Bilirubin Protects Astrocytes from Its Own Toxicity by Inducing Up-Regulation and Translocation of Multidrug Resistance-Associated Protein 1 (Mrp1)

Unconjugated bilirubin (UCB) causes encephalopathy in severely jaundiced neonates by damaging astrocytes and neurons. Astrocytes, which help defend the brain against cytotoxic insults, express the ATP-dependent transporter, multidrug resistance-associated protein 1 (Mrp1), which mediates export of o...

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Veröffentlicht in:Proceedings of the National Academy of Sciences - PNAS 2004-02, Vol.101 (8), p.2470-2475
Hauptverfasser: Gennuso, Florinda, Fernetti, Cristina, Tirolo, Cataldo, Testa, Nuccio, L'Episcopo, Francesca, Caniglia, Salvo, Morale, Maria Concetta, Ostrow, J. Donald, Pascolo, Lorella, Tiribelli, Claudio, Marchetti, Bianca, Schmid, Rudi
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container_issue 8
container_start_page 2470
container_title Proceedings of the National Academy of Sciences - PNAS
container_volume 101
creator Gennuso, Florinda
Fernetti, Cristina
Tirolo, Cataldo
Testa, Nuccio
L'Episcopo, Francesca
Caniglia, Salvo
Morale, Maria Concetta
Ostrow, J. Donald
Pascolo, Lorella
Tiribelli, Claudio
Marchetti, Bianca
Schmid, Rudi
description Unconjugated bilirubin (UCB) causes encephalopathy in severely jaundiced neonates by damaging astrocytes and neurons. Astrocytes, which help defend the brain against cytotoxic insults, express the ATP-dependent transporter, multidrug resistance-associated protein 1 (Mrp1), which mediates export of organic anions, probably including UCB. We therefore studied whether exposure to UCB affects the expression and intracellular localization of Mrp1 in cultured mouse astroglial cells (>95% astrocytes). Mrp1 was localized and quantitated by confocal laser scanning microscopy and double immunofluorescence labeling by using specific antibodies against Mrp1 and the astrocyte marker glial fibrillary acidic protein, plus the Golgi marker wheat germ agglutinin (WGA). In unexposed astrocytes, Mrp1 colocalized with WGA in the Golgi apparatus. Exposure to UCB at a low unbound concentration (Bf) of 40 nM caused rapid redistribution of Mrp1 from the Golgi throughout the cytoplasm to the plasma membrane, with a peak 5-fold increase in Mrp1 immunofluorescence intensity from 30 to 120 min. Bfabove aqueous saturation produced a similar but aborted response. Exposure to this higher Bffor 16 h markedly decreased Trypan blue exclusion and methylthiazoletetrazoilum activity and increased apoptosis 5-fold by terminal deoxynucleotidyltrans-ferase-mediated dUTP nick end labeling assay. These toxic effects were modestly increased by inhibition of Mrp1 activity with 3-([3-(2-[7-chloro-2-quinolinyl]ethenyl)phenyl-(3-dimethylamino-3-oxopropyl)-thio-methyl]thio)propanoic acid (MK571). By contrast, Bf=40 nM caused injury only if Mrp1 activity was inhibited by MK571, which also blocked translocation of Mrp1. Our conclusion is that in astrocytes, UCB up-regulates expression of Mrp1 and promotes its trafficking from the Golgi to the plasma membrane, thus moderating cytotoxicity from UCB, presumably by limiting its intracellular accumulation.
doi_str_mv 10.1073/pnas.0308452100
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Mrp1 was localized and quantitated by confocal laser scanning microscopy and double immunofluorescence labeling by using specific antibodies against Mrp1 and the astrocyte marker glial fibrillary acidic protein, plus the Golgi marker wheat germ agglutinin (WGA). In unexposed astrocytes, Mrp1 colocalized with WGA in the Golgi apparatus. Exposure to UCB at a low unbound concentration (Bf) of 40 nM caused rapid redistribution of Mrp1 from the Golgi throughout the cytoplasm to the plasma membrane, with a peak 5-fold increase in Mrp1 immunofluorescence intensity from 30 to 120 min. Bfabove aqueous saturation produced a similar but aborted response. Exposure to this higher Bffor 16 h markedly decreased Trypan blue exclusion and methylthiazoletetrazoilum activity and increased apoptosis 5-fold by terminal deoxynucleotidyltrans-ferase-mediated dUTP nick end labeling assay. 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Exposure to this higher Bffor 16 h markedly decreased Trypan blue exclusion and methylthiazoletetrazoilum activity and increased apoptosis 5-fold by terminal deoxynucleotidyltrans-ferase-mediated dUTP nick end labeling assay. These toxic effects were modestly increased by inhibition of Mrp1 activity with 3-([3-(2-[7-chloro-2-quinolinyl]ethenyl)phenyl-(3-dimethylamino-3-oxopropyl)-thio-methyl]thio)propanoic acid (MK571). By contrast, Bf=40 nM caused injury only if Mrp1 activity was inhibited by MK571, which also blocked translocation of Mrp1. 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subjects Animals
Animals, Newborn
Apoptosis
Astrocytes
Astrocytes - cytology
Astrocytes - drug effects
Astrocytes - pathology
ATP Binding Cassette Transporter, Subfamily B, Member 1 - antagonists & inhibitors
ATP Binding Cassette Transporter, Subfamily B, Member 1 - genetics
ATP Binding Cassette Transporter, Subfamily B, Member 1 - metabolism
Bilirubin - physiology
Bilirubin - toxicity
Biological Sciences
Brain - cytology
Cell Membrane - physiology
Cell Membrane - ultrastructure
Cell membranes
Cells, Cultured
chemoprotection
Cultured cells
Dosage
Drug resistance
Fluorescent antibody techniques
Gene Expression Regulation - drug effects
Gene Expression Regulation - physiology
Golgi apparatus
Golgi Apparatus - physiology
Golgi Apparatus - ultrastructure
Leukotriene Antagonists - pharmacology
Medical research
Mice
Neuroglia
Neurons
Propionates - pharmacology
Protein Transport
Proteins
Quinolines - pharmacology
Toxicity
Up regulation
title Bilirubin Protects Astrocytes from Its Own Toxicity by Inducing Up-Regulation and Translocation of Multidrug Resistance-Associated Protein 1 (Mrp1)
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