p53 is a pivotal molecule regulating the death of neurons both after acute
injury and during development. The molecular mechanisms by which p53 induce
s apoptosis in neuronal cells, however, are not well understood. We have sh
own previously that adenovirus-mediated p53 gene delivery to neurons was su
fficient to induce apoptosis. In the present study we have examined the mol
ecular mechanism by which p53 evokes neuronal cell death. Adenovirus-mediat
ed delivery of p53 to cerebellar granule neurons resulted in caspase-3 (CPP
32) activation followed by terminal deoxynucleotidyl transferase-mediated b
iotinylated UTP nick end labeling (TUNEL) staining and loss of viability as
determined by an MTT survival assay. To determine whether Bax is essential
for caspase-3 activation, p53 was expressed in Bax-deficient cells. Bax nu
ll neurons did not exhibit caspase-3 activation in response to p53 and were
protected from apoptosis. To determine whether Bax-dependent caspase-3 act
ivation was required in p53-mediated neuronal cell death, caspase-3-deficie
nt neurons were examined. Our results indicate that caspase-3-deficient neu
rons exhibit a remarkable delay in apoptosis and a dramatic decrease in TUN
EL-positive cells. These studies demonstrate that p53-induced cell death in
postmitotic neurons involves a Bax-dependent caspase-3 activation, suggest
ing that these molecules are important determinants in neuronal cell death
after injury.