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Mithramycin selectively attenuates DNA-damage-induced neuronal cell death.

Abstract
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.
AuthorsOleg Makarevich, Boris Sabirzhanov, Taryn G Aubrecht, Ethan P Glaser, Brian M Polster, Rebecca J Henry, Alan I Faden, Bogdan A Stoica
JournalCell death & disease (Cell Death Dis) Vol. 11 Issue 7 Pg. 587 (07 27 2020) ISSN: 2041-4889 [Electronic] England
PMID32719328 (Publication Type: Journal Article, Research Support, N.I.H., Extramural)
Chemical References
  • Biomarkers
  • Neuroprotective Agents
  • Proto-Oncogene Proteins c-jun
  • Tumor Suppressor Protein p53
  • Etoposide
  • Plicamycin
Topics
  • Animals
  • Apoptosis (drug effects)
  • Biomarkers (metabolism)
  • Brain Injuries, Traumatic (drug therapy, pathology)
  • Cell Death (drug effects)
  • DNA Damage
  • Etoposide (pharmacology)
  • Male
  • Mice, Inbred C57BL
  • Mitochondria (drug effects, metabolism)
  • Models, Biological
  • Neurons (drug effects, pathology)
  • Neuroprotective Agents (pharmacology)
  • Plicamycin (pharmacology, therapeutic use)
  • Proto-Oncogene Proteins c-jun (metabolism)
  • Rats, Sprague-Dawley
  • Signal Transduction (drug effects)
  • Transcription, Genetic (drug effects)
  • Tumor Suppressor Protein p53 (metabolism)

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