Bioelectromagnetics 36:294^301 (2015)

Circadian Gene Expression and Extremely Low-Frequency Magnetic Fields: An InVitro Study Nicola Manzella,1 Massimo Bracci,1* Veronica Ciarapica,1 Sara Staffolani,1 Elisabetta Strafella,1 Venerando Rapisarda,2 MatteoValentino,1 Monica Amati,1 Alfredo Copertaro,3 and Lory Santarelli1 1

Occupational Medicine, Department of Clinical and Molecular Sciences, Polytechnic University of Marche, Ancona, Italy 2 Section of Occupational Medicine, Department of Internal Medicine and Systemic Diseases, University of Catania, Catania, Italy 3 HealthcareWorkers Service, Azienda Sanitaria Unica Regionale (ASUR) Marche, Loreto Hospital, Loreto, Italy It is well known that circadian clocks are mainly regulated by light targeting signaling pathways in the hypothalamic suprachiasmatic nucleus. However, an entrainment mediated by nonphotic sensory stimuli was also suggested for peripheral clocks. Exposure to extremely low frequency (ELF) electromagnetic fields might affect circadian rhythmicity. The goal of this research was to investigate effects of ELF magnetic fields (ELF-MF) on circadian clock genes in a human fibroblast cell line. We found that an ELF-MF (0.1 mT, 50 Hz) exposure was capable of entraining expression of clock genes BMAL1, PER2, PER3, CRY1, and CRY2. Moreover, ELF-MF treatment induced an alteration in circadian clock gene expression previously entrained by serum shock stimulation. These results support the hypothesis that ELF-MF may be able to drive circadian physiologic processes by modulating peripheral clock gene expression. Bioelectromagnetics 36:294–301, 2015. © 2015 Wiley Periodicals, Inc. Key words: circadian rhythm; biological clock; ELF; fibroblasts; clock genes

INTRODUCTION Diffusion of extremely low frequency electromagnetic fields (ELF-EMF) in the human environment has raised the question of biological effects of EMF on mammalian cells. A large number of studies have reported an effect mediated by ELF-EMF exposure in mT range on processes such as cell proliferation, cell cycle regulation, cell differentiation, metabolism, and various physiological characteristics of cells [Simk o et al., 1998; De Mattei et al., 1999; Mattsson et al., 2001; Harris et al., 2002; Fatigoni et al., 2005; Wolf et al., 2005; Zwirska-Korczala et al., 2005; Polaniak et al., 2010]. However, a certain number of studies have investigated whether ELFEMF exposure at lower magnetic flux density could result in cell physiology change [Czyz et al., 2004; Shi et al., 2005; Frahm et al., 2006; Mannerling et al., 2010; Markkanen et al., 2010; Luukkonen et al., 2011; Cocek et al., 2012; Luukkonen et al., 2014] It is possible that certain cellular processes, altered by exposure to ELF-EMF, indirectly affect cell physiology [Bułdak et al., 2012; Artacho-Cordon  2015 Wiley Periodicals, Inc.

et al., 2013]. Vanderstraeten et al. [2012] hypothesized that ELF-MF contribution to alteration of cell physiological processes might stem from an alteration of circadian rhythmicity. Circadian rhythms are oscillations characterized by a period length of around 24 h [Reppert and Grant sponsor: The National (Italian) Institute for Occupational Injury Insurance (INAIL). Conflicts of interest: None Additional Supporting Information may be found in the online version of this article. *Correspondence to: Massimo Bracci, MD, PhD, Occupational Medicine, Department of Clinical and Molecular Sciences, Polytechnic University of Marche, Via Tronto 10/a, 60126 Torrette, Ancona, Italy. E-mail: [email protected] Received for review 5 August 2013; Accepted 6 March 2015 DOI: 10.1002/BEM.21915 Published online 22 March 2015 in Wiley Online Library (wileyonlinelibrary.com).

ELF-MF Modulates Clock Gene Expression

Weaver, 2002]. These endogenously generated rhythms persist in absence of external stimuli and are sustained by a molecular oscillator present in many cells and tissues throughout the organism. Intracellular clocks are regulated by a set of clock genes involved in an autoregulatory transcriptional–translational feedback loop [Reppert and Weaver, 2002; Lowrey and Takahashi, 2004]. In mammalians, the master clock and peripheral clocks work cooperatively [Silver et al., 1996; Hirota and Fukada, 2004]. The central clock is entrained mainly by lightdark cycles, while peripheral clocks can be regulated by nervous and humoral signals (such as glucocorticoids), daily feeding cycle and xenobiotic agents (such as lithium or styrene) exposure [Balsalobre et al., 2000; Osland et al., 2011; Buijs et al., 2013; Manzella et al., 2013; Stevens et al., 2014]. The circadian control system increases fitness and allows organisms to adapt to their physical and ecological environment controlling several biological processes such as proliferation, cell cycle control, and DNA damage repair [De Paula et al., 2008; Borgs et al., 2009; Sancar et al., 2010; Gaddameedhi et al., 2011]. Some alterations of cell physiological processes induced by ELF-EMF exposures might be mediated by modifications of biological clock machinery through variations of clock genes expression. In this paper, we investigated the hypothesis that extremely low frequency magnetic field (ELF-MF) could be associated with alterations of circadian rhythmicity [Vanderstraeten et al., 2012]. In particular we investigated whether an ELF-MF exposure at low magnetic flux density (0.1 mT) was capable of affecting circadian gene expression. MATERIALS AND METHODS ELF-MF Exposure Unit The ELF magnetic field exposure unit is shown in Figure 1. The unit was positioned into a waterjacketed temperature and atmosphere regulated incubator (37.0  0.1 8C and 5% CO2). The ferromagnetic core had a cross section of 4  5 cm2 with a relative magnetic permeability of 2000. It was equipped with two windings that consisted of 550 turns and inserted around the lateral columns. In the middle of the central column, there was a 4 cm air gap. Two windings were connected in series to enhance the field in the central gap, and they were fed by the main power supply line (frequency 50 Hz) through a voltage regulator (V-5 Belotti, Milano, Italy). This allowed for a current variance of 0–1.5 A. This was monitored by

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Fig. 1. ELF-MF exposure unit schematization. Samples were placed at the center of ferromagnetic core during exposure.

a current meter (45 Fluke, Everett, WA). Magnetic flux density in the gap center was directly proportional to current flowing into the windings. Magnetic flux orientation is orthogonal to the culture flask placed horizontally in the air gap of the ferromagnetic core and it is uniform. A special resin that provided humidity and thermal protection covered the core and windings. This allowed for insertion of the exposing system inside the incubator to stabilize temperature and atmosphere. During calibration, a small loop (d ¼1 cm) (EMCO 7405-903B, EMC Hire, Bedfordshire, UK) was inserted into the gap and connected to a selective voltmeter (3581C Hewlett-Packard, Santa Clara, CA) to measure voltage, V induced by magnetic flux density, B. From induced voltage we can derive magnetic flux density amplitude value where f is frequency (50 Hz in the present study). B¼

2V p2 f d 2

The manufactured system is able to produce a magnetic flux density up to 30 mT for an applied current up to 1.5 A. During the test, the loop was Bioelectromagnetics

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removed and replaced by the cell culture flask for exposure. Since magnetic flux density is orthogonal to the flask, and it is uniform, induced electric field is maximum to flask periphery and linearly drops to zero at the center. For B ¼ 0.1 mT, maximum induced electric field is 0.157 mV/m in our experiments. Cell Culture and ELF-MF Exposure HuDe (human dermal fibroblasts) were purchased from the Istituto Zooprofilattico Sperimentale (Brescia, Italy) [Tiano et al., 2010]. Presence of a molecular clock was previously demonstrated in HuDe cell line [Manzella et al., 2013]. Under standard culture conditions, HuDe cells were grown in monolayer in Dulbecco’s modified Eagle’s medium (DMEM) (Gibco, Carlsbad, CA) supplemented with 10% heat-inactivated fetal bovine serum and 1% penicillin–streptomycin (Gibco). Two sets of experiments were performed to investigate involvement of ELF-MF exposure in modulation of clock gene expression. In vitro experiments were carried out using ELF-MF flux density of 0.1 mT at 50 Hz as this value represents current exposure limit for the general population in most European countries [Stam, 2011]. In the first set of experiments, HuDe cells were cultured with or without ELF-MF exposure. To this end, HuDe cells were plated out five days prior to the experiment and at confluence they were shifted to serum-free DMEM medium for 48 h. The experiment started (time zero) when cells were exposed to ELFMF (0.1 mT, 50 Hz) generated by the exposure unit positioned into a water-jacketed temperature and atmosphere regulated incubator (37.0  0.1 8C and 5% CO2) for 1 h, then treatment was interrupted and cells cultured without ELF-MF exposure and collected at regular intervals time (1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 16 h, 24 h, 28 h, 32 h, 36 h, 40 h, and 48 h from time zero). Control cells were sham-exposed in another incubator and subjected to the exact same procedures as experimental cells but without receiving any ELF-MF exposure. The control incubator consisted of an electric oven, where electric resistors on the walls produced an average of residual magnetic flux density of 5 mT. In the second set of experiments, the ability of ELF-MF exposure to alter gene oscillation previously entrained by serum shock stimulation was tested. The serum shock approach was a validated procedure used to induce clock gene expression [Balsalobre et al., 1998; Osland et al., 2011; Manzella et al., 2013]. Cells were starved for 48 h and then stimulated with a serum-rich medium (50% DMEM and 50% fetal bovine serum) for 2 h. Subsequently, after washing with DMEM (without serum), cells were cultured in serum-free DMEM under exposure to ELFBioelectromagnetics

MF (0.1 mT, 50 Hz), generated by the exposure unit positioned into a water-jacketed temperature and atmosphere regulated incubator (37.0  0.1 8C and 5% CO2) and harvested after 3 h, 4 h, 8 h, 12 h, 16 h, 24 h, 28 h, 32 h, 36 h, 40 h, and 48 h from start of serum shock. A second batch of fibroblasts were prepared as control for this experiment. These cells were shamexposed in another incubator and subjected to the exact same procedures as experimental cells but without ELF-MF exposure. In both experimental sets, cells were stored in the dark, only briefly exposed to visible light during experimental procedures, to avoid visible light influence. Each set of experiments was repeated three times. All experiments were performed in a blinded fashion by two independent investigators. Expression of Clock Genes Total RNA was extracted (OriGene, Rockville, MD) and checked for quantity and quality with Nanodrop 1000 spectrophotometer (Thermo Scientific, Wilmington, DE). The RNA was reverse transcribed in cDNA (Applied Biosystems, Foster City, CA), and real-time PCR was performed with Mastercycler ep Realplex (Eppendorf, Hamburg, Germany) using taqMan Gene Expression Master Mix (Applied Biosystems). Specific primer sets (BMAL1, PER2, PER3, CRY1, and CRY2) were obtained from IDT (Integrated DBA Technologies, Coralville, IA). To control variations of cDNA amount available for PCR in various samples, gene expression levels of the target sequences were normalized to the expression of glyceraldehyde-3-phosphate dehydrogenase (GAP DH). The Forward (F) and Reverse (R) primer sequence 5’-3’ were: F: CTGTTCATTTTATCCCGACGC and R: TCCACTGACTACCAAGAAAGC for BMAL1; F: TGTTCCACAGTTTCACCTCC and R: TGGTAGCGGATTTCATTCTCG for PER2; F: TGTGTTCTGAAGCGATAGTGG and R: GATGC CCTCAACTATGCTCTC for PER3; F: TTAATAGCTGCGTCGTTCC and R: TCCCGTCT GTTTGTGATTCG for CRY1; F: GTCATATTCAAA GGTCAAGCGG and R: CATGGTTCCTACTTCAGTCTCTG for CRY2; F: GGCCATCCACAGTC TTCTG and R: CAGCCTCAAGATCATCAGCAA for GAPDH. The fold change value was calculated for each time point. Three independent replicates were conducted for each run of Real-Time PCR. Statistical Analysis Results are presented as mean  SD. Twoway repeated measures analysis of variance (ANOVA) and Mann-Whitney test were performed according to

ELF-MF Modulates Clock Gene Expression

the number of group comparisons. Oscillation of gene expression was analyzed by cosinor analysis using Cosinor.exe v.2.3 (Roberto Refinetti, University of South Carolina, Salkehatchie, SC) [Refinetti et al., 2007]. Changes at the level of significance of P < 0.05 were assumed to be statistically significant. Statistical analysis was performed by SPSS software (SPSS, Chicago, IL). RESULTS ELF-MF Exposure Induces Clock Gene Expression Results showed that under starvation condition no significant oscillation of clock gene expression was found in sham-exposed samples (Fig. 2). A 1 h ELF-MF exposure induced a significant circadian variation of clock gene expression with a peak after 8 h and 32–36 h following treatment (repeated measures ANOVA analysis, P < 0.05) in 48 h observation period. All clock gene expression followed a similar curve of oscillation. Circadian cycle amplitudes decreased from the first to second cycle during observation period of 48 h. A robust 24 h oscillation of gene expression was found for ELF-MF exposed cells (cosinor analysis, P < 0.05; robustness > 90%). ELF-MF Exposure Alters Clock Gene Expression Entrained by Serum Shock Two-way ANOVA analysis revealed significant effects of time and ELF-MF treatment

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(P < 0.05) on gene expression. A significant variation of expression of clock genes examined (repeated measures ANOVA analysis, P < 0.05) was observed after serum shock approach (Fig. 3) in both sham-exposed and ELF-MF exposed cells compared to starved cells without an entrainment by serum shock. Amplitude of the circadian cycles decreased from the first to second cycle during the observation period of 48 h. In serum-shocked shamexposed cells, among positive regulatory components of circadian transcriptional complex, a peak in BMAL1 mRNA expression was observed at 8 h and 32 h; while in the negative arm of circadian complex, the peak of transcription was at 3 h (PER2, PER3, and CRY2), at 4 h (CRY1), at 24 h (PER3), and at 28 h (PER2,CRY1, CRY2). Exposure of 0.1 mT, 50 Hz ELF-MF did not alter oscillation observed in serum-shocked cells, but did result in a significant upregulation of the expression of BMAL1, PER2, PER3, CRY1, and CRY2 over time in cells previously entrained with serum (P < 0.05, Fig. 3). Results of cosinor analysis confirmed a significant 24 h cyclic component for all clock genes (P < 0.05). Cosinor analysis confirmed upregulation by ELF-MF of BMAL1, PER2, CRY1, and CRY2, as amplitude was significantly increased after ELFMF treatment compared to sham-exposed samples (P < 0.05). No difference was found in the mesor, acrophase and period values between ELF-MF and sham-exposed cells (Table 1).

Fig. 2. Profiles (24 h) of mRNA expression in ELF-MF exposed or sham-exposed cells. At t ¼ 0 h ELF-MF (0.1mT, 50 Hz) treatment was given; at t ¼1h, ELF-MF treatment was interrupted. Bioelectromagnetics

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Fig. 3. Profiles (24 h) of mRNA expression in ELF-MF exposed or sham-exposed cells, after serum shock stimulation. At t ¼ 0 h serum shock was given; at t ¼ 2 h, cells were exposed (hollow symbols), or sham-exposed (solid symbols) to ELF-MF (0.1mT, 50 Hz).

DISCUSSION Although a number of reports have been published regarding biological effects caused by ELFEMF (50/60 Hz) [IARC, 2002; Lagroye et al., 2011], there is still need for more basic research in this area in particular for ELF-EMF exposures at lower magnetic flux density, since knowledge of underlying molecular mechanisms will shed light on potential health risks. Recently, a role for ELF-MF exposure in altering circadian rhythmicity was proposed to explain interaction of ELF-MF with a number of biological processes [Vanderstraeten et al., 2012]. Kumlin et al. [2005] reported an exposure to 50Hz 0.1 mT ELF-MF seemed to cause a rhythm in the 6hydroxymelatonin sulfate excretion in mice by enhancing sensitivity of the pineal gland to circadian light rhythm. It was hypothesized that MF signal goes to the pineal gland through the eyes, then stimulates pineal cells so they are more receptive to signals from the biological clock. Potential involvement of ELF-MF on circadian gene expression can be further supported by evidence of the role of EMF in regulation of calcium fluxes and PKC enzyme, which are known as modulators of clock gene expression [Korzh-Sleptsova et al., 1995; Uckun et al., 1995; Dibirdik et al., 1998]. It was well demonstrated that clock genes play a pivotal role in many cell processes regulation and are not specifically expressed in suprachiasmatic nucleus but are widely Bioelectromagnetics

distributed [Welsh et al., 1995; Albrecht et al., 1997; Oishi et al., 1998; Balsalobre et al., 1998; Manzella et al., 2013]. In this study, we investigated whether ELFMF exposure at 0.1 mT and 50 Hz was capable of influencing clock gene expression in a fibroblast cell line (HuDe). To do so, we first investigated the effect of 1 h ELF-MF exposure on clock gene expression. Compared to sham-exposed cells, ELF-MF exposed cells showed a significant variation in clock gene expression during the 48 h observation period. Circadian cycle amplitude decreased from the first to second cycle during observation period of 48 h. It is likely, that ELF-MF induced clock gene expression could be attenuated because of a gradual loss of entraining effect mediated by ELF-MF. Next, we investigated the ability of ELFMF exposure to alter gene oscillation previously entrained by serum shock stimulation. Our findings demonstrated that ELF-MF exposure altered serum shock-induced clock gene expression with significant effects on the increase of amplitude of circadian oscillation. No effect of ELF-MF exposure on acrophase value was observed in our study; however, ELFMF stimulation in a phase of gene clock oscillation different from start of entrainment by serum shock (i.e., in nadir of clock gene expression curve) could also result in an alteration of acrophase value. Circadian rhythms regulate various biological processes, and life itself, on several levels of its organ-

8.3  0.1 4.6  0.6 1.3  0.6 5.6  0.3 3.0  0.6 2.5  0.5 1.7  0.6 1.5  0.5 2.0  0.6 1.4  0.4 2.6  0.5 1.7  0.2* 1.1  0.3* 1.8  0.3* 1.3  0.3* 1.7  0.4 1.1  0.3 0.7  0.2 1.2  0.3 0.9  0.2

1.8  0.6 1.3  0.4 1.2  0.4 1.5  0.5 1.1  0.3

8.3  0.1 4.2  1.3 1.5  0.5 5.1  0.5 2.5  0.9 P < 0.05 (ELF-MF exposure VS. sham exposure)

24.2  0.3 24.4  0.3 24.1  1.5 24.7  0.3 25.0  0.8 24.2  0.2 24.3  0.8 24.5  0.6 24.8  0.2 25.2  0.5 BMAL1 PER2 PER3 CRY1 CRY2

*

ELF-MF exposure Sham exposure ELF-MF exposure Sham exposure

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ization: subcellular and cellular (cell cycle, transcription factors’ activity oscillations), tissue and organ (oscillations in electrical activity of the brain, heartbeats), and organism (circadian rhythms) [Zaporozhan and Ponomarenko, 2010]. A large body of evidence has revealed that deregulation of clock genes is a crucial endogenous factor contributing to disease development [Schernhammer et al., 2001; Reppert and Weaver, 2002; Filipski et al., 2002; Fu et al., 2002; Takahashi et al., 2008; Zieker et al., 2010]. Recent studies demonstrated relationships between disturbance of rhythms in clock gene expression and development of diseases such as obesity, hypertension, type 2 diabetes, coronary heart disease, as well as cancer development [Tahira et al., 2011; Delezie and Challet, 2011; Evans and Davidson, 2013; Kelleher et al., 2014; Zhao et al., 2014]. Our findings evidenced that 50 Hz ELF-MF at 0.1 mT acted not only as a trigger in modulating expression of clock genes, but also altered oscillation of gene expression previously triggered by another synchronizer. These results indicate influence of ELFMF (0.1 mT, 50 Hz) on circadian clock gene expression according to in vitro evidence of the bioregulatory capabilities of ELF-MF reported in other studies [Czyz et al., 2004; Frahm et al., 2006; Mannerling et al., 2010; Markkanen et al., 2010; Luukkonen et al., 2011; Cocek et al., 2012; Luukkonen et al., 2014]. Therefore, it is our speculation that ELFMF may be able to affect circadian rhythmicity of many physiologic processes through a modulation in circadian clock gene expression. This in vitro study supports the hypothesis that the circadian clock pathway may act as a mediator between living beings and their physical environment.

*

ELF-MF exposure Sham exposure ELF-MF exposure Sham exposure

Acrophase (h) Mesor Amplitude Period (h)

TABLE 1. Results of Cosinor Analysis of mRNA Expression Profiles in Cells Entrained by Serum Shock Stimulation. Cells Were Exposed or Sham-Exposed to ELF-MF (0.1 mT, 50 Hz).

ELF-MF Modulates Clock Gene Expression

ACKNOWLEDGEMENT The authors thank Professor Valter Mariani Primiani for his contribution in technical equipment and Mrs. Megan Conner for her revision of the English language. REFERENCES Albrecht U, Sun ZS, Eichele G, Lee CC. 1997. A differential response of two putative mammalian circadian regulators, mper1 and mper2, to light. Cell 91:1055–1064. Artacho-Cordon F, Salinas-Asensio Mdel M, Calvente I, RıosArrabal S, Roman-Marinetto E, Olea N, Nu~nez MI. 2013. Could radiotherapy effectiveness be enhanced by electromagnetic field treatment? Int J Mol Sci 14: 14974–14995. Bioelectromagnetics

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Bioelectromagnetics

Circadian gene expression and extremely low-frequency magnetic fields: an in vitro study.

It is well known that circadian clocks are mainly regulated by light targeting signaling pathways in the hypothalamic suprachiasmatic nucleus. However...
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