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MEMBRANE TRANSPORTERS, ION CHANNELS, AND PUMPS
1Department of Biochemical Toxicology, School of Pharmaceutical Sciences, Showa University, Tokyo; and 2Primary Cell Co., Ltd., Sapporo, Japan
Submitted 13 April 2008 ; accepted in final form 29 May 2008
| ABSTRACT |
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system xc–; glutathione; hydrogen peroxide; reactive oxygen species; PDX-1
Glutathione (GSH) is the major low-molecular weight thiol in mammalian cells. The cellular GSH redox buffer is present in cells at millimolar concentrations and forms one major basis of redox homeostasis that maintains an appropriate protein conformation (28). It also plays an important role in the reduction of ROS and electrophiles, including 4-HNE as a co-factor of GSH peroxidases and GSH-S-transferases. The rate-limiting step in de novo synthesis of GSH is a reaction catalized by cytosolic
-glutamylcysteine synthetase (
-GCS). On the other hand, L-cysteine availability to the cell is also important factor to maintain GSH levels (36). L-Cysteine is auto-oxidized readily to L-cystine in extracellular circumstances. The concentration of L-cysteine in the plasma (10–20 µM) is 10 times lower than that of L-cystine (100–200 µM) (5). Cells uptake extracellular L-cystine by the L-cystine/L-glutamate exchanger (system xc–), which is a heterodimeric protein complex composed of a light-chain subunit (xCT), which confers substrate specificity and a heavy-chain subunit (4F2hc) common to many amino acid transporters (27). Physiological flux via system xc– involves the entry of L-cystine and exit of L-glutamate. Incorporated L-cystine by system xc– is reduced to form L-cysteine under the intracellular redox state and is utilized as a substrate for GSH synthesis.
It has been reported that the expression levels of antioxidant enzymes, including superoxide dismutase (SOD), catalase, and GSH peroxidase (GPx), are low in certain β-cell-derived cell lines as well as in rat islets (32). Overexpression of the antioxidant enzymes could thus confer a beneficial effect on islets exposed to ROS (2, 19, 20, 22, 33). The role of cellular GSH, however, in the protection of β-cell function is still obscure. The present study using HIT-T15 and RINm5F cells as well as pancreatic β-cells presents for the first time evidence suggesting that restricted activity of the system xc– controls the suppressed levels of intracellular GSH, thereby making the β-cells become susceptible to oxidative stress.
| MATERIALS AND METHODS |
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Islet β-cells. Pancreases from neonatal Wistar rats were digested with 1,000 units/ml dispase for 24 h at 4°C and filtered over 40-µm pore size mesh nylon screen. Islet β-like cells were enriched by subculturing unattached cells three times. More than 95% of cells obtained by this procedure were positive in terms of insulin staining, and these cells secreted insulin in response to glucose. These insulin-producing cells were cultivated in RPMI 1640 medium supplemented with 10% fetal calf serum, 5 mM nicotinamide, and antibiotics.
Cytotoxicity. Cells were seeded in a 96-well multidish (2.5 x 104 cells/well) and maintained for 16 h. Cells were treated with saline, hydrogen peroxide, or 4-HNE (Oxis International, Foster City, CA) for 24 h. Viable cell number was estimated by the 2,3-bis(2-methoxy-4-nitro-5-sulfophenyl)-5-[(phenylamino)carbonyl]-2H-tetrazolium hydroxide (XTT)-formazan assay (29).
GSH determination. Cells were washed twice with ice-cold phosphate-buffered saline and scraped in 1 ml of 2.5% sulfosalicillic acid containing 0.2% Triton X-100. Total GSH (reduced GSH plus oxidized GSSG) contents in the supernatant were determined by 5,5'-dithiobis(2-nitrobenzoic acid)-GSSG reductase recycling assay (1). Protein amounts in the pellet were determined by BCA protein assay (Pierce, Rockford, IL) with bovine serum albumin as the standard.
RT-PCR. Total RNA (2 µg) extracted from cells with RNAiso (Takara, Shiga, Japan) was treated with DNase I and was reverse transcribed for 1 h at 42°C with 200 units of M-MLV (Takara) and 300 pmol oligo(dT)18 primer in a 20-µl reaction volume. The PCR reaction (50 µl) consisted of 2 µl of cDNA, 0.5 µM primers, 200 µM dNTP, and 1.25 units of ExTaq (Takara). Amplification was carried out for one cycle at 94°C for 2 min, then 25–40 cycles at 94°C for 30 s, 60°C for 1 min, and 72°C for 1 min, followed by a 72°C step for 5 min. PCR products were separated by electrophoresis on a 2% agarose gel. The primer sets detecting gene products were as follows: xCT, 5'-CCTGGCATTTGGACGTACAT-3' and 5'-TCAGAATTGCTGTGAGCTTGCA-3'; 4F2hc, 5'-CTCCCAGGAAGATTTTAAAGACCTTCT-3' and 5'-TTCATTTTGGTGGCTACAATGTCAG-3'; GAPDH, 5'-TGATGACATCAAGAAGGTGGTGAAG-3' and 5'-TCCTTGGAGGCCATGTAGGCCAT-3'.
L-Cystine uptake.
L-Cystine uptake was determined essentially according to the reported procedure (8). Briefly, cells were seeded on a 24-well multidish (2 x 105 cells/well for NRK-49F cells and 4 x 105 cells/well for HIT-T15 and RINm5F cells) 16 h before the experiment. Cells were washed with 1 ml of extracellular fluid (ECF) buffer consisting of 122 mM NaCl, 25 mM NaHCO3, 3 mM KCl, 1.4 mM CaCl2, 1.2 mM MgSO4, 0.4 mM K2HPO4, 10 mM D-glucose, and 10 mM HEPES (pH 7.4) at 37°C. Uptake was started by adding 200 µl of ECF buffer containing various concentrations of cold cystine and 3.7 x 103 Bq L-[14C(U)]-cystine (9.25 x 109 Bq/mmol, PerkinElmer Life and Analytical Sciences, Waltham, MA) at 37°C for 30 min unless otherwise stated. The incubation was terminated by washing cells twice with ice-cold ECF buffer, and cells were solubilized in 750 µl of 1% Triton X-100. An aliquot (25 µl) was taken for BCA protein assay with bovine serum albumin as a standard. Another portion (500 µl) was subjected to a measurement of radioactivity using a liquid scintillation counter (LSC 1000, Aloka, Tokyo, Japan). The Michaelis-Menten constant (Km), maximum uptake rate (Vmax), and nonsaturable uptake rate constant (Pnon) of L-cystine uptake were calculated from the equation below for kinetic studies.
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Immunoblot analysis. Nuclear extracts were prepared using NE-PER nuclear extraction reagents (Pierce Biothechnology, Rockford, IL) essentially according to the manufacturer's instructions. Immunoblot analysis was carried out using 2 µg of nuclear proteins. The blot was sequentially probed with anti-pancreas duodenum homeobox-1 (PDX-1) antibody (TransGenic, Kumamoto, Japan) and anti-TATA binding protein antibody (Abcam, Cambridge, UK).
Immunocytochemical analysis. Cells grown on a poly-L-lysine coated multi-culture slide (BD Biosciences) were washed twice with ice-cold PBS and fixed with 3% formaldehyde for 15 min at room temperature. After being washed with PBS, cells were blocked with PBS containing 0.1% bovine serum albumin and 0.05% Tween 20 for 1 h at room temperature and then incubated with anti-PDX-1 antibody diluted with the blocking solution (x125) at 4°C for 16 h. Cells were washed and probed with Alexa Fluor 546-conjugated secondary antibody (Invitrogen) for 2 h at room temperature. Nuclei were stained with 4',6-diamino-2-phenylindole (DAPI). Subcellular localization of the PDX-1 was observed using an inverted fluorescent microscopy (Keyence BZ-8000).
Statistical analysis. All data are given as the means ± SD. Significance of the difference between the control and treated group(s) was assessed by Welch's t-test or one-way ANOVA followed by Dunnett's test for data from two or multiple groups, respectively. Bonferroni test was performed to compare data from multiple groups with each other. Values of P < 0.05 were taken to be significant.
| RESULTS |
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Inhibition of GSH synthesis by pretreatment with buthionine sulfoximine (BSO), an inhibitor of
-GCS, rendered NRK-49F and RINm5F cells more susceptible to hydrogen peroxide. The BSO-mediated increase in the susceptibility was also observed in RINm5F cells treated by 4-HNE (Fig. 2).
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To address a role of GSH in oxidative stress-mediated β-cell dysfunction, intracellular distribution of PDX-1, a major transcription factor for insulin gene, was investigated. 4-HNE showed limited effect on total PDX-1 levels in RINm5F cells up to 8 h (data not shown) but induced a decrease in nuclear PDX-1 levels in a time-dependent manner (Fig. 4A). Cells exposed to 4-HNE showed less nuclear signals stained by PDX-1 antibody compared with the control cells (Fig. 4C). Pretreatment of the cells with L-cysteine overcame the 4-HNE-mediated decrease in nuclear PDX-1 levels (Fig. 4B) and the nuclear PDX-1 signals (Fig. 4C). These results indicate that an increase in the intracellular GSH content in the β-cells reverses susceptibility to oxidative stress.
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| DISCUSSION |
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HIT-T15 and RINm5F cells, which retain the capacity for insulin secretion, were used as the β-cell model in the present study. It has been reported that secretion and gene expression of insulin are decreased when HIT-T15 cells are cultured for a long period in a high glucose medium, characteristics resembling the β-cell dysfunction observed in Type 2 diabetes (18). On the other hand, HIT-T15 cells are a hamster-derived cell line; therefore, rat-derived RINm5F cells were used to detect gene expression and to observe common responses in β-cell lines. To produce oxidative stress on cells with hydrogen peroxide, the most often employed experimental oxidant, and 4-HNE, an end product of lipid peroxidation that rises in Type 2 diabetic model animals (10, 30) as well as patients (3, 34), were used throughout the study. The β-cell models employed were significantly more sensitive to the oxidant exposure than the other tissue-derived cells. 4-HNE exhibited only marginal effects on the β-cell viability at pathologically workable concentrations; in contrast, hydrogen peroxide displayed a much more striking effect. Hydrogen peroxide has been shown to induce calcium influx via the TRPM2 channel and concomitant cell death in RINm5F cells (12), suggesting that this oxidant-mediated cytotoxicity was provoked by specific cellular signaling rather than by generalized oxidative stress.
Although GSH levels in red blood cells have been reported to decrease in Type 2 diabetes patients (21), information of the levels in the islets are thus far only limitedly available (26, 35). The present study demonstrated that steady-state GSH levels in the β-cell models as well as the primary culture of rat islet β-cells are considerably lower than cells derived from other tissues. These observations are consistent with a previous study (26) in which there were reportedly lower GSH levels in mouse β-cell derived βTC3 cells than in the pancreatic AR42J acinar cells. In addition, steady-state GSH levels inversely coincided with the susceptibility to oxidative stress in the cells used, and the inhibition of GSH synthesis by BSO augmented the sensitivity to the oxidants. Moreover, supplementation of intracellular GSH reversed the oxidant-mediated cytosolic translocation of PDX-1 as well as cytotoxicity in the β-cell models. Similar results showing L-cysteine-mediated protection of RINm5F cells from hydrogen peroxide have been reported (24). Consequently, these observations reveal that low intracellular GSH levels sustained in the β-cells are directly involved in the susceptibility to oxidative stress.
The precise physiological role and molecular basis of the subtle antioxidant system in islets has not been adequately elucidated. The present study demonstrated how the total GSH levels are regulated in the β-cells. The de novo GSH synthesis is controlled by the rate-limiting enzyme
-GCS as well as intracellular L-cysteine levels resulting from system xc– function. Intermediate expression levels in the catalytic subunit of
-GCS, compared with other metabolic tissues, in rat islets have been reported (35). Treatment of the β-cell models as well as islet β-cells from neonatal rats with L-cysteine or L-cystine at concentrations much lower than NAC forcefully increased intracellular GSH levels, although no effect was observed in NRK-49F cells. L-Cystine, the added concentration of which (0.05–0.1 mM) was several times lower than that in the cell culture medium (0.21 mM as L-cystine), may increase intracellular L-cysteine in parallel with extracellular circumstances by system xc– and thereby augment the intracellular GSH levels. These results suggest that the transporter system xc– is a critical factor to maintain GSH levels, and the enzymes required for its synthesis adequately function in the β-cells. L-Cysteine added exogenously effectively increased GSH levels as well and, therefore, could be substituted for L-cystine. The genetic expressions of xCT and 4F2hc in RINm5F cells were similar to those in NRK-49F cells; however, the intrinsic transport activities as expressed by Vmax/Km of system xc– in the β-cell models were significantly lower than those in fibroblastic cells. Consequently, it is suggested that the limited intrinsic transport activity of system xc– plays a role in the restricted GSH levels and, thereby, makes β-cells become susceptible to oxidative stress.
Growing evidences suggest the efficacy of antioxidants in the protection and/or preservation of the β-cell function from glucose toxicity. Forced expression of catalase and GPx or in combination with SOD has been shown to provide protection of insulin-secreting cultured cells (20, 31, 33) as well as islets (2, 22, 35) from oxidative insults. It has been reported (14) that ingestion of NAC in combination with vitamin C and E in db/db mice, a well known obese model for Type 2 diabetes, reversed mass loss in islets and the nuclear levels of PDX-1. Similar preservative effects of antioxidants on β-cell function have been observed in other models of Type 2 diabetes, such as Zucker diabetic fatty rats (30) and Goto-Kakizaki rats (11). Therefore, it is expected that deterioration of β-cell function during continued hyperglycemia could be protected by antioxidant therapy, which would be likely to be particularly effective in the early phase of Type 2 diabetic patients. On the other hand, the targets of the anti-"glucose toxicity" therapy have been focused on anti-oxidant enzymes such as catalase, SOD, and GSH peroxidase, based on only a small number of research papers that specifically demonstrated reduced activity or content of these enzymes (17, 32). The present study suggests system xc– to be another valuable target of antioxidant therapy in diabetes and possibly acute pancreatitis, which is particularly attractive because simple supplementation of L-cysteine would be as effective as gene therapies as well as the combination of several antioxidants.
It has been reported (13) recently that treatment of islet cells with L-cysteine at concentrations higher than those used in the present study suppresses insulin secretion. The authors concluded that the hydrogen sulfide produced from L-cysteine in the cells inhibits the insulin secretory process, although they did not observe the GSH level. We have also observed lower concentrations of L-cysteine, which sufficiently increase GSH levels, induced a significant decrease in insulin secretion in HIT-T15 and RINm5F cells (unpublished results). In conjunction with the present results, it might be suggested that treatment of islets with L-cysteine may result in an increased intracellular GSH in addition to the production of hydrogen sulfide, which would cause a decrease in glucose-dependent insulin secretion in a short period of exposure. This idea is consistent with the hypothesis proposed by Fridlyand and Philipson (7), who suggested adaptive inhibition of ROS production leads to a decrease in insulin secretion. Therefore, an increase in the antioxidant in β-cells may not be the sole therapy required for the glucose toxicity that occurs in Type 2 diabetes. In any event, the results from the present study do suggest that an increase in GSH protects against a reduction of the islet cell mass that results from long-term exposure to the oxidative stress.
| GRANTS |
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| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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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. Section 1734 solely to indicate this fact.
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