Abstract
Introduction

In addition to group transfer reactions, compartmentation is also a fundamental phenomenon in cell biology. Organelles in the eukaryotic cell and other smaller structures, such as transport vesicles, form cellular compartments that are separated from the cytosol by a phospholipid membrane. Compartmentation enables the cell to separate simultaneously operating metabolic pathways and enhance the efficacy of metabolic activities. Compartments can be characterized by their specific proteomes and metabolomes; the local pH, ionic milieu, and redox conditions can also differ between compartments. A compartment-specific microenvironment is usually required for the optimal functioning of local pathways.
The redox environment of a compartment can be characterized by the composition, concentration, and redox state of its electron carriers. Multiple factors determine the concentration and redox state of an electron carrier in a given compartment (Fig. 2). The carrier molecules are usually synthesized in only one or two compartments: glutathione in the cytosol (30), electron-carrying nucleotides in the cytosol and the mitochondrial matrix (9,43), or ascorbate in the ER (6). The concentration of a carrier molecule depends mainly on its synthesis in its parent compartment(s), whereas its concentration is regulated primarily by membrane transport in the other subcellular compartments. Degradation and further metabolism of a carrier molecule can also modify the local concentration. The redox state of the electron carrier in a given compartment is basically defined by the local oxidoreductases that use the carrier as a cofactor or coenzyme. Connections or disconnections in the electron transfer chain toward oxygen also influence the redox state of each carrier. Finally, selective membrane transport (uptake or release) of the reduced or oxidized form of the carrier can also greatly affect the redox state (Fig. 2).

The lumen of the ER contains important electron carriers. A comprehensive review on the role of electron carriers in ER-related functions and cellular pathophysiology has been published recently (13). The aim of the present review is to outline the connections and disconnections (spatial or kinetic) between the three major electron carriers of the ER: glutathione, pyridine nucleotides, and ascorbic acid.
Glutathione, the Main Redox Buffer of the ER Lumen
Disulfide bond formation in secretory and membrane proteins during oxidative protein folding is one of the most important functions of the ER. This process is catalyzed by a proteinaceous electron relay system in which oxidoreductases, protein disulfide isomerase (PDI), and ER oxidoreductin 1 (Ero1) isozymes are the key players, and oxygen is the ultimate electron acceptor (for a recent review see ref. 16; Fig. 3). Thus, the redox conditions of the thiol-disulfide redox system are considered to be a substantial factor of homeostasis in the ER lumen and have been the focus of much investigation. The potential interference of nonprotein thiols/disulfides with the oxidation and reduction of protein thiols in the ER lumen underscores the importance of the tight regulation of the ER redox system because changes in either direction would drastically interfere with ER functions.

Similar to other cellular compartments, the major redox buffer of the ER lumen is the glutathione disulfide (GSSG)/glutathione (GSH) couple. Although total glutathione concentration in the ER lumen and cytosol is presumably alike (in the millimolar range), the state of this redox system is strikingly different when comparing the two sides of the ER membrane. The ratio of [GSSG] to [GSH] is approximately 1:1–1:3 in the ER and the whole secretory pathway (22), whereas the cytosolic ratio is approximately 3000-fold lower (21). These ratios show the very efficient compartmentation of GSSG in the ER. Consequently, the ER lumen can be regarded as an oxidative environment, or more exactly, an environment that is more oxidizing than the cytosol.
Because glutathione synthesis has not been reported in the ER, the luminal glutathione pool must be derived from the cytosol. The preferential uptake of GSSG was suggested to be responsible for the peculiar intraluminal milieu and to provide the oxidizing power for disulfide bond formation in secretory proteins (22). However, as later demonstrated, GSH rather than GSSG can cross the ER membrane, suggesting that intraluminal GSSG accumulation is due to GSSG formation by local oxidative processes and the slow release of the compound (7). Thus, glutathione shares the fate of the substrate proteins of oxidative folding: these proteins also enter the ER lumen with cysteine thiols and exit with disulfides. As originally proposed (14), glutathione and protein thiols compete for oxidizing power during disulfide bond formation. Numerous connections exist between glutathione and the protein thiols/disulfides of substrate proteins and oxidoreductases of oxidative folding based on the thiol-disulfide exchange (Fig. 3). However, uncontrolled redox reactions between glutathione and the substrate proteins of oxidative folding are inconsistent with effective disulfide bond generation and prevented by steric and kinetic barriers.
The ER membrane represents the most important barrier between GSH and the thiols/disulfides of ER luminal proteins. Accumulation of luminal GSSG and the facilitated, bidirectional diffusion of GSH (7) clearly show that the ER membrane constitutes a selective checkpoint, even for small molecules. Although the molecular background of GSH transport is unknown, its regulation seems to be an important factor in the regulation of ER redox homeostasis. Several observations indicate increased GSH permeability during ER stress due to various mechanisms (35,38). The components of the oxidative folding pathway become hyperoxidized in the absence of cytosolic GSH in plasma membrane–permeabilized cells, whereas the addition of GSH restores normal disulfide formation by allowing disulfide isomerization (39). Thus, the presence of the cytosolic GSH pool and the transport of GSH are indispensable for proper oxidative folding. In agreement with this finding, the removal of the agent causing oxidative stress resulted in the immediate reduction of ER oxidoreductases, for example, ERp57. The reductive force was derived from the cytosol in the form of GSH (23). A shift in the luminal redox potential toward reduction was reported in cells subjected to conditions of ER stress, including experimental and physiological stressors, using fluorescent protein reporters in yeast (38).
In addition to GSH, GSSG can also engage in thiol-disulfide exchange reactions with substrate proteins in the ER, although these reactions are kinetically unfavorable. In vitro experiments showed that supplementation with an adjusted glutathione redox buffer facilitated the refolding of disulfide-bonded proteins, even in the absence of oxidoreductases (24). However, the rate of the nonenzymatic reaction was low, and dramatically increased in the presence of CXXC motif–containing oxidoreductases, such as PDI (57). Thus, the contribution of the nonenzymatic reactions to the total performance of oxidative folding is presumably negligible in a compartment that is well equipped with the proper oxidoreductases.
The rate of GSH oxidation was shown to correlate with Ero1p activity in yeast: regeneration of GSSG was hindered by Ero1p deficiency but enhanced by Ero1p overexpression after dithiothreitol treatment compared with wild-type cells (14). However, in vitro experiments suggest that GSH is a poor substrate for Ero1 (54). These results suggest an indirect link between GSH oxidation and Ero1 activity that can reflect a pathway via PDI or reactive oxygen species (ROS).
Indeed, recent observations show that PDI is the central player not only in the electron relay system of oxidative folding but also in the oxidation/reduction of the luminal glutathione pool (Fig. 3). GSSG-dependent PDI oxidation has been demonstrated in Ero1-deficient cells as a possible alternative pathway for disulfide bond generation (2). In vitro observations confirmed these results, showing a GSSG-dependent oxidation of human PDI and yeast Pdi1p (26). PDI also plays a central role in oxidative folding operated by ROS. Hydrogen peroxide (H2O2), generated as a byproduct of Ero1 or other hypothetical ER flavoproteins, is able to oxidize PDI through peroxiredoxin 4 or PDI peroxidases glutathione peroxidase 7 and 8 (59,53,42). Elevated levels of high-molecular-weight IgM polymers were observed in peroxiredoxin 4–deficient cells; these levels were attributed to the H2O2-dependent oxidation of abundant substrate proteins (10). H2O2 can also sustain native disulfide formation in the absence of peroxidases, as demonstrated in vitro using bovine pancreatic trypsin inhibitor as a model substrate (24).
These recent findings strongly suggest that the high [GSSG]/[GSH] ratio in the ER is due to local oxidase activities involved in protein thiol oxidation; the oxidative luminal environment is the consequence of oxidative protein folding. However, effective alternative pathways help canalize the oxidizing power of H2O2 and GSSG into oxidative folding. Spatial and kinetic barriers hamper the capacity of GSSG to use its oxidizing potential beyond oxidative folding. Hence, the connection (or disconnection) of the GSH/GSSG redox couple with other luminal electron carriers represents an important aspect of ER redox homeostasis.
Pyridine Nucleotides
NAD(H) and its phosphorylated derivative, NADP(H), are the major water-soluble electron carriers in metabolism (see ref. 46 and references therein). These pyridine nucleotides are presumably present in all subcellular compartments of the eukaryotic cell. The steps of pyridine nucleotide biosynthesis are localized in the cytosol and the mitochondria (43); the origin of the pyridine nucleotide pool in other compartments, such as the peroxisomes and secretory pathway, is enigmatic. NAD+ is loaded with electrons by many dehydrogenases participating in the central catabolic pathways of carbohydrate and lipid metabolism, whereas only a few dehydrogenases (glucose-6-phosphate dehydrogenase, 6-phosphogluconate dehydrogenase, malic enzyme, and cytosolic isocitrate dehydrogenase) use NADP+ specifically as an electron acceptor in the cytosol. NADH principally delivers electrons to the mitochondrial respiratory chain, whereas NADPH provides reducing power for biosynthesis, biotransformation, and antioxidant defense.
The total cellular concentration of pyridine nucleotides is in the submillimolar range; the majority of the pool is present in protein-bound form. The intracellular concentration of NAD+ plus NADH is higher than that of NADP+ plus NADPH. Moreover, the cytosolic redox state is also different: the NADP+/NADPH pool is predominantly in the reduced state, which guarantees the constant maintenance of the antioxidant milieu. In contrast, the cytosolic (and mitochondrial) NAD+/NADH system is overwhelmingly present in the oxidized state.
The lumen of the ER contains pyridine nucleotide-dependent enzymes (5), hexose-6-phosphate dehydrogenase (H6PD) and 11β-hydroxysteroid dehydrogenase type 1 (11βHSD1). However, data are sparse on the concentration and composition of the ER luminal pyridine nucleotide pool. Because tools are not available for the separate detection of NAD+/NADH or NADP+/NADPH in vivo or in cellular systems, the present data have been collected from microsomal fractions using enzymatic methods. Unfortunately, an unequivocal conclusion cannot be drawn from these conflicting results with respect to the composition, the concentration, or the redox state of the luminal pyridine nucleotides (11, 25).
However, the redox conditions of the pyridine nucleotide pool of the ER can be studied indirectly through the activity of the prereceptorial glucocorticoid activating machinery. The intraluminal oxidoreductase 11βHSD1 activates glucocorticoid precursors by reduction, and its activity is a major determinant of the local glucocorticoid hormone levels (17). The reaction catalyzed by 11βHSD1 is reversible; the actual direction is largely dependent on the redox state of the NADPH/NADP+ system (18). In fact, the physiological direction of the process is the strongest indirect evidence for a high ER luminal [NADPH]/[NADP+] ratio, which has not yet been directly determined.
The high ER luminal [NADPH]/[NADP+] ratio is generated and maintained by luminal NADP+-dependent dehydrogenases. H6PD is the most important NADPH-generating enzyme in the lumen and has been shown to have a tight functional (3,5,28) and physical (4) connection with 11βHSD1 (Fig. 4). The low KM of the enzyme toward glucose-6-phosphate ensures that H6PD is active at low substrate concentrations and in the presence of the competing luminal glucose-6-phosphatase, which is a high-capacity but low-affinity enzyme (55). The absence of NADPH-dependent feedback inhibition guarantees that H6PD can generate a very high [NADPH]/[NADP+] ratio (50 and references therein). The role of other NADP+-dependent dehydrogenases present in the lumen, such as isocitrate dehydrogenase (33) and malic enzyme (56), in redox homeostasis of the ER lumen has not been clarified. In addition to 11βHSD1, other NADPH-consuming enzymes may be present in the ER lumen, such as Ncb5or [NAD(P)H cytochrome b5 oxidoreductase], that presumably transfer electrons from NADPH to the Δ9 fatty acid desaturase system (27) and ER flavoprotein associated with degradation, a putative component of ER-associated degradation (ERAD) (48). However, the luminal presence of Ncb5or has not been proven unequivocally. Moreover, some members of the short-chain dehydrogenase/reductase family and certain cytochrome P450 isozymes have a luminal orientation, suggesting that these enzymes might utilize luminal NADPH (Fig. 4). Other enzymes embedded in the ER membrane (NADPH oxidase 4, most cytochrome P450 isozymes) that use cytosolic NADPH as a cofactor may also oxidize luminal NADPH via ROS generation. Indeed, H2O2 is able to deplete ER NADPH in vivo and in vitro (Margittai et al., unpublished observation).

Because the ER membrane is hardly permeable to pyridine nucleotides (45), luminal oxidoreductase enzymes must use an NADP(H) pool that is functionally separate from the cytosolic pool. The NADPH/NADP+ redox pair is tightly coupled to the GSH/GSSG and ascorbate/dehydroascorbate (DHA) systems in the cytosol. GSSG is mainly reduced by the NADPH-dependent enzyme glutathione reductase (GR), whereas DHA can be reduced by NADPH- (15) or GSH-dependent (31) reductases. NADPH-dependent DHA reductase has not been observed in the ER, and GR has been absent from rat liver microsomes (45), suggesting that the pyridine nucleotide redox system is separated from the GSH/GSSG couple in the ER lumen. The separation of the two redox systems is further supported by the following observations: the addition of GSH or GSSG does not influence the redox state of pyridine nucleotides in liver microsomes (45), and reduced or oxidized pyridine nucleotides are unable to affect the redox state of microsomal thiols (45) or influence oxidative protein folding (36).
Nevertheless, some observations suggest that indirect connections might exist between the GSH/GSSG and the NADPH/NADP+ systems in the ER. Deletion of H6PD activates the unfolded protein response pathway and induces skeletal myopathy in mice (29). Silencing of the enzyme provokes ER stress-dependent autophagy in HepG2 cells (51). These findings may indicate the perturbation of oxidative folding, which is the prototypic cause of ER stress and the unfolded protein response. However, recent studies clearly show that altered lipid metabolism in obesity can also cause ER stress in the liver by disrupting calcium homeostasis (19). Because pyridine nucleotides play an essential role in the metabolism of lipids, NADPH depletion might also lead to ER stress without affecting oxidative folding.
Other possible connections between the two redox systems include the competition between NADPH and thiols for H2O2 detoxification and the putative involvement of NADPH in disulfide bond reduction during the ERAD; however, these possibilities lack experimental verification.
Ascorbate and Dehydroascorbic Acid
Among water-soluble electron carriers, ascorbate has the most intimate relationship with the ER; the last step of its synthesis is catalyzed by the ER membrane-bound flavoprotein gulonolactone oxidase (GLO) in the hepatocytes of most animals (see ref. 6 and references therein). Interestingly, in humans and a few animal species, GLO is inactive due to a mutation in its active site; thus, these species need to ingest vitamin C (ascorbate) in their diet. Prediction of membrane topology and indirect experimental evidence show that the active site of GLO is located in the ER lumen; consequently, de novo synthesized ascorbate first appears in the lumen of the hepatic ER, which presumably results in high local ascorbate concentration. Moreover, H2O2, the byproduct of the reaction, is also produced in the lumen, contributing to the oxidation of GSH and, consequently, the oxidative character of the compartment (47). Although ascorbate synthesis is limited to the ER of hepatocytes, ascorbate can enter the ER lumen in other cells as well. Microsomal transport activity specific to oxidized ascorbate (dehydroascorbic acid) has been described (8); this transporter can ensure dehydroascorbic acid (and consequently ascorbate) supply for the ER lumen in cells devoid of GLO. This transporter has not been identified at the molecular level; its features suggest that it belongs to the family of GLUT transporters. However, data are not available on the luminal concentration and redox state of ascorbate in hepatocytes or other cells not expressing GLO. The rapid, spontaneous decomposition of dehydroascorbic acid at a neutral pH suggests that the concentration of ascorbate significantly surpasses that of dehydroascorbic acid.
Ascorbate and dehydroascorbic acid, an excellent electron donor and acceptor, respectively, maintain vital functions in the ER lumen. Ascorbate-utilizing reactions, such as the detoxification of ROS and redox reactions using ascorbate as a cofactor, take advantage of the susceptibility of ascorbate to oxidation. These reactions yield semidehydroascorbic acid radical and/or dehydroascorbic acid (Fig. 1). Ascorbate acts as an antioxidant in the lumen, similar to other compartments of the cell. Moreover, ascorbate is a cofactor for hydroxylases (prolyl- and lysyl-hydroxylases; ref. 40) participating in the posttranslational modification of extracellular matrix proteins.
A close and unidirectional connection exists between the ascorbate/DHA and thiol/disulfide redox systems (Fig. 5). Whereas dehydroascorbic acid is known as a thiol oxidant, GSSG does not oxidize ascorbate. Dehydroascorbic acid can accept electrons from various components of the oxidative folding system, such as glutathione (37), substrate proteins (49), and PDI (41,58), via nonenzymatic reactions. These reactions suggest that dehydroascorbic acid might be involved in the electron transfer chain responsible for oxidative protein folding.

The oxidant behavior of dehydroascorbic acid, together with its uptake into the ER lumen and the presence of microsomal ascorbate oxidase activity (52), suggests a model of an alternative electron transfer chain that contributes to oxidative protein folding (Fig. 5). The addition of gulonolactone, ascorbate, or dehydroascorbic acid was shown to enhance oxidation of protein thiols in rat liver microsomes (12). The physiological role of ascorbate in oxidative protein folding was supported by the observation that ascorbate deficiency (scurvy) causes ER stress and apoptosis in the liver of guinea pigs (32). ER stress was elicited as a consequence of defective dehydroascorbic acid–mediated oxidation rather than the absence of the antioxidant ascorbate. Nevertheless, the indirect effects of scurvy on ER function or defects in collagen hydroxylation contributing to the development of ER stress cannot be ruled out. The relative contribution of the ascorbate/DHA redox system to oxidative folding cannot be estimated based on available experimental evidence.
Only sparse data are available on the connection of the ascorbate/dehydroascorbic acid redox couple with other electron carriers of the ER. NADPH-dependent dehydroascorbic acid reductases that are present in the cytosol (15) have not been reported in the ER.
Concluding Remarks
The special functions of the luminal compartment of the ER are supported by peculiar redox conditions. The membranous barrier between the cytosol and the lumen allows the maintenance of separate redox environments. Whereas the luminal pyridine nucleotide pool appears to be completely isolated, the reduced or oxidized form of other electron carriers, GSH and dehydroascorbic acid, can be transported by bidirectional facilitated diffusion. Both uptake processes can contribute to the functioning of oxidative protein folding; GSH allows isomerization of disulfide bonds, whereas dehydroascorbic acid acts as a thiol oxidant.
In addition to compartmentation, functional barriers also limit crosstalk between the redox systems in the ER. Whereas in other compartments the carriers form a continuous electron transfer chain, the luminal chain in the ER is broken due to the missing GR. This uncoupling preserves the biochemical basis of two vital processes in the ER, oxidative protein folding and (reductive) prereceptorial glucocorticoid activation, by allowing the peaceful coexistence of redox couples in antagonistic states. Due to the uncoupling between the two systems (Fig. 6), the redox-active compounds of the lumen form a bicentral network around PDI and pyridine nucleotides.

The third center of the ER redox network is composed of ROS (Fig. 6). Detoxification of ROS is a common task of the two separate redox systems. The abundance of potential ROS-generating enzymes and poor representation of antioxidant enzymes in the ER can lead to the accumulation of oxidative power in the lumen, which can be directed toward oxidative folding via multiple mechanisms in a stochastic way (34). Peroxiredoxin 4, PDI peroxidases, and the ascorbate-DHA redox couple can effectively recycle the oxidizing power of H2O2 into oxidative folding via PDI family members. Eventually, cysteinyl thiols of the newly synthesized luminal proteins supply the reducing power for the antioxidant defense of the compartment. The multiplicity, redundancy, and interchangeability of oxidizing agents ensure that oxidative folding can continue without fatal disturbances even in the absence of certain oxidants.
Whereas membranous and functional barriers are crucial to separate and maintain the special luminal redox environment, close interactions with other cellular compartments could allow the exchange of redox-active components. From this perspective, the recently described functional/morphological contact site between the ER and the mitochondria, the mitochondria-associated membrane (MAM), could have an essential impact on ER redox. This specialized membrane domain is enriched in transporters and channels involved in calcium signaling (44) and has several components of the oxidative folding machinery. Ero1α was located in the MAM and showed a redox-dependent migration between the ER and the MAM fraction (20). The vicinity of Ero1α to mitochondria is reasonable in terms of its regulatory effects on Ca2+ homeostasis (1) and its need for an FAD prosthetic group synthesized in the mitochondria (9). These connections can also facilitate the transfer of redox-active compounds (e.g., FAD and ROS) between the two organelles.
Our knowledge of ER redox homeostasis has been restricted to the thiol-disulfide redox system and its relation to oxidative folding. The appropriate tools needed to investigate the other redox systems of the ER are missing. The development of ER-targeted redox sensors specific to pyridine nucleotides, ascorbate, or ROS is indispensable for mapping the ER redoxome and understanding the redox connections and their role in the regulation of ER-resident pathways. The elucidation of redox-driven ER stress mechanisms, involving or omitting the unfolded protein response, will provide further insight into the pathomechanism of ER stress–related diseases.
Footnotes
Acknowledgments
This work was supported by the Hungarian Scientific Research Fund (OTKA NN 78300 and 75275); by the János Bolyai Research Scholarship of the Hungarian Academy of Sciences (to M.Cs., A.Sz., and É.M.); by the Ministry of Health, Hungary (ETT 037 and 116/2009); and by the New Széchenyi Plan (Project ID: TÁMOP-4.2.1/B-09/1/KMR-2010-0002 and TÁMOP-4.2.1./B-09/1/KMR-2010-0001). This work is also connected to the scientific program of the “Development of quality-oriented and harmonized R+D+I strategy and functional model at BME” project.
Author Disclosure Statement
No competing financial interests exist.
