Abstract
Copper (Cu) is one of the most significant trace elements in the body, but it is also a widespread environmental toxicant health. Ferroptosis is a newly identified programmed cell death, which involves various heavy metal–induced organ toxicity. Nevertheless, the role of ferroptosis in Cu-induced hepatotoxicity remains poorly understood. In this study, we found that 330 mg/kg Cu could disrupt the liver structure and cause characteristic morphological changes in mitochondria associated with ferroptosis. Additionally, Cu treatment increased MDA (malondialdehyde) and LPO (lipid peroxide) production while reducing GSH (reduced glutathione) content and GCL (glutamate cysteine ligase) activity. However, it is noticeable that there were no appreciable differences in liver iron content and key indicators of iron metabolism. Meanwhile, our further investigation found that 330 mg/kg Cu-exposure changed multiple ferroptosis-related indicators in chicken livers, including inhibition of the expression of SLC7A11, GPX4, FSP1, and COQ10B, whereas enhances the levels of ACLS4, LPCAT3, and LOXHD1. Furthermore, the changes in the expression of NCOA4, TXNIP, and Nrf2/Keap1 signaling pathway–related genes and proteins also further confirmed 330 mg/kg Cu exposure-induced ferroptosis. In conclusion, our results indicated that ferroptosis may play essential roles in Cu overload–induced liver damage, which offered new insights into the pathogenesis of Cu-induced hepatotoxicity.
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Introduction
Copper (Cu) is a necessary microelement, which also has an irreplaceable function in promoting the activity of essential enzymes in the energy metabolism and many cellular processes [1]. To date, formula feeds containing Cu are still widely used in the livestock industry as growth-promoting stimulants [2]. Noticeably, Cu is also a dangerous toxicant and environmental pollutant [3]. Recently, multiple studies have proposed that Cu pollution in rivers, lakes, soils, and even air around the world is becoming more and more serious due to the long-term abuse of Cu-based agricultural and animal husbandry products (pesticides, fungicides, and feed additives) and the discharge of industrial wastewater [4, 5]. What is more worrying is that high concentrations of Cu in the environment can accumulate in organisms at all trophic levels through the food chain and pose a serious threat to human health [4, 6]. The liver is an important organ that performs several biological functions such as metabolism, detoxification, immune defense, and the storage of trace elements [7, 8]. A continuous intake of a high Cu diet can lead to excessive accumulation of Cu in the liver, which leads to an imbalance of Cu homeostasis in the liver and deposition into other organs and tissues through the circulatory system [2, 9]. In addition, the hepatotoxicity of Cu to a variety of animal species has been confirmed in multiple studies [10]. And the main toxicity mechanism is that excessive hepatic Cu accumulation may lead to oxidative damage by overproduction of ROS, which can induce various types of cell death including autophagy, apoptosis, and necrosis [11,12,13]. Nevertheless, the current research data on whether other types of cell death patterns are associated with Cu-induced hepatotoxicity remain relatively limited. Thus, the underlying mechanism of Cu-induced hepatotoxicity is a concern that deserves sustained attention.
Ferroptosis is a new form of cell death mode that unlike other programmed cell death [14]. The characteristics of ferroptosis primarily involve inhibition of systemic Xc and GPX4 activity, GSH depletion, disturbances in iron metabolism, and abnormal lipid metabolism [15,16,17]. In addition, the morphological characteristics of ferroptosis are mainly manifested by as increased mitochondrial membrane density, mitochondrial contraction, and mitochondrial crista damage [15, 17]. It is noteworthy that some researchers have shown that ferroptosis has become a pivotal mechanism for heavy metal exposure to induce cell death. Wei et al. indicated that mitochondrial dysfunction and ferroptosis are important mechanisms for NiCl2 exposure–induced liver injury [18]. Additionally, the findings of research by Meng et al. have revealed that arsenate could induce iron accumulation and mitochondrial crista breakage and activates ferroptosis-related pathways in the testes of mice [19]. It was also found that Cu can inhibit GPX4 expression by inducing autophagic degradation, which leads to ferroptotic cell death [20]. Nevertheless, the role and detailed mechanism of ferroptosis in Cu-induced hepatotoxicity in chickens remain unknown. Notably, several of our recent works have found that intake of excess Cu causes mitochondrial dysfunction, oxidative damage, and lipid peroxidation in chicken livers [12, 21]. Thus, we speculate that exposure to Cu-induced hepatotoxicity may be associated with activation of the ferroptosis-related signaling pathway.
As the main protein source of the human diets, chickens are more susceptible to toxic effects caused by dietary intake of copper than other poultry. Thus, this study is designed to reveal the role of ferroptosis in Cu-caused hepatotoxicity by using a model of Cu poisoning in chickens and to explore its potential molecular mechanisms. Our results will provide novel insights and useful information for Cu-induced hepatotoxicity.
Materials and Methods
Animals and Treatment
In the present study, a total of two hundred and forty (240) broiler chicks (specific pathogen-free) were purchased from a local hatchery. The chicks were reared in suitable controlled environments and they were free to acquire the dietary and water. All chicks were randomized into four groups: control group (11 mg Cu/kg diet), low Cu group (110 Cu/kg diet), middle Cu group (220 Cu/kg diet), and high Cu group (330 Cu/kg diet). Copper sulfate (CuSO4) was added to the basic diet as a source of Cu, and the dosages of Cu were selected based on our previous investigation [3]. After all treatments lasted 49 days, chickens were euthanized and the livers were excised rapidly. All animal procedures were approved and implemented by the Ethics Committee of South China Agricultural University (2017A087).
Histopathological Studies and Ultrastructural Observation
At the end of the experiment, liver samples used for histopathological studies were extracted and embedded in paraffin by following standard histopathologic techniques. Next, sections were cut into 5 μm for H&E staining [22]. Histopathological examination was performed under an optical microscope (Leica, Germany).
Ultrastructural observation by transmission electron microscope (TEM, Thermo Fisher, USA) was preformed to evaluate the influence of Cu on liver tissues. Briefly, after liver tissues fixing with 2.5% glutaraldehyde solution, the liver’s ultra-thin sections were prepared using the previously described method [23].
Liver Iron Content Assay
The total-iron content in the livers was evaluated using a commercial tissue iron assay kit (Dojindo, Tokyo, Japan). Moreover, liver tissue sections were prepared per the method of H&E staining, and then divalent iron were measured by the Lillie staining solution (Solarbio, China). In brief, sections were dye with Lillie staining solution for 60 min, and then re-dye with nuclear fast red for 3 min, and finally conventionally dehydrate, transparent, and sealed with neutral resin.
Oxidative Stress Parameter Assays
The levels of lipid peroxidation (LPO, Nanjing-Jiancheng, China), malondialdehyde (MDA, Beyotime, China), reduced glutathione, and oxidized glutathione disulfide (GSH and GSSG, Beyotime, China) as well as the activity of γ-glutamyl cysteine ligase (GCL, Solarbio, China) in liver tissues were measured following the instructions for the respective kit.
Quantitative Real-Time Polymerase Chain Reaction (qRT-PCR) Analysis
All experimental steps for qRT-PCR analysis referred to the previous methods [23]. The sequences of target gene primers are provided in Table 1 (Supplementary Materials).
Western Blot Analysis
Sample preparation and western blot analysis were performed as previously described [23]. The primary antibodies used in the present study include β-actin/GPX4/NCOA4 (Bioss, Beijing, China), Nrf2/Keap1/TF/TFR1/FTL/FSP1/SLC7A11 (Proteintech, Wuhan, China), FTH1/ACLS4 (Affinity, Jiangsu, China), and HO-1/SOD1/TXNIP/TRX (Abcam, MA, USA). The protein band intensity was quantified using Image J software and normalized by β-actin.
Immunohistochemistry and Immunofluorescence Staining Analyses
This study further analyzed the situ expression levels of SLC7A11 and GPX4, where the methods used by immunohistochemical and immunofluorescence staining techniques were performed in accordance with previous methods [23]. SLC7A11 antibody was purchased from Proteintech (NO. 26864-1-AP, 1:500, Wuhan, China), GPX4 was purchased from Proteintech (NO. 67763-1-Ig, 1:800, Wuhan, China).
Statistical Analysis
Data analysis was conducted using GraphPad Prism 8.0 (GraphPad Inc., USA). The results are shown in the form of mean ± standard error of means (SEM). Differences among groups were analyzed using one-way analysis of variance (ANOVA). A P value < 0.05 was deemed statistically significant difference.
Results
Liver Pathological Analysis and Ultrastructural Observation
As presented in Fig. 1A, the histological observation revealed that the structure and morphology of liver in control group were normal. Furthermore, compared to control group, no obvious abnormalities were found after treatment with 110 and 220 mg/kg Cu. However, in the 330 mg/kg Cu treatment group, the hepatocyte vacuolar degeneration (black arrow) and hepatic sinusoid widened were observed. In addition, we further evaluated the ultrastructure changes of the liver by using TEM, and observed characteristic morphological characteristics associated with ferroptosis in 330 mg/kg Cu group, such as mitochondrial membrane rupture (red arrow), mitochondrial cristae disappeared (yellow arrow), and uniform round-shaped mitochondria (Fig. 1B).
Effects of Cu Exposure on Oxidative Stress Indicators in Chicken Livers
Cellular lipid peroxidation and glutathione depletion are considered to be the important features of ferroptosis. Therefore, we assessed the effects of Cu exposure on LPO, MDA, GSH, GSSG, and GCL changes in livers. As shown in Fig. 2A, B, 330 mg/kg Cu treatment potently increased the contents of LPO, while markedly decreasing the activities of GCL compared to control. Meanwhile, the MDA content displayed an increasing trend after Cu-treated, and a significant difference was observed in the 220 and 330 mg/kg Cu-treated groups (Fig. 2C, P < 0.05). Furthermore, the contents of GSH and GSSG showed a similar trend in the livers, which were dramatically decreased in the 220 and 330 mg/kg Cu-treatment groups than in the control group (Fig. 2D, E, P < 0.05). Additionally, the ratios of GSH/GSSG in 330 mg/kg Cu-treatment group were also decreased (Fig. 2F, P < 0.05).
Effects of Cu Exposure on the Nrf2 Signaling Pathway in Chicken Livers
Considering the important role of Nrf2 in ferroptosis [24], the levels of Nrf2 and its associated indicators (SOD1, HO-1, TRX, and TXNIP) were assessed. As illustrated in Fig. 3A–C, the mRNA expression levels of Nrf2 and SOD-1 were dramatically downregulated, while Keap1 expression was upregulated in 330 mg/kg Cu-treatment group compared with control group (P < 0.05). Furthermore, the levels of Nrf2 signaling pathway-related proteins were consistent in their corresponding gene expression levels. We found that 330 mg/kg Cu treatment significantly reduced protein levels of Nrf2 (nuclei), SOD1, and TRX (Fig. 3E, F, J, K, P < 0.05). Meanwhile, treatment with 330 mg/kg Cu increased the protein expression of Keap1 and TXNIP (Fig. 3G, I, P < 0.05). Intriguingly, both mRNA and protein levels of HO-1 followed a decreasing trend in the 330 mg/kg Cu treatment group, but were not significantly different (Fig. 3D, H, P > 0.05).
Effects of Cu Exposure on Iron Metabolism in Chicken Livers
To validate whether Cu exposure instigates ferroptosis in hepatocytes by inducing iron disturbances, we measured iron content and the expression of iron metabolism-related factors. The results revealed that exposure to Cu had no obvious effect on the iron content of the liver, and the concentration of hepatic iron presented a trend of first rising and then decreasing in the three Cu treatment groups (Fig. 4A, P > 0.05). Meanwhile, iron accumulation in the liver tissues was not observed by Lillie divalent iron staining results (Fig. 4B). Moreover, the mRNA levels of TF, TFR1, STEAP3, and FTH1 have no significant difference in all groups (Fig. 4C–F, P > 0.05). Similarly, there was no significant change in the protein expression levels of TF, TFR1, and FTH1 between the Cu-exposed group and the control group (Fig. 4I–L, P > 0.05). Nevertheless, the mRNA expression levels of DMT1 in the 330 mg/kg Cu treatment group and FTL in all Cu treatment groups were remarkably increased compared to control (Fig. 4G, H, P < 0.05). Additionally, the protein of FTL was remarkably increased in 330 mg/kg Cu-treated group compared to control (Fig. 4M, P < 0.05).
Effects of Cu Exposure on Ferroptosis Pathway in Chicken Livers
Next, we further examined the protein and mRNA levels of ferroptosis correlative indicators. As illustrated in Fig. 5A, compared to control, the mRNA levels of GPX4, SLC7A11, FSP1, and COQ10B in the 330 mg/kg Cu-treatment group were obviously downregulated (P < 0.05), whereas LPCAT3 and LOXHD1 were significantly upregulated. Moreover, the NCOA4 and ACSL4 mRNA transcriptional levels were obviously upregulated in the 220 and 330 mg/kg Cu-treatment groups compared to control group (P < 0.05). Notably, there was no significant change of the mRNA expression levels of SLC3A2 between the Cu exposed group and the control group (P > 0.05). Heatmap visually presented the mRNA expression levels of ferroptosis-related genes. In addition, coincident with the changes in mRNA levels, 330 mg/kg Cu treatment significantly decreased the protein levels of GPX4, SLC7A11, FSP1 and increased the levels of ACLS4 and NCOA4 (Fig. 5B a–f, P < 0.05). Meanwhile, the result of immunofluorescence and immunohistochemistry showed that the positive staining of GPX4 and SLC7A11 in liver was obviously decreased in the 330 mg/kg Cu treatment group (Fig. 5B g–j, P < 0.05).
Discussion
Cu is a widely distributed toxic heavy-metal pollutant, and Cu exposure seriously threatens human health [6, 25]. Thus, revealing the toxicological mechanisms of Cu-induced hepatotoxicity may contribute to the prevention and treatment of Cu poisoning. Our previous studies have demonstrated that the liver Cu content was accumulated remarkably with the increased intake of Cu, and exposure to Cu induces chicken hepatotoxicity by inducing apoptosis and inhibiting mitophagy [3]. Our findings showed that Cu exposure could cause liver damage including steatosis and ultrastructural changes in liver tissues. One of the interesting findings is that we observed characteristic morphological characteristics associated with ferroptosis in the 330 mg/kg Cu-treated group, such as mitochondrial membrane rupture, mitochondrial cristae disappeared, and uniform round-shaped mitochondria. Furthermore, in agreement with previous research, Cu exposure increases liver GSH depletion and lipid peroxidation [21]. These results suggested that ferroptosis might be another crucial contributing mechanism by which Cu induced hepatotoxicity. Therefore, we further explored the underlying molecular mechanisms of this possibility.
The increase in the intracellular labile iron pool (LIP) and the promotion of lipid peroxidation by catalyzing the formation of free radicals through the Fenton reaction are considered to be the critical factor to ferroptosis [26, 27]. Under normal circumstances, extracellular Fe3+ can be introduced into the endosome by binding to transferrin (TF) on the cell membrane to form TF-Fe3+ and forming a complex with the membrane protein transferrin receptor 1 (TFR1) [27]. Fe3+ is then reduced to Fe2+ by the six-transmembrane epithelial antigen of the prostate 3 (STEAP3) and transported via the divalent metal transporter 1 (DMT1) to LIP in the cytoplasm [15, 27]. Additionally, excess iron is stored in ferritin consisting of ferritin light chain (FTL) and ferritin heavy chain 1 (FTH1), or Fe2+ is oxidized to Fe3+ by ferroportin1 (FPN1, SLC40A1) and transported to the extracellular and circulatory systems [27, 28]. Previous studies demonstrated that polystyrene microplastic-induced ferroptosis in the mice liver was featured by inhibited the expression of FTH1 and TFR1 [29]. In addition, Xiao et al. have reported that arsenite perturbs the iron-homeostasis by altering the levels of TfR1, DMT1, and FPN1, thereby increasing the ferroptosis sensitivity of hippocampal tissues and PC-12 cells [30]. Nevertheless, the effect of copper ions accumulated in the organism on iron ion transport and iron homeostasis remains an outstanding question. Studies have shown that intake of 60 ppm dietary copper has no significant effect on iron concentrations in pigs’ livers, while intake of 120 and 240 ppm dietary Cu reduces liver iron concentrations by 50% and 60%, respectively [31]. Furthermore, adding 1000 mg/kg Cu to the diet of laying hens leads to an increase in iron concentrations in their livers [32]. However, after 9 weeks of treating sheep with large amounts of Cu (20 mg of CuSO4/kg body wt. per day), there was no significant change in the concentration of iron in the liver [33]. These preliminary studies suggested that the effect of Cu on iron transport and iron homeostasis is complex and varies with the change of receptor and Cu concentration. In the present study, our findings demonstrated that the iron content and the levels of TF, TFR1, STEAP3, and FTH1 in the liver were not significantly affected by Cu exposure. This is also consistent with previous research which found that Cu supplementation did not affect the expression of TF and TFR1 in HepG2 cells [34]. Interestingly, we observed that the expressions of DMT1 and FTL were remarkably upregulated following Cu treatment. A possible explanation for the DMT1 increase is that the DMT1 also transports Cu in some cells and under certain circumstances [35]. In addition, elevated FTL expression levels indicate that the storage of iron may be in an activated state [36]. Therefore, we speculate that Cu-induced ferroptosis is independent of iron metabolism in the liver of chickens.
To further determine whether Cu induces ferroptosis in vivo, we investigated the effects of Cu exposure on ferroptosis-related pathways, including lipid metabolism, amino acid, and glutathione metabolism pathways. System Xc- (xCT) is an amino acid antiporter composed of the two subunits SLC7A11 and SLC3A2. xCT that is localized on the cell membrane can exchange cystine and glutamate in and out of the cell at a 1:1 ratio, and the cystine that enters the cell is reduced to cysteine under the catalytic action of cystine reductase [15, 37]. Under the enzymatic activity of GCL and GSS, cysteine, glutamic acid, and glycine together can synthesize the endogenous antioxidant glutathione (GSH) [37]. In addition to being an essential part of cell membranes or organelle membranes, lipids regulate a variety of biological functions [26]. But different types of lipids from varied sources regulate various biological processes. Free polyunsaturated fatty acids (PUFAs) can be reacted with phosphatidylethanolamine (PE) to synthesize PUFA-containing phospholipids (PUFAs-PE) under the action of ACSL4 and LPCAT3 [26, 27, 38]. The formed PUFAs-PE can be oxidized to produce a toxic lipid peroxide (L-ROS) by lipoxygenase (LOX)-mediated enzymatically manner, or by a non-enzymatic manner involved in a Fenton reaction mediated by free redox active iron [15, 27]. It is worth noting that both Cu ion and iron ion can exist as divalent metal cations in the body, and Cu (II) ions can also directly catalyze the formation of ROS through Fenton and Haber-Weiss reactions [39]. GPX4 is the only enzyme in the body that converts GSH into GSSG and reduces toxic lipid peroxides to the non-toxic lipid alcohols [16, 40]. Therefore, GPX4 has important implications for the removal of lipid peroxides and the prevention of ferroptosis [40]. In present study, the mRNA and protein expressions of GPX4 and SLC7A11 were significantly reduced in the Cu-treated group, which is consistent with the law of ferroptosis. Moreover, Cu exposure significantly depleted the contents of GSH and inhibited the enzymatic activity of GCL. Meanwhile, the increased expression levels of ACSL4, LPCAT3, and LOXHD1 also substantiated the induction of ferroptosis after Cu treatment. These results were in agreement with those published previously [41, 42]. Moreover, the levels of FSP1 and COQ10B in the Cu treatment group were obviously reduced compared with the control group, while the mRNA and protein expression levels of NCOA4 were significantly increased. Ferroptosis suppressor protein 1 (FSP1) catalyzes the regeneration of non-mitochondrial CoQ10 by NAD(P)H, which can inhibit ferroptosis by directly scavenging lipid peroxyl radicals [27]. Nuclear receptor co-activator 4 (NCOA4) is a selective cargo receptor for the selective autophagy of ferritin in ferroptosis, and its upregulation is correlated to ferroptosis [43]. These data together suggested that GSH metabolism disorders caused by inhibition of SLC7A11 and GPX4 expression and lipid peroxidation are an important factor in Cu overload-induced ferroptosis in chicken livers.
The Nrf2/Keap1 is a critical signaling pathway for cellular antioxidant stress responses [44]. Under oxidative stress conditions, Nrf2 is dissociated from the Nrf2-Keap1 complex and translocated into the nucleus to regulate various antioxidant genes (e.g., HO-1, SOD1) [44, 45]. Furthermore, many recent studies have identified that Nrf2 is involved in regulating the expression of multiple ferroptosis-related genes, such as SLC7A11, GPX4, SLC40A1, and FTH1 [24, 43]. Both HO-1 and SOD1 are powerful antioxidant enzymes in cells, while the function of HO-1 in ferroptosis is controversial because an increase in HO-1 might also increase intracellular concentrations of labile iron [26, 46]. In addition, thioredoxin-interacting/inhibiting protein (TXNIP) and thioredoxin (TRX) have also been shown to be regulators of ferroptosis because of their capacity to maintain oxidative stress balance [47]. Thus, inactivation of the Nrf2/Keap1 signaling could contribute to the promotion of ferroptosis [48]. Consistent with this notion, we found a dramatic increase in the expression levels of keap1 and TXNIP in chicken livers after Cu treatment, and accompanied by a decrease in the levels of Nrf2, HO-1, TRX, and SOD1. These results corroborate that the mechanism of Cu-induced ferroptosis in chicken livers also involves the inhibition of the Nrf2/Keap1 signaling pathway.
Conclusions
Taken together, our findings revealed for the first time that ferroptosis might be a newly characterized form of Cu exposure-induced liver damage. And the potential mechanism involves the disturbances in GSH metabolism, lipid peroxidation, ferritinophagy, and inhibition of FSP1-CoQ10 axis in chicken livers. Our study provides a new cognize for the mechanisms of Cu-induced hepatotoxicity.
Data Availability
The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
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Funding
This work was supported by the National Natural Science Foundation of China (No. 32072930 and 31572585).
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Conceptualization: Gaolong Zhong; methodology: Gaolong Zhong, Jianzhao Liao, and Feiyang Ma; formal analysis and investigation: Gaolong Zhong, Yuanxu Li, Feiyang Ma, and Yihui Huo; writing—original draft preparation: Gaolong Zhong; writing—review and editing: Qingyue Han and Lianmei Hu; funding acquisition: Zhaoxin Tang; resources: Zhaoxin Tang; supervision: Zhaoxin Tang.
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The procedures of animal experiments were authorized and performed by the Ethics Committee of South China Agricultural University (Permit Number: 2017A087).
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Zhong, G., Li, Y., Ma, F. et al. Copper Exposure Induced Chicken Hepatotoxicity: Involvement of Ferroptosis Mediated by Lipid Peroxidation, Ferritinophagy, and Inhibition of FSP1-CoQ10 and Nrf2/SLC7A11/GPX4 Axis. Biol Trace Elem Res 202, 1711–1721 (2024). https://doi.org/10.1007/s12011-023-03773-2
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DOI: https://doi.org/10.1007/s12011-023-03773-2