INTRODUCTION

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Epidermal differentiation, like that of other stratified squamous epithelia, requires a coordinated program of sequential gene expression, migratory controls, and temporal regulation of a death pathway to achieve the proper balance of functional but nonviable mature squames and viable cells to replenish them. Studies on cultured keratinocytes from murine and human skin have revealed components of the regulatory pathways responsible for this complex maturation process (16, 50). While the control of gene expression and cell migration has attracted much research interest, the regulation of the death pathway has not been as fully explored. In fact, it is still uncertain whether maturation-induced cell death is an active or a passive process that is simply the result of production of toxic structural components and the formation of cornified envelopes. For example, inappropriate expression of keratin 10 in proliferating keratinocytes leads to growth arrest and cell loss (25, 36). Even the nature of the death pathway is in dispute, having neither complete characteristics of apoptosis nor necrosis, suggesting that it may be a unique program customized for the important functions that a nonviable epidermal keratinocyte must perform without the intervention of phagocytosis (37).

For the most part, correlations have directed interpretations of keratinocyte-programmed cell death pathways. The pro-apoptotic protein Bax is increased in differentiating keratinocytes, while bcl-2 and procaspase 3 are found in proliferating cells (31, 44). Furthermore, keratinocytes isolated from transgenic mice overexpressing bcl-2 in the epidermis have a prolonged in vitro lifespan (40). These studies have been interpreted to support an apoptotic mechanism for terminal cell death in keratinocytes. The observation that the phorbol ester tumor promoter 12-O-tetradecanoylphorbol-13-acetate (TPA) enhances terminal cell death in cultured keratinocytes and epidermis in vivo (51) has implicated protein kinase C (PKC) as a mediator of the terminal phase of keratinocyte maturation. In vitro, PKC inhibitors effectively block keratinocyte terminal differentiation induced by calcium or TPA (13). However, keratinocytes express five isoforms of PKC (, , , , and ), and it has been unclear if all or only specific isoforms are involved in terminal cell death based on activation or inhibition studies. Recently, PKC and - have been identified as inducers of keratinocyte transglutaminase and protein cross-linking in studies utilizing adenoviral vectors to overexpress these isoforms in cultured human keratinocytes (34). These findings were consistent with previous studies indicating that PKC translocated and was activated during calcium-induced keratinocyte differentiation and that PKC increased in amount in late stages of epidermal maturation in vitro and in vivo (8, 27). Furthermore, recent studies have strongly implied that the activation of PKC was required for keratinocyte apoptosis induced by UV light (9). PKC is a ubiquitously expressed isoform of PKC that regulates pathways in a cell-type-specific manner (21, 26, 29). Under certain conditions, PKC can stimulate or inhibit proliferation, promote secretion, suppress tumor formation or in vitro transformation, and stimulate differentiation. In several model systems, PKC contributes to apoptosis induced by DNA damage and death receptors. PKC has several unique characteristics that distinguish it from other isoforms. It is protected from downregulation by bryostatin 1 in a specific dose response, and this is regulated by its catalytic domain (30). It is also subject to phosphorylation on tyrosine residues by a variety of stimuli, particularly after activation of cells by growth factor receptors (7, 21). Tyrosine phosphorylation may result in activation or inactivation, and the direction of change in catalytic activity may be substrate dependent (6, 28, 45).

We have focused on PKC as a keratinocyte death inducer from data obtained in studies of neoplastic keratinocytes, where escape from programmed cell death is essential for tumor development. In mouse keratinocytes transformed by a ras oncogene, PKC is catalytically inactivated by tyrosine phosphorylation (6), and this is associated with resistance to terminal cell death induced by calcium or TPA. Furthermore, inhibition of tyrosine phosphorylation of PKC by kinase inhibitors reverses the differentiation block in vitro and causes tumor regression in vivo (6, 46). In addition, PKC is specifically downmodulated when human keratinocytes are neoplastically transformed by an oncogenic ras gene (17). Because of the potential to exploit the endogenous keratinocyte death pathway in the treatment or prevention of squamous tumor development, we constructed a replication-deficient adenovirus carrying PKC to determine whether this isoform can induce keratinocyte cell death directly in order to define the characteristics of the death program and to elucidate the cellular targets involved.

	MATERIALS AND METHODS

Top Abstract Introduction Materials and Methods Results Discussion References

Chemicals and antibodies. Polyclonal antibodies to PKC, PKC, PKC, PKC, and monoclonal antibody to FLAG peptide (M2) were from Sigma BioScience (St. Louis, Mo.). TPA was purchased from Alexis Co. (San Diego, Calif.). MitoTracker red was purchased from Molecular Probes, Inc. (Portland, Oreg.). Protein kinase inhibitors GF109203X, Ro-32-0432, PD98059 and H89 were purchased from CalBiochem (La Jolla, Calif.). Antimycin A, rotenone, and other chemicals or reagents were from Sigma Chemical Co. (St. Louis, Mo.).

Cell culture. Primary mouse keratinocytes from newborn BALB/c mouse epidermis were prepared by a trypsin flotation procedure (11). The isolated primary keratinocytes were plated at a density of 2 × 10⁶ to 5 × 10⁶ cells per 60-mm dish in Eagle minimum essential medium (Ca²⁺ and Mg²⁺ free; BioWhittaker, Walkersville, Md.) supplemented with 8% Chelex (Bio-Rad Laboratories, Richmond, Calif.)-treated fetal bovine serum (FBS) (Gemini Bio-Products, Inc., Calabasas, Calif.) and 0.05 mM Ca²⁺. The cells were maintained at 36°C in a humidified incubator with 7% CO₂ for 6 to 9 days. Fresh medium was added daily. Mouse neoplastic keratinocyte cell lines SP-1 and 308 were maintained in the same medium as the primary mouse keratinocytes (47). 293 and HeLa cells were cultured in Dulbecco modified Eagle medium (DMEM) supplemented with 10% FBS. SQCC-Y1, a human squamous carcinoma-derived cell line, was kindly provided by J. Rheinwald of Harvard University (Boston, Mass.), and HPV-18 infected immortalized human keratinocytes were a gift from R. Schlegel (Georgetown University, Washington, D.C.). Both cell lines were grown in DMEM supplemented with 10% FBS.

Generation of adenovirus carrying PKC. Two complementary single stranded DNAs, GGTACCCTCGAGTATACGCGTGACTACAAGGACGACGATGACAAGTAGAATTCGGGCC and CGAATTCTACTTGTCATCGTCGTCCTTGTAGTCACGCGTATACTCGAGGGTACCGC were synthesized and annealed at 50°C. This double-stranded DNA, containing the FLAG sequence followed by a stop codon, several restriction sites, and protruding ends, was cloned into the SacII and ApaI sites of pGEM vector (Promega, Madison, Wis.). A mouse PKC cDNA fragment (XhoI-MluI) lacking the stop codon was digested from the MTH vector (32) and cloned 5' to the FLAG sequence in the modified pGEM vector (pGEM-FPKC). The sequence was verified by automated DNA sequencing by using a DNA sequencing kit (Perkin-Elmer, Branchburg, N.J.). The FLAG-epitope-tagged PKC cDNA was then excised from the pGEM-FPKC with XhoI-EcoRI and ligated into the plasmid vector, pCA4 (Microbix Biosystems, Inc., Toronto, Ontario, Canada), which contains partial adenovirus type 5 sequence deleted in the E1 region with insertion of the cytomegalovirus (CMV) promoter and the simian virus 40 polyadenylation signal into the E1 region. The plasmid pCA4 carrying PKC-FLAG was cotransfected with pJM17 (Microbix Biosystems, Inc.) into 293 cells. pJM17 is noninfectious in single transfection of 293 cells. Adenoviral plaques were isolated after 10 to 14 days and reamplified in 293 cells. The expression of PKC-FLAG fusion protein was examined by Western blot with both anti-PKC and anti-FLAG antibodies. The resulting positive virus was referred to as AdFPKC. An adenovirus carrying -galactosidase (Adgal) under the control of CMV promoter was used as a viral control vector (22).

Construction of plasmid encoding PKC-GFP fusion protein. A plasmid containing the green fluorescent protein (GFP) cDNA (pEGFP-N1) was purchased from Clontech (Palo Alto, Calif.). pEGFP-N1 and pCA4 carrying PKC-FLAG were digested with XmaI and MluI, respectively. The resulting DNA protruding ends were filled in with Klenow fragment (Promega). Both linearized plasmids were then digested with XhoI. The PKC insert from pCA4 and the vector of pEGFP-N1 were purified by 1% agarose gel and ligated. To construct plasmid expressing the kinase inactive mutant of PKC-GFP fusion protein, pPKC^K376R-GFP, a mouse PKC^K376R cDNA fragment (XhoI-MluI) lacking the stop codon was digested from the MTH vector (5, 32) and ligated with the modified pEGFP containing an added MluI site. The sequences of pPKC-GFP and pPKC^K376R-GFP were verified with automated sequencing as described above.

Infection of adenovirus. The infection of adenovirus was carried out in serum-free medium containing 2.5 µg of Polybrene (Sigma) per ml at 50 PFU/cell for primary mouse keratinocytes and 100 PFU/cell for cell lines, respectively, for 30 min at room temperature. Fresh serum-containing medium was added thereafter. The transducing efficiency of the adenovirus under these condition is over 90%.

Transfection. pGFP, pPKC-GFP, and pPKC^K376R-GFP were transfected into SP-1 cells by using Lipofectamine Plus reagent (Life Technologies, Inc., Gaithersburg, Md.) according to the procedure recommended by the manufacturer. In brief, 4 µg of DNA, 12 µl of lipid, and 12 µl of Plus reagent were used to transfect SP-1 cells growing in 60-mm tissue culture dishes at 50% confluence in 2 ml of medium without serum. Fresh medium with 8% FBS was added 3 h later. The transfection efficiency is ca. 50%.

Subcellular fractionation. To isolate the particulate and cytosol fractions, cells were collected in buffers containing 25 mM Tris (pH 7.4), 150 mM NaCl, 2 mM MgCl₂, 1 mM EGTA, and 1 mM EDTA. Protease inhibitors (10 µg of leupeptin per ml, 10 µg of aprotinin per ml, and 1 mM phenylmethylsulfonyl fluoride) and phosphatase inhibitors (10 µM NaVO₄ and 1 mM NaF) were added prior to lysis. The cell lysates were then sonicated and centrifuged at 100,000 × g for 1 h at 4°C. Aliquots of the cytosolic fraction (supernatant) and the particulate fraction (pellet) were subjected to electrophoresis and immunoblotting. To isolate the mitochondrial enriched membrane fractions, cells were collected in phosphate-buffered saline (PBS) and then pelleted by centrifugation. The cell pellets were resuspended in a buffer containing 25 mM Tris (pH 7.4), 250 mM sucrose, 10 mM KCl, 1.5 mM MgCl₂, 1 mM EDTA, 1 mM EGTA, and 1 mM dithiothreitol with protease inhibitors as described above and homogenized 10 times with a Dounce homogenizer. Unlysed cells and nuclei were removed by centrifugation at 750 × g for 10 min. The supernatant was centrifuged at 10,000 × g for 30 min, and the resulting pellet was washed once with the same buffer and represents the mitochondrial enriched fraction. The supernatant was further spun at 100,000 × g for 1 h, and the supernatant from this final centrifugation represents the cytosol fraction. The centrifugation was carried out at 4°C (49). The protein concentration in each sample was determined by the Bradford method (Bio-Rad, Richmond, Calif.).

Cell viability assay. Cell viability was measured with a cell proliferation assay kit (The CellTiter 96; Promega) according to the manufacturer's protocol. In brief, the cells grown on 24-well tissue culture plates were infected with adenovirus for 2 days and treated with TPA in 0.5 ml of medium. After various times, 75 µl of dye solution was added to the cells without medium change, and 0.5 ml of solubilization-stop solution was added 4 h later. Then, 200 µl of the final mixture was transferred to 96-well plates, and the absorbency at 590 nm was examined by a plate reader. Results are presented relative to 100% of cell death as determined by killing cells with three cycles of freeze-thawing. The assay is based on the cellular conversion of a tetrazolium salt (MTT) into a blue formazan product that is detected by a plate reader at 590 nm.

PKC activity. The PKC activity was assayed by using the Protein Kinase C Assay System (Gibco-BRL) according to the manufacturer's procedure. In brief, both control and viral-infected cells were lysed in the extraction buffer (20 mM Tris, pH 7.5; 0.5 mM EDTA; 0.5 mM EGTA; 0.5% Triton X-100; 25 µg each of aprotinin and leupeptin per ml). Kinase activities from cell lysate (40 µg) and immunoprecipitation complex were examined by using acetylated myelin basic protein (Ac-MBP) as the substrate, and the nonspecific activity was determined by including peptides containing the pseudosubstrate region of PKC. The assay mixture contains 20 mM Tris (pH 7.5), 20 mM MgCl₂, 1 mM CaCl₂, 20 µM ATP, and 50 µM Ac-MBP, with 0.1 µCi of [-³²P]ATP per assay. For the Ca²⁺-independent kinase activity, 5 mM EGTA was included in the assay mixture. Data represent triplicate determinations.

TUNEL assay. Apoptotic cells were detected by TUNEL (terminal deoxynucleotidyltransferase-mediated dUTP-biotin nick end labeling) assay by using the ApopTag Direct In Situ Apoptosis Detection Kit with Fluorescein (Oncor, Gaithersburg, Md.). Attached keratinocytes were harvested by trypsinization, combined with unattached cells, fixed in 5% paraformaldehyde, and resuspended in PBS. Next, 10⁵ cells were spread on glass slides by use of a Cytospin (Cytospin 2; Shandon, Pittsburgh, Pa.). Detection of apoptotic cells and counterstaining with propidium iodide (PI) were performed according to the instructions provided by the manufacturer. The slides were viewed and photographed by using a fluorescent Leica microscope.

DNA degradation and caspase 3 activity measurements. Total DNA was isolated from primary keratinocytes by lysing cells in a buffer containing 5 mM Tris (pH 8.0), 10 mM EDTA, and 0.5% Triton X-100. The lysates were treated with 100 µg of RNase A per ml for 60 min at 37°C and then 200 µg of proteinase K per ml for 50 min at 50°C. DNA was extracted with equal volumes of phenol-chloroform-isoamyl alcohol twice and precipitated with 1/4 volume of NH₄ acetate (3 N) and 2 volumes of 100% EtOH. The pellets were washed with 70% ethanol once and resuspended in 50 µl of TE. Then, 10 µl of DNA was used for electrophoresis on a 1.8% agarose gel. The gel was stained with ethidium bromide and photographed under UV light. Caspase 3 activity was determined by using the Caspase-3 Assay Kit from Biomol (Plymouth Meeting, Pa.) according to the instructions provided by the manufacturer. Adenovirus-infected cells were treated with TPA, and cell lysates were collected after 12 h for assay.

Confocal microscopy. SP-1 cells were transfected with pGFP, pPKC-GFP, and pPKC^K376R-GFP by using Lipofectamine as described earlier. After 24 h, cells were treated with TPA (250 nM) for 30 min and then loaded with MitoTracker red (20 nM) for an additional 30 min in culture medium. A time course of pPKC^K376R-GFP translocation was recorded by use of confocal microscopy. Confocal fluorescent images were collected by using a Bio-Rad MRC 1024 confocal scan head mounted on a Nikon Optiphot microscope with a 488-nm excitation light from an argon-krypton laser. Emission filters of 598/40 and 522/32 were used for collecting red and green fluorescence, respectively, in channels one and two. After sequential excitation of 1.0- or 1.5-µm optical sections (z series), red and green fluorescent images of the same cell were collected, saved, and merged for colocalization of GFP with MitoTracker red by using LaserSharp software (Bio-Rad). A time course of PKC-GFP translocation in SP-1 cells was also viewed and photographed by using an inverted fluorescent microscope (Zeiss ICM 405).

Detection of mitochondrial membrane potential. The mitochondrial membrane potential was determined by using rhodomine-123 (Rh123) as described previously (49). Cells were harvested by trypsinization and resuspended in medium at 10⁶ cells/ml. Cells were incubated with Rh123 (5 µM) for 20 min at room temperature, washed once, resuspended in tissue culture medium, and analyzed by flow cytometry. The uncoupling agent, carbonyl cyanide m-chlorophenylhydropazone (CCCP; Sigma), was added at 50 µM with Rh123 as a positive control.

	RESULTS

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Characterization of adenovirus-mediated expression of PKC. Primary mouse keratinocytes were infected with epitope-tagged PKC or -galactosidase control adenoviruses at 50 PFU/cell, and cell lysates were analyzed by Western blotting after 48 h (Fig. 1A). A 10-fold increase in PKC protein was detected in the AdFPKC-infected cells by using anti-PKC antibodies, and exogenous PKC was also abundant on Western blots or by immunoprecipitation when detected by anti-FLAG antibody. The level of the other PKC isoforms was unaffected by infection with either adenovirus (Fig. 1B). More than 90% of keratinocytes were infected under this condition when examined by immunostaining with anti-FLAG antibodies or a -galactosidase staining assay (not shown).

View larger version (36K): [in this window] [in a new window]   FIG. 1.   Expression of exogenous and endogenous PKC isozymes in primary mouse keratinocytes. After 3 days in primary culture, mouse keratinocytes were infected with 50 PFU/cell of either AdFPKC or Adgal (vector) for 48 h. (A) Cell lysates from both vector- and AdFPKC-infected cells were collected and subjected to either immunoblotting with anti-PKC or anti-FLAG antibodies or immunoprecipitation (Ip) with anti-FLAG antibody and immunoblotted with anti-PKC antibodies. (B) The expression of endogenous PKC isozymes , , , and  was examined by immunoblotting of cell lysates 48 h after infection with either AdFPKC or Adgal.

View larger version (16K): [in this window] [in a new window]   FIG. 2.   PKC activity detected in mouse primary keratinocytes infected with either AdFPKC or Adgal. Primary mouse keratinocytes infected with either AdFPKC or Adgal for 48 h were lysed as described in Materials and Methods. (A) PKC kinase activity from total lysates was assayed in the presence or absence of 5 mM EGTA. (B) PKC activity from immunoprecipitates of anti-FLAG antibody was examined in the presence or absence of 5 mM EGTA. Data presented are the mean ± the standard error of the mean (n = 3). Similar results were obtained in two experiments.

View larger version (44K): [in this window] [in a new window]   FIG. 3.   TPA-induced translocation of PKC and - from soluble to particulate fractions. SP-1 cells infected with Adgal or AdFPKC for 24 h were treated with various doses of TPA as indicated in the figure for 30 min. Aliquots of cytosol and particulate fractions were analyzed by Western blot with rabbit anti-PKC (A) or anti-PKC (B) antibodies.

Activation of PKC by TPA induces cell death. Initially, infection of primary mouse keratinocytes with AdFPKC, but not Adgal, at 100 PFU/cell or higher resulted in cell killing for 3 to 5 days so that it was difficult to explore the pathways involved. Therefore, we reduced adenovirus to 50 PFU/cell and used TPA activation to control biological events. Under these conditions keratinocytes infected with the PKC or control adenoviruses were morphologically similar in the absence of activation by TPA (Fig. 4). Within the first few hours after administration of a low dose of TPA (50 nM), cells in both groups became elongated and formed dendritic structures which were reversed in the Adgal group but became more prominent with time in the AdFPKC group. Within 24 h of TPA treatment, a spindle phenotype or cell rounding and detachment was obvious in a majority of AdFPKC cells, and by 48 h most of the cells were floating in the medium. Rounded, detached cells were also seen in control cultures, but to a much lower extent. Studies with quantitative endpoints for cell viability (Fig. 5A) indicate that TPA was lethal to AdFPKC-infected primary mouse keratinocytes with a 50% effective dose between 3 and 30 nM. Even at 100 nM, TPA did not cause substantial lethality in cultured control keratinocytes (Fig. 5A). At low concentrations of TPA, cell death in PKC-overexpressing cells was inhibited by a 10 µM concentration of the PKC selective inhibitor, GF109203X (Fig. 5B). GF109203X itself had no effect on cell growth. To further confirm that the TPA-induced cell death in PKC-overexpressing keratinocytes is mediated by PKC, we compared the effect of inhibitors for PKA and mitogen-activated protein kinase kinase (MAPKK) to PKC inhibitors (Fig. 5C). As seen before, GF109203X and also Ro-32-0432, both PKC-selective inhibitors, blocked lethality from TPA. In contrast, H89, a PKA inhibitor, had no effect on TPA-induced cell death. Of interest, however, PD98059, a MAPKK inhibitor, partially blocked TPA-induced cell death, suggesting that MAPK may be a downstream target of a PKC-activated cell death pathway. Pretreating cells with cycloheximide (5 µg/ml) did not prevent TPA-induced cell death in PKC-overexpressing cells (Fig. 5C), suggesting, together with the rapid time course (see below), that PKC may directly activate a cell death pathway without a requirement for gene activation or new protein synthesis. To determine whether a differentiation program was induced in PKC-overexpressing keratinocytes, Western blots were performed on total cell lysates collected from AdFPKC-infected primary keratinocytes treated with TPA after 24 or 48 h. There was no detectable expression of keratins 1 and 10, loricrin, or filaggrin at these time points (not shown).

View larger version (66K): [in this window] [in a new window]   FIG. 4.   TPA treatment of primary mouse keratinocytes overexpressing PKC alters cell morphology. Primary mouse keratinocytes were infected with either AdFPKC or Adgal as described in Materials and Methods. After 24 h (time zero), 50 nM TPA was added to cells, and photographs were taken after 0, 3, 7, and 24 h.

View larger version (26K): [in this window] [in a new window]   FIG. 5.   TPA induces cell death in PKC-overexpressing normal and neoplastic keratinocytes. Primary mouse keratinocytes, infected with either AdFPKC or Adgal for 24 h, were treated with various concentrations of TPA (A) or with a PKC inhibitor, GF109203X (10 µM), with or without 50 nM TPA for 24 h (B). Cell viability was examined with the MTT assay. (C) PKC selective inhibitors Ro-32-0432 (10 µM) and GF109203X (10 µM), PKA inhibitor H89 (10 µM), MAPKK inhibitor PD98059 (10 µM), and the protein synthesis inhibitor cycloheximide (10 µg/ml) were added to primary mouse keratinocytes overexpressing PKC together with 50 nM TPA. After 24 h, cell viability was examined with the MTT assay. (D) Neoplastic human and mouse keratinocytes (SQCC-Y1, HPV-18, HeLa, and SP-1) were infected with AdFPKC or Adgal as described in the Materials and Methods for 24 h. TPA (250 nM) was added, and cell viability was determined after 24 h. Values are expressed relative to 100% of cell death as determined by three cycles of freeze-thawing within each experiment. Results (mean ± the SEM) are from one of at least three experiments, each performed in triplicate. Error bars for the 30 nM dose in panel A for control and Adgal groups are too small to be seen.

View larger version (12K): [in this window] [in a new window]   FIG. 6.   (A) TPA-induced lethality is rapid in PKC-overexpressing keratinocytes. Primary mouse keratinocytes, infected with either AdFPKC or Adgal for 24 h, were exposed to TPA (50 nM). Cell viability was assessed at multiple times after TPA treatment by MTT assay. (B) TPA-induced lethality precedes loss of attachment. Primary mouse keratinocytes, infected with either AdFPKC or Adgal for 24 h, were treated with TPA (100 nM) for 3 h. Attached cells were collected by trypsinization, counted, and aliquoted. Then, 25,000 cells were seeded per well in 96-well plates and assayed for cell viability by MTT assay. Data presented are the means ± the standard error of the mean (n = 6). Similar results were obtained from two experiments, and a third experiment was done with phorbol dibutyrate.

PKC-mediated cell killing has characteristics of an apoptotic process. Before exploring the cellular targets for PKC-mediated cell killing, we wanted to characterize the nature of the dying cells in order to provide direction to our mechanistic studies. Primary mouse keratinocytes, infected with AdFPKC or Adgal, were treated with TPA and collected after 24 h for TUNEL staining and DNA fragmentation analysis. TUNEL-positive nuclei (Fig. 7A) were detected in TPA-treated cells of both groups, but there were three times more in the PKC-overexpressing cells compared to the Adgal-infected controls (Table 1). Even in the absence of TPA, overexpressing PKC increased the number of TUNEL-positive cells substantially. DNA fragmentation was also detected in gel mobility assays of DNA extracted from AdFPKC keratinocytes treated for 24 h with TPA, whereas DNA from control keratinocytes treated similarly remained at the origin of the gels (Fig. 7B). However, a well-defined DNA ladder could not be resolved. The activation of caspase plays a central role in the regulation of apoptosis induced by various stimuli (43). Figure 7C indicates that caspase 3 activity is increased in keratinocytes infected with AdFPKC relative to keratinocytes infected with Adgal and, within 12 h of TPA treatment, there is a further 8.6-fold increase above that of the untreated cells. Caspase 3 activity also increases in TPA-treated Adgal-infected cells, but the activity is only 30% of that in AdFPKC-infected cells. Taken together, these findings suggest that TPA induces an apoptosis-like cell death in keratinocytes that is substantially enhanced by overexpression of PKC.

View larger version (49K): [in this window] [in a new window]   FIG. 7.   Apoptotic markers detected in keratinocytes overexpressing PKC. (A) Primary mouse keratinocytes infected with AdFPKC were treated with TPA (50 nM) for 24 h. Both attached and floating cells were collected and fixed for TUNEL assay. The red fluorescence indicates nuclear counterstaining with PI, and the green fluorescence indicates positive staining for the TUNEL assay. Yellow nuclei (arrows) express both markers. (B) DNA was isolated from AdFPKC- or Adgal-infected primary keratinocytes 24 h after TPA treatment, processed through a 1.8% agarose gel, and stained with ethidium bromide. DNA degradation is detected in PKC-overexpressing cells. Parallel cultures were treated with 1 µM STSP as a positive control. (C) Cell lysates from SP-1 cells infected with AdFPKC or Adgal and treated with 250 nM TPA for 12 h were subjected to caspase 3 assay as described in Materials and Methods. The relative activity of caspase 3 was determined as the optical density at 402nm of the reaction mixture. Data presented are mean ± the standard deviation (n = 2). Similar results were obtained from three experiments.

View this table: [in this window] [in a new window]   TABLE 1.   Apoptosis induced by TPA in primary keratinocytes infected with AdFPKCa

Overexpressed PKC targets mitochondria to induce lethality in keratinocytes. To provide guidance for studies of intracellular targeting of PKC in response to TPA activation, we constructed a plasmid expressing a PKC-GFP fusion protein, transfected that into SP-1 cells, and treated the cells with TPA. Before TPA treatment, PKC-GFP displayed a relatively diffuse cytosolic distribution with perinuclear concentration in some cells (Fig. 8). After TPA treatment, PKC-GFP translocated from cytosol to plasma membrane within 10 to 20 min and then concentrated in perinuclear structures consistent with intracellular organelles (Fig. 8). In contrast, the fluorescence pattern did not change in SP-1 cells transfected with pGFP. To determine whether the punctate perinuclear distribution of PKC-GFP represents localization to a specific organelle, a fluorescent probe for mitochondria, MitoTracker red, was loaded into SP-1 cells expressing either PKC-GFP or GFP. Red and green fluorescence were viewed by a confocal microscope with 598/40 and 522/32 emission filters, respectively. Images of red and green fluorescence of optical sections (1.5 µm) of the same field indicated that PKC-GFP colocalized with MitoTracker red after TPA treatment (Fig. 9A). In addition to inducing PKC-GFP to colocalize with mitochondria, TPA also caused aggregation of mitochondria and shape changes in SP-1 cells expressing PKC-GFP. In contrast, after transfection with the parental GFP vector, the distribution of GFP was diffuse, and GFP localization or cell morphology did change after TPA treatment. Likewise transfection with a kinase-inactive mutant of pPKC^K376R fused to GFP showed the formation of the cytoplasmic granules after TPA treatment that did not colocalize with MitoTracker red (Fig. 9B). However, this mutant did translocate to the plasma membrane after TPA treatment. To confirm the mitochondrial localization of PKC, 308 and HeLa cells were infected with AdFPKC and treated with TPA, and aliquots of cytosol and mitochondrial enriched fractions were examined by Western blot after 3 h. Translocation of PKC to a mitochondrial enriched fraction was detected in both cell lines (Fig. 10A). Of interest, staurosporine (STSP), an agent previously shown to induce terminal cell death in normal and neoplastic keratinocytes through a PKC-dependent mechanism (12), also caused translocation of PKC to the mitochondrial fraction. As shown in Fig. 10B, endogenous PKC was also detected in the mitochondrial enriched fraction of SP-1 cells, and this was substantially increased after TPA stimulation.

View larger version (70K): [in this window] [in a new window]   FIG. 8.   Rapid translocation of PKC-GFP after TPA treatment. The distribution of green fluorescence of transfected PKC-GFP in TPA-treated SP-1 cells was monitored in living cells by use of an inverted fluorescent microscope. SP-1 cells were infected with pPKC-GFP and, after 24 h, TPA (500 nM) was added directly to the medium to trigger translocation. Experiments were performed at room temperature. Photographs were taken at the various times indicated. Arrows mark cells where organellular translocation is prominent, and arrowheads mark cells where plasma membrane translocation is prominent.

View larger version (111K): [in this window] [in a new window]   FIG. 9.   Colocalization of PKC-GFP protein with mitochondria. (A) pGFP and pPKC-GFP were transfected into SP-1 cells by use of Lipofectamine, and the expression of GFP or GFP-PKC protein was viewed in living cells by confocal microscopy. Mitochondria were visualized by staining with MitoTracker red for 30 min. Transfected cells were treated with 250 nM TPA and examined after incubation at 37°C for 1 h. (B) A kinase inactive mutant, pPKCK376R-GFP fusion protein, was transfected into SP-1 cells, and after a loading with MitoTracker red for 30 min, cells were treated with 250 nM TPA and examined for 40 min by confocal microscopy.

View larger version (52K): [in this window] [in a new window]   FIG. 10.   TPA induces translocation of PKC from cytosolic to mitochondrial enriched fractions. (A) HeLa and 308 cells infected with AdFPKC were treated with TPA (250 nM) or STSP (1 µM) for 3 h. Cell lysates were collected, and cytosolic and mitochondrial enriched fractions were isolated as described in Materials and Methods. Western blots with PKC antibodies were performed on 20 µg of cytosol protein and 1 µg of mitochondrial enriched protein. (B) Endogenous PKC translocates to the mitochondrial enriched fraction in SP-1 cells after TPA treatment. To detect endogenous PKC, SP-1 cells were treated with 250 nM TPA for 1 h and subjected to subcellular fractionation. Western blots were performed with PKC antibodies on 10 µg of cytosol protein and 10 µg of mitochondrial enriched protein.

View larger version (20K): [in this window] [in a new window]   FIG. 11.   Mitochondrial inhibitors, rotenone and antimycin A, inhibit PKC mediated cell death. SP-1 cells, infected with either AdFPKC or Adgal for 24 h, were treated with rotenone (0.25 µM) and antimycin A (0.5 µM) with or without 250 nM TPA. After 24 h, surviving cells were measured by assaying the protein content in each sample as described in Materials and Methods. Data presented are the means ± the standard error of the mean (n = 6). Similar results were obtained from three separate experiments.

View larger version (30K): [in this window] [in a new window]   FIG. 12.   TPA alters mitochondrial membrane potential in PKC-overexpressing keratinocytes. (A) SP-1 cells, infected with either AdFPKC or Adgal, were treated with TPA (250 nM) for 3 h and collected by trypsinization. Rh123 (5 µM) was loaded, and the fluorescence intensity was determined by flow cytometry and compared to similarly infected cells not treated with TPA. For a positive control, CCCP, an uncoupling agent, was incubated with cells for 15 min. (B) In a parallel experiment, AdFPKC-infected SP-1 cells were treated with PKC inhibitor, GF109203X (1 µM), 15 min prior to the addition of TPA (250 nM). Cells were collected 3 h later, loaded with Rh123, and analyzed for fluorescence intensity. Similar results were obtained from two experiments.

	DISCUSSION

Top Abstract Introduction Materials and Methods Results Discussion References

Overexpression and activation of PKC are lethal to normal and neoplastic keratinocytes. Earlier observations indicated that inactivation of PKC in neoplastic keratinocytes was associated with resistance to cell death that accompanies the terminal phase of keratinocyte differentiation (6). In concert with the specific downregulation of PKC detected in human keratinocytes transformed with a ras oncogene (17), these findings implied that PKC might have antitumor effects in squamous cell carcinogenesis. This study shows that PKC is lethal to normal and neoplastic keratinocytes when overexpressed by an adenoviral vector and activated by TPA. Lethality is rapid, does not require new protein synthesis, and is prevented by selective inhibitors of PKC catalytic activity, suggesting that this kinase targets substrates that are involved in a death pathway. Kuroki and coworkers used PKC and - adenoviral vectors producing high levels of gene expression in human keratinocytes and found that both isoforms caused growth inhibition and transglutaminase I induction (34). However, only the  isoform caused a spindle cell morphological change similar to what we described for mouse keratinocytes (Fig. 4), suggesting that there is specificity in action among these two isoforms. In that study the longer-term consequences of overexpression on cell viability were not reported, nor was the consequence of activation by phorbol ester examined. Since our study examined both mouse and human keratinocytes and both species were susceptible to cell killing, we must conclude that a lethal response is a general effect of activation of the PKC isoform when overexpressed in squamous cell types.

PKC-mediated keratinocyte cell death is an apoptotic process. The resistance of preneoplastic or neoplastic keratinocytes to cell killing by phorbol esters and UV light, while normal keratinocytes are sensitive, has been proposed to be fundamental to cell selection required for tumor formation in murine and human skin (2, 50). Experimental data now suggest that PKC is involved in a pathway leading to cell death of keratinocytes from both phorbol ester and UV light. In human keratinocytes UV light-induced cell death is a PKC-dependent apoptotic process that generates a constitutively active proteolytic product of PKC (9). Likewise, TPA activation in PKC-overexpressing keratinocytes causes apoptosis-associated changes in keratinocyte morphology, DNA fragmentation and TUNEL-positive staining. As for UV light and other apoptosis inducers, PKC activation also increased caspase 3 activity in keratinocytes. In keratinocytes, procaspase 3 is localized to mitochondria and is released and activated by apoptosis inducers such as UV light and STSP (31). PKC is proteolytically activated by caspases in several other cell types during apoptosis induction by DNA-damaging agents (14, 15, 18). In those models activation of PKC by proteolysis appears to be essential for the apoptotic process. Recent evidence suggests that activated PKC phosphorylates DNA-dependent protein kinase, preventing repair of DNA double-strand breaks (1). Such an activity would be consistent with the DNA fragmentation observed in our study, assuming a DNA damage pathway was also stimulated by PKC. The efficient killing of HeLa and HPV-18-transformed keratinocytes by overexpressing PKC suggests that functional p53 is not required for PKC to induce cell death. In contrast, MAPK appears to be involved in PKC-mediated cell killing since an inhibitor of this pathway, PD98059, can protect keratinocytes from lethality. In other cell types PKC can activate both MEK1 and ERK1, and these pathways have been implicated in apoptosis (48). In collaborative studies, we have also demonstrated that an MAPK cascade is downstream from PKC activation in the apoptotic response of LNCaP prostate cancer cells (16a). Thus, this pathway provides a fruitful lead to determine the distal consequences of PKC activation.

PKC targets mitochondria to induce keratinocyte cell death. Mitochondria have now been identified as a subcellular target for PKC in keratinocytes. Both confocal microscopy of keratinocytes transfected with GFP-PKC and subcellular fractionation of keratinocytes infected with AdFPKC indicate colocalization with mitochondria. Furthermore, TPA caused rapid translocation of PKC from cytosol to the plasma membrane and mitochondria, and affected mitochondria appear to aggregate. Since the kinase-inactive mutant PKC^K376R translocated to the plasma membrane but not to the mitochondria, it appears that kinase activity is required for mitochondrial localization. Studies with SP-1 cells suggest that endogenous PKC also translocates to the mitochondria after TPA exposure, but this cannot be confirmed morphologically because antibody staining is not sufficiently powerful to detect endogenous enzyme unambiguously. If translocation of endogenous PKC does occur in neoplastic SP-1 cells, further studies will be required to determine whether the resistance of these cells to TPA-induced lethality, in the absence of PKC overexpression, is due to the phosphorylation state of the endogenous PKC or to some other mechanism of interference.