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ARTICLE IN PRESS Model
RR 489 1–8
Ageing Research Reviews xxx (2014) xxx– xxx
Contents lists available at ScienceDirect
Ageing Research Reviews
j ourna l h om epage: www.elsev ier .com/ locate /ar r
eview
re dopamine derivatives implicated in the pathogenesis ofarkinson’s disease?
arco Bisaglia ∗, Roberta Filograna, Mariano Beltramini, Luigi Bubaccoolecular Physiology and Biophysics Unit, Department of Biology, University of Padova, Via Ugo Bassi 58/B, 35121 Padova, Italy
r t i c l e i n f o
rticle history:eceived 11 November 2013eceived in revised form6 December 2013ccepted 23 December 2013vailable online xxx
eywords:
a b s t r a c t
Parkinson’s disease (PD) is the most common motor system disorder affecting 1–2% of people over theage of sixty-five. Although PD is generally a sporadic neurological disorder, the discovery of monogenic,hereditable forms of the disease, representing 5–10% of all cases, has been very important in helping topartially delineate the molecular pathways that lead to this pathology. These mechanisms include impair-ment of the intracellular protein-degradation pathways, protein aggregation, mitochondria dysfunction,oxidative stress and neuroinflammation. Some of these features are also supported by post-mortem anal-yses. One of the main pathological hallmarks of PD is the preferential degeneration of dopaminergic
opamineopamine-quinonesitochondriaxidative stressarkinson’s disease
neurons, which supports a direct role of dopamine itself in promoting the disorder. This review presents acomprehensive overview of the existing literature that links the aforementioned pathways to the oxida-tive chemistry of dopamine, ultimately leading to the formation of free radicals and reactive quinonespecies. We emphasize, in particular, how the reaction of dopamine-derived quinones with several cellu-lar targets could foster the processes involved in the pathogenesis of PD and contribute to the progressionof the disorder.
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© 2014 Published by Elsevier B.V.
ontents
1. Molecular pathways in PD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 001.1. Clearance system impairment and protein aggregation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 001.2. Oxidative stress and mitochondrial dysfunction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 001.3. Neuroinflammation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 00
2. Dopamine as an endogenous neurotoxin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 003. Dopamine-derived quinones and Parkinson’s disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 004. Molecular pathways of DAQ toxicity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 00
4.1. Protein targets of DAQ. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 004.2. Mitochondria and DAQ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 004.3. DAQ and neuroinflammation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 00
5. Which DAQ species is responsible for the toxicity? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 006. Conclusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 00
Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 00References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 00
Parkinson’s disease (PD) was first discovered in 1817 by Jamesarkinson, who described this disorder as the “shaking palsy”.t is a chronic and progressive neurodegenerative disorder that
movements and postural instability. Pathologically, PD is charac-terized by a preferential degeneration of neurons in the SubstantiaNigra pars compacta (SNpc), resulting in a decrease of dopamine
Please cite this article in press as: Bisaglia, M., et al., Are dopamine derivaRes. Rev. (2014), http://dx.doi.org/10.1016/j.arr.2013.12.009
ffects more than 6 million people worldwide (www.epda.eu.com).he main clinical feature of PD is the presence of several motorymptoms, which include resting tremor, rigidity, slowness of
∗ Corresponding author. Tel.: +39 0498276329; fax: +39 0498276300.E-mail address: [email protected] (M. Bisaglia).
568-1637/$ – see front matter © 2014 Published by Elsevier B.V.ttp://dx.doi.org/10.1016/j.arr.2013.12.009
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levels in its striatal projections. Dopamine is pivotal for normalmovement because it allows information on movement to be trans-mitted from the SNpc to the striatum, which then initiates and
tives implicated in the pathogenesis of Parkinson’s disease? Ageing
controls the ease and balance of movement (Iversen and Iversen,2007). In addition to the loss of dopaminergic neurons, a sec-ond pathological feature of PD is the presence of cytoplasmicinclusions known as Lewy bodies (LB). Numerous molecules have
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ARTICLERR 489 1–8
M. Bisaglia et al. / Ageing Res
een identified within LBs (Shults, 2006), but the most promi-ent of these are ubiquitin and fibrillar aggregates of �-synucleinSpillantini et al., 1997), although the role of LB in causing the dis-ase has been the subject of considerable debate and uncertaintyRoss and Poirier, 2005).
Most forms of PD are sporadic, but in approximately 5% of cases,amiliar inheritance is observed. Although the etiopathogenesis ofD remains elusive, genetic-associated forms have provided somenteresting evidence on pathways involved in such a multifacto-ial disorder, including ubiquitin–proteasome system deregulation,eading to protein misfolding and aggregation, mitochondrial dys-unction and increased oxidative stress (Cookson, 2012; Lee and Liu,008; Shen and Cookson, 2004). Evidence from post-mortem anal-ses on PD patients also supports the impairment of mitochondrialunction, especially at the level of complex I, and oxidative damages contributing factors (Beal, 2003). In addition, previous studieslso emphasized the presence of neuroinflammation, highlightingts role in the progression of the disease (Beal, 2003; Hirsch et al.,005).
. Molecular pathways in PD
.1. Clearance system impairment and protein aggregation
The first evidence of genetic inheritance in PD was the discov-ry in 1997 of a point mutation in the SNCA gene, which encodes-synuclein (Polymeropoulos et al., 1997). �-Synuclein was also
ound to be the major component of LB (Spillantini et al., 1997).his observation, together with the discovery that �-synuclein geneuplication (Chartier-Harlin et al., 2004) and triplication (Singletont al., 2003) cause autosomal dominant PD, demonstrated the rolef protein aggregation in the pathogenesis of PD. Remarkably, theresence of LB in the brains of patients with sporadic PD alsouggests a key role for �-synuclein in the pathogenesis of the dis-ase. As �-synuclein aggregation is dependent on concentrationWood et al., 1999), a way to induce protein aggregation is throughmpairment of the cellular clearance pathways. In eukaryotic cells,he ubiquitin–proteasome and autophagy-lysosome pathways arehe two main routes of proteins clearance (Rubinsztein, 2006).he role of the ubiquitin–proteasome system in PD became evi-ent after mutations in the parkin protein were found in familiarorms of PD (Kitada et al., 1998; Leroy et al., 1998). Parkin isn E3 ubiquitin-protein ligase responsible for ubiquitin labelingf substrate proteins in preparation for their degradation by the6S proteasome. Parkin also plays a fundamental role in promot-
ng mitophagy of dysfunctional mitochondria following the lossf mitochondrial membrane potential (Narendra et al., 2009). Athe same time, malfunctioning of chaperone-mediated autophagyCMA) has also been described in PD (Cuervo et al., 2004). In particu-ar, the pathogenic A53T and A30P �-synuclein mutants describedn familial forms of PD have a high binding affinity for the CMAeceptor, but, despite their tight interaction with the lysosomalembrane, they cannot translocate into the lysosomal lumen. More
mportantly, they block the uptake and degradation of other CMAubstrates, leading to a general CMA blockage (Rumchev et al.,004).
.2. Oxidative stress and mitochondrial dysfunction
Oxidative stress occurs when the ability of the endogenousntioxidant systems is overwhelmed by the generation of reactive
Please cite this article in press as: Bisaglia, M., et al., Are dopamine derivaRes. Rev. (2014), http://dx.doi.org/10.1016/j.arr.2013.12.009
xygen species (ROS). Nucleic acids, both RNA and DNA, undergoxidative damage, with DNA damage occurring most readily atuanine bases. Free radicals can peroxidate unsaturated fattycids, resulting in lipid degradation and cell membrane damage.
PRESSReviews xxx (2014) xxx– xxx
ROS-induced modification of proteins often leads to either a lossfunction or protein aggregation. Accordingly, an increase in 8-hydroxy-2-deoxy guanosine, 4-hydroxy-2,3-nonenal and proteincarbonylation, which are, respectively, markers of DNA damage,lipid peroxidation and protein oxidation, have all been detected inthe SNpc of PD patients (Alam et al., 1997; Floor and Wetzel, 1998;Yoritaka et al., 1996; Zhang et al., 1999).
The direct relationship between mitochondrial dysfunction andPD was proposed after the description of complex I deficiency inthe SNpc of patients who had died from PD (Schapira et al., 1989,1990). Consistent with the notion that complex I is the main mito-chondrial site of superoxide radical production (Murphy, 2009),these mitochondrial dysfunctions were observed in associationwith increased oxidative stress, emphasizing the interrelation-ship between these events (Owen et al., 1996; Schapira, 1995).Additional support for the involvement of mitochondria in PDpathogenesis emerged from the identification of genetic causes offamilial PD. Specifically, mutations in three genes, encoding parkin,DJ-1 and PINK1, are the cause of recessive forms of parkinsonism(Bonifati et al., 2003; Kitada et al., 1998; Valente et al., 2004). Inter-estingly, the major common functional effects of all three genesrelate to mitochondrial function and oxidative damage, suggest-ing a potential overlap among the pathways that lead to recessiveparkinsonism. Both parkin and PINK1 proteins are also criticallyinvolved in the regulation of mitochondrial dynamics and in theselective removal of damaged mitochondria through mitophagy.Consequentially, dysfunction of these proteins leads to impairedmitochondrial morphology and integrity (Bueler, 2010; Exner et al.,2007; Pogson et al., 2011). Although the precise biological functionof DJ-1 is not known, it has been proposed that it may play a rolein the cellular responses to oxidative stress (Cookson, 2012). Theimpairment of mitochondrial function in sporadic PD is also sup-ported by evidence that exposure to environmental toxins, knownto damage mitochondrial functions, have been identified as a sig-nificant risk factor for PD. These same toxins produce parkinsonianphenotypes when used in animal models (see (Bove and Perier,2012) for a review).
1.3. Neuroinflammation
The inflammatory response associated with cell loss in thedopaminergic nigrostriatal tract and, more generally, the role ofimmune mechanisms is increasingly recognized in PD progression(see (Hirsch and Hunot, 2009) for a review). Microglia cells arethe resident macrophages of the brain and, as such, they playcritical roles in the development and maintenance of the neu-ral environment. In the mature brain, microglia typically existin a resting state characterized by a ramified morphology thatcontinuously surveys the surrounding tissue (Nimmerjahn et al.,2005). Upon activation, following perturbations in the brain’smicroenvironment or changes in the neuronal structure, microgliadevelop a series of responses to produce mediators that help toeliminate the source of proinflammatory signals (Streit, 2002).However, under some circumstances, such as the presence of�-synuclein aggregates or of neuromelanin (NM) released fromdying neurons, microglia can become over-activated and inducesignificant detrimental neurotoxic effects by perpetuating theproinflammatory response (Kim et al., 2013; Theodore et al.,2008; Zhang et al., 2005). Post-mortem studies have reported thepresence of activated microglial cells within the SNpc of patientswith Parkinson’s disease (McGeer et al., 1988). In addition, proin-flammatory cytokines, such as IFN-�, TNF� and IL-1, coordinate the
tives implicated in the pathogenesis of Parkinson’s disease? Ageing
action of microglia and PD patients have been found with elevatedlevels of TNF� and IFN-� in the cerebrospinal fluid and braintissue (Mogi et al., 1994, 1996). Consistent with the notion that DAneurons have an increased vulnerability to oxidative insults, it has
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ARTICLE IN PRESSG Model
ARR 489 1–8
M. Bisaglia et al. / Ageing Research Reviews xxx (2014) xxx– xxx 3
Proteasome dysfunction CMA impairment Neuroinflammation
III III IV V
mPTP
Mitochondrial complex I dysfunction
and mPTP opening
DNA-DAQ adducts
Protein-DAQ adducts
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NH2
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Dopamine-derived quinones
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ig. 1. Molecular pathways of DAQ toxicity. The picture summarizes the potentiahrough which DAQs could promote the disorder.
een suggested that, among the factors produced by inflammatoryells, the release of superoxide by microglia might be a relevantactor fueling neurodegeneration (Qian et al., 2010). Furthermore,
icroglia can remain chronically activated in response to neuronalamage in a process that has been termed reactive microgliosis,esulting in a self-propelling and progressive cycle of microglialctivation and neuron damage (Lull and Block, 2010).
. Dopamine as an endogenous neurotoxin
None of the aforementioned molecular pathways provide aogent argument to rationalize the observed preferential degen-ration of dopaminergic neurons in PD. The proteins involved inamilial forms of the disease are not selectively expressed in thiseuronal population; conversely, most of them are abundantly andbiquitously expressed and therefore could not provide simply byheir presence a justification for dopaminergic nigrostriatal degen-ration in PD. The SNpc contains 4.5 times more microglia thanther brain regions (Kim et al., 2000), suggesting that this regions particularly exposed to inflammatory insult. Nevertheless, neu-oinflammation most likely participates to the progression of theisease rather than its etiology (Hirsch and Hunot, 2009).
Please cite this article in press as: Bisaglia, M., et al., Are dopamine derivaRes. Rev. (2014), http://dx.doi.org/10.1016/j.arr.2013.12.009
The hypothesis that the preferential SNpc dopaminergic neu-on degeneration in PD hinges on the presence of dopamine (DA)as suggested more than 20 years ago (Hastings and Zigmond,
997). As a neurotransmitter, DA is synthesized in the cytosol
ionship between the pathological pathways involved in PD and the mechanisms
by the sequential action of tyrosine hydroxylase and aromaticamino acid decarboxylase. DA is then transferred by the vesic-ular monoamine transporter 2 inside synaptic vesicles where itis stabilized by the low pH. When the cytosolic concentration ofDA begins to exceed the physiological value, the surplus can bemetabolized via monoamine oxidase to form the highly toxic 3,4-dihydroxyphenilacetldehyde (DOPAL) (Rees et al., 2009), which inturn is converted by aldehyde dehydrogenase to the non-toxicmetabolite 3,4-dihydroxyphenylacetic acid (DOPAC). As exhaus-tively reviewed by Marchitti et al. (2007), aldehydes, includingDOPAL, form adducts with various cellular nucleophiles, result-ing in impaired cellular homeostasis, dramatically reduced enzymeactivity, and DNA damage. DOPAL accumulation and/or impaireddetoxification have been hypothesized to play a role in the patho-genesis of PD (Eisenhofer et al., 2004; Jinsmaa et al., 2011; Wey et al.,2012). Accordingly, it was recently reported that patients who diedwith PD had an elevated DOPAL-to-DOPAC ratio in caudate andputamen (Goldstein et al., 2011).
At the neutral cytosolic pH (approximately 7.0–7.4), DA isnot stable and it can self-oxidize. The presence of NM, whichis responsible for the dark pigmentation of SNpc, demonstratesthat dopamine oxidation takes place inside dopaminergic neurons.
tives implicated in the pathogenesis of Parkinson’s disease? Ageing
Accordingly, the self-oxidation of catechols to quinones with thesubsequent addition to thiol groups has been demonstrated in thebrain (Fornstedt et al., 1986). The first consequence of the redoxreactions specific to DA is an increase in oxidative stress through the
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roduction of reactive oxygen species (ROS). In fact, self-oxidationf DA has been demonstrated to produce both superoxide anionadical and hydrogen peroxide (Klegeris et al., 1995). While lowevels of ROS can have important physiological functions in localignaling (Valko et al., 2007), an excess of ROS production can beamaging to nucleic acids, lipids and proteins, leading to an over-ll progressive decline of their function in the cell (Sanders andreenamyre, 2013).
. Dopamine-derived quinones and Parkinson’s disease
In addition to ROS production, the self-oxidation of DA canlso generate DA-derived quinones (DAQ). These electron-deficientpecies are very reactive toward nucleophiles present in the cell,eading to cellular damage specifically to dopaminergic neurons.A oxidation-derived toxicity in vivo was clearly demonstratedy injection of high concentrations of DA into the rat striatumHastings et al., 1996). After the injections, the investigatorsetected the oxidation products of DA and DOPAC as both free androtein-bound cysteinyl-DA and cysteinyl-DOPAC. This was one ofhe first pieces of evidence indicating that the oxidation productsf DA bind to proteins in the striatum, an event that was correlatedith the specific loss of dopaminergic terminals. More recently,
nalyzing four different brain regions of 2–15-month-old rats, apecific age-dependent increase of cytosolic DAQ was observednd correlated with the formation quinoprotein adducts in theNpc (Wang et al., 2011). It has been suggested that quinoproteindduct formation may play a role in the age-dependent selectiveulnerability of SNpc dopaminergic neurons (Wang et al., 2011).nterestingly, cysteinyl DA and DOPAC adducts were found to beigher in the SNpc of postmortem brain samples from PD patients inomparison to normal control subjects (Spencer et al., 1998). Nev-rtheless, this conclusion must be taken with caution because allhe patients were treated with L-DOPA to alleviate their PD symp-oms. Fig. 1 summarizes the potential relationship between theforementioned pathological pathways and the purported mech-nisms through which dopamine-derived quinones could promotehe disorder. The mechanisms will be discussed in the next sections.
. Molecular pathways of DAQ toxicity
As mentioned above, DAQs are electrophilic species that caneact with many different cellular nucleophiles. DNA-adduct for-ation has been demonstrated in peroxidase-containing HL-60
ells and in human glioblastoma cells treated with DA, suggest-ng that covalent binding of quinones to cellular DNA in vitro mayontribute to the neurotoxic effects observed in catecholaminer-ic brain regions (Levay and Bodell, 1993). More recently, anothertudy demonstrated in vitro that the reaction of DAQs with DNAo form depurinating adducts becomes fast enough to be relevantnder acidic conditions. Although their levels appeared nominal ateutral pH, a limited number of events in the absence of a rescueechanism could accumulate over time, so that the authors sug-
ested that the apurinic sites formed in the DNA could generateutations that may lead to neurodegeneration (Zahid et al., 2011).
his hypothesis is particularly attractive in the case of mitochon-rial DNA, which codes for 13 proteins located in the respiratoryhain, 7 of which are subunits of complex I (Lestienne et al., 1990).ence such modification could be responsible for the loss of activityf complex I observed in PD.
.1. Protein targets of DAQ
Please cite this article in press as: Bisaglia, M., et al., Are dopamine derivaRes. Rev. (2014), http://dx.doi.org/10.1016/j.arr.2013.12.009
Among all the possible targets of DAQ, proteins are by far theost studied, in particular in relation to the reactivity of their cys-
eine residues. Because these residues are often located at the active
PRESSReviews xxx (2014) xxx– xxx
site of the proteins, it has been proposed that their covalent mod-ification by DAQ results in impairment of protein function withpotentially deleterious effects on the cell (LaVoie and Hastings,1999). For example, two different in vitro studies have demon-strated that DAQs covalently modify the sulfhydryl groups oftyrosine hydroxylase, the rate-limiting enzyme in catecholaminebiosynthesis, resulting in the formation of cysteinyl-catechols witha loss of enzymatic activity (Kuhn et al., 1999; Xu et al., 1998).
More recently, DAQ-binding to parkin has been reported indopaminergic MES23.5 and SH-SY5Y neuronal cells (LaVoie et al.,2005). The binding of DAQ to this protein has been demonstratedto promote parkin aggregation and to inactivate its ubiquitin ligaseactivity. Accordingly, proteasomal inhibition has been observed invitro after treatment of rabbit reticulocyte lysates with increasingamounts of quinones derived from dopamine, DOPA and DOPAC(Zafar et al., 2006). The investigators emphasized, in particular, howonly quinones rather than ROS were responsible for proteasomaldysfunction. A similar conclusion was proposed in another inde-pendent study based on the use of dopaminergic MN9D cells (Zhouand Lim, 2009).
Another study has associated DAQ modifications of �-synucleinwith the impairment of the CMA degradation pathway for othersubstrates (Martinez-Vicente et al., 2008). More precisely, it wasobserved that in isolated lysosomes, DAQ-modified �-synucleinbinds tightly to the lysosomal membrane, but it translocates poorlyinto lysosomes and blocks the lysosomal uptake of other CMA sub-strates. The authors also demonstrated that in postnatally derivedmouse ventral midbrain cultures, which encompass the SN andcontain approximately 40% dopaminergic neurons, an increasedsteady state level of DA inhibited the proportion of autophagy dueto CMA activity, but this effect was not observed in dopaminergicneuronal cultures lacking �-synuclein. The observation led to theconclusion that the cellular presence of �-synuclein is required toblock the lysosomal uptake (Martinez-Vicente et al., 2008).
In the past years, the interaction between �-synuclein and DAQhas been extensively studied. Conway et al. first reported thatincubation of the protein in the presence of DA inhibits fibril for-mation by stabilizing oligomeric species (Conway et al., 2001). Itwas then proposed that the formation of covalent �-synuclein/DAQadducts could induce the development of toxic annular protofib-rils, which are able to permeate membranes through a mechanismtypical of pore forming toxins (Volles and Lansbury, 2003). Sincethen, a number of studies have appeared in the literature aim-ing to deepen our understanding of the interaction between DAQand �-synuclein, but the results have often been contradictory, inparticular, regarding the covalent or non-covalent nature of theadducts and their secondary structures (see (Leong et al., 2009)for a review). A number of these studies suggested the forma-tion of covalent �-synuclein/DAQ adducts (Cappai et al., 2005;Conway et al., 2001; Li et al., 2004, 2005), but convincing datawere also presented for a non-covalent interaction between DAQand the 125YEMPS129 region of �-synuclein (Mazzulli et al., 2007;Norris et al., 2005). The coexistence of covalent and non-covalentoligomers currently appears to be the most likely scenario withthe covalent adducts accounting for a small fraction (5–15%) ofthe total protein (Bisaglia et al., 2010b; Conway et al., 2001; Liet al., 2004). Although researchers have been tempted to associate�-synuclein/DAQ adducts to �-sheet-rich protofibrils, works fromdifferent groups have demonstrated that after the interaction withDAQ, �-synuclein maintains an unstructured conformation, anal-ogous to that of its monomeric state (Bisaglia et al., 2010b; Rekaset al., 2010).
tives implicated in the pathogenesis of Parkinson’s disease? Ageing
In addition to parkin and �-synuclein, another protein involvedin familiar forms of PD, DJ-1, has been suggested to be modifiedby DAQ (Van Laar et al., 2009) and the structural details of theseinteractions have been recently investigated (Girotto et al., 2012).
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J-1 seems to be implicated in PD through a loss-of-function mech-nism (da Costa, 2007; Olzmann et al., 2004). However, in view ofhe multifunctional role of DJ-1, it is quite difficult to establish theffects of the interaction with DAQ on a given protein function.J-1 has been suggested to play a role in transcriptional regula-
ion, cell signaling and apoptosis (Junn et al., 2005; Xu et al., 2005),o possess a low-intrinsic proteolytic activity (Chen et al., 2010)nd to act as a chaperone in inhibiting �-synuclein aggregationShendelman et al., 2004). The most purported and investigatedunction of DJ-1 is its neuronal protective role against oxidativetress, although how exactly this function is carried out is not clearBishop et al., 1990). Whichever is the real physiological role ofJ-1 and the molecular pathway that correlates this protein to PD,ny of the multiple cysteine-dependent functions that have beenscribed to DJ-1 would most likely be lost upon DAQ binding tohese residues (Girotto et al., 2012).
Considering the importance that oxidative stress seems to playn the pathogenesis of PD and the role of mitochondria as the
ain source of superoxide radicals in cells, we and other groupsvaluated the interplay between DAQ and superoxide dismutase
(SOD2) in the pathogenesis of PD. SOD2 is a mitochondrial man-anese enzyme, which plays a fundamental role in detoxifying cellsrom noxious free radicals by transforming superoxide radical into
olecular oxygen and hydrogen peroxide within mitochondria. Byeans of two different experimental approaches, it has been shown
hat SOD2 is a target of DAQ in rat brain mitochondria. In the firstpproach, by using a combination of fluorescent probes directedgainst cysteine or lysine residues, the investigators demonstratedhat DA oxidation results in the loss of mitochondrial proteins,ncluding SOD2 (Van Laar et al., 2008). In the second study, SOD2
as identified as one of the proteins modified by 14C-DAQs inat brain mitochondria (Van Laar et al., 2009). The interactionetween DAQ and SOD2 was analyzed more in depth in vitro.e found that exposure to DAQ induces loss of SOD2 enzymatic
ctivity, correlated to the concomitant formation of protein aggre-ates (Belluzzi et al., 2012). These results support the idea that aAQ-dependent decrease of the enzymatic activity of SOD2 wouldxacerbate oxidative stress, leading to neuronal dysfunction andventually to cell death. Another implication is that the chemicalodifications induced by DA oxidation products on very specific
rotein targets could affect their function and result in an amplifi-ation of the effects of DA itself.
In agreement, it has been recently demonstrated that the antiox-dant protein GPx4, which is primarily responsible for reducinghospholipid hydroperoxides, is sensitive to modification by DAQHauser et al., 2013). This modification would result in decreasedPx4 activity, GPx4 degradation and the formation of high-olecular-weight polymers containing GPx4 (Hauser et al., 2013).
t is possible that a selective loss of GPx4 activity in dopaminergiceurons might underlie the increases in lipid peroxides measured
n PD brain and could be a contributing factor in PD pathogenesis.
.2. Mitochondria and DAQ
Considering that mitochondrial electron transport chain (ETC)ctivity is very sensitive to inhibition by sulfhydryl modifyinggents such as mercurials (Gutman et al., 1970), several groupsave investigated the possibility that DA reactivity may be linked tohemical modification of ETC sulfhydryls through pathways involv-ng covalent adduct formation. In agreement with this hypothesisnd with a decreased mitochondrial complex I activity in PDatients (Schapira et al., 1989, 1990), works based on isolated brain
Please cite this article in press as: Bisaglia, M., et al., Are dopamine derivaRes. Rev. (2014), http://dx.doi.org/10.1016/j.arr.2013.12.009
itochondria have demonstrated that DA is truly capable of inhib-ting brain mitochondrial respiration (Berman and Hastings, 1999;ohen et al., 1997; Cohen and Kesler, 1999; Gluck et al., 2002).evertheless, the mechanisms proposed are often contradictory.
PRESSReviews xxx (2014) xxx– xxx 5
In the presence of low DA concentrations (0.5–3 mM) for a shortperiod of incubation (15 min), the inhibition arises from mecha-nisms related to MAO-mediated DA turnover, supporting the ideathat the formation of H2O2 and hydroxyl radicals are responsiblefor the toxic effects (Gluck et al., 2002). At higher concentrationsof DA (5–20 mM for 15 min), the inhibition becomes increasinglyMAO-independent and arises from generation of ROS and throughthe formation of DAQ (Gluck and Zeevalk, 2004). Finally, even withlow concentrations (0.1–0.4 mM) but with prolonged exposure (upto 2 h), the DA-mediated inactivation of complex I and complex IVappears to predominantly involve quinone production instead ofROS (Khan et al., 2005). Moreover, in the presence of tyrosinase,which causes rapid oxidation of dopamine to quinone products, asignificant acceleration of DA-mediated inactivation of complex Iand complex IV was observed. Conversely, the presence of reducedglutathione prevents this effect due to its quinone scavengingproperties (Khan et al., 2005). Another study noted the action ofquinone on the mitochondrial permeability transition pore (mPTP).The mPTP is a calcium-dependent, proteinaceous pore that allowsthe normally impermeable inner membrane of mitochondria tobecome permeable to solutes of <1500 Da. The change in membranepermeability leads to depolarization of the transmembrane poten-tial, release of small solutes and then proteins, osmotic swelling anda loss of oxidative phosphorylation (Berman and Hastings, 1999).It has been demonstrated that DAQ production leads to a largeincrease in resting respiration, indicative of an increase in innermembrane permeability and that the oxidation of DA to DAQ resultsin an increase in mitochondrial swelling, which can be inhibited bycyclosporin A, suggestive of the opening of the mPTP (Berman andHastings, 1999). With the aim of shedding some light on the mecha-nism through which DAQ can induce the opening of the mPTP, twodifferent studies carried out on the SH-SY5Y cell line (Gimenez-Xavier et al., 2006) and on isolated mitochondria (Bisaglia et al.,2010a) demonstrated that DAQ exposure causes the oxidation ofNADH in the mitochondrial matrix, while the level of reduced GSHis not affected. These results suggest a possible mechanism of tox-icity of DAQ in mitochondria, involving the oxidation of NADH,which can lead to a variety of toxic effects. In addition to promotingthe opening of the mPTP, pyridine nucleotide oxidation could alsoaffect the activity of the ETC, particularly at the level of complexI. In fact, the electrons derived from NADH oxidation by complex Iflow through the ETC to then generate the proton gradient used bythe ATP synthase complex to produce ATP (Bisaglia et al., 2010a).
4.3. DAQ and neuroinflammation
Dopaminergic neurons are characterized by the presence of NM.It has been suggested that NM formation itself may be neuroprotec-tive because of both its scavenging activity toward toxic DAQs andcapacity to sequester redox active metal ions, such as iron, cop-per and manganese (Sulzer et al., 2000; Sulzer and Zecca, 2000;Zecca et al., 2003). Nevertheless, the dying neurons in PD havebeen observed to release NM in the cytoplasm and in the extra-cellular space. These events result in the loss of the intracellularprotective role of NM and in a worsening of neurodegeneration(Zecca et al., 2003, 2006). Extracellular NM has been suggested toinduce microglia activation leading to chronic neuroinflammation(Zecca et al., 2003, 2006). In addition to activating microglia in apolymeric form like NM, DAQs themselves have been shown to pro-mote an inflammatory response in cellular models. By analyzing theDAQ-induced alteration in the gene expression profile of microglia,the authors reported enhancement of the following responses: (i)
tives implicated in the pathogenesis of Parkinson’s disease? Ageing
expression of genes that contribute to inflammatory processes;(ii) cell and membrane damage; (iii) cytokine production; as wellas a reduction of “neuronally protective” receptors on microglia(Kuhn et al., 2006). Another group showed that DAQ-modified
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ell membranes could cause microglial activation (Le et al., 2001).pecifically, the levels of O2
−, H2O2, and NO were found to be 4-o 14-fold higher than in untreated microglia cultures. Although
icroglial activation results in the release of several cytokinesnd ROS, which can both potentially mediate a tissue-destructiveesponse, dopaminergic cell injury seems to be selectively medi-ted by nitric oxide and H2O2 (Le et al., 2001).
. Which DAQ species is responsible for the toxicity?
The oxidation of DA generates three monomeric quinonepecies, dopamine-o-quinone (DQ), aminochrome (AC) and indole-,6-quinone (IQ) (Bisaglia et al., 2007), which are all potentiallyeactive in a cellular environment. Dopamine-derived quinoneeactivity has been typically ascribed to DQ. This electron-deficientpecies reacts very quickly with the cysteinyl residues of pro-eins while the reactivity toward other nucleophilic amino acids isoo low to kinetically compete with its intramolecular cyclization,hich leads to the formation of AC (Tse et al., 1976). Accordingly,
n the case of DJ-1, it has been demonstrated by NMR and masspectrometry that DQ is able to react with both Cys53 and Cys106Girotto et al., 2012). Although in the case of parkin, the interactinguinone species have not been characterized, considering that therotein has 35 cysteinyl residues, it appears very likely that DQ ishe species that reacts in this case as well. In contrast, on the basisf indirect evidence, it has been proposed that IQ, rather than DQ orC, are the most reactive quinone species toward �-synuclein, lead-
ng to the suggestion that the IQ reactivity could represent a generaleaction pathway whenever cysteinyl residues are absent or whenhey are sterically protected (Bisaglia et al., 2007). With the aim ofhedding some light on the reactivity between DAQ and mitochon-ria, the reactivity of DQ, AC and IQ toward NADH and glutathioneGSH) has been analyzed in depth and a very diverse behavior wasbserved for the different DAQs studied (Bisaglia et al., 2010a). Con-istent with the previous hypothesis, DQ and IQ were very reactiveith both NADH and GSH, while AC did not show any appreciable
eactivity (Bisaglia et al., 2010a).
. Conclusion
The etiopathogenesis of PD is still elusive and, at present, noherapies are available to arrest the progression of the disease.
hile PD is mostly a sporadic disorder, the familiar forms of theisease have allowed the definition of the molecular pathwayshat could also be involved in the idiopathic forms. These includelearance system impairment and protein aggregation, mitochon-ria dysfunction, oxidative stress and neuroinflammation. Some ofhese processes have been corroborated by post-mortem analyses.lthough it is now clear that PD is a multifactorial disorder in whichenetic susceptibilities and environmental factors contribute tohe generation of the clinical manifestation, some common aspectsould be present in most if not all cases of PD. A distinctive feature ofhe disease is the preferential loss of dopaminergic neurons in theNpc, which supports a direct role for DA itself in the pathogenesisf PD. In this review, we have outlined how DA could contribute tohe aforementioned pathways associated with the disorder. In par-icular, the oxidative chemistry of cytosolic DA, with the formationf free radicals and reactive quinone species, could play a pivotalole in the progression of PD.
Please cite this article in press as: Bisaglia, M., et al., Are dopamine derivaRes. Rev. (2014), http://dx.doi.org/10.1016/j.arr.2013.12.009
cknowledgments
This work was supported by grants obtained from the Universityf Padova (PRAT2010-CPDA103503; PRAT2012-124045) and the
PRESSReviews xxx (2014) xxx– xxx
Italian Ministry of Education, University and Research (PRIN2010-M2JARJ).
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