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NEUROPHARMACOLOGY
Department of Pharmacology (L.N.J.-A., U.I., W.G.W.), University of Minnesota School of Medicine and Geriatric Research, Education and Clinical Center, Veterans Affairs Medical Center, Minneapolis, Minnesota; Department of Pharmacology (G.P.E., C.F., W.E.M.) and Department of Pharmaceutical Chemistry (J.H.K., M.S.-Z., M.K.), ZAFES Biocenter Niederursel, University of Frankfurt, Frankfurt, Germany; and Applied Biosystems (T.F.), Applera Germany GmbH, Darmstadt, Germany
Received July 26, 2004; accepted September 9, 2004.
| Abstract |
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-protein (A
) levels and conversely that A
modifies cholesterol dynamics (reviewed in Wood et al., 2003
There is a growing recognition that statins have pleiotropic effects beyond lowering cholesterol levels. Pleiotropic effects of statins outside of the central nervous system have been described that include, for example, activation of protein kinase Akt, up-regulation of endothelial nitric-oxide synthase expression, anti-inflammatory actions, and antioxidant activity (reviewed in Werner et al., 2002
). In an experimental model of stroke, brain tissue of rats treated with either simvastatin or atorvastatin displayed increased synaptogenesis, neurogenesis, and angiogenesis that was cholesterol-independent (Chen et al., 2003
). In another study, however, simvastatin, pravastatin, atorvastatin, rosuvastatin, and mevastatin protected mouse neurons from N-methyl-D-aspartate-mediated excitotoxicity and cell death and appeared to be cholesterol-dependent because alterations in cholesterol by cyclodextrin modified excitotoxicity (Zacco et al., 2003
). The potential neuroprotective effects of statins may include several different pathways involving distinct gene expression patterns that would be difficult to determine by focusing on a few genes or their products in a single study. In addition, gene expression patterns may be specific to a particular statin. Therefore, to understand the molecular targets of statins in brain, DNA microarrays were used to identify gene expression patterns in the cerebral cortex of mice chronically treated with the two hydrophobic statins lovastatin and simvastatin and the hydrophilic statin pravastatin. Lovastatin has been detected in human cerebrospinal fluid, whereas pravastatin is not thought to cross the blood-brain barrier (Botti et al., 1991
) even though patients taking pravastatin were at a lower risk for developing AD (Jick et al., 2000
; Wolozin et al., 2000
; Rockwood et al., 2002
). Statins may accumulate in brain as a result of chronic administration including pravastatin, and therefore statin levels were determined in cerebral cortex of mice acutely and chronically administered statins. Statin quantification was accomplished using liquid chromatography-tandem mass spectrometry (LC/MS/MS). We demonstrate that statins have pleiotropic effects on gene expression in the brain of mice treated with lovastatin, pravastatin, and simvastatin. The three statins altered expression of numerous genes in the brain, particularly genes associated with cell growth and signaling and trafficking that could be fundamental contributors to neuroprotection. Overlap in effects of the three statins on gene expression was high. However, simvastatin altered expression of more genes than the other statins that could be due to differences in brain levels or targeting of specific genes. Levels of the three statins were detected in brain suggesting that all three drugs were able to cross the blood-brain barrier and that statin levels declined quickly in the brain. Simvastatin was detected at the highest concentration in the brain followed by lovastatin and pravastatin. Cholesterol levels were reduced between 8% and 13% in the cerebral cortex. Statins have pleiotropic effects on gene expression in brain in addition to acting on cholesterol levels suggesting potential pathways of neuroprotection.
| Materials and Methods |
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RNA Isolation and Microarray Analysis. RNA was isolated using TRIzol reagent (Invitrogen, Carlsbad, CA), chloroform, and 100% ethanol according to manufacturer's instructions. Microarray analysis was performed using the Affymetrix chip Murine Genome U74Av2 (www.affymetrix.com). Twenty micrograms of RNA were precipitated from stock RNA and used in microarray experiments. Reactions were performed according to the GeneChip Expression Analysis Technical Manual and all reagents were purchased from Invitrogen unless otherwise indicated. Targets were hybridized to MU74Av2 probe arrays for 16 h according to the Affymetrix protocol. Washing, staining, and scanning procedures were performed by the Affymetrix Core Unit located at the University of Minnesota. Data were analyzed using Microarray Suite (MAS) 5.0 and GeneSpring 6 (Silicon Genetics, Redwood City, CA). The following criteria were used to select candidate genes for further analysis: 1) gene expression was rated as "present" by specific Affymetrix criteria; 2) hybridization levels were rated as "changed" by specific Affymetrix criteria; and 3) there was
1.8-fold difference in hybridization intensity/average differences and significantly different compared with control group.
Reverse Transcription-Polymerase Chain Reactions (RT-PCR). RT-PCR were used to confirm microarray findings of selected candidate genes satisfying the criteria described above. The gene candidates that were selected for RT-PCR were genes that are well defined with respect to neuronal function and apoptosis. In addition, because simvastatin had the greatest effect on gene expression compared with the other statins, we elected to do RT-PCR on specific genes whose expression was altered by simvastatin particularly with respect to apoptosis. Reactions were carried out using 5 µg of RNA from the same sample stock used in microarray analysis. PCR products were run on a 2% gel, stained with ethidium bromide, and visualized using the Stratagene Eagle Eye II system. Densitometry was used to ascertain relative changes in transcriptional levels due to statin treatment.
LC/MS/MS. Statin levels in brain were quantified using LC/MS/MS. Liquid chromatography was carried out on an Agilent 1100 instrument (Agilent Technologies, Palo Alto, CA) using a monolithic reversed-phase column (Chromolith Performance rod, 100 mm, i.d. 4.6 mm; Merck, Darmstadt, Germany) at a flow rate of 1 ml/min. Separation of the analytes was achieved using a gradient solvent system: solvent A (water/acidic acid pH 3.1), solvent B (95% acetonitril/5% water/acidic acid pH 3.1): 0-2 min, linear from 60% A to 20% A; 2-5 min, 20% A; 5-5.1 min, from 20% A to 60% A; 5.1-8 min, 60% A. Solvents were degassed by the Agilent 1100 system online degasser. Electrospray data was acquired using an AB-Sciex (Concord, ON, Canada) API 4000 triple-quadrupole mass spectrometer in the positive ion mode with a spray voltage of 4.5 kV and a declustering potential of 40-80, depending on the statin investigated. The orthogonal Turbo-V source's injectors were heated to 450°C to allow connection to the high-pressure liquid chromatography without mobile phase splitting. The values of the curtain gas (30 psig), nebulizer gas (30 psig), and turbo gas (60 psig) were the same for all statins. The dwell time for the multiple reaction monitoring was 200 ms. MS/MS was performed using nitrogen as collision gas (collision-activated dissociation gas setting 6) at a collision cell exhibit potential of 6 to 11 V. Both Q1 and Q3 were operated at unit resolution. The instrument parameters were optimized for the transition of the parent ion of each statin to its major fragment. During the preliminary experiments, the following transitions produced the highest signals in the multiple reaction monitoring mode: pravastatin (m/z 425
269), lovastatin hydroxy acid (m/z 423
303), simvastatin hydroxy acid (m/z 437
285), lovastatin (m/z 405
199), and simvastatin (m/z 419
199). Quantification of the statins was based on internal standardization using the peak area ratios of the analyte and the internal standard.
Cholesterol Determination. Cholesterol was determined enzymatically using procedures previously reported (Kirsch et al., 2003
).
| Results |
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Table 1 shows that there were 15 genes whose expression was significantly altered by each of the three statins. These genes could be grouped into the broad categories of cell growth and signaling and trafficking. Of particular interest are three genes related to cell growth: Enc1, Cotl1, and Arh. These genes contribute to actin function, a process reported to be disrupted in AD (Butterfield, 2002
).
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Expression levels of several potentially important genes involved with signaling and trafficking were increased by the three statins (Table 1). Expression levels of MCT2 were increased by each statin. MCT2 encodes for a monocarboxylic acid transporter-2, and this transporter family has been recently shown to transport the acid form of lovastatin into glomerular mesangial cells (Nagasawa et al., 2002
). Of the 15 genes whose expression was changed by each of the three statins, only Fin15 listed under cell growth showed a decrease in gene expression. Fin15 belongs to a group of genes that are stimulated by fibroblast growth factors.
Table 2 contains data on gene expression changes induced by either lovastatin, pravastatin, or simvastatin but not all three drugs. Simvastatin altered expression levels of 23 genes, lovastatin 11 genes, and pravastatin 6 genes. Overall, genes most affected were in cell growth, signaling and trafficking, and genes associated with apoptosis in the case of simvastatin. Table 2 shows that there was a clustering of genes in the cell growth family associated with glucose homeostasis (Igfbp3, Hk1, and Gpi1). Expression of Igfbp3 was significantly elevated by pravastatin and simvastatin. Lovastatin increased gene expression of Igfbp3 by 1.7-fold, but did not meet the 1.8 or greater cutoff. HK1 is the gene that encodes hexokinase 1, the key glucose phosphorylating enzyme, and expression of HK1 was significantly increased by simvastatin and pravastatin. Expression levels of Npy1r were significantly increased for lovastatin and pravastatin. Npy1r encodes the neuropeptide Y receptor Y1. NPY receptor densities and NPY levels were reported to be decreased in AD brains and cerebrospinal fluid (Martel et al., 1990
; Nilsson et al., 2001
). The neuropeptide gene Hcrt showed significantly increased expression by lovastatin and pravastatin. Hcrt encodes the orexin precursor (hypocretin) that is cleaved, resulting in two peptides (Ferguson and Samson, 2003
). The hypocretins play a significant role in energy metabolism and arousal (Ferguson and Samson, 2003
). Simvastatin significantly increased expression levels of Edn1 that encodes the endothelin-1 precursor (Table 2). The mature peptide endothelin-1 has been reported to contribute to neuroprotection of cells in vitro (Walter and Stella, 2003
).
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Expression levels of specific genes associated with apoptosis (c-fos, c-myc, H1.2, and Bcl-2) were altered primarily by simvastatin (Table 2). Lovastatin only significantly increased expression of c-myc, and pravastatin did not significantly modify expression levels of c-fos, c-myc, H1.2, or Bcl-2. Simvastatin significantly reduced expression of the proto-oncogenic gene c-fos. On the other hand, both lovastatin and simvastatin significantly increased expression of the oncogene c-myc. Myc proteins are involved in basic cellular processes such as proliferation, growth, apoptosis, and differentiation (Schuhmacher et al., 2001
). Simvastatin significantly increased expression levels of H1.2, a gene encoding the linker histone H1.2. A potentially important gene whose expression level was increased by simvastatin was the antiapoptotic gene Bcl-2. This gene has been shown to suppress apoptosis in different cell types, and it is thought to play a pivotal role in neuronal cell survival (Akhtar et al., 2004
). Lovastatin and pravastatin did increase Bcl-2 gene expression by 1.75- and 3.8-fold, respectively, but within-group variability negated statistically significant differences compared with control expression.
A sample of five candidate genes (Enc-1, Npy1r, c-fos, c-myc, and Bcl-2) were selected for confirmation using RT-PCR. Of particular interest, were c-fos, c-myc, and Bcl-2 because of the linkage of statins with cell growth and apoptosis. Figure 1, panels A-E show that expression levels were confirmed.
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Statin Levels in the Cerebral Cortex. We determined lovastatin, pravastatin, and simvastatin levels in the cerebral cortex of mice that had received statins for 21 days using LC/MS/MS. Figure 2 shows that relatively low levels of lovastatin and simvastatin were detected in the cerebral cortex following the 24-h wash out period. Pravastatin was not detected in the cerebral cortex of chronically treated animals 24 h following treatment. The low levels of lovastatin and simvastatin and the absence of pravastatin at 24 h were puzzling because of the significant effects of the three statins on gene expression in the cerebral cortex. One possible explanation was that statins were not accumulating in the brain but were being transported out of the brain. To examine statin accumulation and removal, we determined statin levels in the cerebral cortex at 1, 3, and 6 h after an acute statin treatment. At these time points, all three statins were successfully detected in the brain (Fig. 2). Not surprisingly, brain levels of the three statins reflected their hydrophobicity with simvastatin levels > lovastatin levels > pravastatin levels. The maximum average concentrations of simvastatin, lovastatin, and pravastatin are 600, 300, and 100 pmol/g brain, respectively.
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Statins Reduce Cholesterol Levels in Cerebral Cortex. There was a small but significant reduction in cholesterol levels of the cerebral cortex of mice treated with the three statins, but only cholesterol levels of pravastatin- and simvastatin-treated mice were significantly lower when compared with control mice (Fig. 3). Percentage of reduction in cholesterol levels compared with the cerebral cortex of control mice were: lovastatin 8%, pravastatin 11%, and simvastatin 13%. Cholesterol levels in the cerebral cortex did not differ significantly among the different statin-treated mice. Expression levels of the gene HMGCR encoding HMG-CoA reductase were not significantly changed by the three statins (data not shown).
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| Discussion |
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and its clearance from the brain (Carro et al., 2002
toxicity (Ikonen et al., 2003
1-40 increased IGFBP3 mRNA levels (Rensink et al., 2002
Expression levels of specific genes associated with apoptosis (Bcl-2, c-fos, H1.2, and c-myc) were altered primarily by simvastatin. With respect to these four genes, lovastatin only significantly increased expression of c-myc, and pravastatin increased expression but the change was not significant. Simvastatin significantly increased expression of the major antiapoptotic gene Bcl-2. This gene encodes a protein apoptosis regulator Bcl-2 that has been shown to suppress apoptosis in different cell types (Adams and Cory, 1998
). Increased expression of Bcl-2 is interesting because the ratio of Bcl-2/Bax has been proposed to be important in the regulation of apoptosis (Adams and Cory, 1998
). Overexpression of Bcl-2 in transgenic mice protected neurons from ischemic insult (Martinou et al., 1994
), and Bcl-2 can serve as a compensatory mechanism in neurodegenerative diseases to combat reactive oxygen species-induced cell damage (Migheli et al., 1994
). Several different lines of evidence indicate that Bcl-2 may play a role in AD. Neurons exhibiting neurofibrillary tangle formation were found to have reduced Bcl-2 levels, however, astrocytes had increased Bcl-2 levels as determined by immunohistochemical staining (Satou et al., 1995
). The effect seen in astrocytes may be due to a role in damage repair. Both lovastatin and pravastatin increased Bcl-2 gene expression by 1.75- and 3.8-fold, respectively, but within-group variability negated statistically significant differences compared with control expression. A recent article demonstrated that Bcl-w, a member of the Bcl-2 family, was neuroprotective against staurosporine and amyloid
-protein-induced apoptosis in a human neuroblastoma cell line (Zhu et al., 2004
). Increased protein levels of Bcl-w were observed in the brain of AD individuals compared with age-matched controls (Zhu et al., 2004
). Clearly, an up-regulation of Bcl-2 and other genes and proteins in this family could provide enhanced neuronal protection against neurotoxic events and possibly prevent or perhaps delay the neurodegeneration associated with AD. Statins may have neuroprotective effects. However, it has been reported that statins induced apoptosis in neuroblasts, glioma cell lines, and rat primary neurons (García-Román et al., 2001
; Murakami et al., 2001
; Meske et al., 2003
). Protein levels of Bcl-2 were significantly lower in neuroblasts that had been incubated with lovastatin for 24 h (García-Román et al., 2001
). The in vitro studies used statin concentrations that were several orders of magnitude higher than concentrations used in the present in vivo study. Also, it has not been reported whether statins administered in vivo induce apoptosis in the brain. In view of the potential efficacy of statins in reducing the prevalence of AD, much more work is needed to understand the pharmacological actions of statins in the brain.
We determined statin levels in the cerebral cortex using LC/MS/MS and report the novel findings that pravastatin was detected in the brain at levels above the IC50 for inhibition of HMG-CoA reductase activity (Bischoff and Heller, 1998
) and that statin levels declined quickly in brain. Lovastatin and simvastatin also were detected in the cerebral cortex. Detecting pravastatin in the brain at the levels observed was surprising because it is thought that little if any pravastatin crosses the blood-brain barrier (Botti et al., 1991
). Lovastatin and simvastatin administered as hydrophobic lactones readily cross the blood-brain barrier. Pravastatin is a hydrophilic drug with a very low octanol/buffer coefficient of -0.47 (log D7.0) compared with lovastatin 3.9 and simvastatin 4.8 (Ishigami et al., 2001
). Pravastatin, however, is associated with reduced risk of developing AD, alters the transbilayer distribution of cholesterol in synaptic plasma membranes of chronically treated mice (Kirsch et al., 2003
), and as we now show, modifies gene expression in mouse cerebral cortex. One interpretation of our findings with pravastatin is that effects of the drug are occurring outside of the brain, and those effects in turn alter brain gene expression. Arguing against that possibility are several lines of evidence. Pravastatin-treated mice showed a small but significant decrease in cerebral cortex cholesterol levels. Cholesterol levels in brain and in serum outside of the brain are not in equilibrium. Outside of the brain it is well established that statin-induced inhibition of HMG-CoA reductase reduces mevalonate levels leading to a reduction in the sterol regulatory pool that results in up-regulation of HMG-CoA reductase. We found that HMG-CoA reductase brain gene expression was increased in pravastatin-treated mice (1.08-fold increase) but that change did not meet our criteria for significant gene expression. In addition, although pravastatin was not detected in brain after 24 h following statin administration, it was detected after 1, 3, and 6 h; therefore, a key question pertains to mechanisms transporting pravastatin into the brain. There are two potential mechanisms for pravastatin transport: simple membrane partitioning or active transport. Membrane partitioning of pravastatin acid is unlikely due to its hydrophilicity and an octanol/buffer partition coefficient of -0.47; however, pravastatin can be transported into cells by active transport. Organic anion transporters (OATs) have been identified that transport pravastatin and are expressed in the brain (Kusuhara et al., 1999
; Takeda et al., 2004
). Another transporter that shuttles statin acids and is expressed in the brain is the monocarboxylic acid transporter MCT2 (Tsuji et al., 1993
). Importantly, we found that pravastatin, along with lovastatin and simvastatin, significantly increased MCT2 gene expression.
Brain levels of the three statins rapidly declined between 1 and 6 h as shown in Fig. 2 and could be due to transport out of the brain or metabolism. The OATs described above can also transport acids out of cells, and it has been reported that OATs are involved in the excretion of both endogenous and exogenous acids (Kusuhara et al., 1999
). An additional transporter is P-glycoprotein that has been identified in brain (Hirrlinger et al., 2002
). There is evidence that statins are substrates for P-glycoprotein and that this transporter may play a role in statin efflux from cells (Bogman et al., 2001
). An alternative hypothesis is that statins are rapidly metabolized in brain. Statin metabolism has not been studied in brain but data have been reported for serum half-lives in human subjects (Jones et al., 1998
). For example, simvastatin lactone and acid have half-lives of between 2.2 to 3.1 and 3.2 to 4.4 h, respectively. The reduction in simvastatin levels in the cerebral cortex was most notable between 1 and 3 h postadministration (Fig. 2), and it is certainly plausible that statin metabolism could occur in brain. Active transport as well as metabolism may be responsible for the rapid decline in drug statin levels observed between 1 and 6 h following statin administration.
We report the novel findings that the hydrophobic statins lovastatin and simvastatin and the hydrophilic statin pravastatin had pleiotropic effects on gene expression in mouse cerebral cortex and that levels of the three statins were detected in brain. Surprisingly, the genes directly involved in cholesterol synthesis were relatively unaffected by statin treatment when our selection criteria was applied, and cholesterol levels were only slightly lowered. These findings, along with the many potentially protective genes that were changed, suggest that the neuroprotective effects of statins are largely cholesterol-independent. Moreover, these results provide new insight into possible mechanisms for the efficacy of statins in reducing the prevalence of AD and lay the foundation for future studies.
| Acknowledgements |
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| Footnotes |
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Article, publication date, and citation information can be found at http://jpet.aspetjournals.org.
ABBREVIATIONS: AD, Alzheimer's disease; A
, amyloid
-protein; HMG-CoA, 3-hydroxy-3-methylglutaryl coenzyme A; LC/MS/MS, liquid chromatography/tandem mass spectrometry; RT-PCR, reverse transcription-polymerase chain reaction(s); psig, pounds per square inch gauge pressure; IGF, insulin-like growth factor; IGFBP, IGF binding protein; OATs, organic anion transporters.
Address correspondence to: Dr. W. Gibson Wood, VA Medical Center, One Veterans Drive, GRECC 11G, Minneapolis, MN 55417. E-mail: woodx002{at}umn.edu
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