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J. Exp. Med., Volume 188, Number 2, July 20, 1998 327-340

Cerebral Ischemia Enhances Polyamine Oxidation: Identification of Enzymatically Formed 3-Aminopropanal as an Endogenous Mediator of Neuronal and Glial Cell Death

By Svetlana Ivanova,*** Galina I. Botchkina,* Yousef Al-Abed,parallel parallel Malcolm Meistrell III,* Franak Batliwalla,Dagger Dagger Janet M. Dubinsky,Dagger Constantino Iadecola,§ Haichao Wang,*§§ Peter K. Gregersen,Dagger Dagger John W. Eaton,parallel and Kevin J. Tracey*

From the * Laboratory of Biomedical Science, The Picower Institute for Medical Research, Manhasset, New York 11030; the Dagger  Department of Physiology and the § Department of Neurology, University of Minnesota, Minneapolis, Minnesota 55455; the parallel  Department of Pediatrics, Baylor College of Medicine, Houston, Texas 77030; the  Department of Surgery, North Shore University Hospital-New York University Medical School, Manhasset, New York 11030; the ** Department of Experimental Pathology and Laboratory Medicine, Albany Medical College, Albany, New York 12208; and the Dagger Dagger  Division of Biology and Human Genetics, Department of Medicine, and the §§ Department of Emergency Medicine, North Shore University Hospital-New York University Medical School, Manhasset, New York 11030; and the parallel  parallel Laboratory of Organic Chemistry, The Picower Institute for Medical Research, Manhasset, New York 11030

To elucidate endogenous mechanisms underlying cerebral damage during ischemia, brain polyamine oxidase activity was measured in rats subjected to permanent occlusion of the middle cerebral artery. Brain polyamine oxidase activity was increased significantly within 2 h after the onset of ischemia in brain homogenates (15.8 ± 0.9 nmol/h/mg protein) as compared with homogenates prepared from the normally perfused contralateral side (7.4 ± 0.5 nmol/h/mg protein) (P <0.05). The major catabolic products of polyamine oxidase are putrescine and 3-aminopropanal. Although 3-aminopropanal is a potent cytotoxin, essential information was previously lacking on whether 3-aminopropanal is produced during cerebral ischemia. We now report that 3-aminopropanal accumulates in the ischemic brain within 2 h after permanent forebrain ischemia in rats. Cytotoxic levels of 3-aminopropanal are achieved before the onset of significant cerebral cell damage, and increase in a time-dependent manner with spreading neuronal and glial cell death. Glial cell cultures exposed to 3-aminopropanal undergo apoptosis (LD50 = 160 µM), whereas neurons are killed by necrotic mechanisms (LD50 = 90 µM). The tetrapeptide caspase 1 inhibitor (Ac-YVAD-CMK) prevents 3-aminopropanal-mediated apoptosis in glial cells. Finally, treatment of rats with two structurally distinct inhibitors of polyamine oxidase (aminoguanidine and chloroquine) attenuates brain polyamine oxidase activity, prevents the production of 3-aminopropanal, and significantly protects against the development of ischemic brain damage in vivo. Considered together, these results indicate that polyamine oxidase-derived 3-aminopropanal is a mediator of the brain damaging sequelae of cerebral ischemia, which can be therapeutically modulated.

Key words: strokeinfarctionspermineapoptosiscaspase


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