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Journal of Alzheimer’s Disease 35 (2013) 319–334 319

DOI 10.3233/JAD-121765
IOS Press

Molecular Mechanism of Tau Aggregation


Induced by Anionic and Cationic Dyes
Karla I. Lira-De Leóna , Ponciano Garcı́a-Gutiérrezb , Iris N. Serratosc , Marianela Palomera-Cárdenasd ,
Marı́a del P. Figueroa-Coronaa , Victoria Campos-Peñae and Marco A. Meraz-Rı́osa,∗
a Departamento de Biomedicina Molecular, Centro de Investigación y de Estudios Avanzados del Instituto Politécnico

Nacional CINVESTAV-IPN, México, D.F.


b Área de Biofisicoquı́mica, Departamento de Quı́mica, Universidad Autónoma Metropolitana-Iztapalapa,

México, D.F.
c Área de Fisicoquı́mica de Superficies, Departamento de Quı́mica, Universidad Autónoma Metropolitana-

Iztapalapa, México, D.F.


d Instituto Tecnológico de Sonora, Sonora, México
e Laboratorio Experimental de Enfermedades Neurodegenerativas, Instituto Nacional de Neurologı́a y Neurocirugı́a

Manuel Velasco Suárez, México, D.F.

Handling Associate Editor: Emilio Di Maria

Accepted 23 January 2013

Abstract. Abnormal tau filaments are a hallmark of Alzheimer’s disease. Anionic dyes such as Congo Red, Thiazine Red, and
Thioflavin S are able to induce tau fibrillization in vitro. SH-SY5Y cells were incubated with each dye for seven days leading
to intracellular aggregates of tau protein, with different morphological characteristics. Interestingly, these tau aggregates were
not observed when the Methylene Blue dye was added to the cell culture. In order to investigate the molecular mechanisms
underlying this phenomenon, we developed a computational model for the interaction of the tau paired helical filament (PHF)
core with every dye by docking analysis. The polar/electrostatic and nonpolar contribution to the free binding energy in the tau
PHF core-anionic dye interaction was determined. We found that the tau PHF core can generate a positive net charge within the
binding site localized at residuesLys311 and Lys340 (numbering according to the longest isoform hTau40). These residues are
important for the binding affinity of the negative charges present in the anionic dyes causing an electrostatic environment that
stabilizes the complex. Tau PHF core protofibril-Congo Red interaction has a stronger binding affinity compared to Thiazine
Red or Thioflavin S. By contrast, the cationic dye Methylene Blue does not bind to nor stabilize the tau PHF core protofibrils.
These results characterize the driving forces responsible for the binding of tau to anionic dyes leading to their self-aggregation
and suggest that Methylene Blue may act as a destabilizing agent of tau aggregates.

Keywords: Alzheimer’s disease, Congo Red, docking, Methylene Blue, SH-SY5Y cells, tau aggregation, tauopathies, Thiazine
Red, Thiofavin S

INTRODUCTION lesions. Because Alzheimer’s disease (AD) is the


most common of these pathologies, studies of the
Tauopathies are a group of neurodegenerative pathological process of tau aggregation are of great
diseases characterized by the aggregation of the interest [1, 2]. Tau protein is the main component in
microtubule-associated tau protein into filamentous neurofibrillary tangles (NFTs) and the amount of these
∗ Correspondence to: Dr. Marco A. Meraz-Rı́os, CINVESTAV-
aggregates correlates with cognitive impairment [3].
IPN, Av. I.P.N. 2508 C.P. 07360, México, D.F. E-mail: mmeraz@ This association is based on tau filament formation
cinvestav.mx. resulting in cytoskeletal disorganization, one of the

ISSN 1387-2877/13/$27.50 © 2013 – IOS Press and the authors. All rights reserved
320 K.I. Lira-De León et al. / Tau Aggregation Induced by Dyes

characteristic features of degenerating neurons [4]. (Gnp ) contributions to the free binding energy in the
However, under physiological conditions, tau is a tau PHF core-anionic dye interaction.
highly soluble protein with a poor secondary structure We found that the tau PHF core protofibrils contain
that polymerizes weakly. Studies on NFTs have con- positive charges at lysine residues that interact with
firmed that tau aggregates display ␤-sheet structures. the negatively charged anionic dyes to provide elec-
This conformational change is possible because tau trostatic stability of these structures, which does not
protein contains two motifs which have a regional occur with MB.
trend to form ␤-sheet structures, flanked by the second
(275 VQIINK280 ) and the third (306 VQIVYK311 ) MATERIALS AND METHODS
repeats of the microtubule-binding domain (MTBD)
[5–7]. This process can be triggered by exogenous Cell culture
fibrillization promoters such as polyanions, anionic
micelles, and anionic dyes [5]. The mechanism SH-SY5Y cells were grown in 100-mm diameter
proposed for tau conversion from a natively unfolded dishes (Costar, Corning Incorporated, NY, USA) at
protein into a filament form involves an allosteric 80% confluence in Advanced Dulbecco’s modified
transition intermediate in which anionic dyes such as Eagle’s medium (A-DMEM) (Invitrogen/Gibco,
Congo Red (CR), Thiazine Red (TR), and Thioflavin S Carlsbad, CA, USA) supplemented with 10% heat-
(TS) are capable of inducing tau fibrillization in vitro. inactivated fetal bovine serum (Invitrogen/Gibco),
The most potent and effective inducer is CR since 100 U/mL penicillin, and 100 ␮g/mL streptomycin
treatment with a low concentration (10 ␮M) already (BIOSOURCE Inc., Rockville, MD, USA) and
induces a large numbers of filaments. TS is able to maintained at 37◦ C in 95% air and 5% CO2 in a
produce a large number of small filaments but requires humidified chamber.
a 10-fold higher concentration. By contrast, treatment
with high concentrations of TR only yields few fila- Dye solutions
ments of relatively long length [8]. However, only CR
CR (GOLDEN BELL reactivos I.C., Jalisco,
at concentrations of 10 ␮M has been reported to induce
México) and TR (Sigma, St. Louis, MO, USA) were
tau aggregation in the human Embryonic Kidney-293T
stored as a 10 mM stock solution in distilled water. TS
cell line (HEK-293T) which is accompanied by a
(Sigma) was stored as a 10 mM stock solution in a 1:1
significant loss of cell viability. However, the cell
mixture of ethanol and distilled water. MB (Sigma) was
type used in this study was not of neuronal origin and
stored as a 10 mM stock solution in distilled water [12].
showed resistance to the uptake of both TS and TR [9].
All solutions were sterile-filtered using a 0.22 ␮m filter
In order to prevent tau aggregation, several groups
[9]. Anionic dyes were stored at 4◦ C and MB solution
have been interested in the use of certain drugs. For
at room temperature (RT) for one month.
example, Methylene Blue (MB) is a member of the
phenothiazine family that crosses the blood-brain bar-
Anionic dye treatment
rier. That has been shown in vivo to enhance the
functionality of the proteasome and to decrease AD SH-SY5Y cells were grown in monolayers on
pathology. It has also been observed in an animal model twelve-well plastic plates (Costar, Corning Incor-
of AD that MB has the ability to rescue impaired porated) in a density of 300,000 cells per dish
learning and memory [10]. Phase II clinical trials in and maintained with the respective dye at different
AD already demonstrated a significant improvement concentrations (0, 5, 10, 15, 30, 60, 90, and 100 ␮M)
of cognitive functions in patients treated with MB [11]. for seven days. Every third day half of the total
In this report, we used the human neuronal cell medium volume was replaced by fresh culture
line SH-SY5Y to test the capacity of the anionic medium with the respective concentration of dye. For
dyes CR, TR, and TS to promote tau aggregation. immunocytochemistry analysis, cells were cultured on
Additionally, we analyzed the inhibitory effects of poly-D-lysine-coated (10 ␮g/mL) (ICN, Cleveland,
MB on tau aggregation. To characterize the molecular Ohio, USA) glass cover slips.
interaction between tau and anionic dyes, we computa-
tionally modeled tau paired helical filament (PHF) core Methylene Blue treatment
protofibrils and carried out extensive docking simula-
tions with CR, TR, TS, and MB. This allowed us to SH-SY5Y cells were grown as described above
determine the polar/electrostatic (Gp ) and nonpolar except for the last day of incubation the cells were
K.I. Lira-De León et al. / Tau Aggregation Induced by Dyes 321

treated with MB at different concentrations (0, 1, 2, Tau aggregation membrane filter assay
2.5, 5, 10, 20, 30, 40, 50, 80, and 100 ␮M) for 24 h.
Cell cultures were detached with 0.5% trypsin-
Immunocytochemistry EDTA (Invitrogen/Gibco), washed, and homogenized
in 50 ␮l of buffer (20 mM Tris, 0.15 M NaCl, 1 mM
Cells were fixed with 4% paraformaldehyde (EMS, EDTA, and 1% Triton X-100, pH 7.5) with protease
Morris, Washington, USA) for 30 min and permeabi- and phosphatase inhibitors and centrifuged at 27200×
lized with 0.2% Triton X-100 (Sigma) by 3 washes g for 30 min. The samples were filtered through
of 10 min each time. Following blocking with 1% 0.22 ␮m PVDF membranes [14]. The resultant mem-
bovine serum albumin fraction V (BSA) (Sigma) for branes were blocked in 5% nonfat dry milk dissolved
30 min, a polyclonal rabbit antibody against tau Ab3 in blocking buffer (10 mM Tris-HCl, pH 7.4, 150 mM
(Neo Markers/Lab Vision, Fremont, CA, USA) was NaCl) for 1 h, and then incubated with tau primary anti-
applied overnight at 4◦ C. Cells were then incubated body [mouse monoclonal DC25 to MTBD-minimal
with goat anti-rabbit secondary antibody conjugated epitope: 347–353 aa (rPeptide, LLC), mouse mono-
to Alexa 488 (1:1000) or Alexa 594 (1:1000) (Invitro- clonal T46 to C-terminal- minimal epitope: 404–441
gen/Molecular probes) for 1 h. Secondary antibodies aa (Santa Cruz Biotech), rabbit polyclonal H150 to
only served as negative controls. Slides were mounted N-terminal- minimal epitope: 1–150 aa (Santa Cruz
using Vectashield (Vector Laboratories) and visualized Biotech)] or ␣-actin or ␣-tubulin primary antibody
using a confocal laser microscope (Olympus IX71) overnight. Membranes were washed three times in
and FluoView FB300 3.2 browser imaging software Tween buffer (10 mM Tris-HCl, pH 7.4, 150 mM
(Olympus America Inc., Center Valley, PA, USA). NaCl, 1% Tween 20), then incubated with HRP-linked
secondary antibody for 1 h. The membranes were
Flow cytometry washed three times in Tween buffer. Membranes were
developed using the ECL plus Western Blotting Analy-
Cell cultures were detached with 0.5% trypsin- sis System (Amersham Bioscience, Buckinghamshire,
EDTA (Invitrogen/Gibco, Grand Island, NY, USA), UK).
washed, resuspended in PBA (PBS 1X, 0.1% BSA,
0.01% sodium azide) and treated with LIVE/DEAD Electron microscopy
Viability/Cytotoxicity kit (Molecular Probes, Eugene,
Pellets obtained from Sarcosyl extraction were
OR USA). Cells were distributed into 96-well
analyzed by electron microscopy. Aliquots were coun-
U-bottomed microtiter plates (Costar, Corning Incor-
terstained with uranyl acetate and lead citrate. Images
porated) and resuspended in FPA (Formaldehyde 1%,
were viewed in transmission electron microscope oper-
PBS 1X, 0.01% sodium azide) prior to flow cytometry
ated at 60-40 kV [6, 15].
using a FACS caliber flow cytometer (Becton Dickin-
son, Mountain View, CA, USA). Results were analyzed
Computational docking between tau PHF core
using Cell Quest software (Dickinson). Untreated cells
protofibrils and dyes
served as controls.
Molecular modeling, electric partial-charge assigna-
Sarcosyl insoluble extraction tion, ligand complex, energy minimizations, docking,
and visualization were performed with the Molecu-
Cell cultures were detached with 0.5% trypsin- lar Operating Environment (MOE) (version 2007.9)
EDTA (Invitrogen/Gibco), washed, homogenized in 10 [16] package unless otherwise stated. Energy mini-
volumes of buffer (10 mM Tris, 0.8 M NaCl, 1 mM mizations were carried out until an RMSD (root mean
EGTA and 10% sucrose, pH 7.4), and centrifuged square deviation) lower than 0.05 was obtained using
at 27200× g for 30 min [13]. The supernatant was CHARMM27, an all-atom force field parameterized
adjusted to 1% (w/v) N-lauroylsarcosine and incubated for proteins, or MMFF94x, parameterized for small
1 h at RT. After incubation, the supernatant was spun at organic molecules in medicinal chemistry.
123000× g for 1 h at RT. The pellet was resuspended
in a small volume (20 ␮l) of phosphate buffered saline Modeling of tau PHF core
(PBS). Additionally, an aliquot of the supernatant of
equal volume as the pellet was taken and finally the Five 3D models of tau PHF core sequence were built
samples were subjected to western blot. based on multiple-threading alignments by LOMETS
322 K.I. Lira-De León et al. / Tau Aggregation Induced by Dyes

(http://zhanglab.ccmb.med.umich.edu/LOMETS/) and conformer and tau PHF core protofibril was performed
iterative TASSER assembly simulations using the including the complete surface of the protofibril as well
I-TASSER server (http://zhanglab.ccmb.med.umich. as the interface region. The top 50 docking scores of
edu/I-TASSER/) and refined by energy minimization complexes consisting of tau PHF core protofibril and
(MOE EnergyMinimize) up to RMSD of 0.1 using the dye conformer (15,000 different binding orientations
CHARMM27 force field. The best model (Model 1) on potential binding sites were proved and evaluated
was selected on basis of their low potential energy and for each conformer from CR, TR, TS, and MB) were
Ramachandran plot and was used to construct tau-tau further refined and optimized using energy minimiza-
PHF core protofibril. tion. The best tau PHF core protofibril-dye molecule
complex based on lowest ligand-protein energy inter-
Modeling of tau PHF core protofibril actions and intermolecular interactions was chosen as
the final structure for each dye molecule.
The assembly system consisted of a 16-peptide
protofibrillar oligomer. This 16-peptide protofibril-
Theoretical determinations: Polar and nonpolar
lar oligomer was constructed from two anti-parallel
contributions to the free binding energy
␤-strands present in tau PHF core Model 1 (i.e.,
306 VQIVYK311 and 335 GQVEVKS341 third and fourth
The solvation energies (Gsolv ) of tau PHF
repeats, respectively). According to Mukrasch, it has protofibril-dye molecule complexes were calcu-
been reported that these repeats are known to be lated using the numerical solution to the nonlinear
involved in the abnormal aggregation of tau [17, 18]. Poisson–Boltzmann equation implemented in the pro-
The 16 peptides were arranged in a double-layered ␤- gram APBS (Adaptive Poisson–Boltzmann Solver)
sheet structure with each sheet formed from parallel [21]. Dielectric constants of 78 and 4 were used for
segments (one segment consist of anti-parallel beta- water and protein, respectively. These energies were
strands shown in Model 1) stacked in register. The two calculated at 298.15 K and at 150 mM NaCl. Parame-
␤-sheets were related to one another by an S2 sym- ters were taken from the PDB2PQR server [22], which
metry axis (i.e., a 180◦ rotation followed by reflection converts PDB files into PQR files: ionic radii and
through the plane perpendicular to the rotation axis). atomic charges were assigned from the CHARMM
Side chains protruding from the two sheets form a forcefield [23] and terminal amino and carboxyl groups
zipper bonding the sheets. Within each sheet, every were taken as neutral. PROPKA [24] was used to
segment is bound to its two neighboring segments assign the protonation state of ionizable residues at pH
through stacks of both backbone and side chain hydro- 7.4. For anionic dyes, atomic charges were assigned
gen bonds. Our constructed protofibrillar oligomer is from the forcefield MMFF94x implemented in pro-
based on the NMR model of Luührs et al. [19] for the gram MOE.
A␤17–42 structure on recent experimental data [17, 18] Using a thermodynamics cycle for the calculation
that provides some details of the secondary structure of of the electrostatic free energy of solvation contribu-
the tau protein and its X-ray interaction with orange-G tion to the binding free energy as described by Baker
[20]. A side chain of residues in the protofibril was sub- [21]:
mitted to energy minimization using the CHARMM27
force field, while the rest of the structure was fixed. Gsolv = Gsystem − Greference (1)

Computational docking analysis


= GTau PHF core protofibril-dye complex
Three-dimensional structures of the dye molecules (2)
were generated using MOE Buid and submitted to − GTau PHF core protofibril − Gdye
energy minimization using the MMFF94x force field.
Additional 3-D conformations of each dye were gen- The Coulombic energies (Gcoul ) of tau protofibril-
erated through MOE ConfomerSearch using a cut-off anionic dye complexes were calculated with a program
conformational energy of 7 kcal/mol from the mini- Coulomb within APBS accessory [21, 25] according
mum energy structure of each compound. Conformers to:
of dye molecules were docked to the rigid tau PHF core Gcoul = GTau PHF core protofibril-dye complex
protofibril structure using MOE Dock and default con- (3)
figurations. The binding simulation between each dye − GTau PHF core protofibril − Gdye
K.I. Lira-De León et al. / Tau Aggregation Induced by Dyes 323

The polar energy was calculated using the following with untreated control cells. Using an anti-tau antibody,
expression: we showed by immunocytochemistry co-localization
between the respective dye and tau in the cytoplasm
Gp = Gsolv + Gcoul (4) of SH-SY5Y cells (Fig. 2). In treated cells, tau pro-
The nonpolar contribution to the binding energy was tein showed a similar distribution as in cells from AD
estimated by multiplying the change in solvent accessi- patients resembling a deposit which implies the appear-
ble surface (ASA) upon binding by 5 cal mol−1 Å−2 ance of protein aggregates.
[26] leading to an additional term (Gnp ). The calcu-
lations of ASA were done using the program Visual Tau aggregates induced by anionic dyes in
Molecular Dynamics (VMD) implying a probe radius SH-SY5Y cells
of 1.4 Å and the atomic coordinates of PDB files tau
PHF core protofibril-dye molecule: Formation of tau aggregates was investigated in
a membrane filtration assay. Aggregates unable to
Gnp =␥ (ASATau PHF core protofibril-dye complex
(5) pass through the pore membrane were detected by
− ASATau PHF core protofibril − ASAdye ) immunostaining of the membrane with anti-tau anti-
bodies (DC25 and T46). Cells treated with 100 ␮M CR,
where coefficient ␥ is an effective microscopic inter- 100 ␮M TR, and 90 ␮M TS for seven days were col-
facial tension (5 cal mol−1 Å−2 ) lected, resuspended in lysis buffer, and cell lysates were
In summary, the calculated energy (Gcalc ) is deter- analyzed in the membrane filtration assay (Fig. 3A).
mined by: All membranes showed positive staining with both
Gcalc = Gsolv + Gcoul + Gnp (6) antibodies for all treated cells indicating the presence
of tau aggregates composed, at least, of the MTBD
RESULTS and the C-terminal region of tau, epitopes that are
recognized by the antibodies (Fig. 3B, C). By con-
Effect of anionic dyes on SH-SY5Y cells trast, no positive signal was detected in untreated
SH-SY5Y cells. A positive signal with the H150
Treatment of SH-SY5Y cells with the dyes CR, TS antibody was exclusive for TR treatment (Fig. 3D)
and TR promotes tau aggregation. Thus, SH-SY5Y suggesting that in CR and TS treatments, tau aggre-
cells were treated with the respective dyes at different gates are composed of N-terminally truncated tau.
concentrations (0, 5, 10, 15, 30, 60, 90, and 100 ␮M) Importantly, no cytoskeletal proteins such as actin
for seven days. Internalization of dye was measured by or tubulin could be detected in these aggregates,
flow cytometry as shown in Fig. 1A. The percentage (Fig. 3E, F).
of positive cells was exact value 55%. CR showed a
particularly strong response, since at the lowest con- Tau aggregates morphology induced by anionic
centration there was already maximal uptake. On the dyes
other hand, both TR and TS showed a dose-dependent
response with a similar percentage of positive cells at In order to evaluate the morphology of these aggre-
60 ␮M for TS and 100 ␮M for TR (Fig. 1A). SH-SY5Y gates, we prepared pellets by sarcosyl extractions for
cells treated with dyes showed severe damage in their analysis by electron microscopy. The morphology of
integrity and cell viability compared with untreated the obtained filaments was different and specific for
cells (Fig. 1B). TR was the most aggressive dye with each dye (Fig. 4). For instance, the filaments formed
only 20–30% of viable cells. TS treatment showed with CR are robust and amorphous (Fig. 4B) while TR
average toxicity (40–55%) whereas CR-treatment did filaments are short and straight (Fig. 4C). Interestingly
not show significant cytotoxic effects (92–99%) simi- TS filaments showed a like-paired helical morphology
lar to untreated cells. and long length (Fig. 4D).

Tau can interact with anionic dyes in SH-SY5Y Effect of MB treatment in SH-SY5Y cells
cells
Tau aggregation induced by planar dyes in SH-
Cells treated with anionic dyes at a concentration of SY5Y cells could be used as a model of tau
15 ␮M still showed a normal morphology comparable polymerization. Moreover, it is possible to test drugs
324 K.I. Lira-De León et al. / Tau Aggregation Induced by Dyes

Fig. 1. Anionic dye uptake by and viability of SH-SY5Y cells. A) Percentage of cells that had internalized the dye and (B) percentage of
viable cells as determined by the LIVE/DEAD Viability/Cytotoxicity kit as described in Materials and Methods. The percent of positive cells
corresponds to the dye uptake in the first case and staining with LIVE/DEAD Viability/Cytotoxicity kit in the second case. Data are mean ± SEM
of three independent experiments *p < 0.05 by Student’s t test compared to untreated cells.

that inhibit or destabilize the abnormal aggregation of MB destabilizes tau aggregates


tau. In this respect, we tested the destabilizing capac-
ity of MB on tau aggregates. To this end, SH-SY5Y The MB destabilization assay for tau aggregation
cells were treated with different MB concentrations was conducted as follows: SH-SY5Y cells were treated
(0, 1, 2, 2.5, 5, 10, 20, 30, 40, 50, 80, and 100 ␮M) with anionic dyes as describe above and for the last
for 24 h. We found that 40 ␮M was the concentration 24 h MB was added to the culture medium (Fig. 5D).
with the highest percentages of positive (blue) cells Strikingly, we found a concentration-dependent reduc-
(Fig. 5A). Analyzing the morphology of cells treated tion in the number of cells containing tau aggregates.
with 40 ␮M of MB, we found a healthy morphology The average destabilizing MB concentration (50%
similar to untreated cells (Fig. 5B). However, treatment of cells) was different for each anionic dye: 10 ␮M
with 80 ␮M MB caused severe damage to the cells as for CR, 20 ␮M for TR, and 2.5 ␮M for TS. These
shown in Fig. 5C. results suggest that MB can more efficiently inhibit
K.I. Lira-De León et al. / Tau Aggregation Induced by Dyes 325

Fig. 2. Tau colocalizes with anionic dyes in SH-SY5Y cells as determined byconfocal laser microscopy. A, D) SH-SY5Y control cells.
B, C, E) SH-SY5Y cells treated with 15 ␮M of CR, TR, and TS respectively. Arrows indicate regions of colocalization. Scale bar = 20 ␮m.

tau aggregation induced by CR and TS compared to TR with anionic dyes (Fig. 6A) in combination with MB
treatment. To observe tau aggregation by immunoflu- (Fig. 6C). As expected, tau immunostaining was nega-
orescence, we also used the filter assay in cells treated tive in all co-treatments (Fig. 6D) compared with cells
without MB treatment (Fig. 6B). Thus, our results indi-
cate that the stability of tau aggregates is reduced by
MB treatment.

Ultrastructure analysis of tau aggregates induced


by anionic dyes on SH-SY5Y cells

Electron microscopy analysis of pellets obtained by


sarcosyl extractions showed the absence of filaments in
all cotreatments with MB (Fig. 7B–E) compared with
TS treated cells alone (Fig. 7A), which showed the
characteristic filament structures for tau aggregation
reported previously.
Fig. 3. Tau aggregates are induced by anionic dyes in SH-SY5Y Modeling tau PHF core and protofibril
cells. A) Membrane filtration assay of SH-SY5Y cells treated
with 100 ␮M CR, 100 ␮M TR, and 90 ␮M TS. B–D) Tau immunos-
taining with specific antibodies: MTBD, C-terminal, and N-terminal In order to understand the interaction between tau
respectively. E, F) Immunostaining of actin and tubulin proteins. PHF core-anionic dyes and MB, we performed docking
326 K.I. Lira-De León et al. / Tau Aggregation Induced by Dyes

Fig. 4. Morphology of tau aggregates induced by anionic dyes in SH-SY5Y cells as analyzed by electron microscopy. A) Control. B) Treatment
with 100 ␮M CR. C) Treatment with 100 ␮M TR. D) Treatment with 90 ␮M TS. Scale bar = 100 nm.

simulations. Because the domain of tau that has a ten- In our model, we used a fragment constituted by the
dency to form ␤-pleated structures sheets is the PHF ␤-sheet observed in Model 1 to build the tau PHF
core, we used this fragment in order to model the tau core protofibril and two ␤-sheet form the steric zipper
PHF core and the protofibril. (Fig. 9). The dimensions of the tau PHF core protofib-
Five models of tau PHF core protein have been rillar model are 36 × 22 × 25 Å along the ␤-sheet
constructed (see Material and Methods for more extension, ␤-strand, and ␤-sheet stacking (perpendi-
details). All tau PHF core models have very little cular to the ␤-sheet surface) directions, respectively.
secondary structures. Two ␤-strands forming an
anti-parallel ␤-sheet from repeats 306 VQIVYK311 and
335 GQVEVKS341 are present in all models which are
Computational docking
stabilized by hydrogen bonds. The rest of the amino
acid sequence is unstructured. Structure superposition To simulate the ligand flexibility in our docking
for all models shows RMSD values between 2.5 and studies, we generated a set of low-energy conformers
5.3 Å considering all atoms, but the value drops to for each dye molecule. About two hundred of con-
0.7–1.2 Å if considering only the C␣ atoms. The formers with energies ≤7 kcal/mol with respect to the
Ramachandran plot for Model 1 (Fig. 8) shows the lowest minimum conformation for each dye molecule
residues at the ␤-sheet region in allowed regions and were built (209, 195, 182, and 217 conformers for CR,
this model has the lowest potential energy compared TR, TS, and MB, respectively). The previously gener-
to the other models making Model 1 the best to be ated conformers for each dye molecule were scanned
used for modeling the tau PHF core protofibril system against all atoms in the tau PHF core protofibril model
using docking studies. It has been suggested that (overall surface and interface region) using 15,000 test
the motifs 275 VQIINK280 , in the second repeat, and poses for each conformer in order to find the best bind-
306 VQIVYK311 , in the third repeat of tau, play a key
ing pose. Then, energy minimization of complexes
role in the formation of PHF [27]. An X-ray study of with the best docking scores for each dye was carried
306 VQIVYK31 microcrystals revealed a cross-␤ spine
out to define the dye orientation and to identify the
structure consisting of ␤-sheet pairs with a “dry steric interacting amino acid residue within the tau PHF core
zipper” organization at the sheet-sheet interface [28]. protofibril.
K.I. Lira-De León et al. / Tau Aggregation Induced by Dyes 327

Fig. 5. MB treatment inhibits tau aggregation. A) SH-SY5Y cells treated with different concentrations of MB for 24 h. B) Morphology of cells
treated with MB. C) Analysis of cell morphology after MB treatment. D) SH-SY5Y cells treated with 100 ␮M CR, 100 ␮M TR, and 90 ␮M TS
for seven days and MB for the last 24 h. Dye uptake was quantified by flow cytometry. The percentage of positive cells corresponds to the dye
uptake of MB in panel A, whereas panel D shows dye uptake for each anionic dye. Data are mean ± SEM of three independent experiments
*p < 0.05 and **p < 0.05 determined by Student’s t test. Images captured with 10× objective.

According to our docking data, dye conformers bind mented in the program APBS and the Coulombic
at the interface region between the ␤-sheets in all cases. contribution using a program Coulomb within APBS
The contact residues (lower than 4.5 Å) in the binding accessory [21]. The Gnp was estimated by the change
site for conformers are indicated in Fig. 10 were also in solvent-accessible surface area (ASA) upon bind-
protein residues that form hydrogen bonds are high- ing with the program VMD. The results are presented
lighted. Regarding the dye molecules, one and/or two in Table 1 for each system. We present the binding
binding modes were observed: in the first mode, dye energies (Gcalc ) for the tau PHF core protofibril with
molecules were parallel to the ␤-sheet extension direc- the dyes. We also show hydrogen bonds established in
tion and the second binding mode is parallel to the the binding site with a 4.5 Å cutoff. Energy values indi-
␤-strand direction. cate that the tau-CR interaction is more favorable than
that TR and TS. The binding is driven by electrostatic
interactions, mainly the direct Coulombic contribution,
Theoretical determinations rather than hydrophobic interactions.
We determined the Gcalc using an implicit-solvent
The Gp of the tau PHF core protofibril-dye com- model in which the electrostatic contributions were
plex was calculated via Gsolv and Gcoul . The obtained by solving the Poisson-Boltzmann equa-
solvation contribution was calculated using a continu- tion numerically and the hydrophobic effects were
ous solvent approximation and the numerical solution accounted by using a surface area dependent nonpolar
to the nonlinear Poisson–Boltzmann equation imple- term [21, 25, 26].
328 K.I. Lira-De León et al. / Tau Aggregation Induced by Dyes

with the best interaction energy interaction for


each condition. CR dye has in its structure two
important SO− 3 moieties which help to stabilize
the complex by electrostatic interactions mainly
with charged residues such as lysine. In complex
1 of the tau PHF core protofibril-CR complex, the
residues involved are Ser341, Lys311, and Glu338.
In complex 2, the residues involved are Ser341,
Gln307, Lys311, Lys340, and Ser341. Complex 2
has a Gcalc = −467.8 kJ mol−1 , more favorable
compared to complex 1 Gcalc = −461.3 kJ mol−1 .
This difference in the energy values may be explained
by the interaction H-bond of the SO− 3 moiety of CR
that interacts with Lys311 and Lys340 of tau and
another SO− 3 moiety that can interact with Lys311
present in complex 2, while complex 1 shows that a
SO− 3 moiety interacts only with Lys311 and this is
reflected in the energy values (Table 1). At a distance
Fig. 6. Tau aggregates are induced by anionic dyes in SH-SY5Y
of 4.5 Å both CR complexes exhibit 5–6 hydrogen
cells but destabilized by treatment with MB. A) Membrane filtra- bonds with the tau protofibril (Fig. 10A).
tion assay of SH-SY5Y cells treated with 100 ␮M CR, 100 ␮M
TR, and 90 ␮M TS. B) Tau immunostaining (pro-aggregative con-
ditions). C) Membrane filtration assay with the same concentration Tau PHF core protofibril: TR complexes
of dyes and co-treated with 40 ␮M of MB. D) Tau immunostaining
(anti-aggregative conditions). Aggregates were visualized using Tau TR also has two important SO− 3 moieties in its struc-
DC25 antibody and could only be observed in the absence of MB. ture. In complex 1, the residues involved in binding are:
Ser341, Val306, Gln307, Lys311, and Ser341, whereas
Tau PHF core protofibril: CR complexes in complex 2 they are Gln307, Tyr310, Gln307, and
Ser341. In complex 1, the calculated energy was more
The tau PHF core protofibril-dye interaction was
favorable (Gcalc = −359.7 kJ mol−1 ) compared to
analyzed by docking. We selected two complexes

Fig. 7. Electron microscopy analysis of SH-SY5Y cells treated with anionic dyes and MB. A) Positive control of filaments formed with TS
without MB treatment. B) Control cells treated only with MB. SH-SY5Y cells treated with 100 ␮M CR (C), 100 ␮M TR (D), and 90 ␮M TS
(E), with 40 ␮M MB for 24 h. Scale bar = 100 nm.
K.I. Lira-De León et al. / Tau Aggregation Induced by Dyes 329

A B
Psi General Psi Glycine
180 180
150 150
120 120
90 90
60 60
30 30
0 0
-30 -30
-60 -60
-90 -90
-120 -120
-150 -150
-180 -180
-150-120 -90 -60 -30 0 30 60 90 120 150 180 -150-120 -90 -60 -30 0 30 60 90 120 150 180
Phi Phi
Psi Proline Psi Pre-Proline
180 180
150 150
120 120
90 90
60 60
30 30
0 0
-30 -30
-60 -60
-90 -90
-120 -120
-150 -150
-180 -180
-150-120 -90 -60 -30 0 30 60 90 120 150 180 -150-120 -90 -60 -30 0 30 60 90 120 150 180
Phi Phi

Fig. 8. Modeling of tau PHF core. A) Final model for tau PHF core (model 1). Final structure multiple-threading alignments by LOMETS
(http://zhanglab.ccmb.med.umich.edu/LOMETS/ ) and iterative TASSER assembly simulations using I-TASSER server. B) Ramachandran plot
for tau PHF core shows the phi-psi torsion angles for all residues in the structure. Residues are shown as black dots. Allowed regions (orange)
and core regions (green) are indicated.

Fig. 9. Modeling of tau PHF core protofibrils. Two representations of tau PHF core protofibril. A) Along of parallel ␤-strand forming each
␤-sheet. B) Along protofibril axis.

complex 2 (Gcalc = −209.7 kJ mol−1 ). In the case Tau PHF core protofibril: TS complexes
of complex 1 only one SO− 3 moiety of TR interacts
with Lys311 and this is also reflected in the calculated The anionic dye TS has only one SO− 3 moiety.
energy (Table 1). At a distance of 4.5 Å both com- In complex 1, residues involved in the binding are
plexes of TR exhibit 5–6 hydrogen bonds with the tau Gln307 and Gln336. For complex 2, residues Gln336
protofibril (Fig. 10B). and Lys340 are involved in the binding the dye. In
330 K.I. Lira-De León et al. / Tau Aggregation Induced by Dyes

Fig. 10. Representative binding poses of dyes to tau PHF core protofibril interface after docking and energy minimization procedure. A) CR;
B) TR; C) TS; D) MB. The backbones of each ␤-strand are shown in tubes.

Table 1
Calculated energies (Gcalc ) of anionic and cationic dyes binding to tau via Gsolv , Gcoul , and Gnp which were determined by theoretical
calculations
Complex Gsolv (kJ/mol) Gcoul (kJ/mol) Gnp (kJ/mol) Gcalc a (kJ/mol) Hydrogenb Bonds 4.5 Å
Tau-CR Complex 1 104.3 −534.0 −31.7 −461.3 5
Complex 2 96.6 −536.5 −27.9 −467.8 6
Tau-TR Complex 1 −3.3 −333.5 −22.9 −359.7 6
Complex 2 83.8 −271.1 −22.4 −209.7 5
Tau-TS Complex 1 83.6 −139.5 −24.8 −80.7 5
Complex 2 110.4 −105 −24.6 −19.2 2
Tau-MB Complex 1 37.5 12.8 −16.6 33.7 -
Complex 2 46.3 11.6 −15.3 42.5 -
a Theenergy calculated (Gcalc ) is given by Ec (6).
b Thenumber of hydrogen bonds between dye and tau in the binding site was determined by the program MOE.
− The program MOE was not able to determine any hydrogen bond interactions.
K.I. Lira-De León et al. / Tau Aggregation Induced by Dyes 331

both complexes, the SO− 3 moiety does not interact with


it did not require the overexpression of mutated or trun-
any lysine at 4.5 Å. However, in complex 2 an oxy- cated tau protein or hyperphosphorylation inducers [8].
gen atom of Lys340 interacts with a nitrogen atom of Therefore, our model allows studying the mechanisms
the anionic dye, but this interaction is not as strong of tau aggregation under conditions that resemble the
as the lysine when it interacts with the SO− 3 moiety.
physiological environment of AD pathogenesis. Our
At a distance of 4.5 Å, both TS complexes exhibit 2–5 model presents another hallmark of AD such as tau
hydrogen bonds with the tau protofibril (Fig. 10C). The truncation in the N-terminal [30], present in CR and
CR, TR, and TS models shown here involved interac- TS treatments.
tions with at least one lysine that is positively charged Importantly, the morphology of the filaments
creating an electrostatic environment in the binding site obtained with each dye is different and, according to
that stabilizes the complex with tau. our results, it is now possible to work under condi-
tions that best resemble the morphology of a certain
tauopathy. For example, in the case of AD, TS would
Tau PHF core protofibril: MB complexes be the best inducer; while in Pick’s disease, TR would
be the better choice [31]. Interestingly, the treatment
Tau PHF protofibrils-MB docking does not show with MB eliminated tau aggregates and similar results
any electrostatic interactions (Fig. 10D) and this was were observed in vitro assays of aggregation of tau
corroborated by the values of Gcalc (Table 1). The truncations. Moreover, in these assays the aggrega-
Gcalc for both complexes were unfavorable for the tion of tau was destabilized by MB, and there was
binding of MB with the tau PHF protofibrils compared no effect on the ability of tau protein when interacting
with CR, TR, and TS. However the hydrophobic inter- with microtubules, thus the function of tau is conserved
actions of MB with tau are favorable but less stable [12]. On the other hand, it is important to mention the
compared to electrostatic interactions. significant features of MB for destabilization of tau
aggregation: the cationic charge, planarity, and a high
DISCUSSION level of aromatic conjugation. The last two features
appear to be determinants for its inhibitory activity
This is the first report that shows, in a neuronal on tau aggregation, since non-conjugated and distorted
environment, the ability of several anionic dyes to pro- analogues display a dramatically reduced potency [12,
mote tau aggregation under physiological conditions 32]. Although the results obtained of in vivo models
(without overexpression of tau). Although anionic dyes for inhibition of tau aggregation with MB are contro-
usually serve as small-molecule ligands that bind ␤- versial, most of the results are consistent with their
sheet structures [7], recent reports show their capacity inhibitory activity. Therefore MB and their deriva-
as inducers of tau aggregation in vitro [6]. Our results tives could be potential drugs to treat AD and other
are consistent with these in vitro observations with CR tauopathies [10, 11, 33].
being the most potent inducer followed by TS and TR Tau has a very low content of secondary structural
[6]. Our computational data suggest that the mecha- elements as shown by sequence analysis [34]. It is
nism of tau polymerization requires a conformational considered a natively unfolded protein as shown for
change of the ␤-sheet structure [29] which can be example by circular dichroism spectra [35] and retains
induced by anionic dyes. According to our confocal its disordered state even upon binding to microtubules
images, an interaction between tau and the planar dyes [17, 36]. In vitro, tau aggregation can be induced effi-
seems to be possible in the cytoplasm. However, in ciently only by incubation with several ligands, such
contrast to Bandyopadhyay et al. [9], we observed that as DNA and RNA [37].
all three dyes are able to induce tau fibrillization in The longest human tau isoform hTau40 exists in the
vitro. These differences may be due to specific charac- central nervous system. It consists of 441 residues and
teristics of the different cell line used. For instance, the contains several domains, including the proline-rich
293T cell line does not express tau and only when arti- flanking regions P1 and P2 (residues 151–244) and
ficially high levels of tau are ectopically expressed, tau four repetitive domains R1–R4 (residues 244–369)
aggregates could be observed. Thus, the neuronal SH- (Fig. 8) that constitute the MTBD with residues in
SY5Y cells is a more appropriate model for studying repeats R2–R4 possessing a high propensity to adopt
the processes involved in pathologic tau aggregation. a ␤-structure [17, 38–40]. Atomic force microscopy,
It is noteworthy that the induction of tau aggregation in Fourier transform infrared spectroscopy, circular
this model was performed using only anionic dyes and dichroism, and X-ray fiber diffraction experiments
332 K.I. Lira-De León et al. / Tau Aggregation Induced by Dyes

have shown that fragments of the ␤-structure in is the stabilization of the structure through electro-
these repeats can stably interact with each other and static interactions between the negative and positive
with themselves and can aggregate into fibrils [35, charges. By contrast, MB binds to ␤-strands of tau
41, 42]. Petterson and co-workers [43] suggested PHF core-protofibril in a parallel fashion that does not
that the hexapeptide motifs 275 VQIINK280 and allow establishing electrostatic interactions or hydro-
306 VQIVYK311 in repeats R2 and R3, respectively, act gen bonds. Instead, the binding is driven by weaker
as mediators of intermolecular interactions between nonpolar interactions (hydrophobic and Van der Waals)
tau monomers which were stabilized by the anionic (Table 1).
factor heparin. Electron paramagnetic resonance Although the mechanism of tau-anionic dyes com-
spectra and electron microscopy measurements also plex formation is still unknown, our theoretical models
indicated that fragments in the R2 repeat of tau have indicate that the interactions leading to the binding of
a parallel in-register arrangement of ␤-strands [44]. anionic dyes with tau are of electrostatic nature. The
However, the highest propensity of ␤-structure content present study also demonstrates the usefulness of the-
in the tau protein is in repeats R2, R3, and R4 (Fig. 8). oretical tools to provide a qualitative understanding of
Monte Carlo simulations and molecular dynamics the driving forces responsible for the binding of anionic
[45] of the 306 VQIVYK311 -domainin repeat R3 have dyes to tau PHF core-protofibrils. In summary, our
shown that the tau molecule not only promotes the computational model and our electron microscopy data
formation of stable oligomers but also is capable of suggest MB as a potential destabilizing agent of tau
stabilizing these structures because such fragments aggregates. This knowledge may be useful for finding
are characteristically rich in ␤-sheet structures. new therapeutic approaches for AD and other related
We observed in our models that the electrostatic diseases.
interactions and the hydrogen bonds determine mainly
the interaction between the anionic dyes and tau PHF
ACKNOWLEDGMENTS
core protofibril and to a lesser extent the hydrophobic
interactions (Table 1). CR has more interactions with
We thank Dr. Sergio Roberto Aguilar-Ruiz, Dr.
the lysine residues present in the protofibrils compared
Honorio Torres-Aguilar, and Dra. Gabriela Pérez-
to TR and TS. The presence of two SO− 3 moieties in González for intellectual and technical support. We
the structure of CR allows interaction with at least one
thank Dr. Michael Schnoor for the critical reading to
lysine residue and provides the electrostatic environ-
the manuscript. I.N.S. acknowledges Support of the
ment favoring the stability of the complex. For tau-TR
Committee for Aid and Education in Neurochemistry
interaction, we observed that in one of the complexes,
(CAEN) of category 1B: Research supplies for use
only one SO− 3 moiety interacts with a lysine residue. in the applicant’s home laboratory. K.I. Lira-De León
In the case of tau-TS interaction, this dye has only
received predoctoral fellowships from CONACyT and
one SO− 3 moiety that does not interact with any lysine CINVESTAV. This work was partially supported by
residue to 4.5 Å resulting in a weaker interaction. How- CONACyT grant No. 101996.
ever, a lysine residue interacts with a nitrogen atom of Authors’ disclosures available online (http://www.j-
the TS, but this interaction is not as strong compared alz.com/disclosures/view.php?id=1650).
to the lysine interaction with the SO− 3 moiety.
All dyes intercalate into ␤-sheets in tau PHF core-
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