X-Linked inhibitor of apoptosis protein gene-based neuroprotection for the peripheral nervous system

Mary E Garrity-Moses1, Qingshan Teng, Christina Krudy

  • 1Cleveland Clinic Foundation, Lerner Research Institute, Department of Neuroscience and Center for Neurological Restoration, Cleveland, Ohio 44195, USA.

Neurosurgery
|July 11, 2006
PubMed
Abstract

Insights

Adenoviral X-linked inhibitor of apoptosis protein (XIAP) gene delivery protected peripheral nervous system neurons in vitro. This neuroprotection strategy shows promise for treating neurodegenerative diseases like amyotrophic lateral sclerosis (ALS) and diabetic neuropathy.

Area of Science:

  • Neuroscience
  • Molecular Biology
  • Gene Therapy

Background:

  • Programmed cell death (apoptosis) is implicated in neurodegenerative diseases.
  • X-linked inhibitor of apoptosis protein (XIAP) is a potent apoptosis inhibitor.
  • Peripheral nervous system (PNS) neuron vulnerability in diseases like ALS and diabetic neuropathy.

Purpose of the Study:

  • To investigate the neuroprotective potential of adenoviral XIAP gene delivery in vitro.
  • To assess XIAP's efficacy in models of amyotrophic lateral sclerosis (ALS) and diabetic neuropathy.

Main Methods:

  • Constructed an adenoviral vector expressing XIAP fused to green fluorescent protein.
  • Evaluated glutamate-induced apoptosis in SH-SY5Y neuroblastoma cells using caspase-3 activity and cell density assays.
  • Assessed XIAP's impact on primary motor neurons and dorsal root ganglion cultures.

Main Results:

  • XIAP gene expression significantly reduced active caspase-3 and preserved cell density in SH-SY5Y cells post-glutamate exposure.
  • XIAP conferred protection to infected cells, but not to neighboring uninfected cells.
  • XIAP inhibited apoptosis in primary motor neurons (glutamate insult) and dorsal root ganglion cells (glucose insult).

Conclusions:

  • Adenoviral XIAP gene delivery demonstrates significant neuroprotection in relevant in vitro models.
  • Neurosurgical delivery of XIAP-expressing viral vectors offers a potential therapeutic strategy for ALS and diabetic neuropathy.