Mice Lacking Major Brain Gangliosides Develop Parkinsonism
Parkinson’s disease (PD) is the second most prevalent late-onset neurodegenerative disorder that affects nearly 1% of the global population aged 65 and older. Whereas palliative treatments are in use, the goal of blocking progression of motor and cognitive disability remains unfulfilled. A better understanding of the basic pathophysiological mechanisms underlying PD would help to advance that goal. The present study provides evidence that brain ganglioside abnormality, in particular GM1, may be involved. This is based on use of the genetically altered mice with disrupted gene Galgt1 for GM2/GD2 synthase which depletes GM2/GD2 and all the gangliotetraose gangliosides that constitute the major molecular species of brain. These knockout mice show overt motor disability on aging and clear indications of motor impairment with appropriate testing at an earlier age. This disability was rectified by L-dopa administration. These mice show other characteristic symptoms of PD, including depletion of striatal dopamine (DA), loss of DA neurons of the substantia nigra pars compacta, and aggregation of alpha synuclein. These manifestations of parkinsonism were largely attenuated by administration of LIGA-20, a membrane permeable analog of GM1 that penetrates the blood brain barrier and enters living neurons. These results suggest that perturbation of intracellular mechanisms mediated by intracellular GM1 may be a contributing factor to PD.
KeywordsParkinson’s disease GM1 ganglioside LIGA-20 Dopaminergic neurons Alpha synuclein
balanced salt solution
B subunit of cholera toxin
dopamine or dopaminergic
days of age
dihydroxyphenyl acetic acid
5-hydroxyindole acetic acid
phosphate buffered saline
substantia nigra pars compacta
ventral tegmental area
Gangliosides are well recognized mediators of certain essential signaling pathways in the nervous system and other organs , and a growing number of proteins involved in such pathways are seen to function in association with one or another ganglioside. Considerable insight into ganglioside-protein interactions has been gained from a study of animals with mutated genes required for ganglioside biosynthesis. One of the most studied is a mouse with disrupted gene Galgt1 which encodes the enzyme UDP-GalNAc:lactosylceramide/GM3/GD3 β-1,4-N-acetylgalactosaminyltransferase (GM2/GD2 synthase; GalNAcT; EC 220.127.116.11). This mutation results in elimination of GM2 and GM1 along with other members of the gangliotetraose family which compromise >90% of CNS gangliosides. Such mice suffer a slight reduction in neural conduction velocity  in addition to decreased central myelination and axonal degeneration . They also show progressive behavioral neuropathies including deficits in reflexes, strength coordination and balance . At the cellular level, cultured neurons from such mice were found deficient in Ca2+ regulation as reflected in vitro by degeneration in the presence of depolarizing levels of K+  and in vivo by enhanced susceptibility to kainate-induced seizures .
The present study has probed further into the movement disorder and pathophysiological manifestations of such knockout (KO) mice and found a constellation of symptoms strongly representative of Parkinson’s disease (PD). A primary neuropathological feature of the sporadic form of PD is the substantial depletion of dopaminergic (DA) neurons in the substantia nigra pars compacta (SNpc), although loss of other neuronal types can also occur prior or subsequent to that in the SNpc . In addition to accompanying decrease of dopamine (DA) in SNpc and striatum, a prominent neuropathological feature is accumulation of alpha-synuclein (a-syn) within cytoplasmic inclusions termed Lewy bodies. In contrast to the much rarer familial cases, which show generally similar neuropathology, the etiology of sporadic PD is not well understood as reflected in the several theories that have been proposed. Most of these are based on a variety of interactions between environmental factors and genetic predisposition.
Rodents subjected to neurotoxins have been widely used to model some of the key features of PD, the most prominent being 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP), 6-hydroxy dopamine, rotenone, and paraquat . The above mentioned GalNAcT−/− KO mouse has the advantage as a model in its spontaneous acquisition of parkinsonian symptoms, thus avoiding the potentially confounding influence of extraneous toxins. The present study chronicles these parallel symptoms and provides evidence suggesting GM1 as the crucial missing ganglioside. This idea correlates with the many previous studies demonstrating GM1 amelioration of parkinsonism in mouse and primate models of PD [9, 10, 11, 12, 13] as well as in PD patients [14, 15]. In that light such treatment might eventually be viewed as a form of replacement therapy pending verification of the hypothesis that susceptible DA cells in PD suffer deficiency of GM1.
Animals and Behavioral tests
A breeding pair of heterozygotes with disrupted gene for GM2/GD2 synthase (C57BL/6 background), created by Dr. Richard Proia and coworkers  was provided as a gift by Dr. Ronald Schnaar (Johns Hopkins University School of Medicine). Animals were maintained in the University of Medicine and Dentistry of New Jersey Research Animal Facility with 12 h light/dark cycles. They were genotyped by PCR analysis as described . All animal procedures were in accord with the guidelines of the UMDNJ Animal Care and Use Committee (IACUC).
Wild type (WT) and KO mice of both genders at 35 and 200 days of age (DOA) were used. To determine physical impairment, a grip-hanging test was employed in which the mouse clings with forepaws to a narrow horizontal rod positioned 50 cm above a pillow and hang time to fall is measured ; the mouse’s tail is gently held by experimenter to prevent climbing with hind legs. Hang times in three consecutive trials, with rest intervals of 20 min, were averaged. The second test, adhesive removal, was used to determine motor response to sensory stimulus . A small piece of adhesive is applied to the snout and the time to removal by forepaw is recorded. Durations longer than 120 s were counted as 120 s. Each animal was measured five times and the shortest three times were averaged. In rescue experiments, animals were injected intraperitoneally (IP) with GM1 (30 mg/kg), LIGA-20 (2.5 mg/kg) or balanced salt solution (BSS; Alcon, Fort Worth, TX) 3×/week over 5 weeks and then subjected to behavioral tests. GM1 and LIGA-20 were gifts from the Fidia Research Laboratories (Abano Terme, Italy). To test the rescue effect of L-dopa on impairment, KO mice were IP injected with L-dopa (20 mg/kg) plus carbidopa (3 mg/kg) in BSS and subjected to behavioral tests 3 h after injection; this was compared to test results before L-dopa administration. Statistical analysis was via two-tailed Student’s t test. After behavior tests, mice were perfused (see below) and the frozen brains stored prior to histochemical and biochemical assays.
Animals were subjected to cardiac perfusion with phosphate buffered saline (PBS) followed by 4% parafomaldehyde in PBS. The brains were fixed overnight or longer in 4% paraformaldehyde followed by transfer to 30% sucrose (cryoprotection) in PBS and storage at 4°C. Coronal frozen sections (25 μm) were cut from the midbrain and stained with CtxB-FITC (1 μg/ml; Sigma; St. Louis, MO) and anti-tyrosine hydroxylase (TH) antibody (Ab) (Millipore; Billerica, MA; 1:1000) plus 2nd Ab linked to Texas red. Other sections were stained with above anti-TH Ab plus Texas red 2nd Ab and anti-a-syn Ab (BD Science, 1:2000) plus 2nd Ab linked to FITC. Immuno- fluorescence in the SNpc region was photographed with 40X objective lens. Stereological analysis was carried out on the SNpc and ventral tegmental area (VTA) of brains from three KO treated with BSS, three KO mice treated with LIGA-20 (2.5 mg/kg), and three WT brains; this was done at the Rutgers University Molecular Histology Center (Dr. Eric Richfield; http://eohsi.rutgers.edu/mhc/). In preparation the brains were perfused, fixed and cryoprotected as above. Using the above anti-TH Ab with Texas red 2nd Ab, the total number of TH+ neurons in the SNpc and VTA were counted using the optical fractionator and previously described counting criteria [19, 20]. The right and left sides were counted in each brain. Regions of interest (ROI) were outlined at low magnification (4X objective) and sampled at high magnification (100X oil immersion objective) using StereoInvestigator (MicroBrightField, VT). ROI were selected based on literature descriptions and their consistent visual identification at 4X. For the area sampling fraction (asf) a sampling frame of size of 55 × 55 μm (3,025 μm2) and a grid area of 123 × 123 μm (15,129 μm2) yielding an asf of 20% were employed. All choices were made to obtain sufficient precision for TH+ neuron counts in the SNpc and VTA.
Immunoblot Assay for Alpha-synuclein
Freshly collected brains from PBS perfused mice were employed and the midbrain cut into 250 μm coronal sections with a vibratome sectioning system in cold PBS. The entire SN region, including compact and reticulum, was isolated with a dissecting microscope. The pooled sections were extracted with Cell Lysis Buffer (Cell Signaling, Danvers, MA) and aliquots containing 20 μg protein were resolved with SDS–PAGE on a 4–15% gradient gel (Bio-Rad, Hercules, CA). After transfer to PVDF membrane, proteins were blotted with anti-a-syn antibody (1:1000; Santa Cruz Biotec; Sanda Cruz, CA) followed by 2nd Ab linked to horseradish peroxidase (HRP). Protein bands were revealed by ECL reagent (Amersham; Piscataway, NJ) on film. Anti-actin Ab (Sigma) was run in parallel for loading control. The optical density of actin and a-syn polymer (ranging from 34 to 170 Kd) blots was scanned and quantified by AlphaEase FC imaging system (Alpha Innotech, San Leandro, CA). Three brains in each group were assayed, the data normalized with respect to actin and statistically analyzed with the Student’s t-test.
For DA assay, striatal samples prepared as above were each homogenized and sonicated in 0.7 ml cold 0.4 N perchloric acid containing 70 ng dihydroxybenzylamine as internal standard for 20 min. This was centrifuged for 20 min at 16,000 g, the supernatant filtered through a Millex-GV syringe filter (0.22 μm; Millipore) and the filtrate stored at −20°C prior to analysis. One hundred μl was applied to a DIONEX ICS-3000 HPLC system with a 5-μm C8 Acclaim 120 column and electrochemical detector (0.7 V). Concentrations of DA and dihydroxyphenylacetic acid (DOPAC) were determined from peak areas adjusted to aliquot size, internal standard, and protein content. Also assayed by HPLC was serotonin (5-HT) and its metabolite, 5-hydroxyindole acetic acid (5-HIAA). Protein content was determined by the Lowry method following digestion of the HClO4 pellet several hrs in NaOH/SDS .
Parkinson’s disease is the second most prevalent late-onset neurodegenerative disorder that affects nearly 1% of the global population aged 65 and older. It is a progressive neurodegenerative disease characterized by resting tremor, postural rigidity, bradykinesia, autonomic instability and in its later stages by cognitive and emotional disorders [23, 24]. A principal feature is loss of pigmented DA neurons in the SNpc that project to the striatum, resulting in DA deficit and aberrations in the activity of the neural circuits within the basal ganglia that regulate movement. Cytosolic accumulation of Lewy bodies that contain aggregated a-syn is an additional hallmark of the disease . The large majority of PD cases have been described as sporadic, the remainder as familial based on a variety of genetic mutations. Symptomatic treatments of the motor features are in clinical use but no neuroprotective treatment to prevent progressive loss of DA neurons has yet become available.
This study has provided evidence for the presence of key features of parkinsonism in genetically modified mice with disrupted gene for Galgt1 (GalNAcT; GM2/GD2 synthase). This included behavioral, histopathological, and biochemical parameters that are the defining symptoms of PD. These findings thus amplify and extend previous observations of behavioral and cellular pathologies of these mutants, which included progressive behavioral neuropathies involving deficits in reflexes, strength, coordination, balance, and gait . A morphological study revealed axonal degeneration and decreased central myelination . These earlier reports thus indicated a variety of neuropathies and neuropathologies attendant to these mutant mice while the present study has elucidated PD-like symptoms not previously reported. Disruption of this gene for a key enzyme in synthesis of GM2 results in ablation of that molelcule and the entire gangliotetraose series [3, 16] which comprise >90% of the complex gangliosides of brain; corresponding elevations of GM3 and GD3 have been observed [5, 26].
We hypothesize that much of the PD-specific symptomatology observed here derives from the GM1 deficit, based in part on the rescue effects of LIGA-20. This GM1 analog, developed by Costa and coworkers , contains the same oligosaccharide chain as GM1 but a modified hydrophobic moiety (replacement of ceramide stearoyl by dichloroacetyl) that induces membrane permeability. The latter property has been affirmed both in vitro with primary neurons  and in vivo with CNS neurons of ganglio-ganglioside-deficient mice suffering enhanced kainate-induced seizures . LIGA-20 proved more potent than GM1 in partially restoring depleted DA levels in MPTP-treated mice  and, significantly, was able to accomplish this via oral administration . These manifestations of LIGA-20 efficacy, believed to derive from its membrane permeability, result in enhanced ability to cross the blood brain barrier and the neuronal plasma membrane. When applied to cells or mice deficient in GM1 it thus serves as replacement for the missing ganglioside in both the plasma membrane and intracellular sites where GM1 has functional roles. Intracellulaar loci include the nuclear Na+/Ca2+ exchanger which is potentiated by GM1 [30, 31], the autophagy pathway including promotion of lysosomal integrity , and a-syn which requires GM1 association to prevent fibrillation and maintenance of helical conformation . Long term Ca2+ dysregulation in the DA neurons of the SNpc, associated with their autonomous pacemaker activity and resultant mitochondrial impairment, has been suggested as a major contributor to the selective vulnerability of those neurons over time . An additional reason for ascribing primacy to GM1 is the finding that knockout mice with disrupted GD3 synthase, resulting in deletion of all b- and c-series and retention of a-series gangliosides, showed virtually intact nervous system morphology with no apparent abnormal behavior despite some aberrations in pain perception and nerve regeneration [35, 36]. GD1a, the other prominent ganglioside of the a-series, often functions as metabolic precursor to GM1 through the action of membrane-bound sialidase [37, 38]. The complexity of ganglioside changes that occur in the Galgt1 mutant and the uncertainty as to which GM1 functions are efficiently restored by LIGA-20 require caution at this stage in ascribing a primary role to GM1 deficiency in relation to parkinsonism. However, the results of this and the other mentioned studies point to that conclusion.
Additional evidence of a key role for Ca2+ dysregulation in PD is the finding that elevated Ca2+ promoted a-syn aggregation in 1321N1 cells expressing an a-syn-GFP construct . Alpha synuclein in aggregated form, together with ubiquitin, is a prominent component of Lewy bodies which are pathological hallmarks of PD. Lewy bodies as such are not usually found in rodent models of PD, but inclusion bodies staining for a-syn and ubiquitin have been observed . The present study obtained Western blot evidence for a-syn aggregation in the prominence of higher molecular weight bands between 34- and 170- kDa in KO striatum compared to WT (Fig. 5). As shown, the densities of such bands were noticeably diminished by LIGA-20 treatment of the KO mice. Significantly, a-syn aggregation was inhibited specifically by GM1 which promoted its alpha-helical structure .
A randomized double blind placebo controlled study reported that GM1-treated PD patients showed significant improvements on Unified Parkinson’s Disease Rating Scale (UPDRS) motor scores and performance of timed motor tasks, compared to baseline performance . Subsequently a 5 year open study revealed that patients using GM1 had lower UPDRS motor scores than at baseline . These are interesting findings in view of preliminary results in our lab showing a marked deficiency of GM1 in DA neurons of the SNpc of PD patients, compared to age-matched controls. This suggests that applied GM1 may be functioning as a form of replacement therapy to the limited extent it is able to enter the brain of PD patients. This leads to the further suggestion that membrane permeable derivatives of GM1 may prove more efficacious in preserving DA neuronal viability and alleviating PD pathology.
This work was supported by NIH grant 2 RO1 NS33912.
It is a pleasure to contribute to this special issue of Neurochemical Research honoring Dr. Robert Yu for his many seminal contributions to the field of Neurochemistry. His studies on the biochemistry, cell biology, and pathophysiology of glycosphingolipids have been well recognized and honored over the years. Bob was my first postdoc (and his first such experience) more than a few years ago, coming from the lab of Herbert Carter, an iconic sphingolipid pioneer at the University of Illinois. Herbert responded to my inquiry with the affirmation that Bob was indeed a promising young neuroscientist who would likely contribute to my program. That proved quite a good prophecy; everyone should be so lucky as to have someone like Bob as their first posdoc. Those years were memorable for the quality and quantity of the work he produced as well the beginning of a life long friendship. I’m convinced there are many more miles to go in terms of Bob’s contributions to neuroscience.
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