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Biotechnology Center, Center for Neurologic Diseases, Brigham and Womens Hospital, Harvard Medical School, Cambridge, Massachusetts 02139
| ABSTRACT |
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oxidative stress; galanin
| INTRODUCTION |
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-synuclein and parkin are associated with early onset and rapid progression of PD, and oxidative stress has been implicated (11, 21, 33, 25, 47, 62). In AD, oxidative stress has also been reported to promote the accumulation of ß-amyloid (Aß) through enhancing the amyloidogenic pathway (4, 44). However, drugs that target these neurodegenerative diseases are limited. In the case of ALS there is only one therapy approved to treat ALS, with many shortcomings in toxicity (32, 45, 55). The therapies available for PD are restricted to symptomatic treatment (62). Four compounds are currently approved for the use in treating AD, but these compounds provide only symptomatic benefits rather than modifying the progression of the disease (26). The drug discovery process is undergoing a revolution with the use of combinatorial chemical libraries, high-throughput drug screening technologies, and DNA microarrays (3, 8, 16, 19, 60). For example, the complementary approaches of high-throughput drug screening and large-scale gene expression profiling were used to screen 60 human cancer cell lines, resulting in the identification of activity profiles of numerous compounds (53, 54). This large-scale human cancer cell line study opened the door to identifying novel "gene-gene, gene-drug, and drug-drug relationships" (54, 60). In addition, numerous bioinformatics methods are currently being used to identify novel gene interactions and genes with related functions (8, 52). Although these studies did not directly assess the influence of drugs on gene expression, they served to show the power of combining large-scale drug screening with gene expression analysis.
In the present study we sought to extend this approach by testing a library of known bioactive compounds, consisting of Food and Drug Administration (FDA)-approved drugs, to identify those that protect human SH-SY5Y neuroblastoma cells from lethal oxidative stress. Once we identified a subset of neuroprotective drugs, we then used oligonucleotide microarrays to measure their influence on large-scale gene expression profiles and thereby elucidate the apparent mechanisms of neuroprotection that involves enhanced expression of the neuropeptide galanin in every case.
| MATERIALS AND METHODS |
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15,000 drugs that are presently marketed in the US. Of those, 1,345 were identified as unique chemical entities. We next created a drug repository of 880 compounds, and the drug collection is known as the FDA2000 drug library. The drugs/compounds were obtained from Sigma-Aldrich Chemicals (St. Louis, MO), the Brigham and Womens Hospital Pharmacy (Boston, MA), or Athena Rx Home Pharmacy (San Francisco, CA). Each drug was dissolved in water to an approximate concentration of 10 mM. Then, 96-well daughter plates were made, and plates were stored at -20°C.
Cell culture.
Human SH-SY5Y neuroblastoma cells were kindly provided by Dr. E. Feldman (University of Michigan, Ann Arbor, MI). Cells were maintained in Dulbeccos modified Eagles medium (DMEM, GIBCO BRL; Life Technologies, Rockville, MD) supplemented with 10% fetal bovine serum (Hyclone, Logan, UT) plus 2% penicillin-streptomycin and incubated at 37°C in a humidified atmosphere with 5% CO2. The cells were routinely subcultured using 0.05% trypsin-EDTA solution. The cells were seeded at 103 cells/well in 96-well plates (Corning, Corning, NY) and grown until each well was 7580% confluent.
Oxidant injury and drug screening.
Our drug screening strategy was multistaged. To take advantage of the potential pleiotropic and latent actions of drugs in cell-based bioassays, we decided to pretreat cells with the drugs for 24 h prior to hydrogen peroxide exposure. Furthermore, as many drugs can have a direct impact on H2O2 itself (e.g., direct antioxidants), we chose to remove the drugs prior to H2O2 treatment. Furthermore, to ensure that the actions of the drugs did not wear off, we opted to perform an initial screen using a high dose of H2O2 for a short exposure time. Then knowing which drugs were active, we performed a secondary screen using a lower dose, longer exposure H2O2 protocol.
Pilot studies were performed to optimize the dose and time for exposure of cells to H2O2. SH-SY5Y cells were incubated with various doses of H2O2, ranging from 1 to 10 mM, and for different times, ranging from 4 to 24 h (data not shown). An optimal dose was determined to be that which resulted in
70% loss of cell viability, as this provided maximal signal-noise in identifying drugs that rescued cells from death. For the initial high-dose screen, cells were exposed to 6 mM H2O2 for 4 h. In the secondary low-dose H2O2 screen, to confirm drug efficacy and optimize drug doses, cells were exposed to 100 µM H2O2 for 24 h. In each 96-well plate, 8 wells were used as controls in which no H2O2 was added.
Drugs were prepared by prediluting them to a concentration of 10100 µM in DMEM containing 10% fetal bovine serum. Cell culture medium was removed from the cells in the 96-well plates and replaced with the fresh medium containing the drug (10100 µM). There was only one drug per well. Cells were incubated with the drug for 24 h at 37°C. Then cell culture medium and drugs were removed and the cells washed once with Dulbeccos PBS (D-PBS). Those drugs found to be protective in this first screen were then investigated in the secondary low-dose H2O2 screen. Drug dose-response experiments were performed using one protective drug from six different therapeutic classes to identify a peak effective dose. The SH-SY5Y cells were incubated with each drug (10100 µM) for 24 h, drugs were removed, and cells were exposed to 100 µM H2O2 for 24 h at 37°C.
To measure cell viability, the cell culture medium containing H2O2 was removed and replaced with D-PBS containing 10 µM of the acetomethoxy ester of calcein (calcein-AM; Molecular Probes, Eugene OR), and cells were then incubated at 25°C for 30 min. Fluorescence was measured using a Victor2 Multilabel fluorescence plate reader (PerkinElmer Life Sciences, Boston, MA).
RNA isolation and oligonucleotide arrays.
Cells were incubated for 24 h with drugs at peak effective concentrations as follows: 30 µM megestrol, 60 µM meclizine, 30 µM verapamil, 100 µM methazolamide, 10 µM sulindac, and 10 µM retinol; there was no exposure to H2O2. Total RNA was isolated using Trizol (GIBCO BRL; Life Technologies), and RNA integrity was tested by visualization of 18S and 28S bands. Total RNA (57.9 µg) was used for in vitro transcription and labeled with biotin following procedures described previously (31, 39, 61). Following verification of cRNA quality on Test2 GeneChips, Affymetrix HG-U95A GeneChip probe arrays were used to determine mRNA expression levels.
Data analysis and informatics.
Drug screening data were analyzed using Microsoft Excel to assess standard statistical parameters. The oligonucleotide arrays were analyzed using MicroArray Suite 4.0 software from Affymetrix, with a "target intensity" (mean expression level) of 100. Significant changes in gene expression were identified by an average twofold or greater change across different protective drug treatments with P < 0.003 calculated using a single sample, two-tailed t-test applied to the logarithms of the ratio of the drug-treated gene expression levels to the control levels. This analysis was repeated for two sets of microarrays for the control and drug treatments (with n = 5 and n = 6). A small set of genes was identified that satisfied these requirements in both of the replicate experiments. These stringent criteria were designed to minimize the number of false positives and to generate a short list of informative genes.
| RESULTS |
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Having identified a highly diverse group of neuroprotective pharmaceutical compounds whose known mechanisms of action are highly unrelated to each other or to cell survival, we sought to discover a biological process that would interconnect them. Using high-density oligonucleotide microarrays, RNA expression levels of
12,000 genes were measured in SH-SY5Y cells incubated for 24 h with optimal doses of megestrol, meclizine, verapamil, methazolamide, sulindac, and retinol. RNA was also isolated from vehicle-treated control cells. Both the drug treatments and the control were repeated on two separate occasions. These replicate experiments provided two sets of microarray measurements of the gene expression changes due to the protective drugs (however, one of the microarrays for megestrol was discarded from the data set due to poor chip quality). These two sets of measurements of gene expression changes induced by the drugs were then analyzed using single-sample, two-tailed Students t-tests to determine a small subset of genes with the most significant changes in expression. As shown in Fig. 2, data analysis identified a small subset of genes that were differentially expressed in response to all six drugs. These included increased expression of tissue inhibitor of matrix metalloproteinase (TIMP1, D11139), clusterin (M25915), galanin (M77140), and growth associated protein (GAP43, M25667) and decreased expression of ret-proto-oncogene (HG4677-HT5102). Quantitative RT-PCR was used to confirm the increased expression for two of these genes, clusterin and galanin, for every drug treatment. Although the five genes do not appear to be involved in any common pathways, they all play critical roles in the normal physiological functions of neural cells.
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| DISCUSSION |
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Our cell bioassay involved the use of human SH-SY5Y neuroblastoma cells which are derived from the sympathetic nervous system and possess many properties of mature sympathetic neurons. Using the well-established H2O2 oxidant injury model, we implemented a two-step drug screening process: first using a high-dose, acute cellular H2O2 exposure to identify candidate neuroprotective compounds and then confirming the efficacy of these agents using a lower dose and more chronic H2O2 exposure protocol. The drug library comprised 880 known pharmaceuticals. For both the acute and chronic protocols, cells were exposed to the drugs for 24 h prior to H2O2 exposure, enabling the compounds to directly or indirectly modulate many processes within the cells. Moreover, this is more reflective of an in vivo setting where drugs are taken chronically, giving cells an opportunity to manifest both primary and secondary responses.
Overall, we identified 26 drugs that provide neuroprotection, representing more than 6 different therapeutic classes. This relatively high "hit rate" of 3% was attained without optimizing doses or formulations in the initial screen, underscoring the multipotent activities of existing pharmaceuticals. Additional neuroprotective compounds may have been missed in our primary screen since they were not all tested under optimal conditions.
Our FDA2000 drug library is composed of a nonredundant set of FDA approved drugs that are presently marketed in the US. Most of these compounds have never been implicated in neuroprotection, for either their prescribed indication or known mechanisms of action. However, due to the cross-reactivity of many of these drugs with other possible targets or their actions on non-target neuronal cells, a number of compounds emerged as having unanticipated actions to prevent oxidative damage in neuronal cells. This observation suggests that through the interconnected network of biological pathways and processes, drugs of highly unrelated structures and actions can have similar effects.
The six drugs examined in detail, namely sulindac, retinol, verapamil, megestrol, meclizine, and methazolamide, are highly unrelated with regard to their known targets and primary actions. Of these, prior studies suggested sulindac, retinol, and verapamil could be cytoprotective during oxidant injury. Sulindac is a nonsteroidal anti-inflammatory drug (NSAID) used for the treatment of inflammatory diseases and rheumatoid arthritis. It inhibits prostaglandin synthesis by decreasing the activity of cyclooxygenase. Sulindac has been shown to scavenge oxidant products of prostaglandin cyclooxygenase/peroxides (51). Moreover, epidemiological studies have revealed a reduction in the prevalence of AD among people taking NSAID compounds (58), although sulindac has not yet been specifically implicated.
Retinol (vitamin A or all-trans-retinoic acid) is used a topical treatment of acne. Retinoic acids act upon various biological process including cell proliferation, differentiation, and cellular morphogenesis (36). Human trials of retinol revealed a reduction in reactive oxygen metabolites such as those produced by endogenous cellular H2O2 (13). Pretreatment of mesangial cells with retinol blocked morphological and biochemical markers of apoptosis typically induced by H2O2 (46). The anti-apoptotic effect of retinol against H2O2 was also observed in fibroblasts (46). This anti-apoptotic pathway was shown to act through the dual suppression of the cell death pathway mediated by c-Jun N-terminal kinase (c-Jun) and activator protein 1 (AP-1). The trans-retinoic acid anti-apoptotic pathway acts on both nuclear receptor-dependent and -independent mechanisms (36).
Verapamil belongs to the antianginal and antihypertensive therapeutic class of compounds and is specifically an antiarrhythmic class IV drug. Verapamil inhibits calcium ions from entering the slow channels and select voltage-sensitive areas of the vascular smooth muscle. Verapamil has possible neuroprotective effects on normal neurons exposed to high concentrations of ethanol, and it has been suggested that verapamil should be evaluated as a drug for treatment of alcohol-induced brain damage and neurodegenerative disorders (37).
Megestrol, meclizine, and methazolamide, as well as many compounds identified in the primary screen (Table 1), are not known to be neuroprotective or cytoprotective during oxidant stress. Megestrol is an antineoplastic agent that is a synthetic analog of progesterone (10). The chemical structure of megestrol is similar to that of norethindrone and flunisolide, which were also found to be protective to a lesser extent in the primary H2O2 screen. Meclizine is an antiemetic and an antihistamine H1 blocker used for the prevention and treatment of motion sickness and the management of vertigo with diseases affecting the vestibular system. Meclizine has central anticholinergic actions by blocking the chemoreceptor trigger zones (48). Methazolamide is a diuretic drug and acts as a noncompetitive inhibitor of carbonic anhydrase (38).
To investigate potential biological actions of the protective drugs, we evaluated their effects on mRNA expression 24 h after drug exposure using large-scale oligonucleotide microarray analysis (Fig. 2). A set of five genes, TIMP1, ret-proto-oncogene, clusterin, galanin, and GAP43, were all identified as differentially expressed in response to all six drugs (Fig. 2). Their encoded proteins all play critical roles in the normal physiological functions of neural cells, and several have been implicated in cell survival.
TIMP1 was upregulated and is a member of a family of TIMP genes involved in cell proliferation and cell survival. TIMP1 may specifically inhibit apoptosis (18, 27) and can confer resistance to oxidative stress (22). Interestingly, the inhibition of matrix metalloproteinase showed a significant decrease in liver ischemia/reperfusion injury as assessed by histological and serum hepatic levels and has been proposed to have clinical relevance in liver-associated ischemic disease (15). H2O2 was reported to be an important intermediate in the downstream signaling pathway leading to the induction of an increased steady state of matrix metalloproteinase-1 mRNA levels (7). These findings provide supporting evidence for our experiments in which TIMP1 was upregulated by the protective compounds and prevented oxidant-induced injury.
Clusterin (apolipoprotein J) was significantly upregulated in all the drug treatments compared with the control cells. Clusterin is an 80-kDa glycoprotein that has been implicated in cytoprotection of fibroblasts and is induced by numerous cellular stresses. Overexpression of clusterin may be associated with cell survival after oxidative injury (2, 17, 57). Clusterin has been suggested to protect cells against apoptotic cell death and neurodegeneration (59). Interestingly, in AD, lower cellular expression levels of the clusterin protein was suggested to be associated with neuronal degeneration and death (20). Using an antisense approach, researchers have found that suppression of clusterin mRNA and protein expression made cells more sensitive to apoptotic cell death induced by heat shock or H2O2-induced oxidant stress (57). These studies indicate that clusterin confers cellular protection against heat shock and oxidative stress (57).
RET was decreased more than twofold in all the drug treatments. The ret-proto-oncogene encodes a cell membrane tyrosine kinase receptor protein whose ligands belong to the glial cell line-derived neurotrophic factor family (56). Its role in cytoprotection during oxidant stress still needs to be elucidated.
Galanin expression was enhanced by all six drugs. This 29-amino acid secreted neuropeptide colocalizes with choline acetyltransferase (49) and has been implicated in cell injury recovery processes in neurons. Rat dorsal root ganglion (DRG) were incubated with various forms of ß-amyloid and a decrease in galanin immunoreactive neurons was identified (41). Cytokines and galanin have been suggested to function in a molecular cascade mediating injury-induced regeneration (29). Peripheral nerve damage upregulates cytokine interleukin-6 (IL-6) in DRG neurons, and these changes increase the levels of galanin in the DRG neurons. The increased levels of galanin in sensory neurons contributes to the initiation and maintenance of axonal regeneration in injured neurons (29).
GAP43, which was induced by the drugs, encodes a protein that localizes at the growth cone of neurite outgrowths. In astrocytoma tumors it is involved in attachment, spreading, and motility (24). Cellular changes in GAP43 and galanin protein immunoreactivity have been studied in an axonal injury model (30). The axonal injury model revealed that neurons in the middle and caudal part of the ganglia survived the injury and showed an increase in GAP43 and galanin immunoreactivity, indicating a sign of regeneration/neuronal plasticity (30). In AD patients, GAP43 levels were decreased, suggesting in part that synaptic injury in the frontal cortex is an early event in AD (42).
Since galanin is a secreted neuropeptide, we hypothesize that it could act as autocrine survival factor. In fact, we found that exogenous galanin alone blocked the H2O2-induced cell death of the SH-SY5Y cells (Fig. 3). Thus, galanin can act as a neuroprotective factor and should be considered for its therapeutic potential in treating neurodegeneration. Moreover, the galanin receptor could represent a therapeutic target for small drug discovery. These results have important ramifications for understanding and developing therapeutics for neuronal repair and preventing further oxidant-induced neural damage.
Collectively, our studies have identified a set of highly protective drugs that blocked oxidant-induced injury in SH-SY5Y cells, a small set of genes that were highly upregulated and downregulated by the protective compounds, and the specific involvement of the neuropeptide galanin in blocking oxidant injury to SH-SY5Y cells.
| ACKNOWLEDGMENTS |
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S. S. Sarang was supported by a fellowship from the Hope for ALS Foundation, and S. R. Gullans was supported by National Institute of Diabetes and Digestive and Kidney Diseases Grants DK-36031 and DK-58849.
Editor M. A. Marra served as the review editor for this manuscript submitted by Editor S. R. Gullans.
| FOOTNOTES |
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Address for reprint requests and other correspondence: S. R. Gullans, Center for Neurologic Diseases, Brigham and Womens Hospital, 65 Landsdowne St., Rm. 301, Cambridge, MA 02139 (E-mail: ssarang{at}rics.bwh.harvard.edu).
10.1152/physiolgenomics.00064.2002.
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-synuclein over-expression increases intracellular reactive oxygen species levels and susceptibility to dopamine. Neurosci Lett 320: 146150, 2002.[ISI][Medline]
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