Abstract
Ethyl pyruvate (EP), a simple aliphatic ester of pyruvic acid, has been shown to have antiinflammatory effects and to confer protective effects in various pathological conditions. Recently, a number of studies have reported EP inhibits high mobility group box 1 (HMGB1) secretion and suggest this might contribute to its antiinflammatory effect. Since EP is used in a calcium-containing balanced salt solution (Ringer solution), we wondered if EP directly chelates Ca2+ and if it is related to the EP-mediated suppression of HMGB1 release. Calcium imaging assays revealed that EP significantly and dose-dependently suppressed high K+-induced transient [Ca2+]i surges in primary cortical neurons and, similarly, fluorometric assays showed that EP directly scavenges Ca2+ as the peak of fluorescence emission intensities of Mag-Fura-2 (a low-affinity Ca2+ indicator) was shifted in the presence of EP at concentrations of ≥7 mmol/L. Furthermore, EP markedly suppressed the A23187-induced intracellular Ca2+ surge in BV2 cells and, under this condition, A23187-induced activations of Ca2+-mediated kinases (protein kinase Cα and calcium/calmodulin-dependent protein kinase IV), HMGB1 phosphorylation and subsequent secretion of HMGB1 also were suppressed. (A23187 is a calcium ionophore and BV2 cells are a microglia cell line.) Moreover, the above-mentioned EP-mediated effects were obtained independent of cell death or survival, which suggests that they are direct effects of EP. Together, these results indicate that EP directly chelates Ca2+, and that it is, at least in part, responsible for the suppression of HMGB1 release by EP.
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Introduction
Ethyl pyruvate (EP) is a simple aliphatic ester of pyruvic acid and has been shown to confer protective effects in various disease models. For example, EP administration improved survival in lethal models of hemorrhagic shock and diminished ischemia-induced myocardial injury (1,2). EP also significantly reduced infarct volumes in the postischemic brain (3) and attenuated kainic acid-induced neuronal cell death in the CA1 and CA3 regions of the mouse hippocampus (4). In addition, EP has been reported to attenuate experimental severe acute pancreatitis (5) and to improve motor function scores in models of spinal cord ischemia and traumatic brain injury (6,7).
The protective effects of EP have been attributed to its antiinflammatory, antioxidative and antiapoptotic effects. Regarding its antiinflammatory effects, various molecular mechanisms have been suggested. Inhibition of the DNA binding of p65 (a nuclear factor [NF]-κB subunit) by EP via decreasing intracellular glutathione (GSH) levels has been reported (8), which results in changing the intracellular redox conditions to favor the oxidation of the key cysteine residue in p65. Covalent modification of p65 by EP also has been reported (9). EP not only suppresses proinflammatory cytokine production via NF-κB inhibition (10,11) but also was found to increase the production of antiinflammatory cytokines in lipopolysaccharide (LPS)-injected- rat model and ischemic rat model (1,3). Furthermore, it has been reported that the antiinflammatory effect of EP is attributable to the inhibition of reactive oxygen species (ROS)-dependent signal transducer and activator of transcription (STAT) signaling (12). In addition, we recently reported that EP induced p300 sequestration by Nrf2-suppressed p65 activation (13), which suggests a link exists between the antiinflammatory and antioxidative functions of EP.
A number of reports have demonstrated that EP inhibits HMGB1 secretion and that this contributes to its antiinflammatory effects (14–18). HMGB1 is an endogenous danger signal molecule and extracellular HMGB1 induces the secretions of various proinflammatory cytokines and aggravates inflammatory processes (19,20). The secretory mechanism involved has been investigated (21) and has shown that serine phosphorylation of HMGB1 is essential for its translocation from the nucleus to cytoplasm. Furthermore, the activations of two calcium-mediated protein kinases, that is, classical protein kinase C (cPKC) and calcium/calmodulin-dependent protein kinase type IV (CaMKIV), have been reported to play critical roles in the phosphorylation of HMGB1 (22,23).
EP is used in a Ca2+-containing balanced salt solution (Ringer-EP solution), in which two molecules of EP associate with Ca2+. In the present study, we examined whether EP directly chelates Ca2+, and whether this chelation is responsible for the EP-mediated suppression of HMGB1 release.
Materials and Methods
EP Treatment
EP (Sigma-Aldrich, St. Louis, MO, USA) was added to Ringer solution, which contained sodium (130 mmol/L), potassium (4 mmol/L), calcium (2.7 mmol/L) and chloride (139 mmol/L) (pH 7.0). BV2 cells were treated with 1, 2.5 or 5 mmol/L of EP for 30 min or 1 h. For A23187 (Sigma-Aldrich) treatment, cells were cotreated with 1, 2.5 or 5 µmol/L of A23187 and EP (2.5 or 5 mmol/L) or ethylene glycol tetraacetic acid (EGTA) (0.25, 0.5 or 1 mmol/L) (Calbiochem [EMD Millipore, Billerica, MA, USA]) for 30 min or pretreated with 5, 10 or 20 µmol/L of 1,2-Bis(2-aminophenoxy)ethane-N,N,N′,N′-tetraacetic acid acetoxymethyl ester (BAPTA) (Calbiochem [EMD Millipore]) for 30 min prior to A23187 treatment.
Cell Cultures
BV2 and RAW264.7 cells were grown in Dulbecco’s modified Eagle medium (DMEM) (Hyclone, Logan, UT, USA) supplemented with 5% fetal bovine serum (FBS) (Gibco [Thermo Fisher Scientific, Waltham, MA, USA]) and 1% penicillin/streptomycin.
Primary Cortical Cultures
Experiments were carried out in strict accordance with the recommendations made in the Guide for the Care and Use of Laboratory Animals published by the National Institute of Health (24). The animal protocol used in this study was reviewed and approved by the INHA University-Institutional Animal Care and Use Committee (INHA-IACUC) with respect to ethicality (approval number INHA-130607-209). Primary cortical cultures were prepared from embryonic d-15.5 mouse cortices and cultured as described previously (25). For N-methyl-D-aspartic acid (NMDA) treatment (Sigma-Aldrich), cells were pretreated with BAPTA (5),10 or 20 µmol/L) for 30 min prior to NMDA treatment (100 µmol/L, 10 min or 50 µmol/L, 30 min) or cotreated with EP (5),10 or 15 mmol/L) or EGTA (0.5, 1 or 2 mmol/L) and NMDA for 10 min or 30 min, respectively. For Ca2+ imaging experiment, dissociated cortical cells were plated at a density of approximately 4 × 105 cells per well using 24-well plate containing single 12-mm cover glass (Deckglasser, Mulheim, Germany) coated with poly-D-lysine, and grown until 20% to 30% confluent.
Ca2+ Imaging
Dissociated primary cortical neurons were loaded with 10 µmol/L Mag-Fura-2 (Molecular Probes [Thermo Fisher Scientific]) in Tyrode solution (140 mmol/L NaCl, 2.5 mmol/L CaCl2, 5 mmol/L KCl, 1 mmol/L MgCl2, 1 mmol/L NaH2PO4 5 mmol/L 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid (HEPES) and 5.5 mmol/L glucose [pH 7.4]) supplemented with 0.02% Pluronic acid (Molecular Probes [Thermo Fisher Scientific]) at 37°C. One hour after dye loading, cells were washed three times for 30 min each to allow deesterification of the acetoxymethyl ester. Cells were viewed under a Nikon Diapot microscope (DIAPOT-300) (Nikon Corporation, Tokyo, Japan) attached with a CCD camera (PXL-37) (Photometrics, Tucson, AZ, USA). Light was generated using a xenon lamp and filtered through 340- or 380-nm filters. Fluorescence intensities were measured using a 510-nm filter using a cooled CCD digital camera (PXL-37) (Photometrics). Ratios of fluorescence intensities of Mag-fura-2 excited at 340 and 380 nm (Ratio340/380) were obtained using Axon imaging workbench 2.2 (Axon Instruments, Union City, CA, USA) and used as surrogates of [Ca2+]i. Primary cortical neurons were treated with 30 mmol/L K+ using a pressure application system (Pressure System Ile; Toohey Company, Fairfield, NJ, USA) at 20 pounds per square inch (psi) and 100-ms pulse duration. Ratio340/380 values were recorded every 2 s. All imaging experiments were performed in the dark at room temperature.
Preparation of Cell Extracts and Protein Contents in Media
Nuclear and cytosolic extracts were prepared using NE-PER nuclear and cytoplasmic extraction reagents (Thermo Fisher Scientific), according to the manufacturer’s instructions. To prepare protein from culture media, media were centrifuged at 500g for 5 min to remove cellular debris. Supernatants were collected and concentrated using a Nanosep centrifugal device (Pall Life Sciences, Ann Arbor, MI, USA), according to the manufacturer’s instructions.
Immunoblotting
Cells were washed twice with cold phosphate-buffered saline (PBS) and lysed using radioimmunoprecipitation assay (RIPA) buffer (50 mmol/L Tris-HCl (pH 7.4), 1% NP40, 0.25% sodium-deoxycholate, 150 mmol/L NaCL, 1 mmol/L Na3VO4 and one mini-protease inhibitor cocktail tablet (Roche Diagnostics, Mannheim, Germany). Lysates were centrifuged at 14,000g for 15 min at 4°C and supernatants were then loaded onto 12% SDS-PAGE gels. The primary antibodies (diluted at 1:1000) used were as follows: anti-HMGB1 (ab67281) (Abcam, Cambridge, MA, USA) for cerebrospinal fluid (CSF) and media, anti-HMGB1 from (sc-56698) (Santa Cruz Biotechnology, Santa Cruz, CA, USA) for lysates, anti-inducible nitric oxide synthase (anti-iNOS) (Abcam), anti-PKCα (BD Biosciences, San Jose, CA, USA), anti-CaMKIV (BD Biosciences), anti-p62 (Santa Cruz Biotechnology), anti-lamin B (Santa Cruz Biotechnology), and anti-α-tubulin (Calbiochem [EMD Millipore]). Primary antibodies were detected using BM Chemiluminescence Blotting Substrate (Roche Diagnostics) and goat anti-rabbit, goat anti-mouse, and donkey anti-goat horseradish peroxidase-conjugated secondary antibodies (Millipore Bioscience Research Reagents, Temecula, CA, USA) were used.
Coimmunoprecipitation-Linked Immunoblotting
Total lysates containing 500 µg of protein were immunoprecipitated with 2 µL of anti-HMGB1 antibody (Abcam) overnight at 4°C. Preequilibrated protein G PLUS-Agarose beads (Santa Cruz Biotechnology) were then added and incubated for 2 h at 4°C on a rotating wheel. Beads were washed three times with RIPA buffer and the proteins so obtained were separated by SDS-PAGE. Anti-phospho-serine antibody (Millipore Bioscience Research Reagents) was used as the primary antibody at a dilution of 1:1000.
Cell Viabilities and NO Measurements
Cell viabilities after A23187 (a calcium ionophore) (Sigma-Aldrich) treatment (1),2.5 or 5 µmol/L) were analyzed using the MTT (3-[4,5-dimethylthiaziazol-3-yl] 2,5-diphenyl tetrazolium bromide) method. Briefly, 24 h after A23187 treatment (1),2.5 or 5 µmol/L, 30 min), cells were stained with 500 µg/mL MTT (Sigma-Aldrich). Media were then carefully aspirated and 200 µL of dimethyl sulfoxide (DMSO) was added to solubilize the colored formazan product. Optical densities were read at 550 nm. For lactate dehydrogenase (LDH) assay, 50 µL of A23187-treated media were mixed with same volume of LDH assay reagent (Roche Diagnostics) in a 96-well plate and incubated for 15 min. Optical densities were read at 490 nm. To measure the amount of NO produced by BV2 cells, 100 µL of conditioned medium was mixed with an equal volume of Griess reagent (0.5% sulfanilamide and 0.05% N-1-naphthylethylenediamine), and incubated for 10 min at room temperature. Absorbance of the mixture at 550 nm was measured using a microplate reader (Bio-Tek Instruments Inc., Winooski, VT, USA).
Calcium Assay and Staining
BV2 cells were treated with 2.5 µmol/L of A23187 for 30 min and then incubated with 4 µmol/L of Flou-4 (Molecular Probes [Thermo Fisher Scientific]) for 30 min and rinsed twice with PBS Increased fluorescence excitation at 488 nm was determined by confocal microscopy (LSM 510 META) (Carl Zeiss MicroImaging Inc., Thornwood, NY, USA) and by using a fluorescence microplate reader (Luminmax-c luminometer; Maxwell Sensors Inc., Santa Fe Springs, CA, USA).
Measurement of Ca2+ Chelating Activity
Excitation spectra of mag-fura-2 (10 µmol/L) (Molecular Probes [Thermo Fisher Scientific]) in the presence of various concentration of CaCl2 were measured in aqueous buffered solution (10 mmol/L MOPS, 120 mmol/L KCl, pH 7.15) using a LS55 Luminescence spectrometer (PerkinElmer Inc, Waltham, MA, USA). Fluorescence excitation spectra of mag-Fura-2 (10 µmol/L) and CaCl2 (1 mmol/L) were measured in the same buffered solution in the presence of ethylenediaminetetraacetic acid (EDTA), EP and sodium pyruvate, respectively. Fluorescent excitation spectra detected at 510 nm were measured at 22°C and the slit widths for excitation and emission were 15 and 20 nm, respectively. Fluorescence excitation spectra were recorded from 250 nm to 450 nm (increment 0.5 nm). Data analysis was performed using FL WinLab software (PerkinElmer Inc).
Statistical Analysis
Two-sample comparisons were performed using the Student t test, while multiple comparisons were made using one-way or two-way analysis of variance (ANOVA) followed by post hoc test to compare selected pairs of data. PRISM software 5.0 (GraphPad Software Inc., La Jolla, CA, USA) was used to perform statistical analysis. All data are presented as mean ± SEM and statistical difference was accepted at the 5% level.
Results
EP Decreased K+-Induced [Ca2+]i Increases in Primary Cortical Neurons
To investigate whether EP affects intracellular Ca2+ concentration ([Ca2+]i), we measured paired responses on the high K+-induced transient [Ca2+]i increases. Ca2+ influxes were evoked in isolated primary cortical neurons by 30 mmol/L of K+-containing normal Tyrode solution and ratios of fluorescence intensities of Mag-fura-2 excited at 340 and 380 nm (Ratio340/380) were used as surrogates of [Ca2+]i. When K+ (30 mmol/L) was applied for 10 s, transient Ca2+ responses were evoked (Ratio340/380; 0.47 ± 0.04, n = 29 cells) (Figure 1A). After primary cortical neurons were superfused with the Tyrode solution for 5 min to wash out the initial K+, 30 mmol/L of K+ was reapplied to the same cells. This second high K+ application elicited transient Ca2+ responses similar to the first application (Ratio340/380; 0.47 ± 0.03; n = 29 cells) (see Figure 1A). However, if EP (5 mmol/L) was treated for 3 min before second high K+ application (bold bar in Figure 1B), second K+-induced [Ca2+]i increases were significantly suppressed as compared with first K+-induced responses, 41.4 ± 1.9% of the first response (n = 60 cells, **p < 0.01) (Figure 1B). Furthermore, 0.5 or 1 mmol/L of EP suppressed high K+-induced [Ca2+]i increase to 66.4 ± 2.5% (n = 44 cells, **p < 0.01) or 56.0 ± 2.0% (n = 50 cells, **p < 0.01) of the first response, respectively, indicating that EP suppressed [Ca2+]i in a dose-dependent manner (Figure 1C).
EP Directly Scavenged Ca2+ under Cell Free Conditions
To further confirm that EP directly chelates Ca2+, fluorescence spectra studies were conducted with mag-Fura-2 (low affinity Ca2+ indicator). We first carried out the titration experiment of mag-fura-2 with CaCl2. As shown in Figure 2A, about 1 mmol/L CaCl2 was enough to completely form the complex between mag-fura-2 (10 µmol/L) and Ca2+ because the band at 370 nm corresponding to free mag-fura-2 decreased and the band at 330 nm corresponding to the complex increased. To confirm the chelating activity of EP for Ca2+, fluorescence excitation spectra of mag-Fura-2 (10 µmol/L) and CaCl2 (1 mmol/L) were compared in the presence of EDTA, EP or sodium pyruvate. The addition of increasing amounts of EDTA as a well-known Ca2+-chelating agent induced an increase of the band at 370 nm as well as a decrease of the band 330 nm, which indicated that EDTA removed calcium ions from mag-fura-2, resulting in the same spectrum of mag-fura-2 in the absence of Ca2+ (Figures 2A, B). Upon addition of an increasing amount of EP into the solution containing mag-fura-2 and CaCl2, the band at 330 nm decreased and the band at 367 nm increased at the concentration higher than 7 mmol/L (Figure 2C). This result suggests that EP, like EDTA, acts as a chelating agent, removing calcium ions from mag-fura-2. The chelating activity of EP was weaker than that of EDTA for Ca2+ because almost 9-fold excess of EP fully removed Ca2+ from mag-fura-2. However, upon addition of an increasing amount of sodium pyruvate into the solution containing mag-fura-2 and CaCl2, the band at 330 nm decreased but the band at 370 nm corresponding to free mag-fura-2 did not increase (Figure 2D), which suggested that pyruvate did not remove Ca2+ from mag-fura-2. To investigate whether the decrease of the intensity at 330 nm may be due to the absorbance by pyruvate, excitation spectra of mag-fura-2 in the presence of sodium pyruvate without CaCl2 were measured. The final spectrum of mag-fura-2 was almost the same as that of mag-fura-2 in the presence of sodium pyruvate with CaCl2 (1 mmol/L) (Supplementary Figure S1), which confirmed that the decrease of the intensity at 330 nm was due to the absorbance of a high concentration of pyruvate.
A23187 Induced HMGB1 Secretion in BV2 Cells Without Causing Concomitant Activation or Cell Death
Recently, we reported that EP inhibits HMGB1 release in the postischemic brain and in BV2 cells (a microglia cell line) (18,24). In addition, we also showed that EP suppressed PKCα- or CaMKIV-mediated HMGB1 phosphorylation in BV2 cells (18). Efficient Ca2+ chelation by EP prompted us to investigate the possibility that the inhibition of HMGB1 release by EP is due to the suppression of the Ca2+-induced activations of PKCα and CaMKIV. To find a culture condition that triggered HMGB1 secretion from BV2 cells without causing cell death, BV2 cells were cultured in media containing Ca2+ ionophore (A23187; 1, 2.5 or 5 µmol/L) for 30 min in the presence of FBS (1%, 2.5% or 5%) and cell viabilities were examined 24 h later (Figure 3A). In the presence of 5% FBS, cell viabilities were maintained at 100% even when they were treated with 1 or 2.5 µmol/L of A23187 (n = 4) (see Figure 3A). Complete survival and no activation of BV2 cells were confirmed by LDH (Figure 3B) and NO assays (Figure 3C), respectively. No activation of BV2 cells was further confirmed by showing that iNOS (see Figure 3C) and proinflammatory marker expressions (Supplementary Figure S2) were also not changed after 1 or 2.5 µmol/L of A23187 treatment. However, under these conditions, HMGB1 secretion was detected at 3 h after A23187 treatment and HMGB1 continuously accumulated in culture media until 24 h with a concomitant decrease of HMGB1 in cell lysate (Figure 3D). These results indicate that treatment with 1 or 2.5 µmol/L of A23187 induced HMGB1 secretion from BV2 cells by increasing [Ca2+]i without causing concomitant cell death or activation.
EP Blocked A23187-induced HMGB1 Secretion at the Level of Nuclear-to-Cytoplasmic Translocation
To determine whether EP inhibits A23187-induced HMGB1 secretion, BV2 cells were cotreated with 2.5 or 5 mmol/L of EP and A23187 (2.5 µmol/L) for 30 min and levels of HMGB1 in media, nuclear and cytoplasmic fractions were examined 24 h later. EP significantly blocked HMGB1 secretion at the level of nuclear-to- cytoplasmic translocation (Figure 4A). Similar inhibition of A23187-induced HMGB1 secretion by EP was also observed in RAW264.7 cells (Figure 4B). Together, these results indicate EP inhibits A23187-induced HMGB1 secretion at the level of nuclear to cytoplasmic translocation.
EP Suppressed A23187-Induced Intracellular Ca2+ Increases in BV2 Cells
To examine whether EP suppresses A23187-induced intracellular Ca2+ increase in BV2 cells, intracellular Ca2+ levels were examined in the presence or absence of EP using Fluo-4, a fluorescent Ca2+ indicator. After treating BV2 cells with A23187 (2.5 µmol/L, 30 min), intracellular Fluo-4-positive fluorescence level was increased markedly at 30 min, maintained at 1 h and decreased slightly at 6 h (Figures 5A, B). However, A23187-induced Flou-4 signals were reduced by cotreatment with EP (5 mmol/L) at all time points examined (n = 6, p < 0.01), suggesting Ca2+ chelation by EP in BV2 cells (see Figures 5A, B). To further confirm the ability of EP to chelate intracellular Ca2+, EP (1),2.5 or 5 mmol/L) was pre-treated for 1 h, medium was washed out, and cells were incubated with A23187 for 30 min, and intracellular Fluo-4-positive fluorescence levels were measured at 1 h after A23187 treatment. As was expected, [Ca2+]i levels were significantly reduced by EP pretreatment (n = 6, p < 0.01) (Figures 5C, D), although the level of suppression observed was weaker than that observed for EP cotreatment at 1 and 5 mmol/L. These results indicate that EP chelates Ca2+ in cytoplasm of BV2 cells and in media.
NMDA-Induced HMGB1 Secretion in Primary Cortical Cultures was Suppressed by Ca2+ Chelation
It is well known that NMDA receptor activation induces long-lasting intracellular Ca2+ elevation in neurons (26). To demonstrate that Ca2+ chelation by EP is involved in the suppression of HMGB1 release in more physiological contexts, levels of HMGB1 were examined in media obtained from NMDA -treated (100 µmol/L for 10 min or 50 µmol/L for 30 min) primary cortical cultures in the presence or absence of EP. At 24 h after NMDA treatment, HMGB1 accumulates in media of primary cortical cultures for both regimes (Figure 6A), which agrees with our previous report (27). HMGB1 accumulations in media were markedly inhibited by cotreating NMDA with EP in a dose-dependent manner (see Figure 6A). Similar inhibitions were observed after co-or pretreating two well-known Ca2+ chelators, EGTA and BAPTA-acetoxymethyl ester (BAPTA-AM), respectively, with NMDA (see Figure 6A), suggesting that intracellular Ca2+ chelation suppressed NMDA-induced HMGB1 release in neurons. To further confirm the intracellular Ca2+-chelation-mediated suppression of HMGB1 release, HMGB1 levels in media were examined after treating cells with A23187 in the presence or absence BAPTA-AM and EGTA. HMGB1 accumulations were suppressed significantly when BV2 cells were pretreated with BAPTA-AM (5),10 20 µmol/L) or cotreated with EGTA (1 mmol/L) (Figure 6B). These results indicate that intracellular Ca2+ chelation suppressed HMGB1 release in neurons and in glial cells.
EP Suppressed A23187-Induced HMGB1 Phosphorylation by Inhibiting the Activations of Ca2+-Mediated Kinases
When BV2 cells were treated with A23187 (2.5 µmol/L, 30 min), nuclear levels of PKCα and CaMKIV increased immediately and remained increased in nuclei at 1 or 2 h after A23187 treatment, respectively, and then decreased (Figure 7A), indicating Ca2+-mediated activations of PKCα and CaMKIV in BV2 cells. However, cotreatment of EP (5 mmol/L) and A23187 (2.5 µmol/L, 30 min) significantly suppressed the nuclear translocations of PKCα and CaMKIV observed after 1 h of A23187 treatment (Figure 7B). Furthermore, HMGB1 phosphorylation at its serine residues, which began to increase after 1 h of A23187 treatment and peaked at 2 h (Figure 7C), was markedly reduced by EP cotreatment in a dose-dependent manner (Figure 7D). Amounts of the precipitated proteins and input control were even in each lane, as evidenced by immunoblotting with anti-HMGB1 and anti-α-tubulin antibody (Figures 7C, D). Importantly, the addition of 0.1 or 1 mmol/L CaCl2 reversed the EP-mediated suppression of HMGB1 phosphorylation in A23187-treated cells, and this suppression was completely recovered by 1 mmol/L CaCl2 (Figure 7E). Together these results indicate that EP suppresses the Ca2+-mediated activations of PKCα and CaMKIV and the phosphorylation of HMGB1.
Discussion
Accumulating evidence indicates that the suppression of HMGB1 secretion by EP contributes to the antiinflammatory effect of EP. In mice with established endotoxemia, sepsis and murine colitis, EP reduced circulating levels of HMGB1 and significantly prevented lethality (14,16) and in mice with LPS-induced acute lung injury, EP also significantly suppressed HMGB1 release and reduced lung permeability indices and improved survival (28). Recently, we also reported the suppression of HMGB1 phosphorylation and release by EP in BV2 cells and the suppression of HMGB1 release by EP in the postischemic brain (18). In addition to the suppression of HMGB1 secretion, EP has been reported to inhibit HMGB1 expression in traumatic brain injury (7) and in myocardial ischemia/reperfusion injury models (2). Accordingly, it appears that EP might provide a therapeutic means of ameliorating inflammatory responses by suppressing HMGB1 expression and secretion. To the best of our knowledge, this is the first report to propose that Ca2+ chelation by EP underlies the inhibition of HMGB1 secretion by EP.
Regarding the importance of Ca2+ in HMGB1 release, recent studies have reported that HMGB1 release can be induced by A23187 in murine hepatocytes and in RAW264.7 cells and that this release is reduced by BAPTA (23,29). In addition, HMGB1 release induced by H2O2 or hypoxia in hepatocytes also was found to be suppressed by the chelation of Ca2+ by BAPTA, thus indicating that Ca2+ plays a critical role in oxidative stress-induced HMGB1 release probably by modulating CaMK (29). In the present study, we also showed HMGB1 release induced by A23187 in BV2 cells or by NMDA treatment in primary cortical cultures is suppressed by BAPTA and EGTA (Figure 6), demonstrating a crucial role of Ca2+ in HMGB1 release under various contexts and in various cells. Moreover, we demonstrated that A23187 induced intracellular Ca2+ increase with no concomitant cell death or activation (Figure 3), further confirming a direct role of Ca2+ in HMGB1 secretion independent of cell death or activation. In addition to modulating Ca2+-dependent enzymes involved in HMGB1 nuclear-cytoplasmic shuttling, intracellular Ca2+ plays a variety of roles which might be related to HMGB1 release. For example, secretory granules and/or lysosomes containing HMGB1 localized in cytoplasm were shown to be exocytosed from monocytes via Ca2+-regulated secretory pathway (30). Moreover, in the absence of Ca2+, the DNA binding properties of HMGB1, for which the C-terminal tail of HMGB1 plays an important role, were enhanced (31,32), which suggested that Ca2+ plays a critical role in the interaction between HMGB1 and DNA and that Ca2+ probably affects, at least indirectly, the subcellular localization of HMGB1. These reports highlight the importance of Ca2+ signaling in translocation of HMGB1, and further support the possibility that Ca2+ chelation provides an important means of inhibiting HMGB1 secretion. However, in terms of the nuclear to cytoplasmic translocation, the acetylation (33) and the redox modification of the cysteine residue (34) of HMGB1 also have been reported to be involved and we cannot exclude the possible roles of these modifications in HMGB1 secretion.
Considering the crucial roles played by metal ions as cofactors or enzyme modulators, Ca2+ chelation by EP might provide an important means of modulating cell death and survival under various pathological conditions. In the brain, free intracellular Ca2+ subserves complex roles as the main second messenger. Under pathological conditions of the brain, an intracellular free Ca2+ surge triggers various downstream neurotoxic cascades via the activations of various enzymes, such as calpains, proteases and endonucleases (35), and these early events result in free radical excess, cell swelling, DNA fragmentation and cytoskeletal breakdown, leading to apoptotic and/or necrotic cell death (36). Therefore, it can be postulated that in addition to the inhibition of HMGB1 release, various protective mechanisms emanating from Ca2+ chelation by EP contribute to its protective effects. Therefore, the robust neuroprotective effect of EP in the postischemic (3) and in the postepileptic brain (4) could be due to a combination of its antiinflammatory, antioxidative and antiapoptotic effects, wherein the suppression of HMGB1 release contributes to its antiinflammatory effect.
Conclusion Q4
Although our fluorometric study showed direct chelation of Ca2+ by EP (Figure 2), further studies are necessary to identify the binding site(s) involved and the mode of interaction. Regarding this, Sims et al. (37) proposed a mechanism whereby two ethyl pyruvate molecules are stabilized by one calcium ion. In addition, other molecular mechanisms possibly modulating intracellular Ca2+ levels, for example, blocking Ca2+ channel, need to be studied. However, we speculate that direct chelation plays a crucial role compared with Ca2+ channel blocking, if any, since A23187-induced intracellular calcium increase is not a Ca2+ channel-mediated phenomenon and, furthermore, intracellular Ca2+ levels were reduced significantly by EP posttreatment 1 h after A23187 treatment (data not shown). However, we cannot completely exclude this possibility at this moment and future studies are required.
Disclosure
The authors declare that they have no competing interests as defined by Molecular Medicine, or other interests that might be perceived to influence the results and discussion reported in this paper.
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Acknowledgment
This research was supported by grants from the Mid-Career Researcher Program (grant no. 2012-013195) and the Global Research Network (grant no. 220-2011-1-E00027) of the Korean National Research Foundation (NRF) to J-K Lee.
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Shin, JH., Kim, ID., Kim, SW. et al. Ethyl Pyruvate Inhibits HMGB1 Phosphorylation and Release by Chelating Calcium. Mol Med 20, 649–657 (2014). https://doi.org/10.2119/molmed.2014.00039
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DOI: https://doi.org/10.2119/molmed.2014.00039