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PI3K/AKT inhibition induces caspase-dependent apoptosis in HTLV-1 transformed cells 1 Virus Tumor Biology Section, Laboratory of Cellular Oncology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA 2 Laboratory of Biochemical Genetics, National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, MD, USA 3 Department of Pathology, School of Medicine, University of Maryland, Baltimore, MD, USA ** To whom correspondence should be addressed. E-mail: bradyj/at/exchange.nih.gov. Phone: 1-301-496-0986. Fax: 1-301-496-4951 *Authors contributed equally to manuscript Abstract The phosphatidylinositol-3-kinase (PI3K) and AKT (Protein Kinase B) signaling pathways play an important role in regulating cell cycle progression and cell survival. In previous studies, we demonstrated that AKT is activated in HTLV-1 transformed cells and that Tax activation of AKT is linked to p53 inhibition and cell survival. In the present study, we extend these observations to identify regulatory pathways affected by AKT in HTLV-1-transformed cells. We demonstrate that inhibition of AKT reduces the level of phosphorylated Bad, an important member of the pro-apoptotic family of proteins. Consistent with the decrease of phosphorylated Bad, cytochrome c is released from the mitochondria and caspase 9 is activated. Pre-treatment of the cells with caspase-9 specific inhibitor z-LEHD-FMK or pan caspase inhibitor Ac-DEVD-CHO prevented LY294002-induced apoptosis. Of interest, p53 siRNA prevents LY294002-induced apoptosis in HTLV-1-transformed cells, suggesting that p53 reactivation is linked to apoptosis. In conclusion, the AKT pathway is involved in targeting multiple proteins which regulate caspase- and p53-dependent apoptosis in HTLV-1-transformed cells. Since AKT inhibitors simultaneously inhibit NF-κB and activate p53, these drugs should be promising candidates for HTLV-1-associated cancer therapy. Introduction AKT, also known as protein kinase B (PKB), is a serine/threonine kinase and the primary mediator of PI3K-initiated signaling. AKT and upstream PI3K have a number of substrates that contribute to malignant transformation (Chang, Lee et al., 2003), and have been associated with diverse human cancers including prostate, breast, lung, melanoma and leukemia (Lin, Adam et al., 1999;Fry, 2001;Lin, Bohle et al., 2001;Krasilnikov, Adler et al., 1999;Martinez-Lorenzo, Anel et al., 2000;Nicholson & Anderson, 2002). AKT plays a crucial role in a variety of cellular events such as apoptosis, cell cycle progression and transcriptional regulation (Brazil, Yang et al., 2004). AKT’s ability to prevent apoptosis in some cells is established through phosphorylation and inhibition of pro-apoptotic mediators such as Bad and caspase-9 (Datta, Brunet et al., 1999). In other situations, AKT activates the transcription factor CREB, and the IκB kinase (IKK), a positive regulator of NF-κB, to regulate the expression of genes with anti-apoptotic activity (Fresno Vara, Casado et al., 2004). AKT also affects cell cycle progression by regulating cyclin D function. This is accomplished by phosphorylation of p27 and p21 by AKT. Phosphorylation restricts these proteins to the cytoplasm, effectively segregating the cell cycle inhibitors from CDK-cyclin complexes (Collado, Medema et al., 2000;Zhou, Liao et al., 2001). Human T cell lymphotrophic virus type 1 (HTLV-1) is the etiologic agent of adult T cell leukemia (ATL) and chronic inflammatory diseases such as HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP) (Poiesz, Ruscetti et al., 1980;Seiki, Hattori et al., 1983;Gessain, Barin et al., 1985;Osame, Izumo et al., 1986). HTLV-1 encodes a 40-kD protein, Tax, which is critical for viral replication, transformation and gene regulation (Akagi, Ono et al., 1995;Grassmann, Dengler et al., 1989;Nerenberg, Hinrichs et al., 1987;Tanaka, Takahashi et al., 1990). Tax interferes with cell growth control pathways through direct interaction with regulatory proteins and regulation of critical transcription pathways including NF-κB, CREB, SRF, E2F and AP-1(Xiao, Cvijic et al., 2001;Lemasson, Thebault et al., 1998;Iwai, Mori et al., 2001;Suzuki, Uchida-Toita et al., 1999). Tax also inhibits the transcription function of the tumor suppressor p53, inhibiting its ability to respond to cellular stress signals (Cereseto, Diella et al., 1996;Mulloy, Kislyakova et al., 1998;Pise-Masison, Mahieux et al., 2001;Pise-Masison, Mahieux et al., 2000;Pise-Masison, Radonovich et al., 1998). Further, we have shown that Tax activates AKT, which is linked to NF-κB activation, p53 inhibition and cell survival (Jeong, Pise-Masison et al., 2005b) The AKT signaling pathway is believed to contribute to the maintenance of the latent state by suppressing apoptosis and thereby preventing the elimination of virus-infected cells. Our laboratory was the first to demonstrate that AKT is activated in HTLV-1 transformed cells and is phophorylated at S473 and T308 (Jeong, Pise-Masison et al., 2005b). These results were confirmed by Ikezoe et al. who further showed that the upstream mTOR pathway was activated in HTLV-1 transformed cells (Ikezoe, Nishioka et al., 2006). In the present study, we extend these observations to define downstream regulatory pathways which are regulated by AKT in HTLV-1-transformed cells. Our results demonstrated that blocking AKT reduced phosphorylation of Bad, increased cytochrome c release and activated the caspase-9 apoptosis pathway. Of interest, inhibition of p53 through an adenovirus p53 siRNA demonstrated that p53 played an important role in the apoptosis pathway induced by AKT inhibition. MATERIALS AND METHODS Cell culture and drug treatment HTLV-1-transformed C81 cells were maintained in RPMI supplemented with 10% fetal calf serum, 2 mM L-glutamine, and penicillin (100 units/ml)/streptomycin (100 μg/ml). For treatment with LY294002, 5 x 106 cells were cultured in 10 ml of media in 100 mm dishes for the indicated times. Caspase inhibitors z-LEHD-FMK (100 μM) or Ac-DEVD-CHO (100 μM) were added 1 hour prior to addition of LY294002. All drugs were obtained from Calbiochem. LY294002 and AKT inhibitor II AKT inhibitor LY294002 is a cell permeable, potent, and specific phosphatidylinositol 3-kinase inhibitor that acts of n the ATP binding site of the enzyme. AKT inhibitor II is a phosphatidylinositol analog that inhibits the activation of AKT without decreasing phosphorylation of upstream PDK-1. Western blot analysis Whole cell extracts were prepared by using lysis buffer (50 mM Tris-HCl pH 7.4, 120 mM sodium chloride, 5 mM EDTA, 0.5% Noniodet P-40, 50 mM sodium fluoride, and 0.2 mM sodium vanadate, complete protease inhibitor (Roche Diagnostics) at a cell concentration of 107 cells/ml. The extracts were incubated on ice for 15 min, centrifuged (10,000 x g) at 4ºC for 10 min, and supernatants were collected. Protein concentrations were determined by Bradford assay (Bio-Rad), and 50–100 μg protein was separated by electrophoresis in 4 to 20% Tris-glycine gels (Novex). The proteins were then transferred to PVDF membranes (Immobilon) and western blot analysis performed with indicated antibodies. Phospho-Bad (Ser136), Bad, Bax, phospho-AKT (Ser473), AKT, Caspase-9, p27 and cyclin D1 antibodies were obtained from Cell Signaling. IκBα antibody was obtained from Active Motif. p21 and Cyclin E antibodies were obtained from Santa Cruz Biotechnologies. Immunofluorescent staining Following treatment with LY294002 (40μM), C81 cells were placed on lysine coated coverslips, fixed in PBS-buffered 4% paraformaldehyde, and permeabilized in cold methanol. The permeabilized cells were incubated with 10% normal goat serum in PBS for 1 hour, followed by immunostaining with anti-cychrome c antibody (Active Motif) and an Alexa Fluor 488-conjugated anti-mouse IgG antibody. The immunostained cells were mounted in mounting medium containing DAPI (Vectashield, Vector Labs) and were visualized by a Leica confocal microscope. Cell viability Cell viability was determined either by trypan blue staining or the CellTiter-Glo ATP assay. In the trypan blue assay, cells were stained with 0.4% trypan blue solution (Quality Biotech) for one minute. Cells that took up trypan blue were counted as dead cells and expressed as a percentage of the total cell number. Alternatively, cell viability assay was determined using CellTiter-Glo luminescent cell viability assay from Promega using the manufacturer’s instruction. Briefly, 1–2 x 105 cells were cultured in sterile 96 well culture plates in presence of appropriate concentration of LY294002 (20–80 μM) in 100 μl of RPMI media. The plates were then incubated for time indicated. 100 μl of CellTiter-Glo reagent was added to lyse the cells. The contents were mixed in an orbital shaker for 2 min and then incubated at room temperature for 10 min. The luminescence was then recorded in a luminometer with an integration time of 1 second per well. The luminescent signals for the LY294002 treated cells were normalized to the luminescent signal of cells treated with DMSO which was arbitrarily set to 1. Analysis of caspase-9 activity Caspase-9 activity was measured by using Caspase Glo-9 assay systems (Promega). Briefly, C81 cells (5 x 106 cells/10 ml) were treated with 40 μM LY294002 for 24 hours. Cells were harvested by centrifugation and supernatants were collected. Samples (100 μl) were gently mixed with Caspase-Glo substrate (100 μl) and the luminescence of each sample was measured by using Luciferase assay system (Promega). Adenovirus infection of cells The pAdTrack-si/p53 (Ad-p53 siRNA) construct was kindly provided by Dr. Ling-Jun Zhao (St. Louis University) and pAd-GFP was purchased from Q-Biogene. The recombinant viral genome was linearized with PacI and transfected into 293 cells in a 60-mm dish using PolyFect transfection reagent (Qiagen). Eight days after transfection, the recombinant virus was collected and subjected to one round of amplification by infecting 1.5×106 293 cells, yielding 2 ml of viral stocks. Infection of 293 cells was performed in serum free DMEM. Following viral infection, 293 cells were maintained in DMEM with 10% fetal bovine serum. HTLV-1-transformed C81 cells (1.5×106) in a 60-mm dish were infected with either Ad-p53 siRNA or Ad-GFP in serum-free RPMI media. After 3 hours, cells were resuspended in media containing 10% fetal calf serum. LY294002 (40 μM) was added and incubations carried out at as indicated. Cell cycle analysis Adenoviral infected C81 cells with or without LY294002 were harvested and fixed in 70% ethanol. The fixed cells were then stained with propidium iodide (50 μg/ml) after treatment with RNase (5 μg/ml). The stained cells were analyzed for DNA content in FACSCalibur (Becton Dickinson) using the Cell Quest program (Becton Dickinson). The resultant data was analyzed by ModFit LT (Verity Software House) using appropriate gates. TUNEL assay To quantify apoptosis, TUNEL assays were performed using the Apo-BrdU TUNEL assay kit (Invitrogen) following manufacturer’s instructions. Briefly LY294002 and AKT inhibitor II treated and control cells were washed with cold PBS, fixed with 1% paraformaldehyde in PBS, followed by fixing with 70% ethanol. The cells were then labeled with BrdUTP using Terminal deoxynucleotide transferase (TdT) at 37°C for 60 min. At the end of the incubation, the cells were rinsed with rinse buffer and stained with Alexa Fluor 488 dye-labeled anti-BrdU antibody for 30 minutes at room temperature in the dark. Finally, the cells were treated with Propidium Iodide/RNase A staining buffer for an additional 30 minutes at room temperature. Immunostained cells were analyzed using FACSCalibur (Becton Dickinson). TUNEL positive cells were quantified with Cell Quest (Becton Dickinson) and FlowJoV8.0 softwares. RESULTS Inhibition of AKT by LY294002 and AKT inhibitor II results in cell death in HTLV-1 transformed cells In previous studies, we demonstrated that Tax activates AKT and that treatment of HTLV-1-transformed cells with LY294002 inhibited AKT activity (Jeong, Pise-Masison et al., 2005b). To gain a more complete understanding of the importance of the activated AKT pathway in HTLV-1 transformed cell lines, C81, MT-2 and HUT 102 were cultured with increasing concentrations of the PI3K/AKT inhibitor LY294002. Cells were harvested and analyzed for cell viability using the ATP CellTiter-glo assay. The results presented in Figure 1A
To provide further evidence for the role of AKT in HTLV-1 in cell survival, we analyzed the effect of specific AKT inhibitor II. The inhibitor is a phosphatidylinositol analog that inhibits the activation of AKT without decreasing phosphorylation of upstream kinase PDK-1. C81, Hut102 and MT-2 cells were incubated with 0, 20-, 40- or 80 μM AKT inhibitor II for 48 hours. Cell were harvested and analyzed for cell viability using the ATP CellTiter-glo assay. The results presented in Figure 1B Alteration in cell cycle and p27 expression following inhibition of AKT We next analyzed the effect of AKT inhibition on cell cycle distribution by FACS analysis. Cell cycle analysis of the C81, MT-2 and Hut102 cells following treatment with LY294002 demonstrated an accumulation of cells in G1 and an increase in sub-G1 cells (Figure 2A
Consistent with the accumulation of cells in G1, western blot analysis of C81 cell extracts demonstrated that the level of cdk inhibitor p27 increased dramatically, while the level of cyclin D1 decreased (Figure 2B Analysis of Bcl-2, Bad phosphorylation and cytochrome C release following treatment with LY294002 To gain greater insight into the apoptosis pathway induced by LY294002, we analyzed the protein expression of Bcl-2 family members including pro-apoptotic Bad and Bax. Since all the HTLV-1 transformed cell lines had reacted similarly to the AKT inhibitors, we chose C81 cells for a more in depth mechanistic analysis. HTLV-1-transformed C81 cells were treated with LY294002 for 0, 3, 9 or 18 hours and cell extracts were prepared for western blot analysis. As shown in Figure 3A
Phosphorylation of Bad at Ser136 inhibits the pro-apoptotic function of the protein by decreasing its interaction with Bcl-xL on the mitochondrial membrane. Given the decrease in Bad phosphorylation observed above, immunofluorescent staining of cytochrome c was conducted with C81 cells in the absence or presence of LY294002. Confocal microscopy revealed that in untreated cells, cytochrome c was localized in a punctate pattern consistent with localization in the mitochondria (Figure 3B LY294002-induced apoptosis is dependent on activity of caspase-9 in HTLV-1-transformed cells Release of cytochrome c from the mitochondria is associated with caspase 9 activation (Garrido, Galluzzi et al., 2006). Moreover, AKT also directly inhibits the proteolytic activity of caspase-9 by phosphorylation of the protein at Ser-136 (Cardone, Roy et al., 1998). It was important, therefore, to test whether caspase-9 was activated in the LY294002 treated cells. To test the activation of caspase-9 in LY294002-induced apoptosis, we carried out chemiluminescent assays that specifically measure caspase-9 activity. LY294002 induced caspase-9 activation in a dose dependent manner (Figure 4A
LY294002 or SC-514-induced apoptosis is p53-dependent pathway in HTLV-1-transformed cells p53, through its activity as a transcriptional activator or repressor, functions as a tumor suppressor inducing either cell cycle arrest or apoptosis in response to cellular stress (Oren, 2003;Vousden & Lu, 2002). Previous studies from this laboratory demonstrated that AKT activation plays a critical role in the inhibition of p53 function in HTLV-1-transformed cells as treatment of C81 cells with LY294002 reactivated p53 transcription activity as measured by MDM2 promoter activity (Jeong, Pise-Masison et al., 2005b). Therefore, we tested whether p53 plays a role in the LY294002 induced apoptosis. C81 cells were infected with Ad-GFP or Ad-p53 siRNA in the absence or presence of LY294002. As shown in Figure 5A
Lastly, trypan blue assays were used to measure cell viability with Ad-p53 siRNA infected C81 cells in the absence or presence of LY294002 (Figure 5B DISCUSSION Activation of the AKT pathway is common in many cancers and contributes to inhibition of apoptosis and therapeutic resistance through multiple mechanisms (Nuutinen, Postila et al., 2006). Consistent with these observations, inhibition of AKT decreases cell survival and potentiates the effects of chemotherapeutic drugs in cancer cells (Clark, West et al., 2002;Asselin, Wang et al., 2001;Asselin, Mills et al., 2001). We and others have shown that AKT is activated in HTLV-1-transformed cells and plays an important role in cell survival. In part, the importance of AKT to cell survival is due to regulation of multiple target pathways through phosphorylation of critical proteins. For example, phosphorylation of Bad by AKT inactivates the proteins ability to induce apoptosis, thus promoting cell survival. Conversely, dephosphorylation of Bad results in targeting of Bad to mitochondrial membranes where Bad interacts with and inactivates anti-apoptotic proteins Bcl-2 and Bcl-xL, inducing apoptosis (Datta, Brunet et al., 1999). We have previously shown that HTLV-1 Tax mediates activation of AKT by mediating phosphorylation at Ser-473 and Thr-308 (Jeong, Pise-Masison et al., 2005b). In the present study, we demonstrate that blocking AKT by LY294002 decreased the phosphorylation of Bad. Since Bad regulates the mitochondrial release of cytochrome c (Yamaguchi, Tamatani et al., 2001), cytochrome c localization was analyzed in C81 cells in the absence or presence of LY294002. Release of cytochrome c was observed both by immunofluorescent staining and western blot analysis (data now shown) of fractionated cell extracts. The best-defined target for cytochrome c is the apoptosome which is a multiprotein complex comprising Apaf-1, cytochrome c and caspase-9 that activates the apoptotic pathway (Zou, Li et al., 1999). In our studies, cleavage of caspase-9 was induced by LY294002 and pre-treatment with a caspase-9 specific or pan caspase inhibitor significantly blocked LY294002-induced apoptosis (Figure 4C Recent studies have demonstrated that AKT is also a signaling intermediate upstream of NF-κB dependent survival gene expression. (Datta, Brunet et al., 1999). NF-κB activation requires phosphorylation of IκBα by IκB kinases (IKKs). IκBα phosphorylation targets IκBα for ubiquitination and proteolytic degradation (Baldwin, Jr., 1996;Beg & Baldwin, Jr., 1993), releasing p50–p65 heterodimers to migrate to the nucleus and activate transcription. It has been shown that IKKs are a substrate of AKT and its ability to regulate NF-κB activity may be through direct interaction with IKKs, as AKT can associate with the IKK complex in vivo (Datta, Brunet et al., 1999). In the present study, C81 cells were treated with SC-514, a IKKβ specific inhibitor (Kishore, Sommers et al., 2003). SC-514 induced apoptosis in HTLV-1-transformed cells to a level similar to that obtained with LY294002 treatment. Previous data from our laboratory have showed that LY294002 or SC514 induced p53 dependent transcription. These results and data presented here argue that the AKT/IKKβ pathway plays a critical role in NF-κB activation and cell survival in HTLV-1-transformed cells. Inactivation of the tumor suppressor protein p53 plays a critical role in tumorigenesis. p53 functions as an integrator of stress response signals by activating or repressing the transcription of genes that regulate cell cycle progression and/or apoptosis (Appella & Anderson, 2001;Giaccia & Kastan, 1998;Meek, 1999;Prives & Hall, 1999). Over the past several years, it has become evident that p53 and AKT are involved in a complex cross talk that are at the core of the cell control machinery for switching between survival and death. This cross talk is a combination of reciprocally antagonistic pathways emanating from p53 and AKT, which also involve tumor suppressor gene, PTEN, and oncogene, Mdm2 (Wee & Aguda, 2006). We investigated whether p53 plays a role in the regulation of LY294002-mediated apoptosis and cell cycle arrest in HTLV-1-transformed cells. An adenovirus vector expressing a siRNA to p53 was utilized to specifically decrease expression of p53. The results of these studies clearly demonstrate that the Ad-p53 siRNA decreased LY294002-induced apoptosis. Thus, while activation of Bad and caspase-9 occur in response to AKT inhibition, they are not sufficient to induce apoptosis, but must signal through the p53 pathway to induce apoptosis. In a recent paper, Peloponese et al. suggested that Tax, in the absence of NF-κB activation, can activate activator protein-1 (AP-1) to promote cellular proliferation and survival through the PI3K/AKT pathway (Peloponese, Jr. & Jeang, 2006). These results are not inconsistent with our data, but focus more on the role of Tax-activated AKT in cell proliferation and provide intriguing data that Tax activates AKT though direct interaction with the p85 subunit of PI3K. Following our original observation that AKT was activated in HTLV-1-transformed cells, Ikezoe et al. (Ikezoe, Nishioka et al., 2006) reported that the PI3K/AKT/mammalian target of rapamycin (mTOR) was activated in HTLV-1 cells. The authors demonstrated that rapamycin, the inhibitor of mTOR, induced growth inhibition and cell cycle arrest. Interestingly, the authors demonstrated that PI3K/AKT inhibitor LY294002 exhibited similar properties, inhibiting cell growth and inducing cell cycle arrest. When rapamycin was combined with LY294002, the ability of rapamycin to induce growth arrest and cause dephosphorylation of p70S6K and 4E-BP-1 was potentiated. It was suggested that the effect of LY294002 was due to its ability to block phosphorylation of AKT at Ser473, which was paradoxically induced by rapamycin. In the present paper, we demonstrate that in HTLV-1 transformed cells AKT regulates pathways involved in cell cycle and cell viability. AKT phosphorylates or induces the phosphorylation of BAD, decreasing its ability to interact with and inhibit the function of Bcl-xL (Figure 6
Acknowledgments This research was supported by the Intramural Research Program of the NIH, National Cancer Institute, Center for Cancer Research. We thank the FACS core facility for flow cytometry analysis and the imaging core facility for using confocal microscopy in CCR, NCI, NIH. Footnotes Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. References
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