Abstract
The tumor suppressor p53 exerts its versatile function to maintain the genomic integrity of a cell, and the life of cancerous cells with DNA damage is often terminated by induction of apoptosis. We studied the role of Noxa, one of the transcriptional targets of p53 that encodes a proapoptotic protein of the Bcl-2 family, by the gene-targeting approach. Mouse embryonic fibroblasts deficient in Noxa [Noxa-/- mouse embryonic fibroblasts (MEFs)] showed notable resistance to oncogene-dependent apoptosis in response to DNA damage, which was further increased by introducing an additional null zygosity for Bax. These MEFs also showed increased sensitivity to oncogene-induced cell transformation in vitro. Furthermore, Noxa is also involved in the oncogene-independent gradual apoptosis induced by severe genotoxic stresses, under which p53 activates both survival and apoptotic pathways through induction of p21WAF1/Cip1 and Noxa, respectively. Noxa-/- mice showed resistance to X-ray irradiation-induced gastrointestinal death, accompanied with impaired apoptosis of the epithelial cells of small intestinal crypts, indicating the contribution of Noxa to the p53 response in vivo.
Keywords: p53, apoptosis, Bcl-2 family, DNA damage, oncogene
Numerous genotoxic stresses interfere with the integrity of the genome; hence, cells maintain various mechanisms to avoid genetic alterations that would otherwise cause cell transformation (Lengauer et al. 1998). Depending on the degree and/or the nature of DNA damage, cells undergo either cell cycle arrest or apoptosis in order to allow DNA repair or altruistic suicide of cells, respectively (Rich et al. 2000; Zhou and Elledge 2000). The tumor suppressor p53 is the most prominent factor for the maintenance of genome integrity; p53 is activated in response to DNA damage and plays a key role in determining the fate of cells (Vousden and Lu 2002), mainly through the transcriptional induction of target genes (Ko and Prives 1996).
Among the p53-mediated cellular responses, the induction of apoptosis is central to tumor suppression (Schmitt et al. 2002). In this context, numerous target genes of p53 have been identified that may be involved in p53-dependent apoptosis (Vousden and Lu 2002). However, little is known about the details of this process, particularly with regard to the interrelationship among these target genes. Bax and Bak, which are “multidomain pro-apoptotic members” of the Bcl-2 family, have been shown to play critical roles in apoptotic response (Wei et al. 2001); they form oligomers in the mitochondrial outer membrane to activate the cascade of apoptotic events. Perhaps central to the p53-dependent apoptosis is the induction of genes encoding another class of this family termed BH3-only members, which contribute to this Bax/Bak function either directly by stimulating the oligomerization or indirectly by interacting with “pro-survival members” such as Bcl-2 and Bcl-XL, which otherwise suppress the Bax/Bak function (Bouillet and Strasser 2002). The p53 target genes of the BH3-only members include Noxa (Oda et al. 2000) and Puma (Nakano and Vousden 2001; Yu et al. 2001). However, up to what extent and how these genes contribute to the p53-dependent apoptosis are currently unknown.
In the present study, we generated mice deficient in Noxa, and examined the cellular response in the context of DNA-damage-induced apoptosis. Our results demonstrate that Noxa is an integral mediator of the p53-dependent apoptosis, but its contribution depends on cell type and cell state.
Results and Discussion
Targeted disruption of Noxa gene
To study the functional role of Noxa in the regulation of p53 responses, null mutation in the Noxa allele was introduced through homologous recombination in embryonic stem (ES) cells (Supplementary Fig. 1A). The homozygous mutant mice (Noxa-/- mice) were generated by using standard procedures (see Materials and Methods). The expected recombination was confirmed by Southern blot analysis (Supplementary Fig. 1B). In embryonic fibroblasts from the mutant mice [Noxa-/- mouse embryonic fibroblasts (MEFs)], neither the mRNA nor the protein for Noxa was detected after treatment with adriamycin, which induces Noxa expression in wild-type MEFs (Supplementary Fig. 1C,D). Developmental abnormalities were not found in the Noxa-/- mice, and they lived without any signs of tumor development for at least 1 year after birth (data not shown).
p53-dependent apoptotic responses in Noxa-deficient and Noxa/Bax doubly deficient cells
MEFs expressing the adenovirus-encoded E1A oncoprotein undergo apoptosis in response to the treatment with DNA-damaging agents in a p53-dependent manner (Lowe et al. 1993a), and this response is partially attenuated in MEFs lacking the pro-apoptotic member Bax (McCurrach et al. 1997). By using Noxa-/- MEFs, we first investigated the extent to which Noxa contributes to this response. When the MEFs were infected with an E1A-expressing retrovirus, followed by treatment with adriamycin, the cells showed higher resistance than did the similarly treated wild-type MEFs from the same litter (Fig. 1A). The resistance of E1A-expressing Noxa-/- MEFs was similarly observed in the case of etoposide treatment or X-ray irradiation (data not shown). These results prompted us to further examine the E1A-dependent apoptotic response of MEFs doubly deficient in Noxa and Bax (Noxa-/-/Bax-/- MEFs). Interestingly, Noxa-/-/Bax-/- MEFs were even more resistant than either of the single mutant MEFs in the adriamycin-induced apoptosis (Fig. 1A), indicating that Noxa and Bax function through partially parallel mechanisms. On the other hand, Noxa-/-/Bax-/- MEFs were still more sensitive to apoptosis than were p53-/- MEFs (Fig. 1A), suggesting the involvement of other p53-dependent mechanisms.
The contribution of Noxa to the progression of the mitochondrial apoptotic pathway was examined in the above experimental setting by analyzing cytochrome c release and caspase activation. As shown in Figure 1B, the level of cytochrome c release to the cytosol was lower by about threefold in Noxa-/- MEFs than in wild-type MEFs. The cleavage of LEHD-pNa and DEVD-pNa, which are the substrates for caspase 9 and caspases 3 and 7, respectively, was also suppressed in Noxa-/- MEFs (Fig. 1C).
The apoptosis of thymocytes exposed to genotoxic stimuli, such as ionizing radiation, is p53-dependent (Clarke et al. 1993; Lowe et al. 1993b) but not Bax-dependent (Knudson et al. 1995). When we examined thymocytes from Noxa-/- and Noxa-/-/Bax-/- mice, they all underwent apoptosis as efficiently as did wild-type thymocytes (Fig. 1D), despite the induction of both Noxa and Bax mRNAs upon X-ray irradiation of the wild-type thymocytes (Supplementary Fig. 2A). These results support the notion that the mechanisms of p53-dependent apoptosis in response to DNA damage, in which genes hypostatic to p53 are involved, vary depending on cell type and cell state.
Functional interrelation between Noxa and Bax
The BH3-only proteins of the Bcl-2 family generally exert their apoptotic function by interacting with other pro-apoptotic or prosurvival members (Bouillet and Strasser 2002). In this process, induction of pro-apoptotic Bax/Bakoligomerization and inhibition of the prosurvival members are both critical for the release of cytochrome c from mitochondria (Bouillet and Strasser 2002). It is as yet unknown how Noxa contributes to this general scheme of apoptosis. In this regard, Noxa mRNA was induced by adriamycin treatment of the E1A-expressing wild-type MEFs (Supplementary Fig. 2B). However, the induction of Bax mRNA was not observed (Supplementary Fig. 2B), raising the possibility that the p53-dependent function of Bax is mediated at least in part by the p53-induced Noxa. We examined whether Noxa interacts with Bax by coimmunoprecipitation and coimmunostaining assays, but no evidence was obtained for such interaction (data not shown). In view of the previous results showing the interaction of Noxa with the prosurvival Bcl-2 or Bcl-XL (Oda et al. 2000), it is more likely that Noxa indirectly promotes Bax/Bak activation by inhibiting this class of prosurvival members.
Accordingly, we analyzed the activation of Bax molecules. First, the membrane insertion of Bax was evaluated based on its resistance to alkali extraction (Goping et al. 1998). In wild-type MEFs expressing E1A, the level of Bax molecules that acquired alkali resistance significantly increased after adriamycin treatment, but this increase was marginal in Noxa-/- MEFs (Fig. 2A). Next, Bax oligomerization was analyzed by treating mitochondria from MEFs with the chemical cross-linker 1,6-bis-maleimidohexane (BMH; Antonsson et al. 2001). As shown in Figure 2B, the formation of Bax oligomers was notably suppressed in Noxa-/- MEFs. Thus, the absence of Noxa affects the levels of Bax insertion and oligomerization in the p53-dependent apoptosis. In addition, Bak dimerization was also suppressed by the absence of Noxa (Fig. 2C). It is likely that Noxa exerts its function by promoting the functions of Bax and Bak, indirectly by inhibiting the functions of prosurvival members of the Bcl-2 family (Oda et al. 2000).
It is worth noting that Noxa mRNA is induced in non-E1A-expressing MEFs treated with adriamycin at a level similar to that of the MEFs expressing E1A (Supplementary Fig. 2B,C), but the apoptotic event is selectively induced in the latter cells (Fig. 1A). This observation suggests that Noxa expression per se is insufficient to evoke apoptotic response, and it requires the expression of the E1A oncoprotein. In view of the fact that a low-level membrane insertion of Bax occurs after E1A expression without adriamycin treatment (Fig. 2A), E1A may sensitize the cells to the Noxa-dependent apoptosis.
Oncogene-induced cell transformation in the absence of Noxa
The role of p53-mediated apoptosis in suppressing cell transformation is well documented (Lowe et al. 1994), and the involvement of Bax in this p53-dependent suppression of transformation has also been reported (McCurrach et al. 1997). To examine the contribution of Noxa, we expressed E1A and Ras in MEFs of different genotypes (wild-type, Noxa-/-, Bax-/-, p53-/-, and Noxa-/-/Bax-/-) and analyzed the formation of colonies on a medium containing methylcellulose. As shown in Figure 2D, Noxa-/- MEFs showed an increase in the number of colonies (∼2.5-fold) compared with that of wild-type MEFs. Furthermore, Noxa-/-/Bax-/- MEFs showed more than twofold increase in the number of colonies compared with either of the single mutant MEFs (Fig. 2D). These results suggest that Noxa may represent a tumor susceptibility gene, and further support the notion that Noxa and Bax have overlapping and distinct functions from one another.
Role of Noxa in the apoptotic response to severe DNA damage
When cells are subjected to severe DNA damage, for example, by prolonged exposure to DNA-damaging agents, they eventually undergo apoptosis even in the absence of oncogene expression (Sen and D'Incalci 1992). p53 is also involved in this apoptotic response; however, p53 may activate a survival pathway(s) (Hawkins et al. 1996; Deverman et al. 2002). In this regard, p21WAF1/Cip1 (hereafter referred to as p21), a cyclin-dependent kinase inhibitor, induces Rb dephosporylation, and this Rb activation pathway might protect cells from apoptosis (Deverman et al. 2002; Gartel and Tyner 2002). In effect, p53 critically determines the fate of cells by balancing the two opposite pathways of cellular responses. Interestingly, Noxa mRNA was up-regulated upon treatment with etoposide and ultraviolet (UV), which was substantially impaired in p53-/- MEFs (Fig. 3A), suggesting the potential role of Noxa in the apoptotic limb of p53 responses.
To gain insight into the balancing mechanism mediated by p53, we examined the DNA damage-induced apoptosis of wild-type, p53-/-, Noxa-/-, and p21-/- MEFs. The induction of apoptosis by etoposide, adriamycin, or cisplatin treatment for a prolonged period occurred more effectively in p53-/- and p21-/- MEFs than in wild-type MEFs (Fig. 3B). Notably, Noxa-/- MEFs appeared to be more resistant to apoptosis than were wild-type MEFs (Fig. 3B), an observation opposite to that of the p53-/- MEFs. These results suggest that the p53-dependent survival pathway via activation of the p21 gene is dominant over the p53-dependent apoptotic pathway, in which Noxa is also involved, at least in this experimental setting.
Interestingly, p21-/- MEFs were highly sensitive to UV-induced apoptosis, but p53-/- MEFs were not, rather they were more resistant than were wild-type MEFs (Fig. 3B). These observations can be interpreted as follows. Unlike the cases of other genotoxic stimuli, the p53-dependent apoptotic pathway becomes dominant over the p21-mediated survival pathway by UV irradiation. As a result, the loss of the survival pathway caused by the p53 deficiency was fully counterbalanced by the loss of the otherwise dominant apoptotic pathway. It is worth noting that Noxa-/- MEFs were again found to be the most resistant among the four types of MEFs (Fig. 3B).
Based on these findings, at least three regulatory pathways may be involved in the apoptotic response in MEFs with severe DNA damage. As is evident from the apoptosis observed in p53-/- MEFs, a pathway(s) that triggers apoptosis independent of p53 is involved. In addition, p53 activation results in the activation of the two opposite pathways, that is, the survival and apoptotic pathways, in which p21 and Noxa are involved, respectively. In agreement with the role of p21 in the survival pathway, the death of p53-/- MEFs caused by etoposide or UV treatment was partially rescued by an ectopic expression of p21 (Fig. 3C). Furthermore, the expression of the papillomavirus-encoded oncoprotein E7, which disrupts the Rb family-mediated cell cycle regulation, enhances apoptosis upon treatment with etoposide or UV (Supplementary Fig. 3A), an observation consistent with the report that the p21 functions upstream of Rb in the induction of the cell survival mechanism (Gartel and Tyner 2002).
Similar to the oncogene-dependent function of Noxa described above, the function of Noxa in this apoptotic response is dependent on cellular conditions. In fact, when wild-type MEFs were infected with the Noxa-expressing adenovirus, apoptosis was not observed, but this expression notably enhanced the apoptotic response to etoposide or UV (Fig. 3D). These responses were also observed in p53-/- MEFs (Fig. 3D), suggesting that Noxa cooperates with the p53-independent apoptotic pathway, which enhances the gross apoptotic response.
We also asked whether the p53-dependent induction of Noxa is critical to its function in apoptosis. For this purpose, we expressed the papillomavirus-encoded oncoprotein E6, which facilitates p53 degradation, in wild-type and Noxa-/- MEFs. In this experimental setting, the Noxa mRNA induction in wild-type MEFs was clearly suppressed by E6 (Supplementary Fig. 3B). It was then found that E6-expressing wild-type MEFs are more resistant to UV-induced apoptosis than are control wild-type MEFs (Supplementary Fig. 3C). In contrast, the expression of E6 did not result in increased resistance of Noxa-/- MEFs (Supplementary Fig. 3C). These results in toto support the notion that the p53-dependent induction of the Noxa gene is critical for the UV-induced apoptosis.
Increased resistance of Noxa-deficient mice to DNA-damage-induced death
The above results prompted us to examine the in vivo role of Noxa by whole-body irradiation (10 Gy) of mice, which induces apoptosis in both epithelial cells in the stem cell region of small intestinal crypts (hereafter termed ESS) and cells in lamina propria (termed CLP; Merritt et al. 1994; Paris et al. 2001). The apoptosis of ESSs is completely suppressed, whereas that of the CLPs still occurs in p53-/- mice (Merritt et al. 1994; Paris et al. 2001), suggesting that the p53-dependent survival pathway dominates in the CLPs.
As shown in Figure 4A and B, the apoptosis of ESSs was suppressed by twofold in Noxa-/- mice, indicating that Noxa is involved in the DNA damage-induced, p53-dependent apoptosis in vivo. Interestingly, the apoptosis of CLPs was again suppressed in Noxa-/- mice but not in p53-/- mice. These results support the above notion that p53 contributes to cell survival in CLPs (Fig. 4A,C). The apoptosis of CLPs can be a cause of gastrointestinal death (Paris et al. 2001). Consistent with this report and the data shown above, the life span of Noxa-/- mice after irradiation was significantly longer than that of wild-type or p53-/- mice (Fig. 4D).
The results presented in this report indicate the critical contribution of Noxa to the p53-mediated apoptosis in vitro and in vivo. On the other hand, our study further suggests that the contribution of the target genes of p53 is dependent on cell type and cell state. Our results also suggest that Noxa is involved in the elimination of cancerous cells. Because Noxa expression per se does not cause apoptosis in normal fibroblasts, the ectopic expression of Noxa may provide a new strategy for selectively inducing apoptosis in cancerous cells.
Materials and methods
Gene targeting and generation of Noxa-/- mice
The Noxa genomic DNA was previously described (Oda et al. 2000). The targeting vector was designed to replace a 2.4-kb fragment containing exons 1 and 2 of the Noxa gene with a neomycin-resistance gene (neo) derived from pMC1 neo poly A (Stratagene). A short arm and a long arm of the homology region from the CCE genome were amplified by PCR. A herpes simplex virus thymidine kinase gene (HSV-TK) was inserted into the 3′ end of the vector. The chimeric and mutant mice were generated as described previously (Takeda et al. 1996). The mutant mice were backcrossed with C57BL/6 mice at least five times before using in the experiments.
Detection of apoptosis
Apoptosis of MEFs was quantitated by staining with annexin V-FITC or annexin V-Cy3 (MBL) followed by flow cytometric analysis using a FACScalibur (Becton-Dickinson). Apoptosis of thymocytes and cells in the lamina propria of small intestine was quantitated by the TUNEL-reaction using the In Situ Cell Death Detection Kit, Flourescein (Roche Diagnostics) followed by flow cytometry and microscopy, respectively. Apoptosis of the epithelial cells in the lower third of small intestinal crypts was quantitated by detecting the nuclear morphological change through hematoxylin and eosin (HE) staining.
Analysis of Bax/Bak activation
For the detection of Bax insertion, MEFs were collected, washed with PBS, and resuspended in 0.1 M Na2CO3 (pH 11.5). Subsequently, MEFs were homogenized with a polytron homogenizer for three bursts of 10 sec each and were incubated for 30 min on ice. Then the membranes and organelles were pelleted by centrifugation (100,000 × g for 45 min at 4°C).
For BMH cross-linking, MEFs were harvested in isotonic buffer (210 mM mannitol, 70 mM sucrose, 1 mM EGTA, 10 mM Hepes at pH 7.5) supplemented with protease inhibitors (1 mM PMSF, 400 μM Na3VO4, 10 μg/mL aprotinin, and 10 μg/mL leupeptin). Then MEFs were homogenized by eight passages through a 25-gauge needle, and the suspension was centrifuged at 600 × g for 10 min at 4°C. This procedure was repeated twice, and supernatants from each step were collected and centrifuged at 8000 × g for 10 min at 4°C. The pellet was washed and resuspended in isotonic buffer to a final concentration of 0.5 mg/mL protein, and then 11 mM BMH (Pierce) solution in DMSO was added at a 1:11 dilution. After incubating for 30 min at room temperature, cross-linking reaction was quenched by adding DTT to a final concentration of 25 mM, followed by centrifugation to pellet mitochondria, which was subsequently analyzed by immunoblotting.
Whole-body irradiation
Eight-week-old mice were X-ray irradiated (10 Gy). For the quantitation of apoptosis, mice were euthanized 6 h after irradiation, and subsequently, the jejunum was harvested and fixed in 4% formaldehyde overnight at room temperature. Sections were prepared after embedding the samples in paraffin.
Other methods are described in Supplemental Material.
Acknowledgments
We thank T. Inoue for p53-/- mice; C.B. Thompson for Bak-/- mice; T. Nakajima for the E1A expression vector; T. Kiyono for the vectors of E6 and E7; Y. Taya, K. Honda, and H. Takayanagi for invaluable advice; and T. Yokochi and J. Nemoto for technical assistance. This work was supported in part by a grant for Advanced Research on Cancer from the Ministry of Education, Culture, Sports, Science and Technology of Japan and grants of the Virtual Research Institute of Aging of Nippon Boehringer Ingelheim. T.S. is a research fellow of the Japan Society for the Promotion of Science.
The publication costs of this article were defrayed in part by payment of page charges. This article must therefore be hereby marked “advertisement” in accordance with 18 USC section 1734 solely to indicate this fact.
Article published online ahead of print. Article and publication date are at http://www.genesdev.org/cgi/doi/10.1101/gad.1103603.
Supplemental material is available at http://www.genesdev.org.
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