(The FASEB Journal. 2002;16:1602-1610.)
© 2002 FASEB
Ezrin turnover and cell shape changes catalyzed by proteasome in oxidatively stressed cells
TILMAN GRUNE*,¶,
THOMAS REINHECKEL
,
JAMES A. NORTH*,
RUI LI*,
PALOMA B. BESCOS*,1,
RESHMA SHRINGARPURE* and
KELVIN J. A. DAVIES*2
* Ethel Percy Andrus Gerontology Center and Division of Molecular & Computational Biology, the University of Southern California, Los Angeles, California, USA;
¶ Clinics of Physical Medicine and Rehabilitation, Medical Faculty (Charité), Humboldt-University Berlin, Berlin, Germany; and
Centre of Surgery and Institute of Clinical Chemistry, Otto von Guericke University Magdeburg, Magdeburg, Germany
2Senior and corresponding author: Ethel Percy Andrus Gerontology Center, 3715 McClintock Ave., Room 306, University of Southern California, Los Angeles, CA 90089-0191, USA. E-mail: kelvin{at}usc.edu
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ABSTRACT
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We find that ezrin, a cytoskeletal protein involved in anchoring actin to the cell membrane, is preferentially degraded and resynthesized after oxidative stress. Ezrin was identified using 2-dimensional gels and amino-terminal microsequencing as one of a select few [35S]methionine prelabeled proteins degraded in clone 9 rat liver cells exposed to hydrogen peroxide (H2O2). Metabolic labeling of cellular proteins with [35S]methionine after oxidative stress showed that resynthesis of ezrin rose dramatically but carboxyl terminus anti-ezrin monoclonal antibodies revealed constant intracellular ezrin levels; in other words, degradation and resynthesis were exactly matched. Ezrin degradation was blocked by selective inhibitors of the proteasome (lactacystin, NLVS, and epoxomycin) and by an antisense oligonucleotide directed against the proteasome C2 subunit. H2O2 also caused major changes in cell shape, including significant increases in cell diameter, which must require substantial cytoskeletal rearrangement. Peroxide-induced increases in cell diameter were, however, blocked by the selective proteasome inhibitor lactacystin. The degradation and resynthesis of ezrin may therefore be an underlying mechanism for overall cell shape changes observed during oxidative stress. Oxidative stress induces extensive protein oxidation and degradation and significant increases in cell blebbing, rounding-up, and overall size. Our results indicate that all these oxidant-induced changes may actually be catalyzed by the proteasome.Grune, T., Reinheckel, T., North, J. A., Li, R., Bescos, P. B., Shringarpure, R., Davies, K. J. A. Ezrin turnover and cell shape changes catalyzed by proteasome in oxidatively stressed cells.
Key Words: radixin hydrogen peroxide ezrin degradation lactacystin free radicals proteolysis
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INTRODUCTION
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CELLS UNDERGO MANY changes when exposed to oxidative stress. Severe oxidative stress can cause extreme results including loss of replicative capacity, senescence, and even cell death by either apoptosis or necrosis (1
2
3)
. In contrast, physiologically relevant exposure to oxidants causes much milder effects including shape changes (4)
, adaptive changes in gene expression (1
, 2)
, and enzymatic repair and/or removal of oxidized cell components by DNA repair systems, lipases, and proteases (1
2
3)
.
Adherent cultured cells often react by blebbing, rounding-up, and detaching from the growth surface when treated with moderate levels of hydrogen peroxide (H2O2) (4)
. These changes indicate a major rearrangement of cytoskeletal proteins such as actin, ezrin, or filamin. In polymers, actin forms a rigid structure, providing the cell membrane with a scaffold on which to build, but it does not bind directly to the cell membrane. Filamin bundles actin filaments localized beneath the plasma membrane at cleavage furrows and stress fibers, but does not seem to directly anchor actin to the plasma membrane (5
, 6)
. Ezrin, a constituent of the ezrin, radixin, and moesin family (ERM family) of proteins, binds actin (7
, 8)
and proteins in the lipid bilayer (8
9
10)
. Changes in cell morphology on oxidative stress could include detachment of cross-linker proteins such as ezrin from either the plasma membrane or the actin filament, or both.
Ezrin, radixin, and moesin contain binding sites for actin at their carboxyl termini and binding sites for transmembrane proteins such as intercellular adhesion molecules (ICAM) and CD44 at their amino-terminal end. Binding of the carboxyl end of ezrin to actin occurs in two distinct ways: indirect binding to the barbed (fast-growing) end of actin (11)
and direct binding to the sides of actin filaments (7)
, suggesting different modes of cellular control for the actin superstructure. At the amino terminus, ezrin binding to ICAM is affected by other forms of stress such as viral infection. For example, in human fibroblasts infected with herpes simplex virus, ezrin was redistributed into newly formed microvilli with concomitant redistribution of ICAM into the nascent protrusions (12)
. These changes occurred without any apparent change in ezrin quantity, indicating that dynamic interactions between ezrin and cell shape changes are intimately controlled.
Although many studies show that oxidative stress results in protein damage and in the selective proteolysis of oxidatively modified proteins (13
14
15
16
17
18
19
20
21
22
23
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31
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35
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39
40
41
42
43
44
45
46
47
48
49
50
51)
, very little is known about the fate of specific proteins that may be special targets of oxidative stress. The present study was designed to test for the existence of individual proteins that may undergo selective turnover after oxidative stress; after initial experiments, our work quickly focused on the fate of ezrin.
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MATERIALS AND METHODS
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Cells and cell culture
Clone 9 liver cells (normal rat liver epithelia) obtained from American Type Culture Collection (ATCC CRL 1439) were maintained in 90% Hams F-12K medium supplemented with 10% fetal bovine serum, 2 mM L-glutamine, 10 Units/mL penicillin, and 10 µg/mL streptomycin. Cells were typically replated at a density of 2 x 104 cells/cm2 every 2 or 3 days to maintain logarithmic growth. After experimental treatment, control cultures and treated samples were harvested using a tissue scraper and small amounts of cold phosphate-buffered saline (PBS) containing 1 mM EDTA. The cells were washed and resuspended in 300 µL PBS-EDTA in microcentrifuge tubes, disrupted by a 10 s burst of sonication (20 mW power), and the supernatant was collected after centrifugation for 15 min at 10,000 g. For electrophoresis and antibody studies, the homogenizing buffer contained a protease inhibitor mixture (Sigma catalog # P-8340) to decrease protein degradation during sample preparation.
Metabolic radiolabeling of cellular proteins
Cell cultures were washed with PBS and incubated for 2 h in Eagles minimal essential medium without methionine or cysteine but containing 0.01 mCi/mL [35S]-methionine/cysteine mixture (NEN catalog # NEG772). After cell proteins were metabolically radiolabeled, the cultures were washed twice with PBS and incubated with Hams complete medium for 2 h as a cold "chase". These exact procedures have been used extensively in this laboratory for studies of protein turnover in various mammalian cells (22
23
24
25
26
27
28
29)
.
Exposure to oxidative stress
Subconfluent monolayers of clone 9 liver epithelial cells were exposed to bolus additions of H2O2. The amount of H2O2 used was corrected for the number of cells present in the culture so that in every experiment the concentration was normalized as µM H2O2 with 3 x 105 cells/cm2 in a final exposure volume of 10 mL. After incubation at 37°C for 30 min, the cells were washed twice with PBS and harvested immediately (0 time point) or incubated with Hams complete medium before washing and harvesting at the appropriate times.
2-D gel electrophoresis, Western blotting, and protein microsequencing
Two-dimensional polyacrylamide gel electrophoresis (2-D PAGE), the method originally described by OFarrell (52)
consisting of isoelectric focusing in the first dimension and sodium dodecyl sulfate (SDS) PAGE (1012%) in the second dimension, was performed using a linear immobilized pH gradient from 4.0 to 7.0 (Pharmacia, Piscataway, NJ) as previously described (53)
. Western blots were visualized using several commercially available monoclonal antibodies directed against the carboxyl-terminal end of ezrin and an alkaline phosphatase-tagged secondary antibody. Amino-terminal protein microsequencing was performed using a 12% SDS-PAGE separating gel (16x20 cm) by electroblotting proteins onto PVDF membranes. Spots of particular interest were sent to Immuno-Dynamics (La Jolla, CA) for the actual protein sequencing.
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RESULTS
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Oxidative stress causes a proteasome-dependent increase in cellular proteolysis
Exposure of clone 9 liver cells to relatively low concentrations of H2O2 caused a sharp increase in overall cellular protein degradation, but higher concentrations progressively diminished proteolysis to below control levels (Fig. 1
). Our previous studies indicate that proteolysis generally increases at lower H2O2 concentrations because mildly oxidized proteins are preferred proteolytic substrates (13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29)
. In contrast, heavily oxidized proteins (formed at high H2O2 exposures) form hydrophobic and ionic aggregates, as well as covalent cross-links, and therefore become progressively resistant to proteolysis (13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
, 47
, 54)
.
Using exposure to 400 µM H2O2 with 3 x 105 cells/cm2, which caused maximal proteolysis (Fig. 1)
, we next tested the effects of various proteolytic inhibitors (Fig. 2
). The selective proteasome inhibitors lactacystin, ß lactone, NLVS, and epoxomycin dramatically inhibited peroxide-induced proteolysis in clone 9 liver cells, as did specific lowering of intracellular proteasome levels by a 7-day pretreatment with an antisense oligonucleotide directed against the proteasome C-2 subunit (Fig. 2)
. Cell treatment with the proteasome C-2 antisense oligonucleotide lowered maximal proteasome activity by 87%, as judged by lactacystin-inhibitable degradation of the fluoropeptide substrate suc-LLVY-MCA, and caused >60% depletion of multiple proteasome subunits (presumably degraded due to inability to form complete complexes), in good agreement with previous work (22
, 23
; confirmatory electrophoretic data not shown). In contrast to these results implicating proteasome in H2O2-induced proteolysis, neither a standard, control oligonucleotide nor the lysosomal proteolysis inhibitor leupeptin had any significant effect (Fig. 2)
.
Selective degradation of three proteins during oxidative stress
Two-dimensional PAGE detected proteins undergoing selective degradation after exposure of clone 9 cells to H2O2. Three good examples include the "spots" labeled A, B, and C in the left panel of Fig. 3
, which appear to be drastically diminished after oxidative stress, as shown in the right panel. To visualize this result, newly synthesized cell proteins were metabolically labeled by incorporation of [35S]-methionine/cysteine before the 30 min H2O2 exposure. The loss of density of a radioactive protein "spot" after H2O2 stress indicates proteolytic degradation.
Protein "A" was not amenable to amino-terminal sequencing and protein "C" will be reported elsewhere (55)
. Protein "B" is the subject of the remainder of this paper. Protein B has an apparent molecular mass of 80 kDa and an acidic pI of
6.0. This spot was excised from 2-D PAGE and the first 24 amino-terminal amino acids were microsequenced. A search of the SwissProt database by the BLASTP program revealed that the peptide sequence of our protein B from rat liver cells matched almost exactly the amino-terminal portion of the (bovine, human, and mouse) protein ezrin (56
57
58
59
60
61
62
63
64
65
66
67
68
69
70)
, a member of the ERM family of cytoskeleton membrane-anchoring proteins (56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74)
: ezrin, radixin, and moesin (Table 1)
.
We next used specific anti-ezrin antibodies to confirm the identity of protein B as ezrin, to carefully follow ezrin degradation, and to discriminated between ezrin, radixin, and moesin. Because of the extensive amino-terminal sequence homology between all the ERM proteins (56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74)
, antibodies directed against the carboxyl-terminal end of ezrin, radixin, and moesin were used to probe proteins transblotted onto membranes from 2-D PAGE gels. As shown in Fig. 4
, The carboxyl-terminal anti-ezrin antibody highlighted a spot exactly corresponding to the 80 kDa, 6.0 PI radioactive spot previously observed to be preferentially degraded (Fig. 3)
. In a double-label experiment, the autoradiogram from a 2-D PAGE gel containing [35S]-labeled proteins overlays directly with the Western results from the same blot Fig. 4
). The radioactive spot tentatively identified by its amino-terminal sequence in Table 1
as ezrin is thus the same spot the carboxyl-terminal monoclonal antibody recognized as authentic ezrin in Fig. 4
. Little interaction was observed between the protein B spot and either anti-radixin or anti-moesin carboxyl-terminal monoclonal antibodies (not shown). We were also able to reconfirm the identity of protein B as authentic ezrin by repeating the experiments of Fig. 4
using five other anti-ezrin carboxyl-terminal antibodies: catalog # sc-6409 from Santa Cruz Biotechnology (Santa Cruz, CA), catalog # sc-6407 from Santa Cruz Biotechnology (Santa Cruz, CA), catalog # 43988006 from ANAWA Biomedical Services & Products (Zurich, Switzerland), product # A 4700 from Sigma Chemical Co. (St. Louis, MO), and product # E 8897 from Sigma . These repeat experiments yielded results very similar to those reported in Fig. 4
(confirmatory data not shown) and provide greater confidence in the identification of protein B as ezrin.

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Figure 4. Comparison of Western blot analysis and 2-D PAGE autoradiography in identification of ezrin. Clone-9 liver cell proteins radiolabeled with [35S]-methionine/cysteine were separated by 2-D PAGE gel electrophoresis, blotted onto a PVDF membrane and the membrane probed with monoclonal anti-ezrin antibody; results obtained are shown in the top panel. Western blots were visualized using a primary monoclonal goat anti human antibody directed against the carboxyl-terminal end of ezrin (catalog # E13420, Transduction Laboratories, Lexington, KY) and an alkaline phosphatase-tagged secondary antibody (catalog # A2556, Sigma). The same membrane was then used to produce the autoradiogram seen in the bottom panel. In the molecular weight marker lane radioactive dots were placed on the membrane for reference during analysis. The single spot highlighted by the circle on the Western blot corresponds exactly with the spot highlighted by the circle on the autoradiogram. These results were repeated three times with essentially identical results.
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Oxidative stress affects overall ezrin turnover
As shown in Fig. 3
, when clone 9 liver cells are prelabeled with [35S]-methionine/cysteine and exposed to H2O2, the radioactive spot on the 2-D PAGE gel corresponding to ezrin (protein B) diminishes. To assess possible gross changes in the intracellular steady-state content of ezrin, Western blots using carboxyl-terminal anti-ezrin monoclonal antibodies were performed. Figure 5
shows no apparent change in the total amount of ezrin present over a 24 h period either in untreated control samples or with 3 x 105 cells/cm2 exposed to 400 µM H2O2. This is consistent with other findings of unchanged steady-state protein concentrations after cellular exposures to stress (12)
. Control cells exhibited stable ezrin levels for at least 13 h in the presence of the protein synthesis inhibitor cycloheximide at 0.1 mg/mL (not shown). The results of Fig. 5
were repeated using the two Santa Cruz Biotechnology anti-ezrin carboxyl-terminal monoclonal antibodies (see above) with essentially identical results (data not shown). We next exposed cells to 35S-labeled, newly synthesized proteins to 400 µM H2O2 and measured proteolysis by loss of radioactive ezrin counts, confirmed by Western blotting with a carboxyl-terminal anti-ezrin monoclonal antibody. As shown in the left panel of Fig. 6
, H2O2 exposure caused a time-dependent degradation of ezrin in clone 9 liver cells.

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Figure 5. Western blot analysis of steady-state ezrin levels after hydrogen peroxide treatment. Clone 9 liver cells exposed to hydrogen peroxide (400 µM H2O2 with 3x105 cells/cm2 in a 10 mL reaction volume) were harvested at the times shown. After electrophoresis by denaturing 10% SDS-PAGE, cellular proteins were transblotted onto a PVDF membrane. Ezrin was visualized using a primary monoclonal goat anti human antibody directed against the carboxyl-terminal end of ezrin (catalog # E13420, Transduction Laboratories) and an alkaline phosphatase-tagged secondary antibody (catalog # A2556, Sigma). The upper panel shows a single SDS-PAGE (representative Western blot); the lower panel (summary of Western blot results) describes a summary of six independent experiments in which ezrin levels were quantified by densitometry and are expressed in arbitrary units (A.U.) relative to the zero time control cells, which are set at 100 A.U. All values are means and SE.
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Since radiolabeled (and presumably intact) ezrin was preferentially degraded on oxidative stress (Fig. 3
and Fig. 6
, left panel), we reasoned that the maintenance of cellular levels of ezrin seen by Western analysis (Fig. 5)
might be explained by increased synthesis of new ezrin molecules. Radiolabeling of proteins after peroxide exposure produces a snapshot of newly synthesized molecules. When unlabeled cells were first exposed to H2O2 and cellular proteins were then labeled with [35S]-methionine/cysteine, a clear increase in the intensity of the ezrin spot (confirmed by Western blotting with the carboxyl-terminal anti-ezrin monoclonal antibody) was observed over time (Fig. 6
, right panel). These changes in ezrin synthesis occurred as early as 3 h postperoxide treatment and persisted for up to 24 h. The increases observed in the intensities of radiolabeled ezrin after peroxide exposure indicate de novo synthesis of ezrin molecules. Taken with the results of Figs. 1
2
3
4
5
, the data of Fig. 6
indicate that ezrin is preferentially degraded on H2O2 exposure and new ezrin is then synthesized.
Ezrin degradation and cell shape changes are catalyzed by proteasome
Since ezrin appears to undergo oxidant-induced proteolysis and overall increases in oxidant-induced cellular protein degradation appear to be largely catalyzed by the proteasome (Fig. 2
; 16
17
18
19
20
21
22
23
24
25
26
27
28
29
, 75
), we wanted to know whether proteasome is also responsible for ezrin breakdown. Using the same proteasome inhibitors and C2 subunit antisense oligonucleotides as in Fig. 2
, we were able to selectively inhibit H2O2-induced ezrin degradation by an average of 7290% (Fig. 7
). These results indicate that proteasome is responsible for most ezrin degradation after oxidative stress.
As described earlier, oxidative stress induces extensive protein oxidation and degradation (13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
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31
32
33
34
35
36
37
38
39
40
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42
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44
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48
49
50
51)
and significant increases in cell blebbing, rounding-up, and overall size (4
, 53)
. The results of Figs. 1
2
3
4
5
6
7
indicate that all these oxidant-induced changes may actually be catalyzed by the proteasome. To test this hypothesis, we measured H2O2-induced increases in clone 9 cell size in the presence and absence of the proteasome inhibitor lactacystin (Fig. 8
). Our data show a clear and reproducible increase in cell size with H2O2 treatment, which was inhibited by almost 70% in the presence of lactacystin (Fig. 8)
, indicating a major proteasome involvement in oxidant-induced cell shape changes. We have also observed similar results in K562 erythroleukemia cells (confirmatory data not shown).

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Figure 8. Proteasome-dependent increases in clone 9 liver cell size induced by hydrogen peroxide. Cells (at a density of 3x105 cells/cm2 in a 10 mL reaction volume) were used as controls or exposed to 200 µM to 1.0 mM H2O2 at 37°C in the presence or absence of 10 µM lactacystin. After 5 h of incubation, cell size was measured using a Coulter counter. Lactacystin had no effect on cell size in control samples not exposed to H2O2 (data not shown). Values shown are the means and SE of 3 independent observations.
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DISCUSSION
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We now report that during oxidant-induced increases in overall cellular proteolysis, the cytoskeletal-anchoring protein ezrin is one of the main cytoplasmic proteins to be degraded. Since the proteasome is largely responsible for oxidant-induced intracellular proteolysis (24
, 75)
, we wanted to know whether proteasome is also responsible for ezrin breakdown. Using proteasome inhibitors and proteasome C2 subunit antisense oligonucleotides, we were able to selectively inhibit H2O2-induced ezrin degradation by an average of 7290%. These results indicate that proteasome is responsible for most ezrin degradation after oxidative stress. Whether ezrin undergoes oxidative modification to become a substrate for proteasome proteolysis or whether H2O2 initiates a signal transduction pathway that results in global degradation of cellular ezrin by proteasome is not yet clear. Oxidative stress causes significant cell blebbing and rounding-up, which (initially) result in increased cell size (4
, 53)
. Our results show that lactacystin can inhibit this oxidant-induced increase in cell size by up to 70% (Fig. 7)
, indicating that by degrading ezrin anchors between the cytoskeleton and the cell membrane, proteasome can play a major role in oxidant-induced cell shape changes.
The cytoskeleton appears static, but in reality synthesis and degradation of component proteins occur continuously. Cell shape and membrane composition respond to extracellular pressures and signals, especially the transport, nucleation, polymerization, and capping of actin fibers, an integral part of the cytoskeleton. Ezrin, a cytoskeletal protein that anchors actin polymers to the lipid bilayer, represents a class of regulatory proteins that can provide exquisite control of actin activity and cytoskeletal rearrangements. Ezrin is found in high concentrations at the growing edges of cells (pseudopodia) and in cell structures that require rapid mobilization and relocation of actin fibersfor example, microvilli (6
, 56
57
58)
. These structures need Ezrin to bind to actin fibers, regulate actin polymerization, and cap growing actin filaments (7
, 8
, 59)
. The presence of this length-regulating mechanism through ezrin provides the cell with a means of handling responses to extracellular conditions.
For actin filaments to serve as mobile structural girders of the cytoskeleton that can allow changes in cell shape, they must be released from the membrane and relocated. This can be accomplished by degrading actin, then synthesizing new actin polymers and transporting them to the relocation site. Alternatively, intact actin can be released by removing its ezrin anchor. Free actin fibers can then be relocated and the new ezrin anchors synthesized. Our results show that ezrin is preferentially degraded by the proteasome after exposure to oxidative stress. Equally important, de novo synthesis of ezrin immediately follows oxidative stress. Our finding that de novo synthesis of ezrin increases despite no change in overall amount of ezrin after oxidative stress is similar to results observed by ourselves and by others (8
, 12)
after viral infection. This would indicate that the turnover of ezrin is linked directly to a cellular sensor that determines when and where the cell needs to reposition its cytoskeleton. No increase in the cell content of ezrin should be required for the cell shape changes w, and others (4
, 53)
have observed with oxidative stress. Instead, the breaking of existing ezrin bridges between the cytoskeleton and the cell membrane (by proteasome), followed by synthesis of new ezrin molecules that attach the cytoskeleton and the membrane in a new configuration allowing for rounding-up and blebbing, is proposed.
Ezrin is dissociated from the cytoskeleton by anoxia and by epidermal growth factor (60
, 61)
. Oxidative stress can now be added to the list of conditions that affect ezrin/cytoskeleton interactions. Hydrogen peroxide exposure of adherent cells causes significant increases in cell diameter, rounding-up, and lifting of the cells from the supporting tissue culture flask (4
, 53)
. This process may involve the severing of ezrin from identified adhesion molecules or other proteins that facilitate extracellular in vitro adhesion. Interactions between ezrin and intercellular adhesion molecules as well as surface proteins have been reported (62
63
64)
. Subsequent redistribution of these molecules could serve to help protect cells from the cytotoxic effects of oxidative stress. Redistribution of ezrin has been observed after infection of human fibroblasts with herpes virus (8
, 12)
. Our results indicate that ezrin is a prime candidate for the mobilization of actin in response to stress and for cell shape changes that result from oxidative stress.
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ACKNOWLEDGMENTS
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This research was supported by National Institutes of Health/NIEHS grant ES-03598 to K.J.A.D.
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FOOTNOTES
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1 Current address: Departmento de Farmacologia, Universidad Complutense de Madrid. 
Received for publication January 28, 2002.
Accepted for publication June 23, 2002.
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