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Laboratories of Experimental Endocrinology, Department of Medicine, Ruhr University (M.B., M.D.), 44789 Bochum; and Institute for Physiological Chemistry, University Hospital Eppendorf (G.W.M.), 25421 Hamburg, Germany
Address all correspondence and requests for reprints to: Dr. Michael Derwahl, Laboratories of Experimental Endocrinology, University Clinic of Internal Medicine, Buerkle-de-la-Camp-Platz 1, 44789 Bochum, Germany.
| Abstract |
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| Introduction |
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It is well established that most effects of TSH on the thyroid gland, including stimulation of proliferation, thyroid hormone synthesis, and expression of thyroid-specific genes, are transmitted by the adenylate cyclase pathway (reviewed in 8 . However, recent data on stimulation of the PLCß-mediated generation of inositol phosphates suggest that a simultaneous stimulation of this pathway may at least in part act as a negative regulator of thyroid hormone synthesis by inhibiting iodide organification and thyroid hormone secretion (9, 10).
To our knowledge, there are only two reports of an altered
phosphatidylinositol/Ca2+ signaling pathway in neoplastic
thyroid tissues. Kobayashi and co-workers (11) measured increased
enzymatic activity of PLC in thyroid carcinomas. Shaver et
al. (12) recently reported on the measurement of TSH-stimulated
PLC activity in various thyroid tissues. They demonstrated that in
about 50% of high risk thyroid cancer tissues, TSH failed to activate
PLC. In addition, Hatada and co-workers (13) have recently demonstrated
high levels of particulate protein kinase C (PKC) in papillary and
follicular thyroid carcinomas. These data are in accordance with a
recent report of Prévostel et al. (14), who
demonstrated in human thyroid neoplasms a point mutation at amino acid
position 294 of the PKC
isozyme that led to increased expression of
other PKC isozymes.
The aim of this study was to investigate the influence of TSH, bradykinin, and ATP on the generation of inositol phosphates in two human thyroid carcinoma cell lines, HTh74 and HTC-TSHr cells. The HTh74 cell line (15) is derived from an anaplastic thyroid carcinoma, but expresses functional TSH receptors, whereas HTC-TSHr cells (16) are derived from a follicular thyroid carcinoma and express recombinant, but lack endogenous, TSH receptors. We demonstrate here that neither thyroid carcinoma cell line exhibits any increase in inositol phosphates in response to concentrations of TSH up to 300 mU/ml, but both display decreases in myo-inositol bisphosphate (InsP2), myo-inositol 1,3,4-trisphosphate [Ins(1, 3, 4)P3], Ins(1, 4, 5)P3, and myo-inositol 1,3,4,5-tetrakisphosphate [Ins(1, 3, 4, 5)P4], in marked contrast to other TSH receptor-expressing cell lines, such as FRTL5 rat thyroid cells and CHO-TSHr cells. On the other hand, bradykinin and ATP were found to activate the PLCß cascade in both carcinoma cell lines. However, when HTC-TSHr cells were pretreated with calphostin C or staurosporine, inhibitors of PKC, significant increases in InsP, InsP2, Ins(1, 3, 4)P3, Ins(1, 4, 5)P3, and InsP(1, 3, 4, 5)P4 in response to TSH were observed. From our data we conclude that in HTC-TSHr cells the TSH receptor-Gq-PLC signaling pathway is at least in part depressed by an activated PKC.
| Materials and Methods |
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-32P]ATP were purchased from Amersham-Buchler
(Braunschweig, Germany). Mono-Q columns, diethylaminoethyl-Sepharose,
and the PCR Template Prep for single strand DNA sequencing kit were
obtained from Pharmacia (Uppsala, Sweden). The Sequenase 2.0 sequencing
system was obtained from U.S. Biochemical Corp. (Cleveland, OH). HTh74
thyroid carcinoma cell line was provided by Dr. Heldin, Uppsala (15).
The FRTL5 Fischer rat thyroid cell line (17) was previously obtained
from American Type Culture Collection (Bethesda, MD).
Cell cultures
Monolayer cultures of the human thyroid carcinoma cell lines
HTC-TSHr, clone h52 (16), and HTh74 (15) were grown in Coons
modified Hams F-12 medium supplemented with 10% FCS and five
hormones or growth factors (glycyl-histidyl-lysine, 10 ng/ml; insulin,
10 mg/ml; somatostatin, 10 ng/ml; transferrin, 5 mg/ml; hydrocortisone,
3.2 ng/ml). FRTL5 cells (17) were maintained in the same medium with or
without 10 mU/ml TSH as indicated, but with 5% calf serum. CHO-TSHr
cells, clone c76 (Derwahl. M., and M. Broecker, unpublished data),
were grown in Coons modified Hams F-12 medium supplemented with
10% FCS.
Labeling of cells, stimulation, and extraction of inositol
phosphates and phosphoinositides
Cells were labeled for 48 h in the appropriate medium
without TSH containing 4 mCi/ml myo-[2-3H]inositol (SA,
100 Ci/mmol). The concentration of total inositol in the medium was
about 140 mM. At the end of the labeling period, the cell
monolayer was washed five times with prewarmed stimulation buffer (130
mM NaCl, 10 mM HEPES, 10 mM LiCl, 5
mM glucose, 1 mM MgCl2, 1
mM CaCl2, and 1 mM
KPO4, pH 7.4). After adding 9 ml stimulation buffer, the
petri dishes were preincubated at 37 C for 15 min with or without 10,
20, 50, 100, or 200 nM calphostin C or 0.15, 0.3, or 1.5
nM staurosporine. The indicated hormones or ligands were
added in 1 ml stimulation buffer, and agonist-stimulated cells were
kept for the indicated times. To stop stimulation, the petri dishes
were placed on ice, and the buffer was quickly aspirated and replaced
with 3 ml cold 10% trichloroacetic acid. After scraping with a rubber
policeman and centrifugation, inositol phosphates in the supernatants
were extracted four times with equal volumes of diethyl ether.
Phospoinositides were made water soluble by mild deacylation (18, 19).
Separation of inositol phosphates and phospoinositides by HPLC
Inositol phosphates and deacylated phosphoinositides
(glycerophosphoinositol phosphates) were separated by anion exchange
HPLC using a guard column (0.5 x 5 cm) and a main column
(0.5 x 20 cm) packed with Mono-Q. The elution protocol with the
HCl gradients and the KCl gradients as well as the sample workup
procedure were described previously (20). Retention times were
established by analyzing nonradioactive mixtures of inositol phosphates
and deacylated phospholipids by the metal dye detection-HPLC technique
as previously described (20, 21). Fractions were collected at 30-sec
intervals, and radioactivity of the whole fraction (0.5 ml)
supplemented with 1.5 ml Quickszint Flow 306 was measured in a
ß-counter by liquid scintillation counting. To calculate changes in
phospholipids, the counts of the small fraction of inositol phosphates
generated from phospholipids during the deacylation procedure (Fig. 2
)
were added to the counts of the corresponding glycerophosphoinositol
phosphate peaks.
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Isolation of DNA, PCR, and sequencing of PCR products
DNA was isolated from cells using standard methods (24). PCR
reactions were performed according to the conditions described by
Prévostel et al. (14). For nucleotide sequencing of
PCR-generated fragments, we performed the method of Higuchi and Ochman
(25) using the PCR Template Prep for single strand DNA sequencing
(Pharmacia, Uppsala, Sweden) and the Sequenase 2.0 system (U.S.
Biochemical Corp.).
Statistical analysis
Experiments were repeated at least three times. Statistical
analysis was performed using Students t test;
P < 0.05 was considered significant.
| Results |
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In contrast to both thyroid carcinoma cell lines, a remarkable
increase in InsP2 and Ins(1, 4, 5)P3 generation
within 1 min of TSH stimulation was observed in CHO-TSHr cells (Table 1
), indicating a rapid activation of PLCß. After 3 min of
stimulation, CHO-TSHr cells displayed significant increases in
InsP, InsP2, Ins(1, 4, 5)P3,
Ins(1, 3, 4, 6)P4, Ins(1, 3, 4, 5)P4,
Ins(1/3,4,5,6)P4, and inositol pentakisphosphate
[Ins(1, 3, 4, 5, 6)P5]. After 5 min of TSH stimulation, the
concentrations of Ins(1, 3, 4)P3 and InsP6 were
additionally elevated (Table 1
).
FRTL5 thyroid cells showed a significant increase in inositol
phosphates in response to TSH stimulation (Table 1
). These results are
in accordance with two previous reports (27, 28) of inositol phosphate
accumulation after TSH stimulation in FRTL5 cells and in nontransformed
human thyroid cells (2, 3). As FRTL5 cells exhibited PLC activation
after TSH stimulation, we used these cells as a second control to
specify in a thyroid cell line inositol phosphate isomer profiles
elicited upon TSH stimulation. One minute of stimulation led to
increased concentrations of Ins(1, 3, 4)P3,
Ins(1, 3, 4, 6)P4, and Ins(1, 3, 4, 5)P4 in these
cells. After 3 and 5 min of stimulation, concentrations of InsP,
InsP2, Ins(1, 4, 5)P3, and
Ins(1/3,4,5,6)P4 were also significantly increased.
However, the elevation of InsP6 was slight, but not
significant (Table 1
).
Furthermore, in FRTL5 cells, concomitant with PLCß activation, TSH apparently led to a very rapid activation of Ins(1, 4, 5)P3 3-kinase, which generates Ins(1, 3, 4, 5)P4 from Ins(1, 4, 5)P3, and of Ins(1, 3, 4, 5)P4 5'-phosphatase, which converts Ins(1, 3, 4, 5)P4 into Ins(1, 3, 4)P3. Therefore, PLCß must have been stimulated within 1 min to generate Ins(1, 4, 5)P3, as otherwise a marked increase in InsP4 with an unchanged mass of Ins(1, 4, 5)P3 after 1 min of stimulation could not be explained. These data are in accordance with the very recent data of Singh et al. (30), who investigated inositol phosphate metabolism in FRTL5 cells after the addition of TSH. These researchers demonstrated an increase in an InsP3 isomer and two InsP4 isomers, but no increase in Ins(1, 4, 5)P3 during the first 2 min of stimulation (30).
Sho and co-workers (31) recently reported that PIA, a P1-purinergic agonist, modulates the sensitivity of PLCß activation and inositol phosphate generation in FRTL5 cells in response to TSH stimulation. Therefore, we conducted experiments to prove the effect of PIA in HTC-TSHr and HTh74 cells. However, treatment of carcinoma cells with 100250 nM PIA did not affect inositol phosphate concentrations compared with those in untreated controls. Furthermore, stimulation of pretreated cells with up to 300 mU/ml TSH resulted in a decrease in inositol phosphate concentrations similar to that observed in TSH-stimulated cells without PIA preincubation (data not shown).
Inositol phosphate formation in response to ATP and bradykinin
stimulation
To analyze the potential of other G protein-coupled receptors to
activate PLCß in HTC-TSHr and HTh74 cells, we treated these thyroid
carcinoma cells with 10 mM ATP and 1 mM
bradykinin, which are known to stimulate phosphoinositide hydrolysis
via a PLCß isozyme (reviewed in 32 . As indicated in Table 2
, these agonists led to a rapid increase
in inositol phosphates after 1 min of stimulation.
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-glycerophospho(1)-D-myo-inositol-4-phosphate
(GroPIns4P) and
-glycerophospho(1)-D-myo-inositol-4,5-bisphosphate
[GroPIns(4, 5)P2] in parallel with the elevation of
inositol phosphates (Fig. 2In HTC-TSHr cells, a significant increase, but not a decrease, in phosphoinositides was seen after 1 min of stimulation with ATP and bradykinin (chromatograms not shown). In response to ATP and bradykinin, total phosphoinositide concentrations increased to 112% and 111%, respectively, and GroPIns(4, 5)P2 concentrations increased to 151% and 147% of control values, respectively. Similar results were obtained in HTh74 cells (data not shown). These data indicate that HTC-TSHr cells are able to rapidly resynthesize phosphoinositides to a higher extent than that hydrolyzed by ATP or bradykinin stimulation, probably by activation of PtdIns4P 5-kinase. This enzyme is reported to be activated by some G protein-coupled receptors, for example the N-formylmethionyl-leucylphenylalanine and platelet-activating factor receptor, and by nonhydrolysable GTP analogs (33).
Generation of inositol phosphates in response to TSH in HTC-TSHr
cell after pretreatment with inhibitors of PKC
As a negative feedback between PKC activation and
Gq-PLCß coupling has previously been reported (34, 35),
we pretreated HTC-TSHr cells with either 100 nM calphostin
C or 1.5 nM staurosporine, potent inhibitors of PKC, for 15
min at 37 C before stimulation with 10300 mU/ml TSH. After
preincubation with 100 nM calphostin C, concentrations of
TSH as low as 20 mU/ml significantly enhanced the synthesis of
Ins(1, 3, 4)P3, Ins(1, 4, 5)P3, and
Ins(1, 3, 4, 5)P4 (Table 3
).
Lower concentrations of calphostin C did not affect inositol phosphate
generation (data not shown). A more pronounced effect on
Ins(1, 3, 4)P3 and Ins(1, 3, 4, 5)P4 generation was
observed after a 1-min stimulation of HTC-TSHr cells with 300 mU/ml
TSH. Stimulation of these cells for 3 or 5 min additionally enhanced
the concentrations of InsP, InsP2, and
Ins(1, 4, 5)P3 (Fig. 3
).
Similar results were obtained after preincubation with 1.5
nM staurosporine (data not shown).
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Finally, phosphoinositide concentrations in calphostin C-pretreated and TSH-stimulated HTC-TSHr cells were slightly elevated compared with those in unstimulated cells, indicating a rapid resynthesis of these compounds (data not shown), as demonstrated in response to ATP and bradykinin stimulation.
PKC activities in TSH-stimulated cells
Additionally, we measured PKC activities in unstimulated and
TSH-stimulated FRTL5, CHO-TSHr, HTh74, and HTC-TSHr cells by analyzing
the phosphorylation of a PKC-specific peptide. As shown in Table 4
, TSH stimulation led to PKC
translocation to the particulate fraction in all cell lines.
Translocation of PKC activity to the particulate fraction corresponded
to an activation of the enzyme in thyroid cells as shown by others (36, 37) and in own experiments. Treatment of HTC-TSHr, HTh74, FRTL5, and
CHO-TSHr cells with 500 nM phorbol 12-myristate 13-acetate
for 5 min resulted in a redistribution of PKC activity, with over 95%
of total PKC activity measured in the particulate fraction of all cell
lines (data not shown).
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To search for the mutation of the PKC
gene that has very recently
been described by Prévostel et al. (14), we
additionally amplified and sequenced a portion of the V3 region of the
PKC
gene of HTC-TSHr and HTh74 cells. However, we could not detect a
mutation of the PKC
gene in this region in either thyroid tumor cell
line (data not shown).
| Discussion |
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Very recently, it was reported that the human TSH receptor can be
coupled to at least 10 different G protein
-subunits (39). However,
only two of the dependent effector systems, the adenylate cyclase
system, activated by Gs
, and the phospholipase C
cascade, activated by Gq/11
, have been characterized in
detail (2, 3, 4). Activation of both effectors has been demonstrated for
the endogenous TSH receptor in human thyroid slices (2) as well as for
the recombinant human TSH receptor expressed in CHO cells (26).
Both thyroid carcinoma cell lines used in the present study were found to express functional TSH receptors that are coupled to the adenylate cyclase pathway, leading to a dose-dependent generation of intracellular cAMP in response to TSH (15, 16). However, in both cell lines TSH apparently failed to stimulate inositol phosphate generation, whereas ATP and bradykinin, via their G protein-coupled receptors, induced rapid inositol phosphate generation and phosphoinositide resynthesis.
It has been shown that the expression level of thyroid-specific genes, e.g. of TSH receptor messenger RNA, in thyroid tumors is related to the level of differentiation resulting in a complete loss of TSH receptor expression in poorly differentiated thyroid carcinomas (40, 41). HTh74 thyroid carcinoma cells are derived from an anaplastic thyroid carcinoma, but still express TSH receptors (15), albeit at a presumably low level. In this respect it might be argued that the number of TSH receptors in these cells is too low to induce phosphoinositide hydrolysis in response to TSH stimulation. However, in HTC-TSHr cells, TSH also failed to stimulate inositol phosphate generation. These cells are known to express 30005000 recombinant human TSH receptors/cell, which is in the range of normal thyroid cells (16).
In thyroid cells of various animal species, higher than physiological doses of TSH are required to stimulate PLCß-mediated phosphoinositide hydrolysis in vitro (2, 3), which makes a physiological role for this signaling pathway questionable. However, very recently it has been shown by Laglia and co-workers (42) that an enhanced concentration of cAMP attenuates TSH-induced inositol phosphate generation in FRTL5 thyroid cells. Furthermore, Sho et al. (31) demonstrated that in rat FRTL5 thyroid cells PIA, a P1-purinergic agonist, can increase the sensitivity of the phosphoinositide hydrolysis pathway to TSH stimulation. PIA inhibited TSH-induced cAMP accumulation and simultaneously enhanced TSH-induced activation of PLCß and Ins(1, 4, 5)P3-induced Ca2+ release in these cells. This switch is supposed to be due to cross-talk of a cAMP-dependent pathway and the ß-isozyme of PLC (43). However, using high doses of both PIA and TSH we were not able to detect any increase in inositol phosphate generation in either HTh74 or HTC-TSHr cells.
A recent report by Shaver et al. (12) supports our results concerning TSH-stimulated PLC activity in thyroid carcinoma cells. In about 50% of the high risk thyroid cancer tissues, these researchers could not detect generation of inositol phosphates in response to 300 mU/ml TSH.
In both HTh74 and HTC-TSHr cell lines, ATP and bradykinin were found to
activate PLCß isozymes, resulting in a rapid increase in inositol
phosphates. This demonstrates that in both cell lines, G
protein-coupled receptors are able to affect the phosphatidylinositol
signaling system. As there is a strong activation of PLCß signaling
in response to ATP or bradykinin stimulation despite high basal PKC
activity, it is likely that different combinations of members of the
Gq protein family or G protein ß
-subunits and PLCß
isozymes are used by TSH or ATP and bradykinin in thyroid cells. In
fact, it has been demonstrated in various cell lines that G proteins of
the Gq family as well as G protein ß
-subunits may
couple to different PLCß isozymes with combinations that are more or
less responsive (reviewed in 44 . Due to this variability in
different G protein coupling systems, the ATP or bradykinin signaling
pathway may be less sensitive to inhibition by high PKC activity than
the TSH receptor-PLCß signaling pathway. Alternatively, the latter
coupling pathway might be attenuated only by a combined action of PKC
activation and a cAMP-dependent and, thus, TSH-dependent process. This
presumption is in accordance with the recent data reported by Laglia
et al. (42), who demonstrated an attenuation of inositol
phosphate generation by cAMP in FRTL5 cells.
In addition, our data have to be reconciled with the recent finding of increased basal and GTP-stimulated PLC activity in neoplastic thyroid membranes (11). These researchers measured the total PLC activity, but not that of different PLC isozymes. As increased PLC activity may be due to a stimulation of both G protein-coupled receptors and growth factor receptors (reviewed in 32 , these results are not contradictory to our data.
On the ground of recent reports on increased PKC activity in thyroid carcinomas (13) and high levels of PKC in rapidly growing thyroid cells in vitro (36, 45), we conducted experiments to analyze the effect of PKC inhibition on inositol phosphate formation in response to TSH. By feedback regulation, activation of PKC is known to prevent activation of PLCß by G protein-coupled receptors (46, 47). We demonstrate here that short term inhibition of PKC activity markedly improved TSH receptor-G protein-PLCß signaling in response to TSH and that HTC-TSHr cells thereby regained TSH-dependent formation of inositol phosphates.
In addition, inhibition of PKC enabled us to determine the generation of different inositol phosphate isomers in HTC-TSHr cells and to compare the results with those measured in our controls, FRTL5 and CHO-TSHr cells. In all three cell lines TSH stimulated Ins(1, 4, 5)P3 3-kinase. Although in FRTL5 and pretreated HTC-TSHr cells, TSH rapidly activated Ins(1, 4, 5)P3 3-kinase and Ins(1, 3, 4, 5)P4 5'-phosphatase and thus stimulated Ins(1, 3, 4, 5)P4 and Ins(1, 3, 4)P3 generation, in nonthyroid CHO-TSHr cells we observed an elevation of Ins(1, 3, 4, 5)P4 not before 3 min and an increase in Ins(1, 3, 4)P3 not before 5 min of TSH stimulation. It is evident that in thyroid cells the rapid activation of Ins(1, 4, 5)P3 3-kinase and Ins(1, 3, 4, 5)P4 5'-phosphatase may depend on some cross-talk with other TSH-activated pathways, for example by an elevation of the intracellular Ca2+ concentration or the activation of protein kinase A or PKC, which are able to increase Ins(1, 4, 5)P3 3-kinase activity in some cell systems (reviewed in 48 .
Although the molecular mechanism that modulates the TSH
receptor-Gq-PLCß signaling pathway has to be further
elucidated in all details, it is obvious that an activated PKC in the
HTC-TSHr tumor cell line plays a central role in suppressing this
signaling pathway. As PLCß as well as PLC
activities are
controlled by PKC via a negative feedback (49, 50), we measured PKC
activity after TSH stimulation in both tumor cell lines and found an
early increase in PKC activity that was independent of an elevation of
the intracellular cAMP concentration. The more pronounced increase in
membrane-bound PKC activity in tumor cells, alone or in combination
with activation of other signaling pathways, must be responsible for
the small, but significant, decrease in inositol phosphates subsequent
to stimulation with TSH. Inhibition of basal PLC activity and/or a
signal-responsive activation of InsP3 3-kinase and
InsP3/Ins(1, 3, 4, 5)P4 5'-phosphatase may be
sufficient to explain this unexpected behavior.
FRTL5 cells, which responded to high doses of TSH with an increase in Ins(1, 4, 5)P3 as well as an increase in products derived thereof by the known interconversions, showed the same unexpected changes. After 1 min of stimulation with 300 mU/ml TSH, but not thereafter, a slight decrease in Ins(1, 4, 5)P3 was observed in FRTL5 cells, although products apparently derived from Ins(1, 4, 5)P3 as Ins(1, 3, 4, 5)P4, Ins(1, 3, 4)P3, Ins(1, 3, 4, 6)P4, and even InsP5 and InsP6 are increased. The data reported by Singh et al. (30), who demonstrated the inositol phosphate metabolism up to 2 min are in agreement with our findings after 1 min of stimulation, whereas after 3 min we found an increase in Ins(1, 4, 5)P3.
As the early activation of PKC is, at least in thyroid carcinoma cell
lines, independent of inositol phosphate generation and an elevated
cAMP concentration, it is evident that it is mediated by an
alternative, Gs- and Gq-independent signaling
pathway. This conclusion fits with the recent finding that the
activated TSH receptor can be coupled to 10 different G protein
-subunits in normal thyrocytes (39). Indeed, Fujimoto and
Brenner-Gati (36) reported on a cAMP-dependent activation of PKC that
is likely to be the result of PLD or PLA2 activation (51).
In addition, Lejeune et al. (52) demonstrated an increase in
phosphatidic acid accumulation in thyroid cells after TSH stimulation
that was not mimicked by cAMP analogs and was not caused by PLD
stimulation.
However, whereas Fujimoto and Brenner-Gati (36) measured the effects of TSH in TSH-deprived FRTL5 cells after a relatively long stimulation period of 24 h, our data indicate an immediate TSH-mediated PKC activation. Similar results of early PKC activation by G protein-coupled receptors have been reported by Fujimori et al. (22), who reported a rapid PKC translocation without Ins(1, 4, 5)P3 release in rat osteogenic sarcoma (UMR 10001) cells after stimulation with PTH.
The results of our study demonstrated the crucial role of high basal
PKC activities for the inhibition of TSH receptor-Gq-PLCß
signaling. By treatment of HTC-TSHr cells with PKC inhibitors, this
tight inhibition of TSH receptor-Gq-PLCß signaling was
relieved and, in turn, the depressed signaling pathway was
reconstituted. As high levels of PKC activities are not restricted to
the thyroid carcinoma cell lines investigated in this study, but are
also detectable in thyroid carcinoma tissues (13), the question of the
molecular mechanisms that lead to high basal PKC activities is of
particular interest. In a subset of thyroid neoplasms, high PKC
activities may be due to a mutation of the PKC
gene that lead to an
increased expression of PKC isozymes (14). However, in thyroid
carcinoma cells that do not harbor such mutations, high PKC activities
may at least in part be explained by autocrine stimulation of tyrosine
kinase receptors such as epidermal growth factor and platelet-derived
growth factor receptors that has been described in different thyroid
carcinoma cell lines and is also detectable in HTC-TSHr cells (53, 54).
Taken together, the present study supports the concept of the eminent
importance of PKC in the pathogenesis of thyroid neoplasms.
| Acknowledgments |
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| Footnotes |
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Received February 11, 1997.
| References |
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(TGF
) and platelet-derived growth
factor B (PDGF-B) in HTC-TSHr thyroid carcinoma cells. Thyroid [Suppl
1] 5:S-4
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