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Redox regulation of metabolic and signaling pathways by thioredoxin and glutaredoxin in NOS-3 overexpressing hepatoblastoma cells

González, Raúl; López-Grueso, M. José; Muntané Relat, Jordi; Bárcena, J. A.; Padilla, C. Alicia

Abstract

Nitric oxide (NO) plays relevant roles in signal transduction in physiopathology and its effects are de pendent on several environmental factors. NO has both pro-apoptotic and anti-apoptotic functions but the molecular mechanisms responsible for these opposite effects are not fully understood. The action of NO occurs mainly through redox changes in target proteins, particularly by S-nitrosylation of reactive cysteine residues. Thioredoxin (Trx) and glutaredoxin (Grx) systems are the main cellular controllers of the thiolic redox state of proteins exerting controversial effects on apoptosis with consequences for the resistance to or the development of cancer. The aim of this study was to ascertain whether Trx and/or Grx systems mediate the antiproliferative effect of NO on hepatoblastoma cells by modulating the redox-state of key proteins. Proliferation decreased and apoptosis increased in HepG2 cells overexpressing Nitric Oxide Synthase 3 (NOS-3) as a result of multilevel cellular responses to the oxidative environment generated by NO. Enzyme levels and cysteine redox state at several metabolic checkpoints were consistent with promi nence of the pentose phosphate pathway to direct the metabolic flux toward NADPH for antioxidant defense and lowering of nucleotide biosynthesis and hence proliferation. Proteins involved in cell sur vival pathways, proteins of the redoxin systems and phosphorylation of MAPK were all significantly increased accompanied by a shift of the thiolic redox state of Akt1, Trx1 and Grx1 to more oxidized. Silencing of Trx1 and Grx1 neutralized the increases in CD95, Akt1 and pAkt levels induced by NO and produced a marked increase in caspase-3 and-8 activities in both control and NOS-3 overexpressing cells concomitant with a decrease in the number of cells. These results demonstrate that the antiproliferative effect of NO is actually hampered by Trx1 and Grx1 and support the strategy of weakening the thiolic antioxidant defenses when designing new an titumoral therapies.

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Research Paper Redox regulation of metabolic and signaling pathways by thioredoxin and glutaredoxin in NOS-3 overexpressing hepatoblastoma cells Raúl González a,b, n , M. José López-Grueso a , Jordi Muntané c,d , J. Antonio Bárcena a,b , C. Alicia Padilla a,b a Departamento de Bioquímica y Biología Molecular, Universidad de Córdoba, Córdoba, Spain b Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain c Departamento de Cirugía General, Hospital Universitario Virgen del Rocío/Instituto de Biomedicina de Sevilla (IBiS)/CSIC/Universidad de Sevilla, Sevilla, Spain d Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Spain article info Article history: Received 22 May 2015 Received in revised form 9 July 2015 Accepted 14 July 2015 Available online 17 July 2015 Keywords: Thioredoxin Glutaredoxin Oxidative/nitrosative stress Apoptosis Cancer abstract Nitric oxide (NO) plays relevant roles in signal transduction in physiopathology and its effects are dependent on several environmental factors. NO has both pro-apoptotic and anti-apoptotic functions but the molecular mechanisms responsible for these opposite effects are not fully understood. The action of NO occurs mainly through redox changes in target proteins, particularly by S-nitrosylation of reactive cysteine residues. Thioredoxin (Trx) and glutaredoxin (Grx) systems are the main cellular controllers of the thiolic redox state of proteins exerting controversial effects on apoptosis with consequences for the resistance to or the development of cancer. The aim of this study was to ascertain whether Trx and/or Grx systems mediate the antiproliferative effect of NO on hepatoblastoma cells by modulating the redox-state of key proteins. Proliferation decreased and apoptosis increased in HepG2 cells overexpressing Nitric Oxide Synthase- 3 (NOS-3) as a result of multilevel cellular responses to the oxidative environment generated by NO. Enzyme levels and cysteine redox state at several metabolic checkpoints were consistent with prominence of the pentose phosphate pathway to direct the metabolic flux toward NADPH for antioxidant defense and lowering of nucleotide biosynthesis and hence proliferation. Proteins involved in cell survival pathways, proteins of the redoxin systems and phosphorylation of MAPK were all significantly increased accompanied by a shift of the thiolic redox state of Akt1, Trx1 and Grx1 to more oxidized. Silencing of Trx1 and Grx1 neutralized the increases in CD95, Akt1 and pAkt levels induced by NO and produced a marked increase in caspase-3 and -8 activities in both control and NOS-3 overexpressing cells concomitant with a decrease in the number of cells. These results demonstrate that the antiproliferative effect of NO is actually hampered by Trx1 and Grx1 and support the strategy of weakening the thiolic antioxidant defenses when designing new antitumoral therapies. &2015 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Contents lists available at ScienceDirect journal homepage: www.elsevier.com/locate/redox Redox Biology http://dx.doi.org/10.1016/j.redox.2015.07.007 2213-2317/&2015 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Abbreviations: ACO, aconitase; ASK1, apoptosis signal-regulating kinase 1; Bcl-2, B-cell lymphoma 2; CaM, calmodulin; CD95, cluster of differentiation 95; DTNB, 5,5- dithio-bis-2-nitrobenzoic acid; ELISA, enzyme-linked immunosorbent assay; GAPDH, glyceraldehyde-3-phosphate dehydrogenase; Grx, glutaredoxin; HED, 2-hydroxyethyl disulfide; JAKs, Janus protein tyrosine kinases; JNK, c-Jun N-terminal kinase; MAPK, mitogen-activated protein kinase; MATII, methionine adenosyltransferase II; MM(PEG) 24, Methyl-PEG 24 -Maleimide; mTOR, mammalian target of rapamycin; NEM, N-ethylmaleimide; NO, nitric oxide; NOS, nitric oxide synthase; PBS, phosphate buffered saline; PDK, phosphoinositide-dependent kinase; PKB, protein kinase B; PKM2, pyruvate kinase isozyme M2; PMSF, phenylmethylsulfonyl fluoride; PP2A, protein phosphatase 2A; PrSSG, mixed disulfide between protein and glutathione or glutathionylated protein; PrSSPr, inter- or intra-molecular protein disulfide; RNS, reactive nitrogen species; ROS, reactive oxygen species; SDS-PAGE, sodium dodecyl sulfate-polyacrylamide gel electrophoresis; STAT3, signal transducer and activator of transcription 3; TCEP, tris(2- carboxyethyl)phosphine; TKT, transketolase; Trx, thioredoxin; TrxR, thioredoxin reductase; TUNEL, terminal deoxynucleotidyl transferase (TdT)-mediated dUTP nick end labeling; TXNIP, thioredoxin-interacting protein; ROD, uroporphyrin decarboxylase n Corresponding author at: Departamento de Bioquímica y Biología Molecular, Universidad de Córdoba, Córdoba, Spain. E-mail address: [email protected] (R. González). Redox Biology 6 (2015) 122–134 1. Introduction Nitric oxide (NO) is a very small, lipophilic, readily diffusible, chemically unstable molecule with a very short half-life (seconds) that plays a relevant role in signal transduction in physiopathology such as vasodilation, respiration, cell migration, immune response and apoptosis [1]. NO is known to be synthesized in a large number of different tissues by the NO synthases (NOS) using L - arginine as substrate. Three different isoforms of NOS have been identified, products of different genes, with different localization, regulation, catalytic properties and inhibitor sensitivity [2]. Their expression and activity are cellular and tissue specific with differential regulation at transcriptional, translational and posttranslational levels [3,4]. These isoforms in mammals are: neuronal NOS (nNOS or NOS-1), inducible NOS (iNOS or NOS-2) and endothelial NOS (eNOS or NOS-3) [5–8]. The NOS-1 and NOS-3 isoforms are constitutively expressed and can be activated as a result of calmodulin (CaM) binding following a rise in intracellular calcium, and also by phosphorylation/dephosphorylation modifications. The expression of NOS-2 isoform is induced by inflammatory stimuli and is maximally activated by Ca 2þ /CaM even at basal levels of intracellular Ca 2þ [1,2,9]. The intracellular localization is relevant for the activity of NOS and accumulating evidence indicates that NOSs are subject to specific targeting to subcellular compartments (plasma membrane, Golgi, cytosol, nucleus and mitochondria) and that this trafficking is crucial for NO production and specific posttranslational modifications of target proteins [10–12]. NO can have opposite biological effects, depending on their local concentration, the target cell type involved and the levels of reactive oxygen species (ROS). The role of NO as a bioregulator of apoptosis is well established, having both antiapoptotic and proapoptotic functions [13]. The molecular mechanisms responsible for its opposite effect are not fully understood but there is strong evidence indicating the involvement of redox changes in key proteins [14]. The cellular redox state plays a critical role in regulating many signaling pathways including activation, differentiation, proliferation, and apoptosis [15–17]. ROS and reactive nitrogen species (RNS), cause irreversible damage when their amounts exceed the cellular antioxidant defense capacity, and are harmful to biomolecules, including genomic and mitochondrial DNA, membrane lipids and proteins. But they can also lead to reversible oxidations that play regulatory roles of protein function. Within proteins, the thiol group (–SH) of cysteine (Cys) can be oxidized in several ways: two thiols can form a disulfide bond as in some proteins (PSSP), or mixed disulfide in glutathionylated proteins (PSSG). Additionally, cysteine can be reversibly oxidized by ROS or RNS to sulfenic acid (–SOH) and nitrosothiol (–SNO). The nitrosylation of reactive cysteine residues in proteins takes part in NO signaling processes and can affect a multitude of intracellular events, beneficial or harmful, depending upon biological context [18–22]. The redox states of Cys residues are controlled by two major cellular systems, the Trx/thioredoxin reductase system and the glutathione (GSH)/Grx system [15,23,24]. The Trx system consists of redox active Trx, thioredoxin reductase (TrxR) and NADPH, which are critical for maintaining DNA synthesis and the cellular redox balance. Human Trx1 and TrxR1 are located in cell cytosol/ nucleus. The Grx system consists of Grx, GSH and NADPH-de- pendent glutathione reductase. Human Grx1 is located in the cytosol [25] and is involved in redox-regulation through the reduction of protein disulfides and mixed disulfides, e.g. deglutathionylation of proteins [24,26]. A relationship exists between redoxins levels and apoptosis with consequences for the resistance or the development of cancer. As an antioxidant system Trx/TrxR catalyzes the denitrosylation of SNO-caspase-3 [27] and some experimental data suggested that it also participates in the denitrosylation of SNO-caspase-9 and the reductive reactivation of caspase-8 [28]. But as a pro-oxidant Trx has been described trans-nitrosylating and inactivating caspase-3 thus showing an anti-apoptotic action [29]. It has been shown that Trx1 and TrxR1 are often overexpressed in tumor cells and that high Trx could be linked to drug resistance during cancer treatment [30]. Other studies suggest that high Trx and TrxR may induce apoptosis and reduce the mitotic index of certain tumors linked to p53 dependent cell death [31]. Reduced Trx is a negative regulator of ASK1 (apoptotic-inducing kinase), which relates the Trx system to evasion of apoptosis [32]. Another apoptosis-regulatory enzyme whose nitrosylation status is reversibly regulated by Trx1 is glyceraldehyde-3-phosphate dehydrogenase (GAPDH) [33]. Because reduced Trx1 plays a critical role in cellular proliferation and viability, excessive oxidation of Trx will lead to cell death [30,34]. On the other hand, Grx1 plays an important role in protecting cells from apoptosis by regulating the redox state of Akt1, also called protein kinase B (PKB), that has consequences for cell survival and also affect the multiple roles played by Akt1, as in the Akt-mTOR signaling cascade [35]. Mitochondrial Grx2 also exerts a protective effect on mitochondrial mediated apoptosis, preventing cardiolipin oxidation and cytochrome crelease [36]. The intracellular mechanism regulating cell death and cell proliferation are intimately connected and different studies have shown that NO production has an important role in the regulation of the carcinogenic process. For instance, S-nitrosylation of some proteins, such as GAPDH and CD95, stimulates apoptosis whereas S-nitrosylation of other proteins, such as caspases and Bcl-2, inhibits apoptosis [33]. NO exerts an antineoplastic effect in tumoral cells by increasing cell death [37] and a specific pattern of S-ni- trosylation has been observed during induction of apoptosis in hepatocytes [38]. The role of antioxidants in cancer has been controversial for decades. On one hand, ROS could mediate the activation of multiple signaling cascades that promote cell proliferation and on the other hand, the consequent increase in oxidative stress could cause senescence or apoptosis and became a tumor suppressor. Recent evidence indicates that antioxidants such as GSH and Trx can actually contribute to tumorigenesis by preventing ROS accumulation in cancer cells. The cellular response will depend on the levels of ROS and antioxidant status in the cell [31,39,40]. The main objective of this study was to ascertain whether Trx and/or Grx systems mediate the antiproliferative effect of NO on hepatoblastoma cells by modulating the redox-state of key proteins. We demonstrate that Trx1 and Grx1 behave differentially depending on the intracellular oxidative/nitrosative stress in HepG2 cells. They are required for proliferation but they also contribute to the antiproliferative effect of NO, associated with Akt1 redox changes. 2. Material and methods 2.1. Materials All reagents were of analytical grade and were purchased from Sigma, unless otherwise specified. HepG2 cell line used in this work was obtained from ATCC LGC Standards Company (Teddington, UK). Cell culture dish and flasks were from TPP (Switzerland). Anti-Trx1 and anti-Grx1 were obtained from rabbit in our laboratory. Antibodies against STAT3, MAPK, Thr 202 /Tyr 204 p-MAPK (p-MAPK) and Ser 473 p-Akt (p-Akt) were from Cell Signaling Technology. Antibodies against ACO1 and R. González et al. / Redox Biology 6 (2015) 122–134 123 UROD were from Aviva Systems Biology (San Diego, CA, USA). Antibodies against ACO2, TKT, TXNIP, Akt1, MATII, Bcl2, PKM2, caspase-3, CD95, NOS-3 and β -actin were from Santa Cruz Biotechnology, Inc. (Dallas, TX, USA). Anti-TrxR1 was from Abcam, Inc. Secondary antibodies were from Sigma. ECL was from GE Healthcare (Wauwatosa, Wisconsin, USA). Caspase substrates Ac- DEVD-AFC, Ac-LETD-AFC and Ac-LEHD-AFC were from Alexis Biochemicals (Enzo Life Sciences, Farmingdale, NY, USA). DNAse I was from Ambion Life Technologies, Inc. (Foster City, California). siRNA for Grx1 and Trx1, and DharmaFECT 1 were from GE Healthcare Dharmacon, Inc. (Wauwatosa, Wisconsin, USA). 2.2. Cell growth conditions HepG2 cells were transfected with the pcDNA/4TO (5100 bp; Invitrogen, Molecular Probes, Inc.) expression vector containing NOS-3 cDNA sequence (3462 bp; NCBI, ImaGenes, full length cDNA clone sequence BC063294) under the control of the cytomegalovirus promoter (4TO-NOS). Cell lineages 4TO and 4TO-NOS were selected with zeocin (15 mg/L; Invitrogen) as described by González et al. [37]. Cells were maintained in EMEM Medium (Minimum Essential Medium Eagle), pH 7.4, supplemented with 10% fetal bovine serum, 2.2 g/L HCO 3 Na,1 mM sodium pyruvate,100 U/ L penicillin, 100 μ g/mL streptomycin, 0.25 μ g/mL amphotericin, and the corresponding selective zeocin antibiotic in 5% CO 2 atmosphere at 37 °C. The experiments were routinely carried out at 100,000 cells/cm 2 . Cell extracts were obtained using lysis solution containing 50 mM HEPES (pH 7.5), 2 mM EDTA, 100 mM NaCl, 0.6% Nonidet NP-40, 1 mM phenylmethylsulfonyl fluoride (PMSF), 5 μ g/mL aprotinin, 10 μ g/mL leupeptin. Afterward, samples were homogenized and centrifuged at 15,000 gfor 5 min at 4 °C and the supernatant was stored at 80 °C until use. 2.3. Assay of enzymatic activities Grx activity was determined spectrophotometrically by measuring the reduction of 0.5 mM 2-hydroxyethyl disulfide (HED) by 0.5 mM GSH in the presence of NADPH and 0.5 units of yeast glutathione reductase, at 25 °C. The disappearance of NADPH was monitored at 340 nm [41]. Trx activity was determined spectrophotometrically by measuring its ability to reduce insulin disulfides in the presence of NADPH and rat thioredoxin reductase [42]. An assay mixture was prepared by mixing 200 μ L 1 M HEPES pH 7.6, 40 μ L 0.2 M EDTA, 40 μ L 40 mM NADPH and 500 μ L insulin (10 mg/mL). 40 μ L of this mixture was added to test tubes containing 20 μ L mammalian TrxR (1 μ g) and the sample of protein and the assay volume was completed up to 120 μ L with water. The tubes were incubated at 37 °C for 20 min and the reaction was stopped by the addition of 500 μ L of a solution containing 0.4 mg/mL DTNB in 6 M guanidine–HCl, 50 mM Tris–HCl, pH 7.5. The absorbance at 412 nm was determined. 2.4. SDS-PAGE and Western blotting The protein expression of Trx1, TrxR1, TXNIP, Grx1, Bcl-2, STAT3, Akt1, p-Akt, MAPK, p-MAPK, MATII, UROD, ACO, PKM2, TKL, caspase-3, CD95, NOS-3 and TKT were determined by SDS-PAGE coupled to Western blotting analysis. SDS-PAGE was performed with homogeneous 6% (NOS-3) 8% (STAT3, MAPK, ACO1, and TKT), 10% (Trx1, TXNIP, Akt, MATII, UROD, and ACO2), 12% (CD95) and 14% (Trx1, Grx1, Bcl-2, PKM2, and caspase-3) acrylamide gels. After electrophoresis, proteins were transferred to nitrocellulose membrane with a semi-dry electrophoretic transfer system (Bio-Rad). The membranes were incubated overnight at 4 °C with the corresponding primary antibodies against Thr 202 /Tyr 204 p-MAPK, 1:2000 dilution; or against ACO1 and UROD, 1:500 dilution; or against Trx1, Grx1, STAT3, MAPK, ACO2, TKT, TXNIP, TrxR1, Akt1, Ser 473 p-Akt, MATII, Bcl-2, PKM2, caspase-3, CD95 and NOS-3, 1:1000 dilution. Then washed and incubated with the corresponding secondary antibodies conjugated to peroxidase (antirabbit, anti-goat or anti-mouse) used at 1:8000 dilution and the chemiluminescent signal was induced by ECL reagent. β -actin detected with the corresponding antibody at 1:5000 dilution, was used as cell protein-loading control. 2.5. Measurement of cell death Caspase-8, caspase-9 and caspase-3-associated activities were determined using the corresponding peptide-based substrates (100 μ M) in the reaction mixture (50 mM HEPES, pH 7.5, 100 mM NaCl, 10% sucrose, 0.1% Chaps, 1 mM EDTA and 5 mM DTT). The substrates used were Ac-DEVD-AFC, Ac-LETD-AFC and Ac-LEHD- AFC for caspase-3, -8, and -9, respectively. The fluorescence due to the reaction product was recorded with a GENIos Microplate Reader (TECAN) set at 400 nm excitation and 505 nm emission [37]. The level of protein caspase-3-active fragment (p17) and cell death receptor, CD95, were also determined by SDS-PAGE coupled to Western blotting analysis as described in the previous section. Apoptosis in HepG2 cells was also analyzed through DNA fragmentation detected by terminal deoxynucleotidyl transferase (TdT)-mediated dUTP nick end labeling (TUNEL) (Biotool). HepG2 cells 72 h after siRNA interference were fixed in 4% paraformaldehyde solution in PBS (pH 7.4) and later these cells were permeabilized with 0.2% Triton X-100 solution in PBS. Processing the cells was performed according to the recommendations of the manufacturer (Biotool) using DAPI (Molecular Probes) to stain the cell nuclei. Fluorescence provided by the cells was analyzed with fluorescence microscope (Olympus BX43) using standard fluorescein filter set to view the Apo-green fluorescence at 520þ20 nm and view blue DAPI at 460 nm. 2.6. Cell viability and total number of cells Total number of cells and cell viability in a HepG2 cell suspension were determined using the trypan blue dye exclusion method. The cells attached to the plate were washed with PBS and trypsinized for 7 min at 37 °C followed by incubation with complemented culture medium to halt the effect of trypsin. The cell suspension was centrifuged at 238gfor 5 min at room temperature and the pellet was resuspended in 0.5 mL complemented culture medium. Cell viability and total number of cells were measured by mixing equal volumes of cell suspension and trypan blue. A viable cell will have a clear cytoplasm whereas a non-viable cell will have a blue cytoplasm. Cell viability was obtained by referring the number of living cells to the total number of cells in the initial cell suspension. 2.7. Cell proliferation This parameter was analyzed using a cell proliferation colorimetric ELISA (Roche Applied Science) based on the measurement of BrdU incorporation during DNA synthesis in proliferating cells. Cells were cultured (20,000 cells/cm 2 )inflat-bottomed 96-well multiplates at 37 °C and 5% CO 2 . 72 h after siRNA Trx1 and Grx1 downregulation HepG2 cells were incubated with 10 μ M BrdU labeling solution for 6 h at 37 °C. Later on were followed the steps according to the recommendations of the manufacturer (Roche) and detected the absorbance of the samples at 370 nm (reference wavelength 492 nm). R. González et al. / Redox Biology 6 (2015) 122–134124 2.8. Determination of nitrotyrosine The levels of nitrotyrosine were determined by Western blotting after 12% non-reducing SDS-PAGE as described before. The primary antibody was anti-3-nitrotyrosine (1:1000) from Sigma. 2.9. Silencing of Grx1 and Trx1 Human Grx1 and Trx1 were knocked-down in wild type, 4TO and 4TO-NOS cells using specific siRNA in 6-well plate (20,000 cells/cm 2 ) according to the manufacturer's recommendations (Dharmacon, GE Healthcare Life Sciences). Grx and Trx siRNA (25 nmol) were mixed with the transfection reagent DharmaFECT 1, previously pre-incubated with culture medium (antibiotic/antimycotic and serum free), and incubated for 20 min at room temperature. These interference solutions were added to cells in 2% of culture medium without antibiotic/antimycotic solution and kept for 72 h [43]. 2.10. Redox mobility shift assay Cells were treated with lysis buffer consisting of 50 mM HEPES pH 7.5, 2 mM EDTA, 100 mM NaCl, 1% Nonidet NP-40, 8 M urea, 1 mM PMSF and containing 5 mM N-ethylmaleimide (NEM) to block all free cysteine thiols. The lysates were centrifuged at 15,000 gfor 5 min at 4 °C and the supernatant was desalted with Zeba spin desalting columns (Thermo Scientific Pierce) to eliminate the remaining NEM reagent, and then treated with 5 mM Tris (2-carboxyethyl)phosphine (TCEP) at room temperature for 30 min to reduce all cysteine disulfides. Recovered cysteine thiols were reacted at room temperature for 4 h with 6.25 mM Methyl- PEG 24 -Maleimide (MM(PEG)24, Thermo Scientific Pierce), which adds a 1239.44 Da label to any free thiol present, and desalted again on Zeba spin desalting columns. Labeled proteins in the samples processed this way would show an increase of 1.2 kDa in their apparent Mw per each reversibly oxidized cysteine, compared to the same protein with their cysteines originally in the free thiol form, which had been initially blocked with the non-PEG maleimide reagent present in the lysis buffer. Protein concentration was determined and the samples were processed for SDSPAGE and Western blotting as described above. 2.11. Statistical analysis Results are expressed as mean7SEM of three independent experiments. Data were compared using ANOVA with the least significant difference test a post hoc multiple comparison analysis. The threshold for statistically significant differences was set at pr0.05. The values labeled with “a”were significantly different versus the corresponding internal control in the same cell lineage. The values labeled with “b”were significantly different versus the corresponding control cell lineage. 3. Results 3.1. Characterization of NOS-3 overexpressing HepG2 cells NOS-3 overexpression was performed as described before and was confirmed by measurement of mRNA and protein levels by Western blotting (supplementary Fig. S1A and B) CD95 protein levels and caspase-3, -8 and -9 activities were also determined and confirmed that their levels increased significantly in NOS-3 overexpressing HepG2 cells (supplementary Fig. S1C–F). The concentrations of NO and ROS were E40% higher and the levels of nitrite and nitrate in the culture medium also increased significantly in NOS-3 overexpressing cells compared to the cells carrying the empty plasmid, as described before [37]. These results Fig. 1. Effect of high levels of NO on different metabolic pathways. Western blot analysis of the expression of different metabolism proteins and their relative quantitation in the HepG2 wild type cells (WT) and control cells (4TO), as well as in NOS-3 overexpressing cells (4TO-NOS). The levels of two key cytosolic proteins involved in iron metabolism, ACO1 (A), and one carbon metabolism, MATII (B), were significantly lower in NOS-3 overexpressing cells compared to control cells. However, mitochondrial ACO2 from energy metabolism and cytosolic UROD (heme biosynthesis), PKM2 (glycolysis) and TKT (pentose phosphate pathway) were up-regulated in NOS-3 overexpressing cells (C–F). Data are presented as mean7SEM (n¼3 independent experiments). The values labeled with “a”were significantly different (pr0.05) versus the corresponding control cell lineage. The images are representative of three different experiments. R. González et al. / Redox Biology 6 (2015) 122–134 125 indicate that NOS3 overexpressing cells are subject to oxidative stress and that the apoptotic pathways are activated. 3.2. Effect of high levels of NO produced by overexpression of NOS-3 on different metabolic pathways Metabolic impairment is a characteristic feature of tumor cells due to the demand of biomass for cellular division, so we analyzed several checkpoints of biosynthetic, energetic and iron metabolic pathways. ACO1, a marker of cytosolic iron homeostasis and MATII involved in one carbon metabolism were diminished in NOS-3 overexpressing cells (Fig. 1A and B). By contrast, mitochondrial ACO2 from energy metabolism and cytosolic UROD (heme biosynthesis), PKM2 (glycolysis) and TKT (pentose phosphate pathway) increased significantly under NOS-3 overexpression conditions (Fig. 1C–F). These results confirm that NOS3 overexpression induces a marked metabolic rearrangement in HepG2 cells. 3.3. Effect of high levels of NO produced by overexpression of NOS-3 on different signaling pathways Growing evidence shows that some transcription factors and proteins involved in signaling pathways could be modulated by both oxidation/reduction and phosphorylation [44]. We choose several well-established representative proteins involved in cell survival pathways to study their response to the oxidative conditions prevailing in NOS-3 overexpressing cells. MAPK, p-MAPK, Bcl-2, STAT3, Akt1 and p-Akt, were all significantly increased in NOS-3 overexpressing cells compared to the control cells (Fig. 2A– F). The ratio of p-MAPK/MAPK increased markedly as a consequence of empty vector introduction but was further increased in NOS3 overexpressing cells (Fig. 2G). However, the ratio p-Akt/ Akt1 did not change significantly despite the increase in both forms (Fig. 2H). These results demonstrate that the cell signaling pathways are thoroughly affected by overexpression of NOS3. 3.4. Effect of overexpression of NOS-3 on the redoxin levels Proteins related to the thioredoxin and glutaredoxin systems are prominent players in thiol redox homeostasis in cells and were studied. Protein levels and activity of Trx1, Grx1 and levels of TrxR1 and TXNIP, increased significantly in NOS-3 overexpressing HepG2 cells (Fig. 3A–F). The simultaneous increase of both Trx1 and its opposing protein TXNIP is a conflicting situation likely a reflection of the cellular response to redox changes under the prevailing nitrosative conditions where Trx1 and TXNIP may not Fig. 2. Effect of NOS-3 overexpression on different signaling pathways. Western blot analysis of the expression of different signaling proteins and their relative quantitation in the HepG2 wild type cells (WT) and control cells (4TO), as well as in NOS-3 overexpressing cells (4TO-NOS). The levels of MAPK (A), p-MAPK (B), Bcl-2 (C), STAT3 (D), Akt1 (E) and p-Akt (F) were all significantly increased in NOS-3 overexpressing cells compared to cells transfected with the empty vector. The proportion of p-MAPK/MAPK ratio increased markedly (G) whereas the p-Akt relative to total Akt1 did not change (H). Data are presented as mean7SEM (n¼3 independent experiments). The values labeled with “a”were significantly different versus the corresponding control cell lineage. The images are representative of three different experiments. R. González et al. / Redox Biology 6 (2015) 122–134126 Fig. 3. High levels of nitric oxide induced activity and expression of redox proteins. Trx activity (A) and Trx1 protein expression (B), Grx activity (C) and Grx1 protein expression (D), TrxR (E) and TXNIP (F) protein expression increased in NOS-3 overexpressing cells compared to cells transfected with the empty vector. Data are presented as mean7SEM (n¼3 independent experiments) and the groups labeled with “a”were significantly statistical (pr0.05) versus the corresponding control group. Representative Western blotting images are shown. Fig. 4. Effect of overexpression of NOS-3 on thiolic redox state of different proteins. Electrophoretic redox mobility shift to detect the oxidized and reduced forms (arrows) are showed. The high levels of NO known to prevail in these cells caused a redox shift to more oxidized in ACO1 (A), UROD (B), Akt1 (C) and in both studied redoxins, Trx (D) and Grx (E). R. González et al. / Redox Biology 6 (2015) 122–134 127 be interacting (see below). 3.5. Effect of overexpression of NOS-3 on thiolic redox state of several proteins Thiol redox changes may be part of regulatory mechanisms of proteins, so we analyzed the thiolic redox state of several proteins to check whether this type of mechanism could be potentially operative in NOS3 overexpressing cells. We have detected a redox shift of ACO1 and UROD towards more oxidized states (Fig. 4A and B), which could result in iron metabolism perturbation. Signaling pathways could also be affected by redox changes since Akt1 shifted to more oxidized state under nitrosative pressure (Fig. 4C). Changes in the redox state of MAPK, STAT3 and Bcl-2 could not be detected under our experimental conditions and with our redox electrophoretic mobility shift assay. However, the thiolic redox state of Trx1 and Grx1 shifted to more oxidized in the NOS-3 overexpressing cells (Fig. 4D and E) a likely consequence of the nitrosative and oxidative stress [37]. 3.6. Specific silencing of Trx1 and Grx1 As shown above, Trx1 and Grx1 levels increased upon NOS3 overexpression in HepG2 cells. To go deep into the role of these proteins in the adaptation to high NO levels, we studied the effect of down-regulation of both proteins. Treatment of WT, 4TO and NOS-3 overexpressing HepG2 cells with vectors harboring siRNA specifically directed to Trx1 and Grx1 mRNA produced a E75% decrease in Trx1 and Grx1 protein levels in the three cell lineages (Fig. 5A and C). These changes in protein levels were accompanied by equivalent functional fall off, as indicated by their canonical enzymatic activities (Fig. 5B and D). 3.7. Effect of Trx1 and Grx1 silencing on the levels of tyrosine nitration in normal and NOS-3 overexpressing HepG2 cells Tyrosine nitration is mediated by reactive nitrogen species such as peroxynitrite (ONOO  ) anion and nitrogen dioxide, formed as secondary products of NO metabolism in the presence of oxidants including superoxide radicals (O 2 ) and hydrogen peroxide (H 2 O 2 )[45]. For this reason, the level of Tyr nitration is indicative of the degree of nitrosative and oxidative stress and we measured it to check the effect of Trx1 and Grx1. Overexpression of NOS-3 in HepG2 cells induced protein Tyr nitration (Fig. 6, black bars). Silencing of Trx1 and Grx1 also increased protein tyrosine nitration in wild type and 4TO cells, but, interestingly, had the opposite effect on NOS-3 overexpressing cells (Fig. 6). These results uncover an apparent conflict, e.g., a decrease in antioxidant defenses, Trx1 Fig. 5. Down regulation of Trx1 and Grx1 in HepG2 cells by treatment with specific siRNAs. Protein levels and activity of Trx1 (A, B) and Grx1 (C, D) were determined in HepG2 cells with and without NOS-3 overexpression and treated or not with siRNATrx and siRNAGrx. Representative images of Western blot membranes used to quantify protein levels are shown in A and C. The protein levels and activities of both redoxins were significantly higher in NOS-3 overexpressing cells (4TO-NOS, black bars). Treatment with the specific siRNA produced aE75% decrease in protein levels and activities of both redoxins in control and NOS-3 overexpressing cells, confirming the efficacy of the treatments. Data are presented as mean7SEM (n¼3 independent experiments). The values labeled with “a”were significantly different versus the corresponding internal control in the same cell lineage. The values labeled with “b”were significantly different versus the corresponding control cell lineage. The images are representative of three different experiments. R. González et al. / Redox Biology 6 (2015) 122–134128 and Grx1, results in alleviation of oxidative stress. 3.8. Cellular proliferation and apoptosis in NOS-3 overexpressing cells: effect of Trx1 and Grx1 Nitrosative stress in HepG2 cells as a consequence of NOS3 overexpression results in reduction of cell number and proliferation (Fig. 7A and C) in agreement with a previous report [37].In the current study we show that silencing Trx1 or Grx1 further decreased the number of cells and proliferation in all cell lineages and siRNATrx further reduced cell viability (Fig. 7A–C). siRNAGrx or siRNATrx treatments also provoked a striking increase in caspase-3 and caspase-8 activities in all cells (Fig. 7D and E), but lowered the levels of CD95 in NOS-3 overexpressing cells (Fig. 7F). Increase in caspases activities was actually accompanied by signs of increased apoptosis like DNA fragmentation as determined by TUNEL assay (Fig. 8). These results are worthy of consideration as they point to a moonlighting role of the redoxins depending on the prevailing cellular redox conditions as will be discussed in the next section (Fig. 9). 3.9. Effect of Trx1 and Grx1 silencing on the levels and redox state of Akt1 in normal and NOS-3 overexpressing HepG2 cells Akt1 is known to be affected by thiol redox changes and is a major agent in the control of apoptosis, so it was pertinent to study its response to redoxins dow-regualtion. Trx1 or Grx1 specific siRNA counteracted the effect of the NOS-3 overexpression, regarding both, total levels (Fig. 8A–C) and redox state (Fig. 8D) of Akt. Grx1 and Trx1 down-regulation shifted Akt towards a more reduced state but at the same time, there was a parallel marked decrease in total Akt protein. 4. Discussion NOS3 overexpression in HepG2 cells induces oxidative stress and slight but significant activation of apoptosis. In these conditions the cells undergo a pronounced metabolic remodeling as deduced from the changes observed in the levels of checkpoint enzymes from key metabolic pathways. In mammals, there are two genes encoding pyruvate kinase that produce two isoforms. Whereas PKM1 is a constitutively active enzyme, PKM2 is expressed in all cancers and cancer cell lines studied to date. PKM2 is highly regulated at both the activity and expression levels allowing this isoform to act as floodgate keeper to change the metabolic flux from lactate production to NADPH and anabolic pathways. This metabolic change is particularly relevant under conditions of oxidative stress [46], thus explaining the induction of PKM2 in NOS3 overexpressing cells and in coherent with the observed concomitant induction of TKT. UROD has been considered a target for head and neck cancer treatment [47]. It plays a key role in the biosynthesis of heme group and its down-regulation has been shown to increase oxidative stress and affect the cellular iron homeostasis. It's up-reg- ulation in NOS3 overexpressing cells (Fig. 1D) could be counterbalanced by inactivation through thiol oxidation [48] as shown in Fig. 4B. These results, together with the observed down-regulation of ACO1, indicate that cytosolic iron metabolism is perturbed. MATs (methionine adenosyltransferases) are regulated by oxidative stress and are associated to different pathologies such as hepatocellular carcinoma and diabetes [49]. The decrease in MATII levels we have observed in NOS-3 overexpressing cells mean that AdoMet levels were reduced in those cells, with negative consequences for nucleotide biosynthesis and hence for proliferation, which would agree with the results on cell proliferation shown in Fig. 6. Detection of nitrotyrosine levels in NOS-3 overexpressing HepG2 cells with Grx and Trx down regulation. The detection of this postranslational modification was performed by Western blot with the analysis focused on a representative 55 kDa band (arrow). The image is representative of three different experiments and densitometric data of n¼3 independent experiments are presented in the histogram below as mean7SEM. The numbers 1, 2 and 3 indicate the cell treatments control, siRNAGrx and siRNATrx respectively. NOS-3 overexpression induced Tyr nitration of proteins in HepG2 cells (black bars). This effect was offset by treatment with siRNAGrx and siRNATrx as shown in the 4TO-NOS group. However, in WT and 4TO HepG2 cells siRNAGrx and siRNATrx treatment had the opposite effect, inducing Tyr nitration of proteins. Statistical significance was assessed by (pr0.05). The values labeled with “a”were significantly different versus the corresponding internal control in the same cell lineage. The values labeled with “b”were significantly different versus the corresponding control cell lineage. R. González et al. / Redox Biology 6 (2015) 122–134 129 Fig.7. This situation would make sense under the oxidative conditions prevailing in those cells, since the metabolic flux would be compensated by diversion towards pentose phosphate pathway for NADPH production and antioxidant defense. The serine/threonine kinase Akt is a critical component of an intracellular signaling pathway that exerts effects on cell survival and apoptosis. Akt is activated by insulin and various growth and survival factors. The unphosphorylated form of Akt is inactive and it is activated by phosphorylation at Thr308 by PDK1 and at Ser473 by mTOR2. It can also be inactivated by protein phosphatase 2A (PP2A) dephosphorylation when Akt is in its oxidized form [50].It has been shown that Grx prevented Akt from forming a specific disulfide bond and suppressed its association with PP2A under oxidative stress, resulting in phosphorylation of Akt and inhibition of apoptosis. In Fig. 2E–H, we show that nitrosative stress caused the increase of both Akt forms (Akt1 and p-Akt), accompanied by a shift towards a more oxidized state (Fig. 4C). This would mean that Akt is prone to inactivation by dephosphotylation under NOS-3 overexpression conditions, which indicates that apoptosis is being favored. The redox state and total protein levels of Akt are both under the influence of Trx1 and Grx1 as will be detailed in another section below. The mitogen-activated protein kinase (MAPK) cascades are multifunctional signaling pathways involved in cell growth, differentiation, apoptosis and cellular response to stress. Two different MAP kinase cascades that converge to c-Jun N-terminal kinases (JNK) and p38 MAP Kinases are mainly activated by citotoxic stresses, oxidative/nitrosative stress and proinflammatory cytokines such as tumor necrosis factor (TNF)- α [32]. Our results show that MAPK is more phosphorylated in NOS3 overexpressing cells and hence less active. At first sight, this result would conflict with the fact that Trx1 and Grx1 had shifted to more oxidized state in these cells (Fig. 4D and E) because oxidation of both redoxins would suppress their inhibiting interaction with apoptosis signal-regulating kinase 1 (ASK1) [50]. ASK1 would then be free to initiate the MAPK cascade leading to activation of JNK or p38 [51]. The explanation of this apparently contradictory result could be that downstream p38MAPK, which is prone to tyrosine nitration as opposed to phosphorylation, could not be activated under the nitrosative pressure with elevated levels of nitrotyrosine (see Fig. 6). Human Bcl-2 is an anti-apoptotic, membrane-associated oncoprotein that can be directly affected by oxidative stress induced by NO [44] and could play an important role in NO-induced apoptosis. In Fig. 2C, we show a significant increase in Bcl-2 in HepG2 cells under nitrosative stress. STAT3, the key cell growth regulator signal transducer and activator of transcription, is subject to redox regulation by glutathionylation and ROS trigger tyrosine phosphorylation and nuclear translocation of STAT3. Glutathionylated STAT3 was a poor Janus protein tyrosine kinase 2 substrate, and it exhibited low DNA-binding activity [52]. Furthermore, the effect of inactivation of STAT3 has resulted in inhibition of growth and metastasis of human hepatocellular carcinoma cells, and increase in their chemo-sensitivity. The observed increases in Bcl-2 and STAT3 in NOS3 overexpressing cells may be part of a counteracting cellular response to induction of cell death, although the activation state of Bcl-2 and the glutathionylation state of STAT3 should have to be determined to support this reasoning. So far, we could not detect redox changes in both proteins by the electrophoretic redox mobility shift assay, but ongoing redox proteomic studies could throw light to this question. Trx1 was detected in a more oxidized state in NOS3 Fig. 7. Effect of down-regulation Grx and Trx on cell proliferation and cell death induced by NOS-3. Number of total cells (A), cell viability (B) and incorporation of BrdU (C) in WT, 4TO and 4TO-NOS cells. Treatment with siRNAGrx and siRNATrx significantly diminished the number of cells (gray and white bars) and siRNATrx further reduced cell viability in all cell lineages (white bars). Caspase-3 (D) and caspase-8 (E) activities, known markers of apoptosis, were also markedly increased in all cell types by treatment with either siRNAGrx or siRNATrx, whereas the same treatments offset the increase in CD95 receptor levels induced by NOS-3 overexpression (F). The numbers 1, 2 and 3 refer to control, siRNAGrx and siRNATrx treatments, respectively. Data are presented as mean7SEM (n¼3 independent experiments). The values labeled with “a”were significantly different versus the corresponding internal control in the same cell lineage. The values labeled with “b”were significantly different versus the corresponding control cell lineage. The images are representative of three different experiments. R. González et al. / Redox Biology 6 (2015) 122–134130