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Brain Advance Access originally published online on August 23, 2007
Brain 2007 130(12):3111-3123; doi:10.1093/brain/awm190
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© The Author (2007). Published by Oxford University Press on behalf of the Guarantors of Brain. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Oxidative and endoplasmic reticulum stress interplay in sporadic amyotrophic lateral sclerosis

Ekaterina V. Ilieva1,*, Victòria Ayala1,*, Mariona Jové1, Esther Dalfó2, Daniel Cacabelos1, Mónica Povedano3, Maria Josep Bellmunt1, Isidre Ferrer2,4, Reinald Pamplona1 and Manuel Portero-Otín1

1Fisiopatologia Metabòlica, IRBLLEIDA, Departament de Medicina Experimental, Facultat de Medicina, Universitat de Lleida, Lleida, Spain, 2Institut de Neuropatologia, Servei Anatomia Patològica, IDIBELL-Hospital Universitari de Bellvitge, 3Servei de Neurologia, Hospital Universitari de Bellvitge and 4Facultat de Medicina, Universitat de Barcelona, Hospitalet de Llobregat, Spain

Correspondence to: Manuel Portero-Otín, MD, PhD, IRBLLEIDA, Departament de Medicina Experimental, Facultat de Medicina, Universitat de Lleida, C/Montserrat Roig, 2, 25008 Lleida, Spain E-mail: manuel.portero{at}cmb.udl.es

The occurrence of endoplasmic reticulum (ER) stress in the sporadic form of amyotrophic lateral sclerosis (ALS) is unknown, despite it has been recently documented in experimental models of the familial form. Here we show that spinal cord from patients with sporadic ALS showed signs of ER stress, such as increased levels of ER chaperones such as protein-disulfide isomerase, and increased phosphorylation of eukaryotic initiation factor 2{alpha} (eIF2{alpha}). Among the potential causes of such ER stress proteasomal impairment was confirmed in the same samples by demonstrating increased ubiquitin immunoreactivity and increased protein lipoxidative (125%), glycoxidative (55%) and direct oxidative damage (62%) over control values, as evidenced by mass-spectrometry and immunological methods. We found that protein oxidative damage was strongly associated to ALS-specific changes in fatty acid concentrations, specifically of n-3 series (as docosahexaenoic acid), and in the amount of mitochondrial components as respiratory complexes I and III, suggesting a mitochondrial dysfunction leading to increased free radical production. Oxidative stress was also evidenced in frontal cortex, suggesting that this region is affected early in ALS. As those events were partially reproduced by threohydroxyaspartate exposure in organotypic spinal cord cultures, we concluded that changes in fatty acid composition, mitochondrial function and proteasome activity, which may be driven by excitotoxicity, lead to oxidative stress and finally contribute to ER stress in sporadic ALS.

Key Words: Proteasome; glycation; lipoxidation; mitochondria; motor neuron

Abbreviations: ER, endoplasmic reticulum; GSA, glutamic semialdehyde; AASA, aminoadipic semialdehyde

.

Received February 9, 2007. Revised July 5, 2007. Accepted July 20, 2007.


*These authors contributed equally to this work.


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