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Transcript of Modulation of neuronal nicotinic receptor by quinolizidine alkaloids causes neuroprotection on a...
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Journal of Alzheimer’s Disease xx (20xx) x–xxDOI 10.3233/JAD-132045IOS Press
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Modulation of Neuronal Nicotinic Receptorby Quinolizidine Alkaloids CausesNeuroprotection on a Cellular AlzheimerModel
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Juan A. Arayaa, Alejandra E. Ramıreza, Daniela Figueroa-Arocaa, Gaston J. Sotesb, Claudia Perezb,Jose Becerrab, Francisco Saez-Orellanaa, Leonardo Guzmanc, Luis G. Aguayod and Jorge Fuentealbaa,∗
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aLaboratorio de Screening de Compuestos Neuroactivos, Departamento de Fisiologıa, Facultad de CienciasBiologicas, Universidad de Concepcion, Concepcion, Chile
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bLaboratorio de Quımica de Productos Naturales, Departamento de Botanica, Facultad de Ciencias Naturales yOceanograficas, Universidad de Concepcion, Concepcion, Chile
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cLaboratorio de Neurobiologıa Molecular, Departamento de Fisiologıa, Facultad de Ciencias Biologicas, Univer-sidad de Concepcion, Concepcion, Chile
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dLaboratorio de Neurofisiologıa, Departamento de Fisiologıa, Facultad de Ciencias Biologicas, Universidad deConcepcion, Concepcion, Chile
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Accepted 19 March 2014
Abstract. Alzheimer’s disease (AD) is a progressive and neurodegenerative disorder and one of the current therapies involvesstrengthening the cholinergic tone in central synapses. Neuroprotective properties for nicotine have been described in AD, throughits actions on nicotinic receptors and the further activation of the PI3K/Akt/Bcl-2 survival pathway. We have tested a quino-lizidine alkaloid extract (TM0112) obtained from Teline monspessulanna (L.) K. Koch seeds to evaluate its action on nicotinicacetylcholine receptor (nAChR) in a neuronal AD model. Our data show that PC-12 cells pretreated with amyloid-� (A�) peptidefor 24 h in presence of TM0112 modified A�-reduction on cellular viability (A� = 80 ± 3%; +TM0112 = 113 ± 4%, n = 15). Inaddition, this effect was blocked with atropine, MLA, and �-BTX (+TM0112+atropine = 87 ± 4%; +TM0112+MLA = 86 ± 4%;+TM0112+�-BTX = 92 ± 3%). Furthermore, similar protective effects were observed in rat cortical neurons (A� = 63 ± 6%;+TM0112 = 114 ± 8%), but not in HEK293T cells (A� = 61.4 ± 6.1%; +TM0112 = 62.8 ± 5.2) that do no express �7 nAChR.Moreover, the frequency of synaptic activity in the neuronal network (A� = 51.6 ± 16.9%; +TM0112 = 210.8 ± 47.9%, n > 10),as well as the intracellular Ca2+ transients were recovered by TM0112 (A� = 61.4 ± 6.9%; +TM0112 = 112.0 ± 5.7%; n = 3)in rat hippocampal neurons. TM0112 increased P-Akt, up to 250% with respect to control, and elevated Bcl-2/Bax percentage(A� = 61.0 ± 8.2%; +TM0112 = 105.4 ± 19.5%, n = 4), suggesting a coupling between nAChR activation and an intracellularneuroprotective pathway. Our results suggest that TM0112 could be a new potential source for anti-AD drugs.
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Keywords: Alkaloids, Alzheimer’s disease, neuroprotection, nicotinic receptor, Teline monspessulana29
∗Correspondence to: Jorge Fuentealba Arcos, PhD, Screening ofNeuroactive Compounds Unit, Department of Physiology, Faculty ofBiological Sciences, University of Concepcion, Barrio Universitarios/n, Concepcion, POBOX 160-C, Chile. Tel.: +56 41 2661082; Fax:+56 41 2204557; E-mail: [email protected].
ISSN 1387-2877/14/$27.50 © 2014 – IOS Press and the authors. All rights reserved
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INTRODUCTION30
Alzheimer’s disease (AD) is a disorder character-31
ized by the loss of brain cognitive functions [1] and32
abundant evidence suggest that soluble oligomers of33
amyloid-� (SO-A�) peptides cause the main neuronal34
alterations associated to AD [2]. Lesne et al. described35
that injection of 56 KDa A� oligomers into the brain of36
young rats, without the presence of senile plaques, was37
able to negatively affect memory [3]. Also, SO-A�s38
induced cell death and diminished electrical activity39
of neuronal networks in vitro [4]. In addition, SO-A�40
affected neurotransmission and caused chronic synap-41
tic failure, which could be one of the first events leading42
to AD development [5]. Furthermore, A� causes a43
series of noxious actions involving oxidative damage,44
Ca2+ dyshomeostasis, mitochondrial stress, release of45
cytochrome-C, and activation of cellular apoptosis [6,46
7].47
The main drugs approved by the FDA and used for48
the treatment of mild and moderate AD are donopezil,49
rivastigmine, and galantamine [8]. Clinical trials with50
these acetylcholinesterase (AChE) inhibitors showed51
limited improvement in cognitive capacities and global52
daily functions and even after two years of treat-53
ment, the beneficial effects were not permanent and the54
patient’s cognitive functioning continued worsening55
with time [9, 10].56
Notwithstanding the failure of AChE therapies,57
there is strong evidence supporting the role cholin-58
ergic transmission in AD physiopathology, involving59
the activation of neuronal acetylcholine receptors60
(nAChR) and that could lead to a more effective AD61
treatment. Also, there is strong evidence about the par-62
ticipation of nAChR in neuroprotection. This notion63
began by observing that chronic tobacco smokers suf-64
fered less neurodegenerative conditions, including AD65
[11]. It was also recognized that patients in early stages66
of AD present a reduction in nAChR density in cortex67
and hippocampus [12, 13] and that chronic nicotine68
use was able to produce overexpression of �7 receptors69
in temporal cortex, compared with aged non-smokers70
[14]. In addition, chronic nicotine increases TrkA71
level, a high affinity NGF receptor, which is dimin-72
ished in brains of AD patients [15, 16]. The protective73
effects of nicotine depend on nAChR �7 activation74
and �7 receptors can inhibit A� toxicity and promote75
cellular survival [11, 17]. In addition, nicotine activa-76
tion of �7 receptors can inhibit glutamatergic-induced77
neurotoxicity, protective effect that was inhibited by78
PI3K inhibitors and �-BTX [18]. Nicotine can also79
induce Akt phosphorylation, a PI3K effector, and Bcl-80
2 expression, effects that were also blocked by the PI3K 81
inhibitors [11, 18, 19]. 82
The interaction between �7 receptors and sig- 83
naling pathways was corroborated through co- 84
immunoprecipitation with Fyn protein, demonstrating 85
an actual physical association [18]. Therefore, �7 acti- 86
vation appears to trigger entry of Ca2+ through �7 87
receptors followed by Fyn and JAK2 activation, which 88
then activates the PI3K/Akt/Bcl-2 pathway, thus lead- 89
ing to cellular survival [20]. 90
Many highly pharmacological important nicotinic 91
drugs have been obtained from plants and several are 92
alkaloids. Some natural alkaloids such as nicotine, cyti- 93
sine, anatoxin, and epibatidine are still in use [21]. 94
Teline monspessulana (L) K. Koch is specie member 95
of the Fabacea family, one of the twenty most impor- 96
tant alkaloid-containing plant families [22]. Similar 97
to other plants from its genus, it is characterized by 98
accumulating quinolizidinic alkaloids, mainly cytisine 99
and its metylated derivatives [23, 24], which are high 100
affinity nAChR modulators (KAF = 260 nM). There- 101
fore, Teline monspessulana is an excellent candidate as 102
a source of compounds with possible neuroprotective 103
actions [21]. 104
Cytisine has been used with relative success in sev- 105
eral neuroprotective assays [17, 25, 26]; therefore we 106
reasoned that a quinolizidinic alkaloid extract obtained 107
from Teline monspessulana could have neuroprotec- 108
tive activity against A� toxicity. If this is the case, 109
there is a good opportunity to obtain vast natural and 110
complex structures that could modulate the neuronal 111
nicotinic receptors, representing a potential source of 112
new molecules with neuroprotective properties for AD 113
treatment. 114
MATERIALS AND METHODS 115
TM0112 extract obtention and characterization 116
The extract was obtained from seeds of T. mon- 117
spessulana that were collected in March 2012 in the 118
metropolitan area of Concepcion (VIII Region, Chile, 119
36◦49’S, 73◦01’W). Voucher specimens (CONC- 120
167614) were deposited in the Herbarium of the 121
University of Concepcion. The seeds (25 g) under- 122
went liquid extraction three times with MeOH at 123
room temperature for 24 h. The solvent was evapo- 124
rated under reduced pressure and the residue dissolved 125
in 10 ml HCl (2%). After removing the neutral com- 126
pounds with diethyl ether, the extract was basified with 127
ammonia solution (25%) and the alkaloids extracted 128
with CHCl3. The organic solvent was evaporated and 129
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105 mg of alkaloid extract was obtained. The extract130
was dissolved in MeOH to a final concentration of131
10 mg/ml for GC/MS analysis. GC/MS analysis of132
underivatized extract components were carried out133
on gas chromatograph Agilent 6890 A with an FID134
detector and a chromatograph Hewlett Packard Mod.135
5890 Series II (California, USA) with a mass detector136
HP model 5972. HP-5MS capillary column (Agilent137
Technologies Santa Clara, CA, USA). Relative per-138
centages of the alkaloid components were obtained139
using helium gas (constant flow 1 mL/min) for sep-140
aration. The alkaloids present in the extract were141
identified by comparison of their MS with those in142
the NIST library, with those reported in the literature.143
The presence of five main compounds was confirmed144
by GC/MS analysis. The identification of the alkaloid145
components was accomplished by matching their mass146
spectra with those recorded in the NIST 05 (NIST147
/EPA/NIH MASS 2005 Spectral Library). The main148
components in the mixture were cytisine (66.33%) and149
epiaphylline (10.99%). Furthermore, the structurally150
related alkaloids N-methyl cytosine (4.91%), angus-151
tifoline (6.99%), and 11,12-dehydrolupanine (6.45%)152
were present in small quantities.153
Rat hippocampal and cortical cultures154
18-19 days pregnant Sprague-Dawley rats were155
treated in accordance with regulations established156
by NIH and the Ethics Committee at the University157
of Concepcion. Primary cultures of embryonic hip-158
pocampi were plated at 250,000 cells/ml on coverslips159
coated with poly-L-lysine (Sigma Aldrich). Cortical160
neurons were plated in poly-L-lysine treated plates161
of 96 wells at 250,000 cells/ml. Cultures were main-162
tained at 37◦C with 5% CO2. Culture medium was163
replaced every 3 days and consisted of 90% Dulbecco’s164
minimal essential medium (DMEM; Gibco), 5% heat-165
inactivated horse serum, 5% fetal bovine serum and166
N3 (mg/ml: BSA 1, Putrescine 3.2, Insulin 1, Apo-167
transferrin 5, Corticosterone 0.5; (�g/ml: sodium168
selenite 5, TH3 0.5, Progesterone 0.6)). Experiments169
were performed at 10–12 DIV in control and treated170
neurons.171
PC12 CELLS172
PC12 cells from ATCC (Manassas, VA, USA) were173
utilized in experiments with a 96-well plate reader. The174
cells were cultured in DMEM with 5% fetal bovine175
serum, 100 U/ml penicillin, 100 �g/ml streptomycin,176
and 2 mM L-glutamine. The cells were incubated under177
standard conditions (37◦C, 5% CO2) and when 80% 178
confluence was achieved, the cells were treated with 179
0.25% trypsin for 10 min, washed and resuspended 180
in HyQ DMEM/High-Glucose (Hyclone, Logan, UT, 181
USA) with 5% fetal bovine serum (Hyclone), 2 mM 182
L-glutamine (Gibco, Grand Island, NY) and 1% 183
penicillin-streptomycin (Gibco). The cells were then 184
plated at a concentration of 50,000 cells/well for exper- 185
iments using the plate reader (96 wells, NOVOstar 186
Labtech) and used 24 h after plating under experimen- 187
tal conditions similar for neurons. 188
HEK293T cells 189
HEK293T cells were used in experiments with a 190
96-well plate reader (Novostar). Cells were cultured in 191
DMEM supplemented with fetal bovine serum (5%). 192
Cells were kept in a thermo-regulated incubator at 193
37◦C and 5% CO2 and had 80% confluence when 194
used. In a series of experiments, we used HEK293T 195
cells without transfection and found that they did not 196
show any response to full or partial agonists (data not 197
shown). 198
Aβ1-40 oligomer preparation 199
The human A�1-40 (rPeptide, USA) was recon- 200
stituted in DMSO at a concentration of 80 mM and 201
stored at –20◦C. The soluble oligomer (SO-A�) solu- 202
tion was freshly prepared from a stock external solution 203
and aggregated under standard conditions (200 rpm at 204
37◦C, 2 h). The aggregation process and the formation 205
of SO species (3–56 kDa) were checked by turbidity at 206
405 nm (pH 7.4) and electron microscopy, according 207
to our previous characterization [27, 28]. The turbidity 208
measurements were done on a SmartSpec Plus spec- 209
trophotometer (Bio-Rad, Hercules, CA) using a 5-nm 210
broad band and 10-s measurements. The final concen- 211
trations obtained for SO-A� was 0.5 �M. 212
MTT assay 213
Cell cultures were incubated with MTT solu- 214
tion (1 mg/ml) for 30 min, and precipitated MTT 215
was dissolved using isopropanol cooled for 15 min. 216
Absorbance was measured in a multiplate reader 217
(NovoStar, LabTech BMG, Germany) at two wave- 218
lengths: 560 nm and 620 nm, and the difference was 219
quantified using NovoStar Software for the different 220
experimental conditions [29–31]. 221
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Live/dead determination222
To asses if the TM0112 extract induced prolifera-223
tive effects, we evaluated the number of cells using the224
Live/Dead cell kit from Invitrogen (Invitrogen, Carls-225
bad, CA, USA), either in PC12 cells or primary cultures226
of hippocampus according to manufacturer instruc-227
tions. Briefly, the assay consists of two probes: Calcein228
(2 �M; ex: 495 nm; em: 515 nm) to label live cells and229
Ethidium Homodimer (5 �M; ex: 530 nm; em: 617 nm)230
to label dead cells. The cells were incubated for 30 min231
at 37◦C with both probes and then were visualized232
on an epifluorescence microscope (Nikon TE 2000,233
Japan), 5 random fields were acquired and analyzed234
using image J (NIH, Bethesda, MD, USA).235
Electrophysiology recordings236
Spontaneous postsynaptic currents were recorded237
in hippocampal neurons during 2–4 min, using patch238
clamp techniques (Axon amplifier 200B, Molecular239
Devices) in the voltage clamp mode (−60 mV holding240
potential) and whole cell configuration. These record-241
ings were made in neurons pre-incubated during 24 h in242
the presence or absence of TM0112 extracts (81 ng/ml)243
and A� (0.5 �M). Frequency was determined and ana-244
lyzed with MiniAnalysis 5.0 software (Synaptosoft,245
Inc, USA). For electrophysiological recordings, the246
pipette solution contained (in mM): 140 KCl, 10247
BAPTA, 10 HEPES (pH 7.4), 4 MgCl2, 0.3 GTP and248
2 ATP-Na2, 300 mOSM.249
Spontaneous Ca2+ transients250
Spontaneous Ca2+ transients were measured after251
24 h of incubation with A� (0.5 �M) and TM0112252
(81 ng/ml) using the calcium probe Fluo4-AM®253
at 3 �M (Invitrogen, USA). Hippocampal neurons254
were placed on coverslips coated with poly-L-lysine255
(Sigma-Aldrich, USA) and incubated with the dye for256
30 min at 37◦C. The neurons were then washed twice257
and mounted on a perfusion chamber on a microscope258
(Nikon, TE 2000, Japan). The Fluo4-AM® was excited259
with a band pass filter at 480 nm wavelength and the260
emission recovered at 535 nm. Changes in cytosolic261
Ca2+ were registered with an EM-CCD camera (iXon262
ANDOR, USA) and a Lambda 10-B (Sutter Instru-263
ments, USA) interface. Each image was recorded every264
0.5–1 s with a time exposure of 100 ms. Image analy-265
sis was made with an Imaging Workbench 6.0 software266
(Indec System, USA). Differential Ca2+ increase in the267
cell was measured in the cytosolic regions.268
Immunofluorescence 269
Hippocampal neurons were incubated for 24 h with 270
A�1-40 and TM0112 81 ng/ml. Samples were later 271
washed with phosphate-buffered saline (PBS) 1X 272
and fixed for 10 min with methanol −20◦C. Then, 273
the samples were washed with PBS 1X and per- 274
meabilized with 0.1% Triton X-100 and nonspecific 275
immunoreactivity was blocked with 10% horse serum 276
for 30 min at room temperature. Monoclonal anti-SV2 277
antibody (1:100, Developmental Studies Hybridoma 278
Bank, Iowa City, IA) and polyclonal anti MAP2 279
(1:400, Santa Cruz Biotechnology, CA, USA) antibody 280
were incubated overnight followed by incubation with 281
an anti-mouse secondary antibody conjugated with 282
FITC (1:400; Jackson ImmunoResearch Laboratories) 283
and anti-rabbit secondary antibody conjugated with 284
Cy3 (1:400; Jackson ImmunoResearch Laboratories), 285
respectively. The samples were mounted in fluorescent 286
mounting medium (DAKO) for microscopic analysis. 287
Confocal microscopy 288
FITC and Cy3 immunofluorescence were visualized 289
using a Zeiss LSM 780 Confocal Microscope (63X, 290
NA 1.4, oil immersion, on CMA BioBio) with lasers of 291
Argon (488 nm) and He-Ne (543 nm) for FITC and Cy3 292
respectively. After acquisition, images were processed 293
with ImageJ (NIH, Maryland, USA). 294
Western blot 295
Protein lysates of PC-12 cells were separated 296
by electrophoresis in 10% acrylamide gel (100 V, 297
100 min) and transferred to a nitrocellulose mem- 298
brane. Membranes were later blocked with 5% milk 299
in TBS. The primary antibodies used were anti p- 300
Akt/Akt (mouse, 1:500, SantaCruz Biotechnology), 301
anti Bcl-2/Bax (mouse, 1:200, SigmaAldrich) and �- 302
actin (mouse, 1:3000, Santa Cruz Biotechnology). Anti 303
mouse-HRP (1:5000, Santa Cruz Biotechnology) was 304
used as secondary antibodies. Immunoreactive marks 305
were visualized and quantified with Li-Cor (Odyssey) 306
detection system. 307
Statistical analysis 308
Data in graphics is expressed as mean ± SEM. Sta- 309
tistical analysis of the results was performed using 310
Student´s t test and ANOVA. It was considered sta- 311
tistically significant results: *p < 0.05, **p < 0.01, and 312
***p < 0.001 versus Control; +p < 0.05, ++p < 0.01, 313
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and +++p < 0.001 versus A�; and ‡p < 0.05, ‡‡p < 0.01314
versus A�+TM0112.315
RESULTS316
TM0112 modified SO-Aβ neurotoxic effect without317
altering cellular viability318
To eliminate the possibility of having an intrin-319
sic TM0112 toxicity that could affect cell viability,320
PC-12 cells were incubated during 24 h with increas-321
ing concentrations of TM0112 extract (0.81 ng/ml to322
81 �g/ml) and viability was evaluated by MTT assays.323
We observed that none of the concentrations reduced324
the viability with respect to the control levels, indi-325
cating that TM0112 did not produce toxic effects in326
this cell type (see Fig. 1A). We then chose 81 ng/ml 327
to use for our study. Additionally, to evaluate potential 328
proliferative effects, experiments were made using a 329
Live/Dead assay (see materials and methods) on PC12 330
cells (Fig. 1B) and hippocampal neurons (Fig. 1C). 331
TM0112 did not show significant differences on cell 332
viability as compared to control conditions, suggesting 333
that it did not stimulate the proliferation in either PC12 334
or hippocampal cell cultures. 335
To determine potential protective effects of TM0112 336
against SO-A� on a neuronal model, viability assays 337
were made in PC-12 cells after 24 h of incubation 338
with SO-A� (0.5 �M) and TM0112 (81 ng/ml). As 339
expected, we found a significant reduction in viabil- 340
ity (20 ± 3%) in cells incubated with SO-A� which 341
was consistent with previous reports from our research 342
group [32] for this cell type. Interestingly, when co- 343
A
B
C
D
Fig. 1. Effects of TM0112 on cellular viability and A�1-40 oligomer toxicity on PC-12 cells. A) PC-12 cells were incubated during 24 h withseveral concentrations of the TM0112 extract (from 0.81 ng/ml to 81 �g/ml) to evaluate cell viability with the MTT method and represented as% compared to cell treated only with the vehicle (external solution, n = 9). B) data show that at 24 h incubations with TM0112, the percent oflive and dead PC12 cells did not change as compared with the control conditions (n = 3). C) The same protocol as shown in B for hippocampalneurons (n = 3), where TM0112 did not show differences with control condition on the live and dead cell ratio. D) Reduction on cell viabilityinduced by A� (0.5 �M) was prevented by co-incubation with TM0112 (81 ng/ml). FCCP (100 �M) was used as a positive control for cell death(n = 29) * versus control.
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Fig. 2. Effect of A�1-40 oligomers and TM0112 on the viability ofrat cortical neurons. Using the same experimental protocol as Fig.1D, TM0112 (81 ng/ml) inhibited A�1-40 (0.5 �M) neurotoxicity byinducing a recovery on neuronal viability similar to that observedin PC-12 cells (see Fig. 1). FCCP (100 �M) was used as a positivecontrol. (n = 6) * versus control, + versus A�.
incubated with TM0112, the SO-A� cytotoxicity was344
significantly attenuated, reaching values near control345
(113 ± 5%, see Fig. 1D) and without statistical differ-346
ences, suggesting an intrinsic positive effect related347
with a high mitochondrial redox status, corroborated348
by 10–15% of the cells being resistant to a high FCCP349
concentration (100 �M). Additionally, we proceeded350
to test the viability assay in a primary culture of rat cor-351
tical neurons to evaluate the effect of TM0112 in a more352
relevant AD model. The obtained results were similar353
to the PC-12 assay, i.e., cell viability reduction induced354
by A� showed a more intense effect (37 ± 6%), while355
co-incubation with TM0112 demonstrated a reversion356
in the toxic effects with values nearer to the control con- 357
dition (114 ± 8, see Fig. 2). Finally, to discard a direct 358
effect of TM0112 on SO-A�, we used a Thioflavin T 359
assay, and no differences were observed on the aggre- 360
gation kinetics between A� alone or in the presence 361
of TM0112 (data not shown), suggesting a different 362
mechanism to induce neuroprotection in the cellular 363
models used. 364
TM0112 modified the reduction on neuronal 365
network activity induced by chronic SO-Aβ 366
It has been described that acute incubations with 367
A� peptide provokes neuronal excitoxicity [5]. This 368
effect at chronic times (24 h) induces a synaptic silenc- 369
ing reflected as reduction in the frequency of neuronal 370
synaptic electrical activity and intracellular calcium 371
transients, both parameters indicative of basal net- 372
work activity. To evaluate the effect of TM0112 on 373
synaptic alterations induced by chronic incubation 374
(24 h) with SO-A� (0.5 �M), we treated rat hippocam- 375
pal neurons with SO-A� plus TM0112 (81 ng/mL). 376
Chronic exposure of the neurons to SO-A� showed a 377
significant reduction in the frequency of intracellular 378
calcium transients (39 ± 7%, see Fig. 3A). However, 379
this reduction was modified when neurons were co- 380
incubated with TM0112 (112 ± 6%, see Fig. 3B). 381
Furthermore, the recorded synaptic currents correlated 382
the results obtained with calcium microfluorimetry; 383
where SO-A� significantly reduced the frequency of 384
spontaneous synaptic activity (48 ± 17%, see Fig. 4A), 385
and co-incubation with TM0112 showed a significant 386
recovery with respect to A� alone (210.8 ± 47.9%, 387
Fig. 4B). These results indicate that TM0112 both 388
A B
Fig. 3. TM0112 prevented the reduction on the frequency of intracellular Ca2+ transients induced by A�1-40 oligomers. A) The traces areoriginal microfluorimetric recordings of intracellular Ca2+ transients in rat hippocampal neurons after 24 h of treatment with A� (0.5 �M) aloneor with TM0112 (81 ng/ml). B) Shows the quantification Ca2+ transients in different conditions. TM0112 recovered the frequency with valuesslightly above control, promoting by itself an increase in Ca2+ transient frequency. (n = 3; N > 16 * versus control, + versus A�).
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A B
Fig. 4. A�1-40-induced synaptic silencing was prevented by TM0112. A) The traces are current recordings of total synaptic activity measuredby patch-clamp (whole cell/voltage clamp) in hippocampal neurons in different experimental conditions. B) Quantification of the frequency ofspontaneous synaptic currents in the neuronal network after incubation with A�1-40 (0.5 �M) alone or with TM0112 (81 ng/ml) for 24 h (n > 10,* versus control, + versus A�).
A
B
Fig. 5. Chronic treatment with TM0112 prevented the loss of synapses induced by A�. Levels of the synaptic protein SV-2 (Green) werequantified through immunocytochemistry in neurons (MAP positive stain, red). A) Confocal images were obtained from equatorial plane indifferent experimental conditions: control, SO-A� (0.5 �M), SO-A� plus TM0112 (81 mg/ml), TM0112 alone. Note that the lower panel showsa magnification of primary neuronal processes (calibration bar: 20 �m). B) Quantification of SV-2 puncta shown in lower panel in A. The graphshows the number of SV2 positive puncta for each 20 �m of primary process. (*, *** versus control, +++ versus A�, n ≥ 3).
inhibits synaptic toxicity of A� and foments sponta-389
neous neuronal network activity, perhaps by increasing390
the number of active synapses or the neuronal network391
functionality.392
To confirm these results, we evaluated the effect 393
of TM0112 on the level of SV2, a protein present 394
in synaptic vesicles where acts as a positive modu- 395
lator of calcium-dependent exocytosis [33–35]. Also, 396
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AB
C
D
Fig. 6. Nicotinic antagonists block TM0112 protective effect on A�1-40 in PC-12 cells. A) 24 h incubations of PC-12 cells with A�1-40 (0.5 �M),TM0112 (81 ng/ml), and nAChR antagonists. TM0112 cytoprotective effect on A�1-40 induced cell death was partly blocked by atropine (1 �M;n > 7), �-BTX (3 �M; n > 3), and MLA (100 nM; n > 3). Results are presented as viability percentage with respect to untreated cells. B) Effectsof MLA on the PC12 cell viability co-treated (24 h) with TM0112 (n = 4). C) Effects of MLA and �-BTX on cortical neuron viability with thesame protocol used in B. Note that the blockers did not affect viability or the effects of TM0112 (n = 4). D) The current traces were obtained froma single hippocampal neuron stimulated with TM0112, nicotine (100 nM) and glutamate (50 �M) as control. Note that application of TM0112,unlike nicotine and glutamate, was unable to induce any detectable membrane current by itself.
it has been reported that presynaptic proteins such as397
SV2, SNAP-25, synaptophysin, and synaptotagmin are398
reduced in AD brains and after A� treatment [36].399
The results obtained by immunofluorescence (Fig. 5)400
showed that the decrease in immunoreactive puncta401
of SV2 caused by A� aggregates (A� = 45 ± 4%)402
was modified by TM0112 (188 ± 13% of control).403
These results confirm the protective effect of TM0112404
against the toxicity of A� aggregates on neuronal405
functionality, suggesting a positive effect on synaptic406
activity. This is in agreement with previous evidence407
related to the positive modulation of nicotinic receptors408
by agonists-enhanced Ca2+ transients and increased409
action potential firing [37].410
Neuroprotective effect of TM0112 is mediated by 411
the activation of nAChR 412
It has been discussed that nicotine exerts neuro- 413
protection through nAChR, primarily mediated by �7 414
activation. To determine nAChR participation in the 415
neuroprotective effect of TM0112, we treated PC-12 416
cells during 24 h with SO-A� (0.5 �M) plus TM0112. 417
Additionally, atropine (1�M), �-BTX (3 �M), and 418
MLA (100 nM) were added to inhibit nAChRs, par- 419
ticularly �7. The data shows that atropine was able to 420
partially antagonize the protective effect of TM0112 421
on cellular viability (87 ± 4% versus 105.1 ± 3.8% 422
of TM0112 plus SO-A�, see Fig. 6A), suggesting 423
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Fig. 7. Absence of TM0112 effects in a cell model devoid of nAChR.Chronic incubations (24 h) with A�1-40 (0.5 �M) and TM0112(81 ng/ml) in HEK293T cells did not show the preventive effectof TM0112 on this cellular model, maintaining the same percentageof viability (68% versus 72%, n = 3). FCCP (100 �M) was used aspositive control. (*** versus control, ++ versus A�).
the involvement of these receptors. Furthermore, the424
use of �7 nicotinic selective antagonists MLA (100425
nM) and �-BTX (3 �M) also partly reverted the426
TM0112 neuroprotective effect (86 ± 4% and 92 ± 3%427
of TM0112 plus SO-A�, respectively). In summary,428
atropine, MLA and �-BTX (3 �M) blocked the pro-429
tective effect of TM0112 on cell viability induced430
by the A� toxic effect. In parallel studies, we found431
Fig. 9. TM0112 prevented the decrease in the Bcl-2/Bax ratioinduced by A�1-40. A) 24 h incubation with A�1-40 (0.5 �M) andTM0112 (81 ng/ml) in PC-12 cells and evaluation of Bcl-2 and Baxexpression by western blot technique B) Data is plotted as Bcl-2/Baxratio (n = 4). A� decreased the Bcl-2/Bax ratio, an effect that wascounteracted by co-incubation with TM0112. Values are presentedas percentage of untreated control.
Fig. 8. TM0112 induced Akt activation at 3 h incubation. Show the effect of incubation with A�1-40 (0.5 �M) and TM0112 (81 ng/ml) in PC-12cells. Akt phosphorylation was measured by Western blot. Data represent p-Akt/Akt ratio whose increase indicates an anti-apoptotic effectand vice versa. A) 3 h treatment showed that A� did not produce changes in Akt phosphorylation, while the presence of TM0112 significantlyincreased Akt phosphorylation despite the presence of A� (n = 7). B) After 24 h treatment there was no significant differences between thedifferent conditions (n = 6). All values are presented as percentage of untreated control.
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Fig. 10. Scheme of proposed neuroprotection mechanism ofTM0112 against A�1-40 toxicity. A� exerts several and noxiouseffects on cellular processes leading to apoptosis. TM0112 modu-late �7 AChR, activating a calcium dependent survival pathway thatinvolves Akt phosphorylation and Bcl-2 expression. Thus, TM0112protects neuronal viability and performance, promoting synapticactivity.
that MLA and �-BTx did not affect cell viability or432
on the TM0112 effect in PC12 and cortical neurons433
(Fig. 6B-C). These results strongly suggest the role434
of nicotinic receptors, mainly the �7 subtype, in the435
neuroprotective mechanism of TM0112 against A�436
oligomer toxicity. However, TM0112 was unable to437
induce a current by itself on hippocampal neurons438
indicating that it is not an agonist of nicotinic recep-439
tors (Fig. 6D). To support that the effects of TM0112440
are mediated by nicotinic receptors, a cellular model441
that lacked the �7 nAChR was used [38]. HEK293Y442
cells, that previously did not show any response to full443
or partial nicotinic agonists (not shown), were treated444
with the same experimental protocol and cellular via-445
bility was determined. Co-incubation of SO-A� with446
TM0112 did not show any recovery in cell viability as447
observed in PC12 and neurons (A� = 61.4 ± 6.1% of448
control and A�+TM0112 = 62.8 ± 5.2 of control), sug-449
gesting that the protective effect of TM0112 required450
the presence of �7 nAChR. The idea that �7 could451
be involved in these effects tightly correlates with the452
observations made with the pharmacological inhibitors453
(Fig. 7).454
Activation of nAChR by TM0112 stimulated a455
survival pathway associated to Akt and Bcl-2456
signaling457
It has been described that �7 nAChR activates a458
survival signaling pathway involving Akt activation459
through phosphorylation and increase of Bcl-2 [18,460
20]. To evaluate if nAChR activation by TM0112 is461
coupled to this pathway, we performed 3 and 24 h incu- 462
bation protocols of PC-12 cells with A� and TM0112; 463
and measured the activity of p-Akt/Akt. 464
PC-12 cells were treated with TM0112 during 3 h, 465
and changes on p-Akt and AkT levels were mea- 466
sured with antibodies, considering that this is an early 467
step in the signaling pathway activation. The western 468
blots showed a significant increase in p-Akt/Akt ratio 469
(150 ± 62% over the control) at 3 h of TM0112 incu- 470
bation (Fig. 8A), suggesting a coupling between this 471
survival pathway and nAChR (�7 subtype). The find- 472
ing that the presence of SO-A� alone did not induce 473
changes on P-Akt/Akt levels as compared to control 474
(A� = 118 ± 16%, not significant) support the idea that 475
TM0112 neuroprotective effect could be related with 476
the activation of this pathway through �7 nAChR. On 477
the other hand, treatments during 24 h of incubation did 478
not show any significant changes on P-Akt/Akt ratio 479
with respect to control condition (Fig. 8B). Therefore, 480
Akt phosphorylation appears to be an early event in 481
the TM0112 action mechanism. Additionally, using a 482
similar approach used for Akt experiments, Bcl-2/Bax 483
levels were measured at 6, 12, and 24 h of incuba- 484
tion. The data showed that the only clear decrease in 485
Bcl-2/Bax ratio on SO-A� treated cells with respect 486
to control conditions (38 ± 8%) was observed at 24 h 487
(Fig. 9); while the presence of TM0112 induced a sig- 488
nificant increase in Bcl-2/Bax percentages reaching 489
values similar to control (105.4 ± 19.5% of control). 490
Considering that Bcl-2/Bax is a later step (down- 491
stream) in the pathway, these results confirm the 492
participation of Akt/Bcl-2 pathways on the neuropro- 493
tective effects of TM0112. 494
DISCUSSION 495
In recent years, there have been great efforts to 496
establish a deeper understanding of the etiology, neu- 497
ropathology, and neurochemical mechanisms involved 498
in AD in order to develop new therapeutic strategies. 499
Considering the strong evidence of the neuroprotective 500
properties of nicotine, an additional interest in develop- 501
ing new nicotinic agonists as emerged on the potential 502
therapeutic efficacy of these drugs against AD [25]. In 503
our study, the alkaloid-rich extract modified the toxic 504
effects of A� oligomers. Additionally, these results 505
suggest a coupled mechanism between nAChR and 506
a survival signaling pathway (Akt and Bcl-2), espe- 507
cially through the �7 nAChR subtype. We found that 508
TM0112 alone showed no changes in PC-12 viability; 509
therefore, a concentration of 81 ng/ml was chosen for 510
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further assays in neurons finding that it modified the511
A� cytotoxic effect. Because nicotine disturbs cellular512
cycles and promotes hyperplasia [39, 40] in a, PI3K and513
Akt pathway dependent [41], we examined its poten-514
tial mitogenic action. However, this potential effect515
was discarded by various approaches in PC12, cortical,516
and hippocampal neurons. Thus, TM0112 mediates a517
protective mechanism, via nAChR. Additionally, we518
found that TM0112 was able to inhibit the toxic effect519
of A� without affecting cell proliferation.520
We previously reported the strong synaptotoxic521
action caused by 24 h incubation with A� oligomers522
(3–56 kDa) [4, 34]. Here, using calcium microfluo-523
rimetry and electrophysiology, we found that TM0112524
modified neuronal network function weakening, as525
expressed in parameters of frequency of calcium526
transients and overall synaptic activity, respectively.527
Interestingly, neurons treated with TM0112 alone528
showed an increase in activity when compared529
to untreated neurons, also supporting the idea of530
enhanced connectivity. These results were in agree-531
ment with the increase of SV2 immunostaining.532
Therefore, TM0112 not only induced neuronal survival533
in presence of A�, but also protected and enhanced its534
connectivity.535
TM0112 modified A� neurotoxicity viability536
through activation of the �7 nAChR subtype and the537
survival signaling pathway mediated by Akt and Bcl-2.538
For this, we used HEK293T cells, which did not exhibit539
cholinergic responses mediated by nAChR [38, 42].540
This cell line, although distant from neuronal models541
previously used, allowed us to obtain a good indication542
about the mechanism of action of TM0112 on cell via-543
bility. Here, the extract was unable to reverse the toxic544
effects induced by A� and these results are consistent545
with our working hypothesis that TM0112 neuropro-546
tective action is nAChR dependent. Additionally, the547
use of cholinergic blockers; atropine (1 �M), �-BTX548
(3 �M), and MLA (100 nM) allowed us to demon-549
strate that TM0112 protective effect on cell viability550
was dependent on nAChR, probably the �7 subtype.551
Atropine is considered a classic selective antagonist552
of muscarinic acetylcholine receptors, however other553
studies have described actions on nicotinic receptors,554
for example, inhibiting up to 56% (at 1 �M) of cur-555
rents induced by 1 mM acetylcholine in nAChR �2�2,556
�2�4, �3�2, �3�4, �4�2, �4�4, and �7 expressed in557
Xenopus laevi oocytes [43]. Nanomolar concentrations558
of atropine can also competitively block catecholamine559
release induced by DMPP and nicotinic-induced elec-560
trophysiological currents in bovine chromaffin cells561
[44]. The usual concentration of atropine used to block562
muscarinic receptors is 100 nM [43]. We used a work- 563
ing concentration that was 10 times higher in order 564
to guarantee a global blockade of cholinergic trans- 565
mission. Thus, reverting the TM0112 protective effect 566
using atropine indicates that its effect was by one of 567
these two pathways activated by acetylcholine. 568
At a concentration of 3 �M, �-BTX, a selective 569
�7 subtype antagonist, produced a partial blockade 570
of the TM0112 effect suggesting that the effect of 571
TM0112 is produced by activation of nAChR. Addi- 572
tionally, MLA, another �7 selective inhibitor, was also 573
able to block TM0112 effects. Taken together, these 574
experimental data support our hypothesis that TM0112 575
actions depend on �7 nAChR activation. 576
The results showed a significant increase in Akt 577
phosphorylation at 3 h of incubation with TM0112, 578
even in the absence of A�. On the other hand, this 579
increase in p-Akt was no detected at 24 h of incubation. 580
It is known that nicotine can induce Akt phospho- 581
rylation quite rapidly. In bronchial epithelial cells, 582
for example, serine 473 phosphorylation occurs after 583
30–60 min and can persist for 24 h. [41]. Diverse 584
effects of A� have been reported for Akt phosphory- 585
lation [45, 46]. These divergent actions are likely due 586
to the experimental models and the type of A� species 587
used. In our study, we did not expect increases in Akt 588
phosphorylation by A� because this pathway should 589
be already activated when the neurons were exposed 590
to TM0112. These findings reported here are consistent 591
with other studies [47–49], and support the hypothesis 592
of nicotinic modulation by TM0112, where Akt acti- 593
vation is an early event in the �7 dependent survival 594
pathway. 595
Finally, TM0112 was also able to increase the Bcl- 596
2/Bax ratio in the presence of A�, and although this 597
ratio seemed to decrease in cells treated only with 598
TM0112, there were no significant differences as com- 599
pared with control. These experiments were performed 600
after 6, 12, and 24 h of incubation, but only evident 601
effects were observed at 24 h. Therefore, it is possi- 602
ble that the increase in the Bcl-2/Bax ratio will be a 603
later step (downstream) in the pathway, suggesting that 604
Akt activation is necessary to activate Bcl-2/Bax on 605
the nicotinic mediated survival pathway. This is con- 606
sistent with the working hypothesis and indicates that 607
TM0112 activates a signaling pathway associated to 608
nicotine action in neuronal cells. 609
Altogether, these results show that the alkaloid 610
extract from exerts a neuroprotective effect through 611
activation of a signaling pathway that depends on 612
�7 nAChR and can interfere A� toxicity improv- 613
ing cellular viability and functionality (Fig. 10), and 614
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12 J.A. Araya et al. / nAChR Activation by Alkaloids Induces Neuroprotection
could therefore be a source for new potential anti-AD615
drugs.616
ACKNOWLEDGMENTS617
We thank Mrs. L. J. Aguayo for technical assis-618
tance and editing the manuscript; and Carolina Castillo619
for technical assistance. This work was supported by620
Fondecyt Iniciacion 11090091 (JF); Fondecyt 1130747621
(JF), Fondecyt 1100502(LG); and INNOVABIOBIO622
12.118-EM.TES (12.226).623
Authors’ disclosures available online (http://www.j-624
alz.com/disclosures/view.php?id=2222).625
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