DNA damage triggers cell death mechanisms contributing to neuronal loss and
cognitive decline in
neurological disorders, including
traumatic brain injury (TBI), and as a side effect of
chemotherapy.
Mithramycin, which competitively targets
chromatin-binding sites of specificity
protein 1 (Sp1), was used to examine previously unexplored neuronal cell death regulatory mechanisms via rat primary neurons in vitro and after TBI in mice (males). In primary neurons exposed to DNA-damage-inducing
chemotherapy drugs in vitro we showed that DNA breaks sequentially initiate DNA-damage responses, including phosphorylation of ATM, H2AX and
tumor protein 53 (p53), transcriptional activation of pro-apoptotic BH3-only
proteins, and mitochondrial outer membrane permeabilization (MOMP), activating
caspase-dependent and
caspase-independent intrinsic apoptosis.
Mithramycin was highly neuroprotective in DNA-damage-dependent neuronal cell death, inhibiting chemotherapeutic-induced cell death cascades downstream of ATM and p53 phosphorylation/activation but upstream of p53-induced expression of pro-apoptotic molecules.
Mithramycin reduced neuronal upregulation of BH3-only
proteins and
mitochondrial dysfunction, attenuated
caspase-3/7 activation and
caspase substrates' cleavage, and limited c-Jun activation.
Chromatin immunoprecipitation indicated that
mithramycin attenuates Sp1 binding to pro-apoptotic gene promoters without altering p53 binding suggesting it acts by removing cofactors required for p53 transactivation. In contrast, the DNA-damage-independent neuronal death models displayed
caspase initiation in the absence of p53/BH3 activation and were not protected even when
mithramycin reduced
caspase activation. Interestingly, experimental TBI triggers a multiplicity of neuronal death mechanisms. Although markers of DNA-damage/p53-dependent intrinsic apoptosis are detected acutely in the injured cortex and are attenuated by
mithramycin, these processes may play a reduced role in early neuronal death after TBI, as
caspase-dependent mechanisms are repressed in mature neurons while other,
mithramycin-resistant mechanisms are active. Our data suggest that Sp1 is required for p53-mediated transactivation of neuronal pro-apoptotic molecules and that
mithramycin may attenuate neuronal cell death in conditions predominantly involving DNA-damage-induced p53-dependent intrinsic apoptosis.