Calpastatin Is Up-regulated in Response to Hypoxia and Is a Suicide Substrate to Calpain after Neonatal Cerebral Hypoxia-Ischemia*

Klas Blomgrenabc, Ulrika Hallina, Anna-Lena Anderssona, Malgorzata Puka-Sundvallad, Ben A. Bahref, Amanda McRaeg, Takaomi C. Saidoh, Seiichi Kawashimai, and Henrik Hagbergaj

From the a Perinatal Center, Inst. of Physiology and Pharmacology, Göteborg University, SE 405 30 Göteborg, Sweden, b Perinatal Center, Department of Pediatrics, Sahlgrenska University Hospital/Östra, SE 416 85 Göteborg, Sweden, d Institute of Anatomy and Cell Biology, Göteborg University, SE 405 30 Göteborg, Sweden, e Department of Pharmaceutical Sciences and the Neurosciences Program, University of Connecticut, Storrs, Connecticut 06269-2092, f Cortex Pharmaceuticals, Inc., Irvine, California 92618, g Department of Anatomy and Cell Biology, University of the West Indies, St. Augustine, Trinidad and Tobago, h Proteolytic Neuroscience Laboratory, Riken, 2-1 Hirosawa, Wako-shi, Saitama 351-01, Japan, i Department of Molecular Biology, Tokyo Metropolitan Institute of Medical Science, 3-18-22 Honkomagome, Bunkyo-ku, Tokyo 113, Japan, and j Perinatal Center, Department of Obstetrics and Gynecology, Sahlgrenska University Hospital/Östra, SE 416 85 Göteborg, Sweden

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In a model of cerebral hypoxia-ischemia in the immature rat, widespread brain injury is produced in the ipsilateral hemisphere, whereas the contralateral hemisphere is left undamaged. Previously, we found that calpains were equally translocated to cellular membranes (a prerequisite for protease activation) in the ipsilateral and contralateral hemispheres. However, activation, as judged by degradation of fodrin, occurred only in the ipsilateral hemisphere. In this study we demonstrate that calpastatin, the specific, endogenous inhibitor protein to calpain, is up-regulated in response to hypoxia and may be responsible for the halted calpain activation in the contralateral hemisphere. Concomitantly, extensive degradation of calpastatin occurred in the ipsilateral hemisphere, as demonstrated by the appearance of a membrane-bound 50-kDa calpastatin breakdown product. The calpastatin breakdown product accumulated in the synaptosomal fraction, displaying a peak 24 h post-insult, but was not detectable in the cytosolic fraction. The degradation of calpastatin was blocked by administration of CX295, a calpain inhibitor, indicating that calpastatin acts as a suicide substrate to calpain during hypoxia-ischemia. In summary, calpastatin was up-regulated in areas that remain undamaged and degraded in areas where excessive activation of calpains and infarction occurs.

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Hypoxic-ischemic brain damage is an important contributor to long term neurological sequelae in term and pre-term infants (1-3). The intracellular calcium concentration increases during anoxia/ischemia (4) followed by a secondary phase of cellular calcium overload simultaneous with or slightly preceding development of hypoxic-ischemic neuronal damage (5, 6). Activation of calcium-dependent enzymes is considered to be an early feature in this process (7). Calpains (EC 3.4.22.17) are calcium-activated, nonlysosomal, neutral cysteine proteases proposed to participate in many important intracellular processes, such as turnover of cytoskeletal proteins and regulation of kinase activity and transcription factors (8, 9). The activity of calpains is strictly regulated by calcium concentrations and interaction with calpastatin (the endogenous inhibitor protein), membrane phospholipids, and a multitude of other factors. The ubiquitous distribution of calpains and the complex regulation of their activity indicate that these proteases play important roles under both physiological and pathological conditions. Calpain activation, as judged by the appearance of specific fodrin (10) (also called brain spectrin (11)) breakdown products (FBDP)1 has previously been demonstrated in adult (12-16) and neonatal (17, 18) models of ischemia and hypoxia. Activation of calpains and selective degradation of preferred substrates precede neuronal degeneration, indicating that these proteases are activated during hypoxia-ischemia (HI) and in the early phase of reperfusion after HI, preceding neuronal death (12, 13, 16-19). In vivo administration of inhibitors of calpain activity has been shown to be neuroprotective in adult models (15, 19, 20), including CX295, the inhibitor used in this study (21, 22). Inhibition of calpains may be particularly effective in the perinatal setting, considering the high calpain content in the rapidly growing brain (23) and increased calpain activity following hypoxia-ischemia (24). Furthermore, calpain activation, as judged by the accumulation of FBDP, was especially prominent in the white matter (18), which is interesting in the light of the specific vulnerability of the white matter in the immature brain and its devastating clinical consequences (periventricular leukomalacia).

It is generally considered that upon stimulation calpains are translocated to cellular membranes, where they bind to potential substrates. The interaction between calpains, substrates (25), and cellular components such as acidic phospholipids (26) and DNA (27), drastically increase the calcium sensitivity of the proteases, lowering the calcium concentration required for activation down to physiological or near physiological levels. Calpastatin, the endogenous inhibitor protein of calpains, has also been demonstrated to bind to membranes, even purified phospholipid vesicles (28). Hence, the subcellular distribution of calpains and calpastatin is crucial for the functions of these proteins. The interaction between calpains and calpastatin is reversible and calcium-dependent in the sense that calpains bind to the inhibitor only after binding calcium (29). The inhibitory activity seems to be specific for calpains, because no other protease tested so far is affected by calpastatin. Interestingly, it has been shown that calpastatin can be easily degraded by calpains in vitro (30, 31) and in cultured cells (32). No conclusive evidence of calpain-induced cleavage of calpastatin in vivo has been presented so far. Using a modified Levine preparation (33, 34) allowed us to study the effects of both hypoxia and hypoxia-ischemia (HI) on the immature brain in the same animal. Previously we found that calpain was translocated to membranes, a prerequisite for activation, to the same extent in both hemispheres, but activation, as indicated by increased fodrin proteolysis, occurred only in the ipsilateral, damaged hemisphere (17, 18). The present work was undertaken to elucidate whether calpastatin is involved in the process of halting calpain activation in the contralateral, undamaged hemisphere.

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Induction of Hypoxia-Ischemia-- Unilateral HI was induced in 7-day-old Wistar F rats of both sexes (33, 34). The pups were anesthetized with halothane (3.0% for induction and 1.0-1.5% for maintenance) in a mixture of nitrous oxide and oxygen (1:1), and the duration of anesthesia was <10 min. The left common carotid artery was cut between double ligatures of prolene sutures (6-0). After the surgical procedure the wounds were infiltrated with a local anesthetic, and the pups were allowed to recover for 1-2 h. The litters were then placed in a chamber perfused with a humidified gas mixture (7.70 ± 0.01% oxygen in nitrogen) for 100 min. The temperature in the gas chamber was kept at 36 °C. After hypoxic exposure the pups were returned to their biological dams until sacrificed. Control animals were operated and ligated but not subjected to hypoxia. All animal experimentation was approved by the Ethical Committee of Göteborg (numbers 162-95 and 225-97).

In Vivo Calpain Inhibition-- Two litters (n = 17) were treated with the calpain inhibitor CX295 (Z-leu-aminobutyric acid-CONH(CH2)3-morpholine). The first dose, 200 µl of 5 mM CX295 in 100 mM NaCl (equivalent to approximately 80 µmol/kg or 40 mg/kg body weight), was administered immediately after HI. Subsequently, animals were injected with 100 µl of the CX295 solution (equivalent to approximately 40 µmol/kg or 20 mg/kg body weight) every 3 h for 24 h. Each litter was divided into two groups, where one group received subcutaneous injections and the other received intraperitoneal injections. Control animals were injected with 100 mM NaCl.

Preparation of Samples and Subcellular Fractions for Western Blotting-- The animals were sacrificed by decapitation, and the brains were rapidly dissected out on a bed of ice, weighed, quickly frozen in isopenthane and dry ice, and stored at -80 °C. Cortical tissue rostral to the hippocampus (approximately 50 mg) was dissected out from each hemisphere at -10 °C. The tissue was homogenized by sonication in 10 volumes of ice-cold 50 mM sodium borate (pH 8.0) containing 320 mM sucrose, 5 mM EDTA, 0.1 mM leupeptin, 0.1 mM phenylmethylsulfonyl fluoride, and 3 mM NaN3. Homogenate samples were mixed with an equal volume of concentrated (3×) SDS-PAGE buffer and heated (96 °C) for 5 min. Subcellular fractionation was carried out essentially according to Hu and Wieloch (35) and Cotman et al. (36). The remaining homogenate was centrifuged at 800 × g for 10 min at 4 °C, followed by centrifugation of the supernatant at 9,200 × g for 15 min at 4 °C. The resulting pellet (P2), representing a crude synaptosomal fraction, was washed by resuspending it in 500 µl of homogenizing buffer and centrifuging again at 9,200 × g. The washed pellet was resuspended in 250 µl of 3 × SDS-PAGE buffer, heated (96 °C) for 5 min, and stored at -80 °C. The supernatant (S2) was further separated into a particulate membrane fraction (P3) and a cytosolic fraction (S3) by centrifugation at 150,000 × g for 1 h at 4 °C. The S3 was decanted, added to an equal volume of 3 × SDS-PAGE buffer, heated (96 °C) for 5 min, and stored at -80 °C.

Antibodies-- The calpastatin antibody was raised against a synthetic 16-mer peptide corresponding to the C-terminal portion of rat calpastatin (37). An antibody that specifically recognizes the N-terminal, calpain-specific proteolytic 147-kDa breakdown product (BDPN) of rat alpha -fodrin (38) was used to detect fodrin cleavage. The calpain antibody (1D10A7) recognizes the large subunit of both m- and µ-calpain (39), with an approximately seven times higher affinity for m-calpain (17). All secondary antibodies, horseradish peroxidase- or biotin-conjugated, were from Vector Laboratories (Burlingame, CA).

Western Blotting Procedures-- The protein concentration of homogenates, P2, and S3 fractions in SDS-PAGE buffer was determined according to Karlsson et al. (40). Samples corresponding to 20 µg of total protein were electrophoresed on 7.5% SDS-PAGE gels or NOVEX precast 8-16% Tris-glycine gels (NOVEX, San Diego, CA) and transferred to polyvinylidene difluoride (Hybond-P, Amersham Pharmacia Biotech) or nitrocellulose (0.45 µm; Schleicher & Schuell, Dassel, Germany) membranes. Immunoreactive species were visualized using horseradish peroxidase-conjugated secondary antibodies, Super Signal, or Super Signal ULTRA chemiluminescent substrates (Pierce) and Fuji RX film (Fuji Photo Film Co., Tokyo, Japan). Films were scanned, and immunoreactive bands were quantified using the software IPLab Gel 1.5f (Scanalytics Corp., Fairfax, VA). Every sample was analyzed 1-8 times, and when multiple determinations were performed the average value was used as n = 1.

Immunohistochemical Procedures-- Pups were re-anesthetized and perfusion-fixed with Histofix (isotonic, buffered 5% paraformaldehyde (pH 7.2) from Histolab, Västra Frölunda, Sweden). Following dissection and 2 h post-fixation at 4 °C, the brains were equilibrated in 0.1 M phosphate buffer (pH 7.4) containing 150 mM NaCl (phosphate-buffered saline) and 20% sucrose and 0.02% NaN3 overnight at 4 °C and embedded in Tissue-Tek O.C.T. Compound (Sakura Finetek Europe, Zoeterwoude, Netherlands). Coronal frozen sections (10 µm) were mounted and boiled in 10 mM citrate buffer (pH 6.0) for 10 min (antigen recovery) and blocked in 4% goat serum in phosphate-buffered saline for 30 min at room temperature. The sections were incubated with the calpastatin antibody (1:100 in blocking solution) and the secondary, biotin-labeled antibody (1:250) for 1 h each at room temperature. Visualization was performed using the Vectastain ABC kit (Vector Laboratories, Burlingame, CA).

Quantitative Multiplex RT-PCR-- After decapitation, the brains were rapidly removed and frozen in liquid nitrogen. Total RNA was extracted from each hemisphere using the guanidine isothiocyanate-cesium chloride method (41), quantified spectrophotometrically at 260 nm, and stored at -80 °C. First strand cDNA synthesis was performed with the Superscript RNase H- Reverse Transcriptase kit (Life Technologies, Inc.) and random hexamer primers (Roche Molecular Biochemicals). Total RNA (2 µg), random primers (500 ng), and RNase-free water to 24 µl was incubated at 70 °C for 10 min. The mixture was chilled on ice and 8 µl of 5× First Strand Buffer (250 mM Tris-HCl, pH 8.3, 375 mM KCl, 15 mM MgCl2), 4 µl of 0.1 M dithiothreitol, and 2 µl each of 10 mM dATP, dGTP, dCTP, and dTTP (Roche Molecular Biochemicals) were added and incubated at 25 °C for 10 min followed by 2 min at 42 °C. RT enzyme (2 µl or 400 units) was added, and the reaction was allowed to proceed for 60 min at 42 °C, followed by 15 min of inactivation at 70 °C. The cDNA was diluted to 100 µl with water and stored at -20 °C. Each PCR (25 µl) contained 4 µl of template cDNA, 0.2 mM each dATP, dGTP, dCTP, and dTTP (Roche Molecular Biochemicals), 1 µM of each primer, 1 unit of Taq DNA Polymerase (Sigma) and 2.5 µl 10× PCR Buffer (Sigma). PCR cycling included: step 1, 94 °C for 5 min; step 2, 8 cycles of 94 °C for 20 s, 62 °C for 20 s, and 72 °C for 20 s; step 3, the tubes were placed on ice, and the internal standard (GAPDH) primers were added (2 µl), 1 µM final concentration; step 4, 18 more cycles as in step 2; step 5, 72 °C for 5 min. The primers used were: calpastatin upstream, 5'(1576)-ATG GGA AGG ACA AAC CAG AGA AGC C-3', and downstream, 5'(1870)-TGA TCT TCA AAA GTC ACC ATC CAC C-3' primers; GAPDH upstream, 5'(229)-ACC ACC ATG GAG AAG GCT GC-3', and downstream, 5'(812)-CTC AGT GTA GCC CAG GAT GC-3' primers. All primers were from Kebo Lab (Stockholm, Sweden). The annealing temperature and cycle numbers were chosen such that both the calpastatin and the GAPDH PCR products would be in the linear phase of amplification and of similar intensity (data not shown). The PCR products were separated on 1.5% agarose gels, stained with ethidium bromide, and photographed under UV light. The pictures were scanned, and the bands were quantified using the software IPLab Gel 1.5f (Scanalytics Corp., Fairfax, VA).

Northern Blotting Procedures-- Oligonucleotide (25-mer) primers were produced using a synthesizer from Applied Biosystems. The primer sequences were: 5'-CTG GAC CTT GAA CGT ACG GGA ACA T-3' (upstream) and 5'-CTG GAT TCT TTA GAC GCT CCA CAC A-3' (downstream). Primers were designed to amplify a 441-base pair sequence from the noncoding region of the rat m-calpain gene, bases 2281-2719 (42). The PCR product was sequenced to verify its identity. The m-calpain DNA transcript was cloned into a pCR-Script Tm SK(+) plasmid (Stratagene, La Jolla, CA) and linearized with NotI, and a riboprobe was synthesized with T7 RNA polymerase and digoxigenin-labeled UTP using digoxigenin RNA Labeling kit (Roche Molecular Biochemicals). As an internal control, a 30-mer oligonucleotide probe complementary to bases 1851-1880 of rat 18 S rRNA (42) (5'-ATC CTT CCG CAG GTT CAC CTA CGG AAA CCT-3') was used. The probe was labeled using digoxigenin Oligonucleotide Tailing kit (Roche Molecular Biochemicals). Animals were sacrificed by decapitation, and the brains were rapidly removed and frozen in liquid nitrogen. Total RNA was extracted from each hemisphere by the guanidine isothiocyanate-cesium chloride method (41). Following electrophoresis and capillary blotting, membranes were hybridized with the m-calpain probe, stripped, and rehybridized with the 18 S rRNA probe. Digoxigenin-labeled species were visualized using chemiluminescence (Roche Molecular Biochemicals) and quantified using the software IPLab Gel 1.5f (Scanalytics Corp., Fairfax, VA).

Statistics-- The Mann-Whitney U test was used throughout, because normal distribution of the data could not be assumed. Where multiple comparisons were made with a control group, Bonferroni correction was used to compensate for this.

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A Membrane-bound Calpastatin Breakdown Product-- The antibody against calpastatin displayed a distinct double band with an apparent molecular mass of 110 kDa (Fig. 1). The antibody was highly specific, because no background or nonspecific bands were produced, just like in earlier studies (32, 37, 43). In the P2 fraction, a 50-kDa band appeared in the ipsilateral but not in the contralateral hemispheres after 1 h of recovery, reached a maximum after 24 h, and was no longer detectable 14 days after the insult (Fig. 1). This calpastatin breakdown product (CBDP) was very prominent and always appeared parallel to a decrease of the intact, 110-kDa band. The 50-kDa CBDP was prominent also in homogenates but could not be detected in the cytosolic fractions (Fig. 1). After 1 and 2 days of recovery, the sum of the densitometric values of the 110- and 50-kDa bands in the ipsilateral hemispheres was larger than the amount of calpastatin immunoreactivity in the contralateral hemispheres, particularly in the P2 fractions (Fig. 1).


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Fig. 1.   Calpastatin Western blotting of pooled samples of parietal cortex from control animals and from animals allowed to recover after HI for the time indicated in hours (h) or days (d). The top panel shows the results from homogenates (Hom.), the middle panel from cytosolic (S3), and the bottom panel from synaptosomal (P2) fractions. All three fractions are from the same animals, and the numbers of samples pooled for each time point are: 3, 2, 3, 3, 3, 5, 7, and 7, respectively. The apparent molecular masses of intact calpastatin (110 kDa) and the membrane-bound breakdown product (50 kDa) are indicated. P7 and P8 indicate postnatal day 7 and 8.

Cytosolic Calpastatin-- In the major, cytosolic pool of calpastatin, an up-regulation was demonstrated in the contralateral, hypoxic hemisphere (Figs. 1 and 2). The increase was evident already at the end of hypoxic exposure and more prominent after 2-24 h of recovery (171% after 2 h, p = 0.014 and 185%, p = 0.007, respectively, after Bonferroni correction). No significant increase could be detected in the ipsilateral hemispheres. Rather, the contralateral hemispheres displayed 39% (0 h), 112% (2 h), 103% (6 h), 57% (1 days), and 119% (2 days) higher values than the corresponding ipsilateral hemispheres (p = 0.013, 0.037, 0.0007, 0.016, and 0.010, respectively) (Fig. 2). Only intact calpastatin (110 kDa) could be detected in the S3 fraction.


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Fig. 2.   Results from calpastatin immunoblotting of S3 fractions from individual samples of parietal cortex, showing the average values ± S.E. On the x axis, P7, P10, and P21 indicate the postnatal day of control animals, and the other numbers show the time of HI (60 and 100 min) with no recovery or the time of recovery after 100 min of HI, in minutes ('), hours (h), or days (d). The numbers of hemispheres used for each time point, from left to right, are: 8, 6, 6, 9, 10, 6, 8, 9, 6, 10, 10, 7, and 10, respectively. *** indicates p < 0.001 and * indicates p < 0.05 when comparing the ipsilateral and contralateral hemispheres at the same time point. ¶¶ indicates p < 0.01 and ¶ indicates p < 0.05 when comparing with the (contralateral) hemispheres from the corresponding control animals (same postnatal day, ligated but not subjected to hypoxia).

Calpastatin Immunohistochemistry-- In tissue sections, the changes in calpastatin immunoreactivity in the parietal cortex followed those demonstrated by Western blotting, i.e. an increase in the contralateral and a decrease in the ipsilateral hemisphere (Fig. 3, panels 1-3). After 2 h of recovery, the number of immunoreactive cells had increased in the contralateral hemisphere compared with controls (Fig. 3, panels 1B and 2B). After 24 h of recovery there was a striking loss of immunoreactive cells in the ipsilateral hemisphere (Fig. 3, panels 1A, 2A, and 3A).


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Fig. 3.   Parietal cortex stained with the antibody against calpastatin. Panel 1, control. Panel 2, 2 h of recovery. Panel 3, 24 h of recovery. A and B indicate the ipsilateral, hypoxic-ischemic hemisphere and the contralateral, hypoxic hemisphere, respectively.

Calpastatin mRNA-- The multiplex RT-PCR produced a 320-base pair calpastatin fragment and a 600-base pair GAPDH fragment with similar staining intensities (not shown). The calpastatin mRNA, from the entire hemisphere, did not display any significant differences in the control animals during normal development (PND 7, 9, 13, and 21). During reperfusion calpastatin mRNA was quantified at 2 h and 1, 2, 3, 6, and 14 days of recovery (n = 6 at all time points, except PND 9 (control) and 14 days of recovery, where n = 5). There was a tendency toward up-regulation after HI in both hemispheres, which turned out statistically significant in the ipsilateral hemispheres after 2 h and 6 days of recovery (146%, p = 0.0065 and 150%, p = 0.0039, respectively) and in the contralateral hemispheres after 14 days (204%, p = 0.0446) (not shown). However, considering the inherent limitations of the RT-PCR technique, interpretations should be made with caution because the increases observed were only 2-fold or less.

Calpain-- The calpain levels were assayed in pooled samples only; therefore no statistical analyses could be performed. The purpose was to correlate calpain and calpastatin changes, temporally, in identical samples (on the same membranes) and to compare with our earlier findings. The 1D10A7 antibody produced a single, distinct band with an approximate molecular mass of 75 kDa, as previously described (17). The calpain immunoreactivity (per µg total protein) in the P2 fractions was approximately 10% of that in the S3 fractions (data not shown). This ratio is lower than for the membrane and microsomal fraction used previously (corresponding to the P3 fraction), where the immunoreactivity was 20% of that found in the S3 fractions (17). Immediately after HI the calpain levels were up-regulated in the S3 fractions (213 and 151% in the ipsilateral and contralateral hemispheres, respectively), dropping to control levels or below after 2-48 h and increasing again in the ipsilateral hemisphere at 14 days post-HI (146% compared with controls at PND 21) (Fig. 4a). The main change in the P2 fractions was a drastic decrease at 24 and 48 h post-HI to 5 and 6% in the ipsilateral and contralateral hemispheres, respectively, after 24 h (Fig. 4b). In the control animals there was a down-regulation of calpain in the P2 fractions at PND 10 and PND 21, whereas the S3 fractions displayed an up-regulation at these time points, indicating that the normal development entails a decreased membrane/cytosolic ratio (Fig. 4).


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Fig. 4.   Results from calpain (mainly m-calpain) immunoblotting of pooled samples of parietal cortex from control animals at the postnatal days indicated (P7, P8, P10, and P21), and after HI plus 0 h to 14 d of recovery. a and b show the cytosolic (S3) and synaptosomal (P2) fractions, respectively, from the same animals.

m-Calpain mRNA-- The m-calpain probe distinctly recognized a single band on Northern blots, with an apparent size of 3.5 kilobases (Fig. 5a). There was substantial interindividual variation in the level of m-calpain mRNA, even after normalization to 18 S rRNA. The ratio between the ipsilateral and contralateral hemispheres in each animal, however, proved to be highly reproducible. In control animals this ratio remained close to 100% at all time points, whereas in animals exposed to hypoxia the ratio increased after the insult, being 167% after 48 h (p = 0.006) (Fig. 5b).


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Fig. 5.   Northern blotting of total RNA from whole hemispheres, using the probe against m-calpain. In a the specificity of the probe is demonstrated. The positions of the 28 S and 18 S are indicated, as well as the size of the m-calpain mRNA, calculated using molecular mass markers (not shown). b shows the results from densitometric scanning of multiple blots, after normalization to 18 S rRNA. The ratio between the ipsilateral and contralateral hemisphere in every animal was calculated, and the average ratios from control animals are indicated by gray columns (n = 6, 6, 5, 6, 6, and 6 animals, respectively), whereas the average ratios from animals subjected to HI are indicated by black columns (n = 6, 6, 6, 7, 8, and 5 animals, respectively). ** indicates p < 0.01 comparing the average ratios of control and HI animals at the same time point.

In Vivo Calpain Inhibition of Calpastatin Degradation-- Animals treated with CX295 every 3 h for 24 h following the insult displayed significantly less degradation of intact calpastatin in the ipsilateral hemisphere (47% less degradation, p = 0.003) (Table I). The ratio of intact calpastatin (ipsilateral/contralateral) was 14.7% in the controls and 54.5% in the CX295-treated animals (85.3 and 45.5% degradation, respectively) (Table I).

                              
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Table I
Effects of pharmacological calpain inhibition on the degradation of calpastatin and fodrin
Animals were subjected to HI and post-treated with CX295 or vehicle every 3 h for 24 h. The ratios of intact calpastatin (110 kDa) between the ipsilateral and the contralateral hemispheres are displayed in the two top rows. Animals treated with CX295 displayed 47% less degradation of calpastatin (45.4% degradation compared with 85.3% in those receiving vehicle). The ratios of FBDP between the contralateral and the ipsilateral hemispheres are displayed in the two bottom rows. Animals treated with CX295 subcutaneously but not intraperitoneally (not shown) displayed less fodrin degradation. The statistical significance, calculated using the Mann-Whitney U test, is indicated by the p values.

In Vivo Calpain Inhibition of Fodrin Degradation-- The anti-FBDPN antibody detected a single band on Western blots with no background. The calpain-specific 147 kDa fodrin degradation product is detectable in neonatal brains of control animals but not in adult animals (17), indicating a higher turnover in the immature, rapidly growing brain producing a steady-state pool of FBDP. As expected, the amount of FBDP was severalfold higher in the ipsilateral hemispheres of animals subjected to HI. The ratio of FBDP (contralateral/ipsilateral) was 21.6% in control animals, injected with vehicle, and 37.6% in animals treated with CX295 subcutaneously (p = 0.038) (Table I). Animals treated with CX295 intraperitoneally displayed a ratio not significantly different from the controls (not shown).

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Degradation of Calpastatin-- This is the first report to our knowledge demonstrating degradation of calpastatin by calpains in vivo. It has been shown earlier in vitro (30, 31) and in cultured cells (32) and has been implicated in a model of adult, transient forebrain ischemia (44). The degradation was confined to the ipsilateral, damaged hemisphere, and it was discrete, because it produced a specific breakdown product about half the size of the intact molecule. This 50-kDa CBDP seemed to be relatively resistant to further degradation, because it accumulated in the P2 fraction. The CBDP was the major immunoreactive species after 24-48 h of recovery, exceeding the amount of intact 110-kDa calpastatin found in the contralateral hemisphere. A single, membrane-bound CBDP stands in contrast with earlier studies using the same antibody, in epidermoid carcinoma KB cells, where proteolysis of membrane-associated calpastatin resulted in the release of fragments (68 and 45 kDa) into the cytosol (32) or in adult gerbil hippocampus, where only a minor breakdown product of 15 kDa was detected 7 days after ischemia (44). It has been shown that phosphorylation, probably by protein kinase C, increased the tendency for calpastatin to associate with membranes (45), so this may be a mechanism regulating the subcellular distribution of the inhibitor. The intact, 110-kDa double band probably represents two differently phosphorylated forms. The significance of the 50-kDa CBDP is unclear. Conceivably, it could be aimed at inhibiting calpains by (synaptosomal) membranes. Each calpastatin molecule consists of four inhibitory domains and an N-terminal, noninhibitory domain (domain L) (46), and calpain-cleaved calpastatin fragments as small as 15 kDa have been shown to retain inhibitory capacity (31). It is also possible that different forms of calpastatin, resulting from phosphorylation, dephosphorylation, alternative splicing, or proteolytic cleavage, may have specific roles in modulation of intracellular signal transduction (37, 44, 47-50). Interestingly, the 50-kDa CBDP did not seem to be detected by the antibody in tissue sections only on Western blots. Had the CBDP been detected in tissue sections, the staining would have been much stronger during reperfusion in the ipsilateral than in the contralateral hemispheres. Rather, the tissue sections displayed the same changes as the S3 fraction Western blots, i.e. an up-regulation in the contralateral and a down-regulation in the ipsilateral hemispheres. This could be due to the membrane-bound nature of the CBDP, which may make the epitope(s) inaccessible to the antibody.

The concept of calpastatin acting as a suicide substrate to calpains has been proposed and demonstrated earlier in vitro (31). Calpastatin is a preferred substrate to calpains, more readily cleaved than fodrin (32), possibly because calpains complex with calpastatin before they have a chance to bind to fodrin and other membrane-associated substrates. To test the hypothesis of calpastatin acting as a suicide substrate also in vivo, a group of animals were treated with a calpain inhibitor, CX295, which has been demonstrated earlier to provide neuroprotection in models of adult brain ischemia (21) and trauma (22). Treatment with CX295 inhibited the degradation of both calpastatin and fodrin, the most widely used marker of calpain activity, indicating that the proteolysis was attributable to calpains. CX295 appeared to be more effective preventing calpastatin depletion than fodrin degradation, because both modes of administration (subcutaneous and intraperitoneal) were effective in inhibiting calpastatin degradation, whereas only subcutaneous injections could decrease the cleavage of fodrin. Generally, intraperitoneal injections produce a rapid, but also shorter lasting, increase in the serum concentration of a drug, reaching a higher peak value than subcutaneous injections. Presumably, the CX295 was present at sufficient serum concentrations for a longer period of the 3-h interval after subcutaneous than intraperitoneal injections. However, degradation of calpastatin and fodrin should be assumed to be inhibited to the same extent. The FBDP is known to have a long half-life (38), thereby masking the inhibitory effect of CX295, whereas intact calpastatin may have a much shorter half-life.2

Up-regulation of Calpastatin-- Our findings indicate that calpastatin is up-regulated in response to both hypoxia and HI but that the up-regulation is concurrent with extensive degradation of the intact, 110-kDa calpastatin in the ipsilateral hemisphere (85.3% after 24 h of recovery). This up-regulation is consistent with the findings in adult gerbil hippocampus, where an approximately 2-fold increase was detected 4 h after ischemia (44). This up-regulation was sustained in the CA2, where the neurons are less vulnerable. However, in the CA1 and other regions displaying neuronal cell death, the up-regulation was followed by a gradual decrease, below pre-ischemic levels, providing an explanation to why more calpain-induced fodrin degradation is seen in these regions (12, 13) and possibly why they are more vulnerable to ischemic stress. A number of proteins are known to be induced or up-regulated after ischemic stress, such as the heat shock proteins (51, 52), and calpastatin may be one of these proteins, aimed at abating the effects of degenerative cascades. There was a consistent tendency toward a moderate increase (approximately 50%) of calpastatin mRNA in both hemispheres, as judged by the quantitative, multiplex RT-PCR, but RT-PCR is not a good method to detect moderate changes quantitatively. The up-regulation seen on the protein level may be a result of increased translation from already present or newly synthesized mRNA, but it may also be a result of decreased degradation. Decreased susceptibility to proteolysis may be accomplished by alternative splicing or post-translational modification by phosphorylation (37, 45, 53, 54).

Subcellular Distribution of Calpain-- The relative amounts of calpain in the S3 and P2 fractions changed in a manner consistent with our earlier findings, but there were also important differences. In accordance with earlier findings was the relative decrease in the major, cytosolic pool of calpain post-HI, at time points when degradation of fodrin (17, 18) and calpastatin occurs. One important difference between the previous and present findings is that the membrane and microsomal fraction (approx P3) did not show any apparent changes after the insult (17), whereas the P2 fractions displayed a marked decrease in calpain immunoreactivity at 24 and 48 h post-HI, at time points when the degradation of calpastatin reached its maximum. This is interpreted as a consumption of calpains by activation and subsequent autodegradation (25), further supporting the finding that calpastatin is cleaved by calpains and accumulates by (synaptosomal) membranes. The calpain mRNA was significantly increased at 48 h post-HI in the ipsilateral hemispheres, possibly to compensate for the losses of protein earlier in both the S3 and P2 fractions. At PND 7 the growth spurt of the rat brain has reached its maximum, and at PND 21 it is nearly over (55). In the rabbit brain calpain activity peaks at PND 10-20, coinciding with the brain growth spurt in that species (23). In light of this, the decreased P2/S3 ratio of calpain seen between PND 7 and PND 21 may be a reflection of less calpain being recruited in the tissue as the brain growth spurt levels out.

Summary-- These results are compatible with our proposed function of calpastatin that upon mild stimulation calpains bind to calpastatin, preventing the proteases from degrading substrates. However, the intramolecular, autolytic activation of calpains is not prevented by calpastatin binding (31), and if the stimulus becomes stronger, the protease will degrade its inhibitor and then go on to cleave other substrates. This is supported by our findings in this neonatal model that calpains were translocated to membranes in both the hypoxic (mild stimulation) and the hypoxic-ischemic (strong stimulation) hemispheres, but degradation of calpastatin and fodrin occurred only in the hypoxic-ischemic hemispheres. The most common method to demonstrate calpain activation is to detect specific fodrin cleavage products (12, 13, 16, 17, 38, 56). Our present findings suggest that calpastatin cleavage could be more sensitive for this purpose. However, two reports have recently appeared that demonstrate degradation of calpastatin also by caspases (48, 57). Furthermore, caspases, primarily caspase-3, have been reported to cleave fodrin during apoptosis in various cell systems, producing 150-kDa fragments similar but not identical to those produced by calpains (58-61). The overlapping substrate specificities and possible interactions between these two protease families are interesting and warrant further investigation.

    FOOTNOTES

* This work was supported by Swedish Medical Research Council Grants 12213 and 9455 and by funds from the Linnéa and Josef Carlsson Foundation, the Sven Jerring Foundation, the Tore Nilson Foundation for Medical Research, the Göteborg Medical Society, the Japanese-German Center in Berlin, the American Federation for Aging Research, and the Frimurare Barnhus Foundation.The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

c To whom correspondence should be addressed: Perinatal Center, Inst. of Physiology and Pharmacology, Göteborg University, P.O. Box 432, SE 405 30 Göteborg, Sweden. Tel.: 46-31-773-3376; Fax: 46-31-773-3512; E-mail: klas.blomgren{at}fysiologi.gu.se.

2 K. Blomgren, C. Zhu, H. Hagberg, and M. Sandberg, manuscript in preparation.

    ABBREVIATIONS

The abbreviations used are: FBDP, fodrin breakdown product; CBDP, calpastatin breakdown product; GAPDH, glyceraldehyde-3-phosphate dehydrogenase; HI, hypoxia-ischemia; PND, postnatal day(s); RT, reverse transcriptase; PCR, polymerase chain reaction; PAGE, polyacrylamide gel electrophoresis.

    REFERENCES
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
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