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Am J Physiol Heart Circ Physiol 277: H1975-H1984, 1999;
0363-6135/99 $5.00
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Vol. 277, Issue 5, H1975-H1984, November 1999

Role of oxidant stress in cytokine-induced activation of NF-kappa B in human aortic smooth muscle cells

Ginette S. Hoare, Nandor Marczin, Adrian H. Chester, and Magdi H. Yacoub

Department of Cardiothoracic Surgery, National Heart and Lung Institute, Imperial College of Science, Technology and Medicine, Heart Science Centre, Royal Brompton and Harefield National Health Service Trust, Harefield, Middlesex UB9 6JH, United Kingdom


    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

The transcription factor nuclear factor-kappa B (NF-kappa B) has been implicated in inflammatory and proliferative vascular mechanisms. Activated NF-kappa B has been documented in human atherosclerotic lesions, and its activation in human vascular smooth muscle cells (SMC) by cytokines has been reported. However, intracellular mechanisms mediating NF-kappa B activation in human SMC are poorly understood. The aim of this study was to explore the potential role of reactive oxygen species and oxidant stress as signaling events in cytokine-induced NF-kappa B activation. Western blot analysis revealed the presence of inhibitory protein I-kappa Balpha in resting human aortic SMC, which was rapidly phosphorylated and degraded on exposure to interleukin-1beta (IL-1beta ) followed by NF-kappa B translocation to the nucleus. IL-1beta had no effect on two measures of intracellular oxidant stress, fluorescence generated by the oxidation of 2',7'-dichlorodihydrofluorescin to dichlorofluorescein (DCF) or changes in intracellular sulfhydryl content. N-acetylcysteine (NAC) a membrane-permeant antioxidant, which augmented intracellular sulfhydryl content and inhibited H2O2-induced DCF fluorescence, had no effect on cytokine-induced NF-kappa B activation. In contrast to NAC, the metal chelators pyrrolidine dithiocarbamate and diethyldithiocarbamate attenuated IL-1beta -induced NF-kappa B activation but had no effect on intracellular sulfhydryl content. Treatment of the cells with the oxidant H2O2 caused an increase in DCF fluorescence and decreased intracellular sulfhydryl content but had no effect on I-kappa Balpha or NF-kappa B. In conclusion, this study suggests that oxidant stress may not play a major role in cytokine-induced activation of NF-kappa B in human aortic SMC and that oxidants may not be primary activators of NF-kappa B in these cells.

interleukin-1beta ; transcription factors; antioxidant; inflammation; atherosclerosis


    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

ACTIVATION of the transcription factor nuclear factor-kappa B (NF-kappa B) and associated gene induction has been suggested to be a major regulator of inflammatory and proliferative vascular responses (1, 13). In vitro studies showed the presence of members of the Rel family of proteins in human vascular smooth muscle cells (SMC) (10) and demonstrated activation of this transcription factor in these cells by proinflammatory cytokines and platelet-derived growth factor (PDGF) (23). Moreover, in situ studies revealed the presence of activated NF-kappa B in SMC as well as macrophages and endothelial cells of atherosclerotic lesions (12).

In resting cells the NF-kappa B dimer is held in an inactive state in the cytoplasm by an inhibitory protein of the I-kappa B family (2, 7). Studies showed that stimulating the cell causes I-kappa Balpha to become phosphorylated, followed by polyubiquitination and rapid proteolytic degradation (16). These events release the NF-kappa B dimer, unmasking the nuclear translocation and DNA binding domains and allowing the transcription factor to move to the nucleus, bind to the promoter of target genes, and induce transcription (6, 7, 16).

In most cell types NF-kappa B can be activated by a diverse range of stimuli (3-5), suggesting that several different signaling pathways are capable of triggering the activation of this transcription factor. Candidates for this convergence of signals are the activation of the recently identified I-kappa Balpha kinase (IKK) and the upstream NF-kappa B-inducing kinase (NIK). The sequence of events and second messengers resulting in the activation of IKK and NIK are, at present, poorly understood. Several studies suggested that oxidant stress might play a role in the signaling events leading to the induction of NF-kappa B (27). This hypothesis is supported by the observation that H2O2 is capable of activating NF-kappa B in some cell types (28). Furthermore, chemically unrelated antioxidants have been reported to be effective inhibitors of NF-kappa B activation induced by a variety of stimuli (24, 25, 28, 30-33, 36, 37). On the basis of these observations, it was proposed that reactive oxygen intermediates (ROI) are important and widely used second messengers in NF-kappa B activation (26). However, more recent studies questioned the hypothesis that oxidative stress brought on by ROI would be the universal second messenger for NF-kappa B activation and suggested that this mechanism may be restricted to certain cell types (9, 14).

The aim of this study was to clarify these issues in human aortic SMC by determining whether interleukin-1beta (IL-1beta )-induced activation of NF-kappa B proceeds via the production of ROI and to explore the role of redox regulation of this transcription factor in these cells.


    MATERIALS AND METHODS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Cell culture. SMC were prepared from human donor aorta by enzymatic digestion. Briefly, aortas from heart and heart/lung transplant donors were cleaned of endothelium and adventitia and the resulting tissue was finely minced and agitated with 0.5 mg/ml elastase and 1 mg/ml collagenase 1A at 37°C for 4 h. The samples were then strained through a 100-µm cell strainer and centrifuged at 1,500 rpm for 10 min. The supernatant was discarded, and the pelleted cells were resuspended in growing medium (DMEM containing 100 mg/ml penicillin, 100 U/ml streptomycin, 2 mM L-glutamine, and 10% heat-inactivated FCS) and transferred to a 75-cm2 tissue culture flask. Cells were maintained in growing medium at 37°C in a humidified atmosphere of 5% CO2 and, when confluent, were seeded into 24-well plates or 10-cm dishes for various experimental protocols. Cells were characterized as SMC by positive immunostaining for smooth muscle specific alpha -actin and typical "hill and valley" morphology. Cells were used between passages 3 and 10, and experiments were repeated in cell isolates of at least four different donors.

Experimental design and procedure. In the initial phase of the study, we established the presence of I-kappa Balpha and NF-kappa B proteins in resting cells. Activation of NF-kappa B was monitored by four different methods. Phosphorylation and changes in cellular levels of I-kappa Balpha were assessed by Western blotting of total cell lysates. Association and dissociation of NF-kappa B from I-kappa Balpha were studied by immunoprecipitating NF-kappa B p65 from total cell lysates and by determining I-kappa Balpha levels coprecipitating with NF-kappa B p65. Nuclear translocation and accumulation of NF-kappa B p65 were investigated in nuclear extracts by Western blotting, and the DNA binding capacity of NF-kappa B was established by electrophoretic mobility shift assay (EMSA). After initial dose-response characterization of IL-1beta -induced activation of NF-kappa B, a submaximal concentration of IL-1beta was used to perform time-course experiments. The potential role of oxidant stress in IL-1beta -induced activation of NF-kappa B was investigated by a variety of experiments. First, we explored the influence of IL-1beta on cellular redox status by measuring the fluorescence of a redox-sensitive dye, 2',7'-dichlorodihydrofluorescin (DCFH) and by monitoring intracellular sulfhydryls, a moiety that is a primary target of ROI. Second, we explored the influence of H2O2 on intracellular oxidant stress and the NF-kappa B activation pathway. Finally, we established the effects of the widely used antioxidant, N-acetylcysteine (NAC), a cell-permeant sulfhydryl compound and glutathione precursor, and the metal chelators pyrrolidine dithiocarbamate (PDTC) and diethyldithiocarbamate (DETC) on IL-1beta -induced NF-kappa B activation.

Cells were grown to confluence on 10-cm dishes or 24-well plates. All experiments were carried out in assay medium (DMEM containing 100 µg/ml penicillin, 100 U/ml streptomycin, 2 mM L-glutamine, and 10% FCS) or Earle's buffered salt solution (EBSS) when H2O2 was used. Cells were incubated at 37°C with either medium or EBSS alone (control), 20 mM NAC (pH 7.4), 20 mM PDTC, or 10 mM DETC for 30 min before the addition of IL-1beta or H2O2 at the indicated concentration for the indicated time. Potential cytotoxic effects of all treatments were monitored using a neutral red cytotoxicity assay.

Total cell lysis. Cells were washed in cold PBS, 30 µl of 1% SDS lysis buffer containing 0.5 mM phenylmethylsulfonyl fluoride (PMSF), 2.5 mg/ml aprotinin, 2.5 µg/ml pepstatin A, and 2.5 µg/ml leupeptin were added to each well, and the cells were disrupted with the rubber plunger from a 1-ml syringe. Lysates from triplicate wells were combined and aspirated 10 times through a 25-gauge needle to shear DNA. The samples were assayed for protein content using the Bradford assay (11) and stored at -20°C in aliquots containing 25 µg of protein in 40 µl of 1% SDS lysis buffer.

Detection of NF-kappa B p65-associated I-kappa Balpha . The whole procedure was carried out at 4°C. Cells were washed in cold PBS and incubated on ice with 50 ml/well of RIPA buffer (50 mM Tris · HCl, 150 mM NaCl, 1% Nonidet-P40, 0.5% sodium deoxycholate, 0.5 mM PMSF, 2.5 µg/ml aprotinin, 2.5 µg/ml pepstatin A, 2.5 µg/ml leupeptin, 50 mM NaF, 1 µM Na3VO4, 20 mM beta -glycerol phosphate, 10 mM sodium molybdate) for 10 min. Lysates were prepared as described in Total cell lysis, 25 µl from each sample were removed, and the proteins were analyzed by SDS-PAGE as total cell lysis preparations. The remaining samples were centrifuged at 3,000 rpm at 4°C for 15 min, and 0.5 µg of anti-NF-kappa B p65 polyclonal antibody was added to the supernatant. After 1-h incubation at 4°C, 10 µl of protein G-agarose were added, and the samples were incubated for a further 60 min at 4°C on a rocker. The samples were then centrifuged at 2,500 rpm for 5 min at 4°C, supernatants were discarded, and the pellet was washed four times in cold RIPA buffer. The final pellet was resuspended in 150 µl of Laemmli buffer and subjected to SDS-PAGE and immune blotting with antibodies against I-kappa Balpha and NF-kappa B p65.

Preparation of nuclear extracts. Cells were scraped in ice-cold PBS, centrifuged, and lysed in buffer A [10 mM HEPES (pH 7.9), 1.5 mM MgCl2, 10 mM KCl, 0.1% Nonidet-P40, 0.5 mM dithiothreitol (DTT), 0.5 mM PMSF, 2.5 µg/ml aprotinin, 2.5 µg/ml pepstatin A, 2.5 µg/ml leupeptin]. The nuclei were pelleted by centrifugation, and the supernatant was removed, assayed for protein content, and stored as cytosolic proteins. The nuclear pellet was washed in buffer A and resuspended in 50 ml of buffer B [20 mM HEPES (pH 7.9), 25% glycerol, 1.5 mM MgCl2, 420 mM NaCl, 0.2 mM EDTA, 0.5 mM DTT, 0.5 mM PMSF, 2.5 µg/ml aprotinin, 2.5 µg/ml pepstatin A, 2.5 µg/ml leupeptin] and incubated at 4°C for 30 min on a rocker. The nuclear debris was removed by centrifugation, and the resulting nuclear extract was assayed for protein content. The nuclear proteins were either stored in aliquots containing 10 µg of protein for Western blot analysis or diluted in buffer C [20 µM HEPES (pH 7.9), 50 mM KCl, 0.2 mM EDTA, 0.5 mM DTT, 0.5 mM PMSF] for DNA binding analysis.

Western blotting. All protein samples were resolved on 10% SDS polyacrylamide gels and transferred to Hybond C Super nitrocellulose membrane. After blocking nonspecific binding with 3% nonfat dry milk solution in PBS containing 0.05% Tween 20 (PBS-T), we incubated the membranes for 60 min at room temperature with primary antibody (rabbit polyclonal anti-I-kappa Balpha ; 1:250), rabbit polyclonal anti-NF-kappa B p65 (1:200), and mouse monoclonal anti-smooth muscle specific alpha -actin (clone 1A4, 1:2,000; Sigma Chemical, Poole, UK) in blocking solution. Each membrane was then washed with PBS-T for 30 min and incubated for 30 min with the relevant horseradish peroxidase-conjugated secondary antibody. The membranes were washed again in PBS-T, and immunoreactive protein bands were visualized using an enhanced chemiluminescence (ECL) detection system. Where necessary, the antibodies were stripped from the membrane with stripping solution (62.5 mM Tris · HCl pH 6.7, 2% SDS, 6 µl/ml 2-mercaptoethanol) and probed as before. Films were scanned using a molecular dynamics laser densitometer and analyzed by the one-dimensional software package (21).

Electrophoretic mobility shift assay. The DNA binding capacity of nuclear proteins was analyzed by EMSA. Double-stranded oligonucleotide containing the NF-kappa B binding element (5'-AGTTGAG<UNL>GGGACTTTCC</UNL>CAGGC, 3'-GCCTG- <UNL>GGAAAGTCCC</UNL>CTCAACT; Pharmacia Biotech) was end-labeled using 0.74 MBq of [gamma -32P]ATP and T4 polynucleotide kinase (New England Biolabs) and purified through Probequant G-50 microcolumns (Pharmacia Biotech). Four micrograms of nuclear proteins were incubated with two microliters (0.0175 pmol) of 32P-labeled oligonucleotide, two microliters of 10× buffer [100 mM Tris (pH 7.5), 200 mM NaCl, 10 mM EDTA, 50% glycerol], one microliter (2.5 µg) of poly(dI-dC), and one microliter of nonspecific oligonucleotide for 1 h. The samples were separated on a nondenaturing polyacrylamide gel and exposed to X-ray film. Specificity was determined by the addition of 100-fold excess cold oligonucleotide, 100-fold excess of cold mutant kappa B oligonucleotide [5'-AGTTGAGGCGACTTTCCCAGGC, 3'-GCCTGGGAAAGTCGCCTCAACT (single base pair substitution in bold)], 4 µg of purified I-kappa Balpha protein corresponding to amino acids 1-317, or 2 µg of antibody directed against specific NF-kappa B protein subunits.

Fluorescent measurement of intracellular oxidation. This method is based on the internalization of the nonfluorescent compound 2',7'-dichlorodihydrofluorescin diacetate (DCFH-DA) by the cells, cleavage of the diacetate group by intracellular esterases resulting in the formation of 2',7'-dichlorodihydrofluorescin (DCFH), and the oxidation of DCFH on oxidative stress generating the highly fluorescent compound dichlorofluorescein (DCF). Human aortic SMC were grown in DMEM without phenol red, containing 100 µg/ml penicillin, 100 U/ml streptomycin, 2 mM L-glutamine, and 10% heat-inactivated FCS, for 1 wk before use. When confluent, the cells were trypsinized, washed in PBS, and resuspended in DMEM without phenol red, and the cell density was adjusted to 1 × 106 cells/ml. One hundred microliters of cells were removed and incubated with one microliter of ethanol, as vehicle, for 20 min at 37°C in the dark and used as unloaded control cells. Ten microliters per milliliter of 20 mM DCFH-DA in ethanol were added to the remainder of the cells. The cells were incubated at 37°C for 20 min in the dark to load the cells with the dye. Cells were then kept on ice in the dark and used within 90 min. Thirty thousand cells were made up to 1 ml with DMEM without phenol red, protected from light at all times, and incubated with the appropriate treatments at 37°C as indicated. Fluorescence was detected by flow cytometric analysis using a Coulter XL measuring log fluorescence intensity at 570 nm of at least 3,000 cells over 5 min.

Determination of intracellular sulfhydryl concentration. Intracellular acid soluble thiols were measured according to the method of Sedlak and Lindsay (29). Briefly, cells were washed in cold PBS and incubated with ice-cold 5% trichloroacetic acid for 30 min and the supernatants from duplicate wells were combined. Two hundred microliters of a 0.4 M Tris-0.02 M EDTA solution (pH 8.9) and ten microliters of 10 mM Ellman's reagent [5,5'-dithiobis(2-nitrobenzoic acid)] in methanol were added to one hundred microliters of each sample or reduced glutathione standards (0-100 µM), and the absorbance was measured at 414 nm. The protein precipitate remaining in the wells after sulfhydryl extraction was washed three times with PBS and solubilized in 50 µl of 1% SDS, and the amount of protein in each sample was determined by Bradford assay. All results are expressed as nanomoles of sulfhydryl per milligram of protein.

Materials and reagents. DMEM, FCS, L-glutamine, penicillin-streptomycin solution, trypsin-EDTA solution, EBSS, PBS (10×), NAC, PDTC, DETC, 30% vol/vol H2O2, DTT, PMSF, aprotinin, pepstatin A, and DCFH-DA were all obtained from Sigma Chemical. Tween 20 and 2-mercaptoethanol were from BDH. All primary antibodies unless otherwise stated were from Santa Cruz. Horseradish peroxidase-conjugated secondary antibodies were from Dako (High Wycombe, UK). Hybond C Super nitrocellulose membrane, ECL detection kit, hyperfilm, poly(dI-dC), and [gamma -32P]ATP were from Amersham Pharmacia Biotech (Amersham, UK). IL-1beta , collagenase 1A, elastase, leupeptin, and protein G agarose were all obtained from Boehringer Mannheim (Lewis, UK). All tissue culture plastics (Falcon) were from Marathon Laboratory Supplies (London, UK). Nonidet-P40 was from Millipore (Watford, UK).

Data analysis. Data are presented as either representative figures or as means ± SE of at least four independent experiments. Flow cytometry data are expressed as median fluorescence intensity. Statistical analysis was performed using one-way analysis of variance and t-test where appropriate. All images are representative of at least four independent experiments.


    RESULTS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

IL-1beta -induced activation of NF-kappa B in human aortic SMC. Western blot analysis of total protein samples from 1% SDS-lysed SMC revealed a strong I-kappa Balpha immunoreactive band demonstrating the presence of I-kappa Balpha in resting cells (Fig.1A). Exposure of the cells to IL-1beta (50 U/ml) for 5 min resulted in the appearance of a slower migrating I-kappa Balpha band (Fig. 1A). Longer exposure (30 min) caused a significant decrease in the amount of I-kappa Balpha in the cells (22 ± 5% of that in resting cells compared with 117 ± 7% after 5-min IL-1beta treatment, P < 0.05, n = 10). Depletion of I-kappa Balpha appeared to be transient, because 60-min exposure to IL-1beta caused I-kappa Balpha to reappear in the cell (Fig. 1B), and after 90-min IL-1beta treatment I-kappa Balpha levels were significantly higher than those after 30 min of IL-1beta . This effect was inhibited by cotreatment with the protein synthesis inhibitor cycloheximide (10 µM), indicating synthesis of new protein (Fig. 1B). Immunoprecipitating NF-kappa B p65 from resting cells resulted in the coprecipitation of I-kappa Balpha , as demonstrated by the presence of an I-kappa Balpha immunoreactive protein of ~37 kDa (Fig. 1C), indicating that NF-kappa B p65 is bound to the inhibitor protein I-kappa Balpha . Longer exposure (30 min) caused a decrease in the amount of I-kappa Balpha coprecipitating with NF-kappa B (9.7 ± 3.8% of that in resting cells, n = 5; Fig. 1C). This event appears to coincide with the time course of I-kappa Balpha depletion from the cells (Fig. 1A). Separation of cytosolic and nuclear proteins revealed the presence of small amounts of NF-kappa B p65 subunit in the nuclei of resting cells (Fig. 2A, bottom). Associated with I-kappa Balpha depletion from the cytoplasm (Fig. 2A, top), after 30-min treatment with IL-1beta (50 U/ml), nuclear levels of p65 increased fourfold (399 ± 54% of that in resting cells, n = 9) and remained elevated for a further 90 min of IL-1beta treatment (Fig. 2A, bottom). IL-1beta treatment also increased the binding of nuclear proteins to the kappa B consensus DNA as demonstrated by EMSA using 32P-labeled double-stranded oligonucleotide containing a specific kappa B consensus sequence (Fig. 2B). Specificity of the reaction is supported by experiments in which 100-fold excess cold competitive oligonucleotide caused the disappearance of all protein-DNA complexes whereas addition of unlabeled mutant kappa B oligonucleotide to the binding reaction resulted in the disappearance of nonspecific binding activity (Fig. 2C, lanes 5 and 6, respectively). Furthermore, inclusion of a purified fragment of I-kappa Balpha protein (amino acids 1-317) in the reaction mixture inhibited the specific NF-kappa B DNA binding activity (Fig. 2C, lane 7). The molecular identity of the DNA binding complex was analyzed by supershift assay using specific antibodies. The increased binding capacity of nuclear proteins to specific kappa B consensus DNA after treatment with IL-1beta was supershifted by both the p50 and p65 antibodies (Fig. 2C, lanes 3 and 4, respectively).


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Fig. 1.   Time course of changes in cellular levels of inhibitory protein I-kappa Balpha and I-kappa Balpha binding to nuclear factor-kappa B (NF-kappa B) p65 in human aortic smooth muscle cells (SMC) after interleukin-1beta (IL-1beta , 50 U/ml) stimulation. A: Western blot analysis of total cell I-kappa Balpha levels from human aortic SMC. Slower-migrating protein, indicated as I-kappa Balpha p, corresponds to phosphorylated form of I-kappa Balpha . Graph depicts optical density analysis of total cell I-kappa Balpha (* P < 0.05 from 5-min IL-1beta treatment, n = 10 preparations). B: Western blot analysis of total cell I-kappa Balpha over 90-min IL-1beta (50 U/ml) treatment, in absence (top) and presence (bottom) of protein synthesis inhibitor cycloheximide (10 µM). C: Western blot analysis of I-kappa Balpha coprecipitated with NF-kappa B p65 from human aortic SMC. Graph depicts optical density analysis of I-kappa Balpha immunoreactive proteins from NF-kappa B p65 immunoprecipitations (n = 6).



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Fig. 2.   Time-dependent activation of NF-kappa B by IL-1beta (50 U/ml). A: cytosolic I-kappa Balpha levels and nuclear NF-kappa B p65 content determined by Western blot analysis. B: electrophoretic mobility shift assay (EMSA) demonstrating increased binding activity of nuclear proteins to specific kappa B consensus DNA in response to IL-1beta . C: analysis of specificity and molecular identity of DNA-protein complexes induced by IL-1beta treatment. Lane 1, nuclear proteins from untreated human aortic SMC; lanes 2-7, nuclear proteins from cells treated with IL-1beta (50 U/ml) for 30 min; lane 2, IL-1beta treatment alone; lane 3, addition of anti-p50 antibody in binding reaction, lane 4, addition of p65 antibody in binding reaction; lane 5, addition of 100-fold excess cold kappa B oligonucleotide; lane 6, 100-fold excess cold mutant oligonucleotide; lane 7 contains purified I-kappa Balpha protein corresponding to amino acid sequence 1-317.

Influence of IL-1beta and H2O2 on intracellular oxidant stress using flow cytometry. Figure 3, A and B, demonstrates that treatment of DCFH-loaded human aortic SMC with the oxidant H2O2 (0.1 mM) for 5 min caused an increase in the fluorescence signal from 11.2 ± 2.3 arbitrary units (AU) in control cells to 58.3 ± 8.5 AU in H2O2-treated cells (P < 0.05, n = 4), indicating increased intracellular oxidant stress. Incubating the cells for longer periods of time caused the fluorescence intensity to increase further, from 34.3 ± 8.5 AU in control cells to 157.98 ± 36.8 AU after 30-min H2O2 treatment (P < 0.05, n = 4). Higher concentrations of H2O2 (10 mM) caused an even greater increase in fluorescence (265.9 ± 60.5 AU) after 30 min, which was significantly reduced by pretreatment with NAC (94.2 ± 27.7 AU, P < 0.05, n = 4). In contrast, the intensity of the fluorescence signal generated by IL-1beta treatment did not differ from that in control treated cells (14.3 ± 2.6 AU after 5-min IL-1beta treatment compared with 11.2 ± 2.3 AU in time-matched control cells, n = 4; Fig. 3, A and C). Thirty- and sixty-minute IL-1beta treatment also failed to generate a fluorescent signal above that of the time-matched control cells, indicating the absence of a significant oxidant stress in IL-1beta -treated cells.


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Fig. 3.   Influence of IL-1beta and H2O2 on intracellular oxidant stress using flow cytometry. A: representative histograms showing fluorescence signal generated by treating human aortic SMC loaded with redox-sensitive dye 2',7'-dichlorodihydrofluorescein (DCFH) with H2O2 (0.1 mM) or IL-1beta (50 U/ml) for 5, 30, and 60 min. Each diagram shows a histogram from treated cells and a histogram from time-matched control cells. Graphs summarize changes in fluorescence intensity of DCFH-loaded cells treated with H2O2 (0.1 mM, B) and IL-1beta (50 U/ml, C) after 5, 30, and 60 min. * P < 0.05 from time-matched control (n = 4 preparations).

Effect of IL-1beta , H2O2, and antioxidants on level of intracellular sulfhydryls. The concentration of intracellular acid-soluble thiols in unstimulated control human aortic SMC was 14.2 ± 0.7 nmol/mg protein and remained unaltered (16.5 ± 1.7 nmol/mg protein, n = 7; Fig. 4) in the presence of IL-1beta (50 U/ml) for 30 min, a condition that fully activated NF-kappa B. Incubating the cells with 10 mM H2O2 for 30 min significantly reduced intracellular sulfhydryl concentration to 6.9 ± 1.0 nmol/mg protein (n = 7, P < 0.05). NAC, the cell-permeant antioxidant and glutathione precursor, increased intracellular sulfhydryls to 49.5 ± 6.3 nmol/mg protein (n = 7, P < 0.05; Fig. 4). NAC also prevented the H2O2-induced depletion of these low-molecular-weight sulfhydryls (n = 7, P < 0.05), maintaining intracellular sulfhydryl concentration similar to that of control cells (18.0 ± 1.9 nmol/mg protein). Neither 20 mM PDTC nor 10 mM DETC had any effect on the levels of intracellular acid-soluble thiols in unstimulated cells (15.49 ± 1.3 and 15.5 ± 0.8 nmol/mg protein) or in cells exposed to IL-1beta or H2O2.


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Fig. 4.   Effect of IL-1beta (50 U/ml) or H2O2 (10 mM) for 30 min on intracellular acid-soluble thiols in presence and absence of 20 mM N-acetylcysteine (NAC), 20 mM pyrrolidine dithiocarbamate (PDTC), and 10 mM diethyldithiocarbamate (DETC). * P < 0.05 from control untreated cells; + P < 0.05 from control H2O2-treated cells (n = 7 preparations).

Effects of antioxidants and metal chelators on IL-1beta -induced activation of NF-kappa B. Figure 5 summarizes the influence of NAC and dithiocarbamates on the kinetics of NF-kappa B activation on treatment with IL-1beta . Western blotting of total cell lysates indicates that NAC had no significant effect on the kinetics of phosphorylation and depletion of I-kappa Balpha after IL-1beta treatment (Fig. 5A). After 30 min of IL-1beta treatment, I-kappa Balpha levels in NAC-treated cells were 20 ± 7% of those in resting cells compared with 26 ± 6% in control cells (n = 7, not significant). In contrast, PDTC (500 mM) had a partial inhibitory effect on IL-1beta -induced NF-kappa B activation by delaying I-kappa Balpha depletion, resulting in 72 ± 2% of that in resting cells still remaining after 30-min IL-1beta treatment compared with 26 ± 6% in control treated cells. However, IL-1beta -induced depletion of I-kappa Balpha was not prevented by this concentration of PDTC; therefore, 20 mM PDTC was used in an attempt to completely abolish NF-kappa B activation in response to IL-1beta . The appearance of the slower-migrating I-kappa Balpha species in response to IL-1beta treatment was greatly attenuated by 20 mM PDTC (Fig. 5A), and the I-kappa Balpha protein levels remained preserved for longer periods of time. In PDTC-treated cells, I-kappa Balpha levels after 30 min of IL-1beta treatment were 73 ± 20% of those in resting cells compared with 26 ± 6% in cells treated with IL-1beta alone (P < 0.05, n = 6). Nevertheless, I-kappa Balpha became depleted in the presence of high concentrations of PDTC after 45-60 min of IL-1beta exposure. The possible cytotoxic effect of this concentration (20 mM) of PDTC was investigated using neutral red cytotoxicity assay and by monitoring morphological changes by phase-contrast microscopy. After 4-h treatment with 20 mM PDTC, cell viability was comparable to that of control treated cells (101 ± 7% of control values). Furthermore, the morphology of PDTC-treated cells was not different from that of control cells. Twenty millimolar PDTC also preserved the NF-kappa B-I-kappa Balpha complex in the presence of IL-1beta for up to 45 min (data not shown). Similar results were obtained with DETC, for which I-kappa Balpha levels were 42 ± 11% those in resting cells after 30 min of IL-1beta treatment. Separation of nuclear and cytosolic proteins demonstrated that PDTC and DETC significantly inhibited nuclear accumulation of NF-kappa B p65 after 30 min of IL-1beta treatment (183 ± 11 and 170 ± 49% of that in resting cells, respectively, compared with 341 ± 35% in cells treated with IL-1beta alone, P < 0.05, n = 6; Fig. 5B, bottom). The decrease in nuclear NF-kappa B is reflected in the decreased binding of nuclear proteins to NF-kappa B DNA (Fig. 5C). NAC, which had no effect on I-kappa Balpha depletion, also had no effect on nuclear NF-kappa B p65.


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Fig. 5.   Effect of antioxidants and metal chelators on IL-1beta -induced activation of NF-kappa B. A: Western blot analysis of time course of I-kappa Balpha depletion induced by IL-1beta (50 U/ml) after 30-min pretreatment with medium alone, 20 mM NAC, 20 mM PDTC, or 10 mM DETC. Slower-migrating protein, indicated as I-kappa Balpha p, corresponds to phosphorylated form of I-kappa Balpha . B: Western blot analysis of nuclear (top) and cytosolic (bottom) proteins from same cells after 30-min treatment with IL-1beta (50 U/ml). C: EMSA showing effects of NAC, PDTC, and DETC on NF-kappa B DNA binding of nuclear proteins induced by IL-1beta (50 U/ml).

Because resynthesis of I-kappa Balpha is thought to be an NF-kappa B-driven process, we investigated the effects of NAC, PDTC, and DETC on the kinetics of I-kappa Balpha synthesis after IL-1beta treatment. In control cells, depletion of I-kappa Balpha 30 min after the addition of IL-1beta was followed by the appearance of newly synthesized I-kappa Balpha protein, which was 74 ± 12% (n = 8) of resting levels within 90 min (Fig. 6). The same was true for cells treated with NAC for 30 min before the addition of IL-1beta , with I-kappa Balpha levels similar to those in resting cells after 90 min (81 ± 15%). Consistent with their inhibitory effects on I-kappa Balpha depletion and accumulation of NF-kappa B in the nuclei, PDTC and DETC delayed the resynthesis of I-kappa Balpha . After 90 min of IL-1beta treatment, I-kappa Balpha levels were significantly lower in cells treated with PDTC (40 ± 9% of resting levels) and DETC (31 ± 9% of resting levels) compared with 74 ± 12% of resting levels in those treated with IL-1beta alone (P < 0.05, Fig. 6).


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Fig. 6.   Effect of antioxidants on I-kappa Balpha resynthesis after treatment with IL-1beta (50 U/ml). A: representative Western blots showing total cell I-kappa Balpha . B: optical density analysis of I-kappa Balpha Western blots after 30-min (I-kappa Balpha depletion) and 90-min (I-kappa Balpha resynthesis) treatment with IL-1beta . * P < 0.05 from appropriate control cells treated with IL-1beta for indicated time in absence of NAC and dithiocarbamates (n = 6-7 preparations).

Effect of prooxidant conditions on NF-kappa B activation. To assess the influence of prooxidant conditions on activation of NF-kappa B human aortic SMC were treated with a range of H2O2 concentrations. Incubating the cells with increasing concentrations of H2O2 (1 µM-10 mM) for 30 min did not induce any changes in I-kappa Balpha (Fig. 7A). The protein synthesis inhibitor cycloheximide was present throughout to prevent resynthesis of I-kappa Balpha and to eliminate potential masking of I-kappa Balpha depletion. Furthermore, no evidence of nuclear accumulation of NF-kappa B p65 or binding of nuclear proteins to the kappa B consensus DNA was observed when cells were challenged with increasing concentrations of H2O2 (Fig. 7B). On the basis of the lack of effect of these concentrations of H2O2 on NF-kappa B activation within 30 min, we investigated the effects of a high concentration of H2O2 (10 mM) on I-kappa Balpha over a time course of 1 h in the presence of cycloheximide to prevent I-kappa Balpha resynthesis. Figure 7C, top, shows that there was no evidence of I-kappa Balpha phosphorylation or degradation throughout the 60-min time course. Immunoprecipitating NF-kappa B p65 from the same H2O2-treated cells and immunoblotting the resulting protein samples to determine the amount of I-kappa Balpha coprecipitated revealed that the p65 subunit of NF-kappa B remained complexed to I-kappa Balpha for the duration of H2O2 exposure (Fig 7C, middle). More than 60 min in the presence of 10 mM H2O2 was cytotoxic to the cells, as determined by neutral red cytotoxicity assay and trypan blue exclusion test; therefore, 1 mM H2O2 was used to study an extended time course. However, up to 4 h in the presence of H2O2, I-kappa Balpha protein levels in whole cell preparations remained unchanged (data not shown).


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Fig. 7.   Effect of H2O2 on NF-kappa B activation in human aortic SMC. A: optical density analysis of Western blots showing cytosolic I-kappa Balpha levels after 30-min treatment with increasing concentrations of H2O2. B: nuclear proteins from cells treated with increasing concentrations of H2O2 for 30 min were analyzed for DNA binding activity by EMSA using 32P-labeled double-stranded oligonucleotide containing a specific kappa B consensus sequence. C: Western blot analysis showing effects of H2O2 (10 mM) for increasing lengths of time on I-kappa Balpha . Top: levels of I-kappa Balpha in total cell preparations. Middle: I-kappa Balpha coprecipitated with NF-kappa B p65 from same total cell preparation. Bottom: staining of NF-kappa B p65 immunoreactive proteins from this immunoprecipitation demonstrating even loading of lanes.


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

In this study we have found members of the NF-kappa B family of proteins in resting human aortic SMC and observed activation of this transcription factor by inflammatory cytokines. This activation involves phosphorylation of the main inhibitory protein I-kappa Balpha followed by dissociation of NF-kappa B p65 from I-kappa Balpha and degradation of I-kappa Balpha . The transcription factor then moves to the nucleus, where it binds to the kappa B element in the enhancer/promoter region of target genes. From the results obtained by EMSA and supershift assays, the main NF-kappa B species in this cell type appears to consist of p65 and p50 subunits of NF-kappa B. The activation pathway does not seem to be different from the pathway described in other systems (15, 17), suggesting the widespread and perhaps ubiquitous nature of this reaction.

In this study the transient depletion of I-kappa Balpha is followed by the resynthesis and gradual reappearance of new I-kappa Balpha protein in the cytoplasm. This appears to be associated with a slow decrease in the quantity of nuclear p65 and the DNA binding capacity of nuclear proteins. This observation supports the hypothesis that the newly synthesized inhibitor may have the capacity to regulate NF-kappa B activation by assisting the NF-kappa B p65 subunit back to the cytoplasm and into its original inactive state (6).

Because a diverse range of stimuli have the capacity to activate NF-kappa B, it has been suggested that the signals from all these agents converge at one common point in the pathway of activation. In HeLa and Jurkat T cells, H2O2 is able to activate NF-kappa B, and chemically unrelated antioxidants were shown to inhibit the activation of NF-kappa B induced by a variety of agents (27, 28). For these reasons, ROI have become the popular choice for the intracellular messenger common to all stimuli. However, this model of ROI as the universal messenger has been brought into question by several studies. NF-kappa B could not be activated in a murine thymoma line, EL4.NOB, or the human epithelial carcinoma cell line KB by H2O2 even after 4 h, and the activation by IL-1beta in these cell lines could not be inhibited by the antioxidant NAC (14). Another study has also shown that NF-kappa B activation involving ROI is selective to only some cell lines. In the human ovarian carcinoma cell line OVCAR-3, H2O2 was able to activate NF-kappa B but only after a long exposure time and I-kappa Balpha depletion was only partial. Although IL-1beta in this same cell line caused a rapid activation of the transcription factor, it did not cause an increase in intracellular H2O2 (9). Other transformed epithelial cell lines (SK-OVA-3 and MCF7-A/Z) have also been studied, and the IL-1beta -mediated NF-kappa B activation could not be inhibited by either NAC or PDTC (9). Hence, the controversy over the involvement of ROI in this apparently complex sequence of events leading to the activation of NF-kappa B still requires attention.

We found that IL-1beta , at concentrations that activate NF-kappa B in human aortic SMC, did not cause oxidant stress sufficient to oxidize DCFH and produce a fluorescent signal or deplete intracellular reduced sulfhydryls. The lack of effect of IL-1beta on oxidation of the internalized dye DCFH and intracellular sulfhydryl content cannot be caused by specific cell preparations, because the study was performed in cells obtained from several different samples of human donor aorta. However, the nature of these assays may not detect a subtler intracellular oxidant stress in the microenvironment of the NF-kappa B complex in response to cytokine exposure. It is interesting to note that Marumo et al. (23) also failed to detect increased superoxide anion release from a human aortic smooth muscle cell line in response to IL-1beta exposure.

Another line of evidence against the role of intracellular oxidant stress in this study is the failure of NAC to inhibit IL-1beta -induced activation of NF-kappa B. Intracellular thiols represent one of the primary targets of oxidant stress and the principal defense system to prevent oxidation of macromolecules. Inability of NAC to augment antioxidant capacity can be ruled out, because intracellular low-molecular-weight sulfhydryls increased significantly on NAC treatment and NAC partially prevented sulfhydryl depletion and oxidation of DCFH in response to H2O2. Taken together, these data suggest that augmentation of cellular antioxidant capacity is not sufficient to prevent IL-1beta -induced NF-kappa B activation in human aortic SMC.

In the present study, dithiocarbamates appear to partially protect against IL-1beta -induced NF-kappa B activation, delaying I-kappa Balpha depletion and nuclear accumulation and DNA binding of NF-kappa B. The significance of the inhibition of NF-kappa B activation by dithiocarbamates on endogenous gene induction can be determined by analysis of I-kappa Balpha resynthesis. I-kappa Balpha has been documented to possess a critical NF-kappa B promoter element, and it has been suggested to be regulated by NF-kappa B activation. It is therefore expected that I-kappa Balpha resynthesis after depletion reflects endogenous NF-kappa B-driven gene induction (19). Consistent with this assumption, PDTC and DETC significantly attenuated I-kappa Balpha resynthesis after IL-1beta treatment, whereas NAC remained ineffective in this measure of NF-kappa B-driven gene induction.

Dithiocarbamates are widely used compounds whose metal-chelating properties have been exploited for the treatment of metal poisoning (34) and acquired immunodeficiency syndrome (20, 35). It has been suggested that metal chelation might reduce oxidant stress by preventing formation of toxic free radicals such as hydroxyl radicals from H2O2 via the Fenton reaction. However, the ultimate effect of these compounds on cellular redox state may be more complex. It has been shown, for example, that DETC can produce a net prooxidant condition by increasing superoxide anion production via inhibition of superoxide dismutase in vascular endothelial cells (22). Because PDTC and DETC had no influence on intracellular sulfhydryl in either the presence or absence of H2O2, we conclude that the partial inhibitory effects of dithiocarbamates on NF-kappa B activation might relate to their metal-chelating properties, which may be independent of their effects on the cellular redox state. It is possible that the activity of the IL-1beta -activated signaling mechanism or activation of the I-kappa Balpha kinase requires heavy metals, a mechanism that could be attenuated by dithiocarbamates.

This study has shown that under the conditions used H2O2 is not capable of activating NF-kappa B in human aortic SMC. Since H2O2 caused oxidation of DCFH and depletion of intracellular thiols, it appears that H2O2 produced a significant intracellular oxidant stress but remained ineffective in the activation NF-kappa B. One study suggested that H2O2 caused I-kappa Balpha phosphorylation at tyrosine residues rather than serine phosphorylation, causing the dissociation of NF-kappa B from I-kappa Balpha , releasing NF-kappa B without the degradation of the inhibitor (18). However, this is unlikely to be the case in the present study because throughout the time course of H2O2 exposure I-kappa Balpha coprecipitated with p65, indicating that the NF-kappa B dimer was still held inactive in the cytoplasm by the inhibitor I-kappa Balpha . Also, there was no detectable binding of nuclear proteins to the kappa B consensus DNA after incubation with increasing concentration of H2O2 for 30 min, the time frame in which IL-1beta -induced activation of NF-kappa B was maximal. These data suggest that oxidant stress, in its own right, is not able to activate NF-kappa B and is not responsible for IL-1beta -induced activation in our model. In a recent study, Marumo et al. (23) found evidence for oxidant stress-induced activation of NF-kappa B in a human smooth muscle cell line. They reported that PDGF caused a time-dependent release of superoxide anion and a small (2-fold) increase in nuclear NF-kappa B. However, this response was only partially blocked by superoxide anion scavengers, suggesting that other signal transduction pathways activated by PDGF could have been involved (23). Moreover, IL-1beta produced activation of NF-kappa B in the absence of superoxide production in that study.

In conclusion, this study suggests that heavy metals, but not intracellular ROI, are likely involved in IL-1beta -induced activation of the transcription factor NF-kappa B in human aortic SMC, a mechanism that appears to be a primary event in gene activation associated with clinically relevant pathologies, such as progression of atherosclerosis and systemic inflammatory responses (5, 8, 13).


    ACKNOWLEDGEMENTS

The authors thank Paul Barton for scientific advice and Martin Dominguez and Charlotte Lawson for expert technical and methodological advice.


    FOOTNOTES

This work was partially supported by the British Heart Foundation (PG96031) and Országos Tudományos Kutatási Alap (OTKA F020581) from Hungary. M. H. Yacoub is a British Heart Foundation Professor of Surgery.

The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. §1734 solely to indicate this fact.

Address for reprint requests and other correspondence: M. H. Yacoub, Dept. of Cardiothoracic Surgery, Imperial College of Science, Technology and Medicine, National Heart and Lung Institute, Heart Science Centre, Royal Brompton and Harefield NHS Trust, Harefield, Middlesex UB9 6JH, UK (E-mail: ginette.hoare{at}harefield.nthames.nhs.uk).

Received 6 November 1998; accepted in final form 25 June 1999.


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DISCUSSION
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