Mechanisms of Ageing and Development 125 (2004) 315–324 Molecular imaging of the biological effects of quercetin and quercetin-rich foods Jan Øivind Moskaug, Harald Carlsen, Mari Myhrstad, Rune Blomhoff∗ Institute for Nutrition Research, Faculty of Medicine, University of Oslo, P.O. Box 1046, Blindern, 0316 Oslo, Norway Abstract The human diet contains several thousands of organic plant molecules (i.e. phytochemicals), many of which have significant bioactivities. The specific physiological effects of these compounds are impossible to predict from in vitro studies using cell cultures and cell-free model systems. Nutrigenomics, which may be defined as the application of genomic tools to study the integrated effects of nutrients on gene regulation, however, holds great promise in increasing the understanding of how nutrients affect molecular events in an organism. Quercetin, a phytochemical belonging to the flavonoids, has antioxidant activities, inhibit protein kinases, inhibit DNA topoisomerases and regulate gene expression. The aim of the present review is to describe some of the many effects of quercetin, and how molecular imaging using transgenic reporter mice may serve as a tool to study the integrated influence of quercetin and other dietary phytochemicals on gene expression in vivo. We are using the bioluminescence emitted from firefly luciferase as the reporter since light originating from the inside of a cell or organism can be detected externally in an intact living organism. Molecular imaging using reporter models is therefore a unique technology to study the integrated effects of environmental insults and dietary substances on the influence of gene expression in disease development. We utilize these in vivo models to elucidate the role of various flavonoids, such as quercetin, for modulating gene expression related to oxidative stress and the antioxidant defence system. © 2004 Elsevier Ireland Ltd. All rights reserved. Keywords: Phytochemicals; Flavonoids; Nutrigenomics; NF-B; ␥-glutamylcysteine synthetase 1. Introduction All living organisms have evolved in a hostile environment. Indeed, survival in challenging environments has been the driving force in the continuous remodelling of all multi-cellular organisms. Development of defence mechanisms and ability to withstand insults and subsequent disease development is crucial in the process of evolution. Studies of disease prevention is therefore closely linked to effects of environmental factors such as nutrition, exposure to radiation, ingestion of toxic substances and exposure to the toxic gas oxygen. Common for the three latter factors are production of substances capable of damaging cellular lipid, protein, carbohydrates and DNA, whereas nutrition may serve to improve cellular defense systems. Cellular damage of radiation and exposure to many toxicants and oxygen seems to be related to their ability to generate reactive oxygen species (ROS), reactive nitrogen species ∗ Corresponding author. Tel.: +47-22-85-13-95; fax: +47-22-85-13-96. E-mail address: rune.blomhoff@basalmed.uio.no (R. Blomhoff). (RNS) and reactive iron species (RIS). Most of these ROS, RNS and RIS are also formed during normal metabolism, particularly as a consequence of oxygen consumption and ATP production in the mitochondria. However, when these reactive metabolites are formed in excess a condition called oxidative stress will appear. A general concept in development of defence mechanisms seems to be adaptation through repeated exposure to the harmful factor of limited duration and extent, thus preparing the organism for more serious insults. An example of this is the limited oxidative stress experienced during physical exercise that is currently used to explain the beneficial effect of activity on various disease risks. Additionally, defence may be developed as a consequence of exposure to substances that are not toxic but are handled by the same detoxification systems as harmful substances. Nutrition may also play an important role in disease prevention through ingestion of substances that boost defence systems designed to inhibit cellular damage by e.g. ROS. One of the most extensively studied groups of such substances are the flavonoids which are abundant in food items of plant origin. Of the flavonoids, quercetin is among the substances that have been studied 0047-6374/$ – see front matter © 2004 Elsevier Ireland Ltd. All rights reserved. doi:10.1016/j.mad.2004.01.007 316 J.Ø. Moskaug et al. / Mechanisms of Ageing and Development 125 (2004) 315–324 in some detail. Most of these studies are built on cell cultures or cell-free model systems. It is of outmost importance, however, to take into account that dietary factors affect a living integrated organism in a physiological setting. Thus, it is important also to employ model systems that respect the dynamics and integrity of complex biological networks. These aspects are central to the new emerging research field of nutrigenomics (Muller and Kersten, 2003). The aim of the present report is to highlight some aspects related to the cellular effects quercetin and other flavonoids in a system biological context. We would particularly like to emphasise molecular imaging using transgenic reporter models as a tool to study the dietary influence on gene expression in vivo. Bioluminescence emitted from firefly luciferase originating from the inside of a cell or organism can be detected externally. Thus, such molecular imaging permits the external visualization of cellular and subcellular processes in an intact living organism. Molecular imaging using reporter models is therefore a unique technology to study the integrated effects of environmental insults and dietary substances on the influence of gene expression involved in disease development. 2. Quercetin as free radical scavenger and inhibitor of ROS production The chemical structure of flavonoids, including quercetin, makes them capable of stabilizing free electrons obtained from free radicals such as ROS in in vitro systems (Hanasaki et al., 1994; Pietta, 2000). Our understanding of the structure/activity relationship is however limited. Recently, Heijnen et al. (2001) have shown that particular hydroxyl groups seem to be positively related to abilities of flavonoids to scavenge peroxynitrite. Flavonoids with particular structures may also inhibit ROS production by chelating metal ions that would otherwise contribute to ROS production through Fenton reactions (Pietta, 2000). Flavonoids including quercetin are also known to inhibit superoxide anion production by xanthine oxidase (Hanasaki et al., 1994). It is however currently not clear to what extent this property of flavonoids contributes to the antioxidant defence of cells in vivo. 3. Quercetin as protein kinase inhibitor Cellular growth and differentiation are regulated by signal transduction pathways involving a large number of both tyrosine and serine/threonine protein kinases and phosphatases. Some of these kinases are targets for kinase modulators potentially useful in disease treatment (Cohen, 2001). Protein kinase modulators are also omnipresent in food items of plant origin. Among the most extensively studied dietary protein kinase inhibitors are quercetin, curcumin and the soy isoflavon genistein. The inhibitory activity of quercetin is associated with its ability to compete with binding of ATP to the nucleotide binding site on the kinases. Binding of quercetin to phosphoinositide 3-kinase has been studied on the atomic level through crystallization of the kinase in the quercetin bound state. These studies reveal that quercetin and related kinase inhibitors bind in the ATP-binding pocket of the kinase (Walker et al., 2000). The outcome of cellular exposure to flavonoids with kinase modulatory activity such as quercetin is hard to predict, both beneficial and deleterious effects can be envisaged in terms of disease prevention. Potentially deleterious effects of quercetin is demonstrated in a recent study by Spencer et al. where they show that quercetin at concentrations ranging from 10 to 30 M reduce phosphorylation of the kinases Akt and ERK with subsequent induction of caspase 3 activation and death in primary neuronal cells (Spencer et al., 2003). These concentrations are however an order of magnitude above of what has been measured in plasma of humans after intake of quercetin-rich food items (Scalbert and Williamson, 2000). This applies to almost all studies with quercetin as protein kinase inhibitors. Davies and collaborators have determined the specificity of quercetin towards a number of kinases and found that CK2, AMPK and P13K were most sensitive to quercetin inhibition and was able to reduce the kinase activity to approximately 20% of control values (Davies et al., 2000). 4. Quercetin as topoisomerase inhibitor Topoisomerases are DNA-associated enzymes that are required during processes such as DNA replication and transcription where they cleave and then religate either one (type I) or two (type II) strands of DNA thereby allowing these strands to pass through one another. A number of compounds interfere in these processes by inhibiting the religation of the DNA double strands. Such inhibition can lead to increased numbers of DNA breaks (Finkel and Holbrook, 2000). A number of polyphenols including tannins (Kashiwada et al., 1993) and flavonoids such a quercetin (Constantinou et al., 1995) and isoflavones such as genistein (Halliwell, 1995; Talalay et al., 1995; Zhang et al., 1992) have been identified as topoisomerase type II inhibitors. Myricetin, quercetin, fisetin, and morin inhibited both types I and II enzymes, while kaempferol inhibited topo II without inhibiting topo I (Constantinou et al., 1995). Inhibition of topoisomerase II has been shown to increase the frequency of chromosome translocations (Sperry et al., 1989). Hence, it has been suggested that a high intake of flavonoids by pregnant women may increase the risk of giving birth to children with MLL (Ross, 2000), a form of leukaemia characterized by translocations involving chromosome 11. Such genetic alterations are consistent with inhibition of DNA topoisomerases (Skibola and Smith, 2000; Strick et al., 2000). Recently, Plaper and colleagues showed that DNA gyrase, a prokaryote DNA topology modifying J.Ø. Moskaug et al. / Mechanisms of Ageing and Development 125 (2004) 315–324 enzyme, is strongly inhibited by quercetin by competitive binding to an ATP binding pocket (Plaper et al., 2003). 5. Quercetin as regulator of gene expression What has been shown by our laboratory and others is that flavonoids may contribute to the endogenous antioxidant defence of cells through gene regulation. Many genes involved in detoxification and activation/inactivation of carcinogens contain specific DNA sequences in their promoters that are directly or indirectly regulated by flavonoids. 5.1. NF-κB transcription factors and AP-1 While quercetin and related plant nutrients often induce expression of genes involved in detoxification (see below), other transcription factors may be down-modulated by these compounds. In this regard the family of NF-B transcription factors, and the transcription factor AP-1 have been thoroughly studied particularly in vitro. NF-B, which was discovered in 1986 (Sen and Baltimore, 1986) induces the expression of many genes that play a critical role for both the regulation of immune and inflammatory responses and for the protection of cells from apoptosis. However, aberrant activation of NF-B, can be one of the primary causes of a wide range of human diseases (Perkins, 2000). Several reports have indicated that NF-B is regulated by plant derived substances such as quercetin and green tea extracts (Muraoka et al., 2002), which may potentially ameliorate disease states influenced by uncontrolled NF-B activation. AP-1, which regulates the expression of genes associated with cell growth and cellular stress has also been shown to be regulated by phenolic nutrients such as quercetin, recently demonstrated by Moon et al. (2003). Notably, the regulation of NF-B and AP-1 by dietary nutrients is cell type specific (Hofmann and Sonenshein, 2003; Rangan et al., 2002). 5.2. Xenobiotic responsive elements Genes in the cytochrome P450 family are typically genes with xenobiotic responsive elements (XRE) in their promoters. XRE has been defined to be 5 -TNGCGTG-3 317 (Fujisawa-Sehara et al., 1987). Cytochrome P450 enzymes containing XRE in their gene promoters may be regulated in part by the aryl hydrocarbon receptor (AhR) (Mimura and Fujii-Kuriyama, 2003). AhR mediate detoxification of potent carcinogens such as PAHs exemplified by dioxin. Flavonoids have a basic chemical structure with some common structures found in poly aromatic hydrocarbons (see Fig. 1). It is therefore of no surprise that several studies have found polyphenols to interact with cellular defence systems such as phases I and II detoxification enzymes (Raucy and Allen, 2001; Raucy, 2003). In particular quercetin has been shown to bind directly to AhR as a natural ligand thereby eliciting an induction of XRE-dependent gene transcription (Ciolino et al., 1999). As AhR is important in transcriptional activation of cytochrome P450 enzymes it is possible that cells exposed to quercetin obtained through the diet has higher levels of phase I detoxification enzymes and thereby are better prepared for subsequent toxic insults. 5.3. Antioxidant responsive elements/electrophile responsive elements (ARE/EpRE) Cellular defence can also be regulated by genes with antioxidant responsive elements/electrophile responsive elements (ARE/EpRE) in their promoters. ARE/EpREs are specific nucleotide sequences found in many promoters of genes involved in cellular defence (see Table 1). Comparison of ARE/EpRE motifs in several genes has allowed definition of a consensus sequence 5 -TA /C ANNA /G TGAC /T NNNGCA /G -3 (Wasserman and Fahl, 1997). Mulcahy and colleagues recently revealed a functional variant of the motif in the promoter of the γGCSl gene. The consensus ARE/EpRE may therefore be revised to 5 -RTKAYNNNGCR-3 (Erickson et al., 2002). ARE/EpREs are bound by, among others, transcription factors belonging to the cap’n’collar basic leucine zipper superfamily. p45 NF-E2 is the founding member of this family and other members include NF-E2-related factors 1, 2 and 3 (Nrf1, Nrf2 and Nrf3) (Andrews et al., 1993; Kobayashi et al., 1999; Luna et al., 1994; Nguyen and Pickett, 1992). Venugopal and Jaiswal have demonstrated that overexpression of both Nrf1 and Nrf2 increased ARE/EpRE driven gene expression. Furthermore, electrophoretic Fig. 1. Basic chemical structure of flavonols and examples of substances found in the indicated food sources. 318 J.Ø. Moskaug et al. / Mechanisms of Ageing and Development 125 (2004) 315–324 Table 1 Enzymes containing ARE/EpRE enhancers in their gene promoters Enzymes References NADPH-quinone oxidoreductase (NQO1) Glutathione S-transferase (GST) UDP-glucuronosyl transferase Thioredoxin Heme oxygenase-1 Ferritin ␥-Glutamylcysteine synthetase heavy subunit ␥-Glutamylcysteine synthetase light subunit Metallothionein 1 Inducible nitric oxide synthase Cystine/glutamate exchange transporter Fra-1 Favreau and Pickett (1995) Rushmore et al. (1990) Prestera et al. (1995) Kim et al. (2001) Inamdar et al. (1996) Tsuji et al. (2000) Mulcahy and Gipp (1995) Moinova and Mulcahy (1998) Ren and Smith (1995) Kuo et al. (2000) Sasaki et al. (2002) Yoshioka et al. (1995) mobility super-shift assays (EMSA) established that both Nrf1 and Nrf2 were capable of binding to the ARE/EpRE found in the promoter of the NAD(P)H:quinone oxidoreductase1 (NQO1) gene (Venugopal and Jaiswal, 1996). More direct evidence of these factors having a role in regulating the expression of detoxification and antioxidant defence genes come from the genetic manipulation of the nrf1 and nrf2 genes in mice. The induction of phase II enzymes was significantly affected in the nrf2-null mouse, and nrf1 mutants show reduced protection against the effects of oxidants and reduced levels of glutathione (Itoh et al., 1997; Kwong et al., 1999). Nrf1 and Nrf2 bind target DNA motifs as heterodimers with the bZIP proteins MafF, MafG and MafK. In addition, Nrf1 has been reported to dimerize with c-Jun, activating transcription factors 2 and 4 (ATF2, ATF4) and Nrf2 can form heterodimers with c-Jun, ATF4, polyamine-modulated factor (PMF) and peroxisome proliferator-activated receptor ␥ (PPAR␥) (Hayes and McMahon, 2001). Both the ARE/EpRE sequence context and the inducer compound may influence which of the bZIP dimers that are recruited to the promoters (Nguyen et al., 2000). It has also been demonstrated that the different Nrf1- and Nrf2-containing complexes differ in their specificity and magnitude of transactivation (Dhakshinamoorthy and Jaiswal, 2000). Three major signal transduction pathways have been implicated in the regulation of ARE/EpRE motifs; those mediated by (1) mitogen-activated protein kinase (MAPK) cascade, (2) phosphatidylinositol 3-kinase (PI3K) and (3) protein kinease C (PKC): (1) ARE/EpRE regulated reporter activity stimulated by the inducers tert-butylhydroquinone (tBHQ) and sulforaphane was mediated by extracellular regulated kinase (ERK) in hepatoma cell lines. Furthermore, activation of p38 MAPK pathway by tBHQ and -naphtoflavone was correlated with a down-regulation of basal and inducible ARE/EpRE-mediated gene expression in the same cell lines (Yu et al., 1999). The p38 pathway may therefore exert a repressive effect upon the ARE/EpREs. The third MAPK pathway c-Jun-N-terminal kinase (JNK), is activated in response to sodium arsenite and mercury chloride (Yu et al., 2000). At present it is unclear how the MAPKs influence ARE/EpRE activation, and none of the proteins implicated in the ARE/EpRE response have shown to be MAPK substrates. However, Nrf1 and Nrf2 contain potential proline-directed serine/threonine residues and are possible substrates. (2) Other studies have implicated PI3K in transducing a response by phenolic antioxidants and oxidative stress to the ARE/EpRE motifs. This kinase is an integral component of the insulin signalling pathway (Lee et al., 2001; Li et al., 2002). (3) Nrf2 was recently reported to be phosphorylated at a serine residue by PKC in response to tBHQ treatment. Phosphorylation of Nrf2 was associated with the appearance of the transcription factor in the nucleus, suggesting a role of PKC in the ARE/EpRE-mediated gene expression (Huang et al., 2000). Apart from the phosphorylation events elicited by kinases, it has been suggested that sulfhydryl group chemistry may be important in regulation of ARE/EpRE-mediated gene expression. The actin-binding protein Keap1 (Kelch-like ECH associated protein 1) was cloned in 1999 and identified as a docking site for Nrf2 (Itoh et al., 1999). These two proteins associate through a double glycine-rich domain of Keap1 and a hydrophilic region in the Neh2 domain of Nrf2. Keap1 is responsible for sequestering Nrf2 in the cytoplasmic compartment of the cell through its association with actin filaments in the cytosol. Dinkova-Kostova and her colleagues have identified several critical cysteine residues of Keap1 that are modified by electrophilic agents to induce the release of Nrf2 (Dinkova-Kostova et al., 2002). Under basal conditions, Keap1 may also negatively regulate Nrf2 by enhancing its rate of proteasomal degradation (McMahon et al., 2003). Talalay et al. have recently suggested that a large number of substances capable of inducing phase II enzymes do so by reacting with thiol groups by alkylation, oxidation, reduction or thiol interchange. The activity of phase II inducers does not seem to depend on their structure but may depend on their common chemical reactivity towards thiol groups (Talalay et al., 2003). The current model for regulation of phase II genes is illustrated in Fig. 2. An ARE/EpRE-like element has been identified in the 5 -flanking region of the nrf2 gene and over expression of Nrf2 increased nrf2 promoter activity. Thus, Nrf2 appears to auto regulate its own expression, leading to persistent nuclear accumulation of Nrf2 and prolonged induction of phase II genes in response to chemo preventive agents (Kwak et al., 2002). Any ARE/EpRE motif in the 5 -flanking sequence of the nrf1 gene has to our knowledge not been identified. J.Ø. Moskaug et al. / Mechanisms of Ageing and Development 125 (2004) 315–324 319 Fig. 2. Schematic representation of cellular effects of flavonoids. When flavonoids are taken up by cells they may or may not be metabolized depending on their chemical structures. Flavonoids may then bind to the aryl hydrocarbon receptor and stimulate xenobiotic metabolism, modulate protein kinase activities or interfere with cytosolic retention of Nrf2 and thereby influence transcription from ARE/EpRE containing gene promoters. Nrf1/2 regulation of ARE/EpREs may be an important pathway by which dietary components such as flavonoids regulate cellular defence mechanisms. We have recently shown that flavonoids such as quercetin increase expression of the rate limiting enzyme in synthesis of the most important endogenous cellular antioxidant, glutathione (GSH) (Myhrstad et al., 2002). Glutathione exists in thiol-reduced and disulfide-oxidized (GSSG) forms. It acts as the main cellular redox buffer and shift in the ratio of GSH:GSSG may oxidize redox sensitive cysteines. Glutathione is required for numerous cellular functions and acts as storage form of cysteine and provides reducing equivalents for many cellular reactions. In addition, glutathione participates in detoxification at several different levels, and may scavenge free radicals, reduce peroxides, or be conjugated with electrophilic compounds (Anderson, 1998). Enzymes involved in the metabolism of glutathione include glutathione peroxidase, glutathione reductase, GSTs, glutathione S-conjugate efflux pumps, glutathione synthetase, ␥-glutamylcysteine synthetase (GCS) and ␥-glutamyltranspeptidase. These enzymes function in an integrated fashion to allow cellular adaptation to oxidative stress (Hayes and McLellan, 1999). In addition to its antioxidant and free radical scavenging properties GSH is crucial in conjugation and elimination of potentially carcinogenic xenobiotics in phase II reactions. Increased intracellular levels of GSH may thus be one way by which dietary compounds protect cells and thereby whole organisms against deleterious factors in our environment. 6. Molecular imaging using reporter models: a unique technology to study the integrated effects of environment on gene expression in a physiological setting Detailed knowledge about the cellular effects of dietary compounds has mostly been obtained by studies on cell tissue cultures in vitro. The integrated beneficial or deleterious effect of food components has at some point to be established in complete organisms. As described above, in vitro experiments demonstrate that quercetin and other flavonoids have a plethora of effects due to their interference with major cellular pathways; nuclear receptor and transcription factor interactions and protein kinase inhibition. To establish the importance of such interference in complete organisms it is crucial to establish effects of the substances on gene expression in vivo. This is particularly important as dietary flavonoids are now available as supplements for self-administration. It should be of major concern that manufacturers of dietary supplements advertise the use of quercetin in capsules containing up to 500 mg and suggest an intake of two capsules or more per day. In an integrative approach to study effects of food components we have recently developed several transgenic reporter animal models that express luciferase under the control of various transcription factors, which potentially are modulated by dietary components in plants. A reporter gene is most frequently used to assess the regulation of a specific DNA regulatory element which can contain a complete promoter for a known gene, specific 320 J.Ø. Moskaug et al. / Mechanisms of Ageing and Development 125 (2004) 315–324 parts of a promoter, or synthetic DNA binding regions that are designed to monitor the activity of one particular transcription factor. In transgenic mice this approach has been successfully employed to investigate gene expression patterns during early mouse development, and has been employed in adult mice examining gene expression patterns in various tissues. Such reporter mice are phenotypically normal since the reporter gene ideally does not exert any physiological effect on the animal. A reporter gene of interest in this respect is luciferase from the firefly. Luciferase has a relatively short half-life making it suitable for assessment of dynamic changes in gene activity. Importantly, animals express luciferase in sufficient amounts to detect bioluminescence in vivo, first demonstrated by Contag et al. (1998) using an ultra-sensitive imaging device, for example the IVIS 100 system developed by Xenogen or the C2400-47 system from Hamamatsu. This approach allows non-invasive imaging of gene regulation permitting a temporal investigation of dietary intervention in mice. Prior to the imaging, mice are anesthetized and the substrate for luciferase (D-luciferin) is injected into the tail vein or intraperitoneally. Shortly afterwards the mice are placed in a light-sealed chamber connected to the camera. Gray scale images are obtained before luminescence imaging for reference. Luminescence emitted from the mouse is integrated for typically 1–5 min starting 2–10 min after the injection of luciferin depending on the mode of injection. In the case of ex vivo imaging individual organs are excised from the mice 3 min following injection of luciferin. Organs are then placed in a culture dish and immediately imaged. Photon emission as a function of luciferase gene expression can then be quantified. In this way animals can be treated with pure compounds of dietary interest or complex diets, and the effect of gene expression be monitored. Alternatively, transgenic mice can be exposed to oxidative stress inducing agents and the effect of such stressors can be monitored. We have performed experiments with three different transgenic reporter mice; NF-B-luciferase mouse (Carlsen et al., 2002, Fig. 3A), the AP-1 luciferase mouse obtained from Flavell and Rincon (Rincon and Flavell, 1994, Fig. 3B) and the GCSh-promoter luciferase mouse (Fig. 3C). The NF-Band GCSh-promoter luciferase models were developed in our laboratory. Fig. 3. In vivo imaging of transgenic mice. Three transgenic mice strains expressing luciferase regulated by various transcription factor binding sites were imaged. The images taken with an ultra-sensitive video camera in complete darkness show basal activity from luciferase regulated by either NF-B (A), AP-1 (B) or several binding sites in the ␥GCSh gene promoter (C) as illustrated by the constructs to the right. J.Ø. Moskaug et al. / Mechanisms of Ageing and Development 125 (2004) 315–324 To characterize the NF-B luciferase mouse we treated mice with classical NF-B inducers such as TNF-␣, IL-1␣, or LPS and monitored the mice non-invasively, and found a strong overall induction of NF-B-mediated luminescence in a time dependent manner. Also, exposure of skin to a low dose of UV radiation (360 J/m2 , which equals 1 human MED) increased luminescence in the exposed areas. Furthermore, induction of chronic inflammation resembling rheumatoid arthritis produced strong NF-B activity in the affected joints, as revealed by in vivo imaging (Carlsen et al., 2002). Thus, we have developed a versatile model for monitoring NF-B activation in vivo. Exposure to UV radiation is believed to contribute significantly to ageing in the skin, possibly through increased production of ROS, in a process termed photoageing (for a recent review see Rittie and Fisher, 2002). UVB-mediated AP-1 and NF-B activation has been shown to increase activities of metalloproteinases (Berneburg et al., 2000), enzymes that contribute to degradation of matrix proteins in the skin. Indeed, skin may serve as a useful model to study tissue alterations mediated by oxidative stress. The AP-1 luciferase mouse has been used in several studies of dietary antioxidants (Barthelman et al., 1998) and other compounds (Huang et al., 1997) topically applied to the skin. In these studies it has been shown, by taking punch biopsies from the 321 Fig. 4. In vivo image of AP-1 luciferase mouse exposed to low levels of UVB. Fur from the abdomen of AP-1 luciferase mouse was removed and two regions of the abdominal skin was exposed to 360 J/m2 of UVB before injection of luciferin and in vivo imaging. A regular bright field image is superimposed on a dark field image. Fig. 5. Ex vivo imaging. The images show basal luciferase activity from various complete organs excised from ␥GCSh-luciferase mice after anaesthesia and injection of luciferin into the living animal. Hippocampus slices from ␥GCSh-luciferase mouse were prepared and cultured for 10 days before imaged in the presence of luciferin in the medium. 322 J.Ø. Moskaug et al. / Mechanisms of Ageing and Development 125 (2004) 315–324 skin and bioluminescence measurements that UVB induce AP-1 activity in skin tissue homogenates. Topical treatment of mouse skin with epi-gallocatechin gallate reduced AP-1 driven luciferase activity (Barthelman et al., 1998). In vivo imaging of these mice shows that AP-1 activity can be induced by very low doses of UVB (360 J/m2 ) (Fig. 4). Dietary interventions with single or mixed antioxidants can then be undertaken and effect on AP-1 activity can be measured in vivo. It should be noted that basal AP-1 activity is not evenly distributed in the skin of these mice. Close examination of the mouse skin after removal of the fur shows that areas with increased luciferase activity overlap exactly with pigmented areas. Care should therefore be taken in selecting skin areas when comparing the effect of various treatments. We have recently shown that the ␥GCS-promoterluciferase mouse reports differences in promoter activity dependent on dietary interventions. We gave ␥GCS mice blueberry juice as the only liquid source and observed an increase in promoter activity in brain and muscle tissue homogenates and a decrease in activity in liver (Carlsen et al., 2003). However, in these mice the basal activity of the promoter assessed by in vivo imaging is too high to observe differences using this method. Imaging of luciferase activity can be used to discriminate differences in activity of gene promoters in non-homogenous tissues. ␥GCS-promoter activity in the transgenic mice is particularly high in brain and testes and in these organs different parts of the organ exhibit differential activity. Thus, we can visualize the luciferase activity in the CA1, CA3 and the dentate gyrus in hippocampal slices (Fig. 5). Also, testes and epididymis displayed high activity probably reflecting the increased need for glutathione (Fig. 5). Evidence exists that differentiation of spermatozoa in the caput of testis requires high production of super oxide anions and hydrogen peroxide. It is plausible that such production also requires an increased demand for antioxidants such as glutathione and hence high expression of ␥GCS. Several studies have demonstrated that in fact the epididymis contains high amounts of antioxidant enzymes (Jervis and Robaire, 2001; Tramer et al., 1998). The ␥GCS promoter-luciferase mouse may thus be useful for studies of antioxidant activity during spermatogenesis. 7. Conclusion Human diet, particularly that of plant origin, contains several thousands of organic molecules with potentially beneficial and disease preventive, or deleterious and disease promoting effects. As combination of these compounds may have a plethora of cellular effects, and even several effects from a single compound, it is very hard to predict the net outcome of taking these substances on for example on gene expression. Flavonoids, as exemplified by quercetin, have been shown to have many effects on cells in vitro. Nutrigenomics, which may be defined as the application of genomic tools to study the integrated effects of nutrients on gene regulation, holds great promise in increasing the understanding of how nutrients affect the whole organism in health and disease (Muller and Kersten, 2003). Our approach to use in vivo imaging of gene expression by bioluminescence is thus one of many important complementary tools that will contribute significantly to studies of the integrated effects of bioactive dietary compounds. References Anderson, M.E., 1998. Glutathione: an overview of biosynthesis and modulation. Chem. Biol. Interact. 111/112, 1–14. Andrews, N.C., Erdjument-Bromage, H., Davidson, M.B., Tempst, P., Orkin, S.H., 1993. Erythroid transcription factor NF-E2 is a haematopoietic-specific basic-leucine zipper protein. Nature 362, 722– 728. Barthelman, M., Bair III, W.B., Stickland, K.K., Chen, W., Timmermann, B.N., Valcic, S., Dong, Z., Bowden, G.T., 1998. (−)-Epigallocatechin3-gallate inhibition of ultraviolet B-induced AP-1 activity. Carcinogenesis 19, 2201–2204. Berneburg, M., Plettenberg, H., Krutmann, J., 2000. Photoaging of human skin. Photodermatol. Photoimmunol. Photomed. 16, 239–244. Carlsen, H., Moskaug, J.O., Fromm, S.H., Blomhoff, R., 2002. In vivo imaging of NF-kappa B activity. J. Immunol. 168, 1441–1446. Carlsen, H., Myhrstad, M.C., Thoresen, M., Moskaug, J.O., Blomhoff, R., 2003. Berry intake increases the activity of the gammaglutamylcysteine synthetase promoter in transgenic reporter mice. J. Nutr. 133, 2137–2140. Ciolino, H.P., Daschner, P.J., Yeh, G.C., 1999. Dietary flavonols quercetin and kaempferol are ligands of the aryl hydrocarbon receptor that affect CYP1A1 transcription differentially. Biochem. J. 340 (Pt 3), 715–722. Cohen, P., 2001. The role of protein phosphorylation in human health and disease. The Sir Hans Krebs Medal Lecture. Eur. J. Biochem. 268, 5001–5010. Constantinou, A., Mehta, R., Runyan, C., Rao, K., Vaughan, A., Moon, R., 1995. Flavonoids as DNA topoisomerase antagonists and poisons: structure–activity relationships. J. Nat. Prod. 58, 217–225. Contag, P.R., Olomu, I.N., Stevenson, D.K., Contag, C.H., 1998. Bioluminescent indicators in living mammals. Nat. Med. 4, 245–247. Davies, S.P., Reddy, H., Caivano, M., Cohen, P., 2000. Specificity and mechanism of action of some commonly used protein kinase inhibitors. Biochem. J. 351, 95–105. Dhakshinamoorthy, S., Jaiswal, A.K., 2000. Small maf (MafG and MafK) proteins negatively regulate antioxidant response element-mediated expression and antioxidant induction of the NAD(P)H:quinone oxidoreductase1 gene. J. Biol. Chem. 275, 40134–40141. Dinkova-Kostova, A.T., Holtzclaw, W.D., Cole, R.N., Itoh, K., Wakabayashi, N., Katoh, Y., Yamamoto, M., Talalay, P., 2002. Direct evidence that sulfhydryl groups of Keap1 are the sensors regulating induction of phase 2 enzymes that protect against carcinogens and oxidants. Proc. Natl. Acad. Sci. U.S.A. 99, 11908–11913. Erickson, A.M., Nevarea, Z., Gipp, J.J., Mulcahy, R.T., 2002. Identification of a variant antioxidant response element in the promoter of the human glutamate-cysteine ligase modifier subunit gene. Revision of the ARE consensus sequence. J. Biol. Chem. 277, 30730–30737. Favreau, L.V., Pickett, C.B., 1995. The rat quinone reductase antioxidant response element. Identification of the nucleotide sequence required for basal and inducible activity and detection of antioxidant response element-binding proteins in hepatoma and non-hepatoma cell lines. J. Biol. Chem. 270, 24468–24474. Finkel, T., Holbrook, N.J., 2000. Oxidants, oxidative stress and the biology of ageing. Nature 408, 239–247. J.Ø. Moskaug et al. / Mechanisms of Ageing and Development 125 (2004) 315–324 Fujisawa-Sehara, A., Sogawa, K., Yamane, M., Fujii-Kuriyama, Y., 1987. Characterization of xenobiotic responsive elements upstream from the drug-metabolizing cytochrome P450c gene: a similarity to glucocorticoid regulatory elements. Nucleic Acids Res. 15, 4179–4191. Halliwell, B., 1995. How to characterize an antioxidant: an update. Biochem. Soc. Symp. 61, 73–101. Hanasaki, Y., Ogawa, S., Fukui, S., 1994. The correlation between active oxygens scavenging and antioxidative effects of flavonoids. Free Radic. Biol. Med. 16, 845–850. Hayes, J.D., McLellan, L.I., 1999. Glutathione and glutathione-dependent enzymes represent a co-ordinately regulated defence against oxidative stress. Free Radic. Res. 31, 273–300. Hayes, J.D., McMahon, M., 2001. Molecular basis for the contribution of the antioxidant responsive element to cancer chemoprevention. Cancer Lett. 174, 103–113. Heijnen, C.G., Haenen, G.R., van Acker, F.A., van der Vijgh, W.J., Bast, A., 2001. Flavonoids as peroxynitrite scavengers: the role of the hydroxyl groups. Toxicol. In Vitro 15, 3–6. Hofmann, C.S., Sonenshein, G.E., 2003. Green tea polyphenol epigallocatechin-3 gallate induces apoptosis of proliferating vascular smooth muscle cells via activation of p53. FASEB J. 17, 702–704. Huang, C., Ma, W.Y., Hanenberger, D., Cleary, M.P., Bowden, G.T., Dong, Z., 1997. Inhibition of ultraviolet B-induced activator protein-1 (AP-1) activity by aspirin in AP-1-luciferase transgenic mice. J. Biol. Chem. 272, 26325–26331. Huang, H.C., Nguyen, T., Pickett, C.B., 2000. Regulation of the antioxidant response element by protein kinase C-mediated phosphorylation of NF-E2-related factor 2. Proc. Natl. Acad. Sci. U.S.A. 97, 12475– 12480. Inamdar, N.M., Ahn, Y.I., Alam, J., 1996. The heme-responsive element of the mouse heme oxygenase-1 gene is an extended AP-1 binding site that resembles the recognition sequences for MAF and NF-E2 transcription factors. Biochem. Biophys. Res. Commun. 221, 570–576. Itoh, K., Chiba, T., Takahashi, S., Ishii, T., Igarashi, K., Katoh, Y., Oyake, T., Hayashi, N., Satoh, K., Hatayama, I., Yamamoto, M., Nabeshima, Y., 1997. An Nrf2/small Maf heterodimer mediates the induction of phase II detoxifying enzyme genes through antioxidant response elements. Biochem. Biophys. Res. Commun. 236, 313–322. Itoh, K., Wakabayashi, N., Katoh, Y., Ishii, T., Igarashi, K., Engel, J.D., Yamamoto, M., 1999. Keap1 represses nuclear activation of antioxidant responsive elements by Nrf2 through binding to the amino-terminal Neh2 domain. Genes Dev. 13, 76–86. Jervis, K.M., Robaire, B., 2001. Dynamic changes in gene expression along the rat epididymis. Biol. Reprod. 65, 696–703. Kashiwada, Y., Nonaka, G., Nishioka, I., Lee, K.J., Bori, I., Fukushima, Y., Bastow, K.F., Lee, K.H., 1993. Tannins as potent inhibitors of DNA topoisomerase II in vitro. J. Pharm. Sci. 82, 487–492. Kim, Y.C., Masutani, H., Yamaguchi, Y., Itoh, K., Yamamoto, M., Yodoi, J., 2001. Hemin-induced activation of the thioredoxin gene by Nrf2: a differential regulation of the antioxidant responsive element (ARE) by switch of its binding factors. J. Biol. Chem. 1, 1. Kobayashi, A., Ito, E., Toki, T., Kogame, K., Takahashi, S., Igarashi, K., Hayashi, N., Yamamoto, M., 1999. Molecular cloning and functional characterization of a new cap’n’collar family transcription factor Nrf3. J. Biol. Chem. 274, 6443–6452. Kuo, P.C., Abe, K., Schroeder, R.A., 2000. Superoxide enhances interleukin 1beta-mediated transcription of the hepatocyte-inducible nitric oxide synthase gene. Gastroenterology 118, 608–618. Kwak, M.K., Itoh, K., Yamamoto, M., Kensler, T.W., 2002. Enhanced expression of the transcription factor Nrf2 by cancer chemopreventive agents: role of antioxidant response element-like sequences in the nrf2 promoter. Mol. Cell Biol. 22, 2883–2892. Kwong, M., Kan, Y.W., Chan, J.Y., 1999. The CNC basic leucine zipper factor, Nrf1, is essential for cell survival in response to oxidative stressinducing agents. Role for Nrf1 in gamma-gcs(l) and gss expression in mouse fibroblasts. J. Biol. Chem. 274, 37491–37498. 323 Lee, J.M., Hanson, J.M., Chu, W.A., Johnson, J.A., 2001. Phosphatidylinositol 3-kinase, not extracellular signal-regulated kinase, regulates activation of the antioxidant-responsive element in IMR-32 human neuroblastoma cells. J. Biol. Chem. 276, 20011–20016. Li, J., Lee, J.M., Johnson, J.A., 2002. Microarray analysis reveals an antioxidant responsive element-driven gene set involved in conferring protection from an oxidative stress-induced apoptosis in IMR-32 cells. J. Biol. Chem. 277, 388–394. Luna, L., Johnsen, O., Skartlien, A.H., Pedeutour, F., Turc-Carel, C., Prydz, H., Kolsto, A.B., 1994. Molecular cloning of a putative novel human bZIP transcription factor on chromosome 17q22. Genomics 22, 553–562. McMahon, M., Itoh, K., Yamamoto, M., Hayes, J.D., 2003. Keap1dependent proteasomal degradation of transcription factor Nrf2 contributes to the negative regulation of antioxidant response elementdriven gene expression. J. Biol. Chem. 278, 21592–21600. Mimura, J., Fujii-Kuriyama, Y., 2003. Functional role of AhR in the expression of toxic effects by TCDD. Biochim. Biophys. Acta 1619, 263–268. Moinova, H.R., Mulcahy, R.T., 1998. An electrophile responsive element (EpRE) regulates beta-naphthoflavone induction of the human gammaglutamylcysteine synthetase regulatory subunit gene. Constitutive expression is mediated by an adjacent AP-1 site. J. Biol. Chem. 273, 14683–14689. Moon, S.K., Cho, G.O., Jung, S.Y., Gal, S.W., Kwon, T.K., Lee, Y.C., Madamanchi, N.R., Kim, C.H., 2003. Quercetin exerts multiple inhibitory effects on vascular smooth muscle cells: role of ERK1/2, cellcycle regulation, and matrix metalloproteinase-9. Biochem. Biophys. Res. Commun. 301, 1069–1078. Mulcahy, R.T., Gipp, J.J., 1995. Identification of a putative antioxidant response element in the 5 -flanking region of the human gammaglutamylcysteine synthetase heavy subunit gene. Biochem. Biophys. Res. Commun. 209, 227–233. Muller, M., Kersten, S., 2003. Nutrigenomics: goals and strategies. Nat. Rev. Genet. 4, 315–322. Muraoka, K., Shimizu, K., Sun, X., Tani, T., Izumi, R., Miwa, K., Yamamoto, K., 2002. Flavonoids exert diverse inhibitory effects on the activation of NF-kappaB. Transplant. Proc. 34, 1335–1340. Myhrstad, M.C., Carlsen, H., Nordstrom, O., Blomhoff, R., Moskaug, J.J., 2002. Flavonoids increase the intracellular glutathione level by transactivation of the gamma-glutamylcysteine synthetase catalytical subunit promoter. Free Radic. Biol. Med. 32, 386–393. Nguyen, T., Pickett, C.B., 1992. Regulation of rat glutathione S-transferase Ya subunit gene expression. DNA–protein interaction at the antioxidant responsive element. J. Biol. Chem. 267, 13535–13539. Nguyen, T., Huang, H.C., Pickett, C.B., 2000. Transcriptional regulation of the antioxidant response element. Activation by Nrf2 and repression by MafK. J. Biol. Chem. 275, 15466–15473. Perkins, N.D., 2000. The ReIINF-kappa B family: friend and foe. Trends Biochem. Sci. 25, 434–440. Pietta, P.G., 2000. Flavonoids as antioxidants. J. Nat. Prod. 63, 1035–1042. Plaper, A., Golob, M., Hafner, I., Oblak, M., Solmajer, T., Jerala, R., 2003. Characterization of quercetin binding site on DNA gyrase. Biochem. Biophys. Res. Commun. 306, 530–536. Prestera, T., Talalay, P., Alam, J., Ahn, Y.I., Lee, P.J., Choi, A.M., 1995. Parallel induction of heme oxygenase-1 and chemoprotective phase 2 enzymes by electrophiles and antioxidants: regulation by upstream antioxidant-responsive elements (ARE). Mol. Med. 1, 827–837. Rangan, G.K., Wang, Y., Harris, D.C., 2002. Dietary quercetin augments activator protein-1 and does not reduce nuclear factor-kappa B in the renal cortex of rats with established chronic glomerular disease. Nephron 90, 313–319. Raucy, J.L., 2003. Regulation of CYP3A4 expression in human hepatocytes by pharmaceuticals and natural products. Drug Metab. Dispos. 31, 533–539. Raucy, J.L., Allen, S.W., 2001. Recent advances in P450 research. Pharmacogenomics J. 1, 178–186. 324 J.Ø. Moskaug et al. / Mechanisms of Ageing and Development 125 (2004) 315–324 Ren, Y., Smith, A., 1995. Mechanism of metallothionein gene regulation by heme-hemopexin. Roles of protein kinase C, reactive oxygen species, and cis-acting elements. J. Biol. Chem. 270, 23988–23995. Rincon, M., Flavell, R.A., 1994. AP-1 transcriptional activity requires both T-cell receptor-mediated and co-stimulatory signals in primary T lymphocytes. EMBO J. 13, 4370–4381. Rittie, L., Fisher, G.J., 2002. UV-light-induced signal cascades and skin aging. Ageing Res. Rev. 1, 705–720. Ross, J.A., 2000. Dietary flavonoids and the MLL gene: a pathway to infant leukemia? Proc. Natl. Acad. Sci. U.S.A. 97, 4411–4413. Rushmore, T.H., King, R.G., Paulson, K.E., Pickett, C.B., 1990. Regulation of glutathione 5-transferase Ya subunit gene expression: identification of a unique xenobiotic-responsive element controlling inducible expression by planar aromatic compounds. Proc. Natl. Acad. Sci. U.S.A. 87, 3826–3830. Sasaki, H., Sato, H., Kuriyama-Matsumura, K., Sato, K., Maebara, K., Wang, H., Tamba, M., Itoh, K., Yamamoto, M., Bannai, S., 2002. Electrophile response element-mediated induction of the cystine/glutamate exchange transporter gene expression. J. Biol. Chem. 277, 44765– 44771. Scalbert, A., Williamson, G., 2000. Dietary intake and bioavailability of polyphenols. J. Nutr. 130, 2073S–2085S. Sen, R., Baltimore, D., 1986. Inducibility of kappa immunoglobulin enhancer-binding protein Nf-kappa B by a post-translational mechanism. Cell 47, 921–928. Skibola, C.F., Smith, M.T., 2000. Potential health impacts of excessive flavonoid intake. Free Radic. Biol. Med. 29, 375–383. Sperry, A.G., Blasquez, V.C., Garrard, W.T., 1989. Dysfunction of chromosomal loop attachment sites: illegitimate recombination linked to matrix association regions and topoisomerase II. Proc. Natl. Acad. Sci. U.S.A. 86, 5497–5501. Spencer, J.P., Rice-Evans, C., Williams, R.J., 2003. Modulation of prosurvival Akt/PKB and ERK1/2 signalling cascades by quercetin and its in vivo metabolites underlie their action on neuronal viability. J. Biol. Chem. Strick, R., Strissel, P.L., Borgers, S., Smith, S.L., Rowley, J.D., 2000. Dietary bioflavonoids induce cleavage in the MLL gene and may contribute to infant leukemia. Proc. Natl. Acad. Sci. U.S.A. 97, 4790– 4795. Talalay, P., Fahey, J.W., Holtzclaw, W.D., Prestera, T., Zhang, Y., 1995. Chemoprotection against cancer by phase 2 enzyme induction. Toxicol. Lett. 82–83, 173–179. Talalay, P., Dinkova-Kostova, A.T., Holtzclaw, W.D., 2003. Importance of phase 2 gene regulation in protection against electrophile and reactive oxygen toxicity and carcinogenesis. Adv. Enzyme Regul. 43, 121– 134. Tramer, F., Rocco, F., Micali, F., Sandri, G., Panfili, E., 1998. Antioxidant systems in rat epididymal spermatozoa. Biol. Reprod. 59, 753– 758. Tsuji, Y., Ayaki, H., Whitman, S.P., Morrow, C.S., Torti, S.V., Torti, F.M., 2000. Coordinate transcriptional and translational regulation of ferritin in response to oxidative stress. Mol. Cell Biol. 20, 5818–5827. Venugopal, R., Jaiswal, A.K., 1996. Nrf1 and Nrf2 positively and c-Fos and Fra1 negatively regulate the human antioxidant response elementmediated expression of NAD(P)H:quinone oxidoreductase1 gene. Proc. Natl. Acad. Sci. U.S.A. 93, 14960–14965. Walker, E.H., Pacold, M.E., Perisic, O., Stephens, L., Hawkins, P.T., Wymann, M.P., Williams, R.L., 2000. Structural determinants of phosphoinositide 3-kinase inhibition by wortmannin, LY294002, quercetin, myricetin, and staurosporine. Mol. Cell 6, 909–919. Wasserman, W.W., Fahl, W.E., 1997. Functional antioxidant responsive elements. Proc. Natl. Acad. Sci. U.S.A. 94, 5361–5366. Yoshioka, K., Deng, T., Cavigelli, M., Karin, M., 1995. Antitumor promotion by phenolic antioxidants: inhibition of AP-1 activity through induction of Fra expression. Proc. Natl. Acad. Sci. U.S.A. 92, 4972– 4976. Yu, R., Lei, W., Mandlekar, S., Weber, M.J., Der, C.J., Wu, J., Kong, A.T., 1999. Role of a mitogen-activated protein kinase pathway in the induction of phase II detoxifying enzymes by chemicals. J. Biol. Chem. 274, 27545–27552. Yu, R., Chen, C., Mo, Y.Y., Hebbar, V., Owuor, E.D., Tan, T.H., Kong, A.N., 2000. Activation of mitogen-activated protein kinase pathways induces antioxidant response element-mediated gene expression via a Nrf2-dependent mechanism. J. Biol. Chem. 275, 39907–39913. Zhang, Y., Talalay, P., Cho, C.G., Posner, G.H., 1992. A major inducer of anticarcinogenic protective enzymes from broccoli: isolation and elucidation of structure. Proc. Natl. Acad. Sci. U.S.A. 89, 2399– 2403.