor neuron degeneration in A53T mice might not be cell autonomous, because overexpression of wt α-Syn selectively in oligodendrocytes causes their degeneration as well as the degeneration of neurons, including motor axons in ventral roots (Yazawa et al., 2005). Moreover, distal axonopathy and muscle disease may have roles in the pathogenesis in A53T mice. A previous study and this work reveal skeletal muscle denervation in α-Syn Tg mice (van der Putten et al., 2000). We show that the mutant α-Syn A53T Tg mouse is an alternative model for studying mechanisms of motor neuron degeneration and could provide insight into the possible role of α-Syn in motor neuron disease.
Footnotes
This work was supported by grants from the United States Public Health Service, National Institutes of Health, National Institute of Neurological Disorders and Stroke (NS34100, NS52098), and National Institute on Aging (AG16282 to L.J.M. and NS38065, NS38377 to (M.K.L.)
Correspondence should be addressed to Dr. Lee J. Martin, Department of Pathology, Johns Hopkins University School of Medicine, 558 Ross Building, 720 Rutland Avenue, Baltimore, MD 21205-2196. E-mail: martinl@jhmi.edu.
DOI:10.1523/JNEUROSCI.4308-05.2006
Copyright © 2006 Society for Neuroscience 0270-6474/06/260041-10$15.00/0
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