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1184 NATURE MEDICINE VOLUME 7 NUMBER 11 NOVEMBER 2001 NEWS & VIEWS focus attention to the cADPR/Ca ++ -signal- ing system and will reveal its involve- ment in other cellular signal transduction processes. This information will help to predict the clinical relevance of pharma- cological interventions using cADPR an- tagonists. Furthermore, the exact mode of action of the ADP-ribosyl cyclase, CD38, the regulation of extracellular Ca ++ influx, and the downstream events that lead to directed cell movement will need to be elucidated to fully appreciate the impor- tance of this system in innate host de- fense. 1. Tomasz A Antibiotic resistance in Streptococcus pneumoniae. Clin. Infect. Dis. 24, 85–88 (1997). 2. Örtqvist, A. et al. Aetiology, outcome and prog- nostic factors in community-acquired pneumo- nia requiring hospitalisation. Eur. Respir. J. 3, 1105–1113 (1990). 3. Partida-Sanchéz, S. et al. Cyclic ADP-ribose pro- duction by CD38 regulates intracellular calcium release, extracellular calcium influx and chemo- taxis in neutrophils and is required for bacterial clearance in vivo. Nature Med. 7, 1209–1216 (2001). 4. Gao, J.-L., Lee, E.J. & Murphy, P.M. Impaired an- tibacterial host defence in mice lacking the N- formylpeptide receptor. J. Exp. Med. 189, 657–662 (1999). 5. Streb, H., Irvine, R.F., Berridge, M.J. & Schulz, I. Release of Ca ++ from a non-mitochondrial intracel- lular store in pancreatic acinar cells by inositol- 1,4,5-triphosphate. Nature 306, 67–68 (1983). 6. Clapper DL, Walseth TF, Dargie PJ, Lee HC. Pyridine nucleotide metabolites stimulate calcium release from sea urchin egg microsomes desensi- tized to inositol triphosphate. J. Biol. Chem. 262, 9561–9568 (1987). 7. Galione, A., Lee, H.C. & Busa, W.B. Ca ++ -induced Ca ++ release in sea urchin egg homogenates: modulation by cyclic ADP-ribose. Science 253, 1143–1146 (1991). 8. Howard, M. et al. Formation and hydrolysis of cyclic ADP-ribose catalyzed by lymphocyte anti- gen CD38. Science 262, 1056–1059 (1993). 9. Guse, A.H. et al. Regulation of Ca ++ -signaling in T- lymphocytes by the second messenger cyclic ADP-ribose. Nature 398, 70–73 (1999). 10. Novak, R., Henriques, B., Charpentier, E., Normark, S. & Tuomanen, E. Emergence of van- comycin tolerance in Streptococcus pneumoniae. Nature 399, 590–593 (1999). Microbiology and Tumorbiology Center Karolinska Institutet Stockholm, Sweden Email: [email protected] Making degeneration specific Polyglutamine expansions due to CAG trinucleotide re- peats cause various neurodegenerative disorders, includ- ing Huntington disease, spinal and bulbar muscular atrophy and numerous forms of spinocerebellar ataxia. Studies suggest that the entry of a polyglutamine-ex- panded protein or peptide into the nucleus is a key step in mediating neurotoxicity for most of these diseases. However, the polyglutamine diseases have a diverse range of symptoms, often with tissue-specific patterns of toxicity specific to individual diseases. So the question remains: Does neurotoxicity in these polyglutamine dis- eases proceed through a common pathogenic pathway? And if so, how is the cell-specific pattern of neurotoxicity achieved? La Spada et al. may provide a clue to solving this mys- tery. In the 27 September issue of Neuron, they report that transcriptional interference of cell-specific genes may be responsible for the specific pattern of degenera- tion seen in one type of polyglutamine disease, spin- ocerebellar ataxia type 7 (SCA7). SCA7 is unique among the spinocerebellar ataxias because it also causes retinal degeneration. La Spada et al. find that the protein en- coded by the SCA7 gene, ataxin-7, interacts with CRX, a homeobox protein in rods and cones. CRX encodes a nu- clear transcription factor containing a polyglutamine- rich region, and controls the expression of several photoreceptor-specific genes, including rhodopsin and the color opsins. Moreover, the polyglutamine-ex- panded ataxin-7 suppresses CRX transactivation. In SCA7 mutant mice, where ataxin-7 forms nuclear aggre- gates (magenta, see arrows in picture) in all three nu- clear layers of the retina (photoreceptor nuclei in the outer nuclear layer and neuronal nuclei in the inner nuclear layer are blue in picture, whereas the nuclei in the ganglion cell layer are colored red), the authors find that the ability of CRX to bind to its consenus sequence is diminished, and that the ex- pression of CRX-regulated genes is reduced in the retinas of these presymptomatic mutant mice. It would seem, from these results, that ataxin-7–mediated transcription interference of photoreceptor genes might account for the cone and rod dystrophy seen in SCA7. If generalized to other polyglutamine diseases, this suggests that transcriptional interference of a cell-type–specific transcription factor could be a common mechanism that would also produce cell-specific pathology. KALYANI NARASIMHAN To recapitulate the cone/rod dystrophy phenotype of retinal degenera- tion seen in human SCA7 patients, transgenic mice expressing ataxin-7 with 92 glutamines were generated. Aggregates of ataxin-7 (magenta; marked by arrows) are seen in all 3 nuclear layers of the retina. Note that in this image, photoreceptor nuclei in the ONL and neuronal nuclei of the INL are blue, whereas nuclei in the GCL appear red. ONL, outer nuclear layer; OPL, outer plexiform layer; INL, inner nuclear layer; IPL, inner plexiform layer; GCL, ganglion cell layer. Scale bar, 50 µm. © 2001 Nature Publishing Group http://medicine.nature.com © 2001 Nature Publishing Group http://medicine.nature.com

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1184 NATURE MEDICINE • VOLUME 7 • NUMBER 11 • NOVEMBER 2001

NEWS & VIEWS

focus attention to the cADPR/Ca++-signal-ing system and will reveal its involve-ment in other cellular signal transductionprocesses. This information will help topredict the clinical relevance of pharma-cological interventions using cADPR an-tagonists. Furthermore, the exact mode ofaction of the ADP-ribosyl cyclase, CD38,the regulation of extracellular Ca++ influx,and the downstream events that lead todirected cell movement will need to beelucidated to fully appreciate the impor-tance of this system in innate host de-fense.

1. Tomasz A Antibiotic resistance in Streptococcuspneumoniae. Clin. Infect. Dis. 24, 85–88 (1997).

2. Örtqvist, A. et al. Aetiology, outcome and prog-

nostic factors in community-acquired pneumo-nia requiring hospitalisation. Eur. Respir. J. 3,1105–1113 (1990).

3. Partida-Sanchéz, S. et al. Cyclic ADP-ribose pro-duction by CD38 regulates intracellular calciumrelease, extracellular calcium influx and chemo-taxis in neutrophils and is required for bacterialclearance in vivo. Nature Med. 7, 1209–1216(2001).

4. Gao, J.-L., Lee, E.J. & Murphy, P.M. Impaired an-tibacterial host defence in mice lacking the N-formylpeptide receptor. J. Exp. Med. 189,657–662 (1999).

5. Streb, H., Irvine, R.F., Berridge, M.J. & Schulz, I.Release of Ca++ from a non-mitochondrial intracel-lular store in pancreatic acinar cells by inositol-1,4,5-triphosphate. Nature 306, 67–68 (1983).

6. Clapper DL, Walseth TF, Dargie PJ, Lee HC.Pyridine nucleotide metabolites stimulate calciumrelease from sea urchin egg microsomes desensi-tized to inositol triphosphate. J. Biol. Chem. 262,9561–9568 (1987).

7. Galione, A., Lee, H.C. & Busa, W.B. Ca++-inducedCa++ release in sea urchin egg homogenates:modulation by cyclic ADP-ribose. Science 253,1143–1146 (1991).

8. Howard, M. et al. Formation and hydrolysis ofcyclic ADP-ribose catalyzed by lymphocyte anti-gen CD38. Science 262, 1056–1059 (1993).

9. Guse, A.H. et al. Regulation of Ca++-signaling in T-lymphocytes by the second messenger cyclicADP-ribose. Nature 398, 70–73 (1999).

10. Novak, R., Henriques, B., Charpentier, E.,Normark, S. & Tuomanen, E. Emergence of van-comycin tolerance in Streptococcus pneumoniae.Nature 399, 590–593 (1999).

Microbiology and Tumorbiology CenterKarolinska InstitutetStockholm, SwedenEmail: [email protected]

Making degeneration specificPolyglutamine expansions due to CAG trinucleotide re-

peats cause various neurodegenerative disorders, includ-ing Huntington disease, spinal and bulbar muscularatrophy and numerous forms of spinocerebellar ataxia.Studies suggest that the entry of a polyglutamine-ex-panded protein or peptide into the nucleus is a key stepin mediating neurotoxicity for most of these diseases.However, the polyglutamine diseases have a diverserange of symptoms, often with tissue-specific patterns oftoxicity specific to individual diseases. So the questionremains: Does neurotoxicity in these polyglutamine dis-eases proceed through a common pathogenic pathway?And if so, how is the cell-specific pattern of neurotoxicityachieved?

La Spada et al. may provide a clue to solving this mys-tery. In the 27 September issue of Neuron, they reportthat transcriptional interference of cell-specific genesmay be responsible for the specific pattern of degenera-tion seen in one type of polyglutamine disease, spin-ocerebellar ataxia type 7 (SCA7). SCA7 is unique amongthe spinocerebellar ataxias because it also causes retinaldegeneration. La Spada et al. find that the protein en-coded by the SCA7 gene, ataxin-7, interacts with CRX, ahomeobox protein in rods and cones. CRX encodes a nu-clear transcription factor containing a polyglutamine-rich region, and controls the expression of severalphotoreceptor-specific genes, including rhodopsin andthe color opsins. Moreover, the polyglutamine-ex-panded ataxin-7 suppresses CRX transactivation. InSCA7 mutant mice, where ataxin-7 forms nuclear aggre-gates (magenta, see arrows in picture) in all three nu-clear layers of the retina (photoreceptor nuclei in theouter nuclear layer and neuronal nuclei in the inner nuclear layer are blue in picture, whereas the nuclei in the ganglion celllayer are colored red), the authors find that the ability of CRX to bind to its consenus sequence is diminished, and that the ex-pression of CRX-regulated genes is reduced in the retinas of these presymptomatic mutant mice.

It would seem, from these results, that ataxin-7–mediated transcription interference of photoreceptor genes might accountfor the cone and rod dystrophy seen in SCA7. If generalized to other polyglutamine diseases, this suggests that transcriptionalinterference of a cell-type–specific transcription factor could be a common mechanism that would also produce cell-specificpathology.

KALYANI NARASIMHAN

To recapitulate the cone/rod dystrophy phenotype of retinal degenera-tion seen in human SCA7 patients, transgenic mice expressing ataxin-7with 92 glutamines were generated. Aggregates of ataxin-7 (magenta;marked by arrows) are seen in all 3 nuclear layers of the retina. Notethat in this image, photoreceptor nuclei in the ONL and neuronal nucleiof the INL are blue, whereas nuclei in the GCL appear red. ONL, outernuclear layer; OPL, outer plexiform layer; INL, inner nuclear layer; IPL,inner plexiform layer; GCL, ganglion cell layer. Scale bar, 50 µm.

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