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Dual regulation of apoptosis and autophagy by the target in
                           chloroquine-treated ARPE-19 cells

                                                                       1
                                              1
               Anh-Thu Nguyen-Hoang ; Hoang-Long Ngo ; Sook-Jeong Lee                         1
         1  Department of Bioactive Material Science, Jeonbuk National University, Jeonju, South Korea
                   BACKGROUND                                                   AIM

     Chloroquine (CQ), a compound of 4-aminoquinoine, has been commonly used as  The serine/threonine protein kinases play an important role in
    an antimalarial and anti-inflammatory drug. Currently, it is widely prescribed for  eukaryotic  signaling pathways,  such as cell differentiation,
    treatment of amebiasis, rheumatoid arthritis, systemic lupus erythematosus, and  proliferation, and cell metabolisms. Here we experiment to
    for prophylaxis against malaria. However, retinal toxicity with the retinal pigment  elucidate the role of one of the inhibitors for the serine/threonine
    epithelial (RPE) degeneration and neurosensory retina as a result of long-term  protein kinases on CQ-induced RPE toxicity.
    routine use of CQ has been well defined, as CQ were examined to cause vacuoles
    formation and cell death in human retinal pigment epithelium-derived cells.

                                                METHODS

   Cell Culture The ARPE-19, a spontaneously immortalized cell line of human retinal pigment epithelium, obtained from ATCC (Manassas, VA,
   USA) was maintained in Dulbecco’s Modified Eagle’s medium (DMEM) and Ham’s F-12 media containing 10% fetal bovine serum and 1% (v/v)
   penicillin/streptomycin.
   MTT assay To determine cytotoxicity after combined treatment with CQ and a target inhibitor in ARPE-19 cells
   Western blot To identify altered signal protein expressions associated with the CQ and a target inhibitor treatment, cell lysates extracted were
   performed the western blotting analysis.
   FACS analysis To analyze apoptotic cell death, ARPE-19 cells treated with different combinations of drugs stained with Annexin V/PI stains.

                                                 RESULTS


                                             Figure 1. Target inhibitor effect on CQ-induced vacuole formation and
                                                     cell death in ARPE-19 cells
    Attenuated CQ cytotoxicity and vacuole
    formation by the target inhibitor         (A)
                                                                             (B)  150
    Fig.  1.  Target  inhibitor  effect  on  vacuole                                  CQ
                                                                                      CQ + T-inhibitor, 10M
    formation and cell death in ARPE-19 cells                                       ns  ns
     APRE-19 cells were treated with various concentrations of                  100        *  **  ***  **
    CQ (0 to 120 μM) alone or together with 10 μM target                        % Survival
    inhibitor for 24 h. (A) Phase-contrast photomicrographs of                   50
    ARPE-19 cells treated with individual drugs. (B) Percent
    survival of ARPE-19 cells. Bars indicates relative survival
    changes (mean  SD, n=3, ns; not significant, *P<0.05,                       0
    **P<0.01, ***P<0.001 vs. CQ alone-treated each control).                        0  10  50  75  100  120
                                                                                          CQ  [M]
    Increased  autophagy   and   decreased   Figure 2. Decreased CQ-induced vacuole formation and cell death in
    apoptosis in CQ-treated ARPE-19 cells by  ARPE-19 cells
    target inhibitor
                                                                              (B)
    Fig. 2. Effect of target inhibitor on CQ-induced
    autophagy and apoptosis                  (A)
    (A) Blots for p62 and LC3 in ARPE-19 cells. Cells were
    treated various combination of drugs such as 100 μM CQ,
    CQ plus 10 μM target inhibitor, and 100 nM Bafilomycin A1
    (Ba1) for 6 hours. (B) FACS analysis of apoptosis using
    Annexin V/PI stains detected by flow cytometer. Apoptotic
    cells at 24 h after treatment with vehicle, 100 μM CQ, CQ
    plus 10 μM target inhibitor, and target inhibitor alone were
    analyzed.



          CONCLUSION                          REFERENCES                  ACKNOWLEDGEMENTS

                                      1. Yoon YH et al. Induction of lysosomal  This work was supported by Basic
                                        dilatation, arrested autophagy, and cell
     This study shows that target inhibitor  death by chloroquine in cultured ARPE-19  Science Research Program through the
    significantly  attenuates  CQ-induced  cells. Invest Ophthalmol Vis Sci. 2010;  National Research Foundation of Korea
    cytotoxicity via activation of autophagy  51(11): 6030-7.             (NRF)  funded  by  the  Ministry  of
    and inhibition of apoptosis in ARPE-19                                Education   (Grant    no.   NRF-
    cells. These results suggest that a  2. Szatmári-Tóth  M  et  al.  Clearance  of  21016R1D1A1B04934383).
                                        autophagy-associated dying retinal pigment
    target inhibitor may prevent ARPE-19  epithelial cells – a possible source for  Contact information
    cells from retinal toxicity ascribed from  inflammation  in  age-related  macular
    long term CQ treatment.             degeneration. Cell Death & Disease. 2016; 7:  Anh-Thu Nguyen-Hoang:
                                        2367.
                                                                                anhthu232@gmail.com
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