6
[CANCER RESEARCH 48, 1717-1721, April 1, 1988] Pathobiological Effects of Acrolein in Cultured Human Bronchial Epithelial Cells1 Roland C. Grafström,2Jeannette M. Dypbukt, James C. Willey, Kristina Sundqvist, Charlotte Edman, Luigi Atzori, and Curtis C. Harris Department of Toxicology, Karolinska Institutet, S-104 01 Stockholm, Sweden fR. C. G., J. M. D., K. S., C. E., L. A.] and Laboratory of Human Carcinogenesis, National Cancer Institute, Bethesda, Maryland 20892 [J, C. W., C. C. H.] ABSTRACT The ability of the highly reactive aldehyde acrolein to affect growth, membrane integrity, differentiation, and thiol status and to cause DNA damage has been studied at serum- and third-free conditions using cul tured human bronchial epithelial cells. Acrolein markedly decreases colony survival at 3 ¿JM whereas about 10-fold higher concentrations are required to increase membrane permeability, measured as uptake of trypan blue dye. Acrolein at micromolar concentrations also causes epithelial cells to undergo squamous differentiation as indicated by de creased donai growth rate, dose-dependent increased formation of cross- linked envelopes, and increased cell planar surface area. Acrolein causes a marked and dose-dependent cellular depletion of total and specific free low-molecular-weight thiols as well as protein thiols. Exposure to acrolein did not cause oxidation of glutathione indicating that thiol depletion occurred by direct conjugation of reduced glutathione to acrolein without concomitant generation of active oxygen species. Furthermore, acrolein is genotoxic and causes both DNA single strand breaks and DNA protein cross-links in human bronchial epithelial cells. The results indicate that acrolein causes several cytopathic effects that relate to multistage carci- nogenesis in the human bronchial epithelium. INTRODUCTION The environmental occurrence, metabolism, short- and long- term effects in vitro and in vivo of acrolein (CH2 = CHCHO), have been extensively reviewed (1-3). Acrolein is present in both tobacco smoke and automotive emissions. Acrolein is believed to be a decomposition product of the cellular polya- mine, spermine (4), and is a major metabolite of the widely used chemotherapeutic drug, cyclophosphamide (5-10). Inha lation of acrolein inhibits mucociliary transport and causes dysfunction, hyperplasia, and squamous metaplasia in the res piratory tract of laboratory animals (1-3, 11). Acrolein is highly cytotoxic toward bacteria and mammalian cells (1-3). The marked toxic potency of acrolein may in part depend on its bifunctional high reactivity toward cellular nu- cleophiles, primarily sulfhydryls, which bind through thiol ether formation at the terminal ethylenic carbon atom (12). Subse quently, the aldehydic carbon may react with other nucleo- philes. Thus, exposure to acrolein causes depletion of the major cellular thiol, GSH,3 in freshly isolated hepatocyte suspensions (13, 14), cultured human leukemia cells (15), as well as in the Received 8/7/87; revised 12/15/87; accepted 12/30/87. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. 1Supported in part by grants from the Health Effects Institute, the Workers Environment Health Fund, the Swedish National Board of Laboratory Animals, the Swedish Medical Research Council, the Swedish Cancer Society, and the Swedish Tobacco Company (R. C. G., J. M. D., K. S., C. E., and L. A.). Research described in this article is conducted in part under contract to the Health Effects Institute, an organization jointly funded by the United States Environmental Protection Agency (Assistance Agreement X-812059) and auto motive manufacturers. The contents of this article do not necessarily reflect the views of the Health Effects Institute, nor do they necessarily reflect the policies of the Environmental Protection Agency or automotive manufacturers. 2To whom requests for reprints should be addressed, at Department of Toxicology, Tomtebodavâgen 30, Karolinska Institutet, S-104 01, Stockholm, Sweden. 3The abbreviations used are: GSH, reduced glutathione; LHC, Laboratory of Human Carcinogenesis; SDS, sodium dodecyl sulfate; GSSG, oxidized glutathi- nasal mucosa of acrolein-exposed rats (16,17). Decreased levels of GSH may also depend on oxidation of GSH to GSSG which may occur as a result of the generation of reactive oxygen species (18-20); such effects by acrolein have recently been implicated in allyl-alcohol liver toxicity, in which acrolein is believed to be a causative metabolite (21, 22). In part due to its extreme toxicity, the information on the genetic effects and the cardnogcnicity of acrolein is conflicting and limited (1-3). Incubation of DNA with a bifunctional aldehyde such as acrolein causes formation of cyclic 1,N2- propanodeoxyguanosine adducts (23). As measured by alkaline sucrose gradient centrifugation, acrolein causes no detectable DNA damage in yeast (8) and furthermore, no DNA protein cross-linking can be detected in the nasal mucosa of rats ex posed to 2 ppm of acrolein for 6 h (16, 17). However, DNA single strand breaks are formed when mouse (24) or human leukemia cells (25) are exposed to acrolein. In the Ames Sal monella assay for mutagenicity, both positive and negative results have been reported (7, 26, 27). Albeit at high cytotox- icity, both sister chromatid exchanges and chromosomal aber rations occur in Chinese hamster ovary cells (10). Acrolein has been found not to be carcinogenic in Syrian Golden hamsters exposed to 4 ppm for 1 yr (28). Because of the potential for human exposure and adverse health effects in the respiratory airways, we have conducted a series of studies on the effects of acrolein in cultured human cells (29)." In human bronchial fibroblasts, we have previously found that acrolein and «,/3-unsaturated aldehydes formed by lipid peroxidation are highly cytotoxic, decrease total cellular thiols, and inhibit O6-alkylguanine-DNA alkyltransferase, which has an acrolein-sensitive thiol residue required for its catalytic activity (29). Furthermore, we have recently found that acrolein is mutagenic to human cells.4 To investigate if acrolein causes effects of importance for initiation and promotion of Carcinogenesis, we have now studied pathobiological effects of acrolein in presumptive inhalation target cells, i.e., epithelial cells cultured from normal human bronchus (30). Cellular pa rameters investigated after exposure to acrolein include colony survival, membrane integrity, growth rate, total and specific free thiols, protein sulfhydryl status, biochemical and morpho logical differentiation markers, and different types of DNA damage. MATERIALS AND METHODS Cells and Cell Culture Conditions. Normal human tracheobronchial tissues were obtained from about 40 different donors at the time of autopsy or surgery and maintained in culture according to methods described by Lechner et al. (30). Primary epithelial cell cultures were enzymatically dissociated with calcium-free 4-(2-hydroxyethyl)-l-piper- azineethanesulfonic acid-buffered saline solution containing [ethylene- bis(oxyethylenenitrilo)]-tetraacetic acid, 0.02%; polyvinylpyrrolidone, 1%; and trypsin, 0.02%, and subcultured into surface-treated (fibronec- 4 Curren, R. D., Yang, L. L., Conklin, P. M., Grafström, R. C., and Harris, C. C. Mutagenesis of Xeroderma pigmentosum fibroblasts by acrolein. Mutation Research Letters, in press, 1988. 1717 on March 16, 2020. © 1988 American Association for Cancer Research. cancerres.aacrjournals.org Downloaded from

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[CANCER RESEARCH 48, 1717-1721, April 1, 1988]

Pathobiological Effects of Acrolein in Cultured Human Bronchial Epithelial Cells1

Roland C. Grafström,2Jeannette M. Dypbukt, James C. Willey, Kristina Sundqvist, Charlotte Edman, Luigi Atzori,

and Curtis C. HarrisDepartment of Toxicology, Karolinska Institutet, S-104 01 Stockholm, Sweden fR. C. G., J. M. D., K. S., C. E., L. A.] and Laboratory of Human Carcinogenesis,National Cancer Institute, Bethesda, Maryland 20892 [J, C. W., C. C. H.]

ABSTRACT

The ability of the highly reactive aldehyde acrolein to affect growth,membrane integrity, differentiation, and thiol status and to cause DNAdamage has been studied at serum- and third-free conditions using cultured human bronchial epithelial cells. Acrolein markedly decreasescolony survival at 3 ¿JMwhereas about 10-fold higher concentrations arerequired to increase membrane permeability, measured as uptake oftrypan blue dye. Acrolein at micromolar concentrations also causesepithelial cells to undergo squamous differentiation as indicated by decreased donai growth rate, dose-dependent increased formation of cross-linked envelopes, and increased cell planar surface area. Acrolein causesa marked and dose-dependent cellular depletion of total and specific freelow-molecular-weight thiols as well as protein thiols. Exposure to acroleindid not cause oxidation of glutathione indicating that thiol depletionoccurred by direct conjugation of reduced glutathione to acrolein withoutconcomitant generation of active oxygen species. Furthermore, acroleinis genotoxic and causes both DNA single strand breaks and DNA proteincross-links in human bronchial epithelial cells. The results indicate thatacrolein causes several cytopathic effects that relate to multistage carci-

nogenesis in the human bronchial epithelium.

INTRODUCTION

The environmental occurrence, metabolism, short- and long-term effects in vitro and in vivo of acrolein (CH2 = CHCHO),have been extensively reviewed (1-3). Acrolein is present inboth tobacco smoke and automotive emissions. Acrolein isbelieved to be a decomposition product of the cellular polya-mine, spermine (4), and is a major metabolite of the widelyused chemotherapeutic drug, cyclophosphamide (5-10). Inhalation of acrolein inhibits mucociliary transport and causesdysfunction, hyperplasia, and squamous metaplasia in the respiratory tract of laboratory animals (1-3, 11).

Acrolein is highly cytotoxic toward bacteria and mammaliancells (1-3). The marked toxic potency of acrolein may in partdepend on its bifunctional high reactivity toward cellular nu-cleophiles, primarily sulfhydryls, which bind through thiol etherformation at the terminal ethylenic carbon atom (12). Subsequently, the aldehydic carbon may react with other nucleo-philes. Thus, exposure to acrolein causes depletion of the majorcellular thiol, GSH,3 in freshly isolated hepatocyte suspensions

(13, 14), cultured human leukemia cells (15), as well as in the

Received 8/7/87; revised 12/15/87; accepted 12/30/87.The costs of publication of this article were defrayed in part by the payment

of page charges. This article must therefore be hereby marked advertisement inaccordance with 18 U.S.C. Section 1734 solely to indicate this fact.

1Supported in part by grants from the Health Effects Institute, the Workers

Environment Health Fund, the Swedish National Board of Laboratory Animals,the Swedish Medical Research Council, the Swedish Cancer Society, and theSwedish Tobacco Company (R. C. G., J. M. D., K. S., C. E., and L. A.).

Research described in this article is conducted in part under contract to theHealth Effects Institute, an organization jointly funded by the United StatesEnvironmental Protection Agency (Assistance Agreement X-812059) and automotive manufacturers. The contents of this article do not necessarily reflect theviews of the Health Effects Institute, nor do they necessarily reflect the policiesof the Environmental Protection Agency or automotive manufacturers.

2To whom requests for reprints should be addressed, at Department ofToxicology, Tomtebodavâgen 30, Karolinska Institutet, S-104 01, Stockholm,Sweden.

3The abbreviations used are: GSH, reduced glutathione; LHC, Laboratory ofHuman Carcinogenesis; SDS, sodium dodecyl sulfate; GSSG, oxidized glutathi-

nasal mucosa of acrolein-exposed rats (16,17). Decreased levelsof GSH may also depend on oxidation of GSH to GSSG whichmay occur as a result of the generation of reactive oxygenspecies (18-20); such effects by acrolein have recently beenimplicated in allyl-alcohol liver toxicity, in which acrolein isbelieved to be a causative metabolite (21, 22).

In part due to its extreme toxicity, the information on thegenetic effects and the cardnogcnicity of acrolein is conflictingand limited (1-3). Incubation of DNA with a bifunctionalaldehyde such as acrolein causes formation of cyclic 1,N2-

propanodeoxyguanosine adducts (23). As measured by alkalinesucrose gradient centrifugation, acrolein causes no detectableDNA damage in yeast (8) and furthermore, no DNA proteincross-linking can be detected in the nasal mucosa of rats exposed to 2 ppm of acrolein for 6 h (16, 17). However, DNAsingle strand breaks are formed when mouse (24) or humanleukemia cells (25) are exposed to acrolein. In the Ames Salmonella assay for mutagenicity, both positive and negativeresults have been reported (7, 26, 27). Albeit at high cytotox-icity, both sister chromatid exchanges and chromosomal aberrations occur in Chinese hamster ovary cells (10). Acrolein hasbeen found not to be carcinogenic in Syrian Golden hamstersexposed to 4 ppm for 1 yr (28).

Because of the potential for human exposure and adversehealth effects in the respiratory airways, we have conducted aseries of studies on the effects of acrolein in cultured humancells (29)." In human bronchial fibroblasts, we have previouslyfound that acrolein and «,/3-unsaturated aldehydes formed bylipid peroxidation are highly cytotoxic, decrease total cellularthiols, and inhibit O6-alkylguanine-DNA alkyltransferase,which has an acrolein-sensitive thiol residue required for itscatalytic activity (29). Furthermore, we have recently found thatacrolein is mutagenic to human cells.4 To investigate if acrolein

causes effects of importance for initiation and promotion ofCarcinogenesis, we have now studied pathobiological effects ofacrolein in presumptive inhalation target cells, i.e., epithelialcells cultured from normal human bronchus (30). Cellular parameters investigated after exposure to acrolein include colonysurvival, membrane integrity, growth rate, total and specificfree thiols, protein sulfhydryl status, biochemical and morphological differentiation markers, and different types of DNAdamage.

MATERIALS AND METHODS

Cells and Cell Culture Conditions. Normal human tracheobronchialtissues were obtained from about 40 different donors at the time ofautopsy or surgery and maintained in culture according to methodsdescribed by Lechner et al. (30). Primary epithelial cell cultures wereenzymatically dissociated with calcium-free 4-(2-hydroxyethyl)-l-piper-azineethanesulfonic acid-buffered saline solution containing [ethylene-bis(oxyethylenenitrilo)]-tetraacetic acid, 0.02%; polyvinylpyrrolidone,1%; and trypsin, 0.02%, and subcultured into surface-treated (fibronec-

4Curren, R. D., Yang, L. L., Conklin, P. M., Grafström, R. C., and Harris,

C. C. Mutagenesis of Xeroderma pigmentosum fibroblasts by acrolein. MutationResearch Letters, in press, 1988.

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EFFECTS OF ACROLEIN IN HUMAN BRONCHIAL CELLS

tin, 10 fig/ml; type I rat tail collagen, 30 /ig/ml) IViri dishes containingLHC-8, a serum-free medium (30).

Colony-Forming Efficiency and C.'limai Growth Assays. Cells wereseeded at 250 cells/cm2 in 60-mm dishes. After 24 h in culture, cells

were exposed for indicated time periods to the various doses of acroleinin serum-free LHC basal medium (30) without thiols, i.e., cysteine.Subsequently, fresh aldehyde-free LHC-8 medium was added and after7 to 9 days of incubation, the cultures were fixed and stained. Themean colony-forming efficiency was determined from duplicate dishesand based on colonies each containing at least 16 cells. The clonalgrowth rate was determined using an IBAS-2 image analyzer (Zeiss,Stockholm, Sweden). To obtain the mean clonal growth rate (expressedas population doublings per day), the number of cells in 9 randomlyselected clones from each of 2 dishes were counted and the log? of theaverage number of cells per clone was divided by the number of days ofincubation. Variance-weighted Student's t test was used to evaluate

significant differences between control and treated groups.Trypan Blue Exclusion. Cells were inoculated at 2800 cells/cm2 in

35-mm dishes. After 24 h, cells were exposed for l h to variousconcentrations of acrolein in thiol-free LHC basal medium. Subsequently, cells were washed twice with LHC basal medium and then0.16% trypan blue dye (Sigma, St. Louis, MO) dissolved in LHC basalmedium was added for 5 min. The dye was then removed and replacedwith fresh LHC-8 medium and the percentage of viable (cells thatexclude trypan blue) and nonviable (cells that appear entirely blue orhave a blue nuclei) cells counted in four randomly selected fields perdish in a phase-contrast microscope. Percentage of viability was calculated from duplicate dishes as 100 times the ratio of number of viablecells to the sum of viable and nonviable cells. More than 95% ofunexposed control cells excluded trypan blue.

Formation of Cross-Linked Envelopes. The percentage of cells capableof forming cross-linked envelopes was measured as described by Willeyet al. (31). Cells were inoculated onto 12 well plates at 11,000 cells/cm2 in LHC-8 medium. Twenty-four h later, the number of cells per

well was calculated using a grid and the medium was replaced withmedia containing acrolein plus 0.8% agar. After a 3-h incubation, 2 mlof SDS (4%) and dithiothreitol (20 HIM)in distilled H2O were addedover the agar. After a further 4-h incubation at 37°C,the number of

SOS-insoluble, noncalcium ionophore-induced (32), cross-linked envelopes per well and percentage of cross-linked envelopes in the cellpopulation were then calculated.

Plasminoceli Activator Assay. Plasminogen activator activity wasdetermined as previously described by Willey et al. (31). Cells wereinoculated onto 24-well plates at 50,000 cells/cm2 in LHC-8 medium.

After 2 h of incubation with acrolein, 25 n\ of plasminogen (Sigma)(final concentration 0.1-0.3 unit/ml) was added and incubation wascontinued for 1 more h (a total of 3 h of incubation with acrolein).Media were removed and centrifugea in an Eppendorf microfuge for30 sec to pellet cell debris, and 90 n\ of medium were incubated with10 /¿Iof benzyloxycarbonylglycyl-L-prolyl-L-arginyl['4C]anilide (5 HIM,12.5 mCi/mmol; NEN, Boston, MA) for l h at 37°C.Proteolyticallycleaved [l4C]anilide was then extracted from the reaction mixtures with

3 x 2 ml of Econofluor II (New England Nuclear, Boston, MA) andradioactivity assayed (31).

Cell Planar Surface Area. Cells were inoculated onto 24-well platesat 5000 cells/cm2 in LHC-8 medium. Twenty-four h later, the cellswere exposed to the various concentrations of acrolein for 3 h in thiol-free LHC basal medium. For each concentration, a randomly selectedarea containing at least 30 cells was followed by phase-contrast microscopy (Olympus IM, Olympus, Stockholm), and photographed beforeand after exposure to acrolein. Change in planar cell surface area wasquantitated for each cell by the weight of print cuttings.

Assay for Free Total and Specific Nonprotein as well as ProteinThiols. The cells were inoculated onto 35-mm dishes at 6-12 x IO3/cm2 in LHC-8 medium. After 48 to 72 h, cells were exposed to acroleinfor 1 h in thiol-free LHC basal medium. After washing twice withphosphate-buffered saline, the cellular thiol status was measured byvarious methods. To measure the amounts of total free thiols, cellswere lysed and protein precipitated by addition of 0.7 ml 6.5% trichlor-acetic acid to the dish. The cellular precipitate was removed from the

dish by scraping with a rubber policeman. The resulting suspensioncontaining denatured protein and released cellular thiols was centri-fuged at 1500 x g for 8 min and 0.5 ml supernatant analyzed for thiolcontent according to Saville (33). Monobromobimane conjugation ofthiols by the method of Cotgreave and Moldéus(34) was used toanalyze the amounts of specific free low-molecular-weight thiols. Reduced cellular thiols were derivati/ed by addition of 100 /¿I8 HIMmonobromobimane (Thiolyte; Calbiochem, La .lolla, CA) in 25 mM N-ethylmorpholine buffer, pH 8.0, and 100 n\ phosphate-buffered salineonto the dish. Subsequently, the dish was sealed and allowed to stand5 min in the dark before acidification and precipitation of protein byaddition of 10 ^1 of 90% trichloroacetic acid. To analyze for thepresence of oxidized thiols a similar sample was initially treated with 5HIMdithiothreitol for 30 min, then derivati/ed with 20 mM monobromobimane, and subsequently acidified and precipitated as above. Thecellular precipitate was removed by pipetting following scraping of thedishes with a rubber policeman. The resulting suspension containingprotein and released cellular thiols were centrifuged at 3000 x g for 3min and the supernatants were analyzed for levels of GSH and totalGSH, mainly GSH plus hydrolyzed GSSG, by high-performance liquidchromatography separation of the GSH-bimane adducts (34). An estimate of the cellular content of GSSG was then calculated by subtractingthe amounts of GSH from total GSH. The derivai i/ed protein pelletswere washed 3 times with 3 ml of 5% trichloroacetic acid to removecontaminating free low-molecular-weight thiol-bimane adducts. Thewashed pellet was then dissolved in 1% SDS, protein content determined, and the solubilized protein sample was then diluted up to 50 mlwith distilled water and the fluorescence determined and standardizedagainst bovine serum albumin (34).

Alkaline Elution Assay of DNA Damage. The procedure used wasdeveloped and reviewed by Kohn et al. (35). The cells were inoculatedonto 60-mm dishes at 3-5 x 103/cm2 in LHC-8 medium. After 24 h,[2-14C]thymidine (0.02 ¿iCi/ml;52 mCi/mmol) was added for 3 daysand then removed 1-2 days prior to the experiment. Cells were exposedto acrolein for 1 h in LHC basal medium. Subsequently, the cells wereremoved from the dishes with a rubber policeman at 4"( ' in a solutionof Dulbecco's Ca2+/Mg2+-free phosphate-buffered saline containing 15

mM disodium EDTA and collected onto a 2-/¿mpolycarbonate filter(Nucleopore, Pleasanton, CA) to measure DNA single strand breaks.The cells were lysed with 5 ml of 2% SDS/0.1 M glycine/0.02 Mdisodium EDTA (pH 9.6), and 2 ml of the same solution containing0.5 mg/ml of proteinase K was then pumped through the filter at 0.04ml/min. This solution was followed by 0.02 M EDTA (acid form)/0.1%SDS plus tetrapropylammonium hydroxide (pH 12.2). Eluted fractionswere collected and assayed for radioactivity. The combination of thepolycarbonate filtration, proteinase K digestion, and the addition ofSDS in the eluting solution removed DNA protein cross-links causedby acrolein. An internal standard, [3H]thymidine-labeled 1.1210 cellsthat had received 300 rad at 4"C. was included in each assay. To

measure the extent of DNA protein cross-links, the assay was modifiedby omission of the proteinase digestion of the cell lysates and SDS wasdeleted from the eluting solution. The cells were exposed to 4 krad ofionizing radiation (to shear cellular DNA) before these cells werecollected on polyvinyl chloride filters (Millipore Corp., Bedford, MA).The frequencies of DNA single strand breaks and DNA protein crosslinks were calculated and plotted as described by Kohn et al. (35).

Source of Test Agent. Acrolein (99+, gold label) was obtained fromAldrich Chemical Company (Milwaukee, WI) or Aldrich-Chemie(Steinheim/Albuch, Federal Republic of Germany).

RESULTS

The toxicity of acrolein at defined thiol-free conditions wasinvestigated in human bronchial epithelial cells by determiningsurvival as measured by colony-forming efficiency or trypanblue exclusion (Fig. 1). A 1-h exposure to less than 3 MMacroleinwas required to decrease the colony-forming efficiency to 50%.Measurement of trypan blue exclusion, as a survival assay,could be successfully applied to cultured human bronchial epi-

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EFFECTS OF ACROLEIN IN HUMAN BRONCHIAL CELLS

100

80

60

40

OerK

8

zmoce

20

2 - \10

20 30

CONCENTRATION(uM)Fig. 1. Effects of acrolein on colony-forming efficiency and trypan blue exclu

sion ability of human bronchial epithelial cells. Cells were exposed to acrolein for1 h in thiol-free LHC basal medium. Growth and membrane integrity assays wereperformed as described in "Materials and Methods." Results are expressed asmean ±SEM from 3 separate experiments. Colony-forming efficiency, •;trypanblue exclusion,O.Table

1 Effects of acrolein on clonal growth rate, cell planar surface area, cross-linked envelope formation, and plasminogen activator activity of human bronchial

epithelial cellsAssays for clonal growth rate, cell planar surface area, cross-linked envelope

formation, and plasminogen activator activity were performed as described in"Materials and Methods." Results were expressed as mean ±SEM from three

separate experiments.Cross-linked

PlasminogenClonal growth rate Cell planar envelope activator activ-

Acrolein (population dou- surface formation ity inumi li{/IM) blings/day) area (%) (%)mg/protein)Control

0.81 ±0.031 0.76 ±0.023 0.62 ±0.02"

10 0.46 ±0.03°30 <0.1°100

±6 2 ±0.5 2.1 ±0.1124 ±5" 6±1° 2.3±0.2108 ±7 14 ±3" 2.2 ±0.2ND* 23±3°'c 1.5±0.rND 35 ±4° 1.3 ±0.1°THIOL

EQUIVALENTS(nmol/106cells)25'cM "A"o8è8§8"3?^)NA protein cross-linkso higher concentrationsised formation of both E•lutionprofile observediA

I0

10 30 10CONCf

2. Effect of acrolein on the cellu

The intracellular content of total free thiols was markedlydecreased in a dose-dependent manner by a 1-h exposure to

different concentrations of acrolein (Fig. 2A). When theamounts of GSH were measured specifically by analysis of thebimane GSH conjugate (34), acrolein caused a similar markeddose-dependent depletion (Fig. 2B). However, depletion of

GSH was not coupled with increased levels of GSSG up to 100/IM acrolein. About 5% of cellular GSH was present in itsoxidized form, both in unexposed control and acrolein-exposedcells. Also the total amount of monobromobimane-accessibleprotein thiols decreased by exposure to acrolein. A substantialdecrease in protein thiols was observed at or above 10 UMacrolein.

Using the sensitive alkaline elution assay (35), a 1-h exposureto 30 UMacrolein in a thiol-free growth medium was found tocause low but significant amounts of DNA single strand breaks

B

30 100

°Significantly different from control (P < 0.05) with Student's / test.* ND, not determined.' From Ref. 42.

thelial cells. About 20 /IM acrolein was required to cause 50%of cells to become stained by trypan blue. At 30 /tM concentration, acrolein markedly decreased also the trypan blue exclusionability. At doses higher than 30 /UMall cells became stained bytrypan blue but without significant cell detachment (data notshown).

Several criteria that indicate terminal squamous differentiation of epithelial cells were investigated (Table 1). Acroleincaused a dose-dependent decrease in clonal growth rate ofbronchial epithelial cells. Acrolein at 1 /¿Mcaused cells toexhibit a more squamous morphology with a concomitant increase in the cell planar surface area. Doses of 3 /JMand abovealso caused some cells to round up. Further, acrolein increasedthe formation of cross-linked envelopes in a dose-dependentmanner (Table 1). Approximately 5- to 10-fold increased envelope formation occurred at concentrations that inhibit thecolony-forming efficiency and clonal growth rate to about 50%.In contrast, plasminogen activator secretion to the extracellularmedium was not significantly affected by up to 3 ^M acrolein;at higher concentrations the activity in the plasminogen activator assay was significantly decreased.

o 10.TION ((¿M)

ntent of total free thiols 1.1). reducedand oxidized GSH, and protein thiols (B) in human bronchial epithelial cells.Cells were exposed to acrolein for l h in thiol-free LHC basal medium. Cellularthiol status was analyzed as described in "Materials and Methods." The results

in Fig. 2A are expressed as mean ±SEM of 3 separate experiments. The resultsof Fig. 2B show mean values from 2 experiments with duplicate dishes. Totalthiols, •:GSH, O; GSSG, •;protein thiols, A.

0.6 0.4 0.2

FRACTION OF INTERNAL STANDARD DNA RETAINED ON FILTERFig. 3. DNA single strand breaks (A) and DNA protein cross-links (B) caused

by acrolein in human bronchial epithelial cells. Cells were exposed to variousconcentrations of acrolein for l h in thiol-free LHC basal medium. The differenttypes of DNA damage were analyzed by the alkaline elution technique as describedin "Materials and Methods." •,control; •30 MM;A, 100 JIM:*, 300 MM.

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EFFECTS OF ACROLEIN IN HUMAN BRONCHIAL CELLS

lein in the DNA single strand break assay also indicated someformation of DNA interstrand cross-links.

DISCUSSION

Acrolein significantly decreases the colony-forming efficiencyof cultured human bronchial epithelial cells already at a concentration of l /¿M.When the ability of cells to exclude trypanblue was measured, about 10- to 20-fold higher concentrationsof acrolein were required to cause membrane permeability.Thus, comparison shows that colony-forming efficiency is amore sensitive biological endpoint, although the presence ofsubstantially increased numbers of acrolein-reactive thiol targetgroups in the higher density cultures used for the trypan blueexclusion assay may contribute to its lower sensitivity. Tominimize similar interactions, serum- and thiol-free exposureconditions were used in this study because their presence in theculture medium may shift the reactivity of a bifunctional aldehyde like acrolein by unevenly scavenging effects related to themore reactive /3-carbon as compared to the aldehyde group. Forexample, recent investigations on the embryotoxicity in vitro ofacrolein support different mechanisms of action in serum-freeand serum-containing media, respectively (36).

In mammalian cells, conjugation with GSH constitutes amajor cellular defense mechanism against toxic exogenous compounds as well as many electrophilic products of metabolicactivation. Human bronchial epithelial cells contain approximately 100 nmol of total free thiols per IO6 cells and GSH

constitutes about 80% of this total amount. Acrolein is one ofthe most thiol-reactive agents known (12). We have previouslyshown that acrolein causes depletion of total free thiols infibroblasts (29). When the cellular levels of total free thiols aswell as GSH are specifically assayed in bronchial epithelialcells, acrolein causes a marked and similar depletion of bothtotal thiols and GSH at 3 /UMconcentration. When the effectof acrolein on the total amounts of free cellular protein thiolsis measured, a significant decrease is not observed below 10 fiM,indicating the protective action of GSH against acrolein alky I-ation of protein thiols. Furthermore, acrolein-induced growthinhibition occurs before significant GSH depletion, whereasloss of membrane integrity follows this effect. Acrolein is likelyto interact with specific cellular protein thiols during growthinhibition because cytotoxic concentrations are required to decrease the total amounts of protein thiols.

Exposure of bronchial epithelial cells to acrolein causedenhanced terminal squamous differentiation as indicated bydecreased clonal growth rate, increased cell surface area, andseveral-fold increased formation of cross-linked envelopes, thelatter regarded as a late event in terminal squamous differentiation (31, 32, 37). With tobacco smoke or acrolein alone asimilar response is observed in vivo, since inhalation exposureof rodents to either of these agents causes squamous metaplasiain their respiratory airways (see Ref. 3). Recent studies withcigarette smoke condensate fractions indicate that nonvolatilecomponents of smoke also can induce differentiation of normalhuman bronchial epithelial cells (38). Agents with tumor-promoting activity in the mouse skin carcinogenesis model such asaplysiatoxin, 12-O-tetradecanoylphorbol-13-acetate, or teleo-cidin B are the most potent inducers of terminal squamousdifferentiation of normal human bronchial epithelial cells currently known (31, 39). The mechanism(s) involved in acrolein-induced epithelial cell differentiation should be investigated toelucidate a possible role of acrolein in tumor promotion.

Formation of oxygen radicals has been hypothesized to play

a role in tumor promotion (18-20). Generation of radicals andsubsequent lipid peroxidation may lead to depletion of thiolsby oxidation of GSH to GSSG (19, 20). Recently, a decreasedratio of GSH to GSSH was reported in mouse epidermal cellstreated with tumor promoters (40). Moreover, acrolein hasrecently been implied as one of the causative metabolites inallyl alcohol-induced lipid peroxidation, which results in GSSGformation in mouse (21) and rat liver (22). In acrolein-exposedhuman bronchial epithelial cells, no GSSG can be detectedindicating both the absence of this type of oxidative stress andthat the marked decrease in GSH is due only to its directconjugation to acrolein. Spermine has been shown to causedepletion of GSH in cultured mammalian cells, presumably bycausing oxidative stress and subsequent GSSG formation (4).It should be noted that decomposition of spermine may lead toformation of acrolein which by conjugation will contribute tothe spermine-induced loss of GSH.

Investigation of acrolein-induced DNA damage in normalhuman cells is of importance because acrolein has recently beenfound to be mutagenic in human fibroblasts.4 From studies withDNA in vitro, acrolein was shown to cause cyclic 1,N2-propan-

odeoxyguanosine adducts (23). These in vitro studies also indicate that acrolein would be able to cross-link DNA. Whenassayed in human bronchial epithelial cells, acrolein causesboth significant DNA single strand breaks and DNA proteincross-links. Moreover, low levels of acrolein-induced inter-strand DNA cross-links are indicated by the concave curvatureof the elution profile. The observation that acrolein causesdifferent types of DNA damage should also be of importanceto fully understand the genotoxicity of the chemotherapeuticagent cyclophosphamide, from which acrolein is a primarymetabolite. Because time-dependent formation of DNA inter-strand cross-links has been shown in cyclophosphamide-ex-posed human leukemia cells (20), acrolein may have contributedto this type of DNA damage. However, the potential role of thedifferent types of acrolein-induced DNA damage in humanbronchial epithelial cells is difficult to evaluate since the concentration of acrolein, i.e., 30 fiM, that causes significant damage is also quite cytotoxic in terms of both cloning ability andmembrane integrity.

When compared to several aldehydes and peroxides previously investigated by us including formaldehyde, acetaldehyde,bcn/oy(peroxide, and hydrogen peroxide (41, 42), acrolein isthe most potent agent on a molar basis to induce pathobiolog-ical effects in bronchial epithelial cells. Previous studies withbronchial fibroblasts also show acrolein to be much more cytotoxic and potent in depleting total free cellular thiols thanother tobacco smoke or automotive exhaust-related aldehydes,e.g., formaldehyde and acetaldehyde (29).

In human cells, acrolein has now been shown to cause a broadrange of cytopathic effects that relate to both the initiation andpromotion phase of carcinogenesis. To human bronchial epithelial cells in culture, micromolar concentrations of acroleinare highly cytotoxic in terms of decreased cloning ability,growth rate, and membrane integrity, markedly affect freenonprotein and protein thiol status, induce different squamousmorphological changes, and cause several types of DNA damage. Further studies are required to explore both mechanismsunderlying these effects and their possible importance in thedevelopment of chronic obstructive pulmonary disease and lungcancer in tobacco smokers.

ACKNOWLEDGMENTS

We appreciate the helpful comments of Dr. V. Wilson. Dr. P.Moldéusand Dr. I. Cotgreave are acknowledged for providing guidance

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EFFECTS OF ACROLEIN IN HUMAN BRONCHIAL CELLS

with the thiol assays. The technical assistance of M. Sjöströmis alsoappreciated.

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1988;48:1717-1721. Cancer Res   Roland C. Grafström, Jeannette M. Dypbukt, James C. Willey, et al.   Bronchial Epithelial CellsPathobiological Effects of Acrolein in Cultured Human

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