Originally published In Press as doi:10.1074/jbc.M108530200 on February 1, 2002
J. Biol. Chem., Vol. 277, Issue 16, 13693-13699, April 19, 2002
Antiapoptotic Activity of the Free Caspase Recruitment
Domain of Procaspase-9
A NOVEL ENDOGENOUS RESCUE PATHWAY IN CELL DEATH*
Anastasis
Stephanou
§,
Tiziano M.
Scarabelli
,
Richard A.
Knight¶, and
David S.
Latchman
From the
Medical Molecular Biology Unit, Institute of
Child Health, University College London, 30 Guilford Street, London
WC1N 1EH, United Kingdom and the ¶ National Heart and Lung
Institute, Royal Brompton Hospital, London SW3 6LR, United
Kingdom
Received for publication, September 5, 2001, and in revised form, January 18, 2002
 |
ABSTRACT |
Mitochondrial injury initiates proteolytic
processing of procaspase-9 into the large and small subunits, leading
to apoptotic cell death. Here we show that the free caspase recruitment
domain (CARD) released by procaspase-9 processing activates
nuclear factor
B expression. A procaspase-9 construct with a point
mutation that abrogates the release of the CARD abolished nuclear
factor
B activation. Most importantly, the free CARD is shown to
enhance the expression of the gene encoding the antiapoptotic Bcl-x
protein and to strongly inhibit apoptosis. This is the first
demonstration that different domains of the same caspase protein have
proapoptotic and antiapoptotic effects and suggests that the relative
effects of these domains are important in regulating the balance
between death and survival.
 |
INTRODUCTION |
The response to many apoptotic stimuli is initiated by
mitochondrial release of cytochrome c, which, together with
Apaf-1 and ATP, facilitates the processing and activation of
procaspase-9. Integral to this and the formation of the apoptosome is
the association between Apaf-1 and procaspase-9 mediated by interaction
between the respective CARDs1
of the two proteins (1, 2). Recent studies have shown that X-linked
inhibitor of apoptosis binds to processed caspase-9 but not the
unprocessed zymogen and inhibits caspase-9 enzymatic activity (3). This
forms one mechanism whereby an injured cell can protect itself from
apoptosis. However, release of another mitochondrial protein,
Smac/DIABLO, displaces active X-linked inhibitor of apoptosis from
caspase-9 and leads to downstream caspase activation (4). Further
procaspase-9 processing by caspase-3 also leads to the removal of the
N-terminal CARD by cleavage at position Asp130 (5).
The CARD proteins were first identified as peptide modules present in
the prodomains of upstream caspases and adaptor molecules such as
procaspase-9, Apaf-1, and RAIDD, which were shown to be important in protein-protein interactions (6). CARD-CARD interactions are generally accepted to be very selective between binding partners in
mediating intracellular signaling pathways such as caspase activation.
More recently, CARD-containing proteins have been shown to mediate
NF-
B activation. For example, CARD-4 (NOD1), an Apaf-1-like protein,
interacts with procaspase-9 and RICK, a CARD-containing serine
threonine kinase and upstream activator of NF-
B-inducing kinase and
I
B kinase (IKK
and IKK
), resulting in NF-
B activation (7,
8). Like CARD-4, Bcl-10, the cellular homologue of the equine
herpesvirus E10 protein (9, 10), induces both apoptosis and NF-
B
activation. In contrast, the truncated tumor-derived Bcl-10 mutant is
unable to induce cell death but is still able to activate NF-
B via
its CARD (10).
In unstimulated cells, NF-
B is found sequestered in the cytoplasm
through interaction with the inhibitory I
B protein. Phosphorylation of I
B by IKKs leads to proteasomal degradation, thereby relieving the inhibitory effect of I
B, leading to translocation of NF-
B to
the nucleus to activate NF-
B-responsive genes. Very little is known
about NF-
B regulation by the CARD proteins Apaf-1 and procaspase-9,
which form the apoptosome after mitochondrial injury. Hence, in this
study we have tested whether these two proteins, which mediate the
activation of the caspase cascade leading to apoptosis, may also
activate NF-
B and have an effect on apoptosis independent of
proteolysis by active caspase-9. We show for the first time that the
free CARD of caspase-9, released by proteolytic cleavage, activates
NF-
B and has an antiapoptotic effect.
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EXPERIMENTAL PROCEDURES |
Plasmid Constructs and Transfection--
Expression vectors
containing various caspase-9 subunits were constructed by
PCR using the following primers: caspase-9 long/small, P1
(GGATCCATGCCCAGACCAGTGGACATTGG) and P2
(GGTCTAGATTATGATGTTTTAAAGAAAAGG); caspase-9 large subunit, P1 and P3
(GCGGCCGCCCCACCACA GGCCTGGATGACC); and caspase-9 small subunit, P5
(GGATCCATGGAGCAGAAAGACCATGGG) and P2. All cDNAs were cloned
into the expression vector pFLAG-CMV2 (Kodak). The CARD of procaspase-9
was constructed by removing the large and small subunits of procaspase-9 by restriction endonuclease digestion of pCMVdw-Caspase-9
with BstXI and EcoRI. The mutant procaspase-9 in
which the aspartic acid residue was changed to an alanine at position
130 was constructed using the QuickChange Site-Directed Mutagenesis Kit
(Stratagene) using the following primers: P6
(CCCAGAGGAGTGGCCATTGGTTCTGG) and P7 (CCAGAACCAATGCCCACTCCTCTGGG). The
CARD of Apaf-1 (position 581 to 844) was constructed by PCR using the
following primers: P8 (GGATGCAAAA GCTCGAAATTGG) and P2 (GGACGAAAGAGACAACAGGAATGCC).
cDNAs expressing various caspase-9 subunits were constructed by PCR
using the following primers: caspase-9 large/small subunit, P1
(GGATCCATGCCCAGACCAGTGGACATTGG) and P2 (GGTCTAGATTATGATGTTTTAAAGAAAAG); caspase-9 large subunit, P1 and P3 (GCGGCCGCCCCACCACAGGCCTGGATGCC); and
caspase-9 small subunit, P5 (GGATCCATGGAGCAGAAAGACCATGGG) and P2. All
cDNAs were cloned into the expression vector pFLAG-CMV2 (Kodak).
The CARD of procaspase-9 was constructed by removing the large and
small subunits of procaspase-9 by restriction endonuclease digestion of
pCMVdw-Caspase-9 with BstXI and EcoRI. The mutant procaspase-9 in which the aspartic acid residue was change to an
alanine at position 130 (D130A) was constructed using the QuickChange Site-Directed Mutagenesis Kit (Stratagene) using the following primers:
P1 (CCCAGAGGAGTGGCCATTGGTTCTGG) and P2 (CCAGAACCAATGCCCACTCCTCTGGG). The CARD of Apaf-1 (position 581 to 844) was constructed by PCR using
the following primers: P1 (GGATGCAAAAGCTCGAAATTG) and P2 (GGACGAAAGAGACAACAGGAATGCC). Stable inducible expression vectors of caspase-9s or the CARD of procaspase-9 were constructed using the
Tet-Off vector pBGI plasmid (CLONTECH).
Transfection of reporter constructs (NF-
B-luciferase and
Gal4-luciferase Bcl-x-luciferase) was performed by the calcium
phosphate method in the ND7 neuronal cell line.
Cell Culture and Transfection--
The ND7 neuronal cell line
was maintained in L-15 medium (Invitrogen) with 10% fetal bovine serum
and 5 mM L-glutamine. Murine embryonic
fibroblasts (MEFs) from wild-type (MEF+/+) or caspase-9-deficient cells
(MEF
/
) were maintained in Dulbecco's modified Eagle's medium
(Invitrogen) with 10% fetal bovine serum. Cells were grown at 37 °C
with 5% CO2. Stable inducible expression vectors of
caspase-9s or the CARD of procaspase-9 were constructed using the
Tet-Off vector pBGI plasmid (CLONTECH) in ND7
cells, and clones were selected in the presence of neomycin. Because
the pBGI construct also expressed the
-galactosidase gene, clonal
cells expressing caspase-9s and the CARD will also be
-galactosidase-positive after the removal of doxycycline (250 ng/ml). ND7 or MEF cells were treated with 100 nM
staurosporine (Sigma) or exposed to simulated ischemia in ischemic
buffer (137 mM NaCl, 12 mM KCl, 0.49 mM MgCl2, 0.9 mM
CaCl2H2O, 4 mM HEPES, 20 mM sodium lactate, and 10 mM deoxyglucose, pH
6.2 (Sigma)), and the cells were incubated at 37 °C in an ischemic chamber for 2 h in an atmosphere of 0% oxygen, 5%
CO2, balance gas argon (BOC gases).
Transfection of reporter constructs (NF-
B-luciferase,
Gal4-luciferase Bcl-x-luciferase) was performed by the calcium
phosphate method in the ND7 neuronal cell line.
Band Shift Assays--
Cell extracts were prepared for band
shift assay from ND7 cells treated with 100 nM
staurosporine (Sigma) for 4 h. In separate experiments, cells were
also pretreated with cucumin (Sigma) or transfected with the
dominant negative expression vector for IKK (dn-IKK). A NF-
B DNA
probe (Santa Cruz Biotechnology, Inc.) was incubated for 30 min. In
some assays, an antibody to p65 or a nonspecific antibody was incubated
with the cell extracts before adding the DNA probe. Samples were then
run on a 4% non-SDS-polyacrylamide gel, dried, and exposed for autoradiography.
Western Blotting--
ND7 cells were exposed for 4 h in a
hypoxic chamber and then returned to a normoxic environment for an
additional 16 h or serum-starved for 16 h. In a separate
experiment, ND7 cells were also exposed to staurosporine (100 nM) for 16 h. Approximately 1 × 106
cells were harvested in 100 µl of 2× concentrated SDS-PAGE sample buffer. Samples were then electrophoresed on an 8% SDS-polyacrylamide gel, transferred to nitrocellulose filters, and subjected to Western blotting with specific antibodies against Bcl-xL, actin, or
caspase-9 (Santa Cruz Biotechnology, Inc.).
Assessing Apoptosis--
Cytoprotective effects of caspase-9s or
procaspase-9 CARD after exposure to various stressful stimuli were
assessed by the terminal deoxynucleotidyl transferase-mediated nick end
labeling method in the ND7 stable cell lines. After exposure to hypoxia in a hypoxic chamber or serum starvation, cells were fixed in 0.5%
glutaraldehyde and stained with 5-bromo-4-chloro-3-indolyl
-D-galactopyranoside to test for
-galactosidase
activity. Terminal deoxynucleotidyl transferase-mediated nick end
labeling assays were also performed on the fixed cells. The percentage
of apoptotic cells was determined by calculating the fraction of cells
positive for both
-galactosidase and terminal deoxynucleotidyl
transferase-mediated nick end labeling.
Caspase Activity--
Caspase-9 (LEHD) and caspase-3
(DEVD) cleavage activity was measured by the colorimetric assay
according to the directions of the manufacturer (Calbiochem). Cell
lysates were obtained from 1 × 106 cells after 4 h of staurosporine (100 nM) treatment. In some experiments,
cells were pretreated with a caspase-9 chemical inhibitor (LEHD-CHO, 25 µM), a caspase-8 chemical inhibitor (IETD-CHO, 25 µM), or a caspase-1 chemical inhibitor (YVAD-CHO, 25 µM; Calbiochem).
 |
RESULTS |
Procaspase-9 Processing Activates NF-
B Promoter
Activity--
To study whether procaspase-9 processing is able to
mediate NF-
B activation, we examined the effect of staurosporine, a
well-known inducer of procaspase-9 processing. As shown in Fig.
1A, staurosporine treatment of the neuronal cell line ND7 transfected with a NF-
B reporter construct resulted in the enhancement of NF-
B activity. To
demonstrate that the enhancement of NF-
B activity is associated with
DNA binding, we performed band shift assays with a specific NF-
B DNA
probe. As shown in Fig. 1B, ND7 cells treated with
staurosporine produced a specific band that could be abolished by
pretreatment of ND7 cells with the NF-
B chemical inhibitor cucumin
or by overexpression of the dominant negative IKK vector. In addition,
cell extract incubated with an antibody to p65 also abolished the
specific band, but this was not observed with a nonspecific antibody
(rabbit serum). As expected, staurosporine also resulted in an increase in procaspase-9 and caspase-3 enzyme activity as assessed by LEHD and
DEVD cleavage, respectively (Fig. 1C).

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Fig. 1.
Staurosporine (ST) (100 nM) causes procaspase-9 activation and
NF- B transactivation. A,
treatment of ND7 cells with 100 nM ST causes enhancement of
NF- B activation as assessed from an NF- B reporter construct.
Pretreatment with a broad caspase inhibitor (zVAD) or a
specific caspase-9 chemical inhibitor (LEHD), but not a
caspase-8 (IETD) or a caspase-1 (YVAD) chemical
inhibitor, reduced NF- B activation after ST treatment. The data
represent the means ± S.E. of three independent experiments.
B, band shift assay using cell extracts from ND7 cells
treated with 100 nM staurosporine for 4 h, pretreated
with 100 nM curcumine (Cu), or transfected with
the dominant negative expression vector for IKK (dn-IKK). Also, an
antibody to p65 (anti p65) or a nonspecific antibody
(anti NS) was incubated with the cell extracts before the
addition of the DNA probe. C, ST treatment also caused
an increase in caspase-9 and caspase-3 enzymatic activity as measured
by Ac-LEHD and Ac-DEVD cleavage activity, respectively. The caspase-9
(LEHD) and zVAD chemical inhibitors also reduced enzymatic activity
after ST treatment. D, ST also resulted in procaspase-9
processing as determined by Western blotting.
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A broad caspase inhibitor (zVAD) or a specific caspase-9 chemical
inhibitor (LEHD-CHO), but not a chemical inhibitor of caspase-8 (IETD-CHO) or caspase-1 (YVAD-CHO), abrogated NF-
B activation (Fig.
1A) and procaspase-9 enzymatic activity (Fig. 1C)
after staurosporine treatment. In addition, procaspase-9 processing into its p37 and p12 subunits was also confirmed after staurosporine treatment (Fig. 1D). Although it has been suggested that
some caspase inhibitors are somewhat promiscuous, we have used the concentration of the caspase-9 chemical inhibitor LEHD-CHO that has
been reported to be specific for inhibiting caspase processing (11).
These results demonstrate that procaspase-9 processing is able to
mediate NF-
B activation.
The Free CARD of Procaspase-9 Mediates NF-
B and Gal4-p65
Transactivation--
To understand the relationship of procaspase-9
processing and NF-
B activity, we examined the effects of
co-transfecting different subunits of procaspase-9 (Fig.
2A) with the NF-
B reporter
construct. As shown in Fig. 2b, overexpression of
procaspase-9 alone had no effect on NF-
B activity. However,
overexpression of procaspase-9 plus staurosporine treatment resulted in
enhanced NF-
B activation. Caspase-9 constructs expressing the large
plus small subunit or the large or small subunit alone had no effect on
enhancing NF-
B activity after staurosporine treatment compared with
staurosporine treatment alone. However, a construct expressing the
isolated CARD of procaspase-9 enhanced NF-
B activity without
staurosporine treatment. Interestingly, overexpression of an Apaf-1
construct together with procaspase-9 enhanced NF-
B activation to a
level greater than that of procaspase-9 alone in staurosporine-treated cells. Constructs expressing full-length Apaf-1 or the isolated CARD of
Apaf-1 had no effect in promoting NF-
B activation in the absence of
procaspase-9 (Fig. 2B).

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Fig. 2.
The CARD of procaspase-9 is essential for
NF- B activation. A,
representation of full-length and various subunits of procaspase-9 and
full-length caspase-9s. B, ND7 cells were transfected
with the NF- B reporter together with the following constructs:
full-length procaspase-9 (C-9), large plus small subunit
(C-9 L/S), small subunit (C-9 SS), CARD of
procaspase-9 (C-9 CARD), caspase-9s
(C9s), Apaf-1, or the CARD of Apaf-1 (Apaf-1
CARD) and assessed for NF- B activation. The data represent the
means ± S.E. of three independent experiments. C,
endogenous expression of caspase-9 is required for maximal NF- B
activation. Caspase-9 wild-type MEF+/+ and caspase-9-deficient MEF /
cells were transfected with control vector (C) or caspase-9
wild type (C9) or mutant caspase-9 D130A (C9D/A)
together with the NF- B reporter construct and effect left untreated
or exposed to staurosporine (St; 100 nM) for
4 h or ischemia (Isch) for 2 h. The data represent
the means ± S.E. of three independent experiments.
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These data reveal that procaspase-9 processing mediates NF-
B
activation, which is specifically dependent on the CARD of procaspase-9 but is also modulated by Apaf-1, presumably by increasing the level of
procaspase-9 processing within the apoptosome complex. Most
importantly, activation of NF-
B is dependent on the CARD released by
caspase-9 processing because such activation is observed even in the
absence of staurosporine with only the isolated CARD. This effect is
specific for the isolated CARD of caspase-9 but not for the the
isolated CARD of Apaf-1, thus indicating that it is unlikely to be the
result of nonphysiological aggregation or nonspecific stress after
overexpression of the different factors in ND7 cells.
Having established the effect of caspase-9 on NF-
B activation in
transfected cells, we wished to test whether these effects would also
be observed in untransfected cells and determine whether endogenous
caspase-9 is necessary for NF-
B activation in response to stimuli
known to promote procaspase-9 processing. To do this, we compared the
responses in wild- type (MEF C9+/+) or caspase-9-deficient cells (MEF
C9
/
) obtained from knockout mice lacking caspase-9. As shown
in Fig. 2C, treatment of MEF C9+/+ cells with
staurosporine enhanced NF-
B activity by ~4-fold (p < 0.05; compare the left two bars in the left
panel of Fig. 2C). However, staurosporine treatment of
MEF C9
/
cells did not result in any increase in activity
(p > 0.10). Moreover, transfection of a caspase-9
expression vector plus staurosporine treatment enhanced NF-
B
activity to a greater extent than treatment with staurosporine alone in
MEF C9+/+ cells (p < 0.05). However, reintroducing
wild-type but not the uncleavable procaspase-9 D130A mutant back into
MEF C9
/
cells plus staurosporine treatment restored the
enhancement of NF-
B activity (p < 0.05). Similar
results were also obtained when MEF C9+/+ or MEF C9
/
cells were
exposed to simulated ischemia/reperfusion, a physiological stimulus
known to promote caspase-9 processing (12). Thus, these results
indicate that the effect we observed occurred in untransfected cells as
well as in cells overexpressing caspase-9 and that endogenous caspase-9
processing is required for maximal NF-
B activity.
The p65 subunit of NF-
B has been well documented to be important in
mediating the transcriptional effects after cellular signaling, which
activates NF-
B (13). Therefore we also assessed whether the effects
of procaspase-9 on NF-
B activation are mediated via protein-protein
interaction of the CARD and the p65 subunit using a mammalian
one-hybrid assay. The p65 subunit (amino acids 1-551) was fused with
the heterologous Gal4 DNA-binding domain and transfected into ND7 cells
together with a Gal4 reporter construct. Cells were further transfected
with constructs expressing full-length procaspase-9 or the CARD of
procaspase-9, and the activity of the Gal4 reporter was assessed
without and with staurosporine treatment. As shown in Fig.
3A, staurosporine
stimulated the activity of the Gal4 reporter in cells transfected with
Gal4-p65 but had no effect on the isolated Gal4 DNA-binding domain.
Gal4 activity was enhanced further in cells transfected with both
Gal4-p65 and procaspase-9, but only in the presence of staurosporine to
induce caspase-9 processing. Moreover, enhanced Gal4 activity was
observed with the isolated CARD of procaspase-9 even in the absence of staurosporine (Fig. 3A). These data are further evidence
that procaspase-9 processing or the free CARD of caspase-9 is able to
mediate NF-
B activation via the p65 subunit.

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Fig. 3.
A, caspase processing interacts
with Gal4-p65 and activates Gal4 activity. ND7 cells were transfected
with a Gal4 reporter plus a Gal4-p65 construct together with
full-length procaspase-9 (C-9), large plus small subunit
(C-9 L/S), small subunit (C-9 SS), CARD,
caspase-9s (C9s), Apaf-1, or Apaf-1 CARD and assessed for
Gal4 acti- vation. The data represent the means ± S.E. of three
independent experiments. In all cases, Western blot analysis
(anti-FLAG) of the transfected cells indicated that each protein was
expressed to similar levels (data not shown). B, the
Asp130 residue is required for NF- B activation after
procaspase-9 processing. ND7 cells were transfected with the NF- B
reporter construct together with either wild-type procaspase-9
(C-9) or mutant procaspase-9 (C-9 130D/A), and
NF- B activity was assessed after ST treatment. C,
wild-type procaspase-9 (Casp9 wt) but not mutant D130A
procaspase-9 (Casp-9 mut) releases the CARD after
procaspase-9 processing. 35S-labeled in
vitro-translated wild-type or mutant procaspase-9 was incubated
with cytoplasmic extract from ND7 cells treated with (lanes
2, 3, 5, and 6) or without
(lanes 1 and 4) 100 nM staurosporine
to induce procaspase-9 processing. ND7 cells were also pretreated with
the caspase-3 chemical inhibitor (lanes 3 and 6).
Lane 7 is 35S-labeled in
vitro-translated CARD of procaspase-9.
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Because procaspase-9 requires processing to induce NF-
B activity, we
speculate that procaspase-9 processing liberates the CARD from the
large subunit and exposes the region that mediates NF-
B activation.
To test this further, we assessed the effect of the naturally occurring
alternatively spliced form of procaspase-9, caspase-9s, which has the
large catalytic subunit deleted but contains the CARD. Overexpression
of caspase-9s enhanced NF-
B activity as well as Gal4-p65 activity
directly, without a procaspase-9 processing stimulus (Figs.
2B and 3A). Hence, it is likely that the large
subunit is indeed suppressing endogenous CARD-mediated NF-
B
activation in intact procaspase-9.
Recently, it has been demonstrated that the site in procaspase-9 that
releases the CARD from the large subunit (Asp130) is
cleaved mainly by caspase-3 (5). This may explain our observation that
a caspase-9 chemical inhibitor (Fig. 1), which will inhibit activation
of caspase-3 by caspase-9, and a specific caspase-3 chemical inhibitor,
which will inhibit further caspase-9 processing by caspase-3, both
abrogated NF-
B activation. To test this further, we mutated the
aspartic acid residue at position 130 of caspase-9 to an alanine
(D130A) and tested this procaspase-9 mutant for its ability to induce
NF-
B activity after procaspase-9 processing stimulus. Cells
transfected with this mutant did not show NF-
B activity (Fig.
3B) or Gal4-p65 activity (data not shown) after
staurosporine treatment. Hence, these data demonstrate that the
Asp130 site is critical for the free CARD to be released
during procaspase-9 processing, leading to NF-
B activation.
To confirm that the procaspase-9 D130A mutant cannot be cleaved to free
the CARD after staurosporine treatment, we labeled in
vitro-translated wild-type and mutant procaspase-9 protein and
incubated these with cytoplasmic extracts from ND7 cells with or
without staurosporine. As shown in Fig. 3C, wild-type
procaspase-9 protein incubated with cytoplasmic extract from
staurosporine-treated cells resulted in the appearance of the expected
p35 fragment and also a p16 fragment (lane 2) that runs at a
similar position to the control expressed CARD protein of procaspase-9
(lane 7). The anticipated large (p22) and small (p12)
catalytic subunits were also produced with wild-type procaspase-9
protein incubated with cytoplasmic extracts from staurosporine-treated
cells (lane 2). In contrast, the p16 fragment was not
generated from mutant procaspase-9 incubated with cytoplasmic extract
from staurosporine-treated cells (lane 5). Furthermore,
pretreatment of cells with the caspase-3 chemical inhibitor also
abolished the appearance of the p16 CARD fragment from wild-type
procaspase-9 protein treated with staurosporine (Fig. 3C),
confirming that the CARD is indeed released by caspase-3 cleavage of
caspase-9 at the aspartic acid position (Asp130).
The CARD of Caspase-9 Activates the Bcl-x Promoter and Promotes
Cytoprotection--
Recently, the antiapoptotic Bcl-x gene has been
reported to be activated by NF-
B (14, 15). Therefore, we examined
whether NF-
B activity stimulated by caspase-9s or the isolated CARD
of procaspase-9 is able to activate the Bcl-x gene. As shown in Fig. 4A, overexpression of
caspase-9s or the CARD of procaspase-9 together with a Bcl-x reporter
construct resulted in the enhancement of Bcl-x promoter activity.
Co-transfection of a dominant negative IKK construct (which is known to
inhibit the activity of I
B kinase subunits) abrogated caspase-9s or
CARD enhancement of Bcl-x promoter activity. In addition, a chemical
inhibitor of IKKs, cucumin, also abrogated caspase-9s or CARD
enhancement of Bcl-x promoter activity (Fig. 4A).
Overexpression of procaspase-9 alone had no effect on Bcl-x promoter
activity. However, overexpression of procaspase-9 plus staurosporine
enhanced Bcl-x promoter activity, again demonstrating that procaspase-9
processing and release of the CARD mediate NF-
B activity (data not
shown). Analysis of the Bcl-x promoter revealed several putative
NF-
B binding sites. A truncated Bcl-x promoter construct lacking the
NF-
B binding sites did not respond to overexpression of either
caspase-9s, CARD, or procaspase-9 plus staurosporine (data not shown).
Hence, these results demonstrate that caspase-9 processing can result in the activation of an NF-
B-dependent promoter and that
these effects are dependent on the activation of NF-
B via the
upstream activator, IKK.

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Fig. 4.
Caspase-9s or the CARD of procaspase-9
enhances Bcl-x promoter activity via a
NF- B-dependent pathway.
A, ND7 cells were transfected with a Bcl-x promoter
reporter construct together with either a construct expressing
caspase-9s (C9s) or the CARD of procaspase-9
(C-9CARD) and a construct expressing dominant negative IKK
(dn-IKK) or pretreated with 100 nM curcumine
(Cu). Bcl-x promoter activity was assessed, and data
represent the means ± S.E. of three independent experiments.
B, conditional expression of the free CARD of
procaspase-9 induced Bcl-x expression and protected cells from
apoptosis. Stable ND7 cell clones conditionally expressing caspase-9s
(pBI-C9s), the CARD of procaspase-9 (pBI-CARD),
or a control vector (pBI-G) were induced by the removal of
doxycycline (Doxy) for 48 h and transfected with the
Bcl-x promoter reporter construct. The data represent the means ± S.E. of three independent experiments. C, Western blot
analysis of the effect of induced expression of caspase-9s
(pBI-C9s) or the CARD of procaspase-9 (pBI-CARD)
on expression of Bcl-x. D, effect of serum removal
(SR) or hypoxia (Hpx)-induced apoptosis in cells
induced to express the CARD of procaspase-9 after removal of
doxycycline (Doxy) for 48 h. The data represent the
means ± S.E. of three independent experiments. Cells were stained
for -galactosidase to confirm gene expression because the Tet-Off
vector contained a bidirectional CMV promoter driving expression of the
-galactosidase gene in one direction and the inserted gene in the
opposite direction. Removal of doxycycline for 48 h resulted in
>90% -galactosidase-positive cells (data not shown).
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To demonstrate these effects in a regulatable manner, we prepared
stable ND7 cell clones conditionally expressing caspase-9s or the CARD
of procaspase-9 using the tetracycline-regulated system (Tet-Off) (16).
Induction of caspase-9s or CARD expression resulted in the enhancement
of NF-
B (data not shown) and Bcl-x promoter activity (Fig.
4B) and also in the induction of Bcl-x protein (Fig.
4C), indicating that the endogenous gene was being activated in these cells.
In view of the enhanced Bcl-x expression, we next tested whether
inducible expression of the CARD of caspase-9 is able to enhance cell
survival by assessing the level of apoptotic cell death in our stable
inducible cell clone expressing the CARD. As shown in Fig.
4D, cells expressing the CARD of caspase-9 were more
resistant to apoptotic cell death than control clones after either
serum removal or exposure to hypoxia. Most importantly, the survival of
these clones was regulated by doxycline, and enhanced survival was
observed when expression of the CARD was induced by removal of doxycycline.
It is possible that the isolated CARD of caspase-9 or full-length
caspase-9s may be offering cytoprotection due to inhibition of
caspase-9 activation as a dominant negative by competing for Apaf-1 via
CARD-CARD interaction. However, we can rule this out by demonstrating
that the same effect can be observed with a mutant caspase-9s (R56A) in
which an arginine at position 56 was changed to an alanine (data not
shown). It has already been demonstrated that the Arg at position 56 is
required for procaspase-9 to interact with Apaf-1 for procaspase-9
processing (17). Thus, these results demonstrate that the CARD of
caspase-9s is able to induce the expression of Bcl-x and to enhance
cell survival independent of any possible effect as a dominant negative
to caspase-9.
 |
DISCUSSION |
Our data demonstrate that procaspase-9 processing, in addition to
the production of enzymatically active caspase-9, also releases the
CARD, which activates NF-
B, leading to increased expression of Bcl-x
and cytoprotection. Studies are under way to identify the factor(s)
that interacts with the caspase-9 CARD to mediate NF-
B activation.
One candidate adaptor protein is RICK, a CARD-containing serine
threonine kinase upstream activator of NF-
B-inducing kinase and IKK,
which is known to mediate NF-
B activation (7, 8). It has also been
reported that CARD-CARD interaction between Bcl-10 and another recently
described CARD-containing protein, CARD9, functions as an
oligomerization sequence that transduces the activation signal to IKK
(18). Hence, these studies strongly demonstrate that the CARD is a
critical domain in mediating protein-protein interactions and is known
to be present in proteins in the cell death and NF-
B activation pathway.
The mechanism by which the CARD of caspase-9 is able to transduce
NF-
B transactivation is not clear. However, the ability of the CARD
of caspase-9 to induce Gal4-p65 activity (Fig. 2C) also
suggests that the CARD of caspase-9 interacts with and modulates the
p65 subunit of NF-
B either directly or indirectly by recruiting other adaptor proteins. There is also evidence that another
CARD-containing protein major histocompatibility complex class II
transactivator, CIITA, requires the CARD for maximal transactivation of
major histocompatibility complex class II genes. Thus, the CARD of
CIITA serves as a regulatory domain for transcriptional activity (19). Therefore, it is possible that the released CARD of caspase-9, like the
CARD of CIITA, recognizes a CARD of an unidentified protein(s), possibly a transcription factor(s), that cooperates with the CARD complexes to enhance gene transactivation.
To our knowledge, this is the first demonstration that different
domains of the same caspase protein have antiapoptotic and proapoptotic
activities. NF-
B has also been shown to activate other antiapoptotic
genes, such as IAPs (20, 21), which inhibit caspase-9 enzymatic
activity (22, 23). However, the release of Smac/DIABLO from damaged
mitochondria displaces IAPs from caspase-9 and will therefore promote
further amplification and activation of the caspase cascade (4, 24).
This will result in further processing of procaspase-9 by caspase-3,
with the release of more CARD fragments and augmentation of the
CARD/NF-
B/Bcl-x protective loop (Fig.
5). Inhibition of caspase-9 by IAPs at
the level of the apoptosome is therefore likely to be short-lived,
whereas the activation of antiapoptotic genes by the released CARD of procaspase-9 would provide a longer-term rescue pathway. Both IAPs and
the free caspase-9 CARD/NF-
B/Bcl-x protective pathway therefore
provide opportunities for the cell to survive and potentially repair the initial effects of an apoptotic stimulus, suggesting that
apoptosis after caspase activation need not be inevitable. We also
have evidence that in cardiac myocytes exposed to short periods of
ischemia (10-15 min), caspase-9 processing is induced without any
detectable level of
apoptosis.2 Hence, an acute
stress response may result in the cell initiating a protective pathway
such as the CARD/NF-
B pathway to minimize apoptosis.

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|
Fig. 5.
Representation of the molecular pathways
leading to the release of the free CARD of procaspase-9 and cell
survival. Stressful stimuli leading to mitochondrial damage result
in the release of cytochrome c and the association of
procaspase-9 and Apaf-1. This in turn leads to autocatalysis and
processing of procaspase-9 to form active caspase-9, which leads to
processing and activation of active caspase-3. Active caspase-3 cleaves
Asp130 of caspase-9 to release the CARD, which mediates
NF- B activation and induction of prosurvival genes Bcl-x and IAP
members.
|
|
 |
ACKNOWLEDGEMENTS |
We thank D.-W. Seol for the procaspase-9 and
caspase-9s expression vectors, X. Wang for Apaf-1 expression vector,
M. L. Schmitz for the Gal4-p65 construct, and S. Farrow for the
dominant negative IKK
. We also thank Richard Flavell, who kindly
provided the MEF caspase-9-deficient cells.
 |
FOOTNOTES |
*
This work was supported in part by the British Heart
Foundation.The costs of publication of this
article were defrayed in part by the
payment of page charges. The article
must therefore be hereby marked
"advertisement" in
accordance with 18 U.S.C. Section
1734 solely to indicate this fact.
§
A British Heart Foundation Intermediate Fellow. To whom
correspondence should be addressed. Tel.: 44-207-247-9789; Fax:
44-207-905-2301; E-mail: a.stephanou@ich.ucl.ac.uk.
Published, JBC Papers in Press, February 1, 2002, DOI 10.1074/jbc.M108530200
2
T. M. Scarabelli, unpublished data.
 |
ABBREVIATIONS |
The abbreviations used are:
CARD, caspase
recruitment domain;
NF-
B, nuclear factor
B;
IKK, I
B kinase;
MEF, murine embryonic fibroblast;
ST, staurosporine;
CMV, cytomegalovirus;
IAP, inhibitory apoptotic protein;
LEHD, Leu-Glu-His-Asp;
DEVD, Asp-Glu-Val-Asp;
IETD, Ile-Glu-Thr-Asp;
YNAD, Tyr-Val-Aln-Asp;
CHO, aldehyde.
 |
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