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Casein kinase 1-induced regulation of autophagy and apoptosis in chloroquine-
                            mediated adult retinal pigment epithelial-19 cells

                                                                            1
                          Haesung Lee , Long Ngo Hoang , Ngoc Buu Tran , Sook-Jeong Lee¹
                                       1
                                                           1
               1 Department of Bioactive Material Science, Jeonbuk National University, Jeonju, Jeollabuk-do, 54896, Republic of Korea
                           ABSTRACT                          3. D4476 protects ARPE-19 cells from CQ-mediated apoptotic cell death
                                                                A                      B
        The antimalarial drug chloroquine (CQ) is a lysosomotropic agent and is currently  CQ, 100 μM        -  +        +         -
                                                                   D4476, 10 μM        -  -  +         +   -tubulin)
        used as a potential anticancer agent as well as an autophagy inhibitor, also induces
                                                                      Bcl-2
        retinopathy in which characterized by lysosomotropic alteration. D4476 is a highly  Protein expression
                                                                      Bcl-xL             (each protein/
        effective, selective ATP-competitive casein kinase 1 (CK1) inhibitor, which may  α-tubulin
        prevent or enhance apoptosis. In this study, we examined whether D4476 could
        attenuate retinopathy induced by CQ in adult human retinal pigment epithelial  C
        (ARPE-19) cells. CQ-treated ARPE-19 cells resulted in defective lysosomal  Veh  CQ, 100 μM   CQ + D4476  D4476, 10 μM
        degradation and caused accumulation of autophagosomes. Furthermore, the
        disruption of autophagy initiation and the formation of autolysosome was caused by
                                                                PI
        Beclin 1 interacting with Bcl-2, which was trapped by CQ. D4476, on the other
        hand, mitigated CQ-induced effects, rescuing ARPE-19 cells from CQ-induced
        toxicity by modulating the association of Beclin 1 and Bcl-2. As a result, D4476  Annexin-V
        regulates autophagy and apoptosis simultaneously by upregulating autophagy flux  (A) Western blots and (B) quantitative analysis of Bcl-2 and Bcl-xL in ARPE-19 lysates treated with vehicle, 100
        and activating the expression of anti-apoptotic proteins via inhibition of mTOR,  μM CQ alone, 10 μM D4476 plus 100 μM CQ, and 10 μM D4476 alone for 6 h. (C) Apoptosis assay using flow
                                                              cytometry in ARPE-19 cells. Flow cytometry scatterplots show propidium iodide (PI) versus Annexin-V (Y and X
        JNK, and p38 MAPK signals. In conclusion, D4476 appears to be a promising  axis, respectively). Cells were treated with vehicle, 100 μM CQ alone, 10 μM D4476 plus 100 μM CQ, and 10 μM
        treatment strategy for CQ-mediated retinopathy.       D4476 for 24 h. Bottom left and right show normal and early apoptotic cells, respectively; top right and left show
                                                              late apoptotic and necrotic cells, respectively (values are relative percentage of total cell population). Data are
                                                              means ± SD, n=3; ns, not significant, *P<0.05, **P<0.01 compared with vehicle group.
                            PURPOSE                          4. Effect of D4476 on CQ-induced interaction of Beclin 1 BH3 domain with Bcl-2
                                                              and cell proliferation-associated signaling in ARPE-19 cells.
         In order to determine the effect of D4476 on CQ-induced retinopathy ARPE-19 cells and
         further elucidate the mechanism of action           A  CQ, 100 μM  -  +  +  -  B  CQ, 100 μM  -  +  +  -  C
                                                                                                    CQ, 100 μM    -
                                                              D4476, 10 μM  -  -  +  +  D4476, 10 μM  -  -  +  +  D4476, 10 μM  -  + -  + +  + -  - -
                                                                 Bcl-2               Bcl-2          Rap, 0.5 μM   -  -  -  -  +
                                                                              IP: Bcl-2
                                                                Beclin 1            Beclin 1      IB  p-mTOR
                                                                                                      mTOR
                                                                                    α-tubulin
                            RESULTS                                                2.5  CTL          p-AMPK
                                                                                        CQ+D4476
       1. D4476 protects ARPE-19 cells from CQ-induced retinopathy                 2.0  CQ    **      AMPK
                                                                                                      p-p38
                                                                                        D4476
                                                                                   1.5
                                                                                                       p38
        A  125           B  125            C                    Relative protein expression  1.0  *  **  *  p-JNK
         100   *  **       100        ***                                          0.5  **  **         JNK
        % Survival  (normalized)  75 50  **  ***  75  #  *  *  **  **  % Survival  (normalized)  0.0  Bcl-2             Beclin1  α-tubulin
                           50
          25               25                                 ARPE-19 cell lysates (A) immunoprecipitated (IP) or (B) immunoblotted (IB) with each antibody. Immunoblots of
                                                              anti- Bcl-2 and anti-Beclin 1 antibodies quantified using densitometric analysis in ImageJ. (C) Western blots for p-
          0                0                                  mTOR, mTOR, p-AMPK, AMPK, p-p38, p38, p-JNK, and JNK in APRE-19 cell lysates 6 h after treatment with
             0  10  50  75  100  CQ  0  100 100 100 100 100 100  vehicle, 100 μM CQ alone, 10 μM D4476 plus 100 μM CQ, 10 μM D4476 alone, and 0.5 μM Rap alone. Means ±
                          D4476  0  0  1  2  5  10  20
                CQ [ M]                                       SD, n=3; ns, not significant; *P<0.05, **P<0.01 versus vehicle.
                                   [ M]
         Cytotoxicity of ARPE-19 cells treated with (A) varying concentrations of CQ alone, (B) 100 μM CQ with vehicle
         or different D4476 concentrations, (C) 100 μM CQ with vehicle or 1 μM Rap for 24h. Cytotoxicity assessed
         using MTT assay. Mean ± standard deviation [SD], n=3; # P<0.001 compared to vehicle; *P<0.05, **P<0.01,
         and ***P<0.001, compared to CQ alone.               5. Schematic representation of D4476 effects on crosstalk between autophagy
                                                                and apoptosis in CQ-treated ARPE-19 cells.
       2. D4476 attenuates CQ-induced autophagy defects in ARPE-19 cells      D4476  CQ  D4476
                                                                                JNK   p38 MAPK
         Phase contrast      GFP-LC3           LAMP-2              DAPI                Merge
          A     B                                                                  mTORC1
       Veh                              C  CQ, 100 μM    -  +  +  -  -
                                          D4476, 10 μM  -  -  +  +  -
                                           Rap, 0.5 μM   -  -  -  -  +                Beclin1 BH3  Bcl-2
                                            Beclin 1
                                              p62                            LC3-II    Bcl-2
                                                                          p62
       CQ                                    LC3
                                                                           Autophagy      Apoptosis
                                           α-tubulin
                                       D
       CQ
                                         Relative expression
       +                                  -tubulin)
      D4476                                                                Cell Survival   Cell Death
      D4476                               (each protein/                     CONCLUSIONS
             10 μm                  10 μm
                                                                1. We found that D4476 prevented ARPE-19 cells from CQ-mediated cytotoxicity.
         (A) Phase-contrast photomicrograph and (B) confocal images of GFP-LC3 (green)-transfected cells after  2. D4476 protected retinal cells from CQ-induced autophagy inhibition.
         immunostaining with LAMP-2 (red) antibody. Cells were treated with vehicle, 100 μM CQ alone, 10 μM
         D4476 alone, or 10 μM D4476 plus 100 μM CQ for 6 h. DAPI (blue) was used to counterstain nuclei. Scale  3. D4476 rescued ARPE-19 cells from CQ-induced apoptotic death.
         bar, 10 μm. Quantification of LC3- positive vacuole. (C) Western blots and (D) quantitative analysis of  4. D4476 effects were caused by disruption of CQ-induced interaction between
         Beclin 1, p62, and light chain 3 (LC3) expression in ARPE-19 cell lysates 6 h after treatment with vehicle,
         100 μM CQ alone, 10 μM D4476 plus 100 μM CQ, 10 μM D4476 alone, and 0.5 μM rapamycin (Rap)  Beclin 1 and Bcl-2.
         [alone, with vehicle, or with 100 nM BA1]. Data are means ± SD, n=3; ns, not significant; *P<0.05,
         **P<0.01 and ***P<0.001 versus vehicle.
                                                                              REFERENCES
                        ACKNOWLEDGEMENT                         1. Carrino M et al. Prosurvival autophagy is regulated by protein kinase CK1 alpha in
                                                                 multiple myeloma. Cell Death Discov. 2019;5:98.
         This work was supported by the Basic Science Research Program through the National  2. Cheong JK et al. Casein kinase 1 alpha-dependent feedback loop controls autophagy
         Research  Foundation  of  Korea  (NRF)  funded  by  the  Ministry  of  Education  in RAS-driven cancers. J Clin Invest. 373 2015;125:1401-1418.
         (No.2016R1D1A1B04934383) and by the NRF grant funded by the Korea government  3. Gaynes BI et al. Retinal toxicity of chloroquine hydrochloride administered by
         (MSIT) (No.2021R1A2C1005980).                           intraperitoneal injection. J Appl Toxicol. 2008;28:895-900.
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