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Samhan-Arias AK, López-Sánchez C, Marques-da-Silva D, Lagoa R, Garcia-Lopez V, García-Martínez Neuromedicine V, Gutierrez-Merino C, J Neurol Neuromedicine (2016) 1(6): 61-65 www.jneurology.com www.jneurology.com Journal of Neurology & Neuromedicine Mini Review Open Access Biochemical and anatomical basis of brain dysfunctions caused by cytochrome b5 reductase deficiency or dysregulation Alejandro K. Samhan-Arias1*, Carmen López-Sánchez2*, Dorinda Marques-da-Silva1, Ricardo Lagoa1-3, Virginio Garcia-Lopez2,4, Virginio García-Martínez2, Carlos Gutierrez-Merino1# 1Dept. Biochemistry and Molecular Biology, Faculty of Sciences, University of Extremadura, 06006-Badajoz, Spain 2Dept. Human Anatomy and Embryology, Faculty of Medicine, University of Extremadura, 06006-Badajoz, Spain 3ESTG- Polytechnic Institute of Leiria, Leiria, Portugal 4FARMADIEX 06008 Badajoz, Spain Article Info Article Notes ABSTRACT Received: August 29, 2016 Accepted: September 21, 2016 Cytochrome b5 reductase (Cb5R) and cytochrome b5 (Cb5) are coupled redox Keywords: systems with a high potential as biomarkers of health and disease in the brain *Correspondence: Delta9-Tetrahydrocannabinol Dr. Carlos Gutierrez-Merino because they regulate metabolic pathways that are essential to maintain normal Dronabinol Dept. Biochemistry and Molecular Biology, Faculty of Sciences, neuronal function, like lipid biosynthesis, steroid and xenobiotics metabolism, THC University of Extremadura, 06006-Badajoz, Spain, Phone/Fax: neuronal bioenergetics and production of reactive oxygen species. Mutations of Cannabidiol +34924289419. the Cb R reported in humans produce recessive congenital methemoglobinemia CBD 5 E-mail: [email protected] of type II, a disease with severe clinical neurological dysfunctions. The isoform 3 *Both authors have contributed equally to this work and should be of Cb5R (Cb5R3) and Cb5 are highly expressed in pyramidal neurons of the primary considered first authors and secondary motor areas of frontoparietal cerebral cortex, hippocampus, © 2016 Samhan-Arias AK and López-Sánchez C. This article is vestibular, reticular and motor nuclei of the cerebellum and brain stem, and also distributed under the terms of the Creative Commons Attribution in Purkinje and granule neurons of the cerebellum cortex. These brain areas are 4.0 International License highly prone to undergo oxidative stress-induced neurodegeneration and their functional impairment can account for neurological deficits reported in type II Keywords: congenital methemoglobinemia. Cytochrome b5 reductase Cytochrome b5 Brain Pyramidal neurons Motor areas of the cerebral cortex Pleiotropic functions of cytochrome b5 (Cb5) and cytochrome Hippocampus b5 reductase (Cb5R). Cerebellum cortex Purkinje neurons The redox system Cb5/Cb5R acts as an electron carrier coupled Cerebellum to cytosolic NADH consumption in endoplasmic reticulum, Brain stem neuronal nuclei mitochondria and plasma membrane of mammalian cells. Cb5 is a pleiotropic co-factor of multiple enzymes and redox chains that play critical roles for normal function of healthy mammalian organisms, and it is largely reduced by the NADH-dependent Cb5R activity (reviewed in Samhan-Arias and Gutierrez-Merino1). Neurons have an extremely high dependence on lipid metabolism to make new synaptic connections and also for synaptic plasticity and activity. In mammalian cells Cb5 and Cb5R modulate palmitoil- CoA elongation and desaturation and cholesterol synthesis1, and also the dihydroceramide:sphinganine C-4 hydroxylase2. Moreover, 3 reduced Cb5 has been shown to activate sialic acid metabolism , a metabolite required for the synthesis of gangliosides, a major family of brain lipids. In addition, Cb5 is also a cofactor of NADPH- dependent cytochrome P450 monooxygenation reactions involved in steroid and xenobiotics metabolism4,5. Owing to the relevance of oxidative stress in neurodegenerative processes, it is to be noted that the potentiation by Cb5 of the metabolism through cytochrome P450s decreases the rate of collateral reactions releasing non- Page 61 of 65 Samhan-Arias AK, López-Sánchez C, Marques-da-Silva D, Lagoa R, Garcia-Lopez V, García-Martínez V, Gutierrez-Merino C, J Neurol Neuromedicine (2016) 1(6): 61-65 Journal of Neurology & Neuromedicine productive superoxide anion and its dismutation expectancy20-23. In erythrocytes, methemoglobin is kept by metabolite hydrogen peroxide4. Taking into account the two systems at levels below 1% of total hemoglobin24. The relevance of endoplasmic reticulum stress in Alzheimer’s NADH-dependent Cb5R activity accounts for more than 95% 6,7 disease , it is to be noted that the Cb5R isoform 4 (Cb5R4) of the erythrocyte reducing capacity of methemoglobin, b5 and Cb5R domains- as methemoglobin forms a bimolecular complex with 25 has been shown to protect against endoplasmic reticulum reduced Cb5 that leads to its reduction to hemoglobin . stress-induced- a flavohemeprotein lipotoxicity containing8. C The second system that can reduce methemoglobin is a As an impaired neuronal bioenergetics is a metabolic affords in vivo a minor contribution to the reduction of alteration shared in many neurodegenerative diseases, it is methemoglobin,NADPH-dependent because flavin itsreductase. malfunction This do pathway not cause only a of interest to recall here that the NADH oxidase activity of 24,25. Clinical the Cb R bound to the external mitochondrial membrane 5 neurological dysfunctions of the humans affected by has been proposed to contribute in the maintenance of recessivemethemoglobin congenital reduction-deficient methemoglobinemia phenotype of type II include adequate levels of cellular ATP, via direct reduction of progressive microcephaly, generalized dystonia, movement cytochrome c through an electron shuttle with cytochrome disorders, failure to thrive, and cortical and subcortical c oxidase9. Furthermore, the mitochondrial complex atrophy20-23, including cerebellar atrophy26. Cb5R/Cb5 contributes to the cobalamin(III) reduction 10 for the biosynthesis of adenosylcobalamin , and in the The dysregulation of the neuronal Cb5R3 associated with presence of Cb5 microsomal cytochrome P450 reductase lipid rafts of the plasma membrane is largely responsible activates methionine synthase, catalyzing the formation for the early superoxide anion overshot that precedes of methylcobalamin and production of methionine from the activation of caspases in cerebellar granule neurons homocysteine and 5-methyltetrahydrofolate11. apoptosis induced by low potassium in the extracellular medium18,27-29, a widely accepted model for the apoptotic In addition, Cb R has been shown to be a component 5 death of neurons during in vivo development and in of the ‘so-called’ redox chain of the plasma membrane in response to stress and neurotoxic insults30. Moreover, the mammalian cells, which plays a major role in the recycling of increase of superoxide anion production by Cb R in this extracellular ascorbate from ascorbate-free radical12. Because 5 neuronal model of apoptosis correlated with the increase extracellular ascorbate is a major antioxidant defense in of the expression level of soluble Cb 18, which stimulates the brain, in previous works we have shown the presence 5 the activity of Cb R associated with synaptic membranes15. of ascorbate-free radical reductase activity in synaptic 5 Indeed, we found that the ratio between the expression of membranes13 and the association of Cb R with the plasma 5 soluble and membrane isoforms of Cb changed during the membrane in cerebellar granule neurons in culture14-16. We 5 early stages of the apoptosis of these neurons. Noteworthy, noticed that the soluble form of Cb stimulates the Cb R 5 5 the redox properties of brain Cb have been reported to associated with synaptic plasma membranes15. The presence 5 be different from those of Cb isoforms found in other of the cDNAs encoding for a soluble and for a membrane- 5 tissues31. On these grounds, we have proposed that soluble bound isoform of Cb in isolated neuronal and glial cultures 5 Cb produced dysregulation or uncoupling of the plasma was shown by Yoo17 5 membrane-bound Cb R3, which is largely clustered within cultures of cerebellar granule neurons from rat tissue18. In 5 plasma membrane lipid rafts in primary cultures of mature previous publications, and14-16,18,19 confirmed we have by ouralso group pointed in primaryout that cerebellar granule neurons14,15,18. the Cb5R associated with the neuronal plasma membrane is clustered within caveolin-1-rich lipid rafts sub-microdomains The concentrations of Cb5 in mammalian cells are not or nanodomains and that it is the isoform 3 of Cb5R (Cb5R3) saturating for Cb5R, and, therefore, the early increase of Cb5 encoded by the gene CB5R3 or DIA-1. levels that we found in low potassium-induced apoptosis of cerebellar granule neurons can fully account for the Neurological and neuronal impairments associated observed rapid Cb R stimulation18. This can be seen as with functional deficit or dysregulation of Cb R and 5 5 a defensive response against cellular stress, because it Cb5. should help to ensure the maintenance of cellular ATP Mutations of the gene CB5R3 (or DIA-1) encoding levels via direct reduction of mitochondrial cytochrome c9. This protective role can be important during aging, which for Cb5 32 enzyme activity are known to produce recessive congenital elicits a drop of Cb5 . Indeed, it has been shown that calorie methemoglobinemiaR that cause20 deficiency. More than of 50%the NADH-dependentof the mutations