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Systemic isradipine treatment diminishes calcium-dependent mitochondrial oxidant stress
Jaime N. Guzman, … , Paul T. Schumacker, D. James Surmeier
Jaime N. Guzman, … , Paul T. Schumacker, D. James Surmeier
Published April 30, 2018
Citation Information: J Clin Invest. 2018;128(6):2266-2280. https://doi.org/10.1172/JCI95898.
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Research Article Neuroscience

Systemic isradipine treatment diminishes calcium-dependent mitochondrial oxidant stress

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Abstract

The ability of the Cav1 channel inhibitor isradipine to slow the loss of substantia nigra pars compacta (SNc) dopaminergic (DA) neurons and the progression of Parkinson’s disease (PD) is being tested in a phase 3 human clinical trial. But it is unclear whether and how chronic isradipine treatment will benefit SNc DA neurons in vivo. To pursue this question, isradipine was given systemically to mice at doses that achieved low nanomolar concentrations in plasma, near those achieved in patients. This treatment diminished cytosolic Ca2+ oscillations in SNc DA neurons without altering autonomous spiking or expression of Ca2+ channels, an effect mimicked by selectively knocking down expression of Cav1.3 channel subunits. Treatment also lowered mitochondrial oxidant stress, reduced a high basal rate of mitophagy, and normalized mitochondrial mass — demonstrating that Cav1 channels drive mitochondrial oxidant stress and turnover in vivo. Thus, chronic isradipine treatment remodeled SNc DA neurons in a way that should not only diminish their vulnerability to mitochondrial challenges, but to autophagic stress as well.

Authors

Jaime N. Guzman, Ema Ilijic, Ben Yang, Javier Sanchez-Padilla, David Wokosin, Dan Galtieri, Jyothisri Kondapalli, Paul T. Schumacker, D. James Surmeier

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Figure 3

Selective knockdown of Cav1.3 mRNA diminished both proximal and distal Ca2+ oscillations in SNc DA neurons.

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Selective knockdown of Cav1.3 mRNA diminished both proximal and distal C...
(A) Cav1.3 shRNA–infected SNc DA neurons (red) and patched neurons filled with Fura-2 dye (yellow). Scale bar: 40 μm. (B) Cav1.3 knockdown decreased Cav1.3 mRNA, but didn’t change Cav1.2, Cav3.1, and Cav3.2 mRNA (n = 4 tissue samples from 3 mice for Cav1.2, Cav3.1, and Cav3.2; n = 5 tissue samples from 3 mice for Cav1.3). (C) Whole-cell recording from a SNc DA neuron with scrambled shRNA (black trace) and Cav1.3 shRNA (green trace). At the bottom, Ca2+ transients in distal dendrites were diminished with Cav1.3 shRNA but not scrambled shRNA. (D) Summary of peak [Ca2+] in proximal and distal dendrites of experiments as in C. (Proximal dendritic locations: scrambled shRNA, n = 5 neurons from 4 mice; Cav1.3 shRNA, n = 7 neurons from 5 mice; distal dendrites, scrambled shRNA, n = 8 neurons from 4 mice; Cav1.3 shRNA, n = 8 neurons from 6 mice). (E) Upper panel shows average spike trajectory; lower panel shows average Ca2+ transients in the distal dendrite. (F) Upper panel shows average Ca2+ transients with injected scrambled shRNA (black trace) or Cav1.3 shRNA (green trace) in distal dendrites; lower panel shows average distal dendritic Ca2+ transients in the presence of 1 μM isradipine (green trace) and control (black trace). (G) Box plots summarizing the ramp [Ca2+] in control (n = 8 neurons from 6 mice), Cav1.3 shRNA–injected (n = 5 neurons from 5 mice), and 1 μM isradipine-treated (n = 8 neurons from 4 mice) SNc DA neurons. Note that Cav1.3 shRNA and isradipine suppressed slow increase in [Ca2+] that preceded the spike. Data were analyzed using 1-tailed Mann-Whitney U test with Dunn’s correction for multiple comparisons. *P < 0.05.

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