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Endocrinology Vol. 140, No. 7 3219-3227
Copyright © 1999 by The Endocrine Society


ARTICLES

Tumor Necrosis Factor-{alpha}-Activated Cell Death Pathways in NIT-1 Insulinoma Cells and Primary Pancreatic ß Cells1

Leigh A. Stephens2, Helen E. Thomas2, Li Ming, Matthias Grell RIMA DARWICHE, Leonid Volodin and Thomas W. H. Kay

The Walter and Eliza Hall Institute of Medical Research, Post Office Royal Melbourne Hospital, Parkville, 3050, Victoria, Australia

Address all correspondence and requests for reprints to: Dr. T. W. H. Kay, Walter and Eliza Hall Institute of Medical Research, P.O. Royal Melbourne Hospital, Victoria, 3050, Australia. E-mail: kay{at}wehi.edu.au


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Tumor necrosis factor-{alpha} (TNF{alpha}) is a potential mediator of ß cell destruction in insulin-dependent diabetes mellitus. We have studied TNF-responsive pathways leading to apoptosis in ß cells. Primary ß cells express low levels of the type I TNF receptor (TNFR1) but do not express the type 2 receptor (TNFR2). Evidence for TNFR1 expression on ß cells came from flow cytometry using monoclonal antibodies specific for TNFR1 and TNFR2 and from RT-PCR of ß cell RNA. NIT-1 insulinoma cells similarly expressed TNFR1 (at higher levels than primary ß cells) as detected by flow cytometry and radio-binding studies. TNF induced NF-{kappa}B activation in both primary islet cells and NIT-1 cells. Apoptosis in response to TNF{alpha} was observed in NIT-1 cells whereas apoptosis of primary ß cells required both TNF{alpha} and interferon-{gamma} (IFN{gamma}). Apoptosis could be prevented in NIT-1 cells by expression of dominant negative Fas-associating protein with death domain (dnFADD). Apoptosis in NIT-1 cells was increased by coincubation with IFN{gamma}, which also increased caspase 1 expression. These data show that TNF-activated pathways capable of inducing apoptotic cell death are present in ß cells. Caspase activation is the dominant pathway of TNF-induced cell death in NIT-1 cells and may be an important mechanism of ß cell damage in insulin-dependent diabetes mellitus.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
THE AUTOIMMUNE DESTRUCTION of pancreatic ß cells in insulin-dependent diabetes mellitus is a T cell mediated process, involving both CD4+ and CD8+ T cell subsets (1, 2). Cytokines including interleukin (IL)-1ß, tumor necrosis factor (TNF){alpha}, and interferon (IFN){gamma}, released by T cells and activated macrophages, are present in the inflammatory infiltrate of pancreatic islets and have a potential role in ß cell destruction. These cytokines have damaging effects on ß cells in vitro and are particularly potent when present in combination. IL-1ß appears to result in ß cell cytotoxicity mainly via the induction of nitric oxide (NO) synthase and NO production (reviewed in Refs. 3, 4), an effect that is potentiated by TNF{alpha} and IFN{gamma} (5, 6, 7). There is also evidence for DNA-strand breaks, a characteristic feature of apoptotic cell death, in ß cells treated with IL-1 and other cytokines (8, 9, 10), and features of apoptosis have been identified in ß cells of nonobese diabetic (NOD) mice (11, 12). TNF{alpha} also has cytotoxic effects on ß cells, although generally only in combination with other cytokines such as IFN{gamma}. Whether there are direct effects of TNF{alpha} on ß cells remains unclear. TNF{alpha}, with other stimuli, can activate macrophages present in intact pancreatic islets leading to their secretion of IL-1ß, which may account for TNF{alpha}-induced ß cell cytotoxicity (13). TNF receptor expression on ß cells has not previously been directly studied.

In non-ß cells, TNF{alpha} has been shown to bind to two receptors, p55 (TNFR1) and p75 (TNFR2), which have unrelated intracellular domains (14). While apoptosis can be induced by TNFR1, the capacity of TNFR2 to signal cell death is less well defined (14, 15), although this is likely to occur particularly in response to membrane-bound TNF (16). Apoptosis induced by TNFR1 and Fas (CD95), both members of the TNFR superfamily, involves the activation of members of the IL-1ß-converting enzyme (ICE) family of cysteine proteases (mammalian homologues of the CED-3 death protein in Caenorhabditis elegans), now known as "caspases" (17, 18, 19). The role of caspases in TNF and Fas mediated apoptosis was established following observations that caspase inhibitors, such as the cowpox-virus encoded crmA (cytokine response modifier A) protein (20) and baculovirus p35 (21), prevent cell death induced by both these molecules (22, 23, 24).

Caspase activation and apoptosis induction by both TNFR1 and Fas involves the ligand-dependent recruitment of various intracellular signalling molecules to the receptors. Both TNFR1 and Fas contain a cytoplasmic motif termed the "death domain," which is essential for Fas and TNF-induced cytotoxicity and receptor oligomerization (25). The death domain is shared by a number of Fas- and TNFR1-associated proteins, including TRADD (26), FADD/MORT-1 (27, 28), and RIP (29), and is involved in their recruitment to the TNFR. FADD, which interacts directly with the Fas receptor and with the TNFR1 via TRADD, is essential in signaling apoptosis via its interaction with caspase 8 (FLICE) (30, 31)

In this study, we have investigated TNF receptor expression and TNF-activated cell death pathways in ß cells. Where possible, primary ß cells have been used. Cytotoxic effects of TNF{alpha} were studied in the NIT-1 ß cell line to directly look at TNF signaling in these cells, and avoid the possible influence of nonendocrine cells present in primary islet cultures. The use of insulinoma cell lines, which are relatively easy to transfect, also enabled us to explore the role of caspases in the TNF-induced apoptosis of NIT-1 cells by transfection with a dominant negative mutant of FADD. The NIT-1 ß cell line (32) is derived from the spontaneously diabetic nonobese diabetic (NOD) mouse and therefore carries the NOD MHC and other NOD genes potentially relevant to ß cell recognition and killing by autoreactive T cells.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cell lines and transfections
NIT-1 cells were derived from a NOD mouse in which the ß cells had been transformed by SV40 T antigen (TAg) (32). They were maintained in DMEM supplemented with 10% FCS, nonessential amino acids, penicillin (100 U/ml) and streptomycin (100 µg/ml) (DME NEAA). The expression vector for Flag-mutant FADD was provided by Drs. A. Strasser and D. Huang (The Walter and Eliza Hall Institute, Parkville, Australia). In this vector, expression is driven by the EF-1{alpha} promoter. The Flag sequence is MDYKDDDDK. NIT-1 cells were transfected by electroporation using a Gene Pulser apparatus (Bio-Rad Laboratories, Inc., Hercules, CA). A single pulse at 250 mV was delivered from a 960-µF capacitor to the cells in serum-free medium. Two days later, transfected cells were selected in 2 µg/ml puromycin (Sigma Chemical Co.). The optimal transfection conditions and concentration of selective agent were determined for NIT-1 cells before transfection.

Islet isolation
Islets of Langerhans were isolated from 5- to 7-week-old nonobese diabetic (NOD) mice of either sex, as previously described (33) by the method of Lake et al. (34), which involves cannulation of the common bile duct and distension of the pancreas with 3 ml of 1.3 U/ml collagenase (collagenase P, Roche Molecular Biomedicals, Mannheim, Germany) followed by purification of islets on a BSA gradient. Approximately 200 islets per pancreas were obtained using this method, and usually 4–8 mice were used per experiment. For flow cytometric analysis, islet cells were identified by the method of Pipeleers (35). Briefly, islets were dispersed into single cells by brief incubation with 0.2% trypsin (Calbiochem, San Diego, CA), 10 mM EDTA in HBSS. Dispersed islets were then washed free of trypsin and allowed to recover in DMEM plus 10% FCS for 0.5–1 h before staining. Islet cells were usually analyzed on the day of isolation or occasionally at later times. If analyzed after the day of isolation, they were incubated in low glucose (2.5 mM) DMEM for 16–48 h before being dispersed. ß cells under both these conditions have high autofluorescence due to increased intracellular FAD levels allowing them to be distinguished from other intraislet cells for analysis or sorting (35). No differences were observed between islets dispersed on the day of isolation or subsequently. All high autofluorescence islet cells stained with the monoclonal antibody A2B5 (36) and >85% were positive for insulin by indirect immunofluorescence (not shown). Pseudo-islets were made by dispersing isolated islets with trypsin, as above, and then incubating the islets undisturbed for 7 days (37).

Apoptosis assay
Cells were seeded in 24-well plates at a density of 105 cells per well (for NIT-1 cells in DME/NEAA with 10% FCS; for primary islet cells in CMRL 1066 plus 10% FCS) and incubated for 24 h with the following reagents: recombinant murine TNF{alpha} (1 mg = 2.6 x 107 U), human TNF{alpha}, murine IFN{gamma} (1 mg = 8.0 x 106 U) (all obtained from Genentech, Inc., South San Francisco, CA), recombinant human IL-1ß (Genzyme Corp., Cambridge, MA). Routinely, 100 ng/ml of TNF{alpha} and 100 U/ml of IFN{gamma} was used for apoptosis experiments. Quantitation of apoptosis was performed according to the method described by Nicoletti et al. (38). In brief, cells were harvested and resuspended in hypotonic fluorochrome solution (50 µg/ml propidium iodide in 0.1% sodium citrate with 0.1% Triton X-100) and incubated at 4 C in the dark in polypropylene tubes for 1–6 days, before being analyzed on the flow cytometer (FACScan, Becton Dickinson and Co.). The assay measures fragmented nuclei and therefore greater than one fragmented nucleus can be derived from one apoptotic cell. The level of TNF-mediated apoptosis was determined by the formula 100x (% number of apoptotic cells with cytokine - % number of background apoptotic cells)/(100 - % number of background apoptotic cells). This formula is analogous with that used for measuring cytotoxicity in chromium release assays and allows results from experiments with different levels of basal apoptosis to be combined.

Additionally, staining of cells with FITC-Annexin V (Trevigen, Inc., Gaithersburg, MD) was also used as a measure of apoptosis. Cells were treated with cytokines for 6–48 h and then stained with FITC-Annexin-V and propidium iodide (PI) according to the manufacturer’s instructions.

TNF binding assay
Cells (3–5 x 106/well) were incubated with 40 ng/ml 125I-TNF-{alpha} (70,000 cpm/ng) with or without 200-fold excess of unlabeled human or mouse TNF{alpha} for 2 h on ice, as previously described (39). At 40 ng/ml greater than 90% of receptors will be saturated (40). Ten replicates of each reaction were counted and the results expressed as mean ± SD.

Electrophoretic mobility (gel) shift assay
Cells grown in 10 cm3 plates were stimulated with 100 U/ml mTNF{alpha} for 30 min. Nuclear extracts were prepared by lysis of cells in a buffer containing 10 mM HEPES, pH 7.9, 10 mM KCl, 1.5 mM MgCl2, with protease inhibitors (0.5 mM phenylmethylsulfonyl fluoride (PMSF), 10 µg/ml leupeptin) and 0.5 mM dithiothreitol (DTT). The lysate was then vortexed with 25 µl 10% NP40 and centrifuged. The pellet was resuspended in 420 mM NaCl, 20 mM HEPES, pH 7.9, 1.5 mM MgCl2, 0.2 mM EDTA, glycerol, protease inhibitors and DTT and centrifuged at 12,000 rpm for 5 min at 4 C. One pmol of annealed double stranded oligonucleotide probe (representing the NF-{kappa}B consensus sequence: 5'-GTACGAGGGGACTTTCCGA-3') was labeled by filling in the ends with Klenow polymerase and [{alpha}-32P]dATP, and purified on a spin column. Electrophoretic mobility shift assays were performed by incubating 2 µl of extract with 0.5 µg of poly(dI-dC) in a binding buffer (13.3 mM HEPES (pH 7.6), 0.07 mM EDTA, 3.3 mM MgCl2, 34 mM KCl, 1 mM DTT, 10% glycerol) for 15 min on ice. Labeled NF-{kappa}B oligonucleotide probe was added (15,000 cpm), and the mixture was incubated for a further 15 min. The samples were separated on a 5% nondenaturing polyacrylamide gel at 200V for 30 min, dried (80 C), and exposed to x-ray film (Hyperfilm-MP, Amersham Pharmacia Biotech, Buckinghamshire, UK).

Flow cytometry
Cells were analyzed for TNF receptor expression by standard flow cytometry techniques. The following primary monoclonal antibodies were used: anti-TNFR1 and anti-TNFR2 (both rat IgG1) obtained from Dr. W. Buurman (University of Limburg, Maastricht, The Netherlands). Anti-TNFR1 and anti-TNFR2 staining was followed by biotinylated goat antirat Ig (PharMingen) followed by streptavidin-phycoerythrin (Caltag).

Immunoprecipitation and Western Blotting
We harvested 6–8 x 107 cells by scraping, washing with PBS and lysing in a buffer containing 50 mM Tris-HCl (pH 7.5), 150 mM NaCl, 2 mM EDTA, 1% Triton X-100, 1 mM PMSF and 10 µg/ml leupeptin. Lysates (~250 µl) were incubated with 2 µl of 3 mg/ml anti-Flag Ab (M2, Eastman Kodak Co., New Haven, CT) overnight at 4 C and then mixed with 20 µl of protein A-Sepharose CL-4B (Amersham Pharmacia Biotech) for a further 2 h. The beads were then washed twice with a buffer containing 50 mM Tris-HCl (pH 8.0), 150 mM NaCl, 1% NP-40, 1 mM PMSF, then heated to 95 C for 5 min in SDS-loading buffer. Following 12.5% SDS-page, immunoprecipitated Flag-FADD was detected by Western blotting. The gel was transferred at 100 V for at least 1 h to PVDF membrane, blocked in 5% milk in PBS-0.05% Tween-20, and then incubated with anti-Flag antibody. After washing the membrane was incubated with HRP-conjugated sheep antimouse immunoglobulin (Silenus, Hawthorn, Australia) and developed using ECL (Amersham Pharmacia Biotech).

RT-PCR
RT was carried out on total RNA isolated from NIT cells and primary islets using RNAzol B. Twenty microliters of reaction mixture contained 1 µg RNA, 200 U M-MLV reverse transcriptase (Promega Corp., Madison, WI), 320 µM dNTPs (Pharmacia Biotech, Uppsala, Sweden), 25 U RNasin (Promega Corp.), 0.5 µg random hexamers, 10 mM Tris-HCl (pH 8.4), 30 mM KCl, and 2 mM MgCl2. PCR was carried out in a 20 µl reaction solution containing 10 mM Tris-HCl (pH 8.0), 30 mM KCl, 2 mM MgCl2, 8 pmol each of upstream and downstream primers, 320 µM dNTPs and 1 U Taq polymerase (Perkin Elmer). Amplification for 30 cycles (ICE) and 23 cycles (actin) was done for 1 min each at 95 C, 58 C, and 70 C. The primers 5'-GATTCTAAAGGAGGACATCC-3' (upstream primer) and 5'-GTACATAAGAATGAACTGGA-3' (downstream primer) amplify a 930-bp segment of the murine caspase 1 gene. The primers 5'-GTGGGCCGCCCTAGGCACCA-3' and 5'-CTCTTTGATGTCACGCACGATTTC-3' amplify a 530-bp segment of the murine actin gene. The primers 5'-CGGACATGGGTCTCCCCACCG-3' and 5'-AACCCTGCATGGCAG-3' amplify a 550-bp segment of the murine TNFR1 cDNA. The TNFR1 primers span an intron within the gene making the cDNA amplification product easily distinguishable from the genomic product. The PCR products were electrophoresed on a 1% agarose gel and blotted to nylon membrane (Magna, MSI, Westborough, MA) overnight. Southern blots were then probed with [{alpha}-32P]dATP-labeled ICE or actin cDNA.

Statistics
Unless otherwise stated, statistical comparisons were carried out by one-way ANOVA with Bonferroni post tests using the GraphPad Prism program.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
TNF receptors on NIT-1 cells and primary ß cells
TNFR expression on ß cells was examined by flow cytometry using the mouse fibroblast cell line L929, a classical target of TNF{alpha}, as a positive control (Fig. 1AGo). These cells stained positively for TNFR1 and TNFR2 (Fig. 1AGo, iv). Primary mouse ß cells, identified by high autofluorescence and side-scatter on flow cytometry, expressed low levels of TNFR1 but no detectable TNFR2 (Fig. 1AGo, i, and Table 1Go). The fluorescence profile indicating TNFR1 expression represented a small but statistically different shift when compared with isotype control staining (P < 0.01 for the ratio of the medians, one sample t test). As a negative control for this, islets were isolated from TNFR1 gene-targeted (TNFR1-/-) mice (41). No shift in the fluorescence profile was seen when ß cells from TNFR1-/- mice were stained with anti-TNFR1 compared with an isotype control antibody (Fig. 1AGo, ii, and Table 1Go), consistent with the idea that the staining of the wild-type ß cells does indeed represent low levels of TNFR1 expression. A further possibility was that the staining of wild-type islets might have been due to contamination of the electronic gate set for ß cells with other cells. This is unlikely because >95% of the high autofluorescence cells in this gate can be stained with the monoclonal antibody A2B5 and are therefore endocrine cells and >85% of these stain for intracellular insulin by fluorescence microscopy (not shown). To further address the possibility of contaminating nonß cells we analyzed TNFR expression on NIT-1 insulinoma cells which are purely of ß cell lineage. NIT-1 cells showed cell surface staining for TNFR1 at a lower level than positive control L929 cells but higher than primary ß cells (Fig. 1AGo, iii). Like primary ß cells they showed no detectable expression of TNFR2.



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Figure 1. TNF receptor expression on ß cells. A, (i) Antibodies specific for TNFR1 and TNFR2 were used to study expression of TNF receptors in primary ß cells (i) and NIT-1 cells (iii), compared with L929 cells as positive controls (iv). Primary ß cells from TNFR1 knockout mice (ii) were used as a negative control tissue. Antihuman IL-7 monoclonal antibody was used as an isotype control antibody. NIT-1 cells have been studied in this way 5 times and primary islets 3 times; a representative experiment is shown. B, TNF receptors were also studied on NIT-1 cells using a radio-binding assay. 125I-labeled recombinant murine TNF was competed with a 200-fold excess of unlabeled human or mouse TNF to quantitate binding due to TNFR1 and R2. Representative experiment of two experiments with identical results is shown. C, RT-PCR for TNFR1 mRNA. RNA was isolated NIT-1 cells and primary islet cells sorted on the basis of autofluorescence into high autofluorescence ß cells and low autofluorescence nonß cells and reverse transcribed into cDNA. PCR was carried out with primers for TNFR1 (30 cycles) and actin (25 cycles). The TNFR1 primers span an intron eliminating the problem of genomic DNA contamination.

 

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Table 1. TNFR1 expression by flow cytometry

 
TNFR expression in NIT-1 cells was also examined in radio-binding studies using 125I-TNF, which showed a low amount of specific binding (Fig. 1BGo) that was nevertheless reproducible and statistically significant (P < 0.05, by Student’s t test). Competition studies using human TNF{alpha}, which binds mouse TNFR1 but not mouse TNFR2 (42), confirmed this to be due to TNFR1 rather than TNFR2. Consistent with the flow cytometric analysis, the number of receptors on NIT-1 cells was lower than on L929 cells that have 1000 TNF receptors per cell (Grell, M., unpublished data). This assay was not carried out for primary ß cells because of the number of cells required. In related experiments, a NIT-1 cell clone which was found not to respond to TNF{alpha} in apoptosis and EMSA assays, was isolated. This clone showed no specific binding of TNF in the radio-binding assay and had no evidence for TNFR1 expression by flow cytometry (not shown). This unusual clone confirms the specificity of the assays for TNFR1 expression as does the negative binding of anti-TNFR2.

We also analyzed NIT-1 cells and primary ß cells for TNFR1 mRNA by RT-PCR. Primary ß cells were isolated by FACS-sorting isolated islet cells into high- and low- autofluorescence populations (see Materials and Methods). After the cells were collected, RNA was isolated from the two populations; because of the very low numbers of sorted cells, accurate RNA quantitation was not possible. Despite this, there was evidence for TNFR1 mRNA expression in NIT-1 cells, primary ß cells and primary nonß islet cells. (Fig. 1CGo)

TNF-dependent NF-{kappa}B activation in NIT-1 and primary islet cells
To demonstrate functional activity of TNFRs on ß cells, we assessed the ability of TNF to induce activation of NF-{kappa}B by EMSA (Fig. 2Go). Both TNF and IL-1 induced NF-{kappa}B in NIT-1 cells as demonstrated by nuclear translocation and binding to a radiolabeled NF-{kappa}B-binding oligonucleotide (Fig. 2Go). To reduce (but not eliminate) the possibility of the EMSA result being influenced by islet nonendocrine cells such as macrophages and endothelial cells, primary islets were disaggregated and reaggregated to form pseudoislets. NF-{kappa}B activation by TNF was also observed in these cells indicating that cells within pseudoislets express functional TNFRs consistent with the flow cytometry data (Fig. 2Go). Pseudoislets are not pure ß cells and it is possible that islet cells other than ß cells might contribute to TNF-dependent NF-{kappa}B activation.



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Figure 2. Activation of NF-{kappa}B by TNF. EMSA showing activation of NF-{kappa}B in NIT-1 cells and primary pseudoislet cells. NIT-1 cells or primary pseudoislets (see Materials and Methods) were exposed to cytokines as indicated for 30 min. "Cold" indicates addition of 100-fold excess of unlabeled probe as competitor. Protein content of extracts was measured and was similar within the NIT-1 and pseudo-islet samples. EMSA for NIT-1 cells has been performed greater than 5 times and EMSA for primary islets 3 times.

 
TNF{alpha} induces apoptosis in NIT-1 cells
Murine TNF{alpha} was observed to induce cell death in NIT-1 cells. TNF{alpha} was cytotoxic to NIT-1 cells at concentrations as low as 0.01 ng/ml (data not shown), but was routinely used at a concentration of 100 ng/ml, which was at least 10-fold higher than the concentration needed for maximal cytotoxicity. Cell death in NIT-1 cells following TNF{alpha} treatment was evident by their rounded and shrunken appearance (Fig. 3AGo). Quantitation of the level of cell death in cytokine-treated NIT-1 cells was determined using flow cytometric assessment of DNA fragmentation, a feature of apoptotic cell death, as illustrated in Fig. 3BGo. This assay confirmed that TNF leads to significant DNA fragmentation in NIT-1 cells (P < 0.001 compared with untreated cells) (Fig. 3CGo). Furthermore, Annexin V binding to NIT-1 cells increased after TNF treatment (Fig. 3BGo, ii), again consistent with cell death due to apoptosis. Plasma membrane alterations leading to the exposure of phosphatidylserine (to which Annexin V binds) also occur in necrotic cell death; however, the combination of Annexin V binding and PI exclusion is typical of early apoptosis (43). IFN{gamma} increased the levels of TNF-induced apoptosis (P < 0.001, compared with TNF alone), although it did not on its own induce cell death in NIT-1 cells (P > 0.05). Human TNF{alpha} also induced apoptosis in NIT-1 cells (not shown), confirming a role for the TNFR1 in apoptosis induction. IL-1 did not induce apoptosis in NIT-1 cells.




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Figure 3. Apoptosis induction in ß cells after treatment with TNF{alpha}. NIT-1 cells were incubated with mTNF{alpha} (100 ng/ml), hTNF{alpha} (100 ng/ml), IFN{gamma} (100 U/ml) or a combination of both mTNF{alpha} and IFN{gamma}. A, Phase contrast microscopy of NIT-1 cells before (left) and after (right) exposure to 100 ng/ml TNF{alpha} for 48 h (x100) Apoptotic cells (arrowhead) become rounded and detach from the monolayer. B, (i) The level of cytokine-induced apoptosis in NIT-1 cells was quantitated by a flow cytometric method that measures DNA fragmentation. Apoptotic cells were identified by hypodiploid DNA content after staining with a hypotonic fluorochrome solution containing propidium iodide (38 ), as shown in a representative experiment (of at least three experiments with similar results). (ii) Use of Annexin V to detect apoptotic NIT-1 cells. Following overnight incubation with (below) or without (above) 100 ng/ml TNF{alpha}, NIT-1 cells were stained with Annexin V-FITC and PI. Apoptotic cells are positive for Annexin V staining but PI negative. Representative of three similar experiments. C, Combined results of TNF-induced apoptosis measured by PI staining of fragmented nuclei. The results represent the mean ± SD of at least three independent experiments calculated by the formula in Materials and Methods. *, Significant, P < 0.001. D, Primary islet endocrine cells were purified by flow cytometry on the basis of A2B5 staining and then examined by phase contrast microscopy before (above) or after (below) treatment with TNF{alpha} (100 ng/ml) and IFN{gamma} (100 U/ml) for 48 h (x300). Apoptotic cells (arrowhead) detached from the monolayer and became rounded. Representative experiment of three is shown. (E) Quantitation of apoptosis in primary islet cells treated with the same combination of cytokines. A representative example of three similar results is shown.

 
We have also studied induction of apoptosis by TNF{alpha} in primary mouse ß cells. Addition of IFN{gamma} as well as TNF was required to induce convincing apoptosis in primary islet. It was observed microscopically that FACS-purified islet endocrine cells (sorted on the basis of A2B5 expression) underwent cell death following incubation with TNF and IFN{gamma} (Fig. 3DGo). Similarly, increased numbers of fragmented nuclei were observed in unfractionated islet cells with TNF and IFN{gamma} (Fig. 3EGo).

Caspase inhibitors protect NIT-1 cells from TNF-induced apoptosis
To address the role of caspases in TNF-mediated apoptosis of NIT-1 cells, they were transfected with a dominant negative mutant of FADD (dnFADD), which lacks the death-effector domain. This FADD mutant has been shown to be an effective inhibitor of apoptosis in other cell types. Following selection in puromycin, cells expressing dnFADD were identified by immunoprecipitation and Western blotting with anti-Flag mAb (Fig. 4AGo). Several independent clones expressing dnFADD (clones F1, F15, F17) were protected from TNF-induced apoptosis (Fig. 4BGo) (P < 0.001). Clone F19, though transfected with the Flag-FADD vector did not express detectable transfected protein and was not protected from apoptosis. NIT-1 cells transfected with the control vector without a cDNA insert (clone C1) were similarly unprotected from cytokine-induced apoptosis. TNFR1 expression was confirmed on these selected clones by flow cytometry and TNF-inducible NF-{kappa}B activity (not shown). The involvement of the caspase pathway in TNF-induced death of NIT-1 cells further points to an apoptotic mechanism of cell death, rather than necrosis in which caspases play no role.



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Figure 4. Expression of dnFADD inhibits TNF-induced NIT-1 cell killing. NIT-1 cells were stably transfected with dnFADD (epitope tagged with Flag). A, The clones were analyzed for expression of the FADD mutant using immunoprecipitation and Western blotting for Flag. The fusion protein was seen at 16 kDa as predicted. B, Clones were tested for TNF-induced apoptosis. Mean ± SD of at least three experiments is shown. Open bars, control; hatched bars, TNF{alpha}; filled bars, TNF{alpha} + INF{gamma}.

 
Expression of caspase-1 (ICE) in NIT-1 cells and primary ß cells
Because IFN{gamma} increased sensitivity to TNF-induced apoptosis but did not induce apoptosis on its own, we speculated that IFN{gamma} may increase expression of factors in the caspase pathway. NIT-1 cells were analyzed for the expression of ICE at the RNA level using RT-PCR, both constitutively and following treatment with IFN{gamma} and TNF{alpha}. Low levels of ICE transcript were detectable in NIT-1 cells in the absence of cytokines, and its expression was increased by IFN{gamma} (Fig. 5Go). Similarly, ICE expression in primary ß cells was also induced by treatment with IFN{gamma} (Fig. 5Go). Levels of mRNA of another ICE family member caspase 3 (CPP32) was also analyzed in NIT-1 cells by RT-PCR and was found to be constitutively present in substantial levels in NIT-1 cells (results not shown).



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Figure 5. Induction of ICE mRNA by IFN{gamma} in NIT-1 cells and primary islet cells. Total RNA was extracted after treatment with 10 ng/ml TNF{alpha} and/or 100 U/ml IFN{gamma}. RT-PCR was performed using primers for ICE followed by Southern blot analysis. Spleen was used as a positive control and actin was used to compare the levels of RNA template in each sample. Experiments were performed at least three times with similar results. Islets were treated with cytokines for 24 h. Islet cDNA was amplified for 26 cycles for ICE and 25 cycles for actin.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We have shown that TNF{alpha} can interact directly with mouse primary ß cells and insulinoma cell lines and can signal both NF-{kappa}B activation and apoptotic cell death. Primary ß cells expressed TNFR1 at low levels, which were at the limit of detection by flow cytometry. Other primary cells, such as lymphocytes, were found to express similarly low levels of TNFR1 by flow cytometry (our unpublished observations). TNFR1 but not TNFR2 receptors are expressed on mouse ß cells and ß cell lines, as determined by flow cytometric analysis, radio-binding studies and the effects of human TNF. This pattern of TNFR expression is similar to that seen in many nonhematopoietic cells and is consistent with the observation that the TNFR1 promoter has sequences suggesting ubiquitous expression, although the level of expression varies in different tissues (44). TNFR1 is able to transduce signals that regulate gene expression and cytotoxicity and its expression makes ß cells potentially capable of undergoing a full range of TNF-induced responses.

TNF-mediated apoptosis of NIT-1 cells was inhibited by dnFADD and also by crmA (not shown), an observation consistent with work done in other cell lines but not previously in ß cells, which indicates an essential role for caspases in this process (23, 24, 45). The ability of caspase inhibitors to protect NIT-1 cells from the cytotoxic effects of TNF clearly shows that these cells are undergoing apoptosis rather than necrosis, another mode of cell death in which caspases do not play a role.

Although we have shown that nuclear fragmentation can also be induced in primary ß cells by cytokines, the role of caspase pathways in this is as yet unproven. This will require expression of caspase inhibitors in primary ß cells. Our study, however, indicates that in principle, TNF can damage ß cells by this mechanism because they express both TNFR1 and caspases. Consistent with this, primary ß cells have been shown to be susceptible to apoptosis mediated by Fas, which uses a very similar intracellular pathway (46, 47). In our hands, however, TNF cannot on its own cause apoptosis in primary ß cells. We speculate that whether cell death occurs or not in a given cell population depends on the balance between synthesis of pro- and antiapoptotic factors and that this balance is tipped further toward apoptosis in NIT-1 cells than in primary ß cells in which IFN{gamma} is also required. It is conceivable that in disease states this balance between expression of pro- and antiapoptotic genes may be altered (for example by coexpression of IFN{gamma} or other regulators of the apoptosis pathway) leading to TNF-induced ß cell apoptosis. The role of receptor number in this balance is uncertain; however it is possible that the very low expression of TNFR1 on primary ß cells may be a factor in their resistance to apoptosis mediated by TNF alone. For the IL-1 receptor, a relationship between receptor number and effects of IL-1 has been described (48).

Coincubation with IFN{gamma} substantially increased the level of TNF-induced apoptosis of both NIT-1 cells and primary ß cells, but IFN{gamma} did not on its own affect cell viability. IFN{gamma} is known to cooperate and at times synergize with TNF in many biological responses and combinations of cytokines have previously been reported to enhance DNA fragmentation in ß cell lines compared with single cytokines (8). We did not observe any increase in TNFR1 expression with IFN{gamma} treatment (not shown). One hypothesis based on our results is that IFN{gamma} may enhance TNF-mediated apoptosis of NIT-1 cells at the level of transcriptional regulation of caspases. The promoter region of murine ICE has been shown to have a putative IRF-1 binding site (49), and overexpression of IRF-1 led both to increased ICE expression and increased sensitivity to apoptosis in T cells (50). STAT1, another IFN{gamma}-regulated transcription factor has also recently been shown to regulate caspases and sensitivity to TNF-induced apoptosis (51). Up-regulation of ICE transcription by cytokines has previously also been reported in a macrophage cell line (52). Therefore up-regulation of ICE may provide one possible explanation for the synergistic effect of IFN{gamma} in TNF-mediated cell death. IFN{gamma} may also be needed for the transcription of other proteins involved in the signaling pathway leading to TNF-induced apoptosis in NIT-1 cells and primary ß cells, and much remains to be understood about the precise signaling molecules involved. Other important caspases including caspase 8 may also be regulated by cytokines.

The role of TNF{alpha} in ß cell destruction in vivo remains uncertain. It is known to be produced in infiltrated islets of NOD mice (53) and local neutralization by expression of soluble TNFR1 reduces insulitis and prevents diabetes (54). Transgenic mice in which TNF{alpha} is produced by ß cells develop severe insulitis but do not develop diabetes (55) but this may be due to down-regulation of cytotoxic effects of TNF{alpha} with chronic exposure (56). Experiments in which NOD mice are injected with TNF{alpha} or neutralizing antibodies to TNF{alpha} fail to differentiate between the effects of TNF{alpha} in mediating ß cell destruction and its immunoregulatory role (57).

In summary, we have shown evidence that pathways leading to TNF-induced apoptosis are present in primary ß cells and NIT-1 cells and that TNF{alpha} kills NIT-1 cells via the caspase pathway. Killing via this pathway is potentially similar but not identical in NIT-1 cells and primary ß cells, which also require IFN{gamma} possibly to increase the expression of key members of the caspase pathway. The identification of the caspase pathway and its likely role in ß cell destruction paves the way for therapeutic strategies designed to inhibit this pathway, testable in transgenic mice. Such strategies may be applicable to ß cell replacement therapies, such as engineered ß cell lines or islet transplants, and are also likely to contribute further to understanding the role and action of mediators such as TNF{alpha}, IL-1ß, and Fas/Fas Ligand in insulin-dependent diabetes mellitus pathogenesis.


    Acknowledgments
 
We are grateful to Dr. J. Allison for providing the TNFR1 knockout mice.


    Footnotes
 
1 This work was supported by the Juvenile Diabetes Foundation International, Diabetes Australia and the National Health and Medical Research Council of Australia (regkey 973002). Back

2 These authors contributed equally Back

Received September 22, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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