Introduction
Unlike several other members of the BH3‐only family, the function and regulation of Nbk/Bik (natural born killer/Bcl‐2‐interacting killer) (
Boyd et al., 1995;
Han et al., 1996) are still poorly defined. Nbk shows a rather tissue‐specific expression pattern which is restricted to a subset of human epithelial tissues and activated lymphoid B cells (
Daniel et al., 1999), suggesting that Nbk plays a role in tissue‐specific regulation of apoptosis. Ectopic expression of Nbk restored sensitivity to anti‐cancer drugs in resistant tumor cells and impaired tumorigenicity in a mouse xenotransplant model (
Daniel et al., 1999;
Radetzki et al., 2002).
A recent report showed that the Nbk BH3 domain is essential for apoptosis induction and its interaction with Bcl‐x
L (
Tong et al., 2001). Similarly, the BH3‐only protein Bad interacts via its BH3 domain with Bcl‐x
L (
Kelekar et al., 1997). It has also been proposed that the activity of Nbk is regulated by phosphorylation. Unlike in the case of Bad, phosphorylation increases the pro‐apoptotic potency of Nbk by a presently unknown mechanism that does not affect its affinity for anti‐apoptotic Bcl‐2 members (
Verma et al., 2001). Altogether, the mechanisms by which Nbk is restrained in healthy cells and by which it induces apoptosis remain largely unclear.
In order to investigate the mechanism of Nbk action and to explore a potential use of Nbk in experimental cancer models, we established a single‐vector conditional adenoviral expression system based on the Tet‐off system (
Gossen and Bujard, 1992). Employing this conditional expression system, we show that Nbk acts as an activator of the mitochondrial apoptotic pathway through a strictly Bax‐dependent mechanism. Bax‐negative carcinoma cells were completely refractory to Nbk‐induced apoptosis, even though they expressed the Bax‐related molecule Bak. Further analyses indicated that the proapoptotic effect of Nbk was mediated by an indirect effect on Bax: Nbk did not interact directly with Bax, but instead bound to Bcl‐x
L and Bcl‐2. Thus, our data suggest a model in which Nbk acts as an indirect killer that triggers Bax‐dependent, but Bak‐independent apoptosis.
Discussion
Members of the Bcl‐2 family are key regulators of apoptosis. Tremendous progress has been made in elucidating the molecular basis of apoptosis regulation through both pro‐ and anti‐apoptotic Bcl‐2 family members. Nevertheless, the mechanism of action of the pro‐apoptotic Bcl‐2 homologs is still not completely understood. Bax has been shown to be a direct activator of mitochondria which triggers release of cytochrome
c (
Jürgensmeier et al., 1998) and other mitochondrial events such as permeability shift transition and the release of a variety of pro‐apoptotic factors including AIF, Smac/Diablo and others. The Bax homologs Bak and Bok/Mtd that carry, like Bax, a BH1, BH2 and BH3 domain are believed to exert similar functions (
Martinou and Green, 2001).
The mechanisms of apoptosis induction by Nbk, however, remain enigmatic. Nbk contains only one of the signature domains of the Bcl‐2‐family, the BH3 domain, and therefore might display a mode of action similar to other members of the BH3‐only subfamily. Recently, an indirect mode of apoptosis induction was established for the BH3‐only proteins Bad, Bid, Bim and Noxa that occurs via a Bax‐ or Bak‐dependent pathway (
Cheng et al., 2001;
Zong et al., 2001). In the case of Bid, a truncated caspase cleavage product of Bid, tBid, triggers a conformational switch in the N‐terminus of Bax (
Desagher et al., 1999) or Bak (
Wei et al., 2000), leading to activation of mitochondrial apoptosis signaling. Experiments in mouse embryonal fibroblasts showed that the activity of these BH3‐only proteins in inducing apoptosis depends on the presence of Bax or Bak to trigger cytochrome
c release and the mitochondrial apoptosis cascade (
Cheng et al., 2001;
Zong et al., 2001). This led to the hypothesis that all BH3‐only proteins might share a similar mode of action, i.e. depend on Bax and its homologs to trigger apoptosis.
In the present study, we addressed the mechanism of action of Nbk in relation to Bax and the activation of the mitochondrial apoptosis cascade. To this end, we constructed a conditional adenoviral expression system based on the Tet‐off system. The prominent finding of the present work is the fact that Nbk did not induce apoptosis in the Bax‐negative carcinoma cells including Bax‐mutated LoVo and DU145 cells, as well as HCT116 Bax knock‐out cells.
The re‐expression of Bax in DU145 cells restored the sensitivity for Ad5‐myc‐Nbk‐tTA‐induced apoptosis in these cells. Similarly, Bax wild‐type HCT116 cells displayed high sensitivity to Nbk‐induced apoptosis. Upon Nbk expression, the Bax‐positive but not the Bax‐negative cells showed release of cytochrome
c, breakdown of the mitochondrial membrane potential and processing of procaspase‐9. This formally demonstrates that Nbk acts via a Bax‐dependent mechanism to activate the mitochondrial apoptosis pathway. Western blot analyses showed that the Bax‐negative cell lines DU145, LoVo and HCT116 all express Bak. Thus, Bak could not compensate for the loss of Bax in these cells, indicating that Nbk signals preferentially via Bax and not Bak. In the case of other BH3‐only proteins, such as Bad, Bid, Bim and Noxa, only the combined inactivation of both Bax and Bak significantly impaired apoptosis induction (
Cheng et al., 2001;
Zong et al., 2001). Altogether, Nbk appears to be an indirect inducer of mitochondrial apoptosis that entirely depends on Bax to exert its effect.
The BH3‐only protein Bid induces cytochrome
c release through a Bax‐dependent mechanism (
Desagher et al., 1999). This occurs by relieving inhibition of the Bax transmembrane signal anchor by the N‐terminal domain, resulting in integration of Bax into the outer mitochondrial membrane (
Eskes et al., 2000;
Ruffolo et al., 2000). A recent report pointed out that Bax‐independent mechanisms might also be relevant for Bid‐induced mitochondrial activation. In this line, Bid was shown to activate mitochondria and cytochrome
c release independently of Bax (
Kim et al., 2000). Recently, it was even suggested that Bid by itself may possess channel‐forming capabilities and may thus mediate cytochrome
c release (
Zhai et al., 2000) but does not interact with the voltage‐dependent anion channel (
Sugiyama et al., 2002).
Nbk differs from Bid in that it does not physically interact with Bax. In addition, Nbk does not localize to the mitochondria, whereas Bax does (
Eskes et al., 2000;
Ruffolo et al., 2000). Furthermore, so far we have found no evidence that Nbk is cleaved during apoptosis. This is in line with data from other BH3‐only Bcl‐2 homologs such as Bim and Bad. Both proteins have been shown to impair the anti‐apoptotic effect of Bcl‐2 or Bcl‐x
L and both also depend on Bax or Bak to exert their apoptosis‐promoting effect (
Cheng et al., 2001;
Zong et al., 2001). Like in the case of Bad, Nbk might act via sequestration of Bcl‐x
L and Bcl‐2, as suggested by the co‐immunoprecipitation of Nbk and Bcl‐2 or Bcl‐x
L, respectively, that was observed under both Triton X‐100 and CHAPS buffer conditions. An interaction of Bax and Bcl‐x
L was observed, however, only in co‐immunoprecipitation studies based on Triton X‐100 as detergent, but not when CHAPS was employed.
It is conceivable that the binding of Nbk to Bcl‐x
L or Bcl‐2 alone is sufficient to promote the conformational change of Bax, or that additional factors are required which would then, upon sequestration of Bcl‐x
L by Nbk, bind to Bax to trigger the pro‐apoptotic conformation. Thus, the exact functional role of the interaction between Nbk and Bcl‐x
L or Bcl‐2 remains to be determined. Evidence for a more complex mode of action comes from the observation that mutation of the phosphorylation sites at residues 33 (threonine) and 35 (serine) reduced the apoptotic activity of Nbk without significantly affecting its ability to heterodimerize with Bcl‐2 (
Verma et al., 2001). Thus, unlike Bad where serine phosphorylation results in inactivation and sequestration via 14‐3‐3 proteins, Nbk phosphorylation appears to result in a gain of function. A recent report showed that Nbk localizes to the endoplasmic reticulum (ER) membrane upon ectopic overexpression. Furthermore, ER‐targeted Nbk could induce secondary activation of mitochondria and cytochrome
c release in a cell‐free system (
Germain et al., 2002). This observation suggests that Nbk might be involved in a cross‐talk of the ER with the mitochondrial apoptosis pathway. Moreover, the activation of mitochondria via artificially ER‐targeted Nbk was independent from Bax as assessed in Bax
−/− murine hepatocytes. This is in contrast to our data in several human Bax‐negative carcinoma lines and the respective congeneic Bax‐positive cells.
In conclusion, we provide evidence that Nbk induces apoptosis in Bax‐proficient carcinoma cells tested, while Bax‐negative cells were refractory. This corroborates a model of BH3‐only proteins as indirect activators of the mitochondrial apoptosis signaling cascade that mediate their effects through Bax and its homologs. Interestingly, the Bax‐negative cells investigated here express significant levels of Bak. Thus, Bak by itself appears to be insufficient to confer sensitivity for Nbk‐induced apoptosis. We demonstrate that the BH3‐only protein Nbk/Bik entirely depends on Bax but apparently not on Bak. Therefore, functional interactions between BH3‐only proteins and Bax and its homologs might be more complex, as initially believed, and could occur in a subfamily‐specific manner.
Recently published data support our notion that Bax and Bak differentially regulate apoptosis (
Panaretakis et al., 2002). Interestingly, overexpression of Bcl‐2 blocked the conformational activation of Bak upon treatment with the anti‐cancer drug doxorubicin, whereas the Bax N‐terminal switch was still partially activated. As doxorubicin also led to a strong increase in the expression of Nbk/Bik, this may indicate a differential regulation of Bax and Bak by Bcl‐2 and Nbk.
Pro‐apoptotic stimuli such as antigen receptor‐mediated activation of B‐lymphoid cells or induction of p53 by anti‐cancer drugs may trigger induction of Nbk expression. The exact requirements for induction and transcriptional regulation of this killer protein remain, however, to be established. Evidence is accumulating that BH3 proteins link different cellular compartments or signal transduction machineries to the mitochondrial apoptosome. Our interest is therefore to elucidate the upstream signals regulating Nbk gene expression and activity, especially in view of its restricted tissue expression pattern.
Materials and methods
Cell culture
HEK293, SW48, SW480, DU145, LoVo and HCT116 cells were grown in Dulbecco's modified Eagle's medium (DMEM) high‐glucose supplemented with 10% fetal calf serum (FCS), 100 U/ml penicillin and 0.1 μg/ml streptomycin (all from Gibco, Karlsruhe, Germany). Cells were transduced with Ad5‐myc‐Nbk by incubation for 2 h at an m.o.i. of 25 in growth medium without FCS. Expression of myc‐Nbk was suppressed by addition of 1 μg/ml doxycyclin to the culture medium (Tet‐off condition).
Antibodies
Monoclonal mouse anti‐Bax antibody (clone YTH‐2D2, raised against a peptide corresponding to amino acids 3–16) was purchased from Trevigen (Gaithersburg, MD) and the conformation‐specific polyclonal rabbit anti‐Bax antibody (raised against a peptide corresponding to amino acids 1–21) was from Upstate Biotechnology (Lake Placid, NY). Polyclonal rabbit anti‐myc antibody (A‐14; raised against the 9E10 myc epitope) and goat anti‐Nbk antibody (N‐19; raised against an epitope mapping to the 19 amino acid N‐terminus of human Nbk) were from Santa Cruz Biotechnology (Santa Cruz, CA), and polyclonal rabbit anti‐Bcl‐xS/L antibody (raised against amino acids 18–233 of rat Bcl‐xL), monoclonal mouse anti‐human cytochrome c (clone 7H8.2C12) and monoclonal mouse anti‐human PARP antibody (clone C2‐10) were from BD Biosciences Pharmingen (San Diego, CA). Monoclonal mouse anti‐Bcl‐2 antibody (NCL‐bcl‐2, raised against amino acids 41–55 of human Bcl‐2) was purchased from Novocastra Laboratories (Newcastle, UK). Goat anti‐caspase‐9 antibody (raised against human caspase‐9 amino acids 139–330) was from R&D Systems (Minneapolis, MN). The polyclonal rabbit anti‐Bak antibody (raised against a peptide corresponding to amino acids 14–36) was from DAKO Corporation (Carpinteria, CA). Secondary anti‐mouse, anti‐rabbit and anti‐goat IgG coupled to horseradish peroxidase were from Promega Corporation (Madison, WI) or Santa Cruz Biotechnology.
Construction of recombinant adenovirus
To insert the tTA expression unit into the adenovirus genome, the tTA expression cassette from pTet‐Off (BD Biosciences Clontech, Palo Alto, CA) was first cloned as an
XhoI–
PvuII fragment into pHVAd3, an adenoviral shuttle vector for the E3 region. The virus genome containing the tTA expression unit was generated in the
Escherichia coli strain BJ5183 RecBC‐sbcB by homologous recombination of the shuttle plasmid with pHVAd1 containing the complete adenovirus genome, resulting in the plasmid pAd‐tTA. To create an inducible myc‐Nbk expression cassette, the
XhoI–
EcoRI fragment from pTRE containing the tetracyclin‐responsive element (TRE) upstream of the CMV minimal promoter was inserted into the adenoviral shuttle vector pHVAd2. A myc‐Nbk construct containing the full‐length Nbk cDNA fused to an N‐terminal myc tag was first cloned into pSL1180 (Amersham Pharmacia Biotech, Freiburg, Germany) and then inserted as a
HindIII–
SalI fragment into the TRE‐containing pHVAd2 shuttle vector. The resulting TRE‐myc‐Nbk expression unit was inserted into the Ad5 virus genome by homologous recombination of the shuttle plasmid with pAd‐tTA, thereby replacing the E1 region and creating pAd5‐myc‐Nbk‐tTA (
Figure 1A). The viral DNA was transfected into HEK293 cells and adenoviral plaques were propagated as described (
Hemmati et al., 2002).
Stable expression of Bax by retroviral infection of DU145 cells
For expression of Bax in the Bax‐negative DU145 cells, we employed the retroviral vector HyTK‐Bax containing the human Bax‐α cDNA under the control of a CMV promoter as described (
Hemmati et al., 2002).
Measurement of apoptotic cell death by flow cytometry
Apoptosis was determined on a single‐cell level by measuring the DNA content of individual cells with a FACScan (BD Biosciences) as described (
Wieder et al., 2001). Alternatively, apoptotic cell death was determined by measuring binding of annexin V–FITC upon exposure of phosphatidylserine to the cell surface. PI‐positive cells that had lost membrane integrity were considered as late apoptotic or necrotic cells and therefore excluded from the analysis. Data are given in percentage of cells with increased fluorescence reflecting the number of annexin V–FITC‐stained, PI‐negative cells.
Measurement of cytochrome c release
Cytosolic extracts were prepared according to a method described previously (
von Haefen et al., 2003). After induction of apoptosis, cells were harvested in phosphate‐buffered saline (PBS), equilibrated in hypotonic buffer (20 mM HEPES pH 7.4, 10 mM KCl, 2 mM MgCl
2, 1 mM EDTA) supplemented with 0.1 mM phenylmethylsulfonyl fluoride (PMSF) and 0.75 mg/ml digitonin (Sigma‐Aldrich) and incubated on ice for 3 min. Debris was pelleted by centrifugation at 10 000
g at 4°C for 5 min and the supernatant was subjected to western blot analysis.
Measurement of mitochondrial permeability transition
After infection with recombinant adenoviruses Ad5‐myc‐Nbk‐tTA at an m.o.i. of 25, cells were collected by centrifugation at 300
g at 4°C for 5 min. The mitochondrial permeability transition was determined by staining the cells with JC‐1 (Molecular Probes, Leiden, The Netherlands) as described (
Wieder et al., 2001). Mitochondrial permeability transition was quantified by flow cytometric determination of cells with decreased red fluorescence, i.e. with mitochondria displaying a lower membrane potential (ΔΨ
m).
Measurement of conformational change of Bax by flow cytometry
A total of 2.5 × 105 cells (25 cm2 flask) were infected with Ad5‐mycNbk‐tTA in the presence or absence of doxycyclin and harvested 24 h after infection by trypsination. Quantification of cells showing exposure of the N‐terminal epitope detected by the conformation‐specific Bax antibody was performed by flow cytometry. Data are given in percentage of cells containing Bax with a conformational change in the N‐terminal region.
Immunoblotting
After trypsination, cells were washed twice with ice‐cold PBS and lysed in buffer L (10 mM Tris–HCl pH 7.5, 137 mM NaCl, 1% Triton X‐100, 2 mM EDTA, 1 μM pepstatin, 1 μM leupeptin and 0.1 mM PMSF). Protein concentration was determined using the bicinchoninic acid assay. Equal amounts of protein (20 μg per lane) were separated by SDS–PAGE, electroblotted and visualized as described (
Wieder et al., 2001).
Immunocytochemistry
SW480 cells were seeded on coverslips in 6‐well plates and infected with Ad5‐myc‐Nbk‐tTA in the presence or absence of doxycyclin. At 24 h post‐infection, cells were washed three times with PBS and fixed for 30 min with ice‐cold 1% paraformaldehyde. After two washing steps in PBS, the cells were permeabilized with ice‐cold 100% methanol for 1 min. Cells were washed again twice and non‐specific binding of antibodies was blocked by incubation with 8% bovine serum albumin (BSA) for 30 min at room temperature. The primary antibodies were diluted in 1% BSA in PBS and added to the cells overnight at 4°C. Incubation with secondary antibodies was performed for 1 h at room temperature. Then, cells were washed three times in PBS. The labeling of Nbk was performed by the use of goat anti‐Nbk (1:50) followed by incubation with Alexa Fluor 594‐conjugated chicken anti‐goat IgG. Mitochondria were stained by the use of MitoTracker Green (Molecular Probes, Inc.) After staining, the cells were mounted in Aquamount and inspected in a Leica TCS SP2 confocal microscope.
Immunoprecipitation
A total of 1.5 × 106 cells per 75 cm2 flask were infected with Ad5‐myc‐Nbk‐tTA and cultured for 24 h with or without doxycyclin. Cells were harvested, washed in ice‐cold PBS and resuspended in 800 μl of either Triton X‐100‐ or CHAPS‐containing lysis buffer (20 mM Tris–HCl pH 7.5, 137 mM NaCl, 1% Triton X‐100, 2 mM EDTA or 10 mM HEPES pH 7.4, 140 mM NaCl, 1% CHAPS) in the presence of protease inhibitors (1 μM pepstatin, 1 μM leupeptin and 0.1 mM PMSF). Lysates were pre‐cleared with 40 μg of protein A– and protein G–Sepharose each (Sigma‐Aldrich). A 150 μl aliquot of the pre‐cleared cellular extract was shaken in the presence of 3 μg of the primary antibody and 0.5 mg of protein A/G–Sepharose at 4°C for 4 h. The protein A/G immune complex was sedimented by centrifugation at 15 000 g at 4°C for 20 s and washed three times in lysis buffer. Proteins bound to the protein A/G–Sepharose were eluted in 50 μl of sample buffer (62.5 mM Tris–HCl pH 6.8, 2% SDS, 2% β‐mercaptoethanol, 10% glycerol and 1% bromophenol blue) and analyzed by western blot analysis.