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      Idebenone and Resveratrol Extend Lifespan and Improve Motor Function of HtrA2 Knockout Mice

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          Abstract

          Heterozygous loss-of-function mutation of the human gene for the mitochondrial protease HtrA2 has been associated with increased risk to develop mitochondrial dysfunction, a process known to contribute to neurodegenerative disorders such as Huntington's disease (HD) and Parkinson's disease (PD). Knockout of HtrA2 in mice also leads to mitochondrial dysfunction and to phenotypes that resemble those found in neurodegenerative disorders and, ultimately, lead to death of animals around postnatal day 30. Here, we show that Idebenone, a synthetic antioxidant of the coenzyme Q family, and Resveratrol, a bioactive compound extracted from grapes, are both able to ameliorate this phenotype. Feeding HtrA2 knockout mice with either compound extends lifespan and delays worsening of the motor phenotype. Experiments conducted in cell culture and on brain tissue of mice revealed that each compound has a different mechanism of action. While Idebenone acts by downregulating the integrated stress response, Resveratrol acts by attenuating apoptosis at the level of Bax. These activities can account for the delay in neuronal degeneration in the striata of these mice and illustrate the potential of these compounds as effective therapeutic approaches against neurodegenerative disorders such as HD or PD.

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          Most cited references40

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          Extrinsic versus intrinsic apoptosis pathways in anticancer chemotherapy.

          Apoptosis or programmed cell death is a key regulator of physiological growth control and regulation of tissue homeostasis. One of the most important advances in cancer research in recent years is the recognition that cell death mostly by apoptosis is crucially involved in the regulation of tumor formation and also critically determines treatment response. Killing of tumor cells by most anticancer strategies currently used in clinical oncology, for example, chemotherapy, gamma-irradiation, suicide gene therapy or immunotherapy, has been linked to activation of apoptosis signal transduction pathways in cancer cells such as the intrinsic and/or extrinsic pathway. Thus, failure to undergo apoptosis may result in treatment resistance. Understanding the molecular events that regulate apoptosis in response to anticancer chemotherapy, and how cancer cells evade apoptotic death, provides novel opportunities for a more rational approach to develop molecular-targeted therapies for combating cancer.
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            Noxa, a BH3-only member of the Bcl-2 family and candidate mediator of p53-induced apoptosis.

            A critical function of tumor suppressor p53 is the induction of apoptosis in cells exposed to noxious stresses. We report a previously unidentified pro-apoptotic gene, Noxa. Expression of Noxa induction in primary mouse cells exposed to x-ray irradiation was dependent on p53. Noxa encodes a Bcl-2 homology 3 (BH3)-only member of the Bcl-2 family of proteins; this member contains the BH3 region but not other BH domains. When ectopically expressed, Noxa underwent BH3 motif-dependent localization to mitochondria and interacted with anti-apoptotic Bcl-2 family members, resulting in the activation of caspase-9. We also demonstrate that blocking the endogenous Noxa induction results in the suppression of apoptosis. Noxa may thus represent a mediator of p53-dependent apoptosis.
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              BCL-2, BCL-X(L) sequester BH3 domain-only molecules preventing BAX- and BAK-mediated mitochondrial apoptosis.

              Critical issues in apoptosis include the importance of caspases versus organelle dysfunction, dominance of anti- versus proapoptotic BCL-2 members, and whether commitment occurs upstream or downstream of mitochondria. Here, we show cells deficient for the downstream effectors Apaf-1, Caspase-9, or Caspase-3 display only transient protection from "BH3 domain-only" molecules and die a caspase-independent death by mitochondrial dysfunction. Cells with an upstream defect, lacking "multidomain" BAX, BAK demonstrate long-term resistance to all BH3 domain-only members, including BAD, BIM, and NOXA. Comparison of wild-type versus mutant BCL-2, BCL-X(L) indicates these antiapoptotics sequester BH3 domain-only molecules in stable mitochondrial complexes, preventing the activation of BAX, BAK. Thus, in mammals, BH3 domain-only molecules activate multidomain proapoptotic members to trigger a mitochondrial pathway, which both releases cytochrome c to activate caspases and initiates caspase-independent mitochondrial dysfunction.
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                Author and article information

                Contributors
                Role: Editor
                Journal
                PLoS One
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, USA )
                1932-6203
                2011
                19 December 2011
                : 6
                : 12
                : e28855
                Affiliations
                [1 ]Department of NeuroDegeneration and Restorative Research, DFG Research Center: Molecular Physiology of the Brain, University Medicine Göttingen, Georg-August University, Göttingen, Germany
                [2 ]High Throughput Screening Unit, Leibniz-Institut für Molekulare Pharmakologie, Berlin, Germany
                [3 ]Cell Death Regulation Laboratory, Toxicology Unit , Medical Research Council, Leicester, United Kingdom
                [4 ]Department of Neurology, DFG Research Center: Molecular Physiology of the Brain, University Medicine Göttingen, Göttingen, Germany
                University of Windsor, Canada
                Author notes

                Conceived and designed the experiments: EG SG PK. Performed the experiments: EG SG EMS NM LMM. Analyzed the data: EG SG EMS. Contributed reagents/materials/analysis tools: LMM. Wrote the paper: EG SG EMS TFO PK.

                Article
                PONE-D-11-12661
                10.1371/journal.pone.0028855
                3242749
                22205977
                74baf1bb-958e-4578-8447-ecfacb74844d
                Gerhardt et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
                History
                : 6 July 2011
                : 16 November 2011
                Page count
                Pages: 7
                Categories
                Research Article
                Biology
                Genetics
                Human Genetics
                Mitochondrial Diseases
                Neuroscience
                Molecular Neuroscience
                Neurobiology of Disease and Regeneration
                Medicine
                Clinical Genetics
                Mitochondrial Diseases
                Neurology
                Huntington Disease
                Parkinson Disease

                Uncategorized
                Uncategorized

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