With the growing problem of Hg pollution, the risk of humans and animals exposure to HgCl2 is on the rise (Ajsuvakova et al. 2020, Bjorklund et al. 2017, Larson 2014). This study was dedicated to further clarify the cardiotoxicity of HgCl2 and to explore its specific mechanisms and prevention. Se has the potential to antagonize HgCl2 cardiotoxicity, and the current study confirmed the effectiveness of Se in antagonizing HgCl2-induced cardiotoxicity in chickens by histopathological observation and serum biochemical analysis. Our further results reveal a possible mechanism for HgCl2 cardiotoxicity that imbalance in Ca2+ homeostasis and oxidative stress activate UPR and PERK-mediated ERS, and persistent ERS leads to cardiomyocyte apoptosis via the CHOP pathway. It is exciting to note an effective antagonistic effect of Se on the negative effects produced by HgCl2 was observed in all these aspects.
The cytoplasmic Ca2+ concentration is much lower than that in the extracellular and ER, creating a potential energy for many physiological activities (Prakriya 2020, Thiel et al. 2021). For instance, a rapid influx of extracellular and ER Ca2+ into the cytoplasm to drive myocardial contraction, followed by an equal amount of Ca2+ being pumped back during myocardial diastole, completes a cardiac excitation-contraction coupling (Eisner et al. 2017). An increasing body of evidence suggested that heavy metals tend to disrupt the precise control of Ca2+ homeostasis. Tang et al. found a rapid increase in Ca2+ content in the cytoplasm of neurons after Cd exposure (Tang et al. 2021). The exposure to arsenic (As) and antimony (Sb) resulted in ER Ca2+ depletion and cytoplasmic Ca2+ overload in mouse cardiomyocytes, caused by upregulation of IP3R, RYR2 and CAMK2 and downregulation of SERCA2α (Jiang et al. 2021). A recent study showed that HgCl2-induced contraction of rat uterine myometrium was caused by an increase in Ca2+ channel protein-dependent cytoplasmic Ca2+ levels (Koli et al. 2019). The present study evaluated the changes in major Ca2+ handling proteins after HgCl2 treatment for the first time, and the results converged to ER Ca2+ depletion and cytoplasmic Ca2+ overload, which is consistent with the findings of previous related studies. Deprivation of part of the contribution of the ER in the regulation of Ca2+ flux might link HgCl2 to the downstream timing of Ca2+ homeostasis imbalance such as arrhythmias, heart failure, and hypertrophic cardiomyopathy (Dickhout et al. 2011, Dridi et al. 2020). Therefore, we suggested that the examination of Ca2+-regulated function of the ER should be included in the priority examination cohort for heavy metal toxicity assessment, especially for the heart.
A high concentration of Ca2+ and a unique redox environment are maintained within the ER, and the absence of optimal conditions increases the probability of being misfolded protein, which may lead to UPR. Numerous studies have documented ERS and eventual activation of apoptosis due to ER Ca2+ depletion and oxidative stress (Farrukh et al. 2014, Liu et al. 2019b, Tabas &Ron 2011). The status of ER Ca2+ depletion and overall redox imbalance has been demonstrated in our results, and we are interested in whether the UPR and ERS were activated. Interestingly, detection of the proteins within the three branches revealed that only PERK, which shuts down the mRNA translation process via elf2α (Mekahli et al. 2011), mediates ERS activation upon HgCl2 exposure and pushes cells toward apoptosis via CHOP cascade signaling. A recent study confirmed that the PERK/ATF4/CHOP axis mediated HgCl2-induced apoptosis in chicken embryonic kidney cells (Ma et al. 2020a). However, several studies have also reported that specific heavy metals can also activate ERS via the IRE1α and ATF6 branches, such as Cd (Zhang et al. 2020a), As and Sb (Jiang et al. 2021). Thus, based on the clarification of ERS sensitivity to heavy metals, we speculated that different branches might have biased effects depending on the source, timing, intensity and location of the stimulus. In addition, activation of heat shock proteins is considered a marker of cells subjected to adverse stress (Fan et al. 2020, Jacob et al. 2017), and we detected a set of heat shock proteins (HSP27/40/60/70) upregulated by HgCl2, which can be attributed to Ca2+ homeostasis imbalance, oxidative stress and ERS. Overall, these results suggested that HgCl2 initiated the UPR through ER Ca2+ depletion and oxidative stress, triggering the PERK-dependent ERS that lead to apoptosis and activating heat shock proteins in myocardial cell.
As the mechanisms of heavy metal toxicity are revealed, a number of mechanism-specific supplements have been shown to mitigate heavy metal toxicity, including Se (Fan et al. 2020), curcumin (Garcia-Nino &Pedraza-Chaverri 2014), luteolin (Xu et al. 2021) and melatonin (Cao et al. 2017). In particular, Se, as a biologically essential trace element, has been increasingly studied to confirm its superior detoxification of heavy metals at the multi-organ and multi-cellular levels, and its biological functions of anti-oxidant, anti-inflammatory, anti-apoptotic and regulation of substance metabolism have been intensively emphasized (Gao et al. 2021, Jin et al. 2017, Zhang et al. 2020b). Recent studies have shown that Se worked in the regulation of Ca2+ homeostasis (Zhang et al. 2020b, Zheng et al. 2021) and ER function (Cao et al. 2021, Ma et al.). In this study, we demonstrated that Se attenuated HgCl2-induced ERS and apoptosis in cardiomyocytes, involving the correction of Ca2+ handling proteins and the alleviation of oxidative stress. Notably, ER-settled selenoproteins have been shown to be directly or indirectly involved in the regulation and functional exercise of the ER internal environment (Pitts &Hoffmann 2018). Previous studies suggested that abnormal ER selenoproteins expression contributed to Cd-induced Ca2+ disorder and ERS, which can be reversed by Se supplementation (Zhang et al. 2020a, Zhang et al. 2020b). Considering the unique physical affinity of Hg and Se and the crossover of their associated biological processes (Yoneda &Suzuki 1997), which may act on the expression of selenoproteins, we further focused on the expression patterns of the four ER-settled selenoproteins. SELENOK is a transmembrane small molecule protein containing a Sec residue that acts as a cofactor in the palmitoylation of IP3R to regulate ER Ca2+ flux (Fredericks &Hoffmann 2015). Another of our studies found that SELENOK deficiency induced skeletal muscle satellite cell apoptosis via ERS (unpublished), which is consistent with changes following HgCl2 exposure. However, no consistent changes were obtained for SELENOK and IP3R, impling different regulatory mechanisms. Whether and how other selenoproteins are involved in ER function is not fully understood, and the available evidence suggested that they may exert some antioxidant function and participate in protein folding through shared structural Sec residues (Zhang et al. 2020c). The organism tends to preferentially synthesize important selenoproteins (Tang et al. 2020), and we found that the protein expression of SELENOM, SELENON and SELENOS was significantly increased after HgCl2 exposure, which might be related to specific functional requirements. Moreover, we noted the reversal of HgCl2-induced SELENOK, SELENOM, SELENON, and SELENOS changes by Se, possibly related to the elimination of common or different upstream crises.