Abstract
Cadmium (Cd) is a nonessential heavy metal and a prevalent environmental toxin that has been shown to induce significant cardiomyocyte apoptosis in neonatal murine engineered cardiac tissues (ECTs). In contrast, zinc (Zn) is a potent metallothionein (MT) inducer, which plays an important role in protection against Cd toxicity. In this study, we investigated the protective effects of Zn against Cd toxicity in ECTs and explore the underlying mechanisms. ECTs were constructed from neonatal ventricular cells of wild-type (WT) mice and mice with global MT gene deletion (MT-KO). In WT-ECTs, Cd (5−20 μM) caused a dose-dependent toxicity that was detected within 8 h evidenced by suppressed beating, apoptosis, and LDH release; Zn (50−200 μM) dose-dependently induced MT expression in ECTs without causing ECT toxicity; co-treatment of ECT with Zn (50 µM) prevented Cd-induced toxicity. In MT-KO ECTs, Cd toxicity was enhanced; but unexpectedly, cotreatment with Zn provided partial protection against Cd toxicity. Furthermore, Cd, but not Zn, significantly activated Nrf2 and its downstream targets, including HO-1; inhibition of HO-1 by a specific HO-1 inhibitor, ZnPP (10 µM), significantly increased Cd-induced toxicity, but did not inhibit Zn protection against Cd injury, suggesting that Nrf2-mediated HO-1 activation was not required for Zn protective effect. Finally, the ability of Zn to reduce Cd uptake provided an additional MT-independent mechanism for reducing Cd toxicity. Thus, Zn exerts protective effects against Cd toxicity for murine ECTs that are partially MT-mediated. Further studies are required to translate these findings towards clinical trials.
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References
Thevenod F, Lee WK. Cadmium and cellular signaling cascades: interactions between cell death and survival pathways. Arch Toxicol. 2013;87:1743–86.
Kawakami T, Nishiyama K, Kadota Y, Sato M, Inoue M, Suzuki S. Cadmium modulates adipocyte functions in metallothionein-null mice. Toxicol Appl Pharmacol. 2013;272:625–36.
Shen J, Wang X, Zhou D, Li T, Tang L, Gong T, et al. Modelling cadmium-induced cardiotoxicity using human pluripotent stem cell-derived cardiomyocytes. J Cell Mol Med. 2018;22:4221–35.
Yu H, Ye F, Yuan F, Cai L, Ji H, Keller BB. Neonatal murine engineered cardiac tissue toxicology model: Impact of metallothionein overexpression on cadmium-Induced Injury. Toxicol Sci. 2018;165:499–511.
Caciari T, Sancini A, Fioravanti M, Capozzella A, Casale T, Montuori L, et al. Cadmium and hypertension in exposed workers: a meta-analysis. Int J Occup Med Environ Health. 2013;26:440–56.
Wu H, Liao Q, Chillrud SN, Yang Q, Huang L, Bi J, et al. Environmental exposure to cadmium: health risk assessment and its associations with hypertension and impaired kidney function. Sci Rep. 2016;6:29989.
Everett CJ, Frithsen IL. Association of urinary cadmium and myocardial infarction. Environ Res. 2008;106:284–6.
Hecht EM, Arheart KL, Lee DJ, Hennekens CH, Hlaing WM. Interrelation of cadmium, smoking, and cardiovascular disease (from the National Health and Nutrition Examination Survey). Am J Cardiol. 2016;118:204–9.
Smetana RH, Glogar DH. Role of cadmium and magnesium in pathogenesis of idiopathic dilated cardiomyopathy. Am J Cardiol. 1986;58:364–6.
Borne Y, Barregard L, Persson M, Hedblad B, Fagerberg B, Engstrom G. Cadmium exposure and incidence of heart failure and atrial fibrillation: a population-based prospective cohort study. BMJ Open. 2015;5:e007366.
Peters JL, Perlstein TS, Perry MJ, McNeely E, Weuve J. Cadmium exposure in association with history of stroke and heart failure. Environ Res. 2010;110:199–206.
Tellez-Plaza M, Guallar E, Howard BV, Umans JG, Francesconi KA, Goessler W, et al. Cadmium exposure and incident cardiovascular disease. Epidemiol (Camb, Mass). 2013;24:421–9.
Limaye DA, Shaikh ZA. Cytotoxicity of cadmium and characteristics of its transport in cardiomyocytes. Toxicol Appl Pharmacol. 1999;154:59–66.
Szuster-Ciesielska A, Stachura A, Słotwińska M, Kamińska T, Śnieżko R, Paduch R, et al. The inhibitory effect of zinc on cadmium-induced cell apoptosis and reactive oxygen species (ROS) production in cell cultures. Toxicology. 2000;145:159–71.
Zhou J, Wu C, Tu J, Ling Y, Hu N, Zhang Y, et al. Assessment of cadmium-induced hepatotoxicity and protective effects of zinc against it using an improved cell-based biosensor. Sens Actuators A Phys. 2013;199:156–64.
Heuchel R, Radtke F, Georgiev O, Stark G, Aguet M, Schaffner W. The transcription factor MTF-1 is essential for basal and heavy metal-induced metallothionein gene expression. EMBO J. 1994;13:2870–5.
Langmade SJ, Ravindra R, Daniels PJ, Andrews GK. The transcription factor MTF-1 mediates metal regulation of the mouse ZnT1 gene. J Biol Chem. 2000;275:34803–9.
Jackson KA, Valentine RA, Coneyworth LJ, Mathers JC, Ford D. Mechanisms of mammalian zinc-regulated gene expression. Biochem Soc Trans. 2008;36(Pt 6):1262–6.
Bhandari S, Melchiorre C, Dostie K, Laukens D, Devisscher L, Louwrier A, et al. Detection and manipulation of the stress response protein metallothionein. Curr Protoc Toxicol. 2017;71:17.19.1–17.19.28.
Kennette W, Collins OM, Zalups RK, Koropatnick J. Basal and zinc-induced metallothionein in resistance to cadmium, cisplatin, zinc, and tertbutyl hydroperoxide: studies using MT knockout and antisense-downregulated MT in mammalian cells. Toxicol Sci. 2005;88:602–13.
Klaassen CD, Liu J, Choudhuri S. Metallothionein: an intracellular protein to protect against cadmium toxicity. Annu Rev Pharmacol Toxicol. 1999;39:267–94.
Liu J, Liu Y, Michalska AE, Choo KH, Klaassen CD. Metallothionein plays less of a protective role in cadmium-metallothionein-induced nephrotoxicity than in cadmium chloride-induced hepatotoxicity. J Pharmacol Exp Ther. 1996;276:1216–23.
Urani C, Melchioretto P, Canevali C, Crosta GF. Cytotoxicity and induction of protective mechanisms in HepG2 cells exposed to cadmium. Toxicol Vitr. 2005;19:887–92.
Waalkes MP. Cadmium carcinogenesis. Mutat Res. 2003;533:107–20.
Souza V, Escobar Mdel C, Bucio L, Hernandez E, Gutierrez-Ruiz MC. Zinc pretreatment prevents hepatic stellate cells from cadmium-produced oxidative damage. Cell Biol Toxicol. 2004;20:241–51.
Brzoska MM, Galazyn-Sidorczuk M, Rogalska J, Roszczenko A, Jurczuk M, Majewska K, et al. Beneficial effect of zinc supplementation on biomechanical properties of femoral distal end and femoral diaphysis of male rats chronically exposed to cadmium. Chem Biol Interact. 2008;171:312–24.
Tang W, Sadovic S, Shaikh ZA. Nephrotoxicity of cadmium-metallothionein: protection by zinc and role of glutathione. Toxicol Appl Pharmacol. 1998;151:276–82.
Eschenhagen T, Fink C, Remmers U, Scholz H, Wattchow J, Weil J, et al. Three-dimensional reconstitution of embryonic CMs in a collagen matrix: a new heart muscle model system. FASEB J Off Publ Federation Am Societies Exp Biol. 1997;11:683–94.
Hansen A, Eder A, Bonstrup M, Flato M, Mewe M, Schaaf S, et al. Development of a drug screening platform based on engineered heart tissue. Circ Res. 2010;107:35–44.
de Lange WJ, Hegge LF, Grimes AC, Tong CW, Brost TM, Moss RL, et al. Neonatal mouse-derived engineered cardiac tissue: a novel model system for studying genetic heart disease. Circ Res. 2011;109:8–19.
Song H, Zandstra PW, Radisic M. Engineered heart tissue model of diabetic myocardium. Tissue Eng Part A. 2011;17:1869–78.
Tiburcy M, Didie M, Boy O, Christalla P, Doker S, Naito H, et al. Terminal differentiation, advanced organotypic maturation, and modeling of hypertrophic growth in engineered heart tissue. Circ Res. 2011;109:1105–14.
Nakane T, Masumoto H, Tinney JP, Yuan F, Kowalski WJ, Ye F, et al. Impact of cell composition and geometry on human induced pluripotent stem cells-derived engineered cardiac tissue. Sci Rep. 2017;7:45641.
Li B, Cui W, Tan Y, Luo P, Chen Q, Zhang C, et al. Zinc is essential for the transcription function of Nrf2 in human renal tubule cells in vitro and mouse kidney in vivo under the diabetic condition. J Cell Mol Med. 2014;18:895–906.
Gu J, Cheng Y, Wu H, Kong L, Wang S, Xu Z, et al. Metallothionein Is downstream of Nrf2 and partially mediates sulforaphane prevention of diabetic cardiomyopathy. Diabetes. 2017;66:529–42.
Segatto M, Fico E, Gharbiya M, Rosso P, Carito V, Tirassa P, et al. VEGF inhibition alters neurotrophin signalling pathways and induces caspase-3 activation and autophagy in rabbit retina. J Cell Physiol. 2019; 234: 18297–307.
Wang J, Song Y, Elsherif L, Song Z, Zhou G, Prabhu SD, et al. Cardiac metallothionein induction plays the major role in the prevention of diabetic cardiomyopathy by zinc supplementation. Circulation. 2006;113:544–54.
Adderley SR, Fitzgerald DJ. Oxidative damage of cardiomyocytes is limited by extracellular regulated kinases 1/2-mediated induction of cyclooxygenase-2. J Biol Chem. 1999;274:5038–46.
Chan FK, Moriwaki K, De Rosa MJ. Detection of necrosis by release of lactate dehydrogenase activity. Methods Mol Biol. 2013;979:65–70.
Faroon O, Ashizawa A, Wright S, Tucker P, Jenkins K, Ingerman L, et al. Toxicological profile for cadmium. Atlanta, GA: Agency for Toxic Substances and Disease Registry (US); 2012. PMID: 24049863.
Vantler M, Karikkineth BC, Naito H, Tiburcy M, Didié M, Nose M, et al. PDGF-BB protects cardiomyocytes from apoptosis and improves contractile function of engineered heart tissue. J Mol Cell Cardiol. 2010;48:1316–23.
Eibl JK, Abdallah Z, Ross GM. Zinc-metallothionein: a potential mediator of antioxidant defence mechanisms in response to dopamine-induced stress. Can J Physiol Pharmacol. 2010;88:305–12.
Rodriguez-Menendez S, Garcia M. The zinc-metallothionein redox system reduces oxidative stress in retinal pigment epithelial cells. Nutrients. 2018;10:1874.
Sun W, Wang Y, Miao X, Wang Y, Zhang L, Xin Y, et al. Renal improvement by zinc in diabetic mice is associated with glucose metabolism signaling mediated by metallothionein and Akt, but not Akt2. Free Redic Biol Med. 2014;68:22–34.
Wang Y, Mandal AK, Son YO, Pratheeshkumar P, Wise JTF, Wang L, et al. Roles of ROS, Nrf2, and autophagy in cadmium-carcinogenesis and its prevention by sulforaphane. Toxicol Appl Pharmacol. 2018;353:23–30.
Wang F, Li Y, Cao Y, Li C. Zinc might prevent heat-induced hepatic injury by activating the Nrf2-antioxidant in mice. Biol Trace Elem Res. 2015;165:86–95.
Go YM, Sutliff RL, Chandler JD, Khalidur R, Kang BY, Anania FA, et al. Low-dose cadmium causes metabolic and genetic dysregulation associated with fatty liver disease in mice. Toxicol Sci. 2015;147:524–34.
Johri N, Jacquillet G, Unwin R. Heavy metal poisoning: the effects of cadmium on the kidney. Biometals. 2010;23:783–92.
Markiewicz-Gorka I, Januszewska L, Michalak A, Prokopowicz A, Januszewska E, Pawlas N, et al. Effects of chronic exposure to lead, cadmium, and manganese mixtures on oxidative stress in rat liver and heart. Arh za Hig Rada i Toksikologiju. 2015;66:51–62.
Kiran Kumar KM, Naveen Kumar M, Patil RH, Nagesh R, Hegde SM, Kavya K, et al. Cadmium induces oxidative stress and apoptosis in lung epithelial cells. Toxicol Mech Methods. 2016;26:658–66.
Thirumoorthy N, Shyam Sunder A, Manisenthil Kumar K, Senthil Kumar M, Ganesh G, Chatterjee M. A review of metallothionein isoforms and their role in pathophysiology. World J Surgical Oncol. 2011;9:54.
Park JD, Liu Y, Klaassen CD. Protective effect of metallothionein against the toxicity of cadmium and other metals. Toxicology. 2001;163:93–100.
Liu Y, Liu J, Iszard MB, Andrews GK, Palmiter RD, Klaassen CD. Transgenic mice that overexpress metallothionein-I are protected from cadmium lethality and hepatotoxicity. Toxicol Appl Pharmacol. 1995;135:222–8.
Turan B, Tuncay E. Impact of labile zinc on heart function: From physiology to pathophysiology. Int J Mol Sci. 2017;18:pii: E2395.
Prasad AS. Zinc: an antioxidant and anti-inflammatory agent: role of zinc in degenerative disorders of aging. J Trace Elem Med Biol. 2014;28:364–71.
Nemmiche S. Oxidative signaling response to cadmium exposure. Toxicol Sci. 2017;156:4–10.
Cullinan SB, Gordan JD, Jin J, Harper JW, Diehl JA. The Keap1-BTB protein is an adaptor that bridges Nrf2 to a Cul3-based E3 ligase: oxidative stress sensing by a Cul3-Keap1 ligase. Mol Cell Biol. 2004;24:8477–86.
Stewart D, Killeen E, Naquin R, Alam S, Alam J. Degradation of transcription factor Nrf2 via the ubiquitin-proteasome pathway and stabilization by cadmium. J Biol Chem. 2003;278:2396–402.
Kovacs G, Montalbetti N, Franz MC, Graeter S, Simonin A, Hediger MA. Human TRPV5 and TRPV6: key players in cadmium and zinc toxicity. Cell Calcium. 2013;54:276–86.
Wang Y, Fang J, Leonard SS, Rao KM. Cadmium inhibits the electron transfer chain and induces reactive oxygen species. Free Radic Biol Med. 2004;36:1434–43.
Finsterer J, Ohnsorge P. Influence of mitochondrion-toxic agents on the cardiovascular system. Regul Toxicol Pharmacol. 2013;67:434–45.
Masumoto H, Nakane T, Tinney JP, Yuan F, Ye F, Kowalski WJ, et al. The myocardial regenerative potential of three-dimensional engineered cardiac tissues composed of multiple human iPS cell-derived cardiovascular cell lineages. Sci Rep. 2016;6:29933.
Waza AA, Hamid Z, Ali S, Bhat SA, Bhat MA. A review on heme oxygenase-1 induction: is it a necessary evil. Inflamm Res. 2018;67:1–10.
Kaji T, Takata M, Hoshino T, Miyahara T, Kozuka H, Kurashige Y, et al. Role of zinc in protection against cadmium-induced toxicity in formation of embryonic chick bone in tissue culture. Toxicol Lett. 1988;44:219–27.
Sterenborg I, Vork NA, Verkade SK, van Gestel CA, van Straalen NM. Dietary zinc reduces uptake but not metallothionein binding and elimination of cadmium in the springtail, Orchesella cincta. Environ Toxicol Chem. 2003;22:1167–71.
Zhang D, Liu J, Gao J, Shahzad M, Han Z, Wang Z, et al. Zinc supplementation protects against cadmium accumulation and cytotoxicity in Madin-Darby bovine kidney cells. PLoS One. 2014;9:e103427.
Liu Z, Li H, Soleimani M, Girijashanker K, Reed JM, He L, et al. Cd2+ versus Zn2+ uptake by the ZIP8 HCO3-dependent symporter: kinetics, electrogenicity and trafficking. Biochem Biophys Res Commun. 2008;365:814–20.
Girijashanker K, He L, Soleimani M, Reed JM, Li H, Liu Z, et al. Slc39a14 gene encodes ZIP14, a metal/bicarbonate symporter: similarities to the ZIP8 transporter. Mol Pharmacol. 2008;73:1413–23.
Garrick MD, Singleton ST, Vargas F, Kuo HC, Zhao L, Knopfel M, et al. DMT1: which metals does it transport? Biol Res. 2006;39:79–85.
Acknowledgements
This work was supported by the Kosair Charities Pediatric Heart Research Fund to BK, the U.S-China Pediatric Research Exchange Training Program to LC and BBK, and the National Natural Science Foundation of China to HLJ (81470495). All personnel expenses and partial research-related expenses for HTY and JZ were provided by Jilin University through a collaborative research agreement between the University of Louisville and Jilin University, Changchun, China. Basic science experiments were completed at the University of Louisville, Louisville, KY, USA.
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HTY designed and performed experiments, analyzed data, prepared and reviewed manuscript for submission. JZ designed and performed experiments, analyzed data, prepared and reviewed manuscript for submission. JXX prepared and reviewed manuscript for submission. LC designed experiments, prepared and reviewed manuscript for submission. JYL prepared and reviewed manuscript for submission. HLJ designed experiments, prepared and reviewed manuscript for submission. BBK designed and performed experiments, analyzed data, prepared and reviewed manuscript for submission.
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Yu, Ht., Zhen, J., Xu, Jx. et al. Zinc protects against cadmium-induced toxicity in neonatal murine engineered cardiac tissues via metallothionein-dependent and independent mechanisms. Acta Pharmacol Sin 41, 638–649 (2020). https://doi.org/10.1038/s41401-019-0320-y
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DOI: https://doi.org/10.1038/s41401-019-0320-y
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