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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.2017.3184</article-id>
<article-id pub-id-type="publisher-id">ijmm-40-06-2011</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Transformation of liver cells by 3-methylcholanthrene potentiates oxidative stress via the downregulation of glutathione synthesis</article-title></title-group>
<contrib-group>
<contrib contrib-type="author" equal-contrib="yes">
<name><surname>Kim</surname><given-names>Sou Hyun</given-names></name><xref rid="af1-ijmm-40-06-2011" ref-type="aff">1</xref><xref rid="fn1-ijmm-40-06-2011" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author" equal-contrib="yes">
<name><surname>Yoon</surname><given-names>Dahye</given-names></name><xref rid="af2-ijmm-40-06-2011" ref-type="aff">2</xref><xref rid="fn1-ijmm-40-06-2011" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>Lee</surname><given-names>Yun-Hee</given-names></name><xref rid="af3-ijmm-40-06-2011" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>Lee</surname><given-names>Jaewon</given-names></name><xref rid="af1-ijmm-40-06-2011" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Kim</surname><given-names>Nam Deuk</given-names></name><xref rid="af1-ijmm-40-06-2011" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Kim</surname><given-names>Suhkmann</given-names></name><xref rid="af2-ijmm-40-06-2011" ref-type="aff">2</xref><xref ref-type="corresp" rid="c2-ijmm-40-06-2011"/></contrib>
<contrib contrib-type="author">
<name><surname>Jung</surname><given-names>Young-Suk</given-names></name><xref rid="af1-ijmm-40-06-2011" ref-type="aff">1</xref><xref ref-type="corresp" rid="c1-ijmm-40-06-2011"/></contrib></contrib-group>
<aff id="af1-ijmm-40-06-2011">
<label>1</label>College of Pharmacy, Pusan National University</aff>
<aff id="af2-ijmm-40-06-2011">
<label>2</label>Department of Chemistry, Center for Proteome Biophysics and Chemistry Institute for Functional Materials, Pusan National University, Busan 46241</aff>
<aff id="af3-ijmm-40-06-2011">
<label>3</label>College of Pharmacy, Yonsei University, Incheon 21983, Republic of Korea</aff>
<author-notes>
<corresp id="c1-ijmm-40-06-2011">Correspondence to: Professor Young-Suk Jung, College of Pharmacy, Pusan National University, Busandaehag-ro, 63 Beon-gil 2, Geumjeong-gu, Busan 46241, Republic of Korea, E-mail: <email>youngjung@pusan.ac.kr</email></corresp>
<corresp id="c2-ijmm-40-06-2011">Professor Suhkmann Kim, Department of Chemistry, Center for Proteome Biophysics and Chemistry Institute for Functional Materials, Pusan National University, Busandaehag-ro, 63 Beon-gil 2, Geumjeong-gu, Busan 46241, Republic of Korea, E-mail: <email>suhkmann@pusan.ac.kr</email></corresp><fn id="fn1-ijmm-40-06-2011">
<label>&#x0002A;</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>12</month>
<year>2017</year></pub-date>
<pub-date pub-type="epub">
<day>11</day>
<month>10</month>
<year>2017</year></pub-date>
<volume>40</volume>
<issue>6</issue>
<fpage>2011</fpage>
<lpage>2017</lpage>
<history>
<date date-type="received">
<day>20</day>
<month>03</month>
<year>2017</year></date>
<date date-type="accepted">
<day>06</day>
<month>10</month>
<year>2017</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2017, Spandidos Publications</copyright-statement>
<copyright-year>2017</copyright-year></permissions>
<abstract>
<p>Polycyclic aromatic hydrocarbons (PAHs) are widespread contaminants resulting from the incomplete combustion of organic materials in the environment. The primary concern for the hazardous effect of PAHs is their ability to activate the pathway linked to the aryl hydrocarbon receptor (AhR) and lead to carcinogenesis. While previous research has demonstrated that oxidative stress plays a key role in the AhR-dependent toxic response, the effect of PAHs on the biosynthesis of glutathione (GSH), which is a powerful endogenous antioxidant, has not been extensively investigated. In the present study, we utilized a global metabolomic approach, via high resolution magic angle spinning nuclear magnetic resonance spectroscopy, and identified significant metabolome differences between non-tumorigenic liver cells (BNL CL.2; CL2) and transformed liver cells (BNL 1MEA. 7R.1; 1MEA) chronically exposed to 3-methylcholanthrene (3MC), a well-known carcinogenic PAH. A significant change that was observed, was a lower GSH level in 1MEA cells compared with that in CL2 cells. This was contrasted by increased levels of precursor metabolites for GSH synthesis, such as <italic>S</italic>-adenosylmethionine and cysteine. These changes were accompanied by a significantly reduced expression of &#x003B3;-glutamylcysteine ligase (GCL), known to be the rate-limiting step of GSH synthesis. Furthermore, the protein level of cysteine dioxygenase was downregulated; however, the concentration of taurine was unaltered. Therefore, the present study demonstrated that cells transformed by chronic exposure to 3MC exhibited inhibition of GSH biosynthesis by suppression of GCL protein expression and reduction of cysteine availability, which may subsequently render cells vulnerable to oxidative stress.</p></abstract>
<kwd-group>
<kwd>polycyclic aromatic hydrocarbon</kwd>
<kwd>3-methylcholanthrene</kwd>
<kwd>oxidative stress</kwd>
<kwd>glutathione</kwd>
<kwd>metabolomics</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Polycyclic aromatic hydrocarbons (PAHs) are well-known air pollutants released from the incomplete combustion of wood, coal, diesel, fat and tobacco from natural as well as anthropogenic sources (<xref ref-type="bibr" rid="b1-ijmm-40-06-2011">1</xref>,<xref ref-type="bibr" rid="b2-ijmm-40-06-2011">2</xref>). Long-term exposure to these chemicals has toxic effects on humans and animals, including developmental changes, abnormal immune response and carcinogenesis (<xref ref-type="bibr" rid="b3-ijmm-40-06-2011">3</xref>&#x02013;<xref ref-type="bibr" rid="b6-ijmm-40-06-2011">6</xref>). The main mechanism responsible for the toxicity of PAHs is considered to be their ability to activate the aryl hydrocarbon receptor (AhR)-mediated pathway (<xref ref-type="bibr" rid="b7-ijmm-40-06-2011">7</xref>). Dimerization of the PAHs/AhR complex with the AhR nuclear translocator causes it to bind to its cognate DNA-binding site, the xenobiotic response element, which leads to the transcriptional activation of xenobiotic-metabolizing enzymes (XMEs) such as cytochrome P450 (CYP), epoxide hydrolase (EH), glutathione S-transferase, UDP-glucuronosyltransferase, sulfotransferase, NAD(P)H quinone oxidoreductase, and aldo-keto reductase (<xref ref-type="bibr" rid="b8-ijmm-40-06-2011">8</xref>,<xref ref-type="bibr" rid="b9-ijmm-40-06-2011">9</xref>). Activated XMEs play a major role, not only in the detoxification of PAHs, but also in the conversion of PAHs into active metabolites. For example, the CYP1A1 and 1B1 enzymes, in cooperation with EH, play major roles in activating PAHs to highly reactive diol-epoxides that are considered to be carcinogenic metabolites (<xref ref-type="bibr" rid="b10-ijmm-40-06-2011">10</xref>).</p>
<p>Exposure to xenobiotics, including PAHs, may produce reactive metabolites and cause imbalance between endogenous and exogenous oxidants. This may subsequently induce a decrease in antioxidant defenses and allow oxidative tissue damage. It has been previously reported that the blood level of phenanthrene, an aromatic hydrocarbon, is positively correlated with blood malondialdehyde levels in human samples (<xref ref-type="bibr" rid="b11-ijmm-40-06-2011">11</xref>). Moreover, exposure of zebrafish to PAHs induced oxidative stress involved in the regulation of Nrf2 (<xref ref-type="bibr" rid="b12-ijmm-40-06-2011">12</xref>). In lymphoma cells, PAHs depleted intracellular levels of glutathione (GSH), contributing to cell injury (<xref ref-type="bibr" rid="b13-ijmm-40-06-2011">13</xref>). Moreover, chronic exposure to benzo(a)pyrene produced reactive oxygen species, which was accompanied by caspase-3 activation and apoptotic cell death (<xref ref-type="bibr" rid="b14-ijmm-40-06-2011">14</xref>). Taken together, the findings of those studies suggest that the toxic effect of PAHs likely occurs through the oxidative stress pathway.</p>
<p>In the present study, metabolite profiling by global metabolomics revealed that cells chronically exposed to 3-methylcholanthrene (3MC) have low concentrations of GSH, which is a powerful endogenous antioxidant. While previous studies have demonstrated that oxidative stress plays a critical role in the AhR-dependent toxic response, the effect of PAHs on GSH biosynthesis has not been extensively investigated. GSH is a tripeptide synthesized as the final product in the transsulfuration pathway. GSH is the most abundant molecule among endogenous antioxidants and it plays a central role in sulfhydryl homeostasis, acting as a major cellular antioxidant. The concentration of GSH in cells is tightly regulated by <italic>de novo</italic> synthesis, utilization and export. However, it has been demonstrated that intracellular GSH decreases under conditions of oxidative stress, or through generation of reactive metabolites from xenobiotics (<xref ref-type="bibr" rid="b15-ijmm-40-06-2011">15</xref>). Reduced levels of GSH are also observed in various pathophysiological conditions, such as sepsis, acute Wilson's disease, and inherited deficiencies in GSH synthesis (<xref ref-type="bibr" rid="b15-ijmm-40-06-2011">15</xref>,<xref ref-type="bibr" rid="b16-ijmm-40-06-2011">16</xref>).</p>
<p>The objective of the present study was to determine the effect of chronic exposure to 3MC, a major PAH, on the transsulfuration pathway using targeted metabolomics analysis, aiming to provide novel insights into the mechanism through which 3MC affects intracellular GSH levels and renders cells vulnerable to a second insult of oxidative stress.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Reagents and antibodies</title>
<p>3MC, 3-(4,5-dimethylthiazol)-2,5-di-phenyltetrazolium bromide (MTT), <italic>S</italic>-adenosylmethionine (SAM), <italic>S</italic>-adenosylhomocysteine (SAH), L-amino acids analytical standard, hypotaurine, taurine, <italic>o</italic>-phthaldiadehyde, 7-benzo-2-oxa-1,3-diazole-4-sulfonic acid (SBD-F), tris(2-carboxyethyl)phosphine hydrochloride (TCEP), N-(2-mercaptopropionyl)glycine (MPG), GSH, tert-butyl hydroperoxide (<italic>t</italic>-BHP) and crystal violet were purchased from Sigma Aldrich; Merck KGaA (St. Louis, MO, USA). Anti-cysteine dioxygenase (CDO) antibody was obtained from Abcam (Cambridge, MA, USA). Anti-&#x003B3;-glutamylcysteine ligase catalytic subunit (GCL) antibody and anti-glyceraldehyde 3-phosphate dehydrogenase (GAPDH) antibody were purchased from Santa Cruz Biotechnology, Inc. (Santa Cruz, CA, USA). Peroxidase-conjugated antibodies against mouse or rabbit IgG were obtained from Thermo Fisher Scientific (Waltham, MA, USA).</p></sec>
<sec>
<title>Cell culture</title>
<p>The non-tumorigenic mouse liver cell line BNL CL.2 (designated as CL2) and 3MC-transformed BNL 1MEA. 7R.1 cells (designated as 1MEA), which were derived from CL2 cells chronically treated with 3MC, were obtained from the Korea Research Institute of Bioscience and Biotechnology (Daejeon, Korea). Both cell lines were established and characterized by Gold <italic>et al</italic> (<xref ref-type="bibr" rid="b17-ijmm-40-06-2011">17</xref>). The cells were grown in Dulbecco's modified Eagle's medium containing 10% fetal bovine serum, 100 U/ml penicillin and 100 <italic>&#x000B5;</italic>g/ml streptomycin (GenDEPOT, Barker, TX, USA) at 37&#x000B0;C in a humidified incubator with 5% CO<sub>2</sub>.</p></sec>
<sec>
<title>Metabolomic analysis using nuclear magnetic resonance (NMR) spectroscopy</title>
<p>A cell pellet of 25 mg was transferred to a 4-mm NMR nanotube (Agilent Technologies, Santa Clara, CA, USA). D<sub>2</sub>O (25 <italic>&#x000B5;</italic>l) containing 2 mM 3-(trimethylsilyl) propionic-2,2,3,3-d<sub>4</sub> acid sodium salt (TSP-d<sub>4</sub>) was then transferred to a separate NMR nanotube. Samples were measured using high-resolution magic angle spinning (HR-MAS) NMR spectroscopy. All spectra were acquired with a 600.167-MHz Agilent NMR spectrometer equipped with a 4-mm gHX NanoProbe (Agilent Technologies) and a spinning rate of 2,050 Hz. The Carr-Purcell-Meiboom-Gill (CPMG) pulse sequence was used due to the suppression of water and the presence of high molecular mass compounds. The acquisition time was 1.703 msec, the relaxation delay was 1 sec, and 128 transients were collected. All spectra were processed and assigned using Chenomx NMR Suite 7.1 professional with the Chenomx 600 MHz library database (Chenomx, Edmonton, AB, Canada). Spectra were binned from 0.5 to 10 ppm for multivariate statistical analysis. The binning size was 0.001 ppm and water peak (4.5&#x02013;4.9 ppm) and spinning side band peak were excluded (1.15&#x02013;1.2, 3.61&#x02013;2.69, 6.56&#x02013;7.16 and 8.0&#x02013;8.4 ppm). The binning data were normalized to total area. Principal component analysis (PCA) was conducted with the SIMCA-P<sup>+</sup> software package (version 12.0; Umetrics, Ume&#x000E5;, Sweden). R<sup>2</sup> parameter indicates the explained variation in the data and goodness of fit and Q<sup>2</sup> parameter represents the predictive power of the model (<xref ref-type="bibr" rid="b18-ijmm-40-06-2011">18</xref>).</p></sec>
<sec>
<title>Validation of metabolites in the transsulfuration pathway</title>
<p>Washed cells in 100-mm culture plates were harvested 24 h after a medium change by scraping in either 5% perchloric acid to determine SAM, SAH, cysteine and GSH, or in ice-cold methanol to determine the levels of methionine, glutamate, glycine, hypotaurine and taurine. The protein pellet was dissolved in 0.1 M NaOH solution, and the protein concentration was determined using a bicinchoninic acid (BCA) protein assay kit (Thermo Fisher Scientific).</p>
<p>SAM and SAH were analyzed by high performance liquid chromatography (HPLC) (Ultimate 3000&#x02122;; Thermo Fisher Scientific) equipped with a UV detector (UV-3000; 254 nm; Thermo Fisher Scientific), using the modified method of She <italic>et al</italic> (<xref ref-type="bibr" rid="b19-ijmm-40-06-2011">19</xref>). Separation was accomplished using a Hector T-C18 column (5 <italic>&#x000B5;</italic>m &#x000D7; 4.6 mm &#x000D7; 100 mm) (Chiral Technology Korea, Daejeon, Korea).</p>
<p>Methione, glutamate, glycine, hypotaurine and taurine were derivatized with <italic>o</italic>-phthalaldehyde/2-mercaptoethanol and quantified using HPLC with a fluorescence detector (FLD-3100; excitation wavelength, 338 nm; and emission wavelength, 425 nm; Thermo Fisher Scientific) (<xref ref-type="bibr" rid="b20-ijmm-40-06-2011">20</xref>,<xref ref-type="bibr" rid="b21-ijmm-40-06-2011">21</xref>). They were separated using a Hector T-C18 column (3 <italic>&#x000B5;</italic>m &#x000D7; 4.6 mm &#x000D7; 100 mm).</p>
<p>Total cysteine and GSH were analyzed using the SBD-F sample derivatization method (<xref ref-type="bibr" rid="b22-ijmm-40-06-2011">22</xref>). MPG (50 <italic>&#x000B5;</italic>l), as an internal standard, was added to the samples (50 <italic>&#x000B5;</italic>l) and briefly mixed by vortex. Following the addition of 10 <italic>&#x000B5;</italic>l of a 10% (w/v) TCEP solution, the tubes were incubated at room temperature for 30 min. Subsequently, 90 <italic>&#x000B5;</italic>l of a 10% (w/v) trichloroacetic acid solution with 1 mM ethylenediaminetetraacetic acid (EDTA) was added to each sample, briefly mixed by vortex and centrifuged (13,000 &#x000D7; g for 10 min). The supernatant (50 <italic>&#x000B5;</italic>l) was then added to another tube containing 10 <italic>&#x000B5;</italic>l of 1.55 M NaOH, 125 <italic>&#x000B5;</italic>l of 0.125 M borate buffer (pH 9.5) with 4 mM EDTA, and 50 <italic>&#x000B5;</italic>l of 0.1% (w/v) SBD-F in borate buffer (0.125 M with 4 mM EDTA). The samples were incubated at 60&#x000B0;C for 1 h, and a 20 <italic>&#x000B5;</italic>l aliquot was then injected into the HPLC equipped with a fluorescence detector (excitation wavelength, 385 nm; and emission wavelength, 515 nm). The chromatographic separation was achieved using a Hector M-C18 column (3 <italic>&#x000B5;</italic>m &#x000D7; 4.6 mm &#x000D7; 150 mm).</p></sec>
<sec>
<title>Immunoblot analysis</title>
<p>Cells were lysed with ice-cold PRO-PREP&#x02122; protein extract solution (Intron, Seongnam, Korea), and the protein concentration was quantified using the BCA procedure (Thermo Fisher Scientific). Equal amounts of protein samples were separated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis using a 10% polyacrylamide gel, and then transferred onto a polyvinylidene difluoride membrane (Millipore, Billerica, MA, USA). The membrane was blocked with 5% skimmed milk in 100 mM Tris-HCl (pH 7.5), 150 mM NaCl and 0.2% Tween-20 (TBST) for 1 h at room temperature. The blots were incubated overnight with primary antibodies diluted in TBST containing 5% milk at 4&#x000B0;C. After three washes with TBST, the blot was incubated with the appropriate horseradish peroxidase-conjugated secondary antibodies. The antigen was detected using a Western Bright ECL HRP substrate kit (Advansta, Menlo Park, CA, USA).</p></sec>
<sec>
<title>Determination of cell viability</title>
<p>Cells were plated in a 96-well plate and cell viability was determined 24 h after <italic>t</italic>-BHP treatment by the MTT assay, according to the manufacturer's instructions. Briefly, after incubation with MTT (0.5 mg/ml) for 4 h at 37&#x000B0;C, formazan precipitates formed by mitochondrial dehydrogenases in viable cells were extracted with dimethyl sulfoxide. The absorbance of the converted dye was measured at 540 nm using the Multiskan GO reader (Thermo Fisher Scientific), and the results were expressed as a percentage (%) compared with the vehicle treatment.</p></sec>
<sec>
<title>Fluorescence-activated cell sorting (FACS) analysis</title>
<p>Apoptotic and live cells were determined by FACS analysis using Annexin V-FITC staining. The cells were treated with <italic>t</italic>-BHP for 24 h, and were subsequently harvested, trypsinized, washed once in cold phosphate-buffered saline and suspended in 1X binding buffer. The counted cells were stained in prop-idium iodide and Annexin V-FITC solution (Annexin V-FITC apoptosis detection kit; BD Biosciences, Bedford, MA, USA) at room temperature for 15 min in the dark. The stained cells were analyzed by flow cytometry within 1 h. Apoptotic and live cells were analyzed by Becton Dickinson FACSscan flow cytometer and BD FACSDiva software (BD Biosciences).</p></sec>
<sec>
<title>Statistical analysis</title>
<p>All the results are expressed as mean &#x000B1; standard deviation (n=5) and were analyzed by a two-tailed Student's t-test. The acceptable level of statistical significance was set at P&lt;0.05.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Metabolite profiling and PCA of <sup>1</sup>H NMR spectroscopy in CL2 and 1MEA cells</title>
<p>Upon <sup>1</sup>H NMR analysis, pattern recognition using PCA of the NMR spectra in metabolite profiling revealed clear clustering between CL2 and 1MEA cells (<xref rid="f1-ijmm-40-06-2011" ref-type="fig">Fig. 1A</xref>). The PCA loading plots revealed that several metabolites, such as acetate, alanine, creatine, glutamate, glutamine, glycine, sn-glycero-3-phosphocholine, GSH, myoinositol, lactate and <italic>o</italic>-phosphocholine, differed significantly between the two cell types (<xref rid="f1-ijmm-40-06-2011" ref-type="fig">Fig. 1B</xref>). In detailed spectra analysis, it was identified that acetate (&#x000D7;0.21), choline (&#x000D7;0.72), formate (&#x000D7;0.51), GSH (&#x000D7;0.59), glycerol (&#x000D7;0.38), isoleucine (&#x000D7;0.61), leucine (&#x000D7;0.62), niacinamide (&#x000D7;0.44), <italic>o</italic>-phosphocholine (&#x000D7;0.06), phenylalanine (&#x000D7;0.63), serine (&#x000D7;0.71), succinate (&#x000D7;0.56), tyrosine (&#x000D7;0.68), uridine (&#x000D7;0.42), valine (&#x000D7;0.70) and sn-glycero-3-phospho-choline (&#x000D7;0.31) were significantly lower in the 1MEA cells compared with the CL2 cells (P&lt;0.05). Alternatively, glutamate (&#x000D7;1.61), glutamine (&#x000D7;6.17), glycine (&#x000D7;1.45), proline (&#x000D7;2.02) and myo-inositol (&#x000D7;1.32) were significantly higher in 1MEA cells compared with CL2 cells (P&lt;0.05; <xref rid="f1-ijmm-40-06-2011" ref-type="fig">Fig. 1C</xref>).</p></sec>
<sec>
<title>1MEA cells exhibit aberrant changes in metabolites of the transsulfuration pathway</title>
<p>GSH plays a critical role in removing reactive metabolites from the cell, and a disturbance in its synthesis reduces a cell's resistance to oxidative stress. Since there are limited data available showing that 3MC causes oxidative stress, attention was paid to the significantly lower level of intracellular GSH in 1MEA cells compared with that in CL2 cells. Specifically, we focused on the transsulfuration pathway that produces GSH and taurine from the essential amino acid methionine (<xref rid="f2-ijmm-40-06-2011" ref-type="fig">Fig. 2</xref>). To investigate and validate all the major metabolites in the transsulfuation pathway, HPLC with a UV or fluorescence detector was used. The cellular levels of SAM, cysteine, glutamate and glycine were signifi-cantly increased 2.0-, 2.7-, 2.1- and 1.4-fold, respectively, in 1MEA cells compared with CL2 cells (<xref rid="f3-ijmm-40-06-2011" ref-type="fig">Fig. 3B, D&#x02013;F</xref>). On the contrary, the concentration of SAH was slightly decreased in 1MEA cells (<xref rid="f3-ijmm-40-06-2011" ref-type="fig">Fig. 3C</xref>). The levels of methionine, hypotaurine and taurine did not change (<xref rid="f3-ijmm-40-06-2011" ref-type="fig">Fig. 3A, H and I</xref>), but the GSH levels in 1MEA cells were significantly reduced compared with those in CL2 cells (<xref rid="f3-ijmm-40-06-2011" ref-type="fig">Fig. 3G</xref>). Cysteine is the precursor metabolite used to synthesize both GSH and taurine, with GSH being a tripeptide composed of glutamate, cysteine and glycine. Considering the increased levels of cysteine, glutamate and glycine in 1MEA cells, the decreased levels of GSH cannot be fully explained. To investigate why the GSH levels decreased in 1MEA cells, the expression of CDO and GCL, which are the rate-limiting enzymes in the production of taurine and GSH, respectively, was subsequently investigated. In 1MEA cells, CDO expression decreased to 60% of that in CL2 cells, whereas GCL expression decreased to 11% of that in CL2 cells (<xref rid="f4-ijmm-40-06-2011" ref-type="fig">Fig. 4</xref>). Thus, it is suggested that reduced GCL protein expression contributes to decreased GSH synthesis.</p></sec>
<sec>
<title>1MEA cells are more vulnerable to cell death incuced by t-BHP treatment compared with CL2 cells</title>
<p>To investigate whether low concentrations of GSH in 1MEA cells affected the rate of cell death by exogenous oxidative stress, the cells were exposed to <italic>t</italic>-BHP, a producer of reactive oxygen species, with cell viability being examined 24 h post-treatment (<xref rid="f5-ijmm-40-06-2011" ref-type="fig">Fig. 5</xref>). As expected, 1MEA cells were more sensitive to <italic>t</italic>-BHP treatment, with a 50 <italic>&#x000B5;</italic>M <italic>t</italic>-BHP treatment leading to 50% 1MEA cell death rate, while the survival of CL2 cells was not affected. To determine oxidative stress-induced apoptotic cell death, flow cytometry analysis was performed. As shown in <xref rid="f6-ijmm-40-06-2011" ref-type="fig">Fig. 6</xref>, increase of early apoptosis (lower right quadrant) and late apoptosis (upper right quadrant) were clearly observed in <italic>t</italic>-BHP-treated 1MEA cells compared with CL2 cells.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>There is increasing evidence that GSH is reduced in several human diseases, and this contributes to the deterioration of the condition (<xref ref-type="bibr" rid="b23-ijmm-40-06-2011">23</xref>). In a number of of these diseases, GSH depletion, which is often caused by decreases in the expression of GSH synthesizing enzymes, is considered to play a major role in oxidative tissue damage (<xref ref-type="bibr" rid="b24-ijmm-40-06-2011">24</xref>). In the present study, 1MEA cells, transformed by chronically exposing CL2 cells to 3MC, were found to be more susceptible to oxidative stress compared with CL2 cells, due to the decreased synthesis of GSH. Although the main concern regarding PAH toxicity is its ability to activate the AhR-mediated pathway and lead to cancer development, these results indicate that the deleterious effect of 3MC may be mediated by a reduction in the antioxidant capacity of the cells.</p>
<p>To understand the altered metabolism and identify abnormal pathways in response to chronic 3MC exposure, we have introduced the technique of global metabolite profiling followed by targeted metabolomic analysis. Specifically, HR-MAS NMR spectroscopy was used to perform non-destructive metabolite profiling of cells. Thus, changes in the metabolites involved in the synthesis of sulfur-containing amino acids, which are associated with a cellular redox state, were observed.</p>
<p>Sulfur-containing amino acid metabolism occurs primarily via the transsulfuration pathway, which results in the transfer of the methionine sulfur to serine to form cysteine (<xref rid="f2-ijmm-40-06-2011" ref-type="fig">Fig. 2</xref>). Subsequently, cysteine is irreversibly metabolized to yield taurine or GSH. CDO catalyzes the oxidation of cysteine to cysteine sulfinate, which is converted primarily to taurine via hypotaurine and the enzyme cysteine sulfinate decarboxylase. Alternatively, the synthesis of GSH from its constituent amino acids involves two ATP-requiring enzymatic steps: The first step of GSH biosynthesis is rate-limiting and catalyzed by GCL to make &#x003B3;-glutamylcysteine from glutamate and cysteine; the second step in GSH synthesis is catalyzed by GSH synthetase to form GSH from &#x003B3;-glutamylcysteine and glycine (<xref ref-type="bibr" rid="b25-ijmm-40-06-2011">25</xref>).</p>
<p>The increase in the amount of amino acids that constitute GSH, and the seemingly contradictory decrease in the concentration of GSH in 1MEA cells, as compared to CL2 cells, were of particular interest in the present study. Synthesis of GSH is largely limited by two factors: The availability of cysteine and the activity of GCL (<xref ref-type="bibr" rid="b26-ijmm-40-06-2011">26</xref>). Cysteine concentrations are regulated by a balance between the rates of its synthesis through the transsulfuration pathway and its metabolism to GSH, inorganic sulfate, or taurine (<xref ref-type="bibr" rid="b27-ijmm-40-06-2011">27</xref>,<xref ref-type="bibr" rid="b28-ijmm-40-06-2011">28</xref>). Previous studies have suggested that cysteine availability is a major determining factor for the partitioning of cysteine sulfur to either GSH, taurine, or inorganic sulfates in rat liver (<xref ref-type="bibr" rid="b29-ijmm-40-06-2011">29</xref>,<xref ref-type="bibr" rid="b30-ijmm-40-06-2011">30</xref>). Specifically, low cysteine availability would favor its utilization for the synthesis of GSH, and high cysteine availability enhances its catabolism to inorganic sulfate and taurine. Although CDO expression in 1MEA cells was lower compared with that in CL2 cells, it did not lead to any difference in hypotaurine and taurine concentrations between groups, thereby indicating that a sufficient amount of cysteine is supplied to synthesize taurine. However, GCL expression in 1MEA cells was markedly reduced, which may account for the increased cysteine concentrations, as well as the reduced GSH levels. These results suggest that blocking GSH synthesis may have a major effect on the partitioning of cysteine sulfur to taurine synthesis.</p>
<p>In conclusion, the present results indicate that cells transformed by chronic exposure to 3MC exhibited abnormal changes in the transsulfuration pathway, accompanied by increased availability of cysteine to taurine rather than GSH synthesis. Inhibition of cysteine catabolism to GSH by 3MC may play an important role in the preservation of intracellular taurine. Finally, the potentiation of <italic>t</italic>-BHP-induced death in 1MEA cells appears to be associated with a blockage in GSH synthesis. It has been reported that long-term exposure to PAHs, including 3MC, is the cause of serious health problems by various cellular effects. Further studies to determine the biological effect of 3MC on the dysregulation of the transsulfuration pathway are currently underway in this laboratory.</p></sec></body>
<back>
<ack>
<title>Acknowledgments</title>
<p>This study was supported by the National Research Foundation of Korea (NRF) grant funded by the Korean government (MSIP) (no. 2009-0083538). The study was also supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT and Future Planning (grant no. NRF-2014R1A 1A1005435).</p></ack>
<ref-list>
<title>References</title>
<ref id="b1-ijmm-40-06-2011"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Van Metre</surname><given-names>PC</given-names></name><name><surname>Mahler</surname><given-names>BJ</given-names></name></person-group><article-title>Trends in hydrophobic organic contaminants in urban and reference lake sediments across the United States, 1970&#x02013;2001</article-title><source>Environ Sci Technol</source><volume>39</volume><fpage>5567</fpage><lpage>5574</lpage><year>2005</year><pub-id pub-id-type="doi">10.1021/es0503175</pub-id><pub-id pub-id-type="pmid">16124288</pub-id></element-citation></ref>
<ref id="b2-ijmm-40-06-2011"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Weisman</surname><given-names>D</given-names></name><name><surname>Alkio</surname><given-names>M</given-names></name><name><surname>Col&#x000F3;n-Carmona</surname><given-names>A</given-names></name></person-group><article-title>Transcriptional responses to polycyclic aromatic hydrocarbon-induced stress in Arabidopsis thaliana reveal the involvement of hormone and defense signaling pathways</article-title><source>BMC Plant Biol</source><volume>10</volume><fpage>59</fpage><year>2010</year><pub-id pub-id-type="doi">10.1186/1471-2229-10-59</pub-id><pub-id pub-id-type="pmid">20377843</pub-id><pub-id pub-id-type="pmcid">2923533</pub-id></element-citation></ref>
<ref id="b3-ijmm-40-06-2011"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname><given-names>KH</given-names></name><name><surname>Jahan</surname><given-names>SA</given-names></name><name><surname>Kabir</surname><given-names>E</given-names></name><name><surname>Brown</surname><given-names>RJ</given-names></name></person-group><article-title>A review of airborne polycyclic aromatic hydrocarbons (PAHs) and their human health effects</article-title><source>Environ Int</source><volume>60</volume><fpage>71</fpage><lpage>80</lpage><year>2013</year><pub-id pub-id-type="doi">10.1016/j.envint.2013.07.019</pub-id><pub-id pub-id-type="pmid">24013021</pub-id></element-citation></ref>
<ref id="b4-ijmm-40-06-2011"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pelclov&#x000E1;</surname><given-names>D</given-names></name><name><surname>Fenclov&#x000E1;</surname><given-names>Z</given-names></name><name><surname>Dlaskov&#x000E1;</surname><given-names>Z</given-names></name><name><surname>Urban</surname><given-names>P</given-names></name><name><surname>Luk&#x000E1;s</surname><given-names>E</given-names></name><name><surname>Proch&#x000E1;zka</surname><given-names>B</given-names></name><name><surname>Rappe</surname><given-names>C</given-names></name><name><surname>Preiss</surname><given-names>J</given-names></name><name><surname>Kocan</surname><given-names>A</given-names></name><name><surname>Vejlupkov&#x000E1;</surname><given-names>J</given-names></name></person-group><article-title>Biochemical, neuropsychological, and neurological abnormalities following 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) exposure</article-title><source>Arch Environ Health</source><volume>56</volume><fpage>493</fpage><lpage>500</lpage><year>2001</year><pub-id pub-id-type="doi">10.1080/00039890109602897</pub-id></element-citation></ref>
<ref id="b5-ijmm-40-06-2011"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Baccarelli</surname><given-names>A</given-names></name><name><surname>Mocarelli</surname><given-names>P</given-names></name><name><surname>Patterson</surname><given-names>DG</given-names><suffix>Jr</suffix></name><name><surname>Bonzini</surname><given-names>M</given-names></name><name><surname>Pesatori</surname><given-names>AC</given-names></name><name><surname>Caporaso</surname><given-names>N</given-names></name><name><surname>Landi</surname><given-names>MT</given-names></name></person-group><article-title>Immunologic effects of dioxin: New results from Seveso and comparison with other studies</article-title><source>Environ Health Perspect</source><volume>110</volume><fpage>1169</fpage><lpage>1173</lpage><year>2002</year><pub-id pub-id-type="doi">10.1289/ehp.021101169</pub-id><pub-id pub-id-type="pmid">12460794</pub-id><pub-id pub-id-type="pmcid">1241102</pub-id></element-citation></ref>
<ref id="b6-ijmm-40-06-2011"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pesatori</surname><given-names>AC</given-names></name><name><surname>Consonni</surname><given-names>D</given-names></name><name><surname>Bachetti</surname><given-names>S</given-names></name><name><surname>Zocchetti</surname><given-names>C</given-names></name><name><surname>Bonzini</surname><given-names>M</given-names></name><name><surname>Baccarelli</surname><given-names>A</given-names></name><name><surname>Bertazzi</surname><given-names>PA</given-names></name></person-group><article-title>Short- and long-term morbidity and mortality in the population exposed to dioxin after the 'Seveso accident'</article-title><source>Ind Health</source><volume>41</volume><fpage>127</fpage><lpage>138</lpage><year>2003</year><pub-id pub-id-type="doi">10.2486/indhealth.41.127</pub-id><pub-id pub-id-type="pmid">12916742</pub-id></element-citation></ref>
<ref id="b7-ijmm-40-06-2011"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mimura</surname><given-names>J</given-names></name><name><surname>Fujii-Kuriyama</surname><given-names>Y</given-names></name></person-group><article-title>Functional role of AhR in the expression of toxic effects by TCDD</article-title><source>Biochim Biophys Acta</source><volume>1619</volume><fpage>263</fpage><lpage>268</lpage><year>2003</year><pub-id pub-id-type="doi">10.1016/S0304-4165(02)00485-3</pub-id><pub-id pub-id-type="pmid">12573486</pub-id></element-citation></ref>
<ref id="b8-ijmm-40-06-2011"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Denison</surname><given-names>MS</given-names></name><name><surname>Nagy</surname><given-names>SR</given-names></name></person-group><article-title>Activation of the aryl hydrocarbon receptor by structurally diverse exogenous and endogenous chemicals</article-title><source>Annu Rev Pharmacol Toxicol</source><volume>43</volume><fpage>309</fpage><lpage>334</lpage><year>2003</year><pub-id pub-id-type="doi">10.1146/annurev.pharmtox.43.100901.135828</pub-id><pub-id pub-id-type="pmid">12540743</pub-id></element-citation></ref>
<ref id="b9-ijmm-40-06-2011"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nebert</surname><given-names>DW</given-names></name><name><surname>Dalton</surname><given-names>TP</given-names></name><name><surname>Okey</surname><given-names>AB</given-names></name><name><surname>Gonzalez</surname><given-names>FJ</given-names></name></person-group><article-title>Role of aryl hydrocarbon receptor-mediated induction of the CYP1 enzymes in environmental toxicity and cancer</article-title><source>J Biol Chem</source><volume>279</volume><fpage>23847</fpage><lpage>23850</lpage><year>2004</year><pub-id pub-id-type="doi">10.1074/jbc.R400004200</pub-id><pub-id pub-id-type="pmid">15028720</pub-id></element-citation></ref>
<ref id="b10-ijmm-40-06-2011"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Shimada</surname><given-names>T</given-names></name></person-group><article-title>Xenobiotic-metabolizing enzymes involved in activation and detoxification of carcinogenic polycyclic aromatic hydrocarbons</article-title><source>Drug Metab Pharmacokinet</source><volume>21</volume><fpage>257</fpage><lpage>276</lpage><year>2006</year><pub-id pub-id-type="doi">10.2133/dmpk.21.257</pub-id><pub-id pub-id-type="pmid">16946553</pub-id></element-citation></ref>
<ref id="b11-ijmm-40-06-2011"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Suresh</surname><given-names>R</given-names></name><name><surname>Shally</surname><given-names>A</given-names></name><name><surname>Mahdi</surname><given-names>AA</given-names></name><name><surname>Patel</surname><given-names>DK</given-names></name><name><surname>Singh</surname><given-names>VK</given-names></name><name><surname>Rita</surname><given-names>M</given-names></name></person-group><article-title>Assessment of association of exposure to polycyclic aromatic hydrocarbons with bronchial asthma and oxidative stress in children: A case control study</article-title><source>Indian J Occup Environ Med</source><volume>13</volume><fpage>33</fpage><lpage>37</lpage><year>2009</year><pub-id pub-id-type="doi">10.4103/0019-5278.50722</pub-id></element-citation></ref>
<ref id="b12-ijmm-40-06-2011"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Van Tiem</surname><given-names>LA</given-names></name><name><surname>Di Giulio</surname><given-names>RT</given-names></name></person-group><article-title>AHR2 knockdown prevents PAH-mediated cardiac toxicity and XRE- and ARE-associated gene induction in zebrafish (Danio rerio)</article-title><source>Toxicol Appl Pharmacol</source><volume>254</volume><fpage>280</fpage><lpage>287</lpage><year>2011</year><pub-id pub-id-type="doi">10.1016/j.taap.2011.05.002</pub-id><pub-id pub-id-type="pmid">21600235</pub-id><pub-id pub-id-type="pmcid">3134122</pub-id></element-citation></ref>
<ref id="b13-ijmm-40-06-2011"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yuan</surname><given-names>JW</given-names></name><name><surname>Krieger</surname><given-names>JA</given-names></name><name><surname>Maples</surname><given-names>KR</given-names></name><name><surname>Born</surname><given-names>JL</given-names></name><name><surname>Burchiel</surname><given-names>SW</given-names></name></person-group><article-title>Polycyclic aromatic hydrocarbons decrease intracellular glutathione levels in the A20.1 murine B cell lymphoma</article-title><source>Fundam Appl Toxicol</source><volume>23</volume><fpage>336</fpage><lpage>341</lpage><year>1994</year><pub-id pub-id-type="doi">10.1006/faat.1994.1113</pub-id><pub-id pub-id-type="pmid">7835533</pub-id></element-citation></ref>
<ref id="b14-ijmm-40-06-2011"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ranjit</surname><given-names>S</given-names></name><name><surname>Midde</surname><given-names>NM</given-names></name><name><surname>Sinha</surname><given-names>N</given-names></name><name><surname>Patters</surname><given-names>BJ</given-names></name><name><surname>Rahman</surname><given-names>MA</given-names></name><name><surname>Cory</surname><given-names>TJ</given-names></name><name><surname>Rao</surname><given-names>PS</given-names></name><name><surname>Kumar</surname><given-names>S</given-names></name></person-group><article-title>Effect of polyaryl hydrocarbons on cyto-toxicity in monocytic cells: Potential role of cytochromes P450 and oxidative stress pathways</article-title><source>PLoS One</source><volume>11</volume><fpage>e0163827</fpage><year>2016</year><pub-id pub-id-type="doi">10.1371/journal.pone.0163827</pub-id></element-citation></ref>
<ref id="b15-ijmm-40-06-2011"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lu</surname><given-names>SC</given-names></name></person-group><article-title>Glutathione synthesis</article-title><source>Biochim Biophys Acta</source><volume>1830</volume><fpage>3143</fpage><lpage>3153</lpage><year>2013</year><pub-id pub-id-type="doi">10.1016/j.bbagen.2012.09.008</pub-id><pub-id pub-id-type="pmcid">3549305</pub-id></element-citation></ref>
<ref id="b16-ijmm-40-06-2011"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Summer</surname><given-names>KH</given-names></name><name><surname>Eisenburg</surname><given-names>J</given-names></name></person-group><article-title>Low content of hepatic reduced glutathione in patients with Wilson's disease</article-title><source>Biochem Med</source><volume>34</volume><fpage>107</fpage><lpage>111</lpage><year>1985</year><pub-id pub-id-type="doi">10.1016/0006-2944(85)90067-5</pub-id><pub-id pub-id-type="pmid">4052057</pub-id></element-citation></ref>
<ref id="b17-ijmm-40-06-2011"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gold</surname><given-names>LS</given-names></name><name><surname>Slone</surname><given-names>TH</given-names></name><name><surname>Manley</surname><given-names>NB</given-names></name><name><surname>Bernstein</surname><given-names>L</given-names></name></person-group><article-title>Target organs in chronic bioassays of 533 chemical carcinogens</article-title><source>Environ Health Perspect</source><volume>93</volume><fpage>233</fpage><lpage>246</lpage><year>1991</year><pub-id pub-id-type="doi">10.1289/ehp.9193233</pub-id><pub-id pub-id-type="pmid">1773795</pub-id><pub-id pub-id-type="pmcid">1568038</pub-id></element-citation></ref>
<ref id="b18-ijmm-40-06-2011"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wheelock</surname><given-names>AM</given-names></name><name><surname>Wheelock</surname><given-names>CE</given-names></name></person-group><article-title>Trials and tribulations of 'omics data analysis: Assessing quality of SIMCA-based multivariate models using examples from pulmonary medicine</article-title><source>Mol Biosyst</source><volume>9</volume><fpage>2589</fpage><lpage>2596</lpage><year>2013</year><pub-id pub-id-type="doi">10.1039/c3mb70194h</pub-id><pub-id pub-id-type="pmid">23999822</pub-id></element-citation></ref>
<ref id="b19-ijmm-40-06-2011"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>She</surname><given-names>QB</given-names></name><name><surname>Nagao</surname><given-names>I</given-names></name><name><surname>Hayakawa</surname><given-names>T</given-names></name><name><surname>Tsuge</surname><given-names>H</given-names></name></person-group><article-title>A simple HPLC method for the determination of S-adenosylmethionine and S-adenosylhomocysteine in rat tissues: The effect of vitamin B6 deficiency on these concentrations in rat liver</article-title><source>Biochem Biophys Res Commun</source><volume>205</volume><fpage>1748</fpage><lpage>1754</lpage><year>1994</year><pub-id pub-id-type="doi">10.1006/bbrc.1994.2871</pub-id><pub-id pub-id-type="pmid">7811261</pub-id></element-citation></ref>
<ref id="b20-ijmm-40-06-2011"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jung</surname><given-names>YS</given-names></name><name><surname>Kim</surname><given-names>SJ</given-names></name><name><surname>Kwon</surname><given-names>DY</given-names></name><name><surname>Kim</surname><given-names>YC</given-names></name></person-group><article-title>Comparison of the effects of buthioninesulfoximine and phorone on the metabolism of sulfur-containing amino acids in rat liver</article-title><source>Biochem Biophys Res Commun</source><volume>368</volume><fpage>913</fpage><lpage>918</lpage><year>2008</year><pub-id pub-id-type="doi">10.1016/j.bbrc.2008.02.005</pub-id><pub-id pub-id-type="pmid">18275846</pub-id></element-citation></ref>
<ref id="b21-ijmm-40-06-2011"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ide</surname><given-names>T</given-names></name></person-group><article-title>Simple high-performance liquid chromatographic method for assaying cysteinesulfinic acid decarboxylase activity in rat tissue</article-title><source>J Chromatogr B Biomed Sci Appl</source><volume>694</volume><fpage>325</fpage><lpage>332</lpage><year>1997</year><pub-id pub-id-type="doi">10.1016/S0378-4347(97)00128-X</pub-id><pub-id pub-id-type="pmid">9252046</pub-id></element-citation></ref>
<ref id="b22-ijmm-40-06-2011"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nolin</surname><given-names>TD</given-names></name><name><surname>McMenamin</surname><given-names>ME</given-names></name><name><surname>Himmelfarb</surname><given-names>J</given-names></name></person-group><article-title>Simultaneous determination of total homocysteine, cysteine, cysteinylglycine, and glutathione in human plasma by high-performance liquid chromatography: Application to studies of oxidative stress</article-title><source>J Chromatogr B Analyt Technol Biomed Life Sci</source><volume>852</volume><fpage>554</fpage><lpage>561</lpage><year>2007</year><pub-id pub-id-type="doi">10.1016/j.jchromb.2007.02.024</pub-id><pub-id pub-id-type="pmid">17336168</pub-id><pub-id pub-id-type="pmcid">1959569</pub-id></element-citation></ref>
<ref id="b23-ijmm-40-06-2011"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ballatori</surname><given-names>N</given-names></name><name><surname>Krance</surname><given-names>SM</given-names></name><name><surname>Notenboom</surname><given-names>S</given-names></name><name><surname>Shi</surname><given-names>S</given-names></name><name><surname>Tieu</surname><given-names>K</given-names></name><name><surname>Hammond</surname><given-names>CL</given-names></name></person-group><article-title>Glutathione dysregulation and the etiology and progression of human diseases</article-title><source>Biol Chem</source><volume>390</volume><fpage>191</fpage><lpage>214</lpage><year>2009</year><pub-id pub-id-type="doi">10.1515/BC.2009.033</pub-id><pub-id pub-id-type="pmid">19166318</pub-id><pub-id pub-id-type="pmcid">2756154</pub-id></element-citation></ref>
<ref id="b24-ijmm-40-06-2011"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lu</surname><given-names>SC</given-names></name></person-group><article-title>Regulation of glutathione synthesis</article-title><source>Mol Aspects Med</source><volume>30</volume><fpage>42</fpage><lpage>59</lpage><year>2009</year><pub-id pub-id-type="doi">10.1016/j.mam.2008.05.005</pub-id><pub-id pub-id-type="pmcid">2704241</pub-id></element-citation></ref>
<ref id="b25-ijmm-40-06-2011"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Stipanuk</surname><given-names>MH</given-names></name></person-group><article-title>Sulfur amino acid metabolism: Pathways for production and removal of homocysteine and cysteine</article-title><source>Annu Rev Nutr</source><volume>24</volume><fpage>539</fpage><lpage>577</lpage><year>2004</year><pub-id pub-id-type="doi">10.1146/annurev.nutr.24.012003.132418</pub-id><pub-id pub-id-type="pmid">15189131</pub-id></element-citation></ref>
<ref id="b26-ijmm-40-06-2011"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Meister</surname><given-names>A</given-names></name><name><surname>Anderson</surname><given-names>ME</given-names></name></person-group><article-title>Glutathione</article-title><source>Annu Rev Biochem</source><volume>52</volume><fpage>711</fpage><lpage>760</lpage><year>1983</year><pub-id pub-id-type="doi">10.1146/annurev.bi.52.070183.003431</pub-id><pub-id pub-id-type="pmid">6137189</pub-id></element-citation></ref>
<ref id="b27-ijmm-40-06-2011"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Coloso</surname><given-names>RM</given-names></name><name><surname>Drake</surname><given-names>MR</given-names></name><name><surname>Stipanuk</surname><given-names>MH</given-names></name></person-group><article-title>Effect of bathocuproine disulfonate, a copper chelator, on cyst(e)ine metabolism by freshly isolated rat hepatocytes</article-title><source>Am J Physiol</source><volume>259</volume><fpage>E443</fpage><lpage>E450</lpage><year>1990</year><pub-id pub-id-type="pmid">2399977</pub-id></element-citation></ref>
<ref id="b28-ijmm-40-06-2011"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Garcia</surname><given-names>RA</given-names></name><name><surname>Stipanuk</surname><given-names>MH</given-names></name></person-group><article-title>The splanchnic organs, liver and kidney have unique roles in the metabolism of sulfur amino acids and their metabolites in rats</article-title><source>J Nutr</source><volume>122</volume><fpage>1693</fpage><lpage>1701</lpage><year>1992</year><pub-id pub-id-type="pmid">1640263</pub-id></element-citation></ref>
<ref id="b29-ijmm-40-06-2011"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kwon</surname><given-names>YH</given-names></name><name><surname>Stipanuk</surname><given-names>MH</given-names></name></person-group><article-title>Cysteine regulates expression of cysteine dioxygenase and gamma-glutamylcysteine synthetase in cultured rat hepatocytes</article-title><source>Am J Physiol Endocrinol Metab</source><volume>280</volume><fpage>E804</fpage><lpage>E815</lpage><year>2001</year><pub-id pub-id-type="pmid">11287364</pub-id></element-citation></ref>
<ref id="b30-ijmm-40-06-2011"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Stipanuk</surname><given-names>MH</given-names></name><name><surname>Coloso</surname><given-names>RM</given-names></name><name><surname>Garcia</surname><given-names>RA</given-names></name><name><surname>Banks</surname><given-names>MF</given-names></name></person-group><article-title>Cysteine concentration regulates cysteine metabolism to glutathione, sulfate and taurine in rat hepatocytes</article-title><source>J Nutr</source><volume>122</volume><fpage>420</fpage><lpage>427</lpage><year>1992</year><pub-id pub-id-type="pmid">1542000</pub-id></element-citation></ref></ref-list></back>
<floats-group>
<fig id="f1-ijmm-40-06-2011" position="float">
<label>Figure 1</label>
<caption>
<p>Results of <sup>1</sup>H nuclear magnetic resonance (NMR) spectroscopy in CL2 and 1MEA cells. (R<sup>2</sup>X= 0.873, Q<sup>2</sup>=0.682) (A) Principal component analysis (PCA) score plot. Circles, CL2; squares, 1MEA. (B) PCA loading plot of CL2 vs. 1MEA. 1, Acetate; 2, alanine; 3, creatine; 4, glutamate; 5, glutamine; 6, glycine; 7, glycerophosphocholine; 8, GSH; 9, inositol; 10, lactate; 11, phosphocholine. (C) Fold changes of quantified metabolites from <sup>1</sup>H NMR spectra. Each value represents the mean &#x000B1; standard deviation. GSH, glutathione.</p></caption>
<graphic xlink:href="IJMM-40-06-2011-g00.tif"/></fig>
<fig id="f2-ijmm-40-06-2011" position="float">
<label>Figure 2</label>
<caption>
<p>Metabolic pathway of transsulfuration. CDO, cysteine dioxygenase; GCL, &#x003B3;-glutamylcysteine ligase; GSH, glutathione.</p></caption>
<graphic xlink:href="IJMM-40-06-2011-g01.tif"/></fig>
<fig id="f3-ijmm-40-06-2011" position="float">
<label>Figure 3</label>
<caption>
<p>Cellular levels of sulfur amino acids and their metabolites in CL2 and 1MEA cells. (A) Methionine, (B) S-adenosylmethionine (SAM); (C) S-adenosylhomocysteine (SAH); (D) cysteine; (E) glutamate; (F) glycine; (G) glutathione (GSH); (H) hypotaurine, (I) taurine. Each value represents the mean &#x000B1; standard deviation. The differences between CL2 and 1MEA cells were statistically significant (<sup>&#x0002A;</sup>P&lt;0.05 and <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.001; Student's t-test).</p></caption>
<graphic xlink:href="IJMM-40-06-2011-g02.tif"/></fig>
<fig id="f4-ijmm-40-06-2011" position="float">
<label>Figure 4</label>
<caption>
<p>Protein expression of cysteine dioxygenase (CDO) and &#x003B3;-glutamylcysteine ligase (GCL) and viability of CL2 and 1MEA cells. Blots of CDO and GCL in CL2 and 1MEA cells resolved by immunoblot analysis were quantified densitometrically. Each value represents the mean &#x000B1; standard deviation. The differences between CL2 and 1MEA cells were statistically significant (<sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 and <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.001; Student's t-test).</p></caption>
<graphic xlink:href="IJMM-40-06-2011-g03.tif"/></fig>
<fig id="f5-ijmm-40-06-2011" position="float">
<label>Figure 5</label>
<caption>
<p>Effect of tert-butyl hydroperoxide (<italic>t</italic>-BHP) treatment on the viability of CL2 and 1MEA cells. The cells were treated with indicated concentrations of <italic>t</italic>-BHP for 24 h, followed by an MTT assay to determine viability. Each value represents the mean &#x000B1; standard deviation. The differences between CL2 and 1MEA cells were statistically significant (<sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.001; Student's t-test).</p></caption>
<graphic xlink:href="IJMM-40-06-2011-g04.tif"/></fig>
<fig id="f6-ijmm-40-06-2011" position="float">
<label>Figure 6</label>
<caption>
<p>Quantification of tert-butyl hydroperoxide (<italic>t</italic>-BHP)-induced apoptosis in CL2 and 1MEA cells. (A) The cells were treated with the indicated concentrations of <italic>t</italic>-BHP for 24 h, followed by a fluorescence-activated cell sorting analysis after propidium iodide uptake and Annexin V binding in non-permeabilized cells (lower left, live cells; lower right, early apoptotic cells; upper right, late apoptotic cells). Quantification of (B) apoptotic cells and (C) live cells was represented in the three independent experiments. Each value represents the mean &#x000B1; standard deviation. The differences between CL2 and 1MEA cells were statistically significant (<sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.001; Student's t-test). FITC, fluorescein isothiocyanate.</p></caption>
<graphic xlink:href="IJMM-40-06-2011-g05.tif"/></fig></floats-group></article>
