Journal of the American Society of Nephrology
2007 JASN IMPACT FACTOR 7.111 HOME   AUTHOR INFO   EDITORIAL BOARD   SUBSCRIBE   FEEDBACK   ALERTS   HELP 
    advanced
CURRENT ISSUE ARCHIVES JASN Express ONLINE SUBMISSION


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Neuhofer, W.
Right arrow Articles by Beck, F.-X
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Neuhofer, W.
Right arrow Articles by Beck, F.-X
J Am Soc Nephrol 12:2565-2571, 2001
© 2001 American Society of Nephrology

Regulated Overexpression of Heat Shock Protein 72 Protects Madin-Darby Canine Kidney Cells from the Detrimental Effects of High Urea Concentrations

Wolfgang Neuhofer, Karin Lugmayr, Maria-Luisa Fraek and Franz-X Beck

Department of Physiology, University of Munich, Munich, Germany.

Correspondence to Dr. Wolfgang Neuhofer, Department of Physiology, University of Munich, Pettenkoferstrasse 12, 80336 München, Germany. Phone: +49-89-5996-534; Fax: +49-89-5996-532; E-mail: W.Neuhofer{at}physiol.med.uni-muenchen.de


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
ABSTRACT. Exposure of renal medullary cells to elevated extracellular NaCl concentrations is associated with increased heat shock protein 72 (HSP72) expression and improved resistance to subsequent exposure to a high urea concentration (600 mM). To establish a causal relationship between HSP72 expression and protection against high urea concentrations, HSP72 was inducibly overexpressed in Madin-Darby canine kidney (MDCK) cells, in the absence of hypertonic stress before urea exposure. For this purpose, the human stress-inducible HSP72 gene was cloned downstream from a dexamethasone (DEX)-inducible promoter in the eukaryotic expression vector pLKneo. This construct allowed robust induction of HSP72 by exposure of stably transfected MDCK cells (MDCK-LK72) to 0.1 µM DEX. Increased HSP72 abundance significantly improved survival rates after 24-h exposure of the cells to medium containing 600 mM urea (14 versus 43%). In mock-transfected or wild-type cells, DEX had no significant effect on HSP72 abundance or urea resistance. In accordance with those findings, lactate dehydrogenase activity in the supernatant was significantly reduced, compared with appropriate control samples, only in MDCK-LK72 cells overexpressing HSP72. Labeling with annexin V-FITC and propidium iodide, followed by flow cytometry, revealed that overexpression of HSP72 was associated with a reduction in the number of apoptotic-lysed cells, a concomitant retardation of apoptosis, and an increase in the number of viable cells. These data support the view that HSP72, which is very abundant in the renal inner medulla, is an important component of the defense mechanism of medullary cells against extreme concentrations of urea.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
During antidiuresis, the cells of the renal medulla are exposed to greatly elevated concentrations of NaCl and urea. The adaptive response of medullary cells to high extracellular NaCl concentrations (i.e., hypertonic stress) includes the accumulation of organic osmolytes (1,2) and the synthesis of a subset of heat shock proteins (HSP), e.g., small HSP, HSP72, and osmotic stress protein 94/HSP110 (35). Conversely, urea alone, even at high concentrations, fails to induce the accumulation of organic osmolytes, except for glycerophosphorylcholine (1,2), or to stimulate HSP expression (3,4). In combination with additional medullary stressors (e.g., acidic pH), however, elevated urea concentrations do enhance HSP72 expression in Madin-Darby canine kidney (MDCK) cells (6).

In the kidney, the abundance of HSP72 (the major stress-inducible HSP) is correlated with the corticomedullary osmotic gradient and changes appropriately with the diuretic state (7,8). These observations suggest that this HSP plays an important role in the adaptation of medullary cells to high extracellular solute concentrations. Under both normal and stressful conditions, members of the HSP70 family participate in various cellular processes, such as folding and refolding of proteins, intracellular protein trafficking and degradation, and signal transduction (9).

Although renal cells tolerate high and fluctuating solute concentrations, there are limits to the concentrations of NaCl and urea that even renal medullary cells can withstand. Increases in the medium osmolality to >=600 mosmol/kg H2O, through either NaCl or urea addition, activate death programs, leading primarily to apoptosis (10,11). Studies with MDCK and mIMCD3 cells indicate that hypertonic stress confers resistance to the deleterious effects of high urea concentrations by limiting the proapoptotic effects of high urea concentrations (3,12,13). In those studies, urea-induced apoptosis could be ameliorated by prior or simultaneous exposure to hypertonic stress. The finding that inhibition of HSP72 expression during hypertonic stress with antisense transfection attenuated the beneficial effects of hypertonic pretreatment on subsequent urea exposure suggests a cytoprotective role for HSP72 (14).

Because hypertonic stress promotes a variety of intracellular events, it is conceivable that factors other than hypertonicity-induced upregulation of HSP72 production contribute to the enhanced resistance to high urea concentrations. The aim of this study was thus to examine the effects of forced overexpression of HSP72 alone on the resistance of MDCK cells to high urea concentrations, in the absence of hypertonic stress. Because constitutive HSP72 overexpression inhibits cell growth and disrupts signaling pathways (15,16), an inducible vector construct was used to generate MDCK cells with regulated HSP72 overexpression. To gain a better understanding of the HSP72-mediated protection against high urea concentrations, markers of necrosis and apoptosis were used to characterize in greater detail the nature of urea-induced cell damage.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cell Culture and Experimental Protocol
MDCK wild-type cells were grown under standard conditions, as described previously (3), in 75- or 35-mm plastic dishes (Greiner, Solingen, Germany) or in 24-well plates (Costar, Cambridge, MA). MDCK-LK72 and MDCK-LKm cells (see below) were cultured in the same medium containing 600 µg/ml G418 (Sigma, Deisenhofen, Germany). One day before the beginning of the experiments, cells were plated at a density designed to yield 70 to 95% confluence within 3 d. One day after plating, MDCK wild-type, MDCK-LK72, and MDCK-LKm cells were exposed for 48 h to their respective media in the presence or absence of 0.1 µM dexamethasone (DEX) (added from a 10 mM stock solution in ethanol; Sigma). The media were subsequently replaced for 24 h with equivalent media containing 600 mM urea. After that period, the cells were processed either for analysis of HSP72 expression, for calculation of cell survival rates, for measurement of lactate dehydrogenase (LDH) release, or for labeling with annexin V-FITC (Sigma) and propidium iodide (PI) (Sigma).

Expression Vectors and Transfection
For inducible overexpression of HSP72, a 2.3-kb fragment containing the entire coding region of the stress-inducible human HSP70 gene (pH2.3) (17) was subcloned into the inducible mammalian expression vector pLKneo as follows (18). pH2.3 was released from pAT153-pH2.3 (American Type Culture Collection, Manassas, VA) with HindIII and BamHI and was gel purified, and recessed 3'-termini were then filled in with Klenow enzyme (MBI Fermentas, St. Leon-Rot, Germany). The eukaryotic expression vector pLKneo, containing a DEX-inducible mouse mammary tumor virus (MMTV) promoter (18), was linearized with HindIII and EcoRI; the recessed 3'-termini were filled in with Klenow enzyme and the 5'-termini were dephosphorylated with calf intestinal alkaline phosphatase (MBI Fermentas). Subsequently, the 2.3-kb HSP72 fragment was blunt-end ligated into pLKneo. The orientation of the insert was verified by restriction mapping and sequencing of the junctions. In the resulting construct pLKneo-HSP72, HSP72 is expressed under the control of a DEX-inducible MMTV promoter. pLKneo-HSP72 also contains resistance genes for ampicillin and geneticin (G418).

MDCK cells were transfected by using liposome-mediated procedures. Briefly, 24 h before transfection, exponentially growing MDCK cells were seeded at a density of 0.5 x 106 cells/75-mm dish. On the day of transfection, 20 µg of plasmid DNA was dissolved in 400 µl of serum-free Dulbecco’s modified Eagle’s medium (DMEM); in parallel, 20 µg of liposomes (Clonfectin; Clontech, Palo Alto, CA) dissolved in Hepes-NaCl buffer (10 mM Hepes, pH 7.4, 140 mM NaCl) was added to another 400-µl aliquot of serum-free DMEM. The two samples were then combined and incubated at room temperature for 20 min. Subsequently, the cells were washed with phosphate-buffered saline (PBS), incubated with the DNA-liposome mixture for 4 h, washed with PBS, and incubated in complete medium for another 24 h. After that period, the medium was replaced with DMEM containing 600 µg/ml G418 (Sigma), which was refreshed every 2 d. After 2 to 3 wk, G418-resistant clones were subcloned and expanded for analysis of inducible HSP72 expression. For this purpose, the respective clones were exposed to 1 µM DEX (diluted from a 10 mM stock solution in ethanol) for 24 h, assayed for HSP72 expression by Western blot analysis, and matched to the same clone grown in the absence of DEX. Clones with inducible HSP72 overexpression (MDCK-LK72) were used for experiments at passages 3 to 15. Mock-transfected MDCK (MDCK-LKm) cells were established by introducing pLKneo without the insert.

Sodium Dodecyl Sulfate-Polyacrylamide Gel Electrophoresis and Western Blot Analysis
After the treatments, the cells were washed three times with chilled PBS and scraped into 8 M urea/PBS (50 µl/35-mm plate). Cells were lysed with three cycles of snap-freezing and thawing. The extracts were stored for 15 min at room temperature, vigorously vortexed, and centrifuged at 12,000 x g for 15 min at 4°C. Protein concentrations in the supernatant were determined in duplicate, using a commercially available kit (BioRad, Munich, Germany) (19). Aliquots (40 µg) of total cell protein were subjected to sodium dodecyl sulfate (SDS)-polyacrylamide gel electrophoresis and Western blot analysis, and HSP72 and heat-shock cognate–70 (HSC70) (HSP73) were immunodetected as reported elsewhere (6).

Northern Blot Analysis
After the treatments, the cells were washed three times with ice-cold PBS and lysed by the addition of 1 ml of TRI-Reagent (Sigma). RNA was recovered according to the recommendations of the manufacturer. Aliquots (20 µg) of total RNA were subjected to electrophoresis through 1% agarose/formaldehyde gels, blotted onto nylon membranes (Hybond-N+; Amersham, Freiburg, Germany), and immobilized by ultraviolet-crosslinking. For detection of HSP72 mRNA expression, a digoxigenin-labeled HSP72 cDNA probe was prepared. Gel-purified pH2.3 was subjected to random-primed extension by the large fragment of DNA polymerase Iexo- (MBI Fermentas), in the presence of dNTP and digoxigenin-dUTP. For Northern blot analyses, the blots were prehybridized for 2 h at 55°C in a solution containing 50% formamide, 5x SSC, 0.1% SDS, and 10% blocking reagent (Roche, Mannheim, Germany) and were hybridized overnight in the same solution containing 20 ng/ml digoxigenin-labeled probe. After hybridization, the membranes were washed twice for 15 min each with 2x SSC/0.1% SDS at room temperature and twice for 15 min with 0.1x SSC/0.1% SDS at 68°C. Nonradioactive detection procedures were performed according to a previously described method (20). To correct for differences in RNA loading, the membranes were stripped and rehybridized with digoxigenin-labeled cDNA specific for glyceraldehyde phosphate dehydrogenase (6). Signals were quantified by laser densitometry (Ultrascan XL; Amersham).

Immunofluorescence Staining
Cells were grown on eight-well slides (Lab Tech chamber slides; Nunc, Wiesbaden, Germany). After the treatments, the cells were washed three times with chilled PBS and fixed in methanol for 15 min at -20°C. The cells were permeabilized for 15 min with 0.1% Triton X-100 in PBS (pH 7.4). Nonspecific binding sites were blocked for 30 min in immunofluorescence buffer (1% bovine serum albumin, 0.1% Tween 20, and 0.01% NaN3 in PBS, pH 7.4). HSP72 was immunodetected by sequential incubation with monoclonal anti-HSP72 antibody (SPA810, 1:500 in immunofluorescence buffer; StressGen, Victoria, British Columbia, Canada), polyclonal rabbit anti-mouse Ig antibody (1:1000 in immunofluorescence buffer; Dianova, Wiesbaden, Germany), streptavidin-conjugated goat anti-rabbit Ig antibody (1:500 in immunofluorescence buffer; Dianova), and tetrarhodamine isothiocyanate-labeled biotin (1:400 in immunofluorescence buffer; Dianova), each for 1 h at room temperature with gentle agitation. After each antibody exposure, the slides were washed three times, for 15 min each, with PBS. After the final wash, the slides were mounted with Fluorosave (Calbiochem, La Jolla, CA) and examined by using a fluorescence microscope (Zeiss, Oberkochen, Germany) equipped with the appropriate filters.

Cell Survival Assays
After urea exposure, detached cells were aspirated, adherent cells were collected by trypsinization, and both fractions were counted in a hemocytometer. The surviving fraction was expressed as the adherent/total (adherent plus detached) cell ratio. To confirm that the detached cells were actually dead, in some experiments they were washed and replated in control medium. During the reincubation, less than one in one thousand cells reattached.

Measurement of LDH Activity
Cells were plated in 24-well plates (Costar), in 1 ml of medium. After 24 h, the medium was replaced with DMEM, containing 0.1 µM DEX or lacking DEX (control samples), for 48 h. The cells were then exposed to the respective media containing 600 mM urea. After urea exposure, 25 µl of medium was removed and centrifuged at 250 x g for 5 min at 4°C; the supernatant was removed and stored at 4°C. For measurement of total cellular LDH activity, the cells were disrupted by vigorous passage five times through a 26-gauge needle, and cellular debris was pelleted by centrifugation at 12,000 x g for 5 min at 4°C. The supernatant was stored at 4°C. LDH activity was assessed by using a commercially available LDH assay (Sigma), as described by the manufacturer. Relative LDH activity was expressed as the ratio between activity in the supernatant and total LDH activity with the respective experimental protocol.

Flow Cytometry
After urea exposure, apoptosis and necrosis were determined by labeling with annexin V-FITC and PI (21). For this purpose, the detached cells from 75-mm dishes were aspirated and stored on ice. The adherent cells were collected by trypsinization, combined with the detached cells, and pelleted by centrifugation at 250 x g for 5 min at 4°C. The cell pellet was washed twice with ice-cold PBS, and 105 cells were resuspended in 100 µl of binding buffer (10 mM Hepes, pH 7.5, 140 mM NaCl, 2.5 mM CaCl2). Subsequently, 1 µl of annexin V-FITC conjugate (50 µg/ml) and 2 µl of PI (100 µg/ml) were added and allowed to bind for 10 min at room temperature, with protection from light. Detection of viable cells (annexin V-FITC-negative, PI-negative), early apoptotic cells (annexin V-FITC-positive, PI-negative), apoptotic-lysed cells (annexin V-FITC-positive, PI-positive), and necrotic cells (annexin V-FITC-negative, PI-positive) was performed by using a Becton Dickinson FACScan instrument in combination with Cell Quest software (Becton Dickinson, Heidelberg, Germany). A total of 30,000 events were used for analysis. Results are presented as bivariate dot blots of log FL1 (annexin V-FITC) and log FL3 (PI), representing a reproducible cell population gated by forward and side scatter.

Statistical Analyses
The data are presented as means ± SEM. Differences between the means were tested for significance by t test for independent samples and by multivariate ANOVA for multiple samples. P < 0.05 was regarded as significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Establishment of MDCK Cells with Inducible HSP72 Overexpression
In MDCK cells stably transfected with pLKneo-HSP72 (MDCK-LK72), incubation with 0.05 µM DEX for 24 h caused submaximal expression of HSP72, as demonstrated by Western blot analysis (Figure 1). Maximal HSP72 induction was attained with DEX concentrations of >=0.1 µM. In contrast, HSP72 expression in MDCK-LKm cells was not affected by any concentration of DEX after 24 h. On the basis of this observation, a DEX concentration of 0.1 µM was used for further experiments. The abundance of constitutively expressed HSC70 (HSP73) was not altered by any concentration of DEX (Figure 1). Northern blot analysis revealed that 0.1 µM DEX increased HSP72 mRNA abundance in MDCK-LK72 cells 20-fold after 24 h of incubation (Figure 2). Interestingly, the transgene could be discerned from the endogenous canine HSP72 message because it contains a portion of the MMTV promoter and thus appears as a band with higher molecular weight (Figure 2). Endogenous canine HSP72 mRNA expression was only minimally stimulated by DEX.



View larger version (60K):
[in this window]
[in a new window]
[as a PowerPoint slide]
 
Figure 1. Induction of heat shock protein 72 (HSP72) in HSP72-overexpressing Madin-Darby canine kidney (MDCK) cells by increasing concentrations of dexamethasone (DEX). MDCK-LK72 cells (stably transfected with pLKneo-HSP72) and MDCK-LKm cells (stably transfected with empty vector) were incubated for 24 h in medium containing the indicated concentrations of DEX. Subsequently, HSP72 and heat shock cognate–70 (HSC70) (HSP73) abundance was determined by Western blot analysis. One representative immunoblot from two independent experiments is shown.

 


View larger version (60K):
[in this window]
[in a new window]
[as a PowerPoint slide]
 
Figure 2. Induction of HSP72 mRNA in MDCK-LK72 cells by the addition of DEX. MDCK-LK72, MDCK-LKm, and MDCK wild-type (MDCK-WT) cells were incubated for 24 h either in control medium or in medium containing 0.1 µM DEX and were subsequently analyzed for HSP72 and glyceraldehyde phosphate dehydrogenase (GAPDH) mRNA abundance by Northern blot analysis. MDCK-LK72 cells displayed upregulation of the human HSP72 transcript after induction by DEX. The transgene (HSP72-hum) can be distinguished from the endogenous canine HSP72 message (HSP72-can) because the former contains a portion of the mouse mammary tumor virus promoter and thus appears as a band with higher molecular weight. The last lane was loaded with 2 µg of RNA (usually 20 µg were loaded) derived from heat-shocked MDCK cells (HS), as a positive control. One representative blot from two independent experiments is shown.

 
Western blot analyses demonstrated that the HSP72 abundance was slightly but not significantly elevated in MDCK-LKm cells after 2 d of incubation in medium containing 0.1 µM DEX and in MDCK wild-type cells after 5 to 7 d (Figure 3). For this reason, a period of 48 h was selected for transgene induction by DEX in MDCK-LK72 cells in subsequent experiments. After this period, the HSP72 abundance was approximately eightfold greater than that in noninduced control samples and was only 20% lower than that observed after 7 d of induction. MDCK-LK72 cells exhibited modestly elevated basal HSP72 levels, compared with MDCK-LKm and wild-type cells (Figures 3 and 4), suggesting some degree of leakiness of the MMTV promoter in the absence of DEX or stimulation of transgene transcription by steroids in medium supplemented with 10% fetal calf serum.



View larger version (63K):
[in this window]
[in a new window]
[as a PowerPoint slide]
 
Figure 3. Time course of DEX-induced HSP72 expression in MDCK-LK72 cells. MDCK-LK72, MDCK-LKm, and MDCK wild-type (MDCK-WT) cells were incubated for the indicated periods in medium containing 0.1 µM DEX. Cellular HSP72 contents were then assessed by Western blot analysis. The first lane shows the basal HSP72 levels (control) in the respective cells. Representative immunoblots from three independent experiments are shown.

 


View larger version (109K):
[in this window]
[in a new window]
[as a PowerPoint slide]
 
Figure 4. Immunofluorescence staining for HSP72 in MDCK-LK72, MDCK-LKm, and MDCK wild-type (MDCK-WT) cells exposed for 48 h to 0.1 µM DEX. Cells were incubated for 24 h either in control medium or in medium containing 0.1 µM DEX and were subsequently immunostained for HSP72. The majority of MDCK-LK72 cells induced with DEX were positive for HSP72 (MDCK-LK72 + DEX). A low level of basal expression was detectable in these cells in the noninduced state (MDCK-LK72 - DEX). No immunoreactivity could be detected in MDCK wild-type or MDCK-LKm cells, either treated with DEX or not. The higher magnification demonstrates intense cytoplasmic staining. Representative results from three independent experiments are shown.

 
Immunofluorescence staining for HSP72 demonstrated a substantial increase in HSP72 abundance in MDCK-LK72 cells after 48 h of incubation in medium containing 0.1 µM DEX (Figure 4). It should be noted, however, that some degree of basal expression was evident in these cells, whereas neither basal nor DEX-stimulated HSP72 expression could be detected in MDCK-LKm or wild-type cells by immunofluorescence staining. Low-power views demonstrated that HSP72 was expressed by the vast majority of MDCK-LK72 cells after stimulation with 0.1 µM DEX. At higher magnification, HSP72 was observed to be localized primarily in the cytoplasm, with intense staining of the perinuclear region (Figure 4).

Protection against High Urea Concentrations with HSP72 Overexpression
Cell Survival.
MDCK-LK72, MDCK-LKm, and MDCK wild-type cells were incubated for 48 h in medium containing 0.1 µM DEX or in normal DMEM (control samples). When pretreated MDCK cells were subsequently exposed for 24 h to medium containing 600 mM urea, the number of cells remaining attached to the culture dish was three- to fivefold higher for DEX-treated MDCK-LK72 cells than for any other group (Figure 5). This improved resistance to high urea concentrations coincided with strongly increased HSP72 abundance in MDCK-LK72 cells pretreated with DEX (Figures 3 and 4). In some experiments, the floating cells were collected and replated in normal DMEM. Less than one in one thousand cells reattached; in other words, >99.9% of the detached cells were dead (data not shown).



View larger version (43K):
[in this window]
[in a new window]
[as a PowerPoint slide]
 
Figure 5. Cell survival after 24-h exposure to medium containing 600 mM urea. (A) Phase-contrast micrographs of MDCK-LK72, MDCK-LKm, and MDCK wild-type (MDCK-WT) cells remaining attached to the culture dish after 24-h exposure to medium containing 600 mM urea. Pretreatment with 0.1 µM DEX for 48 h is indicated. (B) Surviving fractions of the respective cells under the same experimental conditions as in A. Data are means ± SEM for eight to 12 experiments. *P < 0.05 versus all other conditions.

 
LDH Activity.
After 24-h exposure to 600 mM urea, LDH activity in the medium reached 65 to 68% of the total LDH activity for MDCK-LKm and wild-type cells, indicating severe membrane disruption and LDH efflux attributable to the high concentration of urea. For these cells, addition of DEX before urea exposure had no effect on LDH release (Figure 6). Interestingly, after urea exposure, LDH activity was slightly but reproducibly lower for noninduced MDCK-LK72 cells than for MDCK-LKm or wild-type cells. This observation agrees well with the slightly elevated HSP72 levels in noninduced MDCK-LK72 cells. However, for DEX-pretreated MDCK-LK72 cells, enhanced expression of HSP72 was accompanied by a highly significant reduction in urea-induced LDH release.



View larger version (17K):
[in this window]
[in a new window]
[as a PowerPoint slide]
 
Figure 6. Lactate dehydrogenase (LDH) activity in the supernatant after exposure to high urea concentrations. MDCK-LK72, MDCK-LKm, and MDCK wild-type (MDCK-WT) cells were exposed to 0.1 µM DEX or to normal medium for 48 h and were subsequently exposed to 600 mM urea for 24 h. Relative LDH activities were assessed as described in the Materials and Methods section. Data are means ± SEM for eight to 12 experiments. *P < 0.05 versus all other conditions.

 
Detection of Early Apoptotic and Apoptotic-Lysed Cells.
To further characterize the nature of cell death caused by high urea concentrations, apoptosis and necrosis were assessed by labeling with both annexin V-FITC and PI. During the onset of apoptosis, phosphatidylserine, which is normally restricted to the inner leaflet of the plasma membrane, is translocated to the outer surface of the membrane and thus becomes accessible for labeling with annexin V-FITC. PI staining, however, indicates the membrane disruption that occurs in the later stages of apoptosis, in addition to changes in membrane structure (i.e., exposure of phosphatidylserine). Annexin V-FITC-positive/PI-negative cells and annexin V-FITC-positive/PI-positive cells represent the early apoptotic and apoptotic-lysed stages, respectively (15).

After 24 h of incubation in medium containing 600 mM urea, the vast majority of MDCK-LKm and wild-type cells, either pretreated with 0.1 µM DEX or not, were in the apoptotic-lysed stage, as indicated by staining with both annexin V-FITC and PI (Figure 7). In MDCK-LK72 cells, DEX induction of HSP72 before urea exposure significantly reduced the fraction of apoptotic-lysed cells; the fractions of early apoptotic cells (annexin V-FITC-positive, PI-negative) and viable cells (annexin V-FITC-negative, PI-negative) were significantly increased (Figure 7). The great majority of MDCK-LK72 cells not pretreated with DEX were in the early apoptotic and apoptotic-lysed stages. Inspection of Figure 7 reveals that the fraction of early apoptotic cells is higher for MDCK-LK72 cells not treated with DEX, compared with mock-transfected or wild-type cells. This finding might be explained by the elevated basal HSP72 levels in noninduced MDCK-LK72 cells, which might already be sufficient to retard progression through the apoptotic pathway.



View larger version (51K):
[in this window]
[in a new window]
[as a PowerPoint slide]
 
Figure 7. Annexin V labeling after 24-h exposure to high urea concentrations. MDCK-LK72, MDCK-LKm, and MDCK wild-type (MDCK-WT) cells were exposed to 0.1 µM DEX or to normal medium for 48 h and were subsequently exposed to 600 mM urea for 24 h. Apoptosis and cell lysis were then assessed by annexin V-FITC/propidium iodide (PI) labeling, followed by fluorescence-activated cell sorting analysis, as described in the Materials and Methods section. Representative results from three independent experiments are presented.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
During antidiuresis, the cells of the renal medulla are exposed to NaCl and urea concentrations far higher than those in the systemic circulation. There is evidence indicating that both the accumulation of small organic molecules (organic osmolytes) and enhanced expression of distinct HSP play important roles in the adaptation of medullary cells to this hostile milieu (1). Specifically, the accumulation of organic osmolytes, i.e., the polyalcohol compounds myo-inositol and sorbitol and the trimethylamines betaine and glycerophosphorylcholine, allows preservation of cell volume and osmotic equilibrium with high extracellular salt concentrations, with normal or near-normal intracellular concentrations of inorganic electrolytes (1). The trimethylamines are thought to serve an additional purpose; these osmolytes are assumed to counteract some of the deleterious effects of extremely high urea concentrations (22,23). In the past few years, it has become increasingly clear that the accumulation of organic osmolytes is only one component of the osmotic response of medullary cells to high solute concentrations. There is evidence that HSP, some of which are differentially expressed at high levels in the renal medulla, compared with other tissues, participate in the adaptation of these cells to their adverse environment. In particular, there is evidence suggesting that HSP72, which is constitutively expressed at high levels in the inner medulla of mammalian kidneys, plays an important role in protecting medullary cells from the deleterious effects of high urea concentrations.

We previously demonstrated that pretreatment of MDCK cells with hypertonic NaCl, which strongly increases HSP72 expression, conferred substantial resistance to the deleterious effects of subsequent exposure to high urea concentrations (600 mM, 24-h exposure) (3). In those studies, cellular HSP72 contents were positively correlated with the degree of resistance to 600 mM urea. A cytoprotective role for HSP72 was further suggested by the observation that inhibition of NaCl-induced HSP72 expression by antisense transfection abrogated the beneficial effect of prior hypertonic stress (24). By demonstrating that regulated overexpression of HSP72 significantly retards the progression of cells through the apoptotic pathway (which is usually entered by unprotected cells after exposure to high urea concentrations), this study provides positive experimental evidence that it is indeed HSP72 that contributes decisively to the survival of renal epithelial cells in an environment characterized by greatly elevated urea concentrations.

Urea concentrations exceeding 400 to 500 mM induce apoptosis in mIMCD3 and MDCK cells, as demonstrated by activation of caspase-3 as an effector of programmed cell death and internucleosomal DNA fragmentation (10,14). The initial step in urea-induced apoptosis is unclear, however. Urea signaling exhibits the hallmarks of a peptide mitogen-like signaling pathway, including activation of receptor tyrosine kinases, extracellular signal kinase, c-Jun N-terminal kinase, Elk-1, Shc, Grb2, SOS, and Ras S6 kinase (25,26). The precise mechanism by which HSP72 retards activation and progression through the apoptotic death program is not known. Considering that high urea concentrations activate c-Jun amino-terminal kinase (25), it is of interest that suppression of this stress kinase by overexpression of HSP72 is involved in the protection of myogenic cells from energy deprivation (27,28). This mechanism may be relevant for the protection of renal medullary cells from high urea concentrations in the model used in this study.

Another mechanism providing protection from high urea concentrations may be more general and related to the chaperoning activities of HSP72. High concentrations of urea are known to compromise the structure and function of cellular proteins by destabilizing polypeptides (29). HSP72 is capable of stabilizing partly denatured polypeptides, or even promoting their correct refolding, by binding to hydrophobic residues that are normally restricted to the interior of the protein, thus preventing aggregation and irreversible loss of function (9,30). Because the accumulation of damaged proteins is a well established stimulus that results in the induction of apoptosis (9), it is conceivable that elevated expression of HSP72 prevents or retards the onset of apoptosis through stabilizing effects on cellular macromolecules. In summary, these experiments clearly demonstrate that HSP72 protects renal epithelial cells against the adverse effects of high urea concentrations, and they suggest that HSP72, which is expressed at high levels in the renal inner medulla, is an integral part of the defense mechanism of medullary cells, for survival in an environment characterized by extreme concentrations of urea.


    Acknowledgments
 
This study was supported by grants from the Deutsche Forschungsgemeinschaft. We acknowledge the assistance of Dr. J. Davis in the preparation of the manuscript. We are indebted to Dr. J. P. Kraehenbühl for providing pLKneo.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Beck FX, Burger-Kentischer A, Müller E: Cellular response to osmotic stress in the renal medulla. Pfluegers Arch 436: 814–827, 1998[Medline]
  2. Garcia-Perez A, Burg MB: Renal medullary organic osmolytes. Physiol Rev 71: 1081–1115, 1991[Abstract/Free Full Text]
  3. Neuhofer W, Müller E, Burger-Kentischer A, Fraek ML, Thurau K, Beck FX: Pretreatment with hypertonic NaCl protects MDCK cells against high urea concentrations. Pfluegers Arch 435: 407–414, 1998[Medline]
  4. Cohen DM, Wasserman JC, Gullans SR: Immediate early gene and HSP70 expression in hyperosmotic stress in MDCK cells. Am J Physiol 261: C594–C601, 1991[Abstract/Free Full Text]
  5. Kojima R, Randall J, Brenner BM, Gullans SR: Osmotic stress protein 94 (OSP94): A new member of the HSP110/SSE gene subfamily. J Biol Chem 271: 12327–12332, 1996[Abstract/Free Full Text]
  6. Neuhofer W, Müller E, Grünbein R, Thurau K, Beck FX: Influence of NaCl, urea, potassium and pH on HSP72 expression in MDCK cells. Pfluegers Arch 439: 195–200, 1999[Medline]
  7. Medina R, Cantley L, Spokes K, Epstein FH: Effect of water diuresis and water restriction on expression of HSPs-27, -60 and -70 in rat kidney. Kidney Int 50: 1191–1194, 1996[Medline]
  8. Müller E, Neuhofer W, Burger-Kentischer A, Ohno A, Thurau K, Beck FX: Effects of long-term changes in medullary osmolality on heat shock proteins HSP25, HSP60, HSP72 and HSP73 in the rat kidney. Pfluegers Arch 435: 705–712, 1998[Medline]
  9. Welch WJ: Mammalian stress response: Cell physiology, structure/function of stress proteins, and implications for medicine and disease. Physiol Rev 72: 1063–1081, 1992[Free Full Text]
  10. Michea L, Ferguson DR, Peters EM, Andrews PM, Kirby MR, Burg MB: Cell cycle delay and apoptosis are induced by high salt and urea in renal medullary cells. Am J Physiol 278: F209–F218, 2000
  11. Zhang Z, Tian W, Cohen DM: Urea protects from the proapoptotic effect of NaCl in renal medullary cells. Am J Physiol 279: F345–F352, 2000[Abstract/Free Full Text]
  12. Santos BC, Chevaile A, Hébert MJ, Zagajeski J, Gullans SR: A combination of NaCl and urea enhances survival of IMCD cells to hyperosmolality. Am J Physiol 274: F1167–F1173, 1998[Abstract/Free Full Text]
  13. Leroy C, Colmont C, Pisam M, Rousselet G: Different responses to acute or progressive osmolarity increases in the mIMCD3 cell line. Eur J Cell Biol 79: 936–942, 2000[Medline]
  14. Neuhofer W, Müller E, Thurau K, Beck FX: Inhibition of NaCl-induced HSP72 expression causes apoptosis in MDCK cells exposed to high urea concentrations [Abstract]. Pfluegers Arch 437: R99, 1999
  15. Mosser DD, Caron AW, Bourget L, Denis-Larose C, Massie B: Role of the human heat shock protein hsp70 in protection against stress-induced apoptosis. Mol Cell Biol 17: 5317–5327, 1997[Abstract]
  16. Feder JH, Rossi JM, Solomon J, Solomon N, Lindquist S: The consequences of expressing hsp70 in Drosophila cells at normal temperatures. Genes Dev 6: 1402–1413, 1992[Abstract/Free Full Text]
  17. Wu B, Hunt C, Morimoto R: Structure and expression of the human gene encoding major heat shock protein HSP70. Mol Cell Biol 5: 330–341, 1985[Abstract/Free Full Text]
  18. Hirt RP, Poulain-Godefroy O, Billotte J, Kraehenbuhl JP, Fasel N: Highly inducible synthesis of heterologous proteins in epithelial cells carrying a glucocorticoid-responsive vector. Gene 111: 199–206, 1992[Medline]
  19. Bradford MM: A rapid and sensitive method for the quantification of microgram quantities of protein utilizing the principle of protein-dye binding. Anal Biochem 72: 248–254, 1976[Medline]
  20. Engler-Blum G, Meier M, Frank J, Müller GA: Reduction of background problems in nonradioactive Northern and Southern blot analyses enables higher sensitivity than 32P-based hybridizations. Anal Biochem 210: 235–244, 1993[Medline]
  21. Vermes I, Haanen C, Steffens-Nauken M, Reutlingsberger C: A novel assay for apoptosis: Flow cytometric detection of phosphatidylserine expression on early apoptotic cells using fluorescent labelled annexin V. J Immunol Methods 184: 309–351, 1995
  22. Burg MB, Kwon ED, Peters EM: Glycerophosphocholine and betaine counteract the effect of urea on pyruvate kinase. Kidney Int 50 [Suppl 57]: S100–S104, 1996
  23. Yancey PH, Burg MB: Counteracting effects of urea and betaine in mammalian cells in culture. Am J Physiol 258: R198–R204, 1990[Abstract/Free Full Text]
  24. Neuhofer W, Müller E, Burger-Kentischer A, Fraek ML, Thurau K, Beck FX: Inhibition of NaCl-induced heat shock protein 72 expression renders MDCK cells susceptible to high urea concentrations. Pfluegers Arch 437: 611–616, 1999[Medline]
  25. Berl T, Siriwardana G, Ao L, Butterfield LM, Heasley LE: Multiple mitogen-activated protein kinases are regulated by hyperosmolality in mouse IMCD cells. Am J Physiol 272: F305–F311, 1997[Abstract/Free Full Text]
  26. Cohen DM: Mitogen-activated protein kinase cascades and the signaling of hyperosmotic stress to immediate early genes. Comp Biochem Physiol 17A: 291–299, 1997
  27. Yaglom JA, Gabai VL, Meriin AB, Mosser DD, Sherman MY: The function of HSP72 in suppression of c-Jun N-terminal kinase activation can be dissociated from its role in prevention of protein damage. J Biol Chem 274: 20223–20228, 1999[Abstract/Free Full Text]
  28. Gabai VL, Meriin AB, Yaglom JA, Wei JY, Mosser DD, Sherman MY: Suppression of stress kinase JNK is involved in HSP72-mediated protection of myogenic cells from transient energy deprivation. J Biol Chem 275: 38088–38094, 2000[Abstract/Free Full Text]
  29. Yancey PH, Clark ME, Hand SC, Bowlus RD, Somero GN: Living with water stress: Evolution of osmolyte systems. Science (Washington DC) 217: 1214–1222, 1982[Abstract/Free Full Text]
  30. Aufricht C, Lu E, Thulin G, Kashgarian M, Siegel NJ, Van Why SK: ATP releases HSP-72 from protein aggregates after renal ischaemia. Am J Physiol 274: F268–F274, 1998[Abstract/Free Full Text]
Received for publication May 31, 2001. Accepted for publication July 12, 2001.




This article has been cited by other articles:


Home page
Physiol. Rev.Home page
M. B. Burg, J. D. Ferraris, and N. I. Dmitrieva
Cellular Response to Hyperosmotic Stresses
Physiol Rev, October 1, 2007; 87(4): 1441 - 1474.
[Abstract] [Full Text] [PDF]


Home page
J. Physiol.Home page
W. Neuhofer, D. Steinert, M.-L. Fraek, and F.-X Beck
Prostaglandin E2 stimulates expression of osmoprotective genes in MDCK cells and promotes survival under hypertonic conditions
J. Physiol., August 15, 2007; 583(1): 287 - 297.
[Abstract] [Full Text] [PDF]


Home page
J. Exp. Biol.Home page
A. R. A. Villalobos and J. L. Renfro
Trimethylamine oxide suppresses stress-induced alteration of organic anion transport in choroid plexus
J. Exp. Biol., February 1, 2007; 210(3): 541 - 552.
[Abstract] [Full Text] [PDF]


Home page
PhysiologyHome page
W. Neuhofer and F.-X. Beck
Survival in Hostile Environments: Strategies of Renal Medullary Cells
Physiology, June 1, 2006; 21(3): 171 - 180.
[Abstract] [Full Text] [PDF]


Home page
J. Physiol.Home page
W. Neuhofer, M.-L. Fraek, N. Ouyang, and F.-X. Beck
Differential expression of heat shock protein 27 and 70 in renal papillary collecting duct and interstitial cells - implications for urea resistance
J. Physiol., May 1, 2005; 564(3): 715 - 722.
[Abstract] [Full Text] [PDF]


Home page
J. Am. Soc. Nephrol.Home page
F. Umenishi, S. Yoshihara, T. Narikiyo, and R. W. Schrier
Modulation of Hypertonicity-Induced Aquaporin-1 by Sodium Chloride, Urea, Betaine, and Heat Shock in Murine Renal Medullary Cells
J. Am. Soc. Nephrol., March 1, 2005; 16(3): 600 - 607.
[Abstract] [Full Text] [PDF]


Home page
J. Physiol.Home page
W. Neuhofer, M. Vastag, M.-L. Fraek, and F.-X Beck
Effect of ammonium on the expression of osmosensitive genes in Madin-Darby canine kidney cells
J. Physiol., March 1, 2005; 563(2): 497 - 505.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Renal Physiol.Home page
K.-H. Han, S. K. Woo, W.-Y. Kim, S.-H. Park, J.-H. Cha, J. Kim, and H. M. Kwon
Maturation of TonEBP expression in developing rat kidney
Am J Physiol Renal Physiol, November 1, 2004; 287(5): F878 - F885.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Renal Physiol.Home page
Q. Cai, J. D. Ferraris, and M. B. Burg
Greater tolerance of renal medullary cells for a slow increase in osmolality is associated with enhanced expression of HSP70 and other osmoprotective genes
Am J Physiol Renal Physiol, January 1, 2004; 286(1): F58 - F67.
[Abstract] [Full Text] [PDF]


Home page
J. Am. Soc. Nephrol.Home page
S. K. Van Why, A. S. Mann, T. Ardito, G. Thulin, S. Ferris, M. A. Macleod, M. Kashgarian, and N. J. Siegel
Hsp27 Associates with Actin and Limits Injury in Energy Depleted Renal Epithelia
J. Am. Soc. Nephrol., January 1, 2003; 14(1): 98 - 106.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Cell Physiol.Home page
W. Neuhofer, S. K. Woo, K. Y. Na, R. Grunbein, W. K. Park, O. Nahm, F.-X. Beck, and H. M. Kwon
Regulation of TonEBP transcriptional activator in MDCK cells following changes in ambient tonicity
Am J Physiol Cell Physiol, December 1, 2002; 283(6): C1604 - C1611.
[Abstract] [Full Text] [PDF]


Home page
Mol. Cell. Biol.Home page
S. K. Woo, S. D. Lee, K. Y. Na, W. K. Park, and H. M. Kwon
TonEBP/NFAT5 Stimulates Transcription of HSP70 in Response to Hypertonicity
Mol. Cell. Biol., August 15, 2002; 22(16): 5753 - 5760.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Renal Physiol.Home page
Z. Zhang, Q. Cai, L. Michea, N. I. Dmitrieva, P. Andrews, and M. B. Burg
Proliferation and osmotic tolerance of renal inner medullary epithelial cells in vivo and in cell culture
Am J Physiol Renal Physiol, August 1, 2002; 283(2): F302 - F308.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Neuhofer, W.
Right arrow Articles by Beck, F.-X
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Neuhofer, W.
Right arrow Articles by Beck, F.-X


HOME CURRENT ISSUE ARCHIVES JASN Express ONLINE SUBMISSION AUTHOR INFO
EDITORIAL BOARD SUBSCRIBE FEEDBACK ALERTS HELP