A1-06
DISRUPTED AUTOPHAGY AFTER SPINAL CORD INJURY
IS ASSOCIATED WITH ER STRESS AND NEURONAL CELL
DEATH
Shuo Liu
2
, Chinmoy Sarkar
1
, Alan Faden
1
, Eugene Koh
2
, Junfang
Wu
1
,
Marta Lipinski
1
1
University of Maryland, Baltimore, Anesthesiology, Baltimore, USA
2
University of Maryland, Baltimore, Orthopaedics, Baltimore, USA
Autophagy is a catabolic mechanism facilitating degradation of cy-
toplasmic proteins and organelles in a lysosome-dependent manner.
Autophagy flux is necessary for normal neuronal homeostasis and its
dysfunction contributes to neuronal cell death in several neurode-
generative diseases. Although signs of elevated autophagy have been
reported after SCI, its mechanism, cell type specificity, and relation-
ship with cell death remain unknown.
In a rat model of contusive SCI, we observed accumulation of LC3-II
positive autophagosomes starting at post-trauma day 1. This was ac-
companied by a pronounced accumulation of autophagy substrate pro-
tein p62/SQSTM1, indicating that early elevation of autophagy markers
reflects disrupted autophagosome degradation. Levels of lysosomal
protease cathepsin D (CTSD) and numbers of CTSD positive lysosomes
were also decreased at this time, suggesting that lysosomal damage may
contribute to the observed defect in autophagy flux. Normalization of
SQSTM1 levels started by day 7 after SCI, and was associated with
increased CTSD levels. Therefore, increase in the size and activity of
the lysosomal compartment may eventually help restore autophagy flux.
At day 1 after SCI accumulation of autophagosomes was most
pronounced in ventral horn motor neurons and dorsal column oligo-
dendrocytes and microglia. In motor neurons disruption of autophagy
strongly correlated with evidence of endoplasmic reticulum (ER)
stress. As autophagy is thought to protect against ER stress, its dis-
ruption after SCI could contribute to ER stress-induced neuronal
apoptosis. Consistently, motor neurons showing disrupted autophagy
co-expressed ER-stress associated initiator caspase 12 and cleaved
executioner caspase 3. Together these findings indicate that SCI
causes lysosomal dysfunction that contributes to disruption of au-
tophagy flux and associated ER stress-induced neuronal apoptosis.
Keywords: autophagy, ER stress, apoptosis, lysosome, rat contusive
SCI
A1-07
LYSOSOMAL DAMAGE LEADS TO INHIBITION OF AU-
TOPHAGY AND CONTRIBUTES TO NEURONAL CELL
DEATH AFTER TBI
Chinmoy Sarkar, Zaorui Zhao, Stephanie Aungst, Boris Sabirzhanov,
Alan Faden,
Marta Lipinski
University of Maryland, Baltimore, Anesthesiology, Baltimore, USA
Disruption of autophagy, a lysosome-dependent intracellular degra-
dation process, has been implicated in both acute and chronic neu-
rodegenerative diseases. Although increase in markers of autophagy
has been reported in the brain after traumatic brain injury (TBI), its
cell type specificity, mechanisms and function remain unknown.
Following controlled cortical impact (CCI) brain injury in
GFP-
LC3
transgenic mice, we observed accumulation of autophagosomes
in the ipsilateral cortex and hippocampus starting by 24 hours after
injury. This accumulation was not due to increased initiation of au-
tophagy but rather to decrease in clearance of autophagosomes, as
reflected by accumulation of SQSTM1/p62. This was confirmed by
ex vivo
studies demonstrating impaired autophagy flux in brain slices
from injured as compared to control animals. The impairment of au-
tophagy was at least in part caused by TBI-induced decrease in ly-
sosomal function, evidenced by lower protein levels and enzymatic
activity of cathepsin D (CTSD) in the injured cortex. CTSD was also
abnormally localized to the cytosol after TBI, suggesting that lyso-
somal dysfunction was caused by injury-induced lysosomal mem-
brane permeabilization.
At 1 day after TBI autophagy flux was inhibited predominantly in
neurons. At that time we observed co-localization of GFP-LC3
signal with markers of caspase dependent (cleaved caspase 3, cas-
pase 12) and caspase-independent (AIF) cell death, indicating that
inhibition of the autophagy-lysosomal pathway contributes to neu-
ronal cell death. Taken together, our data demonstrate that autop-
hagic clearance is compromised after TBI due to injury-induced
lysosomal damage and likely contributes to neuronal cell death.
Autophagic flux was restored by day 7, at which point autophagy
could become neuroprotective. We propose that restoration of ly-
sosomal function and autophagy flux may represent novel thera-
peutic strategies to limit neuronal loss after TBI.
Keywords: autophagy, lysosome, transgenic mouse, CCI, injury
mechanisms
A1-08
SILICONE PAD DEMONSTRATES SIMILAR LEVEL OF EF-
FECTIVENESS AS NEOPRENE PAD ON FLUID PERCUS-
SION INJURY DEVICE
Maggie Parsley
, Bridget Hawkins, Ian Bolding, Donald Prough,
Douglas DeWitt
University of Texas Medical Branch, Anesthesiology, Galveston, USA
Introduction:
Traumatic brain injury (TBI) affects millions of
American civilians and military service personnel. One of the models
used to study TBI is the fluid percussion injury device (FPI). Tradi-
tionally, a neoprene pad has been used on the end of the plunger of the
FPI device. We tested a silicone-based pad to determine if it would
produce injury levels similar to that of the neoprene pad.
Methods:
Male Sprague Dawley rats were anesthetized, intubated,
mechanically ventilated and prepared for FPI. Animals were randomly
assigned to receive sham, moderate FPI with neoprene pad (nFPI) or
moderate FPI with silicone pad (sFPI). Anesthesia was discontinued
and, upon return of a withdrawal reflex in response to paw pinch,
animals received FPI. Return of righting reflex (RR) time measurements
commenced immediately upon injury. Animals survived for 24 hours
prior to being euthanized and their brains were collected and fresh-
frozen. Ten coronal (10mM thickness) sections were collected every
15
th
section throughout the injury site. Sections were stained with
.001% Fluorojade-C (FJ), and positive cells were counted in the CA1/2
and CA3 regions of the hippocampus by two blinded investigators.
Results:
Overall, there were no statistically significant differences
between the two pad materials used on the FPI device when delivering
moderate (2.0 atm) severity levels. There was a significant correlation
between the RR measurements and the numbers of FJ-positive (in-
jured) neurons in the rat hippocampus. We conclude from these data
that the silicone and neoprene pads deliver a similar level of injury
and either can be used on the FPI device.
These studies were completed as part of an interdisciplinary re-
search team funded by The Moody Project for Translational Trau-
matic Brain Injury Research.
Keywords: fluid percussion, model comparison, righting reflex, cell
death
A-18