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Biochimica et Biophysica Acta 1634 (2003) 1–14
Triacsin C inhibits the formation of 1H NMR-visible mobile lipids and
lipid bodies in HuT 78 apoptotic cells
Egidio Iorioa, Massimo Di Vitoa, Francesca Spadaroa, Carlo Ramonia, Emanuela Lococob,Roberto Carnevaleb, Luisa Lentib, Roberto Stromc, Franca Podoa,*
aLaboratory of Cell Biology, Istituto Superiore di Sanita, Viale Regina Elena 299, 00161 Rome, ItalybDepartment of Experimental Medicine and Pathology, University of Rome ‘‘La Sapienza’’, 00185 Rome, Italy
cDepartment of Cellular Biotechnology and Haematology, University of Rome ‘‘La Sapienza’’, 00161 Rome, Italy
Received 7 February 2003; received in revised form 9 June 2003; accepted 24 July 2003
Abstract
Nuclear magnetic resonance-visible mobile lipids (ML) have been reported to accumulate during cell apoptosis in vitro and in vivo. The
biogenesis, biochemical nature and structure of these lipids are still under debate. In this study, a human lymphoblastoid cell line, HuT 78,
was induced to apoptosis by exposure to anti-Fas monoclonal antibodies (a-Fas mAb) followed by incubation for different time intervals (1–
24 h, hypodiploid cell fraction, H, varying from 1% to over 60%) either in the presence or in the absence of 5.0 AM Triacsin C (TRC),
specific inhibitor of long-chain acyl-CoA synthetase (ACS). The increase of ML in apoptotic cells correlated linearly with H and was
associated with: (a) accumulation of intracellular lipid bodies, detected by confocal laser scanning microscopy in lipophilic dye-stained cells;
(b) increases, detected by thin-layer chromatography in total lipid extracts, in the relative abundance of triacylglycerides (TAG) and
cholesteryl esters (CE), with corresponding decreases of phospholipids (PL). TRC completely abolished both ML and lipid body formation in
anti-Fas-treated apoptotic cells, with concomitant reversion of TAG, CE and PL to control levels, but did not alter cell viability nor did it
inhibit apoptosis. ML signals detected during anti-Fas-induced apoptosis therefore appear to originate from neutral lipids assembled in
intracellular lipid bodies, synthesised from cellular acyl-CoA pools.
D 2003 Elsevier B.V. All rights reserved.
Keywords: Apoptosis; Lymphoblast; Mobile lipid; NMR; Triacsin C; Fas
1. Introduction
Apoptosis is a tightly regulated form of physiological cell
death in multicellular organisms, dependent upon the ex-
pression of some cell-intrinsic, genetically controlled sui-
cide machinery [1,2]. This cell death programme not only
plays fundamental physiological roles in embryogenesis,
tissue homeostasis, immune response and aging, but is also
1388-1981/$ - see front matter D 2003 Elsevier B.V. All rights reserved.
doi:10.1016/j.bbalip.2003.07.001
Abbreviations: a-Fas mAb, anti-Fas monoclonal antibodies; ACS, acyl-
CoA synthetase; CE, cholesteryl esters; CHOL, free cholesterol; CLSM,
confocal laser scanning microscopy; CoA, coenzyme A; DAG, diacylgly-
cerides; FFA, free fatty acids; HPTLC, high-performance thin-layer
chromatography; ML, NMR-detectable mobile lipids; NMR, nuclear
magnetic resonance; PC, phosphatidylcholine; PCho, phosphocholine;
PEtn, phosphoethanolamine; PrI, propidium iodide; PL, phospholipids;
TAG, triacylglycerides; TRC, Triacsin C
* Corresponding author. Tel.: +39-6-4990-2686; fax: +39-6-4938-
7144.
E-mail address: [email protected] (F. Podo).
reputed to be involved in a number of pathological process-
es including neurodegenerative disorders, autoimmune dis-
eases, ischemia, oncogenesis and tumour response to
therapy [3–9].
Although a definite pattern of all the molecular events
leading to apoptosis is not yet available, an increasing level
of knowledge is accumulating on this phenomenon, at the
biological and biochemical level. 1H NMR spectroscopy has
recently added interesting novel information on the bio-
chemistry of programmed cell death, by allowing non-
invasive monitoring of alterations occurring in the energetic
state, as well as in phospholipid and glucose metabolism
[10–17] and by detecting the formation and accumulation
of mobile lipids (ML) in intact apoptotic cells [18–22]. The
production of these lipids, endowed of a sufficiently high
rotational tumbling motion and segmental flexibility of their
fatty acyl chains to be detected in the high-resolution
nuclear magnetic resonance (NMR) time window, is not a
peculiar feature of apoptotic cells, since the characteristic
E. Iorio et al. / Biochimica et Biophysica Acta 1634 (2003) 1–142
ML signals due to saturated (CH2)n segments (d=1.3 ppm)
of the fatty acyl chains, to their olefinic HCCH (5.3 ppm)
and to their terminal methyl groups (0.9 ppm), have been
detected for over two decades in a variety of tumour cells
and tissues ([23] and ref. therein), in activated lymphocytes
[24,25] and in embryo-derived cells [26,27]. The appear-
ance of ML signals in the spectra of intact cells is generally
attributed to the formation of non-bilayer lipid structures,
occurring either at the membrane level [23,26] or within
cytoplasmic compartments [20–22,27–31]. NMR-detect-
able ML have also been reported in tumour cells exposed
to lipophilic cationic compounds that cause mitochondrial
damage, and were found to be associated with the formation
of lipid droplets, which could be visualized by electron
microscopy or by staining with suitable lipophilic dyes [32].
The detection of ML in the NMR spectra of cells undergo-
ing programmed cell death has recently attracted consider-
able interest, in view of the possibility of using ML fatty
acyl signals to quantify, by a non-invasive technique, the
effects of apoptotic agents in cell cultures in vitro, as well as
in tissues in vivo [19–21,31]. An effective use of this
approach requires, however, a better elucidation of the
biogenesis and molecular organization of ML formed during
the apoptotic process.
Previous studies conducted in our laboratory on struc-
ture and subcellular localization of ML in Jurkat lympho-
blastoid cells induced to apoptosis by different drugs [21]
showed that the ML content correlated linearly with the
hypodiploid cell fraction, irrespective of the nature of the
inducing agent and of the phase of cell cycle arrest. The
observed increases in ML signals were associated with the
accumulation of cytoplasmic, osmiophilic lipid bodies
(diameterV1.0 Am) surrounded by its own membrane that
possesses intramembrane particles [21]. In substantial
agreement with these findings, Al-Saffar et al. [22] reported
that ML formation was associated with the synthesis of
triacylglycerides (TAG) and accumulation of cytoplasmic
lipid droplets in Jurkat cells induced to apoptosis by
continuous exposure to anti-Fas monoclonal antibodies
(a-Fas mAb). Furthermore, since 31P NMR analyses had
shown a simultaneous drop in the total content of phos-
phatidylcholine (PC), alterations in PC metabolism have
been indicated as the possible source of TAG accumulation
in apoptosing cells.
The purpose of the present study was to further eluci-
date, in a human T lymphoblastoid cell line (HuT 78)
induced to programmed cell death by stimulation of the
Fas/APO-1 (CD95) receptor [33,34], the biochemical mech-
anisms underlying ML formation and the subcellular com-
partmentation of these components. To this end, we
investigated the changes occurring in ML signal intensities,
in neutral lipid composition and in lipid body formation in
cells undergoing apoptosis, incubated with Triacsin C
(TRC), a selective inhibitor of long-chain acyl-coenzyme
A (acyl-CoA) synthetase (ACS, EC 6.2.1.3) [35,36] that
specifically inhibits the ATP-dependent, ACS-catalysed
activation of free fatty acids (FFA) into the corresponding
acyl-CoAs.
FFAþ CoAþ ATP !Mg2þ
ACSacyl-CoAþ AMPþ PPi
The rationale of the proposed experimental design was
that, since acyl-CoA formed in ACS-mediated reaction acts
as acyl donor in the biosynthesis of glycerolipids and of
cholesteryl esters (the two major components of intracellular
lipid bodies), NMR, biochemical and structural studies on
the effects of acyl-CoA synthesis inhibition would be
capable of providing relevant information on biogenesis
and nature of MLs in the apoptotic cells (preliminary report
in Ref. [37]).
2. Materials and methods
2.1. Chemicals and biochemicals
Formaldehyde, Nile Red, paraformaldehyde, poly-L-ly-
sine, propidium iodide (PrI), Triton X-100 and TRC from
Streptomyces were purchased from Sigma Chemicals, St.
Louis, MO, USA. BODIPY 493/503 was supplied by
Molecular Probes, Eugene, OR, USA. Mouse IgM anti-
human Fas mAb, clone CH-11, were from Coulter, Hialeah,
FL, USA.
2.2. Cell culture and induction of apoptosis
The stabilized human T lymphoblastoid cell line HuT 78
was maintained in complete RPMI 1640 medium (Gibco),
supplemented with 10% foetal calf serum (HyClone) and
grown at 37 jC in humidified atmosphere of 5% CO2/95%
air. Cell viability (>99%) was assessed by the trypan blue
exclusion test.
For induction of apoptosis, cells in the exponential
phase of growth were centrifuged at 600�g and the pellet
resuspended in PBS. Cells were then exposed for 2 h to a-
Fas mAb (1 Ag mAb/50�106 cells/ml). After this pulsed
treatment, the cells were 50-fold diluted in complete
medium and incubated at 37 jC for different time inter-
vals. The use of a short exposure to a relatively high
concentration of the inducing agent, diluted away during
the subsequent incubation, should allow a more detailed
study on the progression to apoptosis. As negative controls
for apoptosis (‘‘CTRL’’), other cell samples were exposed
to the same manipulation, but in the absence of a-Fas
mAb.
Apoptosis was detected by flow cytometry analysis of
PrI-stained cells according to a procedure described in detail
elsewhere [21,38,39]. In brief, 1�106 HuT 78 cells were
centrifuged, the pellet gently resuspended in 1.0 ml of a
hypotonic solution containing 50 Ag/ml PrI in 0.1% sodium
citrate plus 0.1% Triton X-100 and the tubes placed at 4 jCin the dark, overnight. The PrI fluorescence of individual
E. Iorio et al. / Biochimica et Biophysica Acta 1634 (2003) 1–14 3
nuclei was then measured using an EPICS XL flow cyto-
meter (Coulter) equipped with a 488 nm Argon laser lamp.
A multiparametric flow-cytometric assay discriminated and
quantified viable, apoptotic and necrotic cells via measure-
ments of forward and side light scatter [40]. The hypodip-
loid (sub-Go) apoptotic nuclei were thus identified and
clearly discriminated from necrotic ones and from the
narrower peak of cells in the Go/G1 phase, that possessed
normal diploid DNA content.
In order to investigate the effects of TRC, the cells
were exposed to this inhibitor (vehicle DMSO 0.1% v/v,
brought to final concentration of 5 AM in complete
medium). The inhibitor was present both during the 2-
h treatment with a-Fas mAb (or with the control medium)
and during the subsequent, variable incubation time inter-
vals, which preceded the actual NMR analyses. Exposure
to TRC did not alter cell viability of either control or
a-Fas-treated cells, did not induce apoptosis in control
cells, nor did it modify the time course of the a-Fas-
induced cell death programme.
2.3. NMR spectroscopy
Intact cells were counted, washed three times in PBS,
centrifuged at 600�g and resuspended in 700 Al of PBS
in D2O, before their transfer to a 5 mm NMR tube (40–
50�106 cells). 1H NMR experiments (25 jC) were
performed at 400 or 700 MHz (Bruker Avance 400 and
700). Analyses at 400 MHz on intact cells were carried
out using 60j flip angle pulses preceded by 1.00 s
presaturation for water signal suppression (interpulse delay
1.00 s, acquisition time 1.86 s, spectral width 11 ppm,
32000 data points, 128 scans). These conditions ensured
that the fatty chain (CH2)n/CH3 ratio was determined at
the magnetization equilibrium (as verified by preliminary
experiments). At 700 MHz, a small correction factor of
1.05 had to be introduced. A series of independent
experiments was also carried out at 200 MHz (Varian
Gemini 200).
Trimethylsilyl-2,2,3,3-D4-propionate (1 mM in D2O) was
used as external chemical shift standard. Signal assignments
were according to previous studies, carried out in our and in
other laboratories [21,27,41,42].
Deconvolution of signals under the one-dimensional 1H
NMR spectral profiles were performed using Varian
software for the spectra at 200 MHz and the Bruker
WIN-NMR software package for the spectra at 400 and
700 MHz.
2.4. Lipid extraction and analysis
Lipid extraction from cells was performed according to
Folch et al. [43]. Total lipid extracts were separated on silica
gel 60 plates (Merck) with a solvent system of toluene/
diethyl ether/ethanol (105:30:3, v/v/v). The zones on silica
gel corresponding to phospholipids (PL) were scraped off,
extracted with chloroform: methanol (2:1, v/v) and further
developed by high-performance thin-layer chromatography
(HPTLC) with a solvent system of chloroform/methanol/
acetic acid/water (50:37.5:3.5:2, v/v/v/v).
The areas containing individual phospholipids were
identified by co-migration of standards and were visualized
by staining with molybdenum blue reagent.
Neutral lipid analyses were performed using a solvent
system of hexane/diethyl ether/acetic acid (70:30:1, v/v/v)
and were detected by staining with 2% copper acetate
solution in 8% phosphoric acid and subsequent heating at
120 jC for 15 min. After about 3 min, free cholesterol
(CHOL) and cholesteryl esters (CE) yielded red spots on a
white background, which converted into pink-brown spots,
like the other lipids, after 10 min.
Relative quantification of individual lipid classes was
performed using the ‘‘Quantity One’’ BioRad software
program.
2.5. Confocal laser scanning microscopy (CLSM) analyses
For CLSM analyses, HuT 78 cells were seeded on poly-
L-lysine (0.01%, 40 min at room temperature), allowed to
attach for 15 min at 37 jC and washed with PBS. For Nile
Red analyses, the cells were fixed by 4% formaldehyde (10
min at room temperature) and then incubated for 15 min at
37 jC, with the lipid probe (100 ng/ml) [44,45]. For
BODIPY 493/503 analyses [46], the cells were fixed with
3% paraformaldehyde (30 min, 4 jC), permeabilised by
Triton X-100 (0.5%, 10 min at room temperature) and then
stained with the lipophilic dye (1:100; 20 min at room
temperature). For double fluorescence experiments, the
cells, after BODIPY staining, were incubated with PrI (20
min, 37 jC) to simultaneously detect morphological mod-
ifications at the nuclear level and cytoplasmic lipid body
formation. After washing in PBS, the samples were resus-
pended in the same buffered medium and immediately
analysed. For CLSM analyses, cells were mounted on the
microscope slide with the ProLong reagent (Molecular
Probes) and observations were performed using a Leica
TCS 4D apparatus, equipped with argon–krypton laser,
510 nm dichroic splitter, 515 nm long-pass filter and
double-dichroic splitters (488/568 nm) for double fluores-
cence. Image acquisition and processing were carried out
by using the SCANware and Multicolor Analysis (Leica
Lasertechnik GmbH, Heidelberg, Germany) and Photoshop
(Adobe Systems Inc., Mountain View, CA, USA) software
programs.
3. Results
3.1. a-Fas-induced cell apoptosis
Two-hour exposure of HuT 78 cells to a-Fas mAb
induced activation of the cell death programme, whose
E. Iorio et al. / Biochimica et Biophysica Acta 1634 (2003) 1–144
effects were monitored in time by flow cytometry determi-
nation of apoptotic hypodiploid nuclei in cells collected at
different time intervals between 1 and 24 h of post-treatment
incubation (Fig. 1).
While control cells maintained, under these condi-
tions, a very low apoptotic hypodiploid cell fraction
value (H=1.1F0.7%, n=18), cells treated with a-Fas
mAb progressed through increasing levels of apoptosis
(Table 1).
3.2. Formation of 1H NMR-visible ML during a-Fas-induced apoptosis
NMR spectroscopy allowed detection of the progressive
ML formation in HuT 78 lymphoblasts induced to apoptosis
by pulsed exposure to a-Fas mAb, as indicated by the
increase, at different times of incubation (1–24 h) after
treatment, of a major resonance centered at d=1.3 ppm, due
to the saturated fatty acyl chain methylene segments
((CH2)n). Fig. 2 (left traces) shows representative spectra
Fig. 1. Cell cycle analyses of HuT 78 cells exposed to a-Fas mAb and/or to TRC.
to apoptosis by 2-h exposure to a-Fas mAb (1 Ag mAb/50�106 cells/ml) and then
the absence (left) or in the presence (right) of 5.0 AM TRC. The cells were stained w
of events �10�2. (1) Hypodiploid apoptotic peak; (2) diploid peak; (3) S-phase;
of apoptotic cell preparations (‘‘a-Fas’’, at 2, 7 and 24 h after
treatment with a-Fas mAb) and of untreated control cells
(‘‘CTRL’’, bottom and top traces, 2 and 24 h). Deconvolu-
tion of the spectral profiles in the 1.1–1.5 ppm frequency
region (mainly comprising CH2 signals of lipids, amino
acids and/or mobile peptide fragments, with possible con-
tributions from the lactic acid methyl doublet) allowed
determination of the peak area ratio Rchains=a[(CH2)n]lip/
a(CH3)tot, where a[(CH2)n]lip is the integral of the ML
(CH2)n resonance (1.3 ppm) and a(CH3)tot is the integral
of the ‘‘total’’ CH3 resonance at 0.9 ppm, due to amino acids
and lipids. The Rchains value is commonly used as a
parameter for relative quantification of ML in intact cells,
in spite of the fact that the (CH3)tot peak selected as area
reference may also depend (to an a priori unknown extent)
upon ML content. The advantage of using the (CH3)totsignal as internal (intracellular) peak area reference for
ML quantification resides on the independence of the Rchains
ratio from cell density fluctuations within the sensitive
NMR coil region; these fluctuations may in fact lead to a
Representative flow cytometry analyses are shown of HuT 78 cells induced
incubated for different time intervals in complete medium at 37 jC, either inith PrI (see Materials and methods). On the ordinate is reported the number
(4) tetraploid peak.
Rchains* ¼ 1=½1=R� pðCH3Þlip=pðCH2Þnlip
Table 1
Effect of a-Fas mAb and/or TRC on the percentage (H) of apoptotic
hypodiploid in HuT 78 cells
Incubation H (%)
time (h)CTRL a-Fas CTRL/TRC a-Fas/TRC
1 0.9F0.1 (2) 3.2F1.9 (2) N.D. N.D.
2 1.0F0.4 (3) 8.9F3.9 (3)* 1.3F0.9 (2) 7.7F2.9 (2)*
4 0.9F0.2 (3) 27.4F8.2 (3)** 0.8 21.2
7 1.0F0.2 (2) 27.8F5.2 (2) 1.0F0.4 (2) 34.7F7.3 (2)
14 0.6 32.9 N.D. N.D.
24 1.3F1.0 (7) 45.2F17.7
(6)***
2.9F1.8 (6) 49.6F15.0
(6)***
The number of experiments is shown in parentheses. CTRL, control cells.
For the conditions of incubation with a-Fas mAb and/or to TRC, see
Materials and methods. Two-tailed Student’s t-test analyses (applied to pairs
of groups of at least three points each) showed that the difference between
the H values of a-Fas-treated samples and the respective control
preparations were highly statistically significant (a-Fas vs. CTRL and a-
Fas/TRC vs. CTRL/TRC). No statistically significant effects of TRC could
be observed on the hypodiploid cell fraction of control samples (CTRL/
TRC vs. CTRL, P>0.05), nor on that of a-Fas-treated cells (a-Fas/TRC vs.
a-Fas, P>0.5) at 24 h.
* P<0.026.
**P<0.005.
***P<0.00004.
E. Iorio et al. / Biochimica et Bioph
rather large scattering of data when the concentration of
intracellular components is measured with respect to an
external reference (either in the extracellular medium or in
an external capillary).
The Rchains value, measured in apoptotic cells analysed
between 1 and 24 h after treatment with a-Fas mAb (11
experiments) increased linearly with the hypodiploid frac-
tion (Fig. 3). The best fit function was represented by the
equation Rchains=0.020+0.023�H (correlation r2=0.945
from mean values and r2=0.709 from scattered data). The
Rchains value was instead maintained substantially unaltered
in the same time interval (1–24 h) in the corresponding
control samples (Rchains=0.18F0.11; H=1.0F0.3%, n=10).
The Rchains values measured in control and in a-Fas-treated
apoptotic cells, together with the respective ranges of
apoptotic hypodiploid cell fractions, are summarised in
Table 2.
Experiments at 200 MHz (n=9), where the lower spectral
resolution did not allow a satisfactory deconvolution of the
[(CH2)n]lip signal from the basal spectral profile, the peak
area ratio of the overall resonance band in the 1.1–1.5 ppm
region and the (CH3)tot resonance was RVchains=0.95F0.21
in control preparations and increased linearly with the
apoptotic cell fraction with a best fit RVchains=1.00+0.021�H, i.e. with a slope very close to that determined
at higher fields (400 and 700 MHz). In spite of the lower
spectral resolution and consequent limitations in the
deconvolution of spectral profiles at 200 MHz, in vitro
analyses at this lower field (4.7 T) are of some interest,
since they allow a better comparison with the spectral
conditions provided by clinical NMR spectroscopy equip-
ment (1.5–4.0 T).
3.3. Effect of Triacsin C on ML formation during a-Fas-induced apoptosis
Continuous exposure to TRC of the HuT 78 cells
induced to apoptosis by a-Fas treatment severely inhibited
ML formation (Fig. 2, right side and Fig. 3). In fact, the
average Rchains value measured in 1H NMR spectra (400 or
700 MHz) of a-Fas/TRC-treated, apoptotic cells at differ-
ent times of incubation after a-Fas treatment was practi-
cally constant (0.10F0.08, n=5) and not significantly
different from that of the corresponding TRC-treated,
non-apoptotic control cells (Table 2). Similar results were
obtained at 200 MHz, where the RVchains value of a-Fas/
TRC apoptotic cells at 24 h after a-Fas treatment (0.94F0.37, n=3) was not significantly different from that of
CTRL/TRC cells. When, however, cells were exposed to
TRC only during the 2-h a-Fas treatment, and not during
the following 24-h incubation, ML were formed to levels
comparable to those exhibited by cells treated with a-Fas
only (data not shown).
No significant effects were exerted by continuous expo-
sure to TRC on the time course of a-Fas-induced pro-
grammed cell death (Tables 1 and 2). Moreover, exposure
to TRC did not alter to any significant extent cell viability
(>99%) nor the hypodiploid fraction of control cells
(H=2.8F1.7%, n=7).
Analyses at 700 MHz allowed a clearer discrimination
of the partial contributions given by ML to the (CH3)totresonance (shown in shadow in the inset of Fig. 4).
Moreover, subtraction of control from apoptotic cell
spectra (Fig. 4, bottom) allowed separate detection of
the ML signals, respectively, due to the saturated (CH2)nsegments (1.30 ppm), the a- and h-methylene (2.25 and
1.59 ppm), the terminal CH3 (0.89 ppm), the vinylic
(CHCH, 5.35 ppm), bis-allylic (CHCH2CH, 2.80 ppm),
and allylic (CH2CH2CH, 2.04 ppm) proton groups. The
peak area ratios of these NMR-visible ML signals,
a[HCCH]lip/a[(CH2)n]lip/a[(CH)3]lip, were 4:16.5:3. By
comparison, the corresponding ratios of peaks in oleic
acid (18:1) would be 2:20:3 and those of linoleic acid
(18:2) 4:14:3. It could therefore be estimated that the
‘‘average’’ chain length and unsaturation degree of NMR-
visible ML chains formed in our apoptotic cells were
intermediate between those of oleic and linoleic fatty acyl
chains.
From these data it could be estimated that the contribu-
tion of mobile lipids, (CH3)lip, to the (CH3)tot resonance
increased from less than 2% at the observed Rchains=0.10 to
about 10% at Rchains=0.50 and to about 21% at Rchains=1.20.
This means that if one would like, more correctly, quantify
the [(CH2)n]lip with respect to the presumably constant
[(CH3)tot�(CH3)lip] component, the corrected Rchains* =
[(CH2)n]lip/[(CH3)tot�(CH3)lip] value would be given by
the relationship
ysica Acta 1634 (2003) 1–14 5
Fig. 2. 1H NMR spectra (400 MHz) of intact Hut 78 cells exposed to a-Fas mAb and/or to TRC. Left: representative spectra showing increases in the [CH2)n]lipsignal intensity (1.3 ppm) of ML in cells induced to apoptosis by exposure to a-Fas mAb (see Materials and methods) and analysed at different times (between
1 and 24 h) of subsequent incubation in complete medium at 37 jC. Apoptotic cells (‘‘a-Fas’’): 2 h, H=5.2%, Rchains=0.18; 7 h, H=33.1%, Rchains=0.48; 24 h,
H=56.3%, Rchains=1.55. Control preparations (‘‘CTRL’’): 2 h, H=1.5%, Rchains=0.14; 24 h, H=0.8%, Rchains=0.07. Right: inhibition of the [(CH2)n]lip signal
formation in the cell preparations of left side, continuously exposed to 5.0 AM TRC, both during treatment with a-Fas mAb and during the subsequent
incubation in complete medium at 37 jC, until NMR analyses. Apoptotic cells incubated in the presence of TRC (‘‘a-Fas/TRC’’): 2 h, H=4.7%, Rchains=0.04;
7 h , H=42.0%, Rchains=0.03; 24 h, H=61.4%, Rchains=0.22. Control preparations (‘‘CTRL/TRC’’): 2 h, H=2.2%, Rchains=0.05; 24 h, H=2.3%, Rchains=0.07.
H=percentage of hypodiploid cells (see Fig. 1); Rchains=a[(CH2)n]lip/a(CH3)tot peak area ratio.
E. Iorio et al. / Biochimica et Biophysica Acta 1634 (2003) 1–146
where p(CH3)lip is the number of protons (3) in the
terminal methyl and p[(CH2)n]lip is the average number
of protons (16.5) in the saturated methylene segments of
NMR-visible ML chains. On this basis, the observed
Rchains values should for instance be corrected by a factor
1.10 at Rchains=0.50 (Rchains* =0.55), 1.28 at Rchains=1.2
(Rchains* =1.54) and 1.38 at Rchains=1.5 (Rchains* =2.07) and
the best fit Rchains* (H) function would still be linear
(Rchains* =0.098+0.024�H) within the first 24 h of post-
treatment incubation.
The N+(CH3)3 signal at 3.2 ppm was mainly attributed
to phosphocholine (PCho) on the basis of 1H NMR
analyses of aqueous extracts, the choline and the glycer-
ophosphocholine signals representing about 5–10% of the
total choline containing metabolites (data not shown). The
peak area ratio RPCho=a[N+(CH3)3]/a[(CH3)tot�(CH3)lip]
(measured in intact cells), was practically maintained unal-
tered in apoptotic cells for up to 24 h of incubation after
a-Fas treatment, its average value in 11 assays (2.27F0.47)
being not significantly different from that of an equal
number of controls (2.50F0.51). Cell exposure to TRC
did not modify these values to any significant extent (data
not shown).
These findings were also confirmed by analyses at 200
MHz (not shown).
3.4. Lipid analysis
As shown in Fig. 5A (lanes ‘‘CTRL’’ and ‘‘a-Fas’’) and
in Table 2, the CE, TAG and [diacylglycerol (DAG)+FFA]
bands of total lipid cell extracts increased by factors of
1.7, 3.1 and 2.3, respectively, in cells analysed after 24
h from induction of a-Fas-induced apoptosis, with respect
to untreated cells. CHOL was instead only slightly reduced
(by less than 15%). It is also worth noting that the TAG/
CE and the CE/CHOL ratios increased about 2-fold. These
results were confirmed in two independent series of
experiments.
Analyses of phospholipids (Fig. 5B) showed that the
major PL classes in control cells had relative propor-
tions PE/PC/CL/PI/PS/SM=35:26:13:10:8:8 and that
treatment with a-Fas induced, at 24 h, a reduction of
Fig. 3. Dependence of ML formation upon hypodiploid cell fraction (H) in
HuT 78 cells exposed to a-Fas mAb and/or to TRC. The peak area ratio
Rchains=a[(CH2)n]lip/a(CH3)tot was determined in 1H NMR spectra (400
MHz) of intact cells induced to apoptosis by exposure to a-Fas mAb (see
Materials and methods) and analysed at different times (between 1 and
24 h) of subsequent incubation in complete medium (37 jC) either in the
absence (., ‘‘a-Fas’’) or in the presence of 5.0 AM TRC (E, ‘‘a-Fas/
TRC’’). The fraction of apoptotic cells was measured as the percentage of
the hypodiploid cell fraction (H) in single parameter flow DNA distribution
(see Fig. 1). H=percentage of hypodiploid cells (see Fig. 1); Rchains=
a[(CH2)n]lip/a(CH3)tot peak area ratio.
Fig. 4. Identification of ML fatty acyl chains’ signals in very-high-field
NMR spectra (700 MHz) of intact apoptotic HuT 78 cells. 1H NMR
spectra were performed on cells induced to apoptosis by exposure to
a-Fas (see Materials and methods) and incubated for 24 h in complete
medium either in the absence (‘‘a-Fas’’, H=61.2%; Rchains=0.94) or in the
presence of 5.0 AM Triacsin (‘‘a-Fas/TRC’’, H=65.2%, Rchains=0.08) in
complete medium. The bottom spectrum was obtained as the difference,
in the frequency domain, of the spectrum of apoptotic cells (‘‘a-Fas’’) and
the spectrum of the corresponding control preparation (‘‘CTRL’’,
H=1.3%; R =0.32). Inset: in grey, contribution of ML to the CH
E. Iorio et al. / Biochimica et Biophysica Acta 1634 (2003) 1–14 7
about 30% in the total PL pool, with no significant shift
in the relative levels of major individual phospholipid
classes.
No increases in CE, TAG and [DAG+FFA] were instead
detected in extracts of apoptotic cells incubated in the
presence of TRC (Fig. 5A, ‘‘a-Fas’’ vs. ‘‘CTRL/TRC’’
and ‘‘CTRL’’ lanes). Of interest was the increase of the
[DAG+FFA] band in CTRL/TRC cell extracts, an expected
Table 2
Effects of a-Fas mAb and/or TRC on mobile lipid formation, neutral lipid
composition and apoptosis in HuT 78 cells
CTRL a-Fas CTRL/TRC a-Fas/TRC
Incubation
time (h)
1–24 1–24 2–24 2–24
H (%)a 1.1F0.7
(n=18)
1.3–61.2
(range)
2.8F1.7
(n=7)
4.7–65.2
(range)
Rchainsb 0.18F0.11
(n=10)
0.020F0.023�H
(n=11)
0.10F0.08
(n=5)
0.10F0.08
(n=5)
Incubation
time (h)
24 24 24 24
FFA+DAGc 3.8F0.8 8.8F1.8 7.8F1.6 1.8F0.4
TAGc 2.2F0.5 6.9F1.4 1.7F1.7 1.7F1.7
CEc 5.8F1.2 9.6F1.9 6.3F1.3 5.8F1.2
CHOLc 9.0F1.8 7.9F1.6 9.5F1.9 7.8F1.6
TAG/CE 0.38 0.72 0.53 0.60
CE/CHOL 0.64 1.22 0.66 0.74
a H, percentage of apoptotic hypodiploid cells.b Rchains=a[(CH2)n]lip/a(CH3)tot measured at 400 or 700 MHz.c Arbitrary units; optical density (after staining with copper acetate) per
5�106 cells (results obtained by two independent experiments).
chains 3
resonance. An unidentified signal of commercial PBS buffer is indicated
by (*).
effect of acyl-CoA synthetase (ACS) inhibition by TRC
[47]. On the other hand, incubation with the ACS inhibitor
prevented increases in the pools of CE, TAG and [DAG+
FFA] in apoptotic cells and decreases in PL (except phos-
phatidylserine) as shown in Fig. 5 (panels A and B, lanes
‘‘a-Fas/TRC’’).
3.5. Characterization of ML structure
Previous fluorescence and electron microscopy studies
carried out in our laboratory on Jurkat T lymphoblastoid
cells induced to apoptosis by 72 h exposure to dexameth-
asone had shown that the increase of ML signals in 1H
NMR spectra was associated with the formation of cyto-
plasmic lipid bodies [21]. CLSM analyses of Nile Red-
stained apoptotic HuT 78 cells confirmed this finding, by
detecting massive accumulation of cytoplasmic lipid bod-
ies at 24 h of incubation after treatment with a-Fas mAb
Fig. 5. HPTLC analyses of total lipid extracts of HuT 78 cells exposed to a-Fas and/or to TRC. HPTLC analyses were performed on neutral lipids and
phospholipids of cells induced to apoptosis by exposure to a-Fas mAb (see Materials and methods) and then incubated for 24 h in complete medium, either in
the absence (lane 2, ‘‘a-Fas’’) or in the presence of 5.0 AM TRC (lane 4, ‘‘a-Fas/TRC’’). Analyses of the respective control preparations are respectively shown
in lanes 1 and 3 (‘‘CTRL’’ and ‘‘CTRL/TRC’’). The position of pure standard lipids is indicated on the margin of each panel. X=unknown component.
Abbreviations used: CL, cardiolipin; CHOL, free cholesterol; Lys-PC, lysophosphatidylcholine; PA, phosphatidic acid; PE, phosphatidylethanolamine; PI,
phosphatidylinositol; PS, phosphatidylserine; SM, sphingomyelin; for other abbreviations, see list.
Fig. 6. Detection by CLSM of cytoplasmic lipid bodies in Nile Red-stained HuT 78 cells exposed to a-Fas and/or to TRC (24 h incubation after a-Fas
treatment). CLSM analyses were performed on cells stained with the lipid probe Nile Red, after exposure to a-Fas mAb (see Materials and methods) and
subsequent 24-h incubation either in the absence (‘‘a-Fas’’) or in the presence of TRC (‘‘a-Fas/TRC’’). The samples were the same as in Fig. 4. The
corresponding control preparations are reported in panels ‘‘CTRL’’ and ‘‘CTRL/TRC’’. Insets: details of lipid bodies detected in single cell analysis. Bar:
10 Am.
E. Iorio et al. / Biochimica et Biophysica Acta 1634 (2003) 1–148
Fig. 7. Detection by CLSM of cytoplasmic lipid bodies in HuT 78 cells stained with BODIPY 493/503 following exposure to a-Fas and/or to TRC (2–7 h
incubation after a-Fas treatment). CLSM analyses were performed on HuT 78 cells stained with the lipid probe BODIPY 493/503 after exposure to a-Fas
mAb (see Materials and methods) and subsequent incubation for different time intervals (2 h, top; 4 h, middle; 7 h, bottom) either in the absence (‘‘a-Fas’’)
or in the presence of TRC (‘‘a-Fas/TRC’’). The corresponding control preparations are reported in the panels indicated by ‘‘CTRL’’ and ‘‘CTRL/TRC’’.
Bar: 20 Am.
E. Iorio et al. / Biochimica et Biophysica Acta 1634 (2003) 1–14 9
(Fig. 6, panels A,B). Continuous exposure of the same cell
preparations to TRC simultaneously abolished ML signal
formation in NMR spectra (see Figs. 2–4) and the
formation of cytoplasmic lipid bodies (Fig. 6C,D), in
agreement with the depletion and/or strong reduction
induced by this inhibitor in the pools of TAG and CE
(the two major lipid droplet constituents) observed in cell
extracts (see Fig. 5). These results were confirmed by
CLSM analyses of cells stained with another lipophilic
probe, BODIPY 493/503 at earlier times of incubation (2,
4 and 7 h), either in the absence or in the presence of
TRC (Fig. 7). Cell double-staining with BODIPY 493/503
(green) and PrI (red) allowed simultaneous observation of
lipid droplets and apoptotic bodies in cells analysed 4
h after a-Fas treatment. CLSM observations clearly con-
firmed that TRC practically abolished the formation of
lipid bodies, without interfering with that of picnotic
nuclei.
Regarding control cells, the low basal level of Rchains
values measured by NMR spectroscopy (0.18F0.11) was
associated with the presence of a limited number of clearly
detected lipid bodies, which decreased upon cell exposure to
TRC (Figs. 6–8). A qualitative comparison of CLSM
analyses on control and a-Fas-treated apoptotic cells raises
the question whether all lipid droplets present in these two
types of systems are characterized by the same level of
NMR-visibility. In particular, it cannot be excluded that
there are droplets in control cells that are not (or are only
partially) NMR-visible, possibly in relation to the lower
average TAG/CE value (Table 2).
4. Discussion
In agreement with the results of previous NMR studies
on a variety of cell systems induced to programmed cell
death by continuous exposure to drugs [18,19,21], Fas-
stimulation [19,22] or gene therapy [20], a progressive
accumulation of NMR-visible MLs was detected in this
work in HuT 78 cells induced to apoptosis by a-Fas mAb.
The increase in ML signals observed during programmed
cell death has been in the past attributed either to increased
mobility of plasma membrane lipids [18] or to intracellular
accumulation of neutral lipids, such as polyunsaturated fatty
acids [20] or TAG [22], under the form of intracellular lipid
bodies [20–22,31].
Fig. 8. Simultaneous detection by CLSM of lipid bodies and picnotic nuclei in HuT 78 cells double-stained with propidium iodide and BODIPY 493/503,
following exposure to a-Fas mAb and/or to TRC (4 h incubation after a-Fas treatment). CLSM analyses of HuT 78 stained with the lipid probe BODIPY 493/
503 (green) after exposure to a-Fas (see Materials and methods) and subsequent incubation for 4 h either in the absence (‘‘a-Fas’’, H=18.5%) or in the presence
of TRC (‘‘a-Fas/TRC’’, H=21.2%). The corresponding control preparations are reported (‘‘CTRL’’, H=1.0% and ‘‘CTRL/TRC’’, H=0.8%). Bar: 10 Am.
E. Iorio et al. / Biochimica et Biophysica Acta 1634 (2003) 1–1410
The parallel decrease in PC and increases in neutral lipids
(TAG and DAG) and fatty acid synthesis detected by
Engelmann et al. [12] in Miltefosine-treated KB cells pointed
to a possible impairment of the DAG pathway during the cell
death programme induced by this drug. This hypothesis was
in substantial agreement with the inhibition of PC synthesis
detected by Williams et al. [14] in HL-60 cells induced to
apoptosis by a variety of cytotoxic compounds.
Combined NMR, HPTLC and CLSM analyses per-
formed in this study showed that (a) the amount of ML
formed in HuT 78 cells within 24 h from a 2-h treatment
with a-Fas mAb exhibited positive linear correlation with
the apoptotic cell fraction; (b) the build-up of ML signals in
NMR spectra was associated with increases in the levels of
the two major constituents of lipid droplets, TAG (over 3�)
and CE (ca. 1.6�), with a resulting 2-fold increase in the
TAG/CE ratio; (c) the increased neutral lipid contents were
associated with progressive accumulation of cytoplasmic
lipid bodies, as detected by CLSM analysis of intact
apoptotic cells stained with lipophilic probes; (d) the
average length and unsaturation degree of the NMR-visible
ML chains was intermediate between those of oleic and
linoleic acid.
The increases in neutral lipid abundance during a-Fas-
induced apoptosis (accompanied by substantial decreases—
by about 30%—in the total phospholipid content) required
unrestricted acyl-CoA availability. In fact, no increases in
TAG or CE masses (nor decreases in PL) were observed
when apoptotic cells were incubated in the presence of
TRC. This potent competitive inhibitor of long-chain
ACS, blocks activation and reuse of fatty acids [35] and is
known to prevent synthesis of TAG and PL from glycerol,
without inhibiting PL re-acylation from lysophospholipids
[36]. Furthermore, since ACS-mediated acyl-CoA synthesis
from FFA is an ATP-dependent reaction, it is reasonable to
conclude that the observed increased production of TAG
and CE and the concomitant inhibition of PL synthesis
occur under conditions in which the cells, although defi-
nitely progressing through the apoptotic process, are still
bioenergetically competent. At variance from the results
obtained by Shimabukuro et al. [48] in pancreatic h cells,
the effects of TRC did not modify the progression towards
E. Iorio et al. / Biochimica et Biophysica Acta 1634 (2003) 1–14 11
apoptosis, possibly because of a different expression of
enzymes involved in lipid metabolism and to the different
method of induction of programmed cell death.
The results of this study can be interpreted in the light of
the well-established concept of coordinated regulation of
the PL biosynthetic reactions with the pathways of TAG
synthesis and turnover [49]. These pathways are schemat-
ically represented in Fig. 9. Under conditions of unrestricted
ATP and acyl-CoA levels, TAG synthesis occurs from DAG
and acyl-CoA (via acyltransferase) and therefore subtracts
these substrates from PL re-synthesis; at the same time,
lipase-mediated TAG degradation products, FFA and glyc-
erol, can actively re-enter their respective utilisation cycles
(e.g. FFA activation to acyl-CoA; FFA h-oxidation in
mitochondria; the cascade of glycerol phosphorylation/ac-
ylation, resulting into re-synthesis of phosphatidate and new
DAG production). The detailed mechanisms responsible for
TAG accumulation (at the expense of the PL pools) in
apoptotic cells require further investigations. In general
terms, it could be envisaged that a reduction in the activi-
Fig. 9. Schematic representation of the coordinated regulation of phospholipid
coenzyme A; CDP-Cho, cytidine diphospho-choline; CDP-DAG, cytidine dip
choline; CL, cardiolipin; CoA, coenzyme A; CTP, cytidine triphosphate; DAG, dia
3P, glycerol 3-phosphate; Ins, inositol; PA, phosphatidic acid; PC, phosphatid
phosphoethanolamine; PGro, phosphatidylglycerol; P-GroP, phosphatidylglycerolp
sphingomyelin; TAG, triacylglycerides. Enzymes: ACS, acyl-CoA synthetase;
phospholipase C; pld, phospholipase D.
ty(ies) of some enzymes responsible for the de novo route
of PL biosynthesis and/or for the activation of specific
phospholipases is likely to lead to increased levels of
DAG, which would be toxic to the cell if not converted
into TAG or degraded to FFAs, whose subsequent activa-
tion to acyl-CoA would in turn allow further synthesis of
TAG (and CE from FC, via acyl-CoA cholesterol acyl-
transferase (ACAT). Such a possible impairment of
enzymes responsible for PL synthesis would be in agree-
ment with the reported increase of CDP-choline in cells
induced to apoptosis by a variety of cytotoxic drugs [14]
and with the interpretation of altered lipid components
observed in Miltefosine-treated cells [12]. These and similar
findings actually suggested the interest of measuring the
levels of other intermediates of the Kennedy’s pathway in
PC and phosphatidylethanolamine biosynthesis, with par-
ticular attention to PCho and phosphoethanolamine (PEtn)
[17]. The results of these studies appeared rather contradic-
tory, however, or at least strictly dependent upon the
particular cell system or inducing agent. In particular,
biosynthesis and turnover of glycerolipids. Metabolites: acyl-CoA, acyl-
hospho-diacylglycerol; CDP-Etn, cytidine diphospho-ethanolamine; Cho,
cylglycerides; Etn, ethanolamine; FFA, free fatty acids; Gro, glycerol; Gro-
ylcholine; PCho, phosphocholine; PE, phosphatidylethanolamine; PEtn,
hosphate; PI, phosphatidylinositol; PS, phosphatidylserine; Ser, serine; SM,
dgk, diacylglycerol kinase; pap, phosphatidate phosphohydrolase; plc,
E. Iorio et al. / Biochimica et Biophysica Acta 1634 (2003) 1–1412
significant decreases in PCho levels have been reported in
the human promyelocytic leukemia cell line HL-60 induced
to apoptosis by chelerythrine (a protein kinase C inhibitor)
or by ceramide [14] under conditions of lowered ATP
content, or in T lymphoblastoid Jurkat cells after prolonged
exposure to doxorubicin [18], anti-Fas [19] or dexametha-
sone [21]. An increase in PCho has been instead measured
in apoptotic neutrophils [11], suggesting the attractive
hypothesis that NMR could allow monitoring of the acti-
vation of a PC-specific phospholipase, following stimula-
tion of Fas receptors [50]. However, no substantial increase
in PCho levels has been found in a previous study on a-
Fas-stimulated apoptotic Jurkat T cells [22], nor in the
present study on a-Fas-stimulated HuT 78 T cells. Similar-
ly, apparently conflicting results have been reported on
PEtn levels during apoptosis of different cell systems—this
compound increasing, e.g. in farnesol- or chelerythrine-
treated HL-60 cells, but remaining at unaltered levels in
the same cells induced to apoptosis by other agents such as
camptothecin, etoposide or ceramides [14], and decreasing
in dexamethasone-treated human leukemia cells [51]. Pos-
sible explanations for the different results reported in the
literature on PCho and PEtn levels could refer either to
decreased levels of ATP present under different experimen-
tal conditions (which would clearly affect the outcome of
choline and ethanolamine kinase activities) or to different
time courses of increase and decrease of these metabolites
under the action of transiently activated phospholipases. As
a consequence, NMR cannot always give an unambiguous
information on phospholipase-dependent processes occur-
ring during apoptosis, unless experimental conditions are
kept under strict control. In our case, combined NMR
analyses on intact cells and their aqueous extracts showed
that there was a substantial lack of modification in the PCho
levels in a-Fas-treated with respect to control cells, making
it difficult to obtain clear information on the underlying
biochemical mechanisms in the explored time window (1–
24 h of cell incubation after end of Fas stimulation).
As a general conclusion of this study, it can be proposed
that the increases in TAG (and CE) and the consequent
formation of ‘‘NMR-visible’’ lipid bodies in HuT 78 cells
induced to apoptosis by Fas-stimulation were the result of
alterations occurring under these conditions, during the
apoptotic process, in some enzyme activities of the coordi-
nated PL/neutral lipid pathways. Since the content of NMR-
visible ML correlated linearly with the hypodiploid cell
fraction, the ML signals can actually be used for the
quantification of apoptosis, at least under conditions of
unrestricted availability of ATP and acyl-CoA. However,
the production of these ‘‘mobile lipids’’ in apoptotic cells is
not an ‘‘indispensable’’ process for the accomplishment of
the cell death programme, since inhibition of acyl-CoA
synthesis, with the consequent block of acyltransferase
reactions, abolished the formation of the ‘‘NMR-visible’’
lipid bodies, without perturbing the time course of apoptosis
to any significant extent. Even PL synthesis returned, under
these conditions, to the basal levels measured in untreated
control cells.
By affecting reactions which are crucial to ML formation
in apoptotic cells, TRC acted as a particularly effective tool
to investigate biogenesis, structure and nature of ML formed
in an apoptotic cell system and might provide interesting
approaches to the biochemical/biological characterization of
ML in other cell systems, such as cancer cells and activated
lymphocytes.
5. Conclusions
(1) A progressive increase in 1H NMR-visible MLs was
measured in intact apoptotic lymphoblastoid cells in the
first 24 h after 2-h exposure to a-Fas mAb. This
increase is attributed to changes in neutral lipid contents
(mainly TAG) and accumulation of cytoplasmic lipid
bodies in cells undergoing programmed cells death.
(2) By inhibiting long-chain ACS and therefore reducing
the pool of cellular acyl-CoAs, TRC induced TAG
depletion, decrease of CE and disappearance of ML
signals in the NMR spectra of apoptotic cells, without
altering cell viability nor the fraction of apoptotic cells.
These effects were associated with the disappearance of
cytoplasmic lipid bodies.
(3) The results supported the view that ML signals formed
in HuT 78 cells during a-Fas-induced apoptosis derive
from partially unsaturated neutral lipids synthesised
during a biochemically active (ATP-dependent) phase
of apoptosis and assembled in intracellular lipid bodies.
Acknowledgements
This work was partially supported by grants of the
Istituto Superiore di Sanita, Rome, ISS-2045/RI and ISS-
0D/C. We thank Mr. Massimo Giannini and Mr.
Massimiliano Ferrara, for technical assistance in maintain-
ing the NMR equipment at an excellent performance level
and Dr. Carla Raggi for expert collaboration in lipid
analysis.
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