Introduction

The cause of many neurodegenerative disorders such as Alzheimer's disease, Parkinson's disease and amyotrophic lateral sclerosis can be ascribed to the loss of functional neurons1. Induction of neurite outgrowth by administration of endogenous trophic factors has been proposed as one of several new therapeutic strategies2. However, clinical trials with neurotrophic factors have been rather disappointing because these drugs either caused tumorigenesis or failed to be delivered into the central nervous system3,4. Therapeutic efforts aimed at developing non-peptidic liposoluble small molecules acting on signaling pathways involved in neurite initiation have been proposed as a valid alternative or adjunct to solve these problems5. Such compounds could penetrate the blood-brain barrier and further promote neuritogenesis at the impaired site, thus exerting neurotrophin-like activities without major difficulties.

In this regard, natural products are attractive sources of potentially effective drugs. Claulansine F (Clau F) is a carbazole alkaloid isolated from the stem of Clausena lansium (Lour) Skeels6, a member of the Rutaceae family. The structure of Clau F is shown in Figure 1. Unlike the other carbazole alkaloids which only exhibit antitumor or antifungal activity, Clau F inhibits cell proliferation and promotes neurite outgrowth in PC12 cells in addition. Because Clau F has a novel chemical structure according to its bioactivity, we decided to further analyze the signal transduction pathways underlying its neuritogenesis-promoting effects.

Figure 1
figure 1

Structure of Clau F.

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The rat PC12 pheochromocytoma cell line is a well-established cell model that differentiates into a neuronal phenotype with neurite outgrowth after exposure to neurotrophic peptides such as nerve growth factor (NGF)7. The binding of NGF to high-affinity tyrosine kinase A (Trk A) receptors mainly triggers two cellular signaling cascades: the MAPK-ERK and PI3K-AKT pathways, which modulate cell proliferation and differentiation, respectively8,9. After binding to phosphotyrosine-containing recognition elements of TrK A receptors, signal molecules of the MAPK and inositol triphosphate (PI3) kinase pathways are phosphorylated and thus activated. The activation of PI3 kinase pathways thus triggers gene transcription and regulation of the cytoskeletal machinery. In these differentiation conditions, sustained activation of the MAPK-ERK pathway and its downstream transcription factor CREB has an essential role in cellular transduction10. Moreover, the acetylation of p53, which is triggered by PI3K-AKT, has also been implicated in the regulation of axonal outgrowth11.

Clau F can exert a neurotrophin-like effect, which may be due to its chemical structure. However, here, we focused on observing the efficacy of Clau F with respect to its ability to promote neurite outgrowth and clarifying its underlying mechanism of action, which is implicated in the NGF-mediated differentiation process.

Materials and methods

Chemicals and reagents

Clau F was obtained as previously described12. NGF was purchased from the National Institute for Control of Pharmaceutical and Biological Products (Beijing, China). PD98059 and LY294002 were purchased from Cell Signaling Technology (Danvers, MA, USA). Hoechst 33342 and 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-tetrazolium bromide (MTT) were purchased from Sigma Chemical Company (St Louis, MO, USA). Cell membrane proteins, cytoplasmic proteins and nuclear proteins were extracted using the Nucl-Cyto-Mem Preparation Kit (Applgen, Beijing, China). Antibodies that recognize acetylated p53 were purchased from Upstate Biotechnology (Waltham, MA, USA). GAP-43 and the phosphorylated forms of ERK1/2 (Thr202/Tyr204), CREB (Ser133) and AKT (Ser473) were purchased from Santa Cruz Biotechnology (Dallas, TX, USA). All secondary antibodies were purchased from Cell Signaling Technology (Danvers, MA, USA). All other chemicals were of analytical grade and were commercially available.

PC12 cell culture

PC12 cells were purchased from the American Type Culture Collection (ATCC, USA). The cells were cultured in Dulbecco's modified Eagle's medium (DMEM; Invitrogen, Gibco, USA) supplemented with 5% heat-inactivated fetal bovine serum (FBS; Invitrogen, Gibco, USA) and 5% equine serum (ES; Thermo Scientific, Hyclone, USA). The cultures were maintained in a humidified incubator at 37 °C in an atmosphere of 95% air and 5% CO2. The media were changed every 2 d during the culture.

Newborn Sprague-Dawley (SD) rat cell culture

Newborn SD rats (born less than 24 h prior to dissections) were purchased from Vital River Laboratory Animal Technology Co, Ltd. Cerebral cortices were dissected from the rats and cultured in DMEM/F12 medium (Invitrogen, Gibco, USA) containing 10% ES. The cultures were maintained in a humidified incubator at 37 °C in an atmosphere of 95% air and 5% CO2. The media were changed every 2 d during the culture. All animals were handled in accordance with the standards established in the Guide for the Care and Use of Laboratory Animals published by the Institute of Laboratory Animal Resources of the National Research Council (USA), and the procedures were approved by the Animal Care and Use Committee of the Peking Union Medical College and the Chinese Academy of Medical Sciences (Beijing, China). All efforts were made to minimize the number of animals used as well as their suffering.

Cell viability assay

Cells were plated in poly-L-lysine-coated 96-well plates in serum-free medium at a density of 5×103 cells per well and allowed to attach for 24 h. Then, the cells were washed and incubated in DMEM supplemented with 5% FBS, 5% ES and 10 μmol/L Clau F or 50 ng/mL NGF for 4 d. During this time, the experimental compound was renewed every 2 d. After incubation, the cells were treated with MTT solution for 4 h and exposed to an MTT-formazan dissolving solution [a mixture of methanol and dimethyl sulfoxide (DMSO)]. The optical density (OD) was determined using an absorbance microplate reader (Molecular Devices, Toronto, Canada) set at a wavelength of 570 nm. The cell viability was expressed as a percentage of the OD value of the control cultures.

Neurite outgrowth

Cells were plated in poly-L-lysine-coated 24-well plates in serum-free medium at a density of 5×103 cells per well and allowed to attach for 24 h. Then, the cells were washed and incubated in DMEM supplemented with 5% FBS, 5% ES and 10 μmol/L Clau F for 6 d. During this time, the experimental compound was renewed every 2 d. Quantification of neurite outgrowth was performed as previously described13. Briefly, the cells were examined under a microscope, and only processes longer than 20 μm were considered as neurites. Neurite outgrowth was quantified as the percentage of cells bearing neurites with lengths at least twice as long as the cell diameter.

Immunocytochemical staining

Cells were fixed in 4% formaldehyde, membrane-permeabilized in Triton X-100 and blocked using goat serum. The cells were then exposed to a primary antibody overnight at 4 °C followed by incubation at room temperature with an Alexa Fluor 488-conjugated secondary antibody.

Hoechst staining

Cells were fixed in 4% formaldehyde, membrane-permeabilized in Triton X-100 and subsequently exposed to 2 μg/mL Hoechst 33324 dissolved in 95% glycerin. Fluorescent images were acquired by fluorescence microscopy.

Western blotting analysis

Cells were harvested in cell lysis buffer, and protein was separated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and transferred onto polyvinyldifluoride membranes. After incubation overnight at 4 °C with primary antibody, the membranes were incubated with HRP-conjugated secondary antibodies. The blots were developed using an ECL Plus Kit (Amersham Biosciences, Aylesbury, UK) and exposed to Kodak autoradiographic film. All data were obtained from three independent experiments and were expressed as ratios of the OD values of the corresponding controls for statistical analyses (Tukey's test).

Reverse transcription PCR (RT-PCR) assay

RT-PCR was performed to determine the mRNA expression of GAP-43 in PC12 cells. Total cellular RNA was isolated using TRIzol reagent following the manufacturer's protocols and quantified by measuring the absorbance at 260 nm. The RNA purity was determined using the A260/A280 ratio (average ratio>1.85). Total RNA from each sample was reverse-transcribed into cDNA using the Reverse Transcription System (Takara Biotechnology, Otsu, Shiga, Japan). The cDNAs were amplified with the following specific primers: GAP-43, 5′-ATGCTGTGCTGTATGAGAAG-3′ (upstream); 5′-TCAGGCATGTTCTTGGTCAG-3′ (downstream). Amplification was performed as follows: 35 cycles of 95 °C for 30 s, 52 °C for 30 s, and 72 °C for 45 s. The PCR products were normalized in relation to β-actin mRNA standards.

Statistical analysis

The data are expressed as the mean±SEM. Analysis of variance (ANOVA) followed by Dunnett's test or Tukey's test was used for statistical comparisons. The level of statistical significance was set at P<0.05 and P<0.01.

Results

Clau F promotes neurite outgrowth in PC12 cells

First, we examined whether the pro-neuritogenesis effect of Clau F was concentration-dependent. As was shown in Figure 2A, a 10 to 100 μmol/L final concentration of Clau F caused significant neuritogenesis (P<0.01) in PC12 cells. Although no apparent cytotoxicity was observed in the 50 μmol/L or 100 μmol/L group, crystallization of Clau F can be observed at a 50 or 100 μmol/L final concentration. This is most likely due to the relatively low polarity of Clau F. Therefore, we utilized a 10 μmol/L final concentration in subsequent experiments.

Figure 2
figure 2

Clau F promoted neurite outgrowth in PC12 cells. Quantitative analysis of band density was performed using three independent Western blotting analyses. (A) Clau F induction of neurite outgrowth was not concentration-dependent, and 10 μmol/L to 100 μmol/L concentrations could initiate neuritogenesis significantly after 2 d of incubation. (B) The effect of Clau F on the promotion of neurite outgrowth was examined based on morphology changes and increased expression of GAP-43. (C) The efficiency of neurite outgrowth promoted by Clau F was similar to that of NGF within 6 d of incubation. (D) The increased expression level of GAP-43 during long-term induction was evidenced both by immunoblotting and RT-PCR. bP<0.05, cP<0.01 vs control. β-Actin protein was used as a loading control.

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We used NGF as a positive control in this neuronal model. The pro-differentiation potency of NGF (50 ng/mL) was comparable to that described in the literature after a 2-d treatment14. We next investigated the pro-neuritogenesis effect of Clau F by evaluating the synthesis of GAP-43, a marker of neurite outgrowth. PC12 cells were exposed to 10 μmol/L Clau F or 50 ng/mL NGF for 2 d before being fixed and subjected to GAP-43 immunostaining and Hoechst 33342 staining. We found that both agents induced a higher expression level of GAP-43 compared with the control group as shown in Figure 2B. For long-term incubation, PC12 cells were exposed to Clau F or NGF for different lengths of time (≤6 d), and the percentage of cells with neurites was determined. As shown in Figure 2C, the percentages of cells with neurites induced by NGF and Clau F were 69.7%±4.1% and 66.3%±3.2%, respectively, after 6 d of treatment, showing that the efficacy of Clau F for promoting neurite outgrowth was similar to that of NGF. The total proteins of these cells were extracted for Western blotting analysis, and total cellular RNA was isolated for RT-PCR assays. As shown in Figure 2D, both agents caused a gradual increase in GAP-43 protein and mRNA levels over 7 d.

Clau F inhibits cell proliferation without causing cell death

Although NGF significantly promoted cell proliferation, Clau F was able to restrain cell proliferation based on our preliminary screen of cell viability. As shown in Figure 3A, within 7 d of treatment with Clau F (10 μmol/L), a significant inhibitory effect on cell proliferation was noted compared with the control group. To determine whether Clau F caused cell death due to cytotoxicity, we separated the cerebral cortex from newborn SD rats, dispersed the cells and treated them with Clau F (10 μmol/L) for 7 d. We then evaluated the cell viability by MTT assay. Figure 3B illustrates that no significant viability change was observed among the control group at 0 d (a), the control group at 7 d (b) and the Clau F treatment group at 7 d (c), suggesting that Clau F was not cytotoxic at a final concentration of 10 μmol/L.

Figure 3
figure 3

Clau F restrained cell proliferation without causing cell death. After treatment with different agents, the cells were incubated with MTT solution for 4 h and exposed to an MTT-formazan dissolving solution (a mixture of methanol and DMSO). The optical density (OD) was determined using an absorbance microplate reader (Molecular Devices, Toronto, Canada) set at a wavelength of 570 nm. The cell viability was expressed as a percentage of the OD value of the control cultures. (A) After 7 d of incubation, the control group showed exponential proliferation, whereas Clau F showed only moderate multiplication. (B) Cytotoxicity test of Clau F (10 μmol/L) on neural cells from the cerebral cortex of newborn SD rats. No significant difference was observed between the control culture at 0 d (a), the control culture at 7 d (b) or the Clau F-treated culture at 7 d (c). Morphological changes were observed using an inverted microscope. Mean±SEM. bP<0.05, cP<0.01 vs control.

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Clau F activates the ERK and AKT signaling pathways in PC12 cells

To determine whether the MAPK-ERK and PI3K-AKT signaling pathways are involved in our model, 10 μmol/L Clau F or 50 ng/mL NGF treatments were applied for different durations (≤1 h) followed by separation of total cell lysates (adjusted to equal amounts of protein) on SDS-PAGE gels. The proteins were then electrotransferred to a PVDF membrane, which was immunoblotted with specific antibodies against phosphor-AKT, acetylate-P53, phosphor-CREB and phosphor-ERK1/2. Figure 4A and 4B show that both the signaling pathways implicated in NGF-mediated neuritogenesis were activated by Clau F in a time-dependent manner.

Figure 4
figure 4

Potentiation of NGF-mediated AKT and ERK signaling was accomplished by Clau F. Quantitative analysis of band density was performed using three independent Western blotting analyses. (A) Clau F stimulated ERK and CREB activation within 60 min of incubation with Clau F. β-Actin and unphosphorylated ERK1/2 protein were used as loading controls. (B) The phosphorylation level of AKT and the acetylation level of p53 were significantly increased during a 60-min incubation with Clau F. β-Actin protein was used as a loading control. Mean±SEM. bP<0.05, cP<0.01 vs control.

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Inhibition of ERK1/2 partially abolishes Clau F-induced neurite outgrowth in PC12 cells

To investigate whether Clau F promoted neurite outgrowth by activating either the ERK or AKT signaling pathway, PC12 cells were cultured in serum-free medium containing PD98059 (30 μmol/L) or LY294002 (20 μmol/L), the specific inhibitors of PI3K and ERK, together with Clau F or NGF for 2 d. The percentage of cells with neurites was determined 2 d after the treatment. Figure 5A shows that cells incubated with PD98059 and Clau F (c) completely lost their neurite outgrowth ability, whereas a 14.4% attenuation was observed under Clau F and LY294002 co-treatment (d). However, a block of either one of the NGF signaling pathways did not hinder the pro-neuritogenesis effect. Only a block of both pathways caused a relative decrease in the percentage of cells with neurites.

Figure 5
figure 5

Clau F induced neurite outgrowth by activating the ERK pathway, but not the AKT pathway, in PC12 cells. Quantitative analysis of band density was performed using three independent Western blotting analyses. (A) In the Clau F group (b-d), the ERK-specific inhibitor PD98059 completely abolished neurite outgrowth, whereas the PI3K-specific inhibitor LY294002 only reduced neurite outgrowth by 14.4%. In the NGF group (e–h), single treatment with PD98059 or LY294002 did not cause significant changes in the ratio of neurite outgrowth; only co-treatment with PD98059 and LY294002 successfully abolished the neurite outgrowth promoted by NGF. Morphological changes were observed with an inverted microscope. (B) The expression of GAP-43 was significantly decreased in the PD98059 group, whereas it was only attenuated by 13% in the LY294002 group. (C) The levels of phospho-CREB and acetylated p53 were significantly decreased by the ERK-specific inhibitor PD98059. The PI3K-specific inhibitor LY294002 decreased the level of phospho-CREB by 13.3% and acetylated p53 by 19.0%. Mean±SEM. bP<0.05, cP<0.01 vs control. β-Actin protein was used as a loading control.

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To further examine whether the activation of the ERK pathway is critical for neurite outgrowth, the cells were incubated with inhibitors for 1 h. Subsequently, Clau F or NGF was added for an additional hour of co-incubation prior to harvesting total cellular protein. The levels of GAP-43, phosphor-CREB, and acetylated p53 were detected by Western blotting. Figure 5B and 5C show that PD098059 caused a 42.6% decrease in GAP-43, a 75% decrease in phosphor-CREB, and a 66.7% decrease in acetylated p53 compared with the Clau F group. LY294002 caused a 6.7% decrease in GAP-43, a 22.0% decrease in phosphor-CREB, and a 19.0% decrease in acetylated p53 compared with the Clau F group. The suppression of Clau F-mediated neuritogenesis by the ERK inhibitor was corroborated by the involvement of the ERK pathway in the neuritogenic effect of this alkaloid.

Discussion

It has been shown that (−)clausenamide, a compound extracted from the leaves of Clausena lansium, improves learning and memory in animal models of amnesia15. Clau F, a carbazole alkaloid that is isolated from the stem of C lansium, shows some distinct bioactivity. Interestingly, Clau F and the endogenous hormone melatonin have similar structures as well as some common bioactivity, such as free radical clearance and anti-proliferation16,17.

In this study, we investigated the effect of Clau F on neuritogenesis and finally obtained three novel findings: 1) In addition to anti-proliferation, Clau F, as a carbazole alkaloid, also has a role in neuritogenesis; 2) Clau F promotes neurite outgrowth and expression of GAP-43 with an efficacy similar to that of NGF; 3) This effect may be related to the sustained activation of the MAPK-ERK but not the PI3K-AKT signaling pathway.

Undifferentiated PC12 cells did not sprout neurites (less than 1%). In our neural model, NGF-differentiated cells produced neurites over a time course, which was in agreement with previous studies14. Using the percentage of neurite-bearing cells as a marker, we found that there was no significant difference between Clau F and NGF with respect to neurite outgrowth promotion.

GAP-43 is a neuron-specific protein, and its synthesis and fast axonal transport are elevated during development and nerve regeneration18,19. Depletion of GAP-43 markedly alters the morphology of neurites and growth cones20. Spatial and temporal changes in GAP-43 content and localization in the cell are positively correlated with transmitter release, cytoskeletal regulation and cell growth activated by neurotrophic factors such as NGF21,22,23. Increased expression of GAP-43 was observed in several previous studies when neurite outgrowth was promoted in neural cells under various conditions24. In contrast, increased expression of GAP-43 has not been reported following central nervous system (CNS) injury in higher vertebrates25,26.

To further confirm the neurite outgrowth-promoting effect of Clau F, we observed morphological changes in PC12 cells using a fluorescence microscope. As shown in Figure 2B, GAP-43 (red color) was increased substantially in cells incubated with Clau F. We then extended the Clau F incubation time to 7 d and examined the total expression of GAP-43 by immunoblotting and RT-PCR. As shown in Figure 2D, the levels of GAP-43 protein and mRNA continuously increased for 7 d. There was no significant difference between the Clau F group and the NGF group with respect to the level of GAP-43 expression by 7 d, suggesting that Clau F has a significant pro-neuritogenesis effect.

Molecules with similar chemical structures tend to have similar bioactivities. For example, melatonin and carbazole alkaloid both inhibit cell proliferation. However, it was unclear whether Clau F inhibited cell proliferation through regulation of the cell cycle or through cytotoxicity, ultimately leading to cell death. We explored this further to evaluate the safety of Clau F and to better understand its exact mechanism of action. We used neural cells from newborn SD rats as the cell model because they exhibit a low level of proliferation and they are sensitive to cytotoxicity. After 7 d of treatment with Clau F, we subjected the cells to the MTT assay and found that there was no significant difference between Clau F and the control groups (examined at 1 d and 7 d of culture). This result suggested that Clau F can control cell proliferation through the regulation of certain cell cycle signaling pathways, eventually leading to cell death, and its effect is not due to non-selective cytotoxicity.

NGF activates different intracellular signaling pathways leading to neurite outgrowth, and it is widely accepted that sustained activation of the ERK signaling pathway is critical in neuronal differentiation.

To examine whether the Clau F-mediated neurite outgrowth effect is involved in the activation of these kinases, we first determined the phosphorylation state of ERK1/2 in PC12 cells after different durations of treatment. As shown in Figure 3A, a noticeable increase in ERK1/2 was observed 30 min after treatment, and a maximal effect was obtained 1 h after treatment. The degree of phosphorylation of ERK was comparable to that obtained by treatment with NGF. It has been shown that both the magnitude and longevity of MAPK activation govern the nature of the cellular response27. In PC12 cells, prolonged activation of ERK caused by NGF induces differentiation, whereas transient activation stimulates proliferation. It therefore seems plausible that the late and prolonged activation of ERK1/2 followed by the activation of p53 and CREB, together with the proliferation inhibition induced by Clau F, could be responsible for the neuritic initiation28.

It has been reported that the increased acetylation of p53 is responsible for its increased binding to the promoters of pro-outgrowth genes including CREB, GAP-43, and NGF29,30. As shown in Figure 3B, acetylation of p53 induced by Clau F was significantly increased compared with the control group. Activation of the PI3K-AKT or MAPK-ERK pathway subsequently induces p53 acetylation, which would stimulate neural outgrowth and cause cell cycle arrest in PC12 cells31,32,33. Thus, we investigated the effect of Clau F on the PI3K-AKT pathway by measuring the phospho-AKT (Ser473) level, which was significantly different between the two groups with respect to both activation time course and intensity after treatment. Blockage of the AKT pathway with an AKT-specific inhibitor, LY294002, inhibited Clau F-induced neuritogenesis by 14.4%. However, although both pathways must be blocked to abolish the pro-neuritogenesis effect of NGF, the ERK-specific inhibitor PD98059 completely blocked the neurite outgrowth effect promoted by Clau F.

To further examine whether activation of the ERK pathway is critical for Clau F-induced neurite outgrowth, GAP-43 protein levels were measured by Western blotting analysis. PD098059 treatment decreased the expression of GAP-43 to a level similar to that of the control group, whereas LY294002 only slightly decreased GAP-43 (by 6.7%). A relatively low level of GAP-43 indicated the loss of neurite outgrowth ability in the group incubated with both PD98059 and Clau F, which further demonstrated the critical role of the ERK signaling pathway in neuritogenesis promoted by Clau F. Moreover, PD098059 significantly inhibited the acetylation of p53 (by 66.7%) and the phosphorylation of CREB (by 75%). LY294002 only decreased CREB phosphorylation by 22.0% and p53 acetylation by 19.0%. The above results indicate that the ERK pathway is critical for the increase in acetylated p53, which in turn confers the neuritogenesis promoted by Clau F.

In summary, Clau F displays neuritogenic activity with an efficacy similar to that of NGF in PC12 cells. We have also provided evidence to suggest that NGF and Clau F-induced neurogenesis are mediated through distinct mechanisms. Whereas NGF-induced neurogenesis is involved in both MAPK-ERK and PI3K-AKT pathways, Clau F-induced neurite outgrowth selectively depends on the activation of ERK but not AKT.

More recent studies have shown that Clau F can increase the mRNA level of NGF and the expression level of tyrosine hydroxylase (TH). This suggests that Clau F might play a role in promoting differentiation. Our future studies will focus on the precise mechanisms and potency of the pro-differentiation and proliferation inhibition effects induced by Clau F in neural stem and progenitor cells.

Author contribution

Yin-zhong MA performed most of the experiments; Shi-feng CHU analyzed the data; Jin-feng HU and Yin-zhong MA prepared the manuscript; Jing-wei LI and Wen-bin HE assisted in the experiments; and Nai-hong CHEN and Na NING designed the study.