ER stress has been proposed as a key cellular response in a number of human maladies, including immune and inflammatory conditions, cancer, diabetes, ischemia, cardiovascular diseases and mental disorders (
30,
31). Activation of UPR is also prominent in neurodegenerative diseases, in which accumulation of misfolded proteins provide a direct link to the activation of cellular stress pathways. Different ER stress indicators—including the ER chaperones PDI, Grp94, Grp78/BiP and Grp58, the ER stress sensor PERK and its target eIF2α—are present in the brains of AD (
16,
17) and Parkinson's disease (PD) patients (
32), and in the spinal cord of amyotrophic lateral sclerosis (ALS) patients (
33,
34). Interestingly, human prion disorders have shown contradictory results depending on the markers used: whereas Grp58, Grp78 and Grp94 were elevated in Creutzfeldt-Jacob disease, PERK and eIF2α were not significantly activated (
35,
36). So far, ER stress has served as a molecular marker of cellular dyshomeostasis, suggesting a close link with neurodegenerative diseases. But the causal relationship between UPR and neurodegeneration has not been fully explored.
The IRE1–XBP1 pathway plays a critical role in UPR by regulating the expression of target genes that refold and degrade misfolded substrates (
13,
37). Recent reports have shown that the
XBP1s isoform is upregulated in the spinal cord of several mouse models of familial ALS (
33,
38), in the brain of mice inoculated with several strains of prions (
39), and in a chemical mouse model of PD (
40). These conformational disorders provide an easy causal link to ER stress: protein misfolding in different cellular compartments. Interestingly,
XBP1s is also elevated in the muscles of myotonic dystrophy patients, a neuromuscular disease caused by a non-coding RNA expansion (
41), suggesting that altered cellular pathways secondary to the RNA pathology also result in UPR. So far, the only report of unconventional
XBP1 splicing in the human brain comes from the temporal cortex of AD patients, providing key evidence for the activation of XBP1
in vivo (
19). In contrast,
XBP1 is not activated in the cortex of Tg2576 mice, a mouse model of AD with plaque formation and memory deficit, but no significant neuronal degeneration (
19). Thus, activation of the IRE1–XBP1 pathway seems to correlate better with neuronal degeneration than with deposition of misfolded Aβ, suggesting that
XBP1s is a specific marker for ongoing pathogenesis in AD. Our report contributes to the recent literature by showing that Aβ induces unconventional splicing of
XBP1 in two models of AD: transgenic flies expressing Aβ and differentiated rat PC12 cells treated with Aβ oligomers. As opposed to Tg2576 mice, these two AD models show overt neuronal degenerations and demonstrate that
XBP1 is highly sensitive to Aβ neurotoxicity. In PC12 cells,
XBP1 is activated at concentrations four to eight times lower than the toxic Aβ concentration, whereas in flies every eye cell expressing Aβ also accumulated spliced XBP1–GFP. Thus,
XBP1 activation may be a sensitive disease marker that could potentially help detect presymptomatic disease stages. On the other hand, the IRE1–XBP1 pathway also demonstrates high protein specificity. Ryoo
et al. (
42) found that polyglutamine expansions (Huntingtin-128Q and Ataxin3-78Q) and mutant Tau (Tau
R406W) expressed in the fly eye did not induce
XBP1 splicing, whereas a mutant version of rhodopsin-1 (Rh-1), a membrane photosensitive protein associated with human retinal degeneration, did. The available evidence suggests that
XBP1 may be more sensitive to proteins produced in the ER (Aβ, Rh-1) that, upon misfolding, have direct access to the ER stress sensors. In contrast, Tau and expanded polyglutamines aggregate primarily in the cytoplasm and nucleus and, thus, may be less efficient activators of ER stress. However, several polyglutamines and mutant SOD1 induce ER stress in mouse models, suggesting that secondary cellular mechanisms such as reduced proteasome activity, altered ERAD and retrotranslocation of misfolded substrates to the ER, may play a role in UPR activation. In this context, it is important to note that different sources of Aβ are efficient inducers of ER stress. In
Drosophila, rapid misfolding of Aβ following synthesis in the ER can lead to direct activation of ER stress sensors. However, PC12 cells are treated with exogenous Aβ oligomers that have no direct access to the ER. Several potential mechanisms may explain extracellular Aβ neurotoxicity and induction of ER stress (
43). (i) Aβ oligomers could enter the cell by endocytosis, reaching the ER by retrotranslocation. (ii) Aβ oligomers could accumulate in the cytosol, disrupt cellular homeostasis and, indirectly, induce ER stress. (iii) Aβ oligomers could traffic passively through ruptured membranes or through pores constituted of donut-shaped Aβ assemblies in the cell membrane and in the ER. (iv) Finally, ER stress could be the consequence of aberrant cellular signaling induced by the interaction of Aβ oligomers with membrane receptors. Although these mechanisms are possible contributors to Aβ neuropathology, there is little experimental support for their
in vivo relevance.
In this report, we describe for the first time the neuroprotective activity of XBP1s in two models of AD. Based on its predicted protective function, we tested and demonstrated the ability of
Drosophila XBP1 and
mXBP1s to rescue Aβ neurotoxicity in the fly eye. These flies exhibited vastly improved eye organization, and this protection extended for 20 days in adult flies. Also, PC12 cells overexpressing
mXBP1s were fully protected at lethal doses of Aβ oligomers (18 µg/ml) and partially protected at higher concentrations of Aβ. We also found that endogenous
XBP1 plays a critical role in preventing Aβ neurotoxicity, as shown by the exacerbated cell death induced by Aβ in both models when
XBP1 was eliminated, suggesting a physiological role in AD pathogenesis. This protective activity of the
XBP1 pathway has been reported in other models of protein misfolding. In a cellular model of prion disease,
XBP1s overexpression prevented prion protein (PrP) misfolding, whereas a dominant negative form of
XBP1 favored PrP misfolding (
44). Also, in a fly model of retinitis pigmentosa expressing mutant
Rh-1, co-expression of ERAD components (downstream of XBP1s), including HRD-1, reduced the accumulation of Rh-1 and prevented retinal degeneration (
45). Similarly, silencing of HRD-1 in SH-SY5Y cells led to increased APP processing and accumulation of Aβ, whereas cells overexpressing
XBP1s showed reduced APP and Aβ (
46). So far, the only evidence for the protective activity of XBP1s in mice comes from a non-transgenic mouse model of PD. In mice treated with the neurotoxin MPTP (1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine), adenoviral expression of XBP1s significantly prevented dopaminergic neuron loss (
40). To test the neuroprotective activity of XBP1 in prion diseases, Hetz and Glimcher (
39) engineered mice lacking
XBP1 in the brain and inoculated them with prions. Unexpectedly, the animals showed normal prion replication and neuropathology, suggesting that the other UPR pathways could compensate for the absence of
XBP1. The authors used the same rationale to test the role of
XBP1 in ALS models, predicting that the lack of
XBP1 would increase ALS pathology. However, the lack of
XBP1 rescued ALS pathology and was associated with lower SOD1 aggregation in the spinal cord and increased autophagy, uncovering a new function for XBP1 (
47). Overall, these results suggest that
XBP1s has a significant protective activity in several disease models, although elimination of
XBP1 uncovered the redundant activities of other UPR pathways.
We also propose here a new mechanistic connection between XBP1s and a pathway known to mediate Aβ neurotoxicity: XBP1s may reduce ER Ca
2+ release by transcriptional regulation of a ryanodine Ca
2+ channel (RyR3). For more than two decades, elevated intracellular Ca
2+ has been proposed as a key neurotoxic pathway in AD—the ‘calcium dysregulation' hypothesis (
27). Both intracellular Ca
2+ stores and extracellular Ca
2+ traffic are elevated in AD (
5,
6). However, elevated levels of RyRs in AD patients and AD models suggest that the increased release of ER Ca
2+ stores through these channels may play a critical role in AD pathogenesis (
8–
12). Transgenic mice expressing mutant forms of APP, PS1 or triple transgenics also expressing mutant Tau show specific upregulation of RyR3, the major RyR isoform in the brain (
9,
10,
12). In contrast, the levels of the other main ER Ca
2+ transporters, including RyR1 and RyR2, the inositol-3 phosphate receptors (IP3R1–3) and the SERCA1–3 pumps, seem normal (
11,
12,
48). Thus, elevated levels of RyR3 explain the increased Ca
2+ release observed in several models of AD, which, in turn, stimulates the activity of IP3Rs by Ca
2+-mediated Ca
2+ release (CICR) mechanisms (
5,
9,
11). The combined effect of overexpressed RyR3 and activated IP3Rs results in a persistent disruption of Ca
2+ homeostasis, which may lead to the activation of cell death pathways (
5,
6). In this work, we show that PC12 cells start to release intracellular Ca
2+ only a few minutes after exposure to Aβ oligomers, but cells that overexpress XBP1s release less Ca
2+ and survive longer. This Ca
2+-protective activity correlates with the reduced levels of
RyR3 mRNA, suggesting that XBP1s prevents the release of Ca
2+ through downregulation of
RyR3. However, the reduced expression of
RyR3 did not prevent Ca
2+ release from the ER under high concentration of Aβ, suggesting that other Ca
2+ transporters may be activated in response to Aβ. But the low levels of RyR3 allow these cells to recover after several minutes by avoiding further Ca
2+ release, promoting their extended survival. It is still unclear whether the regulation of
RyR3 by XBP1 is direct or indirect. Human and murine
RyR3 contain multiple XBP1s-binding sites (ER stress elements) arguing for a direct repression by XBP1s (
Supplemental Material, Fig. S5). Even though XBP1s is best known as a transcriptional activator, several expression-profiling experiments have identified numerous genes downregulated by XBP1s (
28,
49). This dual activity might be possible if XBP1s formed complexes with different partners that modulate its transcriptional activity. Additionally, transcriptional repression may be indirectly mediated by XBP1s target genes. This indirect repression mechanism has been demonstrated for Mist1, an XBP1s target that prevents the differentiation of myotubules through the repression of the muscle differentiation factor, MyoD (
50). Having the ability to activate and repress gene expression provides XBP1s with an expanded repertoire of regulatory activities during cellular differentiation and ER stress response. Whatever the mechanism mediating the negative regulation of
RyR3 by XBP1s, this activity was confirmed in flies, where the levels of
Rya-r were also reduced. Moreover, reduced levels of
Rya-r protect against Aβ neurotoxicity in flies, demonstrating the functional relevance of decreased Ca
2+ release from the ER. Interestingly, a recent report identified loss-of-function alleles of
Rya-r as suppressors of the deleterious effects of mutant constructs of PS1 and APP, further supporting the link between familial AD genes and Ca
2+ dyshomeostasis (
51). Overall, these results agree with previous results showing that the regulation of Ca
2+ traffic prevents Aβ-induced cell death (
52,
53). Furthermore, one of the most effective current AD therapies includes memantine, which blocks the activity of the
N-methyl-
d-aspartate Ca
2+ channel, suggesting that Ca
2+ regulation at the cell membrane and the ER are viable therapeutic targets in AD and, possibly, other neurodegenerative conditions.