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J. Biol. Chem., Vol. 281, Issue 10, 6413-6427, March 10, 2006
AIFsh, a Novel Apoptosis-inducing Factor (AIF) Pro-apoptotic Isoform with Potential Pathological Relevance in Human Cancer* 1 2 3 4![]() ![]() ![]() 5
From the
Received for publication, September 7, 2005 , and in revised form, December 15, 2005.
AIF is a main mediator of caspase-independent cell death. It is encoded by a single gene located on chromosome X, region q2526 and A6 in humans and mice, respectively. Previous studies established that AIF codes for two isoforms of the protein, AIF and AIF-exB. Here, we identify a third AIF isoform resulting from an alternate transcriptional start site located at intron 9 of AIF. The resulting mRNA encodes a cytosolic protein that corresponds to the C-terminal domain of AIF (amino acids 353613). We named this new isoform AIFshort (AIFsh). AIFsh overexpression in HeLa cells results in nuclear translocation and caspase-independent cell death. Once in the nucleus, AIFsh provokes the same effects than AIF, namely chromatin condensation and large scale (50 kb) DNA fragmentation. In contrast, these apoptogenic effects are not precluded by the AIF-inhibiting protein Hsp70. These findings identify AIFsh as a new pro-apoptotic isoform of AIF, and also reveal that the first N-terminal 352 amino acids of AIF are not required for its apoptotic activity. In addition, we demonstrate that AIFsh is strongly down-regulated in tumor cells derived from kidney, vulva, skin, thyroid, and pancreas, whereas, -irradiation treatment provokes AIFsh up-regulation. Overall, our results identify a novel member of the AIF-dependent pathway and shed new light on the role of caspase-independent cell death in tumor formation/suppression.
Apoptosis or programmed cell death (PCD)6 is a genetically controlled process that is fundamental to the development and homeostasis of multicellular organisms (1). Aberrations in apoptosis signaling pathways result in a variety of pathological conditions and are common in cancer cells (2). In fact, cellular changes leading to inhibition of apoptosis play an essential role in tumor development (3, 4). The elucidation of the apoptotic pathways is thus an important area of study that may provide insights into the causes of drug resistance and facilitate the development of novel anticancer therapies.
In the last decade, the study of PCD focused on caspases, a family of cysteine proteases specifically activated in apoptotic cells. Because the induction of apoptosis through the use of caspase activators may theoretically constitute a treatment for cancer (5), the initial pro-apoptotic anticancer trials have focused on caspase activity (6). Unfortunately, most of these studies are still in preclinical development because of their low efficacy. In part, this may be because of the fact that programmed cell death can proceed even when the caspase cascade is blocked (79). This fact has revealed the existence of alternative pathway(s) defined as caspase-independent (8).
Apoptosis-inducing factor (AIF) was the first identified protein involved in caspase-independent cell death (10). AIF is expressed as a precursor of 67 kDa, which is addressed and compartmentalized into mitochondria by two mitochondrial localization sequences (MLS) located within the N-terminal prodomain of the protein. Once in the mitochondria, this prodomain is removed, giving rise to a mature form of Several lines of evidence demonstrate that AIF plays a major role in cell death (19). In this way, AIF is a central mediator of relevant experimental models of cell death like As2O3-induced cell death in human cervical cancer cells (20), DNA damage-mediated p53 activation (21, 22), Sulindac induced PCD in colon cancer cells (23), geldanamycin-mediated PCD in human glioma cells (24), staurosporine-induced PCD in neuroblastoma cells (25), caspase-independent apoptosis induced by survivin in melanoma cells (26), hexaminolevulinate-mediated photodynamic therapy in human leukemia cells (27), or poly(ADP-ribose) polymerase (PARP)-mediated cell death (28, 29). In addition, blockage of the AIF signal transduction pathway seems to be implicated in the chemoresistance of non-small cell lung carcinomas (30) and other human cancers (31). On the other hand, in human colon cancer cells, AIF suppresses chemical stress-induced apoptosis and maintains the transformed state of tumor cells (32). All these data illustrate the role of AIF and the caspase-independent death pathway in the control of PCD.
AIF, located on chromosome X, consists of 16 exons (10). Previous work revealed that AIF codes for two isoforms (AIF and AIF-exB) characterized by an alternative use of exon 2 or exon 2b (33). However, a detailed study allowed us to identify a novel AIF transcript present in human and mouse tissues. This novel transcript, called AIFshort (AIFsh), comprises 7 exons derived from exon 10 to 16 of AIF. The resulting protein corresponds to the C-terminal part of AIF, lacking its N-terminal domain. AIFsh provokes caspase-independent cell death, indicating that the pro-apoptotic activity of AIF resides in its C-terminal domain. In addition, we explored the potential role of this new pro-apoptotic AIF isoform in tumor formation/suppression and showed that AIFsh mRNA is down-regulated in tumor cells but is transcriptionally up-regulated by
Rapid Amplification of cDNA End (RACE) Analysis5'- and 3'-RACE were performed using Marathon-Ready cDNA from human kidney (BD Biosciences, Franklin Lakes, NJ) according to the manufacturer's recommendation. In short, for the 5'-RACE, 2 µl of a cDNA sample were subjected to the first round of PCR amplification using the adaptor primer 1 and the antisense primer HCR1 (Table 1). For the 3'-RACE, the first round of PCR was performed using the adaptor primer 1 and the sense primer I9F (Table 1). After amplification for 30 cycles (94 °C, 20 s; 66 °C, 30 s; and 72 °C, 3 min), 1 µl of this PCR was reamplified for 30 cycles using the same reaction conditions with nested primer adaptor primer 2 and the nested antisense primer HAIFshR for 5'-RACE. For the 3'-RACE, nested sense primer was E10F (Table 1). The PCR amplimers were synthesized with Herculase Enhanced DNA Polymerase (Stratagene, San Diego, CA) and, finally, the PCR products were cloned in the pCR® 4-TOPO® vector (Invitrogen, Cergy Pontoise, France) and sequenced on an ABI Prism 310 capillary sequencer (Applied Biosystem, Foster City, CA).
ARN Extraction and RT-PCRTotal RNA from human tissues was obtained from Stratagene. RNA from aif+/y and aif-/y ES cells was extracted using the RNeasy kit from Qiagen (Courtaboeuf, France). For the reverse transcription, 1 µg of total RNA was mixed with 200 units of Superscript II reverse transcriptase (Invitrogen) and 150 ng of random primers (Promega, Charbonnières, France). As a control, reverse transcription was performed without enzyme. AIF isoform 3 (GenBankTM ID AL049704 [GenBank] ) was amplified using primers: AIF is3F and R4. Human AIF was amplified using primers E2F and E10R. Human AIFsh isoform was amplified using primers I9F2 and R4. The sense and antisense primers for mouse AIF (mAIF) were mAIFex3F and E10R. The sense and antisense primers for mouse AIFsh (mAIFsh) were mI9F and R4. As a control, the cDNAs of the ribosomal protein L27 and GAPDH were amplified using primers L27F and L27R or GAPDHF, GAPDHR, respectively. The conditions used for the PCR reaction were 94 °C, 2 min; 30 cycles for L27 and GAPDH, 35 cycles for AIF and mAIF and 40 cycles for AIFsh and mAIFsh of 94 °C, 20 s; 64 °C, 30 s; 72 °C for 2 min, and 72 °C for 10 min. All PCR products were separated by electrophoresis through 2% agarose gel. All primers used were defined in Table 1.
Northern Blot, Cancer Profiling Array, and Cancer Cell Line Profiling ArrayFirst choice Human Blot I membrane from Ambion was used for Northern blotting. Cancer Profiling Array II and Cancer Cell Line Profiling Array were purchased from Clontech (BD Biosciences). Northern membrane or cancer arrays were hybridized with HAIF- or HAIFsh-specific probes amplified using E2F and E10R or I9F3 and HAIFshR primers, respectively (Table 1). The probe was radiolabeled with [ Cell Culture, Transient Transfection, RNAi Assays, and TreatmentsHeLa cells were cultured in complete culture medium (Dulbecco's modified Eagle's medium, supplemented with 10% fetal calf serum, 2 mM L-glutamine, and 100 units/ml penicillin/streptomycin, Invitrogen) and maintained at 37 °C in a humidified 5% CO2 atmosphere. Cells were seeded at a concentration of a 2 x 105 into 6-well plates or 1 x 104 into 96-well plates. Embryonic stem (ES) aif+/y and aif-/y cells were cultured as described (19). Transient transfections were performed using Lipofectamine 2000 in Optimem (Invitrogen) according to the manufacturer's protocol. For RNAi assays, HeLa cells were transfected with specific siRNA double-stranded oligonucleotides designed against human AIF (I, 5'-CCGGCTCCCAGGCAACTTG-3' and II, 5'-CTTGTTCCAGCGATGGCAT-3'), human AIFsh (III, 5'-GAATGTTTCATGGCAACTA-3' and IV, 5'-GGAGGATGCTTCCTATTCA-3'), or a common siRNA against both human AIF and human AIFsh (V, 5'-GCATGCTTCTACGATATAA-3'). As a control, we used an irrelevant siRNA oligonucleotide (Co., 5'-GCGATAAGTCGTGTCTTAC-3'). 48 h after the indicated transfection AIF or AIFsh mRNA expression was assessed by RT-PCR as described above. Apoptosis was induced by treatment of HeLa cells for 8 or 12 h with STS (1 µM, Sigma). In a separate series of experiments, the pan-caspase inhibitors z-VAD.fmk (50 µM, MP Biomedicals, Irvine, CA) or QVD-OPH (10 µM, MP Biomedicals) were added 30 min before pcDNA3-AIF, pcDNA3-AIFsh, pcDNA3-empty vector transfection or STS apoptosis induction.
Vector ConstructionMammalian expression vectors for AIF and AIFsh were carried out by PCR amplification of the corresponding human cDNA fragments and subsequently cloned into CMV promoter-based expression vectors pcDNA3 (Invitrogen), pEGFP-N1 (Statagene), or C-terminal p3xFLAG (Sigma). Final constructs are referred to as pcDNA3- ImmunofluorescenceFor viewing the localization of pEGFP-AIF, pEGFP-AIFsh, and pEGFP-N1, transfected HeLa cells seeded on coverslips were washed with phosphate-buffered saline three times and stained by Mitotracker Red® (20 nM, Molecular Probes, Invitrogen) for 15 min at room temperature. Nuclear morphology was assessed by staining cells/nuclei with 0.5 µg/ml Hoechst 33342. Cells were mounted and red, green, and blue fluorescence were observed in a Nikon Eclipse TE2000-U microscope and analyzed using Nikon ACT-1 software. MTT Reduction and Propidium Iodide Cell Viability AssaysMTT is a water-soluble tetrazolium salt that is reduced by metabolically viable cells to a colored, water insoluble formazan salt. MTT (0.5 mg/ml final concentration) was added to the culture medium of cells growing in 96-well dishes (10,000 cells/well). After incubating the dishes at 37 °C for 20 min, the assay was stopped by replacement of the MTT-containing medium with 50 µl of Me2SO. Formazan salts were allowed to dissolve in Me2SO shaking them gently for 10 min at room temperature, and the assays were quantified by means of a Multiskan Ex ELISA plate reader (ThermoLabsystems, Cergy Pontoise, France). Final values were the result of subtracting 630 nm from 590 nm readings. For DNA loss measurements, cells were exposed for 1015 min at room temperature to propidium iodide (PI, 0.5 µg/ml) and analyzed by flow cytometry in a FACSCalibur (BD Biosciences). Data analysis was carried out in total cell population (>10,000 cells).
Protein Extraction and Immunoblot AnalysisWhen whole protein extracts were used, DNA Fragmentation AssessmentFor field-inversed gel electrophoresis (FIGE), DNA was prepared from agarose plugs (2 x 106 cells) (25, 34), followed by electrophoresis in a Bio-Rad Fige Mapper cell (1% agarose, 0.5x Tris borate/EDTA). Running conditions were: 180 V (forward pulse), 120 V (reverse pulse) and 1.5 s and 3.5 s for the initial and final switch times (forward and reverse pulses, linear ramp) for 20 h. For the detection of oligonucleosomal DNA fragmentation, nuclear DNA from lysed cells (treated with protease K and RNase according to standard protocols) was subjected to conventional horizontal agarose gel electrophoresis (1%) followed by ethidium bromide staining (25).
Recombinant ProteinsN-terminal His-tagged AIF, AIFsh, and AIF
Cell-Free System of ApoptosisFor the standard assessment of chromatin condensation, nuclei from HeLa cells were purified on a sucrose gradient, washed 2 x 1,000 x g (10 min, 4 °C) and resuspended in CFS buffer (35). In standard conditions, nuclei (103 nuclei/µl) were cultured in the presence of AIF, AIFsh, or AIF
Identification of AIFsh, a Novel AIF IsoformTo identify new isoforms of AIF we first analyzed, by an in silico approach, human AIF (NCBI Gene Data Base accession number NT_011786 [GenBank] , gene ID 9131). This study yielded the putative existence of an alternative and uncharacterized third form of AIF (NCBI Nucleotide Data Base, accession number NM_145813 [GenBank] ) corresponding to a short splice variant lacking exons 29 of AIF. This predicted isoform of AIF has a mitochondrial targeting sequence, but lacks a part of the AIF oxidoreductase domain. Using the total cDNA obtained from both HeLa cells and different human tissues as templates, we performed a PCR amplification to find this putative mRNA. However, using two specific oligonucleotides as primers (AIFis3F and R4), we failed in the amplification of this isoform. In fact, a more careful assessment of the nucleotide sequence observed in the junction between exons 1 and 10 of AIF revealed that the same six nucleotides sequence (TCCCAG) is present at the end of exon 1 and intron 9 (nucleotides 279284 and 2864328648 of AIF, respectively). Thus, it seems possible that this predicted in silico variant is only derived from a bioinformatic comparative approach between these TCCCAG overlapping sequences. However, a general study performed in the GenBankTM data base allowed us to find three expressed sequence tags (EST) derived from different human cell types: skin (BG 675614), colon (BG985116 [GenBank] ), and head neck (AI834231 [GenBank] ). These ESTs include exon 10 of AIF and downstream cDNA sequences, but differ at the 5' start site, which corresponds to a part of intron 9. Interestingly, the three alternative 5'-UTR transcripts generate a potential open reading frame that starts in exon 10, creating a novel AIF isoform. This potentially new AIF isoform is also founded in Sus scrofa EST data base (BF079256 [GenBank] ). These initial findings led us to further investigate the existence of this putative new AIF isoform in human and mouse cells. By using a 3'- and 5'-RACE on a Marathon Ready human kidney cDNA library, we reconstituted the full-length cDNA of this novel variant, which we named AIF short (AIFsh). This cDNA contains an entire open reading frame of 822 bp. For the 3'-RACE, the first round of PCR amplification using I9F primer showed a distinct amplification product which corresponded to the 3'-end of AIF. For the 5'-RACE, the first round of PCR amplification, using HCR1 primer, did not show a specific amplification product. However, the second nested PCR carried out with HAIFshR showed several bands. After sequencing, we observed that these bands belonged to the same transcript. In fact, all sequences obtained differed at the 5'-end and retained a part of the 3'-end of intron 9 (Fig. 1A). The most 5'-end obtained by 5'-RACE, corresponding to nucleotides 27794 of the sequence of AIF, was considered as the transcription start site of AIFsh. In a similar manner, using a mouse brain Marathon cDNA library, we also reconstituted the mouse AIFsh full-length cDNA (data not shown). The mouse open reading frame displays 91% nucleotide sequence identity with human AIFsh coding sequence. AIFsh mRNA Expression in Normal Tissues and Cancer Cell LinesThrough Northern and RT-PCR approaches, we next sought to determine AIFsh mRNA tissue expression. Northern blot analysis was performed using specific AIF or AIFsh cDNA fragments as a probe (Table 1). This approach revealed one mRNA transcript, which is different for AIF and AIFsh (Fig. 1B). Interestingly, AIF and AIFsh presented different tissue expression, suggesting an independent regulation of the AIF and AIFsh mRNA transcripts (Fig. 1B). A RT-PCR approach, which provided an improved signal, allowed us to further evaluate AIF and AIFsh mRNA tissue expression. In this assessment, the ribosomal L27 mRNA amplification was used as a loading and semi-quantitative control. Primers I9F2, in 5'-UTR of AIFsh (intron 9 of AIF), and R4 in exon 5 (exon 14 of AIF) were used to detect AIFsh, whereas E2F (exon 2 of AIF) and E10R (exon 10 of AIF) were used to amplify AIF (Fig. 1C). Standard primers were used for L27 (Table 1). This approach led us to observe that AIFsh was less expressed in brain and thyroid compared with other tissues (Fig. 1D). As assessed by Northern blot, a different expression pattern was observed between AIF and AIFsh (e.g. kidney, liver, lung, and colon tissues). Indeed, a multiplex PCR approach used to amplify AIF and AIFsh simultaneously in liver allowed us to calculate that, in this tissue, the expression level of AIFsh was about seven times lower than the expression of AIF (data not shown).
To assess the distribution of AIFsh in cancer cells, we used the above-described RT-PCR approach in 12 different cancer cell lines. This method showed that AIFsh is present in all cell lines tested with a lower expression level in COS7, IMR5, U937, 293T, and IMR32 (Fig. 1E). As in normal tissues, AIF and AIFsh display a tissue-specific expression pattern in tumor cells. Overall, our Northern blot and RT-PCR data strongly suggested that the expression of AIFsh is regulated independently from the expression of AIF. To confirm this assertion, we used two independent tools: 1) RNAi double-stranded oligonucleotides designed specifically against human AIF or human AIFsh. If AIF and AIFsh transcripts are regulated independently, it should be possible to interfere with the expression of one mRNA without disturbing the transcription of the other mRNA; and 2) AIF-deficient ES cells (19). In these AIF KO cells, we searched whether the AIFsh mRNA is transcribed even when the AIF mRNA was suppressed by genetic recombination. Using the first approach (Fig. 2A), we confirmed that it is possible to regulate AIF or AIFsh mRNA transcripts independently (Fig. 2B). Interestingly, the design of a common siRNA double-stranded oligonucleotide designed against AIF and AIFsh (RNAi V), led us to eliminate of both mRNAs. Our second approach, the detection of AIF and AIFsh mRNA in AIF-deficient ES cells (aif-/y) (19) definitely confirmed that two independent AIF and AIFsh mRNAs exist. Indeed, in contrast to AIF, AIFsh was normally transcribed in AIF-deficient ES cells (Fig. 2C).
Overall, these results demonstrated the widespread distribution of AIFsh transcript. Our findings also revealed the existence of individual AIF and AIFsh mRNAs, which could be independently regulated.
AIFshIs a
To confirm the initial amino acid of AIFsh, we first performed an immunoblot analysis. Our working hypothesis was that a C-terminal anti-AIF antibody must recognize AIF and AIFsh in a whole cellular extract. Indeed, we detected the presence of AIFsh in HeLa, Jurkat, and 3T3 cell lysates. In contrast, using an antibody against an N-terminal AIF epitope absent in AIFsh (amino acids 1300 of AIF), we failed to detect AIFsh (Fig. 3C). Together, these data confirm the existence of endogenous AIFsh. Interestingly, as shown in Fig. 3C, the apparent molecular mass of AIFsh is consistent with the apparent molecular mass of the main product observed in 5'-UTR AIFsh overexpression assays. The Edman microsequencing of this overexpressed product confirmed that AIFsh presents an N-terminal sequence starting at the methionine 353 (M2) of the AIF precursor. Thus, AIFsh is a protein of 261 amino acids with a relative molecular mass of 35 kDa. AIFsh mimics the C-terminal region of AIF (amino acids 353613) including a nuclear localization sequence (10).
AIFsh Is a Cytosolic Protein That Induces Caspase-independent Cell DeathAIF was first reported to be located in the intermembrane space of the mitochondria (10). In fact, the protein is addressed and compartmentalized into mitochondria by two localization sequences located within the N-terminal prodomain of AIF (10). As this domain is absent in AIFsh, it was therefore necessary to determine the AIFsh subcellular localization. To address this issue, expression plasmids encoding AIF-EGFP or AIFsh-EGFP fusion proteins were generated. Upon transfection into HeLa cells, AIF-EGFP or AIFsh-EGFP display distinct distribution patterns as shown in Fig. 4. AIFsh presents a diffuse cytosolic distribution, similar to that observed for GFP alone, whereas AIF-GFP exhibits a filamentous distribution that colocalizes with the mitochondrial marker Mitotracker Red®. To examine if AIFsh can induce PCD, AIFsh was overexpressed in HeLa cells and cell death was quantified using two independent methods: MTT reduction, which assesses the mitochondrial functionality, and propidium iodide (PI) staining, which measures cellular viability (Fig. 5A). These two approaches showed a progressive disappearance of viable cells expressing AIF or AIFsh, thereby confirming the previously described lethality of AIF (10) and, most importantly, revealing a cytotoxic role for AIFsh. AIFsh-mediated cytotoxicity is a rapid and time-dependent process with significant alterations observed already 6 h after transfection. By contrast, AIF-induced PCD is a slower process, starting only 12 h after transfection (Fig. 5A). As AIF and AIFsh were efficiently overexpressed in HeLa cells (see upper panel in Fig. 5A), we attributed the different cytotoxic kinetics between AIF and AIFsh to their above-described cellular localization (Fig. 4). Indeed, in contrast to the cytosolic protein AIFsh, AIF needs to overcome its mitochondrial distribution to induce PCD (10). In this context, we found that overexpressed AIF initially localizes into mitochondria, and is redistributed to cytoplasm and nucleus only 12 h after transfection (Fig. 4 and data not shown). In contrast, overexpressed AIFsh redistributes from cytosol to the nucleus 6-h post-transfection (Figs. 4 and 5B). Thus, the redistribution of AIF or AIFsh to the nucleus seems to determine the cytotoxic kinetics of these two proteins. In fact, like AIF (7, 10), AIFsh seems to provoke the loss of viability in transfected HeLa cells through the induction of nuclear apoptosis. In this way, as shown in Fig. 5C, when translocated from cytosol to nucleus, AIFsh provokes one of the main hallmarks of caspase-independent cell death: large scale (50 kb) DNA fragmentation. Overall, our findings show that overexpression of AIFsh induces loss of cell viability and nuclear apoptosis in HeLa cells. We next analyzed further in detail whether AIFsh-provoked PCD is caspase-dependent or caspase-independent. We first assessed the activation of a key executioner of the caspase-dependent type of cell death: caspase-3. This protease is synthesized as an inactive proenzyme of 32 kDa. However, after a caspase-dependent apoptotic insult, such as STS, caspase-3 is cleaved to yield an active subunit of p17 kDa (37). Thus, the presence of active caspase-3 was analyzed by Western blot, demonstrating that in contrast to the caspase-dependent STS treatment, caspase-3 did not become activated at 8, 12, or 24 h after AIFsh transfection (Fig. 5D), This result indicates that AIFsh induced cytotoxicity in the absence of caspase-3 activation. This was further confirmed by measuring the cleavage of ICAD, one of the main caspase-3 substrates (38). Again, and in contrast to STS, our immunoblot assessment revealed the absence of caspase-3-dependent ICAD cleavage in AIFsh-transfected cells (Fig. 5D). More generally, a pharmacological approach further confirmed that AIFsh induced a caspase-independent cytotoxic process. In fact, AIFsh-mediated PCD was not precluded by the broad-spectrum caspase-inhibitor QVD-OPH or by inhibitors of individual caspases, including those against caspase-2, -3, -6, -7, -8, -9, and -10 (Fig. 5E and data not shown). Recombinant AIFsh Provokes Chromatin Condensation and DNA Fragmentation on Isolated NucleiNext, we generated the human AIFsh recombinant protein to investigate whether the features observed in the nucleus of AIFsh HeLa-transfected cells are directly caused by the protein itself. AIFsh was tested in a cell-free in vitro system in which this recombinant protein was confronted to highly purified HeLa nuclei (35). After 90 min, nuclear apoptosis was quantified by two independent methods: immunofluorescence, to assess nuclear morphology, and cytofluorometry, to measure DNA alterations (Fig. 6). Using both systems, we observed that recombinant AIFsh induces peripheral chromatin condensation (Fig. 6A) and DNA loss (Fig. 6B) in the nuclei. In fact, and as shown in Fig. 6, A, B, and C, recombinant AIFsh causes in vitro the same nuclear apoptogenic effects than those observed in AIFsh-transfected cells. These results corroborate that AIFsh induces caspase-independent PCD through a direct effect of the protein on the nucleus.
Intriguingly, these nuclear modifications are similar to those observed after addition of the entire AIF recombinant protein to the purified nuclei, but they are not evident after addition of the deletion mutant AIF 353613, an AIFsh complementary protein which corresponds to the N-terminal region of AIF (amino acids 1352) (Fig. 6A). Thus, the first 352 amino acids of AIF are not required for its apoptotic activity. Therefore our results confirm that AIFsh presents similar pro-apoptotic effects to AIF because they share the apoptogenic part of the protein: the C-terminal domain. The Nuclear Apoptotic Effects of AIFsh Are Not Inhibited by the Chaperone Hsp70Heat shock protein 70 (Hsp70) has been reported to block AIF-mediated apoptosis through a physical interaction with AIF (31, 39). Thus, to gain insight into the possible cellular regulation of AIFsh, we investigated if Hsp70 also neutralizes AIFsh. Using the cell-free system of apoptosis described above, we found that Hsp70 antagonized the apoptogenic effects of recombinant AIF, but failed to prevent the AIFsh-induced nuclear PCD (Fig. 7, A and B). These results confirm previous studies indicating that Hsp70 blocks the AIF pro-apoptotic function by interaction with the N-terminal part of the protein (31). As this domain is absent in AIFsh, the AIF-cytoprotective properties of the chaperone Hsp70 are overcome. AIFsh Is Down-regulated in Human CancerIt has been shown that a shift in the relative ratio of a specific isoform of the same gene may lead to an impaired cell death program and consequently to tumor formation (40, 41). This prompted us to investigate AIFsh potential pathological relevance, and we thus studied if AIFsh could be specifically modulated in human cancer tissues. To this end, we analyzed on a Cancer Profiling Array the expression of AIFsh mRNA transcript in paired normal/tumor tissues (Fig. 8). This array is spotted with a complex cDNA representing the entire mRNA message expressed in a given normal or tumor tissue from an individual patient (154 cDNAs pair samples derived from 19 different tissues and 3 to 11 patients by tissue). Hybridization results revealed disease-related as well as patient-specific AIFsh gene expression patterns. We analyzed this array by quantification of the autoradiography depicted in Fig. 8A. Data obtained from the normal tissue of each patient are considered as one unit, and we judged AIFsh to be down-regulated when we assessed less than 0.85 units in the paired tumor tissue (42). After quantification, we expressed the results obtained by percentage of patients showing AIFsh down-regulation in each tumor category (Fig. 8B). According to this, AIFsh was found to be frequently suppressed (over 80% of patients) in tumors derived from kidney, vulva, thyroid, skin, and pancreas but also in tumor samples derived from stomach, trachea, prostate, cervix, rectum, and small intestine (around 60% of patients). In contrast, in ovary and colon carcinomas of some patients, AIFsh is up-regulated compared with normal tissues. In any case, we found that AIFsh was suppressed in 56% (86/154) of all tumors examined. Overall, these results indicated that AIFsh is frequently down-regulated in human tumor cells.
Expression of AIFsh Is Up-regulated by
Concomitant with the evolution of higher eukaryotes, cells were required to raise their protein diversity to cope with the increasing broad spectrum of functional and behavioral complexity. One of the major approaches to accomplish this task is the generation of multiple transcripts from a common gene. As a matter of fact, this mode of regulation of gene expression plays a major role in the control of programmed cell death (41, 43). Concerning AIF, two isoforms have been previously described (33). These two isoforms, which differ in the alternative use of exon 2 versus exon 2b, are both targeted to the mitochondrial intermembrane space, suggesting a similar function for these two proteins. In the present work, we identified a third form of AIF, AIFsh. AIFsh mRNA and protein are ubiquitously expressed in human tissues and in a variety of cancer cell lines. Interestingly, the different AIF and AIFsh mRNA expression, the specific AIF and AIFsh RNAi regulation, and the presence of the AIFsh transcript in AIF KO cells, reveal that the generation of the AIFsh mRNA was independent from the generation of the AIF transcript. In this context, a careful analysis of the sequence upstream of the 5'-UTR of the AIFsh transcript demonstrated the existence of two Alu repeated elements. These sequences are candidates to regulate the AIFsh expression. In this sense, previous studies reported that interspersed Alu repeat sequences are involved in the regulation of human genes transcriptional activity (44). In addition, we showed that the 5'-UTR of AIFsh contributes to regulating the initiation of the mRNA translation. Thus, our data suggested that the 5'-UTR of AIFsh modulates the expression of the transcript, probably through the repeated Alu sequences that are present in intron 9 of AIF.
An Edman microsequencing approach allowed us to identify the amino acid sequence of AIFsh, which corresponds to the AIF C-terminal domain (amino acids 353613). Contrary to the oxidoreductase domain of AIF, which shares strong homology to ferredoxin oxidoreductases (12), the C-terminal domain is the most intriguing part of the protein, given the absence of homology with any other protein. A structural analysis of the AIF C-terminal domain showed that a flexible loop resides in this part of the molecule (45). The extended structure of this loop suggests a potential binding region for DNA (18) and some chaperones, such as Hsp70. In fact, this protein has been shown to interact with AIF, impairing its apoptotic function (39). However, our data demonstrate that Hsp70 fails to block the cytotoxic properties provoked by AIFsh. This indicates that Hsp70 does not interact with the C-terminal domain of AIF, or that AIFsh has not the same structure as AIF. In any case, and taking into account that, through its binding-inhibitory properties, Hsp70 has been implicated in tumor formation (46), the induction of AIFsh overexpression can serve as a new tool to overcome the Hsp70 cytoprotective properties.
AIF is initially compartmentalized in mitochondria (10) showing an NADH oxidase-dependent complex I function that is important for oxidative phosphorylation and tumorigenicity (14, 32). Upon an apoptotic insult, AIF is cleaved and released from mitochondria (11, 16, 17), translocates to nucleus and triggers caspase-independent PCD. Because AIF itself does not have DNase activity (35), how AIF exerts its nuclear DNA fragmentation function remains unclear. Regarding this point, a recent article demonstrated that AIF interacts with cyclophilin A to form an active DNase (47). Also, in the nematode Caenorhabditis elegans, AIF was thought to be working together with endonuclease G to promote DNA degradation (48). However, whether these two mechanisms apply to other apoptotic systems is yet unknown. In fact, we showed in a recent manuscript that AIF is not involved in the large scale DNA fragmentation induced by STS in SH-SY5Y neuroblastoma cells (25). These results indicate that AIF function could be rather specific for cell and tissue type. In contrast to AIF, our immunofluorescent and biochemical approaches suggested that AIFsh directly localizes in cytosol. Interestingly, AIFsh overexpression results in a rapid translocation to the nucleus where the protein induces cell death in a time-dependent manner. The comparison of cell death kinetics between AIF and AIFsh indicates than AIFsh induces cell death more rapidly than AIF. This could be explained by the fact that accumulation of AIFsh in the cytosol fulfills an apoptogenic function directly on the nucleus. In contrast, AIF needs to translocate from mitochondria to cytosol before targeting the nucleus. Obviously, the presence of AIFsh in cytosol (and not in the nucleus) of non-apoptotic cells implies the presence of a yet unidentified AIFsh-regulatory protein that is able to sequester AIFsh. When overexpressed, AIFsh would be capable of overcoming this regulatory protein by translocating to the nucleus. Like AIF, AIFsh-induced PCD is not precluded by inhibitors of caspases, confirming that AIFsh-induced PCD is caspase-independent. Interestingly, AIFsh induces peripheral chromatin condensation and 50-kb DNA fragmentation, both in transient transfected cells and in purified nuclei. These two biochemical hallmarks are similar to that induced by AIF. In contrast, AIFsh-mediated PCD is not inhibited by Bcl-2 or Bcl-XL overexpression,7 suggesting the possibility that AIFsh-mediated PCD might not be controlled by members of the Bcl-2 family.
Summing up, despite the functional similarities between AIFsh and AIF (e.g. nuclear translocation, induction of chromatin condensation, and 50 Kb DNA fragmentation), AIFsh has five different features: 1) AIFsh mRNA is expressed independently from the AIF mRNA. 2) AIFsh lacks the oxidoreductase domain of AIF, meaning that AIFsh does not present electron transfer activity.8 3) In non-apoptotic cells, AIFsh localizes in the cytosol. 4) AIFsh apoptotic activity is not controlled by Hsp70; and finally 5) AIFsh PCD action does not seem to be regulated by the Bcl-2 family of proteins.
Our data strongly support that the C-terminal domain of AIF, which is mimicked by AIFsh, is necessary and sufficient to induce AIF-dependent caspase-independent apoptosis. Indeed, by using the recombinant protein AIF Because alterations in the expression and function of apoptosis-regulating genes play a prominent role in the resistance to chemotherapy and radiotherapy, the regulation of AIFsh expression in cancer cells deserves a particular analysis. In fact, the development of cancer is a multistep process involving mutations in proto-oncogenes and tumor suppressor genes. Therefore, acquisition of apoptotic resistance might be an important and even necessary step during progression of tumors to a fully malignant "metastatic" phenotype. Further supporting this theory, numerous reports depict dysfunction of some apoptosis regulatory genes like bcl-2 gene family, p53, and Rb or expression of certain oncogenes like ras, which are apparently associated to enhanced metastatic ability of cancer cells (2, 49). Hence, defining the mechanisms of regulation of apoptotic effectors is a major priority in cancer research. In our manuscript, we showed that AIFsh mRNA is down-regulated in a large variety of tumors. Special mention should be made of the reduced tumor-specific expression observed in renal, thyroid and pancreas tissues compared with their normal counterparts (detected in more than 80% of the patients tested). The down-regulation of AIFsh expression that may be caused, for example, by point mutation in the open reading frame (region of regulatory elements) or by hypermethylation at the CpG islands in the AIFsh promotor region, requires further investigation. In any case, the apoptotic properties of AIFsh and the reduction of expression of AIFsh mRNA in tumors, suggest a potential tumor-suppressing function for this new identified AIF-isoform.
Additionally, our analysis indicates that the proportion observed in AIFsh isoform can serve as a prognostic factor for radiotherapy outcome. By studying the effects of multiple chemotherapeutic agents, oxidative stress inducers and radiation in human cancer cell lines, we have found that AIFsh was transcriptionally up-regulated by In conclusion, the present report provides substantial progress in three major areas: (i) the understanding of AIF, (ii) the comprehension of the mechanisms regulating AIF pro-apoptotic function, and (iii) the development of new tools for the treatment of some types of cancer. In this sense, the identification of AIFsh might pave the way for novel diagnostic, therapeutic and pharmacological tools for designing new strategies targeting the caspase-independent cell death pathway.
The nucleotide sequence(s) reported in this paper has been submitted to the GenBankTM/EBI Data Bank with accession number(s) DQ016496 [GenBank] and DQ016497 [GenBank] .
* This work was supported by the Association pour la Recherche sur le Cancer (contract N° 4812), Fondation de France, Fondation pour la Recherche Médicale, Ligue Nationale contre le Cancer, and the Pasteur-Weizmann Scientific Council (to S. A. S). The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 Holds a postdoctoral fellowship from the Fondation de France.
2 Supported by a Marie Curie Intra-European fellowship within the 6th European Community Framework Programme (contract MEIF-2003-501887).
3 Supported by a Ph.D. fellowship from Fondation Hariri.
4 Supported by a Ph.D. fellowship from MENRT. 5 To whom correspondence should be addressed: Apoptose et Système Immunitaire, CNRS-URA 1961, Institut Pasteur, 25 rue du Dr. Roux, 75015 Paris, France. Tel.: 33-1-40-61-31-84; Fax: 33-1-40-61-31-86; E-mail: susin{at}pasteur.fr.
6 The abbreviations used are: PCD, programmed cell death; AIF, apoptosis-inducing factor; AIFsh, AIFshort; RACE, rapid amplification of cDNA ends; GAPDH, glyceraldehyde-3-phosphate dehydrogenase; MTT, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide; UTR, untranslated region; RT, reverse transcriptase; CMV, cytomegalovirus; GFP, green fluorescent protein; ICAD, inhibitor of caspase-activated DNase; QVD-OPH, Gln-Val-Asp(non-O-methylated)-Oph; STS, staurosporine; z-VAD.fmk, N-benzyloxycarbonyl-Val-Ala-Asp.fluoromethylketone; Gy, Gray; PI, propidium iodide; ES, embryonic stem cell; EST, expressed sequence tag.
7 S. A. Susin et al., unpublished observations.
8 C. Delettre and S. A. Susin, manuscript in preparation.
We thank Josef M. Penninger and Nicholas Joza for aif+/y and aif-/y ES cells, Nadine Robert for technical assistance, Martine Cohen-Salmon, Marcela Segade, and Aziz El-Amraoui for critical comments and review of the manuscript.
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