What this is
- Ethanol exposure leads to neuronal apoptosis through multiple interrelated pathways.
- Calcium overload activates , promoting -mediated excessive mitochondrial fission.
- This process is linked to the activation of the via JNK1 signaling.
- Understanding these mechanisms may inform therapeutic strategies for ethanol-related neurodegenerative diseases.
Essence
- Ethanol-induced calcium overload activates , leading to -mediated mitochondrial fission and JNK1-dependent activation, resulting in neuronal apoptosis.
Key takeaways
- Ethanol increases cleaved caspase-3 levels and mitochondrial ROS generation, which are associated with neuronal apoptosis.
- Calcium overload via NMDAR activates , which phosphorylates , promoting excessive mitochondrial fission and dysfunction.
- Ethanol-induced JNK1 activation leads to activation, inhibiting mitophagy and exacerbating ROS accumulation and cell death.
Caveats
- The study uses a human neuroblastoma cell line, which may not fully represent in vivo neuronal responses.
- The mechanisms explored are complex and may involve additional factors not addressed in this study.
Definitions
- NLRP3 inflammasome: A multi-protein complex that activates inflammatory responses, implicated in various diseases.
- Drp1: A dynamin-related protein crucial for mitochondrial fission and dynamics.
- CaMKII: Calmodulin-dependent protein kinase II, involved in calcium signaling and cellular responses.
AI simplified
Background
Heavy alcohol consumption is one of the risk factors of dementia, a common neurodegenerative disease characterized by neuronal cell death [1, 2]. Many studies have reported that ethanol induces cell death through increases in intracellular calcium concentrations [3–5]. In a previous study, an increase in excitatory amino acids, such as glutamate, which induces calcium-dependent excitotoxicity through N-methyl-D-aspartate receptor (NMDAR) overstimulation promoting neuronal cell death, was observed in patient with chronic alcoholism [6–8]. In addition, a recent study suggested that chronic ethanol treatment induced calcium overload by increasing NR1 expression and neuronal apoptosis [9]. Although calcium overload via NMDAR was found to play an important role in ethanol-induced neuronal apoptosis, the detailed mechanisms need to be investigated further.
Ethanol usually causes harmful effects on maintenance of mitochondria function which is important for cell survival [10–12]. Mitochondria are dynamic organelles and the balance of mitochondrial fission and fusion is important for the maintenance of mitochondrial function. A previous report indicated that an imbalance of mitochondrial dynamics, such as excessive mitochondrial fission, induced mitochondria damage leading to neuronal apoptosis [13]. Among the mitochondrial dynamin-related GTPases, dynamin-related protein 1 (Drp1) is the most notable protein and plays various roles in mitochondrial fission, mitophagy, bulk autophagy and neuronal cell death [14, 15]. A recent study reported that ethanol promoted mitochondrial reactive oxygen species (ROS) production and mitochondrial dysfunction through increases in Drp1-mediated mitochondrial fission [16]. In addition, some research has suggested that calcium signaling is a key regulator of Drp1-mediated mitochondrial fragmentation in neuronal cells [17–19]. However, the mechanism of mitochondrial fission and the effect of mitochondrial fission on apoptosis in neuronal cells exposed to ethanol are still unclear. Hence, the study on the mechanism of mitochondrial fission via calcium signaling will be help to understand ethanol-induced neuronal apoptosis.
Ethanol activates the NOD-like receptor protein 3 (NLRP3) inflammasome which induces programmed necrotic cell death [20, 21]. Many researchers have reported that intracellular calcium overload induces inflammasome formation and that calmodulin-dependent protein kinase II (CaMKII) is involved in the process of inflammasome activation [22–24]. In addition, recent studies have reported that NLRP3 phosphorylation by c-Jun N-terminal protein kinase 1 (JNK1) is essential for inflammasome activation [25, 26]. These results suggest that CaMKII may be involved in inflammasome activation as an upstream molecule of JNK1. Since no reports have investigated inflammasome activation via the CaMKII signaling pathway, a study of the relationship between CaMKII and JNK1 is meaningful. Inflammasomes have been found mainly in macrophages and microglia that release pro-inflammatory cytokines [27, 28]. Unlike previous reports, recent studies have shown that pro-inflammatory cytokines were released from neurons, although in lower amounts than glial cells [29–32]. In addition, one study has shown that ethanol-induced inflammasome formation in rat cortical neurons [33]. Moreover, the inhibition of caspase-1 activated by an inflammasome reduced apoptosis marker cleaved caspase-3 in primary cortical neurons [34]. Although several studies have reported that the inflammasome is involved in neuronal apoptosis, the direct and indirect mechanisms of inflammasome-mediated apoptosis have not been elucidated in neuronal cells exposed to ethanol. Recently, a study reported that inflammasome-induced caspase-1 activation inhibited mitophagy by cleaving parkin, a mitophagy regulator protein, and promoted cell death in macrophage cell lines [35]. These findings suggest that the ethanol-induced inflammasome can be a regulator of parkin-mediated mitophagy in neuronal cells. Since there are no reports on the mechanism of inflammasome involvement in neuronal apoptosis, identifying the relationship between inflammasomes and mitophagy will provide insights into the prevention of ethanol-induced neuronal apoptosis.
In this experiment, we used the SK-N-MC human neuroblastoma cell line to study the mechanism of ethanol-induced neuronal apoptosis. This neuroblastoma cell line has been used widely to investigate the pathogenesis of neurodegenerative diseases, including Alzheimer’s disease and other dementias. In addition, the neuroblastoma cell line has the advantages of high stability and reproducibility. Therefore we investigated the detailed mechanism of neuronal apoptosis through the calcium overload-mediated excessive mitochondrial fission and NLRP3 inflammasome activation in SK-N-MC exposed to ethanol.
Methods
Materials
The human neuroblastoma cell line SK-N-MC was obtained by Korean Cell Line Bank (Seoul, Korea). Fetal bovine serum (FBS) was purchased from Hyclone (Logan, UT, USA). Antibiotics and serum replacement (SR) were purchased from Gibco (Grand Island, NY, USA) The antibodies of β-actin, Cat-PKA, CREB, p-CREB (Ser113), p-CaMKII (Thr 286), CaMKII, CaM, p-JNK, ASC, BNIP3, NIX were purchased from Santa Cruz Biotechnology (Santa Cruz, CA, USA). The antibodies of Drp1, p-Drp1 (Ser 616), PINK1, Cleaved caspase-3 and Small interfering RNAs (siRNAs) for JNK1 were purchased from Cell Signaling Technology, Inc. (Danvers, MA, USA). The antibodies of NR1, TOMM20, parkin and Na+/K+-ATPase were purchased from Abcam (Cambridge, England). The antibody of NR2B was purchased from Invitrogen Corporation (Camarillo, CA, USA). The antibodies of COX4, JNK1 (MAPK8) were purchased from CusaBio (Houston, TX, USA). The antibody of NLRP3 was purchased from AdipoGen Life Sciences. The antibodies of caspase-1, LC3 purchased from Novus Biologicals (Littleton, CO, USA). CM-H2DCFDA, MitoSOX™ Red, Mitotracker™ Green, Mitotracker™ Red were obtained from Thermo Fisher (Waltham, MA, USA). The 14–22 amide was obtained from Calbiochem (Merck Millipore). NAC, MitoTEMPO, SP600125, Ac-YVAD-cmk, Mdivi-1, KN-93, MK-801 were purchased from Sigma Chemical Company (St. Louis, MO, USA). Small interfering RNAs (siRNAs) for CREB1, CASP1 and non-targeting (NT) were purchased from Dharmacon (Lafayette, CO, USA).
Cell culture
The SK-N-MC cells were cultured in high-glucose Dulbecco’s Modified Eagle Medium (DMEM) supplemented with 10% FBS and 1% antibiotics. Cells were seeded in 60 or 100 mm diameter culture dishes, or in 6- or 12-well plates and incubated at 37 °C incubator with 5% CO2. When cells were grown 60–70% confluence, the medium was exchanged with serum-free medium containing 2% SR prior to experiments.
Real time quantitative PCR
RNA was extracted from SK-N-MC using MiniBEST Universal RNA Extraction Kit (TaKaRa, Otsu, Shinga, Japan). Reverse transcription polymerase chain reaction (RT-PCR) was carried out using 1 μg of extracted RNA and a Maxime™ RT-PCR premix kit (iNtRON Biotechnology, Sungnam, Korea). RT-PCR was performed for 60 min at 45 °C to cDNA synthesis and 5 min RTase inactivation at 95 °C. The cDNA was amplified using Quanti NOVA SYBR Green PCR Kits (Qiagen, Hilden, Germany). Real-time quantification of RNA targets was carried out using RotorGene 6000 realtime thermal cycling system (Corbett Research, NSW, Australia) with mRNA primers and 1 μg of cDNA sample. Human primer sequences are described in Table. The Real-Time PCR was performed as follows: 15 min at 95 °C for DNA polymerase activation; 15 s at 95 °C for denaturing; and 40 cycles of 15 s at 94 °C, 30 s at 56 °C, and 30 s at 72 °C. Data were collected during the extension step (30 s at 72 °C), and analysis was performed with software provided by Rotor-Gene 6000 Series software (Qiagen, Hilden, Germany) to verify the specificity and identity of the PCR products. S1
Western blot analysis
Cells were collected by using scraper after being washed once with cold PBS and incubated for 30 min on ice with RIPA buffer (ATTO Corporation, Tokyo, Japan) and a proteinase and phosphatase inhibitor (Thermo Fisher). The lysate were then cleared by centrifugation (15,000 rpm, 4 °C, 20 min). The Protein concentration was determined by BCA assay kit (Bio-Rad, Hercules, CA, USA). Samples containing 10 μg of protein were prepared for 6–15% sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) and then transferred to a polyvinylidene fluoride (PVDF) membrane. The membrane was blocked with 5% skim milk (Gibco) for 50 min and blocked membrane was washed with TBST solution 4 times every 8 min. After that, membrane was incubated with primary antibody overnight at 4 °C. The membrane was washed and incubated with HRP-conjugated secondary antibody (1:10,000) at room temperature for 2 h. The western blotting bands were visualized by using chemiluminescence (BioRad, Hercules, CA, USA). Densitometric analysis was performed with the Image J software (developed by Wayne Rasband, National Institutes of Health, Bethesda, MD, USA).
Measurement of calcium
Fluo 3-AM was used to measure intracellular calcium levels. The cells on 6-well dishes washed with a PBS once and then incubated in PBS containing 2 μM Fluo 3-AM for 30 min at 37 °C in dark. Cells were treated with a 0.05% trypsin for 3 min and then centrifuged at 1500 g for 5 min. After centrifugation, cells were washed once with PBS, followed by suspending the cells in 400 μL PBS. Relative fluorescence intensity (RFI) of Fluo 3-AM was measured using flow cytometry (CytoFlex; Beckman Coulter, Fullerton, CA, USA).
Measurement of intracellular reactive oxygen species levels
The cells were plated on 6- or 12-well dishes. Cells were washed once with PBS and incubated with 1 μM CM-H2DCFDA for 30 min at 37 °C in dark. Cells were treated with a 0.05% trypsin for 3 min and then centrifuged at 1,500 g for 5 min. Next, cells were washed once with PBS, followed by suspending the cells in 400 μL PBS. DCFDA staining was detected via flow cytometry (CytoFlex; Beckman Coulter, Fullerton, CA, USA).
Measurement of mitochondrial ROS generation
The measurement of mitochondrial ROS generation was performed by using MitoSOX™ Red staining. Cells were washed once with PBS and incubated with 10 μM MitoSOX™ for 15 min at 37 °C in dark. Cells were then treated with a 0.05% trypsin for 3 min and then centrifuged at 1500 g for 5 min. Collected cells were suspended in 400 μL PBS. MitoSOX™-positive cells were detected by using flow cytometry (Beckman Coulter).
Measurement of mitochondrial membrane potential and mitochondrial volume
To evaluate the mitochondrial membrane potential and volume, a TMRE (Sigma-Aldrich) and Mitotracker™ Green staining were used, respectively. After treatment, cells were incubated in 50 nM TMRE or 200 nM of Mitotracker™ for 20 min at 37 °C in dark. Cells were then treated with a 0.05% trypsin for 3 min and then centrifuged at 1500 g for 5 min. Collected cells were suspended in 400 μL PBS. Fluorescence intensities of TMRE or Mitotracker™ Green were detected by using flow cytometry.
Annexin V/PI apoptosis detection
To measure apoptosis of cells, Annexin V and PI double staining was performed by using an annexin V/PI apoptosis detection kit (BD Bioscience, Franklin Lakes, NJ, USA) according to the supplier’s manual. Cells were detached with 0.05% trypsin and counted 1 × 105 cells. Cells were then centrifuged at 1500 g for 5 min. Collected cells were suspended in the binding buffer supplied by the kit, and immunostained with AnnexinV-FITC (5 μL) and PI (5 μL) for 20 min at room temperature in dark. Cell apoptosis was measured by using flow cytometry (Beckman Coulter). Data were analyzed by using CytExpert software (Beckman Coulter). AnnexinV-positive and PI-negative (Q4), AnnexinV-positive and PI-positive (Q2), and AnnexinV-negative and PI-positive (Q1) were considered as early apoptotic, late apoptotic and necrotic cells, respectively. AnnexinV-negative and PI-negative (Q3) cells were considered viable. To measure the percentage of total apoptotic cells, the following formula was used: Apoptotic cells = Q2 + Q4.
Immunocytochemistry
Cells were cultured on a confocal dish and fixed with 4% paraformaldehyde (Sigma Aldrich) for 10 min. 0.1% Triton X-100 was used for permeabilization for 5 min. To inhibit nonspecific binding of antibodies, cells were incubated with 1% normal goat serum for 30 min. Next cells were incubated with 1:100 dilution of primary antibody for 2 h at room temperature and washed with PBS three times. After washing, cells were incubated with Alexa Fluor 488 or 555-conjugated secondary antibody (1:300) in dark for 1 h in room temperature. Stained images were visualized by a super-resolution radial fluctuations (SRRF) imaging system (Andor Technology, Belfast, UK). Relative Fluorescence intensity was analyzed by using ImageJ software.
Mitochondria morphology
The cells were plated on confocal dish and incubated with Mitotracker™ Red (200 nM) for 30 min at 37 °C. To visualize Mitotracker™ Red-stained cells, we used a super-resolution radial fluctuations (SRRF) imaging system. Analysis of images was performed by using FIJI software. Form factor (FF = perimeter2/4π • area) and aspect ratio (AR) were used for analysis of mitochondrial fragmentation [36, 37]. As both FF and AR approaches 1, they represent a circular shape, but the both parameters increase, the mitochondria morphology becomes elongated.
Co-immunoprecipitation
Cells were lysed with the co-immunoprecipitation buffer (1% Triton X-100 in 50 mM Tris-HCl [pH 7.4] containing 150 mM NaCl, 5 mM EDTA, 2 mM Na3VO4, 2.5 mM Na4PO7, 100 mM NaF, 200 nM microcystin lysin-arginine, and protease inhibitor). Primary antibodies were immobilized with SureBeads™ Protein G magnetic beads (BioRad, Hercules, CA, USA, #161–4021). Immobilized magnetic beads were washed three times with PBST and then incubated with cell lysates (350 μg) for 12 h at 4 °C. Beads were washed three times with PBST and incubated with elution buffer (20 mM glycine pH 2.0) for 5 min. 1 M phosphate buffer and sample buffer were added to the samples.
Small interfering RNA (siRNA) transfection
Prior to ethanol treatment, cells were incubated with 25 nM of the indicated siRNAs and transfection reagent TurboFect™ (Thermo Fisher, Waltham, MA, USA, #R0531) for 24 h in serum-free medium containing 2% SR. The non-targeting (NT) siRNA was used as the negative control and siRNAs sequences used for gene silencing are described in Table. S2
Mitochondria fraction
Mitochondrial fraction was performed using mitochondria isolation kit according to the manufacturer’s instructions (Thermo Fisher Scientific). Cytoplasmic and mitochondrial proteins were extracted from cells according to the manufacturer’s instructions. Briefly, collected cells were incubated in Reagent A for 2 min on ice and then cell lysate was incubated with Reagent B for 5 min. Next, Reagent C was added to the cell lysate. After centrifugation, supernatant was used as a cytosolic fraction. The pellet was lysed with 2% CHAPS in Tris-buffered saline (25 mM Tris, 0.1 M NaCl, pH 7.2) solution and used as a mitochondrial fraction after centrifugation.
Mitochondrial complex I activity
Prepare mitochondrial samples isolated from cells. Enzymatic activity of mitochondrial Complex I was measured according to the manufacturer’s instructions of the kit (Cat #:K968–100, BioVision, California, USA). Data was collected at 600 nm using a spectrophotometer and the kinetic reduction of complex I dye for 5 min was calculated as complex I activity.
Measurement of cellular ATP levels
ATP Bioluminescent HSII kit (Roche) was used to measure intracellular ATP concentration according to the manufacturer’s instructions. ATP levels were detected with luminometer (Victor3; Beckman Coulter, Fullerton, CA, USA) and ATP concentrations were normalized to total protein concentration.
Trypan blue exclusion cell viability assay
Cells were incubated with a 0.05% Trypsin to detach the cells. To identify dead cells, 0.4% trypan blue was added to the cell. Stained (dead) and unstained (live) cells were counted by using a Petroff–Hausser counting chamber (Hausser Scientific, Horsham, PA, USA). Cell viability = [{1− (number of trypan blue-stained cells/number of total cells)} × 100].
Statistical analysis
Results are expressed as mean ± standard error of mean (S.E.M). Differential among experimental groups were analyzed by analysis of variance (ANOVA), and two group analysis was conducted by using Student’s t test. P value of < 0.05 was considered statistically significant.
Results
Role of ethanol-induced mitochondrial ROS accumulation in neuronal cell death

Role of ethanol-induced mitochondrial ROS accumulation in neuronal cell death.SK-N-MC cells were incubated with various concentration of EtOH (100–400 mM) for 72 h. Quantitative analysis of the fold changes of late apoptotic cells were measured by using annexin V/PI staining with flow cytometry. Data are presented as a mean ± S.E.M.= 4.Cells were exposed to EtOH (200 mM) for 0–72 h. Cell viability was measured by trypan blue exclusion assay. Data are presented as a mean ± S.E.M.= 4.Cells were exposed to EtOH (200 mM) for 0–72 h. Cleaved caspase-3 was detected by western blot. Data are presented as a mean ± S.E.M.= 3.Cells were treated with EtOH (200 mM) in a time-dependent manner, ROS measurement by HDCF-DA was conducted by flow cytometry. Data are presented as a mean ± S.E.M.= 3.Cells were pretreated with mitoTEMPO (2 μM) and NAC (5 mM) for 30 min and incubated with ETOH (200 mM) for 48 h. Then HDCF-DA was incubated for 30 min to detect ROS and it was measured by using flow cytometry. Data are presented as a mean ± S.E.M.= 3.Cells were pretreated with mitoTEMPO (2 μM) for 30 min, and then exposed to EtOH (200 mM) for 48 h. Western blotting was conducted to determine the levels of cleaved caspase-3. Data are presented as a mean ± S.E.M.= 4.Cells were pretreated with mitoTEMPO (2 μM) for 30 min prior to EtOH treatment for 72 h. Apoptotic cells were detected by annexin V/ PI staining. Data are presented as a mean ± S.E.M.= 3. All blot images are representative. *< 0.05 versus control,< 0.05 versus EtOH a b c d e f g n n n n n n n p p 2 2 #
Role of PKA/CREB pathway in ethanol-induced NMDA receptor expression and intracellular calcium overload

Role of PKA / CREB pathway in ethanol-induced NMDAR expression and intracellular calcium overload.SK-N-MC cells were treated with EtOH (200 mM) for various time (0–6 h). Cat-PKA, p-CREB (Ser 113) and CREB were detected by western blot. β-Actin was used as a loading control.= 3.Cells were pretreated with 14–22 amide (1 μM) for 30 min before EtOH treatment. Cat-PKA, CREB and p-CREB (Ser 113) were analyzed by western blotting. β-Actin was used as a loading control.= 4.Cells were treated with EtOH (200 mM) for 12 h. mRNA expressions of,,, andwere analyzed by quantitative real time PCR. Data were normalized by the ACTB mRNA expression level.= 4.Cells were exposed to EtOH (200 mM) for 0–24 h. NR1 and NR2B were detected by western blot.= 4.Cells were transfected withsiRNA or NT siRNA for 24 h prior to ethanol exposure for 12 h. NR1 and NR2B expressions were measured by western blotting.= 3. *< 0.05 versus control with NT siRNA transfection, #< 0.05 versus EtOH with NT siRNA transfection.Cells were exposed to EtOH for 0–24 h and then loaded with Fluo 3-AM (2 μM) for 30 min. The amount of intracellular calcium was measured by using flow cytometry.= 3Cells were pretreated with MK-801 (10 μM) for 30 min prior to EtOH treatment, subsequently loaded with Fluo 3-AM (2 μM) for 30 min.= 4.The population of MitoSOX™-positive cells was measured by flow cytometry.= 3.Apoptotic cells were measured by annexin V/PI analysis assay. All data are presented as a mean ± S.E.M.= 3All blot images are representative. *< 0.05 versus control,< 0.05 versus EtOH a b c d e f . g h i . n n GRIN1 GRIN2A GRIN2B GRIN2D n n CREB n p p n n n n p p #
Role of CaMKII / Drp1 pathway in ethanol-induced excessive mitochondrial fragmentation leading to mitochondrial dysfunction

Ethanol-induced CaMKII activation promotes translocation of Drp1 to the mitochondria.SK-N-MC cells were incubated EtOH (200 mM) for 12 h and then harvested. CaMKII was immunoprecipitated with an anti-CaM, anti-CaMKII antibodies (left). The expression of CaM, CaMKII, and β-Actin in total cell lysates is shown (right).= 3Cells were treated with EtOH for various times (0–24 h). CaMKII and p-CaMKII (Thr 286) were analyzed by western blot. β-Actin was used as a loading control.= 4.Cells were pretreated with MK-801 (10 μM) for 30 min prior to EtOH treatment for 24 h. p-CaMKII (Thr 286) and CaMKII were detected by western blot.= 4.Cells were pretreated with KN-93 (1 μM) for 30 min prior to EtOH treatment for 24 h. Drp1 and p-Drp1 (Ser616) were detected by western blot. β-Actin was used as a loading control.= 4.Cells were incubated EtOH (200 mM) for 24 h and then harvested. CaMKII was immunoprecipitated with anti-CaMKII and anti-Drp1 antibodies (left). The expression of CaMKII, Drp1 and β-Actin in total cell lysates is shown (right).= 3.Cells were pretreated with KN-93 (1 μM) for 30 min prior to EtOH treatment for 48 h. Mitochondrial and cytosolic fractions were mentioned in methods. Drp1 was detected by western blot. Anti-TOMM20 was used as mitochondria marker.= 3.Cells were pre-treated with KN-93 (1 μM) for 30 min prior to EtOH treatment for 24 h and immunostained with Drp1 antibody and Mitotracker™. Co-localization of Drp1 (green) and Mitotracker™ (red) was visualized with SRRF imaging system. Scale bars are 8 μm (magnification, × 1,000).= 4. All data are presented as a mean ± S.E.M. All blot and immunofluorescence images shown are representative. *< 0.05 versus control,< 0.05 versus EtOH. a . b c d e f g n n n n n n n p p #

Ethanol-induced excessive mitochondrial fission leads to mitochondrial dysfunction.SK-N-MC cells were exposed to EtOH for 48 h and then loaded with Mitotracker™ Red (200 nM). Representative images were visualized with SRRF imaging system. Scattered plots and average values for form factor (FF) and aspect ratio (AR) were shown on below. Data are presented as a mean ± S.E.M.= 10. Scale bars are 8 μm (magnification, × 1,000).Cells were pretreated with Mdivi-1 (1 μM) for 30 min before EtOH treatment for 48 h. Cells were stained with MitoSOX™. The population of MitoSOX™-positive cells was measured by flow cytometry. Data are presented as a mean ± S.E.M.= 3.Cells were stained with tetramethylrhodamine ethyl ester (TMRE). The population of TMRE-positive cells was measured by flow cytometry. Data are presented as a mean ± S.E.M.= 3Cells were pretreated with Mdivi-1 (1 μM) for 30 min prior to EtOH treatment for 48 h. Mitochondrial complex I activity and intracellular ATP levels were measured respectively and then normalized to cellular protein. Data are presented as a mean ± S.E.M.= 3.Cells were pretreated with Mdivi-1 (1 μM) for 30 min before EtOH treatment for 72 h. Apoptotic cells were measured by annexin V/PI analysis assay. Data are presented as a mean ± S.E.M.= 3All blot and immunofluorescence images shown are representative. *< 0.05 versus control,< 0.05 versus EtOH a b c . d, e f . n n n n n p p #
Role of CaMKII / JNK1 pathway in ethanol-induced NLRP3 inflammasome formation

Role of CaMKII/JNK1 pathway in ethanol-induced inflammasome activation.SK-N-MC cells were incubated EtOH (200 mM) for 24 h and then harvested. JNK1 was immunoprecipitated with anti-JNK1 and anti-CaMKII antibodies (left). The expression of JNK1, CaMKII, and β-Actin in total cell lysates is shown (right). Data are presented as a mean ± S.E.M.= 3.Cells were incubated with EtOH for 24 h and immunostained with CaMKII and JNK1 antibodies. Co-localization of CaMKII (green) and JNK1 (red) was visualized with SRRF imaging system. Scale bars are 8 μm (magnification, × 1,000).= 5.Cells were pre-treated with KN-93 (1 μM) for 30 min prior to EtOH treatment for 24 h. JNK1 and phosphorylated JNK1 (Thr 183/ Tyr 185) were analyzed by western blotting. β-Actin was used as a loading control. Data are presented as a mean ± S.E.M.= 4.Cells were pre-treated with SP600125 (10 μM) for 30 min prior to EtOH treatment for 48 h. ASC was immunoprecipitated with anti-ASC and anti-NLRP3 antibodies (left). The expression of ASC, NLRP3 and β-Actin in total cell lysates is shown (right). Data are presented as a mean ± S.E.M.= 3.Cells were immunostained with ASC and NLRP3 antibodies. Co-localization of ASC (green) and NLRP3 (red) was visualized with SRRF imaging system. Scale bars are 8 μm (magnification, × 1,000).= 4.Cells were transfected withsiRNA or NT siRNA for 24 h prior to ethanol exposure for 48 h. Cleaved caspase-1 expression was measured by western blotting. β-Actin was used as a loading control. Data are presented as a mean ± S.E.M.= 3. All blot and immunofluorescence images shown are representative. *< 0.05 versus control,< 0.05 versus EtOH. a b c d e f n n n n n JNK1 n p p #
Role of ethanol-induced caspase-1 activation in parkin-mediated mitophagy inhibition

Role of ethanol-induced caspase-1 activation in parkin-mediated mitophagy inhibition.Cells were exposed to EtOH (200 mM) for 0–72 h. COX4 was detected by western blot. β-Actin was used as a loading control. The population of Mitotracker™-positive cells was measured by flow cytometry. Data are presented as a mean ± S.E.M.= 3.parkin and TOMM20 with mitochondrial fractionized samples were detected by western blot. Data are presented as a mean ± S.E.M.= 4.Cells were pre-treated with Ac-YVAD-cmk (10 μM) for 30 min prior to EtOH treatment for 48 h. Cells were stained with Mitotracker™. The population of Mitotracker™-positive cells was measured by flow cytometry. Data are presented as a mean ± S.E.M.= 4.The population of MitoSOX™-positive cells was measured by flow cytometry. Data are presented as a mean ± S.E.M.= 3.The population of TMRE-positive cells was measured by flow cytometry. Data are presented as a mean ± S.E.M.= 4.Cells were pretreated with Ac-YVAD-cmk (10 μM) for 30 min before ethanol treatment for 72 h. Apoptotic cells were measured by annexin V/PI analysis assay. Data are presented as a mean ± S.E.M.= 3All blot images are representative. *< 0.05 versus control,< 0.05 versus EtOH a b c d e f . n n n n n n p p #
Discussion
The present work showed that ethanol-induced calcium overload promoted excessive mitochondrial fragmentation via CaMKII/Drp1 pathway. Many investigators have reported that excessive mitochondrial fragmentation was involved in the pathogenesis of neurodegenerative diseases. Although ethanol exposure has been reported to induce mitochondrial fragmentation [48], the effects and mechanism of ethanol-induced mitochondrial fragmentation in neuronal cells have not been investigated. Previous reports have shown that ethanol-induced mitochondrial fission promoted mitochondrial ROS generation leading to mitochondrial dysfunction in human retinal pigment epithelial cell lines [16]. The exact mechanism has not been explained, but Kitagaki et al. reported that ethanol-induced apoptosis was mediated by the mitochondrial fragmentation pathway in yeast [49]. In the present study, we confirmed that excessive mitochondrial fission-induced mitochondrial ROS generation and dysfunction were decreased by Drp1 inhibition in neuronal cells exposed to ethanol. Furthermore, Drp1 inhibition reduced ethanol-induced neuronal apoptosis. These results suggest that Drp1 acts as a regulator of ethanol-induced mitochondrial fission and that the regulation of Drp1-mediated mitochondrial fission can be a therapeutic target in neuronal apoptosis. Drp1 is a cytosolic protein whose activation and inactivation are regulated by the phosphorylation of specific residues [50, 51]. The phosphorylation of Drp1 at Ser 637 residue reduced the activation, whereas the phosphorylation of Drp1 at Ser 616 residue increased the activation and promoted the translocation of Drp1 to the mitochondria [52]. Previous studies have shown that CaMKII activated Drp1 via phosphorylation at Ser 616 and an increase in Drp1 translocation to the mitochondria induced excessive mitochondrial fragmentation [53, 54]. Our data showed that CaMKII activated by ethanol-induced calcium overload directly phosphorylated Drp1 at Ser 616 residue. This finding indicates that ethanol-activated CaMKII regulates Drp1 translocation from the cytosol to the mitochondria as an upstream molecule of Drp1.
Many studies have reported that an increase in intracellular calcium induces inflammasome formation and CaMKII signaling triggers inflammasome activation in cardiomyocytes [55–57]. These results suggest that CaMKII signaling is important for inflammasome activation. However, the detailed mechanism of CaMKII-mediated inflammasome formation has not been studied. In the present study, we demonstrated that ethanol-activated CaMKII induced JNK1-dependent inflammasome activation. Previous report suggested that JNK was shown to be directly activated by CaMKII in rat brain astrocyte cells [58]. Indeed, we confirmed that the inhibition of CaMKII significantly decreased the level of JNK1 phosphorylation. Therefore, we confirmed that CaMKII is an upstream molecule of JNK1 that is important for ethanol-induced inflammasome activation. Previously, an increase in NLRP3 protein expression was thought to be important for activation of inflammasome. However, recent studies suggested that Ser 194 phosphorylation of NLRP3 was essential for the control of inflammasome activation and that JNK1 directly phosphorylates NLRP3, which stimulates the self-association and oligomerization of NLRP3 [25, 26]. In addition to NLRP3, phosphorylation of ASC is involved in the activation of inflammasome. Hara et al. demonstrated that JNK1-mediated phosphorylation of mouse ASC at Tyr 144 modulates inflammasome activation through ASC oligomerization [59]. Although we have not analyzed the direct association between JNK1 and NLRP3 or ASC because they were not our primary concern, our study was consistent with previous researchers’ reports in points of the JNK1-dependent inflammasome activation. Our results also demonstrated that JNK1 inhibition reduced the level of cleaved caspase-1 generated by inflammasome activation. Generally, inflammasome-activated caspase-1 induces pyroptosis in microglia [60]. However, our results showed that caspase-1 was involved in neuronal apoptosis as a regulator of parkin-mediated mitophagy.
Although many researchers have shown the protective role of mitophagy in oxidative stress, mitochondrial dysfunction, and apoptosis [61, 62], the regulation of mitophagy in an ethanol environment is still controversial. We found that ethanol-activated caspase-1 plays a key role in parkin-mediated mitophagy and neuronal apoptosis. Previous researchers have reported that ethanol administration induced parkin-mediated mitophagy, which was activated as a protective response to ethanol toxicity in the liver [63, 64]. Conversely, another study suggested that chronic ethanol consumption inhibited mitophagy through change in the expression of mitophagy-related regulator elements and induced hepatotoxicity [65]. In the present study, we confirmed that mitophagy was suppressed, even though PINK1 expression was increased, by ethanol. These results imply that PINK1/parkin-mediated mitophagy was insufficient or suppressed. A recent study reported that activated caspase-1 cleaved parkin to inhibit mitophagy and contribute to pyroptotic cell death in macrophage cell lines [35]. Caspase-1 has also been demonstrated to selectively cleave parkin at Asp 126 residue and inactivate the function of the ubiquitin-like domain in Chinese hamster ovary and human dopaminergic neuroblastoma SH-SY5Y cells [66, 67]. Interestingly, we found that ethanol treatment reduced the expression of parkin in the mitochondria and the expression was recovered by caspase-1 inhibition. This result suggests that caspase-1 activated by the ethanol-induced inflammasome inhibits parkin and that caspase-1 is important for mitophagy suppression. Although previous studies have shown that caspase-1 activated by inflammasome formation was associated with pyroptosis, which is a form of necrotic cell death [21], we propose that the ethanol-induced inflammasome stimulates neuronal apoptosis through mitophagy inhibition. The present study is the first to identify the detailed mechanism of CaMKII-mediated inflammasome activation and caspase-1-dependent mitophagy regulation in neuronal cells exposed to ethanol.

The schematic model for mechanism involved in EtOH-induced neuronal apoptosis. EtOH-induced NLRP3 inflammasome activation inhibits the mitophagy, which increases the accumulation of mitochondrial ROS by excessive fission leading to neuronal apoptosis
Conclusions
In this study, we demonstrated that ethanol-induced calcium overload promoted excessive mitochondrial fission-mediated ROS production via CaMKII/Drp1 pathway and NLRP3 inflammasome-mediated mitophagy inhibition via CaMKII/JNK1 pathway, which induces neuronal cell apoptosis. The identification of the calcium signaling pathway regulating mitochondrial fission and the NLRP3 inflammasome activation will be useful in the development of therapeutic strategies for the treatment of ethanol-related neurodegenerative diseases.
Supplementary information
Additional file 1: Figure S1. Effect of ethanol on NR1 accumulation on membrane. A Cells were incubated with EtOH for 12 h and immunostained with NR1 and Na+/K+-ATPase antibodies. Na+/K+-ATPase (green) and NR1 (red) were visualized with SRRF imaging system. Scale bars are 8 μm (magnification, × 1,000). Immunofluorescence images are representative.Additional file 2: Figure S2. Effect of PBA on intracellular calcium concentration. A Cells were pretreated with PBA (2.5 mM) for 30 min, and then exposed to EtOH for 24 h. Cells were loaded with Fluo 3-AM (2 μM) for 30 min, and the amount of intracellular calcium was measured by using flow cytometry. Data are presented as a mean ± S.E.M. n = 3. NS is no significant difference between groups. *p < 0.05 versus control.Additional file 3: Figure S3. Effect of ethanol on mRNA and protein expression of mitophagy regulator genes. A Cells were treated with EtOH (200 mM) for 24 h. mRNA expressions of PINK1, BNIP3 and NIX were analyzed by quantitative real time PCR. Data were normalized by the ACTB mRNA expression level. Data are presented as a mean ± S.E.M. n = 3. B Cells were exposed to EtOH (200 mM) for 0–48 h. PINK1, BNIP3 and NIX were detected by western blot. β-Actin was used as a loading control. Data are presented as a mean ± S.E.M. n = 3. All blot images are representative. *p < 0.05 versus control.Additional file 4: Figure S4. Effect of caspase-1 silencing on ethanol-reduced LC3-II expression in mitochondria. A Cells were transfected with CASP1 siRNA or NT siRNA for 24 h prior to ethanol exposure for 48 h. LC3-II expression was measured by western blotting. β-Actin was used as a loading control. Data are presented as a mean ± S.E.M. n = 3. All blot images are representative. *p < 0.05 versus control, #p < 0.05 versus EtOH.Additional file 5: Figure S5. Effect of trehalose on ethanol-induced neuronal apoptosis. A Cells were pretreated with trehalose (2 μM) for 30 min prior to EtOH treatment for 72 h. Apoptotic cells were detected by annexin V/ PI staining. Data are presented as a mean ± S.E.M. n = 3. The data are representative. *p < 0.05 versus control, #p < 0.05 versus EtOH.Additional file 6: Figure S6. Law images in Fig. 1C-2E.Additional file 7: Figure S7. Law images in Fig. 3A-F.Additional file 8: Figure S8. Law images in Fig. 5A-6B.Additional file 9: Figure S9. Law images in Fig. S1B-S2A.Additional file 10: Table S1. Sequences of primers used for RT-PCR and real-time PCRAdditional file 11: Table S2. Sequences of siRNAs used for gene silencingAdditional file 12: Table S3. Information numbers of genes and proteins.