
[Cancer Research 60, 1645-1653, March 15, 2000]
© 2000 American Association for Cancer Research
Experimental Therapeutics |
The Role of Apaf-1, Caspase-9, and Bid Proteins in Etoposide- or Paclitaxel-induced Mitochondrial Events during Apoptosis
Charles L. Perkins,
Guofu Fang,
Caryn Nae Kim and
Kapil N. Bhalla1
Division of Clinical and Translational Research, Sylvester Comprehensive Cancer Center, University of Miami School of Medicine, Miami, Florida 33136
 |
ABSTRACT
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Ectopic overexpression of Apaf-1 (2.5-fold) in human acute myelogenous
leukemia HL-60 cells (HL-60/Apaf-1 cells) induced apoptosis and
sensitized HL-60/Apaf-1 cells to etoposide- and paclitaxel-induced
apoptosis (C. Perkins et al., Cancer Res.,
58: 45614566, 1998). In this report, we
demonstrate that in HL-60/Apaf-1 cells, the activity of caspase-9 and
-3 induced by Apaf-1 overexpression was associated with a significant
increase (5-fold) in the cytosolic accumulation of cytochrome
c (cyt c), loss of mitochondrial membrane
potential (
m), and an increase in the reactive oxygen species.
These were also associated with the processing of procaspase-8 and
Bid (cytosolic, proapoptotic BH3 domain containing protein).
Transient transfection of Apaf-1 into the Apaf-1-containing mouse
embryogenic fibroblasts (MEFs; Apaf-1+/- MEFs) or Apaf-1-/- MEFs
also induced the processing of procaspase-9 and procaspase-8, Bid
cleavage, and apoptosis. These events were secondary to the activity of
the downstream caspases induced by Apaf-1. This conclusion is supported
by the observation that in HL-60/Apaf-1 cells, ectopic expression of
dominant negative caspase-9, its inhibitory short isoform caspase-9b,
or XIAP or treatment with the caspase inhibitor zVAD (50
µM) inhibited Apaf-1-induced caspase-8 and Bid
cleavage, mitochondrial 
m, release of cyt c, and
apoptosis. In contrast, a transient transfection of dominant negative
caspase-8 or CrmA or exposure to caspase-8 inhibitor zIETD-fmk
inhibited the processing of procaspase-8 and Bid but did not inhibit
the cytosolic accumulation of cyt c in either the
untreated HL-60/Apaf-1 cells or the etoposide-treated HL-60/Apaf-1 and
HL-60/neo cells. These results indicate that Apaf-1 overexpression
lowers the apoptotic threshold by activating caspase-9 and caspase-3.
This triggers the mitochondrial 
m and cyt c
release into the cytosol through a predominant mechanism other than
cleavage of caspase-8 and/or Bid. This mechanism may involve a
cytosolic mitochondrial permeability transition factor, which may be
processed and activated by the downstream effector caspases, thereby
completing an amplifying feedback loop, which triggers the
mitochondrial events during apoptosis.
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INTRODUCTION
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The family of mammalian caspases (aspartate-specific cysteine
proteases) represents the effector arm of the apoptotic program
(1
, 2)
. Intracellularly, caspases exist as inactive
zymogens (procaspases) that have NH2-terminal
prodomains plus large and small catalytically active subunits. Caspases
may be subclassified as initiators (e.g., caspase-8, -10,
-2, or -9) or effectors, also known as executioners (e.g.,
caspase-3, -6, or -7), based on whether they have a large or small
prodomain (1
, 2)
. Caspases with large prodomains interact
with signaling adaptor molecules through motifs in the prodomains
called
CARDs2
(1
, 2)
. For example, interaction between CARDs in the
adaptor molecule FADD and the prodomain of procaspase-8 allows the
formation of a death-inducing signaling complex during the Fas
receptor-induced signaling for apoptosis (3)
. Recruitment
and oligomerization, followed by processing and activation of caspase-8
in the Fas receptor-initiated death-inducing signaling complex,
ultimately result in the cleavage and translocation of the cytosolic,
proapoptotic BH3 domain-containing Bid protein to the mitochondria
(4, 5, 6, 7)
. Here it triggers the preapoptotic mitochondrial
events leading to the activation of the executioner, caspase-3
(4
, 5)
. Previous in vitro studies have
demonstrated that the enforced expression of adaptor molecules FADD or
CRADD triggers the cleavage and activation of executioner caspase-3 and
apoptosis by causing oligomerization of the initiator caspases,
caspase-8 and caspase-10, or caspase-2, respectively (8
, 9)
. The generation of active caspases requires cleavage at the
internal Asp residue present between the catalytic large and small
subunit, with further processing at the Asp residue present in the
interdomain linkers between the prodomain and the large subunit to
remove the prodomain (1
, 2)
. Once activated, caspases can
cleave their substrates and other procaspases to generate active
subunits (1
, 2)
. The executioner caspases can also
proteolytically cleave a number of cellular proteins, e.g.,
PARP, lamins, DFF, fodrin, gelsolin, protein kinase C
, Rb,
DNA-PK, and so forth, resulting in the morphological features
and DNA fragmentation of apoptosis (1
, 2
, 10)
.
Recently, Apaf-1 was identified as the human homologue of the
Caenorhabditis elegans CED-4 protein and was shown to
participate as an adaptor molecule in the sequential activation of
caspase-9 and caspase-3 (11, 12, 13)
. The
NH2-terminal region of Apaf-1 contains a CARD,
which can bind to the corresponding motif in procaspase-9. Apaf-1 also
contains a central region homologous to the proapoptotic CED-4 protein,
including a conserved P-loop, and a COOH-terminal long WD repeat
domain that lacks homology with CED-4. In the presence of dATP and cyt
c released from the mitochondria by a number of
apoptotic stimuli, the monomeric Apaf-1 is transformed into an
oligomeric complex made of at least eight subunits
(14, 15, 16)
. This Apaf-1-cyt c complex can bind
and process procaspase-9, followed by the release of mature caspase-9
(15
, 17)
. This, is turn, can process procaspase-3,
triggering the caspase cascade of activities that results in apoptosis
(15
, 17)
. Recent studies have demonstrated that an
endogenous alternately spliced isoform of caspase-9 (caspase-9b), a
mutation in the active site of caspase-9, or the deletion of caspase-9
from the S-100 fraction of cytosol blocks cyt-c-induced and
Apaf-1-mediated ultimate cleavage and activation of caspase-3
(12
, 13
, 18
, 19)
. The importance of Apaf-1-induced
activity of caspase-9 followed by caspase-3 has been highlighted by
reports that demonstrate that Apaf-1 or caspase-9 deficiency results in
embryonic lethality due to defective neuronal apoptosis
(20, 21, 22, 23)
. Furthermore, inactivation of Apaf-1 or caspase-9
has been shown to substitute for p53 loss in promoting oncogenic
transformation of the Myc-expressing cells (24)
.
Similar to the enforced overexpression of FADD and CRADD, Apaf-1
overexpression was shown to induce apoptosis, through the cleavage and
activation of caspase-9 and caspase-3 (25)
. Higher levels
of Apaf-1 were demonstrated to enhance apoptosis induced by
chemotherapeutic agents, e.g., etoposide and Taxol, by
increasing the sequential cleavage and activities of caspase-9 and
caspase-3 (25)
. However, in these studies, the role of
mitochondrial 
m and cyt c release in Apaf-1-mediated
sensitization of apoptosis was not determined. In the present studies,
we investigated whether the lowering of the threshold to trigger
apoptosis through Apaf-1 overexpression involves procaspse-8 and Bid
cleavage and activity, resulting in the mitochondrial 
m and the
release and cytosolic accumulation of cyt c. Our findings
demonstrate that Apaf-1 overexpression mediates mitochondrial 
m,
cytosolic accumulation of cyt c, and apoptosis predominantly
through a mechanism that involves the activity of caspase-9 and
caspase-3 but not caspase-8 and Bid.
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MATERIALS AND METHODS
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Reagents.
z-VAD-fmk, z-IETD-fmk, and z-LEHD-fmk were purchased from Enzyme
Systems Products (Livermore, CA). Anti-Apaf-1 and Anti-Bid antisera
(5
, 11) as well as cDNA of Apaf-1 and CrmA were kindly
provided by Dr. Xiadong Wang (University of Texas, Southwestern School
of Medicine, Dallas, TX). The recombinant human homotrimeric TRAIL
(leucine zipper construct) was a gift from Immunex Corp. (Seattle, WA).
Dr. Emad Alnemri (Thomas Jefferson University, Philadelphia, PA)
kindly provided us with the cDNA of caspase 9b, DN caspase-9,
and Apaf-1L, which possesses an additional WD repeat.
Cells and Transfection of the Genes.
Human myeloid leukemia HL-60 cells were cultured as described
previously (26)
. Viable HL-60 cells (23 x 106) were transiently transfected with
0.51.0 µg each of the indicated plasmid DNA using LipofectAMINE
PLUS reagent (Life Technologies, Inc., Gaithersburg, MD). Stable
HL-60 cell lines overexpressing the human Apaf-1 protein were developed
as described previously (25)
. Lysates from the selected
clones were evaluated for Apaf-1 expression by immunoblot analyses (see
below). The clones expressing high levels of the specific proteins were
further subcloned by limiting dilution. Representative subclones of
each of the HL-60 transfectants were passaged twice per week and used
for the studies. Data presented are representative of those derived
from at least two independent clonal transfectants of HL-60/Apaf-1
cells. Apaf-1-deficient MEFs (a gift from Dr. Tak W. Mak; The Amgen
Institute, Toronto, Ontario, Canada) were cultured in DMEM (Life
Technologies, Inc., Grand Island, NY) supplemented with 10% fetal
bovine serum (20)
. Apaf-1+/- and Apaf-/- MEFs were
transfected with 0.51.0 µg of the appropriate plasmid DNA using the
LipofectAMINE PLUS reagent. Transfection efficiency was
4060%,
based on cotransfection of pCMV-GFP-1.
Western Analyses of Proteins.
Western analyses of Apaf-1, Bcl-2, Bcl-xL,
caspase-9, caspase-3, caspase-8, Bid, DFF, PARP, and ß-actin were
performed using specific antisera or monoclonal antibodies according to
previously reported protocols (25
, 27
, 28)
. Horizontal
scanning densitometry was performed on Western blots by using
acquisition into Adobe Photo Shop (Apple, Inc., Cupertino, CA) and
analysis by the NIH Image Program (NIH, Bethesda, MD). The expression
of ß-actin was used as a control.
Preparation of S-100 Fraction for the Analysis of Cytosolic
Accumulation of Cyt c.
Untreated and drug-treated cells were harvested by centrifugation, and
the cell homogenates were centrifuged at 100,000 x g for 30 min at 4°C to obtain the S-100 fraction, as
described previously. The supernatants were collected, and the protein
concentrations of S-100 were determined by using the Bradford method
(Bio-Rad, Hercules, CA). Samples were then analyzed for the release of
cyt c from the mitochondria into the cytosol by Western
blot, as described previously (29)
.
Apoptosis Assessment by Morphology and Annexin V Staining.
After drug treatment or the indicated transfections, 5 x 105 to 1 x 106 cells were washed in PBS, and cytospin
preparations of the cell suspension were fixed and stained with Wright
stain. Morphological evaluation of apoptosis was performed as described
previously (26)
. Cells were also resuspended in 100 µl
of staining solution (containing annexin V fluorescein and PI in a
HEPES buffer; annexin V-FLUOS staining kit; Boehringer Mannheim,
Indianapolis, IN). After incubation at room temperature for 15 min,
cells were analyzed by flow cytometry (25)
. Annexin V
binds to those cells that express phosphotidylserine on the outer layer
of the cell membrane, and PI stains the cellular DNA of those cells
with a compromised cell membrane. This allows for the discrimination of
live cells (unstained with either fluorochrome) from apoptotic
cells (stained only with annexin V) and necrotic cells (stained with
both annexin V and PI; Ref. 30
).
Measurement of Mitochondrial Potential and ROS.
To assess the changes in mitochondrial potential and ROS, 1 x 10 6 cells were incubated for 15 min at
37°C with 40 nM 3,3'-dihexyloxacarbocyanine iodide
(DiOC6; Ref.
3
) and 5 µM
dichlorodihydrofluorescein diacetate, respectively, and analyzed by
fluorescence-activated cell sorting as described previously (31
, 32)
.
 |
RESULTS
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Ectopic Overexpression of Apaf-1 Causes Mitochondrial 
m and
Cytosolic Accumulation of Cyt c.
Stably transfected clones of Apaf-1-overexpressing (HL-60/Apaf-1) or
control (HL-60/neo) cells were isolated by limiting dilution
(25)
and examined for the processing of the caspases and
death substrates as well as for the occurrence of preapoptotic
mitochondrial events (31
, 32)
. Fig. 1A
demonstrates data from a representative clone of each cell
type. As compared with HL-60/neo cells, HL-60/Apaf-1 cells showed
2.5-fold higher levels of Apaf-1 and demonstrated the processing and
activation of procaspase-9 and procaspase-3 (Fig. 1, A and B)
. This was associated with the cleavage of PARP into its
Mr 85,000 fragment and the
cleavage of DFF45 (or ICAD) into its
Mr 30,000 fragment. DFF45 and PARP are
known substrates for caspase-3 (33
, 34)
. As compared with
HL-60/neo, Apaf-1 overexpression in HL-60/Apaf-1 cells was associated
with a slightly increased expression of Bcl-2 (Fig. 1B)
but
not of Bcl-xL or Bax (data not shown). Whereas
oligomerization of Apaf-1 is known to recruit, bind, and activate
caspase-9 and caspase-3, in HL-60/Apaf-1 cells, this was unexpectedly
associated with a 5-fold increase in the cytosolic cyt c
(Fig. 1C)
, as well as an increase in the percentage of cells
with low MMP and increased ROS (Fig. 1D)
. These preapoptotic
mitochondrial events and caspase activations were also observed in
HL-60 cells after transient transfection and overexpression of Apaf-1
or the transfection of its longer, alternately spliced isoform
(Apaf-1L), which possesses an additional WD repeat (data not shown).
Therefore, we used Apaf-1 transfectants in the following experiments
and refer to them henceforth as HL-60/Apaf-1 cells.

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Fig. 1. Molecular events of apoptosis mediated by Apaf-1 in
HL-60/Apaf-1 versus HL-60/neo cells. Stably transfected
Apaf-1-overexpressing cells and control (HL-60/neo) cells were
harvested for Western analyses as well as flow cytometric analyses to
determine the percentage of cells with low MMP or increase in ROS (see
"Materials and Methods"). A, inactive
caspase-9 (p68) proform and its active cleaved fragment
(Mr 35,000), Zymogen procaspase-3
(p35) and its activated cleaved fragment (Mr
17,000), PARP and its Mr 85,000
cleavage product, DFF45 and its intermediate cleaved product
(Mr 30,000), and ß-actin, which was
used as a control for equal loading. B, levels
of Apaf-1, Bcl-2, and ß-actin in HL-60/neo versus
HL-60/Apaf-1 cells. C, cytosolic cyt c
levels in the S-100 fraction from HL-60/Apaf-1 versus
HL-60/neo cells. Increase in the percentage of cells with reduced MMD
(top panels) and increased production of ROS
(bottom panels) in HL-60/Apaf-1 versus
HL-60/neo cells. The arrow points to the positive
control after treatment with 10 mmol/liter
H2O2.
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Ectopic Overexpression of Apaf-1 Induces Processing of Procaspase-8
and Bid and Sensitizes HL-60/Apaf-1 Cells to Etoposide and
Paclitaxel.
The activities of caspase-9 and caspase-3 can process and activate
procaspase-8 and Bid; the latter, in turn, can cause the mitochondrial
release of cyt c (4, 5, 6)
. Therefore we examined whether
Apaf-1-mediated activities of the effector caspases would result in the
processing of procaspase-8 and Bid, and whether this would sensitize
HL-60/Apaf-1 cells to etoposide- or Taxol-induced accumulation of cyt
c and apoptosis. As shown in Fig. 2A
and Fig. 2B
, Apaf-1 overexpression resulted in the
processing of procaspase-8 and Bid, and, as noted previously, Bid
processing caused cytosolic accumulation of cyt c and
apoptosis. Fig. 2A
also shows that an exposure to Taxol (10
nM for 24 h) or etoposide (1.0
µM for 24 h) induced significantly more
apoptosis in HL-60/Apaf-1 cells than in HL-60/neo cells. Cotreatment
with 50 µM zVAD, which exerts more potent
inhibitory effects against the activities of caspase-9 and caspase-3
than against the activities of apical caspase-8 and caspase-10,
also inhibited the processing of caspase-8 and Bid. Consequently, zVAD
inhibited the cytosolic accumulation of cyt c and apoptosis
induced by either Apaf-1 overexpression or cotreatment with etoposide
or Taxol (Fig. 2A
and Fig. 2B
). Fig. 3
demonstrates that the mitochondrial release and cytosolic accumulation
of cyt c caused by Apaf-1 overexpression in HL-60/Apaf-1
cells or caused by cotreatment with etoposide or Taxol in HL-60/neo
cells is also associated with reduced mitochondrial MMP (
m) and
increased ROS. These mitochondrial perturbations in HL-60/Apaf-1
cells, as in HL-60/neo cells, were also reversed by cotreatment with
zVAD, indicating that these were secondary to the activities of the
effector caspases.

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Fig. 3. zVAD reverses the decline in MMP (A) and
increase in ROS (B) caused by the ectopic overexpression
of Apaf-1 in HL-60/Apaf-1 cells (Apaf-1 ctr) or by
treatment with etoposide or Taxol in HL-60/neo and HL-60/Apaf-1 cells.
HL-60/neo or HL-60/Apaf-1 cells were treated with 10 µM
etoposide, 100 nM Taxol, and/or 50 µM zVAD
for 24 h. Flow cytometric analyses to determine the percentage of
cells with either low MMP or increase in ROS were performed. In
B, the dotted-line peak (indicated by an
arrow) represents the positive control after treatment
with 10 mM H2O2. The
dashed-line peak (indicated by an
arrowhead) represents the untreated HL-60/neo control or
HL-60/Apaf-1 cells.
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Transient Ectopic Expression of Apaf-1 Induces Apoptosis of
Apaf-1-/- cells.
We first compared the sensitivity of Apaf-1-/- cells to a number of
chemotherapeutic agents, including staurosporine, TNF-
, Fas
ligation, and TRAIL. Fig. 4A
demonstrates that Apaf-1+/- MEFs, which express Apaf-1
(Fig. 4B)
, were susceptible to apoptosis induced by
etoposide, doxorubicin, and staurosporine, but were minimally
susceptible to apoptosis induced by Taxol (1
µM for 24 h; Fig. 4A
).
Apoptosis of Apaf-1+/- cells was also observed after treatment with
TNF-
, Fas ligation, and TRAIL. In contrast, Apaf-1-/- MEFs lacking
Apaf-1 (Fig. 4B)
were resistant to etoposide, doxorubicin,
and staurosporine-induced apoptosis (Fig. 4A)
. Whereas Fas
ligation and TNF-
were equally effective in inducing apoptosis in
Apaf-1+/- and Apaf-1-/- cells, TRAIL-induced apoptosis was
partially inhibited in Apaf-1-/- cells (Fig. 4A)
.
Etoposide-induced processing of procaspase-9, procaspase-8, and Bid was
compared between Apaf-1+/- and Apaf-1-/- cells. Fig. 4B
demonstrates that etoposide-induced apoptosis of Apaf-1+/- cells is
associated with the processing of procaspase-9, procaspase-8, and Bid,
whereas these effects of etoposide are absent in Apaf-1-/- cells.
Transient transfection and overexpression of Apaf-1 cDNA increased the
percentage of Apaf-1+/- MEFs demonstrating apoptosis. Apaf-1
transfection also sensitized Apaf-1+/- cells to etoposide-induced
apoptosis (Fig. 5A)
. Transient transfection of Apaf-1 also induced apoptosis
of Apaf-1-/- cells; Apaf-1 also sensitized these cells to
etoposide-induced apoptosis. Fig. 5B
shows that the
transient transfection of Apaf-1 with or without etoposide resulted in
the processing of procaspase-9, procaspase-8, and Bid.

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Fig. 4. Apaf-1-/- MEFs are resistant to etoposide-, Taxol-,
doxorubicin-, staurosporine-, and TRAIL-induced apoptosis but not to
TNF- - and Fas-induced apoptosis. A, Apaf-1+/- and
Apaf-1-/- MEFs were treated with the indicated agents for 24 h,
followed by staining with annexin V/PI to determine apoptosis/necrosis.
B, Western analysis of Apaf-1, procaspase-9,
procaspase-8, Bid, and ß-actin (or a loading control) in the
Apaf-1+/- (control) and Apaf-1-/- MEFs treated with 100
µM etoposide for 24 h.
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Fig. 5. Apaf-1 induces apoptosis of the control Apaf-1+/- cells
and Apaf-1-/- MEFs. Apaf-1 control cells and Apaf-1-/- MEFs were
transfected with the cDNA of Apaf-1 for 24 h. Apaf-1-/- cells
transfected with vector (pcDNA) alone were also treated
with 100 µM etoposide for 24 h. After these
transfections, cells were either (A) analyzed by annexin
V/PI to measure apoptosis/necrosis or (B) harvested and
analyzed for protein levels of Apaf-1, procaspase-9, and its cleaved
fragments, Bid and ß-actin, by Western analyses.
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Mitochondrial Perturbations Induced By Apaf-1 Overexpression Are
Caused Primarily by the Activities of Caspase-9 and Caspase-3 and not
by Caspase-8 and Bid.
We next determined whether the feedback effects on the mitochondria
induced by Apaf-1 overexpression were due primarily to the activities
of caspase-9 and caspase-3 or to the activities of processed caspase-8
and Bid. Transient transfection and expression of DN caspase-9
(12)
, caspase-9b (18)
, or XIAP, which binds
and inhibits caspase-9 and caspase-3 (35
, 36)
, markedly
inhibited not only the processing of caspase-9 and caspase-3 but also
that of caspase-8 and Bid and also blocked mitochondrial release of cyt
c and apoptosis (Fig. 6A
and Fig. 6B
). In contrast, when procaspase-8 and Bid
processing due to etoposide in HL-60/neo cells or Apaf-1 overexpression
in HL-60/Apaf-1 cells was directly inhibited by transient transfection
of the cDNA of DN caspase-8 (37)
, there was minimal
inhibition of the cytosolic accumulation of cyt c and
apoptosis (Fig. 7A
and Fig. 7B
). In contrast, the processing of
procaspase-8 (p55) and Bid was inhibited (Fig. 7B)
.
Procaspase-3 processing was not inhibited by DN caspase-8 in HL-60/neo
or HL-60/Apaf-1 cells. Similarly, a transient transfection of the cDNA
of CrmA (a cowpox virus encoded serpin-like protease inhibitor), which
specifically inhibits caspase-8 activity (5)
, also did not
inhibit cytosolic accumulation of cyt c or apoptosis (data
not shown). The dominant role of the activities of caspase-9 and
capase-3 over those of caspase-8 followed by Bid in mediating the
feedback effects on the mitochondria is further supported by the data
presented in Fig. 8A
and Fig. 8B
. As shown, the effects of cotreatment
with a relatively specific inhibitor of the activity of either
caspase-9 (i.e., zLEHD-fmk) or caspase-8 (i.e.,
z-IETD-fmk) were compared (38)
. Again, inhibition of
caspase-9 by z-LEHD-fmk inhibited the processing of procaspase-3,
procaspase-8, and Bid and markedly inhibited the cytosolic accumulation
of cyt c and apoptosis induced by etoposide in HL-60/neo
cells or by the ectopic overexpression of Apaf-1 in HL-60/Apaf-1 cells.
Inhibition of caspase-8 activity by 50 µM
z-IETD-fmk, in contrast, had a minimal effect on the levels cytosolic
cyt c and apoptosis in both cell types. The
difference in the pattern of the cleavage fragments of procaspase-3 in
Fig. 8B
versus Fig. 7B
may be due to
the use of tetrapeptide inhibitors in the studies represented in Fig. 8B
but not in those represented in Fig. 7B
. z-LEHD-fmk, but
not z-IETD-fmk, also reversed the loss of mitochondrial 
m and the
increase in ROS induced by the ectopic overexpression of Apaf-1 in
HL-60/neo cells (data not shown). The differential effect of treatment
with z-LEHD versus z-IETD does not rule out the possibility
that the observed mitochondrial events in HL-60/Apaf-1 cells, including
the release of cyt c, might also be due to the activation of
other effector caspases, in addition to caspase-3, by caspase-9.

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Fig. 6. DN caspase-9, caspase-9b, and XIAP inhibit Apaf-1- or
etoposide-induced cytosolic accumulation of cyt c and
apoptosis of HL-60 cells. Stably transfected HL-60/Apaf-1 and HL-60/neo
(control) cells were transiently transfected with the cDNA of DN
caspase-9, caspase-9b, or XIAP for 24 h (see "Materials and
Methods"). Cells were subsequently harvested to determine
(A) the percentage of apoptotic/necrotic cells by
annexin-V/PI staining and (B) to perform Western
analysis of procaspase-9, procaspase-8, procaspase-3, Bid, and its
active cleaved product (Mr 15,000) and
cytosolic S-100 fraction for cyt c. ß-Actin was used
as a control for equal loading.
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Fig. 7. DN caspase-8 only partially inhibits Apaf-1- and
etoposide-induced apoptosis and cyt c release in HL-60
cells. Stable HL-60/neo and HL-60/Apaf-1 cells were transiently
transfected with the cDNA of DN caspase-8 for 24 h. Subsequently,
cells were treated with etoposide, and the percentage of
apoptotic/necrotic cells was determined by annexin V/PI staining
(A); cells were also harvested for Western analysis of
procaspase-8, procaspase-3, Bid, and cytosolic cyt c
(B).
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Fig. 8. As compared to the caspase-8 inhibitor z-IETD-fmk
(IETD), the caspase-9-specific inhibitor, z-LEHD-fmk
(LEHD), markedly inhibits the processing of
procaspase-8, procaspase-3, and Bid and inhibits cytosolic accumulation
of cyt c and apoptosis induced by etoposide and the
ectopic overexpression of Apaf-1. HL-60/neo and HL-60/Apaf-1 cells were
treated with 1.0 µM etoposide and/or 50 µM
IETD or with 100 µM LEHD for 24 h, and the
cells were harvested for (A) annexin V staining to
determine the percentage of apoptotic cells and (B)
immunoblot analysis of procaspase-8 (p55), procaspase-3 (p35), Bid, and
cytosolic accumulation of cyt c. ß-Actin levels were
used as a control for protein loading.
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 |
DISCUSSION
|
|---|
In the present study, we demonstrate that the stable or transient
overexpression of Apaf-1 induces the processing of procaspase-9 and
procaspase-3 and causes the cleavage of the death substrates (PARP and
DFF45) and apoptosis of the human acute myelogenous leukemia HL-60 and
murine Apaf-1-/- cells. The cytosolic Apaf-1 binds and hydrolyzes ATP
or dATP (11)
. Apaf-1 also binds to cyt c
(11
, 12)
. The binding to cyt c and the
hydrolysis of dATP facilitate oligomerization of Apaf-1
(13, 14, 15, 16)
. The multimeric Apaf-1-cyt c complex
binds procaspase-9 with a stoichiometry of 1:1 (14)
. This
results in the activation and processing of caspase-9, which is
then released from the Apaf-1-cyt c multimeric complex to
process and activate caspase-3 or other caspases including apical
caspase-8 (15)
. There is alternative evidence that
suggests that procaspase-9 can also recruit procaspase-3 to the
Apaf-1-procaspase-9 complex (16)
. Using a mutant
procaspase-9 disabled for processing, it has also been demonstrated
that caspase-9 can be activated without proteolytic processing
(38)
. The spontaneously oligomerizing Apaf-530, which
lacks the WD-40 domain, has been shown in vitro to bind and
process procaspase-9 but lacks the ability to release the mature
caspase-9 or to recruit procaspase-3 (15
, 17)
. In
contrast, in the data presented here, we demonstrate that the transient
transfection of full-length Apaf-1 in HL-60 cells and in Apaf-1-/-
MEFs produces the processing and activities of procaspase-9 and
procaspase-3, resulting in apoptosis (25)
. However, these
findings have to be regarded with the caveat that they were observed in
an overexpression system, which may have produced an enforced
oligomerization of Apaf-1, causing the processing of caspase-9 and
caspase-3 and apoptosis. As reported previously, our data demonstrated
that Apaf-1-/- cells were resistant to apoptosis induced by
chemotherapeutic agents, including etoposide, doxorubicin, and Taxol,
but were not resistant to apoptosis induced by TNF-
or Fas
ligation by an agonist antibody (20)
. In contrast,
apoptosis induced by TRAIL was only partially inhibited in the
Apaf-1-/- cells. This may be because, as compared to Fas ligand or
TNF-
, TRAIL-induced processing of procaspase-8 in Apaf-1-/- MEFs
may be modest and delayed due to the presence of DcR1 and/or DcR2
(39
, 40)
, allowing Bid processing and the resultant
mitochondrial release of cyt c. The presence of Bid
in the cytosol clearly would not facilitate caspase-9 and
capase-3 activations in Apaf-1-/- cells (20
, 21)
.
Our data show that Apaf-1 overexpression in HL-60 cells also resulted
in the processing of procaspase-8 and Bid. This is most likely due to
the activity of caspase-9 and caspase-3, which can result in the
processing of procaspase-8 (10
, 22)
. Neither caspase-6 nor
caspase-7 has been shown to cleave Bid (41)
. In addition
to the processing of procaspase-8 and Bid, ectopic overexpression of
Apaf-1 was also associated with the mitochondrial 
m and the
release of cyt c into the cytosol. As shown in Fig. 9
, these preapoptotic mitochondrial events could be due directly to
either the activities of caspase-9 followed by caspase-3 or the
intervening processing of procaspase-8 and Bid. It should be
noted that the inhibition of the activities of caspase-9 and caspase-3
by transient ectopic expression of caspase-9b, DN caspase-9, or XIAP
(Fig. 6B)
or by cotreatment with the caspase-9-specific
inhibitor zLEHD-fmk (Fig. 8B)
markedly inhibited not only
the processing of procaspase-8 and Bid but also the preapoptotic
mitochondrial release of cyt c in HL-60/Apaf-1 cells. In
contrast, cotreatment with the caspase-8-specific inhibitor zIETD-fmk
(Fig. 8B)
or transient overexpression of DN caspase-8 (Fig. 7B)
or CrmA (data not shown) did not inhibit the
mitochondrial release of cyt c. This indicates that the
procaspase-8 and Bid processing mediated by ectopic overexpression of
Apaf-1 in HL-60 cells does not play a dominant role in causing the
feedback effects on the mitochondria. Therefore, the following question
arises: how do caspase-9 and/or caspase-3 (or another executioner
caspase) activities triggered by ectopic Apaf-1 mediate mitochondrial

m and cyt c release, if not through Bid activity? A
recent report by Bossy-Wetzel and Green (41)
suggested
that the effector caspases such as caspase-3, caspase-6, and caspase-7
that do not act directly on the mitochondria to release cyt
c might cleave and activate another cytosolic substrate
(other than Bid) that could then promote the mitochondrial 
m and
the release of cyt c. Our data also support the existence of
such a putative cytosolic MPTF. As shown in Fig. 9
, MPTF may be the
direct target for processing by caspase-9 and/or caspase-3 or
caspase-7. Although Bid cleavage and activity triggered by death
receptor signaling has clearly been shown to exert an amplifying role
during apoptosis by causing mitochondrial 
m and cyt
c release, our findings suggest that this may not be the
sole mechanism or may be part of the feedback mechanism by which
mitochondria are recruited for their role during apoptosis.

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|
Fig. 9. Formation of the apoptosome. Activation of the effector
caspases and the feedback mitochondrial release of cyt c
may be mediated by the intervening processing of the putative MPTF and
not by the processing of caspase-8 and Bid.
|
|
Bcl-xL (or Bcl-2) has been shown to interact with
Apaf-1 and inhibit Apaf-1-mediated activation of caspase-9 and
caspase-3 and apoptosis (25
, 42
, 43)
. Boo, also
identified as Diva, is a recently described, novel, antiapoptotic
member of the Bcl-2 family. It forms a multimeric protein complex with
Apaf-1 and caspase-9 (44
, 45)
. The expression of Diva
inhibited the binding of Bcl-xL to Apaf-1.
Furthermore, Bak and Bik have been shown to disrupt the binding of Diva
to Apaf-1 (44)
. The inhibitor of apoptosis protein
family of proteins, including XIAP, has also been shown to bind and
inhibit caspase-9 and caspase-3 (35
, 36)
. Akt-1
kinase-mediated phosphorylation of caspase-9 appears to inhibit its
activity and produce a similar effect (46)
. Taken
together, these reports, along with the present data, suggest that a
number of molecular determinants may regulate the Apaf-1-mediated
caspase activities, which could modulate the downstream feedback
activity of the MPTF on the mitochondria. The importance of the
amplifying role of the putative MPTF for mitochondrial input into
apoptosis may vary according to the cellular context
(47)
. Its importance is clearly suggested by the role that
Apaf-1-mediated activation of caspase-9 and caspase-3 has been
demonstrated to play during apoptosis and oncogenic transformation
(24)
. Collectively, these aspects further underscore the
greater complexity of the eukaryotic apoptosome as compared with the
C. elegans molecular machinery for apoptosis.
 |
FOOTNOTES
|
|---|
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 To whom requests for reprints should be
addressed, at Division of Clinical and Translational Research,
Sylvester Comprehensive Cancer Center, University of Miami School of
Medicine, 1550 NW 10th Avenue (M710), Miami, FL 33136.
Phone: (305) 243-5907; Fax: (305) 243-5885; E-mail: kbhalla{at}med.miami.edu 
2 The abbreviations used are: CARD, caspase
recruitment domain; cyt c, cytochrome c;
ROS, reactive oxygen species; MEF, mouse embryonic fibroblast; DN,
dominant negative; MPTF, mitochondrial permeability transition factor;
PARP, poly(ADP-ribose) polymerase; DFF, DNA fragmentation factor;
TRAIL, tumor necrosis factor-related apoptosis-inducing ligand; TNF,
tumor necrosis factor; MMP, mitochondrial membrane potential; PI,
propidium iodide. 
Received 11/12/99.
Accepted 1/19/00.
 |
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Y. Furukawa, N. Nishimura, Y. Furukawa, M. Satoh, H. Endo, S. Iwase, H. Yamada, M. Matsuda, Y. Kano, and M. Nakamura
Apaf-1 Is a Mediator of E2F-1-induced Apoptosis
J. Biol. Chem.,
October 11, 2002;
277(42):
39760 - 39768.
[Abstract]
[Full Text]
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M. Huigsloot, I. B. Tijdens, G. J. Mulder, and B. van de Water
Differential Regulation of Doxorubicin-induced Mitochondrial Dysfunction and Apoptosis by Bcl-2 in Mammary Adenocarcinoma (MTLn3) Cells
J. Biol. Chem.,
September 20, 2002;
277(39):
35869 - 35879.
[Abstract]
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T. J. Page, S. O'Brien, C. R. Jefcoate, and C. J. Czuprynski
7,12-Dimethylbenz[a]anthracene Induces Apoptosis in Murine Pre-B Cells through a Caspase-8-Dependent Pathway
Mol. Pharmacol.,
August 1, 2002;
62(2):
313 - 319.
[Abstract]
[Full Text]
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M. Kondo, T. Shibata, T. Kumagai, T. Osawa, N. Shibata, M. Kobayashi, S. Sasaki, M. Iwata, N. Noguchi, and K. Uchida
15-Deoxy-Delta 12,14-prostaglandin J2: The endogenous electrophile that induces neuronal apoptosis
PNAS,
May 28, 2002;
99(11):
7367 - 7372.
[Abstract]
[Full Text]
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F. Guo, R. Nimmanapalli, S. Paranawithana, S. Wittman, D. Griffin, P. Bali, E. O'Bryan, C. Fumero, H. G. Wang, and K. Bhalla
Ectopic overexpression of second mitochondria-derived activator of caspases (Smac/DIABLO) or cotreatment with N-terminus of Smac/DIABLO peptide potentiates epothilone B derivative-(BMS 247550) and Apo-2L/TRAIL-induced apoptosis
Blood,
May 1, 2002;
99(9):
3419 - 3426.
[Abstract]
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P. Matarrese, L. Di Biase, L. Santodonato, E. Straface, M. Mecchia, B. Ascione, G. Parmiani, F. Belardelli, M. Ferrantini, and W. Malorni
Type I Interferon Gene Transfer Sensitizes Melanoma Cells to Apoptosis via a Target Activity on Mitochondrial Function
Am. J. Pathol.,
April 1, 2002;
160(4):
1507 - 1520.
[Abstract]
[Full Text]
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J. F. Kidd, M. F. Pilkington, M. J. Schell, K. E. Fogarty, J. N. Skepper, C. W. Taylor, and P. Thorn
Paclitaxel Affects Cytosolic Calcium Signals by Opening the Mitochondrial Permeability Transition Pore
J. Biol. Chem.,
February 15, 2002;
277(8):
6504 - 6510.
[Abstract]
[Full Text]
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X. W. Meng, M. P. Heldebrant, and S. H. Kaufmann
Phorbol 12-myristate 13-Acetate Inhibits Death Receptor-mediated Apoptosis in Jurkat Cells by Disrupting Recruitment of Fas-associated Polypeptide with Death Domain
J. Biol. Chem.,
January 25, 2002;
277(5):
3776 - 3783.
[Abstract]
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H. Yamaguchi, S. R. Paranawithana, M. W. Lee, Z. Huang, K. N. Bhalla, and H.-G. Wang
Epothilone B Analogue (BMS-247550)-mediated Cytotoxicity through Induction of Bax Conformational Change in Human Breast Cancer Cells
Cancer Res.,
January 1, 2002;
62(2):
466 - 471.
[Abstract]
[Full Text]
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A. R. Jazirehi, C.-P. Ng, X.-H. Gan, G. Schiller, and B. Bonavida
Adriamycin Sensitizes the Adriamycin-resistant 8226/Dox40 Human Multiple Myeloma Cells to Apo2L/Tumor Necrosis Factor-related Apoptosis-inducing Ligand-mediated (TRAIL) Apoptosis
Clin. Cancer Res.,
December 1, 2001;
7(12):
3874 - 3883.
[Abstract]
[Full Text]
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C. N. O'Donovan, D. Tobin, and T. G. Cotter
Prion Protein Fragment PrP-(106-126) Induces Apoptosis via Mitochondrial Disruption in Human Neuronal SH-SY5Y Cells
J. Biol. Chem.,
November 16, 2001;
276(47):
43516 - 43523.
[Abstract]
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L. Qiao, E. Studer, K. Leach, R. McKinstry, S. Gupta, R. Decker, R. Kukreja, K. Valerie, P. Nagarkatti, W. E. Deiry, et al.
Deoxycholic Acid (DCA) Causes Ligand-independent Activation of Epidermal Growth Factor Receptor (EGFR) and FAS Receptor in Primary Hepatocytes: Inhibition of EGFR/Mitogen-activated Protein Kinase-Signaling Module Enhances DCA-induced Apoptosis
Mol. Biol. Cell,
September 1, 2001;
12(9):
2629 - 2645.
[Abstract]
[Full Text]
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V. M. Dirsch, H. Stuppner, and A. M. Vollmar
Helenalin Triggers a CD95 Death Receptor-independent Apoptosis That Is Not Affected by Overexpression of Bcl-xL or Bcl-2
Cancer Res.,
August 1, 2001;
61(15):
5817 - 5823.
[Abstract]
[Full Text]
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R. Nimmanapalli, E. OBryan, and K. Bhalla
Geldanamycin and Its Analogue 17-Allylamino-17-demethoxygeldanamycin Lowers Bcr-Abl Levels and Induces Apoptosis and Differentiation of Bcr-Abl-positive Human Leukemic Blasts
Cancer Res.,
March 1, 2001;
61(5):
1799 - 1804.
[Abstract]
[Full Text]
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R. Nimmanapalli, M. Porosnicu, D. Nguyen, E. Worthington, E. OBryan, C. Perkins, and K. Bhalla
Cotreatment with STI-571 Enhances Tumor Necrosis Factor {{alpha}}-related Apoptosis-inducing Ligand (TRAIL or Apo-2L)- induced Apoptosis of Bcr-Abl-positive Human Acute Leukemia Cells
Clin. Cancer Res.,
February 1, 2001;
7(2):
350 - 357.
[Abstract]
[Full Text]
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W. F. Symmans, M. D. Volm, R. L. Shapiro, A. B. Perkins, A. Y. Kim, S. Demaria, H. T. Yee, H. McMullen, R. Oratz, P. Klein, et al.
Paclitaxel-induced Apoptosis and Mitotic Arrest Assessed by Serial Fine-Needle Aspiration: Implications for Early Prediction of Breast Cancer Response to Neoadjuvant Treatment
Clin. Cancer Res.,
December 1, 2000;
6(12):
4610 - 4617.
[Abstract]
[Full Text]
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J. Wen, N. Ramadevi, D. Nguyen, C. Perkins, E. Worthington, and K. Bhalla
Antileukemic drugs increase death receptor 5 levels and enhance Apo-2L-induced apoptosis of human acute leukemia cells
Blood,
December 1, 2000;
96(12):
3900 - 3906.
[Abstract]
[Full Text]
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G. Fang, C. N. Kim, C. L. Perkins, N. Ramadevi, E. Winton, S. Wittmann, and K. N. Bhalla
CGP57148B (STI-571) induces differentiation and apoptosis and sensitizes Bcr-Abl-positive human leukemia cells to apoptosis due to antileukemic drugs
Blood,
September 15, 2000;
96(6):
2246 - 2253.
[Abstract]
[Full Text]
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