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a Department of Experimental and Diagnostic Medicine, Section of General Pathology, 44100 Ferrara, Italy1 k: k9 h9 M( Q, w4 P
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b Department of Biomedical Sciences and Consiglio Nazionale delle Ricerche (CNR) Center for the Study of Biomembranes, University of Padova, 35121 Padova, Italy6 Y" t0 [. o% R: B

c Eberhard-Karls University, 72076 Tübingen, Germany# B1 m* p0 g5 M# n% g0 Z' @

Correspondence to: Rosario Rizzuto, Department of Experimental and Diagnostic Medicine, Section of General Pathology, Via Borsari 46, 44100 Ferrara, Italy. Tel:39 49 828 6569 Fax:39 49 828 6576 E-mail:r.rizzuto@unife.it.

Abstract
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The mechanism of action of the oncogene bcl-2, a key regulator of the apoptotic process, is still debated. We have employed organelle-targeted chimeras of the Ca2 -sensitive photoprotein, aequorin, to investigate in detail the effect of Bcl-2 overexpression on intracellular Ca2  homeostasis. In the ER and the Golgi apparatus, Bcl-2 overexpression increases the Ca2  leak (while leaving Ca2  accumulation unaffected), hence reducing the steady-state  levels. As a direct consequence, the  increases caused by inositol 1,4,5 trisphosphate (IP3)-generating agonists were reduced in amplitude in both the cytosol and the mitochondria. Bcl-2 overexpression also reduced the rate of Ca2  influx activated by Ca2  store depletion, possibly by an adaptive downregulation of this pathway. By interfering with Ca2 -dependent events at multiple intracellular sites, these effects of Bcl-2 on intracellular Ca2  homeostasis may contribute to the protective role of this oncogene against programed cell death.0 B8 M( H( m" X( S

Key Words: calcium, organelles, oncogene, aequorin, cell signaling3 J. c- I" k% [2 _3 U
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Introduction
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In the past years, Bcl-2, the mammalian homologue of CED-9, the antiapoptotic gene initially described in Caenorhabditis elegans, has emerged as a major checkpoint controlling the escape of cells from their death fate (Kroemer 1997 ). In mammals, Bcl-2 is a member of a broad family of related gene products, with various degrees of sequence identity and different functions. While Bcl-2 and some members of the family (e.g., Bcl-x) protect the cells from apoptosis, others (e.g., Bax) have the opposite effect. However, while there is a general consensus on the role of Bcl-2, its mechanism of action remains elusive. On one hand, the various members of the family have been shown to dimerize and to interact with cofactors of caspases, key executors of the apoptotic machinery (Li and Yuan 1999 ); on the other, the specific localization of the protein on the ER and outer mitochondrial membrane (Lithgow et al. 1994 ) suggests that these proteins may interfere with some specific functions localized in these organelles. In particular, Bcl-2 has been shown to prevent the release of cytochrome c and AIF from mitochondria (Kluck et al. 1997 ; Yang et al. 1997 ), events that are considered essential in triggering apoptosis, whereas expression of Bax has opposite effects (Jurgensmeier et al. 1998 )." E; ^: x' D0 X9 q# S) O6 [' y0 |

Among the various functions occurring on ER and mitochondrial membranes, ion fluxes are recognized to play major roles. Thus, the intriguing possibility has emerged that members of the Bcl-2 family affect the apoptotic process by modulating ion fluxes in these organelles (Minn et al. 1997 ; Schendel et al. 1998 ). In particular, recent work in cell clones stably expressing the oncogene suggests that Bcl-2 causes an overload of Ca2  within the ER (Lam et al. 1994 ; He et al. 1997 , Kuo et al. 1998 ). However, this effect appears in contrast with the observation that Bcl-2 insertion in artificial lipid bilayers results in the formation of ionic channels of low selectivity (Minn et al. 1997 ). Such property should in fact cause a reduction in the ER Ca2  content (due to an increased leak) rather than excess accumulation. In this report, we have undertaken a detailed investigation of Ca2  homeostasis at the subcellular level using the recombinant aequorin (AEQ)1 approach developed in our laboratory (Rizzuto et al. 1992 ; De Giorgi et al. 1996 ). We conclude that Bcl-2 overexpression affects Ca2  handling by reducing the state of filling of the intracellular Ca2  stores. The implications of these results for the protective action of Bcl-2 on apoptosis are discussed.
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Materials and Methods+ U- K: N5 A4 h+ {4 w
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Cell Culture and Transfection
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HeLa cells were grown in DME supplemented with 10% FCS in 75-cm2 Falcon flasks. Before transfection, cells were seeded onto 13-mm glass coverslips and allowed to grow to 50% confluence. At this stage, transfection with 4 μg of DNA (3 μg Bcl-2 1 μg AEQ) was carried out as previously described (Rizzuto et al. 1995a ) and AEQ measurements or immunocytochemistry were performed 36 h after transfection. For fura-2 measurements, the cells were seeded onto 24-mm coverslips and transfection was carried out with 8 μg plasmid DNA (6 μg Bcl-2 2 μg mtGFP).2 h; o/ Y6 g7 {7 f4 @+ I3 v# d5 j7 o
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Aequorin Measurements8 G) C" y* \* C! `) C2 C3 f% _& m/ @# w

For cytosolic AEQ (cytAEQ) and mitochondrial AEQ (mtAEQ), the coverslip with the cells was incubated with 5 μM coelenterazine for 1–2 h in DME supplemented with 1% FCS, and then transferred to the perfusion chamber. For reconstituting with high efficiency, the AEQ chimeras targeted to the Golgi apparatus and the ER (GoAEQ and erAEQ, respectively), the luminal  of these compartments first must be reduced. This was obtained by incubating the cells for 1 h at 4°C in KRB (Krebs-Ringer modified buffer: 125 mM NaCl, 5 mM KCl, 1 mM Na3PO4, 1 mM MgSO4, 5.5 mM glucose, and 20 mM Hepes, pH 7.4, at 37°C) supplemented with coelenterazine 5 μM, the Ca2  ionophore ionomycin, and 600 μM EGTA. After this incubation, the cells were extensively washed with KRB supplemented with 2% BSA and 1 mM EGTA, and then AEQ reconstitution was carried out as described.

All AEQ measurements were carried out in KRB. Agonists and other drugs were added to the same medium. In experiments with permeabilized cells, a buffer mimicking the cytosolic ionic composition (intracellular buffer, IB: 140 mM KCl, 10 mM NaCl, 1 mM K3PO4, 5.5 mM glucose, 2 mM MgSO4, 1 mM ATP, 2 mM sodium succinate, 20 mM Hepes, pH 7.05, at 37°C) was employed. This solution was supplemented with either 100 μM EGTA or a fixed  (buffered with 2 mM EGTA). The experiments were terminated by lysing the cells with 100 μM digitonin in a hypotonic Ca2 -rich solution (10 mM CaCl2 in H2O), thus discharging the remaining AEQ pool. The light signal was collected and calibrated into  values as previously described (Brini et al. 1995 ; Rizzuto et al. 1995a ). In brief, a 13-mm round coverslip with the transfected cells was placed in a perfused, thermostated chamber located in the close proximity of a low-noise photomultiplier, with built-in amplifier discriminator. The output of the discriminator was captured by a Thorn-EMI photon counting board and stored in an IBM-compatible computer for further analyses. The AEQ luminescence data were calibrated off-line into  values, using a computer algorithm based on the Ca2  response curve of wild-type and mutant AEQs, as previously described (Brini et al. 1995 ; Barrero et al. 1997 ).

In some experiments using erAEQ, after reaching the plateau level, an artifactual slow decrease in  was observed. Such an artifact is due to a small fraction of missorted AEQ in a low  compartment and a simple practical cure for it has been described by Maechler et al. 1999 .4 j5 ?, `: X% ^

In the experiment of Fig 4, cells transfected with erAEQ were used to determine the steady er obtained by incubating the cells in low Ca2  medium. Two protocols were adopted that gave identical results. In the first, cells incubated in normal medium were depleted according to the standard protocol, but the Ca2  concentration during the refilling was reduced to 100 μM. In the second protocol, the cells were preincubated in 100 μM CaCl2 for 16 h, depleted, and finally refilled with an extracellular Ca2  concentration of 100 μM.8 e2 C" _4 j$ u9 h* N$ b; @
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Figure 1. Cytoplasmic (A) and mitochondrial (B) Ca2  homeostasis in control and Bcl-2–overexpressing HeLa cells. Parallel batches of HeLa cells were either cotransfected with the appropriate AEQ chimera (cytAEQ and mtAEQ for monitoring the cytoplasm and the mitochondria, respectively) and Bcl-2 (Bcl-2), or transfected with the AEQ chimera alone (control). 36 h after transfection, the measurement of AEQ luminescence was carried out and calibrated into  values, as described in Materials and Methods. Where indicated, the cells, perfused with KRB, were challenged with 100 μM ATP added to the same buffer. These and the following traces are representative of ten experiments that gave similar results." V5 p; X, i  T& E) U2 L
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Figure 2. Ca2  homeostasis in the lumen of the ER (A) and of the Golgi apparatus (B) in control and Bcl-2–overexpressing HeLa cells. Parallel batches of HeLa cells were either cotransfected with the appropriate AEQ chimera (erAEQ and GoAEQ for monitoring the lumen of the ER and of the Golgi apparatus, respectively) and Bcl-2 (Bcl-2), or transfected with the AEQ chimera alone (control). 36 h after transfection, the organelles were depleted of Ca2  to optimize AEQ reconstitution. After reconstitution, the cells were transferred to the luminometer chamber and AEQ luminescence was collected and calibrated into  values. Where indicated, the cells were stimulated with 100 μM ATP. All other conditions are as in Fig 1.' E' H6 g4 j; O6 f4 a

Figure 3. Kinetics of ER Ca2  uptake and release in control and Bcl-2–transfected cells. A, ER Ca2  refilling in permeabilized cells. Parallel batches of HeLa cells were either cotransfected with erAEQmut and Bcl-2 (Bcl-2), or transfected with erAEQmut alone (control). 36 h after transfection, depletion of Ca2  stores and AEQ were carried out as in Fig 2. The coverslip with the cells was then transferred to the luminometer chamber. The perfusion medium was changed to IB/EGTA, and permeabilization was carried out by perfusing 100 μM digitonin (added to the same medium) for 1 min. After a 2-min wash with IB/EGTA, Ca2  accumulation in the ER was initiated by switching the medium to IB containing a buffered Ca2  concentration of 0.2 μM (see text for details). AEQ calibration was carried out as described in Materials and Methods. B, Dependence on er of the Ca2  leak rate from the ER. Transfection, depletion of Ca2  stores, and AEQ reconstitution were carried out as in A, then the coverslip with the cells was transferred to the luminometer and perfused with KRB/Ca2  until the steady-state er was reached. Ca2  release was initiated by treating the cells with 50 μM tBuBHQ. Based on the experimental trace, the maximal rates of Ca2  release (measured from the first derivative) at different values of er were calculated and plotted for Bcl-2–transfected and control cells. The plot contains data obtained from ten independent experiments. In each experiment, duplicate samples of control and Bcl-2–overexpressing cells were measured. Due to the mixing time in the luminometer chamber, the kinetics of er decrease are sigmoidal and the maximal rate is obtained 2–3 s after addition of tBuBHQ. Accordingly, we considered the maximal rates the best approximation for the initial rate of er decrease. The fitting of the curve shown in B was performed using Microsoft Excel software.0 N: u9 Q- T, C3 A% ^& V

Figure 4. Capacitative Ca2  influx in control, Bcl-2–transfected, and Ca2 -deprived cells. A, Representitive trace. B, Average  peak. Parallel batches of HeLa cells were either cotransfected with cytAEQ and Bcl-2 (Bcl-2), or transfected with cytAEQ alone (control and Ca2 -deprived). In the Ca2 -deprived cells, the cells were maintained in the 18 h preceding the experiment in KRB containing a lower (0.1 mM) CaCl2 concentration (KRB/lowCa2 ). After transferring the coverslip with the cells to the luminometer chamber, the cells, perfused with KRB/EGTA, were challenged with 10 μM tBuBHQ (a specific blocker of the Ca2  ATPase present in the ER and Golgi apparatus) added to the same medium. After 2 min, capacitative Ca2  entry was initiated by changing the medium to KRB/Ca2  (CaCl2). All other conditions as in Fig 1.% z& C3 e6 \) L( A2 T% z

Fura-2 Measurements

The coverslip with the cells was incubated with 5 μM fura-2 (added to DME 1% FCS) at 37°C for 30 min, and after a brief washout was then transferred to the thermostated stage of a Zeiss Axiovert inverted microscope equipped with a Sutter filterwheel and 340/380 excitation filters. The fluorescence data were collected with a Princeton Instruments back-illuminated camera and expressed as emission ratios, using Metafluor software (Universal Imaging). Within the microscope field, transfected and untransfected cells were identified before carrying out the fura-2 monitoring by revealing mitochondrial-targeted green fluorescent protein (mtGFP) fluorescence (excitation 480 nm, emission 510 nm).

Results and Discussion

To directly investigate the role of Bcl-2 in Ca2  homeostasis, we have selectively measured the  in different cell compartments, i.e., the cytoplasm and the organelles acting as sources (ER and Golgi apparatus) or targets (mitochondria) of the Ca2  signal. Targeted AEQ chimeras developed in our lab (Rizzuto et al. 1992 ; Brini et al. 1995 ; Montero et al. 1995 ; Pinton et al. 1998 ) were employed. This approach has two major advantages. The first is the high subcellular specificity of the probes, which allows to clearly identify the effects of Bcl-2 expression on the signaling properties of the various compartments; the second is that the Ca2  probe can be cotransfected with Bcl-2. We and others have previously shown that in transient cotransfection, the two recombinant proteins are expressed by the same subset of cells, thus avoiding the risks associated with the use of stable clones or single cells (Brini et al. 1995 ).
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The effect of Bcl-2 expression on the cytosolic Ca2  signal elicited by an agonist, ATP, acting on receptors coupled, through Gq proteins, to the production of inositol 1,4,5 trisphosphate (IP3) was first investigated. In the experiment shown in Fig 1, HeLa cells, either coexpressing Bcl-2 and cytAEQ (Bcl-2–transfected) or expressing only cytAEQ (controls) were challenged with ATP, which acts on a Gq-coupled P2Y receptor. Both in control and Bcl-2–transfected cells, ATP stimulation causes a rapid rise in cytoplasmic Ca2  concentration (c), followed by a gradually declining sustained plateau. In Bcl-2–transfected cells, the  increases evoked by stimulation with ATP are significantly smaller than in controls (peak amplitude 1.53 ± 0.22 vs. 2.06 ± 0.13 μM, n = 10; Fig 1 A).  @; Z$ u5 [5 I" E( N( L& M
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Since Bcl-2 is localized in the mitochondria also, and thus could, at least in principle, enhance Ca2  uptake in this organelle, a simple explanation for this result would be that cytosolic Ca2  is more rapidly cleared by mitochondria, acting as an immobile buffer, placed in closed proximity to IP3-gated channels. Fig 1 B, however, shows that this is not the case. Indeed, Bcl-2 overexpression does not increase, but rather reduces, the mitochondrial  rise induced by ATP (peak amplitude 6.56 ± 0.72 in controls vs. 4.42 ± 0.46 μM in Bcl-2–expressing cells; n = 10). Interestingly, the reduction caused by Bcl-2 overexpression appears larger in the mitochondria than in the cytosol, both in absolute terms and as percent (26 vs. 33% reduction, respectively). While not responsible for the alteration of the cytosolic Ca2  signal, the effect of Bcl-2 on mitochondrial Ca2  homeostasis appears of major functional relevance, given that key events occurring in the mitochondrial matrix, such as the stimulation of ATP production (Jouaville et al. 1999 ) and possibly the opening of the permeability transition pore, PTP (Bernardi 1999 ), are regulated by m.
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A second possible explanation for the reduction in the agonist-dependent c (and m) increases was next considered, i.e., a decrease in the amount of Ca2  released by the agonist-sensitive Ca2  stores. To investigate this possibility, the  in the lumen of the ER was measured in cells cotransfected with Bcl-2 and an erAEQ chimera (Montero et al. 1995 ). In addition, since we recently have demonstrated that the Golgi apparatus shares many of the Ca2  homeostatic properties of the ER (Pinton et al. 1998 ), this latter organelle was also investigated. Fig 2 shows the calibrated  values in the two compartments. To obtain reliable quantitative estimates of the  in the lumen of these two organelles, their  needs to be decreased during both the reconstitution of AEQ with coelenterazine and the subsequent initial phase of perfusion with KRB/EGTA in the luminometer (see Materials and Methods). Under those conditions, the  was : k& T( _: A. Z/ O6 u
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The data reported above differ substantially from those reported in WEHI7.2 clones, where Bcl-2 overexpression results in an augmentation of the ER Ca2  content (Lam et al. 1994 ; He et al. 1997 ). This discrepancy may be due to the use of transient vs. stable transfections, in which the results might reflect unique properties of the selected clone and/or the long-term expression of a foreign gene may result in adaptation phenomena that are only indirect consequences of the expressed protein. This interpretation might also explain the results obtained by Kuo and coworkers in clones of MCF10A cells overexpressing Bcl-2, in which an increase in SERCA2 (sarcoendoplasmic reticulum Ca2  ATPases 2) protein leads to accelerated Ca2  uptake and enhanced Ca2  loading (Kuo et al. 1998 ). On the other hand, it is possible that, although the duration of these experiments is compatible with the time course of the apoptotic process, the events observed in transient experiments could include only some of the relevant effects of Bcl-2 on the mechanisms controlling programed cell death.

But how does Bcl-2 affect ER and Golgi Ca2  handling? Given that the steady-state  in both organelles depends on the equilibrium between active accumulation and passive leak, the effect of Bcl-2 could be on either process. On one hand, Bcl-2 could reduce Ca2  uptake by the SERCA, either by a direct effect on the pump or by reducing the resting cytosolic . On the other, it could increase the passive diffusion of Ca2  from the ER. To clarify this critical issue, we investigated these possibilities independently.! e& T; i* h0 U$ j; P; l
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At first, the possibility that Bcl-2 affected primarily cytosolic  (and hence er only indirectly) was verified. Given that AEQ is not accurate enough to reveal small differences of  ~10-7 M, the resting c was measured with the fluorescent indicator fura-2 (Grynkiewicz et al. 1985 ). In this experiment, to identify Bcl-2–overexpressing cells in single-cell imaging experiments, the cells were cotransfected with mitochondrially targeted GFP, mtGFP(S65T) (Rizzuto et al. 1995b ). GFP-positive cells were distinguished from controls by the typical fluorescence emitted upon illumination with blue light. No difference in the resting cytoplasmic  between Bcl-2–transfected and control cells was observed (data not shown).

Then, we investigated whether Bcl-2 overexpression had any direct effect on the activity of the SERCA pump. For this purpose, the kinetics of Ca2  accumulation were studied in permeabilized cells (Fig 3 A). After reconstituting the photoprotein as in the experiment of Fig 2, Bcl-2–transfected and control cells were transferred to the luminometer chamber and perfused with a buffer (IB, see Materials and Methods) mimicking intracellular ionic conditions, supplemented with 100 μM EGTA (IB/EGTA). After permeabilization with 100 μM digitonin added to the same medium and wash in IB/EGTA, the medium was switched to IB, containing 200 nM  (IB/Ca2 ). Under those conditions, er gradually increased, reaching, in control cells, a plateau value of 728 ± 60, n = 5. In Bcl-2–transfected cells, the maximal rate of Ca2  accumulation was the same as in control cells (13 ± 2 vs. 12 ± 3 μM/s, n = 5), arguing that the Ca2  pumping activity is not modified. However, the steady-state value eventually attained was distinctly lower (504 ± 52 μM, n = 5). Therefore, these data exclude that the alteration of ER Ca2  homeostasis is due to a reduction in the activity of the SERCAs or to soluble cytosolic factors (that are released into the medium after permeabilization with digitonin). Rather, by demonstrating a difference only when ER refilling approaches the high er values of intact resting cells, i.e., in conditions in which passive leak becomes significant, they suggest that Bcl-2 acts on the latter process., R" C+ ^, S7 n/ ~( D* X
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We sought direct evidence for this interpretation by measuring the Ca2  leak rate from the ER of Bcl-2–expressing and control cells. After the depletion protocol, the ER was first refilled by exposing the cells to extracellular  ranging from 0.2–3 mM, thus resulting in different levels of steady-state er. The SERCA blocker, 2,5-di-(tert-butyl)-1,4-benzohydroquinone (tBuBHQ), was then added that initiates the release of stored Ca2 . Given that, by definition, the rates of Ca2  uptake and leak in steady state are equal, the rate of er decrease upon blockade of the SERCA must reflect the rate of Ca2  cycling across the ER membrane and, thus, of the leak rate at any given steady-state er. Fig 3 B shows the relationship between er and leak rate, which can be fitted by a power equation. In Bcl-2–overexpressing cells, the data are more scattered, but for each er value, the rate of Ca2  efflux is faster than in control cells. This result is consistent with the evidence that Bcl-2 can induce cation channels of low selectivity in artificial lipid bilayers (Minn et al. 1997 ).3 g* M: O$ n( p, o/ }8 s
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Previously, we have demonstrated that a reduction of ~30% in steady-state er results in a substantial activation (>50%) of the so-called capacitative Ca2  influx (Hofer et al. 1998 ). The reduction in steady-state er caused by Bcl-2 overexpression is thus expected to cause an activation of this pathway. However, indirect evidence (namely, the observation that the resting cytosolic Ca2  level is indistinguishable from controls) suggests that this is not the case. To further investigate the problem, we measured the capacitative Ca2  influx in Bcl-2–transfected and control HeLa cells expressing cytAEQ (Fig 4). The cells were treated with the SERCA blocker (10 μM tBuBHQ) while perfused with Ca2 -free medium (KRB/EGTA). This procedure first evoked a small transient increase in c due to release of Ca2  from the stores. When the release of stored Ca2  was complete (~3 min), Ca2  was readded to the medium. This maneuver evoked a second, larger c increase via the capacitative pathway, which was markedly lower in Bcl-2–transfected than in controls cells (1.19 ± 0.11 in controls vs. 0.68 ± 0.13 μM in Bcl-2–expressing cells, n = 6). The question then arises as to the mechanism(s) through which Bcl-2 downregulates capacitative Ca2  influx. Two possibilities were considered: one was that the reduction of this Ca2  influx pathway is an adaptive mechanism to the long lasting reduction in steady-state er; the second was that the reduction is a direct consequence of Bcl-2 overexpression. To distinguish between these two possibilities, we verified whether a long-term reduction of er, obtained independently of Bcl-2, could cause a comparable downregulation of the capacitative Ca2  influx. Capacitative Ca2  influx was thus compared in controls and in cells whose er was reduced to values similar to those of Bcl-2–overexpressing cells by prolonged incubation with a low (100 μM) extracellular . In cells that had been maintained at low external , and thus experienced a long-term reduction in the resting er levels, the c peak evoked by activation of the capacitative Ca2  influx was markedly lower than in controls (0.59 ± 0.11 μM, n = 5). Of interest, the level of steady-state er in cells incubated in low extracellular Ca2  was very similar (269 ± 46 μM, n = 4) to that measured in Bcl-2–overexpressing cells incubated in normal (1 mM) extracellular Ca2  concentration. The simplest explanation of these results is that the decrease in capacitative Ca2  influx is an adaptive consequence to the prolonged reduction in steady-state er, though, at the moment, it cannot be excluded that other factors (e.g., a reduction in plasma membrane potential) contribute to this effect. This reduction in capacitative Ca2  influx, on one hand, appears critical to maintain a resting c indistinguishable from that of control cells, despite a major reduction of  in the ER; on the other hand, it could account, at least in part, for a higher resistance of cells expressing Bcl-2 to apoptotic cell death, as the reduction of this ubiquitous Ca2  influx pathway may prevent the overload of Ca2 , considered one of the key events in apoptosis. In agreement with this view, Ma and coworkers recently demonstrated that SERCA overexpression, by causing ER Ca2  overload, increases spontaneous apoptosis (Ma et al. 1999 ). Finally, our data are not in contrast with previous results showing that the SERCA inhibitor, thapsigargin, activates programed cell death (Bian et al. 1997 ). In this latter case, in fact, the Ca2  depletion is acute (1–2 min) and complete, whereas in Bcl-2–transfected cells, the drop in er is modest and develops slowly. Thus, thapsigargin not only causes a massive activation of the capacitative Ca2  influx pathway, but also such a drastic reduction in the level of er to interfere with the basic activity of ER chaperonins.

We have demonstrated that overexpression of Bcl-2 causes a reduction of the steady-state  levels, both in the ER and in the Golgi apparatus, the two main agonist-sensitive Ca2  stores. We also showed that this alteration affects the Ca2  signal to which the effector systems are exposed, in particular those located in local environments highly dependent on the filling state of the intracellular stores (such as the mitochondria). The chronic reduction in  of the ER results in a downregulation of the capacitative Ca2  influx. The alterations in Ca2  handling provoked by Bcl-2 overexpression could be part of the mechanisms through which Bcl-2 exerts its role in the control of cell growth. Targets of Bcl-2 effects on Ca2  homeostasis could be: the ER itself, where sorting and trafficking of proteins, e.g., enzymes or membrane receptors, are modulated by luminal  (Booth and Koch 1989 ); the mitochondria, where Ca2  accumulation regulates the production of ATP (RobbGaspers et al. 1998 ; the concentration of which is a key determinant of the apoptosis vs. necrosis choice, Leist et al. 1997 ), and, possibly, the release of the apoptotic cofactor cytochrome c (Krajewski et al. 1999 ); or the cytoplasm, where bulk or local  increases activate enzymatic effectors, such as the Ca2 -dependent protease, calpain (Carafoli and Molinari 1998 ; Squier et al. 1999 ), or the phosphatase, calcineurin (Wang et al. 1999 ). Whether, and how, these routes interact, and how they are affected by the alteration in Ca2  homeostasis caused by Bcl-2, awaits further investigation., c3 S; r/ ^$ V

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