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Endocrinology Vol. 142, No. 8 3649-3655
Copyright © 2001 by The Endocrine Society


ARTICLES

Expression of Calbindin-D28k in a Pancreatic Islet ß-Cell Line Protects against Cytokine-Induced Apoptosis and Necrosis

Alex Rabinovitch, Wilma L. Suarez-Pinzon, Karen Sooy, Ken Strynadka and Sylvia Christakos

Departments of Medicine (A.R., W.L.S.-P.) and Pediatrics (K.S.), University of Alberta, Edmonton, Alberta, Canada T6G 2S2; and Department of Biochemistry and Molecular Biology, New Jersey Medical School (K.S., S.C.), Newark, New Jersey 07103

Address all correspondence and requests for reprints to: Alex Rabinovitch, M.D., 430 Heritage Medical Research Centre, University of Alberta, Edmonton, Canada T6G 2S2. E-mail: alex.rabinovitch{at}ualberta.ca


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cytokines produced by immune system cells that infiltrate pancreatic islets are candidate mediators of islet ß-cell destruction in autoimmune (type 1) diabetes mellitus. Because the calcium binding protein, calbindin-D28k, can prevent apoptotic cell death in different cell types, we investigated the possibility that calbindin-D28k may prevent cytokine-mediated islet ß-cell destruction. Using the expression vector BSR{alpha}, rat calbindin-D28k was stably expressed in the pancreatic islet ß-cell line, ßTC-3. Calbindin-D28k expression resulted in increased cell survival in the presence of the cytotoxic combination of the cytokines IL-1ß (30 U/ml), TNF{alpha} (103 U/ml), and interferon {gamma} (103 U/ml). The greatest protection was observed in the ßTC-3 cell clone expressing the highest concentration of calbindin-D28k. Apoptotic cell death was detected by annexin V staining and by the TdT-mediated dUTP-X nick end labeling assay in vector-transfected ßTC-3 cells incubated with cytokines (14–15% apoptotic cells). The number of apoptotic cells was significantly decreased in calbindin-D28k-overexpressing ßTC-3 cells incubated with cytokines (5–6% apoptotic cells). To address the mechanism of the antiapoptotic effects of calbindin, studies were done to examine whether calbindin inhibits free radical formation. The stimulatory effects of the cytokines on lipid hydroperoxide, nitric oxide, and peroxynitrite production were significantly decreased in the calbindin-D28k-expressing ßTC-3 cells. Our findings indicate that calbindin-D28k, by inhibiting free radical formation, can protect against cytokine-mediated apoptosis and destruction of ß-cells. These findings suggest that calbindin-D28k may be an important regulator of cell death that can protect pancreatic islet ß-cells from autoimmune destruction in type 1 diabetes.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
TYPE 1 DIABETES mellitus is an autoimmune disease in which mononuclear cells of the immune system (macrophages and lymphocytes) infiltrate the pancreatic islets of Langerhans (insulitis), leading to selective destruction of the islet ß-cells and to insulin-dependent diabetes mellitus (1). Proinflammatory cytokines produced by the islet-infiltrating macrophages and lymphocytes are thought to play a role in ß-cell destruction (2, 3). Studies in vitro have shown that the cytokines IL-1ß, interferon (IFN){gamma}, and TNF{alpha} can inhibit insulin biosynthesis and release and decrease ß-cell viability (2, 3). In addition, studies in vivo have indicated diabetogenic roles for these cytokines. Transgenic expression of IFN{gamma} (4) or TNF{alpha} (5) in islet ß-cells was found to lead to loss of pancreatic islet tolerance; and, in nonobese diabetic (NOD) mice, IFN{gamma} mRNA expression was found to correlate with ß-cell destructive insulitis (6, 7). Furthermore, the development of autoimmune diabetes in NOD mice (8, 9) or BioBreeding rats (10) can be prevented by treatment with antibodies to IFN{gamma}. Cytokine-induced ß-cell destruction has been reported to involve production of oxygen free radicals (11) and the nitric oxide radical (NO·) (12). Cytotoxic actions of radicals include DNA damage and islet cell death by apoptosis (13). Apoptosis has been reported as a mechanism of cytokine-mediated islet ß-cell destruction (14, 15, 16), and characteristics of apoptosis have been noted in the islet ß-cells of NOD mice (17).

Calbindin-D28k is a cytosolic calcium-binding protein expressed in high levels in avian intestine and in avian and mammalian kidney (where it is induced by vitamin D and thought to act as a facilitator of calcium diffusion) (18, 19). Calbindin-D28k is also expressed in many other tissues that are not primary regulators of serum calcium, including pancreas and brain (18, 19). Previous studies using islets isolated from calbindin-D28k knockout mice and islet ß-cell lines established a role for calbindin in the modulation of depolarization-stimulated insulin release (20). Calbindin has also been reported to prevent apoptotic cell death in different cell types (21), including motor neuron hybrid cells (22), glial cells (23), PC 12 cells (24), and lymphocytes (25). In a more recent study, calbindin-D28k was reported to suppress cytokine-mediated apoptotic cell death in osteoblasts (26). In the present study, we report that calbindin-D28k inhibits cytokine-induced free radical formation and protects against cytokine-mediated apoptosis and destruction of an islet ß-cell line. Our findings suggest that calbindin may be an important regulator of cell death that can protect pancreatic islet ß-cells from autoimmune destruction in type 1 diabetes.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
ß-cell lines: stable transfection and clonal selection
ßTC-3 cells are from an islet ß-cell line derived from transgenic mouse insulinomas and were obtained from Dr. Norman Fleischer (Albert Einstein College of Medicine, New York, NY) (27). ßHC-13 cells are from an islet ß-cell line derived from hyperplastic islets of transgenic mice and were obtained from Dr. Douglas Hanahan (University of California, San Francisco, CA) (28). RIN-m5F cells are from a rat insulinoma line and were obtained from American Type Culture Collection (Manassas, VA). All cells were maintained in DMEM supplemented with l7 mM glucose, 15% horse serum, 2.5% FBS, 100 U/ml penicillin, and 100 µg/ml streptomycin (Life Technologies, Inc., Burlington, Ontario, Canada) in 5% CO2 at 37 C. Cells were grown in this medium (normal growth medium) in 100-mm tissue culture dishes (Falcon, Oxnard, CA) and maintained with one passage per week. In addition, grown cells were stored in liquid nitrogen (passage number < 35) and revived. All stably transfected clones were maintained in normal growth medium supplemented with 800 µg/ml G418 sulfate aminoglycoside antibiotic (Calbiochem-Novobiochem Corp., San Diego, CA). For stable transfection, approximately 50–60% confluent cells (passage numbers between 20 and 30) were used. The expression plasmid used, designated pBSR{alpha}-CD28, was composed of pBSR{alpha} (a gift from Dr. Michael Olszowy, WA University School of Medicine, St. Louis, MO) that uses the SV40 promoter to drive the expression of calbindin-D28k cDNA isolated by PCR from cDNA prepared from rat renal distal tubular mRNA (29). Ten micrograms each of pBSR{alpha} vector alone or pBSR{alpha}-CD28 were mixed with 50 µl LipofectAMINE reagent (Life Technologies, Inc.), then added to cells in Opti-MEM reduced serum medium (Life Technologies, Inc.) with 2% FBS, and incubated for 20 h at 37 C. Normal growth medium was added the next day. Three days after transfection, selection began with increasing amounts of G418, to a final concentration of 800 µg/ml. After 8 wk of G418 selection, colonies were picked under sterile conditions and grown in T25 culture flasks (VWR Canlab, Mississauga, Ontario, Canada) to allow 60–70% confluency before cell dissociation for the different studies.

Western blot analysis
ßTC-3, ßHC-13, and RIN-m5F cells from vector- and calbindin-transfected cell lines were washed twice with ice-cold PBS, scraped off the T25 culture flasks, lysed in Laemmli sample buffer (30), and boiled for 5 min. The supernatant solution obtained after centrifugation at 14,000 x g for 15 min at 4 C was used to measure total protein, by the bicinchoninic acid (BCA) method, using a Micro BCA protein assay reagent kit (Pierce Chemical Co., Rockford, IL). Calbindin-D28k expression in the different cell lines was determined by Western blot analysis (24), modified to quantitate the levels of calbindin-D28k protein expressed. Cell protein extracts and calbindin-D28k protein standards (0.1, 0.5, 1, 5, and 10 µg protein) were diluted in Lane marker-reducing sample buffer (Pierce Chemical Co.) and submitted to electrophoresis on a 4–20% precast SDS-PAGE gel (Bio-Rad Laboratories, Inc., Hercules, CA) and then transferred to a Hytrand C nitrocellulose sheet (Amersham Pharmacia Biotech, Baie d’Urfe, Québec, Canada). The nitrocellulose sheet was blocked for 30 min with Tris-buffered saline (pH 7.4) containing 5% dry milk, and then incubated for 1 h with a 1:1000 dilution of a rabbit antirat antibody to calbindin-D28k generated and characterized as described previously (31). The sheet was washed with Tris-buffered saline containing 0.06% Tween-20 (Sigma, St. Louis, MO) and then incubated for 30 min with peroxidase (POD)-labeled goat antirabbit antibody diluted 1:25,000 (Amersham Pharmacia Biotech). The detection step was performed using Dura signal chemiluminescence reagent (Pierce Chemical Co.), and the air-dried sheet was exposed to Hyperfilm linearized BioMax-MR ECL (Amersham Pharmacia Biotech). Optical densities of the protein bands were analyzed by using a Fluor-S Max MultiImager integrated to Quantity One software (Bio-Rad Laboratories, Inc.).

Immunocytochemical studies
ßTC-3 cells were removed from the culture flasks by incubation in PBS-based, enzyme-free cell dissociation buffer (Life Technologies, Inc.) at 37 C for 10 min, followed by syringe injection through progressively narrower gauge needles (from size 16–22). The cells were washed twice in PBS, then fixed with 4% paraformaldehyde in PBS for 10 min and washed twice in PBS. The fixed cells (104 in 10 µl PBS) were placed on glass slides coated with 3-aminopropyltriethoxysilane (Sigma), and the slides were air-dried and stored at -70 C until cell staining was performed, as described previously (32). Briefly, the fixed cells were permeabilized with 1.5% saponin (Sigma) in PBS (PBS-saponin). Endogenous cell POD was blocked by incubation in PBS-saponin containing 1% H2O2, followed by 20% normal goat serum. The cells were incubated first with a rabbit antibody to calbindin-D28k (31), diluted 1:500 in PBS-saponin. Control incubations were done with rabbit Igs (Cedarlane Laboratories, Hornby, Ontario, Canada). Next, the cells were incubated with a secondary antibody, biotinylated goat antirabbit IgG (Zymed Laboratories, Inc., South San Francisco, CA), then streptavidin-POD conjugate (Zymed Laboratories, Inc.) and substrate chromogen, 3-amino 9-ethylcarbazole (Biomeda, Foster City, CA), which stained calbindin-containing cells red. The slides were sealed by using Crystal/Mount and Clarion mounting medium (Biomeda).

Cell incubations with cytokines
ßTC-3, ßHC-13, and RIN-m5F cells were removed from the culture flasks by using cell dissociation buffer as described for the immunocytochemical studies. The cells were then washed and resuspended in phenol red-free RPMI-1640 medium (Life Technologies, Inc.) containing 0.3 mM L-arginine, 11 mM glucose, 10% heat-inactivated FCS, 100 U/ml penicillin, 100 µg/ml streptomycin, 0.25 µg/ml Amphotericin, and 12 mM HEPES (test medium). In the first study, the effects of cytokines on viability of vector- and calbindin-transfected cells were examined by trypan blue and MTT assays. Cells (103/well) were seeded in 170 µl test medium in 96-well A/2 area nontissue culture-treated plates (Sarstedt, Montreal, Québec, Canada) for incubations to be followed by trypan blue assays, and 105 cells/well were seeded in 170 µl test medium in 96-well A/2 area tissue culture plates (Sarstedt) for incubations to be followed by MTT assays. Cells were incubated in test medium alone and test medium containing the cytokine combination of IL-1ß (30 U/ml), TNF{alpha} (103 U/ml), and IFN{gamma} (103 U/ml) for 72 h. Recombinant human IL-1ß (2–4 x 107 U/mg) was provided by the Upjohn Co. (Kalamazoo, MI); recombinant murine TNF{alpha} (1.2 x 107 U/mg) and recombinant murine IFN{gamma} (8 x 106 U/mg) were provided by Genentech, Inc. (South San Francisco, CA). After 72 h incubation, cells were collected for trypan blue and MTT assays. In the second study, the effects of cytokines on apoptosis of vector-and calbindin-transfected ßTC-3 cells were examined by annexin V and TUNEL assays. For these experiments, 3 x 104 cells were seeded in 120 µl test medium in 8-well culture slides (Becton Dickinson and Co., Bedford, MA) and incubated in test medium alone and test medium containing the cytokine combination of IL-1ß (30 U/ml), TNF{alpha} (103 U/ml), and IFN{gamma} (103 U/ml) for 72 h. After the incubations, cells attached to the slides were examined for apoptosis by annexin V and TUNEL assays. In the third study, the effects of cytokines on free radical production in vector- and calbindin-transfected ßTC-3 cells were examined. For these experiments, 5 x 105 cells were seeded in 1.6 ml test medium in 35 x 10-mm nontissue culture-treated Falcon dishes (Becton Dickinson and Co.) and incubated in test medium alone and test medium containing the cytokine combination of IL-1ß (30 U/ml), TNF{alpha} (103 U/ml), and IFN{gamma} (103 U/ml) for 72 h. After the incubations, cell media were collected for assays of lipid hydroperoxide and nitrite, and cells were collected for nitrotyrosine assay.

Trypan blue assay
Cell viability was determined by cellular exclusion of trypan blue. The cells were washed in PBS, incubated for 1 min in 0.2% trypan blue in PBS (pH 7.4), and counted using a hemacytometer at 40x magnification. The percentage of cells that stained blue (nonviable cells) was calculated as a percentage of the total.

MTT assay
Cell viability was also determined by a colorimetric assay that detects the reduction of 3-(4,5-dimethylthiazolyl-2) 2,5-diphenyltetrazolium bromide (MTT, Sigma) into a blue formazan product by viable metabolically active cells, as described by Mosmann (33) and modified by Sladowski et al. (34).

Annexin V assay
Cells undergoing early apoptosis were identified by using an annexin V-fluorescein isothiocyanate (FITC) apoptosis detection kit (Kamiya Biomedical Co., Seattle, WA). This method is based on the binding of annexin V to phosphatidylserine that translocates to the outer plasma membrane of the apoptotic cell (35). Cells attached to the slides were washed in PBS, incubated in 100 µl annexin-binding buffer for 45 min at 4 C; then, 1 µl annexin V-FITC (final concentration 0.25 µg/ml) was added, and the incubation was continued for 30 min in the dark at 4 C. All subsequent incubations were done in the dark. The cells were washed in PBS, fixed in 4% paraformaldehyde in PBS for 30 min at room temperature, and washed in PBS. The slides were air-dried, then sealed by using Crystal/Mount and Clarion mounting medium (Biomeda). Apoptotic cells were stained green, as detected by fluorescence microscopy (annexin V-FITC+). Cell preparations were stained in duplicate, and 3000 cells were scored blindly by two independent readings in which 60 different microscopic fields were scanned (oil immersion 60x).

TUNEL assay
Cells undergoing early apoptosis were also identified by using a POD in situ cell death detection kit (Roche Diagnostics, Laval, Québec, Canada). This method is based on the detection of single- and double-stranded DNA breaks (nicks) by the TdT-mediated dUTP-X nick end labeling (TUNEL) method (36). Cells attached to the slides were washed in PBS, fixed in 4% paraformaldehyde, then washed in PBS. The cells were then incubated in 3% H2O2 in PBS for 15 min at room temperature, followed by a permeabilization step using 3% saponin in PBS (PBS-saponin) for 2 h at room temperature. TUNEL POD detection antibody for the TUNEL reaction (Roche Diagnostics) was added for 2 h at room temperature, followed by washing in PBS-saponin for 30 min. POD converter reagent was added for 20 min at 37 C, then the cells were washed in PBS-saponin, and an aminoethylcarbazole chromogen was added. Apoptotic cells with DNA breaks were identified by red nuclear staining by using brightfield light microscopy. Cell preparations were scored as described for the annexin V apoptosis study.

Lipid hydroperoxide assay
Lipid hydroperoxides were measured by using a Lipid Hydroperoxide assay kit (Cayman Chemical, Ann Arbor, MI). This method is based upon the oxidation of ferrous ions to chromogenic ferric ions by hydroperoxides (37). Lipid hydroperoxides in cell incubation media were first extracted into chloroform, followed by a deproteination procedure to ensure that the sample lipid hydroperoxides are extracted quantitatively into a small volume of chloroform-methanol. The hydroperoxide concentration was determined based on the absorbances of sample and standard at 504 nm in a spectrophotometer microplate reader (Molecular Devices, Menlo Park, CA).

Nitrite assay
Nitrite in cell incubation media was determined by the method of Green et al. (38) using HPLC equipment, modified as described previously (11).

Nitrotyrosine assay
Sample preparation was as described by Hensley et al. (39). Cells were briefly sonicated in 400 µl sodium acetate (10 mM, pH 6.5), then rapidly vortexed for 1 h, and centrifuged for 10 min at 12,000 x g. A 50-µl aliquot of the supernatant was removed for protein assay using a Micro BCA protein assay reagent kit (Pierce Chemical Co.). To 150 µl of the supernatant was added 25 µl sodium acetate buffer and 50 µl pronase (1 mg/ml in acetate buffer). The solution was then heated at 50 C for 18 h and dried in a Speed Vac system. The dried extract was dissolved in 100 µl ethanol:H2O (70:30) by rapid vortexing and then centrifuged at 12,000 x g for 10 min. The supernatant was frozen at -20 C until derivatization and quantitation by HPLC, as described by Kamisaki et al. (40). Derivatization of nitrotyrosine was done by adding 10 µl sodium borate, 0.1 M (pH 8.7), and 10 µl 4-fluoro-7-nitrobenzo-2-oxa-1,3-diazole (10 mg/ml in ethanol) to 50 µl of the ethanol:H2O solution containing islet extract and incubating at 60 C for 2 min. The reaction was terminated by addition of 15 µl 0.1 M HCl, and an aliquot (50–80 µl) was injected into the HPLC column. The chromatography procedure was as described by Kamisaki et al. (40). The detection limit for nitrotyrosine was approximately 1 pmol at a signal-to-noise ratio of 5.

Statistical analysis
Data are expressed as means ± SE for five to six separate experiments. The statistical significance of difference between mean values was determined by one-way ANOVA and the post hoc Bonferroni multiple-comparisons test.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Expression of calbindin-D28k protein in ßTC-3 cells stably transfected with pBSR{alpha}-CB28 was determined by immunocytochemical staining and by quantitative Western blot analysis. In vector-transfected ßTC-3 cells, immunocytochemical analysis indicated no cell staining for calbindin-D28k (Fig. 1AGo), and calbindin-D28k levels were below the limits of detection (< 5 ng/mg protein by Western blot analysis). Immunocytochemical staining was detected in the low-calbindin-D28k-expressing clone (Fig. 1BGo, 87 ± 5 ng/mg protein by Western blot analysis) and most intense in the high-calbindin-D28k-expressing clone (Fig. 1CGo; 375 ± 15 ng/mg protein by Western blot analysis).



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Figure 1. Photomicrographs of pancreatic islet ß-cells (mouse ßTC-3 cell line) transfected with pBSR{alpha} (vector alone, A) or pBSR{alpha}-CB28 (vector containing calbindin-D28k cDNA, B and C), and examined by immunocytochemical staining using an antibody to calbindin-D28k protein. ßTC-3 cells transfected with vector alone, are unstained (A), whereas ßTC-3 cells transfected with calbindin-D28k cDNA expressed the protein at moderate staining intensity in one clone (red-stained cells in B) and intensely in another clone (red-stained cells in C). A, B, and C are at 40x magnification, and insets showing individual cells are at 100x magnification.

 
Consistent with previous observations demonstrating pancreatic islet and ß-cell destruction by cytokines (2, 3), the cytokine combination of IL-1ß, TNF{alpha}, and IFN{gamma} significantly decreased the survival of mouse pancreatic ßTC-3 cells transfected with vector alone (CaBP 0), as determined by an increase in trypan blue-positive cells (Fig. 2AGo) and by decreased MTT reduction by the cells (Fig. 2BGo). In contrast, calbindin-D28k-overexpressing ßTC-3 cells exhibited resistance to cytokine-mediated cell death, as indicated by significantly smaller increases in trypan blue-positive cells in response to cytokines in both the low- and high-calbindin-D28k-expressing clones (Fig. 2AGo). Also, the cytotoxic effect of cytokines, as determined in the MTT assay, was significantly decreased in the high-calbindin-D28k-expressing ßTC-3 clone (Fig. 2BGo). In addition, we found that two other islet ß-cell lines, ßHC-13 cells and RIN-m5F cells, were protected from cytokine-induced destruction by overexpressing calbindin-D28k (Table 1Go).



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Figure 2. Calbindin-D28k overexpression protects against cytokine-induced destruction of ßTC-3 cells, measured as an increase in trypan blue uptake by cells (A) and as a decrease in cell viability (MTT assay, B). ßTC-3 cells transfected with vector alone and not expressing calbindin (CaBP 0) and ßTC-3 cells transfected with vector containing calbindin-D28k cDNA and expressing calbindin at low levels (CaBP low) and at high levels (CaBP high) were incubated for 72 h without (-) and with (+) the cytokine combination of IL-1ß (30 U/ml), TNF{alpha} (103 U/ml), and IFN{gamma} (103 U/ml). Values are means ± SE, n = 6. *, P < 0.05; **, P < 0.01; ***, P < 0.001 for cytokines + vs. cytokines - in corresponding CaBP group. {dagger}, P < 0.05; {ddagger}, P < 0.01vs. CaBP 0 cytokines + group.

 

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Table 1. Calbindin-D28k overexpression protects against cytokine-induced destruction of mouse and rat ß-cell lines

 
The high-calbindin-D28k-expressing ßTC-3 clone was used in all subsequent studies. The cytokine combination of IL-1ß, TNF{alpha}, and IFN{gamma} induced apoptosis of ßTC-3 cells, as determined by both the annexin V method (Fig. 3AGo) and the TUNEL method (Fig. 3BGo). In contrast, the proapoptotic effects of the cytokines in both assays were significantly decreased in calbindin-D28k-expressing ßTC-3 cells. Therefore, calbindin-D28k-overexpressing ßTC-3 cells were protected from both necrosis (trypan blue uptake) and apoptosis (annexin V and TUNEL positivity) induced by cytokines.



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Figure 3. Calbindin-D28k overexpression protects against cytokine-induced apoptosis of ßTC-3 cells, measured as an increase in annexin V staining of cells (A) and as an increase in DNA damage detected by the TUNEL method (B). ßTC-3 cells transfected with vector alone and not expressing calbindin (CaBP -) and ßTC-3 cells transfected with vector containing calbindin-D28k cDNA and expressing calbindin at high levels (CaBP +) were incubated for 72 h without (-) and with (+) the cytokine combination of IL-1ß (30 U/ml), TNF{alpha} (103 U/ml), and IFN{gamma} (103 U/ml). Values are means ± SE, n = 5. *, P < 0.05; **, P < 0.01; ***, P < 0.001 for cytokines + vs. cytokines - in corresponding CaBP group. {dagger}, P < 0.01; {ddagger}, P < 0.001 vs. CaBP - cytokines + group.

 
One mechanism by which calbindin-D28k prevents apoptosis is by blocking production of reactive oxygen species (24, 41, 42). Therefore, we examined the effect of calbindin-D28k overexpression on cytokine-induced formation of reactive oxygen species by ßTC-3 cells. The cytokine combination of IL-1ß, TNF{alpha}, and IFN{gamma} significantly increased lipid peroxidation by ßTC-3 cells transfected with vector alone, and this effect was significantly decreased in calbindin-D28k-expressing ßTC-3 cells (Fig. 4AGo). Similar to studies in pancreatic islets and in other ß-cell lines (12, 13, 14), the cytokine combination significantly increased the amount of nitrite, the stable end product of the NO·, produced by ßTC-3 cells (Fig. 4BGo). Also, cytokines significantly increased the formation of nitrotyrosine, which is a marker of peroxynitrite (ONOO-), the reaction product of superoxide (O2·-) and nitric oxide free radicals (NO·) (Fig. 4CGo). The effects of the cytokines on nitrite production and nitrotyrosine formation were significantly decreased in the calbindin-D28k-expressing ßTC-3 cells (Fig. 4Go, B and C).



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Figure 4. Calbindin-D28k overexpression inhibits cytokine-induced production of free radicals in ßTC-3 cells, measured as increases in lipid hydroperoxide (A) and nitrite (B) in cell incubation media, and nitrotyrosine in cells (C). ßTC-3 cells transfected with vector alone and not expressing calbindin (CaBP -) and ßTC-3 cells transfected with vector containing calbindin-D28k cDNA and expressing calbindin at high levels (CaBP +) were incubated for 72 h without (-) and with (+) the cytokine combination of IL-1ß (30 U/ml), TNF{alpha} (103 U/ml), and IFN{gamma} (103 U/ml). Values are means ± SE, n = 5. **, P < 0.01; ***, P < 0.001 for cytokines + vs. cytokines - in corresponding CaBP group. {dagger}, P < 0.01; {ddagger}, P < 0.001 vs. CaBP - cytokines + group. #, P < 0.05 vs. CaBP - cytokines - group.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Type 1 diabetes mellitus may be caused, in part, by a selective destruction of pancreatic islet ß-cells by the proinflammatory cytokines IL-1ß, TNF{alpha}, and IFN{gamma}. These cytokines, in combination, are cytotoxic to islet ß-cells in vitro (2, 3), and cytokine-induced destruction of mouse islet ß-cells involves both apoptotic and necrotic cell death (43). Similarly, in this study, we found that the cytokine combination of IL-1ß, TNF{alpha}, and IFN{gamma} induced both apoptosis and necrosis of ßTC-3 cells from a mouse islet ß-cell line. Our findings demonstrate, for the first time, that the calcium-binding protein, calbindin-D28k, can protect against cytokine-induced ß-cell destruction. We found that overexpression of calbindin-D28k in ßTC-3 cells, by transfecting the cells with a calbindin-D28k cDNA construct, protected the cells from cytokine-induced necrosis and apoptosis. In addition, overexpression of calbindin-D28k in two other ß-cell lines, mouse ßHC-13 cells and rat RIN-m5F cells, protected the ß-cells from cytokine-induced destruction.

Calbindin-D28k has been shown, by immunocytochemistry, to be present in islet ß-cells, and concentrations of calbindin-D28k between 3 and 400 ng/mg protein have been reported for whole pancreas (18). In the present study, we found that the level of calbindin-D28k expressed in ßTC-3, ßHC-13, and RIN-m5F ß-cell lines was low (<5–50 ng/mg protein) compared with levels expressed in the ß-cell lines transfected with calbindin-D28k cDNA (375–1900 ng/mg protein) and thereby protected from cytokine-induced destruction. When we used the calbindin-D28k expression vector to transfect calbindin-D28k in other cell lines (3T3 osteoblasts, PC12 cells, and C6 glioma cells) (24, 26), protection against cell death was observed with levels of calbindin-D28k in the same range as in the high-calbindin-D28k-expressing ßTC-3 clone in the present study.

Nitric oxide and oxygen free radicals have been suggested to be important mediators of the cytotoxic actions of cytokines in ß-cells (11, 12, 13, 14). We found that the combination of IL-1ß, TNF{alpha}, and IFN{gamma} increased production of nitric oxide and nitrotyrosine, a marker of peroxynitrite, in ßTC-3 cells. Peroxynitrite (ONOO-) is a highly reactive oxidant produced by the combination of superoxide (O2·-) and NO·s, and peroxynitrite may be a more potent cytotoxic mediator than superoxide or nitric oxide alone (44). Peroxynitrite is highly toxic to rat and human islets in vitro (45), and this oxidant has been detected in pancreatic islets in vivo in conjunction with ß-cell destruction and autoimmune diabetes development in NOD mice (31). In this study, we found that cytokine-induced production of nitric oxide was significantly decreased in ßTC-3 cells that overexpressed calbindin-D28k. Inhibition of nitric oxide production may explain the protective effect of calbindin-D28k against cytokine-induced necrosis (trypan blue uptake) of mouse ßTC-3 cells, because cytokine-induced necrosis of mouse islet ß-cells is nitric oxide-dependent (43). In addition, calbindin overexpression inhibited cytokine-induced production of peroxynitrite even more than nitric oxide. Because peroxynitrite is the reaction product of superoxide and nitric oxide, our findings suggest that calbindin inhibited production of the superoxide radical more than the NO·. Also, cytokine-induced formation of another oxygen free radical product, lipid hydroperoxide, was significantly decreased in calbindin-expressing ßTC-3 cells.

Previous studies have shown that sustained increases of the cytoplasmic free Ca2+ concentration ([Ca2+]i) can result in an adverse effect on mitochondrial electron transport, leading to superoxide radical production and its conversion to further cytotoxic reactive oxygen species, such as hydrogen peroxide and peroxynitrite (24, 41, 42). Overexpression of calbindin-D28k was reported to protect against elevations of [Ca2+]i, generation of reactive oxygen species, and apoptosis of a neural cell line induced by amyloid ß-peptide and potentiated by mutant presenilin 1, proteins involved in Alzheimer’s disease (24). In other cell lines, cytokine-induced apoptosis has been reported to occur after a rise in [Ca2+]i (46). In addition, cytokines were found to induce a low voltage-activated Ca2+ current in mouse ßTC-3 cells, and an increase in [Ca2+]i in mouse islet cells that was associated with DNA fragmentation and cell death (47). Thus, it is possible that calbindin-D28k overexpression protected against cytokine-induced death of ßTC-3 cells in the present study by stabilizing cellular calcium, preventing calcium-mediated mitochondrial damage and consequent generation of oxygen free radicals. Previous studies showed that the protooncogene, bcl-2, also prevents cytokine-induced oxygen free radical production and ß-cell destruction (48, 49). Because Bcl-2 protein has been reported to inhibit mitochondrial release of cytochrome c (50) that can trigger apoptosis (51), it was suggested that Bcl-2 prevents the generation of the superoxide radical and protects ß-cells from apoptosis, in part, by retaining cytochrome c in the mitochondria (49). Further studies are needed to determine whether inhibition of release of cytochrome c may also be one mechanism whereby calbindin can protect against oxygen free radical production and ß-cell death.

Evidence for a protective role of calbindin-D28k in the cell death process has been noted in different cell types. In the nervous system, numerous studies have provided evidence that calbindin, by buffering calcium, can regulate intracellular calcium responses to physiological stimuli and can protect against calcium-mediated cellular toxicity (21, 22, 23, 24). Studies in neuronal cells suggest that calbindin can protect against toxins that alter calcium homeostasis, either directly by activation of glutamate receptors and calcium ionophore treatment (52, 53) or indirectly by treatment with the antimetabolite, 3-acetylpyridine (53). In lymphocytes, overexpression of calbindin has been reported to protect against cell death in response to a variety of insults that also involve calcium-dependent events, including exposure to calcium ionophore, cAMP, and glucocorticoids (25). However, in recent studies, we found that protection of cytokine-mediated apoptotic cell death of osteoblasts by calbindin does not result from calcium buffering but rather from the ability of calbindin to bind to and inhibit caspase-3 (26). Caspase-3 is a member of the family of cytosolic aspartate-specific proteases and a final effector of apoptosis in response to many signals, including cytokines (54). The involvement of calcium-independent mechanisms in ß-cell apoptosis is suggested by recent studies in the MIN 6 ß-cell line, which showed that increases in intracellular calcium in response to KCl or calcium ionophore was not sufficient to induce apoptosis (55). The involvement of the caspase pathway, and specifically caspase-3, in ß-cell apoptosis was noted in TNF{alpha}-induced apoptosis of NIT-1 cells, a ß-cell line derived from NOD mice (16), and in Fas-induced apoptosis of ßTC cells (56). Thus, it is possible that both calcium-dependent and calcium-independent pathways are involved in calbindin’s ability to protect against cytokine-mediated ß-cell apoptosis.

In conclusion, our results support a role for calbindin-D28k in protecting against cytokine-mediated ß-cell death by mechanisms involving inhibition of free radical formation. A further understanding of the exact mechanisms involved may have important therapeutic implications for the prevention of autoimmune destruction of ß-cells in type 1 diabetes.


    Footnotes
 
This work was supported by grants from the Canadian Institutes of Health Research (FRN 11444) and the Juvenile Diabetes Research Foundation (1-1999-908) (to A.R.) and by grants from the American Diabetes Association and the National Institutes of Health (DK-38961 and DK-98007) (to S.C.).

Abbreviations: BCA, Bicinchoninic acid; FITC, fluorescein isothiocyanate; IFN, interferon; MTT, 3-(4,5-dimethylthiazolyl-2)2,5-diphenyltetrazolium bromide; NO, nitric oxide radical; NOD, nonobese diabetic; POD, peroxidase; TUNEL, TdT-mediated deoxyuridine 5-triphosphate-X nick end labeling.

Received January 29, 2001.

Accepted for publication May 2, 2001.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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