Introduction
Apoptosis is a highly regulated physiological process that is critical for tissue homeostasis and is initiated by a plethora of physiological and pathophysiological stimuli, such as UV irradiation, growth factor deprivation, or chemotherapeutic drugs (
;
Kroemer et al., 2005- Kroemer G.
- El Deiry W.S.
- Golstein P.
- Peter M.E.
- Vaux D.
- Vandenabeele P.
- et al.
Classification of cell death: recommendations of the Nomenclature Committee on Cell Death.
). Based on the nature of the initiating stimulus, apoptotic signalling pathways have been generally distinguished as “intrinsic” or “extrinsic” (
). The so-called extrinsic pathway is initiated by ligation of death receptors whose ligands such as tumor necrosis factor (TNF), CD95L (Fas ligand), and TNF-related apoptosis-inducing ligand (TRAIL) are all members of the TNF superfamily (
Locksley et al., 2001- Locksley R.M.
- Killeen N.
- Lenardo M.J.
The TNF and TNF receptor superfamilies: integrating mammalian biology.
). They have been studied intensively over the past decade, and their role in activation-induced cell death, autoimmune disorders, immune privilege, and tumor evasion from the immune system is now well established (reviewed in
Wallach et al., 1999- Wallach D.
- Varfolomeev E.E.
- Malinin N.L.
- Goltsev Y.V.
- Kovalenko A.V.
- Boldin M.P.
Tumor necrosis factor receptor and Fas signaling mechanisms.
;
Ashkenazi, 2002Targeting death and decoy receptors of the tumour-necrosis factor superfamily.
;
). TRAIL and CD95L are mainly considered pro-apoptotic ligands that act by facilitating recruitment of the adaptor protein Fas-associated death domain protein (FADD) and activation of the initiator caspases 8 and 10 to form a “death-inducing signalling complex,” the so-called DISC. Activated initiator caspases process and activate effector caspases, which ultimately cause cell death (
).
TNF, in contrast, has more pleiotropic functions (for review, see
). TNF binds to two different membrane-bound receptors, TNF-R1 and TNF-R2. However, TNF binding initially promotes recruitment of TNF receptor-associated death domain (TRADD), receptor-interacting protein-1 (RIP-1), and TNF receptor-associated factor (TRAF)-2 to the membrane-associated TNF-R1, which results in activation of NF-κB and pro-survival signalling (
Zhang et al., 2000- Zhang S.Q.
- Kovalenko A.
- Cantarella G.
- Wallach D.
Recruitment of the IKK signalosome to the p55 TNF receptor: RIP and A20 bind to NEMO (IKKgamma) upon receptor stimulation.
) but does not lead to recruitment of either FADD or caspase-8 (
Harper et al., 2003- Harper N.
- Hughes M.
- Macfarlane M.
- Cohen G.M.
Fas-associated death domain protein and caspase-8 are not recruited to the tumor necrosis factor receptor 1 signaling complex during tumor necrosis factor-induced apoptosis.
;
). Following an initial burst of pro-survival signalling, the membrane-associated signalling complex dissociates and reassembles in the cytoplasm with FADD and caspase-8, and caspase-8 becomes subsequently activated (
). In nearly all cases, the initial pro-survival signalling from the membrane-associated complex is sufficient to protect cells from the subsequent formation of the pro-apoptotic caspase-8-containing complex, which additionally contains components of the IKK complex required for activation of NF-κB, another important function of TNF (
Zhang et al., 2000- Zhang S.Q.
- Kovalenko A.
- Cantarella G.
- Wallach D.
Recruitment of the IKK signalosome to the p55 TNF receptor: RIP and A20 bind to NEMO (IKKgamma) upon receptor stimulation.
).
Based on the observation that inhibition of NF-κB is required to sensitize cells to TNF-induced apoptosis, it has been widely accepted that NF-κB target genes are responsible for the maintenance of resistance to TNF-induced apoptosis. The inhibitors of apoptosis protein, cIAP1 and cIAP2, were originally identified as TNF-R2-associated proteins (
Rothe et al., 1995- Rothe M.
- Pan M.G.
- Henzel W.J.
- Ayres T.M.
- Goeddel D.V.
The TNFR2-TRAF signaling complex contains two novel proteins related to baculoviral inhibitor of apoptosis proteins.
). Furthermore, cIAP1/2 and the closely related X-linked inhibitor of apoptosis (XIAP) are targets of NF-κB signalling pathways (for review, see
). XIAP, in particular, is a well-characterized caspase inhibitor. For these reasons, it has long been suspected and claimed that the upregulation of cIAP1/2 following TNF signalling is responsible, either partially or in its entirety, for the protection afforded by the initial burst of pro-survival signalling (
Wang et al., 1998- Wang C.Y.
- Mayo M.W.
- Korneluk R.G.
- Goeddel D.V.
- Baldwin Jr, A.S.
NF-kappaB antiapoptosis: induction of TRAF1 and TRAF2 and c-IAP1 and c-IAP2 to suppress caspase-8 activation.
). However, owing to technical difficulties and lack of tools, it has been extremely difficult to prove or disprove this hypothesis. Therefore, the exact mechanism of resistance to TNF-mediated apoptosis has not been elucidated so far.
Keratinocytes express all the components required to execute the apoptotic program, and the intricate balance between apoptotic and nonapoptotic signals may be crucial for the outcome of death receptor triggering in the skin (
Leverkus et al., 2003a- Leverkus M.
- Sprick M.R.
- Wachter T.
- Denk A.
- Bröcker E.B.
- Walczak H.
- et al.
TRAIL-induced apoptosis and gene induction in HaCaT keratinocytes: differential contribution of TRAIL receptors 1 and 2.
;
Marconi et al., 2004- Marconi A.
- Atzei P.
- Panza C.
- Fila C.
- Tiberio R.
- Truzzi F.
- et al.
FLICE/caspase-8 activation triggers anoikis induced by {beta}1-integrin blockade in human keratinocytes.
;
Iordanov et al., 2005- Iordanov M.S.
- Sundholm A.J.
- Simpson E.L.
- Hanifin J.M.
- Ryabinina O.P.
- Choi R.J.
- et al.
Cell death-induced activation of epidermal growth factor receptor in keratinocytes: implications for restricting epidermal damage in dermatitis.
). Furthermore, the role of death receptors such as TNF-R1, CD95, TRAIL-R1, or TRAIL-R2 in keratinocytes is well established
in vitro and has been confirmed in several knockout models (for review, see
Wehrli et al., 2000- Wehrli P.
- Viard I.
- Bullani R.
- Tschopp J.
- French L.E.
Death receptors in cutaneous biology and disease.
). Pathological modulation of apoptosis signalling in the skin can lead to skin cancer or inflammatory diseases like psoriasis or alopecia areata (for review, see
;
Giannetti et al., 2004- Giannetti L.
- Consolo U.
- Magnoni C.
- Lo M.L.
Apoptosis: escaping strategies in human skin cancer (Review).
). In this regard, it is significant that induction of apoptosis by keratinocyte-derived CD95L has been suggested to represent an important pathogenic factor for toxic epidermal necrolysis (
Viard et al., 1998- Viard I.
- Wehrli P.
- Bullani R.
- Schneider P.
- Holler N.
- Salomon D.
- et al.
Inhibition of toxic epidermal necrolysis by blockade of CD95 with human intravenous immunoglobulin.
), whereas TNF or CD95L is implicated in keratinocyte apoptosis following UVB irradiation (
Schwarz et al., 1995- Schwarz A.
- Bhardwaj R.
- Aragane Y.
- Mahnke K.
- Riemann H.
- Metze D.
- et al.
Ultraviolet-B-induced apoptosis of keratinocytes: evidence for partial involvement of tumor necrosis factor-alpha in the formation of sunburn cells.
;
Leverkus et al., 1997- Leverkus M.
- Yaar M.
- Gilchrest B.A.
Fas/Fas ligand interaction contributes to UV-induced apoptosis in human keratinocytes.
). Importantly, inhibition of TNF signalling shows clinical benefit for inflammatory diseases like psoriasis, indicating its importance in the pathophysiological context of skin diseases. Our previous reports have demonstrated that inhibition of NF-κB activation does not sensitize keratinocytes to apoptosis induction by the death ligand TRAIL, while effectively interfering with TRAIL-induced NF-κB activation and the induction of its target genes. These data suggested that gene induction is a distinct apoptosis-independent signal elicited by TRAIL receptors in the skin (
Leverkus et al., 2003a- Leverkus M.
- Sprick M.R.
- Wachter T.
- Denk A.
- Bröcker E.B.
- Walczak H.
- et al.
TRAIL-induced apoptosis and gene induction in HaCaT keratinocytes: differential contribution of TRAIL receptors 1 and 2.
,
Leverkus et al., 2003b- Leverkus M.
- Sprick M.R.
- Wachter T.
- Mengling T.
- Baumann B.
- Serfling E.
- et al.
Proteasome inhibition results in TRAIL sensitization of primary keratinocytes by removing the resistance-mediating block of effector caspase maturation.
).
In this report, we compared the mechanisms governing the sensitivity to TNF-mediated versus TRAIL-induced apoptosis. We first show that inhibition of NF-κB dramatically sensitized HaCaT keratinocytes to TNF-induced apoptosis. We then demonstrate that TNF-induced apoptosis is inhibited upstream or at the level of caspase-8 activation as it was efficiently blocked by the long form of c-FLICE inhibitory protein (cFLIP
L). Upon analysis of a larger panel of anti-apoptotic NF-κB target genes, we found a specific and significant reduction in the expression of cIAP2, whereas the levels of cIAP1, TRAF1, TRAF2, or cFLIP were not affected. Surprisingly, however, selective downregulation of cIAP2 by small interfering RNA (siRNA) did not sensitize HaCaT keratinocytes to TNF, and inducible lentiviral expression of cIAP2 in IKK2-kinase dead (KD)-expressing HaCaT keratinocytes was not sufficient to re-establish TNF resistance. In contrast to the most commonly accepted model (
;
), our data show that although NF-κB inhibition is a prerequisite for sensitization to TNF-induced apoptosis, the regulated expression of cIAP2 alone is not sufficient to maintain resistance to TNF in the absence of constitutive or induced NF-κB activity. Furthermore, they strongly suggest that at least one other NF-κB target gene that acts upstream or at the level of caspase-8 must be important to maintain resistance to TNF-induced apoptosis.
Discussion
TNF exerts pleiotropic functions in almost all organ systems in a cell type-specific manner. In contrast to other death ligands such as CD95L or TRAIL, TNF is a major proinflammatory mediator, with the additional option to induce apoptosis. Both functions of TNF have been widely studied, and the inhibition of the proinflammatory effects of TNF by a variety of inhibitory agents is already used with marked success for patients requiring treatment of inflammatory diseases such as rheumatoid arthritis, inflammatory bowel disease, or psoriasis (
Jacobi et al., 2003- Jacobi A.
- Manger B.
- Schuler G.
- Hertl M.
[Therapeutic application of TNF-alpha inhibitors infliximab and etanercept in inflammatory skin disorders].
;
Choo-Kang et al., 2005- Choo-Kang B.S.
- Hutchison S.
- Nickdel M.B.
- Bundick R.V.
- Leishman A.J.
- Brewer J.M.
- et al.
TNF-blocking therapies: an alternative mode of action?.
). As elimination of keratinocytes by apoptosis might severely impact the cytokine-mediated inflammatory responses of the skin, the understanding of TNF apoptosis sensitivity is of central importance for the understanding of TNF-induced skin inflammation. Over the past decade, it has been widely accepted that NF-κB proteins (such as RelA/p65, p50, and RelB) are involved in the maintenance of apoptosis resistance to a multitude of stimuli (
;
). Our previous studies did not reveal an important role for NF-κB in the regulation of TRAIL apoptosis sensitivity in keratinocytes (
Leverkus et al., 2003a- Leverkus M.
- Sprick M.R.
- Wachter T.
- Denk A.
- Bröcker E.B.
- Walczak H.
- et al.
TRAIL-induced apoptosis and gene induction in HaCaT keratinocytes: differential contribution of TRAIL receptors 1 and 2.
,
Leverkus et al., 2003b- Leverkus M.
- Sprick M.R.
- Wachter T.
- Mengling T.
- Baumann B.
- Serfling E.
- et al.
Proteasome inhibition results in TRAIL sensitization of primary keratinocytes by removing the resistance-mediating block of effector caspase maturation.
). In striking contrast, we have observed a dramatic sensitization to TNF-mediated apoptosis when NF-κB activation is inhibited by expression of a dominant-negative IKK2 mutant. These data are in line with a number of reports that have shown that the death-inducing function of TNF is masked whenever the activation of NF-κB by TNF is possible (for review, see
). Given the importance of TNF signalling in human keratinocytes (
Banno et al., 2004- Banno T.
- Gazel A.
- Blumenberg M.
Effects of tumor necrosis factor-alpha (TNF alpha) in epidermal keratinocytes revealed using global transcriptional profiling.
), we have investigated the regulatory mechanisms relevant for TNF-induced apoptosis. TNF exerts its diverse biological effects through two different receptors, and only TNF-R1 contains an intracellular death domain (
Locksley et al., 2001- Locksley R.M.
- Killeen N.
- Lenardo M.J.
The TNF and TNF receptor superfamilies: integrating mammalian biology.
). In human HaCaT keratinocytes, both TNF receptors are expressed at low levels on the cell surface. However, there is now a broad body of evidence that TNF-induced apoptosis is largely mediated via TNF-R1 (
;
). We excluded that interference with NF-κB activation leads to modification of surface receptor expression. Our data showed that expression of TNF-R1 and TNF-R2 is rather decreased in IKK2-KD-expressing HaCaT cells, despite the dramatic increase in TNF sensitivity, and this change in sensitivity is in line with data using a transdominant negative form of IκBα (
). Thus, modulation of cell-surface TNF receptor expression is clearly not the cause for increased TNF apoptosis sensitivity when NF-κB activation is inhibited, despite the fact that our experimental system is unable to distinguish constitutive versus induced NF-κB activity and their differential role in sensitivity to TNF.
Our kinetic biochemical studies revealed that TNF-induced initiator caspase cleavage is blocked in HaCaT keratinocytes. Upon inhibition of NF-κB, TNF induces detectable initiator caspase activation within 4–6 hours. Animal studies have indicated that the sensitivity to TNF-induced apoptosis is regulated by cFLIP (
Yeh et al., 2000- Yeh W.C.
- Itie A.
- Elia A.J.
- Ng M.
- Shu H.B.
- Wakeham A.
- et al.
Requirement for casper (c-FLIP) in regulation of death receptor-induced apoptosis and embryonic development.
). Our data show that cFLIP
L and cFLIP
S are induced by TNF but not TRAIL within 4–6 hours in HaCaT keratinocytes, in line with genome-wide screening data in primary keratinocytes (
Banno et al., 2004- Banno T.
- Gazel A.
- Blumenberg M.
Effects of tumor necrosis factor-alpha (TNF alpha) in epidermal keratinocytes revealed using global transcriptional profiling.
). This TNF-dependent induction of cFLIP was absent in NF-κB-inhibited cells, whereas basal cFLIP levels remained unchanged. These data confirm that TNF-induced NF-κB activation regulates cFLIP expression (
Kreuz et al., 2001- Kreuz S.
- Siegmund D.
- Scheurich P.
- Wajant H.
NF-kappaB inducers upregulate cFLIP, a cycloheximide-sensitive inhibitor of death receptor signaling.
;
Micheau et al., 2001- Micheau O.
- Lens S.
- Gaide O.
- Alevizopoulos K.
- Tschopp J.
NF-kappaB signals induce the expression of c-FLIP.
) and, despite similar early activation of NF-κB by TRAIL and TNF (compare
Figure 1b), TNF appears to be a more potent inducer of cFLIP, indicating that signalling pathways other than NF-κB activated by TNF might be crucial for sustained gene induction. Because cFLIP is a short-lived protein (
Leverkus et al., 2000- Leverkus M.
- Neumann M.
- Mengling T.
- Rauch C.T.
- Bröcker E.B.
- Krammer P.H.
- et al.
Regulation of tumor necrosis factor-related apoptosis-inducing ligand sensitivity in primary and transformed human keratinocytes.
;
Wajant et al., 2000- Wajant H.
- Haas E.
- Schwenzer R.
- Muhlenbeck F.
- Kreuz S.
- Schubert G.
- et al.
Inhibition of death receptor-mediated gene induction by a cycloheximide-sensitive factor occurs at the level of or upstream of Fas-associated death domain protein (FADD).
;
Micheau et al., 2001- Micheau O.
- Lens S.
- Gaide O.
- Alevizopoulos K.
- Tschopp J.
NF-kappaB signals induce the expression of c-FLIP.
), our data suggest that additional signals might be required for increasing cFLIP levels, such as mRNA stability or protein degradation. Interestingly, cFLIP
L cleavage to p43 is obtained when NF-κB activation in response to TNF is blocked (
Figure 4). These results indicate that whenever NF-κB is inhibited, an intracellular complex that allows cFLIP and/or caspase-8 activity can form and that it is not formed when TNF-induced NF-κB activation can proceed.
We showed, in line with many other results, that high levels of cFLIP are sufficient to protect NF-κB-inhibited cells against TNF-induced cell death. Thus, cFLIP might confer TNF resistance to HaCaT keratinocytes in line with data in primary keratinocytes (
Banno et al., 2005- Banno T.
- Gazel A.
- Blumenberg M.
Pathway-specific profiling identifies the NF-kappa B-dependent tumor necrosis factor alpha-regulated genes in epidermal keratinocytes.
). The HaCaT keratinocytes used for our study express only very low endogenous levels of cFLIP when compared to primary keratinocytes (
Leverkus et al., 2000- Leverkus M.
- Neumann M.
- Mengling T.
- Rauch C.T.
- Bröcker E.B.
- Krammer P.H.
- et al.
Regulation of tumor necrosis factor-related apoptosis-inducing ligand sensitivity in primary and transformed human keratinocytes.
). Further depletion of this low level of steady-state cFLIP further sensitizes cells to TRAIL but fails to sensitize cells to TNF-induced apoptosis. Thus, our data reveal a striking difference for cFLIP apoptosis protection in TRAIL- versus TNF-induced apoptosis. It will be interesting to examine additional signals activated by TRAIL and TNF receptors in keratinocytes, such as the activation of NF-κB and c-Jun-N-terminal kinase. This might be particularly interesting in the context of high or low levels of cFLIP, which may not only alter caspase-8 cleavage but may rather modulate activation of NF-κB selectively by TRAIL but not by TNF, as indicated recently (
Wachter et al., 2004- Wachter T.
- Sprick M.
- Hausmann D.
- Kerstan A.
- McPherson K.
- Stassi G.
- et al.
cFLIPL inhibits tumor necrosis factor-related apoptosis-inducing ligand-mediated NF-kappaB activation at the death-inducing signaling complex in human keratinocytes.
;
Varfolomeev et al., 2005- Varfolomeev E.
- Maecker H.
- Sharp D.
- Lawrence D.
- Renz M.
- Vucic D.
- et al.
Molecular determinants of kinase pathway activation by Apo2 ligand/tumor necrosis factor-related apoptosis-inducing ligand.
). Whether these signalling pathways indeed play a role in protection against apoptosis or whether they may alter gene induction by these ligands needs to be determined in future studies. Notably, NF-κB-dependent induction of cFLIP is counteracted by degradation, recently shown to be mediated by c-Jun-N-terminal kinase-mediated activation of the E3 ubiquitin ligase Itch (
Chang et al., 2006- Chang L.
- Kamata H.
- Solinas G.
- Luo J.L.
- Maeda S.
- Venuprasad K.
- et al.
The E3 ubiquitin ligase itch couples JNK activation to TNFalpha-induced cell death by inducing c-FLIP(L) turnover.
). Although our study clearly demonstrates that cFLIP is not the critical regulator of TNF apoptosis resistance in human skin, future studies including organ-specific knockout models for cFLIP (
Zhang and He, 2005An essential role for c-FLIP in the efficient development of mature T lymphocytes.
) will have to clarify the physiological importance of cFLIP deficiency for TNF and TRAIL apoptosis resistance as well as gene induction in the skin
in vivo.
Current models —based on the concerted overexpression of the NF-κB target molecules TRAF1, TRAF2, cIAP1, and cIAP2—suggest that these molecules are relevant for TNF-mediated apoptosis (
Wang et al., 1998- Wang C.Y.
- Mayo M.W.
- Korneluk R.G.
- Goeddel D.V.
- Baldwin Jr, A.S.
NF-kappaB antiapoptosis: induction of TRAF1 and TRAF2 and c-IAP1 and c-IAP2 to suppress caspase-8 activation.
). More recent data indicate that neither cIAP1 nor cIAP2 is able to inhibit caspases directly (
Eckelman and Salvesen, 2005- Eckelman B.P.
- Salvesen G.S.
The human anti-apoptotic proteins, cIAP1 and cIAP2 bind but do not inhibit caspases.
). Thus, the exact role of cIAP1 or cIAP2 in TNF-induced cell death is still unclear to date. To investigate these contradictory findings in our experimental system, we examined the expression of a larger panel of potential NF-κB target genes including these four genes. Interestingly, only the cIAP2 expression level was significantly modulated at the mRNA and protein levels in TNF-sensitive HaCaT keratinocytes in which basal and death ligand-mediated NF-κB activity was blocked. Thus, cIAP2 represented a likely candidate for the regulation of TNF resistance in keratinocytes. To further test the relevance of cIAP2, we subsequently performed siRNA studies to selectively interfere with cIAP2 expression. However, these studies did not demonstrate sensitization of HaCaT keratinocytes to TNF-induced apoptosis, despite effective downregulation of cIAP2 at the mRNA and protein level. cIAP2 is induced dramatically by TNF in a number of cell types (
Varfolomeev et al., 2005- Varfolomeev E.
- Maecker H.
- Sharp D.
- Lawrence D.
- Renz M.
- Vucic D.
- et al.
Molecular determinants of kinase pathway activation by Apo2 ligand/tumor necrosis factor-related apoptosis-inducing ligand.
) as well as in HaCaT keratinocytes within 4–6 hours (
Figure S2c). However, our data demonstrate that cIAP2 is not crucial for the maintenance of TNF resistance, at least in HaCaT keratinocytes. To rule out that siRNA effectiveness was not high enough for a decrease of cIAP2 mRNA levels and to circumvent potential experimental problems that could arise during clonal selection, we employed a 4-HT-inducible system to test the impact of cIAP2 expression in the context of TNF-sensitive, NF-κB-inhibited HaCaT cells (
Figure 7). These findings clearly demonstrated that cIAP2 is not sufficient to maintain TNF resistance in HaCaT cells, although we were able to detect a moderate dose-dependent protection by cIAP2 expression when compared to control infected cells (compare
Figure 7b). This protective effect could, however, not be further increased by higher expression levels of cIAP2 (compare
Figure 7a), suggesting that cIAP2 is not critical for the modulation of TNF-induced apoptosis. It has been suggested previously that compensatory expression of cIAP1 or XIAP might explain the largely absent phenotype in XIAP knockout mice (
Harlin et al., 2001- Harlin H.
- Reffey S.B.
- Duckett C.S.
- Lindsten T.
- Thompson C.B.
Characterization of XIAP-deficient mice.
). As IAP2 levels are regulated by the ubiquitin protein ligase activity of cIAP1 (
Conze et al., 2005- Conze D.B.
- Albert L.
- Ferrick D.A.
- Goeddel D.V.
- Yeh W.C.
- Mak T.
- et al.
Posttranscriptional downregulation of c-IAP2 by the ubiquitin protein ligase c-IAP1 in vivo.
;
), we also studied whether expression of IKK2-KD with consequent loss of cIAP2 protein expression altered expression of cIAP1. However, our data excluded that compensatory expression of cIAP1 could explain TNF-induced cell death in IKK2-KD-expressing HaCaT cells (compare
Figures 6 and
7). Future studies will hopefully reveal why cIAP2 is such a highly regulated protein in human keratinocytes and why cIAP2 is not sufficient to maintain TNF apoptosis resistance. Our study thus highlights an interesting conundrum and suggests a more complex role for cIAP2 than previously thought.
Our experimental system has certain limitations. First, it has been suggested that NF-κB signalling is not identical when comparing HaCaT keratinocytes to primary keratinocytes. Thus, future comparative studies with primary cells will prove to be highly interesting with respect to TNF apoptosis resistance (
Chaturvedi et al., 2001- Chaturvedi V.
- Qin J.Z.
- Denning M.F.
- Choubey D.
- Diaz M.O.
- Nickoloff B.J.
Abnormal NF-kappaB signaling pathway with enhanced susceptibility to apoptosis in immortalized keratinocytes.
;
Lewis et al., 2006- Lewis D.A.
- Hengeltraub S.F.
- Gao F.C.
- Leivant M.A.
- Spandau D.F.
Aberrant NF-kappaB activity in HaCaT cells alters their response to UVB signaling.
). Moreover, there might be dynamic changes of NF-κB target genes that we are unable to detect owing to the fact that stable expression of IKK2-KD downregulates constitutive as well as TNF-induced target genes (compare
Figure S1c). Second, the fact that inducible expression of IKK2-KD or IKK2-EE mutants in HaCaT keratinocytes recapitulates our findings with stable expression of IKK2 mutants is indicative of the physiological relevance of our data (
Figure S3). Nonetheless, future studies will have to investigate what other known or unknown target genes of NF-κB are critical to maintain TNF apoptosis resistance other than cIAP2. Most likely, these studies may require a genome-wide approach or the use of inducible abrogation of NF-κB function, as performed previously in a mouse model or as feasible with inducible IKK mutants (
Stratis et al., 2006- Stratis A.
- Pasparakis M.
- Markur D.
- Knaup R.
- Pofahl R.
- Metzger D.
- et al.
Localized inflammatory skin disease following inducible ablation of I kappa B kinase 2 in murine epidermis.
).
As cIAP2 is not responsible for apoptosis resistance to TNF, what could be its physiological role in the skin? Recent reports have suggested that cIAP2 might be more important for proinflammatory signals initiated by other surface receptors such as Toll-like receptors (
Conte et al., 2006- Conte D.
- Holcik M.
- Lefebvre C.A.
- Lacasse E.
- Picketts D.J.
- Wright K.E.
- et al.
Inhibitor of apoptosis protein cIAP2 is essential for lipopolysaccharide-induced macrophage survival.
) In particular, cIAP2 knockout cells that do not change sensitivity to CD95L-induced apoptosis have a markedly increased sensitivity to lipopolysaccharide-induced apoptosis, but do not show any overt phenotype under physiological conditions (
Conte et al., 2006- Conte D.
- Holcik M.
- Lefebvre C.A.
- Lacasse E.
- Picketts D.J.
- Wright K.E.
- et al.
Inhibitor of apoptosis protein cIAP2 is essential for lipopolysaccharide-induced macrophage survival.
). Because contamination of lipopolysaccharide as the cause of TNF-induced cell death in our preparations is highly unlikely (
Figure 3b), our data clearly indicate cell type as well as stimulus-specific differences that might dramatically alter the outcome of TNF receptor triggering in different organ systems. Our results support the hypothesis that cIAP1 or cIAP2 may have a role in the amplification of proinflammatory pathways that secondarily activate an NF-κB-dependent anti-apoptotic response rather than acting as direct anti-apoptotic caspase-inhibitory molecules. Future studies examining interaction partners of cIAP2 following TNF stimulation in keratinocytes are thus required to delineate these points in more detail. To this end, post-translational modifications of cIAP1 or cIAP2 might be crucial for their signalling capabilities in the context of TNF receptor triggering (
). The fact that cIAP2 is not sufficient to maintain apoptosis resistance to TNF in NF-κB-inhibited cells may thus stimulate future studies using the experimental system described in this report that will investigate the contribution of other NF-κB-regulated molecules for the protection against TNF-mediated apoptosis.
Article info
Publication history
Accepted:
September 10,
2007
Received in revised form:
September 10,
2007
Received:
February 3,
2007
published online 8 November 2007
Copyright
© 2008 The Society for Investigative Dermatology, Inc. Published by Elsevier Inc.