The Involvement of Cell Death and Survival in Neural Tube Defects: a Distinct Role for Apoptosis and Autophagy?
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Cell Death and Differentiation (2008) 15, 1170–1177 & 2008 Nature Publishing Group All rights reserved 1350-9047/08 $30.00 www.nature.com/cdd Review The involvement of cell death and survival in neural tube defects: a distinct role for apoptosis and autophagy? F Cecconi*,1,2, M Piacentini3,4 and GM Fimia3 Neural tube defects (NTDs), such as spina bifida (SB) or exencephaly, are common congenital malformations leading to infant mortality or severe disability. The etiology of NTDs is multifactorial with a strong genetic component. More than 70 NTD mouse models have been reported, suggesting the involvement of distinct pathogenetic mechanisms, including faulty cell death regulation. In this review, we focus on the contribution of functional genomics in elucidating the role of apoptosis and autophagy genes in neurodevelopment. On the basis of compared phenotypical analysis, here we discuss the relative importance of a tuned control of both apoptosome-mediated cell death and basal autophagy for regulating the correct morphogenesis and cell number in developing central nervous system (CNS). The pharmacological modulation of genes involved in these processes may thus represent a novel strategy for interfering with the occurrence of NTDs Cell Death and Differentiation (2008) 15, 1170–1177; doi:10.1038/cdd.2008.64; published online 2 May 2008 Neural tube defects (NTDs) are common (1 in 1000 by participating in folding, pinching off and fusion of neural pregnancies) congenital malformations in humans leading to walls, in neural precursor selection and in postmitotic infant mortality or severe disability. NTD results from failure of competition of neurons for their cellular targets (reviewed in complete neurulation during the fourth week of embryo- De Zio et al.,18Hidalgo and ffrench-Constant,19 Kuan et al.,20 genesis. The etiology of NTDs is complex, with both and Nicotera21). Notably, the main phenotype, which is environmental and genetic contributions.1 In particular, a induced by disruption of apoptosis-related genes regards strong genetic component, accounting for at least 30% of the developing nervous system (see Table 1). Autophagy, an NTDs, has been demonstrated, although only few of the important mechanism for degrading long-lived proteins and genes involved have been structurally and functionally the only known cellular pathway for degrading organelles, has characterized.2 This is mainly due to the fact that neurulation been originally linked to the occurrence of pathological is a complex multistep process involving precise temporal and conditions in the nervous system associated with alternative spatial regulation of gene expression.3–6 Animal models are cell death morphotypes.43–45 Recently, autophagy has been providing insight into the mechanisms participating in correct recognized as a survival process46 and as a key player in neurulation or in its failure.7–9 More than 70 mouse models vertebrate neurodevelopment;47 also, a complex interplay exhibiting NTDs have been described.10–13 Mutations display between autophagy and apoptosis has emerged (reviewed in wide locus heterogeneity, and for many of them, the Ferraro and Cecconi48 and Maiuri et al.49). Interestingly, corresponding human homolog has been found.14,15 These comparative analysis of the phenotypes exhibited by mouse studies suggest the involvement of distinct molecular path- models’ defective in apoptosis or autophagy genes show ways in NTD pathogenesis, ranging from dysregulation of several similitaries, although molecular analysis revealed that homocysteine/folate metabolism to defective cell proliferation they are accounted for by distinct roles at different develop- or death, to disruption of cytoskeleton and migratory mental stages. The data we discuss here suggest that, capabilities and to faulty pyrimidine synthesis.8,9,16,17 Among whereas apoptosis is the main mechanism by which these, special attention is being devoted to apoptosis. mammals can prevent the survival of excess cells in the Apoptosis plays an important role in the morphogenesis and developing nervous system, autophagy regulation may have a homeostasis of the developing central nervous system (CNS) crucial role in the ontogenesis of CNS through a mechanism 1Department of Biology, Dulbecco Telethon Institute, University of Rome ‘Tor Vergata’, Rome 00133, Italy; 2Laboratory of Molecular Neuroembryology, IRCCS Fondazione Santa Lucia, Rome 00143, Italy; 3Laboratory of Cell Biology, National Institute for Infectious Diseases IRCCS ‘L. Spallanzani’, Rome 00149, Italy and 4Department of Biology, University of Rome ‘Tor Vergata’, Rome 00133, Italy *Corresponding author: F Cecconi, Department of Biology, University of Rome Tor Vergata, via della Ricerca Scientifica, Rome 00133, Italy. Tel: þ 390672594230; Fax: þ 39062023500; E-mail: [email protected] Keywords: Ambra1; Apaf1; apoptosome; autophagosome; neurogenesis; neural precursor cells Abbreviations: Ambra1, activating molecule in Beclin 1-regulated autophagy; ATG, autophagy-related gene; CNS, central nervous system; E, embryonic day; IP3, myo-inositol-1,4,5-triphosphate; Lamp, lysosome-associated membrane protein; NPC, neuronal precursor cell; NTDs, neural tube defects; PI3K, phosphatidyl Inositol 3-kinase; SB, spina bifida; TUNEL, terminal uridine deoxynucleotidyl transferase dUTP nick end labeling Received 04.3.08; revised 31.3.08; accepted 31.3.08; Edited by G Melino; published online 02.5.08 Cell death and survival in NTDs F Cecconi et al 1171 Table 1 Neurodevelopmental aspect of phenotypes from the apoptosis or autophagy knockout mice Gene Neurodevelopmental phenotype Reference BaxÀ/À Apoptosis reduction in postmitotic spinal cord motor neurons and 22,23 sympathetic neurons in the PNS À/À À/À 24 Bcl-XL /Bax Massive apoptosis reduction in postmitotic neurons BaxÀ/À/BakÀ/À Accumulation of excess cells within CNS 25 Caspase 3À/À Pronounced effects on the development of the CNS and premature lethality; 26–28 diffuse hyperplasia, ectopic cell masses, abnormal structural organization and augmented number of neurons in several brain areas Caspase 9À/À Excess cells in most CNS regions, brain hyperplasia and exencephaly 29,27 À/À À/À 30 Bcl-XL /Caspase 3 Supernumerary neuronal precursor cells and compensative effect in young postmitotic neurons À/À À/À 31 Bcl-XL /Caspase 9 Neuronal phenotype identical to that of mice lacking only caspase 9; compensative effect in young postmitotic neurons Apaf1À/À Open brain (and/or spina bifida) and forebrain overgrowth; retinal 32,33 overgrowth; delayed cortical layering and enlargement of the mantle layer in the brain; thickening of the hindbrain walls À/À À/À À/À 34 Bcl-XL /Apaf1 Phenotype very similar to Apaf1 , but the Apaf1 deficiency counters the increased apoptosis of postmitotic immature neurons caused by Bcl-XL deficiency Atg5F/F:nestin-Cre (neurons) Progressive neurodegeneration associated with ubiquitinated protein 35 aggregates and inclusion bodies Beclin 1À/À Early defects in ectoderm formation and early embryonic lethality (before 36,37 neural plate determination) Ambra1À/À Decreased autophagy, increased apoptosis, and increased cell proliferation 38 in fetal brain. Neural tube defects and embryonic death Lamp1/Lamp2 Foreshortening of the forebrain 39 Combined or conditional mutations are also included35,39,40–42 involving the need for cell ‘renovation’ in differentiation and encephalon and the central canal of the spinal cord. The cell cycle control rather than for cell demise. anterior portion of the neural tube is then divided into three distinct, interconnected rounded cavities, which distinguish the portion that will become the encephalon, whereas the The Basis of Neural Development in Vertebrates middle and caudal portions remain as a tube and will become The development of vertebrates from the zygote follows a the spinal cord. The most anterior cavity is called the forebrain specific sequence of events: (i) division of the zygote into or prosencephalon, the second is the midbrain or mesence- undifferentiated blastula cells, (ii) formation of three progenitor phalon and finally the most posterior one is the hindbrain or cell layers in a gastrula, (iii) differentiation and reorganization rhombencephalon. Later, in development, the CNS will go of the progenitor cells into tissues and organs, (iv) full growth through a stage termed ‘five vesicles’, namely telencephalon, of the organs and (v) birth. diencephalon, mesencephalon, metencephalon and myelen- In the course of development, cell differentiation begins with cephalon. From the telencephalon originates the cerebral the emergence of the cells in the three primordial layers of the cortex, basal ganglia, hippocampal formation, amygdala and gastrula: the ectoderm (outer layer), the mesoderm (middle olfactory bulb, and from the diencephalon the thalamus and layer) and the endoderm (inner layer). Roughly speaking, the surrounding nuclei, hypothalamus, retina and optic nerve. gastrula ectoderm develops into the skin, the sense organs, and the nervous system. The progenitor cells for all neurons Neural Tube Defects and glial cells of CNS begin as a further differentiation of ectoderm cells into a layer known as the neural plate (see Abnormalities in neural tube formation result in NTDs and Smith and Schoenwolf5 and schematics in Figure 1). The both environmental and genetic factors can lead to NTDs in 1 neural plate folds and differentiates into neural crest cells and in every 1000 births and cause 1 in 20 of every spontaneous a neural tube.