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INSERM, U-369, Faculté de Médecine Lyon-RTH Laennec, 69372 Lyon Cedex 08, France
Address all correspondence and requests for reprints to: Prof. Bernard Rousset, INSERM U-369, rue Guillaume Paradin, Faculté de Médecine Lyon-RTH Laennec, 69372 Lyon Cedex 08, France. E-mail: u369{at}laennec.univ-lyon1.fr
| Abstract |
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0.1
min-1). Iterative additions of
H2O2 produced cumulative apoptotic waves. The
amplitude of the apoptotic response of thyrocytes to
H2O2 progressively increased with the time of
culture, up to 4-fold from days 18. This was not related to a change
in the capacity of thyrocytes to degrade H2O2.
During the same period of culture, the Bcl-2 cell content progressively
decreased, whereas that of Bax concomitantly increased; thus, the
Bcl-2/Bax ratio varied from about 6 on day 1 to 0.5 on day 10. These
data show that the susceptibility of thyrocytes to undergo apoptosis
increases with the time of culture and that the pronounced changes in
the apoptotic status of thyrocytes might be linked to coordinate
modifications of the level of expression of pro- and antiapoptotic
regulatory proteins. | Introduction |
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The thyroid gland has a particular status toward apoptosis. Thyroid epithelial cells or thyrocytes are constantly subjected to the actions of reactive oxygen species that are potent inducers of apoptosis (3). Indeed, thyrocytes produce high amounts of hydrogen peroxide (H2O2) (4, 5, 6), which acts as an electron acceptor in the course of the oxidative reactions leading to the iodination of tyrosyl residues and coupling of iodinated tyrosines within thyroglobulin, the thyroid hormone precursor protein (7). Tight control mechanisms of H2O2 generation, utilization, and degradation should exist in the thyroid gland to protect thyrocytes against apoptosis.
H2O2 has been reported to induce apoptosis in a large variety of cell types (8, 9, 10, 11, 12, 13), including thyrocytes (14). However, the mechanisms by which H2O2 triggers apoptosis are not clearly elucidated. H2O2, while relatively inactive by itself, might be converted into highly reactive hydroxyl radical (OH) by metal ions through Fenton or Haber-Weiss reactions (15, 16). There is substantial evidence that reactive oxygen species can activate the cell death program (3); however, above a certain level, reactive oxygen species have been shown to exert toxic actions through DNA damage and protein and lipid peroxidation, leading to massive cell alterations and cell death by necrosis, also termed accidental cell death (9, 17, 18). Experimental conditions that have been used to disclose the apoptosis-inducing effect of H2O2 appear strikingly heterogeneous. H2O2 concentrations varying from 10 µM to up to 8 mM (17, 19, 20, 21, 22, 23) have been reported. The duration of cell treatment as well as the time of assessment of cells undergoing apoptosis after H2O2 addition are also highly variable. As H2O2 is potentially unstable and subjected to degradation by cellular enzymes, the time course and amplitude of its action might depend on its disappearance rate. To properly document the apoptotic response of thyrocytes to an exposure to H2O2, we have studied the kinetics and the amplitude of the apoptosis-inducing effect of exogenous H2O2 in relation to its rate of degradation. The data we obtained led us to examine the relationship between the extent of the apoptotic response of thyrocytes to H2O2 and the H2O2 degradation activity of thyrocytes, on the one hand, and the level of expression of apoptosis regulatory proteins, Bcl-2 and Bax, on the other hand. Experiments have been performed on pig thyrocytes in primary culture that were 1) seeded at high density to obtain confluent monolayers (and inhibit cell proliferation) and 2) cultured in the presence of TSH to maintain the expression of thyroid cell differentiation (24). We report that 1) H2O2 caused transient apoptotic waves, the length of which appeared to be related to H2O2 catabolism; and 2) the amplitude of the apoptotic response of thyrocytes to H2O2 varied with the time of culture and in relation to the level of expression of apoptosis regulatory proteins of the Bcl-2 family.
| Materials and Methods |
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In situ detection and quantification of apoptotic cells by the
TUNEL [terminal transferase deoxy (d)-UTP-fluorescein isothiocyanate
(FITC) nick end labeling] method (26)
Cells attached to petri dishes (monolayer cells) and cells
collected from the culture supernatant (cells that detached from petri
dishes) and spread on glass slides by cytocentrifugation were fixed in
4% (wt/vol) paraformaldehyde in PBS, pH 7.4, for 20 min and
permeabilized in 0.25% (vol/vol) Triton X-100 in PBS for 20 min at
room temperature. Cells with fragmented nuclear DNA were detected using
terminal deoxynucleotidyl transferase (0.5 U/ µl) and FITC-labeled
dUTP (0.5 nmol/ µl) from Boehringer Mannheim (Mannheim,
Germany); incubations were performed according to the manufacturers
instructions. Fixed cells were then incubated with Hoechst 33258
reagent (2 µg/ml; Molecular Probes, Inc., Eugene, OR)
for 10 min at room temperature to identify all nuclei. FITC-dUTP and
Hoechst fluorescence were detected using the following filter
combinations (excitation-emission): BP 360380/LP470 for Hoechst and
BP 450490/LP 520 for FITC, installed on an Axiophot fluorescence
microscope from Zeiss (Carl Zeiss, Inc., Oberkochen,
Germany). The proportion of apoptotic cells was determined by dividing
the number of cells with a TUNEL-positive nucleus, measured on 1020
randomly taken fields, by the total number of cells (Hoechst-labeled
nuclei) in the corresponding fields.
In some experiments, an additional labeling step was carried out. Before paraformaldehyde fixation, living cells were incubated with propidium iodide (1 µg/ml) for 15 min. Propidium iodide that does not cross lipid bilayers was used to identify cells with altered plasma membrane permeability properties.
Measurement of H2O2
degradation
H2O2 was measured using the scopoletin
fluorescence assay (27). Scopoletin gives a fluorescence emission at
460 nm when excited at 350400 nm. In the presence of
H2O2, scopoletin is oxidized by horseradish
peroxidase and converted into a nonfluorescent compound. The decrease
in scopoletin fluorescence is directly proportional to
H2O2 concentration. After addition of
H2O2 to the culture medium (in the presence or
absence of thyrocytes), samples of 30100 µl were sequentially
collected over a period of up to 60 min and immediately added to test
tubes containing 53 µM scopoletin and 3.6 µg/ml
horseradish peroxidase (Sigma Chemical Co., St. Louis, MO)
in 50 mM phosphate, pH 7.2. After 1 min at room
temperature, scopoletin fluorescence was measured, and results were
converted into H2O2 concentration values using
a standard curve generated with a H2O2
concentration ranging from 0.12 µM.
Western blot analysis
Cells were collected by scraping in PBS containing aprotinin,
leupeptin, and pepstatin (each at a concentration of 1 µg/ml) and
were lysed by sonication for 20 s at 25 watts using the vibra-cell
apparatus from Bioblock Scientific (Illkirch, France). The protein
concentration was assayed by the Lowry method after solubilization in
0.1% desoxycholate. Proteins from total cell extracts (10 µg) were
fractionated on 12% polyacrylamide slab minigels and
electrotransferred onto Immobilon-P membrane from Millipore Corp. (Bedford, MA). Membranes were preincubated in PBS
containing 0.2% (vol/vol) Tween-20 and 5% (wt/vol) low fat milk
powder for 30 min and then incubated with either a monoclonal mouse
antihuman Bcl-2 antibody (1:1000; clone 124, DAKO Corp.,
Copenhagen, Denmark) or polyclonal rabbit antihuman Bax antibodies
(1:1000; catalogue no. sc 493, Santa Cruz Biotechnology, Inc., Santa Cruz, CA) for 1 h at room temperature.
Detection of immune complexes was performed using horseradish
peroxidase-conjugated goat antimouse Ig antibodies or horseradish
peroxidase-conjugated goat antirabbit Ig antibodies from Bio-Rad Laboratories, Inc. (Richmond, CA). After 1-h incubation at room
temperature, horseradish peroxidase activity was detected using an
enhanced chemiluminescence detection procedure with the ECL kit from
Covalab (Lyon, France) and exposure to Kodak X-Omat AR film
(Eastman Kodak Co., Rochester, NY). Quantification of the
intensity of the labeled spots was performed by densitometry.
Assay of DNA
Cells were scraped from the dishes in 100 mM Tris,
10 mM EDTA, and 3 M NaCl, pH 7.4, and lysed by
sonication as mentioned above. The DNA assay was performed using the
fluorometric method described by Labarca and Paigen (28) with Hoechst
33258 reagent and salmon sperm DNA to generate the standard curve. Cell
number was deduced from DNA measurements considering that
106 cells contain 10 µg DNA.
| Results |
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The time course of H2O2-induced apoptosis
markedly differed from that of cycloheximide (CHX)-induced apoptosis
(Fig. 1B
). CHX (1 µg/ml) induced a progressive augmentation of the
fraction of TUNEL-positive cells over a 24-h period. This gradual
commitment of thyrocytes into apoptosis was accompanied by a
progressive reduction of the adherent cell population, amounting to
about 8% after 24 h. This observation led us to consider that the
transient action of H2O2 could be linked to its
degradation rate. Figure 3
shows that
H2O2, added to thyrocytes (cultured for 3 days)
in the complete culture medium, was degraded with first order kinetics;
the disappearance rate constant was 0.1 min-1. Similar
values were obtained when the starting H2O2
concentration varied from 50300 µM. In the absence of
cells, i.e. in the complete culture medium only (Hams F-12
medium and serum), H2O2 depletion was only
partially slowed down; the rate constant was about 0.075
min-1. It appeared that both basal medium components and
serum contributed to H2O2 degradation; however,
components of Hams F-12 medium were more potent than serum, as the
H2O2 depletion rate constant in serum-free
medium was only 30% lower than that observed in complete medium (Fig. 3
). To have access to the capacity of thyrocytes to degrade
H2O2, we looked for a medium in which
H2O2 was stable; PBS was found to fulfill this
requirement (Fig. 3
). In PBS, H2O2 was degraded
by thyrocytes with first order kinetics; the rate constant was about
0.05 min-1. These data indicate that under the conditions
used to analyze H2O2-induced apoptosis,
H2O2 was disappearing from the culture medium
with a half-life of 67 min. Thus, when the starting
H2O2 concentrations were 100 and 300
µM, the time of exposure of thyrocytes to a concentration
of H2O2 higher than a threshold concentration
of 10 µM (the lower H2O2
efficient concentration) did not exceed 25 and 30 min,
respectively.
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The changes in the apoptotic status of differentiated thyrocytes maintained in primary culture were also evidenced using another apoptosis inducer, CHX. The proportion of detached cells, determined 24 h after addition of CHX (1 µg/ml), increased from about 10% on day 2 to 32% on day 5 and 47% on day 8 (average values obtained from three independent cell cultures).
Expression of anti- and proapoptosis regulatory proteins by
thyrocytes in primary culture
A family of homologous proteins, the Bcl-2 family, endowed
with anti- or proapoptotic functions, are known to control or determine
the susceptibility to apoptosis in many cell types (29, 30). We tried
to identify members of this protein family in pig thyrocytes.
Experiments were performed by Western blot using specific antibodies
directed against either the antiapoptotic proteins, Bcl-2 and Bcl-Xl,
or the proapoptotic protein, Bax. A 26-kDa species corresponding to
Bcl-2 was detected in the 100,000 x g membrane
fraction of thyrocytes (Fig. 6
). In
contrast, Bax protein migrating as a 21-kDa band was only found in the
cytosolic fraction. Antibodies to Bcl-X (large and small forms) barely
labeled a 26- to 29-kDa component that probably corresponded to Bcl-Xl,
but did not detect Bcl-Xs with an expected molecular mass of 18 kDa
(data not shown). The search for potential variations in the expression
of apoptosis regulatory proteins was restricted to Bcl-2 and Bax. In
thyrocytes freshly isolated from pig thyroid glands, the intensity of
the Bcl-2 band was always higher than that of Bax. The apparent Bcl-2
and Bax cell contents were unchanged after 1 day of culture, but were
subjected to large variations over the following days of culture (Fig. 7A
). Bcl-2 progressively decreased to
reach a value representing 40% of the initial level after 10 days. On
the contrary, Bax cell content gradually increased to up to 6-fold on
day 10. Thus, the Bcl-2/Bax ratio shifted from a value of 6 to about
0.5 within a 10-day period of culture (Fig. 7B
).
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| Discussion |
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Pig thyrocytes constitutively expressed the proteins required to execute apoptosis as inhibition of protein synthesis by cycloheximide was followed by a rapid (within 3 h) increase in the proportion of cells undergoing apoptosis. This phenomenon has already been found in many cell types (31), including dog thyrocytes (32); in this latter study, however, cycloheximide-induced effects were observed after a 5-day treatment. It is thus probable that under normal culture conditions, intracellular factors prevent activation of proteins involved in executing the death program (33). In addition, extracellular signals and/or serum factors such as insulin-like growth factor I or platelet-derived growth factor, known to inhibit or prevent apoptosis (34), might also act as survival factors.
The oxidative stress generated by H2O2 addition
to the culture medium induced a rapid, but transient, apoptotic
response of thyrocytes. We show that the time course of effect of
H2O2 is related to its short life-time,
H2O2 is degraded by both cells and culture
medium components. H2O2 that diffuses through
lipid bilayers is expected to freely enter the cells. Once in the
cytoplasm, two general enzyme systems, glutathione peroxidase and
catalase, rapidly catabolize H2O2. The former
enzyme has a high affinity for H2O2, whereas
the latter becomes increasingly effective in degrading
H2O2 with increasing
H2O2 concentrations. Degradation of
H2O2 by the culture medium components is less
understood. Many components present in the culture medium, such as
metal ions, Mn2+, Mg2+, Zn2+, and
vitamins (35) as well as phenol red, through their antioxidant activity
probably participate in H2O2 disappearance. The
contribution of serum to the decomposition of
H2O2 could be due to serum proteins themselves
serving as oxidation substrates or to specific proteins playing the
role of antioxidant, such as ceruloplasmin and transferrin (35). The
instability of H2O2 in culture media has rarely
been taken into account in studies using H2O2
as an inducer of apoptosis. Indeed, it is commonly reported that cells
are treated with H2O2 for 24 h or more. In
light of the present data, one can assume that in many reports, the
real time of exposure of cells to H2O2 was far
less than that announced and that analyses of the apoptotic response to
H2O2 were most likely performed at times
distant from the maximum of action of H2O2.
From the kinetic data in Fig. 3
, we estimated that the actual exposure
time of thyrocytes to the oxidative stress generated by
H2O2 was on the order of few minutes to 30 min
(depending on the initial H2O2 concentration).
The first cells committed to die in response to the application of an
oxidative stress of that length appeared within 1 h. The apoptotic
response of thyrocytes to H2O2 peaked after
34 h, but lasted 1824 h; the proportion of TUNEL-positive cells,
18 h after H2O2 addition, was still
significantly higher than that in controls. This observation is in
keeping with previous data showing that apoptosis in an asynchronous
process (36). The duration of the condemned phase of apoptosis,
i.e. the delay between apoptosis induction by the oxidative
stress and the entry in the active or execution phase of apoptosis, is
highly variable. This asynchronous nature of cell death has also been
observed in cells that were synchronized following mitosis (36) and in
cells subjected to other proapoptotic culture conditions, such as
deprivation of a growth factor (37).
Only a fraction of the cell population underwent apoptosis in response
to H2O2. Within 24 h after exposure to
0.31 mM H2O2 (the highest
concentration that did not cause immediate cell injury), cells
committed to die amounted to about 30% of the total cell population.
This might indicate that thyrocytes are not equally responsive or
sensitive to reactive oxygen species or that a large proportion of
cells have the capacity to overcome the action of the oxidative stress
and/or to block apoptosis in its initiation or induction phase. The
fact that repetitive oxidative stresses (see Fig. 4
) caused successive
waves of apoptosis would be in favor of the first hypothesis. As the
proportion of cells undergoing apoptosis increased with the
H2O2 concentration, it is reasonable to believe
that the level of damage could play a key role in the determination of
the fraction of cells committed to die. It is difficult to appreciate
whether a dysregulation of the production, utilization, or degradation
of H2O2 by thyrocytes in vivo could
lead to a H2O2 concentration susceptible to
induce apoptosis. Indeed, the H2O2 degradation
activity of thyrocytes, varying from 25 nmol/min·106
cells (present data and Refs. 4, 38), appears 1020 times higher
than the thyrocyte H2O2 production rate, which
is on the order of 0.2 nmol/min·106 cells (4, 5). Only
particular pathophysiological situations should lead to a reversal of
this production/degradation imbalance and create an oxidative stress
triggering apoptosis.
Thyrocytes entering the active phase of apoptosis presented the biochemical and morphological changes now recognized for adherent cultured cells (39, 40, 41, 42, 43, 44). TUNEL-positive and propidium iodide-negative thyrocytes (corresponding to cells with fragmented DNA and intact membrane permeability properties) detected within the monolayer subsequently detached from the culture dish. The large majority of cells appearing in the culture medium represented apoptotic cells with late apoptotic features, including nuclear fragmentation and formation of apoptotic bodies. The presence of apparently normal cells (TUNEL-negative cells) into the floating cell population might indicate that cells undergoing apoptosis take along adjacent cells in the course of detachment from the cell monolayer. Apoptotic cells probably do not accumulate in the culture medium because degradation processes are continuing up to complete cell destruction; this probably leads to an overrating of the actual proportion of normal cells within the floating cell population and the quantification of apoptosis by numbering floating cells. By contrast, precise measurements of the decrease in the adherent cell population by DNA assay give a reasonable estimate of the proportion of cells that have undergone apoptosis. Assessment of apoptosis by quantifying cell detachment has been used for many other epithelial cells, such as hepatocytes (44) and mammary cells (41), and for nonepithelial cells, fibroblasts (39), myoblasts (42), and endothelial cells (43).
Depending on the time of culture, thyrocytes differently responded to a H2O2-generated oxidative stress. The longer the time of culture, the greater the susceptibility of thyrocytes to undergo apoptosis in response to a given H2O2 concentration. Concordant data were obtained from 1) measurements (by the TUNEL method) of the proportion of adherent cells entering apoptosis 3 h after H2O2 addition and 2) measurements of the fraction of the cell population that underwent apoptosis during the 24-h period following oxidative stress. Contrary to what was reported in other cell systems (21, 45), the changes in the apoptotic response of thyrocytes to H2O2 do not correlate with alterations in the level of H2O2 degradation enzyme activity. The fact that thyrocytes cultured for increasing periods of time were also becoming more prone to undergo apoptosis in response to another inducer, cycloheximide, led us to think that the modifications of the apoptotic status of thyrocytes might be related to changes in the overall regulatory mechanisms of apoptosis.
Within the complex network of proteins regulating apoptosis, proteins of the Bcl-2 family are recognized to play a central role (29, 30). Members within this wide family have been classified into prosurvival or antiapoptotic proteins, Bcl-2 and the Bcl-2 cohort, and proapoptotic proteins, Bax and structurally related members (reviewed in Ref. 46). Bcl-2 and Bax are expressed by most epithelial cells, including thyroid cells (47, 48, 49). Bcl-2 was easily detected in freshly dispersed pig thyrocytes, whereas Bax was present in lower amounts. In agreement with a recent report (50), Bax was soluble, and Bcl-2 was in a membrane-bound form. Analyses of the level of expression of these two proteins during a 10-day period of primary culture revealed time-dependent changes that correlated with the changes in the susceptibility of thyrocytes to undergo apoptosis (either spontaneously or in response to H2O2 or cycloheximide). The highest levels of Bcl-2 were observed during the early times of culture when cells had a low propensity to undergo apoptosis; this is in accordance with the known role of Bcl-2 in protecting cells from apoptosis in the face of a wide variety of cytotoxic insults (46). The progressive down-regulation of Bcl-2 and the increased expression of Bax (leading to a 10-fold reduction of the Bcl-2/Bax ratio) during the 8- to 10-day period of culture could account for the variations in the apoptotic status of thyrocytes. Indeed, as Bax is known to heterodimerize with Bcl-2 and to inhibit its prosurvival function (29), both the decrease in Bcl-2 and the increase in Bax might contribute to the progressive sensitization of thyrocytes toward inducers of apoptosis. Our data further document the concept that the relative concentrations of anti- and proapoptotic proteins may act as a rheostat for the cell suicide program (29).
To our knowledge, such variations in the level of expression of proteins regulating apoptosis have not been found in cells in primary culture. Modifications of the expression of Bcl-2 and/or Bax have been, mostly if not exclusively, reported in tumor cell lines, and when observed, changes in the Bcl-2/Bax ratio are less pronounced and generally related to variations in the expression of either Bcl-2 or Bax. Studies are in progress to try to identify 1) a medium component(s) or serum factor(s) responsible for the changes in the apoptotic status of thyrocytes in primary culture and 2) a factor(s) or signal(s) that might alter the apoptotic status and/or the Bcl-2 and Bax expression pattern of thyrocytes. These studies could provide information on how the expression of cell survival proteins of the Bcl-2 family is regulated in glandular epithelium.
| Footnotes |
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Received November 12, 1998.
| References |
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- and
ß-subunits and activity of Na+K+ATPase in pig
thyroid cells in primary culture: modulation by thyrotropin and thyroid
hormones. Mol Cell Endocrinol 146:93101[CrossRef][Medline]
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