Abstract

Background

Amyotrophic lateral sclerosis (ALS) is characterized by the progressive degeneration of motor neurons in the spinal cord, brainstem and motor cortex, leading to respiratory failure and death of affected patients within a few years of diagnosis [1]. The discovery of mutations in the gene encoding the antioxidant enzyme Cu/Zn superoxide dismutase-1 (SOD1) in a subset of patients with familial ALS has led to the development of transgenic animal models expressing different SOD1 mutations [2]. These animal models recapitulate the human disease, exhibiting aberrant oxidative chemistry [3,4], neuroinflammation [5], endoplasmic reticulum stress [6], glutamate excitotoxicity [7], mitochondrial dysfunction [8] and protein misfolding and aggregation [9]. However, the mechanisms behind motor neuron death are unknown.

Accumulating evidence indicates that non-neuronal cells contribute to motor neuron dysfunction and death in ALS by the maintenance of a chronic inflammatory response [10-12]. Activated microglia accumulate in the spinal cord, producing inflammatory mediators and reactive oxygen and nitrogen species [11]. Astrocytes, the most abundant cells in the adult nervous system, also become reactive and display inflammatory features [12,13]. Remarkably, astrocytes carrying SOD1 mutations release soluble factors that selectively induce the death of motor neurons [14-18]. Astrocytes carrying the SOD1^G93A mutation display mitochondrial dysfunction, increased nitric oxide and superoxide production and altered cytokine liberation profile [14,17,19-22]. Thus, SOD1 mutation causes astrocytes to display a neurotoxic phenotype dependent on autocrine/paracrine pro-inflammatory signaling and increased oxidative and nitrative stress [14,19,23].

In the central nervous system, extracellular adenosine-5'-triphosphate (ATP) has physiological roles in neurotransmission, glial communication, neurite outgrowth and proliferation [24]. Extracellular ATP levels markedly increase in the nervous system in response to ischemia, trauma and inflammatory insults [25-28]. In these cases, ATP is a potent immunomodulator regulating the activation, migration, phagocytosis and release of pro-inflammatory factors in immune and glial cells.

Extracellular ATP effects are mediated by metabotropic (P2Y) and ionotropic (P2X) receptors, both widely expressed in the nervous system [24]. The P2X₇ receptor (P2X₇r) is a ligand-gated cation channel that elicits a robust increase in intracellular calcium [29]. Of all P2 receptors, P2X₇r has the highest EC₅₀ (>100 μM) for ATP. The high extracellular concentrations of ATP needed to activate P2X₇r are most likely to arise under pathological conditions. In the normal rodent brain, P2X₇r expression in astrocytes is generally low, but quickly upregulated in response to brain injury or pro-inflammatory stimulation in cell culture conditions [30-32]. In astrocytes, P2X₇r activation can potentiate pro-inflammatory signaling, as it enhances IL-1β-induced activation of NF-κB and AP-1, leading to increased production of nitric oxide as well as increased production of the chemokines MCP-1 and IL-8 [33,34].

Inhibition of P2X₇r and other P2X receptors is neuroprotective in animal models of experimental autoimmune encephalomyelitis and Alzheimer's and Huntington's disease [35-37]. In addition, P2X₇r mediates motor neuron death after traumatic spinal cord injury, and systemic inhibition in vivo protects motor neurons and promotes functional recovery [25,38]. In ALS patients as well as SOD1^G93A animals, increased immunoreactivity for P2X₇r has been found in spinal cord microglia [39,40]. Furthermore, SOD1^G93A microglia in culture display an increased sensitivity to ATP, and P2X₇r activation drives a pro-inflammatory activation that leads to decreased survival of neuronal cell lines [41].

Despite the recognized detrimental role of extracellular ATP and P2X₇r signaling during nervous system pathology, little is known about its effects on astrocytes or its possible role in ALS. We investigated whether ATP acting through P2X₇r could trigger a neurotoxic transformation of astrocytes leading to motor neuron death. We also explored whether ATP signaling in SOD1^G93A astrocytes is involved in the maintenance of their neurotoxic phenotype towards motor neurons.

Methods

Astrocyte treatments

All astrocyte treatments were performed in DMEM 2% FBS for 48 hours unless otherwise stated. Stock solutions were prepared as 100× and added directly to the well after media change. Inhibitors were added 1 hour prior to subsequent treatment. As noted in Figure ​Figure1A,1A, to determine the time-dependency of ATP exposure, media was replenished every 48 hours and 100 μM ATP was added. Thus, astrocytes treated for one day received a single ATP addition while astrocytes treated for three and five days correspondingly received 2 and 3 ATP additions.

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Figure 1

ATP induced a neurotoxic phenotype in non-transgenic astrocytes. (A) Motor neuron stained for p75^NTR cultured on the top of an astrocyte monolayer (B) Motor neuron survival in coculture with astrocytes pretreated with ATP (100 μM, top graph) as described in the diagram (bottom). Astrocytes treated for 5, 3 or 1 day(s) received 3, 2 or 1 ATP addition(s) correspondingly. (C) Survival of motor neurons in pure cultures exposed to conditioned media from control or ATP-pretreated astrocytes (100 μM, 5 days, 3 additions). (D) GFAP immunofluorescence of control and ATP-treated astrocytes (100 μM, 5 days, 3 additions) (E) Motor neuron survival in co-culture with astrocytes pretreated with ATP and apyrase (5 U/ml), ADP, AMP or Adenosine (ADO, 0.1 μM, 5 days) on motor neuron survival. Data are expressed as percentage of control, mean ± SEM from at least three independent experiments. *p < 0.05, significantly different from untreated control.

Results

P2X₇r activation causes astrocytes to promote motor neuron death

To investigate the role of P2X₇r as an initiator of astrocyte-mediated motor neuron death, we used the preferential P2X₇r agonist 2',3'-O-(4-benzoylbenzoyl)ATP (BzATP). Figure ​Figure2A2A shows that a 48-hour treatment of astrocytes with BzATP (10 μM) resulted in death of 30 ± 3% of co-cultured motor neurons. The effects of ATP and BzATP were prevented by the P2X₇r antagonist BBG (1 μM), suggesting that P2X₇r activation was required to induce the astrocyte neurotoxic phenotype (Figure ​(Figure2A2A).

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Figure 2

P2X₇r activation triggered astrocyte-mediated neurotoxicity by inducing oxidative stress. (A) Motor neuron survival in co-culture with astrocytes pre-treated with ATP (100 μM, 5 days) or BzATP (10 μM, 48 hours) and the P2X₇r inhibitor BBG (1 μM). (B) Motor neuron survival in co-culture with astrocytes pre-treated with NAME (1 mM), MnTBAP (0.1 mM) or urate (0.2 mM) and BzATP before co-culture. Data are expressed as the percentage of control, mean ± SEM from at least three independent experiments. *p < 0.05, significantly different from untreated control.

We then investigated whether the P2X₇r-induced phenotypic change in astrocytes could be prevented by agents known to modulate oxidative and nitrative stress. BzATP-treated astrocytes were no longer toxic to motor neurons when the astrocytes were treated with the nitric oxide synthase inhibitor L-NAME (nitro-L-arginine methyl ester, 1 mM), the superoxide scavenger MnTBAP (Manganese (III) tetrakis (4-benzoic acid) porphyrin, 100 μM) and urate (200 μM) (Figure ​(Figure2B).2B). Urate efficiently scavenges peroxynitrite-derived free radicals and thereby inhibits tyrosine nitration of proteins [46,47].

Inhibition of ATP signaling in SOD1^G93A astrocytes prevents astrocyte-mediated motor neuron death and cell proliferation

Consistent with previous reports [14], spinal cord astrocytes from SOD1^G93A rats induced death of 37 ± 8% of co-cultured motor neurons. Remarkably, pre-incubation of SOD1^G93A astrocytes with apyrase to degrade endogenous extracellular ATP for 48 hours before co-culture completely prevented motor neuron death (Figure ​(Figure3A).3A). Pretreatment with the P2X₇r inhibitor BBG also restored motor neuron survival to non-transgenic levels (Figure ​(Figure3A).3A). This suggests that P2X₇r could be basally activated in SOD1^G93A astrocytes in an autocrine/paracrine manner, resulting in neurotoxicity to motor neurons.

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Figure 3

SOD1^G93A astrocytes exhibit ATP-dependent neurotoxicity, proliferation, and increased ATP degradation. (A) Motor neuron survival in co-culture with SOD1^G93A astrocytes pre-treated for 48 hours with the P2X₇r inhibitor BBG (1 μM) or the ATP-hydrolyzing enzyme apyrase (5 U/ml) (B) Effect of apyrase treatment on SOD1^G93A astrocyte proliferation in culture. (C) Degradation of exogenously added ATP by SOD1^G93A or non-transgenic astrocytes astrocytes. Data are expressed as percentage of non-transgenic control, mean ± SEM from at least three independent experiments. Data are expressed as percentage of non-transgenic control, mean ± SEM from at least three independent experiments. *p < 0.05, significantly different from non-transgenic control.

Because purinergic signaling plays a key role in modulating astrocyte proliferation in pathological conditions [48,49], we assessed whether increased ATP signaling was involved in the proliferation of SOD1^G93A astrocytes. Cultured SOD1^G93A astrocytes showed a 4- to 5-fold increased proliferation rate as compared with non-transgenic astrocytes (Figure ​(Figure3B).3B). Proliferation in SOD1^G93A astrocytes was decreased in half by apyrase to the same level as apyrase-treated non-transgenic astrocytes (Figure ​(Figure3B).3B). The small increase in proliferation of non-transgenic astrocytes caused by apyrase could be caused by generation of adenosine, which has been shown to stimulate proliferation of astrocytes [49,50].

The increase in ATP signaling observed in SOD1^G93A astrocytes did not result from decreased extracellular degradation. On the contrary, ATP hydrolysis was 11% greater in SOD1^G93A astrocytes (Figure ​(Figure3C).3C). Similarly, stimulation with LPS or BzATP induced a comparable increase in ATP degradation in non-transgenic astrocytes. In SOD1^G93A astrocytes, these agents did not induce further ATP degradation.

Discussion

Extracellular ATP has become increasingly recognized to have a major role in neurodegenerative processes, but its role in astrocyte-mediated neuronal death has not been explored. Here, we found that spinal cord astrocytes assume a neurotoxic phenotype in response to extracellular ATP, leading to the induction of motor neuron death in co-cultures. Furthermore, evidence indicates that endogenous ATP stimulates SOD1^G93A astrocytes in basal conditions and contributes to the maintenance of their neurotoxic phenotype.

Non-transgenic astrocytes required multiple stimuli with ATP over several days to induce the neurotoxic phenotype, while a single stimulus with the P2X₇r-selective agonist BzATP was sufficient to activate astrocytes to induce the same extent of motor neuron death. BzATP is most potent as an agonist for P2X₇r, but it is also a weaker agonist of P2X₁r and P2X₃r [51-53]. The involvement of P2X₇r was further implicated in the activation of astrocyte neurotoxicity by the antagonist BBG, as it completely inhibited the action of ATP and BzATP. BBG is a selective antagonist for both P2X₇r and P2X₅r. [51-53]. Thus, P2X₇r appears to be the most likely receptor responsible for inducing the neurotoxic phenotype in astrocytes.

We have previously shown that oxidative stress induced by superoxide and nitric oxide forming peroxynitrite in non-transgenic astrocytes leads to a neurotoxic phenotype [19,42]. Here we found that oxidative stress induced by BzATP stimulation mediated the transition of non-transgenic astrocytes to a neurotoxic phenotype, as NOS inhibitors as well as superoxide and peroxynitrite scavengers prevented their neurotoxicity towards motor neurons. In a similar way, Skaper et al showed that P2X₇r activation in microglia stimulated peroxynitrite production and led to death of co-cultured neurons [54]. Thus, amplification of oxidative stress by P2X₇r signaling in microglia and astrocytes could lead to the generation of an adverse environment for vulnerable neurons during neurodegenerative processes.

Because SOD1^G93A astrocytes in culture display a neurotoxic phenotype that is maintained by chronic oxidative stress and autocrine pro-inflammatory signaling [14,17,19,20,22], we investigated whether they also presented alterations in extracellular ATP signaling. Indeed, our results indicate that SOD1^G93A astrocytes display basally augmented extracellular ATP signaling as evidenced by an ATP-dependent neurotoxic phenotype, increased ATP-dependent proliferation, and increased extracellular ATP metabolism. Thus, ATP emerges as an extracellular factor that could chronically maintain the SOD1^G93A astrocyte aberrant phenotype in an autocrine/paracrine manner.

We found that SOD1^G93A astrocytes degraded ATP faster than non-transgenic astrocytes, ruling out that their basal alteration in ATP signaling could be caused by a decrease in its extracellular degradation, thereby allowing ATP to accumulate near receptors. An increase in ATP degradation could also be induced in non-transgenic astrocytes exposed to BzATP or LPS. We have previously shown that LPS induces a neurotoxic phenotype in astrocytes, leading to motor neuron death [42]. Increased ATP degradation and/or ectonucleotidase upregulation has been previously described in neural tissue after cortical stab wound and acute ischemia [55,56]. This phenomenon might reflect a cellular attempt to prevent over-activation of purinergic receptors during increases in extracellular ATP, thus promoting the return of extracellular ATP signaling to homeostasis.

Degradation of ATP by ectonucleotidases cannot only terminate deleterious ATP signaling, but also initiates ADP and adenosine signaling through P2Y and P1 receptors. To our surprise, in non-transgenic astrocytes, ATP degraded with apyrase, ADP, AMP, or adenosine led to ~35% more motor neuron attachment and survival compared to untreated controls. Because survival is determined 48 hours after plating of the motor neurons freshly isolated from spinal cords, any treatment that increases attachment of motor neurons will result in an increase of motor neuron survival above the untreated control. These results illustrate how the astrocyte phenotype can be modulated from toxic to highly trophic by changing the balance between ATP, ADP and adenosine signaling through P2X, P2Y or adenosine receptors.

In animal models of ALS, proliferative activated astrocytes interact with microglia to accelerate disease progression [57]. Remarkably, we found that modulating ATP signaling in SOD1^G93A astrocytes with apyrase or BBG blocked their neurotoxic phenotype, completely preventing astrocyte-mediated death of motor neurons. A role for ATP and P2X₇r in the SOD1^G93A model was recently proposed by D'Ambrosi et al [41], who showed that SOD1^G93A microglia are sensitized to BzATP activation. A combination of aberrant ATP signaling in astrocytes and microglia could generate a positive feedback loop driving a sustained inflammatory response in the spinal cord. The results presented here and the findings in SOD1^G93A microglia [41] suggest that P2X₇r inhibition in ALS could slow disease progression by decreasing astrocyte and microglial activation.

Taken together, the present work supports the idea that extracellular ATP acting through P2X₇r causes astrocytes to develop a neurotoxic phenotype. In SOD1^G93A astrocytes evidence suggests that P2X₇r is basally activated and contribute to their toxicity towards motor neurons. Thus, modulation of astrocyte P2X₇r during disease could lead to decreased oxidative stress and inflammatory signaling and in turn the switch to a more trophic phenotype towards neurons. A better understanding of ATP and P2X₇r signaling in astrocytes could contribute to the development of novel protective therapies in ALS and other neurodegenerative diseases where astrocytes are involved.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

MG, PC, LB participated in the design of the study. MG, HP and PC prepared astrocyte and motor neuron cultures and co-cultures. MG collected the co-culture data and carried out all other experiments. All authors reviewed the data and contributed to the preparation of the manuscript. All authors have read and approved the final manuscript.

References