Abstract
Estrogens can regulate apoptosis in various cellular systems. The present study shows that 17β-estradiol (E2), at physiological concentrations, abrogates DNA damage, poly (ADP-ribose) polymerase cleavage, and mitochondrial cytochrome c release induced by H2O2 or etoposide in mouse skeletal muscle C2C12 cells. This protective action, which involved PI3K/Akt activation and Bcl-2 associated death agonist (BAD) phosphorylation, was inhibited by antibodies against the estrogen receptor (ER) α or β isoforms, or transfecting siRNA specific for each isoform. The inhibition of the antiapoptotic action of E2 at the mitochondrial level was more pronounced when ER-β was immunoneutralized or suppressed by mRNA silencing, whereas transfection of C2C12 cells with either ER-α siRNA or ER-β siRNA blocked the activation of Akt by E2, suggesting differential involvement of ER isoforms depending on the step of the apoptotic/survival pathway evaluated. These results indicate that E2 exerts antiapoptotic effects in skeletal muscle cells which are mediated by ER-β and ER-α and involve the PI3K/Akt pathway.
Introduction
The estrogen 17β-estradiol (E2) is a steroid hormone whose actions involve genomic and non-genomic mechanisms ( Bjornstrom & Sjoberg 2005). It is generally accepted that the majority of the effects of the hormone are mediated via two estrogen receptors (ERs), namely ER-α and ER-β, which are members of the nuclear receptor superfamily, by regulating nuclear estrogen responsive genes ( Evans 1988, Tsai & O'Malley 1994, Beato et al. 1996, Pettersson et al. 2000, Hall et al. 2001, Hewitt & Korach 2002). Also, several investigators have pointed out the possibility that the ER could be non-classically associated with intracellular membranes ( Parikh et al. 1980, Watson & Muldoon 1985, Muldoon et al. 1988, Monje & Boland 1999, Watson et al. 1999). Moreover, there is evidence showing that ER-α and ER-β may be located in the plasma membrane ( Luconi et al. 1999, Norfleet et al. 2000, Ropero et al. 2002, Monje & Boland 2001, Monje et al. 2001, Li et al. 2003) and mitochondrial compartments ( Zheng & Ramirez 1999, Horvat et al. 2001, Monje & Boland 2002, Yang et al. 2004, Solakidia et al. 2005). In addition, the non-genomic events triggered by E2 suggest the ability of the hormone to activate extranuclear receptors ( Bjornstrom & Sjoberg 2005). Among the rapid non-transcriptional actions of E2, the activation of the phosphatidylinositol 3-kinase (PI3K)/Akt pathway has been shown in various cellular lines ( Fernando & Wimalasena 2004, Guo et al. 2006). PI3K regulates phosphoinositide metabolism and is responsible for the generation of phosphatidylinositol-3,4,5-trisphosphate (PIP3; Vanhaesebroeck et al. 2001, Osaki et al. 2004). The activation of PI3K results in PIP3-mediated activation of the serine–threonine kinase Akt by phosphorylation. In turn, phospho-Akt modulates the function of numerous substrates involved in the regulation of cell functions as for example apoptosis ( Coffer et al. 1998, Vanhaesebroeck et al. 2001). There is evidence that E2 is able to promptly activate the PI3K/Akt pathway by different mechanisms, in an ER-dependent and ER-independent manner, depending on the cellular type ( Guo et al. 2006). Accordingly, estrogens exert antiapoptotic effects on various cell types such as vascular endothelial, smooth muscle, and breast cancer cells, among others ( Spyridopoulos et al. 1997, Sudoh et al. 1998, Razandi et al. 2000).
There is evidence that skeletal muscle is a target tissue for estrogens. Muscle mass and strength diminish during the postmenopausal years leading to sarcopenia which is a risk factor for osteoporosis since it is associated with physical disability and immobility resulting in bone loss. Sarcopenia depends, in part, on estrogen levels. Thus, hormone replacement therapies prevent a decline in muscle performance ( Dionne et al. 2000). Congruent with these observations, it has been recently established that human skeletal muscle contains ER-α and ER-β ( Lemoine et al. 2003, Wiik et al. 2003), although the exact mechanism by which estrogens prevent sarcopenia remains to be clarified.
It has been shown that estrogens promote proliferation and differentiation of skeletal myoblasts ( Kahlert et al. 1997). Moreover, studies with myoblasts have demonstrated that apoptosis plays an important role in skeletal muscle development, by controlling the size of the population of proliferating myoblasts which undergo differentiation into mature myotubes ( Walsh 1997, Sandri & Carraro 1999, Huppertz et al. 2001). Then, the effects of the hormone on skeletal muscle development could also be regulated, in part, through its effects on apoptosis.
In view of the above lines of evidence, the objective of the present work was to investigate whether E2 exerts a regulatory action on apoptosis in skeletal muscle and to obtain information on the mechanism involved therein. To that end, C2C12 murine skeletal muscle cells treated with etoposide or hydrogen peroxide (H2O2) were used as experimental model. H2O2 and etoposide, a topoisomerase II inhibitor, have been widely used as inducers of apoptosis and a substantial literature details many biochemical events that occur upon apoptotic induction by both agents in a variety of cell types including C2C12 muscle cells ( Mizumoto et al. 1994, Kavurma & Khachigian 2003, Biswas et al. 2005, Jiang et al. 2005a, b). The data obtained demonstrate an antiapoptotic action of E2 in C2C12 skeletal muscle cells exposed to etoposide or oxidative stress (H2O2), which requires PI3K/Akt activation and is mediated by ER-β and ER-α.
Materials and Methods
Materials
ER-α mouse monoclonal antibody Ab-10/clon TE111.5D11 (anti-ER ligand binding domain) was purchased from NeoMarkers (Fremont, CA, USA). ER-β goat polyclonal antibodies L-20 (mapping near C-terminus) and Y-19 (mapping at the N-terminus), and anti-lamin B were purchased from Santa Cruz Biotechnology Inc. (Santa Cruz, CA, USA). PhosphoDetect anti-Bad (Ser136) and anti-poly (ADP-ribose) polymerase (PARP) pAb were from Calbiochem (San Diego, CA, USA). Anti-phospho-Akt (Ser473) was from Cell Signaling Technology Inc (Danvers, MA, USA). DAPI and MitoTracker Red (MitoTracker Red CMXRos) dyes were from Molecular Probes (Eugene, OR, USA). ER-α and ER-β ShortCut siRNA, fluorescein-siRNA transfection control and TransPass R2 transfection reagent were from New England Biolabs (NEB, Beverly, MA, USA). ICI 182 780 was from Tocris (Ellisville, MO, USA). Cytochrome c oxidase assay kit, etoposide, E2-peroxidase and diethylstilbestrol (DES) were purchased from Sigma–Aldrich. DNAzol Reagent was from GIBCO BRL. The PI3K inhibitors wortmannin and LY294002 were obtained from Alomone Labs Ltd (Jerusalem, Israel). All the other reagents used were of analytical grade.
Cell culture and treatment
C2C12 murine skeletal muscle cells, kindly donated by Dr Enrique Jaimovich (Universidad de Chile, Santiago, Chile), were cultured in growth medium (Dulbecco's modified Eagle's medium (DMEM) supplemented with 10% heat-inactivated (30 min, 56 °C) fetal bovine serum), 1% nistatine, and 2% streptomycin. Cells were incubated at 37 °C in a humid atmosphere of 5% CO2 in air. Cultures were passaged every 2 days with fresh medium. The treatments were performed with 70–80% confluent cultures in medium without serum by adding E2, ICI 182 780, or the non-steroidal analog DES, ∼45 min before induction of apoptosis with hydrogen peroxide (H2O2) or etoposide during 24 h or the time indicated in specific experiments. H2O2 was diluted in culture medium without serum at a final concentration of 0.5 mM in each assay and etoposide was prepared in dimethyl sulfoxide (DMSO) at a final concentration of 25 μg/ml in each assay. Unless otherwise noted, cells were cultured in chamber slides for microscopy.
To block the protective effects of hormone on H2O2-induced cytochrome c release (determined by evaluation of outer mitochondrial membrane integrity; see below) using different monoclonal antibodies against ER-α and ER-β, the cultured muscle cells were first permeabilized with saponin (50 μg/ml; 1 min at 37 °C) and then incubated for 1 h at 37 °C in presence of a 1:100 dilution of the antibodies in DMEM.
Quantitation of apoptotic cells
After treatments, the cells were fixed with methanol at −20 °C for 30 min and then washed with PBS. Fixed cells were incubated for 30 min at room temperature in darkness with 1:500 of a stock solution of DAPI (5 mg/ml) and next washed with PBS. Cells were mounted on glass slides and examined using a fluorescence microscope (NIKON Eclipse E 600) equipped with standard filter sets to capture fluorescent signals. Images were collected using a digital camera. Apoptotic cells were identified by the condensation and/or fragmentation of their nuclei. The results were expressed as percentage of apoptotic cells. A minimum of 500 cells was counted for each treatment from at least three independent experiments.
Detection of DNA fragmentation
DNA was extracted from treated or control cells, using DNAzol Reagent (Gibco-BRL) as described by the manufacturer. Isolated DNA (30 μg for each condition) was electrophoresed on a 1.5% agarose gel in Tris-acetate-EDTA buffer at 40 mA. The gel was stained with ethidium bromide and visualized under u.v. light.
Subcellular fractionation
C2C12 confluent monolayers were scrapped and homogenized in ice-cold Tris-EDTA-sucrose (TES) buffer (50 mM Tris–HCl (pH 7.4), 1 mM EDTA, 250 mM sucrose, 1 mM dithiothreitol (DTT), 0.5 mM phenylmethylsulfonyl fluoride, 20 μg/ml leupeptin, 20 μg/ml aprotinin, 20 μg/ml trypsin inhibitor) using a Teflon-glass hand homogenizer. A nuclear pellet was obtained by low speed centrifugation (800 g, 20 min) of the lysed cell preparation. The supernatant was further centrifuged at 10 000 g for 15 min to pellet mitochondria. The remaining supernatant was centrifuged at 120 000 g for 90 min to yield a soluble supernatant (cytosol) and a plasma membrane-containing particulate pellet (microsomes). Contamination of nuclear, microsomal, and cytosolic fractions with mitochondrial components was assessed by measuring the activity of the mitochondrial marker enzyme cytochrome c oxidase employing the Cytochrome c Oxidase assay kit (Sigma) according to the manufacturer's instructions. Also, anti-lamin B antibody was employed for the immunodetection of the nuclear protein marker lamin B in the different fractions. Negligible cross-contamination of fractions with nuclei and mitochondria was detected (data not shown).
Protein concentration of the fractions was estimated by the method of Bradford (1976), using BSA as standard.
Western blot analysis
Protein samples (25 μg) were mixed with one-fourth of sample buffer (400 mM Tris–HCl (pH 6.8), 10% SDS, 50% glycerol, 500 mM DTT, and 2 mg/ml bromophenol blue), boiled for 5 min, and resolved by 10% sodium dodecyl sulfate-PAGE (SDS-PAGE) according to the method of Laemmli (1970). Fractionated proteins were electrotransferred to polyvinylidene fluoride membranes (Immobilon-P) and then blocked for 1 h at room temperature with 5% non-fat dry milk in PBS containing 0.1% Tween-20 (PBS-T). Blots were incubated for 1 h with the appropriate dilution of the primary antibodies: Ab-10/clon TE111.5D11 anti ER-α (1:400), anti-lamin B (1:200), anti-phospho-BAD (1:400), anti-PARP pAb (1:200), anti-phospho-Akt (1:1000), using anti-rabbit secondary antibodies for all of them. L-20 (1:300) anti-ER-β is an affinity purified goat polyclonal antibody. The membranes were repeatedly washed with PBS-T prior incubation with horseradish peroxidase-conjugated secondary antibodies. The enhanced chemiluminescence (ECL) blot detection kit (Amersham) was used as described by the manufacturer to visualize reactive products. Relative migration of unknown proteins was determined by comparison with molecular weight colored markers (Amersham). For actin loading control, membranes were stripped with stripping buffer (62.5 mM Tris–HCl (pH 6.7); 2% SDS; 50 mM β-mercaptoethanol) and then blocked for 1 h with 5% non-fat dry milk in PBS containing 0.1% Tween-20 (PBS-T). The blots were then incubated 1 h with a 1:20 000 dilution of anti-actin policlonal antibody (A-5060) as primary antibody.
After several washings with PBS-T, membranes were incubated with anti-rabbit (1:10 000) or anti-goat (1:50 000) secondary antibodies, depending on the source of the primary antibody, conjugated to horseradish peroxidase. The corresponding immunoreactive bands were developed by means of ECL.
ER-α recombinant protein and ER-β blocking peptides were used to confirm the specificity of antibodies used in the assays. Secondary antibodies alone were also employed as a negative control in western blots (Milanesi, de Boland and Boland submitted). All the antibodies employed were tested in the MCF-7 cell line and in cytosolic preparations from rabbit uterus and ovary ( Monje & Boland 1999, 2001).
Transfection of short interfering RNA (siRNA)
Transfection was performed with a culture cellular density reaching 40–60% confluence with ER-α or ER-β ShortCut siRNA (NEB) according to the manufacturer's instructions. Briefly, TransPass R2 Transfection Reagent was mixed with ER-α or ER-β siRNAs (NEB). The mix was incubated for 20 min at room temperature and diluted with complete culture medium. The culture medium of the cells was aspirated and replaced with the diluted transfection complex mixture. The cells transfected were used in the indicated assays.
To estimate the transfection efficiency of siRNA, 10–30 pmol of fluorescein-siRNA (NEB) were used according to the manufacturer's instructions. Cells were then visualized, 24 and 48 h post transfection, in a conventional fluorescence microscope.
To evaluate the effective silencing of ER-α or ER-β, total proteins from transfected and non-transfected cells (controls) were extracted 24 and 48 h post transfection and ER-α or ER-β expression was tested by western blot analysis as described above using TE111.5D11 specific monoclonal antibody and Y-19 specific polyclonal antibody respectively.
Measurement of outer mitochondrial membrane integrity
The integrity of outer mitochondrial membranes was evaluated using a commercially available kit from Sigma (CYTOC-OX1) according to the manufacturer's instructions. Briefly, mitochondrial fractions (2 μg protein) were added to the assay buffer (10 mM Tris–HCl (pH 7.0) and 120 mM KCl), in presence and absence of the detergent n-dodecyl β-d-maltoside. To these samples, 50 μl reduced cytochrome c (0.22 mM) were added and changes in absorbance at 550 nm were monitored for 1 min. An extinction coefficient of 21.84 was used. The results were expressed as percentage of mitochondria with damaged outer membrane.
MitoTracker red staining
Coverslips with adherent cells were stained with MitoTracker red (Molecular Probes), which was prepared in dimethyl sulfoxide and then added to the cell culture medium at a final concentration of 1 μmol/l. After 15- to 30-min incubation at 37 °C, the cells were washed with PBS and fixed with methanol at −20 °C for 30 min. Finally, the coverslips were analyzed by conventional and confocal fluorescence microscopy as described previously. Images were collected using a digital camera.
Confocal microscopy
The samples used for confocal microscopy were processed as described above and confocal scanning laser microscopy was performed with a Leica TCS SP2 AOBS microscope, using a 63× objective. The specificity of the labeling techniques was proven by the absence of labeling when the primary or the secondary antibodies were omitted.
Statistical analysis
Statistical treatment of the data was performed using the Student's t-test ( Snedecor & Cochran 1967). Data are means±s.d. of not less than three independent experiments. The data were considered statistical significant when P<0.05.
Results
E2 effects on H2O2- or etoposide-induced apoptosis in C2C12 muscle cells
C2C12 myogenic cells were challenged with 0.5 mM H2O2 for 24 h and apoptotic events were investigated. The nuclear dye DAPI showed morphological changes typical of apoptosis such as nuclear fragmentation/condensation (pyknotic nuclei) after treatment with inducers, which represented ∼70% of the cultured muscle cells ( Fig. 1). The same results were obtained by treating the C2C12 cells with the semi-synthetic derivative of the podophyllotoxin etoposide (25 μg/ml) during 24 h (data no shown). Furthermore, H2O2 treatment resulted in DNA fragmentation in C2C12 cells, as evidenced by the formation of a DNA ladder in agarose gels ( Fig. 2), also providing evidence that exposure to H2O2 induces apoptosis in the muscle cells. Comparable results were obtained using etoposide ( Fig. 2). Trypan blue staining excluded the possibility that these treatments induced necrosis of the cells (data not shown). On the other hand, we observed that treating C2C12 cells with E2 (10−8 M) or with the synthetic non-steroidal analog DES (10−8 M) for 45 min prior to the apoptotic stimulus of H2O2, the percentage of apoptotic nuclei was significantly diminished (from 73% when the cells were treated with H2O2 alone to ∼8% when the cultures were preincubated with E2 before addition of H2O2). Similar values were obtained with etoposide (data not shown). In addition, DNA fragmentation induced by H2O2 or etoposide was abolished by the hormone treatment ( Figs 1 and 2). The same results were obtained when the assays were performed in presence of DES (results not given).
The effects of E2 and DES on the release of cytochrome c due to loss of outer mitochondrial membrane integrity induced by H2O2 were evaluated by means of CYTOC-OX1 assays (see Materials and Methods). We observed that 70±1.5% of the cells presented damaged mitochondria after H2O2 treatment, whereas when the cultures were preincubated with E2 or DES before addition of H2O2, only 21±1.2% or 10±0.4% respectively, of the mitochondria were affected (P<0.05; three independent experiments). In addition, morphological changes and cellular redistribution of mitochondria could be detected in C2C12 cells treated with H2O2 as described above and stained with the fluorescent mitochondrial probe MitoTracker red. Thus, Fig. 3 shows that cells treated with vehicle (control) or E2 display ‘spider-web’ or uniform distribution of mitochondria through the cytosol. On the other hand, when apoptosis was induced with H2O2, the cells showed reduced size ‘pyknotic’ mitochondria and characteristic clustering of the organelle around the nucleus (which represented ∼70% of the cultured muscle cells). These modifications could be prevented when the C2C12 cells were incubated with E2 prior to treatment with H2O2 ( Fig. 3). Likewise, Fig. 4 shows by western blot assays that both H2O2 and etoposide, under the same conditions as indicated before, induced the cleavage of PARP, whereas incubation with E2 (10−8 M) for 45 min prior to the apoptotic stimuli abolished the cleavage of PARP.
Activation of the PI3K/Akt pathway by E2 in C2C12 muscle cells
The ability of E2 to regulate the PI3K/Akt pathway in muscle cells was evaluated. This signaling pathway influences cell death through its direct effects on the phosphorylation state of BAD. C2C12 cell cultures were incubated with the steroid hormone (10−8 M) for various time intervals (5, 20, and 40 min, 8 h) followed by measurement of phospho-Akt levels. As shown in Fig. 5A, western blot analysis using anti-phospho-Akt (Ser 473) polyclonal antibody revealed Akt activation (phosphorylation) in response to E2. No appreciable changes in phosphorylation of Akt were induced by treatment with 0.5 mM H2O2 for 24 h as in the previous experiments. Of relevance, activation of Akt by the hormone was blocked when the cells were preincubated with the PI3K specific inhibitor wortmannin (0.1 μM during 20 min). Immunocytochemistry studies using confocal microscopy and the same antibody were congruent with the western blot results. Moreover, when the C2C12 cells were preincubated with Ly294002 (25 μM during 20–30 min), another PI3K inhibitor, and then treated with E2 as before, slight fluorescence was detected ( Fig. 5B). These results demonstrate then that E2 is able to promptly activate Akt acting through PI3K.
E2 induces BAD phosphorylation in C2C12 muscle cells
Next, we investigated the action of E2 on BAD phosphorylation, an event related to cell survival via the PI3K/Akt pathway. Figure 6 shows a marked increase in phosphorylation of BAD after 5–40 min treatment with E2, the effects being no longer detectable at 8 and 24 h. Total BAD levels were unchanged during this treatment interval. As expected, in the presence of inducers of apoptosis, H2O2, or etoposide, phosphorylation of BAD was not observed ( Fig. 6A and B). Co-treatments with E2 and H2O2 or etoposide restored BAD phosphorylation (data not shown for H2O2). Wortmannin (0.1 μM) partially inhibited this recovery of the steroid hormone phosphorylation effect ( Fig. 6A).
Role of ERs in the antiapoptotic effects of E2
To address whether the antiapoptotic action of E2 on C2C12 muscle cells is exerted through ERs, the above experiments on the effects of E2 on H2O2-induced cytochrome c release were performed in presence of 1 μM ICI 182 780, an ER antagonist. Figure 7 illustrates that the antagonist blocked the protective effect of the hormone. In addition, western blot assays showed that the inhibitory effect of E2 on H2O2-promoted apoptotic cleavage of PARP was almost totally abolished by ICI 182 780 ( Fig. 4). Also, we evaluated cytochrome c release in C2C12 cells preincubated with specific antibodies against the ER isoforms α and (see Materials and Methods and legend to Fig. 7) followed by treatment with 10−8 M E2 for 45 min and finally challenged with 0.5 mM H2O2 during 24 h. Under these conditions, inhibition of H2O2-induced cytochrome c release by E2 (or DES) was reduced ( Fig. 7). Thus, polyclonal anti-ER-β antibodies L-20 (mapping near C-terminus) and Y-19 (mapping at the N-terminus) abolished it by 66% the antiapoptotic effect of E2, whereas monoclonal ER-α antibody Ab-10 (against ER ligand binding domain) suppressed it by 40%. Appropriate controls allowed to exclude nonspecific effects due to the permeabilization treatment and/or antibody incubation (see condition ‘ANTIBODY’ in Fig. 7).
To strengthen the above evidence involving ER-β and possibly ER−, we evaluated cytochrome c release in C2C12 cells transfected with specific siRNAs to induce silencing of each ER isoform. Optimum transfection conditions were established using fluorescein-siRNA (NEB; ≥70% after 24-h incubation with 20 pmol of fluorescent probe; Fig. 8A). To verify the silencing efficiency and specificity of siRNA effects, we examined by western blot analysis the expression levels of ER-α and ER-β after transfection with isoform-selective siRNAs (24/48 h with 10/20 pmol of ER-α or ER-β siRNA (NEB)). Figure 8B indicates that each siRNA probe led to a significant suppression in the levels of the corresponding protein. Under these conditions, ER-β silencing caused a significant blockade (∼78%±2.5) of E2 effects on cytochrome c liberation, whereas ER-α silencing induced a minor reduction of E2 effects (∼30%±0.7). The siRNAs used are highly specific. We used the fluorescent probe of the kit (chemically synthesized 21 bp RNA which has no sequence identity to any mammalian sequences) and differently to siRNA α or β no blockage was observed (not shown). These pieces of evidence show that E2 inhibition of cytochrome c release is mediated mainly by ER-β ( Fig. 8C). On the other hand, transfection of C2C12 cells with either ER-α siRNA or ER-β siRNA blocked the activation of Akt by E2 shown before ( Fig. 5A), revealing that both receptor isoforms mediate this step ( Fig. 8D).
Discussion
E2 can sustain survival or alternatively induce apoptosis of cells depending on their biological context ( Choi et al. 2001, Okasha et al. 2001, Florian & Magder 2008, Seli et al. 2007). The data obtained in this work using the well-characterized myogenic C2C12 murine cell line provides evidence that the estrogen at physiological concentrations inhibits apoptosis of skeletal muscle cells. As experimental approach, the C2C12 cells were led into apoptosis by exposure to H2O2 or etoposide, state which was first evidenced by the results of DAPI staining and DNA laddering. Under these conditions, we observed that the cells preincubated with E2 (10−8 M), similarly as the synthetic non-steroidal analog DES (10−8 M), block the effects of hydrogen peroxide or etoposide on the number of apoptotic nuclei and DNA fragmentation. This protective action of the hormone was dose dependent between 10−6 and 10−10 M, maximal effects being detected at 10−8 M (not shown), in agreement with saturation binding analysis data of the ER in C2C12 cells (Milanesi, de Boland and Boland submitted), an observation which may be related to the participation of ER as mediator of the antiapoptotic action E2 in muscle cells demonstrated in the present investigations (see below). This concentration of estrogen has been shown to inhibit apoptosis in other cell types ( Fernando & Wimalasena 2004). Although E2 is known to induce mitogenic effects, the fact that no difference in the number of apoptotic nuclei between the E2 and control conditions was observed indicates that the steroid exerts mainly an apoptotic action rather than a mitogenic one in C2C12 cells.
The mitochondria play a central role in apoptosis. Within the past few years, their participation in the control of apoptosis has been well documented. Morphological changes and cellular redistribution of mitochondria in apoptotic cells are known to occur ( Desagher & Martinou 2000). The mitochondrial protein cytochrome c plays a key role in apoptosis (reviewed by Jiang & Wang 2004). This soluble protein is localized in the intermembrane space and loosely attached to the surface of the inner mitochondrial membrane. In response to a variety of apoptosis-inducing agents, cytochrome c is released from mitochondria to the cytosol ( Liu et al. 1996, Reed 1997). The necessary event for cytochrome c release to take place is the loss of integrity of the outer mitochondrial membrane ( Crompton et al. 1998, Green & Kroemer 2004). Evaluation of the outer membrane state by the determination of cytochrome c oxidase activity represents a useful indicator of cytochrome c release. The inhibition of H2O2-induced cytochrome c release by E2 or DES observed in this study, like the effects of hormone on the size and cytosolic distribution of mitochondria, suggests a protective effect of E2 and its analog on this organelle.
Several interpretations may apply regarding the physiological relevance of the morphological changes and redistribution of the organelle in response to H2O2 treatment. It is possible that clustering of mitochondria near the nucleus generates high energy levels required to maintain the machinery triggered by the apoptotic stimulus active. Also, displacement of the organelle could facilitate translocation of mitochondrial proteins, such as apoptosis-inducing factor (AIF) which binds to DNA and triggers its destruction, to the nucleus ( Susin et al. 2000). Moreover, the modifications that undergo mitochondria like size reduction or pyknosis could be related to the release of mitochondrial proteins (e.g., AIF, cytochrome c) observed in apoptosis ( Granville et al. 2001). Further studies are necessary to elucidate the relative role of these events and the mechanisms by which estrogens exert an inhibitory effect upon them.
Another prominent episode during apoptosis is the selective cleavage of PARP by caspases ( Lazebnik et al. 1994), which is a universal event observed during programed cell death induced by a variety of apoptotic stimuli. Here, we evidenced that the hormone inhibits H2O2-promoted apoptotic cleavage of PARP. This effect was almost totally abolished by ICI 182 780 indicating that the antiapoptotic action of E2 is mediated by the ER.
As mentioned in Introduction, the lipid kinase PI3K as well as its downstream target Akt regulates a diverse array of cellular events ( Cross et al. 2000, Brazil & Hemmings 2001) and both have been implicated in cellular survival and apoptosis ( O'Groman et al. 2000, Xu et al. 2003, Grutzner et al. 2006). In addition, it has been reported that E2 modulates the PI3K/Akt signaling pathway in various cell types ( Simoncini et al. 2000, Lee et al. 2005, Guo et al. 2006). Mediation by PI3K and Akt of the antiapoptotic action of estrogen in C2C12 cells was first shown by experiments with Mitotracker and DAPI stains to observe mitochondrial morphology and apoptotic nuclei respectively, which showed that PI3K inhibitors wortmannin or LY294002 abolished the effects of E2 on cell survival under apoptotic conditions (data not presented in Results). The participation of Akt in the effects of E2 was further evidenced by western blot and immunocytochemistry assays, revealing a rapid and sustained activation (phosphorylation) of Akt in response to E2, the latter in accord with the fact that prolonged activity of Akt is required to maintain BAD inactive ( Fernando & Wimalasena 2004). Suppression of E2 effects on Akt by wortmannin and LY940022 implies a role for PI3K/Akt in the antiapoptotic effects of the hormone in C2C12 cells. Additional studies are required to identify the targets of this pathway in C2C12 cells and then clarify the significance of estrogen action on apoptosis of skeletal muscle cells.
Phosphorylated BAD is devoid of its apoptotic activity, since it is sequestered away from the site of action in the mitochondria by binding to cytosolic 14-3-3 proteins ( Datta et al. 1997, Yano et al. 1998). BAD can be phosphorylated on serine 136 by Akt ( Datta et al. 1997) and since the hormone activated Akt in C2C12 cells, the ability of the steroid to induce this phosphorylation was investigated using a phosphospecific antibody. We found that E2 rapidly induces phosphorylation of BAD without altering BAD protein levels, suggestive of activation of non-genomic signal pathways. Also we observed that phosphorylation of BAD is partially affected when the cells were preincubated with the PI3K inhibitor wortmannin. Since the effects of E2 on Akt persist for longer time intervals, it is then possible that PI3K/Akt and BAD could be involved as genomic as well as non-genomic mediators of the antiapoptotic actions of the steroid. Further investigations are required to clarify this aspect.
Altogether these data strongly suggest that E2 exerts antiapoptotic actions in skeletal muscle cells through inactivation of proapoptotic BAD protein as a consequence of Akt activation by PI3K. Since wortmannin was unable to totally inhibit the effect of E2, the possibility that more than one kinase participates in E2-induced BAD phosphorylation cannot be excluded.
As the protective effect of E2 at the mitochondrial level (cytochrome c release) was inhibited in presence of specific anti ER− or ER− antibodies or using siRNA for each isoform, we conclude that it is dependent on ER activation. Regarding the use of antibodies, equivalent concentrations were used for each isoform, and well in excess. These conditions as well as the time of incubation used ensure that all binding sites were blocked. The antibodies are highly specific and preclude cross-reaction between the two isoforms. The fact that inhibition of the hormone protective action on mitochondria was more evident immunoblocking or suppressing ER-β than ER− suggests that the β isoform of the receptor mediates the antiapoptotic effects of E2 at this site of action to a greater extent than the α isoform. This could be the consequence of greater abundance of this isoform in our cell system or due to the fact that ER-β localizes in mitochondria in C2C12 cells (data not shown). This hypothesis is in agreement with evidence showing that relative receptor abundance of each isoform varies depending on the cellular type; e.g., in MCF-7 ER-β is considerably less abundant than ER-α and, interestingly, this small amount of ER-β is concentrated in mitochondria ( Pedram et al. 2006).
In summary, this study shows that E2 inhibits H2O2 or etoposide-induced apoptosis in skeletal muscle cells acting at least at two different levels. One of them is inducing PI3K/Akt activation and then BAD phosphorylation, process in which both isoforms of the ER participate. The other relates to a protective effect of mitochondria integrity and involves mainly ER-β, suggested by the inhibition of E2 effects on cytochrome c release upon ER isoform silencing.
Estrogen signaling and cell survival have been investigated in other cell types, revealing similar and/or additional features with respect to the mechanism of signal transduction shown here for the antiapoptotic action of E2 in C2C12 skeletal muscle cells. Thus, there are data demonstrating that E2 increases activation of Akt improving survival and decreasing apoptosis in murine cardiomyocytes both in vivo and in vitro by ER− and PI3K–Akt-dependent pathways ( Patten et al. 2004), similarly to C2C12 cells. Moreover, E2 abrogates apoptosis in MCF-7 breast cancer cells (ER+) through inactivation of BAD: Ras-dependent non-genomic pathways requiring signaling through ERK and Akt ( Fernando & Wimalasena 2004); however, the participation of the ER was not studied. ER-α and ER-β have been detected in the mitochondria of MCF-7 breast cancer cells and endothelial cells and involved in E2-induced direct inhibition of mitochondrial ROS formation and cytochrome c release, events leading to apoptotic cell death ( Pedram et al. 2006). Interestingly, we have found ER-β predominantly in mitochondria of C2C12 cells (data not shown). On the other hand, it has been reported that E2 prevents chemotherapy or radiation-induced apoptosis in these tumorogenic breast cells through plasma membrane-associated ERs ( Razandi et al. 2000). In cancer cell lines containing transfected ERs, there is evidence that the E2–ER-α complex rapidly activates multiple signal transduction pathways (i.e., PI3K/Akt, ERK/MAPK) committed to apoptotic cascade prevention ( Acconcia et al. 2005), whereas, on the contrary, E2 can enhance antiapoptotic activity via ER-β during oxidative damage in hepatocytes ( Inoue et al. 2003). Also, in osteocyte bone cells estrogens attenuate apoptosis by activating ERKs through extranuclear ERs ( Plotkin et al. 2005).
Clearly, additional studies are then necessary to further elucidate the signaling mechanisms which mediate the antiapoptotic action of E2 in skeletal muscle cells. This knowledge may be of relevance to develop therapies for prevention and treatment of sarcopenia associated with estrogen-deficit states.
Acknowledgements
This research was supported by grants from the Agencia Nacional de Promoción Científica y Tecnológica (ANPCyT) and Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina. Andrea Vasconsuelo is a recipient of a postdoctoral research fellowship from ANPCyT. Lorena Milanesi and Ricardo Boland are members of CONICET Investigator Career. The authors declare that there is no conflict of interest that would prejudice the impartiality of this scientific work.
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