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Mycotoxin Patulin Activates the p38 Kinase and JNK Signaling Pathways
http://www.100md.com 《毒物学科学杂志》
     Department of Life Sciences, Chung Shan Medical University, Taichung, Taiwan

    2 To whom correspondence should be addressed at Department of Life Sciences, Chung Shan Medical University, No. 110, Sec. 1, Chien-Kuo N. Rd., Taichung, Taiwan, 402. Fax: +(886)-4-24757412. E-mail: bingliu@csmu.edu.tw.

    ABSTRACT

    Patulin (PAT), a mycotoxin mainly produced by Penicillium and Aspergillus, is frequently detected in moldy fruits and fruit products. Exposure of human embryonic kidney (HEK293) cells to PAT led to a dose- and time-dependent increase in the phosphorylation of two major mitogen-activated protein kinases (MAPKs), p38 kinase and c-Jun N-terminal kinase (JNK). The phosphorylated forms of MAPK kinase 4 (MKK4), c-Jun, and ATF-2 were also seen in PAT-treated cultures. The cell death caused by PAT was significantly reduced by the p38 kinase inhibitor, SB203580, but not by the JNK inhibitor, SP600125. Neither p38 kinase nor JNK played a role in the PAT-induced DNA damage. In PAT-treated cells, inactivation of double-stranded RNA-activated protein kinase R (PKR) by the inhibitor, adenine, markedly suppressed JNK and ERK phosphorylation. Treatment of HEK293 cells with PAT-cysteine adduct, a chemical derivative of PAT, showed no effect on MAPK signaling pathways, cell viability, or DNA integrity. These results indicate that PAT causes rapid activation of p38 kinase and JNK in HEK293 cells, but only the p38 kinase signaling pathway contributes to the PAT-induced cell death. PKR also plays a role in PAT-mediated MAPK activation.

    Key Words: patulin; p38 kinase/JNK; cell death; PKR; human embryonic kidney cells.

    INTRODUCTION

    Patulin (PAT), 4-hydroxy-4H-furo(3,2-c)pyran-2(6H)-one (Fig. 1), is a mycotoxin frequently found in apples and apple-based products (Martins et al., 2002; Tangni et al., 2003). The World Health Organization (WHO) and several countries have established a safety level of 50 μg/l of PAT in apple juice. Many other foods, including grains, vegetables, pears, and peaches, have also been shown to contain PAT (CAST, 2003). PAT is reported to be a mutagen, carcinogen, and teratogen in certain experimental animals (Osswald et al., 1978; Smith et al., 1993); the kidney and liver are the major organs affected (Imaida et al., 1982; Speijers et al., 1988). Treatment of cells with PAT inhibits RNA and protein synthesis and also interferes with the activity of several enzymes (Arafat et al., 1985; Hatey and Moule, 1979). PAT is an electrophilic molecule and exerts its cytotoxicity by covalently binding to essential sulfhydryl groups in proteins and amino acids (Barhoumi and Burghardt, 1996). Adducts of PAT and sulfhydryl compounds have lower toxicities than PAT (Lindroth and von Wright, 1990). However, little information is available about the specific mechanisms or molecular basis of PAT toxicity for human cells.

    Many extracellular stimuli are converted into specific cellular responses through the activation of three major mitogen-activated protein kinase (MAPK) signaling pathways involving extracellular signal-regulated kinase (ERK), p38 kinase, or c-Jun N-terminal kinase (JNK). MAPKs are evolutionarily conserved serine/threonine kinases and can be activated by dual phosphorylation of tyrosine and threonine residues within their catalytic domains through various protein kinase cascades (Chang and Karin, 2001). Gene-targeting studies have shown that the physiological roles of MAPKs in mice include T-cell activation and differentiation, apoptosis regulation, organogenesis, and angiogenesis (Kuida and Boucher, 2004; Nishina et al., 2004). In terms of environmental stimuli, the ERK pathway is predominantly activated by mitogens, whereas p38 kinase and JNK are preferentially activated by stresses, such as ultraviolet radiation, heat, osmotic shock, and chemical mutagens (Johnson and Lapadat, 2002; Zarubin and Han, 2005). JNK and p38 kinase activity in response to stress is associated with cell cycle progression, cell death, inflammation, genome instability, and oxidative stress (Abdelmegeed et al., 2004; Chao and Yang, 2001; Davis, 2000; Zarubin and Han, 2005). However, which of these multiple roles of p38 kinase and JNK is involved at any one time is primarily dependent on the stimulus, cell type, specific isoform, and the duration and strength of kinase activity.

    We have previously shown that PAT activates the ERK signaling pathway in a cell line derived from human embryonic kidney (HEK293) cells and in human peripheral blood monocytes. Phosphorylation of ERK is a major factor contributing to PAT-induced genotoxicity (Wu et al., 2005). In the present study, we demonstrated that treatment of HEK293 cells with PAT led to phosphorylation of p38 kinase and JNK, but only p38 kinase activation was associated with the cytotoxicity caused by PAT. In addition, we also evaluated the effect of a PAT-cysteine adduct on the MAPK signaling process and the role of double-stranded RNA-activated protein kinase R (PKR) in PAT-activated MAPK pathways.

    MATERIALS AND METHODS

    Reagents.

    Cell culture medium and serum were obtained from Life Technologies (Grand Island, NY). Rabbit polyclonal antibodies against phospho-ERK1/2 (Thr202/Tyr204), ERK1/2, phospho-p38 (Thr180/Tyr182), p38, phospho-SAPK/JNK (Thr183/Tyr185), SAPK/JNK, phospho-MKK4 (Thr261), phospho-c-Jun (Ser63), and phospho-ATF-2 (Thr71) were purchased from Cell Signaling (Beverly, MA). SB203580 [4-(4-flurophenyl)-2-(4-methylsulfinylphenyl)-5-(4-pyridyl)imidazole] was purchased from LC laboratories (Woburn, MA) and SP600125 [anthra(1,9-cd)pyrazol-6(2H)-one] was purchased form Calbiochem (La Jolla, CA). Horseradish peroxidase-conjugated goat anti-rabbit IgG secondary antibodies were obtained from Pierce (Rockford, IL). PAT (Fig. 1) and all other reagents were purchased from Sigma Chemical Co. (St. Louis, MO). PAT was dissolved at a concentration of 10 mM in 15% ethanol and stored at –20°C.

    Cell cultures and reagents.

    HEK293 cells were obtained from the Bioresources Collection and Research Center, Hsinchu city, Taiwan and cultured in minimum essential medium (MEM) supplemented with 10% horse serum, 100 U/ml of penicillin, and 0.1 mg/ml of streptomycin at 37°C in a humidified 5% CO2 incubator. To maintain the minimal basal levels of phosphorylated MAPKs in cells, the cells were serum-starved by transferring to 1% horse serum for 18 h before all the following experiments.

    Preparation and characterization of PAT-cysteine adduct.

    PAT-cysteine adducts were prepared as described by Lindroth and von Wright (1990). Equimolar amounts of crystalline PAT and cysteine (L-cysteine hydrochloride, anhydrous) were dissolved in 0.1 M citric acid-0.2 M disodium phosphate buffer and the pH of the reaction mixture was adjusted to 6.0 with sodium hydroxide. The reaction was allowed to continue for 30 min with continuous magnetic stirring and then stored at –20°C. The UV spectra of PAT standard and the adduct mixture were measured using a JascoV-530 UV-Vis spectrophotometer (Japan). For thin-layer chromatographic characterization, the adduct mixture, PAT standard and cysteine solution were spotted onto thin-layer plates (silica gel 60 F254, Merck). The plates were developed using butanol-acetic acid-water (40:10:50) and examined under UV light (254 and 365 nm). The cysteine residue is supposed to form a covalent bond with carbons 4 or 7 of PAT (Fig. 1) (Mahfoud et al., 2002). The concentration of PAT-cysteine adduct was expressed as an amount of reacted PAT per unit volume. The conversion rate was around 80%.

    Preparation of whole cell extracts.

    Cells (5 x 105 on a 5 cm tissue culture plate) were cultured for 72 h in medium containing 10% horse serum, and then serum-starved by transferring to 1% serum for 18 h to maintain the minimal basal levels of phospho-p38 and phospho-JNK in cells. The serum-starved cells at 80% confluence were then exposed to various concentrations of PAT or vehicle (15% ethanol in 0.01 M phosphate buffer containing 0.15 M NaCl, pH 7.5, PBS) for the designated time. In experiments to determine the effects of protein kinase inhibitors, serum-starved cells were pretreated for 1 h with SB203580 or SP600125 before addition of PAT or vehicle in the continued presence of the inhibitor. PAT- or vehicle-treated cells were rinsed with PBS, and lysed by addition of extraction buffer (PBS containing 5% glycerol, 1 mM dithiothriotol, 1 mM EDTA, pH 8.0, 0.5% Triton X-100, 0.8 μM aprotinin, 1 mM AEBSF, 20 μM leupeptin, 40 μM bestatin, 15 μM pepstain A, 14 mM E-64, and 1 mM phenylmethylsulfonyl fluoride). The cell lysate was kept on ice for 10 min, and then centrifuged at 16,000 x g for 20 min at 4°C. The protein concentration of the supernatant solution was determined using the Bradford protein assay (Bio-Rad, Hercules, CA) with bovine serum albumin as the standard.

    Detection of MAPK phosphorylation.

    Equal amounts of proteins (40 μg) from each sample preparation were incubated for 3 min at 95°C in Laemmli buffer, separated on a 10% SDS-polyacrylamide discontinuous gel, and then electrophoretically transferred to a nitrocellulose membrane (Bio-Rad). The membrane was blocked with PBS containing 10% skimmed milk for 1 h at room temperature, then incubated for 1 h with polyclonal antibodies specific to various MAPK proteins (1:1000 dilution), and followed by goat anti-rabbit IgG conjugated with horseradish peroxidase (1:5000) for another 1 h. Bound antibody on the membrane was detected using an enhanced chemiluminescence detection system according to the manufacturer's manual (Amersham Pharmacia Biotech, Amersham, U.K.). To re-probe the membrane with another primary antibody, bound antibodies were stripped for 30 min at room temperature with Restore Western Blot Stripping Buffer (Pierce, Rockford, IL) and the membrane was washed three times with PBS-Tween 20. The intensities of bands on blots were quantitated using the ImageGauge program Ver. 3.46 (Fuji Photo Film, Tokyo).

    Cell viability assay.

    MTT reduction assay was performed according to Liu et al. (2003). Briefly, HEK293 cell monolayers in 96-well plates were left untreated or treated with SB203580 (10 μM) or SP600125 (20 μM) for 1 h and then co-incubated with various concentrations of PAT or PAT-cysteine adduct (30, 50, or 100 μM) for 30 min. The culture medium was then replaced with 200 μl of medium containing 0.5 mg/ml of MTT and the plates were incubated for 3 h at 37°C. The MTT-containing medium was removed again and replaced with 100 μl of isopropanol to solubilize the converted purple dye on the culture plates. The absorbance was measured on an Optimax microplate reader (Molecular Devices, Sunnyvale, CA) at a wavelength of 570 nm with background subtracted at 690 mm.

    Single-cell gel electrophoresis (SCGE) assay.

    HEK293 (1 x 105 cells) were treated with 10 μM SB203580 or 20 μM SP600125 for 1 h, and then co-incubated with vehicle alone, 7.5 or 15 μM PAT, or 15 μM PAT-cysteine for 1 h. The adherent cells were trypsinized, mixed with 1% low-melting-point agarose at 42°C. The mixtures were immediately transferred to CometSlides (Trevigen Inc., Gaithersburg, MD), which were then immersed for 1 h in ice-cold lysis solution (2.5 M NaCl, 100 mM EDTA pH 10, 10 mM Tris, 1% sodium lauryl sarcosinate, 1% Triton X-100, and 1% DMSO). After electrophoresis in an alkaline buffer (300 mM NaOH, 1 mM EDTA, pH 13) at 300 mA for 30 min, the DNA on the slides was stained with SYBR green I.

    The image of each cell on the slide was visualized and analyzed on a fluorescence microscope (BX51, Olympus) equipped with the computer software from CometAssay (Perceptive Instruments Ltd, U.K.), which calculates the tail moment value of each cell from the amount of DNA in the tail and the distance of tail migration. For each experimental point, four cultures were treated independently and DNA damage levels in 80 cells were measured from each culture.

    Measurement of protein synthesis.

    Inhibition of protein synthesis was measured by 3H-leucine incorporation. Briefly, HEK293 cells (6 x 105 in 1 ml of complete medium) were cultured in 35 mm tissue culture plates overnight, and then the medium was replaced with 1 ml of Dulbecco's modified Eagle medium lacking leucine (DMEM/-Leu, Bioresource Inc., CA). One hour after the replacement, PAT (10–30 μM) along with 10 μCi of L-[3,4,5–3H(N)] leucine (NEN Life Science Products, Inc., MA) were added into the cultures and incubated for another 3 h. Monolayer cells were lysed by addition of 500 μl of extraction buffer as previously described and kept on ice for 10 min. After being centrifuged at 16,000 x g for 20 min, the cell supernatant was precipitated with 125 μl of 50% (w/v) trichloroacetic acid (TCA) on ice for 1 h. Precipitated samples were absorbed to glass microfiber filters (Whatman, U.K.) using a Sampling Manifold (Millipore, Bedford, MA). The filters were washed twice with cold 5% TCA and 95% ethanol. Radioactivity remaining on the filters was measured in 2 ml of scintillation cocktail (Amersham Pharmacia Biotech, U.K.) using TRI-CARB 2100TR liquid scintillation counter (Perkin Elmer, MA).

    Statistical analysis.

    Values are presented as the mean ± SEM. Statistical differences between the control and treated groups were determined using Student's t-test and were considered significant at p < 0.05.

    RESULTS

    Effect of PAT and the Adduct on the p38 Kinase and JNK Pathways in HEK293 Cells

    HEK293 cells were exposed to various concentrations of PAT for different times and the whole cell protein extract were subjected to Western blotting using specific antibodies. As shown in Figure 2A, exposure of cells to PAT for 30 min resulted in a dose-dependent increase in p38 kinase phosphorylation, with a 3.5- and 8.3-fold increase compared to solvent-treated controls at PAT concentrations of 30 and 50 μM, respectively. Pretreatment for 1 h with SB203580, a specific inhibitor of p38 kinase (Cuenda et al., 1995), resulted in a dramatic decrease in the phospho-p38 kinase levels induced by 30 min treatment with 30 μM PAT (Fig. 2B). Similarly, treatment of HEK293 cells with PAT at concentrations of 15–50 μM significantly elevated the levels of phospho-JNK. PAT administration also enhanced the signals of phospho-MKK4, phospho-c-Jun, and phospho-ATF-2 (Fig. 3A). MKK4 is known to be the upstream activator of JNK, while c-Jun and ATF-2 are the downstream substrates of JNK (Davis, 2000). Pretreatment of cultures with SP600125, a specific inhibitor of JNK (Bennett et al., 2001), effectively reduced the increased levels of phospho-JNK, phospho-c-Jun, and phospho-ATF-2 induced by 50 μM PAT, but not that of phospho-MKK4 (Fig. 3B). When HEK293 cells were incubated with 15 μM PAT for various times, phospho-p38 kinase and phospho-JNK were detected within 15 min and 30 min, respectively, and remained detectable for at least 2 h (Fig. 4).

    Since the adduct of PAT-sulfhydryl compound has lower toxicities than PAT (Lindroth and von Wright, 1990), a PAT-cysteine adduct was prepared to investigate its ability to activate the MAPK signaling pathways. The PAT-cysteine adduct at a concentration as high as 45 μM had no effect on phosphorylation levels of ERK, p38 kinase, and JNK in HEK293 cell cultures (data not shown), whereas 15 μM PAT was able to activate all the examined MAPKs. Exposure to PAT did not cause an obvious change in the levels of the non-phosphorylated forms of each MAPK (Figs. 2–4 ), suggesting that PAT treatment increases the phosphorylation of preexisting MAPKs, rather than de novo protein synthesis.

    Effects of MAPK Inhibitors on PAT-Induced DNA Damage

    ERK pathway activation has been shown to be involved in PAT-induced DNA damage (Wu et al., 2005). To explore the involvement of other MAPKs, HEK293 cells were left untreated or treated with MAPK inhibitors for 1 h before co-exposure to PAT (7.5 and 15 μM) or PAT-cysteine adduct (15 μM) for another 1 h, and then subjected to SCGE assays. Compared to the untreated group, HEK293 cells treated with 15 μM PAT showed a 4-fold increase in tail moment value (4.66 ± 0.45); this increase was not significantly affected in the presence of SB203580 or SP600125 (Table 1). Similar results were observed in 7.5 μM PAT-treated cultures, suggesting that activation of p38 kinase and JNK does not contribute to PAT-induced DNA damage. Treatment of cells with 15 μM PAT-cysteine adduct had no effect on the tail moment value, showing that the PAT-cysteine adduct did not cause DNA damage in HEK293 cells.

    Effect of MAPK Inhibitors on PAT-Induced Changes in Cell Morphology and Viability

    To study the relationship between the MAPK signaling and cytotoxicity induced by PAT, HEK293 cells were left untreated or were pretreated with SB203580 or SP600125 for 1 h before co-exposure to 30 μM PAT for another 3 or 5 h, and then cell morphology and viability were examined. When HEK293 cells were exposed to PAT alone, cell shrinkage and detachment were observed under microscope (Fig. 5). SB203580 almost totally prevented the damage caused by PAT, while SP600125 had no effect. The roles of p38 kinase and JNK in PAT-induced cytotoxicity were further investigated using the MTT assay, a method using the activity of mitochondrial succinate dehydrogenase as an indicator of cell viability. As shown in Figure 6, the viability of HEK293 cells was significantly reduced to 74.5 or 51.4% of control levels following 30 min treatment with 50 or 100 μM PAT, respectively, while no cytotoxicity was detected in cultures exposed to PAT–cysteine adduct even at a concentration of 100 μM. Pretreatment with SB203580, but not SP600125, resulted in a marked decrease in cytotoxicity in PAT-treated cultures. Neither SB203580 nor SP600125 alone had a cytotoxic effect (data not shown). Thus, our data suggest that the p38 kinase pathway, but not the JNK pathway, is involved in PAT-induced cell death.

    Induction of MAPK Phosphorylation through PKR Activation

    Certain xenobiotics modulate MAP kinases through a process referred to as "ribotoxic stress response" and these ribotoxic stressors at least partially inhibit protein synthesis (Laskin et al., 2002). In the ribotoxic stress response, PKR, an enzyme associating with ribosomes via specific recognition sites and with translation inhibition ability, seems to function as a signal integrator for activation of MAPKs (Wu et al., 1998; Zhou et al., 2003). The above information prompted us to examine whether PAT caused inhibition of protein synthesis. As shown in Figure 7, HEK293 cells treated for 3 h with 20 or 30 μM PAT showed a reduction in H3-labelled leucine incorporation to approximately 57.4 or 29.6% of control levels, respectively. To evaluate the playing role of PKR in PAT-activated MAPK signaling, HEK293 cells were pretreated for 1 h with adenine, a PKR inhibitor, before co-exposure to PAT. As shown in Figure 8, both the ERK and JNK phosphorylation induced by PAT were dramatically inhibited in the presence of adenine; a similar, but weaker, effect was seen for phosphorylated p38 kinase. Anisomycin, a compound known to cause MAPK activation through PKR (Zhou et al., 2003), was used as a positive control. Our results indicate that PKR activation may contribute to the PAT-induced activation of the ERK and JNK pathways, and, to a much lesser extent, of the p38 kinase pathway.

    DISCUSSION

    Surveys of samples from certain countries have revealed that the PAT content in some commercialized products exceeds the safety level (50 μg/l) established by the WHO (Lai, 2000; Yurdun et al., 2001). Although previous in vitro and in vivo studies have shown that PAT has a broad toxicity spectrum, the cellular and molecular mechanisms of PAT toxicity for human cells are still not clear. Treatment of HEK293 cells with PAT resulted in a dose- and time-dependent increase in p38 kinase and JNK phosphorylation (Figs. 2 and 3). We have previously demonstrated that treatment of human cells with PAT activates the ERK pathway (Wu et al., 2005). The induction patterns of phosphorylated ERK, p38 kinase, and JNK by PAT were very similar. Treatment of cells with 15 μM PAT for 30 min was sufficient to detect the phosphorylated forms of each MAPK, implying that PAT causes a rapid induction of phosphorylation of all MAPKs without special preference and may trigger their activation through a common upstream factor.

    The observed phosphorylation of MKK4 suggests that MKK4 is the upstream activator of JNK in PAT-treated cultures (Fig. 3), but we cannot rule out the involvement of MKK7. Both MKK4 and MKK7 are reported to be upstream activators of JNK by various stimuli. MKK4 is primarily activated by environmental stress and MKK7 is primarily activated by cytokines (e.g., TNF and IL-1), so these two kinases might contribute differentially to JNK activation (Davis, 2000). Phosphorylated JNK undergoes dimerization and translocates into the nucleus to phosphorylate certain transcriptional factors, including c-Jun and ATF-2; ATF-2 is also activated by p38 kinase pathway (Whitmarsh and Davis, 1996). Phosphorylation of c-Jun and ATF-2 increases their trans-acting DNA binding activity; c-Jun homodimers bind to the AP-1 consensus sequence (Halazonetis et al., 1988) and c-Jun/ATF-2 heterodimers prefer the ATF/CREB consensus sequence (Benbrook and Jones, 1990). High levels of phospho-c-Jun and ATF-2 proteins correlate with tumor progression in the mouse skin carcinogenesis model (Zoumpourlis et al., 2000). The above information suggests that PAT may exert its toxicity through a sequential transcriptional activation of the downstream genes modulated by c-Jun and ATF-2.

    To examine the role of phospho-JNK and p38 kinase in PAT-induced toxicity, inhibitors of the individual pathways, SP600125 and SB203580, were used. SP600125 had no effect on PAT-induced changes in cell morphology and cell viability in HEK293 cell cultures (Figs. 5 and 6), suggesting that PAT-induced JNK phosphorylation is not involved in these processes. However, inhibition of p38 kinase phosphorylation by SB203580 partially prevented these changes. Since PAT treatment also led to apoptosis in HEK293 cells (data not shown), these data indicate that the p38 kinase pathway is responsible for part of the PAT-induced cell death/apoptosis. Activation of the p38 kinase may induce either cell death or cell survival in different cell types under different conditions (Anderson, 1997). Our results are in agreement with those of many previous studies, which suggested that the p38 kinase cascade is involved in the apoptosis caused by some anti-cancer agents, heavy metals, and natural toxins (Bacus et al., 2001; Smith et al., 2003). On the other hand, phosphorylation of p38 kinase and JNK showed no obvious correlation with the DNA damage caused by PAT (Table 1). However, activation of ERK signaling has been shown to play a role in PAT-induced DNA damage (Wu et al., 2005). It seems that each of these three MAPKs plays a different role when HEK293 cells are stimulated with PAT.

    Treatment of HEK293 cells with PAT-cysteine adduct had no effect on any of the examined MAPK pathways, DNA integrity, or cell viability (Table 1 and Fig. 6), indicating that the signal-inducing ability and cytotoxicity of PAT can be completely prevented by blocking the thiol-reacting sites (C4 and C7) on the toxin with cysteine. This observation supports the hypothesis that PAT exerts its cytotoxic effects mainly by forming covalent adducts with essential cellular thiols (Mahfoud et al., 2002). It is probable that PAT attacks cellular SH-containing proteins and this leads to MAPK activation.

    Some chemical agents, including trichothecene mycotoxins, ultraviolet radiation, and certain protein synthesis inhibitors, work as ribotoxic stressors to interfere the function of the 3' end of the 28S rRNA, and then leads to the rapid activation of various MAPKs (Laskin et al., 2002). In the process of ribotoxic stress response induced by translation inhibitors, PKR, an ubiquitously expressed serine/threonine protein kinase activated by dsRNA, cytokines, and stress signals, plays a critical upstream role (Zhou et al., 2003). In HEK293 cell cultures, PAT functioned as a translation inhibitor in a dose-dependent manner (Fig. 7). PAT has been reported to inhibit protein synthesis in the rat liver and in hepatoma tissue cultures by an unknown mechanism (Arafat and Musa, 1995; Hatey and Moule, 1979). In addition, pre-incubation of HEK293 cells with adenine, a known PKR inhibitor, abolished most of the PAT-induced phosphorylation of JNK and ERK (Fig. 8). Treatment of HEK293 cells with PAT also slightly upregulated the phosphorylation of eukaryotic translation initiation factor 2 (data not shown), a downstream substrate of PKR (Saelens et al., 2001). Thus, it is highly possible that PAT triggers the JNK and ERK pathways in HEK293 cells through PKR activation.

    In conclusion, our data show that PAT, a mycotoxin commonly found in apple juice and related products, activates the p38 kinase and JNK signaling pathways and their downstream transcriptional factors in human cells. Phosphorylation of p38 kinase, but not of JNK, is a major factor contributing to the cell death induced by PAT. In addition, PKR plays a role in mediating the activation of the MAPK pathways. A summarized figure is shown to describe the probable cellular mechanisms of PAT toxicity (Fig. 9). Knowledge of the adverse levels and toxicological mechanism of PAT in human cells should be useful in estimating the risk to the general public.

    NOTES

    1 These authors contributed equally to this work.

    ACKNOWLEDGMENTS

    This work was supported by grants NSC 92-2313-B-040-003 and 93-2313-B-040-001 from the National Science Council of the Republic of China.

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