-
Animal procedures were carried out in compliance with Directive 2010/63/EU on the protection of animals used for experimental and other scientific purposes and approved by the Ethical Committee of the Institute for Biological Research ‘Siniša Stanković’, University of Belgrade, Serbia.
Male Dark Agouti (DA) and Albino Oxford (AO) rat strains (age 8–12 weeks) were used for the experiments. They were conventionally housed in a controlled environment (12-h light/dark cycle, 22 ± 2 °C, and 60% relative humidity) with free access to standard rodent chow and water in the unit for experimental animals at the Institute for Biological Research ‘Siniša Stanković’, Belgrade, Serbia.
In the prolonged Cd exposure experiments, the DA rats were exposed for 30 d to Cd doses that included the environmentally relevant Cd concentrations to which humans are exposed[52-54]. Cadmium chloride (CdCl2) was prepared in distilled water at concentrations of 5 mg/L (5 ppm) and 50 mg/L (50 ppm) of the Cd (II) ion. Control rats were given distilled water. Eight rats were assigned per group in two independent experiments.
-
Prior to tissue collection, the animals were anesthetized with an intraperitoneal injection of 15 mg/kg body weight of Zoletil 100 (Virbac, Carros, France). The lungs were aseptically removed, cleared of blood, and finely minced. Lung leukocytes were isolated following incubation by gentle mixing for 30 min at 37 °C in RPMI-1640 culture medium supplemented with 2 mmol/L glutamine and 20 µg/mL gentamycin in the presence of 1 mg/mL collagenase type IV (Worthington Biochemical Corp., Lakewood, NJ, USA) and 30 µg/mL DNase I (Sigma Chemical Co., St. Louis, MO, USA). The cells were resuspended in culture medium supplemented with 5% (v/v) heat-inactivated fetal calf serum and voriconazole (5 µg/mL) (Pfizer PGM, Poce Sur Cisse, France). Total cell counts and viability were determined by trypan blue exclusion using a LUNA-IITM automated cell counter (Logos Biosystems, Anyang, South Korea).
Isolated leukocytes from healthy untreated animals (4 × 106 cells/well in a 96-well plate) were cultured for 48 h with various Cd concentrations (1, 5, 10, and 50 μmol/L) alone and in the presence of 3 µmol/L of the AhR antagonist CH-223191 (Sigma-Aldrich) to determine cytokine production and to isolate the RNA. The Cd doses used for cell stimulation were chosen to fit the most commonly used Cd doses in in vitro studies using cells from both human[21,44,45] and animal origins[29]. In a preliminary set of experiments, the cells were first pretreated for 1 h with CH-223191 and then Cd was added. No differences were noted between pretreated cell cultures and cells concomitantly treated with Cd and the antagonist, so the results obtained in cells co-treated with Cd and the antagonist are presented.
Leukocyte viability was measured by the MTT reduction assay following 48 h of culture. MTT (500 µg/mL) was added to each well of a 96-well plate and incubated for 3 h at 37 °C in a humidified atmosphere of 5% CO2. The formazan that formed was dissolved during an overnight incubation with 10% sodium dodecyl sulfate-0.01 N HCl, and absorbance of the extracted chromogen was read spectrophotometrically at 540 nm.
-
Lung leukocytes (1 × 106) were collected after a 48 h treatment with Cd and lysed in 10 mmol/L HCl. After precipitating the protein with 5% sulfosalicylic acid, the GSH level was quantified in the supernatant using 5,5'-dithio-bis-[2-nitrobenzoic acid] (DTNB) in Tris-HCl (pH 8.9) and reduced glutathione as the standard[55] spectrophotometrically at 412 nm. The GSH level was expressed as μmol of GSH/mg protein.
-
The dihydrorhodamine 123 assay (DHR 123; Life Technologies Corp. Carlsbad, CA, USA), based on the oxidation of DHR 123 to fluorescent rhodamine 123 by hydrogen peroxide, was used to measure ROS levels in lung leukocytes[56]. Lung leukocytes (1 × 106) treated with Cd for 48 h were incubated for 1 h in medium containing 4 μmol/L DHR 123. After the incubation, the cells were washed with PBS, fixed in 1% paraformaldehyde, and assayed for fluorescence intensity on the CyFLOW SPACE (Partec, Munich, Germany). A minimum of 10,000 events was acquired each time.
-
Cytokine concentrations were determined in lung leukocyte-conditioned medium using commercially available ELISA kits for rat IL-1β and IL-6 (R&D Systems, Minneapolis, MN, USA), and TNF (eBioscience Inc., San Diego, CA, USA) according to the manufacturer’s instructions. Cytokine titers were calculated with reference to a standard curve constructed using known amounts of the respective recombinant cytokine standards provided in the kits. The results are presented as relative change compared to the control (Cd 0 µmol/L, considered 1).
-
Lung leukocytes stimulated in vitro with Cd and leukocytes isolated from animals exposed for 30 d to Cd were used to isolate RNA. RNA (1 µg) was isolated using the mi-Total RNA Isolation Kit (Metabion, Martinsried, Germany) and reverse transcribed using random hexamer primers and MMLV (Moloney Murine Leukemia Virus) reverse transcriptase (Fermentas, Vilnius, Lithuania), following the manufacturer’s instructions. The prepared cDNAs were amplified using the Power SYBR® Green PCR Master Mix (Applied Biosystems, Foster City, CA, USA) based on the manufacturer’s recommendations in a total volume of 20 μL in a Quant StudioTM 3 Real-Time PCR Instrument (96-well, 0.2-mL) (Applied Biosystems). The thermocycler conditions were: hold stage at 50 °C for 2 min, followed by 95 °C for 10 min; the PCR stage at 95 °C for 15 s followed by 40 cycles of 60 °C for 60 s each; and a melt curve stage at 95 °C for 15 s, followed by 60 °C for 60 s and 95 °C for 1 s. The PCR primers (forward/reverse) used in this study are listed in Table 1. The PCR products were detected in real-time and the results were analyzed with Quant StudioTM Design & Analysis Software v1.4.3 (Applied Biosystems) and calculated as 2−ΔCt where ΔCt is the difference between the threshold cycle (Ct) values of a specific gene and the endogenous control (β-actin).
Table 1. List of the primers used in the study
Item Forward Reverse β-actin (housekeeping reporter gene) 5'-CCCTGGCTCCTAGCACCAT-3' 5-'GAGCCACCAATCCACACAGA-3' CYP1A1 5'-GGGGAGGTTACTGGTTCTGG-3' 5'-CGGATGTGGCCCTTCTCAAA-3' CYP1B1 5'-CTCATCCTCTTTACCAGATACCCG-3' 5'-GACGTATGGTAAGTTGGGTTGGTC-3' IL-6 5'-GCCCTTCAGGAACAGCTATGA-3' 5'-TGTCAACAACATCAGTCCCAAG-3' TNF-α 5'-TCGAGTGACAAGCCCGTAGC-3' 5'-CTCAGCCACTCCAGCTGCTC-3' IL-1β 5'-CACCTCTCAAGCAGAGCA-3' 5'-GGGTTCCATGGTGAAGTCAAC-3' NLRP3 5'-CAGAAGCTGGGGTTGGTGAA-3' 5'-CCCATGTCTCCAAGGGCATT-3' AhRR 5'-CAGCAACATGGCTTCTTTCA-3' 5'-GAAGCACTGCATTCCAGACA-3' AhR 5'-GCTGTGATGCCAAAGGGCAGC-3' 5'-TGAAGCATGTCAGCGGCGTGGAT-3' -
The results were pooled from two independent experiments with four animals per group per experiment and presented as mean ± standard error. Data were analyzed by analysis of variance followed by Tukey’s test to examine differences between the groups. P-values < 0.05 were considered significant.
-
The expression of CYP mRNAs was measured using a DA rat model of prolonged oral metal exposure[39, 41], in which increased levels of Cd are noted in the lungs[41]. The CYP1A1 mRNA remained unchanged (Figure 1A) and CYP1B1 mRNA level increased (Figure 1B) in lung leukocytes of animals treated with either the low (5 ppm) or high (50 ppm) Cd dose compared to the controls (Cd 0 ppm). In addition, an increase in the AhR mRNA level was documented in lung leukocytes of Cd-exposed animals (0.0441 ± 0.0022 in response to the low, and 0.0458 ± 0.0039 in response to the high Cd dose compared to 0.0218 ± 0.0036 in the controls, P < 0.05).
Figure 1. Expression of CYP1A1 (A) and CYP1B1 (B) mRNA in lung leukocytes isolated from animals orally exposed to Cd (5 and 50 ppm). Results are presented as mean ± standard error. Significance at: *P < 0.05 vs. control (Cd dose 0 ppm).
To verify these findings, we exposed lung leukocytes isolated from healthy untreated animals to increasing Cd concentrations in vitro. Cell viability following stimulation with Cd revealed that 50 µmol/L Cd resulted in the death of 15.6% of the cells in culture, so non-lethal doses (i.e., 1, 5, and 10 µmol/L) were tested further. Leukocytes responded to Cd exposure by increasing the expression of CYP1A1 mRNA at all doses tested (Figure 2A) and CYP1B1 at 1 and 5 µmol/L (Figure 2B).
Figure 2. Expression of CYP1A1 (A) and CYP1B1 (B) mRNA in lung leukocytes isolated from healthy untreated animals following in vitro Cd exposure (1, 5, and 10 µmol/L). Results are presented as mean ± standard error. Significance at: *P < 0.05, **P < 0.01, and ***P < 0.001 vs. control (Cd dose 0 µmol/L).
Exposure to Cd was not accompanied by oxidative stress as judged by the lack of changes in the DHR assay and intracellular GSH (Table 2).
Table 2. Oxidative stress in lung leukocytes following in vitro Cd stimulation
Parameters tested Cadmium dose (µmol/L) 0 1 5 10 DHR (mean fluorescence intensity) 1.72 ± 0.12 1.63 ± 0.06 1.63 ± 0.04 1.65 ± 0.05 Intracellular GSH (µmol/L per mg protein) 795.0 ± 88.7 846.7 ± 62.9 762.9 ± 81.4 738.6 ± 67.7 To determine if increased expression of CYPs in response to Cd is a consequence of AhR activation, we measured CYP1A1 and CYP1B1 mRNA levels in the presence of the AhR antagonist CH-223191. The presence of CH-223191 in the culture decreased CYP1A1 mRNA in cells treated with 0 and 1 µmol/L Cd and CYP1B1 mRNA at 1 and 5 µmol/L Cd (Figure 3). As the effect of the AhR inhibitor was observed at 1 and 5 µmol/L Cd, these Cd doses were used for the remaining experiments.
Figure 3. Expression of CYP1A1 (A) and CYP1B1 (B) mRNA in lung leukocytes co-treated with Cd and an AhR antagonist. Lines represent expression levels in cells treated with Cd alone (−CH-223191). Results are presented as mean ± standard error. Significance at: *P < 0.05 and ***P < 0.001 vs. control (Cd dose 0 µmol/L), #P < 0.05, and ###P < 0.01 for CH-223191 vs. −CH-223191.
-
To determine if the effect of Cd on inflammatory cytokine production involves the AhR, IL-1β, IL-6, and TNF production and mRNA expression were measured in cells cultured with Cd alone and in the presence of the AhR antagonist CH-223191 (Figure 4). Lung leukocytes responded to Cd with increased IL-6 (Figure 4A) and decreased TNF (Figure 4B) and IL-1β (Figure 4C) production. The AhR antagonist diminished the effect of Cd and reversed cytokine production to the levels noted in cell cultures without Cd. Similarly, increased IL-6 (Figure 4D) and decreased TNF (Figure 4E) mRNA were noted in response to Cd stimulation. CH-223191 generally returned the mRNA levels to those comparable to the controls (except TNF where a higher mRNA level was noted in cells treated with 5 µmol/L Cd). However, in contrast to decreased production of IL-1β, mRNA of IL-1β increased following stimulation with Cd (Figure 4F). The AhR antagonist suppressed mRNA expression in cells treated with 1 µmol/L Cd, but had no effect on mRNA expression in response to 5 µmol/L Cd.
Figure 4. Cytokine production and gene expression by lung leukocytes isolated from healthy untreated animals following in vitro Cd exposure (1 and 5 µmol/L) in the absence or presence of CH-223191. IL-6 production (A) and mRNA expression (D). TNF production (B) and mRNA expression (E). IL-1β production (C) and mRNA expression (F). NLRP3 mRNA expression (G). Results are expressed as relative values compared to the control (considered 1, presented as a line on the graphs) and presented as mean ± standard error. Significance at: *P < 0.05, **P < 0.01 and ***P < 0.001 vs. control and #P < 0.05, ##P < 0.01, and ###P < 0.01 for CH-223191 vs.−CH-223191.
As activation of the AhR causes a decrease in IL-1β production by reducing the mRNA level of NLRP3, an inflammasome component[57], we next determined the NLRP3 level in cells treated with Cd (Figure 4G). As a result, the NLRP3 mRNA level decreased in response to Cd alone. Co-treatment of lung leukocytes with Cd and CH-223191 resulted in increased NLRP3 expression compared to the controls.
-
Given that Cd toxicity is rat strain-dependent, the effect of Cd exposure on lung leukocytes from AO rats, a strain that is less sensitive to Cd immunotoxicity[58,59], was examined. In contrast to lung leukocytes from DA rats, CYP1A1 or CYP1B1 mRNA expression (Figure 5A) and proinflammatory cytokine production (Figure 5B) did not change in cells from the lungs of AO rats in response to Cd.
Figure 5. The effect of Cd on lung leukocytes isolated from healthy untreated AO rats. (A) Expression of CYP1A1 and CYP1B1 mRNA in lung leukocytes. (B) Relative cytokine production (IL-6, TNF, and IL-1 β) compared to the control (considered 1, presented as a line on the graphs). AhRR (C) and AhR (D) mRNA expression in lung leukocytes isolated from AO and DA rats. Results are presented as mean ± standard error. Significance at: *P < 0.05 and **P < 0.01 vs. control (Cd dose 0 µmol/L) and #P < 0.05, and ##P < 0.01 for AO vs. DA rats.
To determine what might have contributed to the lack of a Cd effect in AO rats, we measured the AhR repressor (AhRR) expression level, which is a natural regulator of the AhR, in Cd-treated leukocytes of both rat strains (Figure 5C). Generally higher levels of AhRR mRNA were noted in AO compared to DA rats. AhRR mRNA expression increased in DA rats at all Cd doses tested, but there were no changes in AO rats. The increased AhRR expression noted in DA rats may have been related to the increased AhR expression noted in leukocytes of this strain (Figure 5D).
doi: 10.3967/bes2021.025
Aryl Hydrocarbon Receptor is Involved in the Proinflammatory Cytokine Response to Cadmium
-
Abstract:
Objective To investigate involvement of the aryl hydrocarbon receptor (AhR) in the immunomodulatory effects of cadmium (Cd). Methods The effect of Cd on AhR activation (CYP1A1 and CYP1B1 mRNA expression) was examined in lung leukocytes of Cd-exposed rats (5 and 50 mg/L, 30 d orally) and by in vitro leukocyte exposure. The involvement of AhR signaling in the effects of Cd on the interleukin (IL)-1β, IL-6, and tumor necrosis factor (TNF) lung leukocyte response was investigated in vitro using the receptor antagonist CH-223191. Results Cd increased CYP1B1 (in vivo and in vitro) and CYP1A1 (in vitro) mRNA, indicating AhR involvement in the action of Cd. In response to Cd, lung leukocytes increased IL-6 and decreased TNF at the gene expression and protein levels, but decreased IL-1β production due to reduced NLRP3. The AhR antagonist CH-223191 abrogated the observed effects of Cd on the cytokine response. The absence of AhR reactivity and cytokine response to Cd of leukocytes from the lungs of a rat strain that is less sensitive to Cd toxicity coincided with a high AhR repressor mRNA level. Conclusion AhR signaling is involved in the lung leukocyte proinflammatory cytokine response to Cd. The relevance of the AhR to the cytokine response to Cd provides new insight into the mechanisms of Cd immunotoxicity. -
Figure 2. Expression of CYP1A1 (A) and CYP1B1 (B) mRNA in lung leukocytes isolated from healthy untreated animals following in vitro Cd exposure (1, 5, and 10 µmol/L). Results are presented as mean ± standard error. Significance at: *P < 0.05, **P < 0.01, and ***P < 0.001 vs. control (Cd dose 0 µmol/L).
Figure 3. Expression of CYP1A1 (A) and CYP1B1 (B) mRNA in lung leukocytes co-treated with Cd and an AhR antagonist. Lines represent expression levels in cells treated with Cd alone (−CH-223191). Results are presented as mean ± standard error. Significance at: *P < 0.05 and ***P < 0.001 vs. control (Cd dose 0 µmol/L), #P < 0.05, and ###P < 0.01 for CH-223191 vs. −CH-223191.
Figure 4. Cytokine production and gene expression by lung leukocytes isolated from healthy untreated animals following in vitro Cd exposure (1 and 5 µmol/L) in the absence or presence of CH-223191. IL-6 production (A) and mRNA expression (D). TNF production (B) and mRNA expression (E). IL-1β production (C) and mRNA expression (F). NLRP3 mRNA expression (G). Results are expressed as relative values compared to the control (considered 1, presented as a line on the graphs) and presented as mean ± standard error. Significance at: *P < 0.05, **P < 0.01 and ***P < 0.001 vs. control and #P < 0.05, ##P < 0.01, and ###P < 0.01 for CH-223191 vs.−CH-223191.
Figure 5. The effect of Cd on lung leukocytes isolated from healthy untreated AO rats. (A) Expression of CYP1A1 and CYP1B1 mRNA in lung leukocytes. (B) Relative cytokine production (IL-6, TNF, and IL-1 β) compared to the control (considered 1, presented as a line on the graphs). AhRR (C) and AhR (D) mRNA expression in lung leukocytes isolated from AO and DA rats. Results are presented as mean ± standard error. Significance at: *P < 0.05 and **P < 0.01 vs. control (Cd dose 0 µmol/L) and #P < 0.05, and ##P < 0.01 for AO vs. DA rats.
Table 1. List of the primers used in the study
Item Forward Reverse β-actin (housekeeping reporter gene) 5'-CCCTGGCTCCTAGCACCAT-3' 5-'GAGCCACCAATCCACACAGA-3' CYP1A1 5'-GGGGAGGTTACTGGTTCTGG-3' 5'-CGGATGTGGCCCTTCTCAAA-3' CYP1B1 5'-CTCATCCTCTTTACCAGATACCCG-3' 5'-GACGTATGGTAAGTTGGGTTGGTC-3' IL-6 5'-GCCCTTCAGGAACAGCTATGA-3' 5'-TGTCAACAACATCAGTCCCAAG-3' TNF-α 5'-TCGAGTGACAAGCCCGTAGC-3' 5'-CTCAGCCACTCCAGCTGCTC-3' IL-1β 5'-CACCTCTCAAGCAGAGCA-3' 5'-GGGTTCCATGGTGAAGTCAAC-3' NLRP3 5'-CAGAAGCTGGGGTTGGTGAA-3' 5'-CCCATGTCTCCAAGGGCATT-3' AhRR 5'-CAGCAACATGGCTTCTTTCA-3' 5'-GAAGCACTGCATTCCAGACA-3' AhR 5'-GCTGTGATGCCAAAGGGCAGC-3' 5'-TGAAGCATGTCAGCGGCGTGGAT-3' Table 2. Oxidative stress in lung leukocytes following in vitro Cd stimulation
Parameters tested Cadmium dose (µmol/L) 0 1 5 10 DHR (mean fluorescence intensity) 1.72 ± 0.12 1.63 ± 0.06 1.63 ± 0.04 1.65 ± 0.05 Intracellular GSH (µmol/L per mg protein) 795.0 ± 88.7 846.7 ± 62.9 762.9 ± 81.4 738.6 ± 67.7 -
[1] Pacyna JM, Pacyna EG. An assessment of global and regional emissions of trace metals to the atmosphere from anthropogenic sources worldwide. Environ Rev, 2001; 9, 269−98. doi: 10.1139/a01-012 [2] Zhang H, Reynolds M. Cadmium exposure in living organisms: a short review. Sci Total Environ, 2019; 678, 761−7. doi: 10.1016/j.scitotenv.2019.04.395 [3] European Food Safety Authority. Cadmium in food. Scientific opinion of the panel on contaminants in the food chain. EFSA J, 2009; 980, 1−139. [4] Satarug S, Baker JR, Urbenjapol S, et al. A global perspective on cadmium pollution and toxicity in non-occupationally exposed population. Toxicol Lett, 2003; 137, 65−83. doi: 10.1016/S0378-4274(02)00381-8 [5] Satarug S, Vesey DA, Gobe GC. Health risk assessment of dietary cadmium intake: do current guidelines indicate how much is safe? Environ Health Perspect, 2017; 125, 284−8. doi: 10.1289/EHP108 [6] Satarug S, Moore MR. Adverse health effects of chronic exposure to low-level cadmium in foodstuffs and cigarette smoke. Environ Health Perspect, 2004; 112, 1099−103. doi: 10.1289/ehp.6751 [7] Sugawara N, Sugawara C. Cadmium accumulation in organs and mortality during a continued oral uptake. Arch Toxicol, 1974; 32, 297−306. doi: 10.1007/BF00330111 [8] Friberg L, Elinder C, Kjellstrom T, et al. Cadmium and health: a toxicological and epidemiological appraisal volume II: effects and response. CRC Press, Taylor & Francis Group, Boca Raton, FL, 1986. [9] Müller L, Abel J, Ohnesorge FK. Absorption and distribution of cadmium (Cd), copper and zinc following oral subchronic low level administration to rats of different binding forms of cadmium (Cd-acetate, Cd-metallothionein, Cd-glutathione). Toxicology, 1986; 39, 187−95. doi: 10.1016/0300-483X(86)90135-6 [10] Jonah MM, Bhattacharyya MH. Early changes in the tissue distribution of cadmium after oral but not intravenous cadmium exposure. Toxicology, 1989; 58, 325−38. doi: 10.1016/0300-483X(89)90145-5 [11] Saygi S, Deniz G, Kutsal O, et al. Chronic effects of cadmium on kidney, liver, testis, and fertility of male rats. Biol Trace Elem Res, 1991; 31, 209−14. doi: 10.1007/BF02990191 [12] WHO. Environmental Health Criteria 134, Cadmium, first ed. World Health Organization, Geneva, Switzerland, 1992. [13] US Department of Health and Human Services. Toxicological profile for cadmium. draft for public comment. Agency for Toxic Substances and Disease registry, Atlanta, USA, 1997. [14] Hiratsuka H, Satoh S, Satoh M, et al. Tissue distribution of cadmium in rats given minimum amounts of cadmium-polluted rice or cadmium chloride for 8 months. Toxicol Appl Pharmacol, 1999; 160, 183−91. doi: 10.1006/taap.1999.8768 [15] Manca D, Ricard AC, Trottier B, et al. Studies on lipid peroxidation in rat tissues following administration of low and moderate doses of cadmium chloride. Toxicology, 1991; 67, 303−23. doi: 10.1016/0300-483X(91)90030-5 [16] Manca D, Ricard AC, Van Tra H, et al. Relation between lipid peroxidation and inflammation in the pulmonary toxicity of cadmium. Arch Toxicol, 1994; 68, 364−9. doi: 10.1007/s002040050083 [17] Kayama F, Yoshida T, Elwell MR, et al. Cadmium-induced renal damage and proinflammatory cytokines: possible role of IL-6 in tubular epithelial cell regeneration. Toxicol Appl Pharmacol, 1995; 134, 26−34. doi: 10.1006/taap.1995.1165 [18] Rikans LE, Yamano T. Mechanisms of cadmium‐mediated acute hepatotoxicity. J Biochem Mol Toxicol, 2000; 14, 110−7. doi: 10.1002/(SICI)1099-0461(2000)14:2<110::AID-JBT7>3.0.CO;2-J [19] Kataranovski M, Mirkov I, Belij S, et al. Lungs: remote inflammatory target of systemic cadmium administration in rats. Environ Toxicol Pharmacol, 2009; 28, 225−31. doi: 10.1016/j.etap.2009.04.008 [20] Krocova Z, Macela A, Kroca M, et al. The immunomodulatory effect (s) of lead and cadmium on the cells of immune system in vitro. Toxicol In Vitro, 2000; 14, 33−40. doi: 10.1016/S0887-2333(99)00089-2 [21] Hemdan NY, Emmrich F, Sack U, et al. The in vitro immune modulation by cadmium depends on the way of cell activation. Toxicology, 2006; 222, 37−45. doi: 10.1016/j.tox.2006.01.026 [22] Olszowski T, Baranowska-Bosiacka I, Gutowska I, et al. Pro-inflammatory properties of cadmium. Acta Biochim Pol, 2012; 59, 475−82. [23] Riemschneider S, Herzberg M, Lehmann J. Subtoxic doses of cadmium modulate inflammatory properties of murine RAW 264.7 macrophages. BioMed Res Int, 2015; 2015, 295303. [24] Nair AR, Degheselle O, Smeets K, et al. Cadmium-induced pathologies: where is the oxidative balance lost (or not)? Int J Mol Sci, 2013; 14, 6116−43. doi: 10.3390/ijms14036116 [25] Stejskalova L, Dvorak Z, Pavek P. Endogenous and exogenous ligands of aryl hydrocarbon receptor: current state of art. Curr Drug Metab, 2011; 12, 198−212. doi: 10.2174/138920011795016818 [26] Wincent E, Bengtsson J, Mohammadi Bardbori A, et al. Inhibition of cytochrome P4501-dependent clearance of the endogenous agonist FICZ as a mechanism for activation of the aryl hydrocarbon receptor. Proc Natl Acad Sci USA, 2012; 109, 4479−84. doi: 10.1073/pnas.1118467109 [27] Mohammadi-Bardbori A, Vikström Bergander L, Rannug U, et al. NADPH oxidase-dependent mechanism explains how arsenic and other oxidants can activate aryl hydrocarbon receptor signaling. Chem Res Toxicol, 2015; 28, 2278−86. doi: 10.1021/acs.chemrestox.5b00415 [28] Wu JP, Chang LW, Yao HT, et al. Involvement of oxidative stress and activation of aryl hydrocarbon receptor in elevation of CYP1A1 expression and activity in lung cells and tissues by arsenic: an in vitro and in vivo study. Toxicol Sci, 2009; 107, 385−93. doi: 10.1093/toxsci/kfn239 [29] Elbekai RH, El-Kadi AO. Modulation of aryl hydrocarbon receptor-regulated gene expression by arsenite, cadmium, and chromium. Toxicology, 2004; 202, 249−69. doi: 10.1016/j.tox.2004.05.009 [30] Anwar-Mohamed A, Elbekai RH, El-Kadi AO. Regulation of CYP1A1 by heavy metals and consequences for drug metabolism. Expert Opin Drug Metab Toxicol, 2009; 5, 501−21. doi: 10.1517/17425250902918302 [31] Korashy HM, El-Kadi AO. Differential effects of mercury, lead and copper on the constitutive and inducible expression of aryl hydrocarbon receptor (AHR)-regulated genes in cultured hepatoma Hepa 1c1c7 cells. Toxicology, 2004; 201, 153−72. doi: 10.1016/j.tox.2004.04.011 [32] Korashy HM, El-Kadi AO. Regulatory mechanisms modulating the expression of cytochrome P450 1A1 gene by heavy metals. Toxicol Sci, 2005; 88, 39−51. doi: 10.1093/toxsci/kfi282 [33] Vakharia DD, Liu N, Pause R, et al. Effect of metals on polycyclic aromatic hydrocarbon induction of CYP1A1 and CYP1A2 in human hepatocyte cultures. Toxicol Appl Pharmacol, 2001; 170, 93−103. doi: 10.1006/taap.2000.9087 [34] Tully DB, Collins BJ, Overstreet JD, et al. Effects of arsenic, cadmium, chromium, and lead on gene expression regulated by a battery of 13 different promoters in recombinant HepG2 cells. Toxicol Appl Pharmacol, 2000; 168, 79−90. doi: 10.1006/taap.2000.9014 [35] Kluxen FM, Höfer N, Kretzschmar G, et al. Cadmium modulates expression of aryl hydrocarbon receptor-associated genes in rat uterus by interaction with the estrogen receptor. Arch Toxicol, 2012; 86, 591−601. doi: 10.1007/s00204-011-0787-x [36] Kluxen FM, Diel P, Höfer N, et al. The metallohormone cadmium modulates AhR-associated gene expression in the small intestine of rats similar to ethinyl-estradiol. Arch Toxicol, 2013; 87, 633−43. doi: 10.1007/s00204-012-0971-7 [37] Chao HR, Tsou TC, Chen HT, et al. The inhibition effect of 2, 3, 7, 8-tetrachlorinated dibenzo-p-dioxin-induced aryl hydrocarbon receptor activation in human hepatoma cells with the treatment of cadmium chloride. J Hazard Mater, 2009; 170, 351−6. doi: 10.1016/j.jhazmat.2009.04.090 [38] Omidi M, Niknahad H, Noorafshan A, et al. Co-exposure to an aryl hydrocarbon receptor endogenous ligand, 6-formylindolo [3, 2-b] carbazole (FICZ), and cadmium induces cardiovascular developmental abnormalities in mice. Biol Trace Elem Res, 2019; 187, 442−51. doi: 10.1007/s12011-018-1391-1 [39] Tucovic D, Popov Aleksandrov A, Mirkov I, et al. Oral cadmium exposure affects skin immune reactivity in rats. Ecotoxicol Environ Saf, 2018; 164, 12−20. doi: 10.1016/j.ecoenv.2018.07.117 [40] Tucovic D, Mirkov I, Kulas J, et al. Dermatotoxicity of oral cadmium is strain-dependent and related to differences in skin stress response and inflammatory/immune activity. Environ Toxicol Pharmacol, 2020; 75, 103326. doi: 10.1016/j.etap.2020.103326 [41] Kulas J, Ninkov M, Tucovic D, et al. Subchronic oral cadmium exposure exerts both stimulatory and suppressive effects on pulmonary inflammation/immune reactivity in rats. Biomed Environ Sci, 2019; 32, 508−19. [42] Theocharis SE, Souliotis VL, Panayiotidis PG. Suppression of interleukin-1β and tumour necrosis factor-α biosynthesis by cadmium inin vitro activated human peripheral blood mononuclear cells. Arch Toxicol, 1994; 69, 132−6. doi: 10.1007/s002040050148 [43] Villanueva MBG, Koizumi S, Jonai H. Cytokine production by human peripheral blood mononuclear cells after exposure to heavy metals. J Health Sci, 2000; 46, 358−62. doi: 10.1248/jhs.46.358 [44] Marth E, Jelovcan S, Kleinhappl B, et al. The effect of heavy metals on the immune system at low concentrations. Int J Occup Med Environ Health, 2001; 14, 375−86. [45] Boscolo P, Di Giampaolo L, Qiao N, et al. Inhibitory effects of cadmium on peripheral blood mononuclear cell proliferation and cytokine release are reversed by zinc and selenium salts. Ann Clin Lab Sci, 2005; 35, 115−20. [46] Djokic J, Ninkov M, Mirkov I, et al. Differential effects of cadmium administration on peripheral blood granulocytes in rats. Environ Toxicol Pharmacol, 2014; 37, 210−9. doi: 10.1016/j.etap.2013.11.026 [47] Djokic J, Popov Aleksandrov A, Ninkov M, et al. Cadmium administration affects circulatory mononuclear cells in rats. J Immunotoxicol, 2015; 12, 115−23. doi: 10.3109/1547691X.2014.904955 [48] Haarmann-Stemmann T, Bothe H, Abel J. Growth factors, cytokines and their receptors as downstream targets of arylhydrocarbon receptor (AhR) signaling pathways. Biochem Pharmacol, 2009; 77, 508−20. doi: 10.1016/j.bcp.2008.09.013 [49] DiNatale BC, Murray IA, Schroeder JC, et al. Kynurenic acid is a potent endogenous aryl hydrocarbon receptor ligand that synergistically induces interleukin-6 in the presence of inflammatory signaling. Toxicol Sci, 2010; 115, 89−97. doi: 10.1093/toxsci/kfq024 [50] Vogel CF, Chang WW, Kado S, et al. Transgenic overexpression of aryl hydrocarbon receptor repressor (AhRR) and AhR-mediated induction of CYP1A1, cytokines, and acute toxicity. Environ Health Perspect, 2016; 124, 1071−83. doi: 10.1289/ehp.1510194 [51] Kim SH, Henry EC, Kim DK, et al. Novel compound 2-methyl-2H-pyrazole-3-carboxylic acid (2-methyl-4-o-tolylazo-phenyl)-amide (CH-223191) prevents 2, 3, 7, 8-TCDD-induced toxicity by antagonizing the aryl hydrocarbon receptor. Mol Pharmacol, 2006; 69, 1871−78. doi: 10.1124/mol.105.021832 [52] Bhattacharyya MH, Whelton BD, Peterson DP, et al. Skeletal changes in multiparous mice fed a nutrient-sufficient diet containing cadmium. Toxicology, 1988; 50, 193−204. doi: 10.1016/0300-483X(88)90091-1 [53] Schwartz GG, Reis IM. Is cadmium a cause of human pancreatic cancer? Cancer Epidemiol. Biomarkers Prev, 2000; 9, 139−45. [54] Wang H, Zhu G, Shi Y, et al. Influence of environmental cadmium exposure on forearm bone density. J Bone Miner Res, 2003; 18, 553−60. doi: 10.1359/jbmr.2003.18.3.553 [55] Anderson ME. Tissue glutathione. In: Greenwald, R.A. (Ed.), handbook of methods for oxygen radical research. CRC Press, Boca Raton, 1986; pp. 317–23. [56] Walrand S, Valeix S, Rodriguez C, et al. Flow cytometry study of polymorphonuclear neutrophil oxidative burst: a comparison of three fluorescent probes. Clin Chim Acta, 2003; 331, 103−10. doi: 10.1016/S0009-8981(03)00086-X [57] Huai W, Zhao R, Song H, et al. Aryl hydrocarbon receptor negatively regulates NLRP3 inflammasome activity by inhibiting NLRP3 transcription. Nat Commun, 2014; 5, 1−9. [58] Demenesku J, Aleksandrov AP, Mirkov I, et al. Strain differences of cadmium-induced toxicity in rats: Insight from spleen and lung immune responses. Toxicol Lett, 2016; 256, 33−43. doi: 10.1016/j.toxlet.2016.05.022 [59] Ninkov M, Popov Aleksandrov A, Mirkov I, et al. Strain differences in toxicity of oral cadmium intake in rats. Food Chem Toxicol, 2016; 96, 11−23. doi: 10.1016/j.fct.2016.07.021 [60] Prozialeck WC, Grunwald GB, Dey PM, et al. Cadherins and NCAM as potential targets in metal toxicity. Toxicol Appl Pharmacol, 2002; 182, 255−65. doi: 10.1006/taap.2002.9422 [61] Chakraborty PK, Lee WK, Molitor M, et al. Cadmium induces Wnt signaling to upregulate proliferation and survival genes in sub-confluent kidney proximal tubule cells. Mol Cancer, 2010; 9, 102. doi: 10.1186/1476-4598-9-102 [62] Rosenberg DW, Kappas A. Induction of heme oxygenase in the small intestinal epithelium: a response to oral cadmium exposure. Toxicology, 1991; 67, 199−210. doi: 10.1016/0300-483X(91)90143-O [63] Iscan M, Çoban T, Eke BC. Responses of hepatic xenobiotic metabolizing enzymes of mouse, rat and guinea‐pig to nickel. Pharmacol Toxicol, 1992; 71, 434−42. doi: 10.1111/j.1600-0773.1992.tb00574.x [64] Wagstaff DD. Stimulation of liver detoxication enzymes by dietary cadmium acetate. Bull Environ Contam Toxicol, 1973; 10, 328−32. doi: 10.1007/BF01720998 [65] Eaton DL, Stacey NH, Wong KL, et al. Dose-response effects of various metal ions on rat liver metallothionein, glutathione, heme oxygenase, and cytochrome P-450. Toxicol Appl Pharmacol, 1980; 55, 393−402. doi: 10.1016/0041-008X(80)90101-5 [66] Anjum F, Raman A, Shakoori AR, et al. An assessment of cadmium toxicity on cytochrome P-450 and flavin monooxygenase-mediated metabolic pathways of dimethylaniline in male rabbits. J Environ Pathol Toxicol Oncol, 1992; 11, 191−5. [67] Dohr O, Vogel C, Abel J. Different response of 2, 3, 7, 8-tetrachlorodibenzo-p-dioxin (TCDD)-sensitive genes in human breast cancer MCF-7 and MDA-MB 231 cells. Arch Biochem Biophys, 1995; 321, 405−12. doi: 10.1006/abbi.1995.1411 [68] Kress S, Greenlee WF. Cell-specific regulation of human CYP1A1 and CYP1B1 genes. Cancer Res, 1997; 57, 1264−9. [69] Zordoky BN, El-Kadi AO. Role of NF-κB in the regulation of cytochrome P450 enzymes. Curr Drug Metab, 2009; 10, 164−78. doi: 10.2174/138920009787522151 [70] Santes-Palacios R, Ornelas-Ayala D, Cabañas N, et al. Regulation of human cytochrome P4501A1 (hCYP1A1): a plausible target for chemoprevention? Biomed Res Int, 2016; 2016, 5341081. [71] Liu J, Qu W, Kadiiska MB. Role of oxidative stress in cadmium toxicity and carcinogenesis. Toxicol Appl Pharmacol, 2009; 238, 209−14. doi: 10.1016/j.taap.2009.01.029 [72] Jensen BA, Leeman RJ, Schlezinger JJ, et al. Aryl hydrocarbon receptor (AhR) agonists suppress interleukin-6 expression by bone marrow stromal cells: an immunotoxicology study. Environ. Health, 2003; 2, 16. doi: 10.1186/1476-069X-2-16 [73] Tanaka Y, Uchi H, Hashimoto-Hachiya A, et al. Tryptophan photoproduct FICZ upregulates IL1A, IL1B, and IL6 expression via oxidative stress in keratinocytes. Oxid Med Cell Longev, 2018; 2018, 9298052. [74] Sibilano R, Frossi B, Calvaruso M, et al. The aryl hydrocarbon receptor modulates acute and late mast cell responses. J Immunol, 2012; 189, 120−7. doi: 10.4049/jimmunol.1200009 [75] Cheon HJ, Woo YS, Lee JY, et al. Signaling pathway for 2, 3, 7, 8-tetrachlorodibenzo-p-dioxin-induced TNF-α production in differentiated THP-1 human macrophages. Exp Mol Med, 2007; 39, 524−34. doi: 10.1038/emm.2007.58 [76] Wong PS, Vogel CF, Kokosinski K, et al. Arylhydrocarbon receptor activation in NCI-H441 cells and C57BL/6 mice: possible mechanisms for lung dysfunction. Am J Respir Cell Mol Biol, 2010; 42, 210−7. doi: 10.1165/rcmb.2008-0228OC [77] Vogel CFA, Ishihara Y, Campbell CE, et al. A protective role of aryl hydrocarbon receptor repressor in inflammation and tumor growth. Cancers, 2019; 11, e589. doi: 10.3390/cancers11050589 [78] Dalton TP, Puga A, Shertzer HG. Induction of cellular oxidative stress by aryl hydrocarbon receptor activation. Chem Biol Interact, 2002; 141, 77−95. doi: 10.1016/S0009-2797(02)00067-4 [79] Nohara K, Ao K, Miyamoto Y, et al. Comparison of the 2, 3, 7, 8-tetrachlorodibenzo-p-dioxin (TCDD)-induced CYP1A1 gene expression profile in lymphocytes from mice, rats, and humans: most potent induction in humans. Toxicology, 2006; 225, 204−13. doi: 10.1016/j.tox.2006.06.005 [80] Jamsa T, Viluksela M, Tuomisto JT, et al. Effects of 2, 3, 7, 8‐tetrachlorodibenzo‐p‐dioxin on bone in two rat strains with different aryl hydrocarbon receptor structures. J Bone Miner Res, 2001; 16, 1812−20. doi: 10.1359/jbmr.2001.16.10.1812 [81] Nishiyama Y, Nakayama SM, Watanabe KP, et al. Strain differences in cytochrome P450 mRNA and protein expression, and enzymatic activity among Sprague Dawley, Wistar, Brown Norway and Dark Agouti rats. J Vet Med Sci, 2016; 78, 675−80. doi: 10.1292/jvms.15-0299