Abstract
The endoplasmic reticulum (ER) stress and inflammation relationship occurs at different levels and is essential for the adequate homeostatic function of cellular systems, becoming harmful when chronically engaged. Intense physical exercise enhances serum levels of interleukin 6 (IL-6). In response to a chronic exhaustive physical exercise protocol, our research group verified an increase of the IL-6 concentration and ER stress proteins in extensor digitorium longus (EDL) and soleus. Based on these results, we hypothesized that IL-6-knockout mice would demonstrate a lower modulation in the ER stress proteins compared to the wild-type mice. To clarify the relationship between exercise-induced IL-6 increased and ER stress, we studied the effects of an acute exhaustive physical exercise protocol on the levels of ER stress proteins in the skeletal muscles of IL-6-knockout (KO) mice. The WT group displayed a higher exhaustion time compared to the IL-6 KO group. After 1 h of the acute exercise protocol, the serum levels of IL-6 and IL-10 were enhanced in the WT group. Independent of the experimental group, the CHOP and cleaved caspase 12/total caspase 12 ratio in EDL as well as ATF6 and CHOP in soleus were sensitive to the acute exercise protocol. Compared to the WT group, the oscillation patterns over time of BiP in EDL and soleus as well as of peIF2-alpha/eIF2-alpha ratio in soleus were attenuated for the IL-6 KO group. In conclusion, IL-6 seems to be related with the ER stress homeostasis, once knockout mice presented attenuation of BiP in EDL and soleus as well as of pEiF2-alpha/EiF2-alpha ratio in soleus after the acute exhaustive physical exercise protocol.
Introduction
The endoplasmic reticulum (ER) is an organelle with a fundamental role in protein and lipid biosynthesis (Ron & Walter 2007, Eizirik et al. 2008). When the ER suffers some stress like the accumulation of recently synthesized unfolded proteins, the unfolded protein response (UPR) is activated (Eizirik et al. 2008, Deldicque et al. 2013). UPR signaling is monitored by three proteins associated with the ER membrane, the inositol-requiring enzyme 1 (IRE1), protein kinase RNA-like endoplasmic reticulum kinase (PERK) and activating transcription factor 6 (ATF6) (Eizirik et al. 2008). These UPR members interact with inflammatory and stress signaling systems, including c-Jun N-terminal kinase (JNK), nuclear factor kB (NF-kB) and IκB kinase (IKK) pathways (Hotamisligil 2010).
UPR induction is linked to the increased expression of interleukin 6 (IL-6), interleukin 8 (IL-8) and tumor necrosis factor-alpha (TNF-alpha) (Li et al. 2005). Also, inflammatory mediators and cellular stress activations such as JNK and IKK can have a negative impact on ER function (Deng et al. 2004). The relationship between ER stress and inflammation (13) occurs at different levels (Hotamisligil 2010) and is essential for adequate function and survival of the organism, becoming harmful when chronically engaged (Hotamisligil 2010).
The practice of intense physical exercise increases plasma IL-6 concentration (Wojewoda et al. 2014, 2015). Also, IL-6 has been connected with muscle metabolism because this cytokine is released from contracting skeletal muscles (Ostrowski et al. 1998, Pedersen et al. 2001, Pedersen & Febbraio 2008). Recently, da Rocha et al. (2017) verified that mice submitted to an intensive treadmill running protocol showed high levels of IL-1beta, IL-6 and TNF-alpha in serum and skeletal muscle samples. Also, Pereira et al. (2016) observed high levels of skeletal muscle ER stress proteins after the same chronic exercise model. To elucidate the relationship between exercise-induced IL-6 increases and ER stress, we investigated the effects of an acute exhaustive physical exercise protocol on the levels of ER stress proteins in the skeletal muscles of IL-6 knockout mice. Considering our previous findings (da Rocha et al. 2017), we hypothesize that IL-6 knockout mice will display a lower modulation in the ER stress proteins compared to the WT mice.
Materials and methods
Experimental animals
Eight-week-old C57BL/6 mice from the Central Animal Facility of the Ribeirão Preto campus of the University of São Paulo (USP) were used for the WT group. Eight-week-old IL-6−/− mice from the Laboratory of Molecular Immunology and Embryology, Transgenose Institute, Centre National de la Recherche Scientifique were bred onto a C57BL/6 background and used for the IL-6-knockout (KO) group. The animals were accommodated in sterile micro-insulators (three animals per cage) in a ventilated rack with controlled temperature (22 ± 2°C) on a 12:12-h light-dark inverted cycle (light: 18:00–06:00 h, dark: 06:00–18:00 h), food (Purina chow) and water were provided ad libitum. All experimental procedures were performed according to the Brazilian College of Animal Experimentation (COBEA) and were approved by the Ethics Committee of the University of Sao Paulo (n°. z2018.5.70.90.0)
Incremental load test (ILT)
For 5 days, the animals were adapted to the treadmill running (INSIGHT, Ribeirão Preto, São Paulo, Brazil) for 10 min/day at 3 m/min. After 48 h of the adaptation protocol, the ILT started at an initial intensity of 6 m/min at 10° uphill inclination with increments of 3 m/min every 3 min until exhaustion, which was delimited when mice touched the end of the treadmill five times in 1 min. The ILT was used to compare the exhaustive time (min) between the WT and IL-6 KO groups.
Acute exhaustive physical exercise protocol
After 48 h of the ILT, WT and IL-6 KO mice performed an acute exhaustive physical exercise protocol at the treadmill running with an intensity of 22 m/min at 10° uphill inclination for 90 min (Ikeda et al. 2016). When mice became exhausted without completing the entire protocol, the exhaustion time was recorded. The animals were killed before the acute exhaustive physical exercise protocol (n = 5 animals per group; Basal time), at 1 h (n = 5 animals per group; 1 h) and 3 h (n = 5 animals per group; 3 h) after the acute exhaustive physical exercise protocol. This acute exhaustive physical exercise protocol was selected because the serum levels of IL-6 were increased after 1 and 3 h compared to the baseline (Ikeda et al. 2016). Food was provided ad libitum during the entire protocol until the animals were anesthetized.
Skeletal muscle extraction
Mice were anesthetized with an intraperitoneal injection of xylazine (10 mg/kg of body weight), and ketamine (100 mg/kg of body weight) and the anesthesia was confirmed by loss of pedal reflexes. Based on their different fiber type composition (Armstrong & Phelps 1984), the extensor digitorium longus (EDL) and soleus muscles were extracted and used for immunoblotting technique. Also, gastrocnemius samples were extracted and used for glycogen concentrations. Finally, after mice decapitation, blood was collected to determine serum cytokine concentrations.
Glycogen concentrations
The gastrocnemius glycogen concentrations were determined using the method described by Dubois et al. (1956).
Serum cytokine concentrations
The serum concentrations of IL-1beta, IL-6, IL-10, IL-15 and TNF-alpha were evaluated using Luminex TM multiplex reagents according to the instructions of the manufacturer (Millipore). For the measurement of cytokines, a MILLIPLEX MAP Mouse Cytokine Panel – 5 Plex was used. Samples were collected on the Luminex MAP200 instrument and were analyzed using the 3.1 xPONENT System.
Immunoblotting technique
The immunoblotting technique was performed as previously described by our research group (da Rocha et al. 2015, 2016, Pereira et al. 2015a ,b ). The antibodies used were binding immunoglobulin protein (BiP; SC33757), eukaryotic initiation factor 2 alpha (eIF2-alpha; SC11386), phospho (p)-eIF2-alpha (Ser52; SC101670), beta-actin (SC517582), alpha-tubulin (SC32293), glyceraldehyde-3-phosphate dehydrogenase (GAPDH; SC365062) from Santa Cruz Biotechnology; Caspase 12 (Cell2204), growth arrest and DNA damage 153 (GADD153/CHOP; Cell2895) and beta-actin (Cell4967) from Cell Signaling Technology (Cell Signaling Technology, MA, USA); ATF6 (orb129519) from Biorbyt (Biorbyt, Cambridge, UK). Routine chemical reagents were purchased from Sigma Chemical Corporation.
The transfer efficiency onto nitrocellulose membranes was verified by brief staining of the blots with the Ponceau red stain. To verify time course effects due to the inherent variability among Western blots run at different times and days, we used a calibration method (Fig. 1). Also, we performed a test in our laboratory using the same samples in two different membranes (Fig. 2). At the end of each Western blot membrane, a sample was inserted and used as an internal control (Fig. 2A). The internal control obtained in membrane 2 was divided by the internal control obtained in membrane 1. All the Western blots from membrane 2 were divided by this factor. As described in Fig. 2B, after divided by this factor, the arbitrary units from membrane 2 were similar to membrane 1, and no significant difference was verified, reinforcing our calibration method.
Statistical analysis
Results are expressed as the mean ± standard error of the mean (s.e.). The Levene’s test was used to verify the homogeneity of variances and the Shapiro–Wilks W-test was used to verify data normality. When normality was confirmed, the unpaired t-test was used for the comparison between WT and IL-6 KO groups at each time. When normality was not confirmed, the Wilcoxon test was used. When normality was confirmed, the one-way ANOVA was used for the comparison of the response of a specific protein between the evaluation times for the same group. When the normality was not confirmed, the Kruskal–Wallis test was used. All statistical analyses were set at P < 0.05 and two sided. Statistical analyses were performed using the software SPSS v.20.0 for Windows.
Results
ILT and glycogen concentrations
Figure 3A shows that the exhaustive time (min) for the WT group (20.0 ± 0.74) was significantly higher compared to the IL-6 KO group (18.33 ± 0.27). When the glycogen concentrations were analyzed at the basal time, 1 h and 3 h after the acute exercise protocol, the IL-6 KO group presented non-significant higher glycogen concentrations compared to the WT group (Fig. 3B).
Pro- and anti-inflammatory cytokines in serum
The serum cytokine levels of IL-1beta (Fig. 4A), IL-10 (Fig. 4C), and IL-15 (Fig. 4D) were not different between the WT and IL-6 KO groups at the basal time, 1 h and 3 h after the acute exercise protocol. For the WT group, the IL-6 levels at 1 h and 3 h after the acute exercise protocol were significantly higher compared to the basal time (Fig. 4B). For the WT and IL-6 KO groups, the IL-10 levels at 1 h after the acute exercise protocol were significantly higher compared to their respective basal times. Also, the IL-6 KO group displayed significantly higher values of IL-10 at 1 h compared to 3 h after the acute exercise protocol (Fig. 4C). The only significant difference for the TNF-alpha levels (Fig. 4E) occurred between the WT and IL-6 KO groups at 3 h after the acute exercise protocol.
Proteins related to ER stress in EDL
Figure 5A and D present the protein levels of beta-actin, BiP and ATF6 for the WT and IL-6 KO groups at the basal time, 1 h and 3 h after the acute exercise protocol. The IL-6 KO group showed higher values of BiP compared to the WT group at 1 h after the acute exercise protocol (Fig. 5B), and ATF6 values were not different between the groups (Fig. 5E). The percentage variations of BiP and ATF6 related to the basal times for the WT and IL-6 KO groups are displayed in Fig. 5C and F, respectively.
Figure 6A presents the protein levels of beta-actin, peIF2-alpha and eIF2-alpha for the WT and IL-6 KO groups at the basal time, 1 h and 3 h after the acute exercise protocol. Figure 6B shows the peIF2-alpha/eIF2-alpha ratio was not different between the WT and IL-6 KO groups. The percentage variations of the peIF2-alpha/eIF2-alpha ratio related to the basal times for the WT and IL-6 KO groups are displayed in Fig. 6C.
Figure 7A and D present the protein levels of GAPDH, CHOP, alpha-tubulin, beta-actin, total caspase 12 and cleaved caspase 12 for the WT and IL-6 KO groups at the basal time, 1 h and 3 h after the acute exercise protocol. For the WT group, the protein levels of CHOP at 3 h after the acute exercise protocol were significantly higher compared to the basal time. For the IL-6 KO group, the protein levels of CHOP at 3 h were significantly higher compared to 1 h after the acute exercise protocol (Fig. 7B).
For the WT group, the cleaved caspase 12/total caspase 12 ratio at 3 h after the acute exercise protocol was significantly lower compared to the basal time. For the IL-6 KO group, the cleaved caspase 12/total caspase 12 ratios at 1 h and 3 h after the acute exercise protocol were significantly lower compared to the basal time (Fig. 7E). The percentage variations of CHOP and cleaved caspase 12/total caspase 12 ratios related to the basal times for the WT and IL-6 KO groups are displayed in Fig. 7C and F, respectively.
Proteins related to ER stress in soleus
Figure 8A and D present the protein levels of alpha-tubulin, BiP and ATF6 for the WT and IL-6 KO groups at the basal time, 1 h and 3 h after the acute exercise protocol. The IL-6 KO group showed higher values of BiP compared to the WT group at 3 h after the acute exercise protocol. For the IL-6 KO group, the protein levels of BiP at 1 h were significantly higher compared to 3 h after the acute exercise protocol. Also, the protein levels of BiP at 3 h after the acute exercise protocol were significantly lower compared to the basal time for the same group (Fig. 8B).
For the WT and IL-6 KO groups, the protein levels of ATF6 at 3 h after the acute exercise protocol were significantly lower compared to their respective basal times (Fig. 8E). The percentage variations of BiP and ATF6 related to the basal times for the WT and IL-6 KO groups are displayed in Fig. 8C and F, respectively. Figure 9A demonstrates the experiments of alpha-tubulin, peIF2-alpha, eIF2-alpha and GAPDH for the WT and IL-6 KO groups at the basal time, 1 h and 3 h after the acute exercise protocol. For the WT group, the peIF2-alpha/eIF2-alpha ratio at 3 h after the acute exercise protocol was significantly higher compared to the basal time (Fig. 9B). The percentage variations of the peIF2-alpha/eIF2-alpha ratio related to the basal times for the WT and KO groups are displayed in Fig. 9C.
Figure 10A and D present the protein levels of GAPDH, CHOP, alpha-tubulin, total caspase 12 and cleaved caspase 12 for the WT and IL-6 KO groups at the basal time, 1 h and 3 h after the acute exercise protocol. For the WT and IL-6 KO groups, the CHOP protein levels at 1 h after the acute exercise protocol were significantly lower compared to their respective basal times (Fig. 10B). For the IL-6 KO group, the cleaved caspase 12/total caspase 12 ratio at 1 h was significantly higher compared to the basal time and 3 h after the acute exercise protocol. Also, the cleaved caspase 12/total caspase 12 ratio at 3 h after the acute exercise protocol was significantly lower compared to the basal time (Fig. 10E). The percentage variations of CHOP and cleaved caspase 12/total caspase 12 ratios related to the basal times for the WT and IL-6 KO groups are displayed in Fig. 10C and F, respectively.
Discussion
The main findings of the present investigation were (a) the WT group showed a higher exhaustion time compared to the IL-6 KO group; (b) the two experimental groups did not exhibit significant differences for the gastrocnemius glycogen concentrations; (c) at 1 h after the acute exercise protocol, the serum levels of IL-6 and IL-10 were increased in the WT group; (d) independent of the experimental group, the protein levels of CHOP and cleaved caspase 12/total caspase 12 ratio in EDL as well as of ATF6 and CHOP in soleus were sensitive to the acute exercise protocol; (e) compared to the WT group, the oscillation patterns over time of BiP in EDL and soleus as well as of peIF2-alpha/eIF2-alpha ratio in soleus were blunted for the IL-6 KO group. Altogether, these findings partially support our initial hypothesis regarding IL-6 KO mice would exhibit an attenuated modulation of the ER stress proteins.
Several studies demonstrated that IL-6 KO mice had a lower exercise tolerance (Fäldt et al. 2004, Lukaszuk et al. 2012, Pedersen 2012, Wojewoda et al. 2014, 2015). After 1 h of running at 10 m/min with 20 degrees of inclination, Fäldt et al. (2004) verified that IL-6 KO mice had reduced tolerance to endurance exercise. Also, Lukaszuk et al. (2012) showed a shorter time until exhaustion in IL-6 KO mice. After chronic running exercise, Wojewoda et al. (2015) reported poor exercise tolerance of IL-6 KO mice. These results corroborate the current data in which the IL-6 KO group exhibited a shorter time until exhaustion in ILT test compared to the WT group.
The possible mechanisms responsible for these findings are not clear. One possibility could be the impairment in the heart function, leading to an inadequate cardiac output for the elevated demand for exercise, once IL-6 stimulates the sympathetic nervous system (Marz et al. 1998). Another hypothesis is a reduced skeletal muscle capillarization, limiting the transport of oxygen within the muscle and impairing the oxidative resynthesis of adenosine triphosphate (Wei et al. 2003). However, more studies are necessary to elucidate these theories.
IL-6 seems to be involved in the requirement of energy homeostasis during exercise (Pedersen 2012). Fäldt et al. (2004) did not find differences in the concentration of blood glucose, muscle glycogen and liver glycogen between IL-6-deficient and WT mice. However, Lukaszuk et al. (2012) linked the shorter time until exhaustion in IL-6 KO mice to intramuscular glycogen depletion and blood glucose alteration. According to Pedersen et al. (Steensberg et al. 2001, Keller et al. 2005), the intramuscular IL-6 mRNA expression and IL-6 protein release are increased when intramuscular glycogen is low, indicating that IL-6 is somehow associated to glycogen content and works as an energy sensor.
A single bout of exercise increases IL-6 plasma levels in both humans and rodents (Pedersen et al. 2001, Pedersen 2012, Ikeda et al. 2016). This increase in IL-6 production is not a consequence of muscle cell damage or infiltration of immune cells but is a physiological response to moderate exercise. The IL-6 increases during exercise and the peak is reached at the end of the exercise, returning to basal levels within hours (Ostrowski et al. 1998, 2001, Fäldt et al. 2004). Here, we verified a non-significant decrease of glycogen concentration and a significant increase of serum IL-6 in WT group compared to IL-6 KO group at 1 h after the acute exhaustive exercise protocol.
The magnitude of IL-6 levels is dependent on the intensity and duration of the exercise. This increase in IL-6 is accompanied by the increase of IL-1 receptor antagonist and the anti-inflammatory cytokine IL-10. Also, in response to moderate exercise, the TNF-alpha levels are not increased (Pedersen et al. 2001, Steensberg et al. 2003, Pedersen 2012). In the present study, the results corroborate the scientific literature, because after 1 h of exercise the animals showed an increase in IL-6 (except the IL-6 KO group) and IL-10 as well as stabilization in TNF-alpha. Also, the IL-6 levels started to decrease 3 h after the exercise protocol for the WT group.
The relationship between inflammation and ER stress occurs at different levels and is crucial for the adequate function and survival of the organism, becoming harmful when chronically engaged (Hotamisligil 2010). Pathways of ER stress, inflammation and oxidative stress are interdependent (Ost et al. 2016). After a chronic exhaustive physical exercise protocol, our research group showed upregulation of the IL-6 content and ER stress proteins in both EDL and soleus (Pereira et al. 2016, da Rocha et al. 2017). Here, we investigated the relationship of exercise-induced IL-6 increase with ER stress in different skeletal muscle samples.
The proteins related to ER stress in EDL were not different between the WT and IL-6 KO groups at the basal time. At 1 h after the acute exercise protocol, the BiP protein levels were higher for the IL-6 KO group compared to the WT group (Fig. 5B). The overexpression of BiP is linked to the UPR signaling downregulation and PERK and IRE1 activation attenuations (Bertolotti et al. 2000, Gardner et al. 2013). Also, compared to the WT group, the oscillation pattern of BiP over time was blunted for the IL-6 KO group (Fig. 5C).
For both groups, the CHOP and cleaved caspase 12/total caspase 12 protein ratio reached the maximum and minimum values, respectively, at 3 h after the acute exercise protocol. The link between ER stress and CHOP expression and activation could have a role in eliciting cellular responses to ER stress-associated perturbations (Zinszner et al. 1998, Malhi & Kaufman 2011). The overexpression of CHOP does not result in apoptosis, but may sensitize cells to apoptosis and is capable of inducing growth arrest in cycling cells (Barone et al. 1994). Caspase 12 KO mice are resistant to ER stress-induced apoptosis but are sensitive to other death stimuli (Nakagawa et al. 2000). Except for BiP (Fig. 5C), the other proteins linked to ER stress in EDL displayed similar behavior pattern over time for the WT and IL-6 KO groups (Figs 5F, 6C, 7C and F).
Compared to EDL (Figs 5C, F, 6C, 7C and F), the oscillation patterns of BiP, ATF6, peIF2-alpha/eIF2-alpha ratio, CHOP and cleaved caspase 12/total caspase 12 ratio over time for the WT and IL-6 KO groups were visually different in soleus (Figs 8C, F, 9C, 10C and F). These findings may be related to the differences in muscle fiber type predominance and recruitment during the acute exhaustive physical exercise protocol for EDL and soleus.
Three hours after the acute exercise protocol, the IL-6 KO group exhibited significantly higher values of BiP compared to the WT group (Fig. 8B). For the WT group, the peIF2-alpha/eIF2-alpha ratio reached the significant value after 3 h of the acute exercise protocol (Fig. 9B). The increase of peIF2-alpha/eIF2-alpha ratio is related to the impairment of translation initiation and protein synthesis (Koumenis et al. 2002, Ron & Walter 2007). Compared to the WT group, the response of this protein to the acute exercise protocol was attenuated in the IL-6 KO group (Fig. 9C).
Interestingly, the WT and IL-6 KO groups presented their significant lowest values of CHOP after 1 h of the acute exercise protocol (Fig. 10B). For the IL-6 KO group, the cleaved caspase 12/total caspase 12 ratio reached the peak and bottom levels at 1 and 3 h after the acute exercise protocol, respectively (Fig. 10E). Except for BiP and peIF2-alpha/eIF2-alpha ratio (Figs 8C and 9C), the other proteins linked to ER stress in soleus displayed similar oscillation pattern over time for the WT and IL-6 KO groups (Figs 8F and 10C, F).
The KO group displayed a higher peak of cleaved caspase-12 in soleus compared to the WT group. Primarily, caspase-12 was proposed to be crucial for endoplasmic reticulum (ER) stress-induced apoptosis (Nakagawa et al. 2000). However, other studies have contested this theory (Kalai et al. 2003, Saleh et al. 2006). Recently, caspase-12 was suggested to negatively regulate inflammatory pathway (Fernández & Lamkanfi 2015, Cadena & Massieu 2016). The caspases can be classified as apoptotic (caspases-2, -3, -6, -7, -8, -9 and -10) and inflammatory (caspases-1, -4, -5, -11 and -12). Caspase-12 is accepted as a negative regulator of the inflammatory response, once it inhibits the activation of caspase-1 in inflammasome complexes, controlling the production of IL-1b and IL-18 (Fernández & Lamkanfi 2015, Cadena & Massieu 2016). Also, caspase-12 modulates other inflammatory pathways, apart from the inflammasome and caspase-1 activation through the nucleotide-binding oligomerization domain (NOD) signaling pathway (LeBlanc et al. 2008, Labbé et al. 2010).
Caspase-12 also acts as a direct inhibitor of NF-kB by interfering with the formation of IKK complex. Caspase-12 competes with an NF-κB essential modulator (NEMO) for IKK-a/b binding dislocating NEMO from the complex and preventing the subsequent degradation of IkB and NF-kB translocation (Fernández & Lamkanfi 2015, Cadena & Massieu 2016). In summary, caspase-12 seems to take a diverse set of molecular mechanisms to modulate innate immune signaling. Therefore, the lack of IL-6 may affect inflammatory markers.
To date, this is the first investigation describing the relationship of acute exhaustive exercise protocol-induced IL-6 increase with ER stress in different skeletal muscle samples. In conclusion, IL-6 seems to be related with the ER stress homeostasis, once IL-6 knockout animals presented attenuation of BiP in EDL and soleus as well as of peIF2-alpha/eIF2-alpha ratio in soleus after the acute exhaustive physical exercise protocol. Figure 11 summarizes the findings of the present study.
Declaration of interest
The authors declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of the research reported.
Funding
The present work received financial support from the São Paulo Research Foundation (FAPESP; process numbers 2012/13558-7, 2017/09038-1, 2017/12765-2 and 2017/19869-8) and National Council for Scientific and Technological Development (CNPq; process number 309339/2016‐2).
Author contribution statement
A P P, A L R and A S R S conceived and designed the experiments. A P P, A L R, E B K, R C G, F M S and F G F performed the experiments. A P P and A S R S analyzed the data. F M S, F G F, L P M, J R P, D E C, E R R, E C F and A S R S contributed reagents/materials/analysis tools. A P P and A S R S wrote the paper.
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