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Endocrinology Vol. 141, No. 2 528-538
Copyright © 2000 by The Endocrine Society


ARTICLES

Delineation of the Signaling Pathways Involved in Glucocorticoid-Induced and Spontaneous Apoptosis of Rat Thymocytes

Cynthia L. Mann, Francis M. Hughes, Jr.1 and John A. Cidlowski

Laboratory of Signal Transduction, National Institute of Environmental Health Sciences, National Institutes of Health (C.L.M., J.A.C.), Research Triangle Park, North Carolina 27709; and Curriculum in Toxicology, University of North Carolina (C.L.M.), Chapel Hill, North Carolina 27599

Address all correspondence and requests for reprints to: Dr. John A. Cidlowski, P.O. Box 12233 MD E2–02, Research Triangle Park, North Carolina 27709. E-mail: cidlowski{at}niehs.nih.gov


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In primary rat thymocytes, both glucocorticoids and the withdrawal of in vivo survival factors elicit apoptosis. In this study we wanted to determine whether distinct pathways leading to apoptosis are engaged by these two stimuli. To address this question, we conducted a multiparametric analysis of cell viability, DNA fragmentation, activation of caspase-3-like activity, cell shrinkage, the loss of mitochondrial membrane potential, and externalization of phosphatidylserine in the absence and presence of protein and RNA synthesis. The role of caspase activity was also examined in both glucocorticoid- and survival factor withdrawal-induced cell death. We show that glucocorticoid-induced, but not spontaneous, loss of viability is dependent upon macromolecular synthesis and caspase activity. Furthermore, glucocorticoid-induced phosphatidylserine externalization and cell shrinkage are dependent upon gene regulation and caspase activity, whereas these features manifest independently of gene regulation and caspase activity in spontaneous death. In contrast, the loss of mitochondrial membrane potential was dependent upon macromolecular synthesis only in glucocorticoid-induced death and was independent of caspases in both spontaneous and dexamethasone-induced death. These results suggest that thymocytes can die by a caspase-independent mechanism and that a major difference between glucocorticoid- and survival factor deprivation-induced death is the dependence on gene expression.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
APOPTOSIS IS A normal physiological process that controls the immune repertoire by selective elimination of unwanted thymocytes. Regulation of this process appears to be dependent on the complex interplay of a number of different agents, including glucocorticoids and signaling through the T cell receptor (1, 2). Dysregulation of apoptosis can have profound effects, and the pathological consequences of several diseases can be accounted for at least in part by a defect in the cell death signaling pathways. Regardless of the initial stimulus, apoptotic cells undergo a conserved series of biochemical and morphological changes, suggesting that there is a common pathway distal to the junction of different upstream signaling pathways. Ultimately, however, the decision to undergo apoptosis depends on the delicate balance between survival factors and death factors within the cell.

One feature observed in all known examples of apoptosis is the loss of cell volume, apparently as a result of ions leaving the cell (3, 4, 5, 6, 7). This characteristic has been well documented in spontaneously dying rat thymocytes as well as thymocytes treated with glucocorticoids (8) and is thought to be due to the loss of intracellular potassium (3, 4). In addition to cell shrinkage, during apoptosis, phosphatidylserine residues reorient to the outside of the cell, enabling the dying cell and apoptotic bodies to be recognized and removed by macrophages (9). Chromatin condensation and DNA cleavage are also common late features of apoptosis (10, 11) and were observed in thymocytes after in vivo administration of glucocorticoids to rats (1).

The aforementioned morphological and biochemical changes in apoptosis are also accompanied by activation of the caspase cascade. Activation of a series of caspases has been described in numerous examples of apoptosis (12, 13, 14). Glucocorticoids have been shown to activate caspases in human transformed cell lines (15, 16); however, the regulation of caspase activity has not been studied in rat thymocytes. Caspase activation is thought to be a central mediator in the production of the apoptotic phenotype (17), presumably by dismantling cellular substrates (18, 19, 20, 21). Finally, apoptosis induced by a number of stimuli is also accompanied by the loss of mitochondrial potential (22, 23), which is thought to produce signals for the activation of downstream caspases.

The regulation of the pathways that lead to these biochemical and morphological manifestations of apoptosis may vary depending on the initiating signal. Thymocytes undergo apoptosis in response to a number of factors, including glucocorticoids (24, 25), the calcium ionophore A23187 (26), and T cell receptor ligation (27). Moreover, simply placing thymocytes in culture is a sufficient signal to rapidly induce cell death in the isolated thymocytes. This spontaneous death is presumably due to the withdrawal of survival factors, and the kinetics of its appearance suggest that thymocytes are poised to die in response to an apoptotic stimulus. Spontaneous death induces many of the same biochemical and morphological features (8) as glucocorticoid-induced death. However, it is not known whether spontaneous death and the biochemical features associated with it are regulated by gene expression or caspase activity.

In contrast to spontaneous cell death, which occurs simply by the withdrawal of survival factors, glucocorticoids are a death factor that upsets the balance between signals and results in apoptosis. In previous studies it has been shown that glucocorticoid-induced apoptosis is dependent on protein and RNA synthesis (11, 28, 29). These studies were based on analysis of viability and DNA fragmentation, both of which are late markers of apoptosis. In this report, we assess whether glucocorticoid regulation of upstream components of the apoptotic pathway are also dependent on gene regulation to determine whether glucocorticoids induced a protein(s) that triggers all subsequent features of cell death, or whether each component of the pathway is differentially regulated. The results of these experiments suggest that glucocorticoids induce the expression of a protein(s) that triggers the subsequent events of apoptosis, whereas survival factor withdrawal leads to spontaneous death in the absence of gene expression or caspase activity.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Reagents
FCS was purchased from Summit Biotechnology (Fort Collins, CO), and dexamethasone (DEX) was purchased from Steraloids (Wilton, NH). Z-Asp-Glu-Val-Asp-fluoromethylketone (DEVD-fmk), Z-Asp-Glu-Val-Asp-7-amino-4-trifluoromethylcoumarin (DEVD-afc), and Z-Val-Ala-Asp-fluoromethylketone (z-VAD-fmk) were purchased from Kamiya Biomedical Co. (Seattle, WA). Free 7-amino-4-trifluoromethylcoumarin was purchased from Sigma (St. Louis, MO).

Animals
Male Sprague Dawley rats (2–3 months old) were used in all experiments. The animals were bilaterally adrenalectomized by the provider at least 5 days before use, maintained under controlled conditions of temperature (25 C) and lighting, and allowed free access to food and saline. All experimental protocols were approved by the animal review committee at the institute and were performed in accordance with the guidelines set forth in the NIH Guide for the Care and Use of Laboratory Animals published by the USPHS. Animals were killed by decapitation, and the thymus was removed.

Thymocyte cultures
Thymocytes were prepared from freshly isolated thymus as previously described (28, 30, 31). Thymocytes were dispersed by gentle homogenization in a Kontes no. 22 glass/glass homogenizer (Kontes Co., Vineland, NJ), filtered, washed in cold PBS, and counted on a hemocytometer. Cells were cultured at 5 x 106 cells/ml in RPMI 1640 medium supplemented with 10% heat-inactivated FCS, 4 mM glutamine, 100 U/ml penicillin, and 75 U/ml streptomycin sulfate. Cells were incubated at 37 C in 5% CO2 for 0, 2, 4, and 6 h before harvest.

Viability and annexin V staining
Cellular viability and cellular membrane changes (phosphatidylserine expression on the outer leaflet of the plasma membrane) were evaluated concurrently using a TACS annexin V-fluorescein isothiocyanate (FITC) kit (Trevigen, Gaithersburg, MD). Briefly, 1 ml cells was pelleted and resuspended in 89 µl 1 x binding buffer (10 mM HEPES, pH 7.4;0.15 M NaCl; 5 mM KCl; 1 mM MgCl2; and 1.8 mM CaCl2), 1 µg/ml propidium iodide (PI), and annexin V-FITC. Cells were incubated for 15 min before the addition of 400 µl 1 x binding buffer and flow cytometry. Ten thousand cells were counted on a Becton Dickinson and Co. FACSort equipped with CellQuest software (Becton Dickinson and Co., San Jose, CA). PI staining and annexin V-FITC staining were measured on an FL-3 (650 nm) vs. FL-1 (530 nm) plot, respectively. Gating on cells with positive PI staining with CellQuest software identified the cells with a loss of viability. Similarly, gating on cells with positive annexin V staining identified the cells that had externalized phosphatidylserine residues.

Caspase activity assay
Caspase-3-like activity was measured using a fluorometric assay as previously described (3, 31, 32, 33). Briefly, cytoplasmic extracts were prepared by resuspending thymocytes in 10 mM MgCl2 and 0.25% Nonidet P-40. Debris was pelleted at 100,000 x g for 30 min, and supernates were placed on ice. Ten to 50 µg extract [measured by the method of Bradford (34)] were preincubated (10 mM dithiothreitol, 50 mM HEPES, 10% sucrose, and 0.1% (3-[(3-cholamidopropyl)dimethylammonio]-1-propanesulfonate, pH 7.5 (CHAPS) with 200 µM of the noncompetitive inhibitor DEVD-fmk. Parallel samples were prepared without inhibitor. Substrate (DEVD-afc) was then added to all tubes (200 µM, final concentration). Samples were incubated for 5 min at 30 C, and their fluorescence at 505 nM was measured (excitation at 400 nM). Samples were incubated for an additional hour, and fluorescence was again measured. A standard curve of fluorescence vs. free 7-amino-4-trifluoromethylcoumarin was then used to calculate the specific activity of caspase-3-like enzymes in each sample.

Determination of cell size
Forward and side light scattering properties of cells were analyzed by flow cytometry (Becton Dickinson and Co. FACSort equipped with CellQuest software). Apoptotic cells show a decrease in forward light-scattering properties and a concomitant increase in side light-scattering properties. A gate was created based on these parameters, and for all experiments, the percentage of cells in this region was used to determine the number of cells with a loss of cell volume as a percentage of the total number of cells.

Determination of mitochondrial membrane potential
Changes in mitochondrial membrane potential were examined by flow cytometry (Becton Dickinson and Co. FACSort equipped with CellQuest software) using JC-1 (Molecular Probes, Inc., Eugene, OR). JC-1 was added to 1 ml cultured cells to a final concentration of 10 µM 30 min before harvest and analysis by flow cytometry. Ten thousand cells were then examined by flow cytometry on an FL-1 (530 nm) vs. FL-2 (585 nm) plot. JC-1 aggregates, which represent intact mitochondrial membrane potential, are identified by an increase in FL-2 fluorescence. Cells with a loss of mitochondrial potential were identified by gating on a population with a decrease in FL-2 fluorescence, which indicates a decrease in JC-1 aggregates.

Analysis of DNA content
The DNA content of each sample was determined as previously described (3, 8). Briefly, 1 ml pelleted cells was resuspended in cold 70% ethanol to a volume of approximately 2 ml. Samples were stored overnight at 4 C. Fixed cells were washed once in PBS and then stained in 1 ml 20 µg/ml PI and 1 mg/ml ribonuclease in PBS for 20 min. Cells were examined with flow cytometry (Becton Dickinson and Co. FACSort equipped with CellQuest software) by gating on an area vs. width plot to exclude debris. Ten thousand cells were counted within the gate for each treatment.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Regulation of spontaneous and glucocorticoid-induced thymocyte death
To establish the kinetics of apoptosis in this model system, rat thymocytes were isolated and placed in culture where they were allowed to die spontaneously from the withdrawal of in vivo survival factors or directly stimulated to die by including the synthetic glucocorticoid, DEX. After various time periods, thymocytes were incubated with PI and analyzed by flow cytometry to assess viability. Spontaneously dying cells (CON) show an increase in PI staining by 4 h (Fig. 1Go). DEX augments this loss of viability. Subsequently, to determine whether the loss of viability is regulated by gene expression, we assessed the effects of cycloheximide, a protein synthesis inhibitor, and actinomycin D, a RNA synthesis inhibitor, on glucocorticoid-induced and spontaneous cell death. The loss of viability induced by DEX was blocked completely by cycloheximide and partially by actinomycin D (Fig. 1Go, A and B). These data are in accordance with previous studies that showed that glucocorticoid-induced thymocyte death requires de novo gene expression (11, 29). In contrast, spontaneous cell death was not dependent upon new gene expression, suggesting that cells contain sufficient machinery to die without additional macromolecular synthesis.



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Figure 1. Glucocorticoid-induced loss of viability in rat thymocytes. Primary thymocytes were cultured in the absence and presence of DEX (100 nM) and cocultured with cycloheximide (CYC; 10 µM) or actinomycin D (ACT; 1 µg/ml). At the appropriate times, thymocytes were stained with PI and analyzed by flow cytometry as described in Materials and Methods. A, Representative flow cytometric plots of PI staining vs. forward scatter. Ten thousand cells were cultured as described above and analyzed by flow cytometry on a FL-3 (650 nm; PI) vs. forward scatter plot. The cells with a loss of viability are identified by positive PI staining. Freshly isolated cells and cells in culture for 6 h are shown. B, Time course of the loss of viability. The percentage of cells with a loss of viability (positive PI staining) are charted for each time point. Error bars represent the SEM for three independent experiments.

 
DNA degradation in spontaneous and glucocorticoid-induced thymocyte death
Previous studies from our laboratory have shown that the generation of apoptotic DNA ladders correlates with the production of a hypodiploid population that can be observed by flow cytometry (3). In this study we also show that spontaneously dying cells and those stimulated by glucocorticoids degrade their DNA (Fig. 2AGo). To determine whether this effect is dependent upon gene regulation or caspase activity, we assessed the ability of cycloheximide, actinomycin D, and z-VAD-fmk (a pan-caspase inhibitor) to inhibit spontaneous and DEX-induced DNA fragmentation by flow cytometry. In spontaneously dying cells, there is an increase in DNA fragmentation by 4 h and, as with the observed effects on viability, DEX augments this effect. Inhibition of protein or RNA synthesis blocks the effect of DEX, but does not abrogate the DNA fragmentation associated with spontaneous death (Fig. 2Go, A and B). Inhibition of caspase activity, however, completely inhibits both DEX-induced DNA fragmentation and spontaneous DNA fragmentation to the same levels as those seen in freshly isolated thymocytes (Fig. 2CGo). These data demonstrate that there is a common pathway shared by spontaneous and DEX-induced cell death that leads to DNA degradation and that this pathway is controlled by caspases. However, the upstream events that lead to activation of this common pathway differ between spontaneous and DEX-induced cell death. Specifically, glucocorticoid-induced activation of the DNA degradation pathway requires de novo gene expression, whereas spontaneous apoptosis does not.



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Figure 2. Analysis of DNA degradation in thymocytes. Primary thymocytes were cultured in the absence and presence of DEX (100 nM) and cocultured with cycloheximide (10 µM), actinomycin D (1 µg/ml), and z-VAD (100 µM). At 0, 2, 4, and 6 h, cells were fixed in 70% ethanol and stained with PI. FACS analysis of DNA content is shown. Ten thousand fixed cells stained with PI were analyzed by flow cytometry to determine DNA content. The DNA histograms for freshly isolated thymocytes and thymocytes treated for 0 and 6 h are shown. The time course of DNA degradation is indicated. The percentage of the population with subdiploid DNA content is charted for each treatment. Error bars represent the SEM for three independent experiments.

 
Characterization of caspase activation in glucocorticoid-induced and spontaneous thymocyte apoptosis
Caspase activation has been demonstrated in response to a variety of apoptotic stimuli (8, 16, 35) and appears to function upstream of both DNA degradation and the loss of viability. Thus, we wished to determine whether caspase activity was involved in spontaneous or glucocorticoid-induced cell death of rat thymocytes and, further, to evaluate the role of gene expression in this activation. In this series of experiments, thymocytes were treated in vitro for 4 h with increasing doses of DEX to generate a dose-response curve (Fig. 3AGo). In the absence of DEX, the spontaneously dying cells activate caspase-3-like enzymes to levels 10-fold greater than those found in freshly isolated cells. DEX induces further caspase activity in a dose-dependent fashion, with an ED50 of about 1.5 nM and a maximum dose of 100 nM. These values are consistent with the binding of DEX to its cognate receptor (36). These results suggest that both survival factor withdrawal-induced and DEX-stimulated pathways of apoptosis are mediated through the activation of caspase-3-like enzymes.



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Figure 3. Activation of caspase-3-like activity in spontaneous and glucocorticoid-induced apoptosis. A, Dose-dependent effects of DEX in stimulating caspase-3-like enzyme activity in thymocytes in vitro. Thymocytes were cultured in serum-free medium alone (CON) or in the presence of increasing doses of DEX for 4 h. Cytoplasmic extracts were assayed for caspase-3-like activity as described in Materials and Methods. The results shown are the mean ± SEM from three or more independent experiments. *, Significant difference (P < 0.05) from the freshly isolated cells; **, significant difference (P < 0.05) from freshly isolated cells and the time-matched spontaneously dying population. B, Steroid-specific effects of glucocorticoids in stimulating caspase-3-like enzyme activity in thymocytes in vitro. Thymocytes were cultured in serum-free medium alone (CON) or in the presence of 1 µM progesterone (PROG), 1 µM 17ß-estradiol (E2), 1 µM dihydrotestosterone (DHT), 100 nM DEX, 100 nM cortisol, or 100 nM corticosterone for 4 h. Cytoplasmic extracts were assayed for caspase-3-like activity as described in Materials and Methods. The results shown are the mean ± SEM from three or more independent experiments. *, Significant difference (P < 0.05) from the freshly isolated cells; **, significant difference (P < 0.05) from freshly isolated cells and the time-matched spontaneously dying population. C, Effect of glucocorticoid receptor antagonist RU486 on DEX-stimulated caspase-3-like enzyme activity in vitro. Thymocytes were cultured in serum-free medium alone (SPON) or in the presence of 1 µM RU486, 100 nM DEX, or both. Cytoplasmic extracts were assayed for caspase-3-like activity as described in Materials and Methods. The results shown are the mean ± SEM from three or more independent experiments. *, Significant difference (P < 0.05) from the freshly isolated cells; **, significant difference (P < 0.05) from freshly isolated cells and the time-matched spontaneously dying population. D, Effect of cycloheximide, actinomycin D, and z-VAD on spontaneous and DEX-stimulated caspase-3-like enzyme activity in vitro. Thymocytes were cultured in serum-free medium alone (SPON) or in the presence of 10 µM cycloheximide (Cyclo), 1 µg/ml actinomycin D (Act-D), or 100 µM z-VAD. Additional cultures contained 10 nM DEX in the absence or presence of cycloheximide, actinomycin D, or z-VAD. Cytoplasmic extracts were assayed for caspase-3-like activity as described in Materials and Methods. The results shown are the mean ± SEM from three or more independent experiments. *, Significant difference (P < 0.05) from the freshly isolated cells; **, significant difference (P < 0.05) from freshly isolated cells and the time-matched spontaneously dying population.

 
To evaluate the steroid specificity for induction of caspase-3-like activity, we next evaluated the abilities of different classes of steroids to activate caspases in thymocytes. Estradiol, progesterone, and dihydrotestosterone have all been shown to promote thymic involution in vivo (37, 38, 39). Despite having an effect on thymic regression in vivo, these hormones did not significantly alter caspase activity from the spontaneous levels detected after 4 h of treatment (Fig. 3BGo). However, two natural glucocorticoids, cortisol and corticosterone, significantly increased caspase activity above spontaneous levels, indicating that the activation of caspases in isolated thymocytes is specific to glucocorticoids and cannot be activated by sex steroids under our experimental conditions.

Next, we investigated the effect of a glucocorticoid receptor antagonist, RU486, on the activation of caspase-3-like activity in both spontaneous and DEX-induced death to elucidate whether growth factor deprivation was activating the glucocorticoid receptor in the absence of RU486. RU486 did not inhibit activation of caspase-3-like activity in survival factor withdrawal-induced death. These findings confirmed that activation of caspase-3-like activity in survival factor withdrawal-induced death occurs independently of the glucocorticoid receptor or its activation by placement of cells in culture. To determine whether the ability of glucocorticoids to activate caspase-3-like activity in thymocytes was dependent upon their interaction with the glucocorticoid receptor, we tested the ability of the receptor antagonist, RU486, to block DEX-induced caspase-3-like enzyme activation (Fig. 3CGo). RU486 effectively blocked DEX-induced caspase activation in thymocytes, which demonstrates that the ability of glucocorticoids to activate caspases is dependent upon the interaction with the glucocorticoid receptor.

Finally, to determine whether activation of caspase-3-like activity in spontaneous and glucocorticoid-induced death is dependent upon de novo gene expression, we assessed caspase-3-like activity in the presence of cycloheximide or actinomycin D (Fig. 3DGo). Cycloheximide and actinomycin D did not prevent the increase in caspase-3-like activity observed in spontaneously dying cells. However, both cycloheximide and actinomycin D reduced DEX-induced caspase-3-like activity to the same levels of activation as those found in spontaneously apoptosing cells. These results demonstrate that the activation of caspase activity in spontaneous and glucocorticoid-induced apoptosis occurs by two distinct pathways. In spontaneous death, gene regulation is not required for caspase activation, whereas in glucocorticoid-induced death, gene regulation lies upstream of caspase activation.

Effect of caspase inhibition on glucocorticoid-induced and spontaneous death
To determine whether glucocorticoid-induced or spontaneous death was dependent upon caspase activity, we used the pan-caspase inhibitor z-VAD to inhibit caspase activity within the cells and then measured the loss of viability induced either spontaneously or by the addition of DEX. Spontaneous cell death in the untreated thymocytes could not be inhibited by z-VAD. However, z-VAD inhibited DEX-induced loss of viability to the same levels as in spontaneously dying cells (Fig. 4Go). These data also show that in rat thymocytes, inhibition of the caspase cascade blocks DEX-induced cell death, but not spontaneous death. The fact that the spontaneous cell death observed in the untreated group cannot be inhibited by cycloheximide, actinomycin D, or z-VAD demonstrates that rat thymocytes can die by an inherent caspase-independent pathway that does not require macromolecular synthesis.



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Figure 4. Effect of caspase inhibition on glucocorticoid induced and spontaneous death. Primary thymocytes were cultured in the absence and presence of DEX (100 nM) and cocultured with z-VAD (100 µM). At the appropriate times, thymocytes were stained with PI and analyzed by flow cytometry. To compare PI staining vs. forward scatter, 10,000 cells were analyzed by flow cytometry on a FL-3 (650 nm; PI) vs. forward scatter plot. The cells with a loss of viability are identified by positive PI staining. Freshly isolated cells and cells cultured for 6 h are indicated. The time course of the loss of viability is shown. The percentage of cells with a loss of viability (positive PI staining) is charted for each time point. Error bars represent the SEM for three independent experiments.

 
Regulation of cell volume changes in glucocorticoid-induced and spontaneous thymocyte apoptosis
Rat thymocytes shrink during apoptosis (8, 31). When analyzed by flow cytometry, the shrunken, apoptotic population can be distinguished from the normal population by a decrease in forward light scatter and a concurrent increase in side light scatter. In this series of experiments, we analyzed whether macromolecular synthesis or caspase activity was required for the cell shrinkage associated with spontaneous or glucocorticoid-induced death. Between 4 and 6 h in culture, there is a dramatic increase in the percentage of shrunken cells in both the spontaneously dying population and the glucocorticoid-treated cells (Fig. 5Go). Neither cycloheximide nor actinomycin D affected cell shrinkage of the spontaneously dying thymocytes. Interestingly, z-VAD delayed cell shrinkage in the spontaneously dying population for the first 4 h, which is consistent with our previous results (8), suggesting that there is a caspase-independent loss of cell volume in the spontaneously dying cells. These data suggest that although cell shrinkage in the growth factor-deprived population is not dependent upon caspase activity, caspase activity can modulate the pathway that leads to cell shrinkage. Both cycloheximide and z-VAD abrogate the effect of DEX on cell shrinkage by reducing the percentage of shrunken cells to the same levels as the spontaneously dying population. Actinomycin D also inhibits DEX-induced cell shrinkage, but not as efficiently as inhibition of protein synthesis or caspase activity.



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Figure 5. Loss of cell volume in glucocorticoid-treated rat thymocytes. Primary thymocytes were cultured in the absence and presence of DEX (100 nM) and cocultured with cycloheximide (10 µM), actinomycin D (1 µg/ml), and z-VAD (100 µM). To compare forward scatter vs. side scatter, 10,000 cells were analyzed by flow cytometry on a forward scatter vs. side scatter plot. The cells with decreased cell volume are identified by a decrease in forward scatter with a concomitant increase in side scatter and are indicated by the box. Freshly isolated cells and cells cultured for 6 h are shown. The time course of cell shrinkage is indicated. The percentage of shrunken cells is charted for each time point. Error bars represent the SEM for three independent experiments.

 
Mitochondrial potential changes in spontaneous and glucocorticoid-induced apoptosis
During apoptosis, the inner mitochondrial membrane is disrupted, resulting in the loss of mitochondrial potential and the release of proapoptotic macromolecules (40). Previous reports have suggested the loss of mitochondrial potential in apoptotic thymocytes, as measured by a decrease in JC-1 aggregate formation (23). To determine the role of the mitochondria in both spontaneous and DEX-induced apoptosis, we evaluated mitochondrial potential in apoptotic thymocytes by measuring the fluorescence of JC-1 aggregates by flow cytometry. As shown in Fig. 6Go, spontaneous cell death was characterized by a time-dependent loss of mitochondrial potential, an effect that was augmented by DEX. The loss of mitochondrial potential in spontaneously dying cells was independent of both protein and RNA synthesis (Fig. 6Go, A and B) as well as of caspase activity (Fig. 6CGo). However, the DEX-induced loss of mitochondrial potential was blocked by coadministration of cycloheximide, indicating that the DEX-induced loss of mitochondrial potential is dependent upon protein synthesis. Actinomycin D and z-VAD, however, were less effective than cycloheximide at rescuing the DEX-induced loss of mitochondrial potential. Overall, these results suggest that the component of glucocorticoid-induced apoptosis that is dependent upon protein synthesis is functioning upstream of any changes in the mitochondria. In addition, we have shown that in rat thymocytes, the glucocorticoid-induced loss of mitochondrial potential is probably occurring upstream of caspase activation.



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Figure 6. Analysis of mitochondrial membrane changes in thymocytes. Primary thymocytes were cultured in the absence and presence of DEX (100 nM) and cocultured with cycloheximide (10 µM), actinomycin D (1 µg/ml), and z-VAD (100 µM). At the appropriate times, thymocytes were incubated with JC-1 (10 µM) for 30 min and analyzed by flow cytometry. To compare JC-1 aggregates vs. JC-1 monomers, 10,000 cells were analyzed by flow cytometry on a FL-1 (530 nm; JC-1 monomers) vs. FL-2 (585 nm; JC-1 aggregates) plot. The cells with decreased mitochondrial membrane potential are identified by a loss of FL-2 fluorescence and are indicated by the box. Zero and 6 h time points are indicated. The time course of JC-1 fluorescence is shown. The percentage of cells with decreased mitochondrial membrane potential (decreased FL-2 fluorescence) is charted for each time point. Error bars represent the SEM for three independent experiments.

 
Modulation of phosphatidylserine exposure in spontaneous and glucocorticoid-induced death
Exposure of phosphatidylserine residues to the surface of the cell is a common feature of apoptosis that aids in the recognition of the apoptotic cell by macrophages (9). To evaluate the effect of survival factor withdrawal and glucocorticoid treatment on phosphatidylserine externalization during rat thymocyte apoptosis, we studied the exposure of phosphatidylserine residues on rat thymocytes by flow cytometry. Cells were incubated with PI and annexin V-FITC (which binds to phosphatidylserine residues) to determine the exposure of phosphatidylserine residues. As shown in Fig. 7Go, in spontaneously dying cells, there is a time-dependent increase in the exposure of phosphatidylserine residues to the exterior of the cell, and glucocorticoids will enhance this effect (Fig. 7Go). The macromolecular synthesis inhibitors cycloheximide and actinomycin D block the glucocorticoid-induced increase in phosphatidylserine exposure, but they do not block the increase associated with spontaneous cell death. Similarly, inhibition of caspase activity by z-VAD blocks phosphatidylserine externalization in glucocorticoid-induced death. However, in spontaneous cell death, z-VAD retards the kinetics of phosphatidylserine residue exposure, but does not block the spontaneous increase in phosphatidylserine externalization. These data suggest that although the membrane changes associated with apoptosis are not dependent upon caspase activity, caspase activity can modulate this pathway.



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Figure 7. Analysis of plasma membrane changes in thymocytes. Primary thymocytes were cultured in the absence and presence of DEX (100 nM) and cocultured with cycloheximide (10 µM), actinomycin D (1 µg/ml), and z-VAD (100 µM) for 0, 2, 4, and 6 h. To compare annexin V staining vs. PI staining, thymocytes were harvested and stained with annexin V and PI. Cells were then analyzed by flow cytometry to determine the exposure of phosphatidylserine residues and viability. The time course of annexin V and PI staining is shown. The percentage of cells positive for both annexin V and PI staining is charted for each time point. Error bars represent the SEM for three independent experiments.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In the present study we have demonstrated that survival factor withdrawal and glucocorticoids induce apoptosis of rat thymocytes by distinct mechanisms. Macromolecular synthesis inhibitors blocked the glucocorticoid-induced loss of viability, which is consistent with previous studies (11, 28, 29). However, macromolecular synthesis inhibitors did not block spontaneous thymocyte death. In addition, caspase activity was detected in dying thymocytes, and z-VAD blocked glucocorticoid-induced loss of viability in rat thymocytes. Surprisingly, caspase activity was detected in spontaneously dying thymocytes, but z-VAD did not prevent the cells from dying. These data support the conclusion that two distinct pathways lead to death induced by glucocorticoids or growth factor withdrawal: one that is dependent upon gene expression and activation of the caspase cascade, and one that is independent of both de novo macromolecular synthesis and caspase activity.

Our initial observation that cell death induced by glucocorticoids was gene expression and caspase dependent, whereas spontaneous cell death was not, directed our attention toward these two independent modes of cell death in thymocytes. To further elucidate the mechanistic differences between these two pathways, we evaluated the effect of macromolecular synthesis inhibitors and a caspase inhibitor on different biochemical end points that are characteristic of apoptosis. First, we assessed the effect of macromolecular synthesis inhibitors and caspase inhibitors on DNA fragmentation. Previous studies have shown that macromolecular synthesis is required for glucocorticoid-induced DNA fragmentation (11, 28, 29). However, it was not known whether it was required for spontaneous DNA fragmentation. We observed that inhibition of protein and RNA synthesis could not block DNA fragmentation associated with spontaneous cell death. These data were consistent with our observation that in growth factor withdrawal-induced death, neither caspase-3-like activity nor loss of viability was prevented by macromolecular synthesis inhibitors. DNA fragmentation was blocked by z-VAD in both spontaneous and glucocorticoid-induced death. This is consistent with other reports in the literature, which show that DNA fragmentation lies downstream of caspase activation (18, 19, 20). In addition, these data demonstrate that thymocytes can die in the absence of DNA degradation, which has been reported in other model systems (41, 42).

As activation of caspase-3-like activity has been shown to induce DNA fragmentation (18, 19, 20), we next considered the regulation of caspase-3-like activity in both spontaneous and glucocorticoid-induced apoptosis. The effect of glucocorticoids on caspase-3-like activity was steroid specific and receptor mediated, which is consistent with the previous observation made by Ingle (24) that steroid-induced thymocyte death was unique to glucocorticoids. Further experiments revealed that the effects of glucocorticoids on caspase-3-like activity were also dependent upon de novo gene expression. We observed that untreated thymocytes undergoing spontaneous apoptosis in culture have a significant increase in caspase-3-like activity over that in freshly isolated thymocytes, and that this increase occurred independently of gene expression, which was consistent with our observation that spontaneous cell death does not require de novo gene expression. However, inhibition of caspase activity did not protect the cells from spontaneous death. Therefore, although spontaneous cell death involves caspase activation, caspase activity is not required for spontaneous cell death.

To further characterize the differences between glucocorticoid-induced and spontaneous apoptosis, we analyzed plasma membrane changes, cell shrinkage, and mitochondrial potential changes. Macromolecular synthesis inhibitors blocked glucocorticoid-induced changes in these parameters to the same level as in time-matched untreated cells. However, they did not inhibit glucocorticoid-induced changes in these parameters to the same levels as in freshly isolated thymocytes. Macromolecular synthesis inhibitors also did not block the plasma membrane changes, cell shrinkage, and loss of mitochondrial potential associated with spontaneous cell death. These observations confirmed that the manifestation of these biochemical endpoints is dependent upon gene expression in glucocorticoid-induced cell death, but not in spontaneous death.

Inhibition of caspase activity in glucocorticoid-treated and spontaneously dying cells did not effect the changes in mitochondrial potential, an observation consistent with other studies that show changes in mitochondrial potential occur upstream of caspase activation (43). Caspase inhibition stalled the exposure of phosphatidylserine residues on the outside of the cell as well as the loss of cell volume in spontaneously dying cells, but did not completely inhibit either of these end points. This demonstrates that caspases can modulate these pathways, but are not required for phosphatidylserine exposure or the loss of cell volume. In addition, these data suggest that there is a slower, caspase-independent pathway that can lead to spontaneous cell death and that this pathway includes cell shrinkage, the loss of mitochondrial potential, and the exposure of phosphatidylserine residues, but does not include caspase activation and DNA fragmentation.

The ratio of survival factors to death factors dictates the fate of a cell. Thymocytes are sensitive to survival factor withdrawal and undergo spontaneous apoptosis when placed in culture. Thymocytes are also susceptible to death-inducing agents such as glucocorticoids. Although apoptosis induced by the two different mechanisms share some common biochemical and morphological features, we have demonstrated that in thymocytes, there are two distinct pathways. The loss of viability and the manifestation of all of the biochemical features of glucocorticoid-induced apoptosis that we studied were dependent upon de novo gene expression, suggesting that glucocorticoids do not individually regulate multiple steps in the apoptotic pathway. This demonstrates that gene regulation is an early step in the glucocorticoid-induced pathway after the interaction of steroid with glucocorticoid receptor and that gene regulation serves as a molecular switch that controls the progression of glucocorticoid-induced apoptosis. In contrast, spontaneous death bypasses this particular molecular switch and proceeds independently of gene expression. Eventually, the glucocorticoid pathway engages a death program similar to that initiated by survival factor withdrawal. This represents a convergence point for these two pathways. Together, the data in this study delineate a network of signals that mediate spontaneous apoptotic cell death and glucocorticoid-induced apoptotic cell death.


    Acknowledgments
 
We thank Dr. Carl Bortner and Alyson Scoltock at the Flow Cytometry Facility of NIEHS for their expert help with flow cytometry.


    Footnotes
 
1 Present address: Department of Biology, University of North Carolina, 9201 University City Boulevard, Charlotte, North Carolina 28223. Back

Received August 23, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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