(Received for publication, April 7, 1997)
From the W. Alton Jones Cell Science Center, Lake Placid, New York 12946
trans-4,5-Dihydroxy-1,2-dithiane, the intramolecular disulfide form of dithiothreitol (DTTox) transcriptionally activates the stress-responsive genes gadd153(chop) and grp78. Herein, we used a renal epithelial cell line, LLC-PK1, to investigate the mechanism(s) whereby DTTox activates a molecular stress response. DTTox activated both grp78 and gadd153 transcriptionally, but gadd153 mRNA stability also increased suggesting that both transcriptional and posttranscriptional mechanisms are involved. DTTox did not activate hsp70 transcription indicating that a heat shock response was not induced. Structure-activity studies showed that DTTox analogues lacking the intramolecular disulfide were inactive. Furthermore, the ring-open intermolecular disulfide form of DTTox, 2-hydroxyethyl disulfide, was only a weak inducer of grp78 and gadd153 but was a strong inducer of hsp70 mRNA and a potent oxidant that lowered the NADPH/NADP+ ratio and depleted reduced glutathione (GSH). DTTox had little effect on the overall GSH and NADPH levels; thus cells were not undergoing oxidative stress; however, the NADPH/NADP+ ratio decreased slightly indicating that reducing equivalents were consumed. LLC-PK1 cells reduced DTTox to DTT, and the kinetics as well as the concentration dependence for reduction correlated with induction of both grp78 and gadd153 mRNA. Prior treatment with DTTox rendered cells tolerant to the potent nephrotoxicant S-(1,1,2,2-tetrafluoroethyl)-L-cysteine. Bacitracin, an inhibitor of plasma membrane oxidoreductases, blocked DTTox reduction and gene activation as well as DTTox-induced tolerance. Thus, activation of stress genes and induction of cellular tolerance by DTTox is mediated by a novel mechanism involving cellular oxidoreductases.
Mounting evidence indicates that perturbation of the cellular
thiol-disulfide redox potential activates gene expression. For example,
depletion of cellular GSH causes protein thiol oxidation and activation
of hsp70 transcription (1, 2). Likewise, perturbing cellular
Ca2+ with ionophores or toxicants that cause oxidative
stress activates c-fos, c-myc, and the
growth arrest and DNA
damage-inducible gene, gadd153 (3-7). In some
cases, oxidants may directly regulate transcription factors, such as
oxyR, by protein thiol oxidation (8). On the other hand, oxidation of a
cysteinyl residue in Fos or Jun blocks DNA binding (9). Other
transcription factors including NFB, p53, Egr-1, Usf, and Srf, to
name a few, are also regulated directly or indirectly by oxidation
(10-14).
Cellular sensors capable of transducing redox signals to the nucleus include protein phosphatases, protein kinases, hormone-responsive calcium pools, and cellular glutathione pools, all of which respond to oxidant exposure (15-18). In particular, oxidation or reduction of cellular protein and nonprotein thiols may be an important link between toxicant exposure and altered gene expression (1, 2). Although oxidative stress has been studied more extensively, reductive stress also activates stress-response genes. For example, organic thiols increase expression of the glucose-regulated protein grp78 and gadd153 genes (19-22). gadd153, also called chop for C/EBP homologous protein, is a member of the C/EBP gene family of transcription factors (23, 24) and is particularly interesting because, unlike grp78 (20), it is activated by either oxidative or reductive stress (22, 25, 26).
The LLC-PK1 cell line, a porcine renal epithelial cell line, retains many characteristics of the proximal tubule epithelium (27, 28) and has been used to investigate mechanisms of oxidative and reductive toxicity as well as stress-gene activation in the kidney (1, 6, 21, 22, 29-33). Dithiothreitol (DTT),1 a powerful disulfide reducing agent, is toxic to LLC-PK1 cells and activates both grp78 and gadd153 (20, 22). In preliminary structure-activity studies we found that the nontoxic intramolecular disulfide form of DTT, trans-4,5-dihydroxy-1,2-dithiane (DTTox), also induced gadd153 and grp78 mRNA. Since both genes are activated by thiol-induced reductive stress (20, 22), it was surprising that DTTox, an intramolecular disulfide with a very high reduction potential, was a good inducer. Herein, we show that reduction of DTTox by cellular oxidoreductases mediates transcriptional activation of gadd153 and grp78 as well as induction of cellular tolerance to chemical toxicants. In a related study, we show that induction of cellular tolerance by DTTox depends on its ability to activate an endoplasmic reticulum stress response and to increase expression of chaperone proteins located in the endoplasmic reticulum (34). Thus, DTTox is a novel activator of stress-gene expression and will be useful in probing the role of the thiol/disulfide redox status in the cellular and molecular responses to stress.
LLC-PK1 cells (27) were obtained from American Tissue Type Culture (Rockville, MD) and were used between passages 205 and 215. Cells were grown to confluence in Dulbecco's modified Eagle's medium supplemented with 10% fetal bovine serum (Life Technologies, Inc. or Upstate Biotechnology, Lake Placid, NY) in an atmosphere of 5% CO2, 95% air in a humidified 37 °C incubator. Cells (1.25 × 106) were plated in 100-mm dishes 5 days prior to experimental treatment. The medium was routinely changed 3 days after seeding. Confluent cultures of LLC-PK1 cells were rinsed with phosphate-buffered saline and treated with DTTox or TFEC prepared fresh in Earle's balanced salt solution (1.8 mM CaCl2, 5.4 mM KCl, 1.7 mM MgSO4, 26.2 mM NaHCO3, 1.0 mM NaH2PO4, 5.6 mM glucose, and 25 mM HEPES). Actinomycin D was dissolved in absolute ethanol at a concentration of 5.0 mg/ml, and 1 µl of the ethanol stock solution was added to 1 ml of Earle's balanced salt solution to achieve a final working concentration of 5 µg/ml.
Northern AnalysisTotal RNA was isolated from cells using
RNAzol supplied by Cinna/Biotecx (Houston, TX). Poly(A)+
RNA was isolated using oligo(dT)-cellulose, a standard technique. Northern analysis was performed on blots on which either total RNA (40 µg) or poly(A)+ RNA (5 µg) had been size separated by
electrophoresis in 1.4% agarose denaturing gels. After
prehybridization, blots were hybridized (21) overnight with cDNA
probes for gadd153 (35) or grp78 (36), a gift of
Dr. Amy Lee, and labeled with [-32P]dCTP by random
priming (37) using a kit (Boehringer Mannheim). Blots were allowed to
decay before reprobing with a 200-base pair cDNA insert for mouse
-actin cDNA excised from pMACTE4, an SK-based plasmid (a gift of
Dr. D. Eisinger). Bands were visualized by autoradiography using DuPont
Cronex film and an intensifying screen and were quantitated using a
BioImage Densitometer (Ann Arbor, MI). To correct for differences in
gel loading, integrated optical densities were normalized to
-actin.
Since gadd153 mRNA is barely detectable in untreated
cells, the optical density values determined for gadd153 and
grp78 expression after 10 mM DTTox or 10 mM DTT treatment were arbitrarily designated as the 100%
response, and all other values were expressed as a percent of that
value.
Following treatment, cells were
lysed in 0.5% Nonidet P-40, and nuclei were stored at 70 °C in
40% glycerol (38). Newly transcribed RNA, labeled with
[
-32P]UTP and purified by the method of Celano
et al. (39), was hybridized to linearized plasmids that had
been UV cross-linked to nylon filters. Plasmids containing cDNAs
for
-actin and hsp70 (plasmid pAT125, American Type
Culture Collection) served as internal controls, and pBluescript SK
(Stratagene, La Jolla, CA) was used to assess nonspecific binding.
Run-on transcription was quantitated using a BioImage Densitometer. The
run-on data presented in the results are a summary of three separate
experiments but were not normalized to
-actin since DTTox and
cycloheximide both perturbed
-actin transcription somewhat.
Protein and nonprotein thiols were
determined spectrophotometrically using Ellman's reagent
(5,5-dithiobis(2-nitrobenzoic acid)) (40) as described previously
(41). Intracellular GSH was measured by the high performance liquid
chromatography method of Reed et al. (42). Nonprotein thiol
values measured with Ellman's reagent were very similar to GSH values
measured directly by high performance liquid chromatography analysis.
Pyridine nucleotides were determined using the enzymatic cycling assay
of Passonneau and Lowry (43). Protein was determined using the Bio-Rad
protein assay with bovine IgG as the standard. DTTox reduction to DTT was determined by measuring the nonprotein thiols in the medium.
Cytotoxicity was assessed by measuring release of lactate dehydrogenase into the medium as described (44). Unlabeled or 35S-labeled S-(1,1,2,2-tetrafluoroethyl)-L-cysteine (TFEC) were synthesized as before (45). When covalent binding of reactive TFEC metabolites was determined as an indication of uptake and activation, cells were treated for 2 h with [35S]TFEC, and then binding of 35S-metabolites was determined as described (44).
Statistics AnalysisAnalysis of variance followed by the Scheffe F test for multiple comparisons was used to compare means of three or more groups. The level of significance was set at p < 0.05.
Previous work in our laboratory demonstrated that DTT
treatment induced both grp78 and gadd153 mRNA
in LLC-PK1 cells (21, 22). Since DTT and DTTox differ only
in their thiol oxidation state, we first characterized the induction of
gadd153 and grp78 mRNA by DTTox and then compared
the data to induction by DTT (Fig. 1).
DTTox induced both gadd153 and grp78 mRNA
expression in a time- and concentration-dependent manner.
At 10 mM, DTT and DTTox were equally effective inducers of
gadd153 and grp78 mRNA. However, DTT was
effective at lower concentrations and at earlier times compared with
DTTox. We also tested analogues of DTTox (Fig.
2). trans-1,2-Cyclohexanediol
lacks the intramolecular disulfide bond and was ineffective.
2-Hydroxyethyl disulfide, the ring-open intermolecular disulfide
analogue of DTTox, proved to be extremely toxic but induced
grp78 and gadd153 only modestly. However,
2-hydroxyethyl disulfide was a potent inducer of hsp70
because of its ability to deplete cellular glutathione (see below), a
known stimulus for hsp70 transcription (1, 2). Thus, the
intramolecular disulfide was a necessary functional group for
activation of grp78 and gadd153 by DTTox.
Transcriptional and Posttranscriptional Mechanisms of grp78 and gadd153 mRNA Induction
To determine if DTTox treatment
transcriptionally activated gadd153 and grp78 in
LLC-PK1 cells, nuclear run-on analyses were performed (Fig.
3). Since hsp70 is more
responsive to oxidative than reductive stress (20) and is not activated
by DTT (22, 29), we also analyzed hsp70 transcription. Basal
grp78 transcription was much higher than gadd153;
however, treatment with 10 mM DTTox transcriptionally
activated grp78 and gadd153 16 ± 9- and
9 ± 4-fold, respectively (n = 3), but failed to
activate hsp70 transcription. DTT also increased
transcription of gadd153 and grp78 markedly, 13 ± 6- and 18 ± 14-fold, respectively (n = 3). There was also a significant and reproducible decrease in -actin
transcription in cells treated with DTTox, but the mechanism underlying
this effect is not clear at present.
Transcriptional activation can be classified as a primary or secondary
response based on cycloheximide sensitivity (46). Cycloheximide
treatment caused only a modest inhibition of DTT-mediated induction of
gadd153 and grp78 mRNA (Fig.
4). In contrast, cycloheximide completely
blocked induction of gadd153 and grp78 (94%
inhibition) by DTTox. Similar results were obtained by nuclear run-on
analysis; cycloheximide blocked DTT-mediated transcriptional activation of gadd153 and grp78 by 58 and 21%,
respectively, whereas transcriptional activation induced by DTTox was
completely blocked by cycloheximide for both genes (Fig. 3). These
results indicate that transcriptional activation of grp78
and gadd153 by DTTox is dependent on protein synthesis.
Although DTTox induction of gadd153 and grp78
mRNA appeared to be due in part to transcriptional activation,
run-on experiments do not exclude effects on posttranscriptional
processes (47). Therefore, we used actinomycin D, an inhibitor of
transcription, to examine the contribution of mRNA stability to
grp78 or gadd153 mRNA accumulation.
Actinomycin D blocked the induction of both mRNAs by DTT (Fig.
5) or DTTox (data not shown). When we
first induced grp78 with DTT and then added actinomycin D to
prevent further transcription, there was no observable decrease in
grp78 mRNA in the presence of actinomycin D alone or
actinomycin plus DTTox (data not shown), indicating that
grp78 mRNA was extremely stable
(t1/2 >18 h). However, gadd153 mRNA
was very unstable (t1/2 = 2 h) in the presence
of actinomycin D (Fig. 5); DTTox dramatically increased
gadd153 mRNA stability (t1/2 >18).
Thus, posttranscriptional processes contribute to the increase in
gadd153 but not grp78 mRNA after DTTox
treatment.
Induction of grp78 and gadd153 by DTTox Correlates with Reduction
Exogenous disulfides are reduced by GSH- and/or
NAD(P)H-dependent cellular reductase systems (48). As a
consequence, disulfides can induce oxidative stress by depleting
cellular GSH and NAD(P)H. Although the redox potential of DTTox does
not favor reduction (49), LLC-PK1 cells reduced DTTox in a time- and
concentration-dependent fashion (Figs.
6 and 7).
The concentration dependence for DTTox reduction correlated with
induction of grp78 and gadd153 mRNA (Fig. 7).
However, DTTox treatment did not alter the levels of GSH or protein
thiols (Table I). The only significant
change was in the nicotinamide adenine dinucleotide phosphate pool
where a modest, yet significant, decrease in the
NADPH/NADP+ ratio indicated that reducing equivalents were
consumed by DTTox reduction (Table I). Although 2-hydroxyethyldisulfide
was a poor inducer of grp78 and gadd153, it was
reduced to a much greater extent than DTTox (666 ± 155 versus 174 ± 66 nmol/h for 10 mM 2-hydroxyethyldisulfide and DTTox, respectively). Accordingly, the
NADPH/NADP+ ratio dropped dramatically after
2-hydroxyethyldisulfide treatment as did GSH (Table I), consistent with
a severe oxidative stress. Severe GSH depletion activates the heat
shock response (1, 2) and 2-hydroxyethyl disulfide was a strong inducer
of hsp70 transcription (Fig. 2).
|
Bacitracin inhibits disulfide reduction by oxidoreductases at the
plasma membrane (50) and inhibited DTTox reduction by LLC-PK1 cells
almost completely (Fig. 8). Bacitracin
also blocked 2-hydroxyethyl disulfide reduction (data not shown). To
determine if reduction of DTTox was linked to gadd153 and
grp78 expression, LLC-PK1 cells were treated
with DTTox in the presence and absence of bacitracin, and Northern blot
analyses were performed. As shown in Fig.
9 bacitracin attenuated the induction of
gadd153 and grp78 mRNA in a
dose-dependent manner.
DTTox Treatment Causes Cytoprotection
Although DTTox did not
activate a heat shock response, induction of other stress-response
genes, including grp78, has been shown to protect cells
against subsequent toxicant treatment (34, 51-54). Therefore we
determined if DTTox treatment rendered cells tolerant to subsequent
toxic insults. TFEC is a potent nephrotoxicant that kills renal
epithelial cells after activation to a reactive acylating species (55).
When cells were treated with TFEC immediately after DTTox treatment,
there was no protection (Fig. 10).
However, when cells were allowed to recover for 6 h, tolerance
developed despite the fact that the cells were still able to activate
[35S]TFEC to reactive species which covalently bound to
cellular macromolecules indicating that there was no change in the
uptake or metabolism of [35S]TFEC (Fig. 10,
inset). Tolerance was maintained up to 24 h after DTTox
removal. Simultaneous treatment with DTTox and bacitracin blocked
induction of tolerance to TFEC even though bacitracin was removed
during the recovery period (Fig. 11).
Therefore, DTTox induces cellular tolerance in a manner consistent with
activation of gene expression and by a signaling pathway linked to
cellular oxidoreductase activity. DTTox itself at a concentration of 10 mM did not produce any increase in lactate dehydrogenase
release compared with LLC-PK1 cells treated with EBSS alone under any conditions tested. In addition, DTTox treatment did not cause collapse
of the domes (data not shown), an indication of active transport, under
the conditions used here (22).
DTT itself activates grp78 and gadd153 in LLC-PK1 cells (22). To determine if the ability of DTTox to activate gene expression and induce tolerance depended merely on the DTT produced by reduction of the oxidized form, we carried out two experiments. First, we added DTTox to the cells and then washed the cells and applied fresh DTTox every 30 min throughout the induction period (repeated addition protocol). In this way, DTT was never allowed to accumulate over a concentration of 25-50 µM (see Fig. 6). Using LDH release as an index of tolerance, the repeated addition protocol for DTTox treatment produced a reduction in LDH release, from 63% in unconditioned cells to 29% in DTTox-pretreated cells (average of two experiments) compared with 31% LDH release when DTTox was left in for the full 3-h pretreatment period. Second, we added DTT at concentrations of 10, 25, 50, and 100 µM to the culture medium for the full 3-h induction period. DTT treatment under these conditions did not induce tolerance to TFEC (data not shown). Finally, we showed that adding DTT at the above concentrations in the presence of 10 mM DTTox did not increase or decrease the development of tolerance (data not shown). Thus, it would appear that the induction of tolerance is not due simply to the reduction product of DTTox, i.e. DTT.
Cells maintain a reducing thiol-disulfide redox potential in the cytoplasm and an oxidizing potential in the endoplasmic reticulum (56). Perturbation of the thiol-disulfide redox potential in either compartment activates stress-response genes (1, 2, 19, 56). The molecular response to DTTox resembles the reductive stress response induced by DTT and was differentiated from the response to the ring-open intermolecular disulfide analogue 2-hydroxyethyl disulfide, a strong oxidant and activator of hsp70. DTTox also induced tolerance to the nephrotoxicant TFEC but did not activate hsp70 transcription consistent with the observation that prior heat shock does not protect against toxicant damage in LLC-PK1 cells (34). Bacitracin, an oxidoreductase antagonist, blocked disulfide reduction, inhibited gene activation, and prevented development of tolerance. Thus, DTTox is a novel inducer of stress-response genes and cellular tolerance but utilizes an hsp70-independent mechanism that requires reduction of the intramolecular disulfide by cellular oxidoreductases. Plasma membrane oxidoreductases that link the extracellular and intracellular redox environments may be involved (50).
We should point out that the bacitracin effect could be due in part to the fact that it inhibited [3H]leucine incorporation in LLC-PK1 cells (data not shown) since cycloheximide also blocked induction of gadd153 and grp78. However, several factors suggest this is not the case. First, the effect of bacitracin cannot be attributed solely to inhibition of protein synthesis since it was less effective in preventing grp78 induction compared with gadd153, yet both genes were equally sensitive to cycloheximide. Second, induction of grp78 and gadd153 by DTTox occurred even in a balanced salt solution which is already devoid of amino acids. Third, addition of bacitracin prevented reduction of DTTox and cellular tolerance even after the two compounds were removed and the cells returned to complete medium for 6-12 h. Thus, when taken together, the dose response, time course, structure-activity, and bacitracin inhibition data indicate that reduction of DTTox by cellular oxidoreductases is a prerequisite for gene activation.
The efficacy of DTTox in a particular cell type will depend on the presence of appropriate oxidoreductases since nonenzymatic reduction of DTTox is not favored (49). However, the nature of the oxidoreductase that mediates gene activation in LLC-PK1 cells is not clear. Either protein disulfide isomerase- or thioredoxin-like enzymes might reduce DTTox using GSH and/or nicotinamide adenine dinucleotide pools as reducing equivalents (48, 57, 58). DTTox was not reduced in cell lysates supplemented with NADPH alone (data not shown). Thus, an oxidoreductase system that utilizes the reducing potential of both GSH and NADPH may reduce DTTox, but further work will be necessary to determine the nature of this oxidoreductase activity. Since bacitracin inhibits exofacial redox activity at the plasma membrane (50), some DTTox reduction may take place outside the cell. Such an enzyme system may also serve as a redox-sensitive sensor between the extracellular and intracellular environments.
Either the mild stress on the NADPH/NADP+ ratio caused by DTTox reduction or the presence of DTT, the reduction product, could play a role in DTTox activation of gene expression. DTT is a potent reducing agent that inhibits intramolecular disulfide formation in the endoplasmic reticulum causing unfolded polypeptides to accumulate (59, 60). Agents that block protein processing in the endoplasmic reticulum activate both grp78 and gadd153 expression (61-63). On that note, it is possible that cycloheximide prevents grp78 and gadd153 activation because protein synthesis is inhibited, thus preventing nascent polypeptide chains from accumulating in the endoplasmic reticulum. However, the ability of DTTox to induce grp78 and gadd153 is not simply due to the reduction to DTT since DTT at the concentrations expected from reduction of DTTox were not effective in inducing tolerance. It seems that the ability of DTTox to induce grp78 and gadd153 depends on a complex combination of the enzymatic reduction coupled to use of cellular reducing equivalent in addition to the production of DTT.
DTT and other classic endoplasmic reticulum stress inducers not only disrupt protein processing but also inhibit protein synthesis generally and can be quite toxic (64, 65). Unlike DTT, DTTox does not inhibit protein synthesis, did not induce dome collapse in LLC-PK1 cells, as does DTT (22), nor did it cause lactate dehydrogenase release from LLC-PK1 cells, yet paradoxically, it activated grp78 expression. It seems likely that the answer to this apparent paradox lies in the fact that cells compensate for the mild stress caused by DTTox treatment by increasing expression of chaperones, like grp78, thus maintaining endoplasmic reticulum protein processing. When DTTox is removed, the cell is left with a high level of chaperones in the endoplasmic reticulum and cell injury is prevented. [35S]Methionine metabolic labeling studies show that GRP78 and GRP94 synthesis occur during the first 4 h after DTTox removal, a time course that correlates with the induction of tolerance (34). In addition, expression of an antisense grp78 mRNA in LLC-PK1 cells blocked the ability of DTTox to produce a tolerant phenotype to another toxicant, iodoacetamide (34). Therefore, the ability of DTTox to induce tolerance depends on induction of grp78 expression. Induction of gadd153 by endoplasmic reticulum stress has been reported by others (22, 62, 63). However, it seems unlikely that gadd153 plays a role in tolerance given that ectopic expression of gadd153 induces apoptosis in myeloblastic leukemia cells (66).
In conclusion, DTTox is a novel pharmacological tool to investigate the relationship between stress protein induction and cell death. Since DTTox is a potent radioprotective agent in mice in vivo under conditions that cause no apparent adverse effect to the animals (67), its utility may extend to whole animals. Moreover, a novel mechanism that links cellular oxidoreductases with the signaling pathways which activate transcription of two stress-responsive genes, grp78 and gadd153, has been elucidated. Given that redox regulation of gene expression is an important physiological mediator of genomic stress responses, our data suggest that cellular oxidoreductase activity may be an important determinant of cellular responsiveness. When taken in context with our observations that induction of tolerance by DTTox depends on grp78 induction (34), the data suggest that DTTox may be a very useful tool to study the physiological role of endoplasmic reticulum stress in cellular tolerance in vivo and in vitro.
We thank Dr. Amy Lee for providing the grp78 cDNA probe, for helpful discussions, and for sharing unpublished data. Critical reading of the manuscript by Dr. Nikki Holbrook was greatly appreciated.