Figure 5.
Deletion of GADD45A prevents RSL3-induced ferroptosis and DNA damage through upregulation of FTH1. (A) Flow cytometry dot plots showing the percentage of nonapoptotic or ferroptotic cell death (annexin V negative, SYTOX blue positive; Q3), following treatment of Gadd45a−/− vs Gadd45a+/+ AML LSCs with dimethyl sulfoxide (DMSO) or 3 μM RSL3 for 4 days in methylcellulose. (B) Percentages of viable cells measured by trypan blue exclusion assay in Gadd45a−/− vs Gadd45a+/+ LSCs, following treatment with DMSO or 3 μM RSL3 for 4 days in methylcellulose (n = 3). Data are given as mean ± SD. ∗∗P < .005; NS, not significant (P > .05). Unpaired t-test. (C) In vivo BrdU proliferation assay with dot plots showing the percentage of BrdU+DAPI− leukemic cells engrafted in the mouse bone marrow (BM) at 21 days posttransplantation. Gadd45a−/− vs Gadd45a+/+ LSCs were pretreated ex vivo with DMSO or 3 μM RSL3 for 4 days in methylcellulose, and 1 × 105 GFP+ treated cells were then transplanted into C57BL/6 (BL6) mice for the engraftment of GFP+ LSCs and subsequent in vivo BrdU cell proliferation assay. Data are presented as the mean percentage relative to DMSO ± SD. ∗∗∗P < .0005; NS, not significant (P > .05). Unpaired t-test. (D) Quantitative polymerase chain reaction (qPCR) (n = 3) showing upregulation of Gadd45a and downregulation of Fth1 induced by RSL3 treatment in Gadd45a+/+ LSCs but not in Gadd45a−/− LSCs. Data are given as mean ± SD. ∗∗P < .005; NS, not significant (P > .05), unpaired t-test. (E) qPCR (n = 3) confirming efficient knockdown of Fth1 by shRNA (Fth1-sh) in Gadd45a−/− LSCs and Gadd45a+/+ LSCs. Data are given as mean ± SD. ∗P < .05, ∗∗∗∗P < .0001, unpaired t-test. (F) Flow cytometry histograms illustrating intracellular iron (Fe2+) and ROS levels in Gadd45a−/− vs Gadd45a+/+ LSCs carrying Scr or Fth1-sh, following treatment with DMSO or 3 μM RSL3 for 4 days in methylcellulose. (G) Percentages of viable cells measured by trypan blue exclusion assay in Gadd45a−/− vs Gadd45a+/+ LSCs carrying Scr or Fth1-sh, following treatment with DMSO or 3 μM RSL3 for 4 days in methylcellulose (n = 3). Data are given as mean ± SD. ∗∗P < .005, ∗∗∗∗P < .0001; NS, not significant (P > .05). One-way ANOVA. (H) Western blots showing increased expression of γH2AX induced by RSL3 treatment in Gadd45a+/+ LSCs but not in Gadd45a−/− LSCs. (I) Alkaline comet assay used to quantify the level of DNA-strand breaks illustrating heightened DNA damage (tail moment) in Gadd45a+/+ LSCs treated in methylcellulose with 3 μM RSL3 compared with DMSO. Scatter plots with a bar graph depicting tail moments (a combined measure of tail length and the amount of migrated DNA) calculated using CometScore. Representative fluorescence images showing DAPI-stained single cells after electrophoresis (×20 magnification). During electrophoresis, damaged DNA migrated out of the nucleus toward the anode, forming a comet tail, whereas undamaged DNA remained in the comet head. The comet tail moment represents the extent of DNA damage in individual cells.

Deletion of GADD45A prevents RSL3-induced ferroptosis and DNA damage through upregulation of FTH1. (A) Flow cytometry dot plots showing the percentage of nonapoptotic or ferroptotic cell death (annexin V negative, SYTOX blue positive; Q3), following treatment of Gadd45a−/− vs Gadd45a+/+ AML LSCs with dimethyl sulfoxide (DMSO) or 3 μM RSL3 for 4 days in methylcellulose. (B) Percentages of viable cells measured by trypan blue exclusion assay in Gadd45a−/− vs Gadd45a+/+ LSCs, following treatment with DMSO or 3 μM RSL3 for 4 days in methylcellulose (n = 3). Data are given as mean ± SD. ∗∗P < .005; NS, not significant (P > .05). Unpaired t-test. (C) In vivo BrdU proliferation assay with dot plots showing the percentage of BrdU+DAPI leukemic cells engrafted in the mouse bone marrow (BM) at 21 days posttransplantation. Gadd45a−/− vs Gadd45a+/+ LSCs were pretreated ex vivo with DMSO or 3 μM RSL3 for 4 days in methylcellulose, and 1 × 105 GFP+ treated cells were then transplanted into C57BL/6 (BL6) mice for the engraftment of GFP+ LSCs and subsequent in vivo BrdU cell proliferation assay. Data are presented as the mean percentage relative to DMSO ± SD. ∗∗∗P < .0005; NS, not significant (P > .05). Unpaired t-test. (D) Quantitative polymerase chain reaction (qPCR) (n = 3) showing upregulation of Gadd45a and downregulation of Fth1 induced by RSL3 treatment in Gadd45a+/+ LSCs but not in Gadd45a−/− LSCs. Data are given as mean ± SD. ∗∗P < .005; NS, not significant (P > .05), unpaired t-test. (E) qPCR (n = 3) confirming efficient knockdown of Fth1 by shRNA (Fth1-sh) in Gadd45a−/− LSCs and Gadd45a+/+ LSCs. Data are given as mean ± SD. ∗P < .05, ∗∗∗∗P < .0001, unpaired t-test. (F) Flow cytometry histograms illustrating intracellular iron (Fe2+) and ROS levels in Gadd45a−/− vs Gadd45a+/+ LSCs carrying Scr or Fth1-sh, following treatment with DMSO or 3 μM RSL3 for 4 days in methylcellulose. (G) Percentages of viable cells measured by trypan blue exclusion assay in Gadd45a−/− vs Gadd45a+/+ LSCs carrying Scr or Fth1-sh, following treatment with DMSO or 3 μM RSL3 for 4 days in methylcellulose (n = 3). Data are given as mean ± SD. ∗∗P < .005, ∗∗∗∗P < .0001; NS, not significant (P > .05). One-way ANOVA. (H) Western blots showing increased expression of γH2AX induced by RSL3 treatment in Gadd45a+/+ LSCs but not in Gadd45a−/− LSCs. (I) Alkaline comet assay used to quantify the level of DNA-strand breaks illustrating heightened DNA damage (tail moment) in Gadd45a+/+ LSCs treated in methylcellulose with 3 μM RSL3 compared with DMSO. Scatter plots with a bar graph depicting tail moments (a combined measure of tail length and the amount of migrated DNA) calculated using CometScore. Representative fluorescence images showing DAPI-stained single cells after electrophoresis (×20 magnification). During electrophoresis, damaged DNA migrated out of the nucleus toward the anode, forming a comet tail, whereas undamaged DNA remained in the comet head. The comet tail moment represents the extent of DNA damage in individual cells.

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