Article

  • The EMBO Journal (2002) 21, 631 - 642
  • doi:10.1093/emboj/21.4.631

TNFalpha inhibits skeletal myogenesis through a PW1-dependent pathway by recruitment of caspase pathways

Dario Coletti1,2, Ellen Yang1,2, Giovanna Marazzi1 and David Sassoon1

  1. Department of Biochemistry and Molecular Biology, Mount Sinai School of Medicine, 1 Gustave Levy Place, New York, NY 10029, USA
  2. D.Coletti and E.Yang contributed equally to this work

Correspondence to:

David Sassoon, E-mail: david.sassoon@mssm.edu

Received 7 June 2001; Accepted 19 December 2001; Revised 23 November 2001


Cachexia is associated with poor prognosis in patients with chronic disease. Tumor necrosis factor-alpha (TNFalpha) plays a pivotal role in mediating cachexia and has been demonstrated to inhibit skeletal muscle differentiation in vitro. It has been proposed that TNFalpha-mediated activation of NFkappaB leads to down regulation of MyoD, however the mechanisms underlying TNFalpha effects on skeletal muscle remain poorly understood. We report here a novel pathway by which TNFalpha inhibits muscle differentiation through activation of caspases in the absence of apoptosis. TNFalpha-mediated caspase activation and block of differentiation are dependent upon the expression of PW1, but occur independently of NFkappaB activation. PW1 has been implicated previously in p53-mediated cell death and can induce bax translocation to the mitochondria. We show that bax-deficient myoblasts do not activate caspases and differentiate in the presence of TNFalpha, highlighting a role for bax-dependent caspase activation in mediating TNFalpha effects. Taken together, our data reveal that TNFalpha inhibits myogenesis by recruiting components of apoptotic pathways through PW1.


  • Keywords:

    • bax,
    • cachexia,
    • caspase,
    • Peg3,
    • TNFalpha

Introduction

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Cachexia or muscle wasting is a major component of chronic disease states such as infection, AIDS and cancer. A similar process of muscle atrophy accompanies aging (Kotler, 2000). Tumor necrosis factor-alpha (TNFalpha) is a principle cytokine mediating cachexia (Tisdale, 2001); however, the mechanisms by which TNFalpha causes cachexia are not well understood. One primary response to TNFalpha is a marked increase in skeletal muscle protein degradation (Tisdale, 2001). It is known that TNFalpha can elicit apoptosis in a variety of cell types while other studies indicate that TNFalpha can inhibit skeletal muscle differentiation in vitro (Miller et al., 1988; Szalay et al., 1997; Guttridge et al., 2000). Therefore, cachexia may result from the combined processes of muscle protein reduction, cell death and attenuated muscle regeneration (Tisdale, 2001).

One hallmark of TNFalpha signaling is the activation of NFkappaB. NFkappaB is an ubiquitous transcription factor normally inactive and sequestered in the cytoplasm through association with IkappaB. A variety of stimuli, including TNFalpha exposure, leads to the degradation of IkappaB, allowing NFkappaB translocation to the nucleus (Israel, 2000). It has been demonstrated that TNFalpha exposure results in a downregulation of the levels of the myogenic regulatory factors, MyoD and myogenin, in cultured muscle cells (Szalay et al., 1997). A novel mechanism has recently been proposed whereby NFkappaB mediates the degradation of MyoD transcripts in myogenic cells, which could contribute to the ability of TNFalpha to block terminal differentiation (Guttridge et al., 2000). The successful differentiation of skeletal muscle requires cell cycle exit concomitant with the upregulation of p21 and myogenin (Andres and Walsh, 1996; Walsh, 1997). In addition, NFkappaB can inhibit myogenesis by the induction of cyclin D1, which promotes cell proliferation (Guttridge et al., 1999). A failure to properly coordinate cell cycle exit and differentiation has been demonstrated to lead to myoblast cell death in vitro, suggesting that cell death and terminal differentiation are closely linked (Guo and Walsh, 1997; Wang et al., 1997).

Caspases execute cell death in response to cytokines such as TNFalpha and internal cellular signals such as p53 (Hengartner, 2000). The cytokine- and p53-mediated cell death pathways use distinct members of the caspase family (Natoli et al., 1998; Hengartner, 2000). For example, homozygous deletion of caspase-8 abrogates cytokine-mediated apoptosis (i.e. TNFalpha, FasL), but not p53-mediated apoptosis (Varfolomeev et al., 1998; Yeh et al., 2000). Conversely, deletion of caspase-9 abrogates p53- and not cytokine-mediated apoptosis (Hakem et al., 1998; Kuida et al., 1998). While p53-mediated cell death requires an early step involving cytochrome c release from the mitochondria, both pathways ultimately engage mitochondrial processes (Desagher and Martinou, 2000). Recently, it has been shown that differentiation of avian, murine and human muscle cells is blocked following disruption of mitochondrial function, indicating that cell death and differentiation share common pathways in muscle cells (Rochard et al., 2000).

We reported previously the identification of a large zinc-finger containing protein, PW1, in a screen for muscle regulatory factors (Relaix et al., 1996, 1998). PW1 is identical to the paternally expressed gene Peg3 (Kuroiwa et al., 1996) (referred to as PW1 in this study). PW1 is expressed at high levels in developing skeletal muscle and muscle cell lines. We subsequently demonstrated that PW1 interacts with TRAF2 and that PW1 participates in the TNFalpha signal transduction pathway (Relaix et al., 1998). TRAF2 is a member of the TRAF protein family, initially identified as TNFalpha receptor associated factors, which participate in NFkappaB activation (Inoue et al., 2000). We found that PW1 is able to activate NFkappaB whereas an N-terminal truncated portion of PW1 (DeltaPW1) can block TNFalpha-mediated NFkappaB activation (Relaix et al., 1998). In addition to a role in the TNFalpha pathway, PW1 was independently identified as a p53-induced gene involved in p53-mediated cell death (Relaix et al., 2000). The co-expression of PW1 and SIAH-1, another p53-inducible gene that physically associates with PW1, results in apoptosis (Relaix et al., 2000). Consistent with a role in the p53 cell death pathway, it has been demonstrated that PW1 expression results in bax translocation to the mitochondria (Deng and Wu, 2000). Both MyoD and p53 mediate cell cycle arrest through the upregulation of p21 (Halevy et al., 1995; Gartel et al., 1996). Like p53, MyoD is also capable of inducing PW1 expression in fibroblasts (this study). MyoD, however, mediates differentiation whereas p53 mediates apoptosis, thus the high expression of PW1 in muscle cells likely reflects a role in mediating myogenesis rather than cell death.

We report here that TNFalpha inhibits muscle differentiation through the activation of caspases and that the effects of TNFalpha are dependent upon the presence of PW1 expression. Caspase inhibitors can reverse the block in differentiation elicited by TNFalpha. Caspase activation by TNFalpha does not result in apoptosis during the myoblast to myotube transition, revealing that the block in differentiation reflects a specific role for caspases in the myogenic program. Recently, it has been proposed that NFkappaB plays a pivotal role in the TNFalpha-response in muscle cells, thus we determined whether NFkappaB activation and caspase activation pathways interact with each other. We find that the rescue of differentiation by caspase inhibitors in the presence of TNFalpha does not abrogate NFkappaB activation and that suppression of NFkappaB activation does not block TNFalpha-mediated caspase activation. Robust TNFalpha-induced NFkappaB activation occurs in myogenic cells that are resistant to the TNFalpha-mediated block in differentiation, suggesting that NFkappaB does not play a major role in mediating the effects of TNFalpha upon the myogenic program. The ability of TNFalpha to mediate caspase-dependent inhibition of differentiation is observed only in PW1 expressing cells. We find that PW1 expression is required for caspase activation in response to TNFalpha and that primary myoblasts, which are deficient for bax, a downstream target of PW1, undergo robust differentiation in the presence of TNFalpha. Taken together, these results uncover a novel role for components of the cytokine-independent cell death effectors, specifically PW1 and its downstream effector bax, during skeletal myogenesis.

TNFalpha inhibits muscle cell differentiation in PW1 expressing myogenic cell lines

We had tested the effects of TNFalpha on muscle cells initially due to the observation that PW1 is expressed in most myogenic cells at high levels and participates in the TNFalpha signaling pathway (Relaix et al., 1996, 1998). We tested P2 and F3 myoblasts, which are derived from 10T1/2 fibroblasts exposed to 5-azacytidine, and the 10RMD line, which is derived from 10T1/2 fibroblasts stably transfected with MyoD under the control of the CMV promoter, as well as the established murine myogenic cell line, C2, derived from perinatal mouse skeletal muscle. PW1 is expressed in C2, P2 and 10RMD cells, whereas we detect PW1 expression in neither 10T1/2 nor in F3 cells (Figure 1A and B). Consistent with previously reported results (Guttridge et al., 1999, 2000), we observe that exposure of C2 cells to TNFalpha inhibits differentiation (Figure 1C). P2 and 10RMD cells are inhibited by murine TNFalpha (referred to as TNFalpha), whereas F3 cells show only a weak inhibition (Figure 1A). In the presence of human TNFalpha (hTNFalpha), which signals exclusively through the TNF receptor I (TNFRI) in murine cells, we find that F3 cells are unaffected whereas all other cell lines tested are blocked for differentiation (Figure 1C). Therefore, TNFalpha-mediated inhibition of muscle differentiation is primarily transduced through TNFRI and may depend upon PW1 expression.

Figure 1.

Figure 1 :

TNFalpha selectively inhibits muscle differentiation of PW1 expressing cells. (A) Northern blot analysis of PW1 expression in myogenic cell lines shows that P2 and C2 cells express high levels of PW1, whereas F3 myoblasts and the parental 10T1/2 cells do not express detectable levels of PW1 transcripts. Blots were hybridized simultaneously with actin to verify mRNA integrity and loading. (B) Immunolocalization of PW1 confirms PW1 expression in myogenic cells (C2 and 10RMD) but not in the F3 cells or in 10T1/2 cells. (C) Immunohistochemistry of myosin (red), a marker of myogenic differentiation, in myogenic cells cultured in DM in the presence or absence of TNFalpha. PW1-expressing C2 and P2 cells differentiate in the absence of TNFalpha (-TNFalpha) but do not differentiate if cultured in the presence of either murine (+mTNFalpha) or human (+hTNFalpha) TNFalpha. F3 cells, which do not express PW1, differentiate regardless the presence of TNFalpha. (D) Quantitative analysis of myogenic differentiation (% differentiation): only F3 cells are resistant to TNFalpha-mediated inhibition of differentiation.

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PW1 expression confers TNFalpha sensitivity to F3 myoblasts

The observation that F3 cells are capable of differentiation in the presence of TNFalpha raised the possibility that PW1 expression, which is absent in this cell line, confers TNFalpha sensitivity. Initial attempts at deriving stable cell lines carrying PW1 resulted in cells that shut down ectopic expression (data not shown), which may reflect endogenous cell cycle-dependent expression (Relaix et al., 1996). Thus, we relied upon transient transfection of PW1 followed by TNFalpha treatment. As seen in Figure 2, C2 cells, which normally express high levels of PW1, respond normally to TNFalpha following transfection of pcDNA (empty vector), thus the transfection procedures interfere with neither differentiation nor with the ability of TNFalpha to block differentiation. Since PW1 is induced in response to p53 in a cell death context, it was important to verify that transfection procedures do not activate PW1. Transfection of F3 cells with the empty vector does not alter the behavior of F3 cells in response to TNFalpha, and neither does transfection alone activate PW1 (Figure 2). In contrast, PW1-transfected F3 cells differentiate normally (Figure 2) but fail to differentiate in response to TNFalpha (Figure 2). Taken together, these results demonstrate that PW1 expression is sufficient to confer TNFalpha sensitivity, which results in a block of differentiation.

Figure 2.

Figure 2 :

PW1 confers TNFalpha sensitivity to myogenic cells. C2 and F3 cells transfected with either the empty vector or PW1 expression vector (PW1) and induced to differentiate in the presence or absence of TNFalpha. PW1 (green) and myosin (red) were immuno-detected to assess PW1 expression and differentiation, respectively. In both C2 and F3 cells, transfection with empty vector neither affects the pattern of differentiation in the absence nor in the presence of TNFalpha (TNFalpha). Ectopic PW1 expression in F3 cells does not affect differentiation (upper right panel). In contrast, virtually all F3 cells that express PW1 are no longer able to differentiate in the presence of TNFalpha (lower right panel). Only PW1-negative F3 cells (arrow) are myosin-positive upon TNFalpha treatment. Microscopic fields representative of duplicate plates are shown.

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TNFalpha-mediated NFkappaB activation is not sufficient to block myogenic differentiation

It has been reported previously that the activation of NFkappaB leads to a block in muscle differentiation (Guttridge et al., 2000; our unpublished results). We therefore monitored NFkappaB activation in differentiating C2 and F3 cells in the presence or absence of TNFalpha. We observe that C2 and F3 cells activate NFkappaB in response to TNFalpha (Figure 3A and B). Since F3 cells are capable of differentiating even though robust NFkappaB activation is observed, we conclude that TNFalpha-mediated NFkappaB activation is not sufficient to inhibit muscle differentiation. Curiously, pharmacological agents that are able to block NFkappaB activation such as MG132, PDTC and BAY (Li et al., 1998; Kaliman et al., 1999; Richter et al., 2001) result in massive cell death (data not shown), suggesting that NFkappaB activation may play a more critical role in governing cell survival.

Figure 3.

Figure 3 :

Myoblast differentiation can occur in the presence of TNFalpha-mediated NFkappaB activation. EMSA performed with a radiolabeled oligonucleotide containing a NFkappaB binding site on nuclear extracts from: (A) proliferating C2 (GM) and differentiating C2 (DM12) cells with or without TNFalpha treatment; and (B) differentiating F3 cells with or without TNFalpha treatment. NFkappaB binding activity (b) decreases during differentiation and is stimulated upon TNFalpha treatment in both C2 and F3 cells. The presence of the p65 subunit in NFkappaB complexes is demonstrated by a super-shift (a), performed by incubating the nuclear extract with an antibody against p65 (+Ab). An aspecific band (c) and the unbound probe (d) are shown. As controls, samples with no nuclear extract (no sample) or reacted in the presence of excess of unlabeled competitor are shown (+cold).

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Caspase activation is necessary for the TNFalpha-mediated block in skeletal muscle differentiation

TNFalpha not only activates NFkappaB, but is also well documented to activate the cytokine caspase pathway (Natoli et al., 1998; Varfolomeev et al., 1998). In view of the key role caspases play in governing and ultimately executing cell death, combined with the fact that PW1 is a key component in p53-mediated cell death and bax translocation (Deng and Wu, 2000; Relaix et al., 2000), we investigated whether the caspase pathways could underlie the effects of TNFalpha upon the myogenic program. We utilized caspase inhibitors in order to determine whether caspase activation is necessary for TNFalpha-mediated inhibition of differentiation. The addition of either of the pan-caspase inhibitors z-VAD or BAF restore the capacity of TNFalpha-treated cells to differentiate (Figure 4A), indicating that caspase activity is necessary for the TNFalpha-mediated block of differentiation. In the absence of TNFalpha, the addition of either pan-caspase inhibitor on C2 myoblasts does not enhance differentiation (Figure 4A), revealing that differentiation-associated cell death does not selectively target populations that would otherwise have differentiated. In order to ascertain which caspases are involved in the TNFalpha-mediated block in differentiation, we used DEVD, which inhibits primarily caspase-3 activity. We observe that DEVD is unable to rescue the block in differentiation (Figure 4A), although it does promote cell survival as expected (data not shown). These results indicate that TNFalpha utilizes a caspase upstream of caspase-3 to mediate inhibition of differentiation. In contrast, the use of either pan-caspase inhibitors or the caspase-3 inhibitor on F3 cells does not affect their differentiation, nor their response to TNFalpha. This observation suggests that PW1-deficient cells do not activate caspases in response to TNFalpha.

Figure 4.

Figure 4 :

A specific role for caspases during TNFalpha-mediated inhibition of myogenic differentiation. (A) C2 cells cultured in DM suplemented with or without TNFalpha and caspase inhibitors, as indicated. Immunolocalization of myosin was used as a marker of differentiation. Quantitative analysis of myogenic differentiation (% differentiation) was performed as described in Materials and methods. Pan-caspase inhibitors BAF or z-VAD are able to rescue differentiation of C2 cells in the presence of TNFalpha, while the caspase-3 inhibitor DEVD is ineffective. In F3 cells, which are insensitive to TNFalpha, all the caspase inhibitors have no major effect upon differentiation. (B) Caspase activity (shaded bars) was measured in TNFalpha-treated C2 cells and expressed as fold increase versus controls (untreated C2 cells). To rule out cross-reactivity of the substrates with caspase-3, parallel experiments were carried out by incubating the cell cultures with DEVD-FMK before performing the caspase activity assay (solid bars). Only caspase activities that are significantly induced by TNFalpha (caspase-1, -5, -6, -8 and -9 in C2 cells) are shown. Significance was calculated using a one-sample t-test (p <0.05).

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TNFalpha is believed to signal primarily through the cytokine caspase pathway, which involves caspase-8, whereas p53-mediated cell death signals through a bax-mediated pathway that leads to caspase-9 activation. Both caspases ultimately trigger the activation of caspase-3, which serves as a common nodal point in the cell death pathways (Woo et al., 1998). Since PW1 is involved in both signaling pathways, we wished to determine if one of these two pathways was preferentially activated. Our efforts using specific antibodies to activated forms of these caspases proved unsuccessful due to either lack of sensitivity or poor reactivity with murine caspases. It is also possible that the level of caspase activation triggered by TNFalpha in muscle cells is significantly lower than the levels that normally lead to cell death. Therefore we performed a biochemical analysis using fluorogenic substrates and assayed changes in the enzymatic rate of caspase activity. These assays reveal a significant increase in the activity of caspase-8 and -9 in C2 cells upon TNFalpha stimulation (Figure 4B). In contrast, no significant increase in caspase activities is seen in F3 cells in response to TNFalpha (data not shown). In addition, a variety of other caspases are also activated by TNFalpha in C2 cells and not in F3 cells, including caspase-1, -5 and -6 (Figure 4B). We focused our attention upon caspase-8 and -9 due to their direct involvement with the TNFalpha and p53 pathways, respectively.

We wished to determine the status of caspase activation during normal differentiation and in response to TNFalpha in myogenic cells. Utilizing a fluorogenic caspase substrate, we observe little to no detectable caspase activity in either C2 or F3 cells at all stages of differentiation (Figure 5A). TNFalpha exposure elicits caspase activity in proliferating and differentiating C2 cells (Figure 5A). In contrast, F3 cells show no detectable caspase activity in response to TNFalpha (Figure 5A). We note that TNFalpha-induced caspase activity in C2 cells, detected by the fluorogenic substrate, is efficiently competed by pre-incubation of the cells with non-fluorogenic BAF substrate (Figure 5A).These results are consistent with the observation that TNFalpha blocks differentiation of C2 but not F3 cells, suggesting a role for caspases in the TNFalpha-mediated block in myogenesis. We note that almost all C2 cells are labeled by the fluorogenic substrate in response to TNFalpha; however, we do not see obvious signs of massive cell death. These data, combined with our observation that caspase inhibitors abrogate the ability of TNFalpha to block differentiation, lead to the conclusion that TNFalpha recruits the caspase pathway to act upon the myogenic program and not to activate cell death. Given the observations that C2 cells, but not F3 cells, activate caspases in response to TNFalpha, we tested whether F3 cells would become capable of activating caspases following forced expression of PW1. As shown in Figure 5B, C2 and F3 cells show a normal pattern of caspase activation following transfection with empty vector and BFP. Following transfection with PW1, F3 cells show caspase activation only when combined with TNFalpha. These data demonstrate that PW1 expression is sufficient to confer caspase activation in response to TNFalpha and provide a mechanistic basis for a role of PW1 in muscle cells. We further note that a truncated form of PW1 (DeltaPW1), which has been previously demonstrated to block the ability of TNFalpha to activate NFkappaB in non-muscle cells, has no effect upon caspase activation in C2 cells (Figure 5B).

Figure 5.

Figure 5 :

PW1, but not NFkappaB, is necessary for TNFalpha-mediated caspase activation to occur. (A) Proliferating (GM) and differentiating (DM12) cells were subjected to caspase activation analysis (green) and the nuclei stained with Hoechst (blue). Each insert shows an enlarged portion of the corresponding picture. For each microscopic field, the corresponding phase contrast image is also shown. No caspase activity is detected in unstimulated cells (-TNFalpha), while TNFalpha (+TNFalpha) induces caspase activation, both in GM and DM, in C2 cells but not in F3 cells. Successful competition of the non-fluorescent caspase inhibitor (BAF) with the FITC-conjugated caspase substratum demonstrates the specificity of the assay. (B) Caspase activation analysis (green) in cells cotransfected as indicated and identified by the expression of the blue fluorescent protein (BFP, blue). Transfection (empty vector) does not affect caspase activation in C2 cells, both in the absence or presence of TNFalpha. A dominant-negative form of PW1 (DeltaPW1), which inhibits NFkappaB activation by TNFalpha, does not affect TNFalpha-mediated caspase activation. F3 cells are unaffected by transfection procedure alone; however, PW1 expression (PW1) confers the ability to activate caspases when combined with TNFalpha treatment. (C) C2 cells expressing the NFkappaB super-repressor IkappaB show caspase activation upon TNFalpha treatment, confirming independence of caspase activation from NFkappaB activation. Data representative of at least two independent experiments are shown.

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In order to test whether NFkappaB activation could affect the activation of caspases in TNFalpha-responsive cells such as C2, we transfected IkappaB super-repressor and measured fluorogenic caspase activity in the presence and absence of TNFalpha. We found that IkappaB-forced expression is not able to block caspase activity in C2 cells (Figure 5C), suggesting that the caspase activation does not lie downstream of the NFkappaB pathway in the TNFalpha response.

NFkappaB activation is independent of the caspase pathway

Since caspases can influence NFkappaB activity (Chaudhary et al., 2000; Hu et al., 2000; Kataoka et al., 2000) and the inhibition of NFkappaB can decrease TNFalpha-mediated inhibition of muscle differentiation (Guttridge et al., 2000; our unpublished results), we wished to determine whether caspases regulate the TNFalpha-mediated myogenic block through the regulation of NFkappaB or whether they function independently. We therefore examined NFkappaB activity in TNFalpha-treated myoblasts cultured in the presence or absence of caspase inhibitors. We find that caspase inhibitors do not abrogate TNFalpha-mediated NFkappaB activation even though cells differentiate under these conditions (Figure 6). These results demonstrate that caspase activity does not regulate the NFkappaB response in C2 cells but instead functions independently of NFkappaB in order to inhibit muscle differentiation.

Figure 6.

Figure 6 :

NFkappaB activation is not dependent on caspase activity. EMSA performed with a radiolabeled oligonucleotide containing a NFkappaB binding site on nuclear extracts from C2 (DM12) cultured in the presence or absence of a pan-caspase inhibitor (BAF) and/or TNFalpha. NFkappaB binding activity (upper arrow) is not dependent upon caspase activity, either in the presence or absence of TNFalpha. An aspecific band (lower arrow) and the unbound probe are also shown.

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The bax-caspase pathway is required for TNFalpha-mediated inhibition of skeletal muscle differentiation

It has recently been demonstrated that PW1 can promote bax translocation, consistent with its role during p53-induced apoptosis (Deng and Wu, 2000). Primary myoblasts from bax-deficient mice were derived in order to determine whether TNFalpha signals through bax to inhibit differentiation. Bax-deficient myoblasts differentiate into myotubes and exposure to TNFalpha is unable to block differentiation (Figure 7A). In contrast, wild-type primary cells do not differentiate in the presence of TNFalpha as seen with the C2 myogenic cell line. These data indicate that bax participates in the TNFalpha signaling pathway in muscle cells and is required for TNFalpha-mediated inhibition of differentiation. Results obtained from our experiment with the DEVD inhibitor indicate that caspase-3 is not required for TNFalpha-mediated inhibition of differentiation. To confirm this, caspase-3-deficient myoblasts were derived and tested for their response to TNFalpha. Caspase-3-deficient myoblasts are unable to differentiate in the presence of TNFalpha, indicating that caspase-3 is not involved in mediating TNFalpha-induced inhibition of muscle differentiation (Figure 7A).

Figure 7.

Figure 7 :

TNFalpha-mediated caspase activation and inhibition of myoblast differentiation requires bax. (A) Photomicrographs of primary cultures from myogenic cells derived from wild-type (+/+), caspase-3- or Bax-deficient mice, cultured in DM in the absence or continuous presence of TNFalpha (+TNFalpha) and immunostained for myosin. Quantitative analysis of myogenic differentiation (% differentiation) reveals that while TNFalpha potently inhibits myogenic differentiation of both wild-type and caspase-3-deficient cells, it does not affect myogenic differentiation of Bax-deficient cells. (B) Caspase activation analysis (green) in wild-type (+/+) and Bax-deficient primary myoblasts. Nuclei were stained with Hoechst (blue). Bax-deficient cells are not responsive to TNFalpha in terms of caspase activity.

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Our biochemical analyses did not distinguish between the caspase-8 and -9 pathways in the TNFalpha response in myoblasts. On the other hand, our results with bax-deficient myoblasts strongly point to the involvement of caspase-9, which is well documented to lie downstream of bax (Wei et al., 2001). Analysis of caspase activity in wild-type and bax-deficient myoblasts reveals strong caspase activation in wild-type myoblasts and only weak activity in bax-deficient myoblasts (Figure 7B). Taken together, we conclude that bax is a key component in the TNFalpha-mediated inhibition of differentiation and reveal that TNFalpha exposure of myogenic cells results in the recruitment of effectors, which normally act downstream of the p53 apoptotic pathway.

Discussion

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An understanding of how TNFalpha affects skeletal muscle is an important problem in cancer biology. Muscle wasting associated with chronic diseases such as cancer can pose greater risk than the primary causative disease. The mechanisms underlying muscle wasting or cachexia may reflect the finding that myogenic cells are blocked in the differentiation process in the presence of TNFalpha (Miller et al., 1988; Szalay et al., 1997; Guttridge et al., 2000). A recent paper reported that caspase-1, -3, -6, -8 and -9 are activated in skeletal muscle of cachectic mice (Tisdale, 2001). In addition to activation of the cytokine-dependent caspases following TNFalpha exposure in vivo and in vitro, another major cellular response involves NFkappaB activation (Darnay and Aggarwal, 1997; Yeh et al., 1997; Relaix et al., 1998; Pomerantz and Baltimore, 1999), thus either one or both of these responses may be important in the specific case of myogenic cells.

PW1 was initially identified from a screen designed to isolate muscle regulatory factors expressed in undifferentiated myoblasts (Relaix et al., 1996). This screen was carried out using P2 myoblasts, which are derived from 10T1/2 cells following 5-azacytidine treatment. PW1 expression is abundant in all myogenic cell lines tested with the exception of F3 cells, which are also 10T1/2-derived myogenic cells. Yeast two-hybrid analysis revealed that PW1 strongly associates with TRAF2 and led to the observation that PW1 is a potent activator of NFkappaB (Relaix et al., 1998). A parallel study revealed that PW1 is also induced by p53 during p53-mediated apoptosis (Relaix et al., 2000). PW1 is also capable of inducing bax translocation, which is a critical early step in p53-mediated cell death (Deng and Wu, 2000). The participation of PW1 in these two pathways suggests that PW1 provides a mechanistic link between the cell death and NFkappaB pathways in response to TNFalpha. An additional link between these two pathways is provided by the fact that PW1 strongly associates with the Siah proteins, which participate in both p53-mediated growth arrest and cell death (Matsuzawa et al., 1998). Recently, we have demonstrated that the Siah proteins are able to participate in mediating NFkappaB activation (Polekhina et al., 2002). In this study, we demonstrate that TNFalpha-mediated inhibition of skeletal muscle differentiation is dependent upon caspase activity and that bax is required to mediate this response. Furthermore, we show that PW1 plays a pivotal role in mediating the TNFalpha response in muscle cells. F3 myogenic cells, which do not express PW1, do not show a block in differentiation in response to TNFalpha; however, forced-expression of PW1 is sufficient to confer TNFalpha sensitivity in these cells.

Recent studies have demonstrated that TNFalpha inhibits differentiation via activation of NFkappaB, which in turn downregulates MyoD and upregulates cyclin D1 (Guttridge et al., 1999, 2000). Likewise, we find that activators of NFkappaB inhibit muscle differentiation whereas NFkappaB inhibitors enhance differentiation (E.Yang, D.Coletti, G.Marazzi and D.Sassoon, manuscript in preparation). However, several observations suggest that TNFalpha-mediated inhibition of myogenic differentiation is not solely regulated by NFkappaB. First, F3 cells strongly activate NFkappaB but are not inhibited from differentiation in response to TNFalpha. Since other NFkappaB activators can inhibit F3 differentiation (E.Yang, D.Coletti, G.Marazzi and D.Sassoon, manuscript in preparation), their inability to respond to TNFalpha does not result from an intrinsic defect in the NFkappaB pathway. In fact, we see that while TNFalpha elicits a robust activation of NFkappaB in F3 cells, it does not lead to caspase activation. Conversely, in C2 cells, we observe that caspase inhibitors rescue myogenic differentiation, whereas TNFalpha-mediated NFkappaB activation is unaffected. Therefore, NFkappaB activation is not sufficient to inhibit differentiation in C2 cells in response to TNFalpha. Although we cannot exclude a role for NFkappaB in TNFalpha-mediated inhibition of skeletal muscle differentiation, our data suggest that other TNFalpha-mediated pathways such as caspase activation are critical and limiting. One notable difference between C2 and F3 cells is that F3 cells do not express detectable levels of PW1. Indeed, this difference in PW1 expression prompted us to compare the effects of TNFalpha in both cell lines.

Our data reveal that myogenic cells are blocked in differentiation by TNFalpha through the caspase pathway, which normally mediates cell death. A similar mechanism has been proposed to occur during erythropoiesis where caspase-dependent cleavage of GATA-1 prevents maturation (De Maria et al., 1999). In response to TNFalpha, C2 but not F3 myoblasts show caspase (i.e. caspase-1, -5, -6, -8 and -9) activation and are inhibited from differentiation. Furthermore, when caspase activity is blocked in C2 cells, TNFalpha can no longer inhibit skeletal muscle differentiation. We therefore conclude that TNFalpha-mediated activation of caspases in myoblasts is necessary for TNFalpha-mediated inhibition of muscle differentiation. This inhibition cannot be explained through a mechanism whereby TNFalpha selectively kills cell that are fated to differentiate. Indeed, the degree of cell death required to eliminate all differentiated cells would have resulted in a massive decline in cell number, which we do not observe. In addition, TNFalpha-mediated caspase activation does not inhibit differentiation through activation of NFkappaB, which still occurs in the presence of caspase inhibitors.

It has been shown that caspase-3 cleaves substrates important for muscle differentiation such as Rb and p21 (Tan and Wang, 1998; Suzuki et al., 2000). However, we find that caspase-3-deficient cells respond to TNFalpha, demonstrating that other caspases play a key role in inhibiting differentiation. It is unlikely that caspase-8 is involved since the DEVD inhibitor is not able to rescue TNFalpha-induced inhibition, even at high doses (100 muM; data not shown), which inhibits caspase-8 activity. The requirement of bax and our observation that caspase-3 mutant myoblast differentiation is blocked by TNFalpha strongly implicates caspase-9 as the key component in the TNFalpha response leading to a block in differentiation. An alternative model would be that a novel caspase pathway lies downstream of bax. Given the TNFalpha-mediated activation of caspase-1, -5 and -6 that we observe in C2 cells, we cannot rule out a role for these caspases. In muscle, bax expression is induced in dying as well as regenerating muscle, indicating that it may have a dual function in this tissue (Olive and Ferrer, 1999). Bax is thought to form ion-channels in the mitochondria, which in turn destabilize the outer mitochondrial membrane leading to mitochondrial dysfunction; this has been demonstrated to inhibit differentiation in skeletal muscle (Ichida et al., 1998; Rochard et al., 2000). Although the exact function of PW1 in the context of muscle cells has yet to be fully determined, our data strongly imply that PW1 functions to recruit components of cell death effectors normally associated with p53-induced cell death in response to TNFalpha. This mechanism may result from the ability of PW1 to induce bax translocation to the mitochondria (Deng and Wu, 2000). Consistent with this model (see Figure 8) is the observation that bax-deficient myoblasts do not respond to TNFalpha.

Figure 8.

Figure 8 :

Model for TNFalpha-mediated inhibition of myogenic differentiation. PW1 is required for caspase activation and associates with TRAF2 to mediate NFkappaB activation. Both PW1 and Bax are necessary for TNFalpha-mediated caspase activation and inhibition of differentiation. NFkappaB activation occurs in TNFalpha-exposed myogenic cells that do not express PW1 and does not effect myogenic potential, indicating that NFkappaB activation does not affect differentiation. Rather, our data with NFkappaB inhibitors suggest a role for NFkappaB in mediating cell survival.

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Taken together, this study provides the first demonstration that TNFalpha signals through a bax/caspase pathway to influence the differentiation of muscle cells. In general, the bax/caspase pathway is not activated by cytokines such as TNFalpha, but is instead activated downstream of the p53 cell death pathway. PW1 is induced during p53-mediated cell death in fibroblasts and PW1 interacts with TRAF2. TNFalpha may engage the p53 cell death effector pathways through PW1 (Figure 8). We find that MyoD expression induces PW1 in 10T1/2 cells, thus MyoD may substitute for p53 in normal myogenic cells by maintaining the expression of PW1. Examination of MyoD-deficient myoblasts reveals almost a complete absence of PW1 expression compared with wild-type controls (M.Rudnicki, personal communication). The high expression levels of PW1 in muscle cells as compared with most other cell types may reflect the preferential sensitivity of skeletal muscle to the cachectic effects of TNFalpha. These data may have important implications for understanding the cellular and molecular processes underlying cachexia.

Materials and methods

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Cells, culture conditions and transfection procedures

All cell lines (C2, 10T1/2, F3, P2 and 10RMD) were grown in Dulbecco's modified Eagle's medium (DMEM) supplemented with 15% fetal bovine serum (FBS; Hyclone Laboratories, Logan, UT) and 1 mug/ml penicillin/streptomycin (Invitrogen, Carlsbad, CA) (GM). F3, P2 and 10RMD cell lines were provided by Dr A.Lassar (Harvard Medical School). Myogenic cells were differentiated by shifting the medium to DMEM supplemented with 2% horse serum and penicillin/streptomycin (DM). DNA was transfected into cells using FuGene 6 (Roche Molecular Biochemicals–Boehringer Mannheim, Indianapolis, IN) following the manufacturer's instructions. The IkappaB, PW1 and DeltaPW1 expression constructs have been described elsewhere (Relaix et al., 1998). Transfections were monitored using an expression construct for blue fluorescent protein (BFP; Quantum Biotechnologies, Laval, Canada). One day after transfection cells were replicate plated onto gelatin-coated coverslips, and 2 days after transfection the cells were treated with or without 20 ng/ml TNFalpha (Roche Molecular Biochemicals–Boehringer Mannheim) for 8 h in GM and/or an additional 12 h in DM. For differentiation experiments, TNFalpha was supplemented at 20 ng/ml in GM for 8 h before the cells were switched to 20 ng/ml TNFalpha in DM. Caspase inhibitors [z-VAD.fmk (benzyloxycarbonyl-Val-Ala-Asp fluoromethylketone), BOC-Asp.fmk or z-DEVD.fmk (Enzyme System Products, Livermore, CA)] were added at a concentration of 20 muM suspended in DMSO. DMSO alone was used for control experiments. The medium was changed daily.

Transgenic mice and generation of primary myoblasts

C57BL6 Bax-deficient mice were generously provided by Dr Ruth Slack (Knudson et al., 1995) and are now available from Jackson Laboratories (Bar Harbor, ME). Transgenic mice carrying a caspase-3 null mutation were obtained from Dr David S.Park (Kuida et al., 1996; Woo et al., 1998). Primary myoblasts were isolated from adult hindlimb muscle from 2- to 3-month-old mice as described previously (Megeney et al., 1996), including hepatocyte growth factor (10 ng/ml; Sigma) and heparin (5 ng/ml; Sigma) in GM for the first 48 h of culture; 2.5 ng/ml bFGF was added to GM thereafter. The primary cultures were maintained on collagen-coated dishes in Ham's F10 (Gibco-BRL) supplemented with 20% FCS, 200 U/ml penicillin, 200 mug/ml streptomycin and 0.002% Fungizone (Invitrogen) (GM). All experiments were performed using cultures passaged less than 10 times. Differentiation medium for primary cultures (DM) consisted of DMEM supplemented with 5% horse serum and antibiotics as described above.

Northern blot analysis

Total RNA was isolated from cell lines using the RNAzol (TelTest Inc., Friendswood, TX) method. RNA samples (10 mug) were separated by electrophoresis on a denaturing 1.2% agarose/1.2% formaldehyde gel. Uniform loading of the gels was verified by hybridization with a probe to cytoskeletal actin (see below). RNA was transferred to a Nytran membrane (Schlecter & Schuell, Keene, NH) and baked for 2 h at 80°C. A cDNA probe corresponding to the terminal 900 bp for PW1 was used as described previously (Relaix et al., 1996). The probe for cytoskeletal actin was used as described elsewhere (Alonso et al., 1986). Northern blots were exposed for 1 week at -80°C. All labeling and washing conditions were as described previously (Relaix et al., 1996).

Immunohistochemistry and percentage of differentiation

Cells were grown on gelatin-coated glass, fixed in 4% paraformaldehyde/PBS for 10 min at room temperature, and permeabilized in 0.1% Triton X-100. Following blocking reaction, the cells were incubated with PW1 antibody (Ab) or MF20 Ab at 4°C, overnight. The primary Ab was detected by biotinylated goat anti-rabbit Ab or biotinylated goat anti-mouse Ab, followed by streptavidine-conjugated horseradish peroxidase (HRP; Jackson Laboratories). Signal was detected using SigmaFast™ 3,3' Diaminobenzidine (Sigma, St Louis, MO; DAB Peroxidase Substrate) following the manufacturer's instructions. In other experiments, AlexaFluor568-conjugated anti-mouse Ab and AlexaFluor488-conjugated anti-rabbit Ab were used as secondary antibodies (Molecular Probes, Eugene, OR). Photomicrographs were obtained using a Zeiss Axiophot microscope fitted with a SPOT RT Slider camera (Diagnostic Instruments, Sterling Heights, MI). Quantitative analysis of differentiation was performed by determining the number of nuclei in MF20-positive cells within total nuclei in a microscopic field (% differentiation). At least 300 cells from a randomly chosen field were counted.

Caspase activity

In situ assay. Caspase activation was measured by CaspACE (FITC.VAD.fmk) in situ marker (Promega, Madison, WI) according to the manufacturer's instructions. Briefly, C2 and F3 cells were cultured in GM in the absence or presence of 20 ng/ml TNFalpha for 8 h and treated with FITC.VAD.fmk (10 muM) for 20 min to allow binding to activated caspases. After one wash with PBS, cells were fixed in 4% paraformaldehyde/PBS for 20 min at room temperature in the dark. Nuclei were stained with 5 muM Hoechst 33258 (Roche Molecular Biochemicals–Boehringer Mannheim). Photomicrographs were obtained using a Zeiss Axiophot microscope fitted with a RT-slider spot camera (Diagnostic Instruments).

Enzymatic assay. Cells cultured in DM in the absence or continuous presence of 20 ng/ml TNFalpha were collected in lysis buffer as in Moriya et al. (2000). The cytosolic fraction was used to perform the enzymatic assay, while the nuclear pellet was used to measure DNA content as described previously (Labarca and Paigen, 1980). Ac-YVAD, 7-amino-4-trifluoromethyl coumarin (AFC) was used as caspase-1 substrate, Ac-WEHD-AFC as caspase-5 substrate, Ac-VEID-AFC as caspase-6 substrate, Ac-IETD-AFC as caspase-8 substrate, and Ac-LEHD-AFC as caspase-9 substrate (Biovision, Palo Alto, CA), after determining the optimal concentration for each substrate. The enzymatic reaction was performed in 10 mM PIPES pH 7.4, 2 mM EDTA, 0.1 % CHAPS, 5 mM DTT at 37°C, in Falcon 96-well white plates (BD, Pharmingen Franklin Lakes, NJ). Extract from cells cultured in the presence of the non-fluorogenic DEVD-FMK were used to rule out the possibility of non-specific cleavage of the AFC substrates by caspase-3. Fluorometric readings were performed over a 30 min period at a wave-length pair of 400/505 nm excitation/emission, using a Spectramax Gemini XS (Molecular Devices, Sunnyvale, CA). Kinetic analysis (determination of Vmax) of AFC fluorescence was used to calculate enzymatic activity, which was normalized by DNA content and expressed as fold increase on the basal level (unstimulated cells). Statistical analysis was performed using software by the Statistical Computation Laboratory, University of Michigan (available on the web at http://www.stat.wmich.edu/slab/software).

Electrophoresis mobility shift assay (EMSA)

Nuclear extracts from cells were prepared as described previously (Andrews and Faller, 1991). For each sample, 6 mug of protein was combined with 10 fmoles of NFkappaB binding DNA probe (5'-AGT TGA GGG GAC TTT CCC AGG-3'; Promega, Madison, WI) labeled with [gamma-32P]dATP (10 muCi, 6000 Ci/mmol, Perkin Elmer-NEN, Boston, MA) by use of T4 polynucleotide kinase, and then gel purified. For supershift EMSA, a monoclonal antibody against p65 (Sigma, St Louis, MO) was incubated with the nuclear extract for 30 min prior to the binding reaction. As a competitor, a 100times excess of cold probe was added to the binding buffer just before the radioactive probe. Complexes were resolved on a 5% polyacrylamide gel in 0.25times TBE at 6 mA, for 4 h at 4°C. The gels were dried and exposed on Biomax film with intensifying screen overnight.



Acknowledgements

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The authors wish to thank Drs D.Park and R.Slack for the mutant mice used in this study, as well as E.Keramaris for genotyping the animals used for primary cultures. They also thank Dr M.Mericskay for critical reading of the manuscript. The work in this study was supported in part by a grant from the Muscular Dystrophy Association and American Heart Association, and NIH grant No. (NCI)-PO1-CA80058-01A1 DS (subproject) to D.S. D.S. is an AHA Established Investigator Award (Kenner Fellow). We also acknowledge support from NIH grant No. T32 HD07478 to E.Y.

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