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Results 4b-Phorbol 12-myristate 13-acetate PMA protects cells from cadmium toxicity and inhibits delayed ERK activation Cell death resulting from low-dose cadmium poisoning is functional

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following cadmium intoxication is negatively regulated

by a protein kinase C-dependent pathway affecting

cadmium transport

Patrick Martin, Kim E Boulukos, Marie C Poggi and Philippe Pognonec

CNRS FRE3094, Universite´ de Nice Sophia Antipolis, France

Among the proteins known to play key roles in cell

physiology, extracellular signal-related kinase (ERK) is

one of the most widely studied Originally

character-ized as a protein responding to mitogenic stimulation

by phosphorylation on tyrosine residues [1], ERK is a

downstream substrate of the proto-oncogene Raf [2]

ERK rapidly became identified as a central kinase

involved in signal transduction pathways [3] ERK is

predominantly viewed as a kinase responsible for cell

growth [4] and⁄ or protection against apoptosis [5] Typical ERK activation is associated with strong and rapid phosphorylation within minutes following stimu-lation, and with a more modest but persistent activa-tion that can last for up to a few hours [6] More recently, a new type of ERK activity has been reported that surprisingly links ERK activation to cell death This novel function of ERK in cell death has been observed in certain cell types and organs, including

Keywords

cadmium; extracellular signal-related kinase

(ERK); protein kinase C (PKC); sustained

activation; ZIP8

Correspondence

P Pognonec, Transcriptional Regulation and

Differentiation, CNRS FRE3094, Universite´

de Nice, Parc Valrose, 06108 Nice cedex 2,

France

Fax ⁄ Tel: +33 492 07 64 13

E-mail: pognonec@unice.fr

(Received 16 September 2008, revised 12

December 2008, accepted 12 January 2009)

doi:10.1111/j.1742-4658.2009.06899.x

Extracellular signal-related kinase (ERK) is a well-known kinase taking part in a signal transduction cascade in response to extracellular stimuli ERK is generally viewed as a kinase that is rapidly and transiently phos-phorylated following mitogenic stimulation This activation results in ERK phosphorylating further downstream targets, thus transmitting and ampli-fying the original stimulus, and ultimately resulting in the onset of cellular proliferation and⁄ or protection against apoptosis More recently, several groups have identified a strikingly new type of ERK activation that results

in cell death This activation is very different from conventional ERK acti-vation, as it occurs several hours after the original stimulation, and results

in the sustained phosphorylation of ERK, which can be observed for up to several days One way of inducing this delayed ERK activation is by low-dose cadmium treatment We show here that sustained ERK activation induced by cadmium in human kidney-derived cells is inhibited following protein kinase C (PKC) activation, even when this activation occurs hours before intoxication Furthermore, PKC inhibition results in an enhanced ERK activation in response to cadmium, even when inhibition is induced hours before intoxication PKCe appears to be the most implicated isotype

in this phenomenon Finally, we present evidence suggesting that the ZIP8 transporter is involved in this process, as multiple small interfering RNAs against ZIP8 have a protective effect against cadmium treatment Our results indicate that PKC activation negatively affects ZIP8 transporter activity, thus protecting cells against cadmium poisoning

Abbreviations

eGFP, enhanced green fluorescent protein; ERK, extracellular signal-related kinase; GFP, green fluorescent protein; P-ERK, phosphorylated extracellular signal-related kinase; PKC, protein kinase C; PMA, 4b-phorbol 12-myristate 13-acetate; siRNA, small interfering RNA.

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neurons in various neurodegeneration models, brain

injury resulting from ischemia–reperfusion [7–9], and

myeloid leukemic cells following cisplatin

chemother-apy [10] An elegant study relying on a Raf-estrogen

receptor (Raf–ER) chimera also demonstrated that

induced sustained ERK activation indeed results in

apoptosis in vitro [11] The common point found in

ERK-associated cell death appears to be an

unconven-tional activation of ERK, which can remain

phosphor-ylated for up to several days We recently identified

another way of activating ERK-induced cell death by

treating cells with cadmium [12] Low concentrations of

cadmium result in a delayed but sustained

phosphory-lation of ERK that is ultimately accompanied by cell

death, suggesting that ERK functions differ depending

upon its kinetics of activation Supporting this

hypoth-esis are earlier studies concerning proliferation versus

neuronal differentiation of PC12 cells [13,14], in which

the classic transient activation is linked to cell

prolifera-tion, whereas a more sustained activation (lasting for a

few hours) is the trademark of differentiation

Rapid, transient activation is thus associated with

cell proliferation and protection against apoptosis,

whereas delayed, sustained activation is associated with

cell death The difference in signaling events leading to

these two distinct patterns of ERK activation remains

largely unexplored In this study, we began to address

the molecular differences involved in rapid, transient

activation versus sustained activation, following

cad-mium exposure To explore this, we treated cultured

cells with low doses of cadmium in order to induce

long-term ERK activation, as previously reported [12]

We then compared this activation with that obtained

after treatment with both cadmium and phorbol ester,

a well-known activator of conventional and novel

pro-tein kinase Cs (PKCs) that induces transient ERK

acti-vation We show that the delayed and sustained

cadmium-dependent ERK activation is strongly

inhib-ited by concomitant treatment or pretreatment of cells

with phorbol ester, and that this inhibition is

associ-ated with better cell survival Furthermore, we found

that PKCe is the isotype predominantly associated

with the delayed ERK activation in HEK cells

Sur-prisingly, we show that treatment of cells with a PKC

inhibitor results in an enhanced response of cells to

cadmium and increased phosphorylation of ERK

Thus, the sustained ERK activation observed after

cadmium treatment is under the negative control of

PKC We also show that this conventional PKC

pro-tective effect is probably due to a modification of the

ZIP8 cadmium transporter activity Our results led us

to propose a model comparing the traditional quick

and transient ERK activation with the specifics of this

unconventional cadmium-dependent activation, taking into account the involvement of the ZIP8 transporter

in this process, as demonstrated by the protective effect of different ZIP8 small interfering RNAs (siR-NAs) against cadmium intoxication

Results

4b-Phorbol 12-myristate 13-acetate (PMA) protects cells from cadmium toxicity and inhibits delayed ERK activation

Cell death resulting from low-dose cadmium poisoning

is functionally linked to sustained ERK activation [12]

As ERK is known to be efficiently and transiently acti-vated by PKC [15], we investigated the effects of the phorbol ester PMA, a diacylglycerol analog that acti-vates PKC isoforms, on the cell response to cadmium

We found that PMA treatment paradoxically rendered cells resistant to CdCl2(Fig 1A), as cells were dramat-ically protected from the toxic effects of cadmium This protective effect was readily seen 16–24 h after 0.5 and 1 lm exposure, when intoxicated cells became rounded and started to detach from the plate, while still metabolizing as seen by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-tetrazolium bromide analysis (data not shown) In contrast, PMA-cotreated cells (MTT, data not shown) remained phenotypically similar to control cells, as presented here both visually (Fig 1A) and quantitatively (Fig 1C) More than 90% of the cells became rounded following 24 h of treatment with

1 lm CdCl2, whereas only 23% were affected in the presence of PMA When cadmium was applied in the presence of PMA, and as expected from the pheno-typic observation, the absolute number of cells also remained higher than when cadmium was applied alone (see legend to Fig 1) To determine the level of cell toxicity following the different cadmium treat-ments used throughout this study, we measured the loss of cell integrity under these different conditions

As illustrated in Fig 1C, 14% and 23% of the cells lost their integrity following 24 h of exposure to 0.5 and 1 lm cadmium, respectively This indicates that only a small fraction of the rounded cells visible in Fig 1A lost their integrity Under the highest cad-mium concentration used later in this study (20 lm cadmium for 4 h), 9% of the cells lost their integrity after 4 h of exposure This relatively moderate effect after 4 h rapidly increased, as 52% of the cells became affected after 8 h of exposure to 20 lm

We next investigated whether the protective effect of PMA could affect the ERK response to CdCl2 As we previously showed that ERK activation following

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cadmium treatment was clearly detected after 24 h

in HEK cells following exposure to 2 lm CdCl2 [12], all ERK activation experiments were performed under these conditions As depicted in Fig 1D, PMA resulted, as expected, in the conventional early activa-tion of ERK as seen within 15 min by strong phos-phorylation that progressively diminished over time to

be practically undetectable 24 h later On the other hand, CdCl2 treatment resulted in the previously reported delayed activation of ERK (24 h) [12] Inter-estingly, when both PMA and CdCl2 were simulta-neously applied to cells, early ERK activation occurred normally, but delayed ERK activation was strongly diminished This suggests that PMA treatment interferes with molecular mechanisms that participate in sustained ERK activation following CdCl2treatment

PKC isotypes implicated in cadmium-dependent delayed ERK activation are distinct from those responsible for ERK short-term activation

As PMA activates both conventional and novel PKCs,

we investigated which particular isozymes are involved

in the PMA protective effect reported here Three PKC isozymes are found in HEK cells: PKCa, PKCd and PKCe Using siRNA, we knocked down each of these isotypes, and followed the activation of ERK in response either to a 30 min PMA treatment or to 24 h

of exposure to 2 lm CdCl2 Two prevalidated siRNAs were used for each isozyme, and gave similar results

As seen in Fig 2A, we observed that PKCa knock-down had the most severe effect on the rapid and transient ERK response to PMA, whereas PKCd and PKCe knockdown had a less marked effect as com-pared to a control experiment using a green fluorescent protein (GFP) siRNA This result is in good agree-ment with a previous report [16], and demonstrates the validity of the siRNA used in our study In parallel,

we monitored the activation of PKC using a pan-PKC antibody directed against the Ser657 hydrophobic site found in the C-terminal part of PKCa, which detects the three isotypes present in HEK cells, with an appar-ent molecular mass in the 80 kDa range The level of activated PKC matched the level of phosphorylated ERK (P-ERK) detected Interestingly, we found that

in cells treated with CdCl2 (Fig 2B), PKCe had the most dramatic effect on delayed ERK activation, whereas PKCa and PKCd had more modest effects This indicates that the signal transduction cascade leading to ERK activation following CdCl2exposure is molecularly distinct from the one resulting in short-term ERK activation, and that PKCe is the most activated PKC isotype following cadmium exposure

A

D

Fig 1 PMA protects cells against cadmium toxicity and diminishes

cadmium-induced ERK activation (A) Phenotypic observation of a

PMA protective effect against cadmium toxicity HEK293 cells were

cultivated and treated with 0, 0.5 or 1 l M CdCl 2 in the presence of

0 or 100 ngÆmL)1PMA Pictures illustrating the phenotypic

modifi-cations of the cells were taken 24 h following treatment (B)

Deter-mination of cadmium cytotoxicity on HEK293 cells HEK293 cells

were treated for the indicated times with the indicated CdCl2

con-centrations Loss of cell integrity was then measured as indicated

in Experimental procedures The 100% value corresponds to the

measurement of loss of cell integrity following total lysis of the

cells with detergent (C) Graphical representation of the phenotypic

modification of cells from the experiment depicted in (A) Rounded

cells after PMA treatment are indicated by gray bars, and black

bars represent rounded cells in the absence of PMA treatment.

NS, no significant difference (P > 0.05); ***highly significant

(P < 0.001) Plotted values are from at least 400 counted cells for

each condition, with error bars corresponding to the standard

devia-tion from three independent counts As compared to control cells

(no PMA, no Cd) set to 100%, cell numbers in the different

condi-tions were: 0.5 l M , 81%; 1 l M , 65%; PMA ⁄ 0 l M , 96%;

PMA ⁄ 0.5 l M, 89%; PMA ⁄ 1 l M, 74% (D) Western blot analysis of

total ERK and P-ERK HEK293 cells were treated with either 2 l M

CdCl2(Cd), 100 ngÆmL)1PMA (PMA) or both (PMA + Cd) for the

indicated times [0 min, 15 min (0.25), 2 h (2), 8 h (8) and 1 day

(24)] Fifteen micrograms of protein lysates was loaded onto two

parallel gels, and the transferred proteins were analyzed for either

P-ERK or total ERK (ERK).

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Cadmium treatment results in delayed PKC

activation

We found a delayed and sustained activation of ERK

following CdCl2 treatment As PKC is an upstream

kinase in the mitogen-activated protein kinase

path-way, we investigated the possibility that CdCl2

treat-ment could directly affect PKC activation Lysates

from cells exposed to CdCl2, PMA or a combination

of both were analyzed by western blotting to investi-gate the status of ERK and PKC activation As indi-cated in Fig 2C, the PMA-induced PKC phosphorylation became practically undetectable after

24 h [17], and strong activation of PKC was observed

24 h after CdCl2 treatment There is a clear correlation between PKC activation and ERK activation Interest-ingly, at least two reports have already demonstrated that 24 h of treatment with cadmium activates PKC [18,19] Our work confirms these observations, and indicates that this activation is the likely cause for the ERK cadmium-dependent delayed activation reported earlier [12]

PMA-driven PKC activity inhibits cadmium-dependent delayed ERK activation

To determine whether the PMA protective effect requires PKC kinase function, we analyzed the effect

of GF 109203X, a specific, broad-spectrum PKC inhib-itor [20], on the ERK response to cadmium

GF 109203X is very effective in inhibiting the ERK response, as 0.3 lm significantly reduced ERK activa-tion following a 30 min exposure of cells to PMA, whereas 3 lm totally inhibited ERK activation (data not shown) Surprisingly, the GF 109203X effect on delayed ERK activation following cadmium exposure was a mirror image of its effect on ERK activation fol-lowing PMA treatment: increasing concentrations of

GF 109203X resulted in a specific and dose-dependent increase in ERK activation, which was already detect-able at 0.3 lm and was maximal at 3 lm, whereas

10 lm GF 109203X treatment in the absence of cad-mium did not result in any ERK activation (Fig 3A)

GF 109203X concentrations in the low micromolar range are known to be specific for PKC [20] Further-more, we found that the effect of GF 109203X on the cell response to cadmium dominated that of PMA, as cotreatment with PMA, GF 109203X and cadmium gave results similar to those obtained with

GF 109203X and cadmium (Fig 4 and data not shown), as expected from the GF 109203X mode of action on the catalytic site of PKC [20] Finally, we found that when GF 109203X was applied up to 24 h before cadmium (Fig 3B, ‘)24’), ERK activation was also stronger than in the absence of the inhibitor, whereas the addition of the inhibitor 4 h after cad-mium treatment no longer resulted in strong ERK activation Taken together, these results suggest an inhibitory role for PKC activation in delayed ERK activation, as blocking of PKC activity resulted in increased ERK activation in response to cadmium,

A

B

C

Fig 2 PKCe is the predominant PKC isotype associated with

cadmium response in HEK cells, in contrast to phorbol ester

activa-tion Western blot analysis of total ERK, P-ERK and activated PKCs.

HEK293 cells transfected 48 h earlier with siRNA against PKCa,

PKCb, PKCe or GFP were treated either with (A) 100 ngÆmL)1

phor-bol ester for 30 min (+) or nothing ( )), or with (B) 2 l M CdCl 2 for

24 h, 2 l M CdCl2 and 100 ngÆmL)1 PMA for 24 h, or nothing.

Fifteen micrograms of protein lysates was loaded onto two parallel

gels, and the transferred proteins were analyzed for either P-ERK

and phosphorylated PKC (P-PKC), or total ERK (ERK) (C) Delayed

PKC activation in response to cadmium treatment Cells treated

with either 2 l M CdCl 2 for 24 h, 100 ngÆmL)1phorbol ester for 24 h

or 30 min, or nothing After lysis, 15 lg of total protein was loaded

onto two parallel gels, and the transferred proteins were analyzed

for either P-ERK and activated PKC (P-PKC) or total ERK (ERK).

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whereas activating of PKC resulted in reduced ERK

activation in response to cadmium

PKC initiates a hit-and-run process resulting in

cell protection against cadmium toxicity

As GF 109203X enhanced ERK activation even when

applied several hours before cadmium, we investigated

whether PMA could also inhibit ERK activation

when applied several hours before cadmium Cells

were pretreated with PMA for 8 h, and then exposed

to cadmium for 24 h This resulted in strongly reduced activation of ERK as compared to treatment with cadmium alone, as shown in Fig 3C (compare

‘Cd’ to ‘PMA then Cd’) This inhibition was similar,

if not stronger, than that observed when PMA and cadmium were applied simultaneously (Fig 3C, ‘PMA and Cd’) This suggests that transient PKC activation following PMA addition can occur at least 8 h before cadmium addition, without affecting PMA inhibitory potential when CdCl2 is finally added several hours later

Although the above experiment clearly demonstrates that PKC activation can occur 8 h before cadmium addition and still inhibit delayed ERK activation, we wanted to determine whether PKC downregulation, known to occur following PMA treatment [21], partici-pates in the ERK response to cadmium To answer this question, we needed to perform a 16 h PMA pre-treatment of cells, which is known to completely downregulate PKC [21] However, our 2 lm cadmium condition required a 24 h delay before ERK activation could be detected, which could be long enough for PKC to regain its steady-state level after these com-bined 40 h In order to stay within a time frame in which PKC is completely downregulated, we used a higher cadmium concentration In the presence of

20 lm cadmium, faster intracellular cadmium accumu-lation resulted in faster ERK activation, which was already strong after 4 h (Fig 3D, left-hand panel), whereas cytotoxicity remained low (9%; Fig 1B) When this higher-concentration cadmium treatment was performed after a 16 h PMA pretreatment, the remaining PMA-driven ERK activation seen after 16 h was still easily detectable (Fig 3D, ‘0’ in the right-hand panel), but remained unaffected by the 4 h 20 lm cadmium treatment These results indicate that the strong inhibition of the ERK response to cadmium observed with an 8 h pretreatment with PMA was also present when PMA was applied up to 16 h before cad-mium, even with a 10-fold higher cadmium exposure

As, at this time, PKC was completely downregulated,

as seen by the total absence of immediate ERK activa-tion following a second treatment with PMA (data not shown), the PMA-driven inhibition of the ERK delayed response to cadmium is likely to reflect a PKC

‘hit-and-run’ effect, whose consequences will protect cells from subsequent cadmium treatment This is con-firmed by GF 109203X, which enhanced the ERK response to cadmium, even when the inhibitor was applied up to 24 h before cadmium In the PKC siRNA experiment presented in Fig 2, we nevertheless observed inhibition of ERK activation following

A

D

Fig 3 Pharmacological inhibition of PKC enhances delayed and

sustained ERK phosphorylation, whereas PMA pretreatment

reduces the ERK response to cadmium (A) Western blot analysis

of P-ERK and total ERK (ERK) in HEK293 cells, following a 24 h

treatment with 2 l M CdCl2(Cd, +) in the presence of the indicated

GF 109203X concentrations (GFX, l M ) Fifteen micrograms of

pro-tein lysate was loaded onto two parallel gels, and the transferred

proteins were analyzed for either P-ERK or total ERK (B) Western

blot analysis of P-ERK and total ERK in HEK293 cells in the

pres-ence (+) or abspres-ence ( )) of 2 l M CdCl 2 , and treated or not treated

with 5 l M GF 109203X 24 h before ( )24), simultaneously (0) or 4 h

(+4) after cadmium addition (C) Western blot analysis of P-ERK

and total ERK in HEK293 cells following no treatment (Ø), 24 h in

the presence of 2 l M CdCl2(Cd), pretreatment with 100 ngÆmL)1

PMA for 8 h followed by 2 l M CdCl2for 24 h (PMA then Cd), or

treatment with 100 ngÆmL)1PMA and 2 l M CdCl 2 for 24 h (PMA

and Cd) Fifteen micrograms of protein lysate was loaded on two

parallel gels, and the transferred proteins were analyzed for either

P-ERK or total ERK (D) Western blot analysis of P-ERK and total

ERK in HEK293 cells following treatment for 0 min, 15 min (0.25),

30 min (0.5), 1, 2 and 4 h with 20 l M CdCl2(20 l M Cd) or with

100 ngÆmL)1PMA (PMA 16 h then Cd).

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cadmium–PMA cotreatment, despite the substantial

knockdown of the different active PKC isozymes It is

likely that the remaining fractions of phosphorylated

PKC detected were sufficient to drive the hit-and-run

protective effect reported here

In other words, whereas PMA treatment, which

acti-vates PKC, protects cells from cadmium-induced cell

death and diminishes ERK activation, GF 109203X

treatment, which completely inhibits PKC activity,

results in an increased response of ERK to cadmium

treatment This rules out the possibility that the

PMA-mediated downregulation of PKC could be responsible

for the inhibition of the sustained ERK activation,

and suggests that a hit-and-run process initiated by

PKC activation is involved This is reinforced by the

observation that the siRNA against PKCe, which was

quite effective in diminishing the level of activated

ERK after 24 h in the presence of cadmium (Fig 2),

did not significantly protect cells from cadmium toxic-ity, unless PMA was applied (data not shown)

Pharmaceutical inhibition of PKC renders cells hypersensitive to cadmium treatment

As we have previously linked the cellular response to cadmium with sustained ERK activation, we wanted

to determine the effect of GF 109203X on the mor-phology of cells exposed to cadmium This is illus-trated in Fig 4A, where the phenotypic response of cells to cadmium was even more dramatic in the pres-ence of GF 109203X, whereas GF 109203X alone did not result in any significant morphological modifica-tion of the cells Quantificamodifica-tion of this experiment indi-cated that whereas a 24 h cadmium treatment left 12%

of the cells still adhering to the culture dishes, cotreat-ment with cadmium and GF 109203X resulted in

A

B

Fig 4 Inhibition of PKC sensitizes cells to cadmium (A) Phenotypic observation of increased cellular sensibility to cadmium after PKC inhibi-tion HEK293 cells were cultivated in DMEM and 10% fetal bovine serum (Ø), in the presence of: 2.5 l M GF 109203X (GFX); 2 l M CdCl 2

(Cd), 2 l M CdCl2and 2.5 l M GF 109203X (Cd GFX); 100 ngÆmL)1PMA (PMA); 2 l M CdCl2and 100 ngÆmL)1PMA (Cd P); 2 l M CdCl2and

100 ngÆmL)1PMA, and 2.5 l M GF 109203X (Cd P GFX) Pictures illustrating the phenotypic modifications of the cells were taken 24 h after treatment As compared to control cells (Ø) set to 100%, cell numbers in the different conditions were: Cd, 52%; Cd GFX, 47%; GFX, 82%; PMA, 94%; Cd PMA, 63%, Cd PMA GFX, 44% (B) Graphic representation of phenotypic modifications of the cells from the experiment depicted in (A) Percentages of rounded cells are represented by black bars Plotted values are from at least 300 counted cells from each condition, with error bars corresponding to standard deviation from three different counts ***Difference highly significant (P < 0.001) Legends are as in (A).

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virtually all of the cells floating The PMA protective

effect was also substantially reduced in the presence of

GF 109203X, as over 85% of the cells were rounded

when treated with cadmium, PMA and GF 109203X,

whereas only 25% of the cells were rounded in the

presence of cadmium and PMA (Fig 4B) This

indi-cates that PKC inhibition by GF 109203X is dominant

over PMA activation, as predicted by the GF 109203X

target on PKC, which is distinct from the

PMA-inter-acting domain [20] This confirms that PKC is indeed

the central actor in the observation reported here

PMA downregulation of delayed ERK activation

is not dependent upon protein synthesis

As transient PKC activation up to 16 h before

cad-mium treatment inhibited delayed ERK activation, we

investigated the possibility that protein synthesis could

be required in the follow-up of this hit-and-run

pro-cess To this end, we concomitantly treated cells with

cadmium and emetine, a protein synthesis inhibitor

As seen in Fig 5B, short-term ERK activation in

response to a 15 min PMA treatment alone was, as

expected, unaffected by emetine However, in the

presence of emetine, ERK activation in response to a

24 h cadmium treatment was substantially blunted as compared to cadmium alone (Fig 5A), as it was in the presence of PMA Interestingly, when PMA and eme-tine were added together, the overall ERK activation

in response to cadmium was further decreased as com-pared to the effect of each individually The emetine effect is thus likely to represent the natural degrada-tion of a protein involved in the cellular response to cadmium, whereas PMA treatment is still able to inhi-bit delayed ERK activation, but only through the remainder of the factor whose neosynthesis is blocked

by emetine This strongly suggests that the PKC hit-and-run action is technically independent of protein neosynthesis, but acts through a relatively unstable protein

Taken together, these results suggest that whereas PMA, which mimics diacylglycerol in activating PKC, protects cells from cadmium exposure and limits the associated activation of ERK, GF 109203X has the opposite effect As the protective effect of PMA was also observed when it was applied hours before cad-mium addition, we reasoned that PKC activity could participate in a process that results in the modification

of a pre-existing protein, leading to protection from cadmium toxicity

PKC activation results in a decrease in intracellular cadmium accumulation

To determine whether PMA could directly limit cad-mium entry into cells, we measured cadcad-mium accumu-lation using a radioactive tracer in the presence or the absence of PMA A reduction of cadmium entry was indeed observed, as in the presence of PMA, the inter-nal cadmium concentration was reduced by approxi-mately 30% (Fig 6A) No significant cadmium release from cells was detected, either in the presence or in the absence of PMA (data not shown) To determine whether this reduction in cadmium accumulation caused by PMA could be sufficient to explain the protective effect observed, we incubated cells with a higher concentration of cadmium in the medium (3 lm) in the presence of PMA, and measured cadmium accumulation Despite the higher extracel-lular concentration of cadmium, we still obtained a 27.5 ± 7.7% reduction in the intracellular cadmium accumulation as compared to what we observed after incubation in 2 lm cadmium alone (Fig 6B) We then compared ERK activation under these two conditions, and again found a strong correlation between a reduc-tion in cadmium entry and ERK phosphorylareduc-tion (Fig 6B, insert) Total ERK was unchanged (data not shown) This indicates that modulation of cadmium

A

B

Fig 5 Blocking protein synthesis negatively affects ERK sustained

activation in response to cadmium treatment, but does not affect

PMA inhibitory effect (A) Western blot analysis of P-ERK and total

ERK (ERK) in HEK293 cells, following a 24 h treatment with 2 l M

CdCl 2 (Cd, +) in the presence of 10 l M emetine (Em, +) and

100 ngÆmL)1PMA (PMA, +) Fifteen micrograms of protein lysate

was loaded onto two parallel gels, and the transferred proteins

were analyzed for either P-ERK or total ERK (B) Western blot

anal-ysis of P-ERK and total ERK in HEK293 cells, after a 10 min 10 l M

emetine treatment (Em, +), followed by a 15 min treatment with

100 ngÆmL)1PMA (PMA, +) Fifteen micrograms of protein lysate

was loaded onto two parallel gels, and the transferred proteins

were analyzed for either P-ERK or total ERK.

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entry following PMA treatment is likely to be the main

reason for the protective effect of PMA reported here

ZIP8 transporter knockdown protects cells from

cadmium toxicity

In parallel, and because we found that emetine also

limited ERK activation by cadmium, we investigated

the net effect of protein synthesis on cadmium entry

into cells As shown in Fig 6C, the presence of

eme-tine resulted in a close to 50% decrease in cadmium

accumulation after a 24 h treatment This decrease in

cadmium accumulation is very likely to be the direct

result of the cadmium transporter(s) turnover

Mathe-matical calculation, based on the comparison of

cad-mium entry measurements in the presence or in the

absence of protein synthesis inhibitor, allowed us to

determine that the half-life of this cadmium

trans-porter would be 11.5 ± 1.5 h (see Experimental

proce-dures) ZIP8 has recently been reported to be the

major cadmium transporter in cells [22], and its

char-acteristics are in perfect agreement with our previously

reported observations concerning cadmium entry into

HEK cells [23] Our mathematical calculation is also in

excellent agreement with preliminary data from the

Nebert laboratory (D W Nebert, Department of

Environmental Health, University of Cincinnati, USA,

personal communication), which estimates the ZIP8

half-life to be 12 ± 2 h In order to investigate

whether ZIP8 could actually be responsible for

cadmium entry, we transfected HEK cells with an

enhanced GFP (eGFP) bicistronic vector (PRIG [24]) expressing or not expressing (control) the ZIP8 trans-porter (ZIP8) Cells that were actually transfected were unambiguously traced by fluoromicroscopy (Fig 7A)

We observed that after 48 h of exposure to 120 nm CdCl2, cells remained unaffected, as expected for such

a low dose of cadmium, whereas cells expressing exog-enous ZIP8 transporters were all rounded and dis-played very weak GFP signals, reflecting the enhanced toxic effect of this very low cadmium concentration, owing to the increased number of ZIP8 transporters in these transfected cells CdCl2 at 120 nm was used in this experiment, because titration experiments indi-cated that it is the lowest cadmium concentration resulting in the complete phenotypic change in cells transfected with the ZIP8 expression vector (data not shown) This demonstrates that ZIP8 is indeed able to transport cadmium into cells In order to investigate the actual contribution of endogenous ZIP8 to cad-mium entry into cells, we performed ZIP8 knockdown

by siRNA transfection Our ZIP8 siRNA mix was first validated on cells transiently expressing a bicistronic RNA encoding ZIP8 on the first cistron, followed by GFP on the second The ZIP8 siRNA mix substan-tially knocked down the GFP signal, indicating that these siRNAs do result in the bicistronic RNA degra-dation (data not shown) As shown in Fig 7B, cells cotransfected with a GFP marker and the ZIP8 siRNA and exposed to 2 lm CdCl2 were markedly protected from cadmium intoxication as compared to cells transfected with control eGFP siRNA, or no siRNA

Fig 6 Quantification of cadmium accumulation in cells (A) Comparison of intracellular cadmium accumulation from medium containing

2 l M CdCl2between control cells (Ø) and 100 ngÆmL)1PMA-treated cells (PMA) Control cells are set as 100% (B) Comparison of intracellu-lar cadmium accumulation between 2 l M CdCl 2 -treated cells and 3 l M CdCl 2 + 100 ngÆmL)1PMA-treated cells Cells treated with 2 l M

CdCl 2 are set as 100% Upper part: corresponding western blot showing P-ERK activation status (C) Comparison of intracellular cadmium accumulation from medium containing 2 l M CdCl2between control cells (Ø), 100 ngÆmL)1-PMA treated cells (PMA), 10 l M emetine-treated cells (Em), and 100 ngÆmL)1PMA + 10 l M emetine-treated cells (PMA + Em) Control cells are set as 100% Cells were incubated for 24 h, lysed, and counted as described in Experimental procedures **Significant difference (P < 0.01), ***highly significant difference (P < 0.001).

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siRNA knockdown commonly leaves a small

propor-tion of the protein of interest in the cells We are thus

confident that our results demonstrate that ZIP8

par-ticipates in the entry of cadmium into HEK cells

Cadmium accumulation in cells concomitantly

trea-ted with PMA and emetine was also investigatrea-ted As

shown in Fig 6C, we found that these effects were

additive, as presented in Fig 5 for the inhibition of

ERK activation Whereas emetine resulted in close to

a 50% decrease in cadmium accumulation, a simulta-neous PMA treatment was still able to reduce cad-mium accumulation by an additional 30% The simplest explanation is that PMA has a direct negative effect on cadmium transporter function Thus, inde-pendent of the quantity of transporter present in the cell, PMA treatment would always result in a 30% decrease in cadmium accumulation as compared to conditions devoid of PMA, which is in good agree-ment with our results of Fig 5, suggesting that the PKC hit-and-run effect is independent of protein neo-synthesis

To summarize, we show here that PMA-driven PKC activation inhibits sustained ERK phosphorylation observed after cadmium exposure, and protects cells from cadmium toxicity Conversely, blockage of PKC activation enhances cadmium toxicity and ERK activation This PKC effect stems from a protein neosynthesis-independent hit-and-run phenomenon that ultimately results in decreased intracellular accumula-tion of cadmium Finally, ZIP8 knockdown by siRNA substantially reduces cadmium toxicity, demonstrating the pivotal role of ZIP8 in cadmium intoxication Taken together, these results suggest that a PKC-driven modification of ZIP8 decreases its transporter activity, thus reducing sustained ERK activation and conse-quently affecting cell response to cadmium poisoning

Discussion

Investigation of the molecular basis of cadmium toxic-ity during the last decade has resulted in the character-ization of multiple pathways involved in this poisoning [25] This reflects the large panel of targets affected by cadmium Kinases such as P38, ERK and Jun N-ter-minal kinase have been shown to play a role in this cadmium poisoning However, differences in experi-mental conditions, such as high cadmium concentra-tions applied for short periods versus low doses for extended periods, have resulted in data that are some-times hard to reconcile [26,27] Other cellular mecha-nisms are also affected by cadmium The homeostasis

of metals that are essential for diverse biological func-tions, such as calcium, zinc and iron, is disturbed by cadmium [28] Similarly, oxidative mechanisms are also perturbed by cadmium [29] The experiments presented

in this article, based on exposure to low cadmium con-centrations, are comparable to chronic intoxications Our results link the sustained activation of ERK following low-dose cadmium treatments to PKC func-tion, and ultimately to the activity of the ZIP8 zinc transporter Previous work has indicated that cadmium substitutes for zinc in the regulatory domain of PKC,

A

B

Fig 7 ZIP8 transports cadmium into cells and plays a role in

cadmium toxicity (A) HEK cells were transfected with either an

eGFP-expressing control vector (Control), or a bicistronic vector

expressing ZIP8 and eGFP Twenty-four hours after transfection,

cells were exposed to 0.12 l M CdCl2(0.12 l M Cd) or regular

med-ium (No Cd) Cells were observed by epifluorescence 48 h later,

and pictures were taken using the same exposure time for all

conditions Only cells expressing ZIP8 and exposed to a very low

cadmium concentration died, as visualized by their weak GFP signal

and their rounded phenotype As compared to control transfected

cell number, set to 100%, cell numbers in the different conditions

were: ZIP8, 92%; 0.12 l M , 107%; ZIP8 + 0.12 l M , 28% (and all

cells were rounded and weakly fluorescent) (B) Endogenous ZIP8

is involved in cadmium entry into cells Cells were transfected with

an eGFP-expressing plasmid together with no siRNA, an siRNA

directed against eGFP (eGFP siRNA), or an siRNA mix directed

against ZIP8 After 24 h in the presence of 2 l M CdCl 2 , cells were

dying in both eGFP siRNA and no siRNA conditions, whereas viable

cells were still present in the well containing the ZIP8 siRNA mix.

Exposure time was kept constant for all conditions As compared

to ZIP8 siRNA mix-transfected cells, set to 100%, cell numbers in

the different conditions were: eGFP siRNA, 47% (practically all cells

were rounded and not fluorescent); no siRNA, 39% (practically all

cells were rounded and weakly fluorescent).

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resulting in its activation [30,31] Furthermore, Cd2+,

which is structurally similar to Ca2+, may also

substi-tute for calcium in the activation of PKC isoforms

Calcium levels are highly and rapidly modulated in

cells, but those of cadmium are not, its levels

remain-ing stable We previously demonstrated that

extracellu-lar calcium cannot compete with cadmium for entry

into cells [23] We showed here that PKC isoforms are

indeed subjected to sustained activation following a

24 h cadmium treatment, leading to the delayed ERK

activation reported earlier [12] As PMA pretreatment

results in the rapid activation⁄ downregulation of PKC

and reduces ZIP8 activity, a cadmium effect on PKC

is no longer possible, resulting in the protective effect

reported here In the absence of early PKC

activa-tion⁄ downregulation, ZIP8 is fully active, and

unim-paired cadmium entry into the cell results in the

progressive displacement of calcium, leading to delayed

PKC activation, which itself results in sustained ERK

activation, and ultimately cell death Delayed PKC

activation will also diminish ZIP8 activity, but as the

cells have already been exposed to cadmium, they will

nevertheless undergo cell death, as cadmium does not

exit intact cells Further analysis will be required to

unveil the molecular mechanisms involved in the

cad-mium-dependent delayed PKC activation reported

here

The results presented here led us to propose an

inte-grative model, which is depicted in Fig 8 Two types

of ERK activation are shown On the right side of the

scheme is the early and transient ERK response to

the phorbol ester PMA that is efficiently abrogated

by the specific broad-spectrum PKC inhibitor GF

109203X This corresponds to the conventional

mito-gen-activated protein kinase cascade observed, for

example, following growth factor stimulation On the left side of the scheme is the unconventional and sus-tained ERK activation, like the one observed following low-dose cadmium treatment We show here that: (a) this long-term activation relies on a molecular process under the negative control of PKC, as pharmacological inhibition of PKC results in enhanced ERK activation, whereas a transient PKC activator results in reduced ERK activation; and (b) this PKC negative control does not rely on protein neosynthesis, since even though emetine treatment diminishes ERK activation following cadmium exposure, the remaining activation

is still under the negative control of PKC

The negative control of PKC on sustained ERK activation in response to cadmium is confirmed by PKC inhibitor treatment Indeed, GF 109203X actu-ally enhances ERK activation following cadmium treatment in a dose-dependent manner, whereas PKC activation by PMA diminishes this activation Interest-ingly, among the three predominant PKC isotypes found in HEK cells (PKCa, PKCd and PKCe), siRNA knockdown of PKCe is the most effective in diminish-ing sustained ERK activation followdiminish-ing cadmium treatment, whereas, as already known, siRNA knock-down of PKCa is the most effective in diminishing classic ERK activation by PMA The observation that PKC siRNAs do not increase ERK activation in response to cadmium as GF 109203X does is likely to reflect the fraction of PKC still present and functional within the cells, whereas GF 109203X completely blocks all PKC function

In this article we present evidence suggesting that the protective effect of PMA is probably due to mod-ulation of the activity of the recently identified cad-mium transporter ZIP8 We calculated the half-life of the factor targeted by PMA to be 11.5 ± 1.5 h, which is in perfect agreement with the 12 ± 2 h found for ZIP8 in the Nebert laboratory (D W Nebert, Department of Environmental Health, Uni-versity of Cincinnati, USA, personal communication)

We also demonstrate that ZIP8 exogenous expression

is capable of enhancing cadmium toxicity, whereas ZIP8 knockdown results in a diminution of cadmium toxicity PKC has already been shown to be able to affect different transporters, either by directly modify-ing their activities [32,33] or by affectmodify-ing their stabil-ity [34] In silico analysis of the ZIP8 structure reveals that there are three putative sites that could be phos-phorylated by PKC (94-SSK-96; 361-STR-363; 424-TGR-426) It will be of interest to determine whether these sites are actually phosphorylated in response to PKC activation, and whether their modification affects ZIP8 function

Fig 8 Scheme depicting the different pathways involved in the

control of sustained ERK activation Cd, CdCl2 stimulation; PMA,

PMA treatment; GFX, GF 109203X treatment; Em, emetine; ZIP8,

ZIP8 transporter Arrows with a minus sign indicate a repression

effect, and arrows with a plus sign represent an activation process.

The dashed line represents an indirect process.

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