N0X1- MEDIATED OXIDATIVE STRESS LEADS TO DOPAMINE NEURON DEATH IN PARKINSON’S DISEASE By: Ishvinder Hadday Rationale ■ The over-production of ROS through mitochondrial dysfunction has been implicated in the development Parkinson’s Disease (PD) ■ Increased ROS is linked to DNA damage in dopaminergic (DA) neurons in the Substantia Nigra (SA) ■ NADPH oxidases (NOX) play a significant part in the generation of ROS in cells Rationale Cont’d ■ Specific NOX isoforms localize to specific organelles causing ROS accumulation in these organelles. ■ Nox1 is the inducible enzyme in the family and Rac1 is an essential subunit for the activation of Nox1. ■ Expression is increased in dopaminergic neurons (DA) in the Substantia Nigra (SN) of mice in response to oxidative stimuli and environmental toxins like paraquat. ■ Exposure of SNDA of mice to toxins such as paraquat, induce Nox1 activation and the over-production of ROS Hypothesis ■ The ROS produced by the Nox1/Rac1 complex play a pivotal role in the degeneration of nigrostriatal dopaminergic neurons in an animal model of PD. ■ Literature supports various aspects of this hypothesis. This study was done to bring it all together to form clear conclusion. ■ ROS in the nucleus of SNDA is directly responsible for nuclear DNA damage which leads to neurodegeneration Step by Step ■ Examine NOX1 induction and activation of the NADPH oxidase system in dopaminergic cells ■ Determine the specifics of 6-OHDA mediated NOX derived ROS production ■ Expression of NOX1 and Rac1 under different conditions and translocation to the nucleus ■ DNA oxidative damage in SNDA cells caused by nuclear NOX1/Rac1 complex ■ Inhibition of Rac1 or Nox1 reduced SNDA cell death induced by 6-OHDA NOX1 induction and activation of the NADPH oxidase system in dopaminergic cells ■ Before induction/activation, tested for the presence of NOX components. ■ Used RT-PCR to detect the mRNAs encoding each NOX isoform and their regulatory subunits ■ Most NOX isoforms and regulatory subunits were detected. Figure 1A: Dopaminergic cells contain NADPH oxidase components and 6OHDA leads to Nox1induction and Rac1 activation. ■ NOX1 was significantly induced after 6h treatment with 100 uM 6-OHDA. ■ 6-OHDA induces ROS generation and eventual cell death in a dose dependent manner shown in 1B. ■ The activation of GTPase Rac1 has been shown to be necessary for NOX1 activation Figure 1B and C: Dopaminergic cells contain NADPH oxidase components and 6-OHDA leads to Nox1induction and Rac1 activation. ■ Mitochondrial ROS was shown to play a role in inducing NOX1 and generating NOX1 derived ROS (super oxide) ■ Effect of Mitochondrial ROS on NOX1 induction tested using respiratory complex inhibitors. SUPPLEMENTARY FIG. S2. Nox1 induction caused by mitochondrial respiratory complex inhibitors. N27 cells were treated with various mitochondrial inhibitors including rotenone (5 lM), pyridaben (5 lM), antimycin A (5 lM), or FCCP (20 lM) overnight. Nox1 mRNA were determined by RT-PCR (A) and protein levels were measured using Western blot (B). (C) Mitochondrial superoxide levels, N27 cells were treated with two doses (lM) of each inhibitor. Mitochondrial superoxide was measured using MitoSOX. CTRL, control; PYR, pyridaben; ANTI, antimycin A; ROT, rotenone. *p < 0.05, **p < 0.01, + p < 0.001 vs. control. The NADPH oxidase system plays a pivotal role in 6-OHDA mediated ROS generation ■ Test whether the 6-ohda induced nox1 expression is responsible for superoxide generation ■ Chemical inhibitors diphenyleneiodonium (DPI) and apocynin were used at various concentrations ■ Superoxide was measured using the nitro blue tetrazolium (NBT) assay at 6 h post 6-OHDA. ■ DPI significantly reduced 6OHDA-mediated ROS generation at concentration as low as 0.1 lM ■ DPI has overall stronger effect, possibly due to non specific nature ■ Aponycin blocks the formation of the NOX1/Rac1 complex reducing ROS production Figure 2: NADPH oxidase is responsible for 6-OHDA-mediated ROS generation in dopaminergic cells. ■ NOX1 expression was selectively inhibited using RNA interference to create a knockdown model ■ Specifically small interfering RNA (siRNA) used to degrade NOX1 mRNA after transcription so no proteins are produced ■ Knockdown efficiency of siRNA was shown to be 37%, parallel to decrease in 6-OHDA induced ROS production Expression of Nox1 in nigrostriatal DA neurons of PD animal model ■ Significant increase of Nox1 expression was observed in the (SN) after 3 days of 6OHDA striatal injection (Fig. 3A). ■ Visualized using immunostaining indicated coexpression of tyrosine hydroxylase (TH) with NOX1 ■ Coexpression proved specific DA neuron NOX1 expression FIG. 3. Striatal administration of 6-OHDA robustly increased Nox1 expression in dopaminergic neurons in the SN. ■ 3 days post 6-OHDA injection, basal Nox1 expression was significantly increased in the nucleus and in the cytoplasm of DA neurons ■ N27 immortal SNDA cell line treated with 6-OHDA for 24h showed activated Rac1 along with NOX1 in nuclear extracts ■ Suggests an active NOX1/Rac1 complex forms inside the nucleus after translocation ■ NOX1 present in the nucleus of post mortem PD patients further supporting hypothesis ■ These results demonstrated for the first time that active NOX1/Rac1 complexes are formed in the nucleus of oxidatively stressed SNDA neurons Nuclear Nox1/Rac1 caused DNA oxidative damage in DA cells ■ Tested whether selective inhibition of the complex led to reduced ROS production in the nucleus ■ Adenoassociated virus serotype 2 (AAV2) expression combined with either Nox1shRNA or T17N dominant negative Rac1 variant were used to knockdown Nox1 or inhibit Rac1, respectively. ■ Both methods caused reduced ROS production in N27 cells ■ Effectively proved the NOX1/Rac1 complex produces ROS in the nucleus ■ 6-OHDA treatment increased DNA oxidative damage (super oxide) indicated by increased 8-oxo-dG immunoreactivity in the nucleus of both N27 cells and SNDA rat neurons ■ 6-OHDA induced 8-oxo-dG immunoreactivity significantly reduced by preincubation of N27 cells with either Nox1 shRNA or T17NRac1/ AAV2 viral particles. ■ In vivo targeting of Rac1 or Nox1 was achieved by stereotaxic delivery of AAV2 particles harboring either T17NRac1 or Nox1shRNA into the rat SN*** ■ NOX1 expression and concurrent increased nuclear 8-oxo-dG immunostaining further shows oxidative DNA damage is caused by the NOX1/Rac1 complex *** Really cool Inhibition of Rac1 or Nox1 reduced DA cell death induced by 6-OHDA ■ Need to determine the mechanism of how NOX1/Rac1 complex generated oxidative stress ROS leads to SNDA neuronal death. ■ C-Jun N-terminal kinase (JNK)-mediated signaling has been implicated as a final common pathway of DA neuronal apoptosis ■ N27 cells expressing shNOX1 lack JNK immunostaining suggesting that the knockdown prevented 6-OHDA induced apoptosis ■ (in vivo) 4 week pre-injection of NOX1 or Rac1 inhibitor in the SN area reduced SNDA neuron loss after 6-OHDA treatment The Results ■ SNDA neurons possessed the NOX1 and Rac1 subunits of the NADPH oxidase system ■ 6-OHDA induces NOX1 and Rac1 activity ■ Mitochondrial ROS plays a role NOX1 induction ■ Induced NOX1 expression is responsible for increases ROS (super oxide) generation ■ Active NOX1/Rac1 complexes are formed in the nucleus of oxidatively stressed SNDA neurons ■ NOX1/Rac1 complexes are the source of oxidative stress in the nucleus of SNDA neurons ■ NOX1/Rac1 ROS generation may lead to cell death through the JNK pathway ■ ***lead to the advancement that oxidative damage to nuclear DNA occurs through the accumulation of Nox1/Rac1 complex and ROS in the nucleus. Potential Treatments ■ AAV2 mediated gene therapy effective in long term expression and modification of targets – persist in an extrachromosomal state without integrating into the genome of the host cell ■ AAV2 mediated gene transfer effective in long term expression and modification of targets ■ Drugs such DPI or apocynin function in ways that may affect various pathways instead of just the NOX1/Rac1 complex. The End