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Journal of Virology, January 2001, p. 215-225, Vol. 75, No. 1
0022-538X/01/$04.00+0 DOI: 10.1128/JVI.75.1.215-225.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Role of NF-
B and Myc Proteins in Apoptosis
Induced by Hepatitis B Virus HBx Protein
Fei
Su,
Christian N.
Theodosis, and
Robert J.
Schneider*
Department of Microbiology, New York
University School of Medicine, New York, New York 10016
Received 31 May 2000/Accepted 29 September 2000
 |
ABSTRACT |
Chronic infection with hepatitis B virus (HBV) promotes a high
level of liver disease and cancer in humans. The HBV HBx gene encodes a
small regulatory protein that is essential for viral replication and is
suspected to play a role in viral pathogenesis. HBx stimulates
cytoplasmic signal transduction pathways, moderately stimulates a
number of transcription factors, including several nuclear factors, and
in certain settings sensitizes cells to apoptosis by proapoptotic
stimuli, including tumor necrosis factor alpha (TNF-
) and etopocide.
Paradoxically, HBx activates members of the NF-
B transcription
factor family, some of which are antiapoptotic in function. HBx induces
expression of Myc protein family members in certain settings, and Myc
can sensitize cells to killing by TNF-
. We therefore examined the
roles of NF-
B, c-Myc, and TNF-
in apoptotic killing of cells by
HBx. RelA/NF-
B is shown to be induced by HBx and to suppress
HBx-mediated apoptosis. HBx also induces c-Rel/NF-
B, which can
promote apoptotic cell death in some contexts or block it in others.
Induction of c-Rel by HBx was found to inhibit its ability to directly
mediate apoptotic killing of cells. Thus, HBx induction of NF-
B
family members masks its ability to directly mediate apoptosis, whereas
ablation of NF-
B reveals it. Investigation of the role of Myc
protein demonstrates that overexpression of Myc is essential for acute sensitization of cells to killing by HBx plus TNF-
. This study therefore defines a specific set of parameters which must be met for
HBx to possibly contribute to HBV pathogenesis.
 |
INTRODUCTION |
The transcription factor NF-
B is
involved in a number of cellular processes, including immune cell
activation and development, stress responses, expression of
inflammatory cytokines, and the control of apoptosis (5).
NF-
B transcription factors are hetero- and homodimer complexes of
related proteins which contain a Rel homology domain involved in
specific DNA binding, protein dimerization, and nuclear importation
(6). The Rel proteins predominantly found in mammalian
cells consists of two transcriptionally inactive forms, NF-
B1 (p50)
and NF-
B2 (p52), and three transcriptionally active subunits known
as RelA (p65), c-Rel, and RelB (6). NF-
B is generally
sequestered in the cytoplasm in an inactive state associated with
inhibitory I
B proteins (30). Upon phosphorylation and
degradation of I
B, NF-
B is released and translocated to the
nucleus, where it activates dependent genes.
Different NF-
B transcription factors may play diverse and even
opposing roles in modulating cell death by apoptosis. In certain settings, c-Rel has been associated with promoting apoptosis. Increased
expression of c-Rel protein and its accumulation in the nucleus
correlate with induction of apoptosis in various tissues of developing
chicken embryos (1, 63). Overexpression of c-Rel in bone
marrow cells triggers apoptosis (47). Apoptosis was also
observed upon expression of c-Rel in HeLa cells stably expressing the
c-rel gene under inducible control (9). In
contrast, a variety of studies with knockout mice have demonstrated the importance of RelA and c-rel in prevention of apoptosis.
Apoptosis of the liver occurs in relA knockout mice during
embryogenesis (10). In addition, overexpression of
RelA/NF-
B also protects cells from tumor necrosis factor alpha
(TNF-
)- or chemotherapy-mediated apoptosis (10, 37, 67, 106,
107, 116), and RelA-deficient embryonic fibroblasts die upon
treatment with TNF-
, while RelA-containing fibroblasts do not
(10). Enforced expression of RelA or c-rel blocks apoptosis induced by a variety of proapoptotic agents, including
TNF-
(32, 67). In c-Rel-deficient mice, B cells undergo
apoptosis in response to antigen receptor ligation due to an inability
to induce the Bcl-2 prosurvival protein, known as protein A1
(38). Studies have found that the ability of NF-
B to
block TNF-
-mediated apoptosis is related to its induction of
prosurvival (antiapoptotic) genes, including Bcl-2 family proteins (38), and inducible NO synthase genes (36).
Metabolites of NO have been linked to inhibition of apoptosis
(72). Thus, activation of NF-
B transcription factors in
different settings can control apoptosis in quite opposite manners.
Many viruses have regulatory proteins that activate NF-
B. These
include cytomegalovirus (119), human immunodeficiency
virus type 1 (HIV-1) (31), human T-lymphotropic virus type
1 (HTLV-1) (52, 53, 62, 75), Epstein-Barr virus (EBV)
(45), influenza virus (81), Sindbis virus
(66), dengue virus (73), and hepatitis B
virus (HBV) (18, 68, 89, 94, 104). However, for some viruses the activation of NF-
B is associated with induction of apoptosis. For example, Sindbis A virus-induced apoptosis was found to
require activation of NF-
B, as suppression of NF-
B blocked
virus-mediated apoptosis (66). Replication of dengue A
virus in human hepatoma cells was shown to activate NF-
B, which in
turn was linked to apoptotic cell death (73). The HIV-1
envelope glycoprotein gp160 was also shown to induce apoptosis via
activation of NF-
B (20). Thus, activation of NF-
B
for these viruses induces apoptosis. For other viruses, activation of
NF-
B prevents host cell apoptosis. For example, the EBV latent
membrane protein-1 (LMP-1) induces NF-
B activity, predominantly as
p50-RelA and p52-RelA forms (45). EBV appears to protect B
cells from apoptosis, at least in part through upregulating expression
of Bcl-2 by LMP-1, probably through NF-
B/RelA activation
(42). Some viruses are also capable of simultaneously
inducing apoptotic death of their host cells while stimulating NF-
B
activity, without any correlation between the two activities. For
example, HTLV-1 Tax protein has been studied intensively for its
ability to activate NF-
B (15, 53, 75, 86, 97, 112). Tax
also induces apoptosis in Jurkat cells when overexpressed
(22). However, these studies could find no discernable
correlation between Tax-induced NF-
B activity and its induction of
apoptosis. The HBx protein of HBV is associated with induction of
apoptosis or sensitization of cells to apoptosis by subthreshold levels
of proapoptotic stimuli such as TNF-
and etoposide (16, 19,
55, 87, 90, 91, 95, 100), and it slightly enhances hepatocyte
killing in the liver of transgenic mice (83, 100, 101).
HBx also induces NF-
B through multiple molecular mechanisms,
resulting in NF-
B complexes of different compositions (18, 94,
113), although the effects on apoptosis of HBx-induced complexes
are not known.
HBx is largely a cytoplasmic protein (25, 27, 49, 92) that
moderately activates transcription and is essential for viral
replication (17, 121). HBx activates a variety of
transcription factors, including NF-
B (65, 68, 71, 76, 89,
104), AP-1 (12, 14, 24, 54, 78, 88, 103), and
CREB/ATF2 (8, 70, 99, 115). In addition to RNA polymerase
II-dependent transcription, HBx also stimulates transcription by RNA
polymerase III (3, 61, 108) and RNA polymerase I
(110). Underlying many but not all of the reported
activities of HBx is its ability to stimulate cytoplasmic signal
transduction pathways (12-14, 18, 23, 24, 27, 54, 58, 69, 79,
94, 95, 108-110). HBx activates the Ras-Raf-mitogen-activated
protein kinase pathway (12, 24, 43, 79, 108), the cell
stress-induced MEKK1-p38-c-Jun N-terminal kinase (JNK) pathway
(14, 43, 94), and the family of Src tyrosine kinases
(58), which may be important for viral replication
(59). HBx also stimulates deregulation of early cell cycle
checkpoint controls (13, 60, 91).
Here we report studies that were conducted to determine whether the
composition of HBx-induced NF-
B complexes is important for
HBx-mediated apoptosis. There were three reasons for carrying out this
study. First, HBx activates different complexes of NF-
B, including
RelA/NF-
B and c-rel/NF-
B, which may have opposing effects on cell
survival in different settings (32). Second, HBx either
directly or indirectly induces apoptosis or sensitizes cells to
TNF-
-mediated apoptotic killing in the context of viral replication
or when expressed independently of HBV in cultured cells
(94). Moreover, TNF-
production occurs during HBV
infection (21, 34), and HBx has been reported to stimulate
the expression of TNF-
in infected hepatocytes (35, 48,
82). Third, HBx induces myc genes in some cell lines
(4, 7, 95), and myc gene expression may be
elevated in early neoplastic liver nodules containing HBV or woodchuck
hepatitis B virus (WHV) (105, 108). Myc proteins can
sensitize cells by about twofold to apoptotic killing in certain
settings, such as during exposure to TNF-
or other factors
(29, 44, 50, 51, 57) or potent inhibitors in other
settings (reviewed in references 32 and
102).
 |
MATERIALS AND METHODS |
Cell culture.
Wild type (WT) and RelA/p65 knockout (KO) NIH
3T3 murine cell lines were provided by D. Baltimore (CalTech). 3T3
cells were propagated in Dulbecco's modified Eagle's medium with 10%
calf serum and gentamicin sulfate (50 µg/ml). TNF-
(Sigma) was
added directly to the medium at 10 ng/ml for the times indicated in the
text. Insulin-like growth factor II (IGF-II; Sigma) was added to growth
medium at 10 ng/ml as indicated.
Antibodies and plasmids.
Rabbit anti-NF-
B p50, anti-p52,
anti-c-Rel, and anti-c-Myc were purchased from Santa Cruz Inc.
Anti-NF-
B p65 was a gift from D. Baltimore. Monoclonal anti-goat
immunoglobulin G-fluorescein isothiocyanate (FITC) conjugate was
purchased from Sigma. Plasmid pCMV-I
B
expresses a superrepressor
form of I
B
in which serines 32 and 36 were mutated to alanine
(107). The cDNA expression vector for the human
c-myc gene controlled by the simian virus 40 (SV40) early
promoter was a gift from E. Ziff (New York University). The SV40 early
promoter is only slightly stimulated by HBx (68).
Transfection and transduction of cells.
Cells at 50%
confluency were transfected with DNA plasmids using Lipofectin (Gibco)
with a total of 10 µg of plasmid DNA per 10-cm plate of cells. Where
indicated, cells were treated with TNF-
and/or other reagents.
Transfection efficiencies were monitored by inclusion of an expression
plasmid for green fluorescent protein (pGFP). Ad-HBx and Ad-HBxo
constructs express the wild-type HBx gene or a mutant deleted of all
AUG codons (subtype ayw), respectively, controlled by the
cytomegalovirus promoter in a replication-defective adenovirus type 5 (Ad) vector deleted of Ad early regions E1A and E1B. These vectors were
described previously in detail (27). Viral vectors were
propagated in complementing 293 cells, and titers were determined.
Transduction utilized 100 to 200 virus particles per cell at a 20:1
ratio of particles to PFU (5 to 10 PFU/cell).
Cell killing.
The amount of cell killing was determined as
described previously (95) by scoring the fraction of dead
or dying cells stained with trypan blue (Sigma) and by Hoechst
33258-stained condensed nuclei. A minimum of 200 cells were scored for
each sample, and each experiment was performed in duplicate at least
three times. Standard errors were calculated from all three
experiments, and results represent the mean of three studies.
Preparation of cytoplasmic and nuclear extracts.
Cytoplasmic
and nuclear extracts were prepared as described previously
(2) with modifications (94). Cell pellets
were resuspended in 400 µl of cold buffer A (10 mM HEPES [pH 7.9], 1.5 mM MgCl2, 10 mM KCl, 0.5 mM dithiothreitol [DTT], 1 mM phenylmethylsulfonyl fluoride [PMSF], leupeptin [10 mg/ml], and
aprotinin [10 mg/ml]), swollen on ice for 10 min, vortexed for
10 s, and centrifuged for 10 s at 12,000 × g. Nuclear pellets were resuspended in 30 to 70 µl of cold
buffer B (20 mM HEPES [pH 7.9], 25% glycerol, 420 mM NaCl, 1.5 mM
MgCl2, 0.2 mM EDTA, 1 mM DTT, 1 mM PMSF, leupeptin [10
mg/ml], and aprotinin [10 mg/ml]) and incubated on ice for 20 min,
and nuclear extracts were obtained by centrifugation at 12,000 × g for 2 min at 4°C.
EMSAs.
Electrophoretic mobility shift assays (EMSAs) were
carried out essentially as described elsewhere (93, 94).
Double-stranded DNA oligonucleotides for probes or competitors
consisted of the following double-stranded sequence corresponding to an
NF-
B binding site sequence: 5'-GATCCAGAGGGGCCACTTTCCGAGAGGA-3'.
Nuclear extracts for band shift analysis were prepared as
described above. All extracts were standardized for protein
concentration before use. Binding reactions were carried out in 12- to
20-µl reaction volumes containing 5 µg of nuclear protein extract,
10 fmol of 32P-5'-end-labeled double-stranded
oligonucleotide, approximately 106 cpm/reaction, and 1 µg
of poly(dI-dC) in buffer C (5 mM MgCl, 1 mM DTT, 1 µg of
single-stranded DNA, 0.3 mM PMSF, 0.5 mM EDTA, 10% glycerol, 10 mM
HEPES [pH 7.9], 50 mM NaCl). Binding reactions were incubated for 30 min at 23°C, and DNA-protein complexes were resolved from
free-labeled DNA by electrophoresis in 4.5% polyacrylamide gels
containing 50 mM Tris-HCl (pH 8.5), 200 mM glycine, and 1 mM EDTA. Gels
were dried and autoradiographed, and radioactivity was quantitated by
digital imaging software. For antibody competitor assays, specific
antibodies against p50, p52, and p65 and c-Rel subunits of NF-
B or
preimmune sera were added to the binding reaction prior to addition of
labeled oligonucleotide for 15 min at 4°C. Unlabeled competitor
assays were carried out by adding a 100-fold molar excess of unlabeled
double-stranded DNA NF-
B oligonucleotide simultaneously with labeled probe.
Immunoblot analysis.
For each sample, 50 to 100 µg of
nuclear protein was resolved on sodium dodecyl sulfate (SDS)-10%
polyacrylamide gels and transferred to nitrocellulose filters
(Schleicher and Schuell) using an electroblotting transfer system.
Filters were incubated for 2 h in Tris-buffered saline (TBS)
containing 5% nonfat dry milk at room temperature and then for 3 h with primary antibody to specific proteins in TBS plus 0.5% sodium
azide. Filters were washed three times for 10 min each in TBS-0.2%
Tween 20. Filters were then incubated with secondary antibodies in TBS
for 1 h. Filters were washed five times for 10 min each in
TBS-0.2% Tween 20. Immune complexes were visualized with the enhanced
chemiluminescence system (ECL; Amersham).
Immunofluorescence analysis.
Cells were grown on coverslips
in dishes and transfected or transduced as above, washed in
phosphate-buffered saline after transfection, then fixed or
permeabilized with fresh 70% acetone-30% methanol at
20°C for 7 min as described previously (27). Cells were incubated
with primary antibodies to Flag (IBI, Inc.) for HBxFlag protein,
washed, and then incubated with FITC-conjugated secondary antibody as
described (27). Staining with Hoechst 33258 was carried
out as described previously (95). Stained cells were
examined and photographed using a Zeiss Axiophot fluorescence microscope.
 |
RESULTS |
Characterization of HBx-activated NF-
B.
To determine
whether NF-
B plays a role in controlling induction of apoptosis by
HBx, experiments were conducted in a RelA-KO mouse 3T3 fibroblast cell
line (RelA KO), which was derived from embryonic fibroblasts of RelA-KO
mice (11). A matched wild-type 3T3 cell line (WT) was
derived from the control mice (11). HBx was delivered by
transduction from a replication-defective Ad vector that fails to
express detectable levels of Ad early and late genes in
noncomplementing cells, such as murine 3T3 cells. The Ad-HBx vector,
which was described previously, transduces and expresses the HBx gene
in ~95% of the cells (12, 13, 27, 94). The Ad-HBx
vectors replicate only in complementing 293 cells that provide Ad E1A
and E1B gene products in trans.
HBx was introduced into serum-starved WT or RelA KO 3T3 cells by
transduction with 100 to 200 virus particles (5 to 10 PFU) of Ad-HBx
vector per cell. Control cells were transduced with a virus vector that
expresses a mutated HBx mRNA lacking AUG codons and therefore cannot
synthesize HBx protein (Ad-HBxo) (12, 13, 27, 94). Eight
hours after vector transduction, when HBx activation of Src-Ras
signaling was elevated (58), cells were harvested and
nuclear extracts were prepared. Formation of NF-
B DNA-binding complexes was examined by EMSA, using equal amounts of nuclear protein
extracts and a 32P-labeled, double-stranded oligonucleotide
DNA probe containing the consensus NF-
B binding site. Induction of
NF-
B DNA-binding activity was observed in WT cells expressing HBx
but not those expressing HBxo (Fig. 1A).
HBx stimulated NF-
B DNA binding to approximately fivefold-lower
levels than in cells treated with murine TNF-
(Fig. 1A; 10-fold less
TNF-
sample was loaded in this particular gel). In RelA KO 3T3
cells, which still express other forms of NF-
B, both TNF-
and HBx
stimulated formation of NF-
B DNA-binding complexes. Formation of
NF-
B complexes was ablated by an excess of unlabeled competitor DNA
(Fig. 1B), demonstrating specificity.

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FIG. 1.
Induction of NF- B DNA-binding activity by HBx and
TNF- in NIH 3T3 cells. Serum-starved (A) WT 3T3 cells and (B) RelA
KO 3T3 cells were transduced by Ad-HBx or Ad-HBxo vector for 8 h
or treated with mouse TNF- (10 ng/ml) for 30 min. Nuclear extracts
were prepared, and 10 µg was used to measure NF- B DNA-binding
activity by EMSA with a double-stranded 32P-labeled
oligonucleotide probe containing one NF- B binding site. For
competition studies, a 100-fold molar excess of unlabeled competitor
(c. comp.) probe was added. Protein-DNA complexes were resolved by
electrophoresis in 4.5% polyacrylamide gels and visualized by
autoradiography, and radioactivity was quantitated by digital
densitometry. Control cells were neither transduced nor treated. Note
that 10-fold less TNF- sample was loaded in panel A.
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The NF-

B DNA-binding complexes activated by HBx in WT and RelA KO
cells were characterized by EMSA using NF-

B member-specific
antibodies. Polyclonal antibodies directed against p50, p52, RelA,
and
c-Rel proteins were added to binding reactions prior to addition
of
32P-labeled oligonucleotide DNA probe. Partial or full
ablation
of specific Rel protein band shifts is diagnostic of DNA
binding
by that particular protein. In WT 3T3 cells, antibodies to p50,
p52, RelA, and c-Rel each partially prevented formation of NF-

B
DNA-binding complexes, which was similar in TNF-

-treated
HBx-expressing
cells (Fig.
2A). In RelA
KO cells treated with TNF-

or transduced
by Ad-HBx, antibody
addition studies demonstrated similar formation
of the NF-

B
DNA-binding complexes (but induced more strongly
by TNF

), containing
p50, p52, and c-Rel proteins but not RelA,
since addition of antibody
to RelA had no effect on complex formation
(Fig.
2B). The ablation of
p50 protein complexes by p52 antiserum
and p52 protein complexes by p50
antiserum is probably due to
cross-reactivity (data not shown) and does
not alter these conclusions.
HBx may also induce low levels of RelB and
p105 NF-

B in both
cell lines (
94) (data not shown). The
WT and RelA KO cells therefore
provide an excellent model system for
investigating the contributions
of Rel protein activation by HBx in
sensitization or resistance
of cells to apoptotic killing.

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FIG. 2.
Composition of NF- B DNA-binding complexes induced by
HBx protein and TNF- in WT and RelA KO 3T3 cells. Serum-starved (A)
WT and (B) RelA KO cells were transduced with the Ad-HBx vector for
8 h or treated with mouse TNF- (10 ng/ml) for 30 min. Nuclear
extracts were prepared, and 10 µg of protein extract was used to
detect NF- B DNA-binding activity by EMSA as described in the legend
to Fig. 1. Specific polyclonal antibodies (Ab) were added to binding
reactions corresponding to p50 (NF- B1), p52 (NF- B2), RelA, and
c-Rel proteins by addition 15 min prior to that of
32P-labeled oligonucleotide probe. Control refers to
extracts from untreated quiescent cells. n. serum, normal serum.
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Inactivation of RelA and c-Rel/NF-
B enhances HBx-induced
apoptosis but not sensitization to TNF-
.
To determine the role
of NF-
B proteins in HBx-mediated apoptosis and in HBx sensitization
to apoptosis by TNF-
, both WT and RelA KO cells were transduced with
Ad-HBx or Ad-HBxo vectors for 8 h, followed by treatment with
TNF-
(10 ng/ml) for 16 h. Cell death was then quantified by
trypan blue exclusion assay, as described previously (95).
This assay measures the percentage of dead and dying cells that become
permeable to dye, which is a sensitive and quantitative measure of cell
death (94). The viability of WT cells expressing HBxo was
the same as that of control cells that were not transduced by Ad-HBx or
treated with TNF-
(Fig. 3). WT 3T3
cells expressing HBx demonstrated a slight but reproducible increase in
killing (~8%) compared to control HBxo-expressing cells (4 to 5%)
(Fig. 3A, Fig. 4; P < 0.05). Surprisingly, WT 3T3 cells expressing HBx were not
significantly sensitized to apoptotic killing by treatment with TNF-
(Fig. 3A), in contrast to previous studies in HepG2 and Chang cells
(16, 95). Treatment of cells with much higher levels of
TNF-
(up to 1 µg/ml) was also without effect (data not shown),
indicating that HBx was incapable of sensitizing WT 3T3 cells to
TNF-
-mediated killing. In RelA KO 3T3 cells expressing HBx, a
twofold increase in cell killing was observed compared to WT 3T3 cells
expressing HBx. Treatment with TNF-
only slightly, but reproducibly,
increased killing of RelA KO cells expressing HBx (Fig. 3B). HBxo
expression had no effect on RelA KO cell viability, as expected.
Treatment of control or HBxo-expressing RelA KO cells with TNF-
showed a twofold increase in killing compared to untreated cells. Thus, RelA KO cells, which still express c-Rel and other forms of NF-
B, are only modestly sensitized to killing by HBx plus TNF-
. As a
control, cotreatment of WT or RelA KO cells with cycloheximide rendered
them acutely sensitive to killing by TNF-
, demonstrating that these
cells can be made susceptible to TNF-
and can be induced to
apoptose.

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FIG. 3.
Cell killing by HBx and TNF in WT and RelA KO 3T3
cells. Serum-starved (A) WT and (B) RelA KO 3T3 cells were transduced
by Ad-HBx or Ad-HBxo vector for 8 h, followed by 16 h of mock
treatment or treatment with murine TNF- (10 ng/ml) or TNF- (10 ng/ml) and cycloheximide (cycl.) (10 µg/ml). Cell death was
quantified spectrophotometrically by trypan blue dye exclusion. Results
represent the means of three independent experiments, with derived
standard errors shown. Control (Ctrl) refers to cells not transduced by
Ad vectors.
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FIG. 4.
Combined HBx expression and TNF- treatment induce
death of 3T3 cells by apoptosis. WT and RelA KO 3T3 cells were grown on
coverslips, transduced by Ad-HBx, and either mock treated or treated
with TNF- as described in the legend to Fig. 3. Cells were processed
for staining with Hoechst DNA dye 33258 and then photographed under UV
light using a Zeiss Axiophot photomicroscope at ×600 magnification.
Apoptotic cells contain condensed nuclei that stain brightly, compared
to diffuse and pale staining of normal cells.
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Studies confirmed that the death of WT and RelA KO cells occurred by
apoptosis. WT and RelA KO cells grown on coverslips were
transduced
with Ad-HBx. Although virtually all cells were transduced
and express
HBx (shown in Fig.
6C), only a small fraction of cells
contained
condensed and fragmented nuclei, a hallmark of apoptosis,
as determined
from bright punctate staining with Hoechst 33258
(Fig.
4). Diffuse and
pale staining is typical of nuclei in nonapoptotic
cells. These data
confirm that very few WT 3T3 cells expressing
HBx undergo apoptosis,
and they indicate that elimination of RelA
in RelA KO cells enhances
the ability of HBx to mediate apoptotic
cell killing only about
twofold. Treatment of cells with TNF-
(10 ng/ml) resulted in only a
small increase in apoptotic killing
of WT and RelA KO cells expressing
HBx (Fig.
4), consistent with
the results in Fig.
3 and in contrast to
other cell lines examined
previously.
Studies were therefore performed to determine whether expression of
other forms of NF-

B affords significant protection against
HBx-induced apoptosis and sensitization to killing by TNF-

. Cells
were transfected with a plasmid expressing a superrepressor mutant
form
of I

B

, which cannot be phosphorylated at serine residues
32 and
36 and therefore blocks activation of NF-

B (
107). Cells
were transduced with the Ad-HBx vector 6 to 8 h after
transfection.
Transduction by virus drives the uptake of plasmid into a
much
larger number of cells (
13,
120). Cotransfection with
a green
fluorescent protein expression plasmid indicated that ~70%
of
cells were transfected by this approach (data not shown).
Transfection
of the I

B

superrepressor expression plasmid followed
by transduction
with Ad-HBx suppressed HBx activation of all forms of
NF-

B by
about 75% in WT cells and slightly more so in RelA KO
cells, as
measured by NF-

B EMSA (Fig.
5A). The residual NF-

B DNA-binding
complexes likely arise from the 30% of cells that were not transfected
but were transduced by the Ad-HBx vector. These data demonstrate
downregulation of NF-

B activation in the majority of cells that
express HBx. As expected, transfection of the I

B

superrepressor
and transduction of cells by the Ad vector alone did not demonstrate
activation of NF-

B DNA-binding complexes. We therefore examined
whether downregulation of NF-

B is associated with a concomitant
increase in cell killing by HBx and an increased sensitivity to
TNF-

.

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FIG. 5.
Suppression of NF- B activation promotes HBx-mediated
apoptosis. WT and RelA KO 3T3 cells were transfected by a plasmid
expressing a superrepressor (S.R.) mutant form of I B , which
blocks activation of NF- B. Eight hours later, cells were transduced
for 10 h with Ad-HBx or vector alone (Ad dl312, vec), a control
virus vector that is functionally identical to control virus AdHBxo. At
10 h following transduction, cells were either mock treated or
treated with murine TNF- (10 ng/ml) for 16 h. Approximately
70% of cells were transfected by this approach, as determined by
inclusion of a pGFP expression vector (data not shown). (A) Nuclear
extracts were prepared and 10 µg of protein was analyzed for NF- B
DNA-binding complexes using a 32P-labeled DNA probe and
EMSA. Killing of (B) WT 3T3 cells and (C) RelA KO cells was quantified
spectrophotometrically by the trypan blue dye exclusion assay. Results
represent the means of three independent experiments, with calculated
standard errors shown.
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WT and RelA KO 3T3 cells were transfected by the I

B

superrepressor expression plasmid or a control plasmid and transduced
by Ad-HBx or control Ad vector (Ad dl312). Ad-HBx-transduced cells
expressing the I

B

superrepressor were threefold more sensitive
to
killing than those without the superrepressor or cells transduced
by
vector alone (Fig.
5B and C). I

B

superrepressor expression
resulted in killing of about 20% of WT 3T3 cells expressing HBx,
compared to ~7% without HBx expression. In RelA KO cells expressing
HBx, inhibition of NF-

B resulted in ~30% cell killing compared
to
cells without HBx or without the repressor (Fig.
5B and C).
Thus,
NF-

B partially protects cells against HBx-mediated killing.
Nevertheless, there was still only a small increase in sensitization
to
TNF-

-mediated killing in HBx-expressing WT and RelA KO
cells.
c-myc gene expression sensitizes HBx-expressing cells
to TNF-
-mediated apoptosis.
Sensitization of cells to
TNF-
-mediated killing is strongly associated with upregulation of
myc gene expression in a variety of cell types (reviewed in
reference 32). Moreover, HBx protein can enhance
myc gene expression in certain hepatic cell lines (4,
7, 95). In addition, 3T3 cells were shown previously to
synthesize low levels of Myc proteins but to become about twofold more
sensitive to TNF-
killing if c-Myc protein is overexpressed by
transfection (56, 57). We next investigated whether the absence of myc gene expression in 3T3 cells is the basis for
the failure of HBx to sensitize these cells to killing by TNF-
.
WT and RelA KO 3T3 cells contain low levels of c-Myc protein, shown by
Western immunoblot analysis of equal amounts of whole-cell
protein
lysate (Fig.
6A, left). Immunoblot
analysis of WT 3T3
cells transfected with a c-
myc expression
plasmid resulted in
overexpression of c-Myc protein relative to
endogenous levels,
as expected. Treatment of
c-
myc-transfected cells with TNF-

and/or
expression of
HBx did not alter the level of ectopically expressed
c-Myc protein
(Fig.
6A, right). About 70% of the cells were transfected
in this
manner, based on inclusion of a pGFP reporter (data not
shown). The
expression of c-Myc in WT 3T3 cells transduced by
Ad-HBxo (vec samples)
resulted in a slight but reproducible increase
in killing from 5 to 9%
(Fig.
6B;
P < 0.05). Treatment of these
cells with
TNF-

demonstrated a twofold increase in sensitivity
to killing
compared to a lack of sensitivity to TNF-

in the absence
of c-Myc
overexpression. Cells transfected by c-Myc and expressing
HBx displayed
an increase in killing to 15%, compared to 7% in
the absence of
c-
myc transfection. Cells transfected by c-
myc and transduced by HBx and then treated for 8 h with TNF-

showed
a dramatic increase in killing, representing 65 to 70% of the
cells,
almost equivalent to the fraction that were transfected
(Fig.
6B).
Killing was not observed in the vector-alone plus Myc
controls that
were treated with TNF-

. Thus, the combination of
HBx and c-Myc
increases the sensitivity of cells to TNF-

killing
by about 10-fold.
Transfection of cells with 10-fold-higher levels
of c-
myc
expression plasmid, in the absence of HBx expression,
did not
significantly increase the sensitivity of cells to TNF-
killing
compared to the lower level of plasmid (Fig.
6B). These
data are
consistent with those previously reported by Ueda and
Ganem
(
105), in which it was shown that HBx and
N-
myc2 coexpression
alone was not sufficient to promote
apoptosis in a rodent hepatocyte
cell line. They are also consistent
with results from NIH 3T3
cells demonstrating a moderate (twofold)
increase in killing by
c-Myc at 16 h of TNF-

treatment
(
57). Coimaging analysis of
HBx, by indirect
immunofluorescence staining with anti-Flag antibody
and by staining for
apoptotic condensed chromatin with Hoechst
stain (Fig.
6C), showed that
WT 3T3 cells which expressed HBx-Flag
also underwent apoptotic killing
when treated with TNF-

. The
poor resolution of HBx-Flag results from
the death of cells and
because the conditions for Hoechst dye staining
cause poor imaging
of HBx (
95). In RelA KO cells, the
combination of HBx and overexpression
of c-Myc in the absence of
TNF-

treatment was sufficient to induce
killing in 70% of the cells
(data not shown). Previous studies
demonstrated that coexpression of
HBx and treatment of cells with
TNF-

do not impair HBx or TNF-

activation of NF-

B (
94,
95).
These results demonstrate
that increased expression of Myc protein
strongly sensitizes
HBx-expressing cells to enhanced killing by
TNF-

. They also
demonstrate that cell killing by HBx plus TNF-
is suppressed by
activation of NF-

B but can be overridden by
a high level of c-Myc
protein.

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|
FIG. 6.
Effect of c-Myc overexpression on HBx-induced cell
killing. (A) WT and RelA KO 3T3 cells were transfected with a plasmid
that expresses the human c-myc gene under the control of the
SV40 promoter, which is only slightly induced by HBx (68).
Equal amounts of whole-cell extracts were resolved by
SDS-polyacrylamide gel electrophoresis, and c-Myc protein was
identified by immunoblotting with a specific antibody. Cell treatment
with TNF- was carried out as described below. (B) WT 3T3 cells were
transfected by 1 µg or 10 µg (10×) of the Myc expression plasmid,
followed 8 h later by transduction with Ad-HBxo (vec) or Ad-HBx
(HBx). At 10 h following transduction, cells were treated with
TNF- (10 ng/ml) for 16 h or mock treated. Cell killing was
quantified by trypan blue dye exclusion assay. (C) Cells grown on
coverslips were transfected as above, followed by transduction with an
Ad-HBx-Flag vector (vec) (27), which expresses HBx protein
containing the Flag foreign epitope. HBx-Flag behaves identically to
HBx protein (27). Cells were processed for staining with
Hoechst 33258 DNA dye, and indirect immunofluorescence was performed
using FITC-conjugated M2 anti-Flag antibodies to visualize HBx. Cells
were photographed as described in the legend to Fig. 4.
|
|
Mitogenic growth factors suppress HBx and c-Myc sensitization of
cells to apoptotic killing by TNF-
.
Previous studies showed
that many hepatocellular carcinomas derived from WHV and human HBV
chronic infections overexpress any of several mitogenic growth factors,
particularly IGF-II for WHV and transforming growth factor-
for HBV.
It was also shown that a variety of mitogenic growth factors can
suppress apoptotic killing by c-Myc protein (33, 41), by
N-Myc in WHV-infected cells (105, 118), and by HBx in
TNF-
-sensitive cells (95). We therefore determined
whether a mitogenic growth factor suppresses the pathway that
sensitizes 3T3 cells to TNF-
killing, which is mediated by combined
HBx and Myc expression. WT 3T3 cells grown on coverslips were
transfected with a c-Myc expression plasmid, infected with Ad-HBx for
16 h, then treated with TNF-
(10 ng/ml) for 8 h, or
simultaneously with 10 ng each of TNF-
and IGF-II per ml for 8 h. Cells were examined for induction of apoptosis by Hoechst staining
(Fig. 7A). Data were quantified by the
dye exclusion assay (Fig. 7B). HBx and c-Myc expression induced only a
slight apoptotic killing of cells (intense, bright punctate staining),
consistent with results presented above. The slight increase in cell
killing by HBx and c-Myc was fully suppressed by cotreatment of cells
with IGF-II. Cells expressing HBx and c-Myc and treated with TNF-
underwent a strong increase in apoptosis, accounting for about 80% of
the cells, consistent with the results in Fig. 6. Cotreatment of these
cells with IGF-II largely but not completely blocked induction of
apoptosis. The inability of IGF-II to fully suppress apoptosis by
TNF-
in cells expressing HBx and c-Myc might be due to the inability
to fully block death signaling by TNF-
or possibly because not all
3T3 cells are strongly responsive to human IGF-II. Nevertheless, these
data demonstrate that a mitogenic growth factor can block the
sensitization of HBx- and c-Myc-expressing cells to killing mediated by
TNF-
.

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|
FIG. 7.
Apoptotic killing of 3T3 cells expressing c-Myc and HBx
by TNF- is blocked by IGF-II. WT 3T3 cells were grown on coverslips,
transfected by a human c-myc expression plasmid, and
transduced by Ad-HBx, as described in the legend to Fig. 6. Cells were
treated with either murine TNF- (10 ng/ml) for 16 h, or TNF-
(10 ng/ml) and IGF-II simultaneously. (A) Cells were photographed under
UV light as described in the legend to Fig. 4. (B) Quantification of
cell killing was performed by the dye exclusion assay.
|
|
 |
DISCUSSION |
HBx protein has been variously reported to be either a promoter or
an inhibitor of apoptotic cell death. HBx was shown to induce apoptosis
or to sensitize normally resistant cells in culture to apoptotic
killing by proapoptotic stimuli, such as etoposide and TNF-
(16, 19, 55, 83, 90, 91, 95). Importantly, HBx also
stimulates apoptotic turnover of hepatocytes when expressed in the
livers of transgenic mice or in hepatocytes in vivo in a
p53-independent manner (100, 101). It is important to
point out that while replication of HBV in the livers of transgenic mice is not associated with pathological killing of hepatocytes, these
animals express little if any HBx mRNA (39). Other studies support the p53-independent apoptotic killing of cells by HBx (90, 91). Furthermore, studies have found that HBx
suppresses transformation of rat embryo fibroblast cells (which contain
wild-type p53) by Ras plus c-Myc by promoting apoptotic killing of
these cells (87). However, one study reported that HBx
induces apoptosis in a p53-dependent manner (19). Thus, a
number of independent studies report proapoptotic effects of HBx
protein in a variety of experimental settings, although the role of p53
independence may be less clear. In contrast, two studies reported that
HBx can inhibit p53-dependent apoptosis of human fibroblasts and
hepatocytes (28, 111). Nevertheless, more recent studies
cannot substantiate that HBx has any detectable effect on p53 activity
or location (84, 96). As a further complication, HBx
possesses several activities that are often proapoptotic, including
stimulation of Ras, activation of Src kinases, transcriptional
activation of myc genes, constitutive activation of JNKs,
and loss of cell cycle checkpoint controls, possibly resulting in a
G1 cell cycle block (4, 7, 12-14, 19, 58, 59, 79,
91, 95, 105). Two reports implicate possible interaction of HBx
with mitochondria (85, 98), which, if substantiated and
shown to alter mitochondrial function or calcium utilization, might
also contribute to proapoptotic effects. The major presumptive
antiapoptotic activity of HBx protein is activation of NF-
B. We
therefore carried out the present study to understand how key factors
that are acted on by HBx protein might promote or prevent apoptotic
killing of cells.
HBx has been widely established as an activator of NF-
B, which it
may do through several distinct mechanisms of action. Previous studies
(18, 92, 94, 113) and Fig. 1 and 2 demonstrate that HBx
activates all major forms of NF-
B, including those containing RelA
(p65), c-Rel, p52, p50, and p105. Since activation of c-Rel in some
settings is associated with proapoptotic effects (1, 9, 38,
63), we examined the effect of HBx activation of c-Rel in the
absence of RelA by using NIH 3T3 cells deficient in the relA
gene. HBx activation of c-rel in RelA KO cells was only
associated with a small (ca. twofold) increase in cell killing and no
significantly greater sensitivity to killing by TNF-
(Fig. 3 and 4).
These data indicate that induction of c-Rel/NF-
B is not proapoptotic
in HBx-expressing cells. In fact, inhibition of all forms of NF-
B by
overexpression of an I
B
superrepressor revealed apoptotic killing
of cells by HBx protein (Fig. 5). Activation of multiple forms of
NF-
B therefore masks apoptosis by HBx. Importantly, even in the
absence of NF-
B activation, there was no evidence for increased
sensitivity of NIH 3T3 cells expressing HBx to killing by TNF-
(Fig.
5).
NIH 3T3 cells typically express only low levels of Myc proteins
(56, 57) (Fig. 6). In addition, Myc proteins can sensitize cells to killing by TNF-
by severalfold (56, 57, 102).
We therefore examined the combined effect of HBx and c-Myc expression on TNF-
-mediated cell killing. Coexpression of c-Myc and HBx protein
very significantly sensitized WT 3T3 cells to killing by TNF-
(Fig.
6). These data indicate that the combined expression of HBx and c-Myc
can override the antiapoptotic effect of NF-
B activation. In the
absence of elevated myc gene expression and at
physiologically relevant levels of HBx protein, these data suggest that
HBx should have little or no proapoptotic effect, even during exposure
of cells to TNF-
. Results obtained from woodchuck livers that are
chronically infected by WHV support this view (25, 118).
Further evidence can be found in studies demonstrating a slight
enhancement of hepatocyte apoptosis only in transgenic mice that
coexpress elevated levels of HBx and c-Myc proteins in their livers,
compared to independent expression of either gene alone
(100). Thus, if HBx is a cofactor in promoting greater
pathogenesis during virus infection, our data indicate that it would
require a special set of conditions, either ablation of NF-
B or
strong elevation of myc gene expression plus exposure of
hepatocytes to TNF-
.
Studies of other hepatotropic viruses can be instructive and support a
limited role for viral factors in enhanced sensitivity of hepatocytes
to TNF-
in liver disease. For example, cytomegalovirus infection of
the liver in mice induces hepatitis with necrotic foci due to enhanced
sensitivity of infected hepatocytes to killing by TNF-
, which occurs
in a T-cell- and NK cell-independent manner (80). In this
system, TNF-
is an important component for persistent liver
pathogenesis by the virus, which accords with its established role in
promoting hepatic inflammation and nonviral liver disease (46,
64, 77, 82; reviewed in reference 74). In the case of WHV,
there is evidence for enhanced hepatocyte turnover during acute and
chronic infection in some settings (40). Increased hepatocyte apoptosis during WHV and HBV infection involves specific cytokine- and T-cell-mediated killing (40). In this
regard, studies still need to critically evaluate whether HBx protein plays a role in promoting greater sensitivity to cytokine
(TNF-
)-mediated killing of hepatocytes. In particular settings, such
as WHV infection and elevated c-myc expression, it is
possible that HBx may be a cofactor in hepatocyte killing.
While HBx has been shown to display proapoptotic effects during
replication of HBV and WHV in tissue culture (95), a
possible proapoptotic effect of HBx during natural infection has not
yet been documented. It has been proposed for other viruses that
induction of apoptosis can actually facilitate propagation of viral
infection by permitting efficient particle release from cells while
minimizing the antiviral inflammatory response (26, 114,
117). Such a strategy could conceivably aid in establishment of
HBV infection as well. This notion can find partial support in a study
showing that HBx protein mutants which have lost proapoptotic function are enriched in human hepatocellular carcinomas, an end-stage event in
chronic HBV infection (91). However, because HBx can also
suppress cellular transformation in experimental systems by induction
of apoptosis (87, 91), it was suggested that HBx might
function in a proapoptotic manner early in HBV infection. Apoptosis
would then be selected against during chronic HBV infection, possibly
promoting carcinogenesis (91). It is also possible that
stimulation of apoptosis by HBx might promote release of hepatocyte
growth factors, enhancing regenerative responses and increasing the
level of uninfected hepatocytes for new infection. Alternatively, it is
equally possible that proapoptotic functions represent an unavoidable
consequence of HBx activity and that this is in fact somewhat
deleterious to viral propagation. For instance, HBx activation of Src
signaling, should it prove to be important in natural infection as in
cell culture (59), can be proapoptotic. Similarly,
accumulation of HBx-expressing cells at the G1/S junction
of the cell cycle (91, 92), should it occur during natural
infection as in culture, generally involves stimulation of Src and Myc
proteins and may therefore be proapoptotic as well in some settings.
Studies now need to address these important issues in model systems
relevant to HBV replication and pathogenesis.
 |
ACKNOWLEDGMENTS |
We thank Claudia Kobarg and Laurie Wang for technical assistance
in parts of this work, A. Baldwin (University of North Carolina) for
I
B
superrepressor plasmid, and D. Baltimore (CalTech) for WT and
RelA KO cell lines and antibodies to p65 RelA. Special thanks to M. Bouchard, M. Biermer, and M. Melegari for critical review of the manuscript.
This work was supported by National Institutes of Health grant CA54525
to R.J.S.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Department of
Microbiology, NYU School of Medicine, 550 First Ave., New York, NY
10016. Phone: (212) 263-6006. Fax: (212) 263-8276. E-mail:
schner01{at}popmail.med.nyu.edu.
Present address: Rockefeller University, New York, NY 10012.
 |
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Journal of Virology, January 2001, p. 215-225, Vol. 75, No. 1
0022-538X/01/$04.00+0 DOI: 10.1128/JVI.75.1.215-225.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
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