TOXICOLOGICAL SCIENCES 117(1), 109–121 (2010) doi:10.1093/toxsci/kfq172 Advance Access publication June 13, 2010 Azaspiracid-1 Inhibits Endocytosis of Plasma Membrane Proteins in Epithelial Cells Mirella Bellocci, Gian Luca Sala, Federica Callegari,1 and Gian Paolo Rossini2 Dipartimento di Scienze Biomediche, Università di Modena e Reggio Emilia, I-41125 Modena, Italy 1 Present address: Dipartimento Integrato di Medicina, Endocrinologia, Metabolismo e Geriatria, Università di Modena e Reggio Emilia, Via P. Giardini 1355, 41126 Modena, Italy. 2 To whom correspondence should be addressed at Dipartimento di Scienze Biomediche, Università di Modena e Reggio Emilia, Via G. Campi 287, I-41125 Modena, Italy. Fax: þ39-059-205-5410. E-mail: [email protected]. Received February 25, 2010; accepted June 4, 2010 The effect of azaspiracid-1 (AZA-1) on the plasma membrane proteins E-cadherin, Na1/K1-ATPase, and prolactin receptor (Rprl) has been investigated in MCF-7 cells. Cell treatment for 24 h with 1nM AZA-1 induced the accumulation of a proteolytic fragment of E-cadherin and significant increases in the levels of Na1/K1-ATPase and Rprl at the level of membranous structures. The effect induced by AZA-1 was mimicked by latrunculin A, suggesting that the toxin might act by blocking the endocytosis of plasma membrane proteins. The exposure of intact cells to a biotinylation reagent that does not permeate the plasma membrane provided data showing that AZA-1 treatment of MCF-7 cells doubled the levels of total protein located on the cell surface. The exposure of intact cells to exogenous proteases (trypsin and proteinase K) showed that AZA-1 treatment of MCF7 cells modifies the availability of the three membrane protein markers to proteolytic attacks, providing evidence that significant portions of the protein pools are located in structures that are not exposed to the cell surface after the treatment with AZA-1. Distinct subcellular locations of the membrane protein markers in MCF-7 cells exposed to AZA-1 were confirmed by immunofluorescence microscopy. Direct evidence that AZA-1 inhibits endocytosis was obtained by showing that AZA-1 blocked the intracellular transfer of E-cadherin-bound antibody in MCF-7 cells. The effects of AZA-1 on the E-cadherin system were confirmed in Caco-2 and Madin Darby canine kidney epithelial cell lines. We conclude that AZA-1 inhibits endocytosis of plasma membrane proteins in epithelial cells. Key Words: azaspiracid; E-cadherin; Na 1/K 1-ATPase; prolactin receptor; endocytosis; yessotoxin; cytoskeleton. Azaspiracids (AZAs) consist of polyether compounds chemically characterized by the presence of a spiral ring assembly containing a heterocyclic amine and an aliphatic carboxylic acid moiety (reviewed in Twiner et al., 2008a). AZA-group toxins are produced by the microalga Azadinium spinosum (Tillmann et al., 2009), and their chemical synthesis has been achieved (Nicolaou et al., 2003a,b). Mollusks have been originally found to contain AZA-group toxins (McMahon and Silke, 1996), but other shellfish species can accumulate these toxins as a consequence of their feeding behavior (Twiner et al., 2008a). The presence of AZAs in shellfish poses significant risks to consumers, as documented by episodes of human intoxication recorded in recent years (European Food Safety Authority, 2008). The toxicity of AZAgroup toxins has been studied by investigations in animal models. For instance, AZA-1, that represents the reference compound of AZA-group toxins, has been shown to cause mouse death at doses of 200 and 250–700 lg/kg body weight, when administered by ip injection (Satake et al., 1998) and the oral route (Ito et al., 2000, 2002, 2006), respectively. The symptoms recorded in these animal studies have shown that AZA-group toxins cause severe damage to the gastrointestinal (GI) tract, liver, lung, and thymus in the mouse (Ito et al., 2000, 2002, 2006). Furthermore, toxicokinetic data have shown that AZA-group toxins are absorbed in the GI tract; thus, toxin concentrations in the 1–10nM range can be found systemically (European Food Safety Authority, 2008). The toxicity of AZA-group toxins has stimulated considerable efforts to clarify their mechanism of action, but the molecular component(s) selectively targeted by these algal biotoxins remain(s) unknown. The extensive tissue damage found in animals exposed to AZA-group toxins are matched by the potent toxic effects AZA-1 exerts on cellular systems in vitro (Kulagina et al., 2006; Ronzitti et al., 2007; Twiner et al., 2005; Vale et al., 2007; Vilariño et al., 2006). Multiple effects have been found to be induced by 1–10nM AZA-1 in cultured cells, including alterations of F-actin-based cytoskeletal structures (Twiner et al., 2005), the inhibition of bioelectrical activity of spinal cord neurons (Kulagina et al., 2006), the accumulation of an intermediate proteolytic fragment of E-cadherin in epithelial cells (Ronzitti et al., 2007), and the accumulation of activated c-Jun-NH2-terminal protein kinase and the alteration of ion homeostasis in cerebellar granule cells (Vale et al., 2007, 2010). Ó The Author 2010. Published by Oxford University Press on behalf of the Society of Toxicology. All rights reserved. For permissions, please email: [email protected] 110 BELLOCCI ET AL. AZA-1 could also modify metabolic activities in cultured cells, as it has been shown by studying the transcription profiles in human lymphocytes (Twiner et al., 2008b) and the proteome of neuroblastoma cells (Kellman et al., 2009). In this latter case, AZA-1 was found to upregulate proteins involved in energy metabolism and the functioning of the cytoskeleton. Furthermore, AZA-1 downregulates proteins involved in several cellular functions, including transcription, translation, and protein modification (Kellman et al., 2009). The finding that AZA-1 treatment of epithelial cells determines the accumulation of a 100-kDa proteolytic fragment of E-cadherin (termed E-cadherin-related antigen, ECRA100) has attracted our interest because the effect induced by the toxin is part of a cytotoxic response (Ronzitti et al., 2007). Moreover, the molecular alteration of E-cadherin caused by AZA-1 was undistinguishable from that caused by yessotoxin (Pierotti et al., 2003; Ronzitti et al., 2004), a marine biotoxin chemically and toxicologically distinct from AZA-group toxins (Rossini and Hess, 2010). Subsequent investigations have shown that yessotoxin does not induce the proteolysis of E-cadherin but inhibits its endocytosis (Callegari and Rossini, 2008). The blockade of endocytic process then prevents the complete proteolysis of the protein, and the altered E-cadherin structures are accumulated in intracellular compartments (Callegari and Rossini, 2008; Ronzitti and Rossini, 2008). Based on these findings, we reasoned that the accumulation of ECRA100 caused by AZA-1 could have been because of the inhibition of endocytosis and complete degradation of E-cadherin. We have then hypothesized that AZA-1 can alter the endocytosis of E-cadherin and other proteins located at the level of the plasma membrane, thereby determining severe alterations of organ functions. The toxicological relevance of this hypothesis stems from both general and specific considerations. In general terms, endocytosis is a basic biological process playing roles in a variety of cellular functions, whose alteration leads to pathological states (Scita and Di Fiore, 2010; Sorkin and von Zastrow, 2009). In more specific terms, the impairment of the intracellular transport of extracellular materials, as well as the malfunctioning of plasma membrane proteins, could represent major contributions to alterations AZA-1 causes in animal epithelia (Ito et al., 2000, 2002, 2006). We then developed an investigation aimed at probing whether AZA-1 can alter the cellular dynamics and endocytosis of plasma membrane proteins in epithelial cells. This investigation was carried out in both normal and transformed cells, using the MCF-7 breast cancer cell line as our reference model. This choice was made on the basis of two major considerations. On the one hand, MCF-7 cells are considered an excellent system for the study of plasma membrane protein functioning and dynamics in epithelial cells (see, e.g., Birchmeier and Behrens, 1994; Fu and Roufogalis, 2007; Gumbiner, 2000). Furthermore, MCF-7 cells are targeted by AZA-1 (Ronzitti et al., 2007). In this report, we present the data from our study and show that AZA-1 alters the intracellular dynamics and inhibits the endocytosis of plasma membrane proteins, leading to their accumulation in multiple membranous subcellular compartments in epithelial cells. MATERIALS AND METHODS Materials. AZA-1 was obtained from the National Research Council of Canada (Canada). Stock AZA-1 solutions were stored in glass vials protected from light at 20°C. The mouse monoclonal antibody recognizing Naþ/KþATPase (sc-48345) and the rabbit polyclonal antibody recognizing E-cadherin (sc-7870) were from Santa Cruz Biotechnology. The monoclonal anti-actin antibody was obtained from Chemicon International. The monoclonal antiE-cadherin antibodies were from Alexis (clone HECD-1) and Sigma (clone DECMA-1). The mouse monoclonal antibody recognizing prolactin receptor (Rprl; 35-9200), the 4#,6-diamidino-2-phenylindole dilactate (DAPI, dilactate) stain, fluorescent secondary antibodies Alexa Fluor 568–conjugated anti-mouse IgG and anti-rat IgG and Alexa Fluor 468–conjugated anti-rabbit IgG, and ProLong Gold mounting media were from Invitrogen. Peroxidase-linked antirat and anti-mouse IgG antibodies and the enhanced chemiluminescence (ECL) detection reagents were from GE Healthcare. Latrunculin A, chloroquine, biotinamidohexanoic acid 3-sulfo-N-hydroxysuccinimide ester (sodium salt), avidin-peroxidase, the soybean trypsin inhibitor, and P2714 protease inhibitor cocktail were from Sigma. The trypsin-EDTA solution was obtained from Worthington. Proteinase K from Tritirachium album was from Boehringer Mannheim GmbH. PMSF was purchased from Bio-Rad. The nitrocellulose membrane Protran BA 83 was obtained from Schleicher & Schuell. All other reagents were from Sigma. Cell culture conditions and toxin treatments. MCF-7 cells were obtained from the European Collection of Animal Cell Cultures (ECACC No. 86012803, CB No. 2705) and were grown in 5% carbon dioxide in air at 37°C, in 90-mmdiameter Petri dishes, with a culture medium composed of Dulbecco’s modified Eagle’s medium, containing 1% nonessential amino acids and 10% fetal calf serum, as previously described (Ronzitti et al., 2007). Caco-2 cells were obtained from the American Type Culture Collection (ATCC No. HTB-37), and their culture medium was composed of minimum essential medium with Earle’s balanced salt solution, containing 2mM glutamine, 1mM sodium pyruvate, 1% nonessential amino acids, and 20% fetal calf serum. Madin Darby canine kidney (MDCK) cells were obtained from the American Type Culture Collection (ATCC No. CCL-34), and their culture medium was composed of minimum essential medium with Earle’s salts, containing 2mM glutamine, 1mM sodium pyruvate, 1% nonessential amino acids, and 10% fetal calf serum. If not stated otherwise, cells in logarithmic growth received either 1nM AZA-1 or vehicle (control cells) and were then incubated for 24 h at 37°C. Preparation of cell extracts. If not stated otherwise, at the end of incubations, cells were harvested and processed to obtain extracts by procedures that were performed at 4°C. Cells from every dish were washed with 5 ml of 20mM phosphate buffer, pH 7.4, 0.15M NaCl (PBS buffer). Cells were then mechanically detached from culture plates with a scraper and were washed three times by resuspension in 5 ml of PBS and centrifugation for 10 min at 800 3 g. Cells were then lysed by resuspension in 125 ll per dish of PBS containing 1% (vol/vol) Triton X-100 and 0.1 mg/ml PMSF. The presence of a mild detergent, such as Triton X-100, in the lysis buffer was needed to solubilize the membrane proteins studied in this report. After 20 min at 4°C the material was collected and centrifuged for 30 min at 16,000 3 g. The supernatant of this centrifugation was a cytosoluble extract that was saved; its protein content was determined with bicinchoninic acid (Smith et al., 1985) and was then used for protein separation by SDS polyacrylamide gel electrophoresis (PAGE). Biotinylation of cell surface proteins. At the end of indicated treatments, cells were harvested, resuspended in 150 ll per dish of PBS, and treated with 2.5 mg/ml final concentration of the biotinylation reagent (biotinamidohexanoic 111 AZASPIRACID-1 INHIBITS ENDOCYTOSIS acid 3-sulfo-N-hydroxysuccinimide ester, sodium salt). After 30 min of incubation in gentle shaking at 4°C, the reaction was stopped by cell treatment with 40mM lysine for 30 min at 4°C. Cells were washed three times by resuspension in 1 ml of PBS and centrifugation for 10 min at 800 3 g, before being processed to obtain cytosoluble extracts, as described previously. Proteinase digestion of cell surface proteins. MCF-7 cells were subjected to proteinase treatment at the end of their exposure to 1nM AZA-1. At the end of the incubations, MCF-7 cells were washed with 5 ml PBS, harvested by scraping, and transferred to centrifuge tubes. Cell suspensions were centrifuged for 8 min at 800 3 g, dispersed in 2 ml PBS, subdivided into two equal portions, and recovered by low-speed centrifugation. The first aliquot of each sample was dispersed with 1 ml of PBS containing 1mM EDTA (PBS-EDTA), whereas the second one received 1 ml of PBS-EDTA containing 0.1 mg/ml trypsin. The samples were then incubated for 30 min at 4°C on an orbital shaker. The treatment was then terminated by adding 0.5 mg/ml of soybean trypsin inhibitor to PBS-EDTA. Cells were then centrifuged for 8 min at 2500 3 g, washed with 1 ml PBS, and recovered by low-speed centrifugation, before being processed to obtain cytosoluble extracts, using 83 ll per dish of lysis buffer containing 1:20 P2714 protease inhibitor cocktail, as described previously. The same protocol was used for the treatment of MCF-7 cells with proteinase K. In this case, the final concentration of the enzyme used for cell treatments was 7.5 lg/ml, and 0.9 mg/ml PMSF was used to block the protease activity at the end of the incubation. Fractionation of proteins by SDS-PAGE and immunoblotting. Samples containing the same amount of protein were fractionated according to Laemmli (1970), using a 10% separating gel and a 4% stacking gel. At the end of the electrophoresis, the proteins in the gels were electrophoretically transferred onto a nitrocellulose membrane (Protran BA 83), and the binding sites remaining on the membrane were blocked by incubation of blots for 1 h at room temperature with a solution composed of 20mM Tris-HCl, pH 7.5 at 25°C, 0.15M NaCl, and 0.05% (vol/vol) Tween 20 (immunoblotting buffer), containing 3% nonfat dry milk. When immunoblotting was used to detect E-cadherin, the immunoblotting buffers used for blocking unspecific sites on the membrane and for the incubation with the primary antibody (mouse monoclonal HECD-1 and rat monoclonal DECMA-1) did not include Tween 20 but contained 1mM CaCl2. After blocking the unspecific sites, the membranes were incubated for 1 h at room temperature with immunoblotting buffer, containing 1% nonfat dry milk and the primary antibody at a final concentration ranging between 0.1 and 2 lg/ml, depending on the antigen to be detected and according to the information sheet of the respective antibody. After incubation, membranes were washed five times with immunoblotting buffer and incubated for 1 h at room temperature with a peroxidase-linked secondary antibody at a 1:3000 to 5000 dilution, depending on the antigen to be detected in immunoblotting buffer containing 1% nonfat dry milk. After washing, the membranes were processed using the ECL detection system, and results were visualized by autoradiography. In the case of biotinylated samples, membranes were blocked for 1 h at room temperature using a 5% bovine serum albumin (BSA) solution in PBS and were then incubated for 1 h at room temperature with blotting buffer containing 1% nonfat dry milk and 1:50000 peroxidase-linked avidin. After washing, membranes were processed using the ECL detection system, as described previously. Immunofluorescence microscopy. When immunofluorescence microscopy was used to characterize our experimental system, cells were grown in 35-mm Petri dishes containing one coverslip glass in each dish. Cells in logarithmic growth were treated for 24 h with indicated AZA-1 concentrations or vehicle as described previously. Cells were then fixed with 4% (wt/vol) paraformaldehyde in PBS for 15 min at room temperature. After fixation, cells were permeabilized by treatment with PBS buffer containing 3% (wt/vol) BSA and 0.02% Triton X-100, for 1 h at room temperature. Samples were then incubated overnight at 4°C with the primary antibodies used in immunoblotting analyses, which were diluted in PBS containing 1% BSA, at the final concentration indicated on the information sheet of the respective antibody. In the case of double labeling, cells were incubated with a PBS solution containing the rabbit polyclonal anti-E-cadherin and the mouse monoclonal anti-Naþ/Kþ-ATPase antibodies. The incubations with fluorescent secondary antibodies were performed for 45 min at room temperature in the dark, using antibodies at a final 1:1000 dilution. In the case of double labeling, a mix of anti-mouse and anti-rabbit fluorescent secondary antibodies, each of which at a 1:1000 dilution, was used in our procedure. Labeling of nuclei was obtained by cell incubation for 5 min with a 0.14 lg/ml DAPI solution in PBS. Cells were then mounted on microscopic slides using ProLong Gold (Invitrogen) mounting media and evaluated under Zeiss Axioskop-40 microscope. Images were acquired by the AxioCam HRc camera (Carl Zeiss), using the Axiovision 3.1 software (Carl Zeiss). Internalization assay. The procedure used was a slight modification of an already published method (Paterson et al., 2003). MCF-7 cells cultured in the presence of a coverslip received an equal volume of absolute ethanol or AZA-1 and were incubated for 24 h at 37°C. Cells were then exposed to the HECD-1 anti-E-cadherin antibody (4 lg/ml) and were subsequently incubated for 1 h at 4°C. At the end of this treatment, cells were washed with ice-cold PBS and a second time either with an acidic solution (0.5M acetic acid, 0.5M sodium chloride), which removed the antibody bound to E-cadherin on the cell surface, or with PBS. Cells that had been washed with PBS were then incubated for 1 h at 37°C with culture media. At the end of the incubation, coverslips containing the cells that had been exposed to the acidic solution were washed with PBS and those that had been washed with PBS were then exposed to the acidic solution. Cells were then fixed with paraformaldehyde as described previously. The basal state of E-cadherin at the surface of both control and AZA-1-treated cells was ascertained by cell processing with paraformaldehyde directly after the exposure to the anti-E-cadherin antibody and the first PBS wash. Immunofluorescence microscopy was carried out as described previously, without any further exposure of cell samples to paraformaldehyde. Statistical analysis. The Student’s t-test was used to evaluate the significance of experimental data. Results Effect of AZA-1, Latrunculin, and Chloroquine on the Levels of Selected Plasma Membrane Proteins Solubilized from MCF-7 Cells Many proteins are located in plasma membranes at the surface of the cells, comprising hormone and neurotransmitter receptors, ion channels and pumps, transporters, adhesion proteins, and so forth, playing key roles in cellular functioning and homeostasis. Quantitative and/or qualitative alterations of the protein pool on plasma membranes would then determine profound impairing of cellular functioning. The working hypotheses of this study were that the effect exerted by AZA-1 on E-cadherin consisted in the inhibition of endocytosis and the alteration of this cellular process could involve other plasma membrane proteins. We then studied the AZA-1 effects on cellular dynamics of plasma membrane proteins, by analyzing components involved in three distinct cellular functions. E-cadherin, which is responsible for cell-cell adhesion in epithelia (Nollet et al., 2000), was the first plasma membrane protein and represented the reference molecular marker of the toxin’s effect in our experimental system (Ronzitti et al., 2007). The Naþ/Kþ-ATPase, representing a ubiquitous protein responsible for ion movement across the 112 BELLOCCI ET AL. cell membrane (Kühlbrandt, 2004), was a second potential target of toxin action. Rprl was the third plasma membrane protein analyzed in this study, and it was chosen because it is a transducer of an extracellular hormonal signal into an intracellular response (Clevenger et al., 2009). The experimental conditions chosen for our initial experiments involved the treatment of MCF-7 cells with 1nM AZA-1 for 24 h. Under these conditions, no major alterations of cell morphology could be detected by microscopic examination of MCF-7 cells (see Supplementary fig. 1). The choice to use a concentration of 1nM was made on the basis of the doseresponse study we originally carried out (Ronzitti et al., 2007), showing that maximal accumulation of ECRA100 was detected after 24-h exposure of MCF-7 cells to toxin concentrations in the 1–10nM range. This concentration range and a time frame of 24 h for AZA-1 exposures are significant with regard to both the toxicokinetics of this compound and the chance of human exposure to materials contaminated with AZA-group toxins (European Food Safety Authority, 2008). When we analyzed E-cadherin in cell extracts obtained from AZA-1-treated cells, we confirmed our original observations (Ronzitti et al., 2007) that ECRA100 is not detected in extracts from control cells but represents a conspicuous band in samples prepared from MCF-7 cells exposed to this toxin (Fig. 1). The increase in total immunoreactivity detected by our antiE-cadherin antibody (intact E-cadherin þ ECRA100) was about fourfold (4.10 ± 1.95, n ¼ 8; p ¼ 0.0005). Similarly, increased levels of Naþ/Kþ-ATPase and Rprl were found in extracts obtained from AZA-1-treated cells, as compared with controls. In these cases, the extracts from cells exposed to the toxin contained Rprl at levels that were about threefold higher (2.82 ± 1.86, n ¼ 8; p ¼ 0.015; Fig. 1) than those detected in samples from control cells. A smaller effect was exerted by AZA-1 on Naþ/Kþ-ATPase, whose levels were increased by about 50% (1.43 ± 0.37, n ¼ 8; p ¼ 0.0055; Fig. 1) in the samples obtained in these experiments. No significant change, in turn, could be detected in the levels of actin, comparing samples from control and toxin-treated cells (Fig. 1). Some variability was observed in the intensity of responses in different experiments (Supplementary fig. 2 and table 1), but the statistical analysis of our results showed that AZA-1 treatment of MCF-7 cells causes significant increases in the levels of E-cadherin, Naþ/Kþ-ATPase, and Rprl immunoreactivity in cellular membranous structures. In a previous study, we showed that ECRA100 represents an intermediate proteolytic fragment of E-cadherin, which is accumulated in MCF-7 cells as a consequence of impairment of E-cadherin endocytosis and complete protein disposal (Callegari and Rossini, 2008). In that study, the accumulation of ECRA100 could be induced by several agents known to inhibit endocytosis and lysosomal protein degradation. We then repeated those experiments by analyzing the effect of latrunculin A and chloroquine on the levels of E-cadherin, Naþ/Kþ-ATPase, and Rprl immunoreactivity, under our experimental conditions (Fig. 1; Supplementary figs. 3 and 4, and tables 2 and 3). When cells were exposed to latrunculin A, we confirmed that inhibition of actin-based endocytosis (Ayscough, 2005; Lamaze et al., 1997) results in the accumulation of ECRA100 in MCF-7 cells (Callegari and Rossini, 2008). Increased levels of Naþ/KþATPase and Rprl immunoreactivity were also detected in extracts FIG. 1. Effect of AZA-1, latrunculin A, and chloroquine on the levels of selected plasma membrane proteins in MCF-7 cells. Cells were incubated with 1nM AZA-1, 2.4lM latrunculin A, 0.1mM chloroquine or vehicle for 24 h at 37°C. At the end of the incubation, cells were processed to prepare cytosoluble extracts, which were subjected to SDS-PAGE and immunoblotting, using the antibodies for the indicated proteins. The detection of actin has been included as a loading control for our procedure. The electrophoretic mobilities of b-galactosidase (116 kDa), lactoferrin (90 kDa), and lactate dehydrogenase (36.5 kDa) subunits, used as marker proteins running in a parallel lane, are indicated on the left. AZASPIRACID-1 INHIBITS ENDOCYTOSIS 113 obtained from cells exposed to latrunculin A (Fig. 1). Similar findings were obtained when lysosomal protein degradation was inhibited by MCF-7 cell treatment with chloroquine (Fig. 1). The observation that inhibitors of endocytosis and lysosomal protein degradation caused an effect similar to that induced by AZA-1 provided a first indication that the cell exposure to this toxin could alter the intracellular trafficking and turnover of the selected plasma membrane proteins in our model system. Effect of AZA-1 on the Levels of Total Protein in the Plasma Membrane of MCF-7 Cells Taking into consideration that the biomarkers of AZA-1 effect we have chosen play different cellular functions, our initial findings led us to check whether the toxin could induce a generalized accumulation of proteins on plasma membrane. To probe this hypothesis, we exposed control and AZA-1-treated MCF-7 cells to a plasma membrane–impermeant biotinylation reagent (Elia, 2008), leading to tagging of proteins that are exposed on the cell surface with biotin. The levels of biotinylated proteins in extracts from control and AZA-1-treated MCF-7 cells were then analyzed by subjecting the cytosoluble extracts to SDS-PAGE, the transfer of proteins on a nitrocellulose membrane, and the detection of biotinylated proteins by horseradish peroxidase–conjugated avidin (see the ‘‘Materials and Methods’’ section). The inspection of autoradiographs showed that AZA-1 treatment of MCF-7 cells caused an increase in the levels of total protein located on the cell membrane and available to a biotinylation reagent that does not permeate the plasma membrane itself (Fig. 2, top panel; Supplementary fig. 5). Under our experimental conditions, AZA-1 treatment of MCF-7 cells caused an almost doubling (1.70 ± 0.48; p ¼ 0.012) of the levels of biotinylated proteins in the five separate experiments we performed, as compared with controls (Supplementary table 4). The levels of the selected biomarkers of AZA-1 effects (E-cadherin, Naþ/Kþ-ATPase, and Rprl) were also evaluated by paired immunoblotting analyses, and our findings confirmed that the toxin caused an increase in the levels of those protein markers in membranous structures of MCF-7 cells (Fig. 2, bottom panel). Effect of AZA-1 on Sensitivity of Plasma Membrane Proteins to Exogenous Proteases in Intact MCF-7 Cells The experiments involving the biotinylation of proteins on the surface of MCF-7 cells showed that AZA-1 causes a generalized accumulation of components on plasma membrane. We then examined whether the effect of the toxin is confined to proteins located on the cell surface, or if it also includes some sequestration of a portion of that protein pool in intracellular membranous structures. To distinguish between the two possibilities, we obtained cell suspensions and treated them with proteolytic enzymes, which would degrade components exposed to the surface of the cell but should not attack those located inside the cell (see the ‘‘Materials and Methods’’ FIG. 2. Effect of AZA-1 on the levels of biotinylated proteins in the plasma membrane of MCF-7 cells. Cells were incubated with either 1nM AZA-1 or vehicle for 24 h at 37°C. At the end of the incubation, cells were harvested and were subjected to biotinylation, as described in the ‘‘Materials and Methods’’ section. Cells were then processed to prepare cytosoluble extracts, which were subjected to SDS-PAGE. Biotinylated proteins were detected by immunoblotting, using peroxidase-linked avidin (top panel), and selected antigens were detected by immunoblotting using the antibodies for the indicated proteins. The detection of actin has been included as a loading control for our procedure. The electrophoretic mobilities of a2-macroglobulin (180 kDa), b-galactosidase (116 kDa), lactoferrin (90 kDa), pyruvate kinase (58 kDa), fumarase (48.5 kDa), lactate dehydrogenase (36.5 kDa), and triosephosphate isomerase (26.6 kDa) subunits, used as marker proteins running in a parallel lane, are indicated on the left. section for the detailed procedure). We then analyzed the state of proteins solubilized from cell membranes of cells exposed to proteases, by subjecting extracts to immunoblotting. 114 BELLOCCI ET AL. A first series of experiments was carried out by treating control and AZA-1-treated cells with trypsin. When proteins in cell extracts were subjected to immunoblotting, the analysis with anti-E-cadherin antibody showed that trypsin treatment of cell suspensions strongly decreased the levels of intact E-cadherin in both control and AZA-1-treated cells (Fig. 3). ECRA100, in turn, was detected at high levels only in extracts from cells exposed to AZA-1, as expected, and its cellular levels were not affected by trypsin treatment of intact cells (Fig. 3). Considering the fact that ECRA100 represents the extracellular domain of E-cadherin (Ronzitti et al., 2004), whose sensitivity to trypsin treatment is established (see above), the trypsin resistance of ECRA100 in intact cells may not be because of a lack of the amino acid sequences attacked by this protease. These results, therefore, showed that most of the intact E-cadherin is exposed at the cell surface, whereas most of its proteolytic fragment ECRA100 is not exposed at the cell surface and is not accessible to the exogenous proteolytic enzyme. If the results obtained by immunoblotting analysis with anti-Naþ/Kþ-ATPase and anti-Rprl antibodies are considered, the quantitative increases of respective antigens caused by AZA-1 treatment in MCF-7 cells are confirmed. With regard to the trypsin sensitivity of the two proteins, in turn, our results showed that most of Naþ/Kþ-ATPase is trypsin resistant in FIG. 3. Effect of trypsin treatment of intact cells on selected plasma membrane proteins in MCF-7 cells exposed to AZA-1. Cells were treated with either 1nM AZA-1 or vehicle for 24 h at 37°C. At the end of treatments, cells were incubated with (þ) or without () 100 lg/ml trypsin, for 30 min at 4°C, as described in the ‘‘Materials and Methods’’ section. Proteolysis was terminated by the addition of 0.5 mg/ml of soybean trypsin inhibitor and the cells were processed to obtain cytosoluble extracts, which were subjected to SDS-PAGE and immunoblotting, using the antibodies for the indicated proteins. The detection of actin has been included as a loading control for our procedure. The electrophoretic mobilities of b-galactosidase (116 kDa), lactoferrin (90 kDa), and lactate dehydrogenase (36.5 kDa) subunits, used as marker proteins running in a parallel lane, are indicated on the right. both control and AZA-1-treated cells, whereas Rprl was trypsin sensitive in control but not in AZA-1-treated MCF-7 cells (Fig. 3). Although the trypsin sensitivity of our antigens provides a direct proof that the protease treatment we used targeted proteins located at the cell surface, the detection of trypsin resistance would be compatible with two possible interpretations. On the one hand, membrane proteins might not have been degraded by the protease added to the buffer of cell suspensions because of an intracellular location of the membrane structures containing these proteins, making them unavailable to the proteolytic attack. A possible alternative, however, is that the structural arrangement of intact proteins within the plasma membrane at the surface of the cell could keep the amino acid sequences attacked by the enzyme inaccessible to the protease. This condition has been described in many systems, when the sensitivity of plasma membrane proteins to proteases has been shown to depend on structural changes induced by exogenous as well as endogenous factors (see, e.g., Hoe and Rebeck, 2005; Hyafil et al., 1981; van Tetering et al., 2009). To identify the conditions that could apply to the selected antigens in MCF-7 cells, we modified our experimental conditions and treated intact cells with proteinase K, which catalyzes the proteolytic attack at sites of the amino acid chains differing from those processed by trypsin (Ebeling et al., 1974). We then found that virtually the entire pools of intact E-cadherin and Naþ/Kþ-ATPase are sensitive to proteinase K in both control and AZA-1-treated MCF-7 cells, showing that these proteins are on the surface of the cell and are available to proteolytic attack, independent of the cell exposure to the toxin (Fig. 4). ECRA100, in turn, was mostly resistant to proteinase K, confirming that this proteolytic fragment of E-cadherin is not accessible to proteases added to the exterior of the cell membrane in AZA-1-treated cells (Fig. 4). When we analyzed Rprl in extracts from cells that had been exposed to proteinase K, we found that most of this protein is proteinase K sensitive in control but not in AZA-1-treated cells (Fig. 4), confirming the observations made with trypsin (Fig. 3). The results we had obtained with extracts from MCF-7 cells that were exposed to proteinase K, therefore, indicated that most of Rprl is not accessible to proteolytic attack in cells that have been exposed to AZA-1. Effect of AZA-1 on Subcellular Location of Plasma Membrane Proteins in MCF-7 Cells The treatment of intact cells with exogenous proteases showed that the proteins selected for our analyses display component-specific alterations, suggesting different subcellular locations and/or ultrastructural arrangements of the amino acid chains in the plasma membrane of cells treated with AZA-1. To probe the subcellular location of selected plasma membrane proteins in MCF-7 cells after exposure to AZA-1, we used immunofluorescence microscopy. Cells were then incubated with specific antibodies, whose location was visualized using AZASPIRACID-1 INHIBITS ENDOCYTOSIS FIG. 4. Effect of proteinase K treatment of intact cells on selected plasma membrane proteins in MCF-7 cells exposed to AZA-1. Cells were treated with either 1nM AZA-1 or vehicle for 24 h at 37°C. At the end of treatments, cells were incubated with (þ) or without () 7.5 lg/ml proteinase K, for 30 min at 4°C, as described in the ‘‘Material and Methods’’ section. Proteolysis was terminated by the addition of 0.9 mg/ml PMSF and the cells were processed to obtain cytosoluble extracts, which were subjected to SDS-PAGE and immunoblotting, using the antibodies for the indicated proteins. The detection of actin has been included as a loading control for our procedure. The electrophoretic mobilities of b-galactosidase (116 kDa), lactoferrin (90 kDa), pyruvate kinase (58 kDa), fumarase (48.5 kDa), and lactate dehydrogenase (36.5 kDa) subunits, used as marker proteins running in a parallel lane, are indicated on the right. secondary antibodies tagged with a fluorescent moiety. The merging of the DAPI nuclear staining and the red emission of fluorescent secondary antibodies were then used to detect individual antigens in fields representative of MCF-7 cells, under our experimental conditions. In control cells, most E-cadherin colocalized with the plasma membrane along cellcell contacts (Fig. 5A; Supplementary fig. 6), as expected for this cell-cell adhesion protein (Hirano et al, 1987; Nollet et al., 2000; Paterson et al., 2003; Vestweber and Kemler, 1985). A diffuse distribution, in turn, was observed for Naþ/Kþ-ATPase, Rprl, and actin (panels C, E, and G; Supplementary figs. 7–9). The treatment of MCF-7 cells with AZA-1 caused an extensive change in the subcellular distribution of proteins immunoreactive to the anti-E-cadherin and anti-Naþ/Kþ-ATPase antibodies. In both cases, the immunofluorescence was found mostly concen- 115 FIG. 5. Effect of AZA-1 on the cellular distribution of selected proteins detected by immunofluorescent staining of MCF-7 cells. Cells were incubated with either 1nM AZA-1 or vehicle for 24 h at 37°C, as indicated. At the end of the incubation, cells were processed for analysis by immunofluorescence microscopy, as described in the ‘‘Materials and Methods’’ section. Micrographs show the merging of the nuclear DAPI staining with the emissions of fluorescent secondary antibodies in cells that had been previously exposed to primary antibodies recognizing E-cadherin (panels A and B), Naþ/Kþ-ATPase (panels C and D), Rprl (panels E and F), and actin (panels G and H), as indicated. The scale bar indicated in panel A corresponds to 20 lm and applies to all panels. trated in some areas of the cell (Figs. 5B and 5D), and the antigen distributions observed in control cells were lost. The immunostaining detected with anti-Rprl and anti-actin antibodies, in turn, was not extensively changed in cells treated with the toxin, and a homogeneous distribution of immunoreactivity was observed in both control (Figs. 5E and 5G) and AZA-1-treated (Figs. 5F and 5H) MCF-7 cells. The immunofluorescence detected with anti-E-cadherin and anti-Naþ/Kþ-ATPase antibodies within a portion of the cell in AZA-1-treated cells showed patterns that were not apparently consistent with an identical subcellular location of those proteins (Figs. 5B and 5D). We then checked their possible colocalization in AZA-1-treated MCF-7 cells, by incubating our samples with both anti-E-cadherin and anti-Naþ/Kþ-ATPase antibodies, and double labeling the cells using Alexa Fluor 568–conjugated antimouse and Alexa Fluor 468–conjugated anti-rabbit IgG secondary antibodies (see the ‘‘Materials and Methods’’ section). These experiments (Fig. 6) confirmed the changes in the 116 BELLOCCI ET AL. subcellular distribution of immunoreactivity induced by AZA-1 in MCF-7 cells. Furthermore, the merging of the immunostaining of the two secondary antibodies showed that the subcellular distribution of the immunoreactivity to anti-E-cadherin and antiNaþ, Kþ-ATPase antibodies did not coincide in both control and AZA-1-treated MCF-7 cells. In control cells, the distribution of E-cadherin was mostly at the cell-cell contacts, whereas that of Naþ/Kþ-ATPase was homogeneous (Fig. 6), as already observed (Figs. 5A and 5C). The two antibodies, in turn, were mostly localized in different areas of the toxin-treated MCF-7 cells, as indicated by very limited yellow staining (Fig. 6). Overall, the immunostaining experiments showed that AZA-1 differently affects the subcellular location of the three selected biomarker proteins, and individual patterns of subcellular distribution are observed for each component in toxin-treated MCF-7 cells. Effect of AZA-1 on Cellular Internalization of E-cadherin in MCF-7 Cells The accumulation of E-cadherin immunoreactivity in granular structures in MCF-7 cells exposed to AZA-1 is compatible with two distinct subcellular localization. On the one hand, granular structures might represent subdomains of plasma membrane concentrating E-cadherin at the surface of the cells. On the other hand, granular structures might be located inside the cells, where the accumulation of E-cadherin immunoreactivity would result from inhibition of endocytosis and, hence, the blockade of lysosomal protein disposal. To distinguish between these two possibilities, we analyzed the E-cadherin immunoreactivity existing on the surface of MCF-7 cells. Control and AZA-1treated cells were then exposed to the HECD-1 anti-E-cadherin antibody, which binds to the extracellular domain of the protein (Shimoyama et al., 1989). Cells were not subjected to any permeabilization step before the incubation with the antibody, to restrict its binding to antigens exposing their epitopes at the cell surface, and the treatment was carried out at low temperature, to prevent any intracellular transfer of material. Under these conditions, the HECD-1 anti-E-cadherin antibody was distributed at the surface of MCF-7 cells (Fig. 7, panels A and B). A clear difference was detected between control and AZA-1treated cells, inasmuch as strong immunostaining was found in control cells, particularly at cell-cell contacts, as already observed (Figs. 5 and 6), whereas a more limited staining was detected in AZA-1-treated cells, indicating a decrease in the levels of E-cadherin accessible to the HECD-1 antibody on the surface of MCF-7 cells exposed to the toxin. The location of Ecadherin immunoreactivity at the surface of MCF-7 cells was ascertained by cell washing with an acidic hypertonic solution, which removes the antibody bound to its antigen (Paterson et al., 2003). When cells that had been exposed to the HECD-1 antibody at low temperature were subjected to the acid wash (see the ‘‘Materials and Methods’’ section), no E-cadherin immunoreactivity could be detected (Fig. 7, panels C and D), confirming that the antigen detected under these experimental conditions (panels A and B) is actually located at the cell surface. Furthermore, no accumulation of E-cadherin immunoreactivity could be detected in granular structures at the surface of AZA-1treated MCF-7 cells (Fig. 7, panel B). Therefore, when cells were exposed to anti-E-cadherin antibody after fixation and permeabilization (Figs. 5 and 6), the detected immunostaining was bound to materials located in intracellular structures. We next analyzed the endocytosis of E-cadherin located at the surface of MCF-7 cells by paired cell cultures, which were exposed to HECD-1 anti-E-cadherin antibody, washed with FIG. 6. Analysis of colocalization of E-cadherin and Naþ/Kþ-ATPase in MCF-7 cells. Cells were incubated with either 1nM AZA-1 or vehicle for 24 h at 37°C, as indicated. At the end of the incubation, cells were processed for analysis by immunofluorescence microscopy, as described in the ‘‘Materials and Methods’’ section. Micrographs show the nuclear DAPI staining, the emissions of fluorescent secondary antibodies bound to either the rabbit polyclonal antiE-cadherin or the mouse monoclonal anti-Naþ/Kþ-ATPase antibodies, and the merging of the immunostaining of the two secondary antibodies, as indicated. The scale bar indicated in the top left panel corresponds to 20 lm and applies to all panels. 117 AZASPIRACID-1 INHIBITS ENDOCYTOSIS FIG. 7. Effect of AZA-1 on cellular internalization of E-cadherin in MCF-7 cells. Cells were incubated with either 5nM AZA-1 or vehicle for 24 h at 37°C, as indicated. At the end of the incubation, cells were processed for analysis of cellular internalization of E-cadherin by immunofluorescence microscopy, as described in the ‘‘Materials and Methods’’ section. Micrographs show the merging of the nuclear DAPI staining with the emissions of fluorescent secondary antibody in cells that had been previously exposed to primary antibody recognizing E-cadherin. The basal state of E-cadherin at the surface of control and AZA-1-treated cells is reported in panels A and B, respectively. The subcellular distribution of immunostaining was also ascertained in cells that had been exposed to an acid wash after exposure to the anti-E-cadherin antibody (panels C and D), and in cells that were exposed to the anti-E-cadherin antibody and were next incubated for 1 h at 37°C before being subjected to acid wash (panels E and F). The scale bar indicated in panel A corresponds to 10 lm and applies to all panels. PBS to remove excess antibody, and further incubated for 1 h at 37°C. The exposure of cells to physiological temperature allows the endocytosis of E-cadherin and of the antibody bound to it under these experimental conditions (Paterson et al., 2003). At the end of the incubation at 37°C, MCF-7 cells were subjected to the acid wash, to remove the antibody that might have remained associated with plasma membrane structures, and were next processed to detect the E-cadherin immunoreactivity that had been internalized (see the ‘‘Materials and Methods’’ section). Microscopic examination showed that the immunostaining was associated with localized structures in control cells (Fig. 7, panel E), but no signal was found in those treated with the toxin (Fig. 7, panel F). These experiments, therefore, provided direct proof that the endocytosis of E-cadherin at the surface of MCF-7 cells is blocked in AZA-1-treated cells. Effect of AZA-1 on E-cadherin in Epithelial Cells The potential of AZA-1 to alter the cellular dynamics of plasma membrane proteins in epithelial cells other than the MCF-7 breast cancer cell line was next examined, by monitoring the effect of the toxin on the E-cadherin system. The experiments were carried out in Caco-2 and MDCK cells, which represent a transformed intestinal cell line of human origin (Fogh et al., 1977) and a normal cell line isolated from dog kidney (Gaush et al., 1966), respectively. We then found that cell treatment with AZA-1 concentrations in the 1–10nM range caused the accumulation of ECRA100 and an overall increase in immunoreactivity detected by anti-E-cadherin antibodies in the three epithelial cell lines (Fig. 8, left panel). Interestingly, the increase in E-cadherin immunoreactivity we detected in extracts from MDCK cells treated with AZA-1 comprised the 135-kDa immature precursor of the protein (Shore and Nelson, 1991), in addition to intact E-cadherin and its proteolytic fragment ECRA100 (Fig. 8, left panel). The subcellular distribution of immunoreactivity detected by anti-E-cadherin antibodies was next analyzed in the three cell lines (Fig. 8, right panel), and we found that AZA-1 treatment caused the subcellular redistribution of this plasma membrane protein. Under our experimental conditions, most of E-cadherin immunoreactivity in AZA1-treated cells did not colocalize with cell-cell contacts but was detected as strong immunostained granular structures that were accumulated far from the cell contours in the three epithelial cell lines we examined (Fig. 8, right panel). DISCUSSION In this study, we found that the treatment of MCF-7 cells with AZA-1 determines a net increase in the content of proteins located on plasma membrane, including the three components that play distinct functional roles in the cell, consisting of E-cadherin, Naþ/Kþ-ATPase, and Rprl (Figs. 1 and 2). Based on the results obtained in this and other previous studies by our group (Callegari and Rossini, 2008; Ronzitti et al., 2007), we conclude that AZA-1 inhibits endocytosis in epithelial cells and that this effect contributes to the accumulation of proteins in cell membranes of sensitive cells. Several lines of evidence 118 BELLOCCI ET AL. FIG. 8. Effect of AZA-1 on the E-cadherin system in different epithelial cells. Culture dishes of MCF-7, Caco-2, and MDCK cells were incubated with AZA-1 at either the indicated concentrations (left panel) or at a 5nM concentration (right panel) for 24 h at 37°C. The experimental conditions for the data shown in the left panel are as described in Figure 1 and those for the data shown in the right panel are as described in Figure 5. The scale bar indicated in the top left micrograph corresponds to 10 lm and applies to all micrographs. The primary antibody used in the experiments differed according to the cell line. The HECD-1 antibody, which does not recognize canine E-cadherin (Ronzitti et al., 2004), was used for analysis of antigens from MCF-7 and Caco-2 cells, and the DECMA-1 antibody was used to detect the antigen in the MDCK cell system. support this conclusion. In the first instance, the effect of AZA-1 is characterized by molecular features observed when endocytosis is inhibited in MCF-7 cells (Callegari and Rossini, 2008, Fig. 1). Another line of evidence supporting the conclusion that AZA-1 inhibits endocytosis stems from the results obtained by treatment of intact cells with exogenous proteases, showing that a significant portion of the proteins accumulated at the level of membranous structures in AZA1-treated cells is not accessible to the attack of enzymes added to the medium bathing the cells. Thus, a considerable portion of membrane proteins is not exposed on the cell surface but is sequestered in some intracellular compartment of AZA1-treated cells (Figs. 3 and 4). In keeping with these findings, changes in subcellular distribution of E-cadherin and Naþ/KþATPase are found in MCF-7 cells exposed to AZA-1, where these proteins are not located on the cell surface, including the cell-cell contacts, but concentrate in granular structures detected in the cell body (Figs. 5–7). Furthermore, we obtained direct evidence that endocytosis of E-cadherin exposed on the cell surface is blocked in AZA-1-treated MCF-7 cells (Fig. 7). The MCF-7 breast cancer cell line, however, does not represent a unique experimental model targeted by AZA-1 because the results we obtained on the E-cadherin system in Caco-2 and MDCK cells (Fig. 8) show that this toxin alters the dynamics of this plasma membrane protein in other epithelial cells. Thus, AZA-1 affects both normal (MDCK) and transformed (MCF-7, Caco-2) cells, independent of the organ (mammary gland, colon, kidney) and the species of origin (human, dog). It seems likely, therefore, that plasma membrane proteins are a target of AZA-1 in different organs. The contention that AZA-1 inhibits the endocytosis of plasma membrane proteins, for instance, is in line with evidence recently obtained by Kellman et al. (2009) in SH-SY5Y human neuroblastoma cells. By analyses of the effects exerted by AZA-1 on the proteome of this cell line, they found that two components involved in vesicle transport are downregulated by the toxin (Kellman et al., 2009). Furthermore, by electron microscopy examination of cells, it was also found that AZA-1 induced the accumulation of early endosomes in the proximity of the plasma membrane, before alterations of the actin cytoskeleton could be detected (Kellman et al., 2009). The different sensitivities of plasma membrane proteins when intact AZA-1-treated cells are exposed to exogenous proteases (Figs. 3 and 4) would be in line with these observations. Our contention that AZA-1 inhibits endocytosis of plasma membrane proteins may not exclude that other processes involving intracellular trafficking and dynamics of plasma membrane proteins can be also affected by AZA-1. In particular, the accumulation of the E-cadherin precursor induced by the toxin in MDCK cells (Fig. 8) might be an indication that the maturation of plasma membrane protein precursors is another process altered by AZA-1 in sensitive cells. Other experiments, however, are needed to establish whether the accumulation of membrane protein precursors in MDCK cells is either a component- or a cell-specific response to AZA-1. In MCF-7 cells, in fact, the accumulation of proteins AZASPIRACID-1 INHIBITS ENDOCYTOSIS on the cell surface induced by AZA-1 involves a large portion of plasma membrane proteins (Fig. 2) but would not represent a generalized increase in protein synthesis, as the cellular levels of actin are essentially unmodified (Figs. 1–4). The inhibition of endocytosis of plasma membrane proteins by AZA-1 might then represent only one aspect of the toxin’s capacity to alter the cellular dynamics of membrane proteins. If this interpretation is correct, the subcellular distribution of membrane proteins (and their precursors) in AZA-1-treated cells might be a component-related phenomenon, which could involve multiple ultrastructural arrangements and/or heterogeneous subcellular distribution of different membrane proteins. This interpretation would be supported by the different sensitivity of E-cadherin, Naþ/Kþ-ATPase, and Rprl to proteases added to the medium bathing MCF-7 cells (Figs. 3 and 4), taking into consideration their subcellular location, as detected by immunofluorescence microscopy (Figs. 5 and 6). Under our experimental conditions, three major rearrangements of our protein markers in MCF-7 cells exposed to AZA-1 would be indicated (Figs. 3–5). A first rearrangement would involve the sequestration of components within sites that, based on their sensitivity to the attack of extracellular proteases, are not exposed to the cell surface and do not concentrate in some cellular compartment, as in the case of Rprl. The second type of rearrangement was observed with Naþ/Kþ-ATPase and intact E-cadherin, which are destroyed by extracellular proteases and should be concentrated in some cellular compartment that either remains on or is connected with the surface of the cell. A third rearrangement can be exemplified by ECRA100, the proteolytic fragment of E-cadherin, which is resistant to the attack of proteases added to the medium bathing the cells and should be compartmentalized in membranous structures that are not exposed on the cell surface. A further support to our contention that multiple ultrastructural arrangements are induced by AZA-1 is provided by the results of double labeling experiments (Fig. 6), which complemented those obtained by cell treatment with trypsin and proteinase K (Figs. 3 and 4) and confirmed that different subcellular compartments are involved in the sequestration of Naþ/Kþ-ATPase and ECRA100. AZA-1, therefore, would cause a widespread impairment of intracellular trafficking of plasma membrane proteins in MCF-7 and other epithelial cells. The key molecular defect(s) induced by AZA-1 in MCF-7 and other epithelial cells is (are) presently undetermined, but the observation that a large part of the cellular pool of plasma membrane proteins is involved (Fig. 2) and the distinct features characterizing the cellular response of individual proteins (Figs. 3–6) indicate that some event(s) shared by intracellular trafficking of membrane proteins could be targeted by the toxin. Although the effects of latrunculin A could mimic those of AZA-1 on the three plasma membrane proteins analyzed in MCF-7 cells (Fig. 1), the response induced by the toxin should not depend on a major perturbation of actin-based cytoskeleton caused by AZA-1 in MCF-7 cells under our experimental 119 conditions. The concentrations of AZA-1 used in our investigations, in fact, did not significantly alter the cellular levels of F-actin, as measured by biochemical analyses (Ronzitti et al., 2007), as well as their overall structural organization in MCF-7 cells (Fig. 5 and Supplementary fig. 9). The lack of extensive changes in the actin-based cytoskeleton of MCF-7 cells following exposure to AZA-1 under the conditions of the present study is relevant because the toxin has been shown to perturb both actin-based cytoskeleton (Ronzitti et al., 2007; Twiner et al., 2005; Vilariño et al., 2006, 2007) and cytoskeleton-regulating proteins (Kellman et al., 2009) in biological systems. Cell-specific factors are most likely involved in the differential responses of actin-based cytoskeleton to cell exposure to AZA-1, as is apparent by paired analyses of different cell lines treated with AZA-1 (Ronzitti et al., 2007). The experimental conditions of different studies, such as different AZA-1 concentrations and times of exposure to the toxin, could also contribute to detection of different experimental findings (Ronzitti et al., 2007; Twiner et al., 2005; Vilariño et al., 2006). Indeed, the AZA-1 concentration used in most of our experiments (1nM) is lower than the effective doses employed by Twiner et al. (2005, 10nM) and Vilariño et al. (2006, 50nM). Further investigations are then needed to clarify the different sensitivities of actin-based cytoskeleton to AZA-1 in distinct cell lines. Independent of the proximal molecular event triggering the cellular responses to AZA-1, which remains to be identified, the results obtained with neuroblastoma (Kellman et al. 2009) and epithelial cells (this study) support the general conclusion that AZA-1 inhibits endocytosis in biological systems. Our working hypothesis is that cell death represents only a secondary response ensuing as a consequence of altered plasma membrane dynamics induced by the toxin. The impairment of intracellular trafficking and endocytosis exerted by AZA-1 could provide a mechanistic explanation of several effects exerted by this toxin in vitro and in vivo. The accumulation of fat in the liver of mice exposed to AZA-1 (Ito et al., 2000, 2002) and the upregulation of transcription of genes coding for enzymes responsible for fatty acid and cholesterol synthesis (Twiner et al., 2008b) represent two such effects. The impairment of lipoprotein endocytosis, in fact, is a recognized key factor leading to increased cholesterol synthesis in the liver (Goldstein and Brown, 2009). The inhibition of intracellular vesicle trafficking, in turn, leads to increased triglycerides and lipid droplets in vitro and in vivo (Singh et al., 2009). With regard to the results obtained by Twiner et al. (2008b), in particular, our findings would support their proposals regarding a mechanistic link between the cellular levels of cholesterol, the upregulation of genes coding for enzymes of the pathway responsible for cholesterol synthesis, and the membrane levels of light-density lipoprotein receptors (LDLR) found in cells exposed to AZA-1. Furthermore, our conclusion that AZA-1 inhibits the endocytosis of plasma membrane proteins would explain both the increased levels of LDLR they found in T lymphocytes, as we 120 BELLOCCI ET AL. detected in the case of Rprl, and a decreased cellular uptake of cholesterol associated to LDLR. These conditions would lead to a lowering of the cellular content of cholesterol and a consequent increased transcription of genes coding for enzymes involved in cholesterol biosynthesis (Goldstein and Brown, 2009; Twiner et al., 2008b). Other effects of AZA-1 could be explained by the impairment of intracellular trafficking and endocytosis. The extensive damage of the intestinal epithelium induced by AZA-1 (Ito et al., 2000, 2002, 2006), for instance, could represent a consequence of the altered turnover of E-cadherin we have detected (Ronzitti et al., 2007; this study). Moreover, the altered levels of proteins responsible for ion transport across the plasma membrane induced by AZA-1 would contribute to the impairment of ion homeostasis induced by this toxin in cultured neurons (Vale et al., 2010). Interestingly, the involvement of Naþ/Kþ-ATPase in the AZA-1 response has been found by both Vale et al. (2010) and by us (this study). The capacity of AZA-1 to activate caspases (Cao et al., forthcoming; Vilariño et al., 2007) might be another consequence of the inhibition of intracellular vesicle trafficking (Kaushal et al., 2008; Yang et al., 2009). In the light of the fact that endocytosis plays key roles in the regulatory mechanisms of normal cell functioning (Scita and Di Fiore, 2010; Sorkin and von Zastrow, 2009), the demonstration that AZA-1 inhibits endocytosis could provide a mechanistic frame for the characterization of the molecular bases of responses induced by AZAs in biological systems. Callegari, F., and Rossini, G. P. (2008). 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