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/freeradbiomed
Free Radical Biology & M
Review Article
Cadmium induces reactive oxygen species generation and lipid peroxidation
in cortical neurons in culture
E. Lopez, C. Arce, M.J. Oset-Gasque, S. Canadas, M.P. Gonzalez *
Instituto de Bioquımica (Centro Mixto CSIC-UCM), Facultad de Farmacia, 28040-Madrid, Spain
Received 18 November 2004; revised 20 October 2005; accepted 28 October 2005
Available online 21 November 2005
Abstract
Cadmium is a toxic agent that it is also an environmental contaminant. Cadmium exposure may be implicated in some humans disorders
related to hyperactivity and increased aggressiveness. This study presents data indicating that cadmium induces cellular death in cortical neurons
in culture. This death could be mediated by an apoptotic and a necrotic mechanism. The apoptotic death may be mediated by oxidative stress with
reactive oxygen species (ROS) formation which could be induced by mitochondrial membrane dysfunction since this cation produces: (a)
depletion of mitochondrial membrane potential and (b) diminution of ATP levels with ATP release. Necrotic death could be mediated by lipid
peroxidation induced by cadmium through an indirect mechanism (ROS formation). On the other hand, 40% of the cells survive cadmium action.
This survival seems to be mediated by the ability of these cells to activate antioxidant defense systems, since cadmium reduced the intracellular
glutathione levels and induced catalase and SOD activation in these cells.
D 2005 Elsevier Inc. All rights reserved.
Keywords: Cortical neurons; Cadmium toxicity; Membrane potential; ATP depletion; ATP release; ROS formation; Lipid peroxidation; Free radical
Contents
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Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Material and methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Chemical materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cell isolation and culture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Measurement of the glial contamination. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Assessment of cell viability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Determination of neuronal apoptosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Lactate dehydrogenase (LDH) release . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Determination of ATP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mitochondrial membrane potential determination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ROS measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Phosphatidylcholine and phosphatidylserine liposome preparation . . . . . . . . . . . . . . . . . . . . . . . . . . .
Measurement of TBARS in liposomes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Measurement of TBARS in neurons. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0891-5849/$ - s
doi:10.1016/j.fre
Abbreviation
EMEM, minimu
dichlorodihydro
mitochondria m
* Correspondi
E-mail addr
edicine 40 (2006) 940 – 951
www.elsevier.com/locate
ee front matter D 2005 Elsevier Inc. All rights reserved.
eradbiomed.2005.10.062
s: ROS, reactive oxygen species; TMRM, tetramethylrhodamine methyl ester; 2,7-DCF-DA, 2,7-dichlorodihydrofluorescein diacetate; FITC,
m essential Eagle’s medium; FCS, fetal calf serum; HS, horse serum; LDH, lactate dehydrogenase; PBS, phosphate-buffered saline; H2DCF, 2,7-
fluorescein; PC, phosphatidylcholine; PS, phosphatidylserine; TBA, 2-thiobarbituric acid; TBARS, 2-thiobarbituric acid-reactive substance; MMP,
embrane potential; SIN-1, 3-morpholinosydnonimine; SOD, superoxide dismutase.
ng author. Fax: +91 394 17 82.
ess: [email protected] (M.P. Gonzalez).
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E. Lopez et al. / Free Radical Biology & Medicine 40 (2006) 940–951 941
Glutathione determination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Measurement of catalase activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Superoxide dismutase activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cadmium treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Data presentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Action of cadmium on cellular viability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Quantification of ROS induced by cadmium in cortical neurons . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Effect of cadmium on mitochondrial membrane potential (MMP) . . . . . . . . . . . . . . . . . . . . . . . . . . .
Action of cadmium on ATP intracellular levels and ATP release. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Measurement of ATP intracellular content and ATP release . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Measurement of lipid oxidation induced by cadmium in liposome PC/PS and cortical neurons . . . . . . . . . . . .
Cadmium action on intracellular reduced glutathione levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Effect of cadmium on catalase activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Effect of cadmium on superoxide dismutase (SOD) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Discussion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 950
Introduction
Oxidative stress may be defined as an alteration in the
steady-state balance between oxidant and antioxidant agents in
the cells. When these intracellular sources of ROS are
increased, several physiological processes may be disturbed,
including increased permeability of the blood–brain barrier,
tubulin alterations, and perturbation in synaptic transmission
[1]. In brain, oxidative stress is responsible for several
degenerative diseases such as amyotrophic lateral sclerosis
[2], Alzheimer disease, and Down syndrome [3].
Exogenous agents such as photochemical smog, ozone,
pesticides, xenobiotics, and ionizing radiation are all known
to generate radicals/oxidants [4]. Cadmium, an environmental
contaminant, is a toxic transition metal and, although
generally it is associated with Zn2+, both ions have different
behavior in living cells. Zn2+ is an essential element in almost
all biological systems; however, Cd2+ can induce several toxic
effects, depending on the concentration and the exposure
time.
There are several sources of human exposure to cadmium,
including employment in primary metal industries, production
of certain batteries, and consumption of tobacco products [5].
The molecular mechanism for the toxic effects of cadmium
involves interferences with antioxidant enzymes [6], alteration
in thiol proteins [7,8], inhibition of energy metabolism [9],
alteration in DNA structure [10], and affectation of some
enzyme activities [11–13].
Cadmium accumulates and proves to be very toxic in many
organs, such as kidney [14], liver [15], lung [16,17], testis, and
bone, and the blood system [18]. However, there are not many
studies related to the action of cadmium on the central nervous
system. Although, Vorobjeva [19] described several neurolog-
ical disorders in workers exposed to cadmium and Hart et al.
[20] observed that when these workers presented high levels of
this ion in urine, they displayed lower attention levels and less
memory than workers with low cadmium levels in urine.
Beside that, there are reports which consider the cadmium
intoxication as a possible etiological factor of neuro-degener-
ative diseases [21].
The neurological pathologic effect of cadmium in experi-
mental animals includes cerebral bleeding and cerebral edema
in the neonatal mouse [22,23], hyperactivity [24], and
increased aggressiveness in juvenile rats [25,26]. Ali et al.
[27] indicated that exposure to cadmium produces a dose–
response effect on activity in rats of 3–12 days born from rats
exposed to cadmium in the drinking water. Popieluch et al. [28]
observed a diminished ability for training and learning in rats
exposed to cadmium during their neonatal life. Antonio et al.
[29] found that cadmium administered to pregnant Wistard rats
induced a decrease in the levels of several enzymes in the
brain, including acetylcholinesterase, ATP-ase, catalase, alka-
line phosphatase, and acid phosphates. Bar-Sela et al. [30]
suggested a cause effect relationship between cadmium
exposure and amyotrophic lateral sclerosis in workers exposed
to cadmium in a nickel–cadmium battery factory and Mendez-
Armenta et al. [31] indicated lipid peroxidation in some brain
regions of developing rats exposed to cadmium. All these
findings suggest that cadmium is toxic, which may induce
cerebral damage. On the other hand, previous results from our
group showed that cadmium induces apoptosis and necrosis in
cortical neurons, depending on both the cadmium concentra-
tion and the exposure time. These authors also observed that
the apoptosis induced by cadmium in cortical neurons is
mediated by the caspase pathway [32].
As cadmium produces cellular death in cortical neurons in
culture the existence of oxidative stress and lipid peroxidation
mediated by cadmium has been checked in this paper.
Material and methods
Chemical materials
Tetramethylrhodamine methyl ester (TMRM) and 2,7-
dichlorodihydrofluorescein diacetate (2,7-DCF-DA) were pur-
chased from Sigma Chemical Company (Barcelona, Spain).
E. Lopez et al. / Free Radical Biology & Medicine 40 (2006) 940–951942
ATP reagents were from Bio Orbit Company. FITC-conjugated
anti-rabbit IgG and rabbit anti-GFAP were obtained from
Pharmigen (Beckton Dickinson). Minimum essential Eagle’s
medium (EMEM) was supplied by Bio-Whittaker Company
(MD). Fetal calf serum (FCS) and horse serum (HS) were from
Sera-Lab (Sussex, England). Other chemicals were reagent
grade products from Merck (Darmstadt, Germany).
Cell isolation and culture
Fetal rat brains of 19 days of gestation were used. Brain
neurons were obtained following the procedure described by
Segal [33] with minor modifications. Neonatal brain tissues
were removed from rats and placed on 35 mm3 glass petri dishes
containing 2 ml of ice-cold EMEM. Fetal cortex was easily
dissociated by triturating in EMEM, using a sterile, long-neck
Pasteur pipette. Isolated neurons were suspended in EMEM
containing 0.3 g/L of glutamine, 0.6% glucose, 5% FCS, 5%HS,
100 U/ml of penicillin, and 100 Ag/ml of streptomycin, at a cell
density of 1�106 cell/ml. The cells were placed on plastic petri
dishes coated with 10 Ag/ml of poly-d-lysine. Incubations were
made in a humidified incubator with 5% CO2/95% air at 37-C.After 72 h, the incubation medium was replaced by fresh
medium to which 10 AM of cytosine arabinoside was added to
prevent overgrowth of contaminating glial cells. The cells were
used after 7 days of culture. Cell viability was checked by the
trypan blue exclusion and it was routinely higher than 95%. Cell
purity was checked by first staining cells with cresyl violet to
identify neurons and secondly with the specific anti-GFAP
antibody to identify the percentage of cells that were glial cells.
Measurement of the glial contamination
Glial contamination was measured as in Lopez et al. [32].
Assessment of cell viability
Cell viability was determined by the crystal violet tests. Fol-
lowing treatment with the cadmium, cortical neurons were washed
twice with PBS and then exposed for 20 min to 0.2% crystal violet
in 2% ethanol. Thereafter, cells were washed with distilled water
until the excess dye was eliminated. Cells were dried and then
lysed with 1% SDS and absorbance was measured at 560 nm.
Determination of neuronal apoptosis
Cortical neurons treated with cadmium or untreated were
washed twice with PBS and harvested with trypsin-EDTA
(0.25% trypsin, 1 mM EDTA). The detached and adherent cells
were pooled and pelleted by centrifugation at 2000g for 5 min.
The cells were washed with PBS, suspended in 200 Al of ice-cold PBS, and fixed with 500 Al of 70% (v/v) ethanol at �20-Cfor 2 min. The cells were centrifuged and suspended in 400
Al PBS and 5 Al RNAse A (20 mg/ml) for 30 min at 37-C.Finally, 25 Al of propidium iodide (0.1% in PBS) was added
and the cells were scored for apoptosis on a Becton Dickinson
FACS scan flow cytometer (Becton Dickinson).
Lactate dehydrogenase (LDH) release
LDH activity is measured as the rate of decrease of the
absorbance at 340 nm, resulting from the oxidation of NADH to
NAD.
For the determination of LDH, the culture medium was
collected after 24 h of treatment and the neurons were washed
with PBS and then lysed with 0.1 M Tris-HCl (pH 7.4)
containing 0.1% Triton X-100. LDH activity was measured
both in culture medium and in cell lysate, following the
addition of 1 mM pyruvate and 0.2 mM h-NADH. LDH
release is given as percentage of LDH in the culture medium
with respect to the total LDH (the sum between LDH in the
culture medium and LDH inside the cells.
Determination of ATP
ATP analysis was performed using the luciferase reaction.
The cellular extract was cooled to 0-C, and aliquots were
assayed immediately with firefly luciferase/D-luciferin and 2
mM of EDTA in 0.1 M Tris-acetate buffer, pH 7.5. The
increase in chemiluminescence was recorded in a Bio Orbit
1251 luminometer. When the release of ATP was measured,
ATP content was checked in the culture medium and inside the
cells. The ATP release was calculated as percentage of ATP in
the culture medium with respect to the total ATP (the sum
between ATP in the culture medium and ATP inside the cells.
Mitochondrial membrane potential determination
Mitochondrial membrane potential was measured according
to Lalitha Tenneti et al. [34] with a few modifications.
Cadmium-treated neurons were washed with PBS and incu-
bated for 30 min with 500 nM TMRM dissolved in Locke
medium (140 mM NaCl, 4.4 mM KCl, 2.5 mM CaCl2, 1.2 mM
MgSO4, 1.2 mM KH2PO4, 4 mM NaHCO3, 5.5 mM glucose,
0.58 mM ascorbic acid, and 10 mM Hepes, adjusted to pH 7.5).
Then the cells were washed with PBS and the fluorescence was
measured with an FL600-BioTek spectrofluorimeter using
filters of 530/25 nm excitation and 590/35 nm emission.
ROS measurement
To assay the ROS formation 2,7-dichlorodihydrofluorescein
diacetate (H2DCF-DA) was used. H2DCF-DA enters into the
cells, where it is transformed in 2,7-dichlorodihydrofluorescein
(H2DCF) by the action of intracellular stearases. H2DCF is
oxidized to fluorescent DCF by hydrogen peroxide. Before
cortical neurons were treated with several cadmium concentra-
tions, the incubation medium was removed and the cells were
washed twice with Locke medium. Then cells were incubated
with H2DCF-DA (5 AM) in incubation medium for 50 min.
H2DCF-DA was removed and cells were treated with the
indicated cadmium concentrations. After that, the medium was
removed and the cells were washed with PBS. Fluorescence
was measured in an FL600-BioTek spectrofluorometer with
filters of 485/20 nm excitation and 530/25 nm emission Results
E. Lopez et al. / Free Radical Biology & Medicine 40 (2006) 940–951 943
were expressed as arbitrary fluorescent units (AFU)/mg
protein.
Phosphatidylcholine and phosphatidylserine liposome
preparation
Phosphatidylcholine (PC) and phosphatidylserine (PS) (60:40)
were suspended in chloroform and the mixture was dried for 15
min in a Buchi vaporizer. Phospholipids were suspended (2.5 mg
phospholipid/ml) in Tris-HCl buffer 20 mM (pH 7.4). The
suspension was shaken for 1 min and incubated for 45 min at
45-C.The liposomes were diluted at 0.5 mg/ml in Tris-HCl.
Measurement of TBARS in liposomes
2-Thiobarbituric acid (TBA) reacts with the products
formed during lipid peroxidation to generate a complex which
can be quantified spectrophotometrically [35].
Liposomes were incubated with the indicated toxins for 90
min. Then, 0.1 ml of butylated hydroxytoluene (4% in ethanol
p/v) was added. The liposomes were dispersed in 0.25 ml of
SDS (3% w/v) and 0.5 ml of 2-thiobarbituric acid (1%, dis-
solved in 0.05 M NaOH) plus 0.5 ml of HCl (25% v/v) were
added. This mixture was incubated at 100-C for 15 min. After
cooling, the formed TBARS were extracted with 3 ml of n-
butanol and centrifuged at 2000g for 10 min. The butanolic
phase fluorescence was measured at 515 nm excitation and 555
nm emission.
The TBARS concentration was expressed as nanomole of
malondialdehyde. The malondialdheyde standard curve was
prepared from 1,1,3,3,-tetraetoxypropane (10 mM) dissolved in
H2SO4 (1%, v/v) and kept in the dark for 2 h. After hydrolysis,
the standard was diluted at 1:50 with H2SO4 (1%) (v/v) and the
Fig. 1. Cadmium effect on cell viability in cortical neurons. Figure inset refers to t
experiments from cells of different cultures, each one performed in triplicate. *Stat
between cells cultured in the absence and presence of vitamin C. ns, not significan
malondialdehyde concentration was determined knowing that
the (245 nm = 13,700 M�1 cm�1.
Measurement of TBARS in neurons
The membrane lipid peroxidation in neurons was assayed
according to Fraga et al. [36]. After neurons were incubated
with cadmium, the cultured medium was removed and cells
were washed twice with PBS, and 0.1 ml of ethanol solution
of butylated hydroxytoluene (4%), 0.5 ml of SDS (3%), and
0.3 ml of phosphotungstic acid (10%) was added to the
neurons. The suspension was shaken and incubated at 100-Cfor 45 min, and 1 ml of 2-thiobarbituric acid (0.7%) and 2
ml of HCl (0.1 N) were added. Once the suspension was
cooled, 3 ml of n-butanol was added, shaken, and
centrifuged at 2000g for 10 min. Fluorescence was measured
in the butanol phase at 515 nm excitation and 555 nm
emission.
Glutathione determination
The concentration of glutathione was determined accord-
ing to Hissin and Hilf [37]. Once the cells were treated with
cadmium they were washed with PBS. The cells were rinsed
with sodium phosphate (0.1 M) plus EDTA (5 mM) (pH
8.0) and sonicated. H3PO4 (25%) was added and this sus-
pension was centrifuged for 30 m at 13.000 rpm. Super-
natants were taken and reduced glutathione was measured as
follows: To 100 Al of each sample was added 200 Al of 40mM N-ethylmaleimide and 100 Al of ortho-phthalaldialde-
hyde. Fluorescence was measured at 350 nm excitation and
420 nm emission, after 15 min of incubation at room
temperature.
he action of vitamin C on cell viability. Data are means T SE of two separate
istical signification between control and cell treatment; &statistical signification
t, *, & P < 0.05, **, && P < 0.01, and *** P < 0.001.
E. Lopez et al. / Free Radical Biology & Medicine 40 (2006) 940–951944
Measurement of catalase activity
After cadmium treatment, 50 mM of potassium phosphate
(pH 7.2) was added to the cells. They were rinsed from the
plates and sonicated. The cellular suspension was centri-
fuged in an Eppendorf tube at 13.000 rpm for 4 min and at
4-C, and catalase activity was measured in the supernatant
according to Aebi [38]. Results were expressed as increment
of optical density per minute per milligram protein.
Superoxide dismutase activity
After the treatment, cells were rinsed from the plates
using 50 mM Tris-KCl (pH 8.2) and sonicated. The cellular
suspension was centrifuged at 13,000 rpm for 4 min at 4-C.Superoxide dismutase was measured in supernatants accord-
ing to Marklund and Marklund [39].
Cadmium treatment
The cells were incubated during variable periods of time
with cadmium chloride at concentrations between 100 nM and
100 AM, in a serum-free medium or in a medium with 10%
serum (5% FCS + 5% HS).
Data presentation
Data are expressed as means T SE of three or four
independent experiments with different batches of cells, each
one performed in duplicate or triplicate. Statistical comparisons
were made using one-way analysis of variance (ANOVA)
Fig. 2. Cadmium effect on cellular death type. Effect of vitamin C on [A] apoptos
Results are means T SE of three separate experiments each one performed in triplica
signification between cells cultured in the absence and presence of vitamin C. NS
(Scheffe’s F test) followed in some instance by a two-way
ANOVA test. A P value of <0.05 was considered significant.
Results
Action of cadmium on cellular viability
Cadmium at concentrations from 10 to 100 AM induces
cellular death detected by the crystal violet test (Fig. 1A).
Lower cadmium concentrations did not produce any significant
effect. This death was produced in about 40% of the total cells
and was performed in the absence and presence of serum in the
treatment medium. The death induced by 50 AM cadmium was
reversed, in part, by vitamin C, an antioxidant agent (Fig. 1,
inset).
The neuronal death induced by cadmium was performed by
an apoptotic process according to the results obtained by flow
cytometry (Fig. 2A) and by a necrotic mechanism judging by
the LDH release (Fig. 2B). The neuronal apoptosis was
completely abolished by vitamin C while the necrotic one
was not.
Since vitamin C protected against cellular death the
possibility of oxidative stress in this process could be possible.
In order to check this, the action of cadmium on ROS
formation was checked.
Quantification of ROS induced by cadmium in cortical neurons
Cortical neurons were incubated with cadmium concen-
trations from 100 to 100 AM for 24 h, in the presence and
absence of serum. Cadmium induced a significant increase
is, measured by flow cytometry; and [B] necrosis, measured by LDH release.
te. *Statistical signification between control and cell treatment; &, NS, statistical
or ns, not significant; ***, &&& P < 0.001.
Fig. 3. Action of cadmium on ROS formation. Cortical neurons were cultured for 24 h with the indicated cadmium concentrations in the absence and in the presence
of serum. Figure inset shows the effect of vitamin E on ROS formation when neurons were cultured with 50 AM cadmium in the absence of serum. Results are
means T SE of three separate experiments, each one performed in duplicate. *P < 0.05, **P < 0.01, ***P < 0.001.
E. Lopez et al. / Free Radical Biology & Medicine 40 (2006) 940–951 945
in ROS formation under both conditions (Fig. 3), although
in a serum-free medium, this effect was higher with respect
to the control. This could mean that serum protects against
ROS formation. ROS production was evidenced at cadmium
concentrations lower than those which produced cellular
Fig. 4. Cadmium effect on membrane mitochondrial potential. Cortical neurons wer
using TMRM (A) in a serum-free medium and (B) in the presence of serum. Data
performed in triplicate. Results are presented as ratios of AFU with respect to the
death, measured by the crystal violet test (see Fig. 1). ROS
formation mediated by 50 AM cadmium was blocked by
vitamin E, an antioxidant agent (Fig. 1, inset).
The breakdown in mitochondria membrane potential and
the dysfunction in ATP formation may produce ROS
e exposed to several cadmium concentrations for 24 h and MMP was measured
are means T SE of two experiments from cells of different cultures each one
control. *P < 0.05, ***P < 0.001.
E. Lopez et al. / Free Radical Biology & Medicine 40 (2006) 940–951946
generation and, as consequence, oxidative stress, cellular
dysfunction, and cellular death [40]. As cadmium’s ability to
induce oxidative stress has been evidenced in several cells
[41] and we found ROS formation induced by cadmium in
cortical neurons, the implication of this ion in the induction
of mitochondrial membrane breakdown and decrease in the
ATP content was checked.
Effect of cadmium on mitochondrial membrane potential
(MMP)
MMP breakdown was determined after cortical neurons
were exposed to several cadmium concentrations (100 nM to
100 AM), for 24 h and in the absence (Fig. 4A) and
presence (Fig. 4B) of serum. Cadmium concentrations of 1
AM decreased the TMRM fluorescence, which indicates
mitochondrial membrane depolarization. This effect was
dose dependent. The fall in MMP was higher when the
cadmium treatment was performed in the absence of serum.
This could signify that against, the serum presents protector
action. The mitochondrial membrane depolarizations started
at higher cadmium concentrations (1 AM) than those which
produce ROS formation (100 nM) (see Fig. 3).
Action of cadmium on ATP intracellular levels and ATP release
As a breakdown of the ATP content may lead to ROS
formation and lipid peroxidation the ATP intracellular levels
and the lipid peroxidation were measured in cortical neurons
exposed to cadmium.
Measurement of ATP intracellular content and ATP release
ATP intracellular content was measured on neurons
exposed to several cadmium concentrations (100 nM to 100
Fig. 5. Cadmium effect on [A] ATP intracellular content and [B] ATP release. Data a
performed in triplicate. Ns, not significant, *P < 0.05 and ***P < 0.001.
AM) for 24 h both in the absence and in presence of serum in
the treatment medium (Fig. 5A). Cadmium concentrations of
100 nM to 1 AM did not affect the intracellular ATP content
in these cells. However, Cd2+ doses from 10 AM in absence
of serum and 50 AM in presence of serum reduced the
intracellular ATP concentration, indicating mitochondria
dysfunction.
This breakdown in the intracellular ATP levels was
accompanied by ATP release (Fig. 5B) which presented an
inverse profile, that is, the ATP release coincides with the fall
in ATP content. This indicates that the decrease in intracellular
ATP may be due not only to a lesser synthesis of ATP by the
mitochondria but also to a destruction of both the mitochon-
drial and the cytosolic membranes. This could be responsible
for the death by necrosis found by us.
Death by necrosis is induced when the cellular membrane is
breaking and the cellular content is released outside the cells.
Cellular membranes are damaged by lipid peroxidation; thus,
the cadmium action was measured using this parameter.
Measurement of lipid oxidation induced by cadmium in
liposome PC/PS and cortical neurons
To evaluate whether the effect of cadmium on lipid
peroxidation was due to cadmium ‘‘per se’’ or to an indirect
mechanism mediated through the ROS formation, two experi-
ments were performed:
1. Cortical neurons in culture were treated with 100 AM Cd2+
for 24 h in a serum-free medium and TBARS formation was
checked.
2. Liposomes of phosphatidylcoline and phosphatidylserine
were incubated for 90 min at 37-C with: (a) 25 AM Fe2+, an
ion which induces lipid peroxidation; this experiment was
performed in the absence and presence of reduced glutathi-
re means of three separate experiments from cells of different cultures, each one
Fig. 6. Action of cadmium on lipid peroxidation. (A) Lipid peroxidation induced by 100 AM cadmium in cortical neurons (24 h in the absence of serum). (B) Lipid
peroxidation induced by the indicated agents in liposomes. Ns, not significant, ***P < 0.001.
E. Lopez et al. / Free Radical Biology & Medicine 40 (2006) 940–951 947
one; (b) 0.5 mM SIN-1 (3-morpholinosydnonimine), a
peroxynitrite donor inductor of lipid peroxidation; and (c)
100 AM cadmium.
When cortical neurons were treated with 100 AM cadmium,
in a serum-free medium and lipid peroxidation formation was
measured, a great increase in TBARS concentration was found
(Fig. 6A).
When TBARS concentrations were measured in liposomes,
100 AM cadmium did not induce increases of TBARS
Fig. 7. Effect of different cadmium concentrations on intracellular reduced
glutathione. Cortical neurons were treated for 24 h, in the absence and presence
of serum, with the indicated cadmium concentrations. Data are means T SE of
three experiments from cells of different cultures, each one performed in
triplicate. Ns, not significant, *P < 0.05, ***P < 0.001. &&P < 0.01 (statistical
signification with respect to both controls, with and without serum).
concentration with respect to control (Fig. 6B). However, 25
AM Fe2+, which is an initiator of lipid peroxidation and may be
considered as a positive control, increased the TBARS
concentration about 30 times over that of control. Reduced
glutathione did not modify the Fe2+ action. The amount of 0.5
mM 3-morpholinosydnonimine, which it is known as an in-
ductor of lipid peroxidation, significantly increased the TBARS
levels about 3 times compared to that of control; however, in this
case reduced glutathione reversed the SIN-1 effect.
Cadmium action on intracellular reduced glutathione levels
After we studied the action of cadmium on ROS and lipid
peroxidation we investigated whether this ion has some
influence on antioxidant systems. Cortical neurons were
treated for 24 h with Cd2+ concentrations between 100 nM
Fig. 8. Cadmium action on catalase activity. Cells were treated for 24 h in the
absence and presence of serum, with the indicated cadmium concentrations.
Data are means T SE of three different experiments from cells of different
cultures, each one performed in triplicate. Ns, not significant, ***P < 0.001.&&&P < 0.001 (statistical signification with respect to both controls, with and
without serum).
Fig. 9. Cadmium action on superoxide dismutase activity. Cells were treated for
24 h in the absence and presence of serum, with the indicated cadmium
concentrations. Data are means T SE of three different experiments from cells
of different cultures, each one performed in duplicate. Ns, not significant, *P <
0.05, **P < 0.01, ***P < 0.001. &&&P < 0.001 (statistical signification with
respect to both controls, with and without serum).
E. Lopez et al. / Free Radical Biology & Medicine 40 (2006) 940–951948
and 10 AM in the absence and presence of serum. The
cadmium treatment induced a decrease of the reduced
glutathione levels (Fig. 7). This effect started at 1 AMcadmium when the cadmium exposure was in a serum-free
medium and at 10 AM Cd2+ in a medium with serum. The
reduction of glutathione by cadmium, in the absence of serum,
was dose-dependent. When the effect induced by a similar
cadmium concentration in the absence and presence of serum
was compared, the glutathione depletion was higher in a
serum-free medium than in a medium with serum. In control
cells, the only serum deprivation significantly decreased the
glutathione levels.
Fig. 10. Representation of a summary related to the mechanism by which (a) cadm
resistant to cadmium toxicity.
Effect of cadmium on catalase activity
Cortical neurons were exposed to cadmium concentrations
between 100 nM and 100 AM and for 24 h, in the absence and
presence of serum. Lower cadmium concentrations did not
affect the catalase activity. Under these conditions (Fig. 8) it
was found that Cd2+ concentrations of 50–100 AM increased
the catalase activity when the cadmium treatment was
performed in the absence of serum. However, in a medium
with serum, the catalase activity was not affected. It was also
observed that catalase activity was higher in a serum-free
medium than in a medium with serum, indicating that only the
serum deprivation induces catalase activation.
Effect of cadmium on superoxide dismutase (SOD)
Cadmium doses between 50 and 100 AM increased SOD
activity (Fig. 9), but in this case the action was performed both
in the absence and in the presence of serum in the treatment
medium. In both cases there was a dose-dependent increase in
SOD that was caused by cadmium doses of 50–100 AM. The
serum deprivation induced increases in SOD activity (see
control values in Fig. 9).
Discussion
Our results show that in cortical neurons, cadmium exposure
induced cellular death, which was, in part, reversed by vitamin
C, an antioxidant agent. This indicated that oxidative stress
could be implicated in the mechanism by which cadmium
induces death in cortical neurons. The death induced by
cadmium, in these cells, is mediated by two mechanisms,
ium induces neuronal death in cortical neurons and (b) in neurons which are
E. Lopez et al. / Free Radical Biology & Medicine 40 (2006) 940–951 949
apoptotic and necrotic. The apoptosis produced by cadmium
was reversed by vitamin C while the necrosis was not affected
by this antioxidant molecule. It also appears that in the
apoptotic mechanism mediated by cadmium, but not in the
necrotic mechanisms, oxidative stress could be implicated. The
ability of cadmium to induce oxidative stress in cortical
neurons is aided by the induction of ROS by this cation.
Cortical neurons treated with cadmium ions at concentrations
between 1 and 100 AM, in either the absence or in the presence
of serum in the treatment medium, generated ROS. The
induction of ROS in these cells type could be mediated by
mitochondria alterations because cadmium produces a break-
down of the mitochondrial membrane potential. The decreases
in ATP levels and in the mitochondria membrane potential
began at 10 and 50 AM cadmium ion, respectively, while the
ROS formation was detected at lower doses (100 nM or 1
AM). These results likely indicate that ROS formation occurs
or it is detectable before the toxic events on mitochondrial
function that lead to the breakdown in mitochondrial
potentials. The ability of cadmium ion to induce ROS
formation has been described by several authors in different
cells types [42–47].
The decreases in the ATP intracellular levels, at the highest
concentrations of cadmium used, were very remarkable and
they were accompanied by ATP release, indicating mitochon-
drial and cytosolic membrane breaking, both indicative of a
necrotic mechanism of death which has been demonstrated
with our results. On the other hand, the fall in the ATP levels
could be due to a breakdown in the mitochondrial electron
transport as Wang et al. [48] suggest.
Caldmium also induces lipid peroxidation in cortical
neurons but this does not seem to be mediated by cadmium
per se, but as consequence of the ROS increment induced by
this ion, since in our liposome preparation, a membrane model
[49], the only cadmium treatment did not induce lipid
peroxidation. However, Fe2+, a lipid peroxidation inductor
[50], and SIN-1, a peroxynitrite donor which induces lipid
peroxidation, produce lipid peroxidation in liposomes. These
results agree with those found by Casalino et al. [51] who
found that vitamin E, an antioxidant agent, reversed the lipid
peroxidation induced by cadmium in rat kidney mitochondrial
fractions.
On the other hand Kowaltowski et al. [52] propose that lipid
oxidation is induced by ROS and in the scientific literature
exist data which associate the ROS formation induced by Cd2+
with the process of lipid peroxidation [41,53]. Data which
deserve remark are that all parameters studied (ROS formation,
ATP content, and ATP release, as well as mitochondrial
membrane potential dysfunction) were lower in the presence
than in the absence of serum, indicating a serum protection
against oxidative stress. This protection could be mediated by
sequestration of cadmium by thiolic groups of serum proteins
and in this case the free cadmium should be smaller and as
consequence the effect should be also lower. This hypothesis
may be helped by our prior work in which we demonstrated
that in a medium with serum, the cadmium transport inside the
neurons was lower than in presence of serum [32].
Beside cellular death mediated by cadmium ion, there are
some cortical neurons which are resistant to the action of this
cation (survival neurons). The cellular survival in the presence
of the toxic effect of ROS formation is based on the
equilibrium between the toxic action and the cells ability to
protect themselves against ROS action. Taking this into
account, we studied the possible defense mechanisms induced
in living cortical neurons. The central nervous system (CNS)
possesses antioxidant enzymes as SOD, which are expressed in
higher proportion than catalase [54,55].
The accumulation of hydrogen peroxide in brain is a big
problem because this tissue contains a great amount of Fe2+
and Cu2+ cations [56], which may catalyze the formation of
hydroxyl radicals and induce lipid peroxidation [57]. On the
other hand, reduced glutathione is an antioxidant agent, which
is found in brain at high concentrations [55,58]. Our results
indicate that in cortical neurons, exposure to cadmium induces
an increase in SOD and catalase activity at the highest Cd2+
concentrations (50–100 AM). This seems to suggest that there
are a group of neurons which are resistant to cadmium because
they are able to induce enzyme against oxidative stress which
produces this cation. The increases in these enzymatic activities
could be due to an increase in the enzyme expression, since it is
known that oxidative damages induce a cellular response,
which tries to compensate the overload of the ROS formation
[59]. Another possibility is that cadmium acts directly on the
enzyme activity.
Regarding the cadmium effect on antioxidant enzymes,
there are contradictory results [60–62]. This diversity of results
may be because the effect of this cation varies in function to:
(a) the cellular type, (b) the Cd2+ concentration used, and (c)
the exposure time. We have also observed that in rat survival
cortical neurons, Cd2+ decreases the intracellular reduced
glutathione levels. In the literature, controversies exist as to
whether cadmium induces increases or decreases in the
intracellular glutathione levels [63–65], but the general
conclusion that we consider is that cells try to protect
themselves against the cadmium toxic effect and one of the
most important systems in the brain is the reduced glutathione.
Several papers describe that, as a consequence of the cadmium
treatment, a toxic effect appears which correlates with
glutathione depletion [48,66,67]. Our results are in accordance
with the results found by Figuereido-Pereira et al. [66] in HT4
and mesencephalic cells. These authors found that, in these
cells, cadmium treatment promotes a dose-dependent decrease
of reduced glutathione.
All these results are summarized as indicated in Fig. 10.
Cadmium ion enters inside the cortical neurons, but this entry
is lower in the presence of serum because serum proteins
kidnap cadmium, and the effect should be lower. Once inside
the cells, cadmium induces cellular death in a group of
cortical neurons (about 40%), but has no effect in some cells.
The death mechanism is produced by mitochondrial cadmium
toxicity with fall in ATP, breakdown of mitochondrial
membrane potential, and ROS formation. This ROS produc-
tion induces apoptosis and lipid peroxidation with disruption
of cellular membranes and necrosis. The survival process is
E. Lopez et al. / Free Radical Biology & Medicine 40 (2006) 940–951950
mediated by the start of antioxidant mechanisms (activation of
SOD and catalase and depletion of reduced glutathione).
Acknowledgments
The CAYCIT 98-0121 and CAM 08.8/0012/1998 supported
this work. E. Lopez is a recipient of Fellowships from
Ministerio de Educacion y Ciencia and UCM, respectively.
We thank M. Garcıa Maurino for helping us in the culture
preparations.
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