BELLE Newsletter Vol 1, No. 3, March 1993
STRESS PROTEINS AND ADAPTIVE RESPONSES
This issue of the BELLE Newsletter includes a paper by Professor Joan Smith-Sonneborn on the role of stress proteins as a basic mechanism of cellular adaptation to a wide range of chemical stressor agents. The role of stress proteins as a biomarker of chemical exposure as well as a fundamental adaptive response was repeatedly addressed in individual presentations at the recent annual meeting of the Society of Environmental Toxicology and Chemistry (SETAC) held in Cincinnati (November 1992). Likewise, the role of stress proteins as an adaptive response to radiation-induced cellular stress and/or change was again emphasized at the international conference on the Biological Effects of Low Level Radiation held in Kyoto, Japan (July 1992). The challenge of Professor Smith-Sonneborn's paper is that it attempts to provide a cogent synthesis of this rapidly evolving field with the intention of assessing whether the stress protein response not only is fundamental to the process of cellular adaptation, but may also provide the cellular underpinning of many observations referred to as U-shaped or hormetic dose-response relationships.
GETTING INVOLVED WITH BELLE
Many individuals have asked how they could get involved in BELLE activities. This was discussed at the most recent Advisory Committee meeting. While this will be an evolving issue, the Committee offers several specific suggestions.
1. | Work with the BELLE Office to get articles on BELLE published in newsletters or other publications that you may be associated with. This would extend the BELLE message to other interested groups. For example, a recent article on BELLE was published in the Epidemiology Monitor. |
2. | The BELLE Finance Committee is developing a strategy to yield stable and adequate funding for BELLE. If you have suggestions that should be considered by the Finance Committee contact the BELLE Office. |
3. | Work with the BELLE Office to develop a mini-symposium on BELLE at regional conferences that relate to your specialty. |
BOOK REVIEWS
Two books are reviewed that discuss topics involving the biological effects of low level exposure to chemicals (Ultra Low Doses) and radiation (Radiation Hormesis).
Ultra Low Doses
Edited by C. Doutremepuich, Taylor and Francis, Ltd., 4 John St. London WC1N 2ET, UK; Taylor and Francis, Inc., 1900 Frost Road, Suite 101, Bristol, PA 19007, USA; 162 pp., $59.00, ISBN 0-7484-0021-4.
The first International Congress on Ultra Low Doses was convened on September 1990 in Bordeaux, France. The purpose of this assembly was to bring together researchers from multidisciplinary areas to discuss the effects and applications of ultra low doses of chemicals. Ultra Low Doses is a summary of the proceedings of this Congress organized into five chapters according to discipline: Experimental Pharmacology, Biophysics, Biochemistry-Toxicology, Cell Biology, and Clinical Pharmacology. The chapter on "Experimental Pharmacology" presents data covering a wide range of biological responses including intestinal transit time, platelet aggregation, and lymphatic vessel contractions that are affected by homeopathic doses of various chemicals or regulatory peptides. Studies involving the in vivo modulation of carcinogenesis by ultra low doses of carcinogens and the in vitro reduction of tumor cell drug resistance with combination doses of immune cytotoxic factors and chemo-therapeutic drugs are also reported and discussed.
The development of experimental protocols to evaluate the influence of ultra low doses of chemicals and to aid in the design of new anti-inflammatory agents are presented in the chapter devoted to "Biophysics". The creation of a predictive model derived from detailed biophysical characteristics of molecules is also proposed to identify other compounds with anti-inflamatory properties.
The chapter entitled "Biochemistry-Toxicology" focuses on two diagnostic approaches for the early detection of renal dysfunction or toxicity based on corpuscular derangement and degranulation of mesenteric mast cells. It is suggested that these methods could provide sensitive in vitro screening tools for identifying effects of low and ultra low doses of chemicals.
The discussion of potential models for the screening of low and ultra low doses of drugs is continued within the context of "Cell Biology" in the subsequent chapter. The effects of multiple ultra low doses of agonists and inhibitors on oxidative metabolism and adhesion of human neutrophils are evaluated and the advantages of the simultaneous measurements of two cell functions over other methodologies are examined. Analysis of the effects of ultra low doses of histamine on human basophil degranulation by two different protocols are also reported and compared. The hypothesis that dilutions of a given substance can modulate the biological effects exhibited by this same substance at higher concentrations was evaluated with the experimental model of concanavalin A (Con A)-dependent mitogenesis of mononuclear cells. This study showed that doses of Con A too low to induce a direct mitogenic effect were capable of modulating a response induced by a higher concentration of the same substance.
The final chapter examines the efficacy of ultra low doses in relation to "Clinical Pharmacology". The use of ultra low doses of copper in the treatment of hemodialysis-related muscle cramps is described and the therapeutic effectiveness of homeopathic medicine is discussed. The phenomenon of reduced bleeding time induced by ultra low doses of aspirin, contrary to results observed with higher doses of aspirin, was demonstrated in one study involving adult males. The clinical implications of these findings are addressed and future studies are proposed.
Overall, this book represents a broad scope of experimental research involving the effects and possible mechanisms of ultra low doses of chemicals. These proceedings provide a rare opportunity to compare in one source the recent advancements, applications, and problems encountered in the study of ultra low doses over a wide range of disciplines.
The following book review by David S. Gooden, Saint Francis Hospital, Tulsa, OK, is reproduced from the journal Health Physics (Volume 63, pp. 240-241, 1992) with permission from the Health Physics Society.
Radiation Hormesis
By T.D. Luckey
CRC Press, Inc., 2000 Corporate Blvd., NW, Boca Raton, FL 33431, 1991, 239 pp., $139.00, ISBN 0-8493-6159-1.
Two contradictory theses of radiation injury exist today. The zero thesis states that all radiation exposure is harmful. The linear, nonthreshold model characterizes the zero thesis. Most, if not all, of the world's advisory and regulatory organizations embrace this model.
The hormesis theory, on the other hand, holds that large and small exposures to radiation produce opposite results large exposures are harmful but small exposures to radiation stimulate beneficial results in all living things (including humans!). Many consider a single individual, Dr. T.D. Luckey, to be the champion of the hormesis theory. Luckey states that the purpose of this new book "is to review all available evidence and present a basis for the conclusion that hormetic exposure to ionizing radiation is beneficial to humans."
Luckey states that after the holocaust at Hiroshima and Nagasaki, the world "was mesmerized" into accepting the thesis that all doses of ionizing radiation are harmful. Luckey seeks to replace the myth with the concept that "low doses of ionizing radiation are beneficial." Luckey devotes an entire chapter to reporting studies that support his premise that exposures to low levels of ionizing radiation provide increased growth rates, development, and survival.
In his chapter on "Radiation Hormesis and Reproduction," Luckey quotes a study involving 44,000 pregnant Brazilian women exposed to 5-10 times the average background radiation. This study identified no unusual congenital abnormalities, stillbirths, or change in live births. Another study suggests fewer spontaneous abortions and neonatal deaths among Chinese peasants living in high background radiation areas. Luckey claims that even the Hiroshima and Nagasaki data suggest a hormetic effect on stillbirths, general defects, and neonatal deaths at doses below 0.1 Gy.
Luckey's chapter on "Radiation Hormesis in Immunity" reports many studies that show both the cellular and hormonal elements of the immune system that are stimulated by low doses of ionizing radiation. Luckey proposes a biological explanation for hormesis in the immune system: A disproportionate reduction in the suppressor T cells at low doses of ionizing radiation allows helper and functioning T cells to operate more effectively.
"Radiation Hormesis in Cancer" is an exciting 80-page chapter with more than 70% of the space devoted to information detailing human studies. Luckey takes data that most of us have seen before and looks at it absent the paradigm of the linear, nonthreshold model. With no apparent scientific or mathematic "sleight of hand," he uses the Hiroshima and Nagasaki studies, the uranium miner studies, nuclear facility studies, above-ground atomic testing studies, and other studies to support the hormesis theory.
In the final chapter, Luckey sums up data in support of the hormesis theory. He states, "The dose is everything! This maxim of toxicology applies to ionizing radiation. Large doses are harmful; small doses are stimulatory. Dose and dose rates are cardinal issues in our evaluation...many of the reports cited (here) provide irrefutable evidence that high and low doses of ionizing radiation produce biometrically opposed effects. Biopositive effects are consistently reported when low doses of ionizing radiation were used."
Does this work prove radiation hormesis? No, Luckey does not aspire to the lofty goal of proof. Does this work describe a viable basis for a theory of radiation injury that competes with the linear, nonthreshold model? Yes, Luckey appears to meet this goal. He seems to do so without taking greater liberties with data and conclusions than we routinely accept in our BEIR, NCRP, and ICRP committee reports. As servants of the people and advisors to the regulatory process, scientists must carefully consider the implications of this important work.
BELLE BOOK
The telephone number listed in the last issue of the BELLE Newsletter to order your copy of the book entitled Biological Effects of Low Level Exposures to Chemicals and Radiation is incorrect.
The correct number for Lewis Publishers, Chelsea, MI is 1-800-272-7737, ISBN 0-87371-665-5.
Primer on Stress Proteins
Organisms exposed to a variety of physical, chemical and biological stresses respond by synthesizing a unique set of polypeptides termed "shock" or "stress" proteins. This is a highly conserved, rapidly inducible phenomenon observed in a wide variety of procaryotic and eucaryotic organisms.
The first stress response was discovered in the salivary gland of fruit flies exposed to heat. Hence the initial term "heat shock proteins" and the grouping of these proteins into families based on molecular weight (e.g., hsp 100, hsp 90, etc.). Stress proteins are also expressed in response to a wide variety of stressors, including radiation, anoxia, ethanol, oxidizing agents and heavy metals.
The functions of stress proteins are implicated in diverse cellular processes and their role as an adaptive, protective response has been proposed and expanded upon in the following article, which was previously published in the book Biological Effects of Low Level Exposures to Chemicals and Radiation, Lewis Publishers, 1992.
THE ROLE OF THE "STRESS PROTEIN RESPONSE" IN HORMESIS
Joan Smith-Sonneborn
Zoology and Physiology Department, University of Wyoming, Laramie, Wyoming
Hormesis refers to the phenomenon of induction of beneficial effects by low doses of otherwise harmful physical or chemical agents: 1 "a little bit of bad can be good for you." That the hormetic response may operate by a common mechanism already has been proposed 2, 3 but this review is the first to propose the hypothesis that the common pathway is a heat shock-like response. The heat shock response is a model for a more general phenomenon, called "the stress response." The stress response is characterized by increased synthesis of a family of stressor specific proteins with concomitant reduction of synthesis of most of the proteins transcribed prior to the exposure to the toxic agent.4 The stress response has been characterized using heat, radiation, heavy metals, and oxidizing agents as the stressors.5 To develop the hypothesis that the hormetic response may operate through the stress response, this chapter includes
1. | identification of agents known to induce both the stress response and hormetic phenomena |
2. | a description of the unique and common pathways in the stress response to three stressors: heat, DNA-damaging agents, and teratogens |
3. | the stress response as a model for teratogen-induced damage |
4. | a theory explaining the paradoxical beneficial response to low doses of an otherwise harmful agent via a stress-response pathway |
Hormetic and Heat Shock | Agents Beneficial Response | References |
Cadmium | increased survival | 6,13 |
increased growth | 6 | |
increased hormone secretion | 6 | |
increased acclimation | 14 | |
Mercury | increased survival | 6,13 |
increased growth | 6 | |
increased ATPase | 6 | |
Copper | increased survival | 6,13 |
increased growth | 6,13 | |
Zinc | increased survival | 6,13 |
increased growth | 6,13 | |
Ethanol | behavior | 6,13 |
Oxygen poison | vital signs improved | 6,13 |
Chloramphenicol | increased growth | 6,13 |
X-rays | Increased mean life span | 7,15 |
faster seed growth | 16 | |
Ultraviolet radiation | life span (UV + PR) | 12,17,18 |
Heat | suboptimal benefit | 19,20,21 |
1. | Prior heat treatment can induce survival of organisms to higher temperatures.20,22 |
2. | Prior heat treatment can prevent heat-induced developmental defects.21 |
3. | Hormetic agents like cadmium and ethanol can induce cross-resistance to other environmental stressors like heat-inducing thermotolerance.20 |
4. | In E. coli a chemical mutagen, MNNG, can induce resistance after the first hour of treatment by induction of a novel form of repair.23 |
5. | A more youthful resistance to ultraviolet irradiation was found in Paramecium exposed to a prior regime of ultraviolet and photoreactivation treatment at doses that affected an increased mean life span.12 |
6. | Fish with prior exposure to cadmium could regenerate clipped fins faster than nonexposed organisms in cadmium-contaminated water.14 |
The stress response
The stress proteins are divided into two groups: those referred to as the heat shock proteins, first found induced by nonphysiological exposure to heat; and those called the glucose-regulated proteins, which exhibit increased synthesis when cells are deprived of glucose or oxygen, or when calcium homeostasis is disrupted. Members of the two families exhibit considerable homology.4
Heat
The first stress response detected was appearance of puffs induced in the salivary gland of fruit flies by heat and dinitrophenol.24 The heat shock response is universal from bacteria to humans.13,20,25 The stress response induced by heat is characterized by transcription of a coordinately regulated subset of induced proteins, repression of the transcription, and translation of previously active genes and preexisting messages.13 The heat shock proteins are members of families of proteins with species-related molecular weight range classes. In higher organisms, the high molecular weight families are Hsp 110, a normal nucleolar protein found in vertebrates; the Hsp 100 family (Mr 92-102), a phosphoprotein normally present in the plasma membrane; Hsp 89 (Mr 83-95), found in the soluble protein in all animal cells; and the Hsp 70 family (Mr 68-78).4,25 The multigene Hsp 70 family has members in the cytoplasm, in the lumen of the endoplasmic reticulum, and in the matrix of mitochondria which function in protein translocation across membranes.26
The heat shock protein Hsp 70 is a major factor in the heat response since
1. | mammalian cells in which Hsp 70 is not made or is inactivated by antibody binding cannot develop thermotolerance27 |
2. | cycloheximide can induce tolerance to higher temperatures, but heat shock proteins are required for full protection28 |
3. | the thermolability of mouse oocytes is due to the lack of expression and/or inducibility of Hsp 7029 |
1. | increased levels of high molecular weight ubiquitin conjugates and decreased ubiquitinated histone in HeLa cells35,36 (ubiquinated DNA is associated with active expression)37 |
2. | hypermethylation of H2 B and decreased methylation of H338 |
3. | the ubiquinated form of histones in yeast when grown under mildly stressful but not lethal temperature35 |
Heat also causes conformational changes of membrane lipids and proteins,42,43 excessive fluidization of the plasma membrane, and leakage of required low molecular weight components.43 Low doses of local anesthetics procaine and lidocaine, known to decrease membrane viscosity, increase neoplastic killing.43 The membrane defects may cause release of polyamines and disturb DNA replication.40,41
DNA-Damaging Agents
In prokaryotes' response to a given stressor, unlinked and individually controlled genes can be coordinately controlled by common regulator genes called regulons.5 The damage response in bacteria to ultraviolet irradiation is the "SOS" response;44,45 to reactive oxygen species, the oxy R response;46 and specialized responses to other environmental stresses, like cold, heat, nutrient limitation, salinity, and osmolarity, are well characterized.47,48 Different stressors are related in the sense that they share member genes or protein products that interact. For example, in Escherichia coli, both heat and ethanol initiate the same response (i.e., solely a heat shock response). On the other hand, both hydrogen peroxide and 6 amino-7-chloro-5, 8-dioxoquinoline (ACDQ) stimulate an oxidation stress response and a secondary SOS response; nalidixic acid and puromycin, an SOS and heat shock response; isoleucine restriction, a poor heat shock response; and cadmium chloride strongly induces all three stress responses.5 The regulon typical response to ACDQ, cadmium chloride, and hydrogen peroxide was a minor response; these agents stimulated the synthesis of another 35 proteins by 5- to 50-fold. Another accumulated product of exposure to certain stressors are adenylated nucleotides, which are candidates as alarmones.5
Thus, general and specific cellular responses are triggered by different stressors. Ultraviolet- or carcinogen-related DNA damage-induced expression of the stress response does not appear to conform to the prokaryote SOS model.48 DNA-damaging agents induce a spectrum of molecular responses, including the production of proteases, DNA repair agents, onco- genes, and chromatin changes (Table 2.2).18,49-63 One gene product induced, extracellular inducing factor (EPIF), can induce the ultraviolet spectrum of proteins in untreated cells.57,58 The induction of a hormetic effect by EPIF would shed light on the participation of these gene products in the protective pathway. Besides the induction of specific identified (and unidentified) proteins, a major change induced by DNA damage is alteration of the chromatin structure involving increased synthesis of poly (ADP-ribose),50 alteration of histone methylation patterns,55,63 and dependence on the presence of ubiquitin-histone conjugants.31 In contrast with heat shock, DNA- damaging agents inhibit rather than increase DNA methylation,63 and/or induce demethylation.55 The ubiquitin conjugating enzyme is essential for DNA repair since loss of the ubiquitin-conjugating enzyme, E3, results in slow growth; sensitivity to UV, X-rays, and chemical mutagens; retrotrans- position; and inability to sporulate.31 A suggested role for the ubiquitin- conjugating enzyme is to mediate changes in chromatin by patched degradation of chromosomal proteins to allow access for repair.31
Table 2.2. DNA Damage Response
Induced Proteins
Plasminogen activator, a protease49
PolyADP ribose50
DNA ligase51,52
Metallothione5355
H2 antigen56
Extracellular inducing factor57,58
Collogenase53
c fos53
cmyc59
p53 tumor antigen6
DNA p polymerase 61,62
Hsp 2818
Metabolic Changes
Inhibition of DNA methylation63
Demethylation55
Degradation of Abnormal Proteins Produced by Stressors
When cells are exposed to heat and other toxic agents, abnormal proteins accumulate. The abnormal proteins signal expression of heat shock proteins, which can directly interact with the protein for "protein repair" by catalyzing ATP-driven refolding.64 The unrepaired proteins are eliminated by a second major pathway of the response, an ATP-driven elimination of abnormal proteins mediated by the ubiquitin system. But imbalances in the protein degradation system, perhaps induced by an overload of abnormal proteins, can result in premature degradation of necessary regulatory molecules.65 With respect to hormesis, the beneficial stress response may be protein repair and the elimination of abnormal proteins. The detrimental response may be the inappropriate destruction of short-lived essential regulator molecules when a threshold level of abnormal proteins are produced by toxic agents, radiation damage, aging, or age-related diseases. In addition to imbalance in the degradation pathway at higher doses when abnormal proteins accumulate, changes in the fundamental structure of the essential ubiquitin-conjugating enzymes is dosage dependent, at least with respect to heat.31 The ubiquitin-conjugating enzymes, essential for survival to the stressing agent, have introns. Since splicing of introns is blocked at higher temperatures,66,67 the introns could serve to restrict function of protective enzymes to moderate, not severe stress.31
Heat Shock Genes in the DNA Damage Response
The role of heat shock genes in the DNA damage response is not known. But heat shock genes do appear in the DNA damage response. Hsp 70 expression is temporarily correlated with maximal survival of viruses after UV irradiation of viral infected cells,15 and small Hsp's were induced by UV and teratogenic agents.15,68 Ubiquitin was induced after treatment with mutagens and teratogens.69-71
Using ionizing irradiation of rat embryos in utero, enhanced expression of Hsp 70 and c-myc was increased 4 or 5 days after treatment, and c-fos increased only after the embryos were incubated in vitro.15,72 Coordinate expression of Hsp 70 and c-myc have been detected during heat
shock.73
Chemical teratogens showed enhanced induction of small heat shock proteins in embryos when cultivated in vitro72 and induced a subset of small heat shock protein in flies,71,74 and ubiquitin in mammalian cells.75,76
Since the ubiquitinated Rad6 DNA repair enzyme is a ubiquitin- conjugating enzyme essential for normal growth, sporulation, and repair,31 ubiquitin may be a key regulatory molecule in the stress response. Changes in metabolism of ubiquitin, as well as increased synthesis of unique forms of ubiquitin gene family members, may shed light on controlling elements.
Teratogenic Agents and Heat Shock Agents
The common pathway of several apparently unrelated chemicals (and heat) to induce the teratogenic response was reviewed.2l The known teratogenic agents heat, ethanol, arsenite, cortisone, retinoic acid, valproic acid, cadmium, diazepam, verapamil, and phenobarbital -all induce some or all members of the so-called heat shock proteins.21 Cadmium and ethanol are also hormetic agents. The type of defect induced during development by the teratogenic agent depends critically on the timing of the environmental insult.77 Defects induced by heat in flies can be induced only at specific times during development. Heat treatment can alter the order of development time. During recovery, heat shock proteins are synthesized first, then synthesis and decay of messages involved in the developmental program.78 The interruption in the development and delay in resumption can cause the failure to complete one process before the next process begins.79 In mammals, teratogens induce heat shock protein and affect differentiation of nerve and muscle in Drosophila embryonic cells.78,79
Molecular Models of Developmental Defects
The common pathway then is the interruption of an ordered series of events by any chemical or physical agent that induces a stress response. The stress response is a cessation of the synthesis of normal proteins with the selective production of the proteins required to cope with the specific toxin. The interruption, not the agent, triggers the defect. The timing of the insult dictates the defect. Recovery depends on the length and severity of treatment as well as on whether the temperature is raised slowly or abruptly.22
Stress Proteins: Resolution of the Paradox
The hypothesis that the stress protein response is the common pathway for hormetic agents is supported by the following findings:
1. | The same agents identified as hormetic also induce the stress response. |
2. | Some hormetic agents with molecular responses common to the heat shock response can induce thermotolerance, while others with known differences in induction of methylation patterns induce sensitivity. |
3. | The stress response includes preferential synthesis of products that repair both protein and DNA, which could stimulate growth and longevity. |
4. | The alterations in the chromatin structure could facilitate derepression of growth-promoting products or provide access to DNA for repair. |
1. | expression of "protein repair" proteins, like the heat shock proteins, which can monitor proper folding of denatured proteins |
2. | stimulation of elimination of abnormal proteins that cannot be repaired |
3. | induction of increased DNA repair and replication molecules |
4. | alteration of chromatin structure to facilitate repair of regions previously refractory to repair and/or alter gene expression to accelerate growth and maturation |
5. | induction of cross-resistance to other environmental toxins, thereby increasing tolerance to the same or apparently unrelated environmental toxins that are life-shortening agents |
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