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[CANCER RESEARCH 55, 1242-1247. March 15. 1W5] Apoptosis Induced by Serum Deprivation of PC 12 Cells Is Not Preceded by Growth Arrest and Can Occur at Each Phase of the Cell Cycle1 Liora Lindenboim, Rochelle Diamond, Ellen Rothenberg, and Reuven Stein2 Department of Biochemistry. The George S. Wise Faculty of Life Sciences, Tel Aviv University. Ramal Aviv. Tel Aviv 69978, Israel ¡LL, R. SJ, anil Division of Bioloi>\, California Institute of Technology, Pasadena, California 91125 ¡R.D., E. RJ ABSTRACT Previous studies have shown that PC12 cells undergo apoptosis (pro grammed cell death) when deprived of serum. In the present study, we examined the relationship of this death process to the cell cycle. PC12 cell populations synchronized at different, specific phases of the cell cycle exhibit similar kinetics of cell death following deprivation of serum. Flow cytometry analysis was used to examine the levels of apoptotic death in these cell populations in relationship to their progression in the cell cycle during the course of serum deprivation. Such analysis revealed that the cells die during the G(I-G,, S, and perhaps G2-M phases and at the G, to G, transition. These results, therefore, suggest that the death of synchronized, serum- deprived PC12 cells occurs throughout the cell cycle and is not dependent on growth arrest. Flow cytometry methodology (acridine orange staining), which determines the RNA content of cells in relationship to their position in the cell cycle, was used to address these questions in nonsynchronized cells. These experiments revealed that, upon serum deprivation, an im mediate loss of RNA occurred from cells in G,, S, and G ,-M phases. This loss is accompanied by a slower appearance of cells with degraded DNA content. These results show that cells from all phases of the cell cycle are damaged upon serum deprivation and thus suggest that the apoptotic cell death of nonsynchronized PC 12 cells may occur from each phase of the cell cycle. INTRODUCTION Normal cell death is an important physiological process in which unnecessary cells are eliminated during both development and adult life (1-3). The availability of growth factors can play an important role in controlling normal cell death because most (if not all) cells depend on growth factors for their survival (4, 5). Cells that fail to obtain adequate amounts of their survival factors die. For example, in the nervous system, a massive death of neurons and oligodendrocytes occurs during development, most likely due to the failure of these cells to obtain the specific neurotrophic factors on which they depend (6, 7). In vitro studies have shown that both mitotic and postmitotic differentiated neurons (8, 9) and oligodendrocytes (5) depend on growth factors for their survival. Therefore, the survival effect of growth factors may play an important role in the generation as well as in the differentiation of the nervous system. One in vitro model system used extensively to study neuronal differentiation is the rat pheochromocytoma cell line, PC12. These cells proliferate in serum-containing medium. In response to NGF,3 they stop proliferating, differentiate, and acquire a sympathetic, neu ron-like phenotype (10, 11). It has recently been demonstrated that proliferating PCI2 cells (naive) depend upon serum, whereas differ entiated postmitotic (neuronal) PC12 cells depend upon serum and NGF for their survival. When serum is withdrawn from naive cells Received 8/12/94; accepted 1/18/95. 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. 1 This work was supported by Grant 90-00347 from the United States-Israel Binational Science Foundation (Jerusalem, Israel). ~ To whom requests for reprints should be addressed. 1 The abbreviations used are: NGF, nerve growth factor; PI, propidium iodide; AO. acridinc orange; MTT, 3-(4,5-dimethylthiazol-2-yl)-2-5 diphenyltetrazolium bromide. and both serum and NGF from neuronal cells, these cells die and exhibit the characteristic features of the cell death termed apoptosis (programmed cell death; Refs. 12-15). PC12 cells, therefore, can also be used as a model system for studies on the mechanism of growth factor-dependent survival in the nervous system. The advantage of fered by the PC 12 cells is that they can be used in studies of both mitotic and postmitotic differentiated cells. This is an important feature of the cells, since in the nervous system both mitotic and postmitotic neurons depend on growth factors for their survival. The death of growth factor-deprived PCI 2 cells can be prevented by some growth factors (e.g., NGF, fibroblast growth factor, and insulin), by the nuclease inhibitor aurintricarboxylic acid (12, 13), and by exog enous expression of bcl-2 (16). Although some progress has been made in identifying the survival factors and mechanisms which can keep PC12 cells alive, very little is known about the intracellular events involved in the process of apoptosis in these cells. It has recently been suggested that a defective cell cycle control is respon sible for inducing apoptosis (17, 18). This hypothesis is based inter alia on the observations that, in some systems, there is a correlation between the cell cycle and apoptosis. For example, in some systems, apoptosis occurs only after cell cycle arrest (19-23), and in other systems, the cells are preferentially susceptible to death at specific phases of the cell cycle (24-26). The purpose of the present study was to determine whether the death of serum-deprived PCI2 cells occurs at a specific phase of the cell cycle and whether it depends on growth arrest. MATERIALS AND METHODS Cell culture-stock PC12 cells obtained from Dr. Gordon Guroff (NIH Bethcsda, MD) were maintained in DMEM high glucose medium supple mented with 8% heat-inactivated horse serum, 8% fetal calf serum, 25 ng/ml penicillin, and 2 mM t.-glutamine. For serum-deprivation experiments, conflu ent stock cultures were washed twice with PBS, detached by 0.5 mM EDTA, and centrifuged. The cells were then resuspended in DMEM and plated in either 96 flat-well plates for MTT (Sigma Chemical Co.) assay or in dishes for flow cytometry and DNA fragmentation analyses. For preparation of PCI2 cells synchronized in different and specific phases of the cell cycle, subcon- fluent cultures 6x IO6 cells/140-mm dish were treated with 2 mM thymidine (Sigma). After 24 h, thymidine was removed, and the cells were washed twice with PBS and then grown for additional time periods in drug-free medium. At the times indicated in "Results" (each time point represents a cell population synchronized at a different cell cycle phase), the synchronized cells were detached from dishes and replated in the presence or absence of serum for additional times as indicated. Cell synchronization was assessed at the various times following thymidine release by flow cytometry. Flow Cytometry Analysis. Three different methods were used for DNA labeling. Nuclei labeling was performed as described previously (27). Briefly, each 200 X g centrifuged cell pellet (IO6 cells) was resuspended and fixed in 200 ju.1citrate buffer (250 mM sucrose in 40 mM trisodium citrate) with 5% dimethyl sulfoxide. At this step, samples can be either directly processed or stored at -70°C. Before flow cytometry analysis, cells were incubated at room temperature with 900 ju.1of stock solution (3.4 mM trisodium citrate, 0.1% NP40, 1.5 mM Spermine tetrahydrochloride, and 0.5 mM Trisma base) con taining 30 f¿g/mltrypsin for 10 min, followed by the addition of 750 jd stock solution containing 0.5 mg/ml trypsin inhibitor with 0.1 mg/ml RNase A. After an additional 10 min of incubation, the cells were stained by the addition of 1242 on March 24, 2021. © 1995 American Association for Cancer Research. cancerres.aacrjournals.org Downloaded from
Transcript
Page 1: Apoptosis Induced by Serum Deprivation of PC 12 Cells Is ... · growth factors for their survival. Therefore, the survival effect of growth factors may play an important role in the

[CANCER RESEARCH 55, 1242-1247. March 15. 1W5]

Apoptosis Induced by Serum Deprivation of PC 12 Cells Is Not Preceded by GrowthArrest and Can Occur at Each Phase of the Cell Cycle1

Liora Lindenboim, Rochelle Diamond, Ellen Rothenberg, and Reuven Stein2

Department of Biochemistry. The George S. Wise Faculty of Life Sciences, Tel Aviv University. Ramal Aviv. Tel Aviv 69978, Israel ¡LL, R. SJ, anil Division of Bioloi>\,

California Institute of Technology, Pasadena, California 91125 ¡R.D., E. RJ

ABSTRACT

Previous studies have shown that PC12 cells undergo apoptosis (programmed cell death) when deprived of serum. In the present study, weexamined the relationship of this death process to the cell cycle. PC12 cellpopulations synchronized at different, specific phases of the cell cycleexhibit similar kinetics of cell death following deprivation of serum. Flowcytometry analysis was used to examine the levels of apoptotic death inthese cell populations in relationship to their progression in the cell cycleduring the course of serum deprivation. Such analysis revealed that thecells die during the G(I-G,, S, and perhaps G2-M phases and at the G, to

G, transition.These results, therefore, suggest that the death of synchronized, serum-

deprived PC12 cells occurs throughout the cell cycle and is not dependenton growth arrest. Flow cytometry methodology (acridine orange staining),which determines the RNA content of cells in relationship to their positionin the cell cycle, was used to address these questions in nonsynchronizedcells. These experiments revealed that, upon serum deprivation, an immediate loss of RNA occurred from cells in G,, S, and G ,-M phases. This

loss is accompanied by a slower appearance of cells with degraded DNAcontent. These results show that cells from all phases of the cell cycle aredamaged upon serum deprivation and thus suggest that the apoptotic celldeath of nonsynchronized PC 12 cells may occur from each phase of thecell cycle.

INTRODUCTION

Normal cell death is an important physiological process in whichunnecessary cells are eliminated during both development and adultlife (1-3). The availability of growth factors can play an important

role in controlling normal cell death because most (if not all) cellsdepend on growth factors for their survival (4, 5). Cells that fail toobtain adequate amounts of their survival factors die. For example, inthe nervous system, a massive death of neurons and oligodendrocytesoccurs during development, most likely due to the failure of thesecells to obtain the specific neurotrophic factors on which they depend(6, 7). In vitro studies have shown that both mitotic and postmitoticdifferentiated neurons (8, 9) and oligodendrocytes (5) depend ongrowth factors for their survival. Therefore, the survival effect ofgrowth factors may play an important role in the generation as well asin the differentiation of the nervous system.

One in vitro model system used extensively to study neuronaldifferentiation is the rat pheochromocytoma cell line, PC12. Thesecells proliferate in serum-containing medium. In response to NGF,3

they stop proliferating, differentiate, and acquire a sympathetic, neuron-like phenotype (10, 11). It has recently been demonstrated that

proliferating PCI2 cells (naive) depend upon serum, whereas differentiated postmitotic (neuronal) PC12 cells depend upon serum andNGF for their survival. When serum is withdrawn from naive cells

Received 8/12/94; accepted 1/18/95.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 with18 U.S.C. Section 1734 solely to indicate this fact.

1This work was supported by Grant 90-00347 from the United States-Israel Binational

Science Foundation (Jerusalem, Israel).~ To whom requests for reprints should be addressed.1 The abbreviations used are: NGF, nerve growth factor; PI, propidium iodide; AO.

acridinc orange; MTT, 3-(4,5-dimethylthiazol-2-yl)-2-5 diphenyltetrazolium bromide.

and both serum and NGF from neuronal cells, these cells die andexhibit the characteristic features of the cell death termed apoptosis(programmed cell death; Refs. 12-15). PC12 cells, therefore, can also

be used as a model system for studies on the mechanism of growthfactor-dependent survival in the nervous system. The advantage of

fered by the PC 12 cells is that they can be used in studies of bothmitotic and postmitotic differentiated cells. This is an importantfeature of the cells, since in the nervous system both mitotic andpostmitotic neurons depend on growth factors for their survival. Thedeath of growth factor-deprived PCI 2 cells can be prevented by some

growth factors (e.g., NGF, fibroblast growth factor, and insulin), bythe nuclease inhibitor aurintricarboxylic acid (12, 13), and by exogenous expression of bcl-2 (16). Although some progress has been

made in identifying the survival factors and mechanisms which cankeep PC12 cells alive, very little is known about the intracellularevents involved in the process of apoptosis in these cells. It hasrecently been suggested that a defective cell cycle control is responsible for inducing apoptosis (17, 18). This hypothesis is based interalia on the observations that, in some systems, there is a correlationbetween the cell cycle and apoptosis. For example, in some systems,apoptosis occurs only after cell cycle arrest (19-23), and in other

systems, the cells are preferentially susceptible to death at specificphases of the cell cycle (24-26). The purpose of the present study wasto determine whether the death of serum-deprived PCI2 cells occurs

at a specific phase of the cell cycle and whether it depends on growtharrest.

MATERIALS AND METHODS

Cell culture-stock PC12 cells obtained from Dr. Gordon Guroff (NIH

Bethcsda, MD) were maintained in DMEM high glucose medium supplemented with 8% heat-inactivated horse serum, 8% fetal calf serum, 25 ng/mlpenicillin, and 2 mM t.-glutamine. For serum-deprivation experiments, conflu

ent stock cultures were washed twice with PBS, detached by 0.5 mM EDTA,and centrifuged. The cells were then resuspended in DMEM and plated ineither 96 flat-well plates for MTT (Sigma Chemical Co.) assay or in dishes for

flow cytometry and DNA fragmentation analyses. For preparation of PCI2cells synchronized in different and specific phases of the cell cycle, subcon-fluent cultures 6 x IO6 cells/140-mm dish were treated with 2 mM thymidine

(Sigma). After 24 h, thymidine was removed, and the cells were washed twicewith PBS and then grown for additional time periods in drug-free medium. Atthe times indicated in "Results" (each time point represents a cell population

synchronized at a different cell cycle phase), the synchronized cells weredetached from dishes and replated in the presence or absence of serum foradditional times as indicated. Cell synchronization was assessed at the varioustimes following thymidine release by flow cytometry.

Flow Cytometry Analysis. Three different methods were used for DNAlabeling. Nuclei labeling was performed as described previously (27). Briefly,each 200 X g centrifuged cell pellet (IO6 cells) was resuspended and fixed in

200 ju.1citrate buffer (250 mM sucrose in 40 mM trisodium citrate) with 5%

dimethyl sulfoxide. At this step, samples can be either directly processed orstored at -70°C. Before flow cytometry analysis, cells were incubated at room

temperature with 900 ju.1of stock solution (3.4 mM trisodium citrate, 0.1%NP40, 1.5 mM Spermine tetrahydrochloride, and 0.5 mM Trisma base) containing 30 f¿g/mltrypsin for 10 min, followed by the addition of 750 jd stocksolution containing 0.5 mg/ml trypsin inhibitor with 0.1 mg/ml RNase A. Afteran additional 10 min of incubation, the cells were stained by the addition of

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SERUM-DEPRIVED PC12 CELLS DIE THROUGHOUT THE CELL CYCLE

750 fil of solution containing 208 ng/ml PI (Sigma) with 0.58 mg/ml Sperminetetrahydrochloride for 1-3 h at 4°C.PI fluorescence of individual nuclei was

then measured using a FACS IV flow cytometer (Becton Dickinson, MountainView, CA) excited at the 488 nm wavelength and was collected through a570-nm L.P. filter. A Consort 40 software computer system was used to

analyze the data.Cell labeling was performed as described previously (28). Briefly, each

200 X g centrifuged cell pellet (IO* cells) was resuspended in 1-ml hypotonie

fluorochrome solution (50 ^.g/ml PI in 0.1% sodium citrate plus 0.1% TritonX-100) and stored overnight in the dark at 4°Cbefore the flow cytometric

analysis. The PI fluorescence of individual nuclei was measured using a FACSIV flow cytometer as described previously. The mean of the G, peak wasassigned to channel 100 and, therefore, the events collected between channels5 and 60 were assigned as apoptotic peaks.

AO staining for the bivariate gating analysis was carried out as describedpreviously (29, 30). Briefly, cells were scraped from dishes with a rubber policeman and centrifuged. The cells were then resuspended at IO6 cells/ml in PBS.

Aliquots (200 fil) of cell suspensions were mixed for 30 s with 0.4 ml of chilledsolution containing 0.08 N HC1,0.2% Triton X-100, and 0.15 MNaCl, followed bythe addition of 1.2 ml of solution containing 10 JJ.MAO in an ice-cold citratephosphate (0.2 M; pH 6) buffer. The red (630-nm) and green (535-nm) fluores

cence of individual cells was measured with an Ortho Cytofluorograf 50 H with anargon laser exciting at 488 nm and 250 mW. Single cells were gated from doubletsby measuring the peak width and area of green fluorescence.

DNA Fragmentation Assay. Soluble DNA (27,000 g) was isolated fromIO7 cells/culture exactly as described previously by Hockenbery et al. (31)

except that DNA samples were treated with RNase A (250 fig/ml) before 1/10of the sample was loaded onto the gel. Agarose gel (1.2%) electrophoresis ofDNA was carried out in buffer consisting of 1 ng/ml ethidium bromide, 40 minTris HCl (pH 7.9), 4 mM sodium acetate, and 1 mM EDTA. The DNA wasvisualized under UV.

Cell Viability Assay. The number of viable cells was determined by theMTT assay (32). MTT was dissolved in PBS at a concentration of 5 mg/ml.From this stock solution, 10 fil/100 fil medium was added to each well, andplates were incubated at 37°Cfor 4 h. Acid-isopropanol (100 (j.1of 0.04 N HCl

in isopropanol) was then added to the wells and mixed in. After 15 min at roomtemperature, the plates were read on a Microelisa reader, using a test wave

length of 540 nm and a reference wavelength of 690 nm. Data are presented asthe differences between absorbance values at 540 and at 690 nm and asmeans ±SD. The values defined are significant in all cases where Student's t

test yielded P < 0.01.

RESULTS

Serum deprivation has been shown previously to induce the rapiddeath of proliferating PC12 cells (12) accompanied by the DNAfragmentation characteristic of apoptosis (13, 14).

N.S.

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DNA ContentFig. I. DNA histograms from thymidine-synchronized PC12 cells. Cells were treated with 2 mM thymidine for 24 h, and the drug was then removed. At the limes indicated in each

histogram following thymidine release, nuclei were stained with PI and analyzed by flow cytometry as described in "Materials and Methods." N.S., nonsynchronized cells. GQ-G,, S,

and G2-M cell populations are indicated by arrows in the histogram of nonsynchronized cells. The data in insets show the percentage of cells in the different phases of Ihe cell cycle.Results shown are from a representative experiment (of three independent experiments with similar results).

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SERUM-DEPRIVED PC12 CELLS DIE THROUGHOUT THE CELL CYCLE

In the present study, we examined whether serum-deprived cells arepreferentiallysusceptible to death at a specific phase of the cell cycle or,alternatively, whether death occurs at all phases of the cell cycle. Toaddress this issue, we prepared PC12 cell populations which had beensynchronized at different, specific phases of the cell cycle so that eachsynchronized population could be deprived of serum and the kinetics ofcell death monitored.To generate populationsof PC12 cells representingdifferentphasesof the cell cycle, PC12 cellswere synchronizedin early-Sphase by treatment with 2 mM thymidine. After 24 h, the drug wasremoved, and the cells were allowed to progress through the cell cycle.Cell populations obtained at various times following thymidine releasecorrespondedto cells present at different,specificphasesof the cell cycle.Cell synchronization was assessed by flow cytometry. As indicated inFig. 1,exponentiallygrowing PCI2 cells were growth arrested at early-Sphase after treatment with thymidine.On removalof the drug, the wholepopulationsynchronouslyprogressedthrough the cell cycle. By 12 h, thecells passed through middle-S, late-S, and G2-M, and by 24 h, into theG,,-G, phase. Thirty to thirty-six h following drug removal, some of thecells began to progress from GirG, into S and G2-Mphases, and the cellsexhibited a similar cell cycle distribution as nonsynchronizedcells.

The different cell cycle populations were deprived of serum for 6,12, and 24 h, and the kinetics of their death was measured. Fig. 2demonstrates that the cell populations corresponding to cells in early-S, middle-S, G2-M, and G0-G, phases (3, 8,12, and 24 h followingdrug release, respectively), as well as nonsynchronized cells, exhibita similar rate of cell death, regardless of their initial position in the cellcycle when serum was withdrawn. The earliest time point examined inthese experiments was 6 h after serum withdrawal, which is theearliest time at which a significant, measurable value of cell death canbe monitored by the MTT assay. In order to determine the ability ofthe different cell populations to undergo apoptosis at earlier times, weexamined the appearance of the characteristic internucleosomal DNAfragmentation. This fragmentation is an early event in the deathprocess of serum-deprived PC12 cells and was clearly detectable 4 hafter serum deprivation, before the appearance of any morphologicalsigns of cell death (13). Soluble DNA was extracted from the cellpopulations corresponding to cells in early-S, middle-S, G2-M, andG0-G, phases (3, 8, 12, and 24 h after drug removal, respectively), aswell as from nonsynchronized cells 4 h after serum deprivation. Asshown in Fig. 3, a clear pattern of internucleosomal DNA fragmen-

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Fig. 2. Kinetics of loss of viability of the different cell cycle-specific cell populations.PC12 cells were synchronized by thymidine (Thy) blockade. At 3, 8, 12, and 24 hfollowing thymidine release, the different cell populations (early-S, middle-S, G2-M, andG0-G,, respectively) were transferred to serum-free medium for an additional 0 h S, 6 h

D, 10 h E3, and 24 h W. The number of viable cells was determined by MTT assay asdescribed in "Materials and Methods" and is presented as the difference between absorb-

ance (OD) values at 540 and 690 nm. Values are means ±SD of 32 replicates from onerepresentative experiment. N.S.. nonsynchronized cells. Results shown are from a representative experiment (of four independent experiments with similar results). Bars, SD.

Fig. 3. Agarose gel electrophoresis of soluble DNA extracted from the different cellcycle-specific cell populations. PC12 cells were synchronized as described in Figs. 1 and

2. At the times indicated following thymidine (Thy) release, the cells were transferred toserum-free medium for 4 h, and DNA then was extracted as described in "Materials andMethods." N.S., nonsynchronized cells. Results shown are from a representative experi

ment (of five independent experiments with similar results).

tation is evident in DNA isolated from all these cell populations. Nosoluble DNA was detected in the samples isolated from nonsynchronized cells (Fig. 3) and from the different cell cycle-specificpopulations (data not shown) before serum deprivation.

The results depicted in Figs. 2 and 3 demonstrate that the differentcell populations exhibit a similar rate of cell death after serum deprivation, regardless of their initial position in the cell cycle. Thissuggests that death may occur at each phase of the cell cycle. Alternatively, it is possible that death occurs at a specific phase of thecycle, but this cell cycle-specific death cannot be detected, since thecells are progressing in the cell cycle during the course of the experiment and because the cell cycle-specific populations are not completely homogenous. To discriminate between these two possibilities,treated cells were analyzed by flow cytometry.

DNA content histograms obtained by such analysis indicate boththe distribution of cells in the cell cycle and the appearance ofapoptotic cells (cells with subdiploid DNA content) in each treatment.In addition, this analysis enabled the estimation of the relative levelsof the apoptotic cells in the examined cell population. Serum waswithdrawn from the different PC12 populations (4, 8, 12, and 24 hfollowing thymidine removal) and from nonsynchronized cells for 4and 10 h, and the cells were then stained with PI and analyzed by flowcytometry. The results of these experiments are presented in Fig. 4.

It is evident from the experiments depicted in Fig. 4£that cell deathcan occur directly at the G,rG, phase, since the 0,,-G, cell populationdid not progress in the cell cycle but remained at the G(I-G, phaseduring the course of the experiment while cell death still occurred.Cells can also die at the S-phase, as demonstrated in Fig. 4, B and C.Four h after the beginning of the experiments, both early-S (Fig. 4ß)and middle-S (Fig. 4C) cell populations did not progress from theS-phase into the G()-G, phase (as indicated by the DNA histograms ofthese cell populations in the presence of serum), although a substantialapoptotic cell population is evident after 4 h of serum deprivation.These apoptotic populations, for the most part, must derive from themajority of cells in this population, i.e., the S-phase cells. Cells mayalso die at the G2 to G, transition, as indicated by the failure of theG2-M cells to arrive at G, (compare Fig. 4, B, C, and D, 4 and 10 hafter serum deprivation). The results presented in Fig. 4D indicate that

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SERUM-DEPRIVED PC12 CELLS DIE THROUGHOUT THE CELL CYCLE

Treatment time (h)

Fig. 4. DNA histograms from the different cellcycle-specific cell populations following serumdeprivation. PC12 cells were synchronized at thedifferent cell cycle phases as described in Figs. 1and 2. Three h (ß),8 h (Q, 12 h (D), and 24 h (E)following thymidine release, the cells were harvested and replated for the indicated times in serum-free medium ( ) or in medium supplemented with serum (—). The cells were thenstained with PI and analyzed by flow cytometry.DNA histograms from nonsynchronized cells arepresented in (A). Ap, G„-G,,S, and G2-M cell

populations are indicated by arrows. The data inthe insets show the percentage of cells in Ap,GO-G,, S, and G2-M phases, of the different cell

populations grown in the presence (+) or absence(-) of serum. Results shown are from a representative experiment (of four independent experimentswith similar results).

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cell death can also occur at the G2-M phase, since in theseexperiments the cells that are present are mainly at late-S and G2-M

phases during the first 4 h of the experiment. However, in thisexperiment, it is not possible to distinguish between late-S and G2-M

phases, so the possibility that the apoptotic cells are derived fromlate-S cells and not G2-M cells cannot be excluded. The conclusion

that PC12 cells may die at each phase of the cell cycle can be furthersupported by the results that the different cell cycle populations die ata similar rate after serum deprivation, i.e., a similar level of apoptoticcells is detected in the different cell cycle populations as well as innonsynchronized cells 4 and 10 h after serum deprivation (about 20and 40% of the total cell populations, respectively; Fig. 4). The results

presented in Fig. 4 also reveal that the cells can die without beinggrowth arrested previously. Accordingly, cell death can occur in cellpopulations which are progressing anywhere in the cell cycle(Fig. 4, B, C, and D).

The experiments described in Fig. 2-4 strongly suggest that thedeath of synchronized, serum-deprived PC 12 cells is not restrictedto one particular point in the cell cycle. To assess whether serum-deprived, non-synchronized PC12 cells also die throughout the cell

cycle, we applied the flow cytometric methodology which simultaneously stains cellular DNA and RNA (AO staining; Refs. 29 and30). This method allowed us to examine the effect of serumdeprivation on the RNA content of cells in relation to their position

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SERUM-DEPRIVED PC12 CELLS DIE THROUGHOUT THE CELL CYCLE

Fig. 5. Bivariatc (DNA/RNA) counter plots ofexponentially growing PC12 cells following serumdeprivation. PC 12 cells were transferred to serum-

free medium for the indicated times. The cells werethen stained with AO and anaced by flow cytom-etry as described in "Materials and Methods."

Based on DNA values (green fluorescence), cellswere classified in G,, S, and (1. M phases (asshown by the horizontal lines), whereas G(1and G,cells were distinguished based on RNA values (redfluorescence). G0 cell population is indicated by thearrow. Apoptotic cells (Ap) have lower DNA staining and consist of two populations: Ap-high (Apri), which exhibit high RNA values, and Ap-low(Ap-L), which exhibit low RNA values. The data ininsets show the percentage of cells in each phase ofthe cell cycle and univariate DNA frequency distribution histograms in which the Ap, G0-Gi, S, andG2-M cell populations are indicated. Control, exponentially growing cells. Results shown are froma representative experiment (of two independentexperiments with similar results).

<

in the cell cycle. As shown in Fig. 5, serum deprivation results ina rapid reduction of the RNA content of most cells in the S andG2-M phases and many of G, cells as well. This reduction in the

RNA content may indicate that these cells have initiated theprocess of apoptosis and, therefore, suggest that serum-deprived,

nonsynchronized cells may initiate the apoptotic process in allphases of the cell cycle. In addition to the rapid effect on the RNAcontent of the cells, there is a slow appearance of cells withsubdiploid DNA content (apoptotic cells) in both the high RNAfraction (Ap-high population) and low RNA fraction (Ap-low

population).

DISCUSSION

PC12 cells can be induced to differentiate and acquire the pheno-

type of nondividing neurons (10, 11). Both naive and neuronal PC12cells depend on growth factor for their survival. Upon withdrawal ofserum from naive cells or both serum and NGF from neuronal PCI 2cells, these cells die and exhibit the DNA fragmentation characteristicof apoptosis (12-15). These features of PC12 cells resemble the

dependence of mitotic and postmitotic neurons on growth factors inmany aspects and thus make these cells a useful model system forstudying the mechanisms of apoptosis induced in mitotic and postmitotic neurons after growth factor deprivation. The present study concentrates on the death of mitotic PC12 cells after serum deprivation.We asked whether this death is preceded by growth arrest and whetherit occurs at a specific phase of the cell cycle. Our results demonstratethat the death of serum-deprived PC 12 cells is not restricted to one

particular point in the cell cycle and that it is not preceded by growth

arrest. The rationales for these conclusions are: (a) PCI 2 cell populations synchronized at specific and different phases of the cell cycle,as well as nonsynchronized cells, exhibited similar kinetics of celldeath after serum deprivation. Cell death in these experiments wasindicated by three independent parameters, loss of viability (Fig. 2),DNA fragmentation (Fig. 3), and the appearance of the apoptotic cellpopulation in DNA histograms (Fig. 4); (b) the fact that serum-deprived cells can die at some point between the late-S-G2 phase and

the next G, phase is shown in Fig. 4 by the failure of cycling cells toarrive at the G0-G, phase; (c) the fact that serum-deprived cells candie within the S and G2-M phases is shown in Fig. 5 by the abrupt lossof RNA from these cells; and (d) the fact that serum-deprived cells diewithin GQ-G! or when trying to enter or leave G0-G, is shown in Fig.

4 by the appearance of cell death during the time periods in which theG0-Gt cell population did not progress in the cell cycle. Similarly, Fig.

5 shows that there is a cell death excess not accounted for by cells inthe S or G2-M phases, which is represented by an apoptotic fraction

that is either due to cell death within G, or death in cells trying toenter or leave the Gt phase. At this time, we cannot distinguishbetween the latter two possibilities.

Examination of the RNA content of cells in relation to their positionin the cell cycle (Refs. 29 and 30; AO staining) indicates that the death ofserum-deprived exponentially growing cells may occur by at least two

pathways. One involves rapid RNA loss, which affects most of S andG2-M cells and many of G¡cells. This RNA loss may reflect RNA

degradation and shuts off total RNA synthesis as shown previously tooccur in some apoptotic systems (33, 34) or stripping of the cytoplasm.The exact mechanism which leads to the RNA loss is not known,

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SERUM-DEPRIVED PC12 CELLS DIE THROUGHOUT THE CELL CYCLE

although it is clear that it succeeds in killing the cells. The secondpathway involves DNA degradation, which results in the appearance oftwo cell populations, Ap-high and Ap-low. The Ap-high cell populationmay derive from each of G,, S, or G2-M cells which contain high RNA

levels; however, since the vast majority of these cells are G[ cells, theAp-high cells are most probably derived mainly from G, cells. The originof Ap-low is not clear; it may derive from any of the cell populations withlow RNA content or from the Ap-high cells.

Serum withdrawal from some cell types like fibroblasts causesgrowth arrest in the G0 state (35). This may also be the case in PCI 2cells, because flow cytometry analysis (Fig. 5) suggests that G0 cells(cells with G, DNA content and low RNA level) accumulate afterserum deprivation. It is not clear from the present study whether G()cells can also undergo apoptosis; however, since these cells accumulate during the course of serum deprivation, and since at a later timefollowing serum deprivation essentially all cells die, it seems likelythat G„cells can also undergo apoptosis.

Apoptosis in many systems is often preceded by growth arrest, mainlybut not only in the G0-G, phase (19-23). The data presented here

demonstrate that, although serum deprivation may drive the cells into theG() state, death may occur also at the G„S, and G2-M phases, i.e., the

apoptotic death of PC12 cells does not require the cells to be first growtharrested at the G() stage. In summary, upon serum deprivation, cell deathoccurs at all phases of the cell cycle. Cells that escaped from deathcontinue to progress in the cell cycle. These cells can either die in the nextphase of the cell cycle or can continue their progression in the cell cycleuntil they are arrested at the G,,-G| state and then die.

Previous studies showed that apoptosis induced by some antitumoragents also occurs in all phases of the cell cycle (36, 37). Our studiesextend these conclusions to a different system in which apoptosis isinduced by growth factor deprivation. The importance of the systemused in the present study is that it represents apoptosis that is likely tooccur in normal cell death.

The present study examined the relationship between apoptosis andthe cell cycle in proliferating PC12 cells. It is interesting to comparethese studies to nondividing neuronal PC12 cells. It has recently beenreported that the death of growth factor-deprived neuronal PC 12 cells

is accompanied by a burst of DNA synthesis (38) and activation ofP34cdc2 kinase (39). The interpretation of these results implied that the

postmitotic neuronal PC12 cells die because of aborted attempts toreenter the cell cycle. These results may, therefore, suggest thatapoptosis is induced differently in growth factor-deprived PC 12 and

neuronal PC12 cells. However, the observation that every growthfactor or agent which protects naive PC 12 cells from serum deprivation also protects neuronal PC12 from serum and NGF deprivationsuggests that the death process of these two cell systems is verysimilar. Clearly, further work is needed to address the issue of howapoptosis is induced in growth factor-deprived naive and neuronal

PC12 cells.

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1995;55:1242-1247. Cancer Res   Liora Lindenboim, Rochelle Diamond, Ellen Rothenberg, et al.   Cell Cycle

thePreceded by Growth Arrest and Can Occur at Each Phase of Apoptosis Induced by Serum Deprivation of PC12 Cells Is Not

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