Endocrinology Vol. 141, No. 2 528-538
Copyright © 2000 by The Endocrine Society
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 E202, Research Triangle Park, North Carolina 27709. E-mail: cidlowski{at}niehs.nih.gov
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Abstract
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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.
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Introduction
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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.
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Materials and Methods
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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 (23 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.
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Results
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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. 1
). 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. 1
, 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.
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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. 2A
). 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. 2
, 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. 2C
).
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.
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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. 3A
). 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.
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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. 3B
). 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. 3C
). 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. 3D
). 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. 4
). 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.
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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. 5
).
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.
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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. 6
, 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. 6
, A and B) as well as of
caspase activity (Fig. 6C
). 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.
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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. 7
, 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. 7
). 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.
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|
 |
Discussion
|
|---|
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. 
Received August 23, 1999.
 |
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