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Vol. 19, Issue 3, 1185-1198, March 2008
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*Departamento de Bioquimica y Biologia Molecular II, Facultad de Farmacia, Universidad Complutense, 28040 Madrid, Spain; and
Instituto de Investigaciones Biomédicas "Alberto Sols," Consejo Superior de Investigaciones Científicas and Universidad Autónoma de Madrid, 28029 Madrid, Spain
Submitted May 18, 2007;
Revised December 11, 2007;
Accepted December 26, 2007
Monitoring Editor: M. Bishr Omary
| ABSTRACT |
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| INTRODUCTION |
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, mitochondrial damage, and oxidative stress of the endoplasmic reticulum are the major triggers of apoptosis that ultimately produce liver damage (Ockner, 2001
Progression of the apoptotic program can be inhibited at different levels depending on the origin of the death stimulus. Insulin promotes survival in a number of cell types, including hepatocytes (Valverde et al., 2004
), by a complex network of intracellular signaling pathways. The cascade begins when the activated insulin receptor (IR) β-chain phosphorylates IRS proteins and then activates the phosphatidylinositol 3-kinase/Akt signaling pathway, which plays a central role in both the survival and metabolic actions elicited by insulin (Kennedy et al., 1997
).
Alternative splicing of the 36 nucleotide exon 11 of the IR
-subunit results in the expression of two isoforms: IRA (lacking exon 11) and IRB (including exon 11) (Seino and Bell, 1989
). The relative abundance of the mRNAs encoding IRA and IRB isoforms displays tissue specificity in both humans and rats (Moller et al., 1989
, Goldstein and Dudley, 1990
). Additionally, IR isoform expression is also regulated by stage of development and by cell differentiation, with IRA representing the predominant isoform in fetal tissues and cancer cells (Frasca et al., 1999
). In contrast, IRB is expressed mainly in the insulin-responsive tissues such as liver that maintain glucose homeostasis. Accordingly, a switch from IRA to IRB induced by dexamethasone in a hepatoma cell line correlated with increased insulin sensitivity (Kosaki and Webster, 1993
). However, no information is available regarding the roles of IRA and IRB in the regulation of cellular apoptosis in the liver. In this regard, the development of experimental systems allowing differential expression or suppression of either isoform is critical in understanding the role of IR isoforms. Therefore, in the present study, we have investigated whether IR and its isoforms A and B are implicated in the signals that induce programmed cell death in hepatocytes. As a model system, we have used simian virus 40 (SV40)-immortalized neonatal hepatocyte cell lines recently generated in our laboratory (Nevado et al., 2006
). These include control (HIR LoxP) and IR-deficient (HIR KO) cells, and hepatocytes expressing IR isoforms A (HIR RecA) and B (HIR RecB) of IR. Our data clearly demonstrate that the lack of IR sensitizes neonatal hepatocytes to death signals induced by serum withdrawal. This effect is reverted by coexpression of IRA and IRB isoforms in IR-deficient cells. Unexpectedly, the imbalance of IR isoforms in immortalized neonatal hepatocytes, generated by the individual expression of IRA or IRB in IR-deficient cells, produced a more severe apoptotic phenotype. This enhanced apoptosis was due to the formation of protein complexes between IR isoforms and the Fas/Fas-associating protein with death domain (FADD) death machinery, thereby triggering a strong activation of caspase-8–mediated cell death.
| MATERIALS AND METHODS |
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Generation of SV40-immortalized HIR LoxP and HIR KO Hepatocyte Cell Lines
Primary hepatocytes were obtained from livers of 3-d-old IRLoxP mice (homozygous for a floxed allele of exon 4 of the IR) (Michael et al., 2000
) and further submitted to collagenase dispersion and primary culture as described previously (Fabregat et al., 1989
). Viral Bosc-23 packaging cells were transfected at 70% confluence by calcium phosphate coprecipitation with 3 µg/6-cm dish of the puromycin-resistance retroviral vector pBabe encoding K1mutant of SV40 Large T antigen (kindly provided by J. de Caprio, Dana-Farber Cancer Institute, Boston, MA). Primary hepatocytes were infected at 60% confluence with 4 µg/ml polybrene-supplemented virus for 48 h and maintained in culture medium for 72 h, before selection with 1 µg/ml puromycin for 3 wk. Then, immortalized cell lines were generated and further cultured for 10–15 d with arginine-free medium supplemented with 10% FBS to avoid growth of nonparenchymal cells. For in vitro recombination of the IR, immortalized hepatocytes (IRLoxP) were first cultured to 70–80% confluence. After 24 h, cells were infected with adenoviruses encoding cre recombinase at a titer of 109 plaque-forming units. After 1 h, growing medium was added for a further 48 h. Individual colonies were selected and deletion of IR was assessed by Western blot. In addition, these cells (HIR KO) were cloned twice and resubmitted to viral infection to ensure complete IR deletion.
The immortalized cell lines generated by this protocol have hepatocyte phenotype, because these cells expressed albumin (a plasma protein secreted exclusively by hepatocytes) together with carbamoyl phosphate synthase (an urea cycle marker), and cytokeratine 18 (a cytoskeletal marker of epithelial cells) (Supplemental Figure 1). As a negative control, we performed immunofluorescence experiments with SV40-immortalized β cells previously generated in our laboratory (Guillén et al., 2006
). Immunofluorescence was not detected in these immortalized β cells. Moreover, the absence of vimentin (a cytoskeletal marker characteristic of fibroblasts) staining demonstrated the absence of fibroblasts in immortalized hepatocyte cell lines.
Rescue of HIR KO Immortalized Hepatocytes by Retroviral Infection with IRA, IRB, or Both Isoforms of IR
Coding sequences for the individual spliced isoforms of the human IR either containing or lacking exon 11 (isoforms B and A, respectively), cloned into pBABE-hygro retroviral vector, were a gift of C. R. Kahn (Joslin Diabetes Center, Boston, MA). Viral particles were obtained as described previously (Valverde et al., 2003
). HIR KO hepatocytes were infected with 4 µg/ml polybrene-supplemented virus for 48 h and then placed in selection medium containing 200 µg/ml hygromycin for at least 2 wk. Pools of infected cells with similar levels of IR expression were selected to avoid clonal variability. As a control, HIR KO hepatocytes were infected with viral particles expressing empty vector (pBabe hygro). To analyze endogenous (mouse) and reconstituted (human) IR isoforms in immortalized hepatocytes by polymerase chain reaction (PCR), 5 µg of total RNA was primed with deoxythymidine in the presence of murine mammary tumor virus reverse transcriptase (Invitrogen) to synthesize cDNA. The samples were diluted fivefold, and 5% of the total volume was used for subsequent PCR. Primers used were mouse IR exon 11 primer 1, 5'-ATCAGAGTGAGTATGACGACTCGG-3' and primer 2, 5'-TCCTGACTTGTGGGCACAATGGTA-3' and human IR exon 11 primer 1, 5' ACCAGAGTGAGTATGAGGATTCGG-3' and primer 2, 5'-TCCGGACTCGTGGGCACGCTGGTC-3'. PCR reactions were performed as described previously (Entingh et al., 2003
). Reaction products were resolved on 2% agarose gels.
Immunofluorescence and Confocal Imaging
Cells were grown in glass coverslips until 80% confluence was reached. Then, cells were washed twice with phosphate-buffered saline (PBS), fixed in methanol (–20°C) for 2 min, and processed to immunofluorescence. Anti-IR or anti-Foxo1 antibodies were applied for 1 h at 37°C in PBS, 1% bovine serum albumin (BSA), followed by four washes of 5 min each in PBS, a 45-min incubation with fluorescence-conjugated antibody (cyanine [Cy]3-conjugated and fluorescein isothiocyanate [FITC]-conjugated goat anti-rabbit, respectively), and four final washes of 5 min each in PBS. Immunofluorescence was examined in an MRC-1024 confocal microscope (Bio-Rad, Hempstead, United Kingdom) adapted to an inverted Nikon Eclipse TE 300 microscope. Immunofluorescence mounting medium was from Vector Laboratories (Burlingame, CA). Images were taken with 488-nm laser excitation for FITC-conjugated antibodies and 514-nm laser excitation for Cy3-conjugated antibodies. Fluorescence emissions were detected through a 513/24-nm bandpass filter for FITC and a 605/15-nm bandpass filter for Cy3.
Extraction of Nuclear Proteins
Cells were resuspended at 4°C in 10 mM HEPES-KOH, pH 7.9, 1.5 mM MgCl2, 10 mM KCl, 0.5 mM dithiothreitol (DTT), 0.2 mM phenylmethylsulfonyl fluoride (PMSF), 0.75 µg/ml leupeptin, and 0.75 µg/ml aprotinin (buffer A), allowed to swell on ice for 10 min, and then vortexed for 10 s. Samples were centrifuged, and the supernatant containing the cytosolic fraction was stored at –70°C. The pellet was resuspended in cold buffer C (20 mM HEPES-KOH, pH 7.9, 25% glycerol, 420 mM NaCl, 1.5 mM MgCl2, 0.2 mM EDTA, 0.5 mM DTT, 0.2 mM PMSF, 0.75 µg/ml leupeptin, and 0.75 µg/ml aprotinin) and incubated on ice for 20 min for high salt extraction. Cellular debris was removed by centrifugation for 2 min at 4°C, and the supernatant fraction was stored at –70°C.
Isolation of Mitochondrial and Cytosolic Extracts
At the end of the culture time, cells were scrapped off, collected by centrifugation at 2500 x g for 5 min at 4°C, and resuspended in hypotonic isolation buffer (1 mM EDTA, 10 mM HEPES, and 50 mM sucrose, pH 7.6). Then, cells were incubated at 37°C for 5 min and homogenized under a Teflon pestle (Overhead Stirrer; Wheaton Instruments, Millville, NJ). Hypertonic isolation buffer (1 mM EDTA, 10 mM HEPES, and 450 mM sucrose, pH 7.6) was added to balance the buffer's tonicity. Samples were centrifuged at 10,000 x g for 10 min and the pellets, containing the mitochondrial fraction, were resuspended in lysis buffer. The supernatants contained the cytosolic protein fraction. Cytochrome c was analyzed by Western blotting after electrophoresis separation of 50 µg of cytosolic proteins in 15% polyacrylamide-SDS gels.
Protein Determination
Protein determination was performed by the Bradford dye method, using the Bio-Rad reagent and BSA as the standard.
Immunoprecipitation and Western Blotting
To obtain total cell lysates, cells from supernatants were collected by centrifugation at 2000 x g for 5 min at 4°C. Attached cells were scraped off in ice-cold PBS, pelleted by centrifugation at 4000 x g for 10 min at 4°C, and resuspended in lysis buffer (25 mM HEPES, 2.5 nM EDTA, 0.1% Triton X-100, 1 mM phenylmethylsulfonyl fluoride, and 5 µg/ml leupeptin). Samples were sonicated 30 s at 1.5 mA, and lysates were clarified by centrifugation at 12,000 x g for 10 min. For immunoprecipitation, equals amount of protein (600 µg–1 mg) were immunoprecipitated at 4°C with the corresponding antibodies and isotype control serum. The immune complexes were collected on protein A-agarose or protein G-agarose beads and submitted to SDS-PAGE. Then, gels were transferred to Immobilon membranes, and they were blocked using 5% nonfat dried milk or 3% BSA in 10 mM Tris-HCl, and 150 mM NaCl, pH 7.5, and incubated overnight with several antibodies as indicated in 0.05% Tween 20, 10 mM Tris-HCl, and 150 mM NaCl, pH 7.5. Immunoreactive bands were visualized using the ECL Western blotting protocol (GE Healthcare, Little Chalfont, Buckinghamshire, United Kingdom).
Analysis of DNA Laddering
To assess the fragmentation of extranuclear DNA, a modified version of the method of Lyons et al. (1992)
was used. Cells were washed twice with ice-cold PBS, and then they were scraped and pelleted at 4°C. Cells were resuspended in 500 µl of buffer containing 10 mM EDTA, 0.25% Triton X-100, and 2.5 mM Tris-HCl, pH 8, and stored at 4°C for 15 min. Intact nuclei were pelleted and eliminated by centrifugation at 500 x g at 4°C for 30 min, and the supernatant was centrifuged at 25,000 x g at 4°C for 15 min. DNA in the supernatant was precipitated at –80°C after the addition of 2 volumes of ethanol (70% final concentration), pelleted by microcentrifugation at 4°C for 15 min, dried, resuspended in 200 µl of 10 mM Tris-HCl, 1 mM EDTA, pH 8 (TE buffer), and incubated at 37°C for 30 min with 0.1 mg/ml RNase A and for 2–3 h with 0.24 mg/ml proteinase K. DNA was purified by phenol-chloroform extraction and precipitated at –70°C after adding (1/10 volume) 3 M sodium acetate, pH 5.3, and (2 volume) ethanol. Precipitated DNA was dissolved in TE buffer containing 30% glycerol, 1 µg/ml ethidium bromide and electrophoresed in a 1.5% agarose gel. Gel was visualized and photographed under transmitted UV light with a Polaroid camera.
Quantification of Apoptotic Cells by Flow Cytometry
After induction of apoptosis, adherent and nonadherent cells were collected by centrifugation, washed with PBS, and fixed with cold ethanol (70%, vol/vol). The cells were then washed, resuspended in PBS, and incubated with RNAse (25 µg/106 cells) for 30 min at 37°C. After addition of 0.05% propidium iodide, cells were analyzed by flow cytometry.
Determination of Reactive Oxygen Species (ROS)
Cellular reactive oxygen species were quantified by the dichlorofluorescin (DCFH) assay by using a microplate reader (Wang and Joseph, 1999
). This parameter gives a very good evaluation of the degree of cellular oxidative stress, and it has been described previously (Alia et al., 2006
). Briefly, 2.5 x 105 cells were seeded in six-well plates in growing medium (DMEM plus 10% FS) and cultured to 80% confluence. Then, cells were loaded with 5 µM DCFH for 30 min. After two washes with PBS, cells were cultured in growing medium (control) or serum-free medium for several time periods. Then, fluorescence was quantified in a microplate fluorimeter (Synergy HT; Bio-Tek Instruments, Winooski, VT), and a fair estimation of the overall oxygen species generated per well under the different conditions was obtained. Alternatively, cellular fluorescence was examined under the same experimental conditions in the confocal microscope. Images were taken with 488-nm laser excitation and 510-nm for emission.
Analysis of Caspase-3 Activity
Cells were scraped off, collected by centrifugation at 2500 x g for 5 min, and lysed at 4°C in 5 mM Tris-HCl, pH 8.0, 20 mM EDTA, and 0.5% Triton X-100. Lysates were clarified by centrifugation at 13,000 x g for 10 min. Reaction mixture contained 25 µl of cellular lysates, 325 µl of assay buffer (20 mM HEPES, pH 7.5, 10% glycerol, and 2 mM dithiothreitol) and 20 µM caspase-3 substrate (Ac-DEVD-AMC). After 2-h incubation in the dark, enzymatic activity was measured in a luminescence spectrophotometer (LS-50; PerkinElmer Life and Analytical Sciences, Boston, MA) (
excitation, 380 nm;
emission, 440 nm). We define a unit of caspase-3 activity as the amount of active enzyme necessary to produce an increase in 1 arbitrary unit in the fluorimeter after 2-h incubation with the reaction mixture. Then, protein concentration of cell lysates was determined, and final expression of the results is presented as caspase-3 activity per microgram of total protein.
Analysis of Caspase-8 Activity
Caspase 8-activity was measured with the ApoAlert caspase-8 fluorescent assay kit (K2028; Clontech, Mountain View, CA) accordingly with the manufacturer's instructions by using 7-amino-4-trifluoromethyl coumarin (IETD-AFC) as a substrate. Then, protein concentration of cell lysates was determined, and final expression of the results is presented as caspase-8 activity per microgram of total protein. For the determination of IR-associated caspase-8 activity, cells were lysed in lysis buffer described above for caspase-3 activity. Equal amounts of protein (600 µg) were immunoprecipitated with the anti-IR antibody. The resulting immune complexes were collected on protein A-agarose beads. After three washes with PBS, beads were resuspended in 50 µl of caspase-8 reaction cocktail [20 mM piperazine-N,N'-bis(2-ethanesulfonic acid), 100 mM NaCl, 10 mM DTT, 1 mM EDTA, 0.1% 3-[(3-cholamidopropyl)dimethylammonio]propanesulfonate, and 10% sucrose] supplemented with 1 µg of Ac-IETD-AFC as a substrate. After 2-h incubation at 37°C, caspase-8 activity was measured in a luminescence spectrophotometer (LS-50) (
excitation, 380 nm;
emission, 440 nm).
Cytometric Quantification of Fas Expression
Cells were grown in DMEM plus 10% FS, and then they were trypsinized, washed, resuspended in PBS (1–1.5 x 106 cells/assay), and incubated for 30 min at 4°C with 2.5 µg of the anti-Fas antibody Jo2 conjugated with fluorescein isothiocyanate. After washing, cells were incubated with 0.005% propidium iodide and analyzed in the cytometer. The relative fluorescence intensity was recorded as a measure of the amount of Fas expression per cell.
Statistical Analysis
Statistically significant differences between mean values were determined using paired Student's t test. Differences were considered statistically significant at p < 0.05.
| RESULTS |
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Next, we measured the percentage of apoptosis by analyzing cells with DNA content lower than 2C by flow cytometry during the time course of serum deprivation. In HIR LoxP hepatocytes, 16 h of serum deprivation increased the percentage of hypodiploid cells compared with cells cultured with 10% FS (Figure 1C). DNA laddering pattern pointed out that the lack of IR increased the percentage of apoptotic cells at an earlier time (8 h). Moreover, the individual expression of IRA or IRB isoform in IR-deficient immortalized hepatocytes augmented the number of apoptotic cells at 8 and 16 h of serum deprivation compared with HIR KO hepatocytes. Of note, this effect was more pronounced in HIR RecB cells. To demonstrate that the effects seen in HIR RecA and HIR RecB cells were not caused by the infection procedure, we generated a control cell line by retroviral infection of HIR KO immortalized hepatocytes with empty vector (HIR KO pBabe hygro). Then, the percentage of apoptotic cells was analyzed at the same times of growth factors withdrawal. As shown in Figure 1C (bottom), no differences in the percentage of apoptotic cells were found between HIR KO hepatocytes and those cells infected with pBabe hygro.
Insulin Signaling through Akt and ERK Rescued HIR LoxP, HIR RecA, and HIR RecB, but not HIR KO, Immortalized Hepatocytes from Apoptosis
We have previously shown that insulin is a survival factor that rescues wild-type SV40-immortalized neonatal hepatocytes from serum withdrawal-induced apoptosis. At the molecular level, both Akt and ERK signaling pathways have been implicated in the survival effect of insulin or IGF-I in a number of cell types, including immortalized hepatocytes (Valverde et al., 2004
). To analyze the phosphorylation of Akt and ERK in HIR loxP, HIR KO, HIR RecA, and HIR RecB immortalized hepatocytes, cells were cultured to 90% confluence and then they were serum starved for 4 h. Subsequently, cells were stimulated with 10 nM insulin for a further 10 min. The phosphorylation of Akt and ERK was observed in HIR loxP, HIR RecA and HIR RecB immortalized hepatocytes upon insulin stimulation (Figure 2A). As expected, the lack of IR totally abolished insulin-stimulated activation of Akt and ERK in both HIR KO and HIR KO pBabe hygro cells. Interestingly, the phosphorylation of Akt and ERK in response to IGF-I stimulation was similar in all cell lines (data not shown). Next, we examined whether insulin was able to suppress serum withdrawal-induced apoptosis in our lines of immortalized hepatocytes. For these studies, cells were incubated for 16 h in serum-free medium in the absence or presence of 10 nM insulin. Insulin significantly decreased the percentage of apoptotic cells and DNA laddering in HIR LoxP, HIR RecA, and HIR RecB hepatocytes cultured in serum-free medium (Figure 2B). However, insulin failed to exert a survival effect on cells lacking IR, as expected.
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was not detected by Western blotting of these preparations (data not shown). To substantiate these data, we performed immunofluorescence analysis in cells cultured under nonapoptotic (DMEM plus 10% FS) and apoptotic (serum-free DMEM) conditions. To visualize Foxo1 subcellular distribution we performed this experiment at 4 h of serum deprivation based on the differences found in the biochemical analysis. As shown in Figure 5B, in the absence of the apoptotic trigger Foxo1 staining was visualized in the cytosol with a strong signal in the perinuclear area. However, 4 h of growth factors withdrawal resulted in the loss of the perinuclear staining and the presence of immunofluorescence signal in the nucleus in HIR KO, HIR RecA, HIR RecB cells. A similar pattern of immunofluorescence has been previously shown in SV40-immortalized IRS-2–deficient hepatocytes (Valverde et al., 2004
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Immortalized Hepatocytes Expressing IRA or IRB Isoforms Associated Caspase-8 Activity, Fas, and FADD upon Serum Withdrawal, but Only Isoform A Induced Bid Cleavage
The fact that caspase-8 activity was highly elevated in serum-deprived immortalized hepatocytes expressing either IRA or IRB prompted us to explore the possibility that caspase-8 activity might associate with protein complexes containing these IR isoforms. To test this hypothesis, HIR LoxP, HIR KO, HIR KO pBabe hygro, HIR RecA, and HIR RecB hepatocytes were serum deprived for 8 h or maintained in medium with 10% FS. Adherent and nonadherent cells were then collected and lysed. Equals amount of protein (600 µg) were immunoprecipitated with the anti-IR antibody and then we assayed for caspase-8 activity in the immune complexes as described in Materials and Methods. Caspase-8 activity was detected in the immunoprecipitates from serum deprived HIR RecA or HIR RecB cells (Figure 7A). By contrast, IR-associated caspase-8 activity was not detected in serum-deprived HIR loxP, HIR KO, and HIR KO pBabe hygro hepatocytes.
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Effect of IR Deficiency and the Expression of IRA or IRB Isoform on Cytochrome c Mitochondrial Release and Caspase-3 Activation in Immortalized Hepatocytes
The release of cytochrome c from the mitochondria is a point of convergence between intrinsic (mitochondrial-mediated) and extrinsic (death receptor-mediated) apoptotic pathways. Therefore, we evaluated whether the release of cytochrome c from mitochondria to cytosol in response to growth factors withdrawal was much affected by deletion of IR or the expression of IRA or IRB in immortalized hepatocytes. To analyze this, cells were cultured in serum-free medium for 2–8 h, and subsequently, subcellular fractions of mitochondria and cytosol were prepared. Cytochrome c content decreased considerably in the mitochondria, occurring in the cytosol after 4 h of serum withdrawal in HIR LoxP cells (Figure 8A). In the absence of IR, cytosolic cytochrome c occurred at an earlier time (2 h), followed by a plateau. In HIR RecB hepatocytes, the time course of cytochrome c release was similar to that of HIR KO cells. Conversely, in hepatocytes expressing IRA isoform the amount of cytochrome c in the cytosol significantly increased following 8 h of serum deprivation. No cytochrome c oxidase was detected in the cytosolic extracts (data not shown).
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Coexpression of IRA and IRB in IR-deficient Immortalized Hepatocytes Reverted the Susceptibility to Undergo Apoptosis upon Growth Factors Deprivation
To allow the conclusion that an imbalance of IR isoforms is an apoptotic trigger in immortalized neonatal hepatocytes, we coexpressed both isoforms in HIR KO cells. For that goal, HIR KO hepatocytes were infected with retroviruses encoding IRA and IRB. After hygromycin selection, we obtained cell lines (HIR RecAB) with comparable IRA and IRB levels than that of HIR LoxP hepatocytes, and comparable IR protein levels (Figure 9A). Then, HIR RecAB cells were stimulated with insulin and, as shown in Figure 9A, levels of phosphorylated Akt and ERK were comparable to control HIR LoxP hepatocytes. Next, we investigated the susceptibility of HIR RecAB immortalized hepatocytes to undergo apoptosis upon growth factors withdrawal. For that goal, cells were deprived of serum for various times. Then, the percentage of apoptotic cells and the activities of caspases-8 and -3 were analyzed. Figure 9B shows that the coexpression of IRA and IRB resulted in a significant decrease in these parameters compared with IR-deficient hepatocytes. Of note, insulin was able to rescue HIR RecAB hepatocytes from serum-withdrawal-induced apoptosis. Finally, at the molecular level the coexpression of IRA and IRB resulted in a delay in Bim expression during the time course of serum withdrawal (Figure 9C).
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| DISCUSSION |
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Insulin-mediated phosphorylation of Akt and ERK, two major survival pathways in mammalian cells (Rosseland et al., 2005
; Luedde and Trautwein, 2006
), was virtually absent in immortalized IR-deficient hepatocytes, but it was rescued by the expression of either IRA or IRB isoform. These results strongly indicate that either isoform when expressed in hepatocytes is completely functional in terms of insulin signaling. Indeed, when cultured in serum-free medium, but in the presence of insulin, these cell lines were fully protected from apoptosis. These results confirm that activation of Akt and ERK signaling pathways by either isoform of IR enables survival in immortalized hepatocytes. In sharp contrast, when hepatocytes expressing only IRA or IRB were subjected to a time course of serum withdrawal, the rate of apoptosis was increased as compared with IR-deficient cells. In humans and mice, IR isoform expression is tightly regulated by development. For example, in human fetal tissues a clear shift from IRA to IRB was reported in muscle, liver, and kidney (Frasca et al., 1999
), whereas adult liver expressed only IRB (Giddings and Carnaghi, 1992
). Thus, as discussed above, cells bearing a severe imbalance in the expression of IRA and IRB isoforms during a particular stage of development, such as the neonatal period, might be more susceptible to programmed cell death to prevent structural or functional alterations in developing tissues.
Serum withdrawal is a stimulus that induces apoptosis by elevating cellular ROS levels (Lee et al., 2005
). In the current study, we have evaluated whether the lack of IR and serum withdrawal can synergize to promote oxidant injury and cellular toxicity in immortalized hepatocytes. Indeed, under our experimental conditions, IR-deficient cells displayed a time-dependent increase in ROS levels. Importantly, this effect was totally avoided by expression of either isoform A or B of the IR or both. Therefore, the generation of ROS as a possible mechanism by which individual expression of IRA or IRB triggers apoptosis can be ruled out in immortalized neonatal hepatocytes.
In mammalian cells, apoptosis proceeds along the extrinsic (death receptor) or the intrinsic (mitochondrial) pathways that broadly interact with each other (Danial and Korsmeyer, 2004
). The extrinsic pathway is activated by the engagement of death receptors on the cell surface. The intrinsic pathway is triggered by various extracellular and intracellular stress signals, such as growth factor withdrawal, hypoxia, DNA damage, and oncogene induction resulting in the permeabilization of the outer mitochondrial membrane, the release of cytochrome c and other proapoptotic molecules, the formation of the apoptosome, and caspase activation. Among these processes, only the permeabilization step is regulated, given that antiapoptotic members of the Bcl family can block progression of apoptotic death (Okada and Mak, 2004
). Immortalized hepatocytes grown in 10% FS express high levels of the antiapoptotic member Bcl-xL, which prevent cytochrome c release from mitochondria to the cytosol. The lack of IR down-regulated endogenous Bcl-xL expression; interestingly, this effect was not rescued by the expression of IRA or IRB isoforms. By contrast, the expression of the proapoptotic members Bim and Bid was similar between all the cell lines. These results clearly indicate that the lack of IR in immortalized hepatocytes creates an imbalance between endogenous pro- and antiapoptotic genes, which may accelerate the sequential cellular events leading to DNA fragmentation and apoptosis. On serum withdrawal, Bim is a proapoptotic protein that is highly induced in a number of cell types, including immortalized hepatocytes (Valverde et al., 2004
). Our results demonstrate that serum withdrawal stimulates a time-dependent increase in Bim expression in control cells. When IR was absent, Bim was up-regulated more rapidly in response to serum deprivation. However, our results clearly indicate that the up-regulation of Bim is not the molecular mechanism by which apoptosis is enhanced in HIR RecA or HIR RecB hepatocytes.
In contrast to the family of Bcl-related proteins, less is known about the role of Foxo proteins in the mechanism of apoptosis. In the absence of Akt signaling, these proteins localize predominantly to the nucleus where they bind to promoters of target genes that induce cell death including FasL (Suhara et al., 2002
) and Bim (Dijkers et al., 2000
; Stahl et al., 2002
). Indeed, overexpression of Foxo1 or Foxo3a induces apoptosis in various cell types, including immortalized neonatal hepatocytes (Brunet et al., 1999
; Tang et al., 1999
; Valverde et al., 2004
). In cells cultured under serum-free conditions, nuclear localization of Foxo1 is accelerated by the lack of IR. This effect, together with the acceleration of Bim expression, might contribute to the acceleration of cytochrome c release, the increase in caspase-3 activity, and the increased susceptibility to apoptosis induced by serum withdrawal in IR-deficient immortalized hepatocytes. These results together with our previous reports (Valverde et al., 2004
, Gonzalez-Rodriguez et al., 2007
) show a positive correlation between Akt/Foxo1 phosphorylation and survival in hepatocytes. However, because no significant alterations in the accumulation of Foxo1 in the nucleus were found in HIR RecA or HIR RecB hepatocytes, the involvement of this molecular mechanism in the apoptosis induced by the individual expression of IR isoforms should be minimal. Moreover, because mammalian target of rapamycin is a downstream target of Akt that controls cell growth, the contribution of this pathway to the regulation of apoptosis in hepatocytes should not be excluded.
Apoptosis induced by serum withdrawal is partly due to increased FasL signaling that is regulated by nuclear Foxo1 (Suhara et al., 2002
). Because the accumulation of nuclear Foxo1 was accelerated in serum-deprived immortalized hepatocytes lacking IR, caspase-8 activity was also slightly higher compared with the control HIR LoxP cell line. Notably, caspase-8 activity was much elevated in hepatocytes expressing either IRA or IRB isoform at all the time points of serum withdrawal. This result was unexpected, because the time course of the accumulation of nuclear Foxo1 was similar as in HIR KO cells, as discussed above. More importantly, the fact that the high percentage of apoptotic cells induced by 8 h of serum withdrawal was suppressed by incubation with IETD indicates that the activation of caspase-8, by a Foxo1-independent mechanism, induced directly the apoptosis in HIR RecA or HIR RecB hepatocytes. Moreover, we found a significant increase in caspase-8 activity associated with anti-IR immune complexes in immortalized hepatocytes expressing IRA or IRB, but not in control or IR-deficient cells, after 8 h of serum withdrawal. Because caspase-8 is activated exclusively by the death receptor pathway, we investigated the possibility that IR isoforms form complexes that include membrane death receptors.
Studies in patients and animal models strongly suggest that the death receptor cascade mediated by Fas/FasL is involved in the induction of apoptosis and the consequent liver damage (Luedde et al., 2002
). On ligand binding, Fas recruits the death-inducing signaling complex (DISC) (Barnhart et al., 2003
). The DISC complex consists on the Fas receptor, procaspase-8, procaspase-10, and FADD. Our results clearly demonstrate the presence of IRA/Fas/FADD or IRB/Fas/FADD protein complexes under basal conditions. More importantly, those complexes were more abundant upon 8 h of serum deprivation in parallel to the activation of IR-associated caspase-8. This effect was more marked in immortalized hepatocytes expressing IRB. Importantly, the increase in caspase-8 activity was not the result of increased caspase-8 levels. Indeed, the formation of these complexes parallels an intense activation of caspase-3 that is inhibited by IETD, reinforcing the idea that activation of IRA/Fas/FADD or IRB/Fas/FADD complexes can trigger a death receptor signaling. The complex formed between tyrosine kinase membrane receptors and death molecules has been recently reported by Ling et al. (2006)
. These authors have found that RIP, a critical effector of TNF receptor signaling, is recruited into the IGF-IR signaling complex in a ligand-dependent manner.
Autoproteolytic cleavage of caspase-8 is an early detectable event in Fas-induced apoptosis, leading to caspase-3 activation either in a mitochondria-independent manner or via a mitochondria-dependent pathway that proceeds via Bid and caspase-9 (Scaffidi et al., 1998
, 1999
). Our results reveal a significant increase of Bid cleavage in parallel with an increase in cytochrome c release at 8 h of serum withdrawal in HIR RecA cells, compared with HIR KO hepatocytes. These data suggest that the mitochondria-dependent pathway might participate in the apoptosis mediated by IRA/Fas/FADD complexes. By contrast, the fact that in HIR RecB cells the time course of cytochrome c release is similar to that of HIR KO hepatocytes suggest that the direct activation by the initiator caspase-8 might be the mechanism by which the executioner caspase-3, and, ultimately, cell death is activated by IRB/Fas/FADD complexes. Efficient execution of apoptosis requires an adequate supply of ATP (Dey and Moraes, 2000
). This is particularly important in kidney and colon carcinomas because the selective repression of β-F1-ATPase expression hampered the apoptotic potential of the cancer cells, resulting in chemo- and radiotherapy resistance (Cuezva et al., 2002
). In a recent study, we have demonstrated that hepatocytes expressing only IRA have increased rate of glucose entry compared with those expressing IRB. This difference in glucose disposal could lead to more ATP availability in HIR RecA cells, thereby enabling formation of the apoptosome and mitochondrial-dependent caspase-3 activation. Therefore, in immortalized hepatocytes expressing IRB, the lower glucose/ATP availability might limit apoptosome formation, permitting the direct activation of caspase-3 by caspase-8.
Although the results presented in this study are the first evidence of the unique role of IR isoforms in the regulation of programmed cell death, changes in IRA/IRB ratio have been reported in several diseases such as type 2 diabetes and cancer. Particularly, there are studies showing that there is a preferential expression of IRA in many types of cancer including those of the lung, colon, breast, ovaries, thyroid, and smooth and striated muscle (reviewed in Denley et al., 2003
). The IRB is also down-regulated in hepatoblastomas (von Horn et al., 2001
). In immortalized neonatal hepatocytes, coexpression of IRA and IRB isoforms rescued from the susceptibility to undergo apoptosis provoked by the individual expression of either IR isoform. These results together with the activation of the apoptotic pathways summarized in Figure 10 reinforce the idea that the expression of IRA and IRB isoforms must be tightly regulated through development for the protection against cell death in hepatocytes. Whether or not an imbalance in IRA/IRB ratio could affect hepatoprotection in humans will require further investigations.
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| ACKNOWLEDGMENTS |
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| Footnotes |
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Address correspondence to: Angela M. Valverde (avalverde{at}iib.uam.es) or Manuel Benito (benito{at}farm.ucm.es)
Abbreviations used: FS, fetal serum; IGF-IR, insulin-like growth factor I receptor; IR, insulin receptor; PAGE, polyacrylamide gel electrophoresis; PBS, phosphate-buffered saline; PCR, polymerase chain reaction.
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