Articles in PresS. Am J Physiol Cell Physiol (February 10, 2016). doi:10.1152/ajpcell.00226.2015 1 Down-regulation of miR-384-5p Attenuates Rotenone-induced Neurotoxicity in Dopaminergic 2 SH-SY5Y Cells Through Inhibiting Endoplasmic Reticulum Stress 3 Mingfang Jiang1,2,#, Qiang Yun3,#, Feng Shi4, Guangming Niu5, Yang Gao5, Shenghui Xie5, Shengyuan 4 Yu1,* 5 1 Department of Neurology, Chinese PLA General Hospital, Beijing 100853,China 6 2 Department of Neurology, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010059, 7 China 8 3 Department of Neurosurgery, Inner Mongolia People’s Hospital, Hohhot 010020, China 9 4 Department of Radiology, Inner Mongolia Chinese Medicine Hospital, Hohhot 010020, China 10 5 Department of Radiology, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010059, 11 China 12 # 13 *Corresponding author: Shengyuan Yu 14 Correspondence to: Department of Neurology, Chinese PLA General Hospital, No. 28 Fuxing Road, 15 Haidian District, Beijing 100853, China 16 Tel. +86-010-13501171068; Fax: +86-010-66499020 17 E-mail: [email protected] 18 Running head: miR-384-5p regulates rotenone-induced neurotoxicity. These authors (Mingfang Jiang and Qiang Yun) contributed equally to this work. 19 20 AUTHORS’ CONTRIBUTIONS 21 All authors participated in the design, interpretation of the studies and analysis of the data and 22 review of the manuscript; MFJ, QY and SYY designed and prepared the experiments; MFJ and QY 1 Copyright © 2016 by the American Physiological Society. 23 performed the experiments; FS, GMN, YG and SHX contributed reagents/materials/analysis tools; MFJ 24 and QY wrote the manuscript; SYY modified and revised the manuscript. All authors read and 25 approved the final manuscript. 26 2 27 Abstract 28 Endoplasmic reticulum (ER) stress has been linked to the pathogenesis of Parkinson’s disease (PD). 29 However, the role of microRNAs (miRNAs) in this process involved in PD remains poorly understood. 30 Recent studies indicate that miR-384-5p plays an important role for cell survival in response to 31 different insults, but the role of miR-384-5p in PD-associated neurotoxicity remains unknown. In this 32 study, we investigated the role of miR-384-5p in an in vitro model of PD using dopaminergic SH-SY5Y 33 cells treated with rotenone. We found that miR-384-5p was persistently induced by rotenone in neurons. 34 Also, the inhibition of miR-384-5p significantly suppressed rotenone-induced neurotoxicity, while 35 overexpression of miR-384-5p aggravated rotenone-induced neurotoxicity. Through bioinformatics and 36 the dual-luciferase reporter assay, miR-384-5p was found to directly target the 3’-UTR of glucose 37 regulated protein 78 (GRP78), the master regulator of ER stress sensors. Quantitative polymerase chain 38 reaction and Western blotting analysis showed that miR-384-5p negatively regulated the expression of 39 GRP78. Inhibition of miR-384-5p remarkably suppressed rotenone-evoked ER stress which was 40 evident by a reduction in the phosphorylation of activating transcription factor 4 (ATF4) and 41 inositol-requiring enzyme 1 (IRE1α). The downstream target genes of ER stress including 42 CCAAT/enhancer-binding protein-homologous protein (CHOP) and X box-binding protein-1 (XBP-1) 43 were also decreased by the miR-384-5p inhibitor. In contrast, overexpression of miR-384-5p enhanced 44 ER stress signaling. In addition, knockdown of GRP78 significantly abrogated the inhibitory effect of 45 miR-384-5p inhibitors on cell apoptosis and ER stress signaling. Moreover, we observed a significant 46 increase of miR-384-5p expression in primary neurons induced by rotenone. Taken together, our results 47 suggested that miR-384-5p mediated ER stress by negatively regulating GRP78 and that miR-384-5p 48 inhibition might be a novel and promising approach for the treatment of PD. 3 49 50 Keywords 51 Endoplasmic reticulum stress; Parkinson's disease; miR-384-5p; GRP78 52 53 Abbreviations 54 PD, Parkinson’s disease; miRNAs, microRNAs; ER, endoplasmic reticulum; GRP78, glucose regulated 55 protein 78; IRE1, inositol-requiring enzyme 1; ATF, activating transcription factor; PERK, pancreatic 56 ER kinase-like ER kinase; eIF2α, eukaryotic initiation factor 2α; CHOP, CCAAT/enhancer-binding 57 protein-homologous protein; XBP-1, X box-binding protein-1 58 4 59 INTRODUCTION 60 Parkinson’s disease (PD) is one of the most common neurodegenerative diseases worldwide, 61 characterized by the progressive loss of dopaminergic neurons in the substantia nigrapars compacta and 62 a reduction of dopamine production in the striatum (6, 41, 43). The development and progress of the 63 disease mainly depends on age and approximately 1% of the older population (>60 years) in 64 industrialized countries are affected by PD (41). An increasing number of studies have suggested that 65 numerous mechanisms, including mitochondrial defects, oxidative stress, dysimmunity, heredity and 66 cell apoptosis, have been implicated in the pathogenesis of PD (22, 24, 46, 48). However, the precise 67 mechanism underlying the pathogenesis of PD remains poorly understood, hampering the development 68 of efficient treatments for PD. The current therapeutics only temporarily relieve the symptoms, thus 69 improving patients’ life quality to a certain degree. Recently, increasing evidence has suggested that 70 endoplasmic reticulum (ER) stress plays an important role in the pathogenesis of PD, which indicates a 71 potential therapeutic option for PD treatment (50). 72 The hallmark of PD is the accumulation of misfolded proteins in the neurons (19, 36), which could 73 evoke cellular stress in the ER (25, 30, 53). ER stress, also termed the unfolded protein response, 74 contributes to protecting cells against toxic stimuli or cellular stress-induced accumulation of misfolded 75 proteins (29, 36). However, the prolonged and excessive ER stress induces cell apoptosis (3). 76 Glucose-regulated protein 78 (GRP78), also named binding protein (BiP), plays an important role in 77 the initiation of ER stress. Under normal circumstances, GRP78 binds to three ER stress receptors, 78 including inositol-requiring enzyme 1 (IRE1), activating transcription factor-6 (ATF6), and pancreatic 79 ER kinase-like ER kinase (PERK), which becomes dissociated from complexes following the 80 accumulation of misfolded proteins, resulting in the activation of IRE1-, ATF6- and PERK-mediated 5 81 downstream signaling (38). The phosphorylation of PERK activates eukaryotic initiation factor 2α 82 (eIF2α), thus inhibiting protein synthesis (15, 37). Activated eIF2α subsequently activates ATF4 which 83 could 84 protein-homologous protein) (14, 51, 55). The ATF6 pathway is activated by dissociation from GRP78 85 followed by trafficking to the Golgi to produce cleaved ATF6, which regulates the expression of ER 86 stress target genes such as CHOP and X box-binding protein-1 (XBP-1) (16, 54). The phosphorylation 87 of IRE1α results in IRE1 pathway activation, which is associated with unconventional splicing of 88 XBP-1mRNA, thereby activating the transcription of ER stress target genes (17, 26, 54). The ER stress 89 signaling is activated to restore the ER function and enhance the folding capacity and degradation of 90 protein aggregates. However, if the homeostasis is not re-established, the ER stress target genes 91 including CHOP1, XBP-1 and caspase-12 promote cell apoptosis (47). An analysis using post mortem 92 samples form PD patients revealed that phosphorylated PERK and eIF2α were expressed at a higher 93 level in neuromelanin containing dopaminergic neurons in the substantia nigra, implying ER stress was 94 activated in brain tissues (18). Furthermore, ER stress has been found to be involved in cellular model 95 of PD (39, 44). It has been reported that the prolonged ER stress induced by toxic stimuli such as 96 rotenone results in the apoptotic death of neurons (10). In rotenone rat model of PD, suppression of ER 97 stress provides neuroprotection (49). Therefore, inhibiting the prolonged ER stress-induced cell 98 apoptosis may provide a novel insight into the treatment of PD. induce cell death pro-apoptotic genes such as CHOP (CCAAT/enhancer-binding 99 MicroRNAs (miRNAs) are a group of short, non-coding RNAs that negatively regulate gene 100 expression, and thus participate in various pathological process (2). Increasing evidence has suggested 101 that they may be implicated in pathogenesis of PD (7). However, their molecular mechanism has not 102 been fully understood. In recent years, miR-384-5p has been reported to play an important role for cell 6 103 survival in response to different insults. Ethanol exposure causes the expression changes of 104 miR-384-5p in rat brain (20). Spinal cord injury significantly increases the expression of miR-384-5p 105 in the serum (13). Importantly, miR-384-5p has been shown to be an indicator for trimethyltin-induced 106 neurotoxicity (32) and is found to be differentially expressed in dopaminergic neurons following 107 cocaine addiction (42). However, whether miR-384-5p is associated with neurotoxicity in PD remains 108 unknown. In this study, we aimed to investigated the role and the potential underlying mechanism of 109 miR-384-5p in an in vitro model of PD induced by rotenone. Through bioinformatics and expression 110 analysis, we found that miR-384-5p regulated ER stress in dopaminergic SH-SY5Y cells via negatively 111 regulating GRP78 expression, the master regulator of ER stress sensors. Overall, our study for the first 112 time revealed a direct link between miR-384-5p with ER stress in dopaminergic SH-SY5Y cells, and 113 suggested that miR-384-5p-GRP78 axis might be served as potential molecular targets for preventing 114 dopaminergic neuron loss in PD. 115 7 116 MATERIALS AND METHODS 117 Cell culture. Human dopaminergic neuroblastoma SH-SY5Y cells were obtained from the Type 118 Culture Collection of the Chinese Academy of Sciences (Shanghai, China), and were maintained in 119 Dulbecco's Modified Eagle Medium/Ham's Nutrient Mixture F-12 (DMEM/F12; Invitrogen, Carlsbad, 120 CA, USA) that was supplemented with 10% fetal calf serum (FCS) plus penicillin and streptomycin 121 (1%). The cells were cultured in humidified atmosphere containing 5% CO2 at 37°C. Human primary 122 neurons were isolated from the postmortem brain tissues provided by Chinese PLA General Hospital. 123 The cells were cultured in Neuronal Medium (ScienCell Research Laboratories, Carlsbad, CA, USA) 124 supplemented with 1% neuronal growth supplement and 1% penicillin and streptomycin at 37 °C and 125 5% CO2. Cells were used at passage zero. The experimental procedure was approved by Institutional 126 Human Experiment and Ethic Committee of Chinese PLA General Hospital and carried out in 127 accordance with Helsinki Declaration. 128 129 Cell treatment. Cells were exposed to rotenone (Sigma, St. Louis, MO, USA) at various 130 concentrations (1, 5, 10, 20, and 50 μM) (28) for the indicated times before being harvested for analysis. 131 For miRNAs transfection, cells were transfected with miR-384-5p mimics or inhibitors using 132 Lipofectamine 2000 (Invitrogen) at a final concentration of 50 nM for 24 h prior to rotenone (20 μM) 133 exposure. For gene silencing, 50 nM of GRP78 siRNA or control siRNA (Santa Cruz Biotechnology, 134 Santa Cruz, CA, USA) was transfected into SH-SY5Y cells in the presence or absence of miR-384-5p 135 inhibitors using Lipofectamine 2000 (Invitrogen). All assays were performed in triplicate. 136 137 MTT assay. Cell growth and 8 viability were measured with 138 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. Briefly, cells were seeded 139 into 96-well plates at a density of 1×104 cells/well and cultured for 24 h. Then, cells were transfected 140 with miR-384-5p mimics or inhibitors for 24 h followed by exposure to 20 μM of rotenone for another 141 24 h. Thereafter, the old medium was replaced by fresh medium plus 20 μl of MTT solution (0.5 mg/ml) 142 and cultured for a further 4 h. Finally, the formazan dye crystals formed in the cell culture were 143 dissolved with 150 µl of dimethylsulfoxide per well and the optical density value at 490 nm in the 144 solution was measured by a microplate reader (ThermoElectron Corporation, Vantaa, Finland). The 145 results were expressed as the percentage of MTT reduction, assuming the absorbance of control cells to 146 be 100%. 147 148 Cell apoptosis assay. Cell apoptosis was evaluated by Annexin V/propidium iodide (PI) double 149 staining method. Briefly, cells were harvested and digested with 2.5 g/l trypsin. After washing with 150 phosphate buffered saline (PBS), cells were centrifuged, collected and re-suspended in 500 μl of PBS. 151 Then, 5 μl of Annexin V-FITC and 5 μl of PI were added and co-incubated in the dark for 15 min at 152 room temperature. Finally, apoptotic cells were quantified by fluorescence-activated cell sorting (BD 153 Biosciences, San Jose, CA, USA) and then analyzed by Cell Quest software (BD Biosciences). The 154 data were represented as cell percentage (%). 155 156 Capase-3 activity assay. Capase-3 activity was measured using a commercial kit (BioVision, 157 Milpitas, CA, USA). Briefly, cells were lysed in ice-cold cell lysis buffer. The supernatant was 158 collected after centrifugation (10,000×g for 1 min) and the protein concentration was measured. Then, 159 50 μl of cell lysis buffer containing 100 μg of protein was incubated with 5 μl of 4 mM DEVD-pNA 9 160 substrate in 50 μl of reaction buffer for 2 h at 37 ºC. The OD value at 405 nm was determined using 161 microplate reader. 162 163 Quantitative PCR analysis. Total RNA was isolated using miRNeasy Mini Kit (Qiagen, Dusseldorf, 164 Germany) which was used to synthesize cDNA using M-MLV reverse transcriptase (Clontech, Palo 165 Alto, CA, USA) for mRNA analysis, or using the one-step primescript miRNA cDNA synthesis kit 166 (Takara, Dalian, China) for miRNA analysis according to the manufacturer’s instructions. The PCR 167 assay was performed using SYBR Green qPCR Master Mix (ThermoFisher, Shanghai, China). The 168 primers used for qPCR were as follows: GRP78 forward, 5’-ggaaagaaggttacccatgc-3’ and reverse, 169 5’-ggaacaggtccatgttcagc-3’; miR-384-5p forward, 5’-acactccagctgggattcctagaaattg-3’ and reverse, 170 5’-tggtgtcgtggagtcg-3’; 171 5’-tggttcacacccatgacgaa-3’; U6 SnRNA forward, 5’-gcttcggcagcacatatactaaaat-3’, and reverse, 172 5’-cgcttcacgaatttgcgtgtcat-3’. Relative gene expression was calculated by comparison with the internal 173 reference gene GAPDH or U6 SnRNA using the 2−ΔΔCt method. GAPDH forward, 5’-ggagtccactggcgtcttca-3’ and reverse, 174 175 Western blot analysis. Proteins in cell samples were extracted using a protein extraction kit 176 (Applygen Technologies, Beijing, China) and the protein concentration was measured by a BCA 177 Protein Assay Kit (Beyotime, Haimen, China) according to the manufacturers’ instructions. Equivalent 178 amounts of protein (50 µg) for each sample were run on 12.5% sodium dodecyl sulfate polyacrylamide 179 gel electrophoresis. The proteins were then electrophoretically transferred to a PVDF membrane which 180 was blocked by 2.5% nonfat milk for 1 h at 37°C. The membrane was blotted with anti-GRP78, 181 anti-CHOP, anti-XBP-1 and anti-GAPDH antibodies purchased from Santa Cruz Biotechnology, Inc. 10 182 (Santa Cruz, CA, USA), and anti-ATF4, anti-phospo-ATF4, anti-IRE1α and anti-phospho-IRE1α 183 antibodies purchased from Bioss (Beijing, China); the membrane was then incubated overnight at 4°C, 184 followed by exposure to horseradish peroxidase conjugated secondary antibodies (1:2,000; Bioss) for 1 185 h at room temperature. The immune-blot signals were developed using an enhanced 186 chemiluminescence method. 187 188 Dual-luciferase Reporter Assay. The 3’-UTR of human GRP78 gene containing seed regions of 189 miR-384-5p (300 bp) were PCR amplified from human cDNA and then cloned into pGL3 190 dual-luciferase miRNA target expression vector (Promega, Madison, WI, USA). The corresponding 191 mutant constructs were created by mutating the seed regions of the miR-384-5p binding sites by using 192 site-directed mutagenesis kit (Agilent Technologies Co. Ltd, Beijing, China). SH-SY5Y cells were 193 seeded into 24-well plates for 24 h before transfection. For reporter assays, cells were transiently 194 co-transfected with pGL3-3’-UTR of GRP78 (WT) or pGL3-mutant 3’-UTR of GRP78 (MT) in the 195 presence of miR-384-5p mimics or inhibitors using Lipofectamine 2000 (Invitrogen). After incubation 196 of 48 h, the relative luciferase activity was analyzed using dual-luciferase system (Promega). 197 198 Statistical Analysis. The data were expressed as mean ± standard deviation. Statistical analysis was 199 performed by scientific statistic software SPSS version 11.5 (SPSS Inc., Chicago, IL, USA) using 200 one-way analysis of variance followed by Bonferroni post hoc. p < 0.05 was regarded statistically 201 significant. 202 11 203 204 RESULTS 205 The expression of miR-384-5p is significantly induced by rotenone in SH-SY5Y cells. To investigate 206 whether miR-384-5p played a critical role in rotenone-induced neurotoxicity, we initially detected its 207 expression profile in SH-SY5Y cells treated with different concentrations of rotenone (0, 1, 5, 10, 20, 208 and 50 μM) by the qPCR method. The results showed that miR-384-5p was dose-dependently increased 209 after rotenone treatment (Fig. 1A). Furthermore, its expression was persistently increased post-time 210 challenge (Fig. 1B). The results indicate that miR-384-5p plays an important role in regulating 211 rotenone-induced neurotoxicity. 212 213 Down-regulation of miR-384-5p inhibits rotenone-induced neurotoxicity. To explore the precise 214 role of miR-384-5p in regulating rotenone-induced neurotoxicity, we detected the gain or loss of 215 function of miR-384-5p on rotenone-induced neurotoxicity. According to the results of MTT (Fig. 2A), 216 the viability of SH-SY5Y cells was significantly decreased by rotenone (20 μM) treatment relative to 217 the control group. When the cells were pretreated with miR-384-5p inhibitor for 24 h, the cell viability 218 was markedly increased compared with the rotenone-treated group (Fig. 2A). In contrast, cell viability 219 was further decreased by treatment with miR-384-5p mimics (Fig. 2A). The results showed that 220 down-regulation of miR-384-5p exhibited a protective effect against rotenone-induced neurotoxicity. 221 To further verify the role of miR-384-5p on rotenone-induced neurotoxicity, we detected their effect on 222 cell apoptosis flow cytometry. The apoptotic cells were markedly increased in rotenone-treated cells 223 compared with the control group which could be effectively attenuated by miR-384-5p inhibitor or 224 significantly aggravated by miR-384-5p mimics (Fig. 2 B and C). Furthermore, we detected cell 12 225 apoptosis by measuring the activity of Caspase-3. The results showed that rotenone treatment 226 significantly increased the activity of Caspase-3 which was decreased by miR-384-5p inhibitor or 227 further increased by miR-384-5p mimics (Fig. 2 D). Again, the data suggest that down-regulation of 228 miR-384-5p exhibits a protective effect against rotenone-induced neurotoxicity. 229 230 miR-384-5p directly targets the 3’-UTR of GRP78. To explore the underlying mechanism of 231 miR-384-5p, we sought to investigate its target gene. Using bioinformatics analysis, we found that 232 GRP78 was one of the putative target genes of miR-384-5p (Fig. 3A). To confirm this relationship, we 233 performed a dual luciferase reporter assay. The results showed that miR-384-5p mimics significantly 234 reduced the luciferase activity in pGL3- 3’-UTR of GRP78 (WT) transfected cells, which had no effect 235 on pGL3-mutated 3’-UTR of GRP78 (MT) transfected group (Fig. 3B). In contrast, the miR-384-5p 236 inhibitor markedly increased luciferase activity in WT-transfected cells (Fig. 3B). Furthermore, we 237 detected the effect of rotenone treatment on the luciferase activity of WT- or MT-transfected cells. The 238 results showed that rotenone treatment significantly decreased the luciferase activity in WT-transfected 239 cells whereas it showed no obvious effect on MT-transfected cells (Fig. 3C). Taken together, these 240 results indicate that miR-384-5p directly targets the 3’-UTR of GRP78. 241 242 miR-384-5p regulates the expression of GRP78 in SH-SY5Y cells. Due to the targeting relationship 243 between miR-384-5p and the 3’-UTR of GRP78, the expression of GRP78 could be regulated by 244 miR-384-5p. To test the hypothesis, we detected the expression of GRP78 upon treatment with 245 miR-384-5p inhibitors or mimics. The qPCR results demonstrated that the mRNA expression level of 246 GRP78 was obviously increased by treatment with miR-384-5p inhibitors or decreased by treatment 13 247 with miR-384-5p mimics (Fig. 4A) which was consistent with the protein levels detected by Western 248 blot analysis (Fig. 4B). These results indicate that miR-384-5p directly regulates GRP78 pathway. 249 250 Down-regulation of miR-384-5p inhibits rotenone-evoked ER stress signaling. A previous report has 251 suggested that GRP78 is a master regulator for ER stress signaling (53). Thus, ER stress signaling 252 could be affected by modulating miR-384-5p expression. The results showed that the expression levels 253 of phosphorylated ATF4 (pATF4) and phosphorylated IRE1α (pIRE1α) were both significantly 254 increased by rotenone treatment (Fig. 5A and B), implying that rotenone treatment evoked ER stress 255 signaling, which is consistent with the findings of Goswami et al. (10). As expected, the expression 256 levels of pATF4 and pIRE1α were significantly decreased by miR-384-5p inhibitor treatment or further 257 increased by treatment with miR-384-5p mimics (Fig. 4A and B). Furthermore, the downstream target 258 genes of ER stress signaling including CHOP and XBP1 were also decreased by miR-384-5p inhibitor 259 treatment or increased by treatment with miR-384-5p mimics (Fig. 5C and D). Taken together, our data 260 imply that miR-384-5p regulates ER stress signaling. 261 262 Silencing of GRP78 enhanced ER stress and abrogates the protective effect of miR-384-5p on 263 rotenone-induced neurotoxicity. To further confirm that miR-384-5p regulated ER stress via GRP78, 264 we used a knockdown of GRP78 and detected the effect of miR-384-5p down-regulation on ER stress 265 and rotenone-induced neurotoxicity. The results exhibited that silencing of GRP78 (Fig. 6A) 266 significantly blocked the inhibitory effect of miR-384-5p inhibitors on ER stress signaling, as indicated 267 by the increased expression of ER stress signaling target gene including CHOP and XBP1 (Fig. 6B and 268 C). Furthermore, the protective effect of miR-384-5p inhibitor on rotenone-induced neurotoxicity was 14 269 also significantly attenuated by the knockdown of GRP78 (Fig. 6D). Overall, these results suggest that 270 miR-384-5p may regulate ER stress signaling via GRP78. 271 272 Detection of miR-384-5p in human primary neurons. To further determine the critical role of 273 miR-384-5p involved in PD, we used human primary neurons to validate the role of miR-384-5p in 274 regulating rotenone-induced neurotoxicity. The results showed that miR-384-5p was significantly 275 increased in primary neurons with treatment of rotenone (Fig. 7A). Furthermore, rotenone-induced 276 neurotoxicity was markedly reversed by miR-384-5p inhibition or further aggravated by miR-384-5p 277 overexpression (Fig. 7B). The results indicate that miR-384-5p functions as an important regulator for 278 neuron survival in PD. 279 280 15 281 DISCUSSION 282 In the present study, we have demonstrated that miR-384-5p is strongly induced in dopaminergic 283 SH-SY5Y cells treated with rotenone. Also, the down-regulation of miR-384-5p significantly 284 attenuated rotenone-induced neurotoxicity by inhibiting ER stress. The direct link between miR-384-5p 285 and the 3’-UTR of GRP78 was confirmed by a dual-luciferase activity and miR-384-5p negatively 286 regulated the expression of GRP78. Thus, down-regulation of miR-384-5p elevated the expression of 287 GRP78, leading to the inhibition of rotenone-evoked ER stress. Our data were in line with the findings 288 of Gorbatyuk et al. (9), who reported that overexpression of GRP78 relieved α-Synuclein neurotoxicity 289 in a rat model of PD by down-regulating ER stress. 290 In this study, we used an in vitro model of PD induced by rotenone in human dopaminergic 291 SH-SY5Y cells. Rotenone can pass through the blood-brain barrier that induces neuronal dysfunction 292 and neurodegeneration (31, 35). A previous study has demonstrated that rotenone induces ER stress by 293 up-regulating the phosphorylation of PERK and eIF2α and that the knockdown of eIF2α significantly 294 blocked rotenone-induced ER stress and cytotoxicity in neuroblastoma cells (4). Wu et al. reported that 295 candesartan cilexetil inhibited rotenone-evoked ER stress by down-regulating the expression of ATF4 296 and CHOP) and protected rat dopaminergic neurons (52). A recent study revealed that ER stress played 297 an important role in rotenone-induced apoptosis of mouse neuroblastoma cells (10). In line with these 298 findings, our data also indicated that rotenone induced ER stress in human dopaminergic SH-SY5Y 299 cells which was evident by an increase in phosphorylation of ATF4 and IRE1α. Intriguingly, the 300 miR-384-5p significantly inhibited the phosphorylation of ATF4 and IRE1α leading to a reduction in 301 ER stress signaling. 302 In this study, we found that the expression of miR-384-5p was significantly increased in response to 303 rotenone treatment. Several studies have proposed miR-384-5p was served as potential biomarkers for 16 304 numerous pathological processes. It has been reported that the serum level of miR-384-5p was 305 significantly increased in mouse with acute spinal cord injury, and might be used as a promising 306 biomarker for predicting the severity of acute spinal cord injury (13). In rats treated with trimethyltin, 307 miR-384-5p was significantly up-regulated with the evolution of neural cell death that was regarded as 308 potential indicators of neurotoxicity (32). The decreased expression of miR-384-5p is required for spine 309 enlargement associated with long-term potentiation (12). Here, we demonstrated that miR-384-5p was 310 upregulated in response to rotenone treatment indicating miR-384-5p might has the potential to be used 311 as a biomarker for PD. Bao et al. reported that miR-384-5p was an important protecting factor for 312 cardioprotection 313 phosphatidylinositol-4,5-bisphosphate 3-kinase, catalytic subunit delta (1). Here, we reported that 314 GRP78 was a target gene of miR-384-5p, both of which were involved in regulating rotenone-induced 315 neurotoxicity by affecting ER stress signaling. in myocardial ischemia by regulating the expression of 316 To uncover the underlying mechanism of miR-384-5p in regulating ER stress, we investigated its 317 target gene. Through bioinformatics analysis, dual-luciferase reporter assay and expression analysis, we 318 identified that miR-384-5p directly targeted the 3’-UTR of GRP78 and negatively regulated the mRNA 319 and protein expression of miR-384-5p. Several reports have suggested that numerous miRNAs regulate 320 the expression of GRP78 and its downstream signaling. It was reported that increased miR-181a 321 aggravated injury in the mouse stroke model by inhibiting GRP78 protein expression level, whereas 322 reduced levels of miR-181a were associated with increased GRP78 protein levels and reduced injury 323 (33). In several cancer cell lines, GRP78 was reported to be regulated by miR-199a-5p as well as 324 miR-30d and miR-181a and which cooperatively suppressed GRP78-mediated chemoresistance (45). 325 Similarly, Dai et al. (5) reported that miR-199a-5p was evaluated during hepatic ER stress and directly 17 326 regulated the expression of GRP78 in hepatocytes. Down-regulation of miR-181b produced 327 neuroprotection against ischemic injury via up-regulating GRP78 (34). Iwamune et al. reported that 328 miR-376a mediated the expression of GRP78 in rat granulosa cells (21). In the present study, we 329 identified miR-384-5p as a novel regulator of GRP78 and provided a novel option for modulating 330 GRP78 expression in related pathological processes. 331 GRP78 functions as the master regulator of ER stress, playing an important role in regulating many 332 diseases. It was reported that silencing of GRP78 increased the expression of CHOP and induced cell 333 apoptosis in retinal ischemia-reperfusion (27). Overexpression of GRP78 suppressed α-synuclein 334 aggregation by alleviating ER stress (23). Consistently, Gorbatyuk et al. found that overexpression of 335 GRP78 attenuated α-synuclein neurotoxicity in a rat model of PD by inhibiting ER stress (9). GRP78 336 overexpression reduces cell apoptosis through reprograming ER stress by reducing the protein levels of 337 cleaved pATF6 protein, phosphorylated eIF2α and the pro-apoptotic protein CHOP (8). Consistent with 338 these findings, our results demonstrated that overexpression of GRP78 by inhibiting miR-384-5p 339 significantly suppressed neuronal apoptosis induced by rotenone, and reprogrammed ER stress 340 signaling by inhibiting the protein levels of pATF4, pIRE1α, CHOP and XBP1. In addition, knockdown 341 of GRP78 significantly abrogated the inhibitory effect of miR-384-5p inhibitor on cell apoptosis and 342 ER stress signaling, further indicating the involvement of miR-384-5p and GRP78 in regulating ER 343 stress. 344 Previous study has suggested that GRP78 functions not only as the inhibitor for ER stress signaling 345 but also a bonafide target gene of ER stress (50). Therefore, there is a feedback loop for GRP78 in ER 346 stress signaling pathway. Here, we reported that rotenone treatment activated ER stress but the 347 expression of GRP78 had no obvious change in contrast to other ER stress target genes. The 18 348 rotenone-induced high expression of miR-384-5p might contribute to this discrepancies. We speculated 349 that miR-384-5p targeted and inhibited GRP78 expression induced by rotenone treatment, thus leading 350 to uncontrolled ER stress signaling activation. However, the expression of GRP78 in response to 351 rotenone remains to be further determined throughput over the different time interval. 352 In this study, we have demonstrated that miR-384-5p and ER stress were persistently induced in 353 neurons treated with rotenone. We demonstrated that miR-384-5p modulated ER stress by directly 354 targeting and regulating GRP78. Gorbatyuk et al. reported that overexpression of GRP78 diminished 355 α-synuclein neurotoxicity in a rat model of PD by downregulating ER stress (9). More recently, 356 Salganik et al. found that GRP78 protein overexpression protected aging nigral dopamine neurons in 357 the α- synuclein-induced rat model of PD (40). Rotenone has been reported to induce ER stress both in 358 cell model or animal model of PD (10, 11, 49). Here, we showed down-regulating miR-384-5p 359 increased the expression of GRP78 and reduced ER stress signaling induced by rotenone. The 360 inhibition of miR-384-5p showed a protective effect against rotenone-evoked neurotoxicity in human 361 SH-SY5Y cells. The expression pattern and effect of miR-384-5p on neuron survival were further 362 validated in human primary neurons. However, certain limitation of our study should be noted. 363 Whether miR-384-5p is dysregulated in PD patients remains unknown. In this study, we only 364 investigated the expression and effect of miR-384-5p using an in vitro cell model of PD induced by 365 rotenone. Whether miR-384-5p targets GRP78 to regulate ER stress and neuronal survival in in vivo 366 model of PD still needs to be further validated. Therefore, before concluding that miR-384-5p is an 367 important regulator for PD, more in vivo animal and clinical detection studies are needed. 368 369 GRANTS 19 370 This study was supported by grants from Natural Science Foundation of Inner Mongolia Province of 371 China (2014MS0874) and Science and Technology One Million Engineering Project of Inner Mongolia 372 Medical University (YKD2013KJBW016). 373 374 375 DISCLOSURES No conflicts of interest, financial or otherwise, are declared by the author(s). 376 20 REFERENCES 377 378 1. Bao Y, Lin C, Ren J, and Liu J. MicroRNA-384-5p regulates ischemia-induced cardioprotection 379 by targeting phosphatidylinositol-4,5-bisphosphate 3-kinase, catalytic subunit delta (PI3K p110delta). 380 Apoptosis 18: 260-270, 2013. 381 2. 382 2004. 383 3. 384 mechanisms of an in vitro oxidative stress model of early stage Parkinson's disease. Neurosci Lett 488: 385 11-16, 2011. 386 4. 387 mediate rotenone-induced death of SK-N-MC neuroblastoma cells. 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Yoshida H, Matsui T, Yamamoto A, Okada T, and Mori K. XBP1 mRNA is induced by ATF6 517 and spliced by IRE1 in response to ER stress to produce a highly active transcription factor. Cell 107: 518 881-891, 2001. 519 55. Zhang K, and Kaufman RJ. The unfolded protein response: a stress signaling pathway critical 520 for health and disease. Neurology 66: S102-109, 2006. 521 522 523 27 524 FIGURE LEGENDS 525 Fig. 1. Detection the expression of miR-384-5p in rotenone-treated cells. (A) miR-384-5p was 526 significantly increased in SH-SY5Y cells treated with different concentrations of rotenone (0, 1, 5, 10, 527 20, and 50 μM) for 24 h. *p<0.05. (B) miR-384-5p was persistently increased in SH-SY5Y cells treated 528 with 20 μM of rotenone for 12, 24, 48, 72 and 96 h. *p<0.05. 529 530 Fig. 2. Detection the effect of miR-384-5p on rotenone-induced neurotoxicity. (A) MTT method was 531 performed to detect the effect of miR-384-5p inhibitor or miR-384-5p mimics on cell viability treated 532 with rotenone. Cells were treated with miR-384-5p inhibitor, miR-384-5p mimics or miR-scrambled 533 control for 24 h prior to rotenone treatment. After incubation with rotenone (20 μM) for 24 h, cells 534 were harvested for analysis. Untreated cells were used as the control group. (B) Apoptotic cells were 535 measured by the Annexin V and PI double staining method using flow cytometry. (C) Representative 536 histograms show the percentage of apoptotic cells in different groups. (D) Cell apoptosis was examined 537 by Caspase-3 activity assay.*p<0.05. 538 539 Fig. 3. miR-384-5p directly targets the 3’-UTR of GRP78. (A) The miR-384-5p-binding site 540 predictions for GRP78. (B) Target validation using dual-luciferase reporter method in SH-SY5Y cells. 541 The relative luciferase activities of pGL3 luciferase vectors containing wild-type (WT) or mutant (MT) 542 transcripts were measured after co-transfection with the indicated miRNAs for 48 h. (C) The effect of 543 rotenone treatment on the relative luciferase activity in WT- or MT-transfected cells. *p<0.05. 544 545 Fig. 4. miR-384-5p regulates the expression of GRP78. (A) qPCR analysis of GRP78 mRNA 546 expression in cells transfected with miR-384-5p inhibitor or mimics. Cells were pretreated with 28 547 miRNAs for 24 h followed by exposure to rotenone for a further 24 h. *p<0.05. (B) GRP78 protein 548 expression was detected by Western blot analysis in different groups, and quantitatively analyzed using 549 Image-Pro Plus 6.0 and normalized to GAPDH. **p<0.01. 550 551 Fig. 5. miR-384-5p regulates ER stress signaling. The protein expression levels of pATF4 (A), pIRE1α 552 (B), CHOP (C) and XBP1 (D) in different groups were detected by Western blot analysis with the 553 indicated antibodies, and quantified using Image-Pro Plus 6.0. **p<0.01. 554 555 Fig. 6. Knockdown of GRP78 abolishes the effect of miR-384-5p inhibitors. (A) Detection of the 556 efficiency of GRP78 siRNA on GRP78 expression in different groups by Western blot analysis. Cells 557 were co-transfected with GRP78 siRNA and miR-354-5p inhibitor for 24 h and then exposed to 558 rotenone (20 μM) for a further 24 h and harvested for experimental analysis. **p<0.01. Western blot 559 analysis of GRP78 siRNA on CHOP (B) and XBP1 (C) protein expression in the presence of 560 miR-384-5p inhibitor and their quantitative analysis. **p<0.01. (D) Detection of the effect of GRP78 561 siRNA on the protective effect of miR-384-5p inhibitor against rotenone-induced neurotoxicity by the 562 MTT method. *p<0.05. 563 564 Fig. 7. Detection of miR-384-5p in primary human neurons. (A) miR-384-5p was significantly 565 increased in primary neurons treated with 20 μM of rotenone for 24 h. **p<0.01. (B) MTT method was 566 performed to detect the effect of miR-384-5p inhibitor or miR-384-5p mimics on cell viability of 567 primary neurons treated with rotenone. Cells were treated with miR-384-5p inhibitor, miR-384-5p 568 mimics or miR-scrambled control for 24 h prior to rotenone treatment. After incubation with rotenone 29 569 (20 μM) for 24 h, cells were harvested for analysis. *p<0.05. 30
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