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Tiêu đề Neuronal growth-inhibitory factor (metallothionein-3): evaluation of the biological function of growth-inhibitory factor in the injured and neurodegenerative brain
Tác giả Claire Howells, Adrian K. West, Roger S. Chung
Trường học Menzies Research Institute, University of Tasmania
Chuyên ngành Neuroscience
Thể loại Minireview
Năm xuất bản 2010
Thành phố Hobart
Định dạng
Số trang 9
Dung lượng 251,1 KB

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Neuronal growth-inhibitory factor metallothionein-3:evaluation of the biological function of growth-inhibitory factor in the injured and neurodegenerative brain Claire Howells, Adrian K.

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Neuronal growth-inhibitory factor (metallothionein-3):

evaluation of the biological function of growth-inhibitory factor in the injured and neurodegenerative brain

Claire Howells, Adrian K West and Roger S Chung

Menzies Research Institute, University of Tasmania, Hobart, Australia

Introduction

Metallothioneins (MTs) are a family of unusual

cyste-ine-rich (30%), 6–7 kDa proteins synthesized

predomi-nantly by astrocytes within the brain The MT3 isoform

was first isolated and identified as a neuronal

growth-inhibitory factor (GIF) in 1991, a brain-specific protein

whose synthesis was notably deficient in the Alzheimer’s

disease (AD) brain It was found to possess a strong

ability to impair neurite outgrowth and neuronal

survival of cultured neurons, leading to its designation

as GIF It was later discovered that GIF shares

approx-imately 70% amino-acid sequence similarity with the

MT family of proteins, leading to its renaming as MT3

Most striking is the conservation within GIF of the

unique cysteine motifs found in mammalian MTs

Given that GIF shares a biochemical structure similar

to those of the other MT isoforms, it is not surprising

that GIF has the characteristic metal-binding and

reactive oxygen species (ROS) scavenging capabilities present in all MT isoforms However, GIF has also been found to exhibit several unique biological proper-ties, suggesting that this MT isoform has different and distinct functions within the brain Furthermore, the discovery and continued investigation of this brain-spe-cific MT isoform has led to intense interest in the roles

of the entire MT family in the brain, with particular focus on the role of these proteins in the injured or neurodegenerative brain

Discovery of GIF

AD is a neurodegenerative disease that leads to severe dementia and ultimately death The pathological hallmarks of the disease are intracellular neurofibril-lary tangles, dystrophic neurites or curly fibres, and

Keywords

brain injury; metals; neuronal

growth-inhibitory factor (GIF); neurodegenerative

disease; oxidative stress

Correspondence

R S Chung, PhD, Private Bag 58,

University of Tasmania, Hobart, Tasmania

7001, Australia

Fax: +61 3 62262703

Tel: +61 3 62262657

E-mail: rschung@utas.edu.au

(Received 27 November 2009, revised

13 March 2010, accepted 19 May 2010)

doi:10.1111/j.1742-4658.2010.07718.x

Neuronal growth-inhibitory factor, later renamed metallothionein-3, is one

of four members of the mammalian metallothionein family Metallothione-ins are a family of ubiquitous, low-molecular-weight, cysteine-rich proteMetallothione-ins Although neuronal growth-inhibitory factor shares metal-binding and reac-tive oxygen species scavenging properties with the other metallothioneins,

it displays several distinct biological properties In this review, we examine the recent developments regarding the function of neuronal growth-inhibi-tory factor within the brain, particularly in response to brain injury or during neurodegenerative disease progression

Abbreviations

AD, Alzheimer’s disease; Ab, b-amyloid; CNS, central nervous system; GIF, neuronal growth-inhibitory factor; KO, knockout;

MT, metallothionein; NO, nitric oxide; ROS, reactive oxygen species.

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extracellular senile amyloid plaques These physical

alterations are often accompanied by aberrant neurite

sprouting and significant neuronal loss, particularly

within the cerebral cortex and hippocampus One

explanation for this impaired neuronal survival is that

there may be decreased synthesis of a neurotrophic

factor that promotes the survival and growth of

neu-rons within the hippocampus and cerebral cortex in

the AD brain However, several studies observed that

in fact the AD brain has elevated neurotrophic activity

compared with the normal aged brain [1,2] These

studies suggested that a soluble extract from AD brain

significantly enhanced neuronal survival and neurite

outgrowth of cultured cortical neurons in comparison

with aged brain extract

It was proposed that this increased neurotrophic

activity could be a cause of the abnormal

neurofibril-lary changes that occur within the AD brain

Accord-ingly, if neurite sprouting was left unchecked, then this

process could lead to neuronal exhaustion and

eventu-ally cell death, partly explaining the vast neuronal loss

in the AD brain Further investigation of the increased

neurotrophic activity of the AD brain revealed that it

correlated with the loss of a specific neuroinhibitory

factor, rather than the presence of a neurotrophic

fac-tor This factor was later isolated and identified as

GIF, its name derived from its ability to significantly

impair neuronal survival and neurite outgrowth of

cul-tured neurons [2] It was postulated that a decrease of

GIF in AD may contribute to the aberrant neuronal

sprouting characteristic of this disease

Since its discovery, there has been considerable

sci-entific interest in understanding the expression profile

of GIF, and how the biochemical properties of GIF

confer neurotrophic functions for this protein In this

minireview we will briefly discuss these studies and

describe how GIF may influence neural recovery

fol-lowing brain injury or neurodegenerative disease

Synthesis and secretion of GIF in the

brain

Cellular and temporal localization of GIF

synthesis

Whilst the MT1 and MT2 isoforms are ubiquitously

synthesized throughout most tissues in mammals, GIF

is predominantly found within the mammalian central

nervous system (CNS) [3] The less-studied MT4

iso-form has a restricted synthesis profile, being found

almost exclusively in stratified squamous epithelia [4]

The cell-specific distribution of GIF protein and GIF

mRNA has been widely studied, with conflicting

results obtained GIF has been reported at both transcript and protein levels in astrocytes only [1,5], in neurons only [6–8], or in both neurons and astrocytes [9–11] Despite these conflicting results from a number

of studies, the current general consensus is that the GIF protein is primarily synthesized in astrocytes, where it is found predominantly in the soma and fine processes of these cells Astrocytic synthesis of GIF

is mainly found in the cortex, brainstem and spinal cord [6]

Additionally however, there are also consistent reports of neuronal synthesis of GIF, albeit at seem-ingly much lower levels than within astrocytes Neuro-nal synthesis of GIF is highly localized to specific subsets of cortical and hippocampal neurons, and is found within the axons and dendrites Neuronal pro-duction of GIF is particularly associated with granule cells of the dentate gyrus in the hippocampus, in those neurons that store and release zinc at synapses [7] While there is substantial evidence for expression of GIF mRNA in neurons from in situ hybridization studies, there is a discrepancy between the co-localiza-tion of GIF mRNA and protein, as very few studies are able to demonstrate neuronal localization of GIF

at the protein level through immunohistochemistry or similar techniques Such confirmation at the protein level has been hindered by the availability of appropri-ate GIF antibodies, and further studies are needed to resolve whether neurons synthesize basal levels of GIF protein

Neurodegenerative conditions under which GIF levels are altered

The basal level of production of GIF in the CNS is considered to be quite low, particularly in comparison with the MT1 and MT2 isoforms that are more highly expressed by astrocytes in the brain However, the levels of GIF are altered dramatically in the neurode-generative or traumatically injured brain The best-characterized example of this is for AD Indeed, many studies have analysed the amount of GIF present in

AD brain extract compared with non-demented aged controls using both mRNA and protein assays How-ever, these studies have yielded variable results, with some identifying up-regulation and others down-regu-lation of GIF levels in the AD brain compared with appropriate age-matched controls [2,12–16] For instance, immunoreactivity was shown to be reduced

in the AD cerebral cortex, specifically in the upper lay-ers of the gray matter, and this correlated with a sig-nificantly decreased number of GIF-positive astrocytes [2] Conversely, other studies have reported elevated

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GIF protein levels in AD patients when compared

with age-matched controls [14] While it is not clear

why GIF levels vary so widely in these studies, it is

thought that these results may indicate

population-based variations in GIF expression levels Hence, the

expression levels of GIF are significantly reduced in

Japanese AD patients [2,12], but do not appear to be

reduced in AD patients of North American descent

[15]

By contrast, the synthesis of GIF seems to be

down-regulated in most other neurodegenerative diseases,

including multiple-system atrophy, Parkinson’s disease,

progressive supranuclear palsy and amyotrophic lateral

sclerosis, and around senile plaques in Down

syn-drome [17] Interestingly, the level of GIF appears to

correlate with neuronal loss, as GIF immunoreactivity

disappears in areas with vast neuronal loss, but

remains in less affected areas

Given its potent neurite growth-inhibitory

proper-ties, it was predicted that the GIF levels might

corre-late with the failure of the injured brain to regenerate

Indeed, a number of studies have confirmed that levels

of GIF protein are up-regulated in reactive astrocytes

surrounding cerebral infarcts, stab wounds or

excito-toxic brain injuries For instance, GIF mRNA was

substantially up-regulated in reactive astrocytes

sur-rounding degenerated neurons following ventricular

injection of kainic acid [18] Also, GIF was elevated in

reactive astrocytes surrounding a stab wound to the

brain at 3–4 days post-injury and remained elevated

for almost a month [19,20] The increase in GIF

expression in response to these different types of brain

injury was often observed in glial cells accumulating at

the degenerating area, where the glial scar was

begin-ning to form Intriguingly, exogenously applied GIF

has been shown to induce astrocyte proliferation and

migration in vitro [14] It is possible, then, that the

up-regulation and secretion of GIF by astrocytes in the

immediate vicinity of a lesion could contribute to the

accumulation of reactive astrocytes at the injury site

Interestingly, one study has demonstrated that in the

absence of GIF [Gif gene knockout (KO) mice] there

were elevated levels of regeneration-associated

mole-cules, such as growth-associated protein 43, following

cortical cryolesion [21] Hence, evidence gathered to

date regarding GIF synthesis in response to traumatic

brain injury indicates that GIF may be involved in the

neuroinhibitory processes that are associated with glial

scar formation

It is important to note that the synthesis of MT1 and

MT2 in the injured or diseased brain is quite different

from the synthesis of GIF While GIF synthesis is

gen-erally considered to be reduced in neurodegenerative

diseases such as AD, amyotrophic lateral sclerosis and Down syndrome, MT1 and MT2 levels are consider-ably elevated in all of these conditions [22] In the trau-matically injured brain, however, the synthesis of MT1 and MT2, as well as the synthesis of GIF, are up-regu-lated by reactive astrocytes in the vicinity of the lesion [23] This suggests that these proteins may have different physiological roles in the stressed brain

Secretion of GIF The ability of GIF to inhibit neuronal survival and outgrowth occurs when the protein is applied exoge-nously to neurons However, this has raised questions over the physiological relevance of this biological func-tion of GIF, because all MT isoforms have been con-sidered as solely intracellular proteins since their discovery more than 50 years ago They lack any secre-tion signal sequences or other such extracellular traf-ficking signals, and their synthesis has generally been observed within the cytoplasm or nucleus of cells However, in 2002 it was reported that GIF is secreted

by cultured astrocytes [24] The amount of GIF secreted by the cultured astrocytes was approximately

174 ngÆmg)1 of protein, measured using ELISA [24] This study also determined that the amount of extra-cellular GIF was around 30% higher than the levels of intracellular GIF in these astrocyte cultures Further-more, the absence of cell death suggested that GIF is actively secreted by cells, although the precise mecha-nism by which GIF is secreted remains unknown Intriguingly, secretion of the MT1 and MT2 isoforms

by cultured astrocytes has also recently been reported The secretion of MT1 and MT2 by astrocytes appears

to be regulated because the basal levels of protein secretion were low and could be stimulated through cytokine-activation of cultured astrocytes [25] Whether GIF is secreted by a similar mechanism is currently not known Understanding the specific situations which stimulate GIF secretion by astrocytes will prob-ably reveal important insights into the functional roles

of this protein in the brain, and in particular its ability

to inhibit neurite outgrowth (as described above)

The functional role of GIF synthesis and secretion

in the brain Taken together, the regulation of GIF synthesis by reactive astrocytes, and its subsequent secretion under certain conditions, could be intimately involved in regulating how the brain responds to and recovers from conditions such as physical or chemical trauma Based upon the literature referred to above in this

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minireview, we propose a possible model for how GIF

might be involved in the cellular response to brain

injury (Fig 1) As neurons degenerate, the surrounding

astrocytes respond by proliferating and assume a

reac-tive phenotype GIF synthesized by reacreac-tive astrocytes

may be secreted by these cells to act upon neurons to

initially decrease neurite outgrowth in response to the

insult As the condition progresses, perturbation to the

interaction between neurons and glial cells may reduce

GIF synthesis Therefore, control over the release of

neurotrophic factors, including GIF, by the reactive

astrocytes would be compromised For instance, in the

later stages of neurodegenerative diseases the neuronal

damage may interfere with the neuroglial interactions,

lowering GIF production and secretion in reactive

astrocytes The reduction in GIF would lower the

defences against free-radical-mediated attack and

pro-tection from neuronal damage In addition, the

reduc-tion in GIF may also allow regenerative sprouting to

occur

Physiological properties of GIF

GIF has several key properties, based upon its unusual

biochemical structure, which may influence its function

in response to normal or stress-induced conditions

The relationship between protein structure and

func-tion is the subject of detailed discussion in two other

minireviews in this series [26,27] In this minireview we

will briefly describe the role of GIF in (a) regulation of

metal ion homeostasis, (b) free radical scavenging and

(c) neurite growth inhibition

Metal-binding properties of GIF and role in synaptic activity

MTs are generally considered to have an important role in maintaining the homeostasis of key metal ions within the body Like other MT isoforms, GIF binds both monovalent and divalent metal ions with high affinity They have the ability to inhibit heavy metal toxicity [i.e Cd(II), Hg(II)] and regulate the transport and storage of essential heavy metals [Cu(I) and Zn(II)] However, GIF does not seem to be essential for metal-handling within the body, because studies have reported that GIF-deficient mice were not more prone to Zn or Cd toxicity compared with control ani-mals [26] However, as GIF has been localized both intracellularly and extracellularly, it may have an important role in metal-related extracellular neuro-chemistry It is important to note that the GIF is able

to bind Cu(I) and Zn(II) concurrently For example, GIF isolated from the human brain has been found to contain both Zn(II) and Cu(I), in a Cu4Zn3-GIF struc-ture [2] The ability of GIF to bind redox-active metal ions, such as Cu(I), may suggest a crucial mechanism

of how the protein is able to reduce oxidative stress The metal-binding properties of GIF are discussed in greater detail in the two other minireviews of this series [26,27]

A clear indication of the physiological functions of GIF and its metal-binding properties has been gained from studies carried out under stress-induced condi-tions For example, GIF KO mice are highly suscepti-ble to kainic acid-induced seizures This was localized

Neuron

Low GIF

Reactive astrocyte Astrocyte

ROS

ROS

Axon injury

Fig 1 Diagrammatic model describing the possible physiological roles of GIF at differ-ent stages following a traumatic brain injury (A) Under normal conditions there is a low level of GIF synthesis within astrocytes and neurons (B) Following brain injury, astro-cytes assume the reactive phenotype and increase their synthesis of GIF Reactive astrocytes secrete GIF, which then acts to scavenge harmful ROS and blocks axon regeneration during the initial responses to the injury (C) At later stages, interference in neuroglial interactions may decrease GIF production and secretion by surrounding astrocytes The decreased levels of extra-cellular GIF would allow ROS-mediated attack on astrocytes and neurons, and may also promote excessive neurite sprouting.

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to seizure-induced injury to CA3 hippocampal

neu-rons, resulting in the GIF KO mice experiencing more

convulsions and greater mortality than their wild-type

littermates [28] GIF-overexpressing mice experience

much less kainic acid-induced brain damage compared

with controls [26], implying that GIF may play an

important protective role in response to kainic

acid-induced seizures

One explanation of how GIF can protect against

epileptic seizures is through its regulation of Zn(II)

lev-els Synaptically released zinc is thought to play a key

role in neuronal signalling, and in response to kainic

acid insult, neurons release Zn(II), as well as

gluta-mate, from the synaptic cleft Interestingly, neurons

with a high GIF mRNA content are those known to

store zinc in their axon terminals [7] In addition, the

synthesis of GIF within cultured cells led to a

signifi-cant increase in intracellular Zn(II) stores within those

cells [7] GIF, through its zinc-binding properties, may

act to recover synaptically released Zn(II) and enable

its recycling into synaptic vesicles Hence, the absence

of GIF would lead to an accumulation of

extrasynap-tic zinc, which would cause inappropriate synapextrasynap-tic

firing and subsequent seizures Interestingly, GIF may

also have a role in regulating synaptic levels of zinc, as

the GIF-deficient mice had a reduced content of Zn(II)

within a number of brain regions [28]

ROS scavenging ability of GIF

The coordination of redox-active metal ions to GIF

may indirectly prevent ROS generation through metal

chelation Conversely, all MT isoforms have the ability

to directly scavenge harmful ROS within the CNS and

other tissues ROS are highly reactive chemical

com-pounds that are constantly generated by metabolic

processes in vivo and cause serious damage to DNA,

protein and membranes containing polyunsaturated

fatty acids ROS production is a normal by-product of

metabolic activity, and under normal conditions, the

ROS are effectively quenched before being liberated to

cause damage Regulation of ROS occurs through

sev-eral ROS scavengers, or antioxidants Antioxidants

can be both enzymatic and non-enzymatic, and

func-tion to protect cells against oxidative damage Specific

antioxidants include superoxide dismutase for

superox-ide, catalase for hydrogen peroxsuperox-ide, and glutathione

peroxidase for hydrogen peroxide and lipid peroxide

In addition, there are many other non-specific

antioxi-dants, such as glutathione Another efficient general

free-radical scavenger is MT MT is a strong

nucleo-phil, because of its high cysteine content, enabling it to

efficiently bind reactive ROS [29]

MT can function as a potent scavenger of hydrogen peroxide, hydroxyl, nitric oxide (NO) and superoxide radicals Studies have shown that extracellular and intracellular GIF can protect cells from oxidative stress There have been a number of studies investi-gating the specific free-radical scavenging ability of GIF One such study reported that GIF was able to directly scavenge hydroxyl radicals generated in a Fenton-type reaction or by photolysis of hydrogen peroxide In the same study, GIF was unable to scav-enge superoxide (generated in the hypoxanthine oxi-dase reaction) or NO (generated from NOC-7) [24] The neuroprotection provided by extracellular GIF against free-radical-mediated attack was subsequently explored in vitro To induce a condition indicative of oxidative stress, neurons were grown in a hyperoxic environment Hyperoxia stimulates neuronal cells to differentiate or undergo cell death Exogenous GIF prevented the induction of neuronal differentiation, quantified by the level of neurite outgrowth in young cortical neuronal cultures The protein also prevented neuronal cell death in older cultures [24] GIF not only protected neurons from oxidative stress, but was also shown to directly quench ROS within the cul-tured neurons Using an indicator for intracellular ROS, GIF was shown to reduce ROS production in neurons

Intracellular GIF has been shown to protect against free-radical-mediated attack The knocking down of endogenous GIF by antisense oligodeoxynucleotides in cultured cortical neurons was used to examine the neu-roprotection provided by intracellular GIF against oxi-dative stress The reduction in intracellular GIF increased the rate of cortical neuronal death in a hyperoxic environment [24] In a similar study, it was reported that fibroblasts expressing GIF were more resistant to cellular cytotoxicity induced by hydrogen peroxide [30] Therefore, both intracellular and extra-cellular GIF demonstrates a strong ROS-scavenging property that is likely to protect neurons against oxi-dative damage in stress-induced conditions

Neurite growth-inhibitory property of GIF

As previously discussed, GIF displays both neurotoxic and neuroinhibitory actions The neuronal growth-inhibitory properties of GIF may have an important influence on the neural recovery from brain injury or neurodegenerative diseases The presence of GIF was neurotoxic to cultured rat cortical neurons, inhibited neurite formation in developing neurons and delayed neurite elongation [2,24,31] Importantly, GIF inhibited regenerative sprouting following axonal

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transection of mature neurons [31] However, in the

absence of brain extract (either AD or from the

nor-mal brain) GIF promotes neuron survival of cultured

cortical neurons [31]

The neuroinhibitory action of GIF is very specific to

this MT isoform and can be attributed to the small

differences in the protein sequence of this isoform

compared with all other mammalian MTs The human

GIF amino acid sequence is 70% similar to human

MT2, retaining all the 20 conserved cysteine residues

[2] The only structural differences between GIF and

MT1 and MT2 include a Cys-Pro-Cys-Pro(6–9) motif

and Thr5 in the b-domain of GIF and a different

amino acid structure in the a-domain [32] Structural

and cell biology studies have revealed that the

Cys-Pro-Cys-Pro(6–9) motif seems to be critical for the

biological activity of GIF Mutations in this motif,

specifically changing the two Pro residues to Ala and

Ser (found in human MT2) abolished the

neuroinhibi-tory activity of GIF [33] Evidence from studies using

the inactive mutant of Zn7GIF also liberated similar

results, showing that despite the contrasting biological

activities of GIF compared with MT1 and MT2, the

metal-binding affinities remain comparable However,

the precise spatial structure and the mechanism behind

the unique biological activity of GIF remain to be

elucidated

Subsequent studies have investigated whether GIF

acts in a neuroinhibitory manner when administered

directly into the brain following traumatic brain injury

In one such study, the injection of GIF into the site of

a stab wound promoted tissue repair, and the area of

the stab wound treated with GIF was significantly

smaller than those of control rats [34] Interestingly,

GIF showed dose-dependent activity, with a high dose

being detrimental to tissue repair [34] In addition,

motoneurons transfected with GIF prevented loss of

injured facial motoneurons [35] It remains to be

eluci-dated why GIF has neuroprotective functions when

administered to the injured brain, versus its

neuro-inhibitory actions upon cultured neurons

Current thoughts on the role of GIF in

AD

Since its discovery in 1991 as a factor that might be

deficient in the AD brain, a number of studies have

investigated the role of GIF in the pathogenesis of

AD While this has focussed primarily on the neuronal

inhibitory properties of GIF, several recent studies

have provided new insight into other mechanisms

through which GIF might influence the disease process

in AD

Role of the neurite growth-inhibitory properties

of GIF in AD There have been extensive studies examining the role

of GIF in AD, linked to its initial discovery as a factor deficient in the AD brain There remains no clear con-sensus on the role of GIF in the pathogenesis of AD, and therefore we will briefly review some of the current thoughts on the role of GIF in AD There are numer-ous pathological hallmarks in AD that are commonly accompanied by neuronal alterations These physical alterations include aberrant neurite sprouting and sig-nificant neuronal loss

One hypothesis for why there is pronounced neural dysfunction and death is the presence of increased neu-rotrophic activity in the AD brain It was on this assumption that GIF was first discovered as a neuro-nal growth-inhibitory factor, and a lack of GIF might contribute to the generation of neurofibrillary changes within the AD brain, including inappropriate neurite sprouting Abnormal neurite sprouting might then lead

to neuronal exhaustion and eventually cell death

In vitrostudies have clearly demonstrated the ability of GIF to block neurite outgrowth, supporting the initial proposal of Uchida et al [2] that a lack of GIF might

be involved in AD pathogenesis However, postmor-tem human studies have provided mixed results on the level of GIF present in the AD brain The generation

of GIF KO or GIF overexpressing mice with tau-based experimental mouse models of AD might pro-vide considerable insight into the potential role of GIF

in neurofibrillary changes associated with AD

Potential role of metal-binding/exchange properties of GIF in AD

One of the primary pathological hallmarks of AD is the formation of b-amyloid (Ab) plaques, composed primarily of Ab(1–40) and Ab(1–42) peptides, which associate to form abnormal extracellular deposits of fibrils and amorphous aggregates [36] Ab is a metallo-protein that possesses high- and low-affinity Cu(I)-and Zn(II)-binding sites Furthermore, metal ion homeostasis within the AD brain is dramatically unbalanced and is proposed to be involved in the pathology of Ab For example, within the amyloid pla-ques the Cu(I) and Fe(III)⁄ Zn(II) concentrations were

 0.4 and  1 mm respectively, compared with 70 and 340–350 lm, respectively, in healthy neocortical paren-chyma [37] The close association between metal ions and Ab has prompted many groups to investigate numerous metal chelators to establish whether they have the potential to modify Ab pathogenesis in AD

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Intriguingly, GIF has strong Cu(I)- and

Zn(II)-bind-ing efficiencies, suggestZn(II)-bind-ing that it may be able to

mod-ify metal-induced Ab aggregation in AD In this

context, it has recently been reported that Zn7GIF was

shown to remove Cu from aggregated Ab(1–40)-Cu(II)

with the concomitant binding of Zn, leading to the

for-mation of SDS-soluble monomeric zinc-bound Ab and

soluble copper-bound GIF [38] Therefore, the metal

swap led to simultaneous modification of the final

form of Ab(1–40) and suggests that it caused the

de-aggregation of Ab In a therapeutic context, this

indicates that MT might potentially promote the

clear-ance of Ab plaques However, it is important to note

that recent therapeutic approaches have been

success-ful in clearing Ab plaques in clinical trials, but not for

reducing neurodegeneration in the AD brain [39]

It is important to note that while Ab aggregation can

be induced by both Cu(II) and Zn(II), only the

Cu(II)-induced aggregation of Ab is toxic The neurotoxicity of

Cu(II)-induced Ab aggregation is related to the

genera-tion of ROS through the redox cycling of Cu In this

regard, GIF has been demonstrated to not only prevent

Ab aggregation, but also block the generation of ROS

by Ab-Cu(II) [27,38] Therefore, the ability of GIF to

redox-silence metal ions and directly scavenge ROS

(dis-cussed above) provide two distinct mechanisms through

which GIF can act to protect against Ab pathogenesis

and neurotoxicity in AD (Fig 2)

Conclusion

The discovery of a brain-specific MT isoform, GIF, in

1991, sparked considerable interest in understanding

the role of all MTs in the brain, and particularly

within the injured or diseased brain In the case of GIF, the protein has many neuroprotective properties that could provide vital protection during stress-induced conditions Studies have already focused on the ability

of GIF to protect against Ab pathology and neurotoxic-ity in AD, with promising results By contrast, GIF also demonstrates a unique neuroinhibitory property, which may promote cellular survival and repair following injury, but could also be detrimental in neurodegenera-tive diseases The studies to date have only just started

to investigate and understand the physiological roles of GIF within the brain Further studies are required to determine the function of GIF within the normal, injured and neurodegenerative brain, and to establish the therapeutic potential of the protein

Acknowledgements

This work was supported by an Australian Research Council (ARC) Discovery Project Grant (DP0556630; RSC), and funding from the Jack & Ethel Goldin Foundation (Alzheimer’s Australia) RSC holds an ARC Research Fellowship

References

1 Uchida Y & Tomonaga M (1989) Neurotrophic action

of Alzheimer’s disease brain extract is due to the loss of inhibitory factors for survival and neurite formation of cerebral cortical neurons Brain Res 481, 190–193

2 Uchida Y, Takio K, Titani K, Ihara Y & Tomonaga M (1991) The growth inhibitory factor that is deficient in the Alzheimers-disease brain is a 68-amino acid metallo-thionein-like protein Neuron 7, 337–347

Cu- GIF

+

Reducing agent

Reducing agent

Zn- GIF

+

+ Aβ-Zn i)

A ββ-Cu(II) A β-Cu(I) A β-Cu(II) A β-Cu(II) A β-Cu(I) A β-Cu(II)

+

ii)

Zn-GIF Cu-GIF

)

Fig 2 A diagrammatic model describing the possible protective properties of GIF against Ab pathogenesis and neurotoxicity in Alzheimer’s disease (A) In the presence of a reducing agent, the copper coordinated to the Ab can undergo redox cycling to produce harmful ROS that damage the neurons (B) MT is likely to protect against Ab-Cu(II) by a number of mechanisms: Zn7GIF is proposed to undergo a transmetalla-tion event with the Ab-Cu(II), which removes the redox-active Cu(II) from the Ab, coordinating it to MT as redox-stable Cu(I), while simulta-neously Ab coordinates redox-inert Zn This event would prevent the generation of ROS ZnGIF or CuGIF could also directly scavenge ROS.

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