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Inhibition of mitochondrial ATP generation by nitric oxide switches apoptosis to necrosis

M Leist1, B Single, H Naumann

  • 1Chair of Molecular Toxicology, Faculty of Biology, University of Konstanz, Konstanz, D-78457, Germany.

Insights

Nitric oxide (NO) converts programmed cell death (apoptosis) to necrosis in Jurkat cells by disrupting mitochondrial energy production. Restoring ATP levels with glucose re-enables apoptosis, highlighting NO's role in dictating cell death pathways.

Area of Science:

  • Cell Biology
  • Biochemistry
  • Pathology

Background:

  • Cell death pathways, including apoptosis and necrosis, are critical in tissue homeostasis and disease.
  • Endogenous mediators like nitric oxide (NO) can modulate cell death.
  • The specific mode of cell death influences tissue outcomes.

Purpose of the Study:

  • To investigate the effect of nitric oxide (NO) on the mode of cell death in Jurkat cells.
  • To elucidate the mechanisms by which NO influences apoptosis and necrosis.
  • To determine the role of mitochondrial energy production in NO-mediated cell death conversion.

Main Methods:

  • Jurkat cells were treated with staurosporine (STS) or anti-CD95 antibodies in glucose-free medium.
  • Nitric oxide (NO) donors were used to induce NO production.
  • Mitochondrial cytochrome c release, caspase activation, and intracellular ATP levels were measured.
  • Rotenone, a mitochondrial complex I inhibitor, was used to mimic NO effects.
  • Cyclic guanosine monophosphate (cGMP)-dependent pathways, PARP activation, and S-nitrosylation were assessed.

Main Results:

  • NO donors converted STS- or anti-CD95-induced apoptosis to necrosis in Jurkat cells.
  • NO delayed mitochondrial cytochrome c release and prevented execution caspase activation.
  • The switch to necrosis was attributed to NO-dependent failure of mitochondrial energy production.
  • Restoration of intracellular ATP with glucose re-established apoptosis.
  • NO's effect was mimicked by rotenone, indicating a role for mitochondrial dysfunction.
  • NO-induced apoptosis-to-necrosis conversion was independent of cGMP, PARP activation, S-nitrosylation, and glutathione depletion.

Conclusions:

  • Nitric oxide (NO) can dictate the mode of cell death by reducing intracellular ATP levels.
  • NO-induced cell death switch occurs when ATP falls below the threshold required for apoptosis execution.
  • Mitochondrial energy metabolism is a key target for NO in modulating cell death pathways.

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