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PMID: 12019321 Published · ppublish English Journal Article Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, P.H.S.

Caspase cascades in human immunodeficiency virus-associated neurodegeneration.

Garden GA, Budd SL, Tsai E, Hanson L, Kaul M, D'Emilia DM, Friedlander RM, Yuan J, Masliah E, Lipton SA

Abstract

Many patients infected with human immunodeficiency virus-1 (HIV-1) develop a syndrome of neurologic deterioration known as HIV-associated dementia (HAD). Neurons are not productively infected by HIV-1; thus, the mechanism of HIV-induced neuronal injury remains incompletely understood. Several investigators have observed evidence of neuronal injury, including dendritic degeneration, and apoptosis in CNS tissue from patients with HAD. Caspase enzymes, proteases associated with the process of apoptosis, are synthesized as inactive proenzymes and are activated in a proteolytic cascade after exposure to apoptotic signals. Here we demonstrate that HAD is associated with active caspase-3-like immunoreactivity that is localized to the soma and dendrites of neurons in affected regions of the human brain. Additionally, the cascade of caspase activation was studied using an in vitro model of HIV-induced neuronal apoptosis. Increased caspase-3 proteolytic activity and mitochondrial release of cytochrome c were observed in cerebrocortical cultures exposed to the HIV coat protein gp120. Specific inhibitors of both the Fas/tumor necrosis factor-alpha/death receptor pathway and the mitochondrial caspase pathway prevented gp120-induced neuronal apoptosis. Caspase inhibition also prevented the dendrite degeneration observed in vivo in transgenic mice with CNS expression of HIV/gp120. These findings suggest that pharmacologic interventions aimed at the caspase enzyme pathways may be beneficial for the prevention or treatment of HAD.

MeSH Terms
AIDS Dementia Complex/enzymology Adult Animals Apoptosis/drug effects Astrocytes/cytology,drug effects Brain/enzymology,pathology Caspase 1/genetics Caspase 3 Caspase 8 Caspase 9 Caspase Inhibitors Caspases/metabolism Cells, Cultured Cytochrome c Group/metabolism Dendrites/enzymology Enzyme Activation/drug effects Enzyme Inhibitors/pharmacology HIV Envelope Protein gp120/genetics,toxicity Humans Mice Mice, Transgenic Microglia/cytology,drug effects Middle Aged Neurons/cytology,drug effects,enzymology Prospective Studies Tumor Necrosis Factor-alpha/antagonists & inhibitors fas Receptor/drug effects
Chemicals
Caspase Inhibitors Cytochrome c Group Enzyme Inhibitors HIV Envelope Protein gp120 Tumor Necrosis Factor-alpha fas Receptor CASP3 protein, human CASP8 protein, human CASP9 protein, human Casp3 protein, mouse Casp8 protein, mouse Casp9 protein, mouse Caspase 3 Caspase 8 Caspase 9 Caspases Caspase 1
Authors & Affiliations
10 authors, click to expand affiliations / ORCID
Garden Gwenn A
Department of Neurology, University of Washington, Seattle, Washington 98195, USA. gagarden@u.washington.edu
Budd Samantha L
Tsai Elena
Hanson Lisa
Kaul Marcus
D'Emilia Danielle M
Friedlander Robert M
Yuan Junying
Masliah Eliezer
Lipton Stuart A
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Article Info
Journal
The Journal of neuroscience : the official journal of the Society for Neuroscience
Abbr.
J Neurosci
ISSN
1529-2401
Published
2002-05-15
Pages
4015-24
Language
English
Region
United States
NLM ID
8102140
PMCID
PMC6757636
Subset
IM
Grants
Wellcome Trust · United Kingdom
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