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Review
recombinant phage clones containing the human cata- catalase-peroxidases, whereas the third group contains
lase gene were isolated and characterized (Quan et al., (non-heme) manganese catalases (Zamocky and Koller,
1986) and the use of molecular biology techniques have 1999; Zamocky et al., 2008, 2010).
led to major advances in the understanding of catalase
regulation mechanisms and the role that this enzyme
Typical catalases
could play in numerous biological processes.
In this context, Nenoi et al. (2001) reported that in the
The members of this largest group are found in aerobically
upstream catalase promoter, there is a region containing
respiring organisms. In contrast, in anaerobic bacteria,
CCAAT and GGGCGG boxes where transcription factors
catalases proteins are generally not expressed. Most of
like Nuclear factor Y (NF-Y) and Specificity protein 1 (Sp1)
these catalases are homotetramers, between 200 and
can bind to the catalase promoter regulating the transcrip-
340 kDa in size and contain four prosthetic groups. In the
tional activation of the human catalase gene. Recently,
majority of true catalases, a ferric protoporphyrin IX was
Glorieux et al. (2016a) identified a new regulatory region
found in the active center (namely heme b, similar to the
in the human catalase promoter, in which chromatin
prosthetic group of human hemoglobin). Some variants
remodeling is required to regulate catalase expression by
do exist such as ‘heme d’ groups which can reside in some
retinoic acid receptor alpha (RARα) and JunB transcrip-
typical catalases.
tion factors. This novel regulatory mechanism is involved
Following phylogenetic analyses the typical cata-
during cancer cells adaptation to chronic exposure to H2O2
lases can also be divided into three main clades. Clade 1
and may have therapeutic consequences for various dis-
contains bacterial, algal and plant catalases with small-
eases and metabolic disorders.
subunit size (55–69 kDa) using heme b as the prosthetic
group. Clade 2 regroups bacterial and fungal catalases
and has a large subunit size (75–84 kDa), with heme d
Types of catalases as the prosthetic group and an additional ‘flavodoxin-
like’ domain. Clade 3 is the most abundant subfamily;
With the increasing number of complete sequences availa- catalases from this subgroup are found in archaebacte-
ble, distinct homologies were detected and catalases came rial, fungi, protists, plants and animals. The human cata-
to be classified in three groups based on their structure and lase belongs to this clade and is characterized by a small
function. The first and the second group contain heme- subunit (62 kDa), with heme b as its prosthetic group and
containing enzymes, namely typical or true catalases and NADPH as cofactor.
anions) and low H2O2 concentrations, Cpd I may undergo signal (Purdue and Lazarow, 1996). Proteins bearing these
a one-electron reduction towards the inactive compound signals are recognized by the PTS1 receptor, called PEX5p
II (Cpd II) intermediate, which transforms back to the for humans. Some diseases related to defects in peroxi-
resting state through another one-electron reduction step some biogenesis, such as Zellweger syndrome, are char-
(reviewed in Bauer, 2015). Both Cpd I and Cpd II are gen- acterized by mutations in the PEX5p receptor and cellular
erally described as an oxoferryl-heme species (Rovira, H2O2 overproduction due to a catalase default import in
2005). In the case of Cpd I, the porphyrin bears a cation peroxisomes (Wanders et al., 1984). This syndrome is most
radical (O=FeIV-heme˙+), while Cpd II lacks the porphy- commonly called ‘the syndrome of empty peroxisome’. It
rin cation radical (O=FeIV-heme). Thus, Cpd II is best has been shown that overexpressing receptor mutants in
described as a hydroxoferryl bond (HO-FeIV-heme) instead PEX5-deficient CHO cells, drastically reduce the import of
of the traditional oxoferryl species, consistent with the proteins such as catalase (Shimozawa et al., 1999). Some
fact that a proton is released upon conversion of Cpd I to authors have observed that catalase with the SKL signal
Cpd II: and not KANL had a better import capacity and could be
transported into the peroxisome even in the case of muta-
Cpd I + AH (one-electron donor) →
tions in the PTS1 receptor (Koepke et al., 2007). It has been
Cpd II(Por-FeIV = O and Por-FeIV -OH)
shown that PEX5p recognizes catalase which is already
folded and interacts with other receptors such as PEX13p
At higher H2O2 concentrations, NADPH prevents the gen-
for proper import into the peroxisome (Otera and Fujiki,
eration of Cpd II by participating in a two-electron reduc-
2012). Studies are underway to validate, through clinical
tion process (Kirkman et al., 1999). In the presence of
trials, whether catalase SKL has a therapeutic potential for
another one-electron donor, Cpd II will return to a resting
diseases with peroxisome biogenesis disorders. Recently,
state. But in presence of a H2O2 molecule, Cpd II will be
it has been reported that PEX19p, an essential protein for
transformed back to compound III (Cpd III), an inactive
peroxisome biogenesis, interacts with Valosin-contain-
intermediate (Gabdoulline et al., 2003). In this interme-
ing protein (VCP) and regulates the catalase cytoplasmic
diate state, iron is at an oxyferrous state (O2-FeII-heme).
localization, a potential feedback mechanism modulating
Then, Cpd III goes back to a resting state or leads to the
H2O2 levels (Murakami et al., 2013).
inactivation of the catalase.
Interestingly, the existence of a cytosolic catalase,
Cpd II + AH → Enz (Por-FeIII ) resting state in its active tetrameric conformation, has been reported
Cpd II + H2O2 → Cpd III (Por-FeII -O2 ) (Middelkoop et al., 1993) with varied percentage from one
Cpd III → Enz (Por-FeIII ) or inactivation cell type to another, and different function to peroxisome
catalase. Indeed, catalase may bind cytosolic proteins such
as Grb2 and SHP2, to protect them from potential oxidative
damage (Yano et al., 2004a,b). These proteins are linked to
Cellular and tissue catalase the membrane by a pleckstrin homology (PH) domain, so
it is common to find catalase in fractions including mem-
distribution brane proteins and membrane-associated proteins. In this
context, it has been shown that catalase can be localized
Regarding catalase localization within the cell, it should at the cytoplasmic membrane, specifically at the surface
be noted that catalase is mainly located in peroxisomes of cancer cells (Bauer, 2012). This locally high expression
because it contains a sequence signal recognized by some of catalase on the membrane of tumor cells is in line with
peroxisome receptors. Contrary to mitochondria, proteins the findings by Deichman’s group that showed that tumor
located within peroxisomes are all of nuclear origin and progression in vivo is dependent on increased resistance
should be imported. Indeed, it is generally accepted that towards exogenous H2O2 (Deichman, 2000, 2002). Further-
catalase monomers are imported into peroxisomes where more, localized expression of catalase on the membrane
tetramerization and heme addition occurs (Lazarow and of tumor cells is not in disagreement with the finding of
De Duve, 1973). The apoprotein (monomer) enters into the lower total catalase concentration in malignant cells, as
peroxisome by a peroxisome-targeting signal sequence the membrane comprises a minority of the total cellular
(PTS) present on the carboxy-terminal tail of catalase. The material.
most common targeting signal is the SKL (serine-lysine- These observations open the way for new anti-can-
leucine) but catalase is characterized by a different signal, cer therapies targeting catalase with specific antibodies
namely the KANL (lysine-alanine-asparagine-leucine) (Bauer, 2012; Bauer and Motz, 2016) or exogenous singlet
oxygen (Riethmüller et al., 2015; Bauer and Graves, 2016) et al., 2001). A discrete balance between oxidation of NO
to induce apoptosis by reactivation of intercellular HOCl by compound I of catalase and inhibition of catalase by
and/or NO/peroxynitrite signaling after catalase inhibi- NO through formation of a CAT-FeIIINO complex has been
tion or inactivation. Furthermore, the modulation of the reported (Brown, 1995). Catalase also exhibits low oxidase
intracellular NO concentration has been shown to lead to activity (O2-dependent oxidation of organic substrates)
the generation of cell-derived singlet oxygen that inacti- (Vetrano et al., 2005). Thus, catalase may also have addi-
vates tumor cell protective catalase and reactivates inter- tional roles such as the detoxification or activation of toxic
cellular ROS/RNS-mediated apoptosis-inducing signaling and anti-tumor compounds. For instance, catalase has
(Bauer, 2015; Scheit and Bauer, 2015). been detected in mouse oocytes most likely to protect the
In addition to classical intracellular catalase and genome from oxidative damage during meiotic matura-
membrane-associated catalase of tumor cells (Heinzel- tion (Park et al., 2016).
mann and Bauer, 2010; Böhm et al., 2015), the release of Within this framework, several studies have shown
soluble catalase from tumor cells has also been reported a change in catalase expression in cancer cells became
(Sandstrom and Buttke, 1993; Moran et al., 2002; Böhm resistant to chemotherapies (Akman et al., 1990; Kim
et al., 2015). This soluble extracellular catalase was pro- et al., 2001; Kalinina et al., 2006). Thus, a potential role
tective for the tumor cells. of catalase during the acquisition of cancer cell resistance
Finally, catalase has been also localized in the mito- to chemotherapeutic agents was explored by overexpress-
chondria of rat cardiomyocytes (Radi et al., 1991). ing the human enzyme in MCF-7 cells, a human derived
The human catalase is expressed in every organ and breast cancer cell line (Glorieux et al., 2011). No particular
the highest levels of activity are measured in the liver, resistance against conventional chemotherapies like
kidney and red blood cells (Winternitz and Meloy, 1908). doxorubicin, cisplatin and paclitaxel was observed in
In erythrocytes, a high production of H2O2 is generated cells overexpressing catalase but they were more resistant
due to oxygen transport and catalase is responsible for to the pro-oxidant effect induced by an H2O2-generating
more than 50% of the H2O2 turnover (Mueller et al., 1997). system (Glorieux et al., 2011).
In addition, catalase mitochondria overexpression
in mice enables an increase of lifespan by 20% (Schriner
Biological functions of catalase et al., 2005). In such animals, the development of mito-
chondrial deletions was reduced and heart disease and
and related diseases the onset of cataracts were delayed.
Regarding catalase down-regulation, no particular
The first function assigned to catalase is the dismutation sensitivity was observed as catalase-deficient mice are
of H2O2 into oxygen and water without consummation of viable and fertile (Ho et al., 2004). They develop normally
endogenous reducing equivalents, an important role in with a normal hematological profile, but after trauma the
cell defense against oxidative damage by H2O2. To note mitochondria shows defects in the oxidative phosphoryla-
that H2O2 is not only toxic by its ability to form other ROS, tion. Note that humans may also be deficient in catalase, a
like hydroxyl radical through the Fenton reaction (Fenton, condition known as acatalasemia that is characterized by
1894) but as was nicely recently reviewed by Sies, H2O2 a low catalase rate, but it is still rare and usually benign
acting as a second messenger is involved in many biologi- (Goth et al., 2004).
cal processes including changes of morphology, prolifera- In this context, there are benign polymorphisms of
tion, signaling (i.e. NF-κB), apoptosis, etc (Sies, 2017). In the catalase gene for which no change of catalase expres-
addition to its dominant ‘catalatic’ activity (decomposi- sion or activity was detected (Goth et al., 2004). They
tion of H2O2), catalase can also act in its peroxidatic mode, include single nucleotide substitutions in the promoter,
i.e. decomposition of small substrates such as methanol, 5′ untranslated region, intron 1, exon 1, exon 9 and 10
formate, azide, hydroperoxides (Sies, 1974; Chance et al., (Goth et al., 2004). To note that the catalase gene encodes
1979; Johansson and Borg, 1988), and in case of ethanol, one single protein of 526 amino acids and the single locus
it is also capable of oxidize it to acetaldehyde contributing has been mapped to chromosome 11p13 (Wieacker et al.,
to its liver metabolism (Keilin and Hartree, 1945; Thurman 1980). The length of the catalase gene is 34 kb, it contains
et al., 1972; Oshino et al., 1973). It has also been reported 12 introns and 13 exons generating a mRNA of 2286 bp
that catalase may decompose peroxynitrite (Gebicka and (Quan et al., 1986).
Didik, 2009; Heinzelmann and Bauer, 2010), oxidize Conversely, some catalase mutations provoke changes
nitric oxide to nitrite (Wink and Mitchell, 1998; Brunelli in either catalase expression or activity and may be
associated with some diseases. For instance, a higher tran- (i.e. loss of heterozygosity) of the catalase gene in non-
scriptional activity in two human cancer cell lines, namely small-cell lung cancer cells (Ludwig et al., 1991; Fong
HepG2 and K562 cells, was observed in the case of common et al., 1994; Shipman et al., 1998) or deletion of chromo-
functional C-T substitution polymorphism in the promoter some 11p, as has been observed in children affected by
region (−262) of the human catalase gene (Forsberg et al., Wilms’ tumor, aniridia, gonadoblastoma and retardation
2001) but no mutations have been detected in the coding (WAGR) syndrome (Dufier et al., 1981; Gregoire et al., 1983;
sequence, to our knowledge, in patients suffering from Barletta et al., 1985; Michalopoulos et al., 1985; van Hey-
cancer. Recent studies have focused on the associations ningen et al., 1985).
of catalase polymorphisms with various types of cancer
but many inconsistent results about the relationship
between the catalase gene polymorphism and cancer risk
were reported. Recently, two meta-analyses pointed out a
Regulation of catalase expression
correlation exists between this polymorphism C-262T and in cancer cells
prostate cancer (Liu et al., 2016; Wang et al., 2016).
Different catalase mutations in patients can cause It is generally accepted that the cellular maintenance of
decreased catalase activity leading to increased H2O2 con- redox homeostasis is controlled by a complex network
centrations in the blood and tissues. Table 1 shows the of antioxidant enzymes (i.e. superoxide dismutases and
polymorphism of the catalase gene in patients suffering glutathione peroxidases) whose expression is under the
from hypocatalasemia (about 50% of catalase activities) fine-tuning control of the Keap1-Nrf2 signaling pathway
or acatalasemia (less than 10% of catalase activities). (Menegon et al., 2016). Nevertheless, the molecular mech-
Depending on the mutations, such patients may be anisms regulating the expression of catalase – the oldest
subject to an increased risk of type 2 diabetes, vitiligo and known and first discovered antioxidant enzyme – are
increased blood pressure (Goth et al., 2004). When the independent of this pathway and not totally elucidated.
mutations are located in exons as in Japanese and Hun- Therefore, the fine-tuning regulation of this enzyme
garian acatalasemia, a truncated or mutated catalase is should be prior elucidated in order to find a new approach
synthetized and functionally less active. Takahara was the to modulate the antioxidant status in cancer cells.
first to describe acatalasemia and this pathology is often Interestingly, despite the existence of diverse protec-
benign but Japanese patients can suffer from oral gan- tion mechanisms against oxidant injuries, a consensus
grenes and esophageal ulcerations (Takahara’s disease), emerged in the scientific literature about an alteration
probably promoted by H2O2 generated by phagocytic cells of redox homeostasis within tumor cells. Indeed, they
and bacterial actions (Takahara, 1952). produce large amounts of ROS that are involved in the
Decreased activity of catalase has also been observed maintenance of genetic instability favoring cancer cell
in various genetic alterations, for example, loss of alleles proliferation. Meanwhile, altered expression levels of
catalase have been reported in cancer tissues as com-
pared to their normal counterparts. Thus, as compared to
Table 1: Catalase gene polymorphisms in patients suffering from
hypocatalasemia or acatalasemia.
normal tissues of the same origin, some authors reported
an increased catalase expression in tumors (Sander
Mutations Position Region Associated disease et al., 2003; Hwang et al., 2007; Rainis et al., 2007),
whereas other studies showed a catalase down-regula-
G insertion Codon 48 Exon 2 Diabetes type 2
T→A Codon 53 Exon 2 Diabetes type 2
tion (Marklund et al., 1982; Baker et al., 1997; Lauer et al.,
G→C Codon 66 Exon 2 Diabetes type 2 1999; Chung-man et al., 2001; Cullen et al., 2003; Kwei
C→T −773a Promoter Hypertension et al., 2004), indicating that cancer cells are frequently
T→C Codon 388 Exon 9 Vitiligo more sensitive to an oxidative stress. For instance, we
G→A 5b Intron 4 Japanese hypocatalasemia (A) have reported an important decrease of catalase activity
T deletion Codon 134 Exon 4 Japanese hypocatalasemia (B)
in different cancer cell lines, as shown in Table 2 (Verrax
GA insertion Codon 67 Exon 2 Hungarian hypocatalasemia (A)
G insertion Codon 58 Exon 2 Hungarian hypocatalasemia (B) et al., 2009; Beck et al., 2011a; Glorieux et al., 2011).
G→T 5b Intron 7 Hungarian hypocatalasemia (C) Briefly, catalase levels can vary after short treatments to
G→A Codon 354 Exon 9 Hungarian hypocatalasemia (D) H2O2 (Rohrdanz and Kahl, 1998; Rohrdanz et al., 2001; Sen
This table was adapted from Goth et al. (2004).
et al., 2003) and catalase expression is modified in cancer
a
Position from the ATG translation start. cell lines rendered resistant to chronic exposures to H2O2
b
Position from the first nucleotide in the intron sequence. (Kasugai and Yamada, 1992; Nenoi et al., 2001) or certain
Catalase activity (U/mg proteins) in normal and cancer cell lines. aTLT mouse hepatocarcinoma cells; bK562 human CML cells; c250MK cells;
and dMCF-7 human mammary cells. Data were analyzed by unpaired t-test. ep-Value ≤ 0.01; fp-value ≤ 0.001.
chemotherapeutic compounds such as doxorubicin contributors to the negative regulation of catalase expres-
(Ramu et al., 1984; Akman et al., 1990; Kim et al., 2001; sion (Glorieux et al., 2015). Specifically, we investigated
Kalinina et al., 2006). Although mechanisms controlling the transcriptional regulatory mechanism controlling
catalase expression have been partially elucidated, the catalase expression in human mammary cell lines. To
decreased catalase expression in cancer cells still remains this end, we have made a human breast MCF-7 cancer
an unanswered question. cell line resistant to oxidative stress, the so-called Resox
The regulation of catalase expression in cancer cells cells. These cells show decreased ROS basal levels and an
is a complex process because different levels of regula- increased activity of some antioxidant enzymes, notably
tion are thought to be involved. In a recent review, we catalase (Dejeans et al., 2012; Glorieux et al., 2015, 2016b).
discussed the different mechanisms playing a potential A novel promoter region, responsible for the regulation of
role in the regulation of its expression in both healthy catalase expression, was identified at −1518/−1226 locus
and tumor cells (Glorieux et al., 2015). They include tran- in Resox cells (Glorieux et al., 2016a). The AP-1 family
scriptional regulation, represented by the activity of tran- member JunB and retinoic acid receptor alpha (RARα)
scription factors that induce or repress the transcriptional mediate catalase transcriptional activation and repres-
activity of catalase promoters, post-transcriptional regu- sion, respectively, by controlling chromatin remodeling
lation (mRNA stability) and post-translational modifica- through a histone deacetylases-dependent mechanism
tion (phosphorylation and ubiquitination of the protein). (Glorieux et al., 2016a). Indeed, RARα and JunB act in
In addition, epigenetic (DNA methylation, modifications collaboration with transcription factors or other proteins
of histones) changes or genetic alterations can also be on either a closed- or an open-promoter chromatin status
involved playing a role in governing proper levels of cata- regulating the expression of catalase in breast cancer
lase activity in these cells. cells (Figure 2). Thus, cancer adaptation to oxidative
Regarding transcription it should be noted that the stress, regulated by transcriptional factors through chro-
catalase gene has all the characteristics of a housekeeping matin remodeling appears as a new mechanism to target
gene (no TATA box, no INR sequence, high GC content in cancer cells.
promoter) and a core promoter which is highly conserved
among species (Quan et al., 1986; Nakashima et al., 1990;
Reimer et al., 1994). In this core promoter, the presence
of DNA binding sites for transcription factors like NF-Y
Oxidative stress-based therapies
and Sp1 has an essential role in the positive regulation of against cancer
catalase expression (Nenoi et al., 2001). Additional tran-
scription factors have also been involved in this regulatory As previously mentioned, cancer cells are generally defi-
process. In fact, there is strong evidence that the protein cient in antioxidant enzymes, thus, any increase in ROS
Akt/PKB in the PI3K signaling pathway plays a major role levels would be a menace to the precarious redox balance
in the expression of catalase by modulating the activity of of cancer cells making them vulnerable to an additional
FoxO3a (Turdi et al., 2007; Venkatesan et al., 2007; Akca oxidative stress. Given that weakness, the loss of redox
et al., 2013). Therefore, targeting PI3K/Akt/mTOR (LoPic- homeostasis represents an interesting target for research
colo et al., 2008; Rodon et al., 2013) may be an efficient and development of new molecules with antitumor activ-
way to increase the expression of catalase in tumors and ity and numerous drugs are currently being clinically eval-
inhibit tumor cell growth. uated. Therefore, several strategies have been developed
In this last decade, other transcription factors looking for the disruption of tumor cell redox homeostasis
(PPARγ, Oct-1, etc.) as well as genetic, epigenetic and and a subsequent cancer cell death (Demizu et al., 2008;
post-transcriptional processes are emerging as crucial Trachootham et al., 2009; Verrax et al., 2009).
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