Abstract
Aim: A single systemic administration of N-methyl-N-nitrosourea (MNU) causes retinal degeneration involving photoreceptor cell death within 7 days. MNU-induced photoreceptor cell death is due to apoptosis, and is a reliable animal model for human retinitis pigmentosa. The purpose of this study was to elucidate the involvement of calpain-mediated autophagy, as well as apoptosis on the cell death cascade caused by MNU and to evaluate the efficacy of calpain inhibitor SNJ-1945. Materials and Methods: Seven-week-old BALB/c mice were left untreated or received an intraperitoneal (IP) injection of MNU. The MNU-exposed mice received an IP injection of SNJ-1945 or vehicle alone (distilled water containing 0.5% carboxymethyl cellulose) 3 h prior to MNU and once daily thereafter until sacrifice. Eyes were examined histologically, histochemically, and morphometrically to analyze the photoreceptor cell ratio and retinal damage ratio. The retinal expression of caspase-3, microtubule-associated protein light chain 3 (LC3), autophagy-related protein 5 (Atg5), and α-spectrin was determined by Western blot analysis. Results: During the 72-h period after MNU exposure, the caspase-3 expression increased and the LC3 and Atg5 expression decreased, indicating increased levels of apoptosis and decreased levels of autophagy, as compared with the MNU-unexposed control mouse retina. MNU-induced photoreceptor cell death was caused by increased calpain activation as measured by α-spectrin proteolysis products, while SNJ-1945 ameliorated photoreceptor cell death by blocking calpain activation and restoring basal autophagy. Conclusion: Calpain activation is involved in MNU-induced photoreceptor cell death, and calpain inhibition effectively restored photoreceptor cell autophagy and photoreceptor cell death in mice.
Retinitis pigmentosa (RP) is a human disease of retinal degeneration that is genetically heterogeneous and hereditary. RP is initially characterized by night blindness, followed by severe tunnel vision or complete blindness (1, 2). In developed countries, RP is the prevalent cause of blindness in the working-age population (1). Regardless of the underlying genetic heterogeneity, the morphologic phenotype of RP is the progressive degeneration and loss of photoreceptor cells thought to be caused by apoptosis. Relatively little progress has been seen toward the development of drugs to ameliorate human RP, and there is currently no cure or effective therapy for this disease. Animal models of RP are important in light of the search for a treatment. Suitable animal models can be used to evaluate the cascade of photoreceptor cell death mechanisms, in hopes of developing strategies for RP prevention or cure.
A single systemic administration of N-methyl-N-nitrosourea (MNU) to animals (including mice) causes photoreceptor cell loss in a 7-day course (3, 4). The characteristic ultrastructural features, DNA laddering, terminal dUTP nick-end labeling (TUNEL)-positive cells, modulation of Bcl-2 family proteins, and activation of caspases (cysteine aspartate-specific proteases) suggest the involvement of apoptosis. Activation of the caspase family is central in defining apoptosis, and caspase-3 inhibitor (Ac-DEVD-CHO) can suppress MNU-induced photoreceptor cell apoptosis (5). Apoptosis (type I programmed cell death, PCD I) is induced by physiological or pathological stimuli and removes damaged cells. In some models of retinal degeneration triggered by different stimuli, apoptosis may not be sufficient to explain the demise of photoreceptor cells (6). Although apoptosis is the common mediator of photoreceptor cell death, other types of PCD may possibly be involved. Classically, autophagy (type II PCD, PCD II) has been distinguished from apoptosis (7). Autophagic cell death is characterized by the accumulation of autophagosomes and autolysosomes. Paradoxically, autophagy may function as an essential survival mechanism by producing energy from the breakdown of deleterious products and organelles (8). In most normal tissues and cells, autophagy occurs at basal levels and contributes to the routine turnover of cytoplasmic components. During the development of the retina, autophagy contributes to the development of the nerve system by providing energy for cell corpse removal after physiological cell death, a process associated with retinal neurogenesis (9). In disease conditions, autophagy contributes to cell damage but can also serve to protect cells from injury (10). However, the involvement of autophagy in RP has not been fully understood.
Activation of calpains (calcium-dependent cysteine proteases) has been suggested to play an important role in apoptosis in various neuronal tissues and in retinal degeneration in several animal models (11). Autophagy, as well as apoptosis, may be involved in RP. However, the role of autophagy in the MNU model of retinal degeneration has not been investigated. In the present study, we explored the involvement of autophagy in MNU-induced photoreceptor cell death by studying the eyes of mice exposed to MNU with or without calpain inhibitor.
Materials and Methods
Animals. Six-week-old, female BALB/c mice were purchased from Charles River Japan (Atsugi, Japan). Animals were housed in groups of 8 in plastic cages with paper bedding (Paper Clean, SLC, Hamamatsu, Japan), in a room maintained at 22±2°C and 60±10% relative humidity with a 12-h light/dark cycle (with lights on from 8:00 in the morning to 8:00 at night and an illumination intensity less than 60 lux at the cage level). Animals were maintained on a commercial pellet diet (CMF 30 kGy, Oriental Yeast, Chiba, Japan) and had free access to water. After a 1-week acclimatization period, experiments were begun when mice were 7 weeks old. Throughout the experiments, animals were cared for in accordance with the Guidelines for Animal Experimentation of Kansai Medical University.
Chemicals. MNU in a powder form was obtained from Sigma-Aldrich (St. Louis, MO, USA), stored at 4°C in the dark, and dissolved in physiologic saline containing 0.05% acetic acid (5 mg/ml) immediately before use. A powder form of calpain inhibitor (1S-1-((((1S)-1-benzyl-3-cyclopropylamino-2,3-di-oxopropyl) amino) carbonyl)-3-methylbutyl)carbamic acid 5-methoxy-3-oxapentyl ester (SNJ-1945) was a gift from Senju Pharmaceutical Co. Ltd. (Kobe, Japan). SNJ-1945 was suspended at 0.8% (w/v) in distilled water containing 0.5% carboxymethyl cellulose.
Experimental procedure. Female mice received a single intraperitoneal (IP) injection of 60 mg/kg MNU at 7 weeks of age (75 mg/kg MNU was given in sequential apoptosis and/or autophagy detection experiments); the dose of MNU was determined from published data (4). Animals were sacrificed by cervical dislocation. The time at sacrifice and the number of mice examined at each time point are described below under each experiment. A dose of 80 mg/kg SNJ-1945 was administered IP 3 h prior to MNU and thereafter once daily until sacrifice. Control mice received the same volume of vehicle solution (distilled water containing 0.5% carboxymethyl cellulose) at the same time points.
Western blotting. In all experiments, protein extracts were prepared from 4 retinas (one from each of 4 mice sacrificed at each time point) by homogenization in lysis buffer solution (50 mM Tris-HCl (pH 8.0), 150 mM NaCl, 1% NP-40, 0.5% deoxycholate-Na, 0.1% sodium dodecylsulfate, and 1% protease inhibitor (Halt protease inhibitor cocktail; Thermo-Pierce, Rockford, IL, USA). The homogenates were sonicated and centrifuged at 18,000 × g. The supernatants were collected, and the pellets were discarded. Protein concentrations were determined by the DC protein assay method (Bio-Rad, Hercules, CA, USA). Aliquots of lysates equivalent to 15 μg of protein were subjected to electrophoresis through 15% polyacrylamide gels for the detection of microtubule-associated protein light chain 3 (LC3) and caspase-3, 10% polyacrylamide gels for the detection of autophagy-related protein 12 (Atg12)-Atg5 and full-length Atg5, and 4-15% gels (Mini-Protean TGX precast gel; Bio-Rad) for the detection of α-spectrin and cleaved Atg5. Then, the separated proteins were transferred to Hybond-P PVDF membranes (Amersham Biosciences, Buckinghamshire, UK). The membranes were blocked with 5% non-fat powdered milk prior to treatment with each primary antibody. Subsequently, the blots were washed and treated with an appropriate secondary antibody. The antigen-antibody complexes were detected by ECL system (Amersham Biosciences). The following antibodies were used: anti-cleaved caspase-3 antibody (clone 5A1E; Cell Signaling Technology, Danvers, MA, USA); anti-LC3 antibody (polyclonal; Abgent, San Diego, CA, USA); anti-α-spectrin antibody (nonerythroid) (clone AA6; Enzo, Farmingdale, NY, USA); two polyclonal anti-Atg5 antibodies, one from Cell Signaling Technology (Danvers, MA, USA) for Atg12-Atg5 conjugate detection and the other from Santa Cruz Biotechnology (Santa Cruz, CA, USA) for full-length and truncated Atg5 detection; and HRP-conjugated anti-actin antibody (polyclonal; Santa Cruz Biotechnology). To evaluate caspase-3 and LC3 expression over time, retinal samples of MNU-exposed mice were obtained at 6, 12, 24, and 72 h after MNU treatment and compared with age-matched, MNU-unexposed, control retinas. Retinal samples for Atg5 evaluation were obtained 24 h after MNU injection and compared with age-matched control retinas. For α-spectrin and LC3 evaluation, respectively, age-matched control retinas and MNU-exposed mice treated with SNJ-1945 or vehicle were obtained 24 hrs after MNU injection.
Tissue fixation and processing. Four eyes (one from each of the 4 MNU-exposed mice and age-matched untreated controls) were obtained at each time point and were fixed in 10% neutral buffered formalin overnight to examine the morphologic progression of the disease and to detect cell death. Six eyes (one from each of 6 MNU-exposed mice treated with SNJ-1945 or vehicle) were obtained 7 days after MNU treatment, together with age-matched controls. The eyes were fixed in methacarn (60% methanol, 30% chloroform and 10% acetic acid) overnight and used for morphometrical analysis. The formalin-fixed and methacarn-fixed samples were embedded in paraffin, sectioned at 4 μm, and stained with hematoxylin and eosin (HE). Sections including the ora serrata and optic nerve were used for the evaluation.
Morphometric analysis of photoreceptor cell ratio and retinal damage ratio. As described previously (5, 12), NDP.view was used to measure the total retinal thickness (from the internal limiting membrane to the pigment epithelial cell) and photoreceptor thickness (the outer nuclear layer and the inner and outer segments) in HE preparations. The measurements were collected at the peripheral retina (approximately 400 μm from both sides of the ciliary body) and central retina (approximately 400 μm from the optic nerve). The photoreceptor cell ratio was calculated as [(photoreceptor thickness/total retinal thickness)×100]. To determine the area of retinal damage, the entire length of retina and the length of the damaged area were measured. A damaged retina was defined as the presence of less than four rows of photoreceptor cell nuclei in the outer nuclear layer, and the retinal damage ratio was calculated as [(length of damaged retina/whole retinal length) ×100].
In situ detection of apoptosis. Formalin-fixed, paraffin-embedded sections obtained 72 h after MNU treatment and the age-matched controls were used for apoptosis detection. Apoptosis was observed by TUNEL, with an in situ apoptosis detection kit (Apop-Tag; Millipore, Bellerica, MA, USA). The reaction products were visualized with 3,3’-diaminobenzidine as the chromogen.
Electron microscopy. Retinas collected 72 h after MNU exposure, as well as age-matched control retinas, were fixed in 5% glutaraldehyde in 0.1 M cacodylate buffer, post-fixed in 2% OsO4, and embedded in Luveac-812. Semi-thin sections stained with toluidine blue were used to locate areas, and ultrathin sections stained with uranyl acetate and lead citrate were examined with a JEOL JEM-1400A electron microscope (JEOL, Tokyo, Japan).
Statistics. All in vitro experiments were performed at least in triplicate. All data are presented as mean±SEM. Caspase-3 and LC3-II expression was analyzed by one-way ANOVA followed by Dunnett's test, Atg12-Atg5 and Atg5 expression was analyzed by the Student's t-test, and the rest of the data were compared by one-way ANOVA followed by Tukey's test. All statistical analyses were performed with GraphPad Prism software (GraphPad Software, La Jolla, CA, USA). P-values less than 0.05 were considered statistically significant.
Results
Sequential changes in apoptosis and autophagy in the mouse retina during a 72-h period after MNU treatment. Photoreceptor degeneration begins within the first 72 h after MNU treatment and is followed by the initiation of photoreceptor cell loss. Almost all photoreceptor cells are completely lost 7 days after MNU treatment. During the 72-h period after MNU treatment, caspase-3 activity gradually increased in MNU-exposed mouse retina (Figure 1a), as compared to untreated control retina. At 72 h after MNU treatment, almost all photoreceptor cell nuclei were TUNEL positive (Figure 1b), in contrast to the almost complete lack of TUNEL-positive cells in the control retina. Autophagosomes were detected by electron microscopy in the myoid portion of the inner segments of the photoreceptor cells in control retina (Figure 1c), but they were hardly detectable in retinas 72 h after MNU treatment. In parallel to the loss of autophagosomes, LC3-I and -II expression gradually decreased (Figure 1d). There are three forms of Atg5 protein: the Atg12-Atg5 conjugate (53 kDa), full-length Atg5 (32 kDa), and truncated Atg5 (24 kDa) (13,14). In parallel with the decreased LC3-II expression, the Atg12-Atg5 conjugate and full-length Atg5 expression significantly decreased in MNU-exposed mouse retina (Figure 1e), whereas an increase in the truncated 24-kDa Atg5 fragment was not evident in this model.
Calpain activation 24 h after MNU and the SNJ-1945 effect in mouse retina. In mammalian retina, α-spectrin is ubiquitously localized in both the inner and outer retina, and calpain-induced α-spectrin proteolysis products are useful markers for calpain activation (15). The 280-kDa intact α-spectrin was found in the unexposed control retina, whereas cleaved products at 150 kDa (proteolyzed by caspase-3 and calpain) and 145 kDa (proteolyzed by calpain) appeared in MNU-exposed mouse retina 24 h after MNU treatment (Figure 2). The change in the cleaved form of α-spectrin (both 145 and 150 kDa) 24 h after MNU treatment was significant as compared with the untreated control mouse retina. However, the density of the cleaved form decreased in the MNU-exposed and SNJ-1945-treated mouse retina. Thus, SNJ-1945 effectively suppressed MNU-induced calpain activation.
Retinal damage 7 days after MNU and rescue by SNJ-1945. The ability of SNJ-1945 to suppress MNU-induced retinal damage was evaluated morphologically and morphometrically. Compared with the age-matched, MNU-unexposed control retina, the amount of photoreceptor cells was dramatically decreased 7 days after MNU (Figure 3a). However, daily IP treatment of SNJ-1945 significantly ameliorated photoreceptor cell loss. A quantitative evaluation of the photoreceptor cell ratio at the peripheral and central retina (Figure 3b) and the retinal damage ratio (Figure 3c) revealed that the photoreceptor cell preservation caused by SNJ-1945 was significant, as determined by both indices. SNJ-1945 effectively suppressed MNU-induced photoreceptor cell loss.
Calpain inhibition and change in LC3 expression by SNJ-1945. Inversely correlated to calpain activation (compare with Figure 2), LC3-II expression decreased in MNU-exposed mouse retina, while calpain inhibition by SNJ-1945 in MNU-exposed mouse retina significantly recovered LC3-II expression (Figure 4). Thus, SNJ-1945 effectively restored autophagy in MNU-induced mouse retina.
Discussion
MNU causes retinal degeneration in a 7-day course. In our previous studies, we found that apoptosis peaked 72 h after MNU; then, photoreceptor cell loss began, and almost all photoreceptor cells were lost by day 7 (3, 16). In the present study, in agreement to our previous study, photoreceptor cell apoptosis, as quantitated by caspase-3 expression, gradually increased during 72 h after MNU, and almost all photoreceptor cells were TUNEL positive 72 h after MNU. LC3, which is the mammalian ortholog of yeast (Atg8), is the best characterized autophagic marker and is recruited to autophagosomes. LC3 is represented by two forms, LC3-I (18 kDa), localized in the cytosol, and its proteolytic derivative, LC3-II (16 kDa), localized in the autophagosome membrane (17). The LC3-II level has been reported to correlate with the number of autophagosomes and autophagic activity (17, 18). In contrast to the gradual increase in caspase-3, the gradual decrease in LC3-II, indicating suppression of basal autophagy, was noteworthy in MNU-induced retinal degeneration. In normal photoreceptor cells, besides the intermittent shedding of the disk from outer segments, autophagy functions as a degradative pathway in photoreceptor cell metabolism. Autophagic vacuoles are mainly encountered in the myoid portion in the inner segment of the photoreceptor cells with dense material (19). The presence of autophagosomes and autolysosomes was seen in MNU-unexposed control mouse retinas by electron microscopy but was hardly detectable in MNU-exposed mouse retinas 72 h after MNU. The role of autophagy in cell death has been controversial. In quiescent cells such as neurons, the suppression of basal autophagy causes neurodegeneration in mice (20); thus, autophagy in neuronal cells plays a protective role. Therefore, both increased apoptosis and decreased autophagy may contribute to accelerate the MNU-induced photoreceptor cell death in mice.
α-Spectrin is cleaved to produce a 145- and/or 150-kDa form, and the amount of cleaved α-spectrin reflects the calpain activity (21). Significant calpain activation, as seen by the cleaved α-spectrin products, occurs 6 h after N-methyl-D-aspartate (NMDA) exposure (15) and 24 h after light exposure (22) in the mouse retina and 1 and 3 days after MNU exposure of rat retina (23). Followed by an increase in cleaved α-spectrin products in the retina, NMDA promotes ganglion cell apoptosis, while light and MNU promote photoreceptor cell apoptosis (15, 22, 23). Thus, calpain activation is involved in apoptosis of both inner and outer retinal cells in response to different stimuli (15, 23, 24). In the present study, significant calpain activation was seen 24 h after MNU expose in the mouse retina. Calpain also plays an important role in controlling autophagy by regulating the levels of Atg5 (13, 14). Atg 5 is a gene product required for the formation of autophagosomes, and calpain-mediated cleavage of Atg 5 (24 kDa) switches autophagy to apoptosis (13). However, although a decrease in the Atg12-Atg5 complex and full-length Atg5 was seen, involvement of the cleaved form of Atg5 was not evident in MNU-exposed mouse retina.
SNJ-1945 at 30 or 100 mg/kg IP decreased the magnitude of cerebral ischemia-induced damage by decreasing the infarction volume and improved the neurological defects in mice (25); the effects persisted even when SNJ-1945 was given up to 6 h after the induction of focal brain ischemia. In the mouse retina, 30 or 100 mg/kg IP or 100 and 200 mg/kg per OS (PO) significantly inhibited NMDA-induced cell loss in the ganglion cell layer and the thinning of the inner plexiform layer (15), and 100 mg/kg PO or 200 mg/kg IP 30 min before and just after light exposure significantly protected photoreceptor cell loss in mice (22). PO administration of SNJ-1945 at a dose of 200 mg/kg 30 min after MNU also significantly protected against MNU-induced photoreceptor cell loss in rats (23). In the present study, 80 mg/kg SNJ-1945 IP significantly decreased the amount of cleaved α-spectrin products and restored LC3-II expression, and the photoreceptor cell loss caused by MNU in mice was significantly (although not completely) prevented. Both IP and PO administration of calpain inhibitor SNJ-1945 is effective, and SNJ-1945 ameliorates MNU-induced photoreceptor cell loss in rats and mice. SNJ-1945 has good penetration into the retina after PO administration (26) and has a low level of side-effects (27). In rd mice, other calpain inhibitors, N-acetyl-leu-leu-norleucinal (ALLIN) and N-acetyl-leu-leu-memethioninal (ALLM), reduced photoreceptor apoptosis (28). Therefore, calpain inhibition may be an effective strategy in the treatment of RP.
In conclusion, calpain activation suppressed basal autophagy, which affected the essential survival mechanism and accelerated apoptosis leading to photoreceptor cell death. Calpain inhibition by SNJ-1945 was effective in promoting photoreceptor cell survival by restoring basal autophagy and suppressing photoreceptor death in mice.
Acknowledgements
We thank Mr. T. Kida of Senju Pharmaceutical Co., Ltd. (Kobe, Japan) for providing SNJ-1945 and Dr. A. Yamamoto of Nagahama Institute for Bio-Science and Technology (Nagahama, Japan) for providing expertise on the judgment of autophagic vacuoles in electron microscopy photographs. We also thank Ms. T Akamatsu for her excellent technical assistance and Ms. A Shudo for manuscript preparation. The authors have no competing financial interests. This work was supported in part by a Grant-in-Aid for Scientific Research (C) from the Japan Society for the Promotion of Science (JSPC) (22591954).
- Received February 12, 2011.
- Revision received March 4, 2011.
- Accepted March 8, 2011.
- Copyright © 2011 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved