erp29 deficiency affects sensitivity to apoptosis via impairment of the atf6–chop pathway of...
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ORIGINAL PAPER
ERp29 deficiency affects sensitivity to apoptosis via impairmentof the ATF6–CHOP pathway of stress response
Irina Hirsch • Matthias Weiwad • Erik Prell •
David Michael Ferrari
Published online: 27 December 2013
� Springer Science+Business Media New York 2013
Abstract Endoplasmic reticulum protein 29 (ERp29)
belongs to the redox-inactive PDI-Db-subfamily of PDI-
proteins. ERp29 is expressed in all mammalian tissues
examined. Especially high levels of expression were
observed in secretory tissues and in some tumors. How-
ever, the biological role of ERp29 remains unclear. In the
present study we show, by using thyrocytes and primary
dermal fibroblasts from adult ERp29-/- mice, that ERp29
deficiency affects the activation of the ATF6–CHOP-
branch of unfolded protein response (UPR) without influ-
encing the function of other UPR branches, like the ATF4-
eIF2a-XBP1 signaling pathway. As a result of impaired
ATF6 activation, dermal fibroblasts and adult thyrocytes
from ERp29-/- mice display significantly lower apoptosis
sensitivities when treated with tunicamycin and hydrogen
peroxide. However, in contrast to previous reports, we
could demonstrate that ERp29 deficiency does not alter
thyroglobulin expression levels. Therefore, our study sug-
gests that ERp29 acts as an escort factor for ATF6 and
promotes its transport from ER to Golgi apparatus under
ER stress conditions.
Keywords Endoplasmic reticulum protein 29 (ERp29) �Unfolded protein response (UPR) � ATF6 � Thyroglobulin �Apoptosis
Abbreviations
ERp29 Endoplasmic reticulum protein 29
PDI Protein disulfide isomerase
UPR Unfolded protein response
ER Endoplasmic reticulum
ERAD ER associated degradation
ROS Reactive oxygen species
SD Standard deviation
Tg Thyroglobulin
Tu Tunicamycin
Introduction
The endoplasmic reticulum protein 29 (ERp29) is an ER
resident protein with a molecular weight of 24.5 kDa [1].
ERp29 consists of a thioredoxin-like D-domain and an a-
helical B-domain, which are connected by a flexible loop
that contains four conserved glycine residues, predicting
the high domain mobility [2]. Moreover, the protein con-
tains the C-terminal ER-retrieval signal KEEL suggesting
localization in the lumenal compartment. ERp29 belongs to
the family of PDI proteins, because both domains exhibit
up to 30 % sequence similarity to the members of this
family. However, ERp29 lacks a thioredoxin-box motive
(CGHC) and therefore does not exhibits redox-activity [1].
ERp29 was found to exist as homodimer in the ER [1, 2].
The protein is expressed in all tissues of Mammalia.
Enhanced levels of its expression were detected in secre-
tory tissues (pituitary, adrenal, mammary, thyroid, salivary
glands etc.) and in some tumors [3–6]. Therefore, some
Electronic supplementary material The online version of thisarticle (doi:10.1007/s10495-013-0961-0) contains supplementarymaterial, which is available to authorized users.
I. Hirsch (&) � M. Weiwad � E. Prell � D. M. Ferrari
Max Planck Research Unit for Enzymology of Protein Folding,
Weinbergweg 22, 06120 Halle/Saale, Germany
e-mail: [email protected]
I. Hirsch
Institut 20, 06193 Wettin-Lobejun, Germany
123
Apoptosis (2014) 19:801–815
DOI 10.1007/s10495-013-0961-0
authors suggested the active involvement of ERp29 in the
malignant conversion of mammary epithelial cells [4, 5].
However the biological role of ERp29 remains unclear.
Some authors propose that ERp29 acts as secretion factor
and escort protein [7–9]. ERp29 probably stabilizes the
monomeric connexin 43, and promotes their transport from
ER to Golgi apparatus [9]. Thus, some authors suggest the
involvement of ERp29 in ER quality control of the secre-
tory protein thyroglobulin, which serves as precursor pro-
tein for T3 and T4 hormones [7, 8, 10, 11]. The ER quality
control machinery encompasses three groups of proteins:
folding helper enzymes, molecular chaperones, and lectins
(calnexin, calreticulin). The most significant members of
folding helper enzymes are peptidyl-prolyl cis–trans
isomerases and protein disulfide isomerases (PDI).
The molecular chaperones facilitate the protein folding
through shielding of unfolded regions, and preventing the
protein aggregation through interaction with hydrophobic
regions. ER molecular chaperones comprise HSP70 (BiP,
Lhs1p, GRp170) and HSP90 chaperones (GRp94/Endo-
plasmin) [12]. BiP participates in the translocation of
nascent polypeptides into the ER. GRp94 recognizes a
multitude of peptides, and facilitates the presentation of
immunogenic peptides. PDIs exhibit the characteristics of
folding helper enzymes as well as molecular chaperones.
PDIs oxidize Cys-residues in nascent proteins resulting
in the formation of intra- und intermolecular disulfide-
bonds [13]. The calnexin/calreticulin-cycle controls the
conformation of glycoproteins, and determines the pro-
tein transport to Golgi or ER associated degradation
(ERAD).
Many types of cellular stress, such as radioactivity [14],
toxicity, oxidative stress [15–17], provoke disturbance
between ER protein loading and ER folding capacity and
thus result in the accumulation of unfolded proteins. ER
stress triggers the activation of the evolutionary conserved
signal transduction pathway known as unfolded protein
response (UPR) [12, 18]. The activation of the UPR-cas-
cade involves three transmembrane proteins: IRE1, PERK,
ATF6. In their inactive state the lumenal domains of
transmembrane proteins type I (IRE1, PERK) are associ-
ated with BiP/GRP78. During ER stress BiP is released
from the lumenal domains of IRE1 and PERK and binds
preferentially unfolded proteins. Thereby, IRE1 and PERK
oligomerize, and activate their proximal signal transducers
[19]. Oligomerization of IRE1 results in a trans-phos-
phorylation leading to processing of unspliced XBP1
[XBP1(u)] [20]. Spliced XBP1 [XBP1(s)] encodes for the
transcription factor XBP1 that regulates transcription of
genes involved in the ER quality control, ER/Golgi-bio-
genesis, and redox homeostasis during oxidative stress [21,
22]. The activation of PERK results in an increased affinity
to eIF2a. PERK mediated phosphorylation of eIF2a
(Ser51) triggers the switch from normal translation to ER-
stress, and moreover, to cell cycle arrest in G1-phase [23].
Both isoforms of ATF6, ATF6a and ATF6b, were found
to exist as transmembrane proteins type II. In contrast to
PERK or IRE1, BiP binds to ATF6 and masks two Golgi-
localization sequences (GLS1 and GLS2) of the tran-
scription factor. In the absence of BiP during ER stress
GLS2 is the dominant sequence that leads to translocation
of the precursor protein p90ATF6 from ER to Golgi.
Translocated ATF6 is cleaved sequentially by site 1 pro-
tease (S1P) and site 2 protease (S2P) leading to the release
of the transcription factor domain from the Golgi mem-
brane. The N-terminal cytosolic ATF6-fragment
(p50ATF6) regulates the activity of transcriptional targets,
such as XBP1, chaperones, and moreover, increases the
ERAD [24–27]. Thus, ATF6 plays an important role during
the recovering from acute stress, and following cell adap-
tation to prolonged ER stress [12]. ER stress can activate
several death effectors such as BAK und BAX [28]. Their
upregulation leads to activation of caspase-12 that induces
the cleavage of procaspase-9 and procaspase-3 [29, 30].
The anti-apoptotic effect of Bcl-2 can be repressed trough
the transcriptional factor CHOP (GADD153). CHOP
expression during ER stress is upregulated by ATF6.
Moreover, increased eIF2a-phosphorylation by PERK also
promotes upregulation of CHOP [31]. CHOP upregulation
facilitates cell death, whereas its deficiency protects cells
against apoptosis [32].
Meanwhile, there are some studies about the role of
ERp29 during UPR. Some of these reports describe chan-
ges of ERp29 expression levels in cell lines as response to
ER stress [14–16]. It was shown that increased ERp29-
expression causes an increased splicing of XBP1-mRNA in
ERp29-transfected MDA-MB-231 cell line [33]. ERp29-
overexpression in these cells reduces the basal expression
of eIF2a but not its phosphorylation, and moreover,
downregulates cycline D1/D2 resulting in cell cycle arrest
in the G1-phase. Thus, ERp29-overexpression changes the
course of ER-stress, and leads to growth arrest [33]. Other
studies revealed that p38 and XBP1 decrease the ERp29-
expression in the MDA-MB-231 cell line [34]. Probably,
this regulation occurs through the p38-PERK-eIF2a-path-
way of UPR. The repression of this UPR branch in ERp29-
transfected cells blocks eIF2a-phosphorylation, and pro-
tects cells against caspase-3-mediated apoptosis [35].
The current state of scientific knowledge is gained by
studies on transfected cells, and therefore, leads to con-
troversial conclusions about the role of ERp29 in UPR
signaling. Therefore, it is necessary to study the ERp29
status during ER stress and its involvement in activation of
UPR cascade.
In this study we present first results concerning the
biological role of ERp29 by using two different types of
802 Apoptosis (2014) 19:801–815
123
primary adult cells prepared from ERp29-/- mice. We
found that ERp29 activates the ATF6–CHOP-brunch of
UPR during severe stress without influencing the function
of other UPR branches, like the ATF4-eIF2a-XBP1 sig-
naling pathway. As a result of impaired ATF6 activation,
dermal fibroblasts and adult thyrocytes from ERp29-/-
mice display significantly lower apoptosis sensitivities.
Materials and methods
Experimental animals
Experimental ERp29 knock out mice (strain C57BL/6N)
were generated by the Georg-August University (Gottin-
gen, Germany) using a conventional method of homolo-
gous recombination [36]. Mice were kept at a constant
temperature (22 �C) and light cycle (12 h light, 12 h dark),
and were provided with rat/mouse standard-diet (Altromin
#1324), and tap water ad libitum. Breeding of animals was
performed using 12–24 weeks old females and males. The
offspring of heterozygous matings were genotyped
3 weeks after birth by PCR from tail biopsy (see below).
Thereafter the littermates were separated according to their
sex.
Isolation of genomic DNA and genotype determination
by PCR
Genotype determination of ERp29 was performed with
genomic DNA isolated from either mouse tails or embryos.
Tails or embryos were resuspended in lysis buffer (50 mM
Tris–HCl, pH 8.0, 20 mM NaCl, 0.1 % SDS and 1 mg/ml
proteinase K), and sequentially incubated at 55 �C for 16 h
followed by 94 �C for 10 min for proteinase inactivation.
The lysates were then subjected to PCR analysis. Geno-
typing was carried out with two PCRs: first PCR for ERp29
knock out gene, second PCR for ERp29 wild type gene.
The primers and reaction conditions were used as described
by Guo [36]. The separation of PCR products using a 1 %
agarose gel electrophoresis gave fragments of 700 bp (wild
type) and 2,500 bp (mutant) (Sup. 1).
Cell culture
Primary cells isolated from 3 month old mice (strain
C57BL/6N) were used for cell culture.
Establishment of the primary dermal fibroblasts
from mouse skin
The primary skin fibroblasts were prepared from littermate
wild type (ERp29?/?) and ERp29 knock out (ERp29-/-)
males according to the modified protocol for human skin
fibroblasts described by Lichti et al. [37]. Skin fragments
from dorsum of 3 months old mice were used for prepa-
ration. Animals were sacrificed by CO2 asphyxiation, and
their dorsum was disinfected by 70 % ethanol. The coat in
this area was removed by a shaver. Skin fragments about
4 9 2 cm were cutted out and washed three times with
sterile PBS. The skin-pieces were washed with sterile PBS,
cutted in small squares by a scalpel and placed in 10 cm
culture plates.
The dermal fibroblasts out-migrate from dermis on the
bottom of culture plates. Thereby, the contact between
dermis and the culture plates plays an important role.
Therefore, the dermis fragments were allowed to stand in
the opened 10 cm culture plate to dry in the flow box for
about 15 min. Subsequently 10 ml fibroblasts medium
(DMEM high glucose (PAA) supplemented with 10 %
FCS (PAA), penicillin (PAA), streptomycin (PAA),
ampicillin (Sigma), buffered with HEPES pH 7.4 (Sigma)
was added drop by drop. Mouse dermal fibroblasts were
cultured in a 37 �C humidified incubator, under air/CO2
(95 %/5 %). Migration of skin fibroblasts starts after
3 days. After 7 days dermis-pieces can be removed from
culture plates. Every 3 days cells were harvested by
trypsinization, counted by trypan blue staining, and
transferred (1.0 9 105 cells) in the 6 cm culture plates in
5 ml medium. Cells were used for experiments at third
passage.
Isolation of follicles from mouse thyroid and culture
of primary thyrocytes
Primary thyrocytes were isolated from 3 months old mice
according to the protocol of Jeker et al. [38]. The littermate
ERp29?/? and ERp29-/- males were sacrificed by CO2
asphyxiation. Thyroid lobes were dissected aseptically
from the trachea, and cutted in small pieces. The fragments
were collected and transferred to a 1.5 ml tube containing
1 ml of digestion medium (MEM medium with 125 U/ml
of type I collagenase and 1.2 U/ml dispase). The enzymatic
digestion was carried out for 45 min in a 37 �C shaker at
400 rpm. Following the suspension was centrifuged for
3 min at 3009g. The supernatant containing single cells
was discarded. The pellet with thyroid follicles was
resuspended in 1 ml culture medium, and transferred in
6 cm culture plates containing 3 ml culture medium. The
thyroid culture medium is composed of DMEM nutrient
mixture F-12 Ham (Sigma), 2 mM L-glutamine (PAA),
100 U/ml penicillin (PAA), 100 lg/ml streptomycin
(PAA), 10 lg/ml insulin (Sigma), 10 nM hydrocortisone
(Sigma), 5 lg/ml transferrin (Sigma), 10 ng/ml gly-his-lys-
acetate (Sigma), 10 ng/ml somatostatin (Sigma), 1.0 mU/
ml TSH (Sigma), 10 % (v/v) FCS (PAA).
Apoptosis (2014) 19:801–815 803
123
In accordance to the protocol the medium was changed
1 day after the beginning of the culture, and then every
third day. Primary thyrocytes were cultured in a humidified
incubator at 37 �C, under 5 % CO2.
Treatment of primary thyrocytes with tunicamycin
In order to study the effects of UPR primary thyrocytes
were grown 7 days in the culture. Subsequently, the culture
medium was replaced against culture medium containing
two different concentrations of tunicamycin (Calbiochem);
1.5 lM (18 h treatment) and 10 lM (6 h treatment). Tu-
nicamycin is a nucleoside-antibiotics mix that inhibits the
GTPase, and therefore, inhibits the first step of glycopro-
tein-synthesis. Tunicamycin was dissolved as a 5 mg/ml
stock solution in DMSO. The treatment with the same
concentration of tunicamycin in culture medium serves as
control. Subsequently the thyrocytes were harvested by
trypsin-treatment, washed with PBS, and used for caspase-
3-activity assay or for Western blot analysis. However,
thyrocytes are only able to thyroglobulin-synthesis as
components of follicles [38]. In this case, methods for cell
suspensions are not applicable, which limits methods
available for analysis of cell viability.
Caspase-3-activity assay in thyrocytes
The caspase-3 activity assay was performed in lysates of
tunicamycin-treated thyrocytes according to manufac-
turer’s instructions (EnzChek�Caspase-3 assay kits II,
Molecular Probes). The principle of method is based on
enzymatic cleavage of the substrate rhodamine 110 bis-(N-
CBZ-L-aspartyl-L-glutamyl-L-valyl-L-aspartic acid amid)
(Z-DEVD-R110) by caspase-3, and the measurement of the
released fluorescent dye rhodamine 110 (ext./em.
496/520 nm). Thereby, the fluorescence intensity correlates
with the quantity of cleaved substrate, and complies with
caspase-3-activity. The fluorescence intensity was mea-
sured using plate reader.
TCA precipitation of secreted thyroglobulin
from culture medium
Equal amounts of thyrocyte medium (5 ml) were collected
from dish after 18 h cultivation of cells, and concentrated
up to 1 ml using Vivaspin 15R (30,000 MWCO). 30 %
TCA was added to the concentrated medium to a final
concentration of 8 % and mixed quickly. The mixture was
incubated on ice for 30 min and centrifuged at 16,0009g,
4 �C for 15 min. The pellets were washed with 1 ml ice-
cold acetone, and centrifuged at 16,0009g, 4 �C for
10 min. Afterwards, the pellets were dried, and dissolved
into proper volume of lysis buffer. The secreted thyro-
globulin was analyzed by Western blot as described below.
Exposure of dermal fibroblasts to oxidative stress
and measurement of cell death by FACS
Dermal fibroblasts were inoculated in 6-well culture plates
at 1 9 105 cells per well and cultured for 24 h in complete
medium. Subsequently, the medium was replaced against
complete medium with 1 mM hydrogen peroxide (Sigma).
After 6 h exposure to the oxidizing agent, cells were col-
lected by trypsin treatment, washed with PBS and double
stained with a mix of 5 ll propidium iodide (PI) and 5 ll
fluorescein isothiocyanate (FITC)-labeled annexin V
(annexin V-FITC) for 15 min (Annexin V-FITC apoptosis
detection kit I, BD PharmingenTM). Subsequently, cell
death was analyzed by FACS measurement.
Western blot analysis
Cells were lysed in lysis buffer [7 M urea, 2 M thiourea,
4 % (w/v) CHAPS, 30 mM Tris–HCl pH 8.5]. Protein
amounts of whole cell extracts were quantified using the
Pierce� 660 nm protein assay kit (Thermo scientific).
Equivalent amounts of protein (20 lg) were mixed with
49 loading buffer (160 mM Tris–HCl pH 6.8, 12 % (w/v)
SDS, 20 % (v/v) glycerine, 2 % (w/v) bromophenol blue,
400 mM DTT), separated using 8 % for thyroglobulin
(24—205 kDa), 10 % (14—205 kDa), 12 % (14—66 kDa)
SDS-PAGE at 150 V, and transferred to nitrocellulose
membrane (Millipore Corporation) at 1 mA/cm2. Immu-
nodetection was performed using primary rabbit-anti-
mouse-antibodies against thyroglobulin (Abcam), BiP/
GRp78, which migrates as double-band (Sigma-Aldrich),
GRp94 (Sigma-Aldrich), ERp72 (MPG Gottingen), cal-
reticulin (MPG Gottingen), calnexin (MPG Gottingen),
ATF4 (Abcam), p90ATF6/p50ATF6 (Abcam), CHOP
(Santa Cruz Biotech.), XBP1(u)/XBP1(s) (Abcam), ERp29
(MPG Gottingen), PDI (MPG Gottingen), eIF2a and
eIF2a-P (phosphorylated at serine 51) (Cell Signaling
Technology). All primary antibodies were used at a 1:1,000
final dilution. Immunoreactive bands were visualized after
staining with secondary goat-anti-rabbit-IgG-cy5 or -cy3
conjugate (1:10,000) (Jackson laboratories Inc., USA)
using a Typhoon TRIO? scanner. The horseradish-perox-
idase-conjugated b-actin antibody (1:25,000) (Sigma-
Aldrich) serves as loading control. Signals were detected
using the CCD camera Fusion-SL 4.2 MP (chemilumi-
nescence system, Peqlab) after treatment with Supersignal
West Dura Extended Duration Substrate kit (Pierce). The
protein bands were related using PageRulerTM prestained
protein ladder (#SM0671, Fermentas).
804 Apoptosis (2014) 19:801–815
123
The signal intensities of protein bands were measured
using Adobe Photoshop CS3, and standardized according
to loading control (b-actin). The values were represented as
percentage of the control-experiment.
Statistical analysis
All experiments were repeated at least three times. The
data were expressed as mean ± SD (standard deviation).
Statistical analysis was performed by using Student0s t test.
The criteria for statistical significance were p \ 0.05.
Results
Initial characterization of ERp29 knock out mice
For the present experiments littermate wild type and
mutant mice from heterozygous matings were used in order
to reduce genetic variability. The analysis of genotype
distribution for embryos (embryonic day 15) and for off-
spring reveals a ratio as expected (1 ERp29?/? : 2
ERp29?/- : 1 ERp29-/-), indicating that the deletion of the
ERp29 gene did not result in embryonic lethality. The
ERp29-/- mice were apparently normal, and look similar
to wild type mice (Sup. 2). Male and female fertility in the
ERp29-/- mice appeared to be normal, as shown by the
analysis of matings of 3–6 month old mice, but litter size
was slightly affected. The mean litter sizes in ERp29?/?
and ERp29-/- pregnancies were 5.2 ± 3.1 and 4.6 ± 2.8,
respectively. A difference in body weight between 12 week
old wild type and mutant mice could not be observed:
26.3 ± 2.6 and 27.6 ± 2.3 g respectively.
Effect of ERp29-deficiency in primary thyrocytes
on responsiveness to ER stress
Adult thyrocytes grow in culture as a component of folli-
cles. The interior space of follicles contains a colloidal
substance that serves as storage for secreted proteins. The
ERp29-deficient follicles did not show any differences to
wild type cells in respect to their growth and viability in the
culture (Sup. 3). Moreover, thyroglobulin-synthesis in
thyrocytes decreases progressively 14 days after seeding
[38]. Therefore, cultured thyrocytes 7 days after seeding at
80 % confluence were used for experiments. Thyroglobulin
(Tg) forms a disulfide-connected complex with a molecular
weight over 2,000 kDa. The blocking of N-glycosylation
leads to accumulation of the protein in ER thus leading to
UPR. The UPR in thyrocytes was triggered by the use of
1.5 lg/ml tunicamycin for 18 h. The treatment conditions
were chosen according to previous studies that describe
triggering of UPR in primary thyrocytes isolated from
different species [39–41].
The stress response in cell lysate was studied using
Western blot. The analysis of Tg expression shows that
untreated ERp29-/- thyrocytes expressed about 20 % less
thyroglobulin than untreated ERp29?/? thyrocytes
(p = 0.03) (Fig. 1b–d). The inhibition of N-glycosylation
by tunicamycin-treatment leads to accumulation of Tg in
the cells. In the case of Tg expression no significant
genotype-related differences were observed. Expression
level of Tg after tunicamycin treatment increased about
50–70 % in both ERp29?/? as well as ERp29-/- cell lines
compared to control (DMSO-treated) cells. Moreover, the
ERp29-/- thyrocytes were able to secrete Tg into the
culture medium comparable to ERp29?/? thyrocytes
(Fig. 1b). In the case of Tu-treated cells, lower but
detectable amounts of Tg were observed in the culture
medium. There are two possible explanations for this
observation. First, the culture medium was collected over
the total treatment period of the experiment, whereas the
stress response occurs only after a time delay. Secondly, as
already mentioned, Tu-treatment leads to altered secretory
profiles of thyrocytes, but not to a complete inhibition of
Tg-secretion [42].
The folding and processing of Tg is assisted by several
chaperones of the ER quality control. In general, genotype-
independent upregulations of some chaperones in treated
cells were observed; GRp94 and calnexin were upregulated
about 50 %, and ERp72 twofold. In contrast, no changes in
expression level of calreticulin, PDI and ERp29 (in
ERp29?/? cells) were observed (Fig. 1a, c). Western blot
analysis shows a 70 % increase of BiP level in both cell
lines. An increase in BiP expression is a hallmark for ER
stress. BiP activates the UPR cascade in cooperation with
three transmembrane proteins IRE1, PERK and ATF6
(Fig. 2).
Tunicamycin-treatment of thyrocytes causes an upreg-
ulation of XBP1(u) expression and of the spliced form
XBP1(s) independently from genotype. XBP1 upregulation
points to an activation of the IRE1-branch, which mediates
cell survival. The activation of the PERK branch induces
the phosphorylation of the transcription factor eIF2a and
leads to ATF4 activation (Fig. 2a, b). However, ERp29
deficiency had no effect on activation of this UPR branch
(Fig. 2c). In the case of the ATF6 pathway genotype-
related differences could be observed. Tunicamycin treat-
ment of ERp29?/? thyrocytes leads to upregulation of
p90ATF6 (about 50 % of the respective control) as well as
to accumulation of its mature form p50ATF6. However,
expression analysis of ERp29-/- cells displayed no
increase in p90ATF6 after tunicamycin treatment. Never-
theless, Western blot analysis revealed an increase of its
mature form (Fig. 2a, b), which was however apparent
Apoptosis (2014) 19:801–815 805
123
lower compared to wild type cells (Fig. 2c). CHOP
(GADD153), which is involved in activation of apoptosis,
is a terminal signal transducer of UPR [43]. Probably, as a
consequence of the weak ATF6 activation, CHOP is
expressed to lower levels in treated ERp29-/- cells when
compared to ERp29?/? cells (Fig. 2).
Moreover, we were interested in the effect of ERp29
deficiency in thyrocytes during severe ER stress. As
referred, higher concentrations of tunicamycin (up to
10 lg/ml) cause massive cell death in the culture [44].
Therefore, cells were treated with 10 lg/ml tunicamycin
for 6 h. Western blot analysis showed a genotype-inde-
pendent accumulation of BiP about 40–50 % (Fig. 3).
However, independently of the genotype, there was no
activation of ATF6, ATF4, eIF2a-P and XBP1 under
these experimental conditions. Only CHOP was upregu-
lated in both cell lines (Fig. 3a, b). This increase was
much higher compared to gentle stress conditions
(1.5 lg/ml tunicamycin for 18 h) (Fig. 2). The CHOP
expression in ERp29-/- thyrocytes during severe stress
amounts 150 % of the control. Therefore, these results
represent a significant genotype-dependent difference
between ERp29-/- and ERp29?/? thyrocytes under
severe stress (Fig. 3b, c). CHOP activation leads to cas-
pase-3-mediated apoptosis. Caspase-3-activity was
determined in lysates from cells, which were subjected to
gentle and severe stress by treatment with different tu-
nicamycin concentrations. This analysis showed that
caspase-3-activation in thyrocytes occurs only during
severe stress (Fig. 4). Moreover, under these conditions,
caspase-3-activity in ERp29-/- thyrocytes was signifi-
cant lower compared to treated ERp29?/? cells also
complying with genotype-related differences in CHOP
expression (Fig. 3).
ERp29+/+ ERp29-/-
DMSO Tu DMSO Tu
ERp29+/+ ERp29-/-
DMSO Tu * DMSO Tu
calnexinGRp94ERp72
PDIcalreticulin
ERp29
β-actin
b
0
0.2
0.4
0.6
0.8
1
1.2
1.4
Tg
calne
xin
GRp94
ERp72
Rat
io E
Rp2
9-/
- /ER
p29+
/+
controltreated
0
50
100
150
200
250
Tg
calne
xin
GRp94
ERp72
calre
ticuli
nPDI
ERp29
Rel
ativ
e ba
nd in
tens
ity (
%)
a
c
d
intracellular Tg
secreted Tg
Fig. 1 Expression of thyroglobulin and some ER chaperones in
thyrocytes after tunicamycin-induced ER stress. The thyrocytes were
treated with 1.5 lg/ml tunicamycin (Tu) for 18 h. Whole cell lysate
containing 20 lg protein per lane was resolved by 8–12 % SDS-
PAGE and transferred to a nitrocellulose membrane. Expression of
some ER chaperones (a), and of intracellular and secreted thyroglob-
ulin (Tg) (b) were analysed by Western blot. ERp29 was used as
genotype control. For the analysis of Tg-expression full length protein
about 300 kDa (marked with arrow) and its processing pattern were
used. Asterisk prestained protein ladder: 170, 130, 100, 70, 55, 40, 35,
25 kDa. c For densitometric quantification all signals were normal-
ized to the loading control b-actin. Relative expressions of proteins
are indicated as percentages (%) of control cells (DMSO-treated); in
black—control ERp29?/?, in dark grey—Tu-treated ERp29?/?, in
light grey—control ERp29-/-, in white—Tu-treated ERp29-/-. The
bars represent averages of signal intensity with their respective SD;
p [ 0.05. d Genotype-related differences of protein expression were
calculated as ratio ERp29-/- to ERp29?/?of integrated density of
normalized protein bands. The dashed line, that intersects the y axis at
the ratio = 1, indicates no changes of protein expression in ERp29-/-
compared to ERp29?/? cells. Bars under this value indicate
downregulation of protein expression. ERp29?/?: n = 5; ERp29-/-:
n = 5
806 Apoptosis (2014) 19:801–815
123
Effects of ERp29-deficiency on responsiveness
to oxidative stress in primary dermal fibroblasts
Adult diploid cells exhibit a limited proliferative potential
in vitro. For example, the murine dermal fibroblasts
undergo senescence and die after 5–7 passages in the cul-
ture [45, 46]. Therefore, experiments were performed with
primary dermal fibroblasts at third passage (Sup. 4). The
ERp29-/- dermal fibroblasts exhibit a typically shape with
branched cytoplasm surrounding a speckled nucleus. There
were no genotype-related differences between wild type
and ERp29-/- dermal fibroblasts (Sup. 5).
In order to study the effects of oxidative stress on adult
dermal fibroblasts, cells were treated with 1 mM hydrogen
peroxide for 6 h, followed by FACS analysis. Here, three
different cell populations were quantified; apoptotic, viable
and necrotic cells. During the early stage of apoptosis an
externalisation of phosphatidyl serine (PS) occurs, which
can be visualized by binding of FITC-coupled annexin-V
(Fig. 5). Late stages of apoptosis and necrosis are
characterized by a loss of membrane integrity and therefore
are positive for PI and annexin-V staining, whereas vital
cells are negative for both stains.
As shown in Fig. 5, Sup. 6, dermal fibroblasts subjected
to oxidative stress exhibit a constant necrosis rate of about
10–15 % independently from genotype, which is slightly
higher compared to the respective control experiments.
However, the apoptotic cell population rises after H2O2
treatment in dependence of the genotype. The quantitative
analysis of cell death shows that ERp29 deficiency leads to
decreased responsiveness to apoptosis caused by short-time
oxidative stress (Fig. 5a, b). The number of apoptotic
ERp29-/- cells was decreased about 20 % compared to
ERp29?/? cells (Sup. 6).
Western blot analysis of proteins involved in UPR cas-
cade was performed to elucidate apoptosis resistance in
ERp29-/- cells. The upregulation of BiP expression in
H2O2-treated cells indicates activation of UPR-cascade
(Fig. 6). The increase of about 20 % compared to respec-
tive control cells was independently from genotype
BiP
p90ATF6
p50ATF6
XBP1(u)XBP1(s)
ATF4
eIF2α
eIF2α-P
CHOP
ERp29
β-actin
ERp29+/+ ERp29-/- .DMSO Tu DMSO Tu
a
b
0
50
100
150
200
BiP
p90A
TF6
p50A
TF6
XBP1(u)
XBP1(s)
ATF4
CHOP
Rel
ativ
e ba
nd in
tens
ity (
%)
* ***
**
*
*
*
***
c
0
0.2
0.4
0.6
0.8
1
1.2
BiP
p90A
TF6
p50A
TF6
XBP1(u)
XBP1(s)
ATF4
CHOP
Rat
io E
Rp2
9-/
- /ER
p29
+/+
controltreated
elF2α
elF2α-P
elF2α
elF2α-P
Fig. 2 Expression of some UPR-proteins in thyrocytes after tunica-
mycin-induced ER stress. Thyrocytes were treated with 1.5 lg/ml
tunicamycin (Tu) for 18 h. Whole cell lysate containing 20 lg protein
per lane was resolved by 10–12 % SDS-PAGE and transferred to a
nitrocellulose membrane. a The expression of some UPR proteins
were analysed by Western blot. ERp29 was used as genotype control.
For densitometric quantification all signals were normalized to the
loading control b-actin. b Relative expression of proteins is indicated
as percentage (%) of control cells (DMSO-treated); in black—control
ERp29?/?, in dark grey—Tu-treated ERp29?/?, in light grey—
control ERp29-/-, in white—Tu-treated ERp29-/-. The bars repre-
sent averages of signal intensity with their respective SD; *p [ 0.05,
**p \ 0.05. c The genotype-related differences of protein expression
were calculated as ratio ERp29-/- to ERp29?/? of integrated density
of normalized protein bands. The dashed line, that intersects the y axis
at the ratio = 1, indicates no changes of protein expression in
ERp29-/- compared to ERp29?/? cells. Bars under this value
indicate downregulation of protein expression. ERp29?/?: n = 3;
ERp29-/-: n = 3
Apoptosis (2014) 19:801–815 807
123
(Fig. 6b, c). Western blot analysis of further UPR-proteins
revealed that basal level of p90ATF6 in unstressed
ERp29-/- cells were already about 30 % lower than those
of ERp29?/? cells (p = 0.03) (Fig. 6c). H2O2 treatment
caused an upregulation of about 80 % in ERp29?/? cells,
and of about 20 % in ERp29-/- cells, respectively. Thus,
the difference of p90ATF6 levels in stressed ERp29-/-
cells averages about 90 % of the expression of treated
ERp29?/? cells (Fig. 6b). The protein level of the mature
form of p50ATF6 in stressed wild type cells was twofold
upregulated compared to the stressed mutant cells indi-
cating different activation of ATF6 depending on the pre-
sence of ERp29 (Fig. 6c).
Moreover, Western blot analysis revealed a genotype-
related upregulation of CHOP expression in stressed cells.
Remarkably, the upregulation of CHOP in H2O2-treated
ERp29-/- cells was only about 20 % of the respective
control, whereas in ERp29?/? cells the difference in CHOP
levels amounts to 60 % (Fig. 6). An upregulation of other
UPR members, such as ATF4, XBP1, eIF2a-P (Fig. 6) as
well as upregulation of ER chaperones (Fig. 7) in stressed
dermal fibroblasts was not observed.
BiP
p90ATF6
p50ATF6
XBP1(u)XBP1(s)
ATF4
eIF2αeIF2α-P
CHOP
ERp29
β-actin
a
b
ERp29+/+ ERp29-/-
DMSO Tu DMSO Tu
0
50
100
150
200
BiP
p90A
TF6
XBP1(u)
ATF4
CHOP
Rel
ativ
e ba
nd in
tens
ity (
%)
*
**
c
0
0.2
0.4
0.6
0.8
1
1.2
p90ATF6R
atio
ER
p29
-/- /E
Rp2
9+
/+ control
treated
BiP CHOP
elF2α
elF2α-P
Fig. 3 Expression of some UPR proteins in thyrocytes after tunica-
mycin-induced severe ER stress. Thyrocytes were treated with 10 lg/
ml tunicamycin (Tu) for 6 h. Whole cell lysate containing 20 lg
protein per lane was resolved by 10–12 % SDS-PAGE and transferred
to a nitrocellulose membrane. a The expression levels of proteins
were analysed by Western blot. ERp29 was used as genotype control.
For densitometric quantification all signals were normalized to the
loading control b-actin. b Relative expression of proteins is indicated
as percentage (%) of control cells (DMSO-treated); in black—control
ERp29?/?, in dark grey—Tu-treated ERp29?/?, in light grey—
control ERp29-/-, in white—Tu-treated ERp29-/-. Bars represent
averages of signal intensity with their respective SD; *p [ 0.05,
**p \ 0.05. c The genotype-related differences of protein expression
were calculated as ratio ERp29-/- to ERp29?/? of integrated density
of normalized protein bands. The dashed line, that intersects the y axis
at the ratio = 1, indicates no changes of protein expression in
ERp29-/- compared to ERp29?/? cells. Bars under this value
indicate downregulation of protein expression. ERp29?/?: n = 3;
ERp29-/-: n = 3
Fluorescence intensity
1200
800
400
00 1.5 10
Tunicamycin, µg/ml
**
*
Fig. 4 Caspase-3-activity in thyrocytes after tunicamycin-induced
ER stress. The thyrocytes were treated with different concentrations
of tunicamycin: 0 lg/ml (18 h incubation in culture medium), 1.5 lg/
ml for 18 h, 10 lg/ml for 6 h. The fluorescence intensity was
measured in cell lysate, normalized against fluorescence intensity
from cells treated with equal amounts of DMSO for 18 and 6 h, and
subsequently plotted against corresponding tunicamycin concentra-
tions, in black—ERp29?/? cells, in red—ERp29-/- cells The
fluorescence intensity correlates with the quantity of cleavaged
bisamide-substrate, and complies with caspase-3-activity. Error bars
represent the standard deviation. *p [ 0.05, **p \ 0.05. Each sample
was obtained from a whole thyroid that was obtained from 3 month
old males. ERp29?/?: n = 3; ERp29-/-: n = 3 (Color figure online)
808 Apoptosis (2014) 19:801–815
123
Fig. 5 Responsiveness of
dermal fibroblasts to oxidative
stress triggered by treatment
with 1 mM H2O2. a FACS-
histogram of cells incubated
with FITC-coupled annexin-V
and PI. On the x axis
fluorescence intensity of FITC-
coupled annexin-V was plotted,
the y axis represents cell counts.
b Distribution of cell
populations according to the
FACS analysis. The bars
represent mean ± SD of three
independent experiments: in
black—control ERp29?/?, in
grey—treated ERp29?/?, in
red—control ERp29-/-, in
rose—treated ERp29-/- (Color
figure online)
BiP
p90ATF6
p50ATF6
XBP1(u)XBP1(s)
ATF4
eIF2αeIF2α-P
CHOP
β-actin
ERp29
ERp29+/+ ERp29-/-
0 1,0 0 1,0 H2O2, mM
0
0.2
0.4
0.6
0.8
1
1.2
BiP
p90A
TF6
p50A
TF6
CHOP
Rat
io E
Rp2
9-/
- /ER
p29
+/+ control
treated
a
c
b
0
50
100
150
200
250
300
BiP
p90A
TF6
p50A
TF6
XBP1(u)
ATF4
eIF2a
lfa
CHOPRel
ativ
e ba
nd in
tens
ity (
%)
*
**
****
Fig. 6 Comparison of the effect of oxidative stress in ERp29?/? and
ERp29-/- dermal fibroblasts on expression patterns of proteins
involved in UPR. a Dermal fibroblasts were treated with 1 mM H2O2
in DMEM/10 % FCS for 6 h. Cell lysate containing 20 lg protein per
lane was resolved by 10–12 % SDS-PAGE and transferred to a
nitrocellulose membrane. Western blot analysis was performed for
some proteins of unfolded protein response. b-actin serves as loading
control, and ERp29 as genotype control. Genotype-related differences
of protein expression are framed in black. b Relative expressions of
proteins are indicated as percentages (%) of untreated cells; in black—
untreated ERp29?/?, in dark grey—H2O2-treated ERp29?/?, in light
grey—untreated ERp29-/-, in white—H2O2-treated ERp29-/-. The
bars represent averages of signal intensity with their respective SD
*p [ 0.05, **p \ 0.05. c The genotype-related differences of protein
expression were calculated as ratio ERp29-/- to ERp29?/? of
integrated density of normalized protein bands. The dashed line, that
intersects the y axis at the ratio = 1, indicates no changes of protein
expression in ERp29-/- compared to ERp29?/? cells. Bars under this
value indicate downregulation of protein expression. ERp29?/?: n = 3;
ERp29-/-: n = 3
Apoptosis (2014) 19:801–815 809
123
Discussion
ERp29 knock out mouse
The aim of the present study was to reveal the physiolog-
ical role of ERp29. Therefore, gene knockout in mice was
performed to elucidate the function by analyzing the phe-
notype of the knock out mice. However, ERp29-deficient
mice did not exhibit any obvious phenotype. Hereupon, we
were interested in the effect of ERp29 deficiency on ER
stress in thyrocytes and dermal fibroblasts from knockout
mice to get further insights in the cellular function of the
protein.
Study of unfolded protein response in adult cells
UPR can be triggered trough many types of stress factors,
which lead to accumulation of unfolded proteins in ER.
The inhibition of different steps of the thyroglobulin syn-
thesis and processing in thyrocytes provides a popular
model for studying UPR [47–50]. Cultured primary thy-
rocytes more closely represent the in vivo physiological
state, maintaining highly differentiated functions, such as
the ability to secrete thyroglobulin [38]. Thyroglobulin
(Tg) is a glycoprotein that consists of 2,750-amino acid
residues, and is released in follicular lumen as a homodi-
mer [51]. It contains 60 intramolecular disulfide-bonds and
10–15 N-bonded oligosaccharides per Tg-molecule, which
causes a high potential for misfolding [52]. Therefore, the
Tg folding can be regarded as a challenging task for several
chaperones and folding enzymes, such as BiP, calnexin,
calreticulin, GRp94, and ERp72 [8, 10, 52, 53]. Previous
work on the thyroid cell line FRTL-5 proposed that ERp29
is connected with folding and/or secretion of Tg. Some
reports suggested that ERp29 displays a chaperon activity
[7, 54], because ERp29 and ER chaperones (BiP, GRp94,
PDI) were found to be upregulated by TSH-induced
physiological UPR. Based on co-immunoprecipitation of
ERp29 with denaturated Tg and ER chaperones, the
authors proposed the existence of ER-resident transient
multimolecular folding complexes. However, the ERp29
association was weak and of transient nature. If ERp29
plays an active role during the folding and processing of
Tg, its deficiency should affect Tg expression level, its
secretion, or should provoke some compensatory effects,
such as upregulation of aforementioned ER chaperones.
However, our studies revealed that ERp29 is not essential
for Tg expression, processing and secretion neither in
stressed nor in non-stressed thyrocytes. UPR, triggered by
tunicamycin treatment (1.5 lg/ml, 18 h), caused a geno-
type-independent intracellular Tg accumulation, and
moreover, an equal upregulation of some chaperones
(CNX, GRp94, ERp72) (Fig. 1). The expression levels of
ERp29 in non-stressed vs. stressed wild type cells remains
unaltered, and Tg expression levels were comparable to
that found in ERp29-/- thyrocytes. Furthermore, since
ERp29-/- mice did not show the occurrence of thyroid
dysfunctions, such as abnormalities of weight and repro-
ductivity, we exclude the hypothesis that ERp29 acts as an
essential chaperone for folding and processing of Tg, but a
possible escort function within ER-resident folding com-
plexes cannot be excluded.
The upregulation of chaperons occurs through activation
of UPR. Due to this evolutionary conserved cascade the
cell is able to regulate the synthesis-folding-capacity in ER
and to switch between two programs; i) ‘‘adaptation to
stress and survival’’ or ii) ‘‘elimination trough apoptosis’’.
Two arms of the UPR cascade were upregulated
GRp94
calnexin
ERp72
calreticulin
PDI
β-actin
ERp29
ERp29+/+ ERp29-/- .control H2O2 control H2O2
0
50
100
GRp94
calne
xin
ERp72
calre
ticuli
nPDI
Rel
ativ
e ba
nd in
tens
ity (
%)b a
Fig. 7 Comparison of the effect of oxidative stress in ERp29?/? and
ERp29-/- dermal fibroblasts on expression of some ER chaperones.
a Dermal fibroblasts were treated with 1 mM H2O2 in DMEM/10 %
FCS for 6 h. Cell lysate containing 20 lg protein per lane was
resolved by 10–12 % SDS-PAGE and transferred to a nitrocellulose
membrane. Western blot analysis was performed for some ER
chaperones. b-actin serves as loading control, and ERp29 as genotype
control. b Relative expressions of proteins are indicated as percent-
ages (%) of untreated cells; in black—untreated ERp29?/?, in dark
grey—H2O2-treated ERp29?/?, in light grey—untreated ERp29-/-,
in white—H2O2-treated ERp29-/-. Bars represent averages of signal
intensity with their respective SD p [ 0.05. ERp29?/?: n = 3;
ERp29-/-: n = 3
810 Apoptosis (2014) 19:801–815
123
genotype-independently in thyrocytes. In this connection
the accumulation of XBP1(s) transcription factor in both
cell types leads to aforementioned upregulation of chap-
erons. Our experiments using adult thyrocytes revealed
genotype-dependent differences in the activation of ATF6–
CHOP-pathway. The ATF6 (p90ATF6/p50ATF6) activa-
tion in stressed ERp29-/- thyrocytes were significant
lower than those in stressed ERp29?/? thyrocytes. Previous
studies suggested that activation of UPR results in accu-
mulation of p50ATF6 [24, 25], but changes in expression
of p90ATF6 were also described [55]. However, only
p50ATF6 is responsible for the activation of the tran-
scription factors XBP1(s) and CHOP [12]. In accordance
with these reports we found that expression levels of CHOP
in stressed ERp29-/- thyrocytes was lower than expression
levels of CHOP in stressed ERp29?/? cells. The proapo-
totic transcription factor CHOP induces the upregulation of
the BH3-only protein Bim, and therefore, activates via
caspase-12 the caspase-3-mediated apoptosis [29, 30].
Under these conditions we did not find an activation of
caspase-3 as a hallmark for cell death. These results are in
good agreement with previous reports [42, 44]. Thus, it can
be supposed that the treatment with 1.5 lg/ml Tu for 18 h
causes gentle ER stress resulting in cell survival. It is
proposed that cell survival during gentle ER stress is
facilitated through the instability of UPR-induced cell
death mediators, such as CHOP and GADD34. In accor-
dance with this hypothesis, the concentrations of these
proteins exceed a death threshold after prolonged or severe
ER stress only [43].
It is known that treatment with higher concentrations of
Tu (10 lg/ml for 6 h) causes severe ER stress [44]. Under
these conditions we did not detect an activation of XBP1 in
thyrocytes (Fig. 3), which regulate the folding capacity
of ER. However, we found an upregulation of CHOP
expression and caspase-3-activity in genotype-dependent
manner (Figs. 3, 4). The difference in genotype-related
CHOP upregulation during severe ER stress was higher
than those during gentle ER stress. In spite of upregulation
of the key activator of UPR signalling BiP, no upregulation
of ATF6, ATF4, eIF2a-P, XBP1(s) could be detected under
severe ER stress (Fig. 3). The reason for it can be found in
the different regulation through several mediators and
feedback mechanisms during varying degrees of stress [56,
57]. High expression levels of CHOP during severe ER
stress leads to the dephosphorylation of eIF2a by activation
of GADD34 [58]. The PERK activity in the later phase of
the ER stress response can be repressed by P58(IPK)
induction [59]. Terminated PERK signalling leads to
accumulation of transcripts of ATF6- and XBP1-targets,
and therefore affects likely the ATF6- and IRE1-XBP1-
signaling of UPR [60]. In contrast to previous studies that
described alteration of eIF2a-phosphorylation in ERp29-
transfected cells, and therefore, supposed the involvement
of ATF4-branch [35, 61], our experiments using ERp29-
deficient cells revealed no adverse effects on activation of
PERK-eIF2a-ATF4 as well as on activation of IRE1-
XBP1(s) pathways in adult thyrocytes.
The analysis of caspase-3 activity in stressed thyrocytes
showed that their activation occurs only during severe ER
stress (Fig. 4). Accordingly to CHOP levels, caspase-3
activity in ERp29-/- thyrocytes was lower compared to
ERp29?/? cells. These results indicate that ERp29 plays an
important role in UPR activation by affecting the apoptosis
sensitivity of adult thyrocytes during severe ER stress.
In order to verify cell and stress specificity of genotype-
related findings we studied severe ER stress in dermal
fibroblasts treated with 1 mM hydrogen peroxide. The pri-
mary culture of adult dermal fibroblasts is representative for
ploidy, contact inhibition and some other cell properties in
the body. Primary cells are responsive for different treat-
ments and are useful as model for studying cellular stress
response [62, 63]. Hydrogen peroxide is a membrane-per-
meable form of reactive oxygen species (ROS), which reg-
ulates the activity of calcium channels, and modify the redox
status in ER [64, 65]. Protein folding in ER, especially
disulfide-bond formation, is connected with generation of
ROS. Therefore, activation of UPR upon exposure to oxi-
dative stress serves as an adaptive mechanism for cell sur-
vival, whereas prolonged or severe oxidative stress leads to
alterations of redox status, protein misfolding, and the ini-
tiation of apoptotic cascades [65, 66].
In this work, we demonstrated that ERp29-defecient
dermal fibroblasts are less sensitive for oxidative stress
triggered by H2O2-treatment than wild type fibroblasts
(Fig. 5). As observed in the case of severe ER stress in
adult thyrocytes, ATF6 activation (p90ATF6/p50ATF6) in
stressed ERp29-/- fibroblasts was lower compared to
stressed ERp29?/? fibroblasts, whereas the upregulation of
other member of UPR-cascade and chaperones in both
stressed cell types remained unaltered versus their
expression in untreated cells (Figs. 6, 7). In accordance
with findings in thyrocytes, dermal fibroblasts also display
significant lower expression level of CHOP in stressed
ERp29-/- fibroblasts when compared to stressed ERp29?/
? cells, thus also explaining lower apoptosis sensitivity of
mutant cells [43].
In summary, the analysis of ER stress response in thy-
rocytes and dermal fibroblasts reveals genotype-related
differences during UPR. The ERp29 deficiency affected the
activation of ATF6–CHOP-pathway, and leads to lower
apoptosis sensitivity in adult cells (Fig. 8). In contrast to
previous reports, our results showed no influence of ERp29
on ATF4 activation, and eIF2a-phosphorylation [34, 35].
The PERK-pathway remained inactive after exposure to
severe ER stress independent from genotype.
Apoptosis (2014) 19:801–815 811
123
In this connection, ER stress-induced upregulation of
ERp29 [7, 15, 16, 54], which serves as argument for a
chaperone function of the protein, arouses special interest.
Our experiments show that the expression of ERp29 in
stressed ERp29?/? thyrocytes und dermal fibroblasts
remains unaltered, whereas all members of ER folding
machinery (BiP, calnexin/calreticulin, PDI, ERp72) were
up-regulated during gentle ER stress. Moreover, ERp29 has
no effect on upregulation levels of above mentioned
chaperones. An upregulation of ERp29 (but not of PDI and
BiP) was detected in cancer cell lines under ER stress
conditions [6, 67]. These data suggest that during ER
stress, ERp29 possesses another function or is differently
regulated than ER chaperones. In fact, a direct effect of ER
stress on ERp29-transcription could not be proven [1]. The
analysis of the erp29-promoter reveals several binding sites
for a number of transcription factors (GATA-1, Sp1, E2F,
CRE-BP1) that possibly together determine the ERp29
expression [68]. This interplay of these regulatory elements
could allow different expression pattern of ERp29 under
ER stress conditions dependent on tissue and cell type.
Putative function of ERp29 as escort factor in ER
ERp29 belongs to the redox-inactive PDI-Db-subfamily of
PDI proteins [1, 69]. The interaction of ERp29 with some
ER chaperones such as BiP was demonstrated by immu-
noprecipitation experiments, but the recognition mecha-
nism remained unclear. It was supposed that ERp29 is only
able to bind as homodimer [70]. Experiments with its
orthologous protein Wind from Drosophila melanogaster
gave indications for an ERp29-recognition motive. Wind is
required for the correct targeting of the proteoglycan
modifying enzyme Pipe from ER to Golgi apparatus. It was
shown that the D-domain from murine ERp29 can func-
tional replace the D-domain from Wind-protein for Pipe-
processing. Pipe targeting is determined through highly
conserved residues, whose mutagenesis in the Wind-pro-
tein prevents the Pipe transport to Golgi apparatus [71–74].
The study of Das et al. [9], which investigated the
trafficking of the gap junction protein connexin 43 (Cx43)
from ER to Golgi apparatus, also suggests an escort func-
tion of ERp29. Thus, it was supposed that the stabilization
of monomeric Cx43 is mediated through their interaction
with redox-inactive ERp29. ERp29 blocks intermolecular
cysteine residues, which connect Cx43-domains, and pre-
vents thereby their oligomerization in ER [9].
We demonstrated in two types of adult cells that ERp29
deficiency impairs ER stress-induced activation of ATF6.
In this regard we suppose an important role of ERp29 for
the relocation of p90ATF6 from ER to Golgi with fol-
lowing processing to the mature form p50ATF6. As yet the
detailed mechanism of ATF6 transport is not clear. It was
supposed that any anchor and escort proteins (such as BiP,
PDI and many of unidentified proteins) are involved in ER
stress-induced relocation of ATF6 [75]. This protein exists
in unstressed ER as monomer, dimer and oligomer, but
only the reduced monomeric form of ATF6 reaches the
Golgi apparatus [76–78]. Probably, ERp29 interacts with
monomeric form of ATF6, stabilizes it, and thus promotes
ATF6-relocation. Therefore, we suppose that ERp29 acts
as an escort factor for the p90ATF6 transport from ER to
Golgi apparatus under ER stress conditions. ERp29 defi-
ciency affects apoptosis sensitivity and probably adaptation
of cells to prolonged stress.
There are some interesting aspects about the role of
ERp29 that are important for further studies. ERp29 could
serve as escort factor within several protein transport
complexes from ER to Golgi. However, in this study we
did not detect an all-or-nothing response in ERp29-defi-
cient cells. Therefore, a further important aspect of this
field of research consists in the question, whether there are
rescue mechanisms for ERp29-deficiency during ER stress
either by increased expression levels of other ER members
[79] or by the emergence of proteins with similar function
[80].
Acknowledgments We are grateful to all of the members of Max
Planck Research Unit for Enzymology of Protein Folding (Halle/
Saale, Germany) for helpful discussion, and in part for technical
assistance. The present work was supported by grants from the
Exzellenznetzwerk Biowissenschaften (Sachsen-Anhalt).
References
1. Ferrari DM, Van Nguyen P, Kratzin HD, Soling HD (1998)
ERp28, a human endoplasmic reticulum luenal protein, is a
member of the protein disulfide isomerase family but lacks a
CXXC thioredoxin-box motif. Eur J Biochem 255(3):570–579
BiP
IRE1 ATF6 PERK
XBP1 eIF2α → eIF2α-PCHOP
ATF4
CHOP
ERAD caspase-3 caspase-3 chaperones apoptosis apoptosis
Fig. 8 Regulation of the UPR in differentiated adult cells during
oxidative stress. The UPR consists of three pathways, which can be
differently regulated during ER stress in dependence on stress-stimuli
and cell type. Our results suggest that the activity of the ATF6–
CHOP-axis is lowered during ER stress in ERp29-/- cells (in red)
compared to the wild type cells (Color figure online)
812 Apoptosis (2014) 19:801–815
123
2. Barak NN, Neumann P, Sevvana M, Schutkowski M, Naumann
K, Malesevic M, Reichardt H, Fischer G, Stubbs MT, Ferrari DM
(2009) Crystal structure and functional analysis of the protein
disulfide isomerase-related protein ERp29. J Mol Biol
385(5):1630–1642. doi:10.1016/j.jmb.2008.11.052
3. Mkrtchian S, Sandalova T (2006) ERp29, an unusual redox-
inactive member of the thioredoxin family. Antioxid Redox
Signal 8:325–337
4. Bambang IF, Xu S, Zhou J, Salto-Tellez M, Sethi SK, Zhang D
(2009) Overexpression of endoplasmic reticulum protein 29
regulates mesenchymal–epithelial transition and suppresses
xenograft tumor growth of invasive breast cancer cells. Lab
Invest 89:1229–1242
5. Mkrtchian S, Baryshev M, Sargsyan E, Chatzistamou I, Volakaki
AA, Chaviaras N et al (2008) ERp29, an endoplasmic reticulum
secretion factor is involved in the growth of breast tumor xeno-
grafts. Mol Carcinog 47(11):886–892. doi:10.1002/mc.20444
6. Mkrtchian S, Fang C, Hellman U, Ingelman-Sundberg M (1998)
A stress-inducible rat liver endoplasmic reticulum protein,
ERp29. Eur J Biochem 251:304–313
7. Sargsyan E, Baryshev M, Szekely L, Sharipo A, Mkrtchian S
(2002) Identification of ERp29, an endoplasmic reticulum
lumenal protein, as a new member of the thyroglobulin folding
complex. J Biol Chem 277:17009–17015. doi:10.1074/jbc.
M200539200
8. Baryshev M, Sargsyan E, Mkrtchian S (2006) ERp29 is an
essential endoplasmic reticulum factor regulating secretion of
thyroglobulin. Biochem Biophys Res Commun 340:617–624
9. Das S, Smith TD, Das Sarma J, Ritzenthaler JD, Maza J, Kaplan
BE, Cunningham LA, Suaud L, Hubbard MJ, Rubenstein RC,
Koval M (2009) ERp29 restricts Connexin43 oligomerization in
the endoplasmic reticulum. Mol Biol Cell 20:2593–2604. doi:10.
1091/mbc.E08-07-0790
10. Kuznetsov G, Chen LB, Nigam SK (1994) Several endoplasmic
reticulum stress proteins, including Erp72, interact with thyro-
globulin during its maturation. J Biol Chem 269:22990–22995
11. Kwon OY, Park S, Lee W, You K-H, Kim H, Shong M (2000)
TSH regulates a gene expression encoding ERp29, an endoplas-
mic reticulum stress protein, in the thyrocytes of FRTL-5 cells.
FEBS Lett 475:27–30
12. Schroder M, Kaufman RJ (2005) ER stress and the unfolded
protein response. Mutat Res 569:29–63
13. Sevier CS, Kaiser CA (2008) Ero1 and redox homeostasis in the
endoplasmic reticulum. Biochim Biophys Acta 1783:549–556
14. Zhang B, Wang M, Yang Y, Wang Y, Pang X, Su Y, Wang J, Ai
G, Zou Z (2008) ERp29 is a radiation responsive gene in IEC-6
cell. J Radiat Res 49:587–596
15. Dukes AA, Van Laar VS, Cascio M, Hastings TG (2008)
Changes in endoplasmic reticulum stress proteins and aldolase A
in cells exposed to dopamine. J Neurochem 106:333–346. doi:10.
1111/j.1471-4159.2008.05392.x
16. Hung YC, Wang PW, Pan TL, Bazylak G, Leu YL (2009) Proteo-
mic screening of antioxidant effects exhibited by radix Salvia mil-
tiorrhiza aqueous extract in cultured rat aortic smooth muscle cells
under homocysteine treatment. J Ethnopharmacol 124:463–474.
doi:10.1016/j.jep.2009.05.020
17. Buettner GR (2011) Superoxide dismutase in redox biology: the
roles of superoxide and hydrogen peroxide. Anticancer Agents
Med Chem 11:341–346
18. Verfaillie T, Salazar M, Velasco G, Agostinis P (2010) Linking
ER stress to Autophagy: potential implications for cancer ther-
apy. Int J Cell Biol. doi:10.1155/2010/930509
19. Liu CY, Wong HN, Schauerte JA, Kaufman RJ (2002) The
protein kinase/endoribonuclease IRE1 that signals the unfolded
protein response has a luminal N-terminal ligand independent
dimerization domain. J Biol Chem 277:18346–18356
20. Calfon M, Zeng H, Urano F, Till JH, Hubbard SR, Harding HP,
Clark SG, Ron D (2002) IRE1 couples endoplasmic reticulum
load to secretory capacity by processing the XBP-1 mRNA.
Nature 415:92–96
21. Lee AH, Chu GC, Iwakoshi NN, Glimcher LH (2005) XBP-1 is
required for biogenesis of cellular secretory machinery of exo-
crine glands. EMBO J 24:4368–4380
22. Acosta-Alvear D, Zhou Y, Blais A, Tsikitis M, Lents NH, Arias
C, Lennon CJ, Kluger Y, Dynlacht BD (2007) XBP1 controls
diverse cell type- and condition-specific transcriptional regulatory
networks. Mol Cell 6:53–66
23. DuRose JB, Scheuner D, Kaufman RJ, Rothblum LI, Niwa M
(2009) Phosphorylation of eucaryotic translation initiation factor
2a coordinates rRNA transcription and translation inhibition during
endoplasmic reticulum stress. Mol Cell Biol 15:4295–4307. doi:10.
1128/MCB.00260-09
24. Haze K, Yoshida H, Yanagi H, Yura T, Mori K (1999) Mam-
malian transcription factor ATF6 is synthesized as a transmem-
brane protein and activated by proteolysis in response to
endoplasmic reticulum stress. Mol Biol Cell 10:3787–3799
25. Ye J, Rawson RB, Komuro R, Chen X, Dave UP, Prywes R,
Brown MS, Goldstein JL (2000) ER stress induces cleavage of
membranebound ATF6 by the same proteases that process
SREBPs. Mol Cell 6:1355–1364
26. Chen X, Shen J, Prywes R (2002) The luminal domain of ATF6
senses endoplasmic reticulum (ER) stress and causes transloca-
tion of ATF6 from the ER to the Golgi. J Biol Chem 277:
13045–13052
27. Okada T, Haze K, Nadanaka S, Yoshida H, Seidah NG, Hirano Y,
Sato R, Negishi M, Mori K (2003) A serine protease inhibitor
prevents endoplasmic reticulum stress-induced cleavage but not
transport of the membrane-bound transcription factor ATF6.
J Biol Chem 278:31024–31032
28. Wei MC, Zong WX, Cheng EH, Lindsten T, PanoutsakopoulouV, Ross AJ, Roth KA, MacGregor GR, Thompson CB, Kors-
meyer SJ (2001) Proapoptotic BAX and BAK: a requisite gate-
way to mitochondrial dysfunction and death. Science 292:
727–730
29. Nakagawa T, Zhu H, Morishima N, Li E, Xu J, Yankner BA,
Yuan J (2000) Caspase-12 mediates endoplasmic-reticulum-spe-
cific apoptosis and cytotoxicity by amyloid-b. Nature 403:98–103
30. Morishima N, Nakanishi K, Takenouchi H, Shibata T, Yasuhiko
Y (2002) An endoplasmic reticulum stress-specific caspase cas-
cade in apoptosis. Cytochrome c-independent activation of cas-
pase-9 by caspase-12. J Biol Chem 277:34287–34294
31. Harding H, Zhang Y, Bertolotti A, Zeng H, Ron D (2000) PERK
is essential for translational regulation and cell survival during
the unfolded protein response. Mol Cell 5:897–904
32. Zinszner H, Kuroda M, Wang X, Batchvarova N, Lightfoot RT,
Remotti H, Stevens JL, Ron D (1998) CHOP is implicated in
programmed cell death in response to impaired function of the
endoplasmic reticulum. Genes Dev 12:982–995
33. Zhang D, Putti TC (2010) Over-expression of ERp29 attenuates
doxorubicin-induced cell apoptosis through the upregulation of
Hsp27 in breast cancer cells. Exp Cell Res 316:3522–3531.
doi:10.1016/j.yexcr.2010.08.014
34. Bambang IF, Lu D, Li H, Chiu LL, Lau QC, Koay E, Zhang D
(2009) Cytokeratin 19 regulates endoplasmic reticulum stress and
inhibits ERp29 expression via p38 MAPK/XBP-1 signaling in
breast cancer cells. Exp Cell Res 315:1964–1974. doi:10.1016/j.
yexcr.2009.02.017
35. Gao D, Bambang IF, Putti TC, Lee YK, Richardson DR, Zhang D
(2011) ERp29 induces breast cancer cell growth arrest and sur-
vival through modulation of activation of p38 and upregulation of
ER stress protein p58(IPK). Lab Invest 92:200–213. doi:10.1038/
labinvest.2011.163
Apoptosis (2014) 19:801–815 813
123
36. Guo Ch (2003) Generation of endoplasmic reticulum protein 28
(ERp28) knock out mice, and structural and functional analysis of
its Drosophila Homologue, Wind. Dissertation, Georg-August
University, Gottingen
37. Lichti U, Anders J, Yuspa SH (2008) Isolation and short-term
culture of primary keratinocytes, hair follicle populations and
dermal cells from newborn mice and keratinocytes from adult
mice for in vitro analysis and for grafting to immunodeficient
mice. Nat Protoc 3:799–810. doi:10.1038/nprot.2008.50
38. Jeker LT, Hejazi M, Burek CL, Rose NR, Caturegli P (1999)
Mouse thyroid culture. Biochem Biophys Res Commun 257:
511–515
39. Bjorkman U, Ekholm R (1982) Effect of tunicamycin on thyro-
globulin secretion. Eur J Biochem 125:585–591
40. Eggo MC, Burrow GN (1983) Glycosylation of thyroglobulin—
its role in secretion, iodination, and stability. Endocrinology
113:1655–1663
41. Kim PS, Bole D, Arvan P (1992) Transient aggregation of nas-
cent thyroglobulin in the endoplasmic reticulum: relationship to
the molecular chaperone, BiP. J Cell Biol 118:541–549
42. Kuznetsov G, Chen LB, Nigam SK (1997) Multiple molecular
chaperones complex with misfolded large oligomeric glucopro-
teins in the endoplasmic reticulum. J Biol Chem 272:3057–3063.
doi:10.1074/jbc.272.5.3057
43. Oyadomari S, Mori M (2004) Roles of CHOP/GADD153 in
endoplasmic reticulum stress. Cell Death Differ 11:381–389
44. Zamarbide M, Martinez-Pinilla E, Ricobaraza A, Aragon T,
Franco R, Perez-Mediavilla A (2013) Phenyl acyl acids attenuate
the unfolded protein response in tunicamycin-treated neuroblas-
toma cells. PLoS One 8:1–7
45. Van Gansen P, Van Lerberghe N (1988) Potential and limitations
of cultivated fibroblasts in the study of senescence in animals. A
review on the murine skin fibroblasts system. Arch Gerantol
Geriatr 7:31–74
46. Jones GE, Wise C (1997) Establishment, maintenance, and
cloning of human dermal fibroblasts. Methods in molecular
biology. Methods Mol Biol 75:13–24
47. Kim PS, Arvan P (1991) Folding and assembly of newly syn-
thesized thyroglobulin occurs in a pre-Golgi compartment. J Biol
Chem 266:12412–12418
48. Wegrowski Y, Perreau C, Martiny L, Haye B, Maquart FX,
Bellon G (1999) Transforming growth factor beta-1 up-regulates
clusterin synthesis in thyroid epithelial cells. Exp Cell Res 247:
475–483
49. Park S, Hwang I, Shong M, Kwon OY (2003) Identification of
genes in thyrocytes regulated by unfolded protein response by
using disulfide bond reducing agent of dithiothreitol. J Endocrinol
Invest 26:132–137
50. Lorenz S, Eszlinger M, Paschke R, Aust G, Weick M, Fuhrer D,
Krohn K (2010) Calcium signaling of thyrocytes is modulated by
TSH through calcium binding protein expression. Biochim Bio-
phys Acta 1803:352–360. doi:10.1016/j.bbamcr.2010.01.007
51. Malthiery Y, Marriq C, Berge-Lefranc JL, Franc JL, Henry M,
Lejeune PJ, Ruf J, Lissitzky S (1989) Thyroglobulin structure and
function: recent advances. Biochemie 71:195–209
52. Kim PS, Arvan P (1995) Calnexin and BiP act as sequential
chaperones during thyroglobulin folding in the endoplasmic
reticulum. J Cell Biol 128:29–38
53. Christis C, Fullaondo A, Schildknegt D, Mkrtchian S, Heck A,
Braakman I (2010) Regulates increase in folding capacity pre-
vents unfolded protein stress in the ER. J Cell Sci 123:787–794.
doi:10.1242/jcs.041111
54. Sargsyan E, Baryshev M, Mkrtchian S (2004) The physiological
unfolded protein response in the thyroid epithelial cells. Biochem
Biophys Res Commun. 322:570–576
55. Garrido JL, Maruo S, Takada K, Rosendorff A (2009) EBNA3C
interacts with GADD34 and counteracts the unfolded protein
response. Virol J 6:231. doi:10.1186/1743-422X-6-231
56. Rutkowski DT, Arnold SM, Miller CN, Wu J, Li J, Gunnison
KM, Mori K, Sadighi Akha AA, Raden D, Kaufman RJ (2006)
Adaptation to ER stress is mediated by differential stabilities of
pro-survival and pro-apoptotic m RNAs and proteins. PLoS Biol.
doi:10.1371/journal.pbio.0040374
57. Kincaid MM, Cooper AA (2007) ERADicate ER stress or die
trying. Antioxid Redox Signal 9:2373–2387
58. Novoa I, Zeng H, Harding HP, Ron D (2001) Feedback inhibition
of the unfolded protein response by GADD34-mediated dephos-
phorylation of eIF2a. J Cell Biol 153:1011–1021
59. Yan W, Frank CL, Korth MJ, Sopher BL, Novoa I, Ron D, Katze
MG (2002) Control of PERK eIF2a kinase activity by the
endoplasmic reticulum stress-induced molecular chaperone
P58IPK. PNAS 99:15920–15925. doi:10.1073/pnas.252341799
60. Yoshida H, Matsui T, Yamamoto A, Okada T, Mori K (2001)
XBP1 mRNA is induced by ATF6 and spliced by IRE1 in
response to ER stress to produce a highly active transcription
factor. Cell 107:881–891
61. Farmaki E, Mkrtchian S, Papazian I, Papavassiliou AG, Kiaris H
(2011) ERp29 regulates response to doxorubicin by a PERK-medi-
ated mechanism. Biochim Biophys Acta 1813(6):1165–1171. doi:10.
1016/j.bbamcr.2011.03.003
62. Long H, Han H, Yang B, Wang Z (2003) Opposite cell density-
dependence between spontaneous and oxidative stress-induced
apoptosis in mouse fibroblast L-cells. Cell Physiol Biochem
13:401–414. doi:10.1159/000075128
63. Sen P, Mukherjee S, Bhaumika G, Dasb P, Ganguly S, Cho-
udhury N, Raha S (2003) Enhancement of catalase activity by
repetitive low-grade H2O2 exposures protects fibroblasts from
subsequent stress-induced apoptosis. Mutat Res 529:87–94
64. Akaishi T, Nakazawa K, Sato K, Saito H, Ohno Y, Ito Y (2004)
Hydrogen peroxide modulates whole cell Ca2? currents through
L-type channels in cultured rat dentate granule cells. Neurosci
Lett 356:25–28. doi:10.1016/j.bbrc.2013.08.087
65. Malhotra JD, Kaufman RJ (2007) Endoplasmic reticulum stress
and oxidative stress: a vicious cycle or a double-edged sword?
Antioxid Redox Signal 9:2277–2293
66. Tu BP, Weissman JS (2004) Oxidative protein folding in eukaryotes
mechanisms and consequences. J Cell Biol 164:341–346. doi:10.
1083/jcb.200311055
67. Shnyder SD, Mangum JE, Hubbard MJ (2008) Triplex profiling
of functionally distinct chaperones (ERp29/PDI/BiP) reveals
marked heterogeneity of the endoplasmic reticulum proteome in
cancer. J Proteome Res 7:3364–3372
68. Sargsyan E, Baryshev M, Backlund M, Sharipo A, Mkrtchian S
(2002) Genomic organization and promoter characterization of
the gene encoding a putative endoplasmic reticulum chaperone,
ERp29. Gene 285:127–139
69. Ferrari DM, Soling HD (1999) The protein disulphide-isomerase
family: unravelling a string of folds. Biochem J 339:1–10
70. Mkrtchian S, Baryshev M, Matvijenko O, Sharipo A, Sandalova
T, Schneider G, Ingelman-Sundberg M (1998) Oligomerization
properties of ERp29, an endoplasmic reticulum stress protein.
FEBS Lett 431:322–326
71. Kobayashi M, Habuchi K, Yoneda M, Habuchi O, Kimata K
(1997) Molecular cloning and expression of Chinese hamster
ovary cell heparan-sulfate 2-sulfotransferase. J Biol Chem 272:
13980–13985
72. Sergeev P, Streit A, Heller A, Steinman-Zwicky M (2001) The
Drosophila dorsoventral determinant PIPE contains ten copies of
a variable domain homologous to mammalian heparan sulfate
2-sulfotransferase. Dev Dyn 220:122–132
814 Apoptosis (2014) 19:801–815
123
73. Ma Q, Guo C, Barnewitz K, Sheldrick GM, Soling HD, Uson I,
Ferrari DM (2003) Crystal structure and functional analysis of
Drosophila Wind, a protein-disulfide isomerase-related protein.
J Biol Chem 278:44600–44607
74. Barnewitz K, Guo C, Sevvana M, Ma Q, Sheldrick GM, Soling H-D,
Ferrari DM (2004) Mapping of a substrate-binding site in the protein
disulfide isomerase- related chaperone Wind based on protein
function and crystal structure. J Biol Chem 279:39829–39837
75. Sato Y, Nadanaka S, Okada T, Okawa K, Mori K (2011) Lumenal
domain of ATF6 alone is sufficient for sensing endoplasmic
reticulum stress and subsequent transport to the Golgi apparatus.
Cell Struct Funct 36:35–47. doi:10.1247/csf.10010
76. Nadanaka S, Yoshida H, Kano F, Murata M, Mori K (2004)
Activation of mammalian unfolded protein response is compati-
ble with the quality control system operating in the endoplasmic
reticulum. Mol Biol Cell 15:2537–2548. doi:10.1091/mbc.E03-
09-0693
77. Nadanaka S, Yoshida H, Mori K (2006) Reduction of disulfide
bridges in the lumenal domain of ATF6 in response to glucose
starvation. Cell Struct Funct 31:127–134. doi:10.1247/csf.06024
78. Nadanaka S, Okada T, Yoshida H, Mori K (2007) Role of disulfide
bridges formed in the lumenal domain of ATF6 in sensing endo-
plasmic reticulum stress. Mol Cell Biol 27:1027–1043. doi:10.1128/
MCB.00408-06
79. Wright J, Birk J, Haataja L, Liu M, Ramming T, Weiss MA,
Appenzeller-Herzog C, Arvan P (2013) Endoplasmic Reticulum
Oxidoreductin-1a (Ero1a) Improves folding and secretion of
mutant proinsulin and limits mutant proinsulin-induced endo-
plasmic reticulum stress. J Biol Chem 288:31010–31018. doi:10.
1074/jbc.M113.510065
80. Rabeler R, Mittag J, Geffers L, Ruther U, Leitges M, Parlow AF, Visser
TJ, Bauer K (2004) Generation of thyrotropin-releasing hormone
receptor 1-deficient mice as an animal model of central hypothyroid-
ism. Mol Endocrinol 18:1450–1460. doi:10.1210/me.2004-0017
Apoptosis (2014) 19:801–815 815
123