Abstract
Abstract. Objectives: Both heat shock (HS) and ionizing radiation have an impact on the cell cycle and may induce cell cycle arrest or apoptosis. Mutations of the p53 gene are observed at a high frequency in human tumours and are recognized in about half of all human cancers. Sensitivity to radiation, heat and anticancer agents has been observed in p53 +/+ cells, but not in mutated or p53‐deficient cells. Moreover, enhancement of radiosensitivity by HS has been observed in wild‐type p53 cells but not in p53‐deficient cells. The molecular mechanism of the differential cell response to HS or ionizing radiation is not yet understood. Materials and Methods: Differences in cellular response to radiation (200 kV X‐ray, 1, 2, 5 Gy) and HS (39 °C, 41 °C and 43 °C for 30 min) on cell cycle progression of cultures of human p53 mutant cells were investigated by flow cytometry. In addition, the effects of stressors used on the expression of several heat shock genes (HSP27, HSP60, HSP70, HSC70, HSP75, HSP78, HSP90) were studied by reverse transcriptase–polymerase chain reaction. Results and Conclusions: Yet, with respect to HSP gene expression, different stressors produced similar effects. Combination of HS and radiation treatment significantly induced the transcription of the HSP70 gene above the level induced by each stressor alone. Cell cycle analysis, however, revealed striking differences in prolonged dynamics of cell division in response to each stressor. Thus, p53 status could be a useful indicator in predictive assays for hyperthermia cancer treatment in combination with radiation and/or chemotherapy.
INTRODUCTION
The response of human cells to temperature elevation, exposure to ionizing radiation, toxic agents or other physiological and environmental stressors is universal and is mediated through the induction of highly conserved heat shock genes (Helmbrecht et al. 2000; Jolly & Morimoto 2000; Kuhl et al. 2000; Gutzeit 2001). During stress conditions, heat shock proteins (HSPs) increase cell survival by protecting and disaggregating stress‐labile proteins, as well as proteolyse damaged proteins (Morimoto 1998; Smith et al. 1998; Feder & Hofmann 1999; Zugel & Kaufmann 1999; Helmbrecht et al. 2000). In the absence of stressors, HSPs have multiple housekeeping functions, such as folding and translocation of newly synthesized proteins, activation of specific regulatory proteins (including transcription factors), protein degradation, protein signalling (including steroid hormone activation), tumour immunogenicity and antigen presentation (Helmbrecht et al. 2000; Jolly & Morimoto 2000; Takayama et al. 2003). The nomenclature of HSPs is assigned to their approximate molecular weight, for example, the 70 kDa HSP is known as the molecular chaperone HSP70. The most prominent members of the HS gene family included in this study are HSP90, HSP78 (glucose‐regulated HS protein 78), HSP75 (mitochondrial HSP75), HSP70, HSP60 and HSP27 (Jolly & Morimoto 2000). The HSP70 gene is exceptional among the chosen HS genes, as it is constitutively expressed and is only minimally induced by heat stress and radiation exposure (Turman et al. 1997; Tokalov et al. 2003).
Recently, considerable attention has been given to the fact that tumour suppressor protein p53 is involved in the cellular response to radiation and heat shock (HS) exposure (Zolzer & Streffer 2000; Ohnishi 2005). Mammalian cells respond to a number of stressors by activating many cellular processes, including the activation of the p53 protein and promotion of cell cycle arrest, mainly at G1/S or G2/M checkpoints. When stress is excessive, p53 can induce tumour‐suppressive apoptosis (Helmbrecht et al. 2000; Jolly & Morimoto 2000). Disruption of p53 wild‐type (p53wt) function occurs frequently in many types of human cancer (Molinari 2000; Camplejohn & Rutherford 2001; Eicheler et al. 2002; Szymanska & Hainaut 2003) and this has been correlated with decreased sensitivity to chemotherapy, radiation and hyperthermia therapies (Takahashi et al. 2004). Potentiation of radiosensitivity was observed in wild‐type p53wt cells when they were additionally exposed to heat stress; p53‐deficient (p53 −/–) cells did not exhibit this effect (Yasumoto et al. 2003). It was suggested that HS enhancement of irradiation‐induced tumour growth alteration may result in p53‐dependent apoptosis as a result of heat‐induced inactivation of cell survival systems, through either regulation of the cell cycle or induction of DNA repair (Ohnishi 2005). Induction of p53‐dependent apoptosis may at least partially explain the similarity of tumour response to radiation and HS exposure (Zolzer & Streffer 2000), but is still unclear why p53 −/– cells also show a variety of features in their response to HS and to radiation that are independent of wild‐type p53 responses.
With new techniques in flow cytometry, it has become possible to investigate cell cycle progression in greater detail. Analysis of cell proliferation is commonly carried out by simultaneous analysis of DNA content and bromodeoxyuridine (BrdU) incorporation. Rice et al. (1986) were the first to quantify these parameters through the cell cycle in heat‐treated cells. A similar protocol was employed to analyse radiation‐induced G2‐phase block (McNally & Wilson 1986). Other researchers also have reported flow cytometric measurements of BrdU‐labelled cells, further elucidating the cell cycle effects caused by heat or radiation (Higashikubo et al. 1993; Higashikubo et al. 1996; Pellegata et al. 1996; Zolzer & Streffer 2001). The technique of flow cytometry has been useful for cell cycle analysis, but quantification of DNA content did not allow for evaluation of different cell generations in a single experiment. However, when cells are labelled with the dye, carboxyfluorescein diacetate succinimidyl ester (CFSE), intensity predictably decreases during successive cell cycles (Lyons 1999; Tokalov & Gutzeit 2003), such that the cell generations can be distinguished. CFSE does not appear to be cytotoxic and, furthermore, it does not seem to affect lymphocyte differentiation (Hasbold et al. 1999). Results presented in this study illustrate the advantages of this technique in studying mixed populations of cycling and arrested cells. The CFSE labelling protocol reveals the prolonged arrest of the HL‐60 (p53 −/–) cells in the G2/M cell cycle checkpoint after HS (41 °C, 30 min) exposure (Tokalov & Gutzeit 2003). At the same time, it was found that a large fraction of the exposed cells permanently lost the ability to proliferate. These cells became apoptotic if the cell cycle was blocked by HS. Two cell populations, that is cycling and arrested cells, could be distinguished during the entire experiment. The number of arrested cells decreased as a result of apoptosis and the cycling cells became more numerous. Their fraction increased continuously and the level of the control was reached within 10 days of culture (Tokalov & Gutzeit 2003). The purpose of the present study was to determine the kinetics of different effects of radiation and of HS on cell cycle progression of p53 −/– human tumour cells. The dynamics of cell division during successive cell cycles were monitored by flow cytometry with time after radiation (different doses) and HS (different temperatures) exposure.
MATERIALS AND METHODS
Cell culture
Acute myeloid human leukaemia cells (HL‐60, p53 −/–) were obtained from DSMZ (Braunschweig, Germany) and were maintained in Roswell Park Memorial Institute 1640 medium (Gibco, Cergy‐Pontoise, France). Human cervical carcinoma cells (HeLa, p53 −/–) (DSMZ, Braunschweig, Germany) were grown in modified Eagle's medium (MEM; Bio Whittaker, Verviers, Belgium) with 1% of nonessential amino acids. Primary human diploid skin fibroblasts (AG01522, p53 wt) (Coriell Cell Repositories, Camden, NJ, USA) were grown in MEM with Earl's Balanced Salt Solution (Bio Whittaker, Verviers, Belgium) and 2 mm l‐glutamine. All media were supplemented with antibiotics (50 U/ml penicillin and 50 µg/ml streptomycin, Gibco, Cergy‐Pointoise, France) and 10% (v/v) heat‐inactivated foetal calf serum (FCS, Gibco, Cergy‐Pontoise, France). All cells were grown at 37 °C in a humidified 5% CO2 atmosphere and were maintained at a density of 2 × 105−1 × 106 cells/ml by suspending the cells in fresh culture medium every 2 days.
Exposure to radiation and HS
Cell cultures (106 cells/ml, 15 ml per flask) were exposed to thermal stress at 37 °C (sham‐treated control cells) for 39, 41 or 43 °C for 30 min. The temperature of the cell cultures was controlled using a specially designed plastic chamber with the dimensions of 1800 × 1400 × 60 mm3. Water of the desired temperature (±0.1 °C, F15 Waterbath, Julabo Labortechnik, Germany) was pumped through cavities, drilled as serpentine in the bottom plate of the chamber. Desired temperature in the chamber was reached 1 h before the start of the experiment and was maintained to the end of exposure. Temperature was controlled using a GTH 175/MO digital thermometer (Greisinger Electronic, Regenstauf, Germany), precision ±0.1 °C. After HS exposure cells were cultured under usual conditions at 37 °C and were analysed as described in succeeding discussions.
Cell cultures were irradiated in doses of 0 (sham‐treated control cells), 1, 2 and 5 Gy with a 200 kV X‐ray tube (Isovolt 320/20, Seifert Roentgenwerke, Germany) using a 0.5 mm Cu filter. The tube was operated with current of 20 mA yielding a dose rate of 1.2 Gy per min.
One set of cell cultures was exposed to two stressors to study their inter‐action (that is, thermal stress in combination with radiation). HL‐60 cultures were subjected to HS (37 °C, 39 °C and 41 °C, 30 min), and were cultivated for a further 60 min before irradiation (5 Gy). At the end of exposure to the stressors, the cells were cultivatured for an additional 30 min [for reverse transcriptase–polymerase chain reaction (RT‐PCR) analysis] or for 6, 12, 18 h or 1, 2 and 4 days, to study the dynamics of cell proliferation.
Flow cytometry
Flow cytometry was carried out as previously described by Tokalov et al. (2003). Two parameters were quantified: the DNA content, by staining with propidium iodide (PI), and the fluorescence of dye CFSE, which stains cell cytoplasm and can be used to identify proliferating cells by the decreasing fluorescent signal in successive cell generations (Lyons 1999). Briefly, 2 × 106 cells were stained with 10 µm CFSE (Molecular Probes, Eugene, OR) in phosphate‐buffered saline (PBS) for 10 min at 25 °C. Cells were washed with PBS and culture medium was added. After appropriate culture times, cells were removed from the culture and were prepared for analysis by flow cytometry. Cells were washed once more with PBS and were centrifuged at 100 g for 10 min. The cell pellet was resuspended in 100 µl of PBS, fixed in 70% (v/v) ethanol by adding 1 ml of cold (−20 °C) ethanol and stored overnight at −20 °C. Cells were spun down once more and the pellet was resuspended in 1.5 ml of PBS at room temperature. After centrifugation it was re‐suspended in 1 ml DNA staining solution containing 50 µg PI and 0.2 mg RNase (both Sigma, Diesenhofen, Germany) and incubated for at least 45 min at room temperature in the dark. Between 1 and 5 × 105 cells per sample were analysed by flow cytometry (CyFlow, Partec, Muenster, Germany). The excitation wavelengths were 473 nm; green (520 nm for CFSE) and red fluorescence (> 590 nm for PI) were recorded. In addition, parameters for forward scatter (FSC) and side scatter (SSC) were determined. For each variable (exposure conditions, culture periods etc.) a minimum of six samples were quantified. The flow cytometer was calibrated with 2.5 µm polyfluorescent beads (AlignFlow, Molecular Probes, Eugene, OR) before each series of measurements. The fraction of cells present in different cell generations and their representation in respective cell cycle phases, was calculated using the mean level of measured fluorescence and phagocytic activity, with cyflow software (Partec, Muenster, Germany).
RT‐PCR
Total RNA was isolated from 4 to 5 × 106 HL‐60 cells using the Invisorb RNA Kit II (Invitec GmbH, Duisburg, Germany) for total RNA extraction. After photometric quantification (Ultrospec 2000, Pharmacia Biotech, Little Chalfont, UK), 500 ng of RNA was used in a 10‐ml reverse‐transcription reaction using 200 U of SuperScript reverse transcriptase (Qiagen, Hilgen, Germany), 40 units of RNase OUT (Promega, Manheim, Germany), dNTPs (final concentration, 500 mmol/l), 50 pm oligo‐dT15 primers (Life Technologies Inc., Karlsruhe, Germany), and buffer, as recommended by the supplier. Samples were incubated at 37 °C for 1 h followed by 20 min incubation at 60 °C. For PCR analysis, 1 ml of this cDNA preparation was used for each sample. Subsequent PCR amplification was carried out with cDNA derived from 25 ng of RNA in a 15 ml reaction mixture containing 0.4 unit Taq DNA polymerase (Peqlab Biotechnologie GmbH, Erlangen, Germany), 100 mm dNTPs, and 1 mm of each primer pair. Analysed genes and the respective primer pairs are listed in Table 1. Initial experiments were performed with a temperature‐gradient thermocycler (Biometra, Goettingen, Germany) to determine the optimal temperature conditions of the PCR and the range of PCR cycles for which the amplification efficiency remained constant. The amount of amplified PCR product was directly proportional to the amount of RNA used (data not shown). Amplification in the Biometra UNO‐Thermoblock (Biometra, Goettingen, Germany) was set to 45 s at 94 °C, 30 s at 58 °C followed by 90 s at 72 °C (30 cycles). Finally, primer extension was allowed for 10 min at 72 °C. PCR products were analysed by agarose electrophoresis (run at 200 V) in 1% agarose in 1X TAE buffer (0.04 m Tris–acetate, 0.001 m ethylenediaminetetraacetic acid, pH 8.0) and were visualized by staining with ethidium bromide (0.01% in 1X TAE buffer; Sigma, Diesenhofen, Germany). Results were calculated with reference to β‐actin signal as internal standard. The size of the β‐actin PCR product from genomic DNA is 1198 bp compared to 625 bp for the RT‐PCR product obtained from mRNA. Hence, DNA contamination can easily be detected. Specific bands were quantified by area morphometric analysis using a digital imaging system (Biometra, Goettingen, Germany) and software (Optimas Co., Washington, DC, USA).
Table 1.
Primer sequences used for reverse transcriptase and PCR
| Genes | Primers (sense/antisense) | Location | mRNA a | GenBank |
|---|---|---|---|---|
| Hsp27 | 5′‐ATGGCGTGGTGGAGATCACC‐3′ | 451–470 | 347 bp | XM_004991 |
| 5′‐CAAAAGAACACACAGGTGGC‐3′ | 797–778 | |||
| Hsp60 | 5′‐ATTCCAGCAATGACCATTGC‐3′ | 1444–1463 | 306 bp | NM_002156 |
| 5′‐GAGTTAGAACATGCCACCTC‐3′ | 1749–1730 | |||
| Hsp70 | 5′‐TTCCGTTTCCAGCCCCCAATC‐3′ | 435–455 | 559 bp | M11717 |
| 5′‐CGTTGAGCCCCGCGATGACA‐3′ | 993–974 | |||
| Hsc70 | 5′‐TGTGGCTTCCTTCGTTATTGG‐3′ | 39–59 | 342 bp | NM006997 |
| 5′‐GCCAGCATCATTCACCACCAT‐3′ | 380–360 | |||
| Mthsp75 | 5′‐TGGCAGTTATGGAAGGTAAA‐3′ | 228–248 | 525 bp | L15189 |
| 5′‐AGCAATGACTTTGTCTTCTG‐3′ | 752–732 | |||
| Grp78 | 5′‐GATAATCAACCAACTGTTAC‐3′ | 1584–1603 | 579 bp | XM_044201 |
| 5′‐GTATCCTCTTCACCAGTTGG‐3′ | 2162–2142 | |||
| Hsp90 | 5′‐AAAAGTTGAAAAGGTGGTTG‐3 | 1803−1822 | 624 bp | X15183 |
| 5′‐TATCACAGCATCACTTAGTA‐3′ | 2426–2406 | |||
| β‐actin | 5′CAGCTCACCATGGATGATGAT3′ | 1084–1104 | 626 bp | M10277 |
| 5′CTCGGCCGTGGTGGTGAAGCT3′ | 2280–2260 |
Expected size of PCR products if mRNA is amplified.
Statistics
Experimental results data are expressed as the mean ± standard deviation of several independent experiments. Statistical significance of the recorded effects was assessed using Student's t‐test assuming two‐tailed distributions and unequal variances.
RESULTS
Expression of the most prominent members of the HS gene family was analysed 30 min after exposing HL‐60 and HeLa cells to X‐rays (5 Gy) and HS (41 °C) exposure alone or in combination (Fig. 1). The data were compared to unexposed controls (set to 1). It was found that the observed reaction of HL‐60 and HeLa cells to the both stressors was similar. The HSP70 genes were inducible by both X‐rays and HS alone (P < 0.05) and for HL‐60 cells, the reaction was strongest when both stressors acted jointly (P < 0.05). Maximal induction was observed for HSP70 transcripts as their level was approximately 5‐fold higher in HL‐60 cells than in unstressed controls (P < 0.01). Apart from HSP70, a significant response to the HS (P < 0.05) was only noted for HSP75 and HSP78 genes in HL60 cells. There were no changes in HSC70 expression in response to the experimental stressors (P > 0.05).
Figure 1.

Expression of genes encoding several HSPs 1 h after radiation: X‐rays (200 kV source, 20 mA, 0.5 mm Cu filter, 5 Gy at a dose rate of 1.2 Gy/min; labelled ‘Rad’), HS (41 °C for 30 min; labelled ‘HS’), and combined treatment (labelled ‘HS + Rad’) in HL‐60 and HeLa cells analysed by RT‐PCR and software‐aided quantification. Quantification of respective mRNA levels calculated with reference to unstressed control cells (= 1). Mean of 11 experiments. Statistically significant differences (P < 0.05) are indicated by asterisks.
Changes in cell cycle distribution of 105 cells were studied first by DNA flow cytometry 24 h after exposure to radiation with 0 (control), 1, 2 and 5 Gy (dose dependence). Results are presented in Table 2 and in Fig. 2, and indicate that radiation induced a G2 block, which was dose dependent in all three cell lines. HL‐60 cells showed the maximal response. Percentages of cells in the G2 + M phases increased up to 25 ± 3% (1 Gy, P < 0.05), 52 ± 5% (2 Gy, P < 0.005) and 81 ± 6% (5 Gy, P < 0.001) in comparison to the control cell population (10 ± 2%). For HeLa and AG01522 cells, the effect was much less prominent and significant changes were only registered after 5 Gy radiation exposure. In these cases the percentage of cells in the G2 + M phases increased up to 39 ± 6% (compared to 20 ± 2 in controls, P < 0.05) and 31 ± 5% (compared to 9 ± 2% in controls, P < 0.05).
Table 2.
Changes of cell cycle distribution in 24 h after X‐ray exposure
| Cell type | Cell cycle distribution a | |||
|---|---|---|---|---|
| Dose (Gy) | G0+1 (%) | S (%) | G2 + M (%) | |
| AGO1522 | 0 | 75 ± 5 | 16 ± 2 | 9 ± 2 |
| 1 | 77 ± 8 | 11 ± 5 | 12 ± 3 | |
| 2 | 68 ± 5 | 12 ± 4 | 20 ± 5 | |
| 5 | 62 ± 7 | 7 ± 2* | 31 ± 5* | |
| HeLa | 0 | 56 ± 8 | 24 ± 5 | 20 ± 2 |
| 1 | 56 ± 5 | 26 ± 4 | 24 ± 3 | |
| 2 | 47 ± 6 | 20 ± 5 | 33 ± 5 | |
| 5 | 27 ± 6* | 34 ± 2* | 39 ± 6* | |
| HL60 | 0 | 54 ± 2 | 36 ± 5 | 10 ± 2 |
| 1 | 52 ± 5 | 23 ± 5 | 25 ± 3* | |
| 2 | 33 ± 4** | 15 ± 5* | 52 ± 5*** | |
| 5 | 7 ± 2**** | 12 ± 6* | 81 ± 6**** | |
Percentage of cells in different phases of cell cycle (%) were calculated as average ± SD of four independent experiments. The level of statistically significant differences (bold) to control culture (0 Gy) is indicated by asterisks (
P < 0.05,
P < 0.01,
P < 0.005,
P < 0.001).
Figure 2.

Dose dependences. Dose dependence of AG01522 (p53 wt), HeLa (p53 −/–) and HL60 (p53 −/–) cell cycle distribution 1 day after exposure to radiation with of 0 Gy (control), 1 Gy, 2 Gy and 5 Gy.
Differences in the behaviour of p53 wild type and p53 mutant cell lines were evident. Wild‐type cells (AG01522) showed a G1 block, that is, small changes in the population of cells in G1 phase with a strong concomitant decrease of cells in S phase of the cell cycle. Amount of DNA synthesized in the cells reduced up to 7 ± 2% (in comparison to 16 ± 3% in controls, P < 0.05) after radiation exposure with a 5‐Gy dose. With the p53 mutant cells (HL‐60 and HeLa), a G1 block was not apparent. Percentage of cells in the G1 phase was dose‐dependent reduced for HL60 cells up to 33 ± 4% (2 Gy, P < 0.01) and 7 ± 2% (5 Gy, P < 0.001), in comparison to 54 ± 2% in the control cell population, which was accompanied by the reduction of proportion of cells in S phase (Table 2). For HeLa cells, similar changes were found, but the effect was much weaker and significant reduction in percentage of G1 phase cells was registered only after radiation exposure with 5 Gy (27 ± 6% in comparison to 56 ± 8% in controls, P < 0.05). Thus, for the following comparative investigation of dynamics of the cellular response to the radiation and HS exposure, only HL60 cells were used.
Figure 3 illustrates the time dependence of cell cycle distribution in 105 cells in 0 (control), 6, 12 and 18 h after the radiation (5 Gy) and HS (41 °C, 30 min) exposure as average of six independent experiments. Six hours after radiation or HS exposure, the percentage of the cell population in S phase increased up to 50 ± 3% (HS, P < 0.05) and 66 ± 8% (radiation, P < 0.05) in comparison to controls (36 ± 5%). This effect was probably the result of a delay in progression through the S phase, which is the predominant cell cycle effect after HS exposure (Zolzer & Streffer 2000). However, after 12 and 18 h of culture, differences between the effects of radiation and HS became apparent. The percentage of cells in G2 + M phases increased in time after radiation exposure up to 53 ± 8% (12 h, P < 0.001) and 65 ± 6% (18 h, P < 0.001) in comparison to controls (10 ± 2%). In contrast, HS‐treated cells remained unchanged compared to controls (P > 0.05) after 12 and 18 h of culture.
Figure 3.

Time dependences. Time dependence of HL60 (p53 −/–) cell cycle distribution 1 day after exposure to radiation with a dose of 5 Gy or HS (41 °C, 30 min).
In order to determine the long‐term kinetics of different effects of radiation and HS on cell cycle progression of HL60 cells, the dynamics of cell division during successive cell cycles was monitored for 2, 4 and 6 days after radiation (with doses 0 (control), 1, 2 and 5 Gy) and HS (37 (control), 39 °C, 41 °C and 43 °C) exposure in six independent experiments. Cells were stained with CFSE at the beginning of the experiment. Labelled cells lose approximately half of their stain to daughter cells after completion of cell division. Thus, successive generations of cells can be identified on the basis of the CFSE fluorescence intensity. Finally, CFSE labelled cells were stained with PI so that cell distribution in different cell cycle phases could be analysed simultaneously for two or more cell generations.
Reduction of CFSE fluorescence after 2 days of culture is illustrated in Fig. 4. In sham‐treated HL‐60 cells (controls) almost (75 ± 3%) of the analysed cells were in the second cell division after 2 days of culture. As cells go through cell cycle at different rates some (12 ± 3%) had entered the G1 phase of the third cycle, whereas another fraction of cells (8 ± 2%) cycled more slowly had not yet completed the first cycle. A small fraction of the cells (5 ± 3%) did not cycle and retained the original CFSE content (marked as ‘delay’). These cells became hypodiploid during incubation and presumably underwent apoptosis. For the purposes of this study, delayed and apoptotic cells were not distinguished from each other, and were together considered as ‘delayed’. The numbers of these cells were compared to the population of proliferating cells.
Figure 4.

Proliferation of HL‐60 cells analysed by quantifying CFSE content and PI fluorescence (DNA content). Because of the reduction of CFSE fluorescence with each cell division, the first, second and third divisions can be distinguished (labelled 1, 2 and 3; 0 indicates cell cycle at the time of CFSE labelling). The two‐dimensional plots indicate CFSE and PI determination of cells cultured for 2 days after exposure to radiation (with dose 0 (sham treated control), 1, 2 and 5 Gy) of HS exposure (37 °C (sham treated control), 39 °C, 41 °C and 43 °C for 30 min). A population of arrested cells (in G1/S phase, named ‘delay’) after HS, can clearly be separated from cycling cells. Two different populations of arrested cells (‘delay’ and in G2/M phases) can be distinguished from cycling cells after radiation.
Heat shock (39 °C, 41 °C, and 43 °C) increased the percentage of arrested cells. A rise in temperature by 2 °C (39 °C) above control (37 °C) had only a minor effect with respect to cell division, as most cells (80 ± 8% on the second day) continued their cell cycle. However, when cells were exposed to 41 °C, the percentage of proliferating cells decreased to 32 ± 4% (P < 0.001). At 43 °C only a small fraction of cells (4 ± 3%, P < 0.001) underwent division.
Two days after radiation exposure, two different populations of arrested cells could be identified easily. One population of cells remained arrested, closely resembling the HS‐induced delay described previously. The percentage of such cells increased significantly in a dose‐dependent manner by up to 17 ± 3% (1 Gy, P < 0.05), 24 ± 4% (2 Gy, P < 0.005) and 56 ± 8% (5 Gy, P < 0.001) compared to controls. However, in radiated cells, another prominent cell population could be distinguished. These cells arrested in the G2/M stage and were characterized by DNA content typical for G2/M phase, yet a CFSE content typical for G1 phase cells of the same generation, but not for the larger G2 cells. The percentage of such cells also increased with increasing radiation dose by up to 8 ± 2% (1 Gy, P > 0.05), 15 ± 2% (2 Gy, P < 0.05) and 35 ± 5% (5 Gy, P < 0.001) compared to controls (8 ± 2%), which did not complete the first division.
Because asynchronously proliferating cell cultures were used in all experiments, a difference of one cell cycle is to be expected when analysing proliferation during several rounds of division. This may easily be seen when comparing cells cultured for 2, 4 and 6 days (Fig. 5). For example, after 4 days of culture, cells passed through a minimum of three and a maximum of six cycles of cell division. At this time only a small fraction of cells did not divide or was apoptotic (5 ± 3%), whereas the remaining cells (95 ± 3%) proliferated.
Figure 5.

The effect of HS and radiation on cell division. Analysis of cell proliferation was carried out after 2, 4 and 6 days of incubation following exposure to the stressors: radiation (5 Gy) and HS (41 °C for 30 min). The different cell generations are labelled ‘1–7’ and ‘0’ for cell populations that did not divide.
After HS (41 °C) exposure, the populations of arrested cells showed high levels of CFSE under experimental conditions, indicating that they did not re‐enter the cell cycle. According to their DNA content (PI staining), the arrested cells were in the G1 and S stages, but not in the G2/M. None of the cells delayed in S phase for 2 days were present later in the first or second division, no new cell generations arose after 4 or 6 days. The number of arrested cells decreased as a result of apoptosis and proliferation of cycling cells. Therefore, the fraction of proliferating cells increase continuously as shown for cultured cells 4 and 6 days after the HS treatment.
After radiation exposure, cell populations that were delayed in S phase did not re‐enter the cell cycle as did HS‐treated cells. None of the cells with high CFSE, which were delayed in the S phase for 2 days, reached the G2 phase in day 4 or 6 of culture after radiation exposure with dose 5 Gy (Fig. 5). As was the case for HS treatment, the number of these cells decreased with time as a result of apoptosis and proliferation of cycling cells. Cells that were blocked after 2 days in G2/M, and which could be registered even 4 days after irradiation with a dose of 5 Gy (6 ± 2%, P < 0.001), showed quite different long‐term dynamics. Some of them became apoptotic without division, had a reduced DNA amount, a high CFSE content and in 4 days after radiation exposure occupied the area near the cells delayed in S phase, as may be found in the dot plot histogram (Fig. 5). Other cells underwent mitosis associated with the expected reduction in the amount of DNA. They then re‐entered the cell cycle or became apoptotic after one or several divisions. Some cell populations occupied an area of the dot plot histogram with smaller CFSE content and sub‐diploid DNA content and appeared in cell cultures 4 and 6 days after irradiation. As was found in the case for after HS treatment, the percentage of arrested and apoptotic cells was reduced because of further proliferation of cycling cells. For example, in the following 2 days of culture (from second to fourth) after radiation exposure with a dose of 5 Gy, the fraction of proliferating cells almost doubled and reached 20 ± 5% (P < 0.05) of total cell population analysed.
DISCUSSION
This study has investigated the cellular response to ionizing radiation and to HS, two stressors that are known to act differently at the molecular level. It is well established that thermal stress denatures proteins, whereas the energy of ionizing radiation (such as X‐rays) is sufficient to damage proteins and DNA directly (or indirectly) by the production of reactive oxygen species (Bryant 1997; Kang et al. 2006). In this manuscript, we have paid particular attention to the varied cellular responses to these stressors.
We chose the HL‐60 and HeLa cell lines for gene expression experiments as these cells are known to respond to various stressors with quite different induction of the HSP70 gene (Wang et al. 1999; Tokalov et al. 2003). To demonstrate and quantify HS gene induction, the RT‐PCR method was used. Under experimental conditions, the RT‐PCR method is highly reproducible and provides information concerning the concentration of respective transcripts in the exposed cells. Six human HSP genes were included in the analysis and their mRNA levels were determined at the end of HS or radiation exposure. Kinetics of the induction and down‐regulation of the HSP70A gene following short‐term HS exposure (for example, 30 min) have been studied previously (Tokalov & Gutzeit 2004). Thus, an appropriate response under the chosen experimental conditions could be expected. The induction of the HS genes by chemical and physical stressors is a universal property of all cells (Morimoto 1998; Helmbrecht et al. 2000). However, the response may vary widely, both qualitatively and quantitatively between different cell types in vivo and in various commonly used cell lines. The strongest induction is typically observed for the HSP70 gene (Wang et al. 1999; Tokalov et al. 2003; Tokalov & Gutzeit 2004), and is in accordance with the results of this study. However, the response may differ quantitatively in different human cell lines. For example, following an HS at 42 °C for 2 h, about a 6‐fold induction of HSP70 transcripts was found in human fibroblasts, HeLa, and Jurkat cells, whereas the increase was 23‐fold in MCF‐7 cells (Wang et al. 1999).
Recent data indicate that the cellular response to HS involves activation of various signalling pathways, although the molecular mechanism triggering these responses is still unclear (Gabai et al. 2002). Although HS exposure produces similar effects, in common with X‐rays, on the level of HSP70 gene expression, analysis of the cell cycle using CFSE allows demonstration of the effects with respect to the dynamics of cell proliferation. This study confirmed earlier findings that radiation and HS can induce a delay in proliferation of the p53 mutant cells (Kuhl et al. 2000; Zolzer & Streffer 2000; Tokalov et al. 2003).
Experiments following radiation with differing incubation times clearly showed that cells blocked in the G2 phase indeed were derived from the G1 (and S) cells of the same generation, and, finally, became arrested (Zolzer & Streffer 2000). A similar delay in the S phase followed by a final block in G2/M was shown in dynamics of mouse Ehrlich ascites carcinoma cells, after exposure to a range of doses (2, 4, 6, 8, 10, 15 and 20 Gy) of X‐rays in vivo using single‐parameter DNA flow cytometry (Tokalov 1990). The phenomenon of HS induction of the S‐phase delay was first reported for MeWo human melanoma cells and its time and dose dependence was quantified by BrdU incorporation (Zolzer & Streffer 1993). A similar effect has been demonstrated in 4451 human squamous carcinoma cells, both with the mutated p53 gene (Zolzer & Streffer 2000). This may be explained by, perhaps, the cells’ increasing difficulty of DNA replication with p53 absence. The cells are not subjected to G1/S block and therefore have no temporal opportunity for DNA repair before entering into the S phase (Pellegata et al. 1996). As a result, DNA synthesis in such cells is completely blocked. However, the method of BrdU incorporation does not allow a long‐term analysis of cell cycle dynamics. Kuhl et al. (2000) have described HS blocking the cell cycle and, under certain conditions, an increased fraction of cells accumulating in G1 or G2/M cell cycle checkpoints. It is possible that a G2/M block existed for a short period after HS exposure, but was not registered here because of the experimental design. Meanwhile, the CFSE labelling technique revealed that a large fraction of the exposed cells lost the ability to proliferate and never regained it. Cells became apoptotic if the cell cycle was blocked by HS. The two cell populations, that is, cycling cells and arrested cells, could be distinguished during the entire experiment, and a widening gap between these populations in the two‐dimensional dot plot histogram was noticeable (Fig. 5). Cells in the G2/M phase possessed a higher CFSE content than G1 cells of the same generation. It appeared that these cells composed a ‘founder’ population, after a short radiation‐induced delay, for a few actively cycling cells (third cycle) noted in this study. This is supported by research showing that cells are more resistant to radiation in the late S and G2 phases (Sinclair 1968). Further studies using a variety of human cell lines showed that the cell cycles’ specific response to radiation is qualitatively similar, although quantitative differences exist between different cell types (Zolzer & Streffer 2000).
For a substantial amount of time, ionizing radiation or elevated temperatures have been used to treat cancer in a variety of forms. Mutations of the p53 gene are observed very frequently in human tumours (Wang et al. 2001; Eicheler et al. 2002; Szymanska & Hainaut 2003) and loss of p53 function has been correlated with decreased sensitivity to chemotherapy, radiation and hyperthermia therapies in a variety of human tumours (Takahashi et al. 2004). Moreover, synergistic depression of tumour growth by combined radiation and HS treatment has been found only in p53wt tumours (Ohnishi 2005). Here, we have evaluated cell cycle perturbations and apoptosis after the action of radiation or HS treatment in cell lines exhibiting either wild‐type p53 or deleted p53 expression. These results explain the previous findings of thermal enhancement of radiosensitivity (Yasumoto et al. 2003; Takahashi et al. 2004), which at least partially takes place as a result of heat inactivation of cell survival systems through induced alterations in cell cycle regulation. Nevertheless, in agreement with previous suggestions (Takahashi et al. 2004), we may conclude that p53 status could be a useful indicator in predictive assays for HS anticancer therapy and hyperthermia treatment (in combination with radiation and/or chemotherapy). Based on such predictive assays, this might improve the outcome and efficiency of cancer treatment in the future.
ACKNOWLEDGEMENTS
The financial support of the Deutsche Forschungsgemeinschaft is gratefully acknowledged. We also wish to thank Prof. Doerr (Klinik und Poliklinik fuer Strahlentherapie und Radioonkologie, TU Dresden) for giving us access to the X‐ray source.
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