Han-A Park , Katheryn Broman Elizabeth A. Jonas

Abstract Bcl-xL is a pro-survival protein of the Bcl2 family found in the mitochondrial membrane.Bcl-xL supports growth, development, and maturation of neurons, and it also prevents neuronal death during neurotoxic stimulation. This article reviews the mechanisms and upstream signaling that regulate the activity and abundance of Bcl-xL. Our team and others have reported that oxidative stress is a key regulator of intracellular Bcl-xL balance in neurons. Oxidative stress regulates synthesis, degradation, and activity of Bcl-xL and therefore neuronal function. During apoptosis, pro-apoptotic Bcl2 proteins such as Bax and Bak translocate to and oligomerize in the mitochondrial membrane. Formation of oligomers causes release of cytochrome c and activation of caspases that lead to neuronal death. Bcl-xL binds directly to pro-apoptotic Bcl2 proteins to block apoptotic signaling.Although anti-apoptotic roles of Bcl-xL have been well documented, an increasing number of studies in recent decades show that protein binding partners of Bcl-xL are not limited to Bcl2 proteins. Bcl-xL forms a complex with F1Fo ATP synthase, DJ-1, DRP1, IP3R, and the ryanodine receptor. These proteins support physiological processes in neurons such as growth and development and prevent neuronal damage by regulating mitochondrial ATP production, synapse formation, synaptic vesicle recycling, neurotransmission, and calcium signaling. However, under conditions of oxidative stress, Bcl-xL undergoes proteolytic cleavage thus lowering the abundance of functional Bcl-xL in neurons. Additionally,oxidative stress alters formation of Bcl-xL-mediated multiprotein complexes by regulating post-translational phosphorylation. Finally, oxidative stress regulates transcription factors that target the Bcl-x gene and alter accessibility of microRNA to mRNA influencing mRNA levels of Bcl-xL. In this review, we discussed how Bcl-xL supports the normal physiology of neurons, and how oxidative stress contributes to pathology by manipulating the dynamics of Bcl-xL production, degradation, and activity.

Key Words: ATP; Bcl-xL; F1Fo ATP synthase; mitochondria; neuroprotection; oxidative stress

Bcl-xL and Neuroprotection

Bcl-xL is an anti-apoptotic protein found on the mitochondrial membrane. Bcl-xL prevents mitochondrially-dependent death processes by blocking oligomerization of pro-death proteins including Bax and Bak. Although Bcl-xL is present in a broad range of cell types, the role of Bcl-xL in brain cells has been an emphasis of research in recent decades. Bcl-xL is necessary for embryonic development of the brain (Chen et al., 2011; Fogarty et al., 2019). Depletion of Bcl-xL leads to apoptosis of postmitotic neurons and impairs developmental neurogenesis (Fogarty et al., 2019). Conditional knock out of Bcl-xL causes loss of the upper layer of cortical neurons and the CA1-CA3 regions of hippocampal neurons, which eventually leads to neurobehavioral abnormalities (Nakamura et al., 2016). Application of Bcl-xL shRNAin vitroimpairs the extension and arborization of primary hippocampal neurites (Park et al., 2015) which may hinder formation of neuronal interconnections. We have shown that impaired neurite outgrowth in neurons lacking Bcl-xL was reversed by depletion of death receptor 6 (DR6) (Park et al., 2015).DR6 is a tumor necrosis factor receptor widely expressed in developing neurons. Binding between DR6 and its ligand, the N-terminus of amyloid precursor protein, activates caspases causing axonal degeneration (Nikolaev et al., 2009). In addition to Bcl-xL, other Bcl2 proteins such as Puma and Bax are required during axon degeneration (Cusack et al., 2013;Geden and Deshmukh, 2016; Simon et al., 2016). Bcl-xL is reported to enhance function of the F1Fo ATP synthase and improve neuronal ATP production (Alavian et al., 2011; Chen et al., 2011), thus Bcl-xL-mediated energy metabolism may favor metabolically demanding processes during neuronal development and growth. Overexpression of Bcl-xL increases recruitment of mitochondria in presynaptic neurons, induces the formation of synapses, and enhances the frequency and amplitude of synaptic currents to promote synaptic function (Li et al., 2008).

In addition to its role in the development and growth of neurons, Bcl-xL also exhibits protective properties against brain-associated diseases, particularly cerebral ischemia; its expression is often found to be increased during stroke and cardiac arrest (Wu et al., 2003). Levels of protection vary by experimental design. However, strategies to retain Bcl-xL have shown a range of 60-90% neuroprotection in bothin vitroandin vivomodels. Bcl-xL attenuates ischemia-mediated brain injury (Wu et al., 2003). Inhibiting the proteolytic cleavage of Bcl-xL prevents ischemia-induced neuronal loss in CA1 hippocampal neurons in rodents (Miyawaki et al., 2008;Ofengeim et al., 2012).In vivodelivery of a Bcl-xL fusion protein protects the brain in mice against focal ischemic injury(Cao et al., 2002). Consistent results showing Bcl-xL protection were also found forin vitromodels of excitotoxicity (Park et al., 2017) and oxidative stress (Park et al., 2019); these models are known to mimic the effects of cerebral ischemia.In this review, PubMed was searched to retrieve the articles published between 2000-2020.

Bcl-xL functions via formation of a multiprotein complex with its binding partners (Figure 1). Besides the well-known proapoptotic Bcl2 family proteins, Bcl-xL binds to various proteins which regulate neuronal function. Lys 87 in the BH3 domain of Bcl-xL interacts with ryanodine receptor 3, a calcium channel found in the brain, and interaction between Bcl-xL and ryanodine receptor 3 inhibits calcium release in primary hippocampal neurons (Vervliet et al., 2015). Bcl-xL shows high affinity to the C-terminal site of inositol 1,4,5-triphosphate receptor (IP3R) in the endoplasmic reticulum near the calcium channel pore (Monaco et al., 2012). Since calcium is an important second messenger that triggers both neurotransmission and neurotoxicity, Bcl-xL may act as a switch to control neuronal calcium signaling. Bcl-xL binds directly to the β-subunit of F1Fo ATP synthase and enhances efficiency of ATP synthesis (Alavian et al., 2011) and prevents opening of the mitochondrial permeability transition pore in primary neurons (Alavian et al., 2014). Bcl-xL also interacts with DJ-1, a protein encoded by thePARK7gene (Chen et al.,2019). Our recent study showed that DJ-1 undergoes proteinprotein interaction with F1Fo ATP synthase to support neurite outgrowth of dopaminergic neurons (Chen et al., 2019). BclxL may interact with various protein binding partners of F1Fo ATP synthaze to govern neuronal energy metabolism. The BH2 domain of Bcl-xL is required to bind Drp1, and a Bcl-xL-Drp1 complex is found bound to clathrin-coated pits supporting the maintenance of endocytic vesicles responsible for re-uptake of neurotransmitters in neurons (Li et al., 2013).

Oxidative Stress and Cleavage of Bcl-xL

Given Bcl-xL’s significant role in protecting the brain during physiological and pathological processes, it is important to understand the mechanisms of upstream signaling that regulate activity and abundance of Bcl-xL. Recently, we reported that oxidative stress is a key regulator of intracellular Bcl-xL balance in neurons. Primary hippocampal neurons challenged with hydrogen peroxide have significantly increased post-translational cleavage of Bcl-xL (Park et al.,2019). Hydrogen peroxide increases both the activity and abundance of caspase 3, the key protease which cleaves full length Bcl-xL to its N-terminal truncated form ΔN-BclxL (Park et al., 2019). Accumulation of ΔN-Bcl-xL is known to cause mitochondrial dysfunction including abnormally increased mitochondrial ion channel activity and conductance,mitochondrial membrane potential loss, and impaired ATP production, all of which contribute to neuronal death (Jonas et al., 2004; Ofengeim et al., 2012; Park et al., 2017; Park and Jonas, 2017).

Since mitochondria consume oxygen for oxidative phosphorylation, mitochondria play a major role in generating reactive oxygen species (ROS) (Murphy, 2009). Studies show that ROS cause an increase in the protein level and activity of caspase 3 (Park et al., 2019). In addition, caspase 3 is reported to translocate to mitochondria, where Bcl-xL is localized(Chandra and Tang, 2003). Therefore, ROS are an important upstream control of Bcl-xL and ΔN-Bcl-xL balance due to their regulation of caspase 3, and application of antioxidants may be effective in manipulating Bcl-xL and ΔN-Bcl-xL profiles in neurons (Park et al., 2019). Although caspase 3 has been frequently studied for its role to cleave Bcl-xL during brain disease, other proteases such as calpains may also contribute to Bcl-xL cleavage during events that raise intracellular calcium levels (Gil-Parrado et al., 2002; Liu et al., 2009). Application of calpain inhibitors rescues neurons against oxidative stressmediated death (See and Loeffler, 2001; D’Orsi et al., 2012).Additionally, Dho et al. (2013) reported that asparagine residues in Bcl-xL undergo deamination, and inhibition of deamination at Asn 52 and 66 prevents calpain-dependent Bcl-xL degradation. Since Asp 61 and 76 are a target of caspase 3 (Clem et al., 1998; Basanez et al., 2001; Ofengeim et al., 2012), the calpain-mediated cleavage product of BclxL may exhibit ΔN-Bcl-xL-like neurotoxic effects. It would be of interest to investigate how other Bcl-xL cleavage products influence neuronal survival under ROS challenge in the future.

Figure 1 ｜Regulation of Bcl-xL in neurons during normal versus oxidative stress.(A) Bcl-xL binds to non-Bcl2 family proteins such as F1Fo ATP synthase, DJ-1,DRP1, IP3R, and the ryanodine receptor. Formation of a multiprotein complex improves neurotransmission, synapse formation, and normal neuronal growth and development via enhancing mitochondrial energy metabolism, synaptic vesicle recycling, and intracellular cell signaling. (B) During oxidative stress,levels of Bcl-xL mRNA change via regulation of transcription factors, splicing,and microRNA-mediated mRNA degradation. Oxidative stress further controls the abundance of Bcl-xL protein levels by influencing post-translational modification like phosphorylation and proteolytic cleavage. Together,oxidative stress alters maintenance of functional Bcl-xL in neurons impairing formation of Bcl-xL-mediated protein complexes. This may interfere with normal neuronal activity or enhance vulnerability of neurons challenged by oxidative stress.

Oxidative Stress and Phosphorylation of Bcl-xL

The activity of Bcl-xL is influenced by phosphorylation and dephosphorylation. Amino acid residues of Bcl-xL including Ser 49, Ser 62, Thr 69, and Ser 73 undergo phosphorylation(Upreti et al., 2008; Arena et al., 2013; Baruah et al., 2016;Megyesi et al., 2016). In particular, Ser 62 is subject to various kinases and has been proposed as an important site for regulation of neuronal function. PTEN-induced kinase 1(PINK1), a mitochondrial serine/threonine-protein kinase,directly binds and phosphorylates Bcl-xL (Arena et al., 2013).PINK1-dependent phosphorylation of Ser 62 causes Bcl-xL to be resistant to cleavage at Asp 61 and thus inhibits formation of ΔN-Bcl-xL (Arena et al., 2013). Studies have shown that ROS are regulators of PINK1. CCCP-induced oxidative stress causes PINK1 dependent mitophagy (Xiao et al., 2017). Mutations in PINK1 increase the accumulation of ROS, alter mitochondrial morphology, and trigger mitochondrially-dependent apoptosis in dopaminergic SH-SY5Y cellsin vitro(Yuan et al., 2010).In vivomodels using PINK1 knock out mice show increased lipid peroxidation and depletion of antioxidant pools and associated mitochondrial dysfunction (Billia et al., 2011). The Ser 62 residue on Bcl-xL also has a role in cyclin-dependent kinase-1 (Cdk1)-mediated phosphorylation during oxidative stress (Veas-Perez de Tudela et al., 2015). Phosphorylation of Bcl-xL at Ser 62 dissociates Bcl-xL from the Bcl-xL-F1Fo ATP synthase complex, decreasing activity of the F1Fo ATP synthase(Veas-Perez de Tudela et al., 2015). Assembly of the F1Fo ATP synthase influences mitochondrial ATP production (Alavian et al., 2011), thus cyclin-dependent kinase-1-mediated phosphorylation of Bcl-xL may contribute to the efficiency of the electron transport chain controlling mitochondrial ROS homeostasis. In contrast, depletion of cJun N-terminal kinase shows no effect on Bcl-xL phosphorylation in cerebellar granule neurons (Xu et al., 2011). Thus, identification of kinases responsible for phosphorylation at specific sites of BclxL and investigating their impact on intracellular redox is an important area for future study.

Oxidative Stress and Transcription of Bcl-xL

In addition to oxidative stress regulating post-translational modification of Bcl-xL, treatment with H2O2has been shown to decrease Bcl-xL mRNA expressionin vitro, leading to a decline in Bcl-xL protein level (Wang et al., 2015; Wu et al.,2016). Although there are limited studies explaining the underlying mechanisms, oxidative stress may also govern post-transcriptional regulation of Bcl-xL. MicroRNAs (miRNA)are short non-coding RNAs that bind to the target mRNA inhibiting its translation. Wang et al. (2015) found that ROS causes oxidative modification of miR-184, and oxidized miR-184 interacts with Bcl-xL mRNA, suppressing Bcl-xL protein levels. Due to miR-184’s high level in the brain (Danis et al., 2016; Mendes-Silva et al., 2019), preventing miR-184 oxidation may be an effective therapeutic strategy to protect the brain against ROS-associated pathology.

Oxidative stress may also contribute to splicing of Bcl-xL premRNA. The bcl-x gene is spliced into one of two isoforms: anti-apoptotic Bcl-xL, or pro-apoptotic Bcl-xS (Stevens and Oltean,2019). Bcl-xS is structurally similar to Bcl-xL but contains only a BH3, BH4, and transmembrane domain. Bcl-xS undergoes dimerization in mitochondria (Lindenboim et al., 2001) causing intrinsic apoptosis. Due to its unique chemical structure containing BH4, but lacking BH1 and BH2 domains, Bcl-xSmediated apoptosis is independent from mechanisms induced by other pro-apoptotic Bcl2 proteins (Lindenboim et al., 2000).However, both Bcl-xS and ΔN-Bcl-xL production occur during apoptosis in a caspase dependent manner (Willimott et al.,2011), and Bcl-xS binds directly to Bcl-xL (Lindenboim et al.,2001). Therefore, conditions that enhance Bcl-xS contribute to limiting the pro-survival function of Bcl-xL.

CUG-binding protein 1 (CUGBP1) is a key splicing factor responsible for regulating Bcl-xL/Bcl-xS ratio: overexpression of CUGBP1 increases the proportion of Bcl-xL whereas depletion of CUGBP1 decreases Bcl-xL (Xiao et al., 2012). Xiao et al. (2012) showed that rat oligodendrocyte progenitor cells treated with C2-ceramide decreased CUGBP1 in the nuclear fraction, and hippocampal and cortical tissues collected from neonatal rat challenged with ischemia decreased the Bcl-xL/Bcl-xS ratio. Although this study did not emphasize a direct role of ROS inBcl-xgene splicing, both the C2-ceramide modelin vitroand the ischemia modelin vivoare known to enhance ROS-associated neurotoxicity (France-Lanord et al., 1997; Ten and Starkov, 2012).

Conversely, another study showed that ROS may lead to increases in Bcl-xL mRNA. C57BL/6 mice that were treated with bilateral common carotid artery occlusion had increased Bcl-xL mRNA levels 24 hours after ischemia, and this led to increased Bcl-xL protein levels 48 hours after ischemia (Wu et al., 2003). Since depletion of Bcl-xL is well documented to increase the vulnerability of neurons, these results suggest that there is a protective molecular response against ischemia by modifying the transcription of Bcl-xL. One mechanism may be through regulation of transcription factors. Nuclear factor kappa B (NF-κB) is well-established as a transcription factor that targets thebcl-xgene (Chen et al., 2000). It is known that over-accumulation of mitochondrial ROS can stimulate NF-κB to target genes that promote survival, includingbcl-x(Chen et al., 2000; Morgan and Liu, 2011). Lanzillotta et al.(2013) research group demonstrated this connection in a rodent model of ischemia. Mutation of the NF-κB binding site on Bcl-xL’s promoter region led to downregulation of thebcl-xgene, indicating that NF-κB is indeed an important regulator of transcription following ischemia. Similarly, nuclear factor erythroid 2-related factor 2 (Nrf2) may be involved in a protective response to ROS insult. Nrf2 is a transcription factor that is known for its role in antioxidant systems against ROS (Ryoo and Kwak, 2018). Nrf2 remains inactive and bound to Keap1; under conditions of oxidative stress or by phosphorylation, Nrf2 dissociates from Keap1 and translocates to the nucleus, where it then binds to antioxidant response elements of target genes (Wu et al., 2013; Deshmukh et al.,2017; Wen et al., 2018).Bcl-xcontains an antioxidant response element, resulting in direct binding of Nrf2. The reverse of transcriptional enhancement of Bcl-xL was demonstrated by an siRNA-mediated decrease in Nrf2, leading to subsequent reduction in Bcl-xL mRNA (Niture and Jaiswal, 2013). Through activation of transcription factors such as NF-κB and Nrf2, ROS can influence the transcription of Bcl-xL. However, it remains unclear what additional factors may lead to Bcl-xL mRNA upregulation versus downregulation.

Conclusion

Bcl-xL is a key protein that enhances neuronal function by regulating energy metabolism, neurotransmission, and the survival or death of neuroprogenitors and post-mitotic neurons. The activity and abundance of Bcl-xL is controlled by oxidative stress: ROS control the post-translational modification of Bcl-xL including its proteolytic cleavage and residue phosphorylation (Figure 1). These modifications alter the availability of functional Bcl-xL and its activity. It has been shown that ROS also play a part in the transcriptional regulation of Bcl-xL (Figure 1). Therefore, understanding ROSmediated Bcl-xL alterations are important to further elucidate mechanisms of ROS-associated brain disease, and approaches that manipulate ROS may be an effective way to manipulate Bcl-xL function and abundance in the brain.

Author contributions:HAP, KB and EAJ wrote this manuscript. All authors approved the final manuscript.

Conflicts of interest:The authors declare no conflicts of interest.

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Open peer reviewers:Elizabeth D. Kirby, Ohio State University, USA;Hospital Universitario Central de Asturias, Spain.

Additional file:Open peer review reports 1 and 2.