Department of Physiology, University of Texas Southwestern Medical Center, Dallas, Texas 75390, USA.
J Neurosci. 2012 Sep 12;32(37):12786-96. doi: 10.1523/JNEUROSCI.1643-12.2012.
Spinocerebellar ataxia 2 (SCA2) is a neurodegenerative disorder characterized by progressive ataxia. SCA2 results from a poly(Q) (polyglutamine) expansion in the cytosolic protein ataxin-2 (Atx2). Cerebellar Purkinje cells (PCs) are primarily affected in SCA2, but the cause of PC dysfunction and death in SCA2 is poorly understood. In previous studies, we reported that mutant but not wild-type Atx2 specifically binds the inositol 1,4,5-trisphosphate receptor (InsP(3)R) and increases its sensitivity to activation by InsP3. We further proposed that the resulting supranormal calcium (Ca2+) release from the PC endoplasmic reticulum plays a key role in the development of SCA2 pathology. To test this hypothesis, we achieved a chronic suppression of InsP(3)R-mediated Ca2+ signaling by adenoassociated virus-mediated expression of the inositol 1,4,5-phosphatase (Inpp5a) enzyme (5PP) in PCs of a SCA2 transgenic mouse model. We determined that recombinant 5PP overexpression alleviated age-dependent dysfunction in the firing pattern of SCA2 PCs. We further discovered that chronic 5PP overexpression also rescued age-dependent motor incoordination and PC death in SCA2 mice. Our findings further support the important role of supranormal Ca2+ signaling in SCA2 pathogenesis and suggest that partial inhibition of InsP3-mediated Ca2+ signaling could provide therapeutic benefit for the patients afflicted with SCA2 and possibly other SCAs.
脊髓小脑性共济失调 2 型(SCA2)是一种以进行性共济失调为特征的神经退行性疾病。SCA2 是由细胞质蛋白 ataxin-2(Atx2)中的多聚 Q(多聚谷氨酰胺)扩展引起的。小脑浦肯野细胞(PCs)是 SCA2 中主要受影响的细胞,但 SCA2 中 PC 功能障碍和死亡的原因尚不清楚。在之前的研究中,我们报道突变型但不是野生型 Atx2 特异性结合肌醇 1,4,5-三磷酸受体(InsP3R)并增加其对 InsP3 激活的敏感性。我们进一步提出,由此产生的来自 PC 内质网的超正常钙(Ca2+)释放在 SCA2 病理学的发展中起关键作用。为了验证这一假设,我们通过腺相关病毒介导的肌醇 1,4,5-磷酸酶(Inpp5a)酶(5PP)在 SCA2 转基因小鼠模型的 PCs 中实现了 InsP(3)R 介导的 Ca2+信号的慢性抑制。我们确定重组 5PP 过表达缓解了 SCA2 PCs 中与年龄相关的发射模式功能障碍。我们进一步发现,慢性 5PP 过表达还挽救了 SCA2 小鼠中与年龄相关的运动不协调和 PC 死亡。我们的发现进一步支持了超正常 Ca2+信号在 SCA2 发病机制中的重要作用,并表明 InsP3 介导的 Ca2+信号的部分抑制可能为 SCA2 患者和可能的其他 SCAs 患者提供治疗益处。