Abstract
Human islet amyloid polypeptide (hIAPP) aggregation plays a major role in the development of islet amyloidosis in type 2 diabetes mellitus. It is known that extracellular hIAPP oligomers are toxic to pancreatic β-cells and associated with apoptosis.
Objective
To investigate the molecular mechanism by which extracellular hIAPP mediates pancreatic β-cell apoptosis.
Methods
MIN6-cells and primary cultures of human pancreatic islets were treated with fresh dissolved hIAPP peptide. Morphology of the cultures was evaluated by electron microscopy. Gene expression was analyzed by microarray, RT-PCR and immunoblot. Calcium levels were measured in fura-2 loaded cells. Apoptosis was quantified by cytometry.
Results
Increased expression of several heat shock proteins, and activation of the spliced form of XBP-1, a transcription factor for overexpression of chaperones during endoplasmic reticulum (ER) stress, were detected together with morphological evidence of ER dysfunction. Intracellular calcium overload was detected in association with this process. Moreover, reduction in the proteasome activity was detected over time, which contributed to the intracellular accumulation of ubiquitinated proteins, leading to a functional suppression of the ubiquitin-proteasome pathway. In addition, impairment of the proteasome function contributed to apoptosis, while, despite the presence of hIAPP, cell viability improved when a proteasome activator was overexpressed. The key cytotoxic events induced by extracellular hIAPP were also observed in treated human islets.
Conclusions
Our data suggested that ER stress responses are intracellular signaling mechanisms induced by extracellular hIAPP aggregation, and that impairment of the ubiquitin-proteasome pathway is implicated in ER stress-mediated pancreatic β-cell apoptosis.
Keywords: amylin, islet amyloid polypeptide, pancreatic β-cell, apoptosis, ER stress, ubiquitin-proteasome pathway, type 2 diabetes
The presence of amyloid deposits within the pancreatic islets is a pathophysiological hallmark of type 2 diabetes mellitus (DM2) (1,2). Islet amyloid polypeptide (IAPP), also known as amylin, is the main component of islet amyloid (3,4). It is produced by β-cells and co-secreted with insulin in response to nutrient stimuli (5–7). A target region between positions 20 to 29 is thought to be responsible for amyloid fibril formation by the human peptide (8). Several point mutations located in the human IAPP (hIAPP) promoter and missense point mutations on the encoding gene region have been identified by our group and others with different prevalence according to ethnic origin (9,10). However, because the sequence of hIAPP is identical in diabetic and non-diabetic individuals, the process of amyloid formation remains poorly understood.
Islet amyloid colocalizes with areas of cell degeneration, and the process of amyloidosis has been associated with progressive loss of pancreatic β-cell mass by apoptosis and thus much of the pathology of DM2 (11–14). A number of studies showed that the toxicity of hIAPP and other amyloidogenic peptides lies in the oligomeric intermediates rather than the mature fibrils (15–17).
The endoplasmic reticulum (ER) integrates protein synthesis and folding, calcium storage and signaling. Several cellular stress conditions can cause ER dysfunction and protein misfolding (18). To overcome ER stress, cells initiate protective mechanisms, which are known as ER stress responses. One of these includes up-regulation of heat shock proteins (HSPs), molecular chaperones responsible for recognizing the presence of misfolded proteins (19,20). Moreover, proteins that can not be refolded must be eliminated. In the cytoplasm the ubiquitin-proteasome proteolytic pathway is responsible for the clearance of intracellular misfolded and aggregated proteins (20,21). However, when severe and prolonged ER stress extensively impairs ER functions, the ultimate response is apoptosis (18). Pancreatic β-cells are sensitive to ER stress, and ER stress-mediated apoptosis has been associated with β-cell loss (22).
A common mechanism for initiation of cytotoxicity has been observed for all the amyloid oligomers studied to date, which is their capacity to elevate intracellular calcium and reactive oxygen species (ROS), mediated by plasma membrane perturbation when they are formed and deposited extracellularly (15–17,23–28). Both intracellular alterations can cause ER dysfunction (18). Interestingly, ER stress responses have been described in neurons exposed to extracellular amyloidosis (29–31). Consistent with these observations, we hypothesized that ER stress responses could be associated with extracellular hIAPP aggregates, with consequent induction of pancreatic β-cell dysfunction.
The aim of the present study was to investigate the molecular mechanisms by which extracellular hIAPP promotes pancreatic β-cell apoptosis.
Research Design and Methods
Cell culture
MIN6-cells (32) were cultured in DMEM media containing 5.5 mM glucose and supplemented with 10% fetal bovine serum (FBS), 2 mM L-glutamine, 5 μM β-mercaptoethanol, 100 U/ml penicillin and 100 μg/ml streptomycin, at 37ºC with 5% CO2.
Human pancreatic islet isolation and culture
Pancreases were obtained from eleven (4 males, 7 females; 41±17 years old; 23±5 BMI) human cadaveric organ donors, after informed consent of their families and approval of the Hospital Ethics Committee. Islets were isolated by collagenase (SERVA Electrophoresis, Heidelberg, Germany) digestion of the pancreas, and separated from exocrine tissue by Biocoll (Biochrom, Berlin, Germany) density gradient, as previously described (6). Islets were transferred to RPMI-1640 medium (Gibco-BRL, Pisley, UK) containing 11.1 mM glucose and supplemented with 10% FBS, 2 mM L-glutamine, 100 U/ml penicillin and 100 μg/ml streptomycin, and cultured overnight at 37ºC with 5% CO2. Islets were then picked and cultured at 5.5 mM glucose.
Chemicals
Synthetic human and rat IAPP (Bachem, Bubendorf, Switzerland) were dissolved in sterile water at 500 μM and incubated at room temperature for ten minutes before use at 1, 10 or 20 μM in culture. Epoxomicin and N-acetyl-Leu-Leu-norleucinal (ALLN) (Calbiochem, Darmstadt, Germany) were dissolved in ethanol at 1.5 and 5.2 mM stock solution, before use at 10 and 30 μM in culture, respectively.
Transmission electron microscopy
For ultrastructural analysis of the insoluble aggregates, a 4 μl sample of suspension was applied onto a formvar carbon-coated copper grid for one minute, dried, stained with 2% (w/v) uranyl acetate in water for one minute and air-dried. For cellular ultrastructural analysis, MIN6-cells of the same culture were fixed in glutaraldehyde 2.5% (w/v) in 0.1 M phosphate buffer at 4ºC for 1.5 h, rinsed in 0.1 M phosphate buffer and postfixed in osmium tetroxide 1% (w/v) in the same buffer for 1 h. The samples were dehydrated, embedded in Spurr and polymerized at 60ºC for 48 h. Ultrathin sections (60-90 nm) were cut, placed on 200 mesh copper grids and doubled stained with 2% (w/v) uranyl acetate and lead citrate. Grids were examined using Jeol 1010 (Jeol, Tokyo, Japan) transmission electron microscope operating at 80 kV.
Apoptosis assays
Cells were stained with annexin V-fluorescein isothiocyanate (FITC) and propidium iodide (PI) using Annexin V-FITC Apoptosis Detection Kit (Becton Dickinson, San Jose, CA). Thereafter, cells were analyzed by fluorescence-activated cell sorting (FACS) within one hour on a FACS Calibur with Cell Quest software (Becton Dickinson). Annexin V-FITC and PI negative cells are viable cells. Early apoptotic cells are annexin V-FITC positive. Cells both positive for annexin V-FITC and PI are dead cells, either as a result of late apoptotis or necrosis. Movement of cells through these three stages indicates apoptosis and not necrosis.
Islet cell viability analysis
The protocol for isolation of single islet cells was as published previously (33). Human islets were digested in PBS containing 0.125 mg/ml trypsin and 0.05 mg/ml EDTA at 37ºC. The cell suspension was cycled for 5 min on ice to allow islets to sediment. The supernatant containing single cells was removed and placed in FBS. To obtain additional single islet cells, the digestion process was repeated three times. Cells were washed with PBS and stained with PI (Becton Dickinson). FACS was performed within one hour on FACS Calibur with Cell Quest software (Becton Dickinson). PI negative cells were counted as viable cells.
Calcium measurements
Cells were grown on 35 mm glass-bottom culture dishes (MatTek, Ashland, MA). Medium was replaced with assay buffer, namely Krebs-Ringer bicarbonate solution at 1 mM glucose. Cells were then loaded with fura-2 acetoxymethyl ester (Molecular Probes, Leiden, Netherlands) at 5 μM for 30 min. Digital epifluorescence imaging system (Cairn Research, Faversham, UK) mounted on inverted fluorescence microscope (Olympus IX71, Southall, UK) was used to measure calcium levels. Ratiometric images of excitation at 340 and 380 nm were collected using Universal Imaging MetaFluor software (Cairn Research) and recorded with a CCD camera (Hammamatsu Orca ER; Cairn Research). Minimal and maximal signals were determined with 5 μM ionomycin in 5 mM EGTA/0 mM Ca2+ and 5 mM Ca2+, respectively, at the end of the experiment.
Gene expression analyses
RNA isolation
Total RNA was extracted using RNeasy Mini Kit (Qiagen, Hilden, Germany) performing on-column DNase digestion with RNase-Free DNase Set (Qiagen). The RNA quality was checked on Bioanalyzer-2100 (Agilent Technologies, Palo Alto, CA).
Microarray analysis
Ten μg of pooled total RNA derived from three independent experiments was converted into cRNA, and thereafter, 20 μg of biotin-labeled cRNA was fragmented to a mean size of 35-200 bases and then hybridized to Mouse GeneChip 430A array (Affymetrix, Santa Clara, CA). Following hybridization, microarrays were washed and stained with streptavidin-R-phycoerythrin (Molecular Probes, Eugene, Oregon) using GeneChip Fluidics Station 400 (Affymetrix). After scanning, images were converted to files by Affymetrix Microarray Suite software (Affymetrix). The data were deposited in NCBIs Gene Expression Omnibus (GEO, http://www.ncbi.nlm.nih.gov/geo/) and are accessible through GEO Series accession number GSE2253. Detailed description of microarray quality controls and data analysis can be found in the Online Appendix of Supplementary Methods.
Real-time quantitative RT-PCR
cDNA was synthesized from 0.5 μg of total RNA using a cDNA Synthesis Kit (Roche Diagnostics, Mannheim, Germany). The oligonucleotide primers were: 5’-CGGACGCTCTGGATAAAATCC-3’ and 5’-TCCTTCCCCGAGTCCAGTTT-3’ for mouse heat shock protein 90kDa alpha (cytosolic) class A member 1 (Hsp90aa1), 5’-CCTGGGAACCATTGCTAAGTCT-3’ and 5’-GCCCGATCATGGAGATGTCT-3’ for mouse Hsp90 alpha class B member 1 (Hsp90ab1), 5’-CACACTAGGTCGTGGAACAACA-3’ and 5’-TCTGTCTTGCTACTCCACACGT-3’ for mouse Hsp90 beta member 1 (Hsp90b1), 5’-GTGGAGGAGTTCAAGAGAAAACACA-3’ and 5’-TCACGGCTCGCTTGTTCTG-3’ for human HSP90AA1, 5’-TGGCAGTCAAGCACTTTTCTGT-3’ and 5’-GCCCGACGAGGAATAAATAGC-3’ for human HSP90AB1, and 5’-TGTTTCCCGCGAGACTCTTC-3’ and 5’-TGTCCAGCGTTTTACGAACAAG-3’ for human HSP90B1. Real-time quantitative RT-PCR (RQ-PCR) was performed with 0.5 ng of cDNA using SYBR Green Reagents and ABI Prism 7900HT Sequence Detection System (Applied Biosystems, Foster City, CA). A standard curve of each primer set was generated from serial dilutions of cDNA. The PCR products were verified using dissociation curve analysis using SDS software (Applied Biosystems). 18S rRNA (Applied Biosystems) was used to normalize expression.
RT-PCR analysis of Xbp-1 splicing
50 ng of cDNA was used for PCR with 5’-GAACCAGGAGTTAAGAACACG-3’ and 5’-AGGCAACAGTGTCAGAGTCC-3’ primers from mouse X-box binding factor-1 (Xbp-1) mRNA. PCR products were separated by electrophoresis on a 2.5% agarose gel and visualized by ethidium bromide staining. Unspliced and spliced Xbp-1 gave products of 205 and 179 bp, respectively. The percentage of sXbp-1 to total Xbp1 was determined by densitometry using Quantity One software (Bio-Rad Laboratories, Hercules, CA).
Immunoblot analyses
Cell lysate protein aliquots of 10-30 μg were separated by SDS-PAGE on 8-15% polyacrylamide gels and transferred to PVDF. Primary antibodies used were anti-active caspase-3 (Abcam, Cambridge, UK), anti-HSP90B1 (ABR Affinity Bioreagents, Golden, CO), anti-β-actin (Sigma-Aldrich, Saint Louis, MO), anti-HSP90AA1 and anti-HSP90AB1 (Kamiya Biomedical Company, Seattle, WA). Changes in protein levels were evaluated by Quantity One software (Bio-Rad Laboratories).
Proteasome activity assays
Quantification of proteasome activity in living cells
In the pZsProSensor-1 reporter (Clontech, Palo Alto, CA), fluorescent green protein (ZsGreen) is fused to the ornithine decarboxylase (MODC) degradation domain. Since the MODC degradation domain targets the constitutively expressed protein for rapid degradation, the protein does not accumulate in cells until the proteasome is inhibited. The pUbG76V-EGFP reporter (kindly provided by Dr. Dantuma, Karolinska Institutet, Sweden) carries a N-end rule and ubiquitin fusion degradation-targeted green fluorescent protein (EGFP) (34). Either pZsProSensor-1 or pUbG76V-EGFP was transfected into MIN6-cells using Lipofectamine2000 (Invitrogen, Carlsbad, CA). After overnight incubation, treatments were initiated and fluorescence was monitored using FACS Calibur with Cell Quest software (Becton Dickinson).
Human 20S proteasome activity assay
Aliquots of 50 μg protein from human pancreatic islet lysate were tested for proteasome activity using 20S proteasome activity assay kit (Chemicon International, Temecula, CA). Detections were made by spectrofluorometry (SpectraMax GeminiXS; Molecular Devices, Sunnyvale, CA) setting excitation and emission wavelengths at 380 and 460 nm, respectively.
Delivery of proteasome activator
Ten μg of protein activator 28 (PA28) (Calbiochem) or vehicle control were transfected into MIN6-cells using Lipofectamine2000 (Invitrogen). After 4 h incubation, the culture medium was changed and cells were treated with or without 10 RM hIAPP for 16 h. For the apoptosis positive control, MIN6-cells were irradiated 4 h after transfection with 50 Gy using a source of 137Cs (Gamma Cell 1000, Atomic Energy of Canada Limited Commercial Products, Canada) and returned to culture for an additional 16 h.
Results
Analysis of hIAPP aggregation
MIN6-cells were cultured with 1, 10 or 20 μM freshly dissolved hIAPP peptide for 2, 12 or 24 h. Insoluble aggregates were observed under an inverted microscope at 40x magnification in the culture media of all experiments from 45 min of treatment onwards (Fig 1A). The process of hIAPP aggregation was evaluated over time by examining the peptide conformational state of hIAPP in the culture media by electron microscopy. At 10 min after treatment, hIAPP peptide precipitated in a prefibrillar form, consisting of spherical vesicles of 5-10 nm in diameter, assembled in spheroids of 80-100 nm in diameter (Fig. 1B). The ultrastructural morphology of hIAPP aggregates resembled that reported for β-amyloid peptide oligomers (16), and the observation of prefibrillar spheroids has been published previously (25). The maximum formation of these hIAPP prefibrillar structures was achieved at 45 min. hIAPP fibrils were first detected at 2 h, being formed amongst the hIAPP oligomeric forms (Fig. 1C). At 24 h, hIAPP prefibrillar structures were still observed, although most of the hIAPP peptide had acquired a fibrillar conformation (Fig. 1C).
Fig. 1. Analysis of hIAPP aggregation.
(A) Insoluble aggregates (arrowhead) were observed in culture medium of MIN6-cells after 45 min with 1, 10 and 20 μM hIAPP compared to the control. Representative images (40x magnifications).
(B) Morphology of hIAPP aggregates was assessed by electron microscopy. Prefibrillar hIAPP structures were first observed after 10 min of treatments.
(C) At 2 h, hIAPP fibrils were detected being formed from prefibrillar hIAPP structures (upper panel). At 24 h, prefibrillar hIAPP structures were still observed, although most of them had already been transformed to fibril form (lower panel). Magnifications are indicated.
Effects of extracellular hIAPP on MIN6-cells
Significant decreases in MIN6-cell viability were detected in the culture conditions where hIAPP aggregates were being formed (Fig. 2A). A decline in viability of the MIN6-cells was already detected at 2 h with 10 and 20 μM hIAPP compared to the control. At these concentrations there were primarily two populations: cells that were viable and cells initiating apoptosis. Follow-up at 12 and 24 h revealed a decrease in viable cells and an augmentation of early apoptotic cells. The proportion of late apoptotic cells increased significantly at 24 h with 20 μM hIAPP. Significant increases in the proportion of early apoptotic cells were observed at 24 h with 1 μM hIAPP compared to the control.
Fig. 2. Effect of extracellular hIAPP on MIN6-cells.
(A) Apoptosis assay on MIN6-cells treated with 1, 10 or 20 μM hIAPP compared to the control. Cell staining with annexin V-FITC and PI was analyzed by FACS. Results are mean ± SD (n=6) (*; p<0.05; **, p<0.01; ***, p<0.001; by ANOVA).
(B) Morphological analysis of MIN6-cells exposed to extracellular hIAPP compared to the control. Upper panel shows how hIAPP aggregates were located close to the cell margins (arrows). The plasma membrane (PM) was irregular and showed prominent invaginations (asterisks). Lower panel shows abnormal morphology of endoplasmic reticulum (ER) (asterisks) in treated MIN6-cells. Both panels correspond to MIN6-cells cultured for 24 h with 10 μM hIAPP compared to the control. Magnifications are indicated.
(C) RT-PCR analysis of Xbp-1 splicing was performed with primers flanking the intron excised from mouse Xbp-1 mRNA. The percentage of sXbp-1 to total Xbp-1 determined by densitometry is illustrated. Data are mean ± SD (n=4) (*; p<0.05; **, p<0.01; by Mann Whitney test).
(D) Intracellular calcium concentration was monitored for 2 h as the 340/380 nm fluorescence ratio in fura-2 loaded MIN6-cells after treatment with either 10 μM hIAPP (upper plot) or rIAPP (middle plot). Baseline ratio of MIN6-cells was recorded in assay buffer (lower plot). Results are mean 340/380 nm fluorescence ratio over time of the total number of recorded MIN6-cells in at least three independent experiments. Significant changes in mean 340/380 nm fluorescence ratio were detected with 10 μM hIAPP compared to the baseline ratio (*, p<0.05; **; p<0.01; ***, p<0.001; by ANOVA). Minimal and maximal signals were recorded in the presence of 5 μM ionomycin in 5 mM EGTA/0 mM Ca2+ (I) and 5 mM Ca2+ (II), respectively, at the end of the experiments.
The morphology of MIN6-cells was studied by electron microscopy in the respective experimental conditions. Images revealed that extracellular hIAPP insoluble forms interacted with the plasma membrane (Fig. 2B). In these regions, the plasma membrane was irregular and presented deep invaginations compared to the control. Moreover, treated MIN6-cells exhibited modified ER morphology, characterized by accumulation of protein aggregates within the ER lumen and increased ER size (Fig. 2B). Activation of the ER stress response was assessed by measuring the activation of Xbp-1. Exposure to 10 and 20 μM hIAPP for 2 h significantly increased splicing of Xbp-1 (Fig. 2C). From 12 h after treatment, the increase of sXbp-1 product had returned to basal levels (Fig. 2C).
We next examined whether the observed phenotype was associated with changes in intracellular calcium levels. Measurements of the 340/380 nm fluorescence ratio were monitored for 2 h in fura-2 loaded MIN6-cells without treatment (n=87) to obtain the mean baseline ratio (Fig. 2D). MIN6-cells treated with 10 RM hIAPP were divided into three subpopulations based on their response profiles (Fig 2D). 35% of cells (52 of 150) exhibited a continuous increase in the 340/380 ratio, statistically significant from 16 min after treatment onward, compared with the mean baseline ratio. 4% of cells (6 of 150) exhibited a rapid and acute increase in the mean 340/380 ratio, significant from 30 min after treatment onward. In both subpopulations, calcium responses went high and failed to recover. Cells lost their adherent properties after achieving the maximum responses, at which time subsequent fluorescence measurements were also lost. The remaining 61% of cells were counted as nonresponsive (92 of 150). No appreciable increase in the mean 340/380 ratio was observed with 10 RM rIAPP (Fig. 2D).
Gene expression changes induced by extracellular hIAPP
Microarray technology was applied to study changes in global gene expression under the different experimental conditions over time. Analysis of microarray data revealed 32 putative target genes whose expression was dose and time-dependently altered by hIAPP treatment (Fig. 3A and Table 1). We focused on Hsp90aa1, Hsp90ab1 and Hsp90b1, whose expression was increased in hIAPP treated cells compared to the control. To corroborate microarray data and to obtain quantitative gene expression values, transcript levels were quantified by RQ-PCR. Expression of Hsp90aa1, Hsp90ab1 and Hsp90b1 in MIN6-cells increased significantly following treatment with 20 μM hIAPP for 24 h compared to the control (Fig. 3B).
Fig. 3. Identification of gene expression changes induced by extracellular hIAPP.
(A) Microarray analysis detected 32 deregulated genes with expression values that were significantly altered by hIAPP treatment according to a fold-change of 1.5 in at least three of the nine follow-up experimental conditions. Hierarchical clustering analysis on the basis of gene expression is shown. The color intensity correlates with the expression fold-change compared to control, ranging from –3 to 3. Gene name is indicated on the right while experimental condition is on the top.
(B) Overexpression of Hsp90aa1, Hsp90ab1 and Hsp90b1 by extracellular hIAPP treatment was confirmed by RQ-PCR in MIN6-cells treated with 20 RM hIAPP for 24 h compared to the control. Results are mean ± SD (n=6) (*; p<0.05; **, p<0.01; by Mann Whitney test).
Table 1. Genes detected by microarray data analysis.
Biological process | Gene name | Gene Accession No | Expression |
---|---|---|---|
Heat shock proteins | Heat shock protein 90kDa alpha (cytosolic) class A member 1 (Hsp90aa1) | Mm.1843 | Up |
Heat shock protein 90kDa alpha (cytosolic) class B member 1 (Hsp90ab1) | Mm.2180 | Up | |
Heat shock protein 90kDa beta member 1 (Hsp90b1) | Mm.87773 | Up | |
Proliferation | Inhibitor of DNA binding 2 (Idb2) | Mm.34871 | Down |
Inhibitor of DNA binding 3 (Idb3) | Mm.110 | Down | |
Inhibitor of DNA binding 4 (Idb4) | Mm.28223 | Down | |
Aapoptosis | Dual specificity phosphatase 1 (Dusp1) | Mm.239041 | Down |
BCL2/adenovirus E1B 19kDa-interacting protein 1, NIP2 (Bnip2) | Mm.159777 | Down | |
Regulation of gene transcription | Transducin (beta)-like 1 X-linked (Tbl1x) | Mm.258476 | Up |
Pbx/knotted 1 homeobox (Pknox1) | Mm.259295 | Up | |
Basic transcription element binding protein 1 (Bteb1) | Mm.291595 | Down | |
mRNA processing | Splicing factor 3b, subunit 1 (Sf3b1) | Mm.279736 | Up |
PRP39 pre-mRNA processing factor 39 homolog (yeast) (Prpf39) | Mm.283339 | Down | |
Protein amino acid des-/phosphorylation | Serine/arginine-rich protein specific kinase 2 (Srpk2) | Mm.288728 | Up |
Protein tyrosine phosphatase 4a2 (Ptp4a2) | Mm.193688 | Up | |
Cell transmembrane component | Transmembrane emp24 protein transport domain containing 6 (Tmed6) | Mm.23032 | Down |
Transmembrane 7 superfamily member 1 (Tm7sf1) | Mm.362142 | Down | |
Transmembrane protein 46 (9430059P22Rik) | Mm.275409 | Down | |
ESTs | RIKEN cDNA C920006C10 gene (C920006C10Rik) | Mm.260647 | Down |
DNA segment, Chr 17, human D6S56E 5 (D17H6S56E-5) | Mm.22506 | Up | |
Cell-cell junctions | Lin 7 homolog c (C. elegans) (Lin7c) | Mm.235300 | Up |
Cell metabolism | Lactate dehydrogenase 1, A chain (Ldh1) | Mm.29324 | Up |
Diaphorase 1 (NADH) (Dia1) | Mm.22560 | Up | |
Phosphoserine aminotransferase 1 (Psat1) | Mm.289936 | Down | |
Inositol (myo)-1(or 4)-monophosphatase 1 (Impa1) | Mm.183042 | Down | |
Hormone | Secretin (Sct) | Mm.4723 | Down |
Protein degradation | Insulin degrading enzyme (Ide) | Mm.28366 | Up |
Beta-site APP cleaving enzyme 1 (Bace1) | Mm.24044 | Down | |
Protein folding | Chaperonin subunit 4 (delta) (Cct4) | Mm.296985 | Down |
Metal ion binding | Metallothionein 1 (Mt1) | Mm.192991 | Down |
Secretore trafficking | Islet cell autoantigen 1 (Ica1) | Mm.275683 | Up |
DNA methylation | DNA cytosine methyltransferase mRNA | AF071754 | Down |
Effect of extracellular hIAPP on proteasome activity
To address whether proteasome function was affected by extracellular hIAPP aggregates, we transiently expressed ZsGreen-MODC fluorescent protein in MIN6-cells. Application of hIAPP evoked a rapid increase in the proportion of green fluorescence cells, which was significantly detected at 2 h in the presence of 10 and 20 μM hIAPP and at 24 h with 1 μM hIAPP (Fig. 4A). No changes in proteasome function were detected by administration of rIAPP (Fig. 4A). Suppression of proteasome activity can alternatively be detected by intracellular accumulation of ubiquitinated proteins. We verified the effects of extracellular hIAPP on the blocking of proteasome activity by measuring ubiquitinated proteins in MIN6-cells transiently transfected with UbG76V-EGFP. Accumulation of the reporter was significantly detected in MIN6-cells from 2 h onwards with 20 μM hIAPP and at 24 h with 1 and 10 μM hIAPP (Fig. 4B). There was no deposition of the reporter with rIAPP treatment (Fig. 4B).
Fig. 4. Effect of extracellular hIAPP on proteasome activity.
MIN6-cells were transiently transfected with pZsProSensor-1 (A) or pUbG76V-EGFP (B) reporter and treated with 1, 10 or 20 μM hIAPP or rIAPP. As a positive control, cells were treated with 30 μM ALLN. The negative control was cells exposed to ALLN vehicle solution. Positive green fluorescence cells were analyzed by FACS. Results are mean ± SD (n=6) (*; p<0.05; **, p<0.01; ***, p<0.001; by ANOVA).
Effect of proteasome activity on MIN6-cells
To study the effects of impairment of the ubiquitin-proteasome pathway on pancreatic β-cells, loss-of-function experiments were performed using two different inhibitors of proteasome-dependent proteolysis. FACS analysis with annexin V-FITC and PI showed that treatment of MIN6-cells with either 10 μM epoxomicin or 30 μM ALLN significantly reduced cell viability from 24 h in culture onwards compared to the vehicle control (Fig. 5A). The effect of proteasome-dependent proteolysis inhibitors was associated with an increase in apoptosis (Fig. 5A).
Fig. 5. Effect of proteasome activity on MIN6-cells.
(A) Apoptosis assay of MIN6-cells with proteasome-dependent proteolysis inhibition by 30 μM ALLN or 10 μM epoxomicin. Control MIN6-cells were cultured with vehicle solution. Cell staining with annexin V-FITC and PI was analyzed by FACS. Results are mean ± SD (n=4) (*; p<0.05; ***, p<0.001; by ANOVA).
(B,C) Apoptosis assay of MIN6-cells with proteasome-dependent proteolysis activation. MIN6-cells were transfected with 10 μg of PA28 or vehicle for 4 h before exposure to 10 μM hIAPP for 16 h. Apoptosis positive controls, namely 50 Gy irradiated MIN6-cells, were included in each experiment. (B) Western-blot specific for caspase 3 (casp3) and active-casp3. Results of protein quantification are mean ± SD (n=6) (*; p<0.05 versus control; #, p<0.05 versus 10 μM hIAPP; by Mann Whitney test). (C) Cell staining with annexin V-FITC and PI was analyzed by FACS. Results are mean ± SD (n=6) (*; p<0.05 versus control; **, p<0.01 versus control; #, p<0.05 versus 10 μM hIAPP, by Mann Whitney test).
Moreover, we tested whether enhancement of proteasome activity may improve viability of MIN6-cells exposed to extracellular hIAPP. Proteasome function was stimulated by the proteasome activator PA28, directly delivered into the cells by lipofection. After 16 h culture with 10 μM hIAPP peptide, apoptotic signaling of MIN6-cells was associated with caspase cascade activation, detected by an increase in the active caspase-3 fraction (Fig. 5B,C). Likewise, when we stimulated the proteasome function with PA28, there was a significant recovery of cell viability and reduced caspase-3 activation despite the presence of 10 μM hIAPP (Fig. 5B,C). These data suggested that the inhibition of the ubiquitin-proteasome pathway was an upstream activator of apoptosis. PA28 had no effect on caspase-3 activation or cell viability by itself (Fig. 5B,C). Furthermore, an apoptotic control induced by DNA damage was included, an insult that activates apoptosis independently of the proteasome pathway. After a gamma irradiation of 50 Gy, the active caspase-3 fraction increased along with apoptosis compared to the control, and it was not reversed by the addition of PA28 (Fig. 5B,C).
Effect of extracellular hIAPP on human islets
Based on the present findings, we next investigated in primary cultures of human pancreatic islets whether we could confirm the key observed effects of extracellular hIAPP cytotoxicity. After 24 h treatment with 10 and 20 μM hIAPP, viability of human islet cell populations decreased significantly compared to the control (Fig. 6A). Expression of HSP90AA1, HSP90AB1 and HSP90B1 was significantly up-regulated in human pancreatic islets after 48 h treatment with 20 μM hIAPP (Fig. 6B), expression changes that were corroborated at the protein level (Fig.6C). Treatment with either 10 μM epoxomicin or 30 μM ALLN for 48 h significantly reduced islet cell viability compared to the vehicle control (Fig. 6D). Furthermore, protein extracts from human pancreatic islets incubated with 20 μM hIAPP for 24 h showed decreased proteasome activity compared to the control when these were tested in a fluorometric 20S proteasome activity assay (Fig. 6E).
Fig. 6. Effect of extracellular hIAPP on human pancreatic islets.
(A) Human pancreatic islets were cultured with 10 or 20 μM hIAPP for 24 and 48 h. Cell viability assays were performed on dispersed islet cells stained with PI and analyzed by FACS. Results are mean ± SD (n=4) (*; p<0.05; **, p<0.01; by Mann Whitney test).
(B) Quantification of HSP90AA1, HSP90AB1 and HSP90B1 mRNA expression in human pancreatic islets treated with 20 RM hIAPP for 48 h compared to the control. Results are mean ± SD (n=6) (*; p<0.05; by Mann Whitney test).
(C) Quantification of HSP90AA1, HSP90AB1 and HSP90B1 protein expression in human pancreatic islets treated with 20 RM hIAPP for 48 h compared to the control analyzed by immunoblot. Membranes were stripped and immunoblotted with anti-β-actin (ACTB) antibody. Representative images of n=6. Results of protein level quantification are mean ± SD (n=6) (*; p<0.05; by Mann Whitney test).
(D) Cell viability assay on human pancreatic islets treated with proteasome-dependent proteolysis inhibition by 30 μM ALLN or 10 μM epoxomicin, compared to the vehicle control for 48 h. Dispersed islet cells stained with PI were analyzed by FACS. Results are mean ± SD (n=4) (**, p<0.01; by Mann Whitney test).
(E) Protein extracts from intact human pancreatic islets cultured with 20 μM hIAPP for 24 h and control were tested in a fluorometric 20S proteasome proteolytic activity assay. Results are mean ± SD (n=6) (*; p<0.05; by Mann Whitney test).
Discussion
Pancreatic MIN6 β-cells were cultured at different times with different concentrations of freshly dissolved hIAPP to obtain spontaneous formation of hIAPP oligomers. In these cultures, markers of ER stress were detected. Among them, microarray analysis revealed increased expression of HSP90AA1, HSP90AB1 and HSP90B1. These gene expression changes were further confirmed in primary cultures of human pancreatic islets exposed to extracellular hIAPP. HSP90B1 encodes a resident ER luminal stress protein, which together with cytosolic HSP90AA1 and HSP90B1, belongs to the HSP90 family of molecular chaperones (35). Overexpression of HSPs is induced by the presence of misfolded proteins within the ER to rescue their conformation and prevent aggregation (18,19). XBP-1 is a key transcription factor for overexpression of ER chaperones during ER stress responses (18). The spliced active form of Xbp-1 has been detected at basal levels in islet β-cells and increased in response to ER stress, indicating that it may be important for maintenance of β-cell ER function (36). Increased expression of sXbp-1 was found in MIN6-cells early after hIAPP treatments, suggesting a rapid activation of ER responses. Consistent with these findings, abnormal ultrastructural morphology of the ER was observed in treated MIN6-cells. These data suggested that extracellular hIAPP may cause protein misfolding and ER stress. Our results are in agreement with recent findings that have revealed intracellular signaling such as ER stress related to extracellular amyloidosis, attributed to the capacity of amyloid peptides to elevate intracellular calcium and alter the redox status (29–31).
A sustained elevation of intracellular calcium was observed in 39% of MIN6-cells during 2 hour incubations with hIAPP, which was frequently followed by cell detachment. It is likely that formation of hIAPP aggregates was required for deregulation of intracellular calcium homeostasis since the effect was observed prior to fibril formation and did not occur with rIAPP. In the light of the alterations in plasma membrane morphology, it is possible that the interaction of hIAPP aggregates with the plasma membrane may be an essential step in this process. Although a previous study did not detect elevated calcium levels in insulinoma cells treated with hIAPP for 2-8 hours (37), cells that were poorly adherent or detached following a calcium rise may have been excluded from their measurements due to washing steps prior to loading with the calcium indicator. Nevertheless, our results are supported by reports suggesting that amyloid peptides may initiate cytotoxicity in neurons by inducing alterations in the plasma membrane (15,16,24,26), which lead to elevated intracellular calcium levels (16,23,27,28,30).
It is possible that intracellular calcium overload induced by extracellular hIAPP preceded ER dysfunction in MIN6-cells. ER resident chaperones actually require adequate ER calcium concentrations for their activity, thus changes in ER calcium homeostasis may trigger accumulation of misfolded proteins and activation of ER stress responses (18). Moreover, most mitochondrial and cytosolic ROS-generating enzymes are regulated by calcium, and excessive intracellular calcium concentrations might enhance ROS production, which interferes with the correct synthesis and folding of proteins (18).
Efficient removal of misfolded proteins via the ubiquitin-proteasome pathway is essential for cellular recovery during ER stress responses. However, when ER stress defenses are unable to restore ER function, accumulation of unfolded proteins can collapse the proteasome, leading to decreased proteasome activities (19,38,39). By quantifying the proteasome function of MIN6-cells treated with hIAPP, we detected a significant reduction in the proteasomal proteolytic activity over time, which contributed to the intracellular accumulation of ubiquitinated proteins, leading to a functional suppression of the ubiquitin-proteasome pathway. Reduced proteasome activity was also observed in primary cultures of human pancreatic islets treated with hIAPP. These data suggested that failure of the ubiquitin-proteasome pathway was an event downstream of the ER stress response induced by extracellular hIAPP oligomers. To date, dysregulation of the ubiquitin-proteasome pathway has been implicated in neurodegenerative diseases (40–44). Analyses of human brains in Alzheimer’s disease have shown decreases in the proteasome activities in association with intracellular deposition of aggregated and ubiquitinated proteins (40,43). In addition, it is likely that dysregulation of the ubiquitin-proteasome pathway in neurons is mediated by extracellular deposition of β-amyloid plaques (45).
In the present study, we have demonstrated that impairment of the proteasome function by pharmacological treatment contributes to apoptosis in MIN6-cells. Reduced cell viability was also observed in primary cultures of human pancreatic islets treated with different proteasome inhibitors. In agreement with our results, apoptosis was previously reported in several β-cell lines under inhibition of proteasome function (46). However, the authors showed that proteasome inhibition had no impact on rat islet cell viability (46). This apparent discrepancy with our findings could probably be attributed to either the different nature or concentration of the proteasome inhibitors used. In support of our data, previous studies of the involvement of the ubiquitin-proteasome system in vivo also showed substantial sensitivity of the pancreas to proteasome inhibition (47). Moreover, stimulation of proteasome activity by delivery of PA28, significantly reduced apoptosis and substantially decreased the activation of caspase-3 induced by extracellular hIAPP. Activation of caspase-3 is known to function in the programmed cell death pathway of hIAPP-mediated cytotoxicity (48). Taken together, the data suggest that the decline of the ubiquitin-proteasome pathway could be considered as an upstream activator of apoptotic signaling for pancreatic β-cells exposed to extracellular hIAPP. Induction of apoptosis by proteasome inactivation has also been observed in neurodegenerative models (49) and seems to be dependent on the loss of mitochondrial membrane potential (50).
In conclusion, our study indicates that ER stress responses are involved in the pancreatic β-cell apoptosis induced by extracellular hIAPP. The data demonstrate that dysregulation of the ubiquitin-proteasome pathway should be considered as a potential link between the ER stress due to plasma membrane perturbation by extracellular hIAPP aggregate formation and the degeneration of pancreatic β-cells by apoptosis.
Supplementary Material
Acknowledgements
Study supported by FIS (PI05/1327, PI05/1215), RGDM (G03/212) and REDIMET (RD06/0015) grants from Ministerio de Sanidad y Consumo in Spain, and by the Academy of Finland and Sigrid Jusélius Foundation in Finland. S.C. is recipient of a Juan de la Cierva contract from Ministerio de Educación y Ciencia in Spain and thanks the award of an Albert Renold Fellowship from the European Foundation for the Study of Diabetes. F.M.G. is funded by the Wellcome Trust. The authors thank Marta Julià for technical assistance.
Abbreviations footnote
- hIAPP
human IAPP
- rIAPP
rat IAPP
- FACS
fluorescence-activated cell sorting
- PI
propidium iodide
- FITC
fluorescein isothiocyanate
- RQ-PCR
real-time quantitative RT-PCR
- ALLN
N-acetyl-Leu-Leu-norleucinal
- EGFP
green fluorescent protein
- HSP
heat shock protein
Footnotes
Data deposition footnote: NCBIs Gene Expression Omnibus (GEO, http://www.ncbi.nlm.nih.gov/geo/) series accession number GSE2253.
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