Oxidation of K+ Channels in Aging and Neurodegeneration

Reversible regulation of proteins by reactive oxygen species (ROS) is an important mechanism of neuronal plasticity. In particular, ROS have been shown to act as modulatory molecules of ion channels—which are key to neuronal excitability—in several physiological processes. However ROS are also fundamental contributors to aging vulnerability. When the level of excess ROS increases in the cell during aging, DNA is damaged, proteins are oxidized, lipids are degraded and more ROS are produced, all culminating in significant cell injury. From this arose the idea that oxidation of ion channels by ROS is one of the culprits for neuronal aging. Aging-dependent oxidative modification of voltage-gated potassium (K+) channels was initially demonstrated in the nematode Caenorhabditis elegans and more recently in the mammalian brain. Specifically, oxidation of the delayed rectifier KCNB1 (Kv2.1) and of Ca2+- and voltage sensitive K+ channels have been established suggesting that their redox sensitivity contributes to altered excitability, progression of healthy aging and of neurodegenerative disease. Here I discuss the implications that oxidation of K+ channels by ROS may have for normal aging, as well as for neurodegenerative disease.

breakthrough came recently, when we showed that in C. elegans, not only K + channels undergo age-dependent oxidation but as a result of this, they impair neuronal function. In this mini-review I take stock of the field and report on the progresses achieved in these recent years.
Oxidation of voltage-gated K + channels: a common tread from invertebrates to mammals KVS-1 (potassium voltage-sensitive subunit 1) is a voltage-gated K + channel that operates in the nervous system of C. elegans [30]. Wild type KVS-1 currents exhibit rapid activation-inactivation and as such can be described as A-type; however, their inactivation kinetics are slower than typical A-type kinetics due to the presence of the N-inactivation regulatory domain (NIRD) which hinders the inactivation ball [31]. Most importantly, KVS-1 inactivation is redox-dependent. Generic oxidants such as chloramine-T (CHT) or hydrogen peroxide (H2O2) turn the KVS-1 current into non-inactivating, delayed rectifier type by modifying a cysteine in the N-terminus (cys113) [32]. The simple redox-dependence of KVS-1, along with the fact that C. elegans is genetically tractable and that the behavior mediated by the neurons where KVS-1 operates can be experimentally assessed, allowed us to study the effects of oxidation of the channel by ROS in aging worms [32]. By constructing a transgenic animal expressing a KVS-1 redox-insensitive variant (C113S), we showed that not only KVS-1 is subject to a natural process of oxidation during aging but most importantly, that this process affects behavior [32]. While our findings have provided the first experimental evidence that oxidation of a K + channel by ROS is a mechanism of aging, they have also raised the question as to whether this process affects higher organisms. KVS-1 has a mammalian homolog, the KCNB1 K + channel (commonly known as Kv2.1). KCNB1 is expressed in the pancreas and in the brain-mainly in hippocampus and cortexand knock out studies have shown that the protein is important for the function of both organs [33][34][35][36][37][38][39][40][41][42]. Like its C. elegans homolog, also KCNB1 is directly susceptible to oxidation, even though in a more complex fashion [43]. When KCNB1 channels are exposed to CHT or H2O2 they form oligomers held together by disulfide bridges between cys73-the equivalent of cys113 in KVS-1-and other cysteines [43,44]. KCNB1 oligomers are detected in the brains of old mice, in amounts that increase with age. Moreover KCNB1 oligomerization is exacerbated in the brain of the 3x-Tg-AD mouse model of Alzheimer's disease [43, 45]-a brain subjected to high oxidative stress. Oligomerized KCNB1 channels do not conduct current in vitro [43] and probably in vivo [46] and under acute oxidative insults they induce apoptosis [44]. However, oligomerization is only one mechanism by which KCNB1 promotes cell death (reviewed in [47]); other mechanisms have also been amply demonstrated and will not be discussed here [48][49][50][51][52]. Suffice to say that KCNB1 channels exhibit multiple apoptotic profiles. In summary, the evidence at hand would suggest that moderate levels of oxidized KCNB1 channels affect hippocampal and cortical excitability, and might lead to spatial learning and memory impairment experienced during normal aging. When ROS levels further increase, such as in AD, oxidation of KCNB1 may become exacerbated and promote neuronal apoptosis.

Oxidation of Ca2 + -activated K + channels in the brain
Another family of K + channels, the calcium-activated K + (KCa) channels, are implicated in the aging process of the brain [53][54][55][56][57][58][59][60][61]. These channels have a role in the regulation of a number of physiological functions including neuronal excitability, circadian rhythm, smooth muscle tone, vasodilation of the microvasculature, K + flux across endothelial cells and cell proliferation (reviewed in [62]). KCa channels exhibit a complex redox-dependence. A number of their methionine and cysteine residues can be oxidized, leading to changes in both the permeation and gating properties of these channels [27, 63,64]. Moreover, KCa channels are endowed by accessory subunits, which further act to modulate the susceptibility of the channels to ROS [65]. Given the strong redoxdependence of KCa channels, it is not coincidental that there is growing evidence indicating that their activity increases with advancing age-probably as a result of oxidation-in a variety of organs including the brain, [53,54], the skeletal muscle [66,67] and the vasculature [68,69]. Thus, studies at the single-channel level have shown that in the pyramidal neurons of the hippocampus, oxidants act to enhance KCa activity via an increase in the open probability [55]. KCa conductances are elevated in neurons subjected to high oxidative stress, such as in the brain of the TgCRND8 mouse model of amylopathythus of Alzheimer's disease-as well as in cerebral ischemia [56,57]. Finally, hyperactive KCa channels at the synapses of hippocampal and other neuron types [58][59][60][61], are the likely culprits for the altered contents of K + detected in synaptosomes isolated from the brains of old mice [70]. In fact, this and other age-dependent changes in synaptosomal parameters can be prevented by antioxidant treatments. In the examples discussed above, the function of KCa channels is altered in consequence of aging. However KCa channels may also directly impact the aging process. According to a recent report, the opening of KCa channels in the inner membrane of brain mitochondria acts to decrease ROS production via respiratory chain complex 1 [71]. It is tempting to speculate that during aging the anti-oxidant action of these channels may diminish, leading to increased oxidative stress in neurons.
In summary, it appears that K + channels are naturally subjected to oxidation in aging nervous systems. It remains to be demonstrated whether there is a causative relationship between these oxidative processes and behavioral and functional impairment in vertebrates. This is however likely to be the case considering that in other tissues, such as microvasculature, oxidation of KCa channels has a functional impact on physiology.

Oxidation of KCa channels in the vasculature
Reduced blood flow is a hallmark of vascular aging. Ion channels are among the culprits for causing this deficit because they control electrical conduction which underlies vasoconstriction. One class of proteins known to undergo modification in aging vascular tissue are KCa channels [72][73][74]. Recently, Behringer and colleagues [68] showed that in aging mice, oxidation of small and intermediate conductance KCa channels by ROS is a major causative factor of reduced blood flow. In superior epigastric arteries of old animals, electrical conduction was impaired due to oxidation-induced hyperactivation of KCa channels. This was demonstrated by the fact that application of H2O2 reduced conduction in young animals whereas the use of scavengers, restored conduction in old arteries. More recently, Feher and colleagues [69] reported that in coronary arterioles dissected from patients undergoing cardiac surgery, conducted dilation declined with age. Like in mice, also in human vessels small and intermediate KCa conductances turned out to be hyperactivated. Thus, it appears that reduced blood flow, caused by oxidation of KCa channels by ROS, may represent a general mechanism of aging in the microvasculature.

Conclusions
Experimental support for the notion that oxidation of K + channels by ROS is a mechanism of aging is growing. While it is well-established that these proteins undergo age-dependent oxidation, it remains to be defined whether their modifications impact and if they do, to which extent, the function of the organs and tissues where they operate. Approaches based on the use of transgenic animals, like it was done with KVS-1 in C. elegans, will enable us to answer this question in the near future.