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Chapter 5 Future Studies And Conclusions
216
CHAPTER 5
FUTURE STUDIES AND CONCLUSIONS

5.1 Summary of findings
The characteristic and functional analysis of mitochondrial CD38 was clearly
elucidated in the current study. Collectively, the results of this study propose that
intracellular localized CD38, i.e, mitochondrial CD38, could be involved in a central
mechanism in the regulation of intracellular Ca
2+
homeostasis, as oppose to another
topologically paradoxical alternative involving cell surface CD38.
The data presented in Chapter 3 showed that intracellular CD38 retains its
enzymatic functions, and support the specific association of CD38 with mitochondria.
In the study of using mouse brain tissues, data presented in Chapter 4 further
supported the conjecture that the long known mitochondrial NAD
+
glycohydrolase
could be in fact, the CD38 identified in this study. Its function in the mitochondria
may therefore involve coupling intracellular NAD
+
metabolism to cytosolic Ca
2+

signalling. This may bring about deeper insight into the complex signaling possibly
mediated by this molecule.

Functional role of mitochondrial CD38 was first determined by study on the
enzymatic activities of the molecule. Both intact mitochondria extracted from Mito-
CD38 transfected COS-7 cells and WT mouse brain tissues were capable of


cyclisation of NGD

to cGDPR, a fluorescent analog of cADPR (Chapter 3 Section
3.2.2 & Chapter 4 Section 4.2.4.1) as well as conversion of NAD
+
to ADPR (Chapter
4 Section 4.2.4.2). CD38 localized on mitochondria thus possessed typical ADP-
ribosyl cyclase activity as well as NAD
+
glycohydrolase activity. In agreement with
Chapter 5 Future Studies And Conclusions
217
reports that mitochondria are associated with abundant NAD
+
glycohydrolase activity,
it was noticed that total mitochondria fraction isolated from mouse brain tissues
showed both enzymatic activities with a significant higher ratio of NAD
+

glycohydrolase activity as compared to ADP-ribosyl cyclase activity (Chapter 4
Section 4.2.4.2). In view of the well established functional role of CD38, that is the
hydrolysis of NAD
+
to ADPR, and thus its major enzymatic property as a classic
NAD
+
glycohydrolase (Berthelier et al., 1998), data reported in this study was in
agreement with that reported by Aksoy et al. (2006). This group further showed
CD38 as the major regulator of in vivo NAD
+

levels in the brain tissues and
reaffirmed the presence of CD38 on mitochondria. There was no observation of any
cyclase activity from the isolated mitochondria fraction from CD38KO mouse brain
tissues (Chapter 4 Section 4.2.4) in the present study, thus the conclusion that all
cyclase activities observed were derived from CD38 found in mitochondria.
The localization of the enzymatically active CD38 in the mitochondria was
demonstrated in the present study to be specific to the outer mitochondrial membrane.
Topological studies with protease protection assay alone on intact
CD38
+
mitochondria (Chapter 3 Section 3.2.4) and protease protection assay
combined with digitonin titration assay on the Percoll purified intact mitochondria
extracted from mouse brain tissues (Chapter 4 Section 4.2.3) further confirmed the
localization of CD38 on the outer mitochondrial membrane. Moreover, the present
data suggested a specific topology for this mitochondrial CD38 with the enzyme’s
carboxyl catalytic site extruding to the cytosol region (Figure 5.1). This observation
was further supported by TEM and SEM results in Chapter 4 using antibodies that are
highly specific to CD38 and the staining patterns were compared against CD38 KO
mice samples. Having confirmed the location of CD38 on mitochondria, the
Chapter 5 Future Studies And Conclusions
218
functional role of this molecule was further investigated by a Ca
2+
release assay.
Indeed, the data presented demonstrated that the mitochondrial CD38 was able to
initiate the cADPR-sensitive Ca
2+
release mechanism in a well established ryanodine-
sensitive in vitro system (Chapter 3 Section 3.2.6). This specific location of CD38 on
mitochondria with a unique topology may provide a new perspective to the pathways

that might be associated with this enzyme. It is tempting to speculate that the
mitochondrial CD38 may serve as a vital molecule in regulating and mediating in
vivo NAD
+
level as well as important Ca
2+
signaling (Figure 5.2). Nevertheless, gaps
remain in the knowledge with regards to further defining the characteristic and
functional roles of mitochondrial CD38 for future studies.

5.2 Future studies
Lisa et al. (2001) reported that a majority of NAD
+
glycohydrolase activity
(~90%) is associated with rat heart mitochondria which located on the outer
mitochondria membrane. This group further showed that sarcolemmal rupture during
reperfusion injury of the heart results in exposure of the mitochondria to the
millimolar [Ca
2+
]
i
of the extracellular milieu. This in turn triggers the opening of the
PTP with the subsequent efflux of NAD
+
from the mitochondrial matrix which then
becomes available to NAD
+
glycohydrolase localized on outer mitochondria
membrane. It in turn results in the formation of Ca
2+

promoters such as cADPR,
NAADP and ADPR, which are known to trigger the release of Ca
2+
from the
intracellular Ca
2+
stores. It was hypothesized that a low density mitochondrial NAD
+

glycohydrolase which causes the mitochondrial hydrolysis of NAD
+
could eventually
induce an increase of intracellular [Ca
2+
]
i,
thus promoting further spreading of the
permeability transition to all mitochondria in the cell in a positive feedback loop. As a
Chapter 5 Future Studies And Conclusions
219
result, generalized mitochondrial dysfunction and irreversible contracture and
sarcolemmal rupture would follow. In combination with the present results, having
concluded that mitochondrial CD38 is an active enzyme which is capable of
catalyzing both ADP-ribosyl cyclase and NAD
+
glycohydrolase activities, it is
therefore interesting to determine whether the same process could apply to
mitochondrial CD38 observed in brain tissues (Figures 5.1 and 5.2). A simulated
post-ischemic/hypoxia model of brain in vitro system can be established as future
study to characterize the functional role (s) of brain mitochondrial CD38.

A study of CD38KO mice (Jin et al., 2007) was conducted and showed that
transmembrane CD38 has an essential role in regulating the secretion of oxytocin
(OT) via cADPR signaling pathways. However, it was observed that cADPR was
only effective at stimulating OT release in CD38 KO neuron terminals when the
tissue was permeabilised by digitonin as well as the availability of extracellular
NAD
+
. The group also observed that there was no increase of intracellular cADPR
when the intact cells were incubated with NAD
+
. Since there were no indication of
the presence of cADPR transporters on the respective OT and hypothalamic neurons,
therefore in order for CD38 to be involved in the OT secretion pathway, cADPR must
be present in the intracellular milieu. It was proposed that CD38 could act as the
transporter for transporting the cADPR to the intracellular region (Chapter 3
Introduction); the present data could also serve as an alternate model whereby
intracellular CD38 i.e, mitochondrial CD38 would fill in the missing link that bridges
CD38 and the intracellular cADPR-mediated calcium signalling in responsive cells.
Future study can be carried out to investigate this.
Generally most studies to date had focused on the ectocellular CD38
mechanism in cellular physiology. This study is the first to describe an expression of
Chapter 5 Future Studies And Conclusions
220
functional CD38 in a fully glycosylated form observed in mitochondria (Chapter 3),
which is further supported by results obtained from mouse brain mitochondria
(Chapter 4). It is not unreasonable to postulate that the locale of CD38 may be a key
factor in determining the specific function(s) it will perform in a particular site. It
would then be interesting to investigate the mechanism of the ubiquitous expression
of CD38 in different cellular compartments i.e, mitochondria, nucleus, ER. Two
possible areas could be ventured in order to explain this ubiquity. First, the molecule

may undergo post-translational modification and thus the isoforms are routed to
different locales in the cell. This is not without precedence. It was reported that
multiple IP
3
receptor isoforms have been shown to be present both on plasma
membrane and internal membranes (Quinton and Dean, 1996; Yule et al., 1997).
Second, significant data reported beginning in the 1990s indicate that lipid movement
between intracellular organelles can occur through contacts and close physical
association of membranes (Discussion of Chapter 3; Vance et al., 1991; Camici and
Corazzi, 1997).
Recent studies reporting the processing of human cytomegalovirus UL37
mutant glycoproteins in the endoplasmic reticulum (ER) lumen prior to mitochondrial
importation (Mavinakere et al., 2006), as well as observing mitochondrial and
secretory human cytomegalovirus UL37 proteins traffic into mitochondrion-
associated membranes (MAM) of human cells (Bozidis et al., 2008), further support
the above statements. Because of the well documented role of MAM trafficking
membrane-bound molecules from ER to mitochondria (Vance, 1991; Stone et al.,
2000; Ardail et al., 2003; Bionda et al., 2004) as well as taking in the consideration of
as a type II membrane glycoprotein, CD38 may subject to the ER-Golgi route; it is
then very tempting to speculate that CD38 would be shuttling between organelles via
Chapter 5 Future Studies And Conclusions
221
the membrane contact point, for example, the mitochondrion-associated membranes,
a subdomain of the ER acting as membrane bridges and thus provides direct physical
contact to mitochondria. It would be interesting to investigate the mechanism of the
shuttling of molecule between different cellular compartment as well as its specific
role involved in the particular locale.
It is interesting to note that liver mitochondrial CD38 has demonstrated a role
in NAADP sysnthesis, as observed by Liang et al. (1999). It was also reported that
the presence of specific NAADP binding sites in the brain on both neuronal and non-

neuronal cells (Bezin et al., 2006). In view of the results observed in current studies,
it would be interesting to investigate the synthesis of NAADP by brain mitochondrial
CD38 as well as its Ca
2+
mobilizing property, i.e, whether it can act in a similar
manner as cADPR. It was reported by Cancela et al. (1999) that pancreatic acinar
cells are more sensitive to NAADP than either cADPR and IP
3
with regard to agonist-
induced Ca
2+
-signaling. It remains to be seen if NAADP can have a role in brain
mitochondrial Ca
2+
signaling.
The next important question to be addressed regarding CD38-mediated
mitochondria Ca
2+
signaling is the mechanism involved in regulating the enzymatic
activities of mitochondrial CD38. A novel intracellular soluble ADP-ribosyl cyclase
can be regulated by tyrosine-phosphorylation, as reported by Guse et al., (1999). It
would therefore be tempting to investigate if similar mechanism applies to the
mitochondria CD38 as well, given that it has been reported that rat CD38 contains a
tyrosine residue in the cytoplasmic tail, which is conserved in mouse CD38 but not
human CD38 (Shubinsky and Schlesinger, 1997).
Moreover, it is interesting to note that recently published studies regarding
mitochondrial nitric oxide synthase (mtNOS) was observed in various tissues
Chapter 5 Future Studies And Conclusions
222
including rat and mouse brain, as discussed in the excellent review by Navarro and

Boveris (2008). Indeed, Nitric oxide has been shown to play a role in intracellular
Ca
2+
mobilization in sea urchin eggs via the cADPR-ribose signaling pathway
(Willmot et al., 1996). Nitric oxide activates a downstream signaling pathway in
which cADPR produced from activated CD38 mobilize cADPR-sensitive Ca
2+
stores
as well as regulate the ADP-ribosylation of various proteins (Zoche and Koch, 1995)
and the ADP-ribosyl cyclase activity of CD38 via S-nitrosylation (White et al., 2002).
mtNOS, which was reported to be localized at inner mitochondria membrane facing
the intermembrane space, may be in close proximity to the outer mitochondrial
membrane located CD38. This close apposition between the two molecules may have
specific role against each other. The roles of nitric oxide in the enzyme regulation
such as the autoribosylation of CD38 or regulation of the ADP-ribosylation of other
proteins via ADP-ribosyl transferase activity of CD38 are therefore interesting areas
to be determined and explored.

5.3 Concluding remarks
Mitochondrial CD38 was first reported by Liang et al. (1999) using rat liver
tissues, though the reports of mitochondrial NAD
+
glycohydrolase in rat brain and
liver tissues has long been established in 1980s (Discussion of Chapter 4). The
enzyme was identified by its subcellular localization in mitochondria and
immunoreaction towards anti-CD38 antibodies that recognize the cell surface CD38,
nucleus CD38 as well as microsomal CD38 on both rat and human brain samples
(Mizuguchi et al., 1995; Yamada et al., 1997). More reports surfaced on CD38
localized in mitochondria mouse brain tissues (Aksoy et al., 2006) as well as different
tissues such as pancreatic acinar cells (Sternfeld et al., 2003). It is hard to attribute

Chapter 5 Future Studies And Conclusions
223
CD38 in mitochondria to contamination from other cellular compartments because it
would seem unreasonable that very different tissues/ tissues from different species
would show a similar level of “contamination” of the mitochondrial fraction with the
membrane associated CD38. Hence the observations made in the current studies
begin to shed new light on the role and involvement of CD38 in the complexities of
mitochondrial signalling.
In conclusion, the current study proposes that signaling through mitochondrial
CD38 might represent a novel paradigm in cellular signaling processes, and is unique
in the sense that in addition to extracellular signaling, it is also involved in
intracellular signaling. This is particularly interesting in which mitochondria are
known as central to intracellular Ca
2+
homeostasis, steroid synthesis, generation of
free radical species, and apoptotic cell death. As a consequence, mitochondrial
dysfunction has devastating effects on the integrity of cells and may thus be critically
involved in aging, metabolic and degenerative diseases, as well as cancer in higher
organisms and humans (Wallace, 2005). Indeed the results of the current study give
us a new platform with which to re-visit and re-evaluate the current dogma on the
limits of this unusual molecule. While CD38 has long been regarded to be primarily
involved in surface membrane signaling events, the revelation of its presence on
mitochondria and the promise of the various roles it may play in mitochondrial
processes suggest to us that there is still much to learn from this fascinating molecule.
Chapter 5 Future Studies And Conclusions
224

























Figure 5.1 Schematic representations of the proposed model of structure and
characteristic of CD38 located on mitochondria. Mitochondrial CD38 localized on the
outer mitochondrial membrane with a specific topology of its bulky carboxyl catalytic
domain extruding into the cytosol. In response to Ca
2+
, atractyloside, adenine
nucleotide depletion, chemotherapeutics and pro-oxidant agents, the mitochondrial
membrane permeabilization can result from the opening of PTP as a large unspecific
channel and leads to the release of proapoptotic factors into the cytosol. Following the
release of intramitochondrial NAD

+
to the cytosol, the immediate NAD
+
source
becomes substrate to CD38 located on the outer mitochondrial membrane. Ca
2+

mobilizing agents, cADPR and ADPR are generated which are in turn responsible for
the downstream signaling (Modified from Ayub and Hellett, 2004).

PTP

NAD
+

cADPR
ADPR
CD38
Permeability transition pore
IMM

OMM

Chapter 5 Future Studies And Conclusions
225















































?

?

Extracellular region

Plasma membrane

NAD
+

Ca
2+

Ca
2+

uniporter
Na
+

/Ca
2+

exchanger
cADPR

Ca
2+

Endoplasmic reticulum

Mitochondria

Ryanodine

Receptor (RYR)

CD38

TRPM2

Permeability transition

pore
NAD
+

ADPR
Chapter 5 Future Studies And Conclusions
226

Figure 5.2 Proposed mechanisms for possible intracellular signaling mediated by
mitochondrial CD38. In response to rise in [Ca
2+
]
i
that promotes the opening of PTP
causing the release of intramitochondrial NAD
+
to the cytosol, this immediate NAD
+

source becomes substrate to CD38 located on the outer mitochondrial membrane.
Ca
2+
mobilizing agents, cADPR and ADPR are generated which are in turn
responsible for the downstream signaling as shown. In close proximity, RYR located
on endoplasmic reticulum is sensitive to activation under the action of cADPR.
Mitochondrial RYR was reported recently and the mechanism interplay with
mitochondrial CD38 waits to be explored further. Close apposition of mitochondria
and plasma membrane may give rise to an immediate source of ADPR which bind on
the TRPM2 cation channel located on the plasma membrane thus results in influx of
Ca
2+
and Na
+
from extracellular region (Ayub and Hellett, 2004).

Chapter 6 References
227
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