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HEMATOPOIESIS
From the Institut Nationale de la Santé et de la
Recherche Médicale E9910, Institut Claudius Régaud,
Institut de Pharmacologie et de Biologie Structurale, Service
d'Hématologie, and Centre Hospitalier Universitaire Purpan,
Toulouse, France; Laboratoire de Cancérologie
Expérimentale, Institut National de la Santé et de la
Recherche Médicale U119, Institut Paoli Calmettes, Marseille,
France; and Arthritis and Immune Disorder Research Centre, Toronto,
Ontario, Canada.
Previous studies demonstrated that Kit activation confers
radioprotection. However, the mechanism by which Kit signaling
interferes with cellular response to ionizing radiation (IR) has not
been firmly established. Based on the role of the sphingomyelin (SM) cycle apoptotic pathway in IR-induced apoptosis, we hypothesized that
one of the Kit signaling components might inhibit IR-induced ceramide
production or ceramide-induced apoptosis. Results show that, in both
Ba/F3 and 32D murine cell lines transfected with wild-type c-kit, stem
cell factor (SCF) stimulation resulted in a significant reduction of
IR-induced apoptosis and cytotoxicity, whereas DNA repair remained
unaffected. Moreover, SCF stimulation inhibited IR-induced neutral
sphingomyelinase (N-SMase) stimulation and ceramide production. The SCF
inhibitory effect on SM cycle was not influenced by wortmannin, a
phosphoinositide-3 kinase (PI3K) inhibitor. The SCF protective effect
was maintained in 32D-KitYF719 cells in which the PI3K/Akt signaling
pathway is abolished due to mutation in Kit docking site for PI3K. In
contrast, phospholipase C Ionizing radiation (IR) cytotoxicity is generally
thought to be the result of a DNA double-strand break (dsb) caused by
either direct interaction of IR with DNA or indirect action via the
production of free radicals following radiolysis of
water.1 Following DNA damage, several modalities of
cellular response have been described including reversible cell cycle
alterations, reproductive (or mitotic) cell death, and apoptosis. It
has been described that apoptosis, a rapid and irreversible process, is
generally correlated with a high radiosensitivity profile suggesting
that post-DNA damage response plays an important role in IR
cytotoxicity. For this reason, IR-induced apoptosis signaling has
received a great deal of attention. In previous studies, it has been
proposed that IR, as some other genotoxic agents, induces apoptosis by stimulating the sphingomyelin (SM) cycle. This signaling cascade consists of SM hydrolysis through the activation of a sphingomyelinase (SMase) with concomitant generation of ceramide, which can mediate this
apoptotic process.2-8 Both acidic and neutral SMase
(N-SMase) have been implicated in IR-induced ceramide production and
apoptosis.3,4 Indeed, acid SMase has been implicated in
IR-induced cell death in endothelial cells, oocytes, and embryonic
fibroblasts9-11; N-SMase has been implicated mainly in
leukemic cell models,12,13 indicating cell-type
specificity for the different ceramide-producing pathways. The
fact that the sensitivity to IR could be restored in the asmase( Other studies have demonstrated that the SM-ceramide apoptosis pathway
is efficiently regulated by different parameters that can interfere
either with ceramide production or ceramide-induced apoptosis. Among
these regulators, protein kinase C (PKC) appears to play an important
role. Indeed, it has been shown that phorbol ester (TPA)- or
diacylglycerol (DAG)-induced PKC stimulation both resulted in
inhibition of ceramide-induced apoptosis.14 Moreover, it
has been described that PKC contributes to basal N-SMase enzymatic activity regulation,15 and that TPA- or
phosphatidylserine-driven PKC stimulation resulted in inhibition of
SMase activation, SM hydrolysis, and ceramide generation induced by IR
or by antileukemic drugs.2,16 Therefore, it is conceivable
that any internal or external signals resulting in PKC
stimulation may significantly affect IR-induced cytotoxicity by
interfering with upstream or downstream (or both) ceramide generation.
This represents an attractive mechanism to explain the radioprotective
effect of growth factors or cytokines that, through activation of their
cognate receptors and subsequent downstream signaling pathways, may
stimulate PKC.
Stem cell factor (SCF), a hematopoietic growth factor, was found to
protect animals against IR.17,18 The influence of Kit signaling on the cellular response to IR is also illustrated by the
hypersensitivity to IR of Steel and White Spotting mice, which are
deficient for SCF or its cognate receptor, the tyrosine kinase c-kit
product (Kit), respectively. Activation of Kit by SCF promotes Kit
dimerization, autophosphorylation, and transphosphorylation of Kit at
specific tyrosine residues that can serve as docking sites for
src-homology-2 (SH2) domain-containing signaling molecules. Among
these, phosphoinositide-3 kinase (PI3K) and phospholipase C Such a hypothesis may have important clinical implications. Indeed, new
insights into the SCF radioprotective effect may help to define optimal
conditions for its clinical use to protect hematopoiesis against
IR-induced hematoxicity after extended field radiotherapy. Moreover,
better understanding of the mechanism by which Kit signaling interferes
with IR cytotoxicity might offer new approaches for improving
radiotherapy efficiency in Kit-activated tumor cells. This could be a
major concern in the treatment of small-cell lung carcinomas and breast
cancers that display a SCF/Kit autocrine loop,27,28 or in
systemic mastocytosis and gastrointestinal stroma tumor (GIST), which
usually harbor active Kit variants.
The aim of this study was to evaluate the influence of Kit activation
by SCF on IR-induced apoptosis and cytotoxicity and to investigate
whether Kit signaling may interfere with IR-activated SM cycle through
PI3K or PLC Drugs and reagents
Cell culture
DNA dsb analysis Cells were radiolabeled by preincubation for 48 hours with 0.5 µCi/mL (1.8 × 104 Bq/mL) of methyl [3H]thymidine. Medium was replaced by fresh medium for 2 hours, then cells were then treated with SCF (200 ng/mL) for 30 minutes. Then, 0.5 × 106 control and irradiated cells were embedded in 0.7% low-melting agarose (BRL, Bethesda, MD) plugs. These were incubated overnight at 48°C in 0.2 M EDTA containing 10 mg/mL proteinase K. The agarose plugs were washed 3 times for 1 hour in 0.2 M EDTA and stored at 4°C prior to analysis. The samples were analyzed on a 1% agarose gel in a × 0.5 TBE buffer (45 mM Tris-borate, 1 mM EDTA, pH 8). The buffer was cooled by continuously recirculating water. Electrophoresis voltage was increased as follows: 18 V (36 hours), 45 V (7 hours), 90 V (1.5 hours), and 270 V (0.5 hours). The gel was stained with ethidium bromide (0.5 µg/mL) and visualized under UV illumination. Intact and fragmented DNA were separated and radioactivity of the 2 fractions was counted by liquid scintillation. Results were expressed as the percentage of fragmented DNA radioactivity/fragmented DNA radioactivity plus intact DNA radioactivity.N-SMase activity assay Activity of SMase was assayed as previously described using [choline-methyl-14C] SMase (120000 dpm/assay) as substrate.30Metabolic cell labeling and ceramide quantitation Total cellular ceramide quantitation was performed by labeling cells to isotopic equilibrium with 1 µCi/mL (3.7 × 104 Bq/mL) of [9, 10-3H] palmitic acid (53.0 Ci/mmol or 1.96 × 1012 Bq/mmol, Amersham) for 48 hours in complete medium as described previously.30 Cells were then washed and resuspended in serum-free medium for kinetic experiments. Lipids were extracted and resolved by thin-layer chromatography. Ceramide was scraped and quantitated by liquid scintillation spectrometry.Irradiation Irradiations were performed using a 60Co source (1.25 MeV; Theratron, General Electric, Toronto, ON, Canada) at a dose rate of 1 Gy/min.DAPI staining Changes in nuclear chromatin were evaluated by fluorescence microscopy by DAPI staining.31Clonogenic assay Cells were seeded in 96-well flat-bottom plates at the concentration of 10 Ba/F3 cells/well and cultured in medium in the presence of 200 ng/mL SCF. The optimal SCF concentration was obtained from dose-response curves (where 50% proliferation was observed at ~50 ng/mL SCF). After 7 days, colonies (minimum size of 50 cells) formed in each well were scored under an inverted microscope. For untreated sample, cloning efficiency of untreated cells was about 50%. To measure IR-induced cytotoxicity, cells were irradiated at 0 to 10 Gy, then seeded into microplates. The surviving fraction was calculated at each dose level as the percentage of survival colonies compared with the nonirradiated sample. Best fit survival curve was then calculated by computer using the linear quadratic model.32,33Measurement of phosphatidylserine externalization by annexin V binding Human CD34+ bone marrow cells (10 × 103) were pelleted and resuspended in Hepes buffer (10 mM Hepes-NaOH, pH 7.4, 150 mM NaCl, 5 mM KCl, 1 mM MgCl2, 1.8 mM CaCl2). These were then incubated for 5 minutes with 1 µg/mL annexin V-fluorescein isothiocyanate (FITC; Bender Medsystem, Vienna, Austria), and 10 µg/mL propidium iodide followed by flow cytometry on a FACScan (Becton Dickinson, Paris, France).34Statistical analysis The Student t test was used to test for statistical significance.
Influence of SCF stimulation on radiation-induced clonogenic cell death and apoptosis Ba/F3-Kit cells were stimulated or not with SCF (200 ng/mL for 30 minutes), irradiated with increasing IR doses, and then assayed for their capacity to form colonies in liquid medium. Clonogenic efficiency was about 50% without differences whether or not cells were stimulated by SCF (data not shown). IR induced a dose-dependent inhibition of clonogenicity in both unstimulated and stimulated Ba/F3-Kit cells. However, SCF stimulation resulted in a significant reduction of IR-induced cytotoxicity as assessed by D0 determination (dose required for 37% cytoreduction) with D0 value of 4.38 Gy and 3.35 Gy for stimulated and unstimulated Ba/F3-Kit, respectively (P < .05). We also investigated the influence of SCF stimulation on IR-induced apoptosis. Based on D0 value, the dose of 4 Gy was used. We found that SCF-induced Kit activation resulted in an approximate 2-fold reduction in IR-induced apoptosis as measured by DAPI staining (Figure 1, insert). Altogether, these results demonstrate that SCF confers significant radioprotection in Ba/F3-Kit cells. For this reason, we investigated the possible influence of SCF stimulation on DNA repair in irradiated Ba/F3-Kit cells.
Influence of SCF stimulation on DNA repair DNA dsbs are believed to be responsible for IR-induced lethality. Therefore, we investigated whether SCF stimulation could influence either postirradiation dsb levels or DNA repair kinetics. Stimulated or unstimulated Ba/F3-Kit cells were irradiated (4 Gy) and dsbs were measured by high-voltage electrophoresis over a 6-hour period. We observed that SCF stimulation did not influence immediate post-IR damage or DNA repair kinetics (Figure 2). This result suggested that Kit signaling influenced postdamage cellular response rather than IR-induced lesions. For this reason, we hypothesized that SCF stimulation could interfere with IR-activated SM cycle apoptosis signaling. In a first series of experiments, we evaluated the influence of SCF-mediated Kit activation on IR-induced ceramide production.
Influence of SCF stimulation on IR-induced ceramide production and SMase activation Stimulated or unstimulated Ba/F3-Kit cells were irradiated (4 Gy) and, based on previous kinetics studies,4 intracellular ceramide concentration was monitored over a 30-minute period. As shown in Figure 3, IR induced a time-dependent ceramide accumulation with a maximum 75% increase at 10 to 12 minutes in unstimulated Ba/F3-Kit cells. In contrast, IR induced no ceramide accumulation in SCF-stimulated cells. This result suggested that Kit signaling inhibited SMase-mediated SM hydrolysis and subsequent ceramide generation. In fact, whereas IR induced a time-dependent N-SMase stimulation more than 50% at 10 to 12 minutes in unstimulated Ba/F3-Kit cells, SCF stimulation resulted in abrogation of IR-induced N-SMase stimulation (Figure 4). However, we were unable to detect any stimulation of acidic SMase up to 30 minutes after IR (data not shown). Moreover, we found that SCF stimulation had no influence on the toxicity of cell-permeant C6-ceramide used in a dose range between 10 and 50 µM (data not shown). These results suggested that SCF protection was essentially due to inhibition of IR-induced N-SMase stimulation. To confirm these results in another cellular model, we investigated the influence of SCF stimulation on IR-induced N-SMase activation and ceramide production in 32D-Kit cells. As shown in Figure 5, IR significantly boosted N-SMase activity and enhanced intracellular ceramide concentration at a similar magnitude to those measured in Ba/F3-Kit cells, whereas these effects were not observed in SCF-stimulated 32D-Kit cells. Among different previously identified Kit signaling components, we first examined the possible role of the PI3K/Akt pathway on SCF inhibitory effect in both Ba/F3-Kit and 32D-Kit cells.
Influence of PI3K pathway on IR-induced N-SMase stimulation In preliminary experiments performed with antiphospho-Akt antibody, we confirmed that, in both Ba/F3-Kit cells and 32D-Kit cells, SCF stimulation resulted in PI3K-dependent Akt phosphorylation, which peaked at 10 minutes after stimulation and was totally inhibited by pretreatment with wortmannin (25 nM, for 1 hour), a PI3K inhibitor (data not shown). However, pretreatment with wortmannin did not abrogate the inhibitory effect of SCF on IR-induced N-SMase stimulation (data not shown). These results suggested that the PI3K/pathway was not involved in N-SMase inhibition. To confirm this hypothesis, we performed a similar experiment with 32D-KitYF719 cells. These cells express a c-kit point mutant that prevents the recruitment of the p85 regulatory subunit of PI3K without interfering with SCF-induced Kit phosphorylation.29 As shown in Figure 6, in 32D-KitYF719 cells, the SCF inhibitory effect on IR-induced ceramide generation and N-SMase stimulation was maintained. Altogether, these results confirmed that, among Kit signaling components, the PI3K/Akt pathway played little, if any, role in Kit-induced negative regulation of IR-activated SM-ceramide apoptosis pathway. For this reason, we investigated the possible role of Kit-induced PLC 1 activation in the SCF
protective effect.
Influence of PLC 1 tyrosine phosphorylation within 2 to 5 minutes as revealed by immunoprecipitation with anti-PLC 1 and immunoblotting with antiphosphotyrosine (data not shown). Moreover, SCF stimulated Ca++ mobilization, which
was inhibited by pretreatment with U73122 (1 µM, for 1 hour), a
PLC inhibitor (data not shown). Pretreatment with U73122 abrogated
the inhibitory effect of SCF on IR-induced ceramide production (Figure
7A) and N-SMase (Figure 7B), suggesting that PLC activation played an important role in the SCF
protective effect in Ba/F3-Kit cells. In fact, in these cells,
treatment with U73122 abrogated SCF-induced inhibition of the IR
apoptotic effect (Figure 7C).
To further confirm the role of PLC
Finally, to evaluate the physiologic relevance of SCF-mediated
protection against IR, we examined phosphatidylserine externalization that generally precedes the nuclear changes that define
apoptosis,34 on human CD34+ bone marrow cells
(Figure 9). The CD34+ cells,
gated on the propidium iodine-negative population, presented a
significant increase in annexin V binding 24 hours after 4 Gy IR,
increasing from a basal level of 18.40% to 65.07%. However, when
these cells, which express wild-type c-Kit, were stimulated with SCF,
annexin V binding decreased to 39.41%. This result clearly demonstrates that SCF-induced radioprotection can be observed on human
primary cells. Furthermore, although the PLC
Previous studies have shown that SCF suppressed apoptosis induced
by Different mechanisms of Kit-mediated suppression of apoptosis
have been reported, depending on the cellular model and stress conditions. For example, it has been suggested that the protective effect of SCF on growth factor deprivation-induced apoptosis of natural
killer cells could be related to SCF-induced Bcl-2
overexpression.41 For this reason, and based on the
influence of Bcl-2 on IR-induced apoptosis, we have investigated the
possible influence of SCF-induced Kit activation on Bcl-2 expression in
Ba/F3-Kit cells. However, we found that Bcl-2 expression remained
unchanged on SCF stimulation over a period of 24 hours (data not
shown). In fact, the role of Bcl-2 in SCF-induced apoptosis inhibition
remains controversial and, for example, could not be confirmed in mast
cells.36 Other studies have identified the PI3K/Akt
pathway as a critical component of Kit signaling in the protective
effect of SCF against serum withdrawal-induced
apoptosis.42,43 This mechanism has been also proposed for
Kit-mediated radioprotection in mast cells44 and in
epithelial cells.40,45 However, more recent studies have
minimized the role of Kit/PI3K signaling in hematopoietic cells.46 In fact, we found that PI3K plays little, if any,
role in the SCF radioprotective effect in Ba/F3-Kit and 32D-Kit cells. Therefore, although it remains possible that the PI3K/Akt signaling pathway contributes to SCF radioprotective effect in other cells, our
study provides strong evidence that PLC Based on previous studies that demonstrated the role of the SM cycle in
the IR-induced apoptosis, we hypothesized that PLC Our study identified PLC To conclude, our results fit with a model in which Kit signaling
interferes with IR-activated SM cycle and apoptosis through a PLC
Submitted October 15, 2001; accepted April 5, 2002.
Supported by l'Association pour la Recherche sur le Cancer grant 5897 (to J.-P.J.), La Ligue (to P.D.), and La Faculté de Médecine Toulouse-Rangueil (to G.L). S.M. is a recipient of an Association pour la Recherche sur le Cancer Fellowship.
The publication costs of this article were defrayed in part by page charge payment. Therefore, and solely to indicate this fact, this article is hereby marked "advertisement" in accordance with 18 U.S.C. section 1734.
Reprints: Jean-Pierre Jaffrézou, INSERM E9910, Institut Claudius Régaud, 20 rue du Pont St Pierre, 31052 Toulouse, France; e-mail: jaffrezou{at}icr.fnclcc.fr.
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© 2002 by The American Society of Hematology.
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S. W. Redding Cancer Therapy-Related Oral Mucositis J Dent Educ., August 1, 2005; 69(8): 919 - 929. [Abstract] [Full Text] [PDF] |
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L. Hong, V. Munugalavadla, and R. Kapur c-Kit-Mediated Overlapping and Unique Functional and Biochemical Outcomes via Diverse Signaling Pathways Mol. Cell. Biol., February 1, 2004; 24(3): 1401 - 1410. [Abstract] [Full Text] [PDF] |
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