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Molecular and Cellular Biology, July 1999, p. 5124-5133, Vol. 19, No. 7
0270-7306/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Failure of Poly(ADP-Ribose) Polymerase Cleavage by
Caspases Leads to Induction of Necrosis and Enhanced
Apoptosis
Zdenko
Herceg and
Zhao-Qi
Wang*
International Agency for Research on Cancer
(IARC), F-69008 Lyon, France
Received 11 February 1999/Returned for modification 29 March
1999/Accepted 7 April 1999
 |
ABSTRACT |
Activation of poly(ADP-ribose) polymerase (PARP) by DNA breaks
catalyzes poly(ADP-ribosyl)ation and results in depletion of NAD+ and ATP, which is thought to induce necrosis.
Proteolytic cleavage of PARP by caspases is a hallmark of apoptosis. To
investigate whether PARP cleavage plays a role in apoptosis and in the
decision of cells to undergo apoptosis or necrosis, we introduced a
point mutation into the cleavage site (DEVD) of PARP that renders the protein resistant to caspase cleavage in vitro and in vivo. Here, we
show that after treatment with tumor necrosis factor alpha, fibroblasts
expressing this caspase-resistant PARP exhibited an accelerated cell
death. This enhanced cell death is attributable to the induction of
necrosis and an increased apoptosis and was coupled with depletion of
NAD+ and ATP that occurred only in cells expressing
caspase-resistant PARP. The PARP inhibitor 3-aminobenzamide prevented
the NAD+ drop and concomitantly inhibited necrosis and the
elevated apoptosis. These data indicate that this accelerated cell
death is due to NAD+ depletion, a mechanism known to kill
various cell types, caused by activation of uncleaved PARP after DNA
fragmentation. The present study demonstrates that PARP cleavage
prevents induction of necrosis during apoptosis and ensures appropriate
execution of caspase-mediated programmed cell death.
 |
INTRODUCTION |
Apoptosis and necrosis are two forms
of cell death, with distinct morphological and biochemical features.
While apoptosis accounts for most physiological cell deaths, necrosis
is usually induced in pathological situations by accidental, acute
damage to cells (2, 61). Apoptosis, or programmed cell
death, is a tightly regulated process under normal conditions. This
process is controlled by a hierarchical set of cell death molecules
identified originally in Caenorhabditis elegans
(22) and later in mammalian cells (10).
For many cell types, the apoptotic cascade has been well studied with a
model involving tumor necrosis factor (TNF-
) receptor and Fas
(APO-1/CD95) mediation (39). After death ligands bind to and
activate TNF-
and Fas receptors, several prominent events occur,
including activation of caspases, which are critical players in
execution of apoptosis (41), and of the DNA fragmentation factor (DFF/ICAD) (15, 35), which degrades chromatin DNA, a
hallmark of apoptosis.
Another prominent event during apoptosis is the selective cleavage of
poly(ADP-ribose) polymerase (PARP) by several caspases, especially by
caspase-3 (26, 31). Following treatment of cells with
TNF-
or anti-Fas antibodies, caspase-3 cleaves the 113-kDa PARP at
the DEVD site between Asp214 and Gly215, to generate 89- and 24-kDa
polypeptides (40, 54). PARP cleavage is an universal phenomenon observed during programmed cell death induced by a variety
of apoptotic stimuli. However, the significance of this event in the
apoptotic cascade is not clear. Recent studies demonstrate that
PARP
/
cells exhibit a normal apoptotic
response to various stimuli, including TNF-
and anti-Fas treatment,
suggesting that PARP itself is dispensable in various apoptotic
pathways (32, 59).
PARP is an abundant, chromatin-associated enzyme which, in response to
DNA damage, binds rapidly to DNA strand breaks and undergoes
automodification by forming long, branched poly(ADP-ribose) polymers by
using NAD+ (34). Continued attempts by cells to
resynthesize NAD+ lead to depletion of the ATP pool
(51), which has been proposed as a mechanism for DNA
damage-induced cell death in many cell types (4, 17, 53).
Recent studies have demonstrated that the intracellular ATP levels
influence the mode of cell death. Whereas high levels of ATP enable
cells to undergo apoptosis, low ATP levels shift cells from apoptosis
to necrosis (13, 33). Necrosis is characterized by swelling
of the cells, disruption of the cell membrane, and lysis, leading to
release of the cell contents, which may result in an inflammatory
response (19, 28). We reasoned that the cleavage of PARP at
early phases of apoptosis has a significant function in this process
and is a critical event for cells to ensure normal apoptosis by
preventing NAD+ and ATP depletion and thereby to inhibit
unwanted necrosis. To test this hypothesis, we have generated cell
lines stably expressing a cleavage-resistant mutant PARP in a PARP-null
background and have studied their responsiveness to apoptotic stimuli.
 |
MATERIALS AND METHODS |
Site-directed mutagenesis.
A eukaryotic-prokaryotic
expression vector, pSG9M (kindly provided by G. Lamm, Research
Institute of Molecular Pathology, Vienna, Austria), containing
full-length human PARP cDNA under the control of simian virus 40 (SV40)
and T7 promoters (PARP/WT), was used to generate caspase-resistant
PARP. A point mutation (G
A at nucleotide 640 of the human gene)
(7) was introduced into the DEVD box (codons 211 to 214) of
PARP/WT by use of a site-directed mutagenesis system (Stratagene, La
Jolla, Calif.). Mutagenesis was performed according to the
manufacturer's recommendation with primers (G
A is underlined)
GGCGATGAGGTGAATGGAGTGGATG and
CATCCACTCCATTCACCTCATCGCC. The resulting plasmid was
designated D214N. Introduction of the mutation was confirmed by sequencing.
In vitro transcription-translation and cleavage assay.
PARP/WT and D214N were transcribed and translated in vitro by using a
T7 promoter and T7 polymerase-directed reticulocyte lysate system
(Promega, Madison, Wis.) to generate
[35S]methionine-labeled protein. A 1.5-µl portion of
the translated product was incubated with 4 U of purified human
recombinant caspase-3 (a kind gift of D. Nicholson, Merck Frosst,
Pointe Claire-Dorval, Canada) for 1 h at 30°C in a buffer
containing 50 mM HEPES-KOH (pH 7), 10% (wt/vol) sucrose, 2 mM EDTA,
0.1% (wt/vol)
3-[(3-cholamidoproplyl)-dimethylammonio]-1-propanesulfonate (CHAPS),
and 5 mM dithiothreitol. The reaction mixtures were boiled for 5 min in
a standard reducing buffer and subjected to sodium dodecyl
sulfate-10% polyacrylamide gel electrophoresis (SDS-10% PAGE).
Following fixation and amplification (Amplify; Amersham, Buckinghamshire, United Kingdom), the gel was dried under a vacuum and
subjected to autoradiography.
Cell transfection and induction of apoptosis.
Cells were
routinely maintained in Dulbecco modified Eagle medium supplemented
with 10% fetal calf serum at 37°C in 5% CO2. To
establish stable cell lines expressing wild-type or mutant PARP,
immortalized fibroblasts (A11) derived from a
PARP
/
embryo (58) were used.
Semiconfluent cultures grown in six-well plates were transfected with
1.5 µg of linearized PARP/WT or D214N plasmid by use of Lipofectamine
according to the instructions of the manufacturer (Life Technologies,
Gaithersburg, Md.). For positive selection, all cultures were
cotransfected with 0.15 µg of pPGK-Hygro (kindly provided by E. F. Wagner, Research Institute of Molecular Pathology) and selected with
600 µg of hygromycin per ml. Resistant clones were isolated and
characterized by Southern blot analysis for transgene integration. For
induction of apoptosis in all experiments, unless otherwise stated,
cells were treated with 40 ng of recombinant TNF-
(W. Fiers,
University of Ghent, Ghent, Belgium) per ml in medium containing 1 µg
of actinomycin D (Calbiochem, La Jolla, Calif.) per ml.
Western blot analysis of PARP expression and cleavage in
transfected cells.
Cells were lysed in a modified
radioimmunoprecipitation assay buffer containing 0.5 mM
phenylmethylsulfonyl fluoride, 2 µg of aprotinin per ml, 0.5 µg of
leupeptin per ml, and 1 µM pepstatin. Fifty micrograms of protein per
lane was subjected to SDS-10% PAGE analysis, followed by transfer to
nitrocellulose membrane (Bio-Rad, Hercules, Calif.) and hybridization
with rabbit polyclonal Vic-5 antiserum against PARP (Boehringer
Mannheim, Mannheim, Germany). Proteins were visualized with horseradish
peroxidase-conjugated goat anti-rabbit immunoglobulin G (IgG) (Sigma,
St. Louis, Mo.) followed by use of the ECL chemiluminescence system
(Amersham, Little Chalfont, United Kingdom).
Cellular localization and enzymatic activity of PARP.
To
detect the subcellular localization of mutant PARP, cells were cultured
on coverslips and fixed in ice-cold pure methanol at
20°C for 30 min. After being washed, the cells were incubated with rabbit
polyclonal Vic-5 anti-PARP antibody for 60 min. Cultures were then
washed with phosphate-buffered saline (PBS), incubated with fluorescein
isothiocyanate (FITC)-conjugated anti-rabbit IgG (Boehringer Mannheim),
and examined under a fluorescence microscope. Poly(ADP-ribose) polymer
formation was detected as described previously (58).
Briefly, cells were cultured on coverslips and treated with a 200 µM
concentration of the alkylating agent
N-methyl-N'-nitro-N-nitrosoguanidine (MNNG) at 37°C for 30 min. The cells were then immediately washed and
fixed in ice-cold 10% trichloroacetic acid in PBS, followed by
dehydration through graded dilutions of ethanol. Samples were incubated
with the monoclonal antibody 10H raised against poly(ADP-ribose) polymers (27) and FITC-labeled goat anti-mouse IgG (Southern Biotechnology Associates, Birmingham, Ala.). Signal was visualized by
fluorescence microscopy.
Caspase-3 activity assay.
Apoptosis was induced by treatment
of cells with 20 ng of TNF-
per ml for 12 h. Cell lysates were
incubated with a specific substrate, DEVD-AFC (50 µM) (Clontech, Palo
Alto, Calif.), and caspase-3 activity was measured fluorometrically
with a fluorometer (Perkin-Elmer, Norwalk, Conn.) equipped with a
400-nm excitation filter and a 505-nm emission filter. As a control for
caspase-3 specificity, lysates were preincubated with 10 µM DEVD-CHO
(Clontech), a caspase-3 inhibitor, at 37°C for 30 min.
Flow cytometry.
Cells were cultured in six-well plates and
treated with TNF-
for 12 h. Apoptosis was quantified by flow
cytometry after staining with FITC-conjugated annexin V (Clontech),
which binds to externalized phosphatidylserine on the surface of
apoptotic cells, and/or propidium iodide (PI), which stains cells that
have lost membrane integrity. Fluorescence-activated cell sorter (FACS)
analyses were carried out on a FACScalibur (Becton Dickinson, San Jose,
Calif.) with CellQuest software.
TUNEL analysis.
DNA fragmentation in apoptotic cells was
visualized by terminal deoxyribonucleotidyl transferase-mediated
dUTP-biotin nick end labeling (TUNEL) (18). Cells were grown
on coverslips and treated with TNF-
for 12 h. Samples were air
dried and fixed for 30 min with 4% paraformaldehyde in PBS, followed
by permeabilization with 0.1% Triton X-100 and 0.1% sodium citrate
for 2 min on ice. Cells were treated with the fluorescein in situ cell
death detection mixture according to the instructions of the
manufacturer (Boehringer Mannheim). After the final washing steps,
coverslips were mounted with Vectashield mounting medium containing PI
(Vector Laboratories, Burlingame, Calif.) and examined under a
fluorescence microscope. For detection of poly(ADP-ribose) polymer
formation in apoptotic cells, a protocol combining immunochemical
staining of polymers and TUNEL assay was employed. Briefly, after
incubation with the fluorescein in situ cell detection mixture, cells
were rinsed with PBS containing 3% bovine serum albumin and incubated
with monoclonal anti-poly(ADP-ribose) polymer antibody 10H for 1 h. Following washing with PBS, samples were incubated with
Cy3-anti-mouse IgG (Sigma) for 30 min at 37°C and mounted with
antifade medium containing DAPI (4',6-diamidino-2-phenylindole) (Vector
Laboratories) before examination under a fluorescence microscope.
MTT assay.
MTT
[3-(4,5-dimethylthiazol-2-yl)-2,5-diphenytetrazolium bromide]
detection of cell viability was performed as described previously (47). Briefly, cells were plated in 96-well plates and
cultured overnight. Apoptosis was induced with TNF-
for various
times in time course experiments. Cultures were incubated with staining mixtures, and absorbance was read at 600 nm in a spectrophotometer.
Morphological examination of necrotic cell death.
The
procedure to score necrosis was basically that described previously
(33, 48). Cells were incubated either with 10 µM Hoechst
33342 (Ho-342) (Molecular Probes, Eugene, Oreg.) and 10 µM PI
(Clontech) for 10 min or with 2 µM calcein-acetoxymethyl ester (CAM)
(Molecular Probes) and 4 µM ethidium homodimer (EthD-1) (Molecular
Probes) for 45 min and then analyzed under a fluorescence microscope.
Necrotic cell death was quantified by counting cells taking up the
vital dye, i.e., those with pink double-stained nuclei (Ho-342-PI
staining) or red-stained nuclei (CAM-EthD-1 staining).
LDH release assay.
In order to reduce background absorbance,
cells were grown in Dulbecco modified Eagle medium without phenol red
(Gibco BRL) supplemented with 5% fetal calf serum in 96-well plates.
Following cell death induction, released lactate dehydrogenase (LDH) in the supernatant was measured with a coupled enzymatic assay (CytoTox 96 assay; Promega). Fifty microliters of sample was mixed with 50 µl of
substrate mix, and following 30 min of incubation in the dark,
absorbance was recorded at 492 nm in a spectrophotometer.
Measurements of NAD+ and ATP levels.
For
measurement of cellular NAD+, an enzymatic cycling
techniques with alcohol dehydrogenase from Saccharomyces
cerevisiae, adapted for 96-well plates, was used (23).
For ATP measurement, we used a method described previously (36,
52). Briefly, 106 cells were suspended in 50 µl of
dilution buffer (100 mM Tris-HCl [pH 7.75], 4 mM EDTA), 450 µl of
boiling dilution buffer was added, and cells were incubated for 2 min
at 100°C. Samples were spun at 10,000 × g for 1 min,
20 µl of supernatant was added to 50 µl of luciferase reagent
(Bioluminescence Assay Kit CLS II; Boehringer Mannheim), and luciferase
activity was determined in a luminometer and directly converted to the
ATP concentration.
 |
RESULTS |
Mutation of the DEVD site renders PARP protein resistant to caspase
cleavage.
To generate a cleavage-resistant PARP, a G-to-A point
mutation was introduced at nucleotide 640 of the human cDNA, resulting in an Asp (D)-to-Asn (N) transition at codon 214 in the caspase-3 recognition sequence DEVD (codons 211 to 214). The resultant D214N mutation was confirmed by sequencing and used to construct an expression vector under the control of the T7 and SV40 promoters (Fig.
1A).
[35S]methionine-labeled wild-type and mutant PARP
proteins were synthesized in a cell-free system by in vitro
transcription-translation. Both wild-type (PARP/WT) and mutant (D214N)
PARP proteins were incubated with recombinant caspase-3 and then
subjected to SDS-PAGE analysis. As expected, products from both PARP/WT
and D214N constructs gave rise to proteins of 113 kDa (Fig. 1B). After
incubation with caspase-3, wild-type PARP protein was cleaved into two
fragments with molecular masses of 89 and 24 kDa, whereas mutant PARP
protein remained intact and yielded a 113-kDa band (Fig. 1B). This
result demonstrates that the mutation at codon 214 renders PARP
resistant to caspase cleavage.

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FIG. 1.
Abolition of caspase-3 cleavage of PARP by mutation at
the cleavage site (DEVD). (A) The full-length human PARP (hPARP) cDNA
was under control of the T7 and SV40 promoters (PARP/WT). An Asp
(D) Asn (N) transition (codon 214, asterisk) was introduced into the
DEVD site, resulting in a mutant construct designated D214N. The
polyadenylation signal [(poly (A)] was from SV40. MCS, multiple
cloning sites. The arrow indicates the caspase cleavage site. (B)
[35S]methionine-labeled PARP was generated by an in vitro
coupled transcription-translation system. Translated products from
PARP/WT and D214N vectors were incubated either with (+) or without
( ) purified human recombinant caspase-3. (C) Western blot analysis of
PARP expression and cleavage in transfected fibroblasts. Stably
transfected clones expressing wild-type PARP (WT/2 and WT/3) and those
expressing mutant PARP (DN/8 and DN/10) were either treated or not
treated with TNF- (20 ng/ml); this was followed by Western blot
analysis with polyclonal antiserum Vic-5. Full-length PARP (113 kDa)
and two cleaved fragments (89 and 24 kDa) are indicated by
arrowheads.
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|
Establishment of cell lines exclusively expressing wild-type or
caspase-resistant PARP.
To study the effect of noncleavable PARP
during apoptosis, an SV40 promoter-driven D214N mutant PARP vector was
transfected into immortalized mouse fibroblasts (A11) originally
isolated from a PARP
/
embryo
(58), the use of which avoids the influence of endogenous PARP. To control the transfection and experimental procedures, and to
better compare the effects of cleavage and noncleavage of PARP on
apoptosis, an SV40-driven wild-type (PARP/WT) vector was also
transfected into A11 cells. Several cell clones were isolated, and
these cell lines were similar to each other and to the parental A11
cells in terms of proliferation properties (data not shown). Western
blot analyses of cell lysates from these clones revealed various
expression levels of PARP (Fig. 1C). For further studies, we chose two
pairs of cell lines based on the expression levels of the transgenes:
WT/2 and DN/8 (high expressors; expression ca. three- to fourfold
higher than that in wild-type embryonic fibroblasts) and WT/3 and DN/10
(low expressors; expression similar to that in wild-type cells). The
PARP expression levels within each group were comparable (Fig. 1C).
To determine cleavability of the mutant PARP by caspases, these four
clones were treated with TNF-

and analyzed by Western
blotting.
While the wild-type proteins in WT/2 and WT/3 cells
were completely
cleaved into 89- and 24-kDa peptides, the mutant
PARP in DN/8 and DN/10
cells remained intact under the same conditions,
demonstrating complete
resistance of mutant PARP to caspase cleavage
in vivo (Fig.
1C). These
results confirm the findings obtained
with the cell-free system and
indicate that the Asp residue at
the P1 position in the
P4DEVD
P1 sequence is required for efficient
cleavage by caspase-3-like proteases in cells undergoing
apoptosis.
PARP with a mutation in DEVD retains normal enzymatic function and
does not inhibit caspase-3 activity.
Since DEVD lies within the
bilateral motifs of the nuclear localization signal, we determined if
the mutation at the cleavage site affects subcellular localization of
PARP. Indirect immunofluorescence staining with an anti-PARP antiserum
revealed nuclear staining in both wild-type PARP- and mutant
PARP-expressing cells (Fig. 2A),
indicating that the D214N mutation did not affect nuclear targeting of
PARP.

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FIG. 2.
Characterization of wild-type and caspase-resistant PARP
in transfected mouse fibroblast cells. (A) Upper panels,
immunofluorescence analysis detects PARP expression in nuclei of WT/2
cells and DN/8 cells with a polyclonal anti-PARP antiserum, Vic-5.
Lower panels, following treatment with MNNG, poly(ADP-ribose) polymer
formation in WT/2 and DN/8 cells was detected by immunofluorescence
after staining with a mouse monoclonal antibody, 10H. A11 cells
(PARP / ) were used as a control. (B) Analysis
of caspase-3 activity in WT/2, DN/8, and A11 cells which were either
treated or not treated with 20 ng of TNF- per ml for 12 h. Cell
lysates were preincubated with or without the caspase-3 inhibitor
DEVD-CHO, and caspase-3 activity was measured by using a fluorescent
substrate, DEVD-AFC, in a fluorometer. Data are from one of three
independent experiments and are expressed as means ± standard
deviations for duplicate samples. (C) Expression of caspase-resistant
PARP sensitizes fibroblasts to TNF- -induced cell death. WT/2 and
DN/8 cells were either treated or not treated with TNF- for 12 h, and cell viability was analyzed by the MTT assay. The results are
shown as means ± standard deviations for quadruplicate samples.
Data are from one of three independent experiments.
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To test if mutation at the cleavage site affects PARP enzymatic
function, namely, poly(ADP-ribosyl)ation following DNA damage,
we used
an indirect immunofluorescence assay to detect poly(ADP-ribose)
polymer
formation in these transfectants. While PARP activity
was not
detectable in untreated cells (neither in WT/2 nor in
DN/8 cells) (data
not shown), after treatment with the alkylating
agent MNNG, fluorescent
signals were readily detected in the nuclei
of both WT/2 and DN/8 cells
by staining with an antibody against
poly(ADP-ribose) polymers (Fig.
2A). These results demonstrate
that wild-type PARP and D214N mutant
PARP can be activated by
DNA breaks to catalyze poly(ADP-ribose)
polymer
formation.
To rule out the possibility that caspase-resistant PARP might act as an
inhibitor of caspase-3-like proteases, the activity
of caspase-3 in
cells expressing uncleavable PARP was measured
with a fluorometer
following the cleavage of DEVD-AFC, a caspase
substrate conjugated with
a fluorescence tag. Figure
2B shows
that similar levels of caspase-3
activity was observed in DN/8
and WT/2 as well as A11 clones, whereas
caspase-3 activity was
completely inhibited by DEVD-CHO, a specific
caspase-3 inhibitor.
These results indicate that the prevention of PARP
cleavage by
caspases is not due to the mutation at codon 214 of the
protein
having an inhibitory effect on caspase-3-like proteases and
that
caspase activity in
PARP
/
cells is not
altered.
Caspase-resistant PARP sensitizes fibroblasts to TNF-
-induced
death.
To define an optimal stage to analyze the death response
and molecular changes in these cells, we first performed a time course experiment by using the MTT assay. After TNF-
treatment, cells start
to die after 2 h; about 40 to 50% die after around 10 to 12 h, and all cells die after 24 h (data not shown). We decided to
analyze the death response during 12 h from the beginning of apoptotic treatment. At 12 h after TNF-
treatment, more DN/8 cells expressing cleavage-resistant PARP (63%) than WT/2 cells expressing wild-type protein (~30%) had died (Fig. 2C). To further characterize the mode of cell death, we applied various measurements to
detect apoptosis versus necrosis.
Cells expressing caspase-resistant PARP exhibit increased
apoptosis.
Since annexin V binds to externalized
phosphatidylserine on membranes of early apoptotic cells
(37), we used flow cytometry (FACS) analysis after staining
cells with FITC-conjugated annexin V and PI. A 12-h treatment with
TNF-
resulted in a higher percentage of apoptotic cells (annexin V
positive and PI negative) in both mutant clones DN/8 and DN/10 than in
their WT/2 and WT/3 counterparts as well as untransfected A11 cells
(Fig. 3A). While about 70 and 60% of the
DN/8 and DN/10 cells, respectively, were positive for annexin V
staining, approximately 40% of the WT/2 and WT/3, as well as A11,
cells were apoptotic (Fig. 3A). The enhanced apoptotic response in
cells expressing caspase-resistant PARP was also observed after
staining of cells by the TUNEL technique, which detects DNA
fragmentation occurring in apoptosis. After treatment with TNF-
,
there was a higher proportion of TUNEL-positive DN/8 cells (~60%)
than of TUNEL-positive WT/2 cells (34%) (Fig. 3B and C). Together,
these experiments show that uncleavable PARP sensitizes cells to
TNF-
-induced apoptosis.


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FIG. 3.
Enhanced apoptosis in cells expressing caspase-resistant
PARP. (A) Flow cytometry analysis of two cell clones expressing
wild-type PARP (WT/2 and WT/3) and two clones expressing mutant PARP
(DN/8 and DN/10) as well as nontransfected cells (A11) after treatment
with TNF- and staining with FITC-annexin V and PI. The results are
given as the means ± standard deviations for triplicate samples.
Data are from one of three independent experiments. Co, control, not
treated. (B) Fluorescence analysis of apoptosis in wild-type and
caspase-resistant PARP-expressing cells by TUNEL staining. WT/2 or DN/8
cells were either not treated (control [Co]) or treated with TNF-
or TNF- together with 3-AB for 12 h and then stained by the
TUNEL technique and with PI. TUNEL-positive cells show bright yellow
fluorescent nuclei (middle panels), whereas PI staining visualizes
nuclei of all cells (red). The increased apoptosis in DN/8 cells was
repressed by 3-AB to the level in WT/2 cells, as judged by the reduced
number of TUNEL-positive cells (lower panels). (C) The percentage of
TUNEL-positive cells was quantified by scoring yellow nuclei (see
above). At least 100 cells were evaluated in each sample. Data show
means ± standard deviations for triplicate samples from two
independent experiments.
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Necrosis is induced in cells expressing caspase-resistant PARP
after TNF-
treatment.
We next examined necrotic cell death in
WT/2 and DN/8 cells after TNF-
treatment. After 12 h of
treatment with TNF-
, cells were stained with Ho-342 and PI or with
CAM and EthD-1, followed by fluorescence microscopy analysis. After
Ho-342 and PI staining, the necrotic cells lost their membrane
integrity as shown by uptake of PI, resulting in pink nuclear staining.
A larger proportion of DN/8 cells (27%) than of WT/2 cells (~5%)
was stained positive for this dye (Fig. 4A and
B). Similar results were also obtained by
using CAM and EthD-1 staining. While ~30% EthD-1-positive cells were
observed in the DN/8 population, only a small proportion of necrotic
cells was observed in the WT/2 population (Fig. 4C and D). FACS
analysis confirmed this observation, because TNF-
treatment resulted
in 32% of DN/8 cells taking up PI, whereas only 10% of WT/2 cells
could take up the dye, an increase from 6% for the untreated group
(Fig. 4E). All three assays were consistent and revealed similar levels
(about 30%) of necrotic death in DN/8 cells. The disruption of the
necrotic cell membrane was further tested by examining LDH release from
cultures of these cells. As shown in Fig. 4F, a dramatic increase of
LDH was observed in the supernatant of DN/8 cell cultures in a
time-dependent manner, whereas only a small increase was found in that
of WT/2 cells. This increased cell lysis in DN/8 cells was also seen by
the trypan blue exclusion assay, which measures the necrotic cells as
they lose their membrane integrity and fail to exclude the dye (data not shown). Taken together, these results show that cells expressing uncleavable PARP after apoptotic induction exhibit necrotic
characteristics.



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FIG. 4.
Induction of necrosis in cells expressing
caspase-resistant PARP. (A to D) Fluorescence microscopy analyses of
necrosis in WT/2 or DN/8 cells. Cells were either not treated (control
[Co]) or treated with TNF- or TNF- together with 3-AB for
12 h and then stained with either Ho-342 and PI (A and B) or CAM
and EthD-1 (C and D) (see Materials and Methods). Necrotic cells were
quantified by scoring pink nuclei (A and B) or red nuclei (C and D). At
least 100 cells were analyzed in each sample. Data show means ± standard deviations for triplicate samples from two independent
experiments. (E) Analysis of necrotic cells by flow cytometry. Cells
were treated with TNF- and stained with PI at the indicated time
points. The percentage of necrotic cells, seen as a shift to stronger
PI fluorescence, was quantified by using CellQuest software. (F) After
TNF- induction, the extent of necrotic cell death was assessed by
LDH release measurement at the indicated time points, and the LDH
contents in supernatants of WT/2 and DN/8 cultures were corrected to
that without TNF- treatment. The data are means ± standard
deviations for quadruplicate samples and are representative of two
independent experiments.
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NAD+ and ATP pools are depleted in apoptotic cells
expressing uncleavable PARP.
Since activation of PARP is
dependent solely on DNA breaks, which lead to poly(ADP-ribose)
polymer formation and subsequent depletion of intracellular
NAD+, we hypothesized that noncleavable PARP could be
activated by apoptotic fragmented DNA in TUNEL-positive cells and
NAD+ would be consumed. First, we examined the enzymatic
function of PARP in these cells by double staining with TUNEL and the
antibody against poly(ADP-ribose) polymers. After TNF-
induction,
polymer formation can be detected concomitantly in DN/8 cells that are TUNEL positive, although some TUNEL-positive cells were negative for
polymer formation (Fig. 5A to C),
indicating polymer synthesis by uncleaved PARP in cells with fragmented
DNA. Next, a time course study of NAD+ consumption in
correlation with the cell death profile was performed after incubation
with TNF-
. Figure 5D shows that the NAD+ levels in DN/8
cells were unchanged for the first 6 h of TNF-
treatment and
then decreased, falling to 55% of the levels in untreated cells at
12 h. In contrast, the levels of NAD+ in
TNF-
-treated WT/2 cells were slightly decreased but remained significantly higher than those in DN/8 cells at the 12-h point (Fig.
5D), suggesting that wild-type PARP is inactive, most likely due to its
cleavage by caspases. In parallel, cell survival following TNF-
treatment was measured at the same time points by using the MTT assay.
The results show that the proportion of dead cells in DN/8 cultures was
significantly higher than that in WT/2 cultures after 8 h (Fig.
5E).


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FIG. 5.
Enzymatic activity of uncleavable PARP in a late stage
of apoptosis. (A to C) Immunofluorescence analysis of DN/8 cells by
triple staining with TUNEL, antibody against poly(ADP-ribose) polymers,
and DAPI. After 10 h of TNF- treatment, TUNEL-positive cells
show bright green staining (FITC) (A), and polymer formation was
visualized as red (rhodamine) (B). Polymer formation was detected in
most but not all of the TUNEL-positive cells (arrows in A and B). DAPI
staining visualizes all cell nuclei (C). (D and E) Time course study of
intracellular NAD+ levels and cell viability during
apoptosis. Cells were treated with TNF- and analyzed for
NAD+ content at the indicated time points. The total
NAD+ content in the control (100%) was 1.43 ± 0.037 pmol for 103 WT/2 cells and 1.25 ± 0.047 pmol for
103 DN/8 cells (D). In parallel, cell viability was
measured by the MTT assay at the same time points (E). (F)
Intracellular ATP content of WT/2 and DN/8 cells. Cells were either
treated or not treated with TNF- for 12 h, and the
intracellular ATP level was determined by using the luciferase assay.
Data are means ± standard deviations for at least triplicate
samples and are representative of two independent experiments.
|
|
To test whether the reduction of NAD
+ could also deplete
the ATP pool (
51), we measured the intracellular ATP levels
in both
cell types. At 12 h after treatment with TNF-

, cell
lysates from
DN/8 cells contained less than 60% of the control ATP
content
(Fig.
5F), which correlates well with the similar level of
NAD
+ in these cells (Fig.
5D). In contrast, the ATP level
in the WT/2
population was not changed after TNF-

treatment, which
is consistent
with unchanged NAD
+ levels (Fig.
5D and F).
Since polymer formation by uncleaved
PARP was detected in
TUNEL-positive cells (Fig.
5A and B), the
partial reduction of the
NAD
+ and ATP pool (about 45%) most likely resulted from a
subpopulation
of DN/8 cells containing apoptotic DNA breaks and thus
corresponded
to more than 90% depletion of the intracellular
NAD
+ and ATP pool in polymer-forming cells. These results
suggest
that apoptosis-induced chromatin fragmentation activates
uncleaved
PARP, resulting in NAD
+ and ATP
depletion.
PARP inhibition counteracts the enhanced apoptotic response and
abolishes necrosis of cells expressing caspase-resistant PARP.
To
further investigate the finding that the increased death response is
caused by NAD+ depletion due to the activation of uncleaved
PARP induced by DNA breaks, DN/8 and WT/2 cells were preincubated with
3-aminobenzamide (3-AB), a widely used PARP inhibitor, or its
noninhibitory analog, 3-aminobenzoic acid (3-AZ). FACS analysis after
annexin V staining revealed that the levels of TNF-
-induced
apoptosis in DN/8 cells were reduced from 65 to 45%, approximately the
levels in WT/2 cells (Fig. 6A). However,
3-AB did not inhibit apoptosis in WT/2 cells, suggesting that this
substance does not possess a general antiapoptotic property. The
inhibition of increased magnitudes of apoptosis by 3-AB seems to be
specific for the inhibition of PARP function, as 3-AZ did not affect
the apoptotic response in either DN/8 or WT/2 cells, compared to the
groups without 3-AB treatment (Fig. 6A). Moreover, preincubation with
3-AB inhibited the increased proportion of TUNEL-positive DN/8 cells to
a level similar to that for WT/2 cells (Fig. 3C), indicating that the enhanced apoptosis is due to the activity of uncleaved PARP.

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|
FIG. 6.
The PARP inhibitor 3-AB prevents NAD+
depletion and counteracts both necrosis and enhanced apoptosis in cells
expressing noncleavable PARP. (A) WT/2 and DN/8 cells were preincubated
for 30 min with 3 mM 3-AB or its noninhibitory analog 3-AZ. After
treatment with TNF- , samples were stained with FITC-annexin V and PI
and analyzed by flow cytometry as described for Fig. 3. (B) Cells were
preincubated with 3 mM 3-AB for 90 min. After treatment with TNF- ,
LDH release in the supernatants of the indicated clones was measured.
Data are means ± standard deviations for triplicate samples and
are from one of three independent experiments. (C) After treatment with
3-AB and TNF- , NAD+ levels were measured as described
for Fig. 5D. Data are means ± standard deviations and are
representative of two experiments.
|
|
We have also studied the effect of 3-AB on the induction of necrotic
cell death after TNF-

treatment and found that the inhibitor
reduced
PI-positive fractions of Ho-342- and PI-stained DN/8 cells
to a level
similar to that for WT/2 cells (Fig.
4A and B) and
that LDH release in
DN/8 cells is also markedly prevented (Fig.
6B). Furthermore, 3-AB
treatment preserves the level of NAD
+ content in DN/8 cells
during TNF-

-induced cell death (Fig.
6C).
These results suggest that
the NAD
+ drop is a consequence of activity of uncleavable
PARP and indicate
that this is coupled with the enhanced cell
death.
 |
DISCUSSION |
Failure of PARP cleavage leads to increased cell death induced by
TNF-
.
A characteristic event of apoptosis is the proteolytic
cleavage of PARP, suggesting a role for this protein in apoptosis. However, PARP
/
lymphocytes, fibroblasts, and
hepatocytes, as well as neuronal cells, undergo normal apoptosis
induced by various stimuli, including TNF-
and anti-Fas, indicating
that PARP is dispensable in the apoptotic cascade (32, 59).
Perhaps surprisingly, the present study using mouse fibroblast cells
expressing caspase-resistant PARP demonstrates that prevention of PARP
cleavage induces necrosis and also enhanced apoptosis after treatment
with TNF-
, indicating that PARP cleavage by caspases is an important
event in response to apoptotic stimuli.
We can rule out the possibility that the additional cell death is
attributable to the toxicity of poly(ADP-ribose) polymers
as is the
case with yeast, where overexpression of PARP results
in inhibition of
proliferation due to interference of poly(ADP-ribosyl)ated
proteins
with chromatin replication (
3,
9,
25). Since
cells after
caspase activation and DNA fragmentation are no longer
able to
replicate their DNA, this mechanism is not applicable
in the observed
cell
death.
The ability of PARP to synthesize poly(ADP-ribose) polymers by using
NAD
+ is absolutely dependent on DNA strand breaks
(
34). The enhanced
cell death in cells expressing
uncleavable PARP is most likely
caused by the activation of
caspase-resistant PARP in response
to DNA fragmentation and the
consequent depletion (more than 90%)
of intracellular NAD
+
and ATP in the apoptotic (TUNEL-positive) fraction. The present
study
provides several lines of evidence to support this conclusion.
(i)
Polymer formation was found in TUNEL-positive cells that contain
uncleavable PARP, suggesting that uncleavable PARP is activated
by
chromatin DNA breaks. (ii) The PARP inhibitor 3-AB prevents
the
NAD
+ drop and concomitantly blocks the elevated cell death
response.
(iii) NAD
+ levels in wild-type-PARP-expressing
cells were not changed, indicating
that wild-type PARP is inactivated
by caspase cleavage prior to
DNA fragmentation. (iv) Finally,
inhibition of caspases by specific
tetrapeptide also blocks the
increased death (data not shown),
suggesting that this event is
dependent on caspase-mediated downstream
events, e.g., DNA
fragmentation.
Failure of PARP cleavage leads to NAD+
depletion-induced necrosis.
It has been proposed that the cleavage
(i.e., the inactivation) of PARP by caspases inhibits
poly(ADP-ribosyl)ation and prevents depletion of NAD+
and ATP pools, which would otherwise cause necrosis leading to a
pathological inflammatory response (12). Our data are in
agreement with this hypothesis, since NAD+ and ATP
depletion in cells expressing caspase-resistant PARP induces necrosis,
as determined by several criteria, including fluorescence microscopy
after staining of cells with Ho-234 and PI or with CAM and EthD-1, FACS
analysis of PI uptake, and LDH release measurement. This was further
substantiated by using the PARP inhibitor 3-AB, which can preserve the
NAD+ level and concomitantly abolish necrosis.
The necrotic cells most likely originated from apoptotic cells, i.e.,
TUNEL-positive cells. Since the TUNEL-positive fraction
of DN/8 cells
displays polymer formation, it is reasonable to
speculate that the drop
in NAD
+ and ATP occurs in the same cells, which can be
readily detected
by necrotic criteria. However, due to technical
limitations, we
were not able to confirm whether TUNEL-positive cells
also simultaneously
exhibit features of necrosis at the single-cell
level. This necrosis
seems to occur specifically and more rapidly in
cells containing
caspase-resistant PARP than in cells expressing
wild-type PARP,
although the latter would eventually undergo secondary
necrosis
at a late stage of apoptosis, as judged by LDH release (Fig.
4F
and data not shown). While we cannot rule out the possibility
that
the necrosis seen in DN/8 cells is secondary to accelerated
apoptosis,
many of the PI- and EthD-positive cells exhibit no
obvious breakage of
nuclei and lack of dye conversion in their
cytoplasm (Fig.
4A and C),
suggesting a necrotic death disrupting
the apoptotic program.
Nevertheless, this result is consistent
with the theory known as the
suicide hypothesis, originally proposed
by Berger (
4), in
which PARP-mediated NAD
+ depletion can cause reduction in
glycolysis, disturbed purine
nucleotide metabolism, and impaired
synthesis of ATP and macromolecules.
This mechanism has been
demonstrated to be responsible for the
death of several cell types
after DNA damage, such as neuronal
cells (
14,
16,
62),
pancreatic islet cells (
20), and muscle
cells
(
55). However, the exact molecular mechanism by which
NAD
+ or ATP depletion kills cells is presently
unknown.
It has been shown that various apoptosis-inducing stimuli can trigger
both apoptotic and necrotic pathways which can be regulated
by
mitochondrial permeability transition, caspase activation,
and ATP
supply (
13,
21,
33,
57). Other factors, such as
intensity
and duration of treatment, may also affect the determination
of these
two distinct pathways (
5,
37). In contrast to these
events
controlling the mode of cell death, activation of uncleavable
PARP is a
rather late event to induce necrosis, after apoptotic
DNA
fragmentation.
PARP cleavage plays a regulatory role in the process of
apoptosis.
Although the cleavage of a few proteins, such as
DFF/ICAD (15, 35) as well as Bcl-2 (6) and
Bcl-xL (8), has been shown to be involved in the
initiation and execution of the apoptotic cascade, the significance of
caspase cleavage of most cellular substrates has not been explored. Our
findings that failure of PARP cleavage sensitizes cells to apoptosis
indicate that PARP cleavage is an important step in the apoptotic
process. The fact that uncleavable PARP sensitizes cells to apoptotic
treatment is unexpected in the light of the previously proposed
hypotheses. (i) PARP is an enzyme involved in DNA repair, and its
cleavage may inactivate their DNA repair system, which otherwise might impede progression of apoptosis (44, 59). (ii) Inactivation of PARP is suggested to be required for deribosylation of some endonucleases in order to facilitate DNA fragmentation in apoptosis (49). (iii) The cleavage of cellular proteins, such as PARP, may be just one unrelated event during apoptosis (41, 44).
However, the cause of accelerated apoptosis by uncleavable PARP is not
clear. One possibility is that NAD
+ depletion and
compromised energy metabolism may alter mitochondrial
permeability
transition (
21), which causes disturbance of the
mitochondrial transmembrane potential leading to the release of
proapoptotic factors and may affect one or several of the
self-amplifying
feedback loops (
29,
45). Another explanation
is that since
necrosis is an uncontrolled cell death in response to
massive
cell damage, it may passively contribute to an already-started
apoptotic cascade. Finally, poly(ADP-ribosyl)ation and PARP activity
were suggested to positively correlate with the apoptotic response
(
60).
The result that uncleavable PARP accelerates apoptosis is consistent
with earlier inhibitor studies, where inhibition of PARP
activity
delayed apoptosis (
1,
30,
38,
42). Although
the mechanism
underlying the results of the inhibitor studies
is not clear, it is
possible that chemical inhibition of PARP
prevents its release from DNA
ends, which may impede subsequent
DNA fragmentation during apoptosis.
The increased apoptosis seems
to be a consequence of PARP activity,
because the PARP inhibitor
3-AB counteracts only an elevated fraction
of apoptosis in mutant
PARP-expressing cells and does not inhibit
apoptosis in WT/2 cells.
This result also suggests that PARP activity
is not essential
for induction of apoptosis, which is consistent with
previous
observations that cells lacking PARP exhibit normal apoptosis
(
32,
59). However, these findings appear to be in contrast
to the recent observations that PARP is transiently activated
in the
early phase of apoptosis (
50) and that inactivation of
PARP
by a dominant-negative mutation or gene targeting at the
fourth exon
facilitates DNA fragmentation induced by alkylating
agents and gamma
radiation (
11,
46), although death pathways
induced by these
agents are complex and have not yet been defined.
This result is also
in contradiction to the recent findings by
Oliver et al. that transient
transfection of uncleavable PARP
renders fibroblasts resistant to Fas
antibody-induced apoptosis
(
43). The discrepancy in these
data is probably due to the nature
of the genetic modification
introduced into the cells used. While
the cells in the present study
were originally derived from mutant
mice generated by gene targeting to
the second exon, which destroys
the PARP function, Oliver et al.
(
43) used cells in which the
PARP gene was disrupted at the
fourth exon, which might maintain
its DNA binding activity
(
24). In addition, perhaps due to the
use of the
transient-transfection technique, apoptosis was scored
only by
morphological criteria, such as flat cells (alive) versus
rounded cells
(dead) or nuclear condensation (
43).
In conclusion, the present study, using fibroblasts which express
caspase-resistant PARP, demonstrates that although PARP
per se is
dispensable in apoptosis, its cleavage has evolved as
a mechanism to
ensure the normal speed and order of apoptotic
events and to protect
cells from necrotic death. Inappropriate
apoptosis can lead to several
degenerative diseases, autoimmune
processes, and carcinogenesis
(
56). Although the significance
of this event is obscure in
cell culture systems, abnormal accelerated
apoptosis and induction of
unwanted necrosis, with release of
cell content in vivo, may result in
the disturbance of biological
processes, such as tissue homeostasis, or
an inflammatory response,
as well as tumor and disease
development.
 |
ACKNOWLEDGMENTS |
We thank B. Auer for providing human PARP cDNA, W. Fiers for
TNF-
, D. Nicholson for recombinant caspase-3, and A. Bürkle for 10H antibody. We also thank R. Kurzbauer and S. Aigner for technical assistance. We are grateful to G. Mollon for preparation of
photographs. We are also grateful to A. E. Grigoriadis, J. Hall,
C. Morrison, K. Schulze-Osthoff, K. Sabapathy, and E. F. Wagner
for critical comments and discussions.
Z.H. is in receipt of an IARC Special Training Award. This project was
initiated at the Research Institute of Molecular Pathology, Vienna, Austria.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: International
Agency for Research on Cancer (IARC), 150 Cours Albert Thomas, F-69008 Lyon, France. Phone: 33-4-72 73 85 10. Fax: 33-4-72 73 83 29. E-mail:
zqwang{at}iarc.fr.
 |
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Molecular and Cellular Biology, July 1999, p. 5124-5133, Vol. 19, No. 7
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Copyright © 1999, American Society for Microbiology. All rights reserved.
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