Reduction of cytosolic phospholipase A2α upregulation delays the onset of symptoms in SOD1G93A mouse model of amyotrophic lateral sclerosis
© The Author(s). 2016
Received: 6 April 2016
Accepted: 26 May 2016
Published: 1 June 2016
Amyotrophic lateral sclerosis (ALS) is a fatal multifactorial neurodegenerative disease characterized by selective death of motor neurons in the cortex, brainstem, and spinal cord. Cytosolic phospholipase A2 alpha (cPLA2α) upregulation and activation in the spinal cord of patients with sporadic ALS and in the spinal cord of human mutant SOD1G93A (hmSOD1) transgenic mice were recently reported.
cPLA2α upregulation in the brainstem and spinal cord was reduced by brain infusion of a specific antisense oligonucleotide against cPLA2α (AS), and the effect was evaluated on disease progression and brain cell activation.
We found that the elevation of cPLA2α protein expression in the spinal cord was first detected at 6-week-old hmSOD1 mice and remained elevated during their whole life span. Reduction of the elevated expression of cPLA2α in the spinal cord of hmSOD1 mice by brain infusion of an AS at week 15 (shortly before the appearance of the disease symptoms), for a duration of 6 weeks, delayed the loss of motor neuron function in comparison with hmSOD1 mice and with sense brain-infused hmSOD1 mice. To characterize the effect of cPLA2α upregulation on different processes taking place at the appearance of the disease symptoms, mice were brain infused with AS or with sense at week 15 for 3–4 weeks. The AS treatment that reduced cPLA2α upregulation in the spinal cord of AS-treated hmSOD1 mice (as analyzed at week 18–19) prevented the reduction in the number of the neurons (detected by NeuN) and inhibited astrocyte activation (detected by GFAP) and microglia activation (detected by Iba-1 and by CD40). In addition, AS treatment blunted the upregulation of the proinflammatory enzyme-inducible nitric oxide synthase (iNOS) and cyclooxygenase-2 (COX-2) detected in hmSOD1 mice.
Since specific reduction of cPLA2α in the brainstem and spinal cord significantly attenuated the development of the disease, cPLA2α may offer an efficient target for treatment of ALS.
Amyotrophic lateral sclerosis (ALS) is a severe degenerative disorder, mainly affecting the motor neurons in the spinal cord, brainstem, and cortex. Most of the cases (about 90 %) are sporadic. Familial cases have been linked to mutations in a number of genes, including Cu/Zn superoxide dismutase (SOD1), TAR DNA binding protein (TDP-43), and chromosome 9 open reading frame 72 (C9ORF72) repeat expansions . Mutant SOD1 is the best characterized form of familial ALS, accounting for 15–20 % of familial cases . The etiology of sporadic ALS is unknown, although it is generally believed that sporadic and familial ALS may share pathological mechanisms. The pathophysiology of the multifactorial-multisystemic ALS disease includes various mechanisms. Among them are oxidative damage, high levels of glutamate, a reduced secretion of neurotrophic factors, protein aggregations, malfunctioning of the mitochondria, rupture in the axonal passage, destruction in the calcium metabolism, and changes in the skeletal proteins . Although ALS is not primarily considered an inflammatory or immune-mediated disease, immune mechanisms appear to play a role in the pathogenesis of the disease. In both ALS patients and animal models, inflammatory responses have been observed [3–5]. Microglia  and astrocytes  are activated during the progression of the disease, and evidence suggests that they contribute to neuronal death. Selective ablation of mutant SOD1 in astrocytes and microglial cells by conditional deletion  and neonatal wild-type bone marrow transplantation  increased motor neuron survival and life span. It has also been reported that in the CNS, natural killer cells and peripheral T cells infiltrate the spinal cord .
Previous findings suggested that cytosolic phospholipase A2α (cPLA2α) is regarded as an important source of inflammation. cPLA2α specifically hydrolyzes phospholipids containing arachidonic acid at the sn-2 position [10, 11] and is generally thought to be the rate-limiting step in the generation of eicosanoids and platelet-activating factor. These lipid mediators play critical roles in the initiation and modulation of inflammation and oxidative stress. cPLA2α is ubiquitous in brain cells and is essential for their physiological regulation. However, elevated cPLA2α expression and activity were detected in the inflammatory sites in a vast array of inflammatory diseases, including neurodegenerative diseases [12–14]. Increased expression and activity of cPLA2α have been detected in neurons, in astrocytes, and in microglia in the spinal cord, brainstem, and cortex of sporadic ALS patients  and in the spinal cord of G93A human mutant transgenic (hmSOD1) mice , suggesting that cPLA2α may have an important role in the pathogenesis of the disease in all ALS patients. Due to the complexity of biological pathways involved in ALS, it is now thought that blunting several aspects of the disease may offer distinct advantages over targeting one pathway. Since our previous studies showed that elevated cPLA2α is involved in glia activation, oxidative stress  and neuronal apoptotic death , targeting cPLA2α may affect these processes that have been shown to be involved in the pathogenesis of ALS. The present study aims to determine whether the elevation of cPLA2α protein expression in the spinal cord and brainstem has a role in the pathogenesis of the disease, using a mouse model of hmSOD1 mice.
B6.Cg-Tg(SOD1G93A)1Gur/J hemizygous transgenic male mice were obtained from Jackson Laboratory (Bar Harbor, ME, USA). The hemizygous transgenic male mice were also obtained by mating hemizygous transgenic males with C57BL/6J females (Jackson Laboratory) so that each litter would generate hemizygous SOD1G93A transgenic mice and littermate wild-type controls. Transgenic male offsprings were genotyped by PCR assay of DNA obtained from tail tissue (according to Jackson Laboratory). The study included male mice to avoid estrogen effect. The infusion of anti-cPLA2α antisense oligonucleotide or corresponding sense to mice (were performed as described in our previous study  and according others [20–22]). A microosmotic pump (Alzet, Durect Corp. Cupertino, CA, USA) that had been filled with oligonucleotide and incubated overnight in saline at 37 °C was implanted in a subcutaneous pocket. The pump that was attached to a cannula (Alzet brain infusion kit 3, Durect Corp. Cupertino, CA, USA) stereotaxically implanted into the right lateral cerebral ventricle (−1.0 mm mediolateral and −0.5 mm anteroposterior from Bregma). The study was approved by Ben-Gurion University Institutional Animal Care and Use Committee (IL-37-05-2012) and was conducted according to the Israeli Animal Welfare Act following the guidelines of the Guide for Care and Use of Laboratory Animal (National Research Council, 1996).
Antisense oligonucleotide against cPLA2α
Antisense oligonucleotides against cPLA2α were engineered using the computer-based approach RNADraw V1.1 (Mazura Multimedia, Stockholm, Sweden). An oligo-deoxynucleotide antisense (tcaaaggtctcattccaca) and its corresponding sense with phosphorothioate modifications on the last 3 bases at both 5′ and 3′ ends were used as described in our previous article . The specificity to cPLA2α was analyzed by blast search program and was demonstrated in our previous study . Mice (around 25 g of weight) received 10 μg/day phospho oligo-deoxynucleotides diluted in saline. The antisense concentration used in the study reduced cPLA2α levels in the brainstem and spinal cord of ALS mice to the level detected in wild-type mice.
Brain stem and spinal cord tissue preparation
Mice were deeply anesthetized and transcardially perfused with 20 ml of PBS .
For immunoblot analysis
Spinal cords were harvested in lysis buffer containing 50 mM Tris pH = 8, 150 mM NaCl, 1 % NP-40, 0.5 % DOC, 0.1 % SDS, 10 μg/ml leupeptin, 1 mM phenylmethylsulfonyl fluoride, 10 μg/ml aprotinin, 1 mM benzamidine, 20 mM P-nitrophenyl phosphate, 5 mM Na3VO4,10 mM NaF, and 50 mM β-glycerol phosphate. Soluble extracts were prepared by centrifugation at 13,000 g for 20 min at 4 °C. Lysate protein was separated on SDS-PAGE electrophoresis and transferred to nitrocellulose membranes. Membranes were incubated in Tris-buffered saline (10 mM Tris, 135 mM NaCl, pH 7.4), with 0.1 % Tween 20 (TBS-T) containing 5 % non-fat milk for 1.5 h at 25 °C. The blots were then incubated with primary antibodies: 1:1000 rabbit polyclonal anti-cPLA2α against the carboxyterminal residues (Cell Signaling Technology, Beverly, MA, USA), 1:1000 rabbit anti-COX-2 (Abcam, Cambridge, UK), 1:1000 rabbit anti-iNOS (Cayman chemical, Ann Arbor, MI, USA), 1:500 rabbit anti-calreticulin (Thermo Scientific, Rockford, IL, USA) as primary antibodies for overnight at 4 °C. After washing with TBS-T, they were incubated with secondary antibody peroxidase-conjugated goat anti-rabbit (Amersham Biosciences, Buckinghamshire, UK) for 1 h at 25 °C and developed using the enhanced chemiluminescence (ECL) detection system (PerkinElmer, Waltham, MA, USA). Proteins were quantified using video densitometry analysis (ImageJ version 4.0 Fuji).
The brainstem or spinal cord were fixed  in paraformaldehyde 4 %/PBS solution overnight at 4 °C. The brainstem or spinal cord were then transferred to PBS containing 30 % sucrose for 24 h and then embedded in a 1:2 mixture of 30 % sucrose in PBS/Tissue-Tek OCT (VWR, Radnor, PA, USA), frozen in liquid nitrogen and stored at −80 °C. Sections were made by cryostat (Leica Biosystems, Vienna, Austria) at 12-μm thickness, washed in PBS/Tween 0.05 %, incubated in PBS/glycine 0.1 % for 5 min, and incubated in a blocking solution (3 % normal donkey serum and 2 % BSA) at room temperature for 1 h. Then, these sections were incubated with primary antibodies diluted in blocking solution overnight at 4 °C. The primary antibodies used in the study were 1:100 rabbit anti-cPLA2 (Santa Cruz Biotechnology, Santa Cruz, CA, USA), 1:100 rabbit anti-pcPLA2α (Cell Signaling Danvers, MA USA), 1:1000 rabbit anti-Iba-1 (Wako Chemicals Richmond, VA, USA), 1:500 rabbit anti-GFAP (Dako Glostrup Denmark), 1:100 mouse anti-NeuN (Millipore Darmstadt, Germany), and 1:100 rat anti-CD40 or 1:100 rat anti-CD169 (AbD Serotec, Kidlington, UK). Sections were washed with PBS/Tween 0.05 % and incubated with 1:200 Cy3 or 1:100 anti-mouse Alexa488 or anti-rabbit DyLight-conjugated secondary antibodies (Jackson Immunoresearch Laboratories, West Grove, PA, USA) for 1 h at room temperature. For double staining, DyLight was used as a secondary antibody for cPLA2α (green) and 1:25 goat anti-Iba-1 (Novus Biologicals Littleton, USA) or 1:100 mouse anti-GFAP (Millipore Darmstadt, Germany) with Cy3 were used as second antibodies (red). The staining of samples from the different treatments was performed in parallel. For each treatment, a negative control was prepared by omitting the primary antibody. Sections were mounted with anti-fading mounting medium (Electron Microscopy Sciences (EMS), Hatfield, PA, USA) and photographed in a blinded fashion using a fluorescent microscope (Olympus, BX60, Hamburg, Germany) or with confocal microscopy (Olympus, FluoView 1000, Tokyo, Japan). Using a confocal microscope, Z-sections were taken at 0.5-μm intervals and the results present Z-stack images. Fluorescence intensity was determined for cPLA2α using CellProfiler program. The percentage of fluorescence intensity of the cell area was determined for the different cell types using CellProfiler program.
Motor function measurement by rotarod
A rotarod test was used to evaluate the motor performance of the mice using an accelerating paradigm of 0.12 rpm/s. After a learning period of several days, mice were able to stay on the rotarod (Rotamex-5, Columbus instruments, Columbus, OH, USA) for up to 150 s. Each mouse was given 3 trials and the best performance was used as a measure for motor neuron ability. Mice were tested twice a week from age of 7 weeks until they could no longer perform the task.
Neurological score evaluation by ladder testing
To evaluate the animal’s overall neurological state, we performed a neurological scoring based on the ladder test described in details by others , which is an extension of the hanger test. Shortly, the ladder was placed at a 45° angle; after a brief training period, healthy mice quickly and efficiently climb up the ladder. As the disease progresses, the animals’ ability to climb was hindered beginning with leg tremors and developing up until the point where the mice can simply not climb up the ladder at all. Mice were evaluated for their neurological score three times a week by a blinded observer. The mice were scored based on their performance on the ladder test with a score of 12 representing completely healthy mice and 0 correlating with disease end stage, described in details .
To determine the mortality in a reliable and human fashion, end stage was defined as the inability of the mice to right themselves 30 s after being placed on one of their sides.
Data were expressed as mean ± standard error of the mean (SEM). Significance was determined by either one- or two-way analysis of variance (ANOVA) followed by a posteriori Bonferroni’s test for multiple comparisons provided by GraphPad Prism version 5.00 for Windows (GraphPad Software, San Diego, CA, USA). Survival was evaluated by Kaplan-Meier analysis.
We show herein that cPLA2α is upregulated in the spinal cord of 6-week-old mice long before the appearance of the disease symptoms, neuronal death, or gliosis and remained elevated during the whole life span of the hmSOD1 mice. Prevention of cPLA2α upregulation at the pre-symptomatic period (between 6 and 12 weeks) did not affect the course of the disease. However, prevention of cPLA2α upregulation shortly before the onset of the disease symptoms significantly (p < 0.001) delayed the loss of motor neuronal function, suggesting that cPLA2α upregulation in the spinal cord plays a role in the disease pathology. In line with our results, the role of elevated spinal cord cPLA2α in neuronal damage was reported also in spinal cord injury  and in spinal inflammatory hyperalgesia .
In the present study we used, specific antisense brain infusion in order to determine the specific role of cPLA2α upregulation in the spinal cord in the pathogenesis of ALS. The advantage of the AS technique over knockout mice is its ability to inhibit the induction of an accelerated protein at the site of inflammation, and enables its expression at basal levels, whereas in knockout mouse models total elimination of a protein may result in dramatic changes of homeostasis and/or compensation by upregulation of other proteins (with similar biological features). The use of AS strategy is reinforced by two recent studies in cPLA2α knockout mice reporting that total elimination of cPLA2α resulted with abnormalities in architecture of synapses and cortical neurons  as well as in alteration of brain phospholipid composition . AS brain infusion to 15-week-old hmSOD1 mice (for 6 weeks) shortly before the development of motor dysfunction resulted in reduction of cPLA2α elevated protein expression (as detected at 18–19 weeks in the spinal cord) and significantly delayed the development of the disease symptoms. This blunting of cPLA2α upregulation resulted in inhibition of activation of microglia and astrocytes as well as inhibition of motor neuronal death, as detected by immunofluorescence analysis in the spinal cord of 18–19-week-old hmSOD1 mice.
A generation of mice expressing a conditional deletion of the mutant SOD1 gene showed that each individual cell types in the spinal cord contributes to the development of ALS [8, 32]. Likewise, replacing the myeloid lineage of mutant SOD1 mice with wild-type microglia slowed disease progression . Since cPLA2α upregulation was detected in each cell type in the spinal cord, it probably contributes by different mechanisms to motor neuron dysfunction and cell death: (i) elevated neuronal cPLA2α can act directly in inducing neuronal death (ii) while elevated glial cPLA2α can act indirectly by activating microglia and/or astrocytes. In our recent study in primary neuronal cultures, we reported that cPLA2α activation and upregulation induced apoptotic neuronal death . Concomitant with our results, cDNA microarray analysis to monitor gene expression in the spinal cord of hmSOD1 mice during neurodegeneration revealed changes in apoptosis-related gene expression . In addition, the role of cPLA2α in glutamate excitotoxicity and oxidative stress-induced cell death in primary spinal cord neuron cultures was recently reported . Taken together the studies in neuronal cultures and the abundant levels of cPLA2α in motor neurons in the spinal cord, it is suggested that neuronal cPLA2α plays a direct role in motor neuron cell death. Similar to other neurodegenerative diseases and acute CNS insults, one of the most striking hallmarks of ALS shared by familial and sporadic patients, as well as by rodent models, is neuro-inflammation, characterized by extensive microglial activation and astrogliosis that contribute to disease progression, rather than to its resolution [2, 34–36]. Reduction of cPLA2α upregulation in the spinal cord of the hmSOD1 mice prevented astrocyte activation detected by GFAP immunostaining that is in line with in vitro studies  reporting that activation of cPLA2α led to an increase in oxidative stress in astrocytes. We show here a massive activation of microglia in the spinal cord (detected by immunostaining of Iba-1 and CD40) that preceded the changes in the motor neurons, in accordance with other studies [6, 38, 39]. This microglia activation was shown to be cPLA2α dependent coincided with ours and others’ studies in cell cultures demonstrating the specific role of microglial cPLA2α in the activation and transformation of microglia to M1 phenotype. We have previously reported that cPLA2α activity regulated the production of superoxides by NOX-2 NADPH oxidase and the induction of COX-2 and iNOS via nuclear factor kB (NF-kB) in microglia cultures . Interestingly, microglial NF-kB specifically has been shown to play a major role in the development of the ALS in hmSOD1 mice . We show here that reduction of cPLA2α in the spinal cord also decreased iNOS and COX-2 upregulation that produce two major proinflammatory mediators; nitric oxide and PGE2, respectively. As shown in the present study for cPLA2α, it was also reported that in both early symptomatic and end-stage transgenic hmSOD1 mice, neurons and to a lesser extent glial cells in the spinal cord exhibit robust COX-2  and iNOS immunoreactivity . Likewise, similar to cPLA2α, COX-2 was dramatically increased in postmortem spinal cord samples from sporadic ALS patients [ 41]. Nitric oxide and superoxides both under cPLA2α regulation  can form the toxic reagent peroxynitrite [43, 44]. In this context, a recent study reported that inhibition of cPLA2α activity ameliorated experimental autoimmune encephalomyelitis via blocking peroxynitrite formation in mouse spinal cord white matter . These results suggest that glial cPLA2α is involved by different inflammatory processes in the development of ALS. In accordance with this suggestion, injections of PLA2 into the spinal cord of mice caused inflammation and oxidative stress .
The cause of cPLA2α elevation in the brain and spinal cord as early as 6-week-old mice is not yet clear. SOD1 insoluble protein complexes (IPCs) were detected in motor neurons of 30-day-old mSOD1 mice , before the manifestation of ALS pathology, and several months before the appearance of inclusion bodies. It may be possible that the formations of IPCs in the neurons triggered the elevation of cPLA2α. The role of this early elevation of cPLA2α is also not known and prevention of this elevation for 6 weeks had no effect on the course of the disease.
The role of monocyte recruitment to the spinal cord in ALS is under debate. On one hand, it was reported that inhibition of monocyte recruitment to the spinal cord delayed motor dysfunction and increased the survival of ALS mice . In contrast, another study  reported that monocytes could not be detected in the spinal cord of SOD1G93A mice and that microglia are not derived from infiltrating monocytes. Likewise, a recent study  reported that in the mutant SOD1G93A mouse model of ALS, the choroid plexus of the brain did not support leukocyte trafficking during disease progression, due to a local reduction in IFN-γ levels. The results of the present study, in agreement with the two later reports, show that the recruitment of monocytes detected by co-immunostaining with CD169 and Iba-1 was evident only at the end stage.
We show here that cPLA2α is elevated at 6 weeks, long before the appearance of the disease symptoms. cPLA2α elevation at the onset of symptoms plays a role in the induction of motor dysfunction. Reduction of cPLA2α upregulation shortly before the loss of motor neurons function significantly delayed the appearance of the disease symptoms. Elevated neuronal and glial cPLA2α may contribute by different aspects involved in the pathogenesis of ALS. Thus, cPLA2α may offer an efficient target for treatment of ALS and potentially other multifactorial neurodegenerative diseases.
ALS, amyotrophic lateral sclerosis; AS, antisense oligonucleotide against cPLA2α; C9ORF72, chromosome 9 open reading frame 72; COX-2, cyclooxygenase-2; cPLA2α, cytosolic phospholipase A2 alpha; hmSOD1, human mutant SOD1G93A; iNOS, inducible nitric oxide synthase; NF-kB, nuclear factor kB; SOD1, superoxide dismutase; TDP-43, TAR DNA binding protein
We thank Dr. D. Offen from Felsenstein Medical Research Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv and Rabin Medical Center, Petah Tikva, Israel, for teaching us the method for Evaluating Neurological Score by Ladder Testing.
This research was supported by a grant from the Israel Sciences Foundation founded by the Israel Academy of Sciences and Humanities 1012/09.
Availability of data and materials
Information about the animal model, experimental methods, and data described in this paper are available to scientific and medical communities for review, verification, and research studies.
YS designed and carried out all the experiments, researched the data, prepared the figures, and participated in writing the manuscript. NH participated in the design of the study and guided some methodologies. RL designed the study, directed the study, and wrote the manuscript. All authors read and approved the final manuscript.
The authors declare that they have no competing interests.
Consent for publication
Ethics approval and consent to participate
The study was approved by the Ben-Gurion University Institutional Animal Care and Use Committee (IL-37-05-2012) and was conducted according to the Israeli Animal Welfare Act following the guidelines of the Guide for Care and Use of Laboratory Animal (National Research Council, 1996).
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