Sovateltide (IRL-1620) activates neuronal differentiation and prevents mitochondrial dysfunction in adult mammalian brains following stroke

Amaresh K Ranjan, Seema Briyal, Anil Gulati, Amaresh K Ranjan, Seema Briyal, Anil Gulati

Abstract

The development of effective drugs for stroke is urgently required as it is the 2nd largest killer in the world and its incidence is likely to increase in the future. We have demonstrated cerebral endothelin B receptors (ETBR) as a potential target to treat acute cerebral ischemic stroke. However, the mechanism of ETBR mediated neural regeneration and repair remains elusive. In this study, a permanent middle cerebral artery occluded (MCAO) rat model was used. Sovateltide (an ETBR agonist) injected intravenously showed better survival and neurological and motor function improvement than control. Higher neuronal progenitor cells (NPCs) differentiation along with better mitochondrial morphology and biogenesis in the brain of sovateltide rats were noted. Exposure of cultured NPCs to hypoxia and sovateltide also showed higher NPC differentiation and maturation. This study shows a novel role of ETBR in NPCs and mitochondrial fate determination in cerebral ischemia, and in improving neurological deficit after stroke.

Conflict of interest statement

Dr. Anil Gulati (A.G.) is an employee of Pharmazz, Inc, and has issued and pending patents related to this study. All other authors declare no competing interests.

Figures

Figure 1
Figure 1
Effect of sovateltide on neurological and motor performance in the MCAO rats. Data with Mean ± SEM were plotted (supporting data tables are provided in Table S1).
Figure 2
Figure 2
Expression of neural progenitor marker Doublecortin (DCX) in stroked brain and after sovateltide treatment. (A) Diagrammatic representation of adult rat brain isolation and tissue collection for western blots. (B,C) Blots and densitometry graphs of sham, vehicle and sovateltide (Sova) treated rat right hemisphere (RH) and left hemisphere (LH) brain tissues at 24 h post MCAO. All blots are representative of four different experiments with similar results in rat brains. Values are expressed as mean ± SEM. β-Actin was developed after re-probing of Doublecortin blots with anti-β-Actin and used as a loading control and normalization (full blots in Fig. S1A).
Figure 3
Figure 3
Expression of NPCs differentiation marker HuC/HuD in stroked brain and after sovateltide treatment. (A,B) western blots and densitometry graphs of sham, vehicle and sovateltide (Sova) treated rat right hemisphere (RH) and left hemisphere (LH) brain tissues at 24 h post MCAO. All blots are representative of four different experiments with similar results in rat brain. Values are expressed as mean ± SEM. β-Actin was developed after re-probing of HuC + HuD blots with anti-β-Actin and used as a loading control and normalization (full blots in Fig. S1B).
Figure 4
Figure 4
Expression of NPCs differentiation marker NeuroD1 in stroked brain and after sovateltide treatment. (A,B) western blots and densitometry graphs of sham, vehicle and sovateltide (Sova) treated rat right hemisphere (RH) and left hemisphere (LH) brain tissues at 24 h post MCAO. All blots are representative of four different experiments with similar results in rat brain. Values are expressed as mean ± SEM. β-Actin was developed after re-probing of NeuroD1 blots with anti-β -Actin and used as a loading control and normalization (full blots in Fig. S1C). (C) Expression of neuronal differentiation marker, NeuroD1 in cultured adult rat neural progenitor cells in hypoxia. Representative immunofluorescence microscopy images of sovateltide (1 ng/ml) treated cultured neural progenitor cells after 24 h of hypoxia exposure (supporting images are provided in Fig. S2). Higher expression of NeuroD1 (green) and mature neuronal marker, NeuN (red) was observed in sovateltide than vehicle treated samples. Nuclei were stained with DAPI (blue). Bar scale = 75 µm. (D,E) Fluorescence intensity graphs of NeuroD1 (D) and NeuN (E). Values are expressed as mean ± SEM. (F) Diagrammatic representation of dissection of adult rat brain and tissue collection for cell culture.
Figure 5
Figure 5
Expression of mitochondrial fission and fusion markers in stroked brain tissues. (A,B) western blots and densitometry graphs, (C,D) immunofluorescence images of fission marker (Drp1) and fusion marker (Mfn 2) in sham, vehicle and sovateltide (Sova) treated rat right hemisphere (RH) and left hemisphere (LH) brain tissues at 24 h and day 7 post MCAO. (A,B) densitometry values are expressed as mean ± SEM and β-Actin was developed after re-probing of protein blots with anti-β-Actin and used as a loading control and normalization (full blots in Fig. S3). *p < 0.001 compared to sham, #p < 0.0001 compared vehicle. (C,E) representative immunofluorescence images showing expression of Drp 1 (green, C) and Mfn 2 (green, E). Nuclei were stained with DAPI (blue), Scale bar = 20 µm (C,E). n = 4. (D,F) fluorescence intensity graphs of Drp 1 (D) and Mfn 2 (F) at 24 h and day 7 post MCAO. Values are expressed as mean ± SEM. (G) Diagrammatic representation of dissection of adult rat brain and tissue collection for tissue sectioning and immunostaining.
Figure 6
Figure 6
Transmission electron microscopic (TEM) analysis of mitochondria in brain tissues. (A) Diagrammatic representation of dissection of adult rat brain and tissue sectioning for TEM. (B) representative TEM images of sham, vehicle and sovateltide (Sova) treated rat right hemisphere (RH) brain tissues at 24 h and day 7 post MCAO (supporting images are provided in Fig. S4). Black arrows indicate representative mitochondria. Image magnification 3,000×, scale bar = 0.2 µm. (B) Measurement of mitochondrial cross-sectional area × number at 24 h and day 7 post MCAO, respectively. (C) Measurement of percent mitochondrial to tissue area ratio at 24 h and day 7 post MCAO, respectively. Values are expressed as mean ± SEM (B,C).
Figure 7
Figure 7
In situ PCR analysis of mitochondrial biogenesis in brain tissues. (A) Diagrammatic representation of dissection of adult rat brain and tissue sectioning for in situ PCR. (B) representative in situ PCR images of sham, vehicle and sovateltide (Sova) treated rat right hemisphere brain tissues at day 7 post MCAO (supporting images are provided in Fig S5). Red fluorescence indicates amplified MT-ATP8 DNA in mitochondria. Image magnification 200×. (B) fluorescence intensity graph of MT-ATP8 DNA. Values are expressed as mean ± SEM.
Figure 8
Figure 8
Plausible mechanism of action of ETBR signaling involved in neuronal differentiation of NPCs. Activation of ETBR signaling after sovateltide treatment increases HuC/HuD expression in NPCs probably (indicated with ‘??’ in the diagram) through increased transcription or stability of HuC/HuD RNAs. Increased expression of HuC/HuD would be pushing the NPCs towards neuronal differentiation with increasing the stability of RNAs involved mainly in NPCs differentiation, neuronal maturation and cell cycle exit (A). SATB 1 RNA is one of them, which is known to be stabilized after binding of HuD on its 3′ UTR. SATB 1 is a transcription factor and positively regulates the expression of NeuroD1, a master regulator of neuronal differentiation and also of HuD (positive feedback loop, shown in broken red circle) (B).

References

    1. Castaneda MM, Cubilla MA, Lopez-Vicchi MM, Suburo AM. Endothelinergic cells in the subependymal region of mice. Brain Res. 2010;1321:20–30. doi: 10.1016/j.brainres.2010.01.056.
    1. Ehrenreich H, et al. Endothelin b receptor deficiency is associated with an increased rate of neuronal apoptosis in the dentate gyrus. Neuroscience. 2000;95:993–1001. doi: 10.1016/S0306-4522(99)00507-2.
    1. Gulati A, Kumar A, Morrison S, Shahani BT. Effect of centrally administered endothelin agonists on systemic and regional blood circulation in the rat: Role of sympathetic nervous system. Neuropeptides. 1997;31:301–309. doi: 10.1016/S0143-4179(97)90063-9.
    1. Vidovic M, et al. Deficiency in endothelin receptor B reduces proliferation of neuronal progenitors and increases apoptosis in postnatal rat cerebellum. Cell. Mol. Neurobiol. 2008;28:1129–1138. doi: 10.1007/s10571-008-9292-z.
    1. Leonard MG, Prazad P, Puppala B, Gulati A. Selective endothelin-B receptor stimulation increases vascular endothelial growth factor in the rat brain during postnatal development. Drug Res. 2015;65:607–613. doi: 10.1055/s-0034-1398688.
    1. Riechers CC, et al. Endothelin B receptor deficient transgenic rescue rats: A rescue phenomenon in the brain. Neuroscience. 2004;124:719–723. doi: 10.1016/j.neuroscience.2003.10.023.
    1. Briyal S, Nguyen C, Leonard M, Gulati A. Stimulation of endothelin B receptors by IRL-1620 decreases the progression of Alzheimer's disease. Neuroscience. 2015;301:1–11. doi: 10.1016/j.neuroscience.2015.05.044.
    1. Gulati A. Understanding neurogenesis in the adult human brain. Indian J. Pharmacol. 2015;47:583–584. doi: 10.4103/0253-7613.169598.
    1. Gulati A. Endothelin receptors, mitochondria and neurogenesis in cerebral ischemia. Curr. Neuropharmacol. 2016;14:619–626. doi: 10.2174/1570159X14666160119094959.
    1. Leonard MG, Briyal S, Gulati A. Endothelin B receptor agonist, IRL-1620, reduces neurological damage following permanent middle cerebral artery occlusion in rats. Brain Res. 2011;1420:48–58. doi: 10.1016/j.brainres.2011.08.075.
    1. Leonard MG, Briyal S, Gulati A. Endothelin B receptor agonist, IRL-1620, provides long-term neuroprotection in cerebral ischemia in rats. Brain Res. 2012;1464:14–23. doi: 10.1016/j.brainres.2012.05.005.
    1. Leonard MG, Gulati A. Endothelin B receptor agonist, IRL-1620, enhances angiogenesis and neurogenesis following cerebral ischemia in rats. Brain Res. 2013;1528:28–41. doi: 10.1016/j.brainres.2013.07.002.
    1. Briyal S, et al. Anti-apoptotic activity of ETB receptor agonist, IRL-1620, protects neural cells in rats with cerebral ischemia. Sci. Rep. 2019;9:10439. doi: 10.1038/s41598-019-46203-x.
    1. Gulati A, Hornick MG, Briyal S, Lavhale MS. A novel neuroregenerative approach using ET(B) receptor agonist, IRL-1620, to treat CNS disorders. Physiol. Res. 2018;67:S95–S113. doi: 10.33549/physiolres.933859.
    1. Gulati A, et al. Efficacy of sovateltide (PMZ-1620), a first-in-class neuronal progenitor cell therapeutics patients with cerebral ischemic stroke. Circulation. 2019;140:A14683–A14683.
    1. Baser A, et al. Onset of differentiation is post-transcriptionally controlled in adult neural stem cells. Nature. 2019;566:100–104. doi: 10.1038/s41586-019-0888-x.
    1. Pascale A, et al. Neuronal ELAV proteins enhance mRNA stability by a PKCalpha-dependent pathway. Proc. Natl. Acad. Sci. USA. 2005;102:12065–12070. doi: 10.1073/pnas.0504702102.
    1. Wang F, et al. Positive feedback between RNA-binding protein HuD and transcription factor SATB1 promotes neurogenesis. Proc. Natl. Acad. Sci. USA. 2015;112:E4995–5004. doi: 10.1073/pnas.1513780112.
    1. Zhang J, Jiao J. Molecular biomarkers for embryonic and adult neural stem cell and neurogenesis. Biomed. Res. Int. 2015;2015:727542. doi: 10.1155/2015/727542.
    1. Mattson MP, Gleichmann M, Cheng A. Mitochondria in neuroplasticity and neurological disorders. Neuron. 2008;60:748–766. doi: 10.1016/j.neuron.2008.10.010.
    1. Benjamin EJ, et al. Heart disease and stroke statistics-2017 update: A report from the American Heart Association. Circulation. 2017;135:e146–e603. doi: 10.1161/CIR.0000000000000485.
    1. Minnerup J, Wersching H, Schilling M, Schabitz WR. Analysis of early phase and subsequent phase III stroke studies of neuroprotectants: Outcomes and predictors for success. Exp. Transl. Stroke Med. 2014;6:2. doi: 10.1186/2040-7378-6-2.
    1. Dong F, et al. Endothelin-1 enhances oxidative stress, cell proliferation and reduces apoptosis in human umbilical vein endothelial cells: Role of ETB receptor, NADPH oxidase and caveolin-1. Br. J. Pharmacol. 2005;145:323–333. doi: 10.1038/sj.bjp.0706193.
    1. Gulati A, Rebello S, Kumar A. Role of sympathetic nervous system in cardiovascular effects of centrally administered endothelin-1 in rats. Am. J. Physiol. 1997;273:H1177–1186.
    1. Watanabe Y, et al. Differentiation of Mouse enteric nervous system progenitor cells is controlled by endothelin 3 and requires regulation of Ednrb by SOX10 and ZEB2. Gastroenterology. 2017;152:1139–1150.e1134. doi: 10.1053/j.gastro.2016.12.034.
    1. Alia C, et al. Neuroplastic changes following brain ischemia and their contribution to stroke recovery: Novel approaches in neurorehabilitation. Front. Cell Neurosci. 2017;11:76. doi: 10.3389/fncel.2017.00076.
    1. Font MA, Arboix A, Krupinski J. Angiogenesis, neurogenesis and neuroplasticity in ischemic stroke. Curr. Cardiol. Rev. 2010;6:238–244. doi: 10.2174/157340310791658802.
    1. Kim KW. Brain angiogenesis in developmental and pathological processes. FEBS J. 2009;276:4621. doi: 10.1111/j.1742-4658.2009.07173.x.
    1. Goldman SA, Sim F. Neural progenitor cells of the adult brain. Novartis Found Symp. 2005;265:66–80.
    1. Park TI, et al. Adult human brain neural progenitor cells (NPCs) and fibroblast-like cells have similar properties in vitro but only NPCs differentiate into neurons. PLoS ONE. 2012;7:e37742. doi: 10.1371/journal.pone.0037742.
    1. Nunes MC, et al. Identification and isolation of multipotential neural progenitor cells from the subcortical white matter of the adult human brain. Nat. Med. 2003;9:439–447. doi: 10.1038/nm837.
    1. Englund U, Bjorklund A, Wictorin K. Migration patterns and phenotypic differentiation of long-term expanded human neural progenitor cells after transplantation into the adult rat brain. Brain Res. Dev. Brain Res. 2002;134:123–141. doi: 10.1016/S0165-3806(01)00330-3.
    1. Fricker RA, et al. Site-specific migration and neuronal differentiation of human neural progenitor cells after transplantation in the adult rat brain. J. Neurosci. 1999;19:5990–6005. doi: 10.1523/JNEUROSCI.19-14-05990.1999.
    1. Kohyama J, et al. Epigenetic regulation of neural cell differentiation plasticity in the adult mammalian brain. Proc. Natl. Acad. Sci. USA. 2008;105:18012–18017. doi: 10.1073/pnas.0808417105.
    1. Parent JM. Injury-induced neurogenesis in the adult mammalian brain. Neuroscientist. 2003;9:261–272. doi: 10.1177/1073858403252680.
    1. Dash PK, Mach SA, Moore AN. Enhanced neurogenesis in the rodent hippocampus following traumatic brain injury. J. Neurosci. Res. 2001;63:313–319. doi: 10.1002/1097-4547(20010215)63:4<313::AID-JNR1025>;2-4.
    1. Anderson KD, et al. Overexpression of HuD accelerates neurite outgrowth and increases GAP-43 mRNA expression in cortical neurons and retinoic acid-induced embryonic stem cells in vitro. Exp. Neurol. 2001;168:250–258. doi: 10.1006/exnr.2000.7599.
    1. Anderson KD, et al. Overexpression of HuD, but not of its truncated form HuD I+II, promotes GAP-43 gene expression and neurite outgrowth in PC12 cells in the absence of nerve growth factor. J. Neurochem. 2000;75:1103–1114. doi: 10.1046/j.1471-4159.2000.0751103.x.
    1. Kasashima K, Terashima K, Yamamoto K, Sakashita E, Sakamoto H. Cytoplasmic localization is required for the mammalian ELAV-like protein HuD to induce neuronal differentiation. Genes Cells. 1999;4:667–683. doi: 10.1046/j.1365-2443.1999.00292.x.
    1. Akamatsu W, et al. The RNA-binding protein HuD regulates neuronal cell identity and maturation. Proc. Natl. Acad. Sci. USA. 2005;102:4625–4630. doi: 10.1073/pnas.0407523102.
    1. Lee JE, et al. Conversion of Xenopus ectoderm into neurons by NeuroD, a basic helix-loop-helix protein. Science. 1995;268:836–844. doi: 10.1126/science.7754368.
    1. Pataskar A, et al. NeuroD1 reprograms chromatin and transcription factor landscapes to induce the neuronal program. EMBO J. 2016;35:24–45. doi: 10.15252/embj.201591206.
    1. Boutin C, et al. NeuroD1 induces terminal neuronal differentiation in olfactory neurogenesis. Proc. Natl. Acad. Sci. USA. 2010;107:1201–1206. doi: 10.1073/pnas.0909015107.
    1. Tikhomirov O, Carpenter G. Bax activation and translocation to mitochondria mediate EGF-induced programmed cell death. J. Cell Sci. 2005;118:5681–5690. doi: 10.1242/jcs.02676.
    1. Hetz C, et al. Bax channel inhibitors prevent mitochondrion-mediated apoptosis and protect neurons in a model of global brain ischemia. J. Biol. Chem. 2005;280:42960–42970. doi: 10.1074/jbc.M505843200.
    1. Brand MD, Orr AL, Perevoshchikova IV, Quinlan CL. The role of mitochondrial function and cellular bioenergetics in ageing and disease. Br. J. Dermatol. 2013;169(Suppl 2):1–8. doi: 10.1111/bjd.12208.
    1. Zorov DB, et al. Lessons from the discovery of mitochondrial fragmentation (fission): A review and update. Cells. 2019 doi: 10.3390/cells8020175.
    1. Schwartzkopff B, et al. Ultrastructural findings in endomyocardial biopsy of patients with Kearns-Sayre syndrome. J. Am. Coll. Cardiol. 1988;12:1522–1528. doi: 10.1016/s0735-1097(88)80020-2.
    1. Bendotti C, et al. Early vacuolization and mitochondrial damage in motor neurons of FALS mice are not associated with apoptosis or with changes in cytochrome oxidase histochemical reactivity. J. Neurol. Sci. 2001;191:25–33. doi: 10.1016/s0022-510x(01)00627-x.
    1. Higgins CM, Jung C, Xu Z. ALS-associated mutant SOD1G93A causes mitochondrial vacuolation by expansion of the intermembrane space and by involvement of SOD1 aggregation and peroxisomes. BMC Neurosci. 2003;4:16. doi: 10.1186/1471-2202-4-16.
    1. Ranjan AK, et al. Simultaneous imaging of microRNA or mRNA territories with protein territory in mammalian cells at single cell resolution. RNA Biol. 2012;9:949–953. doi: 10.4161/rna.20484.
    1. Al Amir Dache Z, et al. Blood contains circulating cell-free respiratory competent mitochondria. FASEB J. 2020;34:3616–3630. doi: 10.1096/fj.201901917RR.
    1. Yuki K, et al. Mitochondrial dysfunction increases expression of endothelin-1 and induces apoptosis through caspase-3 activation in rat cardiomyocytes in vitro. J. Cardiovasc. Pharmacol. 2000;36:S205–208. doi: 10.1097/00005344-200036051-00062.
    1. Marin-Garcia J, Goldenthal MJ, Moe GW. Selective endothelin receptor blockade reverses mitochondrial dysfunction in canine heart failure. J. Card. Fail. 2002;8:326–332. doi: 10.1054/jcaf.2002.127770.
    1. Paolillo M, Russo MA, Curti D, Lanni C, Schinelli S. Endothelin B receptor antagonists block proliferation and induce apoptosis in glioma cells. Pharmacol. Res. 2010;61:306–315. doi: 10.1016/j.phrs.2009.11.003.
    1. Yang JL, Mukda S, Chen SD. Diverse roles of mitochondria in ischemic stroke. Redox. Biol. 2018;16:263–275. doi: 10.1016/j.redox.2018.03.002.
    1. Liu F, Lu J, Manaenko A, Tang J, Hu Q. Mitochondria in ischemic stroke: New insight and implications. Aging Dis. 2018;9:924–937. doi: 10.14336/AD.2017.1126.
    1. Koizumi J, Yoshida Y, Nakazawa T, Ooneda G. Experimental studies of ischemic brain edema. I. A new experimental model of cerebral embolism in rats in which recirculation can be introduced in the ischemic area. Jpn. J. Stroke. 1986;8:1–8. doi: 10.3995/jstroke.8.1.
    1. Briyal S, Shah S, Gulati A. Neuroprotective and anti-apoptotic effects of liraglutide in the rat brain following focal cerebral ischemia. Neuroscience. 2014;281C:269–281. doi: 10.1016/j.neuroscience.2014.09.064.
    1. Reddy GTA, Gulati A, Chawla S, Allen LF. NPharmacokinetics of SPI-1620 in a Phase I, open label, ascending dose study of the safety, tolerability, pharmacokinetics and pharmacodynamics of the endothelin B receptor agonist, SPI-1620, in recurrent or progressive carcinoma. Life Sci. 2013;25:e9. doi: 10.1016/j.lfs.2013.12.052.

Source: PubMed

3
購読する