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Erschienen in: Metabolic Brain Disease 1/2008

01.03.2008 | Original Paper

Protein phosphatase-2A is activated in pig brain following cardiac arrest and resuscitation

verfasst von: Tao T. Zhang, Jimcy Platholi, Paul M. Heerdt, Hugh C. Hemmings Jr., H. Y. L. Tung

Erschienen in: Metabolic Brain Disease | Ausgabe 1/2008

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Abstract

Protein phosphatase-2A (PP-2A) interacts with several regulators of cell death pathways and is therefore a potential component of signaling pathways linking global cerebral ischemia to cell death. Using a novel procedure to quantify PP-2A activity, we find that cardiac arrest with resuscitation and reperfusion leads to activation of PP-2A by 1.6-fold in pig brain extract and by 3.4-fold after partial purification of PP-2A. This is the first demonstration of PP-2A activation in a clinically relevant model of transient global cerebral ischemia. These results suggest that inhibition of PP-2A activity may be neuroprotective in global cerebral ischemia.
Literatur
Zurück zum Zitat Aronowski J, Grotto JC, Waxhan MN (1992) Ischemia-induced translocation of Ca2+/calmodulin-dependent protein kinase II: potential role in neuronal damage. J Neurochem 58:1743–1753PubMedCrossRef Aronowski J, Grotto JC, Waxhan MN (1992) Ischemia-induced translocation of Ca2+/calmodulin-dependent protein kinase II: potential role in neuronal damage. J Neurochem 58:1743–1753PubMedCrossRef
Zurück zum Zitat Blanck TJJ, Halle M, Xu F, Heerdt P, Beckmann J, Kang R, Adamo A, Hemmings Jr HC (2000) Isoflurane pretreatment ameliorates postischemic neurological dysfunction and preserves hippocampal Ca2+/calmodulin-dependent protein kinase II in a canine cardiac arrest model. Anesthesiology 93:1285–1283PubMedCrossRef Blanck TJJ, Halle M, Xu F, Heerdt P, Beckmann J, Kang R, Adamo A, Hemmings Jr HC (2000) Isoflurane pretreatment ameliorates postischemic neurological dysfunction and preserves hippocampal Ca2+/calmodulin-dependent protein kinase II in a canine cardiac arrest model. Anesthesiology 93:1285–1283PubMedCrossRef
Zurück zum Zitat Bradford AA (1976) A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding. Anal Biochem 76:248–254CrossRef Bradford AA (1976) A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding. Anal Biochem 76:248–254CrossRef
Zurück zum Zitat Bright R, Raval AP, Dembner JM, Perez-Pinzon MA, Steinberg GK, Yenari MA, Mochly-Rosen D (2004) Protein kinase Cd mediates cerebral reperfusion injury in vivo. J Neurosci 24:6880–6888PubMedCrossRef Bright R, Raval AP, Dembner JM, Perez-Pinzon MA, Steinberg GK, Yenari MA, Mochly-Rosen D (2004) Protein kinase Cd mediates cerebral reperfusion injury in vivo. J Neurosci 24:6880–6888PubMedCrossRef
Zurück zum Zitat Chiang CW, Harris G, Ellig C, Masters SC, Subramanian R, Shenolikar S, Wadszinski BE, Yang E (2002) Protein phosphatase-2A activates proapoptotic function of BAD in interleukin-3-dependent lymphoid cells by a mechansim requiring 14–3–3 dissociation. Blood 2001(97):1289–1297 Chiang CW, Harris G, Ellig C, Masters SC, Subramanian R, Shenolikar S, Wadszinski BE, Yang E (2002) Protein phosphatase-2A activates proapoptotic function of BAD in interleukin-3-dependent lymphoid cells by a mechansim requiring 14–3–3 dissociation. Blood 2001(97):1289–1297
Zurück zum Zitat Churn SB, Taft WC, Billingsley MS, Sankaran B, DeLorenzo RJ (1992) Global forebrain ischemia induces a posttranslational modification of multifunctional calcium- and calmodulin-dependent kinase II. J Neurochem 59:1221–1232PubMedCrossRef Churn SB, Taft WC, Billingsley MS, Sankaran B, DeLorenzo RJ (1992) Global forebrain ischemia induces a posttranslational modification of multifunctional calcium- and calmodulin-dependent kinase II. J Neurochem 59:1221–1232PubMedCrossRef
Zurück zum Zitat Cicchillitti L, Fasanaro P, Biglioli P, Capogrossi MC, Martelli F (2003) Oxidative stress induces protein phosphatase-2A-dependent dephosphorylation of the pocket proteins pRb, p107, and p130. J Biol Chem 278:19509–19517PubMedCrossRef Cicchillitti L, Fasanaro P, Biglioli P, Capogrossi MC, Martelli F (2003) Oxidative stress induces protein phosphatase-2A-dependent dephosphorylation of the pocket proteins pRb, p107, and p130. J Biol Chem 278:19509–19517PubMedCrossRef
Zurück zum Zitat Cohen P (1989) The structure and regulation of protein phosphatases. Annu Rev Biochem 58:453–508PubMedCrossRef Cohen P (1989) The structure and regulation of protein phosphatases. Annu Rev Biochem 58:453–508PubMedCrossRef
Zurück zum Zitat Cohen P, Alemany S, Hemmings BA, Resink TJ, Stralfors P, Tung HYL (1988) Protein phosphatase-1 and protein phosphatase-2A from rabbit skeletal muscle. Methods Enzymol 159:390–409PubMed Cohen P, Alemany S, Hemmings BA, Resink TJ, Stralfors P, Tung HYL (1988) Protein phosphatase-1 and protein phosphatase-2A from rabbit skeletal muscle. Methods Enzymol 159:390–409PubMed
Zurück zum Zitat Cohen P, Holmes CF, Tsukitani Y (1990) Okadaic acid: a new probe for the study of cellular regulation. Trends Biochem Sci 15:98–102PubMedCrossRef Cohen P, Holmes CF, Tsukitani Y (1990) Okadaic acid: a new probe for the study of cellular regulation. Trends Biochem Sci 15:98–102PubMedCrossRef
Zurück zum Zitat Farber JL, Chien KR, Mittnacht Jr S (1981) The pathogenesis of irreversible cell injury in ischemia. Am J Pathol 102:271–281PubMed Farber JL, Chien KR, Mittnacht Jr S (1981) The pathogenesis of irreversible cell injury in ischemia. Am J Pathol 102:271–281PubMed
Zurück zum Zitat Garcia A, Cayla X, Guergnon J, Dassauge F, Hospital V, Rebollo MP, Fleisher A, Rebollo A (2003) Serine/threonine protein phosphatases PP1 and PP2A are key players in apoptosis. Biochimie 85:721–726PubMedCrossRef Garcia A, Cayla X, Guergnon J, Dassauge F, Hospital V, Rebollo MP, Fleisher A, Rebollo A (2003) Serine/threonine protein phosphatases PP1 and PP2A are key players in apoptosis. Biochimie 85:721–726PubMedCrossRef
Zurück zum Zitat Gedeborg R, Silander HC, Rubertsson S, Wiklund L (2001) Cerebral ischaemia in experimental cardiopulmonary resuscitation -comparison of epinephrine and aortic occlusion. Resuscitation 50:319–329PubMedCrossRef Gedeborg R, Silander HC, Rubertsson S, Wiklund L (2001) Cerebral ischaemia in experimental cardiopulmonary resuscitation -comparison of epinephrine and aortic occlusion. Resuscitation 50:319–329PubMedCrossRef
Zurück zum Zitat Giffard RG (2000) Cell apoptosis in cerebral pathophysiology. Eur J Anaesthesiol 17:9–10CrossRef Giffard RG (2000) Cell apoptosis in cerebral pathophysiology. Eur J Anaesthesiol 17:9–10CrossRef
Zurück zum Zitat Goldberg MP, Choi DW (1993) Combined oxygen and glucose deprivation in cortical cell culture. J Neurosci 13:3510–3524PubMed Goldberg MP, Choi DW (1993) Combined oxygen and glucose deprivation in cortical cell culture. J Neurosci 13:3510–3524PubMed
Zurück zum Zitat Grinyo JM (1997) Reperfusion injury. Transplant Proc 29:622–632 Grinyo JM (1997) Reperfusion injury. Transplant Proc 29:622–632
Zurück zum Zitat Hemmings Jr HC, Williams KR, Konigsberg WH, Greengard P (1984) DARPP-32, a dopamine- and adenosine 3’:5’-monophosphate-regulated neuronal phosphoprotein. I. Amino acid sequence around the phosphorylated threonine. J Biol Chem 259:14486–14490 Hemmings Jr HC, Williams KR, Konigsberg WH, Greengard P (1984) DARPP-32, a dopamine- and adenosine 3’:5’-monophosphate-regulated neuronal phosphoprotein. I. Amino acid sequence around the phosphorylated threonine. J Biol Chem 259:14486–14490
Zurück zum Zitat Hori M, Magae J, Han Y-G, Hartshorne DJ, Haraki H (1991) A novel protein phosphatase inhibitor, tautomycin. FEBS Lett 285:145–148PubMedCrossRef Hori M, Magae J, Han Y-G, Hartshorne DJ, Haraki H (1991) A novel protein phosphatase inhibitor, tautomycin. FEBS Lett 285:145–148PubMedCrossRef
Zurück zum Zitat Hu B-R, Wieloch T (1995) Persistent translocation of Ca2+/calmodulin dependent protein kinase II to synaptic junctions in the vulnerable hippocampal CA1 region following transient ischemia. J Neurochem 64:277–284PubMed Hu B-R, Wieloch T (1995) Persistent translocation of Ca2+/calmodulin dependent protein kinase II to synaptic junctions in the vulnerable hippocampal CA1 region following transient ischemia. J Neurochem 64:277–284PubMed
Zurück zum Zitat Ingebritsen TS, Cohen P (1983) The protein phosphatases involved in cellular regulation. 1. Classification and substrate specificities. Eur J Biochem 132:255–261PubMedCrossRef Ingebritsen TS, Cohen P (1983) The protein phosphatases involved in cellular regulation. 1. Classification and substrate specificities. Eur J Biochem 132:255–261PubMedCrossRef
Zurück zum Zitat Ingebritsen TS, Stewart AA, Cohen P (1983) The protein phosphatases involved in cellular regulation. 6. Measurement of type-1 and type-2 protein phosphatases in extracts of mammalian tissues; an assessment of their physiological roles. Eur J Biochem 132:297–307PubMedCrossRef Ingebritsen TS, Stewart AA, Cohen P (1983) The protein phosphatases involved in cellular regulation. 6. Measurement of type-1 and type-2 protein phosphatases in extracts of mammalian tissues; an assessment of their physiological roles. Eur J Biochem 132:297–307PubMedCrossRef
Zurück zum Zitat Jannssens V, Goris J (2001) protein phosphatase-2A: a highly regulated family of serine/threonine phosphatases implicated in cell growth and signaling. Biochem J 353:417–439CrossRef Jannssens V, Goris J (2001) protein phosphatase-2A: a highly regulated family of serine/threonine phosphatases implicated in cell growth and signaling. Biochem J 353:417–439CrossRef
Zurück zum Zitat Janoo A, Morrow PW, Tung HYL (2005) Activation of protein phosphatase-2A1 by HIV-1 Vpr cell death causing peptide in intact CD4+ T cells and in vitro. J Cell Biochem 94:816–825PubMedCrossRef Janoo A, Morrow PW, Tung HYL (2005) Activation of protein phosphatase-2A1 by HIV-1 Vpr cell death causing peptide in intact CD4+ T cells and in vitro. J Cell Biochem 94:816–825PubMedCrossRef
Zurück zum Zitat Kleinberger T (2000) Induction of apoptosis by adenovirus E4orf4 protein. Apoptosis 5:211–215PubMedCrossRef Kleinberger T (2000) Induction of apoptosis by adenovirus E4orf4 protein. Apoptosis 5:211–215PubMedCrossRef
Zurück zum Zitat Klumpp S, Krieglstein J (2002) Serine/threonine protein phosphatases in apoptosis. Curr Opin Pharmacol 2:458–462PubMedCrossRef Klumpp S, Krieglstein J (2002) Serine/threonine protein phosphatases in apoptosis. Curr Opin Pharmacol 2:458–462PubMedCrossRef
Zurück zum Zitat Lipton P (1999) Ischemic cell death in brain neurons. Physiol Rev 79:1431–1568PubMed Lipton P (1999) Ischemic cell death in brain neurons. Physiol Rev 79:1431–1568PubMed
Zurück zum Zitat Lipton SA, Rosenberg PA (1994) Excitatory amino acids as a final common pathway for neurologic disorders. N Engl J Med 330:613–622PubMedCrossRef Lipton SA, Rosenberg PA (1994) Excitatory amino acids as a final common pathway for neurologic disorders. N Engl J Med 330:613–622PubMedCrossRef
Zurück zum Zitat Liu X, Nozari A, Basu S, Ronquist G, Rubertsson S, Wiklund L (2002) Neurological outcome after experimental cardiopulmonary resuscitation: a result of delayed and potentially treatable neuronal injury. Acta Anaesthesiol Scand 46:537–546PubMedCrossRef Liu X, Nozari A, Basu S, Ronquist G, Rubertsson S, Wiklund L (2002) Neurological outcome after experimental cardiopulmonary resuscitation: a result of delayed and potentially treatable neuronal injury. Acta Anaesthesiol Scand 46:537–546PubMedCrossRef
Zurück zum Zitat Love S (2003) Apoptosis and brain ischemia. Prog Neuro-Psychopharmacol Biol Pyschiatry 27:267–282CrossRef Love S (2003) Apoptosis and brain ischemia. Prog Neuro-Psychopharmacol Biol Pyschiatry 27:267–282CrossRef
Zurück zum Zitat Martin de la Vega C, Burda J, Salinas M (2001) Ischemia-induced inhibition of the initiation factor 2a phosphatase activity in the rat brain. NeuroReport 12:1021–1025PubMedCrossRef Martin de la Vega C, Burda J, Salinas M (2001) Ischemia-induced inhibition of the initiation factor 2a phosphatase activity in the rat brain. NeuroReport 12:1021–1025PubMedCrossRef
Zurück zum Zitat Martin de la Vega C, Burda J, Lobo MVT, Salinas M (2002) Cerebral postischemic reperfusion-induced demethylation of the protein phosphatase-2A catalytic subunit. J Neurosci Res 69:540–549PubMedCrossRef Martin de la Vega C, Burda J, Lobo MVT, Salinas M (2002) Cerebral postischemic reperfusion-induced demethylation of the protein phosphatase-2A catalytic subunit. J Neurosci Res 69:540–549PubMedCrossRef
Zurück zum Zitat Martin LJ, Al-Abdulla NA, Brambrink AM, Kirsch JR, Sieber FE, Portera-Cailliau C (1998) Neurodegeneration in excitotoxicity, global cerebral ischemia, and target deprivation: a perspective on contributions of apoptosis and necrosis. Brain Res Bull 46:281–309PubMedCrossRef Martin LJ, Al-Abdulla NA, Brambrink AM, Kirsch JR, Sieber FE, Portera-Cailliau C (1998) Neurodegeneration in excitotoxicity, global cerebral ischemia, and target deprivation: a perspective on contributions of apoptosis and necrosis. Brain Res Bull 46:281–309PubMedCrossRef
Zurück zum Zitat Motulsky HJ (2003) Prism 4 statistics guide—statistical analyses for laboratory and clinical researchers. Graphpad Software, Inc. San Diego, CA Motulsky HJ (2003) Prism 4 statistics guide—statistical analyses for laboratory and clinical researchers. Graphpad Software, Inc. San Diego, CA
Zurück zum Zitat Olney JW (1969) Brain lesion, obesity and other disturbances in mice treated with monosodium glutamate. Science 164:719–721PubMedCrossRef Olney JW (1969) Brain lesion, obesity and other disturbances in mice treated with monosodium glutamate. Science 164:719–721PubMedCrossRef
Zurück zum Zitat Rothman SM, Olney JW (1986) Glutamate and the pathophysiology of hypoxic-ischemic brain damage. Ann Neurol 19:105–111PubMedCrossRef Rothman SM, Olney JW (1986) Glutamate and the pathophysiology of hypoxic-ischemic brain damage. Ann Neurol 19:105–111PubMedCrossRef
Zurück zum Zitat Shamloo M, Wieloch T (1999) Changes in protein tyrosine phosphorylation in the rat brain after cerebral ischemia in a model of ischemic tolerance. J Cerebral Blood Flow Metabol 19:173–183CrossRef Shamloo M, Wieloch T (1999) Changes in protein tyrosine phosphorylation in the rat brain after cerebral ischemia in a model of ischemic tolerance. J Cerebral Blood Flow Metabol 19:173–183CrossRef
Zurück zum Zitat Shamloo M, Kamme F, Wieloch T (2000) Subcellular distribution and autophosphorylation of calcium/calmodulin-dependent protein kinase II-alpha in rat hippocampus in a model of ischemic tol erance. Neuroscience 96:665–674PubMedCrossRef Shamloo M, Kamme F, Wieloch T (2000) Subcellular distribution and autophosphorylation of calcium/calmodulin-dependent protein kinase II-alpha in rat hippocampus in a model of ischemic tol erance. Neuroscience 96:665–674PubMedCrossRef
Zurück zum Zitat Shtrichman R, Sharf R, Barr H, Dobner T, Kleinberger T (1999) Induction of apoptosis by adenovirus E4orf4 protein is specific in transformed cells and requires an interaction with protein phosphatase-2A. Proc Natl Acad Sci 96:10080–10085PubMedCrossRef Shtrichman R, Sharf R, Barr H, Dobner T, Kleinberger T (1999) Induction of apoptosis by adenovirus E4orf4 protein is specific in transformed cells and requires an interaction with protein phosphatase-2A. Proc Natl Acad Sci 96:10080–10085PubMedCrossRef
Zurück zum Zitat Siesjo BK, Zhao Q, Pahlmark K, Siesjo P, Katsura K, Folbergrova J (1995) Glutamate, calcium and free radicals as mediators of ischemic brain damage. Ann Thorac Surg 59:1316–1320PubMedCrossRef Siesjo BK, Zhao Q, Pahlmark K, Siesjo P, Katsura K, Folbergrova J (1995) Glutamate, calcium and free radicals as mediators of ischemic brain damage. Ann Thorac Surg 59:1316–1320PubMedCrossRef
Zurück zum Zitat Small DL, Buchanan AM (1996) Mechanisms of cerebral ischemia: intracellular cascades and therapeutic interventions. J Cardiothorac Vasc Anesth 10:139–146PubMedCrossRef Small DL, Buchanan AM (1996) Mechanisms of cerebral ischemia: intracellular cascades and therapeutic interventions. J Cardiothorac Vasc Anesth 10:139–146PubMedCrossRef
Zurück zum Zitat Tamura Y, Smizu S, Osada H (2004) The phosphorylation status and anti-apoptotic activity of Bcl-2 are regulated by ERK and protein phosphatase-2A on the mitochondria. FEBS Lett 569:249–255PubMedCrossRef Tamura Y, Smizu S, Osada H (2004) The phosphorylation status and anti-apoptotic activity of Bcl-2 are regulated by ERK and protein phosphatase-2A on the mitochondria. FEBS Lett 569:249–255PubMedCrossRef
Zurück zum Zitat Tung HYL, Reed LJ (1989) Purification and characterization of protein phosphatase-1I activating kinase from bovine brain cytosolic and particulate fractions. J Biol Chem 264:2985–2990PubMed Tung HYL, Reed LJ (1989) Purification and characterization of protein phosphatase-1I activating kinase from bovine brain cytosolic and particulate fractions. J Biol Chem 264:2985–2990PubMed
Zurück zum Zitat Tung HYL, Alemany S, Cohen P (1985) The protein phosphatases involved in cellular regulation. 2. Purification, subunit structure and properties of protein phosphatase-2A0, 2A1 and 2A2 from rabbit skeletal muscle. Eur J Biochem 148:253–263PubMedCrossRef Tung HYL, Alemany S, Cohen P (1985) The protein phosphatases involved in cellular regulation. 2. Purification, subunit structure and properties of protein phosphatase-2A0, 2A1 and 2A2 from rabbit skeletal muscle. Eur J Biochem 148:253–263PubMedCrossRef
Zurück zum Zitat Tung HYL, De Rocquigny H, Zhao L-J, Cayla X, Roques BP, Ozon R (1997) Direct activation of protein phosphatase-2A0 by HIV-1 encoded protein complex NCp7:Vpr. FEBS Lett 401:197–201PubMedCrossRef Tung HYL, De Rocquigny H, Zhao L-J, Cayla X, Roques BP, Ozon R (1997) Direct activation of protein phosphatase-2A0 by HIV-1 encoded protein complex NCp7:Vpr. FEBS Lett 401:197–201PubMedCrossRef
Zurück zum Zitat Van Hoof C, Goris J (2003) Phosphatases in apoptosis: to be or not to be, PP2A is in the heart of the question. Biochim Biophys Acta 1640:97–104PubMedCrossRef Van Hoof C, Goris J (2003) Phosphatases in apoptosis: to be or not to be, PP2A is in the heart of the question. Biochim Biophys Acta 1640:97–104PubMedCrossRef
Zurück zum Zitat Wieloch T, Hu BR, Boris-Moller A, Cardell M, Kamme F, Kurihara J, Sakata K (1996) Intracellular signal transduction in the postischemic brain. Adv Neurol 71:371–387PubMed Wieloch T, Hu BR, Boris-Moller A, Cardell M, Kamme F, Kurihara J, Sakata K (1996) Intracellular signal transduction in the postischemic brain. Adv Neurol 71:371–387PubMed
Zurück zum Zitat Yang SD, Fung Y-L (1985) Identification and characterization of an ATP.Mg-dependent protein phosphatase from pig brain. J Biol Chem 260:13464–13470PubMed Yang SD, Fung Y-L (1985) Identification and characterization of an ATP.Mg-dependent protein phosphatase from pig brain. J Biol Chem 260:13464–13470PubMed
Zurück zum Zitat Yung HW, Tolkovsky AM (2003) Erasure of kinase phosphorylation in astrocytes during oxygen-glucose deprivation is controlled by ATP levels and activation of protein phosphatases. J Neurochem 86:1281–1288PubMed Yung HW, Tolkovsky AM (2003) Erasure of kinase phosphorylation in astrocytes during oxygen-glucose deprivation is controlled by ATP levels and activation of protein phosphatases. J Neurochem 86:1281–1288PubMed
Metadaten
Titel
Protein phosphatase-2A is activated in pig brain following cardiac arrest and resuscitation
verfasst von
Tao T. Zhang
Jimcy Platholi
Paul M. Heerdt
Hugh C. Hemmings Jr.
H. Y. L. Tung
Publikationsdatum
01.03.2008
Verlag
Springer US
Erschienen in
Metabolic Brain Disease / Ausgabe 1/2008
Print ISSN: 0885-7490
Elektronische ISSN: 1573-7365
DOI
https://doi.org/10.1007/s11011-007-9074-1

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