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Originally published In Press as doi:10.1074/jbc.M602487200 on April 28, 2006

J. Biol. Chem., Vol. 281, Issue 26, 17670-17680, June 30, 2006
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Degradation of the Alzheimer Disease Amyloid beta-Peptide by Metal-dependent Up-regulation of Metalloprotease Activity*

Anthony R. White{ddagger}§1, Tai Du{ddagger}§, Katrina M. Laughton{ddagger}§, Irene Volitakis{ddagger}§, Robyn A. Sharples{ddagger}§||**, Michel E. Xilinas§, David E. Hoke{ddagger}§2, R. M. Damian Holsinger{ddagger}§, Geneviève Evin{ddagger}§, Robert A. Cherny{ddagger}§, Andrew F. Hill{ddagger}§||**, Kevin J. Barnham{ddagger}§, Qiao-Xin Li{ddagger}§, Ashley I. Bush{ddagger}§3, and Colin L. Masters{ddagger}§

From the Departments of {ddagger}Pathology and ||Biochemistry and the Centre for Neuroscience, University of Melbourne, Victoria 3010, Australia and the §Mental Health Research Institute and the **Bio21 Molecular Biology and Biotechnology Institute, Parkville, Victoria 3052, Australia

Received for publication, March 16, 2006 , and in revised form, April 28, 2006.


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 EXPERIMENTAL PROCEDURES
 RESULTS
 DISCUSSION
 REFERENCES
 
Biometals play an important role in Alzheimer disease, and recent reports have described the development of potential therapeutic agents based on modulation of metal bioavailability. The metal ligand clioquinol (CQ) has shown promising results in animal models and small phase clinical trials; however, the actual mode of action in vivo has not been determined. We now report a novel effect of CQ on amyloid beta-peptide (Abeta) metabolism in cell culture. Treatment of Chinese hamster ovary cells overexpressing amyloid precursor protein with CQ and Cu2+ or Zn2+ resulted in an ~85–90% reduction of secreted Abeta-(1–40) and Abeta-(1–42) compared with untreated controls. Analogous effects were seen in amyloid precursor protein-overexpressing neuroblastoma cells. The secreted Abeta was rapidly degraded through up-regulation of matrix metalloprotease (MMP)-2 and MMP-3 after addition of CQ and Cu2+. MMP activity was increased through activation of phosphoinositol 3-kinase and JNK. CQ and Cu2+ also promoted phosphorylation of glycogen synthase kinase-3, and this potentiated activation of JNK and loss of Abeta-(1–40). Our findings identify an alternative mechanism of action for CQ in the reduction of Abeta deposition in the brains of CQ-treated animals and potentially in Alzheimer disease patients.


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 EXPERIMENTAL PROCEDURES
 RESULTS
 DISCUSSION
 REFERENCES
 
Alzheimer disease (AD)4 is characterized by progressive neuronal dysfunction, reactive gliosis, and the formation of amyloid plaques in the brain. The major constituent of AD plaques is the amyloid beta-peptide (Abeta), which is cleaved from the membrane-bound amyloid precursor protein (APP) (1). Aggregated or oligomeric Abeta can induce neurotoxicity through pathways involving free radical production and increased neuronal oxidative stress (2). Among the factors capable of promoting Abeta aggregation in vivo, recent evidence supports a central role for biometals such as Cu2+ and Zn2+ in this process (3).

An important factor in controlling Abeta accumulation in AD patients is the activity of Abeta-degrading enzymes. Recent studies have identified several candidate proteases that may contribute to catabolism of Abeta in the brain. Neprilysin, insulin-degrading enzyme, angiotensin-converting enzyme, and matrix metalloproteases (MMPs) have all demonstrated Abeta-degrading activity in vitro and/or in vivo (46). Reduced activity of these or other Abeta-degrading proteases with age may play a role in promoting accumulation and deposition of Abeta in AD patients. Development of strategies to enhance clearance of Abeta may lead to novel therapeutic treatments for AD patients.

Promoting Abeta clearance may be achieved through modulating metal sequestration or metal-protein interactions. 5-Chloro-7-iodo-8-hydroxyquinoline or clioquinol (CQ), a disused antibiotic, has received considerable attention as a potential metal ligand in AD and Parkinson disease patients (79). Preliminary studies revealed that CQ rapidly and potently dissolved aggregates of synthetic or AD brain-derived Abeta in vitro (10). In subsequent animal studies, a 9-week oral treatment with CQ resulted in a 49% reduction of Abeta levels and significantly increased Cu2+ and Zn2+ levels in brains of Tg2576 mice (10). Small clinical trials of CQ have demonstrated a significant slowing of cognitive decline together with a lowering of plasma Abeta-(1–42) levels in a subset of AD patients compared with matched placebo controls (8).

The mechanism of action by CQ was suggested to be via metal sequestration, resulting in Abeta dissolution. However, CQ could also act by alternative pathways involving modulation of cellular biometal metabolism, APP expression, or Abeta processing (11). To investigate this, Chinese hamster ovary (CHO) cells overexpressing APP were treated with CQ in the presence or absence of physiological levels of biometals. When CQ was added to cells in the presence of Cu2+ or Zn2+, the secreted levels of Abeta-(1–40) and Abeta-(1–42) were dramatically reduced. Analogous effects were seen in N2a neuroblastoma cells. Subsequent investigation revealed that this effect was associated with uptake of Cu2+ and Zn2+ and loss of Abeta through increased MMP-mediated degradation. These findings identify a novel mechanism for the therapeutic efficacy of CQ in which CQ·Cu2+ or CQ·Zn2+ complexes promote Abeta degradation.


    EXPERIMENTAL PROCEDURES
 TOP
 ABSTRACT
 INTRODUCTION
 EXPERIMENTAL PROCEDURES
 RESULTS
 DISCUSSION
 REFERENCES
 
Materials—CQ, bacitracin, puromycin, Me2SO, ascorbate, LY-294, 002, wortmannin, bathophenanthroline disulfonate (BPS), cis-diamminedichloroplatinum (cisplatin), LiCl, SP600125, staurosporine, thiorphan, and PD 98,059 were purchased from Sigma (Sydney, Australia). SB 203580, bestatin, GM 6001, phosphoramidon, glycogen synthase kinase (GSK) Inhibitor IX, MMP Inhibitor I (broad-spectrum MMP inhibitor), MMP-2 Inhibitor I, MMP-3 Inhibitor I, MMP-9 Inhibitor I, Mn(III) tetrakis(1-methyl-4-pyridyl)porphyrin pentachloride (MnT-MPyP), and serine/cysteine protease inhibitor mixture (EDTA-free) were obtained from Merck Biosciences (Victoria, Australia). Anti-APP antibody 22C11 was obtained from Chemicon International, Inc. (Temecula, CA). Antibody 369 (APP-(656–695) epitope) was a kind gift from Dr. Sam Gandy (Thomas Jefferson University, Philadelphia, PA). Antibodies to total or phospho-specific forms of Akt, JNK, ERK1/2, p38, and GSK3 were obtained from Cell Signaling Technology, Inc. (Beverly, MA).

Generation of APP-transfected CHO and N2a Neuroblastoma Cells—APP-CHO and APP-N2a neuroblastoma cells were generated by expressing the 695-amino acid APP cDNA in the pIRESpuro2 expression vector (Clontech). Cells were transfected using Lipofectamine 2000 and cultured in RPMI 1640 medium supplemented with 1 mM glutamine and 10% fetal bovine serum (all from Invitrogen, Mount Waverley, Victoria). Transfected cells were selected and maintained using 7.5 µg/ml puromycin (Sigma).

Exposure of Cells to CQ and Metals—APP-overexpressing cells were passaged at a ratio of 1:6 and grown in 6- or 12-well plates for 2–3 days before experiments. CQ was prepared as a 10 mM stock solution in Me2SO and added to serum-free RPMI 1640 medium supplemented with puromycin as described above. Basal metal levels in the medium were 0.5, 1.3, and 2.1 µM for Cu2+, Zn2+, and Fe2+, respectively, as determined by inductively coupled plasma mass spectrometry (ICP-MS). Additional metals were added (10 µM unless stated otherwise), and the medium was briefly mixed by aspiration prior to addition to cells. Control cultures were treated with vehicle (Me2SO) alone. Inhibitors of phosphoinositol 3-kinase (PI3K) (LY-294,002 and wortmannin), JNK (SP600125), MEK1/2 (PD 98,059), p38 (SB 203580), GSK3 (GSK Inhibitor IX), and metalloproteases (GM 6001, phosphoramidon, thiorphan, bestatin, MMP-2 Inhibitor I, and MMP-9 Inhibitor I) were prepared as 10 mM stock solutions in Me2SO and added at the indicated concentrations. Ascorbate, MnTMPyP, bacitracin, BPS, LiCl, and MMP-3 Inhibitor I were prepared as 10 mM solutions in distilled H2O. Serine/cysteine protease inhibitor mixture (EDTA-free) was prepared as a 10x solution in distilled H2O. Where stated, vector only-transfected or wild-type (non-APP-overexpressing) cells were exposed to synthetic human Abeta-(1–40) with or without CQ, metals, and inhibitors (see below). Cultures were incubated for up to 6 h, and conditioned media were taken for measurement of Abeta levels by enzyme-linked immunosorbent assay (ELISA). Cell viability was determined by lactate dehydrogenase release following kit instructions (Promega Corp., Annandale, New South Wales, Australia). For immunoblotting, cells were harvested into PhosphoSafe extraction buffer (Novagen) containing Protease Inhibitor Cocktail III (Calbiochem) and stored at –80 °C until used. Alternatively, cells were washed three times with phosphate-buffered saline (PBS) and harvested for analysis of metal levels by ICP-MS.

ICP-MS—Cells were treated with CQ and/or metals for 6 h unless stated otherwise and washed three times with Chelex 100-treated PBS (pH 7.4). Cells were scraped into PBS; an aliquot was taken for protein determination (protein microassay, Bio-Rad); and the remaining cells were collected by centrifugation at 14,000 rpm for 2 min in a Hermle microcentrifuge (Labnet International, Inc., Edison, NJ). Metal levels were determined in cell pellets by ICP-MS as described previously (12) and converted to ng of metal/mg of protein.

Degradation of Synthetic Abeta-(1–40)—Human Abeta-(1–40) was purchased from the W. M. Keck Laboratory (Yale University, New Haven, CT) and dissolved in Me2SO at 1 mg/ml. The dissolved peptide was further diluted into Chelex 100-treated distilled H2O at 100 ng/ml before addition to vector only-transfected CHO cell cultures in serum-free medium at 10 ng/ml without aging. In separate experiments, Abeta-(1–40) was also added to N2a mouse neuroblastoma, SH-SY5Y human neuroblastoma, or HeLa human epithelial cells in serum-free Opti-MEM I (Invitrogen). After 6 h (with or without addition of inhibitors and 10 µM each CQ, Cu2+, or CQ and Cu2+), the medium was collected, and the remaining Abeta-(1–40) levels were determined by ELISA.

Double Antibody Capture ELISA for Abeta Detection—Abeta levels were determined in culture medium using the DELFIA® double capture ELISA (PerkinElmer Life Sciences, Melbourne, Australia). 384-Well plates (Greiner Bio-One GmbH, Frickenhausen, Germany) were coated with monoclonal antibody G210 in 15 mM Na2CO3 and 35 mM NaHCO3 (pH 9.6) for Abeta-(1–40) detection. Plates were washed with PBS containing 0.05% Tween and blocked with 0.5% (w/v) casein. Biotinylated monoclonal antibody WO2 (Abeta-(5–8) epitope) and the culture medium or Abeta standards were added (50 µl) to each well and incubated overnight at 4 °C. Plates were washed with PBS containing 0.05% Tween, and streptavidin-labeled europium (PerkinElmer Life Sciences) was added. The plates were washed; enhancement solution (PerkinElmer Life Sciences) was added; and the plates were read in a Wallac VICTOR2 plate reader with excitation at 340 nM and emission at 613 nM. Abeta-(1–40) and Abeta-(1–42) standards and samples were assayed in triplicate. The values obtained from the triplicate wells were used to calculate the Abeta concentration (expressed as ng/ml) based on the standard curve generated on each plate. We observed a good correlation between ELISA results and Western blot analysis of Abeta levels in CQ·Cu2+-treated cultures. As the ELISA offered quantitative data on Abeta levels, we chose this as the preferred method for assessing changes to secreted Abeta levels.

Western Blot Analysis of Protein Expression and Phosphorylation—Cell lysates prepared in PhosphoSafe extraction buffer were mixed with SDS sample buffer (Novex) and separated on 12% Tris/glycine/SDS-polyacrylamide gels (Novex). Western blotting of Abeta in the conditioned medium was performed using 10–20% Tris/Tricine gels. Proteins were transferred to polyvinylidene difluoride membranes and blocked with milk solution in Tris-buffered saline/Tween before immunoblotting for total or phospho-specific proteins. Membranes were probed for 1 h with antiserum against Abeta (antibody WO2), C-terminal APP (antibody 369), or full-length APP (antibody 22C11) at 1:2000 dilution and with horseradish peroxidase-conjugated rabbit anti-mouse or goat anti-rabbit secondary antibody at 1:5000 dilution. For detection of signal transduction molecules, membranes were probed with polyclonal antiserum against actin, JNK, phospho-JNK, p38, phospho-p38, ERK1/2, phospho-ERK1/2, Akt, phospho-Akt, GSK3beta, phospho-GSK3{alpha}/beta, MMP-2, or MMP-6 at 1:5000 dilution. Horseradish peroxidase-conjugated goat anti-rabbit secondary antiserum was used at 1:10,000 dilution. Blots were developed by chemiluminescence (ECL Advance, Amersham Biosciences) and imaged on a GeneGnome chemiluminescence imager (Syngene, Cambridge, UK). We found that the expression of total levels of kinases (Akt, JNK, ERK, and p38) was unaffected by metal uptake in APP-CHO cells. In contrast, actin, tubulin, and other proteins normally used for equalizing protein loading were found to be altered depending on metal levels.5 Therefore, equal sample loading and protein transfer were assessed by consistency of total kinase protein levels rather than unrelated protein levels on immunoblots.


Figure 1
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FIGURE 1.
A, Abeta-(1–40) levels in medium from CQ-treated APP-CHO cells. Cultures were exposed to CQ (10 µM) with or without 10 µM Cu2+, Zn2+, or Fe2+ for 6 h, and Abeta-(1–40) levels were determined in culture medium by ELISA. Cu2+ alone induced a small but significant increase (*, p < 0.01) in Abeta-(1–40) secretion, whereas exposure to CQ·Cu2+ or CQ·Zn2+ significantly reduced Abeta-(1–40) levels (**, p < 0.0001). B, Abeta-(1–42) levels in medium from CQ-treated APP-CHO cells. Cultures were exposed to 10 µM CQ with or without 10 µM Cu2+ as described for A.CQ·Cu2+ induced a significant decrease in secreted Abeta-(1–42) levels (**, p < 0.0001). Error bars represent S.E. C, immunoblotting of medium from CQ·Cu2+-treated APP-CHO cells. Cultures were exposed to 10 µM CQ·Cu2+ for 6 h, and the conditioned medium was analyzed by Western blotting using anti-Abeta antiserum (antibody WO2). Abeta levels were significantly lower in cultures treated with CQ·Cu2+ compared with untreated controls.

 
Cell Adhesion Assay—Cell adhesion to collagen type IV was determined using an InnoCyte ECM cell adhesion assay (collagen type IV; Merck Biosciences). Cells were treated with CQ, Cu2+, or CQ and Cu2+ (with or without inhibitors) for 4 h before harvesting with a rubber policeman into the culture medium. Cells were dissociated by aspiration, replated onto collagen type IV, and cultured for an additional 2 h. The medium was discarded, and cells were washed briefly with two changes of PBS before addition of calcein acetoxymethyl ester for 1 h (37 °C). Cell adhesion was determined by fluorescence spectrophotometry on a Wallac VICTOR2 plate reader with excitation at 490 nM and emission at 535 nm.

MMP Assays—The activity of MMPs in the conditioned medium and cell lysates was determined using an EnzoLyte MMP fluorometric assay kit (AnaSpec, Inc., San Jose, CA). Briefly, the conditioned medium or cell lysates (freshly extracted without protease inhibitors) were incubated with MMP-specific peptide substrates following the kit instructions. The substrates used were QXL520-{gamma}Abu-Pro-Cha-Abu-S-methyl-L-cysteine-His-Ala-Dab(5-FAM)-Ala-Lys-HN2 (where {gamma}Abu is {gamma}-aminobutyric acid, Cha is D-cyclohexylalanine, Dab is 2,4-diaminobutyric acid, and 5-FAM is 5-carboxyfluorescein; broad-spectrum substrate), QXL520-Pro-Leu-Ala-Leu-Trp-Ala-Arg-Lys(5-FAM)-NH2 (MMP-1), 5-FAM-Pro-LeuAla-Nva-Dap(QXL520)-Ala-Arg-NH2 (where Nva is norvaline and Dap is diaminopropionic acid; MMP-2), QXL520-Pro-Tyr-Ala-Tyr-Trp-Met-Arg-Lys(5-FAM)-NH2 (MMP-3), QXL520-Pro-Leu-Gly-Met-Trp-Ser-Arg-Lys(5-FAM)-NH2 (MMP-2/9), and QXL520-Pro-Leu-Ala-Tyr-Trp-Ala-Arg-Lys(5-FAM)-NH2 (MMP-8). No MMP-9-specific substrate was available. Cleavage of substrates by MMPs removed the quenching effect of QXL520 on 5-carboxyfluorescein, resulting in increased fluorescence with excitation at 490 nM and emission at 535 nm.

Statistical Analysis—All data described in graphical representations are means ± S.E. unless stated from a minimum of three separate experiments. Results were analyzed using Student's two-tailed t test.


    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 EXPERIMENTAL PROCEDURES
 RESULTS
 DISCUSSION
 REFERENCES
 
CQ Mediates Uptake of Cu2+ and Zn2+ but Not Fe2+ in APP-CHO Cells—As CQ is a lipid-soluble metal ligand, we examined the effect of CQ on metal levels in APP695-transfected CHO cells (APP-CHO). Cultures were treated with CQ (10 µM) alone or in the presence of 10 µM Cu2+, Zn2+, or Fe2+ for 6 h, and cellular metal levels were assessed by ICP-MS. Basal Cu2+ levels were 4.6 ± 0.1 ng/mg of protein, and exposure to CQ alone increased this to 20 ± 3 ng/mg of protein (p < 0.01) (Table 1). Treatment with CQ and Cu2+ (CQ·Cu2+) induced a dramatic 103-fold increase in cellular Cu2+ levels (472 ± 46 ng/mg of protein; p < 0.005) (Table 1). CQ also increased cellular Zn2+ levels from 182 ± 8 to 1838 ± 64 ng/mg of protein (p < 0.001) (Table 1). Measurement of cell survival (lactate dehydrogenase release) revealed no significant effect on cell viability after 6 h of exposure to 10 µM CQ and Cu2+ or Zn2+. Treatment of cultures with Fe2+ alone (10 µM) resulted in a 16-fold increase in cellular Fe2+ levels. However, co-treatment with CQ (10 µM) and Fe2+ did not further alter cellular Fe2+ levels. Analogous effects of CQ on cellular metal levels were also observed in vector only-transfected CHO cells. CQ·Cu2+ increased CHO cell Cu2+ levels by 94.5 ± 6-fold compared with untreated controls. Treatment with CQ·Zn2+ elevated Zn2+ levels by 10.5 ± 0.4-fold.


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TABLE 1
Metal concentrations in APP-CHO cells treated with CQ and metals for 6 h

 


Figure 2
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FIGURE 2.
A, Abeta-(1–40) levels in medium from APP-CHO cells exposed to increasing concentrations of CQ. Cells were exposed to 0.1–50 µM CQ with or without 10 µM Cu2+ for 6 h. Abeta-(1–40) levels were determined in the culture medium by ELISA. All concentrations of CQ·Cu2+ tested (0.1–50 µM) induced a significant loss of secreted Abeta-(1–40) compared with CQ alone (p < 0.001–0.0001). B, cellular Cu2+ levels in APP-CHO cells exposed to Cu2+ and increasing concentrations of CQ. Cells were exposed to 10 µM Cu2+ and 0.1–50 µM CQ for 6 h. Cu2+ levels were determined in cell pellets by ICP-MS, revealing significantly increased cellular Cu2+ levels at all concentrations of CQ (p < 0.001–0.0001). The Cu2+ levels in vehicle-treated controls were equivalent to 1-fold Cu2+. C, Abeta-(1–40) levels in medium from APP-CHO cells exposed to CQ and increasing concentrations of Cu2+. Cells were treated with 10µM CQ and 0.1–10 µM Cu2+ for 6 h. Cu2+ alone induced a small increase in secreted Abeta-(1–40) levels, but CQ·Cu2+ induced a dose-dependent decrease in secreted Abeta-(1–40) levels (p < 0.01–0.0001). D, Abeta-(1–40) levels in medium from APP-CHO cells exposed to CQ·Cu2+ for different time periods. Cells were treated with CQ·Cu2+ (10 µM) as described above, and Abeta-(1–40) levels were determined in the culture medium at time points up to 6 h after the start of treatment. Exposure to CQ·Cu2+ induced a time-dependent decrease in Abeta-(1–40) levels in the medium (p < 0.05–0.0001). E, cellular Cu2+ levels in APP-CHO cells exposed to CQ·Cu2+ for different time periods. Cells were exposed to CQ·Cu2+ (10 µM), and cellular Cu2+ levels were determined by ICP-MS in pellets at different time points up to 6 h after the start of treatment. CQ·Cu2+ induced a time-dependent increase in cellular Cu2+ levels (p < 0.05 at 120 min and p < 0.001 at 360 min). Relatively little change in cellular Cu2+ levels was induced by CQ or Cu2+ alone. The Cu2+ levels in vehicle-treated controls were equivalent to 1-fold Cu2+. For all graphs, error bars represent S.E. F, APP levels in APP-CHO cells treated with CQ·Cu2+. Cells were treated with 10 µM CQ with or without 10 µM Cu2+ for 6 h, and APP expression was determined by Western blotting in cell lysates and the conditioned medium. Equal protein loading was confirmed by immunoblotting for total JNK (not shown). CQ alone or CQ·Cu2+ decreased cellular APP (cAPP) expression and secreted APP (sAPP) levels in the conditioned medium. No change in APP beta-C-terminal fragment (betaCTF) C99 was observed with any treatment, whereas CQ·Cu2+ reduced expression of APP {alpha}-C-terminal fragment ({alpha}CTF) C83. Changes in APP expression did not correlate with secreted Abeta-(1–40) levels.

 
CQ and Cu2+ or Zn2+ Reduce Abeta Levels in Vitro—We examined whether CQ affects Abeta generation in APP-CHO cells. Treatment of APP-CHO cultures with 10 µM CQ alone for 6 h induced no significant change to Abeta-(1–40) levels in the culture medium (Fig. 1A). Interestingly, 10 µM Cu2+ alone for 6 h induced a 35% increase in Abeta-(1–40) levels (p < 0.01) (Fig. 1A).

When cultures were exposed to 10 µM CQ and 10 µM Cu2+, we observed a potent reduction (~85%) of secreted Abeta-(1–40) levels (p < 0.0001) (Fig. 1A). An analogous effect was observed upon treatment with CQ and 10 µM Zn2+ (Fig. 1A). No significant changes were observed in Abeta-(1–40) levels when cells were treated with CQ plus Fe2+ (Fig. 1A). Potent inhibition of secreted Abeta-(1–42) levels also occurred with CQ·Cu2+-treated cells (Fig. 1B). However, as Abeta-(1–42) levels in APP-CHO cells were near the detection limit of the ELISA, subsequent analysis of Abeta was restricted to Abeta-(1–40). The loss of secreted Abeta upon treatment with CQ·Cu2+ was confirmed by immunoblot analysis of the conditioned medium (Fig. 1C) and surface-enhanced laser desorption ionization mass spectrometry (data not shown).

Inhibition of Abeta Can Be Induced by Low Concentrations of CQ and Cu2+—To examine the potency of CQ in inhibiting secreted Abeta levels, we treated cultures with 0.1–50 µM CQ with or without 10 µM Cu2+ for 6 h. Abeta-(1–40) was significantly decreased at 0.1 and 1.0µM CQ plus Cu2+ (Fig. 2A). We also examined the effects of different concentrations of CQ on Cu2+ uptake in APP-CHO cells. 0.1 µM CQ induced an increase of ~25-fold in cellular Cu2+ levels (Fig. 2B). Increasing CQ concentrations resulted in further elevation of cellular Cu2+ levels, reaching 112-fold (at 50 µM) compared with control levels (Fig. 2B). The ability of low concentrations of CQ to increase cellular Cu2+ levels correlated with the potent reduction of secreted Abeta levels by CQ·Cu2+ (Fig. 2A). Although CQ has been reported to optimally bind Cu2+ at a ratio of 2:1 (13), our titration studies showed no significant differences in Cu2+ uptake and inhibition of Abeta levels upon varying the CQ/Cu2+ ratios.


Figure 3
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FIGURE 3.
A, effects of CQ and metals on activation of MAPK pathways in APP-CHO cells. Cells were exposed to 10 µM CQ with or without 10 µM Cu2+ or Zn2+ for 6 h. Activation of MAPKs, including JNK, p38, and ERK1/2, was determined by Western blotting of cell lysates. CQ alone had no effect on the activity of MAPKs. In the presence of Cu2+ or Zn2+, CQ induced activation of JNK, p38, and ERK1/2 (phospho-JNK, phospho-p38, and phospho-ERK1/2) B, JNK activation is associated with the loss of Abeta-(1–40) in APP-CHO cells treated with CQ·Cu2+. Cells were exposed to 10 µM CQ·Cu2+ for 6 h in the presence or absence of the JNK inhibitor SP600125 (5–50 µM). Treatment of cells with CQ·Cu2+ induced activation of JNK with concurrent loss of Abeta-(1–40). Co-treatment of cells with SP600125 significantly inhibited both JNK activation and Abeta-(1–40) loss (*, p < 0.001). The dividing line represents removal of unrelated lanes. C, effect of the MEK1/2 inhibitor PD 98,059 on ERK1/2 activity and Abeta-(1–40) levels in APP-CHO cells treated with CQ·Cu2+. Cells were treated with 10 µM CQ·Cu2+ for 6 h with or without addition of PD 98,059 (5 µM). Co-treatment with PD 98,059 abrogated ERK1/2 activation induced by CQ·Cu2+ and significantly inhibited Abeta-(1–40) loss (*, p < 0.001). D, the p38 inhibitor SB 203580 has no effect on the loss of Abeta-(1–40) induced by CQ·Cu2+. APP-CHO cells were treated with 10 µM CQ·Cu2+ as described above with or without SB 203580 (25 µM). SB 203580 prevented p38 activation by CQ·Cu2+, but did not prevent Abeta-(1–40) loss induced by CQ·Cu2+. SB 203580 alone reduced Abeta-(1–40) levels. E, staurosporine does not inhibit the loss of Abeta-(1–40) induced by CQ·Cu2+. APP-CHO cells were treated with 10 µM CQ·Cu2+ for 6 h in the presence or absence of the broad-spectrum protein kinase inhibitor staurosporine (Stauro; 0.1–10 µM). Co-treatment with staurosporine did not prevent the loss of Abeta-(1–40) by CQ·Cu2+. F, JNK activation and Abeta-(1–40) loss by CQ·Cu2+ are not abrogated by antioxidants. APP-CHO cells were exposed to 10 µM CQ·Cu2+ for 6 h in the presence or absence of the free radical scavenger MnTMPyP (200 µM) or the antioxidant ascorbate (Asc; 1 mM). Co-treatment with MnTMPyP or ascorbate had no effect on JNK activation or Abeta-(1–40) loss. For all graphs, error bars represent S.E.

 
To determine the effects of Cu2+ concentration on secreted Abeta levels, cultures were exposed to 10 µM CQ with different concentrations of Cu2+. 0.1 µM added Cu2+ significantly inhibited Abeta levels (Fig. 2C). Higher concentrations of added Cu2+ further decreased secreted Abeta levels (Fig. 2C). We also examined the time course of Abeta inhibition by CQ plus Cu2+ (10 µM each). We observed an initial decrease in Abeta levels from 30 to 60 min after addition of CQ·Cu2+. A greater loss of Abeta was observed from 60 to 120 min after treatment (Fig. 2D). Examination of cellular metal levels revealed a 22-fold increase in Cu2+ after a 10-min exposure to CQ·Cu2+ (Fig. 2E). Cu2+ levels increased further at each time point, reaching a maximum level of 103-fold at 360 min (Fig. 2E).

Loss of Abeta by CQ·Cu2+ Does Not Correlate with Cellular APP Levels—To further understand how CQ·Cu2+ mediates Abeta loss, we determined whether there is a corresponding loss in APP expression. Exposure to CQ alone or to CQ·Cu2+ reduced both APP expression and secretion (Fig. 2F). However, as shown in Fig. 1A, only CQ·Cu2+ inhibited secreted Abeta levels. Interestingly, there was a reduction in the {alpha}-C-terminal 83-amino acid fragment of APP (C83) upon CQ·Cu2+ treatment, although no changes in APP beta-C-terminal 99-amino acid fragment (C99) expression were found (Fig. 2F). This was consistent with our observation that the activity of BACE1 (beta-site APP-cleaving enzyme 1) in APP-CHO membrane preparations was unchanged after treatment with CQ·Cu2+. Likewise, analysis of COS-7 cells transfected with a C-terminal APP construct (APP C99) (14) revealed no effect on {gamma}-secretase cleavage of APP C99 by CQ·Cu2+.5 These findings demonstrate that the loss of secreted Abeta upon treatment with CQ·Cu2+ is unlikely to result from altered APP processing.

Loss of Secreted Abeta by CQ·Cu2+ Is Mediated through Activation of JNK and ERK—Metal ligands can stimulate MAPK pathways (15, 16). To examine whether the effects of CQ·Cu2+ on Abeta occur via these pathways, we treated cultures with CQ and Cu2+ or Zn2+ (10 µM each) and measured activation of JNK, p38, and ERK1/2 in cell lysates. CQ with Cu2+ or Zn2+ induced substantial activation of JNK and ERK1/2, with moderate activation of p38 (Fig. 3A).

We then examined whether activation of these MAPK pathways is involved in the inhibitory action of CQ and metals on secreted Abeta levels. The JNK inhibitor SP600125 resulted in significant inhibition of JNK phosphorylation (Fig. 3B) and a significant elevation of Abeta-(1–40) levels compared with CQ·Cu2+ alone (p < 0.001) (Fig. 3B). The ERK1/2 phosphorylation inhibitor PD 98,059 (5 µM) prevented ERK activation after exposure to CQ·Cu2+ (Fig. 3C) and significantly inhibited Abeta loss (p < 0.001) (Fig. 3C). In contrast, the p38 inhibitor SB 203580 or the broad-spectrum protein kinase inhibitor staurosporine had no restorative effect on Abeta levels (Fig. 3, D and E).

JNK can be activated in response to cell stresses such as generation of reactive oxygen species or through growth factor-mediated pathways (17). Therefore, we examined whether JNK phosphorylation is mediated by generation of reactive oxygen species in the CQ·Cu2+-treated cultures. APP-CHO cells were exposed to CQ·Cu2+ together with the reactive oxygen species scavenger MnTMPyP (200 µM) or the antioxidant ascorbate (1 mM). Treatment with these antioxidants did not inhibit JNK phosphorylation or prevent Abeta loss in CQ·Cu2+-treated cultures (Fig. 3F). This is consistent with Zn2+ inducing effects analogous to those of Cu2+, as Zn2+ is a redox-inactive metal and should not directly stimulate reactive oxygen species generation. Therefore, the results strongly suggest that activation of JNK by CQ·Cu2+ is not mediated through metal-induced oxidative stress.

Inhibition of Abeta by CQ·Cu2+ Requires Activation of the PI3K-Akt-GSK3 Pathway—Modulation of GSK3, a downstream target of PI3K and Akt activation, changes Abeta production in APP-CHO cells (18). Therefore, we examined whether the PI3K-Akt-GSK3 pathway is associated with the loss of Abeta production in CQ·Cu2+-treated cells. Treatment of cells with CQ and Cu2+ (10 µM each) for 6 h resulted in significant activation of Akt (Fig. 4A). Co-treatment of cultures with the specific PI3K inhibitor LY-294,002 inhibited Akt phosphorylation induced by CQ·Cu2+ and significantly abrogated the decrease in secreted Abeta levels (p < 0.0001) (Fig. 4A).

Treatment of cultures with 10 µM CQ·Cu2+ for 6 h increased the phosphorylated forms of GSK3{alpha}/beta, and this effect was blocked by LY-294,002 (Fig. 4A). There was also a small increase in total GSK3beta levels in CQ·Cu2+-treated cultures, which may partially account for the increased levels of phosphorylated GSK3.

We then investigated whether PI3K-Akt-GSK3 activation is upstream of MAPK activation. Treatment of cultures with 25 µM LY-294,002 (or 10 nM wortmannin; data not shown) inhibited phosphorylation of Akt as well as phosphorylation of both JNK and ERK1/2 (Fig. 4B). Conversely, treatment of cultures with inhibitors of JNK and ERK1/2 phosphorylation (SP600125 and PD 98,059 respectively) did not inhibit Akt phosphorylation (data not shown). These data demonstrate that PI3K-Akt activation is upstream of JNK and ERK activation.

Activation of the PI3K-Akt and JNK Pathways Alone Is Not Sufficient for Loss of Abeta—As inhibitors of PI3K and JNK pathways blocked the loss of Abeta by CQ·Cu2+, we examined whether nonspecific up-regulation of these pathways also results in loss of Abeta in APP-CHO cells. Cultures exposed to 25–100 µM Cu2+ (without CQ) for 6 h revealed potent activation of Akt, whereas 50 and 100 µM Cu2+ also induced phosphorylation of GSK3 and JNK (Fig. 4C). Moreover, cultures treated with the apoptotic agent cisplatin (200 µM) for 6 h revealed activation of JNK but not Akt (Fig. 4C). However, neither of these treatments (Cu2+ or cisplatin) reduced secreted Abeta levels, demonstrating that the PI3K-Akt and JNK pathways are necessary, but insufficient alone, for the loss of Abeta in APP-CHO cells.


Figure 4
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FIGURE 4.
A, effect of PI3K inhibition on the loss of Abeta-(1–40) induced by CQ·Cu2+. APP-CHO cells were treated with 10 µM CQ·Cu2+ with or without the PI3K inhibitor LY-294,002 (25 µM) for 6 h. Akt and GSK3 phosphorylation was determined by Western blotting of cell lysates, and Abeta-(1–40) levels were measured in the culture medium by ELISA. Treatment of cultures with CQ·Cu2+ induced activation of Akt and phosphorylation of GSK3{alpha}/beta. Co-treatment with LY-294,002 inhibited Akt and GSK3 phosphorylation and abrogated Abeta-(1–40) loss induced by CQ·Cu2+ (*, p < 0.0001). B, effect of PI3K inhibition on MAPK signaling in APP-CHO cells treated with CQ·Cu2+. Cultures were exposed to 10 µM CQ·Cu2+ with or without 25 µM LY-294,002 for 6 h. Co-treatment with LY-294,002 prevented activation of Akt, JNK, and ERK. C, activation of the PI3K and MAPK pathways is not sufficient alone for the loss of Abeta. APP-CHO cells were exposed to 25–100 µM Cu2+ or 200 µM cisplatin (Cis-Pt) for 6 h. 25–100 µM Cu2+ induced activation of Akt, and 50–100 µM Cu2+ induced phosphorylation of GSK3 and JNK. However, Cu2+ alone did not induce Abeta loss. Cisplatin (200 µM) did not activate the PI3K pathway, but induced phosphorylation of JNK. Cisplatin did not affect Abeta levels. Abeta levels induced by 10 µM CQ·Cu2+ are shown for comparison. For all graphs, error bars represent S.E.

 
GSK3 Phosphorylation Promotes Activation of JNK in Cultures Treated with CQ·Cu2+—Our data suggested that phosphorylation of GSK3 in CQ·Cu2+-treated cells may modulate downstream JNK activation. To examine this, we treated cultures with CQ·Cu2+ in the presence of LiCl (an inducer of GSK3 phosphorylation). In the presence of CQ·Cu2+, 5 mM LiCl increased phosphorylated GSK3 levels compared with CQ·Cu2+ alone (Fig. 5A). LiCl had no effect on phospho-Akt levels, demonstrating that the effect was not mediated through increased PI3K and Akt activities (Fig. 5A). LiCl potentiated JNK phosphorylation in cultures treated with CQ·Cu2+ (Fig. 5B). This potentiation was sufficient to overcome the inhibitory action of 25 or 50 µM SP600125 on JNK phosphorylation (Fig. 5B). Interestingly, potentiation of JNK phosphorylation by LiCl also overcame the ability of SP600125 to prevent Abeta loss in the medium (Fig. 5B). To confirm the potentiating effect of GSK3 phosphorylation on JNK activation, we treated cultures with 1 µM CQ and 10 µM Cu2+ in the presence of GSK Inhibitor IX (10 or 25 µM). This increased phosphorylation of GSK3 and JNK compared with CQ·Cu2+ alone (Fig. 5C). The increased GSK3 and JNK phosphorylation correlated with a down-regulation of Abeta levels in the culture medium (Fig. 5C). These results provide strong evidence that increased phosphorylation of GSK3 in CQ·Cu2+-treated cultures promotes activation of JNK and leads to loss of secreted Abeta.


Figure 5
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FIGURE 5.
A, effect of LiCl on GSK3 phosphorylation in APP-CHO cells exposed to CQ·Cu2+. Cells were treated with 10 µM CQ·Cu2+ with and without 5 mM LiCl for 6 h. Phosphorylation of GSK3{alpha}/beta was determined by Western blotting of cell lysates. LiCl alone induced a low level of GSK3 phosphorylation, but, together with CQ·Cu2+, greatly increased GSK3 phosphorylation without effect on Akt phosphorylation. B, effect of LiCl on Abeta-(1–40) in cultures treated with CQ·Cu2+. APP-CHO cells were treated with 10 µM CQ·Cu2+ with or without the JNK inhibitor SP600125 (5, 25, or 50 µM) and/or LiCl (5 mM) for 6 h. CQ·Cu2+ induced JNK phosphorylation, and this was inhibited by co-treatment with SP600125. The loss of Abeta-(1–40) induced by CQ·Cu2+ was also inhibited by SP600125. Co-treatment with 5 mM LiCl substantially increased JNK activation even in the presence of the JNK inhibitor SP600125. Co-treatment with LiCl also restored the loss of Abeta-(1–40) induced by CQ·Cu2+, overcoming the inhibitory action of SP600125 (*, p < 0.001 compared with control cultures, **, p < 0.001 compared with cultures treated with CQ·Cu2+ and SP600125). LiCl alone had no significant effect on Abeta-(1–40) levels (not shown). C, effect of GSK Inhibitor IX on GSK3, JNK, and Abeta levels in APP-CHO cells. Cultures were treated with 10 µM CQ·Cu2+ for 6 h with or without 10 or 25 µM GSK Inhibitor IX. GSK Inhibitor IX increased GSK3 and JNK phosphorylation induced by CQ·Cu2+. GSK Inhibitor IX also potentiated the loss of Abeta-(1–40) (Ab1–40) induced by CQ·Cu2+ (*, p < 0.001). For all graphs, error bars represent S.E.

 
CQ·Cu2+ Induces Metalloprotease-dependent Loss of Abeta—Exposure of APP-CHO cells to CQ·Cu2+ for 6 h resulted in morphological changes consistent with altered cell adhesion (detachment of cells), but without an obvious role for cytotoxicity or oxidative stress (Fig. 3F). To examine this, we measured adhesion of cells to a collagen type IV matrix after treatment with 10 µM CQ and Cu2+. As shown in Fig. 6A, CQ·Cu2+ inhibited APP-CHO cell adhesion to collagen type IV by ~50%. The loss of adhesion could be prevented by treatment with SP600125 or LY-294,002 (Fig. 6A). As loss of cell adhesion is commonly associated with activation of metalloproteases (19), we treated cells with broad-spectrum metalloprotease inhibitors. GM 6001 (10 µM), BPS (500 µM), and MMP Inhibitor I (20 µM) significantly inhibited CQ·Cu2+-mediated loss of cell adhesion to collagen type IV (Fig. 6A).

To determine whether metalloproteases mediate Abeta loss, APP-CHO cells were treated with a range of metalloprotease inhibitors, and Abeta levels were measured after exposure to CQ·Cu2+. All metalloprotease inhibitors tested except thiorphan (neprilysin inhibitor) significantly inhibited the decrease in secreted Abeta levels induced by CQ·Cu2+ (Fig. 6B). To confirm that the loss of secreted Abeta was mediated through increased metalloprotease-mediated degradation rather than altered APP processing, vector only-transfected CHO cell cultures were exposed to 10 ng/ml synthetic human Abeta-(1–40) for 6 h with or without CQ·Cu2+. Measurement of Abeta-(1–40) levels in the conditioned medium revealed 0.89 ± 0.11 ng/ml remaining in the control medium after 6 h, indicating substantial clearance by cell uptake and/or degradation (Fig. 6C). Exposure of cultures to 10 µM CQ or 10 µM Cu2+ increased the levels of synthetic Abeta-(1–40) remaining in the medium after 6 h (Fig. 6C). However, treatment of cultures with CQ·Cu2+ significantly decreased Abeta-(1–40) levels by 56% compared with controls and by 77% compared with CQ alone (Fig. 6C). Interestingly, this effect was prevented by co-treatment of cultures with LY-294,002 (25 µM) or inhibitors of metalloproteases (Fig. 6C). The results clearly support a role for PI3K-mediated metalloprotease degradation of Abeta as the primary cause of Abeta loss in cultures treated with CQ·Cu2+.

CQ·Cu2+ Induces Up-regulation of MMP-2 and MMP-3 through Activation of the PI3K and JNK Pathways—The efficacy of GM 6001 and MMP Inhibitor I against loss of Abeta and cell adhesion strongly supported a role for up-regulation of MMPs in CQ·Cu2+-treated cultures. Therefore, we measured the activity of MMPs in cells treated with CQ·Cu2+ using MMP-specific fluorescent substrates. MMP assays of cell lysates or the conditioned medium after treatment with CQ·Cu2+ for 6 h revealed a significant elevation of the specific activities of MMP-2 and MMP-3 (Fig. 7A). No significant changes were observed in the activities of MMP-1, MMP-8, and MMP-9. Western blot analysis of cell lysates with antisera to MMP-2 and MMP-9 confirmed the results from the fluorescent substrate assay. Both latent and activated forms of MMP-2 were up-regulated in cultures exposed to CQ·Cu2+, whereas MMP-9 revealed only a minimum change (Fig. 7A, inset).


Figure 6
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FIGURE 6.
A, cell adhesion to a collagen type IV matrix. APP-CHO cells were exposed to CQ (10 µM), Cu2+ (10 µM), or CQ·Cu2+ with or without inhibitors, and adhesion to collagen type IV was determined by uptake of calcein acetoxymethyl ester by attached cells. Cells treated with CQ·Cu2+ revealed significantly lower adhesion to collagen type IV (*, p < 0.0001). The loss of adhesion was significantly inhibited (**, p < 0.001–0.0001) by co-treatment with LY-294,002 (25 µM), SP600125 (25 µM), GM 6001 (10 µM), BPS (500 µM), or MMP Inhibitor I (20 µM), but not by SB 203580 (25 µM). RFU, relative fluorescence units. B, Abeta loss is inhibited by metalloprotease inhibitors. APP-CHO cells were treated with 10 µM CQ·Cu2+ for 6 h with or without 10 µM GM 6001, 10 µM bacitracin, 10 µM bestatin, 500 µM BPS, 20 µM MMP Inhibitor I, 50 µM phosphoramidon, 25 µM thiorphan, or 1x serine/cysteine protease inhibitor mixture. Abeta-(1–40) levels were measured in the culture medium by ELISA. CQ·Cu2+ induced a significant loss of Abeta-(1–40) (*, p < 0.0001). Co-incubation with metalloprotease inhibitors significantly inhibited the loss of Abeta-(1–40) induced by CQ·Cu2+ (**, p < 0.001 compared with CQ·Cu2+ alone). C, effect of CQ·Cu2+ on the loss of synthetic Abeta-(1–40). Vector only-transfected CHO cells were exposed to CQ (10 µM), Cu2+ (10 µM), or CQ·Cu2+ for 6 h with or without LY-294,002 (25 µM), GM 6001 (10 µM), MMP Inhibitor I (20 µM), BPS (500 µM), or 1x serine/cysteine protease inhibitor mixture. Cultures were co-incubated with 10 ng/ml synthetic human Abeta-(1–40) for 6 h, and the medium was assessed for remaining Abeta-(1–40) by ELISA. Treatment of cultures with CQ or Cu2+ alone resulted in significantly increased levels of Abeta-(1–40) remaining in the conditioned medium after 6 h (*, p < 0.0001; **, p < 0.01). Treatment with CQ·Cu2+ resulted in significantly decreased Abeta-(1–40) levels compared with controls. The loss of Abeta-(1–40) could be inhibited by addition of LY-294,002 or metalloprotease inhibitors (***, p < 0.001–0.0001 compared with CQ and Cu2+ alone). For all graphs, error bars represent S.E.

 
To further confirm activation of MMP-2 and MMP-3 by CQ·Cu2+, cultures were treated with selective MMP inhibitors. Incubation of cultures with MMP-2 Inhibitor I prevented activation of MMP-2 by CQ·Cu2+, but had no significant effect on MMP-3 activity (Fig. 7B). Likewise, MMP-3 Inhibitor I blocked activation of MMP-3, but did not affect MMP-2 activation by CQ·Cu2+ (Fig. 7B). An MMP-9 inhibitor had no effect on either MMP-2 or MMP-3 activation by CQ·Cu2+ (Fig. 7B). Moreover, we observed that LY-294,002 and SP600125 blocked activation of MMP-2 and MMP-3 (Fig. 7B).

Interestingly, the inhibitors of MMP-2 and MMP-3 significantly abrogated the loss of Abeta-(1–40) caused by CQ·Cu2+ (Fig. 7C). These effects were consistent with a previous report that both MMP-2 and MMP-3 can cleave Abeta at several sites (10). In fact, surface-enhanced laser desorption ionization analysis of medium from our control cultures revealed Abeta cleavage products consistent with MMP-2-mediated degradation.5 Unfortunately, few Abeta fragments of any size were observed in CQ·Cu2+-treated cultures. This suggested that further degradation of the Abeta cleavage fragments may be occurring in these cultures, possibly through activation of aminopeptidases. This was supported by inhibition of Abeta loss by co-treatment with bestatin (aminopeptidase inhibitor) (Fig. 6B).

Finally, we examined alternative cell types for their ability to degrade Abeta when exposed to CQ·Cu2+. Treatment of APP-overexpressing N2a murine neuroblastoma cells with 10 µM CQ and 10 µM Cu2+ for 6 h reduced Abeta levels from ~1.1 to 0.4 ng/ml (p < 0.001), whereas CQ or Cu2+ alone had no significant effect (Fig. 8A). In addition, non-transfected N2a, SH-SY5Y human neuroblastoma, and HeLa human epithelial cells were treated with 10 µM CQ and Cu2+ together with 10 ng/ml synthetic human Abeta-(1–40). Measurement of Abeta levels in the conditioned medium after 6 h revealed significantly reduced synthetic Abeta-(1–40) levels in all cell types after treatment with CQ·Cu2+, and this could be prevented by co-treatment with GM 6001 (Fig. 8B). These results demonstrate that CQ·Cu2+ can modulate secreted Abeta levels via metalloproteases in different cell types, including neuroblastoma cells.


    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 EXPERIMENTAL PROCEDURES
 RESULTS
 DISCUSSION
 REFERENCES
 
In this study, we have shown for the first time that the lipid-soluble metal ligand CQ modulates secreted Abeta levels in vitro. Whereas treatment of APP-expressing cells with CQ alone had little effect on Abeta levels in the culture medium, treatment with CQ complexed to Cu2+ or Zn2+ dramatically decreased extracellular Abeta levels. We have shown that this effect is closely related to the ability of CQ to mediate substantial increases in cellular Cu2+ or Zn2+ levels, resulting in selective up-regulation of MMP activity.

Interestingly, we found that even low concentrations of CQ or Cu2+ (0.1–1 µM each) could induce a significant loss of Abeta after only 6 h. The potency with which CQ·Cu2+ inhibited Abeta underscores the potential physiological relevance of our findings. A recent study reported human plasma levels of CQ at ~13–25 µM during small phase clinical trials (8). CQ levels in the brain may reach 20% of serum levels, which equates to 2.6–5 µM (20). These concentrations were well within the range of CQ levels found to inhibit Abeta in our cultures if sufficient Cu2+ or Zn2+ was available. Cu2+ levels can range from 1.7 µM in the extracellular space of the brain to 250 µM in the synaptic cleft, whereas Zn2+ is also highly abundant in the brain, with synaptic levels reaching 300 µM (21). Further investigation is required to determine whether CQ can transport other metals (i.e. nickel or cobalt) into cells and, if so, whether similar effects on APP metabolism are induced.


Figure 7
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FIGURE 7.
A, MMP activity induced by CQ·Cu2+. APP-CHO cells were treated with 10 µM CQ·Cu2+ for 6 h, and MMP activity was assayed in cell lysates and the conditioned (Cond.) medium. MMP-1 and MMP-8 activities were not significantly altered in cells exposed to CQ·Cu2+. MMP-2 and MMP-3 activities were significantly elevated by CQ·Cu2+ (*, p < 0.001; **, p < 0.05). No significant effects were observed using a broad-spectrum MMP substrate or a substrate recognized by both MMP-2 and MMP-9. Inset, Western blot analysis of cell lysates using antisera to MMP-2 and MMP-9. Western blotting confirmed that latent (upper band) and active (lower band) forms of MMP-2 were up-regulated in cultures treated with CQ·Cu2+ compared with controls. No change in latent MMP-9 (upper band) was observed in CQ·Cu2+-treated cultures, although a slight increase in active MMP-9 (lower band) was seen. B, effect of inhibitors on MMP activity induced by CQ·Cu2+. APP-CHO cells were exposed to CQ·Cu2+ (10 µM) for 6 h with or without MMP-2 inhibitor I (25 µM), MMP-9 inhibitor I (25 µM), LY-294,002 (25 µM), SB 203580 (25 µM), GM 6001 (10 µM), MMP-3 inhibitor I (200 µM), or 1x serine/cysteine protease inhibitor mixture. CQ·Cu2+ significantly activated both MMP-2 and MMP-3. MMP-2 activity induced by CQ·Cu2+ was significantly inhibited by co-treatment with MMP-2 Inhibitor I, GM 6001, or LY-294,002. MMP-3 activity was significantly inhibited by MMP-3 inhibitor I, GM 6001, or LY-294,002 (*, p < 0.001–0.0001). C, effect of MMP inhibitors on the loss of Abeta-(1–40) in CQ·Cu2+-treated cultures. APP-CHO cells were exposed to 10 µM CQ·Cu2+ for 6 h with or without MMP-2 inhibitor I (10 and 25 µM), MMP-3 inhibitor I (used at 100 and 200 µM, as this is a large, peptide-based inhibitor, not a small, lipid-soluble molecule), MMP-2 and MMP-3 inhibitors (25 and 200 µM), or MMP-9 Inhibitor I (25 and 50 µM), and Abeta-(1–40) levels were measured in the culture medium by ELISA. MMP-2 inhibitor I and MMP-3 inhibitor I but not MMP-9 inhibitor I prevented the loss of Abeta-(1–40) induced by CQ·Cu2+ (*, p < 0.0001). For all graphs, error bars represent S.E.

 


Figure 8
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FIGURE 8.
A, effect of CQ·Cu2+ on Abeta levels in APP-overexpressing N2a neuroblastoma cells. APP-N2a cells were treated with CQ or Cu2+ (10 µM each) or CQ·Cu2+ for 6 h. Abeta-(1–40) levels were determined in the conditioned medium by ELISA. Treatment with CQ·Cu2+ significantly reduced Abeta-(1–40) levels in APP-N2a cells (*, p < 0.001). B, loss of synthetic Abeta-(1–40) in different cell lines after treatment with CQ·Cu2+. N2a, SH-SY5Y, or HeLa cells were exposed to 10 µM CQ·Cu2+ for 6 h with 10 ng/ml synthetic Abeta-(1–40). Treatment with CQ·Cu2+ significantly decreased synthetic Abeta-(1–40) levels in the conditioned medium of all cell types tested. Addition of the broad-spectrum MMP inhibitor GM 6001 (10 µM) significantly reduced the loss of Abeta-(1–40) (*, p < 0.001; **, p < 0.01). For all graphs, error bars represent S.E.

 
Although CQ is neurotoxic in vitro at low concentrations (22), cell lines are relatively more resistant to CQ than are primary neurons, and we found no evidence of increased cell death after 6 h of exposure to CQ and metals. Moreover, AD patients treated with 250 or 750 mg of CQ/day have not revealed complications that would indicate severe neurotoxicity (8). Similarly, mice treated with intraperitoneal injections of 28 mg/kg CQ also failed to show evidence of cytotoxicity (23). These findings suggest that the actions and toxicity of CQ in vivo are likely to be complex and dependent on the availability of "free" metals, antioxidants levels, and cellular resistance.

The mechanism of action by CQ·Cu2+ is via activation of the PI3K-Akt pathway and subsequent phosphorylation of JNK and ERK1/2. Although it is common to view PI3K-Akt and JNK/p38 as opposing pathways leading to cell survival and apoptosis, respectively (24), JNK activation can also be potentiated through PI3K activation (25, 26), as we have demonstrated here. Activation of both PI3K-Akt and JNK pathways has been reported in AD brain tissue, although the downstream consequences of this activity are not clear (27, 28).

PI3K is normally activated in response to cell stresses or growth factors, and metals can activate PI3K in some cell culture models (29). Particularly intriguing was our finding that activation of Akt and JNK by treatment with high Cu2+ levels alone (without CQ) or cisplatin had no effect on secreted Abeta levels, demonstrating that, although up-regulation of these pathways is required, by themselves, they are not able to decrease secreted Abeta levels. It is possible that, after exposure to CQ and metals, elevation of Cu2+ (or Zn2+) levels in certain subcellular compartments results in specific modulation of multiple metal-dependent pathways, including PI3K activation (Fig. 9). This is consistent with reports that Zn2+ can activate gene expression by a PI3K- and JNK-dependent process (30). Alternatively, elevated metal levels could promote release of growth factors or other ligands that, in turn, activate PI3K, MAPK, and additional pathways. Interestingly, stimulation of MAPK pathways by metal-mediated growth factor release has been reported in lung epithelial cells (16, 31).

A common downstream signaling pathway controlled by PI3K activation involves phosphorylation of Akt and subsequent inhibition of GSK3 through phosphorylation (32). Treatment of cultures with LY-294,002 blocked phosphorylation of both Akt and GSK3{alpha}/beta by CQ·Cu2+. Inhibition (phosphorylation) of GSK3 can result in abrogation of Abeta production in APP-transfected cells (18), consistent with our findings. However, we found that phosphorylation of GSK3{alpha}/beta correlated closely with increased JNK phosphorylation. Using inhibitors of GSK3 (LiCl and GSK Inhibitor IX), we demonstrated that increased phosphorylation of GSK3 potentiated JNK activation and subsequent Abeta loss. The mechanism behind this is not clear. As phosphorylation of GSK3 leads to its inactivation, the data suggest that activated GSK3 may inhibit or reduce JNK activation by certain stimuli. Similar effects have been reported previously, where a loss of GSK3 activity potentiated JNK activation by growth factors but not by cell stress (17, 33). This is consistent with our data suggesting that MAPK pathways are activated by CQ·Cu2+ via non-oxidative mechanisms. Down-regulation of GSK3 activity by CQ·Cu2+ could also affect tau phosphorylation, and this should be investigated in appropriate neuronal cell models.

Activation of cell signaling pathways by CQ·Cu2+ culminated in up-regulation of MMP activity and degradation of extracellular Abeta. Fig. 9 shows that the order of events are activation of PI3K-Akt, followed by phosphorylation of GSK3 as well as JNK and ERK. Inhibition of these kinases (Akt, JNK, and ERK) blocked activation of MMPs, so they are upstream of MMP activation. Moreover, inhibitors of the kinases and MMPs blocked the loss of Abeta, demonstrating that Abeta loss is downstream of these events. MMP activation is often associated with pathological changes to the cellular microenvironment in the brain, including tumor cell tissue invasion and migration and breakdown of blood-brain barrier permeability during cerebral ischemia. However, MMP activation can also have beneficial functions in the brain, including angiogenesis following ischemia and during axon guidance.


Figure 9
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FIGURE 9.
Schematic of a proposed mechanism showing how CQ·Cu2+ mediates reduction of Abeta levels in APP-CHO cell cultures. Solid arrows represent established pathways. Dashed arrows represent proposed pathways. CQ·Cu2+ complexes enter the cell by an unknown process. Cu2+ induces PI3K and additional cofactors (?) required for JNK activation. PI3K also activates Akt via phosphorylation, which, in turn, mediates phosphorylation of GSK3. PI3K activates MEK1/2 (not shown), resulting in phosphorylation of ERK1/2. Upon phosphorylation, GSK3 potentiates activation of JNK, which either alone or in concert with GSK3 or other signal factors, up-regulates the activities of MMP-2 and MMP-3. This induces an increase in degradation of extracellular or membrane-associated Abeta by these metalloproteases. Sites of inhibitor action are also shown.

 
Up-regulation of MMP-2 and MMP-3 by Cu2+ or Zn2+ has been reported previously (16, 34), although excess Zn2+ can also inhibit MMP activity (35). In this study, we found that either Cu2+ or Zn2+ complexed to CQ induced activation of JNK, ERK, and p38 and loss of secreted Abeta. However, we investigated only CQ·Cu2+ complexes in detail, and it remains to be determined whether CQ·Zn2+ complexes mediate activation of the same MMPs.

Importantly, MMP-2 and MMP-3 levels can be increased through stimulation of the PI3K-Akt and MAPK (JNK and ERK) pathways (36, 37), which is consistent with our findings in CQ·Cu2+-treated cells. Nonspecific Akt and JNK phosphorylation was unable to induce the decrease in secreted Abeta levels, indicating that CQ-delivered Cu2+ has a more complex effect on cell signaling pathways, resulting in up-regulation of MMPs. For example, there are a number of soluble inducers of MMP-2 and MMP-3, including transforming growth factor-beta and epidermal growth factor, that could be released upon exposure to CQ and metals.

Abeta can be degraded in vitro and in vivo by several proteases, including metalloproteases, neprilysin, insulin-degrading enzyme, and MMPs (4, 6, 38). These metalloproteases may have important roles in clearance of Abeta in the brain, whereas reduced activity in AD patients could promote amyloid deposition. As thiorphan (neprilysin inhibitor) had no effect on Abeta levels in CQ·Cu2+-treated cultures, increased neprilysin activity is unlikely to be involved in A