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* Laboratory of Signal Transduction, Department of Experimental Medicine and Biochemical Sciences, University of Rome Tor Vergata, 00133 Rome;
Centre National de la Recherche Scientifique, UMR 1599, Institut Gustave Roussy, F94805 Villejuif, France; and
Section of Anatomical Sciences, University of Palermo, Italy
1Correspondence: Laboratory of Signal Transduction, Department of Experimental Medicine and Biochemical Sciences, University of Rome Tor Vergata, via di Tor Vergata 135, 00133 Rome. E-mail: tesrob{at}flashnet.it
| ABSTRACT |
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m and swelling
of isolated mitochondria, which results in the mitochondrial release of
cytochrome c, apoptosis inducing factor, and caspase 9.
Soluble factors released from GD3-treated mitochondria are sufficient
to trigger DNA fragmentation in isolated nuclei. All these effects can
be blocked by cyclosporin A, suggesting that GD3 is acting at the level
of the permeability transition pore complex. We found that endogenous
GD3 accumulates within mitochondria of cells undergoing apoptosis after
ceramide exposure. Accordingly, suppression of GD3 synthase (ST8)
expression in intact cells substantially prevents ceramide-induced

m dissipation, indicating that endogenously
synthesized GD3 induces mitochondrial changes in vivo.
Finally, enforced expression of bcl-2 significantly prevents
GD3-induced mitochondrial changes, caspase 9 activation, and apoptosis.
These results show that mitochondria are a key destination for
apoptogenic GD3 ganglioside along the lipid pathway to programmed cell
death and indicate that relevant GD3 targets are under bcl-2
control.Rippo, M. R., Malisan, F., Ravagnan, L., Tomassini, B.,
Condo, I., Costantini, P., Susin, S. A., Rufini, A., Todaro, M.,
Kroemer, G., Testi, R. GD3 ganglioside directly targets mitochondria in
a bcl-2-controlled fashion.
Key Words: apoptosis permeability transition AIF cytochrome c caspase 9
| INTRODUCTION |
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Ceramide is a diffusible lipid mediator that is generated early during
apoptosis from the hydrolysis of membrane sphingomyelin (SM) by
sphingomyelinases (1
2
3)
. When the apoptotic program is
initiated at the cell surface from death receptors, a death
domain/FADD/caspases-dependent acidic sphingomyelinase (ASM) is
responsible for SM hydrolysis and the transient accumulation of
apoptogenic ceramide within 5 to 15 min (4
5
6
7
8
9)
. Ceramide
is then rapidly converted, through the stepwise addition of sugars and
sialic residues, to gangliosides. About 10 to 30 min after CD95
cross-linking, in fact, GD3 ganglioside is neosynthesized and
prominently accumulates (10)
. The neosynthesis of GD3
ganglioside, mediated by a GD3 synthase (
2,8-sialyltransferase or
ST8) (11
12
13
14)
, is critical to signal progression, since
GD3 can directly trigger apoptosis and suppression of ST8 expression
substantially prevents ceramide- and CD95-induced cell death
(10)
. In hemopoietic cells, the early accumulation of GD3
requires ASM-derived ceramide, since ASM-deficient cells fail to
accumulate GD3 and fail to effectively execute the apoptotic program on
CD95 cross-linking, whereas transfer of ASM into ASM-deficient cells
reconstitutes GD3 accumulation and efficient apoptosis
(15)
. Therefore, ASM and ST8 belong to a single pathway
that promotes the progression of apoptotic signals by ultimately
generating GD3 ganglioside.
GD3 targets, however, remain unclear. Cells undergoing apoptosis on GD3
exposure display early loss of mitochondrial transmembrane potential
(
m) (10)
. Accordingly, recent evidences
indicate that GD3 contributes to the opening of the permeability
transition pore complex (PTPC) in isolated mitochondria
(16
17
18)
. Mitochondria play a central role in the
apoptotic program by directing the activation of executioner caspases
once irreversible cell damage occurs (19)
. Early during
the apoptotic process the 
m is dissolved,
likely due to the opening of the PTPC, causing mitochondrial swelling
and rupture of the outer mitochondrial membrane (20)
. This
is associated with the release of apoptogenic factors, normally
confined between the mitochondrial membranes, including cytochrome
c (21
, 22)
, apoptosis inducing factor (AIF)
(23
, 24)
, and selected caspases (25)
.
Cytochrome c and AIF, through different pathways, are both
capable of triggering key nuclear events such as chromatin
condensation, activation of endonucleases, and DNA fragmentation.
Here, we provide evidence that GD3 ganglioside, which accumulates in
cells undergoing apoptosis, can directly interact with mitochondria,
causing 
m dissipation and the release of
cytochrome c, AIF, and caspase 9. These events can be
largely prevented by bcl-2. Thus, the lipid pathway recruits
mitochondria to the apoptotic program through GD3 ganglioside.
| MATERIALS AND METHODS |
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Western blotting
Supernatants from mitochondria (6800 g for 15 min;
then 20,000 g for 1 h; 4°C) were analyzed by sodium
dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and
blotted onto nitrocellulose membranes. Cytochrome c was
detected using a monoclonal antibody (clone 7H8.2C12, PharMingen, San
Diego, Calif.), AIF by means of a rabbit antiserum directed against the
amino acid residues 151200 (24)
, and caspase 9 by a
rabbit antiserum directed to the p18 subunit (kindly provided by Dr. D.
Nicholson, Merck, Rahway, N.J.). Blots were revealed by ECL (Amersham,
Buckinghamshire, U.K.), according to manufacturer instructions.
T cell lymphoma CEM cells (1x106) stably transfected with Bcl-2 cDNA or with the corresponding empty vector as control were treated with GD3 200 µM for 6 h. Cytosolic lysates were subjected to SDS-PAGE and then transferred to a nitrocellulose membrane. The membranes were incubated with a rabbit polyclonal antibody directed to the caspase-9 carboxyl terminus (Santa Cruz, Santa Cruz, Calif.) and revealed by ECL.
Evaluation of nuclear changes in a cell-free system
DNA fragmentation activity in the supernatant of mitochondria
was tested on HeLa cell nuclei, as described (27)
.
Briefly, purified HeLa nuclei were resuspended in 50 mM Tris-HCl, pH
7.2, and supernatants of mitochondria were added (90 min, 37°C).
Nuclei were then stained with propidium iodide (Sigma) and analyzed
with a FACScan (Becton Dickinson, Rutherford, N.J.) to determine the
frequency of hypodiploid nuclei.
Immunoelectron microscopy
Thin sections (80 nm) were prepared from cells treated with
C2-ceramide, fixed in 2% paraformaldehyde and 0.5% glutaraldehyde, in
0.1 M Sorensens phosphate buffer, embedded in LR white acrylic resin
using gelatin embedding capsules (EMS, Ft. Washington, Pa.).
Polymerization was accomplished at 50°C for 48 h. Sections
mounted on formavar pretreated gold grids were incubated for 10 min
with 10% H2O2, rinsed in
distilled water, and treated with 1% bovine serum albumin (BSA) for 10
min to minimize nonspecific staining. Sections were then incubated
overnight at 4°C with anti-GD3 mAb (clone R24, IgG3, gift from Dr.
L. L. Old, Ludwig Institute, New York) and isotype matched
control, followed by a 10 nm gold-conjugated goat antiserum to mouse
(Aurion BSA-C kit, Aurion Wageningen, The Netherlands). Sections were
counterstained with 2% uranyl acetate (5 min) and lead citrate (1
min), then analyzed by electron microscopy (JEOL Jem 1220).
GD3 synthase antisense experiments
T cell lymphoma CEM cells were incubated for 66 h in RPMI
1640 medium containing 10 mM HEPES pH 7.4, 1.0 mM sodium pyruvate, and
10% fetal bovine serum (FBS), with 40 µM of GD3 synthase antisense
phosphorothioate oligodeoxynucleotides (5'-CAGTACAGCCATGGCCCCTCT-3')
(28)
. As control, a scrambled sequence of the same
oligodeoxynucleotides (5'-CGACCTACCTATGCGCTACCG-3') or another
irrelevant sequence was used at the same concentrations. After GD3
synthase antisense treatment, the cells were viable but unable to
synthesize GD3 in response to ceramide (ref 10
and data
not shown). Cells were washed once and resuspended in the above medium,
then treated with 40 µM C2-ceramide.
Measurement of mitochondrial transmembrane potential in vivo
Dissipation of the mitochondrial transmembrane potential
(
m) and generation of reactive oxygen
species (ROS) were assessed by staining cells with 16 nM
3,3'-dihexyloxacarbocyanine iodide (DiOC6
(2)
, Molecular Probes) combined with 4 µM
dihydroethidium (HE, Molecular Probes, Eugene, Oreg.) for 20 min at
37°C, followed by FACS analysis (29)
.
Transfections of Bcl-2 overexpressing cells
T lymphoma CEM cells stably overexpressing bcl-2
(30)
, kindly provided by Dr. R. Kofler (University of
Innsbruck), were treated with GD3 (200 µM) in RPMI 1640, 10% FBS.
Hypodiploid nuclei were assessed by staining cells with a hypotonic
fluorochrome solution (propidium iodide 50 µg/ml (Sigma) in 0.1%
sodium citrate plus 0.1% triton X-100) for 48 h at 4°C in the dark
and analyzed by a FACScan.
The GD3 synthase cDNA was cloned in pEGFP-C3 expression vector (Clontech, Palo Alto, Calif.), fused to the GFP by the amino-terminal portion at the ApaI site. In 0.5 ml of RPMI 1640, 10 x 106 cells were incubated for 10 min on ice with 20 µg of pEGFP-ST8 cDNA or pEGFP empty vector. Cells were then electrophoresed (Gene Pulser, Bio-Rad, Hercules, Calif.) at 290V, 950 µF, left 30 min on ice, and resuspended in 5 ml of RPMI 1640, 10% FBS. After 4 h, live cells were recovered by lymphoprep density gradient centrifugation and replated. After 24 h, apoptotic cells, among green fluorescent cells, were evaluated by fluorescence microscopy.
| RESULTS |
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m)
m
(10)
m, isolated rat liver mitochondria
were exposed to GD3 and mitochondrial swelling was measured. GD3, but
not GD1a (or other commercially available gangliosides such as GM1 and
GM3, not shown), was able to induce a dramatic swelling of mitochondria
within minutes. On the contrary, ceramide was unable to induce swelling
of isolated mitochondria, suggesting that ceramide-induced
mitochondrial changes during apoptosis might require GD3
neosynthesis. GD3-induced effects were completely prevented in the
presence of CsA, indicating that GD3 is causing the opening of the
mitochondrial PTPC (Fig. 1
|
GD3-induced 
m collapse causes the release of
apoptogenic factors from mitochondria
Dissipation of 
m and swelling is often
associated with rupture of the outer mitochondrial membrane and the
release of multiple factors from the intermembrane space into the
cytosol (19
, 25)
. We therefore investigated whether
GD3-induced 
m loss was causing the release
of apoptogenic factors and mitochondrial caspases. Isolated
mitochondria exposed for 15 min to GD3, but not to GM3 (or GD1a, not
shown), released cytochrome c, AIF (24)
, and
the p32 cleavage product of caspase 9 (25)
(Fig. 2
). Cytochrome c, AIF, and p32 caspase 9 release was
completely prevented by pretreating mitochondria with CsA, indicating
that GD3-induced mitochondrial PTPC opening and consequent

m collapse were responsible for the
cytosolic release of apoptogenic factors.
|
GD3-released mitochondrial factors are sufficient to drive DNA
fragmentation
In cells undergoing apoptosis, released cytochrome
c and AIF trigger caspase-dependent and independent events
that eventually result in the induction of nuclear DNA fragmentation
(23
, 24
, 31)
. The ability of soluble factors released from
mitochondria on GD3 contact to trigger nuclear DNA fragmentation was
therefore investigated in a cell-free system. Isolated HeLa nuclei were
exposed to supernatants derived from isolated mitochondria forced to

m collapse by in vitro GD3
treatment and DNA content analyzed by flow cytometry. Only supernatants
from GD3-treated mitochondria, but not from GM3 or GD1a-treated
mitochondria, were effectively inducing DNA fragmentation in
isolated nuclei (Fig. 3
). This effect was completely prevented by cyclosporin A pretreatment of mitochondria. Direct exposure of isolated nuclei
to GD3 did not result in DNA fragmentation or nuclear damage (data
not shown). Thus, apoptogenic GD3 is sufficient to drive
mitochondrial changes, and subsequent nuclear events, which are
associated with apoptosis.
|
Endogenously synthesized GD3 induces mitochondrial changes
To investigate whether endogenous GD3 might target mitochondria
in vivo, the possible accumulation of GD3 within
mitochondria was investigated by immunoelectron microscopy. After
30
min exposure to apoptogenic doses of ceramide, GD3 was frequently found
associated with membranes of swelling mitochondria (Fig. 4
, black dots). We then investigated whether accumulation of GD3 was
causing mitochondrial damage in vivo. CEM cells were
pretreated with ST8 antisense oligodeoxynucleotides (28)
to suppress the expression of ST8 and prevent the neosynthesis of GD3
on ceramide exposure (10)
. Cells were then treated with
apoptogenic ceramide and mitochondrial changes evaluated. Pretreatment
with ST8-antisense, but not with a scrambled sequence of the same
oligodeoxynucleotides, resulted in a substantial reduction of
ceramide-induced 
m loss and ROS generation
(Fig. 5
). ST8-antisense could not, however, prevent GD3-induced mitochondrial
changes (Fig. 5)
or GD3-induced apoptosis (not shown). These data
strongly suggest that endogenously generated GD3 induces mitochondrial
failure during apoptosis.
|
|
Enforced expression of bcl-2 prevents GD3-induced mitochondrial
changes, caspase 9 activation, and apoptosis
The above results provide both in vitro and in
vivo evidence for a role of GD3 in the induction of mitochondrial

m disruption. Since anti-apoptotic bcl-2
family members directly interfere with PTPC opening and

m loss (32
, 33)
, the ability
of bcl-2 to protect from GD3-induced mitochondrial damage and apoptosis
was investigated. CEM cells stably transfected with bcl-2 or with the
corresponding empty vector as control were exposed to GD3, and the
induction of permeability transition and ROS generation was measured.
Bcl-2 overexpressing CEM cells displayed resistance to
GD3-induced mitochondrial changes compared to the control cells
(Fig. 6A
).
|
Cytochrome c, released concomitantly to

m dissipation, interacts with APAF-1,
causing the recruitment and activation of caspase 9, dictating
irreversible commitment to apoptosis (34)
. This event can
be effectively counteracted by bcl-2 (35)
. The ability of
GD3 to induce caspase 9 activation in vivo and the possible
interference by bcl-2 were therefore investigated. As shown in Fig. 6B
, exposure of CEM cells to GD3 induced pro-caspase 9
degradation and the appearance of a 32 kDa cleavage product within
6 h, whereas no caspase 9 activation could be detected in CEM
cells stably overexpressing bcl-2. Accordingly, GD3-induced apoptosis
was substantially delayed in bcl-2 overexpressing CEM cells (Fig. 6C
).
Finally, to assess whether bcl-2 could protect cells from endogenous
GD3 overproduction, a GFP-tagged ST8 (GFP-ST8) was transiently
expressed in CEM cells stably overexpressing bcl-2. Essentially all
cell death induced by GFP-ST8 in control CEM cells could be blocked in
CEM overexpressing bcl-2 (Fig. 7
). Together, these data indicate that GD3-induced damage is mostly
confined at sites that can be restrained by bcl-2.
|
| DISCUSSION |
|---|
|
|
|---|
GD3 rapidly accumulates in cells undergoing ceramide-dependent
apoptosis by the action of ST8, a polysialyltransferase mostly resident
in the endoplasmic reticulum and early Golgi compartment (ER/EG)
(11
12
13
14)
. ST8 generates GD3 from its immediate precursor
GM3 by adding a second sialic acid to the GM3 sialic residue. Although
little information is currently available concerning ST8 regulation
in vivo, excess ceramide accelerates the rate of GD3
neosynthesis, resulting in GD3 accumulation (10)
. In
hemopoietic cells, excess ceramide derives initially from the
accelerated hydrolysis of sphingomyelin by the action of acidic
sphingomyelinase (ASM), boosted by membrane clustering of death
receptors and death domain/FADD-dependent caspases activation
(4
5
6
7
8
9)
. Therefore, excess ceramide generated in acidic
compartments by ASM feeds into the ganglioside biosynthetic pathway
down to GD3 accumulation (15)
, which occurs mostly in the
ER/EG compartment. Mitochondria may come into close contact with the
ER/EG, which they form a functionally interconnected network with
(36
, 37)
. GD3 accumulated in the ER/EG could therefore
interact with close-by mitochondrial membranes or be physically
redistributed to mitochondrial membranes. Further studies will clarify
this issue.
GD3 efficiently disrupts 
m in intact cells
(10)
. Moreover, recent reports indicate that GD3 is a
potent inducer of mitochondrial permeability transition in isolated
mitochondria (16
, 17)
. We show here that GD3 is sufficient
to cause the release of apoptogenic cytochrome c, AIF, and
caspase 9 from isolated mitochondria and, remarkably, that GD3-treated
mitochondria can release factors that are sufficient to induce DNA
fragmentation in isolated nuclei. Moreover, selective suppression of
ST8 expression in vivo, and therefore of endogenous GD3
neosynthesis, significantly prevented ceramide-induced

m dissipation. Although ceramide-dependent
pathways might affect mitochondrial function through kinase/phosphatase
cascades regulating Akt activity and bad phosphorylation (38
, 39)
, the evidence presented indicates that some relevant effects
of ceramide on mitochondria may require conversion to GD3.
Endogenously generated GD3 accumulates within mitochondria and causes
mitochondrial changes in vivo in cells undergoing apoptosis.
This finding allows the enlistment of GD3 ganglioside among the
natural macromolecular inducers of mitochondrial permeability
transition, mobilized to recruit mitochondria to the apoptotic program.
They include pro-apoptotic bcl-2 family members such as bax
(40
41
42
43)
, bak (44)
and p15bid
(45
46
47)
as well as AIF (24)
and selected
caspases (32)
.
Most known mitochondrial permeability transition inducers seem to act
at the level of PTPC, a multiprotein complex situated at contact sites
between the inner and the outer mitochondrial membranes. Dimeric bax
resides in mitochondrial membranes, where it participates to the
regulation of the PTPC by directly interacting with the adenine
nucleotide translocator (48)
and, together with bak, with
the voltage-dependent anion channel (44
, 49)
, both
components of the PTPC. Monomeric bax translocates from the cytosol to
the mitochondria in cells undergoing apoptosis (50)
, and
BH3-mediated homotypic interactions with resident bax might directly
affect mitochondrial permeability transition. Similarly, p15bid,
resulting from caspase 8-mediated cleavage of bid
(45
46
47)
, relocates to the mitochondria and very
efficiently alters PTPC function (51)
. AIF is responsible
for both the direct induction of nuclear changes and the cytosolic
amplification of the apoptotic response, by acting on nearby
mitochondria through yet unknown mechanisms (23
, 24)
.
Caspases can lower the mitochondrial permeability transition threshold
by processing mitochondrial bcl-2 family members known to stabilize the
PTPC, such as bcl-2 and bcl-XL (32)
. The protective
effects of bcl-2 on GD3-induced apoptosis strongly suggest that
relevant GD3 targets are controlled by bcl-2.
Different from cytosolic apoptotic effectors of proteic nature, GD3
ganglioside is likely to reach mitochondria via physical continuity
between ER/EG and mitochondrial membranes (36
, 37)
.
Recruitment of available mitochondria through membrane connections is
expected to be a slower process compared to diffusion of soluble
products within the cytosol. This might explain the generally slower
kinetics of apoptosis experimentally induced in vitro by
ceramides, or by GD3 itself, compared to death receptor cross-linking
agents activating upstream caspases. Accumulation of
sphingomyelin-derived ceramides during acute stress responses occurs in
simple organisms that lack caspases or bcl-2 family members (52
, 53)
. Membrane-directed delivery of death messages may therefore
represent an evolutionary ancient mechanism for the recruitment of
mitochondria to the cell death program.
Mitochondria appear therefore to represent a critical destination of the lipid pathway. In fact, GD3 is unable to directly affect nuclear membranes and/or cause nuclear events associated with apoptosis, whereas supernatants from GD3-treated mitochondria are entirely competent in inducing DNA fragmentation within isolated nuclei. This suggests that GD3 is not generically perturbing cellular membranes. Pretreatment of isolated mitochondria with cyclosporin A completely suppressed GD3-induced swelling and release of apoptogenic factors, indicating that GD3 is acting at the level of the PTPC. Whether this is due to a direct interaction with any of the PTPC components, some of which are currently unknown, or to a local perturbation of specific mitochondrial membrane microdomains affecting electrical and spatial constraints relevant to the PTPC physiology remains to be established.
| ACKNOWLEDGMENTS |
|---|
Received for publication December 9, 1999.
Revision received April 4, 2000.
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