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Human-Gyrovirus-Apoptin

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Triggers Mitochondrial Death

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Pathway

—Nur77 is Required for

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Apoptosis Triggering

6 Wiem Chaabane*,†,ArturCieślar-Pobuda*,‡, Q1

7 Mohamed El-Gazzah†,Mayur V.Jain*,

8 JoannaRzeszowska-Wolny‡,MehrdadRafat*,

9 JoergStetefeld§,SaeidGhavami¶andMarek J.Łos*, #

10 *Department Clinical and Experimental Medicine (IKE),

11 Division of Cell Biology, and Integrative Regenerative Medicine

12 Center (IGEN), Linköping University, Linköping Sweden;

13 †Department of Biology, Faculty of Sciences, Tunis University,

14 Tunis, Tunisia;‡Biosystems Group, Inst. of Automatic Control,

15 Silesian Univ. of Technology, Gliwice, Poland;§Department of

16 Chemistry, University of Manitoba, Winnipeg, Canada;

17 ¶Department of Human Anatomy and Cell Science, University

18 of Manitoba, Winnipeg, Canada;#Department of Pathology,

19 Pomeranian Medical University, Szczecin, Poland

20

21 Abstract

22 The human gyrovirus derived protein Apoptin (HGV-Apoptin) a homologue of the chicken anemia virus Apoptin 23 (CAV-Apoptin), a protein with high cancer cells selective toxicity, trigger apoptosis selectively in cancer cells. In this 24 paper, we show that HGV-Apoptin acts independently from the death receptor pathway as it induces apoptosis in 25 similar rates in Jurkat cells deficient in either FADD (fas-associated death domain) function or caspase-8 (key players of 26 the extrinsic pathway) and their parental clones. HGV-Apoptin induces apoptosis via the activation of the mitochondrial 27 intrinsic pathway. It induces both mitochondrial inner and outer membrane permebilization, characterized by the loss 28 of the mitochondrial potential and the release into cytoplasm of the pro-apoptotic molecules including apoptosis 29 inducing factor and cytochromec. HGV-Apoptin acts via the apoptosome, as lack of expression of apoptotic protease-30 activating factor 1 in murine embryonic fibroblast strongly protected the cells from HGV-Apoptin–induced apoptosis. 31 Moreover, QVD-oph a broad-spectrum caspase inhibitor delayed HGV-Apoptin–induced death. On the other hand, 32 overexpression of the anti-apoptotic BCL-XL confers resistance to HGV-Apoptin–induced cell death. In contrast, cells 33 that lack the expression of the pro-apoptotic BAX and BAK are protected from HGV-Apoptin induced apoptosis. 34 Furthermore, HGV-Apoptin acts independently from p53 signal but triggers the cytoplasmic translocation of Nur77. 35 Taking together these data indicate that HGV-Apoptin acts through the mitochondrial pathway, in a caspase-36 dependent manner but independently from the death receptor pathway.

37

Neoplasia (2014) xx, 1–15

38

39 Introduction

40 Apoptosis is the process whereby individual cells of multicellular 41 organisms undergo systematic self-destruction in response to a wide 42 variety of stimuli[1]. Apoptosis is a genetically encoded program that 43 is involved in normal development and homeostasis and in diverse 44 patho-physiological processes [2]. Apoptosis functions to eliminate 45 cells during development when they become redundant or as an 46 emergency response after radiation damage, viral infection, or 47 aberrant growth induced by the activation of oncogenes [1]. The 48 morphology of apoptosis is orchestrated by the proteolytic activity of 49 the caspase proteases [3–5] which through the cleavage of many

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Abbreviations: 7AAD, 7-amino-actinomycin D; AIF, Apoptosis inducing factor; BCL-XL, B-cell lymphoma extra-large; CAV-Apoptin, Chicken anemia virus apoptin; cyt c, cytochrome c; DISC, Death-inducing signal complex; FADD, Fas-associated death domain; HGV-Apoptin, Human gyrovirus apoptin; MEF, Mouse embryonic fibroblast; MOMP, Mitochondrial outer membrane permeabilization; TMRM, Tetramethylrhodamine methyl ester perchlorate.

Address all correspondence to: MarekŁos, MD/PhD, Dept. Clinical and Experimental

Medicine (IKE), Integrative Regenerative Medicine Center (IGEN), Linköping University,

Cell Biology Building, Level 10, 581 85 Linköping, Sweden. E-mail:marek.los@liu.se

Received 4 July 2014; Revised 31 July 2014; Accepted 5 August 2014

© 2014 Published by Elsevier Inc. on behalf of Neoplasia Press, Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/ by-nc-nd/3.0/). 1476-5586

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50 proteins largely orchestrate apoptotic process[6]. In vertebrate cells, 51 apoptosis typically occurs through one of two major signaling 52 pathways termed the extrinsic/cell death receptor pathway and the 53 intrinsic/mitochondrial-initiator pathway [7]. In the extrinsic 54 pathway, the ligation of the death receptors leads to the recruitment 55 of the adaptor molecule FADD (fas-associated death domain) that 56 bind, trimerize, and activate an initiator caspase (caspase-8), that in 57 turn directly cleaves and activates the apoptosis executioner caspases 58 (caspase-3 and -7)[2,7,8]. In the intrinsic pathway, the mitochondria 59 respond to apoptotic stimuli through mitochondrial outer membrane 60 permeabilization (MOMP). MOMP leads to the release of 61 pro-apoptotic proteins from the mitochondrial intermembrane 62 space. Following its release, cytochrome c (cyt c) binds apoptotic 63 protease-activating factor 1 (APAF1), inducing its conformational 64 change and oligomerization and leading to the formation of a caspase 65 activation platform termed apoptosome. The apoptosome recruits, 66 dimerizes, and activates an initiator caspase, caspase-9, which, in turn, 67 cleaves and activates caspase-3 and -7 [2,7,8]. Thus the caspase 68 cascade activation result from the remarkable MOMP and its 69 subsequent intermembrane space mitochondrial proteins release. 70 MOMP is highly regulated by the B cell lymphoma 2 (BCL-2) family 71 members [2] which have been classified into 3 classes[9,10]. One 72 class inhibits apoptosis (BCL-2, BCL-XL, MCL-1, etc), the second 73 class promotes apoptosis (BAX, BAK), and a third class termed the 74 BH3-only proteins (BAD, BIK, BID, BIM, BOK, etc.) binds and 75 regulates the anti-apoptotic BCL-2 proteins to promote apoptosis[4]. 76 While the pro-apoptotic family members BAX and BAK are crucial 77 for the induction of MOMP and the release of the pro-apoptotic 78 molecules, the anti-apoptotic family members BCL-2 and BCL-XL 79 inhibit BAX and BAK[4,11]. Following MOMP, the mitochondrial 80 transmembrane potential is dissipated through caspase-dependent 81 and caspase-independent means [2,12,13]. The intrinsic death 82 pathway is induced by many different stress signals including 83 DNA-damaging agents, viral and cellular oncogenes, and transcrip-84 tional blockade[12,14]. The stimuli are transmitted from the nucleus 85 to the mitochondria by two main molecules: the tumor suppressor 86 gene p53 and the orphan steroid receptor Nur77[15].

87 Apoptosis plays an important role in the treatment of cancer as it is 88 induced by many treatments[16]. While the most used strategies aims at 89 targeting the apoptotic defects[16], some of the emerging strategies aim 90 at the development of cancer selective therapies by molecules that target 91 and kill preferentially cancer cells. One of the potential tools for cancer 92 selective therapy is CAV-Apoptin as it induces apoptosis selectively in 93 cancer cells[17,18]. CAV-Apoptin is a viral protein of 14 kDa derived 94 from the chicken anemia virus [19,20]. The selective toxicity of 95 CAV-Apoptin is associated at least in part to its tumor specific nuclear 96 localization and its tumor specific phosphorylation at Theorine-108, 97 which are essential for its nuclear accumulation and its induction of 98 apoptosis[21,22]. Recently, the human homolog of the CAV named the 99 human gyrovirus (HGV) has been identified[23]. Its genome presents 100 an overall organization similar to that of CAV[23,24], it consists of a 101 single negative-strand circular DNA of 2315 nucleotides. HGV has a 102 similar organization of the promoter region and the encoded proteins as 103 the CAV as revealed by both virus sequence alignment. It encodes a 125 104 amino-acid homologue of the CAV-Apoptin VP3 protein that despite a 105 low overall identity has conserved important sites including nuclear 106 localization and export signals and phosphorylation sites [23,25]. 107 HGV-Apoptin has the same subcellular distribution as the CAV-108 Apoptin, it localizes in the nuclei of cancer cells where it shows a granular

109 distribution that later clusters to form aggregates while it remains in the

110 cytoplasm of normal human cells [25]. Like CAV-Apoptin,

HGV-111 Apoptin induces apoptosis selectively in cancer cells but not in normal

112 cells[25]and is therefore a potential biologics anti-tumor candidate.

113 In this paper we focus on the molecular mechanisms of

HGV-114 Apoptin selective toxicity. Using cells with defective FADD or

115 caspase-8 (key players in death receptor signaling), APAF1 deficient

116 cells, BAK/BAX-deficient cells, and other molecular tools, we

117 demonstrate that HGV-Apoptin induces apoptosis independently

118 of the death receptor pathway. Hence, it triggers the activation of the

119 mitochondrial death pathway via MOMP and the release of cyt c, and

120 apoptosis-inducing factor (AIF) from mitochondria, in a caspase

121 dependent manner. HGV-Apoptin induced apoptosis is modulated

122 by the BCL-2 family members, is independent from p53 signal and

123 causes the cytoplasmic translocation of Nur77.

124 Material and Methods

125

Chemotherapeutics Inhibitors

126 Staurosporine (2.5μM) was purchased from Roche Diagnostics,

127 Mannheim, Germany. The broad-range caspase inhibitor QVD-OPh

128 was from Enzyme Systems (Dublin, CA, USA) and was added to the

129 cells at a concentration of 25μM immediately after transfection.

130

Antibodies

131 The following primary antibodies were used: mouse anti-active

132 caspase-8 (Cell Signaling Technology, Beverly, USA), rabbit anti

133 FAS, and anti FADD antibodies (Santa Cruz Biotechnology), murine

134 activating anti-CD95/FAS (50 ng/ml) from upstate signaling, rabbit

135 anti-AIF IgG (Sigma-Aldrich), mouse anti-p53 antibody (Millipore),

136 Rabbit anti-Flag (Thermo/Fisher Scientific), rabbit anti-nur77 IgG

137 (Santa Cruz), mouse anti–β-actin (Abcam). The following secondary

138 antibodies were used: Infrared dye 800cw goat, anti-rabbit antibody,

139 Infrared dye 680cw goat, anti-mouse antibody (Licor), Rhodamine

140 redX anti-rabbit antibody (life technologies), cy5 anti-murine

141 antibody (Abcam).

142

Cell Culture and Reagents

143 Jurkat (T-cell leukaemia) cells, Jurkat clones stably transfected with

144 FADD-DN (a dominant-negative FADD mutant lacking the N-terminal

145 death-effector domain), caspase-8 deficient Jurkat cells, Jurkat cells

146 overexpressing BCL-XL and MCF7 (breast adenocarcinoma), MCF7

147 expressing caspase-3, MCF7 overexpressing BCL-XL cells, and MCF7

148 expressing GFP–cyt c were grown in RPMI-1640 medium

supple-149 mented with 10% fetal calf serum (Hyclone), 100μg/ml penicillin and

150 0.1μg/ml streptomycin (Gibco BRL). HCT116 (colon carcinoma),

151 MEF (mouse embryonic fibroblasts) immortalized by retroviral

152 transduction with a temperature-sensitive simian virus 40 large T antigen

153 as described in [26], MEF-APAF1–/–, and MEF-BAX-BAK–/– were

154 grown in DMEM medium supplemented with 10% fetal calf serum

155 (Hyclone), 100μg/ml penicillin and 0.1 μg/ml streptomycin (Gibco

156 BRL). Human primary fibroblasts were grown in FibroGRO media for

157 culture of human fibroblast (Millipore). Cells were grown at 37 °C with

158 5% CO2in a humidified incubator. The broad-range caspase inhibitor

159 QVD-oph was from Enzyme Systems (Dublin, CA, USA).

160

Plasmids and Transient Transfections

161 The expression vectors of HGV-Apoptin GFP-HGV-APT and

162 FLAG- HGV-APT were provided by Dr M. Tavassoli [25]. The

163 empty vector pEGFPC1 was used as negative control. Cells were

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164 transfected using XtremeGENE HP DNA Transfection Reagent 165 according to the manufacturer's instructions (Roche), Jurkat cells 166 were transfected by electroporation using a BIO-RAD electroporator 167 at a density of 107cells per electroporation with 60μg of DNA. The 168 expression of GFP and GFP-HGV-Apoptin was confirmed by 169 fluorescence microscopy. The broad-range caspase inhibitor 170 QVD-oph was added to the cells at a concentration of 25μM 171 immediately after transfection.

172

Measurement of Apoptosis by Flow Cytometry

173 Apoptosis was quantified at the indicated time points after 174 transfection using PO-PRO and 7-amino-actinomycin D (7AAD) 175 staining and according to the manufacture's instructions (Invitrogen). 176 Briefly, at the indicated time points, cells were harvested and washed 177 twice with PBS, then stained in PBS with PO-PRO and 7AAD for 178 30 min on ice. Cells were analysed using a Gallios flow-cytometer. 179 The population of GFP positive cells that corresponds to the cells 180 transfected with either the control vector pEGFPC1 or with 181 GFP-HGV-APT were gated and analyzed among the whole 182 population of cells, by staining cells with PO-PRO™-1 and 7-AAD 183 apoptotic cells show violet/blue fluorescence, dead cells show violet/ 184 blue and red fluorescence, and live cells show little or no fluorescence. 185

Measurement of Mitochondrial Membrane Potential

186 Mitochondrial permeability transition was determined by staining 187 the cells with tetramethylrhodamine methyl ester (TMRM) (Life 188 Technologies). The cells were harvested and washed once with PBS 189 then stained with TMRM 15 min at 37 °C and mitochondrial 190 membrane potential was quantified by flow cytometric determination 191 of the FL2 fluorescence of the cells. Data were collected and analyzed 192 using a flow analysis Beckman-Coulter software (Kaluza).

193

Immunocytochemistry and Confocal Imaging

194 Cells were grown overnight on coverslips and then transfected with 195 pEGFPC1, FLAG, GFP-HGV-APT, and FLAG-HGV-APT. After the 196 indicated time points, cells were washed with PBS and then fixed in 4% 197 paraformaldehyde for 20 min then permeabilized with 0.1% Triton 198 X-100 and blocked in 0.1% BSA. To detect AIF release, cells were 199 incubated with anti-AIF rabbit IgG (Sigma-Aldrich); diluted 1:500. 200 Followed by three wash steps with PBS, the anti-AIF-antibody 201 complexes were stained with the corresponding Rhodamine redX 202 secondary antibody (diluted 1:200) then washed 3 times with PBS. To 203 visualize nuclei, cells were stained with DAPI (10μg/ml). The same was 204 done for Nur77 using anti-Nur77 rabbit IgG (Santa-Cruz). The 205 fluorescent images were then observed and analyzed with a Zeiss LSM 206 510 inverted laser-scanning confocal fluorescence microscope using 63× 207 (NA 5 1.4) oil planochromat objective (Carl Zeiss, Thornwood, NY). 208

Cell Extracts and Immunoblotting

209 The activation of caspase8 and the level of protein expression of Fas 210 and FADD, were detected by immunoblotting. Briefly, 2×105cells 211 were transfected with pEGFPC1 vector alone or with 212 GFP-HGV-APT. The expression of GFP and GFP-HGV-APT was 213 confirmed by fluorescence microscopy. At the indicated time periods 214 green cells were sorted using BD FACSAria III cell sorter (Becton 215 Dickinson, Palo Alto CA, USA), whole cell lysates were prepared 216 from green fluorescent cells using RIPA Buffer and according to the 217 manufacture's instructions (Thermo-scientific). Proteins (30μg) 218 were separated by denaturing SDS-PAGE and then transferred onto 219 a PVDF membrane. The membranes were blocked in 5% non-fat dry

220 milk in TBS 0.1% Tween and then incubated overnight with the

221 following primary antibodies anti-active caspase8 (Cell Signaling

222 Technology, Beverly, USA), anti FAS, and anti FADD antibodies

223 (Santa Cruz Biotechnology, Inc.) at 4 °C. Then, the blots were

224 incubated with the corresponding InfraRed dye secondary antibodies

225 (Licor). The visualization of the membrane was carried using Licor

226 membrane scanner.

227

Detection and Quantification of Apoptotic Cells Using Laser

228

Scanning Cytometry

229 Cells grown on cover slips and transfected with pEGFPC1 control

230 vector or GFP- HGV-APT were stained at the indicated time points

231 post-transfection with DAPI and then analysed by Laser scanning

232 cytometry, using the one primary (DAPI fluorescence) and one sub

233 (GFP fluorescence) protocol. For the detection of the chromatin

234 condensation, three parameters were used, the nuclear area, the green

235 maxpixel, and the blue maxpixel values. In this case, the nuclear area

236 was set on the blue channel, cells with high blue maxpixel values

237 (condensed chromatin)[27]are considered apoptotic.

238 Results

239

HGV-Apoptin Induce Apoptosis Independently from the Death

240

Receptor Pathway

241 Both CD95 ligand and its receptor are rapidly expressed following

242 T cell activation. In both cases the soluble CD95L can act either in an

243 autocrine manner and trigger apoptosis at a single cell level or can also

244 mediate at high concentrations apoptosis of short distanced neighboring

245 cells in a paracrine manner. CD95L can also act at the membrane bound

246 form and also trigger apoptosis in an autocrine/paracrine manner.

247 To examine the role of the CD95 system in HGV-Apoptin

248 induced apoptosis we have tested the role of components of the

249 death-inducing signal complex (DISC) which is critical for initiation

250 of death-receptor-mediated apoptosis [28]. DISC is a complex of

251 proteins formed upon the recruitment of the initiator caspase,

252 pro-caspase-8, through its pro-domain together with FADD, a

253 bipartite molecule with a death effector domain, to the death receptor

254 [28–30]. This leads to the activation of the initiator caspase-8 that

255 will directly mediate the down-stream caspase cascade and the

256 execution of apoptosis through the death receptor pathway[30,31].

257 First we have tested the role of caspase-8 using Jurkat T cells that

258 lacked the expression of caspase-8 (Jurkat-caspase-8−/−). Transiently

259 expressed HGV-Apoptin in these cells accumulates in the nucleus

260 similar to that of their wild type counterparts, and induces apoptotic

261 morphological changes including cell contraction and nuclear

conden-262 sation (Figure 1A). Thus, suggesting that the lack of caspase-8 does not

263 affect the ability of HGV-Apoptin to induce apoptosis in Jurkat cells.

264 To further confirm the above findings, caspase-8 activation was

265 monitored by Western blot of the cell lysates from GFP-positive MCF7

266 and HCT116 at the indicated time points post-transfection with

267 GFP-HGV-Apoptin and its corresponding pEGFPC1 control vector.

268 Up to 72 hours post-transfection, caspase-8 activation was not detected

269 in both cell lines in response to HGV-Apoptin transient expression

270 unlike the cells that were treated with anti-FAS antibody or

271 daunorubucin or both activators of the death receptor pathway and

272 caspase-8 (Figure 1B). Taking together this data show that caspase-8 is

273 neither required nor activated during HGV-Apoptin induced apoptosis.

274 Next, we tested the role of the FADD adaptor molecule in

275 HGV-Apoptin triggered apoptosis in Jurkat T cells that are

276 overexpressing a truncated, dominant-negative form of FADD

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A

B

Jurkat-WT GFP-HGV-APT Jurkat-cas-8 -/- GFP-HGV-APT Jurkat-WT pEGFPC1 DAPI GFP MERGE 24h 48h 72h Caspase-8 HCT116 Caspase MCF7

.

72h β−actin β−actin

Figure 1. HGV-Apoptin mediated cell death is independent of the death receptor pathway. A) Cellular localization and morphological changes

induced by HGV-Apoptin in Jurakt WT or Jurkat caspase-8-/-cells. Cells were transfected by electroporation with GFP-HGV-APT and the

corresponding pEGFPC1 control plasmid, cells were fixed 48 h post transfection and stained with DAPI for the detection of nuclear morphology. B) HGV-Apoptin does not activate caspase-8. Western blot analysis of cell lysates from HCT116 (colon carcinoma) and MCF7 cells transfected either with pEGFPC1 or with GFP-HGV-APT for caspase-8 activation. At the indicated time points post-transfection, GFP positive cells were sorted by flow cytometry; cells treated with anti-FAS activating antibodies, or, Daunorubicin or both represent a positive control. C) Detection of apoptosis induced by HGV-Apoptin in Jurkat WT cells or Jurkat FADD-DN. Cells were transfected by electroporation with GFP-HGV-APT or the corresponding pEGFPC1 control plasmid. 48 h later, transfected Jurkat cells were fixed and stained with DAPI for the detection of nuclear morphology. D) Quantification of cell survival in Jurkat WT and Jurkat FADD-DN as percentage of PO-PRO/7AAD double negative cells (cell survival) in the GFP-positive population from 24 to 120 h post-transfection. E) Control experiment to assess cell death mediated by CD95/FAS, both Jurkat WT and FADD-DN cells were treated with anti-FAS (IgM) antibody or with Staurosporine (STAUR), and cell death was measured by flow cytometry after 12 h. F) Western blot analysis of FAS and FADD level of expression in Jurkat cells 48 h

post transfection with GFP-HGV-APT or the corresponding pEGFPC1 control vector. In panels“B” and “F” β − actin was used as a protein

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277 (FADD-DN). The expression of a dominant negative form of FADD 278 prevents the formation of a functional DISC and will block the 279 signaling via the extrinsic pathway. Jurkat-FADD-DN cells show 280 apoptotic morphology similar to the Jurkat WT cells (Jurkat 281 expressing the intact DADD) after transient expression of HGV-282 Apoptin (Figure 1C). Moreover the monitoring of apoptosis induced 283 by HGV-Apoptin in both Jurkat-WT and Jurkat-FADD-DN cells

284 from 24 to 120 hours post-transfection by flow cytometry shows that

285 both WT and FADD-DN cells have similar sensitivity to

286 HGV-Apoptin (Figure 1D). Thus, the state of FADD has no effect

287 in HGV-Apoptin induced apoptosis.

288 In a control experiment, Jurkat WT and FADD-DN were treated

289 for 12 hours with the anti-FAS human activating antibody, which

290 induce cell death via the recruitment of FADD and the activation of Fas FADD 43 42 27

F

G

0 5 10 15 20 p-EGFPC1 GFP-HGV-APT Protein expression level

fas

FADD

0 25 50 75 100 Untreated CD95 STAUR Cell survival (%)

J-WT

J-FADD-DN

D

E

0 25 50 75 100 24h 48h 72h 96h 120h Cell survival (%)

Time post transfection (h)

JWT-Ctrl JWT-GFP-HGV-APT J-FADD-DN-Ctrl J-FADD-DN-GFP-HGV-APT DAPI GFP MERGE Jurkat-WT GFP-HGV-APT Jurkat-FADD-DN GFP-HGV-APT Jurkat-WT pEGFPC1

C

β−actin Figure 1 (continued)

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291 caspase-8. After 12 hours of treatment while almost all the Jurkat WT 292 cells were dead the Jurkat-FADD-DN were completely resistant to 293 treatment with FAS (Figure 1E).

294 The above observations were further confirmed by monitoring the 295 expression of FAS and FADD in GFP-HGV-Apoptin transiently 296 expressing Jurkat cells by Western blot. The protein expression 297 profiles of these apoptotic regulators were monitored in cell lysates of 298 the GFP-positive cells at 48 h post-transfection. Expression of FAS 299 and FADD were detected in all the samples with no significant 300 increase in response to HGV-Apoptin expression. (Figure 1, F and G) 301 Taking together this data indicates that HGV-Apoptin similar to its 302 homolog CAV-Apoptin induce apoptosis independently from the 303 death receptor pathway.

304

HGV-Apoptin Triggers the Mitochondrial Pathway of Cell Death

305

and Induces Mitochondrial Alterations

306 To gain more insight into the mechanism of apoptotic signaling 307 triggered by HGV-Apoptin, we investigated the role of the 308 mitochondrial intrinsic pathway in HGV-Apoptin induced apoptosis. 309 The intrinsic signaling pathways that initiate apoptosis involve diverse 310 non-receptor mediated stimuli that produce intracellular signals. These 311 signals act directly on targets within the cell and are mitochondrial-312 initiated events[32]that lead to mitochondrial alterations and loss of 313 the mitochondrial membrane potential[33]. Thus in order to assess 314 changes in the mitochondrial potential induced by HGV-Apoptin we 315 have used the TMRM dye that is rapidly sequestrated by healthy

316 mitochondria while the depolarized mitochondria does not accumulate

317 the dye[34]. Indeed, cells transfected with HGV-apoptin show severe

318 decrease in TMRM fluorescence (Figure 2A) compared to control

319 treated cells. Moreover monitoring of the mitochondrial potential by

320 flow cytometry in HCT116 shows a huge decrease in the mitochondrial

321 potential among HGV-Apoptin transient expressing cells (Figure 2B).

322 Similar results were obtained in Jurkat WT cells along with the mutant

323 Jurkat FADD-DN cells after transfection with HGV-Apoptin showing

324 that FADD have no effect on the loss of the mitochondrial potential

325 caused by HGV-Apoptin (Figure 2C). This data indicates that

326 HGV-Apoptin triggered apoptosis is associated with the loss of the

327 mitochondrial potential and further confirms that this occurs

328 independently from the death receptor pathway.

329

HGV-Apoptin Induces the Release of the Mitochondrial

330

Components Cytochrome c and AIF and Triggers the

331

Apoptosome Pathway

332 Most pro-apoptotic stimuli that involve mitochondrial outer

333 membrane permeabilization leading to intra-cytosolic release of

334 mitochondria intermembrane space proteins such as cytochrome c

335 (cyt c) will trigger caspase activation and/or AIF mediated caspase

336 independent death pathway[35]. Activation of both pathways often

337 coexists. Thus to further examine the effect of HGV-Apoptin on

338 mitochondria, we have first checked cyt c release. For that purpose we

339 have used MCF7 cells stably transfected with GFP–cyt c fusion

340 protein (MCF7-cytc-GFP). As shown in Figure 3A, the transient

B

C

0 25 50 75 100 12h 24h 48h 72h 96h

Loss of mitochondrial membrane potential (%)

pEGFPC1 0 25 50 75 100 12h 24h 48h 72h 96h

Loss of mitochondrial membrane potential (%)

Time post transfection

J-WT-GFP-HGV-APT J-WT-pEGFPC1 J-FADD-DN-pEGFPC1 J-FADD-DN-GFP-HGV-APT

A

GFP-HGV-APT pEGFPC1 DAPI GFP TMRM MERGE

Figure 2. Mitochondrial membrane potential is lost in response to transient expression of HGV-Apoptin. A) Mitochondrial staining of HCT116 cells transfected with GFP-HGV-APT or the corresponding pEGFPC1 control plasmid. Cells were stained with TMRM dye for

15 min, then fixed and counterstained with DAPI. B) Monitoring of mitochondrial membrane potential (Ψm) in HCT116, either transfected

with the HGV-Apoptin tagged to GFP: GFP-HGV-APT or the control plasmid: pEGFPC1, for the indicated time periods. Ψm was

determined using TMRM dye, which shows a decrease in the red fluorescence upon loss of the mitochondrial potential. C) Monitoring of the mitochondrial potential in Jurkat WT and Jurkat-FADD-DN from 12 to 96 h post-transfection with GFP-HGV-APT and pEGFPC1.

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A

B

FLAG

DAPI CYTC FLAG MERGE

FLAG-HGV-APT pEGFPC1 HGV-GFP-APT DAPI GFP AIF DAPI/AIF/MERGE MERGE Non-transfected

Figure 3. HGV-Apoptin triggers the release of pro-apoptotic mitochondrial proteins. A) HGV-Apoptin induces cyt c release from

transformed cells. MCF7-cytc-GFP cell line was transiently transfected with FLAG-HGV-APT and the corresponding FLAG control vector,

at 48 h post-transfection cells were fixed, stained with a primary rabbit anti-FLAG and secondary Red-X anti-rabbit antibody and counterstained with DAPI. B) The cellular localization of AIF in HCT116 cells as determined by confocal microscopy. HCT116 cells were transiently transfected with GFP-HGV-APT and the corresponding pEGFPC1 control plasmid, after 48 h cells were fixed, stained with a primary rabbit anti-AIF and secondary Red-X anti-rabbit antibody and counterstained with DAPI for nuclear visualization (the non-transfected cells along with p-EGFPC1 transfected cells were used as negative controls).

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341 expression of FLAG-HGV-APT in MCF7-cytc-GFP leads to the 342 release of cyt c into the cytoplasm but not the transient expression of 343 the FLAG empty vector (please note the selective loss of the green 344 granular pattern in cells transfected with FLAG-HGV-APT). 345 Next, we checked for the release of AIF. Similar to cyt c release, the 346 release of AIF from mitochondria was also detected by confocal 347 microscopy in HCT116 in response to GFP-HGV-Apoptin transient 348 expression (Figure 3B). This data show that HGV-Apoptin triggers 349 the release of the mitochondrial components cyt c and AIF. 350 While AIF can cause apoptosis through high molecular weight 351 DNA fragmentation and chromation condensation independently 352 from caspase activity[35,36], cyt c, along with dATP binds APAF1 353 and form the death signaling platform: apoptosome. This event is a 354 key step for caspase-9 activation and is crucial for the initiation of 355 apoptosis via the intrinsic pathway[37]. Therefore, in order to give 356 more insight into the role of the apoptosome in HGV-Apoptin 357 induced cell death we have checked the role of APAF1 using 358 transformed mouse embryonic fibroblast genetically modified to 359 lack the expression of APAF1 in transformed mouse embryonic 360 fibroblast (MEF-APAF1−/−). Expression of GFP-HGV-Apoptin 361 in MEF-APAF1−/−is non-toxic as compared to the WT cells 362 (Figure 4, A and B). These results show that HGV-Apoptin induce 363 apoptosis via the apoptosome and further confirm the implication of the 364 mitochondrial intrinsic pathway in HGV-Apoptin induced apoptosis. 365

HGV-Apoptin Mediated Cell Death is Caspase Dependent

366 To further elucidate the HGV-Apoptin triggered death pathway 367 we have checked the role of caspases, the key mediator of the 368 apoptotic program [5]. Upon apoptosis triggering, the upstream 369 caspases (caspase-8, caspase-9) cleave and activate downstream 370 caspases (caspase-3, caspase-7) leading to the execution of apoptosis. 371 For this purpose, Jurkat T cells were transfected with 372 GFP-HGV-APT in the presence or the absence of 25 μM of the 373 broad-range caspase inhibitor (QVD-oph). At 24 hours post-374 electroporation cells were examined microscopically for protein 375 expression and the effects of QVD-oph. In the presence of QVD-oph, 376 cells that express HGV-Apoptin were partially protected from cell 377 death. In contrast, QVD-oph non-treated cells were highly sensitivity 378 to HGV-Apoptin. To investigate the effect of caspase inhibition in 379 detail, apoptosis was monitored in both Jurkat non-treated cells and 380 Jurkat cells treated with caspase inhibitor QVD-oph from 24 to 381 120 h post-transfection. As shown in Figure 5A the inhibition of 382 caspase activity by QVD-oph delayed HGV-Apoptin induced 383 apoptosis in Jurkat cells.

384 To further investigate whether the inhibition of caspase could 385 block HGV-Apoptin induced apoptosis cell death was monitored 386 among caspase-3-deficient MCF7 cells and MCF7 cells stably 387 overexpressing caspase-3 (MCF7/C3) either left untreated or treated 388 with 25 μM of the caspase inhibitor QVD. As shown inFigure 5B 389 the ectopic expression of caspase-3 renders MCF7 more sensitivity to 390 HGV-Apoptin. Moreover, treatment with the caspase inhibitor 391 Q-VD-oph strongly inhibited HGV-Apoptin induced apoptosis in 392 both MCF7 and MCF7/C3 cells, these results further confirm that 393 caspase activity is required for HGV-Apoptin induced apoptosis. 394

HGV-Apoptin Mediated Cell Death is Modulated by the BCL-2

395

Family Members

396 Mitochondrial outer membrane permeabilization, which plays a 397 crucial role in apoptosis induction, is controlled by pro- and

398 anti-apoptotic members of the BCL-2 family [35]. Therefore we

399 examined the role of both pro- and anti-apoptotic BCL-2 family in

400 HGV-Apoptin induced apoptosis. First we checked the role of the

401 anti-apoptotic BCL-XL in HGV-Apoptin induced cell death. We

402 compared the sensitivity towards HGV-Apoptin induced apoptosis

403 between the parental MCF7 cell line and its derivates stably

404 over-expressing BCL-XL. The transient expression of HGV-Apoptin

405 leads to the apoptosis of MCF7 cells within 48 h whereas

406 MCF7-BCL-XL cells remained viable and appeared morphologically

407 healthy. These observations were further confirmed by time-lapse

408 studies. The monitoring of apoptosis induced by HGV-Apoptin by

409 flow cytometry in both MCF7 and MCF7-BCL-XL cells from 24 to

410 96 h shows that over expression of the anti-apoptotic BCL-XL render

411 the cells resistance to HGV-Apoptin as they remain viable compared

412 to the parental clone (Figure 6A).

413 Since the protective effect of BCL-XL against HGV-Apoptin could

414 be cell type specific, we further tested the inhibitory activity of

B

50 70 90 110 130 24h 48h 72h Cell survival (%)

Time post transfection (h)

MEF WT MEF-APAF1 -/-MEF-APAF1KD GFP-HGV-APT MEF-WT GFP-HGV-APT MEF-APAF1KD pEGFPC1 DAPI GFP MERGE

A

Figure 4. Requirement of APAF1 for HGV-Apoptin induced apoptosis. A) Immortalized APAF1 knockout mouse fibroblasts were transfected with GFP-HGV-Apoptin or the corresponding pEGFPC1 control plasmid and the relative confocal images of MEF

WT and MEF-APAF1−/−48 h post-transfection, cells were fixed and

stained with DAPI for the detection of nuclear morphology. B) Quantification of cell survival as percentage of PO-PRO/7AAD double negative cells in the GFP-positive population from 24 to

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415 BCL-XL in the Jurkat T cells, and compared the sensitivity toward 416 HGV-Apoptin via apoptosis monitoring by flow cytometry in both 417 the parental clone and Jurkat cells overexpressing BCL-XL. As shown 418 inFigure 6C over-expression of BCL-XL also protected Jurkat cells 419 from HGV-Apoptin induced apoptosis. This data show that 420 HGV-Apoptin induced apoptosis is regulated by the anti-apoptotic 421 BCL-XL independent of cell type.

422 Next we have tested the role of the pro-apoptotic BAX and BAK in 423 HGV-Apoptin induced apoptosis using MEF cells that lack the 424 expression of BAX and BAK (MEF-BAX-BAK-/-). While MEF WT 425 cells were sensitive to the transient expression of HGV-Apoptin 426 MEF-BAX-BAK-/-cells remained viable and appeared morphologi-427 cally healthy (Figure 6E). The monitoring of apoptosis induced by 428 HGV-Apoptin by flow cytometry in both MEF-WT and 429 MEF-BAX-BAK-/- cells from 24 to 72 h post-transfection shows 430 that the lack of expression of the pro-apoptotic family members BAX 431 and BAK protected MEF cells from HGV-Apoptin induced cell death.

432 To further expand the above observations we have measured the

433 mitochondrial membrane potential of MCF7-WT, MCF7-BCL-XL

434 (Figure 6B), Jurkat-WT, Jurkat-BCL-XL (Figure 6D) MEF-WT, and

435 MEF-BAX-BAK-/-(Figure 6F) at 48 and 72 hours post transfection

436 with HGV-Apoptin expressing vector. The parental clones showed a

437 decrease in the mitochondrial potential while the BCL-XL-expressing

438 cells have maintained their mitochondrial membrane potential. Also,

439 MEF-BAX-BAK-/- cells failed to respond with the decrease of

440 mitochondrial membrane potential upon the expression of

HGV-441 Apoptin. Taking together, this data show that HGV-Apoptin

442 induced apoptosis is regulated by the BCL-2 family members, both

443 the pro- and the anti-apoptotic ones.

444

HGV-Apoptin Mediated Cell Death is Independent from p53

445

Signal and Induces the Cytoplasmic Translocation of Nur77

446 HGV-Apoptin activates the mitochondrial cell death pathway. p53

447 and Nur77 are the main molecules capable of transmitting the

448 apoptotic stimuli from nucleus to the cytoplasm. Thus we tested their

449 respective role in HGV-APT induced cell death.

450 First, we investigated the role of p53, the tumor suppressor protein.

451 p53 functions as a transcriptional regulator of multiple apoptotic

452 genes, also has a direct pro-apoptotic function in the mitochondria by

453 directly interacting with both the anti- and pro-apoptotic BCL-2

454 family members[15,34].

455 As shown inFigure 7A, lack of expression of p53 in HCT116 cells does

456 not prevent HGV-Apoptin from induction of apoptosis as both

457 HCT116 WT and their counterparts lacking p53 both were equally

458 sensitive to HGV-Apoptin expression. Hence, both cell-types show

459 apoptotic morphology in response to HGV-Apoptin expression (48 h

460 time-point). To get further insight in the role of p53 in HGV-Apoptin

461 induced apoptosis, we have performed a time course studies. We have

462 monitored apoptosis in HCT116-WT and their p53-deficient progeny

463 between 24 and 120 h post-transfection with HGV-Apoptin by

464 laser-scanning cytometry. Cells with a condensed chromatin were

465 considered apoptotic and quantified (Figure 7B). These experiments

466 show that HGV-Apoptin does not require p53 for induction of apoptosis.

467 Next, we tested the role of NUR77, an orphan nuclear receptor

468 and member of the steroid/thyroid receptor family, in HGV-Apoptin

469 triggered apoptosis. NUR77 is capable not only of transmitting the

470 apoptotic stimuli from the nucleus to the mitochondria[38], but also

471 can modulate apoptosis via activating the transcription of pro- and

472 anti-apoptotic genes[39]. Expression of HGV-Apoptin leads to the

473 translocation of NUR77 from nucleus to the cytoplasm in both

474 HCT116 (Figure 8A) and MCF7 cells (Figure 8B), indicating that

475 NUR77 is a signaling molecule transmitting apoptotic signal in

476 HGV-Apoptin pathway.

477 Discussion

478 The selective targeting of cancer cells has been a‘holy grail’ of cancer

479 therapy. Since cancer cells are derived from our own healthy tissues,

480 the task seems very difficult. However, in the past two decades,

481 growing number of proteins have been discovered, that display

482 selective anti-cancer activity [40]. The protoplast of the group is

483 CAV-Apoptin, discovered in the mid-90s by Noteborn and

484 colleagues [41]. CAV-Apoptin causes apoptosis of cultured

tumor-485 igenic and transformed human cell lines but is harmless to normal

486 cells [19]. This cancer cell selective toxicity made CAV-Apoptin

487 among the most potential candidate for tumor cells selective therapy.

488 Recently, in 2011, the human homolog of the CAV-Apoptin has

489 been identified. The human gyrovirus-Apoptin (HGV-Apoptin)[23]

A

0 25 50 75 100 24h 48h 72h 96h 120h Cell survival (%) Time post-electroporation (h) Ctrl GFP-HGV-APT-untreated GFP-HGV-APT+QVD

B

25 50 75 100 24h 48h 72h 96h Cell survival (%)

Time post transfection GFP-HGV-APT (h) MCF7

MCF7+ QVD MCF7/C3 MCF7/C3 + QVD

Figure 5. HGV-Apoptin mediated cell death is caspase-dependent. A) Quantification of cell survival as percentage of PO-PRO/7AAD double negative cells in the GFP-positive population from 24 to 120 h post-transfection. Jurkat cells were transfected either with GFP-HGV-APT or with pEGFPC1 control plasmid and then either left

untreated or incubated with 25μM of QVD-oph and then stained

with PO-PRO/7AAD. B) Quantification of cell survival as percentage of PO-PRO/7AAD double negative cells in the GFP-positive population from 24 to 96 h post-transfection. Wild-type caspase-3 deficient MCF7 cells and MCF7 cells expressing caspase-3 (MCF7/C3) were transiently transfected either with GFP-HGV-APT or with pEGFPC1 control plasmid and then either left untreated or

incubated with 25μM of QVD-oph. Cells were then stained with

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490 displays the same differential behavior between normal and tumor 491 cells as its homolog. Recently published studies show that 492 HGV-Apoptin translocates to the nucleus of transformed cells 493 while it remains in the cytoplasm of normal cells, similarly to 494 CAV-Apoptin. Moreover, HGV-Apoptin also induces apoptosis in 495 cancer cells while leaving normal cells intact[25]. This prompted us 496 to deeper study the cytotoxycity mechanism of HGV-Apoptin. Better

497 understanding of the molecular mechanism of HGV-Apoptin may

498 allow for the development apoptin-protein derivates better suited for

499 the selective killing of cancer cells.

500 A number of anti-cancer drugs up-regulate CD95L, which in turn

501 may contribute to their anti-cancer activity in an autocrine and/or

502 paracrine manner [42–44]. Also, activation of T-cells leads to the

503 expression of CD95L that kills T-cells in autocrine or paracrine fashion

A

B

C

D

E

F

25 50 75 100 24h 48h 72h 96h Cell survival (%)

Time post transfection (h) MCF7-WT-Ctrl MCF7-WT-GFP-HGV-APT 0 25 50 48h 72h

Loss of the mitochondrial

potential (%)

Time post transfection (h)

MEF-WT-pEGFPC1 MEF-WT-GFP-HGV-APT MEF-BAX-BAK-KOl-pEGFPC1 MEF-BAX-BAK-KO-GFP-HGV-APT 0 25 50 48h 72h

Loss of mitochondrial membrane

potential (%)

Time post transfection (h)

MCF7-WT-pEGFPC1 MCF7-WT-GFP-HGV-APT MCF7-BCLxl-pEGFPC1 MCF7-BCLxl-GFP-HGV-APT 50 75 100 24h 48h 72h 96h Cell survival (%)

Time post transfection (h)

MEF-WT-Ctrl MEF-WT-GFP-HGV-APT MEF-BAX-BAK-KO-Ctrl MEF-BAX-BAK-KO-GFP-HGV-APT 0 20 40 60 80 48h 72h

Loss of mitochondrial membrane

potential (%)

Time post transfection (h)

J-WT-pEGFPC1 J-WT-GFP-HGV-APT J-BCLxl-pEGFPC1 J-BCLxl-GFP-HGV-APT 0 25 50 75 100 24h 48h 72h 96h Cell survival (%)

Time post transfection (h) J-WT-Ctrl

J-WT-GFP-HGV-APT J-BCLxl-Ctrl

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522 523 524 525 526 527 528 529 530 531 532 533 534 535 536 537 538

539 [45]. Thus, we checked the role of the CD95 signaling pathway in 540 HGV-Apoptin induced apoptosis. FADD and caspase-8 are the most 541 important upstream components of the CD95/Fas signaling pathway, 542 so using cells that overexpress a dominant negative form of FADD and 543 other molecular tools we show that neither FADD nor caspase-8 are

544 required for the apoptotic activity of HGV-Apoptin. Moreover, since

545 some previous reports indicate that Fas can still signal atypical apoptotic

546 cell death in the absence of caspase-8[46], we examined by Western

547 blot if HGV-Apoptin upregulates Fas expression. Our results show that

548 in response to HGV-Apoptin expression, no significant increase in Fas

Actin P53 HCT116 P53 +/+ HCT116 P53-/- DAPI GFP MERGE HCT116-WT- PE GFPC1 HCT116- P53KD-GFP-HGV -APT HCT116-WT-GFP-HG V-APT

A

B

0 25 50 75 100 0h 24h 48h 72h 96h 120h Cell survival (%)

Time post transfection HCT116-WT-Ctrl HCT116-WT-GFP-HGV-APT HCT116-P53 -/- Ctrl HCT116-P53 -/- GFP-HGV-APT

C

Figure 7. HGV-Apoptin induced apoptosis is independent from p53 signal. A) p53 deficient HCT116 (HCT116-p53−/−) and the wild type

(HCT116-WT) colon carcinoma cells were transfected with pEGFPC1 or GFP-HGV-APT. The cells were fixed and stained with DAPI 48 h post-transfection for the detection of the nuclear morphology; arrows indicate apoptotic cells expressing GFP-HGV-APT. B) Quantification

of apoptosis in HCT116-WT and HCT116-p53−/− cells using laser-scanning cytometry. Cells were fixed and stained with DAPI

then analysed by laser scanning cytometry, cells with a high blue max-pixel values (condensed chromatin) are considered apoptotic.

C) Western blot data confirming that HCT116-p53−/−lack p53.

Figure 6. HGV-Apoptin induced apoptosis is regulated by the anti- and pro-apoptotic BCL-2 family members. A) Quantification of cell survival as percentage of PO-PRO/7AAD double negative cells in the GFP-positive population from 24 to 96 h post-transfection. MCF7 cells and MCF7-BCL-XL cells were transfected with GFP-HGV-APT or the corresponding control plasmid pEFPC1 and stained with PO-PRO/7AAD. B) Monitoring of the mitochondrial membrane potential in MCF7 WT and MCF7 BCL-XL cells after transfection with either GFP-HGV-APT or the control plasmid using the TMRM dye. C) Quantification of cell survival in Jurkat wild type and Jurkat-BCL-XL as percentage of PO-PRO/7AAD double negative cells in the GFP-positive population from 24 to 96 h post-transfection. Cells were transfected by electroporation with GFP-HGV-APT or the corresponding control plasmid. D) Monitoring of the mitochondrial membrane potential in Jurkat WT and Jurkat BCL-XL after transfection with either GFP-HGV-APT or the control plasmid using the TMRM dye. E) Quantification of apoptosis in the wild-type murine embryonic fibroblasts (MEF-WT) and MEF BAX and BAK deficient cells (MEF-BAX-BAK-KO). Cells were transfected with GFP-HGV-Apoptin or the corresponding control plasmid pEFPC1. Cell survival was quantified by flow cytometry after PO-PRO/7AAD staining as percentage of PO-PRO/7AAD double negative cells in the GFP-positive population of cells. F) Monitoring of the mitochondrial membrane potential in MEF-WT and MEF-BAX-BAK-KO using the TMRM dye

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549 level is detectable. Taken together, our data indicate that HGV-550 Apoptin, like its homolog CAV-Apoptin, cancer cells independently 551 from the CD95 system.

552 The mitochondrial intrinsic death pathway is ultimately activated 553 by a number of anti-cancer drugs and stress stimuli that cause the loss 554 of the mitochondrial membrane potential [47] and the release of a 555 number of pro-apoptotic molecules from the mitochondria. Among 556 others, released are cyt c and AIF[48,49]. Hence, we have checked 557 the mitochondrial alterations induced by HGV-Apoptin, also the 558 cellular localization of cyt c and AIF. We have observed that 559 HGV-Apoptin induces a decrease in the mitochondrial potential, and 560 release of both cyt c and AIF from the mitochondria.

561 Although caspase-independent forms of apoptosis have been 562 described[50], among them the nuclear translocation of AIF where 563 it induces apoptosis via DNA fragmentation, caspases play a crucial 564 role in apoptosis and are activated in both the extrinsic and intrinsic 565 pathways. Caspases are activated through the formation of large 566 protein complexes namely ‘death inducing signal complex’ (DISC) 567 within the extrinsic pathway or the apoptosome within the intrinsic 568 pathway[7]. Lack of expression of APAF1 (a major component of the 569 apoptosome), strongly delayed HGV-Apoptin induced apoptosis (up 570 to 96 h post-transfection).

571 Apoptosome is the molecular platform for caspase-9 activation. 572 Caspase-9 then activates down-stream caspases namely caspase-3 and 573 caspase-7[51,52]leading to the execution of apoptosis (Figure 9). So

574 in order to investigate the requirement of caspase activity in

575 HGV-Apoptin induced apoptosis we have used the broad-spectru

576 caspase inhibitor QVD-oph that inhibits both up-stream and

577 down-stream caspases. QVD-oph delayed HGV-Apoptin induced

578 cell death, indicating that HGV-Apoptin induced apoptosis occurs in

579 a caspase-dependent manner. The inhibitory effect of QVD on

580 HGV-Apoptin induced cell death was not only observed in Jurkat

581 T cells but also in caspase-3 deficient MCF7 cells and its retransfected

582 derivative MCF7/C3, which were only protected from HGV-Apoptin

583 induced cell death in the presence of the caspase inhibitor. It should be

584 noted that HGV-Apoptin kills MCF7 cells that lack the expression of

585 caspase-3, which indicates that caspase-3 may be dispensable for

586 HGV-Apoptin induced cell death, and substituted by other

587 down-stream caspases such as caspase-6 and caspase-7. Moreover the

588 ectopic expression of caspase-3 in MCF7 cells renders them slightly

589 more sensitive to HGV-Apoptin. Thus, HGV-Apoptin requires

590 caspase activity to kill its targets.

591 The mitochondrial pathway is modulated by the pro- and

anti-592 apoptotic BCL-2 family members[53]. In order to check the role of

593 the BCL-2 members in HGV-Apoptin induced cell death we have

594 used MCF7 cells that overexpress the anti-apoptotic BCL-XL.

595 Over-expression of BCL-XL inhibits the pro-apoptotic molecules

596 BAX and BAK that in turn, inhibit MOMP and the release of

597 pro-apoptotic molecules from the mitochondria[54]. Over-expression

598 of BCL-XL protected MCF7 cells from HGV-Apoptin induced

E

G

FPC1

HGV-GFP-APT

DAPI GFP NUR77 MERGE

A

E

G

FPC1

HGV-GFP-APT

DAPI GFP NUR77 MERGE

B

Figure 8. HGV-Apoptin induced cell death involves the nucleo-cytoplasmic translocation of Nur77. Confocal microscopy visualization of Nur77 in A) MCF7 cells, and B) HCT116. Cells were fixed 48 h post-transfection and stained with a primary rabbit anti NUR77 antibody and a secondary anti-rabbit RED-X antibody and then counterstained with DAPI for the visualization of the nuclei.

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599 apoptosis. Moreover, murine embryonic fibroblasts that lack the 600 expression of the pro-apoptotic BAX and BAK are protected from 601 HGV-Apoptin induced apoptosis compared to their parental clones. 602 Thus, both pro- and anti-apoptotic BCL-2 family members regulate 603 HGV-Apoptin induced cell death.

604 In conclusion, in this paper we give an insight into the molecular 605 mechanism of HGV-Apoptin induced cell death (Figure 9). We show 606 that HGV-Apoptin acts via the intrinsic mitochondrial pathway in a 607 caspase-dependent manner, and that its activity is modulated by 608 BCL-2 family members. Elucidating the molecular mechanism of 609 HGV-Apoptin's signaling pathway is of great importance, and it may 610 lead into the development of novel anticancer strategy allowing for 611 selective targeting of cancer cells. Comparative study of HGV-612 Apoptin and CAV-Apoptin signaling pathways, may lead to the 613 discovery of new molecular targets uniquely available only in cancer 614 cells. HGV-Apoptin does not require p53 tumor suppressor signaling

615 whose inactivation is a frequent event in tumorigenesis [55], and

616 which leads to the resistance to available cancer therapies[56].

617 618 Acknowledgments

619 MJL kindly acknowledges the core/startup support from Linkoping

620 University, from Integrative Regenerative Medicine Center (IGEN),

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Bax/Bak

channels

BAk BAX

BCL-2

subfamily

Apoptosome

Caspase-9

Pro-caspase-9

APAF1

Caspase-3

Nucleus

Cyt. c

AIF

MOMP

m m Nur77 Nur77 Nur77 Nur77 Nur77 Nur77 Nur77 Nur77

?

HGV-Apoptin HGV-Apoptin HGV-Apoptin HGV-Apoptin

Apoptosis

ΔΨ

ΔΨ

Figure 9. Schematic representation of HGV-Apoptin mechanism of action in cancer cells. HGV-Apoptin activation and nuclear accumulation induces the nuclear export of nur77, which might induce the activation of the BCL-2 family members of proteins, leading to

MOMP and the subsequent cytoplasmic release of AIF and cyt c leading to apoptosis through APAF1 activation, the apoptosome

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