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Fig. 1. Contagious apoptosis induced by syncytium formation. (A) Representative immunofluorescent images of contagious apoptosis. HeLa cells were left untreated (Co.) or were treated with a 3-hour pulse of STS (3 µM), leading to the acquisition of typical pre-apoptotic chromatin condensation (PACC). Syncytia were formed by overnight co-culture of untreated HeLa CD4 and HeLa Env cells (Syncytia, Co), or were obtained by co-culture of untreated HeLa CD4 cells and STS-pulsed HeLa Env cells, which were washed five times, either in the absence (Contagion) or in the presence (Contagion+zVAD) of the pan-caspase inhibitor Z-VAD.fmk (100 µM). HeLa Env and CD4 were pre-stained with CellTracker® Green and CellTracker® Red, respectively, and fixed before nuclear staining with Hoechst 33342. Note that, in contagious apoptosis, nuclei from previously untreated HeLa CD4 cells (red) show extensive chromatin condensation (arrows). (B) Transmission electron microscopy of control syncytia or syncytia generated with PACC+ Env cells. Note that contagious apoptosis is characterized by full-blown nuclear apoptosis with pyknosis of all nuclei (in the absence of Z-VAD). In the presence of Z-VAD, however, all nuclei showed PACC (partial chromatin condensation, irregular contours and rippled nuclear envelopes). N1, 2, 3 etc. indicate individual nuclei in each syncytium. (C) Quantification of PACC and nuclear apoptosis (NA), as determined by Hoechst 33342 staining, in HeLa Env induced by short-term exposure to STS alone (3h, STS), short-term STS exposure followed by washing and overnight culture (3h, STS+18h), control syncytia or contagion (induced as in A). Significance was calculated with the paired Student's t-test with respect to untreated controls. #P<0.005. (D) Independence of contagious apoptosis from the initial inducer. HeLa Env cells were primed to PACC by a 3-hour treatment with STS (3 µM), actinomycin D (ActD, 5 µM) or the HIV-1-derived apoptogenic peptide Vpr 52-96 (3 µM). Nuclear apoptosis mean ± s.d., n=3) affecting co-cultured HeLa CD4 cells was determined as above. (E) Contagious apoptosis induced by polyethylene glycol-mediated fusion. HeLa CD4 cells were left untreated or were pre-treated with STS (3 µM, for 3 hours followed by five washes), stained with CellTracker® Green and then co-cultured with CellTracker® Red-prestained cells, either without or after PEG-mediated fusion. Then, the percentage of CellTracker® Red-positive nuclei exhibiting chromatin condensation was measured as in A after 18 hours of co-culture. Statistical significance in D and E, #P<0.005, *P<0.05. (F) Signs of MMP in contagious apoptosis. Individual cells or syncytia generated in D were subjected to  m quantitation with DiOC6(3), or were fixed, permeabilized and stained for the detection of activated Bak, the redistribution of cytochrome c, or the activation of caspase-3, as described in Materials and Methods. Significance was calculated with the paired Student's t-test with respect to untreated controls. *P<0.05; #P<0.005.
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