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<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJMM</journal-id>
<journal-title-group>
<journal-title>International Journal of Molecular Medicine</journal-title></journal-title-group>
<issn pub-type="ppub">1107-3756</issn>
<issn pub-type="epub">1791-244X</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ijmm.2012.1185</article-id>
<article-id pub-id-type="publisher-id">ijmm-31-01-0259</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Involvement of Nrf2 activation in the upregulation of S100A9 by exposure to inorganic arsenite</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>SUMI</surname><given-names>DAIGO</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>SHIMIZU</surname><given-names>YURI</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>HIMENO</surname><given-names>SEIICHIRO</given-names></name><xref ref-type="corresp" rid="c1-ijmm-31-01-0259"/></contrib>
<aff id="af1-ijmm-31-01-0259">Laboratory of Molecular Nutrition and Toxicology, Faculty of Pharmaceutical Sciences, Tokushima Bunri University, Yamashiro-cho, Tokushima 770-8514, Japan</aff></contrib-group>
<author-notes>
<corresp id="c1-ijmm-31-01-0259"><italic>Correspondence to:</italic> Dr Seiichiro Himeno, Laboratory of Molecular Nutrition and Toxicology, Faculty of Pharmaceutical Sciences, Tokushima Bunri University, Yamashiro-cho, Tokushima 770-8514, Japan, E-mail: <email>himenos@ph.bunri-u.ac.jp</email></corresp></author-notes>
<pub-date pub-type="epub">
<day>16</day>
<month>11</month>
<year>2012</year></pub-date>
<pub-date pub-type="ppub">
<month>1</month>
<year>2013</year></pub-date>
<volume>31</volume>
<issue>1</issue>
<fpage>259</fpage>
<lpage>264</lpage>
<history>
<date date-type="received">
<day>23</day>
<month>08</month>
<year>2012</year></date>
<date date-type="accepted">
<day>19</day>
<month>10</month>
<year>2012</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2013, Spandidos Publications</copyright-statement>
<copyright-year>2013</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>This study examined whether S100A8 and S100A9, which comprise a complex called calprotectin, are upregulated by exposure to sodium arsenite &#x0005B;As(III)&#x0005D; in nine lines of human-derived cells. HaCaT skin keratinocyte cells, U937 leukemic monocyte cells, and UROtsa urothelial cells showed increased mRNA levels of S100A8 and S100A9 after a 2-week exposure to As(III). To understand the mechanisms regulating S100A9 upregulation in response to As(III), we tested S100A9 promoter-dependent luciferase activity in HaCaT cells transfected with S100A9 promoter (&#x02212;1000/&#x0002B;429)-fused luciferase cDNA. The results indicated that exposure to As(III) stimulated S100A9 promoter-dependent luciferase activity. In addition, the transcription NF-E2-related factor 2 (Nrf2) was strongly activated in HaCaT cells exposed to As(III). Since two putative antioxidant response elements were found in the S100A9 promoter (ARE1, 5&#x02032;-ACAGGCAGGG-3&#x02032; from &#x02212;897 to &#x02212;887; ARE2, 5&#x02032;-ATCTTCCGGAG-3&#x02032; from &#x02212;78 to &#x02212;67), we constructed deletion mutants of each ARE on S100A9 promoter-fused luciferase cDNA. The results indicated that ARE2 is the responsible element for the activation of S100A9 transcription in response to As(III). This report is the first to demonstrate that As(III) enhanced S100A8 and S100A9 expression in human-derived cells and As(III)-induced S100A9 expression is dependent on Nrf2 activation.</p></abstract>
<kwd-group>
<kwd>arsenic</kwd>
<kwd>S100A8</kwd>
<kwd>S100A9</kwd>
<kwd>NF-E2-related factor 2</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Exposure to arsenic as an environmental pollutant is known to increase the incidence of a variety of diseases, including cancer and cardiovascular disease (<xref rid="b1-ijmm-31-01-0259" ref-type="bibr">1</xref>,<xref rid="b2-ijmm-31-01-0259" ref-type="bibr">2</xref>). At the same time, arsenic is known to disturb the functions of various types of immune cells (<xref rid="b3-ijmm-31-01-0259" ref-type="bibr">3</xref>,<xref rid="b4-ijmm-31-01-0259" ref-type="bibr">4</xref>), and this disturbance in immunological functions may play a role not only in the etiology of arsenic-associated infectious diseases, but also in cancer and cardio-vascular disease. Although the effects of arsenic exposure on the functions of T cells and macrophages have been examined (<xref rid="b4-ijmm-31-01-0259" ref-type="bibr">4</xref>,<xref rid="b5-ijmm-31-01-0259" ref-type="bibr">5</xref>), little information is available on the effects of arsenic on mast cells. We previously carried out a microarray analysis by using rat RBL-2H3 mast cells after chronic exposure to inorganic arsenite &#x0005B;As(III)&#x0005D; for 4 weeks. It was found that some S100 proteins, including S100A9, S100A10, S100A6 and S100A13, were upregulated in RBL-2H3 cells after chronic exposure to As(III). Among S100 proteins, the mRNA levels of S100A8 and S100A9 determined by real-time RT-PCR were highly upregulated following a 1- and 2-week exposure to As(III) (<xref rid="b6-ijmm-31-01-0259" ref-type="bibr">6</xref>).</p>
<p>S100A8 and S100A9, which comprise a complex called calprotectin, are highly expressed in neutrophils, monocytes and activated macrophages. Accumulating evidence has shown that S100A8 and S100A9 are strongly associated with infection, autoimmunity, cardiovascular disease, and cancer (<xref rid="b7-ijmm-31-01-0259" ref-type="bibr">7</xref>,<xref rid="b8-ijmm-31-01-0259" ref-type="bibr">8</xref>). The S100A8 and S100A9 proteins possess intracellular and extracellular functions. Intracellularly, the heterocomplex of S100A8 and A9 supports the activation of NADPH oxidase through the interaction with p67<sup>phox</sup> and Rac2, leading to the enhancement of reactive oxygen species (ROS) formation (<xref rid="b9-ijmm-31-01-0259" ref-type="bibr">9</xref>). On the other hand, the excreted calprotectin acts as a ligand for Toll-like receptor 4 (TLR4), leading to the development of autoreactive lymphocytes, and as a ligand for the receptor for advanced glycation endproducts (RAGE) (<xref rid="b10-ijmm-31-01-0259" ref-type="bibr">10</xref>,<xref rid="b11-ijmm-31-01-0259" ref-type="bibr">11</xref>), leading to the disturbance in vascular functions.</p>
<p>Transcription NF-E2-related factor 2 (Nrf2) is one of the major cellular defense mechanisms against oxidative and/or electrophilic stress (<xref rid="b12-ijmm-31-01-0259" ref-type="bibr">12</xref>). The Nrf2 recognizes the antioxidant response element (ARE) in the promoter region of the genes and regulates the basal and inducible expression of numerous antioxidant and detoxifying genes. Kumagai and Sumi (<xref rid="b14-ijmm-31-01-0259" ref-type="bibr">14</xref>) reported that arsenicals such as As(III) activate nuclear Nrf2 accumulation, leading to an upregulation of antioxidant enzymes such as heme oxygenase-1 and phase II detoxifying enzymes such as glutathione S-transferase (<xref rid="b13-ijmm-31-01-0259" ref-type="bibr">13</xref>). However, whether Nrf2 is involved in trans-activation of the S100A8 and S100A9 genes has not been investigated.</p>
<p>In this study, we found that S100A8 and S100A9 expression are upregulated after exposure to As(III) in skin keratinocyte HaCaT cells, leukemic monocyte U937 cells, and bladder urothelial UROtsa cells. In addition, the results of a study using the S100A9 promoter-dependent luciferase showed that S100A9 upregulation is dependent on the activation of Nrf2.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Materials</title>
<p>Sodium arsenite (90&#x00025; purity) was purchased from Wako Pure Chemicals (Osaka, Japan). Antibody for Nrf2 was purchased from Santa Cruz Biotechnology, Inc. (Santa Cruz, CA, USA), and anti-&#x003B2;-actin was purchased from Cell Signaling Technology (Beverly, MA, USA). Anti-S100A8 antibody was purchased from Acris Antibodies GmbH (Herford, Germany). Anti-S100A9 antibody was purchased from Novus Biologicals (Littleton, CO, USA). All other reagents and chemicals used were of the highest grade available.</p></sec>
<sec>
<title>Cell culture</title>
<p>Human skin keratinocyte HaCaT cells were obtained from Dr Norbert E. Fusenig (<xref rid="b15-ijmm-31-01-0259" ref-type="bibr">15</xref>). Human leukemic monocyte U937 cells were purchased from American Type Culture Collection (Manassas, VA, USA). Human urothelial UROtsa cells were obtained from Dr Mary Ann Sens (<xref rid="b16-ijmm-31-01-0259" ref-type="bibr">16</xref>). HaCaT and UROtsa cells were cultured at 37&#x000B0;C in a humidified atmosphere of 5&#x00025; CO<sub>2</sub> using Dulbecco&#x02019;s modified Eagle&#x02019;s medium (DMEM) containing 10&#x00025; fetal calf serum, penicillin (100 U/ml) and streptomycin (100 &#x003BC;g/ml). U937 cells were cultured at 37&#x000B0;C in a humidified atmosphere of 5&#x00025; CO<sub>2</sub> using RPMI-1640 (all were from Wako Pure Chemicals) containing 10&#x00025; fetal calf serum, penicillin (100 U/ml) and streptomycin (100 &#x003BC;g/ml).</p></sec>
<sec>
<title>Semi-quantitative reverse transcription-polymerase chain reaction (RT-PCR)</title>
<p>Total RNA was isolated from cells using Isogen reagents (Wako Pure Chemicals). A reaction mixture (20 &#x003BC;l) containing RT buffer (Fermentas, Burlington, ON, Canada), dNTPs, oligo(dT)15 primer, RNase inhibitor (Toyobo, Osaka, Japan), M-MuLV Reverse Transcriptase (Fermentas), and 1 &#x003BC;g of total RNA was incubated at 37&#x000B0;C for 90 min followed by inactivation of the enzyme at 65&#x000B0;C for 5 min. For the PCR amplification of cDNA, a 25 &#x003BC;l mixture containing Premix Taq (Takara Bio, Inc., Shiga, Japan), 2 &#x003BC;l cDNA, and the specific PCR primers was prepared. The primer sequences are given in <xref rid="tI-ijmm-31-01-0259" ref-type="table">Table I</xref>. The PCR reactions were carried out as follows: for S100A8 and S100A9, 1 cycle of 94&#x000B0;C for 5 min, followed by 27 cycles of 94&#x000B0;C for 30 sec, 58&#x000B0;C for 30 sec, and 72&#x000B0;C for 1 min, and a final cycle at 72&#x000B0;C for 7 min; for &#x003B2;-actin, 1 cycle of 94&#x000B0;C for 5 min, followed by 35 cycles of 94&#x000B0;C for 30 sec, 55&#x000B0;C for 30 sec, and 72&#x000B0;C for 1 min, and a final cycle of 72&#x000B0;C for 7 min. The amplified products were resolved by 2&#x00025; agarose gel electrophoresis.</p></sec>
<sec>
<title>Western blotting</title>
<p>The total cell lysates were used for western blotting of the proteins. Samples for each analysis were separated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE). Gels were transferred to an Immun-Blot PVDF membrane and then placed in a blocking solution consisting of TBST &#x0005B;10 mM Tris (pH 8.0), 150 mM NaCl, and 0.05&#x00025; Tween-20&#x0005D; and 5&#x00025; skim milk for 1 h. The blotted membranes were incubated with the appropriate antibody, washed with TBST, and incubated with HRP-conjugated secondary antibody. The bound IgG was visualized with Western Blotting Detection Reagents (Thermo Scientific, Rockford, IL, USA) according to the manufacturer&#x02019;s protocol.</p></sec>
<sec>
<title>Plasmid construction for the S100A9 promoter (&#x02212;1000/&#x0002B;429)- luciferase</title>
<p>Genomic DNA from HaCaT cells was prepared with a Wizard Genome DNA purification kit (Promega, Madison, WI, USA). For the PCR amplification of the S100A9 promoter region (&#x02212;1000/&#x0002B;429), a 50 &#x003BC;l mixture containing PrimeSTAR&#x02122; Max DNA Polymerase (Takara Bio, Inc.), 200 pg genomic DNA, and the PCR primers 5&#x02032;-AT<underline>GGTACC</underline> ATCACTGTGGAGTAGGGGAAGGGCACT-3&#x02032; and 5&#x02032;-GG<underline>A GATCT</underline>CGTCTTGCACTCTGTCTGTGTAATGGA-3&#x02032; (underlined letters indicate the recognition site for the restriction enzymes <italic>Kpn</italic>I and <italic>Bgl</italic>II, respectively) was prepared. The PCR reaction consisted of 35 cycles of 98&#x000B0;C for 10 sec, 55&#x000B0;C for 5 sec, and 72&#x000B0;C for 10 sec. Amplified cDNA was cloned using a StrataClone Blunt PCR cloning kit (Agilent Technologies, Palo Alto, CA, USA). The sequenced cDNA of the S100A9 promoter was subcloned into pGL3-Basic (Promega).</p></sec>
<sec>
<title>Truncation of two ARE sites on the S100A9 promoter to construct &#x00394;ARE1 and &#x00394;ARE2</title>
<p>To construct deletion mutants of each ARE site on the S100A9 promoter on pGL3-Basic (&#x00394;ARE1 and &#x00394;ARE2), PCR was carried out with the following primers: for &#x00394;ARE1, 5&#x02032;-GAAGCTGGCCGGACGCCATTC CAAGAGG-3&#x02032; and 5&#x02032;-CCTCTTGGAATGGCGTCCGGCCA GCTTC-3&#x02032;; and for &#x00394;ARE2, 5&#x02032;-ACTGCTCACCTGTGAA GAAGCAATAGACAGGGCCA-3&#x02032; and 5&#x02032;-TGGCCCTGTCTA TTGCTTCACAGGTGAGCAGT-3&#x02032;. The deletion mutants were amplified with a QuickChange II Site-Directed Mutagenesis kit (Agilent Technologies) according to the manufacturer&#x02019;s protocol.</p></sec>
<sec>
<title>Transient transfection and luciferase assay</title>
<p>HaCaT cells (1.0&#x000D7;10<sup>5</sup>) were seeded in 12-well plates. Transfection was performed with Lipofectamine 2000 (Invitrogen, Carlsbad, CA, USA) according to the manufacturer&#x02019;s instructions. HaCaT cells were transfected with 1.6 &#x003BC;g S100A9 promoter-luciferase cDNA and 0.16 &#x003BC;g pRL-TK for 24 h. Following exposure to As(III), HaCaT cells were washed with PBS and lysed with Passive Lysis Buffer (Promega). Luciferase activities in the cellular extracts were measured with a Dual-Luciferase Reporter Assay System (Promega). <italic>Renilla reniformis</italic>-derived luciferase activity was used for the correction of transfection efficiency.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Data were obtained from three separate experiments. The values are shown as the means &#x000B1; SD. Statistical significance was assessed with Student&#x02019;s t-test. Differences between groups were considered statistically significant at P&lt;0.05.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Effects of inorganic arsenite on S100A8 and S100A9 expression in nine lines of human-derived cells</title>
<p>We previously showed that expression of S100A8 and S100A9 is upregulated by chronic exposure to As(III) in rat RBL-2H3 cells (<xref rid="b6-ijmm-31-01-0259" ref-type="bibr">6</xref>). In the present study, we first examined whether As(III) also induces S100A8 and S100A9 expression in other human-derived cell lines, including lung epithelial A549 cells, kidney carcinoma Caki-2 cells, immortalized skin keratinocytic HaCaT cells, embryonic kidney HEK293 cells, liver carcinoma HepG2 cells, immortalized T lymphocyte Jurkat cells, normal human epidermal keratinocytes (NHEK), leukemic monocyte lymphoma U937 cells, and immortalized bladder urothelial UROtsa cells. These cells were exposed to 0.3 and 1.0 &#x003BC;M As(III) for 1 and 2 weeks. Increased levels of S100A8 and S100A9 mRNA were observed in HaCaT (<xref rid="f1-ijmm-31-01-0259" ref-type="fig">Fig. 1A</xref>), UROtsa (<xref rid="f1-ijmm-31-01-0259" ref-type="fig">Fig. 1B</xref>) and U937 cells (<xref rid="f1-ijmm-31-01-0259" ref-type="fig">Fig. 1C</xref>), but not in the other cell types. Since HaCaT cells showed a marked increase in mRNA levels of S100A8 and S100A9 after a 1-week exposure to As(III), we used HaCaT cells in the subsequent experiments. We next examined whether exposure of HaCaT cells to As(III) for 1, 3, 5 and 7 days induces S100A8 and S100A9 expression. The results showed that increased levels of S100A8 and S100A9 mRNA and protein were observed 3, 5 and 7 days after exposure to As(III) (<xref rid="f2-ijmm-31-01-0259" ref-type="fig">Fig. 2</xref>).</p></sec>
<sec>
<title>Inorganic arsenite enhances the S100A9 promoter activity in HaCaT cells</title>
<p>The expression of S100A8 and S100A9 genes could be regulated in either harmonized or independent ways. Some studies have suggested a more important role of S100A9 than S100A8 (<xref rid="b17-ijmm-31-01-0259" ref-type="bibr">17</xref>,<xref rid="b18-ijmm-31-01-0259" ref-type="bibr">18</xref>), and <italic>cis</italic>-elements for trans-activation on the human S100A9 gene have been well documented (<xref rid="b19-ijmm-31-01-0259" ref-type="bibr">19</xref>,<xref rid="b20-ijmm-31-01-0259" ref-type="bibr">20</xref>). Thus, we focused on the mechanisms underlying S100A9 trans-activation in HaCaT cells exposed to As(III). To investigate whether As(III) activates transcription of the S100A9 gene in HaCaT cells, we measured the activity of luciferase in HaCaT cells transfected with the cDNA of the S100A9 promoter (&#x02212;1000/&#x0002B;429)-fused to luciferase. As(III) significantly enhanced S100A9 promoter-dependent luciferase activity (<xref rid="f3-ijmm-31-01-0259" ref-type="fig">Fig. 3A</xref>). Since the transcription factor Nrf2 is known to be activated by exposure to As(III), we examined Nrf2 accumulation after exposure of HaCaT cells to As(III). Nrf2 accumulation was detected after exposure to 0.3 and 1.0 &#x003BC;M As(III) for 3 days (<xref rid="f3-ijmm-31-01-0259" ref-type="fig">Fig. 3B</xref>), and 1.0 &#x003BC;M As(III) for the indicated number of days (<xref rid="f3-ijmm-31-01-0259" ref-type="fig">Fig. 3C</xref>).</p></sec>
<sec>
<title>Nrf2 activation by inorganic arsenite enhances the S100A9 expression in HaCaT cells</title>
<p>We found that two AREs, 5&#x02032;-AC<underline>AGGCAGG</underline>G-3&#x02032; from &#x02212;897 to &#x02212;887 (ARE1) and 5&#x02032;-AT<underline>CTTCCGG</underline>AG-3&#x02032; from &#x02212;78 to &#x02212;67 (ARE2), were present in the S100A9 promoter region from &#x02212;1,000 to &#x0002B;429. To examine the direct correlation between Nrf2 activation and S100A9 promoter activation in response to As(III), the underlined nucleotides from each ARE region were deleted from the S100A9 promoter (&#x02212;1,000/&#x0002B;429)-fused luciferase cDNA to construct &#x00394;ARE1 and &#x00394;ARE2. The deletion of ARE1 did not affect the activation of the S100A9 promoter in response to As(III) (<xref rid="f4-ijmm-31-01-0259" ref-type="fig">Fig. 4</xref>). However, HaCaT cells transfected with the ARE2-deleted S100A9 promoter-fused luciferase cDNA showed a significant reduction in As(III)-induced S100A9 promoter activation as compared with cells transfected with the native S100A9 promoter. These results suggest that Nrf2 activation is involved in the stimulation of S100A9 promoter activity and the ARE2 region is responsible for activation of the S100A9 promoter in response to As(III).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>We previously showed that S100A8 and S100A9 are upregulated in rat RBL-2H3 mast cells after chronic exposure to As(III) (<xref rid="b6-ijmm-31-01-0259" ref-type="bibr">6</xref>). To test whether this induction is restricted to RBL-2H3 cells, nine human-derived cell lines were exposed to As(III). We found that HaCaT, UROtsa and U937 cells have the ability to increase the levels of S100A8 and S100A9 mRNAs upon exposure to As(III) (<xref rid="f1-ijmm-31-01-0259" ref-type="fig">Fig. 1</xref>). This result suggests that the induction of S100A8 and S100A9 expression by As(III) exposure may have a significant role in some of the target cells of arsenic toxicity. Since the keratinocyte-derived HaCaT cells showed a marked increase in mRNA levels of S100A8 and S100A9 after a 1-week exposure to As(III), we used HaCaT cells in the subsequent experiments on trans-activation.</p>
<p>Although the functions of the hetero-dimerized form of S100A8 and S100A9 have been well documented, recent findings have shown that S100A9 rather than S100A8 appears to have a predominant role in immunological responses and inflammation. Indeed, the differentiation of dendritic cells and macrophages was inhibited in S100A9 transgenic mice (<xref rid="b17-ijmm-31-01-0259" ref-type="bibr">17</xref>), and anti-S100A9 antibody but not anti-S100A8 antibody reduced trans-endothelial migration of monocytes (<xref rid="b18-ijmm-31-01-0259" ref-type="bibr">18</xref>). Thus, we examined the mechanisms underlying S100A9 trans-activation in HaCaT cells exposed to As(III).</p>
<p>It has been reported that exposure to As(III) and inorganic arsenate &#x0005B;As(V)&#x0005D; caused Nrf2 activation and subsequent upregulation of downstream proteins in MC-3T3E osteoblast and HaCaT cells (<xref rid="b13-ijmm-31-01-0259" ref-type="bibr">13</xref>,<xref rid="b21-ijmm-31-01-0259" ref-type="bibr">21</xref>). Not only inorganic arsenicals, but also organic arsenicals such as monomethylarsonous acid caused Nrf2 activation in RAW264.7 and UROtsa cells (<xref rid="b14-ijmm-31-01-0259" ref-type="bibr">14</xref>,<xref rid="b22-ijmm-31-01-0259" ref-type="bibr">22</xref>). In Nrf2-deficient cells, the adaptive response to arsenicals was profoundly impaired, leading to the augmentation of arsenic-induced cytotoxicity and oxidative stress (<xref rid="b14-ijmm-31-01-0259" ref-type="bibr">14</xref>,<xref rid="b23-ijmm-31-01-0259" ref-type="bibr">23</xref>). However, the role of Nrf2 in the expression of S100A8 and S100A9 has not been investigated. Therefore, we explored the involvement of Nrf2 in the activation of the S100A9 gene by exposure to As(III). As a result, Nrf2 activation was detected by accumulation of Nrf2 protein in HaCaT cells exposed to As(III) (<xref rid="f3-ijmm-31-01-0259" ref-type="fig">Fig. 3B and C</xref>). In addition, we found two putative ARE sites (ARE1 and ARE2) for the binding of Nrf2 in the promoter region of the human S100A9 gene. The experiments using ARE deletion mutants showed that ARE2 is the responsive site for As(III)-induced promoter activation of the S100A9 gene (<xref rid="f4-ijmm-31-01-0259" ref-type="fig">Fig. 4</xref>). These results are the first to demonstrate that the induction of S100A9 expression by exposure to As(III) is dependent on the ARE2 region in the S100A9 gene with concomitant activation of Nrf2.</p>
<p>It has been reported that the C/EBP and NF-&#x003BA;B binding sites are the putative <italic>cis</italic>-elements for trans-activation on the human S100A9 gene (<xref rid="b20-ijmm-31-01-0259" ref-type="bibr">20</xref>). These two elements may also be involved in As(III)-induced trans-activation. Lin <italic>et al</italic> (<xref rid="b24-ijmm-31-01-0259" ref-type="bibr">24</xref>) reported that exposure of HaCaT cells to As(III) enhanced the expression of RTP801, which is currently known as a DNA-damage-inducible transcript 4, through the activation of C/EBP&#x003B2;. On the other hand, NF-&#x003BA;B activation has been reported in aortic endothelial cells exposed to As(III) (<xref rid="b25-ijmm-31-01-0259" ref-type="bibr">25</xref>,<xref rid="b26-ijmm-31-01-0259" ref-type="bibr">26</xref>). Since our data showed that the ARE2 deletion does not completely block the induction of S100A9-dependent promoter activity by As(III) exposure, C/EBP and/or NF-&#x003BA;B in addition to Nrf2 might also be involved in the As(III)-induced S100A9 transcription. A study with human mature monocytic Mono Mac 6 cells, which exhibit high S100A9 expression under steady-state conditions (<xref rid="b20-ijmm-31-01-0259" ref-type="bibr">20</xref>), showed that expression of S100A9 was dependent on the two regions in the promoter of the S100A9 gene, from 153 to 361 (first intron) and from &#x02212;400 to &#x02212;374 (promoter region). Additionally, the Kruppel-related zinc finger protein and the transcriptional intermediary factor 1&#x003B2; (TIF1&#x003B2;) were shown to bind to the region from &#x02212;400 to &#x02212;374 in the promoter of the S100A9 gene, resulting in the upregulation of S100A9 expression (<xref rid="b19-ijmm-31-01-0259" ref-type="bibr">19</xref>,<xref rid="b20-ijmm-31-01-0259" ref-type="bibr">20</xref>). Further studies are required to clarify whether the Kruppel-related zinc finger protein and TIF1&#x003B2; are activated by As(III) in HaCaT cells.</p>
<p>Exposure of HaCaT cells to As(III) also increased mRNA and protein levels of S100A8 (<xref rid="f1-ijmm-31-01-0259" ref-type="fig">Figs. 1</xref> and <xref rid="f2-ijmm-31-01-0259" ref-type="fig">2</xref>). Xu <italic>et al</italic> (<xref rid="b27-ijmm-31-01-0259" ref-type="bibr">27</xref>) showed that the 178-bp region of the S100A8 promoter is responsible for the lipopolysaccharide-induced increase in S100A8 mRNA in macrophages. Kuwayama <italic>et al</italic> (<xref rid="b28-ijmm-31-01-0259" ref-type="bibr">28</xref>) revealed that the 426-bp region of the S100A8 promoter is essential for the S100A8 induction in differentiated leukemia cells. However, based on our database searches, there have been no previous reports of ARE sites in the essential S100A8 promoter. This suggests that a <italic>trans</italic>-activator other than Nrf2 is responsible for the S100A8 induction in HaCaT cells exposed to As(III), although further studies will be needed to examine whether Nrf2 is implicated in As(III)-induced S100A8 upregulation.</p>
<p>Kerkhoff <italic>et al</italic> (<xref rid="b9-ijmm-31-01-0259" ref-type="bibr">9</xref>) revealed that S100A8 and S100A9 interact with p67<sup>phox</sup> and Rac2, the components of NADPH oxidase, resulting in an activation of NADPH oxidase activity. Several lines of evidence have indicated that arsenicals are capable of generating ROS via the activation of NADPH oxidase (<xref rid="b29-ijmm-31-01-0259" ref-type="bibr">29</xref>,<xref rid="b30-ijmm-31-01-0259" ref-type="bibr">30</xref>). Benedyk <italic>et al</italic> (<xref rid="b31-ijmm-31-01-0259" ref-type="bibr">31</xref>) reported that the HaCaT cells in which S100A8 and S100A9 are overexpressed showed increased NADPH oxidase activity, resulting in an enhanced ROS production. Taken together with these previous findings, our present results raise the possibility that the induction of S100A8 and S100A9 expression may be involved, at least partly, in ROS production through the activation of NADPH oxidase in response to As(III).</p>
<p>The current study is the first to demonstrate that As(III) enhanced S100A8 and S100A9 expression in several lines of human-derived cells and that As(III)-induced S100A9 expression is dependent on Nrf2 activation. Since S100A8/S100A9 is reported to be associated with tumor development and cardio-vascular diseases, the upregulation of S100A8/S100A9 upon exposure to As(III) may play a significant role in the development of the adverse effects of arsenic.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>This study was supported by a grant-in-aid for Scientific Research from the Ministry of Education, Science, Culture, and Sports of Japan (no. 24310048 to D.S. and no. 22390127 to S.H.).</p></ack>
<glossary>
<title>Abbreviations</title>
<def-list>
<def-item>
<term id="G1">As(III)</term>
<def>
<p>inorganic arsenite</p></def></def-item>
<def-item>
<term id="G2">Nrf2</term>
<def>
<p>NF-E2-related factor 2</p></def></def-item></def-list></glossary>
<ref-list>
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<floats-group>
<fig id="f1-ijmm-31-01-0259" position="float">
<label>Figure 1</label>
<caption>
<p>The levels of S100A8 and S100A9 in HaCaT, UROtsa and U937 cells after chronic exposure to As(III). (A) HaCaT cells, (B) UROtsa cells and (C) U937 cells were exposed to 0.3 and 1.0 &#x003BC;M As(III) for 1 and 2 weeks. S100A8 and S100A9 mRNA levels were determined by semi-quantitative RT-PCR. &#x003B2;-actin was detected as a loading control. Data are shown with duplicate samples. Representative data from three individual determinations are shown.</p></caption>
<graphic xlink:href="IJMM-31-01-0259-g00.gif"/></fig>
<fig id="f2-ijmm-31-01-0259" position="float">
<label>Figure 2</label>
<caption>
<p>The levels of S100A8 and S100A9 in HaCaT cells after acute exposure to As(III). HaCaT cells were exposed to 1.0 &#x003BC;M As(III) for the indicated number of days. (A) S100A8 and S100A9 mRNA levels were determined by semi-quantitative RT-PCR. &#x003B2;-actin was detected as a loading control. Data are shown with duplicate samples. Representative data from three individual determinations are shown. (B) Western blot analyses were performed for S100A8 and S100A9. Representative data from three individual determinations are shown.</p></caption>
<graphic xlink:href="IJMM-31-01-0259-g01.gif"/></fig>
<fig id="f3-ijmm-31-01-0259" position="float">
<label>Figure 3</label>
<caption>
<p>Effect of As(III) on the S100A9 promoter-dependent luciferase activity and Nrf2 activation. (A) S100A9 promoter (&#x02212;1000/&#x0002B;429)-fused luciferase cDNA was transfected into HaCaT cells. At 24 h after transfection, cells were exposed to the indicated concentrations of As(III) for 48 h. S100A9 promoter-dependent luciferase activities were determined and were plotted as fold activation over the individual luciferase activity in the absence of As(III). Each value represents the mean &#x000B1; SD of three individual determinations. <sup>&#x0002A;</sup>P&lt;0.05, <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 vs. control. (B) HaCaT cells were exposed to 0.3 and 1.0 &#x003BC;M As(III) for 3 days. (C) HaCaT cells were exposed to 1.0 &#x003BC;M As(III) for the indicated number of days. Western blot analysis was performed for Nrf2. Representative data from three individual determinations are shown.</p></caption>
<graphic xlink:href="IJMM-31-01-0259-g02.gif"/></fig>
<fig id="f4-ijmm-31-01-0259" position="float">
<label>Figure 4</label>
<caption>
<p>Effect of deletion of ARE on the activation of S100A9 promoter-dependent luciferase activity in response to As(III). The native S100A9 promoter (&#x02212;1000/&#x0002B;429), ARE1 region-deleted S100A9 promoter (&#x00394;ARE1), and ARE2 region-deleted S100A9 promoter (&#x00394;ARE2)-dependent luciferase cDNA was transfected into HaCaT cells. At 24 h after transfection, cells were exposed to the indicated concentrations of As(III) for 48 h. S100A9 promoter-dependent luciferase activities were determined and were plotted as fold activation over the individual luciferase activity in the absence of As(III). Each value represents the mean &#x000B1; SD of three individual determinations. <sup>&#x0002A;</sup>P&lt;0.05 vs. cells transfected with the native S100A9 promoter (&#x02212;1000/&#x0002B;429) exposed to As(III) 0.3 &#x003BC;M, <sup>&#x00023;</sup>P&lt;0.05 vs. cells transfected with the native S100A9 promoter (&#x02212;1000/&#x0002B;429) exposed to As(III) 1.0 &#x003BC;M.</p></caption>
<graphic xlink:href="IJMM-31-01-0259-g03.gif"/></fig>
<table-wrap id="tI-ijmm-31-01-0259" position="float">
<label>Table I</label>
<caption>
<p>Primer sequences.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Gene name</th>
<th align="center" valign="top">Sequence</th>
<th align="center" valign="top">Size (bp)</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top">S100A8</td>
<td align="left" valign="top">F: 5&#x02032;-TGTCAGCCTGCTTTCAGAAG-3&#x02032;</td>
<td align="center" valign="top">286</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">R: 5&#x02032;-ACGCCCATCTTTATCACCAG-3&#x02032;</td>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">S100A9</td>
<td align="left" valign="top">F: 5&#x02032;-GGGAATTCAAAGAGCTGGTG-3&#x02032;</td>
<td align="center" valign="top">267</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">R: 5&#x02032;-CACTGTGATCTTGGCCACTG-3&#x02032;</td>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">&#x003B2;-actin</td>
<td align="left" valign="top">F: 5&#x02032;-CATGGATGACGATATCGCT-3&#x02032;</td>
<td align="center" valign="top">571</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">R: 5&#x02032;-CATGAGGTAGTCTGTCAGGT-3&#x02032;</td>
<td align="center" valign="top"/></tr></tbody></table>
<table-wrap-foot><fn id="tfn1-ijmm-31-01-0259">
<p>F, forward; R, reverse.</p></fn></table-wrap-foot></table-wrap></floats-group></article>
