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Arteriosclerosis, Thrombosis, and Vascular Biology. 2001;21:1131-1138
doi: 10.1161/hq0701.092092
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(Arteriosclerosis, Thrombosis, and Vascular Biology. 2001;21:1131.)
© 2001 American Heart Association, Inc.


Vascular Biology

Changes in Expression of Antioxidant Enzymes Affect Cell-Mediated LDL Oxidation and Oxidized LDL–Induced Apoptosis in Mouse Aortic Cells

ZhongMao Guo; Holly Van Remmen; Hong Yang; XinLian Chen; James Mele; Jan Vijg; Charles J. Epstein; Ye-Shih Ho; Arlan Richardson

From the Department of Physiology (Z.G., H.V., H.Y., J.V., A.R.) and the Department of Cellular and Structure Biology (X.C., J.M.), University of Texas Health Science Center at San Antonio, and the Geriatric Research, Education and Clinical Center (Z.G., H.V., A.R.), South Texas Veterans Health Care System, Audie L. Murphy Division, San Antonio, Tex; the Department of Pediatrics (C.J.E.), University of California, San Francisco; and the Institute of Chemical Toxicology and Department of Biochemistry (Y.-S.H.), Wayne State University, Detroit, Mich.

Correspondence to Dr ZhongMao Guo, Department of Physiology, UTHSCSA, 7703 Floyd Curl Dr, San Antonio, TX 78229. E-mail GUO{at}uthscsa.edu


*    Abstract
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*Abstract
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Abstract—Transgenic mice overexpressing Cu/Zn superoxide dismutase (hSod1Tg+/0) or catalase (hCatTg+/0) and knockout mice underexpressing manganese superoxide dismutase (Sod2+/-) or glutathione peroxidase-1 (Gpx1-/-) were used to study the effect of antioxidant enzymes on cell-mediated low density lipoprotein (LDL) oxidation and oxidized LDL (oxLDL)-induced apoptosis. Incubation of LDL with mouse aortic segments or smooth muscle cells (SMCs) resulted in a significant increase in LDL oxidation. However, LDL oxidation was significantly reduced when LDL was incubated with aortic segments and SMCs obtained from hSod1Tg+/0 and hCatTg+/0 mice compared with those obtained from wild-type mice. In contrast, LDL oxidation was significantly increased when LDL was incubated with aortic segments and SMCs obtained from Sod2+/- and Gpx1-/- mice. CuSO4-oxidized LDL increased DNA fragmentation and caspase activities in the primary cultures of mouse aortic SMCs. However, oxLDL-induced DNA fragmentation and caspase activities were reduced 50% in SMCs obtained from hSod1Tg+/0 and hCatTg+/0 mice compared with wild-type control mice. In contrast, oxLDL-induced DNA fragmentation and caspase activities were significantly increased in SMCs obtained from Sod2+/- and Gpx1-/- mice. These findings suggest that overexpression of Cu/Zn superoxide dismutase or catalase reduces cell-mediated LDL oxidation and oxLDL-induced apoptosis, whereas underexpression of manganese superoxide dismutase or glutathione peroxidase-1 increases cell-mediated LDL oxidation and oxLDL-induced apoptosis.


Key Words: LDL • transgenic mice • aortas • antioxidant enzymes


*    Introduction
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Accumulation of oxidized LDL (oxLDL) in the arterial wall has been proposed to play a key role in the development of atherosclerosis.1 2 However, how oxLDL is formed and how oxLDL damages the arterial wall are still a matter of debate. In vivo, little LDL is oxidized in the circulation; therefore, it is thought that the arterial pool of oxLDL is, at least in part, derived from LDL that enters the intima from plasma as native LDL but is then oxidized locally by cells in the arterial wall.1 In this regard, 3 types of cells within the arterial wall, ie, endothelial cells (ECs),3 4 smooth muscle cells (SMCs),3 and macrophages,5 have all been shown to mediate LDL oxidation. In vitro, oxLDL can injure or kill a variety of cell types, including ECs,6 SMCs,6 and macrophages.7 Recently, studies have shown that the degree of LDL oxidation is directly proportional to the rate of superoxide production8 and that oxLDL increases superoxide formation in cultured vascular cells.9 Thus, cell-mediated LDL oxidation and oxLDL-induced cell death appear to be a reactive oxygen species (ROS)-dependent cycle. Free radicals released from vascular cells mediate oxidation of LDL that enters the arterial wall as a native form; the oxidized forms of LDL, in turn, induce cells to generate more free radicals. When lesions induced by free radicals reach a critical level, cell death occurs.

Several studies have shown that an increase in superoxide dismutase (SOD) activity is capable of preventing LDL oxidation in culture. For example, Heinecke et al10 have reported that addition of SOD to the culture medium inhibits the LDL oxidation induced by human and monkey SMCs. Steinbrecher4 has observed that SOD attenuates the LDL oxidation mediated by rabbit ECs and SMCs in culture. More recently, Fang et al8 have reported that transduction of the Sod1 or Sod2 gene into ECs reduces LDL oxidation. The effect of antioxidant enzymes on oxLDL-induced cell death has also been investigated. For example, Galle et al9 have observed that the presence of exogenous SOD and catalase in culture medium inhibits oxLDL-induced apoptosis in human ECs and rabbit aortic segments.

In the present study, we examined the effect of antioxidant enzymes on cell-mediated LDL oxidation and oxLDL-induced apoptosis by using aortic segments or SMCs obtained from transgenic mice with elevated activities of Cu/Zn-SOD or catalase and from knockout mice with reduced activities of Mn-SOD or glutathione peroxidase (Gpx)1. Our data clearly demonstrate that an increase in the activity of either Cu/Zn-SOD or catalase reduces cell-mediated LDL oxidation and oxLDL-induced apoptosis. In contrast, a decline in the activity of either Mn-SOD or Gpx1 elevates cell-mediated LDL oxidation and oxLDL-induced apoptosis.


*    Methods
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Animals
Transgenic mice overexpressing either Cu/Zn-SOD (hSod1Tg+/0 mice) or catalase (hCatTg+/0 mice) were respectively generated with 80-kb P1 clones containing either the entire human Sod1 gene (10 kb) or the entire human catalase gene (30 kb) in the Nathan Shock Center of Excellence in Basic Biology of Aging at the University of Texas Health Science Center at San Antonio. The hemizygous transgenic mice were identified by polymerase chain reaction with the use of primers specific for human Sod1 or the catalase gene. The knockout mice with reduced levels of Mn-SOD (Sod2+/-) were developed by deletion of the third exon of the Sod2 gene,11 which resulted in a loss in enzyme activity. Lack of the Sod2 gene in the mouse germ line resulted in a lethal phenotype, and homozygous Sod2+/- mice died within 3 weeks from cardiomyopathy11 or neurodegeneration,12 depending on the genetic background. The heterozygous Sod2+/- mice used in the present study were obtained from Epstein’s laboratory (Li et al11 ) and were backcrossed into C57BL/6 for 18 generations. The Sod2+/- mice, which appeared normal and fertile, showed reduced Mn-SOD activity in all the tissues studied.13 The Gpx1 knockout mice used in the present study were developed by disrupting the second exon of the Gpx1 gene with a neomycin resistance cassette14 and were backcrossed to 57BL/6 for 12 generations. Homozygous Gpx1-/- mice deficient in Gxp1 activity were healthy and fertile.14 The Sod2+/- and Gpx1-/- mice were identified by polymerase chain reaction and Southern blots, as described by Li et al11 and Ho et al,14 respectively. The wild-type controls used in the present study were the littermates of the aforementioned transgenic/knockout mice. Mice at 4 to 6 months of age were euthanized by cervical dislocation for the collection of tissues. All procedures for handling the animals were approved by the Institutional Animal Care and Use Committee of the University of Texas Health Science Center at San Antonio and the Subcommittee for Animal Studies at the Audie L. Murphy Memorial Veterans Hospital.

Measurement of Antioxidant Enzyme Activities
The activities of Cu/Zn-SOD, Mn-SOD, and extracellular SOD (EC-SOD) in mouse aortas and SMCs were measured by using SOD activity gels as previously described by Van Remmen et al.13 Briefly, aorta and SMC extracts containing 15 µg of protein were separated on a 10% polyacrylamide gel. The gel was soaked in a solution containing nitro blue tetrazolium, riboflavin, and N,N,N',N'-tetramethyl-ethylenediamine. The gel was then illuminated at 560 nm in a light box for 15 minutes. Under these conditions, the area where the SOD activity was located showed an achromatic band on the gel. The gel image was captured with a digital camera imager system (ImageMaster VDS, Amersham Pharmacia Biotechnology) and analyzed by using ImageQuant software (Molecular Dynamics). The activities of catalase and Gpx1 in mouse aortas and SMCs were measured by using the catalase and Gpx activity gels as described by Sun et al,15 with slight modifications. Aorta and SMC extracts containing 50 µg of protein were separated on an 8% native polyacrylamide gel with a 5% stacking gel. For detection of Gpx1 activity, the gel was incubated in a solution containing 0.008% cumene hydroperoxide and 1.5 mmol/L reduced glutathione for 10 minutes and then stained with a solution containing 1% ferric chloride and 1% potassium ferricyanide until the gel became dark green with yellow activity bands. For detection of catalase activity, the gel was soaked in a solution containing 0.003% hydrogen peroxide for 10 minutes and then stained with the same staining solution used for the Gpx activity gel. The gel images were recorded and analyzed by using the image-acquiring system and software as described above.

Isolation and Culturing of SMCs
Mouse aortic SMCs were isolated and cultured as described by Wang et al,16 with modifications. After removal of the connective tissue and blood, mouse aortas were incubated in an enzyme solution containing 1.5 mg/mL collagenase/dispase (Boehringer-Mannheim), 0.5 mg/mL elastase type II-A (Sigma Chemical Co), 1 mg/mL trypsin inhibitor type I-S (Sigma), and 2 mg/mL BSA (Sigma). After 30 minutes of incubation, the medium was changed to the second enzyme solution that contained 1 mg/mL collagenase type II (Sigma), 0.3 mg/mL trypsin inhibitor type I-S, and 2 mg/mL BSA. The aorta was incubated in this solution for 30 minutes. All incubations in the enzyme solutions were carried out in 95% air/5% CO2 at 37°C. The aorta was then triturated by using a fire-polished Pasteur pipette to obtain a cell suspension. This procedure gave cell viabilities >95%, and the cells contracted in the presence of 10 µmol/L norepinephrine, as observed under a phase-contrast optical microscope. Cells were cultured in DMEM containing 10% FBS, 100 U/mL penicillin, and 100 µg/mL streptomycin. The cells were cultured at 37°C under 5% CO2 and used within 16 to 24 hours after they were plated.

Determination of LDL Oxidation Induced by Aortic Segments and SMCs
Human LDL (200 µg protein/mL) was incubated with 10 mg of mouse aorta or 1 million SMCs at 37°C under 5% CO2 in 0.5 mL of F-10 Ham medium (serum-free) containing 5 µmol/L iron EDTA. An equal amount of LDL was incubated in the above medium in the absence of cells, or equal numbers of SMCs were incubated in the above medium in the absence of human LDL as controls. After 16 hours of incubation, LDL oxidation in the medium was determined by using a thiobarbituric acid–reactive substances (TBARS) assay as described by Zhu et al,17 with slight modifications. Briefly, the cell/tissue suspension was centrifuged at 1000g to remove cells/tissues, and the supernatant was mixed with 0.5 mL of 10% trichloroacetic acid and 0.5 mL of 0.6% thiobarbituric acid. The mixture was incubated at 80°C for 15 minutes and cooled on ice for 5 minutes. After mixing with 1.5 mL of butanol, the mixture was centrifuged at 2000g for 10 minutes, and the absorbance of the supernatant was determined at 532 nm by using a DU 7400 spectrophotometer (Beckman Instrument Inc). A standard curve was generated by using the optical density of 1,1,3,3-tetraethoxypropane, which was converted quantitatively to malondialdehyde in the thiobarbituric acid reaction. Nanomolar equivalents of TBARS per milligram of LDL protein in the culture supernatant were calculated on the basis of the optical density of the supernatant and the absorption coefficient produced from the standard curve.

Determination of DNA Double-Strand Breaks Induced by OxLDL
The oxLDL used in the present study was obtained by incubation of human LDL with CuSO4 (5 µmol/L) in PBS for 24 hours at 37°C. The level of LDL oxidation was {approx}56 to 62 nmol of TBARS per milligram protein. The native LDL showed 0.5 to 1 nmol of TBARS per milligram protein. Mouse SMCs (5x105) were cultured with or without oxLDL (50 µg/mL) or native LDL (50 µg/mL) for 4 hours. DNA double-strand breaks were determined by using a comet assay as described by Olive and Banath,18 with slight modifications. Cultured cells were mixed with 0.5% low-melting agarose, and the mixture was layered on a microscope slide. Cells were lysed by immersing the slide in 2.5 mol/L sodium chloride, 0.1 mol/L EDTA, 0.1 mol/L Tris-Cl, pH 10, 10% dimethyl sulfoxide, and 1% Triton X-100 at 4°C for 2 hours. The slide was then transferred into a horizontal gel electrophoresis apparatus, and electrophoresis was carried out at 30 V ({approx}1 V/cm) in 1x TBE buffer (89 mmol/L Tris base, 89 mmol/L boric acid, and 2 mmol/L EDTA) for 10 minutes. Slides were stained with SYBR green (Molecular Probes, Inc). The fluorescence image of cells was viewed by using a fluorescence microscope (Nikon, 100-W mercury lamp) and analyzed by using a Komet 4.0 SCG image analysis system (Integrated Laboratory System). One hundred cells were analyzed from each slide, and 3 slides were examined for each sample.

Caspase Activity Assay
The caspase activity was determined by using an exogenous fluorogenic peptide substrate, carbobenzoxy-Asp-Glu-Val-Asp-7-amino-4-trifluoromethyl coumarin (DEVD-AFC, Enzymes Systems Products).19 The DEVD-AFC can be cleaved by caspase-3, -6, -7, -8, and -10 after the P1 aspartate residue, resulting in release of the fluorescent product, AFC.19 The released AFC has been shown to be proportional to the activities of these caspases.19 20 In this experiment, SMCs grown in a 6-well plate were incubated with LDL, oxLDL (50 µg/mL), or culture medium alone. After 4-hour incubation, cells were lysed with a lysis buffer (pH 7.4): 1% Triton X-100, 115 mmol/L NaCl, 1 mmol/L KH2PO4, 1 mmol/L dithiothreitol, 25 mmol/L HEPES, 1 mmol/L benzamidine, 1 mmol/L phenylmethylsulfonyl fluoride, 10 µg/mL phenanthroline, 10 µg/mL aprotinin, 10 µg/mL leupeptin, and 10 µg/mL pepstatin. The resulting lysates were centrifuged at 12 000g for 5 minutes at 4°C, and the supernatants (50 µg of protein in 50 µL) were added to 200 µL of enzyme reaction buffer containing 50 µmol/L peptide substrate, 0.1% CHAPS, 10% sucrose, 1 mmol/L EDTA, 10 mmol/L dithiothreitol, and 100 mmol/L HEPES (pH 7.4). After incubation at 37°C for 1 hour, fluorescence was monitored by exciting the sample at 360 nm and measuring the emission at 530 nm on a SpectorFluor plate reader (Tecan US Inc). The fluorescence was normalized by subtracting the background fluorescence, which was determined with 50 µL of lysis buffer and 200 µL of reaction buffer. For each experiment, a standard curve was constructed with free AFC. Based on the standard curve, the fluorescence reading from the enzymatic reaction was converted into the molar amount of AFC liberated by the caspases.

Statistical Analysis
Results from multiple experiments were reported as mean±SEM. The differences between transgenic/knockout and their wild-type littermates and the differences between control and oxLDL treatment were analyzed by 2-factor ANOVA followed by Sidak’s multiple comparison test. A value of P<=0.05 was considered statistically significant.


*    Results
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*Results
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An important concern in using transgenic mice that overexpress or underexpress an antioxidant gene is whether the mice have compensated for the increased or reduced expression of the gene by upregulating or downregulating other components of the antioxidant defense system. Previous studies have shown that the mice with reduced expression of Mn-SOD13 or Gpx114 did not exhibit significantly altered expression or activities of other major antioxidant genes in all tissues studied, including brain, heart, lung, liver, kidney, spleen, and muscle. In the present study, we measured the activities of Cu/Zn-SOD, Mn-SOD, EC-SOD, catalase, and Gpx1 in aortas obtained from hSod1Tg+/0, hCatTg+/0, Sod2+/-, and Gpx1-/- mice. Figure 1Down shows representative photographs of SOD, catalase, and Gpx activity gels. The 3 isoenzymes of SOD were separated by molecular weight in the SOD activity gel. Cu/Zn-SOD is a 64-kDa protein composed of 2 identical 32-kDa subunits. Mn-SOD is a tetrameric protein with a molecular mass of 88 kDa. It has been reported that rat EC-SOD, with a molecular mass of 68 kDa, is composed of 2 subunits.21 Thus, the top, middle, and bottom bands of the SOD activity gel correspond to the activity of mouse Mn-SOD, EC-SOD, and Cu/Zn-SOD, respectively. As shown in Table 1Down, the Cu/Zn-SOD activity in the aortas of hSod1Tg+/0 mice was {approx}2.5-fold higher than that in the aortas of their wild-type littermates; however, the activities of Mn-SOD, EC-SOD, catalase, and Gpx1 were not significantly altered in the aortas of hSod1Tg+/0 mice. The catalase activity in the aorta of hCatTg+/0 mice was {approx}2.3-fold higher than that in the wild-type control mice, and the activities of other antioxidant enzymes studied were not significantly different from those in the wild-type mice (Table 1Down). The Mn-SOD activity in the aortas of Sod2+/- mice was {approx}50% lower than that in the aortas of their wild-type littermates. The activities of Cu/Zn-SOD, EC-SOD, catalase, and Gpx1 were slightly higher in the aortas of Sod2+/- mice compared with the wild-type control mice; however, this difference was not statistically significant. The Gpx1 activity in the aortas of Gpx1-/- mice was barely detectable, and no significant compensation from other antioxidant enzymes studied was observed in the aortas of Gpx1-/- mice compared with their wild-type littermates. To establish whether oxLDL induces a compensatory alteration in the activities of antioxidant enzymes, we measured the activities of Cu/Zn-SOD, EC-SOD, catalase, and Gpx1 in the primary cultures of aortic SMCs that were incubated with or without oxLDL. As data in Figure 2Down illustrate, aortic SMCs isolated from hSod1Tg+/0, hCatTg+/0, Sod2+/-, and Gpx1-/- mice showed changes in the activities of the antioxidant enzymes similar to those observed in the aortas of these mice. For example, the activities of Cu/Zn-SOD and catalase were increased {approx}2.5-fold in the SMCs obtained from hSod1Tg+/0 and hCatTg+/0 mice, respectively. The Mn-SOD activity was reduced {approx}50%, and the Gpx1 activity was barely detectable in SMCs obtained from Sod2+/- and Gpx1 mice, respectively. No significant compensatory alterations from other antioxidant enzymes were observed in the SMCs incubated with or without oxLDL (Figure 2Down). Therefore, the transgenic/knockout mice used in the present study showed altered activity of 1 of the antioxidant enzymes in the aorta and aortic SMCs without compensation by other major antioxidant enzymes.



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Figure 1. Representative examples of activity gels used to measure the activities of antioxidant enzymes. Aorta extracts were obtained from hSod1Tg+/0, Sod2+/-, hCatTg+/0, Gpx1-/- mice and their wild-type littermates. The SOD activity gel, catalase activity gel, and Gpx activity gel were treated and analyzed as described in Methods.


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Table 1. Activities of Antioxidant Enzymes in the Mouse Aorta



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Figure 2. Effect of oxLDL on the activities of antioxidant enzymes in aortic SMCs. Aortic SMCs were obtained from hCatTg+/0, hSod1Tg+/0, Sod2+/-, and Gpx1-/- mice and their wild-type littermates. Cells were incubated with oxLDL (open bars) or culture medium alone (solid bars) for 4 hours. The activities of Cu/Zn-SOD, Mn-SOD, EC-SOD, Gpx1, and catalase were determined as the relative intensity of the bands at activity gels. Data are expressed as the percentage of enzyme activities of the wild-type mice. Values are the mean±SEM of 4 separate experiments in which SMCs were pooled from 3 mice for each experiment.

One of the goals of the present study was to determine the effect of overexpression or underexpression of various antioxidant enzymes on vascular cell–induced LDL oxidation. Our results showed that incubation of human LDL with mouse aortic segments obtained from wild-type mice resulted in a significant increase in LDL oxidation compared with incubation in a tissue-free system (24±1 versus 1.5±0.4 nmol TBARS/mg protein, respectively). Under similar conditions, incubation of LDL with aortic segments of hSod1Tg+/0 and hCatTg+/0 mice resulted in a 2.5- and 6-fold decrease, respectively, in the formation of TBARS compared with incubation of LDL with aortic segments of their wild-type littermates (Figure 3ADown). In contrast, incubation of LDL with aortic segments from Sod2+/- and Gpx1-/- mice resulted in increases of 35% and 26%, respectively, in the formation of TBARS compared with incubation of LDL with aortic segments from their wild-type littermates (Figure 3ADown). When LDL was incubated with SMCs, the effect of overexpressing Cu/Zn-SOD or catalase and of underexpressing Mn-SOD or Gpx1 on cell-induced LDL oxidation was similar to that observed with aortic segments (Figure 3BDown).



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Figure 3. Oxidation of LDL by aortic segments and SMCs. Human LDL was incubated for 16 hours with aortic segments (A) or SMCs (B) obtained from hSod1Tg+/0, hCatTg+/0, Sod2+/-, and Gpx1-/- mice and their wild-type littermates. The level of LDL oxidation was determined by using TBARS assay as described in Methods. Data are expressed as mean±SEM of 6 mice for each group. *P<0.05 vs wild-type littermates.

The comet assay (single-cell microgel electrophoresis) has been used by many laboratories as a sensitive method for assessing apoptosis in transformed cell lines,22 tumor cells,18 and cells isolated from human23 and animal24 tissues. In the present study, we used the comet assay to evaluate apoptosis in mouse aortic SMCs. Figure 4Down shows examples of photographic images of the comet assay. In the cells that possess no or few DNA double-strand breaks, DNA fluorescence was shown as class I nuclei. However, in the cells with DNA double-strand breaks, a fluorescence tail along the electric field was observed (class II and III nuclei) because small DNA fragments migrated from the nuclei. The image pattern shown in class III nuclei has been generally accepted to be associated with the DNA fragmentation that occurs in apoptosis.24 The data in Table 2Down show the percentage of class III cells in mouse aortic SMCs incubated with or without native LDL or CuSO4-oxidized LDL. When cells were incubated only with culture medium, {approx}2% of SMCs showed class III nuclei, and no significant difference was observed between wild-type mice and all the transgenic/knockout mice. After the primary cultures of SMCs were incubated with oxLDL, a substantial increase in the percentage of cells with class III nuclei was observed. Native LDL did not significantly increase class III nuclei (Table 2Down). The increase in cells with class III nuclei varied in transgenic/knockout mice and their wild-type littermates. For example, the percentage of cells with class III nuclei in SMCs obtained from hSod1Tg+/0 and hCatTg+/0 mice was {approx}50% lower than that from their wild-type littermates. In contrast, SMCs obtained from Sod2+/- and Gpx1-/- mice had {approx}30% more cells with class III nuclei compared with SMCs obtained from their wild-type littermates (Table 2Down).



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Figure 4. Comet images of mouse aortic SMCs. Primary cultures of mouse aortic SMCs were analyzed by the comet assay as described in Methods. Examples of cells with class I, II, and III nuclei are shown.


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Table 2. OxLDL-Induced Cytotoxicity in Primary Cultures of Mouse Aortic SMCs

Although DNA fragmentation is one of the hallmark characteristics of apoptotic cell death, recent studies have shown that DNA fragmentation also occurs in early necrosis.19 To establish whether the observed DNA fragmentation induced by oxLDL in aortic SMCs is related to apoptosis, we measured the caspase activity by using DEVD-AFC, a peptide substrate of caspase-3, -6, -7, -8, and -10.19 20 As data in Table 3Down show, when cells were incubated with culture medium or native LDL, the caspase activity was similar in all transgenic/knockout mice and their wild-type controls. In contrast, after the primary cultures of SMCs were incubated with oxLDL, a significant increase in the caspase activity was observed. The increase in caspase activity varied in transgenic/knockout mice and their wild-type littermates. For example, the caspase activity in SMCs obtained from hSod1Tg+/0 and hCatTg+/0 mice was {approx}50% lower than the caspase activity in SMCs obtained from their wild-type littermates. In contrast, compared with SMCs obtained from their wild-type littermates, SMCs obtained from Sod2+/- and Gpx1-/- mice had {approx}50% higher caspase activity (Table 3Down). Thus, data in Tables 2Up and 3Down indicate that oxLDL induces apoptosis in mouse aortic SMCs, that overexpression of catalase or Cu/Zn-SOD reduces oxLDL-induced apoptosis, and that underexpression of Mn-SOD or Gpx1 enhances oxLDL-induced apoptosis.


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Table 3. OxLDL-Induced Caspase Activity in Primary Cultures of Mouse Aortic SMCs


*    Discussion
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*Discussion
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In the present study, we observed that the activity of either Cu/Zn-SOD or catalase was significantly increased in the aortas and aortic SMCs obtained from hSod1Tg+/0 and hCatTg+/0 mice, respectively, compared with wild-type mice. In contrast, the activity of either Mn-SOD or Gpx1 was significantly reduced in the aortas and aortic SMCs obtained from Sod2+/- and Gpx1-/- mice, respectively, compared with their wild-type littermates. Aortas and aortic SMCs obtained from these transgenic/knockout mice did not show any evidence of compensation for the altered activity of the antioxidant enzyme by upregulating or downregulating other major components of the antioxidant defense system. Thus, the hSod1Tg+/0, hCatTg+/0, Sod2+/-, and Gpx1-/- mice are valuable models for studying the role of oxidative stress in vascular biology because the antioxidant defense system has been altered in these mice. In the present study, we used these transgenic/knockout mice to evaluate the effect of changes in expression of the antioxidant enzymes on cell-mediated LDL oxidation and oxLDL-induced apoptosis in aortic cells.

At the present time, most of the published studies involving cell-mediated LDL oxidation have used cells from humans3 and cells or aortic segments from larger animals, eg, bovine,3 porcine,8 and rabbit cells or segments.25 Very little has been published involving mice. However, such information is important because of the power of using transgenic/knockout mouse models to study the molecular mechanisms of atherosclerosis. In the present study, we compared the oxidation of LDL by aortic segments or SMCs obtained from transgenic/knockout mice that had an alteration in 1 component of the antioxidant defense system. Our data demonstrated that aortas and aortic SMCs obtained from mice were capable of oxidizing LDL. However, aortic segments and SMCs from hSod1Tg+/0 mice, compared with their wild-type littermates, showed reduced LDL oxidation. In contrast, aortic segments and SMCs from Sod2+/- mice showed elevated LDL oxidation. These results, for the first time, demonstrated that increase in endogenous SOD activity inhibits vascular cell–mediated LDL oxidation and that a decrease in endogenous SOD activity promotes LDL oxidation. These data add to the reports of other investigators showing that addition of SOD to the culture medium4 10 or transfection of the SOD gene to vascular cells protects LDLs from oxidation.8

The mechanism by which vascular cells mediate LDL oxidation has not been elucidated to date. Results from previous studies showing that the degree of LDL oxidation was directly proportional to the rate of superoxide production by cells and that increased SOD activity inhibited LDL oxidation suggest a role of superoxide radicals in mediating LDL oxidation.8 However, superoxide anions do not readily react with most biological molecules9 ; therefore, it has been suggested that the toxicity attributed to superoxide radicals may be mediated, at least in part, by other radical species derived from superoxide anions. It has been known that superoxide can be converted to hydrogen peroxide by SOD in cells. Hydrogen peroxide can readily cross the cellular membrane and form hydroxyl radicals through its interaction with redox-active transitional metals.26 To test whether hydrogen peroxide plays a role in LDL oxidation, Steinbrecher4 and Heinecke et al10 incubated LDLs with ECs and SMCs in the presence or absence of catalase and measured the levels of LDL oxidation induced by these cells. They did not observe any decrease in cell-mediated LDL oxidation in the presence of catalase. However, the use of exogenous catalase to study the role of free radicals in cell-mediated LDL oxidation has several limitations. For example, exogenous catalase may contain impurities that may nonspecifically alter LDL oxidation. Moreover, catalase is negatively charged and may be repelled from the negatively charged cell surface, thus preventing it from destroying hydrogen peroxide near the cell. In the present study, using aortic segments and SMCs obtained from hCatTg+/0 and Gpx1-/- mice, we observed that an increase in intracellular catalase activity reduced LDL oxidation and that a decline in intracellular Gpx1 activity elevated LDL oxidation. Because catalase and Gpx1 catalyze the decomposition of hydrogen peroxide, changes in the activities of catalase and Gpx1 would be predicted to alter the level of intracellular hydrogen peroxide. Thus, our observations with aortic segments and SMCs obtained from mice overexpressing catalase and mice underexpressing Gpx1 suggest that hydrogen peroxide plays a role in vascular cell–mediated LDL oxidation.

Oxidized forms of LDL in vitro have been found to induce a variety of cellular responses, eg, adhesion of inflammatory cells to ECs and the death of ECs and SMCs (see review1 ). Data from recent studies suggest that oxLDL induces vascular cell death via an apoptotic pathway involving activation of the caspases,27 a family of cysteine proteases that are responsible for apoptotic cell death.27 In the present study, we observed that oxLDL, but not native LDL, increased the percentage of cells showing DNA fragmentation and induced caspase activity in the primary cultures of mouse SMCs. These data indicate that oxLDL results in apoptosis in mouse aortic SMCs.28 The importance of SMC apoptosis in the pathogenesis of atherosclerosis has been illustrated by the observation that SMC apoptosis occurs in the atherosclerotic plaques.29 The loss of SMCs will result in decreased biosynthesis of collagen fibers, which strengthens the fibrous cap of atherosclerotic plaques.30 Thus, the loss of SMCs is believed to weaken the fibrous cap and make the plaque more prone to rupture.31 Therefore, induction of SMC apoptosis could be one of the atherogenic actions of oxLDL.

One of the important observations in the present study is that changes in the activities of antioxidant enzymes in transgenic and knockout mice alter the oxLDL-induced apoptosis in aortic SMCs. For example, aortic SMCs obtained from hSod1Tg+/0 and hCatTg+/0 mice, compared with aortic SMCs from their wild-type littermates, showed a 50% decrease in the percentage of cells with DNA fragmentation and a 50% decrease in caspase activity induced by oxLDL. These results are consistent with the observations of Galle et al9 showing that the addition of SOD or catalase to the culture medium blunted apoptosis induced by oxLDL. In addition, we observed that aortic SMCs obtained from Sod2+/- and Gpx1-/- mice showed a significant increase in the percentage of cells with DNA fragmentation and a significant increase in caspase activity compared with wild-type mice. Results from Galle et al9 and from our studies indicate that antioxidant enzymes protect vascular cells from apoptosis induced by oxLDL. Antioxidant enzymes also have been found to protect cells against apoptosis induced by other types of stimuli. For example, an increase in the activities of Cu/Zn-SOD,32 Mn-SOD,33 catalase,34 and Gpx135 have been shown to reduce apoptosis induced by sepsis, ionizing irradiation, tumor necrosis factor-{alpha}, and ischemia/reperfusion in cells obtained from humans and animals. A decrease in the activities of Cu/Zn-SOD,32 Mn-SOD,36 catalase,37 and Gpx135 have been shown to increase apoptosis induced by various stimuli. These findings suggest that the formation of intracellular superoxide and/or hydrogen peroxide is 1 of the mechanisms by which these stimuli induce apoptosis; ie, ROS may function as a second messenger of these stimuli to activate caspases, leading to apoptotic cell death (see review38 ).

Currently, there have been 2 reports in which transgenic mice have been used to study the effect of overexpression of Cu/Zn-SOD on atherosclerosis.39 40 In these studies, Tribble et al40 fed mice overexpressing Cu/Zn-SOD and their wild-type littermates a high fat diet and measured atherosclerosis in the proximal aorta. They observed that overexpression of Cu/Zn-SOD did not reduce the formation of fatty streaks induced by the high fat diet,40 suggesting that ROS, at least superoxide radicals, do not play a role in the formation of fatty streaks induced by a high fat diet. However, in a later study, Tribble et al39 observed that the extent of atherosclerotic lesions in the proximal aorta of the transgenic mice was significantly smaller than that in the aorta of wild-type mice when these mice were exposed to a single x-ray dose and then placed on a high fat diet. These observations provide the first evidence that increase in the expression of Cu/Zn-SOD inhibits the atherogenic effect of oxidative stress, eg, ionizing radiation. Results from the present study have shown that changes in the activities of endogenous antioxidant enzymes, including Cu/Zn-SOD, alter vascular cell–mediated LDL oxidation and oxLDL-induced apoptosis of SMCs. These data suggest that alteration of the antioxidant status in the arterial wall may change the pathogenesis of atherosclerosis. For example, an increase in the activity of antioxidant enzymes may reduce the development of atherosclerosis, and a decrease in the activities of antioxidant enzymes may accelerate the development of atherosclerosis.

In summary, the present study has demonstrated that overexpression of Cu/Zn-SOD or catalase in mice protects LDL against vascular cell–mediated oxidation and reduced oxLDL-induced apoptosis in SMCs. In contrast, underexpression of Mn-SOD or Gpx1 in mice facilitates LDL oxidation and elevates the cytotoxicity of oxLDL. These data suggest that vascular cell–generated ROS, such as superoxide and hydrogen peroxide, are involved in cell-mediated LDL oxidation and oxLDL-induced apoptosis. These data have also demonstrated that mice overexpressing or underexpressing intracellular antioxidant enzymes are potentially valuable models for studying the role of oxidative stress in atherosclerosis.


*    Acknowledgments
 
This research was supported by American Heart Association grant 0030239N, National Institutes of Health grants PO1 AG-13319 and AG-16998, and a Merit Review grant from the Department of Veteran Affairs.

Received February 6, 2001; accepted April 6, 2001.


*    References
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up arrowAbstract
up arrowIntroduction
up arrowMethods
up arrowResults
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*References
 
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