Andrew Lawrence, Clare M. Jones, Peter Wardman, and Mark J. Burkitt

Transcription

1 THE JOURNAL OF BIOLOGICAL CHEMISTRY Vol 278, No 32, Issue of August 8, pp , by The American Society for Biochemistry and Molecular Biology, Inc Printed in USA Evidence for the Role of a Peroxidase Compound I-type Intermediate in the Oxidation of Glutathione, NADH, Ascorbate, and Dichlorofluorescin by Cytochrome c/h 2 O 2 IMPLICATIONS FOR OXIDATIVE STRESS DURING APOPTOSIS* Received for publication, January 3, 2003, and in revised form, April 29, 2003 Published, JBC Papers in Press, May 14, 2003, DOI /jbcM Andrew Lawrence, Clare M Jones, Peter Wardman, and Mark J Burkitt From the Gray Cancer Institute, Mount Vernon Hospital, Northwood, Middlesex HA6 2JR, United Kingdom The release of cytochrome c from mitochondria is a crucial step in apoptosis, resulting in the activation of the caspase proteases A further consequence of cytochrome c release is the enhanced mitochondrial production of superoxide radicals (O 2 ), which are converted to hydrogen peroxide by manganese-superoxide dismutase Recently, we showed that cytochrome c is a potent catalyst of 2,7 -dichlorofluorescin oxidation to the fluorescent 2,7 -dichlorofluorescein by these species, leading to the conclusion that 2,7 -dichlorofluorescein fluorescence is a reflection of cytosolic cytochrome c concentration rather than reactive oxygen species levels (Burkitt, M J, and Wardman, P (2001) Biochem Biophys Res Commun 282, ) The oxidant generated from cytochrome c has so far not been identified Several authors have suggested that the hydroxyl radical ( OH) is generated, but others have discussed the possibility of a peroxidase compound I By examining the effects of various antioxidants (glutathione, ascorbate, and NADH) and hydroxyl radical scavengers (ethanol and mannitol) on the rate of 2,7 -dichlorofluorescin oxidation by cytochrome c, together with complementary EPR spin-trapping studies, we demonstrate that the hydroxyl radical is not generated Instead, our findings suggest the formation of a peroxidase compound I-type intermediate, in which one oxidizing equivalent is present as an oxoferryl heme species and the other as the protein tyrosyl radical previously identified (Barr, D P, Gunther, M R, Deterding, L J, Tomer, K B, and Mason, R P (1996) J Biol Chem 271, ) Competition studies involving spin traps indicated that the oxoferryl heme component is the active oxidant These findings provide an improved understanding of the physicochemical basis of the redox changes that occur during apoptosis The interruption of electron flow to cytochrome c oxidase in the mitochondrial respiratory chain caused by the release of cytochrome c (cyt c) 1 during apoptosis results in an increase in the generation of superoxide radicals (O 2 ) at upstream sites (1) Although superoxide can react with aconitase (2, 3), GSH (4, 5), and nitric oxide (6, 7) within the mitochondrial matrix, the vast majority of the radical is expected to undergo manganesesuperoxide dismutase-catalyzed disproportionation to hydrogen peroxide and oxygen (8, 9) Based on observations made using the probe 2,7 dichlorofluorescin (DCFH 2 ), which can undergo oxidation to the highly fluorescent 2,7 -dichlorofluorescein (DCF), several authors have reported increased reactive oxygen species (ROS) production in both apoptotic and necrotic cells (10 12) However, the direct reaction between H 2 O 2 (which also arises from O 2 by spontaneous disproportionation) and DCFH2 is very slow Oxidation of the probe by H 2 O 2 is much more efficient in the presence of a suitable catalyst such as a peroxidase, ferrous iron, or cyt c (13 17) Peroxynitrite, formed in the reaction between O 2 and nitric oxide, can oxidize DCFH 2 directly (18) Recently, we demonstrated that cyt c is a particularly potent catalyst of DCFH 2 oxidation in the presence of an enzymatic source of O 2 and H2 O 2 (17) Whereas a 10-fold increase in the rate of O 2 /H2 O 2 production results in only a very modest increase in the rate of DCFH 2 oxidation, the addition of nanomolar amounts of the cytochrome has a profound stimulatory effect Thus, we suggested that the increased rate of DCFH 2 oxidation that is observed in apoptotic cells is a reflection of elevated cytosolic cyt c concentration rather than increased O 2 /H2 O 2 production (17) The H 2 O 2 resulting from the manganese-superoxide dismutase-catalyzed disproportionation of O 2 is expected to undergo glutathione peroxidase-catalyzed reduction to water, accompanied by the oxidation of GSH to GSSG (9, 19) Although O 2 can oxidize GSH directly, the rate constant for this reaction ( 200 M 1 s 1 ) is too low for it to compete with the rapid conversion of O 2 to H2 O 2 by manganese-superoxide dismutase (5) Because of the critical role of the GSH/GSSG couple in the maintenance of intracellular redox conditions (20), there is currently considerable interest in the implications of the extensive GSH oxidation that occurs during apoptosis as a consequence of the above reactions (21 24) For example, the activity of caspase-3, a key apoptotic enzyme that is activated following cyt c release, is known to be particularly sensitive to intracellular redox conditions, being inactivated by excessive H 2 O 2 (11, 25, 26) On the other hand, there is evidence to suggest that, at least at low concentrations, ROS play a necessary role in the * This work was supported by Cancer Research UK Program Grant C134/A2001 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 USC Section 1734 solely to indicate this fact To whom correspondence should be addressed: Gray Cancer Inst, Mount Vernon Hospital, P O Box 100, Northwood, Middlesex HA6 2JR, UK Tel: ; Fax: ; burkitt@ gciacuk 1 The abbreviations used are: cyt c, cytochrome c; DCFH 2, 2,7 dichlorofluorescin; DCF, 2,7 -dichlorofluorescein; ROS, reactive oxygen species; MOPS, 4-morpholinepropanesulfonic acid; DTPA, diethylenetriaminepentaacetic acid; DMPO, 5,5-dimethyl-1-pyrroline N-oxide; MNP, 2-methyl-2-nitrosopropane; XO, xanthine oxidase; DMPOX, 5,5-dimethyl-1-pyrrolidone-2-oxyl; DEPMPO, 5-(diethylphosphoryl)-5- methyl-1-pyrroline N-oxide This paper is available on line at

2 Oxidizing Species from Cytochrome c/h 2 O induction of apoptosis For example, through their stimulation of mitochondrial cyt c release, involving the mitochondrial permeability transition, ROS are believed to be responsible for the induction of apoptosis by a diverse range of chemical agents (24, 27 29) However, the role of ROS in apoptosis is a contentious issue, with some studies reporting that they are not required (30 32) Indeed, it is now apparent that cyt c release from mitochondria can occur by two distinct mechanisms, only one of which appears to involve the permeability transition (33) Moreover, a recent study found that the oxidation of externalized phosphatidylserine by ROS plays a role in the recognition and clearance of apoptotic cells by macrophages (34) Clearly, to elucidate the exact role played by such species in apoptosis and other cellular events, it is of vital importance that the observations from experiments employing indicator probes such as DCFH 2 are interpreted with extreme caution For example, on the strength of its ability to suppress the oxidation of DCFH 2 in dying cells, it has been suggested that the Bcl-2 oncoprotein is an antioxidant (10), yet this observation can be accounted for solely by the fact that the protein prevents the release of cyt c from mitochondria (17) In the apoptotic cell, there is also the possibility that cyt c may catalyze the oxidation of GSH (and other molecules) by hydrogen peroxide, which may have implications for the redoxsensitive events that occur downstream of cyt c release (35) The purpose of the investigations reported here was to examine in mechanistic detail, using biomimetic models, the interactions that can occur between cyt c, O 2 /H2 O 2, DCFH 2, GSH, and other redox cofactors in the apoptotic cell On the basis of our findings, we have proposed a mechanism for the activation of cyt c to an oxidizing species in the presence of O 2 /H2 O 2 and elucidated the mechanism of its interaction with DCFH 2, GSH, NADH, and ascorbate We propose that these reactions explain many of the redox changes observed in apoptotic cells Although we accept that there is good evidence that ROS act as signaling species in the induction of apoptosis, our findings suggest that the redox changes reported in the literature occur largely as a consequence of apoptosis and probably serve to inactivate the process, favoring a shift toward a necrotic mode of cell death FIG 1 GSH suppresses the catalysis of DCFH 2 oxidation by cyt c DCFH 2 (10 M) was incubated at 37 C with 4 milliunits/ml XO, 05 mm hypoxanthine, and 1 mm DTPA in 01 M MOPS buffer (ph 74) with no further additions (trace a) or in the presence of 75 mm GSH (trace b), 25 nm cyt c plus 75 mm GSH (trace c), 250 nm cyt c plus 75 mm GSH (trace d), or 25 nm cyt c alone (trace e) DCF generation was monitored fluorometrically EXPERIMENTAL PROCEDURES Materials Horse heart cytochrome c, ascorbic acid, DCF, 2,7 -dichlorofluorescin diacetate, ferrous sulfate, NADH, chelating resin (Chelex 100), MOPS buffer, GSH, GSSG, DTPA, 5,5-dimethyl-1-pyrroline N-oxide (DMPO), hypoxanthine, 2-methyl-2-nitrosopropane (MNP), and xanthine oxidase (XO) were purchased from Sigma (Poole, UK) DCFH 2 was prepared from 2,7 -dichlorofluorescin diacetate by alkaline hydrolysis (13) The spin trap DMPO was purified by vacuum distillation (Kugelrohr) and stored under N 2 at 80 C Sodium dihydrogen phosphate and disodium hydrogen phosphate were from BDH (Poole) Stock solutions of 02 M phosphate buffer and 02 MOPS buffer (both ph 74), as well as the hypoxanthine stock solution and water used in all dilutions, were treated with chelating resin to remove contaminating metal ions using the batch method (36) Hydrogen peroxide was purchased from Aldrich (Gillingham, UK) as a 275% weight solution and standardized by titration against a 01 N potassium permanganate standard solution, the concentration of which was routinely checked by titration against sodium oxalate (both from Aldrich) (37) For EPR experiments requiring both ferricytochrome c and ferrocytochrome c (see Fig 8), a 25 mm stock solution of the cytochrome in 01 M phosphate buffer (ph 74) was divided into two aliquots To one aliquot was added ascorbic acid (in phosphate buffer adjusted to ph 74) to give cyt c and ascorbic acid final concentrations of 1875 and 50 mm, respectively The other aliquot was diluted to 1875 mm with phosphate buffer Both solutions were then incubated on ice for 2 h before purification through Micro Bio-Spin columns (Bio-Gel P-6, Bio-Rad, Hemel Hempstead, UK) An aliquot of the eluant from the ascorbate-reduced cyt c was then diluted using 200 mm ascorbic acid (in N 2 -purged phosphate buffer), and its concentration was determined from the resultant absorbance at 550 nm ( 27,700 M 1 cm 1 ) The original eluant was then used for reaction with H 2 O 2, as indicated in the legend to Fig 8B (cyt c-fe II ) For the corresponding reaction using cyt c-fe III (Fig 8A), the eluant from the column loaded with cyt c that had not been reduced with ascorbate was used To ensure that an identical concentration of cyt c-fe III was used, a small aliquot of the eluant was reduced by the addition of solid sodium dithionite, and the absorbance at 550 nm was measured Fluorescence Assay of DCFH 2 Oxidation The generation of DCF from DCFH 2 was monitored by fluorescence spectroscopy as reported previously (17) All incubations contained 10 M DCFH 2, which was incubated either with 4 milliunits/ml XO and 05 mm hypoxanthine (to generate superoxide plus hydrogen peroxide) or with 250 M H 2 O 2 Reactions using the XO/hypoxanthine system were performed in 01 M MOPS buffer (ph 74) containing 1 mm DTPA Reactions involving bolus H 2 O 2 addition were performed in 01 M phosphate buffer (ph 74) Other reagents were included as specified in the appropriate figure legends Reactions were initiated by the final addition of cyt c at the concentrations indicated Fluorescence values were converted to DCF concentrations using a standard curve prepared using known amounts of DCF Data shown are representative of at least three independent experiments Electron Paramagnetic Resonance Spectroscopy EPR spectra were recorded on a Bruker EMX spectrometer equipped with a high sensitivity cylindrical cavity (X-band) and operating at a modulation frequency of 100 khz with the settings specified in the appropriate figure legends All reaction mixtures were prepared in Eppendorf tubes and transferred to a quartz flat cell following the final addition of cyt c The spectrometer field calibration was routinely checked using the signal from a dilute solution of Fremy s salt (a N G) (38) and was accurate to within 005 G Hyperfine coupling constants (in gauss; 1 G 10 4 tesla) were determined from spectral simulations performed using software available through the Internet 2 and described elsewhere (39) RESULTS To mimic the production of O 2 radicals by cyt c-depleted mitochondria, we used XO with hypoxanthine as substrate The incubation of DCFH 2 with XO led to the generation of only a very modest amount of DCF over the 25-min recording period (Fig 1, trace a) However, the inclusion of 25 nm cyt c resulted in a massive enhancement of the rate of DCFH 2 oxidation (Fig 1, trace e), as reported previously (17) The ability of cyt c to catalyze DCFH 2 oxidation was severely compromised when GSH was included at a concentration of 75 mm (Fig 1, trace c), which is typical of reported intracellular concentrations (40 42) Moreover, the addition of GSH without the cytochrome led 2 Available at eprniehsnihgov/

3 29412 Oxidizing Species from Cytochrome c/h 2 O 2 FIG 2Rate of cyt c-catalyzed DCFH 2 oxidation is modulated by the GSSG/2GSH reduction potential The ability of cyt c to catalyze the oxidation of DCFH 2 was examined in the presence of GSH and GSSG, mixed in varying proportions to give prevailing reduction potentials of 027 V (A), 022 V (B), 020 V (C), and 017 V (D) The concentration of total glutathione equivalents ([GSH] 2[GSSG]) was held constant at 75 mm Incubations were conducted at 37 C in MOPS buffer (ph 74) and also contained 10 M DCFH 2, 4 milliunits/ml XO, 05 mm hypoxanthine, and 1 mm DTPA with no further additions (traces a) or in the presence of 25 nm (traces b), 100 nm (traces c), or 250 nm (traces d) cyt c Control incubations contained 250 nm cyt c, but no XO (traces e) DCF generation was monitored fluorometrically to a moderate increase in the rate of DCFH 2 oxidation by XO (Fig 1, trace b), which accounted for essentially all of the DCF generated when the cyt c was added together with the thiol (Fig 1, trace c) Much higher concentrations of cyt c were needed to stimulate DCFH 2 oxidation in the presence of GSH For example, at a concentration of 250 nm, which is representative of the concentrations needed to trigger the final stages of apoptosis (43 45), the cytochrome caused almost a 3-fold increase in the yield of DCF after 25 min (Fig 1, traces b and d) Because GSH is known to undergo oxidation to GSSG during apoptosis (1), it was considered appropriate to examine the ability of cyt c to oxidize DCFH 2 in the presence of both GSH and GSSG at concentrations reflecting those achieved in apoptotic cells following release of the cytochrome into the cytosol Cellular levels of GSH and GSSG are often reported in terms of a redox potential (1, 20, 46) This gives a more accurate reflection of the prevailing redox environment in the cell than the simple ratio [GSH]/[GSSG] (even though the couple is not at thermodynamic equilibrium because of the participation of GSH and GSSG in other reactions) The reduction potential for the GSSG/2GSH couple at ph 70 and 40 C is V (47), from which a value of 026 V is obtained at ph 74 (48) It is reasonable to assume that the glutathione solution used in the experiments reported in Fig 1 initially contained 05 10% GSSG (47) Using the Nernst equation (49), E h E 0 {(RT/ nf) ln([gssg]/[gsh] 2 )}, in which E 0 is the reduction potential for the GSSG/2GSH couple at ph 74 and 40 C under standard conditions of concentration (approximating 1 M GSH and 1 M GSSG) and E h is the corresponding potential (half-cell potential) at particular values of [GSH] and [GSSG], it can be shown that the E h of a 75 mm glutathione solution that has undergone 1% oxidation to GSSG is approximately 027 V We examined the ability of cyt c to catalyze DCFH 2 oxidation in the presence of glutathione that had undergone 25, 50, and 75% oxidation This was achieved by mixing stock solutions of GSH and GSSG, keeping the total concentration of GSH equivalents ([GSH] 2[GSSG]) constant at 75 mm The resultant E h values estimated for these GSH/GSSG mixtures were calculated to be 022 V (25% GSH oxidation), 020 V (50% GSH oxidation), and 017 V (75% GSH oxidation), which, together with the 1% oxidized solution, broadly encompass the range of values reported for the GSSG/2GSH couple in cells undergoing proliferation ( 024 V), differentiation ( 020 V), and apoptosis ( 017 V) (20, 46) As shown in Fig 2, the ability of cyt c to stimulate the oxidation DCFH 2 was directly related to the extent of glutathione oxidation Indeed, under conditions that mimic the redox environment of the apoptotic cell, cyt c caused a severalfold increase in the rate of DCFH 2 oxidation (Fig 2D) The ability of GSH at a fixed concentration of 75 mm to inhibit the generation of DCF could be overcome by increasing the concentration of DCFH 2 (Fig 3) This suggests that GSH and DCFH 2 compete for oxidation by a common cyt c-derived oxidant The inhibition of DCFH 2 oxidation shown in Fig 2A is

4 Oxidizing Species from Cytochrome c/h 2 O FIG 3DCFH 2 and GSH compete for oxidation by cyt c DCFH 2 and GSH were incubated at 37 C with 25 nm cyt c, 4 milliunits/ml XO, 05 mm hypoxanthine, and 1 mm DTPA in 01 M MOPS buffer (ph 74) The concentration of GSH was held constant at 75 mm, whereas that of DCFH 2 was 10 M (trace a), 50 M (trace b), or 100 M (trace c) DCF generation was monitored fluorometrically therefore a reflection of the failure of the probe (10 M) to compete with GSH (75 mm) for reaction with this oxidant Separate experiments showed that high concentrations of GSSG also inhibited DCFH 2 oxidation, which is believed to be because of its inhibition of XO, presumably via mixed disulfide formation (data not shown) It was noted above that, in the absence of cyt c, GSH actually stimulated the oxidation of DCFH 2, albeit at a modest rate (Fig 1, trace b), accounting for most of the DCF generated when the cytochrome was added together with 75 mm GSH (trace c) Additional experiments showed that, at this concentration of DCFH 2 (10 M), the maximum rate of DCF oxidation occurred at a GSH concentration of 1mM, beyond which the addition of further thiol had no effect (data not shown) The stimulation of DCFH 2 oxidation by GSH alone was suppressed by superoxide dismutase (data not shown), suggesting the direct involvement of XO-derived superoxide radicals (5) We next sought to identify the oxidant responsible for the oxidation of DCFH 2 in the presence of cyt c The most likely candidates are the hydroxyl radical ( OH), an oxoferryl heme species (cyt c-fe IV O), and an oxoferryl heme species with a second oxidizing equivalent existing as a porphyrin or protein radical cation (cyt c -Fe IV O), as encountered in the compound I form of peroxidases (50 53) The fact that DCFH 2 oxidation occurs at all in the presence of a fold excess of organic buffer and a 50-fold excess of hypoxanthine argues against the role of the free OH radical: if the rate constant for the reaction of OH with these substrates is assumed to be 10 9 M 1 s 1 (54), then it is difficult to see how DCFH 2 could ever compete for oxidation by the radical To investigate DCFH 2 oxidation in the absence of competing organic substrates (including DTPA), additional reactions were carried out in phosphate buffer using a bolus of H 2 O 2 in place of XO The incubation of DCFH 2 with H 2 O 2 and cyt c in phosphate buffer resulted in efficient DCF generation (Fig 4, trace e) As seen with the XO system in MOPS buffer, the addition of GSH resulted in the marked inhibition of DCFH 2 oxidation (Fig 4, trace b), as did ascorbate and NADH (traces a and c, respectively) In contrast, the classical hydroxyl radical scavengers mannitol and ethanol had essentially no effect on the rate of DCF generation (Fig 4, traces d and f, respectively) To provide direct evidence for the interception of an oxidizing species by the above scavengers, complementary EPR studies were performed With the exception of ascorbate, which is oxidized to a relatively stable radical that is detectable by FIG 4 Effects of radical-scavenging antioxidants on cyt c- catalyzed DCFH 2 oxidation DCFH 2 (10 M) was incubated at 37 C with 250 nm cyt c, 250 M hydrogen peroxide, and 01 M phosphate buffer (ph 74) alone (trace e) or with the addition of 10 mm ascorbic acid (trace a), 10 mm GSH (trace b), 10 mm NADH (trace c), 10 mm mannitol (trace d), or 10 mm ethanol (trace f) DCF generation was monitored fluorometrically direct EPR spectroscopy (55), the spin trap DMPO was employed Upon reaction with a short-lived radical (R ), DMPO is converted to a nitroxide radical adduct (Reaction 1), which is relatively long-lived and yields a spectrum that can be used to identify the trapped radical (56) The addition of cyt c together with H 2 O 2 to DMPO caused the appearance of a prominent signal from 5,5-dimethyl-1-pyrrolidone-2-oxyl (DMPOX), the 3-electron oxidation product of the spin trap (57) Generation of the nitroxide was dependent on the presence of both cyt c and H 2 O 2, with only very weak background signals observed when either reactant was omitted (Fig 5, spectra A D) With cyt c alone, the background signals consisted of the DMPO adducts of the hydroxyl radical (DMPO/ OH) and a carbon-centered species (six-line signal) The DMPO/ OH adduct is believed to result from the nucleophilic addition of water to the spin trap, preceded or followed by oxidation by the ferricytochrome (57) The identity of the carbon-centered adduct is not known, but is presumed to result from degradation of either the spin trap or cytochrome, as no other organic material was present The slight increase in the weak background signal from DMPO/ OH observed following the addition of H 2 O 2 alone to DMPO is believed to reflect the catalysis of OH generation by traces of iron or copper ions, despite treatment of the buffer with chelating resin The cyt c/h 2 O 2 system was next compared with the Fe II /H 2 O 2 system (the Fenton reaction), which is known to generate the OH radical (58) As shown in Fig 5 (spectrum E), the addition of Fe II to H 2 O 2 resulted in the appearance of a prominent signal from the DMPO/ OH adduct, which is clearly different from the corresponding reaction using cyt c (spectrum A) When GSH was included, the signal from DMPOX was replaced by a prominent signal from the glutathionyl radical adduct (DMPO/ SG) (Fig 6, spectrum A), indicating 1-electron oxidation of the thiol to the glutathionyl radical (5) This signal was not observed when H 2 O 2 was omitted from the reaction system (data not shown) When NADH was incubated with cyt c and H 2 O 2, a signal from the superoxide adduct (DMPO/ OOH) was detected, together with a signal from DMPO/ OH, which is formed during the decomposition of DMPO/ OOH (Fig 6, spectrum B) (5) This is believed to reflect the 1-electron oxidation of NADH, followed by the rapid transfer of an electron to molecular oxygen from the resultant NAD radical (k M 1 s 1 ) (59, 60) When H 2 O 2 was omitted from this reac-

5 29414 Oxidizing Species from Cytochrome c/h 2 O 2 REACTION 1 FIG 5EPR spectra observed during oxidation of the spin trap DMPO by cyt c/h 2 O 2 Spectrum A, 01 M DMPO plus 100 M cyt c and 1mM H 2 O 2 ; spectrum B, 01 M DMPO plus 100 M cyt c; spectrum C, 01 M DMPO plus 1 mm H 2 O 2 ; spectrum D, 01 M DMPO alone; spectrum E, 01 M DMPO plus 100 M FeSO 4,1mM EDTA, and 1 mm H 2 O 2 All reactions were performed in 01 M phosphate buffer (ph 74), with spectral recording begun after 5 min Spectrum A is assigned to the DMPO oxidation product, DMPOX (a N 72 G, a -2H 41 G) The four-line signal (1:2:2:1) present in spectrum E is assigned to the hydroxyl radical adduct of DMPO, DMPO/ OH (a N 150 G, a -H 146 G) The instrument settings were as follows: center field, 3480 G; sweep width, 80 G; modulation amplitude, 1 G; microwave power, 20 milliwatts; sweep time, 42 s; time constant, 102 ms; receiver gain, ; and number of accumulated scans, four For clarity, spectra B D are also shown expanded 10-fold in the y axis FIG 6EPR spectra of DMPO-derived nitroxides generated by cyt c/h 2 O 2 in the presence GSH, NADH, and ethanol Spectrum A, 100 M cyt c, 1mM H 2 O 2,and5mM GSH The four-line spectrum is assigned to the glutathionyl radical adduct of DMPO (a N 151 G, a -H 162 G, a -2H 06 G) Spectrum B, 100 M cyt c,1mm H 2 O 2, and 25 mm NADH The spectrum consists of signals from the superoxide radical adduct of DMPO (a N 141 G, a -H 113 G, a -H 12 G) and the hydroxyl radical adduct (a N 150 G, a -H 146 G) Spectra C and D, 100 M cyt c, 1mM H 2 O 2, and either 5 mm or 5 M ethanol, respectively Both spectra are assigned to the DMPO oxidation product, DMPOX (a N 72 G, a -2H 41 G) Spectrum E, 100 M FeSO 4,1mM EDTA, 1 mm H 2 O 2, and 5 M ethanol The prominent six-line signal is attributed to the -hydroxyethyl radical adduct of DMPO (a N 158 G, a -H 228 G) All reactions were performed in 01 M phosphate buffer (ph 74) containing 01 M DMPO, with spectral recording begun after 5 min The instrument settings used were identical to those given in the legend to Fig 5 tion system, only trace levels of the same signals were observed (data not shown), presumably because of the very slow direct oxidation of NADH by cyt c and subsequent oxygen reduction by NAD and the reduced cytochrome In contrast to GSH and NADH, ethanol was not oxidized by cyt c/h 2 O 2 Instead, only the signal from DMPOX was observed, even though its formation was suppressed by the addition of excess ethanol (Fig 6, spectra C and D) In contrast, when ethanol was included in the Fe II /H 2 O 2 system, a prominent signal from the -hydroxyethyl radical adduct was detected (Fig 6, spectrum E), reflecting oxidation of the alcohol by the OH radical (58) These findings provide further support for the notion that the active oxidant generated from cyt c/h 2 O 2 is not the OH radical, which would have oxidized ethanol to the -hydroxyethyl radical, forming the DMPO/ CH(OH)CH 3 adduct, as confirmed using the Fe II /H 2 O 2 system Instead, it is proposed that a less powerful, more selective oxidant is formed Indeed, ascorbate was also oxidized by cyt c/h 2 O 2, as evidenced by the increase in the intensity of the signal from the ascorbate radical (Fig 7, spectrum A) The background signal, which is invariably seen in ascorbate solutions, is believed to reflect basal autoxidation, which would be catalyzed by contaminating metal ions (iron or copper), despite treatment with chelating resin (Fig 7, spectrum B) (61) Hydrogen peroxide alone caused the doubling of this signal (Fig 7, spectrum D) Having ruled out the generation of OH, our attention turned to the peroxidase-type properties of cyt c Using the spin trap MNP, Mason and co-workers (52, 62) reported the trapping and EPR detection of a tyrosyl radical on cyt c following its reaction with H 2 O 2 To explore in greater depth the mechanism of cyt c activation by H 2 O 2, we examined the ability of both the ferrous and ferric forms of the protein to form the tyrosyl radical When H 2 O 2 was added to cyt c-fe III in the presence of MNP, an EPR spectrum characteristic of an immobilized nitroxide was detected, indicating the formation of a spin adduct between MNP and a protein-centered radical (Fig 8) Nonspecific proteolytic digestion of the sample with Pronase resulted in the sharpening of the spectral features, revealing hyperfine coupling to a nitrogen nucleus (a N 155 G) (data not shown) This isotropic spectrum is identical to that reported by Mason and co-workers, who identified it unambiguously as a tyrosyl radical adduct on the basis of super hyperfine coupling detected by use of the deuterated spin trap MNP-d 9 (52, 62) At low concentrations of H 2 O 2, the signal detected using cyt c-fe III was always stronger than that observed using the same concentration of the ferrocytochrome (cyt c-fe II ) However, the difference in the yield of adduct became less marked as the concentration of the peroxide was increased (Fig 8)

6 Oxidizing Species from Cytochrome c/h 2 O cyt c-fe II H 2 O 2 3 cyt c-fe III OH OH REACTION 4 FIG 7Oxidation of ascorbic acid by cyt c/h 2 O 2 Spectrum A, 25 M cyt c, 250 M H 2 O 2,and1mM ascorbate The doublet EPR signal (a H 17 G) is from the ascorbate radical Spectrum B, 1mM ascorbate alone Spectrum C, same as spectrum A, but without H 2 O 2 Spectrum D, same as spectrum A, but without cyt c All reactions were performed in 01 M phosphate buffer (ph 74), with spectral recording begun after 5 min The instrument settings were identical to those given in the legend to Fig 5 Although MNP can clearly intercept the cyt c tyrosyl radical, the spin trap failed to prevent DCFH 2 oxidation by the cyt c/h 2 O 2 couple In fact, MNP enhanced the rate of DCF formation (Fig 9, trace e) In contrast, the spin trap DMPO afforded DCFH 2 a degree of protection from oxidation by cyt c/h 2 O 2 (Fig 9, traces a c) DISCUSSION We reported recently that cyt c is a potent catalyst of DCFH 2 oxidation in the presence of an enzymatic source of superoxide radicals and H 2 O 2, suggesting that the increased DCF production often seen in apoptotic cells can be attributed to an increased cytosolic concentration of the cytochrome rather than an actual change in ROS status (17) Mitochondria isolated from apoptotic cells have, in fact, been demonstrated to generate superoxide at enhanced rates, reflecting the disruption of electron transfer caused by cyt c release (1) However, as a reporter of ROS, DCF is poorly sensitive to changes in the concentration of superoxide and H 2 O 2, the product of its disproportionation (17) In this study, we have extended these investigations and shown that the rate of DCFH 2 oxidation is highly sensitive to GSH status and therefore cellular redox conditions Specifically, we have shown that GSH and DCFH 2 compete for oxidation by the same oxidizing species Although the ability of the cyt c/h 2 O 2 couple to initiate biomolecular oxidation has been known for several years, the identity of the oxidizing species has not been established (50, 51, 63 65) Several workers have considered formation of the hydroxyl radical through redox cycling (50, 51, 63), involving the initial reduction of the ferricytochrome by either superoxide or hydrogen peroxide (Reactions 2 4) cyt c-fe III O 2 3 cyt c-fe II O 2 REACTION 2 cyt c-fe III H 2 O 2 3 cyt c-fe II O 2 2H REACTION 3 However, whereas cyt c/h 2 O 2 was found to oxidize GSH, NADH, and ascorbate to their respective radicals, the oxidizing intermediate showed no reactivity toward ethanol The fact that no DMPO/ CH(OH)CH 3 was detected suggests that the initially formed DMPO/ OH adduct was generated by inverted spin trapping, rather than by the trapping of free OH This involves the initial 1-electron oxidation of the spin trap to a radical cation, followed by the nucleophilic addition of water (57, 66, 67) The failure to detect the initially formed DMPO/ OH adduct is believed to reflect its rapid oxidation to the corresponding nitrone and ultimately DMPOX (Scheme 1) In a related study, we reported the oxidation of DMPO to DMPOX by Ce IV without the detection of DMPO/ OH (57) Support for the proposal that this latter reaction involves the initial formation of DMPO/ OH is provided by the work of Clément et al (68), who, using the DMPO analog 5-(diethylphosphoryl)-5- methyl-1-pyrroline N-oxide (DEPMPO), observed, together with 5-(diethylphosphoryl)-5-methyl-1-pyrrolidone-2-oxyl, a weak signal from DEPMPO/ OH Given that oxygen radical adducts of DMPO are less stable than those of DEPMPO, we consider it reasonable to suggest that, as in the Ce IV /DMPO system, DMPO/ OH is an intermediate in the oxidation of DMPO by cyt c/h 2 O 2 The finding that ethanol suppresses the signal from DMPOX is proposed to reflect its competition with water for nucleophilic addition to the DMPO radical cation, resulting in the generation of an EPR-silent nitrone (Scheme 1) An alternative explanation for the ability of ethanol to suppress DMPOX formation, without generation of the -hydroxyethyl radical, is that the alcohol may undergo a direct 2-electron oxidation to acetaldehyde However, this seems unlikely because ethanol failed to protect DCFH 2 from oxidation by cyt c/h 2 O 2, which would be the case had the alcohol reacted directly with the oxidant generated from the cyt c/h 2 O 2 couple Moreover, the finding that very high concentrations of ethanol are required to suppress DMPOX formation is supportive of competition between the alcohol and water for nucleophilic addition to the DMPO radical cation As mentioned above, Mason and co-workers (52, 62) recently reported the spin trapping of a protein tyrosyl radical on H 2 O 2 - activated cyt c In addition to considering the possible role of the OH radical in the formation of this species, these workers discussed the possible involvement of a peroxidase compound I-type intermediate, in which one oxidizing equivalent is stored as an oxoferryl heme (Fe IV O) species and the other as a porphyrin -radical cation (52, 53) Rapid electron transfer from the protein to the porphyrin moiety would result in generation of the tyrosyl radical Although such reactions have been demonstrated to occur during the interaction of H 2 O 2 with metmyoglobin (69 71), there is no spectroscopic evidence for the formation of an oxoferryl intermediate on cyt c (52) This may be because the heme iron in cyt c is hexacoordinate, with no coordinated water molecule that can be displaced by H 2 O 2 However, as discussed by Mason and co-workers (52), compound I formation from cyt c may still be possible because its sixth ligand is a methionine residue that is readily displaced Our observation that the amount of cyt c tyrosyl radical trapped by MNP when added to H 2 O 2 is approximately halved when the ferrocytochrome is used instead of the ferricytochrome (except when [H 2 O 2 ] [cyt c]) indicates that cyt c-fe III is at least one reaction step closer to the tyrosyl radical than cyt c-fe II This is consistent with the formation of a compound I-type species according to Reaction 5

7 29416 Oxidizing Species from Cytochrome c/h 2 O 2 FIG 8Generation of the cyt c-centered tyrosyl radical by H 2 O 2 A, 835 M cyt c-fe III was added to H 2 O 2 at the concentrations indicated in 50 mm phosphate buffer (ph 74) containing 8 mm MNP B, conditions were the same as described for A, but using cyt c-fe II, which was prepared by reducing cyt c-fe III with ascorbic acid, followed by size-exclusion chromatography (see Experimental Procedures for details) The instrument settings were as follows: center field, 3490 G; sweep width, 120 G; modulation amplitude, 5 G; microwave power, 20 milliwatts; sweep time, 84 s; time constant, 205 ms; receiver gain, ; and number of accumulated scans, four FIG 9 Effects of DMPO and MNP on cyt c-catalyzed DCFH 2 oxidation DCFH 2 (10 M) was incubated at 37 C with 250 nm cyt c, 250 M hydrogen peroxide, and 01 M phosphate buffer (ph 74) alone (trace d) or with the addition of 200, 100, or 10 mm DMPO (traces a c, respectively) or 10 mm MNP (trace e) DCF generation was monitored fluorometrically cyt c-fe III H 2 O 2 3 cyt c-fe IV O H 2 O REACTION 5 The cyt c-based radical cation shown in Reaction 5, which may be initially located on the porphyrin ring, would undergo rapid deprotonation to give the neutral tyrosyl radical When starting with the ferrocytochrome, 05 eq of H 2 O 2 would be consumed in the initial oxidation up to the ferric state This would explain why the difference in yield of the tyrosyl radical adduct was less prominent when the peroxide was present in large excess Had generation of the OH radical been a requirement for generation of the tyrosyl radical, the yield of the adduct would have been greater in the cyt c-fe II /H 2 O 2 system The observation that DCFH 2 oxidation is not suppressed by MNP suggests that the cyt c-based tyrosyl radical is not responsible for DCFH 2 oxidation The reason why MNP had, in fact, the opposite effect, viz stimulation of DCFH 2 oxidation, remains to be determined One possible explanation is that cyt c/h 2 O 2 may oxidize MNP to a nitroso radical cation (72), which would be expected to oxidize DCFH 2, but this will require experimental validation In contrast, the finding that DCFH 2 oxidation is partially suppressed by DMPO indicates that the probe and the spin trap compete for oxidation by a common cyt c-derived oxidant, which cannot be the tyrosyl radical Moreover, the fact that GSH and NADH compete with DMPO for oxidation by cyt c/h 2 O 2 (as indicated by their prevention of DMPOX generation), and that GSH, NADH, and ascorbate prevent DCF generation from DCFH 2, indicates that they too react with this oxidant On this basis, we propose that DCFH 2, DMPO, GSH, NADH, and ascorbate are oxidized by the oxoferryl heme component of cyt c compound I and that the tyrosyl radical serves as a less reactive radical sink (Scheme 2), as seen with horse metmyoglobin (71) We cannot, of course, rule out some oxidation of GSH, ascorbate, NADH, and even DCFH 2 by the tyrosyl radical This is because the 1-electron reduction potentials (E 0 at ph 7) for the GS,H /GSH, ascorbate radical,h /ascorbate monoanion, and NAD,H /NADH couples ( 08, 03, and 03 V, respectively) (73 75) are lower than the expected value for the

8 Oxidizing Species from Cytochrome c/h 2 O SCHEME 1 Proposed mechanism for the generation of DMPOX from DMPO by cyt c/h 2 O 2 and its suppression by ethanol DMPOX is the 2-electron oxidation product of the DMPO/hydroxyl radical adduct (DMPO/ OH) As the -hydroxyethyl radical adduct was not detected upon the inclusion of ethanol, formation of the DMPO/ OH adduct cannot involve the trapping of free OH (dashed arrows) Instead, it is proposed that DMPO/ OH is formed by inverted spin trapping, involving the nucleophilic addition of water to the DMPO radical cation, formed by 1-electron oxidation of the spin trap by cyt c/h 2 O 2 (which is also responsible for further oxidation of DMPO/ OH to DMPOX) Ethanol is proposed to inhibit the formation of DMPOX by competing with water for nucleophilic addition to the DMPO radical cation, eventually forming an EPR-silent nitrone SCHEME 2 Proposed mechanism of cyt c activation by H 2 O 2 and its selective oxidation of substrates The oxidizing species is proposed to be a compound I-type intermediate, with one oxidizing equivalent held on the iron center (oxoferryl heme) and another as an electron hole on the protein moiety (giving, through deprotonation, the neutral tyrosyl radical) It is proposed that DMPO, ascorbate (AscH ), GSH, NADH, and DCFH 2 are oxidized by the oxoferryl heme species (see Discussion for details) Note that the oxidation of DMPO to DMPOX is not the simple, one-step reaction indicated, but involves several reaction steps (see Scheme 1); similarly, the oxidation of DCFH 2 to DCF is a 2-electron process, involving initial oxidation to a semiquinone (16) tyrosyl radical ( 09 V, the value for the tyrosyl radical,h / tyrosine couple) (76) Without knowledge of the reduction potential for the DCFH,H /DCFH 2 couple, we cannot say whether oxidation by the cyt c tyrosyl radical is thermodynamically feasible However, the finding that DMPO partially protects DCFH 2 from oxidation, but is not expected to be oxidized by the tyrosyl radical (the E 0 for DMPO /DMPO is 19 V in acetonitrile tetrabutylammonium hexafluoro-

9 29418 Oxidizing Species from Cytochrome c/h 2 O 2 phosphate) (67), suggests that this is unlikely The fact that an oxoferryl heme species on cyt c has never been detected by optical spectroscopy is presumed to reflect the instability of the species In the absence of a suitable substrate, it is expected that the species will be quenched by rapid electron transfer from the protein moiety In addition to establishing that the oxidant generated during the activation of cyt c by H 2 O 2 is a compound I-type intermediate and not the hydroxyl radical, this investigation provides important mechanistic insights into the redox reactions that can be expected to occur in apoptotic cells These redox changes are initiated by the release of cyt c from the mitochondrial electron transport chain, resulting in increased superoxide generation from upstream sites Recently, we established that the second-order rate constant for the oxidation of GSH by the superoxide radical is 200 M 1 s 1, which means that mitochondrial manganese-superoxide dismutase will always out-compete GSH for reaction with superoxide, resulting in essentially no direct GSH oxidation by the radical (5) Thus, the extensive oxidation of GSH to GSSG that is frequently reported in apoptotic cells can be attributed solely to the removal of H 2 O 2 (produced by manganesesuperoxide dismutase) by glutathione peroxidase Initially, cyt c compound I will be largely quenched by GSH, but as this is converted to GSSG, the species will begin to attack other targets, including ascorbate and NADH (as well as DCFH 2 in experimental systems) It is well known that the activity of caspase-3, a key enzyme in apoptosis, is very sensitive to redox conditions (11, 25, 26) The inactivation of caspase-3 by H 2 O 2 may be of little consequence once the protease has cleaved its target proteins (eg poly(adp-ribose) polymerase and ICAD, the inhibitor of the caspase-activated deoxyribonuclease) However, in cells having already disturbed redox conditions for other reasons, cyt c compound I could inactivate the protease before apoptosis is fully underway (eg at the level of the zymogen), thereby preventing cell death For example, hydrogen peroxide- and/or superoxide-generating xenobiotics are known to inhibit apoptosis by their inactivation of caspase-3 (11) Moreover, there is evidence to suggest that cancerous and precancerous cells are under persistent oxidative stress (77 79), which could contribute to chemoresistance through the cyt c-dependent reactions revealed herein Finally, from a methodological standpoint, it is evident that the level of DCF fluorescence in apoptotic cells is a function of both free [cyt c] and [GSH]/[GSSG], being relatively insensitive to superoxide and hydrogen peroxide levels Acknowledgments We are grateful to Drs M Naylor and P Thomson for assistance with DMPO purification REFERENCES 1 Cai, J, and Jones, D P (1998) J Biol Chem 273, Flint, D H, Tuminello, J F, and Emptage, M H (1993) J Biol Chem 268, Hausladen, A, and Fridovich, I (1994) J Biol Chem 269, Wefers, H, and Sies, H (1983) Eur J Biochem 137, Jones, C M, Lawrence, A, Wardman, P, and Burkitt, M J (2002) Free Radic Biol Med 32, Huie, R E, and Padmaja, S (1993) Free Radic Res Commun 18, Goldstein, S, and Czapski, G (1995) Free Radic Biol Med 19, Turrens, J F (1997) Biosci Rep 17, Cadenas, E, and Davies, K J A (2000) Free Radic Biol Med 29, Kane, D J, Sarafian, T A, Anton, R, Hahn, H, Gralla, E B, Valentine, J S, Örd, T, and Bredesen, D E (1993) Science 262, Samali, A, Nordgren, H, Zhivotovsky, B, Peterson, E, and Orrenius, S (1999) Biochem Biophys Res Commun 255, Higuchi, Y, and Yoshimoto, T (2002) Arch Biochem Biophys 400, LeBel, C P, Ischiropoulos, H, and Bondy, S C (1992) Chem Res Toxicol 5, Royall, J A, and Ischiropoulos, H (1993) Arch Biochem Biophys 302, Zhu, H, Bannenberg, G L, Moldéus, P, and Shertzer, H G (1994) Arch Toxicol 68, Rota, C, Chignell, C F, and Mason, R P (1999) Free Radic Biol Med 27, Burkitt, M J, and Wardman, P (2001) Biochem Biophys Res Commun 282, Kooy, N W, Royall, J A, and Ischiropoulous, H (1997) Free Rad Res 27, Chance, B, Sies, H, and Boveris, A (1979) Physiol Rev 59, Schafer, F Q, and Buettner, G R (2001) Free Radic Biol Med 30, Bustamate, J, Tovar-B, A, Montero, G, and Boveris, A (1997) Arch Biochem Biophys 337, B A 22 Hampton, M B, and Orrenius, S (1998) Biofactors 8, Voehringer, D W (1999) Free Radic Biol Med 27, Chandra, J, Samali, A, and Orrenius, S (2000) Free Radic Biol Med 29, Hampton, M B, and Orrenius, S (1997) FEBS Lett 414, Hampton, M B, Stamenkovic, I, and Winterbourn, C C (2002) FEBS Lett 517, Atlante, A, Calissano, P, Bobba, A, Azzariti, A, Marra, E, and Passarella, S (2000) J Biol Chem 275, Carmody, R J, and Cotter, T G (2001) Redox Rep 6, Yang, J C, and Cortopassi, G A (1998) Free Radic Biol Med 24, Jacobsen, M D, and Raff, M C (1995) Nature 374, Muschel, R J, Bernhard, E J, Garza, L, McKenna, W G, and Kock, C J (1995) Cancer Res 55, Jacobsen, M D (1996) Trends Biochem Sci 21, Gogvadze, V, Robertson, J D, Zhivotovsky, B, and Orrenius, S (2001) J Biol Chem 276, Kagan, V E, Gleiss, B, Tyurina, Y Y, Tyurin, V A, Elenström-Magnusson, C, Liu, S-X, Serinkan, F B, Arroyo, A, Chandra, J, Orrenius, S, and Fadeel, B (2002) J Immunol 169, Pan, Z, Voehringer, D W, and Meyn, R E (1999) Cell Death Differ 6, Buettner, G R (1988) J Biochem Biophys Methods 16, Belcher, R, and Nutten, A J (1970) Quantitative Inorganic Analysis, 3rd Ed, Butterworths, London 38 Faber, R J, and Fraenkel, G K (1967) J Chem Phys 47, Duling, D (1994) J Magn Reson 104, Wahlländer, A, Soboll, S, and Sies, H (1979) FEBS Lett 97, Meister, A (1983) in Functions of Glutathione: Biochemical, Physiological, Toxicological and Clinical Aspects (Larson, A, Orrenius, S, Holmgren, A, and Mannervik, B, eds) pp 1 22, Raven Press, Ltd, New York 42 Bellomo, G, Vairetti, M, Stivala, L, Mirabelli, F, Richelmi, P, and Orrenius, S (1992) Proc Natl Acad Sci U S A 89, Li, P, Nijhawan, D, Budihardjo, I, Srinivasula, S M, Ahmad, M, Alnemri, E S, and Wang, X (1997) Cell 91, Zhivotosky, B, Orrenius, S, Brustugun, O T, and Døskeland, S O (1998) Nature 391, Samali, A, Cai, J, Zhivotovsky, B, Jones, D P, and Orrenius, S (1999) EMBO J 18, Kirlin, W G, Cai, J, Thompson, S A, Diaz, D, Kavanagh, T J, and Jones, D P (1999) Free Radic Biol Med 27, Rost, J, and Rapoport, S (1964) Nature 201, Jones, D P, Carlson, J L, Mody, V C, Jr, Cai, J, Lynn, M J, and Sternberg, P, Jr (2000) Free Radic Biol Med 28, Wardman, P W (1989) J Phys Chem Ref Data 18, Radi, R, Turrens, J F, and Freeman, B A (1991) Arch Biochem Biophys 288, Ferri, A, and Calza, R (1995) Biochem Mol Biol Int 35, Barr, D P, Gunther, M R, Deterding, L J, Tomer, K B, and Mason, R P (1996) J Biol Chem 271, Dunford, H B (1987) Free Radic Biol Med 3, Buxton, G V, Greenstock, C L, Helman, W P, and Ross, A B (1988) J Phys Chem Ref Data 17, Ohnishi, T, Yamazaki, H, Iyanagi, T, Nakamura, T, and Yamazaki, I (1969) Biochim Biophys Acta 172, Buettner, G R (1987) Free Radic Biol Med 3, Jones, C M, and Burkitt, M J (2002) J Chem Soc, Perkin Trans 2, Burkitt, M J (1993) Free Radic Res Commun 18, Willson, R L (1970) J Chem Soc, Chem Commun Land, E J, and Swallow, J (1971) Biochim Biophys Acta 234, Buettner, G R, and Jurkiewicz, B A (1996) Radiat Res 145, Qian, S Y, Chen, Y-R, Deterding, L J, Fann, Y C, Chignell, C F, Tomer, K B, and Mason, R P (2002) Biochem J 363, Cadenas, E, Varsavsky, A I, Boveris, A, and Chance, B (1980) FEBS Lett 113, Cadenas, E, Boveris, A, and Chance, B (1980) Biochem J 188, Harel, S, and Kanner, J (1988) Free Radic Res Commun 5, Eberson, L, and Nilsson, M (1993) Acta Chem Scand 47, Eberson, L (1994) J Chem Soc, Perkin Trans 2, Clément, J-L, Gilbert, B C, Rockenbauer, A, and Tordo, P (2001) J Chem Soc, Perkin Trans 2, Gunther, M R, Tschirret-Guth, R A, Witkowska, H E, Fann, Y C, Barr, D P, Ortiz de Montellano, P R, and Mason, R P (1998) Biochem J 330, Egawa, T, Shimada, H, and Ishimura, Y (2000) J Biol Chem 275, Gunther, M R, Sturgeon, B E, and Mason, R P (2000) Free Radic Biol Med 28, Masui, M, Nose, K, Ohmori, H, and Sayo H (1982) J Chem Soc, Chem Commun Wardman, P (1995) in Biothiols in Health and Disease (Packer, L, and

10 Oxidizing Species from Cytochrome c/h 2 O Cadenas, E, eds) pp 1 19, Marcel Dekker, Inc, New York 74 Buettner, G R (1993) Arch Biochem Biophys 300, Farrington, J A, Land, E J, and Swallow, J (1980) Biochim Biophys Acta 590, DePelippis, M R, Murthy, C P, Faraggi, M, and Klapper, M H (1989) Biochemistry 28, Szatrowski, T P, and Nathan, C F (1991) Cancer Res 51, Rose, M L, Rivera, C A, Bradford, B U, Graves, L M, Cattley, R C, Schoonhoven, R, Swenberg, J A, and Thurman, R G (1999) Carcinogenesis 20, Szaleczky, E, Pronai, L, Nakazawa, H, and Tulassay, Z (2000) J Clin Gastroenterol 30, 47 51