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FEBS Letters 583 (2009) 2854–2858

journal homepage: www.FEBSLetters.org

Ganglioside-induced amyloid formation by human islet amyloid polypeptide


in lipid rafts
Masaki Wakabayashi 1, Katsumi Matsuzaki *
Graduate School of Pharmaceutical Sciences, Kyoto University, Sakyo-ku, Kyoto 606-8501, Japan

a r t i c l e i n f o a b s t r a c t

Article history: Human islet amyloid polypeptide (hIAPP) is the primary component of the amyloid deposits found
Received 17 June 2009 in the pancreatic islets of patients with type 2 diabetes mellitus. However, it is unknown how amy-
Revised 20 July 2009 loid fibrils are formed in vivo. In this study, we demonstrate that gangliosides play an essential role
Accepted 24 July 2009
in the formation of amyloid deposits by hIAPP on plasma membranes. Amyloid fibrils accumulated
Available online 3 August 2009
in ganglioside- and cholesterol-rich microscopic domains (‘lipid rafts’). The depletion of ganglio-
Edited by Jesus Avila sides or cholesterol significantly reduced the amount of amyloid deposited. These results clearly
showed that the formation of amyloid fibrils was mediated by gangliosides in lipid rafts.
Keywords:
Ó 2009 Federation of European Biochemical Societies. Published by Elsevier B.V. All rights reserved.
Human islet amyloid polypeptide
Amyloid fibril
Ganglioside
Cholesterol
Lipid raft

1. Introduction onset of type 2 DM has not been resolved. However, the amyloid
deposits cause cellular dysfunction, suggesting that their forma-
The deposition of insoluble amyloid fibrils in tissues is a hall- tion is involved in the pathological process. It should be noted that
mark of a range of diseases referred to as amyloidoses, that include the physiological concentration of hIAPP might not be high enough
type II diabetes mellitus (DM), Alzheimer’s disease, and transmis- to cause self-aggregation. Accumulating evidence has suggested
sible spongiform encephalopathy [1–4]. The misfolding of a unique that membrane lipids play a crucial role in the formation of amy-
peptide or protein into b-sheet-rich fibrous structures is proposed loid fibrils [10]. Experiments in vitro demonstrated that two nega-
to be a key step in the onset and development of these diseases tively charged lipid species, phosphatidylglycerol (PG) [11], and
[3,5]. The amyloid deposits cause cell dysfunction, death, and sub- phosphatidylserine (PS) [12], significantly facilitate the production
sequently severe impairment in tissues of patients. Elucidation of of amyloid by hIAPP. However, neither lipid is expressed in the
amyloid formation mechanisms, which are still poorly understood, outer leaflets of plasma membranes of mammalian cells. Therefore,
is essential for prevention of the onset and development of other lipid species would induce the amyloidogenesis on cell mem-
amyloidoses. branes. In the case of Alzheimer’s amyloid b-protein, gangliosides
Native human islet amyloid polypeptide (hIAPP) is the primary in lipid microdomains (‘lipid rafts’) mediated the protein’s aggrega-
component of the amyloid deposits [6,7] found in the pancreatic is- tion [13]. Lipid rafts are composed of sphingomyelin, gangliosides,
let of patients with type 2 DM [8,9]. The causal relationship be- and cholesterol [14] and considered to be a platform of a large
tween the formation of amyloid fibrils containing hIAPP and the number of events in plasma membranes, including signal trans-
ductions and viral assembly and budding [15–17]. The formation
Abbreviations: aMEM, alpha modification of Eagle’s medium; CHO, Chinese of amyloid fibrils by hIAPP is also possibly mediated by ganglio-
hamster ovary; CTX-B, Alexa Fluor 647-conjugated cholera toxin subunit B; DIC, sides in lipid rafts on live cell membranes.
differential interference contrast; DM, diabetes mellitus; DMEM, Dulbecco’s Mod- In this study, we visualized hIAPP amyloid deposits on cell
ified Eagle’s Medium; HFIP, hexafluoroisopropanol; hIAPP, human islet amyloid
membranes. Amyloid fibrils accumulated in ganglioside- and cho-
polypeptide; PDMP, N-[2-hydroxy-1-(4-morpholinylmethyl)-2-phenylethyl]-
decanamide hydrochloride; TBS, Tris buffered saline lesterol-rich domains in a concentration-dependent manner, lead-
* Corresponding author. Fax: +81 75 753 4578. ing to cell death. The depletion of gangliosides or cholesterol
E-mail address: katsumim@pharm.kyoto-u.ac.jp (K. Matsuzaki). significantly reduced the amount of hIAPP accumulated.
1
Research fellow of the Japan Society for the Promotion of Science.

0014-5793/$36.00 Ó 2009 Federation of European Biochemical Societies. Published by Elsevier B.V. All rights reserved.
doi:10.1016/j.febslet.2009.07.044
M. Wakabayashi, K. Matsuzaki / FEBS Letters 583 (2009) 2854–2858 2855

2. Materials and methods 2.5. Interaction of preincubated hIAPP with cells

2.1. Materials Ten micromolar hIAPP was preincubated in medium for 24 h at


37 °C with 5% CO2. The incubated peptides were directly applied to
Dulbecco’s Modified Eagle’s Medium (DMEM), horse serum, bo- plated PC12 cells and further incubated for 30 min at 37 °C with 5%
vine serum, penicillin, and streptomycin were purchased from CO2. GM1 labeling was performed as described above.
Invitrogen (Carlsbad, CA). Alpha modification of Eagle’s medium
(aMEM) and Congo red were obtained from ICN Biomedicals (Aur- 2.6. Inhibition of gangliosides or cholesterol synthesis
ora, OH) and Nacalai Tesque (Kyoto, Japan), respectively. HIAPP
(purity > 95%) was purchased from Peptide Institute (Minou, Ja- PC12 cells were incubated with 20 lM PDMP for 24 h or 1 lM
pan). Alexa Fluor 647-conjugated cholera toxin subunit B (CTX-B) compactin for 48 h, which inhibited gangliosides or cholesterol
and Calcein-AM were obtained from Molecular Probes (Eugene, synthesis, respectively. The compactin-treatment was reported to
OR). Hexafluoroisopropanol (HFIP) was purchased from Sigma reduce the cellular cholesterol level to about 40% of the normal le-
(St. Louis, MO). N-[2-Hydroxy-1-(4-morpholinylmethyl)-2-phenyl- vel without affecting the viability [19]. The reagent-containing
ethyl]-decanamide hydrochloride (PDMP) and compactin (meva- medium was replaced with fresh medium containing 20 lM hIAPP
statin) were obtained from Wako (Osaka, Japan) and Pierce and the cells were incubated for 24 h. Cell staining was performed
(Rockford, IL), respectively. as described above.

2.2. Peptide solutions 2.7. Estimation of ganglioside content and accumulated amount of
hIAPP amyloids
In order to prepare stock solutions of aggregate-free hIAPP, the
peptide was first dissolved in HFIP at 500 lM and aliquots of the The amount of cell surface gangliosides and accumulated hIAPP
solution were nitrogen-evaporated to completely remove the sol- amyloids were estimated by the fluorescence intensity of bound
vent. Peptide stock solutions were stored at 80 °C prior to use. CTX-B and Congo red, respectively [20,21]. The background fluo-
Just before the experiment, hIAPP was dissolved in 10 mM sodium rescence was subtracted from the CTX-B or Congo red fluorescence
phosphate buffer and pH was adjusted to pH 10 with 1 M NaOH expressed in 256 tones pixel by pixel. The intensity multiplied by
[18]. the pixel number was summed and normalized to the cell number
To confirm the absence of any pre-aggregated peptide, prepared examined. This value reflects the quantity of gangliosides or accu-
stock solution of hIAPP was fractionated with a Superdex 75 10/ mulated hIAPP amyloids per cell.
300 GL column with an exclusion limit of 40 000 Da, which had
been pretreated with an excess of BSA to block non-specific bind-
ing of peptides. The column was eluted with Tris buffered saline 3. Results and discussion
(TBS) at a flow rate of 0.5 mL/min and the peptide was detected
by measuring UV absorbance at 220 nm. Molecular mass was esti- Ganglioside-expressing PC12 cells were incubated with 10 lM
mated with FITC-dextrans (M.W. 4400, 21 200, 42 000) as stan- hIAPP for 24 h, and subsequently stained with Congo red and
dards. The blank chromatographs were subtracted. From the CTX-B, the former being suitable for staining amyloids in live cells
prepared solution, any oligomers and aggregates were not detected [13] and the latter being a specific probe for gangliosides. The dis-
(data not shown). tribution of gangliosides on PC12 cell membranes is heterogenous
(Fig. 2A, PC12 untreated). Ganglioside-rich domains, in which gan-
gliosides are brightly stained with CTX-B, are also cholesterol-rich
2.3. Cell culture and sample preparation
and abolished by cholesterol depletion [13,22], suggesting that the
microscopic domains were assemblies of nano-scale membrane
Rat pheochromocytoma PC12 cells were cultured in DMEM con-
patches, called ‘lipid raft’ [23]. hIAPP specifically accumulated in
taining 5% horse serum, 10% bovine serum, 100 units/mL penicillin,
the ganglioside- and cholesterol-rich domains in PC12 cell mem-
and 0.1 mg/mL of streptomycin at 37 °C with 5% CO2. Chinese ham-
branes, forming amyloid fibrils (Fig. 1A). Fig. 1B shows the concen-
ster ovary (CHO) cells were cultured in aMEM containing 10% fetal
tration-dependent accumulation of the amyloid. At a concentration
bovine serum, 100 U/mL penicillin, and 0.1 mg/mL of streptomycin
of 25 lM, hIAPP was clearly cytotoxic, as judged from differential
at 37 °C with 5% CO2. After being plated at a density of 100 000
interference contrast (DIC) images and fluorescence micrographs
cells onto a poly-D-lysine-coated 35-mm glass-bottomed dish, cells
of a live cell indicator, calcein-AM (data not shown). The peptide-
were incubated for 24 h at 37 °C with 5% CO2. Unless otherwise
induced cytotoxicity was observed after hIAPP amyloid had accu-
noted, PC12 and CHO cells were incubated with reagents in the
mulated on cell membranes to some extent, suggesting that the
medium at 37 °C with 5% CO2 and washed twice with TBS. The cells
native cytotoxic form of hIAPP was produced during the process
were stained with fluorophores in TBS at room temperature and
of the peptide aggregation into Congo red-positive amyloids. Addi-
washed twice with TBS.
tionally, on the pathway of amyloidogenesis, hIAPP does not form
small oligomers [24], indicating that the cytotoxic form was possi-
2.4. Cell staining bly amyloid fibrils.
To examine whether hIAPP initially bound to and then accumu-
Cells were incubated with freshly prepared hIAPP and subse- lated on cell membranes, or initially aggregated in the medium and
quently stained with 20 lM Congo red (excitation, 543 nm; emis- then bound to the membranes, hIAPP was preincubated in medium
sion, band pass filter (BP) 560–615 nm) for 30 min. Labeling of for 24 h and then applied to PC12 cells. No accumulation of amy-
cell surface gangliosides was performed by incubating the cells loid was observed (Fig. 1C), indicating that hIAPP formed amyloids
with 10 lg/mL CTX-B (excitation, 633 nm; emission, LP 650 nm) on ganglioside- and cholesterol-rich domains and fibrils formed in
for 20 min. Fluorescently labeled cells were visualized using the solution were not the main toxic components.
63 C-Apochromat objective of a Zeiss LSM 5 PASCAL confocal la- To investigate whether gangliosides and cholesterol were
ser scanning microscope, and in double-labeling experiments, the essential for the accumulation of hIAPP amyloid on cell mem-
multi-tracking mode was selected, unless otherwise noted. branes, PC12 cells were treated with PDMP, an inhibitor of gangli-
2856 M. Wakabayashi, K. Matsuzaki / FEBS Letters 583 (2009) 2854–2858

Fig. 1. Accumulation of hIAPP amyloids on PC12 cell membranes. (A) PC12 cells were incubated with 10 lM hIAPP for 24 h and stained with Congo red and CTX-B. (B) PC12
cells were incubated with hIAPP at the indicated concentrations for 24 h and stained with Congo red. (C) Ten micromolar hIAPP was preincubated in culture medium for 24 h,
and then applied to PC12 cells for 30 min.

oside synthesis, or compactin, an inhibitor of cholesterol synthesis, cell membranes containing gangliosides induced the amyloid for-
and then incubated with 20 lM hIAPP. PDMP significantly reduced mation by hIAPP.
the amount of ganglioside to about 43% of control (Fig. 2A). The Moreover, it was reported that the amino acid sequences
compactin-treatment was reported to reduce the cellular choles- responsible for amyloid formation and membrane disruption are
terol level to about 40% of the normal level without affecting the located in different regions of the peptide and amyloid formation
viability [19] and we have found that inhibiting the synthesis of can occur independently from membrane disruption [29,30]. The
cholesterol reduced ganglioside content [13]. According to the de- C-terminal domain has amyloidogenic property, and the N-termi-
crease in ganglioside and cholesterol contents, the accumulation of nal fragment of hIAPP was alone sufficient to induce membrane
hIAPP amyloids was significantly suppressed (Fig. 2B). PDMP- and perturbation and a single mutation abolished the activity [31–
compactin-treatment lowered the amount of hIAPP accumulated 33]. The interaction of the N-terminal part of hIAPP with mem-
to 28% and 36% of the control level, respectively. branes is driven by electrostatic interactions. However, model lipid
CHO cells, which express no ganglioside, were also incubated membranes used in these reports include only PG as an anionic li-
with 20 lM hIAPP for 24 h, and subsequently stained with Congo pid, which is not expressed in the outer leaflets of plasma mem-
red and CTX-B. CHO cell membranes were not stained with CTX- branes of mammalian cells. Another anionic lipid, PS, has also
B (Fig. 2A), and hIAPP amyloid did not accumulate on the mem- been proposed as an inducer of amyloid formation and subsequent
branes (Fig. 2B). cell death by hIAPP and amyloid b-protein [12,34,35]. However, PS
These results clearly showed that gangliosides and cholesterol constitutively exists in the inner leaflets and its exposure to the
played crucial roles in the formation of amyloid fibrils by hIAPP. Both outer leaflets implies apoptotic cell death, suggesting that the
gangliosides and cholesterol are components of lipid rafts in plasma interaction of the peptides with PS may not be considered as the
membrane and the depletion of each lipid reduced the accumulation primary cause of extracellular amyloid deposits and cell death in
of amyloid, evidently indicating that gangliosides in lipid rafts were intact islet cells. Therefore, the interaction of N-terminal region
the cause of the formation of amyloid by hIAPP. The ganglioside-in- of hIAPP with the membranes would be mediated by gangliosides,
duced production of amyloid fibrils is also supported by the findings which are major anionic lipids of mammalian cell membranes.
that amounts of gangliosides were markedly greater in pancreatic is- Gangliosides in lipid rafts are clustered [36] and the local electro-
lets than in pancreatic tissues [25] and the deposition of hIAPP amy- static interaction with hIAPP would be significantly enhanced.
loid was specific to pancreatic islet b cells [8,9]. These findings possibly indicate the existence of two independent
Sparr et al. demonstrated using rat insulinoma tumor (RIN) cell processes. hIAPP preferentially binds to gangliosides in lipid rafts
that the presence of cell membranes promoted the formation of by electrostatic interactions and the ganglioside-bound peptide
amyloid by hIAPP and the amyloidogenesis was coupled to the facilitates the amyloid formation. During amyloid formation pro-
extraction of membrane lipids and the subsequent permeabiliza- cess, hIAPP takes up membrane lipids, permeabilizes the mem-
tion of the lipid membranes, leading to cytotoxicity [26]. Recently, branes, and leads to cell death. Accelerated binding of hIAPP to
the uptake of membrane lipids of pancreatic b-cell line INS-1E dur- cell surface gangliosides ultimately, albeit indirectly, elicits the en-
ing the aggregation of hIAPP was also reported [27]. In the case of hanced cytotoxicity. We previously reported that ganglioside-
Alzheimer’s amyloid b-protein, ganglioside-bound form promotes bound form of amyloid b-protein generates negative curvature
the protein aggregation and cytotoxicity [28]. In this study, PC12 strain on lipid bilayers [37]. hIAPP also provokes negative mem-
M. Wakabayashi, K. Matsuzaki / FEBS Letters 583 (2009) 2854–2858 2857

Fig. 2. Gangliosides- and cholesterol-dependent accumulation of hIAPP amyloids on plasma membranes. (A) Cell surface gangliosides of PC12 or CHO cells in the indicated
conditions were stained with CTX-B. Ganglioside contents were estimated from CTX-B fluorescence intensity. See Section 2 for details. The data shown are the means ± S.D.
(n = 4). P(untreated versus PDMP-treated) < 0.01. The statistical analysis was performed by the two-sample t-test. (B) PC12 or CHO cells in the indicated conditions were
incubated with 20 lM hIAPP for 24 h and then stained with Congo red. The amount of accumulated hIAPP amyloid was estimated from Congo red fluorescence intensity. See
Section 2 for details. The data shown are the means ± S.D. (n = 3). P(untreated versus PDMP-treated) < 0.02, P(untreated versus compactin-treated) < 0.02. The statistical
analysis was performed by the two-sample t-test.

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