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Endocrinology Vol. 138, No. 10 4373-4383
Copyright © 1997 by The Endocrine Society


ARTICLES

Synergistic Antiproliferative Actions of Cyclic Adenosine 3',5'-Monophosphate, Interleukin-1ß, and Activators of Ca2+/Calmodulin-Dependent Protein Kinase in Primary Hepatocytes1

Gunnar Mellgren, Torunn Bruland2, Anne Paulus Døskeland, Torgeir Flatmark, Olav Karsten Vintermyr and Stein Ove Døskeland

Departments of Anatomy and Cell Biology (G.M., T.B., O.K.V., S.O.D.) and Biochemistry and Molecular Biology (A.P.D., T.F.), University of Bergen, N-5009 Bergen, Norway

Address all correspondence and requests for reprints to: Dr. Stein Ove Døskeland, Department of Anatomy and Cell Biology, University of Bergen, Årstadveien 19, N-5009 Bergen, Norway. E-mail: stein.doskeland{at}med.uib.no


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
cAMP and Ca2+ acted together with the acute phase cytokine interleukin-1ß (IL-1ß) to inhibit hepatocyte DNA replication. At sub-basal activity of cAMP-dependent protein kinase (PKA), neither IL-1ß nor the Ca2+-elevating hormone vasopressin affected hepatocyte proliferation. Basal level of PKA activity permitted IL-1ß action. Increased PKA activity also permitted vasopressin action and sensitized further towards IL-1ß, which acted at 10–50 pM concentrations. Vasopressin acted via Ca2+/calmodulin-dependent protein kinase II (CaMKII), and its action was mimicked by the serine/threonine phosphatase inhibitor microcystin, which activates CaMKII. Inhibitors (KN93 and KT5926) of CaMKII selectively counteracted the effects of vasopressin and microcystin on hepatocyte proliferation at concentrations similar to those required to inhibit CaMKII in vitro. Two-dimensional gel electrophoresis of 32P-prelabeled hepatocytes revealed a common set of proteins phosphorylated in response to vasopressin and microcystin. Their phosphorylation was counteracted by CaMKII inhibitor (KT5926). Phosphorylation of the CaMKII substrate phenylalanine hydroxylase (PAH; EC 1.14.16.1) was used as an endogenous marker of CaMKII activation. It was found that treatment of the cells with vasopressin or microcystin increased the phosphorylation of PAH, and that the vasopressin-induced PAH phosphorylation was inhibited by KT5926. In conclusion, the Ca2+-elevating hormone vasopressin potentiated the antiproliferative effects of cAMP and IL-1ß through CaMKII activation.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
THE BASIC machinery for the regulation of cell multiplication is beginning to be elucidated (see Ref. 1 for review), but less is known about the interplay among various signaling pathways in the regulation of cell proliferation. The present study focuses on the tuning of the antiproliferative action of cAMP in hepatocytes, a major aim being to understand more about the interaction between physiologically relevant factors deciding the rate of hepatocyte proliferation. A number of modulators of hepatocyte growth in vivo and in vitro have been identified, including the second messengers cAMP and Ca2+ and cytokines. The relative importance of each factor remains poorly understood, and the interactions between them are little studied (see Refs. 2 and 3 for review).

The intracellular messenger cAMP has been reported to be a positive (4, 5) or negative (6, 7, 8) regulator of growth depending on the cell type. In epidermal growth factor (EGF)-stimulated primary cultured hepatocytes, an increment of cAMP induces a swift inhibition of the G1/S transition (9, 10) followed by a prolonged stimulation of cell proliferation (11, 12). In the prereplicative phase of liver regeneration, there is a burst of cAMP-dependent protein kinase (PKA) activation that is partly down-regulated during the phase of active regeneration (13). However, the role of cAMP during liver regeneration is still enigmatic.

Intracellular Ca2+ can affect cell growth (14), but little is known about the molecular mechanisms by which Ca2+ and calmodulin regulate cell proliferation (15). In the regenerating liver, there is an early increase in calmodulin synthesis (16), which may be induced by cAMP (17). Vasopressin increases cytosolic Ca2+ and activates the Ca2+/calmodulin-dependent protein kinase II (CaMKII) in isolated rat hepatocytes (18, 19). Vasopressin has been reported to modulate hepatocyte DNA replication in culture (20, 21, 22) and during liver regeneration (23).

We have previously found that the glucocorticoid, dexamethasone, sensitizes hepatocytes toward growth inhibition by cAMP (9, 24), and we wanted to know whether this represented a general pattern of synergy between stress mediators. Therefore, the relation was studied between the acute phase cytokine interleukin-1ß (IL-1ß) and the acute metabolic stress-induced messengers cAMP and Ca2+ with respect to modulation of hepatocyte proliferation. IL-1ß is one of several cytokines that has been reported to have a regulatory role in hepatocyte proliferation (25). Several signal transduction pathways have been reported to be involved in IL-1ß signaling (see Ref. 26 for review). In some cell lines, IL-1ß has been shown to increase endogenous cAMP (27). The links between cAMP and IL-1ß signaling transduction have been debated, and there are obvious differences among various cell types (28, 29). Recently, we reported that IL-1ß restricted hepatocyte DNA replication (30). The inhibition of DNA replication was counteracted by cAMP antagonists [Rp-8-bromo(Br)-cAMPS/Rp-8-chloro-cAMPS] or by microinjection of a cAMP-subresponsive regulatory subunit, suggesting that PKA has a permissive effect on the action of IL-1ß in hepatocytes.

The present study has obtained novel clues for growth modulatory mechanisms, particularly regarding the role of CaMKII. Activation of CaMKII by vasopressin (or microcystin) potentiated the inhibition of hepatocyte proliferation induced by cAMP or IL-1ß. The effect of IL-1ß on hepatocyte growth was not caused by an increase in the cAMP level or in PKA activity. CaMKII was activated by the microbial serine/threonine phosphatase inhibitor microcystin, based on phosphorylation of phenylalanine hydroxylase (PAH; EC 1.14.16.1), which is an endogenous marker of CaMKII activation (19, 31). The potencies of the CaMKII inhibitors KN93 (32) and KT5926 (33) were compared with respect to modulation of intact hepatocyte proliferation and the activity of isolated CaMKII, assayed under near-physiological conditions.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Materials
[3H]cAMP, [{gamma}-32P] ATP (3000 Ci/mmol), [3H]thymidine (40–60 Ci/mmol), and [32P]orthophosphate (10 mCi/ml) were obtained from Amersham (Little Chalfont, UK). IL-1ß (human; 100,000 U) was purchased from Boehringer Mannheim (Mannheim, Germany). Arginine-vasopressin (grade VI), cyclic N6-benzoyladenosine 3',5'-monophosphate (N6-benzoyl-cAMP), dexamethasone, the phosphate acceptor heptapeptide (kemptide; Leu-Arg-Arg-Ala-Ser-Leu-Gly), collagenase (type C-0130), and EGF were all obtained from Sigma Chemical Co. (St. Louis, MO). (Rp)-8-bromoadenosine cyclic 3':5'-phosphorothioate was purchased from Biolog Life Science Institute (Bremen, Germany). Microcystin-LR, N-(6-aminohexyl)-5-chloro-1-naphthalene sulfonamide (W7), and N-[2-(methylamino)-ethyl]-5-iso-quinolone-sulfonamide (H-8) were obtained from Calbiochem (La Jolla, CA). Okadaic acid was purchased from LC Services Corp. (Woburn, MA). Phenylalanine hydroxylase was purified from rat liver as described previously (19). KT5926 was obtained from Kamiya Biomedical Co. (Thousand Oaks, CA), and KN93 was purchased from Seikagaku America (Rockville, MD).

Procedure of cultivation
Rat liver hepatocytes were isolated from male Wistar rats (150–250 g) by in vitro collagenase perfusion and processed for primary in vitro culture as described previously (9). The cells were grown on collagen gel in culture dishes at densities of 30,000 cells/cm2. The cells were cultured in a synthetic serum-free medium (hepatocyte-selective medium) (12).

Determination of labeling index
The labeling index was determined after the addition of [3H]thymidine (1.5 µCi/dish) and fixation in glutaraldehyde 1–2 h later, as indicated in the figure legends. The dishes were processed for autoradiography, and the fraction of labeled cells was determined in separate microscopic fields (each of 0.1 mm2, with an average cell density of 31–60 nuclei/field) from representative areas of the culture wells.

Determination of cAMP, the catalytic subunit of cAMP-dependent kinase, and protein
For determination of cellular cAMP, the incubation medium was quickly decanted and replaced with 1.5 ml ice-cold 5% (wt/vol) aqueous trichloroacetic acid-0.1 M HCl. cAMP was measured by a competitive binding assay (13).

The amount of catalytic subunit was determined by assaying its phosphotransferase activity (13). The kinase activity was linear with respect to the concentration of extract and the time of incubation. The kinase activity is expressed as nanomoles of phosphate incorporated into kemptide per min. Protein was determined as described previously (12).

CaMKII assay
The phosphotransferase activity of isolated CaMKII was assayed at 30 C for 3–6 min in 45- to 60-µl reactions containing 15 mM HEPES (pH 7.2) with 20 µM phosphoacceptor peptide (syntide-2), 10 µg/ml calmodulin, 100 mM KCl, 10 mM MgCl2, 1 mM CaCl2, 2.0 mM [{gamma}-32P]ATP, and 0.5 mg/ml BSA. The reaction was started by the addition of CaMKII, and the kinase inhibitors were added immediately before CaMKII. The concentrations of kinase inhibitors (KT5926 or KN93) are described in the text. The amount of phosphate incorporated into substrate was determined by spotting aliquots of the incubate on a phosphocellulose strip.

Two-dimensional gel electrophoresis and autoradiographic analysis of phosphoproteins
After 44 h of culture, hepatocytes were shifted to a phosphate-free medium and labeled with 32P (0.1 mCi/dish) for a period of 1 h (final activity, 375 µCi/3 x 105 cells) before treatment with vasopressin or glucagon for 0.5 h. The incubation was terminated by removing the medium and quickly washing the monolayers in conditioned medium before the addition of lysis buffer [9.8 M urea, 100 mM dithioerythritol, 1.5% Pharmalyte (pH 3.5–10), 0.5% Pharmalyte (pH 5–6), 4% 3-((3-cholamidopropyl)dimethylammonio)-1-propane-sulfonate (CHAPS), and 0.2% SDS]. Isolated hepatocytes were prelabeled with 32P for 1 h and exposed to vasopressin or microcystin as described in the figure legends. Inhibitors of CaMKII were added 10 min before vasopressin/microcystin. Sample separation was achieved by isoelectric focusing (80,000 volt-hours) in linear immobilized pH gradients (IPG strips, pH 4.0–7.0, Pharmacia Biotechnology, Uppsala, Sweden). After completion of the run, the strips were equilibrated for 12 min in solution [0.05 M Tris-HCl (pH 6.8), 2% (wt/vol) SDS, 6.5 M urea, and 26% (wt/vol) glycerol] with 100 mM dithioerythritol and thereafter for 5 min in the same solution with 0.24 M iodoacetamide. The strips were then subjected to SDS-PAGE [13.5% (wt/vol) polyacrylamide separation gel], and the gels were dried and exposed to DuPont NEF-496 autoradiography films. The density and the area of selected spots on the autoradiographic film were determined after they were digitized by scanning, using the NIH Image 1.57 program. Seven spots whose phosphorylation appeared not to change after treatment served as benchmarks. The radioactivity of spots well isolated from others could be estimated directly by analysis in an Instant Imager 2024 (Packard Instrument Co., Meriden, CT), and their relative intensities were the same as those determined by autoradiography and scanning.

Immunoisolation of 32P-labeled phenylalanine hydroxylase and determination of vasopressin/microcystin-induced phosphorylation
Hepatocyte suspension (5 x 106 cells/ml) was incubated with carrier-free 32P at 37 C in a gyratory shaking bath for 1 h. The cells were exposed to agents modulating intracellular phosphorylation (vasopressin, microcystin, okadaic acid, N6-benzoyl-cAMP, and glucagon with or without phenylalanine) for 12 min. Some cells were treated with KT5926 or H-8 for 10 min before the addition of these agents. The endogenous protein phosphorylation was quenched by mixing the hepatocytes with chilled ammonium sulfate solution (saturated ammonium sulfate, 1 mM ATP, 50 mM NaF, and 50 mM sodium phosphate, pH 7.0). The tubes containing the cells were then centrifuged at 15,000 x g for 5 min, and the cell pellet was kept in liquid nitrogen until homogenization. For further description of the method, see Ref. 19.

For immunoisolation, protein A-Sepharose suspended in 0.66 ml 50 mM sodium phosphate (pH 8.0) was mixed with 1 µg each of the monoclonal antibodies PH5 and PH7 and gently shaken for 30–60 min at 4 C. The adsorbent was then centrifuged at 12,000 x g for 15 sec, and the pellet was washed twice with phosphate buffer and resuspended in 0.6 ml homogenization medium. The resuspended beads were mixed with 160 µl cytosol containing 32P-labeled PAH and rocked in Eppendorf tubes for 1 h at 4 C. The protein A-Sepharose complexed to IgG-PAH was pelleted by centrifugation and washed four times with 1.25 ml homogenization buffer, four times with the same buffer without protease inhibitors containing 0.2% (wt/vol) Triton X-100, and finally once with the same buffer without Triton X-100. The pellet was finally heated (65 C, 10 min) in 115 µl sample buffer (19) and centrifuged (10 min, 12,000 x g). Aliquots of the final supernatant were applied to 1.5-mm polyacrylamide slab gels (10%) for SDS-PAGE. The proteins were silver stained, and the gels were dried and exposed to autoradiographic films. The stained gels and the respective autoradiograms were analyzed using an LKB Ultroscan XL (LKB, Rockville, MD), and the specific content of phosphate in the PAH was determined from the ratio between the absorbance of the autoradiogram and that of the silver-stained gel corresponding to the PAH band. Known amounts of rat PAH (19) were used for calibration of the silver staining.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Vasopressin potentiates the antiproliferative effect of cAMP acting at a level downstream of protein kinase A (PKA) activation
Hepatocytes were stimulated with EGF and treated with glucagon or N6-benzoyl-cAMP at a time (at 44 h of culture) when their DNA replication had just started. The experiments shown in Fig. 1Go were designed to probe whether vasopressin sensitized the cells to low concentrations of glucagon. Vasopressin enhanced the inhibitory effect of low concentrations of glucagon; the EC50 of glucagon decreased from 1.2 to 0.50 nM, but failed to inhibit further the replication of cells treated with the strongest stimulators of endogenous cAMP accumulation [such as >10 nM glucagon or 10 µM forskolin plus isobutylmethylxanthine (IBMX); Fig. 1AGo]. The glucagon-induced inhibition of DNA replication was significantly enhanced in the presence of vasopressin (P < 0.001; n = 15), as judged by the Wilcoxon paired comparison test in which 15 pairs of hepatocyte cultures were incubated with glucagon (0.5, 1, or 2 nM) in the absence and presence of vasopressin. Similar results (P < 0.001; n = 15) were obtained when microcystin replaced vasopressin.



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Figure 1. Vasopressin and microcystin potentiated the negative action of glucagon (A) and N6-benzoyl-cAMP (B) on hepatocyte DNA replication. Primary hepatocytes were seeded at a density of 30,000 cells/cm2. Dexamethasone (100 nM) was added 3 h later, and EGF (9 nM) was added 20 h after seeding. At 44 h of culture, the cells received various concentrations of glucagon (A) or N6-benzoyl-cAMP (B) alone ({circ}) or combined with either 1 µM vasopressin ({triangledown}) or 1 µM microcystin ({diamond}). Some cultures were also supplemented with 10 µM forskolin and 50 µM IBMX in addition to 150 nM glucagon (indicated by +F/I on the abscissa) in the absence (•) or presence of vasopressin ({blacktriangledown}) or microcystin ({diamondsuit}). The hepatocytes were pulsed with [3H]thymidine (0.15 µCi/dish) from 54–56 h of culture before fixation and preparation for autoradiography. Half-maximal inhibition of hepatocyte DNA replication (EC50) is indicated by the dotted lines. The bars represent the SEM of three separate experiments.

 
We recently reported that microcystin, a protein phosphatase inhibitor, could synergize with cAMP analog to inhibit hepatocyte proliferation (12). This was interpreted as being due to microcystin inhibiting the dephosphorylation of an essential PKA substrate. As the related phosphatase inhibitor okadaic acid mimicked vasopressin as stimulator of protein phosphorylation in intact hepatocytes (19), an alternative explanation of the microcystin effect could be that it acted by mimicking vasopressin. In that case, it should sensitize the hepatocytes toward glucagon to the same extent as vasopressin. This was found to be the case; the glucagon dose-response relationship was similarly shifted with vasopressin and microcystin (Fig. 1AGo).

To exclude that vasopressin and microcystin acted through modulation of glucagon signaling not related to cAMP or by inhibiting cAMP degradation, they were tested for the ability to sensitize hepatocytes toward the action of the cell-permeable, degradation-resistant cAMP analog N6-benzoyl-cAMP. Vasopressin and microcystin shifted the EC50 for N6-benzoyl-cAMP from 7.1 to 0.80 µM without affecting the maximal inhibitory ability of N6-benzoyl-cAMP (Fig. 1BGo). The inhibition of DNA replication by 0.1–10 µM N6-benzoyl-cAMP was significantly enhanced by vasopressin (P < 0.001; n = 18) or microcystin (P < 0.001; n = 14), as judged by the Wilcoxon paired comparison test. Vasopressin or microcystin did not increase the endogenous level of cAMP (data not shown). This indicated that the observed sensitization was due to events downstream of cAMP.

Although vasopressin has been shown to act as a mitogen when added to primary hepatocytes shortly after seeding (22, 34), the hormone did not affect DNA replication when added to hepatocytes after 44 h of culture (Fig. 1Go). Such a lack of mitogenic response has also been reported for angiotensin II-induced elevation of intracellular Ca2+ in rat liver T51B cells (35). That vasopressin had no effect on hepatocyte proliferation by itself (Fig. 1Go) may be related to the decreased number of vasopressin receptors with time in culture (36). However, cultured hepatocytes maintain the ability to respond to vasopressin by increasing cytosolic Ca2+ (36). The latter observation is compatible with our finding that vasopressin could induce specific changes in the protein phosphorylation pattern of primary hepatocytes after 44 h of culture (data not shown).

Evidence that vasopressin modulates hepatocyte proliferation through activation of CaMK
Vasopressin is known to increase the level of Ca2+ (37) and to induce phosphorylation of hepatocyte proteins known to be substrates of CaMKII (18, 19). It was therefore tested whether vasopressin depended on Ca2+/calmodulin to enhance cAMP inhibition of hepatocyte DNA replication. Firstly, the hepatocytes were treated with a general calmodulin antagonist, W7 (38), before the addition of vasopressin and cAMP analog. W7 abolished the effect of vasopressin (Fig. 2Go), suggesting that calmodulin was required for the vasopressin effect. Next, KT5926, a potent inhibitor of calmodulin-dependent protein kinases, including CaMKII (33), counteracted the effect of vasopressin (Figs. 2Go and 3AGo). Finally, KN93, a more selective inhibitor of CaMKII (32), blocked the effect of vasopressin (Fig. 3BGo), suggesting that a calmodulin-dependent protein kinase similar to CaMKII is required for the action of vasopressin. A problem with ascribing the inhibitor effects to CaMKII was the variation in IC50 values reported for the inhibition of CaMKII by KT5926 and KN93 (32, 33). Therefore, we decided to determine the IC50 values for CaMKII inhibition in an assay with near-physiological pH (7.2), temperature (37 C), salt composition (130 mM KCl), and ATP level (3 mM). The IC50 values for inhibition of CaMKII activity by KN93 and KT5926 in vitro (Fig. 4Go) correlated closely with those observed for intact hepatocytes (Figs. 2Go and 3Go).



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Figure 2. Inhibitors of CaMKII abolished the potentiation by vasopressin of the cAMP action on hepatocyte DNA replication. Hepatocytes were cultured as described in Fig. 1Go. At 44 h of culture, cells were supplemented with 15 µM W7 or 5 µM KT5926 or vehicle. Thirty minutes later some cultures were exposed to 1 µM N6-benzoyl-cAMP (shadowed columns) or 3.16 µM N6-benzoyl-cAMP (black columns) in the absence or presence of 1 µM vasopressin as indicated in the figure. The hepatocytes were pulsed with [3H]thymidine (0.15 µCi/dish) from 51–52 h of culture, fixed, and processed for autoradiography. All data are expressed relative to the pulse labeling index observed in vehicle-supplemented cultures (control). The bars represent the SEM of four separate experiments.

 


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Figure 3. Effects of KT5926 (A) and KN93 (B) to prevent vasopressin potentiation of cAMP action on hepatocyte DNA replication. Hepatocytes were grown as described in Fig. 1Go. At 44 h of culture, various concentrations of KT5926 (A; {blacktriangledown}) and KN93 (B; {blacktriangledown}) were added to some of the cultures. Thirty minutes later, 1 µM vasopressin ({triangledown} and {blacktriangledown}) and 2 µM N6-benzoyl-cAMP (• and {blacktriangledown}) were added. Some cultures were left untreated as controls ({circ}). The hepatocytes were pulsed with [3H]thymidine (0.15 µCi/dish) from 51–52 h of culture before fixation and preparation for autoradiography. The bars represent the SEM of three to six experiments.

 


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Figure 4. Effects of KT5926 and KN93 to inhibit reconstituted CaMKII in vitro. The reaction mixture consisted of 20 µM phosphoacceptor peptide (syntide-2), 10 µg/ml calmodulin, 100 mM KCl, 10 mM MgCl2, 1 mM CaCl2, 2.0 mM [{gamma}-32P]ATP, 0.5 mg/ml BSA, and 15 mM HEPES (pH 7.2) in the absence (control) or presence of various concentrations of KT5926 ({square}) and KN93 ({triangledown}). The phosphotransferase activity was determined as described in Materials and Methods, and the kinase inhibitors were added immediately before the addition of purified CaMKII. Half-maximal CaMKII activity (EC50) is indicated by the dotted lines.

 
Microcystin induces KT5926-sensitive phosphorylation of the proteins phosphorylated in response to vasopressin, including the CaMKII substrate PAH
CaMKII is activated by autophosphorylation (39); the autophosphorylation site is sensitive to inactivating dephosphorylation by phosphatases (40) targeted by microcystin (41, 42). It was, therefore, plausible that microcystin, by blocking the dephosphorylation of the autoactivatory site, should activate CaMKII. We have previously shown that PAH is a substrate of purified CaMKII from liver, and that its phosphorylation by CaMKII is retarded in the presence of the allosteric PAH activator phenylalanine, whereas the phosphorylation by PKA is strongly stimulated by phenylalanine (43). In intact hepatocytes, vasopressin increased the phosphorylation of PAH, with a slower rate in the presence than in the absence of added phenylalanine (19). This was also the case for microcystin; the data for phosphorylation of PAH in response to microcystin and vasopressin in the absence of phenylalanine are shown in Table 1Go. These experiments were performed on isolated hepatocytes, as the expression of PAH was down-regulated in cultured hepatocytes (Døskeland, A. P., and S.O. Døskeland, unpublished observations). The site phosphorylated (Ser16) was the same in response to microcystin as that phosphorylated by CaMKII in vitro (19). This was demonstrated by generation of identical phosphopeptides of trypsinized PAH whether obtained after incubation with phosphorylated CaMKII in vitro or from hepatocytes treated with phosphatase inhibitor (data not shown). The phosphorylation of PAH by microcystin (Table 1Go) and vasopressin (Fig. 5Go) was inhibited by KT5926. In agreement with previous findings (19), okadaic acid, a potent inhibitor of protein phosphatases 2A and 1 (44), stimulated the phosphorylation of PAH by activation of CaMKII (Fig. 5Go). The phosphorylation of PAH by okadaic acid was inhibited by KT5926 (Fig. 5Go). It was tested whether KT5926 could inhibit the PKA-stimulated phosphorylation of PAH. As shown in Fig. 5Go, KT5926 did not affect the phosphorylation of PAH in response to 5 nM glucagon and 3 mM extracellular phenylalanine. Phenylalanine was included because it increases the intracellular rate of hydroxylase phosphorylation by PKA and decreases the rate of phosphorylation by CaMKII (19). Exposure of hepatocytes to 100 µM N6-benzoyl-cAMP increased the phosphorylation of PAH nearly 10-fold (9.9 ± 1.62) even in the presence of 30 µM KT5926 (9.4 ± 0.23), indicating that KT5926 did not affect PKA-mediated phosphorylation of PAH. Moreover, the PKA inhibitor H-8 did not affect vasopressin/microcystin-induced phosphorylation of PAH, although it nearly blocked PKA-mediated phosphorylation of PAH by N6-benzoyl-cAMP (data not shown). As inhibitors of CaMKII (Fig. 4Go) could block the effects of vasopressin (Figs. 2Go and 3Go) and microcystin (data not shown) on hepatocyte proliferation, it was tested whether they also blocked the endogenous phosphorylation induced by these substances. Freshly isolated hepatocytes preincubated with 32Pi were treated with microcystin (0.5 µM) and KT5926 (30 µM) and subjected to two-dimensional gel electrophoresis and autoradiography. A number of proteins showed changes in phosphorylation state after exposure to microcystin. Several of them were also changed in response to vasopressin. All protein phosphorylations seen in response to vasopressin also appeared in response to microcystin, indicating that microcystin mimicked vasopressin and induced additional protein phosphorylation events as well. Most of the protein phosphorylation events were sensitive to treatment with KT5926 (Fig. 6Go and Table 1Go), suggesting that a number of proteins are phosphorylated by the Ca2+/calmodulin-dependent pathway(s) and are potential mediators of the effects of vasopressin and microcystin.


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Table 1. Effects of vasopressin and microcystin on hepatocyte protein phosphorylation; KT5926 counteracted the effects of microcystin

 


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Figure 5. The effect of the CaMKII inhibitor KT5926 on the stimulation of endogenous phosphorylation of PAH by vasopressin, okadaic acid, and glucagon. Isolated hepatocytes were incubated with 32P for 1 h and exposed to 70 nM vasopressin, 4 µM okadaic acid, or 5 nM glucagon and 3 mM phenylalanine for 12 min or were left untreated as control. Some cells were treated with 30 µM KT5926 for 10 min before the addition of these agents. PAH was immunoseparated as described in Materials and Methods and subjected to SDS-PAGE (10%). The silver-stained gels (upper panels) and the respective autoradiograms (lower panels) are shown. The gels were exposed to ß-max autoradiographic films for 8 days, except for the gels showing glucagon/phenylalanine-stimulated PAH phosphorylation, which were exposed for 4 days. The specific content of phosphate in PAH was determined from the ratio between the absorbance of the autoradiogram and that of the silver-stained gel corresponding to the PAH band. The inhibitory effect of KT5926 on PAH phosphorylation is indicated by the ratio (with or without KT5926).

 


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Figure 6. Autoradiograms of two-dimensional PAGE of extracts from 32P-labeled rat hepatocytes. Microcystin induces KT5926-sensitive phosphorylation of proteins phosphorylated in response to vasopressin. Isolated hepatocytes were preincubated for 15 min in a low phosphate (0.01 mM) buffer before exposure to 32P for 45 min. The cells were then treated with 1 µM vasopressin (upper middle panel) or 0.5 µM microcystin (lower panels) or were left untreated as controls (upper panel). KT5926 (30 µM) was added 5 min before treatment with microcystin (lower panel). The proteins were subjected to two-dimensional gel electrophoresis. Autoradiographic spots were subjected to computer analysis as described in Materials and Methods. The arrows (spots 1–5) point to proteins whose phosphorylation changed after treatment with vasopressin and microcystin. The phosphorylation of spots 1–4 increased after exposure to vasopressin/microcystin, whereas the phosphorylation of spot 5 decreased. The microcystin-induced changes in protein phosphorylation (spots 1–5) were counteracted by KT5926. The autoradiograms show representative results from three or four separate experiments.

 
IL-1ß, vasopressin, and cAMP synergize jointly to inhibit hepatocyte proliferation
We previously reported that the cytokine IL-1ß mimicked glucagon by inhibiting hepatocyte proliferation (30). It was, therefore, considered possible that vasopressin sensitized the hepatocytes equally toward the inhibitory actions of IL-1ß and cAMP. The action of IL-1ß was potentiated by both vasopressin and microcystin. The EC50 for inhibition by IL-1ß was shifted from 0.23 to 0.07 nM after exposure to vasopressin (Fig. 7AGo) or microcystin (data not shown). It was also noticed that IL-1ß (0.3 nM) and glucagon (2 nM) acted with remarkably similar kinetics to restrict the hepatocyte G1/S transition. The onset of inhibition and the rate of recovery of DNA replication were the same (data not shown).



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Figure 7. Vasopressin potentates the inhibitory effect of IL-1ß on hepatocyte DNA replication, and the effect is abolished by (Rp)-8-Br-cAMPS. Hepatocytes were cultured as described in Fig. 1Go and treated with various concentrations of IL-1ß 44 h after seeding. A, Some cultures were supplemented with 1 µM vasopressin ({triangledown}) at 44 h of culture, whereas others received vehicle and served as controls ({circ}). B, Some cultures were supplemented with 1 µM vasopressin-300 µM (Rp)-8-Br-cAMPS ({blacktriangleright}) and 1 µM vasopressin-10 nM N6-benzoyl-cAMP ({blacktriangleleft}) at 43.5 h of culture, i.e. 30 in before treatment with IL-1ß. Other cultures were treated with 300 µM (Rp)-8-Br-cAMPS ({triangleright}) or were left unsupplemented ({circ}). It should be noted that treatment with (Rp)-8-Br-cAMPS increased DNA replication in cells treated with vasopressin ({blacktriangleright}) and control cells ({triangleright}). The hepatocytes were pulsed with [3H]thymidine (0.15 µCi/dish) from 54–56 h of culture before fixation and preparation for autoradiography. The EC50 for IL-1ß-induced inhibition of hepatocyte DNA replication is indicated by dotted lines. The bars represent the SEM of three separate experiments.

 
We have recently shown that basal PKA activity has a permissive effect on the inhibitory action of IL-1ß. Exposure to cAMP antagonists or microinjection of a cAMP-subresponsive regulatory subunit of PKA counteracts the effect of IL-1ß on hepatocyte proliferation (30). Therefore, it was of interest to test whether vasopressin affected the proliferation of IL-1ß-treated cells in the presence of a potent cAMP antagonist. (Rp)-8-Br-cAMPS enhanced hepatocyte DNA replication even in presence of IL-1ß and vasopressin (Fig. 7BGo). This supports the idea that increased PKA activity is necessary for vasopressin action. In Fig. 7BGo, it is also shown that treatment of hepatocytes with vasopressin and a low concentration of N6-benzoyl-cAMP (10 nM) sensitized the cells even more than vasopressin by itself; the EC50 for IL-1ß was less than 0.05 nM.

That IL-1ß apparently acted like cAMP on hepatocyte proliferation in the absence and presence of vasopressin raised the question of whether IL-1ß could increase hepatocyte cAMP. The cell content of cAMP was, therefore, determined at various time points after the addition of 0.4 nM IL-1ß. No detectable increase in cAMP was observed after treatment with IL-1ß, against a 4-fold increase in cells treated with 1 nM glucagon (Fig. 8Go). Moreover, cAMP phosphodiesterase inhibitor (IBMX) acted in a synergistic manner with glucagon to increase endogenous cAMP, whereas no such synergism was detected with IL-1ß. It is possible that IL-1ß acted by up-regulating the amount of active catalytic (C) subunit or down-regulating the inhibitory regulatory subunits (RI and RII) of PKA. Determination of PKA subunits in hepatocytes 7 h after exposure to IL-1ß failed to reveal any change in their levels (data not shown). It is, therefore, concluded that IL-1ß did not inhibit hepatocyte proliferation through activation of PKA.



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Figure 8. The endogenous cAMP level was unaffected by IL-1ß. Hepatocytes were cultured as described in Fig. 1Go. After 44 h of culture, cells were treated with 0.4 nM IL-1ß (•), 0.4 nM IL-1ß and 50 µM IBMX ({blacksquare}), 50 µM IBMX ({square}), 1 nM glucagon ({triangleup}), or 1 nM glucagon and 50 µM IBMX ({triangleright}) or were treated with vehicle ({circ}). The cAMP concentration was expressed as picomoles of cAMP per mg protein (ordinate) and was determined at various time points after the addition of agents, as indicated on the abscissa. The bars represent the SEM of three to seven separate experiments.

 
The similar effects of agents (IL-1ß and cAMP) acting through initially distinct pathways prompted an analysis of possible synergism and additivity between the actions of IL-1ß and various concentrations of the potent and degradation-resistant cAMP analog N6-benzoyl-cAMP. Maximally effective concentrations of N6-benzoyl-cAMP and IL-1ß showed no additivity. On the other hand, IL-1ß made the cells sensitive to extremely low concentrations (0.01–0.05 µM) of the cAMP analog (data not shown). This pattern is expected when two agents have a common final action mechanism and at submaximal activities synergize to activate this final mechanism.

The effects of IL-1ß and vasopressin on the hepatocyte G1/S transition in the presence of sub-basal, basal, or moderately increased PKA activity are summarized in Fig. 9Go.



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Figure 9. Schematic illustration of growth modulatory effects of vasopressin and vasopressin/IL-1ß in EGF-stimulated hepatocytes with different levels of cAMP-dependent protein kinase activity (PKA). PKA activity was decreased below control level (PKA < basal) by treatment with (Rp)-8-Br-cAMPS or was increased beyond the control level (PKA > basal) by the addition of low (<2 nM) glucagon concentrations. The effects of vasopressin and vasopressin plus IL-1ß on hepatocyte G1/S transition are shown. Arrow thickness indicates whether hepatocyte G1/S transition was facilitated or inhibited.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The compensatory DNA replication (liver regeneration) occurring after partial hepatectomy is a unique system to study positive and negative proliferation control in normal mature mammalian cells. After a 16-h latency, the hepatocytes in the liver remnant undergo brisk proliferation, which subsides once the liver mass is restored. The regenerating liver remnant must perform vital liver functions while supporting adequate cell proliferation. It is known that several hormones acting on intermediary metabolism, such as insulin, glucagon, and norepinephrine, have a modulatory effect on hepatocyte proliferation (reviewed in 3 . Our starting point was, therefore, that there might be as yet undiscovered links between various pathways concerned with metabolic regulation and pathways involved in growth control. The endogenous cAMP level is increased in the prereplicative phase of liver regeneration (13). Norepinephrine has been reported to increase in plasma shortly after partial hepatectomy (34), and the production of the acute phase cytokine IL-1ß is also elevated during liver regeneration (45). IL-1ß is known to affect several metabolic functions in hepatocytes (46) and has previously been shown to inhibit hepatocyte proliferation (25, 30).

Vasopressin and norepinephrine act by increasing hepatocyte Ca2+ and activation of CaMKII (18). It was, therefore, of interest to probe how the Ca2+-activated stress pathway interacts with the IL-1ß and cAMP pathways. Interactions between cAMP and Ca2+ signaling pathways are well known, such as in the regulation of carbohydrate metabolism in liver (47). It is, however, a novel observation that activation of CaMKII by vasopressin and microcystin potentiates cAMP- and IL-1ß-mediated inhibition of hepatocyte DNA replication, and it should be noted that CaMKII (activated by vasopressin) inhibited hepatocyte proliferation only in the presence of increased PKA activity and/or after exposure to IL-1ß. The biological significance of the IL-1ß/cAMP synergism for the intact liver could be to halt cell proliferation under conditions of combined general stress (IL-1ß) (46) and metabolic stress (cAMP).

The fact that the action of IL-1ß on proliferation was abolished by the specific PKA antagonist (Rp)-8-Br-cAMPS could be explained by an IL-1ß-mediated activation of PKA. Such a link between IL-1ß and cAMP signal transduction pathways has previously been shown in other cell types (27). However, IL-1ß did not increase the cAMP level (Fig. 7Go) or the PKA activity (data not shown), indicating that PKA is not the primary target for IL-1ß in hepatocytes. Based on these results, our working hypothesis is that the cAMP and IL-1ß signaling pathways converge at a point downstream of PKA. Previously, we reported that basal PKA activity has a permissive, rather than a direct, mediator role on IL-1ß action (30). In the present study it is shown that inhibition of basal PKA activity by (Rp)-8-Br-cAMPS counteracted the effects of both IL-1ß and vasopressin.

Little is known about the role of CaMKII in regulation of cell proliferation. The expression of a constitutively active CaMKII has been reported to arrest cells in G2 (48), whereas in HeLa cells (49) and NIH-3T3 cells (50), cellular proliferation was inhibited after prolonged exposure to the CaMKII inhibitor KN93. Calmodulin and CaMKII seem to be required for G1/S transition in several cell types (49). The latter observations do not exclude CaMKII as a negative modulator of hepatocyte proliferation after activation of PKA. In the present study it is shown that activated CaMKII acts together with cAMP and IL-1ß to inhibit hepatocyte G1/S transition.

Convergent regulation by the Ca2+ and cAMP signaling systems was reported previously (51), and various CaMKs have been shown to have different effects on the activation of cAMP response element (CRE)-binding protein (CREB) (52). CaMKII-mediated phosphorylation of CREB at Ser133 and Ser142 does not stimulate transcription in vitro (52). Contradictory data exist, however, regarding the involvement of CaMKII in CRE gene activation in intact cells. Recently, one report suggested that CaMKII activates CRE genes by phosphorylation of activating transcription factor-1 (53), whereas another report suggested that CaMKII was unable to activate activating transcription factor-1 (54). An interesting observation is, however, that low level stimulation of PKA appears to be required for CREB activation through non-PKA-mediated pathways (55). A similar mechanism could explain the necessity of PKA activation for inhibition of DNA replication by vasopressin.

cAMP has been reported to inhibit the proliferation of some cell types, such as Rat1 fibroblasts, by interfering with signaling through the mitogen-activated protein kinase pathway (7). However, protein kinase members of the mitogen-activated protein kinase cascade are activated within a few minutes after growth factor binding (56), i.e. long before the G1/S restriction point. It thus appears unlikely that these targets are involved in the cAMP-mediated inhibition of the hepatocyte G1/S transition. The progression from G1 to S phase in mammalian cells is thought to be regulated by different G1 cyclins and their associated catalytic subunits, the cyclin-dependent kinases (see Ref. 57 for review; 58). In human diploid fibroblasts, growth factor-induced expression of cyclin D is repressed upon treatment with cAMP analogs (59, 60), and in the astrocytic cell line, cyclin D1 and E expression is inhibited by cAMP (61). Moreover, it should be noted that cAMP has been shown to arrest macrophages in mid-G1 by increasing the level of p27kip1, an inhibitor of cyclin-dependent kinase-4 activation (62). Thus, it is possible that cAMP-mediated inhibition of hepatocyte G1/S transition could be due to effects on a G1 cyclin or on the activity of a cyclin-dependent kinase.

The microcystin-related phosphatase inhibitor okadaic acid mimics the activation of CaMKII in isolated hepatocytes with regard to phosphorylation of PAH (19). In this paper it has been shown that both microcystin and vasopressin increase the phosphorylation of PAH. The effects of vasopressin and microcystin on hepatocyte proliferation were selectively counteracted by inhibitors of CaMKII (KN93 and KT5926). Phosphorylation of several common endogenous proteins by vasopressin and microcystin were sensitive to treatment with KT5926. The results suggest that vasopressin and microcystin act through activation of CaMKII.

In conclusion, this paper reports novel synergistic antiproliferative effects of activated PKA, CaMKII, and the IL-1ß signaling pathways. Basal activity of PKA was required for IL-1ß action, whereas increased PKA activity, as observed during the prereplicative phase of liver regeneration (13), was required for the actions of vasopressin and microcystin.


    Acknowledgments
 
The technical assistance of Erna Finsås and Nina Lied Larsen is greatly appreciated.


    Footnotes
 
1 This work was supported by the Novo Nordic Foundation (to S.O.D.), the Norwegian Research Council, the Norwegian Cancer Society, Martin Flatners Legat (to G.M.), and the Familien Blix Fond (to O.K.V.). Back

2 Present address: UNIGEN Center for Molecular Biology, Norwegian University of Science and Technology, N-7005 Trondheim, Norway. Back

Received March 19, 1997.


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