This report summarizes a 1-day meeting on Cell Death Mechanisms organized by the European Tissue Culture Society (UK branch) held at University of Bristol on 23 April 2008. The meeting brought together scientists interested in mechanisms of neuronal and glial survival and degeneration with those interested in reactivating or mimicking cell death signals to treat cancer. David Rubinsztein (Cambridge) described how upregulating autophagy protects against neurodegeneration in diseases caused by aggregate-prone mutant proteins. Macroautophagy is a bulk degradation process involved in the clearance of long-lived proteins, protein complexes and organelles, in which autophagosomes containing these constituents fuse with lysosomes where the contents are degraded by acidic hydrolases. Huntington’s disease is caused by a polyglutamine-expansion mutation in the huntingtin protein that makes it toxic and aggregate prone. Of the two main pathways to protein clearance in mammalian cells – the ubiquitin-proteasome and the autophagy-lysosome pathways, the latter is thought to be the better therapeutic target, as the proteasome has a narrow opening and cannot accommodate polymers. As proof of principle, the mTOR inhibitor rapamycin activates autophagy and enhances the clearance of polyglutamine proteins in cell culture and in Drosophila eye models, protecting against cytotoxicity. A rapamycin ester is favoured over rapamycin for clinical use, and in mouse models this resulted in much smaller and fewer aggregates in the brain than a placebo control and a marked improvement in a range of behavioural correlates of disease. Autophagy protects against other aggregate proteins such as ataxin 3 (mutated in spinocerebellar ataxia type 3) and tau mutants that cause temporal dementia/tauopathy. Therefore it appears that autophagy is important for clearing protein aggregate-prone proteins, and upregulating autophagy is helpful in these diseases. Recently, from drug screening experiments to identify mTOR-independent autophagy-inducing drugs, L-type Ca2þ -channel antagonists such as verapamil, the KþATPchannel opener minoxidil, and the G(i) signalling activator clonidine have been shown to induce autophagy. These drugs act to decrease intracytosolic calcium or cAMP levels and impact on a pathway, where myo-inositol-1,4,5-triphosphate (InsP3) releases Ca 2þ from the endoplasmic reticulum, activating calpains, which in turn, cleave and activate G(s)a (thus increasing cAMP levels) and inhibit autophagy. A further potential feed forward loop occurs in which cAMP regulates InsP3 levels, releasing endoplasmic reticulum (ER) Ca 2þ and enhancing calpain activity, activating G(s)a, which in turn regulates cAMP levels. So, insults that elevate cytosolic Ca2þ inhibit autophagy, thus retarding clearance of aggregateprone proteins. This may lead to an array of new candidate drugs for many incurable neurodegenerative diseases. Alexei Verkhratsky (Manchester) reminded us that the glial cells form 90% of the human brain, whereas interestingly they are much less numerous in other species. Glial cells are central in maintaining brain homeostasis and are represented by astrocytes, oligodendrocytes and microglial cells. Each of these subtypes expresses a variety of neurotransmitter receptors, many of which, when activated by neural activity, initiate glial Ca2þ responses, which produce interglial Ca2þ waves, that in turn activate release of ‘glio’ transmitters (which include glutamate, ATP, taurine, D-serine and probably many others) that can signal back to neurones, thus functionally integrating neuronal and glial circuitries. Astrocytes can form an extended physically connected syncytium. In brain pathologies, glial scars serve to fence off damaged areas. Within these areas, glutamate release from damaged cells is cytotoxic, and in stroke, death signals from the infarction lead to a propagated wave of cell death. It is believed that the glial cells deal with the damage by sealing and eliminating the damaged area to protect the rest of the brain. Atrophy of the glia is a feature of Alzheimer’s disease and other dementias and can be important in driving disease progression. Pierluigi Nicotera (Leicester) took up the story. Although Ca2þ signals are necessary for cell communication and survival, abnormal cellular Ca2þ load can trigger different cell death programs depending on variety of factors, such as energy requirement, signalling molecules, differentiation status or the intensity of the insult. During excitotoxicity, local glutamate-driven Ca2þ overloads at the postsynaptic areas
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