Abstract
Aims: Angiotensin II (AngII)-induced superoxide (O2•−) production by the NADPH oxidases and mitochondria has been implicated in the pathogenesis of endothelial dysfunction and hypertension. In this work, we investigated the specific molecular mechanisms responsible for the stimulation of mitochondrial O2•− and its downstream targets using cultured human aortic endothelial cells and a mouse model of AngII-induced hypertension. Results: Western blot analysis showed that Nox2 and Nox4 were present in the cytoplasm but not in the mitochondria. Depletion of Nox2, but not Nox1, Nox4, or Nox5, using siRNA inhibits AngII-induced O2•− production in both mitochondria and cytoplasm. Nox2 depletion in gp91phox knockout mice inhibited AngII-induced cellular and mitochondrial O2•− and attenuated hypertension. Inhibition of mitochondrial reverse electron transfer with malonate, malate, or rotenone attenuated AngII-induced cytoplasmic and mitochondrial O2•− production. Inhibition of the mitochondrial ATP-sensitive potassium channel (mitoK+ATP) with 5-hydroxydecanoic acid or specific PKCɛ peptide antagonist (EAVSLKPT) reduced AngII-induced H2O2 in isolated mitochondria and diminished cytoplasmic O2•−. The mitoK+ATP agonist diazoxide increased mitochondrial O2•−, cytoplasmic c-Src phosphorylation and cytoplasmic O2•− suggesting feed-forward regulation of cellular O2•− by mitochondrial reactive oxygen species (ROS). Treatment of AngII-infused mice with malate reduced blood pressure and enhanced the antihypertensive effect of mitoTEMPO. Mitochondria-targeted H2O2 scavenger mitoEbselen attenuated redox-dependent c-Src and inhibited AngII-induced cellular O2•−, diminished aortic H2O2, and reduced blood pressure in hypertensive mice. Innovation and Conclusions: These studies show that Nox2 stimulates mitochondrial ROS by activating reverse electron transfer and both mitochondrial O2•− and reverse electron transfer may represent new pharmacological targets for the treatment of hypertension. Antioxid. Redox Signal. 20, 281–294.
Introduction
Hypertension affects more than 50 million individuals in the United States and represents a serious health challenge for Western societies (10); however, many patients' blood pressure remains poorly controlled despite treatment with multiple drugs. Endothelial dysfunction plays a key role in the development of this disease and is associated with decreased bioavailability of nitric oxide (NO•) and overproduction of vascular reactive oxygen species (ROS), such as O2•− and H2O2 (25). While the role of angiotensin II (AngII) in hypertension has been known for decades, it has been recently found that this octapeptide promotes the production of vascular ROS both in the cellular cytoplasm and in the mitochondria (17). We have previously shown that mitochondria-targeted antioxidants may represent a new class of antihypertensive agents (17). The exact molecular mechanisms of AngII-induced production of mitochondrial ROS are not well defined. It has been shown that depletion of the p22phox subunit of NADPH oxidase with siRNA inhibits mitochondrial ROS production in response to AngII, and inhibition of NADPH oxidase improves mitochondrial function (20). Furthermore, the production of AngII-induced ROS was attenuated by the inhibition of mitochondrial ATP-sensitive potassium channels (mitoK+ATP) with 5-hydroxydecanoic acid (5HD) (20). These data suggest that AngII could induce the production of mitochondrial ROS by the activation of NADPH oxidases and the stimulation of redox-sensitive mitoK+ATP (43).
Innovation.
It has been recently shown that mitochondrial O2•− contributes to endothelial dysfunction and hypertension; however, the exact mechanisms and the targets of mitochondrial reactive oxygen species (ROS) have not been identified. In this work, we have investigated the specific molecular mechanisms responsible for the stimulation of mitochondrial O2•− and its downstream targets. First, we have identified cytoplasmic Nox2 isoform of NADPH oxidase as an activator of mitochondrial ROS. Second, for the first time, we have shown redox-sensitive upregulation of reverse electron transport as a major source of mitochondrial ROS. Third, the target of mitochondrial ROS is a cytoplasmic c-Src, which maintains the Nox2 activity, and inhibition of mitochondrial ROS attenuates c-Src and Nox2 activity. Finally, our in vivo experiments have demonstrated that both mitochondrial ROS and reverse electron transfer may represent new pharmacological targets for the treatment of hypertension.
NADPH oxidases are a family of enzyme complexes that catalyze the transfer of electrons from NADPH to molecular oxygen via their “Nox” catalytic subunit, generating O2•− and H2O2. The Nox proteins vary in terms of their mode of activation, localization, and physiological functions (34). Human endothelial cells express four Nox isoforms: Nox1, Nox2, Nox4, and Nox5 (1, 27). AngII is the major effector hormone of the renin–angiotensin system and plays an important role in the activation of vascular NADPH oxidases through PKC- and c-Src-dependent pathways (36). Initial activation of the angiotensin II receptor (AT1R) leads to PKC-mediated phosphorylation of p47phox. This leads to c-Src activation and stimulation of the epidermal growth factor receptor, which evokes phosphatidylinositol 3-kinase-dependent production of phosphatidylinositol (3,4,5)-trisphosphate, activating the Rac1 subunit of NADPH oxidase, at least in vascular smooth muscle cells (45). Nox4 and Nox5 do not require p47phox or Rac1 subunits (39). Thus, in vascular cells, AngII primarily increases the activity of Nox1 or Nox2 (35). Activation of c-Src is redox sensitive and is stimulated by H2O2 (50) and thus may provide a feed-forward stimulation of ROS production. It has been reported that both Nox1 and Nox2 contribute to the development of hypertension (5, 18); however, the Nox isoform responsible for the stimulation of mitochondrial ROS in endothelial cells has not been identified.
It has been recently reported that the activation of mitochondrial ATP-sensitive potassium channels (mitoKATP) increases the production of mitochondrial ROS (3, 20), and this process is dependent on the activity of PKCɛ. PKCɛ is exquisitely redox sensitive and therefore is a very good candidate to transduce signals from extramitochondrial ROS leading to mitochondrial ROS production (11). Although it has been suggested that mitoKATP can stimulate mitochondrial O2•− production by complex I (3), the exact mechanisms and site of mitochondrial ROS release are not well understood.
In this work, we investigated the role of specific Nox isoforms in the regulation of mitochondrial ROS by AngII and evaluated the potential role of mitoKATP and reverse electron transfer in the production of AngII-induced mitochondrial ROS.
Results
Attenuation of AngII-induced O2•− by depletion of Nox2
We have previously shown that the depletion of the p22phox docking subunit of NADPH oxidases attenuates AngII-induced production of mitochondrial ROS (20). We therefore investigated the role of specific NADPH oxidase isoforms using siRNA. Cultured HAEC were transfected with siNox1, siNox2, siNox4, siNox5, or nonsilencing siRNA (NS siRNA) 72 h before the experiments. These conditions have been previously shown to significantly diminish the expression of Nox subunits (15, 26) (Supplementary Fig. S1; Supplementary Data are available online at www.liebertpub.com/ars). Intact HAEC were treated with saline or AngII for 4 h before measurements of cytoplasmic or mitochondrial O2•− using dihydroethidium (DHE) or dihydroethidium conjugate with hexyl triphenylphosphonium (MitoSOX) (Fig. 1). As evident in Figure 1A, transfection with siNox1, siNox4, and siNox5 did not abolish AngII-mediated stimulation of cytoplasmic O2•− measured by confocal fluorescence microscopy and DHE probe. Only siNox2 completely abrogated AngII-stimulated production of cytoplasmic O2•−. These data indicate that Nox2 is the primary source of AngII-induced cytoplasmic O2•− in endothelial cells. Analysis of mitochondrial O2•− using the specific probe MitoSOX showed that transfection with siNox1, siNox4, or siNox5 inhibits AngII-induced production of mitochondrial O2•−; however, the depletion of Nox2 completely abolished AngII-mediated increase of mitochondrial O2•− (Fig. 1B). It has been previously shown that O2•− measurements by DHE and MitoSOX can be affected by the formation of nonspecific fluorescent products (14). We therefore confirmed O2•− measurements by DHE and MitoSOX using HPLC analysis (Fig. 1C). Stimulation of NS siRNA-treated HAEC with AngII (200 nM, 4 h) significantly increased the accumulation of O2•− specific product of DHE (2-OH-E+) and MitoSOX (2-OH-Mito-E+) confirming the stimulation of cytoplasmic and mitochondrial O2•− by AngII. Transfection with siNox5 did not affect O2•− production. Transfection with siNox2, however, significantly inhibited AngII-induced O2•− production both in the cytoplasm and in the mitochondria (Fig. 1C). These HPLC data, therefore, provided validation of O2•−-specific measurements using confocal microscopy and confirmed a key role of Nox2 in AngII-mediated O2•− production.
Analysis of cellular and mitochondrial localization of Nox isoforms
It has been recently suggested that NADPH oxidases within mitochondria may be a source of mitochondrial O2•− (2). We therefore examined the presence of Nox isoforms in the whole cell lysate and in mitochondrial fractions. Western blots showed the significant presence of Nox1, Nox2, and Nox4 in cellular lysates of HAEC (Fig. 2); however, no Nox catalytic subunits were present in mitochondrial samples. These data are in agreement with previously reported localization of Nox subunits in the cytoplasm and nucleus but not in the mitochondria (13, 27). A preliminary analysis of vascular and kidney tissue did not show Nox isoforms in isolated mitochondria but revealed Nox presence in cytoplasmic fractions (data not shown).
Inhibition of AngII-induced O2•− and hypertension in Nox2 knockout mice
To test in vivo pathophysiological role of Nox2 in AngII-induced mitochondrial O2•− and hypertension, we have used Nox2 knockout mice (gp91phox KO) (22). Nox2KO and wild-type littermates (C57Bl/6J) were infused for 10 days with saline (vehicle) or AngII (0.7 mg/kg/day). Analysis of systolic blood pressure showed significant attenuation of hypertension in AngII-infused Nox2KO mice compared with wild-type littermates (Fig. 3A). Following AngII infusion, mice were sacrificed and aortic vessels were isolated for the analysis of cytoplasmic and mitochondrial O2•− using DHE and MitoSOX. It was found that AngII infusion in wild-type mice significantly increased cytoplasmic and mitochondrial O2•− in aorta (Fig. 3B, C). Meanwhile, Nox2 depletion in Nox2KO mice completely abrogated AngII-induced O2•− production in aorta both in cytoplasm and in mitochondria (Fig. 3B, C). These data support Nox2 as a major source of vascular O2•− (33) and demonstrate the key role of Nox2 in AngII-induced vascular mitochondrial O2•− and hypertension (Fig. 3, Scheme).
Role of reverse electron transfer in AngII-induced O2•−
We previously reported that reverse electron transport (RET) plays an important role in the production of mitochondrial ROS (42). We therefore sought to determine if RET would contribute to AngII-induced mitochondrial O2•−. To monitor mitochondrial O2•− levels in intact cells, we used the mitochondria-specific fluorescent probe MitoSOX. Acute treatment with the Nox2-specific peptide inhibitor gp91ds abolished MitoSOX fluorescence signal in AngII-stimulated HAEC. Supplementation with the complex II inhibitor malonate or an inhibitor of RET, rotenone (44), significantly decreased mitochondrial O2•− as reflected by MitoSOX fluorescence (Fig. 4A). Interestingly, as in the case of gp91ds, treatment with malonate or rotenone completely abolished cytoplasmic O2•− production in AngII-stimulated HAEC (Fig. 4B). The specificity of cytoplasmic O2•− measurements in these samples was confirmed by HPLC experiments where malate, malonate, and rotenone did not affect basal O2•− production but inhibited AngII-induced production of cytoplasmic O2•−. As we have previously described, mitochondria-targeted superoxide dismutase (SOD) mimetic mitoTEMPO also inhibited cytoplasmic O2•− (Fig. 5) (17). It has been suggested that redox-sensitive PKCɛ can regulate the production of mitochondrial O2•− (11). Indeed, supplementation with the PKCɛ peptide antagonist EAVSLKPT inhibited mitochondrial O2•− production. Interestingly, the inhibition of PKCɛ also attenuated O2•− production in the cytoplasm (Fig. 4B).
Antihypertensive effect of malate and mitoTEMPO
The above studies show that reverse electron transfer plays an important role in AngII-induced production of both mitochondrial and cytoplasmic ROS. These data also suggest that reverse electron transfer can be potential pharmacological target for the treatment of hypertension. It has been previously reported that malate attenuates reverse electron transfer and inhibits the production of mitochondrial ROS both in vitro and in vivo (30, 42). We therefore performed additional studies in vivo infusing malate and mitoTEMPO after the onset of AngII-induced hypertension. Following 6 days of AngII infusion (0.7 mg/kg/day), systolic blood pressure reached 160 mm Hg (Fig. 6A). Subsequent treatment with malate resulted in a time-dependent decrease in blood pressure. As we have previously reported, mitoTEMPO treatment of hypertensive mice also decreased blood pressure (17). Interestingly, the combination of malate with mitoTEMPO was even more effective than either one alone (Fig. 6A). The role of Nox2 on mitochondrial O2•− in aortic tissue of hypertensive mice was confirmed by ex vivo treatment of aorta with Nox2-specific peptide inhibitor gp91ds-tat and measurements of mitochondrial O2•− by MitoSOX and HPLC. It was found that gp91ds-tat treatment of aorta isolated from hypertensive mice inhibited the production of mitochondrial O2•− to the level of normotensive animals (Fig. 6B). Interestingly, the inhibition of mitochondrial O2•− by malate or scavenging of mitochondrial O2•− by mitoTEMPO had additive effect on the reduction of aortic O2•− measured by DHE and HPLC (Fig. 6C). These data support the key role of Nox2 in the upregulation of mitochondrial O2•− by the reverse electron transfer and the presence of feed-forward interplay between mitochondrial and NADPH oxidase-derived O2•− in endothelial oxidative stress (Fig. 6, Scheme).
Feed-forward regulation of cellular O2•− by mitochondrial H2O2
These data demonstrate an important role of RET in AngII-induced production of mitochondrial O2•−. Our data suggest the regulation of mitochondrial O2•− by PKCɛ; however, PKCɛ is expressed both in the cytoplasm and in the mitochondria. To further investigate the role of mitochondrial PKCɛ in AngII-mediated regulation of mitochondrial O2•−, we analyzed the effect of PKCɛ peptide inhibitor on succinate-driven H2O2 production by mitochondria isolated from control and AngII-stimulated HAEC. The PKCɛ peptide antagonist EAVSLKPT significantly inhibited H2O2 production by mitochondria isolated from AngII-stimulated cells but did not affect H2O2 production by mitochondria isolated from unstimulated cells (Fig. 7A). The role of PKCɛ in the regulation of mitochondrial ROS potentially implicates mitoKATP, which is activated by PKCɛ (11). Indeed, treatment of isolated mitochondria with mitoKATP inhibitor 5HD significantly reduced H2O2 production (Fig. 7A).
These data demonstrate a role of PKCɛ and mitoKATP in AngII-induced production of mitochondrial H2O2. The diminished release of mitochondrial H2O2 in cells treated with malonate, rotenone, or the PKCɛ peptide antagonist could explain reduced activity of the cytoplasmic NADPH oxidases and consequent decrease in cytoplasmic O2•− production (Fig. 4B) due to the attenuation of redox-dependent Nox2. We directly tested if scavenging of cytoplasmic H2O2 with PEG-catalase inhibits the production of cytoplasmic O2•− measured by conversion of DHE to the O2•−-specific product 2-hydroxyethidium using HPLC. Supplementation of HAEC with cell-permeable H2O2 scavenger PEG-catalase (4) inhibited the production of cytoplasmic O2•− in AngII-stimulated cells but not affected O2•− production in control cells (Fig. 7B). We hypothesized that Nox2-derived H2O2 can diffuse to mitochondria and activate redox-dependent PKCɛ. Indeed, treatment with the PKCɛ peptide antagonist also inhibited AngII-stimulated cytoplasmic O2•− similar to PEG-catalase. These HPLC data demonstrate a potential feed-forward regulation of cytoplasmic O2•− by mitochondrial ROS. We have further investigated this process by treatment with mitoKATP opener diazoxide (23), which is known to stimulate the production of mitochondrial ROS (3).
Effect of mitochondrial ROS on c-Src activity and endothelial oxidative stress
The studies described above indicate that AngII increases mitochondrial ROS production via PKCɛ activation and opening of mitoKATP. We investigated if the mitoKATP agonist diazoxide mimics the AngII-mediated activation of mitoKATP and could induce mitochondrial ROS and stimulate O2•− production in the cytoplasm. Supplementation of diazoxide increased mitochondrial O2•− as evident by an increase of MitoSOX fluorescence (Fig. 8A). This increase was similar to that observed in AngII-stimulated cells. This effect of diazoxide was abolished by the inhibition of PKCɛ emphasizing that PKCɛ is upstream of mitoKATP. Interestingly, diazoxide also increased O2•− production in the cytoplasm (Fig. 8B) as evident by an increase of DHE fluorescence. Diazoxide increased cytoplasmic O2•− to a similar extent as AngII, and this effect was also blocked by PKCɛ peptide antagonist.
These data confirmed feed-forward regulation of cytoplasmic O2•− by mitochondrial ROS; however, the exact molecular mechanisms remain elusive. Mitochondrial H2O2 is freely diffusible and can stimulate the extramitochondrial NADPH oxidase via c-Src-mediated mechanisms (50). We therefore tested the hypothesis that mitochondrial ROS can activate c-Src and that mitochondria targeted antioxidants would attenuate c-Src activation. The activity of c-Src was measured by autocatalytic c-Src phosphorylation. Acute treatment with AngII and bolus addition of H2O2 (200 μM) sharply stimulated c-Src phosphorylation (Fig. 9A). Interestingly, acute addition of diazoxide and 4 h treatment increased the c-Src activity to a similar extent as in AngII-stimulated cells. Acute mitoTEMPO treatment with after 4 h stimulation with AngII significantly inhibited the c-Src activity (p-c-Src/c-Src ratio 55%±6% vs. AngII 4 h), but pretreatment of HAEC with mitoTEMPO prior 10 min AngII stimulation did not significantly affect the c-Src activity (p-c-Src/c-Src ratio 91%±7% vs. AngII 10 min). This can be explained by the presence of two phases of c-Src activation (45). Acute c-Src activation is not redox sensitive and depends on AT1 receptor activation. The second phase during long-term AngII stimulation is redox dependent (45) and in our experiment was attenuated by mitoTEMPO.
c-Src is an important modulator of NADPH oxidase activity. We therefore investigated the functional role of c-Src regulation by mitochondrial ROS by measuring c-Src-dependent production of cytoplasmic O2•− in the absence or presence of mitoTEMPO. Four-hour stimulation of HAEC with AngII significantly increased cytoplasmic O2•− measured by HPLC and DHE (Fig. 9B). Both acute treatment with the c-Src inhibitor PP2 and mitoTEMPO supplementation attenuated O2•− production caused by AngII. The combination of PP2 and mitoTEMPO did not further decrease O2•−, supporting the action of PP2 and mitoTEMPO on the same pathway of NADPH oxidase activation.
To verify the c-Src-dependent activation of NADPH oxidases by mitochondrial ROS, we compared the effect of mitoTEMPO on phorbol myristate acetate (PMA)- and EGF-induced production of cytoplasmic O2•−. PMA activates NADPH oxidase via a PKC-dependent pathway, whereas EGF stimulates NADPH oxidase through c-Src. MitoTEMPO inhibited the EGF stimulated O2•− but did not affect PMA-stimulated activation (Fig. 9B). These data, therefore, support the role of c-Scr in the activation of NADPH oxidases by mitochondrial ROS.
Inhibition of AngII-induced O2•− and hypertension by scavenging of mitochondrial H2O2
To test the role of mitochondrial H2O2 in the stimulation of AngII-induced O2•− and its contribution in hypertension, we used mitochondria-targeted glutathione peroxidase mimetic mitoEbselen, also known as MitoPeroxidase (46). It was found that acute treatment of AngII-stimulated HAEC with mitoEbslen (1 nM) inhibited the production of cytoplasmic O2•−, whereas supplementation of untargeted H2O2 scavenger ebselen (1 nM) did not significantly affect O2•− production (Fig. 10A). As expected, basal O2•− production in unstimulated cells was not affected neither by mitoEbselen nor by ebselen since it is not redox dependent. These data support the role of mitochondrial H2O2 in the stimulation of AngII-induced cytoplasmic O2•− in endothelial cells.
Our data indicate that c-Src inhibition and blocking of mitochondrial H2O2 attenuated O2•− production to similar level of unstimulated cells (Figs. 7B and 8A), which suggest that c-Src is stimulated by mitochondrial H2O2. We have directly tested this hypothesis by the analysis of c-Src phosphorylation in AngII-stimulated cells following treatment with DMSO (vehicle), ebselen, or mitoEbslen. Indeed, acute treatment of AngII-stimulated cells by mitoEbselen (1 nM) inhibited c-Src activity almost to the basal level, whereas untargeted ebselen (1 nM) did not have significant effect (Fig. 10B). These data support the role of mitochondrial H2O2 in the stimulation of c-Src-dependent NADPH oxidase in AngII-stimulated endothelial cells.
The pathophysiological role of mitochondrial H2O2 in hypertension was investigated in mice treated with mitoEbselen after the onset of AngII-induced hypertension. Following 6 days of AngII infusion, mice were treated with mitoEbselen (0.7 mg/kg/day) or DMSO as a vehicle using osmotic minipump. Treatment of hypertensive mice with mitoEbselen significantly reduced blood pressure (Fig. 10C). Reduction of vascular H2O2 was confirmed by the analysis of H2O2 in intact aorta using Amplex Red assay. It was found that AngII infusion significantly increased aortic H2O2 production but mitoEbselen treatment substantially reduced H2O2 level (Fig. 10D). These data support the role of mitochondrial H2O2 in the stimulation of c-Src-dependent NADPH oxidase and its contribution in hypertension.
Discussion
The present study provides the first evidence that the Nox2 isoform of vascular NADPH oxidase is responsible for AngII-mediated stimulation of mitochondrial ROS in human endothelial cells. We have found that AngII stimulates the production of mitochondrial ROS via the activation of reverse electron transfer. Analyses of isolated mitochondria have demonstrated an important role of PKCɛ in the regulation of mitochondrial ROS. Our data indicate that PKCɛ activates mitoKATP, which triggers mitochondrial reverse electron transfer (Fig. 9). Interestingly, inhibition of mitochondrial ROS production with malate, malonate, rotenone, PKCɛ, or 5HD (20) abolished AngII-induced O2•− production in the cytoplasm. These data imply feed-forward regulation of cytoplasmic NADPH oxidase by mitochondrial ROS. Our experiments with diazoxide confirmed this cross-talk between mitochondrial ROS and NADPH oxidase activity since diazoxide increased the production of mitochondrial O2•−, which led to the stimulation of cytoplasmic c-Src and downstream activation of NADPH oxidase. Finally, the role of mitochondrial reverse electron transfer in AngII-mediated vascular oxidative stress and hypertension was determined in in vivo experiments where we showed that malate inhibits endothelial oxidative stress and decreases blood pressure in AngII-infused mice.
We have previously shown that AngII stimulates the production of mitochondrial O2•− (20). This increase was dependent on NADPH oxidase activity because siRNA-induced depletion of the NADPH oxidase subunit p22phox, or inhibition of NADPH oxidase activity by apocynin, prevented mitochondrial impairment and attenuated the production of mitochondrial O2•−, demonstrating an upstream role of the NADPH oxidase in the activation of mitochondrial O2•−. In the current study, we have investigated the specific NADPH isoform responsible for this AngII-mediated effect on mitochondria. We found that the depletion of Nox2 inhibited AngII-induced production of mitochondrial O2•− (Fig. 1). It is important to note that Western blots showed that Nox2 is exclusively localized in the cytoplasm and not in the mitochondria (Fig. 2). These data suggest that ROS produced in the cytoplasm by Nox2 signal to redox-dependent targets in the mitochondria. We suggest that an important downstream target is mitochondrial PKCɛ. Indeed, the inhibition of PKCɛ in isolated mitochondria completely abolished AngII-induced production of mitochondrial ROS (Fig. 5A). Our data indicate that the activation of redox-sensitive PKCɛ activates mitoKATP and that opening of mitoKATP leads to the activation of reverse electron transfer (Fig. 9). Interestingly, it has been recently shown that superoxide can directly activate mitoKATP (43), which may explain why overexpression of SOD2 or mitoTEMPO supplementation inhibit the production of mitochondrial ROS (17). This provides an important insight into the molecular mechanisms in the regulation of mitochondrial ROS. We suggest that ROS production by mitochondrial reverse electron transfer is an important physiological function that can be regulated by redox-sensitive PKCɛ and mitoKATP (11, 43).
Our data demonstrate redox-dependent stimulation of mitochondrial ROS by Nox2 in endothelial cells. Other cell types, however, have a different pattern of Nox isoform distribution. Vascular smooth muscle cells, for example, express Nox1, which is upregulated by AngII (15), and therefore, Nox1 can play an important role in cross-talk between mitochondrial ROS and NADPH oxidase vascular smooth muscle cells. Indeed, both AngII and diazoxide stimulated mitochondrial ROS and NADPH oxidase in rat vascular smooth muscle cells in vitro and in rat aorta (29).
It has been recently reported that Nox4 is present in the mitochondria of rat kidney in podocytes, glomerular mesangial and tubular epithelial cells (7), and in the mitochondria of cardiac myocytes (32). Confocal microscopy showed significant co-localization of Nox4 with mitochondrial F1F0-ATP synthase, as well as p22phox subunit of NADPH oxidases (7). Unfortunately, current methods do not provide measurements of specific Nox4 activity. These studies, therefore, remain controversial due to the lack of specific Nox4 activity data in mitochondrial preparations. Our studies did not show the presence of Nox1, Nox2, Nox4, and p22phox subunits in the mitochondria of endothelial cells and mouse vascular tissue arguing against the mitochondrial localization of NADPH oxidases in these tissues (20). It has been previously shown that Nox4 is localized in focal adhesions, along stress fibers, and in the nucleus (27, 38). It is possible that mitochondrial localization of Nox4 reported by Block et al. (7) and Ago et al. (2) differ from previous publications (27, 38) due to distinct Nox4 antibodies used for immunostaining. The difference in Nox4 localization could be also due to the fact that these research groups have investigated different cell types and Nox4 localization in mitochondria may be cell-type specific. We and others have previously shown that Nox4 predominantly produces H2O2 (15, 47), and it is plausible that Nox4-mediated H2O2 production can stimulate redox-sensitive upregulation of mitochondrial ROS. Recent publication of Kozieł et al. have shown that depletion of Nox4 in the late 25th passage of human umbilical vein endothelial cells reduced the production of mitochondrial ROS, increased complex I activity, and improved mitochondrial respiration. These data support redox-dependent regulation of mitochondrial function by Nox4 (21). Although our data indicate the lack of Nox4 in human aortic endothelial mitochondria, it is conceivable that mitochondrial Nox4 localization is cell-, tissue-, and species-specific. For example, Case et al. showed that siRNA-mediated knockdown of Nox4 decreased AngII-induced mitochondrial O2•− production in catecholaminergic neuronal cell, supporting the role of Nox4 in neuronal regulation of mitochondrial ROS (9). Considering the controversy and inconsistent observations, mitochondrial expression of Nox4 and its functional significance require additional studies.
Mitochondrial reverse electron transfer has been previously suggested as a major source of mitochondrial ROS under physiological conditions (42) and that mitochondrial ROS play a key role in cell signaling (54). Indeed, mitochondria regulate intracellular calcium and this is attenuated by the inhibition of mitoKATP with 5HD (52), which, according to our data, inhibits the production of mitochondrial ROS via reverse electron transfer (Figs. 3, 5, and 9). This work provides further insight into the role of mitochondrial ROS in cell signaling. We found that the release of mitochondrial H2O2 activates c-Src, which is one of the key mediators of signaling networks (24). Activation of c-Src by mitochondrial ROS may have both physiological and pathological consequences. Interestingly, mitochondrial H2O2 contributes to flow-induced dilation in human coronary resistance arteries, which was attenuated by rotenone (37). In our case, blocking mitochondrial reverse electron transfer or treatment with the mitochondria targeted antioxidant mitoTEMPO reduced c-Src activity, decreased NADPH oxidase activity (17), and diminished the production of cellular O2•− (Figs. 7 and 8). We expect that malate treatment attenuates AngII-induced hypertension by blocking the same c-Src-dependent oxidative stress in vivo. Since c-Src has been a pharmacological target for the treatment of cancer and inflammation (40, 49), it is interesting to speculate that mitochondrial ROS and reverse electron transfer may play a role under these pathological conditions.
The data described above suggest that the NADPH oxidases may stimulate the mitochondrial ROS production and vice versa. This represents an ongoing feed-forward cycle, which can be stopped by inhibitors of PKCɛ, mitoKATP, blocking reverse electron transfer or mitoTEMPO treatment (Fig. 11). Indeed, it has been recently shown that rotenone attenuates DOCA-salt hypertension (53). Rotenone treatment, however, increases oxidative stress in healthy tissue and particularly in the brain, and can lead to the development of Parkinson's disease (41). Inhibition of mitoKATP in hypertensive conditions (53) is also problematic since this would attenuate important physiological functions of mitoKATP in heart, vascular and brain tissues. We, therefore, suggest more realistic metabolic targeting of reverse electron transfer with malate. Malate is part of the mitochondrial Krebs cycle and does not have cytotoxic side effects. It is converted into oxaloacetate, which inhibits complex II activity and therefore attenuates the production of mitochondrial O2•− by reverse electron transfer (42). Application of mitochondria targeted antioxidants such as mitoTEMPO might also be advantageous since mitoTEMPO specifically affects redox activation of mitoKATP only at the site of enhanced mitochondrial oxidative stress.
Taken together, our data indicate that the interplay between mitochondrial and NADPH oxidase-derived O2•− constitutes a feed-forward cycle in which Nox2 increases the production of mitochondrial ROS by reverse electron transfer. Enhanced production of mitochondrial ROS further activates the cytoplasmic NADPH oxidases, increasing cellular O2•− production, diminishing NO• bioavailability, and uncoupling eNOS (8, 17). The effect of ROS on O2•− production by mitochondria and NADPH oxidase is redox sensitive at the PKCɛ, mitoKATP, and c-Src sites, which could explain why mitoTEMPO decreased the NADPH oxidase activity and reduced blood pressure in hypertensive animals (17). Our current findings indicate that scavenging of mitochondrial O2•− using mitochondria-targeted antioxidants or inhibition of reverse electron transfer can interrupt this vicious cycle and downregulate NADPH oxidase activity (Fig. 11) (17). The interplay between mitochondrial ROS and NADPH oxidases demonstrated here in endothelial cells is likely to be found in other cells and tissues in various pathological conditions associated with AngII, high glucose, fat, or hypoxia and could contribute to the development of many pathological conditions (13). Our study, therefore, shows that Nox2 and mitochondrial reverse electron transfer can be important targets for the development of antioxidant strategies.
Materials and Methods
Reagents
DHE (M-36008) and MitoSOX (D-1168) were supplied by Invitrogen. NADPH oxidase antibodies were obtained from Abcam. PKCɛ peptide antagonist EAVSLKPT and c-Src antibodies were received from Millipore Corporation. MitoTEMPO and mitoEbselen were purchased from Enzo Life Sciences. The Nox2 inhibitor peptide gp91ds (CSTRIRRQL) was purchased from GenScript. Rabbit polyclonal Akt antibodies and mouse monoclonal cytochrome c antibodies were obtained from Cell Signaling and Santa Cruz Biotechnology. All other reagents were obtained from Sigma.
Cell culture
Human aortic endothelial cells (HAEC) were purchased from Lonza and cultured in EGM-2 medium supplemented with 2% FBS but without antibiotics. On the day before the study, the FBS concentration was reduced to 1%. In preliminary experiments, we examined the effect of varying doses of AngII on cellular O2•− production. We found that 4 h of AngII increased cellular O2•− in a dose-dependent manner with maximum stimulation at 200 nM (17). This concentration was therefore used in the remainder of the experiments. It should be noted that due to degradation in culture, the steady-state concentration of AngII is substantially lower than that initially added (28).
Nox depletion
To deplete protein levels of the catalytic subunits of NADPH oxidase, we inhibited the expression of Nox1, Nox2, Nox4, and Nox5 using siRNA from Applied Biosystems Ambion. As a control, we used NS siRNA (Applied Biosystems Ambion). The annealed siRNA duplexes for Nox1 (sense, 5′-CAUCCAGCUGUACCUCAGU-3′; antisense 5′-GACCAUCCACUUCAAUCCU-3′), Nox2 (sense 5′-CGUCUUCCUCUUUGUCUGG-3′; antisense 5′-CCAGACAAAGAGGAAGACG-3′), Nox4 (sense, 5′-ACUGAGGUACAGCUGGAUGUU-3′; antisense 5′-CAUCCAGCUGUACCUCAGUUU-3′), and Nox5 (sense 5′-GGUGGACUUUAUCUGGAUC-3′; antisense 5′-GAUCCAGAUAAAGUCCACC-3′).
Expression of catalytic subunits of NADPH oxidase was studied by Western blot analysis (Supplementary Fig. S1) using previously characterized rabbit polyclonal antibodies at 1:1000 dilution (15, 26). Nox1 antibodies were provided by Santa Cruz. Nox2 antibodies were purchased from Millipore. Nox4 and Nox5 antibodies were received from Abcam.
Mitochondrial isolation and study
Mitochondria were isolated as previously described (48). Mitochondrial H2O2 was measured by mixing 20 μg of mitochondrial protein with horseradish peroxidase (HRP) (2 U/ml), peroxidase substrate acetamidophenol (1 mM), SOD (50 U/ml), and spin probe CAT1H (1 mM) in the presence of complex II substrate succinate (20). Production of mitochondrial O2•− was visualized in intact cultured HAEC using the fluorescent probe MitoSOX (Ex/Em: 510/580 nm; Invitrogen) (12). HAEC were incubated with 2 μM MitoSOX in Kreb-Hepes buffer (KHB) for 20 min at 37°C in a CO2 incubator. The mitochondrial subcellular location of MitoSOX was confirmed by co-labeling with 50 nM MitoTracker Green FM (Ex/Em: 490/516 nm) (17).
Animal experiments
Hypertension was induced by AngII (490 ng/kg/min) as described previously (16) using C57Bl/6J or gp91phoxKO mice (Jackson Labs). In addition, 6 days after saline or AngII minipump placement, mice received a second minipump for infusion of saline as vehicle, malate, mitoTEMPO, or malate plus mitoTEMPO as described in the figure legends. To test the role of mitochondrial H2O2, mice received a second minipump with of 50% DMSO as vehicle or mitochondria-targeted H2O2 scavenger mitoEbselen. Blood pressure was monitored by the tail cuff method as previously described (31, 51).
Superoxide measurements using HPLC
Cells were cultured up to 80% confluence. Stock solutions of MitoSOX (4 mM) and DHE (10 mM) in DMSO were prepared and were diluted in KHB to a final concentration of 2 μM MitoSOX and 10 μM DHE. Cells loaded with dye were incubated in a tissue culture incubator for 20 min. Next, buffer was aspirated and scraped cells were mixed with methanol (300 μl) and homogenized with a glass pestle. The cell homogenate was passed through a 0.22-μm syringe filter and methanol filtrates were analyzed by HPLC according to previously published protocols (14). DHE and MitoSOX oxidation products, 2-hydroxyethidium and ethidium, were separated using a C-18 reverse-phase column (Nucleosil 250 to 4.5 mm) and a mobile phase containing 0.1% trifluoroacetic acid and an acetonitrile gradient (from 37% to 47%) at a flow rate of 0.5 ml/min. Ethidium and 2-hydroxyethidium were detected with a fluorescence detector using an emission wavelength of 580 nm and an excitation of 480 nm. Production of cytoplasmic and mitochondrial O2•− was measured as accumulation of 2-hydroxyethidium and mito-2-hydroxyethidium in DHE or mitSOX supplemented samples as described previously (17).
Confocal microscopy
Intact cells cultured on coverslips were incubated with a fluorescent probe in KHB for 20 min at 37°C in a CO2 incubator. Production of mitochondrial O2•− was visualized using the 2 μM fluorescent probe MitoSOX (Ex/Em 405/480 nm). For detection of cytoplasmic O2•−, cells were stained with 10 μM DHE (Ex 405/480 nm). Mitochondria localization was ensured by mitoTracker Green (Ex 488/520 nm). Nuclei were stained with DAPI (Ex 364/461). Mitochondrial membrane potential was monitored with fluorescent probe TMRM (543/573 nm). Paraformaldehyde fixed cells were mounted in Vectashield (Vector Laboratories) and examined in a confocal imaging system (Zeiss LSM 510 META). For double-labeling experiments, images were scanned with the multitracking mode on a Zeiss LSM 510 META confocal microscope. To distinguish random color overlap from co-localization, Imaris Coloc software was used.
We have previously showed co-localization of MitoSOX staining with specific mitoTracker, and MitoSOX-O2•−-specific HPLC signal was stimulated by the treatment of endothelial cells with antimycin A and inhibited by mitoTEMPO (17). Meanwhile, DHE-O2•−-specific HPLC signal was stimulated by PMA and inhibited after Nox2 depletion but was not affected by antimycin A (17). MitoSOX, therefore, provides mitochondria-specific O2•− measurements, whereas DHE does not detect mitochondrial O2•− since it is not sensitive to antimycin A. Cellular DHE signal mainly reflects O2•− production in the cytoplasm and the lumen of intracellular organelles. In this article, we used MitoSOX for mitochondria-specific O2•− detection while DHE fluorescence was identified as cytoplasm O2•− due to its diffuse intracellular localization.
In this study, we used lower MitoSOX concentration, which may explain discrepancy in the images compared with the previous publication. Rotenone can induce ROS production on complex I since it overreduces ubiquinone domain (41). ROS stimulation by rotenone was observed only in nonstimulated cells, whereas supplementation of rotenone after AngII treatment actually inhibits AngII-induced O2•− production. This paradoxical rotenone effect is due to the inhibition of reverse electron transfer in AngII-treated cells, which was absent in the nonstimulated cells (Figs. 3 and 4).
Electron spin resonance measurement of mitochondrial H2O2 production
Mitochondrial H2O2 was measured by HRP-mediated oxidation of spin probe CAT1H as described previously (19). This method takes advantage of the electron spin resonance (ESR), which provides high sensitivity ROS measurements in nontransparent samples such as mitochondrial suspension or cellular homogenates with detection limit as low as 1 pmol/mg protein/min using only 20 μg protein. Mitochondria were incubated with 10 mM succinate in the presence of 1 mM 4-acetamidophenol, 2 U/ml HRP, 50 U/ml Cu/Zn-SOD, and 1 mM CAT1H in media containing 125 mM KCl, 10 mM MOPS, 2 mM MgSO4, 2 mM KH2PO4, 10 mM NaCl, 1 mM EGTA, and 0.7 mM CaCl2, pH 7.2. This method is based on reaction of HRP with H2O2 generating HRP compound I, which in turn oxidizes 4-acetamidophenol. Subsequently, 4-acetamidophenol radical oxidizes CAT1H to its corresponding stable nitroxide CAT1, which is quantitatively detected by ESR. Specificity of H2O2 detection was confirmed by inhibiting the ESR signal with 50 μg/ml catalase.
ESR Experiments
All ESR samples were placed in 50-μl glass capillaries (Corning). ESR spectra were recorded using an EMX ESR spectrometer (Bruker Biospin Corp.) and a super high Q microwave cavity at room temperature. The ESR settings for field-scan experiments with the spin probe CAT1H were as follows: field sweep, 70 Gauss; microwave frequency, 9.82 GHz; microwave power, 20 milliwatts; modulation amplitude, 0.7 Gauss; conversion time, 41 ms; time constant, 164 ms; and receiver gain, 1×105 (n=4 scans). The rates of H2O2 production were determined by monitoring the amplitude of the low-field component of the ESR spectrum of CAT1-nitroxide with the following settings: field sweep, 60 Gauss; microwave frequency, 9.46 GHz; microwave power, 20 milliwatts; modulation amplitude, 2 Gauss; conversion time, 1311 ms; time constant, 5243 ms; and receiver gain, 1×105. ESR experiments were repeated at least three times.
Statistics
Experiments were analyzed using the Student Neuman Keuls post-hoc test and analysis of variance. p levels<0.05 were considered significant.
Supplementary Material
Abbreviations Used
- 5HD
5-hydroxydecanoic acid
- AngII
angiotensin II
- DHE
dihydroethidium
- ESR
electron spin resonance
- HAEC
human aortic endothelial cells
- HRP
horseradish peroxidase
- KHB
Kreb-Hepes buffer
- mitoK+ATP
mitochondrial ATP-sensitive potassium channel
- MitoSOX
dihydroethidium conjugate with hexyl triphenylphosphonium
- mitoTEMPO
(2-(2,2,6,6-tetramethylpiperidin-1-oxyl-4-ylamino)-2-oxoethyl) triphenylphosphonium
- NS siRNA
nonsilencing siRNA
- PMA
phorbol myristate acetate
- RET
reverse electron transport
- ROS
reactive oxygen species
- SOD
superoxide dismutase
Acknowledgments
We are grateful to Dr. Igor A. Kirilyuk and Dr. Igor. A. Grigor'ev for their assistance with mitochondria-targeted antioxidants and thank Dr. Alexander Panov and Dr. Vladimir Mayorov for their fruitful discussion and technical assistance.
Sources of Funding
This work was supported by funding from National Institutes of Health grant HL094469, HL093115 and American Heart Association Grant-in-Aid 09GRNT2220128.
Author Disclosure Statement
The authors have no conflicts of interest to disclose.
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