Phospholipase A2inhibitors protect against prion and Aβ mediated synapse degeneration
© Bate et al; licensee BioMed Central Ltd. 2010
Received: 27 January 2010
Accepted: 8 April 2010
Published: 8 April 2010
An early event in the neuropathology of prion and Alzheimer's diseases is the loss of synapses and a corresponding reduction in the level of synaptophysin, a pre-synaptic membrane protein essential for neurotransmission. The molecular mechanisms involved in synapse degeneration in these diseases are poorly understood. In this study the process of synapse degeneration was investigated by measuring the synaptophysin content of cultured neurones incubated with the prion derived peptide (PrP82-146) or with Aβ1-42, a peptide thought to trigger pathogenesis in Alzheimer's disease. A pharmacological approach was used to screen cell signalling pathways involved in synapse degeneration.
Pre-treatment with phospholipase A2 inhibitors (AACOCF3, MAFP and aristolochic acids) protected against synapse degeneration in cultured cortical and hippocampal neurones incubated with PrP82-146 or Aβ1-42. Synapse degeneration was also observed following the addition of a specific phospholipase A2 activating peptide (PLAP) and the addition of PrP82-146 or Aβ1-42 activated cytoplasmic phospholipase A2 within synapses. Activation of phospholipase A2 is the first step in the generation of platelet-activating factor (PAF) and PAF receptor antagonists (ginkgolide B, Hexa-PAF and CV6029) protected against synapse degeneration induced by PrP82-146, Aβ1-42 and PLAP. PAF facilitated the production of prostaglandin E2, which also caused synapse degeneration and pre-treatment with the prostanoid E receptor antagonist AH13205 protected against PrP82-146, Aβ1-42 and PAF induced synapse degeneration.
Our results are consistent with the hypothesis that PrP82-146 and Aβ1-42trigger abnormal activation of cytoplasmic phospholipase A2 resident within synapses, resulting in elevated levels of PAF and prostaglandin E2that cause synapse degeneration. Inhibitors of this pathway that can cross the blood brain barrier may protect against the synapse degeneration seen during Alzheimer's or prion diseases.
In the transmissible spongiform encephalopathies, otherwise known as the prion diseases, changes in synaptic function and a reduction in synaptophysin levels within the brain occur at a time before any gross neuronal loss is observed [1–3]. These synaptic alterations are associated with the accumulation of a differentially folded, and protease-resistant isoform (PrPSc), of the host encoded cellular prion protein (PrPC) . The formation of PrPSc is accompanied by a decreased expression of proteins involved in exocytosis and neurotransmission, such as synaptophysin, SNAP-25 and synapsins in the brains of scrapie-infected mice [2, 5] and in humans affected with Creutzfeldt-Jakob disease (CJD) .
The molecular mechanisms that underlie synapse degeneration in prion diseases are not understood. Such processes have been examined by incubating cultured neurones with PrPSc or specific prion-derived peptides. A major PrP fragment spanning amino acid residues 81-82 to 144-153 was isolated from the brains of patients with the hereditary prion disease Gerstmann-Sträussler-Scheinker disease . Synthetic peptides containing amino acid residues 82 to 146 (PrP82-146) had similar structural and biochemical properties to PrPSc suggesting that this fragment was the neurotoxic species generated in prion diseases. This hypothesis was strengthened by observations that both partially purified PrPSc preparations and PrP82-146 caused synapse degeneration in cortical and hippocampal neurones . The effect of PrP82-146 on synapses in neuronal cultures was measured using an enzyme linked immunoassay (ELISA) to quantify the amount of synaptophysin . Synaptophysin is a pre-synaptic membrane protein essential for neurotransmitter release and the recycling of synaptic vesicles and hence neurotransmission [10–13]. The amount of synaptophysin has been used to access synaptic density in the brain [14, 15] and in cultured neurones . Although immunocytochemistry is commonly used to examine synapse density this method is susceptible to errors in counting and field selection. The use of an ELISA overcame such problems by measuring synaptic density throughout neuronal cultures.
Synaptic failure is also thought to contribute to the neuropathogenesis of Alzheimer's disease (AD)  and the loss of synaptic proteins is the best correlate of dementia in AD [14, 17–20]. The amyloid hypothesis of AD pathogenesis maintains that the primary event is the production of neurotoxic amyloid-β (Aβ) peptides following the proetolytic cleavage of the amyloid precursor protein into different fragments [21, 22]. These fragments include Aβ1-42 which is widely regarded as the main pathogenic species in AD. Recent studies showed the importance of small soluble oligomers of Aβ or Aβ derived diffusible ligands in neurotoxicity [23, 24]. In this study we sought to determine whether PrP82-146 and Aβ induced synapse degeneration was mediated through specific cell signalling pathways. We report that PrP82-146 and Aβ1-42 induced synapse degeneration was prevented by pharmacological inhibition of PLA2 and that both PrP82-146 and Aβ1-42 peptides increased activation of cytoplasmic phospholipase A2 (cPLA2) within synapses suggesting that activation of this enzyme triggers synapse degeneration. This hypothesis was supported by the observation that the synapse degeneration was also observed following the addition of a specific PLA2 activating peptide (PLAP). Activation of PLA2 is the first step in the production of bioactive prostaglandins and platelet-activating factor (PAF), specific antagonists of which also reduced PrP82-146 and Aβ1-42 induced synapse degeneration.
PLA2inhibitors protected against PrP82-146 induced synapse degeneration
To determine if the degeneration of synapses resulted from activation of specific cell signalling pathways cortical neurones were pre-treated with inhibitors of some common cell signalling pathways and incubated with PrP82-146. Pre-treatment with the PLA2 inhibitors (1 μM AACOCF3, 1 μM MAFP or 5 μg/ml aristolochic acids) protected against the PrP82-146 mediated decrease in synaptophysin (Figure 1A). The concentration of PrP82-146 required to reduce the synaptophysin content of vehicle treated cortical neurones by 50% (EC50) was approximately 60 nM. By comparison, the EC50 of PrP82-146 for cortical neurones treated with 1 μM AACOCF3 or 1 μM MAFP was greater than 10 μM, and in neurones pre-treated with 5 μg/ml aristolochic acids the EC50 was 5 μM. In contrast, pre-treatment with phospholipase C inhibitors (10 μM U73122 or ethyl-18-OCH3) did not affect the PrP82-146 induced loss of synaptophysin from cortical neurones. The synaptophysin content of neurones was not significantly affected by treatment with 5 μM AACOCF3 (100 units synaptophysin ± 4 compared to 101 ± 4, n = 12, P = 0.5), 5 μM MAFP (100 ± 4 v 102 ± 6, n = 12, P = 0.4) or 5 μg/ml aristolochic acids (100 ± 4 compared to 98 ± 4, n = 12, P = 0.2) alone showing that these drugs did not stimulate synaptogenesis, nor did they damage synapses.
PLA2inhibitors protected hippocampal neurones against PrP82-146 induced synapse degeneration
PLA2 inhibitors protected against synapse degeneration induced by Aβ1-42
PLA2inhibitors did not affect the accumulation of PrP82-146 in synapses
PLA2inhibitors protected against synapse degeneration induced by PLAP
cPLA2is enriched in synaptosomes
PrP82-146 and Aβ1-42activated cPLA2within synapses.
Total cPLA2 protein
100 ± 31
100 ± 19
200 nM PrP82-146
106 ± 18
773 ± 51 *
200 nM PrP82-146scrambled
95 ± 22
111 ± 34
1 μM PLAP
119 ± 30
928 ± 84 *
100 nM Aβ 1-42
109 ± 21
655 ± 62 *
100 nM Aβ 42-1
92 ± 27
121 ± 34
PAF antagonists protected against PrP82-146 induced synapse degeneration
PAF receptor antagonists reduced synapse degeneration induced by Aβ1-42or PLAP.
100 ± 6
98 ± 7
102 ± 5
96 ± 8
100 nM Aβ 1-42
32 ± 6
94 ± 6
98 ± 9
89 ± 8
1 μM PLAP
27 ± 7
95 ± 8
94 ± 8
82 ± 7
Prostaglandin E2induced synapse degeneration
A prostanoid E receptor antagonist protected against synapse degeneration
Prostanoid E receptor antagonist AH13205
Prostanoid D receptor antagonist BWA868C
100 ± 6
99 ± 7
99 ± 3
200 nM PrP82-146
22 ± 5
87 ± 8
30 ± 7
100 nM Aβ 1-42
32 ± 6
93 ± 5
34 ± 6
1 μM PLAP
27 ± 7
91 ± 7
38 ± 6
10 nM PAF
31 ± 4
85 ± 9
32 ± 5
10 nM Prostaglandin E 2
30 ± 5
97 ± 3
33 ± 6
The addition of PrP82-146 reduced the synaptophysin content of cortical neurones indicative of a loss of synapses. This occurred at concentrations of peptide that did not affect neuronal survival , results consistent with in vivo observations that the loss of synapses in prion diseases occurs before any significant neuronal death is seen [1, 2]. PrP82-146 also damaged synapses in hippocampal neuronal cultures. The hippocampus is involved in memory formation and the loss of synapses in this area is consistent with the cognitive deficits that occur during the early stages of scrapie infections [3, 34].
A pharmacological approach was used to examine the molecular mechanisms involved in prion induced synapse degeneration. Critically, pre-treatment with selective PLA2 inhibitors reduced PrP82-146 induced synapse degeneration, whereas pre-treatment with inhibitors of some other common cell signalling pathways including phospholipase C had no affect. PrPSc is detected within synapses in CJD patients and experimental scrapie infections [2, 35, 36] and PrP82-146 was found within synaptosomes isolated from cultured neurones . We found that pre-treatment with PLA2 inhibitors did not alter the amount of PrP82-146 found within synaptosomes, indicating the protective effect of these drugs was not due to the reduced binding of PrP82-146 to synaptic receptors, or a reduction in the trafficking of PrP82-146 to synapses.
Next, the possibility that PrP82-146 might activate cPLA2 resident within synapses was examined. Previous studies reported that PLA2 was found at synapse and regulated synaptic vesicle recycling [37, 38] and we observed that cPLA2 was highly enriched in synaptosomes. These observations imply that cPLA2 is part of the normal function of synapses and complete inhibition of cPLA2 may not be desirable as it may interfere with neurotransmission. However, the addition of PrP82-146 increased the amount of activated cPLA2 within synaptosomes nearly 8 fold suggesting that PrP82-146 induced activation of cPLA2 resident within synapses was responsible for synapse degeneration. This hypothesis was supported by our observations that there was a significant inverse correlation between the amount of activated cPLA2 and synaptic density and that synapse degeneration was also observed after the addition of PLAP. In addition, the effect of both PLAP and PrP82-146 on synapses was greatly reduced by pre-treatment with the cPLA2 inhibitors AACOCF3 and MAFP. Collectively, these results strongly suggesting that activation of an endogenous cPLA2 is a pivotal event in PrP82-146 mediated synapse degeneration.
The activation of PLA2 leads to the formation of a number of bioactive factors including prostaglandins, leucotrienes, docosanoids and PAF [31, 39]. PAF receptors are present at synaptic endings  and PAF facilitates neurotransmission . However, higher concentrations of PAF are implicated in the neurotoxicity of glutamate, human immunodeficiency virus infection, prion diseases and AD [39, 42]. Reports that synaptic activity becomes excitotoxic in neurones exposed to elevated levels of PAF  may explain the role of PAF in these diseases. Here we showed that synapse degeneration induced by PrP82-146 was reduced by pre-treatment with PAF receptor antagonists, ginkgolide B, Hexa-PAF and CV6209. These PAF receptor antagonists also reduced synapse degeneration induced by PLAP suggesting that the effect of PrP82-146 and PLAP were a secondary effect mediated by activation of an endogenous cPLA2 and the production of PAF.
PAF affects the production of prostaglandin E2  which is found in close association with PrPSc deposition and neuronal degeneration in scrapie . In addition, the levels of prostaglandin E2are raised in the cerebrospinal fluid of patients with CJD . While prostaglandin E2 may modify hippocampal synaptic transmission via a pre-synaptic prostanoid E receptors , higher concentrations cause synapse degeneration . As shown in Figure 9 the addition of prostaglandin E2, but not other prostaglandins, caused synapse degeneration. The effects of prostaglandin E2 are mediated by specific membrane bound prostanoid E receptors  and synapse degeneration induced by PrP82-146 was reduced by pre-treatment with the prostanoid E receptor antagonist AH13205 suggesting that its effect was mediated through the prostanoid E receptor.
The results presented here may also be pertinent for other diseases in which synapse degeneration is common. For example, the neurotoxicity of Aβ1-42, widely believed to be the main toxin responsible for neurodegeneration in AD [23, 48–50], was reduced following knockdown on cPLA2 [51, 52]. In this study we showed that Aβ1-42 strongly activated cPLA2 within synapses and that pre-treatment with PLA2 inhibitors protected against the synapse degeneration induced by Aβ1-42and naturally secreted Aβ oligomers (7PA2-CM). This observation is consistent with reports that inhibition of cPLA2 protected against cognitive impairment in a mouse model of AD . A recent study indicated that PrPC acts as a receptor for Aβ1-42 oligomers . PrPC also acts as a receptor for PrP peptides  suggesting that both PrP and Aβ1-42 activate PLA2 through their interaction with PrPC. We note that oligomers, rather than monomers, of PrP or Aβ1-42 are neurotoxic [56–58]. Since oligomers of PrP and Aβ1-42, but not monomers, have the capacity to cross-link PrPC, our results support the hypothesis that it is the cross-linkage of PrPC by PrP or Aβ1-42 oligomers that activated cPLA2 leading to the production of PAF and prostaglandins. We propose that it is the persistent activation of cPLA2 by PrP82-146 or Aβ1-42 that results in high concentrations of PAF and prostaglandin E2 that cause synapse degeneration [27, 43].
Drugs that protect the synapse provide a rational strategy to treat many neurodegenerative diseases. In this study we showed that PLA2 inhibitors, PAF receptor antagonists and a prostanoid E receptor antagonist all protected against the synapse degeneration induced by PrP82-146 or Aβ1-42 in vitro. These peptides did not have a direct effect on synapses; rather synapse degeneration was caused after PrP82-146 or Aβ1-42 induced activation of an endogenous cPLA2 and the production of PAF and prostaglandin E2. Such results suggest that specific cPLA2 inhibitors or PAF receptor antagonists that are able to cross the blood-brain barrier should be considered for further testing in animal models of prion and Alzheimer's diseases.
Primary neuronal cultures
Primary cortical neurones were prepared from the brains of mouse embryos (day 15.5). Neuronal precursors were plated at 2 × 105 cells/well in 48 well plates in Ham's F12 containing 5% foetal calf serum (FCS) for 2 hours. Cultures were shaken (600 r.p.m for 5 minutes) and non-adherent cells removed by 3 washes in phosphate buffered saline (PBS). Neurones were grown in neurobasal medium (NBM) containing B27 components (PAA) for 7 days. Immunohistochemistry showed that the cells were greater than 97% neurofilament positive. Less than 3% stained for GFAP (astrocytes) or for F4/80 (microglial cells). Hippocampal neurones were prepared from the brains of adult mice as described . Briefly, hippocampi were dissected and triturated in Ham's F12 containing 5% FCS, 0.35% glucose, 0.025% trypsin, and 0.1% type IV collagenase. After 30 minutes at 37°C, the cells were triturated again and the cell suspension was passed through a 100 μM cell strainer. Cells were collected by centrifugation, washed twice in Ham's F12 containing 5% FCS and plated at 2 × 105 cells/well in 48 well plates for 24 hours. Cultures were shaken (600 r.p.m for 5 minutes) to remove non-adherent cells, washed twice with PBS and neurones were cultured in NBM containing B27 components and 10 ng/ml glial-derived neurotrophic factor (Sigma) for 10 days. Neurones were incubated with test compounds for 3 hours before the addition of peptides and the amount of synaptophysin in treated neurones was measured 24 hours later. The survival of neurones was determined 5 days later using 25 μM thiazlyl blue tetrazolium for 3 hours; neuronal survival was reported as a percentage of controls (vehicle treated neurones).
Neurones were homogenised in a buffer containing 150 mM NaCl, 10 mM Tris-HCl, 10 mM EDTA, 0.5% Nonidet P-40, 0.5% sodium deoxycholate and mixed protease inhibitors (AEBSF, Aprotinin, Leupeptin, Bestain, Pepstatin A and E-46 (Sigma)) and a phosphatase inhibitor cocktail including PP1, PP2A, microcystin LR, cantharidin and p-bromotetramisole (Sigma) at 106 cells/ml. Nuclei and cell debris was removed by low speed centrifugation (300 × g for 5 minutes). For immunoblots, cells were mixed 1:1 with Laemmli buffer containing β-mercaptoethanol, boiled for 5 minutes and run on a 12% polyacrylamide gel. Proteins were transferred onto a Hybond-P PVDF membrane (Amersham Biotech) by semi-dry blotting. Membranes were blocked using 10% milk powder; synaptophysin was detected using a mouse monoclonal antibody (mAb) anti-synaptophysin SY38 (Abcam) and β-actin was detected by incubation with a mouse mAb (clone AC-74, Sigma). These were visualised using a combination of biotinylated rabbit anti-mouse IgG (Dako), extravidin-peroxidase and an enhanced chemiluminescence kit (Invitrogen).
Synaptophysin levels in cell extracts were measured by ELISA as described [9, 27]. A mouse monoclonal anti-synaptophysin MAB368 (Millipore) was used as a capture antibody and bound synaptophysin was detected using rabbit polyclonal anti-synaptophysin (Abcam) followed by a biotinylated anti-rabbit IgG, extravidin-alkaline phosphatase and 1 mg/ml 4-nitrophenol phosphate (Sigma). Absorbance was measured on a microplate reader at 405 nm and synaptophysin content was calculated from a standard curve. Samples were expressed as "units synaptophysin" where 100 units was defined as the amount of synaptophysin in 106 vehicle treated neurones. A standard curve was generated from this sample using sequential log 2 dilutions (range 100 to 1.56 units).
Cortical neurones were pre-treated with drugs for 3 hours prior to the addition of 100 nM PrP82-146. After different time points (10, 30, 60 or 90 minutes) neurones were washed 3 times to remove unbound peptide and synaptosomes prepared on a discontinuous Percoll gradient as described . Briefly, 106 cortical neurones were homogenized at 4°C in 1 ml of SED solution (0.32 M sucrose, 50 mM Tris-HCl, 1 mM EDTA, and 1 mM dithiothreitol, pH 7.4 and mixed protease/phosphates inhibitors (as above)). The preparation was centrifuged at 1000 × g for 10 minutes. The supernatant was transferred to a 4-step gradient of 3, 7, 15, and 23% Percoll in SED solution and centrifuged at 16,000 × g for 30 minutes at 4°C. The synaptosome fraction was collected from the interface of the 15% and 23% Percoll steps, washed twice (16,000 × g for 30 minutes at 4°C) and suspended in extraction buffer (150 mM NaCl, 10 mM Tris-HCl, 10 mM EDTA, 0.2% SDS and mixed protease/phosphatase inhibitors).
The amount of PrP82-146 in synaptosomes was determined by ELISA. Nunc Maxisorb Immunoplates were coated with 0.5 μg/ml of mouse mAb 3F4 (reactive with residues 109-112 of human PrP (Abcam)) this mAb does not bind to murine PrP . Samples were applied and PrP82-146 was detected with 0.5 μg/ml biotinylated ICSM35 (D-gen, http://www.d-gen.co.uk), followed by streptavidin-alkaline phosphatase (Dako) and 1 mg/ml 4-nitrophenyl phosphate (Sigma). Absorbance was measured on a microplate reader at 405 nm and the amount of PrP82-146 in cell extracts was calculated by reference to a standard curve of PrP82-146.
The amount of cPLA2 in synaptosomes was measured by ELISA . Nunc Maxisorb Immunoplates were coated with 0.5 μg/ml of mouse mAb anti-cPLA2, clone CH-7 (Upstate) and blocked with 10% FCS. Samples were incubated for 1 hour and the amount of cPLA2 was detected using a goat polyclonal anti-cPLA2 (Santa-Cruz Biotech). Bound antibodies were detected with biotinylated anti-goat IgG, extravidin-alkaline phosphatase and 1 mg/ml 4-nitrophenyl phosphate. Absorbance was measured at 405 nm and the amount of cPLA2 was calculated from a standard curve using nonlinear regression. The amount of cPLA2 protein was expressed in units (100 units = amount of cPLA2 in synaptosomes isolated from 106 untreated primary cortical neurones). The activation of cPLA2 is accompanied by phosphorylation of the 505 serine residue which creates a unique epitope. To measure the amount of activated cPLA2, an ELISA using a mAb (anti-cPLA2, clone CH-7) combined with rabbit polyclonal anti-phospho-cPLA2 (Cell Signalling Technology) was used. Bound antibodies were detected with biotinylated anti-rabbit IgG (Dako), extravidin-alkaline phosphatase and 1 mg/ml 4-nitrophenyl phosphate. Samples were expressed as "units activated cPLA2" where 100 units were defined as the amount of activated cPLA2 in synaptosomes derived from 106 untreated primary cortical neurones.
U73122 and Ethyl-18-OCH3 were obtained from Biomol. Arachidonyl trifluoromethyl ketone (AACOCF3), aristolochic acids, ginkgolide B, 1-O-Hexadecyl-2-acetyl-sn-glycerol-3-phospho-(N,N,N-trimethyl)-hexanolamine (Hexa-PAF), methyl arachidonyl fluorophosphonate (MAFP), prostaglandin G2, AH13205 and BWA868C were obtained from Sigma. Prostaglandins 15d-J2, E2, D2, F2α, H2 and I2 were obtained from Novabiochem. Stock solutions were dissolved in ethanol or di-methyl sulphoxide (DMSO) and diluted in medium to obtain final working concentrations. Vehicle controls consisted of equivalent dilutions of ethanol or DMSO in NBM.
Peptides containing amino acids 82 to 146 of the human PrP protein (PrP82-146) corresponding to a PrP fragment found in certain prion-infected human brains , a control peptide (PrP82-146scrambled) were synthesised by solid-phase chemistry and purified by reverse-phase high performance liquid chromatography. A synthetic peptide containing the amino acid residues 1 to 42 of Aβ (Aβ1-42) of the Aβ protein and a control peptide consisting of the same amino acids in reverse order (Aβ42-1) were obtained from Bachem. Aβ peptides were first dissolved in hexafluoroisopropanol, lyophilised and subsequently solubilised and stored in DMSO. PLA2 Activating Peptide (PLAP) was purchased from Bachem. Stock solutions of peptides were thawed on the day of use and sonicated before dilution in culture medium and addition to cells.
CHO cells stably transfected with a cDNA encoding APP751 containing the Val717Phe familial AD mutation (referred to as 7PA2 cells) were cultured in DMEM with 10% FCS . Conditioned medium (CM) from these cells contains stable Aβ oligomers (7PA2-CM). Conditioned medium from non-transfected CHO cells (CHO-CM) was used as controls.
Differences between treatment groups were assessed using two sample t tests or analysis of variance techniques. In all tests statistical significance was set at the 1% level.
List of abbreviations
Arachidonyl trifluoromethyl ketone
Chinese hamster ovary
Enzyme linked immunoassay
methyl arachidonyl fluorophosphonate
phosphate buffered saline
PLA2 Activating Peptide
This work was supported by the European Commission FP6 "Neuroprion" Network of Excellence. We thank Professor Mario Salmona (Milan) for supplying PrP82-146 and PrP82-146scrambled peptides.
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