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1 Graduate School of Comprehensive Human Sciences,
2 JST-ERATO Environmental Response Project,
3 Centre for Tsukuba Advanced Research Alliance, University of Tsukuba, 1-1-1 Tennoudai, Tsukuba 305-8577, Japan
4 Division of Oral Pathology and Bone Metabolism, Department of Developmental and Reconstructive Medicine, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588, Japan
5 Department of Oral Anatomy, Showa University School of Dentistry, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8585, Japan
| Abstract |
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| Introduction |
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Iron is critically involved in a wide variety of cellular events ranging from DNA synthesis to cellular respiration (Cammack et al. 1990). However, at the same time, free iron generates highly reactive oxygen species via Fenton chemistry and causes an oxidative stress to cells (Linn 1998). Thus, the cellular iron metabolism should be strictly regulated in the presence of various transport and storage proteins (McCord 1998).
Nrf2 belongs to the CNC transcription factor family which share a characteristic basic domain first identified in the Drosophila capncollar (CNC) protein (Itoh et al. 1995; Mohler et al. 1991). Nrf2 is essential for the coordinate transcriptional induction of phase II enzymes and anti-oxidant genes via anti-oxidant responsive element (ARE) (Itoh et al. 1997; Ishii et al. 2000). Furthermore, Nrf2 constitutes a crucial cellular sensor for oxidative stress together with its cytoplasmic repressor Keap1, and mediates a key step in the signalling pathway by a novel Nrf2 nuclear shuttling mechanism (Itoh et al. 1999b). Activation of Nrf2 leads to the induction of phase II enzyme and anti-oxidant stress genes in response to various stresses (Ishii et al. 2000; Itoh et al. 1999a).
Whereas Nrf2-deficient mice (Nrf2/) grow normally and are fertile (Itoh et al. 1997), the mice are susceptible to various oxidative stresses including acetaminophen intoxication (Enomoto et al. 2001; Chan et al. 2001), BHT intoxication (Chan & Kan 1999), chemical carcinogenesis (Ramos-Gomez et al. 2001), hyperoxia (Cho et al. 2002), and diesel exhaust inhalation (Aoki et al. 2001). The Nrf2/ mice are also susceptible to lupus-like autoimmune nephritis (Yoh et al. 2001). However, no apparent phenotype has yet been described (Itoh et al. 1997; Kuroha et al. 1998). In this study, we found that incisors of the Nrf2/ mice are decolourized and become greyish white. The examination of the mechanisms leading to the decolourization in the Nrf2/ mouse revealed that the iron transport is defective in the developing enamel organ of Nrf2/ mice.
| Results |
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In an attempt to find subtle anatomical changes in the germ line Nrf2/ mice (Itoh et al. 1997), we noticed that the incisors of Nrf2/ mice are always greyish white (Fig. 1B), while in contrast, incisors of wild-type and heterozygous mutant (Nrf2+/) mice are always brownish yellow (Fig. 1A). In order to examine the decolourization phenotype in more detail, we mated Nrf2+/ male with Nrf2+/ female mice and examined 50 mice for the relationship between Nrf2 genotype and the incidence of decolourization by macroscopic examination. Fourteen mice had greyish-white incisors and all of them were homozygous for the Nrf2 germ line mutation. On the contrary, of the 36 mice with brownish yellow incisors, 26 were Nrf2 heterozygous and 10 were wild-type. Thus, the penetration of decolourization phenotype in Nrf2/ mice was 100% (P < 0.001).
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Scanning electron microscopic analysis detected no significant structural differences in the tooth surface between wild-type (Fig. 2A) and Nrf2/ mice (Fig. 2D). However, X-ray microanalysis revealed an apparent difference in the iron content on the enamel surfaces between the Nrf2/ and wild-type mice (Table 1). A dot-map image analysis revealed the remarkable decrease of iron content in the enamel surface of Nrf2/ mouse incisors (Fig. 2F) compared to those of wild-type mice (Fig. 2C). Calcium content was within comparable range between wild-type (Fig. 2B) and Nrf2/ mice (Fig. 2E).
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General iron status in Nrf2/ mice
To examine the reason why the iron metabolism of enamel organ was impaired in Nrf2/ mice, we measured the general iron status in Nrf2/ mice. We did not find any significant differences in haematocrit, serum iron concentration, total iron binding capacity (TIBC) and transferrin saturation (Table 2), indicating that the general iron status of Nrf2/ mice is not affected. In contrast, non-haem iron content of liver was found to be significantly higher in Nrf2/ mice than that in wild-type liver. The precise reason of this iron increase in the liver remains to be clarified.
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We next examined development of ameloblasts in Nrf2/ mouse, since it is the ameloblasts that deposit iron into the enamel surface. A histological examination with lower magnification of wild-type mouse tissues with haematoxylin and eosin staining showed slight signs of degenerative atrophy in the late maturation stage of the ameloblast development (lm, Fig. 3A). Compared to the wild-type mice, however, these changes in the Nrf2/ mouse ameloblasts were abrupt and premature (below). We found that, while ameloblasts of Nrf2/ mice showed very similar morphological appearance to that of the wild-type mice during the transition (t) stage and the early maturation (em) stage, ameloblasts of Nrf2/ mice suffered severely from premature degenerative atrophy at the late maturation stage (Fig. 3B; green arrow). The late maturation stage is the time when iron is excreted from ameloblasts to the enamel surface. At higher magnification, cell heights of ameloblasts gradually reduced from the early maturation stage to the late maturation stage in wild-type ameloblasts. At the stages of reduced ameloblasts, they were changed to atrophic flat squamous cells on the most incisal side. In agreement with the observations with the lower magnification sections (Fig. 3B), Nrf2/ mice ameloblasts showed similar morphological appearance to the wild-type ameloblasts during the transition stage (Fig. 4A,C). However, the Nrf2/ ameloblasts suffered from premature degenerative changes at the late maturation stage (Fig. 4D; compare with those in the wild-type mouse, Fig. 4B) and the flat squamous epithelia largely disappeared in the mutant mouse tissues (data not shown). These results thus demonstrate that the normal differentiation of ameloblasts are severely disturbed at the late maturation stage in the Nrf2/ mice.
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To examine whether the incomplete differentiation affects the ameloblasts function, iron metabolism during the ameloblast development was examined in Nrf2/ mice. We carried out Berlin blue staining of wild-type and Nrf2/ mouse incisors (Fig. 4, panels EH). In the wild-type mouse incisors, positive staining of Berlin blue, which indicates the accumulation of iron, was detected in the ameloblast cytosol during the transition stage and early maturation stage (Fig. 4E). The accumulation of iron was then shifted to the plasma membrane on the enamel side at the late maturation stage, reflecting the iron excretion process into the enamel surface at this stage (Fig. 4F). No Berlin blue-positive staining was detected at the reduced ameloblast stage (data not shown). In the Nrf2/ enamel organ, iron was detected both in the papillary layer cells and ameloblasts during the transition and early maturation stages, and the iron accumulation in the ameloblast cytosol was markedly decreased (Fig. 4G). This may be due to defect of the iron transport from blood vessels to the ameloblasts. We also found that the aberrant iron deposition overlapping with the degenerated cells (Fig. 4H), suggesting that the abnormal accumulation of iron might provoke, at least in part, the degeneration of papillary cells and ameloblasts of Nrf2/ enamel organ.
Ferritin expression was decreased in Nrf2/ papillary layer cells
Since ferritin is known to play an important role in the cellular iron metabolism, we next examined the expression of ferritin by immunohistochemical and in situ hybridization analyses. Ferritin heavy chain mRNA was expressed exclusively in the ameloblasts during transition and early maturation stages. The Nrf2/ ameloblasts show similar level expression to the wild-type ameloblasts (Fig. 5C and 5A, respectively). However, ferritin heavy chain mRNA expression was very faint or not observed in the late maturation stage and reduced ameloblast stage (data not shown) of the ameloblast development in both wild-type and Nrf2/ mice (Fig. 5B and 5D, respectively).
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Nrf2/ teeth have decreased acid resistance
To assess changes in the quality of the teeth, we first examined the Knoop hardness of the teeth. However, we could not detect significant difference between wild-type and Nrf2/ teeth. Therefore, we next examined acid resistance of Nrf2/ teeth. For this purpose, the teeth were exposed to 0.1 M acetate buffer at pH 4.0 and amounts of eluted calcium ion were quantified at several time points by the methylxylenol blue method. As shown in Fig. 6, the concentration of eluted calcium ion from Nrf2/ teeth was significantly higher than that from the wild-type teeth. The initial elution velocity increased rapidly, but the elution seems to be saturated at 30 and 40 min time points in Nrf2/ teeth. The eluted calcium level from the Nrf2/ teeth is significantly higher than that from the wild-type teeth (P < 0.05: Student's t-test). Thus, the acid resistance of Nrf2/ teeth was significantly decreased compared to that of the wild-type mice, suggesting that the Nrf2/ teeth are susceptible to dental caries.
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| Discussion |
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Iron is critically involved in various cellular events ranging from DNA synthesis to cellular respiration (Cammack et al. 1990). Among them, the iron utilization in the rodent enamel organ illustrates one of the most interesting examples of iron usage in mammals. Iron deposited on to the enamel surface seems to contribute to the formation of acid resistance and hardness of the rodent incisors, which is advantageous for grinding the hard seeds in the environment (Halse 1974; Stein & Boyle 1959). In fact, the diminished acid resistance of iron-poor Nrf2/ teeth (Fig. 6) supports the notion that the iron deposition in the enamel surface is an important event to preserve the rodent tooth function.
In terms of the iron and calcium transport, as well as matrix and water removal, the papillary layer cells have been shown to form an intimate functional unit with the ameloblasts during early to late stages of the enamel maturation (Ohshima et al. 1998; Garant & Gillespie 1969; Skobe & Garant 1974). Importantly, transferrin receptors are found to be mainly expressed in the papillary layer cells of the enamel organ of rat incisors (Mataki et al. 1989), suggesting that the papillary layer cells uptake iron efficiently from the circulating blood. Although mechanism of the next transfer process of iron, i.e. from the papillary layer cells to ameloblasts, is not well understood at present, one plausible explanation for this is that the transferrin-bound iron from the circulating blood may be transferred to ferritin within the papillary layer cells, and subsequently the ferritin-bound iron is transferred to ameloblasts. Consistent with this contention, we observed high ferritin protein accumulation both in the ameloblasts and papillary layer cells in the wild-type enamel organ.
Ferritin serves as the transient iron reservoir in mature ameloblasts, and surprisingly the ameloblasts express ferritin mRNA most abundantly amongst rat tissues (Miyazaki et al. 1998). Ferritin is a 480-kDa intracellular protein that can store up to 4500 atoms of iron. The protein consists of heavy and light chains. The ratio of subunits within a ferritin molecule varies widely from tissue to tissue, which in turn modulates the ferritin function (Miyazaki et al. 1998). Although ferritin is expressed at equal levels both in ameloblasts and papillary layer cells in the wild-type enamel organ, the in situ analysis of ferritin heavy chain mRNA expression demonstrates that the mRNA is exclusively expressed in the ameloblasts. This observation suggests that the ferritin synthesized in the ameloblasts may be transferred to the papillary cells (Mataki et al. 1989). An alternative, and less likely, possibility is that the expression of ferritin mRNA in papillary cells might be under the detection limit of the in situ hybridization method and efficient translation compensated for the weak expression of the gene at mRNA level.
While ferritin is abundantly accumulated, iron accumulation is scarcely observed in the papillary layer cells of the wild-type mouse. This observation suggests that the iron transfer process from the papillary layer cells to ameloblasts may be very efficient in the wild-type enamel organ. We envisage that ferritin may be loaded with iron in the papillary layer cells and rapidly transferred to the ameloblasts.
An important observation is that the accumulation level of ferritin is abnormally reduced, but accumulation level of iron is abnormally increased, in the Nrf2/ papillary layer cells, suggesting that the iron transfer process is somehow disturbed in the Nrf2/ enamel organ. We envisage the following scenario to explain the observation, which is depicted schematically in Fig. 7. Since the expression levels of ferritin heavy chain mRNA and ferritin protein in the Nrf2/ ameloblasts was almost comparable to those of the wild-type ameloblasts (see Fig. 5), a translocation or recycling step of ferritin from the ameloblasts to the papillary layer cells might be affected in the Nrf2/ mice (Radisky & Kaplan 1998; Kwok & Richardson 2003). Although the translocation of ferritin from ameloblasts to papillary layer cells has not been evidenced to date, such a mechanism might be affected in Nrf2/ enamel organ most probably because of the enhanced oxidative stress in ameloblasts.
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The aberrant accumulation of iron in Nrf2/ papillary cells seems to lead the ameloblasts to premature degeneration by oxidative stress, as iron generates highly reactive oxygen species via Fenton chemistry and causes an oxidative stress to cells (Linn 1998). Upon utilization of iron therefore cells need to be equipped with an array of anti-oxidant systems to prevent its toxicity. Since Nrf2 regulates expression of the genes that protect cells from oxidative stress (Ishii et al. 2000; Itoh et al. 1999b), there is a possibility that defective expression of certain Nrf2/ARE-regulated gene(s) might be involved in the degenerative changes observed in the Nrf2/ enamel organ. For the understanding of the iron transport system that is defective in the Nrf2/ mouse, comprehensive as well as quantitative analyses of the expression of ARE-regulated genes in the enamel organ is critically important. However, we need a technical breakthrough for collecting enough amounts of mouse enamel organs for such analyses.
| Experimental procedures |
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The generation of Nrf2 gene mutant mice was previously described (Itoh et al. 1997). The incidence of decolourization phenotype was analysed by the
2-test.
Scanning electron microscopic observation and micro X-ray analysis
The murine incisors, including maxillary bones, were fixed in 100% ethanol and dehydrated by the critical point drying method. The incisors from Nrf2+/ and Nrf2/ mice were examined using a scanning electron microscope (Hitachi S-2500CX) operated at 15 kV. Micro X-ray analysis was performed to determine the chemical components of the incisors. For energy-dispersive X-ray analysis, an X-ray detector system (Kevex Quantum Delta IV) attached to a scanning electron microscope was used. The micro X-ray analysis system was operated at a 15-kV accelerating voltage and a 0.1-nA probe current, with a 20-nm probe size and a 100-s counting time. Five points on the enamel surface were selected and analysed for the amounts of calcium, phosphorus and iron. The iron concentration was detected in 1 µm depth of enamel surface.
In situ hybridization, immunohistochemistry and iron staining
Ferritin heavy chain cDNA was subcloned into the pBluescript KS+ vector and used as a template for cRNA production. DIG-11-UTP-labelled single-strand anti-sense and sense RNA probes were prepared by DIG-RNA Labeling Kit (Behringer Mannheim) according to the manufacturer's instruction. Samples were fixed with 4% paraformaldehyde with PBS overnight at 4 °C and decalcified in 10% EDTA (pH 7.4) for 2 weeks, embedded in paraffin and sectioned. In situ hybridization was performed as previously described (Shibata et al. 2000). After treatment with 0.2 N hydrochloric acid and Proteinase K (10 µg/mL), hybridization was performed with the probe (1 µg/mL) at 50 °C overnight. After extensive washing and RNase A treatment, the hybridized DIG-labelled probes were detected with alkaline phosphatase-conjugated anti-DIG antibody and 5-bromo-4-chloro-3-indolyl phosphate as the substrate, using a nucleic acid detection kit (Behringer Manheim).
Immunostaining was performed using the labelled streptavidin biotin method (LsAB method: Nichirei). Sections were immersed in 0.3% hydrogen peroxide in methanol for 30 min, and incubated with 5% normal goat serum for 30 min at room temperature. The sections were then incubated with anti-rat liver ferritin rabbit polyclonal antibody (1 : 200 v/v) in PBS at 4 °C overnight (Miyazaki et al. 1998). The slides were reacted with biotinylated goat anti-rabbit antibody for 30 min at room temperature, followed by horseradish peroxidase conjugated with streptavidin. The peroxidase activity was visualized by the 3-amino-9-ethylcarbasol substrate-chromogen system (Nichirei, Tokyo). The sections were counterstained with haematoxylin, dehydrated, and mounted. Control staining was performed with non-immune rabbit serum. Berlin blue staining was performed to detect iron deposits.
Serum iron parameters and liver iron content
Blood was obtained from abdominal aorta of anaesthetized mice and 200 µL of serum from each animal was used for analysis of iron and total iron binding capacity. These assays were performed by SRL Inc. (Tokyo) using an automatic chemical analyser (Hitachi). Non-haem iron in the liver was measured as previously described (Foy et al. 1967).
Analysis of acid resistance and Knoop hardness
Hardness test of the enamel surface was performed by using a hardness tester equipped with a Knoop penetrator. Six kg load was applied to each tooth for 10 s. To measure the acid resistance of the teeth, a 5 mm x 0.5 mm of the buccal surface of the murine incisors was exposed to 100 µL of acetate buffer (100 mM) at pH 4.0 at room temperature. The eluted calcium ion was measured by the methylxylenol blue method (Calcium E-test Wako, Wako, USA) at 5, 10, 15, 20, 30 and 40 min. The means from five independent incisors from 8 to 12-week-old mice were presented with standard errors.
| Acknowledgements |
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| Footnotes |
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* Correspondence: E-mail: masi{at}tara.tsukuba.ac.jp
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Received: 10 January 2004
Accepted: 13 April 2004
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