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Updated: Aug 22, 2026

Activation of Apoptosis by Cytoplasmic Microinjection of Cytochrome c
Published on: June 29, 2011
Diazoxide-mediated preconditioning against apoptosis involves activation of cAMP-response element-binding protein
Roman A Eliseev1, Beth Vanwinkle, Randy N Rosier
1Musculo-Skeletal Research Unit, University of Rochester School of Medicine, Rochester, New York 14642, USA.
Abstract:
Treatment of various types of cells with the mitochondrial ATP-sensitive K+ channel opener, diazoxide, preconditions cells to subsequent injuries and inhibits apoptosis. The mechanism of such preconditioning is not well understood. We have studied the effect of diazoxide pretreatment on mitochondrial morphology and function in HL60 cells and on susceptibility of these cells to apoptosis. We have found that diazoxide pretreatment inhibited etoposide-induced apoptosis and mitochondrial dysfunction. Diazoxide induced moderate mitochondrial swelling and increase in the cytosolic fraction of mitochondrial intermembrane proteins including cytochrome c without any significant effect on the oxidative phosphorylation function or membrane potential. Possibly as an adaptive response, total protein and mRNA levels of cytochrome c and of the anti-apoptotic Bcl-2 family member, Bcl-xl, increased. These effects coincided with activation of the transcription factors cAMP-response element-binding protein (CREB) and NFkappaB. The gene encoding cytochrome c carries the cAMP-response element (CRE), and the gene encoding Bcl-xl carries both the CRE and NFkappaB response elements. The inability of etoposide to trigger apoptosis in preconditioned cells was most likely because of prosurvival signaling by CREB and NFkappaB, which included up-regulation of cytochrome c and Bcl-xl. All described effects were reversed by a specific mitochondrial ATP-sensitive K+ channel inhibitor, 5-hydroxydecanoate, proving the specificity of the action of diazoxide. Preconditioning was also reversed by a specific NFkappaB inhibitor, SN50, proving the importance of this transcription factor for the phenomenon of preconditioning. CREB and NFkappaB were activated most likely in response to an observed elevation in cytosolic calcium following diazoxide treatment. We, therefore, conclude that diazoxide-mediated preconditioning against apoptosis involves activation of the pro-survival transcription factors CREB and NFkappaB.
Insights
Diazoxide preconditioning protects cells from apoptosis by activating transcription factors CREB and NF-kappaB, leading to increased levels of survival proteins like cytochrome c and Bcl-xl.
Area of Science:
- Cell Biology
- Molecular Biology
- Biochemistry
Background:
- Mitochondrial ATP-sensitive K+ channel openers, such as diazoxide, are known to precondition cells against injury and inhibit apoptosis.
- The precise molecular mechanisms underlying diazoxide-mediated preconditioning remain incompletely understood.
Purpose of the Study:
- To investigate the effects of diazoxide pretreatment on mitochondrial function and morphology in HL60 cells.
- To elucidate the role of diazoxide in modulating cellular susceptibility to apoptosis.
Main Methods:
- HL60 cells were pretreated with diazoxide, followed by exposure to etoposide to induce apoptosis.
- Mitochondrial morphology, function (oxidative phosphorylation, membrane potential), and protein/mRNA levels (cytochrome c, Bcl-xl) were assessed.
- Activation of transcription factors cAMP-response element-binding protein (CREB) and NF-kappaB was analyzed.
- Specific inhibitors of mitochondrial K+ channels (5-hydroxydecanoate) and NF-kappaB (SN50) were used to confirm pathway specificity.
Main Results:
- Diazoxide pretreatment inhibited etoposide-induced apoptosis and mitochondrial dysfunction.
- Diazoxide induced moderate mitochondrial swelling and release of cytochrome c, alongside increased expression of cytochrome c and Bcl-xl.
- Activation of CREB and NF-kappaB was observed, correlating with increased prosurvival protein levels and resistance to apoptosis.
- Inhibitor studies confirmed the involvement of mitochondrial K+ channels and NF-kappaB in diazoxide's protective effects.
Conclusions:
- Diazoxide-mediated preconditioning against apoptosis involves the activation of pro-survival transcription factors CREB and NF-kappaB.
- This activation leads to the upregulation of key proteins like cytochrome c and Bcl-xl, conferring cellular resistance to apoptotic stimuli.
- The observed effects are likely initiated by an increase in cytosolic calcium following diazoxide treatment.
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