Abstract
Down syndrome (DS) is characterized by the trisomy of chromosome 21 and by cognitive deficits that have been related to neuronal morphological alterations in humans, as well as in animal models. The gene encoding for amyloid precursor protein (APP) is present in autosome 21, and its overexpression in DS has been linked to neuronal dysfunction, cognitive deficit, and Alzheimer’s disease-like dementia. In particular, the neuronal ability to extend processes and branching is affected. Current evidence suggests that APP could also regulate neurite growth through its role in the actin cytoskeleton, in part by influencing p21-activated kinase (PAK) activity. The latter effect is carried out by an increased abundance of the caspase cleavage-released carboxy-terminal C31 fragment. In this work, using a neuronal cell line named CTb, which derived from the cerebral cortex of a trisomy 16 mouse, an animal model of human DS, we observed an overexpression of APP, elevated caspase activity, augmented cleavage of the C-terminal fragment of APP, and increased PAK1 phosphorylation. Morphometric analyses showed that inhibition of PAK1 activity with FRAX486 increased the average length of the neurites, the number of crossings per Sholl ring, the formation of new processes, and stimulated the loss of processes. Considering our results, we propose that PAK hyperphosphorylation impairs neurite outgrowth and remodeling in the cellular model of DS, and therefore we suggest that PAK1 may be a potential pharmacological target.
Similar content being viewed by others
Availability of Data and Materials
Upon request.
References
Allen KM, Gleeson JG, Bagrodia S, Partington MW, MacMillan JC, Cerione RA, Mulley JC, Walsh CA (1998) PAK3 mutation in nonsyndromic X-linked mental retardation. Nat Genet 20(1):25–30. https://doi.org/10.1038/1675
Antonarakis SE (1993) Human chromosome 21: genome mapping and exploration, circa 1993. Trends Genet 9(4):142–148. https://doi.org/10.1016/0168-9525(93)90210-9
Binley KE, Ng WS, Tribble JR, Song B, Morgan JE (2014) Sholl analysis: a quantitative comparison of semi-automated methods. J Neurosci Methods 225:65–70. https://doi.org/10.1016/j.jneumeth.2014.01.017
Bokoch GM (2003) Biology of the p21-activated kinases. Annu Rev Biochem 72:743–781. https://doi.org/10.1146/annurev.biochem.72.121801.161742
Cárdenas AM, Rodríguez MP, Cortés MP, Alvarez RM, Wei W, Rapaport SI, Shimahara T, Caviedes R, Caviedes P (1999) Calcium signals in cell lines derived from the cerebral cortex of normal and trisomy 16 mice. NeuroReport 10(2):363–369. https://doi.org/10.1097/00001756-199902050-00028
Causeret F, Terao M, Jacobs T, Nishimura YV, Yanagawa Y, Obata K, Hoshino M, Nikolic M (2009) The p21-activated kinase is required for neuronal migration in the cerebral cortex. Cereb Cortex 19(4):861–875. https://doi.org/10.1093/cercor/bhn133
Cullum L, Liebman J (1969) The association of congenital heart disease with down’s syndrome (mongolism). Am J Cardiol 24(3):354–357. https://doi.org/10.1016/0002-9149(69)90428-7
De toma I, Ortega M, Aloy P, Sabidó E, Dierssen M. (2019) DYRK1A overexpression alters cognition and neural-related proteomic pathways in the hippocampus that are rescued by Green tea extract and/or environmental enrichment. Front Mol Neurosci 12:272. https://doi.org/10.3389/fnmol.2019.00272
De Toma I, Ortega M, Catuara-Solarz S, Sierra C, Sabidó E, Dierssen M (2020) Re-establishment of the epigenetic state and rescue of kinome deregulation in Ts65Dn mice upon treatment with green tea extract and environmental enrichment. Sci Rep 10(1):16023. https://doi.org/10.1038/s41598-020-72625-z
Dierssen M, Benavides-Piccione R, Martínez-Cué C, Estivill X, Flórez J, Elston GN, DeFelipe J (2003) Alterations of neocortical pyramidal cell phenotype in the Ts65Dn mouse model of down syndrome: Effects of environmental enrichment. Cereb Cortex 13(7):758–764. https://doi.org/10.1093/cercor/13.7.758
Dolan BM, Duron SG, Campbell DA, Vollrath B, Rao BSS, Ko HY, Lin GG, Govindarajan A, Choi SY, Tonegawa S (2013) Rescue of fragile X syndrome phenotypes in Fmr1 KO mice by the small-molecule PAK inhibitor FRAX486. Proc Natl Acad Sci USA 110(14):5671–5676. https://doi.org/10.1073/pnas.1219383110
Doran E, Keator D, Head E, Phelan MJ, Kim R, Totoiu M, Barrio JR, Small GW, Potkin SG, Lott IT (2017) Down syndrome, partial trisomy 21, and absence of Alzheimer’s disease: the role of APP. J Alzheimers Dis 56(2):459–470. https://doi.org/10.3233/jad-160836
Dubos A, Combeau G, Bernardinelli Y, Barnier JV, Hartley O, Gaertner H, Boda B, Muller D (2012) Alteration of synaptic network dynamics by the intellectual disability protein PAK3. J Neurosci 32(2):519–527. https://doi.org/10.1523/JNEUROSCI.3252-11.2012
Edwards DC, Sanders LC, Bokoch GM, Gill GN (1999) Activation of LIM-kinase by Pak1 couples Rac/Cdc42 GTPase signalling to actin cytoskeletal dynamics. Nat Cell Biol 1(5):253–259. https://doi.org/10.1038/12963
Fong CT, Brodeur GM (1987) Down’s syndrome and leukemia: epidemiology, genetics, cytogenetics and mechanisms of leukemogenesis. Review Cancer Genet Cytogenet 28(1):55–76. https://doi.org/10.1016/0165-4608(87)90354-2
García-Segura LM, Pérez-Márquez J (2014) A new mathematical function to evaluate neuronal morphology using the Sholl analysis. J Neurosci Methods 226:103–109. https://doi.org/10.1016/j.jneumeth.2014.01.016
Goldberg DJ, Burmeister DW (1986) Stages in axon formation: observations of growth of Aplysia axons in culture using video-enhanced contrast-differential interference contrast microscopy. J Cell Biol 103(5):1921–1931. https://doi.org/10.1083/jcb.103.5.1921
Goor DV, Hyland C, Schaefer AW, Forscher P (2012) The role of actin turnover in retrograde actin network flow in neuronal growth cones. PloS ONE 7(2):e30959. https://doi.org/10.1371/journal.pone.0030959
Graaf GD, Buckley F, Skotko B (2020) Estimation of the number of people with Down syndrome in Europe. Eur J Human Genet 29(3):402–410. https://doi.org/10.1038/s41431-020-00748-y
Harms FL, Kloth K, Bley A, Denecke J, Santer R, Lessel D, Hempel M, Kutsche K (2018) Activating mutations in PAK1, encoding p21-activated kinase 1, cause a neurodevelopmental disorder. Am J Hum Genet 103(4):579–591. https://doi.org/10.1016/j.ajhg.2018.09.005
Hassold T, Hunt P (2001) To err (meiotically) is human: the genesis of human aneuploidy. Nat Rev Genet 2(4):280–291. https://doi.org/10.1038/35066065
Hattori M, Fujiyama A, Taylor TD, Watanabe H, Yada T, Park HS, Toyoda A, Ishii K, Totoki Y, Choi DK, Soeda E, Ohki M, Takagi T, Sakaki Y, Taudien S, Blechschmidt K, Polley A, Menzel U, Delabar J, Kumpf K, Lehmann R, Patterson D, Reichwald K, Rump A, Schillhabel M, Schudy A, Zimmermann W, Rosenthal A, Kudoh J, Shibuya K, Kawasaki K, Asakawa S, Shintani A, Sasaki T, Nagamine K, Mitsuyama S, Antonarakis SE, Minoshima S, Shimizu N, Nordsiek G, Hornischer K, Brandt P, Scharfe M, Schön O, Desario A, Reichelt J, Kauer G, Blöcker H, Ramser J, Beck A, Klages S, Hening S, Riesselmann L, Dagand E, Haaf T, Wehrmeyer S, Borzym K, Gardiner K, Nizetic D, Francis F, Lehrach H, Reinhardt R, Yaspo ML (2000) The DNA sequence of human chromosome 21. Nature 405(6784):311–319. https://doi.org/10.1038/35012518
Hayashi K, Ohshima T, Hashimoto M, Mikoshiba K (2007a) Pak1 regulates dendritic branching and spine formation. Dev Neurobiol 67(5):655–669. https://doi.org/10.1002/dneu.20363
Hayashi ML, Rao BSS, Seo JS, Choi HS, Dolan BM, Choi SY, Chattarji S, Tonegawa S (2007b) Inhibition of p21-activated kinase rescues symptoms of fragile X syndrome in mice. Proc Natl Acad Sci U S A 104(27):11489–11494. https://doi.org/10.1073/pnas.0705003104
Huang W, Zhou Z, Asrar S, Henkelman M, Xie W, Jia Z (2011) p21-activated kinases 1 and 3 control brain size through coordinating neuronal complexity and synaptic properties. Mol Cell Biol 31(3):388–403. https://doi.org/10.1128/MCB.00969-10
Huo HQ, Qu ZY, Yuan F, Ma L, Yao L, Xu M, Hu Y, Ji J, Bhattacharyya A, Zhang SC, Liu Y (2018) Modeling Down syndrome with patient iPSCs reveals cellular and migration deficits of GABAergic neurons. Stem Cell Reports 10(4):1251–1266. https://doi.org/10.1016/j.stemcr.2018.02.001
Jain S, Watts CA, Chung WCJ, Welshhans K (2020) Neurodevelopmental wiring deficits in the Ts65Dn mouse model of Down syndrome. Neurosci Lett 714:134569. https://doi.org/10.1016/j.neulet.2019.134569
Kang J, Lemaire HG, Unterbeck A, Salbaum JM, Masters CL, Grzeschik KH, Multhaup G, Beyreuther K, Müller-Hill B (1987) The precursor of Alzheimer’s disease amyloid A4 protein resembles a cell-surface receptor. Nature 325(6106):733–736. https://doi.org/10.1038/325733a0
Korenberg JR, Pulst SM, Neve RL, West R (1989) The Alzheimer amyloid precursor protein maps to human chromosome 21 bands q21.105-q21.05. Genomics 5(1):124–7. https://doi.org/10.1016/0888-7543(89)90095-5
Kreis P, Barnier JV (2009) PAK signalling in neuronal physiology. Cell Signal 21(3):384–393. https://doi.org/10.1016/j.cellsig.2008.11.001
Kreis P, Thévenot E, Rousseau V, Boda B, Muller D, Barnier JV (2007) The p21-activated kinase 3 implicated in mental retardation regulates spine morphogenesis through a Cdc42-dependent pathway. J Biol Chem 282(29):21497–21506. https://doi.org/10.1074/jbc.M703298200
Krivit W, Good RA (1957) Simultaneous occurrence of mongolism and leukemia; report of a nationwide survey. AMA J Dis Child 94(3):289–293. https://doi.org/10.1001/archpedi.1957.04030040075012
Lewis AK, Bridgman PC (1992) Nerve growth cone lamellipodia contain two populations of actin filaments that differ in organization and polarity. J Cell Biol 119(5):1219–1243. https://doi.org/10.1083/jcb.119.5.1219
Licciulli S, Maksimoska J, Zhou C, Troutman S, Kota S, Liu Q, Duron S, Campbell D, Chernoff J, Field J, Marmorstein R, Kissil JL (2013) FRAX 597, a small molecule inhibitor of the p21-activated kinases, inhibits tumorigenesis of neurofibromatosis type 2 (NF2)-associated Schwannomas. J Biol Chem 288(40):29105–29114. https://doi.org/10.1074/jbc.M113.510933
López-Cabrera JD, Hernández-Pérez LA, Orozco-Morales R, Lorenzo-Ginori JV (2020) New morphological features based on the Sholl analysis for automatic classification of traced neurons. J Neurosci Methods 343:108835. https://doi.org/10.1016/j.jneumeth.2020.108835
Lu DC, Rabizadeh S, Chandra S, Shayya RF, Ellerby LM, Ye X, Salvesen GS, Koo EH, Bredesen DE (2000) A second cytotoxic proteolytic peptide derived from amyloid beta-protein precursor. Nat Med 6(4):397–404. https://doi.org/10.1038/74656
Mai CT, Isenburg JL, Canfield MA, Meyer RE, Correa A, Alverson CJ, Lupo PJ, Riehle-Colarusso T, Cho SJ, Aggarwal D, Kirby RS, Network NBDP (2019) National population – based estimates for major birth defects, 2010–2014. Birth Defects Res 111(18):1420–1435. https://doi.org/10.1002/bdr2.1589
Manfredi-Lozano M, Leysen V, Adamo M, Paiva I, Rovera R, Pignat JM, Timzoura FE, Candlish M, Eddarkaoui S, Malone SA, Silva MSB, Trova S, Imbernon M, Decoster L, Cotellessa L, Tena-Sempere M, Claret M, Paoloni-Giacobino A, Plassard D, Paccou E, Vionnet N, Acierno J, Maceski AM, Lutti A, Pfrieger F, Rasika S, Santoni F, Boehm U, Ciofi P, Buée L, Haddjeri N, Boutillier AL, Kuhle J, Messina A, Draganski B, Giacobini P, Pitteloud N, Prevot V (2022) GnRH replacement rescues cognition in Down syndrome. Science 377(6610):eabq4515. https://doi.org/10.1126/science.abq4515
Manser E, Leung T, Salihuddin H, Zhao ZS, Lim L (1994) A brain serine/threonine protein kinase activated by Cdc42 and Rac1. Nature 367(6458):40–46. https://doi.org/10.1038/367040a0
Manser E, Huang HY, Loo TH, Chen XQ, Dong JM, Leung T, Lim L (1997) Expression of constitutively active alpha-PAK reveals effects of the kinase on actin and focal complexes. Mol Cell Biol 17(3):1129–1143. https://doi.org/10.1128/MCB.17.3.1129
Marin-Padilla M (1976) Pyramidal cell abnormalities in the motor cortex of a child with Down's syndrome. A Golgi study. J Comp Neurol 167(1):63–81. https://doi.org/10.1002/(ISSN)1096-9861, https://doi.org/10.1002/cne.v167:1, https://doi.org/10.1002/cne.901670105
Martin GA, Bollag G, McCormick F, Abo A (1995) A novel serine kinase activated by rac1/CDC42Hs-dependent autophosphorylation is related to PAK65 and STE20. EMBO J 14(9):1970–1978. https://doi.org/10.1002/j.1460-2075.1995.tb07189.x
Masters CL, Simms G, Weinman NA, Multhaup G, McDonald BL, Beyreuther K (1985) Amyloid plaque core protein in Alzheimer disease and Down syndrome. Proc Natl Acad Sci U S A 82(12):4245–4249. https://doi.org/10.1073/pnas.82.12.4245
McCarron M, McCallion P, Reilly E, Dunne P, Carroll R, Mulryan N (2017) A prospective 20-year longitudinal follow-up of dementia in persons with Down syndrome. J Intellect Disabil Res 61(9):843–852. https://doi.org/10.1111/jir.12390
McPhie DL, Coopersmith R, Hines-Peralta A, Chen Y, Ivins KJ, Manly SP, Kozlowski MR, Neve KA, Neve RL (2003) DNA synthesis and neuronal apoptosis caused by familial Alzheimer disease mutants of the amyloid precursor protein are mediated by the p21 activated kinase PAK3. J Neurosci 23(17):6914–6927. https://doi.org/10.1523/JNEUROSCI.23-17-06914.2003
Nguyen TVV, Galvan V, Huang W, Banwait S, H, Zhang J, Bredesen DE. (2008) Signal transduction in Alzheimer disease: p21-activated kinase signaling requires C-terminal cleavage of APP at Asp664. J Neurochem 104(4):1065–1080. https://doi.org/10.1111/j.1471-4159.2007.05031.x
Opazo P, Saud K, Saint Pierre M, Cárdenas AM, Allen DD, Segura-Aguilar J, Caviedes R, Caviedes P (2006) Knockdown of amyloid precursor protein normalizes cholinergic function in a cell line derived from the cerebral cortex of a trisomy 16 mouse: an animal model of down syndrome. J Neurosci Res 84(6):1303–1310. https://doi.org/10.1002/jnr.21035
Oster-Granite ML (1986) The neurobiologic consequences of autosomal trisomy in mice and men. Brain Res Bull 16(6):767–771. https://doi.org/10.1016/0361-9230(86)90073-0
Pérez-Núñez R, Barraza N, Gonzalez-Jamett A, Cárdenas AM, Barnier JV, Caviedes P (2016) Overexpressed Down syndrome cell adhesion molecule (DSCAM) deregulates p21-activated kinase (PAK) activity in an in vitro neuronal model of Down syndrome: consequences on cell process formation and extension. Neurotox Res 30(1):76–87. https://doi.org/10.1007/s12640-016-9613-9
Pinter JD, Eliez S, Schmitt JE, Capone GT, Reiss AL (2001) Neuroanatomy of Down’s syndrome: a high-resolution MRI study. AM J Psychiatry 158(10):1659–1665. https://doi.org/10.1176/appi.ajp.158.10.1659
Prasher VP, Farrer MJ, Kessling AM, Fisher EM, West RJ, Barber PC, Butler AC (1998) Molecular mapping of Alzheimer-type dementia in Down’s syndrome. Ann Neurol 43(3):380–383. https://doi.org/10.1002/ana.410430316
Pritchard MA, Kola I (1999) The “gene dosage effect” hypothesis versus the “amplified developmental instability” hypothesis in Down syndrome. J Neural Transm Suppl 57:293–303. PMID: 10666684
Rashid T, Banerjee M, Nikolic M (2001) Phosphorylation of Pak1 by the p35/Cdk5 kinase affects neuronal morphology. J Biol Chem 276(52):49043–49052. https://doi.org/10.1074/jbc.M105599200
Raz N, Torres IJ, Briggs SD, Spencer WD, Thornton AE, Loken WJ, Gunning FM, McQuain JD, Driesen NR, Acker JD (1995) Selective neuroanatomic abnormalities in Down’s syndrome and their cognitive correlates: evidence from MRI morphometry. Neurology 45(2):356–366. https://doi.org/10.1212/WNL.45.2.356
Rojas G, Cárdenas AM, Fernández-Olivares P, Shimahara T, Segura-Aguilar J, Caviedes R, Caviedes P (2008) Effect of the knockdown of amyloid precursor protein on intracellular calcium increases in a neuronal cell line derived from the cerebral cortex of a trisomy 16 mouse. Exp Neurol 209(1):234–242. https://doi.org/10.1016/j.expneurol.2007.09.024
Rousseau V, Goupille O, Morin N, Barnier JV (2003) A new constitutively active brain PAK3 isoform displays modified specificities toward Rac and Cdc42 GTPases. J Biol Chem 278(6):3912–3920. https://doi.org/10.1074/jbc.M207251200
Strydom A, Coppus A, Blesa R, Danek A, Fortea J, Hardy J, Levin J, Nuebling G, Rebillat AS, Ritchie C, Duijn CV, Zaman S, Zetterberg H (2018) Alzheimer’s disease in Down syndrome: an overlooked population for prevention trials. Alzheimers Dement (NY) 4:703–713. https://doi.org/10.1016/j.trci.2018.10.006
Takashima S, Becker LE, Armstrong DL, Chan FW (1981) Abnormal neuronal development in the visual cortex of the human fetus and infant with down’s syndrome. A quantitative and qualitative golgi study. Brain Res 225(1):1–21. https://doi.org/10.1016/0006-8993(81)90314-0
Tang XY, Xu L, Wang J, Hong Y, Wang Y, Zhu Q, Wang D, Zhang XY, Liu CY, Fang KH, Han X, Wang S, Wang X, Xu M, Bhattacharyya A, Guo X, Lin M, Liu Y (2021) DSCAM/PAK1 pathway suppression reverses neurogenesis deficits in iPSC-derived cerebral organoids from patients with Down syndrome. J Clin Invest 131(12):e135763. https://doi.org/10.1172/JCI135763.
Weidemann A, Paliga K, Dürrwang U, Reinhard FB, Schuckert O, Evin G, Masters CL (1999) Proteolytic processing of the alzheimer's disease amyloid precursor protein within its cytoplasmic domain by caspase-like proteases. J Biol Chem 274(9):5823–5829. https://doi.org/10.1074/jbc.274.9.5823
Wisniewski KE (1990) Down syndrome children often have brain with maturation delay, retardation of growth, and cortical dysgenesis. Am J Med Genet Suppl 7:274–281. https://doi.org/10.1002/ajmg.1320370755
Whooten R, Schmitt J, Schwartz A (2018) Endocrine manifestations of Down syndrome. Curr Opin Endocrinol Diabetes Obes 25(1):61–66. https://doi.org/10.1097/MED.0000000000000382
Yamada KM, Spooner BS, Wessells NK (1970) Axon growth: roles of microfilaments and microtubules. Proc Natl Acad Sci USA 66(4):1206–1212. https://doi.org/10.1073/pnas.66.4.1206
Zhao ZS, Manser E, Chen XQ, Chong C, Leung T, Lim L (1998) A conserved negative regulatory region in αPAK: Inhibition of PAK kinases reveals their morphological roles downstream of Cdc42 and Rac1 ABSTRACT. Mol Cell Biol 18(4):2153–2163. https://doi.org/10.1128/MCB.18.4.2153
Funding
This work was funded by FONDECYT Grant #1130241, 1161450 (Chile) to PC, the Fondation pour la Recherche sur le Cerveau (FRC) and the Fondation Jérôme Lejeune (J-V. B., France), CONICYT for funding of Basal Centre, CeBiB, FB0001 and P09-022-F from ICM-ECONOMIA (Chile), and CONICYT grant #21120728 (Chile).
Author information
Authors and Affiliations
Contributions
N.B. carried out most experiments and wrote the main manuscript. R. P-N. assisted with blotting experiments and data analysis. B.G. conducted part of FRAX486 inhibition experiments. A. B. designed the algorithms for morphological analysis. C.A. assisted with blotting experiments and morphological analysis. K.P. and V.J. assisted with blotting experiments related to APP Δ665 detection and caspase activity. J-V. B. assisted in PAK1 phosphorylation and activity experiments. A.M. C assisted in planning, data analysis, and manuscript text. P.C. assisted in all aforementioned aspects of the research and writing of the text. All authors reviewed the manuscript and are aware it is being submitted to this journal in its present version.
Corresponding author
Ethics declarations
Ethical Approval
N/A.
Competing Interests
PC holds patent protection for the CNh and CTb cell lines.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Barraza-Núñez, N., Pérez-Núñez, R., Gaete-Ramírez, B. et al. Pharmacological Inhibition of p-21 Activated Kinase (PAK) Restores Impaired Neurite Outgrowth and Remodeling in a Cellular Model of Down Syndrome. Neurotox Res 41, 256–269 (2023). https://doi.org/10.1007/s12640-023-00638-3
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12640-023-00638-3