BIOLOGY OF REPRODUCTION 85, 524–535 (2011) Published online before print 18 May 2011. DOI 10.1095/biolreprod.110.089334 DNA Damage-Sensing Kinases Mediate the Mouse 2-Cell Embryo’s Response to Genotoxic Stress1 X.F. Mu, X.L. Jin, M.M.J. Farnham, Y. Li, and C. O’Neill2 Human Reproduction Unit, Sydney Centre for Developmental and Regenerative Medicine, Kolling Institute of Medical Research, Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia A critical function of cells is the maintenance of their genomic integrity. A family of phosphoinositide-3-kinase-related protein kinases, which includes ataxia telangiectasia mutated (ATM) and ataxia telangiectasia and Rad3 related (ATR) kinases, play key roles in sensing DNA damage. ATM and ATR were demonstrated in the cleavage stages of mouse embryo development. Genotoxic stress was imposed by exposure to ultraviolet (UV) radiation (causes DNA strand breaks) or cisplatin (causes strand crosslinks). UV irradiation or cisplatin treatment of 2-cell embryos in the G2 phase of the cell cycle caused DNA damage as defined by increased phosphorylation of the H2A histone family, member X (H2AFX; previously H2AX) variant. UV irradiation caused a stable G2-M arrest, and cisplatin treatment allowed progression through mitosis followed by activation of a G1-S checkpoint. Both checkpoints were transformation-related protein 53independent. Caffeine (inhibits both ATM and ATR), but not KU55933 (ATM-selective inhibitor), reversed the G2-M block induced by UV, inferring a primary role for ATR in sensing this form of DNA damage. Caffeine and KU55933 were equally effective in reversing the cisplatin-induced G1-S block, implicating ATM as the primary sensing enzyme. Breaching of either checkpoint by treatment with caffeine or KU55933 allowed embryos to progress through several further cell cycles, yet none developed to blastocysts. The results show, to our knowledge for the first time, that the G2-M and G1-S cell-cycle checkpoints in the early embryo are differentially regulated by ATM and ATR in response to genotoxic stress and that they act as an initial point for containment of genomic damage. Under conditions of extensive or persistent DNA damage, the demise of the embryo is the ultimate method of protecting genomic integrity. apoptosis, ataxia telangiectasia and Rad3 related, ataxia telangiectasia mutated, cell cycle, checkpoint, DNA damage, early development, embryo, H2AFX, transformation-related protein 53, tumor suppressor gene INTRODUCTION A critical function for all cells is monitoring and maintaining the integrity of the genome. Structural damage or alterations to DNA are generally mutagenic, and the propagation of such damaged cells within a lineage may compromise the viability of the organism. If DNA damage 1 Supported by grants from the Australian National Health and Medical Research Council to C.O. 2 Correspondence: FAX: 61 2 9926 6343; e-mail: [email protected] Received: 25 October 2010. First decision: 23 November 2010. Accepted: 13 April 2011. Ó 2011 by the Society for the Study of Reproduction, Inc. eISSN: 1529-7268 http://www.biolreprod.org ISSN: 0006-3363 524 Downloaded from www.biolreprod.org. occurs within cells of the early embryo, the consequences can be particularly severe, because their perpetuation can potentially affect all cells in the developing organism, including the germline. Key to the management of genomic integrity is the detection of DNA damage. A family of phosphoinositide-3kinase-related protein kinases (PIKKs) plays key roles in sensing DNA damage [1]. Foremost within this family are the tumor suppressor proteins ataxia telangiectasia mutated (ATM) and ataxia telangiectasia and Rad3 related (ATR) kinases. The aim of the present study was to assess the role that ATM and ATR play in sensing DNA damage in the early mouse embryo and the nature of the embryo’s response to this damage. Recruitment of the PIKK family of kinases to sites of DNA damage causes activation of their kinase activity, which in turn activates downstream effectors of cell-cycle regulation or apoptosis. PIKKs are recruited to sites of damage by specific partner proteins. For example, ATR-interacting protein forms a partnership with ATR [2], and the meiotic recombination 11 homolog A complex (formerly known as Mre11) partners with ATM [3]. The minor histone 2A variant, H2A histone family, member X (H2AFX), is an important substrate for the PIKKs. The phosphorylated (serine-129) form of this histone is commonly referred to as gamma-H2AFX. Its phosphorylation in response to DNA damage is very efficient and results in accumulation of H2AFX for many megabase pairs (Mbp) on either side of the lesion, making immunostaining for gammaH2AFX the most sensitive measure of damage [4, 5]. GammaH2AFX serves as a key component in the DNA damage repair response by loosening the conformation of DNA and, thus, facilitating recruitment of the repair enzymes to the lesion. It also recruits molecules, such as cohesion molecules, that provide structural integrity during the repair process [4, 5]. This combination of proteins acts to sense the DNA damage and amplify the DNA damage signal, and this results in the recruitment of the required effectors. A canonical response of cells to DNA damage is the activation of cell-cycle checkpoints [6]. Checkpoints provide a mechanism whereby cells are prevented from progressing past specific points within the cell cycle if conditions such as DNA damage exist. Two important checkpoints are the G1-S and G2M checkpoints. ATM is most commonly implicated in the activation of the G1-S checkpoint [1], whereas ATR is active in the induction of the G2-M checkpoint [7]. It is becoming increasingly recognized, however, that some overlap and redundancy occurs between the action of these two kinases at these checkpoints [1]. The checkpoints also provide an opportunity for repair of DNA before cell division. Where DNA damage is severe or irreparable, cell death, typically via apoptosis, may also result. ATM and ATR can mediate this response by activation of mediators such as transformationrelated protein 53 (TRP53; also known as P53) [8, 9], which can induce BCL2-associated X protein (BAX)-mediated apoptosis. ABSTRACT SENSING DNA DAMAGE IN EMBRYOS and KU55933-sensitive) and ATR (caffeine-sensitive and KU55933-insensitive) in response to defined genotoxic stress can be assigned. Most studies of the early embryo to date have used Xirradiation as a source of genotoxic stress; however, exposure of embryos to chemicals or UV radiation seems to be a form of stress that the embryo is more likely to encounter, particularly with the advent of assisted reproductive technologies. In the present study, 2-cell mouse embryos were subjected to two different forms of genomic stress: UV irradiation, which typically induces DNA single-strand breaks and is therefore expected to be sensed by ATR, and cisplatin (a chemotherapeutic drug), which induces inter- and intrastrand DNA crosslinks and DNA-protein cross-links and is therefore a likely target for ATM. We provide evidence for different responses by the embryo to these distinct forms of DNA damage and the differential involvement of ATR and ATM in the embryo’s response to each. To our knowledge, the present study provides the first analysis of the relative roles of key DNA damage sensor kinases in monitoring the integrity of the embryonic genome and directing the embryo’s response to this damage. MATERIALS AND METHODS Animals The use of animals in the present study was in accordance with the Australian Code of Practice for the Care and Use of Animals for Scientific Purpose and was approved by the Institutional Animal Care and Ethics Committee. C57BL6J mice were housed and bred in the Gore Hill Research Laboratory (St Leonards, NSW, Australia) under a 12L:12D photoperiod and had access to food and water ad libitum. Female mice (age, 4–6 wk) were superovulated by intraperitoneal injection of 5 IU of equine chorionic gonadotropin (Folligon; Intervet International), followed 48 h later by 5 IU of human chorionic gonadotropin (hCG; Chorulon; Intervet). Females were paired with males of proven fertility. Pregnancy was confirmed by the presence of a copulation plug the following morning (Day 1). Mouse Embryo Collection and Culture Two-cell embryos were cultured in modified-human tubal fluid medium (mod-HTF) after being flushed from the oviduct with Hepes-buffered modHTF [31]. All components of the media were tissue-culture grade (Sigma Chemical Co.), and all media contained 3 mg/ml of bovine serum albumin (Sigma) unless otherwise stated. Embryos were cultured in groups of 10 in 10ll volumes of mod-HTF overlaid by approximately 2 mm of heavy paraffin oil (Sigma) at 378C in 5% CO2 in air for the periods indicated in individual experiments. The developmental stage and morphology of embryos were assessed by visualizing the embryos with an inverted phase-contrast microscope (Diaphot; Nikon) at 24-h intervals after collection and treatment. Immunofluorescence Embryos were washed three times in PBS with 0.1% (w/v) bovine serum albumin, 0.1% (w/v) Tween-20 (Sigma), and 0.2% (w/v) sodium azide (washing buffer), then fixed with freshly prepared 2% paraformaldehyde (w/v; Sigma) in PBS (pH 7.4) for 30 min, and then permeabilized with 2% (w/v) paraformaldehyde with 0.3% Tween-20 at room temperature for 30 min. Embryos were washed three times in washing buffer and then blocked in PBS containing 2% (w/v) bovine serum albumin and 30% (v/v) serum for 3 h. Next, they were stained overnight at 48C with primary antibodies: rabbit anti-ATM antibody (sc-7230; Santa Cruz Biotechnology) at 4 lg/ml, goat polyclonal antiATR (sc-1887; Santa Cruz Biotechnology) at 2 lg/ml, and rabbit antipolyclonal gamma-H2AFX (phosphor-serine 139; ab2893; Abcam) and antimouse monoclonal phosphorylated ATM (pATM; phosphorylated serine 1981; ab36810; Abcam) at 4 lg/ml. Each antibody was prepared in PBS with 2% (w/v) bovine serum albumin. Equivalent concentrations of nonimmune immunoglobulin (Ig) G were used as negative controls. Detection with fluorescently labeled secondary antibodies was achieved by labeling at room temperature for 1 h. Whole-section imaging was performed with mercury lamp UV illumination and epifluorescence on a Nikon Optiphot microscope with a DPlan Apo 40 UV objective. Images were subjected to deconvolution using Image-Pro Plus with Downloaded from www.biolreprod.org. Damage to DNA can take many forms, including single- or double-strand breaks, inter- and intrastrand DNA cross-links, DNA-protein cross-links, and chemical modification, such as generation of 8-hydroxydeoxyguanosine residues or polycyclic aromatic hydrocarbon adducts. ATR is thought to be most important for sensing single-strand DNA breaks, whereas ATM is most involved in sensing double-strand breaks [3]. Sensing of interstrand cross-linking defects may involve ATR, but not ATM, in somatic cells [10]. A consensus is forming that implicates considerable, but not complete, overlap in the functions of ATM and ATR in somatic cells [11]. Some nonredundant actions, however, are powerfully demonstrated by the observations that Atr/ embryos are nonviable by the late blastocyst stage [12, 13] but that Atm/ embryos are viable [14]. This indicates fundamental functions of Atr in early development that are not compensated for by the presence of the Atm gene. X-irradiation of the zygote or 2-cell mouse embryo induces a G2-M arrest [15]. This type of arrest was ameliorated by caffeine, an inhibitor of both ATR and ATM [16]. X-irradiated embryos that passed the arrested phase showed increased micronuclei formation and reduced developmental viability [17–19]. Drug- and ultraviolet light (UV) irradiation-induced DNA damage has been less widely investigated; however, UV exposure has been shown to cause increased rates of sister chromatid exchange [20] and single-strand breaks (hamster) [21]. Exposure of mouse zygotes to UV radiation resulted in unscheduled DNA synthesis, which is interpreted as evidence for activation of DNA repair processes [22]. Exposure of sperm to UV radiation did not prevent fertilization; however, the resulting embryos (bovine) tended to block at the 2-cell stage [23]. X-irradiation of sperm also results in developmental arrest because of the activation of a Trp53-dependent, S-phase checkpoint in the resulting mouse zygotes [24, 25]. Embryos treated in this manner also activated a cyclin-dependent kinase (CDK) inhibitor 1A-dependent cell-cycle arrest at the morula/ blastocyst stage. Caffeine is effective in relieving the cell-cycle blocks induced by a range of genotoxic stresses in vitro. It achieves this by inhibiting the phosphorylation and activation of mammalian PIKKs [26], but it is not a global inhibitor of other protein kinase activities. The PIKK family of protein kinases also includes mechanistic target of rapamycin (serine/ threonine kinase; MTOR) and protein kinase, DNA-activated, catalytic polypeptide (PRKDC). Caffeine has relatively poor selectivity for PRKDC. It does act on MTOR, but a selective MTOR inhibitor (rapamycin) does not influence checkpoint blocks induced by irradiation of cells, arguing that MTOR is not a major caffeine-sensitive effector of these checkpoints [27]. Caffeine is also a well-known inhibitor of cAMPphosphodiesterase [28], yet specific inhibition of cAMPphosphodiesterase and increased cellular cAMP concentration actually increase the radiosensitivity of cells, providing no support for a role of phosphodiesterase inhibition in the relief of checkpoint action in cells with damaged DNA [29]. Thus, it is generally recognized that the ability of caffeine to allow cells with damaged DNA to bypass checkpoints is primarily the result of its capacity to inhibit ATR and ATM. Recently, a highly selective competitive inhibitor of ATM has been developed (KU55933) [30]. This drug has high ATM specificity with respect to inhibition of other PIKKs, prevents phosphorylation of selective ATM targets following DNA damage, and prevents the normal ATM-dependent cell-cycle checkpoint responses to ionizing radiation [26, 30]. The selectivity of KU55933 for ATM means that when used in conjunction with caffeine, the relative roles of ATM (caffeine- 525 526 MU ET AL. FIG. 1. Immunolocalization and Western blot analysis of ATM and ATR in the preimplantation mouse embryo. Embryos were collected from the reproductive tract and immediately fixed and stained. In each case, staining with IgG control antisera was undetectable, and the microscope and imaging settings were the same for each stage of development for a given antibody. The images shown are representative of at least five embryos in each of three replicates. A-C) Whole-section images of ATM staining of 2-cell, 8-cell, and blastocyststage embryos, respectively. D-F) Wholesection images of ATR staining of 2-cell, 8cell, and blastocyst-stage embryos, respectively. G) A single equatorial confocal section of ATR stained 2-cell embryo. H) A two-dimensional reconstruction of all sections through the embryo shown in G. Bar ¼ 10 lm. I) Representative Western blot of ATM and ATR with molecular mass of markers shown with arrows. Western Blot Analysis Western blot analysis was performed as previously described [33]. Fresh hybrid 2-cell embryos were collected from reproductive tracts 40 h post-hCG, washed three times in cold PBS, and transferred into 1.5 ll of extraction buffer supplemented with protease and phosphatase inhibitors (23 PBS, 2% [v/v] Triton X-100, 24 mM deoxycholic acid, 0.2% [w/v] SDS, 20 mM NaF, 20 mM Na4P2O7, 2 mM PMSF, 3.08 lM aprotinin, 42 lM leupeptin, and 2.91 lM Pepstatin A; all from Sigma). The embryos were lysed by three cycles of freezing in liquid nitrogen and thawing (with vortexing). Protein samples were diluted with 1 ll of 53 Laemmli buffer (50 mM Tris-HCl, 5 mM ethylenediaminetetra-acetic acid [pH 8.0], 12.5% [w/v] SDS, 0.05% [w/v] bromophenol blue, and 25% beta-mercaptoethanol), incubated for 5 min at 958C, and size separated on PhastGel Gradient 4-15 (catalog no. 170678-01; GE Healthcare) using a PhastSystem electrophoresis apparatus (PhastSystem separation and control unit; Amersham Pharmacia Biotech). The proteins were blotted onto polyvinylidene fluoride transfer membrane (Hybond-P; GE Healthcare) with transfer buffer containing 12 mM Tris (Sigma), 96 mM glycine (BDH), 0.1% (w/v) SDS, and 10% (v/v) methanol (BDH) using a Phast Transfer system. The membrane was incubated in 10 ml of blocking buffer containing 2.5% (w/v) skim milk powder (Diploma). The primary antibodies were the same as used for immunofluorescence staining at a concentration of 0.4 lg/ml for each. They were detected with 1:5000 horseradish peroxidaseconjugated secondary antibody (Sigma). The membrane was incubated in SuperSignal West Femto (Pierce) diluted 1:4 and analyzed by chemiluminescence (Las 4000; Fuji), and HiMark Pre-Stained Standards (Invitrogen) were used to assess molecular mass. Analyses were performed on groups of 90 embryos for each antigen. Treatments The ATM inhibitor, 2-morpholin-4-yl-6-thianthren-1-yl-pyran-4-one (KU55933; gift from Dr. Graeme Smith, KuDOS Pharmaceuticals Ltd.) [30]; the ATR and ATM inhibitor, 1,3,7-trimethylxanthine (caffeine; Sigma); the 1o-phosphatidylinositol-3-kinase inhibitor, (2-(4-morpholinyl)-8-phenyl-4H-1benzopyran-4-one (LY294002; Calbiochem); the TRP53 inhibitor, 2-(2-imino4,5,6,7-tetrahydrobenzothiazol-3-yl)-1-p-tolylethanone (pifithrin-a; Sigma); and cis-Diammineplatinum(II) dichloride (cisplatin; P4394; Sigma). UV irradiation was achieved by placing embryos in 1 ml of Hepes-buffered modHTF media in an open, 35-mm, plastic Petri dish. UV irradiation (253.7 nm) equated to a dose of 1.95 J/cm2. Changes in UV dosage are not readily calibrated or validated in a biological laboratory; hence, it is common to change exposure by varying the time of exposure to a standard dose. This strategy has been adopted in this laboratory. After exposure, embryos were transferred to mod-HTF, with or without other drugs, in 10-ll drops under mineral oil (Sigma). Cisplatin treatment was performed as a conventional dose-response study. TUNEL Assay The TUNEL assay was used to detect apoptosis (fluorescein; In Situ Death Detection Kit; Roche). Embryos were fixed and permeabilized as described above and incubated in the TUNEL reaction mixture supplied with the kit for 1 h at 378C in the dark. Negative controls lacked terminal deoxynucleotidyl transferase, and positive controls were embryos incubated in DNase I (50 U/ml; Sigma) for 10 min at 378C to induce DNA strand breaks. Embryos were washed three times in PBS, stained with 2 0 -(4-ethoxyphenyl)-5-(4-methyl-1piperazinyl)-2,5 0 -bi-1H-benzamidazole trihydrochloride (4 lg/ml; bisBenzimide; Sigma) and then mounted. The total number of nuclei was enumerated by the bisBenzimide staining, whereas the fluorescein TUNEL staining identified those nuclei undergoing apoptosis. DNA Synthesis Embryos were incubated in media supplemented with 20 lM 5-bromo-2 0 deoxyuridine (BrdU; Sigma). They were then fixed and stained using the Downloaded from www.biolreprod.org. Sharpstack deconvolution software (Media Cybernetics, Inc.). Optical sectioning was performed with a Bio-Rad Radiance Confocal microscope using a Nikon Plan Apo 60X/1.4 oil-emersion objective as previously described [32]. Images were captured using Lasersharp 2000 software. Microscope and laser settings were adjusted such that no fluorescence was observed with nonimmune controls. All test specimens were observed with these same settings. Quantitative analysis of staining was achieved using the area-ofinterest marking tool within Image-Pro Plus image analysis software and expressed as arbitrary units of optical density. SENSING DNA DAMAGE IN EMBRYOS 527 immunolocalization technique described above with a 1:200 dilution of antiBrdU antibody (Sigma). Statistical Analysis Statistical analyses were performed with the SPSS software (Version 11.5; SPSS). The proportion of embryos developing to a given developmental landmark following culture in vitro or the proportion of embryonic cells was assessed by binary logistic regression analysis. The proportion developing to a given landmark or undergoing apoptosis was treated as the dichotomous dependent variable and the treatment and experimental replicate as covariates in the model. The effects of treatments on the number of cells and the number of TUNELstaining cells in blastocysts as well as the intensity of immunostaining were assessed using univariate regression analysis within the general linear model. When appropriate, the statistical model incorporated the effect of treatment with the number of cells as the dependent variable and treatment as fixed-factor main effects. Full factorial analysis was performed with significant factor contrasts to assess the difference between individual treatments. RESULTS FIG. 2. Development of 2-cell embryos in culture after exposure to genotoxic stress. Two-cell embryos were collected from the reproductive tract and immediately exposed to different levels of two genotoxic stress, UV irradiation and cisplatin treatment. After exposure, the embryos were washed and placed in culture for (A) 24 h, after which the proportion of embryos that had developed past the 2-cell stage was recorded, or (B) 48 h, after which the proportion of embryos that developed past the 4-cell stage was recorded. The results represent three independent replicates, with at least 30 embryos per treatment per replicate. with BrdU commenced before 40 h post-hCG, many cells (.50%) incorporated BrdU, but by 43 h post-hCG, no cells incorporated BrdU. Based on this analysis, we concluded that 2-cell embryos collected 44 h post-hCG were within the G2 phase, and this was the time point used for further analyses. We next investigated the capacity of UV irradiation or cisplatin treatment to induce cell-cycle blocks in the early embryo. Two-cell embryos (44 h post-hCG) were treated with increasing exposure times to UV radiation or increasing cisplatin concentration. Increasing the time of exposure of 2cell mouse embryos to UV radiation caused a progressive increase in the proportion of embryos that failed to progress through the cell cycle (2-cell block) 24 h after treatment (P , 0.001) (Fig. 2A). UV exposure for 4 min prevented all embryos from undergoing mitosis. Treatment of embryos with an increasing concentration of cisplatin for 4 h caused only a small proportion to block at the 2-cell stage, and this proportion Downloaded from www.biolreprod.org. Immunolocalization of ATM (Fig. 1, A–C) and ATR (Fig. 1, D–F) in embryos collected directly from the reproductive tract showed that both antigens were present in the 2-cell and 8cell embryos. Blastocysts stained intensely for ATM but showed negligible ATR staining (Fig. 1F). In whole-embryo sections, nuclear accumulation of ATM was evident, although it was less clear whether this was also the case for ATR. Thus, single equatorial confocal sections of ATR staining were imaged in fresh 2-cell embryos. These showed some nuclear accumulation of ATM staining (Fig. 1G), which had a relatively uniform distribution, except that it was reduced within the presumptive nucleoli. Cytoplasmic staining showed a heterogeneous granular pattern, which was more intense in the cortical regions. A two-dimensional reconstruction of confocal sections through the depth of the embryo showed extensive distribution of these ATR-staining granules (Fig. 1H). The nuclear localization of ATM and ATR in embryos that were assumed to be normal and not subject to genotoxic stress was surprising. To ensure that it was not an acute response to the process of collecting and preparing embryos, 2cell embryos were collected again but flushed from the oviduct with fixative (paraformaldehyde) to minimize any stress response before fixation. These embryos showed the same pattern of staining as those subjected to conventional collection procedures (not shown). Western blot analyses (Fig. 1I) of extracts of 2-cell embryos (using the same antibodies used for immunolocalization) showed a single dominant high-molecular-weight band for each of the ATM and ATR antibodies, confirming their suitability for immunolocalization studies. The next component of the study was to assess the response of embryos to two different forms of genotoxic stress. The design of the experiment was to expose 2-cell embryos to the genotoxic stressors during the G2 phase of the cell cycle. If the stress caused a G2-M cell-cycle checkpoint, then a 2-cell block was expected. If the block occurred at the G1-S checkpoint, then progression of embryos through the 2-cell stage with a subsequent block in the 4-cell stage was expected. To determine the time that 2-cell embryos completed the S phase and had thus entered the G2 phase, cell-cycle analysis was performed by BrdU incorporation. Zygotes were collected at 29 h post-hCG and cultured to 50 h post-hCG in media supplemented with BrdU at progressive times after culture was initiated. Addition of BrdU commenced 37 h post-hCG and at 1.5-h intervals thereafter (at least 25 embryos were analyzed at each time point). Immunolocalization of BrdU was performed in the resulting 2-cell embryos, and nuclei were categorized as either with or without BrdU incorporation. When incubation 528 MU ET AL. FIG. 3. The phosphorylation of H2AFX in response to genotoxic stress in the 2-cell embryo. Immunofluorescence images of 2cell embryos stained for gamma-H2AFX after their treatment with (A) UV radiation or (B) cisplatin. Embryos were exposed to UV radiation for 0, 1, 2, or 4 min and stained after 1, 2, or 4 h in culture. Cisplatin treatment was at a concentration of 0, 3, 6, or 12 lM. The images are representative of response for each treatment. Nonimmune sera resulted in no detectable staining. Bar ¼ 10 lm. Downloaded from www.biolreprod.org. plateaued as the concentration increased (P , 0.001 vs. UV treatment) (Fig. 2A). Examination of the proportion of embryos that progressed past the 4-cell stage after 48 h of culture showed the UVtreated embryos that bypassed the 2-cell block were mainly blocked at the 4-cell stage (Fig. 2B). A strong cisplatin dosedependent block to progression past the 4-cell stage was observed. More than 80% of 2-cell embryos did not progress past the 4-cell stage after treatment with 12 lM cisplatin (Fig. 2B). Phosphorylation of H2AFX (gamma-H2AFX) is a highly sensitive marker of damage induced by a range of genotoxic stressors. Two-cell embryos were immunostained for this marker at various times after UV irradiation (Fig. 3A) or cisplatin treatment (Fig. 3B). Untreated 2-cell embryos showed little detectable gamma-H2AFX. The amount of nuclear staining increased with the time that embryos were exposed to UV at each of four assessed time points after treatment (1–4 h). Exposure of embryos to cisplatin also caused an increase in gamma-H2AFX staining, but this was only observed consistently after 4 h of exposure. The results show that both UV and cisplatin treatment caused DNA damage in the 2-cell embryo. Severe genotoxic stress might conceivably cause the acute onset of cell death by apoptosis. Cohorts of embryos treated with the highest UV exposure times and the highest concentration of cisplatin were subjected to TUNEL staining SENSING DNA DAMAGE IN EMBRYOS 24 h after treatment. No UV-treated or control embryos were TUNEL positive (n ¼ 25 for each). Cisplatin-treated embryos that were blocked at the 4-cell stage showed only a small number of apoptotic cells (5% 6 2% of cells, mean 6 SEM, n ¼ 15 embryos). During TUNEL staining, the nucleus was also stained with bisBenzimide; this showed that the blocks induced by both UV irradiation and cisplatin treatment were not associated with the entrapment of cells at the metaphase stage. To assess whether the 4-cell block induced by cisplatin occurred before cells entering the next round of DNA synthesis (S phase), control or cisplatin (12 lM)-treated embryos were cultured in the presence of BrdU and then tested for incorporation by immunolocalization. All cells in control embryos showed levels of BrdU incorporation consistent with progression through the S phase, but this was only the case for 7% 6 4% (mean 6 SEM) of cells in embryos treated with cisplatin (n ¼ 15 embryos in each case). These results show that G2-stage embryos exposed to UV radiation were blocked before entering metaphase, and we therefore conclude that UV irradiation activated a G2-M checkpoint. Cisplatin treatment FIG. 5. The effect of inhibitors of ATM and ATR on the developmental blocks induced by UV irradiation and cisplatin treatment of 2-cell embryos. Embryos were treated with (A) UV radiation (4 min) or (B) cisplatin (12 lM) in the presence of increasing concentrations of caffeine or KU55933. After extensive washing, embryos were cultured in media with the same concentration of caffeine or KU55933 for 24 h (UV irradiation) or 48 h (cisplatin treatment), and the proportion achieving developmental landmarks was recorded. The results represent a minimum of 30 embryos per treatment in each of three replicates. did not block cells from progressing through metaphase but, rather, induced a block before the next S phase; therefore, it can be concluded to have induced a G1-S checkpoint. To determine whether the embryos at the 2-cell (UV treatment) and 4-cell (cisplatin treatment) stage were blocked rather than transiently delayed, their fate was followed over 72 h in culture. None of embryos blocked at the 2-cell stage after UV exposure progressed past this stage after 72 h of culture. Most of the embryos exposed to cisplatin were at the 4-cell stage 24 h after treatment (Fig. 4A). At 48 h (Fig. 4B) or 72 h (Fig. 4C), this block persisted, with only a small increase in the number of embryos progressing to the 8-cell stage (P , 0.01) and none progressing past this stage. Over this time, an increase (P , 0.01) was observed in the proportion of embryos showing morphological degeneration (fragmentation). It is concluded that the G1-S checkpoint activated by cisplatin and the G2-M checkpoint activated by UV radiation were relatively stable over at least 72 h. Downloaded from www.biolreprod.org. FIG. 4. The rate of development of embryos treated with cisplatin over 72 h in culture. Two-cell embryos recovered from the reproductive tract were immediately exposed to control media or media supplemented with 12 lM cisplatin. After washing, they were cultured in media for 72 h. The proportion of embryos reaching each developmental landmark after (A) 24 h, (B) 48 h, and (C) 72 h is shown. The results represent a minimum of 90 embryos in each treatment group. 529 530 MU ET AL. FIG. 6. The effect of ATR and ATM inhibitors on the activation of H2AFX in response genotoxic stress. A) Embryos were exposed to UV radiation for 4 min, treated with cisplatin (12 lM), or untreated (Control). During exposure, embryos were either untreated (Vehicle) or cotreated with caffeine (10 mM), KU55933 (20 lM), or a combination of the two (caffeine þ KU55933). They were cultured for 4 h and then stained for gamma-H2AFX. B) The intensity of nuclear staining was measured, and the graph shows the mean 6 SEM of this staining in arbitrary units. **P , 0.001 vs. respective control treatment, *P , 0.01 vs. respective vehicle treatment group. Bar ¼ 10 lm. Downloaded from www.biolreprod.org. H2AFX is a substrate for ATM and ATR, and the observation of the induction of gamma-H2AFX staining in the nuclei of 2-cell embryos exposed to UV radiation and cisplatin (Fig. 3) implicates the activation of these PIKKs as a component of the embryo’s response to these stressors. The role of ATM and ATR in the developmental blocks induced by UV irradiation or cisplatin treatment was assessed by the use of their inhibitors, caffeine and/or KU55933. Caffeine caused dose-dependent (P , 0.001) amelioration of the 2-cell checkpoint induced by UV irradiation (Fig. 5A) and the 2cell and 4-cell blocks caused by cisplatin (Fig. 5B) (P , 0.001). KU55933 had no dose-dependent effect on the UV irradiation-induced 2-cell checkpoint (P . 0.05) but partially ameliorated the cisplatin-induced 4-cell checkpoint (P , 0.001). The amelioration of a UV irradiation-induced 2-cell checkpoint by caffeine, but not by KU55933, implicates a primary role for ATR in this response. The capacity of KU55933 to ameliorate the 4-cell checkpoint induced by cisplatin implicates ATM in this response. The increased staining of gamma-H2AFX in response to UV irradiation was ameliorated by treatment with caffeine but not by KU55933 (Fig. 6A). No additive interaction between caffeine and KU55933 was observed. The accumulation of gammaH2AFX in 2-cell nuclei in response to cisplatin was equally blocked by caffeine and KU55933, and no further additive effect of these two inhibitors was found (Fig. 6B). Phosphorylation of H2AFX is a canonical response to DNA damage sensed by ATR and ATM. The inhibition of this response by inhibitors of ATR and ATM confirm the role of these PIKKs in the embryo’s response to DNA damage. The activation of ATM is associated with its phosphorylation (at serine 1981; pATM) [34]. To date, an equivalent activation state has not been identified for ATR. Immunolocalization of pATM showed little staining in untreated 2-cell embryos, but increased staining was found following exposure to UV radiation or cisplatin (Fig. 7). This increased staining was characterized by an accumulation of pATM staining within the nucleus. The increased pATM staining in response to UV irradiation was largely blocked by treatment with caffeine but not with KU55933 (Fig. 7). Caffeine and KU55933 reduced the level of pATM staining after cisplatin treatment (Fig. 7). SENSING DNA DAMAGE IN EMBRYOS 531 FIG. 7. The phosphorylation of ATM in response to genotoxic stress in the 2-cell embryo. Immunofluorescence images of 2cell embryos stained for pATM after their treatment with UV irradiation or cisplatin in the presence or absence of ATM and ATR inhibitors. Embryos were exposed to UV radiation for 4 min, treated with cisplatin (12 lM), or untreated (Control). During exposure, embryos were either untreated (vehicle) or cotreated with caffeine (10 mM), KU55933 (20 lM), or a combination of the two (caffeine þ KU55933). They were cultured for 4 h and then stained for pATM. Nonimmune control sera resulted in no detectable staining. Bar ¼ 10 lm. 0.01) and less than the proportion of caffeine-treated embryos that reached the 4-cell landmark after 24 h of culture (P , 0.05). No caffeine-treated, UV-exposed embryos achieved the blastocyst landmark after 72 h of culture, with about half at the morula stage at this time. Over this culture period, KU55933 was without any beneficial effect on embryo development, and no additive effect of combined treatment with caffeine and KU55933 was observed (P . 0.05) (Fig. 9A). Analysis of the cellular composition of the embryos after 72 h of culture presented a slightly more complex picture (Fig. 9B). It showed that whereas caffeine partially ameliorated the effects of UV treatment, the resulting embryos, on average, had many fewer cells (P , 0.01) than control embryos, and many of these were apoptotic, as evident by TUNEL-staining (P , 0.01). The cellular analysis confirmed the lack of effect of KU55933 but showed that combining KU55933 with caffeine actually slightly reduced the beneficial effect of caffeine on the number of cells within embryos (P , 0.01). The relative proportion of cells undergoing apoptosis was similar (P . 0.05) after treatment with both inhibitors, as it was after caffeine treatment alone, with a large proportion of embryonic cells undergoing apoptosis. Cisplatin treatment at the 2-cell stage caused progressively worsening development over the 72 h of culture after treatment. No cisplatin-treated embryos developed to morphological blastocysts (Fig. 10A). Caffeine treatment prevented the activation of the 2-cell block (P , 0.001) and allowed many embryos to escape the 4-cell block and reach the 8-cell landmark after 48 h (P , 0.001), yet none of these embryos developed to blastocysts by 72 h. Treatment with KU55933 or a combination of caffeine and KU55933 resulted in development rates that were not different (P . 0.05) from the rate for treatment with caffeine alone. After 72 h of culture, cisplatin-treated embryos contained fewer cells than untreated controls (P , 0.001), and almost all of these were TUNEL-positive (Fig. 10B). Whereas apoptosis was not an acute response to the 4-cell checkpoint, its persistence did result in extensive apoptosis after 72 h. Caffeine treatment partially relieved the 4-cell block. However, the total number of cells in the resulting embryos was still Downloaded from www.biolreprod.org. Both ATM and ATR act in some circumstances via the activation of TRP53. To test for a role of TRP53, embryos were subjected to both forms of genotoxic stress in the presence of a TRP53 inhibitor, pifithrin-a, over a concentration range known to block TRP53-mediated loss of viability in embryos [35]. This treatment had no beneficial effect on the capacity of embryos to bypass the checkpoints induced by either UV irradiation (Fig. 8A) or cisplatin treatment (Fig. 8B). The results show that the stable checkpoints induced by UV irradiation and cisplatin treatment acted in a TRP53-independent manner. The inhibitor LY294002 is a potent inhibitor of phosphatidylinositol-3-kinase activity, but it is not an effective inhibitor of the protein kinase activities of ATM and ATR. Two-cell embryos subjected to UV irradiation or cisplatin treatment were cotreated with the phosphoinositide-3-kinase inhibitor, LY294002, at a concentration that blocks phosphatidylinositol-3-kinase activity [36]. This treatment caused a dosedependent augmentation (P , 0.01) of the adverse response of embryos to cisplatin treatment but had no effect (P . 0.05) on the block caused by UV irradiation (Fig. 8C). The results show that a phosphatidylinositol-3-kinase activity was not responsible for the developmental blocks induced by UV irradiation or cisplatin treatment. It further showed that a LY294002-sensitive phosphatidylinositol-3-kinase activity may play a role in mitigating the effects of some forms of genotoxic stress. It was expected that bypassing the cell-cycle checkpoints induced by UV irradiation or cisplatin treatment would mean that these embryos would develop further, with marked DNA damage. The developmental fate of these embryos was therefore of interest and was studied by monitoring development over 72 h of culture. Caffeine treatment allowed most UV radiation-treated embryos to escape the 2-cell G2-M block (P , 0.001), although fewer achieved the 4-cell landmark after 24 h compared to control embryos (P , 0.01), indicating embryos were delayed in the 2-cell stage even after caffeine treatment (Fig. 9A). Many UV-exposed embryos reached the 8-cell landmark after 48 h culture with caffeine treatment; however, this proportion was less than that in untreated controls (P , 532 MU ET AL. FIG. 8. The effect of TRP53 (pifithrin-a [PFT]) and phosphatidyl-3-kinase (LY294002) inhibitors on the developmental blocks induced by UV irradiation and cisplatin treatment of embryos. A) The effect of PFT on the development of control (UV) or UV radiation-exposed ( þUV) 2-cell embryos to the 4-cell stage after 24 h. B) The effect of PFT on the development of control (cisplatin) or cisplatin-treated ( þcisplatin) embryos to the 8-cell stage after 48 h. C) The effect of LY294002 treatment on the development of 2-cell embryos exposed to UV radiation (4 min) or treated with cisplatin (3 lM) beyond the 4-cell stage after 48 h of culture. The results represent at least 60 embryos per treatment from three replicates. markedly less than untreated embryos (P , 0.001), and most of the cells so created were apoptotic after 72 h of culture (Fig. 10B). Treatment with KU55933, by contrast, allowed fewer cells to accumulate in embryos, but fewer of these were apoptotic. Embryos cotreated with both caffeine and KU55933 showed a similar response to KU55933 alone. Thus, treatment of embryos with caffeine and KU55933 allowed embryos to accumulate more cells than cisplatin controls and allowed more of these cells to survive (Fig. 10B). Yet, these embryos still had many fewer total cells than untreated controls, and they were not capable of development to the blastocyst stage at a normal rate. Caffeine treatment partially relieved the cell-cycle checkpoints induced by cisplatin but not the onset of apoptosis, whereas KU55933 was less effective at relieving cell-cycle blocks but more effective in reducing the onset of apoptosis. The results argue for some nonoverlapping roles of ATR and ATM in mediating the effects of the genotoxic stress induced by cisplatin. DISCUSSION The present study demonstrates, to our knowledge for the first time, that two DNA damage-sensing kinases, ATM and ATR, play important yet nonredundant roles in mediating the embryo’s response to DNA damage. The cell-cycle checkpoints induced by UV irradiation or cisplatin treatment of 2cell embryos were TRP53-independent and generally occurred Downloaded from www.biolreprod.org. FIG. 9. The effect of ATM and ATR inhibitors on development over 72 h after UV irradiation. Embryos were untreated or exposed to UV radiation (4 min) with or without caffeine and/or KU55933 A) The proportion of embryos that achieved the 4-cell, 8-cell, and blastocyst stages (landmarks) after 24, 48, and 72 h, respectively, of culture. B) After 72 h, the resultant embryos were fixed and stained for cell number and TUNEL. The results are presented as the mean 6 SEM of at least 30 embryos. SENSING DNA DAMAGE IN EMBRYOS FIG. 10. The effect of ATM and ATR inhibitors on development over 72 h after cisplatin treatment. Embryos were untreated or treated with cisplatin (12 lM) with or without caffeine and/or KU55933. A) The proportion of embryos that achieved the 4-cell, 8-cell, and blastocyst stages (landmarks) after 24, 48, and 72 h, respectively, of culture. B) After 72 h, the resultant embryos were fixed and stained for cell number and TUNEL. The results are presented as the mean 6 SEM of at least 30 embryos. irradiation also caused the nuclear accumulation of activated ATM (pATM) in 2-cell embryos. Yet, the failure of KU55933 to ameliorate the effects of exposure to UV radiation shows that the activation of ATM is not sufficient to account for the developmental block in response to UV irradiation in the 2-cell embryo. ATR canonically activates checkpoint kinase 1 homolog (Schizosaccharomyces pombe; formerly known as CHK1) [7], which among other actions blocks cell division cycle 25 homologs B and C (CDC25B/C), which in turn results in the failure of cyclin-dependent kinase 1 (CDK1; formerly known as CDC2) activation. The absence of active CDK1 causes a block at the G2-M checkpoint, and this potential effector pathway warrants further investigation. The cisplatin-induced 4-cell checkpoint required the actions of a KU55933-sensitive ATM. In other cellular systems, cisplatin was found to preferentially activate ATR rather than ATM [10]. It is also noteworthy that in somatic cells, the effects of cisplatin-induced activation of the ATR pathway Downloaded from www.biolreprod.org. without the acute onset of apoptosis. The presence and nuclear localization of both ATM and ATR was demonstrated in the cleavage stages of development. ATM, but not ATR, persisted at a high level in the blastocyst. The paucity of ATR staining in blastocysts argues that a future research priority is to assess the capacity of blastocysts to mount an adequate response to single-strand DNA breaks (the DNA damage most implicated in ATR sensing). The TRP53 independence of the response is consistent with the known latency of TRP53 expression in the early embryo [35, 37] and the adverse developmental consequences of breaching this latency [38]. Two different forms of genotoxic insult caused different responses in the 2-cell embryo. UV irradiation is expected to induce predominantly single-strand DNA breaks, and this treatment caused a stable G2-M arrest without the induction of apoptosis in the 2-cell embryo. Cisplatin treatment typically causes DNA strand cross-links and DNA-protein cross-linking. This treatment did not prevent 2-cell embryos from progressing through mitosis, but it then caused activation of a stable G1-S checkpoint in the next cell cycle (4-cell stage). GammaH2AFX is a highly sensitive marker of DNA damage [4, 5]. Its phosphorylation by the PIKK enzymes is most active in response to strand breaks, yet the reaction can also be activated by a range of genotoxic stresses, such as the cross-linking events most likely catalyzed by cisplatin [4, 5]. The more intense staining of gamma-H2AFX in UV-treated embryos is consistent with an accumulation of strand breaks after this treatment. The less intense staining of cisplatin-treated embryos may not necessarily reflect a lower degree of damage but, rather, a difference in the sensitivity of this marker to different forms of damage. The prevention of gamma-H2AFX accumulation by caffeine or KU55933 confirms the relative role of these two PIKKs in sensing DNA damage in the 2-cell embryo. This result shows that these forms of genotoxic stress both caused DNA damage and activated PIKK activity in the 2-cell embryo. The persistence of the gamma-H2AFX 4 h after treatment shows that over this time frame, the DNA damage was not resolved. Caffeine blocks both ATM and ATR, whereas KU55933 is a highly selective inhibitor of ATM. The capacity of caffeine, but not KU55933, to reverse the G2-M block and gammaH2AFX accumulation induced by UV irradiation shows that these responses were primarily sensed by ATR. By contrast, both caffeine and KU55933 were equally effective at reversing the cell-cycle block and gamma-H2AFX accumulation induced by cisplatin treatment, yet no additive effect of these two inhibitors was observed. This result argues for an important role of ATM in mediating the G1-S block. The present study showed that inhibiting phosphatidylinositol-3-kinase did not reverse the checkpoints induced by genotoxic stress but, rather, exacerbated the effects of cisplatin. Phosphatidylinositol-3kinase mediates the actions of survival factors in the preimplantation embryo [39], and such signaling can partially mitigate the effects of genotoxic stress in somatic cells [40]. It has long been recognized that functionally, considerable overlap exists in the actions of ATM and ATR, yet the embryonic lethality of Atr/ [13], but viability of Atm/ [14], embryos shows that nonredundant and nonoverlapping roles for each kinase exist in the early embryo. Our results show the UV irradiation-induced checkpoint in 2-cell embryos was an ATR-dependent, ATM-independent G2-M block. This result is interesting, because studies in somatic cells implicate overlapping roles of ATR and ATM in UV radiation-mediated cellcycle block [41]. Autophosphorylation of ATM can occur downstream of ATR following UV irradiation in some cells [42]. This is consistent with our demonstration that UV 533 534 MU ET AL. The results show that under the conditions of extensive or persistent DNA damage, the demise of the embryo is the ultimate method of protecting genomic integrity. ACKNOWLEDGMENT We thank Dr. Graeme Smith, KuDOS Pharmaceuticals Ltd., for the kind gift of KU55933. REFERENCES 1. Abraham RT. Cell cycle checkpoint signaling through the ATM and ATR kinases. Genes Dev 2001; 15:2177–2196. 2. Zou L, Elledge SJ. Sensing DNA damage through ATRIP recognition of RPA-ssDNA complexes. Science 2003; 300:1542–1548. 3. Falck J, Coates J, Jackson SP. 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A potential effector pathway is the ATM activation of checkpoint kinase 2 homolog (Schizosaccharomyces pombe) protein (CHEK2; formerly known as CHK2) [43], which has a number of downstream targets capable of inducing a G1-S phase checkpoint. For example, ATM and CHEK2 cause inhibition of cell division cycle 25 homolog A (CDC25A), and this leads to the failed activation of CDK2, resulting in checkpoint activation. More detailed analysis of the fate of embryos following their release from the cisplatin-induced G1-S checkpoint revealed a potential role for both ATR and ATM in the embryo’s response to their stress. Caffeine unblocked the 4-cell checkpoint. After 72 h of culture, however, the resulting embryos had fewer cells than untreated controls, and most of these cells were apoptotic. KU55933 was equally effective at unblocking the 4-cell checkpoint. However, the resulting embryos had fewer cells than those treated with caffeine, but fewer of these cells were apoptotic. The combined treatment with caffeine and KU55933 resulted in embryos that had a total cell number (and rate of apoptosis) that was intermediate between those of caffeine or KU55933 treatment alone. If caffeine and KU55933 were both acting to inhibit ATM, then a similar outcome was expected. The difference in outcome indicates that caffeine acts, in part, on a different target, presumably ATR. Whereas an action of caffeine against phosphodiesterase can not be unequivocally excluded, other studies do not implicate the cAMP pathways in the DNA damage response [29]. The difference in response of cisplatin-treated embryos to caffeine and KU55933 points to dual roles: a caffeine-sensitive ATR component of the embryo’s response to cisplatin, which is more important in regulating cell-cycle progression after the G1-S checkpoint is bypassed but is a less important mediator of apoptosis, and a KU55933-sensitive ATM component, which may be most important as a mediator of apoptosis. By contrast, caffeinetreatment caused the UV-induced G2-M checkpoint in 2-cell embryos to be breached and allowed several further rounds of cell division in embryos to occur. Of the cells resulting, around half were apoptotic by 72 h of culture. This checkpoint was unaffected by KU55933 treatment, showing no overlap in the action of ATR and ATM in this response. The results show, to our knowledge for the first time, that the G2-M and G1-S cellcycle checkpoints in the early embryo are differentially regulated by ATM and ATR and act as an initial point of containment of different forms of genomic damage induced by UV irradiation or exposure to cisplatin. The actions of ATM and ATR in sensing DNA damage indicate that these pathways are important for maintaining the integrity of the genome during early development. 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