ORIGINAL ARTICLE Journal of Apoptosis Induction by eIF5A1 Involves Activation of the Intrinsic Mitochondrial Pathway Cellular Physiology ZHONG SUN, ZHENYU CHENG, CATHERINE A. TAYLOR, BRENDAN J. MCCONKEY, AND JOHN E. THOMPSON* Department of Biology, University of Waterloo, Waterloo, Ontario, Canada The regulatory role of eukaryotic translation initiation factor 5A1 (eIF5A1) in apoptosis was examined using HT-29 and HeLa S3 cells. eIF5A is the only known protein to contain the unusual amino acid, hypusine, and eIF5A1 is one of two human eIF5A family members. Two observations indicated that eIF5A1 is involved in apoptosis. First, siRNA-mediated suppression of eIF5A1 resulted in inhibition of apoptosis induced by various apoptotic stimuli, and second, adenovirus-mediated over-expression of eIF5A1 strongly induced apoptotic cell death. A mutant of eIF5A1 incapable of being hypusinated also induced apoptosis when over-expressed indicating that unhypusinated eIF5A1 is the pro-apoptotic form of the protein. Over-expression of eIF5A1 or of the mutant resulted in loss of mitochondrial transmembrane potential, translocation of Bax to the mitochondria, release of cytochrome c, caspase activation, up-regulation of p53, and up-regulation of Bim, a pro-apoptotic BH3-only Bcl-2 family protein. In addition, BimL and BimS, the pro-apoptotic alternative spliced forms of Bim, were induced in response to over-expression of eIF5A1. Thus eIF5A1 appears to induce apoptosis by activating the mitochondrial apoptotic pathway. Proteomic analyses indicated that, of 1,899 proteins detected, 131 showed significant changes in expression ( P 0.05, expression ratio 1.5) within 72 h of eIF5A1 up-regulation. Among these are proteins involved in translation and protein folding, transcription factors, proteins mediating proteolysis, and a variety of proteins known to be directly involved in apoptosis. These observations collectively indicate that unhypusinated eIF5A1 plays a central role in the regulation of apoptosis. J. Cell. Physiol. 223: 798–809, 2010. ß 2010 Wiley-Liss, Inc. Eukaryotic translation initiation factor 5A (eIF5A) is a small protein (18,000 Da) originally isolated from the ribosomal fraction of rabbit reticulocyte lysates (Benne et al., 1978) and is the only known cellular protein containing the unusual amino acid, hypusine (Cooper et al., 1982). Formation of hypusine on the eIF5A precursor is a polyamine-dependent reaction involving two enzymes, deoxyhypusine synthase (DHS) and deoxyhypusine hydroxylase (DOHH) (Park et al., 1982). In the first step, the aminobutyl moiety of the polyamine, spermidine, is transferred by DHS in an NADþ-dependent reaction to the e-amino group of a specific lysine residue in eIF5A to form deoxyhypusine (Park et al., 1982). This intermediate does not accumulate and is immediately acted upon by DOHH, which catalyzes the hydroxylation of the deoxyhypusine residue to hypusine (Park et al., 1988). Hypusine-containing eIF5A is thought to be ubiquitous in eukaryotes (Park et al., 1993a). Although eIF5A was originally proposed to be a translation initiation factor that stimulates the initiation phase of protein synthesis by transient association with ribosomes (Benne et al., 1978), this putative function has been questioned due to lack of a clear correlation between eIF5A and general protein synthesis (Kang and Hershey, 1994; Zuk and Jacobson, 1998). However, there are two reports of hypusine- and translation-dependent interaction of eIF5A with the structural components of the 80S ribosome complex (Jao and Chen, 2006; Zanelli et al., 2006), and a more recent study indicates that hypusinated eIF5A promotes translation elongation (Saini et al., 2009). Numerous other functions have also been attributed to eIF5A including HIV Rev-mediated RNA export (Hofmann et al., 2001), mRNA degradation (Zuk and Jacobson, 1998; Valentini et al., 2002), cell proliferation (Schnier et al., 1991; Park et al., 1993b, 1998; Hanauske-Abel et al., 1994), maintenance of yeast cell wall integrity and actin cytoskeleton organization (Zanelli and Valentini, 2005; Chatterjee et al., 2006), and regulation of microtubule stability (Weir and Yaffe, 2004). In humans, eIF5A is encoded by two genes, eIF5A1 (Smit-McBride et al., 1989) and eIF5A2 (Guan et al., 2001; Jenkins et al., 2001). eIF5A1 mRNA and protein appear to be present in all human tissues and cell ß 2 0 1 0 W I L E Y - L I S S , I N C . types. However, eIF5A2, which is 84% identical to eIF5A1 at the amino acid level, exhibits restricted expression in normal healthy tissue and is over-expressed in some cancers and cancer cell lines (Jenkins et al., 2001; Clement et al., 2003, 2006), prompting the suggestion that it may be an oncogene (Guan et al., 2001, 2004; Jenkins et al., 2001; Clement et al., 2003). Recent studies have also indicated a role for eIF5A in the regulation of apoptosis in both a p53-dependent (Li et al., 2004) and a p53-independent manner (Taylor et al., 2007). Apoptosis is essential for organ development, tissue homeostasis, and the elimination of defective cells in multi-cellular organisms (Elmore, 2007). Two major apoptotic pathways have been described for mammalian cells. The extrinsic death receptor pathway is initiated by the association of death ligands with membrane-bound receptors including TNFR1, Fas, and TRAIL receptors 1 and 2, resulting in the formation of a death-inducing signaling complex and subsequent activation of caspases (Ashkenazi and Dixit, 1998; Peter and Krammer, 2003). The intrinsic mitochondrial pathway is regulated by members of the Bcl-2 protein family, which mediate mitochondrial outer membrane permeabilization leading to the release of apoptogenic mitochondrial proteins (Harris and Thompson, 2000; Zamzami and Kroemer, 2001) and caspase activation (Li et al., 1997). Additional Supporting Information may be found in the online version of this article. *Correspondence to: John E. Thompson, Department of Biology, University of Waterloo, 200 University Ave. W., Waterloo, Ontario, Canada N2L 3G1. E-mail: [email protected] Received 4 August 2009; Accepted 11 January 2010 Published online in Wiley InterScience (www.interscience.wiley.com.), 15 March 2010. DOI: 10.1002/jcp.22100 798 eIF5A ACTIVATES INTRINSIC PATHWAY Although over-expression of eIF5A1 has been shown to induce apoptosis in cancer cell lines (Li et al., 2004; Taylor et al., 2007), little is known about how eIF5A1-induced apoptosis occurs. In this study, the pro-apoptotic function of eIF5A1 was examined in HT-29 and HeLa S3 cells using adenovirus-mediated delivery. Our data indicate that eIF5A1 induces apoptosis through activation of the intrinsic mitochondrial pathway. Materials and Methods Cell culturing and transfection HT-29, a human colon adenocarcinoma cell line, and HeLa S3, a human cervical adenocarcinoma cell line, were kind gifts from Anita Antes (University of Medicine and Dentistry of New Jersey). HeLa S3 cells were cultured in Minimum Essential Medium Eagle containing 0.1 mM non-essential amino acids, 1.0 mM sodium pyruvate, and 10% fetal bovine serum (FBS). HT-29 cells were maintained in RPMI-1640 supplemented with 1.0 mM sodium pyruvate, 10 mM HEPES, and 10% FBS. Cells were transfected with control siRNA, siRNA specifically targeted to human eIF5A1 and siRNAs against human Bax and Bim (Cell Signaling) using Lipfectamine 2000 (Taylor et al., 2004). For adenovirus-mediated transfection, cells were seeded at 1 105 cells per well on a six-well tissue culture plate and infected with adenovirus constructs [4,000 infectious unit (ifu)/cell for HT29 cells and 500 ifu/cell for HeLa S3 cells] 24 h later in medium containing 2% FBS. Additional medium was added to the cells 4 h after infection, and the concentration of FBS was brought to 10%. Site-directed mutagenesis of eIF5A1 and construction of adenoviral vectors A site-specific mutation of eIF5A1 at lysine50 was obtained by PCR using pHMeIF5A1 DNA (Taylor et al., 2007) as the template following the protocol described previously (Ho et al., 1989). Using the forward primer, 50 -GCCAAGCTTAATGGCAGATGATTTGG-30 , and the reverse primer, 50 -GTGCGCGCCAGTCTTCGAAGTAG-30 , a 158-bp fragment of the coding region of eIF5A1 containing a point-mutation-converting lysine50 to alanine as well as an Sfu I restriction enzyme site was obtained. The remaining 347-bp segment of the coding region was amplified with an Sfu I restriction enzyme site using the forward primer, 50 -CTACTTCGAAGACTGGCGCGCAC-30 , and the reverse primer, 50 -CCTGAATTCCAGTTATTTTGCCATGG-30 . The two PCR products were digested with Sfu I, ligated, and subcloned into the Hind III and EcoR I sites of the pHM6 vector. The resultant construct containing eIF5A1(K50A) was validated by sequencing. Adenoviral (Ad) vectors (Adenovirus 5 serotype, E1 and E3-deleted) expressing eIF5A1, eIF5A1(K50A), eIF5A2, or LacZ were prepared using the AdMaxTM Hi-IQ system (Microbix Biosystems Inc., Mississauga, ON) as described (Jin et al., 2008). Induction and measurement of apoptosis Apoptosis was induced in HT-29 cells or HeLa S3 cells by treatment with Actinomycin D (0.5 mg/ml; Calbiochem, Gibbstown, NJ), sodium nitroprusside (SNP; 3 mM; Sigma–Aldrich, Oakville, ON), or the proteasome inhibitor MG-132 (5 mM; Sigma–Aldrich) or by infection with Ad-eIF5A constructs. Cell death was measured using the XTT cell viability assay (Roche Applied Science, Mississauga, ON) or an ELISA kit (Roche Applied Science) according to the manufacturer’s instructions. In some cases, cell death was also measured using trypan blue. Trypsinized cells were stained for 5 min in phosphate-buffered saline (PBS) containing 0.1% (w/v) trypan blue, and stained and unstained cells were counted using a hemocytometer. Apoptosis was measured using the DeadEnd Fluorometric TUNEL assay (Promega, Nepean, ON) according to the JOURNAL OF CELLULAR PHYSIOLOGY manufacturer’s instructions for adherent cells. The cells were subsequently stained with 5 mg/ml Hoechst 33358 (Sigma–Aldrich) for 10 min at room temperature and visualized by fluorescence microscopy (Carl Zeiss, Toronto, ON) using a UV filter to observe the Hoechst-stained nuclei and a fluorescein filter to observe apoptotic cells stained by TUNEL. Apoptosis was also measured using the Annexin V-FITC apoptosis detection kit I (BD Bioscience, Mississauga, ON) according to the manufacturer’s instructions. Cells were detached by trypsinization, stained with Annexin V-FITC and propidium iodide (PI), and sorted using a BD FACSVantage SE system (BD Bioscience) with an argon laser source. Fifteen thousand cells were counted, and the data were analyzed using WinMDI 2.8 software. Cells at early and late stages of apoptosis were defined as cells that were Annexin V-positive, PI-negative, and Annexin V-positive, PI-negative, respectively. Preparation of cell fractions Cell lysates were obtained by washing trypsinized cells twice with PBS and resuspending them in boiling lysis buffer (2% SDS and 50 mM Tris–HCl, pH 7.4). The lysates were sonicated, and protein concentration was determined using a bicinchoninic acid protein assay kit (Sigma–Aldrich) following the manufacturer’s instructions. Cytosolic and mitochondrial fractions were obtained by treatment with digitonin (Saikumar et al., 1998). The cells were trypsinized, washed in PBS, and resuspended in sucrose buffer (250 mM sucrose, 10 mM Hepes, 10 mM KCl, 1.5 mM MgCl2, 1 mM EGTA, and 1 mM EDTA) containing 0.025% (w/v) digitonin (Sigma– Aldrich) and 1 protease inhibitor cocktail (Sigma–Aldrich). The suspension was incubated at room temperature for 1 min, and the cell lysates were cleared by centrifugation at 14,000g for 10 min at 48C giving rise to a supernatant comprising the cytosolic fraction. The pellet of permeabilized cells was resuspended in 150 ml of complete lysis buffer [2 M Thiourea, 7 M Urea, 30 mM Tris, 4% (w/v) CHAPS (Sigma–Aldrich), 0.5% (v/v) Triton X-100 (Bioshop, Burlington, ON), and 1 protease inhibitor cocktail] and incubated on ice for 10 min with gentle shaking. The sample was then centrifuged at 14,000g for 10 min giving rise to a supernatant comprising the mitochondrial fraction. Protein was assayed using a Bradford assay (Bioshop) following the manufacturer’s instructions. SDS–PAGE and Western blotting For Western blotting, 5 mg protein samples were fractionated by SDS–PAGE and transferred to Hypond-P PVDF membrane (Amersham, GE Healthcare, Baie d’Urfe, QC). The blots were probed with primary antibodies for b-actin (Calbiochem), eIF5A1 (BD Bioscience), eIF5A2 (Novus Biologicals, Littleton, CO), cytochrome c (BD Bioscience), as well as Bad, Bax, Bcl-2, Bid, Bim, p53, and Puma (Cell Signaling). HRP-conjugated anti-mouse IgG (Sigma–Aldrich), anti-mouse IgM (Calbiochem), or anti-Rabbit IgG (Calbiochem) were used as secondary antibodies, and immune-complexes were visualized by chemiluminescence (ECL Plus Western blotting detection kit; Amersham). In some cases, membranes were stripped by incubation in stripping buffer [100 mM 2-mercaptoethanol, 2% (w/v) SDS, and 62.5 mM Tris–HCl, pH 6.7] for 30 min at 508C and re-probed with a second antibody. Measurement of mitochondrial transmembrane potential (DCm) and caspase activation DiOC6(3), a dye that permeates the plasma membrane, was used to detect the loss of DCm (Petit et al., 1995) following the induction of apoptosis. Cells were trypsinized and diluted in medium containing 50 nM DiOC6(3) (Sigma–Aldrich). The cell–dye mixture was incubated in the dark at 378C for 20 min. After incubation, the cells were washed twice with PBS, resuspended in PBS, and analyzed on a BD FACSVantage SE system (BD 799 800 SUN ET AL. Bioscience) with an argon laser source. For each sample, 15,000 cells were acquired in list mode and analyzed with WinMDI 2.8 software (Joseph Trotter, Scripps Research Institute, La Jolla, CA). Caspase activation was measured using caspases 3, 8, and 9 detection kits (Calbiochem) according to the manufacturer’s instructions. Cells were trypsinized and resuspended in complete medium containing FITC–DEVD–FMK, FITC–IETD–FMK, or FITC–LEHD. Cell suspensions were incubated at 378C for 1 h, and then sorted using a Coulter Epics XL–MCL flow cytometry system (Beckman Coulter, Mississauga, ON) with an argon laser source. For each sample, 25,000 cells were acquired in list mode and analyzed with WinMDI 2.8. To inhibit the activation of caspases, cells were treated with the pan caspase inhibitor, Z–VAD–FMK (20 mM; Calbiochem). Activation of caspase 3 was measured to assess the inhibition. Proteomic profiling Analytical difference in-gel electrophoresis (DIGE) analyses were performed according to the supplier’s instructions (GE Healthcare, Baie d’Urfe, QC) as described (Cheng et al., 2009). Cell lysates were harvested in cold lysis buffer (7 M urea, 2 M thiourea, 30 mM Tris, 4% CHAPS, 1 protease inhibitor cocktail) 24, 48, and 72 h after infection with Ad-eIF5A1 or Ad-LacZ, a negative control, and cleared of cell debris by sonication and centrifugation. The samples (internal standard, control sample, treated sample—50 mg protein equivalent) were labeled with 400 pmol of different CyDye DIGE fluors (GE Healthcare), mixed together and loaded on Immobiline DryStrips (GE Healthcare) (pH 3-11NL, 24 cm). Isoelectric focusing (IEF) performed using an Ettan IPGphor II (GE Healthcare) was followed by SDS–PAGE fractionation on 12% gels. Four analytical gels were run for each time point. Fluorescence was measured using a Typhoon 9400 Imager system (GE Healthcare), and matching and statistical analyses of the protein spots were performed using DeCyder V 6.0 software (GE Healthcare). Expression ratios were calculated as R ¼ (treated/control) for up-regulated proteins, and as R ¼ (control/treated) for down-regulated proteins. Statistical significance was calculated using the DeCyder software and corrected for multiple hypothesis testing. Proteins significantly up- or down-regulated were deemed to be those with an expression ratio 1.5 ( P 0.05). Fractionation of proteins for sequencing was performed on preparative 2D gels (Cheng et al., 2009). Cell lysates (0.5 mg of protein) were loaded on Immobiline DryStrips (pH 3-11NL, 24 cm), fractionationed, and stained overnight with Sypro Ruby (Bio-Rad Laboratories, Mississauga, ON). Spots of interests were excised, washed with water, dehydrated with 100% acetonitrile (ACN), and air-dried. The gel pieces were rehydrated for 10 min in a 10 ng/ml trypsin solution (Promega) at a ratio of approximately 1:10 (w/w) of trypsin:protein. Fifty microliters of 50 mM NH4HCO3 (pH 8.0) was added to each gel piece, and the proteins were digested at 378C for 18 h. The peptides were extracted by three cycles of vortexing and sonication (2 min of vortexing followed by 5 min of sonication) and dried in a SpeedVac, Instruments Inc., Hicksville, NY. The samples were resuspended in 5 ml of 50% ACN containing 0.1% formic acid and analyzed by LC–MS/MS (mass spectrometry) using an Applied Biosystems QTRAP system (Applied Biosystems Inc., Foster City, CA). Peak lists were generated and processed using Analyst software version 1.4.1 (Applied Biosystems). Proteins were identified using PEAKS software 3.1 (Bioinformatics Solutions Inc., Waterloo, ON), which combines auto de novo sequencing and database searching (NCBI nr database was downloaded on February 28, 2007). The search engines were programmed for parental and fragment mass errors of 0.2 and 0.1 Da, respectively, with trypsin as the digestive enzyme (one missed cleavage allowed) and carbamidomethylation and methionine oxidation (post-translational modification) as the fixed JOURNAL OF CELLULAR PHYSIOLOGY and variable modifications, respectively. Protein identification was further confirmed using MASCOT MS/MS ion search and peptide-fingerprinting (Perkins et al., 1999). The database, digestive enzyme, post-translational modification, missed cleavage setting, and peptide error tolerance were the same as those used for the PEAKS software analysis. The criterion for acceptance of an identification score above the threshold in MASCOT searches was P 0.05. When there was more than one identification for a given protein, the identification selected was based on the best match between calculated pI and molecular mass values and those obtained empirically from the 2D gel. All identified proteins contained at least one signature-specific, non-redundant peptide. Statistics Independent Student’s t-test or one-way ANOVA followed by post hoc Scheffe’s test were used for statistical analysis. A P-value of 0.05 was considered to be statistically significant. Results siRNA suppression of eIF5A1 inhibits apoptosis HT-29 cells were transfected with eIF5A1 siRNA or control siRNA 48 h prior to treatment with SNP, a nitric oxide (NO) donor that is known to induce cytotoxicity leading to apoptosis (Wang et al., 2007). Twenty-four hours after SNP treatment, cell viability was determined by the XTT assay. There was a 76% loss in viability of control cells exposed to SNP, whereas cells treated with eIF5A1 siRNA only exhibited a 25% loss in viability (Fig. 1A). Moreover, the eIF5A1 siRNA-mediated protection against SNP-induced cytotoxicity correlated with a strong reduction in eIF5A1 protein levels (Fig. 1B). siRNA suppression of eIF5A1 also provided protection against MG-132-induced apoptosis. MG-132 is a potent irreversible proteasome inhibitor that has been shown to induce apoptosis in numerous cell lines (Drexler, 1997; MacLaren et al., 2001). HT-29 cells were transfected with eIF5A1 siRNA or control siRNA for 24 or 48 h prior to treatment with MG-132 for 24 h. No protection against MG-132-induced apoptosis was observed in cells transfected with eIF5A1 siRNA for 24 h prior to MG-132 exposure (Fig. 1C). However, for cells transfected with eIF5A1 siRNA for 48 h prior to MG-132 treatment, there was a 60% reduction in the percentage of apoptotic cells compared with cells transfected with control siRNA (Fig. 1C). Western blot analysis indicated that the protein level of eIF5A1 was strongly reduced in eIF5A1 siRNA-transfected cells, particularly 72 h after transfection (Fig. 1D). Moreover, the protection against MG-132-induced apoptosis conferred by eIF5A1 siRNA correlated with the greater reduction of eIF5A1 protein observed after 72 h of transfection compared to 48 h. Suppression of eIF5A1 by siRNA also afforded protection against Actinomycin D-induced apoptosis in HeLa S3 cells (Supplementary Fig. 1). Immunoblot analysis of cell lysates using eIF5A1-specific antibody confirmed that levels of eIF5A1 protein were dramatically reduced within 72 h in cells transfected with eIF5A1 siRNA compared with those transfected with control siRNA (Supplementary Fig. 1A). Moreover, this correlated with strong protection against cell death. Within 24 h of administering Actinomycin D, there was 56% reduction in cell viability for cells transfected with control siRNA, whereas cells treated with eIF5A1 siRNA only exhibit 18% loss in viability (Supplementary Fig. 1B). Over-expression of eIF5A1 induces apoptosis eIF5A1 and eIF5A1(K50A), a mutant of eIF5A1 that cannot be hypusinated, were over-expressed in HT-29 and HeLa S3 cells using adenovirus as a transfection agent. Adenovirus- eIF5A ACTIVATES INTRINSIC PATHWAY Fig. 1. Suppressing the expression of eIF5A1 using specific siRNA reduces SNP- and MG-132-induced cell death. A1, eIF5A1 siRNA; con, control siRNA; un, untranfected; , without; R, with. A: HT-29 cells were transfected with either eIF5A1 siRNA or control siRNA. Forty-eight hours after transfection, the cells were treated with 3 mM SNP for an additional 24 h. Cell viability was measured using the XTT assay. The data are normalized to the value for untransfected cells, which was set at 100%. Values are means W SE (MP < 0.001; n U 3). B: Cell lysates from HT-29 cells treated as described in (A) were collected and subjected to immunoblot analysis using an eIF5A1-specific antibody. Equal loading of the samples was evaluated by probing with antiactin. The results shown are representative of those obtained in three independent experiments. C: HT-29 cells were transfected with either eIF5A1 siRNA or control siRNA. After 24 or 48 h, the cells were treated with 5 mM MG-132 for another 24 h. Apoptosis was measured using the Cell Death Detection ELISA kit. Data are expressed as a percentage of the value for cells transfected with control siRNA and treated with 5 mM MG-132. Values are means W SE (MP < 0.001; n U 4). D: Immunoblot analysis of lysates of HT-29 cells treated as in (C) using specific anti-eIF5A1 and antiactin. The results are representative of those obtained in three independent experiments. expressing LacZ (Ad-LacZ) was used as a negative control. b-galactosidase staining indicated that infection of HT-29 cells and HeLa S3 cells with Ad-LacZ at 4,000 and 500 ifu/cell, respectively, resulted in transfection rates of more than 90% (data not shown). Adverse effects on cell morphology were not observed at this level of infection. In HT-29 cells infected with 4,000 ifu/cell of Ad-eIF5A1 or Ad-eIF5A1(K50A), the protein levels of eIF5A1 and eIF5A1(K50A) were strongly up-regulated within 48 h of infection and remained high for at least 72 h after infection (Fig. 2A,B). Similar levels of eIF5A1 up-regulation were achieved in HeLa S3 cells following infection with adenovirus constructs at 500 ifu/cell (Fig. 2B, Supplementary Fig. 2). It has been demonstrated previously by 2D Western blot analysis that in normally growing HT-29 cells eIF5A is present almost exclusively in its hypusinated form (Taylor et al., 2007), which is consistent with the fact that virtually all cellular eIF5A protein is hypusinated immediately after synthesis (Park et al., 1993a). In the same study, it was demonstrated that in Ad-eIF5A1(K50A)-infected HT-29 cells, there is a large excess of unhypusinated eIF5A1 and comparatively little hypusinated eIF5A1 indicating that the rapidly synthesized trans-eIF5A1 is not hypusinated (Taylor et al., 2007). This is to be expected since the point mutation in eIF5A1(K50A) precludes hypusination. However, there was also a large disproportionate accumulation of unhypusinated relative to hypusinated eIF5A1 in HT-29 cells infected with Ad-eIF5A1 (Taylor et al., 2007), which can be attributed to rate-limiting levels of DOHH and DHS available to modify the large amounts of newly translated eIF5A1 (Clement et al., 2006; Park et al., 2006). Thus, the up-regulated pools of eIF5A1 in cells infected with Ad-eIF5A1 or Ad-eIF5A1(K50A) (Fig. 2A,B) contain very little hypusinated eIF5A1 relative to unhypusinated eIF5A1. JOURNAL OF CELLULAR PHYSIOLOGY Adenovirus-mediated over-expression of eIF5A1 or eIF5A1(K50A) induced apoptosis detected using the TUNEL assay in HT-29 cells. Following infection with Ad-eIF5A1 or AdeIF5A1(K50A), approximately 23% of cells were undergoing apoptosis 48 h later (Fig. 3A,B). In contrast, <1% of control cells infected with Ad-lacZ were undergoing apoptosis within this time frame (Fig. 3A,B). The cytotoxic effect of eIF5A1 adenoviral infection was confirmed by XTT assay 96 h after infection. The viability of cells infected with Ad-eIF5A1 or Ad-eIF5A1(K50A) was reduced by 77% in comparison with the viability of cells infected with Ad-LacZ (Fig. 3C). HT-29 cells infected with adenovirus constructs of eIF5A1 or eIF5A1(K50A) were also stained with Annexin V/PI. Within 48 h of infection, 27% of the cells were undergoing apoptosis, and by 72 h after infection, 62% of the cells were undergoing apoptosis (Supplementary Fig. 3). Treatment with Actinomycin D served as a positive control (Supplementary Fig. 3). The induction of apoptosis in HeLa S3 cells by Ad-eIF5A1 and Ad-eIF5A1(K50A) was also measured by flow cytometry after staining with Annexin V-FITC/PI. The cells were infected with 500 ifu/cell adenovirus constructs, and apoptosis was measured at intervals of 24, 48, and 72 h thereafter. Treatment with Actinomycin D served as a positive control. There was minimal induction of apoptosis within 24 h of infection (Fig. 3D,E), but by 48 h there was clear evidence of apoptosis for cells infected with Ad-eIF5A1 and Ad-eIF5A1(K50A). Specifically, the proportion of cells at early (Annexin Vþ/PI) and late stages (Annexin Vþ/ PIþ) of apoptosis was 21.3% for Ad-eIF5A1-infected cells and 32.3% for Ad-eIF5A1(K50A)-infected cells (Fig. 3E). At 72 h after infection with Ad-eIF5A1 or Ad-eIF5A1(K50A), 60–65% of the cells were undergoing apoptosis with a large percentage at the late stage of apoptosis (Fig. 3E). 801 802 SUN ET AL. Fig. 2. Infection with Ad-eIF5A1, Ad-eIF5A1(K50A), or Ad-eIF5A2 induces up-regulation of eIF5A expression. A1, Ad-eIF5A1; M, Ad-eIF5A1(K50A); A2, Ad-eIF5A2; Z, Ad-lacZ. A: HT-29 cells were infected with various adenovirus constructs at 4,000 ifu/cell. At 48 or 72 h after infection, cell lysates were collected and subjected to immunoblot analysis using antibodies against eIF5A1, eIF5A2, and actin. B: HeLa S3 cells and HT-29 cells were infected with 500 ifu/cell and 4,000 ifu/cell of adenovirus constructs, respectively. Forty-eight hours after infection, cell lysates were collected and subjected to immunoblot analysis using antibodies against eIF5A1 and actin. The results shown are representative of those obtained in three independent experiments. Note that anti-eIF5A1 cross-reacted with eIF5A2, and that anti-eIF5A2 cross-reacted with eIF5A1. Over-expression of eIF5A1 induces activation of caspases 3, 8, and 9 In order to determine whether Ad-eIF5A1- and AdeIF5A1(K50A)-induced apoptosis involves activation of caspases, the effects of their over-expression on the activation of executioner caspase 3 as well as initiator caspases 8 and 9 were examined in HeLa S3 cells over a period of 72 h. All three caspases were activated in 25–45% of the cells, depending on the caspase, within 48 h of infection with Ad-eIF5A1 or Ad-eIF5A1(K50A), and in 55–75% of the cells, depending on the caspase, within 72 h of infection (Fig. 4 and Supplementary Fig. 4). Cells treated with Actinomycin D and cells infected with Ad-lacZ served as positive and negative controls, respectively (Fig. 4 and Supplementary Fig. 4). To determine whether apoptosis induced by over-expression of eIF5A1 is caspasedependent, HeLa S3 cells infected with adenovirus eIF5A1 were co-treated with the pan caspase inhibitor, Z–VAD–FMK. In the presence of Z–VAD–FMK, the activation of caspase 3 and the induction of apoptosis were inhibited by 90% in AdeIF5A1- and eIF5A1(K50A)-infected cells (Fig. 5), indicating that eIF5A1-mediated apoptosis is caspase-dependent. Over-expression of eIF5A1 induces loss of mitochondrial transmembrane potential (DCm), release of cytochrome c, and translocation of Bax It is clear from the data in Figure 4B that caspase 9, the initiator caspase for the mitochondrial apoptotic pathway, is activated in HeLa S3 cells over-expressing eIF5A1. Accordingly, the possibility that up-regulation of eIF5A1 results in the loss of DCm, a well-established apoptotic trait (Petit et al., 1995), was examined. DCm was measured in HeLa S3 cells infected with Ad-eIF5A1 or Ad-eIF5A1(K50A) using the membrane potential-sensitive dye, DiOC6(3), followed by fluorescenceJOURNAL OF CELLULAR PHYSIOLOGY activated cell-sorting (FACS) analysis. Over the entire 72 h experimental period, the dye was retained within mitochondria in 97% of control cells infected with Ad-lacZ, reflecting structural integrity of the mitochondrial membrane system (Fig. 6). In contrast, a gradual decline in the number of cells with normal DCm was observed following infection with the eIF5A1 or eIF5A1(K50A) adenovirus constructs with 50% of the cells exhibiting loss of DCm within 72 h (Fig. 6). For cells treated with Actinomycin D, which served as a positive control, there was a similar decline in the proportion of cells exhibiting normal DCm within 24 h (Fig. 6). Release of cytochrome c from mitochondria into the cytosol is an early event in the mitochondrial pathway of apoptosis. Once in the cytosol, cytochrome c binds to Apaf-1 to form the cytochrome c:Apaf-1 complex, which directly induces the activation of caspase 9 (Li et al., 1997). To determine whether the effects of up-regulated eIF5A1 on DCm resulted in the induction of cytochrome c release, cytosolic and mitochondrial fractions isolated from HeLa S3 cells infected with Ad-eIF5A1 were subjected to immunoblot analysis using a specific antibody against cytochrome c. Prior to infection with Ad-eIF5A1, cytochrome c was detected only in the mitochondrial fraction indicating that it was still entrapped in the mitochondrial intermembrane space (Fig. 7A). Cytochrome c remained in the mitochondrial fraction for up to 31 h after infection with Ad-eIF5A1. However, by 48 h after infection, translocation of cytochrome c from mitochondria to the cytosolic fraction was evident, and after 55 h, there were almost equal proportions of cytochrome c in the mitochondrial fraction and in the cytosol (Fig. 7A). By 72 h after infection, the bands corresponding to cytochrome c were weak (Fig. 7A and Supplementary Fig. 2), presumably because the cells were dying. These results corroborate the observation that loss of DCm, which precedes cytochrome c release, was also not evident until between 24 and 48 h after infection (Fig. 6B). Localization of the pro-apoptotic Bcl-2 family protein, Bax, which usually resides as a monomer in the cytosol but oligomerizes and translocates to the mitochondrial outer membrane in response to certain apoptotic stimuli (Schinzel et al., 2004), was also examined following infection with AdeIF5A1. Prior to infection, most of the Bax protein was localized in the cytosol, with only a small amount detectable in the mitochondrial fraction (Fig. 7A). This is consistent with reports that Bax can also loosely associate with the mitochondrial outer membrane as a monomer in untreated HeLa cells (Antonsson et al., 2001). However, within 24 h of infection with Ad-eIF5A1, there was clear evidence for migration of Bax from the cytosol to the mitochondrial fraction, and by 48 h, almost all of the Bax protein was associated with the mitochondrial fraction (Fig. 7A). Moreover, the translocation of Bax to the mitochondrial fraction from Ad-eIF5A1-treated cells clearly preceded the release of cytochrome c from the mitochondrial fraction (Fig. 7A). Effects of eIF5A1 over-expression on levels of Bcl-2 family proteins The effects of eIF5A1 up-regulation on the expression levels of the pro-apoptotic Bcl-2 family members, Bid, Puma, Bim, Bad, and Bax, were examined in HeLa S3 cells. In spite of the ability of eIF5A1 to induce apoptosis, the pro-apoptotic BH3-only Bcl-2 proteins, Bid and Puma, were down-regulated in Ad-eIF5A1- and Ad-eIF5A1(K50A)-infected cells (Fig. 7B). Moreover, cleaved Bid was not observed (Fig. 7B) indicating that eIF5A-induced activation of caspase 8 does not directly lead to activation of intrinsic mitochondrial pathway. Bim, a pro-apoptotic BH3-only Bcl-2 family protein, was up-regulated within 48 h in Ad-eIF5A1-infected cells, and there was also induction of pro-apoptotic BimL and BimS, alternative splicing forms of Bim, in both Ad-eIF5A1- and Ad-eIF5A1(K50A)- eIF5A ACTIVATES INTRINSIC PATHWAY Fig. 3. Over-expression of eIF5A induces apoptosis in HT-29 and HeLa S3 cells. A1, Ad-eIF5A1; M, Ad-eIF5A1(K50A); A2, Ad-eIF5A2; Z, Ad-lacZ; UN, untreated; ActD, Actinomycin D. A: HT-29 cells were infected with eIF5A adenovirus constructs. After 48 h, the cells were fixed and stained with TUNEL and Hoechst 33258. For each sample, the same field was observed by fluorescence microscopy using two different filters. A fluorescein filter was used to visualize TUNEL-stained apoptotic cells and a UV filter was used to visualize Hoeschst-stained nuclei. The results shown are representative of those obtained in three independent experiments. Magnification: 100T. B: The percentage of HT-29 cells undergoing apoptosis was calculated by dividing the number of TUNEL-labeled apoptotic cells by the number of Hoechst-stained cells. The values are means W SE (MP < 0.001; n U 3). C: HT-29 cells were infected with eIF5A adenovirus constructs. After 4 days, cell viability was measured using the XTT assay. The values for Ad-eIF5A infected cells are normalized to that for Ad-lacZ infected cells, which was set at 100%. Values are means W SE (MP < 0.001; n U 3). D: Flow cytometry analysis of Annexin V-FITC/PI-labeled HeLa S3 cells infected with eIF5A adenovirus constructs for 24, 48, or 72 h. Cells treated with 0.5 mg/ml Actinomycin D served as a positive control. Results shown are representative of those obtained in 4 independent experiments. E: Percentage of HeLa S3 cells treated as described in (D) undergoing apoptosis. Values shown are means W SE (n U 4). infected cells (Fig. 7B). No significant changes in the levels of Bad were apparent following infection (Fig. 7B). The expression levels of Bax were also unchanged (Fig. 7B) notwithstanding the fact that up-regulation of eIF5A1 induced migration of Bax from the cytosol to mitochondria (Fig. 7A). However, it has been JOURNAL OF CELLULAR PHYSIOLOGY suggested previously that the localization of Bax on the mitochondrial outer membrane is in itself sufficient to induce mitochondrial outer membrane permeabilization (Jürgensmeier et al., 1998; Shimizu et al., 1999). Levels of Bcl-2, an anti-apoptotic member of the Bcl-2 family, were low in 803 804 SUN ET AL. Fig. 4. Over-expression of eIF5A activates caspases 3, 8, and 9. HeLa S3 cells were infected with eIF5A adenovirus constructs for 48 or 72 h, or treated with 0.5 mg/ml Actinomycin D for 24 h. Cells were subsequently collected, incubated with either FITC–DEVD–FMK (detects activated caspase 3), FITC–IETD–FMK (detects activated caspase 8), or FITC–LEHD–FMK (detects activated caspase 9) and analyzed by flow cytometry. Data shown are percentages of cells with activated caspases 3, 8, and 9. A1, Ad-eIF5A1; M, Ad-eIF5A1(K50A); A2, Ad-eIF5A2; Z, AdlacZ; UN, untreated; ActD, Actinomycin D. Values shown are means W SE (n U 4). untreated HeLa S3 cells and remained low to undetectable following infection with Ad-eIF5A1 or Ad-eIF5A1(K50A) (Fig. 7C). This is in keeping with the finding that Bcl-2 transcription is curtailed in HeLa cells, the progenitor of HeLa S3 cells (Cleary et al., 1986; Odin et al., 2001). To determine whether eIF5A1-induced apoptosis is dependent on Bax or Bim, their expression in HeLa S3 cells was suppressed by treatment with specific siRNAs for 24 h before infection with Ad-eIF5A1, Ad-eIF5A1(K50A), or Ad-LacZ. Apoptosis was measured 48 h after infection. Apoptosis of cells transfected with either Bax or Bim siRNA prior to infection with Ad-eIF5A1 or Ad-eIF5A1(K50A) was reduced to levels approximating the background levels obtained for untreated cells and cells treated with control siRNA only, whereas cells infected without prior siRNA treatment exhibited normal levels of apoptosis (Fig. 8A). This correlated with strong suppression of Bax and Bim expression by their respective siRNAs (Fig. 8B,C). These observations suggest that both Bax and Bim are involved in eIF5A1-induced apoptosis. Cells pretreated with control siRNA and infected with Ad-LacZ, a negative control, also exhibited background levels of apoptosis (Fig. 8A). Over-expression of eIF5A1 induces up-regulation of p53 To evaluate the effect of eIF5A1 up-regulation on the tumor suppressor protein, p53 and its homologs, HeLa S3 cells were infected with adenovirus constructs of eIF5A1 and eIF5A1(K50A), and total protein was analyzed by Western blotting using polyclonal antibody against p53 at intervals of 24, 48, and 72 h after infection. The level of p53 in untreated cells was low (Fig. 7B). This reflects the fact that HeLa cells, the progenitor of HeLa S3 cells, were transformed with human papillomavirus (HPV) whose E6 gene product interacts with p53, resulting in its rapid degradation through the ubiquitin–proteasome pathway (Scheffner et al., 1990; Thomas et al., 1996). However, a modest increase in p53 expression of HeLa S3 cells was observed within 72 h of infection with Ad-eIF5A1(K50A) (Fig. 7B). In addition, there was strong up-regulation of an 80 kDa protein within 48 h in Ad-eIF5A1and Ad-eIF5A1(K50A)-infected cells (Fig. 7B). Since the p53 antibody used in this analysis is polyclonal, it is possible that this up-regulated protein is p73, a homolog of p53. p73 is known to be functional in HeLa cell lines because, unlike p53, it is not inactivated by the products of viral oncogenes such as HPV E6 (Marin et al., 1998). There are two alternatively spliced p73 mRNAs giving rise to p73a, the full length protein (MW 80 kDa), and p73b, a smaller version of the protein (MW 70 kDa) (Kaghad et al., 1997; Marin et al., 1998). Only putative p73b was detectable in untreated cells, but within 72 h of infection with Ad-eIF5A1 or Ad-eIF5A1(K50A), both putative p73a and p73b were up-regulated (Fig. 7B). Proteomic analysis of eIF5A1-induced changes in protein expression Fig. 5. Ad-eIF5A-induced apoptosis is caspase-dependent. HeLa S3 cells infected with eIF5A adenovirus constructs were co-treated with the pan caspase inhibitor, Z–VAD–FMK. Seventy-two hours later, apoptosis (A) and caspase 3 activation (B) was assessed. Values shown are means W SE (MP < 0.05; n U 4). A1, Ad-eIF5A1; M, AdeIF5A1(K50A); A2, Ad-eIF5A2; Z, Ad-lacZ; UN, untreated; ActD, Actinomycin D. JOURNAL OF CELLULAR PHYSIOLOGY Proteomic tools were used to assess eIF5A1-induced changes in protein expression in HeLa S3 cells. Within 24 h of transfection with Ad-eIF5A1, 62 proteins out of a total number of 1,846 that were detectable on analytical gels showed significant changes in expression ( P 0.05, expression ratio 1.5). Of these, 32 were up-regulated, and 30 were down-regulated. By 72 h after transfection, 131 proteins from a total of 1899 detected showed significant changes in expression, 90 displaying up-regulation and 41 downregulation. Of these, 49 were successfully identified by 2D preparative gel electrophoresis and MS, and categorized into eight groups (I–VIII) based on functional annotation (Supplementary Fig. 5 and Supplementary Table 1). eIF5A ACTIVATES INTRINSIC PATHWAY Fig. 6. Effect of over-expression of eIF5A on mitochondrial transmembrane potential. A1, Ad-eIF5A1; M, Ad-eIF5A1(K50A); A2, Ad-eIF5A2; Z, Ad-lacZ; UN, untreated; ActD, Actinomycin D. A: Histograms of labeled cells. HeLa S3 cells were infected with eIF5A adenovirus constructs. At intervals of 24, 48, and 72 h after infection, cells were labeled with DiOC6(3) and analyzed by FACS. Cells treated with Actinomycin D or infected with Ad-lacZ served as positive and negative controls, respectively. Results shown are representative of those obtained in four independent experiments. B: Percentage of cells with normal mitochondrial transmembrane potential. Values shown are means W SE (n U 4). Four eIF5A1 proteins were identified (proteins 1 through 4, Supplementary Table 1 and Supplementary Fig. 5), all showing up-regulation. MS sequencing indicated that protein 1 is acetylated (K47) unhypusinated eIF5A1, protein 2 is unacetylated unhypusinated eIF5A1, and proteins 3 and 4 are truncated versions of proteins 1 and 2, respectively, MS data illustrating this for proteins 1 and 2 are provided in Supplementary Figure 6. Acetylation of eIF5A1 K47 has been reported previously for HeLa cells (Klier et al., 1995). As well, JOURNAL OF CELLULAR PHYSIOLOGY the finding that all of the up-regulated eIF5A1 proteins are unhypusinated is consistent with the fact that adenoviralmediated over-expression of eIF5A is known to inhibit hypusination (Taylor et al., 2007). Proteins 3 and 4 were much less abundant than proteins 1 and 2 (Supplementary Fig. 5), which may reflect the fact that they appear to have been formed from proteins 1 and 2. Proteins 5 through 8 of Group I are heterogeneous nuclear ribonucleoproteins (hnRNP), including hnRNP A2 and hnRNP L isoforms a and b, which were down- 805 806 SUN ET AL. Fig. 7. Over-expression of eIF5A activates the mitochondrial apoptotic pathway. A: HeLa S3 cells were infected with Ad-eIF5A1. At the indicated times after infection, cytosolic and mitochondrial fractions were isolated, and 5 mg of protein were fractionated by SDS–PAGE and analyzed by Western blotting using antibodies against cytochrome c and Bax. C, cytosolic fraction; M, mitochondrial fraction. B: HeLa S3 cells were infected with eIF5A adenovirus constructs. At the indicated times after infection, cell lysates were collected and subjected to Western blot analysis for p53, Bid, Puma, Bim, Bax, Bad, or (C)Bcl-2. Each lane contained7 mg ofprotein. Results shown are representative ofthose obtained in three independent experiments. A1, Ad-eIF5A1; M, Ad-eIF5A1(K50A); A2, Ad-eIF5A2; Z, Ad-lacZ. regulated, and the apoptosis activator, hnRNP H1 (Garneau et al., 2005), which was up-regulated (Supplementary Table 1). Protein disulfide isomerase (protein 9) and ubiquilin (protein 11) of group II (protein folding and degradation), which both showed increased expression, are known to be up-regulated in the event of ischemia and thought to play roles in ER stressinduced apoptosis (Ko et al., 2002). ER-60 protease (protein 10) and ubiquitin-conjugation enzyme E2D (protein 12) were also up-regulated (Supplementary Table 1). Proteins involved in transcription (Group III), mitochondrial proteins (Group IV), stress proteins (Group V), and cell structure proteins (Group VI) also showed changes in expression following overexpression of eIF5A1 (Supplementary Table 1). As well, galectin and hemoglobin alpha, proteins 43 and 47, respectively, of Group VIII, exhibited increased expression (Supplementary Table 1) and are known to be pro-apoptotic (Perillo et al., 1995; Blaser et al., 1998; Brachat et al., 2002). Albumin and fetuin (Group VII) were detectable and showed changes in expression following eIF5A1 over-expression (Supplementary Table 1), but these are presumed to be components of the growth medium. eIF5A2 mimics the pro-apoptotic effects of eIF5A1 Over-expression of eIF5A2, a second isoform of human eIF5A that is rarely expressed, also induced apoptosis. Infection of cells with Ad-eIF5A2 resulted in strong over-expression of eIF5A2 (Fig. 2) and ensuing caspase-dependent induction of apoptosis (Figs. 3 and 5). Moreover, as for eIF5A1-induced apoptosis, this was accompanied by activation of caspases 3, 8, and 9 (Fig. 4), loss of DCm (Fig. 6), and induction of proapoptotic BimL and BimS (Fig. 7B). eIF5A2-induced apoptosis also proved to be dependent upon Bax and Bim (Fig. 8). Discussion A role for eIF5A1 in apoptosis is supported by the finding that siRNA-mediated inhibition of its expression provides JOURNAL OF CELLULAR PHYSIOLOGY protection against apoptosis induced by exposure to TNF-a (Taylor et al., 2004) and cytotoxic agents such as Actinomycin D (Taylor et al., 2007). The efficacy of eIF5A1 siRNA as an inhibitor of apoptosis was confirmed in this study using a NO donor as well as a proteasome inhibitor as pro-apoptotic stimuli. In both cases, suppression of eIF5A1 provided protection against the induction of programmed cell death. Conversely, over-expression of eIF5A1 has been shown to induce apoptosis (Li et al., 2004; Taylor et al., 2007), further supporting the contention that it is apoptogenic. This study sheds some light on how eIF5A1 engages in apoptosis by demonstrating that it facilitates activation of the intrinsic mitochondrial apoptotic pathway. Moreover, these effects of eIF5A1 are mirrored by eIF5A1(K50A), a mutant of the protein that cannot be hypusinated, indicating that it is unhypusinated eIF5A1 that is able to mobilize the intrinsic pathway of apoptosis. Unhypusinated eIF5A1 is apoptogenic The notion that hypusinated and unhypusinated eIF5A may have different functions stems in part from the fact that, whereas the hypusination reaction has been correlated with cell proliferation (Schnier et al., 1991; Byers et al., 1994; Park et al., 1998), there is growing evidence that the accumulation of unhypusinated eIF5A1 is correlated with apoptosis. For example, inhibitors of DHS and DOHH, which reduce hypusinated eIF5A1 and increase levels of unmodified eIF5A1, have been shown to induce cell cycle arrest and, in some cell lines, ensuing apoptosis (Park et al., 1993b; Hanauske-Abel et al., 1994; Caraglia et al., 2003; Jin et al., 2003). Induction of apoptosis in a leukemic cell line by treatment with a proteasome inhibitor proved to be accompanied by enhanced levels of unhypusinated eIF5A1 (Jin et al., 2003). Beyond such correlations, the demonstration that mutants of eIF5A1 incapable of being hypusinated are apoptogenic provides more eIF5A ACTIVATES INTRINSIC PATHWAY Fig. 8. Bax and Bim are essential for eIF5A1-induced apoptosis. HeLa S3 cells transfected with Bax, Bim, or control siRNA for 24 h were infected with different eIF5A adenovirus constructs. After an additional 48 h, cells were collected and analyzed. A1, Ad-eIF5A1; M, Ad-eIF5A1(K50A); A2, Ad-eIF5A2; Z, Ad-lacZ; UN, untreated; ActD, Actinomycin D; con, control. A: Annexin V/PI assay of apoptosis. B: Western blot analysis of Bax in cell lysates; each lane contained 8 mg of protein. C: Western blot analysis of Bim in cell lysates; each lane contained 8 mg of protein. Values shown are means W SE (n U 4). direct evidence of a role for unhypusinated eIF5A1 in apoptosis. In this study, eIF5A1(K50A), a mutant of eIF5A1 in which lysine50, the site of hypusination, has been replaced by alanine, proved to be equally as pro-apoptotic as eIF5A1. Moreover, eIF5A1 and eIF5A1(K50A) impacted common elements of the apoptotic cascade. Key indices of apoptosis including phosphatidylserine externalization, mitochondrial dysfunction, DNA fragmentation, and plasma membrane permeabilization were evident following infection with either Ad-eIF5A1 or AdeIF5A1(K50A). These indices are known to be directly or indirectly attributable to the action of caspases (Hengartner, 2000). Consistent with this, Ad-eIF5A1 and Ad-eIF5A1(K50A) both proved capable of activating initiator caspases 8 and 9 as well as effector caspase 3, all of which underpin the execution of apoptosis. These comparative data are thus consistent with the contention that unhypusinated eIF5A1 is the form of the protein that is apoptogenic. Unhypusinated eIF5A1 facilitates activation of the intrinsic mitochondrial apoptotic pathway The finding that over-expression of eIF5A1 or eIF5A1(K50A) induces activation of caspase 9 suggested that unhypusinated eIF5A1 invokes apoptosis by facilitating activation of the intrinsic mitochondrial pathway. This was confirmed by demonstrating that infection with Ad-eIF5A1 or AdeIF5A1(K50A) resulted in translocation of Bax from the cytosol to mitochondria, permeabilization of the outer mitochondrial JOURNAL OF CELLULAR PHYSIOLOGY membrane, and release of cytochrome c. Moreover, the translocation of Bax preceded the release of cytochrome c, which is consistent with reports that the redistribution of Bax leads to mitochondrial outer membrane permeabilization (Jürgensmeier et al., 1998; Shimizu et al., 1999) and is sufficient for the activation of downstream signaling cascades inherent to apoptosis (Antonsson et al., 2001). Of particular note is the fact that siRNA-mediated suppression of Bax severely inhibited the induction of apoptosis by over-expressed eIF5A1 or eIF5A1(K50R), for this is further confirmation of the contention that unhypusinated eIF5A1 facilitates activation of the intrinsic mitochondrial pathway. Enhanced expression of eIF5A1 or eIF5A1(K50A) also induced up-regulation of Bim, a BH3-only pro-apoptotic protein, including three isoforms, BimEL, BimL, and BimS generated by alternative splicing. Bim has been shown to be involved in apoptosis induced by a variety of stimuli including DNA damage (Sunters et al., 2003) and death receptor ligation (Han et al., 2006), and the isoforms of Bim formed by alternative splicing are known to be translocated to mitochondria where they facilitate the release of cytochrome c (O’Connor et al., 1998; Gomez-Bougie et al., 2004). Moreover, as for Bax, siRNA-mediated suppression of Bim strongly inhibited eIF5A1-induced apoptosis consistent with the contention that unhypusinated eIF5A1 facilitates activation of the intrinsic mitochondrial apoptotic pathway. The tumor suppressor, p53, is also involved in the mitochondrial apoptotic pathway, and eIF5A1 has been shown 807 808 SUN ET AL. to control p53 up-regulation in response to pro-apoptotic stimuli (Li et al., 2004; Taylor et al., 2007). Infection of HeLa S3 cells with Ad-eIF5A1(K50A) in this study resulted in a modest increase in p53 expression, although no increase in the p53 targets, Puma, Bid, and Bad, was observed. This likely reflects the fact that p53 is inactivated in HeLa S3 cells due to the presence of the HPV E6 oncogene (Scheffner et al., 1990, 1991; Thomas et al., 1996). There was, however, a pronounced accumulation of putative p73, which shares a high degree of sequence and structural homology with p53 (Kaghad et al., 1997) and likely cross-reacted with the p53 antibody used in the present study. Unlike p53, p73 is not inactivated by HPV E6 (Marin et al., 1998) and is able to induce cell cycle arrest and apoptosis irrespective of p53 status (Jost et al., 1997; Melino et al., 2004). Moreover, the finding that eIF5A1 and eIF5A1(K50A) induced apoptosis in both HeLa S3 cells, in which p53 is inactivated (Scheffner et al., 1991), and HT-29 cells, which express a non-functional p53 (Rodrigues et al., 1990), indicates that apoptosis induced by eIF5A1 is likely not dependent on p53 activation. The finding that over-expression of eIF5A2, a second isoform of human eIF5A, simulated the apoptogenic effects of eIF5A1 raises the possibility that the two proteins have some degree of conserved functional potential. Indeed, in a previous study using a syngeneic murine melanoma (B16-F0) model, intratumoral injection of Ad-eIF5A1 or Ad-eIF5A2 significantly inhibited subcutaneous melanoma tumor growth compared with control mice, although the effect was more pronounced with Ad-eIF5A1 (Jin et al., 2008). eIF5A2, like all eIF5A proteins, contains the unique hypusination domain and is 84% homologous with eIF5A1 at the amino acid level (Guan et al., 2001; Jenkins et al., 2001). However, unlike eIF5A1, it is rarely expressed in normal cells and tissues. To date, it has only been detected in testis and parts of the brain (Jenkins et al., 2001). Rather, eIF5A2 is over-expressed in certain colon and ovarian cancers, has been mapped to 3q26, a chromosomal region that is commonly amplified in human ovarian cancer, and has been identified as an oncogene (Guan et al., 2001, 2004; Clement et al., 2003; Marchet et al., 2007; Xie et al., 2008). The proposed oncogenic function of eIF5A2 is not, however, inconsistent with the observation in this study that it is overexpression of unmodified eIF5A2 that induces apoptosis. The oncogenic activity of eIF5A2 is presumably attributable to the hypusinated form of the protein. This is supported by the findings that hypusine-modified eIF5A has been identified as a marker of neoplastic growth (Cracchiolo et al., 2004), DHS, which mediates the first step of hypusination, is up-regulated in cancers (Clement et al., 2006), and DHS has been identified as a marker for metastatic disease (Ramaswamy et al., 2003). Moreover, as noted previously (Taylor et al., 2007) and confirmed in the present study, adenoviral-mediated overexpression of eIF5A results in accumulation of unhypusinated eIF5A. Indeed, accumulation of trans-hypusinated eIF5A in mammalian cells can only be achieved by co-over-expression of DHS and DOHH in the presence of eIF5A1 precursor (Park et al., 2006). It can thus be presumed that the Ad-eIF5A2induced apoptosis observed in this study is attributable to an accumulation of unhypusinated eIF5A2. It is also noteworthy that the ability of over-expressed oncogenes to induce apoptosis or increase sensitivity to apoptotic stimuli has been well described (Harrington et al., 1994; Fearnhead et al., 1998). eIF5A1 proteome Proteomic analyses indicated that 131 proteins in HeLa S3 cells underwent significant changes in expression (expression ratio 1.5, P 0.05) within 72 h of infection with Ad-eIF5A1. Of the 49 that were sequenced and identified, a number proved to be pro-apoptotic factors including hnRNP H1, known to enhance JOURNAL OF CELLULAR PHYSIOLOGY the ratio of pro-apoptotic Bcl-xs to anti-apoptotic Bcl-xl by modulating the alternative splicing of Bcl-x (Garneau et al., 2005); hemoglobin alpha, known to enhance caspase activation and DNA degradation (Brachat et al., 2002); galectin, a b-galactoside-binding protein involved in cell–cell and cell–matrix adhesion that inhibits cell growth and promotes apoptosis (Perillo et al., 1995; Blaser et al., 1998); and cofilin, an actin-binding protein that induces apoptosis (Chua et al., 2003). Ubiquilin and protein-disulfide isomerase, which are both induced in the event of ischemia and involved in ER stress-induced apoptosis (Ko et al., 2002), were also significantly up-regulated in Ad-eIF5A1-infected cells. Other members of the eIF5A1 proteome including hnRNP L, hnRNP A2, and basic transcription factor 3 showed significant downregulation (expression ratio 1.5, P 0.05) consistent with the apoptogenic activity of eIF5A1. HnRNP A2, for example, is required for cell proliferation (He et al., 2005) and downregulated during Fas-induced apoptosis (Thiede et al., 2001). Indeed, suppression of hnRNP A2 together with its functional homologue, hnRNP A1, has been shown to induce apoptosis in a variety of cancer cell lines including HeLa S3 (Patry et al., 2003). Basic transcription factor 3 is thought to function as an anti-apoptotic modulator (Brockstedt et al., 1999; Thiede et al., 2001), and its down-regulation would thus also facilitate the execution of apoptosis. 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