To determine which changes in gene expression are most likely caused by oxidative stress we compared the expression patterns induced by diquat in WT mice with those of antioxidant knockout mice treated or untreated with diquat. In other words, we asked: Which genes would be altered by both exogenous and endogenous oxidative stress and which genes altered by diquat in WT animals would be enhanced by diquat in antioxidant knockout mice? We identified transcripts based on the following criteria: 1) they were altered by diquat in WT animals at 3 or 6 h after injection because oxidative damage peaks at that these time points (), 2) they were altered in untreated Sod1−/− mice, which have constitutively elevated oxidative damage (), and 3) they were altered to an even greater extent in the knockout mice, i.e., Sod1−/− or Gpx1−/− mice after diquat injection, i.e., transcripts that are hyper-inducible or hyper-repressible by diquat in antioxidant knockout mice ().
We initially expected that a large fraction of the transcripts that respond to increased oxidative stress would have antioxidant functions; however, the list of genes in and are dominated by stress response genes. With the exception of metallothionein, none of these genes has any obvious antioxidant function. The pattern of gene expression changes we found to be induced consistently by oxidative stress
in vivo was the upregulation of p53-target genes, many of which play a role in the genotoxic stress checkpoint response. In (genes altered by both endogenous and exogenous oxidative stress), 6 out of 24 upregulated genes are p53-targets (
44,
46):
Cdkn1a/p21 (
43,
64),
Gdf15 (
40,
66),
Atf3 (
56,
90),
Trp53inp1 (
65,
81),
Ddit4 (
23,
75) and
Ndrg1 (
47,
79). While these genes were up-regulated in untreated
Sod1−/− mice, none of them was upregulated in untreated
Gpx1−/− mice, which is a control because the
Gpx1−/− mice do not exhibit elevated oxidative damage. Two additional p53 transcriptional target genes,
Btg2 (
12,
71) and
Plk3 (
55,
89) are also in the list of genes in ; while a third,
Gadd45a (
36,
93), was not significantly induced in WT mice treated with diquat, but was significantly induced (<5-fold) in
Sod1−/− mice treated with diquat (see
Webtable I), suggesting this gene is responsive to oxidative stress, but only at very high levels of stress.
Btg2 and
Plk3 barely fell under the statistical cut-off in the untreated
Sod1−/−; on the other hand, the induction of these genes was dramatically higher in the
Sod1−/− and
Gpx1−/− mice treated with diquat as compared to WT treated with diquat ().
p53 is normally present at very low levels in nucleus (or in the cell in general) because it is rapidly tagged for nuclear export and degradation, predominantly by
Mdm2 (
37). Phosphorylation of p53 blocks the interaction with
Mdm2, resulting in increased p53 half-life and increased levels in the nucleus where it initiates transcriptional activation of its targets. Therefore, we measured the levels of p53 and phospho-p53 in the nuclear fraction of WT and
Sod1−/− mice to determine if the increased oxidative stress was correlated to the activation of p53. We found that the levels of p53 and phospho-p53 protein were significantly higher (30% to 40%) in nuclear fraction of the livers of
Sod1−/− mice.
We compared our microarray results with a previous study from Prolla's laboratory (
21) that reported gene expression changes induced
in vivo in mouse heart by paraquat. Because paraquat and diquat are both bipyridil compounds that redox-cycle and generate superoxide (
28,
78), we aligned the arrays (updating the annotations in the process) to determine which genes were commonly altered in these two situations. Of the 228 genes significantly altered in heart by paraquat, 88 genes or 38% were also statistically altered by diquat in the liver (
Webtable I). and are annotated to indicate which gene alterations were also observed in paraquat-treated heart. Almost all the p53-target genes, which we identified in the present study, were also up-regulated in heart after paraquat treatment (
21). Out of the nine p53-traget genes just mentioned (
Cdkn1a/p21,
Gdf15,
Atf3,
Trp53inp1,
Ddit4,
Ndrg1,
Btg2,
Plk3,
Gadd45a), six were up-regulated by paraquat in the heart (re-analysis of Prolla's array indicates that AI849939-unknown, induced >5-fold after paraquat injection, is
Ddit4).
Trp53inp1 and
Plk3 were not present on Prolla's arrays while the probesets for
Gdf15 were of poor quality on the MG-U74A array. We also compared our data with the
in vitro array data from Toledano's laboratory in which human cells [MCF7 breast cancerous and MRC9 lung fibroblasts (
19)] were oxidatively stressed with a bolus dose of H
2O
2. Despite the experiments being conducted in different cell types, different species, different gene chips (of different gene composition), and different oxidative stressors, the following gene alterations were conserved:
p21,
Gadd45a,
Atf3,
Btg2 and
Ddit4 are upregulated by a large magnitude
in vitro in transformed MCF7 and normal MRC9 cells after H
2O
2 treatment [data from in (
19)],
in vivo in heart following paraquat treatment (
21), and in our present data set [regarding these comparisons, several of these genes appear under different synonyms in different papers, for example
Btg2 is also known as TIS21 or PC3 (
71) and
Gdf15 is also known as PLAB]. Thus, the data indicate that the upregulation of p53 targets is a conserved response to oxidative stress across diverse organs and species.
The question arises as to whether the upregulation of p53 target genes is due to oxidative stress or arises as a consequence of massive cell damage triggering apoptosis. The microarray data do not support that the upregulation is involved in apoptosis because the classic p53 targets that are related to apoptosis, e.g., BAD, PUMA, NOXA [reviewed in (
39)] were not significantly increased by diquat treatment in WT mice or in the untreated
Sod1−/− mice, or even in the diquat treated
Sod1−/− mice (
Webtable I). The p53 targets genes that we observed to be oxidative stress responsive (e.g., p21, GADD45a, GDF15, Btg2) are predominantly involved in cell cycle arrest rather than apoptosis [reviewed in (
92)].
While short-term oxidative stress induced by diquat treatment of WT,
Sod1−/−, and
Gpx1−/− mice did not significantly induce the expression of the classical antioxidant enzymes (e.g., the superoxide dismutases, peroxiredoxins, glutaredoxins, catalases, glutathione reductases, or other glutathione peroxidases) in the livers of the mice, even though diquat treatment resulted in a dramatic increase in oxidative damage, long-term oxidative stress in the
Sod1−/− mice did result in the significant upregulation of less well known antioxidant genes in untreated
Sod1−/− mice compared to WT and
Gpx1−/− mice (). As shown in , the most upregulated antioxidant gene was the small cysteine-rich protein, metallothionein 1 (~4.5-fold increase). Metallothionein 2 was also upregulated (~3.5-fold increase), but fell just below the statistical cut-off (p<0.0083 vs p<0.005). Using Western blots, we observed an ~5-fold increase in the levels of metallothionein 1 and 2. We also observed an ~2-fold increase in glutamate-cysteine ligase (
Gclc) mRNA in the livers of
Sod1−/− mice. Glutamate-cysteine ligase plays a critical role in the glutathione antioxidant system as the rate-limiting enzyme in glutathione biosynthesis (
17,
74). The upregulaton of
Gclc is consistent with the observation by Marklund's group that levels of reduced glutathione (GSH) were increased in the livers of
Sod1−/− mice (
73). We also found several glutathione dependent enzymes to be upregulated (between 1.2-fold and 3-fold) in
Sod1−/− mice, e.g.,
Gpx4 and several glutathione-S-transferases, which exhibit glutathione peroxidase activity against fatty acid, lipid and organic hydroperoxides but not H
2O
2 (
91). Lei
et al. (
51) recently reported an increase in overall glutathione-S-transferase enzymatic activity in the livers of
Sod1−/− mice, which is in agreement with our array data. This same study also reported an ~50% increase in thioredoxin 1 reductase activity (
51). We found that the
Trnxrd1 transcript was significantly upregulated in our arrays, and we also found that the activity of thioredoxin reductase was also significantly increased (~90%) in the livers of the
Sod1−/− mice. The transcript of selenoprotein W was also found to be significantly increased 45% in the liver of
Sod1−/− mice. Selenoprotein W is a small glutathione interacting protein (
7), whose exact function is unknown; however, it appears to have antioxidant properties and is also upregulated in the liver during cadmium oxidative stress (
86). When ectopically expressed in cell culture, selenoprotein W provides protection against hydrogen peroxide (
42). Perhaps most interesting of all changes in gene expression in the livers of
Sod1−/− mice was the >2-fold upregulation of the sulfiredoxin (
Srxn1) transcript and the 6-fold increase in sulfiredoxin protein. Sulfiredoxin was identified in yeast as an enzyme that is capable of reversing what was previously thought to be irreversibly oxidative modification of cysteine [i.e., sulfinic acid, (
10)]. Our study is the first to demonstrate a direct association between oxidative stress and elevation in sulfiredoxin expression in mammals.
The common thread in these observations is a concerted upregulation of the thiol antioxidant system (metallothione, glutathione, thioredoxin, sulfiredoxin) and its associated enzymes in the
Sod1−/− liver. The upregulation of so many components of the thiol antioxidant system in the
Sod1−/− liver could be physiologically protective because free thiols react with superoxide at ~10
3 to ~10
4 M
−1 s
−1 (
9,
87), thereby scavenging the excess superoxide in the absence of CuZnSOD. Thiol antioxidants, e.g., glutathione, Nacetyl cysteine, cysteine, and metallothionein can rescue
Sod1−/− yeast (
80,
94) and elevated glutathione biosynthesis rescues neuroblastoma cells in which CuZnSOD was knocked down by RNAi (
2). Of the antioxidant genes upregulated in the
Sod1−/− listed in , none were statistically significantly altered in the
Gpx1−/− mice, which exhibit no significant elevation in oxidative damage in the absence of exogenous oxidative stressors.
Many of the antioxidant genes altered in the livers of
Sod1−/− mice (listed in ) are known to be under the control of the transcription factor,
Nrf2 [e.g., glutathione-S transferases, sulfiredoxin, glutamate cysteine ligase, and thioredoxin reductase 1 (
48)].
Nrf2 is normally sequestered in the cytoplasm by its binding partner
Keap1. When the
Keap1 is oxidized,
Nrf2 is activated and transitions to the nucleus to induce the transcription of its target genes (
48,
86). We observed no significant change in the
Nrf2 transcript in our array data. However, the level of
Nrf2 protein in the nuclear fraction of the liver of
Sod1−/− mice was increased ~4.5-fold compared to WT mice, which is consistent oxidative stress inducing the transcription of glutathione-S transferases, sulfiredoxin, glutamate cysteine ligase, and thioredoxin reductase 1 through the activation of
Nrf2.
In conclusion, the expression response to elevated oxidative stress in vivo does not constitute an upregulation of classical antioxidant genes, although long-term oxidative stress in the Sod1−/− mice leads to a significant upregulation of thiol antioxidants. Rather, we found that an upregulation of p53 target genes was a common and robust feature of oxidative stress in vivo. Our retrospective review of the literature shows that an upregulation in p53 target genes is a conserved expression response to oxidative stress across different organs and species, and holds true in vitro and in vivo. Thus, our study points to p53 playing an important role in the induction of gene expression in response to oxidative stress.