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ToxSci Advance Access originally published online on September 13, 2007
Toxicological Sciences 2007 100(2):495-503; doi:10.1093/toxsci/kfm242
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© The Author 2007. Published by Oxford University Press on behalf of the Society of Toxicology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

DNA Damage Recognition in the Rat Zygote Following Chronic Paternal Cyclophosphamide Exposure

Tara S. Barton*, Bernard Robaire*,{dagger} and Barbara F. Hales*,1

* Department of Pharmacology and Therapeutics {dagger} Department of Obstetrics and Gynecology, McGill University, 3655 Promenade Sir-William-Osler, Montreal, Quebec H3G 1Y6, Canada

1 To whom correspondence should be addressed. Fax: (514) 398-7120. E-mail: barbara.hales{at}mcgill.ca.

Received August 1, 2007; accepted September 5, 2007


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 SUPPLEMENTARY DATA
 FUNDING
 REFERENCES
 
The detrimental effects of preconceptional paternal exposure to the alkylating anticancer agent, cyclophosphamide, include aberrant epigenetic programming, dysregulated zygotic gene activation, and abnormalities in the offspring that are transmitted to the next generation. The adverse developmental consequences of genomic instabilities transmitted via the spermatozoon emphasize the need to elucidate the mechanisms by which the early embryo recognizes DNA damage in the paternal genome. Little information exists on DNA damage detection in the zygote. We assessed the impact of paternal cyclophosphamide exposure on phosphorylated H2AX ({gamma}H2AX) and poly(ADP-ribose) polymerase-1(PARP-1), biomarkers of DNA damage, to determine the capacity in the rat zygote to recognize genomic damage and initiate a response to DNA lesions. An amplified biphasic {gamma}H2AX response was triggered in the paternal pronucleus in zygotes sired by drug-treated males; the maternal genome was not affected. PARP-1 immunoreactivity was substantially elevated in both parental genomes, coincident with the second phase of {gamma}H2AX induction in embryos sired by cyclophosphamide-exposed spermatozoa. Thus, paternal exposure to a DNA damaging agent rapidly activates signals implemental for DNA damage recognition in the zygote. Inefficient repair of DNA lesions may lead to persistent alterations of the histone code and chromatin integrity, resulting in aberrant embryogenesis. We propose that the response of the early embryo to disturbances in spermatozoal genomic integrity plays a vital role in determining its outcome.

Key Words: histone modifications; developmental toxicity; embryo; spermatozoa; {gamma}H2AX; poly(ADP-ribosyl)ation.


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 SUPPLEMENTARY DATA
 FUNDING
 REFERENCES
 
An intact paternal genome is crucial for successful embryogenesis; subtle alterations in sperm nuclear organization disrupt genomic and epigenetic regulation during development (Barton et al., 2005Go; Harrouk et al., 2000bGo; Ward et al., 2000Go). Preconceptional exposure of male rodents to chemotoxicants or irradiation leads to the transmission of chromosomal aberrations (Marchetti et al., 2004Go), germ-line instabilities (Barber et al., 2002Go, 2006Go), and a variety of abnormalities (Auroux et al., 1990Go; Hales et al., 1992Go) in the offspring that may persist for multiple generations.

Cyclophosphamide, a cytotoxic alkylating agent used to treat various cancers and autoimmune diseases, targets rapidly dividing cells, inducing DNA cross-links and DNA single-strand breaks (Colvin, 1999Go). Spermatogenesis is a complex, sequentially ordered process rendering male germ cells particularly susceptible to genotoxic agents. Chronic preconceptional exposure of males to cyclophosphamide generates genetic instabilities in spermatozoa (Codrington et al., 2004Go) that are introduced into the oocyte at fertilization (Harrouk et al., 2000aGo).

Sophisticated mechanisms to recognize and repair DNA damage have been described extensively in eukaryotic cells (Nordstrand et al., 2007Go). In contrast, male germ cells lack an effective repair system to eliminate lesions incurred during spermiogenesis and spermatozoal maturation (Codrington et al., 2004Go; Spermon et al., 2006Go); disruptions in the integrity of sperm DNA must be resolved early postfertilization to ensure faithful transmission of genetic information throughout embryogenesis. Following fertilization with mutagen-exposed spermatozoa, the egg has basic DNA repair capacity (Generoso et al., 1979Go). Additionally, mRNA analyses provide evidence for the expression of numerous repair genes during early development (Harrouk et al., 2000aGo; Zheng et al., 2005Go); however, there is very limited knowledge of the mechanisms implemented by the mammalian zygote in response to paternally transmitted DNA damage.

Histone phosphorylation and poly(ADP-ribosyl)ation are well-characterized posttranslational modifications implemental in the maintenance of genomic stability (Celeste et al., 2002Go; Masutani et al., 2000Go). Histone H2AX is rapidly phosphorylated at sites of DNA double-strand breaks; phosphorylated H2AX ({gamma}H2AX) subsequently recruits numerous essential repair proteins to the vicinity of the DNA lesions (Paull et al., 2000Go). In addition to a prominent role in the genotoxic stress response in mid-spermatogenic germ cells (Aguilar-Mahecha et al., 2005Go), {gamma}H2AX foci are observed coincident with major chromatin remodeling events in the testis (Hamer et al., 2003Go), coalesce in the condensing X-Y body of spermatocytes conferring transcriptional inactivation (Fernandez-Capetillo et al., 2003Go), and to have female-specific roles in chromosomal dynamics of the oocyte (Roig et al., 2004Go). Collectively, these sites emphasize the importance of H2AX phosphorylation as a histone posttranslational modification implemental in the control of chromatin modifications and cellular functions. Interestingly, {gamma}H2AX signaling has been observed immediately after gamete fusion in the mouse zygote (Derijck et al., 2006Go).

Poly(ADP-ribosyl)ation of nuclear proteins plays a fundamental role in the detection of DNA strand breaks, the recruitment of repair factors to the lesion site, and the regulation of chromatin structure (Schreiber et al., 2006Go). Poly(ADP-ribose) polymerase-1 (PARP-1) catalyzes poly(ADP-ribosyl)ation, binds with high affinity to DNA strand breaks, and is an integral mediator of DNA base excision repair and single-strand break repair (de Murcia et al., 2003Go). Although poly(ADP-ribosyl)ation has been linked to chromatin remodeling events in the preimplantation embryo (Imamura et al., 2004Go), the kinetics of PARP-1 activation in response to male-mediated genotoxic stress have not been reported. We propose that the DNA damage incurred in the paternal genome due to preconceptional cyclophosphamide exposure activates early damage responses that are essential for the detection of DNA strand breaks in the zygote.


    MATERIALS AND METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 SUPPLEMENTARY DATA
 FUNDING
 REFERENCES
 
Drug regime, in vivo rat embryo generation, and collection.
Sprague-Dawley rats were purchased from Charles River Canada (St Constant, Quebec, Canada) and housed at the Animal Resources Centre, McIntyre Medical Building, McGill University. Animal housing conditions, treatments, and embryo protocols were done following the procedures previously described (Barton et al., 2005Go). Briefly, adult male rats (body weight, 350–400 g) were gavaged with saline or 6 mg/kg/day of cyclophosphamide (CAS 6055-19-2; Sigma Chemical Co., St Louis, MO) six times per week for 4–5 weeks (Harrouk et al., 2000aGo,bGo). The selected treatment regime ensures that the embryos are sired by spermatozoa that were initially exposed during the highly sensitive phase of spermiogenesis, encompassing sperm chromatin organization and packaging (Codrington et al., 2004Go). Early in the fifth week of treatment, each male was mated overnight with two virgin females (body weight, 225–250 g) in proestrus; pregnancies were confirmed the following morning, designated gestation day 0. Sperm-positive females were euthanized at 1300 h; oviducts were isolated and cumulus-oocyte complexes released into warm (37°C) 1% hyaluronidase (Sigma Chemical Co.) for cumulus cell dissociation. Zygotes were washed in 1 x phosphate-buffered saline (PBS), pH 7.4 (Mg2+ and Ca2+ free), containing 1 mg/ml polyvinylpyrrolildone; zonae pellucidae were removed subsequently by briefly rinsing embryos in a drop of acid Tyrode's solution. Embryos were prepared for immunofluorescence staining as described below. Six experimental replicates were done for the assessment of phosphorylated H2AX, while experimental procedures were repeated four times for PARP-1 analysis. All animal protocols were conducted following the guidelines outlined in the Guide to the Care and Use of Experimental Animals prepared by the Canadian Council on Animal Care.

Immunocytochemistry.
Rat zygotes, sired by saline- or cyclophosphamide-treated males, were manipulated in parallel using previously described indirect immunofluorescence techniques with minor modifications (Barton et al., 2005Go). All embryo incubations were done at room temperature unless otherwise indicated; all washes were done in 0.05% Tween 20 in PBS for 5 min. Zygotes were fixed in 4% paraformaldehyde for 15 min, washed, permeabilized in PBS containing 0.2% Triton X-100 for 30 min, rewashed thoroughly, and blocked overnight at 4°C. Embryos to be used for {gamma}H2AX detection were blocked in a solution of 10% goat serum (Vector Laboratories, Burlington, Ontario, Canada), 2% bovine serum albumin, and 0.05% Tween 20 in PBS; goat serum was omitted from the blocking solution for embryos to be processed for PARP-1 immunostaining. Embryos were incubated in primary antibody solution for 1 h, washed vigorously in a series of fresh blocking solution (1 x 10 min, 1 x 30 min, and 1 x 10 min), and incubated for 1 h in secondary antibody; washes in blocking solution were repeated. Incubation with primary and secondary antibodies was done at 37°C or at room temperature for fluorescent detection of {gamma}H2AX or PARP-1, respectively. DNA was stained with 10 µg/ml 4', 6-diamidino-2-phenylindole (DAPI) for 30 min, and embryos were washed and mounted in 3 µl of Vectashield antibleaching mounting medium (Vector Laboratories) on premarked slides.

Antibodies.
Primary antibodies were mouse monoclonal IgG1 anti-{gamma}H2AX (phosho-Serine-139), clone JBW301 (1:500 dilution; catalog number 05-636, Upstate Biotechnology, Charlottesville, VA), and mouse monoclonal IgG1 anti-PARP-1, clone C-2-10 (1:200 dilution; catalog number AM30, Calbiochem, San Diego, CA). Secondary antibodies used for immunofluorescence detection were sheep anti-mouse fluorescein–conjugated IgG (1:200 dilution; catalog number N1031, Amersham Pharmacia Biosciences, Baie d'Urfe, Quebec, Canada) and horse anti-mouse Texas Red IgG (1:200 dilution; catalog number TI-2000, Vector Laboratories). Nuclear staining specificity was confirmed only by secondary antibody incubations. The second polar body was found to be a useful internal staining control for {gamma}H2AX as it is highly stained during zygotic development.

Confocal microscopy.
Optical z-sections of individual embryos were recorded using a Zeiss LSM 510 Axiovert 100M confocal microscope equipped with a Plan-Apochromat X63/1.4 oil DIC objective. Prior to extensive imaging, optimal conditions for laser scanning confocal microscopy were established experimentally; z-stacks were captured using identical parameter settings for all embryos. Fluorescein, Texas Red, and DAPI fluorochromes were excited by 488, 543, and 730 nm (2-photon) lasers, respectively; multitracking was used to allow sequential imaging of individual fluorescence emissions avoiding cross talk between channels. Pinhole diameters were set at 0.84 and 1.00 Airy units, resulting in individual optical slices of 0.6 or 0.8 µm for {gamma}H2AX and PARP-1, respectively. Images were scanned at a speed of 6 (pixel time of 3.20 µs) with an average of two scans per optical section, in 1024 x 1024 pixels for an optimal resolution of 0.14 x 0.14 µm pixel size. Each data stack was acquired at a zoom factor equal to one using detector gain settings of 1150 and 1050 for {gamma}H2AX and PARP-1, respectively. Photobleaching of fluorescent signals was avoided by scanning a single embryo within a specified boundary one time only. Digital images were collected and transferred into appropriate file formats for respective analytical imaging software. In accordance with our previous classification criteria (Barton et al., 2005Go), zygotes were categorized qualitatively into five pronuclear stages (PN) based on interpronuclear positioning of parental genomes and morphological assessment of the paternal pronucleus.

Quantification of {gamma}H2AX.
Image stacks generated by laser scanning confocal microscopy were imported into IMARIS (Bitplane AG, Zurich, Switzerland), an automated imaging software for detailed processing of multidimensional images. {gamma}H2AX staining in male and female pronuclei was observed to be qualitatively different; the 3D reconstruction of each data set was cropped and parental pronuclei processed separately. {gamma}H2AX foci were quantified independently using IMARIS Spots and Isosurface measurement modules which provide a detailed comparative analysis of each distinct 3D focus. Prior to automated focus detection, image stacks were smoothed using a Gaussian filter; optimal threshold limits were set to eliminate insignificant background objects. Using the spots module, foci within the selected detection range (minimum diameter, 0.200 µm; maximum diameter, 5.00 µm; threshold, 25) were modeled as spherical structures, each belonging to a spatial position along the x-, y-, and z-axis; the calculated sum number of foci per pronucleus was used for statistical analysis. {gamma}H2AX focal volume was assessed using the Isosurface module that creates a computer-generated representation of specified real volume objects within a data set; a threshold limit of 65 was used. Precise measurements and detailed statistical data derived from each object were exported into Excel-readable files for further categorization and statistical analysis.

Quantification of PARP-1.
Single optical images representing characteristic staining patterns for each of the maternal and paternal pronuclei were imported as monochrome eight-bit TIFF files for quantitative analysis using MCID 7.0 imaging software (Imaging Research, St Catherines, Ontario, Canada). Optimal threshold limits for intensity and saturation were reserved across treatments. The density of PARP-1 immunofluorescence was measured as proportional grain area, defined as grain area/scan area. For each zygote, the perimeter of the male and female pronucleus was manually outlined to determine distinct scanning areas used for grain ratio calculations. Circles with a calibrated dimension of 20 x 20 µm, generating a scan area of 313.959 µm2, were placed adjacent to each parental pronucleus to obtain background measures. Proportional grain area per pronucleus was adjusted to account for background immunofluorescence in all cases.

Statistical analysis.
Student's t-tests or Mann-Whitney rank sum tests were used to compare the {gamma}H2AX parameters and PARP-1 proportional grain areas of zygotic pronuclei from control animals with those that were sired by males chronically exposed to cyclophosphamide (p < 0.05). Error bars represent the mean ± SEM. SIGMASTAT 2.03 software package (SPSS, Chicago, IL) was used for all statistical analyses.


    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 SUPPLEMENTARY DATA
 FUNDING
 REFERENCES
 
Characterization of {gamma}H2AX Immunoreactivity Postfertilization in the Absence of Genotoxic Stress
Nucleosomal architecture and chromatin remodeling of the parental genomes are markedly different in the newly fertilized oocyte (Mclay and Clarke, 2003Go). Early postfertilization (PN1 and 2), the maternal chromatin was extensively stained with dense {gamma}H2AX fluorescence. The paternal genome displayed interconnecting amorphous clusters of various sizes throughout the chromatin at PN1; progression to PN2 resulted in the reorganization of {gamma}H2AX staining into multiple uniform punctate foci (Figs. 1a and 1b). At both pronuclear stages, {gamma}H2AX volume within the maternal chromatin was significantly greater than observed for the paternal genome (PN1, p = < 0.001; PN2, p = 0.022) (Fig. 2A). Remarkably, at PN3, the numbers of {gamma}H2AX foci were dramatically reduced in both parental pronuclei (Fig. 1c) in zygotes fertilized by control males; male and female pronuclei remained consistently depleted of foci through PN4 and 5 (Figs. 1d and 1e). {gamma}H2AX appears to play a prominent role in the complex process of chromatin remodeling of parental genomes immediately after fertilization, as well as having a possible role in the silencing of the maternal genome during G1 of the zygotic cell cycle.


Figure 1
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FIG. 1. Phosphorylated H2AX in rat zygotes fertilized by cyclophosphamide-exposed spermatozoa. Embryos were labeled by indirect immunofluorescence using an antibody to {gamma}H2AX (Ser 139) (green); DNA was counterstained with DAPI (blue). Paternal pronuclei display dramatic {gamma}H2AX induction in zygotes fertilized by drug-exposed spermatozoa (f–j) compared to controls (a–e). Micrographs are representative of six experimental replicates. M, male pronucleus; F, female pronucleus; PB, polar body (scale bar: 20 µm).

 

Figure 2
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FIG. 2. A) The focal volumes of {gamma}H2AX were significantly increased in a biphasic pattern in paternal pronuclei of zygotes sired by males chronically exposed to cyclophosphamide. (B) The numbers of {gamma}H2AX foci were significantly elevated in paternal pronuclei of zygotes fertilized by cyclophosphamide-exposed males. The number of males in each treatment group was as follows: saline, n = 6 and cyclophosphamide, n = 6. The number of embryos analyzed at each pronuclear stage, representative of the six replicates, was as follows: saline, n = 5, 11, 37, 28, and 5 for PN1, 2, 3, 4, and 5, respectively; cyclophosphamide, n = 7, 7, 43, 23, and 7 for PN1, 2, 3, 4, and 5, respectively. Crosshatched bars, saline male pronucleus; black bars, cyclophosphamide male pronucleus; white bars, saline female pronucleus; and gray bars, cyclophosphamide female pronucleus. *p < 0.02, **p < 0.001.

 
Biphasic {gamma}H2AX Response in the Male Genome after Paternal Cyclophosphamide Exposure
After fertilization, at PN1, the male pronucleus of embryos sired by cyclophosphamide-exposed fathers displayed enhanced levels of {gamma}H2AX fluorescence (Fig. 1f); at PN2, staining was markedly reduced to small foci, comparable to those observed in zygotes fertilized by spermatozoa from control males (Fig. 1g). Interestingly, at PN3, {gamma}H2AX fluorescence reemerged in the male pronucleus of zygotes fertilized by cyclophosphamide-exposed spermatozoa and continued to increase dramatically as zygotic development progressed through PN4 and 5 (Figs. 1h–j). Quantitative analysis confirmed the biphasic response of the paternal genome to DNA damage. The volume of {gamma}H2AX foci within the male pronuclei of embryos sired by cyclophosphamide-treated fathers was significantly increased at PN1 (p = 0.013), corresponding to phase 1, but it was not different from controls at PN2. This was followed by a progressive elevation through S phase (PN3 and 4) into G2 (PN5). This second phase represents a selective response of the zygote to paternal transmission of DNA damage (Fig. 2A). The maternal genome of zygotes fertilized by cyclophosphamide-exposed spermatozoa was not significantly different from controls (Figs. 1f–j and 2AGo). In conjunction with observations from embryos fertilized by control males, this demonstrates an initial requirement for H2AX phosphorylation regardless of the presence of paternal genomic damage and highlights the absence of a {gamma}H2AX response in the intact maternal pronucleus of zygotes sired by cyclophosphamide-treated males.

Number and Pronuclear Distribution of {gamma}H2AX Foci in Zygotes Fertilized by Cyclophosphamide-Exposed Spermatozoa
Quantitative analysis of spots further revealed the dramatic induction of {gamma}H2AX foci after paternal cyclophosphamide treatment. The numbers of {gamma}H2AX foci were significantly higher in paternal pronuclei of zygotes fertilized by cyclophosphamide-exposed spermatozoa at PN1 (p = 0.009) and increased dramatically at PN3 (p = < 0.001), PN4 (p = < 0.001), and PN5 (p = 0.018) compared to corresponding controls. In maternal pronuclei of embryos sired by cyclophosphamide-exposed males, the numbers of {gamma}H2AX foci were consistently low throughout zygotic development, similar to both parental genomes in controls (Fig. 2B).

Two distinct {gamma}H2AX focal populations have been described in normal and irradiated mammalian cells (McManus and Hendzel, 2005Go). To determine whether paternally mediated DNA damage induced distinguishable populations of {gamma}H2AX foci in the zygote, we characterized the volume distribution of {gamma}H2AX foci in embryos sired by cyclophosphamide-treated and control males (Fig. 3). In parental pronuclei of zygotes fertilized by control males, the majority of {gamma}H2AX foci were classified as category 1 or 2, with focal volumes between 0.2–0.99 and 1.0–4.99 µm3, respectively. Interestingly, at PN1, male pronuclei in embryos fertilized by cyclophosphamide-treated spermatozoa displayed significantly more foci in volume categories 1 (p = 0.014) and 3 (5.0–9.99 µm3; p = 0.001); at PN3, the numbers of {gamma}H2AX foci in categories 2 (p = < 0.001) and 3 (p = 0.002) were elevated, while at PN4, categories 1 (p = 0.004), 2 (p = 0.001), and 3 (p = 0.016) were all increased significantly compared to control embryos at corresponding pronuclear stages. Preconceptional paternal cyclophosphamide treatment had no effect on the kinetics of {gamma}H2AX focal volumes in maternal pronuclei. These data demonstrate that DNA damage imparted to the embryo via the spermatozoon causes an increase in the population of larger {gamma}H2AX foci in addition to the accumulation of smaller foci.


Figure 3
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FIG. 3. The focal volume categories 1 and 2 of {gamma}H2AX account for the majority of foci induction in parental pronuclei of zygotes fertilized by saline- or cyclophosphamide-exposed males; populations of larger {gamma}H2AX foci were increased following paternal cyclophosphamide exposure. Stacked bar graph demonstrates the proportional contribution of each focal volume size category obtained from six replicates. Gray bars, category 1, 0.2–0.99 µm3; speckled bars, category 2, 1.0–4.99 µm3; white bars, category 3, 5.0–9.99 µm3; and black bars, category 4, > 10.0 µm3.

 
To further characterize the {gamma}H2AX damage response in the zygote, we qualitatively assessed 3D focal distribution within the male and female pronuclei. As indicated above, the female chromatin at PN1 and 2 was highly stained by {gamma}H2AX (see Supplementary Movies 1 and 2, supporting information); at PN3, 4, and 5, female pronuclear staining was dramatically reduced to a single focus located at the perimeter, occasionally accompanied by sparse small foci situated randomly throughout the chromatin (see Supplementary Movies 3 and 4, supporting information). At PN2, {gamma}H2AX foci were dispersed evenly throughout the male pronuclei of zygotes sired by control and cyclophosphamide-exposed fathers. However, in contrast to the small number of foci distributed intermittently throughout the paternal pronucleus of controls from PN3 through 5 (Supplementary Movie 3), zygotes sired by cyclophosphamide-exposed males displayed {gamma}H2AX clusters concentrated in the perinucleolar regions as well as throughout the pronucleus (Supplementary Movie 4). Therefore, {gamma}H2AX foci are distributed throughout the entire male pronucleus following paternal cyclophosphamide treatment.

Paternal Cyclophosphamide Exposure Activates Poly(ADP-ribosyl)ation during Zygotic Development
We investigated PARP-1 induction in the zygote following chronic paternal cyclophosphamide exposure to determine the competence of the early embryo to activate signaling networks with known involvement in the repair of DNA lesions. Immediately after fertilization, both haploid pronuclei displayed minimal PARP-1 immunofluorescence staining in embryos sired by saline- and cyclophosphamide-exposed males (Figs. 4a and 4e). In controls, male and female pronuclei maintained baseline levels of staining from PN3 through 5 (Figs. 4b–d). Intriguingly, in zygotes sired by cyclophosphamide-treated fathers, PARP-1 immunofluorescence was dramatically elevated at PN3 in both parental genomes and remained intense through zygotic development, coincident with the second phase of {gamma}H2AX foci induction (Figs. 4f–h). Furthermore, a large proportion of male and female pronuclei in zygotes at PN3–5 displayed dense PARP-1 staining in perinucleolar regions (Figs. 4f–h), compared to controls. Quantitative analysis confirmed that PARP-1 proportional grain areas of male and female pronuclei were significantly increased at PN3 (p = < 0.001) and 4 (p ≤ 0.005) and maintained a hyperactivated state at PN5, compared to controls (Fig. 5). Thus, fertilization by spermatozoa chronically exposed to a genotoxic agent rapidly triggered DNA damage response bioindicators in both parental genomes, further emphasizing the importance of zygotic pronuclear cross talk in the maintenance of genomic stability.


Figure 4
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FIG. 4. PARP-1 activation is initiated in S phase in paternal and maternal pronuclei following cyclophosphamide-induced DNA damage of the spermatozoal genome. Embryos were labeled by indirect immunofluorescence using an antibody to PARP-1 (red); DNA was counterstained with DAPI (blue). Both parental pronuclei display prominent PARP-1 immunofluorescence in zygotes fertilized by drug-exposed spermatozoa (f–h) compared to controls (b–d). Micrographs are representative of four experimental replicates. M, male pronucleus; F, female pronucleus; PB, polar body (scale bar: 20 µm).

 

Figure 5
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FIG. 5. Quantitative analysis of PARP-1 proportional grain area. Maternal and paternal pronuclear PARP-1 staining was significantly increased at PN3 and 4 and remained hyperactivated at PN5 in zygotes sired by cyclophosphamide-treated rats. The number of males in each treatment group was as follows: saline, n = 4 and cyclophosphamide, n = 4. The number of embryos analyzed at each pronuclear stage, representative of the four replicates, was as follows: saline, n = 10, 16, 11, and 2 for PN1 and 2, 3, 4, and 5, respectively; cyclophosphamide, n = 3, 28, 11, and 3 for PN1 and 2, 3, 4, and 5, respectively. Crosshatched bars, saline male pronucleus; black bars, cyclophosphamide male pronucleus; white bars, saline female pronucleus; and gray bars, cyclophosphamide female pronucleus. *p < 0.01.

 

    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 SUPPLEMENTARY DATA
 FUNDING
 REFERENCES
 
The phosphorylation of H2AX has specialized physiological functions beyond DNA damage detection and repair in the zygote. Prior to fertilization, the metaphase II chromosomes of the dormant oocyte are extensively labeled with {gamma}H2AX (Derijck et al., 2006Go). Fertilization initiates a multistage process of chromatin remodeling of both gametes; oocyte chromatin with meiotic features is transformed to strictly mitotic chromatin, and highly compacted sperm chromatin is decondensed to produce a transcriptionally competent paternal genome (Mclay and Clarke, 2003Go). Interestingly, DNA damage–independent {gamma}H2AX foci have been described in mitotic cells (McManus and Hendzel, 2005Go), confirming a biological role for {gamma}H2AX in meiotic and mitotic chromosomes. During G1 (PN1 and 2) of the first cell cycle, inactive maternal chromatin, that is poorly accessible to transcription factors (Spinaci et al., 2004Go), was highly stained (Fig. 1, Derijck et al., 2006Go); paternal chromatin undergoing protamine-histone exchange and elaborate remodeling displayed large amorphous clusters in PN1 that were rapidly reduced to punctate foci in PN2. Intriguingly, {gamma}H2AX was remarkably depleted in both pronuclei at S phase (Fig. 1), corresponding to the onset of replication and transcription in the one-cell embryo; DNA synthesis in the male pronucleus precedes that in the female (Ferreira and CarmoFonseca, 1997Go). We propose that H2AX phosphorylation is involved in the control of chromatin structural reorganization, ensuring proper temporal execution of early zygotic events.

Exogenous genotoxic insults induce phosphorylation of H2AX over megabases of chromatin, tethering each double-strand break (Kruhlak et al., 2006Go). Alterations in spermatozoal genomic integrity, acquired during 4 weeks of preconceptional exposure to cyclophosphamide, were detected effectively in the early embryo. Intriguingly, {gamma}H2AX emerged in two distinct phases in the paternal genome of zygotes sired by cyclophosphamide-treated males, each corresponding to important regulatory processes of the first zygotic cell cycle. The initial spike of {gamma}H2AX (Fig. 2A) occurred in the recondensing male pronucleus (PN1) during nucleoprotein exchange (Mclay and Clarke, 2003Go). The replacement of protamines by histones is a phosphorylation-sensitive process, emphasizing a dual role for {gamma}H2AX in chromatin remodeling and DNA damage recognition in the early male pronucleus. Zygotes sired by cyclophosphamide-exposed males were hyperacetylated at histone H4 as early as G1 of the first cell cycle (Barton et al., 2005Go). Histone acetylation regulates H2AX phosphorylation (Park et al., 2003Go) which is required for the recruitment of additional histone-acetyltransferase complexes to sites of DNA double-strand breaks (Murr et al., 2006Go). Alkylation of sperm DNA and nuclear proteins by cyclophosphamide may distort nuclear compaction, thereby generating an abnormally permissive chromatin conformation, permitting enhanced accessibility to chromatin-modifying proteins and DNA repair factors. Immediately after fertilization, histone hyperacetylation and H2AX phosphorylation may cooperate to facilitate chromatin reconfiguration at lesion sites in zygotes with paternal DNA damage, thereby triggering a DNA damage histone code that mediates events implemental for DNA damage resolution beginning in S phase (Murr et al., 2006Go; Park et al., 2003Go).

DNA double-strand breaks initiate local chromatin expansion independent of {gamma}H2AX. However, consistent with our previous observation of increased chromatin dispersion from PN3 through 5 in zygotes fertilized by cyclophosphamide-exposed spermatozoa (Barton et al., 2005Go), {gamma}H2AX may be required for sustained chromatin relaxation, thus augmenting accessibility at DNA damage sites (Kruhlak et al., 2006Go) in the male pronucleus during the second {gamma}H2AX induction phase (Fig. 2A). Cyclophosphamide-induced hyperacetylation and hypomethylation of the male pronucleus further supports the existence of a highly permissive chromatin state (Barton et al., 2005Go). {gamma}H2AX is dispensable for the initial recruitment of signaling and DNA repair proteins; however, repair factor concentration, assembly and stabilization at double-strand break sites are dependent on H2AX phosphorylation (Celeste et al., 2003Go). The striking increase in {gamma}H2AX focal volume and numbers (Figs. 2A and 2B) in PN3–5 in response to paternal cyclophosphamide exposure may function to recruit and maintain the localization of numerous repair factors to the vicinity of the damage, assisting in the processing of the DNA lesions. The accumulation of a higher concentration of repair proteins may further affect chromatin structure and alleviate transcriptional repression during the repair process.

Large-scale genomic repositioning does not occur as a result of DNA double-strand breaks; therefore, an increasing focal size has been suggested to correlate with {gamma}H2AX spreading over a large chromatin domain, providing additional binding sites for DNA damage response proteins (Kruhlak et al., 2006Go). Zygotes fertilized by spermatozoa chronically exposed to cyclophosphamide displayed an increased number of larger foci, beginning in S phase through G2 (Fig. 3). These late-arising larger foci may represent complex lesion repair and/or the persistence of residual unrepaired DNA damage (Hamada et al., 2006Go). Interestingly, {gamma}H2AX foci were clustered throughout the male pronucleus following preconceptional paternal drug exposure, lending further support to the proposition that DNA damage can be recognized and repaired in any region of the chromatin (Bewersdorf et al., 2006Go).

Constitutive poly(ADP-ribosyl)ation is required for competent developmental progression of the preimplantation embryo and is proposed to act as a facilitator of chromatin remodeling in conjunction with other epigenetic modifications; specifically, poly(ADP-ribosyl)ation antagonizes DNA methylation (de Murcia et al., 2003Go; Imamura et al., 2004Go). In response to genotoxic stress, PARP-1 catalytic activity may increase 500-fold on binding to DNA strand breaks, playing a key role in the temporal and spatial organization of their repair (Schreiber et al., 2006Go). PARP-1 is essential for recovery from DNA damage by alkylating agents (Demurcia et al., 1997Go); inhibition of PARP-1 in oocytes impacts negatively on embryo survival (Imamura et al., 2004Go). PARP-1 staining in zygotes sired by cyclophosphamide-exposed males increased dramatically from PN3 through 5 (Fig. 4), corresponding to the second surge of progressive {gamma}H2AX induction. PARP-1 associates with {gamma}H2AX following irradiation (Du et al., 2006Go), suggesting the cooperation of distinct posttranslational modifications in the activation of DNA damage response pathways that are required for strand break resolution in the early embryo. Accordingly, in response to paternally transmitted DNA damage, pronuclear PARP-1 activation may act as a catalyst for chromatin relaxation (Realini and Althaus, 1992Go) in early S phase, permit enhanced cofactor access, and subsequently recruit single-strand break and base excision repair proteins to the site of chromosomal damage (Schreiber et al., 2006Go).

Epigenetic programming that is crucial for embryogenesis is disrupted in both parental pronuclei following paternal cyclophosphamide exposure (Barton et al., 2005Go). Intriguingly, the fascinating phenomenon of pronuclear cross talk was also evident in the control of DNA damage detection; PARP-1 was hyperactivated in the maternal as well as the paternal pronucleus in response to interruptions in spermatozoal genomic integrity (Fig. 5). The damage-free maternal genome has the ability to activate a p53-dependent S phase DNA damage checkpoint upon fertilization by irradiated sperm; DNA synthesis was suppressed (Shimura et al., 2002Go). The spatial localization of PARP-1 immunofluorescence in parental pronuclei of zygotes sired by drug-treated males reflects the perinucleolar and intranuclear S phase replication patterns of the first cell cycle (Ferreira and CarmoFonseca, 1997Go), indicating the potential involvement of analogous chromatin regions and/or proteins during DNA repair. Thus, we provide evidence that spermatozoal genomic instabilities destabilize the maternal genome, necessitating a collaborative activation of DNA damage pathways in both maternal and paternal pronuclei. The widespread drug-induced damage imparted to the embryo via an altered paternal genome, if left unrepaired, is likely to be detrimental to the development and survival of the embryo postimplantation.

Thus, cyclophosphamide-induced DNA damage in the spermatozoal genome activates distinct yet interrelated pathways involved in the detection and signaling of male-mediated genomic lesions. The enhanced presence of {gamma}H2AX and PARP-1 at G2 in embryos sired by males exposed to a genotoxicant indicates that the resolution of paternally mediated DNA damage is incomplete prior to the first cleavage division. Sophisticated mechanisms for the complete resection of DNA lesions are required in later cleavage stages to ensure the faithful transmission of genomic sequence information required for successful embryogenesis and the generation of healthy offspring.


    SUPPLEMENTARY DATA
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 SUPPLEMENTARY DATA
 FUNDING
 REFERENCES
 
Supplementary Movies 1–4 are available online at http://toxsci.oxfordjournals.org/.


    FUNDING
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 SUPPLEMENTARY DATA
 FUNDING
 REFERENCES
 
Canadian Institutes of Health Research MOP-14851; Canada Graduate Scholarship to T.S.B.


    ACKNOWLEDGMENTS
 
We thank J. Laliberté for technical assistance with confocal microscopy. We are grateful to Bitplane Inc. and Dr Anne McKinney for the use of Imaris Version 4.2 for {gamma}H2AX image analysis.


    REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 SUPPLEMENTARY DATA
 FUNDING
 REFERENCES
 
Aguilar-Mahecha A, Hales BF, Robaire B. Effects of acute and chronic cyclophosphamide treatment on meiotic progression and the induction of DNA double-strand breaks in rat spermatocytes. Biol. Reprod. (2005) 72:1297–1304.[Abstract/Free Full Text]

Auroux M, Dulioust E, Selva J, Rince P. Cyclophosphamide in the F0 male rat: Physical and behavioral changes in three successive adult generations. Mutat. Res. (1990) 229:189–200.[Web of Science][Medline]

Barber R, Plumb MA, Boulton E, Roux I, Dubrova YE. Elevated mutation rates in the germ line of first- and second-generation offspring of irradiated male mice. Proc. Natl. Acad. Sci. U.S.A. (2002) 99:6877–6882.[Abstract/Free Full Text]

Barber RC, Hickenbotham P, Hatch T, Kelly D, Topchiy N, Almeida GM, Jones GDD, Johnson GE, Parry JM, Rothkamm K, et al. Radiation-induced transgenerational alterations in genome stability and DNA damage. Oncogene (2006) 25:7336–7342.[CrossRef][Web of Science][Medline]

Barton TS, Robaire B, Hales BF. Epigenetic programming in the preimplantation rat embryo is disrupted by chronic paternal cyclophosphamide exposure. Proc. Natl. Acad. Sci. U.S.A. (2005) 102:7865–7870.[Abstract/Free Full Text]

Bewersdorf J, Bennett BT, Knight KL. H2AX chromatin structures and their response to DNA damage revealed by 4Pi microscopy. Proc. Natl. Acad. Sci. U.S.A. (2006) 103:18137–18142.[Abstract/Free Full Text]

Celeste A, Fernandez-Capetillo O, Kruhlak MJ, Pilch DR, Staudt DW, Lee A, Bonner RF, Bonner WM, Nussenzweig A. Histone H2AX phosphorylation is dispensable for the initial recognition of DNA breaks. Nat. Cell Biol. (2003) 5:675–679.[CrossRef][Web of Science][Medline]

Celeste A, Petersen S, Romanienko PJ, Fernandez-Capetillo O, Chen HT, Sedelnikova OA, Reina-San-Martin B, Coppola V, Meffre E, Difilippantonio MJ, et al. Genomic instability in mice lacking histone H2AX. Science (2002) 296:922–927.[Abstract/Free Full Text]

Codrington AM, Hales BF, Robaire B. Spermiogenic germ cell phase-specific DNA damage following cyclophosphamide exposure. J. Androl. (2004) 25:354–362.[Abstract/Free Full Text]

Colvin OM. An overview of cyclophosphamide development and clinical applications. Curr. Pharm. Des. (1999) 5:555–560.[Web of Science][Medline]

de Murcia JMN, Ricoul M, Tartier L, Niedergang C, Huber A, Dantzer F, Schreiber V, Ame JC, Dierich A, LeMeur M, et al. Functional interaction between PARP-1 and PARP-2 in chromosome stability and embryonic development in mouse. Embo. J. (2003) 22:2255–2263.[CrossRef][Web of Science][Medline]

Demurcia JM, Niedergang C, Trucco C, Ricoul M, Dutrillaux B, Mark M, Oliver FJ, Masson M, Dierich A, LeMeur M, et al. Requirement of poly(ADP-ribose) polymerase in recovery from DNA damage in mice and in cells. Proc. Natl. Acad. Sci. U.S.A. (1997) 94:7303–7307.[Abstract/Free Full Text]

Derijck AAHA, van der Heijden GW, Giele M, Philippens MEP, van Bavel CCAW, de Boer P. Gamma H2AX signalling during sperm chromatin remodelling in the mouse zygote. DNA Repair (Amst.) (2006) 5:959–971.[CrossRef][Medline]

Du YC, Gu S, Zhou JH, Wang TY, Cai H, MacInnes MA, Bradbury EM, Chen X. The dynamic alterations of H2AX complex during DNA repair detected by a proteomic approach reveal the critical roles of Ca2+/calmodulin in the ionizing radiation-induced cell cycle arrest. Mol. Cell Proteomics (2006) 5:1033–1044.[Abstract/Free Full Text]

Fernandez-Capetillo O, Mahadevaiah SK, Celeste A, Romanienko PJ, Camerini-Otero RD, Bonner WM, Manova K, Burgoyne P, Nussenzweig A. H2AX is required for chromatin remodeling and inactivation of sex chromosomes in male mouse meiosis. Dev. Cell (2003) 4:497–508.[CrossRef][Web of Science][Medline]

Ferreira J, CarmoFonseca M. Genome replication in early mouse embryos follows a defined temporal and spatial order. J. Cell Sci. (1997) 110:889–897.[Abstract]

Generoso WM, Cain KT, Krishna M, Huff SW. Genetic lesions induced by chemicals in spermatozoa and spermatids of mice are repaired in the egg. Proc. Natl. Acad. Sci. U.S.A. (1979) 76:435–437.[Abstract/Free Full Text]

Hales BF, Crosman K, Robaire B. Increased postimplantation loss and malformations among the F2 progeny of male rats chronically treated with cyclophosphamide. Teratology (1992) 45:671–678.[CrossRef][Web of Science][Medline]

Hamada N, Schettino G, Kashino G, Vaid M, Suzuki K, Kodama S, Vojnovic B, Folkard M, Watanabe M, Michael BD, et al. Histone H2AX phosphorylation in normal human cells irradiated with focused ultrasoft X rays: Evidence for chromatin movement during repair. Radiat. Res. (2006) 166:31–38.[CrossRef][Web of Science][Medline]

Hamer G, Roepers-Gajadien HL, Duyn-Goedhart A, Gademan IS, Kal HB, van Buul PPW, de Rooij DG. DNA double-strand breaks and gamma-H2AX signaling in the testis. Biol. Reprod. (2003) 68:628–634.[Abstract/Free Full Text]

Harrouk W, Codrington A, Vinson R, Robaire B, Hales BF. Paternal exposure to cyclophosphamide induces DNA damage and alters the expression of DNA repair genes in the rat preimplantation embryo. Mutat. Res. (2000a) 461:229–241.[Web of Science][Medline]

Harrouk W, Khatabaksh S, Robaire B, Hales BF. Paternal exposure to cyclophosphamide dysregulates the gene activation program in rat preimplantation embryos. Mol. Reprod. Dev. (2000b) 57:214–223.[CrossRef][Web of Science][Medline]

Imamura T, Neildez TMA, Thenevin C, Paldi A. Essential role for poly (ADP-ribosyl)ation in mouse preimplantation development. BMC Mol. Biol. (2004) 5:4.[CrossRef][Medline]

Kruhlak MJ, Celeste A, Dellaire G, Fernandez-Capetillo O, Muller WG, McNally JG, Bazett-Jones DP, Nussenzweig A. Changes in chromatin structure and mobility in living cells at sites of DNA double-strand breaks. J. Cell Biol. (2006) 172:823–834.[Abstract/Free Full Text]

Marchetti F, Bishop JB, Cosentino L, Moore D, Wyrobek AJ. Paternally transmitted chromosomal aberrations in mouse zygotes determine their embryonic fate. Biol. Reprod. (2004) 70:616–624.[Abstract/Free Full Text]

Masutani M, Nozaki T, Nakamoto K, Nakagama H, Suzuki H, Kusuoka O, Tsutsumi M, Sugimura T. The response of Parp knockout mice against DNA damaging agents. Mutat. Res. (2000) 462:159–166.[CrossRef][Web of Science][Medline]

Mclay DW, Clarke HJ. Remodelling the paternal chromatin at fertilization in mammals. Reproduction (2003) 125:625–633.[Abstract]

McManus KJ, Hendzel MJ. ATM-dependent DNA damage-independent mitotic phosphorylation of H2AX in normally growing mammalian cells. Mol. Biol. Cell (2005) 16:5013–5025.[Abstract/Free Full Text]

Murr R, Loizou JI, Yang YG, Cuenin C, Li H, Wang ZQ, Herceg Z. Histone acetylation by Trrap-Tip60 modulates loading of repair proteins and repair of DNA double-strand breaks. Nat. Cell Biol. (2006) 8:91–99.[CrossRef][Web of Science][Medline]

Nordstrand LM, Ringvoll J, Larsen E, Klungland A. Genome instability and DNA damage accumulation in gene-targeted mice. Neuroscience (2007) 145:1309–1317.[CrossRef][Web of Science][Medline]

Park EJ, Chan DW, Park JH, Oettinger MA, Kwon J. DNA-PK is activated by nucleosomes and phosphorylates H2AX within the nucleosomes in an acetylation-dependent manner. Nucleic Acids Res. (2003) 31:6819–6827.[Abstract/Free Full Text]

Paull TT, Rogakou EP, Yamazaki V, Kirchgessner CU, Gellert M, Bonner WM. A critical role for histone H2AX in recruitment of repair factors to nuclear foci after DNA damage. Curr. Biol. (2000) 10:886–895.[CrossRef][Web of Science][Medline]

Realini CA, Althaus FR. Histone shuttling by poly(ADP-ribosylation). J. Biol. Chem. (1992) 267:18858–18865.[Abstract/Free Full Text]

Roig I, Liebe B, Egozcue J, Cabero L, Garcia M, Scherthan H. Female-specific features of recombinational double-stranded DNA repair in relation to synapsis and telomere dynamics in human oocytes. Chromosoma (2004) 113:22–33.[Web of Science][Medline]

Schreiber V, Dantzer F, Ame JC, de Murcia G. Poly(ADP-ribose): Novel functions for an old molecule. Nat. Rev. Mol. Cell Biol. (2006) 7:517–528.[CrossRef][Web of Science][Medline]

Shimura T, Inoue M, Taga M, Shiraishi K, Uematsu N, Takei N, Yuan ZM, Shinohara T, Niwa O. p53-dependent S-phase damage checkpoint and pronuclear cross talk in mouse zygotes with X-irradiated sperm. Mol. Cell Biol. (2002) 22:2220–2228.[Abstract/Free Full Text]

Spermon JR, Ramos L, Wetzels AMM, Sweep CGJ, Braat DDM, Kiemeney LALM, Witjes JA. Sperm integrity pre- and post-chemotherapy in men with testicular germ cell cancer. Hum. Reprod. (2006) 21:1781–1786.[Abstract/Free Full Text]

Spinaci M, Seren E, Mattioli M. Maternal chromatin remodeling during maturation and after fertilization in mouse oocytes. Mol. Reprod. Dev. (2004) 69:215–221.[CrossRef][Web of Science][Medline]

Ward WS, Kishikawa H, Akutsu H, Yanagimachi H, Yanagimachi R. Further evidence that sperm nuclear proteins are necessary for embryogenesis. Zygote (2000) 8:51–56.[CrossRef][Web of Science][Medline]

Zheng P, Schramm RD, Latham KE. Developmental regulation and in vitro culture effects on expression of DNA repair and cell cycle checkpoint control genes in rhesus monkey oocytes and embryos. Biol. Reprod. (2005) 72:1359–1369.[Abstract/Free Full Text]


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