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  • 8/8/2019 Inhibition of Paraquat-Induced Autophagy

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    Inhibition of Paraquat-Induced Autophagy Accelerates the ApoptoticCell Death in Neuroblastoma SH-SY5Y Cells

    Rosa A. Gonzalez-Polo,*,1 Mireia Niso-Santano,* Miguel A. Ortz-Ortz,* Ana Gomez-Martn,* Jose M. Moran,*

    Lourdes Garca-Rubio, Javier Francisco-Morcillo, Concepcion Zaragoza, German Soler,* and Jose M. Fuentes*

    *CIBER de Enfermedades Neurodegenerativas, Departamento de Bioqu mica y Biolog a Molecular y Gene tica, E.U. Enfermer a y T.O., Universidad de

    Extremadura, Avda. Universidad s/n 10071 Caceres, Spain; Departamento de Qu mica Organica, Departamento de Biolog a Celular, Departamento

    de Medicina y Sanidad Animal, Facultad de Veterinaria, Universidad de Extremadura, Caceres, Spain

    Received January 12, 2007; accepted February 27, 2007

    Autophagy is a degradative mechanism involved in the recy-

    cling and turnover of cytoplasmic constituents from eukaryotic

    cells. This phenomenon of autophagy has been observed inneurons from patients with Parkinsons disease (PD), suggesting

    a functional role for autophagy in neuronal cell death. On the

    other hand, it has been demonstrated that exposure to pesticides

    can be a risk factor in the incidence of PD. In this sense, paraquat

    (PQ) (1,1#-dimethyl-4,4#-bipyridinium dichloride), a widely used

    herbicide that is structurally similar to the known dopaminergic

    neurotoxicant MPP+ (1-methyl-4-phenyl-pyridine), has been sug-

    gested as a potential etiologic factor for the development of PD.

    The current study shows, for the first time, that low concen-

    trations of PQ induce several characteristics of autophagy in

    human neuroblastoma SH-SY5Y cells. In this way, PQ induced

    the accumulation of autophagic vacuoles (AVs) in the cytoplasm

    and the recruitment of a LC3-GFP fusion protein to AVs.

    Furthermore, the cells treated with PQ showed an increase of

    the long-lived protein degradation which is blocked in the

    presence of the autophagy inhibitor 3-methyladenine and regu-

    lated by the mammalian target of rapamycin (mTOR) signaling.

    Finally, the cells succumbed to cell death with hallmarks of

    apoptosis such as phosphatidylserine exposure, caspase activation,

    and chromatin condensation. While caspase inhibition retarded

    cell death, autophagy inhibition accelerated the apoptotic cell

    death induced by PQ. Altogether, these findings show the re-

    lationship between autophagy and apoptotic cell death in human

    neuroblastoma cells treated with PQ.

    Key Words: paraquat; vacuoles; apoptosis; Parkinson.

    Autophagy is an intracellular lysosome-mediated catabolic

    mechanism that is responsible for the bulk degradation and

    recycling of damaged or dysfunctional cytoplasmic compo-

    nents and intracellular organelles (Klionsky et al., 2000).

    Autophagy is a cellular response to both extracellular (nutrient

    deprivation or hypoxia) and intracellular (accumulation of

    damaged organelles and cytoplasmic components) stress con-

    ditions. Autophagy, being an evolutionarily ancient cellular

    response to intra- and extracellular noxious stimuli, may

    precede or coexist with apoptosis, and it may be induced byapoptotic stimuli (Xue et al., 1999). Thus, autophagy and

    apoptosis may be interconnected (Bursch et al., 2000). Cellular

    autophagy is a physiological degradative process involved, like

    apoptosis, in embryonic growth and development, cellular

    remodeling, and the biogenesis of some subcellular organelles

    (Filonova et al., 2000; Hariri et al., 2000; Sattler and Mayer,

    2000). Autophagic cell death involves accumulation of auto-

    phagic vacuoles (AVs) in the cytoplasm of dying cells as well

    as mitochondria dilation and enlargement of the endoplasmic

    reticulum and the Golgi apparatus. Autophagic cell death has

    been described during the normal nervous system development

    (Schweichel et al., 1973) and could be a consequence ofa pathological process such as those associated with neurode-

    generative diseases (Petersen et al., 2001). Of note, autophagy

    is highly enhanced in brain amyloidoses (Graeber et al., 2002),

    Alzheimer disease (Stadelmann et al., 1999), Huntingtons

    disease (Landles et al., 2004), and Parkinsons disease (PD)

    (Anglade et al., 1997).

    PD is a chronic progressive neurodegenerative disease,

    affecting at least 1% of the population over the age of 55.

    Genetic forms of the disease represent less than 5% of current

    cases, but the causes of the vast majority of sporadic cases of

    PD are still unknown. Accumulating evidence strongly points

    to environmental toxins as feasible triggers of neurodegenera-

    tion of nigrostriatal dopaminergic neurons, and the common

    use of pesticides in rural life has been correlated to parkinson-

    ism in humans (Di Monte et al., 2000). In this sense, the

    herbicide 1,1#-dimethyl-4,4#-bipyridinium dichloride (paraquat

    [PQ]), widely used as a cationic nonselective bipyridyl

    herbicide to control weeds and grasses in many agricultural

    areas, has emerged as a putative risk factor on the basis of its

    structural homology to 1-methyl-4-phenyl-pyridine (MPP),

    the active metabolite of 1-methyl-4-phenyl-1,2,3,6 tetrahydro-

    pyridine, a neurotoxicant that induces Parkinsons-like features

    1 To whom correspondence should be addressed. Fax: 34-927-257-451.

    E-mail: [email protected].

    The Author 2007. Published by Oxford University Press on behalf of the Society of Toxicology. All rights reserved.

    For Permissions, please email: [email protected]

    TOXICOLOGICAL SCIENCES 97(2), 448458 (2007)

    doi:10.1093/toxsci/kfm040

    Advance Access publication March 6, 2007

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    in rodents, nonhuman primates, and humans (Langston and

    Ballard, 1984; Tanner and Ben Shlomo, 1999).

    Occupational PQ exposures have been associated with

    parkinsonism (Hertzman et al., 1990; Liou et al., 1997), although

    the mechanism of PQ toxicity is yet poorly understood. Several

    studies have suggested the involvement of reactive oxygen

    species (ROS) in its effect (Gonzalez-Polo et al., 2004; Mollaceet al., 2003). Our group has demonstrated that free radicals play

    an active role in the PQ-induced apoptotic events that culminate

    with cell death (Gonzalez-Polo et al., 2004).

    Here, we show for the first time that low concentrations of

    PQ induce several characteristics of autophagy in human

    neuroblastoma SH-SY5Y cells, which are commonly selected

    as a cellular PD model (Lai et al., 1997; Lee et al., 2000;

    Shavali et al., 2004). Finally, the cells succumbed to cell death

    with hallmarks of apoptosis. Thus, we investigated the re-

    lationship between autophagy and apoptosis in neurons treated

    with PQ to propose a new and exciting strategy to the

    knowledge of the PD mechanism and its possible treatment.

    MATERIALS AND METHODS

    Cell line and culture condition. Human neuroblastoma SH-SY5Y cells

    were grown in Dulbeccos modified Eagle medium (Gibco BRL, Paisley, U.K.)

    containing 100 U/ml penicillin, 100 lg/ml streptomycin, and 10% fetal bovine

    serum (Hyclone, Brevieres, France). Cells were seeded at 5 3 105

    in a 75-cm2

    tissue culture flask (TPP, Trasadingen, Switzerland) and incubated at 37C

    under a saturating humidity atmosphere of 5% CO2/95% air.

    Reagents and cell death induction. Confluent cells (~80%) in 75-cm2

    tissue culture flasks were trypsinized and seeded in tissue culture dishes at

    a concentration of 5 3 104 cells/cm2. Twenty-four hours later, the medium was

    aspirated and replaced with fresh medium alone or containing the indicated

    concentrations of PQ (Niso-Santano et al., 2006). Serum and amino acidstarvation of cells were performed using serum-free Earles balanced salt

    solution medium (Sigma, St Louis, MO) (Boya et al., 2005). For caspase

    inhibiton, a sublethal dose of N-benzyloxycarbonyl-Val-Ala-Asp fluorome-

    thylketone (Z-VAD-fmk, 50lM, Bachem AG, Bubendorf, Switzerland) was

    added 1 h before PQ. The antioxidants N-acetylcysteine (NAC 1mM), vitamin E

    (100lM), glutathione (1mM), and the inihibitor of autophagy, 3-methyladenine

    (3-MA, 10mM), were added before the addition of PQ.

    Flow cytometry. To determine apoptosis-associated changes by cytofluor-

    ometry, we used 3,3#-dihexyloxacarbocyanine iodide (DiOC6(3), 40nM) for the

    mitochondrial transmembrane potential quantification, propidium iodide (PI,

    1 lg/ml) for the d etermination of cell viability (Boya et al., 2003; Gonzalez-Polo

    et al., 2005a), and Annexin-V labeled with fluorescein isothiocyanate (all of

    them from Molecular Probes, Eugene, OR) for the assessment of phosphati-

    dylserine exposure. For the determination of superoxide anion generation,hydroethidine (HE, 10lM) was used. After different experimental conditions,

    cells were trypsinized and labeled with the fluorochromes at 37C, followed by

    cytoflurometric analysis with a FACS Scan (Becton Dickinson, Frankin Lakes,

    NJ) (Gonzalez-Polo et al., 2005a,b).

    Immunofluorescence and light microscopy. Cells were cultured on

    coverslips. After the experimental conditions, the cells were stained with

    CMFDA (5-chloromethylfluorescein diacetate, 1lM) (Molecular Probes) for

    30 min at 37C to visualize the vacuoles. Cells were fixed with para-

    formaldehyde (4% wt:vol) for CMFDA staining and immunofluorescence

    assays (Gonzalez-Polo et al., 2005a,2005b). Cells were stained for the detection

    of activated caspase-3 with a polyclonal antibody from Cell Signaling

    Technology, Inc. (Danvers, MA) developed with an anti-rabbit immunoglobulin

    Alexa fluor conjugate (Molecular Probes) and counter-stained with Hoechst

    33342, 2lM (Ho) (Sigma) before mounting. Fluorescence microscopy was

    analyzed with an Olympus IX51 equipped with a DC300F camera.

    Western blot analysis. Following experimental treatments, the cells

    (cultured in 60 mm dishes) were rinsed twice with cold phosphate-buffered

    saline(PBS) andremovedby scrappingand then centrifuged at 9003 gfor5min

    at 4C. Cells were lysed in a buffer containing 50mM N-2-hydroxyethyl-piperazine-N#-2-ethanesulfonic acid pH 7.5, 100mM NaCl, 1% Triton X-100,

    10% glycerol, 1mM ethyleneglycol-bis(aminoethylether)-tetraacetic acid, 5mM

    MgCl2, 25mM NaF, and Protease Inhibitor Cocktail (Sigma). Cells were

    centrifuged at 13,000 3 g 5 min at 4C. Supernatants were stored at 80C

    until analysis by Western blot. Protein concentration was measured according to

    Bradford (1976) using bovine serum albumin (BSA) as standard. Equal amounts

    of proteins (20 lg/condition) were resolved in 1215% sodium dodecyl sulfate

    gel electrophoresis and transferred to polyvinylidene difluoride (PVDF)

    membranes according to conventional partially modified methods (Fuentes

    et al., 2000). Briefly, proteins were transferred (250 mA for 60 min) to PVDF

    membranes using Mini Trans-Blot Cell apparatus (Bio-Rad, Hercules, CA). The

    procedure for immunodetection includes the transfer and blocking of the

    membrane (60 min at room temperature) with TweenTris-buffered saline

    (TTBS)(10mMTris/HCl pH 7.5, 150mM NaCl, and0.2% Tween-20) containing

    10% nonfat-dried milk. Membranes were then incubated overnight at 4C withprimary antibodies, p-mTORser2448, and cleaved caspase-3 from Cell Signal-

    ling (Beverly, MA) and anti-LC3 from MBL Medical and Biological Labora-

    tories Co., Ltd (Nagoya, Japan), all of them diluted 1:1000 in TTBS 10%

    nonfat-driedmilk or 5% BSA. After washing (for two 5-min periods with TTBS),

    membranes were incubated (60 min at room temperature) with peroxidase-

    conjugated secondary antibodies (1:5000 in TTBS with 10% nonfat-dried milk).

    After washing (for two 5-min periods and one 10-min period), the detection of

    bound antibodies was visualized by chemiluminiscence using the ECL-plus

    reagent (GE Healthcare, Buckinghamshire, UK). Actin content was analyzed as

    a control by means of a rabbit polyclonal antibody (from Sigma).

    Analysis of protein degradation. Human neuroblastoma SH-SY5Y cells

    were incubated with 0.2 mCi/ml. L-[14C]valine (GE Healthcare) in complete

    medium (CM) for 24 h at 37C. Unincorporated radioisotope was removed by

    washing the cells three times with PBS (pH 7.4). Cells were then incubated inEarles balanced salt solution buffer plus 0.1% BSA (nutrient-free [NF]

    medium) in the presence of 10mM cold valine, for 1 h (prechase period).

    After this time, the medium was replaced by the appropriate fresh medium (NF

    or CM) plus cold valine 10mM in the presence or absence of 10mM 3-MA and

    10lM PQ for 4 h (chase period). Cells and radiolabeled proteins from the

    medium were precipitated in trichloroacetic acid at the final concentration of

    10% (vol/vol). The precipitated proteins were separated from the soluble

    radioactivity by centrifugation at 600 3 g for 20 min and then dissolved in 1 ml

    of 0.2 NNaOH. The rate of protein degradation was calculated by determining

    the ratio of acid-soluble radioactivity recovered from both cells and medium to

    the ratio of radioactivity in trichloroacetic acid-precipitated proteins obtained

    from both cells and medium (Pattingre et al., 2003).

    Electron microscopy. Scraped cells were spinned and immersed in

    a mixture of 2% glutaraldehyde and 2% paraformaldehyde in phosphate buffer(pH 7.4)for1 h at 4C. Pellets were then rinsed in phosphate buffer, postfixed in

    1% osmium tetroxide for 90 min, rinsed, dehydrated in a graded series of

    acetone, and embedded in Araldite resin. Ultrathin 90-nmthick sections were

    obtained using a Leica Reichert Ultracut ultramicrotome equipped with a glass

    knife. Sections were mounted on copper grids, stained with uranyl acetate and

    lead citrate, examined, and photographed with a Jeol JEM-100 CX II

    transmission electron microscope.

    Transient transfections. SH-SY5Y cells were transiently transfected with

    the Fugene procedure, with 12 lg DNA per 35-mm plate, according to the

    manufacturers protocol (Roche Diagnostics, GmbH, Mannheim, Germany) to

    label AVs with LC3-GFP plasmid (Kabeya et al., 2000).

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    Statistical analysis. Data are representative of at least three independent

    experiments each in triplicate determination. Statistical analysis of the data was

    performed using one-way ANOVA. Significance (*) was defined at p < 0.05.

    RESULTS

    PQ Induces Apoptotic Death in Neuroblastoma Cells

    As previously described (Chun et al., 2001; Gonzalez-Polo

    et al., 2004; Niso-Santano et al., 2006), several cell lines,

    including human neuroblastoma SH-SY5Y cells, are sensitive

    to the PQ induced toxicity. We investigated, for the first time,

    the cell death type in neuroblastoma cells exposed to the

    bipiridinic pesticide PQ. As we show in Figure 1, the PQ

    treatment caused phosphatidylserine exposure on the outer

    leaflet of the plasma membrane, which can manifest before

    plasma membrane permeabilization. This phenomenon wasincreased in combination with PQ and starvation conditions.

    The cells treated with 1025lM of PQ exhibited a range of

    2550% loss of cell viability in CM and NF medium. In parallel

    FIG. 1. PQ-mediated sensitization of SH-SY5Y cells to starvation-induced cell death. The human neuroblastoma SH-SY5Y cells were cultured in the

    indicated conditions (CM, NF), in the absence (Co) or in the presence of the indicated doses of PQ for 24 h, followed by simultaneous staining of the

    phosphatidylserine exposure with Annexin-V fluorescein isothiocyanate (FITC) and viability with PI. Quantitative data (error bars are SE n 3) are shown in (A),

    and representative FACS diagrams are shown in (B).

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    experiments, we analyzed the involvement of caspases in the

    apoptotic death induced by 10lM of PQ (Fig. 2). The maximum

    level of caspase-3 activation was evident after 24 h of PQ

    incubation, shown by Western blot detection of a 17-kDa

    fragment (active form) and caspase-3 total, both in CM (Fig. 2A)

    and NF medium (Fig. 2B). Morphological analysis of cells

    subjected to the combined treatment of PQ 10lM and starvationindicate a typical apoptotic chromatin condensation (as detect-

    able with the nuclear stain Hoechst 33342) associated with

    caspase-3 activation (Figs. 2C and 2D). Therefore, we won-

    dered whether inhibition of caspases with the broad-spectrum

    caspase inhibitor Z-VAD-fmk would prevent cell death in this

    model. As shown in Figure 2E, Z-VAD-fmk retarded cell death

    of PQ-treated, SH-SY5Y cells, both in CM and NF medium.

    PQ Induces Reactive Oxygen Species Production in SH-SY5Y

    Neuroblastoma Cells

    The mechanism of action of PQ is as yet poorly understood.

    However, it is well known that PQ acts as a reactive oxygen

    species (ROS) producer (Bus et al., 1984; Suntres 2002). These

    ROS interact with unsaturated lipids of membranes (lipid

    FIG. 2. Involvement of caspases in PQ-induced apoptosis in SH-SY5Y cells. Caspase-3 activation induced by PQ, (AC). (A, B) Activation of caspase-3 was

    determined by Western blot as indicated in Materials and Methods section. Actin expression was determined as a loading control. Cells were incubated in CM

    (A)or NF medium (B) at the times indicated with 10lM of PQ. Blots are representative of at least three independentexperiments.(C, D) SH-SY5Y cells cultured in

    poly-L-lysinetreated coverslips were incubated in the absence (Co) or in the presence of PQ (10 lM) in the indicated medium for 24 h. Cells were fixed and

    immunostained for the detection of active caspase-3 (green fluorescence) and nuclear chromatin condensation (Hoechst 33324, blue fluorescence). Representative

    microphotographs are depicted in (C), and the frequency of the measured changes is analyzed in (D) (*p < 0.05 compared with control). (E) Effect of the caspase

    inhibitor Z-VAD-fmk on cell killing. Cells were cultured in the absence or presence of nutrients, PQ 10lM and/or Z-VAD-fmk 50lM for 24 h, and the frequency of

    cells with high Annexin-V fluorescein isothiocyanate (FITC) or PI incorporation was determined as in Figure 1A (*p < 0.05 compared with PQ treatment without

    Z-VAD-fmk).

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    peroxidation) and destroy organelles subsequently leading to

    cell death (Dodge, 1971). In this sense, several studies have

    suggested the involvement of ROS in the toxicity induced by

    PQ, including studies in vitro in several cell lines as in human

    lung epithelial cells (Cappelletti et al., 1998) or in cerebellar

    granule cells (Bus et al., 1984; Gonzalez-Polo et al., 2004),

    as well as studies in vivo (Mollace et al., 2003). In our study, weshowed that exposure to low concentrations of PQ (10lM) for

    24 h caused an increase of intracellular levels of ROS in human

    neuroblastoma SH-SY5Y cells (as measured by the oxidation

    of the nonfluorescent dye HE into its fluorescent product

    ethidium [Eth]) (Fig. 3). This production was enhanced when

    the cells were treated with a combination of nutrient depletion

    conditions and PQ. The ROS generation was abolished in

    the presence of several antioxidants as N-acetylcysteine as well

    as the ROS scavenger vitamin E (a-tocopherol) (data not

    shown).

    The Treatment of SH-SY5Y Neuroblastoma Cells with

    Low Concentrations of PQ Produces Characteristics

    of Autophagy

    It has been described that autophagy is a cellular response to

    extracellular (nutrient deprivation, hypoxia) and intracellular

    stress conditions (accumulation of damaged organelles and

    cytoplasmic components). This phenomenon is characterized

    morphologically by the accumulation of AVs in the cytoplasm.

    We have tested in our model that, in NF medium, that is, in the

    absence of serum and amino acids, as well as in CM, control

    cells did not develop any discernible vacuoles, while cells

    treated with PQ 10lM exhibited an increase in cytoplasmic

    vacuolization visible as holes in CMFDA-stained cells of

    a time-dependent way (Figs. 4A and 4B). Moreover, these

    vacuoles induced in the presence of PQ showed, clearly, thecharacteristic double membranes of AVs as visible by trans-

    mission electron microscopy (Fig. 4C). Figures 4A and 4C

    show images in CM conditions. Microphotographs in NF

    conditions are equivalents (data not shown).

    Similarly, after treatment of serum and amino acid starva-

    tion, 10lM of PQ induced the recruitment of a LC3-GFP fusion

    protein to AV in discrete foci (Kabeya et al., 2000; Mizushima

    2004) (Figs. 5A and 5B). In agreement with the microscopic

    observations, we detected by Western blotting the accumula-

    tion of the autophagosome marker LC3-II (Boya et al., 2005;

    Kabeya et al., 2000) both in CM (Fig. 5C) and under the

    conditions of starvation (data not shown) in SH-SY5Y treated

    with PQ 10lM. Furthermore, as compared to the prototypicautophagy inhibitor 3-MA, PQ (10lM) induced the autophagy

    (as determined by quantifying the turnover of proteins in

    starved cells) as shown in Figure 6A. In this sense, exposure of

    human neuroblastoma cells with 10lM of PQ produced

    a marked decrease in the phosphorylation (Ser2448) status of

    mTOR (Figs. 6B and 6C), protein involved in the autophagy

    signaling, with a maximal effect after 30 min of herbicide

    exposure in CM (Fig. 6B). In starved cells incubated with PQ,

    the activation of phosphorylated mTOR was invaluable to all

    the tested times (Fig. 6C).

    The Inhibition of PQ-Induced Autophagy Accelerates

    the Apoptotic Cell Death in SH-SY5Y Cells

    We investigated the possible connection between the accu-

    mulation of autophagic phenomenon and the apoptotic cell

    death induced by PQ in SH-SY5Y cells. The morphological

    analysis (Figure 7A) showed that the prototypic autophagy

    inhibitor 3-MA inhibited the PQ-induced autophagic vacuoli-

    zation as well as protein degradation, already previously

    mentioned in Figure 6A. Moreover, cytofluorometric quantifi-

    cation revealed that a significant fraction of cells treated with

    3-MA and/or PQ lost the capacity to retain the dye DiOC6(3)

    and hence dissipated the mitochondrial transmembrane poten-

    tial (Dwm). Among this Dwm low population, a fraction of cells

    incorporated the vital dye PI and thus lost the barrier function

    of their plasma membrane (Fig. 7B). This event was more

    evident in combination of 3-MA and the herbicide PQ. In the

    same way, the caspase-3 activation, as measured by Western

    blot detection of 17-kDa fragment (Fig. 7C), was more

    increased with PQ and 3-MA together that each one separately.

    Therefore, the combination of these results clearly suggests

    that the inhibition of PQ-induced autophagy accelerates the

    apoptotic cell death in SH-SY5Y cells.

    FIG. 3. PQ-induced formation of superoxide. SH-SY5Y cells were

    incubated in the indicated medium, CM or NF, in the absence (Co) or in the

    presence of PQ (10lM) for 24 h followed by quantitation of the frequency of

    cells that exhibit oxidation of HE into the fluorescent Eth. All results are

    representative of at least three independent determinations. Numbers in FACS

    diagrams refer to the percentage of cells that exhibit oxidation of HE into the

    fluorescent Eth.

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    DISCUSSION

    Several studies have shown the possibility that environmen-

    tal neurotoxicants such as pesticides may be related to the

    development of nongenetic PD (Cory-Slechta et al., 2005;

    Landrigan et al., 2005; Norris et al., 2004; Ritz et al., 2000;

    Sherer et al., 2001). PQ is one of the possible pesticides

    involved in PD genesis because of the similar chemical

    FIG. 4. PQ induces accumulation of AVs. (A, B) SH-SY5Y cells were cultured in CM or NF in the presence of PQ 10lM the times indicated. The presence of

    cytoplasmic vacuoles was determined by staining with CFMDA as indicated in Materials and Methods section. Cytoplasmic vacuoles are visualized as holes.

    Representative microphotographs in CM are depicted in (A), and the percentage of vacuolated cell area is analyzed in (B) (error bars are SE n 3).

    (C) Ultrastructure of PQ-treated SH-SY5Y cells. The cells were treated as in (A). Electron microscopy of representative cells are shown.

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    structure to the dopaminergic neurotoxicant MPP and the

    strong correlation between the incidence of the disease and the

    amount of PQ used (Ritz et al., 2000). In the present study we

    report, for the first time, that low concentrations of PQ induce

    molecular events compatible with autophagy in neuroblastomaSH-SY5Y cells. We also show that the inhibition of autophagy

    exacerbates PQ-induced apoptosis.

    The human dopaminergic cell line SH-SY5Y, which has

    many qualities of nervous system neurons, was used as target

    neuronal cells. First, we confirmed that PQ induced neurotox-

    icity in SH-SY5Y cells in a dose-dependent manner both in

    CM and in starvation conditions (Fig. 1). This result was

    similar to the results reported by Gonzalez-Polo et al. (2004)

    and Yang et al. (2005). Our group found that PQ induced dose-

    dependent cell death and apoptosis in SH-SY5Y cells within

    a period of 24 h. PQ is a well-known oxidative-stress inducer

    (Gonzalez-Polo et al., 2004; Mollace et al., 2003), so most of

    the reports about it are focused on ROS production. In this

    sense, we show in our study that low concentrations of PQ

    (10lM) induce a robust ROS generation (Fig. 3), which is more

    evident in NF conditions. However, the major finding of this

    study is that low PQ concentrations produce characteristics of

    autophagy.

    Autophagy was described for the first time by Schweichel

    et al. (1973). It is characterized by the appearance of numerous

    cytoplasmic AVs of lysosomal origin, followed by mitochon-

    drial dilation and enlargement of the endoplasmic reticulum

    and the Golgi apparatus. Dysfunction of cellular degradation

    has been implicated in PD pathogenesis. Macroautophagy is

    the primary mechanism of degrading long-lived proteins and

    damaged organelles. The autophagic process begins with the

    remodeling of subcellular membranes into double-membranevesicles that sequester cytoplasm and organelles in AVs. These

    vacuoles are fused with the lysosome to form the autophago-

    lysosome. The content of the autophagolysosome are ulti-

    mately degraded by lysosomal degradative enzymes (Klionsky

    et al., 2000). The electron microscopy images in Figure 4 show

    that PQ induces the accumulation of double-membrane AVs in

    the cytoplasm. This event is accompanied by other autophagic

    characteristics as accumulation of the autophagosome marker

    LC3-II (Fig. 5) or protein degradation regulated negatively by

    the mTOR kinase signaling (Fig. 6). In this sense, it has been

    demonstrated that the inactivation of mTOR in yeast or

    mammalian cells leads to induction of autophagy, even in

    nutrient-rich medium, indicating that mTOR negatively con-

    trols starvation-induced autophagy (Blommaart et al., 1995).

    So, under unfavorable conditions, mTOR is inactive, leading to

    a reduction in protein synthesis and an upregulation of protein

    degradation (Dennis et al., 1999). Thus, we report here that PQ

    is involved in the control of autophagy in neuroblastoma

    SH-SY5Y cells. So, one possibility is that the cell treated with

    PQ triggers autophagy as a defense mechanism to degrade the

    oxidized proteins by ROS and damaged or dysfunctional

    cytoplasmic components.

    FIG. 5. Effect of PQ on the subcellular localization and status of the AV marker LC3. (A, B) Redistribution of LC3-GFP. The cells were transfected with an

    LC3-GFP fusion construct as indicated in Materials and Methods section. Twenty-four hours after transient transfection, cells were incubated in the indicated

    medium, CM or NF, treated in the absence (Co) or presence of PQ 10lM for 15 h and fixed. Representative fluorescence microphotographs are shown in (A), and

    the frequency of cells exhibiting the accumulation of LC3-GFP in vacuoles was quantified (*p < 0.05 compared with control) in (B). (C) Immunoblot analyses of

    accumulating LC3-II protein in cells treated with PQ 10lM the indicated times. Actin expression was determined as a loading control in the same conditions. Blots

    are representative of at least three independent experiments.

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    The pesticide induced, in the first place, the morphological

    appearance of autophagy (Figs. 46). But finally the cells

    succumbed in morphological and biochemical changes that are

    typical of apoptotic cell death, as phosphatidylserine exposure

    (Fig. 1), Dwm dissipation (Fig. 7), caspase-3 activation (Fig. 2),

    and chromatin condensation (Fig. 2). Interestingly, inhibition

    of caspases retarded cell death (Fig. 2), yet had no influence on

    autophagic vacuolization (data not shown). In this sense, there

    is some controversy in the bibliography regarding the precise

    role that autophagy might play in programed cell death. There

    are many reports describing situations in which autophagy

    activation accompanies apoptosis, but there are also cases in

    which autophagy enhancement leads to cell death in the

    absence of caspase activation (Bursch et al., 1996; Butler

    et al., 2000; Chi et al., 1999; Xiang et al., 1996). Moreover,

    autophagic cell death has been described in association with

    several neurodegenerative diseases, including PD (Anglade

    et al., 1997; Marino et al., 2004; Petersen et al., 2001).

    Increased levels of autophagy were observed in neuronal cell

    lines expressing mutant proteins associated with such diseases.

    Expression of PD-associated A53T, but not wild-type,

    a-synuclein in PC12 cells induced massive AV formation

    (Stefanis et al., 2001). In addition, dopaminergic neurons with

    AVs have been observed in the substantia nigra of PD patients,

    along with neurons displaying apoptotic features (Anglade

    et al., 1997). However, the functional consequence of increased

    autophagic activity for neurodegeneration is not clear but has

    been suggested that excessive autophagy may directly lead to

    neuronal cell death (Yuan et al., 2003).

    In the literature, concentrations of high micromolar or

    millimolar range of PQ are normally used to study its

    neurotoxicity and apoptosis induction (Gonzalez-Polo et al.,

    2004; Kim et al., 2004; Peng et al., 2004). The evidence that

    PQ triggers apoptotic cell death has been demonstrated in other

    cellular models, as in human lung epithelial cells (Cappelletti

    et al., 1998) as well as in PC12 cells (Li et al., 1999). Our

    experiments show that PQ induces apoptosis in SH-SY5Y cells

    at low concentrations (10lM) at the same concentrations that

    FIG. 6. Study of the protein degradation and changes of mTOR phosphorylation in the PQ-mediated neurotoxicity. (A) The protein half-life was determined by

    pulse chasing with radioactive valine as indicated in Materials and Methods section. The cells were incubated in CM or NF and treated with PQ 10lM in the

    presence or absence of 3-MA 10mM for 6 h. *p < 0.05 compared with control. (B, C) mTOR dephosphorylation induced by PQ. The SH-SY5Y cells were

    incubated with 10lM of PQ the indicated times in CM (B) or in NF medium (C). Cell lysates were analyzed for mTOR activation by Western blotting using

    a phospho-specific mTOR (ser2448) antibody as indicated in Materials and Methods section. Actin expression was determined as a loading control in the same

    conditions. Blots are representative of at least three independent experiments.

    PARAQUAT INDUCES AUTOPHAGY 455

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    produces autophagic events. These low concentrations are not

    normally used in the PQ toxicity study, and nobody in the

    present has described evidences that relate PQ-induced apo-

    ptosis and autophagy.

    In our study, we have shown for the first time that PQ

    initially induces a morphological appearance of autophagy but

    it finally succumbed to a typical apoptotic cell death caspase

    dependent. Hereby, we demonstrated that, with the prototypic

    autophagy inhibitor 3-MA 10mM, not only the vacuoles

    formation and the protein degradation induced by PQ are

    inhibited but also the apoptotic cell death was accelerated and

    the caspase-3 activation increased. In this regard, recent studies

    (Boya et al., 2005; Gonzalez-Polo et al., 2005a) already have

    demonstrated that the inhibition of autophagy triggers apopto-

    sis, so in this case autophagy would be considered as a defense

    mechanism and not as a type of cell death; moreover, recent

    evidence (Kiffin et al., 2006) supports a protective role of the

    lysosomal system, which can eliminate altered intracellular

    components through autophagy, at least in the first stages of

    oxidative injury. So, we suggest that the early activation of

    autophagy induced by low concentrations of PQ in neuroblas-

    toma SH-SY5Y can be attributed to the cell response like

    FIG. 7. Inhibition of PQ-induced autophagy accelerates the apoptotic cell death. (A, B) 3-MA inhibits the cytoplasmic vacuolization induced by PQ. The

    human neuroblastoma SH-SY5Y cells were cultured in CM or NF and treated with PQ 10lM in the presence or absence of 3-MA 10mM for 24 h. The cells then

    were stained with CFMDA and fixed to visualize the presence of cytoplasmatic vacuoles as holes. Representative microphotographs in CM are depicted in A, and

    the percentage of vacuolated cell area is analyzed in B (*p < 0.05 compared with PQ-treated cells without 3-MA). (C) Quantitative assessment of synergic cell

    death induction. Cells cultured in CM or NF in the presence or absence of 3-MA 10mM and/or PQ 10lM for 24 h were stained to determine the loss of

    mitochondrial transmembrane potential (with DiOC6(3)) and viability (with PI). *p < 0.05 compared with PQ-treated cells without 3-MA. (D) Synergic caspase-3

    activation induced in combination of PQ and 3-MA treatment. Activation of caspase-3 was determined by Western blot as indicated in Materials and Methods

    section. Actin expression was determined as a loading control. Cells were incubated in complete medium for 24 h with 10lM of PQ in the presence or absence of

    3-MA 10mM. Blot is representative of at least three independent experiments.

    456 GONZALEZ-POLO ET AL.

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    a defense mechanism against the rapid oxidative stress induced

    after PQ exposure. Our results indicated that the systems of

    defense of the cell seemed not to be sufficient because the cell

    finally succumbed to the apoptotic cell death. In addition, we

    have seen for the first time in our study that when we inhibited

    PQ-induced autophagy in presence of 3-MA, we accelerated

    the apoptotic death process.In conclusion, our results help to suggest PQ neurotoxicity as

    an emerging PD model system. This study also provides new

    molecular bases for the knowledge of the relationship between

    autophagy and the cell response to stress and apoptosis cell

    death. However, further studies are required to elucidate the

    exact mechanism involved in PQ-induced autophagy and its

    relation with neuronal cell death.

    ACKNOWLEDGMENTS

    Supported by grants 2PR04B002, 2PR06B124, and 3PR05C015 (Junta de

    Extremadura, Spain) and PI040828 (Fondo de Investigacion Sanitaria,Ministeriode Sanidad y Consumo, Spain). R.A.G.P. was supported by the Junta de

    Extremadura re-incorporation fellowship. M.N.S. was supported by the Valhon-

    do-Calaff Foundation fellowship. M.A.O. was supported by the Junta of

    Extremadura predoctoral fellowship. The authors wouldlike to thankP. Delgado,

    R. Tarazona, and V. Llorente Vera for their invaluable technical assistance. We

    also thank Dr Guido Kroemer (Institute Gustave Roussy, Villejuif, France) and

    Tamotsu Yoshimori (National Instituteof Genetics,Mishima,Japan) for regeants.

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