Glycogen Synthase Kinase-3β inhibition reduces secondary
Transcription
Glycogen Synthase Kinase-3β inhibition reduces secondary
JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 JPETThis Fast Forward. Published onformatted. April 6,The 2006 DOI:10.1124/jpet.106.102863 article has not been copyedited and final as version may differ from this version. JPET #102863 Glycogen Synthase Kinase-3β inhibition reduces secondary damage in experimental spinal cord trauma. Salvatore Cuzzocrea, Tiziana Genovese, Emanuela Mazzon, Concetta Crisafulli, Rosanna Di Paola, Carmelo Muià, Marika Collin, Emanuela Esposito, Placido Bramanti and Christoph Department of Clinical and Experimental Medicine and Pharmacology, School of Medicine, University of Messina, Italy: (SC, TG, EM, CC, CM RDP). The William Harvey Research Institute, Centre for Experimental Medicine, Nephrology and Critical Care, St Bartholomew’s and The Royal London School of Medicine and Dentistry, London, UK: (MC, CT). IRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy (S.C. EM, PB, TG). Department of Experimental Pharmacology, University of Naples “Federico II”, Via D. Montesano 49, Naples, Italy (E.E.) 1 Copyright 2006 by the American Society for Pharmacology and Experimental Therapeutics. Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 Thiemermann JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 Running title: GSK-3β inhibition reduces spinal cord injury. Author for correspondence: Prof. Salvatore Cuzzocrea, Department of Clinical and Experimental Medicine and Pharmacology, School of Medicine, University of Messina, Torre Biologica – Policlinico Universitario Via C. Valeria – Gazzi – 98100 Messina Italy; Tel.: (39) 090 2213644, Fax.: (39) 090 2213300; email: [email protected] Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 Number of text pages: 35 Number of tables: 0 Number of figures: 11 Number of references: 40 Number of words in the Abstract: 189 Number of words in the Introduction: 572 Number of words in the Discussion: 1767 List of non-standard abbreviations: SCI: spinal cord injury GSK-3β: glycogen synthase kinase-3β PMN: polymorphonuclear leukocytes H&E: Haematoxylin/Eosin BBB: Basso, Beattie, and Bresnahan 2 JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 ABSTRACT Glycogen synthase kinase-3 (GSK-3) has recently been identified as an ubiquitous serine-threonine protein kinase that participates in a multitude of cellular processes and plays an important role in the pathophysiology of a number of diseases. The aim of this study was to investigate the effects of GSK-3β inhibition on the degree of experimental spinal cord trauma induced by the application of (SCI) in mice resulted in severe trauma characterized by edema, neutrophil infiltration, production of a range of inflammatory mediators, tissue damage, and apoptosis. Treatment of the mice with TDZD-8, a potent and selective GSK-3β inhibitor, significantly reduced the degree of (1) spinal cord inflammation and tissue injury (histological score), (2) neutrophil infiltration (myeloperoxidase activity), (3) iNOS, nitrotyrosine, and COX-2 expression (4) and apoptosis (TUNEL staining and Bax and Bcl-2 expression). In a separate set of experiments, TDZD-8 significantly ameliorated the recovery of limb function (evaluated by motor recovery score). Taken together, our results clearly demonstrate that treatment with TDZD-8 reduces the development of inflammation and tissue injury associated with spinal cord trauma. 3 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 vascular clips (force of 24 g) to the dura via a four-level T5-T8 laminectomy. Spinal cord injury JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 INTRODUCTION An excessive post-traumatic inflammatory reaction may play an important role in the secondary injury processes, which develop after spinal cord injury (SCI) (Bartholdi and Schwab, 1995). The primary traumatic mechanical injury to the spinal cord causes the death of a number of neurons that to date can neither be recovered nor regenerated. However, neurons continue to die for hours after spinal cord injury (SCI), and this represents a potentially avoidable event (Amar and Levy, 1999). This secondary neuronal death is determined by a large number of cellular, molecular, the evolution of the secondary damage is the local inflammatory response in the injured spinal cord. Recent evidence, however, suggests that leukocytes, especially neutrophils which are the first leukocytes to arrive within the injured spinal cord (Carlson et al., 1998), may also be directly involved in the pathogenesis and extension of spinal cord injury in rats. Several authors have demonstrated that neutrophils are especially prominent in a `marginal zone' around the main area of injury and infarction at 24 h (de Castro et al., 2004). The cardinal features of inflammation, namely infiltration of inflammatory cells (not only polymorphonuclear neutrophils but also macrophage and lymphocytes), release of inflammatory mediators, and activation of endothelial cells leading to increased vascular permeability, edema formation, and tissue destruction have been widely characterized in animal models of SCI (Popovich et al., 1997). Both necrotic and apoptotic mechanisms of cell death after SCI then, have been well and extensively descripted in animal SCI models (Profyris et al., 2004). One of the mechanisms of neuronal apoptosis intensely studied involves GSK-3β (glycogen synthase kinase3β), which is also implicated in neurotrophic base of apoptosis. For instance, overexpression of GSK-3β induces apoptosis in neuronal cells in culture, and specific inhibitors of GSK-3β are able to ameliorate this apoptotic response (Pap and Cooper, 1998). 4 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 and biochemical cascades. One such cascade that has been proposed to contribute significantly to JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 GSK-3β is an isoform of GSK-3, which was initially identified as an enzyme that negatively regulates the activity of glycogen synthase (Cohen, 1985). Recently, GSK-3 has been discovered to be involved in the regulation of growth and development, mostly because the activation of this enzyme contributes to pro-apoptotic signaling. Lithium, an inhibitor of GSK-3, was found to protect cultured neurons against glutamate-induced apoptosis in a phosphatidyl-inositol-3-kinase (PI-3K)dependent manner (Shimomura et al., 2003). Moreover, recently it has been demonstrated that lithium in combination with chondroitinase ABC, improve the regenerative response after CNS ChABC alone (Yick et al., 2004). A large body of evidence supports the hypothesis that pharmacological inhibitors of GSK-3 could be used to treat several diseases, including Alzheimer's disease and other neurodegenerative diseases. More than 30 inhibitors of GSK-3 have been identified. Seven of these have been co-crystallized with GSK-3β and all localize within the ATPbinding pocket of the enzyme. GSK-3, as part of a multi-protein complex that contains proteins such as axin, presenilin and beta-catenin, contains many additional target sites for specific modulation of its activity. In this study, we used the GSK-3β inhibitor 4-Benzyl-2-methyl-1,2,4-thiadiazolidine-3,5dione (TDZD-8) to investigate the role of this kinase in the modulation of secondary injury in the spinal cord. In particular, we have determined the following endpoints of the inflammatory response: (1) histological damage, (2) motor recovery, (3) neutrophil infiltration, (4) NF-κB expression, (5) nitrotyrosine, iNOS and COX-2 expression, (6) apoptosis (TUNEL staining), (7) Bax and Bcl-2 expression. 5 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 injury and enhances the recovery of forelimb function compared with a single application of JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 METHODS Animals Male adult CD1 mice (25-30g, Harlan Nossan, Milan, Italy) were housed in a controlled environment and provided with standard rodent chow and water. Animal care was in compliance with Italian regulations on protection of animals used for experimental and other scientific purpose (D.M. 116192) as well as with the EEC regulations (O.J. of E.C. L 358/1 12/18/1986). Mice were anesthetized using chloral hydrate (400 mg/kg body weight). A longitudinal incision was made on the midline of the back, exposing the paravertebral muscles. These muscles were dissected away exposing T5-T8 vertebrae. The spinal cord was exposed via a four-level T6T7 laminectomy and SCI was produced by extradural compression of the spinal cord using an aneurysm clip with a closing force of 24 g. In all injured groups, the spinal cord was compressed for 1 min. Sham animals were only subjected to laminectomy. Following surgery, 1.0 cc of saline was administered subcutaneously in order to replace the blood volume lost during the surgery. During recovery from anesthesia, the mice were placed on a warm heating pad and covered with a warm towel. The mice were individually housed in a temperature-controlled room at 27°C for a survival period of 10 days. Food and water were provided to the mice ad libitum. During this time period, the animals' bladders were manually voided twice a day until the mice were able to regain normal bladder function. 6 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 Spinal cord injury (SCI) JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 Experimental groups Mice were randomly allocated into the following groups: (i) SCI + vehicle group. Mice were subjected to SCI plus intraperitoneal administration of vehicle (N=30); (ii) SCI + TDZD-8 group. Mice were subjected to SCI plus intraperitoneal administration of TDZD-8 at the dose of 1 mg/kg (10% DMSO) 1 h prior, 3 and 6 h after SCI (N=30); (iii) Sham + vehicle group. Mice were subjected to the surgical procedures as the above (iv) Sham + TDZD-8 group. Identical to Sham + vehicle group except for the administration of TDZD-8 1 h prior, 3 and 6 h after SCI (N= 30). Ten mice from each group were sacrificed at different time points (see figure 1) in order to collect samples for the evaluation of the parameters as described below. In the experiments investigating the motor score, the animals were treated with 4-Benzyl-2-methyl-1,2,4-thiadiazolidine-3,5-dione (TDZD-8) or with 3-[(3-Chloro-4-hydroxyphenyl)amino]-4-(2-nitrophenyl)-1H-pyrrole-2,5-dione (SB415286) (1 mg/kg 10% DMSO) 1 h prior, 3 and 6 h after SCI and daily until day 9. Preparation of extracts of whole spinal cord All the extraction procedures were performed on ice using ice-cold reagents. Spinal cord tissues from each mouse were suspended in 6 ml of a high-salt extraction buffer (20 mM pH 7.9 HEPES, 420 mM NaCl, 1.5 mM MgCl2, 0.2 mM Ethylenediaminetetraacetic acid (EDTA), 25% glycerol, 0.5 mM phenylmethylsulphonylfluoride, 1.5 µg/ml soybean trypsin inhibitor, 7 µg/ml pepstatin A, 5 µg/ml leupeptin, 0.1 mM benzamidine, 0.5 mM dithiothreitol) and homogenized at the highest setting for 2 min in a Polytron PT 3000 tissue homogenizer. The homogenates were chilled on ice for 15 min and then vigorously shaken for few minutes in the presence of 20 µl of 10% Nonidet P-40. The pellets were suspended in the supplied complete lysis buffer containing 10mM dithiothreitol, lysed for 30 min on ice and then centrifuged (10 min, 14,000 x g) to yield the nuclear fraction. 7 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 groups except that the aneurysm clip was not applied (N=30); JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 Protein concentration in the supernatant was determined by the Bio-Rad protein assay kit (Bio-Rad), and stored at –80°C. Western blot analysis for IκB-α, phospho-NF-κB p65 (serine 536), NF-kB p65, Bax and Bcl-2 The levels of IκB-α, phospho-NF-κB p65 (serine 536), Bax and Bcl-2 were quantified in whole extracts 24 h after SCI by Western blot analysis. Proteins were transferred onto nitrocellulose incubation at room temperature for 1 hr with 10 % (w/v) non-fat dry milk in PBS and then incubated overnight at 4°C with anti-IκB-α (1:1000) or anti-Bax (1:100) or anti-Bcl-2 (1:100) or anti phospho-NF-κB p65 (serine 536) (1:1000). Nuclear fractions were incubated with anti- NF-kB p65 (1:1000; Santa Cruz, DBA, Milan, Italy). Membranes were washed three times with 1% (w/v) Tween 20 in PBS and then incubated with peroxidase-conjugated bovine anti-mouse IgG secondary antibody or perpxidase-conjugated goat anti-rabbit igG (1:2000, Jackson ImmunoResearch, West Grove, PA) for 1 h at room temperature. The immune complexes were visualized using the SuperSignal West Pico chemiluminescence Substrate (PIERCE, Milan, Italy.). Subsequently, the relative expression of the proteins was quantified by densitometric scanning of the X-ray films with GS-700 Imaging Densitometer (Bio-Rad) and a computer program (Molecular Analyst, IBM). Electrophoretic mobility-shift assay (EMSA) Double-stranded oligonucleotides containing the NF-κB recognition sequence (5’-GAT CGA GGG GAC TTT CCC TAG-3’) were end labeled with γ-[32P]ATP (ICN Biomedicals). Aliquots of whole extracts collected 24 h after SCI (20 µg of protein for each sample) were incubated for 30 min with radiolabeled oligonucleotides (2.5 - 5.0 x 104 cpm) in 20 µl reaction buffer containing 2 µg poly dI-dC, 10 mM Tris-HCl (pH 7.5), 100 mM NaCl, 1 mM 8 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 membranes, according to the manufacturer's instructions. Briefly, the membranes were saturated by JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 ethylenediaminotetraacetic acid, 1 mM DL-dithiothreitol, 1 mg/ml bovine serum albumin, 10% glycerol. The specificity of the DNA/protein binding was determined for NF-κB by competition reaction in which a 50 fold molar excess of unlabeled wild-type, mutant or Sp-1 oligonucleotide was added to the binding reaction 10 min before addition of radiolabeled probe. Protein-nucleic acid complexes were resolved by electrophoresis on 4% nondenaturing polyacrylamide gel in 0.5 × Tris borate ethylenediaminotetraacetic acid buffer at 150 V for 2 h at 4°C. The gel was dried and autoradiographed with intensifying screen at –80°C for 20 h. Subsequently, the relative bands were Rad) and a computer program (Molecular Analyst, IBM). Myeloperoxidase activity Twentyfour hours after SCI myeloperoxidase (MPO) activity, an indicator of polymorphonuclear leukocyte (PMN) accumulation, was determined as previously described (Mullane et al., 1985). At the specified time following SCI, spinal cord tissues were obtained and weighed and each piece homogenized in a solution containing 0.5 % (w/v) hexadecyltrimethylammonium bromide dissolved in 10 mM potassium phosphate buffer (pH 7) and centrifuged for 30 min at 20,000 x g at 4°C. An aliquot of the supernatant was then allowed to react with a solution of 1.6 mM tetramethylbenzidine and 0.1 mM H2O2. The rate of change in absorbance was measured spectrophotometrically at 650 nm. MPO activity was defined as the quantity of enzyme degrading 1 µmol of peroxide per min at 37°C and was expressed in milliunits/g of wet tissue. Immunohistochemical localization of nitrotyrosine, iNOS, COX-2, Bax and Bcl-2 At the 24 h after SCI, the tissues were fixed in 10% (w/v) PBS-buffered formaldehyde and 8 mm sections were prepared from paraffin embedded tissues. After deparaffinisation, endogenous peroxidase was quenched with 0.3% (v/v) hydrogen peroxide in 60% (v/v) methanol for 30 min. The sections were permeabilized with 0.1% (w/v) Triton X-100 in PBS for 20 min. Non-specific 9 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 quantified by densitometric scanning of the X-ray films with GS-700 Imaging Densitometer (Bio- JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 adsorption was minimized by incubating the section in 2% (v/v) normal goat serum in PBS for 20 min. Endogenous biotin or avidin binding sites were blocked by sequential incubation for 15 min with biotin and avidin (DBA), respectively. Sections were incubated overnight with antinitrotyrosine rabbit polyclonal antibody (1:500 in PBS, v/v), with anti-iNOS polyclonal antibody rat (1:500 in PBS, v/v), anti-COX-2 monoclonal antibody (1:500 in PBS, v/v), anti-Bax rabbit polyclonal antibody (1:500 in PBS, v/v) or with anti-Bcl-2 polyclonal antibody rat. Sections were washed with PBS, and incubated with secondary antibody. Specific labeling was detected with a binding specificity for nitrotyrosine, iNOS, COX-2, Bax, and Bcl-2, some sections were also incubated with only the primary antibody (no secondary) or with only the secondary antibody (no primary). In these situations no positive staining was found in the sections indicating that the immunoreaction was positive in all the experiments carried out. Immunohistochemical photographs (n=5 photos from each sample collected from each mice in each experimental group) were assessed by densitometry as previously described (Shea, 1994) by using Optilab Graftek software on a Macintosh personal computer. Terminal Deoxynucleotidyltransferase-Mediated UTP End Labeling (TUNEL) Assay. TUNEL assay was conducted by using a TUNEL detection kit according to the manufacturer’s instructions (Apotag, HRP kit DBA, Milano, Italy). Briefly, sections were incubated with 15 µg/ml proteinase K for 15 min at room temperature and then washed with PBS. Endogenous peroxidase was inactivated by 3% H2O2 for 5 min at room temperature and then washed with PBS. Sections were immersed in terminal deoxynucleotidyltransferase (TdT) buffer containing deoxynucleotidyl transferase and biotinylated dUTP in TdT buffer, incubated in a humid atmosphere at 37°C for 90 min, and then washed with PBS. The sections were incubated at room temperature for 30 min with anti-horseradish peroxidase-conjugated antibody, and the signals were visualized with diaminobenzidine. 10 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 biotin-conjugated goat anti-rabbit IgG and avidin-biotin peroxidase complex (DBA). To verify the JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 Light microscopy Spinal cord biopsies were taken at 24 h following trauma. The biopsies were fixed for 24 h in paraformaldehyde solution (4 % in PBS 0.1 M) at room temperature, dehydrated by graded ethanol and embedded in Paraplast (Sherwood Medical, Mahwah, NJ). Tissue sections (thickness 5 µm) were deparaffinized with xylene, stained with Haematoxylin/Eosin (H&E) and Luxol Fast Blue staining (used to assess demyelination) and studied using light microscopy (Dialux 22 Leitz). All Grading of motor disturbance The motor function of mice subjected to compression trauma was assessed daily for 10 days after injury. Recovery from motor disturbance was graded using the modified murine Basso, Beattie, and Bresnahan (BBB) (Basso et al., 1995) hind limb locomotor rating scale (Joshi and Fehlings, 2002a,b). Materials Unless otherwise stated, all compounds were obtained from Sigma-Aldrich Company Ltd. (Milan, Italy). TDZD-8 was obtained from Axxora Corporation (Bingham, Nottingham, UK). (All stock solutions were prepared in non-pyrogenic saline (0.9% NaCl; Baxter, Italy) or 10% DMSO. Statistical evaluation All values in the figures and text are expressed as mean ± standard error of the mean (SEM) of N observations. For the in vivo studies N represents the number of animals studied. In the experiments involving histology or immunohistochemistry, the figures shown are representative of at least three experiments performed on different experimental days. The results were analyzed by one-way ANOVA followed by a Bonferroni post-hoc test for multiple comparisons. A p-value of 11 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 the histological studies were performed in a blinded fashion. JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 less than 0.05 was considered significant. BBB scale data were analyzed by the Mann-Whitney test and considered significant when p- value was less than 0.05. Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 12 JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 Results TDZD-8 reduces the severity of spinal cord trauma The severity of the trauma at the level of the perilesional area, assessed as the presence of edema as well as alteration of the white matter (Figure 2b), was evaluated at 24 h after injury. A significant damage to the spinal cord was observed in the spinal cord tissue of control mice subjected to SCI when compared with sham-operated mice (Figure 2a). Notably, a significant protection against the spinal cord injury was observed in TDZD-8 treated mice (Figure 2c). Myelin structure was detected clearly stained by Luxol fast blue in both lateral and dorsal funiculi of the spinal cord. At 24 h after the injury, a significant loss of myelin in lateral and dorsal funiculi was observed in control mice subjected to SCI (Figure 2e). In contrast, in TDZD-8 treated mice myelin degradation was attenuated in the central part of lateral (Figure 2f) and dorsal funiculi. In order to evaluate if histological damage to the spinal cord was associated with a loss of motor function, the modified BBB hind limb locomotor rating scale score was evaluated. While motor function was only slightly impaired in sham mice, mice subjected to SCI had significant deficits in hind limb movement (Figure 3). A significant amelioration of hind limb motor disturbances was observed in TDZD-8 treated mice (Figure 3). In addition, in order to confirm that the protective effects of TDZD-8 on motor function are related to the GSK-3β, we have also investigated whether SB415286, an other GSK-3β selective inhibitor, attenuates the motor dysfunction induced by SCI. As shown in Figure 3 also the treatment with SB415286 significantly leads to an amelioration of hind limb motor disturbances. Please note that No significant difference was found between the TDZD-8 or SB415286 treatment (Figure 3). 13 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 by Luxol fast blue staining (Figure 2d,e,f). In sham animals (Figure 2d), myelin structure was JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 Effects of TDZD-8 on neutrophil infiltration The abovementioned histological pattern of spinal cord injury appeared to be correlated with the influx of leukocytes into the spinal cord. Therefore, we investigated the role of TDZD-8 on the neutrophil infiltration by measuring tissue myeloperoxidase (MPO) activity. MPO activity was significantly elevated in the spinal cord at 24 h after injury in control mice subjected to SCI when compared with sham-operated mice (Figure 4). In TDZD-8 treated mice, the MPO activity in the spinal cord at 24 h after injury was significantly attenuated in comparison to that observed in SCI TDZD-8 modulates expression of nitrotyrosine, iNOS and COX-2 after SCI Twenty-four h after SCI, nitrotyrosine, a specific marker of nitrosative stress, was measured by immunohistochemical analysis in the spinal cord sections, to determine the localization of “peroxynitrite formation” and/or other nitrogen derivatives produced during SCI. Immunohistological staining for iNOS and COX-2 in the spinal cord was also determined 24 h after injury. Sections of spinal cord from sham-operated mice did not stain for nitrotyrosine, iNOS, or COX-2 (data not shown), whereas spinal cord sections obtained from SCI control mice exhibited positive staining for iNOS (Figures 5a, 6), nitrotyrosine (Figures 5c, 6) and COX-2 (Figures 5e, 6). The positive staining was localized in various cells in the gray matter. TDZD-8 treatment (1 h before and 3 and 6 h after SCI induction) of mice subjected to SCI reduced the degree of positive staining for iNOS (Figures 5b, 6), nitrotyrosine (Figures 5d, 6) and COX-2 (Figures 5f, 6) in the spinal cord. Effect of TDZD-8 on IκB-α degradation, phosphorylation of Ser536 on p65, expression of NF-κB p65 and NF-κB translocation. By Western Blot analysis and translocation of NF-κB, one of the major transcription factors involved in the signal transduction of inflammation (La Rosa et al., 2004), we evaluated both IκB-α 14 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 controls (Figure 4). JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 degradation, phosphorylation of Ser536 on the NF-κB subunit p65, total NF-κB p65 to investigate the cellular mechanisms by which treatment with TDZD-8 may attenuate the development of SCI. IκB-α appearance in the spinal cord homogenates was investigated by immunoblot analysis at 24 h after SCI. A basal level of IκB-α was detected in the spinal cord from sham-operated animals (Figure 7a,a1), whereas in SCI control mice IκB-α levels were substantially reduced (Figure 7a,a1). TDZD-8 prevented the SCI-induced IκB-α degradation and the IκB-α expression remained unchanged 24 h after SCI in TDZD-8 treated mice (Figure 7a,a1). In addition, SCI caused a GSK-3β inhibitor TDZD-8 significantly reduced the phosphorylation of p65 on Ser536 (Figure 7b,b1). Moreover, the levels of the NF-kB p65 subunit protein in the nuclear fractions of the spinal cord tissue were also significantly increased at 24h after SCI compared to the sham-operated mice (Figure 7c,c1). TDZD-8 treatment significantly reduced the levels of NF-kB p65 protein as shown in Figure 7c,c1. To detect NF-κB/DNA binding activity, whole extracts of spinal cord from each mouse were analyzed by EMSA. A low basal level of NF-κB/DNA binding activity was detected in tissue from sham-operated mice (Figure 8a,a1). 24 h after SCI, the DNA binding activity was significantly increased in whole extracts obtained from vehicle-treated SCI control mice (Figure 8a,a1). Treatment of mice with TDZD-8 caused a significant inhibition of SCI-induced NFκB/DNA binding activity as revealed by EMSA (Figure 8a,a1). The specificity of NF-κB/DNA binding complex was demonstrated by the complete displacement of the NF-κB/DNA binding in the presence of a 50-fold molar excess of unlabeled NF-κB probe (W.T. 50x) in the competition reaction. In contrast a 50-fold molar excess of unlabeled mutated NF-κB probe (Mut. 50x) or Sp-1 oligonucleotide (Sp-1 50x) had no effect on this DNA-binding activity (data not shown). 15 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 significant increase in the phosphorylation of Ser536 at 24 h (Figure 7b,b1). The treatment with the JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 Effects of TDZD-8 on apoptosis in spinal cord after injury To test whether spinal cord damage was associated to cell death by apoptosis, we measured TUNEL-like staining in the perilesional spinal cord tissue. Almost no apoptotic cells were detected in the spinal cord from sham-operated mice (data not shown). At 24h after the trauma tissues from SCI control mice demonstrated a marked appearance of dark brown apoptotic cells and intercellular apoptotic fragments (Figure 9a, a1). In contrast, tissues obtained from mice treated with TDZD-8 (Figure 9b) demonstrated a small number of apoptotic cells or fragments. At 24 h after SCI the appearance of Bax in spinal cord homogenates was investigated by Western blot. A basal level of Bax was detected in the spinal cord from sham-operated animals (Figure 10a,a1). Bax levels were appreciably increased in the spinal cord from control mice subjected to SCI (Figure 10 a,a1). On the contrary, TDZD-8 treatment (1 h prior and 3 and 6 h after SCI induction) prevented the SCI-induced Bax expression (Figure 10 a,a1) By Western blot analysis were also analyzed whole extracts from spinal cord of each mice to detect Bcl-2 expression . A low basal level of Bcl-2 expression was detected in spinal cord from sham-operated mice (Figure 10b,b1). 24 h after SCI, the Bcl-2 expression was significantly reduced in whole extracts obtained from spinal cord of SCI control mice (Figure 10b,b1). Treatment of mice with TDZD-8 (1 h prior and 3 and 6 h after SCI induction) significantly reduced the SCI-induced inhibition of Bcl-2 expression (Figure 10b,b1). Moreover, samples of spinal cord tissue were taken at 24 h after SCI in order to determine the immunohistological staining for Bax and Bcl-2. Sections of spinal cord from sham-operated mice did not stain for Bax (Figure 11a) whereas spinal cord sections obtained from SCI control mice exhibited a positive staining for Bax (Figure 11b). TDZD-8 treatment reduced the degree of positive staining for Bax in the spinal cord of mice subjected to SCI (Figure 11c). 16 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 Western blot analysis and immunohistochemistry for Bax and Bcl-2 JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 In addition, spinal cord sections from sham-operated mice demonstrated Bcl-2 positive staining (Figure 11d) while in SCI control mice the staining significantly reduced (Figure 11e). TDZD-8 treatment attenuated the loss of positive staining for Bcl-2 in the spinal cord from SCIsubjected mice (Figure 11f). Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 17 JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 DISCUSSION Spinal cord injury (SCI) induces lifetime disability, and no suitable therapy is available to treat victims or to minimize their suffering. The inhibition of GSK-3β activity is believed to be beneficial in a number of experimental models of neurodegenerative diseases, diabetes type II, bipolar disorders, stroke, cancer, sepsis, and chronic inflammatory disease. In this report we demonstrate that pharmacological inhibition of GSK-3β exerts beneficial effects in a mice model of spinal cord injury. We demonstrate here that SCI induced by the application of vascular clips to the funiculi. This histological damage was associated to the loss of motor function. SCI induced an inflammatory response in the spinal cord, characterized by increased IκB-α degradation, enhanced NF-κB/DNA binding, amplified expression of pro-inflammatory mediators iNOS, COX-2 and nitrotyrosine, and increased MPO activity. Our results show that TDZD-8, a potent and selective GSK-3β inhibitor, reduced (1) the degree of spinal cord damage, (2) neutrophils infiltration, (3) NFκB/DNA binding, (4) IκB-α degradation, (5) expression of iNOS, nitrotyrosine, and COX-2, and (6) apoptosis. GSK-3β role in the regulation of spinal cord injury is of special interest because several transcription factors important to the regulation of secondary damage serve as substrates for GSK3β. Among these is the transcription factor NF-κB, whose function is strikingly altered by GSK-3β (Hoeflich et al., 2000; Buss et al., 2004). NF-κB plays a central role in the regulation of many genes responsible for the generation of mediators or proteins in inflammation. These include the genes for TNF-α, IL-1β, iNOS and COX-2, to name but a few (Verma , 2004). The discovery in 1997 that inhibition of the NF-κB activation may be useful in conditions associated to local or systemic inflammation (Ruetten and Thiemermann, 1997) stimulated the search for agents which prevent the activation of NF-κB. The extent to which GSK-3β activates or blocks NF-κB signaling remains unclear. In 2000 Hoeflich and colleagues first demonstrated that deletion of GSK-3β had no effect 18 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 dura via a four-level T5-T8 laminectomy resulted in edema and loss of myelin in lateral and dorsal JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 on the TNF-α-induced IκB-α degradation or on the nuclear translocation of the subunit p65, but prevented the activation of NF-κB by an unknown mechanism (Hoeflich et al., 2000). On the other hand, other studies provided evidence for an inverse association between GSK-3β activity and NFκB signaling. Sanchez and colleagues reported that over-expression of GSK-3β in astrocytes was associated to the inhibition of NF-κB activation (Sanchez et al., 2003). Another recent report showed that GSK-3β-dependent phosphorylation of a specific serine residue (Ser468) on p65 blocks the activation of NF-κB and that inhibition of GSK-3β was related to increased p65 activity (Buss on p65 in the spinal cord tissues at 24 h, whereas GSK-3β inhibitor TDZD-8 treatment significantly reduced this phosphorylation. Moreover, we also demonstrate that selective and potent GSK-3β inhibitor TDZD-8, inhibited the IκB-α degradation as well as the NF-κB translocation. Taken together, the balance between pro-inflammatory and pro-survival roles of NF-κB may depend on the phosphorylation status of p65, and GSK-3β may play a central role in this process. However, the reasons for the apparent discrepancies in the modulatory effects of GSK-3β on NFκB activity remain to be fully clarified. In the pathological processes of acute SCI the up-regulation of COX-2, a key enzyme in the synthesis of prostaglandins (PGs), has also been proposed to be involved. It is known that COX-1 and COX-2 mRNA and protein are present in the spinal cord tissue and that COX-2 protein is expressed in white matter astrocytes during basal conditions (Beiche et al., 1998). In particular, COX-2 has been found in neurons of all laminae and in the white matter glial cells. Many conditions in which inflammation and pain play an important role are associated to COX-2 expression which may be widespread (Vanegas and Schaible, 2001). Rao and colleagues have recently shown that the inhibition of GSK-3β leads to an activation of COX-2 via induction of NF-κB-dependent pathways (Rao et al., 2004). However, it has been also demonstrated that inhibition of GSK-3β down-regulates the expression of COX-2, induced by TNF or hypertonic stress, in cells via the induction of a NF-κB-COX-2 dependent pathway (Rao et al., 2004). The 19 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 et al., 2004). We report here that SCI caused a significant increase in the phosphorylation of Ser536 JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 result of this study are in accordance with the latter study, by demonstrating that the increase of COX-2 expression is reduced in the spinal cord from mice subjected to SCI and treated with TDZD8. COX-2 is one of the genes regulated by NF-κB and there is good evidence that an enhanced formation of prostanoids following COX-2 induction contributes to the pathophysiology of inflammation as well as in this and in other models of inflammation (Malmberg and Yaksh, 1995). It has also been demonstrated that an enhanced formation of NO by iNOS contributes to the inflammatory process (Vanegas and Schaible, 2001; Abramson et al., 2001). This study when compared with SCI+vehicle operated mice. Therefore, the inhibition of both COX-2 and iNOS expression by TDZD-8 described in the present study is likely to be due to the inhibition of NF-κB activation by TDZD-8 mediated by GSK-3β. Furthermore, we have found that the tissue damage induced by SCI in SCI+vehicle operated mice was associated to an intense immunostaining of nitrotyrosine formation that suggests that a alteration of the tissue had also occurred, due to the formation of highly reactive nitrogen-derivatives. Peroxynitrite, one of a number of toxic factors produced in the spinal cord tissues after SCI (Xu et al., 2001), likely contributes to secondary neuronal damage through pathways resulting from the chemical modification of cellular proteins and lipids. Nitrotyrosine formation, along with its detection by immunostaining, was initially proposed as a relatively specific marker for the detection of the endogenous formation “footprint” of peroxynitrite (Beckman, 1996). There is, however, recent evidence that certain other reactions can also induce tyrosine nitration; e.g., the reaction of nitrite with hypochlorous acid and the reaction of myeloperoxidase with hydrogen peroxide can lead to the formation of nitrotyrosine (Endoh et al., 1994). Increased nitrotyrosine staining is considered, therefore, as an indication of “increased nitrosative stress” rather than a specific marker of the peroxynitrite generation. There is a large amount of evidence that implicated ROS in the secondary neuronal damage of spinal cord injury (SCI) (Xu et al., 2001). Generation of free radicals and nitric 20 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 demonstrates that TDZD-8 attenuates the expression of iNOS in the tissue from SCI treated mice JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 oxide by activated macrophages has also been implicated in causing oligodendrocyte apoptosis (Merrill et al., 1993). In an effort to prevent or diminish levels of apoptosis, we have demonstrates that the treatment with TDZD-8 attenuates the degree of apoptosis, measured by TUNEL detection kit, in the spinal cord after the damage. There is evidence that direct overexpression of GSK-3β is known to induce apoptosis in neuronal cells in culture, and specific inhibitors of GSK-3β are able to ameliorate this apoptotic response (Pap and Cooper, 1998). Recent studies from our laboratory have shown that up-regulation of GSK-3β activity can also lead to cell death and aberrant neuronal (Wallerian degeneration, slow) mice and Bax-deficient (Bax-/-) mice in a lateral cord hemisection model of SCI to test the hypothesis that the protracted wave of apoptotic death of oligodendrocytes may be dependent on axonal degeneration and Bax activation (Dong et al., 2003). The Bax gene plays an important role in developmental cell death (Chittenden et al., 1995) and in CNS injury (Bar-Peled et al., 1999). Apoptosis and the neuronal cell loss that occurs during normal nervous system development and in response to trophic factor deprivation is attenuated in Bax-/- mice (Deckwerth et al., 1996). Nesic-Taylor and colleagues showed that administering Bcl-xL fusion protein (Bcl-xL FP, the most robustly expressed antiapoptotic Bcl-2 molecule in adult central nervous system) into injured spinal cords significantly increased neuronal survival, suggesting that SCI-induced changes in Bcl-xL contribute considerably to neuronal death. Because Bcl-xL FP increases survival of dorsal horn neurons and ventral horn motoneurons, it could become clinically relevant in preserving sensory and motor functions after SCI (Nesic-Taylor et al., 2005). It’s known that pathways which inhibit GSK-3β activity, such as PI-3K or Wnt signaling, often lead to the induction of the nuclear factor kB (NF-kB) cell survival pathway (Bournat et al., 2000). Indeed, GSK-3β is a major target of Akt/PKB (van Weeren et al., 1998), which is activated by the PI-3K mediated signaling pathway. Cellular factors which have implicated in the regulation of astrocyte apoptosis include PI-3K pathway (Kim et al., 2001). Inhibition of this signaling cascade has been shown to lead to cell death in several paradigms (Carbott et al., 2002), and this has been attributed, 21 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 migration in primary neuronal populations (Tong et al., 2001). Dong and colleagues, used Wlds JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 at least in part, to the reduction in activity of PI-3K's major physiologic target, Akt. Loss of Akt activity in turn results in the transduction of several pro-apoptotic signals including sequestration of Bcl-2 and enhanced activation of an Akt substrate, GSK-3β (Pap and Cooper, 1998). We identified proapoptotic transcriptional changes, including upregulation of proapoptotic Bax and downregulation of antiapoptotic Bcl-2, using western blot assay and by immunohystochemical staining. We report in the present study for the first time that the treatment with TDZD-8 in SCI experimental model documents features of apoptotic cell death after SCI, suggesting that protection demonstrated that the treatment with TDZD-8 lowers the signal for Bax in treated group when compared with SCI+vehicle operated mice spinal cord, while on the contrary, the signal is much more express for Bcl-2 in TDZD-8 treated mice than in SCI+vehicle operated mice. These results are in agreement with a recent evidence that have clearly demonstrated that lithium treatment upregulates the expression of Bcl-2 in axotomized rubrospinal tract via inhibiting GSK-3β (Yick et al., 2004). Base on this evidence we clearly have shown that TDZD-8 interfere in the apoptotic process induced by SCI. However is not possible to exclude that anti- apoptotic effect observed after TDZD-8 treatment it may be partially dependent on the attenuation of the inflammatoryinduced damage. Further studies are needed in order to clarify this mechanisms. Finally, in this study we demonstrate that TDZD-8 treatment significantly reduced the SCI-induced spinal cord tissues alteration as well as improve the motor function. Taken together, the results of the present study enhance our understanding of the role of GSK-3β in the pathophysiology of spinal cord cell and tissue injury following trauma. Our results imply that inhibitors of the activity of GSK-3β may be useful in the therapy of spinal cord injury, trauma and inflammation. 22 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 from apoptosis may be a prerequisite for regenerative approaches to SCI. In particular, we JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 Acknowledgments The authors would like to thank Giovanni Pergolizzi and Carmelo La Spada for their excellent technical assistance during this study, Mrs Caterina Cutrona for secretarial assistance and Miss Valentina Malvagni for editorial assistance with the manuscript. Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 23 JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 REFERENCES Abramson SB, Attur M, Amin AR and Clancy R (2001) Nitric oxide and inflammatory mediators in the perpetuation of osteoarthritis. Curr Rheumatol Rep 3:535-541. Amar AP and Levy ML (1999) Pathogenesis and pharmacological strategies for mitigating Bar-Peled O, Knudson M, Korsmeyer SJ and Rothstein JD (1999) Motor neuron degeneration is attenuated in Bax-deficient neurons in vitro. J Neurosci Res 55:542-556. Bartholdi D and Schwab ME (1995) Methylprednisolone inhibits early inflammatory processes but not ischemic cell death after experimental spinal cord lesion in the rat. Brain Res 672:177-186. Basso DM, Beattie MS, Bresnahan JC (1995) A sensitive and reliable locomotor rating scale for open field testing in rats. J Neurotrauma 12:1-21. Beckman JS (1996) Oxidative damage and tyrosine nitration from peroxynitrite. Chem Res Toxicol 9:836-844. Beiche F, Klein T, Nu¨ sing R, Neuhuber W and Goppelt-Struebe M (1998) Localization of cycloogygenase-2 and prostaglandin E2 receptor EP3 in the rat lumbar spinal cord. J Neuroimmunol 89:26–34. 24 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 secondary damage in acute spinal cord injury. Neurosurgery 44:1027-1039. JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 Bournat JC, Brown AM and Soler AP (2000) Wnt-1 dependent activation of the survival factor NFkB in PC12 cells. J Neurosci Res 61:21-32. Buss H, Dorrie A, Schmitz ML, Frank R, Livingstone M, Resch K and Kracht M (2004) Phosphorylation of serine 468 by GSK-3beta negatively regulates basal p65 NF-kappaB activity. J Carbott DE, Duan L and Davis MA (2002) Phosphoinositol 3 kinase inhibitor, LY294002 increases bcl-2 protein and inhibits okadaic acid-induced apoptosis in Bcl-2 expressing renal epithelial cells. Apoptosis 7:69-76. Carlson SL, Parrish ME, Springer JE, Doty K and Dossett L (1998) Acute inflammatory response in spinal cord following impact injury. Exp Neurol 151:77-88. Chittenden T, Harrington EA, O'Connor R, Flemington C, Lutz RJ, Evan GI and Guild BC (1995) Induction of apoptosis by the Bcl-2 homologue Bak. Nature 374:733-736. Cohen P (1985) The role of protein phosphorylation in the hormonal control of enzyme activity. Eur J Biochem 151:439–448. 25 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 Biol Chem 279:49571-49574. JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 de Castro R Jr, Hughes MG, Xu GY, Clifton C, Calingasan NY, Gelman BB and McAdoo DJ (2004) Evidence that infiltrating neutrophils do not release reactive oxygen species in the site of spinal cord injury. Exp Neurol 190:414-424. Deckwerth TL, Elliott JL, Knudson CM, Johnson Jr EM, Snider WD and Korsmeyer SJ (1996) Bax is required for neuronal death after trophic factor deprivation and during development. Neuron 17:401-411. oligodendrocyte survival after spinal cord injury in Bax-deficient mice and mice with delayed Wallerian degeneration. J Neurosci 23:8682-8691. Endoh M, Maiese K and Wagner J (1994) Expression of the inducible form of nitric oxide synthase by reactive astrocytes after transient global ischemia. Brain Res 651:92-100. Hoeflich KP, Luo J, Rubie EA, Tsao MS, Jin O and Woodgett JR (2000) Requirement for glycogen synthase kinase-3 β in cell survival and NF- κB activation. Nature 406:86-90 Joshi M and Fehlings MG (2002a) Development and characterization of a novel, graded model of clip compressive spinal cord injury in the mouse: Part 1. Clip design, behavioral outcomes, and histopathology. J Neurotrauma 19:175-190. Joshi M and Fehlings MG (2002b) Development and characterization of a novel, graded model of clip compressive spinal cord injury in the mouse: Part 2. Quantitative neuroanatomical assessment and analysis of the relationships between axonal tracts, residual tissue, and locomotor recovery. J Neurotrauma 19:191-203. 26 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 Dong H, Fazzaro A, Xiang C, Korsmeyer SJ, Jacquin MF and McDonald JW (2003) Enhanced JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 Kim MS, Cheong YP, So HS, Lee KM, Kim TY, Oh J, Chung YT, Son Y, Kim BR and Park R (2001) Protective effects of morphine in peroxynitrite-induced apoptosis of primary rat neonatal astrocytes: potential involvement of G protein and phosphatidylinositol 3-kinase (PI3 kinase). Biochem Pharmacol 61:779-786. La Rosa G, Cardali S, Genovese T, Conti A, Di Paola R, La Torre D, Cacciola F and Cuzzocrea S inflammation and oxidative stress after experimental spinal cord trauma in rats. J Neurosurg Spine 1:311-321. Malmberg AB and Yaksh TL (1995) Cyclooxygenase inhibition and the spinal release of prostaglandin E2 and amino acids evoked by paw formalin injection: a microdialysis study in unanesthetized rats. J Neurosci 15:2768–2776. Merrill JE, Ignarro LJ, Sherman MP, Melinek J and Lane TE (1993) Microglial cell cytotoxicity of oligodendrocytes is mediated through nitric oxide. J Immunol 151:2132–2141. Mullane KM, Kraemer R and Smith B (1985) Myeloperoxidase activity as a quantitative assessment of neutrophil infiltration into ischemic myocardium. J Pharmacol Meth 14:157-167. Nesic-Taylor O, Cittelly D, Ye Z, Xu GY, Unabia G, Lee JC, Svrakic NM, Liu XH, Youle RJ, Wood TG, McAdoo D, Westlund KN, Hulsebosch CE and Perez-Polo JR (2005) Exogenous Bcl-xL fusion protein spares neurons after spinal cord injury. J Neurosci Res 79:628-637 27 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 (2004) Inhibition of the Nuclear Factor-kB Activation with Pyrrolidine Dithiocarbamate attenuates JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 Pap M and Cooper GM (1998) Role of glycogen synthase kinase-3 in the phosphatidylinositol 3kinase/Akt cell survival pathway. J Biol Chem 273:19929-19932. Popovich PG, Wei P and Stokes BT (1997) Cellular inflammatory response after spinal cord injury in Sprague-Dawley and Lewis rats. J Comp Neurol 377:443-464. regenerative mechanisms governing spinal cord injury. Neurobiol Dis 15:415-436. Rao R, Hao CM and Breyer MD (2004) Hypertonic stress activates glycogen synthase kinase 3betamediated apoptosis of renal medullary interstitial cells, suppressing an NFkappaB-driven cyclooxygenase-2-dependent survival pathway. J Biol Chem 279:3949-3955. Ruetten H and Thiemermann C (1997) Effect of calpain inhibitor I, an inhibitor of the proteolysis of IkB, on the circulatory failure and multiple organ dysfunction caused by endotoxin in the rat. Br J Pharmacol 121:695-704. Sanchez JF, Sniderhan LF, Williamson AL, Fan S, Chakraborty-Sett S and Maggirwar SB (2003) Glycogen synthase kinase 3beta-mediated apoptosis of primary cortical astrocytes involves inhibition of nuclear factor kappaB signaling. Mol Cell Biol 23:4649-4662. 28 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 Profyris C, Cheema SS, Zang D, Azari MF, Boyle K and Petratos S (2004) Degenerative and JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET JPET #102863 #102863 Shea TB (1994) Technical report. An inexpensive densitometric analysis system using a Macintosh computer and a desktop scanner. Biotechniques 16:1126-1128. Shimomura A, Nomura R and Senda T (2003) Lithium inhibits apoptosis of mouse neural progenitor cells. Neuroreport 14:1779–1782. Activation of glycogen synthase kinase 3 beta (GSK-3ß) by platelet activating factor mediates migration and cell death in cerebellar granule neurons. Eur J Neurosci 13:1913-1922. van Weeren PC, de Bruyn KM, de Vries-Smits AM, van Lint J and Burgering BM (1998) Essential role for protein kinase B (PKB) in insulin-induced glycogen synthase kinase 3 inactivation. Characterization of dominant-negative mutant of PKB. J Biol Chem 273:13150-13156. Vanegas H and Schaible HG (2001) Prostaglandins and cycloxygenases in the spinal cord. Prog Neurobiol 64:327–363 Verma IM (2004) Nuclear factor (NF)-kappaB proteins: therapeutic targets. Ann Rheum Dis 2:5761. 29 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 Tong N, Sanchez JF, Maggirwar SB, Ramirez SH, Guo H, Dewhurst S and Gelbard HA (2001) JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 Xu J, Kim GM, Chen S, Yan P, Ahmed SH, Ku G, Beckman JS, Xu XM and Hsu CY (2001) iNOS and nitrotyrosine expression after spinal cord injury. J Neurotrauma 18:523-532. Yick LW, So KF, Cheung PT, Wu WT (2004) Lithium Chloride Reinforces the RegenerationPromoting Effect of Chondroitinase ABC on Rubrospinal Neurons after Spinal Cord Injury. Journal of Neurotrauma 21: 932–943. Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 30 JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 Footnotes This study was supported by PRIN 2003. Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 31 JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 Legends for Figures Figure 1. Mice were sacrificed at different time points in order to evaluate the various parameters. n=10 mice from each group for each time point. See material and methods for further explanations. Figure 2. Effect of TDZD-8 on histological alterations of the spinal cord tissue 24 h after injury. No histological alteration (a) and no modification of the myelin structure (d) were observed in the spinal cord tissues from sham-operated mice. 24 h after trauma a significant damage to the presence of edema as well as alteration of the white matter (b). Notably, a significant protection from the SCI was observed in the tissue collected from TDZD-8 SCI treated mice (c). Myelin structure was observed by Luxol fast blue staining. At 24 h after the injury in no-treated SCI operated mice (e), a significant loss of myelin was observed. In contrast in TDZD-8 SCI treated mice myelin degradation was attenuated (f). This figure is representative of at least 3 experiments performed on different experimental days. wm: White matter; gm: gray matter. Figure 3: Effect of TDZD-8 and SB415286 on hind limb motor disturbance after spinal cord injury. The degree of motor disturbance was assessed every day until 10 days after SCI by Basso, Beattie, and Bresnahan criteria. Treatment with TDZD-8 or with SB415286 reduces the motor disturbance after SCI. Values shown are mean ± s.e. mean of 10 mice for each group. *p<0.01 vs. SCI. Figure 4: Effects of TDZD-8 on myeloperoxidase (MPO) activity. Following the injury myeloperoxidase (MPO) activity in spinal cord of no-treated SCI-operated mice was significantly increased at 24 h after the damage in comparison to sham mice. Treatment with TDZD-8 significantly reduced the SCI-induced increase in MPO activity. Data are means ± s.e. mean of 10 mice for each group. *p<0.05 vs. vehicle. °p<0.01 vs. SCI. 32 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 spinal cord, from no-treated SCI operated mice at the perilesional area, was assessed by the JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 Figure 5: Immunohistochemical localization of nitrotyrosine, iNOS, COX-2. Administration of TDZD-8 to SCI operated mice produced a marked reduction in the immunostaining for nitrotyrosine (b), iNOS (d) and COX-2 (f) in spinal cord tissue, when compared to positive nitrotyrosine (a), iNOS (c) and COX-2 (e) staining obtained from the spinal performed on different experimental days. Figure 6. Typical Densitometry evaluation Densitometry analysis of immunocytochemistry photographs (n=5 photos from each sample collected from all mice in each experimental group) for iNOS, nitrotyrosine, COX-2, Bax and Bcl-2 from spinal cord tissues was assessed. The assay was carried out by using Optilab Graftek software on a Macintosh personal computer (CPU G3-266). Data are expressed as % of total tissue area. *P<0.01 vs. Sham; °P<0.01 vs. SCI. ND: not detectable. Figure 7. Representative Western blots of IκB-α degradation (aa1), phospho Ser536 on NF-κB p65 (b,b1) and total NF-kB p65 subunit protein (c,c1). A basal level of IκB-α was detected in the spinal cord from sham-operated animals (a,a1), whereas in SCI control mice IκB-α levels were substantially reduced (a,a1). TDZD-8 prevented the SCIinduced IκB-α degradation and the IκB-α band remained unchanged 24 h after SCI in TDZD-8 treated mice (a,a1). In addition, SCI caused a significant increase in the phosphorylation of Ser536 at 24 h (b,b1). The treatment with the GSK-3β inhibitor TDZD-8 significantly reduced the phosphorylation of p65 on Ser536 (b,b1). Moreover, the levels of the NF-kB p65 subunit protein in the nuclear fractions of the spinal cord tissue were also significant increased at 24h after SCI 33 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 cord tissue of mice 24 h after the injury. This figure is representative of at least 3 experiments JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 compared to the sham-operated mice (c,c1). The levels of NF-kB p65 protein were significantly reduced in the nuclear fractions of the spinal cord tissues animals from animals that had received TDZD-8 as shown in (c,c1 ). Immunoblotting in panel a, b, c are representative of one spinal cord out of 5 analyzed. The results in panel a1, b1, c1 are expressed as mean ± s.e.mean from 5 blots *P<0.01 versus SHAM, °P<0.01 versus SCI. Figure 8. Effect of TDZD-8 on NF-κB/DNA binding activity in mice spinal cord described in Materials and Methods and incubated with 32P-labelled NF-κB probe. Representative EMSA (a) of NF-κB shows the effect of TDZD-8 (SCI + TDZD-8) NF-κB/DNA binding activity evaluated in spinal cord tissue 24 h after the injury. The intensity of retarded bands (measured by phosphoimager) in SCI-operated mice was significantly increased vs. sham group (a1). TDZD-8 treatment significantly reduced the SCI-induced elevation of NF-κB/DNA binding activity. The results in panel a1 are expressed as mean ± s.e.mean from EMSA. *P<0.01 versus SHAM, °P<0.01 versus SCI Figure 9: Representative TUNNEL coloration in rat spinal cord tissue section The number of apoptotic cells (see arrows) increased at 24 h after SCI (a) associated with a specific apoptotic morphology characterized by the compaction of chromatin into uniformly dense masses in perinuclear membrane, the formation of apoptotic bodies as well as the membrane blebbing (see particles a1). In contrast, tissues obtained from TDZD-8 treated mice (b) demonstrated a small number of apoptotic cells or fragments. Section c demonstrate the positive staining in the Kit positive control tissue (normal rodent mammary gland). Figure is representative of at least 3 experiments performed on different experimental days. 34 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 Whole extracts from injured (SCI) or non-inflamed (sham) mice spinal cord were prepared as JPET Fast Forward. Published on April 6, 2006 as DOI: 10.1124/jpet.106.102863 This article has not been copyedited and formatted. The final version may differ from this version. JPET #102863 Figure 10: Representative Western blot of Bax levels (A) and Bcl-2 (B). Western blot analysis was realized in spinal cord tissue collected at 24 h after injury. (a) Sham: basal level of Bax was present in the tissue from-sham-operated mice. SCI: Bax band is more evident in the tissue from spinal cord injured mice. SCI + TDZD-8: Bax band is disappeared in the tissue from spinal cord inured mice which received TDZD-8. (b) Sham: basal level of Bcl-2 was present in the tissue from-sham-operated mice. SCI: Bcl-2 band is disappeared in the tissue from spinal cord injured mice. SCI + TDZD-8: Bcl-2 band is more (a1 and b1) The intensity of retarded bands (measured by phosphoimager) in all the experimental groups. Immunoblotting in panel A and B is representative of one spinal cord tissues out of 5-6 analyzed. The results in panel A1 and B1 are expressed as mean ± s.e.m. from 5-6 spinal cord tissues. *P<0.01 vs. Sham; °P<0.01 vs. SCI. Figure 11: Immunohistochemical expression of Bax and Bcl-2 No positive staining for Bax was observed in the tissue section from sham-operated mice (a). SCI caused, at 24 h, an increase in the release of Bax expression (b). Treatment with TDZD-8 significantly inhibited the SCI-induced increase in Bax expression (c). On the contrary positive staining for Bcl-2 was observed in the spinal cord tissues of sham-operated mice (d). At 24h after SCI significantly less staining for Bcl-2 was observed (e). The TDZD-8 treatment significantly prevents the loss of Bcl-2 expression induced by SCI (f). Figure is representative of at least 3 experiments performed on different experimental days. 35 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 evident in the tissue from spinal cord inured mice which received TDZD-8. Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016 Downloaded from jpet.aspetjournals.org at ASPET Journals on October 12, 2016