Nucleolar disruption and apoptosis are distinct neuronal responses to etoposide-induced DNA damage

Maciej Pietrzak1, Scott C Smith, Justin T Geralds

  • 1Kentucky Spinal Cord Injury Research Center and the Departments of Neurological Surgery, University of Louisville, Louisville, Kentucky 40292, USA.

Insights

Etoposide causes nucleolar stress and blocks transcription in adult neurons, unlike developing neurons which undergo apoptosis. This age-dependent difference in response to DNA damage may explain chemotherapy side effects.

Area of Science:

  • Neuroscience
  • Molecular Biology
  • Toxicology

Background:

  • DNA-damaging topoisomerase inhibitors like etoposide induce apoptosis in developing neurons.
  • The effects of these agents on adult neurons remain largely uncharacterized.

Purpose of the Study:

  • To investigate the differential effects of etoposide on neuronal apoptosis and nucleolar stress in adult versus developing neurons.
  • To elucidate the molecular mechanisms underlying etoposide-induced neurotoxicity and neuronal tolerance to DNA damage.

Main Methods:

  • Intracarotid and intracerebroventricular injections of etoposide in adult and neonatal rats.
  • In vitro studies using cultured cortical neurons from newborn rats.
  • Analysis of RNA-Polymerase-1 transcription, nucleolar stress, apoptosis, and DNA damage signaling pathways (ATM, p53).

Main Results:

  • Etoposide induced RNA-Polymerase-1 transcriptional blockage and nucleolar stress in adult rat neocortical neurons.
  • In contrast, etoposide triggered apoptosis in neonatal rats and cultured newborn neurons.
  • Nucleolar stress was induced by lower etoposide concentrations than p53-dependent apoptosis, and was insensitive to double-strand breaks but sensitive to single-strand breaks or topoisomerase-2-DNA adducts.

Conclusions:

  • Adult neurons exhibit tolerance to etoposide-induced double-strand breaks, characterized by nucleolar stress rather than apoptosis.
  • Nucleolar stress, a p53-independent process, may contribute to non-apoptotic neurotoxicity from DNA damage in adult brains by impairing ribosomal biogenesis.
  • The distinct responses highlight age-dependent mechanisms in neuronal response to DNA damage and chemotherapy.

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