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Regulation of Xanthine Oxidoreductase Protein Expression by Hydrogen Peroxide and Calcium
     From the Division of Cardiology (J.S.M., A.S., S.D., D.G.H.), Molecular and Systems Pharmacology Program (J.S.M., D.G.H.), Emory University, Atlanta, Ga; the Atlanta Veterans Hospital Medical Center, Atlanta, Ga; and the Department of Medicine (H.C.), University of Chicago, Ill.

    Correspondence to David G. Harrison, Division of Cardiology, Emory University, 101 Woodruff Cir, WMB 319, Atlanta, GA 30322. E-mail dharr02@emory.edu

    Abstract

    Objective— We have previously demonstrated that endothelial xanthine oxidase (XO) levels are dependent on the NADPH oxidase. We postulated that H2O2 may modulate the irreversible conversion of xanthine dehydrogenase (XDH) to XO and sought to examine mechanisms involved.

    Methods and Results— H2O2 (100 μmol/L) decreased bovine aortic endothelial cell (BAEC) XDH protein expression, and metabolic labeling studies indicated that H2O2 stimulated conversion of XDH to XO. The decline in XDH was mimicked by the reactive oxygen species (ROS) generating compounds SIN-1 and Menadione, as well as by stimulating BAECs with angiotensin II (200 nmol/L). BAPTA-AM prevented the decline in XDH by H2O2, indicating that it was calcium-dependent. In keeping with calcium acting downstream of H2O2, the calcium ionophore A23187 (1 μmol/L) caused XDH-to-XO conversion, and this was not prevented by the antioxidants. In addition, XDH-to-XO conversion was blocked by 2-APB and NO donors and induced by thapsigargin and M-3M3FBS, implicating phospholipase C and endoplasmic reticulum calcium stores in this process.

    Conclusions— Endothelial XO and XDH expression are strongly dependent on H2O2 and calcium. Stimulation of XDH conversion to XO may represent a feed-forward mechanism whereby H2O2 can stimulate further production of ROS.

    In this study we found that H2O2-dependent calcium release from the ER caused conversion of XDH to XO, and that this was prevented by nitric oxide. This may represent a feed-forward mechanism in many disease processes whereby H2O2 can stimulate further ROS production through XDH-to-XO conversion.

    Key Words: calcium ? hydrogen peroxide ? reactive oxygen species ? vascular endothelium ? xanthine oxidoreductase

    Introduction

    In mammalian cells, a major source of reactive oxygen species (ROS) is xanthine oxidase (XO), an enzyme that uses xanthine and hypoxanthine as reducing substrates and yields both superoxide (O2·–) and H2O2 via 1- and 2-electron reductions of molecular oxygen.1 XO has been implicated in a variety of pathophysiological states in the cardiovascular system, including ischemia/reperfusion injury, endothelial dysfunction associated with congestive heart failure, atherosclerosis, and left ventricular dysfunction after myocardial infarction.2–5 In humans, the levels of endothelial-bound XO correlate with the presence of coronary artery disease and are inversely proportional to flow-mediated brachial artery vasodilatation.6

    XO and xanthine dehydrogenase (XDH) are often collectively referred to as xanthine oxidoreductase (XOR). XDH is initially synthesized as the 150-kDa protein from which XO is derived, either reversibly by conformational changes or irreversibly by proteolysis.7 The mechanisms responsible for either the irreversible or the reversible conversions of XDH to XO are incompletely understood. Under baseline conditions, the majority of 150-kDa protein contains XDH activity. Reversible formation of XO from XDH is achieved by the oxidation of cysteines 535 and 992, a process that changes enzymatic function but not molecular weight.8 The irreversible proteolysis of XDH occurs at a specific site, leading to formation of the 130-kDa form of XO, which can be further proteolyzed into smaller proteins with XO activity. Importantly, the absolute amount of XO is important and the ratio of XO to XDH is critical in modulating cellular ROS generation. Recently, we found that oscillatory shear stress causes a reduction in endothelial cell XDH without changing XO levels. This was associated with an increase in endothelial cell O2·– production, which could be inhibited by oxypurinol, an XO antagonist, or prolonged exposure to tungsten, which replaces molybdenum and renders the catalytic site of XO inactive.9 In addition, xanthine-driven O2·– production, as measured by electron spin resonance (ESR), was increased in homogenates of endothelial cells previously exposed to oscillatory shear stress. In this previous study, the irreversible formation of XO from XDH seemed caused by oxidative mechanisms. In cells from mice lacking p47phox, a critical component of the NADPH oxidase, XOR existed principally as XDH with minimal amounts of XO being present. Likewise, treatment of bovine aortic endothelial cells (BAECs) with apocynin, an inhibitor of the NADPH oxidase, led to a loss of XO, whereas it did not affect XDH, again supporting the concept that the NADPH oxidase governs XO expression.10 This previous study strongly suggested that ROS derived from the NADPH oxidase may participate in formation of XO from XDH. In the present study, we sought to understand the mechanisms involved in this regulation. We demonstrate that H2O2 markedly enhances the irreversible conversion of XDH to XO, leading to ROS production, and that this is mediated by increased calcium released from the endoplasmic reticulum (ER).

    Methods

    Materials and Reagents

    The bicarbonate-buffered saline used for calcium measurements contained (in mol/L) 116.4 NaCl, 5.4 KCl, 1.6 MgSO4, 1.5 CaCl2, 1.0 NaH2PO4, 5.6 D-glucose, and 26.2 NaHCO3 (pH=7.4). FURA 2-AM and Pluronic F-127 were obtained from Molecular Probes. Reagents A23187, BAPTA/AM, thapsigargin, 2-aminoethoxy-diphenylborate (2-APB), and m-3M3FBS were obtained from Calbiochem and were dissolved in DMSO. DPTA-NONOate and DETA-NONOate were obtained from Cayman. Redivue L-[35S]-Methionine was obtained from Amersham. Met/Cys-free DMEM was purchased from Gibco. Autofluor was from National Diagnostics. Protein A/G beads were obtained from Santa Cruz. All other reagents were obtained from Sigma. Polyethylene-glycolated catalase (polyethylene glycol [PEG]-CAT, 200 U/mL) was added 24 hours before cells were studied to assure an increase in intracellular concentration of catalase.11

    Cell Culture

    BAECs (Cell Systems, Kirkland, Wash) were cultured in Media 199 (M199; Fischer) containing 10% fetal calf serum (Hyclone Laboratories, Logan, Utah) as previously described.10 The purine content of M199 medium is xanthine, Na (0.34 mg/mL), and hypoxanthine Na (0.354 mg/mL). Postconfluent BAECs between passages 4 through 9 were used for experiments.

    Western Analysis of Xanthine Oxidoreductase

    Western analysis on XOR was performed as previously described.10 Immunoreactive bands for XO and XDH were visualized by Enhanced Chemiluminescence (Amersham) and were quantified using densitometry.

    Metabolic Labeling and Immunoprecipitation of XOR

    BAECs in p100 dishes were washed with Met/Cys-free DMEM and then incubated for 2 hours in the same medium; 250 μCi of Redivue [35S]-Met was added to cells for 24 hours (pulse). Cells were washed 3 times with M199 containing 10% FBS and then incubated for 24 hours (chase). Protein was harvested as described; 500 μg of protein was immunoprecipitated with -bXOR (1:10) for 1 hour at 4°C. Immunocomplexes were captured with protein A/G beads and centrifuged for 1 minute at 14 000 rpm. Complexes were washed with phosphate-buffered saline and resuspended in sample buffer. The immunoprecipitate was boiled and proteins electrophoresed at 110 V for 1.5 hours on a 7.5% SDS polyacrylamide gel. The gel was immersed in Autofluor for 1 hour, dried, and autoradiographed.

    ESR Measurement of Endothelial Cell Superoxide Production

    O2·– production was measured in intact BAECs using ESR as described previously.10 Briefly, a chelexed phosphate buffer containing 2.5x106 cells and the spin label 1-hydroxy-3-carboxyl-2,2,5-tetramethyl-pyrrolidine hydrochloride (CPH) (5 mmol/L) was loaded into a 50-μL capillary tube and placed in the ESR cavity. We have previously shown that oxidation of CPH is predominantly mediated by O2·– and is inhibited by PEG-SOD. ESR measurements were performed at room temperature using an EMX ESR spectrometer (Bruker).

    Measurement of [Ca2+]i

    [Ca2+]i was measured as previously described.12 Cells were incubated with FURA 2-AM (2 μmol/L) and cell dispersion agent Pluronic F-127 (0.04%) at 37°C in the dark for 30 minutes. Values of [Ca2+]i were obtained by determining maximum FURA 2 fluorescence ratio (Rmax) and minimum (Rmin) using 10 μmol/L digitonin followed by 30 mmol/L EGTA as described previously.13 Kd was determined to be 0.2 μmol/L using the calcium calibration kit 1 with magnesium (Molecular Probes).

    Statistical Analysis

    Data in this article are presented as mean±standard error of the mean. Differences between groups and control were analyzed using 1-sided t tests or ANOVA. A Dunnett’s post hoc test was used when ANOVA indicated statistical significance was present. Differences were considered significant when P<0.05.

    Results

    Determination of the Role of H2O2 in Endothelial Levels of XDH to XO

    We have previously shown that endothelial XO expression is dependent on the presence of a functional NADPH oxidase, which predominantly produces H2O2.10 We therefore postulated that H2O2 may modulate the relative protein levels of XO and XDH. After 24 to 36 hours of exposure to H2O2 (100 μmol/L), BAEC XDH levels decreased, whereas XO levels remained stable (Figure 1). The decrease in XDH protein expression was completely prevented by incubating cells with the specific H2O2 scavenger PEG-CAT (200 U/mL) as well as compounds that increase intracellular-reduced glutathione levels of N-acetylcysteine (10 mmol/L) and oxathiazolidine carboxylate (10 mmol/L) (Figure I, available online at http://atvb.ahajournals.org). Preliminary data showed that N-acetylcysteine and oxathiazolidine carboxylate increased glutathione levels 10-fold after 24 hours. Interestingly, PEG-CAT increased XDH expression in untreated cells, suggesting that baseline regulation of the XOR system by H2O2 was present at a low level.

    Figure 1. Western analysis of endothelial XO and XDH protein expression after exposure to H2O2. Time course of XO and XDH expression in BAECs treated with 100 μmol/L H2O2 (n=4).

    To determine whether oxidants other than H2O2 might regulate XDH protein levels, we treated cells with the ROS-generating compounds SIN-1 and Menadione. SIN-1 generates nitric oxide and superoxide, which combine to form peroxynitrite, whereas Menadione steadily produces superoxide and thus H2O2 by spontaneous dismutation.14 Western analysis showed that both SIN-1 and Menadione caused a decrease in XDH protein expression, much like H2O2 (Figure 2A). We also examined the effect of angiotensin II, a known stimulus for endothelial ROS generation, in the regulation of XDH protein expression. Low passage (p2-4) BAECs were treated with angiotensin II (200 nmol/L) for 36 hours. Western analysis revealed that angiotensin II treatment mimicked the effect of ROS on the endothelial expression of XO and XDH (Figure 2B).

    Figure 2. Effect of oxidants and angiotensin II on endothelial XDH expression. A, Western data showing the effect of SIN-1 (0.5 mmol/L) and Menadione (MEN) (5 μmol/L) (n=4). B) Western analysis of XDH expression in response to 200 nmol/L angiotensin II (n=4). Cells were treated for 36 hours with SIN-1, MEN, or angiotensin II and harvested for Western analysis.

    One explanation for these results is that H2O2 enhanced transformation of XDH to XO, and that XO levels remained relatively constant because of further degradation to proteins not recognized by Western analysis. To test this hypothesis, BAECs were metabolically labeled with [35S]-Methionine for 24 hours and subsequently treated with H2O2. Immunoprecipitation was performed to monitor levels of labeled XDH and XO. After 24 hours of incubation (0 hours chase), the [35S]-Methionine label is located in both the XDH and XO forms of XOR (Figure 3A). In the absence of H2O2, the percent of labeled XOR in the XO form increased slightly during the 24-hour chase, suggesting that proteolytic conversion occurs at a low rate under basal conditions (Figure 3B). In contrast, H2O2 dramatically accelerated conversion of XDH to XO as evidenced by the increased percent of XOR labeled as XO (Figure 3A and 3B). These data show that conversion of XDH to XO is facilitated by H2O2.

    Figure 3. Analysis of XDH to XO conversion in response to H2O2. Representative [35S]-Methionine pulse-chase in the absence (A, top) and presence of H2O2 (A, bottom). B, Percentages of XO compared with total labeled XO plus XDH (n=4). C, Total and oxypurinol-inhibitable ROS production as determined by ESR (n=6). Whole-cell homogenates from cells either treated or not treated with H2O2 were exposed to xanthine and superoxide production monitored by ESR using the spin label CPH.

    Effect of H2O2 on Endothelial Cell Superoxide Production

    We have previously demonstrated that endothelial cell O2·– production is increased by oscillatory shear stress, and that this is largely inhibited by oxypurinol. In these experiments, we found that oscillatory shear stress resulted in a decrease in XDH without changing XO production, a situation identical to that observed in the present study with H2O2 treatment. We therefore reasoned that H2O2 would increase endothelial cell O2·– production in part via XO. BAECs were exposed to H2O2 for 36 hours and the rate of endothelial cell O2·– production was analyzed by ESR as previously described.10 H2O2 exposure doubled O2·– production, and the increase was predominantly caused by the oxypurinol-inhibitable fraction, which indicates the O2·– production rate by XO (Figure 3C).

    Determination of the Role of Calcium in XO and XDH Protein Expression

    H2O2 has been shown to increase [Ca2+]i in certain endothelial cell types and calcium plays a crucial role in many signal cascades involving H2O2, including endothelial nitric oxide synthase (eNOS) activation, eNOS gene induction, membrane permeabilization, and induction of membrane blebbing.15–19 Further, several proteolytic enzymes that might participate in cleavage of XDH to XO are calcium-dependent. To determine whether H2O2 increases [Ca2+]i in BAECs, fluorometric analysis with FURA 2-AM was used. The fluorescence measurements of BAECs showed an increase in the FURA 2 fluorescence ratio in response to 100 μmol/L H2O2 (Figure IIA, available online at http://atvb.ahajournals.org). [Ca2+]i increased 2-fold after exposure to H2O2 (Figure IIB). In preliminary studies, we found that this was prolonged, with a sustained increase in [Ca2+]i lasting up to 4 hours.

    We next sought to determine the role of [Ca2+]i in regulation of XDH protein expression by H2O2. Pretreatment of cells with the cell-permeable calcium chelator BAPTA-AM (10 μmol/L) completely prevented the decrease in XDH protein expression (Figure 4A). This experiment indicated that calcium is necessary for the regulation of the XOR system by H2O2. To determine whether calcium alone is sufficient to modulate XDH protein expression, BAECs were treated with calcium ionophore (A23187, 1 μmol/L). Mimicking the effect of H2O2, A23187 caused a time-dependent decrease in XDH expression whereas XO remained stable (Figure 4B). In contrast to H2O2, none of the scavengers prevented the decreased XDH levels caused by calcium ionophore (Figure III, available online at http://atvb.ahajournals.org). These data suggest that calcium acts downstream of H2O2 in regulating the relative protein expression of XDH and XO.

    Figure 4. Modulation of endothelial cell XDH levels by [Ca2+]i. A, Effect of BAPTA-AM (10 μmol/L) on XDH levels after 36-hour H2O2 treatment. Representative Western blot is shown above and mean data are shown below (n=5). B, Effect of calcium ionophore (A23187) on endothelial XDH and XO protein levels. BAECs were treated with A23187 (1 μmol/L) and XDH and XO levels were detected by Western (n=4).

    Determination of the Role of Intracellular Calcium Stores in XOR Protein Modulation

    Recent research suggests that H2O2 can release calcium from stores in the ER.15 To determine the role of ER calcium stores, cells were treated with thapsigargin and 2-APB, antagonists of the calcium-ATPase and inositol triphosphate (IP3) receptor, respectively. As shown by FURA 2 analysis, thapsigargin increased [Ca2+]i in untreated cells, and H2O2 did not further increase this signal (Figure IVA, available online at http://atvb.ahajournals.org). This suggested that intact ER calcium stores are essential for the increased [Ca2+]i in response to H2O2. In addition, 2-APB prevented the increase in [Ca2+]i in response to H2O2 (Figure IVA). These data implicate the ER as the source of calcium in response to H2O2.

    We next used Western analysis to determine the role of ER calcium stores in the regulation of XOR by H2O2. Consistent with the FURA 2 data, thapsigargin decreased XDH protein levels even in the absence of H2O2, and this was not decreased further by additional H2O2 (Figure 5A). Furthermore, 2-APB completely prevented the decrease in XDH protein expression in response to H2O2 (Figure 5A). These data show that calcium released from the ER is required for the regulation of XOR protein expression in response to H2O2.

    Figure 5. Contribution of ER and PLC/IP3 pathway on XDH expression in response to H2O2. A, Western blot showing the effect of thapsigargin (1 μmol/L) and aminoethoxy-diphenylborate (2-APB) (100 μmol/L) on XDH and XO expression is shown above and mean data are presented below (n=4). B, Effect of m-3M3FBS (50 μmol/L) on XDH and XO expression. A representative Western blot is shown above and mean data are given below (n=5).

    Determination of the Role of Phospholipase C in XOR Expression

    Phospholipid cleavage by phospholipase C (PLC) is known to increase IP3, which in turn stimulates calcium release from the ER.20 To determine whether PLC is responsible for increased [Ca2+]i, BAECs were treated with the specific PLC activator m-3M3FBS. Activation of PLC increased [Ca2+]i and selectively decreased XDH protein levels, whereas XO expression remained constant (Figures IVB and 5B). Thus, activation of PLC is sufficient to regulate XOR protein expression in a manner identical to H2O2 exposure.

    The Role of Nitric Oxide in XDH Expression

    Recently, nitric oxide (NO) was found to inhibit calcium entry into the cell and enhance uptake of calcium into the endothelial cell ER.21,22 To determine whether NO can attenuate [Ca2+]i levels in response to H2O2, cells were treated with the NO donor DPTA-NONOate (half life=5 hours). FURA 2 analysis showed that DPTA-NONOate blunted the increase in [Ca2+]i in response to H2O2 (Figure 6A). To determine whether NO can prevent the decrease in XDH protein expression by H2O2, cells were treated with the long-acting NO donor DETA-NONOate (half life=20 hours). Western analysis revealed that DETA-NONOate completely prevented the decrease in XDH by H2O2 (Figure 6B).

    Figure 6. Western analysis demonstrating the role of nitric oxide in the expression of XDH in response to H2O2. Mean [Ca2+]i measurements (A) and Western blots of XDH (B) in response to H2O2 in the presence of NO donors (n=4).

    Discussion

    In the present study, we demonstrated that H2O2 modulates the relative levels of XO and XDH in endothelial cells via a pathway requiring ER calcium release. We also showed that ROS slowly released from Menadione and SIN-1 and stimulation of endogenous ROS using angiotensin II decreased the XDH content of endothelial cells in a manner similar to bolus H2O2. H2O2 evoked a progressive decline in XDH, and our metabolic labeling studies demonstrated that this was caused by conversion of XDH to XO. This conversion resulted in increased ROS production by XO as shown by ESR analysis. The effect of H2O2 was mediated by [Ca2+]i, because it was prevented by the calcium chelator BAPTA-AM and mimicked by the calcium ionophore A23187. Further, we demonstrated that H2O2 stimulated release of calcium from the ER, and that this was prevented by thapsigargin and the IP3 receptor antagonist 2-APB. The PLC activator m-3M3FBS mimicked the effect of H2O2, in keeping with the concept that PLC activation may be a proximal event after exposure of cells to H2O2, leading to an increase in [Ca2+]i. Finally, we demonstrated that NO prevented the decrease in XDH protein levels, likely via inhibition of calcium release from the ER.

    The present findings are consistent with our previous studies showing the NADPH oxidase importantly modulates the relative levels of XDH and XO in endothelial cells.10 In this previous study, we found that cells lacking the NADPH oxidase subunit p47phox had very low levels of XO and low XO activity and that re-introduction of p47phox into these cells restored their XO expression and activity. Paradoxically, even though our metabolic labeling studies proved that H2O2 enhanced conversion of XDH to XO, we did not observe an increase in the 130-kDa XO by Western blot after H2O2 exposure. This is likely caused by further degradation of XO to species not detected by the antibody used in these studies. Importantly, 87-kDa degradation product of XOR has been identified in human liver.23 In addition, the relative loss of XDH would lead to a condition in which xanthine and hypoxanthine are preferentially oxidized by XO, leading to excessive production of O2·– and H2O2. Of note, some of the 150-kDa protein may contain reversible XO activity that cannot be discerned by Western analysis. We believe this reversible component of XO activity is negligible in endothelial cells, because we previously found that XO/XDH pterine conversion ratios are comparable to the 130/150 kDa ratio as identified by Western.10

    Our findings indicate that calcium plays an important role in signaling the conversion of XDH to XO. This finding is in keeping with several previous studies showing that an as-yet-unidentified calcium-dependent protease is involved in cleavage of XDH to XO and that the conversion is sensitive to calmodulin inhibitors.24–27 Recently, a novel protease that cleaves XDH to XO has been found in the mitochondrial intermembrane space.28 This protease has not been identified and no specific antagonists are currently available; however, it is possible that changes in mitochondrial function and permeability caused by increased [Ca2+]i may lead to its release. We further demonstrate that H2O2 likely mediates increased [Ca2+]i via a PLC-, IP3-, and ER-dependent pathway. It has previously been demonstrated that H2O2 can stimulate an increase in PLC- activity via tyrosine phosphorylation by Src, which could represent an early event in this pathway.29 It is of interest that although H2O2 is only transiently present, it stimulates a prolonged increase in [Ca2+]i. In preliminary studies, we found [Ca2+]i was increased 5-fold 4 hours after H2O2 addition.

    In the present study, we also found that the expression of XDH was modulated by NO. An exogenous NO donor prevented the decline in XDH. These results were mirrored by changes in [Ca2+]i and are consistent with previous observations that NO facilitates uptake of calcium into the ER of endothelial cells.21 NO is known to act as an antioxidant by directly reacting with O2·– and lipid peroxy and alkoxy radicals.30,31 NO is also known to inhibit XO by reactions within the catalytic molybdenum center.32 Our findings provide yet another mechanism whereby NO can have antioxidant effects via inhibition of XDH-to-XO conversion.

    We also found that lower level ROS could directly modulate the expression of XDH. Menadione, a superoxide/H2O2-generating compound, mirrored the effect of bolus H2O2 on XDH protein levels. In addition, the potent peroxynitrite-generating compound SIN-1 resulted in a decrease in XDH protein expression similar to that of H2O2 stimulation. These findings suggest that both bolus and low-level ROS regulate the XO/XDH protein ratio. Also, these results were mirrored by treating endothelial cells with angiotensin II, a potent stimulator of the endothelial NADPH oxidase. Together, these data elucidate a pathway by which the NADPH oxidase and ROS modulate the ratio of XO/XDH protein in endothelial cells.

    In mammalian cells, and in particular in vascular cells, there appear to be a variety of mechanisms whereby ROS produced by one enzyme can stimulate production of ROS by other enzymes in a "feed-forward" fashion. As an example, oxidation of tetrahydrobiopterin by peroxynitrite and other strong oxidants can lead to eNOS uncoupling, a situation in which eNOS produces O2·– rather than NO.33 ROS have also been shown to damage mitochondrial DNA, leading to perturbations in mitochondrial transport and increased electron leak from this pathway.34 Likewise, H2O2 and lipid peroxides have been shown to stimulate the NADPH oxidase in a Src-dependent fashion.35 In the present studies, we observed an increase in XO production of O2·– 36 hours after exposure of cells to hydrogen peroxide. It is therefore conceivable that H2O2 not only directly stimulated conversion of XDH to XO but also activated the endothelial cell NADPH oxidase, leading to prolonged H2O2 production and sustained XDH degradation. In this fashion, brief exposure of cells to an oxidant such as H2O2 may lead to prolonged ROS generation. Of note, both NADPH oxidase and xanthine oxidase activity have been found to be increased in human atherosclerotic coronary arteries. Further, both the NADPH oxidase and XO have been implicated in ischemia reperfusion injury. Our current findings indicate that the coexistence of these 2 ROS-generating enzyme systems may be closely linked, and that other ROS-producing enzymes may stimulate endothelial XO activity.

    Acknowledgments

    This work was supported by National Institutes of Health (NIH) grants HL39006, HL38206, and HL59248, NIH Program Project grants HL58000 and HL075209, and a Department of Veterans Affairs merit grant.

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