The present study provides genetic and biochemical evidence that VDAC might play an essential role in As
2O
3-induced apoptotic changes of the mitochondria. First, the anti-VDAC antibody (Ab#25) specifically and effectively prevented As
2O
3-induced cyto
c release from isolated mitochondria. The same antibody was used as a specific VDAC channel blocker both
in vitro and
in vivo (
Shimizu et al., 2001). Second, liposome and yeast experiments showed that VDAC was necessary and sufficient to mediate cyto
c efflux caused by As
2O
3. Our results are in good agreement with earlier reports that arsenite might induce mitochondrial PTP opening (
Petronilli et al., 1994;
Costantini et al., 1996;
Larochette et al., 1999). These results are in sharp contrast with a previous report that ANT, rather than VDAC, mediates the mitochondrial membrane permeabilization induced by arsenite (
Belzacq et al., 2001). The participation of ANT in As
2O
3-mediated stress signal cannot be ruled out, since CsA and BA could inhibit As
2O
3-induced PTP opening and cyto
c release. Third, Bcl-X
L/Bcl-2 could potently inhibit VDAC-mediated cyto
c release and its dimerization, possibly through a mechanism of protein–protein interactions (
Tsujimoto and Shimizu, 2000;
Shi et al., 2003a).
Considering the finding that the Bcl-2/Bcl-XL-VDAC interaction alleviated the apoptotic effect of As2O3, we favor the model by which VDAC might be directly targeted by As2O3 to mediate cyto c release. Our data do not rule out the participation of Bax and/or Bak, commonly acknowledged mediators for cyto c release, in As2O3-induced cyto c release and apoptosis. Further studies are required to understand the exact mechanisms of VDAC in regulating cyto c release and how its interactions with Bcl-2 family proteins may determine the outcome of cell fate.
As
2O
3 has been widely used to treat APL and other types of malignant leukemia. Caspase activation (
Chen et al., 1998b;
Soignet et al., 1998) and enhanced generation of reactive oxygen species (ROS)(
Chen et al., 1998b) were suggested to be responsible for the specific cell death in cancer lesions. Our findings could offer an explanation for As
2O
3 apoptotic events, since cyto
c release from mitochondria into cytosol is causally linked to caspase activation and disruption of mitochondrial respiratory chain, and subsequently the enhanced generation of ROS from the mitochondria. What is puzzling is how clinically relevant doses of As
2O
3 induce apoptosis, leading to tumor cell-specific killing in the clinic. It remains to be investigated whether there exists any tumor-specific target that determines the differential metabolism or distinct responses to As
2O
3-mediated stress between neoplastic and normal cells. Indeed, As
2O
3 induces degradation of the PML/RAR fusion protein in APL patients (
Shen et al., 1997;
Dai et al., 1999) or selectively downregulates the Bcl-2 protein via caspase-3 cleavage (
Chen et al., 1996).
There are conflicting reports with regard to the Bcl-2 suppression of As
2O
3-induced apoptosis. It was reported that As
2O
3-induced apoptosis of multidrug-resistant acute myelocytic leukemia cells, regardless of whether Bcl-2 and Bcl-X
L were overexpressed (
Perkins et al., 2000), while other reports suggest that both Bcl-2 and its homologue Bcl-X
L could confer resistance against apoptosis by inhibiting the reduction of ΔΨm, cyto
c release, and caspase activation (
Green and Reed, 1998;
Cory and Adams, 2002). Our data indicate that overexpression of Bcl-2 could attenuate or delay apoptosis, cyto
c release, and ΔΨm reduction induced by As
2O
3 in IM-9 cells, with Bcl-X
L potently inhibiting As
2O
3-induced cyto
c release from isolated mitochondria.
A rather surprising finding was that As
2O
3 upregulated the expression levels of VDAC. This suggests that VDAC could potentially serve as a biological stress sensor to As
2O
3, either directly or indirectly. It is known that radiation could also induce the upregulation of VDAC in LYas cells (
Voehringer et al., 2000) and increased expression of VDAC is correlated with uterine epithelial apoptosis after estrogen deprivation (
Takagi-Morishita et al., 2003).
Questions still remain as to how VDAC mediates cyto
c release induced by As
2O
3. As
2O
3 is a selective dithiol cross-linker (
Petronilli et al., 1994) that can modulate the levels of the redox modulators of the PT pore, such as GSH and NADH. As
2O
3 cross-linking of cysteine residues within the transmembrane domain of VDAC, if accessible, could lead to the changes of conformation, thus the channel activities, of VDAC and PTP (
Jing et al., 1999). Alternatively, as we observed, As
2O
3 could induce homodimerization of VDAC molecules, and therefore the VDAC pore activity to mediate cyto
c release. Previous biochemical and electrophysiological evidence indicates that VDAC tends to form a dimer or oligomer, at least in yeast and in artificial biolipid membranes (
Krause et al., 1986;
Szabo et al., 1993;
Szabo and Zoratti, 1993). However, we do not observe either the dimers of VDAC in nonapoptotic cells or the oligomers in apoptotic cells in our cross-linking assay. There could be sequential events consisting in As
2O
3 inducing conformational changes of VDAC, which brings the different VDAC subunits in closer proximity to form a dimer to facilitate cyto
c release. To the best of our knowledge, this is the first report indicating that VDAC forms a homodimer during As
2O
3-induced apoptosis in mammalian cells and that Bcl-2 prevents the homodimerization and apoptotic responses. Based on these data and our recent observation that Bcl-X
L interacts with VDAC via the putative loop region (
Shi et al., 2003a), we propose that Bcl-2/Bcl-X
L may interact with VDAC to block its dimerization sterically, which may be a prerequisite for cyto
c release. This may represent a novel mechanism for the inhibition of apoptosis by Bcl-2. Further studies are required to investigate the functional significance of VDAC homodimerization and its regulation by Bcl-2 family proteins.