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Arteriosclerosis, Thrombosis, and Vascular Biology. 1998;18:1829-1837

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(Arteriosclerosis, Thrombosis, and Vascular Biology. 1998;18:1829-1837.)
© 1998 American Heart Association, Inc.


Original Contributions

Inhibition of Tumor Necrosis Factor-{alpha}– and Interleukin-1–Induced Endothelial E-Selectin Expression by Thiol-Modifying Agents

Bärbel Friedrichs; Cordula Müller; Regina Brigelius-Flohé

From the German Institute of Human Nutrition Potsdam-Rehbrücke (B.F., R.B.-F.) and the Institute of Nutritional Science, University of Potsdam (C.M., R.B.-F.), Potsdam-Rehbrücke, Germany.

Correspondence to Dr Regina Brigelius-Flohé, German Institute of Human Nutrition Potsdam-Rehbrücke, Arthur-Scheunert-Allee 114-116, D-14558 Bergholz-Rehbrücke, Germany. E-mail flohe{at}www.dife.de


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Abstract—The expression of endothelial-leukocyte adhesion molecules has been postulated to be regulated by redox-sensitive events. Tumor necrosis factor-{alpha} (TNF-{alpha})– and interleukin-1 (IL-1)–induced E-selectin expression was analyzed after pretreating human umbilical vein endothelial cells with different thiol-modifying agents, ie, diamide, phenylarsine oxide, N-ethylmaleimide, and diethyl maleate. E-selectin protein expression was quantified by indirect immunofluorescence. All compounds suppressed the cytokine-induced E-selectin expression in a concentration-dependent manner, whereas the antioxidant N-acetylcysteine showed no effect. The inhibitory effect of diamide (100 µmol/L, 1 hour) was reversible within 6 hours when the cells were allowed to recover before application of cytokines. Reversibility was strongly delayed when cells were deprived of glutathione by buthionine sulfoximine pretreatment. Glutathione depletion alone did not influence cytokine-induced E-selectin expression. Analysis of cellular glutathione status showed a 3-fold increase in oxidized glutathione after diamide treatment. Monochlorobimane labeling also revealed a decrease in total cellular thiols. During recovery, the glutathione status was restored within 1 hour, whereas total thiol content and E-selectin expression needed at least 6 hours to return to baseline. Complete inhibition of E-selectin expression by the vicinal thiol blocker phenylarsine oxide (0.5 µmol/L) was reversed by dithiols like dithiothreitol or dimercaptopropanol, but not by the monothiol 2-mercaptoethanol. These data suggest that proteins with essential thiols, most probably vicinal thiols. are involved in the IL-1– and TNF-{alpha}–mediated induction of E-selectin. These thiols must be in the reduced state; oxidation or other modification thereof attenuates or abolishes the cells' response to the cytokines.


Key Words: E-selectin • tumor necrosis factor-{alpha} • interleukin-1 • diamide • phenylarsine oxide


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Endothelial E-selectin, first described as ELAM-1 (endothelial-leukocyte adhesion molecule-1),1 belongs to the selectin family of cellular adhesion molecules (CAMs) mediating the initial attachment of leukocytes to vascular endothelial cells in early inflammatory events that may ultimately lead to atherosclerosis.2 Interleukin-1 (IL-1), tumor necrosis factor-{alpha} (TNF-{alpha}), and lipopolysaccharides (LPSs) each induce the expression of endothelial E-selectin and other CAMs, like intercellular adhesion molecule-1 (ICAM-1) and vascular cell adhesion molecule-1 (VCAM-1).1 3 This process can be inhibited by antioxidants4 5 6 and mimicked by exogenous hydroperoxides, as has been demonstrated for ICAM-1, though not for E-selectin.7 It has further been suggested that reactive oxygen species are somehow involved in the signaling pathways of all aforementioned inducers of CAMs.8 These observations led to the intriguing hypothesis that CAM expression, and therefore the initiation of atherogenesis, is facilitated by generation of reactive oxygen species.2 9 The hypothesis is supported by the fact that the expression of adhesion molecules requires the activation of nuclear factor-{kappa}B (NF-{kappa}B),10 11 12 which involves cascades of phosphorylation and dephosphorylation, but is also modulated by oxidative events8 13 that can be triggered by TNF-{alpha}8 and IL-1.14 However, inhibition of cytokine-induced signals by antioxidants is not as unequivocal as it may appear at first glance. The inhibition theory is mainly based on effects observed with pyrrolidine dithiocarbamate and N-acetylcysteine (NAC).4 5 6 8 However, pyrrolidine dithiocarbamate in physiological systems acts as a pro-oxidant15 16 rather than an antioxidant, and NAC has also been shown to act as an oxidant under specific circumstances.17 With this situation in mind, the inhibitory effects of redox-active compounds can indeed be based on reductive as well as oxidative processes, depending on the step in the signaling cascade with which they interfere. This idea is further supported by some recent publications describing the inhibition of IL-1– and TNF-{alpha}–induced NF-{kappa}B activation by thiol-modifying, mainly oxidizing, agents,18 19 whereas thiol-reducing compounds either had no effect or were even stimulating.18 19 20 Also, LPS-induced lung injury and adhesion molecule expression were attenuated in rats depleted of cellular thiols by diethylmaleate.21 Taken together, the cell type, the particular compound used, the preexisting redox potential, as well as the thiol status of the cells appear to influence the effects of redox-active compounds on cytokine signaling (for a review see Reference 1313 ).

In view of the conflicting results mentioned above and the debatable benefit of antioxidants in the prevention of atherogenesis, we studied whether thiol-modifying agents were able to modulate the cytokine-induced expression of endothelial E-selectin. These compounds strongly inhibited the IL-1– and TNF-{alpha}–induced E-selectin expression, demonstrating that free (protein) thiols are essential for appropriate cytokine-mediated signaling.


*    Methods
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Cell Culture and Treatments
Human umbilical vein endothelial cells (HUVECs) were obtained by treatment of umbilical veins with 0.2% dispase (Boehringer Mannheim) in Hanks' balanced salt solution (Biochrom). Cells were seeded into gelatin-coated flasks in endothelial cell growth medium containing 2% FBS and 0.4% endothelial cell growth supplement/heparin (EGM; PromoCell). Experiments were performed with confluent cells grown in 48-well Falcon plates between the first and third passage. Stock solutions (1000-fold) of thiol agents were prepared before use as follows: diamide (diazene-dicarboxylic acid bis[N,N'-dimethylamine]), L-buthionine-[S,R]-sulfoximine (BSO), N-ethylmaleimide (NEM), DL-DTT, 2,3-dimercaptopropanol (DMP), and 2-mercaptoethanol (2-ME) were dissolved or diluted in water; diethylmaleate (maleic acid diethyl ester, DEM) was diluted with 1,2-propanediol; phenylarsine oxide (PAO) and monochlorobimane (MBCl; Molecular Probes) were dissolved in dimethylsulfoxide; NAC was dissolved in EGM, and the pH was titrated to 7.4 with 1 mol/L NaOH. All chemicals were purchased from Sigma and were of the highest purity available.

Quantitative Immunofluorescence Labeling
After pretreatment, confluent HUVECs were washed and stimulated with recombinant human TNF-{alpha} (Biochrom) or recombinant human IL-1 (kindly provided by the Gesellschaft für Biotechnologische Forschung, Braunschweig, Germany) at 1 ng/mL EGM each for the times indicated. After they were washed with PBS, the cells were fixed with 2% formalin in PBS, washed twice for 2 minutes, treated with ice-cold methanol for 1 minute, and washed with PBS 3 times. E-selectin expression was analyzed by indirect immunofluorescence using an anti-human E-selectin monoclonal mouse antibody (Dako; 1:100 for 1 hour) as the first and a Cy3 (indocarbocyanin)-conjugated goat anti-mouse IgG (Dianova; 1:100 for 1 hour) as the second antibody. Fluorescence quantification was performed by scanning in a Cytofluor II microplate fluorescence reader (Perseptive Biosystems) at 530 nm excitation and 590 nm emission. Background levels achieved by incubation with an isotype mouse IgG1 (Sigma, 1:100) as the first antibody were subtracted from the experimental values obtained.

Total Glutathione and Glutathione Disulfide (GSSG; Kinetic DTNB Assay)
Total glutathione and glutathione disulfide (oxidized glutathione) were determined according to Akerboom and Sies22 adapted to cell cultures. HUVECs grown to confluence and treated in Petri dishes of 165-mm diameter (Greiner) were washed with PBS, scraped into ice-cold PBS, and centrifuged (5 minutes at 600g). For total glutathione and GSSG determination, cells were resuspended in 600 µL ice-cold homogenization buffer (50 mmol/L Tris-HCl, pH 7.4; 1 mmol/L EDTA; and 0.5% wt/vol Triton X-100) with (for GSSG determination) or without (for total glutathione determination) 25 mmol/L NEM and sonicated (20 seconds at 25 W). Aliquots (20 µL) of homogenates were taken for protein determination23 with the Pierce protein assay reagent and BSA (both from KMF Laborchemie) as the standard. The protein of homogenates was precipitated with 1 mol/L (final concentration) HClO4 for 30 minutes and removed by centrifugation (10 minutes at 10 000g), and the supernatant was neutralized with 0.6 mol/L MOPS and 4 mol/L KOH. Precipitated KClO4 was removed by centrifugation (10 minutes at 10 000g). NEM was extracted 4 times with water-saturated ethyl acetate. Residual solvent was removed with nitrogen. Total glutathione and GSSG were determined by following the continuous reduction of DTNB by reduced glutathione (GSH) in the presence of 155 mU/mL glutathione reductase (Boehringer Mannheim) and 153 µmol/L NADPH (Sigma) at 412 nm. Concentrations were quantified with an internal standard (0.5 µmol/L GSSG). The concentration of GSH was calculated by subtracting 2x the GSSG concentration from total glutathione.

Intracellular Thiols
HUVECs were washed with Earle's balanced salt solution, treated with 100 µmol/L MBCl in Earle's balanced salt solution for 40 minutes at 37°C, washed, and scanned in a Cytofluor II at 390 nm excitation and 460 nm emission. Background fluorescence of unlabeled cells was subtracted from the experimental values obtained.

Cell Viability
Cell viability was assessed by quantification of MTT (3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide) reduction by mitochondrial dehydrogenases. In brief, cells were incubated for 2 hours with 1.2 mmol/L MTT in EGM. After the cells were washed with Hanks' balanced salt solution, formazan dye was solubilized in 5% formic acid in isopropanol, and the extinction was measured at 550 versus 690 nm in a microplate reader.

Protein Synthesis
Protein biosynthesis rates were measured by incorporation of L-[4,5-3H]leucine (120 to 190 Ci/mmol, Amersham Buchler) into cellular proteins. Confluent cells were incubated for 2 hours with EGM containing 0.1 mmol/L L-leucine and 3.5 µCi/mL L-[4,5-3H]leucine. Cells were washed with cold PBS, followed by treatment for 30 minutes at 4°C with 5% trichloroacetic acid. Plates were extensively washed (3x) with 5% trichloroacetic acid, and the precipitated protein was solubilized (1 hour) with 1 mol/L NaOH, followed by neutralization with HCl and scintillation counting (Scintillator Plus, Packard).

Statistical Analysis
Bilateral Student's t test was used to assess differences at the P<0.01 level.


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Induction of E-Selectin Expression by IL-1 and TNF-{alpha}
IL-1 and TNF-{alpha} induced a time-dependent expression of E-selectin in HUVECs (Figure 1Down). E-selectin expression was maximal 4 hours after cytokine addition. No basal expression of E-selectin was found. Two hours after cytokine stimulation, E-selectin production was {approx}40% of the maximal level obtained after 4 hours with both cytokines (Figure 1Down). The inhibition studies, however, were not performed at the peaks of E-selectin expression, since inhibitory effects of the diamide tended to be reversed over time. Therefore, in all further experiments, cells were stimulated with IL-1 or TNF-{alpha} for only 2 hours, thereby tolerating a submaximal induction of E-selectin.



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Figure 1. TNF-{alpha}– and IL-1–induced E-selectin expression. HUVECs grown to confluence were treated with 1 ng/mL TNF-{alpha} or IL-1 for 0 to 24 hours. Cells were fixed and analyzed for E-selectin protein expression by indirect immunofluorescence using a monoclonal mouse antibody against human E-selectin and scanning in a fluorescence reader. Values are mean±SEM of 6 replicates.

Inhibition of Cytokine-Induced E-Selectin Expression by Diamide
Thiol-containing antioxidants such as NAC have been shown to inhibit cytokine-induced endothelial CAM expression.4 5 We therefore studied whether NAC inhibited E-selectin expression in our HUVECs. Surprisingly, cells pretreated with up to 30 mmol/L NAC for 1 hour, which is suggested to fully reduce the cellular thiol status, did not show any impaired cytokine responsiveness (Table 1Down). Similarly, we also did not observe any inhibition by NAC of the IL-1–mediated activation of the IL-1 receptor–associated protein kinase in T lymphocytes.19 In the latter system, in contrast, thiol-modifying agents proved to be inhibitory. We therefore tested whether IL-1– and/or TNF-{alpha}–mediated processes could be correspondingly influenced in endothelial cells. We indeed found that pretreatment of HUVECs with 100 µmol/L diamide for 1 hour completely abolished the E-selectin expression induced by TNF-{alpha} (Figure 2ADown, 0 hours) and reduced the IL-1–mediated E-selectin expression to {approx}20% of control values (Figure 2CDown, 0 hours). When cells were allowed to recover from diamide pretreatment for 1 to 6 hours, they regained the ability to respond to cytokines with synthesis of E-selectin (Figure 2ADown and 2CDown, light bars).


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Table 1. Inhibition of Cytokine-Induced E-Selectin Expression by Thiol-Modifying Agents




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Figure 2. Reversible inhibition of cytokine-induced E-selectin expression by diamide. HUVECs grown to confluence were either treated (dark bars) or not (light bars) for 20 hours with 30 µmol/L BSO in EGM. Cells were then incubated or not (ctrl, control) for 1 hour with 100 µmol/L (A, C) or 30 µmol/L (B, D) diamide (0 hour recovery) followed by a 2-hour treatment with 1 ng/mL TNF-{alpha} (A, B) or IL-1 (C, D). Where indicated, cells were allowed to recover in EGM for 1, 2, 4, or 6 hours before cytokine treatment. Finally, cells were analyzed for E-selectin expression as described in Methods. Results are mean±SEM of 6 replicates.

The ability of the cells to recover from diamide pretreatment may be in line with their capacity to reverse diamide-induced disturbances of their thiol status by means of glutathione. The cellular glutathione content was therefore decreased by pretreating the cells with BSO, a specific inhibitor of {gamma}-glutamylcysteine synthetase,24 before incubation with diamide. Twenty hours after addition of 30 µmol/L BSO, the total glutathione content in HUVECs decreased from 3.5±0.6 nmol/mg protein to about one third that value, ie, 1.2±0.3 nmol/mg protein. As is obvious from Figure 2Up (A through D), BSO pretreatment by itself did not change the response of HUVECs to cytokines to any significant extent, indicating that glutathione deficiency alone was not responsible for the inhibition of E-selectin synthesis by diamide. However, reversal of the depression of E-selectin expression by 100 µmol/L diamide for 1 hour was almost abolished by pretreatment with BSO (Figure 2AUp and 2CUp, dark bars). Because the assays showed a distinct reduction in cell viability after treatment of glutathione-depleted cells with 100 µmol/L diamide (Table 2Down), the experiments were repeated at lower diamide concentration. Diamide at 30 µmol/L inhibited the TNF-{alpha}–induced E-selectin expression by {approx}50% (Figure 2BUp, 0 hours, light bars). Full recovery was already observed after 2 hours. The IL-1 effect was not influenced by 30 µmol/L diamide (Figure 2DUp, light bars). In glutathione-deficient cells, however, 30 µmol/L diamide completely depressed the TNF-{alpha}– as well as the IL-1–induced E-selectin expression, with only marginal effects on cell viability (Table 2Down). Under these conditions, the response to cytokines was not restored immediately but only after a 6-hour recovery period in growth medium (Figure 2BUp and 2DUp, dark bars). This result shows that the ability of the cells to restore the TNF-{alpha} and IL-1 signaling cascade after diamide treatment is not absolutely dependent on optimally filled glutathione pools. However, high glutathione levels strongly facilitate recovery.


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Table 2. Cellular Viability After Treatment With Thiol Reagents

Cellular Thiol Status After Diamide Treatment
Glutathione
To further elucidate the role of glutathione in cytokine-induced E-selectin expression, we measured cellular glutathione status after diamide treatment of HUVECs. Owing to the limitation of sample size, direct determination of GSH by, eg, GSH S-transferase,25 was not feasible. Therefore, we used the kinetic DTNB assay22 for estimating the concentration of total (reduced plus oxidized) glutathione as well as of GSSG. By this assay, a total glutathione content of 3.0±0.7 nmol/mg protein was assessed in our cells, a value that seems low compared with previously published data.26 However, it is not the absolute glutathione concentration but the ratio of GSH to GSSG that characterizes the cellular redox status.25 This ratio was {approx}27 in our cells, which is high when compared with those published elsewhere ({approx}11 after transformation into molar levels).26

Total glutathione in HUVECs did not change to any significant extent after treatment with 100 µmol/L diamide for 1 hour or during the following recovery period of up to 4 hours (Table 3Down). Because of the relatively high SD of the cellular glutathione concentrations (Table 3Down), a putatively small decrease in GSH after diamide treatment was not detectable. However, GSH tended to increase during the recovery period, reaching significance 4 hours after diamide treatment (Table 3Down).


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Table 3. Contents of Glutathione in HUVECs After Treatment With Diamide and Recovery

As anticipated, GSSG increased from 0.1 to 0.29 nmol/mg protein after diamide treatment (Table 3Up). This resulted in a distinct shift in the GSH to GSSG ratio, from 27.5 in control cells to 9.2 in diamide-treated cells, which returned to control values during 1 hour of recovery (Table 3Up). Thus, normalization of glutathione status preceded the recovery of cytokine-induced E-selectin expression, which was restored only after 4 to 6 hours.

Glutathione and Protein Thiols
To detect diamide-induced changes in the overall thiol status of individual cell populations, we used the MBCl labeling technique.27 MBCl, by itself nonfluorescent, forms stable, fluorescent adducts with thiols. It has been shown to specifically react with GSH due to catalysis by GSH S-transferases in rodent cell lines, but not in human cells.28 Therefore, MBCl labeling of HUVECs is supposed to result predominantly from the (slower) nonenzymatic reaction of MBCl with all kinds of thiols, including protein thiols.

By MBCl labeling, thiols decreased by 20% in HUVECs treated with 100 µmol/L diamide and returned to control values after 2 hours (Figure 3ADown). This time course was similar to that of E-selectin recovery after diamide treatment (Figure 2AUp and 2CUp). In glutathione-deficient cells, the thiol level was 40% of controls and was decreased further by 30 µmol/L diamide (Figure 3BDown). During subsequent incubation in EGM for up to 6 hours, the thiol content recovered but did not reach the control level, ie, that of BSO-treated cells (Figure 3BDown). In contrast, the inhibition of E-selectin expression was almost completely reversed during the same time interval (Figure 2BUp and 2DUp). The data clearly indicate that impairment and restoration of cytokine signaling do not parallel the shifts in the total thiol status or in the GSH to GSSG ratio. More likely, it depends on specific thiols, in particular proteins, which are prone to oxidation but are regenerated preferentially despite persisting disturbance of thiol status in GSH-depleted cells.



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Figure 3. Effects of diamide on cellular thiol content in control or glutathione-depleted cells. A, HUVECs grown to confluence were treated or not (control) for 1 hour with 100 µmol/L diamide without (0 hours) or with a subsequent recovery period of 1, 2, 4, or 6 hours in EGM. B, Cells were pretreated for 20 hours with 30 µmol/L BSO followed by a 1-hour incubation with 30 µmol/L diamide without (0 hours) or with subsequent recovery in EGM of 2, 4, or 6 hours. Then cells were treated for 40 minutes with 100 µmol/L MBCl followed by scanning in a fluorescence reader. Results are mean±SEM with 6 replicates per bar. *Significantly different from controls; #significantly different from BSO-treated cells at P<0.01.

Inhibition of Cytokine-Induced E-Selectin Expression by PAO
To gain further insights into the nature of the protein thiols involved in IL-1– and TNF-{alpha}–mediated E-selectin expression, we analyzed the effect of PAO, an agent that has been described to react with vicinal protein thiols.29 Cytokine-induced E-selectin expression was completely depressed by pretreatment of cells with 0.5 µmol/L PAO for 20 minutes (Figure 4ADown), an effect that was almost completely reversed by the dithiols DTT and DMP but not by the monothiol 2-ME (Figure 4ADown). In contrast to diamide-treated cells, PAO-treated HUVECs did not recover spontaneously in culture medium within 4 hours (not shown).



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Figure 4. Effects of PAO, monothiols, and dithiols on cytokine-induced E-selectin expression and cellular thiol content and viability. Confluent HUVECs were treated or not (ctrl, control) with 0.5 µmol/L PAO for 20 minutes. Cells were washed and incubated or not (PAO) for 45 minutes with EGM containing or not containing 100 µmol/L of the following thiols: 2-ME, DTT, or DMP. Cells were then either treated with (A) 1 ng/mL TNF-{alpha} (dark bars) or IL-1 (light bars) for 2 hours followed by immunofluorescence labeling or (B) labeled with 100 µmol/L MBCl for 40 minutes followed by fluorescence scanning (dark bars) or tested for viability by reduction of MTT (1.2 mmol/L) for 2 hours (light bars), respectively. Results are mean±SEM with 6 replicates per bar. *Significantly different from controls at P<0.01.

As shown by MBCl labeling (Figure 4BUp), PAO induced a 20% reduction in cellular thiols in HUVECs. This diminishment corresponds to an apparent decrease in cell viability as measured by MTT reduction (Figure 4BUp). The latter, however, resulted from a loss of cells due to detachment during the washing processes. Because the remaining cells did not change their ability to reduce MTT during the whole experimental period, we can state that the viability and thiol content of HUVECs were not significantly influenced by PAO treatment. We can further state that the restoration by DTT and DMP of E-selectin expression (Figure 4AUp) to {approx}80% corresponds to 100% of the remaining cells.

Total thiol levels in PAO-treated cells remained unaffected by DTT or DMP (Figure 4BUp), although these dithiols completely reversed the inhibitory effect of PAO on cytokine-induced E-selectin expression (Figure 4AUp). This finding again underlines the concept that the thiol status of specific proteins is necessary for cytokine signaling.

Effects of PAO on Protein Synthesis Rates
Because it has been shown that PAO inhibits protein biosynthesis,30 we tested whether this could be the reason for the observed inhibition of E-selectin expression. PAO at 0.5 µmol/L inhibited E-selectin expression by nearly 100%, whereas protein biosynthesis at the same time was also depressed but still active, at {approx}1/3 of its original activity (Figure 5Down). Protein synthesis rates indeed increased during the recovery period in EGM and EGM containing 2-ME, which, however, had no effect on E-selectin expression. Only on complete reversal of PAO by DTT or DMP did all parameter return to control levels (Figure 5Down). Thus, inhibition of the protein biosynthesis rate by PAO can only be part of the PAO-induced inhibition of E-selectin expression. In addition, diamide did not influence the protein biosynthesis rate by >20% under all conditions investigated, except after 100 µmol/L diamide in BSO-treated cells. Here again, the protein synthesis rate was 1/3 that of control (not shown), but E-selectin expression was depressed by 100%.



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Figure 5. Effects of PAO, monothiols, and dithiols on protein synthesis and viability. Confluent HUVECs were treated with 0.5 µmol/L PAO for 20 minutes. Cells were washed and incubated or not (PAO) for 45 minutes with EGM containing or not containing 100 µmol/L of the following thiols: 2-ME, DTT, or DMP. Cells were then incubated for 2 hours with 1 of the following reagents: 1 ng/mL TNF-{alpha} or IL-1 followed by immunofluorescence detection of E-selectin (TNF-{alpha}– or IL-1–induced E-selectin, respectively); 3.5 µCi/mL L-[4,5-3H]leucine followed by scintillation counting of precipitated protein (protein synthesis rate); or 1.2 mmol/L MTT for testing viability (viability). Results (mean±SEM with 6 replicates per bar) were expressed as % of controls.

Inhibition of E-Selectin Expression by Other Thiol-Modifying Compounds
In addition to diamide and PAO, we tested other compounds known to modify sulfhydryl groups. The thiol-alkylating agents NEM31 and DEM32 both inhibited TNF-{alpha}– and IL-1–mediated E-selectin expression in a concentration-dependent manner (Table 1Up) but did not influence cell viability (Table 2Up) or protein synthesis (not shown) at all. A 100% inhibition of TNF-{alpha}–mediated E-selectin expression was obtained with 1 mmol/L DEM for 1 hour and with 5 µmol/L NEM for 30 minutes. IL-1–mediated E-selectin expression was influenced similarly, except for NEM, which led to only a 58% inhibition at a concentration of 5 µmol/L for 30 minutes.

Cellular Viability After Treatment With Thiol-Modifying Agents
DEM and NEM tested at the same concentrations to inhibit E-selectin expression (1 mmol/L and 5 µmol/L, respectively) did not influence cell viability at 0, 4, and 24 hours after treatment, as measured by MTT assays (Table 2Up). Diamide (30 µmol/L) slightly decreased cell viability in glutathione-depleted cells at time 0 but not at 4 or 24 hours later (Table 2Up). PAO at 0.5 µmol/L (20 minutes) or diamide at 100 µmol/L (1 hour) reduced viability by 15% to 20%, which, however, was mainly caused by detachment and loss of cells during the washing processes, as mentioned before. Only PAO produced an additional decrease in cell viability after 24 hours (Table 2Up), which, however, was not a time point relevant for the present study.

Incubation of BSO-treated cells with 100 µmol/L diamide decreased cell viability during the whole experimental period to {approx}60% to 70% of controls (Table 2Up). However, this decrease in viability by 40% was not correlated with the complete depression of E-selectin expression up to 6 hours after treatment with the high dose of diamide.


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Herein we have shown inhibition of cytokine-mediated E-selectin expression in HUVECs by thiol-modifying agents, whereas NAC (up to 30 mmol/L) was without any effect. Thus, a direct antioxidant or reductive effect of NAC seems to play a subordinate role in our HUVEC system, if any. NAC effects are seemingly highly controversial. In addition, the effects of NAC on signaling processes differ in various cell lines. For example, Brennan and O'Neill20 demonstrated NAC to inhibit NF-{kappa}B activation in cytokine-induced Jurkat T cells but not in EL4.NOB-1 and KB cells.20 Similarly, we could not confirm any effect of NAC on IL-1–mediated NF-{kappa}B activation in the murine EL4 6.1 cell line.19 Also, no influence of NAC on IL-1–mediated activation of an IL-1 receptor–associated protein kinase was found in T cells19 as well as ECs.33 Consistently, however, we observed inhibition of the activation of this kinase by a series of thiol-modifying agents.19 33 This finding is in accord with the results of the present study, ie, the inhibition of IL-1– as well as TNF-{alpha}–induced E-selectin expression by preincubation with subtoxic concentrations of several thiol-modifying agents (viz, diamide, PAO, NEM, and DEM). All of these compounds have in common the propensity to react with low- and high-molecular-weight thiols.

Diamide has been described to rapidly react with GSH, to yield GSSG and a hydrazine derivative.34 Protein thiols, including some with vicinal thiols like thioredoxin, react with diamide at distinct, usually lower reaction rates, yielding protein disulfides or mixed disulfides.35 Incubation of HUVECs with 100 µmol/L diamide strongly depressed TNF-{alpha}– and IL-1–induced E-selectin expression. At the same time, the concentration of GSSG was increased by a factor of 3. During the recovery period, the cells regained their ability to respond to cytokines with E-selectin expression, unless they were made glutathione deficient by BSO. These data show that modification of free thiols strongly impairs cytokine-induced expression of E-selectin and that intracellular GSH may counteract this inhibition. The diamide-induced disturbance in glutathione status per se cannot, however, explain the inhibition of E-selectin expression for the following reasons: (1) the enhancement of GSSG by 100 µmol/L diamide was normalized after 1 hour, but E-selectin expression remained depressed and (2) decreasing the glutathione content with BSO by itself did not influence cytokine-induced E-selectin expression. Also, diamide does not affect the level of reduced glutathione. Its effect on the glutathione system is detectable only as a transient increase in GSSG (Table 3Up). In contrast, MBCl fluorescence, which represents all kinds of thiols, drops significantly on treatment with diamide (Figure 3Up). Therefore, we must conclude that in our system, diamide preferentially reacts with particular protein thiols, although all cellular thiol pools are intimately interrelated. In control cells, protein thiols consistently recover within 4 to 6 hours, whereas the thiol content in BSO-treated cells stays significantly below starting conditions for 6 hours after diamide treatment (Figure 3Up). Thus, the protein thiol/disulfide equilibrium indeed depends on glutathione, but quantitatively, the disturbance in the protein thiol/disulfide status on treatment with diamide is more severe than that of the glutathione system. Therefore, it is not unreasonable to presume a modification of some protein thiols to be responsible for the observed inhibition of E-selectin expression by diamide.

This notion is further supported by the results obtained with the other thiol-modifying agents. DEM and NEM are cell-permeant, thiol-alkylating agents that were first used to deplete cells of glutathione.31 32 Both, however, rapidly react with protein thiols, and NEM is now used to block all accessible cellular protein sulfhydryls, thereby "freezing" the actual redox state of cells for studies of redox regulation.36

The most intriguing information on the involvement of critical protein sulfhydryls in the TNF-{alpha} and IL-1 signaling in HUVECs comes from the experiments with PAO. PAO forms dithioarsine adducts of high stability, with 2 suitably spaced (mostly vicinal) sulfhydryl groups of proteins. Vicinal thiols are often exposed at the protein surface, thus allowing interactions with substrates, oxidants, and other proteins that catalyze disulfide reduction.37 Enzymes containing vicinal thiols in the active center include ribonucleotide reductase, glutathione reductase, thioredoxin reductase, thioredoxin, and glutaredoxin (for a review, see Reference 3737 ). PAO has been demonstrated to inhibit insulin functions, receptor internalization, and platelet activation.37 In addition, specific enzymes are affected, eg, phosphotyrosine phosphatases.38 We have shown herein that PAO at concentrations as low as 0.5 µmol/L fully depresses TNF-{alpha}– and IL-1–mediated E-selectin expression. This inhibition can be reversed by short-term treatment of the cells with dithiols like DMP or DTT but not with the monothiol 2-ME, which is characteristic for reversal of PAO binding to vicinal protein thiols.29 The inhibition of E-selectin expression by PAO may result to some extent from general inhibition of protein biosynthesis to {approx}1/3 of control values. The latter process, however, cannot explain the total inability of the cells to respond to cytokines, nor can it explain the much less pronounced effect of diamide on protein biosynthesis, which was able to block E-selectin expression. Thus, in addition to the proteins involved in protein biosynthesis and other physiological processes, the proteins crucial for IL-1 and TNF-{alpha} signaling most probably contain vicinal thiols.

The nature of the affected proteins and the site and time of their function in the signaling cascade are not easy to determine from our results. Several considerations must be taken into account: (1) We recently demonstrated inhibition of the activation of an IL-1 receptor type I (IL-1RI)–associated protein kinase, one of the earliest events in IL-1 signaling,39 by the very same thiol-modifying agents used in this study.19 The kinase was first described and has mainly been investigated in T lymphocytes, but it is also present in an EC line.33 It may thus be concluded that activation of the IL-1RI–associated kinase finally leads to E-selectin expression in ECs. Association of the kinase with the IL-1 receptor makes it specific for IL-1–mediated signals. It remains possible, however, that receptor-associated kinases are also involved in TNF-{alpha} signaling and that thiol modification thereof has similar effects as it does on the IL-1 receptor–associated kinase. (2) A common signal mediated by both cytokines is the activation of NF-{kappa}B. NF-{kappa}B is necessary, though not sufficient, for the induction of E-selectin.10 11 Efficient binding of NF-{kappa}B to its responsive elements and thus, unimpaired trans-activating activity depend on a cysteine thiol in the p50 subunit of the p50/p65 heterodimer being kept in a reduced state by thioredoxin.40 41 If thioredoxin is inactivated by oxidative processes, general inhibition of gene activation may be the consequence, since thioredoxin has also been shown to regulate via redox factor 1 the activity of activating transcription factor,42 43 another transcription factor involved in E-selectin gene transcription.10 (3) Both IL-1 and TNF-{alpha} have been shown to be internalized by a receptor-mediated process.44 45 Suppression of TNF-{alpha}–mediated E-selectin expression by PAO has been attributed to an inhibition of receptor-mediated endocytosis of TNF-{alpha}.30 Whether this mechanism can explain the observations with IL-1 remains to be established. (4) Protein tyrosine phosphorylation plays a major role in the regulation of a number of cellular metabolic pathways, among them cellular adhesion.46 It is regulated by the opposing actions of protein tyrosine kinases and protein tyrosine phosphatases (PTPs) and therefore requires a well-balanced activity of both enzymes. Both kinases and phosphatases have been shown to be targets for redox regulation (reviewed in Reference 4747 ) and are therefore highly sensitive to disturbances in the cellular redox balance. In addition, all PTPs have a conserved cysteine residue in their catalytic domain which must be in the reduced form for full activity.47 Inhibition of PTPs, however, results in unopposed kinase action and, in consequence, an amplified signal.38 This is in line with the observation that inactivation of a PTP by sulfhydryl-modifying compounds mimics early effects of TNF-{alpha} and IL-1 in human fibroblasts.48 Since we observed an inhibition of cytokine-mediated E-selectin expression and not an amplification thereof, it may be doubted whether PTP inactivation plays a major role in our system. This might also be considered in the interpretation of the recently described inhibition of endothelial CAM expression by diamide and PAO, which was discussed, however not shown, to be a PTP inactivation process.49

In essence, our data show that E-selectin expression requires proteins with free, most probably vicinal, thiols for adequate inducibility by IL-1 or TNF-{alpha}. The reduced state of crucial proteins may be maintained by glutathione, the major cellular redox buffer, since depletion of GSH dramatically enhances the sensitivity of target proteins for modifications. However, the time course of recovery after diamide treatment of GSH compared with E-selectin does not convincingly support an obligatory reduction of oxidized protein thiols by glutathione. It seems more likely that glutathione provides the reducing equivalents for a second system. Vicinal thiols are kept in the reduced state either by the thioredoxin or the glutaredoxin system.50 Which of the systems plays the main role in our model remains to be investigated.

Our data are not meant to rule out an induction of adhesion molecules by physiological oxidants such as H2O2 or lipoxygenase products. In fact, the evidence for an induction of leukocyte sticking51 and of the expression of adhesion molecules by eg, oxidized low density lipoprotein, is overwhelming2 9 and with good reason is considered an initial event in vascular inflammation, potentially leading ia to atherogenesis. Rather, our findings indicate that some component in the IL-1 and/or TNF-{alpha} signaling cascade may become refractory52 when its thiols are oxidized or permanently modified. The latter, however, under specific circumstances, may be beneficial for an organism, as was demonstrated for the inhibition of LPS-induced rat lung injury by DEM pretreatment.21 Thus, a reduced status of the signaling cascade responding to IL-1 and TNF-{alpha} in ECs is a prerequisite for a normal immune response, which apparently comprises the oxidation of vicinal thiols in a signaling protein, whereas previous oxidation or modification of these thiols renders the system unresponsive.


*    Acknowledgments
 
This study was supported by the Deutsche Forschungsgemeinschaft (to Dr Friedrichs; FR 1160/1–1). The excellent technical assistance of Hella Blumhagen and Ilse Wölfel is gratefully acknowledged.

Received December 4, 1997; accepted May 8, 1998.


*    References
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up arrowAbstract
up arrowIntroduction
up arrowMethods
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*References
 
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