Trypanosoma cruzi Induces the Reactive Oxygen Species-PARP-1-RelA Pathway for Up-regulation of Cytokine Expression in Cardiomyocytes*

In this study, we demonstrate that human cardiomyocytes (AC16) produce reactive oxygen species (ROS) and inflammatory cytokines in response to Trypanosoma cruzi. ROS were primarily produced by mitochondria, some of which diffused to cytosol of infected cardiomyocytes. These ROS resulted in an increase in 8-hydroxyguanine lesions and DNA fragmentation that signaled PARP-1 activation evidenced by poly(ADP-ribose) (PAR) modification of PARP-1 and other proteins in infected cardiomyocytes. Phenyl-α-tert-butylnitrone blocked the mitochondrial ROS (mtROS) formation, DNA damage, and PARP-1 activation in infected cardiomyocytes. Further inhibition studies demonstrated that ROS and PARP-1 signaled TNF-α and IL-1β expression in infected cardiomyocytes. ROS directly signaled the nuclear translocation of RelA (p65), NF-κB activation, and cytokine gene expression. PARP-1 exhibited no direct interaction with p65 and did not signal its translocation to nuclei in infected cardiomyocytes. Instead, PARP-1 contributed to PAR modification of p65-interacting nuclear proteins and assembly of the NF-κB transcription complex. PJ34 (PARP-1 inhibitor) also prevented mitochondrial poly(ADP-ribosyl)ation (PARylation) and ROS formation. We conclude that T. cruzi-mediated mtROS provide primary stimulus for PARP-1-NF-κB activation and cytokine gene expression in infected cardiomyocytes. PAR modification of mitochondrial membranes then results in a feedback cycle of mtROS formation and DNA damage/PARP-1 activation. ROS, either through direct modulation of cytosolic NF-κB, or via PARP-1-dependent PAR modification of p65-interacting nuclear proteins, contributes to cytokine gene expression. Our results demonstrate a link between ROS and inflammatory responses in cardiomyocytes infected by T. cruzi and provide a clue to the pathomechanism of sustained inflammation in Chagas disease.

host cell destruction result in nonspecific clinical symptoms. Most patients then remain seropositive and clinically asymptomatic. Several years later, 30 -40% of the patients develop chronic Chagas disease with symptomatic arrhythmia, thromboembolic events, and heart failure (2).
The inflammatory response in the myocardium is an important aspect of the pathogenesis of chagasic heart disease. Acute infection by T. cruzi results in intense inflammatory reaction consisting primarily of leukocytes, including eosinophils and macrophages, accompanied by increased expression of inflammatory mediators such as cytokines, chemokines, and nitric oxide synthase in the heart (3,4). During the chronic phase, diffused inflammatory infiltrate persists in the myocardium (reviewed in Refs. 5,6). Besides infiltration of inflammatory infiltrate, cardiomyocytes are also reported to produce cytokines in response to T. cruzi infection (7), although the signaling events are not known.
Chagasic hearts are also exposed to oxidative stress (reviewed in Ref. 8). Others and we have evaluated the antioxidant/oxidant status in chagasic experimental models and human patients. We have documented that an inefficient antioxidant defense in the myocardium of infected rodents with progressive disease development is associated with increased level of ROS, 2 decreased activity of superoxide dismutase and insensitivity of glutathione defense to oxidative stress (9). A substantial increase in glutathione disulfide contents and decline in superoxide dismutase and glutathione peroxidase activities was also noted in peripheral blood of chagasic animals and seropositive patients (10 -12). Although inflammatory infiltrate constituted by activated neutrophils and macrophages contributes to oxidative stress in acute hearts (13,14), we have found that T. cruzi alters the mitochondrial membrane potential and initiates a feedback cycle of mitochondrial leakage of electrons to molecular oxygen and ROS production in the cardiomyocytes and chagasic myocardium (15,16).
ROS cytotoxicity triggers protein, lipid, and DNA oxidation. ROS induces single strand breaks in DNA, and oxidation of guanine to 8-oxoguanine (8-oxoG) signals the activation of members of the poly(ADP-ribose) polymerase (PARP) family that facilitate DNA repair (17). PARP-1 accounts for Ͼ85% of the PARP activity in most cellular systems, and it catalyzes cleavage of NAD ϩ into nicotinamide and ADP-ribose and uses the latter to synthesize long branching PAR polymers (17). The basal level activation of PARP-1 by mild genotoxic stimuli causes PARylation of histone proteins (e.g. H 1 and H 2 B) that mediates relaxation of the chromatin superstructure and recruitment of DNA-break repair enzymes (18,19), resulting in DNA repair and cell survival. PARP-1 is also suggested to mediate transcriptional regulation of NF-B and AP-1 via noncovalent protein-protein interaction or by active PARylation of signaling molecules, although the mechanistic details of PARP interaction with NF-B are yet to be elucidated.
In this study, we determined whether ROS signals PARP-1 activation in T. cruzi-infected cardiomyocytes and if PARP-1 up-regulates the transcriptional activity of NF-B and production of pro-inflammatory cytokines in cardiomyocytes. Our results demonstrate a link between ROS and inflammatory responses in cardiomyocytes infected by T. cruzi and provide clues to the pathomechanism of sustained inflammation in Chagas disease.
Cell Culture and Infection-Generation of a human cardiomyocyte cell line, AC16, has been described previously (20). AC16 cardiomyocytes were cultured and maintained in Dulbecco's modified Eagle's medium/F-12 medium with 12.5% fetal bovine serum. T. cruzi trypomastigotes (SylvioX10/4 strain) were propagated in C2C12 cells in RPMI 1640 medium with 5% fetal bovine serum. Cardiomyocytes seeded in 6-well plates (5 ϫ 10 4 /well) or Nunc Lab-Tek II chamber slides (10 4 / well) were infected with T. cruzi trypomastigotes (cell:parasite ratio, 1:3) and then incubated for 0 -48 h. In some experiments, cells were incubated with addition of PJ34 (10 M) (16). All fluorescent probes were purchased from Invitrogen/Molecular Probes. Immunocytochemistry of 8-oxoG-AC16 cells (wt and infected) were incubated for 12 h in the presence and absence of 500 M PBN. Cells were fixed and blocked as above and incubated for 1 h each with anti-8-oxoG antibody (1:100 dilution) and horseradish peroxidase-conjugated goat anti-mouse secondary antibody. Color was developed with diaminobenzidine tetrahydrochloride substrate, and images were captured as above (magnification, 40ϫ).
Comet Assay-We utilized a Trevigen Comet Assay kit to detect the DNA damage and fragmentation according to protocols provided by the manufacturer. Briefly, wt and infected cardiomyocytes (ϮPBN) were harvested, and washed with icecold phosphate-buffered saline. Pellets (1 ϫ 10 5 cells) were suspended in low melting point agarose (1:10 ratio, v/v) and immediately transferred to slides. After agarose was polymerized, slides were incubated in lysis solution at 4°C for 60 min, and alkaline solution (300 mM NaOH, 1 mM EDTA, pH 13) for 30 min. Electrophoresis was performed in alkaline solution at 25 V (1 V/cm, 300 mA), 4°C for 40 min. Slides were then washed twice with H 2 O, once with 70% ethanol, and air-dried and stained with SYBR Green I. Fluorescence was examined as above, and tail moment, indicative of DNA fragmentation, was calculated for at least 50 nuclei per sample using the Comet scoring software (TriTek, Sumerduck, VA).
Transient Transfection and Luciferase Activity Assay-The luciferase reporter plasmid pNF-B-luc with 5ϫ NF-B binding site (TGGGGACTTTCCGC) 5 was purchased from Stratagene (La Jolla, CA). The pREP7-Rluc containing Renilla luciferase (positive control) was kindly provided by Dr. Keji Zhao (National Institutes of Health, Bethesda, MD). Cardiomyocytes were seeded in 6-well plates and incubated overnight in antibiotic-free Opti-MEM medium. Cells were transfected with pNF-B-luc (3 g) and pREP7-Rluc (100 ng) using Lipofectamine 2000 (Invitrogen) according to instructions provided by the manufacturer. After 6 h of incubation with plasmids and Lipofectamine 2000, cells were replenished with complete medium for 3-5 h to promote recovery, and then used for infection and/or treatment with inhibitors (as above). The relative NF-B transcriptional activity was detected using a Dual Luciferase Assay System (Promega, Madison, WI) and normalized to Renilla luciferase activity.
Small Interfering RNA Transfection-Silencing of gene PARP-1 was performed by using small interfering RNA directed against human PARP-1 (ID: 111005) or a negative control purchased from Ambion (Austin, TX). Cells were seeded at 30 -50% confluence and transfected with small interfering RNA by using Lipofectamine 2000 (Invitrogen) according to the instructions of the manufacturer. All the experiments were performed 48 h after transfection.
Statistical Analysis-All experiments were performed at least thrice for each determination. Data were expressed as mean Ϯ S.D. and analyzed using one-way analysis of variance. The level of significance was accepted at p Ͻ 0.01.

RESULTS
Human AC16 cardiomyocytes were infected with T. cruzi (cell:parasite ratio, 1:3) for 0 -24 h, and intracellular ROS were detected using an H 2 DCFDA probe. We noted a significant increase in dichlorofluorescein fluorescence beginning 6 h pi, the maximum level of fluorescence being detected at 12 h pi (Fig. 1A). Overlay images of cells labeled with H 2 DCFDA and MitoTracker Red, or with MitoSOX Red (detects mitochondrial O 2 . ) and MitoTracker Green (Fig. 1, B and C, compare panels c and f) suggested that mitochondria are the primary site of ROS production in infected cardiomyocytes. A substantial increase in DHE fluorescence in infected cells ( Fig. 1D) suggested that at least some of the mtROS were diffused to cytosol, because the cytosolic ROS oxidizes DHE and the later binds to nuclear DNA, leading to nuclear red fluorescence, observed during 3-12 h pi. DNA is ROS-sensitive. The low redox potential of guanine facilitates electron transfer from guanine to nearby base radicals, leaving guanine with an unpaired electron, commonly resolved as 8-oxoG lesions. Immunostaining with anti-8-oxoG antibody showed a significant increase in nuclear 8-oxoG lesions in infected cardiomyocytes ( Fig. 2A). Likewise, the Comet assay showed Ͼ10-fold increase in tail moments, indicative of nuclear DNA fragmentation, in infected cells as compared with that noted in normal controls (Fig. 2, B and C). Treatment of infected cardiomyocytes with PBN resulted in a significant decline in intracellular ROS level (Fig. 2D), and subsequently, the 8-oxoG lesions ( Fig. 2A) and DNA fragmentation (Fig. 2, B and C) were decreased in PBN-treated/infected cardiomyocytes in a dose-dependent manner. These data showed that intracellular ROS caused DNA oxidative damage and DNA fragmentation in cardiomyocytes infected by T. cruzi.
The nuclear enzyme PARP-1 is a sensor of DNA damage. We monitored PARP-1 activity by determination of poly(ADP-ribosyl) (PAR) level. Immunoblotting with anti-PAR antibody showed PAR modification of several proteins was distinctly enhanced in infected cardiomyocytes during 6 -24 h pi ( Fig.  3A). At 48 h pi, the extent of PARylation of proteins was decreased that correlated with a decline in cell survival. No PARylation of host proteins was detectable at 1 and 3 h pi (data not shown). Increased PARylation of host proteins in infected cardiomyocytes was inhibited by PJ34 (PARP-1 inhibitor, Fig.  3B). Normal cardiomyocytes incubated with H 2 O 2 exhibited a similar pattern of increased protein PARylation as was noted in T. cruzi-infected cells (Fig. 3B) indicating that ROS plays an upstream role in PARP-1 activation. To demonstrate such is the case, we incubated infected cardiomyocytes with PBN and examined protein PARylation level. PBN treatment decreased the extent of PARylation of host proteins in a dose-dependent manner (Fig. 3C), thus, suggesting that ROS signals PARP-1dependent protein PARylation in infected cardiomyocytes. Immunoprecipitation of PARP-1 followed by immunoblotting with anti-PARP-1 and anti-PAR antibodies showed that PARP-1 protein level was not increased, yet PARylation of PARP-1 was enhanced by 2-fold in infected cardiomyocytes (Fig. 3, D and E). The PARylation of PARP-1 was normalized to control level when infected cardiomyocytes were incubated with 10 M PJ34 or 500 M PBN (Fig. 3, D and E). Together, these results demonstrated that (a) ROS stimulates PARP-1 activation in T. cruzi-infected cardiomyocytes and (b) PARP-1 activation contributes to PARylation of self and other proteins in infected cardiomyocytes.
Next, we determined if ROS or PARP-1 contribute to inflammatory responses in cardiomyocytes infected by T. cruzi. Real-time PCR analysis showed that mRNA level for TNF-␣ and IL-1␤ cytokines was increased in infected cardiomyocytes, beginning at 3 h pi. The maximal increase in mRNA level for TNF-␣ (5-fold increase) and IL-1␤ (7-fold increase) was observed at 12 h pi (Fig. 4A). Treatment with PJ34 inhibited the increased TNF-␣ and IL-1␤ mRNA levels in infected cardiomyocytes, thus, suggesting that PARP-1 activity is an important regulator of cytokine gene expression in cardiomyocytes (Fig. 4B). A substantial increase in TNF-␣ and IL-1␤ mRNA levels in normal cardiomyocytes treated with H 2 O 2 (Fig. 4B) and inhibition of their expression in infected cardiomyocytes treated with PBN (Fig. 4C) suggested that ROS, either directly or as an upstream regulator of PARP-1, contributes to cytokine gene expression in cardiomyocytes infected by T. cruzi. Emodin (NF-B inhibitor) blocked the enhanced levels of TNF-␣ and IL-1␤ mRNAs in infected cardiomyocytes (Fig. 4C), suggesting that ROS and PARP-1 signal cytokine gene expression through NF-B activation in infected cardiomyocytes.
We performed a dual luciferase reporter assay to evaluate whether NF-B signaling of gene expression is indeed induced in T. cruzi-infected cardiomyocytes. AC16 cells transiently transfected with luciferase reporter plasmid pNF-Bluc with 5ϫNF-B binding site and pREP7-Rluc (expresses Renilla luciferase) were infected with T. cruzi for 12 h, and NF-B-dependent luciferase activity was monitored. We observed that infected cardiomyocytes had a Ͼ2-fold increase in luciferase activity (normalized to Renilla luciferase) (Fig. 5A). Treatment with PBN and PJ34 resulted in a significant decline in luciferase activity (Fig. 5A), suggesting that ROS and PARP-1 signaled NF-B-dependent gene expression in cardiomyocytes infected by T. cruzi. We considered that intracellular ROS facilitate nuclear translocation of activated NF-B, and PARP-1 (nuclear protein) facilitates interaction of NF-B with other factors of the transcription complex. RelA (p65) is an important subunit of activated NF-B dimers (e.g. p50/p65, p65/p65, and p65/c-Rel). To investigate whether RelA (p65) translocation to nucleus occurs in an ROS-dependent manner, AC16 cells infected with T. cruzi were treated with PBN, and cellular and nuclear fractions were used for immunoblotting with anti-p65 antibody. Our results showed Ͼ2.5-fold increase in nuclear translocation of RelA (p65) that correlated with a similar level of decline in cytosolic RelA (p65) of infected cardiomyocytes (Fig. 5B). PBN blocked the nuclear translocation of RelA (p65) in infected cardiomyocytes, thus validating that ROS signal nuclear translocation of RelA (p65) in infected cardiomyocytes. It was, however, surprising to find that PJ34 treatment of infected cardiomyocytes also blocked the nuclear translocation of RelA (p65) (Fig. 5B), as PARP-1 is localized in nucleus, and thus, was not expected to interact with cytosolic NF-B.
To verify if PARP-1 binds with RelA (p65), facilitating its nuclear translocation and NF-B-dependent gene transcription, we utilized cytosolic and nuclear fractions of normal and infected cardiomyocytes, and performed immunoprecipitation with anti-PARP-1 or anti-p65 antibodies followed by immunoblotting with specific antibodies. Repeated attempts with various protein lysates concentration, antibody dilution, and incubation time to co-precipitate PARP-1 with p65 were unsuccessful. These results suggested that PARP-1 does not directly bind with p65 to facilitate its translocation or interaction with transcription complex in nuclei of cardiomyocytes infected by T. cruzi (data not shown). Next, we examined whether NF-B-dependent gene expression is facilitated by PARP-1 activity via PAR modification of RelA (p65) or other interacting partners of the transcription complex. For this, cell lysates were subjected to immunoprecipitation with p65-specific antibody, and immunoblotting was performed with anti-PAR antibody. We found no detectable level of PARylation of RelA (p65) in infected cardiomyocytes (Fig. 6). Instead, we observed enhanced PAR modification of several proteins that co-precipitated with RelA (p65) (Fig. 6). The enhanced PARylation of RelA (p65)-binding proteins was decreased when infected cardiomyocytes were treated with PJ34 or PBN. These data suggested that PAR modification of RelA (p65)-binding subunits facilitated the activation of NF-B-dependent gene transcription of infected cardiomyocytes.
We considered the possibility that PAR modification of mitochondrial membranes signals ROS-induced NF-B activation in infected cardiomyocytes. Dual labeling with anti-PAR antibody and MitoTracker Red demonstrated a significant increase in PAR-specific fluorescence in mitochondria of infected cardiomyocytes that was inhibited by PJ34 treatment (Fig. 7A). To determine if PARylation affected mitochondrial membrane potential (⌬m), cells were stained with JC-1. JC-1 accumulates in coupled, healthy mitochondria as red aggregates and remains in a monomeric green form if m is collapsed. Normal cardiomyocytes exhibited a high red aggregates/green monomers ratio. Comparatively, we noted a marked decline in red aggregates with a corresponding increase in green monomers in infected cardiomyocytes that was prevented by PJ34 treatment (Fig. 7B). The PJ34dependent normalization of ⌬m was associated with control of mtROS formation evidenced by a significant decline in MitoSOX Red (detects mitochondrial O 2 . ) and DHE (detects intracellular ROS) fluorescence in infected cardiomyocytes (Fig. 7C). These data, along with data presented in Figs. 1-3, implied that T. cruzi initiated mtROS production and PARP-1 activation in infected cardiomyocytes, and PARP-1 activation provided a secondary signal for intracellular ROS formation through PAR modification of mitochondrial membranes. Thus, PARP-1 enhanced nuclear translocation of RelA (p65) via providing a secondary stimulus for ROS production in infected cardiomyocytes.
To confirm the role of PARP-1, we further applied an RNAi approach to inhibit the PARP-1 expression. The PARP-1 RNAi (iPARP-1), but not scrambled RNAi (iCTR, negative control), resulted in a 2-fold decline in PARP-1 expression (Fig. 8A). The iPARP-1 rescued the collapse of ⌬m (Fig. 8B) and reduced the production of mitochondrial ROS (Fig. 8C) in T. cruzi-infected cardiomyocytes. In addition, iPARP-1 blocked the nuclear translocation of p65 (Fig. 8, D and E) and the expression of inflammatory cytokines (Fig. 8F) in infected cardiomyocytes. These data confirmed the role of PARP-1 in mitochondrial dysfunction and inflammatory cytokine production in cardiomyocytes infected by T. cruzi.

DISCUSSION
T. cruzi infects a wide range of host tissues, and inflammatory infiltrate and oxidative stress-induced injuries are a common finding in chagasic myocardium (reviewed in Refs. 2, 8). We have documented previously that mitochondria are a major source of O 2 . production in murine cardiomyocytes and myocardium infected by T. cruzi (15,16). In this study, we demonstrate that mtROS diffuse to cytosol and elicit DNA damage and PARP-1 activation in human cardiomyocytes infected by T. cruzi. ROS, either through direct modification of cytosolic NF-B, or via PARP-1-dependent PAR modification of RelA (p65)-interacting nuclear proteins, signaled the pro-inflammatory cytokine gene expression in infected cardiomyocytes. Further studies demonstrated that PAR polymers altered the mitochondrial membrane potential and provided a secondary signal for sustained mtROS production, PARP-1 activation, and NF-B-dependent cytokine gene expression in cardiomyocytes infected by T. cruzi. This, to the best of our knowledge, is the first study demonstrating a link between ROS and inflammatory responses in cardiomyocytes infected by T. cruzi and providing a clue to the pathomechanism of sustained inflammation in Chagas disease. The heart is dependent on mitochondria for ϳ90% of the cellular energy required for its contractile and other metabolic activities. Due to high energy demand, mitochondria represent 30% of the total volume of cardiomyocytes and produce energy through the oxidative phosphorylation pathway (23), in which respiratory electron flow in the inner membrane of the mitochondria is coupled to the F o F 1 ATP synthase and produces ATP. During this process, as much as 2-4% of the reducing equivalents escape the respiratory chain, leading to the formation of free radicals. Considering the high rate of O 2 consumption in cardiomyocytes, it is inferred that, even in normal conditions, heart tissue is maximally exposed to ROS of mitochondrial origin (24). We have documented that respiratory chain efficiency is compromised in chagasic hearts, and the resultant increase in electron leakage and O 2 . production leads to sustained oxidative stress during the course of T. cruzi infection and disease development (15,25). In this study, dual labeling with mitochondria-and O 2 . -specific fluorescent probes validated that mitochondrial ROS production is indeed increased in cardiomyocytes within 3 h of infection by T. cruzi (Fig. 1). The ROS response was not a bystander effect caused by the presence of parasite antigens, and active invasion by T. cruzi was essential to elicit ROS production in cardiomyocytes (16). The diffusion of mtROS to cytosol was evidenced by a significant increase in DHE fluorescence in infected cardiomyocytes. DHE is oxidized by cytosolic ROS, and the latter binds to nuclear DNA, leading to nuclear red fluorescence, observed during 3-12 h pi (Fig. 1D). DNA is sensitive to ROS, and nuclear enzyme PARP-1 is a sensor of damaged DNA. The basal level activation of PARP-1 by mild genotoxic stimuli causes PARylation of histone proteins (e.g. H 1 and H 2 B) that mediates relaxation of the chromatin superstructure and recruitment of DNAbreak repair enzymes (18,19), resulting in DNA repair and cell survival (reviewed in Ref. 26). The hyperactivation of PARP-1, however, is harmful, because it may utilize NAD ϩ at a very high rate and result in excessive formation of PAR polymers that bind to cellular proteins and signal various pathological stimuli (27). Accumulated evidence suggests that PARP-1 activation plays a role in various forms of heart failure, cardiomyopathies, and myocardial hypertrophy, and inhibitors of PARP-1 or PARP-1 gene deletion ameliorate the features in these diseases (28). In this study, we observed a significant increase in DNA oxidative damage evidenced by nuclear 8-oxoG lesions and DNA Comet tails (indicator of DNA fragmentation) (Fig. 2), and PARP-1 activation, evidenced by the detection of PARylation of PARP-1 (Fig. 3D) and other cellular proteins (Fig. 3A) in cardiomyocytes infected by T. cruzi. Treatment of infected cardiomyocytes with ROS scavenger (PBN) and PARP-1 inhibitor (PJ34) attenuated the mtROS formation, and subsequently DNA damage and PARP-1 activation were decreased. These data allow us to surmise that T. cruzi induced an increase in mitochondrial ROS-signaled PARP-1 activation, which resulted in post-translational PAR modification of PARP-1 and other proteins in cardiomyocytes.  were incubated for 12 h, and cytosolic and nuclear fractions were prepared as described under "Experimental Procedures." The p65 expression level was detected by immunoblotting with specific antibody. Membranes were reprobed with antibody to ␤-actin and Lamin A/C to normalize the cytosolic and nuclear fractions, respectively. FIGURE 6. PAR modification of p65-associated proteins was enhanced in an ROS-dependent manner. AC16 cells (normal and infected) were incubated in the presence of 10 M PJ34 or 500 M PBN for 12 h. Immunoprecipitation was performed with RelA (p65)-specific antibody. Immune complexes were resolved on 10% SDS-PAGE, and immunoblotting was performed using antibodies specific for PAR polymer and RelA (p65) subunit of the NF-B complex.
The plasma level of TNF-␣ and other pro-inflammatory cytokines is elevated in chagasic patients (3,10). The enhanced expression of TNF-␣, IL-1␤, and IL-6 at both mRNA and protein levels has also been noted in the myocardium of T. cruzi-infected experimental models (7,29,30). It is generally accepted that macrophages and neutrophils that constitute the inflammatory infiltrate in the heart are the major source of IL-1␤ and TNF-␣ cytokines (31,32), and CD4 ϩ and CD8 ϩ T cells contribute to interferon-␥ production (33) in chagasic myocardium. Our finding of increased TNF-␣ and IL-1␤ mRNAs in infected cardiomyocytes (Fig. 4) suggested that cardiomyocytes also respond to T. cruzi by inflammatory cytokine production. ROS appeared to be important regulators of inflammatory cytokines, because treatment with PBN resulted in a significant decline in cytokine expression in infected cardiomyocytes (Fig. 4). The cytokine gene expression was also inhibited by emodin (NF-B inhibitor) suggesting that ROS signals cytokine gene expression through NF-B activation in infected cardiomyocytes. NF-B is a known redox-sensitive, inducible transcription factor (34), and has been shown to regulate the production of pro-inflammatory cytokines and chemokines in a variety of in vitro and in vivo models (reviewed in Ref. 35). Accordingly, scavenging of ROS by PBN treatment blocked the nuclear translocation of RelA (p65), an important subunit of activated NF-B dimers (p50/p65, p65/p65, and p65/c-Rel), and NF-B transcriptional activity, validated by the dual luciferase reporter assay (Fig. 5). Treatment of infected cardiomyocytes with enbrel (TNF-␣ receptor inhibitor) had no effect on NF-B activation and downstream events (data not shown). Together, these observations allow us to conclude that T. cruzi-induced intracellular ROS signals the NF-B transcriptional activation and proinflammatory cytokine gene expression in cardiomyocytes.
Surprisingly, PJ34, the inhibitor of PARP-1 activation, blocked the nuclear translocation and activation of NF-B and cytokine gene expression in infected cardiomyocytes. A few in vitro and in vivo studies have reported that PARP-1 acts as a co-activator of NF-B, and inhibition of PARP-1 attenuated the pro-inflammatory cytokine response (36 -38), although additional studies have debated against this notion (39,40). Others have shown that PARP-1 and NF-B form a stable, immunoprecipitable nuclear complex (41). Hassa et al. generated a PARP-1 mutant lacking the enzymatic and DNA-binding activity and showed that this mutant interacted, comparably to the wild-type PARP-1, with p65 or p50 subunits of NF-B, thus, concluding that PARP-1 enzymatic activity is not essential for its interaction with NF-B and DNA binding (40). We did not anticipate that PARP-1, a nuclear protein, would reach the cytosolic NF-B to facilitate its translocation to the nucleus for the formation of transcription complex and cytokine gene expression. Our notion was validated by the fact that we observed no increase in PARP-1 protein level in response to T. cruzi infection, and repeated attempts to co-precipitate PARP-1 and NF-B from the cytosolic and nuclear fractions of infected cardiomyocytes were not successful. We, therefore, surmised that PARP-1 does not facilitate NF-B translocation to nucleus and transcription complex formation via direct binding to RelA (p65) in cardiomyocytes infected by T. cruzi. Chang and Alvarez-Gonzalez showed that DNA binding by NF-B-p50 was inefficient in the absence of NAD and blocked in the presence of pharmacologic inhibitors of PARP-1, and suggested that NF-B-p50 DNA binding and transcription complex formation are perhaps regulated in . , panels a-c), and DHE (detects intracellular/cytosolic ROS, panels d-f, red) probes. Note that mitochondrial and cytosolic ROS were decreased by PJ34 treatment of infected cardiomyocytes. a protein-PARylation-dependent manner (39). Indeed our data provide support to this notion. We noted no PARylation of RelA (p65), however, proteins co-precipitated by anti-p65 antibody were PAR-modified in infected cardiomyocytes. PJ34 arrested the PARP-1 activity and PARylation of p65-binding proteins, and, subsequently, NF-B activation and cytokine gene expression were blocked in PJ34-treated/infected cardiomyocytes. Together, these observations allow us to conclude that ROS-mediated PARP-1 activation induces PAR modification of p65binding nuclear proteins and NF-B activation that leads to cytokine gene expression in T. cruzi-infected cardiomyocytes.
PARP activation is suggested to play a crucial role in cross-talk between the nucleus and the mitochondria, although how PARP transfers information to the mitochondria is unclear. Some studies have indicated that PARP-1 is present in the mitochondria (42), and besides playing a role in repairing the mitochondrial DNA (43), it may also PAR-modify mitochondrial proteins, including the members of the Krebs cycle, the urea cycle, and the electron transport chain (44). In our study, dual labeling with PAR-specific antibody and mitochondria-targeted fluorescent probes, as well as JC-1 staining, showed a significant increase in mitochondrial PAR deposition associated with a loss in membrane potential (⌬m) in cardiomyocytes infected by T. cruzi (Figs. 7 and 8). Alterations in m affect several mitochondrial functions. One is the dissipation of protonmotive force that in itself serves as a negative modulator of respiratory chain activity in infected cardiomyocytes (16). We, thus, considered that T. cruzi-induced PARP-1 activation provides a secondary signal for PAR-dependent mitochondrial electron transport chain dysfunction and ROS formation in infected cardiomyocytes. This notion was validated by the observation that pharmacological treatment (PJ34) or genetic interference FIGURE 8. Genetic interference of PARP-1 rescued mitochondrial membrane potential, reduced mitochondrial ROS, and decreased NF-B-mediated transcription of inflammatory genes in infected cardiomyocytes. A, AC16 cells were transfected with small RNAi of PARP-1 (iPARP-1) or negative control (iCTR) for 48 h, and immunoblotting was performed with anti-PARP-1 and anti-␤-actin (loading control) antibodies. B-F, cells were transfected with PARP-1 or control RNAi (as above) and infected with T. cruzi for 12-h (B) JC-1 staining. Note the accumulation of green monomers and the loss of red aggregates in infected cardiomyocytes (panels b, f, and j) was inhibited by PARP-1 RNAi (panels c, g, and k) but not control RNAi (panels d, h, and g). C, MitoSOX Red staining. Note the mitochondrial ROS in infected cardiomyocytes (panel b) was inhibited by PARP-1 RNAi (panel c) but not control RNAi (panel d). D and E, the cytosolic and nuclear fractions of wt and infected cardiomyocytes (ϮPARP-1 or control RNAi) were prepared as described under "Experimental Procedures." The p65 expression level was detected by immunoblotting with specific antibody. Membranes were re-probed with antibody to ␤-actin and Lamin A/C. Densitometric analysis of cytosolic and nuclear p65, normalized to ␤-actin and Lamin A/C signal, respectively, is shown in panel E. F, a real-time RT-PCR was performed to measure the TNF-␣ and IL-1␤ mRNA levels in wt and infected cardiomyocytes (ϮPARP-1 or control RNAi). Data (mean Ϯ S.D.) are representative of triplicate experiments (p Ͻ 0.01; *, normal versus T. cruzi-infected; #, infected/PARP-1-interfered versus infected/untreated).
(PARP-1 RNAi) of infected cardiomyocytes blocked the PARP-1-dependent PARylation of mitochondrial membranes and loss of mitochondrial m, and subsequently, ROS production was decreased in pharmacologically treated or genetically interfered cardiomyocytes (Figs. 7 and 8). Thus, we conclude that PAR modification of mitochondrial membranes contributes to ⌬m and enhanced ROS production in infected cardiomyocytes. These data also clarify the role of PARP-1 in NF-B activation and suggest that PARP-1/PAR-mtROS provides a secondary signal for NF-B nuclear translocation and activation.
In summary, we have shown that cross-talk between nuclei and mitochondria contribute to ROS-dependent cytokine gene expression in cardiomyocytes infected by T. cruzi (Fig. 9). Our data demonstrate that cardiomyocytes respond to T. cruzi infection by an exponential increase in mtROS production, some of which are diffused to cytosol and nucleus. The ROSinduced DNA oxidative damage elicited PARP-1 activation and PAR formation, and PARylation of mitochondrial membranes provided a secondary signal resulting in a positive feedback cycle of mtROS production, DNA damage, and PARP-1/PAR activation. ROS, either through direct modulation of cytosolic NF-B or via PARP-1-dependent PAR modification of RelA (p65) interacting nuclear proteins, contributed to NF-B activation and cytokine gene expression. The ROS-PARP-1-RelA signaling pathway may contribute to injurious inflammatory cytokine production and infiltration of inflammatory infiltrate in chronic chagasic hearts, to be investigated in future studies. FIGURE 9. Potential mechanism of ROS-PARP-1-RelA signaling of cytokine gene expression in T. cruzi-infected cardiomyocytes. ROS induced by T. cruzi infection elicit nuclear DNA damage and PARP-1 activation that then sustains an autocatalytic cycle of mitochondrial and intracellular ROS production, PARP-1 activation, and PAR formation. ROS (produced in response to T. cruzi infection) and by PARP-1/PAR-dependent mitochondrial alterations provide primary and secondary stimuli, respectively, for nuclear translocation of NF-B, NF-B activation, and cytokine gene expression. PARP-1 activation and enhanced PAR modification of p65-associated proteins may also signal optimal transcriptional activation of NF-B-dependent pro-inflammatory gene expression.