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The crucial role of caspase-9 in the disease progression of a transgenic ALS mouse model

2003; Springer Nature; Volume: 22; Issue: 24 Linguagem: Inglês

10.1093/emboj/cdg634

1460-2075

Haruhisa Inoue,

Neurogenetic and Muscular Disorders Research

Article15 December 2003free access The crucial role of caspase-9 in the disease progression of a transgenic ALS mouse model Haruhisa Inoue Haruhisa Inoue Laboratory for Motor System Neurodegeneration, RIKEN Brain Science Institute (BSI), Saitama, Japan Search for more papers by this author Kayoko Tsukita Kayoko Tsukita Laboratory for Motor System Neurodegeneration, RIKEN Brain Science Institute (BSI), Saitama, Japan Search for more papers by this author Takuji Iwasato Takuji Iwasato Laboratory for Behavioral Genetics, RIKEN Brain Science Institute (BSI), Saitama, Japan PRESTO, Japan Science and Technology Corporation, Saitama, Japan Search for more papers by this author Yasuyuki Suzuki Yasuyuki Suzuki Laboratory for Motor System Neurodegeneration, RIKEN Brain Science Institute (BSI), Saitama, Japan Search for more papers by this author Masanori Tomioka Masanori Tomioka Laboratory for Proteolytic Neuroscience, RIKEN Brain Science Institute (BSI), Saitama, Japan Search for more papers by this author Minako Tateno Minako Tateno Laboratory for Motor System Neurodegeneration, RIKEN Brain Science Institute (BSI), Saitama, Japan Search for more papers by this author Masahiro Nagao Masahiro Nagao Department of Neurology, Tokyo Metropolitan Neurological Hospital, Tokyo, Japan Search for more papers by this author Akihiro Kawata Akihiro Kawata Department of Neurology, Tokyo Metropolitan Neurological Hospital, Tokyo, Japan Search for more papers by this author Takaomi C. Saido Takaomi C. Saido Laboratory for Proteolytic Neuroscience, RIKEN Brain Science Institute (BSI), Saitama, Japan Search for more papers by this author Masayuki Miura Masayuki Miura Department of Genetics, Graduate School of Pharmaceutical Sciences, University of Tokyo, Tokyo, Japan Search for more papers by this author Hidemi Misawa Hidemi Misawa Department of Neurology, Tokyo Metropolitan Institute for Neuroscience, Tokyo, Japan Search for more papers by this author Shigeyoshi Itohara Shigeyoshi Itohara Laboratory for Behavioral Genetics, RIKEN Brain Science Institute (BSI), Saitama, Japan Search for more papers by this author Ryosuke Takahashi Corresponding Author Ryosuke Takahashi Laboratory for Motor System Neurodegeneration, RIKEN Brain Science Institute (BSI), Saitama, Japan Search for more papers by this author Haruhisa Inoue Haruhisa Inoue Laboratory for Motor System Neurodegeneration, RIKEN Brain Science Institute (BSI), Saitama, Japan Search for more papers by this author Kayoko Tsukita Kayoko Tsukita Laboratory for Motor System Neurodegeneration, RIKEN Brain Science Institute (BSI), Saitama, Japan Search for more papers by this author Takuji Iwasato Takuji Iwasato Laboratory for Behavioral Genetics, RIKEN Brain Science Institute (BSI), Saitama, Japan PRESTO, Japan Science and Technology Corporation, Saitama, Japan Search for more papers by this author Yasuyuki Suzuki Yasuyuki Suzuki Laboratory for Motor System Neurodegeneration, RIKEN Brain Science Institute (BSI), Saitama, Japan Search for more papers by this author Masanori Tomioka Masanori Tomioka Laboratory for Proteolytic Neuroscience, RIKEN Brain Science Institute (BSI), Saitama, Japan Search for more papers by this author Minako Tateno Minako Tateno Laboratory for Motor System Neurodegeneration, RIKEN Brain Science Institute (BSI), Saitama, Japan Search for more papers by this author Masahiro Nagao Masahiro Nagao Department of Neurology, Tokyo Metropolitan Neurological Hospital, Tokyo, Japan Search for more papers by this author Akihiro Kawata Akihiro Kawata Department of Neurology, Tokyo Metropolitan Neurological Hospital, Tokyo, Japan Search for more papers by this author Takaomi C. Saido Takaomi C. Saido Laboratory for Proteolytic Neuroscience, RIKEN Brain Science Institute (BSI), Saitama, Japan Search for more papers by this author Masayuki Miura Masayuki Miura Department of Genetics, Graduate School of Pharmaceutical Sciences, University of Tokyo, Tokyo, Japan Search for more papers by this author Hidemi Misawa Hidemi Misawa Department of Neurology, Tokyo Metropolitan Institute for Neuroscience, Tokyo, Japan Search for more papers by this author Shigeyoshi Itohara Shigeyoshi Itohara Laboratory for Behavioral Genetics, RIKEN Brain Science Institute (BSI), Saitama, Japan Search for more papers by this author Ryosuke Takahashi Corresponding Author Ryosuke Takahashi Laboratory for Motor System Neurodegeneration, RIKEN Brain Science Institute (BSI), Saitama, Japan Search for more papers by this author Author Information Haruhisa Inoue1, Kayoko Tsukita1, Takuji Iwasato2,3, Yasuyuki Suzuki1, Masanori Tomioka4, Minako Tateno1, Masahiro Nagao5, Akihiro Kawata5, Takaomi C. Saido4, Masayuki Miura6, Hidemi Misawa7, Shigeyoshi Itohara2 and Ryosuke Takahashi 1 1Laboratory for Motor System Neurodegeneration, RIKEN Brain Science Institute (BSI), Saitama, Japan 2Laboratory for Behavioral Genetics, RIKEN Brain Science Institute (BSI), Saitama, Japan 3PRESTO, Japan Science and Technology Corporation, Saitama, Japan 4Laboratory for Proteolytic Neuroscience, RIKEN Brain Science Institute (BSI), Saitama, Japan 5Department of Neurology, Tokyo Metropolitan Neurological Hospital, Tokyo, Japan 6Department of Genetics, Graduate School of Pharmaceutical Sciences, University of Tokyo, Tokyo, Japan 7Department of Neurology, Tokyo Metropolitan Institute for Neuroscience, Tokyo, Japan *Corresponding author. E-mail: [email protected] The EMBO Journal (2003)22:6665-6674https://doi.org/10.1093/emboj/cdg634 PDFDownload PDF of article text and main figures. ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinked InMendeleyWechatReddit Figures & Info Mutant copper/zinc superoxide dismutase (SOD1)-overexpressing transgenic mice, a mouse model for familial amyotrophic lateral sclerosis (ALS), provides an excellent resource for developing novel therapies for ALS. Several observations suggest that mitochondria-dependent apoptotic signaling, including caspase-9 activation, may play an important role in mutant SOD1-related neurodegeneration. To elucidate the role of caspase-9 in ALS, we examined the effects of an inhibitor of X chromosome-linked inhibitor of apoptosis (XIAP), a mammalian inhibitor of caspase-3, -7 and -9, and p35, a baculoviral broad caspase inhibitor that does not inhibit caspase-9. When expressed in spinal motor neurons of mutant SOD1 mice using transgenic techniques, XIAP attenuated disease progression without delaying onset. In contrast, p35 delayed onset without slowing disease progression. Moreover, caspase-9 was activated in spinal motor neurons of human ALS subjects. These data strongly suggest that caspase-9 plays a crucial role in disease progression of ALS and constitutes a promising therapeutic target. Introduction Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disorder resulting in progressive paralysis caused by motor neuron loss in the brain, brainstem and spinal cord. It is universally fatal, with a mean survival of 5 years after disease onset (for a review see Gurney et al., 2000; Brown and Robberecht, 2001; Cleveland and Rothstein, 2001; Julien, 2001; Rowland and Shneider, 2001). Mutations in the human superoxide dismutase-1 (SOD1) are responsible for an autosomal dominant form of familial ALS (Rosen et al., 1993). Accumulating evidence indicates that mutant SOD1 protein activity precipitates proapoptotic effects through its resulting abnormal function. Possible pathophysiologoical mechanisms in familial ALS associated with SOD1 mutation are the failure to fold or degrade mutant SOD1 (for a review see Gurney et al., 2000; Brown and Robberecht, 2001; Cleveland and Rothstein, 2001; Julien, 2001; Rowland and Shneider, 2001), the formation of free radicals (for a review see Gurney et al., 2000; Brown and Robberecht, 2001; Cleveland and Rothstein, 2001; Julien, 2001; Rowland and Shneider, 2001), the release of free copper (Hayward et al., 2002; Subramaniam et al., 2002), and/or a susceptibility to disulfide reduction of mutant SOD1 (Tiwari and Hayward, 2003). The resulting effects are subsequent axonal strangulation from neurofilamentous disorganization (for a review see Cleveland and Rothstein, 2001; Julien, 2001) and excitotoxic death due to mishandling of glutamate (Howland et al., 2002). However, the precise mechanisms behind mutant SOD1-mediated neurotoxicity have yet to be unravelled. The mutant SOD1 transgenic (mSOD1-Tg) mouse, a mouse model for familial ALS (Gurney et al., 1994), provides the opportunity to elucidate the pathogenetic mechanisms underpinning ALS. The importance of apoptotic pathways in the pathogenesis of mSOD1-Tg mice is supported by the neuroprotective effects of several factors, including: Bcl-2 transgene (Kostic et al., 1997), the dominant-negative caspase-1 transgene (Friedlander et al., 1997), intraventricular administration of pan-caspase-inhibitor z-VAD-FMK (Li et al., 2000) and feeding with minocycline (Zhu et al., 2002). Caspase-1, -3, -7, -8 and -9 are also activated in the spinal motor neurons of mSOD1-Tg mice at various stages throughout the clinical course (Pasinelli et al., 2000; Guégan et al., 2001, 2002; for a review see Friedlander, 2003; Guégan and Przedborski, 2003). Moreover, cytochrome c release from mitochondria, which is also seen in mSOD1-Tg mice (Guégan et al., 2001), activates caspase-9 in the presence of Apaf-1 which, in turn, activates downstream executioner caspases. These observations suggest that mitochondria-dependent apoptotic signaling, including caspase-9 activation, may play an important role in motor neuronal degeneration in mSOD1-Tg mice. However, the significance of caspase activation downstream of cytochrome c release has remained unclear. To elucidate the role of caspase-9 in ALS, we used a transgenic approach to examine the effects of two different caspase inhibitory proteins, XIAP and p35, on the clinical course of mSOD1-Tg mice. XIAP, a mammalian protein, specifically inhibits caspase-3, -7 and -9; whereas p35, a baculoviral protein, inhibits a broad range of caspases, but not -9 (for a review see Deveraux and Reed, 1999; Ekert et al., 1999; Yuan and Yankner, 2000; Suzuki et al., 2001). When expressed using the same promoter, both proteins prolonged survival; however, human XIAP slowed disease progression without delaying its onset, while p35 delayed disease onset but did not affect its progression. These data strongly suggest that the inhibition of caspase-9 in motor neurons contributes significantly to attenuating the progression of ALS. Results Spinal motor neurons expressing either XIAP or p35 First we generated transgenic mice (XIAP-Tg) expressing human XIAP in spinal motor neurons, with glutamic acid substituted for aspartic acid in position 242 (D242E) under the control of the murine choline acethyltransferase (ChAT) promoter (Naciff et al., 1999) (Figure 1A). Since ChAT is expressed only in matured neurons and a relatively specific marker protein for spinal motor neurons, we avoided developmental lethality caused by inhibiting apoptosis. The D242E mutant avoids cleavage by caspase-3 and is more resistant to Fas- or Bax-induced apoptosis than wild-type XIAP in vitro (Deveraux et al., 1999). Human XIAP mRNA expression was detected in the spinal cords of XIAP-Tg lines (Figure 1B). Higher protein expressions were detected using western blot analysis in brain and spinal cord tissue in XIAP-Tg#4 mice compared with non-transgenic littermates (non-Tg) (Figure 1C). For our experiments we used the XIAP-Tg#4 line. Figure 1.(A) Diagram of the constructs of XIAP-Tg mice. (B) Representative autoradiograph of northern blot analysis showing transgenic human XIAP and endogeneous XIAP mRNA levels in the spinal cord from one non-transgenic and two transgenic (XIAP-Tg#4 and -15) mouse lines. A cDNA of human XIAP from 913 to 1213 bp, with 86% identity with its mouse counterpart, was used as the probe. (C) Representative western blot analysis with anti-XIAP antibody that recognizes both human and mouse endogeneous XIAP. Increased XIAP protein expression in XIAP-Tg brain and spinal cord tissue compared with non-transgenic littermates (non-Tg). (D and E) Schematic representation of the ChAT-Cre and loxP-p35 transgenes, and Cre-mediated removal of the stuffer sequence. nls, nuclear localization signal; IRES, internal ribosome entry site; pA, polyadenylation signal. Cre recombinase excised the neomycin stuffer, allowing p35, which was positioned behind the second loxP sequence, to be expressed in ChAT-positive cells (e.g. spinal motor neurons). RT–PCR revealed p35 expression in spinal cord of a p35-Tg mouse. (F) Representative western blot analysis of p35 expression in brains and spinal cords of Cre-negative and -positive mice detected using anti-p35 antibody. p35 protein were expressed in both brain and spinal cord of p35-Tg. Extract of p35-overexpressing 293T cells was used as a positive control. *nsp, non-specific band. (G) Decreased axotomy-induced death of hypoglossal motor neurons in XIAP-Tg#4 mice. Percentage motor neuron survival is calculated as the ratio of the number of surviving motor neurons in axotomized hypoglossal nucleus to the number in the contralateral non-axotomized hypoglossal nucleus of XIAP-Tg, non-Tg littermates, and BDNF-administered non-Tg (BDNF-non-Tg) mice (n = 6–7 mice per group). An increase in the number of surviving motor neurons in XIAP-Tg, comparable to that of BDNF-non-Tg, is seen after axotomy compared with non-Tg mice (Tg, 67.5 ± 3.7%; non-Tg, 53.2 ± 2.5%; BDNF-non-Tg, 69.1 ± 3.6%). **p < 0.01 [calculated using to analysis of variance (ANOVA), followed by Fisher's test]. Error bars represent the standard error of the mean (SEM). (H and I) Expression of human XIAP or p35 in motor neurons of spinal cord is confirmed by immunohistochemistry using anti-human-specific XIAP antibody or anti-p35 antibody. mSOD1/XIAP-Tg mice showed strong immunoreactivity for human XIAP in spinal motor neurons. mSOD1/p35-Tg mice also expressed p35. Scale bar = 136 μm. Download figure Download PowerPoint To express p35 in spinal motor neurons, transgenic (ChAT-Cre) mice expressing the P1-phage Cre recombinase were developed using a construct containing cDNA for Cre with a nuclear localization signal and the murine ChAT promoter (Figure 1D). Using CAG-CAT-Z reporter mice (Sakai and Miyazaki, 1997), we found that Cre/loxP recombination occurs in spinal motor neurons in ChAT-Cre#23 (data not shown). ChAT-Cre/loxP-p35 transgenic (p35-Tg) mice were generated by crossing ChAT-Cre#23 with loxP-p35 transgenic mice; in these mice, p35 gene expression is prevented because a stuffer sequence flanked by two loxP sequences is present (Figure 1D). p35 mRNA and protein expression were detected in p35-Tg mice spinal cords using RT–PCR (Figure 1E) and western blot analysis (Figure 1F). The p35 expressed by Cre/loxP recombination in our loxP-p35 transgenic mice reportedly inhibits caspases and associated cell death under various pathological conditions, including autoimmune-mediated demyelination in vivo (Hisahara et al., 2000; Tomioka et al., 2002; Viswanath et al., 2002). To confirm that XIAP in our XIAP-Tg mice functions as an inhibitor of cell death in vivo (Kügler et al., 2000; Perrelet et al., 2000; Crocker et al., 2003), axotomy of the hypoglossal nerve was performed on adult female XIAP-Tg#4 mice. Axotomy-induced cell death was significantly suppressed, indicating that expressed XIAP was functional (Figure 1G). The effect of XIAP was similar to that of brain-derived neurotrophic factor (BDNF)-administration to the nerve stump (p > 0.05) (Figure 1G). We used a line of mSOD1-Tg mice [G93A; glycine substituted for alanine at codon 93 of the human SOD1 protein (Gurney et al., 1994)] as our ALS model. Female XIAP-Tg (or p35-Tg) mice were crossbred with male mSOD1-Tg mice to produce four varieties of mice: wild type (non-Tg), wild type (XIAP- or p35-Tg), mSOD1-Tg or mSOD1/(XIAP or p35)-Tg. Before investigating the neuroprotective effects of each transgene on mSOD1-Tg mice spinal cord, its expression in mutant SOD1 and human XIAP double transgenic (mSOD1/XIAP-Tg) [or mutant SOD1 and p35 double transgenic (mSOD1/p35-Tg)] mice was confirmed by immunohistochemistry (Figure 1H and I). As shown in Figure 1H (or I), the product of the transgene was expressed in spinal motor neurons of mSOD1/XIAP-Tg (or mSOD1/p35-Tg) mice. XIAP and p35 prolong survival of the ALS mouse model differently To determine the effects of XIAP or p35 transgenes on the onset and progression of motor neuron disease in mutant SOD1 mice, we compared the time of disease onset and life span between mSOD1-Tg and mSOD1/XIAP-Tg or mSOD1/p35-Tg mice. Onset was determined by the loss of motor function, which was measured using a rota-rod test. This occurred at a mean age of 242.0 ± 4.3 days in mSOD1/XIAP-Tg mice and at 236.3 ± 4.0 days in control mSOD1-Tg mice (p > 0.05) (Figure 2A). Onset of motor function loss was observed at a mean age of 257.1 ± 5.1 days in mSOD1/p35-Tg mice, compared with 235.1 ± 5.1 days in control mSOD1-Tg mice (p = 0.0015) (Figure 2B). Significantly, mean survival time was prolonged in both mSOD1/XIAP-Tg and mSOD1/p35-Tg mice. Mean survival for mSOD1/XIAP-Tg mice was 276.6 ± 4.8 days, whereas control mSOD1-Tg mice survived 258.9 ± 4.1 days (p < 0.001) (Figure 2A). Mean survival for mSOD1/p35-Tg mice was 281.9 ± 4.8 days, compared with 257.4 ± 4.6 days for control mSOD1-Tg mice (p < 0.0005) (Figure 2B). Figure 2.Age comparison at the end stage of disease (survival) and at the onset of motor deficit scored by rota-rod test (onset) in mSOD1/XIAP-Tg (A) and mSOD1/p35-Tg (B) mice. (A) Probability of survival revealed an extended life span in mSOD1/XIAP-Tg (n = 20; red solid line) compared with mSOD1-Tg mice (n = 20; green solid line). The cumulative probability of onset of rota-rod deficit was not significantly changed in mSOD1/XIAP-Tg (n = 20; red dotted line) compared with mSOD1-Tg mice (n = 20; green dotted line). (B) Probability of survival showed an extended life span in mSOD1/p35-Tg (n = 17; red solid line) compared with mSOD1-Tg mice (n = 18; green solid line). Disease onset, scored by rota-rod test, was delayed in mSOD1/p35-Tg (n = 17; red dotted line) compared with mSOD1-Tg mice (n = 18; green dotted line). The data were analyzed using the Kaplan–Meier life test and the log-rank test. Download figure Download PowerPoint Mean disease duration, the period marked by onset and death, was also assessed. Mean disease duration in mSOD1/XIAP-Tg mice was 34.6 ± 2.6 days, compared with 22.6 ± 1.7 days in control mSOD1-Tg mice (p < 0.0005). Mean disease duration in mSOD1/p35-Tg mice was 24.8 ± 2.3 days, compared with 22.3 ± 1.7 days in control mSOD1-Tg mice (p > 0.05). These data indicate that XIAP significantly extends survival of mSOD1-Tg mice by prolonging the duration of the disease, i.e. by ameliorating disease progression. In contrast, p35 extends survival by delaying disease onset. We next assessed the effects of XIAP and p35 on spinal motor neuron death in mSOD1-Tg mice. At the end stage of mSOD1-Tg mice, ∼30% of spinal motor neurons remained in mSOD1-Tg control mice compared with age-matched wild-type, XIAP-Tg and p35-Tg mice. In contrast, a significantly larger number of motor neurons were found in mSOD1/XIAP-Tg and mSOD1/p35-Tg than were found in mSOD1-Tg mice (Figure 3). As wild-type, XIAP-Tg and p35-Tg mice all have the same number of motor neurons, we can assume that that naturally occurring motoneuron death was not inhibited in these Tg mice. Figure 3.Protective effects of XIAP or p35 against mutant SOD1 neurotoxicity. (A) Cresyl violet-stained paraffin sections of ventral horn from the lumbar spinal cord revealed a markedly reduced number of motor neurons in mSOD1-Tg mice at end stage, whereas age-matched mSOD1/XIAP-Tg or mSOD1/p35-Tg mice displayed a higher number of motor neurons. Non-Tg, XIAP-Tg and p35-Tg mice showed a similar number of healthy motor neurons. Scale bar = 30 μm. (B) Quantitative graph showing an significant decrease in the number of large neurons from the anterior horn at the end stage of mSOD1-Tg mice, between levels L3 and L4, compared with age-matched mSOD1/XIAP-Tg or mSOD1/p35-Tg mice (n = 3–7 in each group). *p < 0.05, according to ANOVA followed by Fisher's test. Error bars represent the SEM. Download figure Download PowerPoint Differential effects between XIAP and p35 depend on caspase-9 To explore the mechanisms underlying the effects of XIAP and p35, we examined caspase activation in spinal cords from mSOD1-Tg mice. Caspase-1 and -3 activation was observed at an early stage in the clinical course of mSOD1-Tg mice (at 2 months), with a sharp drop in the level of procaspase-3 level at 6 months, 2 months before the onset (Figure 4A). Activated caspase-9 first appeared at 6 months, concomitant with a decrease of procaspase-9, and increased gradually right to the end stage (Figure 4A). Caspase-7 activation was detected only after the onset (at 8 months) (Figure 4A). Figure 4.(A) Caspase-1, -3, -7, -9, neuron-specific enolase (NSE) and actin expression in spinal cords of mSOD1-Tg mice. Western blot of spinal cords lysates from 2-, 4-, 6- and 8-month-old mSOD1-Tg mice. At 2 months, activation of caspase-1 and -3 was detected, but not of caspase-9 and -7. At 6 months, activation of caspase-9 was detected, while at 8 months, activation of caspase-7 was detected. At 8 months, NSE expression was still present. *nsp, non-specific band(s). (B) Representative western blot analysis revealed that the timing of caspase-9 activation in mSOD1/XIAP-Tg mice was not changed. In contrast, activation of caspase-9 was not observed in mSOD1/p35-Tg mice at 6 months. Procaspase-3 decrease is also observed in mSOD1/XIAP-Tg, but not in mSOD1/p35-Tg mice. (C) Attenuation of caspase-9 activation was detected in mSOD1/XIAP-Tg compared with that in mSOD1-Tg mice. Conversely, delayed caspase-9 activation was observed in mSOD1/p35-Tg mice compared with that in mSOD-Tg mice. (D) Interaction between XIAP and caspase-9. Transgene of human XIAP associated with the endogenous active form of caspase-9 is expressed only in diseased mice. IgG HC and IgG LC, bands for heavy chain and light chain immunoglobulin G, respectively. (E) Caspase-9 expression in spinal motor neurons was detected using immunofluorescence staining. Ventral horn sections were stained using an α-NeuN antibody and an antibody to the active form of caspase-9. Merged images show caspase-9 staining mostly in NeuN-positive cells, but also in NeuN-negative cells. Caspase-9 staining was barely detectable in spinal cord sections from non-Tg mice. Staining images are representative of 6-month-old mSOD1-Tg and non-Tg mice. A magnified lesion in the merged image is surrounded by a white square. Scale bar = 40 μm. (F) Reduction of YVAD-, DEVD- and LEHD-cleaving activities in mSOD1/XIAP-Tg or mSOD1/p35-Tg mice lumber spinal cords. At 8 months of age, lumber spinal cord lysates were prepared from XIAP-Tg, p35-Tg, mSOD1-Tg, mSOD1/XIAP-Tg or mSOD1/p35-Tg mice. Casapse-1-, -3-, or -7- and -9-like enzyme activities were measured using fluorogenic susbstrates Ac-YVAD-MCA (YVAD), Ac-DEVD-MCA (DEVD) and Ac-LEHD-MCA (LEHD), respectively, in the lysates (n = 6–7 mice per group). Data are represented as mean ± SEM. *p < 0.05 indicates a statistically significant difference (ANOVA followed by Fisher's test). Error bars represent the SEM. Download figure Download PowerPoint Next, we examined caspase-9 activation at 6 months in both mSOD1/XIAP-Tg and mSOD1/p35-Tg mice (Figure 4B) because different effects were observed in XIAP and p35 during the clinical course of mSOD1-Tg mice (Figure 2). In mSOD1/p35-Tg mice's spinal cords at 6 months, no caspase-9 activation was observed (Figure 4B); however, caspase-9 activation was observed in the end stage (Figure 4C). These data suggest that p35 delayed caspase-9 activation by inhibiting upstream caspase(s) leading to caspase-9 activation, although the nature of such caspase(s) is unknown. As a sharp drop of procaspase-3 did not occur in mSOD1/p35-Tg mice spinal cords at 6 months, p35 may inhibit an unidentified upstream caspase(s) of caspase-3 other than caspase-9 (Figure 4B). Caspase-9 activation, however, was observed in mSOD1/XIAP-Tg mice at 6 months, although to a lesser extent compared with that in mSOD1-Tg mice (Figure 4B). A serial examination of caspase-9 activation in mSOD1/XIAP-Tg mice (Figure 4C) was also performed. Weakened activation of caspase-9 in mSOD1/XIAP-Tg was observed when compared with mSOD1-Tg mice. An immunoprecipitation assay using anti-XIAP antibody revealed a binding between the human XIAP and the caspase-9 in the spinal cord lysates of mSOD1/XIAP-Tg mice (Figure 4D). Caspase-9 activation in spinal motor neurons of mSOD1-Tg mice was confirmed by double staining with a neuron-specific antibody (NeuN) and an antibody for activated caspase-9 (Figure 4E). These data strongly suggest that the inhibition of caspase-9 by XIAP in motor neurons attenuates disease progression. These results are confirmed by in vitro data (Ryan et al., 2002) showing that p35 does not inhibit caspase-9, while XIAP does (Srinvasula et al., 2001). Ac-YVAD-MCA (caspase-1-like), Ac-DEVD-MCA (caspase-3- or -7-like) and Ac-LEHD-MCA (casapse-9-like) cleavage activities, showing the catalytic activity of these caspases, were elevated in the lumber spinal cords of mSOD1-Tg mice, which was consistent with western blot results (Figure 4F). In mSOD1/XIAP or mSOD1/p35-Tg mice, the presence of XIAP or p35 resulted in a significant reduction of all caspase-like activities tested (Figure 4F). Reduced caspase-1 activity in mSOD1/XIAP-Tg mice as compared with that in mSOD1-Tg mice is probably due to the delay of glial response against neuronal cell death accompanying casapse-1 activation. On the other hand, reduced caspase-9 activity in mSOD1/p35-Tg mice suggests that p35 delays the activation of caspase-9, as shown in Figure 4B. p35-mediated inhibition of caspase-1, caspase-3, or another unidentified caspase(s) upstream of caspase-9 activation may be responsible for this effect. Caspase-9 is activated in ALS spinal cords To examine possible caspase-9-activation in human sporadic ALS, we performed immunohistochemistry using anti-active caspase-9 antibody on post mortem human samples. Four of the eight ALS spinal cords showed obvious caspase-9 activation in the motor neurons studied, but this was not seen in any of the controls (Figure 5A); this suggests that caspase-9 may play an instrumental role in some forms of human sporadic ALS. To control for the temporal effects of death prior to autopsy, immunohistochemistry was undertaken using anti-procaspase-9 antibody that does not cross-react with the active form of caspase-9. This showed that procaspase-9 is expressed in spinal motor neurons of control patients (data not shown). To determine whether caspase-9 is activated in spinal cords in ALS in a quantitative manner, we performed caspase-9-like activity assay. Caspase-9-like activity in ALS anterior horn was 230.2% of control (Figure 5B). Figure 5.(A) Immunostaining for the active form of caspase-9 in spinal cord of ALS patients and controls. Immunostaining for the active form of caspase-9 was processed on spinal cord sections obtained from ALS subjects (a–f; n = 3) and controls (g–l; n = 3). Original magnification ×33 (a–c, g–i) or ×100 (d–f, j–l). In controls, active form caspase-9 displayed faint staining. In ALS cases, some neurons exhibit a normal appearance, whereas most others are much more intensely stained compared with background signal intensity. (B) Activation of caspase-9 in ALS anterior horn. Casapase-9 activity, expressed in pmol of AMC released per miligram of protein per hour, was evaluated using Ac-LEHD-MCA substrate in ALS (white column) and control (gray column) samples. Results are expressed as mean ± SEM (n = 5 per group). *p < 0.05 (Student's t-test). Download figure Download PowerPoint Discussion The neurodegenerative process of ALS mouse models is pathologically characterized by chronic activation of caspase-1 and the involvement of mitochondria-dependent cell death pathways (Friedlander, 2003; Guégan and Przedoborski, 2003): Bax translocation from cytosol to the mitochondria, cytochrome c release, subsequent caspase-9, and downstream caspase-7 activation in spinal cords (Guégan et al., 2001). However, the significance of caspase activation downstream of cytochrome c release from the mitochondria has yet to be clarified. There have been a number of successful therapeutic trials with mutant SOD1 mice. The most dramatic extension of lifespan reported (66.3%) was obtained when mSOD1(G37R)-Tg mice were crossed with neurofilament heavy chain-Tg mice (Couillard-Despres et al., 1998). Anti-apoptotic therapies [using the transgene of bcl-2 (Kostic et al., 1997), injection of minocycline (Zhu et al., 2002), intracerebroventricular administration of a synthetic broadcaspase inhibitor zVAD-fmk (Li et al., 2000) or the transgene of dominant-negative caspase-1 (Friedlander et al., 1997)] reportedly show beneficial effects. The extent of prolonged survival acheived with these approaches varied from 8.3% (dominant-negative caspase-1) to 21.6% (zVAD-fmk). Compared with these anti-cell-death therapies, XIAP and p35 transgenes in the present study provided modest benefits (6.8% and 9.5%, respectively). However, the XIAP transgene in this study demonstrated a remarkable effect on disease duration (53.1%). XIAP expression in motor neurons significantly slows disease progression, whereas p35, a broad caspase