Proteome analysis reveals roles of L-DOPA in response to oxidative stress in neurons
© Jami et al.; licensee BioMed Central Ltd. 2014
Received: 14 January 2014
Accepted: 23 July 2014
Published: 31 July 2014
Parkinson’s disease (PD) is the second most common neurodegenerative movement disorder, caused by preferential dopaminergic neuronal cell death in the substantia nigra, a process also influenced by oxidative stress. L-3,4-dihydroxyphenylalanine (L-DOPA) represents the main treatment route for motor symptoms associated with PD however, its exact mode of action remains unclear. A spectrum of conflicting data suggests that L-DOPA may damage dopaminergic neurons due to oxidative stress whilst other data suggest that L-DOPA itself may induce low levels of oxidative stress, which in turn stimulates endogenous antioxidant mechanisms and neuroprotection.
In this study we performed a two-dimensional gel electrophoresis (2DE)-based proteomic study to gain further insight into the mechanism by which L-DOPA can influence the toxic effects of H2O2 in neuronal cells. We observed that oxidative stress affects metabolic pathways as well as cytoskeletal integrity and that neuronal cells respond to oxidative conditions by enhancing numerous survival pathways. Our study underlines the complex nature of L-DOPA in PD and sheds light on the interplay between oxidative stress and L-DOPA.
Oxidative stress changes neuronal metabolic routes and affects cytoskeletal integrity. Further, L-DOPA appears to reverse some H2O2-mediated effects evident at both the proteome and cellular level.
KeywordsParkinson’s disease Oxidative stress Dopamine Proteomics
Parkinson’s disease (PD) is the second most common neurodegenerative movement disorder, affecting approximately 1% of individuals older than 60 years . The occurrence of PD will most likely double within the next two decades due to an increase in the aging population . PD is caused by preferential dopaminergic neuronal cell death in the substantia nigra, resulting in a reduced level of dopamine in the striatum. By the time of clinical diagnosis this region of the brain has irreversibly lost 50–70% of its neurons compared to unaffected individuals . Despite PD being a complex and multifactorial disease, oxidative stress and mitochondrial dysfunction are thought to be major causes of neurodegeneration in PD . In both idiopathic and genetic PD, oxidative stress is thought to be a common denominator and the substantia nigra of PD subjects exhibit increased levels of oxidized lipids , proteins and DNA  and decreased levels of reduced glutathione (GSH) .
L-3,4-dihydroxyphenylalanine (L-DOPA) remains the most common PD medication as it is converted into dopamine in dopaminergic neurons temporarily relieving motor symptoms. Despite its widespread use there is clear controversy in the field. Pre-clinical in vivo studies have shown that L-DOPA can damage dopaminergic neurons due to oxidative stress and perhaps through other mechanisms [8, 9]. Studies have shown that direct intraniagral infusion of L-DOPA in rats results in reduced dopaminergic neuron numbers  whilst other studies have demonstrated that L-DOPA increases the levels of nitric oxide in the substantia nigra and striatum [11, 12]. In contrast, many in vitro studies have shown that L-DOPA may be neuroprotective through decreased lipid peroxidation [13, 14]. Furthermore, studies have indicated that L-DOPA can act as a neuroprotective agent reducing toxicity evoked by stronger oxidants . Indeed, whether L-DOPA is neurotoxic, or has little to no effect on dopaminergic neuron survival, still remains unanswered .
Despite numerous studies, the molecular interplay between oxidative stress and L-DOPA remains fragmented. In this study we have performed a two-dimensional gel electrophoresis (2DE)-based proteomic study to gain further insight into the effects of L-DOPA in response to H2O2-mediated oxidative stress in SH-SY5Y neuronal cells. We show that L-DOPA influences proteome changes in response to oxidative stress leading to a lowering of reactive oxygen species (ROS) and increased cell survival indicative of a role in neuronal cell protection.
Results and discussion
Cell morphology, viability and proteomic profiling of neuronal cells in response to H2O2and L-DOPA treatment
Treatment conditions of the SH-SY5Y neuronal cells
Number of spots detected in three gels
Spots matched to replicates
Spots matched to control
1252, 1326, 1277
2 mM H2O2 - 8 hours
1287, 1202, 1219
200 μM L-DOPA - 8 hours
1314, 1280, 1334
Co-treatment with 200 μM L-DOPA and 2 mM H2O2 - 8 hours
1285, 1274, 1239
Detailed information of spots up-regulated or down-regulated in each treatment condition
AVG fold change
GO (Biological Process)
Fumarate hydratase, mitochondrial
GO:0009056 ~ catabolic process, GO:0042592 ~ homeostatic process
Hydroxyacyl-coenzyme A dehydrogenase
GO:0055114 ~ oxidation reduction
GO:0030042 ~ actin filament depolymerization
GO:0006928 ~ cell motion, GO:0043243 ~ positive regulation of protein complex disassembly
GO:0006928 ~ cell motion, GO:0043243 ~ positive regulation of protein complex disassembly
Nucleoside diphosphate kinase
GO:0009116 ~ nucleoside metabolic process
L-lactate dehydrogenase A-like 6B
GO:0055114 ~ oxidation reduction, GO:0006096 ~ glycolysis
GO:00070301 ~ cellular response to hydrogen peroxide, GO:0006954 ~ inflammatory response
GO:0006979 ~ response to oxidative stress, GO:0042592 ~ homeostatic process
GO:0009056 ~ catabolic process, GO:0055114 ~ oxidation reduction
GO:0006928 ~ cell motion
Tropomyosin alpha-4 chain
GO:0006928 ~ cell motion
Tropomyosin alpha-1 chain
GO:0006979 ~ response to oxidative stress, GO:0006928 ~ cell motion, GO:0046907 ~ intracellular transport
GO:0055114 ~ oxidation reduction, GO:0006096 ~ glycolysis, GO:0006928 ~ cell motion
GO:0006508 ~ proteolysis
Peptidyl-prolyl cis-trans isomerase D
GO:0043065 ~ positive regulation of apoptotic process
Hypoxia up-regulated protein 1
1E + 05
GO:0042221 ~ response to chemical stimulus, GO:0006950 ~ response to stress
60 kDa heat shock protein
GO:0032943 ~ mononuclear cell proliferation
Oxidative stress changes metabolic routes
Glutathione is one of the main cellular antioxidants which prevents damage caused by ROS . The reduced form of glutathione is oxidized during the conversion of reactive H2O2 into H2O by glutathione peroxidase and the oxidized form can be reduced back to its original state via NADPH and glutathione reductase. The main source of NADPH in cells is through the pentose phosphate pathway (PPP, also called the phosphogluconate pathway).
We observed a dramatic decrease in the expression of glyceraldehyde 3-phosphate dehydrogenase (GAPDH) in all conditions treated with H2O2 (spot 14 with an average of 0.22 fold change compared to the control) (Table 2). GAPDH catalyzes the conversion of glyceraldehyde 3-phosphate to D-glycerate 1,3-bisphosphate as part of glycolysis. GAPDH also acts as reversible metabolic switch under oxidative stress conditions where cells require excessive amounts of the antioxidant cofactor NADPH . Indeed, it has been shown that oxidative stress causes an inactivation of GAPDH which re-routes the metabolic flux from glycolysis to the PPP . This phenomenon in turn allows cells to produce higher levels of NADPH to overcome the oxidative conditions. Combined with our findings showing H2O2-mediated down-regulation of GAPDH, GAPDH modulation may have neuroprotective potential .
Unlike GAPDH, lactate dehydrogenase (LDH, spot 7, 4.52 fold change) is up-regulated in response to H2O2 exposure (Table 2). This cytosolic enzyme, involved in oxidation-reduction, can catalyze the conversion of pyruvate to lactate in the absence of oxygen . However, LDH can also perform the reverse reaction in oxidative conditions and generate NADH.
Similar to the cytosolic routes, oxidative stress impacts the tricarboxylic acid (TCA) cycle as well as beta-oxidation of fatty acids in mitochondria. We detected substantial up-regulation of fumarate hydratase (spot 1, 8.27 fold increase) in response to H2O2, a member of the TCA cycle that catalyzes the reversible hydration/dehydration of fumarate to malate (Table 2). The TCA cycle generates NADH, which can either be used in respiration or be converted to NADPH via nicotinamide nucleotide transhydrogenase (NNT). Interestingly, the alteration of mitochondrial nucleoside-diphosphate kinase (spot 6, 2.7 fold increase), that catalyzes the exchange of phosphate groups between different nucleoside diphosphates, also supports the involvement of the TCA cycle in the oxidative stress response in neurons (Table 2).
Our analysis also showed up-regulation of 3-Hydroxyacyl CoA dehydrogenase (spot 2, 4.81 fold change), an oxidoreductase enzyme involved in beta-oxidation of fatty acids catalyzing oxidation of L-3-hydroxyacyl CoA by NAD + thus generating NADH in response to oxidative stress (Table 2).
Neurons respond to oxidative conditions by enhancing cell survival mechanisms
In the oxidative stress conditions tested we observed up-regulation of proteins involved in cell survival such as Annexin A1, Peroxiredoxin-6 and PARK7/DJ-1 (Table 2).
Annexin A1 (spot 8, 1.88 fold) is known to be a calcium/phospholipid-binding protein that promotes membrane fusion . This membrane-associated protein can regulate proliferation and apoptosis via the NF-κB signal transduction pathway [23, 24]. Annexin A1 can also directly improve cell survival by limiting excessive levels of ROS during oxidative stress in plant cells. It has been demonstrated that Annexin A1 from Arabidopsis thaliana (AnnAt1) is a redox sensor and displays peroxidase activity . Moreover Rhee and co-workers have shown that, Annexin I serves as a stress protein in HeLa cells and that Annexins may constitute a new class of stress proteins .
Similarly, Peroxiredoxin-6, involved in redox regulation of the cell, is highly up-regulated (spot 10, 12.7 fold) in response to H2O2 exposure (Table 2). Peroxiredoxins represent antioxidants with the capacity to mediate signal transduction in mammalian cells . Indeed, peroxiredoxin-6 can reduce H2O2 and short chain fatty acid, and phospholipid hydroperoxides . Moreover, it has been reported that retinal ganglion cells over-expressing Peroxiredoxin-6 gain resistance against hypoxia-evoked generation of ROS and ROS-induced cellular insults by negatively regulating NF-κB-mediated death signaling .
The substantial up-regulation of PARK7/DJ-1 (spot 9, 8.58 fold), involved in protecting cells against oxidative stress and cell death, is not entirely surprising (Table 2). PARK7/DJ-1 has numerous reported functions, including anti-oxidative stress reactions, transcriptional regulation, and mitochondrial regulation . Similar to Annexin A1 and Peroxiredoxin-6, PARK7/DJ-1 is also a stress sensor and its expression is increased upon oxidative stress and various other stresses [31, 32] playing a role in regulating the expression or stability of the mitochondrial uncoupling proteins SLC25A14 and SLC25A27 in dopaminergic neurons . PARK7/DJ-1 is also a transcriptional co-activator that protects against neuronal apoptosis and it has been shown that its cytoprotective action is through inhibition of the p53-Bax-caspase pathway . Moreover, it is known that PARK7/DJ-1 also enhances cell survival through the binding of Cezanne, a negative regulator of NF-kappaB .
It is also interesting to note that Cathepsin X (also known as Cathepsin Z, spot 15, ratio 0.18), involved in cell death, is attenuated (Table 2). This protein is a lysosomal cysteine proteinase and a member of the peptidase C1 family with both carboxy-monopeptidase and carboxy-dipeptidase activities . It has been reported that α and γ enolases, showing neurotrophic activity, are molecular targets for Cathepsin X and that cleavage of C-terminal amino acids of α and γ enolases by Cathepsin X abolishes their neurotrophic activity affecting neuronal cell survival and neuritogenesis .
Down-regulation of Cyclophilin D (spot 16, ratio 0.12), the only human mitochondrial isoform of cyclophilins, is also notable (Table 2). Cyclophilin D is required for the formation of the mitochondrial permeability transition pore leading to cell necrosis . In addition, opening of the mitochondrial permeability transition pore, orchestrated by Cyclophilin D, underlies oxidative stress-induced axonal degeneration . Therefore attenuation of this protein in response to oxidative stress seems to play a pivotal role in cell survival.
Cytoskeletal modifications by oxidative stress
Treatment with H2O2 resulted in modification of cell morphology in the absence of L-DOPA (Figure 1A). Indeed, the alteration of several structural proteins, in response to oxidative stress, indicates a rearrangement of the cytoskeleton. We observed up-regulation of all three members of the ADF/cofilin family including Cofilin-1 (spot 5, 4.1 fold), Cofilin-2 (spot 3, 7.4 fold) and Destrin, also known as ADF or actin depolymerizing factor (spot 4, 5.08 fold) (Table 2). Cofilins control actin polymerization/depolymerization in a pH-sensitive manner where they bind to actin filaments (F actin) and regulate actin cytoskeleton dynamics playing a critical role in the regulation of cytoskeletal organization and cell morphology .
Conversely, other actin binding proteins, such as Tropomyosin alpha-4 chain (spot 12, ratio 0.07) and Tropomyosin alpha-1 chain (spot 13, ratio 0.12) are down-regulated (Table 2). These proteins bind to actin filaments in muscle and non-muscle cells and play a central role in muscle contraction and in stabilizing cytoskeleton actin filaments in non-muscle cells .
The down-regulation of Vimentin (spot 11, ratio 0.08) under oxidative conditions is also remarkable (Table 2). Vimentin is attached to the endoplasmic reticulum, mitochondria and nucleus either laterally or terminally . This cytoskeletal component plays an important role in anchoring organelles in the cytosol and is responsible for maintaining cell shape, cytoplasmic integrity, and stabilization of cytoskeletal interactions . Cells deficient in Vimentin are therefore extremely delicate  suggesting that the observed change in neuronal cell morphology in response to H2O2 may be due to the observed attenuation of Vimentin (Table 2).
L-DOPA promotes reversal of oxidative stress responses
Effects of L-DOPA
Only cells exposed to L-DOPA under oxidative stress conditions show significantly elevated expression of a 60-kDa heat shock protein (also known as HSP-60, spot 18, 4.77 fold overexpressed), a mitochondrial protein with cytoprotective functions . This observation suggests that L-DOPA can mediate mitochondrial associated cell survival mechanisms as has been previously reported when exposing postnatal mesencephalic cultures, grown on glia monolayers, to L-DOPA in excess of 100 μM . This heat shock protein contributes to the anti-apoptotic Hsp60/procaspase-3 complex and enhances cell survival . It has been observed that mild Hsp60 deficiency primarily affects neuronal and/or glia cells, whereas more severe Hsp60 deficiency affects all tissues .
Our findings, combined with previous data, suggest that although L-DOPA appears to influence neuronal cell survival pathways, this is most probably an indirect effect through the induction of endogenous antioxidant mechanisms .
There is clear controversy surrounding L-DOPA effects associated with oxidative stress . Using a 2DE-based proteomic study we have shown that oxidative stress changes neuronal metabolic routes and affects cytoskeletal integrity. Interestingly, L-DOPA reverses some of these H2O2−mediated effects at the cell morphology and cell viability level (Figure 1), at the ROS level (Figure 5) and at the protein level (Table 2). Exposure to L-DOPA may aid hypoxia condition in cells and therefore induction of ORP150 with its concomitant cytoprotective effects. However, L-DOPA exposure may simply evoke endogenous antioxidant mechanisms  and it cannot be ruled out that L-DOPA has direct ROS scavenging action . Our study sheds light on the molecular interplay linking oxidative stress and L-DOPA in neuronal cells. Furthermore, the data presented here highlights the complex nature of L-DOPA in PD, demonstrating that additional studies are required that addresses L-DOPA action in the context of appropriate experimental design and choice of model mimicking PD.
Reagents and cell culture
Fetal bovine serum (FBS), phosphate buffered saline (PBS), Dulbecco’s minimum essential medium plus F12 (DMEM/F12), penicillin and streptomycin were purchased from Invitrogen (Gaithersburg, MD). Acrylamide/ bis-acrylamide, tris base, glycine, ammonium persulfate, PVDF membrane, TEMED, DTT, SDS, urea, thiourea, glycerol, ammonium bicarbonate, DMSO, ECL reagent, bromoplenol blue were purchased from Fisher Scientific (Pittsburgh, PA). Trypsin and trypan blue were obtained from Sigma-Aldrich (St. Louis, MO).
SH-SY5Y cells were cultured in DMEM/F12 containing 10% FBS, 100 U/ml penicillin and 100 mg/ml streptomycin at 37°C in an atmosphere containing 5% CO2. In order to perform treatments the media were supplemented with 2 mM H2O2 (Sigma-Aldrich, MO), 200 μM L-DOPA (Acros Organics, NJ), or a combination of H2O2/L-DOPA for eight hours (Table 1).
Cell viability was evaluated by the neutral red uptake assay. 5×104 SH-SY5Y cells/well were seeded in 96-well tissue culture plates and incubated overnight. The next day, the culture medium was removed and the cells were treated with either 2 mM H2O2, 200 μM L-DOPA and co-treated with 2 mM H2O2 and 200 μM L-DOPA in serum-free medium for eight hours. Untreated cells were used as control. Following incubation, cell morphology was recorded using an EVOS phase-contrast inverted microscope. The test-medium was then removed and cells were washed with PBS. Then 100 μl of a neutral red solution (40 μg/ml) was added in each well. The plates were incubated at 37°C for 2 hours. After incubation, the neutral red solution was removed and cells were washed with 150 μl PBS per well. Following this 150 μl neutral red destaining solution (50% ethanol, 49% deionized water, 1% glacial acetic acid) was added to the cells and the plates were rapidly shaken for at least 10 minutes. The absorbance was measured at 540 nm using an Epoch microplate spectrophotometer (BioTeck, VT). The results were reported as a percentage compared to control cells (considered as 100% viable).
Detection of ROS formation
Intracellular ROS levels were detected by measuring the oxidation of the cell-permeable dye 2′, 7′-dichlorofluorescent diacetate (DCF-DA; Sigma-Aldrich, MO) to fluorescent DCF. To quantify intracellular ROS levels, 5×104 SH-SY5Y cells/well were seeded in black 96-well plates. The next day, the culture medium was removed and the cells were incubated for 45 minutes with 200 μl of DCF-DA (final concentration 25 μmol)/well. After incubation cells were washed with PBS and exposed to 2 mM H2O2, 200 μM L-DOPA and 2 mM H2O2/200 μM L-DOPA in serum-free medium for eight hours as described above. The medium was then removed and cells were washed again with PBS. Relative fluorescence was measured using a GloMax®-Multi Detection System fluorescence plate reader (Promega, WI) at 485 nm excitation and 528 nm emission wavelengths.
Protein sample preparation and 2-D gel electrophoresis
Triplicate batches of SH-SY5Y cells were seeded at 20–30% confluence and harvested when cell density reached 90%. After three washes with PBS, healthy cells were harvested from the plates and solubilized in 500 μl of lysis buffer: 8 M urea, 4% (w/v) 3-[(3-cholamidopropyl)dimethylammonio]-1-propanesulfonate (CHAPS), 0.5% (v/v) ampholytes (IPG buffer, GE Healthcare), 25 mM DTT and 0.002% bromophenol blue) and stored at −80°C. The insoluble fraction was discarded after centrifugation at 13,200 rpm for 5 min. The supernatant was collected and the protein concentration was determined according to the Bradford method, which showed a high reproducibility for this protein extraction protocol.
A solution containing 850 μg of soluble proteins in the sample buffer (same as lysis buffer but containing 2% CHAPS), was loaded onto 24-cm IPG strips (GE Healthcare), with non-linear (NL) pH 3–11 gradients. Focusing of proteins (using BioRad IEF instrument), equilibration of the focused IPG strips and the 12.5% SDS-PAGE for the second dimension (carried out in an Ettan Dalt Six apparatus (GE Healthcare)) were performed as previously described . Briefly, proteins were focused at 20°C according to the following program: 1 h, 0 V and 12 h, 30 V (rehydration); 30-min gradient to 10,000 V; up to 9 h, 10,000 V until 85 kV-h. Focused IPG strips were equilibrated twice for 15 min in a buffer containing 50 mM Tris–HCl (pH 8.8), 6 M urea, 30% (v/v) glycerol, 2% (w/v) SDS, 0.002% bromphenol blue, and 1% (w/v) DTT. For the second equilibration step, DTT was replaced by 4.0% (w/v) iodoacetamide. In the second dimension 12.5% polyacrylamide SDS-PAGE gels were run in an Ettan Dalt Six apparatus (GE Healthcare) for 45 min at 3 watts/gel and then for 4 h at 18 watts/gel. Gels were stained with Colloidal Coomassie (CC) following the “blue silver” staining method (28), using 0.12% Coomassie Blue G-250 (Sigma), 10% ammonium sulfate, 10% phosphoric acid, and 20% methanol [52, 53].
Analysis of differential protein abundance
Two-dimensional images were captured by scanning stained gels using an ImageScanner II (GE Healthcare) previously calibrated by using a grayscale marker (Eastman Kodak Co.), digitalized with Labscan 5.00 (v1.0.8) software (GE Healthcare), and analyzed with the ImageMasterTM 2D Platinum V7.0 software (GE Healthcare). Three gels for each condition, obtained from three independent cultures (biological replicates), were analysed to guarantee representative results. After automated spot detection, spots were checked manually to eliminate any possible artefacts, such as streaks or background noise. The patterns of each sample were overlapped and matched, using landmark features, to detect differentially expressed proteins. Variability in the number of protein spots detected among biological replicates was less than 10%, which may be due to experimental variability. Spot normalization (internal calibration to make the data independent from experimental variations between gels) was made using relative volumes to quantify the gel spots. Relative spot volume (Vol%) corresponds to the volume of each spot divided by the total volume of all the spots in the gel. Analysis of each differentially expressed protein between conditions was performed using Student's t-test and p < 0.05 was considered statistically significant [51, 54, 55]. False discovery rate (FDR) correction for multiple hypothesis testing was performed according to Storey’s method (q-value <0.05) . Differentially expressed proteins were studied further when the ratio of the relative mean volume for one specific spot (in three biological replicates) was higher than 1.5 fold (the relative spot volume (Vol%) for proteins from the control condition was set to “1”).
Protein identification by mass spectrometry
The protein spots of interest were manually excised from the gel and washed three times with ammonium bicarbonate/acetonitrile 1:1 (vol/vol) solution. Polyacrylamide fragments were dehydrated in acetonitrile and dried with a vacuum concentrator. Protein reduction and alkylation were performed by reswelling polyacrylamide fragments in 25 mM ammonium carbonate solution containing 0.15 mg/ml DTT at 56°C. This solution was replaced by a 25 mM ammonium bicarbonate solution containing 10 mg/ml 2-iodoacetamide (Bio-Rad) for 45 min at room temperature and in the dark. Fragments were dried as described above and tryptic cleavage was initiated by reswelling the gel in 25 mM ammonium bicarbonate solution containing 0.1 μg trypsin per gel slice (Promega, WI, USA) for 20 min on ice. The solution was then replaced by 25 mM ammonium carbonate solution and digestion carried out overnight at 37°C. Tryptic peptides were extracted at 37°C for 15 min with a 50% (vol/vol) acetonitrile and 10% (vol/vol) acetic acid solution. A second extraction was performed under the same conditions. A third extraction was performed at room temperature for 15 min with 100% acetonitrile. The pooled solution was dried under vacuum and resuspended in 10 μl 0.1% (vol/vol) formic acid solution.
Five microliters of each sample were loaded onto a 75 μm × 12 cm column self-packed with 3 μm ReproSil-Pur C18-AQ beads (Dr. Maisch), eluted with a gradient of 0–40% acetonitrile in 0.1% formic acid over 18 min at 300 nl/min using an Exigent nanoflow HPLC coupled directly to an LTQ-Orbitrap mass spectrometer (Thermo Fisher Scientific). Mass spectra were acquired in data-dependent analysis mode with one 60 000 resolution MS survey scan by the Orbitrap and up to eight concurrent MS/MS scans in the LTQ for the eight most intense peaks selected from each survey scan. Automatic gain control was set to 2 000 000 for Orbitrap survey scans and 5 000 for LTQ MS/MS scans. Survey scans were acquired in profile mode and MS/MS scans were acquired in centroid mode. Mascot generic format files were generated from the raw data using DTASuperCharge (version 1.01) for database searching. Mascot Generic Files combining MS and MS/MS spectra were automatically created for protein identification, and used to interrogate a nonredundant protein database using a local license of Mascot v 2.2 from Matrix Science through the Protein Global Server (GPS) v 3.6 (Applied Biosystems). The search parameters were set as follows: (i) NCBInr (2011.11.21) sequence database was used; (ii) taxonomy: All entries (16245521 sequences; 5585386883 residues); (iii) fixed and variable modifications were considered (Cys as S carbamidomethyl derivative and Met as oxidized methionine); (iv) one missed cleavage site was allowed; (v) precursor tolerance was 100 ppm and MS/MS fragment tolerance was 0.3 Da; (vi) peptide charge: 1+; and (vii) the algorithm was set to use trypsin as the enzyme. Additional criteria for confident identification were that the protein match should have at least 15% sequence coverage; for a lower coverage, only those proteins with a Mascot ions score above 54 and at least two peptides identified in the tandem MS analysis (with a significance level of p < 0.05), were considered valid.
This work was supported by the Norwegian Research Council (SGM), The Western Norway Regional Health Authority (SGM), The Norwegian Centre for Movement Disorders (JPL), NIH NINDS grant P30 NS050276 (TAN) and 100 Women in Hedge Funds Grant (TAN). We thank Steven Blais for advice on mass spectrometry.
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