The Journal of Neuroscience http://jneurosci.msubmit.net JN-RM-5283-14 SUMOYLATION OF LYS590 OF THE f-LOOP OF NCX3 BY SUMO1 PARTICIPATES IN BRAIN NEUROPROTECTION INDUCED BY ISCHEMIC PRECONDITIONING Lucio Annunziato, Federico II University of Naples Ornella Cuomo, Federico II University of Naples Giuseppe Pignataro, Federico II University of Naples Rossana Sirabella, Fondazione IRCCS SDN Pasquale Molinaro, Federico II University of Naples Serenella Anzilotti, SDN IRCCS Via Gianturco Antonella Scorziello, Department of Neuroscience, Physiology Unit, School of Medicine, Federico II University of Naples Maria Josè Sisalli, Federico II University of Naples Claudia Savoia, Federico II University of Naples Gian Franco Di Renzo, Commercial Interest: No This is a confidential document and must not be discussed with others, forwarded in any form, or posted on websites without the express written consent of The Journal for Neuroscience. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 Title: SUMOYLATION OF LYS590 OF THE f-LOOP OF NCX3 BY SUMO1 PARTICIPATES IN BRAIN NEUROPROTECTION INDUCED BY ISCHEMIC PRECONDITIONING Abbreviated title: NEUROPROTECTIVE EFFECT OF NCX3 SUMOYLATION Author names and affiliation, including postal codes: Ornella Cuomo1, Giuseppe Pignataro1, Rossana Sirabella2, Pasquale Molinaro1, Serenella Anzilotti2, Antonella Scorziello1, Maria Josè Sisalli1, Claudia Savoia1, Gianfranco Di Renzo1, Lucio Annunziato1 1 Division of Pharmacology, Department of Neuroscience, Reproductive and Dentistry Sciences, School of Medicine, Federico II University of Naples, Via Pansini 5, 80131 Naples, Italy; 2Fondazione IRCCS SDN, Via Gianturco, 113, 80143, Naples, Italy Corresponding author with complete address, including an email address and postal code Lucio Annunziato 1Division of Pharmacology, Department of Neuroscience, Reproductive and Dentistry Sciences, School of Medicine, Federico II University of Naples, Via Pansini 5, 80131 Naples, Italy Tel +390817463325, Fax +390817463323; email: lannunzi@unina.it Number of pages: 20 Number of figures, tables, multimedia and 3D models (separately): 8 Figures Number of words for Abstract: 248 Number of words for Introduction: 500 Number of words for Discussion: 883 Conflict of Interest: The authors declare no competing financial interests Acknowledgements: We thank Dr. Paola Merolla for the editorial revision, Prof. Hallenbeck J.M. from National Institute of Neurological Disorders and Stroke (NINDS) and National Institutes of Health (NIH), Bethesda, Maryland, USA for kindly providing us SUMO1 antibody and Vincenzo Grillo and Carmine Capitale for their technical assistance. This work was supported by Grant COFIN 2008, Ricerca-Sanitaria (Grant RFFSL352059), Ricerca finalizzata (2006), Progetto-Strategico (2007), Progetto Ordinario (2007), Ricerca finalizzata (2009), Ricerca-Sanitaria progetto Ordinario (2008) from Ministero della Salute (all L. A.), and Progetto Giovani Ricercatori GR-2010-2318138 from Ministero della Salute to A.S. 42 43 44 45 46 1 47 Abstract 48 The small ubiquitin-like modifier (SUMO), a ubiquitin-like protein involved in post- 49 translational protein modifications, is activated by several conditions, such as heat stress, 50 hypoxia, 51 neuroprotection against stressful stimuli by regulating the function and the fate of proteins 52 involved in stress signalling pathways. Sumoylation enzymes and substrates are 53 expressed not only in the cytoplasmic and nuclear compartments, but also at the plasma 54 membrane level. Among the numerous plasma membrane proteins controlling ionic 55 homeostasis during cerebral ischemia, NCX3, one of the three Sodium/Calcium 56 exchangers expressed in the CNS, exerts a protective role during ischemic 57 preconditioning. In this study we evaluated whether NCX3 is a target for sumoylation and 58 whether this post-translational modification participates in ischemic preconditioning- 59 induced neuroprotection. To test these hypotheses, we analyzed (1)SUMO1 conjugation 60 pattern after ischemic preconditioning; (2)the effect of SUMO1 knockdown on the ischemic 61 damage after transient middle artery occlusion (tMCAO) and ischemic preconditioning; 62 (3)the possible interaction between SUMO1 and NCX3; and (4)the molecular determinants 63 of NCX3 sequence responsible for sumoylation. 64 We found that (1)SUMO1 knockdown worsened ischemic damage and reduced the 65 protective effect of ischemic preconditioning; (2)SUMO1 bound to NCX3 at the lysine 66 residue 590 of the f-loop, and its silencing increased NCX3 degradation; and (3)NCX3 67 sumoylation took part to SUMO1 protective role during ischemic preconditioning. Thus, our 68 results demonstrate that NCX3 sumoylation by SUMO1 confers additional neuroprotection 69 in ischemic preconditioning. 70 Finally, this study suggests that NCX3 sumoylation might be a new potential target to 71 enhance ischemic preconditioning-induced neuroprotection. and hibernation. Recent evidence 72 73 74 75 76 77 78 79 80 2 indicates that sumoylation confers 81 Introduction 82 Small Ubiquitin-like Modifier (SUMO) conjugation is an enzymatic process that is 83 biochemically analogous to, but functionally distinct from, the ubiquitination process. It 84 involves the covalent attachment of SUMO to substrate proteins, however, unlike 85 ubiquitination, sumoylation does not lead to degradation of the target substrate but may 86 modulate intracellular protein localization, activity, and stability (Pichler and Melchior, 87 2002; Gill, 2003; Seeler and Dejean, 2003; Hay, 2005; Mukhopadhyay and Dasso, 2007; 88 Zhao, 2007). So far, four SUMO proteins have been identified, SUMO1–4. SUMO 1-3 are 89 present in the brain, whereas SUMO4 is mainly localized in the kidney (Bohren et al., 90 2004). Interestingly, sumoylation is activated after different stress conditions, including 91 anoxia, hypothermia, and hypoxia (Yang et al., 2008c; Yang et al., 2008a, b; Lee et al., 92 2009). Changes in brain sumoylation pattern have also been reported after focal cerebral 93 ischemia (Cimarosti and Henley, 2008), where it may represent a protective response. 94 Furthermore, SUMO-1 knockdown decreases cell resistance to oxygen–glucose 95 deprivation (OGD), whereas SUMO-1 overexpression renders neurons less susceptible to 96 OGD-induced cell damage (Lee et al., 2009). Intriguingly, sumoylation is strongly activated 97 in the brain of hibernating animals during the torpor phase, thus shielding neurons from 98 damage induced by reduced blood flow and substrate deprivation (Lee et al., 2009). 99 To date, no information is available regarding a potential neuroprotective role of protein 100 sumoylation during endogenous neuroprotective events like ischemic preconditioning in 101 vivo. Ischemic preconditioning, a phenomenon whereby a subliminal injurious stimulus 102 applied before a longer harmful ischemia produces neuroprotection (Kirino, 2002; Dirnagl 103 et al., 2003; Gidday, 2006), shares several trasductional pathways with hibernation, a 104 condition in which sumoylation is activated. Several proteins involved in the 105 neuroprotection mediated by ischemic preconditioning, have been proposed as 106 sumoylation substrates (Rajan et al., 2005). Recently, convincing evidence has revealed 107 that sumoylation enzymes and substrates are also present at the plasma membrane level, 108 wherein they regulate plasma membrane protein expression. This finding led us to 109 hypothesize that sumoylation might influence ionic homeostasis by regulating the stability 110 and the expression of those transmembrane proteins involved in brain ischemia, 111 specifically NCX3. 112 The reason for investigating NCX3 as a possible target for SUMO-mediated 113 neuroprotective 114 role in cerebral ischemia(Pignataro et al., 2004; Molinaro et al., 2008), since both NCX3 effect is that NCX3 3 plays a relevant neuroprotective 115 knockdown and NCX3 knockout exacerbate the ischemic damage induced by permanent 116 and transient middle cerebral artery occlusion (pMCAO and tMCAO) (Pignataro et al., 117 2004; Molinaro et al., 2008). More intriguingly, we have also identified NCX3 as a new 118 additional effector of ischemic preconditioning (Pignataro et al., 2012). Given these 119 premises, the aim of the present study was to evaluate whether NCX3 is a target for 120 sumoylation and whether this post-translational modification participates in promoting 121 ischemic preconditioning-induced neuroprotection. For these aims, we analyzed: (1) 122 SUMO1 conjugation pattern after ischemic preconditioning, (2) the effect of SUMO1 123 knockdown on ischemic damage after tMCAO and ischemic preconditioning, (3) the 124 possible interaction between SUMO1 and NCX3, and, finally, (4) the molecular 125 determinants of NCX3 sequence responsible for sumoylation. 126 4 127 128 METHODS 129 Experimental Groups 130 Male Sprague–Dawley rats (n=110; 250-300 g; Charles River) were housed under diurnal 131 lighting conditions (12 h darkness/light). Experiments were performed according to the 132 international guidelines for animal research and approved by the Animal Care Committee 133 of “Federico II” University of Naples (Naples, Italy). 134 135 Focal Ischemia 136 Transient focal ischemia was induced, as previously described (Pignataro et al., 2008), by 137 suture occlusion of the middle cerebral artery (MCA) in male rats anesthetized with 1.5 % 138 sevofluorane, 70% N2O, and 28.5% O2. In brief, a 2-O surgical monofilament nylon suture 139 (Doccol, CA, USA) was inserted from the external carotid artery into the internal carotid 140 artery and advanced into the circle of Willis until it reached the branching point of the MCA, 141 thereby occluding the MCA (Longa et al., 1989). Achievement of ischemia was confirmed 142 by monitoring regional cerebral blood flow in the area of the right MCA. Cerebral blood 143 flow (CBF) was monitored through a disposable microtip fiber optic probe (diameter 144 0.5mm) connected through a Master Probe to a laser Doppler computerized main unit 145 (PF5001; Perimed, Sweden) and analyzed using PSW Perisoft 2.5 (Pignataro et al., 2008). 146 Animals not showing a cerebral blood flow reduction of at least 70%, as well as those 147 dying after ischemia induction (5%), were excluded from the study. Rectal temperature 148 was maintained at 37±0.5°C with a thermostatically controlled heating pad and lamp. All 149 surgical procedures were performed under an operating stereomicroscope. After 100 min 150 MCA occlusion, rats were re-anesthetized and the filament was withdrawn to restore blood 151 flow. Animals were randomized into the different experimental groups in a blind manner. 152 153 Preconditioning Experimental Protocol 154 Ischemic preconditioning was induced as previously described (Pignataro et al., 2008). In 155 brief, preconditioning was achieved by subjecting rats to 30 min of MCAO, followed by 72 156 h of reperfusion. At the end of the reperfusion period, the MCA was re-occluded for 100 157 min. Animals were then recovered for 24 h. The success of the experimental procedures 158 was confirmed by measuring CBF in all the experimental steps. 159 160 Evaluation of the Infarct Volume 5 161 For the analysis of ischemic damage, rats were sacrificed 24h after tMCAO or 162 preconditioning+tMCAO. The ischemic volume was evaluated with 2,3,5-triphenyl 163 tetrazolium chloride (TTC) staining. In particular, the brains were cut into 1-mm coronal 164 slices with a vibratome (Campden Instrument, 752M) and the sections were incubated in 165 2% TTC for 20 min and in 10% formalin overnight. The infarction area was calculated with 166 image analysis software (Image-Pro Plus) (Bederson et al., 1986). The total infarct volume 167 was expressed as percentage of the volume of the hemisphere ipsilateral to the lesion in 168 order to correct brain edema. Ischemic damage was evaluated in a blind manner. 169 170 Intracerebroventricular administration of siRNA 171 In rats positioned on a stereotaxic frame, a 23-g stainless steel guide cannula was 172 implanted into the right lateral ventricle using the stereotaxic coordinates from the bregma: 173 0.4mm caudal, 2mm lateral and 2mm below the dura (Franklin and Paxinos, 1997; 174 Pignataro et al., 2004). 175 Two different siRNAs were tested (Quiagen siRNA-A #SI01910034 and siRNA-B 176 #SI01910027). siRNAs (10l, 2M or 10M) and siCTL were icv administered twice a day 177 starting from 72 hours before preconditioning or tMCAO induction. Since their 178 effectiveness was similar (about 50% reduction), all the experiments were performed with 179 siRNA A (10l, 10M), which was administered twice a day, starting from 72 hours before 180 preconditioning or tMCAO induction. 181 182 Western Blotting Analysis 183 Cortical samples were harvested from ischemic brains of rats subjected to 100 min of 184 MCAO, 185 preconditioning+tMCAO. Ipsilateral cortex and striatum were obtained at four different 186 reperfusion time intervals after the last occlusion, at 3, 5, 24, and 72 hours. The same 187 sample groups were obtained from brains of sham-operated animals. 188 Rat brain samples were first homogenized with an 18-gauge needle in a lysis buffer (100 189 mM Tris-HCl, pH 6.8, 2% SDS, 50 mM EDTA) containing a protease inhibitor cocktail, 1 190 mM PMSF, and 10 mM NEM. Then, they were sonicated for 10 sec, heated at 99 °C for 191 10 min, and centrifuged for 15 min at 14,000 rpm. Protein concentration was estimated 192 using the Bradford reagent (Bio-Rad Laboratories, Segrate, Milan, Italy). Twenty 193 micrograms or 50 g of proteins were mixed with a Laemmli sample buffer. Next, the 194 samples from were brains of separated preconditioned on 8% sodium 6 rats, and dodecyl from sulfate rats subjected polyacrylamide to gel 195 electrophoresis, and transferred onto Amersham™ Hybond™-ECL nitrocellulose 196 membranes (GE Healthcare, Milan, Italy). The non-specific binding sites were blocked with 197 an incubation of 5% non-fat dry milk in Tris buffered saline (TBS) 0.1% Tween 20 (Sigma- 198 Aldrich, Milan, Italy) for 2 hours at room temperature. After that, blots were probed with 199 SUMO-1 (1:1000) antibody (kindly given by Hallenbeck J.M. from National Institute of 200 Neurological Disorders and Stroke (NINDS) and National Institutes of Health (NIH), 201 Bethesda, Maryland, USA), with NCX3 antibody (kindly given by Philipson K. from David 202 Geffen School of Medicine at UCLA, Los Angeles, CA), and with β-actin (1:1000, Sigma- 203 Aldrich, Milan, Italy) overnight at 4 °C. Finally, detection was achieved using a horseradish 204 peroxidase-conjugated secondary anti-rabbit antibody (1:2000; Cell Signaling; 60min at 205 room temperature in 5% non-fat milk) and an enhanced luminescence kit (GE Healthcare, 206 Milan, Italy) (Cuomo et al., 2008). 207 208 Generation and Stable Expression of Wild-Type and Mutant NCX3FLAG cDNAs 209 Murine NCX3 cDNA with a 3XFLAG epitope at the C-terminus (NCX3FLAG) was cloned in 210 pReceiver-M13 expressing vector by Genecopoeia. Site-directed and deletion mutants of 211 NCX3FLAG were generated by means of QuikChange strategy (Stratagene, La Jolla, CA). 212 In particular, the amino acid regions 292-710 and 528-676 were deleted from NCX3FLAG 213 obtaining a mutant lacking the entire f loop, NCX3292-710 (NCX3f), and another lacking 214 a portion of f loop, NCX3528-676, respectively. Two site-directed mutants were obtained 215 by substituting lysine 456 with glutamate (NCX3K456E), and 216 lysine 590 with leucine and glutamate, respectively (NCX3FK589LE). 217 All mutant exchangers obtained were verified by sequencing both DNA strands (Primm, 218 Milan, Italy). To stably express wild-type, site-directed and deletion mutants of NCX3FLAG, 219 pReceiver-M13 plasmids carrying cDNAs were transfected into wild-type BHK cells by 220 Lipofectamine 2000 (Life Technologies, San Giuliano Milanese, Italy) protocol. Stable cell 221 lines were selected by G418 resistance and by a Ca2+-killing procedure (Molinaro et al., 222 2013). 223 224 225 Immunoprecipitation assay 226 BHK cells expressing NCX3 wild type and mutant forms, and brain tissue from control rats 227 and rats exposed to tMCAO or preconditioning followed by tMCAO were homogenized in 228 lysis buffer containing (mM) 50 mM Hepes, pH 7.4, 100 mM NaCl, 1.5 mM MgCl2, 0.2 % 229 NP40 with protease inhibitor cocktail, 1 mM PMSF, and 20 mM NEM. One milligram of 7 phenylalanine 589 and 230 lysate was precleared using protein A/G plus (Santa Cruz) for 1 h at 4C with constant 231 rotation and centrifuged for 2 min at 8000 rpm. Precleared lysates from BHK cells were 232 immunoprecipitated with anti-SUMO1 antibody (1:100; monoclonal anti-SUMO1 antibody, 233 Quiagen). In particular, lysates were incubated overnight with anti-SUMO1; then protein 234 A/G plus was added to the lysates for 2 h at 4°C with constant rotation. Finally, 235 immunoprecipitates were washed 4 times, and the total cell lysates or immunoprecipitates 236 were resolved by SDS-PAGE gel and transferred to a nitrocellulose membrane. 237 Immunoblot analysis was performed using an anti-flag antibody. As for the lysates from 238 brain tissue, 1 mg of precleared lysate was immunoprecipitated with an anti-NCX3 239 antibody (1:100 polyclonal anti-NCX3 antibody, Swant) using the same experimental 240 procedure described above. Finally, total lysates or immunoprecipitates were resolved by 241 SDS-PAGE gel and transferred to a nitrocellulose membrane. Immunoblot analysis was 242 performed using anti-SUMO1 and anti-NCX3 antibodies. 243 244 Primary cortical neurons and Immunocytochemistry 245 Mixed cultures of cortical neurons from 2-4-day old Wistar rat pups were prepared by 246 modifying a previously described method (Abramov et al., 2007; Scorziello et al., 2013). In 247 brief, the tissue was minced, trypsinized (0.1% for 15 min at 37°C), triturated, plated on 248 poly-D-lysine-coated coverslips, and cultured in Neurobasal medium (Life Technologies, 249 San Giuliano Milanese, Italy) supplemented with B-27 (Life Technologies, San Giuliano 250 Milanese, Italy) and 2 mM L-glutamine. The cells were plated at a concentration of 251 1.8x106 on 25-mm glass coverslips. Cultures were maintained at 37°C in a humidified 252 atmosphere of 5% CO2 and 95% air, fed twice a week, and maintained for a minimum of 253 10 days before experimental use. 254 For the immunocytochemistry experiments, cortical neurons were rinsed twice in cold 0.01 255 M phosphate buffered saline (PBS) at pH 7.4 and fixed at room temperature in 4% (w/v) 256 paraformaldehyde (Sigma-Aldrich, Milan, Italy) for 20 minutes. Following three washes in 257 PBS, cells were blocked in PBS containing 10% FBS and the following antibodies: anti- 258 NCX3 rabbit (kindly supplied by Dr. Philipson, dilution 1:4000), anti-SUMO monoclonal 259 mouse (dilution 1:1000, Santa Cruz). Neurons were then incubated overnight at 4°C. Next, 260 slides were washed in PBS, incubated with anti-rabbit cy2 antibody (dilution 1:200, 261 Jackson Immunoresearch Laboratories) and anti-mouse cy3 antibody (dilution 1:200, 262 Jackson Immunoresearch Laboratories) for 1 hour at room temperature (25°C) under dark 263 conditions, and washed again with PBS. Finally, they were mounted onto Slow 8 264 fadeTM antifade (Invitrogen-Molecular Probes) and images were observed using a Zeiss 265 LSM510 META/laser scanning confocal microscope. Single images were taken with an 266 optical thickness of 0.7 µm with a size of 1024×1024 pixels. 267 268 Tissue processing, immunostaining and confocal immunofluorescence 269 For the histological examination, animals were transcardially perfused under deep 270 anesthesia with saline solution containing 0.01 ml heparin, followed by 60 ml of 4% 271 paraformaldehyde in saline solution. The brains were removed and post-fixed overnight at 272 +4 °C and cryoprotected in 30% sucrose in 0.1 M phosphate buffer (PB) with sodium azide 273 0.02% for 48 h at 4 °C. The brains were sectioned and frozen on a sliding cryostat at 40 274 μm thickness. The sections were then incubated with PB triton x 0,3% blocking solution 275 (0,5%milk, 10%FBS, 1%BSA) for 2 hours. Rabbit anti-NCX3 antibodies (kindly provided 276 by Dr. Philipson, dilution 1:4000) and mouse anti-SUMO monoclonal antibodies (dilution 277 1:500, Santa Cruz) were used as primary antibodies. The sections were then incubated 278 with the corresponding fluorescent-labelled secondary antibodies (Alexa 488/Alexa 594- 279 conjugated antimouse/antirabbit IgGs). Nuclei were counterstained with Hoechst. Images 280 were observed with a Zeiss LSM510 META/laser scanning confocal microscope. Single 281 images were taken with an optical thickness of 0.7 m with a size of 1024x1024 pixels. In 282 double-labelled sections, the pattern of immunoreactivity for both antigens was identical to 283 that seen in single-stained material. In control groups primary antisera were replaced with 284 normal serum. A possible cross-reactivity between IgGs in double immunolabelling 285 experiments was assessed by processing sections through the same immunocytochemical 286 sequence except that the primary antisera were replaced either with normal serum or with 287 only one primary antibody; the full complement of the secondary antibodies was 288 maintained. In addition, the secondary antibodies used in this study are highly pre- 289 adsorbed to the IgGs of numerous species. Tissue labelling without primary antibodies 290 was also tested to exclude autofluorescence. No specific staining was observed under 291 these control conditions, thus confirming the specificity of the immunosignals. 292 293 294 Statistic Analysis 295 Values are expressed as means ± S.E.M. Statistical analysis was performed with 2-Way 296 ANOVA, followed by Newman-Keuls test. Statistical significance was accepted at the 95% 297 confidence level (p < 0.05). 298 9 299 RESULTS 300 301 SUMO1 conjugation increases in the temporoparietal cortex after ischemia, 302 preconditioning, and preconditioning+ischemia 303 The role played by SUMO1 conjugation during cerebral ischemia and ischemic 304 preconditioning was assessed by evaluating the sumoylation pattern in the ipsilesional 305 temporoparietal cortex and striatum of rats subjected to ischemia, preconditioning, and 306 preconditioning+ischemia and later sacrificed at different reperfusion time intervals: 3, 5, 307 24, and 72 hours. In the ipsilesional temporoparietal cortex, SUMO1 protein conjugation 308 significantly increased at 5 and 24 hours after tMCAO, at 3, 5, 24, and 72 hours after 309 preconditioning, and at 5 hours after preconditioning+tMCAO (Fig. 1A, 1B and 1C). 310 However, in the striatum no changes were observed under all the experimental conditions 311 (Fig.2A, 2B and 2C). The results obtained by Western blot were confirmed by confocal 312 immunofluorescent experiments. In particular, 5 hours after tMCAO, preconditioning, or 313 preconditioning+tMCAO, SUMO1 immunolabelling increased in the temporoparietal cortex 314 (Fig. 3), whereas no variations were assessed in the striatum (Fig. 4). 315 316 317 SUMO1 colocalizes with NCX3 in primary cortical neurons, in temporoparietal 318 cortex, and in striatum of ischemic or preconditioned rats and immunoprecipitates 319 with the antiporter isoform in NCX3 stably transfected BHK cells. 320 To identify new targets of SUMO1 that might contribute to the neuroprotective effect of 321 sumoylation during ischemic conditions, we verified whether NCX3 might be a potential 322 candidate for the sumoylation process. Immunohistochemical analysis performed on rat 323 brain 324 colocalization between NCX3 and SUMO1 signals in the temporoparietal cortex and 325 striatum (Fig. 3 and 4). To further confirm the colocalization between NCX3 and SUMO1, 326 we performed an immunocytochemical analysis in primary rat cortical neurons. We found 327 that these two proteins colocalized in neuronal cell bodies (Fig. 5). Then, by using the 328 SUMO plot analysis program (http://www.abgent.com/sumoplot), we analyzed the 329 probability of NCX3 sumoylation. NCX3 sequence contains nine sequences that might be 330 recognized by the SUMO conjugation enzyme; however one of these regions is localized 331 extracellularly (Fig. 6A) according to the newly proposed NCX3 topology (Ren and 332 Philipson, 2013). To assess the interaction between SUMO1 and NCX3, we performed slices after tMCAO, preconditioning, 10 and preconditioning+tMCAO showed 333 immunoprecipitation experiments on wild-type BHK cells and on BHK cells stably 334 transfected with NCX3FLAG (NCX3F) and we found immunoprecipitation between NCX3 and 335 SUMO1 (Fig. 6B). Furthermore, to better determine a possible sumoylation site, we 336 performed experiments on an NCX3FLAG mutant lacking the f-loop (NCX3Ff), since this 337 region contained most of the lysine residues with the highest probability of SUMO1 338 binding. Wild-type and stably transfected BHK cell lysates were immunoprecipitated with 339 SUMO1 antibody and then immunoblotted with an anti-flag antibody. Results showed the 340 presence of an immunoprecipitate containing NCX3F and SUMO1 in NCX3F-transfected 341 BHK cells. By contrast, no immunoprecipitate was observed in NCX3Ff-transfected BHK 342 cells, thus restricting the putative sumoylation site in the f-loop of the antiporter (Fig. 6B). 343 The substitution of lysine456, a residue with high probability of conjugation, with glutamate 344 (NCX3K456E) did not prevent co-immunoprecipitation between NCX3 and SUMO1 (Fig. 345 6C). To restrict the analysis of the putative sumoylation sites, we removed the Ca2+ 346 binding domain 2 (CBD2), a subregion of the f-loop 528-676 (NCX3F528-676) that 347 contains three of the seven sequences present in the f-loop. This NCX3 deletion mutant 348 showed no immunoprecipitation with SUMO1, thus suggesting that the lysine responsible 349 for sumoylation was present in this region. To determine the single amino acid residue 350 involved in SUMO1 attachment, we performed immunoprecipitation on a site-directed 351 mutant obtained by substituting phenylalanine589 and lysine590 with leucine and 352 glutamate, respectively (NCX3FK589LE). In this case as well, no immunoprecipitation was 353 found, thus demonstrating that lysine590 is required for sumoylation (Fig. 6C). 354 The biochemical interaction between SUMO1 and NCX3 was also confirmed in vivo. 355 Indeed, results from immunoprecipitation experiments performed on rat cortex from 356 ischemic and preconditioned animals showed that NCX3 immunoprecipitated with SUMO1 357 (Fig. 7A). 358 359 360 SUMO1 knockdown downregulates 361 preconditioning+tMCAO and reduces the neuroprotective effect elicited by ischemic 362 preconditioning in rats. 363 The effectiveness of siRNAs against SUMO1 was previously evaluated in non-ischemic 364 rats intracerebroventricularly injected with the silencing agents. Western Blot analysis 365 revealed a 50% reduction of SUMO1 both in cortex and in striatum (Fig. 8A). Two different 11 NCX3 protein levels after 366 siRNAs were tested as indicated in materials and method section, and, since their efficacy 367 was equivalent, all the experiments were performed only with siRNA-A. 368 To correlate the neuroprotection induced by preconditioning+tMCAO with the interaction 369 between NCX3 and SUMO1, we verified whether SUMO1 knockdown was able to 370 modulate NCX3 expression after preconditioning+tMCAO. As shown in Fig. 7, in the 371 temporoparietal cortex of rats subjected to preconditioning+tMCAO and previously treated 372 with siRNA targeting SUMO1, NCX3 protein levels significantly decreased both 24 and 72 373 hours after tMCAO (Fig. 7B) compared to control. By contrast, in the temporoparietal 374 cortex of rats receiving siRNA control and exposed to the same protocol of 375 preconditioning+tMCAO, NCX3 expression significantly increased 72 hours after ischemia 376 (Fig. 7B), confirming our previous results (Pignataro et al., 2012). Finally, to evaluate the 377 effect of SUMO1 silencing on the protection induced by ischemic preconditioning, rats 378 were 379 preconditioning, tMCAO, or preconditioning followed by tMCAO. SUMO1 knockdown 380 induced a significant increase in ischemic volume after tMCAO (Fig. 8B) and, more 381 interestingly, it partially prevented the neuroprotective effect induced by ischemic 382 preconditioning (Fig. 8C) (% infarct volume: 50.9 ±3 in rats treated with siRNA control and 383 subjected to tMCAO vs 63±1.3 in rats treated with siRNA-A SUMO1 and subjected to 384 tMCAO; 385 preconditioning+tMCAO vs 39.1±9 in rats treated with siRNA-A SUMO1 and subjected to 386 preconditioning+tMCAO). intracerebroventricularly 15.3±1.65 in rats injected treated with with 387 12 siRNA-A siRNA targeting control and SUMO1 before subjected to 388 DISCUSSION 389 The results of the present paper demonstrate that SUMO1 is involved in the 390 neuroprotective mechanisms elicited by in vivo ischemic preconditioning, and, more 391 interestingly, propose for the first time NCX3 as a new putative effector of SUMO1 392 neuroprotective action. 393 Several proteins are known to participate in the pathophysiology of brain ischemia and in 394 ischemic preconditioning-induced neuroprotection. Although some of these proteins have 395 been proposed as sumoylation substrates (Rajan et al., 2005), so far, no correlation has 396 yet been found between them and SUMO levels. 397 Recent evidence indicates that the sumoylation enzymes and substrates are present not 398 only in the nuclear compartment but also at the plasma membrane level (Rajan et al., 399 2005). In particular, sumoylation emerged also as a mechanism able to regulate 400 plasmamembrane proteins involved in ionic homeostasis regulation (Silveirinha et al., 401 2013). In the present paper we hypothesized that a new substrate for sumoylation process 402 may be represented by the isoform 3 of the plasmamembrane sodium calcium exchanger. 403 NCX3 has been recognized as a key player in the evolution of the ischemic brain damage 404 (Molinaro et al., 2008) and, more interestingly, as a new additional effector of ischemic 405 preconditioning (Pignataro et al., 2012; Sisalli et al., 2014). Indeed, we found that, SUMO1 406 conjugation pattern significantly increased after ischemia in the ipsilateral temporoparietal 407 cortex, whereas no changes were observed in the striatum. The observation that this 408 increase occurred in a brain area that is far less damaged by ischemic injury than the 409 striatum supports our hypothesis that sumoylation constitutes a cell protective response to 410 stress associated to ischemic injury. More important, evidence showing that SUMO1 411 conjugation pattern also increased in the ipsilateral temporoparietal cortex during ischemic 412 preconditioning, where a reduction of the damage occurred, thus suggesting a role of 413 SUMO1 in ischemic preconditioning-induced neuroprotection . 414 In further support of a possible interaction between NCX3 and SUMO1, confocal analysis 415 revealed that NCX3 and SUMO1 colocalized in the same neurons of the temporoparietal 416 cortex under physiological conditions, after preconditioning, tMCAO and preconditioning 417 followed by tMCAO. More interestingly, SUMO1 and NCX3 signals increased in the same 418 neurons after preconditioning and preconditioning followed by tMCAO. Colocalization 419 results were further reinforced by the co-immunoprecipitation study, showing a direct 420 binding between NCX3 and SUMO1 in BHK cells stably expressing NCX3. 13 421 To investigate the molecular determinants involved in NCX3 sumoylation we identified, by 422 using a bioinformatic approach, nine putative consensus sequences of the NCX3 protein 423 that could be recognized by SUMO conjugating enzymes. Eight sequences were localized 424 in the cytosolic side, seven of which in the f-loop region, which plays a key regulatory 425 function in the antiporter activity. Interestingly, the removal of the whole f-loop prevented 426 the binding between NCX3 and SUMO1, thus indicating that this region contains the 427 molecular determinants responsible for sumoylation. Similarly, when we removed the 428 CBD2 domain, corresponding to the subregion 528-676 of the f-loop, immunoprecipitation 429 between NCX3 and SUMO1 was also hampered. This finding thus indicated that the 430 putative sumoylation site is indeed localized in the CBD2 domain containing the three 431 identified putative binding sites. Moreover, since the FKND sequence, present at the level 432 of 589-592 aa, showed the highest score for sumoylation, we hypothesized that lysine590 433 was the sumoylation site for NCX3. Indeed, the substitution of phenylalanine589 and 434 lysine590 435 unrecognizable for the sumoylation enzymes, prevented NCX3 and SUMO1 co- 436 immunoprecipitation. 437 Results showing that downregulation of NCX3 protein levels occurred in SUMO1-silenced 438 rats exposed to preconditioning+tMCAO suggested that this post-translational modification 439 may increase NCX3 stability, thus preventing NCX3 from the degradation following tMCAO 440 (Pignataro et al., 2004; Pignataro et al., 2012). 441 According to previous studies, suggesting a neuroprotective role for SUMO1, we found 442 that SUMO1 silencing significantly increased the ischemic damage induced in rats by 443 tMCAO. More relevant, our findings demonstrated that SUMO1 silencing partially reverted 444 the neuroprotection mediated by ischemic preconditioning. 445 The involvement of SUMO1 in preconditioning was also supported by previous in vitro 446 observations, showing that preconditioned neurons maintained elevated SUMO-1 447 conjugation levels and SUMO-1-silenced neurons showed a reduced survival rate after 448 oxygen and glucose deprivation and an attenuated protective response to preconditioning 449 (Lee et al., 2009). Similarly, in vivo studies have shown that transgenic mice 450 overexpressing SUMO conjugating enzyme, Ubc9, are more resistant than wild type mice 451 to brain ischemia (Lee et al., 2011). Moreover, it has been demonstrated that a massive 452 conjugation of SUMO1 is highly activated in the torpor phase of hibernating ground 453 squirrels (Lee et al., 2009), which are naturally tolerant to oligemic conditions. Indeed, with leucine and glutamate, 14 respectively, rendering this sequence 454 hibernation torpor has been shown to provide neuroprotection against a superimposed 455 lethal ischemic insult (Frerichs and Hallenbeck, 1998). 456 NCX3 downregulation during ischemic preconditioning in rats silenced for SUMO1 along 457 with the observation that SUMO1 silencing significantly increased the ischemic damage 458 and partially reverted the neuroprotection exerted by ischemic preconditioning support the 459 hypothesis that sumoylation of NCX3 may play a key role in the neuroprotection during 460 ischemic preconditioning. In fact, sumoylation of NCX3 might be considered a protective 461 mechanism to preserve NCX3 from degradation during ischemic conditions. 462 Collectively, our results show that SUMO1 plays a fundamental role in the neuroprotection 463 elicited by ischemic preconditioning and that its protective role might be, at least in part, 464 mediated by NCX3 conjugation. 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Representative blots are on the left. 574 Figure 575 preconditioning, and tMCAO+preconditioning in striatum 576 Western Blot analysis of SUMO1 conjugation pattern after tMCAO, preconditioning, and 577 tMCAO+preconditioning stimulus in striatum (B) are represented. Data were normalized on 578 the basis of actin levels and expressed as percentage of sham-operated controls, taken as 579 100%. Values represent meansSEM (n=6). *p<0.05, compared to control animals. 580 Representative blots are on the left. 581 Figure 3: SUMO1 and NCX3 expression following tMCAO, preconditioning, and 582 tMCAO+preconditioning in ipsilateral temporoparietal cortex by confocal analysis 583 Confocal microscopic images displaying SUMO1 (A-M) (green), NCX3 (B-N) (red), 584 HOECHST (C-O) (blue), and Merge (D-P) (yellow) in the temporoparietal cortex region of 585 rats exposed to tMCAO, preconditioning, or preconditioning+tMCAO after 5 hours of 586 reperfusion. 587 A representative brain slice cartoon indicating the area of interest at the top of the Figure. 588 Scale bars in A-P: 50 m 589 Figure 4: SUMO1 and NCX3 expression following tMCAO, preconditioning, and 590 tMCAO+preconditioning in striatum by confocal analysis 591 Confocal microscopic images displaying SUMO1 (A-M) (green), NCX3 (B-N) (red), 592 HOECHST (C-O) (blue), and Merge (D-P) (yellow) in striatum of rats exposed to tMCAO, 593 preconditioning, or preconditioning+tMCAO after 5 hours of reperfusion. A representative 594 brain slice cartoon indicating the area of interest is at the top of the Figure. Scale bars in 595 A-P: 50 m 2: Time-course Time-course of of SUMO1 SUMO1 conjugation conjugation 596 18 pattern pattern following following tMCAO, tMCAO, 597 598 Figure 6: SUMO1-NCX3 colocalization in cortical neurons 599 Confocal microscopic images displaying SUMO1 (green), NCX3 (red), HOECHST (blue), 600 and merge (yellow) in primary cortical neurons. Scale bars: 10 m 601 Figure 7: SUMO1 and NCX3 interaction in BKH cells transfected with NCX3 mutants 602 (A) Schematic representation of NCX3 mutants used for the immunoprecipitation assay. 603 (B) Immunoprecipitation experiments on WT BHK cells and in BHK cells transiently 604 transfected with NCX3 flag (NCX3F), or NCX3F lacking f-loop (NCX3 f). Cell lysates were 605 immunoprecipitated with SUMO1 and immunoblotted for anti-flag antibody. Both total 606 extracts and immunoprecipates were divided into two parts and each part was run in 8 or 607 12% gel. (C) Immunoprecipitation experiments on WT BHK cells and in BHK cells 608 transiently transfected with NCX3F , NCX3F NCX3F K456E, or NCX3F FK489LE. 609 Cell lysates were immunoprecipitated with SUMO1 and immunoblotted for anti-flag 610 antibody. 611 Figure 7: SUMO1 and NCX3 interaction in brain tissue and effect of SUMO1 silencing 612 on NCX3 expression after preconditioning+ischemia 613 (A) 614 Brain tissue from control and ischemic rats was immunoprecipitated for NCX3 and then 615 blotted for SUMO1. The same filter was then incubated with NCX3 antibody, to confirm the 616 results. (B) Western Blot analysis of NCX3 after preconditioning+tMCAO in cortex of rats 617 previously treated with siRNA-A targeting SUMO1 and in rats treated with siRNA control 618 and exposed to preconditioning+tMCAo. The data were normalized on the basis of actin 619 levels and expressed as percentage of sham-operated controls, taken as 100%. Values 620 represent meansSEM (n=6). *p< 0.05, compared to control animals. 621 Figure 8: Effect of siRNA targeting SUMO1 on ischemic damage induced in male 622 rats by tMCAO and by preconditioning+tMCAO 623 (A) Representative blots and densitometric analysis of SUMO1 protein levels after icv 624 infusion of siRNA control, siRNA-A, or siRNA-B in rat cortex and striatum. Data were 625 normalized on the basis of -actin levels and represented as % of SUMO1 expression in 626 control animals. Values represent meansSEM (n=3). *p<0.05 versus SUMO1 levels in 627 controls. (B) Effect of siRNA control or siRNA-A on infarct volume induced by tMCAO. 628 Each column represents the meanSEM of the percentage of the infarct volume. siRNA-A 629 (10l, 10M) or siCTL were icv administered twice a day starting from 72 hours before or Immunoprecipitation experiments for the analysis of NCX3-SUMO1 interaction. 19 630 tMCAO induction. n=5-8 animals in each group. *p<0.05 versus siRNA control treated 631 group. (C) Effect of siRNA control or siRNA-A on neuroprotection mediated by 632 preconditioning+tMCAO. Each column represents the meanSEM of the percentage of the 633 infarct volume. siRNA-A (10l, 20M) or siCTL were icv administered twice a day starting 634 from 72 hours before preconditioning induction. n=5-8 animals in each group. *p<0.05 635 versus siRNA control treated group. 636 20