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Home: Research: Forums: Live Discussions
Live Discussions

Updated 12 April 2006

Cell Cycle Hypothesis Pedaling into Mainstream Acceptance? Results in Fly, Mouse Models Warrant a Second Look


Vik Khurana
Vikram Khurana, Karl Herrup, Bruce Lamb, Inez Vincent, Rachael Neve, Donna McPhie, Dan Geschwind, Cathy Andorfer, and Xiongwei Zhu participated in a discussion of how far the cell cycle hypothesis has come in the past few years, and where to go next.

Vik Khurana led this live discussion on 1 March 2006. Readers are invited to submit additional comments by using our Comments form at the bottom of the page.

View Transcript of Live Discussion — Posted 12 April 2006

View Comments By:
Jin-Jing Pei — Posted 3 March 2006
Agata Copani — Posted 6 March 2006
John Staropoli — Posted 6 March 2006
Zsuzsanna Nagy — Posted 7 March 2006


Background Text
In 2002, the Alzforum hosted a Live Discussion led by Inez Vincent. She and a few other scientists had developed the hypothesis that aberrant reactivation of the cell cycle might cause neurodegeneration and constitute an early event in the pathogenesis of Alzheimer disease, because postmitotic neurons that reawaken their cell cycle tend not to divide, but die. At the time, the idea languished in relative obscurity, and the discussion concluded with a consensus that the field needed to move its observations from postmortem human tissue and cell culture into in-vivo studies. Above all, tests in animal models were needed next.

Three years later, those data have begun coming in, and it is time to catch up with the progress and reevaluate the hypothesis in light of it. Below is a brief synopsis of Khurana et al. (Khurana at al., 2006), as well as another recent paper, a collaborative effort by Herrup and Bruce Lamb to assess cell cycle reactivation in a suite of APP transgenic mouse models. An earlier paper by Cathy Andorfer, Karen Duff, Peter Davies and colleagues had set the stage by demonstrating cell-cycle reactivation in a mouse neurodegeneration model of normal human tau (see Andorfer et al., 2005 and commentary there).

Khurana and colleagues picked up the hypothesis roughly where it had led off after the last discussion: Aberrant expression and mislocalization of numerous cell-cycle proteins had been shown in neurons of postmortem AD and tauopathy tissues, and Herrup’s lab added the observation that neurons in AD tissue actually replicate their DNA before dying. The open questions were whether this was a cause of neurodegeneration or an epiphenomenon to it, and which signaling pathways might be turning on the cell cycle. How, in other words, did it fit in with established players in AD, such as APP and tau? A number of mitogenic pathways were known to be up-regulated in AD, including the one involving TOR that Khurana would focus on in his study. And yet, many different kinds of signaling pathways are changed in AD, and the relevance of the mitogenic up-regulation to the disease process was far from clear.

Khurana and Feany approached these questions from an existing interest in tauopathies. Consequences of tau hyperphosphorylation are seen as a common effector of neurodegeneration in several different diseases. If tau-induced degeneration and cell cycle activation are indeed linked, they asked, how so and what causes what?

In the present study, the researchers used Drosophila models of wild-type and mutant tau. Fruit flies not only recapitulate the basic cell cycle machinery and key features of tau-induced neurodegeneration, but also, the relative ease with which one can manipulate flies genetically and pharmacologically allowed the scientists to address the question of causation. Conveniently, flies express the mitogenic pathway involving target of rapamycin (TOR) kinase, which Seymour Benzer’s group had shown to affect lifespan and Jin Jing Pei’s group had shown to be altered in AD tissue.

Khurana et al. demonstrated a series of events whereby tau phosphorylation activated the cell cycle, and that immediately preceded neurodegeneration by apoptosis. Blocking various cell cycle transition points blocked apoptosis, even though tau pathology stayed in place. The TOR pathway drove tau-induced cell cycle activation. The sequence of events, then, in this animal model is: Tau —TOR pathway—cell cycle—neuron death. New in this study are the findings that cell cycle activation causes neuron death, and that cell cycle activation is downstream from tau phosphorylation, not the other way around. The paper supports previous cell culture studies that had shown cell cycle-dependent apoptosis in a number of neurotoxicity assays.

Many questions remain. For one, the mechanism of cell death remains puzzling. Khurana et al. saw apoptosis but do not rule out other mechanisms. An important prior study of tau-induced neurodegeneration in mice, by Andorfer and colleagues, also strongly pointed to cell cycle activation but saw apoptotic as well as non-apoptotic degeneration. On this issue, a new study appearing in Neuron on 2 March, by Azad Bonni and colleagues at Harvard Medical School, suggests that neurons have unique intracellular signaling systems regulating cell death. It further implicates the prolyl isomerase P1, which is already known to counteract the damaging effects of tau hyperphosphorylation, in this process (Becker et al., 2006, in press). Bonni has published previously on cell cycle, cell death, and neurodegeneration (Becker et al., 2004 and comment there).

For another question, there remains uncertainty about whether cell cycle activation is a universal mechanism across many forms of neurodegeneration, or whether it is specific to tauopathies including AD. Previous papers have reported discrepant data on cell cycle activation in diseases such as ALS, Parkinson and Huntington diseases, ataxias, or stroke and trauma. For their part, Khurana and colleagues did not find TOR/cell cycle activation in fly models of Parkinson or polyglutamine disease. They favor the notion that mechanisms of neurodegeneration in different diseases are quite distinct. In closing, Khurana et al. write that cancer and tauopathies share a common effector pathway in TOR, and suggest TOR and cell cycle inhibitors might make therapeutic targets in tauopathies and AD.

Another new paper on the topic of the cell cycle and AD came this January from Yan Yang and Nicholas Varvel, working with Bruce Lamb and Karl Herrup at Case Western Reserve University in Cleveland, Ohio (Yang et al., 2006; see commentary by Inez Vincent there). These scientists assessed what they call ectopic cell cycle events in four different strains of APP-transgenic mice. In addition to well-known models such as the Tg2576 mouse, this included a model made by Lamb that expresses full-length genomic APP driven by the human APP promoter. The scientists found that all four models show ectopic cell cycle events, that is, expression of cell cycle regulators and DNA replication, months before either amyloid deposition or inflammation. Confirming earlier in-vitro work by Donna McPhie and Rachael Neve, these findings indicate that cell cycle activation is an early expression of neural distress, not merely one of numerous later consequences of the AD process. The paper suggests that APP-transgenic mice are actually more faithful models than is sometimes said, Yang et al. write, because with the cell cycle activation, they recapitulate yet another sign of early human AD, and they do so in a temporal and spatial pattern that closely tracks human disease progression.

Curiously, Yang et al. in this study repeated an observation they had made in their earlier work. Neurons that have attempted to replicate their DNA, that is, moved part of the way through the cell cycle, did not die soon thereafter, as they did in Khurana’s tau model, but instead lingered on for months. Clearly something is still missing to produce neuron loss, and a “complete” mouse model of AD. Oxidative stress (Zhu et al., 2004) and tau hyperphosphorylation (Andorfer et al., 2005) are obvious candidates. Clearly, both the tau and amyloid branches of AD pathologies have links to the cell cycle in animal models.—Gabrielle Strobel.

References:
Andorfer C, Acker CM, Kress Y, Hof PR, Duff K, Davies P. Cell-cycle reentry and cell death in transgenic mice expressing nonmutant human tau isoforms. J Neurosci. 2005 Jun 1;25(22):5446-54. Abstract

Neve RL, McPhie DL. The cell cycle as a therapeutic target for Alzheimer's disease. Pharmacol Ther. 2005 Nov 7. Abstract

McPhie DL, Coopersmith R, Hines-Peralta A, Chen Y, Ivins KJ, Manly SP, Kozlowski MR, Neve KA, Neve RL. DNA synthesis and neuronal apoptosis caused by familial Alzheimer disease mutants of the amyloid precursor protein are mediated by the p21 activated kinase PAK3. J Neurosci. 2003 Jul 30;23(17):6914-27. Abstract

Neve RL, McPhie DL, Chen Y. Alzheimer's disease: dysfunction of a signalling pathway mediated by the amyloid precursor protein? Biochem Soc Symp. 2001 ;:37-50. Abstract

Staropoli JF, Abeliovich A. The ubiquitin-proteasome pathway is necessary for maintenance of the postmitotic status of neurons. J Mol Neurosci. 2005 ;27(2):175-83. Abstract

Aulia S, Tang BL. Cdh1-APC/C, cyclin B-Cdc2, and Alzheimer's disease pathology. Biochem Biophys Res Commun. 2006 Jan 6;339(1):1-6. Abstract

Webber KM, Casadesus G, Zhu X, Obrenovich ME, Atwood CS, Perry G, Bowen RL, Smith MA. The cell cycle and hormonal fluxes in Alzheimer disease: a novel therapeutic target. Curr Pharm Des. 2006 ;12(6):691-7. Abstract

Anekonda TS, Reddy PH. Neuronal protection by sirtuins in Alzheimer's disease. J Neurochem. 2006 Jan ;96(2):305-13. Abstract

Lu KP, Liou YC, Vincent I. Proline-directed phosphorylation and isomerization in mitotic regulation and in Alzheimer's Disease. Bioessays. 2003 Feb ;25(2):174-81. Abstract

Vincent I, Pae CI, Hallows JL. The cell cycle and human neurodegenerative disease. Prog Cell Cycle Res. 2003 ;5():31-41. Abstract

Yang Y, Herrup K. Loss of neuronal cell cycle control in ataxia-telangiectasia: a unified disease mechanism. J Neurosci. 2005 Mar 9;25(10):2522-9. Abstract

Yang Y, Mufson EJ, Herrup K. Neuronal cell death is preceded by cell cycle events at all stages of Alzheimer's disease. J Neurosci. 2003 Apr 1;23(7):2557-63. Abstract

Becker EB, Bonni A. Pin1 mediates neural-specific activation of the mitochondrial apoptotic machinery. Neuron. 2006 Mar 2;49(5):655-62. Abstract



Comments on Live Discussion
  Comment by:  Jin-Jing Pei
Submitted 3 March 2006  |  Permalink Posted 3 March 2006

In AD brain, total tau is markedly increased in the hyperphosphorylated form, and a significant amount of normal tau still exists. Although the tau mRNA level is increased in the brains of Down syndrome patients, it is not changed in AD brains, and thus the role of increased tau synthesis has mostly been neglected.

In neurons of AD brains, we have found up-regulation of the rapamycin-dependent protein translation pathway including mammalian target of rapamycin (mTOR) and p70 S6 kinase (p70S6K), which targets a group of mRNAs having 5’-terminal oligopyrimidine tracts such as tau mRNA. We have further shown that manipulation of p70S6K activity by selective PP-2A inhibition in cultured rat brain slices and zinc treatment in SH-SY5Y neuroblastoma cells and primary hippocampal neurons results in corresponding changes of tau level, as well as phosphorylation at Ser262, Thr212, and Ser214 that can prevent tau from binding to microtubules.

Our recent data indicate that deregulation of mTOR/p70S6K signaling might play a dual role in accumulation of hyperphosphorylated tau by...  Read more


  Comment by:  Agata Copani
Submitted 6 March 2006  |  Permalink Posted 6 March 2006

Surely, the paper by Khurana et al. supports the hypothesis that cell cycle reactivation in postmitotic neurons leads to death. In particular, the paper shows that

1. tau-induced neurodegeneration in Drosophila is partially prevented by cell cycle blockade;

2. ectopic cell cycle activation, in the absence of transgenic tau, leads to neuronal apoptosis (even though this is not always the case: see Fig. 4H vs. Fig. 2C) and enhances tau-induced toxicity;

3. the inhibition of endogenous TOR activity partly suppresses tau-induced neurodegeneration, whereas ectopic TOR activation induces cell cycle activation and neurodegeneration;

4. TOR activation enhances tau-induced toxicity, and this enhancement is blocked by concomitant cell cycle inhibition.

The conclusion is that the TOR pathway drives tau-induced cell cycle activation with ensuing neurodegeneration. However, this conclusion suffers from the lack of direct evidence that the inhibition of endogenous TOR activity prevents tau-activated cell cycle activation besides neurodegeneration. Otherwise, it...  Read more


  Comment by:  John Staropoli
Submitted 5 March 2006  |  Permalink Posted 6 March 2006

I regret that I won’t be able to join the live discussion, but I have offered the following as possible points of discussion:

The paper by Khurana et al. continues the long arc of genetic studies suggesting that cell-cycle reactivation in neurons precedes, or at least is coincident with, neuronal apoptosis.

Here are some additional experiments to consider: In an experiment analogous to the ectopic expression of cyclin E and E2F1/DP in the Khurana paper, mice transgenic for the SV40 T antigen show disrupted cerebellar cortical development and progressive degeneration of Purkinje neurons (1). The harlequin mouse, a naturally occurring strain with a proviral insertion in the gene for apoptosis-inducing factor (AIF), shows specific degeneration of retinal ganglion cells and cerebellar Purkinje cells. By a mechanism that remains unclear, AIF deficiency renders these cells more sensitive to reactive oxygen species, and dying neurons appear to show signs of oxidative damage, such as 8-OhdG immunoreactivity, before upregulation of the S phase markers PCNA and Cdc47 and the...  Read more


  Comment by:  Zsuzsanna Nagy
Submitted 6 March 2006  |  Permalink Posted 7 March 2006

The paper by Khurana is an elegant extension of previous studies on the consequences of tau overexpression in neurons (1-3). Previous studies have shown that overexpression of normal human tau (and an imbalance between the 3R/4R tau) in the mouse brain leads to the reactivation of the cell cycle in neurons (1). They have also found that this cell cycle reactivation can lead to neuronal death in their transgenic animals. Almost concomitantly, it has been demonstrated that the overexpression of tau in Drosophila neurons alters synaptic plasticity and neurotransmission (2,3).

This study by Khurana goes one step further: It demonstrates that the cell cycle activation in response to tau overexpression (normal or mutated) is mediated by the activation of mTOR (target of rapamycin). The study has important implications. In contrast with previous studies (4), it proves that in some tauopathies associated with tau mutations, neuronal death might be executed via the activation of the cell cycle. As such, it brings the cell cycle closer to acceptance by the neuroscience...  Read more

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