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The Journal of Neuroscience, November 15, 2002, 22(22):9764-9770
Amyloid- Induces Smac Release via AP-1/Bim Activation
in Cerebral Endothelial Cells
K. J.
Yin,
J.-M.
Lee,
S. D.
Chen,
J.
Xu, and
C. Y.
Hsu
Department of Neurology and Center for the Study of Nervous System
Injury, Washington University School of Medicine, St. Louis, Missouri
63110
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ABSTRACT |
Insoluble fibrils of amyloid- peptide (A ) are the major
component of senile and vascular plaques found in the brains of Alzheimer's disease (AD) patients. A has been implicated in
neuronal and vascular degeneration because of its toxicity to neurons
and endothelial cells in vitro; some of these cells die
with characteristic features of apoptosis. We used primary cultures of
murine cerebral endothelial cells (CECs) to explore the mechanisms
involved in A induced cell death. We report here that
A 25-35, a cytotoxic fragment of A , induced
translocation of the apoptosis regulator termed
second-mitochondria-derived activator of caspase (Smac) from the
intramembranous compartment of the mitochondria to the cytosol 24 hr
after exposure. In addition, we demonstrated that X chromosome-linked
inhibitor-of-apoptosis protein (XIAP) coimmunoprecipitated with
Smac, suggesting that the two proteins bound to one another subsequent
to the release of Smac from the mitochondria. A 25-35 treatment also led to rapid AP-1 activation and subsequent
expression of Bim, a member of the BH3-only family of
proapoptotic proteins. Bim knockdown using an antisense
oligonucleotide strategy suppressed A 25-35-induced Smac
release and resulted in attenuation of CEC death. Furthermore, AP-1
inhibition, with curcumin or c-fos antisense
oligonucleotide, reduced bim expression. These results suggest that A activates an apoptotic cascade involving AP-1 DNA
binding, subsequent bim induction, followed by Smac release and binding to XIAP, resulting in CEC death.
Key words:
amyloid- peptide (A ); Smac; cerebral endothelial
cells; AP-1; BH3-only family; XIAP; cell death; Alzheimer's
disease
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INTRODUCTION |
Alzheimer's disease (AD), a common
neurodegenerative disease that leads to progressive dementia, results
from amyloid- peptide (A ) deposition in senile plaques and the
formation of neurofibrillary tangles (Wisniewski and Wegiel, 1995 ;
Yankner, 1996 ; Selkoe, 1999 ). A is a 39-43 amino acid peptide
fragment derived from the -amyloid precursor protein, a
membrane-bound glycoprotein distributed in many cell types of the
nervous system (Glenner et al., 1984 ; Masters et al., 1985 ). A large
body of literature suggests that A accumulation may be involved in
the neuronal degenerative process in AD brains (Yankner et al., 1989 ;
Behl et al., 1994 ; Yankner, 1996 ; Selkoe, 1999 ). A , which also
accumulates in cerebrovascular walls, has been shown to induce
significant damage to endothelial cells (Thomas et al., 1996 ) and may
contribute to the age-dependent degeneration of cerebral vasculature
and the development of cerebral amyloid angiopathy (Perlmutter, 1994 ;
Wisniewski et al., 2000 ), a major cause of hemorrhagic and ischemic
stroke in the elderly with or without AD (Walker, 1997 ). Although A
is toxic to cultured cerebral endothelial cells (CECs) (Price et al.,
1997 ; Preston et al., 1998 ; Xu et al., 2001a ), the underlying molecular
mechanism is unclear. Several groups have shown that CECs exposed to
A demonstrate features of apoptosis, including DNA condensation and
fragmentation, and a requirement for protein synthesis (Blanc et al.,
1997 ; Hase et al., 1997 ; Suo et al., 1997 ).
Activation of caspases, a widely recognized feature of apoptosis,
occurs either via the death receptor-mediated (tumor necrosis factor- /Fas ligand mediated) pathway (Ashkenazi and Dixit, 1999 ; Bratton et al., 2000 ) or the mitochondrial pathway (Green and Reed,
1998 ; Bratton et al., 2000 ). In the mitochondrial pathway and in some
cases of the death receptor-mediated pathway, members of the Bcl-2
family of proteins associate with the mitochondria and trigger the
release of a number of mitochondrial intermembranous proteins involved
in subsequent apoptotic signaling (Gross et al., 1999 ; Wang, 2001 ). One
subclass of the Bcl-2 family proteins that contains only one BH3 domain
(e.g., Bim, Bid, Bik, Bak, Bad) translocates to the mitochondria from
other cellular compartments and interacts with other Bcl-2 members to
regulate mitochondrial protein release (Kelekar and Thompson, 1998 ;
Huang and Strasser, 2000 ). These pro-apoptotic "BH3 domain only"
proteins appear to be transcriptionally regulated during apoptosis
(Dijkers et al., 2000 ; Whitfield et al., 2001 ). Included among the
proteins released by mitochondria during apoptosis are cytochrome
c and the novel protein termed second-mitochondria-derived
activator of caspase (Smac) (Deveraux and Reed, 1999 ), which binds to a
class of anti-apoptotic proteins known as the inhibitors of apoptosis
proteins (IAPs), thereby neutralizing IAP activity to promote caspase
activation and apoptotic cell death (Du et al., 2000 ; Verhagen et al.,
2000 ).
We have demonstrated previously that A induces apoptosis in
cultured CECs, resulting from mitochondrial dysfunction and the activation of caspase-8 and -3, and that cell death could be
attenuated with broad-spectrum caspase inhibitors (Xu et al., 2001a ).
In this study, we were interested in understanding regulatory events leading to caspase activation, including regulation of Bim expression, Smac release, and IAP binding in cells exposed to A .
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MATERIALS AND METHODS |
All chemicals and reagents were purchased from Sigma-Aldrich
(St. Louis, MO), whereas cell culture supplies were purchased from
Invitrogen (Carlsbad, CA) unless specified otherwise.
Mouse CEC primary culture. Mouse CECs were prepared as
described previously (Xu et al., 1998 ). Briefly, fresh mouse brains in
ice-cold HBSS with antibiotics were freed of meninges and
superficial blood vessels. The gray matter was homogenized and
filtered, and the resulting fraction was then digested sequentially
with 4 mg/ml collagenase B for 2 hr and 1 mg/ml collagenase/dispase
(Roche Molecular Biochemicals, Indianapolis, IN) for 2 hr, followed by centrifugation in a 40% Percoll solution. The second band containing microvessels was collected and washed before plating onto
collagen-coated dishes. Mouse CECs migrating from the vessels were
pooled to form a proliferating cell culture that was maintained in DMEM
supplemented with 10% FBS, 0.5 mg/ml heparin, and 75 µg/ml endothelial cell growth supplements. Mouse CECs of passages
4-15 that were uniformly positive for factor VIII and vimentin (>95%
endothelial cell purity) and characteristic bradykinin receptors were
grown to 85-95% confluency before use (Xu et al., 1992 ).
Treatment with A and Bim antisense
oligonucleotide. Although A 1-40 and
A 1-42 are the major components of A deposits in the AD brain, in most experimental systems the biological effects of the fragment A 25-35 and
A 1-40 are comparable (Loo et al., 1993 ; Behl
et al., 1994 ; Xu et al., 2001a ,c ). We have shown previously that
A 25-35 has approximately the same potency as
A 1-40 in inducing cell death in CECs (Xu et
al., 2001a ) and oligodendrocytes (Xu et al., 2001b ). On the basis of
these data, only A 25-35 was used in this
study. CECs were treated with 25 µM
A 25-35 (Sigma, St. Louis, MO) in serum-free
growth medium for 1, 2, 4, 8, 24, and 48 hr. In some experiments, mouse
CECs were treated with the antisense morpholino oligonucleotide
to Bim according to the protocol provided by the manufacturer (Taylor
et al., 1996 ; Summerton et al., 1997 ; Summerton and Weller, 1997 ). The
oligonucleotides were custom-made by Gene Tools, LLC (Corvallis,
OR) with the following sequences: antisense,
5'-TTACATCAGAAGGTTGCTTGGCCAT-3'; and sense,
5'-TACCGGTTCGTTGGAAGACTACATT-3'. Mouse CECs were incubated with a 5 ml
solution consisting of 1.4 µM antisense or sense Bim
oligonucleotides and 28 µl of 200 µM ethoxylated
polyethylenimine for 3 hr and then switched to normal growth medium for
at least 24 hr before exposure to A treatment. For
c-fos antisense oligonucleotide treatment, separate batches of CECs were pretreated with a 6 ml mixture containing 2 µM c-fos antisense or sense
phosphorothioated oligodeoxynucleotide (ODN) and 0.5 µl of 3 mg/ml
Superfect (Qiagen, Valencia, CA) for 3 hr before A treatment.
The ODNs were custom-made by Invitrogen (Gaithersburg, MD) with the
following sequences: sense, 5'-GGTTTGCCCAAACCACGACCATGATG-3'; and
antisense, 5'-CATCATGGTCGTGGTTTGGGCAAACC-3' (Liu et al., 1994 ; Cui et
al., 1999 ; Xu et al., 2001b ).
Subfractionization of cellular proteins from CECs. After
treatment, CECs were harvested by centrifugation at 200 × g for 10 min at 4°C. The cell pellets were washed twice
with ice-cold PBS, followed by centrifugation at 200 × g for 5 min at 4°C, and resuspended with 5 vol of Buffer A
[20 mM HEPES, 1.5 mM
MgCl2, 10 mM KCl, 1 mM EDTA, 1 mM EGTA, 250 mM sucrose, 0.1 mM PMSF, 1 mM dithiothreitol (DTT), 4 µg/ml pepstatin, 4 µg/ml leupeptin, 5 µg/ml aprotinin, pH 7.9]. After a 10 min
incubation on ice, cells were homogenized with a mini-pestle. The
lysates were centrifuged at 750 × g for 15 min at
4°C; the supernatant contained mitochondrial and cytosolic proteins,
and the pellet contained nuclei. The pellets were resuspended in 45 µl of buffer B (20 mM HEPES, 1.5 mM MgCl2, 20 mM KCl, 0.2 mM EDTA, 0.5 mM DTT, 0.2 mM PMSF, and 1 mg/ml leupeptin and aprotinin, pH 7.9), and 15 µl of buffer C (20 mM HEPES, 1.2 M KCl, 0.2 mM EDTA, 0.5 mM DTT, 0.2 mM PMSF, 1 mg/ml leupeptin and aprotinin, pH 7.9)
was then added and mixed. The samples were placed on ice for 30 min and
centrifuged at 12,000 × g. Supernatants containing nuclear protein were transferred and stored at 80°C until analysis by SDS-PAGE. The cytosolic/mitochondrial fractions were centrifuged at
10,000 × g for 15 min at 4°C, and the resulting
mitochondrial pellets were resuspended in buffer A and frozen in
multiple samples at 80°C. The supernatant of the 10,000 × g spin was further centrifuged at 100,000 × g for 1 hr at 4°C, and the resulting supernatants (S-100)
were removed and stored at 80°C for future analysis. The
concentrations of proteins described above were measured by the Lowry method.
Western blot analysis. Samples (20-40 µg of protein) were
electrophoresed onto a 10-15% SDS-PAGE and transferred to
polyvinylidene difluoride (PVDF) membranes. The membranes were blocked
in TBST buffer containing 20 mM Tris-HCl, 5%
nonfat milk, 150 mM NaCl, and 0.05% Tween 20, pH
7.5, for 1 hr at room temperature. Thereafter the blot was incubated
with primary rabbit anti-Bim antibody (1:1000; Calbiochem, La Jolla,
CA), rabbit anti-XIAP antibody (1:500; BD Biosciences, San Diego, CA),
goat anti-Smac antibody (1:200; Santa Cruz Biotechnology, Santa Cruz,
CA), or mouse anti-actin antiserum (1:500; Santa Cruz Biotechnology),
respectively, for 1-2 hr at room temperature. The membrane was washed
with TBST three times at 10 min intervals, incubated with the second
antibody (1:5000; anti-rabbit, anti-mouse, or anti-goat IgG conjugated
with alkaline phosphatase; Promega, Madison, WI) at room temperature
for 1 hr, and then washed three times each at 10 min intervals with
TBST and two times each for 10 min with TBS (TBST without Tween 20). The color reaction was developed by the Blot AP System according to the
technical manual provided by Promega.
Immunofluorescence staining. Mouse CECs grown on coverslips
were fixed with 4% paraformaldehyde for 30 min and washed three times
with 0.1 M PBS, pH 7.4. The cells were then
incubated with a primary goat anti-Smac antibody (1:50; Santa Cruz
Biotechnology) overnight at 4°C. On the following day, the cells were
incubated with fluorescein-conjugated anti-goat IgG (1:100; Vector
Labs, Burlingame, CA) for 1 hr. CECs were counterstained with 1 µg/ml propidium iodide (Molecular Probes, Eugene, OR) to visualize
nuclear morphology. Slides were washed, wet mounted, and examined with an Olympus fluorescence microscope.
Coimmunoprecipitation. A total of 2 × 107 CECs were pelleted and then lysed in
lysis buffer (1% Triton X-100, 150 mM NaCl, 10 mM Tris, pH 7.4, 1 mM EDTA,
1 mM EGTA, pH 8.0, 0.2 mM
sodium orthovanadate, 0.5% NP-40, 0.2 mM PMSF, 4 µg/ml pepstatin, 4 µg/ml leupeptin, 5 µg/ml
aprotinin) on ice for 30 min. Cellular debris was removed by
centrifugation at 16,000 × g for 20 min, and the supernatant was incubated with goat anti-Smac antibody (1:200; Santa
Cruz Biotechnology) at a concentration of 2 µg/ml at 4°C for 3 hr.
Protein G Sepharose 4 Fast Flow (50% beads in lysis buffer; Amersham
Biosciences) was added to the antigen-antibody mixture and incubated
with gentle agitation for another 1-2 hr. The immunoprecipitate was
washed five times with 500 µl of lysis buffer at 4°C, resuspended
in SDS loading buffer, separated on an SDS-polyacrylamide gel,
transferred to PVDF membrane, and further analyzed by Western blot
using rabbit anti-XIAP antibody (1:500; BD Biosciences) as described
previously. Affinity-purified normal goat IgG was used as a negative
control for immunoprecipitation.
Electrophoretic mobility shift assay.
Electrophoretic mobility shift assay (EMSA) to assess AP-1
binding activity has been described in detail elsewhere (An et al.,
1993 ; Xu et al., 2001b ). The following AP-1 consensus oligonucleotide
was used: 5'-CGCTTGATGAGTCAGCCGGAA-3' (Promega), end-labeled with
-32P-ATP by T4 polynucleotide kinase.
The binding reaction was performed in a total volume of 20 µl
containing binding buffer (10 mM Tris-HCl, 20 mM NaCl, 1 mM DTT, 1 mM EDTA, 5% glycerol, pH 7.6), 0.0175 pmol of
labeled probe (>10,000 cpm), 10-20 µg of nuclear protein, and 1 µg of poly(dI-dC). After incubation for 20 min at room
temperature, the mixture was subjected to electrophoresis on a
nondenaturing 6% polyacrylamide gel at 180 V for 2 hr under low ionic
strength conditions. The gel was dried and subjected to
autoradiography. For supershift assays, samples were incubated with
anti-c-Jun or anti-c-Fos antibody (1:4; Santa Cruz Biotechnology) for 1 hr before addition of -32P-ATP AP-1
oligonucleotide probe. The specificity of AP-1 DNA binding activity was
also demonstrated by the complete inhibition of AP-1 binding in the
presence of a 100-fold molar excess of cold AP-1 oligonucleotide (data
not shown).
Assessment of mouse CEC death. The extent of CEC death was
assessed by the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-tetrazolium bromide (MTT) and LDH assays as described previously (Xu et al., 1998 ,
2000 ).
Statistical analysis. Quantitative data are expressed as
mean ± SD based on at least three separate experiments of
triplicate samples. Difference among groups was statistically analyzed
by one-way ANOVA followed by Bonferroni's post hoc test.
Comparison between two experimental groups was based on a two-tailed
t test. A p value <0.05 was considered significant.
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RESULTS |
Smac release from mitochondria and binding to XIAP in CECs
Smac release from mitochondria appears to be a general feature of
apoptosis involving the mitochondrial pathway of cell death (Du et al.,
2000 ; Adrain et al., 2001 ; Carson et al., 2002 ; Deng et al., 2002 ;
Madesh et al., 2002 ; Verhagen and Vaux, 2002 ). We have shown previously
that A 25-35 is toxic to CECs, inducing several events in the apoptotic cascade, including cytochrome c release from mitochondria, and subsequent caspase
activation (Xu et al., 2001a ). To explore whether Smac redistribution
from mitochondria to the cytosol in CECs occurs during
A 25-35-induced apoptosis, we used Western
blotting to analyze the content of Smac in different cellular
fractions. As shown in Figure
1A, Smac protein levels
increased in the cytosol, at a time when the protein decreased in the
mitochondrial fraction (24-48 hr after
A 25-35 treatment); the nuclear fraction
remained devoid of Smac during this period of time, suggesting that
Smac translocated from mitochondria to cytosol. The cellular
redistribution of Smac was confirmed by immunofluorescent staining with
anti-Smac antibody, which showed that the normal punctate mitochondrial
pattern was changed to a more diffuse cytosolic pattern after
A 25-35 treatment (Fig. 1B).
An immunoprecipitation study with anti-Smac antibody revealed that
released Smac bound primarily to XIAP, a member of the IAP family of
apoptosis regulators, in the cytosol (Fig. 1C).

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Figure 1.
A 25-35-induced mitochondrial Smac
release into the cytosol and Smac binding to XIAP. A,
Western blot analysis shows the time course of Smac translocation from
the mitochondrial (Mt.) to the cytosolic
(Cyt.) fraction after A 25-35 exposure
for 24 hr. Note the absence of Smac in the nuclear fraction
(Nuc.) at all times. Actin immunoblotting serves as a
control. B, Immunofluorescent staining with anti-Smac
antibody confirms the translocation of Smac from mitochondria (punctate
staining) to cytosol (diffuse staining) after A 25-35
exposure for 0 or 24 hr. C, Smac binding to XIAP is
demonstrated by coimmunoprecipitation (IP) with
anti-Smac but not control (Ctl; normal goat IgG)
antibody. Representative data from three separate experiments with
similar results are shown.
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Regulation of Smac release
Oxidative stress plays a critical role in mediating A induced
apoptotic cell death in multiple cell types (Harris et al., 1995a ,b ;
Davis, 1996 ; Thomas et al., 1996 ; Misonou et al., 2000 ; Xu et al.,
2000 ), and anti-oxidants can protect cells from A toxicity (Xu et
al., 2001a ). To determine whether inhibition of oxidative stress
contributes to improvement of cell survival by inhibiting Smac release,
we examined the effects of the antioxidant N-acetyl-cysteine
(NAC) on Smac release induced by A 25-35. As
illustrated in Figure
2A, NAC effectively
inhibited Smac release from mitochondria.

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Figure 2.
Regulation of A 25-35-induced Smac
release from mitochondria in CECs. CECs were treated with 25 µM A 25-35 in the presence of NAC
(A), cyclosporin A (B), or
wortmannin (C) at indicated concentrations, and
cytosolic fractions were analyzed by immunoblotting with anti-Smac
antibody. NAC and cyclosporin A inhibited, whereas wortmannin
increased, Smac release. Representative data from three separate
experiments with similar results are shown.
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It has been proposed that the formation of the mitochondrial
permeability transition pore (PTP) may play a role in the release of
mitochondrial caspase activators during apoptosis (Pritchard et al.,
2000 ; Buckman and Reynolds, 2001 ). Cyclosporin A (CsA), which inhibits
PTP formation, was used to examine its effect on A 25-35-induced Smac release. CsA
significantly prevented Smac release from mitochondria to cytosol (Fig.
2B).
Multiple signal pathways may modulate mitochondrial intermembrane
protein release (Imaizumi et al., 1999 ; Kaltschmidt et al., 1999 ;
Bozyczko-Coyne et al., 2001 ; Martin et al., 2001 ; Xu et al., 2001b ). To
determine whether the phosphotidylinositol 3-kinase (PI3K)/Akt pathway regulates Smac release
in CECs, we treated CECs with a PI3K/Akt
inhibitor, wortmannin. As shown in Figure 2C, wortmannin
increased Smac release.
AP-1 binding activity
Proto-oncogenes belonging to the c-fos and
c-jun families are immediate-early genes that are rapidly
and transiently induced in response to various stimuli (Kruijer et al.,
1984 ; Kornhauser et al., 1992 ). These gene products can interact via a
leucine zipper to form heterodimers that act as a transcription factor by binding specifically to the AP-1 binding sites in the promotor region of selected genes (Curran and Franza, 1988 ; Beato, 1991 ), transactivating downstream genes that constitute the delayed genetic response. In this study, AP-1 binding activity was determined by EMSA.
As illustrated in Figure 3A,
treatment with A 25-35 resulted in a
substantial increase in AP-1 binding activity in a time-dependent
manner, starting as early as 1 hr and persisting up to 24 hr after A
exposure; low basal levels of AP-1 binding activity were detected in
control CECs. Addition of excess of unlabeled AP-1 oligonucleotides
abolished the observed DNA-protein complex, demonstrating the
specificity of AP-1 DNA binding activity (data not shown).
Preincubation of the nuclear extract with anti-c-Jun antibody or
anti-c-Fos antibody also reduced AP-1 DNA binding activity (Fig.
3B).

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Figure 3.
A 25-35 activation of AP-1.
A, EMSA study demonstrates a time-dependent elevation of
AP-1 binding activity after
A 25 35 treatment in CECs. Note
the low level of AP-1 binding in cultures unexposed to
A 25-35 (0h). B, The
specificity of AP-1 binding is confirmed by the effects of anti-c-Jun
or anti-c-Fos antibodies in reducing AP-1 binding activity.
Representative data from three separate experiments with similar
results are shown. h, Hour.
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Bim expression is required for Smac release
Bim belongs to the BH3-only subclass of the Bcl-2 family of
apoptosis regulators. These proteins contain only one of the Bcl-2 homology regions (BH3) and are essential initiators of apoptotic cell
death (Kelekar and Thompson, 1998 ; Huang and Strasser, 2000 ). To
determine the possible role of Bim in A induced cell death, Bim
expression was examined in CECs. Western blot analysis showed that Bim
expression was increased after A exposure, persisting for up to 24 hr after exposure (Fig.
4A,B).

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Figure 4.
A 25-35 induction of Bim protein
expression in CECs. A, A representative Western blot
demonstrates that A 25-35 induced Bim protein expression
at the indicated time points. B, Quantitative analysis
of three Western blots (normalized to actin expression) using the NIH
image system graphically illustrates Bim protein induction by
A 25-35. Data in B are expressed as
mean ± SD. **p < 0.05 versus 0 hr
(0h) exposure.
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Previous studies have reported that the translocation of mitochondrial
intermembranous proteins may be under the control of some BH3-only
family members (Gross et al., 1999 ; Li et al., 2001 ; Wang, 2001 ; Madesh
et al., 2002 ). To explore the possibility that mitochondrial Smac
release was regulated by Bim activation in A induced cell death, we
treated CECs with bim antisense oligonucleotides. Treatment
with antisense oligonucleotide diminished the
A 25-35-induced increase in bim
expression (Fig. 5A).
Furthermore, Bim knockdown reduced Smac release from mitochondria (Fig.
5B) and decreased cell death 24 hr after
A 25-35 exposure (Fig.
5C,D). To confirm the specificity of
bim antisense oligonucleotide, the bim sense
oligonucleotide was also tested and had no effect on Bim activation,
Smac release, or subsequent cell death (Fig.
5A-D).

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Figure 5.
Effects of Bim suppression on Smac release and CEC
death. CECs were cultured in the presence or absence of bim
sense or antisense oligonucleotide with or without
A 25 35 treatment for 24 hr.
A, A representative immunoblot demonstrates that
bim antisense oligonucleotide reduced bim
expression in CECs after A 25 35
exposure. Sense oligonucleotide treatment had no effect.
B, bim antisense oligonucleotide reduced
mitochondrial Smac release in CECs after A 25-35
treatment, as demonstrated in this representative Western blot, and
increased CEC survival, assessed by MTT assay (C)
and LDH release (D). Data are expressed as
mean ± SD from three separate experiments in quadruplicate.
Control, Control without oligonucleotide treatment;
AS, antisense oligonucleotide; S, sense
oligonucleotide. **p < 0.05 versus control
group.
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AP-1 inhibition decreases Bim expression
To determine whether AP-1 activity directly regulates
bim expression, curcumin, an AP-1 inhibitor, was applied to
CECs. As illustrated in Figure 6,
treatment with curcumin effectively inhibited AP-1 DNA binding activity
(Fig. 6A), resulting in decreased Bim protein levels
after 4 hr of exposure to A 25-35 (Fig.
6B). No effects of curcumin on AP-1 activation and
bim induction were observed at 2 mM
curcumin (Fig. 6A,B). To confirm
the effect of AP-1 DNA binding inhibition on bim expression,
CECs were treated with c-fos antisense oligonucleotides.
This strategy inhibited AP-1 DNA binding (Fig. 6C) by
disrupting c-Fos-c-Jun dimerization (Liu et al., 1994 ; Cui et al.,
1999 ; Xu et al., 2001b ) and resulted in decreased Bim expression (Fig.
6D).

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Figure 6.
The effect of AP-1 inhibition on
A 25-35-induced Bim expression. Curcumin
(A) or c-fos antisense
(AS) oligonucleotide (C) reduced
AP-1 binding activity as shown by EMSA. Curcumin
(B) or c-fos antisense
oligonucleotide (D) also reduced Bim expression
as shown by immunoblotting. C-fos sense
(S) oligonucleotide had no effect. Representative
data from three separate experiments with similar results are
shown.
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DISCUSSION |
The results demonstrate that CECs undergo apoptosis when exposed
to A 25-35. This event is accompanied by the
translocation of Smac from the mitochondrial intermembranous
compartment to the cytosol, where it appears to bind to XIAP.
Furthermore, we have provided evidence that Smac release is regulated
by expression of the BH3-only protein, Bim. Suppression of Bim
expression using a Bim antisense oligonucleotide effectively inhibited
A -induced mitochondrial Smac release and reduced subsequent cell
death. Bim expression, in turn, is regulated by AP-1 binding activity, because inhibition of AP-1 with curcumin or c-fos antisense
oligonucleotide reduced Bim expression. On the basis of these results,
we propose that A 25-35 activates AP-1, which
transactivates Bim expression. Bim expression then leads to Smac
release from mitochondria and subsequent binding to anti-apoptotic
XIAP, resulting in CEC apoptosis. This proposed sequence of events is
consistent with previous work which demonstrated that A induced CECs
to die with features of apoptosis, including DNA condensation and
fragmentation (Xu et al., 2001a ), and involved mitochondrial
dysfunction, mitochondrial DNA damage, and activation of caspase-8 and
-3 (Xu et al., 2001a ).
Caspase activity has been shown recently to be under the influence of
the IAP class of proteins, consisting of NAIP, cIAP-1, cIAP-2, XIAP,
and Survivin, which directly bind to and inactivate caspases (Deveraux
et al., 1997 , 1998 ; Roy et al., 1997 ; Shin et al., 2001 ; Verhagen et
al., 2001 ). The IAPs are regulated by Smac. Several studies have
demonstrated that Smac is released from the mitochondria by apoptotic
stimuli and then binds to and inactivates the IAPs, disinhibiting
caspase activation (Du et al., 2000 ; Verhagen et al., 2000 ). In this
study we have shown that Smac, in fact, does bind to XIAP. It is likely
that Smac binding of XIAP promotes the activation of downstream
effector caspases, as observed in our earlier work (Xu et al., 2001a ). Because XIAP exists exclusively in the cytosol (Du et al., 2000 ; Verhagen et al., 2000 ), interaction with Smac is likely to occur only
after its release from the mitochondria.
There is growing evidence that a critical checkpoint in the regulation
of apoptosis occurs at the level of the mitochondria and that
mitochondrial disruption may lead to the stimulation of apoptosis
(Green and Reed, 1998 ). We examined several interventions that altered
mitochondrial susceptibility to damage to determine their effect on
Smac release. In general, those interventions that have demonstrated
cytoprotective properties reduced Smac release in CECs. For example,
the antioxidant NAC, which was reported previously to protect CECs from
A 25 35-induced CEC death (Xu et al., 2001a ), blocked Smac release in the present study. Likewise, the permeability transition pore inhibitor cyclosporin A reduced Smac release from CECs treated with
A 25 35.
Smac release after apoptotic stimuli is controlled by the interaction
of Bcl-2 family members on the mitochondrial membrane. For example,
several groups have shown that Bcl-2 overexpression inhibited Smac
release and attenuated death in cells stimulated by death ligands or
via the mitochondrial pathway (Adrain et al., 2001 ; Fulda et al., 2002 ;
Sun et al., 2002 ). The involvement of Bax has also been implicated, at
least in receptor-mediated apoptosis, because Bax knock-out prevented
Smac release and subsequent cell death in TRAIL-induced human colon
cancer cells (Deng et al., 2002 ). In addition, there is growing
evidence that receptor-mediated Smac release may require the activation
of caspase-8, which cleaves the cytosolic BH3-only protein, Bid, into a
truncated form (tBid); tBid then translocates to the mitochondria where
it triggers the release of Smac and other apoptotic signals (Li et al.,
1998 ; Luo et al., 1998 ; Madesh et al., 2002 ). Another BH3-only protein, Bim, normally associates with cellular microtubule complexes but translocates to the mitochondria shortly after apoptotic stimuli (Putcha et al., 2001 ). Li et al. (2001) has reported that recombinant Bim alone is as efficient as tBid in releasing cytochrome c
and endonuclease G when incubated with mitochondria in
vitro. Mice lacking Bim show defects in apoptotic response in
their immune system (Bouillet et al., 1999 ). Because the requirement
for mitochondrial processing to activate Smac may be analogous to the
requirement for mitochondrial processing of cytochrome c, we
explored the relationship between Bim expression and Smac release in
A -treated CECs. The results shown here demonstrate that Bim
knockdown using an antisense strategy effectively inhibited the release
of Smac from mitochondria and reduced CEC cell death, implying that Bim expression regulates Smac release and subsequent cascade activation in
A 25-35-induced apoptosis.
Recent reports suggest that the expression of BH3-only proteins such as
Bim may primarily involve transcriptional regulation. For example, the
forkhead transcription factor induced Bim expression in T lymphocytes
and is thought to be suppressed by survival-promoting cytokines via the
PI3K/Akt anti-apoptotic pathway (Dijkers et al.,
2000 ). Our finding that the PI3K/Akt inhibitor,
wortmannin, increased Smac release in
A 25 35-treated CECs raises the possibility that this anti-apoptotic pathway may regulate Bim expression, which in turn influences Smac release. Dominant-negative constructs of c-jun prevented
bim upregulation and inhibited mitochondrial cytochrome
c release in cultured neurons after NGF withdrawal,
suggesting that activation of the JNK/c-Jun pathway may also
participate in the transcriptional regulation of bim
(Whitfield et al., 2001 ). In this study, we demonstrated that
A 25-35 exposure caused a significant
elevation of AP-1 binding activity. AP-1, composed of a heterodimer of
c-Fos and c-Jun, is likely to be involved as shown by EMSA.
A 25 35 activation of AP-1 is likely to lead to the transactivation of bim. This contention is supported by the finding that
inhibition of AP-1 by curcumin or a c-fos antisense
oligonucleotide resulted in bim downregulation. In
conclusion, the present study suggests a central role for Bim-mediated
mitochondrial Smac release in A 25-35-induced
CEC apoptosis. This cascade is regulated by upstream c-Jun-c-Fos/AP-1
activity. The elucidation of mechanisms involved in A -induced CEC
death may be important for understanding the pathogenesis of cerebral
amyloid angiopathy and cell death in Alzheimer's disease.
 |
FOOTNOTES |
Received July 17, 2002; revised Aug. 28, 2002; accepted Sept. 9, 2002.
This work was supported by National Institutes of Health Grants
NS37230, NS40162, and NS40525 (C.Y.H.), American Heart
Association (AHA) Grant 0050597N (J.X.), and AHA Postdoctoral
Fellowship 0120652Z (K.J.Y.).
Correspondence should be addressed to Dr. Chung Y. Hsu, Department of
Neurology, Box 8111, Washington University School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110. E-mail: hsuc{at}neuro.wustl.edu.
 |
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