Endocrinology Vol. 138, No. 10 4373-4383
Copyright © 1997 by The Endocrine Society
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
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Abstract
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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 1050
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.
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Introduction
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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.
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Materials and Methods
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Materials
[3H]cAMP, [
-32P] ATP (3000
Ci/mmol), [3H]thymidine (4060 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
(150250 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 12 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 3160 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 36 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 [
-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 3.510), 0.5% Pharmalyte (pH
56), 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 4.07.0, 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 3060 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.
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Results
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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. 1
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. 1A
]. 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.
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. 1A
).
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. 1B
). The inhibition of DNA
replication by 0.110 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. 1
). 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. 1
) 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. 2
), 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. 2
and 3A
). Finally, KN93, a more selective
inhibitor of CaMKII (32), blocked the effect of vasopressin (Fig. 3B
),
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. 4
) correlated closely with those observed
for intact hepatocytes (Figs. 2
and 3
).

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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. 1 . 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 5152 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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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 1
. 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 1
) and vasopressin (Fig. 5
) 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. 5
). The phosphorylation of PAH by
okadaic acid was inhibited by KT5926 (Fig. 5
). It was tested whether
KT5926 could inhibit the PKA-stimulated phosphorylation of PAH. As
shown in Fig. 5
, 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. 4
) could block the effects of
vasopressin (Figs. 2
and 3
) 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. 6
and Table 1
), 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 15) point to
proteins whose phosphorylation changed after treatment with vasopressin
and microcystin. The phosphorylation of spots 14 increased after
exposure to vasopressin/microcystin, whereas the phosphorylation of
spot 5 decreased. The microcystin-induced changes in protein
phosphorylation (spots 15) were counteracted by KT5926. The
autoradiograms show representative results from three or four separate
experiments.
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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. 7A
) 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).
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. 7B
). This
supports the idea that increased PKA activity is necessary for
vasopressin action. In Fig. 7B
, 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. 8
). 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.
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 (0.010.05 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. 9
.

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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.
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Discussion
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|---|
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. 7
) 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.). 
2 Present address: UNIGEN Center for Molecular Biology, Norwegian
University of Science and Technology, N-7005 Trondheim, Norway. 
Received March 19, 1997.
 |
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