Abstract
Neuronal apoptosis plays an essential role in early brain development and contributes to secondary neuronal loss after acute brain injury. Recent studies have provided evidence that neuronal susceptibility to apoptosis induced by traumatic or ischemic injury decreases during brain development. However, the molecular mechanisms responsible for this age-dependent phenomenon remain unclear. Here we demonstrate that, during brain maturation, the potential of the intrinsic apoptotic pathway is progressively reduced and that such repression is associated with downregulation of apoptotic protease-activating factor-1 (Apaf-1) and caspase-3 gene expression. A similar decline in apoptotic susceptibility associated with downregulation of Apaf-1 expression as a function of developmental age was also found in cultured primary rat cortical neurons. Injury-induced cytochrome c-specific cleavage of caspase-9 followed by activation of caspase-3 in mature brain correlated with marked increases in Apaf-1 and caspase-3 mRNA and protein expression. These results suggest that differential expression of Apaf-1 and caspase-3 genes may underlie regulation of apoptotic susceptibility during brain development, as well as after acute injury to mature brain, through the intrinsic pathway of caspase activation.
Keywords: brain, development, injury, apoptosis, caspase, gene expression, Apaf-1
Apoptosis is a genetically controlled cell death that was initially recognized for its role in development. Nearly half of neural cells die by apoptosis during brain development. However, apoptosis is atypical for mature mammalian brain under normal physiological conditions (Haydar et al., 1999). Recent studies have established a role for apoptosis in neuronal loss after stroke and spinal cord or traumatic brain injury (TBI) (Gillardon et al., 1997; Yakovlev et al., 1997; Lipton, 1999; Snider et al., 1999;Beattie et al., 2000; Clark et al., 2000; Eldadah and Faden, 2000;Raghupathi et al., 2000; Yamashima, 2000). Furthermore, clinical data suggest that outcomes and mortality after acute brain injury are age-dependent, with more severe responses in infants than in adults (Brink et al., 1970; Levin et al., 1982; Adelson and Kochanek, 1998). Such differences in response to injury may be explained, in part, by differential susceptibility to apoptosis and associated caspase-3 activity in brain as a function of developmental age (Bittigau et al., 1999; Pohl et al., 1999; Hu et al., 2000). However, the molecular mechanisms underlying such age-dependent differences in apoptotic response to neuronal injury have not been identified.
Because caspase-3 appears to be the major executioner caspase involved in neuronal apoptosis (Bredesen, 2000; Eldadah and Faden, 2000), we hypothesized that suppression of apoptotic capability during maturation of mammalian brain results from repression of genes involved in the caspase-3 activation pathway, and that injury-induced neuronal apoptosis in the mature brain results from reactivation of these genes.
Two major caspase-3-activating pathways have been identified, an extrinsic pathway involving cell surface receptors and an intrinsic pathway resulting from alterations at the level of the mitochondrion and activation of the apoptosome (Li et al., 1997; Scaffidi et al., 1998; Slee et al., 1999). A role for the extrinsic pathway in injury-induced CNS apoptosis remains to be established, whereas a role for the intrinsic pathway is supported by several recent studies (Krajewski et al., 1999; Springer et al., 1999; Kuida, 2000).
The intrinsic pathway is initiated by release of cytochromec from mitochondria to the cytosol (Li et al., 1997; Zou et al., 1997, 1999; Brown and Borutaite, 1999; Richter and Ghafourifar, 1999; Kulms and Schwarz, 2000; Robertson and Orrenius, 2000). In the presence of ATP (or dATP), cytochrome c binds to the cytosolic adaptor protein apoptotic protease-activating factor-1 (Apaf-1) (Li et al., 1997). Binding of cytochrome c to Apaf-1 allows the recruitment and activation of caspase-9 within the apoptosome (Li et al., 1997). Active caspase-9, in turn, activates executioner caspases-3 and -7. Activated caspase-3 is required for the activation of four other caspases (-2, -6, -8, and -10) in this pathway and also participates in a feedback amplification loop involving caspase-9 (Li et al., 1997; Slee et al., 1999).
In the present study, we evaluated the role of the intrinsic pathway in neuronal apoptosis at different stages of rat brain development and during maturation of primary cortical neurons in vivo as well as in response to brain injury.
MATERIALS AND METHODS
Tissue cultures. Cortical neuronal cultures were derived from rat embryonic cortices. Briefly, cortices from 15- to 16-d-old embryos were cleaned from their meninges and blood vessels in Krebs'-Ringer's bicarbonate buffer containing 0.3% bovine serum albumin (BSA; Life Technologies, Gaithersburg, MD). Cortices were then minced and dissociated in the same buffer with 1800 U/ml trypsin (Sigma, St. Louis, MO) at 37°C for 20 min. After the addition of 200 U/ml DNase I (Sigma) and 3600 U/ml soybean trypsin inhibitor (Sigma) to the suspension, cells were triturated through a 5 ml pipette. After the tissue was allowed to settle for 5–10 min, the supernatant was collected, and the remaining tissue pellet was retriturated. The combined supernatants were then centrifuged through a 4% BSA layer and the cell pellet was resuspended in neuronal seeding medium, which consisted of neurobasal medium (Life Technologies) supplemented with 1.1% 100× antibiotic-antimycotic solution (Biofluids, Rockville, MD), 25 μm Na-glutamate, 0.5 mml-glutamine, and 2% B27 supplement (Life Technologies). Cells were seeded at a density of 5 × 105 cells/ml onto poly-d-lysine (70–150 kDa; Sigma)-coated 96-well plates (Corning, Corning, NY) or 60 mm Petri dishes (Falcon). All experiments were performed on cultures at 1 or 14 d in vitro (DIV). Cell death was induced in cultured neurons by incubation with 50 μm etoposide.
The composition of 1 and 14 DIV cortical neuronal cultures was characterized by immunostaining using the mouse monoclonal anti-neuron-specific enolase (NSE) antibodies. Briefly cultures in 96-well plates were fixed with 4% paraformaldehyde in PBS and washed twice (5 min each) with PBS. Nonspecific binding was blocked by incubation with 10% goat serum at +4°C for 16 hr. The primary anti-NSE antibodeis (Chemicon, Temecula, CA) in PBS buffer (1:10) were applied for 16 hr at +4°C. Cultures were then washed three times (5 min each) with PBS and incubated with the secondary antibodies (1:100 dilution; goat anti-mouse antibodies conjugated to Texas Red; Accurate Chemicals, Westbury, NY) for 45 min. Cultures were washed three times (5 min each) again and examined using phase-contrast (to visualize all types of cells) and UV microscopy (to identify NSE-positive cells). Cells were counted in randomly selected fields in 1 and 14 DIV cultures. No significant differences were found (n = 5;p = 0.475) in the percentages of neuronal cells in 1 and 14 DIV cultures, as compared by ANOVA followed by the Student-Newman-Keuls test. One DIV cultures contained 88 ± 4% NSE-positive cells, and 14 DIV cultures contained 91 ± 5% NSE-positive cells.
Rat fluid percussion brain trauma model. This model is highly reproducible and has been extensively characterized with regard to its biochemical, physiological, morphological, and behavioral correlates (McIntosh et al., 1987; Faden et al., 1989). Briefly, male Sprague Dawley rats (400 ± 25 gm body weight) were anesthetized with sodium pentobarbital (60 mg/kg, i.p.), intubated, and implanted with femoral venous and arterial catheters. Brain temperature was assessed indirectly through a thermister in the temporalis muscle, and body temperature was maintained through a feedback-controlled heating blanket. Blood pressure was continuously monitored, and arterial blood gases were analyzed periodically. A small craniotomy (2 mm), located midway between the lambda and bregma sutures over the left parietal cortex, allowed insertion of a Leur-Loc that was cemented in place. The fluid percussion head injury device, manufactured by the Medical College of Virginia, consists of a Plexiglas cylindrical reservoir filled with 37°C isotonic saline; one end includes a transducer that is mounted and connected to a 5 mm tube that attaches through a male Leur-Loc fitting to the female Leur-Loc cemented at the time of surgery. A pendulum strikes a piston at the opposite end of the device, producing a pressure pulse of ∼22 msec duration, leading to the deformation of underlying brain. The degree of injury is related to the pressure pulse expressed in atmospheres; a pulse of 2.4 ± 0.1 atmospheres produces moderately severe injury that permits evaluation of pharmacological interventions. Animals were maintained on anesthetics (sodium pentobarbital, 15 mg · kg−1 ·hr−1) and artificially ventilated. All animal experiments were in compliance with Georgetown University Animal Care and Use Committee guidelines and the National Institutes of Health Guide for the Care and Use of Laboratory Animals (National Institutes of Health publication 85-23).
Assay for caspase-3 activation. Sham-operated and injured rat cortices or pellets of primary cortical neurons were homogenized in a Dounce homogenizer in 20 mm HEPES-KOH, pH 7.5, 10 mm KCl, 1.5 mm MgCl2, 1 mm EDTA, 1 mm EGTA, 1 mmdithiothreitol (DTT), 1 mm phenylmethylsulfonyl fluoride (PMSF), 10 μg/ml leupeptin, 10 μg/ml aprotinin, 10 μg/ml pepstatin A, and 250 mm sucrose. Homogenates were centrifuged at 13,000 × g for 30 min. Supernatants were transferred to new tubes and stored at −80°C until used. Protein concentration was estimated by the Bradford method (Bio-Rad, Hercules, CA) according to recommendations by the manufacturer. Twenty to 80 μg aliquots of the cytosolic extracts were incubated in the presence or absence of 1 mm dATP and 10 μg/ml cytochrome c at 37°C for 1 hr in a final volume of 20 μl of caspase activation buffer (10 mm HEPES, pH 7.4, 5 mm EGTA, 2 mmMgCl2, 5 mm DTT, 1 mm ATP, 1 mm PMSF, 10 μg/ml leupeptin, 10 μg/ml aprotinin, 10 μg/ml pepstatin A, 10 mm phosphocreatinin, and 150 μg/ml creatine kinase). At the end of the incubation, aliquots of reaction mixtures (20 μg of protein in 100 μl of caspase-3 assay buffer consisting of 50 mm HEPES, pH 7.4, 100 mmNaCl, 0.1% 3-[(3-cholamidopropyl)dimethylammonio]-1-propanesulfonic acid, 10 mm DTT, 1 mm EDTA, and 10% glycerol) were mixed with equal volumes of 40 μm fluorescent tetrapeptide substrate [Ac-DEVD-aminomethylcoumarin (AMC); Bachem] in the same buffer solution. Caspase-3-like activity was measured using a CytoFluor 4000 fluorometer (PerSeptive Biosystems) as described below.
Assay for caspase activity. Aliquots of cytosolic extracts (20 μg of protein in 100 μl of caspase-3 assay buffer) were mixed with equal volumes of 40 μm Ac-DEVD-AMC in the same buffer. Free AMC accumulation, which resulted from cleavage of the aspartate–AMC bond, was monitored continuously in each sample over 30 min in 96-well microtiter plates using a CytoFluor 4000 fluorometer at 360 nm excitation and 460 emission wavelengths. The emission from each well was plotted against time. Linear regression analysis of the initial velocity (slope) of each curve yielded an activity for each sample.
Assessment of cell viability. Cell viability was measured by retention and deesterification of calcein AM (Eldadah et al., 1997). For the calcein AM retention assay, culture media in 96-well plates were replaced with 5 μm calcein AM (Molecular Probes, Eugene, OR) in Locke's buffer containing (in mm): 154 NaCl, 5.6 KCl, 3.6 NaHCO3, 2.3 CaCl2, 1.2 MgCl2, 5.6 glucose, and 5 HEPES, pH 7.4. After incubation at 37°C for 30 min, fluorescence was measured using a CytoFluor 4000 fluorometer at 485 nm excitation and 560 nm emission wavelengths.
Immunoblot analysis. Brain tissue or primary neurons were harvested, washed once with ice-cold PBS, and lysed on ice in a solution containing 50 mm Tris-HCl, pH 7.5, 150 mm NaCl, 1 mm EGTA, 1 mm PMSF, 0.5% NP-40, 0.25% SDS, 5 μg/ml leupeptin, and 5 μg/ml aprotinin. After removal of cell debris by centrifugation, the protein concentration of the cell lysate was determined with the Bio-Rad protein assay reagent. A portion of the lysate (50–80 μg of protein) was then fractionated by SDS-PAGE, and the separated proteins were transferred to a nitrocellulose filter. The filter was stained with Ponceau S to confirm equal loading and transfer of samples and was then probed with specific antibodies. Immune complexes were detected with appropriate secondary antibodies and chemiluminescence reagents (Pierce, Rockford, IL). A polyclonal rabbit antibody to caspase-3 (H-277) was obtained from Santa Cruz Biotechnology (Santa Cruz, CA); a polyclonal rabbit antibody to active caspase-3 (9661) was obtained from Cell Signaling Technology (New England Biolabs, Beverly, MA); a monoclonal mouse antibody to caspase-9 (clone 5B4) was obtained from Medical and Biological Laboratories (MBL); and a polyclonal rabbit antibody to Apaf-1 (AB16941) was obtained from Chemicon.
Reverse transcription-PCR. The levels of mRNA were analyzed using a reverse transcription (RT)-PCR approach as previously described (Yakovlev et al., 1997). In brief, total RNA was isolated by acidic phenol extraction (Chomczynski and Sacchi, 1987), and 10 μg of it was reverse transcribed with Moloney murine leukemia virus RT (Life Technologies) in 30 μl reaction mixture. The resulting cDNA (3 μl) was amplified by PCR. Numbers of cycles and reaction temperature conditions were estimated to be optimal to provide a linear relationship between the amount of input template and the amount of PCR product generated over a wide concentration range: from 1 to 20 μg of total RNA, as described in detail previously (Yakovlev and Faden, 1994). Primers to amplify the rat caspase-3 cDNA were 5′-GGTATTGAGACAGACAGTGG-3′ (sense primer) and 5′-CATGGGATCTGTTTCTTTGC-3′ (antisense primer). Primers to amplify the rat caspase-9 cDNA were 5′-ACAAGGCCTTCGACAGTG-3′ (sense primer) and 5′-GTACCAGGAACCGCTCTT-3′ (antisense primer). Primers to amplify the rat Apaf-1 cDNA were 5′-GATATGGAATGTCTCAGATGGCC-3′ (sense primer) and 5′-GGTCTGTGAGGACTCCCCA-3′ (antisense primer). Amplified cDNA was analyzed in agarose electrophoretic gels. After staining with ethidium bromide, UV light gel images were captured and analyzed using the Image 1.59 program. Levels of individual mRNA were expressed in arbitrary units as the proportion of individual PCR product mean optical density (inverted image) to a control product mean optical density obtained from the same RNA sample. The cDNA for glyceraldehyde-3-phosphate dehydrogenase (GAPDH) was used as the internal control, because its levels remain constant in different models tested. Primers to amplify rat GAPDH cDNA were 5′-TAAAGGGCATCCTGGGCTACACT-3′ (sense primer) and 5′-TTACTCCTTGGAGGCCATGTAGG-3′ (antisense primer). The identity of a PCR-generated product to a corresponding cDNA was confirmed by the sequencing of the PCR products.
Production of recombinant Apaf-1XL. Recombinant human Apaf-1XL was purified essentially as it was described by us earlier (Yakovlev et al., 2000). The full-length coding cDNA clone was kindly provided by Dr. Gabriel Nunez. A pET21c(+) expression vector (Novagen, Madison, WI) containing the coding region for Apaf-1XL was used for the production of the His-tagged protein. The expression plasmid was transformed into a BL21(DE3)pLysS Escherichia coli strain. After induction with 1 mmisopropyl-1-thio-βb-d-galactopyranoside, Apaf-1XL was isolated from bacterial inclusion bodies using Ni-nitrilotriacetic acid agarose (Qiagen, Hilden, Germany) according to the manufacturer's protocol. The yield of recombinant Apaf-1XL was as low as a few micrograms of protein per liter of bacterial culture, probably because of high toxicity of this protein.
Data analysis. Changes in mRNA content, activity for caspase-3, and neuronal viability were analyzed using ANOVA, followed by Dunnett's test; p < 0.05 was considered statistically significant.
RESULTS
To assess effectiveness of the cytochrome c-dependent caspase-3 activation pathway in rat brain at different stages of development, we used a well-established assay of reconstitution of cytochrome c-dependent caspase-3 activation in vitro. Cytochrome c and dATP are necessary for the oligomerization and binding of Apaf-1 to procaspase-9 followed by autoactivation of this caspase. Active caspase-9, in turn, cleaves and activates downstream caspases, including caspase-3. Therefore, we incubated cell-free cytosolic extracts isolated from rat brain cortex on embryonic day 17 (E17) or postnatal day 2 (P2), P7, P14, and P60 in the absence or presence of cytochrome c and dATP. As an outcome, we used a fluorogenic substrate assay to measure caspase-3-like (DEVDase) enzyme activity levels in the cortical extracts (Fig. 1A).
High levels of cytochrome c-induced DEVDase activity were found in extracts from E17 and P2 rat cortex with no considerable difference between these two age groups. In contrast, activity of DEVDase in P7 protein extracts decreased to ∼65% of embryonic and neonatal levels. DEVDase activity in P14 extracts decreased further, reaching nearly 10% of E17, and was not detected in extracts from mature (P60) brain. No DEVDase activity was detected also in extracts preincubated in the absence of cytochrome c (Fig.1A).
Because cytochrome c-dependent activation of caspase-3 requires activation of caspase-9, we next examined cleavage of these two caspases by Western blot analysis. Using a monoclonal 5B4 anti-caspase-9 antibody (MBL) that recognizes both rat procaspase-9 and its large subunit, we observed nearly complete cleavage of procaspase-9 in E17, P2, and P7 extracts (Fig. 1B). The degree of caspase-9 cleavage was markedly decreased in P14 extracts and was not detected in P60 extracts. Using a polyclonal anti-caspase-3 antibody from Cell Signaling Technology that recognizes p17 cleaved fragments, we found that, consistent with results of DEVDase activity assay, caspase-3 was cleaved to its active form in E17, P2, and P7 extracts and to lesser extent in P14 extracts, but such cleavage was not detected in P60 extracts (Fig. 1B). Similar age-dependent changes in cytochrome c-dependent apoptotic susceptibility were found in developing mouse brain (data not shown).
To identify a potential molecular basis for the observed age-dependent change in cytochrome c-dependent apoptotic potential, we examined expression of each component of the apoptosome during rat brain development at mRNA and protein levels. mRNA levels were estimated by RT-PCR analysis. These experiments were based on the available rat Apaf-1, caspase-3, and caspase-9 mRNA sequences (GenBank accession numbers NM023979, U58656, and AF262319, respectively). RT-PCR experiments revealed that Apaf-1 and caspase-3 mRNA levels decreased markedly in the rat cortex between 1 and 2 weeks after birth and were sustained at these levels in the mature brain (Fig.2A). In contrast, caspase-9 mRNA expression was not significantly changed during development.
To examine whether the observed decrease of caspase-3 and Apaf-1 mRNA correlated with decreased expression of the corresponding proteins, we estimated Apaf-1, procaspase-3, and procaspase-9 protein expression in rat cortex at the same times in rat brain development. Protein expression was assayed by Western blot analysis. Identification of procaspase-3 and procaspase-9 was performed by staining with H-277 and 5B4 antibodies (Santa Cruz Biotechnology and MBL, respectively), which, in each case, recognized a major protein band of a predicted molecular weight. Among a number of anti-Apaf-1 antibodies tested in this study, only a polyclonal rabbit antibody (AB16941; Chemicon) recognized a band of ∼140 kDa, corresponding to predicted molecular weight of rat Apaf-1 (140 kDa), whereas the rest of tested antibodies stained a ∼110 kDa protein of unknown origin. The specificity of this antibody was confirmed in preliminary experiments in which immunostaining of Apaf-1 in rat brain samples was compared with staining of human recombinant Apaf-1 and Apaf-1 preparations purified from bovine thymus (Fig. 3).
As shown in Figure 2B, levels of both Apaf-1 and caspase-3 proteins in cortical extracts were markedly decreased after 1 week of age and were minimal in the mature tissue. In contrast, no significant changes in caspase-9 protein expression were detected in this experiment.
To investigate further age-dependent changes in neuronal susceptibility to apoptosis, we analyzed the level of Apaf-1 protein expression, cytochrome c-mediated caspase-3 activation, and etoposide-induced cell death in primary rat cortical neurons cultured for 1, 7, or 14 DIV. Western analysis showed that Apaf-1 expression was clearly decreased in 14 DIV primary neurons compared with 1 DIV cells, a result consistent with Apaf-1 protein expression in developing rat cortex (Fig. 4A). The difference in expression levels of Apaf-1 in 1 and 7 DIV cells was not obvious (data not shown). Incubation of cytosolic extracts from 1 DIV primary neurons in the presence of cytochrome c and dATP led to marked activation of caspase-3; in contrast, activation of caspase-3 in extracts from 7 DIV cells was ∼30% lower and in 14 DIV neurons was approximately fivefold lower that in 1 DIV extracts (Fig.4B). Similar differences in levels of caspase-3 activity were observed in the cytosol from primary neurons treated with etoposide: 5 hr treatment of 1 DIV cells resulted in activity of caspase-3 corresponding to 18.7 ± 0.4 arbitrary units of fluorescence (AUF); in contrast, activity in 14 DIV extracts was only 4.7 ± 0.1 AUF (Fig. 4C). Changes in caspase-3 activity in the etoposide-treated neurons correlated inversely with the degree of cell survival. After 24 hr incubation of 1 DIV neurons with etoposide, 45 ± 6% of cells survived, whereas in 7 DIV cultures, 55 ± 5% of cells survived, and in 14 DIV cultures, 79 ± 3% of cells were viable (Fig. 4D).
Our previous report suggested that brain trauma in rats results in activation of caspase-3 (Yakovlev et al., 1997). Because activation of caspase-3 results from specific cleavage of the precursor protein, we examined such cleavage of caspase-3 using Western analysis as a function of time after TBI. Consistent with previous findings, low levels of the cleaved forms of caspase-3 were detected beginning 4 hr after trauma but increased markedly at 48 hr after injury (Fig.5).
Because the apoptotic potential in mature brain tissue is repressed, and such repression may be predetermined by downregulation of both Apaf-1 and caspase-3 gene expression, we hypothesized that elevation of caspase-3 activity after TBI may require reactivation of these genes in the mature brain. In part, this hypothesis is supported by results of our previous studies in which we found that TBI results in an early increase in caspase-3 mRNA content in the injured brain regions (Yakovlev et al., 1997). In this study, we examined protein expression of procaspase-3 in injured cortex as a function of time after brain trauma. Using Western blot analysis, we found that procaspase-3 protein levels were elevated in injured cortex by 4–48 hr after TBI (Fig.6A).
Because of the limitations of Western blot for quantitative analysis of protein expression, we examined whether the apparent increase in procaspase-3 after TBI leads to an increase in corresponding caspase activity after experimental cleavage by active recombinant caspase-9. As shown in Figure 6B, TBI induced a significant elevation of caspase-9-mediated caspase-3 activity in extracts from injured cortex. A 1.5-fold increase in caspase-9-dependent caspase-3 activation was observed in extracts isolated from injured cortex 4 hr after TBI. This induced activity was further increased at later time points after TBI, exceeding twice control levels by 2 d after injury. No such changes in caspase-3 activity were detected in contralateral brain regions (data not shown).
Injury-induced increases in caspase-3 protein expression observed in this study are consistent with increases in activity of this caspase after TBI. On the other hand, activation of caspase-3 requires previous activation of caspase-9 within the apoptosome. We found that in the mature brain this pathway is repressed, in part, because of downregulation of Apaf-1 expression. Therefore, we hypothesized that neuronal injury may lead to reactivation of the intrinsic pathway of apoptosis via reactivation of Apaf-1 gene expression. To test this hypothesis at the functional level, we first examined whether specific cleavage of caspase-9 could be detected after TBI. This was assessed by Western analysis of cortical protein extracts in the time course after trauma.
Amino acid sequence analysis of rat procaspase-9 revealed that, like human procaspase-9, it contains an SEPD potential autoactivation cleavage site and a DQLD caspase-3 recognition site. Correspondingly, cytochrome c-mediated autoactivation is expected to produce a 39 kDa large subunit recognizable by the antibodies, whereas, a 41 kDa large fragment is expected after cleavage with caspase-3 (Fig.7). Indeed, treatment of P2 cortical extracts with cytochrome c and dATP resulted in cleavage of caspase-9 corresponding to the 39 kDa subunit, whereas treatment of the extracts with recombinant active rat caspase-3 (Alexis) primarily resulted in appearance of the 41 kDa fragment. Notably, processing of procaspase-9 by caspase-3 was less efficient compared with that by cytochrome c treatment (Fig. 7).
Western blot analysis of protein samples of injured cortex showed accumulation of the 39 kDa caspase-9 subunit after TBI. At 48 hr after injury, the 41 kDa caspase-9 fragment also became apparent, reflecting increased caspase-3 activity in the samples at this time point (Fig.7).
Injury-induced cleavage of procaspase-9 at autoactivation-specific sites presumes that injury reactivates the apoptosome complex, which, as we show here, is normally repressed in the mature brain. Therefore, we next examined whether expression of Apaf-1 mRNA and protein are affected by TBI.
Results of semiquantitative RT-PCR showed that Apaf-1 mRNA content increased in the injured cortex, reaching 143 ± 10% of control (sham) levels by 12 hr, 180 ± 5% by 24 hr, and 211 ± 9% by 48 hr after TBI (Fig.8A,B). Furthermore, Western blot revealed increased intensity of the Apaf-1 protein band in cortical extracts isolated 24 hr after injury, with a peak expression at 48 hr (Fig. 9).
DISCUSSION
Activation of caspase-3 appears to be a critical event in the execution of neuronal apoptosis in the brain during development and after acute injury (Kuida et al., 1996; Bredesen, 2000; Eldadah and Faden, 2000). In the intrinsic pathway of caspase-3 activation, Apaf-1, caspase-9, and cytochrome c work together forming the apoptosome complex (Li et al., 1997; Zou et al., 1997, 1999), which, in the presence of dATP, leads to activation of caspase-9 (Li et al., 1997). Active caspase-9, in turn, activates caspase-3.
A role for the apoptosome-mediated pathway of neuronal apoptosis in brain development has been established through transgenic studies (Cecconi et al., 1998; Hakem et al., 1998; Yoshida et al., 1998;Honarpour et al., 2000). Recently, a functional role for this pathway in injury-induced neuronal apoptosis also was demonstrated in models of brain (Krajewski et al., 1999) and spinal cord injury (Springer et al., 1999). This suggests that the same pathway may be functional in physiological apoptosis during brain development and in pathological processes related to CNS injury.
In the present study, we examined the intrinsic pathway of caspase-3 activation in rat brain cortex and in primary rat cortical neurons as a function of developmental age and as a function of time after traumatic injury to mature brain. We also investigated expression of Apaf-1, caspase-9, and caspase-3 genes at mRNA and protein levels, given the role of these proteins in developmental and injury-induced neuronal apoptosis.
Using an in vitro system, we demonstrated that the ability of cytochrome c to induce activation of caspase-3 was decreased during maturation of rat brain and was undetectable by the caspase activity assay and by Western blot in rat (and mouse; data not shown) brain samples after 2 weeks of age. This observation is consistent with recent reports on age-dependent differences in injury-induced caspase-3 activation and susceptibility to apoptosis in mammalian brain (Bittigau et al., 1999; Pohl et al., 1999; Hu et al., 2000).
Results of Western blot experiments showed that age-dependent declines in cytochrome c-dependent activation of caspase-3 in rat brain cortex paralleled the extent of procaspase-9 processing in thein vitro assay. This suggests that repression of cytochromec-dependent apoptotic potential might be regulated at the level of the apoptosome. To address this issue, we analyzed Apaf-1, caspase-9, and caspase-3 gene expression as a function of developmental age.
We found that mRNA and protein expression for both Apaf-1 and caspase-3 were markedly decreased in rat cortex during brain development. The age-dependent decrease in caspase-3 mRNA content in rat brain tissue is consistent with previously published data (Zou et al., 1997; de Bilbao et al., 1999). Profiles of both Apaf-1 and caspase-3 gene expression were comparable with the developmental profile of cytochromec-mediated caspase-3 activation in rat brain. Interestingly, caspase-9 gene activity, at both mRNA and protein levels, did not change notably during brain development, suggesting that activation of this caspase in the brain may depend on the Apaf-1-mediated pathway. Developmental downregulation of caspase-3 gene activity may serve as a supplementary mechanism that protects the mature brain from apoptosis initiated by other caspases, such as caspase-8, -11, or -12 (Ivins et al., 1999; Raoul et al., 1999; Sanchez et al., 1999; Matsushita et al., 2000; Nakagawa et al., 2000).
Because of the poor specificity of the available anti-Apaf-1 antibodies, we were not able to examine directly whether downregulation of Apaf-1 during brain maturations occurs in neurons. Therefore, we examined Apaf-1 protein expression, cytochrome c-dependent activation of caspase-3, and etoposide-induced apoptosis in primary rat cortical neurons cultured for 1 or 14 DIV. Both Apaf-1 expression and apoptosome-mediated activation of caspase-3 were markedly decreased in 14 DIV neurons. Decreased levels of caspase-3 activity and highly significant reduction of associated apoptosis were also found in neurons at 14 DIV (vs 1 DIV) treated with etoposide. In transfection studies using dominant negative mutant constructs of caspase-8 and -9, we have demonstrated that etoposide-induced apoptosis in rat primary cortical neurons, as well as in the SH-SY5Y neuroblastoma cell line, proceeds through a caspase-9-dependent pathway (data not shown). Collectively these data support the hypothesis that neuronal maturationin vitro leads to repression of cytochromec-dependent apoptotic susceptibility and that this process parallels the decrease in Apaf-1 protein expression in rat cortical neurons.
Given the present findings and previous observations that brain injury causes activation of caspase-3 and related neuronal apoptosis, we examined whether TBI recapitulates apoptotic potential via coordinated reactivation of caspase-3 and Apaf-1 genes. Increased caspase-3 mRNA levels after neuronal injury have been demonstrated previously in various models of apoptosis, including TBI (Yakovlev et al., 1997;Clark et al., 2000); however, changes in procaspase-3 protein levels have not been reported. Therefore, we examined expression of procaspase-3 protein as a function of time after brain trauma, using Western analysis and by measuring caspase-9-induced caspase-3 activity in extracts from injured cortex. Both techniques showed a marked increase in procaspase-3 after TBI.
Preliminary analysis of caspase-8 cleavage and activation in cortical protein extracts after brain injury did not suggest a role for caspase-8 in TBI-induced cell death (data not shown). In contrast, brain trauma resulted in accumulation of cleavage fragments of caspase-9 in rat cortex after injury that paralleled activation-specific cleavage of caspase-3.
Given the repression of Apaf-1 in normal mature brain cortex, we examined whether its levels were increased after brain injury. RT-PCR and Western blot showed that Apaf-1 mRNA and protein content were substantially increased after fluid percussion-induced TBI compared with sham-injured controls.
A role for Apaf-1 gene regulation in apoptosis has been suggested recently by in vitro studies. Robles et al. (1999)demonstrated that downregulation of Apaf-1 protein expression in granulosa cells by treatment with gonadotropin completely suppressed apoptotic cell death via the intrinsic procaspase-3 processing pathway.Soengas et al. (2001) reported that metastatic melanomas often lose Apaf-1 expression. Moreover, Apaf-1-negative cells are consistently chemoresistant and are unable to undergo apoptosis in response to p53 activation. The authors showed that loss of Apaf-1 expression can be recovered by treatment with the methylation inhibitor 5-aza-2′-deoxycytidine. Restoring physiological levels of Apaf-1 rescued the apoptotic defects associated with Apaf-1 loss. These authors suggested that inactivation of the Apaf-1 gene may result from methylation of an enhancer or other regulatory elements outside the Apaf-1 core promoter (Soengas et al., 2001). We do not exclude that methylation may also contribute to downregulation of Apaf-1 during brain development.
In addition, Moroni et al. (2001) recently reported that the expression of Apaf-1 gene can be directly regulated by E2F1 transcription factor and that Apaf-1 is a direct transcriptional target of the tumor suppressor p53. The previous studies demonstrated that p53 is upregulated in vulnerable cells in response to lateral fluid percussion brain injury in the rat (Napieralski et al., 1999). These observations suggest that injury-induced p53 expression might sensitize cells to apoptosis by increasing Apaf-1 levels.
Taken together, our findings are consistent with previous observations on differential susceptibility to apoptosis and associated caspase-3 activity in developing and mature brain tissues (Bittigau et al., 1999;Pohl et al., 1999; Hu et al., 2000). In addition, this report suggests a potential molecular mechanism underlying such age-dependent differences and indicates that Apaf-1 and caspase-3 gene expression is normally repressed in the adult brain. Acute brain injury appears to recapitulate earlier expression patterns for these proapoptotic genes that lead to apoptosis. Development of specific antibodies and inhibitors of Apaf-1 will help clarify the role of this protein in developmental neuronal apoptosis as well as in injury-induced apoptotic cell death.
Footnotes
This work was supported by Grants R01 NS38941 and R01 NS36537 from the National Institute for Neurological Diseases and Stroke to A.G.Y. and A.I.F. and by Grant DAMD17-99-2-9007 from the United States Department of Defense to A.I.F. We thank Dr. Vishva M. Dixit for the dominant negative caspase-8 and caspase-9 expression constructs. We also thank Dr. Gabriel Nunez for the cDNA clone encoding human Apaf-1XL.
Correspondence should be addressed to Alexander G. Yakovlev, Georgetown University Medical Center, Research Building, WP-14, 3970 Reservoir Road Northwest, Washington, DC 20007. E-mail:yakovlev@giccs.georgetown.edu.
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