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Vol. 53, Issue 1, 52-61, January 1998

Interaction between Iron Metabolism and 2,3,7,8-Tetrachlorodibenzo-p-dioxin in Mice with Variants of the Ahr Gene: A Hepatic Oxidative Mechanism

Andrew G. Smith, Bruce Clothier, Susan Robinson, Matthew J. Scullion, Philip Carthew, Richard Edwards, Jinli Luo, Chang Kee Lim and Michel Toledano1

Medical Research Council Toxicology Unit, University of Leicester, Leicester LE1 9HN, UK (A.G.S, B.C, M.S, P.C, R.E, J.L, C.K.L, S.R.), and Environmental and Occupational Health Sciences Institute, New Jersey Medical School and Rutgers University, Piscataway, New Jersey 08855-1179 (M.T.)

    Summary
Top
Summary
Introduction
Materials & Methods
Results
Discussion
References

The binding of 2,3,7,8 tetrachlorodibenzo-p-dioxin (TCDD) with the aryl hydrocarbon (AH) receptor and subsequent changes in gene expression have been studied intensively, but the mechanisms by which these lead to toxicity are unclear. We investigated the influence of iron, previously implicated in TCDD-induced hepatic porphyria, in mice with alleles of Ahr that encode receptors with varied affinity for TCDD. The administration of iron to Ahrb-1 C57BL/6J (AH-responsive) mice before a single dose of TCDD (75 µg/kg) markedly potentiated not only the hepatic porphyria but also general hepatocellular damage and elevation of plasma hepatic enzymes. The formation of hydroxylated and peroxylated derivatives of uroporphyrins formed from uroporphyrinogen and the induction of a µ-glutathione transferase (GST) were consistent with the operation of an oxidative mechanism. In a comparison of C57BL/6J mice with Ahrb-2 BALB/c (AH-responsive) and Ahrd SWR and DBA/2 (AH-nonresponsive) mice, iron overcame the weak hepatic porphyria and toxicity responses in BALB/c and SWR strains but not in DBA/2. CYP1A isoforms are strongly implicated in the mechanism of porphyria, but activities were lowered by 20-30% with iron treatment, and a comparison of levels between strains did not fully account for the resistance of DBA/2 mice. Studies with the use of gel shift assays and cytosolic aconitase of the capacity of the iron regulatory protein controlling the translation of some iron metabolism proteins showed a significant difference between C57BL/6J and DBA/2 mice after the administration of TCDD. We conclude that iron potentiates both the hepatic porphyria and toxicity of TCDD in susceptible mice in an oxidative process with disturbance of iron regulatory protein capacity. Iron even overcomes the AH-nonresponsive Ahrd allele in the SWR strain but not in DBA/2 mice, which remain resistant.

    Introduction
Top
Summary
Introduction
Materials & Methods
Results
Discussion
References

TCDD is the prototype and most potent member of a large class of polyhalogenated aromatic and polycyclic aromatic chemicals that have a wide range of toxic effects in vivo, including "wasting," immune suppression, teratogenicity, hepatotoxicity, and carcinogenicity (Pohjanvirta and Tuomisto, 1994). The mechanisms by which TCDD exerts its effects have been the subject of intense investigation. Most actions probably are ultimately the consequences of TCDD acting as a ligand for the AHR (Poland and Glover, 1979), a transcription factor that functions as a heterodimer with another protein, aryl hydrocarbon nuclear translocator. Both proteins are members of a subclass of basic helix-loop-helix transcription factors. The TCDD/AHR/aryl hydrocarbon nuclear translocator complex binds to a DNA dioxin-responsive promoter element and leads to increases in transcription of a variety of genes, of which the most understood is cyp1a-1 (Swanson and Bradfield, 1993). A number of variants of the Ahr gene have been identified in mice, leading to protein products with markedly different affinities toward TCDD (Poland et al., 1994; Poland and Glover, 1990). The strains, such as C57BL/6J, possessing the Ahrb-1 allele encode a receptor (~95 kDa) with a much higher affinity for TCDD than that produced by other strains, such as DBA/2 (~104 kDa), with the Ahd allele. A third type, with the Ahrb-2 allele, which is present in BALB/c mice, gives rise to a receptor (~104 kDa) with an affinity for TCDD nearly as great as that from C57BL mice. Inductions of the hepatic enzymic activity by AHR agonists in C57BL/6J, BALB/c, and DBA/2 mice reflect these receptors with differing affinities, as apparently do some aspects of the toxicities (Pohjanvirta and Tuomisto, 1994, Poland and Glover, 1979, Swanson and Bradfield, 1993).

Despite huge advances that have occurred as a result of molecular studies of the action of the Ahr gene, the mechanisms by which the gene is related to toxicity remain unclear. In one approach to understanding its intracellular role, mice deficient in the expression of AHR were found to be very resistant to the toxicity of TCDD (Fernandez-Salguero et al., 1996). However, because the action of TCDD varies markedly among organs of mice and among species, interactions with other genes must govern ultimate toxic responses. For instance, the hr locus modulates both the promoting influence of TCDD on skin carcinogenesis in mice and the hepatic toxicity (Greig et al., 1987; Knutson and Poland, 1982).

One aspect of the hepatic toxicity of TCDD still unexplained is the development of a porphyria caused by a block at the UROD step of heme synthesis (Pohjanvirta and Tuomisto, 1994; Smith et al., 1981). At first, this seemed to be associated totally with the Ahr genotype (Jones and Sweeney, 1980), but importantly, depletion of hepatic iron was found to protect C57BL/6J mice from the heme synthesis block, whereas iron overload potentiated the phenomenon (Greig et al., 1984; Jones et al., 1981; Sweeney et al., 1979). For agonists of the AHR much less potent than TCDD, such as HCB, elevated iron status altered the response to the extent that porphyria developed significantly only after combination with iron overload (Smith and Francis, 1983). In fact, iron alone eventually causes uroporphyria in mice, but this does not depend on possession of the Ahrb allele (Smith and Francis, 1993).

Although original studies suggested that iron potentiated general hepatic toxicity as well as porphyria, this has never been explored fully (Greig et al., 1984; Jones et al., 1981). In the present study, we show that the influence of iron impinges on more general aspects of hepatic toxicity, not just porphyria, and that a susceptible "iron metabolism gene" appears to overcome partially the resistance of the Ahrd allele. The formation of oxidized products from uroporphyrinogen and the induction of GST support the hypothesis that an oxidative sequence is involved. Gel shift assays showed a significant difference between Ahrb C57BL/6J and Ahrd DBA/2 mice in the influence of TCDD on the operation of the IRP, which acts by binding to mRNA iron-responsive elements controlling translation of some iron metabolism proteins such as ferritin and transferrin receptor.

    Materials and Methods
Top
Summary
Introduction
Materials & Methods
Results
Discussion
References

Chemicals. TCDD was purchased from Greyhound Chemicals (Birkenhead, UK) and was defined as 99% pure by gas-chromatography spectrometry. To make up dosing solutions, 1 mg was dissolved in 15 ml of acetone over 2 days at room temperature. Aliquots were then mixed with corn oil (Sigma Chemical, Poole, Dorset, UK). MROD, EROD, BROD, cumene hydroperoxide, hydrogen peroxide, and 1,2 dichloro-4-nitro- and 1-chloro-2,4-dinitrobenzenes were purchased from Sigma. Iron-dextran solution (100 mg Fe2+ and 100 mg dextran/ml) was also purchased from Sigma. Dextran was a gift from Fisons Chemical (Loughborough, UK). The cDNA probe for CYP1A1 was purchased from American Type Culture Collection (Rockville, Md).

Mice and treatment. Male mice of the C57BL/6J/Ola, BALB/c/Ola, SWR/Ola, and DBA/2/Ola inbred strains were purchased from Harlan Olac (Bicester, UK) and acclimatized for 2 weeks before use at 7-10 weeks of age. Animals were housed in plastic cages on corn bedding at 21°, with a 12-hr light/dark cycle, and fed RM3 diet ad libitum. Cages were kept in plastic isolators under negative pressure with eight changes of air/hr. Mice were dosed with an iron dextran solution (0.2 ml/25 g, i.e., 800 mg of Fe2+/kg body weight) or dextran by subcutaneous injection in the flank. After 1 week, the animals received 75 µg of TCDD in oil/kg of body weight or oil alone by gavage and then left for periods of 1-5 weeks. This dose level of TCDD and the time for maximum effect were determined previously (Smith et al., 1981). Mice were killed under terminal anesthesia using CO2, and blood was removed by cardiac puncture for plasma or serum analyses. All animal procedures were conducted under Home Office regulations. Organs were weighed, and representative samples were fixed in buffered formalin or frozen in liquid N2 and stored at -70° until analysis. For PCNA analysis, livers were fixed in Carnoy's fluid.

For enzymic and other biochemical analyses, livers were homogenized in 0.25 M sucrose at 4°, and microsomes and cytosol were prepared as described previously (Madra et al., 1996).

Histological examination. Liver sections were stained with hematoxylin and eosin. PCNA expression was detected by immunohistochemistry, and the labeling index was determined as a percentage of hepatocytes (Madra et al., 1995).

Plasma and serum analyses. Estimations of ALT, alkaline phosphatase, and bilirubin were performed with kits obtained from Sigma.

Microsomal dealkylations. EROD, MROD, and BROD, as catalyzed by microsomal cytochrome P450 isoforms, were performed as reported previously (Madra et al., 1996) but at 21° with substrates of 2, 5, and 5 µM concentrations, respectively, and 100 µM NADPH. Product formation was estimated by fluorimetry with excitation at 540 nm and emission at 585 nm. Rates were calculated by fluorimeter software giving least-squares fit. With induced mouse hepatic microsomes, EROD, MROD, and BROD are good indicators of CYP1A1, CYP1A2, and CYP2B, respectively (Nerurkar et al., 1993).

GST and peroxidase assays. GST activity with 1-chloro-2,4-dinitrobenzene and 3,4-dichloronitrobenzene and glutathione peroxidase activity of GST toward cumene hydroperoxide and selenium-dependent glutathione peroxidase with H2O2 were assayed by standard methods referred to previously (Madra et al., 1996).

Western blotting. Sodium dodecyl sulfate-polyacrylamide gel electrophoresis and blotting were performed as described previously (Madra et al., 1996) using a polyclonal antibody against mouse GST Yb1 subunit provided by Prof. J. Hayes (University of Dundee, Dundee, Scotland).

Northern blots. Northern blot analysis of CYP1A1 and CYP1A2 mRNA was performed with a cDNA for CYP1A1 that detected both CYP1A1 and CYP1A2 mRNA species using total mRNA (Chaloupka et al., 1995). Because of their homology, this probe can detect both CYP1A1 and CYP1A2 transcripts (3.3 and 1.9 kb, respectively). Bands were quantified by densitometry and normalized against glyceraldehyde phosphate dehydrogenase gene expression for standardization.

Porphyrin analysis. Porphyrin accumulation in liver homogenate was determined by spectrofluorimetry according to the method of Grandchamp et al. (1980) assuming that three basic porphyrin types, uroporphyrin, coproporphyrin, and protoporphyrin, might be present. Results were standardized with reference porphyrins, and concentrations were estimated by matrix analysis. As expected, treatment with TCDD gave uroporphyrin isomers as the major porphyrins present, and results are expressed in these terms.

HPLC of porphyrins. Detailed analysis of liver porphyrins was conducted by HPLC as described previously (Guo et al., 1996) using a Hypersil ODS column (250 × 5 mm; Shandon Scientific, Runcorn, UK), and gradients were constructed from 9% acetonitrile in 1 M ammonium acetate buffer, pH 5.16, and 10% acetonitrile in methanol. Identification of peaks was made by comparison with previously prepared standards after detection by emission fluorescence at 618 nm following excitation at 400 nm.

IRP assays. The IRP assays were largely based on previously published methods [Leibold and Munro, 1988; Haile et al., 1989 (and references cited therein)]. Liver samples of 100-150 mg were homogenized in 10 volumes (w/v) of extraction buffer (10 mM HEPES, pH 7.6, 3 mM MgCl2, 40 mM KCl, 5% glycerol, 1 mM dithiothreitol supplemented with 0.5% Igepal, 1 mM phenylmethylsulfonyl fluoride, 50 µg/ml aprotinin) and centrifuged at 10,000 × g for 5 min. Supernatants were removed and stored at -70° until use. Two DNA oligonucleotides were synthesized (Applied Biosystems, Norwalk, CT). The first contained the IRE sequence in the 5'-to-3' direction followed by the T7 promoter sequence in the 3'-to-5' direction (52 bp), and the second contained the T7 promoter sequence in the 5'-to-3' direction (19 bp): IRE sequence, 5'-GGGTTCCGTCCAAACACTGTTGAAGCAGGAAAC CCTATAGTGAGTCGTATTA-3' ; and T7 sequence, 5'-TAATACGACTCACTATAGG-3' (the underlined sequence is the T7 promoter). The IRE oligonucleotide was purified on a 12% denaturing acrylamide gel using a variation on UV shadowing. Localization of the 52-bp oligonucleotide on the gel was made with a PhosphorImager (Molecular Dynamics, Sunnyvale, CA). The DNA was excised from the gel and incubated in elution buffer (0.1% sodium dodecyl sulfate, 0.5 M ammonium acetate, 10 mM magnesium acetate, 1 mM EDTA, pH 8.0) at room temperature overnight and subjected to phenol-chloroform extractions and ethanol precipitation. The 19-bp T7 oligonucleotide was purified using a double ethanol precipitation and again resuspended in H2O. Both oligonucleotides were diluted to a concentration of 50 ng/µl. The IRE and T7 oligonucleotides (950 ng of each) were annealed to form a partially single-stranded DNA molecule with a double-stranded region containing the T7 promoter. The transcription reaction was carried out using the annealed oligonucleotides; 1× Transcription Optimized Buffer; 10 mM dithiothreitol; 20 units of RNasin; 0.5 mM concentration each of UTP, GTP, and ATP; 12 µM CTP; 50 µCi of [alpha -32P]CTP; and 20 units of T7 RNA polymerase in 20 µl of reaction. Reactions were incubated at 37° for 1 hr; 1 unit of DNase (RNase free) was added, and incubation was continued for an additional 30 min (T7 Riboprobe System; Promega, Madison, WI).

The transcription product was purified through a microspin column (S200; Pharmacia, Piscataway, NJ), and specific radioactivity was assessed. For the RNA binding assay (Park et al., 1996), 0.1 µg of cytosol was diluted with extraction buffer to a final volume of 18 µl; 40 units of RNAsin was added with 10,000 cpm of 32P-labeled RNA. (Before addition of the labeled RNA, it was denatured at 65° for 5 min and allowed to cool slowly to room temperature for ~30 min to ensure the stem-loop structure was favored.) The reaction was incubated at room temperature for 30 min. Heparin was added to a final concentration of 5 mg/ml, and the incubation was continued for an additional 10 min. Two microliters of glycerol loading buffer was added, and the reaction was analyzed on a nondenaturing acrylamide gel. Visualization was performed with a PhosphorImager. To assess total IRP capacity, reactions first were incubated with 2-mercaptoethanol to deplete the IRP of all iron. As a check of the specificity of binding illustrating IRP, no binding was observed with a randomly generated oligonucleotide or with the IRE oligonucleotide differing at a critical position by a single base-pair deletion as described by Haile et al. (1989).

Aconitase activity. Aconitase was determined by following the rate of disappearance of cis-aconitate at 240 nm using 100 µg of cytosol in 1 ml of 0.1 M Tris·HCl buffer, pH 7.4, containing 200 µM cis-aconitate at 25° (Gosiewska et al., 1996). To check for complete activation of aconitase, cytosol was preincubated for 5 min in the presence of 1 mM FeSO4/5 mM cysteine.

Nonheme iron content. Hepatic iron levels were determined according to the methods of Constantin et al. (1996) and Madra et al. (1996).

Statistics. Results are given as mean ± standard deviation, and significance was assessed by analysis of variance, with a value of p < 0.05 taken as significant.

    Results
Top
Summary
Introduction
Materials & Methods
Results
Discussion
References

Synergism of iron and TCDD in C57BL/6J mice. Previously, a single dose of 75 µg of TCDD/kg to male mice of the C57BL/10ScSn strain caused a progressive depression of hepatic UROD activity (significant within 1 week) and subsequent maximum porphyria development (measured as uroporphyrin) after 5 weeks (Smith et al., 1981). At this dose, depression of enzyme activity and uroporphyria were potentiated by prior loading of mice with iron dextran (Greig et al., 1984). As a first step in investigating further this phenomenon, mice of the closely related C57BL/6J strain received the same dose of TCDD, with and without prior iron loading, and were examined 5 weeks later. Iron pretreatment greatly potentiated the levels of porphyrin accumulating in the liver (Table 1). This was not just an indication of an effect on heme synthesis but an aspect of general hepatic toxicity because elevated levels of plasma ALT and alkaline phosphatase activities were observed, which is indicative of greater hepatocyte injury. Bilirubin levels were affected only slightly by the iron treatment before TCDD. Histological examination of the livers showed mild to moderate toxicity and inflammation after TCDD (Shen et al., 1991), which was markedly potentiated in the dual-treatment group. Iron greatly enhances the carcinogenicity of PCBs in mice (Smith et al., 1990). To determine whether iron potentiated TCDD-induced proliferation, the expression of PCNA in the liver was quantified by immunocytochemistry. Despite a greater degree of damage in the iron/TCDD group, no increase in proliferation, as estimated by PCNA expression, was detectable with this dose of TCDD, although a greater number of fields had to be examined to accumulate the 4000 hepatocyte nuclei/sample. This again was consistent with increased liver damage after interaction with iron (Fig. 1). In contrast to the effects on the liver, thymus atrophy, another characteristic feature of TCDD-induced toxicity in C57BL/6J mice, was unaffected by prior iron treatment (Table 1).

                              
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TABLE 1
Interaction of TCDD and iron in C57BL/6J mice

Mice (4 or 5/group) were treated with dextran or iron-dextran (800 mg of Fe2+/kg/g) and then after 1 week received oil or TCDD in oil (75 µg/kg). Five weeks later, mice were killed, and plasma enzymes and hepatic porphyrins were estimated. Results are mean ± standard deviation.


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Fig. 1.   PCNA labeling index for hepatocytes from C57BL/6J livers (4 or 5 mice/group) exposed to iron and TCDD. Labeling indices were estimated by examination of 4000 nuclei/mouse liver and are expressed as a percentage labeling index. Results are given as mean ± standard deviation. The TCDD and TCDD/iron groups were significantly different from each other. However, a greater number of fields (numbers above each bar) had to be examined to accumulate 4000 nuclei in the TCDD/iron samples.

Formation of oxidized derivatives of porphyrinogens. The hepatic porphyrins that accumulated in this study were analyzed by HPLC. The major porphyrins identified were uroporphyrin I and III isomers and heptacarboxylic porphyrin IIId, which are expected as a consequence of inhibition of UROD (Guo et al., 1996; Madra et al., 1996). However, a variety of other minor porphyrins were also detected, some of which were identified as peroxyacetic acid, mesohydroxypropionic acid, and beta -hydroxypropionic acid derivatives of uroporphyrins (Fig. 2). These products have been identified previously in in vitro reactions of uroporphyrinogens, not uroporphyrins, with systems generating oxygen free radical species, especially in the presence of iron (Guo et al., 1996).


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Fig. 2.   HPLC of porphyrin sample from a C57BL/6J mouse exposed to TCDD after iron pretreatment. A, Low sensitivity; at this sensitivity, no peaks were observed in control samples. B, Expanded sensitivity. UI, uroporphyrin I; UIII, uroporphyrin III; 7III, heptacarboxylic porphyrin III; 1, mesohydroxy uroporphyrin III; 2, beta -hydroxypropionic acid uroporphyrin III; 3, hydroxyacetic acid uroporphyrin III; 4, peroxyacetic acid uroporphyrin III; 5, hydroxyacetic heptacarboxylic porphyrin III; 6, beta -hydroxypropionic acid heptacarboxylic porphyrin III.

Induction of GST and CYP1A1. GST activities were estimated with 1-chloro-2,4-dinitrobenzene and 3,4-dichloronitrobenzene as substrates at 1 and 5 weeks. At 5 weeks, a marked induction of transferase activity toward DCNB was observed (3-4-fold) in the iron/TCDD group indicative of a µ class of GST (Fernandes et al., 1996). Confirmation that this was due to induction of the Yb1 GST subunit of a µ-class isoform was obtained by Western blotting with an anti-Yb1 polyclonal antibody (Fig. 3). Concomitant with this induction was a 60% decrease in glutathione peroxidase activity toward cumene hydroperoxide, although the decrease was less with H2O2 as a substrate.


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Fig. 3.   Immunoblot of liver cytosol from C57BL/6J mice exposed to TCDD with and without prior iron treatment and probed for Yb1 subunit of mouse GST. Values are the relative amounts of protein estimated by densitometry.

To determine the influence of iron overload on cytochrome P450 induced by TCDD, the activities of CYP1A1, CYP1A2, and CYP2B, measured as microsomal EROD, MROD, and BROD, respectively, were also measured 1 and 5 weeks after TCDD (Table 2). CYP1A1 and CYP1A2 activities were markedly induced by TCDD at both time points, but in contrast to GST, activities in control and induced samples were depressed by prior iron treatment despite the enhancing action of iron on porphyria and toxicity development. Western blotting with antibodies against CYP1A1/2 protein confirmed these findings (results not shown).

                              
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TABLE 2
Influence of iron on hepatic activities of glutathione transferases and peroxidases and CYP1A1, CYP1A2, CYP2B, and after TCDD in C57BL/6J mice

Cytosolic and microsomal enzymes were assayed 1 or 5 weeks after TCDD treatment of 4 or 5 mice/group. 3,4-Dichloronitrobenzene probably reflects activity of Yb1 subunit of a µ-class glutathione transferase, whereas 1-chloro-2,4-dinitrobenzene represents overall transferase activity. EROD, MROD, and BROD are believed to represent CYP1A1, CYP1A2, and CYP2B activities, respectively. Values are mean ± standard deviation.

Comparison of Ahr alleles. After the clear influence of iron on both porphyria and hepatic toxicity caused by TCDD in C57BL/6J mice was demonstrated, a comparison was made among the three common variants of the Ahr gene in inbred mice (Ahrb-1, Ahrb-2, and Ahrd alleles), which confer different sensitivities to maximum induction of CYP1A1 and toxicity (Table 3). Although iron again potentiated hepatic porphyria development and serum ALT levels in C57BL/6/J mice with the Ahrb-1 allele, no porphyrin increases and only slight increases in ALT were observed with DBA/2 mice, which is consistent with their possessing the Ahrd allele coding for a receptor with reduced affinity for TCDD. An important observation, however, was that SWR mice, which also possess the Ahrd allele (Constantin et al., 1996; Poland and Glover, 1990), developed a small but significantly greater response to TCDD than DBA/2, and this response was potentiated markedly by iron. These porphyric and ALT responses in SWR mice after the interaction of iron and TCDD approximated the levels observed in the C57BL/6J strain without iron and were marginally greater than that observed for Ahrb-2 BALB/c mice after dual treatment (Table 3). Histopathological examination of livers from these four strains of mice with three variants of the Ahr allele confirmed ALT data showing that hepatic damage in those mice exposed to iron and TCDD was of the order C57BL/6J > SWR > BALB/c > DBA/2 (Table 3 and Fig. 4). At this dose and time, DBA/2 mice showed only slight effects of TCDD and even with iron had only diffuse fat accumulation. Thus, iron significantly potentiated both the hepatic toxicity and porphyria in Ahrd SWR mice but had little enhancing effect in another Ahrd strain (DBA/2). This demonstrates that the low hepatic toxicity of TCDD associated with the Ahrd genotype in SWR mice can be partially overcome by the interaction with another predisposing gene or genes, which probably are associated with iron metabolism.

                              
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TABLE 3
Comparison of porphyria and hepatic toxicity in mice with differing Ahr alleles

Mice (four or five per group) received a single dose of iron dextran (800 mg Fe/kg) (+) or the dextran equivalent (800 mg/kg) (-) by subcutaneous injection. After one week mice received TCDD (75 µg/kg) (+) in oil or the oil equivalent (10 ml/kg) (-). The experiment was terminated 5 weeks after TCDD. Values are mean ± standard deviation.


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Fig. 4.   Comparison of hepatic damage in iron loaded mice 5 weeks after being given TCDD given in order of increasing severity. Top left, DBA/2 mouse liver showing accumulation of fat in hepatocytes (hematoxylin and eosin, ×300). Top right, BALB/C mouse liver with hepatocyte in the center of the field showing hydropic degeneration (short arrow) adjacent to a hepatocyte undergoing cell death with a fragmented nucleus (long arrow) (hematoxylin and eosin, ×300). Bottom left, SWR mouse liver showing several inflammatory foci adjacent to a central vein with two hepatocytes undergoing cell death with pyknotic nuclei (arrow) (hematoxylin and eosin, ×150). Bottom right, C57BL/6J mouse liver with focal necrosis with inflammatory cell infiltration (hematoxylin and eosin, ×300).

Analysis of CYP1A1 activity in the four strains as a measure of relative TCDD-induced gene expression showed that at this dose of TCDD, all levels were still significantly elevated at the end of the experiment and there did not appear to be sufficient difference between the strains to explain the observed marked variations in toxicity and porphyria. Again, iron caused a significant depression of CYP1A1 activity (to ~70%) in both the susceptible strain and the resistant DBA/2 mice (Fig. 5). Northern analysis of mRNAs for CYP1A1 and CYP1A2 in livers from C57BL/6J and DBA/2 mice showed a marked induction after TCDD, as expected (Fig. 6); however, contrary to activity or protein levels, mRNA levels were not decreased with iron overload. There was a tendency for increased levels (<= 2.3-fold higher), but this was not statistically significant (see the legend to Fig. 6). Levels of CYP1A1 and CYP1A2 mRNAs in TCDD-treated DBA/2 mice were 40-70% of the levels in C57BL/6J mice, as observed for relative CYP1A1 activities.


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Fig. 5.   Comparison of liver microsomal and cytosolic enzyme activities in C57BL/6J, BALB/c, SWR, and DBA/2 mice at 5 weeks after exposure to TCDD and iron. A, CYP1A1 activity determined as EROD (ER). B, GST activity with 3,4-dichloronitrobenzene (DCNB) as a substrate and indicative of Yb1 subunit. C, Glutathione hydroperoxidase activity with cumene hydroperoxide expressed as inhibition relative to control samples. Values are mean ± standard deviation for four or five mice/group.


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Fig. 6.   Example of Northern blot analysis for CYP1A1 and CYP1A2 mRNA from single livers of C57BL/6J mice 2 weeks after TCDD with or without prior iron overload. Lane 1, control. Lane 2, iron. Lane 3, TCDD. Lane 4, TCDD/iron. The analyses were repeated twice with mRNA preparations from different mice. Results were quantified by densitometry and normalized relative to glyceraldehyde-3-phosphate dehydrogenase (GAPDH) intensity. For TCDD-induced C57BL/6J mice, CYP1A1 levels in three different experiments were 1.0-, 2.3-, and 1.9-fold higher with iron than without. Results for CYP1A2 were 1.1, l.9, and 1.6, respectively. Although there obviously was a tendency for levels to be higher after iron, the changes were not statistically significant.

Because changes in GST and glutathione peroxidase seemed to be associated with hepatotoxicity, these activities also were examined and were found to be compatible with an interaction between iron and TCDD leading to hepatocellular damage, especially in the C57BL/6J mice and to a lesser extent in SWR (Fig. 5).

Effect of TCDD on control of iron metabolism. The previous results suggest a role for an aspect of iron metabolism that may be genetically variable in the hepatic toxicity of TCDD. The post-transcriptional regulations of some proteins linked to iron regulatory metabolism, such as ferritin, transferrin receptor, and erythroid aminolevulinate synthase, are thought to be controlled by the interaction of a cytosolic IRP and an IRE in the untranslated regions of the mRNAs, and this is sensitive to iron availability (Hentze and Kuhn, 1996). If saturated with iron, the IRP does not bind to mRNA but possesses cytosolic aconitase activity. Measurements of IRP/IRE binding by a gel shift assay and aconitase activity often are inversely proportional and are used as measurements of intracellular iron availability and traffic. C57BL/6J and DBA/2 mice were treated with iron or dextran and then TCDD as previously described. Cytosolic aconitase activity and IRP/IRE interaction were estimated 2 weeks after TCDD, a time at which it seemed reasonable that any action of the chemical would be detected. A significant decrease in aconitase activity was observed in both C57BL/6J groups administered TCDD regardless of whether they were first dosed with iron (Fig. 7C). Aconitase was not increased in the TCDD groups if cytosols were preincubated with Fe2+/cysteine to maximize iron incorporation (Gosiewska et al., 1996). No compensatory increase in IRP/IRE interaction was detected that was associated with TCDD-induced depletion of aconitase; in fact, a decrease in binding was suggested (Fig. 7A). Treatment of cytosols with mercaptoethanol before the binding assay gives total binding IRP/IRE capacity regardless of endogenous iron concentrations. TCDD significantly decreased such capacity in this strain (Fig. 7B). With DBA/2 mice, which are refractive to the effects of TCDD, no such changes in aconitase activity or total IRP/IRE interactions could be detected. Thus, at this dose and after 2 weeks, even in the presence of iron, TCDD caused a depression of all aspects of IRP function in susceptible C57BL/6J mice, suggesting a down-regulation in IRBP formation or function but less in the resistant DBA/2 strain. We observed little influence of iron overload alone on the aconitase and IRP/IRE parameters.


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Fig. 7.   a-d, IRP/IRE interaction in livers of C57BL/6J and DBA/2 mice 2 weeks after TCDD. a, Actual binding. b, Total capacity after reduction with 2-mercaptoethanol. There were no significant differences detected between the control values of these strains. c, Cytosolic aconitase activity. d, Nonheme iron content of livers. The values are mean for observations from a total of seven to nine mice/group obtained from two separate experiments. For clarity, mean ± standard deviation bars have been omitted. Results were subjected to two-way analysis of variance. Significant effects of TCDD (*) on total IRP capacity and aconitase (b and c) were observed in C57BL/6J but not in DBA/2, and there was no additional interaction with iron. In the nonheme iron analyses (d), values were tested by Student's t test after TCDD/iron treatment, and there were no significant differences between the strains. Gel analysis, example of assay system for IRP/IRE interaction showing total (left) and actual binding (right) for control (lanes 1), iron (lanes 2), TCDD (lanes 3), and TCDD/iron (lanes 4). Each lane, cytosol from a single mouse.

    Discussion
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Summary
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Materials & Methods
Results
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The results demonstrate that iron overload will potentiate the hepatic porphyria induced by TCDD in C57BL/6J mice, consistent with previous results in C57BL strains with TCDD, PCBs, and the weak AHR ligand HCB (Greig et al., 1984; Jones et al., 1981; Madra et al., 1995; Smith and Francis, 1983). Importantly, this potentiation by iron of hepatic porphyria is part of a wider toxic scenario because plasma enzymes and histological evaluations of the liver also were changed significantly. The greatly increased response of Ahrd SWR mice in the presence of iron suggests that there are other predisposing genes besides Ahr that can profoundly influence the hepatic toxicity of TCDD. Previous work has demonstrated that the hepatic toxicity of TCDD is not completely dependent on the AH phenotype (Greig et al., 1984). In addition, Knutson and Poland (1982) showed that the toxic effects of TCDD on the skin of mice were influenced by a battery of genes associated with the hr locus and that this locus also may affect hepatic toxicity (Greig et al., 1987). Iron overload markedly influences the carcinogenicity of PCBs in C57BL/10ScSn mice (Smith et al., 1990), but in the current study, we saw no interaction between TCDD and iron on a proliferative index of liver cells. This may be a consequence of the toxic dose of TCDD used in these experiments.

What Are the Molecular Mechanisms Leading Ultimately to These Pathological Processes Arising from TCDD/Iron Interaction?

Evidence for an oxidative process. There is considerable evidence that an oxidative process may play a part in the uroporphyria induced by TCDD and its analogues (Smith and De Matteis, 1990). A number of studies have implicated CYP1A2 regulated via the AHR in the oxidation of uroporphyrinogen to the nonutilized uroporphyrin (Jacobs et al., 1989; Sinclair et al., in press) to explain the uroporphyria that develops on exposure to TCDD and related chemicals, including the nonchlorinated AHR ligands. Although there is strong evidence for the involvement of CYP1A2 in the mechanism of porphyria, the inhibition of UROD that occurs as an early event (Smith et al., 1981) and the more generalized liver damage (Madra et al., 1996; current study) require the operation of processes in addition to the conversion of uroporphyrinogen to its porphyrin analogue. The relatively mild six-electron withdrawal from uroporphyrinogen may be a synchronous event along with more powerful oxidizing mechanisms, some of which may lead to other products from uroporphyrinogen (or precursor molecules) as well as to oxidation of other cellular targets. In fact, uroporphyrinogen might be considered a molecule well designed to act as a sensitive indicator of such intracellular oxidative processes. The identification here of peroxylated and hydroxylated uroporphyrins in the liver of mice treated with TCDD, which have been shown previously to be formed in free radical-generating systems in vitro (Guo et al., 1996), is consistent with this proposal. Products of uroporphyrinogen oxidation generated in vitro caused UROD inhibition (Francis and Smith, 1988). The operation of such an oxidative process could explain the more generalized hepatic toxicity documented in this work. Previous experiments have shown that TCDD and PCBs induce the formation of 8-hydroxydeoxyguanosine from DNA in mouse liver cells (Faux et al., 1992; Park et al., 1996). With PCBs, this can be potentiated by iron (Faux et al., 1992). Our demonstration in C57BL/6J mice that TCDD eventually caused the induction of GST, especially with iron overload, with a decrease in glutathione peroxidase activity is also consistent with an oxidative sequence of some kind (Fernandes et al., 1996). Similar findings have been reported after the interaction of PCBs and iron in mice (Madra et al., 1996). The elevation of GST has been shown to occur in transgenic mice that overexpress the hepatitis B virus large envelope protein, and it has been proposed that this reflects oxidative damage generating endogenous inducers of ARE-regulated enzymes (Fernandes et al., 1996). Although there is much evidence implicating CYP1A isoforms (especially CYP1A2) in the development of porphyria and DNA oxidation induced by TCDD analogues, perhaps by an uncoupling mechanism (Smith and De Matteis, 1990) that is not yet understood, a number of features of the current study require additional explanation. First, at the dose of 75 µg/kg, induction of CYP1A1 (and probably CYP1A2), even after 5 weeks, differed by only 2-fold among C57BL/6J, BALB/c, SWR, and DBA/2 mice, which is unlikely to be sufficient in itself to explain the marked strain differences in susceptibility. Second, iron overload caused a significant reduction in the CYP1A activities and protein levels induced by TCDD in all strains, although it markedly potentiated the porphyria and toxicity.

Involvement of iron. The experimental uses of iron deficiency and iron overload to modify the porphyrogenic responses to TCDD and HCB (Greig et al., 1984; Jones et al., 1981; Smith and Francis, 1983; Sweeney et al., 1979) have arisen because of the clinical observations that some aspect of iron metabolism is implicated in the related human disease sporadic PCT. This syndrome occurs in a small proportion of patients with mild or moderate liver damage associated with alcohol, estrogenic drugs, hepatitis C, human immunodeficiency virus, and other precipitating factors (Kappas et al., 1995). Hepatic UROD is inhibited, and there is associated high accumulation of uroporphyrins. The majority of cases of sporadic PCT in which biopsy has been undertaken have shown some degree of siderosis, and phlebotomy or desferrioxamine treatment usually brings about remissions. On the other hand, iron treatment has been shown to be one of the precipitating agents. Hence, the original experiment of Sweeney et al. (1979) to lower iron status in C57BL/6J mice and protect against TCDD-induced porphyria was extremely relevant as a model of the human disease. The strong influence of iron overload precipitating porphyria and toxicity in SWR mice after TCDD demonstrates that expression of genes associated with iron metabolism plays an important role in determining whether hepatic toxicity is observed with these chemicals. Interestingly, iron overload alone will cause uroporphyria in SWR mice, eventually even more so than in C57BL/6J mice, whereas the DBA/2 strain continues to be refractory (Smith and Francis, 1993). This illustrates that it would be misleading to think of the porphyria in rodents as purely a toxic response to TCDD and HCB. These chemicals potentiate a process that can occur without exogenous factors. By the use of criteria such as sensitivity to induction of CYP1A1 activity, AHR size, and restrictive fragment polymorphism data, SWR mice can be classified as having the Ahrd allele (Constantin et al., 1996; Poland and Glover, 1990). However, an apparent gene present in SWR mice confers a susceptibility that can partially overcome the resistant Ahrd allele after TCDD exposure. It seems reasonable to postulate that C57BL/6J and BALB/c strains also possess the susceptible gene or genes and that the resistance of DBA/2 is due to the possession of both the Ahrd allele and a resistant allele of a gene associated with iron metabolism.

Recent findings suggest that the sporadic nature of nonfamilial PCT might be explained by predisposed individuals being carriers of the hemochromatosis C28Y mutation (Roberts et al., 1997) that has been identified recently, although its function with respect to iron metabolism is not understood (Feder et al., 1996). Probably what might be important is a genetically variable aspect of intracellular iron traffic within liver cells that is linked to the hemochromatosis gene because experimental studies do not depend on differential iron absorption from the intestine. Consistent with this hypothesis is the demonstration that in rats, TCDD causes alterations in the subcellular distribution of hepatic iron (Wahba et al., 1990). The involvement of iron is additional strong evidence for an oxidative mechanism contributing to the hepatic toxicity of TCDD.

In recent years, the concepts concerning iron homeostasis and iron-catalyzed Fenton chemistry leading to oxidative sequences have undergone significant changes. IRPs respond to changes in iron pools and control the expression of mRNAs that have IRP binding sites (e.g., ferritin), thus setting in play mechanisms to restrict the availability of potentially harmful free iron. It has become clear that control of iron metabolism is integrated with regulation of many other cellular pathways, such as energy production and cell proliferation, that have not been envisaged previously (Hentze and Kuhn, 1996). In some cell lines, H2O2 leads to IRP activation with aconitase activity loss, although total IRP/IRE capacity is not changed after 2-mercaptoethanol treatment (Gaetano et al., 1996). This process seems to reflect oxidative stress and not purely a change in iron availability. Our current findings demonstrated that TCDD caused a decline of not only aconitase activity but also IRP/IRE interaction as well as total IRP capacity in susceptible C57BL/6J mice but significantly less in the resistant DBA/2 strain. This seems to suggest either a down-regulation of IRP formation or a nonreversible inactivation. Whether this was a consequence of a toxic process or a signaling pathway to cope with oxidative stress cannot be determined from these experiments, although it should be noted that changes occurred to the same extent in the TCDD group as the TCDD/iron mice. The fact that we did not observe much effect of iron on IRP/IRE interaction may suggest that other routes of maintaining iron homeostasis after chronic iron overload are important or that a steady state was reached by 3 weeks after iron treatment.

In summary, iron overload potentiates both the hepatic uroporphyria and generalized toxicity caused by TCDD in Ahrb-1 C57BL/6J mice with associated gene expression and the formation of oxidized porphyrinogens indicative of oxidative stress mechanisms. The influence of the unknown "iron metabolism" gene involved is pronounced, particularly in SWR mice, in response to administered TCDD because it seemed to partially overcome the resistance of the Ahrd allele. The hypothesis that iron metabolism changes in the presence of TCDD was supported by findings of iron regulatory mechanisms. Further studies will concentrate on the genetic bases of these interactions.

    Acknowledgments

We thank Ruth Akhtar, David Judah, Mhairi Greer, Colin Travis, Michael Festing, and Michelle Bickerdyke for their advice and assistance and Prof. J. D. Hayes for the gift of the antibody.

    Footnotes

Received May 19, 1997; Accepted September 12, 1997

1 Current affiliation: Department de Biologie Cellulaire et Moleculaire, CEA/Saclay, F-91191, Gif-sur-Yvette, France.

Send reprint requests to: Dr. A. G. Smith, MRC Toxicology Unit, Hodgkin Building, University of Leicester, Lancaster Road, P.O. Box 138, Leicester LE1 9HN, United Kingdom. E-mail: ags5{at}le.ac.uk

    Abbreviations

TCDD, 2,3,7,8-tetrachlorodibenzo-p-dioxin; GST, µ-glutathione transferase; AH, aryl hydrocarbon; AHR, aryl hydrocarbon receptor; ALT, alanine aminotransferase; IRP, iron regulatory protein; IRE, iron responsive element; HPLC, high performance liquid chromatography; UROD, uroporphyrinogen decarboxylase; HCB, hexachlorobenzene; PCNA, proliferative cell nuclear antigen; PCT, porphyria cutanea tarda; PCB, polychlorinated biphenyl; EROD, ethoxyresorufin dealkylation; MROD, methoxyresorufin dealkylation; BROD, benzyloxyresorufin dealkylation; HEPES, 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid.

    References
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Summary
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Materials & Methods
Results
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References


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MOLECULAR PHARMACOLOGY, 53:52-61 (1998).
Copyright © 1998 by The American Society for Pharmacology and Experimental Therapeutics



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