PMID- 18824032 OWN - NLM STAT- MEDLINE DCOM- 20090326 LR - 20231213 IS - 0161-813X (Print) IS - 0161-813X (Linking) VI - 29 IP - 6 DP - 2008 Nov TI - The protective effect of neuronal nitric oxide synthase (nNOS) against alcohol toxicity depends upon the NO-cGMP-PKG pathway and NF-kappaB. PG - 1080-91 LID - 10.1016/j.neuro.2008.08.007 [doi] AB - Fetal alcohol syndrome (FAS) stems from maternal alcohol abuse during pregnancy and is an important cause of mental retardation and hyperactivity in children. In the developing brain, alcohol can kill neurons, leading to microencephaly. However, due to their genetic makeup, some individuals are less vulnerable than others to alcohol's neurotoxic effects. Animal studies have demonstrated that one particular gene, neuronal nitric oxide synthase (nNOS), protects developing neurons in vivo against alcohol-induced death. We utilized pharmacologic techniques to demonstrate that nNOS protects neurons against alcohol toxicity by activating the NO-cGMP-PKG signaling pathway. Cerebellar granule cell cultures derived from mice carrying a null mutation for nNOS (nNOS-/- mice) were substantially more vulnerable than cultures from wild-type mice to alcohol-induced cell death. However, activation of the pathway at sites downstream of nNOS protected the cultures against alcohol toxicity. Conversely, blockade of the pathway rendered wild-type cultures vulnerable to alcohol-induced death. We further identified NF-kappaB as the downstream effector through which nNOS and the NO-cGMP-PKG pathway signal their neuroprotective effects. Tumor necrosis factor-alpha (TNF-alpha), which activates NF-kappaB, ameliorated alcohol-induced cell death in nNOS-/- and wild-type cultures, while an NF-kappaB inhibitor (NFi) blocked the protective effects of TNF-alpha and worsened alcohol-induced cell death. Furthermore, NFi blocked the protective effects of NO-cGMP-PKG pathway activators, demonstrating that NF-kappaB is downstream of the NO-cGMP-PKG pathway. As wild-type neurons matured in culture, they became resistant to alcohol toxicity. However, this maturation-dependent alcohol resistance did not occur in nNOS-/- mice and could be reversed in wild-type mice with NFi, demonstrating that nitric oxide and NF-kappaB are crucial for the development of alcohol resistance with age. Thus, nNOS protects developing neurons against alcohol toxicity by activating the NO-cGMP-PKG-NF-kappaB pathway and is crucial for the acquisition of maturation-dependent alcohol resistance. FAU - Bonthius, Daniel J AU - Bonthius DJ AD - Department of Pediatrics, College of Medicine, University of Iowa, Iowa City, IA, USA. daniel-bonthius@uiowa.edu FAU - Bonthius, Nancy E AU - Bonthius NE FAU - Li, Shenglan AU - Li S FAU - Karacay, Bahri AU - Karacay B LA - eng GR - K08 NS002007/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080909 PL - Netherlands TA - Neurotoxicology JT - Neurotoxicology JID - 7905589 RN - 0 (Central Nervous System Depressants) RN - 0 (Enzyme Inhibitors) RN - 0 (Tumor Necrosis Factor-alpha) RN - 31C4KY9ESH (Nitric Oxide) RN - 3K9958V90M (Ethanol) RN - EC 1.14.13.39 (Nitric Oxide Synthase Type I) RN - EC 2.7.11.1 (Protein Serine-Threonine Kinases) RN - H2D2X058MU (Cyclic GMP) SB - IM MH - Analysis of Variance MH - Animals MH - Animals, Newborn MH - Cell Death/drug effects MH - Cells, Cultured MH - Central Nervous System Depressants/*toxicity MH - Cerebellum/cytology MH - Cyclic GMP/metabolism MH - Dose-Response Relationship, Drug MH - Drug Interactions MH - Enzyme Inhibitors/pharmacology MH - Ethanol/*toxicity MH - Mice MH - Mice, Knockout MH - Neurons/*drug effects MH - Nitric Oxide/metabolism MH - Nitric Oxide Synthase Type I/deficiency/*physiology MH - Protein Serine-Threonine Kinases/*metabolism MH - Signal Transduction/*drug effects MH - Time Factors MH - Tumor Necrosis Factor-alpha/pharmacology MH - NF-kappaB-Inducing Kinase EDAT- 2008/10/01 09:00 MHDA- 2009/03/27 09:00 CRDT- 2008/10/01 09:00 PHST- 2008/04/07 00:00 [received] PHST- 2008/08/26 00:00 [revised] PHST- 2008/08/31 00:00 [accepted] PHST- 2008/10/01 09:00 [pubmed] PHST- 2009/03/27 09:00 [medline] PHST- 2008/10/01 09:00 [entrez] AID - S0161-813X(08)00148-4 [pii] AID - 10.1016/j.neuro.2008.08.007 [doi] PST - ppublish SO - Neurotoxicology. 2008 Nov;29(6):1080-91. doi: 10.1016/j.neuro.2008.08.007. Epub 2008 Sep 9.