TRAIL elicits a heterogeneous phenotypic response in both sensitive and relatively resistant cell lines: some cells die within 45 min, others 8–12 hr later, and yet others live indefinitely (
Supplementary Fig. 1). During the variable delay between TRAIL addition and MOMP, upstream initiator caspases are active but downstream effector caspases are not
11,12. Possible sources of cell-to-cell variability in responses to TRAIL include genetic or epigenetic differences, stochastic fluctuations in biochemical reactions involving low copy number components (“intrinsic noise”
3), differences in cell cycle phase, and natural variation in the concentrations of key reactants. To distinguish among these and other possibilities, we used live-cell microscopy to compare the timing and probability of death in sister cells exposed to TRAIL. Were phenotypic variability caused by genetic or epigenetic differences, sister cells should behave identically. In contrast, were stochastic fluctuations in reactions triggered by TRAIL to predominate, sister cells should be no more similar to each other than pairs of cells selected at random. The influence of cell cycle state on apoptosis should be readily observable from time-lapse imaging of asynchronous cultures. Finally, variability arising from differences in protein levels (or in activity or modification state) should produce a highly distinctive form of inheritance in which newly born sister cells are very similar, because they inherit similar numbers of abundant factors from their mother
4,7, but then diverge as new proteins are made and levels drift
10,16. With this in mind, we examined apoptosis in HeLa cells and in non-transformed MCF10A mammary epithelial cells in the presence and absence of protein synthesis inhibitors.
Pairs of sister cells expressing a fluorescent reporter of MOMP (IMS-RP
11) born during a 20–30 hr period were identified by time-lapse microscopy. TRAIL and the protein synthesis inhibitor cycloheximide were then added and filming continued for another 8 hr. The TRAIL to MOMP interval (
Td) was calculated for each cell (). Among recently divided sisters (< 7 hr between division and death),
Td was highly correlated (
R2 = 0.93, ) whereas
Td was uncorrelated (
R2 = 0.04) for recently divided cells chosen at random. Time since division () and position in the dish (data not shown) did not correlate with
Td, ruling out a role for cycle state and cell-cell interactions under our experimental conditions. However, as time since division increased, sister-to-sister correlation in
Td decayed exponentially with a half-life of ~11 hr so that sisters lost memory of shared ancestry within 50 hours or about 2 cell generations (
R2 ≤ 0.05, the same as random pairs of cells; ). Similar results were obtained with MCF10A cells (
Supplementary Fig. 2).
High correlation among recently born sisters shows that variability in
Td arises from differences that exist prior to TRAIL exposure and rules out stochastic fluctuations in signaling reactions. Rapid decorrelation also rules out genetic mutation or conventional epigenetic differences (which typically last 10–10
5 cell divisions
17). However, transient heritability is precisely what we expected for cell-to-cell differences arising from variations in the concentrations or states of proteins that are partitioned binomially at cell division.
Whereas all TRAIL-treated HeLa cells eventually died in the presence of cyloheximide, in its absence a fraction always survived (presumably due to induction of survival pathways
18). When the fates of sister cells were compared, both lived or both died in almost all cases (chi-square test, p=7×10
−19,
Supplementary Fig. 3). Variability in
Td across the population was large ( and
Supplementary Fig. 4), but recently born sisters were nevertheless correlated in
Td (R
2=0.75, ). Again, cell cycle phase was not correlated with fate or time-to-death (). Decorrelation in
Td among sisters was an order of magnitude more rapid in the presence of protein synthesis than in its absence (~1.5 hr half-life, and
Supplementary Fig. 5). Thus, the length of time that
Td is heritable is very sensitive to rates of protein synthesis, both basal and TRAIL-induced.
Are the concentrations of proteins regulating TRAIL-induced apoptosis sufficiently different from cell to cell to account for variability in
Td? Using flow cytometry, we measured the distributions of five apoptotic regulators for which specific antibodies are available. All five proteins were log-normally distributed across the population with coefficients of variation between 0.21 and 0.28 for cells of similar size (), consistent with data on other proteins
10. To determine the impact of variability in protein levels on variability in time-to-death, we turned to an ordinary differential equation model of TRAIL-induced apoptosis
12. This model encapsulates the biochemistry of TRAIL-mediated death and recapitulates the dynamics of apoptosis under various conditions of protein depletion or over-expression
12. When variability in
Td arising from variance in protein levels was modeled, a good match was observed to experimental data () implying that measured differences in protein levels are sufficient to account for variability in
Td.
Which steps in receptor-mediated apoptosis are responsible for variation in time-to-death? To address this question, we grouped reactions into three sets: those occurring before, during, or subsequent to MOMP ( – blue, grey, and orange). Before MOMP, TRAIL binds and oligomerizes DR4/5 receptors, promoting assembly of death-inducing signaling complexes (DISCs) that then activate initiator pro-caspases-8 and -10 (C8/10)
19. Active C8/10 cleaves Bid to tBid
20,21, which activates the pore-forming proteins Bax and Bak
22. C8/10 also processes effector pro-caspases-3 and −7 (C3/7) but C3/7 activity is held in check by XIAP until MOMP
19. MOMP itself involves self-assembly of activated Bax/Bak into transmembrane pores, a process antagonized by anti-apoptotic Bcl-2 proteins
22. When levels of activated tBid, Bax, and Bak exceed a threshold set by inhibitory Bcl-2 proteins, pores form in the mitochondrial outer membrane, allowing cytochrome
c and Smac to translocate into the cytosol
22. In post-MOMP reactions, cytosolic Smac neutralizes XIAP, relieving C3/7 inhibition and allowing cleavage of effector caspase substrates and consequent cell death
19. In a parallel route to C3/C7 activation, cytosolic cytochrome
c promotes apoptosome assembly and caspase-9 activation.
To determine which steps in TRAIL-induced apoptosis play the greatest role in determining variability in death time, we imaged cells expressing a reporter of either initiator or effector caspase activity (IC-RP or EC-RP)
11 in combination with IMS-RP. We found almost all variability in
Td to arise during the pre-MOMP interval (). The timing of MOMP itself is determined by the rate at which tBid accumulates to a threshold set by the levels of Bcl-2 family proteins. This rate and threshold can be determined from the initial rate of IC-RP cleavage (
kIC) and the fraction of IC-RP cleaved (θ) at the time of MOMP, respectively. When
kIC and θ were measured in single TRAIL-treated cells, the timing of MOMP was found to be controlled by a variable rate of approach to a threshold of variable height (). However, variation in
kIC played a significantly greater role in determining
Td than variation in θ (R
2=0.82 vs. R
2=0.22; , and
Supplementary Fig. 7). Moreover,
kIC was very similar in recently born sister cells with similar
Td, but dissimilar in older sisters (). We conclude that cell-to-cell variability in
kIC – and by implication the rate of conversion of Bid to tBid – is the primary determinant of variability in time-to-death under our experimental conditions.
Levels of multiple proteins set
kIC, including DR4/5 receptors, DISC components, C8, and Bid itself. Modelling suggested that knowing the concentration of any single protein upstream of Bid would have minimal value in predicting
Td – the impact of variation in all other proteins is too great (). Live-cell analysis of FLIP, an important regulator of pro-caspase-8 binding to the DISC, was consistent with this prediction, as was analysis of other single proteins by flow cytometry ( and data not shown). However, modelling showed that with increasing over-production of Bid, measurement of its levels would be increasingly predictive of
Td (,
Supplementary Fig. 8). We therefore measured the relationship between dispersion in
Td and levels of Bid-GFP (). A ~50-fold increase in Bid-GFP caused the variability in
Td to fall significantly, concomitant with a decrease in mean time-to-death from ~3 hr to ~45 min. Thus, only when over-expressed is the level of one protein predictive of
Td; under normal circumstances, control is multivariate.
Other studies (for example, ref.
23) address genetic factors determining the average sensitivity of cell lines to TRAIL whereas this paper examines non-genetic cell-to-cell variability within an individual cell line. We come to three primary conclusions. First, cell-to-cell variation in the timing and probability of death is transiently heritable. Cell cycle state, number of neighbouring cells, and stochastic fluctuations in TRAIL-induced signalling reactions do not play a major role under our conditions. Instead, variability in phenotype arises from cell-to-cell differences in protein levels that exist prior to TRAIL exposure (our experiments do not distinguish between cell-to-cell differences in total concentrations or in post-translationally modified forms). Second, the rate at which sisters lose memory of a shared past is an order of magnitude faster in the presence of protein translation than in its absence. This further implicates variability in protein levels as the origin of differences in phenotype. Third, knowing the concentration of individual proteins does not allow
Td to be predicted but measuring the rate of a single reaction does (Bid to tBid conversion in our experiments). These findings are likely to hold for other examples of ligand-induced apoptosis, however for intrinsic apoptosis, different proteins will control the rate of approach to MOMP and θ may dominate in certain contexts. Moreover, given the prevalence of multi-protein cascades in signal transduction, multivariate control over cell-to-cell variability is likely to be more common than the univariate control observed in other settings
8,23,24.
Heritable, non-genetic determinants of phenotype are often referred to as “epigenetic”
17, but the transient heritability we observe is fundamentally different in origin and duration. Given variability in growth rates and noise in gene expression, genetically identical cells will inevitably contain slightly different concentrations of most proteins. However, differences in protein concentrations do not necessarily affect phenotype, a property often referred to as robustness
25. For example, the efficiency with which effector caspase substrates are cleaved does not vary from cell to cell
11. Given the importance of tight control over apoptosis, cell-to-cell variability in the timing and probability of death seems unlikely to reflect an inability of cells to achieve robust regulation. Instead, by transforming what is a binary decision at the single-cell level into a graded response at the population level, variability probably has an adaptive advantage. TRAIL is currently undergoing clinical trials as an anti-cancer drug
26 and our findings may have implications for the use of TRAIL and other apoptosis inducers as therapeutics. Many drugs exhibit “fractional killing” in which each round of therapy kills some but not all of the cells in a tumor
27. Traditionally, this is thought to reflect differences in genotype, cell cycle state, or the involvement of cancer stem cells, but our data demonstrate that dramatic variability can also arise from natural differences in protein levels. We propose that the efficiency of TRAIL-mediated killing of cancer cells could be increased by reducing the impact of cell-to-cell variability, perhaps through co-drugging.