Introduction
Amyotrophic lateral sclerosis (ALS) is a devastating neurodegenerative disease, characterized by muscle weakness due to the degeneration of large motor neurons. TAR DNA-binding protein of 43 kDa (TDP-43) accumulates and forms aggregates in the brains of patients with ALS and frontotemporal lobar degeneration (FTLD) [
2,
7,
35]. Moreover, mutations in the TDP-43 gene are also associated with familial ALS and FTLD, indicating that mutant TDP-43 plays a causal role in neurodegeneration [
1,
24,
45,
47]. TDP-43 is a nuclear protein of 414 amino acids consisting of two conserved RNA recognition motifs (RRM) and a C-terminal glycine-rich domain to associate with other heterogeneous ribonucleoprotein family members. It is involved in a variety of cellular functions including gene transcription, RNA processing, and protein homeostasis [
12,
27,
39,
53]. Although TDP-43 carries the nuclear localization signals (NLS) in the N-terminal region and nuclear export signals (NES) in the middle region, it localizes in the cytoplasm to form aggregates in a variety of brain regions of patients with ALS, FTLD [
5,
27,
35], and other pathological conditions [
8,
9,
17,
23,
33,
48]. This cytoplasmic redistribution in human brains can lead to nuclear depletion of TDP-43 [
2,
35], whereas cytoplasmic mislocalization of TDP-43 can cause a gain-of-toxicity [
14,
19,
38]. Thus, the cytoplasmic mislocalization of TDP-43 plays an important role in the pathogenesis of a variety of neurodegenerative diseases.
The cytoplasmic distribution of mutant TDP-43 appears to be species dependent. This is because most transgenic mouse models of ALS show the predominant nuclear localization of transgenic TDP-43 [
14,
19,
38,
43,
52,
59] and some mouse models only show the minimal level of cytoplasmic TDP-43 [
34,
52,
55]. However, TDP-43 transgenic pig model displays the cytoplasmic distribution of TDP-43 [
51]. This species-dependent phenomenon is not dependent on the level of TDP-43, as mice that overexpress transgenic TDP-43 or endogenously express mutant TDP-43 all show the predominant nuclear distribution of TDP-43 [
19,
43,
46]. Since the cytoplasmic mislocalization of TDP-43 can lead to a gain-of-function in the cytoplasm and depletes its nuclear level to cause a loss-of-function in the nucleus, understanding how mutant TDP-43 accumulates in the cytoplasm is important for elucidating the pathogenesis of ALS, FTLD, and other neurological disorders. To this end, we compared the subcellular localization of mutant TDP-43 in the brains of mice and rhesus monkeys that were injected with the same viral vector-expressing mutant TDP-43. We found that the primate-specific caspase-4, but not mouse homologue caspase-11, is responsible for the generation of TDP-43 fragments that are able to accumulate in the cytoplasm. Furthermore, we found that endogenous TDP-43 in the monkey brain is also redistributed into the cytoplasm when caspase-4 is overexpressed and that suppressing caspase-4 can reduce the cytoplasmic distribution of endogenous TDP-43 in cultured human neural cells. Our findings suggest the caspase-4-mediated cytoplasmic accumulation of mutant TDP-43 is involved in ALS and other neurodegenerative diseases.
Methods
Plasmids, virus, antibodies, and reagents
The human mutant TDP-43(M337V) cDNA [
51,
59] was subcloned into pAAV9-MCS or pGEX-4T1 vector (CellBiolabs) to generate AAV-mut-TDP-43(M337V) or GST-mut-TDP-43(M337V) vectors. The control AAV-GFP vector consisted of the same vector as for AAV-TDP-43 and contained the same ubiquitin promoter. Human caspase-4 or mouse caspase-11 cDNAs were generated using human or mouse brain tissues RNAs via RT-PCR, and cloned into pEGFP-C3, DesRed-C1, or AAV vector. AAV viruses (type-9) were packaged and amplified by the Viral Vector Core at Emory University. The titers of AAV vector genome were 1.4 × 10
13 vg/ml for AAV-hTDP-43, 2.3 × 10
13 vg/ml for AAV-GFP, and 1.8 × 10
13 vg/ml for AAV-caspase-4. The following antibodies were used: mouse anti-human TDP-43 (Abnova, clone 2E2-D3) for the N-terminal TDP-43 (1-261 amino acids), rabbit anti-TDP-43 (Cell Signaling, G400) for a synthetic peptide corresponding to residues surrounding Gly400 of human TDP-43, rabbit anti-phospho-TDP-43 (Ser409/Ser410) (MABN14, Millipore), rabbit anti-LSD1 (2139S, Cell Signaling), rabbit anti-COX-IV (ab16056, Abcam), rabbit anti-PDI (2446S, Cell Signaling), rabbit anti-HSP90 (4874S, Cell Signaling), mouse anti-GFP (GTX628528, GeneTex), rabbit anti-NeuN (ABN78, Millipore), rabbit anti-GFAP (AB5804, Millipore), rabbit anti-caspase-4 (4450, Cell Signaling) and mouse anti-GST (Santa Cruz, A-6). All secondary antibodies were purchased from Jackson Immuno-Research Laboratories. Inhibitors of caspase family members included ZVAD-fmk (Selleckchem), DEVD-fmk (Tocris Bioscience), LEHD-fmk (Tocris Bioscience), and LEVD-fmk (BioVision).
Ethics statement
Monkeys were housed in accordance with Chinese National standards, which are consistent with the standard set forth in the eighth edition of the NRC Guide for the Care and Use of Laboratory at the Institute of Laboratory Animal Science, Chinese Academy of Medical Sciences, Peking Union Medical College, which is fully accredited by the Association for Assessment and Accreditation of Laboratory Animal Care (AAALAC), International. The animal use and experiments followed the protocol that was approved by the Institutional Animal Care and Use Committee (IACUC) of the Institute of Laboratory Animal Science, Chinese Academy of Medical Sciences. This study was conducted in strict compliance with the “Guide for the Care and Use of Laboratory Animals of the Institute of Laboratory Animal Science (est. 2006)” and “The use of non-human primates in research of the Institute of Laboratory Animal Science (est. 2006)” to ensure the personnel safety and animal welfare.
All mice (C57BL/6) were bred and maintained in the animal facility at Emory University under specific pathogen-free conditions in accordance with institutional guidelines of the Animal Care and Use Committee at Emory University. The studies followed the protocol approved by the Animal Care and Use Committee at Emory University.
Stereotaxic injection
Adult wildtype C57BL/6 mice at 8 months of age (n = 12 each group, six males and six females per group) were anesthetized by i.p. injection of 2.5% Avertin, and their heads were placed in a Kopf stereotaxic frame (Model 1900) equipped with a digital manipulator, a UMP3-1 Ultra pump, a 10 μl Hamilton microsyringe. A 33G needle was inserted through a 1 mm drill hole on the scalp. Injections occurred at the following stereotaxic coordinates: 3.1 mm posterior to bregma, 1.0 mm lateral to the midline, 4.7 mm ventral to the dura, with bregma set at zero. The microinjections were carried out at a rate of 0.2 μl/min. The microsyringe was left in place for an additional 10 min before and after each injection. 0.5 μl AAV-TDP43, AAV-caspase-4 or AAV-GFP virus was stereotaxically injected into the right substantia nigra of mice. Viral injection of monkey brains was performed using the facilities at Institute of Laboratory Animal Science, Chinese Academy of Medical Sciences, Peking Union Medical College.
For AAV viral injection into the monkey brain, we injected AAV-GFP or AAV-TDP-43 into the substantia nigra of male monkeys at the age of 8–12 years (n = 6 each group). Each monkey was anesthetized by intraperitoneal injection of 0.3–0.5 mg of atropine, followed by 10–12 mg of ketamine, and 15–20 mg of pelltobarbitalumnatricum per kg body weight. The monkeys were stabilized on a stereotaxic instrument (David Kopf). The precise position of substantia nigra for stereotaxic injection was located by MRI before injection. Ten μl viruses were injected at five different locations in the right substantia nigra (including three substantia nigra regions, pars compacta/SNpc, pars reticulate/SNpr, and pars lateralis/SNpl) in which the injection site was determined and the depth of needle insertion was calculated from the pre-operatively taken MRI. After the injection was given for 12 weeks, the monkeys with substantia nigra injections were subjected to behavioral analysis, and at the end of behavioral analysis, their brain tissues were isolated for immunohistochemical analysis. We also injected AAV-caspase-4 viruses (10 μl) into the prefrontal cortex of three monkeys. After 12 weeks, we isolated the injected brain tissues for studying the effect of caspase-4 on the cleavage of TDP-43.
Mouse behavioral studies
All animal tests were performed in accordance with NIH guidelines for procedures and approved by the Institutional Animal Care and Use Committee of Emory University. Mouse behavior was assessed using a rotarod (Rotamex 4/8, Columbus Instruments International). Mice (C57BL/6) were trained for 10 min on three consecutive days with the rotarod speed at 5 rpm, and testing commenced after 3 days. The speed of the rod was set to 5 rpm and increased by 0.1 rpm/s. Each mouse went through three trials, and the average data of each group charted. The moribund mice were scored as “dead” and euthanized, and tissues were collected (n = 12 each group, six males and six females per group). The balance beam apparatus consists of 1 m beams with a flat surface of 12 mm or 6 mm width resting 50 cm above the table top on two poles. A black box at the end of the beam is the finish point. Nesting material from home cages in the black box serves to attract the mouse to the finish point. A lamp serves as an aversive stimulus, shining light above the start point. The time required for a mouse to cross to the center (80 cm) is measured by two motion detectors: one at 0 cm that starts a timer and one at 80 cm that stops the timer. The video camera records the performance.
Monkey behavioral studies
Of six AAV-TDP-43- and six AAV-GFP-injected male monkeys at age of 8–12 years, four AAV-TDP-43- and two AAV-GFP-injected monkeys were selected, based on their similar body weights and ages, for behavioral analysis once each week for 12 weeks.
The movement capabilities of monkeys were tested as described previously [
49]. Briefly, we carefully observed behavior of the monkeys during the day time and recorded video monitoring for 30 min per week. To evaluate weakness of the forelimb muscles on the AAV-injected monkeys, we performed the “open-field test” with continuous video recording. The “apple test” was performed and placed in line from back (monkey side) to front (observer side), to estimate the spontaneous action. In the “fence or grasping test”, we analyzed how frequently a monkey used his/her left or right hand to grasp the ceiling fence or test rod by video recording 30 min for each session each day. Four sessions were analyzed for obtaining the percentage of using the left or right hand. To evaluate weakness of the upper limb muscles, we measured grip strength using a spring hand dynamometer connecting with a small handle made specially for measuring monkey upper limb strength (AiDebaoHandPink, China). In this test, a monkey was allowed to grasp the handle with one upper limb (left or right), and its muscle strength was measured by the examiner pulling the spring hand dynamometer until the animal released the handle. The digital score of the force on the grip strength meter was recorded for statistical analysis.
Human tissue acquisition
Human cortex tissues were obtained and archived via an institutional review board and Health Insurance Portability and Accountability Act compliant process at neuropathology/histochemistry core of Emory University. Autopsies occurred following death with a postmortem interval of 6–13 h. The cortex tissues were obtained from the postmortem brains of ALS patients (E04-56, E11-75, E09-35, E08-86 and E11-81) who died at 67–74 years of age and were confirmed to have TDP-43 aggregates via postmortem histologic analysis. Non-ALS control tissues were obtained from neurologically unaffected patients (E06-45, E06-114, E08-101, E08-137 and E10-142) who died at 53–92 years of age.
Cell culture
Mouse neural crest-derived N2A cell line and human neuroblastoma SH-SY5Y cell line were purchased from ATCC and cultured in DMEM/F12 medium (containing 10% FBS, 100 U/ml penicillin, 100 μg/ml streptomycin, and 0.25 μg/ml amphotericin B). Medium was changed every 2 days. For culturing mouse primary neuronal cells, cortical neurons were isolated from the cortex of postnatal day 1 mice. Dissected tissue was treated with 0.0625 mg/ml trypsin and 0.0625 mg/ml DNasein 1 × HBSS buffer without calcium and magnesium for 10 min at 37 °C. Cells were washed once with the tissue culture medium, centrifuged at 1500 × g for 3 min, and then placed for initial growth in a 50% glial-conditioned medium (containing 0.25% glucose, 2 mM glutamate, 10% FCS, 500 nm insulin, 1 × vitamin mixture, and 1% antibiotic-antimycotic). The cells were cultured in neurobasal/B27 medium.
TDP-43 expression studies
For analyzing TDP-43 expression and distribution in the monkey brain, we used three AAV-TDP-43 or AAV-GFP monkeys for Western blotting and another three AAV-TDP-43 or AAV-GFP monkeys for immunocytochemical studies. Animals were anesthetized and perfused with 10 ml 0.9% NaCl, and then with 20 ml of 4% paraformaldehyde in 0.1 M PBS through the left cardiac ventricle. Brains were removed and fixed overnight in the same solution and cryopreserved with 15% and 30% sucrose before sectioning into 10 µM sections with a cryostat (Leica CM1850) at − 20 °C. Sections from monkey or mouse brains or cultured cells were fixed in 4% paraformaldehyde in PBS for 10 min, permeabilized with 0.2% Triton X-100 in PBS for 30 min, blocked with 3% normal donkey serum in 3% BSA for 1 h, and incubated with primary antibodies in 3% BSA overnight at 4 °C. After several washes with PBS, the brain sections or fixed cells were incubated with secondary antibodies conjugated with either Alexa-488 or Alexa-594 (Invitrogen). 0.01 μg/ml DAPI was used to label the nuclei. Fluorescent images were taken with a Zeiss Axiovert 200 MOT microscope of the 40 ×/0.6 lens or 63 ×/0.75 lens, equipped with a digital camera (Hamamatsu, Orca-100) and Openlab software (Improvision). The immunostaining analysis of TDP-43 subcellular distribution in the injected monkey or mouse brains was performed completely blinded on standardized 40 mm sections. The monkey brain sections were prepared using a brain slicer including the injected regions (3 substantia nigra: pars compacta/SNpc, pars reticulate/SNpr and pars lateralis/SNpl). Each brain region was used to take at least six images (40 × magnification) that can clearly reveal the subcellular distribution of TDP-43. For the quantitative analysis of differential subcellular location of TDP-43 in the monkey and mouse brain, the numbers of cells showing the nuclear or cytoplasmic TDP-43 per image were presented as the mean ± SEM, and the quantitative data were obtained from three monkeys or six mice per group. Densitometry analyses of fluorescent intensities of aggregates were quantified by ImageJ software (W. Rasband, National Institutes of health, USA).
Subcellular fractionations of brain tissues
Monkey or mouse brain tissues were homogenized for 25 strokes with a dounce homogenizer ice-cold buffer (0.32 M sucrose, 15 mM Tris–HCl, 60 mM KCl, 15 mM NaCl, 5 mM EDTA, 1 mM EGTA, 0.02% NaN3, 2 mM ATP, pH 8.0) containing protease inhibitor (Roche) and 100 μM PMSF. Ten percent lysates were stored as the total lysate sample. Nuclei and cellular debris were pelleted (P1) at 800 × g for 5 min. The supernatant (S1) was transferred to a new tube and centrifuged at 20,000 × g for 30 min at 4 °C to obtain the mitochondria-enriched pellet (P2). The supernatant (S2) was then used for the soluble cytoplasmic fraction. The S2 was centrifuged at 100,000 × g for 30 min at 4 °C to obtain the endoplasmic reticulum-enriched pellet (P3). Crude nuclear pellets were washed four times with ice-cold homogenization buffer to remove cytoplasmic contaminants. For nuclear purification, the pellets were re-suspended in 374 μl of buffer [15 mM HEPES, 1.5 mM MgCl2, 0.2 mM EDTA, 0.5 mM DTT, 26% glycerol (v/v), pH 7.9] with 26 μl of 4.6 M NaCl to generate the final concentration at 300 mM NaCl, homogenized with 20 full strokes in Teflon homogenizer on ice, and sonicated for 10 s. The homogenized samples were kept on ice for 20 min and then centrifuged at 24,000 × g for 20 min at 4 °C.
Caspase-4 activity assay
All the tissue samples were adjusted to 0.5 mg/ml total protein by dilution with homogenization buffer for triplicate caspase assays. Caspase-4 activity was determined using the specific Ac-YVAD-AFC substrate (10 μg/ml; BioVision). Equal amounts (10 μg) of the extracts were incubated with corresponding substrates in 100 μl caspase-4 activity assay buffer (0.05 M Tris–HCl, 0.5 mM EDTA, 1 mM ATP, 1 mM DTT, pH8.0) for 30–60 min at 37 °C. Cold water (0.8 ml) was used to stop the reactions, and the reaction mixtures were iced for at least 10 min. The free AFC fluorescence was quantified using the CytoFluor multi-well plate reader (FLUOstar; BMG LABTECH) with excitation and emission wavelengths at 400 nm and 500 nm, respectively. All readings were standardized using the fluorescence intensity of an equal volume of free 7-amino-4-trifluoromethylcoumarin (AFC) solution (40 mM), normalized by the protein concentrations and expressed as nmol/min/mg protein.
In vitro caspase assay
Purified GST-mut-TDP-43 (M337V) in Sepharose beads were diluted in cold assay buffer (25 mM Tris–HCl, 10 mM MgCl2, 100 µg/ml purified rabbit creatine kinase, 50 mM phosphocreatine, 1 mM ATP, pH 7.6). Monkey or mouse tissues form the brain striatum and cortex were homogenized at 1 g/ml in cold assay buffer using 20 strokes of a glass dounce hand homogenizer and were centrifuged at 500 × g for 5 min at 4 °C to pellet unbroken tissues and membranes. The supernatant was collected and stored on ice, while protein concentrations were determined using a BCA Protein Assay Kit (Thermo Scientific). The lysates (200 μl) at 0.5 mg protein/ml were incubated with GST-TDP-43 beads (200 μl) at 37 °C with 300 rpm shaking for 24 h. The beads were centrifuged and combined with the protein loading dye (0.2% SDS) for SDS-PAGE and Western blotting analysis to detect expression of the cleaved GST-TDP-43 using an anti-GST antibody. An anti-C-terminal TDP-43 antibody was used to detect the presence of C-terminal TDP-43 in the supernatant. Different caspase inhibitors at the concentrations (50–100 μM) were included in the lysates to inhibit caspase activity during the incubation process with GST-TDP-43 beads.
Transfection of cultured cells
Cultured cells were transfected with plasmid DNAs using RNAi Max transfection reagent (Invitrogen) according to the manufacturer’s protocol. At 48 h following transfection, cells were harvested for immunofluorescent staining and Western blotting. For caspase-4 knockdown experiment, the cultured human neural SH-SY5Y cells were transiently transfected with caspase-4 siRNA (Gene Pham Co. sequence GUGUAGAUGUAGAAGAGAAtt or AAGUGGCCUCUUCACAGUCAUtt) or control siRNA (scrambled sequence) using RNAi Max transfection reagent (Invitrogen) according to the manufacturer’s protocol. At 48 h following transfection, cells were harvested for immunofluorescent staining and Western blotting.
Cell viability assay
The cell viability assay was done using Cell Counting Kit-8 (CCK-8) (Dojindo, Japan), which determines the number of viable cells in proliferation and cytotoxicity. It utilizes tetrazolium-8-[2-(2-methoxy-4-nitrophenyl)-3-(4-nitrophenyl)-5-(2,4-disulfophenyl)-2H-tetrazolium] monosodium salt that produces a water-soluble formazan dye in living cells. The amount of this dye is directly proportional to the number of living cells, offering a sensitive assay to detect viability of many cell lines including SH-SY5Y cells [
10,
56]. Briefly, SH-SY5Y cells were transfected with siRNA for 48 h and then treated with tunicamycin (1 μg/ml) for 12 h. An equal number of 100 µl SH-SY5Y cell suspension (1 × 10
4 cells/100 µl/well) was dispensed in a 96-well plate. Each well of the plate was added with 10 µl CCK-8 solution, and incubated for 2 h at 37 °C. The absorbance values at the wavelength of 450 nm were spectrophotometrically measured using an CytoFluor multi-well plate reader (FLUOstar; BMG LABTECH). Each sample was tested in three replicates. SH-SY5Y cells without transfection and tunicamycin treatment were used as negative and blank controls. The values (mean ± SEM) of treated SH-SY5Y cells were calculated as % of control cells.
Statistical analysis
Statistical significance was assessed using the two-tailed Student’s t test for comparing two groups. When analyzing multiple groups, we used one-way ANOVA to determine statistical significance. For mice or monkey that was repeatedly subjected to behavioral tests, we analyzed the data using two-way ANOVA. Data are mean ± SEM. Calculations were performed with GraphPad Prism software.
Discussion
Mislocalization of TDP-43 in the cytoplasm and loss of its nuclear distribution are the major pathological hallmarks in ALS and FTLD [
2,
15,
35] and other neurological disorders [
8,
9,
17,
23,
33,
48]. Thus, the classification of TDP-43 proteinopathy is a combination of cytoplasmic inclusions and nuclear depletion of TDP-43 [
30], which lead to gain-of-function and loss-of-function, respectively [
28,
47,
57]. Although it is known that the abnormal level of TDP-43 is critical for developing neuropathology, the subcellular distribution of mutant TDP-43 appears to be independent of the levels of TDP-43 but is essentially regulated by species-related factors. This is because transgenic rodent models that overexpress either normal or mutant TDP-43 also show the predominantly nuclear accumulation of TDP-43 [
14,
19,
43,
52]. This fact led us to overexpress mutant TDP-43 in the mouse and monkey brains via viral vector injection to explore the mechanism underlying the cytoplasmic accumulation of TDP-43. Using non-human primates, we found that caspase-4 cleaves TDP-43 to remove N-terminal fragments that carry the nuclear import signal, resulting in the cytoplasmic accumulation of C-terminal fragments in the primate brains.
TDP-43 is a major component of cytoplasmic aggregates in the brains and spinal cords of nearly all patients (~ 97%) with ALS and in ~ 45% of FTLD cases [
2,
7,
22,
35,
40]. In addition, 57% of Alzheimer’s disease cases and some dementia patients with Lewy bodies also show TDP-43 proteinopathies in their brains [
9,
17,
23,
33,
48]. However, only < 5% of ALS patients carry mutations in TDP-43 [
8,
24,
27,
41]. Thus, pathological conditions other than TDP-43 mutations are the major factors responsible for the cytoplasmic accumulation of TDP-43 and that mutations in TDP-43 may exacerbate this abnormal redistribution.
Recent studies suggest that impaired nuclear–cytoplasmic transport contributes to ALS. The mutations in C9orf72 mRNA, which can also cause ALS by impairing the nuclear–cytoplasmic transport [
13,
62], can affect the nuclear import of TDP-43 [
25]. The idea for the impaired nuclear transport is also well supported by the abnormal cytoplasmic distribution of TDP-43 in the transgenic mice expressing a defective nuclear localization signal [
20]. Although these studies clearly show that the nuclear–cytoplasmic transport plays an important role in ALS pathogenesis, it remains unclear why the predominant cytoplasmic accumulation of TDP-43 does not occur in the rodent brains. However, expression of wildtype TDP-43 in spinal cords of cynomolgus monkeys by injecting AAV vector leads to the cytoplasmic distribution of TDP-43 [
49], and transgenic pig model expresses mutant TDP-43 in the cytoplasm [
51]. All these differences indicate that the cytoplasmic distribution of mutant TDP-43 is species dependent.
In the current studies using non-human primates, we identified four lines of evidence supporting caspase-4 as a critical contributor to the cytoplasmic accumulation of TDP-43 in the primate brains. First, caspase-4 is found in non-human primates and humans, but not in mice. Second, caspase-4 cleaves TDP-43, but its mouse homologue caspase-11 does not. Third, co-expression of caspase-4 with mutant TDP-43 in the mouse brain leads to the cytoplasmic redistribution of TDP-43. Lastly, overexpression of caspase-4 can increase the cytoplasmic distribution of endogenous TDP-43 in the monkey brain, whereas suppressing caspase-4 expression can reduce the distribution of endogenous TDP-43 in the cytoplasm in cultured human neural cells.
In vitro studies demonstrated that TDP-43 was initially cleaved after Asp174 by caspase-4 [
29], which can result in C-terminal fragments that retain NES at amino acid position (239-250) and delete NLS at amino acids (82-98). Because C-terminal TDP-43 can interact with many partners, mutations in the C-terminal TDP-43, which are frequently found in ALS patients, can facilitate the misfolding, aggregation, and abnormal interactions of truncated TDP-43 with other cytoplasmic proteins, resulting in a gain-of-toxicity function. Meanwhile, caspase-4 mediated the fragmentation of TDP-43 and their cytoplasmic redistribution can also deplete the nuclear full-length TDP-43, leading to a loss-of-function in the nucleus.
It should be pointed out that overexpression of TDP-43 can only partially mimic ALS pathology that is caused by endogenous mutant TDP-43. Similarly, neurodegeneration in TDP-43 transgenic mice may not depend on TDP-43 cleavage and is mediated by different mechanisms. The critical role of nuclear TDP-43 in gene transcription and RNA processing is well documented [
12,
39,
47]. Overexpression or depletion of TDP-43 in the nucleus is known to severely affect gene expression and to cause severe phenotypes of mice [
14,
38]. When considering the neuropathology and phenotypes of humans that express mutant TDP-43 at the endogenous level, the cytoplasmic accumulation of TDP-43 must be accounted for.
Our studies indicate that caspase-4 plays a critical role in the cytoplasmic accumulation of TDP-43. The relevance of this finding to other pathological conditions is also supported by the regulation of caspase-4 activity and expression. Caspase-4 is an endoplasmic reticulum (ER) membrane-bound enzyme and is activated under ER stress [
18], which can be trigged by protein misfolding, aging, oxidative stress, and many environmental insults [
32,
36,
37]. Our studies also show that caspase-4 is increased in ALS patient brains and the AAV-TDP-43-injected monkey brains, consistent with the early findings that caspase-4 and markers of ER stress are up-regulated in the spinal cords of patients with sporadic ALS [
3,
21]. When TDP-43 is expressed at the endogenous level, caspase-4 activation and cleavage can reduce the nuclear distribution of full-length TDP-43 and increase the cytoplasmic accumulation of TDP-43, resulting in both nuclear and cytoplasmic toxicity. Thus, any pathological condition that upregulates caspase-4 activity or expression is likely to cause the cytoplasmic distribution of truncated TDP-43 and subsequent reduction in the nuclear distribution of full-length TDP-43. In support of this idea, suppressing caspase-4 expression was found to diminish the cytoplasmic distribution of TDP-43 and to improve cell viability in human neural cells after treatment with an ER stress activator. Our findings also suggest that pharmacological interventions of the abnormal cytoplasmic redistribution or accumulation of TDP-43 via altering caspase-4 activity could be a potential therapeutic strategy.
Acknowledgements
This work was supported by The National Key Research and Development Program of China (2017YFA0105102, 2017YFA0105201, 2016YFC1300500-2), GuangDong Province Science and Technology plan project (2018B030337001, 2017B020231001, 2015A020212027), and The National Natural Science Foundation of China (31500826, 91649115). We thank the Emory University Viral Core Facility for generating AAV viruses and Jinquan Gao, Hua Zhu, Qin Li, Haiquan Shang, Chong Xiao, and Xishan Ma for monkey surgery, animal care, and behavioral analysis.
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