Proteomic Profiling of Cranial (Superior) Cervical Ganglia Reveals Beta-Amyloid and Ubiquitin Proteasome System Perturbations in an Equine Multiple System Neuropathy.
Abstract: Equine grass sickness (EGS) is an acute, predominantly fatal, multiple system neuropathy of grazing horses with reported incidence rates of ∼2%. An apparently identical disease occurs in multiple species, including but not limited to cats, dogs, and rabbits. Although the precise etiology remains unclear, ultrastructural findings have suggested that the primary lesion lies in the glycoprotein biosynthetic pathway of specific neuronal populations. The goal of this study was therefore to identify the molecular processes underpinning neurodegeneration in EGS. Here, we use a bottom-up approach beginning with the application of modern proteomic tools to the analysis of cranial (superior) cervical ganglion (CCG, a consistently affected tissue) from EGS-affected patients and appropriate control cases postmortem. In what appears to be the proteomic application of modern proteomic tools to equine neuronal tissues and/or to an inherent neurodegenerative disease of large animals (not a model of human disease), we identified 2,311 proteins in CCG extracts, with 320 proteins increased and 186 decreased by greater than 20% relative to controls. Further examination of selected proteomic candidates by quantitative fluorescent Western blotting (QFWB) and subcellular expression profiling by immunohistochemistry highlighted a previously unreported dysregulation in proteins commonly associated with protein misfolding/aggregation responses seen in a myriad of human neurodegenerative conditions, including but not limited to amyloid precursor protein (APP), microtubule associated protein (Tau), and multiple components of the ubiquitin proteasome system (UPS). Differentially expressed proteins eligible for in silico pathway analysis clustered predominantly into the following biofunctions: (1) diseases and disorders, including; neurological disease and skeletal and muscular disorders and (2) molecular and cellular functions, including cellular assembly and organization, cell-to-cell signaling and interaction (including epinephrine, dopamine, and adrenergic signaling and receptor function), and small molecule biochemistry. Interestingly, while the biofunctions identified in this study may represent pathways underpinning EGS-induced neurodegeneration, this is also the first demonstration of potential molecular conservation (including previously unreported dysregulation of the UPS and APP) spanning the degenerative cascades from an apparently unrelated condition of large animals, to small animal models with altered neuronal vulnerability, and human neurological conditions. Importantly, this study highlights the feasibility and benefits of applying modern proteomic techniques to veterinary investigations of neurodegenerative processes in diseases of large animals.
© 2015 by The American Society for Biochemistry and Molecular Biology, Inc.
Publication Date: 2015-09-13 PubMed ID: 26364976PubMed Central: PMC4638047DOI: 10.1074/mcp.M115.054635Google Scholar: Lookup
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- Journal Article
- Research Support
- Non-U.S. Gov't
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
The research uncovers the primary molecular processes that lead to neuronal degeneration in Equine grass sickness (EGS), a deadly neurological disease that affects grazing horses and similar species. The study discovered dysregulated proteins related to protein misfolding/aggregation conditions, often seen in human neurodegenerative diseases.
Study Objective and Methodology
- The study aimed to determine the molecular actions that trigger neurodegeneration in Equine grass sickness (EGS), an acute, fatal neurological disease that affects 2% of grazing horses and other species such as cats, dogs, and rabbits.
- The researchers used modern proteomic tools to analyze the cranial cervical ganglion (CCG), a tissue commonly affected by EGS, in both EGS-afflicted and control cases.
Key Findings
- From 2,311 proteins found in the CCG extracts, 320 showed a 20% increase and 186 exhibited a more than 20% decrease relative to control cases.
- A previously unknown dysregulation was discovered in proteins typically associated with protein misfolding and aggregation responses, commonly seen in various human neurodegenerative conditions. This involves amyloid precursor protein (APP), microtubule-associated protein (Tau), and multiple components of the ubiquitin proteasome system (UPS).
- Proteins with differential expressions pertinent to in silico pathway analysis primarily clustered into biofunctions such as neurological diseases, skeletal and muscular disorders, cellular assembly and organization, cell-to-cell signaling and interaction (considering molecules like epinephrine and dopamine, and adrenergic signaling and receptor function), and small molecule biochemistry.
Significance and Implications
- The study might represent the molecular pathways that cause EGS-induced neurodegeneration but also suggests molecular conservation—including the previously undetected dysregulation of UPS and APP—across a variety of conditions from large animals to small animal models with altered neuronal vulnerability, to human neurological conditions.
- Crucially, the research underscores the viability and advantages of applying modern proteomic techniques to veterinary inquiries into neurodegenerative processes in diseases affecting large animals.
Cite This Article
APA
McGorum BC, Pirie RS, Eaton SL, Keen JA, Cumyn EM, Arnott DM, Chen W, Lamont DJ, Graham LC, Llavero Hurtado M, Pemberton A, Wishart TM.
(2015).
Proteomic Profiling of Cranial (Superior) Cervical Ganglia Reveals Beta-Amyloid and Ubiquitin Proteasome System Perturbations in an Equine Multiple System Neuropathy.
Mol Cell Proteomics, 14(11), 3072-3086.
https://doi.org/10.1074/mcp.M115.054635 Publication
Researcher Affiliations
- From the Veterinary Clinical Sciences and bruce.mcgorum@ed.ac.uk T.M.Wishart@ed.ac.uk.
- From the Veterinary Clinical Sciences and.
- §Division of Neurobiology, The Roslin Institute and Royal (Dick) School of Veterinary Studies, University of Edinburgh, UK;
- From the Veterinary Clinical Sciences and.
- §Division of Neurobiology, The Roslin Institute and Royal (Dick) School of Veterinary Studies, University of Edinburgh, UK;
- §Division of Neurobiology, The Roslin Institute and Royal (Dick) School of Veterinary Studies, University of Edinburgh, UK;
- FingerPrints: Proteomics Facility, School of Life Sciences, University of Dundee, Dundee, UK;
- FingerPrints: Proteomics Facility, School of Life Sciences, University of Dundee, Dundee, UK;
- §Division of Neurobiology, The Roslin Institute and Royal (Dick) School of Veterinary Studies, University of Edinburgh, UK;
- §Division of Neurobiology, The Roslin Institute and Royal (Dick) School of Veterinary Studies, University of Edinburgh, UK;
- From the Veterinary Clinical Sciences and.
- §Division of Neurobiology, The Roslin Institute and Royal (Dick) School of Veterinary Studies, University of Edinburgh, UK; Euan MacDonald Centre for Motor Neuron Disease Research, University of Edinburgh, Edinburgh, UK bruce.mcgorum@ed.ac.uk T.M.Wishart@ed.ac.uk.
MeSH Terms
- Amyloid beta-Protein Precursor / genetics
- Amyloid beta-Protein Precursor / metabolism
- Animals
- Female
- Ganglia, Sensory / chemistry
- Ganglia, Sensory / metabolism
- Ganglia, Sensory / pathology
- Gene Expression Profiling
- Gene Expression Regulation
- Gene Ontology
- Horse Diseases / diagnosis
- Horse Diseases / genetics
- Horse Diseases / metabolism
- Horse Diseases / pathology
- Horses
- Male
- Molecular Sequence Annotation
- Neurodegenerative Diseases / diagnosis
- Neurodegenerative Diseases / genetics
- Neurodegenerative Diseases / metabolism
- Neurodegenerative Diseases / pathology
- Proteasome Endopeptidase Complex / metabolism
- Proteomics
- Proteostasis Deficiencies / diagnosis
- Proteostasis Deficiencies / genetics
- Proteostasis Deficiencies / metabolism
- Proteostasis Deficiencies / pathology
- Ubiquitin / genetics
- Ubiquitin / metabolism
- tau Proteins / genetics
- tau Proteins / metabolism
Grant Funding
- 097945 / Wellcome Trust
- BBS/E/D/20251969 / Biotechnology and Biological Sciences Research Council
- MR/M010341/1 / Medical Research Council
References
This article includes 54 references
- Pirie RS. Grass sickness. Clin. Tech. Equine Practice 5, 30–36.
- Pirie RS, Jago RC, Hudson NP. Equine grass sickness.. Equine Vet J 2014 Sep;46(5):545-53.
- Sharp NJH, Nash AS, Griffiths IR. Feline dysautonomia (the Key-Gaskell syndrome): A clinical and pathological study of forty cases. J. Small Animal Practice 25, 599–615.
- Whitwell KE. Do hares suffer from grass sickness?. Vet Rec 1991 Apr 27;128(17):395-6.
- Longshore RC, O'Brien DP, Johnson GC, Grooters AM, Kroll RA. Dysautonomia in dogs: a retrospective study.. J Vet Intern Med 1996 May-Jun;10(3):103-9.
- Kik MJ, van der Hage MH. Cecal impaction due to dysautonomia in a llama (Lama glama).. J Zoo Wildl Med 1999 Sep;30(3):435-8.
- Pruden SJ, McAllister MM, Schultheiss PC, O'Toole D, Christensen DE. Abomasal emptying defect of sheep may be an acquired form of dysautonomia.. Vet Pathol 2004 Mar;41(2):164-9.
- Hahn CN, Whitwell KE, Mayhew IG. Neuropathological lesions resembling equine grass sickness in rabbits.. Vet Rec 2005 Jun 11;156(24):778-9.
- Lewis CA, Bozynski CC, Johnson GC, Harral CM, Williams F 3rd, Tyler JW. Colonic impaction due to dysautonomia in an alpaca.. J Vet Intern Med 2009 Sep-Oct;23(5):1117-22.
- Hahn CN, Mayhew IG, de Lahunta A. Central neuropathology of equine grass sickness.. Acta Neuropathol 2001 Aug;102(2):153-9.
- Poxton IR, Hunter LC, Brown R, Lough HG, Miller JK. Clostridia and equine grass sickness. Rev. Med. Microbiol. 8, S52.
- Hunter LC, Miller JK, Poxton IR. The association of Clostridium botulinum type C with equine grass sickness: a toxicoinfection?. Equine Vet J 1999 Nov;31(6):492-9.
- Griffiths IR, Kyriakides E, Smith S, Howie F, Deary AW. Immunocytochemical and lectin histochemical study of neuronal lesions in autonomic ganglia of horses with grass sickness.. Equine Vet J 1993 Sep;25(5):446-52.
- Pogson DM, Doxey DL, Gilmour JS, Milne EM, Chisholm HK. Autonomic neurone degeneration in equine dysautonomia (grass sickness).. J Comp Pathol 1992 Oct;107(3):271-83.
- McGorum BC, Kirk J. Equine dysautonomia (grass sickness) is associated with altered plasma amino acid levels and depletion of plasma sulphur amino acids.. Equine Vet J 2001 Sep;33(5):473-7.
- Doxey DL, Pogson DM, Milne EM, Gilmour JS, Chisholm HK. Clinical equine dysautonomia and autonomic neuron damage.. Res Vet Sci 1992 Jul;53(1):106-9.
- Wishart TM, Rooney TM, Lamont DJ, Wright AK, Morton AJ, Jackson M, Freeman MR, Gillingwater TH. Combining comparative proteomics and molecular genetics uncovers regulators of synaptic and axonal stability and degeneration in vivo.. PLoS Genet 2012;8(8):e1002936.
- Wishart TM, Huang JP, Murray LM, Lamont DJ, Mutsaers CA, Ross J, Geldsetzer P, Ansorge O, Talbot K, Parson SH, Gillingwater TH. SMN deficiency disrupts brain development in a mouse model of severe spinal muscular atrophy.. Hum Mol Genet 2010 Nov 1;19(21):4216-28.
- Comley LH, Fuller HR, Wishart TM, Mutsaers CA, Thomson D, Wright AK, Ribchester RR, Morris GE, Parson SH, Horsburgh K, Gillingwater TH. ApoE isoform-specific regulation of regeneration in the peripheral nervous system.. Hum Mol Genet 2011 Jun 15;20(12):2406-21.
- Wishart TM, Mutsaers CA, Riessland M, Reimer MM, Hunter G, Hannam ML, Eaton SL, Fuller HR, Roche SL, Somers E, Morse R, Young PJ, Lamont DJ, Hammerschmidt M, Joshi A, Hohenstein P, Morris GE, Parson SH, Skehel PA, Becker T, Robinson IM, Becker CG, Wirth B, Gillingwater TH. Dysregulation of ubiquitin homeostasis and β-catenin signaling promote spinal muscular atrophy.. J Clin Invest 2014 Apr;124(4):1821-34.
- Eaton SL, Roche SL, Llavero Hurtado M, Oldknow KJ, Farquharson C, Gillingwater TH, Wishart TM. Total protein analysis as a reliable loading control for quantitative fluorescent Western blotting.. PLoS One 2013;8(8):e72457.
- Eaton SL, Hurtado ML, Oldknow KJ, Graham LC, Marchant TW, Gillingwater TH, Farquharson C, Wishart TM. A guide to modern quantitative fluorescent western blotting with troubleshooting strategies.. J Vis Exp 2014 Nov 20;(93):e52099.
- Wishart TM, Paterson JM, Short DM, Meredith S, Robertson KA, Sutherland C, Cousin MA, Dutia MB, Gillingwater TH. Differential proteomics analysis of synaptic proteins identifies potential cellular targets and protein mediators of synaptic neuroprotection conferred by the slow Wallerian degeneration (Wlds) gene.. Mol Cell Proteomics 2007 Aug;6(8):1318-30.
- Santiago JA, Potashkin JA. A network approach to clinical intervention in neurodegenerative diseases.. Trends Mol Med 2014 Dec;20(12):694-703.
- Fuller HR, Hurtado ML, Wishart TM, Gates MA. The rat striatum responds to nigro-striatal degeneration via the increased expression of proteins associated with growth and regeneration of neuronal circuitry.. Proteome Sci 2014;12:20.
- Mutsaers CA, Lamont DJ, Hunter G, Wishart TM, Gillingwater TH. Label-free proteomics identifies Calreticulin and GRP75/Mortalin as peripherally accessible protein biomarkers for spinal muscular atrophy.. Genome Med 2013;5(10):95.
- Salminen A, Kaarniranta K, Kauppinen A, Ojala J, Haapasalo A, Soininen H, Hiltunen M. Impaired autophagy and APP processing in Alzheimer's disease: The potential role of Beclin 1 interactome.. Prog Neurobiol 2013 Jul-Aug;106-107:33-54.
- Bandyopadhyay S, Cahill C, Balleidier A, Huang C, Lahiri DK, Huang X, Rogers JT. Novel 5' untranslated region directed blockers of iron-regulatory protein-1 dependent amyloid precursor protein translation: implications for down syndrome and Alzheimer's disease.. PLoS One 2013;8(7):e65978.
- Irwin DJ, Cohen TJ, Grossman M, Arnold SE, McCarty-Wood E, Van Deerlin VM, Lee VM, Trojanowski JQ. Acetylated tau neuropathology in sporadic and hereditary tauopathies.. Am J Pathol 2013 Aug;183(2):344-51.
- Roberts GW, Gentleman SM, Lynch A, Murray L, Landon M, Graham DI. Beta amyloid protein deposition in the brain after severe head injury: implications for the pathogenesis of Alzheimer's disease.. J Neurol Neurosurg Psychiatry 1994 Apr;57(4):419-25.
- Prince D, Corcoran BM, Mayhew IG. Changes in nasal mucosal innervation in horses with grass sickness.. Equine Vet J 2003 Jan;35(1):60-6.
- Shotton HR, Lincoln J, McGorum BC. Effects of equine grass sickness on sympathetic neurons in prevertebral and paravertebral ganglia.. J Comp Pathol 2011 Jul;145(1):35-44.
- Ramser J, Ahearn ME, Lenski C, Yariz KO, Hellebrand H, von Rhein M, Clark RD, Schmutzler RK, Lichtner P, Hoffman EP, Meindl A, Baumbach-Reardon L. Rare missense and synonymous variants in UBE1 are associated with X-linked infantile spinal muscular atrophy.. Am J Hum Genet 2008 Jan;82(1):188-93.
- Wilson RC, Hughes RC, Flatt JW, Meehan EJ, Ng JD, Twigg PD. Structure of full-length ubiquitin-conjugating enzyme E2-25K (huntingtin-interacting protein 2).. Acta Crystallogr Sect F Struct Biol Cryst Commun 2009 May 1;65(Pt 5):440-4.
- Song S, Jung YK. Alzheimer's disease meets the ubiquitin-proteasome system.. Trends Mol Med 2004 Nov;10(11):565-70.
- Rosen KM, Moussa CE, Lee HK, Kumar P, Kitada T, Qin G, Fu Q, Querfurth HW. Parkin reverses intracellular beta-amyloid accumulation and its negative effects on proteasome function.. J Neurosci Res 2010 Jan;88(1):167-78.
- Tharp WG, Sarkar IN. Origins of amyloid-β.. BMC Genomics 2013 Apr 30;14:290.
- Allinquant B, Moya KL, Bouillot C, Prochiantz A. Amyloid precursor protein in cortical neurons: coexistence of two pools differentially distributed in axons and dendrites and association with cytoskeleton.. J Neurosci 1994 Nov;14(11 Pt 2):6842-54.
- Osaka H, Wang YL, Takada K, Takizawa S, Setsuie R, Li H, Sato Y, Nishikawa K, Sun YJ, Sakurai M, Harada T, Hara Y, Kimura I, Chiba S, Namikawa K, Kiyama H, Noda M, Aoki S, Wada K. Ubiquitin carboxy-terminal hydrolase L1 binds to and stabilizes monoubiquitin in neuron.. Hum Mol Genet 2003 Aug 15;12(16):1945-58.
- Kielar C, Wishart TM, Palmer A, Dihanich S, Wong AM, Macauley SL, Chan CH, Sands MS, Pearce DA, Cooper JD, Gillingwater TH. Molecular correlates of axonal and synaptic pathology in mouse models of Batten disease.. Hum Mol Genet 2009 Nov 1;18(21):4066-80.
- Watanabe H, Iqbal M, Zheng J, Wines-Samuelson M, Shen J. Partial loss of presenilin impairs age-dependent neuronal survival in the cerebral cortex.. J Neurosci 2014 Nov 26;34(48):15912-22.
- Relaño-Ginés A, Lehmann S, Crozet C. Prion diseases and adult neurogenesis: how do prions counteract the brain's endogenous repair machinery?. Prion 2014;8(3):240-6.
- Rüb U, Hentschel M, Stratmann K, Brunt E, Heinsen H, Seidel K, Bouzrou M, Auburger G, Paulson H, Vonsattel JP, Lange H, Korf HW, den Dunnen W. Huntington's disease (HD): degeneration of select nuclei, widespread occurrence of neuronal nuclear and axonal inclusions in the brainstem.. Brain Pathol 2014 Apr;24(3):247-60.
- Ishida C, Kobayashi K, Kitamura T, Ujike H, Iwasa K, Yamada M. Frontotemporal dementia with parkinsonism linked to chromosome 17 with the MAPT R406W mutation presenting with a broad distribution of abundant senile plaques.. Neuropathology 2015 Feb;35(1):75-82.
- Wang X, Huang T, Bu G, Xu H. Dysregulation of protein trafficking in neurodegeneration.. Mol Neurodegener 2014 Aug 25;9:31.
- El Ayadi A, Stieren ES, Barral JM, Boehning D. Ubiquilin-1 regulates amyloid precursor protein maturation and degradation by stimulating K63-linked polyubiquitination of lysine 688.. Proc Natl Acad Sci U S A 2012 Aug 14;109(33):13416-21.
- Chen Y, Durakoglugil MS, Xian X, Herz J. ApoE4 reduces glutamate receptor function and synaptic plasticity by selectively impairing ApoE receptor recycling.. Proc Natl Acad Sci U S A 2010 Jun 29;107(26):12011-6.
- Mahadomrongkul V, Huerta PT, Shirao T, Aoki C. Stability of the distribution of spines containing drebrin A in the sensory cortex layer I of mice expressing mutated APP and PS1 genes.. Brain Res 2005 Dec 7;1064(1-2):66-74.
- VanGuilder HD, Farley JA, Yan H, Van Kirk CA, Mitschelen M, Sonntag WE, Freeman WM. Hippocampal dysregulation of synaptic plasticity-associated proteins with age-related cognitive decline.. Neurobiol Dis 2011 Jul;43(1):201-12.
- Toonen RF, de Vries KJ, Zalm R, Südhof TC, Verhage M. Munc18-1 stabilizes syntaxin 1, but is not essential for syntaxin 1 targeting and SNARE complex formation.. J Neurochem 2005 Jun;93(6):1393-400.
- Campbell IM, Yatsenko SA, Hixson P, Reimschisel T, Thomas M, Wilson W, Dayal U, Wheless JW, Crunk A, Curry C, Parkinson N, Fishman L, Riviello JJ, Nowaczyk MJ, Zeesman S, Rosenfeld JA, Bejjani BA, Shaffer LG, Cheung SW, Lupski JR, Stankiewicz P, Scaglia F. Novel 9q34.11 gene deletions encompassing combinations of four Mendelian disease genes: STXBP1, SPTAN1, ENG, and TOR1A.. Genet Med 2012 Oct;14(10):868-76.
- Bignante EA, Heredia F, Morfini G, Lorenzo A. Amyloid β precursor protein as a molecular target for amyloid β--induced neuronal degeneration in Alzheimer's disease.. Neurobiol Aging 2013 Nov;34(11):2525-37.
- Dikranian K, Kim J, Stewart FR, Levy MA, Holtzman DM. Ultrastructural studies in APP/PS1 mice expressing human ApoE isoforms: implications for Alzheimer's disease.. Int J Clin Exp Pathol 2012;5(6):482-95.
- Viayna E, Sabate R, Muñoz-Torrero D. Dual inhibitors of β-amyloid aggregation and acetylcholinesterase as multi-target anti-Alzheimer drug candidates.. Curr Top Med Chem 2013;13(15):1820-42.
Citations
This article has been cited 8 times.- Getsy PM, Coffee GA, Lewis SJ. Loss of ganglioglomerular nerve input to the carotid body impacts the hypoxic ventilatory response in freely-moving rats. Front Physiol 2023;14:1007043.
- Hesse R, Hurtado ML, Jackson RJ, Eaton SL, Herrmann AG, Colom-Cadena M, Tzioras M, King D, Rose J, Tulloch J, McKenzie CA, Smith C, Henstridge CM, Lamont D, Wishart TM, Spires-Jones TL. Comparative profiling of the synaptic proteome from Alzheimer's disease patients with focus on the APOE genotype. Acta Neuropathol Commun 2019 Dec 20;7(1):214.
- Milne EM, Pirie RS, Hahn CN, Del-Pozo J, Drummond D, Moss S, McGorum BC. A study of residual lesions in horses that recovered from clinical signs of chronic equine dysautonomia. J Vet Intern Med 2019 Sep;33(5):2302-2311.
- Llavero Hurtado M, Fuller HR, Wong AMS, Eaton SL, Gillingwater TH, Pennetta G, Cooper JD, Wishart TM. Proteomic mapping of differentially vulnerable pre-synaptic populations identifies regulators of neuronal stability in vivo. Sci Rep 2017 Sep 29;7(1):12412.
- Amorim IS, Graham LC, Carter RN, Morton NM, Hammachi F, Kunath T, Pennetta G, Carpanini SM, Manson JC, Lamont DJ, Wishart TM, Gillingwater TH. Sideroflexin 3 is an α-synuclein-dependent mitochondrial protein that regulates synaptic morphology. J Cell Sci 2017 Jan 15;130(2):325-331.
- Atkins CN, Hahn CN, McGorum BC. Comparison of Dysautonomia Across Species: Current Knowledge and Future Research Opportunities. J Vet Intern Med 2025 Jul-Aug;39(4):e70140.
- McGorum BC, Davey T, Dosi MCM, Keen JA, Morrison LR, Pirie RS, Shaw DJ, Harris JB. Equine grass sickness is associated with major abnormalities in the ultrastructure of skeletal neuromuscular junctions. Equine Vet J 2025 Jan;57(1):193-202.
- Rivolta AA, Bujold AR, Wilmarth PA, Phinney BS, Navelski JP, Horohov DW, Sanz MG. Comparison of the broncoalveolar lavage fluid proteomics between foals and adult horses. PLoS One 2023;18(9):e0290778.
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