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Overexpression of PHGPx inhibits hydroperoxide-induced

oxidation, NF

k

B activation and apoptosis and affects

oxLDL-mediated proliferation of rabbit aortic smooth muscle cells

Regina Brigelius-Flohe´

a,b,

*, Stefanie Maurer

a,b

, Katharina Lo¨tzer

a

, Gaby-Fleur Bo¨l

a

,

Hanna Kallionpa¨a¨

c

, Paulina Lehtolainen

c

, Helena Viita

c

, Seppo Yla¨-Herttuala

c

aGerman Institute of Human Nutrition,Uni6ersity of Potsdam,Potsdam-Rehbru¨cke,Arthur-Scheunert-Allee114-116,

14558Bergholz-Rehbru¨cke,Germany

bInstitute for Nutritional Science,Uni6ersity of Potsdam,Potsdam-Rehbru¨cke,Arthur-Scheunert-Allee114-116,

14558Bergholz-Rehbru¨cke,Germany

cA.I.Virtanen Institute and Department of Medicine,Uni6ersity of Kuopio,Kuopio,Finland Received 19 July 1999; received in revised form 1 November 1999; accepted 6 December 1999

Abstract

Rabbit abdominal aortic smooth muscle cells (SMC) were stably transfected with the cDNA of porcine phospholipid hydroperoxide glutathione peroxidase (PHGPx) by means of a retroviral gene transfer technique, to create a model for studying cellular processes relevant to atherogenesis. The transfected cells (SMC/PHGPx) had approximately 4-fold higher PHGPx activity when cultured in the presence of selenite whereas the parental cells did not show any significant increase in PHGPx or total GPx activity upon selenium supplementation. In situ functionality of PHGPx was validated by inhibition of linoleic acid hydroperox-ide-induced toxicity, dihydrorhodamine oxidation, NFkB activation and apoptosis. SMC grown in 1% FCS responded to oxidized LDL (oxLDL) with a marked proliferation, as measured by [3H]thymidine incorporation, irrespective of selenium

supplementa-tion. In SMC/PHGPx grown with or without selenite under control conditions or exposed to native LDL, thymidine incorporation was generally depressed. Also, oxLDL-induced proliferation was lower in SMC/PHGPx compared to untransfected SMC up to 24 h of incubation. After 40 h, however, selenite supplementation restored maximum proliferation response to oxLDL in SMC/PHGPx. The results suggest a proliferative effect of endogenous hydroperoxides in SMC. They further reveal that hydroperoxy lipids of oxLDL contribute to the induction of proliferation, but also suggest involvement of hydroxy lipids in the response to oxLDL. © 2000 Elsevier Science Ireland Ltd. All rights reserved.

Keywords:Glutathione peroxidases; Selenium; Smooth muscle cells; Proliferation; Overexpression; Atherosclerosis; Apoptosis

www.elsevier.com/locate/atherosclerosis

1. Introduction

Apart from the induction of adhesion molecules in endothelial cells, proliferation of smooth muscle cells (SMC) in the subendothelial layer is one of the early events in atherogenesis [1]. Proliferation of SMC finally leads to intima thickening and the development of fibrous plaques. Proliferation is well documented to be stimulated by several compounds, including oxidized LDL (oxLDL), in aortic SMC [2 – 4], in rabbit femoral

SMC [5] and in SMC from aortic segments from hu-man kidneys [6]. SMC are known to take up oxLDL by a particular receptor referred to as the scavenger recep-tor [7]. However, which of the various oxidized

com-pounds in the LDL particle are triggering the

proliferation has not yet been addressed systematically. Oxidized fatty acids belong to the putative stimulators of atherogenesis. They have been found in atheroscle-rotic lesions together with oxLDL [8]. They induce ICAM-1 in HUVEC [9] and obviously enhance TNF-induced CAM expression and PMA-TNF-induced T cell

adhesion in 15-lipoxygenase-transfected endothelial

cells [10]. Their exact involvement in SMC prolifera-tion, however, remains unknown. Hydroxy fatty acids, * Corresponding author. Tel.: +49-33200 88353; fax: +49-33200

88407.

E-mail address:flohe@www.dife.de (R. Brigelius-Flohe´).

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the reduction products of the corresponding hydroper-oxy fatty acids, proved to be even stronger inducers of the endothelial cell adhesion molecule ICAM-1 [9]. They also induce the scavenger receptor CD36

respon-sible for oxLDL uptake in monocytes/macrophages

[11]. In chemically oxidized LDL, oxidized fatty acids were primarily found esterified to cholesterol [12]. They can also be produced by the action of 15-lipoxygenases in cultured endothelial cells [13], macrophages [14], 15-lipoxygenase overexpressing endothelial cells [10] and fibroblasts [15], and after treatment of LDL with purified rabbit reticulocyte 15-lipoxygenase [16]. How-ever, these findings are not undebated [17].

The selenium-containing glutathione peroxidases [18] inhibit the activation of lipoxygenases in vitro [19 – 21] and efficiently reduce products thereof [18]. Their role in the prevention of atherogenesis in vivo is widely discussed, since epidemiological studies revealed a cor-relation of cardiovascular diseases and selenium defi-ciency [22,23]. Therefore, the manipulation of the peroxide metabolism was considered in SMC as a promising approach to analyze the relevance of lipid hydroperoxides present in oxLDL to SMC biology.

While all glutathione peroxidases reduce H2O2 or

soluble alkyl hydroperoxides [24], only the phospho-lipid hydroperoxide glutathione peroxidase (PHGPx) efficiently reduces hydroperoxy groups of complex lipids including those of phospholipids [18,25] and

cholesterolesters [26] even when present in lipoproteins [27]. Overexpression of PHGPx was therefore consid-ered the optimum tool to define the effects of hydroper-oxy and hydrhydroper-oxy lipids of oxLDL on cellular targets. With this in mind PHGPx was overexpressed in SMC, verified its function in situ, and tested the proliferative response to oxLDL in rabbit aortic SMC.

2. Methods

2.1. Cell culture

Rabbit abdominal aortic SMC (RAASMC) [10,28]

and 8CRE and 8CRIP cells (both modified from NIH

3T3) [29] were grown in DMEM (Seromed)

supple-mented with 5 or 10% FCS, 100 U/ml penicillin, 100

mg/ml streptomycin and 4 mM L-glutamine. If

men-tioned, cells were supplemented with sodium selenite at the concentrations indicated. A 1000-fold stock solu-tion of selenite (Sigma) in water was prepared, filtered sterile and diluted by addition to the cell culture media. Selenium deficiency was obtained by growing the cells in an FCS batch (Seromed, batch 698E) which con-tained 8.7mg selenium/l, resulting in a selenium concen-tration of 5.5 nM when 5% was used in the growth medium. Despite not knowing the bioavailability and the form in which selenium was present in the FCS, this batch led to the lowest GPx activities obtainable with-out selenium supplementation.

2.2. Construction of the retro6iral 6ector

All cloning work was done according to conventional procedures [30].

2.2.1. Construction of pLPHGPxRNL

The cDNA of the pig PHGPx [31] was first trans-ferred into the retroviral vector pLRNL [32]. The full

PHGPx cDNA was taken from pMM3 [33] asNde

BamHI fragment and ligated into pBluescript II KS+

(Stratagene). To facilitate subsequent cloning proce-dures, an oligonucleotide containing an additional

BamHI restriction-site was inserted between the KpnI

and NdeI site of the vector pBluescript/PHGPx

result-ing in pBluescript/PHGPx/b (Fig. 1A). Bluescript/

PHGPx/b and pLRNL were digested with BamHI,

fragments (PHGPx, 0.8 kbp; pLNRL, 6.4 kbp) isolated

via electroelution, ligated, and transformed into Es

-cherichia coli XL1-Blue (Stratagene). The resulting pLPHGPxRNL (Fig. 1B) was analyzed by restriction for the right orientation of PHGPx gene.

2.2.2. Production of PHGPx6ectors

pLPHGPxRNL was first packaged in an ecotrophic

packaging cell line, 8CRE, and subsequently in an

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amphotropic packaging cell line, 8CRIP. Three days

after infection of8CRIP, cells were split and put under

selection (Geneticin, 400 mg/ml). First clones (8CRIP/ PHGPx) were visible after 14 – 16 days of the selection. More than 70 clones were expanded and analyzed for the retroviral transcript by Northern blots and by activity of PHGPx. Five clones with the highest PHGPx activity were chosen for the transfection of target cells.

2.2.3. Infection of target cells

SMC were infected with supernatants from selected

8CRIP/PHGPx clones. On day 4 after infection, cells

were put under selection (400 mg/ml Geneticin) and

clones were isolated 12 – 16 days later.

2.3. Acti6ity of glutathione peroxidases

Glutathione peroxidase activity was measured with the glutathione reductase-coupled test adapted for cul-tured cells as described [34].

2.3.1. Hydroperoxides

H2O2 was purchased from Sigma.

Phosphatidyl-choline hydroperoxide (PCOOH) was prepared by

oxi-dizing phosphatidylcholine (Sigma) with soybean

lipoxygenase type IV (Sigma) in the presence of 3% deoxycholate, freed from detergent and concentrated by solid phase extraction with SEP PACK 18 reverse phase cartridges (Waters-Millipore), and quantified ac-cording to Ref. [35]. Linoleic acid hydroperoxide (LOOH) was prepared according to Ref. [36], by oxi-dizing linoleic acid (Sigma) with soybean lipoxygenase type IV (Sigma).

2.4. Assays for in situ PHGPx function

Cytotoxicity of different hydroperoxides was mea-sured by estimation of MTT reduction [37].

2.4.1. Intracellular oxidation

The amount of intracellular oxidation upon incuba-tion with linoleic acid hydroperoxide (LOOH) was measured fluorographically via oxidation of dihy-drorhodamine (DHR 123) according to Ref. [38]. The 48-well plates with a confluent monolayer of cells grown with or without sodium-selenite in DMEM with

5% FCS for 4 days were loaded with 20mM DHR 123

(Molecular Probes, Netherlands) for 45 min at 37°C in Hank’s balanced salt solution (HBSS), washed and

treated with 30 – 60 mM LOOH in serum-free DMEM

for 60 min at 37°C. After washing with HBSS, cells were scanned in a fluorescence reader (Cytofluor II,

Perceptives Biosystems, Germany) withlex485 nm and

lem 530 nm.

2.4.2. Electrophoretic mobility shift assay

Cells were grown without or with selenium (100 nM sodium-selenite) for 3 days in DMEM with 10% FCS. Then medium was changed to serum-free DMEM for 24 h before stimulation. Linoleic acid hydroperoxide was added at the concentrations indicated for 60 min at 37°C. Nucleic protein extracts were prepared according to Ref. [39].

A DNA fragment representing the consensus binding

motif of the KB site (5%-AATTCA CAAAGA

GGGACT TTCCCC TACATC CATTG-3%) was used

for gel shift analyses. Binding reaction was performed

at room temperature with 5 mg protein of the nuclear

extract, 10 fmol of labelled DNA and 3 mg poly(dIdC)

(Pharmacia Biotech) in 15 mM Hepes, 1 mM EDTA, 1

mM DTT, 10% (w/v) glycerol in 10 ml. After 30 min

samples were immediately subjected to gel

electrophore-sis on a native 4% polyacrylamide gel in 0.25×TBE at

200 V.

2.4.3. Apoptosis

Cells grown in DMEM, 5% FCS, with or without 100 nM sodium-selenite for 3 – 4 days were seeded at 2×104 cells/well in 24-well plates and left to adhere

overnight. Then media were changed to DMEM 5% FCS containing the peroxides indicated and cells incu-bated for 8 h. Thereafter cells were lysed and superna-tants assayed immediately by the Cell Death Detection

ELISAplus (Boehringer Mannheim) according to

manu-factors’ instructions.

2.4.4. Proliferation assay

Cells were grown in DMEM medium, 10% FCS, in the presence or absence of 100 nM sodium selenite. They were seeded at 3×103cells/ml into 96-well plates

and allowed to adhere for 24 h. Then serum was deprived for 30 h to obtain quiescence. Thereafter, cells were incubated with 1% FCS (control), 1% FCS plus 5

or 20mg nLDL/ml, 1% FCS plus 5 or 20mg oxLDL/ml

for 24 or 40 h. At the end of a stimulation period 10 ml

[3

H]thymidine (0.5mCi/well) was added and incubations

were continued for additional 2 h. The radioactive medium was aspirated, cells were washed twice in

ice-cold PBS buffer (200ml) followed by 5% TCA exposure

for 2 h at room temperature. The TCA solution was

removed by aspiration and 75 ml of 1 N NaOH was

added to solubilize the precipitated material. After

fur-ther 2 h 75 ml of 1 N HCl was added to each well for

neutralization. Incorporated radioactivity was

quantified by liquid scintillation counting.

2.4.5. Oxidation of LDL

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SDS-Fig. 2. Selenium-dependent glutathione peroxidase activities of con-trol (smooth muscle cells, SMC) and phospholipid hydroperoxide glutathione peroxidase (PHGPx)-transfected (SMC/PHGPx) smooth muscle cells. Cells were grown for 4 days in DMEM, 10% FCS, with and without selenium (100 nM sodium selenite) supplementation. Then cells were harvested and PHGPx activity measured with phos-phatidylcholine hydroperoxide (PCOOH) and total glutathione per-oxidase activity measured with H2O2 as substrates. Activity is expressed in mU/mg protein. Values are means from seven individual cultures9S.D. *PB0.01, **PB0.001 vs selenium-supplemented SMC.

In contrast, the parental cell line, SMC, did not show any significant increase in GPx activities upon selenium supplementation neither when measured with PCOOH

nor with H2O2. This data implies that the parental

SMC are practically devoid of both cGPx and PHGPx, and the increase of PHGPx acitivity seen upon selenium

supplementation in SMC/PHGPx is almost exclusively

due to the overexpression of the transfected PHGPx gene. The stability of increased PHGPx activity in the

SMC/PHGPx clone was verified over a period of 2

years.

In absolute terms, the overexpression achieved is modest, but comparable with overexpression obtained by others [45 – 50]. When high expression rates of, e.g. cGPx were obtained [51,52], they proved to be unstable over time. The modest but stable overexpression of PHGPx was therefore considered satisfactory to study the impact of improved lipid hydroperoxide metabolism in SMC.

3.2. Validation of in situ functionality of o6erexpressed PHGPx

3.2.1. Peroxide-cytotoxicity

As expected from previous studies [46,47,49] overex-pressed PHGPx reduced the cytotoxicity of different hydroperoxides like PCOOH and linoleic acid

hy-droperoxide in SMC/PHGPx compared to SMC (not

shown). Cytoprotection correlated with the PHGPx

activity and was highest in SMC/PHGPx grown in

selenium supplemented medium.

3.2.2. Intracellular DHR oxidation

To further prove the functionality of transfected PHGPx, intracellular oxidation of dihydrorhodamine 123 (DHR 123) after challenging cells with LOOH was measured. DHR 123 belongs to the oxidant-sensing fluorescent probes detecting a broad range of oxidizing reactions that may be increased during intracellular oxidative stress, e.g. induced by LOOH [53]. As shown in Fig. 3, intracellular DHR 123 oxidation upon LOOH exposure increased in SMC in a concentration depen-dent manner and was independepen-dent of selenium

supple-mentation. In contrast, in SMC/PHGPx, intracellular

oxidation was by far lower and could not be further reduced upon selenium supplementation. Thus, the low

increase in PHGPx activity in SMC/PHGPx grown

without selenium supplementation is already sufficient

to withdraw LOOH from reacting with

dihydrorhodamine.

3.2.3. Hydroperoxide-induced acti6ation of NFkB The SMC line used in this study belongs to the few

examples in which NFkB can be activated by

hydroper-oxides (Fig. 4). In unsupplemented SMC, 1 h

incuba-tion with 40 and 80 mM LOOH, respectively, led to a

PAGE of apolipoproteins according to Ref. [41]. For

oxidation, native LDL (1 mg/ml) was incubated with

0.2 mM FeCl3at 37°C. After 3 h, iron was removed by

gel filtration. Oxidative modification of LDL was

esti-mated according to [42]. A total of 7.790.7 nmol

MDA/mg protein was considered adequate (native

LDL: 1.290.2 nmol/mg protein).

In separate samples prepared the same way, hy-droperoxide and hydroxide levels. were analyzed as cholesteryl hydro(pero)xy linoleate by HPLC [12,43] or by absorption at 234 nm of extracted lipids [44]. Both methods proved a hydro(pero)xide content of 1 – 2 mmol/mg protein.

3. Results

3.1. Success of transfection

Twelve Geneticin-resistant clones of PHGPx-trans-fected cells were expanded for further analysis. They all exhibited the transfected porcine PHGPx mRNA in Northern blot data (not shown). Three of them, show-ing the highest mRNA content, were tested for PHGPx activity and the selenium dependency thereof. The

finally selected clone, SMC/PHGPx, still expressed low

PHGPx (measured with PCOOH) and total GPx (mea-sured with H2O2) activity under selenium limiting

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concentration-dependent activation of NFkB. Corre-sponding to the unchanged GPx activity, selenium sup-plementation did not show any effect. This is in contrast to other studies in which selenium

supplemen-Fig. 5. Selenium-dependent initiation of apoptosis by linoleic acid hydroperoxide (LOOH) in control (smooth muscle cells, SMC) and phospholipid hydroperoxide glutathione peroxidase (PHGPx)-trans-fected (SMC/PHGPx) smooth muscle cells. (A) DNA fragmentation (expressed as absorbance at 450 nm) in untreated (control) and cells exposed to 40 mM LOOH for 8 h. Values are means from three

individual experiments9S.D. *PB0.01; **PB0.005. (B) DNA fragmentation in SMC/PHGPx9Se treated with different concentra-tions of LOOH for 18 h. Values are means from three individual experiments9S.D. **PB0.0001. For details see Section 2. Fig. 3. Selenium-dependent linoleic acid hydroperoxide

(LOOH)-in-duced intracellular oxidation in control (smooth muscle cells, SMC) and phospholipid hydroperoxide glutathione peroxidase (PHGPx)-transfected (SMC/PHGPx) smooth muscle cells. Cells were grown for 4 days in DMEM, 10% FCS, with and without selenium (100 nM sodium selenite) supplementation. Then cells were loaded with dihy-drorhodamine 123 (DHR 123) and treated with LOOH for 1 h at the concentrations indicated. Oxidation was measured by fluorescence. For details see Section 2. Values are means from three individual experiments9S.D. *PB0.05, **PB0.01 vs SMC9Se, respec-tively.

Fig. 4. Selenium-dependent activation of NFkB by linoleic acid

hydroperoxide (LOOH) in control (smooth muscle cells, SMC) and phospholipid hydroperoxide glutathione peroxidase (PHGPx)-trans-fected (SMC/PHGPx) smooth muscle cells. Cells were grown for 4 days in DMEM, 10% FCS, with and without selenium (100 nM sodium selenite) supplementation. 24 h prior to stimulation serum was withdrawn, then cells were stimulated with LOOH for 60 min at the concentrations indicated. NFkB activation was analyzed as

de-scribed in Section 2.

tation led to an inhibition of NFKB activation due to an increased activity of endogenous glutathione

peroxi-dases [54 – 57]. In SMC/PHGPx, the degree of NFkB

activation was slightly decreased in selenium deficiency and almost completely abrogated in selenium supple-mented cells. Supershift experiments with the respective

antibodies against the different NFkB subunits

iden-tified the activated band as composed of p65 and p50 but not c-rel (data not shown).

3.2.4. Hydroperoxide-induced apoptosis

LOOH (40 mM, 8 h) led to apoptotic cell death in

SMC as measured by a quantitative sandwich-enzyme-immunoassay allowing the determination of mono- and oligonucleosomes in the cytosol of apoptotic cells. The degree of apoptosis was independent of the selenium

status in control cells (Fig. 5A). In SMC/PHGPx,

LOOH-induced apoptosis was clearly inhibited even under selenium limiting conditions. This is in accor-dance with the decreased intracellular oxidation upon

LOOH treatment of SMC/PHGPx (see Fig. 3),

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short period of time can be counteracted by the small increment of transfected PHGPx. Selenium-supplemen-tation, thus, could lead only to a small additional inhibition of apoptosis.

In contrast, after 18 h of LOOH treatment apoptosis

dramatically increased also in selenium-deficient SMC/

PHGPx (Fig. 5B). Under these conditions the low additional PHGPx activity obviously is not sufficient to prevent apoptotic cell death. In selenium supplemented

SMC/PHGPx apoptosis was still completely abolished

in agreement with the high PHGPx activity.

3.2.5. oxLDL-induced SMC proliferation

The experiments described so far prove that overex-pressed PHGPx consistently counteracts effects caused

by added hydroperoxides. The test system can thus be used to identify effects of hydroperoxides possibly present in more complex systems such as the

prolifera-tive response of SMC and SMC/PHGPx to oxLDL. In

untransfected SMC, the rate of thymidine incorpora-tion remained unchanged over a period of 40 h, irre-spective of selenium supplementation (Fig. 6A,B). Native LDL did not significantly affect the prolifera-tion of SMC. oxLDL induced a significant and dose-de-pendent increase of the proliferation. This proliferative response was not affected by selenium supplementation, which is consistent with the lack of endogenous se-lenoperoxidases in SMC.

The PHGPx-transfected cells behave quite differ-ently. First of all, their thymidine incorporation was

Fig. 6. Proliferation of control (smooth muscle cells, SMC) and phospholipid hydroperoxide glutathione peroxidase (PHGPx)-transfected (SMC/PHGPx) smooth muscle cells treated with native and oxidized LDL (oxLDL). SMC (9Se) (A and B) and SMC/PHGPx (9Se) (C, D) were seeded at 3×103cells/ml each into 96 well plates, allowed to adhere and made quiescent by serum deprivation for 24 h. Then they were stimulated with either native LDL (nLDL, 5 and 20mg/ml) or oxLDL (5 and 20mg/ml) all in the presence of 1% FCS9Se. For controls, only

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lower than in SMC from the beginning (Fig. 6C,D). It further decreases with time, irrespective of selenium supplementation and exposure to native LDL. In terms of absolute proliferation rates, the response to oxLDL

blunted in selenium-deprived SMC/PHGPx, when

com-pared to control SMC. The relative proliferation of

oxLDL-exposed versus unstimulated SMC/PHGPx,

however, tended to be increased. This trend was more

pronounced in selenium supplemented SMC/PHGPx,

i.e. under optimized PHGPx activity (compare Fig. 6C and D). After 24 h of oxLDL exposure of

selenium-supplemented SMC/PHGPx the proliferation was still

low compared to identically treated SMC. After 40 h,

however, the proliferation of the SMC/PHGPx is

prac-tically the same as that of pertinent controls (compare Fig. 6D with B).

Clearly, thus, expression of functional PHGPx affects the oxLDL response of SMC in a complex manner in lowering basic proliferation rates, but increasing the oxLDL proliferative response, after long term exposure, to that of control cells.

4. Discussion

The design of a cellular model to study the effect of hydroperoxides on SMC proliferation proved not to be trivial. One of the very few enzymes known to effi-ciently reduce hydroperoxides including complex

hy-droperoxy lipids is PHGPx which, being a

selenoprotein, is not easily overexpressed. Transfection of mammalian cells with selenoprotein genes does not routinely result in a substantial overexpression, because many factors of the complex system of selenoprotein biosynthesis may determine the expression level (see [58] for review) apart from gene dose and promoter efficiency. In particular, transfection with glutathione peroxidase genes usually yielded moderate overexpres-sion rates comparable to those obtained here with SMC and sometimes required cotransfection with cDNA of selenophosphate synthetase (SelD) to support selenium incorporation [49,56]. Expression tended to decrease with passages [51,52], especially when it was high in the beginning [51]. With respect to this background forma-tion of a SMC line, stably overexpressing PHGPx for a period of 2 years by a factor of 4 versus parental control cells is an important tool to study physiological responses to hydroperoxides.

The particular SMC line proved to be particularly suited for the studies since the basic level of any GPx was negligible, as evident from extremely low activities and insignificant increase of GPx activities upon

supple-mentation with selenium. The PHGPx activity in SMC/

PHGPx can thus be correlated to physiological effects without any concern about interference of other se-lenoperoxidases. The PHGPx activity therein can be

modulated by physiological selenium supplementation. The still moderate PHGPx expression at optimum sele-nium supplementation, i.e. 100 nM sodium selenite, is not anticipated to affect any expression of other se-lenoproteins in a way different from control SMC grown under identical conditions. Neither is it associ-ated with selenium toxicity.

It was nevertheless attempted to validate the system by demonstrating that the PHGPx overexpressed in SMC really does in situ what it is supposed to do according to present knowledge.

“ As an efficient antioxidant device, PHGPx is

sup-posed to prevent oxidant-induced toxicity [25], and it did so in SMC, as overexpressed PHGPx did in ECV 304 [49], in FL5-12 cells [45], in RBL-2H3 cells [46] and in the guinea pig cell line 104C1 [47].

“ Direct evidence of intracellular reduction of

exoge-nous alkyl hydroxides is presented by competing out dihydrorhodamine oxidation by LOOH.

“ Selenoperoxidases have been implicated in the

pre-vention of hydroperoxide induced apoptosis [59,60] as did PHGPx when overexpressed in SMC.

“ Both, cGPx [54] and PHGPx [56] have been shown

to inhibit NFkB activation. Selective expression of

PHGPx, which is low in terms of absolute activity even at optimum selenium supplementation,

com-pletely abrogated LOOH-induced NFkB activation

in SMC.

While the results described above are consistent with the generally accepted biological role of PHGPx, the SMC proliferation study surprised in several respects. First of all, PHGPx transfection generally suppressed proliferation rates in unstimulated SMC and, in con-trast to control cells, the transfected ones incorporated less thymidine with prolonged cultivation in 1% FCS. This observation is not related to impaired cell viability, as judged by unchanged MTT reduction (data not shown). Neither is it a peculiarity of the particular cell clone, but it has been observed repeatedly with other clones and other PHGPx-transfected cell lines in the laboratory and with cGPx-transfected cells (P. Arrigo, personal communication). The reasons of this be-haviour are unclear but would comply with a prolifera-tive role of endogenous hydroperoxides as, e.g. suggested by hydroperoxides associated with growth factor receptor stimulation [61].

The blunted response to oxLDL stimulation seen in

unsupplemented and selenium supplemented SMC/

PHGPx versus SMC is consistent with an enhanced reductive capacity abrogating the oxidant potential of engulfed oxLDL. This would imply that indeed hy-droperoxy lipids present in oxLDL are responsible for the proliferative response, since only these components can be considered substrates of PHGPx.

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this also happens in vivo. Strong evidence for a role of lipoxygenases and their reaction products in atherogen-esis has been presented recently by Cyrus et al. [62] in

mice made deficient in ApoE and 12/15 lipoxygenase.

The double knock out mice do not develop atheroscle-rosis during the first 15 weeks of observation whereas

heterozygotes (ApoE − / −; 12/15LO − / +) and

con-trols (ApoE − / −, 12/15LO + / +) did. In contrast,

Witting et al. [63] showed that oxidized lipids may not necessarily be connected to atherosclerotic lesions. A probucol metabolite, bisphenol, completely prevented lipid hydro(pero)xide accumulation in arterial walls of Watanabe rabbits, but did not affect the extent of atherosclerotic lesions. These observations may indicate that atherosclerosis can also develop in the absence of measurable amounts of oxidized lipids. They do, how-ever, not rule out a role of oxLDL in early initiating events such as proliferation of SMC, as amply docu-mented [2 – 6] and also confirmed in the present study. Interestingly, the response to oxLDL by PHGPx transfection is only delayed but not abolished. In fact, it is undistinguishable from that of control cells after a 40-h exposure to oxLDL. It may even be rated as

increased when compared to unstimulated SMC/

PHGPx. This clearly rules out that hydroperoxy lipids are the only components in oxLDL directly inducing proliferation. Instead, the delayed proliferative response of the PHGPx overexpressing cells suggests that prod-ucts of PHGPx accumulating with time take over the proliferation-inducing role initially played by the hy-droperoxy lipids. Like peroxy lipids, hydroxy lipids can

induce formation of H2O2 [64] which at low level is

known to trigger proliferation [65]. Moreover, the emerging role of hydroxy lipids as specific stimuli mer-its attention according to the known specificity of PHGPx. 13-Hydroxy linoleic acid, for instance, has

been reported to mediate TNFa release from

macrophages [66], to induce the scavenger receptor in monocytic cells [11] and to induce ICAM-1 in endothe-lial cells more efficiently than LOOH [9].

With regard to the theory that oxLDL plays a critical role in atherogenesis [67] the model experiments suggest that it might be more effective to prevent LDL oxida-tion than to inhibit its proliferative acoxida-tion after it has been taken up by SMC. Even if it were feasible to significantly increase intracellular PHGPx levels in hu-man aortic tissue, e.g. by selenium supplementation, the resulting delay of the proliferative response to oxLDL would probably be clinically irrelevant. This tentative conclusion is, however, not meant to rule out any role of the selenoperoxidases in atherogenesis. A reduction of the extracellular peroxide tone by plasma GPx or the inhibition of lipoxygenases by cellular cGPx or PHGPx [19 – 21,68] might well be relevant in preventing initia-tion and propagainitia-tion of lipid peroxidainitia-tion within the circulation, whereby loading of LDL with both hy-droperoxy and hydroxy lipids would be reduced.

In conclusion, a PHGPx overexpressing cell line has been constructed in which the effects of PHGPx can be investigated individually. The altered response of the cells to hydroperoxides and to oxLDL shows that these cells may be a suitable medium to study the role of this

particular selenoprotein in processes relevant to

atherogenesis.

Acknowledgements

We thank E. Wendt for excellent support in the tremendous cell culture work, G. Aust for indefatigably measuring GPx activites, and J. Neuzil for help with the HPLC analyses. This study was supported by the ‘Deutsche Akademie der Naturforscher’, Leopoldina, the Boehringer Ingelheim Fond, the Finnish Academy, and the European community Biomed II program (BMH4-CT98-3202). S.M. was a recipient of a

scholar-ship of the ‘Graduiertenfo¨rderung des Landes

Brandenburg’.

References

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Gambar

Fig. 1. (A) Map of pBluescript/PHGPx/b; (B) map of pLPHG-PxRNL. For explanations see Section 2 and text.
Fig. 2. Selenium-dependent glutathione peroxidase activities of con-trol (smooth muscle cells, SMC) and phospholipid hydroperoxidemuscle cells
Fig. 5. Selenium-dependent initiation of apoptosis by linoleic acidhydroperoxide (LOOH) in control (smooth muscle cells, SMC) andfragmentation in SMCtions of LOOH for 18 h
Fig. 6. Proliferation of control (smooth muscle cells, SMC) and phospholipid hydroperoxide glutathione peroxidase (PHGPx)-transfected(SMCwere seeded at 3/PHGPx) smooth muscle cells treated with native and oxidized LDL (oxLDL)

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