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      DDIT3 (CHOP) contributes to retinal ganglion cell somal loss but not axonal degeneration in DBA/2J mice

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          Abstract

          Glaucoma is an age-related neurodegenerative disease characterized by the progressive loss of retinal ganglion cells (RGCs). Chronic ocular hypertension, an important risk factor for glaucoma, leads to RGC axonal injury at the optic nerve head. This insult triggers molecularly distinct cascades governing RGC somal apoptosis and axonal degeneration. The molecular mechanisms activated by ocular hypertensive insult that drive both RGC somal apoptosis and axonal degeneration are incompletely understood. The cellular response to endoplasmic reticulum stress and induction of pro-apoptotic DNA damage inducible transcript 3 (DDIT3, also known as CHOP) have been implicated as drivers of neurodegeneration in many disease models, including glaucoma. RGCs express DDIT3 after glaucoma-relevant insults, and importantly, DDIT3 has been shown to contribute to both RGC somal apoptosis and axonal degeneration after acute induction of ocular hypertension. However, the role of DDIT3 in RGC somal and axonal degeneration has not been critically tested in a model of age-related chronic ocular hypertension. Here, we investigated the role of DDIT3 in glaucomatous RGC death using an age-related, naturally occurring ocular hypertensive mouse model of glaucoma, DBA/2J mice (D2). To accomplish this, a null allele of Ddit3 was backcrossed onto the D2 background. Homozygous Ddit3 deletion did not alter gross retinal or optic nerve head morphology, nor did it change the ocular hypertensive profile of D2 mice. In D2 mice, Ddit3 deletion conferred mild protection to RGC somas, but did not significantly prevent RGC axonal degeneration. Together, these data suggest that DDIT3 plays a minor role in perpetuating RGC somal apoptosis caused by chronic ocular hypertension-induced axonal injury, but does not significantly contribute to distal axonal degeneration.

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          Role of ERO1-α–mediated stimulation of inositol 1,4,5-triphosphate receptor activity in endoplasmic reticulum stress–induced apoptosis

          Introduction Cells possess an important set of integrated signal transduction pathways to ensure proper functioning of the ER under conditions of ER stress or disequilibrium (Malhotra and Kaufman, 2007). However, in certain pathophysiologic situations such as neurodegenerative disease, diabetes, and atherosclerosis, ER stress and ER stress signaling through the unfolded protein response (UPR) are prolonged, leading to apoptosis (Kim et al., 2008). Although activation of apoptosis pathways involving IRE1-α or caspase-12 appears to be applicable to a limited number of ER stress scenarios (Nakagawa et al., 2000; Nishitoh et al., 2002), apoptosis involving the distal UPR-induced transcription factor C/EPB homologous protein (CHOP; GADD153; DDIT3) has been implicated in a wide variety of pathological conditions (Zinszner et al., 1998; Oyadomari et al., 2002; Tajiri et al., 2006; Kim et al., 2008; Song et al., 2008; Thorp et al., 2009). Remarkably, much remains to be learned about the molecular mechanisms linking CHOP expression to specific apoptotic processes. Previous studies have shown that CHOP can suppress prosurvival molecules like Bcl-2 and Trb3 and induce proapoptotic BIM (Bcl-2–interacting mediator of cell death) and oxidant stress (Puthalakath et al., 2007; Kim et al., 2008; Song et al., 2008). However, the precise mechanisms linking these processes to cell death are uncertain. As a pathophysiologically relevant model of ER stress/CHOP-induced apoptosis, our laboratory has been studying UPR-induced macrophage apoptosis (Feng et al., 2003; Kim et al., 2008). This process depends on CHOP and plays an important role in plaque necrosis in advanced atherosclerosis (Feng et al., 2003; Thorp et al., 2009). In this model, ER-released cytosolic calcium plays a critical role in the activation of several death effector pathways downstream of the calcium-activated signaling kinase CaMKII (Seimon et al., 2006; Lim et al., 2008; Timmins et al., 2009). Thus, in ER-stressed macrophages, as in many other scenarios involving ER stress–induced and calcium-mediated apoptosis (Kim et al., 2008), a key goal is to elucidate the molecular antecedents of ER calcium release. Based on a previous study showing the ability of the CHOP target ERO1-α (ER oxidase 1 α) to hyperoxidize the lumen of the ER (Marciniak et al., 2004) and another suggesting oxidation-induced activation of the ER calcium release channel inositol 1,4,5-triphosphate (IP3) receptor (IP3R; Higo et al., 2005), we set out to test the novel hypothesis that CHOP, through ERO1-α induction, activates IP3R-mediated ER calcium release and thereby triggers apoptosis. Results and discussion ERO1-α is critical for ER stress–induced apoptosis UPR-induced apoptosis can be triggered by a robust ER stress stimulus or through the combination of low level ER stress plus a “second hit” (Zinszner et al., 1998; Seimon and Tabas, 2009). In macrophages, the former mechanism can be modeled using tunicamycin, azetidine, or 7-ketocholesterol, an athero-relevant UPR activator. The two-hit mechanism can be modeled by (a) excess lipoprotein–cholesterol, in which the ER stress stimulus is cholesterol loading of the ER membrane and the second hit is lipoprotein-mediated engagement of pattern recognition receptors, which enhance ER stress–induced apoptotic pathways and suppress compensatory cell survival pathways (Feng et al., 2003; Li et al., 2004; DeVries-Seimon et al., 2005; Seimon et al., 2006; Thorp et al., 2009); or (b) the combination of low dose thapsigargin as the ER stressor and fucoidan, a ligand for the type A scavenger receptor, as the second hit (DeVries-Seimon et al., 2005). Using the lipoprotein–cholesterol model, we found an approximately twofold increase in Ero1a mRNA and an ∼50% increase in ERO1-α protein (Fig. 1 a). In Chop−/− macrophages, the increase in Ero1a mRNA and both basal and ER stress–induced ERO1-α protein were diminished. Using siRNA species that decrease ERO1-α protein (Fig. 1 b) and activity (not depicted), we found that partial silencing of the oxidase led to a significant reduction in macrophage apoptosis in both the lipoprotein–cholesterol and the thapsigargin–fucoidan models (Fig. 1 c). Similar results, including those using 7-ketocholesterol, were obtained using macrophages from Ero1a−/− mice, which have no detectable ERO1-α by immunoblotting (Fig. 1 d and see Fig. 3 g). ERO1-α siRNA did not block apoptosis in macrophages treated with staurosporine, a protein kinase C inhibitor which induces apoptosis by a non-ER stress mechanism (Fig. 1 e). To further prove the role of ERO1-α in CHOP-dependent apoptosis, macrophages from wild-type (WT) or Chop−/− mice were transduced with adenovirus containing murine Ero1a cDNA to restore ERO1-α to a level similar to that in WT macrophages (Fig. 1 f). Cholesterol-induced apoptosis was partially suppressed in Chop−/− macrophages transduced with control adeno-LacZ, which is consistent with our previous data (Feng et al., 2003; Kim et al., 2008), but apoptosis was not suppressed in cholesterol-loaded Chop−/− macrophages transduced with Ero1a. These data indicate that ERO1-α plays an important role in ER stressed–induced, CHOP-dependent apoptosis in macrophages. Figure 1. Role of ERO1-α in ER stress–induced apoptosis in macrophages. (a) Macrophages from Chop+/+ (WT) and Chop−/− mice were incubated under control (Con) or cholesterol-loading (Chol) conditions for 8 h. Ero1a mRNA was then assayed by RT-QPCR (left; *, P < 0.001 for Ero1a mRNA). The graph on the top right shows the time course for this response; data points represent the mean of duplicate samples, which varied by <10% from each other. The immunoblot shows the ERO1-α protein level at 8 h. (b) Macrophages were transfected with three separate siRNA species directed against murine Ero1a. 72 h after transfection, ERO1-α protein was assayed by immunoblotting. (c) Macrophages were incubated for 30 h under control conditions, under cholesterol-loading conditions, or with 0.25 µM thapsigargin plus 25 µg/ml of the type A scavenger receptor ligand fucoidan. In each of these three groups of cells, there were four pretreatment subgroups: no RNA, scrambled (Scr) RNA, ERO1-α siRNA #2, or ERO1-α siRNA #3. At the end of the 30-h incubation, the cells were analyzed for apoptosis by annexin V staining (*, P < 0.01; and **, P < 0.05 vs. other values in same group). (d) Macrophages from WT or Ero1a−/− mice were assayed for apoptosis after incubation for 16 h under control conditions, under cholesterol-loading conditions, or with 50 µM 7-ketocholesterol (7-KC; *, P < 0.01; and **, P < 0.001 for Ero1a vs. WT macrophages). (e) Macrophages were pretreated with either scrambled RNA or ERO1-α siRNA #2, incubated for 15 h in the absence (Con) or presence of 100 nM staurosporine (STS), and then analyzed for apoptosis (*, P < 0.001 for STS vs. control). (f) Macrophages from WT or Chop−/− mice were transduced with adenovirus (Ad) containing murine Ero1a cDNA or a control LacZ construct at 500 MOI. 32 h after the addition of virus, one set of cells was harvested for ERO1-α immunoblotting, and another set was incubated for 16 h under control or cholesterol-loading conditions and then assayed for apoptosis (*, P < 0.001). (a and c–f) Error bars show SEM (n = 3). ERO1-α activates IP3-induced calcium release (IICR) during ER stress Based on previous studies showing a critical role for cytosolic calcium in ER stress–induced macrophage apoptosis (Seimon et al., 2006; Lim et al., 2008) and a possible link between the redox state of the ER lumen and IP3R function (Higo et al., 2005; Kang et al., 2008), we tested the hypothesis that ERO1-α would sensitize IP3Rs to IP3-mediated activation during ER stress. Because fluorescent calcium-sensitive dyes rapidly bleach, we relied on (a) a standard assay in which IICR is acutely assessed at a given time point after ER stress using the ATP–purinergic receptor pathway as a tool to acutely generate IP3 (Charest et al., 1985) and (b) assays of IP3R-dependent, calcium-responsive processes in the cytoplasm (see next section). When scrambled RNA–treated control macrophages were exposed to the ER stressor tunicamycin, there was an approximately twofold increase in IICR (Fig. 2 a). Note that at the time IICR was measured in these experiments, i.e., 8 h after the addition of tunicamycin, ER lumenal calcium, as assessed by recording thapsigargin-releasable calcium, was lower in the ER-stressed cells (Fig. S1 a). Therefore, the ER stress–induced increase in IICR at the time of the assay cannot be explained by higher ER lumenal calcium but rather is caused by a higher fraction of ER calcium being released via IP3R. In macrophages treated with ERO1-α siRNA, tunicamycin did not lead to an increase in IICR (Fig. 2 a), indicating that activation of IICR by tunicamycin was dependent on ERO1-α. The decrease in IICR in ERO1-α–deficient versus ERO1-α normal tunicamycin-treated cells could not be explained by a reduction in ER lumenal calcium in the ERO1-α–deficient cells (Fig. S1 a). Macrophages exposed to excess lipoprotein–cholesterol also demonstrated increased IICR, and this effect was suppressed not only by ERO1-α siRNA but also in macrophages from Ero1a−/− mice (Fig. 2, b and c). As was the case with tunicamycin, the increase in IICR with cholesterol loading cannot be explained by increased ER lumenal calcium, and the decrease in IICR with ERO1-α siRNA cannot be explained by a decrease in lumenal calcium (Fig. S1 b). Figure 2. Role of ERO1-α in ER stress–induced activation of IICR. (a) Macrophages were transfected with either scrambled RNA (scrRNA) or ERO1-α siRNA, incubated for 8 h in the absence or presence of 5 µg/ml tunicamycin (TUN), and then assayed for IICR. The left graph shows a representative experiment in which Fluo-3 fluorescence is expressed as fmax/f0 as a function of time (the arrow indicates ATP addition). The right bar graphs show the post-ATP area increment in fmax/f0 for the first peak and AUC for the ATP-induced calcium release in the first 40 s for n = 30 cells (*, P < 0.001). (b) The experiment was conducted as in panel a, but the cells were loaded with lipoprotein–cholesterol (Chol) instead being treated with tunicamycin (*, P < 0.01; and **, P < 0.05). (c) The experiment was conducted as in panel b, but the responses in macrophages from WT or Ero1a−/− mice were compared (*, P < 0.001). (a–c) Error bars show SEM. IP3R1 is necessary for ER stress–induced apoptosis To determine directly whether IP3R is required for ER stress–induced apoptosis, we used an siRNA knockdown approach. Using reverse transcriptase quantitative PCR (RT-QPCR), we found that the major IP3R isoform expressed in macrophages is IP3R1 (unpublished data). The effect of four individual IP3R1 siRNA species on IP3R1 mRNA levels is shown in Fig. 3 a (left). The two most potent siRNAs blocked the increment in IICR in cholesterol-loaded cells (Fig. 3 a, right), and there was a close correlation between suppression of IP3R1 mRNA and suppression of cholesterol-induced apoptosis (Fig. 3 b, left). Moreover, treatment of the cells with the IP3R blocker xestospongin C (Narasimhan et al., 1998) also markedly reduced cholesterol-induced apoptosis (Fig. 3 b, right). Figure 3. Relationships among IP3R1, NAC-inhibitable oxidation, CaMKII phosphorylation, and apoptosis. (a, left) Macrophages were transfected with four separate siRNA species directed against murine Ip3r1. 72 h after transfection, Ip3r1 mRNA was assayed by RT-QPCR. (right) A separate group of cells was subjected to control (Con) or cholesterol-loading conditions and then assayed for IICR (*, P < 0.05). (b, left) Macrophages treated as in panel a were assayed for apoptosis by annexin V staining (*, P < 0.05). (right) Another group of macrophages was preincubated for 1 h with vehicle control or 0.5 µM of the IP3R inhibitor xestospongin C (XestoC), subjected to control or cholesterol-loading (Chol) conditions, also in the absence or presence of xestospongin C, and then assayed for apoptosis (**, P < 0.01). (c) MEFs from WT and Ero1a−/− mice were incubated for 8 h with 5 mM azetidine (Aze) and then assayed for IICR (*, P < 0.05). (d, left) MEFs from WT and Ero1a−/− mice were incubated for 15 h with 10 µg/ml tunicamycin (TUN) or with 10 mM azetidine (AZE) and then assayed for apoptosis (*, P < 0.001 vs. WT MEFs; and **, P < 0.05 vs. tunicamycin group). (right) MEFs from WT mice were preincubated for 1 h with vehicle control or 0.5 µM xestospongin C, incubated for 15 h with 10 µg/ml tunicamycin or with 10 mM azetidine, also in the absence or presence of xestospongin C, and then assayed for apoptosis (*, P < 0.001 for Ero1a−/− vs. WT; for xestospongin C vs. untreated, and for azetidine vs. tunicamycin). (e) Macrophages were incubated for 8 h under control or cholesterol-loading conditions in the absence or presence of 1 mM NAC. The cells were then loaded with Fluo-3 and assayed for IICR (*, P < 0.001; and **, P < 0.05). (f) Macrophages were incubated for 16 h under control or cholesterol-loading conditions in the absence or presence of 1 mM NAC and then assayed for apoptosis. The bar graph shows the quantified data (*, P < 0.001). (a–f) Error bars show SEM (n = 3). (g) Macrophages from WT or Ero1a−/− mice were incubated for the indicated times under cholesterol-loading conditions. Cell lysates were then assayed by immunoblotting for expression of phospho-CaMKII (P-CaMKII), total CaMKII, ERO1-α, CHOP, and β-actin. Bar, 20 µm. To determine whether these observations were applicable to another cell type, we examined murine embryonic fibroblasts (MEFs). Ero1a−/− MEFs, which have no detectable ERO1-α as measured by immunoblotting (Fig. 3 g), displayed no compensatory increase in PKR-like ER kinase (PERK) phosphorylation, CHOP expression, or XBP-1 splicing under basal conditions, and they demonstrated UPR activation after exposure to either tunicamycin or the Pro analogue azetidine to a degree similar to that in WT cells (Fig. S2). Azetidine, which promotes protein misfolding on both polysomes and free ribosomes and thus elicits both ER stress and heat shock responses (Watowich and Morimoto, 1988), caused a heightened IP3R-mediated calcium release in WT cells but not in Ero1a−/− cells (Fig. 3 c). In terms of apoptosis, both tunicamycin and azetidine triggered apoptosis, with the azetidine response being more robust, and the Ero1a−/− MEFs were protected in both situations (Fig. 3 d, left). Xestospongin C also suppressed both tunicamycin- and azetidine-induced apoptosis in MEFs (Fig. 3 d, right), indicating a role for IP3R activity. Thus, the ERO1-α–IP3R apoptosis pathway is operational in MEFs subjected to ER stress or the combination of ER stress and a heat shock response. As mentioned previously, it is plausible that ERO1-α enhances IP3R activity by hyperoxidation of the ER lumen (Higo et al., 2005; Kang et al., 2008). Consistent with this hypothesis, the antioxidant N-acetyl-Cys (NAC) inhibited both the increment in IICR and apoptosis in cholesterol-loaded macrophages (Fig. 3, e and f). Activation of CaMKII, which can be assessed by Thr287 phosphorylation, is a key signaling event linking release of ER calcium to apoptosis in ER-stressed macrophages (Lim et al., 2008; Timmins et al., 2009). Time course analyses revealed phosphorylation of the enzyme in both early and late phases of cholesterol loading, and, interestingly, it was only the later phase that required ERO1-α (Fig. 3 g). Thus, an ERO1-α–independent event may be responsible for the initial activation of CaMKII, but sustained activation of the kinase appears to be ERO1-α dependent. The data in Fig. 3 e and in Fig. S2 also show that cholesterol-induced CHOP induction is normal in Ero1a−/− macrophages. Thus, the finding that ERO1-α deletion blocks CaMKII activation and apoptosis (Fig. 1 d) under these conditions is not simply the result of reduced CHOP expression. CHOP is necessary for activation of IICR during ER stress in vitro and in vivo To directly link CHOP with ER calcium release, we assayed ER stress–induced, IP3R-mediated calcium release in peritoneal macrophage isolated from WT versus Chop−/− mice. In both tunicamycin-treated and cholesterol-loaded cells, we found that the increment in IICR was abrogated by Chop deletion (Fig. 4, a and b). Moreover, the increment in IICR could be restored in ER-stressed Chop−/− macrophages through adenovirus-mediated restoration of ERO1-α to WT levels (Fig. 4 c). Together, these findings support the existence of a CHOP–ERO1-α–IP3R pathway under conditions of ER stress. Figure 4. Role of CHOP in ER stress–induced IICR. (a and b) Macrophages from WT or Chop−/− mice were incubated for 8 h in the absence or presence of 5 µg/ml tunicamycin (TUN; a) or under control (Con) or cholesterol-loading (Chol) conditions (b) and then assayed for IICR (*, P < 0.001; and **, P < 0.05). (c) Macrophages from Chop−/− mice were transduced with adenovirus (Ad) containing murine Ero1a cDNA or a control LacZ construct at 500 MOI. 32 h after the addition of virus, the cells were assayed for IICR. Quantitative data for the post-ATP increment in first peak fmax/f0, including those for control WT mice transduced with adeno-LacZ (which are not displayed on the line-scatter graph), are shown in the right graph (*, P < 0.001). The post-ATP area AUC data also showed restoration of IICR in cholesterol-loaded Chop−/− macrophages by adeno-Ero1a (not depicted). (a–c) Error bars show SEM (n = 3). To determine whether ER stress leads to activation of the CHOP–IP3R pathway in vivo, WT and Chop−/− mice were injected i.v. with a low dose of tunicamycin, which promotes systemic ER stress without obvious detrimental effects on the mice (Zinszner et al., 1998). Macrophages were harvested from the peritoneum and assayed soon thereafter for CHOP expression and IICR. As expected, CHOP was induced in macrophages from tunicamycin-treated WT mice (Fig. 5 a, inset). Most importantly, macrophages from WT mice but not Chop−/− mice had a significantly higher IICR than those from nontreated mice (Fig. 5 a). These data indicate that macrophage IICR is increased by systemic ER stress in vivo in a CHOP-dependent manner. Figure 5. ER stress–induced IICR in vivo. (a) WT and Chop−/− mice were injected with vehicle or 0.02 mg/kg tunicamycin (TUN). 16 h later, peritoneal macrophages were harvested and assayed within 30 min for CHOP, ERO1-α, and β-actin expression by immunoblotting (inset) or for IICR (*, P < 0.001; **, P < 0.05). The arrow indicates ATP addition. (b) Macrophages from WT and ob/ob mice were analyzed for Chop mRNA by RT-QPCR (*, P < 0.05). (c) Macrophages from WT and ob/ob mice were analyzed for IICR as in panel a (*, P < 0.01; and **, P < 0.05). (a–c) Error bars show SEM (n = 3). A previous study showed evidence of ER stress in the liver and adipose tissue of insulin-resistant obese mice, including leptin-deficient ob/ob mice (Ozcan et al., 2004), and we found that macrophages from ob/ob mice are more susceptible to ER stress–induced apoptosis (Senokuchi et al., 2008). Therefore, we compared macrophages from WT and ob/ob mice for CHOP expression and IICR. We found that macrophages freshly harvested from ob/ob mice had elevated expression of Chop mRNA and showed a striking elevation of IICR compared with macrophages from WT mice (Fig. 5, b and c). Thus, macrophage IICR is elevated in an in vivo model of insulin resistance–induced ER stress. In summary, our data provide evidence for a new pathway linking the CHOP branch of the UPR to calcium-induced apoptosis, a scenario which has been implicated in a wide range of disease processes (Kim et al., 2008). In this sense, the mechanism revealed herein may complement another calcium-mediated apoptosis process induced by the PERK pathway that involves induction of a truncated variant of sarcoplasmic/ER calcium ATPase (SERCA) called S1T (Chami et al., 2008). The molecular mechanisms by which ERO1-α enhances IP3R activity remain to be determined. Prolonged ERO1-α induction would be expected to hyperoxidize the ER lumen (Marciniak et al., 2004), which might shift the equilibrium between the reduced and disulfide-bonded state of Cys residues in the lumenal portion of IP3R. Previous studies have correlated disulfide bond formation with activation of IP3R (Higo et al., 2005) and suggested a role for disulfide bond formation, possibly between Cys2496 and Cys2504 in IP3R1, in promoting the disruption of a repressive interaction between the protein disulfide isomerase–like protein ERp44 and IP3R (Kang et al., 2008). Our data are consistent with this concept. For example, the antioxidant NAC inhibited IICR in ER-stressed macrophages (Fig. 3 c), and IP3R1 and ERp44 can be recovered in a complex in lysates of control macrophages but not in lysates of ER-stressed macrophages (not depicted), which correlates with low and high IICR, respectively. Moreover, the complex could also be recovered in ER-stressed macrophages in which ERO1-α was silenced by siRNA, which correlates with the suppression of IICR in these cells (unpublished data). Although the molecular details of lumenal redox regulation of IP3R activity remain to be worked out, these findings are consistent with a model in which prolonged ER stress, through ERO1-α–mediated hyperoxidation of the ER lumen, enhances IICR, at least in part, by disrupting an interaction between ERp44 and IP3R1. A major impetus for this study was previous evidence implicating IP3R-mediated calcium release in a wide variety of apoptosis scenarios (Khan et al., 1996; Jayaraman and Marks, 1997; Deniaud et al., 2008; for review see Hajnóczky et al., 2006). In these scenarios, apoptosis often involves excess ER to mitochondria calcium flow and proapoptotic mitochondrial dysfunction, and we have shown that loss of mitochondrial membrane potential occurs and is important in ER stress–induced macrophage apoptosis (Yao and Tabas, 2001). Boehning et al. (2003) have reported that cytochrome c, which is released from dysfunctional mitochondria, can bind and activate IP3Rs. Thus, the IP3R–calcium–mitochondria pathway of death might be part of a positive feedback amplification cycle. In addition, several publications have reported that activation of ryanodine receptors and/or inactivation of the ER calcium ATPase pump SERCA might also contribute to calcium-induced apoptosis (for review see Hajnóczky et al., 2006). Regarding SERCA, calreticulin-mediated recruitment of ERp57 promotes the formation of an inhibitory disulfide bond (Li and Camacho, 2004). Thus, analogous redox mechanisms, one of which activates IP3R and the other of which inhibits SERCA, could promote the accumulation of cytosolic calcium by complementary mechanisms. The concept of amplification of the calcium response during apoptosis is important because physiological ER release and mitochondrial uptake of calcium must be distinct from those processes involved in apoptosis. We have shown recently that CHOP deficiency leads to a decrease in macrophage apoptosis and plaque necrosis in advanced atheromata of fat-fed Apoe−/− and Ldlr−/− mice (Thorp et al., 2009). Moreover, we show in this study that macrophages from obese mice have increased expression of CHOP and increased ERO1-α–dependent IICR. Importantly, macrophages from obese, insulin-resistant mice are more susceptible to ER stress–induced apoptosis, and macrophage insulin resistance promotes macrophage apoptosis and plaque necrosis in advanced atherosclerotic lesions (Han et al., 2006). The link between obesity/insulin resistance and ER stress–induced macrophage apoptosis is a critical point because the epidemic of obesity and insulin resistance is becoming the major driver of cardiovascular disease in industrialized societies (Grundy, 2004). The new mechanistic insights described in this study may suggest novel strategies to prevent pathophysiologic ER stress–induced cell death, including that occurring in advanced atherosclerosis. Materials and methods Mice C57BL/6J mice and ob/ob mice in the C57BL/6J background were purchased from The Jackson Laboratory. Chop−/− (Ddit3−/− ) mice were generated as previously described (Zinszner et al., 1998) and backcrossed for 10 generations into the C57BL/6J background. Ero1a mutant mice were generated from the embryonic stem cell line XST171 (Bay Genomics) with a disrupting insertion into the Ero1l locus. Chimeric mice were bred to C57BL/6J to generate heterozygous mutant F1 progeny that were intercrossed to generate female F2 siblings with divergent Ero1l genotypes from which macrophages were procured after methyl-BSA immunization as described in the next section. Cells Peritoneal macrophages from WT or mutant mice were harvested 3 d after i.p. injection of concanavalin A or 4 d after i.p. injection of methyl-BSA in mice that had previously been immunized with this antigen (Cook et al., 2003). Macrophages were harvested by peritoneal lavage with ice-cold PBS and maintained in DME containing 10% FBS and 20% L cell–conditioned medium. The medium was replaced every 24 h until the cells reached 80–90% confluency. Cholesterol loading was achieved by incubating the cells with 50 µg/ml acetyl–low density lipoprotein plus 10 µg/ml 58035 for the indicated times (DeVries-Seimon et al., 2005). The medium was changed every other day and immediately before treatments. MEFs from Ero1a−/− and littermate WT mice were prepared from 13.5-d embryos as described previously (Zinszner et al., 1998) and cultured in DME/10% FBS. Calcium imaging Macrophages cultured on 25-mm coverslips were placed in 35-mm dishes and loaded with 4 µM Fluo-3 acetoxymethyl ester (Invitrogen) and 0.08% Pluronic F-127 in HBSS at room temperature for 30 min. The cells were then washed twice with HBSS, incubated in HBSS for an additional 30 min, and then mounted on the stage of an inverted confocal microscope (Live5; Carl Zeiss, Inc.) equipped with a 40× objective. 250 µM sulphinpyrazone was included in all solutions to prevent excretion of the Fluo-3 by the macrophages. To trigger IICR, 10 µM ATP was added directly to the cell solution (Charest et al., 1985). In the experiments displayed in Fig. S1, 2 µM thapsigargin, a SERCA inhibitor, was added to assess ER calcium stores at the end of the experiment (Feng et al., 2003; Kim et al., 2008). Cells were excited using the 488-nm laser line, and images were acquired at 1-s intervals under time-lapse mode and subsequently analyzed using ImageJ (National Institutes of Health). The data are presented as a ratio of fmax/f0, where fmax represents the maximum fluorescence intensity obtained with ATP stimulation and f0 indicates the baseline fluorescence intensity. These data were quantified as either the increment in fmax/f0 for the first peak or the area under the curve (AUC) for all peaks. Apoptosis assay Apoptosis was assayed by annexin V staining using the Vybrant Apoptosis Assay kit number 2 (Invitrogen; Yao and Tabas, 2000). At the end of the incubation period, the cells were gently washed once with PBS and then incubated for 15 min at room temperature with 110 µl of annexin V–binding buffer (25 mM Hepes, 140 mM NaCl, 1 mM EDTA, pH 7.4, and 0.1% BSA) containing 10 µl Alexa Fluor 488– or Alexa Fluor 594–conjugated annexin V. The staining mixture was removed and replaced with 110 µl of binding buffer. The cells were viewed immediately at room temperature with an inverted fluorescent microscope (IX-70; Olympus) equipped with filters appropriate for fluorescein (Alexa Fluor 488) or rhodamine (Alexa Fluor 594), and images were obtained with a charge-coupled device camera (CoolSNAP RS; Photometrics) equipped with imaging software from Roper Scientific. Three fields of ∼700 cells per field were photographed for each condition, and the number of annexin V–positive cells in each field was counted and expressed as a percentage of the total number of cells. Immunoblotting Cell extracts were electrophoresed on 4–20% gradient SDS-PAGE gels (Bio-Rad Laboratories) and transferred to 0.22-µM nitrocellulose membranes. The membranes were blocked for 1 h at room temperature in Tris-buffered saline and 0.1% Tween 20 (TBST) containing 5% (wt/vol) nonfat milk. The membranes were then incubated with primary antibody in TBST containing 5% nonfat milk or BSA at 4°C overnight, followed by incubation with the appropriate secondary antibody coupled to horseradish peroxidase. Proteins were detected by ECL chemiluminescence (Thermo Fisher Scientific). Anti–murine ERO1-α antibody was purchased from Novus Biologicals; anti-CHOP antibody was purchased from Santa Cruz Biotechnology, Inc.; anti–β-actin and anti–phospho-Thr287-CaMKII antibodies were purchased from Millipore. siRNA silencing of ERO1-α siRNA sequences against murine ERO1-α were generated by QIAGEN. The target sequences were 5′-TAGGGCCTATTTATACTACAA-3′, 5′-CAGCTCTTCACTGGGAATAAA-3′, and 5′-TTGCTCGAAGTTCAAGTTTAA-3′ and are referred to in the text as ERO1-α siRNA #1, #2, and #3, respectively. A set of FlexiTube of siRNA against murine IP3R1 was purchased from QIAGEN (SI01079071, SI01079078, SI01079085, and SI01079092). The siRNA was transfected into macrophages grown to 50% confluency using Lipofectamine 2000 (Invitrogen) according to the manufacturer's instructions. A final mass of 50 pg siRNA was added to each well. After 4 h of transfection, the media were replaced, and 72 h later, the indicated experiments were conducted. Adenoviral transduction Adenoviruses containing the constructs for murine Ero1a or LacZ were made by Viraquest, Inc. Macrophages were infected with the virus at a MOI of 500 in medium containing 2% serum for 4 h, after which DME containing 10% FBS and 20% L cell-conditioned medium was added. Experiments were conducted 32 h later. Analysis of adeno-GFP expression indicated an infection rate of ∼80%. In vivo model of ER stress using i.v. tunicamycin C57BL/6J mice and Chop−/− mice were injected i.p. with concanavalin A, and then 3 d later, the mice were given a single 20 µg/kg body weight i.v. injection of tunicamycin. After 16 h, peritoneal macrophages were collected, cultured on tissue culture dishes, and either probed for CHOP expression by immunoblot or assayed for IICR as described in Calcium imaging. Statistics Data are presented as mean ± SEM. For most of the bar graph data, n = 3 for each experimental group. However, for the bar graphs depicting fmax/f0 data, n = ∼30 per group. Analysis of variance followed by Tukey post-test (Prism 4 version 4.03; GraphPad Software, Inc.) was used to determine statistical significance among all groups. Online supplemental material Fig. S1 shows the thapsigargin-releasable ER calcium stores in response to ER stress and ERO1-α silencing. Fig. S2 shows the effect of ER stress on markers of the IRE1 and PERK branches of the UPR in WT versus Ero1a−/− cells. Online supplemental material is available at http://www.jcb.org/cgi/content/full/jcb.200904060/DC1.
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            Morphologic changes in the lamina cribrosa correlated with neural loss in open-angle glaucoma.

            We divided 25 glaucomatous human eyes into three groups representing mild (Group 1, seven eyes), moderate (Group 2, 11 eyes), and severe (Group 3, six eyes) optic nerve damage, based on visual field testing or remaining number of optic nerve fibers. The optic nerve head of each eye was examined by scanning electron microscopy. Compression of the successive lamina cribrosa sheets was the earliest detected abnormality, occurring in some eyes before the detection of visual field loss. Backward bowing of the entire lamina cribrosa was a later change and involved its upper and lower poles more than the mid-nerve head. The diameter of the scleral opening at the level of Bruch's membrane did not enlarge in these adult glaucomatous eyes. Mechanical compression of the nerve head occurred early enough to be considered a primary pathogenetic event in glaucomatous damage.
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              Is Open Access

              Progressive ganglion cell loss and optic nerve degeneration in DBA/2J mice is variable and asymmetric

              Background Glaucoma is a chronic neurodegenerative disease of the retina, characterized by the degeneration of axons in the optic nerve and retinal ganglion cell apoptosis. DBA/2J inbred mice develop chronic hereditary glaucoma and are an important model system to study the molecular mechanisms underlying this disease and novel therapeutic interventions designed to attenuate the loss of retinal ganglion cells. Although the genetics of this disease in these mice are well characterized, the etiology of its progression, particularly with respect to retinal degeneration, is not. We have used two separate labeling techniques, post-mortem DiI labeling of axons and ganglion cell-specific expression of the βGeo reporter gene, to evaluate the time course of optic nerve degeneration and ganglion cell loss, respectively, in aging mice. Results Optic nerve degeneration, characterized by axon loss and gliosis is first apparent in mice between 8 and 9 months of age. Degeneration appears to follow a retrograde course with axons dying from their proximal ends toward the globe. Although nerve damage is typically bilateral, the progression of disease is asymmetric between the eyes of individual mice. Some nerves also exhibit focal preservation of tracts of axons generally in the nasal peripheral region. Ganglion cell loss, as a function of the loss of βGeo expression, is evident in some mice between 8 and 10 months of age and is prevalent in the majority of mice older than 10.5 months. Most eyes display a uniform loss of ganglion cells throughout the retina, but many younger mice exhibit focal loss of cells in sectors extending from the optic nerve head to the retinal periphery. Similar to what we observe in the optic nerves, ganglion cell loss is often asymmetric between the eyes of the same animal. Conclusion A comparison of the data collected from the two cohorts of mice used for this study suggests that the initial site of damage in this disease is to the axons in the optic nerve, followed by the subsequent death of the ganglion cell soma.
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                Author and article information

                Contributors
                +585-275-7186 , richard_libby@urmc.rochester.edu
                Journal
                Cell Death Discov
                Cell Death Discov
                Cell Death Discovery
                Nature Publishing Group UK (London )
                2058-7716
                10 October 2019
                10 October 2019
                2019
                : 5
                : 140
                Affiliations
                [1 ]ISNI 0000 0004 1936 9166, GRID grid.412750.5, Department of Ophthalmology, Flaum Eye Institute, , University of Rochester Medical Center, ; Rochester, NY USA
                [2 ]ISNI 0000 0004 1936 9166, GRID grid.412750.5, Cell Biology of Disease Graduate Program, , University of Rochester Medical Center, ; Rochester, NY USA
                [3 ]ISNI 0000 0004 1936 9174, GRID grid.16416.34, The Center for Visual Sciences, , University of Rochester, ; Rochester, NY USA
                [4 ]ISNI 0000 0004 1936 9166, GRID grid.412750.5, Medical Scientist Training Program, , University of Rochester Medical Center, ; Rochester, NY USA
                [5 ]ISNI 0000 0004 1936 9166, GRID grid.412750.5, Department of Biomedical Genetics, , University of Rochester Medical Center, ; Rochester, NY USA
                Author information
                http://orcid.org/0000-0002-0078-6088
                http://orcid.org/0000-0003-2844-7632
                Article
                220
                10.1038/s41420-019-0220-4
                6787076
                31632741
                0427ceb0-cd0e-41eb-ad6f-9d8c299dc437
                © The Author(s) 2019

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 4 August 2019
                : 4 September 2019
                Funding
                Funded by: FundRef https://doi.org/10.13039/100000053, U.S. Department of Health & Human Services | NIH | National Eye Institute (NEI);
                Award ID: EY018606
                Award ID: EY027701
                Award ID: EY007125
                Award Recipient :
                Funded by: U.S. Department of Health & Human Services | NIH | National Eye Institute (NEI)
                Funded by: FundRef https://doi.org/10.13039/100001818, Research to Prevent Blindness (RPB);
                Award ID: Unrestricted
                Award Recipient :
                Funded by: U.S. Department of Health & Human Services | NIH | National Eye Institute (NEI)
                Funded by: FundRef https://doi.org/10.13039/100000057, U.S. Department of Health & Human Services | NIH | National Institute of General Medical Sciences (NIGMS);
                Award ID: GM007356
                Award Recipient :
                Categories
                Article
                Custom metadata
                © The Author(s) 2019

                cell death in the nervous system,glaucoma
                cell death in the nervous system, glaucoma

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