Endocrinology Vol. 138, No. 9 3967-3975
Copyright © 1997 by The Endocrine Society
Role of Prepancreatic (Pro)Insulin and the Insulin Receptor in Prevention of Embryonic Apoptosis1
Aixa V. Morales,
José Serna,
Cristina Alarcón,
Enrique J. de la Rosa2 and
Flora de Pablo2
Department of Cell and Developmental Biology, Centro de
Investigaciones Biológicas, CSIC, Madrid, Spain
Address all correspondence and requests for reprints to: Dr. Flora de Pablo, Centro de Investigaciones Biológicas, Consejo Superior de Investigaciones Científicas, C/Velázquez 144, E-28006 Madrid, Spain. E-mail: cibfp1f{at}fresno.csic.es
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Abstract
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The characterization of (pro)insulin as an early embryonic growth
factor requires demonstration of its expression and cellular effects
in vivo. By in situ hybridization, we
found widespread preproinsulin transcripts in the chick embryo
throughout gastrulation and neurulation, before the beginning of
preproinsulin-like growth factor I expression and pancreatic
organogenesis. To analyze the prepancreatic (pro)insulin effect on
apoptotic cell death, we treated embryos with antisense
oligodeoxynucleotides in ovo and in
vitro. The specific effect of two preproinsulin messenger RNA
(mRNA) antisense oligodeoxynucleotides was confirmed by the decrease in
a biosynthetically labeled protein immunoprecipitated with antiinsulin
Igs. Insulin receptor mRNA antisense oligodeoxynucleotide applied
in ovo increased by 2.7-fold the level of apoptosis in
the 1.5-day embryo (neurulation) compared with that in its random
sequence control. In a whole embryo culture, apoptosis increased by
2535% with the addition of preproinsulin or insulin receptor mRNAs
antisense oligodeoxynucleotides, respectively, whereas it decreased by
64% after 10 h in the presence of 10-8 M
chicken insulin. Exogenous insulin also rescued the death induced by
preproinsulin antisense oligonucleotides. These findings provide
evidence for an autocrine/paracrine role of preproinsulin gene products
acting through the insulin receptor in the control of cell
survival/death during early embryonic development.
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Introduction
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CELL DEATH in normal vertebrate
ontogeny, characterized morphologically as apoptosis, has long been
known to be a developmental process controlling cell number and
morphogenesis (1, 2). For decades, attention has focused on the
characterization of apoptosis as a particular feature of specific
systems, such as Caenorhabditis elegans development (3),
metamorphosis in amphibian (4), vertebrate digit morphogenesis (5),
vertebrate nervous system (6), and immune system (7) among others.
However, as apoptosis has been recognized in a fast expanding number of
cell types and developmental stages (8, 9, 10, 11, 12), it is now clear that
programed cell death is a more general process than originally
suspected. Indeed, it has been proposed that programed cell death acts
as a default pathway to correct conflictive or stray signaling events
in development (13, 14). Despite these extensive observations, only
limited characterization of the occurrence of apoptosis in early
vertebrate development exists (15, 16, 17). Even less defined are the
identity, sources, and mechanisms of action of the factors modulating
cell survival/death during the critical periods of gastrulation and
neurulation.
The list of signals preventing apoptosis, at least in
vitro, includes growth factors well known for their regulatory
actions in adult life that play important developmental roles as well
(10, 18). Paradoxically, although insulin has been exploited over
decades to maintain healthy cultures of almost all cell types (19), its
recognition as a physiological growth factor is quite limited. A common
interpretation of the growth effects of insulin has been that it mimics
the closely related insulin-like growth factor I (IGF-I), acting
through the IGF-I receptor, which is present in most tissues together
with the insulin receptor (20, 21, 22, 23). Indeed, IGF-I usually shows higher
potency in growth bioassays (for review, see Refs. 23 and 24) and has
been found to be effective in suppressing apoptosis in a variety of
serum-deprived cultured cells (25, 26). In adult vertebrates, insulin
and IGF-I are synthesized as preproinsulin and prepro-IGF-I,
subsequently processed, and secreted mainly as hormones by pancreas and
liver, respectively. However, we have previously found by reverse
transcription coupled to PCR (RT-PCR), that preproinsulin messenger RNA
(mRNA) is developmentally regulated from 0.5 day (E0.5) to E2 of chick
embryonic development, when prepro-IGF-I transcripts are undetectable
(27). In addition, insulin has a general growth effect in the chick
embryo during neurulation (27) and early organogenesis (28). Therefore,
to better understand how insulin signaling affects early development,
we undertook a detailed analysis of preproinsulin mRNA distribution,
the effects of its protein translation product(s) on cell survival, and
the receptor involved.
Here we show the wide distribution of preproinsulin transcripts by
in situ hybridization from the primitive streak chick
embryo, through neurulation and pancreatic organogenesis (E0.5E2.5).
Using antisense oligodeoxynucleotide (ODN)-mediated interference both
in vivo and in vitro, we provide evidence that
autocrine/paracrine insulin, signaling through the insulin receptor,
modulates apoptotic cell death in the neurulating embryo.
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Materials and Methods
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Chick embryos
Fertilized White leghorn eggs (Granja Rodríguez-Serrano,
Salamanca, Spain) were incubated at 38.2 C and 6090% relative
humidity for the indicated periods. The embryos were staged according
to the method of Hamburger and Hamilton (HH stages) (29).
In situ hybridization
Chicken-specific RNA probes for in situ hybridization
have been previously described (30). Control probes were the sense
transcripts. The whole mount in situ hybridization protocols
for embryos with 33P-labeled probes or digoxigenin-labeled
probes have been described previously (27, 31). The embryos labeled
with digoxigenin riboprobes were visualized by the alkaline phosphatase
reaction product and photographed with a Wild-Leitz M400
photomacroscope. The embryos labeled with [33P]riboprobes
were apposed to Hyperfilm BetaMax (Amersham, Arlington Heights, IL) and
exposed for 2 months, and the autoradiographic image was scanned with
an Ektron 1412 camera (Bedford, MA) and processed with the NIH Image
software.
Synthetic oligodeoxynucleotides
To interfere with the synthesis of embryonic (pro)insulin,
15-base antisense (AS) ODNs were designed from two regions of the
chicken preproinsulin mRNA (positions -6 to 9 for ASA,
5'-GAGAGCCATGATGAG-3', and positions 164178 for ASB,
5'-GCTCGACATCCCGTC-3') (32). To interfere with the insulin receptor, a
15-mer ODN was designed from positions 7589 in the cloned tyrosine
kinase region of the chicken insulin receptor (IR-AS;
5'-GGTGAACGAATCGGC-3') (33). To interfere with the IGF-I receptor, the
ODN correspondent to the same region (33) was designed (IgfR-AS;
5'-AGTCAATGAGTCTGC-3'). These ODN receptors are 33.3% different. As
controls we used the sense sequences of ASA (SS; 5'-CTCATCATGGCTCTC-3')
and IgfR-AS (IgfR-SS; 5'-GCAGACTCATTGACT-3') and two 15-mer random
sequence ODNs with the same nucleotide composition as the ASA (RAN;
5'-TAACGGTAACGGAGG-3') and the IR-AS (IR-RAN; 5'-GACGGCAGTACGAGT). All
ODNs were synthesized as phosphorothioate derivatives by Oligos Etc.
(Wilsonville, OR).
The efficiency of the embryo uptake of ODNs was evaluated in stage HH10
embryos cultured (see below) in the presence of 7 x
105 cpm (
30 fmol) 33P-labeled ASB mixed with
12.5 nmol nonlabeled ASB. The ASB was labeled with
[
-33P]ATP using T4 polynucleotide kinase and a DNA
tailing kit (Promega, Madison, WI). After 8 h in culture, the
embryos were fixed in 4% (wt/vol) paraformaldehyde and 0.2% (vol/vol)
glutaraldehyde in 0.1 M phosphate buffer, pH 7.1, and
embedded in Historesin (see below). Sections, 25 µm thick, were
placed on slides and apposed to Hyperfilm BetaMax (Amersham, Arlington
Heights, IL) for 1 month.
Whole embryo cultures
Stage HH10 embryos were cultured as previously described (27)
with minor modifications. Briefly, the embryo and the extraembryonic
membranes immobilized by a nitrocellulose ring were transferred to a
well of a 24-well plate filled with 0.3 ml of a soft gel consisting of
basal medium (DMEM-Hams F-12 medium supplemented with 100 µg/ml
transferrin, 16 µg/ml putrescin, 6 ng/ml progesterone, 5.2 ng/ml
sodium selenite, and 50 µg/ml gentamicin; all from Sigma) containing
0.5% (wt/vol) low melting point agarose (Hispanagar, Burgos, Spain).
Where indicated, a drop of 25 µl of the corresponding ODN at an
initial concentration of 500 µM was deposited on the soft
gel before transferring the embryos. Different concentrations were
tested in pilot experiments to avoid toxicity. The wells were filled
with 0.3 ml basal medium containing 0.7% (wt/vol) methylcellulose
(Serva). Where indicated, purified chicken insulin (Litron Laboratory,
Rochester, NY) or recombinant human insulin (a gift from Eli Lilly Co.,
Indianapolis, IN) was added to the medium. Note that different
concentrations of each insulin were used because chicken insulin is
approximately 10-fold more potent than human insulin.
Metabolic radiolabeling and immunoprecipitation
Stage HH10 embryos, cultured as described above, but using
methionine- and cysteine-deficient DMEM (ICN), were supplemented with
1/10th of the basal medium and 40 µM ASA or ASB or SS
ODNs. After a 2-h incubation, 0.1 mCi [35S]cysteine (1196
Ci/mmol; ICN) was added, and the culture was continued for 4 additional
h. The pooled culture media of five embryos per treatment was subjected
to immunoprecipitation, essentially as previously described (34), with
7 µl protein A-purified antiinsulin Ig (lot 627, Department of
Pharmacology, Indiana University, Indianapolis, IN) or with antiinsulin
antiserum (Sigma). The antigen-antibody complex was then precipitated
with protein A-Sepharose suspension. The immunoprecipitated material
was analyzed by alkaline-urea PAGE and fluorography, as described
previously (34).
Oligodeoxynucleotide application in ovo
In eggs of the desired incubation time, a window was cut
laterally in the shell, and the developmental stage of the embryos was
assessed. Forty microliters of 300 µM of the indicated
ODN in the basal medium containing methylcellulose, as described above,
and 25 µg/ml cytofectin GS2888 (a gift from Gilead, Foster City, CA)
were applied over the embryo (for controls of cytofectin toxicity and
additional details, see 35 . The eggs were sealed with cello-tape
and incubated for 10 h at 38.2 C, and the embryos were processed
to quantify apoptotic cell death. No macroscopic malformations were
induced by any of the ODNs, and development progressed.
Cell dissociation and nuclear staining
At the indicated times, embryos treated in ovo or in
culture were fixed in 4% (wt/vol) paraformaldehyde in 0.1
M phosphate buffer, pH 7.1, for 1 h and washed twice
with PBS containing 3 mg/ml BSA. Embryos were then dissociated to
single cell suspension by incubation at 37 C with 50 U/ml type VII
collagenase (Sigma) and 1.5 mg/ml trypsin (Worthington Biochemical
Corp., Freehold, NJ) in PBS for 30 min, followed by passes through a
siliconized Pasteur pipette every 10 min. An aliquot of the cell
suspension (50,000 cells) was deposited on a slide using a cytospin at
700 rpm for 7 min. Cells were stained and mounted with 5 mg/ml
4',6-diamidino-2-phenylindole (DAPI; Sigma) and 1 mg/ml
o-phenylenediamine (Sigma) in glycerol-PBS (9:1).
Photographs were obtained with a Photometrics CE 200A (Photometrics,
Ltd., Tucson, AZ) CCD camera adapted to a Zeiss Axiophot microscope
(Zeiss, New York, NY).
Alternatively, cultured embryos were immediately fixed in 4%
paraformaldehyde and 0.2% glutaraldehyde in 0.1 M
phosphate buffer, pH 7.1, dehydrated in 98% ethanol and embedded in
Historesin (Jung, Heraeus Kulzer, Heidelberg, Germany). Twelve-micron
thick sections were stained and mounted as described for the
dissociated cells. To quantify apoptotic cell death, fragmented
pyknotic nuclei were assessed by epifluorescence microscopy with a
Zeiss Axioscop.
End labeling of fragmented DNA
Fragmented DNA was stained either in cell suspensions, obtained
as described above, or in frozen sections of embryos from different
experimental treatments. Cells or tissue slices were deposited on
poly-L-lysine-coated slides, refixed in 4% (wt/vol)
paraformaldehyde in 0.1 M phosphate buffer, pH 7.1, for 15
min, permeated with 0.6% (wt/vol) Triton X-100 in 2 x SSPE,
acetylated, and dehydrated through graded ethanols. Preparations were
then incubated for 1 h at 37 C with 50 µl of a solution
containing biotin-16-deoxy-UTP and terminal deoxynucleotidyl
transferase, as indicated by the manufacturer (Boehringer Mannheim,
Indianapolis, IN). The reaction was terminated by a 2-h incubation in
2 x SSPE at 65 C. The end labeling with biotin-16-deoxy-UTP was
then visualized, after three washes in PBS, by incubation for 45 min at
room temperature with Cy3-streptavidin (Amersham) diluted 1:100 in 30
mg/ml BSA and 100 mM glycine in PBS. After extensive
washing in the dilution buffer and PBS, slides were counterstained with
DAPI and mounted. Photographs were obtained with a Bio-Rad MRC 1024
confocal microscope (Bio-Rad Laboratory, Richmond, CA).
DNA ladder assay
Chick embryos, either maintained in ovo or cultured,
were dissected in cold PBS, pooled by fours, and homogenized in 400
µl lysis buffer [10 mM Tris-HCl (pH 7.5), 1
mM EDTA, and 0.2% Triton X-100] for 15 min at 4 C. The
fragmented DNA was isolated from the intact nuclei as previously
described (36). The DNA was electrophoresed in a 1.5% (wt/vol) agarose
gel containing 0.1 mg/ml ethidium bromide and visualized under UV
light.
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Results
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Preproinsulin mRNA is widely expressed in the prepancreatic chick
embryo
We characterized preproinsulin gene expression distribution in
embryos from gastrulation (stage HH4, E0.5) to pancreatic organogenesis
(stage HH1516, E2.5), using both 33P-labeled riboprobes
and digoxigenin-labeled riboprobes (Fig. 1
). Low abundance preproinsulin mRNA was
already detectable in the primitive streak embryo (stage HH45; Fig. 1
, AC) throughout the embryonic area and, at a lower level, in the
extraembryonic area opaca (Fig. 1A
). In the blastoderm, the signal was
slightly higher in Hensens node, the chick organizer, better shown
with the digoxigenin-labeled riboprobe (Fig. 1C
). During early (stage
HH78; Fig. 1D
-H) and late (stage HH10; Fig. 1I
-M) neurulation,
preproinsulin mRNA was widely distributed (Fig. 1
, D, F, I, and K), but
showed a rostro-caudal gradient, with higher expression in the cephalic
area. Insulin receptor mRNA showed a similar expression pattern (Fig. 1
, H and M) coinciding with previously published
[125I]insulin binding distribution (21). In sections of
stage HH810 embryos, preproinsulin mRNA was found within each of the
three blastoderm layers, although it was more prevalent in the
neuroectoderm (results not shown).

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Figure 1. Distribution of preproinsulin and insulin receptor
mRNAs in the early chick embryo analyzed by in situ
hybridization. Whole embryos hybridized with either
33P-labeled riboprobes (A, B, D, E, I, J, N, O, and P) or
digoxigenin-labeled riboprobes (C, F, G, H, K, L, and M) are shown.
In situ hybridization was performed in
toto with chick embryos of stages HH45, E0.5 (AC); HH78,
E1 (DH); HH10, E1.5 (IM); HH1516,
E2.5 (N and O); and HH17, E3 (P). Hybridization was
performed with the antisense riboprobe for the preproinsulin mRNA (A,
C, D, F, I, K, and N), with the control sense riboprobe for the
preproinsulin mRNA (B, E, G, L, and O), with the antisense riboprobe
for the insulin receptor mRNA (H and M), and with the antisense
riboprobe for the IGF-I mRNA (J and P). The embryos are oriented
rostral to the top. The arrowhead in C
points to Hensens node (hn), arrows in N point to the
putative pancreatic buds (pb), and the black arrow in K
and N points to the sinus rhomboidalis (sr).
Bar = 1 mm in A and B; 0.8 mm in C, D, E, K, L, and
M; 0.75 mm in FJ; 1.5 mm in N and O; and 1.2 mm in P.
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During early organogenesis (including pancreatic organogenesis; stage
HH1516; Fig. 1
, N and O), a prominent level of expression of
preproinsulin mRNA was also found in the caudal part of the embryo,
coincident with the posterior neuropore and the secondary neurulation
area (sinus rhombolidalis). This caudal expression was
already present in the stage HH10 embryo (Fig. 1
, I and K). Two spots
of high preproinsulin mRNA in the midpart of the stage HH15 embryo
(Fig. 1N
) most likely correspond to the emergent dorsal and ventral
pancreatic buds (Ref. 37 and references therein).
Prepro-IGF-I mRNA was not detected during gastrulation (not shown) or
neurulation (Fig. 1J
), in agreement with previous RT-PCR data (27),
while the signal that appeared rostrally in stage HH17 (Fig. 1P
) was at
a similar level as its corresponding sense probe (result not shown). We
cannot exclude that a small population of cells may express
prepro-IGF-I mRNA in early organogenesis, not easily detectable by
in toto hybridization, because by RT-PCR there is detectable
expression in the head portion of the E3 embryo (27).
Biosynthesis of a preproinsulin gene-derived protein and its
inhibition by antisense oligodeoxynucleotide treatment of stage HH10
embryos in culture
A preproinsulin gene translation product was demonstrated in
cultured stage HH10 embryos by metabolic labeling with
[35S]cysteine and subsequent immunoprecipitation of the
radiolabeled proteins with antiinsulin Ig (Fig. 2
, lane C). The nature of this product
and the effectiveness and specificity of the antisense ODN strategy
were simultaneously confirmed by comparing the effect of the
preproinsulin mRNA antisense (ASA and ASB) and sense (S) ODNs on the
biosynthesis of radiolabeled protein. The biosynthetically labeled and
secreted protein present in the medium of the control embryos, either
untreated (control) or S treated, was reduced to near undetectable in
the medium of ASA- and ASB-treated embryos (Fig. 2
). This results
demonstrate that the radiolabeled immunoprecipitated protein
corresponds to a preproinsulin mRNA-derived translation product. Most
of the immunoprecipitable protein was secreted into the culture medium,
as in the embryo extracts, the antiinsulin Ig-immunoprecipitable
radioactive counts were too low for reliable detection (data not
shown). In contrast, total embryonic protein synthesis, as measured by
incorporation of [35S]cysteine into TCA-precipitable
material, was not affected by the treatments (data not shown),
confirming the specificity and absence of general toxicity of the
ODNs.

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Figure 2. Biosynthesis of an antiinsulin
Ig-immunoprecipitable protein by E1.5 embryos is inhibited by
preproinsulin antisense oligodeoxynucleotides. Embryos were cultured in
the absence (C) or presence of either preproinsulin antisense ODNs (ASA
or ASB) or control sense ODN (S) and labeled with
[35S]cysteine. Proteins were immunoprecipitated from the
culture medium with an antiinsulin Ig and analyzed by alkaline-urea
PAGE and fluorography. A radiolabeled band was detected (closed
arrowhead) in the untreated control (C) and S-treated, but not
in the ASA- or ASB-treated, embryos. Its electrophoretic mobility was
similar to that of the predominant multimere of a purified chicken
[125I]insulin standard. The three left
lanes correspond to one experiment, and the two right
lanes correspond to a different experiment. Open
arrowheads on the left show the positions of recombinant human
proinsulin (ProINS) and insulin (INS).
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The electrophoretic mobility of this protein in alkaline-urea PAGE
(nonreducing conditions) did not correspond to that of monomeric
recombinant human proinsulin or monomeric recombinant human insulin,
but was similar to that of the predominant multimere of purified
chicken [125I]insulin electrophoresed under the same
conditions. Both proinsulin and insulin have the capacity to
multimerize (38), but it is not known whether chicken (pro)insulin does
it under our culture and electrophoretic conditions more easily than
recombinant commercial human proinsulin or insulin. In a conformational
study (39), proinsulin showed a greater tendency to form dimers than
insulin. The protein biosynthetically labeled on E1.5 has a mobility in
nonreducing gels similar to that of an antiinsulin Ig-immunoreactive
protein synthesized by the embryonic chick retina (34). In this
extrapancreatic tissue, one of the convertases needed to process
proinsulin, PC2, is absent (40), and that may also occur in stage HH10
embryos.
Insulin receptor mRNA antisense oligodeoxynucleotide increases
apoptosis in the neurulating chick embryo in ovo
To understand the possible role of this widespread embryonic
preproinsulin mRNA, we focused on a process that might be occurring
broadly in the embryo, namely apoptotic cell death. Apoptosis was
visualized by the presence of cells with pyknotic nuclei, one of its
most characteristic morphological features, stained with DAPI either in
sections or in dissociated cells from the cultured embryos (Fig. 3C
). In selected cases, apoptosis was
detected by end labeling of the fragmented DNA (Fig. 3
, A, B, and D), a
basic feature of apoptotic cell death. Staining of nuclei with DAPI was
performed in all cases. Both techniques showed a remarkably matching
pattern (compare Fig. 3
, C and D), although the end labeling was
visually more dramatic. Quantitation was usually performed in
dissociated cells (Fig. 3
, C and D). In addition, cellular DNA cleavage
was visualized by the characteristic electrophoretic ladder of
nucleosome-sized DNA fragments (Fig. 3E
).

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Figure 3. Visualization of apoptosis. End labeling of
fragmented DNA in a transversal section of a stage HH10 embryo cultured
in basal medium, showing the dying cells in the rhombencephalon (A) or
in the last formed somite (B). DAPI staining (C) and end labeling of
fragmented DNA (D) are compared in a representative field after
cytospin of dissociated cells from an embryo cultured in basal medium.
Arrowheads in C point to the same cells stained in D.
Bar = 100 µm in A, 50 µm in B, and 15 µm in C
and D. nt, Neural tube; sm, somite. In E, DNA fragmentation is revealed
by agarose gel electrophoresis. Stage HH10 embryos were cultured for
10 h either in basal medium (lane 1) or in the presence of
10-7 M human insulin (lane 2) and were
compared with nonmanipulated control embryos of the same stage (lane
0).
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Nonmanipulated stage HH10 embryos showed 1.4 ± 0.4% of apoptotic
cells in ovo, a considerably high fraction compared with
other better characterized, late development systems (14, 41),
indicating the likely relevance of the process in early development. We
did not attempt to block insulin synthesis in the embryo in
ovo, as the large volume of the egg provides a significant amount
of insulin (37) that would still be active. We approached the
interference with insulin signaling by using insulin receptor mRNA
antisense ODN (IR-AS). The finding of 5.2 ± 0.6% apoptotic cells
represents a 2.7-fold increase with respect to the value found in
embryos treated with control random ODN (1.9 ± 0.1%; Fig. 4
). As insulin receptors and IGF-I
receptors are both present at this embryo stage, an IGF-I receptor mRNA
antisense ODN (IgfR-AS) was also used to confirm the relevance of the
insulin signaling through the insulin receptor in apoptosis. IgfR-AS
only caused a small increase in the percentage of whole embryo
apoptotic cells, much lower than that produced by the IR-AS (Fig. 4
).
Therefore, apoptotic cell death is modulated in the neurulating chick
embryo in vivo by signaling involving the embryonic insulin
receptor in either the typical or the atypical/hybrid form.
Insulin attenuates apoptosis in cultured embryos
To further characterize the process of apoptosis, we chose an
in vitro system, culture in chemically defined medium, that
deprives the embryo of all egg-derived growth factors, including
insulin and IGF-I. This severe factor-deprived situation induced a
marked increased in cell apoptosis that was progressive over 20 h
of monitored culture (Fig. 5
). At all
times, apoptosis was lower when the basal medium was supplemented with
10-8 M chicken insulin. This effect was also
observed at the level of DNA cleavage, which decreased markedly after
treatment with 10-7 M human insulin (Fig. 3E
).
Insulin, as the only growth factor added to the cultured embryo, was
able to prevent apoptotic death in 64% of cells that would otherwise
die after 10 h in culture (Fig. 5
). This time point was chosen for
further studies.

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Figure 5. Time course of apoptosis in neurulating cultured
embryos and attenuation by exogenous insulin. Stage HH10 embryos were
cultured in basal medium or in medium supplemented with
10-8 M chicken insulin. At the indicated
times, embryos were fixed and dissociated, and the cells were stained
with DAPI to visualize pyknotic nuclei. A minimum of 500 cells were
counted per experimental point. The values shown represent the mean of
the percentages of apoptotic cells found in at least three
independently cultured embryos for each time point. Some time points
were replicated in several independent experiments. P
values were calculated for the points at 10 and 20 h, comparing
the mean ± SEM obtained with insulin and with basal
medium (P 0.005).
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Regionalization of the apoptotic cell death process and its prevention
by exogenous insulin were also studied in embryo sections. This
approach reduces the possibility of bias in cell disruption and losses
during embryo cell dissociation. Stage HH10 (E1.5) embryos cultured for
10 h in basal medium or in medium supplemented with
10-7 M human insulin (equivalent in potency to
10-8 M chicken insulin) were directly fixed
and sectioned. Apoptotic cells were counted at selected levels in the
neural tube and the mesoderm (Table 1
).
In both regions, insulin prevented 3035% of apoptotic cell death
(note that this value is not comparable with that for whole dissociated
embryo, as only a few sections were evaluated) despite the fact that
some regional differences were found in the proportion of apoptotic
cells. In the neural tube, there were 1.4-fold more apoptotic cells in
rostral than in caudal sections. In the mesoderm, the caudal sections
showed 1.8-fold more apoptotic cells than the rostral sections (Table 1
). These differences were found in embryos cultured in either basal
medium or insulin-supplemented medium, suggesting that there is a
developmental and a tissue-dependent regulation of apoptosis. End
labeling applied to sections allows characterization of the
distribution of apoptotic cells, opening the possibility of future
studies analyzing insulin dependence of defined cell populations. For
instance, at the level of the rhombencephalon, stained nuclei were
clearly predominant in the dorsal region, presumably premigratory
neural crest cells (Fig. 3A
), whereas they were found scattered in the
somites (Fig. 3B
).
Preproinsulin and insulin receptor mRNA antisense
oligodeoxynucleotides increase apoptosis in cultured embryos
The exogenous insulin added to stage HH10 cultured embryos thus
acts as a cell survival factor. We then used antisense ODN
complementary to preproinsulin or insulin receptor mRNAs to interfere
with the synthesis of the endogenous embryonic factor and receptor in
culture. The ODNs, at the concentrations used, penetrated all of the
HH10 embryo layers (35), and two different preproinsulin antisense ODNs
blocked the biosynthesis of an antiinsulin Ig-immunoprecipitated
protein (Fig. 2
).
Two preproinsulin antisense ODNs (ASA or ASB), separately added to the
culture, significantly increased the percentage of apoptotic cells in
the embryos compared with that in the cultures receiving control ODN
treatments (RAN or SS; Fig. 6
). The
interference with the insulin receptor mRNA by the corresponding
antisense IR-AS was slightly more effective than blockage with ASA or
ASB. The proportion of apoptosis was maximally increased to 50% over
the control value by simultaneously applying ASA and IR-AS combined
treatment (results not shown). The apoptosis induced by treatment with
ASA was reverted by the simultaneous addition of 10-8
M chicken insulin to the culture medium, a further
confirmation of the specificity of this antisense ODN effect (Fig. 6
).
Thus, the endogenous (pro)insulin synthesized by the stage HH10 embryo
appears to be involved in the autocrine/paracrine modulation of cell
survival in culture by signaling through the insulin receptor.
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Discussion
|
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We present evidence in this study of the involvement of
preproinsulin gene product(s) as well as of insulin receptor in
autocrine/paracrine signaling that prevents apoptotic cell death in the
neurulating chick embryo. During early development, cellular processes,
such as proliferation and differentiation, coexist with morphogenetic
processes, such as tissue induction and embryo regionalization. All of
them need to be coordinately regulated by multiple codes of both broad
cell specificity and restricted cell specificity factors (42, 43).
Programed cell death is now recognized as an important developmental
event, not only in the accurate modeling of the embryo, but also in
resolving cell signaling conflicts (13, 14). However, the progression
of development may require an attenuation of the apoptotic pathway that
seems to be a constitutive default pathway in most, if not all, cell
types (13, 14). Which factors may play a protective effect in the early
embryo is an important question not completely answered by studies in
mammalian models.
Early embryonic preproinsulin and insulin receptor gene
expression
Insulin is the most widely used survival factor in cell culture
(19). The common interpretation of its beneficial effect is that
insulin, usually used in culture at micromolar concentrations, acts as
a mere surrogate of IGF-I. This might not be the physiological
situation at certain stages of development. Remarkably, insulin
receptors along with IGF-I receptors are widely present during
development in most tissues in many species, including mouse, rat,
chicken, Xenopus, and Drosophila (Ref. 44 and
references therein). Interestingly, concerning the ligands,
preproinsulin mRNA has been detected earlier than prepro-IGF-I mRNA in
at least two species, chicken (27) and Xenopus (45, 46). In
both species, preproinsulin transcripts were found in whole embryos by
RT-PCR during early neurulation, whereas IGF-I transcripts were
undetectable at that stage. These findings along with the expression of
preproinsulin mRNA in the developing nervous system in mouse (47) and
chicken (34) suggest an early developmental role of insulin or its
precursor, proinsulin (23). This idea is supported by the broad
distribution of preproinsulin mRNA reported here. In preliminary
localization analysis, preproinsulin transcripts were found in
ectoderm, mesoderm, and endoderm in neurulating chick embryos; these
were more abundant in the neural tube. This correlates with the finding
that insulin promoter-driven transgenes have been found to be expressed
in the mouse central nervous system (48). In fact, neural tube defects
were observed when the transgene was a toxigen for expressing cells
(49). The broad distribution pattern of preproinsulin transcripts,
which roughly coincides with the expression of the insulin receptor
mRNA and protein (21), suggests a ubiquitous autocrine/paracrine
function of (pro)insulin in early development.
Like other soluble growth factors expressed in minute amounts in early
embryos (50), characterization of preproinsulin mRNA translation
product(s) has turned out to be much more difficult than demonstration
of its membrane receptors. Currently, the very low levels of the
translated protein have precluded precise localization and full
biochemical characterization. The primary translation product,
proinsulin, the fully processed insulin, or even an intermediate or
derivative may eventually be identified as the earliest active form in
development. What is now proven in cultured stage HH10 embryos is the
biosynthesis and secretion of a protein immunoprecipitated by
antiinsulin Ig. Whether its molecular form is processed partially or
completely, the insulin-related immunoactivity extracted from
prepancreatic embryos (E2) is bioactive (37).
Endogenous (pro)insulin acting though the insulin receptor protects
from apoptosis in ovo and in a factor-deprived culture
In the neurulating chick embryo, specific interference with the
production of embryonic (pro)insulin and insulin receptor, applying
antisense ODNs both in vivo and in vitro,
provoked an increase in apoptotic cell death. When the embryo is
isolated from its egg reservoir of maternal factors, including insulin
(37) and IGF-I (51), and cultured in a chemically defined medium, there
is a progressive increase in apoptotic death. As postulated, lack of
signaling leads to apoptosis. Remarkably, chicken insulin alone at
10-8 M was able to attenuate apoptosis up to
64% in this deprivation model. Certainly, many other growth/survival
factors were absent from the culture, which makes this survival effect
even more significant. Applied in ovo, the insulin receptor
mRNA antisense ODN was much more deleterious than the IGF-I receptor
mRNA antisense ODN. This suggests that the embryonic insulin receptor
is involved in the survival signaling pathway. The fact that the IGF-I
receptor interference also has a small effect on apoptosis leaves the
possibility of hybrid or atypical receptor involvement open. Effects of
insulin in the modulation of apoptosis have been observed recently in
various cell types. Insulin at a high concentration (1 µg/ml; 0.16
µM) has been reported to protect chick embryo lens cells
from apoptosis in explant cultures (52). Similarly, a high insulin
concentration fully protects cultured rat kidney fibroblasts from
platelet-derived growth factor-stimulated apoptosis (53). In these
studies, the authors did not address the possible physiological
relevance of endogenously produced insulin. In addition, unfairly, in
reports in which the effects of insulin and IGFs are compared, high
purity recombinant IGF-I or -II, but lower purity, medium grade
insulin, are often used. In our view, a greater attention to purity,
stability, and species specificity of factors is required to draw
conclusions on the physiological effects of insulin vs.
IGFs. Certainly, IGF-I and IGF-I receptor are key regulators of embryo
growth in mice (54), whereas growth appears normal in the neonatal
insulin receptor null mutant mice (55). There may be species
differences in the relative roles of insulin and IGFs in embryo
development, and a compensatory mechanism may be more effective in some
of them. In this regard, the lack of a pancreas (56) or the lack of a
functional insulin receptor in humans (57) both cause severe neonatal
growth delay. It is also worth noting that in Drosophila,
insulin (58) and the insulin receptor (59, 60) are essential regulators
of embryo growth and nervous system development.
Recently, one of the most actively investigated aspects of apoptosis
has been the role played by "death genes" vs.
"survival genes" and the implication of the caspase family of
proteases (11, 61). In preliminary experiments, using inhibitors of
caspases, we found that these proteases are involved in early embryo
apoptosis.
A number of cell processes, including cell proliferation and cell
differentiation, have been shown to be stimulated by insulin and others
factors of the family (for review, see Refs. 23 and 41). Underlying
those effects, insulin may act as a survival growth factor and, due to
a "community effect," help cells to perform any process with higher
efficiency. This may explain, for instance, the
proliferative/differentiative action of proinsulin, insulin, and IGF-I
in chick neuroretina (34) (Díaz, B., F. de Pablo, and E.
J. de la Rosa, unpublished observations). At present, however, it is
unclear in most systems if these factors are specifically instructing
subsets of cells to proliferate or differentiate or are exerting a
prevalent protective effect through modulation of apoptotic cell death
that could even overcome deprivation of other growth factors.
Cooperative and sequential actions of multiple growth factors, which
are likely to be exquisitely fine-tuned in their expression, balanced
by the constitutive cell death program orchestrate the precise
developmental events. (Pro)insulin, at least in the avian embryo, is
one of these signaling molecules that counteracts cell death.
 |
Acknowledgments
|
|---|
We thank A. Nieto and J. R. Naranjo for technical advice;
R. Gadient, P. Santisteban, J. G. Pichel, M. del Val, and I.
Varela for critical reading of the manuscript; and E. Martínez
for technical assistance.
 |
Footnotes
|
|---|
1 This work was supported by Grant 94/0151 from Fondo de
Investigaciones Sanitarias (Spain), Grant PB940052 from
Dirección General de Investigación Científica y
Técnica (Spain; to F.d.P.), Alexander-von-Humboldt Stiftung
(Germany; to E.J.d.l.R.), and fellowships (to A.V.M. and J.S.) and a
contract (to C.A.) from Ministerio de Educación y Cultura
(Spain). 
2 Equal senior coauthors. 
Received March 21, 1997.
 |
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