INTRODUCTION

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The mechanism(s) by which the pleiotropic transcription factor nuclear factor kappa B (NF-B) regulates cell survival remains unclear. Mice null homozygous for the p65 alleles or IB kinase  are embryonic lethal due to extensive liver cell death (6, 40), demonstrating that NF-B p65 or its activating kinase is essential for development. Embryonic macrophages and fibroblasts from p65 null mice are susceptible to tumor necrosis factor alpha (TNF-)-induced apoptosis, which is rescued by overexpression of p65 but not p50 (5). Furthermore, inhibition of NF-B by IB overexpression or by the chemical inhibitor pyrrolidine dithiocarbamate (PDTC) rendered many cell types normally resistant to the effects of TNF- susceptible to TNF--induced apoptosis (21, 61, 62). In addition, suppression of NF-B activation has been shown to enhance apoptosis following radiation or treatment with chemotherapeutic agents (59, 64, 66). Although many investigations have employed exogenous mediators to induce apoptosis following NF-B inactivation, few have reported the occurrence of apoptosis in response to NF-B inhibition in the absence of additional stimuli (16, 36, 38, 67).

Unlike monocytes, normal macrophages are long-lived cells resistant to many apoptotic stimuli, including Fas and TNF- receptor ligation, ionizing radiation, and multiple antineoplastic or cytotoxic agents (32, 33, 49, 52). We recently demonstrated that expression of FLICE-inhibitory protein (Flip) protected differentiated macrophages from Fas-mediated apoptosis (52); however, the mechanisms responsible for macrophage survival have not been fully elucidated. In vitro, both monocytes and macrophages display constitutive activation of NF-B p50 homodimers; however, p65-p50 heterodimers are present only in differentiated macrophages (13, 22). Hence, the constitutive presence of transcriptionally active p65-p50 heterodimers in macrophages may provide resistance to cell death.

Apoptosis may be initiated through two distinct mechanisms: (i) death receptor (DR) ligation (50, 63) or (ii) direct mitochondrial damage associated with a loss of mitochondrial transmembrane potential (_m), cytochrome c release, and activation of caspases 9 and 3 (34, 45, 70). DR signaling activates caspase 8 (7, 46), which can directly cleave caspase 3 and, in certain cell types, may also induce _m loss through activation of Bid (24). Other members of the Bcl-2 family, including the antiapoptotic proteins Bcl-2, Bcl-x_L, and A1 and the proapoptotic proteins Bax and Bad, have also been implicated in regulating mitochondrial stability (23). Furthermore, both Bcl-x_L and A1 may be regulated by NF-B (11, 69), suggesting a role for NF-B in regulating mitochondrial homeostasis.

In the present study, we have demonstrated that the constitutive activation of NF-B is necessary for the survival of both the murine macrophagelike cell line RAW 264.7 and human monocyte-derived macrophages. Inhibiting NF-B activation induced apoptosis associated with a loss of _m and caspase 9 activation. However, activation of caspase 8 was not observed and z-VAD.fmk or neutralizing anti-Fas ligand (FasL) antibody did not prevent _m collapse or cell death, indicating that apoptosis induced by NF-B inhibition was not mediated by DR signaling. Moreover, a specific inhibitor of caspase 9 significantly reduced DNA fragmentation but not _m loss or cell death. These data suggest that while DNA fragmentation induced by NF-B inhibition was caspase dependent, loss of _m and cell death were caspase independent. Furthermore, caspase 3 activation was not detected by either immunoblot analysis or cleavage of a DEVD substrate. Analysis of Bcl-2 family molecules revealed that A1 mRNA levels were reduced after 3 h of NF-B inhibition and prior to _m loss. Additionally, ectopic expression of A1 provided protection from cell death induced by suppression of NF-B. Our data demonstrate that blocking the constitutive activation of NF-B in macrophages results in caspase 3-independent apoptosis mediated by reduced A1 expression and the loss of _m.

	MATERIALS AND METHODS

Top Abstract Introduction Materials and Methods Results Discussion References

Materials. PDTC, trypan blue, LY 294002, and polymyxin B sulfate were obtained from Sigma Chemical Co. (St. Louis, Mo.). RPMI, Dulbecco's modified Eagle's medium, fetal bovine serum (FBS), phosphate-buffered saline (PBS), Opti-MEM, Lipofectamine, L-glutamine, penicillin, and streptomycin were obtained from Gibco (Gaithersburg, Md.). Propidium iodide (PI) was purchased from Roche Molecular Biochemicals (Indianapolis, Ind.), and rhodamine 123 (Rh123) was purchased from Molecular Probes (Eugene, Oreg.). Anti-FasL antibody (C-20) and rabbit immunoglobulin G (IgG) control were purchased from Santa Cruz Biotechnology (Santa Cruz, Calif.) and Jackson Laboratories (West Grove, Pa.), respectively.

Cell isolation and culture. Buffy coats (Lifesource, Glenview, Ill.) were obtained from healthy donors. Mononuclear cells, isolated by Histopaque (Sigma) gradient centrifugation, were separated by countercurrent centrifugal elutriation (JE-6B; Beckman Coulter, Palo Alto, Calif.) in the presence of 10 µg of polymyxin B sulfate/ml, as previously described (52). Isolated monocytes were 90% pure as determined by morphology, nonspecific esterase staining, and CD-14 (Becton Dickenson, Franklin Lakes, N.J.) expression examined by flow cytometry (not shown). Monocytes were allowed to adhere to plates (Costar, Cambridge, Mass.) for 1 h in RPMI and 1 µg of polymyxin B sulfate/ml. Following adherence, monocytes isolated from human blood were differentiated in vitro for 7 days in RPMI containing 20% heat-inactivated FBS, 1 µg of polymyxin B sulfate/ml, 0.35 mg of L-glutamine/ml, and 120 U (each) of penicillin and streptomycin/ml (20% FBS-RPMI) (32). Seven-day differentiated macrophages strongly expressed maturation markers, including CD71 and the integrin _v5, which is necessary for adenoviral infection of macrophages (data not shown and reference 17). RAW 264.7 cells were obtained from the American Type Culture Collection (Manassas, Va.) and cultured in Dulbecco's modified Eagle's medium with 10% heat-inactivated FBS, 0.35 mg of L-glutamine/ml, and 120 U (each) of penicillin and streptomycin/ml.

Adenovirus infection of human macrophages. Seven-day differentiated macrophages were infected for 2 h in serum-free RPMI at various multiplicities of infection (MOI) with replication-defective adenoviruses expressing either -galactosidase (Adgal), green fluorescent protein (AdGFP), or mutant "super-repressor" IB (AdIB) (31). Following infection, 20% FBS-RPMI was added at a 1:1 ratio (to 10% FBS) for an additional 12 h. The infected cells were then washed gently with PBS and cultured in 20% FBS-RPMI for various times.

Electrophoretic mobility shift assay (EMSA). Nuclear extracts were prepared, as previously described (10), from RAW 264.7 cells or primary macrophages incubated with control medium or medium containing 200 µM PDTC for 6 and 24 h. Macrophages infected with various MOI of either AdGFP or AdIB for 6 and 24 h were also analyzed. An oligonucleotide spanning the B binding sites of human immunodeficiency virus Ig, previously shown to detect NF-B binding, was employed (10). ³²P-labeled oligonucleotide was incubated with 5 to 10 µg of nuclear extract for 20 min at room temperature and electrophoresed on 5 to 6% polyacrylamide gels. Unlabeled oligonucleotide verified the specificity of the signal. For supershift assays, 1 to 2 µl of monospecific antibodies to p50 or p65 was incubated with the nuclear extract on ice for 30 min before the addition of labeled oligonucleotide (10, 68). An unrelated antibody (to c-Jun) demonstrated the specificity of p65 and p50 antibody binding.

Promoter activity assay. RAW 264.7 cells (10⁶/well of a six-well plate) were transiently transfected with Lipofectamine (55, 68) for 4 h with 3 µg of an NF-B-specific promoter-reporter consisting of three tandem B sites upstream of a luciferase gene (57). After 24 h, the cultures were treated with 5 ng of TNF- and increasing concentrations of PDTC for an additional 12 h. The cells were harvested, lysed by freeze-thaw, and quantitated for luciferase activity with a Monolight luminometer. Promoter activity is presented as relative light units (RLU) normalized for protein concentration (RLU per microgram of protein).

Viability assays. (i) RAW 264.7 cells. Since RAW 264.7 cells proliferate, the percent viability was determined by comparing the number of live, trypan blue-negative cells in experimental cultures with the number in untreated cultures, which was designated 100% viability. Additionally, transient cotransfections were employed to determine viability following ectopic gene expression. RAW 264.7 cells (10⁶) were cultured in six-well plates for 24 h and then cotransfected for 4 h with 0.6 µg of cytomegalovirus-enhanced GFP (EGFP) expression plasmid (Clontech, Palo Alto, Calif.) and 2.4 µg of test plasmids (1:5 ratio of GFP to total DNA) using Opti-MEM and Lipofectamine (1:5 ratio of DNA to lipid). Empty vector was used as a control, and the total plasmid concentration was 3 µg of DNA/transfection. Following transfection, the cultures were washed, incubated for 24 h, and, where indicated, treated with 200 µM PDTC for an additional 24 h. The RAW 264.7 cells were collected, and GFP-expressing cells were quantified by flow cytometry. This established cell death assay (52) employs flow cytometric analyses to determine changes in cell viability as indicated by the number of GFP⁺ cells.

(ii) Primary macrophages. PI (3 µg/ml) and 3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide (MTT) cleavage were employed to assess viability in monocyte-derived macrophages. PI was added just prior to analysis by flow cytometry, and the data are presented as the percentage of cell death (PI⁺ cells) in each culture. Objects with minimal light scatter representing cellular debris were excluded. MTT assays were performed as instructed by the supplier (Sigma), and values were calculated relative to control cultures.

Determination of subdiploid DNA content. At various time points, cultures were harvested, fixed in 70% ethylalcohol, and stained with PI (50 µg/ml) as previously described (53). The apoptotic profile was determined by flow cytometry utilizing a Beckman-Coulter EpicsXL flow cytometer and System 2 software. The subdiploid DNA peak (<2 N DNA), immediately adjacent to the G₀/G₁ peak (2 N DNA), represents apoptotic cells and was quantified by histogram analyses. Objects with minimal light scatter representing debris were excluded, as previously described (52), so that quantitation of the subdiploid population would not be inappropriately skewed.

Determination of mitochondrial permeability transition. Mitochondrial dysfunction was assessed by utilizing the cationic lipophilic green fluorochrome Rh123 as previously described (43, 52). Disruption of _m is associated with a lack of Rh123 retention and a decrease in fluorescence. Cultures were incubated with Rh123 (0.1 µg/ml) for 30 min, harvested, and analyzed by flow cytometry. Mean fluorescence was recorded for each sample, and control cultures at each time point were designated 100% fluorescence. For histogram analysis, objects with minimal light scatter representing debris were gated out. Where indicated, Rh123 samples were washed, fixed in 70% ethylalcohol, and analyzed for subdiploid DNA content.

Western blot analysis. Whole-cell extracts were prepared from primary 7-day differentiated macrophages that were treated as indicated. Extracts (25 or 30 µg, as noted) were electrophoresed on sodium dodecyl sulfate-polyacrylamide gel electrophoresis (12.5% polyacrylamide) gels and transferred to Immobilon-P membranes (Millipore, Bedford, Mass.) by semidry blotting. The membranes were blocked for 1 h at room temperature in PBS-0.2% Tween 20-5% nonfat dry milk (PBS-Tween-milk). The membranes were then incubated overnight at 4°C in PBS-Tween-milk with various antibodies: mouse anti-caspase 8 (generous gift from M. E. Peter), rabbit anti-caspase 9 (Calbiochem, San Diego, Calif.), rabbit anti-PKC (Santa Cruz), mouse anti-caspase 3 (Transduction Laboratories, Lexington, Ky.), or mouse anti-tubulin (Calbiochem). The membranes were washed in PBS-Tween-milk and incubated with donkey anti-rabbit or anti-mouse secondary antibody conjugated to horseradish peroxidase (1:2,000 dilution; Amersham Pharmacia Biotech, Piscataway, N.J.). Visualization of the protein bands was performed with the Enhanced Chemiluminescence Plus kit as recommended by the manufacturer (Amersham Pharmacia Biotech).

Caspase activity assay. Seven-day differentiated primary human macrophages (10⁶) were treated with PDTC and harvested at various times. Cell lysates were incubated with a synthetic fluorogenic caspase 3-like substrate (Ac-DEVD-AFC; Enzyme Systems Products, Livermore, Calif.) for 1 h at 37°C. The lysates were prepared as instructed by the manufacturer. Samples were read on a fluorometer at 400-nm excitation and 505-nm emission.

Caspase inhibition assay. RAW 264.7 cells were plated at 5 × 10⁵ in 24-well plates for 24 h and then treated with PDTC and the general caspase inhibitor z-VAD.fmk or the caspase 9 inhibitor z-LEHD.fmk (both 100 µM; Enzyme Systems Products) for an additional 24 h. Mitochondrial transmembrane potential was assessed with Rh123, and subdiploid DNA analysis was determined by PI staining.

Reverse transcriptase (RT)-PCR analysis. Total cellular RNA was isolated as previously described (12), and 1 µg of RNA was reverse transcribed with oligo(dT) primers according to the manufacturer's specifications (Promega, Madison, Wis.). The PCR was performed with 2 U of Taq polymerase (Roche Molecular Biochemicals) in a total volume of 50 µl. Amplification was carried out for 35 cycles (30 s of denaturing at 94°C, 45 s of annealing at 50°C, and 90 s of extension at 72°C) in a DNA thermal cycler. As a control, -actin was also amplified under the same conditions. The A1, Bcl-x_L, and Bcl-2 primers employed have been described previously (18, 26, 54). The amplified products were analyzed by 1.2 or 2% (A1 only) agarose gel electrophoresis and visualized under UV illumination after being stained with ethidium bromide.

Statistical analysis. Significance was determined by Student's paired t test.

	RESULTS

Top Abstract Introduction Materials and Methods Results Discussion References

Constitutive NF-B activity in macrophages is inhibited by PDTC or expression of IB. To document the state of NF-B activation in macrophages, EMSAs were performed on nuclear extracts from the macrophagelike cell line RAW 264.7 and primary human macrophages. Each cell type displayed a constitutive activation of NF-B, which was diminished by treatment with PDTC (200 µM) (Fig. 1A). Supershift analyses, employing monospecific antibodies to p65 and p50 (data not shown), identified p65-p50 heterodimers and p50 homodimers. The ability of PDTC to inhibit NF-B transcription was examined by transient transfection of murine macrophagelike RAW 264.7 cells with a luciferase reporter construct containing a promoter of three tandem B sites (57). TNF--induced NF-B transcriptional activity was inhibited by PDTC in a dose-dependent fashion (Fig. 1B). Compared to control cultures, 200 and 300 µM PDTC significantly (P < 0.03) decreased NF-B activity.

View larger version (30K): [in this window] [in a new window]   FIG. 1.   Macrophages exhibit constitutive activation of NF-B which is inhibited by PDTC and AdIB. (A) PDTC inhibits constitutive NF-B activation in macrophages. RAW 264.7 cells and primary human macrophages differentiated for 7 days were treated with 200 µM PDTC for 6 and 24 h, as indicated. The cells were harvested, and nuclear extracts were prepared and analyzed by EMSA as described in Materials and Methods. Unlabeled oligonucleotide (Unlab. oligo) was added (+) to the indicated lanes. The locations of the NF-B p65-p50 heterodimers and p50-p50 homodimers are designated by arrows. The results are representative of three experiments. (B) PDTC decreases TNF--induced NF-B transcriptional activity as measured by luciferase expression. RAW 264.7 cells transiently transfected with a NF-B promoter reporter (3X-WT-Luc) were incubated with the indicated amounts of PDTC for 30 min and then treated with 5 ng of TNF-/ml for an additional 12 h. NF-B promoter activation was determined by measuring luciferase activity, which is expressed as RLU per microgram of protein. The data are presented as the means ± standard errors of duplicate cultures and are representative of three independent experiments. (C) The constitutive activation of NF-B is diminished in primary macrophages infected with AdIB but not in those infected with AdGFP. Seven-day human macrophages were infected with AdIB or control AdGFP at an MOI of 100 for 6 and 24 h, as indicated. The cells were harvested, and nuclear extracts were analyzed by EMSA as described in Materials and Methods. The data are representative of three independent experiments.

Inhibition of NF-B results in RAW 264.7 cell death. To determine the consequences of NF-B inhibition, RAW 264.7 cells were treated with PDTC and assayed for viability by trypan blue exclusion. After 15 h of PDTC treatment, the number of viable RAW 264.7 cells was reduced by 65% ± 13% (P < 0.003) compared to untreated controls (Fig. 2A). To establish that the results obtained with PDTC were due to NF-B inhibition, an IB-expressing vector (pIB) was cotransfected into RAW 264.7 cells with a plasmid expressing EGFP (pEGFP). A 67% ± 10% decrease (P < 0.03) in the number of GFP⁺ cells was observed at 24 h following transient transfection with pIB compared to the control vector or one expressing wild-type NF-B p65 (Fig. 2B). These data suggest that NF-B activity is necessary for the survival of RAW 264.7 cells.

View larger version (9K): [in this window] [in a new window]   FIG. 2.   Inhibition of NF-B induces cell death of macrophagelike RAW 264.7 cells. (A) PDTC significantly decreases RAW 264.7 cell viability. Cultures were treated with control medium or 200 µM PDTC for 15 h and assessed for viability by trypan blue exclusion. The viability of control cells represents 100%. The mean ± standard error of four separate experiments is shown. (B) Transient expression of IB reduces the viability of RAW 264.7 cells. The cells were cotransfected with plasmids expressing EGFP plus either control vector or a vector expressing IB or wild-type NF-B p65 (WTp65). The cultures were harvested at 24 h and quantitated by flow cytometry. The number of GFP+ cells in cultures cotransfected with the control vector represents 100% for each experiment. The mean ± standard error of three experiments is shown. *, P < 0.003 compared to the control vector.

NF-B inhibition in primary macrophages induces apoptotic cell death. Since NF-B inhibition may alter the viability of a proliferating cell line (i.e., RAW 264.7 cells) differently than that of noncycling primary cells, the effect of NF-B suppression on terminally differentiated human macrophages was investigated. Similar to RAW 264.7 cells, PDTC-treated primary macrophages exhibited a significant increase in cell death, measured by PI incorporation, at 72 h compared to control cells (Fig. 3A). The loss of viability was due to apoptosis as determined by cell death enzyme-linked immunosorbent assay, which measures nucleosome-associated DNA fragments (data not shown), and by analysis of subdiploid DNA content (Fig. 3B).

View larger version (26K): [in this window] [in a new window]   FIG. 3.   Survival of primary human macrophages is significantly reduced due to apoptosis following NF-B inhibition. (A and B) Seven-day differentiated macrophages were treated with control medium or 200 µM PDTC for 72 h and assayed for cell death by incorporation of PI (3 µg/ml) (A) and apoptosis by subdiploid (<2N) DNA analysis (B), as described in Materials and Methods. The results are representative of three independent experiments. *, P < 0.001 compared to control-treated cells. (C) Infection with AdIB, but not AdGFP, decreases macrophage viability in a dose-dependent manner. Macrophages were infected with the indicated MOI of each virus, and viability was determined at 72 h by MTT assay, as described in Materials and Methods. The data are representative of three independent experiments. *, P < 0.02 compared to AdGFP-infected cells. (D) Macrophage infection with AdIB, but not Adgal, induces apoptosis. Cells were infected at an MOI of 100 with each virus for 72 h and then assayed for subdiploid (<N) DNA content. The data are representative of six experiments. *, P < 0.001 compared to Adgal infection. The values are the means ± standard errors of triplicate cultures.

Suppressing NF-B activity induces a loss of _m. To characterize the mechanism of macrophage apoptosis induced by NF-B inhibition, disruption of the _m was examined by Rh123 retention over time. PDTC-treated primary macrophages exhibited a time-dependent loss of _m, as illustrated in Fig. 4A. Compared to control cells, PDTC reduced the mean fluorescence intensity of Rh123 at 6 h (P < 0.03), and it continued to decrease at 12, 24, 48, and 72 h (Fig. 4B). In contrast, DNA fragmentation was not significantly induced by PDTC treatment until 24 h (P < 0.02) compared to untreated macrophages (Fig. 4C). Similar to macrophages, PDTC-treated RAW 264.7 cells also demonstrated a loss of _m as early as 3 h (P < 0.001) after the addition of PDTC, while an increase in DNA fragmentation was not observed until 6 h (P < 0.05) (data not shown). These data suggest that mitochondrial dysfunction may initiate PDTC-induced macrophage apoptosis.

View larger version (21K): [in this window] [in a new window]   FIG. 4.   PDTC induces m collapse prior to DNA fragmentation. Primary human macrophages differentiated for 7 days were treated with control medium or 200 µM PDTC for the indicated times. (A) Representative histograms of PDTC-treated macrophages (gray line) losing Rh123 fluorescence over time compared to control cultures (black line). At the indicated times, the cells were incubated with Rh123 (0.1 µg/ml) for 30 min, harvested, and analyzed by flow cytometry. The number of events (y axis) at each Rh123 fluorescence intensity (x axis) is shown. The data are representative of three independent experiments performed in triplicate. (B) Decreased fluorescence, indicative of m collapse, occurs in a time-dependent manner in PDTC-treated macrophages. The cells were analyzed for Rh123 fluorescence as described for panel A at the indicated times. The mean fluorescence of control cultures at each time point represents 100%. The mean ± standard error of at least three experiments performed in triplicate at each time point is displayed. (C) PDTC induces DNA fragmentation in a time-dependent fashion. At the indicated times, cultures were assessed for subdiploid (<2N) DNA content as described in Materials and Methods. The values are presented as fold increase over control cultures, designated 1, at each time point. The mean ± standard error of at least four experiments performed in triplicate at each time point is displayed. *, P < 0.05 of PDTC-treated cells compared to control-treated cultures.

View larger version (32K): [in this window] [in a new window]   FIG. 5.   Macrophage infection with AdIB, but not Adgal, induces m collapse, cell death, and DNA fragmentation in a time-dependent manner. Primary human macrophages differentiated for 7 days were infected with either AdIB or Adgal, and each sample was analyzed for mitochondrial dysfunction, viability, and subdiploid DNA content. (A) AdIB-infected macrophages display a time-dependent loss of m, assessed by decreased Rh123 fluorescence (x axis), and a subsequent increase in cell death, as determined by incorporation of PI (3 µg/ml; y axis), compared to Adgal-infected control cells. The data represent one of three replicate samples from a representative experiment. (B) AdIB-infected macrophages exhibit reduced Rh123 fluorescence over time compared to those infected with Adgal. At the indicated times, the cells were incubated with Rh123 (0.1 µg/ml) for 30 min, harvested, and analyzed for Rh123 fluorescence by flow cytometry. The mean fluorescence of Adgal cultures at each time point represents 100% fluorescence. (C) Infection with AdIB, but not Adgal, increases DNA fragmentation in a time-dependent fashion. Following Rh123 analysis, cells were fixed in 70% ethanol and assessed for subdiploid (<2N) DNA content. The results are representative of five independent experiments. The values in panels B and C represent the mean ± standard error of triplicate cultures. *, P < 0.001 of the AdIB-infected cells compared to Adgal infection.

NF-B inhibition induces caspase 9 activation and macrophage apoptosis independent of DR signaling. Since macrophages express both Fas and FasL on their surfaces (52), the contribution of Fas signaling in NF-B inactivation-induced apoptosis was investigated. Preincubation with neutralizing anti-FasL antibody did not protect primary macrophages from DNA fragmentation (data not shown) or _m collapse (Fig. 6A), suggesting that the mechanism did not involve Fas receptor signaling. Additionally, TNF-, which can be produced by activated macrophages and has been shown to induce apoptosis in the presence of NF-B inhibition (1, 5), was not detected in the culture supernatants of untreated or adenovirus-infected macrophages (data not shown).

View larger version (24K): [in this window] [in a new window]   FIG. 6.   Macrophage apoptosis induced by NF-B inhibition involves caspase 9 activation but is independent of DR signaling and caspase 3 or 8 activation. (A) Blocking Fas-FasL interactions did not prevent PDTC-induced loss of m. Primary human macrophages differentiated for 7 days were incubated with 10 µg of neutralizing anti-FasL antibody or control IgG/ml for 30 min, followed by the addition of 200 µM PDTC for 24 h. The cells were then incubated with Rh123 (0.1 µg/ml) for 30 min, harvested, and analyzed for Rh123 fluorescence by flow cytometry. The control cultures represent 100% Rh123 fluorescence. The data are presented as the mean ± standard error of triplicate cultures and are representative of two independent experiments. (B) PDTC treatment induces caspase 9 activation without detectable activation of caspase 8 by Western blot analysis. Whole-cell extracts (25 µg) were prepared from 7-day macrophages treated with 200 µM PDTC for the indicated times. Extracts were subjected to sodium dodecyl sulfate-polyacrylamide gel electrophoresis on 12.5% polyacrylamide gels and then transferred to Immobilon P membranes for immunoblot analysis with anti-caspase 8 or anti-caspase 9 antibodies. The proform of caspase 8 is 57 kDa, and the active form of caspase 9 is 19 kDa. Tubulin detection was employed to control for protein loading. (C) PDTC-induced caspase 3 cleavage is not detectable by Western blot analysis. Whole-cell extracts (30 µg) were prepared as described above and probed with anti-caspase 3 antibody. The caspase 3 proform (32 kDa) is shown, and anti-tubulin antibody was utilized to control for protein loading. (D) Caspase 3 activity is not induced in PDTC-treated macrophages as assessed by DEVD cleavage. Seven-day macrophages treated for 24 h with 200 µM PDTC or vehicle control were harvested, lysed, and incubated with Ac-DEVD-AFC at 37°C for 1 h as described in Materials and Methods. Macrophages incubated with 50 µg of LY294002/ml were employed as a positive control for caspase 3 activity. *, P < 0.001 compared to PDTC-treated cells. The mean ± standard error of triplicate cultures is shown. The data are representative of two independent experiments. (E) PKC is cleaved following PDTC treatment. Whole-cell extracts (30 µg) were prepared as described above and probed with anti-PKC antibody. Cleaved PKC (43 kDa) and tubulin, to control for protein loading, are shown. The results in panels B, C, and E are representative of three separate experiments.

Caspase 9 inhibitors reduce PDTC-induced macrophage apoptosis. To determine if caspase activation is essential for cell death following NF-B inactivation, RAW 264.7 cells were cultured with either a general caspase inhibitor (z-VAD.fmk) or a specific inhibitor of caspase 9 (z-LEHD.fmk). Treatment with 100 µg of the caspase 9 inhibitor or z-VAD.fmk/ml did not prevent PDTC-induced mitochondrial dysfunction (Fig. 7A), indicating that loss of _m occurred independently of caspase inhibition. These data further support the observation that DR signaling and caspase 8 activation were not responsible for initiating PDTC-induced _m loss and apoptosis (Fig. 6A and B). In contrast, DNA fragmentation was significantly decreased by the addition of either the caspase 9 inhibitor (P < 0.004) or z-VAD.fmk (P < 0.02) (Fig. 7B). Furthermore, PDTC-treated RAW 264.7 cells displayed a loss of viability, which was not rescued by the addition of these caspase inhibitors (Fig. 7C). These data demonstrate that although the caspase 9 inhibitor and z-VAD.fmk provided protection from DNA fragmentation, they did not prevent _m collapse or cell death. Collectively, these data indicate that DNA fragmentation induced by NF-B inhibition is caspase dependent while mitochondrial dysfunction and subsequent cell death are independent of caspase activation.

View larger version (16K): [in this window] [in a new window]   FIG. 7.   Caspase inhibition reduces PDTC-induced DNA fragmentation but does not prevent m collapse or cell death. RAW 264.7 cells were incubated, as indicated, with 100 µg of either a general caspase inhibitor (z-VAD.fmk) or a caspase 9 inhibitor (z-LEHD.fmk)/ml and 200 µM PDTC for 24 h. Analyses of mitochondrial dysfunction, DNA fragmentation, and cell viability were performed on each sample. (A) PDTC-induced loss of m, determined by decreased Rh123 fluorescence, was not prevented by the presence of either caspase inhibitor. Cultures were incubated with Rh123 (0.1 µg/ml) for 30 min, harvested, and analyzed for Rh123 fluorescence by flow cytometry. Vehicle control cultures were designated 100% fluorescence. (B) Caspase inhibition reduces PDTC-induced DNA fragmentation. Following Rh123 analysis, cells were fixed in 70% ethanol and assessed for subdiploid (<2N) DNA content as described in Materials and Methods. *, P < 0.02 compared to PDTC alone. (C) PDTC-induced cell death, as determined by PI (3 µg/ml) incorporation, was not prevented by caspase inhibition. All values represent the mean ± standard error of triplicate cultures. The results are representative of two independent experiments.

Expression of A1 protects macrophages from apoptosis induced by NF-B inhibition. To elucidate the events leading to mitochondrial dysfunction in NF-B-inactivated macrophages, the expression of Bcl-2 family members was assessed. Neither Bcl-2 nor Bcl-x_L was decreased following the inhibition of NF-B, as determined by RT-PCR analysis (Fig. 8A) or Western blotting (data not shown). In contrast, A1 mRNA was dramatically reduced in PDTC-treated (Fig. 8A) or AdIB-infected (data not shown) macrophages compared to control macrophages or neutrophils (51). RNase protection assays confirmed that A1 expression was diminished following NF-B inhibition (data not shown). Furthermore, the expression of the proapoptotic proteins Bad and Bax was not increased in PDTC-treated macrophages (data not shown). These data suggest that a reduction in A1 expression may be responsible for inducing mitochondrial dysfunction following NF-B inhibition.

View larger version (20K): [in this window] [in a new window]   FIG. 8.   A1 protects macrophages from apoptosis induced by NF-B inhibition. (A) A1, but not Bcl-2 or Bcl-xL, mRNA levels were dramatically reduced following NF-B inhibition. RT-PCR analysis was performed on 7-day macrophages treated with 200 µM PDTC for 0, 3, 6, or 12 h. Granulocyte RNA was employed as a positive control for A1 expression. As a control for quantification, -actin was also amplified. (B) Transient expression of A1 prevented PDTC-induced RAW 264.7 cell death. The cells were cotransfected with pEGFP and either pA1 or control vector as described in Materials and Methods. Twenty-four hours after transfection, the indicated cultures were treated with 200 µM PDTC (+PDTC) for an additional 24 h. Viability was determined by the number of GFP+ cells. *, P < 0.002 compared to control vector with PDTC. The data are presented as the mean ± standard error of triplicate cultures and are representative of three independent experiments.

	DISCUSSION

Top Abstract Introduction Materials and Methods Results Discussion References

The constitutive activation of NF-B is essential for macrophage viability. The requirement for NF-B activation in the present study was not due to the fact that the primary human macrophages were terminally differentiated, since inhibition of constitutively activated NF-B in proliferating macrophagelike RAW 264.7 cells also induced apoptosis. Previous investigations have focused on the effect of NF-B inhibition in response to apoptotic stimuli, such as DR ligation, radiation, or chemotherapeutic compounds, in a variety of cell types, including macrophages (5, 59, 64, 66). In contrast, our data are novel in that NF-B inhibition in the absence of additional apoptotic stimuli resulted in macrophage apoptosis, demonstrating that constitutive NF-B activation is essential for macrophage survival.

The constitutive activation of NF-B is not essential for the survival of all cells types. In contrast to macrophages, fibroblasts, endothelial cells, and epithelial cells did not undergo apoptosis following NF-B inhibition by PDTC or IB (data not shown and references 31, 60, and 66). However, similar to macrophages, other cells of the immune system, including both B and T lymphocytes, exhibited constitutive NF-B activation (36, 47) and underwent apoptosis following NF-B inhibition (3, 36, 67), although the responsible mechanisms have not been well characterized.

Our data provide novel insights into the mechanism by which the constitutive activation of NF-B protects macrophages from cell death. Here, we show that macrophage apoptosis induced by NF-B inhibition was mediated by a loss of _m, activation of caspase 9, and cleavage of cellular proteins and DNA. DR ligation was not responsible for apoptosis, as caspase 8 was not activated and z-VAD.fmk did not protect against _m loss. Additionally, TNF- was not detected in the culture supernatants (data not shown), and interruption of Fas-FasL interactions did not protect against macrophage apoptosis following NF-B inhibition. This contrasts with previous studies, in which the expression of IB sensitized cells to _m collapse induced by TNF- and mediated by caspase 8 activation (9, 65). Thus, our data document a direct role for constitutively activated NF-B in maintaining macrophage viability by regulating mitochondrial homeostasis.

Unexpectedly, macrophage apoptosis induced by suppressing constitutively activated NF-B occurred through a caspase 3-independent pathway. Although caspase 9 activation was documented following the initial loss of _m and the caspase 9 inhibitor effectively reduced DNA fragmentation, caspase 3 activation was not detected by either Western blot analysis or functional activity, regardless of the method employed to inhibit NF-B. These are the first data to document a caspase 3-independent apoptotic pathway in primary macrophages. Similar to these results, a recent study demonstrated that inhibition of constitutive NF-B activity in normal, human T lymphocytes resulted in apoptosis without activation of caspase 3 (36). However, the mechanism responsible for apoptosis and the effect of caspase inhibitors on cell viability were not reported (36). It is possible that access to procaspase 3 was impeded (44) or an inhibitor of caspase 3 was present (14) under the conditions utilized, resulting in a lack of caspase 3 cleavage by activated caspase 9. Perhaps cleaved, proteolytically active PKC (20) or another caspase, such as caspase 7 (19), was responsible for DNA fragmentation following NF-B suppression. The absence of caspase 3 activation by cleaved caspase 9 may be unique to NF-B inhibition, because macrophage cell death induced by the phosphatidylinositol 3-kinase inhibitor LY294002 was associated with both mitochondrial dysfunction (data not shown) and caspase 3 activation (Fig. 6D). Likewise, we have observed caspase 3 activation in monocytes undergoing spontaneous apoptosis mediated by Fas-FasL interactions (52). Our data indicate that macrophage apoptosis induced by the inhibition of constitutive NF-B activation was initiated by loss of _m and employed a caspase 3-independent pathway for DNA degradation.

The mechanism by which inhibition of NF-B in macrophages initiates _m collapse was also examined. NF-B inactivation resulted in the marked reduction of A1 expression prior to _m collapse, even though the expression of other Bcl-2 family members was unchanged (Fig. 8A). Previous investigations have documented induced A1 expression in macrophages following stimulation (51); however, our findings are novel, since they demonstrate an exquisite sensitivity of A1 regulation to constitutive NF-B activation. Additionally, prior studies have reported that A1 may protect against apoptosis in the presence of NF-B suppression (15, 37, 65, 69). In contrast to our data, however, apoptosis was observed only in response to exogenous death-inducing stimuli, such as TNF- and anti-Fas antibody (15, 37, 65, 69). Supporting the importance of our observations, the ectopic expression of A1 protected against macrophage apoptosis induced by NF-B inhibition. Additionally, A1 expression has been shown to contribute to myeloid differentiation (41), which may be due to protection against apoptosis, consistent with our observations in macrophages. In contrast to our results for A1, Bcl-x_L, another Bcl-2 family molecule regulated by NF-B (11), was not reduced when constitutive NF-B activation was blocked. Although the inhibitor of apoptosis proteins (IAPs) may also be regulated by NF-B (65), IAPs arrest apoptosis by preventing the activation of caspases 9 and 3 (14) and therefore are unlikely to affect apoptosis initiated by a caspase-independent _m collapse (Fig. 7A). Our data provide important insight into the role of A1, suggesting that it may be an indispensable mitochondrial homeostatic molecule and mediator of the antiapoptotic function of constitutively activated NF-B in macrophages.

Although the role of NF-B in macrophage apoptosis has been previously investigated, the results differed from those presented here. Macrophages generated in vitro from hematopoietic precursors of embryonic-lethal p65 knockout (p65^/) mice were not reported to undergo spontaneous apoptosis but were sensitive to TNF--induced cell death (5). The precursors employed in this study were treated with macrophage growth factors that may have activated other transcription factors, including other NF-B subunits. In hematopoietic lineages, c-Rel and p65 may serve redundant functions (25), suggesting that c-Rel activity may have compensated for the loss of p65. However, the ectopic expression of the IB employed in the present study, which avidly binds any NF-B complex containing p65 or c-Rel (4), effectively inhibited all species of NF-B detected (Fig. 1C). Another investigation utilizing a degradable form of IB did not observe macrophage apoptosis, even in the presence of TNF- (17). Potential explanations for this discrepancy include the culturing of peripheral blood-derived monocytes in the presence of macrophage colony-stimulating factor, which may have induced other factors that protected against apoptosis (8), and the use of a degradable form of IB, which, when unbound, is unstable and rapidly degraded (39, 58). In contrast, our study employed monocytes differentiated in serum alone and a nondegradable, mutant IB that may have been more effective at preventing NF-B activation. Our results were validated by utilizing four different methods to suppress NF-B activation, all of which resulted in _m collapse and apoptosis.

In summary, we have shown that the constitutive activation of NF-B is necessary for macrophage survival and that inhibition of NF-B activity resulted in macrophage apoptosis initiated by a decrease in A1 expression and loss of _m, independent of DR ligation. The persistence of macrophages has been implicated in the pathogenesis of diseases such as rheumatoid arthritis and atherosclerosis. Consistent with our data, nuclear, activated NF-B was identified in vivo in rheumatoid arthritis synovial tissue macrophages (27), indicating that activated NF-B may prevent macrophage apoptosis. The data presented here provide important insights into the mechanism of macrophage survival and suggest a potential novel therapeutic approach through the inhibition of NF-B or A1.