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(Stroke. 1995;26:1901-1907.)
© 1995 American Heart Association, Inc.


Articles

Three Distinct Phases of Fodrin Proteolysis Induced in Postischemic Hippocampus

Involvement of Calpain and Unidentified Protease

Masayuki Yokota, MD; Takaomi C. Saido, PhD; Eiichi Tani, MD; Seiichi Kawashima, PhD Koichi Suzuki, PhD

From the Department of Neurosurgery, Hyogo College of Medicine (M.Y., E.T.), the Department of Molecular Biology, Tokyo Metropolitan Institute of Medical Science (T.C.S., S.K.), and the Institute of Applied Microbiology, University of Tokyo (K.S.), Japan.

Correspondence to Masayuki Yokota, MD, Department of Neurosurgery, Hyogo College of Medicine, Mukogawa-cho 1-1 Nishinomiya, Hyogo, 663 Japan.


*    Abstract
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*Abstract
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down arrowMaterials and Methods
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Background and Purpose Fodrin, a neuronal cytoskeleton protein, is proteolyzed by calpain after ischemic insult. We examined proteolysis of fodrin induced by global forebrain ischemia in gerbil hippocampus in spatial terms by using the antibody specific to the calpain-proteolyzed form of fodrin.

Methods In gerbils, a 10-minute forebrain ischemia was produced by occlusion of both carotid arteries. After recirculation, the hippocampus was processed for immunohistochemical and immunoblot study with the antibody against the calpain-proteolyzed form of fodrin. Additionally, short-term ischemia was studied to find the threshold of fodrin proteolysis.

Results Three phases of fodrin proteolysis distinct in chronology and distribution arose: (1) an early predegeneration phase in the molecular layer and stratum oriens of the CA1 and CA3 sectors within the first 15 minutes, which lasted up to 4 hours; (2) a late predegeneration phase in the whole CA1 sector, except for the pyramidal cells, between 12 hours and 2 days; and (3) a postdegeneration phase in the cytoplasm of the CA1 neurons, which arose in 3 to 7 days. A 4-minute (not a 3-minute) forebrain ischemia induced the late predegeneration phase of fodrin proteolysis and delayed neuronal death in CA1. Immunoblotting showed that the primary product of calpain action was further proteolyzed by an unidentified protease.

Conclusions Calpain induced proteolysis of fodrin in ischemic hippocampus, and the late predegeneration phase of the proteolysis was closely associated with the delayed neuronal death in the CA1 sector. Calpain and another protease may play a role in the development of neuronal death after transient forebrain ischemia.


Key Words: calpain • cerebral ischemia • fodrin • proteolysis • hippocampus


*    Introduction
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up arrowAbstract
*Introduction
down arrowMaterials and Methods
down arrowResults
down arrowDiscussion
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Transient global forebrain ischemia in rodents induces selective degeneration affecting hippocampal neurons in CA1 with relative sparing of CA3 neurons and dentate granule cells.1 Delayed degeneration affects CA1 neurons, which are normal on light microscopy up to 2 days after the insult. The molecular mechanisms responsible for the selective neuronal vulnerability to ischemic injury are incompletely understood, but pharmacological studies show that glutamate-mediated excitotoxicity is involved.2 3 4 5 6 Glutamate receptors are categorized into two groups, ionotropic and metabotropic. The former group is further subdivided into two distinct types: receptors for NMDA and non-NMDA receptors for AMPA ({alpha}-amino-3-hydroxy-5-methyl-4-isoxazolepropionate) and kainate. Stimulation of NMDA and metabotropic receptors causes influx of Ca2+ and activates intracellular Ca2+-dependent cysteine protease, µ-calpain, which is enriched in the central nervous system.7 8 9 The activated calpain selectively proteolyzes substrate proteins in a limited manner.10 Among the calpain-specific substrates, fodrin, a major cytoskeletal protein underlying the plasma membranes in brain,11 12 has been most extensively described in pathophysiological situations. Fodrin undergoes calpain-catalyzed proteolysis both in long-term potentiation and postischemic degeneration.13 14 Consequently, its {alpha}-subunit of 230 kD is converted to a 150-kD fragment.12 15

On the basis of these observations, we devised a means of capturing the proteolytic process by developing an antibody that specifically distinguishes the proteolyzed fodrin from the intact one.16 Taking advantage of the approach that finally enabled us to analyze the process in spatial terms, we demonstrated that transient ischemia induces at least two distinct phases of fodrin proteolysis in the hippocampus: an early phase in the molecular layer and in the stratum oriens of the CA3 and CA1 sectors arising within the first 15 minutes and a late phase in the entire CA1 sector 4 to 24 hours later. In the present study, we made a more detailed analysis and discovered another distinct phase of fodrin proteolysis that arose along with the neuronal degeneration. Furthermore, we intend to show that the predegeneration phase actually participates in the pathological cascade leading to neuronal death. We also describe our new discovery as to how a secondary proteolytic product derived from the calpain-proteolyzed fodrin accumulates in postischemic brain, raising a new possibility in interpreting the pathological mechanism.


*    Materials and Methods
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*Materials and Methods
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Induction of Ischemia in Gerbil Forebrain
Adult female Mongolian gerbils weighing 50 to 70 g (Japan Clea), housed under diurnal lighting conditions and allowed food and water ad libitum, were anesthetized during the ischemia and reperfusion period by diethyl ether and room air. Body temperature was maintained at 36°C to 37°C with a homeothermic heating blanket (CMA) during the anesthesia. After a midline cervical incision, both common carotid arteries were dissected in 36 gerbils and occluded with small aneurysmal clips. After a 10-minute occlusion, the clips were removed to allow recirculation. In 36 sham-operated animals, common carotid arteries were dissected but not occluded. Four animals from each group (ischemic and sham-operated) were killed at intervals of 15 minutes, 4 hours, 6 hours, 8 hours, 12 hours, 1 day, 2 days, 3 days, and 7 days after recirculation. At each time point, the animals were killed with an overdose of sodium pentobarbital (60 mg/kg IP) and then perfused at 4°C through the ascending aorta with 50 mL of 20 mmol/L Tris/HCl buffer (pH 7.6) containing 5 mmol/L EDTA, 5 mmol/L ß-mercaptoethanol, 250 mmol/L sucrose, and 0.1 mmol/L leupeptin followed by 2% paraformaldehyde in 0.1 mol/L phosphate buffer (pH 7.4). The perfused brains were removed and fixed with the same fixative for 24 hours. Next, the brains were immersed in 0.01 mol/L PBS containing 10% to 20% sucrose for 24 hours and processed for immunohistochemistry.

In addition, to clarify the threshold of ischemic duration for delayed neuronal death, a short period of forebrain ischemia was induced. Four animals from each group underwent 2, 3, or 4 minutes of transient forebrain ischemia and were killed at same intervals as the animals with 10 minutes of ischemia. The sections of hippocampus were processed for immunohistochemistry.

To assess tissue architecture, we prepared 5-µm sections from each hippocampus after the fixation and stained them with cresyl violet. The number of neurons in the linear length (1 mm) of the CA1 pyramidal layer (neuronal cell density) was counted in each specimen, according to the method of Kirino et al.17

Preparation of the antibody specific for the calpain-proteolyzed 150-kD form of fodrin's {alpha} subunit was described previously, and its character has been thoroughly studied.16 The anti–human fodrin {alpha} subunit PEST (proline-glutamate/aspartate-serine-threonine-rich) sequence antibody,15 which recognizes both the intact 230-kD and proteolyzed 150-kD forms, was also used for the immunohistochemistry and immunoblot analysis. Antigenic epitopes of both the antibodies are shown in Fig 1Down.



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Figure 1. Schematic shows epitopes in fodrin {alpha} subunit against two antibodies used. The anti–proteolyzed fodrin antibody recognizes domain XI of the fodrin {alpha} subunit proteolyzed by calpain, whereas the anti–PEST sequence antibody recognizes the PEST sequence in the 230-kD and 150-kD proteolyzed fodrin {alpha} subunits.

The animals were carefully handled in a humane fashion and our experimental protocols met the US Public Health Service standards described in the 1985 Guide for the Care and Use of Laboratory Animals of the National Institutes of Health.

Immunohistochemistry
Immunohistochemistry was performed essentially as previously described. In brief, the fixed brains were coronally sectioned at 20 µm on a cryostat. Each section was preincubated with 3% normal goat serum and 0.3% hydrogen peroxide in PBS for 30 minutes at room temperature. The sections were then incubated with the antibody to the proteolyzed form of fodrin or to the PEST sequence (1 µg/mL) at room temperature for 1 night. After being rinsed, sections were incubated with biotinylated goat anti-rabbit IgG (Vector) for 2 hours and then with ABC-peroxidase complex (Vector) for 2 hours at room temperature. After rinsing of the sections, immunolabel was visualized with 0.015% diaminobenzidine tetrahydrochloride (Sigma) and 0.003% hydrogen peroxide in 50 mmol/L Tris/HCl buffer (pH 7.6).

Immunoblotting
For immunoblot analysis, nine animals treated with a 10-minute ischemia period were perfused with Tris/HCl buffer (pH 7.6) containing 5 mmol/L EDTA, 5 mmol/L ß-mercaptoethanol, 250 mmol/L sucrose, and 0.1 mmol/L leupeptin at intervals of 15 minutes, 1 day, and 7 days (three animals at each interval). Furthermore, three sham-operated animals were perfused in the same fashion 1 day after the operation. The hippocampus was dissected and immersed in liquid nitrogen, and remained frozen at -85°C until further processing. Western blotting was performed by use of both the antibodies as described in the previous study.15 18 One hippocampus in each group was used in every blotting. Each immunolabled band was densitometrically quantitated by a videodensitometry system (ACI Japan).

Statistics
Statistical comparisons were made by two-tailed Student's t test for unpaired variates.


*    Results
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up arrowMaterials and Methods
*Results
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Forebrain ischemia of 10 minutes' duration produced consistent neuronal degeneration in the hippocampus of all animals surviving 3 and 7 days after the ischemic insult (Fig 2Down and Table 1Down). Degeneration of the CA1 neurons started in CA1a on day 3 (Fig 2BDown) and spread all over the CA1 neurons by day 7 (Fig 2CDown).



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Figure 2. Photomicrographs show normal and ischemic gerbil hippocampus. Medial and all parts of the pyramidal neurons in the CA1 sector are lost 3 (B) and 7 days (C) after 10 minutes of ischemia of forebrain, respectively. Arrows show the boundaries of the CA1a region (B) and the whole CA1 sector (C). A indicates sham-operated gerbil. Cresyl violet stain. Bar indicates 500 µm.


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Table 1. Neuronal Cell Density per 1-mm Linear Length of the CA1 Sector 7 Days After Ischemia

In the hippocampus of the sham-treated animals, immunoreactivity corresponding to the 150-kD proteolytic fragment of fodrin (150kD-IR) was below detectable levels (Fig 3ADown). Within 15 minutes after the reperfusion, 150kD-IR appeared in the neuropil of the stratum lacunosum moleculare, the stratum oriens of the CA3 sector, and the stratum oriens of the CA1 sector (Fig 3BDown), and it remained until around 4 hours after the reperfusion, as previously described.16 Between 6 to 12 hours, additional fodrin proteolysis was observed in the entire CA1 sector (Fig 3CDown), except for the soma and dendrites of the pyramidal neurons (Fig 4ADown), although no immunoreactivity was observed in the hilus and stratum lucidum where mossy fibers pass. One day after the ischemic insult, the proteolysis was observed only in the entire CA1 sector, and it remained until day 2 (Fig 3DDown). These two distinct phases are referred to here as the early and late predegeneration phases because we have now discovered a third phase that was initiated at the time of the actual neuronal degeneration.



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Figure 3. Immunohistochemical photomicrographs show fodrin proteolysis by calpain examined by the anti–proteolyzed fodrin antibody. Immunoreactive proteolyzed fodrin in the hippocampus is observed not in sham-operated (A) but in ischemic animals (B through F). Sequential alterations of the immunoreactivity are shown 15 minutes (B), 12 hours (C), 1 day (D), 3 days (E), and 7 days (F) after 10 minutes of ischemia. Arrows in E show the boundary of the CA1a region. Bar indicates 500 µm.



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Figure 4. High-power photomicrographs show immunoreactive proteolyzed fodrin in the CA1 pyramidal neurons. The immunoreactive proteolyzed fodrin in the soma and dendrites of the CA1 neurons is not observed 1 day after (A), but is seen clearly 3 days after (B), 10 minutes of ischemia. so indicates stratum oriens; sp, stratum pyramidale; and sr, stratum radiatum. Bar indicates 50 µm.

Fig 4BUp shows that the soma and dendrites of the pyramidal neurons in the medial part of the CA1 sector (CA1a) became positive for 150kD-IR, while the lateral part (CA1b) showed very little immunoreactivity on day 3 (Fig 3EUp). This fodrin proteolysis seems to have arisen as a result of cell death because the CA1a cells had started to degenerate with shrunken and hyperchromatic morphology by this time, as shown by cresyl violet staining (Fig 2BUp). Seven days after the ischemia, all the CA1 neurons were degenerated and some debris of CA1 neurons showed dense 150kD-IR with moderately dense immunoreactivity in other CA1 regions (Fig 3FUp). Apparently, this fodrin proteolysis within pyramidal cells followed the dying processes and was therefore referred to as the postdegeneration phase. Each group showed a consistent tendency in the pattern of immunohistochemical staining, although its intensity varied in some cases. Immunoblot analysis confirmed the presence of the 150-kD fragment of fodrin in postischemic brain for up to 7 days (see below). Throughout the experiment, CA4 neurons, the dentate gyrus, and the stratum lucidum showed no 150kD-IR, supporting the hypothesis that calpain plays essential roles in the postischemic pathological cascade.14 16 Intact fodrin immunoreactivity stained with anti-PEST antibody showed uniform distribution in the whole hippocampus (Fig 5Down). The soma and dendrites of the pyramidal neurons in all CA sectors and dentate granule cells showed heavy immunoreactivity (Fig 5ADown). Little change was observed after the ischemia until day 3 (Fig 5BDown, 5CDown, and 5DDown). Three days after the insult, the immunoreactivity was faded in the soma and dendrites of the pyramidal neurons in the CA1a sector (Fig 5EDown), and on day 7 reduction of the immunoreactivity spread all over the CA1 sector (Fig 5FDown). These findings represent a small amount of the intact fodrin in the hippocampus, of which distribution was shown as the late predegeneration phase in immunohistochemical study with anti–proteolyzed fodrin antibody, and it was proteolyzed after the ischemia.



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Figure 5. Photomicrographs show immunohistochemical study of the hippocampus stained with the antibody against the PEST sequence of the fodrin {alpha} subunit. In sham-operated animals, the immunoreactive PEST sequence of fodrin is observed in the whole hippocampus, especially in the neurons (A). The immunoreactivity is little changed 15 minutes (B), 12 hours (C), and 1 day (D) after 10 minutes of ischemia. It is slightly faded in CA1a 3 days after ischemia (E) and all over the CA1 sector 7 days after ischemia (F). Arrows show the boundary of the CA1 sector. Bar indicates 500 µm.

With the aim of determining which of the predegeneration phases is responsible for the subsequent delayed neuronal death, we examined the effect of the ischemic duration on fodrin proteolysis and cell death (Fig 6Down) with the knowledge that a critical time point determining life or death of neurons exists around 3 to 4 minutes.19 Short-term ischemia of less than 3 minutes did not induce delayed neuronal death in the CA1 sector (Table 1Up). On the contrary, the early predegeneration phase of fodrin proteolysis in the CA3 sector was observed even under these conditions, suggesting that proteolysis of fodrin at this stage is insufficient to cause the delayed death of neurons. In clear contrast, the late predegeneration phase of proteolysis paralleled the cell death; fodrin proteolysis in the entire CA1 at 24 hours arose only under the conditions that induced neuronal degeneration: ie, a 4-minute–long ischemia. The postdegeneration proteolysis obviously correlated well with the cell death because it appeared only in dying and dead neurons (data not shown). These results suggest that the late predegeneration phase may play critical roles in the postischemic pathological cascade and present important medical implications (see "Discussion").



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Figure 6. Photomicrographs show effect of ischemic duration on fodrin proteolysis and delayed neuronal death. Forebrain ischemia (2 or 3 minutes) produced fodrin proteolysis that was demonstrated immunohistochemically with anti–proteolyzed fodrin in the molecular layer and stratum oriens of the CA3 and CA1 sectors 15 minutes after the ischemia (upper left and upper center, early predegeneration phase) and not in the entire CA1 sector 24 hours after the ischemia (middle left and middle center, late predegeneration phase). Four minutes of forebrain ischemia induces fodrin proteolysis in both early and late predegeneration phases (upper right and middle right). Cresyl violet staining shows a delayed decrease in the CA1 pyramidal neurons subjected to ischemia for 4 minutes (lower right) but not in those subjected to 2 or 3 minutes of ischemia (lower left and lower center), suggesting that the threshold time for induction of delayed neuronal death is more than 4 minutes. Arrowheads show the stratum oriens and stratum lacunosum moleculare. Arrows show the boundary of the CA1 sector. Bar indicates 500 µm.

Finally, we analyzed the proteolytic products of fodrin in the postischemic hippocampus by immunoblotting with the anti-fodrin antibodies recognizing distinct sites of the molecule (Fig 1Up). Each immunoblot study showed a constant tendency, as shown in Table 2Down. In accordance with our previous report,16 a 150-kD fragment recognized by both of the antibodies was produced in postischemic hippocampus throughout the entire experiments, although its amount gradually decreased (Fig 7Down). Notably, a smaller fragment of approximately 130 kD recognized by the anti-PEST sequence antibody was also produced in the postischemic hippocampus (Fig 7BDown). Because this fragment was not recognized by the anti–proteolyzed fodrin antibody, it is devoid of the amino-terminal portion of the 150-kD fragment. Concomitantly, a smaller fragment of 20 kD recognized by the anti–proteolyzed fodrin antibody, but not by the anti-PEST sequence antibody, increased, particularly at 24 hours after ischemia (Fig 7ADown), presumably representing the amino-terminal fragment produced by this secondary proteolysis. Because the distance between the cleavage site attacked by calpain and the location of the PEST sequence is close to 20 kD,20 21 these data suggest that fodrin was proteolyzed through two steps, as shown in Fig 8Down. Importantly, this 20-kD product presumably contains the entire calmodulin-binding segment and would no longer bind to actin filaments. It may be simply complicated with calmodulin in cytoplasm under postischemic circumstances with elevated [Ca2+]i. We should not, however, overestimate the amount of this 20-kD fragment relative to that of the 150-kD fragment in interpreting the immunohistochemical data, because the efficiency of electroblotting decreases as the molecular weight of protein increases. The difference in blotting efficiency between 150-kD and 20-kD proteins could vary by a factor of 10 or more. We should therefore view the immunohistochemical data as showing the 150-kD and 20-kD fragments together.


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Table 2. Density of Immunolabeled Band on Western Blotting



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Figure 7. Photographs show Western blot analysis of fodrin proteolysis in the postischemic brain. The blots are stained with the antibody against the proteolyzed fodrin (A) and with the antibody against the PEST sequence of the fodrin {alpha} subunit (B). Lanes are as follows: S, sham animals; 15m, 1d, and 7d, 15 minutes, 1 day, and 7 days after ischemic treatment for 10 minutes; and C, control (150-kD proteolytic fragment of fodrin {alpha} subunit).



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Figure 8. Schematic shows the two-step proteolysis of fodrin in transient ischemia. Calpain proteolyzes the 230-kD fodrin {alpha} subunit at the point of the white arrowheads in domain XI. The resulting 150-kD fragment is then further proteolyzed into 130-kD and 20-kD fragments by an unidentified protease at the point of the black arrowheads between the calmodulin-binding site and the PEST sequence.

The finding of the secondary proteolysis raises the question of the identity of the protease involved. Calpain does not usually produce the 130-kD fragment of the fodrin {alpha} subunit in test tubes.12 15 Therefore, an unidentified protease other than calpain is likely to be responsible for this process, although we cannot totally exclude calpain as a candidate protease because its action could be varied under the specific in vivo conditions.


*    Discussion
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*Discussion
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The nature of calpain-catalyzed proteolysis is not digestive, but it usually proceeds in a limited manner, resulting in alteration of the structure and function of the substrate proteins rather than destruction.10 Fodrin provides a number of functional proteins involved in signal transduction with multiple sites for interactions; it acts as part of an anchor for membrane receptors,22 23 regulates actin filaments,11 and undergoes phosphorylation by protein kinase A,24 protein kinase C, and tyrosine kinase.25 26 Limited proteolysis by calpain takes place as a unique mechanism to regulate this interface protein, leading to alterations in receptor geometry and membrane morphology.27 28 We therefore believe that the role of fodrin proteolysis in ischemia-induced neurotoxicity is not simply a destruction of cellular structures but rather a mediation of signals resulting in neuronal degeneration.

Hippocampal CA1 neurons are located at the end of a trisynaptic chain of excitatory synapses that consists of dentate granule cells, CA3 neurons, and CA1 neurons. Many reports demonstrate that the trisynaptic chain is closely involved in development of delayed neuronal death.29 30 We also demonstrated that two kinds of protein kinase are activated in the gerbil trisynaptic chain after forebrain ischemia.31 32 However, in this study the proteolysis of fodrin was not observed in the dentate gyrus and mossy fiber system throughout the time course (Fig 3Up), whereas intact fodrin exists in the whole hippocampus (Fig 5Up). This may be due to lack of Ca2+ accumulation in the dentate gyrus after the ischemia.33 Amaral and Witter34 showed that CA3 pyramidal neurons receive input directly from the perforant path, not via the dentate gyrus and mossy fibers. Therefore, our results may indicate that a pathway other than a trisynaptic chain of excitatory synapses is involved in the development of the delayed neuronal death.

We have demonstrated that short-term (less than 3 minutes) forebrain ischemia, which does not induce delayed neuronal death, produces an early but not a late predegeneration phase of proteolysis. In contrast, the long-term (more than 4 minutes) forebrain ischemia, which consistently induces delayed neuronal death, produced both early and late predegeneration phases of proteolysis. These observations suggest that the late predegeneration phase of fodrin-proteolysis is closely associated with the development of the delayed degeneration of CA1 pyramidal cells. This observation is in agreement with the report that Ca2+ accumulation is observed in the CA1 sector between 2 and 7 days after the 10-minute forebrain ischemia,33 which may continuously activate calpain and cause proteolysis of the fodrin. It is difficult to clarify whether calpain-degraded fodrin has any pathological role in the ischemic neuronal damage or is just a marker for calpain activation. Calpain-degraded fodrin causes morphological changes in erythrocytes,35 and it may play a role in development of long-term potentiation.36 However, its pathological role has not been reported. Microinjection of it into the CA1 sector may be useful to examine its toxicity. Lee et al37 demonstrated that an inhibitor of calpain protected ischemic neuronal damage and proteolysis of fodrin. Therefore, activation of calpain is closely involved in development of ischemic neuronal death, at least as a mediator of the pathological signals stated above. At any rate, if this late predegeneration phase proves to play an essential rate-limiting role, inhibition of calpain action before this stage in postischemic brain could be a possible therapeutic strategy in clinical medicine, giving hope for a successful postinjury treatment. Certainly further studies to evaluate, for instance, the effect of calpain inhibitors on specific proteolysis and cell death will be necessary to establish this assumption.

Finally, we have discovered a secondary processing of fodrin in postischemic brain by which the 150-kD fragment produced by calpain action is further converted to 130-kD and 20-kD fragments. Because the 20-kD fragment seems to carry an entire calmodulin-binding segment and because its localization would no longer be restricted to cytoskeletal structures, it may play a specialized role in the pathological cascade by associating with calmodulin. It is also possible that conversion of the 150-kD fragment to a 130-kD fragment may destabilize the protein structure and thus facilitate further degradation. Identification of the protease responsible for this step would be a subject of future studies.

Received March 13, 1995; revision received May 23, 1995; accepted June 16, 1995.


*    References
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
up arrowDiscussion
*References
 
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