HIV-TAT mediated protein transduction of Cu/Zn-superoxide dismutase-1 (SOD1) protects skin cells from ionizing radiation

Background Radiation-induced skin injury remains a serious concern during radiotherapy. Cu/Zn-superoxide dismutase (Cu/Zn-SOD, SOD1) is a conserved enzyme for scavenging superoxide radical in cells. Because of the integrity of cell membranes, exogenous molecule is not able to be incorporated into cells, which limited the application of natural SOD1. The aim of this study was to evaluate the protective role of HIV-TAT protein transduction domain mediated protein transduction of SOD1 (TAT-SOD1) against ionizing radiation. Methods The recombinant TAT-SOD1 and SOD1 were obtained by prokaryotic–based protein expression system. The transduction effect and biological activity of TAT-SOD1 was measured by immunofluorescence and antioxidant capability assays in human keratinocyte HaCaT cells. Mito-Tracker staining, reactive oxygen species (ROS) generation assay, cell apoptosis analysis and malondialdehyde (MDA) assay were used to access the protective effect of TAT- SOD1. Results Uptake of TAT-SOD1 by HaCaT cells retained its biological activity. Compared with natural SOD1, the application of TAT-SOD1 significantly enhanced the viability and decreased the apoptosis induced by X-ray irradiation. Moreover, TAT-SOD1 reduced ROS and preserved mitochondrial integrity after radiation exposure in HaCaT cells. Radiation-induced γH2AX foci, which are representative of DNA double strand breaks, were decreased by pretreatment with TAT-SOD1. Furthermore, subcutaneous application of TAT-SOD1 resulted in a significant decrease in 45 Gy electron beam-induced ROS and MDA concentration in the skins of rats. Conclusions This study provides evidences for the protective role of TAT-SOD1 in alleviating radiation-induced damage in HaCaT cells and rat skins, which suggests a new therapeutic strategy for radiation-induced skin injury.


Introduction
Radiation therapy is widely used for the treatment of various types of cancers [1]. However, following the destruction of tumors, surrounding normal tissues may also be injured, including brain, lung, intestine and skin etc. Because skin is usually the first site of external radiation particles entry in radiation treatment, variable degrees of skin reactions can occur. Serious radiation-induced skin injuries can cause severe pain, deformation, secondary infection, ulceration, and even necrosis when intolerable doses are administered [2]. Ionizing radiation (IR) is known to induce reactive oxidative species (ROS) production due to radiolysis of water and direct ionization of target molecules, which could result in oxidative damage and cytotoxicity to critical cellular biomolecules, including nucleic acids, proteins, and lipids [3].
Cells have involved a system to counteract radiationinduced ROS. Superoxide dismutases (SODs) are enzymes that catalyze the degradation of superoxide into oxygen and hydrogen peroxide. The generated hydrogen peroxide is subsequently converted to water and oxygen * Correspondence: zhang.shuyu@hotmail.com; jpcao@suda.edu.cn † Equal contributors 1 by glutathione peroxidase (GPx) and/or catalase (CAT). Three types of SOD isozymes have been identified in human cells and Cu/Zn-superoxide dismutase (SOD 1 ) contributes to approximately 70-80% of cellular SOD activity. SOD 1 is a 20-kDa homodimer antioxidant enzyme, which is widely distributed in the cytosol, nucleus, peroxisome, and intermembrane space of mitochondria in mammalian cells [4,5]. Insufficient supply of intracellular antioxidant enzymes, especially SOD 1 can cause overproduction of ROS, leading to apoptosis and necrosis, eventually cell death [6]. Although this antioxidant enzyme has been recognized available to protect cells against oxidative stress induced by ionizing radiation, the application of SOD 1 was limited, because their hydrophilic properties and large molecular size that prevents it from entering target cells [7].
Protein transduction domains (PTDs), also known as cell penetrating peptides, have been shown to deliver proteins across cell membranes and applied for numerous diseases as protein therapy [8,9]. The human immunodeficiency virus type 1 (HIV) transactivator of transcription (TAT) domain is a regulatory element that drastically enhances the efficiency of viral transcription. It has been identified as the first member of PTD superfamily, which can deliver heterologous proteins across most biomembranes without losing their bioactivity [10]. In 1988, two groups independently characterized the HIV TAT as a PTD, which allows TAT to enter cells by crossing the cell membrane. The essential amino acid sequence of the TAT PTD has been characterized as YGRKKRRQRRR [11,12]. In 1994, Fawell et al. confirmed that the TAT protein can carry exogenous molecules into cells [13]. When fused with PTDs by gene-recombinant expression, exogenous proteins can be delivered across the cell membrane via endocytosis [14][15][16]. The TAT PTD has emerged as a promising tool for non-invasive cellular delivery of cargos and has been successfully applied to in vitro and in vivo delivery of a variety of therapeutic agents for the treatment of multiple diseases [17,18]. Furthermore, TAT PTD linked-SOD 1 was found to be delivered not only into the cytoplasm but also into mitochondria where superoxide is generated, suggesting a dramatic potential of TAT-SOD 1 as an ideal intracellular antioxidant solution [19]. However, it is not clear whether TAT-SOD 1 has protective therapeutic role against radiation-induced skin injury. In this study, we prepared TAT-SOD 1 recombinant protein and examined its protective effects on skin damage induced by ionizing radiation.

Cell culture and irradiation
Human epidermal keratinocyte cell line HaCaT was maintained in Dulbecco's modified Eagle's medium (DMEM) supplemented with 10% (v/v) heat-inactivated fetal bovine serum and 1% (v/v) penicillin-streptomycin at 37°C in a humidified atmosphere containing 5% CO 2 . Briefly, exponentially growing cells were exposed to different dosages (5 Gy or 20 Gy) of ionizing radiation using X-ray linear accelerator (Rad Source, Suwanee, GA, USA) at a fixed dose rate of 1.15Gy/min. Sham irradiated cells were defined as 0 Gy group. 20 Gy X-ray was chosen because it induces significant cell death [20]. 5 Gy X-ray was chose because it causes appropriate DNA damage [21]. HaCaT cells were pretreated with PBS, SOD 1 or TAT-SOD 1 5 h before X-ray irradiation or sham irradiation. Cells treated with PBS were considered as negative controls.

Construction of the TAT-SOD 1 expression vector
The coding sequence of the HIV-TAT domain (YGRKKR RQRRR) was synthesized and subcloned into the BamHI and EcoRI sites of pET-28a (Novagen, Madison, WI, USA) to generate pET-28a-TAT. Human SOD 1 cDNA was amplified by PCR using appropriate primers and then subcloned into the EcoRI and XhoI sites of pET-28a-TAT to generate pET-28a-SOD 1 ( Figure 1A). The control vector, which expressed SOD 1 , was constructed by inserting SOD 1 coding sequence into pET-28a without TAT domain.

Purification of target fusion protein
Host E. coli BL21 (DE3) were transformed with the plasmid encoding pET-28a-SOD 1 , and then the transformants were selected on a LB plate containing kanamycin. BL21 (DE3) cells containing the expression plasmid were grown at 37°C to an optical density OD 600 of 0.8. Isopropyl-beta-D-thiogalactoside (IPTG) was added to a final concentration of 1.0 mM, and the cells were then incubated for an additional 8 h at 25°C. Cells were sonicated, and the supernatants were recovered and applied to a column of Ni-nitrilotriacetic acid agarose (Qiagen, Valencia, CA, USA). Then, the mixture was maintained at 4°C with shaking at 50 rpm. After the TAT-SOD 1 had been absorbed by the column, the column was settled onto a plastic filter by gravity. After the Ni 2+ column had settled to the bottom, the resin was washed twice with 4 ml washing buffer (10 mM imidazole, 0.5 M NaCl, and 50 mM NaH 2 PO 4 , pH 8.0). Then, the fusion protein was eluted with elution buffer (150 mM imidazole, 0.3 M NaCl, and 50 mM NaH 2 PO 4 , pH 8.0). The fractions containing fusion proteins were combined.

Immunofluorescence assay
HaCaT cells were plated on glass coverslips in six-well plates for 12 h, and then incubated with fresh medium containing PBS, SOD 1 or TAT-SOD 1 for 5 h at 37°C in a 5% CO 2 atmosphere. The cells were washed with PBS, fixed using freshly prepared 4% paraformaldehyde and permeabilized with 0.5% Triton X-100 (Sigma, St. Louis, MO, USA) after treatment. The SOD 1 antibody (Santa Cruz Biotechnology, Santa Cruz, CA, USA) diluted 1:500 in 1% bovine serum albumin (BSA, Solarbio, Beijing, China) in PBS and incubated for 12 h at 4°C, followed by incubation with the secondary antibody, fluorescein TRITC-conjugated goat anti-rabbit IgG (Southern Biotech, Birmingham, AL, USA) for 45 min at 37°C. The cells were counter stained using DAPI to visualize the cell nucleus and were observed using a fluorescence microscope.
Total antioxidant capability assay, SOD enzyme assay and superoxide scavenging activity assay HaCaT cells were grown to confluence on 6-well plates, after treatment with PBS, SOD 1 , TAT-SOD 1 for 5 h, cells were washed with PBS, exposed to trypsin without EDTA for 10 min and washed again with PBS. The cells were harvested for preparation of cell extracts to determine total anti-oxidation competence (T-AOC) assay, SOD enzyme assay and superoxide scavenging activity assay (all from Nanjing Jiancheng Bioengineering Institute, Nanjing, China). Protein concentration of cell lysate was detected by BCA assay kit (Sigma, St. Louis, MO, USA).

Cell viability assay
After centrifuging and suspension, the HaCaT cells were seeded in 96-well plates at 4000 cells/well. The cells were treated with PBS, SOD 1 or TAT-SOD 1 5 h before 20 Gy irradiation. 48 h later, CCK-8 solution (Dojindo Molecular Technologies Inc. Kumamoto, Japan) was added and the plates were placed in a CO 2 incubator for additional 2 h according to the manufacturer's instructions. The optical density (OD) was determined at 450 nm. Each group was set up in triplicate.

Cell apoptosis assay
We used two methods to detect the cell apoptosis, DNA fragmentation and Annexin V-propidium iodide (PI) double staining analysis. Effects of transduced TAT-SOD 1 on DNA fragmentation in HaCaT cells exposed to 20 Gy ionizing radiation. PBS, SOD 1 or TAT-SOD 1 was added to cultured cells 5 h before irradiation, respectively. And then cells were further incubated for 48 h, followed by DNA extraction. Genomic DNA extraction kit was purchased from TianGen (Beijing, China). Isolated DNA, mainly derived from the apoptotic bodies occurred in cells, was subjected to 1.2% agarose electrophoresis at 35 V for 4 h. HaCaT cells were seeded at 1 × 10 5 per well in 6-well plates. For Annexin V-and PI double staining analysis, cells were treated with SOD 1 or TAT-SOD 1 for 5 h before 20 Gy irradiation. After 48 h, cells were stained with fluorescein FITC-conjugated Annexin V and PI (KeyGen, Nanjing, China). The analysis was performed using flow cytometry (Beckman-Coulter, Brea, CA, USA).

Western blot
Lysates from HaCaT cells were prepared by incubating cells in lysis buffer (125 mM Tris-HCl, pH 6.8, 2% SDS, 10% v/v, glycerol.) at 4°C for 30 min. Protein concentration was determined by BCA protein assay (Bio-Rad Laboratories, Hercules, CA, USA). 40 μg of cell lysates were subjected to 12% sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE). Following SDS-PAGE, the proteins were transferred onto a PVDF membrane (Millipore, Temecula, CA, USA), which was blocked with 10% dry milk in TBST. The membrane was then probed with the indicated antibodies at 4°C for 12 h, followed by HRP-conjugated anti-rabbit or mouse IgG secondary antibody (Santa Cruz Biotechnology, Santa Cruz, CA, USA). The immunoreactive bands were detected by chemiluminescence using an ECL system (Amersham, Chicago, IL, USA).

Mitochondria integrity assay
Mito-Tracker was used to determine the mitochondria integrity of HaCaT cells. HaCaT cells were planted in 35 mm glass dishes. 24 h later, PBS, SOD 1 or TAT-SOD 1 was added in the dishes 5 h before 20 Gy X-ray irradiation. After treatment, cells were incubated for 30 min in the dark with Mito-Tracker red fluorescent stain which was dissolved in serum-free medium at 37°C. Hoechst stains were used to mark the nucleus.

Reactive oxygen species generation assay
ROS levels of HaCaT were determined using the ROS sensitive dye 2′,7′-dichlorofluorescein diacetate (DCF-DA), which is converted by ROS into the highly fluorescent 2′,7′-dichlorofluorescein (DCF). After treatment, HaCaT cells were washed with phosphate buffer (pH 7.4) and incubated with DCF-DA (10 μM) for 30 min. The level of DCF fluorescence, reflecting the concentration of ROS, was measured by a fluorescence microscope. Fluorescence intensity of each group was analyzed by ImageJ image analysis software (NIH, Bethesda, MD, USA).
For skin tissues, skin biopsies were homogenized vigorously in 50 mM phosphate buffer (pH 7.4), and their homogenate was incubated with DCF-DA (10 μM) for 30 min. The level of DCF fluorescence, reflecting the concentration of ROS, was measured at 488 nm excitation and 538 nm emission by a Fluotrac black plate (Greiner BioOne, Frickenhausen, Germany).

DNA double strand breaks assay
DNA double-strand breaks (DSBs) represent an important ionizing radiation-induced lesion. The rapid phosphorylation of histone H2AX at serine 139 is a sensitive marker for DNA double-strand breaks induced by ionizing radiation which can be later detected by immunofluorescence. HaCaT cells, cultured on coverslips, were fixed in 3.7% paraformaldehyde, permeabilised with 1% Triton X-100 for 20 min at room temperature and then blocked with 1% BSA (Solarbio, Beijing, China) diluted in PBS. Immunofluorescence was performed as described previously using an anti-γH2AX antibody (1:1000, Epitomics, Burlingame, CA, USA) supplemented with 1% BSA and 0.2% Tween-20 for 12 h at 4°C. Followed by TRITC-conjugated anti-rabbit secondary antibody, the cells on the coverslips were counterstained with 4′-6-diamidino-2-phenylindole (DAPI, Invitrogen, Carlsbad, CA, USA) to mark the nuclei. Immunofluorescent staining was observed and photographed using a fluorescence microscope.

Animals and treatments
Male SD rats (6 weeks old, weight range: 200-300 g) were purchased from Shanghai SLAC Laboratory Animal Co., Ltd. (Shanghai, China). The animals were housed at a constant temperature (23°C) and relative humidity (60%) with a fixed 12-h light:12-h dark cycle and free access to food and water. After anesthetized and shaved hair on rat buttock skin, rats were immobilized with adhesive tape on a plastic plate to minimize motion during irradiation exposure. Three cm thick piece of lead was used to shield the rats and localize the radiation field (3 cm × 4 cm). A single dose of 45 Gy was administered to the treatment area of each rat at a dose rate of 750 cGy/min using a 6-MeV electron beam accelerator (Clinac 2100EX; Varian Medical Systems Inc, CA, USA). This dose was selected because it can significantly induce skin injury as reported [22]. After irradiation, rats were randomly divided into three groups (n = 8 in each group): 1) rats were administered with a subcutaneous injection of 200-μl volume PBS; 2) with a subcutaneous injection of 5,000 U SOD 1 in a 200-μl volume; 3) with a subcutaneous injection of 5,000 U TAT-SOD 1 in a 200-μl volume. All the protocols and procedures were approved by the Animal Experimentation Ethics Committee of the Soochow University.

Malondialdehyde (MDA) concentration measurement
Tissue MDA levels were determined by thiobarbituric acid (TBA) reaction. The optical density (OD) was measured at a wavelength of 532 nm. The assay depended on the measurement of the pink color produced by the interaction of barbituric acid with MDA generated as a result of lipid peroxidation. The colored reaction with 1,1,3,3-tetraethoxy propane was used as the primary standard. Fresh skin samples were homogenized with 50 mM phosphate buffer (pH 7.4). Then, homogenates were centrifuged at 12,000 × g for 10 min at 4°C. MDA levels were expressed as a nanomol per milligram of protein (nmol/mg protein).

Statistical analysis
Statistical analyses were done with SPSS 16.0 Software (SPSS, Seattle, WA, USA). All data are expressed as mean ± SEM. The experiments were performed at least 3 times. Statistical significance was evaluated by the oneway ANOVA. P < 0.05 is considered significant.

Preparation of TAT-SOD 1 and its transduction into HaCaT cells
To investigate the protective role of the TAT-SOD 1 fusion protein, we constructed a pET-28a-TAT-SOD 1 expression vector, which contains cDNA sequences encoding the SOD 1 gene and HIV-TAT basic domain ( Figure 1A). As shown in Figure 1B, the fusion protein was expressed at a very high level and further induced by IPTG in transformed E.coli BL21 cells. The fusion protein was present in the supernatant of the whole cell lysate, indicating that it was soluble in the E. coli host cells. Then, the TAT-SOD 1 and control SOD 1 fusion protein were purified by affinity chromatography.
We next examined the transduction of TAT-SOD 1 into HaCaT cells. After seeding, culture medium of HaCaT cells was added with PBS, SOD 1 or TAT-SOD 1 , respectively. Immunofluorescence analysis revealed that HaCaT cells treated with PBS or natural SOD 1 showed weak SOD 1 signal, whereas TAT-SOD 1 treated HaCaT cells showed increased intracellular localization of SOD 1 ( Figure 1C), indicating transduced exogenous TAT-SOD 1 .
These results indicate that TAT-SOD 1 fusion protein can be transduced into HaCaT cells.

Increased antioxidant activity and viability of HaCaT cells by TAT-SOD 1
We next investigated whether TAT-SOD 1 enhanced antioxidant activity of HaCaT cells. After the addition of TAT-SOD 1 for 5 h, an average of 62.63% increase of total antioxidant capability was obtained relative to PBSadded cells (P < 0.01, Figure 2A). The SOD enzyme activity of cell lysates was significantly elevated in TAT-SOD 1 treated group, compared with PBS treated group (2.79-fold increase; P < 0.01) or SOD 1 treated group (2.18-fold increase; P < 0.01). TAT-SOD 1 treatment also significantly increased the activity of superoxide scavenging ability compared with PBS treated group (2.51-fold increase; P < 0.01) or SOD 1 treated group (2.54-fold increase; P < 0.01). These results demonstrated that TAT-SOD 1 significantly increased the antioxidant capacity of HaCaT cells.
To explore the effect of TAT-SOD 1 on cell viability, in vitro HaCaT cells were treated with various doses of SOD 1 or TAT-SOD 1 . SOD 1 or TAT-SOD 1 showed no cytotoxicity for non-irradiated HaCaT cells ( Figure 3A and 3B). However, pretreatment with TAT-SOD 1 results in a significant increase of cell viability of HaCaT cells after 20 Gy X-ray irradiation ( Figure 3B). While in SOD 1 pretreated HaCaT cells, the increase of cell viability is less pronounced and is not significant compared with mock treated cells after irradiation ( Figure 3A). As expected, cells treated with TAT-SOD 1 led to a significant increase of cell viability after ionizing radiation relative to cells treated with PBS or SOD 1 .

Reduced apoptosis of HaCaT cells by TAT-SOD 1 after X-ray irradiation
Using annexin V and PI staining of live cells, the levels of cell apoptosis after exposure to sham or 20 Gy X-ray irradiation were detected by flow cytometry. The percentage of apoptotic cells in sham irradiated cells was not significantly altered either in the SOD 1 -or TAT-SOD 1treated cells compared to the PBS treated cells ( Figure 4A). 20 Gy irradiation caused a dramatic increased percentage of apoptotic cells, which was significantly reduced by addition of TAT-SOD 1 . Moreover, DNA fragmentation, a late event in apoptosis, was also induced excessively by irradiation ( Figure 4B). However, the ratio of DNA fragmentation was significantly decreased by TAT-SOD 1 , but not by SOD 1 (Figure 4B). The expression of apoptosis related molecules Bcl-2, Bax and Caspase-3 was further evaluated by Western blot analysis 48 h after irradiation. As shown in Figure 4C, ionizing radiation increased pro-apoptosis proteins Bax, cleaved Caspase-3 and decreased anti-apoptosis protein Bcl-2 expressions. In contrast to PBS or SOD1 treated cells, TAT-SOD 1 reduced the expression of Bax and cleaved Caspase-3 and increased the expression of Bcl-2 after irradiation. Taken together, these results demonstrated that TAT-SOD 1 attenuated ionizing radiation-induced apoptosis in HaCaT cells.

TAT-SOD 1 maintained mitochondrial integrity of HaCaT cells
Free radicals generated from ionizing radiation may damage mitochondrial membrane permeability and change membrane potential, which consequently disrupt mitochondrial functions and induce cells apoptosis [23][24][25]. To explore the protective role of TAT-SOD 1 in mitochondrial function, Mito-tracker Red staining was used. As shown in Figure 5A, weak red fluorescence was observed following pretreatment with PBS or SOD 1 prior to ionizing radiation, indicating destruction of mitochondrial membrane integrity in HaCaT cells. In contrast, TAT-SOD 1 treatment maintained the strong red fluorescence after 20 Gy X-ray irradiation, suggesting its protection of mitochondria integrity ( Figure 5A and 5B). Furthermore, we observed the mitochondrial morphology changed seriously to irregular filamentous in cells pretreated with PBS or SOD 1 prior to irradiation, while cells pretreated with TAT-SOD 1 maintained the granular morphology of most mitochondria.

TAT-SOD 1 reduced the generation of irradiation-induced intracellular ROS
Mitochondrial dysfunction in irradiated cells may significantly contribute to perturbation in oxidation-reduction reactions that determine the cellular redox environment [23,25]. SOD 1 has been shown to confer cytoprotection against ROS-induced oxidative stress [26]. We therefore investigated whether TAT-coupled SOD 1 could scavenge radiation-induced intracellular ROS using DCF-DA assay. As shown in Figure 6A and 6B, TAT-SOD 1 did not affect the background level of cellular ROS. However, compared with PBS or SOD 1 treated cells, TAT-SOD 1 reduced~70% ROS in irradiated HaCaT cells.

TAT-SOD 1 decreased the number of γH2AX foci
We further explored whether TAT-SOD 1 would influence the dynamic repair process of DNA double-strand breaks (DSBs) induced by radiation. DNA repair of DSBs was measured by detecting nuclear γH2AX foci at several time points after 5 Gy X-ray irradiation. One hour following 5 Gy irradiation, a rapid induction of γH2AX foci was observed up to more than 70 foci per cell ( Figure 7A, 7B and 7E) and then the average number of foci gradually began to decrease until 12 h after radiation exposure ( Figure 7D and 7E). The number of foci formed in TAT-SOD 1 -treated cells was significantly reduced to an average of 54.5% (44 foci per cell) of PBS-treated cells at 1 h after irradiation. At 2 and 4 h after irradiation, the number of γH2AX foci in TAT-SOD 1 -treated groups dropped to 40.34% (P < 0.01) and 49.15% (P < 0.05) of PBS-treated cells, respectively. Comparatively, the SOD 1 -treated cells showed no significant change in the number of γH2AX foci. These results suggested that TAT-SOD 1 can reduce DSBs induced by ionizing radiation.

TAT-SOD 1 treatment reduced ROS generation and MDA content in skin tissue
We next investigated whether TAT-SOD 1 could eliminate ROS in skin tissues. As shown in Figure 8A, 45 Gy of electron beam irradiation caused a significant increase in ROS level and MDA content in rat skin tissues. No significant differences of ROS and MDA levels were observed between the SOD 1 -treated group and the control skins of rats. Comparatively, a significant decrease in ROS level and MDA concentration was observed in the group treated with TAT-SOD 1 (P < 0.01). These results indicated that administration of TAT-SOD 1 attenuated radiationinduced ROS generation and lipid peroxidation in vivo.

Discussion
SODs have been used as potential therapeutic agents for ROS-mediated diseases, however, the disadvantage of the ineffective delivery into cells and tissues limited their application [27,28]. All the major efforts in utilizing SOD for radioprotection focus on the modification of the molecule so that it can be delivered into the cells, the methods of overexpression SOD 1 intracellular including liposomal encapsulation, plasmid transfection or adenovirus-mediated infection [26,[29][30][31]]. An alternative approach that appears to be safer is to produce recombinant proteins and then to inject them into individual target cells by micro-injectors. However, there are several drawbacks of these methods: for example, the efficiency of the target gene uptake by viral vector-mediated methods is unstable and it would take more than 24 h for expression of target genes [32,33]. The introduction of exogenous genes may integrate into host genomes, which may interfere with the intact genes of the host. Under normal physiological conditions, only a few small molecules can freely pass through eukaryotic cell membranes, while proteins and other large biological macromolecules are seldomly transported into cells, making it difficult for the treatment of diseases [34]. Although the   mechanism of protein transduction is not completely clear, it is generally accepted that the PTDs across cell membrane efficiently. The protein transduction mediated by HIV TAT PTD speed the application of target proteins, which does not alter the host genome. Many previous results showed that it takes only several hours for HIV TAT PTD carried molecules to enter the cells and HIV TAT shows minimal cell toxicity and influence on bioavailability of macromolecules. In addition, the delivery amount and the time of incubation could be controlled precisely [35,36].
Skin is the first organ to be targeted by external radiations and among the most sensitive tissues. High doses of radiation can induce various deleterious effects in skin such as erythema and desquamation in a short time, and several years later stochastic effects such as skin carcinoma may occur [2]. Effective suppression of radiationinduced skin damage is beneficial for radiotherapy of cancers. Therefore, methods to reduce skin damage induced by ionizing radiation are warranted. In this study, we purified a cell membrane permeable SOD, TAT-SOD 1 from bacterial cells. The recombinant TAT-SOD 1 protein overcame the shortcomings of natural SODs, which could be rapidly and efficiently transported into cultured HaCaT cells and delivered in the cytoplasm and cell nucleus. Further functional experiments confirmed that the fusion protein maintained biological activity and can significantly inhibit cell death induced by ionizing radiation. Pretreatment of TAT-SOD 1 prevented the HaCaT cells from ionizing radiation-induced injury by decreasing ROS, apoptosis, DNA DSBs and mitochondria damage. Moreover, TAT-SOD 1 attenuated ROS and MDA concentration in irradiated rat skins.
Ionizing radiation generates cellular ROS, which have high potential to damage cellular macromolecules including proteins, lipids, and nucleic acids [37][38][39]. Recent evidence suggests that ROS plays an important role in cell death and signal transduction after ionizing radiation. TAT-SOD 1 can obviously reduce intracellular ROS levels, which is mainly due to its ability to cross the cell membrane. Mitochondrial are vulnerable to oxidants because they are the major source of free radicals in the cells and limited to their ability to cope with oxidative stresses [40]. Mitochondrial is closely related to cell apoptosis and the destruction of the mitochondrial transmembrane potential is considered to be one of the earliest events in the process of apoptosis cascade and occurs earlier than the apoptosis characterized in the nucleus (chromatin condensation and DNA fragmentation) [41]. ROS generated from mitochondria contribute to genomic instability after exposure of the cells to ionizing radiation [40,42]. It is reported that a variety of antioxidants such as mangiferin and red ginseng can reduce mitochondrial apoptosis pathway dependent cell death [43,44]. In this study, we showed that TAT-SOD 1 pretreatment, but not natural SOD 1 , was able to mitigate mitochondrial dysfunction. TAT-SOD 1 also reduced the mitochondrial dysfunction dependent cell death in HaCaT cells. The Bcl-2 family proteins play a pivotal role in the regulation of mitochondrial apoptotic pathways [45]. Following initiation of mitochondria-dependent apoptosis by Bax, the activated caspase-3 and effector molecules result in cellular apoptosis. Overexpression of Bcl-2 can inhibit apoptosis [46]. In our study, the protein expression levels of anti-apoptotic member Bcl-2 were increased and proapoptotic member Bax were reduced when treated with TAT-SOD 1 prior to X-ray irradiation, which is accompanied by a reduced level of active Caspase-3. The DNA fragmentation assay also showed the decreased ionizing radiation induced cell apoptosis in TAT-SOD1 treated cells. Moreover, TAT-SOD 1 can also decrease the γH2AX foci, which is a biomarker of radiation-induced DSBs. DNA DSBs caused by irradiation tend to impair the integrity of the genome and cause cell death [47]. The DNA damage effect is thought to be mediated partially by the direct effects of radiation-induced ionization and partially by ROS generated by ionization of water [48]. Radiationinduced DNA impairment was alleviated in TAT-SOD 1 treated cells, which is possibly attributed to the significantly decreased intracellular ROS levels. Taken together, these results indicate that transduced TAT-SOD 1 protein plays a defensive role against cell death induced by oxidative stress in skin cells.
We also detected the radiation protective effect of TAT-SOD 1 in vivo. Radiation exposure to skin tissues generates ROS and oxidative stress, which will trigger an inflammatory response and cell death in affected areas. The ROS is known to oxidize fatty acids generating highly toxic lipid peroxides that lead to apoptotic cell death. In the present study, we demonstrated that injection of TAT-SOD 1 reduced radiation-induced skin MDA levels indicating that TAT-SOD 1 attenuates radiationinduced lipid peroxidation. The in vivo skin protective function of TAT-SOD 1 was possibly due to its' characteristics of membrane permeability and intracellular scavenging capability of ROS.

Conclusions
In summary, we demonstrated that Cu/Zn-SOD (SOD 1 ), one of the key intracellular antioxidant enzymes, can be incorporated into HaCaT cells by TAT PTD-mediated protein transduction in vitro. Compared with natural SOD 1 , the application of TAT-SOD 1 significantly maintained mitochondrial integrity and reduced ROS, apoptosis and γH2AX foci after X-ray irradiation in HaCaT cells. Furthermore, administration of TAT-SOD 1 resulted in a significant decrease in ROS and MDA concentration in electron beam irradiated rat skins. These results suggest that the transduction of TAT-SOD 1 offers a new strategy for protecting skin against ionizing radiation.