Endocrinology Vol. 140, No. 1 266-272
Copyright © 1999 by The Endocrine Society
The Human Growth Hormone (GH) Receptor and Its Truncated Isoform: Sulfhydryl Group Inactivation in the Study of Receptor Internalization and GH-Binding Protein Generation
Tamar Amit,
Orit Bar-Am,
Florence Dastot,
Moussa B. H. Youdim,
Serge Amselem and
Zeev Hochberg
Department of Pharmacology, Bruce Rappaport Faculty of Medicine,
Technion, Haifa, Israel (T.A., O.B.A., M.B.H., Z.H.); INSERM U468,
Hopital Henri Mondor, Creteil, France (F.D., S.A.); and Department of
Pediatrics (Z.H.), Rambam Medical Center, Haifa, Israel
Address all correspondence and requests for reprints to: Dr. Zeev Hochberg, Faculty of Medicine, POB 9649, Haifa 31096, Israel. E-mail:
repzeev{at}tx.technion.ac.il
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Abstract
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The human GH receptor (hGHR) contains nine intracellular and seven
extracellular cysteines, of which six are linked by disulfide bonds and
one, at position 241 proximal to the membrane, is free. Recently, an
alternatively spliced GHR isoform has been isolated; it encodes a
truncated receptor lacking most of the cytoplasmic domain (hGHRtr). In
the present study, we have examined the effect of sulfhydryl group(s)
inactivation on receptor internalization and GH binding-protein (GHBP)
generation from the human (h) and rabbit (rb) full-length GHR, as well
as from hGHRtr and a mutant of the free extracellular cysteine
(hGHRtr-C241A), expressed in Chinese hamster ovary (CHO) cells. In
CHO/rbGHR and CHO/hGHR cells, permeable sulfhydryl-reactive agents,
like N-ethylmaleimide (NEM) and iodacetamide (IA),
inhibited GHR internalization and induced an immediate dose-dependent
loss of cellular GHR, associated with a concomitant marked increase in
released GHBP. In contrast, the membrane impermeable IA derivative
A-484 had no effect on either GHBP release or on GHR internalization.
NEM exposure of CHO cells, expressing hGHRtr, resulted in a
dose-dependent increase in GHBP generation, but only a moderate
decrease in cellular hGHRtr. The importance of the only unpaired
cysteine in these processes was evaluated in CHO/hGHRtr-C241A cells.
hGHRtr-C241A was similar to hGHRtr in its impaired internalization and
enhanced GHBP release by NEM.
Taken together, these data suggest that intracellular sulfhydryl
groups, within membranal endocytic vesicles, that do not belong to the
GHR molecule, are involved in receptor internalization and GHBP
generation. In addition, the present study demonstrates that despite
impaired hGHR internalization/down-regulation, the inducible release of
GHBP was not affected, further suggesting that GHR endocytosis is not a
prerequisite for GHBP generation.
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Introduction
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THE GH receptor (GHR), a member of the
family of cytokine receptors, consists of 620 amino acids with a
350-amino acid cytosolic portion, a 24-amino acid transmembrane domain,
and a 246-residue exoplasmic domain (1). The extracellular region
contains seven cysteines, of which six are linked by disulfide bonds
and one, at position 241 proximal to the membrane, is free (2). The
seven extracellular cysteines are conserved in the human and rabbit
sequences. Of the nine intracellular cysteines in the human receptor
and eight in the rabbit receptor, seven are homologous (1). In addition
to the membrane-bound form of GHR, a soluble GHBP, which corresponds to
the extracellular domain of GHR, has been described (3, 4, 5, 6, 7). In mouse
and rat, specific messenger RNAs for GHBP have been isolated; they are
generated by alternative splicing of the primary GHR transcripts (8, 9). However, in human and rabbit, no equivalent mechanism has been
observed, and GHBP is generated by proteolytic cleavage of the
full-length transmembrane GHR (1, 10, 11). Indeed, GHBP is shed
spontaneously from CHO cells transfected with rabbit (but not rat) GHR
(rbGHR) complementary DNA (10). In addition, in human (h) cells, we and
others have previously demonstrated GHBP release from IM-9 lymphocytes
(11, 12) and human hepatoma Hep G2 cells (13, 14) by
sulfhydryl-reactive agents, suggesting a role for sulfhydryl groups in
GHR cleavage.
Recently, an alternatively spliced form of hGHR was demonstrated to
encode a truncated isoform of hGHR (hGHRtr) and to regulate GHBP
generation (15, 16, 17). Functional studies confirmed that while hGHRtr was
inactive by itself, it could act as a dominant negative regulator of
the full-length receptor (16, 18). Using CHO cells, stably transfected
with hGHR or with hGHRtr, we have reported recently that in contrast to
hGHR, hGHRtr failed to internalize, is relatively fixed at the cell
membrane, but generates large amounts of soluble GHBP (17). In the
present study, we have examined the effect of sulfhydryl group(s)
inactivation on the induction of GHBP generation from the truncated
isoform (hGHRtr) and a mutant of the free extracellular cysteine
(hGHRtr-C241A), compared with the naturally occurring full-length rbGHR
and hGHR, expressed in CHO cells.
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Materials and Methods
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Cell culture and transfections
CHO cells stably expressing the rabbit GHR (rbGHR) were kindly
provided by Drs. M. C. Postel-Vinay and P. A. Kelly (INSERM,
Paris, France), who described in detail the plasmid construct and
transfection procedure (10). Transfection and selection of CHO cells,
stably expressing the full-length human GHR (hGHR), or the truncated
hGHR (hGHRtr) have been described previously (15) and the same
procedure was used to obtain CHO cells stably expressing a mutant of
hGHR, where cysteine 241 was replaced by an alanine residue
(hGHRtr-C241A). CHO cells were cultured in Hams F-12 medium
supplemented with 10% (vol/vol) FCS, 1 mM sodium pyruvate,
2 mM L-glutamine, 10 mg/liter
penicillin/streptomycin/nystatin, and 10 mM HEPES buffer,
pH 7.4. The sterile culture medium, FCS, and antibiotic solutions were
purchased from Biological Industries (Kibbutz Beth HaEmek, Israel).
Cell cultures were incubated at 37 C in a humid 5%
CO2-95% air environment. Stable transfectants were
selected in 500 µg/ml G418 (neomycin; Life Technologies,
Grand Island, NY).
Drug treatment
Iodoacetamide (IA), N-ethylmaleimide (NEM),
iodoacetic acid (IAA),p-chloromercuriphenylsulfonic acid (PCMBS) were
obtained from Sigma Chemical Co. (St. Louis, MO). The
membrane impermeable thiol blocker A-484 (4-acetamido-4'-(iodoacetyl)
amino) stilbene-2,2' disulfonic acid) was obtained from Molecular Probes, Inc. (Eugene, OR).
Binding assays
Recombinant authentic hGH (a kind gift from Bio-Technology
General, Rehovot, Israel) was radiolabeled with 125I-Na
(Nuclear Research Center-Negev, Beersheva, Israel) by the chloramine-T
method. The specific activity of 125I-hGH ranged from
7080 µCi/µg.
Confluent cells were incubated with 125I-hGH (2 ng) in the
absence (total binding) or presence (nonspecific binding) of 2 µg hGH
in a final volume of 200 µl binding buffer containing 10
mM phosphate (PO4) buffer, 1% BSA, and 30
mM MgCl2, pH 7.4, for 20 h at 4 C. After
removal of the binding buffer, cell monolayers were washed three times
with ice-cold 10 mM PBS, pH 7.4.
Cell-bound activity was measured in a multiwell
-counter. All
determinations were carried out in triplicate. Specific binding was
expressed as a percentage of the total radioactivity added, and data
were normalized to 200 µg cellular protein. The protein concentration
was determined by the method of Lowry et al. (19). The mean
protein content was approximately 250 µg protein/106
cells.
GH internalization
Surface-bound radiolabeled ligand was differentiated from
internalized ligand using an acid extraction procedure as previously
reported (20). Briefly, after washing with PBS, cell surface-bound
radioactivity was removed by incubating the cells with 500 µl 10
mM PO4 containing 50 mM HCl, pH 3,
for 1 min at 4 C. The fraction containing the internalized,
acid-resistant ligand was lysed with 0.1% SDS and counted in a
multiwell
-counter. Internalized GHR was calculated as a percentage
of the total cell-associated radioactivity. Cell surface receptor was
estimated by incubation of cells at 4 C for 20 h with
125I-hGH.
Determination of secreted GHBP
Conditioned media of confluent cells were centrifuged at
3,000 x g (20 min, 4 C) to remove cell debris, and the
cleared supernatants were concentrated 10-fold by lyophilization. To
ascertain removal of all cell debris, medium that was ultracentrifuged
at 100,000 x g (60 min, 4 C) yielded similar binding
results. GHBP, released into the medium during incubation, was measured
by specific binding of 125I-hGH, as previously described
(21). After incubation, bound and free hormones were separated by
adding 1 ml dextran-coated charcoal (4% Norit-A, 0.4% dextran T-70)
in 10 mM phosphate buffer, pH 7.4. Specific binding was
expressed as a percentage of the total radioactivity incubated, and
data were normalized to 200 µg cellular protein.
Scatchard analyses
For determination of GHR and GHBP capacities and affinities
(Ka), binding to cells and media was performed as described
above with increasing concentrations of unlabeled hGH, and data were
calculated according to the method of Scatchard (22).
Affinity cross-linking
Confluent cells were incubated with 125I-hGH (10 ng)
in the absence or presence of 10 µg hGH (nonspecific) at 30 C for 90
min. Covalent cross-linking was achieved by the addition of 1
mM disuccinimidyl suberate (DSS; Pierce Chemical Co., Rockford, IL) freshly dissolved in dimethylsulfoxide (DMSO)
for 1 h at 4 C. Cells were homogenized in ice-cold 10
mM Tris containing 300 mM sucrose and protease
inhibitors, pH 7.4 (homogenization buffer), and centrifuged at
15,000 x g for 5 min. The protease inhibitors used
were 1 mM EDTA, 3.2 µM aprotonin, 2
mM phenylmethylsulfonylfluoride (PMSF), 10 µg/ml
leupeptin, and 10 mM benzamidine (Sigma Chemical Co. St. Louis, MO). Cross-linking studies with GHBP were
performed in concentrated (x 10) culture medium from confluent cells,
as previously described (21). Medium was incubated with
125I-hGH (10 ng) in the presence (nonspecific) or absence
(total) of hGH (10 µg) at 4 C for 20 h, followed by covalent
cross-linking and immunoprecipitation, by the addition of monoclonal
antibody (MAb) 263 (23) or an unrelated MAb (Anti-Brucella), kindly
provided by Dr. M. J. Waters, Queensland, Australia, at a 1:100
(vol/vol) final dilution. After incubation at 4 C for 2 h, the
immune complexes were collected on protein A-Sepharose beads, and the
pellets were washed four times with 10 mM Tris buffer, pH
7.4. Samples were dissolved in an equal volume of 2-fold concentrated
Laemmli sample buffer, boiled for 3 min, and subjected to 10%
SDS-PAGE. After drying, autoradiography was performed using Kodak X-O
mat AR film (Sigma Chemical Co.).
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Results
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Effect of sulfhydryl-reactive agents on GHBP release in CHO/rbGHR
cells
Initial experiments clearly showed that treatment of CHO/rbGHR
cells with NEM, a cell-permeable sulfhydryl-reactive agent, for 30 min
at 30 C, resulted in a dose-dependent loss of cellular GHR and a
concomitant increase in soluble GHBP, released into the medium (Table 1
). The effect is not reversible, since
after removal of NEM, GHR did not recover for up to 3 h incubation
(data not shown). To examine the affinity constants and the
Mr of cellular GHR and GHBP following NEM treatment,
Scatchard analyzes and cross-linking studies were performed. Scatchard
analysis of 125I-hGH binding to cellular GHR and soluble
GHBP yielded linear plots. For GHR, the affinity constants
(Ka) values for untreated control cells and cells treated
with NEM (0.5 mM), were 6.81 x 109
M-1 and 7.24 x 109 M-1,
respectively. For GHBP, Ka values for control and
NEM-treated cells were also similar (1.54 x 109
M-1 and 1.04 x 109 M-1,
respectively),
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Table 1. Effect of various sulfhydryl-reactive agents on GHR
and GHBP. Confluent CHO/rbGHR cells were incubated in the absence
(control) or presence of the above sulfhydryl-reactive agents for 30
min at 30 C and 125I-hGH binding to GHR and GHBP was
measured, as described in Materials and Methods. Data are
represented as a percentage of control (mean ± SE;
n = three independent experiments). 100% for GHR =
20.1 ± 2.5%/200 µg protein and for GHBP = 2.3
± 0.2%/200 µg protein.
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CHO/rbGHR cells and media were also analyzed by cross-linking of
125I-hGH with DSS, followed by SDS-PAGE (Fig. 1
). In control, untreated cells, the
major band of membrane bound GHR-125I-hGH complex migrated
with an apparent Mr of 150 kDa, corresponding to the
expected size for GHR (
130 kDa) (Fig. 1A
, lanes 1, 2, 5, and 6).
This band had decreased intensity when cells were treated with NEM 0.5
mM) (Fig. 1A
, lanes 3 and 4). The additional, slightly
lower specific complex, which appeared in control samples, probably
represents a degradation fragment. Cross-linking of
125I-hGH to conditioned medium from control (Fig. 1B
, lanes
4 and 5) and NEM-treated cells (Fig. 1B
, lanes 6 and 7) indicated an
Mr of approximately 85 kDa, which is consistent with an
Mr of approximately 65 kDa for GHBP, after accounting for
the Mr of hGH. Similar Mr value was also
obtained for GHBP released over 24 h at 37 C incubation period
(Fig. 1B
, lanes 13). Taken together, these results demonstrate that
NEM did not modify the affinity constants and the Mr of
cellular GHR or released GHBP.

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Figure 1. Effect of NEM on GHR and GHBP cross-linked to
125I-hGH. Confluent CHO/rbGHR cells were incubated in the
absence [for 30 min at 30 C (A, lanes 1 and 2, and B, lanes 4 and 5)
or at 4 C (A, lanes 5 and 6, and B, lane 8)], or presence of 0.5
mM NEM for 30 min at 30 C [(A, lanes 3 and 4, and B, lanes
6 and 7), or at 4 C (A, lanes 7 and 8, and B, lane 9)]. Control medium
was obtained after incubation for 24 h at 37 C (B, lanes 13).
Cells (A) or media (B) were incubated with 125I-hGH (15 ng)
in the absence (A, lanes 1, 3, 5, and 7, and B, lanes 1, 2, 4, 6, 8,
and 9) or presence of excess hGH (15 µg) (A, lanes 2, 4, 6, and 8 and
B, lanes 3, 5, and 7). Cross-linking was carried out by the addition of
1 mM DSS, and cells were homogenized (A) or
immunoprecipitated with MAb 263 (B, lanes 1, 39) or an unrelated MAb
(anti-Brucella; B, lane 2). Samples containing equal amounts of protein
were subjected to 10% SDS-PAGE and autoradiographed. The proteins of
the molecular mass markers (x103) are shown on the
left, and specific bands are indicated by
arrows on the right.
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The stimulatory effect of NEM on GHBP release from CHO/rbGHR cells was
further studied at different temperatures: at 4 C, it was markedly
reduced (Fig. 1B
, lanes 8 and 9, and Fig. 2
, initial incubation), whereas when
cells were initially exposed to NEM at 4 C and then washed and
subsequently incubated at 37 C with fresh medium, GHBP release markedly
increased in a time-dependent manner (Fig. 2B
), in parallel with GHR
loss (Fig. 2A
). Thus, these data indicate that following the initial
reaction with NEM, the continuous presence of NEM in the incubation
medium is no longer needed to promote GHBP release, suggesting an
irreversible process, which is temperature dependent.

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Figure 2. Recovery of GHR and GHBP after removal of NEM.
Confluent CHO/rbGHR cells were intially incubated in the absence
(control) or presence of NEM (0.5 mM) for 30 min at 4 C.
after removal of NEM (see arrows), cells were
reincubated at 4 C or 37 C for the indicated times. Binding data are
expressed as a percentage of specific binding per 200 µg cellular
protein. Data are shown as the mean ±SE (n = three
independent experiments).*, P < 0.05; **,
P < 0.01; ***, P < 0.001
vs. control.
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We further studied the effect of various sulfhydryl-reactive agents,
which vary in their cell permeability, on GHBP release from CHO/rbGHR
cells. As summarized in Table 1
, treatment of CHO/rbGHR cells with the
cell-permeable reagent iodoacetamide (IA), induced a dose-dependent
increase in GHBP released into the medium and a parallel loss of
cellular GHR, similar to that induced by the permeable NEM. The less
lipophilic iodoacetic acid (IAA) was less active, whereas the
impermeable p-chloromercuriphenylsulfonic acid (PCMBS) affected mostly
GHR loss, but not GHBP release. The membrane impermeable iodoacetamide
derivative A-484, had no effect on either GHBP release or on cellular
GHR level. These results may imply that the essential sulfhydryl
group(s), which are effective in promoting GHBP release, are located at
sites inaccessible to the less permeable sulfhydryl-reactive
agents.
Effect of sulfhydryl-reactive agents on GH internalization in
CHO/rbGHR cells
To clarify the relationship between GHBP generation and GHR
internalization, we further studied the effect of various
sulfhydryl-reactive agents, which have been shown to promote GHBP
release, on GH internalization. CHO/rbGHR cells showed internalization
of 125I-hGH, which reached equilibrium after approximately
1 h, when approximately 80% of the specifically bound GH was
localized intracellularly (Fig. 3A
).
However, GH internalization was greatly reduced by NEM (0.5
mM), with only approximately 20% of the specifically bound
GH internalized within 1 h (Fig. 3
). Similarly, IA and IAA
markedly inhibited GH internalization (Fig. 3B
). In contrast, the
effect observed by the impermeable agents PCMBS or A-484 was not
significant (Fig. 3B
).

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Figure 3. Regulation of GH internalization by
sulfhydryl-reactive agents. Confluent CHO/rbGHR cells were incubated
with 125I-hGH (2 ng) for 2 h at 4 C. Subsequently, the
cells were washed and incubated in the absence (control) or presence of
NEM (0.15 mM), IA (20 mM), IAA (20
mM), PCMBS (1 mM) or A-484 (0.15
mM). After various incubation times at 37 C, cells were
washed with acidic buffer and solubilized to determine intracellular
radioactivity. A, Data are expressed as a percentage of total specific
cell-associated binding, from a representative experiment that was
repeated three times. B, Data are expressed as a percentage of the
control values. Results are shown as the mean ± SE
(n = three independent experiments). **, P <
0.01; ***, P < 0.001 vs. control.
Control values expressed as a percentage of internalization are:
59.7 ± 4% and 76.6 ± 3.8% for 30 and 60 min,
respectively.
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These results may suggest the involvement of one or more intracellular
sulfhydryl groups in efficient GHR internalization and an inverse
relation of internalization and GHBP release.
GHBP generation in CHO/hGHR and CHO/hGHRtr cells
We further examined the effect of NEM on the formation of soluble
GHBP in CHO cells stably expressing the truncated hGHR isoform
(hGHRtr). When compared with CHO cells expressing the full-length hGHR,
CHO/hGHRtr cells exhibited a significant increase in GHBP generation
(Fig. 4
) in keeping with previous results
(15, 17), suggesting that the absence of the cytoplasmic domain may be
involved in increased release of GHBP. Testing the effect of NEM, we
found that, similar to CHO/hGHR cells, exposure of CHO/hGHRtr cells to
NEM resulted in a dose-dependent increase in GHBP generation (Fig. 5B
). Cross-linking studies of
125I-hGH to the conditioned media from control CHO/hGHR or
CHO/hGHRtr and NEM-treated cells indicated a similar Mr
values for GHBP (
65 kDa) (data not shown). Thus, it appears that
cytoplasmic cysteines of hGHR are not required to activate GHBP release
by NEM. However, in CHO/hGHRtr, the increase in GHBP, observed
following NEM treatment, was accompanied by only a moderate decrease in
cellular hGHRtr (Fig. 5A
).

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Figure 4. Time course of GHBP release. Confluent CHO/hGHR,
CHO/hGHRtr, or CHO/hGHRtr-C241A cells were incubated with fresh Hams
F-12 medium containing 10% FCS, for 0.5, 1, and 3 h and
125I-hGH specific binding to cells and media was
determined, as described in Material and Methods.
Results are expressed as the ratio GHBP to GHR. ***,
P < 0.001 vs. CHO/hGHR; +++,
P < 0.001 vs. CHO/hGHRtr.
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Figure 5. Effect of NEM on GHR and GHBP in CHO transfected
cell lines. Confluent CHO/rbGHR, CHO/hGHR, or CHO/hGHRtr cells were
incubated in the absence (control) or presence of NEM for 30 min at 30
C and 125I-hGH binding to cells (A) and media (B) was
measured. Binding data are expressed as a percentage of specific
binding per 200 µg cellular protein, and each point is
the mean ± SE of three independent experiments. *,
P < 0.05; ***, P < 0.001
vs. control.
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GHBP generation and GH internalization in CHO/hGHRtr-C241A
cells
The importance of the only unpaired cysteine 241 (at the
extracellular region of hGHR) in GHBP shedding was evaluated in CHO
cells, stably transfected with a mutant of hGHRtr, where cysteine 241
was substituted by alanine, hGHRtr-C241A. CHO cells expressing
hGHRtr-C241A retained a similar Ka for hGH, compared with
hGHR and hGHRtr (Ka = 3.74 ± 0.92 x
109 M-1, 5.15 ± 1.59 x
109 M-1 and 3.34 ± 0.58 x
109 M-1, respectively). The Bmax
values were: 1.12 ± 0.57 x 10-10, 0.78 ±
0.06 x 10-10 and 4.45 ± 0.34 x
10-10 M, respectively. CHO/hGHRtr-C241A cells generated a
high level of soluble GHBP (Fig. 4
). Also, similar to hGHRtr (17), GH
internalization in CHO/hGHRtr-C241A cells was markedly impaired, with
only approximately 10% of the total specifically bound hGH
internalized by 1 h (data not shown). Testing the effect of NEM on
CHO/hGHRtr-C241A cells, we found a marked increase in GHBP release, but
unlike hGHRtr, this was associated with a corresponding decrease in
cellular hGHRtr-C241A, which may be due to differences in the
conformation structure of the receptor (Fig. 6
).

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Figure 6. Effect of NEM on GHR and GHBP in CHO/hGHRtr-C241A.
Confluent CHO/hGHRtr-C241A cells were incubated in the absence
(control) or presence of 0.15 or 0.5 mM NEM for 30 min at
30 C, and 125I-hGH binding to cells and media was measured.
Data are represented as a percentage of the value in control, untreated
cells, and shown as the mean ±SE (n = 4 independent
experiments). 100% for GHR = 9.34 ± 0.37%/200 µg protein
and for GHBP = 8.84 ± 0.66%/200 µg protein. ***,
P < 0.001 vs. respective control.
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Discussion
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In human and rabbit, GHBP is generated by proteolytic cleavage of
the extracellular domain of GHR (1, 10, 11): GHBP has been shown to be
released from CHO cells, transfected with rabbit or human GHR
complementary DNA (10, 15, 17, 21, 24) as well as from IM-9 lymphocytes
and Hep G2 cells by iodoacetamide or NEM (11, 12, 13, 14), suggesting a role
for sulfhydryl group(s) in GHBP shedding. The present study was
undertaken to examine the mechanism(s) by which sulfhydryl-reactive
agents induce GHBP generation, by comparing their effects on the
full-length hGHR with the hGHR truncated isoform (hGHRtr) and the
hGHRtr-C241A mutant form of hGHRtr. In addition, we have analyzed the
relationship between GH-induced GHR internalization and the inducible
shedding of GHBP, using different sulfhydryl-reactive agents that vary
in their cell-permeability potency.
Initial experiments, using CHO cells, stably transfected with the
full-length rabbit or human GHR, confirmed that cell-permeable
sulfhydryl-reactive agents induced marked shedding of GHBP, whereas the
Ka and molecular weight did not change. In addition,
cell-permeable sulfhydryl-reactive agents proved to be more effective
in promoting GHBP release, suggesting that endopeptidase (s) within
membranal endocytic vesicles may participate in GHR cleavage, in
keeping with earlier findings in IM-9 cells (11). However, A-484 was
partially active in increasing GHBP shedding in Hep G2 cells, stably
transfected with rabbit GHR (14).
We further studied the relationship between the inducible shedding of
GHBP and GHR internalization, using different sulfhydryl-reactive
agents that vary in their cell-permeability potency. Interestingly,
cell-permeable sulfhydryl-reactive agents, like NEM and IA, also
exhibited marked inhibition of GHR internalization, in keeping with
reports on GHR internalization in IM-9 lymphocytes (25), insulin
receptor (25), and interleukin-8 receptor (26). In contrast,
cell-impermeable agents were much less (PCMBS) or even not (A-484)
effective. Assuming that internalization/down-regulation processes
occur subsequent to GHR dimerization (27), these results are in
agreement with the inhibitory effect of NEM, but not IAA, on
hGH-induced disulfide dimerization (28). It is, therefore, postulated
that GHBP generation and GHR internalization are inversely related.
This is also supported by our recent report demonstrating that in
contrast to hGHR, hGHRtr is fixed at the cell membrane and undergoes
minimal internalization, but has increased capacity to generate GHBP
(17).
To explain the complex interrelationship between GHR internalization
and GHBP generation, we propose the following sequence of events: upon
GH binding to cell surface GHR, a single molecule of GH is bound
sequentially by a dimer of GHR, leading to signal transduction, but
also to receptor internalization/down-regulation. Ligand-induced
internalization is associated with degradation of the [GH-GHR]
complex, resulting in short-term cellular desensitization to GH.
Monomeric GHRs, either unoccupied or GH-occupied, undergo proteolytic
cleavage to generate GHBP. Indirect support for this model may derive
from in vitro studies demonstrating that GH inhibited GHBP
release (14) and from our previous review indicating that across a wide
scope of comparative studies, ontogenic data, experimental systems,
physiological conditions, nutritional states and disease situations the
pulsatility of serum GH level is negatively correlated with GHR and
GHBP (29).
We then sought to determine whether sulfhydryl alkylators, which act
intracellularly, affect cytoplasmic cysteines of GHR. Similar to
CHO/hGHR cells, GHBP release from CHO cells, expressing the short
isoform hGHRtr, was also markedly increased when these cells were
exposed to NEM. This indicates that truncation of most of the
intracellular domain of hGHR (97.5% of the cytoplasmic domain) did not
abolish NEM-induced shedding of GHBP. Thus, the cytoplasmic
domain of hGHR is not involved in the cleavage process. Yet, GHBP
release following NEM was associated by only a moderate reduction in
125I-hGH binding to cell-surface hGHRtr, apparently due to
the enhancement of cryptic receptors, resulting from the failure of
hGHRtr to internalize and its slow turnover (17). Previously, we have
reported that the cleavage process of GHBP from GHR may occur partly in
the cytoplasmic side of the plasma membrane (24). We now refine this
model to suggest the involvement of cryptic (latent) receptors that may
reside in membrane vesicles, associated with the cytoplasmic side of
the plasma membrane, as described for the receptors of insulin (30, 31), transferrin (32), tumor necrosis factor-
(TNF) (33), and
insulin-like growth factor II (34). Thus, it might be postulated that
cryptic and exposed receptors would be interchangeable (25, 26, 27, 28, 29) and
that the relative fraction of cryptic receptors is related directly to
receptor density and inversely to receptor turnover.
We further studied the role of the only free thiol group in hGHRtr, the
extracellular cysteine 241 (which exists in close proximity with the
cell membrane) in GHBP generation, using CHO cells, stably expressing
the C241A mutation in hGHRtr (hGHRtr-C241A). Our data suggest that
cysteine 241 is not essential for GH binding because C241A mutation
does not interfere with the binding activity of the membrane receptor
or the soluble GHBP, in keeping with an earlier observation (2). Under
basal conditions, increased amount of GHBP was released by
CHO/hGHRtr-C241A cells, as compared with CHO/hGHRtr cells. Similar
overproduction of GHBP by hGHRtr-C241A was also obtained in several
independent transient expression studies and by another mutant at
position 241, in which the cysteine was replaced by serine (unpublished
observations). One possible explanation is that the absence of cysteine
241 modifies the conformation of the region that includes the putative
cleavage site, thereby exposing it to a proteolytic system. In
addition, NEM induced GHBP generation from CHO/hGHRtr-C241A cells,
indicating that cysteine 241 of the hGHR is not a target for
sulfhydryl-alkylator agents. Alternative mechanisms could be suggested,
such as alkylation of an intracellular free sulfhydryl group(s) of a
neighboring protein, that may stabilize and maintain the GHR integrity,
or on a protease that subsequently becomes activated to induce GHBP
release. In support, it was recently reported that the metalloprotease
inhibitor, IC3, blocked NEM-induced proteolysis and GHBP shedding (35),
indicating that NEM may induce the activation of a GHBP-generating
enzyme(s) of the metalloprotease family.
Received April 30, 1998.
 |
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