Bile acids are steroid detergents that are toxic to mammalian cells at high
concentrations; increased exposure to these steroids is pertinent in the
pathogenesis of cholestatic disease and colon cancer. Understanding the
mechanisms of bile acid toxicity and apoptosis, which could include
nonspecific detergent effects and/or specific receptor activation, has
potential therapeutic significance. In this report we investigate the ability
of synthetic enantiomers of lithocholic acid (
ent-LCA),
chenodeoxycholic acid (
ent-CDCA), and deoxycholic acid
(
ent-DCA) to induce toxicity and apoptosis in HT-29 and HCT-116
cells. Natural bile acids were found to induce more apoptotic nuclear
morphology, cause increased cellular detachment, and lead to greater capase-3
and -9 cleavage compared with enantiomeric bile acids in both cell lines. In
contrast, natural and enantiomeric bile acids showed similar effects on
cellular proliferation. These data show that bile acid-induced apoptosis in
HT-29 and HCT-116 cells is enantiospecific, hence correlated with the absolute
configuration of the bile steroid rather than its detergent properties. The
mechanism of LCA- and
ent-LCA-induced apoptosis was also investigated
in HT-29 and HCT-116 cells. These bile acids differentially activate initiator
caspases-2 and -8 and induce cleavage of full-length Bid. LCA and
ent-LCA mediated apoptosis was inhibited by both pan-caspase and
selective caspase-8 inhibitors, whereas a selective caspase-2 inhibitor
provided no protection. LCA also induced increased CD95 localization to the
plasma membrane and generated increased reactive oxygen species compared with
ent-LCA. This suggests that LCA/
ent-LCA induce apoptosis
enantioselectively through CD95 activation, likely because of increased
reactive oxygen species generation, with resulting procaspase-8 cleavage.Bile acids are physiologic steroids that are necessary for the proper
absorption of fats and fat-soluble vitamins. Their ability to aid in these
processes is largely due to their amphipathic nature and thus their ability to
act as detergents. Despite the beneficial effects, high concentrations of bile
acids are toxic to cells
(
1-
11).
High fat western diets induce extensive recirculation of the bile acid pool,
resulting in increased exposure of the colonic epithelial cells to these toxic
steroids (
12,
13). A high fat diet is also a
risk factor for colon carcinogenesis; increased bile acid exposure is
responsible for some of this risk. Bile acids can contribute to both colon
cancer formation and progression, and their effects on colonic proliferation
and apoptosis aid this process by disrupting the balance between cell growth
and cell death, as well as helping to select for bile acid-resistant cells
(
14,
15).In colonocyte-derived cell lines bile acid-induced apoptosis is thought to
proceed through mitochondrial destabilization with resulting mitochondrial
permeability transition formation and cytochrome
c release as well as
generation of oxidative stress
(
1,
9-
11).
Bile acid-induced apoptosis has also been extensively explored in hepatocyte
derived cell lines with mechanisms including mitochondria dysfunction
(
16-
23),
endoplasmic reticulum stress
(
24), ligand-independent
activation of death receptor pathways
(
18,
25-
28),
and modulation of cellular apoptotic and anti-apoptotic Bcl-2 family proteins
(
29).Although ample evidence exists for multiple mechanisms of bile acid-induced
apoptosis, the precise interactions responsible for initiating these apoptotic
pathways are still unclear. Bile acids have been shown to interact directly
with specific receptors (
30,
31). These steroids can also
initiate cellular signaling through nonspecific membrane perturbations
(
32), and evidence exists
showing that other simple detergents (
i.e. Triton X-100) are capable
of inducing caspase cleavage nonspecifically with resultant apoptosis
(
33). Therefore, hydrophobic
bile acids may interact nonspecifically with cell membranes to alter their
physical properties, bind to receptors specific for these steroids, or utilize
a combination of both specific and nonspecific interactions to induce
apoptosis.Bile acid enantiomers could be useful tools for elucidating mechanisms of
bile acid toxicity and apoptosis. These enantiomers, known as
ent-bile acids, are synthetic nonsuperimposable mirror images of
natural bile acids with identical physical properties except for optical
rotation. Because bile acids are only made in one absolute configuration
naturally,
ent-bile acids must be constructed using a total synthetic
approach. Recently we reported the first synthesis of three enantiomeric bile
acids:
ent-lithocholic acid
(
ent-LCA),
2
ent-chenodeoxycholic acid (
ent-CDCA), and
ent-deoxycholic acid (
ent-DCA)
()
(
34,
35). Enantiomeric bile acids
have unique farnesoid X receptor, vitamin D receptor, pregnane X receptor, and
TGR5 receptor activation profiles compared with the corresponding natural bile
acids (
34). This illustrates
that natural and enantiomeric bile acids interact differently within chiral
environments because of their distinct three-dimensional configurations
(). Despite these
differences in chiral interactions,
ent-bile acids have physical
properties identical to those of their natural counterparts including
solubility and critical micelle concentrations
(
34,
35). With different receptor
interaction profiles and identical physical properties compared with natural
bile acids,
ent-bile acids are ideal compounds to differentiate
between the receptor-mediated and the non-receptor-mediated functions of
natural bile acids.
Open in a separate windowNatural and enantiomeric bile acids. Structures and
three-dimensional projection views of natural LCA, CDCA, DCA, and their
enantiomers (
ent-LCA,
ent-CDCA, and
ent-DCA). The
three-dimensional
ent-steroid structure is rotated 180° around
the long axis for easier comparison with the natural steroid.In this study we explore the enantioselectivity of LCA-, CDCA-, and
DCA-mediated toxicity and apoptosis in two human colon adenocarcinoma cell
lines, HT-29 and HCT-116. Because the mechanism of natural LCA induced
apoptosis has never been characterized, we then examined in more detail LCA-
and
ent-LCA-mediated apoptosis in colon cancer cells. These studies
will not only explore the LCA apoptotic mechanism but will also determine
whether
ent-LCA signals through similar cellular pathways.
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