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PTPC-dependent apoptotic signaling between ER and mitochondria in response to ER stress. Experimentally induced ER stress (A23187, TG, TN) leads to IP3R-mediated release of ER lumenal Ca 2+ , mitochondrial accumulation through VDAC and Ca 2+ -dependent opening of PTPC. The opening of PTPC then promotes PMM, release of apoptogenic factors and subsequent nuclear apoptosis. The proteins involved in the apoptotic pathway triggered by ER stress was determined by pharmacological studies using inhibitors of IP3R (2-APB, 2-AminoethoxydiPhenyl Borate), VDAC (DIDS, dihydro-4,4 ′ diisothiocyanostilbene- 2,2 ′ -disulphonic acid and NADH) and PTPC (CsA, cyclosporine A and the protonophore CCCP, carbonyl cyanide 3- chlorophenylhydrazon). The anti-apoptotic protein Bcl-2 was demonstrated to inhibit PTPC opening in response to ER stress, whereas this latter process was favored by the pro-apoptotic protein Bax. 

PTPC-dependent apoptotic signaling between ER and mitochondria in response to ER stress. Experimentally induced ER stress (A23187, TG, TN) leads to IP3R-mediated release of ER lumenal Ca 2+ , mitochondrial accumulation through VDAC and Ca 2+ -dependent opening of PTPC. The opening of PTPC then promotes PMM, release of apoptogenic factors and subsequent nuclear apoptosis. The proteins involved in the apoptotic pathway triggered by ER stress was determined by pharmacological studies using inhibitors of IP3R (2-APB, 2-AminoethoxydiPhenyl Borate), VDAC (DIDS, dihydro-4,4 ′ diisothiocyanostilbene- 2,2 ′ -disulphonic acid and NADH) and PTPC (CsA, cyclosporine A and the protonophore CCCP, carbonyl cyanide 3- chlorophenylhydrazon). The anti-apoptotic protein Bcl-2 was demonstrated to inhibit PTPC opening in response to ER stress, whereas this latter process was favored by the pro-apoptotic protein Bax. 

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The ndoplasmic reticulum (ER) function is critical for multiple cellular activities. Hence, impairment of the physiological function of the ER, such as accumulation of unfolded proteins or disturbance of lumenal calcium homeostasis, leads to an evolutionarily conserved adaptive response known as the ER stress response. Activation of this self-prote...

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... quenched by the Co 2+ , a phenomenon that can be recorded by flow cytometry (Figure 2). We observed that ER stress agents, which generate a sustained accumulation of Ca 2+ into mitochondria, led to PTPC opening, MMP and subsequent nuclear apoptosis, whereas physiological stimuli such as the IP3-mobilizing agent histamine, which triggered only a transient increase in [Ca 2+ ] m , did not cause mitochondrial alterations nor apoptosis (150). Thus, PTPC appears to play a key role in the Ca 2+ -dependent apoptotic communication between ER and mitochondria during ER stress. By taking advantage of cell lines overexpressing Bcl-2 or vMIA (viral mitochondrial inhibitor of apoptosis, encoded by the Cytomegalovirus UL37 gene) or knock down for Bax or Bak, we demonstrated that (i) Bcl-2 and vMIA prevent ER stress- mediated PTPC opening and (ii) Bax invalidation decreased MPT, whereas Bak invalidation did not modify the response to ER stressors (150). Accordingly, a protection against ER stress-mediated MMP was observed in other cell systems after overproduction of Bcl-x L or vMIA (144). The protective effect of vMIA may rely on its ability to interact with the PTPC member ANT (but not VDAC) (159) or to sequester Bax in an inactive form at the mitochondria (160, 161). Members of Bcl-2 family are well-known regulators of MMP, which directly interact with mitochondrial membranes to control the release of IMS proteins (162). In the apoptotic signaling pathway triggers by ER-dependent Ca 2+ mobilization, Bcl-2 family proteins are thought to regulate cell death not by acting on mitochondria but through their localization at the ER. Indeed, Bcl-2 ER seems to protect cell against Ca 2+ -mediated MMP by reducing the amount of ER releasable Ca 2+ (163, 164) and/or by functionally interacting with IP3R (165, 166). Conversely, Bax ER could sensitize cells to ER stress by increasing the pool of Ca 2+ releasable from the ER (167, 168), probably by regulating the phosphorylation state of IP3R (169). A pharmacological approach allowed us to better define the molecular mechanisms of Ca 2+ transfer and the role of PTPC in the lethal dialogue between ER and mitochondria in whole cells. In addition, to study these processes free from all of the complex side reactions that occur in cells, we have developed an original cell-free system in which we can confronted gradient-purified mitochondria and ER vesicles purified by ultracentrifugation (150). These pure organelles can be isolated from mouse liver or brain or from human cancer cell lines. In both whole cells and cell-free system treated with ER stress agents (e.g. TG, TN, A23187), we demonstrated that BAPTA-AM (a Ca 2+ chelator) and 2- APB (2-AminoethoxydiPhenyl Borate (170)), an inhibitor of IP3R, led to partial inhibition of ER stress-mediated Ca 2+ entry in mitochondria and nuclear apoptosis, in accord with the well-known role of IP3R in Ca 2+ -dependent apoptosis (reviewed in (171)). Besides, 2-APB also delays PTPC opening, mitochondrial swelling and dissipation of ∆Ψ m , indicating the important role of IP3R in PTPC-dependent mitochondrial apoptosis triggers by Ca 2+ accumulation into mitochondria. To enter the mitochondrial matrix Ca 2+ moves from the cytosol to the IMS across the OM and then from the IMS to the matrix across the IM. Evidence has been presented that Ca 2+ delivery across IM occurs through the Ca 2+ uniporter, a possibly gated channel, whom molecular identity and nature remain unknown (172, 173). We have seen in the previous section that Ca 2+ can cross the OM through VDAC (111, 112, 174). In the presence of VDAC blockers, such as DIDS (4,4 ′ - Diisothiocyanatostilbene-2,2 ′ -disulfonic acid) and NADH (in the cell-free system), mitochondrial Ca 2+ uptake, PTPC opening, mitochondrial alterations and nuclear apoptosis are significantly reduced. Our results therefore demonstrate that VDAC can efficiently participate in IP3R-released Ca 2+ entry into mitochondria in response to ER stressors TG and TN, in cellulo as well as in cell-free system. By contrast, it appears that Ca 2+ accumulation in mitochondrial matrix does not involved other core proteins of PTPC since inhibitors of ANT (BA, Bongkrekic acid) and cyclophilin D (CsA) were unable to modify mitochondrial Ca 2+ uptake. On the other hand, BA and CsA, which prevent PTPC opening, also reduced mitochondrial swelling, loss of ∆Ψ m and hypoploidy induced by ER toxins, indicating that PTPC is required for ER-stress induced mitochondrial alterations and apoptosis. Along the same lines, knockdown of cyclophilin D by siRNA significantly inhibits Ca 2+ dependent MMP and cytochorme c release provoked by TG treatment of human leukemic cells, corroborating the important role of PTPC members in ER stress-induced apoptosis (175). In summary, when functions (TN) or Ca homeostasis (TG) of the ER is severely perturbed, a stress response is activated and a PTPC-dependent apoptotic dialogue is engaged between ER and mitochondria (Figure 3): Ca 2+ released from the ER through IP3R is taken up by mitochondria via VDAC and/or other OM channels, accumulates then in the matrix where it stimulates the opening of PTPC, which in turn promotes mitochondrial swelling, rupture of the OM and liberation of apoptogenic factors. In conclusion, the data discussed above settled Ca 2+ and PTPC as key components of the lethal crosstalk between ER and mitochondria. Nevertheless, one can not rule out that signaling molecules other than Ca 2+ ion could be released from ER to target PTPC and induce apoptosis. In agreement, we have observed that the ER stressor BFA provokes the opening of PTPC and subsequent mitochondrial apoptosis without inducing Ca 2+ release from ER (Figure 4). The nature of the molecule(s) involved in BFA-mediated lethal communication between ER and mitochondria is still unidentified and requires further investigation. In addition, renewed attention has been recently given to the gangliosides, as intracellular messengers of cell death and potential mediators of apoptosis in response to ER stress (176). For example, among the different gangliosides, GD3, found at the ER- mitochondria contacts sites (177), was demonstrated to promote opening of PTPC in a Ca -independent manner (178) and thus appears as an interesting signaling molecule of the PTPC-mediated ER-mitochondria lethal interplay. However, future research will be fundamental in better understanding the molecular mechanisms that connect PTPC to the apoptotic crosstalk between ER and mitochondria. Our work is supported in part by grants from the Association pour la Recherche contre le Cancer (ARC, #3902), the Institut National du Cancer (INCa) and PRES UniverSud Paris. The authors want to thank Dr Vito De Pinto for kindly providing the VDAC structural model previously published (179). 1. Lin J. H, P. Walter and T. S. Yen: Endoplasmic Reticulum Stress in Disease Pathogenesis. Annu Rev Pathol 3, 399-425 ...

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