Several studies have indicated the inhibitory role
of c-FLIP from the pro-apoptotic effects in many cell
types including human DCs (Hamai et al., 2006; Wu
et al., 2015), whereas our study indicated the
mediating role of c-FLIP on the modulation of FasLtriggered DC apoptosis. Clearly, the activation of
intracellular signalling pathways in human DCs and
mouse DCs results in different expression levels in
the transcriptional productions. The PI3K pathway is
considered as an inhibitor of TLR4-mediated
inflammatory response in mouse DCs (Shumilina et
al., 2007), whereas activation of this pathway results
in increased production of inflammatory cytokines in
human DCs (Liu et al., 2011). In addition, c-FLIP is
described as a stimulator of NF-κB-dependent
intracellular signalling pathways (Micheau et al.,
2001; Tschopp et al., 1998) allowing the cell
maturation and differentiation in immune response
(Haverkamp et al., 2014). Therefore, it would be
expected to be a stimulator of cell activation leading
to mature DCs, which are induced to undergo the
cell death. Similar to our observation, treatment of
cells with FasL suppresses the expression of c-FLIP
(Wajant, 2003), the effect was abolished when VitC
was present in the cell culture. Accordingly, the
promoting effect of VitC on the expression level of
c-FLIP in this finding would turn out to contribute to
DC activation and maturation rather than DC
apoptosis.
Besides, the molecular mechanism underlying
the regulation of Fas-mediated apoptosis is still
unclear. The induction of the apoptosis by ligation of
Fas with anti-Fas antibody in B cell and
macrophages has been determined (Ashany et al.,
1995; Richardson et al., 1994), whereas other studies
have indicated that the interaction between Fas and
FasL results in activation of caspase cascade and
suicidal cell death (Buonocore et al., 2002; Tschopp
et al., 1998). Consistently, FasL was observed to
stimulate caspase 8-dependent PS exposure and VitC
supressed these effects (Figure 2-3). Similarly,
several researches indicated that VitC participates in
regulating the expression of some genes involved in
apoptosis (Levy et al., 1996; Perez-Cruz et al., 2003;
Vissers et al., 2004).
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Journal of Biotechnology 16(4): 595-601, 2018
595
VITAMIN C INHIBITED FASL-INDUCED APOPTOTIC DEATH OF MOUSE DENDRITIC
CELLS THROUGH C-FLIP EXPRESSION
Nguyen Thi Xuan*,*, Le Thi Thu Hien*,*
Institute of Genome Research, Vietnam Academy of Science and Technology
* Shared corresponding authorship
* To whom correspondence should be addressed. E-mail: xuannt@igr.ac.vn and hienlethu@igr.ac.vn
Received: 19.10.2018
Accepted: 28.12.2018
SUMMARY
Vitamin C (VitC) is a potent antioxidant and contributes as an apoptosis inhibitor by preventing death receptor-
triggered caspase 8 activity. Fas ligand (FasL) induces the apoptotic cell death via activation of Fas signaling, which
is dependent on the expression level of anti-apoptotic molecule c-FLIP (FADD-like IL-1beta-converting enzyme-
inhibitory proteins). The present study addressed the effects of VitC on survival of dendritic cells (DCs), a
regulator of innate and adaptive immunity. To this end, mouse bone marrow cells were isolated and cultured to
attain bone marrow-derived DCs (BMDCs). The cells were treated with FasL in the presence or absence of
VitC. Real time RT-PCR, Western blotting and FACS analysis were performed to determine different hallmarks of
DC apoptosis. As a result, FasL treatment resulted in activation of caspase 8 and stimulation of cell membrane
scrambling, the effects were supressed when VitC was present in the cell culture or the cells were transfected
with FLIP siRNA. In conclusion, VitC prevented FasL-triggered DC apoptosis mediated through the
expression of c-FLIP.
Keywords: c-FLIP; dendritic cell; Fas ligand; phosphatidylserine; vitamin C
INTRODUCTION
Dendritic cells (DCs) are the most potent
antigen-presenting cells in the immune system. After
capture of foreign antigens, they migrate to the
lymphoid organs where DCs become mature and
present antigens to naïve T cells to elicit the effective
adaptive immune response (Llanos et al., 2011;
Xuan et al., 2016). These mature DCs are then
induced to undergo apoptosis and disappear from the
lymph nodes (LNs) (Llanos et al., 2011; Xuan et al.,
2016). The apoptosis is initiated through two major
apoptotic pathways: the death receptor-mediated
extrinsic pathway and the mitochondrial-involved
intrinsic pathway (Martino, 2007).
The death receptor-mediated DC apoptosis is
triggered by a binding with respective ligand,
leading to the programed cell-death (Xuan et al.,
2010). A death receptor named Fas is abundantly
expressed on immature DCs and significantly
increased when the cells mature (Ashany et al.,
1999). The interaction of Fas and Fas ligand (FasL)
induces differentiation of naïve T cells by activation
of intracellular signalling pathways in DCs (Suss et
al., 1996) and is followed by activation of cysteinyl
aspartate-specific protease (caspase) cascade and
suicidal cell death (Buonocore et al., 2002). The
sensitivity levels of Fas-triggered apoptosis is
dependent on the expression of c-FLIP (FADD-like
IL-1beta-converting enzyme-inhibitory proteins)
(Golan-Gerstl et al., 2012), whose level is regulated
by TRAIL (TNF-related apoptosis-inducing ligand
(Sun et al., 2015), BIN1 (bridging integrator 1)
(Esmailzadeh et al., 2015) and estradiol (Jaita et al.,
2016). The c-FLIP elicits anti-inflammatory effects
by supressing transcription of inflammation-related
genes such as tumor necrosis factor (TNF)-α and
interleukin (IL)-2, which are secreted by mature
DCs, therefore this protein contributes as an inhibitor
of mouse DC maturation and activation (Wu et al.,
2015).
The effect of c-FLIP on the apoptotic death is
different from other cell types. This protein
participates in inhibiting extrinsic apoptotic
pathways by preventing the activation of caspase 8
in mouse embryonic fibroblasts (Conti et al., 2016),
Journal of Biotechnology 16(4): 595-601, 2018
596
whereas its effect on caspase-8 activity in mouse
DCs is not observed (Wu et al., 2015). In addition to
its effects on the death receptor-dependent pathway,
the expression of c-FLIP is also involved in
protection against the apoptotic intrinsic pathway, a
mitochondrion-dependent apoptosis regulated by
Bcl-2 family proteins in human melanoma cells
(Hamai et al., 2006). Increased expression of anti-
apoptotic molecules and decreased expression of
pro-apoptotic molecule blocks the mitochondrial
depolarization (Lucken-Ardjomande et al., 2005) to
promote cell survival.
Vitamin C (VitC) is well known as natural
antioxidant and plays a role in counteracting
oxidative stress and cellular damage by scavenging
oxygen-derived free radicals including ROS
(reactive oxygen species) production (Habu et al.,
2015). Thus, VitC has been described as an inhibitor
of the programed cell death. VitC supplementation
blocks Fas-mediated apoptosis through reduced
activity of caspase cascade and diminished level of
ROS in cancer cells as well as in human monocytes
(Jeong et al., 2016; Perez-Cruz et al., 2003).
Moreover, VitC functions as a stimulator of immune
response by eliciting some anti-inflammatory
activity in DCs (Jeong et al., 2014; Kim et al., 2012).
By the presence of VitC mature DCs produce
enhanced level of IL-12p70 to promote the
differentiation of CD8+ memory T cell (Jeong et al.,
2014) and VitC upregulates expression of
costimulatory and antigen-presenting molecules in
DC line (Kim et al., 2012).
Although the anti-apoptotic effect of VitC on
other cells is well documented, the effect of VitC on
apoptosis of DCs has not been reported. Thus, the
present study explored whether VitC influences
survival of DCs. To this end, bone marrow derived
mouse DCs (BMDCs) were treated with FasL in the
presence or absence of VitC and different hallmarks
of apoptosis were determined.
MATERIALS AND METHODS
Mice
Wild type pathogen-free BALB/c mice at the
age of 6 to 8 weeks were purchased from Taconic
Farms (Hudson, NY, USA) and housed in a specific
pathogen-free facility at Institute of Genome
Research. The animals had free access to food and
drinking water. Animal care and experimental
procedures were performed according to the
Vietnamese law for the welfare of animals and were
approved by the ethical committee of Institute of
Genome Research.
Bone marrow-derived DCs
BALB/c mice were anesthetized with isoflurane
gas and bone marrow cells were flushed out of the
cavities from the femur and tibia with sterile PBS
(pH=7.4). Cells were washed twice with RPMI-1640
and seeded out at a density of 4 x 106 cells per 60-mm
dish. Cells were cultured for 8 days in RPMI-1640
(GIBCO, Grand Island, NY, USA) containing: 10%
FCS, 1% penicillin/streptomycin, 1% glutamine, 1%
non-essential amino acids (NEAA) and 50 µm β-
mercaptoethanol. Cultures were supplemented with
GM-CSF (35 ng/mL, Sigma Aldrich, St. Louis, MO,
USA) and fed with fresh medium containing GM-CSF
on days 3 and 6. Nonadherent and loosely adherent
cells were harvested after 8 days of culture.
Experiments were performed on days 8-10. BMDCs
were treated with FasL (500 ng/ml, Sigma Aldrich, St.
Louis, MO, USA) in the presence or absence of VitC
(100 ng/ml, Sigma Aldrich).
FLIP small interfering RNA (siRNA)
FLIP-targeted siRNA (Santa Cruz) was
transfected into DCs (105 cells/ 1ml) at a final
concentration of 100 nM using Nucleofector
technology (Lonza, GA, USA) according to the
manufacturer’s recommendations. After
electroporation, cells were incubated for 24 h at
37°C, 5% CO2. After washing three times with PBS
the cells were treated for 24 h with FasL in the
presence or absence of VitC.
RNA extraction and real-time RT-PCR
Total RNA was isolated from mouse DCs by
using the Qiashredder and RNeasy Mini Kit from
Qiagen. For cDNA first strand synthesis, 1 µg of
total RNA in 12.5 µl DEPC-H2O was mixed with 1
µl of oligo-dT primer (500 µg/ml, Invitrogen,
Carlsbad, CA, USA) and heated for 2 min at 70°C.
To determine c-FLIP transcript levels, quantitative
real-time PCR with the LightCycler System (Roche,
Basel, Switzerland) was applied. The following
primers were used: FLIP primers (sc-35389-PR,
Santa Cruz, Dallas, Texas, USA) and actin primers:
5’-CATTGCTGACAGGATGCAGAA-3’ (forward)
and 5’-ATGGTGCTAGGAGCCAGAGC-3’
(reverse). PCR reactions were performed in a final
volume of 20 µl containing 2 µl cDNA, 2.4 µl
MgCl2 (3 µM), 1 µl primer mix (0.5 µM of both
Journal of Biotechnology 16(4): 595-601, 2018
597
primers), 2 µl cDNA Master SybrGreen I mix
(Roche), and 12.6 µl DEPC-treated water. The target
DNA was amplified during 40 cycles of 95ºC for 10
s, 60ºC for 10 s, and 72ºC for 16 s, each with a
temperature transition rate of 20ºC/s, a secondary
target temperature of 50ºC, and a step size of 0.5ºC.
Melting curve analysis was performed at 95ºC, 0 s;
60ºC, 10 s; 95ºC, 0 s to determine the melting
temperature of primer dimers and the specific PCR
products. The ratio between the respective gene and
corresponding β-actin was calculated per sample
according to the ∆∆ cycle threshold method (Livak
et al., 2001).
Immunoblotting
DCs (2*106 cells) were washed twice in PBS,
then solubilized in lysis buffer (Thermo Fisher,
Waltham, MA, USA) containing protease inhibitor
cocktail (Sigma-Aldrich). Samples were stored at -
80°C until use for western blotting. Cell lysates were
separated by 10% SDS-PAGE and blotted on
nitrocellulose membranes. The blots were blocked
with 5% nonfat-milk in triethanolamine-buffered
saline (TBS) and 0.1% Tween-20. Then the blots
were probed overnight with monoclonal antibodies
directed against either c-FLIPL or GAPDH (Cell
signalling, Danvers, MA, USA) diluted 1:1000 in
blocking buffer, washed 5 times, probed with
secondary antibodies (anti mouse or anti-rabbit, GE
healthcare) diluted 1:5000 for 1 h at room
temperature and washed final 5 times. Antibody
binding was detected with the enhanced
chemiluminescence (ECL) kit (GE Healthcare,
Chicago, Illinois, USA). Densitometer scans of the
blots were performed using Quantity One (BioRad,
Hercules, California, USA).
Caspase 8 activity assay
Caspase 8 activity was determined using a
Caspase-8 fluorometric assay kit from Biovision
(Milpitas, CA, USA) according to the
manufacturer’s instructions. Briefly 1x106 cells were
washed twice with cold PBS, fixed and
permeabilized with ‘Cytofix/Cytoperm’ solution and
then washed twice with ‘Perm/ Wash’ buffer. Then
cells were stained with FITC conjugated anti-active
Caspase 8 antibody in ‘Perm/ Wash’ buffer for 60
minutes. After 2 washing steps, the cells were
analyzed by flow cytometry (FACS Aria Fusion, BD
Biosciences, San Jose, CA, USA).
Phosphatidylserine translocation
Apoptotic cell membrane scrambling was
evidenced from annexin V binding to
phosphatidylserine (PS) at the cell surface. The
percentage of PS-translocating cells was evaluated
by staining with fluorescein isothiocyanate (FITC)-
conjugated Annexin V. In brief 5 x105 cells were
harvested and washed twice with Annexin washing
buffer (AWB). The cell pellet was resuspended in
100 µl of Annexin-V-Fluos labelling solution
(Roche) (20µl Annexin-V-Fluos labelling reagent in
1 ml AWB) and incubated for 15 min at room
temperature. After washing with AWB, the cells
were analyzed by flow cytometry.
Statistics
Data are provided as means ± standard error of the
mean (SEM). All experiments were performed at least
three times. Statistical significance was determined
using ANOVA. For all statistical analysis, *P < 0.05,
**P < 0.01, and ***P < 0.001 were considered
statistically significant.
RESULTS
Effect of VitC on the expression of c-FLIP in DCs
The expression level of c-FLIP has been
determined to involve in resistance to Fas-induced
cell death (Golan-Gerstl et al., 2012; Wajant, 2003).
To explore the modulation effect of VitC on c-FLIP
expression, BMDCs were cultured with GM-CSF for 8
days and subsequently treated with FasL in the
presence or absence of VitC. The results are in
accordance to data of Wajant et al. (Wajant, 2003) that
treatment of the cells with FasL down-regulated the c-
FLIP transcript level (Figure 1A) and protein (Figure
1BC), the effects were suppressed by the presence of
VitC (Figure 1A-C), indicating the promoting role of
VitC on c-FLIP expression in DCs.
Effect of VitC on caspase 8 activity in DCs
VitC participates in regulating the transcription
of apoptosis-related genes (Jeong et al., 2014; Kim et
al., 2012). Our study showed the inhibitory effect of
VitC on the activation of caspase 8. Accordingly,
treatment of cells with FasL in the absence of VitC
for 24h was followed by activation of caspase 8 and
the activity of this caspase was dramatically reduced
when the cells were exposed with VitC (Figure 2A-
B). In addition, to ask whether the regulation of the
Journal of Biotechnology 16(4): 595-601, 2018
598
caspase 8 activation is mediated by c-FLIP expression,
BMDCs were transfected with FLIP siRNA and
followed by treatment with FasL in the presence or
absence of VitC for 24h. The expression c-FLIP was
dramatically reduced in FLIP-silenced DCs (Figure
2C). The downregulation of c-FLIP expression
abolished FasL-induced caspase 8 activity (Figure 2A-
B), suggesting that caspase 8 activity induced by FasL
in the absence of VitC was dependent on the
expression of c-FLIP in BMDCs.
Figure 1. Effect of VitC on the expression of c-FLIP in DCs. (A) Arithmetic means ± SEM (n = 5) of c-FLIP transcript level
detected by real-time PCR analysis in DCs were treated either without (white bar) or with FasL in the absence (black bar) or
in the presence (grey bar) of VitC using β-actin as a reference gene. (B) Original Western blot of DCs, which were either
treated with FasL in the absence or presence of VitC or left untreated (control). Protein extracts were analyzed by Western
blotting using antibody directed to c-FLIPL. Protein loading was controlled by GAPDH antibody. (C) Arithmetic mean ±SEM (n
= 4) of the abundance of c-FLIP protein as the ratio of c-FLIP /GAPDH. *(p<0.05) represent significant difference from
control condition, ANOVA.
Figure 2. Effect of VitC on caspase 8 activity in DCs. (A) Histograms of caspase 8 activity as obtained by FACS analysis in a
representative experiment on control- (1st and 2nd panels) and FLIP-silenced (1st and 3rd panels) DCs were either treated
without or with FasL in the absence or presence of VitC. (B) Arithmetic means ± SEM (n = 4-6) of the percentage of control-
(left bars) and FLIP-silenced (right bars) DCs with activated caspase 8. (C) Original Western blot of DCs, which were either
treated with c-FLIP siRNA or left untreated (control). Protein extracts were analyzed by Western blotting using antibody
directed to c-FLIPL. Protein loading was controlled by GAPDH antibody. ** (p<0.01) represent significant difference from
control condition and # (p<0.05) represent significant difference from FasL-treated DCs, ANOVA.
Journal of Biotechnology 16(4): 595-601, 2018
599
Effect of VitC on cell membrane scrambling in
DCs
The activation of caspases is expected to trigger
DC apoptosis. Thus, next experiments were
performed to ask, whether FasL triggered the cell
membrane scrambling reflecting PS exposure at the
cell surface. The PS exposure was determined from
annexin V binding. As illustrated in Figure 3A-B,
exposure of DCs to FasL was followed by
stimulation of annexin V binding, the effect was
reversed when VitC was present in the cell culture.
Similarly, the increased annexin V binding in FasL-
treated DCs was also blocked when the cells were
transfected with FLIP siRNA (Figure 3A-B).
Therefore, the annexin V binding stimulated by FasL
in the absence of VitC was sensitive to the
appearance of c-FLIP.
Figure 3. Effect of VitC on cell membrane scrambling in
DCs. (A) Histograms of annexin V binding as obtained by
FACS analysis in a representative experiment on control-
(1st and 2nd panels) and FLIP-silenced (1st and 3rd panels)
DCs were either treated without or with FasL in the absence
or presence of VitC. (B) Arithmetic means ± SEM (n = 4-6)
of the percentage of control- (left bars) and FLIP-silenced
(right bars) DCs with annexin V binding. * (p<0.05)
represent significant difference from control condition and #
(p<0.05) represent significant difference from FasL-treated
DCs, ANOVA.
DISCUSSION
The present study reveals that treatment of DCs
with FasL in the absence of VitC caused the
apoptotic cell death as was evidenced by activation
of caspase 8 and PS exposure. VitC has been
reported to enhance maturation and differentiation of
leukocytes including DCs (Jeong et al., 2014; Kim et
al., 2012) through the modulation of mitogen-
activated protein kinases (MAPK) and
phosphatidylinositol 3-kinase (PI3K)/Akt pathways
(Kim et al., 2012). Besides, the role of VitC in
preventing the ROS-mediated apoptosis are
determined in many cell types including cancer cells
and human monocytes (Jeong et al., 2016; Jin et al.,
2014; Perez-Cruz et al., 2003). However, its effects
on the survival of DC have not been reported yet.
Similarly to VitC, two members of the TNF family
including CD40L and tumor necrosis factor (TNF)-
related activation-induced cytokine (TRANCE) have
been shown to stimulate the activation of FasL-
dependent NF-κB pathway leading to upregulation
of anti-apoptotic molecules such as Bcl-2 and Bcl-xL
(Ouaaz et al., 2002) and c-FLIPs (Tschopp et al.,
1998), facilitating DC survival.
Several studies have indicated the inhibitory role
of c-FLIP from the pro-apoptotic effects in many cell
types including human DCs (Hamai et al., 2006; Wu
et al., 2015), whereas our study indicated the
mediating role of c-FLIP on the modulation of FasL-
triggered DC apoptosis. Clearly, the activation of
intracellular signalling pathways in human DCs and
mouse DCs results in different expression levels in
the transcriptional productions. The PI3K pathway is
considered as an inhibitor of TLR4-mediated
inflammatory response in mouse DCs (Shumilina et
al., 2007), whereas activation of this pathway results
in increased production of inflammatory cytokines in
human DCs (Liu et al., 2011). In addition, c-FLIP is
described as a stimulator of NF-κB-dependent
intracellular signalling pathways (Micheau et al.,
2001; Tschopp et al., 1998) allowing the cell
maturation and differentiation in immune response
(Haverkamp et al., 2014). Therefore, it would be
expected to be a stimulator of cell activation leading
to mature DCs, which are induced to undergo the
cell death. Similar to our observation, treatment of
cells with FasL suppresses the expression of c-FLIP
(Wajant, 2003), the effect was abolished when VitC
was present in the cell culture. Accordingly, the
promoting effect of VitC on the expression level of
c-FLIP in this finding would turn out to contribute to
Journal of Biotechnology 16(4): 595-601, 2018
600
DC activation and maturation rather than DC
apoptosis.
Besides, the molecular mechanism underlying
the regulation of Fas-mediated apoptosis is still
unclear. The induction of the apoptosis by ligation of
Fas with anti-Fas antibody in B cell and
macrophages has been determined (Ashany et al.,
1995; Richardson et al., 1994), whereas other studies
have indicated that the interaction between Fas and
FasL results in activation of caspase cascade and
suicidal cell death (Buonocore et al., 2002; Tschopp
et al., 1998). Consistently, FasL was observed to
stimulate caspase 8-dependent PS exposure and VitC
supressed these effects (Figure 2-3). Similarly,
several researches indicated that VitC participates in
regulating the expression of some genes involved in
apoptosis (Levy et al., 1996; Perez-Cruz et al., 2003;
Vissers et al., 2004).
CONCLUSION
VitC inhibited FasL-mediated DC apoptosis is
expected to exert some anti-inflammatory action and
promote the immune response, an effect may apply
its use in the treatment of inflammatory disorders
and cancer. In any case, the inhibition of caspase
activation and apoptotic death of DCs by VitC is
expected to promote the immune response.
Acknowlegements: This research is funded by
Vietnam National Foundation for Science and
Technology Development (NAFOSTED) under grant
number 108.06-2017.16.
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VITAMIN C ỨC CHẾ QUÁ TRÌNH APOPTOSIS GÂY RA BỞI FASL TRONG TẾ BÀO
TUA THÔNG QUA BIỂU HIỆN GEN C-FLIP
Nguyễn Thị Xuân, Lê Thị Thu Hiền
Viện Nghiên cứu hệ gen, Viện Hàn lâm Khoa học và Công nghệ Việt Nam
TÓM TẮT
Vitamin C (VitC) là chất chống oxy hóa mạnh và có vai trò như một chất ức chế quá trình apoptosis bằng
cách ngăn chặn hoạt động của caspase 8. Fas ligand (FasL) gây ra sự chết tế bào theo chương trình thông qua
hoạt động của tín hiệu Fas và phụ thuộc vào mức độ biểu hiện của gen c-FLIP. Trong nghiên cứu này, chúng
tôi đã tiến hành xác định ảnh hưởng của VitC đến với sự sống sót của tế bào tua (TBT), tế bào này có vai trò
điều hòa miễn dịch bẩm sinh và miễn dịch thu được. Vật liệu sử dụng là tế bào tủy xương chuột được nuôi cấy
để thu được các tế bào tua có nguồn gốc từ tủy xương và được xử lý với FasL và VitC. Kỹ thuật nghiên cứu
gồm real time RT-PCR, western blotting và phân tích tế bào theo dòng chảy được tiến hành để xác định các
marker khác nhau của quá trình apoptosis. Kết quả nhận được cho thấy, xử lý tế bào với FasL làm hoạt hóa
caspase 8 và màng tế bào bị co rút lại. Các tác động này được ngăn chặn khi VitC được thêm vào môi trường
nuôi cấy hoặc các tế bào bị bất hoạt gen cFLIP. Kết quả nghiên cứu cho thấy VitC đã ngăn chặn quá trình
apoptosis của tế bào tua gây ra bởi FasL thông qua biểu hiện của gen c-FLIP.
Từ khóa: c-FLIP; tế bào tua; Fas ligand; phosphatidylserine; vitamin C
Các file đính kèm theo tài liệu này:
vitamin_c_uc_che_qua_trinh_apoptosis_gay_ra_boi_fasl_trong_t.pdf