MINIREVIEW
ERK andcelldeath: ERK1
⁄
2 inneuronal death
Srinivasa Subramaniam
1
and Klaus Unsicker
2
1 Solomon H. Snyder Department of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, MD, USA
2 Molecular Embryology, Institute of Anatomy andCell Biology, University of Freiburg, Germany
Neuronal deathin the nervous system
Neuronal death is a major phenomenon in nervous
system development and a hallmark of all neurodegen-
erative diseases. Although numerous proteins have
been implicated inneuronal death, the detailed mecha-
nisms of how neurons succumb to death is far from
clear. Signals for celldeath can emanate from the cell
surface or within the cell cytoplasm, mitochondria or
nucleus [1–3]. Caspases are a well-characterized group
of proteins that are involved in promoting an apopto-
tic mode of celldeath involving DNA fragmentation
and cell shrinkage. Death receptors, such as tumor
necrosis factor-a (TNF-a), on the cell surface can initi-
ate a caspase cascade upon binding of ligands such as
Fas ligand, TNF-a or TNF-related apoptosis-inducing
ligand [3]. Although caspases play a crucial role in cell
death, increasing evidence suggests that cells can turn
on caspase-independent modes of celldeath under a
variety of circumstances [4]. Various modes of neuro-
nal death have been described and are commonly
observed in neurodegenerative disorders and stroke [5].
During development, dying neurons display similar
changes in morphology and nuclear DNA degradation
through an apoptotic process, although it has been
suggested that more than one celldeath mechanism
may act during development [6]. In addition, both in
development andin neurodegenerative diseases, only
specific sets of neurons die. For example, in Hunting-
ton’s disease, predominantly the striatal neurons
degenerate. In Alzheimer’s disease (AD) and Parkin-
son’s disease (PD), cholinergic neurons in the basal
forebrain and dopaminergic neurons in the nigro-stria-
tal system seem to be particularly vulnerable. What
Keywords
Akt ⁄ PKB; apoptosis; caspase; cell survival;
ERK; ischemia; neurodegenerative disease;
neuronal death; sustained ERK; transient ERK
Correspondence
S. Subramaniam, Solomon H. Snyder
Department of Neuroscience, Johns
Hopkins University School of Medicine,
Baltimore, MD 21205, USA
Fax: +410 955 3623
Tel: +410 955 2379
E-mail: ssubram9@jhmi.edu
(Received 19 June 2009, revised 28 August
2009, accept 4 September 2009)
doi:10.1111/j.1742-4658.2009.07367.x
Extracellular signal-regulated kinase (ERK) is a versatile protein kinase
that regulates many cellular functions. Growing evidence suggests that
ERK1 ⁄ 2 plays a crucial role in promoting celldeathin a variety of neuro-
nal systems, including neurodegenerative diseases. It is believed that the
magnitude and the duration of ERK1 ⁄ 2 activity determine its cellular func-
tion. In this review, we summarize recent evidence for a role of ERK1 ⁄ 2in
neuronal death. Furthermore, we discuss the mechanisms involved in
ERK1 ⁄ 2 mediating neuronal death.
Abbreviations
AD, Alzheimer’s disease; CDK, cyclin-dependent kinase; CGN, cerebellar granule neurons; EGF, epidermal growth factor; ERK, extracellular
signal-regulated kinase; JNK, c-JunNH
2
-terminal kinase; MAPK, mitogen-activated protein kinase; MCAO, middle cerebral artery occlusion;
NGF, nerve growth factor; PD, Parkinson’s disease; ROS, reactive oxygen species; TNF, tumor necrosis factor.
22 FEBS Journal 277 (2010) 22–29 ª 2009 The Authors Journal compilation ª 2009 FEBS
makes these specific sets of neurons particularly sus-
ceptible to death stimuli and what signaling mecha-
nisms are behind such selective neurodegeneration, are
far from clear. However, an understanding of the
mechanisms of neuronaldeath is crucial for designing
effective therapeutic strategies for neurodegenerative
diseases.
Mitogen-activated protein kinase
(MAPK) inneuronal death
The MAPKs are serine ⁄ threonine protein kinases that
promote a large diversity of cellular functions in many
cell types. Three major mammalian MAPK subfamilies
have been described: the extracellular signal-regulated
kinases 1 and 2 (ERK1 ⁄ 2), the c-JunNH
2
-terminal kin-
ases (JNK) and the p38 kinases. There is a widely
accepted perception that JNK⁄ SAPK (stress-activated
protein kinase) and p38 MAPK promote cell death,
whereas ERK1 ⁄ 2 opposes celldeath [5]. However, this
view is overly simplistic. A growing number of studies
have suggested a death-promoting role for ERK1 ⁄ 2in
both in vitro andin vivo models of neuronal death.
Recently, a new member of MAPKs, ERK5 (also
called big mitogen-activated kinase 1; BMK1) has been
identified and implicated inneuronal survival [7].
Rapid ERK5 activation was observed in the hippo-
campal cornu ammonis (CA3) and dentate gyrus
regions after cerebral ischemia [8]. In medulloblastoma
cell lines, overexpression of ERK5 was shown to
promote apoptotic celldeath [9]. Most of the pharma-
cological studies implicating ERK1 ⁄ 2 have been car-
ried out using PD98059 or U0126 (which inhibits
mitogen-activated protein kinase/ERK kinase (MEK),
an upstream activator of ERK1⁄ 2). Both of these
inhibitors also inhibit ERK5 activation [10]. Therefore,
it remains to be seen whether ERK5 is also involved in
ERK1 ⁄ 2-implicated celldeath paradigms.
ERK1
⁄
2 in cellular models of neuronal
death
The first evidence for a role of ERK1 ⁄ 2 incell death
was demonstrated in the oligodendroglial cell line,
CG4. The addition of H
2
O
2
to CG4 cells resulted in
activation of all three major MAPKs. However, H
2
O
2
-
induced celldeath was prevented by pharmacological
blockade of the ERK1 ⁄ 2 pathway (PD98059) inhibitor
only [11]. Inneuronal cells, glutamate- or camptothe-
cin-induced neuronal injury was abolished when
ERK1 ⁄ 2 activation was suppressed using U0126 inhibi-
tor [12,13]. Neuronaldeath induced by glutathione
depletion was shown to be abolished when reactive
oxygen species (ROS)-dependent activation of ERK1 ⁄ 2
was inhibited by either PD98059 or U0126 [14]. Nitric
oxide produced by glial cells induced neuronal degener-
ation through ERK1 ⁄ 2 activation that had been
blocked by PD98059 or U0126 [15]. Another recent
study using U0126 showed that death of striatal neu-
rons induced by dopamine was associated with ERK1 ⁄ 2
activation [16]. Death of cortical neurons mediated by
the transient receptor potential vanilloid 1 channel was
abolished when ERK1 ⁄ 2 activation was suppressed by
PD98059 [17]. Ho et al. [18] demonstrated that a zinc-
dependent pathway of celldeath is abolished when
ERK1 ⁄ 2 activation is prevented by U0126. Consistent
with a promoting role of ERK1 ⁄ 2 incell death, hippo-
campal damage after traumatic brain injury was pre-
vented by the inhibition of ERK1 ⁄ 2 by PD98059 [19].
ERK1 ⁄ 2 activation is also implicated in hyperglycemia-
mediated cerebral damage [20]. Similarly, ERK1 ⁄ 2
activation is involved in b-amyloid-induced neuronal
cell death [21]. Thus, ERK1 ⁄ 2 activation seems to play
an active role in several models of neuronal death.
Transient versus sustained ERK1
⁄
2
activation
Mechanisms underlying ERK1 ⁄ 2-mediated neuronal
death are only beginning to emerge. It is challenging to
understand how ERK1 ⁄ 2 can promote either neuronal
survival or neuronaldeath under different paradigms.
Oxidative stress generated by ROS is often linked to an
activation of the ERK1 ⁄ 2 pathway. ROS-induced
ERK1 ⁄ 2 activation has been demonstrated in a wide
variety of cells, including neurons [22]. Oxidants induce
neuronal deathandin several other paradigms discussed
above seem to require a sustained ERK1 ⁄ 2 activation
for promoting neuronal death. Luo and DeFranco [23]
elegantly demonstrated that a transient ERK1 ⁄ 2 activa-
tion induced by glutamate in HT-22 cells reflects a pro-
survival response. In contrast, sustained ERK1 ⁄ 2
activation observed after 6 h of glutamate treatment is a
prodeath signal. Moreover, this study also demonstrated
that sustained ERK1 ⁄ 2 activation alone is not sufficient
to promote HT-22 cell death, implying that ERK1 ⁄ 2
must cooperate with other pathways or cellular compo-
nents affected by glutamate to elicit celldeath [23].
Transient ERK1 ⁄ 2 activation has also been observed
upon growth factor stimulation. Brain derived neuro-
trophic factor (BDNF) protects hippocampal neurons
from glutamate toxicity by transient activation of
ERK1 ⁄ 2 [24]. We have demonstrated that insulin-like
growth factor-1 transiently induced ERK1 ⁄ 2, but abro-
gated the induction of a prodeath sustained ERK1 ⁄ 2
signal in cerebellar granule neurons (CGN). We showed
S. Subramaniam and K. Unsicker ERK1 ⁄ 2 inneuronal death
FEBS Journal 277 (2010) 22–29 ª 2009 The Authors Journal compilation ª 2009 FEBS 23
that this inhibition is mediated via the phosphatidylino-
sitol 3-kinase ⁄ protein kinase A ⁄ C-raf pathway [25]. In
addition, we observed that transforming growth factor-
b, a prodeath factor for CGN, also transiently enhanced
ERK1 ⁄ 2 activation in CGN. However, transforming
growth factor-b requires the sustained p38 pathway to
induce CGN celldeath [26]. These studies have strength-
ened the notion that both the magnitude and the dura-
tion of ERK1 ⁄ 2 activation determine the cellular
outcomes, and that growth factors may exert regulatory
functions with regard to the death-promoting capacity
of the ERK1 ⁄ 2 pathway.
In PC12 cells it is well known that epidermal growth
factor (EGF) transiently induces ERK1 ⁄ 2 activity,
which stimulates cell growth, whereas nerve growth fac-
tor (NGF)-mediated sustained ERK1 ⁄ 2 activity leads to
neurite outgrowth andcell survival. It has been pro-
posed that this differential effect of ERK1 ⁄ 2 may
depend on the specific receptor availability. It is well
known that EGF receptors are downregulated faster
than NGF receptors upon respective ligand binding. In
addition, stimulation of endogenous EGF receptors
promotes transient ERK1 ⁄ 2 and proliferation, and
EGF receptor overexpression induces sustained ERK1 ⁄
2 and promotion of differentiation. Thus, in PC12 cells,
the duration of ERK1 ⁄ 2 activation seems to depend on
surface receptor availability [27]. However, an implica-
tion of surface receptor availability in regulating
ERK1 ⁄ 2 is not the only mechanism determining the
duration of ERK1 ⁄ 2 activation. For example, macro-
phage migration inhibitory factor can induce sustained
ERK1 ⁄ 2 via Rho andin a Rho kinase-dependent man-
ner [28]. Alternatively, it can induce transient ERK1 ⁄ 2
via Src-type tyrosine kinase [29]. Overactivation of the
EGF receptor in drosophila neurons, or cultured
cortical neurons, leading to activation of the ERK1 ⁄ 2
pathway can promote neuronal degeneration [5]. Thus,
temporal regulation of ERK1 ⁄ 2 not only depends on
receptor availability, but also possibly on differential
regulation of other signaling pathways (Fig. 1).
It is noteworthy that a sustained ERK1 ⁄ 2 activation
does not always promote cell death. As discussed
above, in PC12 cells a sustained ERK1 ⁄ 2 activation
induced by NGF promotes differentiation andcell sur-
vival. Thus, the decision by sustained ERK1 ⁄ 2to
induce celldeath or survival possibly depends on addi-
tional factors. NGF, in addition to inducing sustained
ERK1 ⁄ 2, might also activate other parallel signaling
pathways. For example, NGF might activate Akt ⁄ pro-
tein kinase B or ERK5 for cell survival [30,31] and
such prosurvival signals might suppress ERK1 ⁄ 2 cell
death function in PC12 cells, as observed in CGN [25].
In addition, a recent study suggested that sustained
ERK1 ⁄ 2 recruits micro-RNA to promote PC12 cell
survival by blocking the expression of the proapoptotic
BH3-only protein Bcl2-interacting mediator of cell
death (BIM) [32]. Similarly, whether micro-RNA are
involved in ERK1 ⁄ 2-dependent neuronaldeath is not
known. Thus, sustained ERK1 ⁄ 2 may recruit differen-
tial downstream factors to promote survival or death
through yet unknown mechanisms.
Mechanisms of ERK1
⁄
2-promoted cell
death
Oxidants can activate ERK1 ⁄ 2 either through acting on
receptors, calcium channels, or directly on Src-tyrosine
Fig. 1. Model of ERK1 ⁄ 2 in life and death. Both survival and death
signals can activate ERK1 ⁄ 2. The mechanisms involved in such dif-
ferential ERK1 ⁄ 2 activation and how ERK1 ⁄ 2 interacts with other
cellular components are not yet clear. It is believed that the dura-
tion, magnitude and ⁄ or compartmentalization of active ERK1 ⁄ 2 dic-
tate the cellular outcome. For example, ERK1 ⁄ 2 may be transiently
induced by growth factors, resulting in promotion of neuronal sur-
vival (dotted arrow), whereas oxidative stress may result in a sus-
tained induction of ERK1 ⁄ 2, which may promote neuronal death.
However, for promoting celldeath ERK1 ⁄ 2 induction must not
always be sustained. In an MCAO model, ERK1 ⁄ 2 was shown to
be transiently induced, but ERK1 ⁄ 2 inhibition significantly reduced
the ischemic damage. In addition to ERK1 ⁄ 2, death signals can also
activate stress kinases, such as p38 ⁄ JNK, which may further
potentiate neuronaldeath (thick arrow). On the other hand, survival
signals, such as protein kinase B ⁄ Akt, can inhibit sustained ERK1 ⁄ 2
and thereby promote neuronal survival.
ERK1 ⁄ 2 inneuronaldeath S. Subramaniam and K. Unsicker
24 FEBS Journal 277 (2010) 22–29 ª 2009 The Authors Journal compilation ª 2009 FEBS
kinase. Activated ERK1 ⁄ 2 can interact with cytoplasmic
components or can translocate to the nucleus. Evidence
has shown that sustained ERK1 ⁄ 2 is translocated to the
nucleus [33,34] and nuclear translocated ERK1 ⁄ 2 can
promote neuronalcell death, regulating transcription
[5,35]. Although caspases have been implicated as pre-
dominant inducers of apoptotic cell death, numerous
studies have shown that apoptotic mechanisms can
operate without the involvement of caspases [36–38].
Several studies have also demonstrated that caspase
activation and the subsequent development of biochemi-
cal or morphological features of apoptotic celldeath are
not mutually interdependent. Caspase-independent
pathways can operate to promote apoptotic cell death
and, conversely, cells dying through a nonapoptotic
mode may recruit caspase-dependent pathways [5]. In
the CGN model of neuron death, we observed activa-
tion and nuclear translocalization of ERK1 ⁄ 2 after
withdrawal of the survival signal. This sustained
ERK1 ⁄ 2 activation promoted plasma membrane dam-
age, whereas caspase-3 activation observed in a subset
of CGN promoted DNA damage [34]. Biochemical and
morphological features of plasma membrane-damaged
CGN resembled neither necrosis nor apoptosis, but
rather represented a mixture of apoptotic and necrotic
features, including plasma membrane damage and apop-
totic-like nuclear condensation. This ‘necro-apoptotic’
mode of neuron death could not be blocked by caspase
inhibitors.
Thus, ERK1 ⁄ 2 seems to play a crucial role in pro-
moting this unique kind of celldeath independent of
caspase activation [34]. Similarly, ERK1 ⁄ 2 was shown
to promote neuronaldeathin several other models
independently of caspase. Thus, substance P and its
receptor, neurokinin-1, mediate an alternative, nona-
poptotic form of celldeathin hippocampal, striatal
and cortical neurons via ERK1 ⁄ 2 activation [39,40].
17beta-E2, a steroid hormone, induces oncotic ⁄ necro-
tic, but not apoptotic, programmed celldeathin a sub-
population of developing granule cells by activating
the ERK1 ⁄ 2 pathway [41]. Okadaic acid-induced death
of pyramidal cells in the CA3 region, which was not
consistent with apoptotic features, is dependent on
ERK1 ⁄ 2 activation [42]. In addition, it was demon-
strated that neurotrophin-aggravated necrotic neuronal
death was mediated by ERK1 ⁄ 2 [43]. Together, these
data suggest that ERK1 ⁄ 2-mediated features of neuro-
nal death may differ depending on cell type and death
stimulus, but in several celldeath models, ERK1 ⁄ 2
seems to promote predominantly a nonapoptotic mode
of death independently of caspases. The identity of the
molecular players associated with ERK1 ⁄ 2 in caspase-
independent neuronaldeath still remains to be estab-
lished [44].
Whether ERK1 ⁄ 2 directly activates celldeath path-
ways or whether it changes the prodeath gene expres-
sion profile is not completely understood. Sustained
ERK1 ⁄ 2 was shown to translocate to the nuclei, sug-
gesting it may regulate prodeath gene expression
[33,34]. When sustained ERK1 ⁄ 2 is retained in the
cytoplasm, neuronaldeath is no longer observed, sug-
gesting a requirement of nuclear retention for prodeath
function [33]. On the other hand, in non-neuronal
cells, cytoplasmic retention of ERK1 ⁄ 2 is required for
death-associated protein kinase-mediated cell death
[35]. Thus, ERK1 ⁄ 2 might promote celldeath depend-
ing upon the cell type. Considering the fact that
ERK1 ⁄ 2 has multiple activators and targets, it is possi-
ble that activation and its cell death-promoting func-
tion may involve multiple partners and regulations [5].
ERK1
⁄
2 in neurodegeneration and
ischemia
ERK1 ⁄ 2-induced neuronal degeneration has also been
extended to various models of neurodegenerative dis-
ease. In AD, phosphorylated ERK1 ⁄ 2 immunoreactiv-
ity in a granular appearance has been described in a
subpopulation of hippocampal neurons with neurofi-
brillary degeneration [45]. Tau, a microtubule-associ-
ated protein, and its abnormal hyperphosphorylation
have been linked to neuronaldeathin AD [46].
ERK1 ⁄ 2 is known to regulate tau hyperphosphoryla-
tion [47,48], and it has been reported that activation
of ERK1 ⁄ 2 in AD links oxidative stress to abnormal
tau phosphorylation [45]. In addition, an upregulation
of ERK1 ⁄ 2 has been shown to be associated with the
progression of neurofibrillary degeneration in AD [49].
Considering that the mode and the mechanism of
neuronal deathin AD has not been fully resolved as
yet [50], it is conceivable that ERK1 ⁄ 2 might play a
crucial role in yet incompletely understood mecha-
nisms of tau-mediated AD pathology. Furthermore,
b-amyloid-induced sustained ERK1 ⁄ 2 activation has
been shown to contribute to b-amyloid-induced tau
phosphorylation and neurite degeneration [51].
6-Hydroxy-dopamine (OHDA) and MPTP, neurotoxins
commonly used in animal models of PD, have been
shown to induce celldeath through ERK1 ⁄ 2 activation
[52,53]. More recently, granular cytoplasmic aggregates
of activated ERK1 ⁄ 2 have been observed in the substan-
tia nigra of PD patients with Lewy bodies [54]. Neuronal
cell-specific cyclin-dependent kinase 5 (CDK5), a known
regulator of neurodegenerative disorders such as AD
and PD, can be a direct target for ERK1 ⁄ 2. Studies with
S. Subramaniam and K. Unsicker ERK1 ⁄ 2 inneuronal death
FEBS Journal 277 (2010) 22–29 ª 2009 The Authors Journal compilation ª 2009 FEBS 25
non-neuronal cells have suggested that ERK1 ⁄ 2 can
regulate CDKs [55]. For example, ERK1 ⁄ 2 mediates
DNA damage-induced breast cancer celldeath via
CDK5 regulation [56]. Whether CDKs are involved
in ERK1 ⁄ 2-mediated death of neuronal cells is not
known.
ERK1 ⁄ 2 activation also plays a major role in ische-
mia-induced cell death. Alessandrini et al. [57] have
demonstrated a transient activation of ERK1 ⁄ 2 in the
middle cerebral artery occlusion (MCAO) model. Inhi-
bition of ERK1 ⁄ 2 activation reduced the infarct size
by 55% compared with the control. Various other
groups have reported an involvement of ERK1 ⁄ 2in
MCAO, hypoxia–ischemia and other ischemic models
[58–61]. ERK1 ⁄ 2 activation has also been reported in
permanent MCAO [62], although the causal link
between ERK1 ⁄ 2 activation andneuronaldeath still
has to be proven in this model of permanent MCAO.
So far, only the temporal pattern of activation of
ERK1 ⁄ 2 in permanent MCAO suggests a role for
ERK1 ⁄ 2 inneuronaldeath [63,64].
Conclusions and perspectives
Initially, ERK1 ⁄ 2 activation was considered as a pro-
moter of neuronal survival and memory [65–67]. How-
ever, it is now clear that ERK1 ⁄ 2 activation can also
participate in a variety of neuronaldeath signals. Such
differential functions can be attributed to the duration
of ERK1 ⁄ 2 signaling and association with other
molecular players [68,69]. This association may elicit a
unique pattern of molecular organization and may also
result in a differential gene expression profile, which
consequently results in different cellular functions. The
opposing roles of ERK1 ⁄ 2 activation are perhaps best
illustrated by its implication in the protection of CGN
survival in N-methyl-d-aspartate-mediated excito-
toxicty and its association with cortical neuron death
following glutamate exposure [12,70]. Thus, the stimu-
lus, the cell type and, probably most importantly, the
duration of the activation of ERK1 ⁄ 2 decide the life
or death of neurons.
The opposing roles of ERK1 ⁄ 2 in neuron survival
and death make it difficult to exploit it for cell survival
strategies. Even so, the application of ERK1 ⁄ 2 inhibi-
tors to prevent ischemic damage in preclinical trials is
under debate [71]. Similarly, inhibition of ERK1 ⁄ 2
(MEK inhibitor, PD184352) to block proliferation has
been shown to be effective in clinical trials in cancer
patients [72]. Therefore, understanding the detailed sig-
naling mechanisms of the diverse and opposing func-
tions of ERK1 ⁄ 2 is paramount for designing strategies
that can specifically attenuate ERK1 ⁄ 2-promoted
neuronal pathologies without affecting other ERK1 ⁄ 2
functions.
Acknowledgement
The work described in this article was supported by
the Deutsche Forschungsgemeinschaft (DFG) grant
Un34 ⁄ 23-1.
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. MINIREVIEW ERK and cell death: ERK1 ⁄ 2 in neuronal death Srinivasa Subramaniam 1 and Klaus Unsicker 2 1 Solomon H. Snyder Department of Neuroscience, Johns Hopkins University School of Medicine,. whether ERK5 is also involved in ERK1 ⁄ 2-implicated cell death paradigms. ERK1 ⁄ 2 in cellular models of neuronal death The first evidence for a role of ERK1 ⁄ 2 in cell death was demonstrated in. may result in a sus- tained induction of ERK1 ⁄ 2, which may promote neuronal death. However, for promoting cell death ERK1 ⁄ 2 induction must not always be sustained. In an MCAO model, ERK1 ⁄ 2