Endocrinology Vol. 138, No. 3 1058-1065
Copyright © 1997 by The Endocrine Society
Homologous Down-Regulation of Growth Hormone-Releasing Hormone Receptor Messenger Ribonucleic Acid Levels1
Grazia Aleppo,
Stanley F. Moskal, II,
Paula A. De Grandis,
Rhonda D. Kineman and
Lawrence A. Frohman
Department of Medicine, Section of Endocrinology and Metabolism,
University of Illinois at Chicago, Chicago, Illinois 60612
Address all correspondence and requests for reprints to: Lawrence A. Frohman, M.D., Department of Medicine (M/C 787), University of Illinois at Chicago, 840 South Wood Street, Chicago, Illinois 60612.
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Abstract
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Repeated stimulation of pituitary cell cultures with GH-releasing
hormone (GHRH) results in diminished responsiveness, a phenomenon
referred to as homologous desensitization. One component of
GHRH-induced desensitization is a reduction in GHRH-binding sites,
which is reflected by the decreased ability of GHRH to stimulate a rise
in intracellular cAMP. In the present study, we sought to determine if
homologous down-regulation of GHRH receptor number is due to a decrease
in GHRH receptor synthesis. To this end, we developed and validated a
quantitative RT-PCR assay system that was capable of assessing
differences in GHRH-R messenger RNA (mRNA) levels in total RNA samples
obtained from rat pituitary cell cultures. Treatment of pituitary cells
with GHRH, for as little as 4 h, resulted in a dose-dependent
decrease in GHRH-R mRNA levels. The maximum effect was observed with
0.1 and 1 nM GHRH, which reduced GHRH-R mRNA levels to
49 ± 4% (mean ± SEM) and 54 ± 11% of
control values, respectively (n = three separate experiments;
P < 0.05). Accompanying the decline in GHRH-R mRNA
levels was a rise in GH release, reaching 320 ± 31% of control
values (P < 0.01). Because of the possibility that
the rise in medium GH level is the primary regulator of GHRH-R mRNA, we
pretreated pituitary cultures for 4 h with GH to achieve a
concentration comparable with that induced by a maximal stimulation
with GHRH (8 µg GH/ml medium). Following pretreatment, cultures were
stimulated for 15 min with GHRH and intracellular cAMP accumulation was
measured by RIA. GH pretreatment did not impair the ability of GHRH to
induce a rise in cAMP concentrations. However, as anticipated, GHRH
pretreatment (10 nM) significantly reduced subsequent
GHRH-stimulated cAMP to 46% of untreated controls. These data suggest
that GHRH, but not GH, directly reduces GHRH-R mRNA levels. To
determine whether this effect was mediated through cAMP, cultures were
treated with forskolin, a direct stimulator of adenylate cyclase.
Forskolin (10 µM) significantly reduced GHRH-R mRNA
concentrations (37 ± 6% of control values) indicating that GHRH
acts through the cAMP-second messenger system cascade to regulate
GHRH-R mRNA. The somatostatin analogue, octreotide (10 nM),
which has been previously reported to decrease adenylate cyclase
activity, did not affect GHRH-R mRNA levels. Taken together, these
results indicate that GHRH inhibits the production of its own receptor
by a receptor-mediated, cAMP-dependent reduction of GHRH-R mRNA
accumulation.
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Introduction
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GH-RELEASING HORMONE (GHRH) interacts with
a guanine-nucleotide binding protein (G protein)-coupled receptor
located on the plasma membrane of pituitary somatotropes. Binding of
GHRH to its receptor activates adenylate cyclase resulting in a rise in
intracellular cAMP concentrations which in turn stimulates protein
kinase A activity, ultimately leading to the release of GH and an
increase in GH synthesis [for review see (1)]. Preexposure of
somatotropes to GHRH, in vivo and in vitro,
results in a decreased sensitivity to subsequent GHRH challenge (2, 3, 4, 5).
This phenomenon is referred to as homologous desensitization and is
characterized by a reduction in GH stores accompanied by a decrease in
GHRH-induced intracellular cAMP generation (3). The inability of GHRH
to elicit a maximal rise in cAMP following GHRH pretreatment has been
attributed to a down-regulation of GHRH-binding sites, without an
appreciable change in GHRH receptor affinity (5).
Ligand-initiated receptor down-regulation has been theorized to include
receptor/effector modification and uncoupling, internalization and
degradation of existing receptors, and a decrease in receptor synthesis
(6, 7, 8). With the recent cloning of various receptor complementary DNAs
(cDNAs), it is now clear that transcriptional regulation of receptor
synthesis can play an important role in homologous desensitization. Of
the G protein-coupled receptors studied to date, messenger RNA (mRNA)
levels of the receptors for TRH, TSH, GnRH, LH, CRH, and catecholamines
are all decreased by in vitro exposure to their respective
ligands (8, 9, 10, 11, 12, 13, 14, 15). The aim of the present study was to determine if
transcriptional regulation of GHRH-receptor (GHRH-R) expression is also
an important component of GHRH-induced somatotrope desensitization. To
this end we have used quantitative reverse transcription (RT)-PCR to
evaluate the effect of GHRH exposure on the level of GHRH-R mRNA in rat
pituitary cells, in vitro.
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Materials and Methods
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Animals and reagents
Random cycling female rats (200225 g) were purchased from
Harlan Sprague Dawley (Indianapolis, IN) and housed at the University
of Illinois at Chicago Biological Research Laboratory under controlled
environmental conditions (12-h light, 12-h dark), with food and water
ad libitum. Animals were killed by decapitation and anterior
pituitaries collected. Experiments were conducted according to the
principles and procedures outlined in the NIH Guide for the Care and
Use of Laboratory Animals.
Unless otherwise stated, all chemicals were purchased from Sigma
Chemical Co. (St. Louis, MO) and tissue culture reagents and molecular
biology reagents were obtained from GIBCO-BRL (Grand Island, NY).
Primary rat pituitary cell cultures
Anterior pituitaries were enzymatically and mechanically
dissociated into single cells and cultured for 3 days before
experimental treatment. Specifically, pituitaries were rinsed in
sterile MEM containing 0.1% BSA, 100 µg/ml streptomycin, and 100
U/ml penicillin (S-MEM). Individual pituitaries were minced and tissue
fragments were suspended in 10 ml of S-MEM containing 0.15% trypsin
(DIFCO Laboratories, Detroit, MI). The enzymatic digestion was carried
out in 15 ml polypropylene tubes at 37 C with gentle and continuous
rotation, as previously described (16). After 45 min, tissue pieces
were mechanically disrupted using a siliconized, flame-polished Pasteur
pipette. Following an additional 15 min incubation (37 C with
agitation), cells were triturated, washed, and resuspended in MEM alpha
medium supplemented with 0.1% BSA and antibiotics (
MEM).
Approximately 3.25 x 106 cells were recovered from
each pituitary with viability consistently greater than 95%, as
assessed by trypan blue exclusion. Cells were plated onto 12-well
tissue culture plates at a density of 720,000 cells/500 µl
medium/well in
-MEM and allowed to attach for 1 h at 37 C in a
humidified atmosphere containing 95% air:5% CO2.
Following cell attachment, 500 µl of fresh
MEM supplemented with
20% horse serum was added, to achieve a final concentration of 10%
serum.
After a 3-day culture period, wells were rinsed twice with serum-free
MEM and incubated for 1 h at 37 C. Medium was then replaced
with fresh medium and treated with rat GHRH (144) NH2
(Peninsula Laboratories Inc., Belmont, CA), dexamethasone (American
Regent Laboratories Inc., Shirley, NY), forskolin, octreotide acetate
(Sandostatin; Sandoz, East Hanover, NJ) or the appropriate control
vehicle. Following incubation at 37 C with test substances, medium was
collected and stored at -20 C until analyzed for GH (17).
RNA extraction
Total cellular RNA was extracted according to the Tri Reagent
protocol (Molecular Research Center, Cincinnati, OH) with the exception
that the aqueous phase was further purified by extraction with
phenol:chloroform:isoamyl alcohol (25:24:1; pH 5.2; Fisher Scientific,
Pittsburgh, PA) to improve the efficiency of the reverse transcription
reaction. RNA was then precipitated with isopropanol, and the pellet
washed with 70% ethanol, air dried, and resuspended in TE buffer (10
mM Tris-HCl, pH 7.6, 1 mM EDTA). The
concentration of RNA was determined by spectrophotometric analysis at
OD 260/280 nm. This method yielded 5.48 ± 0.23 µg/well of total
RNA (i.e. 0.76 µg/100,000 cells).
Generation of the RNA standard (RPS-1)
Rat GHRH-R cDNA was generated by oligo (deoxythymidine)-primed
reverse transcription of rat pituitary total RNA, followed by PCR
amplification using the following specific primers:
5'-AGCTGAGAGACGATGAGCTT-3' (sense, nt 125144) and
5'-CGACAGGAGATGACGAAGGA-3' (antisense, nt 11441163). The primers were
selected from the cDNA sequence reported by Mayo (18). The resulting
1038-bp fragment (GHRH-R; Fig. 1
) was subcloned into the
pGEM T vector (Promega, Madison, WI) according to the manufacturers
instructions. The nucleotide sequence of the inserted fragment was
confirmed by partial sequencing using the Sequenase Version 2.0 DNA
sequencing kit (USB, Cleveland, OH). A 235-bp fragment (nt 734968)
was excised from GHRH-R using BlnI and EcoNI. The
ends of the resultant linearized plasmid were blunted by the Klenow
fragment of DNA polymerase I and the strand was recircularized by
T4 DNA ligase. This shortened cDNA is referred to as RPS-1
(Fig. 1
).

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Figure 1. Schematic of the rat GHRH-R and RPS-1 cDNA. RPS-1
cDNA was generated from GHRH-R cDNA by removing a 235-bp fragment
(solid rectangle) with
Bln1/EcoN1. RPS-1 cDNA was used as a
template to generate cRNA. In experiments comparing the effect of
treatment on GHRH-R mRNA levels, a fixed quantity of RPS-1 cRNA was
added to each pituitary cell total RNA sample as a control for RT-PCR
efficiency. Samples were then reverse transcribed using random hexamer
priming, and the generated cDNA was amplified by PCR. The location of
the sense and antisense primers are illustrated by the
arrows. The shaded rectangle indicates
the recognition site for the 32P-labeled probe used in
Southern blot analysis.
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RPS-1 cRNA was prepared using the RiboMAX Large Scale RNA Production
System, SP6 (Promega, Madison, WI), gel purified and quantified by
spectrophotometric analysis. The size of the transcript was confirmed
by Northern blotting. RPS-1 was diluted in TE buffer and stored at -70
C until use.
Quantitative RT-PCR
GHRH-R mRNA levels were assessed using quantitative RT-PCR. In
this protocol, RNA samples obtained from pituitary cell cultures were
co-reverse transcribed with the RNA standard, RPS-1, to correct for
RT-PCR efficiency. The reagents and protocol for the reverse
transcription were obtained from the Superscript Preamplification
System for First Strand cDNA Synthesis (GIBCO-BRL). Specifically,
1 x 106 copies of RPS-1 were added to 1 µg of total
pituitary RNA and subsequently reverse transcribed in a final volume of
20 µl containing 50 ng random hexamers, deoxy (d)-NTPs (0.5
mM each of dATP, dCTP, dGTP, and dTTP), PCR buffer [200
mM Tris-HCl (pH 8.4), 50 mM KCl], 2.5
mM MgCl2, 0.01 M DTT and 200 U of
Superscript II Rnase H- reverse transcriptase. One-tenth
(2 µl) of the RT reaction was used for PCR amplification with a
primer set that would amplify both cDNAs for GHRH-R and RPS-1. The
sense primer (5'-TGCTACTTTCATCCTCAAGG-3') and the antisense primer
(5'-GAATGTGTGTGCCCGAGTCA-3') spanned nt 534553 and nt 978997 of the
rat GHRH-R cDNA sequence, respectively (Fig. 1
). The PCR reaction was
performed in a 50 µl volume that included 1 x PCR buffer
(Perkin-Elmer, Norwalk, CT), 1.5 mM MgCl2, 200
µ M each of dATP, dCTP, dGTP, dTTP (Boehringer Mannheim,
Indianapolis, IN), 0.05 µM of each primer and 1.25 U
Amplitaq (Perkin-Elmer). PCR amplification was performed with the
following cycle profile: 94 C for 3 min, annealing at 60 C for 1 min,
and extension at 72 C for 2 min, followed by 25 cycles of 95 C for 40
sec, 60 C for 1 min, and 72 C for 2 min. After the last cycle, there
was a final extension for 15 min at 72 C.
A 30-µl aliquot of the PCR product was analyzed by gel
electrophoresis using a 1.5% agarose gel containing 0.5 µg/ml of
ethidium bromide, transferred to a nylon membrane (Schleicher and
Schuell, Inc., Keene, NH), and hybridized with a probe that recognized
a 89-bp sequence internal to the primers and common to both GHRH-R and
RPS-1 (nt 613701; Fig. 1
). The probe was labeled using the Pharmacia
Oligolabeling kit (Pharmacia). Hybridization was performed with a total
of 1.2 x 107 dpm [32P]dCTP-labeled
probe at 42 C for 18 h. Membranes were washed with 1 x
SSC/1% SDS at 25 C for 30 min, at 65 C for 30 min, and with 0.1
x SSC/0.1% SDS at 65 C for 30 min. RT-PCR products were visualized by
a Molecular Dynamics phosphorimager (Sunnyvale, CA). Two distinct
bands, 464 bp and 229 bp, were generated that corresponded to the
predicted size of the GHRH-R and RPS-1 fragments, respectively.
PCR amplification of rat GAPDH cDNA
Rat glyceraldehyde-3-phosphate dehydrogenase (GAPDH) cDNA was
amplified from one-tenth (2 µl) of the RT reaction using sense
(5'-AGGGCTGCCTTCTCTTGTGGAC -3') and antisense
(5'-CAGCATCAAAGGTGGAGGAAT-3') primers previously reported by Siegfried
et al. (19), to correct for variations in mRNA used in the
RT reaction. The PCR protocol was identical to that described for
GHRH-R/RPS-1 with the exception that the annealing temperature was 64
C. As with GHRH-R/RPS-1, the GAPDH PCR products were electrophoresed on
1.5% agarose gels, transferred to nylon membranes and hybridized with
a radiolabeled probe that corresponded to sequences internal to the
primers (nt 196357).
RT-PCR data analysis
Triplicate wells were used for each treatment group within each
experiment. The intensity of each band (GHRH-R, RPS-1 and GAPDH) was
evaluated using the image analysis software package, ImageQuant
(Molecular Dynamics), where band intensity is expressed in pixels. The
relative level of GHRH-R mRNA/well was determined by the equation:
GHRH-R x 1/RPS-1 x 1/GAPDH. Thus, GHRH-R values were
normalized by RPS-1 to account for variability in RT-PCR efficiency and
further adjusted by GAPDH to correct for variations in starting mRNA
concentrations. Where appropriate, data was logarithmically transformed
and then subjected to ANOVA. Differences among treatment means were
determined by Bonferronis test. A P value less than 0.05
was considered significant.
GHRH-induced intracellular cAMP generation
To determine if GHRH and GH pretreatment altered somatotrope
sensitivity to subsequent GHRH exposure, pituitary cells were plated in
24-well tissue culture plates at 50,000 cells/well as described above.
After a 3-day culture period, wells were rinsed with serum-free medium
and preincubated for 4 h in the presence or absence of 10
nM GHRH or 8 µg/ml rat GH (National Hormone and Pituitary
Program, NIH, Bethesda, MD). Medium was then removed and replaced
with 1 ml of medium to which was added GHRH to achieve a final
concentration of 1 or 10 nM. Cultures were incubated for 15
min and cells were extracted with 0.1 M HCl in 95% EtOH
for assay of intracellular cAMP (20). Four wells were assigned to a
given treatment group and differences between groups were determined by
Students t test. A value of P < 0.05 was
interpreted as a significant difference.
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Results
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Validation of quantitative RT-PCR
A homologous cRNA (RPS-1) was added to the RT reactions to control
for differences in RT and PCR efficiency, thereby allowing comparisons
among samples. To determine how much RPS-1 to add to each RT reaction
(to achieve a concentration comparable to the endogenous transcript) an
increasing number of RPS-1 copies (1 x 1041 x
107) were added to a fixed quantity of pituitary total RNA
(1µg) before RT-PCR. As shown in Fig. 2
, increasing
the number of RPS-1 copies from 1 x 104 to 3 x
106 did not affect the amplification efficiency of GHRH-R
(slope = -0.0052). The regression lines generated from the
amplification curves for RPS-1 and GHRH-R intersect at a point which
corresponds to 7 x 105 copies of GHRH-R mRNA/µg of
total RNA. By extrapolation, using the amount of RNA/pituitary cell
(7.6 pg) and the proportion of somatotropes/pituitary [40%; (21)],
we can estimate that each somatotrope contains approximately 13 copies
of GHRH-R mRNA. This experiment was repeated using a different RNA
preparation and gave similar results (1 x 106 copies
of GHRH-R mRNA/µg of total RNA; data not shown). In all subsequent
experiments, 1 x 106 copies of RPS-1 were added to
each RNA sample analyzed.

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Figure 2. Varying RPS-1 cRNA concentrations does not
interfere with GHRH-R mRNA reverse transcription and amplification.
Increasing copy numbers of RPS-1 cRNA were added to 1 µg of pituitary
total RNA. RNA samples were subjected to RT-PCR as described in Fig. 1
using 30 cycles of amplification. Products were separated on a 1.5%
gel containing ethidium bromide and the gel photographed
(inset). Two distinct bands, 464 bp and 229 bp, were
generated that corresponded to the predicted size of the GHRH-R and
RPS-1 fragments, respectively. The cDNA was then transferred to a nylon
membrane and hybridized with a 32P-labeled probe that
recognized a sequence internal to the primers and common to both GHRH-R
and RPS-1. Band intensity was measured by phosphorimager and pixel
density quantified by the ImageQuant software package (Molecular
Dynamics).
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To confirm that the ratio of GHRH-R/RPS-1 provides an accurate
assessment of the level of GHRH-R mRNA, varying quantities of total RNA
(0.55 µg) were added to a constant amount of RPS-1 (1 x
106 copies). The results of the RT-PCR are presented in
Fig. 3
. Although total RNA appeared to compete with
RPS-1 at high concentrations (3 and 5 µg) the ratio of GHRH-R/RPS-1
remained proportional to the amount of RNA added over a 10-fold
concentration range. In addition, this experiment confirmed our
previous observation that 1 µg of pituitary total RNA contains
approximately 1 x 106 copies of GHRH-R transcript
(i.e. a 1:1 relationship was observed between GHRH-R and
RPS-1 when 1 µg of total RNA was used).
To compare the efficiency of PCR amplification for GHRH-R and RPS-1, 1
µg of total RNA and 1 x 106 copies of RPS-1 were
co-reverse transcribed and the resulting cDNA was amplified over a
range of 2035 PCR cycles. The intensity of the amplified bands is
illustrated in Fig. 4
. The linear portions of the two
curves (which extends from 2030 cycles) have similar slopes
indicating GHRH-R and RPS-1 have comparable amplification efficiencies.
Transcripts were undetectable at 20 cycles while amplification reached
a plateau at 30 cycles. Therefore, to accurately assess both increases
and decreases in the endogenous transcript (GHRH-R), 26 cycles of PCR
amplification, representing the midpoint of the linear portion of the
curve, were used for all subsequent experiments.

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Figure 4. Kinetic analysis of simultaneous amplification of
GHRH-R and RPS-1 cDNA reveals both transcripts have comparable
amplification efficiencies (i.e. similar slopes). One
µg of total RNA and 1 x 106 copies of RPS-1 cRNA
were co-reverse transcribed and the generated cDNA was amplified using
increasing cycles of PCR. Subsequent experiments examining the effect
of treatment on GHRH-R mRNA levels were performed using 26 cycles of
PCR amplification.
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In vitro modulation of GHRH-R mRNA
Effect of dexamethasone and octreotide. Glucocorticoids have
been recently reported to increase the sensitivity of somatotropes to
GHRH (22) by stimulating GHRH-R gene expression (23). Therefore,
dexamethasone treatment was included in all experiments as a positive
control to monitor the sensitivity of our system to measure changes in
GHRH-R mRNA. As illustrated in Fig. 5
, 24-h treatment of
pituitary cell cultures with 10 nM dexamethasone, in the
presence of 2% serum, resulted in a 4-fold increase in the GHRH-R mRNA
level. As previously reported (23, 24) dexamethasone treatment had
little effect on basal GH release. However, 24-h treatment with
octreotide (a somatostatin analogue) reduced the GH level to 22% of
the control value while having no significant effect on the GHRH-R mRNA
concentration.
Effect of culture conditions. The aforementioned preliminary
experiments were conducted using extended treatment times (24 h),
thereby requiring minimal serum concentrations (2%) to maintain basal
cellular function. However, it was necessary to alter these culture
conditions to study the effects of GHRH on GHRH-R mRNA. Because GHRH is
rapidly degraded by serum peptidases (25), we tested the effect of
serum withdrawal on expression of GHRH-R mRNA (Table 1
).
Pituitary cells cultured for 3 days in the presence of 10% horse serum
(HS) had no significant decrease in GHRH-R mRNA levels when compared
with values obtained from fresh whole pituitaries. However, GHRH-R mRNA
levels decreased to 25% of control levels (in 10% HS) following
4 h of culture in serum-free medium and were further reduced to
6% after 8 h in the absence of serum. Likewise, after 24 h
of culture in 2% serum, GHRH-R mRNA levels were significantly reduced
from those observed in the presence of 10% HS. In light of these
results, the effect of GHRH on GHRH-R mRNA was examined in subsequent
experiments at 4 h under serum-free conditions, thus providing an
environment where GHRH-R mRNA is within a measurable range and GHRH is
not subjected to degradation by serum.
Effect of GHRH. To test the acute effect of GHRH on the
expression of its receptor, pituitary cell cultures were treated with
rat GHRH (0.00110 nM) for 4 h in serum-free medium,
and the results are presented in Fig. 6
. GHRH inhibited
GHRH-R gene expression in a dose-related manner (Fig. 6A
), with 0.1
nM GHRH effecting a 50% reduction in GHRH-R mRNA levels
compared with untreated controls. However, a higher dose of GHRH (1
nM) was required to elicit maximal GH release (Fig. 6B
). To
determine if the high concentration of medium GH elicited by GHRH
stimulation was responsible for the down-regulation of GHRH mRNA, cells
were pretreated with GH and GHRH-R function was assessed by a
subsequent 15 min challenge with GHRH (Fig. 7
). GH
pretreatment did not significantly alter the ability of GHRH to
stimulate a rise in cAMP while GHRH pretreatment resulted in the
predicted decrease in GHRH-induced intracellular cAMP accumulation.

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Figure 6. Effect of GHRH on GHRH-R mRNA concentrations (A)
and GH release (B). Pituitary cell cultures were treated for 4 h
with increasing doses of rat GHRH (010 nM) in serum-free
medium. Total RNA was analyzed for GHRH-R mRNA, and medium was assayed
for GH. The inset (in panel A) provides a representative example of the
effect of GHRH treatment on GHRH-R mRNA levels as visualized by
Southern blot. Each lane in the inset directly corresponds to
each bar. Data are expressed as percent of the zero dose
(set at 100%) and represents the mean ± SEM of three
separate experiments (three observations/experiment). *,
P < 0.05; **, P < 0.01.
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Figure 7. Effect of GHRH and GH pretreatment on subsequent
GHRH-induced intracellular cAMP concentrations. Cells were pretreated
for 4 h in the presence or absence (control) of 8 µg/ml rat GH
or 10 nM GHRH. Cells were washed and then challenged with
10 nM GHRH for 15 min. Cells were extracted and
intracellular cAMP concentrations were determined by RIA. Data
represent the mean ± SEM of four wells. *,
P < 0.05 vs. control. Similar
results were obtained using 1 nM GHRH for the acute
challenge (data not shown).
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Effect of forskolin. To determine if the GHRH-induced
inhibition of GHRH-R mRNA is due to the activation of adenylate
cyclase, pituitary cultures were treated with 10 µM
forskolin for 4 h in serum free medium (Fig. 8
).
Forskolin treatment resulted in a 40% reduction of GHRH-R mRNA which
was comparable to that observed with 0.1 nM GHRH (Fig. 6A
).
Forskolin, like GHRH, potently stimulated GH release, resulting in a
3-fold increase in medium GH concentrations. The ability of
dexamethasone to stimulate GHRH-R expression was also observed during a
short term exposure (4 h) and in the absence of serum.
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Discussion
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Pretreatment of rat pituitary cell cultures with GHRH markedly
attenuates the rise in intracellular cAMP induced by subsequent GHRH
challenge (3). The reduced sensitivity observed after repeated exposure
to GHRH is commonly referred to as homologous desensitization. The
extent to which impaired GHRH-R synthesis contributes to homologous
desensitization is readily apparent upon detailed comparison of the
results of the present study to previous reports. Ceda and Hoffman (3)
and Simard et al. (4) demonstrated a 60% reduction in
GHRH-induced intracellular cAMP concentrations following a 34 h
in vitro treatment with 110 nM GHRH.
Bilezikjian et al. (5) reported a 50% reduction in
GHRH-binding sites with this same treatment paradigm. These results are
similar to those in the present experiment, where a 4-h treatment with
0.1 nM or 1 nM GHRH led to a 50% decline in
GHRH-R mRNA levels. This direct relationship between GHRH-R function,
number and mRNA concentration indicates that receptor synthesis
regulation is a key component in GHRH-induced desensitization in
vitro.
These results lead to the question of whether GHRH acts to
down-regulate its own receptors in vivo. Recently, Miki
et al. (26) presented compelling evidence that this indeed
does occur. They found that systemic administration of GHRH antibodies
or a catecholamine synthesis inhibitor (diethyl-dithiocarbamate; DDC),
both of which reduce GHRH concentrations, up-regulated GHRH-R mRNA, as
assessed by a ribonuclease protection assay. Restoration of GHRH
concentrations by simultaneous GHRH administration prevented the
inhibitory effect of DDC. These in vivo results coupled with
our in vitro findings indicate that GHRH can tonically
inhibit the expression of its receptor by a direct interaction at the
pituitary level.
Our results also demonstrate the inhibitory effect of GHRH is mediated
by binding to its receptor and activation of the adenylate cyclase
second messenger system cascade since forskolin, which bypasses
membrane receptors and directly activates adenylate cyclase, also
inhibited GHRH-R mRNA accumulation. Somatostatin has been shown to
inhibit basal adenylate cyclase activity in rat pituitary preparations
(27, 28, 29). However, treatment of pituitary cell cultures with the
somatostatin analogue, octreotide, failed to alter GHRH-R mRNA levels.
This suggests that cAMP does not exhibit a tonic inhibitory effect on
GHRH-R mRNA accumulation but rather mediates ligand (GHRH)-induced
receptor desensitization.
The ability of ligands to modulate the production of their own
receptors by a receptor mediated mechanism is not unique to the GHRH
system. For example, a recent report by Pozzoli et al. (14)
demonstrated that CRH rapidly (3 h) inhibits CRH-R mRNA levels in a
dose-dependent manner. Stimulation of adenylate cyclase, a known
component of the CRH-activated second messenger system pathway (30),
also reduced CRH-R mRNA concentrations. Similarly, both TSH and TRH
have been reported to reduce their own receptor mRNA levels by
activation of receptor-dependent cAMP pathways (10, 31, 32). Therefore,
the same second messenger system cascade which acts to stimulate
hormone release and synthesis can also serve as a mechanism to
attenuate the ligand-initiated response.
Before concluding that the effect of GHRH on its receptor expression
was direct, it was first necessary to consider the possibility that GH,
rather than GHRH, is responsible for the reduction in GHRH-R mRNA
observed because 1) GHRH induced increases in GH concentrations reached
58 µg/ml in our static culture system; and 2) GH receptors are
present on pituitary cells (33). Therefore, the possibility exists that
GH could act through GH receptors to inhibit GHRH-R expression. To test
this hypothesis, pituitary cell cultures were pretreated with GH at
concentrations comparable to those induced by GHRH and then stimulated
by GHRH to elicit a rise in intracellular cAMP concentrations as a
functional assay of GHRH-R levels. Consistent with previous reports (3, 4), GHRH pretreatment decreased subsequent GHRH-induced cAMP
accumulation. However, GH pretreatment did not alter GHRH-R function.
These results strongly suggest that the effect of GHRH on GHRH-R mRNA
levels is independent of its effects on GH secretion.
The reduction or removal of serum from the culture media dramatically
and rapidly reduced basal levels of GHRH-R mRNA. These findings imply
that serum contains factors necessary for GHRH-R maintenance in
vitro. Two likely candidates are glucocorticoids and
T4, both of which have been previously shown to positively
regulate GHRH-R levels. Glucocorticoids increase somatotrope
sensitivity to GHRH (24) by increasing GHRH receptor numbers (22). This
increase in GHRH-binding sites has been recently correlated with an
increase in GHRH-R mRNA. Both Tamaki et al. (23) and our
current report demonstrated that in vitro exposure of
pituitary cell cultures to dexamethasone, for as little as 4 h,
increased GHRH-R levels above untreated controls. Similarly,
T4 has been shown to enhance somatotrope sensitivity to
GHRH in vitro (34). Results from in vivo studies
suggest that T4 exerts its positive effect on GHRH-R
function by an increase in receptor synthesis. Miki et al.
(35) reported that thyroidectomy decreased pituitary GHRH-R mRNA levels
by 60%, and this decrease could be partially reversed by
T4 replacement therapy. Comparable results were reported by
Tam et al. (36) using rats rendered hypothyroid by
propylthiouracil and methimazole treatment. Clearly, glucocorticoids
and T4 augment somatotrope sensitivity to GHRH. However, it
should be noted that neither hormone can prevent the homologous
desensitization observed in vitro (3).
The results of the present study demonstrate that GHRH inhibits GHRH-R
mRNA accumulation. However, the methodology used (RT-PCR) does not
reveal if this decrease is due to a reduction in GHRH-R gene
expression, a reduction in GHRH-R mRNA stability, or both. The
ß-adrenergic receptor (ßAD-R) is often used as a prototype for G
protein-coupled receptors and, like GHRH-R, ßAD-R mRNA levels are
down-regulated by homologous stimulation. In this model, the mechanism
that reduces receptor mRNA levels involves a cAMP-dependent
destabilization of the receptor mRNA (8, 15). Ligand-initiated
degradation of TRH receptor mRNA has also been reported (9, 32). In
contrast, TSH suppresses the synthesis of its receptor by decreasing
receptor gene transcription (31). However, LH both promotes its
receptor degradation and decreases gene expression (12, 37). It remains
to be determined if the mechanism by which GHRH-induces GHRH-R mRNA
down-regulation includes transcriptional and/or posttranscriptional
regulation.
 |
Acknowledgments
|
|---|
The authors thank Michael R. Butz for his excellent technical
assistance, Drs. Núria Nogués and Jun Kamegai for helpful
discussions, and the National Pituitary Hormone Program for supplying
the rat GH standard and iodination preparation used in the GH RIA.
 |
Footnotes
|
|---|
1 This work was supported by USPHS Grant DK-30667 and the Bane Scholar
Fund. 
Received October 1, 1996.
 |
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