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(The FASEB Journal. 2000;14:532-542.)
© 2000 FASEB

Oxidized LDLs alter the activity of the ubiquitin-proteasome pathway: potential role in oxidized LDL-induced apoptosis

OTÍLIA VIEIRA*,{dagger}, ISABELLE ESCARGUEIL-BLANC*, GÜNTHER JÜRGENS{ddagger}, CHRISTOPH BORNER§, LEONOR ALMEIDA{dagger}, ROBERT SALVAYRE*1 and ANNE NÈGRE-SALVAYRE*1

* INSERM U.466, Biochemistry Department, University Paul Sabatier, Toulouse, France;
{dagger} Laboratorio de Bioquimica, Faculdade de Farmacia and Centro de Neurociências, Universidade de Coimbra, 3000 Coimbra, Portugal;
{ddagger} Institute of Medical Biochemistry, Karl-Franzen Universität Graz, Austria; and
§ Institute of Biochemistry, University of Fribourg, Switzerland

1Correspondence: INSERM U-466 and Biochimie, CHU Rangueil, 1 Avenue Jean Poulhès, 31403 Toulouse Cedex 04, France. E-mail: anesalv{at}rangueil.inserm.fr or salvayre{at}rangueil.inserm.fr


   ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
Oxidized low-density lipoproteins (oxLDL) play a role in the genesis of atherosclerosis. OxLDL are able to induce apoptosis of vascular cells, which is potentially involved in the formation of the necrotic center of atherosclerotic lesions, plaque rupture, and subsequent thrombotic events. Because oxLDL may induce structural modifications of cell protein and altered proteins may impair cell viability, the present work aimed to evaluate the extent of protein alterations, the degradation of modified proteins through the ubiquitin-proteasome system (a major degradative pathway for altered and oxidatively modified proteins) and their role during apoptosis induced by oxLDL. This paper reports the following: 1) oxLDL induce derivatization of cell proteins by 4-hydroxynonenal (4-HNE) and ubiquitination. 2) Toxic concentrations of oxLDL elicit a biphasic effect on proteasome activity. An early and transient activation of endogenous proteolysis is followed rapidly by a subsequent decay (resulting probably from the 26S proteasome inhibition) and followed later by the inhibition of the 20S proteasome (as assessed by inhibition of sLLVY-MCA hydrolysis). 3) Specific inhibitors of proteasome (lactacystin and proteasome inhibitor I) potentiated considerably the toxicity of oxLDL (nontoxic doses of oxLDL became severely toxic). The defect of the ubiquitination pathway (in temperature-sensitive mutants) also potentiated the toxicity of oxLDL. This suggests that the ubiquitin-proteasome pathway plays a role in the cellular defenses against oxLDL-induced toxicity. 4) Dinitrophenylhydrazine (DNPH), an aldehyde reagent, prevented both the oxLDL-induced derivatization of cell proteins and subsequent cytotoxicity. Altogether, the reported data suggest that both derivatization of cell proteins (by 4-HNE and other oxidized lipids) and inhibition of the proteasome pathway are involved in the mechanism of oxLDL-induced apoptosis.—Vieira, O., Escargueil-Blanc, I., Jürgens, G., Borner, C., Almeida, L., Salvayre, R., Nègre-Salvayre, A. Oxidized LDL alter the activity of the ubiquitin-proteasome pathway: potential role in oxidized LDL-induced apoptosis.


Key Words: oxidized LDL • 4-hydroxynonenal • proteasome • ubiquitin • apoptosis


   INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
ATHEROSCLEROSIS AND SUBSEQUENT vascular diseases are the first cause of morbidity and mortality in Western countries. Atherosclerotic lesions associate to variable degrees with accumulation of lipid laden macrophagic cells, proliferating smooth muscle cells, fibrosis, and necrotic areas in the subendothelial space of the arterial wall (1 , 2) . Low-density lipoproteins (LDL) play an important role in atherogenesis (3) and are thought to become atherogenic after undergoing oxidative modifications (4) . LDL oxidation is mediated by free radicals generated by vascular cultured cells, transition metals, and heme proteins such as ferrylmyoglobin (5 , 8) . During the initial steps of the oxidative process, antioxidants are consumed and lipid peroxidation begins to rise, leading to the formation of mildly oxidized LDL (characterized by relatively low levels of lipid peroxidation products without or only minor changes in apoB). Later, progression of the oxidative process leads to the formation of extensively oxidized LDL (containing high levels of lipid peroxidation products and severe apoB alterations), which is detected in atherosclerotic plaques (4 , 9) .

Oxidized low-density lipoproteins (oxLDL) exhibit a wide spectrum of biological properties and are able to induce events potentially involved in atherogenesis, such as monocytes chemotaxis, foam cells formation, endothelial dysfunction, smooth muscle cell proliferation, and cytotoxicity to cultured cells (4 5 6 7 , 10) . Lipid peroxidation products (e.g., oxysterols and aldehydes) contained in oxLDL are able to elicit apoptosis or necrosis of cultured cells (13 , 14) through a calcium-dependent pathway (14 , 15) . The primary cellular targets and the precise mechanisms of toxicity are only poorly understood.

OxLDL contain MDA, 4-HNE, hexanal, and other aldehydes (6) able to form apoB- and cell proteins-adducts that are detected in atherosclerotic areas (9 , 16 17 18) . Derivatization may induce dramatic changes in the functional properties of proteins; for instance, apoB modifications alter LDL metabolism (4 , 8) and cell protein derivatization may lead to a loss (19) or gain of function (20 21 22) , which may deregulate cell functions. These events may play a significant role in atherosclerosis and other pathophysiological processes (such as inflammatory reactions, aging, and related pathologies) (23 , 24) .

Cellular defense systems against oxidized proteins consist in proteolytic degradation (25 , 26) through a multicatalytic proteinase complex (proteasome), either dependent or independent of the ubiquitin system (25 26 27 28 29 30 31) . The 26S proteasome complex is constituted by a central 20S proteolytic core (20S proteasome) associated with two regulatory subcomplexes, termed PA700 or 19S and PA28 (or 11S regulator) (26 , 27) . Ubiquitination of proteins is performed by the ATP-dependent ubiquitin system, and polyubiquitinated proteins are targeted to the 26S proteasome for degradation (28 29 30 31) . The ubiquitin-dependent proteolytic pathway (26S proteasome) is involved in the continuous turnover of regulatory proteins and in the selective degradation of misfolded and denatured proteins. It is thought to play a major role in regulating numerous cell processes (signal transduction, cell cycle progression, transcription, endocytosis, apoptosis) and ‘detoxifying’ altered proteins (25 26 27 28 29 30 31) . Misfolded or ubiquitin-tagged, or moderately oxidized or otherwise structurally altered, proteins are valuable substrates for the proteasome, but heavily oxidized proteins are no longer degradable, accumulate, and may become toxic (25) .

As we have recently shown, 4-HNE contained in oxLDL was able to derivatize the EGF receptor, and we hypothesized that such a derivatization may modify the structure of a number of cell proteins, impair their functions, and finally alter cell viability.

We report here that incubation of cells with oxLDL induces derivatization of cell proteins by 4-HNE (4-HNE-protein adducts), ubiquitination of cell proteins, and (de)regulation of proteasome activity (i.e., early activation followed by late inhibition). Inhibition of proteasome reduces the toxicity threshold of oxLDLs and potentiates their toxic effect to ECV-304 cells, thus suggesting that, in these cells, accumulation of altered proteins is involved in oxidized LDL-induced apoptosis and that proteasome activity may be involved in cellular defenses against oxidized LDL-induced apoptosis.


   MATERIALS AND METHODS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
Chemicals and reagents
[3H] N-succinimidyl propionate (99.0 Ci/mmol), [35S]methionine/cysteine mixture (ProMix [35S] cell labeling kit, >1000 Ci/mmol), and ECL reagent were obtained from Amersham (Les Ulis, France); N-succinyl-L-leucyl-L-leucyl-L-valyl-Ltyrosine-7-amido-4-methyl coumarin (sLLVY-MCA) from Bachem (Voisins-le-Bretonneux, France); Lactacystin (Lc) and Proteasome Inhibitor I (PSI) from Calbiochem (Nottingham, UK); anti-ubiquitin (polyclonal) antibody, horse heart myoglobin, hydrogen peroxide, LLnL (N-acetyl-Leucyl-leucyl-norleucinal), and buthionine sulfoximine from Sigma (St. Louis, Mo.); and RPMI 1640, L-glutamine, penicillin, and streptomycin from Life Technologies (Cergy-Pontoise, France). All other chemicals (grade for biochemical analyses) were purchased from Merck (Darmstadt, Germany), Sigma, or Prolabo (Paris). Before use, metmyoglobin was purified by dialysis against phosphate buffered saline (PBS) pH 7.4 containing 50 µM DTPA and Chelex-100. Stock metmyoglobin and H2O2 solutions were standardized using {varepsilon}632 nm = 2.1 mM-1·cm-1 and {varepsilon}240 nm = 43.6 mM-1·cm-1, respectively.

LDL isolation and oxidation
LDL were isolated from human pooled and heat inactivated (1 h at 56°C) sera by ultracentrifugation, under the previously described conditions (16 , 32) , sterilized on 0.2 µM Millipore membrane, and stored at 4°C under nitrogen (up to 4 wk). The electrophoretic mobility of LDL was evaluated on agarose gel (Hydragel®; Sebia, Paris), and apoB was determined by immunonephelometry under the previously used conditions (15 , 16) .

LDLs were oxidized by incubation with metmyoglobin/H2O2 (18/27 µM) in PBS, at 37°C for 2 h, under the previously used conditions (32) . The level of LDL oxidation was evaluated by monitoring lipid hydroperoxides (33) , thiobarbituric reactive substances (34) , and 4-HNE content (35) .

Lipid peroxidation levels of mildly oxLDL used here ranged between 52 and 68 nmol lipid hydroperoxides/mg apoB, between 5 and 8 nmol TBARS/mg apoB, and between 12 and 15 nmol 4-HNE/mg apoB, without major modifications of apoB (32) .

Cell culture
ECV-304 human endothelial cell line (CRL-1998; ATCC, Rockville, Md.) were grown under the previously described conditions (15 , 32) . Briefly, all passages were made using a splitting ratio 1:4. Cells were seeded (two 105 cells/ml) in six multiwell plates or in falcons (Nunc, Roskilde, Denmark) and grown in RPMI 1640 medium containing Glutamax® supplemented with 10% heat inactivated fetal calf serum, 100 U/ml penicillin, and 100 µg/ml streptomycin (in 5% CO2, at 37°C). After starved in serum-free medium for 24 h before LDL addition, subconfluent cell cultures were incubated with oxLDL or native LDL, and inhibitors (PSI dissolved in ethanol and DNPH in DMSO—each solvent used at 0.1% final—were added at time 0, just before LDL addition) under the conditions indicated below.

H38–5 and ts20 fibroblasts were a generous gift of Dr. H. L. Ozer (36) . ts20 is a Balb/C 3T3 clone A31 fibroblast cell line that is temperature-sensitive for the E1 ubiquitin activating enzyme (i.e., E1 activity and ubiquitination are drastically decreased at 39°C). H38–5 is an E1-transfected (corrected) ts20 derivative that expresses E1 and ubiquitinates at all temperature. ts20-pMV12 and ts20Bcl-2#7 cell lines (which exhibit a similar decrease in ubiquitination at 39°C as the parental ts20 cell line) were generated in the laboratory of Dr. C. Borner (37) by retroviral transduction of the pMV12 hygro plasmid or the pMV12 hygro plasmid containing the mouse Bcl-2 cDNA, respectively. The ts20Bcl-2#7 cell line overexpresses Bcl-2 5- to 10-fold over controls. Cells were grown at 34 or 39°C as described previously (36 , 37) . Subconfluent cells were starved in serum-free RPMI 1640 for 24 h at 34°C before LDL were added, and the temperature was shifted to 39°C for 18 h.

In situ proteolysis measurements and in vitro determination of proteasome activity
The degradation of cellular proteins was determined under the conditions described by Grüne et al. (38) . Briefly, ECV-304, grown in six multiwell plates, were preincubated with a [35S]methionine/cysteine mixture (0.5 µCi/ml) in methionine-free MEM culture medium for 2 h (short-lived proteins) or 16 h (long-lived proteins). Then, short-lived– and long-lived–labeled cells were chased in standard RPMI 1640 medium containing 10 mmol/l of unlabelled methionine for 10 min and 2 h, respectively; then, cells were incubated with oxLDL or native LDL, washed twice in PBS, scrapped off and pelleted by centrifugation at 1,500g for 10 min. Cell proteins were then precipitated by 10% trichloroacetic acid (TCA) for 30 min at 4°C and after centrifugation (15,000g for 10 min), the radioactivity of TCA-soluble and TCA-precipitable fractions (precipitate dissolved in 50 µl of NaOH 1N) was counted by liquid scintillation counting (Aquasafe®, Packard Tricarb 4530, Downers Grove, Ill.).

The in vitro activity of the 20S proteasome was determined according to Grüne et al. (38) . Cells were harvested, pelleted, resuspended in PBS containing 0.1% Triton X-100 and 0.5 mM dithiotreitol, homogenized (sonication, two runs of 5 s, Bransonic sonicator) and used immediately for determining the enzymatic activity. The assay mixture contained 50 µl of buffer (50 mM Tris-HCl pH 7.8, 20 mM KCl, 5 mM MgCl2, and 0.1 mM DTT), 250 µM of sLLVY-MCA, and 50 µl of cell lysates (15 µg of proteins). After 30 min at 37°C, the reaction was stopped by adding 1 ml of 0.2 M glycine buffer pH 10 and the fluorescence of the liberated 7-amino-4 methylcoumarin was measured (spectrofluorometer Jobin-Yvon, excitation 365 nm, emission 460 nm). An aliquot of the cell homogenate was used for protein determination using the biscinchoninic reagent.

Western-blots experiments
ECV-304 cells, treated or not by oxLDL, were washed, scrapped off in PBS, centrifuged (2,000g for 5 min at 4°C) and lysed in solubilizing buffer (50 mM Tris pH 7.4, 250 mM NaCl, 5 mM EDTA, 1 mM Na3VO4, 10 mM Na pyrophosphate, 160 mM NaF, 2.5 mM PMSF, 10 µM leupeptin, 2 µM pepstatin, 10 µg/ml aprotinin, 1% triton X-100) for 30 min on ice. Fifty micrograms of cell lysates were resolved by electrophoresis in a 7.5% SDS-polyacrylamide gel, transferred onto nitrocellulose membranes (Hybond-C, Amersham), probed with an anti-ubiquitin antibody (Sigma) or an anti-4-HNE-protein antibody (K5–4412), and revealed by ECL system (Amersham) using a peroxidase-coupled secondary antibody, as previously used (22) .

Determination of free amino group content in cell proteins
The free amino group content of cell proteins was evaluated on cells homogenates using the amino-reactive probe [3H]N-succinimidyl propionate ([3H]NSP) (39) , under the previously used conditions (22) . Briefly, after incubation, cells were washed three times in PBS and homogenized in 0.5 M borate buffer pH 8.5 (sonication, two runs of 5 s). An aliquot of the cell suspension was saved for protein determination. Cell homogenates were let to react with 10 µCi of [3H]NSP (Amersham, 99.0 Ci/mmol) in 0.5 M borate buffer pH 8.5, for 15 min, in an ice bath (22) . Then, cell proteins were precipitated by TCA and the radioactivity counted as above indicated.

Determination of cytotoxicity and apoptosis
The whole cytotoxicity was evaluated by using the MTT test (40) . The number of morphologically apoptotic or/and necrotic cells was evaluated concomitantly on intact cultured cells (grown in six multiwell plates) according to the fluorescent double-staining we recently described (41) . Briefly, cells were incubated with two vital fluorescent dyes, 0.6 µM SYTO-13 (a permeant DNA intercalating green-colored probe) and 15 µM propidium iodide (a nonpermeant intercalating orange probe) and counted by using an inverted fluorescence microscope (Fluovert FU; Leitz, Rockleigh, N. J.). Normal nuclei exhibited a loose chromatin colored in green by SYTO; apoptotic nuclei exhibited condensed green-colored chromatin and/or fragmentation (postapoptotic necrosis being characterized by nuclei exhibiting the same apoptotic morphological features but orange-colored); necrotic cells exhibited orange-colored nuclei with loose chromatin. It may be noted that necrotic cells (orange-colored by propidium iodide) were generally stained by trypan blue. Alternatively, the morphology was also examined after May-Grünwald-Giemsa staining, as previously used (15) .

Biochemical methods were also used in order to evaluate the level of apoptosis and necrosis in the whole cell population. Chromatin fragmentation, evaluated by the procedure of McConkey et al. (42) , and lactate deshydrogenase released into the culture medium (Roche assay kit, MA kit 10), were determined under the previously described conditions (14 , 15) . The results were generally consistent with morphological counts (the data presented here were selected in order to avoid redundancy).


   RESULTS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
oxLDL induce derivatization and ubiquitination of cellular proteins
In ECV-304 cells, oxLDL induced a progressive time- and dose-dependent decay of the level of free [3H]NSP-reactive amino groups, whereas native LDL did not (Fig. 1A , B ). As shown by western blots revealed by anti-4-HNE antibody, the loss of [3H]NSP-reactive amino groups induced by oxLDL was associated with derivatization of cell proteins by 4-HNE, a lipid peroxidation derivative able to react with free amino groups of proteins (Fig. 1C ). This derivatization was mimicked by oxLDL lipid extracts (data not shown) and by 4-HNE (1 µM) (Fig. 1A , C ).



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Figure 1. In situ modifications of cell proteins induced by oxLDL in ECV-304 cells. A) Time course of [3H]NSP-reactive amino groups in cells incubated with 200 µg apoB/ml of native LDL (empty circles) or oxLDL (filled circles) or 1 µM of 4-HNE (filled squares). B) Effect of increasing concentrations of oxLDL (filled circles) or native LDL (empty circles), incubated for 5 h with the cells, on the level of [3H]NSP-reactive amino groups. In panels A and B, the results are expressed as percent of the initial value (control); means ± SE of three separate experiments. C, D) Detection of 4-HNE-adducts (C) or ubiquitinated proteins (D) in lysates of cells incubated for the indicated time without (Co, control) or with 200 µg/ml of oxLDL (oxL) or native (natL) or FeMb or 1 µM 4-HNE. Western-blot experiments were done using anti-4-HNE-protein or anti-ubiquitin or anti-ß-actin (as control) antibodies, used under the conditions indicated in Materials and Methods.

In the same time, an increased level of high-molecular-mass (HMM) ubiquitin-protein conjugates (HMM > 200 kDa) was observed in cells incubated with oxLDL but not in cells incubated with native LDL or FeMb (used alone) (Fig. 1D ). Thus, in cells treated by oxLDL, some proteins are probably recognized as structurally abnormal and tagged with ubiquitin probably for subsequent degradation through the ubiquitin-dependent proteolytic pathway. This led us to evaluate the proteasome activity in cells incubated with oxLDL.

Biphasic effect of toxic concentrations of oxLDL on the proteasome activity
OxLDL induced a time- and dose-dependent transient activation of in situ (i.e., in intact living cell) intracellular proteolysis of both short-lived and long-lived [35S]-radiolabelled proteins (Figs. 2A , B ). In contrast, native (nonoxidized) LDL did not. Toxic concentrations of oxLDL (200 µg apoB/ml) evoked a rapid and transient peak of in situ proteolysis (maximum between 1 and 3 h) followed by a return to the ground level at 5–7 h. It may be noted that lower oxLDL concentration (50 µg apoB/ml) also induced a transient peak of intracellular proteolysis that occurred later (maximum between 5 and 7 h) and then return slowly to the basal level (at 15 h) (Fig. 2A ).



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Figure 2. Effect of oxLDL on the proteasome activity (i.e., in situ proteolysis and in vitro hydrolysis of sLLVY-MCA) in ECV-304 cells. A) Time course of short-lived (squares) and long-lived (triangles) protein degradation in cells prelabeled with [35S]methionine/cysteine for 2 h (short-lived) or 16 h (long-lived) and incubated with 200 or 50 µg/ml of OxLDL (filled and empty symbols, respectively). B) Effect of increasing concentrations of oxLDL or native LDL (filled and empty symbols, respectively) (incubation time 5 h) on short-lived (squares) and long-lived (triangles) protein degradation. C) Time course of in vitro sLLVY-MCA hydrolysis by lysates from cells incubated for the indicated time with 200 µg/ml of oxLDL or native LDL (filled circles and empty squares, respectively). As a comparison, the in situ proteolysis, triggered under the same conditions (i.e., by 200 µg/ml of oxLDL), is indicated by the dashed line. D) Effect of proteasome inhibitors, LLnL (5 µM) and PSI (5 µM) on the in situ proteolysis (black bars) and on the in vitro hydrolysis of LLVY-MCA (hatched bars) (both activities being determined at 3 h under standard conditions). Means ± SE of at least four separate experiments.

Toxic concentrations of oxLDL (200 µg apoB/ml) induced also a biphasic effect on the in vitro hydrolysis of sLLVY-MCA (a fluorogenic synthetic peptide substrate for 20S proteasome) (Fig. 2C ), but the time course was different from that of in situ proteolysis. The in vitro hydrolysis of sLLVY-MCA began to rise at 2 h, then reached a plateau (sustained for 3–4 h), and finally decreased toward the baseline (back at 15 h).

Despite different time courses, both in situ proteolysis and in vitro hydrolysis of sLLVY-MCA resulted very probably from proteasome activity, as assessed by inhibition by the cell permeant inhibitors of proteasome, LLnL (5 µM), and PSI (5 µM) (Fig. 2D ).

It may be noted that intracellular accumulation of altered or derivatized proteins is obvious as early as 5 h (Fig. 1) and persisted for the duration of the experiment (18 h) (i.e., after the decay of in situ proteolysis) (Fig. 2) . This suggests that accumulation of derivatized and ubiquitinated proteins may result from alteration of the proteasome activity.

Toxic concentrations of oxLDL induced both the accumulation of altered cellular proteins and apoptosis in ECV-304 cells. Because accumulation of oxidized (or otherwise altered) proteins is potentially toxic to the cell (24 , 25) and proteasome is involved in the degradation of altered proteins, this led us to investigate whether proteasome inhibition and apoptosis induced by oxLDL were causally related or parallel unrelated events. This was investigated by using proteasome inhibitors and ubiquitination-deficient cells.

Proteasome inhibition potentiates the oxLDL-induced toxicity
The concentrations of proteasome inhibitors used here were not toxic per se (over the 24 h of the experiments) but were effective in inhibiting proteasome activity [i.e., inhibiting both the early peak of oxLDL-induced autoproteolysis (data not shown) and sLLVY-MCA hydrolysis (Fig. 2D )]. This concentration of proteasome inhibitors potentiated both the accumulation of ubiquitinated proteins and the oxLDL-induced toxicity. Proteasome inhibitors potentiated rapidly the accumulation of ubiquitinated proteins (data not shown) probably because of the inhibition of oxLDL-induced early peak of proteasome activation.

The potentiation of the oxLDL-induced toxicity by proteasome inhibitors was obvious at low (non- or slightly toxic) oxLDL concentrations, because, in the presence of inhibitors, the toxic effect of oxLDL to ECV-304 cells occurred faster and at lower concentrations (Figs. 3A , B ). For instance, when cells were incubated with low oxLDL concentration (50 µg apoB/ml) in the absence of proteasome inhibitor, no significant toxicity was observed (Figs. 3B , C ), thus suggesting that the toxic threshold dose of oxLDL (43) was not reached. In contrast, when the same experiment was performed in the presence of proteasome inhibitors, cells underwent apoptosis (Fig. 3C ). This suggests that proteasome inhibition lowered the threshold of oxLDL concentration inducing the cytotoxicity.



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Figure 3. Proteasome inhibitors potentiate the effect of oxLDL on ECV-304 cells. A–G) Effect of proteasome inhibitors, LLnL (5 µM), Lc (5 µM), and PSI (5 µM) on the whole toxicity (A, B) and apoptosis (C–G) induced by oxLDL. A) Time course of toxicity using 200 µg apoB/ml of LDL or native LDL (empty circles); B) Dose dependence of the toxic effect (determined at 24 h) induced by increasing concentrations of oxLDL (filled symbols) in the absence (filled circles) or presence of proteasome inhibitors LLnL, Lc, and PSI (filled squares and triangles, respectively). C) Apoptosis evaluated by morphological counting after 18 h incubation with low (nontoxic) concentration (50 µg apoB/ml) of oxLDL in the presence or absence of proteasome inhibitors LLnL (5 µM), Lc (5 µM), and PSI (5 µM). Means ± SE of three separate experiments. D–G) Double fluorescent staining of cell nuclei (by SYTO-13 and propidium iodide) discriminating normal cells and cells undergoing apoptosis (A), primary necrosis and postapoptotic necrosis (AN). E) Untreated cells. E–G) Cells incubated for 18 h with 50 µg apoB/ml of oxLDL in the absence (E) or presence (F) of 5 µM PSI, or with PSI alone (G). (*P<0.01).

Proteasome inhibitors did not alter the type of cell death induced by oxLDL (Fig. 3D-G ), because ECV-304 EC killed by low (not toxic per se) oxLDL concentrations in the presence of proteasome inhibitors exhibited the characteristic features of apoptosis, quite similarly to cells killed by toxic concentrations of oxLDL (15) .

These data suggest that proteasome activity may participate in the cellular defenses against oxLDL-induced toxicity and, conversely, that inhibition of endogenous proteolysis lowered the toxic threshold dose of oxLDL.

It may be noted that the oxLDL toxicity and its potentiation by proteasome inhibitors is not restricted to endothelial cells. In rabbit arterial smooth muscle cells, after 24 h incubation with 200 µg apoB/ml of oxLDL in the presence or absence of 10 µM PSI, the viability was 33 ± 4% and 78 ± 8%, respectively. In the U937 monocytic cell line, after 24 h incubation with 100 µg apoB/ml of oxLDL in the presence or absence of 10 nM PSI (this cell line is very susceptible to PSI), the viability was 30 ± 5% and 60 ± 7%, respectively (as assessed by the trypan blue test).

Defective ubiquitination potentiates oxLDL-induced apoptosis
As the degradation of altered proteins by proteasome may be ubiquitin-dependent or -independent (25) , we investigated whether the ubiquitin pathway is involved in the cellular defenses against oxLDL toxicity by using genetically engineered cells (derived from the E1-thermo-sensitive ts20 cell line). As previously reported (36 , 37) , ubiquitination was effective at 34°C in the three cell lines, and at 39°C in the E1-transduced H38–5, but was defective at 39°C in ts20pMV12 and ts20Bcl-2#7 cell lines (both in the presence or absence of oxLDL; Fig. 4A ).



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Figure 4. Influence of ubiquitination on the cytotoxicity of oxLDL in ts20 engineered cell lines ts20pMV12. H 38–5 and ts20Bcl-2#7 (ubiquitination is effective in the three cell lines at 34 and 39°C in the H38–5 cell line, whereas, it is defective at 39°C in ts20pMV12 and ts20Bcl-2#7) (37) . A) Western blot showing the ubiquination levels of the three cell lines incubated at 39°C for 5 h in the absence or presence of oxLDL (200 µg apoB/ml). B) Evaluation of the cytotoxicity of oxLDL (200 µg apoB/ml for 18 h) at 34 and 39°C.

The relative susceptibility of the three cell lines to the toxic effect of oxLDL was compared at 34 and 39°C. The toxicity of oxLDL (200 µg apoB/ml) to H38–5 cells (in which ubiquitination is always working) was quite similar at 34 and 39°C. In contrast, both ts20pMV12 and ts20Bcl-2#7 cell lines were much more susceptible to the toxic effect of oxLDL at 39°C (defective ubiquitination) than at 34°C (effective ubiquitination) (Fig. 4B ). These data suggest that the ubiquitin pathway plays a role in the cellular defenses against oxLDL-induced toxicity.

It may be noted that the Bcl-2 overexpressing ts20Bcl-2#7 was used in order to examine whether, in this model system (ubiquitin-defective), the oxLDL-induced apoptosis was counterbalanced by Bcl-2 overexpression or not. At 39°C, the ubiquitination-defective two cell lines ts20pMV12 (not expressing Bcl-2) and ts20Bcl-2#7 (overexpressing Bcl-2) were similarly susceptible to the toxic effect of oxLDL [over the time of the experiment (i.e., 18–24 h)], thus suggesting that Bcl-2 is not effective in preventing oxLDL-induced cell death. In contrast, in agreement with Monney et al. (37) , overexpression of Bcl-2 in ts20Bcl-2#7 increased the resistance of these cells against heat shock-induced cell death (data not shown).

DNPH prevents cell protein derivatization and oxLDL-induced cytotoxicity
As it resulted implicitly from the above reported data, that lipid peroxidation of oxLDL (e.g., 4-HNE) generates cell protein adducts that are potentially involved in the toxicity, we hypothesized that inhibition of cell protein derivatization should inhibit the toxic effect of oxLDL. Dinitrophenylhydrazine, a well-known reagent of lipid peroxidation-derived aldehydes, was used in order to scavenge oxLDL-generated aldehydic compounds. As expected, DNPH reduced both the level of 4-HNE-derivatized proteins (Figs. 5A ) and, at a lesser extent, the level of the whole derivatization of cell proteins (evaluated by [3H]NSP-reactive free amino groups) (Fig. 5B ). Concomitantly, DNPH (used at nontoxic concentration) was also able to inhibit the toxic effect induced by oxLDL (Fig. 5C ), thus supporting the hypothesis that cell protein derivatization induced by oxLDL is involved in their toxicity.



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Figure 5. DNPH prevents cell protein derivatization and cytotoxicity induced by oxLDL on ECV-304 cells. Cultured cells were incubated with or without 200 µg apoB/ml oxLDL in the absence (vehicle only) or presence of 100 µM DNPH (dissolved in DMSO). A, B) 4-HNE-adducts were evaluated at 16 and 24 h on western-blot probed with anti-4-HNE antibody (A), and the whole derivatization was determined at 24 h by titration of free reactive-amino groups by [3H]NSP (B), under the conditions of Fig. 1 . C) Cytotoxicity was evaluated at 24 h by the MTT test. Means ± SE of three separate experiments.


   DISCUSSION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
OxLDL toxicity may potentially be involved in the genesis of the necrotic core and of complicated atherosclerotic plaques prone to plaque rupture and thrombosis. The mechanism and type of cell death occurring in atherosclerotic areas may be of importance, because (in principle) apoptotic cells are rapidly engulfed and cleared, whereas necrotic cell debris may trigger a local inflammatory response. It is therefore of interest to better understand the cellular mechanisms regulating the susceptibility of cells to oxLDL cytotoxicity.

To our knowledge, this is the first study linking the toxicity induced by oxLDL with cell protein alterations and proteasome inhibition. Conversely, it is also suggested that the ubiquitin-proteasome pathway plays a role in the cellular defenses against the toxic effect of oxLDL.

The reported data show that lipid peroxidation derivatives (among them 4-HNE) contained in oxLDL are able to derivatize cell proteins, in agreement with the observation of Rosenfeld et al. (18) in macrophagic cells. Until now, the possible interactions between lipid peroxidation end products contained in oxLDL and cell proteins have been only poorly investigated in contrast to apoB modifications, which are well documented (see reviews in refs 4 , 6 ). Our data suggest that 4-HNE, a major aldehydic lipid peroxidation derivative able to form adducts with lysine, histidine, or cysteine of proteins (16 , 17) , seems to play a major role in oxLDL-induced derivatization of cell proteins. But, it is not excluded that other reactive compounds of oxLDL [e.g., malondialdehyde, fatty acid peroxides (9) ], may also derivatize cell proteins.

The dramatic accumulation of ubiquitinated proteins may result from two additional mechanisms. During the early time of incubation (up to 3 h with toxic concentrations of oxLDL), the rise of ubiquitination cannot result from a defect in the de-ubiquitination process (by the 19S complex) because the whole activity of the 26S proteasome is high and may result from an activation of the ubiquitination pathway. This may be because of the oxLDL-induced protein derivatization, given that 4-HNE is able to induce both protein derivatization and proteasome activation (44) . After 5 h, the inhibition of the 26S proteasome may constitute an additional mechanism of accumulation of ubiquitinated proteins (Fig. 6) .



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Figure 6. Role of the ubiquitin-proteasome pathway on cell survival (black). Sites of action and potential interferences of toxic concentrations of oxLDL (red), proteasome inhibitors, lactacystin and PSI (blue), and ubiquitination defect (temperature sensitive cells) (green). The colored arrows indicate the observed variations and their relationship with oxLDL or/and inhibitors.

OxLDLs affect, in a biphasic manner, the proteasome activity by inducing an early transient activation of proteasome followed by a sustained decay.

The early and transient peak (between 1 and 3 h with 200 µg apoB/ml of oxLDL) of proteolysis resulted from proteasome activation, as assessed by the use of proteasome inhibitors (whereas the basal proteolysis was probably proteasome-independent because it was not affected by proteasome inhibitors). This early proteasome activation may be subsequent to oxLDL-induced structural alterations and ubiquitination of cellular proteins, which are valuable substrates for the proteasome (23 24 25) . Activation of endogenous proteolysis and of sLLVY-MCA hydrolysis exhibited different time courses (the rise of sLLVY-MCA hydrolysis beginning 2 h after that of autoproteolysis). The activation of in vitro degradation of sLLVY-MCA synthetic substrate (cannot be attributed to substrate generation) may result from activation of the 20S proteasomal core by oxLDL. OxLDL may act either 1) by generating a cellular oxidative stress (47) , which is known to activate the 20S proteasome (and subsequently, NF{kappa}B) (48 , 49) , or 2) by activating protein kinases (22 , 51 , 52) , some of them being potentially able to phosphorylate and activate (50) the PA28 proteasome activator (which can in turn stimulate synthetic substrate hydrolysis by the 20S proteasome).

This transient proteasome activation was followed by a decay of proteasomal proteolysis toward the baseline. This decay resulted neither from a substrate (modified proteins) depletion, because high levels of derivatized proteins and ubiquitinated-HMM still persisted up to 18 h, nor from an irreversible inhibition of the 20S proteasome activity, because proteasome was able to hydrolyze in vitro the fluorogenic substrate sLLVY-MCA up to 10–12 h. Altogether, these data led us to hypothesize a two-step mechanism of inhibition affecting first the 19S and later the 20S. The rapid decay of endogenous proteolysis may be a result of inhibition of the 19S (thus inhibiting de-ubiquitination and degradation of ubiquitinated proteins), because 4-HNE cross-linked proteins are resistant to proteolysis and are able to inhibit the 26S proteasome (45) and because Reinheckel et al. (46) reported that the 26S proteasome is less resistant to H2O2-induced oxidative stress than the 20S proteolytic core. The second step [i.e., inhibition of the 20S core (involved in sLLVY-MCA hydrolysis)] may be a result of the progressing intracellular oxidative stress induced by oxLDL (47 ; Fig. 6 ). At this stage, when the proteasome is completely inhibited, cells are rapidly dying. This led us to investigate the relationship between proteasome inhibition and the oxLDL-induced cytotoxicity, because, according to the model systems, proteasome may participate in the apoptotic process or prevent it (26 27 28 29 30 31) .

The reported data strongly suggest that the active proteasome plays a role in the cellular defenses against the oxLDL-induced cytotoxicity, and, conversely, that proteasome inhibition may be involved in the mechanism of cytotoxicity.

The protective effect of proteasome was (at least in part) dependent on ubiquitination, because at 39°C the ubiquitin-defective ts20pMV12 and ts20Bcl-2#7 cells were more susceptible to the toxic effect of oxLDL than the ubiquitin-expressing H38–5 cells. It is noteworthy that the higher susceptibility of the ubiquitin-defective cells seems to be independent of heat-shock toxicity because in ts20pMV12, the time courses of the oxLDL-induced and heat shock-induced toxicity are different (beginning at 12–15 and after 24 h, respectively); in ts20Bcl-2#7 cells, the heat shock-induced apoptosis is blocked by Bcl-2 overexpression (36 , 37) in contrast to oxLDL-induced apoptosis. The inefficiency of Bcl-2 in preventing the oxLDL-induced toxicity to ts20Bcl-2#7 cells is quite consistent with our recently reported data, which show that Bcl-2 overexpression alters only the balance between apoptosis and necrosis but does not prevent cell death triggered by oxLDL (41) . Altogether, these data strongly suggest that ubiquitination plays a role in the cellular resistance against the toxicity of oxLDL.

Potentiation of the oxLDL-induced toxicity by proteasome inhibitors may involve various mechanisms. The ubiquitin-proteasome pathway is probably involved in cellular defenses against oxLDL by degrading altered proteins generated by oxLDL [e.g., proteins derivatized by 4-HNE (this paper and ref 22 ) or other lipid peroxidation products]. Therefore, the inhibition of the ubiquitin-proteasome pathway (by specific proteasome inhibitors, by genetic alterations or by oxLDL) results in the accumulation of structurally and functionally altered cell proteins that impair cell functions and viability (31 , 53) . Moreover, proteasome inhibition may also impair cell cycle regulation and alter cell viability through the defect of its other housekeeping functions involved in the regulation of proteins that play a role in the balance between cell death and survival (29 30 31) . For instance, because proteasome is involved in the degradation of p53 and of I{kappa}B (and NF{kappa}B activation), proteasome inhibition may lead to accumulate the proapoptotic p53 protein and block the activation of NF{kappa}B [a survival factor (54) ] (29 30 31 ; Fig. 6 ).

In conclusion, the reported data may be summarized by the following hypothetical scenario: Aldehydes (and possibly other compounds transported by oxLDL) are able to derivatize cell proteins (this paper and ref 22 ) and alter cell signaling (22 , 51 , 52) . At low (nontoxic) concentrations of oxLDL, the proteasome acts as a cellular defense system by degrading these structurally (e.g., derivatized) and functionally altered proteins. At high (toxic) concentrations of oxLDL, after a transient activation, the proteasome activity is inhibited (the 26S complex at 5 h and the 20S proteolytic core at 14 h) by oxLDL, thus leading to the accumulation of altered cell proteins. The subsequent cell injury becomes irreversible and leads to cell death. This role of proteasome in the oxLDL-induced toxicity seems to be a relatively general mechanism, because proteasome inhibition potentiates the effect of oxLDL in various cell types present in atherosclerotic areas (e.g., endothelial, monocytic, smooth muscle cells, and fibroblasts).


   ACKNOWLEDGMENTS
 
The authors wish to thank Dr. H. L. Ozer for genetically engineered cells (ts20 and H38–5 cell lines); G. Ledinski, C. Mora, J. Dumoulin, and M. F. Frisach for technical assistance; and SNCF laboratory for providing human serum. This work was supported by grants from INSERM, University Paul Sabatier Toulouse-3, European Community (Biomed-2 CA BMH4-CT98–3191) to U-466; from PRAXIS XXI Program (project 2/2.1/Qui/371/94) to L.A.; from Austrian Research Council, special research center Biomembranes project F00710 to G.J.; from the Swiss National Science Foundation to C.B. O.V. was recipient of a fellowship from PRAXIS XXI (BD/5493/95) and INSERM, and I.E.-B. from VML.


   FOOTNOTES
 
Received for publication January 15, 1999. Revised for publication September 24, 1999.


   REFERENCES
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 

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