The tocopherol transfer protein mediates vitamin E trafficking between cerebellar astrocytes and neurons
Lynn Ulatowski, Mikel Ghelfi, Ryan West, Jeffrey Atkinson, Carrie J. Finno, Danny Manor
Abstract
Alpha-tocopherol (vitamin E) is an essential nutrient that functions as a major lipid-soluble antioxidant in humans. The alpha-tocopherol transfer protein (TTP) binds α-tocopherol with high affinity and selectivity and regulates whole-body distribution of the vitamin. Heritable mutations in the TTPA gene result in familial vitamin E deficiency, elevated indices of oxidative stress, and progressive neurodegeneration that manifest primarily in spinocerebellar ataxia. Although the essential role of vitamin E in neurological health has been recognized for over 50 years, the mechanisms by which this essential nutrient is transported in the central nervous system are poorly understood. Here we found that, in the murine cerebellum, TTP is selectively expressed in glial fibrillary acidic protein–positive astrocytes, where it facilitates efflux of vitamin E to neighboring neurons. We also show that induction of oxidative stress enhances the transcription of the TtpA gene in cultured cerebellar astrocytes. Furthermore, secretion of vitamin E from astrocytes is mediated by an ABC-type transporter, and uptake of the vitamin into neurons involves the low-density lipoprotein receptor–related protein 1. Taken together, our data indicate that TTP-expressing astrocytes control the delivery of vitamin E from astrocytes to neurons, and that this process is homeostatically responsive to oxidative stress. These are the first observations that address the detailed molecular mechanisms of vitamin E transport in the central nervous system, and these results have important implications for understanding the molecular underpinnings of oxidative stress–related neurodegenerative diseases. Alpha-tocopherol (vitamin E) is an essential nutrient that functions as a major lipid-soluble antioxidant in humans. The alpha-tocopherol transfer protein (TTP) binds α-tocopherol with high affinity and selectivity and regulates whole-body distribution of the vitamin. Heritable mutations in the TTPA gene result in familial vitamin E deficiency, elevated indices of oxidative stress, and progressive neurodegeneration that manifest primarily in spinocerebellar ataxia. Although the essential role of vitamin E in neurological health has been recognized for over 50 years, the mechanisms by which this essential nutrient is transported in the central nervous system are poorly understood. Here we found that, in the murine cerebellum, TTP is selectively expressed in glial fibrillary acidic protein–positive astrocytes, where it facilitates efflux of vitamin E to neighboring neurons. We also show that induction of oxidative stress enhances the transcription of the TtpA gene in cultured cerebellar astrocytes. Furthermore, secretion of vitamin E from astrocytes is mediated by an ABC-type transporter, and uptake of the vitamin into neurons involves the low-density lipoprotein receptor–related protein 1. Taken together, our data indicate that TTP-expressing astrocytes control the delivery of vitamin E from astrocytes to neurons, and that this process is homeostatically responsive to oxidative stress. These are the first observations that address the detailed molecular mechanisms of vitamin E transport in the central nervous system, and these results have important implications for understanding the molecular underpinnings of oxidative stress–related neurodegenerative diseases. Vitamin E is a collective term that denotes a family of eight neutral plant lipids (1Ulatowski L. Manor D. Vitamin E trafficking in neurologic health and disease.Annu. Rev. Nutr. 2013; 33: 87-103Google Scholar), of which α-tocopherol is selectively retained in the body and considered the most biologically active form of the vitamin (2Burton G.W. Cheeseman K.H. Doba T. Ingold K.U. Slater T.F. Vitamin E as an antioxidant in vitro and in vivo.Ciba Found. Symp. 1983; 101: 4-18Google Scholar, 3Ingold K.U. Webb A.C. Witter D. Burton G.W. Metcalfe T.A. Muller D.P. Vitamin E remains the major lipid-soluble, chain-breaking antioxidant in human plasma even in individuals suffering severe vitamin E deficiency.Arch. Biochem. Biophys. 1987; 259: 224-225Google Scholar). The potent radical-trapping activity of α-tocopherol is thought to prevent free radical–induced lipid peroxidation, lending the vitamin its distinction as the major lipid-soluble antioxidant in most species. Consequently, adequate vitamin E status is considered an essential line of physiological defense against oxidative stress–related diseases. The essential requirement for α-tocopherol for maintaining central nervous system (CNS) health has been recognized for over 50 years. Secondary vitamin E deficiency accompanying fat malabsorption diseases, such as abetalipoproteinemia, cholestasis, and short bowel syndrome, manifests in CNS dysfunctions that can often be remedied by timely supplementation with α-tocopherol (4Muller D.P. Lloyd J.K. Effect of large oral doses of vitamin E on the neurological sequelae of patients with abetalipoproteinemia.Ann. N. Y. Acad. Sci. 1982; 393: 133-144Google Scholar, 5Runge P. Muller D.P. McAllister J. Calver D. Lloyd J.K. Taylor D. Oral vitamin E supplements can prevent the retinopathy of abetalipoproteinaemia.Br. J. Ophthalmol. 1986; 70: 166-173Google Scholar, 6Sokol R.J. Butler-Simon N. Conner C. Heubi J.E. Sinatra F.R. Suchy F.J. Heyman M.B. Perrault J. Rothbaum R.J. Levy J. Multicenter trial of d-alpha-tocopheryl polyethylene glycol 1000 succinate for treatment of vitamin E deficiency in children with chronic cholestasis.Gastroenterology. 1993; 104: 1727-1735Google Scholar, 7Sokol R.J. Heubi J.E. Butler-Simon N. McClung H.J. Lilly J.R. Silverman A. Treatment of vitamin E deficiency during chronic childhood cholestasis with oral d-alpha-tocopheryl polyethylene glycol-1000 succinate.Gastroenterology. 1987; 93: 975-985Google Scholar, 8Sokol R.J. Guggenheim M.A. Iannaccone S.T. Barkhaus P.E. Miller C. Silverman A. Balistreri W.F. Heubi J.E. Improved neurologic function after long-term correction of vitamin E deficiency in children with chronic cholestasis.N. Engl. J. Med. 1985; 313: 1580-1586Google Scholar, 9Traber M.G. Schiano T.D. Steephen A.C. Kayden H.J. Shike M. Efficacy of water-soluble vitamin E in the treatment of vitamin E malabsorption in short-bowel syndrome.Am. J. Clin. Nutr. 1994; 59: 1270-1274Google Scholar). The unique metabolic profile of the CNS, coupled with high levels of polyunsaturated fatty acids in neurons and astrocytes, renders this tissue particularly vulnerable to lipid peroxidation and subsequent cellular damage. Indeed, elevated levels of oxidative stress markers accompany a variety of neuropathological conditions. Analyses of autopsy samples from human patients afflicted with Alzheimer's disease (10Lovell M.A. Ehmann W.D. Butler S.M. Markesbery W.R. Elevated thiobarbituric acid-reactive substances and antioxidant enzyme activity in the brain in Alzheimer's disease.Neurology. 1995; 45: 1594-1601Google Scholar, 11Montine T.J. Markesbery W.R. Morrow J.D. Roberts 2nd, L.J. Cerebrospinal levels are in Alzheimer's Scholar), disease F.R. Y. A. P. lipid peroxidation in is in Scholar), and Markesbery W.R. by the lipid peroxidation in the of elevated levels of oxidative stress lipid peroxidation α-tocopherol in plasma and from Alzheimer's disease and patients are in individuals C. M.B. peroxidation and free in Alzheimer's Scholar, A. M. and oxidative stress markers in and plasma from Scholar, M. L. T. of in patients with of the Nutr. Scholar, T. M. of alpha-tocopherol and its in from patients with of the and 1994; Scholar, F.J. J. A. T. M. J. Cerebrospinal levels of alpha-tocopherol (vitamin E) in Alzheimer's 104: Scholar, M. A. of vitamin vitamin and and the of Scholar). supplementation with vitamin E to the levels of oxidative stress markers and to disease in human patients and in of Alzheimer's and M. A. of vitamin vitamin and and the of Scholar, Vitamin and implications for neurodegeneration in N. Y. Acad. Sci. Scholar, C. D. C. of treatment in large disease trial Scholar, Vitamin E in Scholar, C. in Alzheimer's disease as and Med. 33: Scholar, C. in Alzheimer's disease and as Scholar, M. C. M. P. J. L.J. trial of as treatment for Alzheimer's The Alzheimer's Engl. J. Med. Scholar, M. of vitamin E on the of disease in and Scholar, M. Vitamin E and The for J. Clin. Nutr. Scholar, M.G. A. A. Vitamin E and of of data from J. Scholar). These the for α-tocopherol supplements to patients afflicted with C. in Alzheimer's disease as and Med. 33: Scholar, C. in Alzheimer's disease and as Scholar, Vitamin E supplementation in Alzheimer's and Scholar). of results from of and of Scholar, C. M. C. A. trial of alpha-tocopherol (vitamin E) in the treatment of Scholar), the of vitamin E as a in neurodegenerative remains A. J. that lipid peroxidation and its sequelae in Alzheimer's disease brain to Scholar). the the alpha-tocopherol transfer protein (TTP) facilitates the secretion of α-tocopherol from to for delivery to whole-body status of the vitamin M. Alpha-tocopherol transfer protein the secretion of alpha-tocopherol from a cultured line a Acad. Sci. A. Scholar, J. P. J. Manor D. trafficking of vitamin E in The role of transfer Scholar, D. The alpha-tocopherol transfer Scholar). The role of TTP is by the that mutations in the TTPA gene the familial with vitamin E deficiency in L. Kayden H.J. L. M. with vitamin E of mutations and in a large of J. Scholar, T. M. T. Y. Y. N. spinocerebellar by a in the gene for the Engl. J. Med. 1995; Scholar, M. Kayden M. M. with vitamin E deficiency is by mutations in the alpha-tocopherol transfer 1995; is by plasma elevated levels of oxidative stress and as progressive spinocerebellar and M. Kayden M. M. with vitamin E deficiency is by mutations in the alpha-tocopherol transfer 1995; Scholar, and molecular of cerebellar Scholar, R.J. Vitamin E and neurologic Scholar). the that the of TTP mutations are and TTP is expressed in CNS A. T. T. M. M. J. of alpha-tocopherol transfer protein in Scholar, T. A. M. Kayden H.J. of alpha-tocopherol transfer protein in the of patients with with vitamin E deficiency and oxidative stress neurodegenerative Scholar), is the and mechanisms of of TTP in the We our on the of TTP in cerebellar astrocytes and its role in maintaining vitamin E in neurons as as of oxidative stress. The of TTP in transport have been primarily in its of the D. The alpha-tocopherol transfer Scholar, M.G. mechanisms of vitamin E Rev. Nutr. Scholar). the protein is also expressed in the and A. T. T. M. M. J. of alpha-tocopherol transfer protein in Scholar, T. A. M. Kayden H.J. of alpha-tocopherol transfer protein in the of patients with with vitamin E deficiency and oxidative stress neurodegenerative Scholar, M. J. alpha-tocopherol transfer Scholar, J. Alpha-tocopherol transfer protein is the of Scholar), where its functions are poorly understood. results in neurological L. Kayden H.J. L. M. with vitamin E of mutations and in a large of J. Scholar, M. Kayden M. M. with vitamin E deficiency is by mutations in the alpha-tocopherol transfer 1995; Scholar), we our to the CNS, the we found that the murine TtpA is expressed in of the and that this with of TtpA in the is in is in the and is with of the TtpA in the is and is brain in the A. T. T. M. M. J. of alpha-tocopherol transfer protein in the profile of the TTP in the brain that of the TTP protein These data and our results L. C. N. J. Manor D. of the α-tocopherol transfer protein gene is by oxidative stress and Med. Scholar), that of TTP is and The high of TTP in the and our of of cerebellar neurons in L. Manor D. Vitamin E is essential for with the cerebellar by patients L. Kayden H.J. L. M. with vitamin E of mutations and in a large of J. Scholar, M. Kayden M. M. with vitamin E deficiency is by mutations in the alpha-tocopherol transfer 1995; Scholar, M. M. M. A. C. Treatment of in vitamin E deficiency by alpha-tocopherol transfer protein address the function of TTP in the cerebellum, we first the distribution of the protein in the murine We in from in from of the TTP protein in the to the neurons, most A. T. T. M. M. J. of alpha-tocopherol transfer protein in The CNS is of neurons, and in can be into astrocytes and on the in which TTP is we cultured and that selectively We with against an fibrillary acidic protein C. M. M. J. of glial fibrillary acidic protein in human brain Sci. Scholar, L.J. A. M.A. and of human glial fibrillary acidic Acad. Sci. A. a A. L.J. of and in the of a murine for and J. Scholar, L.J. of the and of human Scholar, M.A. distribution of in J. that the that in neurons astrocytes and We which of these that is expressed levels in astrocytes as with These are by a profile in which to be high in murine astrocytes in neurons J.D. A. Y. for astrocytes, neurons, and for understanding brain and Scholar). We the of the TTP protein in cultured where are we found that TTP is expressed in astrocytes, where it is the and We TTP in neurons we the of TTP in where the cellular tissue and of are M. D. S.M. has of Scholar, D. P. of the and Scholar). we of TTP in in neurons and of the a the of TTP and of TTP in Taken together, our data that TTP and protein is selectively expressed in astrocytes and in is expressed in astrocytes. and cerebellar and cerebellar and from an in to with against TTP and and and the and the and the in the of and the The glial fibrillary acidic alpha-tocopherol transfer We the where α-tocopherol in the the uptake and distribution of the we a of vitamin E that we have to be a of vitamin E in vitro and in J. P. J. Manor D. trafficking of vitamin E in The role of transfer Scholar, M. P. J. Manor D. of a vitamin E as a for transfer protein 45: Scholar, P. M. Manor D. J. of for in protein and with the alpha-tocopherol transfer Med. Scholar, J. J. Manor D. of mutations in the alpha-tocopherol transfer 45: Scholar, D. J. J. Manor D. transfer protein to vitamin Scholar, M. A. N. J. Manor D. of transfer by the transfer Scholar). is thought to to lipoprotein J. P. J. Manor D. trafficking of vitamin E in The role of transfer Scholar, M.G. mechanisms of vitamin E Rev. Nutr. Scholar, M.A. Muller D.P. and uptake of alpha-tocopherol and low-density lipoprotein by in and control J. Scholar, M.G. Kayden H.J. Vitamin E is to the high affinity for low-density J. Clin. Nutr. Scholar, M.G. Ingold K.U. Burton G.W. Kayden H.J. and transport of in human Scholar, vitro uptake of from lipoprotein by cultured human Nutr. 1985; Scholar, as a for the delivery of and alpha-tocopherol to Med. Scholar, M. A.C. is the major of vitamin E for Med. Scholar, D. A. is expressed in brain and to uptake of vitamin Scholar), we to M. Alpha-tocopherol transfer protein the secretion of alpha-tocopherol from a cultured line a Acad. Sci. A. Scholar, is the of alpha-tocopherol and transfer and J. Biochem. Scholar, A. of from the of J. Biochem. to E of vitamin E in and and the uptake of vitamin E by of Biophys. Scholar, E deficiency to brain uptake of into Biophys. with the cultured and by in astrocytes as with neurons, where in These observations that TTP-expressing astrocytes vitamin and that of TTP in these regulates the distribution in the The of vitamin E important into the mechanisms that its of vitamin E distribution in in J.D. are in 70: Scholar, The alpha-tocopherol and fatty acids in Biophys. and A. Effect of deficiency and supplementation with on in Nutr. 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