Human Molecular Genetics Advance Access originally published online on September 2, 2005
Human Molecular Genetics 2005 14(20):3019-3025; doi:10.1093/hmg/ddi333
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Impaired hepatocyte survival and liver regeneration in Atm-deficient mice
1Barbara Ann Karmanos Cancer Institute and 2Department of Biochemistry and Molecular Biology, School of Medicine, Wayne State University, 110 E. Warren Avenue, Detroit, MI 48201, USA and 3Department of Tumor Biology, Schering-Plough Research Institute, Kenilworth, NJ 07033, USA
* To whom correspondence should be addressed. Tel: +1 3138330715; Fax: +1 3138317518; Email: wangya{at}karmanos.org
Received July 14, 2005; Accepted August 26, 2005
| ABSTRACT |
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Atm is a stress-induced DNA damage checkpoint protein kinase with multiple roles in cell-cycle progression. Recent evidence indicates that Atm also plays a role in stem cell maintenance and self-renewal. It is not known whether Atm has a role during tissue regeneration. Using liver regeneration as a model system, we examined the role of Atm in this process. Here, we show that the expression levels of Atm protein were gradually increased during liver regeneration and this was correlated with the onset of DNA replication. The induction of Stat3 and JNK signaling, which are essential processes in normal regeneration response, was attenuated during the early phases of liver regeneration in Atm-deficient mice. P53 was transiently phosphorylated at serine 23 during liver regeneration in an Atm-dependent manner. In addition, we found that cyclin A induction was delayed and p21 was over-expressed, both of these processes were correlated with reduced and delayed DNA replication in Atm/ mice during liver regeneration. Finally, we show that increased apoptosis was observed in Atm/ mice in response to partial hepatectomy, indicating that Atm is required for the survival of hepatocytes. Collectively, these data indicate that liver regeneration is impaired in Atm-deficient mice. Given that liver is the first line of defense against environmental toxins, the elucidation of the function of Atm and Atm-mediated signaling pathways in liver metabolism and in response to environmental toxins is of fundamental interest.
| INTRODUCTION |
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Mammals are constantly exposed to environmental toxic chemicals, mostly through dietary intake. One of the most important functions of liver is to detoxify the ingested toxin. Environmental toxins may damage liver after ingestion and accordingly animals have evolved with the ability to repair damaged liver through regeneration. Liver regeneration is an evolutionary adaptive response to the constant exposure of toxic compounds, viral infection and ischemia (1
Liver regeneration involves a complex interplay of signaling events, which are precise and highly regulated to ensure the functional restoration of damaged liver (1
). In response to PH, over 95% of the hepatocytes exit the G0-phase and enter the cell cycle synchronously. The DNA synthesis begins in 24 h and peaks at 3640 h post-PH in mouse models. The molecular mechanisms that regulate these events include early signaling events, leading to increased production of growth factors such as HGF, TNF
and IL-6, followed by induction of immediate early genes such as AP-1, Stat3 and NF
B (1
). Mice deficient for TNF
or IL-6 signaling have exhibited impaired liver regeneration and defective induction of immediate early genes (4
,5
). Importantly, during liver regeneration, proliferating hepatocytes continue to perform crucial metabolic and detoxification functions (1
). However, little is known about how proliferating hepatocytes respond to genotoxin during liver regeneration and it is also not clear whether a DNA damage response pathway is active in proliferating hepatocytes in vivo.
In response to genotoxic insults, a DNA damage response pathway is activated and is largely mediated by ATM, a DNA damage signaling sensor and transducer with protein kinase activity (6
,7
). ATM is mutated in patients with the genomic instability syndrome, ataxia telangiectasia (A-T) (8
). A-T patients are characterized by progressive cerebellar degeneration, immune deficiencies, growth retardation, premature aging and predisposition to tumorigenesis (6
,7
). Interestingly, most A-T patients have high alpha-fetal protein (AFP) expression in the serum that has been used as one of the diagnostic markers for A-T syndromes (9
). The origin of the abnormal AFP in A-T patients is not clear. AFP is normally produced in the yolk sac and in fetal liver during development. However, expression of AFP is switched off in mature adult hepatocytes (10
,11
). Under pathological conditions, AFP is re-expressed and accumulated in serum in patients with hepatoblastoma, hepatocellular carcinoma and germ cell tumors (10
,11
). Interestingly, AFP expression can also be induced in experimental animal model systems by PH and treatment with hepatotoxin CCl4 (12
). Given that hepatocellular carcinoma and hepatoblastoma are not frequently observed in A-T patients (13
), it is possible that increased AFP expression in A-T patients is due to the constant regenerative response of the liver cells to genotoxic insults. This suggests frequent turnover of hepatocytes in A-T patients, although such clinical data are not available at present.
To characterize the role of Atm in response to genotoxic insults in hepatocytes and a role in liver regeneration response, we have examined the function of Atm in a liver regeneration model system. Here, we show that Atm is required for survival of hepatocytes and that liver regeneration is impaired in Atm-deficient mice.
| RESULTS |
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Expression of Atm during liver regeneration
To determine whether Atm plays a role in hepatocyte proliferation and survival in vivo, the expression of Atm was examined by immunoblot during liver regeneration. It was found that Atm was only weakly expressed in normal liver; its expression was slightly enhanced at 3 h post-PH and greatly increased at 3672 h post-PH (Fig. 1A). In contrast, Chk2, a downstream target of Atm kinase (14
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DNA synthesis during liver regeneration is delayed and attenuated in Atm/ liver
The observed correlation of Atm expression with active phases of liver regeneration suggests a potential role of Atm in liver regeneration. To test this hypothesis, liver regeneration was examined utilizing an Atm knockout mouse model system. The requirement for Atm during cell-cycle progression of hepatocytes was determined by monitoring DNA synthesis at various times after PH, utilizing BrdU incorporation in both wild-type and Atm/ livers. A peak of DNA synthesis was observed in proliferating hepatocytes at 36 h post-PH in wild-type livers (Fig. 2A). In contrast, DNA synthesis in hepatocytes of the Atm/ liver was drastically reduced (Fig. 2B; P<0.001) and delayed, appearing only 48 h post-PH in Atm/ livers (Fig. 2C). Therefore, these results suggest that Atm is required for the induction of DNA synthesis after PH and are consistent with the observation that Atm was induced to the highest level during the peak DNA synthesis phase (Fig. 1).
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Atm is required for early signaling events during liver regeneration
To further characterize the role of Atm in liver regeneration, the early events (priming phase) of this process were examined in both wild-type and Atm/ livers. Consistent with the previous observation that Stat3 was phosphorylated and activated in early hours after PH (24
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One of the downstream effectors of Atm is p53, which is phosphorylated at multiple residues in response to cellular stress (25
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| Defective induction of cyclin A and overexpression of p21 in Atm/ livers |
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Induction of immediate early genes during liver regeneration is followed by the expression of growth promoting genes required for cell-cycle progression (1
It has been previously shown that Atm-deficient cells have increased p21 expression, which is responsible for the slow proliferation of Atm-deficient cells (26
28
). We observed that p21 protein levels were increased at 24 h post-PH and maintained through 72 h in wild-type liver (Fig. 4B). In contrast, p21 protein levels in Atm/ livers were further increased when compared with wild-type regenerating liver and the higher expression levels were maintained throughout this process (Fig. 4B). The expression of p27 and p57, two related CDK inhibitors, was similar between wild-type and mutant mice during liver regeneration (Fig. 4B). Taken together, these data suggest that defective cell-cycle progression in Atm/ liver after PH is due to an increased p21 expression and delayed induction of cyclin A.
Impaired liver regeneration and hepatocyte survival in Atm-deficient mice
Previous investigations have shown that overexpression of p21 in hepatocytes impairs mouse liver regeneration (29
). In addition, the increased p21 and delayed Brdu incorporation in Atm/ liver suggest that Atm/ mice may be unable to regenerate liver tissue. Indeed, between 24 and 72 h post-PH, Atm null mice displayed prolonged lethargy and weakness, which was not evident in wild-type mice. A cohort of 27 wild-type and 28 Atm/ mice were observed after PH. It was found that Atm/ mice had a reduced rate of survival when compared with wild-type mice (Fig. 5; P=0.011). These results suggest that Atm/ mice have impaired liver regeneration.
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One of the hallmarks of A-T patients is hypersensitivity to radiation (7
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| DISCUSSION |
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Tissue regeneration in mammals is restricted to a few organs such as liver, finger tips (at a young age) and peripheral nerves (32
Liver regeneration is characterized by rapid induction and mobilization of transcription factors such as Stat3 and AP-1 proteins (1
). Phosphorylated (thus activated) Stat3 was detected in regenerative liver 3 h post-PH, whereas induction of phosphorylated Stat3 was defective in Atm null mice. Therefore, impaired liver regeneration may be due to the impaired induction of Stat3. Stat3 signaling has been linked to hepatoprotection by induction of anti-caspase regulators and by reduction of oxidative injury (38
). Therefore, defective induction of Stat3 might play a role in impaired liver regeneration and in decreased hepatocyte survival observed in Atm-deficient mice.
Enhanced oxidative stress during liver regeneration in Atm-deficient mice could decrease overall cellular survival. Reactive oxygen species (ROS) could be conceivably generated during liver regeneration as a result of metabolic overload and/or overactive mitochondrial oxidation. The induction of gene expression during liver regeneration shares many similarities with the cellular response to oxidative stress (39
). ROS, produced during normal metabolism or produced by metabolic products of environmental toxins, can induce DNA damage and is one of the major causes of genome instability in the liver. Recent studies have clearly implicated a role of ATM in the oxidative stress response (40
) and shown that antioxidants could significantly ameliorate tumorigenesis and neurodegeneration in Atm-deficient mice (41
44
). Therefore, the impaired liver regeneration in Atm-deficient mice may be due to the inability of hepatocytes to deal with increased oxidative stress during liver regeneration. In support of this concept, we found that JNK activation is sustained in Atm-deficient livers during regeneration. ROS may play a role in sustained JNK activation in Atm-deficient cells, because it was previously shown that A-T cells treated with CdCl2, a potent pro-oxidant, showed marked increase of JNK activation and heme oxygenase-1 induction (45
). The sustained JNK activation in Atm-deficient livers may be due to the inhibition of MAP kinase phosphatases by ROS (46
). Furthermore, it was recently demonstrated that the ability of Atm-deficient hematopoietic cells to reconstitute bone marrow was improved greatly with the administration of antioxidants (34
). These observations suggest that treatment with antioxidants would improve liver regeneration and enhance survival in Atm-deficient mice.
A-T patients have high levels of AFP in their serum, although the significance of this diagnostic parameter is not clear (9
). High levels of AFP expression are associated with liver cancer and germ cell cancers, which are not frequently observed in A-T patients. Interestingly, it has been reported that increased expression of AFP mRNA correlates with liver regeneration (47
,48
). Nevertheless, we did not observe AFP expression during liver regeneration in both wild-type and Atm-deficient livers by immunoblot or immunohistochemical analysis (Lu and Wang, unpublished data). Absence of the expression of AFP protein after PH could be due to post-transcriptional regulation of AFP gene, the difference in strain of mouse used or a variance between mouse and human hepatocytes (11
). Alternatively, in comparison with Atm-deficient mice which are housed in controlled environment and under identical food consumption, A-T patients likely encounter greater variations in environment and diet, which may damage the liver in these patients but not in the normal human population. Such increased sensitivity to environmental toxins experienced by A-T patients would result in increased turnover of hepatocytes. Consistent with this hypothesis, we found that Atm is required for the survival of proliferating hepatocytes. Atm-deficiency will lead to constant turnover of proliferating hepatocytes damaged by environmental toxins, which might contribute to the increased AFP expression in A-T patients.
This study provides a framework to further analyze the role of Atm and Atm-mediated signaling pathways in liver regeneration. Despite the tremendous advance in the mechanistic understanding of DNA damage signaling and repair in general, very little attention has been given to the liver, an important organ involved in metabolism, detoxification and homeostasis and the first line of defense against xenobiotics. Our data clearly implicate the significant role of Atm and Atm-mediated signaling pathways in liver metabolism and regeneration.
| MATERIALS AND METHODS |
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Mice
Atm knockout mice were obtained by breeding of Atm heterozygotes as described (30
Liver regeneration
Liver regeneration was carried out as described (49
) under avertin anesthesia. In brief, the abdominal cavity was opened with longitudinal incision and the left and medial lobes were ligated, followed by excision to remove the two lobes. After closing the abdominal wall by suture, animals were recovered on a warm plate and later return to cages and fed ad libitum. At the indicated time, mice were sacrificed and liver tissues were harvested.
Brdu incorporation and TUNEL assay
Mice were injected with 0.2 ml of 10 mM Brdu (Sigma) intraperitoneally 1 h before tissue harvesting. Cell proliferation studies were performed using Brdu labeling kit (Zymed) and incorporation of Brdu was determined from three wild-type and three Atm/ mice. Over 2000 nuclei were scored for each liver sample. TUNEL assay was performed using the DeadEnd Fluorometric TUNEL system as described by the manufacturer (Promega). Quantitation of TUNEL assay was performed in three optical fields of liver sections for each genotype. Over a thousand nuclei were counted, and mean and standard deviation of the data were determined. P-values were determined by two-tailed Student's t-test assuming equal variance.
Histological and immunohistochemistry
Liver tissues were fixed in 10% neutral formalin (Sigma) overnight. The tissues were dehydrated in a series of ascending concentration of alcohol, followed by two changes in xylene, and then embedded in paraffin. Five to seven micron sections were cut and stained with H&E, according to standard procedure. For immunohistochemistry, the liver sections were rehydrated in a series of descending alcohol concentrations, following deparaffinization in xylene. Endogenous peroxidase activity was quenched by incubating tissue sections in 0.1% H2O2 for 30 min. After a brief rinse in PBS, ATM antigen was retrieved by incubation in 10 mM citrate buffer (pH 6.0), followed by heating in a microwave oven for 10 min at full power. Mouse monoclonal anti-ATM antibody (MAT-2, kindly provided by Dr Y. Shiloh) was used for IHC. Expression of ATM was detected using ABC kit (Vector), followed by counterstaining with Fast green.
Immunoblot assay
Liver tissues were harvested at the indicated time post-PH and stored at 80°C. Liver tissues were rinsed in cold PBS, followed by homogenization in modified RIPA buffer (50 mM TrisHCl, pH 7.4, 1 mM EDTA, 1% NP-40, 0.25% Na-deoxycholate and 150 mM NaCl) containing 1x cocktail of proteinase inhibitors (Roche). Cleared lysates were resolved on SDSPAGE gel and transferred to PVDF membrane. Protein expression was detected by enhanced chemiluminescence. The following antibodies were used in this study: anti-ATM (MAT 3 from Y. Shiloh); anti-Chk2 (Upstate); anti-ß-actin (Sigma); anti-Stat3pS727, anti-c-Jun pS63, anti-p53 pS20, anti-p53 pS392 and anti-p53 S15 (Cell Signaling); anti-cyclin A, anti-cyclin B1, anti-cyclin D1, anti-cyclin E, anti-CDK1, anti-CDK4, anti-p21, anti-p27, anti-p57 and anti-ß2microglobulin (Santa Cruz).
| ACKNOWLEDGEMENTS |
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We thank Dr N. Bucher for teaching the techniques of liver regeneration and Dr Y. Shiloh for anti-ATM antibodies. These investigations were initiated in Dr Phil Leder's laboratory and the authors are grateful for his support. This work was partly supported by a KCI virtual discovery grant and RO1 CA89526 and P30 ES06639 grant from the National Institutes of Health.
Conflict of Interest statement: Yaolin Wang holds stock in Schering-Plough Corp., the maker of Clarinex, Vytorin and Temodar and is currently working at Schering.
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