Abstract
- Top of page
- Abstract
- Introduction
- Results
- Discussion
- Materials and methods
- References
Quinolinic acid (QUIN) excitotoxicity is mediated by elevated intracellular Ca2+ levels, and nitric oxide-mediated oxidative stress, resulting in DNA damage, poly(ADP-ribose) polymerase (PARP) activation, NAD+ depletion and cell death. We evaluated the effect of a series of polyphenolic compounds [i.e. epigallocatechin gallate (EPCG), catechin hydrate, curcumin, apigenin, naringenin and gallotannin] with antioxidant properties on QUIN-induced excitotoxicity on primary cultures of human neurons. We showed that the polyphenols, EPCG, catechin hydrate and curcumin can attenuate QUIN-induced excitotoxicity to a greater extent than apigenin, naringenin and gallotannin. Both EPCG and curcumin were able to attenuate QUIN-induced Ca2+ influx and neuronal nitric oxide synthase (nNOS) activity to a greater extent compared with apigenin, naringenin and gallotannin. Although Ca2+ influx was not attenuated by catechin hydrate, nNOS activity was reduced, probably through direct inhibition of the enzyme. All polyphenols reduced the oxidative effects of increased nitric oxide production, thereby reducing the formation of 3-nitrotyrosine and poly (ADP-ribose) polymerase activity and, hence, preventing NAD+ depletion and cell death. In addition to the well-known antioxidant properties of these natural phytochemicals, the inhibitory effect of some of these compounds on specific excitotoxic processes, such as Ca2+ influx, provides additional evidence for the beneficial health effects of polyphenols in excitable tissue, particularly within the central nervous system.
Introduction
- Top of page
- Abstract
- Introduction
- Results
- Discussion
- Materials and methods
- References
Quinolinic acid (QUIN) cytotoxicity is known to be involved in the pathogenesis of several central nervous system disorders, including Alzheimer’s disease (AD) [1–3], amyotrophic lateral sclerosis [4], Huntington’s disease [5] and the AIDS dementia complex [6]. We have previously shown that the N-methyl-d-aspartic acid (NMDA) receptor can be activated by pathophysiological concentrations of QUIN in both human astrocytes and neurons, rendering these cells susceptible to injury via an excitotoxic process [7]. Excitotoxicity can occur through over-activation of the NMDA receptor, with subsequent influx of Ca2+, activation of both neuronal nitric oxide synthase (nNOS) and inducible nitric oxide synthase (iNOS), and excess generation of nitric oxide (NO•) [8].
NO• is a potent vasodilator and an important neurotransmitter that is not considered toxic at physiological concentrations [9]. However, the NO• radical is largely unstable in the cellular system, and can react via complex pathways to yield tertiary reactive nitrogen species (RNS), such as NO−2 and the peroxynitrite free radical [10]. These molecules can cause DNA damage leading to activation of the nuclear DNA nick sensing enzyme poly(ADP-ribose) polymerase-1 (PARP-1) [11]. Activated PARP-1 synthesizes ADP-ribose polymers from NAD+ [11]. Over-activation of PARP-1 can lead to the depletion of intracellular NAD+ and ATP stores, leading to a number of deleterious processes, including mitochondrial permeability [12], overproduction of superoxide [12] and the release of cell death mediators [11]. We have previously shown that QUIN can induce PARP activation and subsequent NAD+ depletion and cell death in primary human neurons at pathophysiological concentrations [7]. Therefore, strategies directed at reducing QUIN-induced NO• production and free radical damage may prove beneficial in treatments of neurodegenerative disease.
Extensive investigations have been undertaken to determine the neuroprotective effect of polyphenolic-rich beverages, such as teas and red wine [13–16]. Several neuroprotective mechanisms of action have been proposed, including antioxidant and/or anti-inflammatory properties [17]. Studies have shown that frequent consumption of fruit and vegetable juices, which are high in polyphenols, are associated with a substantially decreased risk of AD [18]. The Kame Project found that subjects who reported drinking juices three or more times per week were 76% less likely to develop signs of AD than those who drank less than one serving per week. Even drinking juices once or twice a week was found to reduce the risk by 16% [18]. Numerous studies have shown that green tea polyphenols can protect against excitotoxicity in neuronal cells, although the exact mechanism remains unclear [19]. Tea consumption ad libitum by rodents was shown to afford neuroprotection against oxidative damage in normal aging [20], and through combination with the NMDA channel blocker memantine against brain excitotoxicity [21]. Some studies have shown that tea- and wine-derived catechins, in parallel with the individual flavonol quercetin, can reduce the concentrations of increased reactive oxygen species (ROS) and RNS [22–25] and intracellular Ca2+ levels in the synapse [26]. Other studies have indicated a significant inhibitory effect of catechins and apigenin upon iNOS activity [27,28]. However, to our knowledge, no study has reported the potential inhibitory effect of naturally occurring polyphenolic compounds on nNOS activity and intracellular Ca2+ influx in human neurons following exposure to pathophysiological concentrations of QUIN.
In the present study we evaluated the potential inhibitory effect of several polyphenolic compounds present in green tea, namely epigallocatechin gallate (EPCG), catechin hydrate, curcumin, apigenin, naringenin and gallotannin (Table 1) on QUIN-mediated elevations in nNOS activity in cultured human neurons using the citrulline assay. nNOS activity was verified by nitrite determination in culture supernatant using the fluorometric Griess diazotization assay. Intracellular Ca2+ influx was measured using a fluorometric assay. The potential neuroprotective effects of these polyphenols on QUIN-mediated NAD+ depletion and PARP-1 activation were also investigated using well-established spectrophotometric assays. Immunohistochemistry was used to detect the formation of poly(ADP-ribose) (PAR) polymers. PAR formation is directly correlated to DNA strand breaks [11].
Table 1. Structure of the green tea polyphenols used in the present study. 
Discussion
- Top of page
- Abstract
- Introduction
- Results
- Discussion
- Materials and methods
- References
The excitotoxin QUIN is one of the major end products of tryptophan catabolism in the central nervous system. Increased QUIN production by activated microglia/infiltrating macrophages has been reported in the brain in aging and in neuroinflammatory diseases [1]. For example, QUIN is found at high concentrations in immunoactive amyloid plaques in the AD brain [1,2,29]. Given the complex aetiology and mechanisms of AD, QUIN probably plays a pivotal role in the neurodegenerative changes occurring in the brain [1,29,30,31].
The involvement of NOS in QUIN toxicity on human astrocytes and neurons has been demonstrated [7,32,33]. This neurotoxic involvement of NOS has been confirmed by the use of the NOS inhibitor, nitro-l-arginine methyl ester, which can protect human primary neurons and astrocytes in vitro against QUIN toxicity [7,34]. NOS inhibitors have also been found to be effective in protecting mice and monkey models from the development of AD pathophysiology [35].
Another way to attenuate increased NO• production and consequent energy depletion due to QUIN is to block the NMDA receptor. We have previously shown that the NMDA ion channel blocker, MK-801, can protect human neurons from QUIN-induced excitotoxicity [7]. However, long-term NMDA receptor inhibition by MK-801 has previously been shown to be toxic to cultures of rat cortical neurons [36]. Alternatively, polyphenols with their ROS/RNS scavenging, metal chelating and anti-inflammatory properties represent a promising additional option for the modulation of excitotoxic cell death that may potentially be effective in conditions such as AD treatment (Fig. 8). The neuroprotective effects of green tea polyphenols and their potential in the treatment of AD have been extensively reviewed [19,37,38].
In this study, we evaluated the effects of several polyphenolic compounds on QUIN-mediated elevations in nNOS activity and nitrite production. The activity of nNOS was considerably enhanced in a dose-dependent manner, with increasing concentrations of QUIN within 30 min, with a subsequent increase in nitrite production (Fig. 1). These results are consistent with previous reports showing increased NO• production in the striatum within 2 h of QUIN injection [32,33].
Conversely, a dose-dependent decrease in nNOS activity and nitrite production was observed in QUIN-treated neuronal cells preincubated with selected polyphenolic compounds (Fig. 1). EPCG, catechin hydrate and curcumin showed a greater inhibitory effect on nNOS activity and subsequent nitrite production compared with apigenin, naringenin and gallotannin (Fig. 1). The modulatory effect of polyphenolic compounds on the NOS family has been previously reviewed in [19]. EPCG, catechin hydrate and curcumin can suppress NO• production in cultures of RAW 264.7 macrophages and human peripheral blood mononuclear cells following a 24 h stimulation with lipopolysaccharide [39]. Moreover, apigenin has been shown to downregulate iNOS expression and NO• production in RAW 264.7 macrophages [40]. Taken together, these results suggest that polyphenols can inhibit NO• production by significantly reducing iNOS expression and activity. However, the present study was the first to examine the inhibitory effects of polyphenolic compounds on nNOS activity in primary cultures of human neurons. Consistent with the above results, EPCG, catechin hydrate and curcumin showed a significant reduction in 3-NT formation compared with QUIN-treated cells alone (Fig. 6). Apigenin, naringenin and gallotannin also exerted a protective effect against 3-NT formation, but to a lesser extent than the other polyphenols (Fig. 6).
We have previously shown that QUIN can induce PARP-1 activity and subsequent NAD+ depletion in primary cultures of human astrocytes and neurons at pathophysiological concentrations [7]. In that earlier study, NOS inhibition using nitro-l-arginine methyl ester significantly reduced NAD+ depletion and PARP-1 activation in cultured human neurons exposed to cytotoxic concentrations of QUIN [7]. The present study showed that the polyphenols, EPCG, catechin hydrate and curcumin, which have a greater inhibitory effect on nNOS activity and nitrite production, can prevent DNA damage [indicated by reduced PAR formation (Fig. 7) and PARP-1 activation (Fig. 3)] and block the subsequent depletion of NAD+ stores, thereby preserving the cell’s energy-dependent functions (Fig. 3). Apigenin, naringenin and gallotannin also showed a neuroprotective effect against PARP-1 activation and NAD+ depletion, but to a lesser extent than the previously mentioned polyphenols, probably due to their lower inhibitory effect on nNOS activity (Fig. 3).
Although treatment with catechin hydrate, apigenin and naringenin alone showed no significant difference in intracellular NAD+ levels, and PARP and LDH activities across the range of concentrations tested, increased intracellular NAD+ levels were observed following treatment with EPCG and curcumin alone (Fig. 2). This is consistent with the observation that PARP activity (and therefore NAD+ turnover) was also lowest following treatment with both EPCG and curcumin at 50 and 100 μm (Fig. 2B). On the other hand, gallotannin showed a dose-dependent decrease in intracellular NAD+ levels (Fig. 2A), with a corresponding decrease in cell viability (Fig. 2C). This may be explained by the observation by others that gallotannin strongly inhibits nuclear nicotinamide mononucleotide adenylyltransferase (NMNAT-1) activity, with no detectable activity observed at 100 μm [41].
The results of the present study show that QUIN can induce intracellular Ca2+ influx in a dose-dependent manner (Fig. 4), and that this reduces the viability of cultured human neurons. To determine whether the neuroprotective effect of these polyphenols was due to a direct nNOS inhibition or via intracellular Ca2+ modulation, we examined the effect of these polyphenols on intracellular Ca2+ influx in human neurons following QUIN stimulation. We found that EPCG and curcumin were able to attenuate QUIN-induced Ca2+ influx to a greater extent than apigenin, naringenin and gallotannin (Fig. 5). However, catechin hydrate did not attenuate the observed increase in Ca2+ in QUIN-treated neuronal cultures (Fig. 5). EPCG has been previously shown to attenuate glutamate-induced cytotoxicity via intracellular ionotropic Ca2+ modulation in PC12 cells, although the exact mechanism remains unclear [42]. Curcumin has been shown to exert a potent antioxidant effect on NO•-related radical generation [43]. Curcumin has also been shown to antagonize several important pathways involved in NOS-mediated neurotoxicity, including activation of nuclear factor kappa B, the Jun N-terminal kinase pathway and protein kinase C [26,44,45]. Protein kinase C partly phosphorylates the core NMDA receptor subunit NR1, which potentiates increased Ca2+ influx following NMDA receptor activation [26]. A decreased phosphorylation of NR1 may protect against QUIN-induced excitotoxicity when the levels of QUIN are significantly elevated. We found that catechin hydrate did not reduce QUIN-induced Ca2+ influx in human neurons. This is consistent with another study, where catechin hydrate only slightly inhibited the phosphorylation of protein kinase C [26]. However, catechin hydrate significantly reduced QUIN-induced nNOS activity and NO• production. It is possible that inhibition of nNOS activity by catechin hydrate may be mediated through a direct action on the enzyme itself. For example, nitrite and peroxynitrite inhibition by catechins has been attributed to the 3′4′-catechol group on the B-ring [26].
Apigenin and naringenin are known to protect against excitotoxic insults in human neurons independent of NOS activity. Silva et al. [46] showed that the apigenin derivative biapigenin prevented kainate excitotoxicity by protecting cultured neurons from delayed Ca2+ deregulation due to excessive NMDA receptor activation. Further studies have focussed on the binding of naringenin to GABAA receptors as a potential neuroprotective mechanism of action in the central nervous system [47,48].
Our results show that gallotannin is less active against nNOS activity and demonstrated poor nitrite scavenging properties (Fig. 1). However, gallotannin was able to attenuate QUIN-induced Ca2+ influx in human primary neurons to a similar extent as apigenin. Other studies have shown that gallotannin can only significantly reduce Ca2+ influx when administered simultaneously with glutamate [26]. This suggests a possible competitive inhibitory process.
Importantly the concentrations used in these experiments are within the achievable range of serum levels following oral consumption of these polyphenols. For example, one human study reported that the serum concentration of curcumin was 1.77 ± 1.87 μm [49]. In another rat study, daily oral consumption of a glyconated form of catechin resulted in a serum concentration of 34.8 ± 6.0 μm [50]. The amount of EPCG in a single cup of green tea is ∼ 300 μm [51]. Therefore, the calculated maximum serum concentration of EPCG may reach 60 μm in a 60 kg human after oral consumption of a single cup of tea. In the present study, the polyphenols were tested at a standardized concentration of 50 μm. Although this concentration is relevant to serum levels in humans, lower concentrations of these polyphenols may also be neuroprotective if administered over a longer period of time.
Several epidemiological studies have predicted neurodegenerative diseases to be a major public health problem in the 21st century [52]. In Australia it has been projected that although the total aging population will increase by 40% in 2042, the population with AD will increase by 3.5 times due to aging population demographics [53]. The neuroprotective effects of these green tea polyphenols were obtained in an experimental pretreatment model. The efficacy of these polyphenols in vivo is dependent on the ability of these polyphenols to cross the blood–brain barrier. Curcumin, EPCG and catechin have been reported to pass through the blood–brain barrier [54,55]. The permeability of apigenin, naringenin and gallotannin remains unknown.
In a recent meta-analysis of 187 retrospective studies, EPCG, curcumin, catechin hydrate, melatonin, resveratrol, vitamin C and vitamin E were identified as naturally occurring compounds that show efficiency in slowing down the spectre of AD symptoms [56]. The results from our study and others add support to this observation and may encourage individuals to select foods that contain these beneficial compounds (e.g. red grapes, blue berries, peanuts, etc.). This will be important to improve population health in general, and in aging populations in particular.