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(The FASEB Journal. 2000;14:1244-1254.)
© 2000 FASEB

Fresh and nonfibrillar amyloid ß protein(1–40) induces rapid cellular degeneration in aged human fibroblasts: evidence for AßP-channel-mediated cellular toxicity

YINWEN JUDY ZHU1,2, HAI LIN1 and RATNESHWAR LAL3

Neuroscience Research Institute, University of California at Santa Barbara, Santa Barbara, California 93106, USA

3Correspondence: Neuroscience Research Institute, University of California at Santa Barbara, Santa Barbara, CA 93106. E-mail: rlal{at}physics.ucsb.edu


   ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
Alzheimer’s disease (AD) is primarily nonfamilial or sporadic (SAD) in origin, although several genetic linkages are reported. Tissues from AD patients contain fibrillar plaques made of 39 to 43 amino acid-long amyloid beta peptide (AßP), although the mechanisms of AßP toxicity are poorly understood. AßP1–40 is the most prevalent AßP present in the neuronal and non-neuronal tissues from SAD patients. AßP1–40 toxicity has been examined mainly after prolonged incubation and correlates with the age and fibrillar morphology of AßP1–40. Globular and nonfibrillar AßPs are released continually during normal cellular metabolism; they elevate cellular Ca2+ and form cation-permeable channels. However, their role in cellular toxicity is poorly understood. We have used an integrated atomic force and light fluorescence microscopy (AFM-LFM), laser confocal microscopy, and calcium imaging to examine real-time and acute effect of fresh and globular AßP1–40 on cultured, aged human, AD-free fibroblasts. AFM images show that freshly prepared AßP1–40 in phosphate-buffered saline (PBS) are globular and do not form fiber for an extended time period. AßP1–40 induced rapid structural modifications, including cytoskeletal reorganization, retraction of cellular processes, and loss of cell–cell contacts, within minutes of incubation. This led to eventual cellular degeneration. AßP1–40-induced degeneration was prevented by anti-AßP antibody, zinc, and Tris, but not by tachykinin neuropeptides. In Ca2+-free extracellular medium, AßP1–40 did not induce cellular degeneration. In the presence of extracellular Ca2+, AßP1–40 induced a sustained increase in the cellular Ca2+. Thus, short-term and acute AßP1–40 toxicity is mediated by Ca2+ uptake, most likely via calcium-permeable AßP pores. Such rapid degeneration does not require fibrillar plaques, suggesting that the plaques may not have any causative role.—Zhu, Y. J., Lin, H., Lal, R. Fresh and nonfibrillar amyloid ß protein(1–40) induces rapid cellular degeneration in aged human fibroblasts: evidence for AßP-channel-mediated cellular toxicity.


Key Words: atomic force microscope • scanning probe microscopy • amyloid beta protein • ion channels • Alzheimer’s disease


   INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
ALZHEIMER’S DISEASE (AD) is a progressive, cellular, degenerative disorder with irreversible cognitive and physical deteriorations. Major pathological features include neurofibrillary tangles (NFT) and plaques made of 39 to 43 amino acid-long amyloid beta proteins (mainly AßP1–40 and AßP1–42) (for review, see ref 1 ). A majority of AD is sporadic (SAD), or nonfamilial in origin, although several genetic linkages have also been identified (2 3 4 5 6) . AßP1–40 is the most prevalent form present in brain, blood vessels, and other tissues derived from SAD and normal-aged donors (7 8 9) . Recent evidence suggests that AD might be a systemic disease affecting multiple tissues, and AßP toxicity has been observed in neurons and non-neuronal cells (10 11 12 13 ; for review, see ref 14 ). Significantly, the presence of plaques and comparable toxicity in non-neuronal tissues provides a window to examine many hypotheses underlying AßP-induced pathophysiology by using cells derived from simpler and accessible peripheral tissues, especially aged tissues; e.g., fibroblasts derived from aged, non-AD humans, releasing little, if any, soluble AßPs. For a detailed rationale for using cells from peripheral tissues for such a study, see ref 14 .

The in vitro AßP toxicity has been examined, primarily after a prolonged incubation (for many hours or days) with low concentrations (~1 µM) or after short-term treatment (4–6 h) with relatively higher concentrations (20–50 µM) of AßP1–40 (10 11 12 13) . The basic assumption underlying such studies is that fibrillar plaques are important for cellular toxicity. Based on such studies, major prevailing hypotheses underlying the mechanism of AßP toxicity are included by 1) its interaction with the tachykinin receptors (15) ; 2) changing cellular ionic level via existing cation channels (16 , 17) or via formation of cation-permeable channels and allowing Ca2+ uptake from an external source (18 19 20 21 22 23 24) and/or release of intracellular-stored Ca2+ (25) ; and 3) activating the oxidative pathways (for reviews, see refs 26 , 27 ). Reactive oxygen species and the antioxidant defenses may work by altering lipid peroxidation and membrane composition (28) or, indirectly, by altering calcium uptake via ion channels. Studies examining this mechanism, however, have produced mixed results on cytoskeletal organization and cell lysis (13 , 29 30 31 32 33 34) .

Altered cellular properties and degeneration after a prolonged incubation of AßPs may reflect a cascade of cellular responses, including new protein synthesis, altered gene expression, and aging of the freshly released AßPs. Although the AßP toxicity appears to correlate with its age and its fibrillar morphology, human AßP transgenic mice develop fibrillar plaques but do not show comparable degenerations (35) . Moreover, several recent studies suggest that fibrillar form may not be toxic but could be cytoprotective (36) .

Globular and nonfibrillar AßP1–40, which is released continually during normal cellular metabolism, is also present in AD tissues. They elicit Ca2+ and/or other cationic currents and form Ca2+-selective channels in reconstituted membrane, isolated plasma membrane, and the whole cell (16 17 18 19 20 21 22 23) . They also allow calcium uptake in reconstituted vesicles and can alter cellular calcium level (17 , 20 , 21 , 24) . Cellular responses mediated by these fresh globular proteins are yet to be determined. More specifically, AßP-induced, short-term, and localized microscopic changes in cytoskeletal organization are poorly understood. Such a lack of information is primarily a result of the limited resolution of conventional light microscopy and the absence of a suitable method to examine local mechanical properties of living cells.

We have used an atomic force microscope (AFM) (for reviews, see refs 37 , 38 ) integrated with a light fluorescence microscope (LFM) (39) to examine the short-term toxicity of the most common AßPs—AßP1–40—on human AD-free adult fibroblasts. A detailed rationale for using fibroblasts as a model system is explained by Gasparini et al. (14) Cytoskeletal ultrastructure and morphology of fibroblasts treated with fresh and globular AßP1–40 were altered significantly in the presence of extracellular calcium. These changes were blocked by anti-AßP1–40 antibody and by AßP-channel blockers, Zn2+ and Tris. Fluorescently labeled anti-AßP antibodies were localized in intact cell plasma membrane, and AßP induced a significant increase of the intracellular calcium.


   MATERIALS AND METHODS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
Cell culture
A human skin fibroblast cell line (GM04260A, aged Alzheimer disease-free cell line) was obtained from Coriell Cell Repositories (Camden, N.J.). Cells were grown on polylysine-laminin-coated glass or plastic petri dishes by a previously published method with minor modifications (16) . Briefly, cells were grown in DMEM, supplemented with 10% fetal bovine serum (Hyclone Laboratories, Logan, Utah), 100 U/ml penicillin, 100 µg/ml streptomycin, and 250 ng/ml amphotericin (Life Technologies, Paisley, U.K.). Cells were maintained at 37°C and at a 5% CO2.

Chemicals and AßP(1–40) treatment
Pure AßP1–40 was obtained from Bachem (Torrance, Calif.). AßP1–40 stock solution (0.5 mg/ml) was prepared by dissolving the peptides in deionized water and stored as aliquots at -20°C until used. No DMSO or other solvents were used. AßPs were sonicated to disperse any fibers before adding on-line to the cells in culture or adsorbing on glass substrate for imaging single AßPs. ZnCl2, Tris, CdCl2, Physalaemin, Trolox, and dithiothreitol (DTT) were purchased from SIGMA-Aldrich Chemicals (St. Louis, Mo.).

Immunolabeling with anti-AßP antibody
A monoclonal anti-AßP antibody (3D6 concentration=3.75 mg/ml) against an epitope to the amino terminus (site 2–7) was a generous gift from Athena Neurosciences, Inc. (San Francisco, Calif.). Goat antimouse-IgG conjugated with fluorescein (FITC) (1 mg/ml) was purchased from Chemicon International, Inc. (El Segundo, Calif.).

Cells grown on glass coverslips were incubated with or without AßP (~100 nM concentration) overnight. Immunolabeling was examined in unfixed and fixed cells. For fixation, cells were incubated with 4% paraformaldehyde for 15 min. Cells were washed with PBS and then with PBS containing 3% BSA and 1% goat serum to minimize any nonspecific binding, followed by incubation with 1 µg/ml primary antibody 3D6 for 1 h. After washing, the sample was incubated for 1 h with fluorescein-conjugated secondary antibody. Fluorescence images were captured using a 40x-high NA objective lens with an Olympus optical microscope and/or a Zeiss inverted microscope integrated with the AFM.

Atomic force microscopy
AßP1–40 molecules were imaged with a Nanoscope III Multimode atomic force microscope (Digital Instruments, Santa Barbara, Calif.). All samples were imaged in tapping mode using either a J or a D scanner and silicon nitride tips with nominal spring constant ~0.32 N/m. The driving frequency and amplitude were chosen as 8–9 kHz and 10–20 nm. The scan rates were set between 2 and 7 Hz, and the proportional and integral gains were set between 0.5 and 2. AßP1–40 was first dissolved in deionized water and then diluted in PBS to 0.5–2 mg/ml. After incubating in room temperature between 0 and 48 h, AßP1–40 was deposited on freshly cleaved mica for 10–20 min and imaged under PBS after a thorough wash to remove unattached molecules.

Fibroblasts were imaged on days 2 and 3 after plating in glass or plastic petri dishes, using a prototype Bioscope integrated with a fluorescence microscope (Digital Instruments) in contact and tapping modes using oxide-sharpened silicon nitride tips (attached to 200 µm narrow SiN3 cantilever with a nominal spring constant of 0.06 N/m, Digital Instruments) as described (24) . Briefly, cells were imaged in fresh DMEM without any antibiotics but with 20 mM HEPES or in HEPES-buffered OPTI-MEM reduced serum medium (Life Technologies). For the calcium-free condition, we used a specially ordered, nominally calcium-free HEPES-buffered OPTI-MEM medium (Life Technologies), which contains no Ca2+ chelator, such as EGTA/EDTA. While imaging AßP effects in the absence of extracellular calcium, gap junctional channel blockers, oleamide and ßGCA, were added in the medium to prevent a hemi-gap junctional channel opening, which could occur in the absence of extracellular calcium. After careful optical alignment, the tip was lowered manually (under visual control with the light microscope) to an area with no cells. The imaging force was computed and minimized. Cells with well-defined morphology were then brought under the tip. With a scan size of ~30 x 30 nm, the force was adjusted again to the minimum, and the scan size was gradually increased. The imaging force was regularly monitored and usually kept to a < nN level. The scan rate varied from 0.1–5 Hz (scan size 512x512 pixels). All imaging was performed at room temperature (22–24°C).

The majority of AßP-induced cellular changes were observed within 10–15 min after the addition of AßP1–40 and were pronounced enough in the first 35–45 min after the addition of AßP (time zero). Accordingly, only AFM images at 0 and 45 min are presented, unless otherwise indicated. Cells without AßP treatment (control experiments) were imaged as long as they retained their viability, often for 5 h. Images were captured continually after completion of each scan frame, usually every 3–5 min.

The effect of each perturbation (e.g., antibody, cations, tachykinins) was imaged in separate petri dishes. First, AFM images were captured before treatment with any perturbation, then a perturbation was added on-line, and then again images were obtained continually for up to 2–3 h or up to the time the cells remained viable. For each perturbation, the repeatability of the effect was imaged in at least 6–8 cell clusters/petri dishes.

Submicron-level structural changes are more easily observed at cellular edges and in the areas of cellular contacts (24 , 40) . Also, the size of fibroblasts in our study was often larger than the AFM scan size limit. Hence, for presentation in this manuscript, we selected primarily cellular edges, although the structural changes were examined over the whole cell when possible.

Cell calcium imaging
Intracellular calcium was imaged using a calcium-sensitive dye, Calcium-Green-AM (Molecular Probes, Eugene, Ore.), and a Bio-Rad MRC 1024 laser confocal microscope, as described (24) . Cells were cultured on glass coverslips (22 mm diameter, Fisher Scientific Co., Pittsburgh, Penn.) coated with collagen IV. To load dye into the cells, 5 µM Calcium-Green-AM was incubated with cells for 1 h at 37°C in PBS containing 1 mM Ca2+ and 1 mM Mg2+. The coverslip was then mounted into a chamber and placed on the stage of a Bio-Rad MRC-1024 laser confocal microscope. The images were obtained at room temperature and in HEPES-buffered OPTI-MEM reduced serum medium (Life Technologies); for the calcium-free condition, a specially ordered nominal calcium-free HEPES-buffered OPTI-MEM reduced serum medium (Life Technologies) was used. The excitation and emission wavelengths were selected at 488 nm and 522 nm, respectively. The objective used for the experiments was a 60x Nikon PlanApo oil emersion lens with a numerical aperture of 1.4. The focal planes were set across the middle of cell bodies. Images were collected at 5 sec intervals. The intracellular Ca2+ concentration was not calibrated for the present study.


   RESULTS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
Fresh AßP1–40 are globular
AFM imaging of freshly prepared AßP1–40 in PBS shows that these proteins assume a discrete globular conformation. Such a globular conformation is retained at least for several hours at room temperature. Even after 3 h of incubation at room temperature under a very high concentration (2 mg/ml), no fibril formation was detected (Fig. 1A ). The apparent diameters of most globular AßP1–40 ranged between 7 and 12 nm. After 48 h of incubation at room temperature (concentration 2 mg/ml), fibrillar and a large percentage of globular conformations were present (Fig. 1B ; ref 21 ). During the first few hours, the time period during which we examined AßP1–40-induced cellular structural changes, no fibrillar aggregates were observed.



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Figure 1. AFM height mode images of AßP1–40 (2 mg/ml) after incubation in PBS for: A) 3 h and B) 48 h at room temperature. After 3 h of incubation, only globular forms of AßP1–40 were observed, mostly with apparent diameters ranging between 7 and 12 nm (A). After 48 h of incubation, fibrils of AßP1–40 were formed ranging between 20 and 500 nm in length. However, a significant percentage of AßP1–40 was still in globular form (B). Color code height scales are: A) 10 nm and B) 20 nm.

AßP1–40-induced cellular degeneration
Cytoskeletal organization and cellular processes were imaged in real time, and we examined the short-term effects of AßP1–40 treatment. Cellular morphological changes, including somal shrinkage, plasma membrane blebbing, and membrane rupture (as viewed in light microscopic and Electron microscopy images), are commonly used as indicators for cellular degeneration. We used AFM, which allows imaging cellular morphological changes on a submicron scale that could result during a short-term AßP1–40 treatment. Because submicron-level structural changes are more easily observed at cellular edges and in the areas of cellular contacts, and because the cell size was often larger than the AFM scan size, we selected only the cellular edges for representation, although both large and small cells were imaged.

In cells without AßP treatment, no substantial cytoskeletal reorganization was observed, and cells maintained stable morphology over continual imaging even after 5 h (Fig. 2A, B ). On-line addition of 1 µM AßP1–40 induced a significant change in the cell morphology, which began quickly (within 10–15 min of incubation) and continued with a gradual but irreversible loss of cell morphology. Figure 2C, D shows the disruption of cell–cell connections and the retraction of cellular processes within 30–40 min. The short-term changes in central regions of AßP1–40-treated cells were less pronounced compared with the peripheries. However, by reducing the imaging force, it was possible to image only the cell surface structures, and in the presence of AßP1–40, the cell surface appeared significantly more convoluted and tangled in comparison with the control, non-AßP-treated cells’ plasma membrane. Such changes in cellular morphology were not imaging artifacts induced by the imaging force, because the imaging force can be extremely well controlled for nonperturbed imaging ( 24 ; for review, see ref 37 ). In the present study, the degenerative morphological changes were apparent only in the AßP1–40-treated and not in the untreated cells. Also, no difference in AßP1–40 effect was observed for cells incubated in DMEM (plus 20 mM HEPES) or HEPES-buffered OPTI-MEM reduced serum medium.



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Figure 2. AFM error mode images of fibroblasts cultured in glass petri dishes. For each sample, images were taken continually for up to 3 h. Two images captured at 0 min (A, C) and 45 min (B, D), respectively, are shown. A, B) Cells untreated with AßP show very little cytoskeletal reorganization, which will be consistent with the regular cellular growth (compare B with A). B, D) Cells treated with 1 µM AßP show extensive changes in cytoskeletal elements and cell–cell connections (compare D with C).

Based on our preliminary investigations, the rate of loss of cellular processes appears to be dependent on the concentration of AßP1–40, and the cellular degeneration is accelerated in the presence of a higher level of AßP1–40. The rate of cellular degeneration could also depend on other factors like the cell size, cell cycle stage, cell density, level of cellular communication, and temperature. In our study, the concentration of AßP1–40, which could induce cellular degeneration, was as low as 200 nM. A quantitative relationship between the extent of cellular degeneration and toxicity and the concentration of AßP1–40 is currently under investigation.

The repeatability of AßP1–40-induced cellular changes was observed in five to eight other cell clusters in the same petri dish and in six additional sets of experiments. AßP1–40 induced cellular degeneration in most of the cells (>85–90%). In addition to higher resolution AFM imaging, we also captured light video microscopy images with the integrated light microscope (20x obj). This allowed us to examine the overall AßP1–40-induced changes in the morphology of populations of cells in a petri dish. In parallel with the AFM study of single cells, there was an overall degeneration of the majority of cells in AßP1–40-treated petri dishes.

Significantly, in comparison, AßP1–40 did not induce any measurable cellular degeneration in cultured endothelial cells when applied at a similar concentration (24) . Endothelial cells, however, showed significant degeneration in response to treatments with nanomolar AßP1–42 (24) . AßP1–40 is also reported to induce time- and concentration-dependent ultrastructural changes in PC12 cell membranes (41) .

Such AßP1–40-induced early cellular morphological changes, previously thought to occur only after many hours of AßP-treatment, could signal the onset of AßP-induced cellular degeneration. In the present study, we did not directly examine AßP-induced cell death, which could occur after prolonged incubation with AßPs. The most commonly used toxicity assay for detecting AßP-induced cell death, the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay, has been shown not to be a sufficient and specific measurement (42 , 43) . Furthermore, it is unclear if AßP-induced cell death is an apoptotic or a necrotic process.

Specificity of AßP toxicity
When an equal molar concentration of anti-AßP antibody was added, 1 µM AßP-induced cellular damage was still present (Fig. 3A, B ). However, for 10x antibody (membranes bound and free in the media to bind to most of the AßP molecules), the AßP toxicity was nearly completely prevented: cell–cell connection was preserved, and cells retained their normal morphology (Fig. 3C, D ). The plasma membrane, however, became rougher, perhaps representing the membrane-bound antibodies.



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Figure 3. Specificity of AßP-induced cell modification. AFM error mode images of AßP-treated fibroblasts cells at 0 min (A, C) and 45 min (B, D), respectively. A, B) Cells treated with equal molar AßP and anti-AßP antibody show no protection from the AßP toxicity. C, D) When the concentration of the antibody was increased (~10x higher than the one used for A images), the overall cell morphology remained intact.

Figure 4 shows immunofluorescence labeling of fibroblasts using 3D6 anti-AßP antibody. Immunolabeling is present across the whole cell surface of cells incubated with AßP (Fig. 4A ). For comparison, cells not incubated with AßP show no immunolabeling (Fig. 4C ). Corresponding phase contrast images are shown in Fig. 4B, D . A simple comparison of panels Fig. 4A, B and Fig. 4C, D suggests that the immunolabeling is limited to cell boundary only, and nonspecific binding to the substrate, if any, is minimal. Immunolabeling was observed in unfixed and fixed cells, although the labeling was stronger for the unfixed cells. In AßP-treated cells, a stronger labeling was observed above the nuclear region and along the cell boundaries (Fig. 4A ), perhaps reflecting a larger surface area resulting from the AßP-induced plasma membrane extension and ruffling (44 , 45) or a preferential regional incorporation of AßP in the plasma membrane.



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Figure 4. Immunofluorescence (A, C) and phase contrast images (B, D) of fibroblast cells labeled with anti-AßP antibody. Same sets of cells were imaged in immunofluorescence and phase contrast modes. A, B) Cells incubated with 1 µM AßP show strong immunofluorescence labeling. C, D) Cells not incubated with AßP (control) show no immunolabeling. Scale bars = 50 µm.

Mechanism of AßP action
Several mechanisms of AßP toxicity have been postulated and include: 1) AßP-induced enhanced responsiveness to oxidative stress (for review, see refs 26 , 27 ); 2) the interaction of AßP with tachykinin receptors (15) ; or 3) the AßP-mediated modulation of cation-selective, pre-existing, or newly formed ion channels (16 17 18 19 20 21 22 23 24 25) .

When physalaemin, a tachykinin, was added before or along with AßP to prevent binding of AßP to potential tachykinin receptors, a significant change in the cytoskeletal network with the eventual loss of cell–cell contacts was still observed (Fig. 5B ). Such cellular degeneration was observed over a range of physalaemin concentration tested. These results suggest that AßP1–40 toxicity is not mediated via its binding to tachykinin receptors. In our preliminary study, antioxidants Trolox and DTT were not able to prevent AßP1–40 toxicity. In contrast, on-line addition of zinc or Tris significantly inhibited AßP1–40-induced cellular degeneration over the similar time period (Fig. 5D, F , respectively). Such protection from AßP toxicity was observed when zinc/Tris were added before, along with, or shortly after the addition of AßP1–40.



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Figure 5. AßP toxicity is cation-selective. AFM error mode images of fibroblasts at 0 min (A, C, E) and 45 min (B, D, F), respectively. A, B) Cells treated with AßP and tachykinin (physalaemin) show no protection from AßP toxicity. C, D) Cells treated with 1 µM AßP and 10 mM Tris show a significant protection from AßP toxicity. E, F) Cells treated with 1 µM AßP and 50 µM ZnCl2 show a complete protection from AßP toxicity.

Significantly, when the extracellular medium was devoid of calcium, AßP1–40 incubation did not induce any visible, cellular, morphological changes or degeneration. Figure 6 shows example of a lack of any significant structural changes in 45 min of AßP1–40 treatment when the cells were incubated in no-calcium medium (compare Fig. 6A, B ). After returning the extracellular calcium to normal level, however, the cellular degeneration resumed. These results suggest that AßP1–40 toxicity is mediated via intracellular uptake of extracellular calcium via zinc-sensitive, calcium-uptake mechanism.



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Figure 6. AßP1–40 effects in calcium-free medium. AßP1–40 does not induce any significant cellular ultrastructural modification in the absence of extracellular calcium. Compare A (0 min) and B (45 min). Addition of 1.8 mM calcium in the extracellular medium induced cellular degeneration (data not shown).

Imaging intracellular calcium
To ascertain whether there is indeed an AßP-induced increase in the intracellular calcium level, we imaged AßP-induced change in the cytoplasmic calcium level using a calcium-sensitive dye, Calcium-Green, and laser scanning confocal microscopy. Figure 7A shows the resting intracellular calcium levels before AßP1–40 was added. AßP1–40 (1 µM) was then added to the bathing solution (HEPES-buffered OPTI-MEM). The intracellular calcium level increased significantly within minutes. The peak of intracellular Ca2+ level was reached 10–12 min after AßP addition (Fig. 7C ). The fluorescence intensity decreased gradually after 12–15 min (Fig. 7D, E, F ) but remained at an elevated level compared with the pre-AßP state even after 30 min (Fig. 7E ). The AßP-induced increase is dependent on the presence of extracellular Ca2+. In the absence of extracellular Ca2+, no significant Ca2+ increase was observed even when cells were incubated with a relatively high concentration (4.4 µM) of AßP1–40 (Fig. 8 ).



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Figure 7. AßP1–40-induced increase in intracellular calcium. Confocal Calcium-Green fluorescence images of culture human fibroblast cells before and after AßP1–40 treatment: A) before AßP1–42 was added (t=0), and B) 7 min, C) 12 min, D) 25 min, E) 36 min, and F) 50 min after the addition of 1 µM AßP1–40. The cellular calcium level (fluorescence intensity) is color-coded as indicated by the color bar.



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Figure 8. AßP1–40, in the absence of extracellular calcium, did not induce any significant increase in the intracellular calcium. Confocal Calcium-Green fluorescence images of culture human fibroblast cells before and after AßP1–40 treatment: top left) before AßP1–40 was added (t=0), and top middle) 30 s and (top right) 10 min after the addition of 0.44 µM AßP1–40. Even after increasing the AßP1–40 concentration to 4.4 µM, no significant change in the intracellular calcium was observed (bottom panels). The cellular calcium level (fluorescence intensity) is color-coded as indicated by the color bar.


   DISCUSSION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
We examined real-time and short-term AßP1–40 toxicity in aged human AD-free fibroblasts using AFM, light immunofluorescence microscopy, and calcium imaging. Freshly prepared AßP1–40 induced rapid cytoskeletal reorganization and cellular degeneration. AßP-induced cellular modifications did not occur in the absence of external calcium and were blocked by anti-AßP1–40 antibody and by Zn2+ and Tris but not by physalaemin. In the presence of external calcium, AßP incubation significantly increased the cellular calcium level.

Fresh and globular AßP1–40 treatment induced rapid cellular degeneration
The effect of AßP treatment on cellular degeneration is rapid and specific. AßP induces changes in the morphology of the cell surface and the cytoskeleton. AFM images show that AßP altered the cytoskeleton dramatically within 15–20 min. Moreover, in AßP-treated cells, cell-surface ruffling was also apparent. AßP-induced plasma-membrane ruffling has been reported in PC12 cells (45) and several other modifications, including the presence of intramembranous particles (IMPs), are reported in AßP-treated cells (41) . It is unlikely that these cellular modifications observed in our study are affected by the imaging artifacts, specifically the imaging force, because the imaging force can be controlled quite well for a nonperturbed imaging of cellular structures, including cell surface and the cytoskeletal network (24 , 40) (for reviews, see refs 37 38 39 ). Moreover, in the present study the cellular modifications were present only in the AßP-treated cells and were not present in the non-AßP-treated cells. Similar results were obtained in AßP1–42-treated endothelial cells using identical experimental paradigms (24) .

AFM images of AßP1–40 prepared in PBS, from the stocks dissolved in deionized water, show that they retain globular conformations for an extended time period. Further, they did not form fibrillar structure, even at a much higher concentration, over the time period during which cellular degeneration was examined. Previous studies have shown that they form fibers when aged for an extended time period. Such a difference in the conformations of AßP1–40 could be because of several factors, including the choice of solvent for making the stock solution and the final solution, the purity of AßPs, and the source of the peptide. Significantly, we have shown recently that the AßP used in our study allows Ca2+ uptake when reconstituted in lipid vesicles (20 , 21) , and forms a pore-like structure (preliminary results; ref 46 ).

Specificity of AßP toxicity
AßP-induced cellular degeneration was blocked in the presence of anti-AßP antibody and thus provides strong evidence that the degeneration is specific to AßP1–40 treatment. It also argues against any possible imaging artifact, including tip- or imaging force-induced damages. Although not tested in the present study, scrambled AßPs (e.g., AßP40–1) should not produce any cellular degeneration, because they do not show cation-selective channel activity when reconstituted in artificial membranes (B. Kagan, personal communication) and also do not allow calcium uptake (unpublished observation). Consistent with the specific AßP1–40 toxicity to fibroblasts, AßP1–40 did not induce any significant degeneration in endothelial cells in an otherwise similar experimental condition (24) .

As further evidence for the AßP1–40-specific toxicity, AßP1–40 was immunolocalized in the plasma membrane of live fibroblasts without any fixation. Fibroblasts not treated with AßP1–40 showed no immunolabeling. Because the antibody used in our study is specific to the amino terminus portion of AßP, these results suggest that added AßP1–40 were incorporated into the cell plasma membrane with the NH2 terminus of the peptide located outside of the membrane. Significantly, 3-D models of AßP-channel structure support such binding epitopes of site-specific antibodies and ligands (47) . Many cell types, including fibroblasts, express endogenous acute-phase proteins (APP) and secrete soluble AßP (48 , 49) . A lack of immunolabeling in fibroblasts not incubated with AßP1–40 (control) in our study could be because of several reasons. First, fibroblasts derived from aged non-AD humans release very little, if any, soluble AßPs (49) . Second, in our study, before incubation with exogenous AßPs, cells were extensively rinsed to remove endogenously released AßP. Third, the conformation of the endogenous APPs may be such that the antibody recognition site is inaccessible for antibody binding.

Mechanism of AßP toxicity
AßP-induced cellular degeneration was not blocked by physalaemin over a wide range of concentrations tested, when applied with or before AßP1–40 treatment. On the contrary, physalaemin accelerated AßP1–40-induced cellular degeneration, although prolonged incubation of physalaemin alone did not cause any significant change in cell morphology. Thus, the AßP1–40 toxicity in cultured fibroblasts does not appear to be modulated by its binding to tachykinin-like neuropeptide receptors and activating secondary signal transduction pathways. Physalaemin and other tachykinins were reported to prevent AßP toxicity in neuronal cells (13) . Such difference in the action of tachykinins may reflect the effect to be cell-type dependent (neuronal vs. non-neuronal). However, AßP toxicity has been shown to be comparable and similar in neuronal and non-neuronal cells and a result of a lack of a sufficient level of tachykinin receptors in the fibroblasts used in our study.

AßP toxicity may also occur by AßP-induced and increased sensitivity to free radicals. In our experiments, we used freshly thawed AßPs—fresh proteins presumably contain none to only a trace amount of free radicals—and the toxicity began immediately after the AßP addition. Garzon-Rodriguez et al. (50) have shown that AßP1–40 exists as stable molecules very low (nanomolar) to the critical concentration (~25 µM). The stable molecules do not appear to form fibrils and remain globular over an extended time period (Fig. 1) (21 , 51) . This is consistent with our observation that the AßP toxicity in these fibroblasts is probably not mediated by the formation of free radicals. Moreover, we have just recently shown that antioxidants do not prevent toxicity of more active AßP1–42 in endothelial cells (24) .

Our results strongly suggest that the AßP toxicity is mediated directly via Ca2+-permeable pores made from fresh AßPs. Consistent with such assertion that 1) in the Ca2+-free medium, AßP incubation did not induce any cellular degeneration, and 2) AßP-induced cellular degeneration was blocked by zinc and Tris, which were previously shown to modulate cation conductances in AßP-reconstituted vesicles and in various cell types (18 , 19 , 22 , 52) . Previously, AßP1–40 was shown to elicit cation-selective ionic currents (primarily K+ current) in fibroblasts used in the present study (16 , 17) . Thus, it is likely that AßP1–40 acts via existing ion channels and by making its own channels. A presence of AßP in the whole cell plasma membrane (Fig. 4 and ref 41 ) will be consistent with the possibility of AßP1–40 forming cation-selective channels i the plasma membranes.

An altered cation homeostasis underlies AßP-toxicity (16 , 17 , 24 , 25) . We have shown a significant and sustained increase in the intracellular Ca2+ level in cells treated with AßP1–40 (Fig. 7) but not in the absence of extracellular calcium (Fig. 8) . An AßP-induced, sustained, elevated Ca2+ level is, most likely, a result of Ca2+ uptake from the external medium via AßP pores (46) , and AßP channel-mediated calcium uptake was reported for other cell types (24 , 53) . Elevated calcium could also result from the binding of AßP to cell membrane receptors, thus acting as a signaling stimulus for activating tyrosine and Ser/Thr phosphorylation, and induction of transcriptions. Our limited study could not resolve whether the calcium increase is indirectly via AßP cell membrane-receptor interactions or directly via Ca2+-permeable AßP channels, or both. The direct pathway via Ca2+-permeable AßP channels, however, appears to be the most likely mechanism, based on studies showing 45Ca2+ uptake in AßP-vesicles (20 21) and Ca2+-sensitive currents in AßP1–40-reconstituted lipid membranes (18 , 19 , 22 , 23) . An elevated calcium level alters micromechanical properties of virtually all cell types (54) and induces significant structural reorganization. It is quite likely that an AßP1–40-induced increase in calcium level leads to a toxic level, which gradually induces irreversible cytoskeletal reorganization. Indeed, cytoskeletal disruption is one of the earliest detectable changes correlating with neurodegenerative disorders such as AD (55) .

In summary, we show that fresh and nonfibrillar AßP1–40 induces rapid cellular reorganization, including loss of cytoskeletal network, cell–cell connections, and the retraction of cellular processes. Such cellar degeneration is mediated by elevating the level of intracellular calcium, most likely through cation-permeable AßP channels (21) and not by its interaction with the tachykinin receptors or by AßP-induced and enhanced responsiveness to free radicals. The short exposure, high-dose toxicity is predictive of the low-dose, long exposure toxicity as in other diseases, such as cancer and heart disease. (A low level of free AßPs forms relatively fewer AßP channels and allows a low level of Ca2+ uptake, which can be managed by a healthy cell.) However, a continued accumulation of AßP channels over an extended time period can allow a pathologically high level of Ca2+ uptake leading to cell toxicity.


   ACKNOWLEDGMENTS
 
This work was supported by a grant from the Alzheimer’s Disease Program, Department of Health, Sacramento, Calif. We thank Dr. Seung Rhee for insightful advice and critical evaluation of the manuscript, Dr. Paul Hansma for encouragement to undertake this project, and Ms. Yuan Zhang for help with tissue culture. We thank Dr. Russell Rydel from Athena Neurosciences for kindly providing us with the anti-AßP antibodies.


   FOOTNOTES
 
1 These authors contributed equally to this work.

2 Present address: Molecular Imaging Corp., Phoenix, AZ 85044, USA.

Received for publication October 21, 1999. Revised for publication February 3, 2000.


   REFERENCES
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 

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