Endocrinology Vol. 140, No. 1 87-95
Copyright © 1999 by The Endocrine Society
Somatostatin Is Expressed in FRTL-5 Thyroid Cells and Prevents Thyrotropin-Mediated Down-Regulation of the Cyclin-Dependent Kinase Inhibitor p27kip11
Diego L. Medina2,
Juan A. Velasco and
Pilar Santisteban
Instituto de Investigaciones Biomédicas, Consejo Superior de
Investigaciones Científicas, 28029 Madrid, Spain
Address all correspondence and requests for reprints to: Dr. Pilar Santisteban, Instituto de Investigaciones Biomédicas, Consejo Superior de Investigaciones Científicas, Arturo Duperier 4, 28029 Madrid, Spain. E-mail: psantisteban{at}iib.uam.es
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Abstract
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Using RT and amplification, we have detected specific RNA transcripts
encoding somatostatin in FRTL-5 thyroid cells. This observation
indicates that within the thyroid context, expression of somatostatin
is not restricted to the parafollicular C cells. Transfection of FRTL-5
cells with constructs containing either the complete somatostatin gene
promoter or deletions carrying the cAMP response element-binding
site allowed us to demonstrate that transcription of the somatostatin
gene is hormonally regulated by TSH. Blockage of somatostatin by
specific antibodies resulted in an increased capacity of TSH-induced
FRTL-5 cell-conditioned medium to promote cell proliferation,
demonstrating that under physiological conditions, somatostatin exerts
a cytostatic effect on FRTL-5 cells growth. Somatostatin treatment of
FRTL-5 cells resulted in a growth retardation, caused by a
dose-response delay in the G1 phase of the cell cycle. This
effect appears to be mediated by the cyclin-dependent kinase inhibitor
p27kip1, which is clearly down-regulated in FRTL-5 cells
treated with TSH and whose expression is reestablished by somatostatin
in a dose-dependent manner. Participation of somatostatin in the
control of FRTL-5 cell proliferation is in agreement with the detection
of specific somatostatin receptor type 2. Flow cytometric assays reveal
that FRTL-5 cells transformed with the K-ras oncogene
are still sensitive to somatostatin treatment, whereas fully neoplastic
FRT cells no longer respond to this peptide. Taking together, the
results demonstrate the participation of an autocrine loop in the
control of thyroid cell proliferation, and the possibility that this
mechanism could be altered in the process of thyroid carcinogenesis.
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Introduction
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THE PRECISE control of cell proliferation
requires the balance between positive effectors of cell growth and
cytostatic signals that allow the maintenance of the differentiated
phenotype. In the follicular thyroid cell, the transition from
quiescent to proliferating cells is mainly mediated by the actions of
TSH and insulin-like growth factor I (IGF-I) (1, 2) and involves the
activity of the tissue-specific transcription factors TTF-1 and Pax-8
(3). Less is known about the antimitogenic signals affecting thyroid
cell proliferation.
Somatostatin was initially identified as a potent GH inhibitor in the
hypothalamus and soon after was found in many tissues and cell lines,
exerting different biological actions, including inhibition of hormone
secretion processes, modulation of cardiovascular activity, control of
neural cognitive and locomotor functions, and regulation of cell
proliferation (4, 5). Immunoreactive somatostatin has also been found
in the thyroid, more precisely limited to the parafollicular C cells,
leading to the speculation that this peptide could elicit local effects
on thyroid hormone release acting locally, in a paracrine fashion (6).
In the differentiated thyroid cell line FRTL-5, somatostatin inhibits
TSH- and IGF-I-mediated cell proliferation (7). More recently, the
effect of somatostatin on cell proliferation has also been
characterized in the thyroid cell line PC Cl3. In these cells,
somatostatin is able to inhibit insulin-dependent and insulin-plus
TSH-dependent cell growth, causing a delay block in the
G1-S transition of the cell cycle (8).
Somatostatin action is mediated by specific receptors, and to date, six
different subtypes (designated SSTR-1, -2A, -2B, -3, -4, and -5) have
been cloned and functionally characterized in various cell systems,
including pancreas, adrenal cortex, and brain tissue (9). They belong
to the seven-transmembrane domain superfamily and are coupled to
different G proteins that link SSTR to distinct cellular effector
systems, such as adenyl cyclase, K+, and Ca2+
channels. Different receptors may regulate a variety of cellular
functions, thus providing a broad spectrum of somatostatin action.
SSTR2 along with SSTR1 and -5 are responsible for the antiproliferative
effect of somatostatin and are expressed in many tumor types (10, 11).
Currently, the design of synthetic somatostatin analogs with high
affinity for these SSTR is a clinical approach for a variety of tumor
diseases.
Several reports indicate that the mechanisms responsible for the
antiproliferative effect of somatostatin are related to its ability to
modulate phosphotyrosine phosphatase activity (8, 10, 12, 13). In this
study we show that somatostatin action is mediated by the
cyclin-dependent kinase inhibitor p27kip1. This protein,
initially identified by the ability to bind the complexes cyclin
E-cyclin-dependent kinase-2 (cyclin E-CDK2) (14) and cyclin D-CDK4
(15), belongs to the Cip/Kip family of CDK inhibitors and plays a
critical role in the regulation of G1-S transition
(16).
In this report we provide evidence that somatostatin is expressed in
FRTL-5 cells. Furthermore, transcription of the somatostatin gene is
under hormonal control exerted by TSH, as determined by transient
transfection assays. Experiments with conditioned medium from
TSH-treated FRTL-5 cells and somatostatin antibodies revealed that this
peptide exerts a cytostatic effect on cell growth. This circumstance is
further supported by cytometric assays, showing that somatostatin
blocks FRTL-5 cell cycle in the G1 phase. As mentioned
above, we demonstrate that this effect is mediated by the capacity of
somatostatin to reestablish the expression of the CDK inhibitor
p27kip1, which is down-regulated by TSH to promote
proliferative signals. In thyroid tumor and transformed cells, the
ability of somatostatin to modulate cell growth is altered. The results
suggest that within the thyroid follicular cell, somatostatin
expression is used as a precise, local mechanism to regulate cell
growth in an autocrine fashion.
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Materials and Methods
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Cell culture and somatostatin treatment
FRTL-5 thyroid cells (17) (American Type Culture Collection,
Manassas, VA; CRL 8305) were grown in Coons modified Hams F-12
medium (Sigma Chemical Co.) supplemented with 5% donor
calf serum (Life Technologies, Gaithersburg, MD) and a
hormone mixture including 10 ng/ml
glycyl-L-histidyl-L-lysine, 5 µg/ml
transferrin, 10 nM hydrocortisone, 10 ng/ml somatostatin,
10 µg/ml insulin, and 1 nM TSH.
K-ras-transformed FRTL-5 (18) and the thyroid tumor cell
line FRT (19) cells were maintained in the same conditions. All of the
hormones were purchased from Sigma Chemical Co. (St.
Louis, MO). The human thyroid carcinoma cell line ARO (20), the rat
pancreatic-derived cell line RIN (21), and the human medullary
carcinoma cell line MTT (22) were grown in RPMI 1640 medium
supplemented with 10% FCS, 2 mM glutamine, 100 mg/ml
sodium pyruvate, and antibiotics. Before treatment, cell cultures were
maintained for 72 h in a 3H medium (basal Coons supplemented
with 0.2% FCS without insulin, TSH, and somatostatin).
RT-PCR amplification
Total RNA was isolated as previously described (23). For first
strand complementary DNA synthesis, total RNA (1 µg) was treated with
deoxyribonuclease and reversely transcribed at 42 C for 30 min using
Moloney murine leukemia virus reverse transcriptase (Pharmacia Biotech, Piscataway, NJ). Aliquots of the first strand reactions
(10 µl) were used as templates for subsequent PCR using
Taq polymerase (Perkin-Elmer, Norwalk, CT). For
detection of somatostatin transcripts, the following primers were
used: forward, 5'-CAGACTCCGTCAGTTTCTGCA-3'; and reverse,
5'-GCTAACAGGATGTGAATGTC-3'. Amplification was performed in 35 cycles of
30 sec (2 min for the first cycle) at 95 C, 30 s at 55 C, and 1
min at 72 C (5 min for the last cycle). For the different somatostatin
receptors (24, 25, 26, 27), the primers for forward and reverse annealing were:
SSTR-1, 5'-GCTACGTGCTCATCATTGCTA-3' and 5'-GGACTCCAGGTTCTCAGGTTC-3';
SSTR-2, 5'-TTGGTACACAG-GGTTCACAT-3' and 5'-GTCTCCGTGGTCTCATT
CAGC-3'; SSTR-3, 5'-TCATCTGCCTCTGCT ACCTA-3' and
5'-GAGCCCAAAGAAGGCAGGCT-3'; SSTR-4, 5'-ATCTTCGCA GACACCAGACC-3' and
5'-ATCAAGGCTGGTCACGACGA-3'; and SSTR-5, 5'-GCCGGCCTCTACTTCTTCGTG-3' and
5'-CCGTGGCGTCAGCGTCCTTGG-3'. Con-ditions for PCR have been recently
described (28). PCR products were visualized in 2% agarose gels, and
the identities of positive bands were confirmed by direct sequencing of
the PCR products (automated DNA sequencer, Applied Biosystems,
Foster City, CA).
Plasmids and transfections
The reporter construct containing the complete somatostatin gene
promoter (SMS900), deleted constructs containing the cAMP response
element (CRE)-binding site with or without the upstream enhancer
promoter (SMS120 and SMS65, respectively), and the construct containing
the region of the TATA box (SMS42) have been used in this study and
were described previously (29). These constructs were transiently
transfected by the calcium phosphate precipitation technique (30) into
confluent FRTL-5 cells and then maintained in basal medium (3H) or
treated for 24 h with 1 nM TSH. The plasmid CMV-Luc
was used to correct for transfection efficiency. Forty-eight hours
after transfection, cell extracts were prepared, and chloramphenicol
acetyl transferase and luciferase activities were determined (30, 31).
Cell proliferation and flow cytometric analysis
Conditioned medium from FRTL-5 cells maintained in basal
conditions (3H) and treated with TSH (3H+TSH) was collected after
72 h for functional assays. The mitogenic activity of the medium
was tested on quiescent FRTL-5, by cell counting after 24, 48, and
72 h. To test any potential role of somatostatin, this conditioned
medium was preincubated with a specific somatostatin antibody (4
µg/ml) (32) for 1 h at room temperature before addition to the
FRTL-5 cultures. Growth curves in the presence of increasing
concentrations of somatostatin were also performed. FRTL-5 cells
(2 x 104) were maintained in basal medium for 72
h and then treated with 1 nM TSH, somatostatin, or TSH plus
somatostatin (10 nM, 1 µM, and 2
µM). The number of viable cells was determined by cell
counting every 24 h for 4 consecutive days, and the average of
three independent experiments is represented. Cell cycle distribution
from propidium iodide-stained samples was performed as previously
described (33), using a FACScan flow cytometer (Becton Dickinson Co., Mountain View, CA). At least 10,000 events were collected
and analyzed. Data were integrated and plotted with the software
CellQuest.
Immunoblotting analysis
Total protein extracts (40 µg) were subjected to SDS-PAGE.
Proteins were transferred to nitrocellulose membranes (Schleicher & Schuell, Inc., Keene, NH) in a buffer containing 25
mM Tris, 200 mM glycine, and 20% methanol.
After blocking the membranes with 10% low fat dried milk in
Tris-buffered saline containing 0.05% Tween-20, immunodetection was
performed using 5 µg/ml of a commercial antibody for
p27kip1 and cyclin D1 (Oncogene Science, Inc., Cambridge, MA). After probing with the antibodies,
membranes were incubated with a streptavidin-conjugated antirabbit
specific secondary antibody. Immunoreactive bands were visualized by
enhanced chemiluminiscence (Amersham, Arlington Heights,
IL). To assess equal loading of the samples, the same blots were
reprobed with a specific antiactin antibody (Calbiochem,
La Jolla, CA).
Statistical analysis
Statistical significance between different treatments was
determined using Students t test. Differences are
considered significant at P < 0.05.
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Results
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Somatostatin- and SSTR2-specific transcripts are detected in
thyroid FRTL-5 cells
In search of regulatory mechanisms responsible for the control of
thyroid cell proliferation, we evaluated whether somatostatin could be
expressed and secreted by the follicular thyroid cell in an autocrine
fashion. To address this question, we isolated total RNA from FRTL-5
cells and performed RT-PCR reactions in the conditions described
in Materials and Methods. Forward primer was designed from
exon 1 sequences, whereas reverse primer was located in exon 2. This
way, any potential contamination of DNA would render a larger PCR
fragment containing intronic sequences. PCR reactions were resolved in
agarose gels and in these conditions, a 271-bp DNA band was
reproducibly amplified from FRTL-5 retrotranscribed RNA (Fig. 1A
). In control experiments, the same
band was obtained from RNA samples extracted from the human medullary
carcinoma cell line MTT and the rat pancreas-derived cell line RIN,
whereas in agreement with previous reports (34, 35), somatostatin
transcripts were absent in RNA extracted from liver tissue. The
integrity of the RNA preparations was confirmed with specific primers
for ß-actin (Fig. 1A
). To further assure that amplified DNA contained
somatostatin related sequences, the 271-bp PCR product was purified and
subjected to direct DNA sequencing. The nucleotide sequence obtained
was identical to that previously described for the rat somatostatin
gene (36).

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Figure 1. Detection of somatostatin and SSTR2-specific
transcripts in FRTL-5 cells. A, Total RNA extracted from rat liver and
FRTL-5, MTT, and RIN cells was subjected to RT and amplification using
specific primers for somatostatin. To assess the integrity of the RNA
preparations, ß-actin was amplified from the same samples. B,
Detection of different SSTRs from ARO, FRTL-5, MTT, and RIN cells was
also performed by RT and amplification. PCR products were resolved by
electrophoresis, and DNA fragments were visualized in agarose gels
stained with ethidium bromide. The sizes of the PCR fragments are
indicated.
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The results unambiguously demonstrate that somatostatin transcripts are
expressed in FRTL-5 cells, so we next determined the presence of
specific somatostatin receptors. Specific pairs of primers for SSTR-1,
-2, -3, -4, and -5 were used in RT-PCR reactions. The assay revealed
that FRTL-5 cells exclusively express SSTR-2 (Fig. 1B
), failing to
detect the expression of SSTR-1, -3, -4, and -5. We also observed
expression of SSTR-2 in MTT cells, RIN cells, and the human thyroid
carcinoma cell line ARO, which also expressed SSTR-1. Positive
amplification of SSTR-3, SSTR-4, and SSTR-5 was found in the human
medullary carcinoma cell line MTT.
Transcription of the somatostatin gene in FRTL-5 cells is
hormonally regulated by TSH
The detection of somatostatin transcripts in FRTL-5 cells prompted
us to analyze whether transcription of this gene is hormonally
regulated by TSH, one of the major inductors of thyroid cell
proliferation. Due to the low levels of somatostatin produced by FRTL-5
cells and the difficulty in determining precisely by RT-PCR messenger
RNA variations in response to TSH, an indirect transfection approach
was used. For that purpose, we determined the ability of TSH to promote
transcription of a reporter construct containing the complete
somatostatin gene promoter (designated SMS900). Also, considering that
somatostatin expression in other cell systems is mainly controlled at
the transcriptional level by CRE (29), the participation of CRE in
TSH-mediated somatostatin gene expression was evaluated by using
deletion constructs carrying a CRE-binding site with or without the
upstream enhancer element (SMS120 and SMS65, respectively). These
constructs, along with a negative TATA control vector (SMS42) were
transiently transfected in FRTL-5 cells, using the plasmid CMV-Luc to
correct for transfection efficiency. After transfection, cells were
maintained in 3H medium and then treated with TSH for 24 h.
Control assays without TSH were carried out in parallel. Results showed
a significant increase in transcription activity from the complete
somatostatin promoter (SMS900) in the presence of TSH (Fig. 2
). To a minor extent, transcription was
also increased with the SMS120 construct, whereas SMS65, which contains
a unique CRE-binding site, yielded a weak activation of gene
transcription. When the same set of experiments were performed in the
presence of the cAMP analog forskolin, we found a similar patter of
induction of gene transcription. The results demonstrated that the
somatostatin gene promoter is functional in FRTL-5 cells, and although
moderate, its expression is positively regulated by TSH through the
cAMP signaling pathway.

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Figure 2. Transcription of somatostatin in FRTL-5 cells is
regulated by TSH. Equal numbers of cells (2 x 106)
were transfected with reporter construct containing the complete
somatostatin promoter (SMS900) or deletions containing a CRE element
with or without the upstream enhancer element (SMS120 and SMS65,
respectively). A control vector containing the TATA box (SMS42) was
also used. Plates were then treated with either TSH (10-9
U/ml) or forskolin (10 µg/ml) for 24 h. Induction of the
somatostatin gene was determined as percentage of acetylation. Values
were corrected for transfection efficiency with luciferase activity.
Values represent the average of three independent experiments. *,
Significant differences vs. 3H (P <
0.01).
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Biological effects of somatostatin expression in FRTL-5 cells
The detection of somatostatin transcripts, the presence of
somatostatin receptors, and the fact that transcription of the gene is
positively regulated by TSH prompted us to analyze whether an autocrine
loop of somatostatin could be functionally established in FRTL-5 cells.
The contribution of autocrine production of somatostatin to FRTL-5 cell
growth was analyzed by testing the mitogenic activity of the
conditioned medium from cells maintained in basal medium (3H) and
treated with TSH (3H+TSH), where expression of somatostatin should be
induced. Conditioned medium was collected and added to quiescent FRTL-5
cells, and cell number was determined after 24, 48, and 72 h.
Results are summarized in Table 1
.
3H-conditioned medium did not have any significant effect on FRTL-5
cell growth. As expected, conditioned medium from TSH-stimulated FRTL-5
clearly induced cell proliferation due to the presence of TSH in the
conditioned medium. These effects were evident after 24 h of the
addition of conditioned medium.
To search for any specific effect mediated by somatostatin, presumably
produced by FRTL-5 after TSH stimulation, conditioned medium from
TSH-stimulated cells was preincubated with an antisomatostatin antibody
(32) before the addition to quiescent FRTL-5 cells. Cell number was
also determined at the same time points (24, 48, and 72 h), and
cell number was determined. Although no significant differences were
found after 24 and 48 h, cell number was always higher when
somatostatin was specifically blocked from the FRTL-5 culture medium.
These results were significant after 72 h and indicate that
although other growth factors secreted by TSH-induced cells could mask
somatostatin action, this peptide exerts a cytostatic effect on FRTL-5
cell growth. When the same set of experiments was performed in the
presence of an irrelevant IgG instead of the somatostatin antibodies,
cell number was similar to that obtained with 3H+TSH-conditioned medium
(data not shown).
Somatostatin exerts an inhibitory effect of TSH-mediated cell
proliferation resulting in cellular accumulation in the
G1 phase of the cell cycle
After demonstrating a biological role for somatostatin in the
FRTL-5 conditioned medium, the effects of the peptide on cell growth
and cell cycle distribution were analyzed in more detail. Growth curve
profiles of depleted cells treated with TSH (1 nM),
somatostatin, and the combination of TSH and somatostatin (10
nM, 1 µM, and 2 µM) were
determined every 24 h for 4 consecutive days. Control cells
maintained in 3H medium were also included in the assay (Fig. 3
). In the latter, the number of viable
cells remained unaltered throughout the assay. TSH rapidly increased
cell number, with the induction of cell proliferation more evident
within the first 24 h of TSH exposure. To a minor extent,
proliferation was detected up to 72 h. When TSH was added in
combination with somatostatin, a detectable inhibition of cell
proliferation was observed even at a dose of 10 nM. Higher
concentrations of somatostatin increased growth inhibition, and at 1
µM, reduction of TSH-induced proliferation was nearly
40% after 24 h. Similar results were obtained at 2
µM, suggesting that although the cellular response is
dose dependent, a partial desensitization in response to somatostatin
is observed at high doses. It is important to remark that whereas cell
number stabilized after 72 h of TSH treatment, the presence of
somatostatin in the medium decreased cell viability after 3 days in
culture. We also found that somatostatin requires the presence of the
positive effector to alter cell proliferation, as in the absence of
TSH, somatostatin did not exert any effect on FRTL-5 cell growth,
demonstrating the connection between somatostatin and TSH signaling
pathways.

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Figure 3. Effect of somatostatin on TSH-mediated cell
proliferation. Cells maintained in basal medium for 72 h were
treated with somatostatin and TSH alone or in combination. Cell number
was monitored every 24 h for 4 consecutive days, and viable cell
number is represented. The data are the mean ± SD of
three independent experiments.
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Cell cycle distribution in the same experimental conditions were
performed by flow cytometric assays from propidium iodide-stained
samples (Fig. 4
). Cells maintained in 3H
medium for 72 h were stimulated with TSH and treated with
different concentrations of somatostatin. After 16 and 24 h,
samples were collected, fixed in ethanol, and stained with propidium
iodide for cell cycle analysis. Results are summarized in Table 2
. Cell cycle distribution of 3H cells
remained unaltered throughout the assay, with S phase values
approximately 4% and G2-M values 16% of the total cell
population. It is important to mention that although these values seem
to indicate cellular transit through the cell cycle, growth curves
indicate that FRTL-5 cells do not proliferate under these conditions
(Fig. 3
). As it will be discussed below, we believe that this
circumstance could be due to the absence of somatostatin and the
presence of 0.2% serum in the basal medium. TSH treatment of depleted
FRTL-5 cells clearly promoted G1 transition to S phase,
reaching maximum accumulation in G2-M (42.8%) after
24 h. However, when the cells were treated with TSH and
somatostatin, a dose-dependent accumulation in G1 was
detected, and at 2 µM, cell cycle profiles were similar
to those obtained in cells maintained in 3H medium (Fig. 4
).

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Figure 4. Effect of somatostatin treatment on cell cycle
distribution of FRTL-5 cells. Flow cytometric histograms of FRTL-5
cells maintained in 3H medium for 72 h, stimulated with TSH, and
treated with different concentrations of somatostatin are represented.
Samples were collected after 24 h of treatment for FACS analysis.
The intensity of the propidium iodide staining vs. cell
number is represented. The percentage of the cell cycle distribution is
shown in Table 2 .
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Table 2. Cell cycle progression of FRTL-5 cells stimulated
with TSH and treated with different concentrations of somatostatin
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Effect of somatostatin on cell cycle correlate with the ability to
prevent TSH-mediated down-regulation of
p27kip1
To examine the mechanisms responsible for growth inhibition
induced by somatostatin, and more precisely the G1 block
detected by flow cytometry, we investigated cell cycle-related genes
that could be mediating somatostatin action. As the CDK-dependent
kinase inhibitor p27kip1 is one of the major regulators of
the G1-S transition, we analyzed the effect of TSH on
p27kip1 protein levels by Western blot in the absence or
presence of somatostatin (Fig. 5
). The
results demonstrate that the ability of TSH to promote cell
proliferation is associated with a strong inhibitory effect on
p27kip1, which becomes undetectable after 24 h of TSH
treatment. Somatostatin was able to block TSH-mediated down-regulation
of p27kip1, returning protein levels to almost those levels
observed in quiescent cells. The effect was dose dependent, and as
shown in Fig. 5B
, increasing the concentration of somatostatin resulted
in higher levels of p27kip1 protein. The results are in
agreement with flow cytometric profiles, indicating that maximum
G1 arrest is achieved at a 2-mM dose of
somatostatin. These results were already evident after 16 h of TSH
treatment and extended up to 36 h (not shown).

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Figure 5. Somatostatin prevents TSH-mediated down-regulation
of the CDK-dependent inhibitor p27kip1. A, FRTL-5 protein
extracts from depleted (3H), somatostatin (3H+SS), and TSH-stimulated
without (3H+TSH) or with somatostatin (3H+TSH+SS) were probed with
specific antibodies for p27kip1, cyclin D1, and actin. B,
Dose response of p27kip1 protein levels. Depleted FRTL-5
cells were treated with TSH in the absence or presence of increasing
concentration of somatostatin for 24 h. After treatment, proteins
were extracted and probed with a p27kip1 antibody and
revealed by chemiluminiscence.
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To further confirm that the effect on p27kip1 protein
levels was specifically modulated by somatostatin, we analyzed other
cell cycle regulatory genes that are also involved in the
G1-S transition. We reasoned that if somatostatin
specifically targets the G1 phase of the cell cycle acting
through p27, other cell cycle regulatory proteins important for the
G1-S transition, such as cyclin D1, would not be modulated
by somatostatin. As expected, TSH treatment of quiescent cells
increased protein levels of cyclin D1 (37), but in this case,
somatostatin is not able to down-regulate cyclin D1 (Fig. 5A
). This
observation indicated that rather than decreasing the activity of the
cyclin-CDK complexes, somatostatin causes cell cycle delay by
increasing the level of the CDK inhibitor p27kip1.
The ability of somatostatin to modulate cell growth is altered in
transformed and tumor thyroid cells
The results presented indicate that somatostatin, secreted by
FRTL-5 cells and acting through an autocrine loop, regulates thyroid
cell growth. We analyze whether this potential regulatory pathway could
be altered in the process of thyroid carcinogenesis, testing the
cellular response to somatostatin in a transformed cell line
(K-ras-FRTL-5) and a tumor-derived cell line (FRT).
First, we analyzed whether these transformed and tumor cells express
somatostatin receptors that could mediate a potential response to
somatostatin. RT-PCR analysis reveals that as observed for FRTL-5
cells, K-ras-FRTL-5 cells and FRT cells express SSTR-2
receptor (Fig. 6
).

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Figure 6. Detection of SSTR-2 in transformed
K-ras-FRTL-5 and tumor FRT cells. Total RNA was
subjected to RT and amplification using specific primers for SSTR-2.
PCR products were resolved by electrophoresis, and DNA fragments were
visualized in agarose gels stained with ethidium bromide. ß-Actin was
amplified from the same samples. For the control reaction, the same RT
and PCR reactions were performed in the absence of RNA. The sizes of
the PCR fragments are indicated.
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We next determined the ability of somatostatin to modulate cell cycle
in these cell lines. Because both cell lines are independent of
TSH, quiescent cells were treated with serum in the present or absence
of somatostatin. Results (Fig. 7
) showed
that K-ras-FRTL-5 cells are still sensitive to somatostatin,
although higher doses (2 µM) are required to obtain a
detectable increment in G1 phase. Any dose over 2
µM did not result in greater inhibition of cell
proliferation (Table 3
). We also detected
the presence of hypodiploid cells, presumably undergoing apoptosis,
which are absent in control cells and FRTL-5 cells, although this
observation requires further analysis. However, fully neoplastic
thyroid FRT cells were no longer sensitive to somatostatin, as cell
cycle distribution remained unchanged in the absence or presence of
somatostatin.

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Figure 7. Sensitivity of transformed and tumor cells to
somatostatin. Exponentially growing rat thyroid carcinoma cells FRT and
K-ras-transformed FRTL-5 cells were treated with 2
µM somatostatin for 24 h, and cell cycle
distribution was analyzed (right panels). Untreated
cells were used as a control (left panels). The
percentage of the cell cycle distribution is shown in Table 3 . The
presence of hypodiploid nuclei after somatostatin treatment of
K-ras-transformed FRTL-5 is shown by an
arrow.
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Table 3. Cell cycle progression of K-ras-FRTL-5
and FRT cells treated with different concentrations of somatostatin
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The possibility that the regulatory mechanism mediated by
p27kip1 in differentiated thyroid cells could be also
responsible for the cell cycle delay in K-ras-FRTL-5 was
then analyzed. By Western analysis, we determined that
K-ras-FRTL-5 express p27kip1 in the absence of
serum (Fig. 8
). Unlike the addition of
TSH to normal FRTL-5 cells, serum did not result in any significant
decrease in p27kip1. When serum-treated cells were exposed
to somatostatin, p27kip1 levels recovered, although these
results were not significant either. These results indicate that in
these transformed cells, the effect of somatostatin is rather weak,
presumably indicating that within the process of carcinogenesis, the
loss of somatostatin sensitivity is a late event and drives cells to a
more undifferentiated status.

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Figure 8. Effect of somatostatin treatment on
p27kip1 protein levels in FRTL-5 cells transformed with
K-ras. Cells were depleted for 36 h and then
treated with serum in the absence or presence of somatostatin. After
treatment, proteins were extracted and probed with a
p27kip1 antibody and revealed by chemiluminiscence. After
exposure, the same membrane was stripped and reprobed with a actin
antibody for loading control. Data obtained by the analysis of three
autoradiographs are shown in the lower panel and
represent the p27kip1/actin ratio.
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Discussion
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The results presented in this paper provide strong evidence that
somatostatin, produced by the differentiated thyroid cell and acting
locally, may be responsible for a precise regulation of cell
proliferation. The detection of somatostatin transcripts by means of
PCR amplification in follicular thyroid cells revises classic studies
in which expression of this peptide in the thyroid is limited to the
parafollicular C cells (6) and suggest novel mechanisms of autocrine
regulation of thyroid cell growth. This study also confirms previous
observations that although somatostatin is mainly produced by central
nervous structures and pancreatic cells (34), other sources may be
found. In particular, in organs such as the pineal gland, a dual origin
(neural and parenchymal) of somatostatin has been demonstrated
(35).
Regulation of somatostatin transcription by TSH is specially relevant
in FRTL-5 cells. First, it is important to remark that somatostatin
expression is increased when FRTL-5 cells are treated with TSH. Second,
the results obtained in our transfection assays indicate that the
somatostatin promoter is functional and positively regulated by TSH.
The fact that a positive effector of cell growth such as TSH promotes
transcription of an antiproliferative peptide is physiologically
important, because the interaction and balance between both signals may
be responsible for the precise growth rate of the thyroid cell.
Somatostatin gene transcription has been well characterized in the
pancreatic RIN cells (29, 38) and has been demonstrated to be mainly
controlled at the transcriptional level by CRE, which is recognized by
the CREB and several other nuclear proteins (36). In these cells, a CRE
site and another element, designated UE (upstream enhancer), cooperate
synergistically to promote transcription, and therefore, a deleted
construct of the somatostatin promoter containing these two elements
confers maximum activity to reporter constructs in the presence of cAMP
activators (29, 38). With respect to FRTL-5 cells, we demonstrated that
the somatostatin promoter is functional, and therefore, all the
regulatory elements necessary for the transcription of this gene are
present within these thyroid cells. It would be of interest to analyze
which transcription factor(s) is involved in the control of
somatostatin gene transcription and whether thyroid-specific
transcription factors (39) play any role in this process.
It is generally accepted that TSH and IGF-I synergize to stimulate
thyroid cell proliferation (1, 2). Whether TSH is sufficient to promote
cell proliferation of FRTL-5 cells may depend on the culture conditions
(37, 40). In our experiments, the addition of TSH to cells maintained
in 3H medium clearly induces cell proliferation. The explanation for
this different response of FRTL-5 cells to TSH may lie in the absence
or presence of somatostatin. This peptide is routinely added to the
FRTL-5 culture medium (17, 41, 42), whereas it is absent in our control
assays. Somatostatin may be sufficient to keep cells arrested, and our
cell cycle profiles in the absence or presence of somatostatin also
support the idea that this peptide is a critical regulator of thyroid
cell proliferation. These results are further supported by the fact
that somatostatin, secreted by FRTL-5 cells in the presence of TSH,
exert a cytostatic effect on thyroid cell growth.
The results presented indicate that the control of cell cycle
regulation exerted by somatostatin specifically targets the
G1 phase of the cell cycle. As described previously (43, 44), we also show that proliferative signals induced by TSH are
associated with a down-regulation of the cyclin-dependent kinase
inhibitor p27kip1. This down-regulation is prevented by
somatostatin, which returns p27kip1 protein levels to those
observed in quiescent cells. Two pieces of evidence support the idea
that this effect is specific rather than a consequence of differences
in cell growth. First, the effect is dose dependent, and second, other
cell cycle regulatory proteins important for G1-S
transition, such as cyclin D1, are not modified by somatostatin
treatment. In this context, our results are in agreement with the
description that TSH is able to up-regulate the expression of cyclin D1
(37) to favor cell proliferation. We are currently investigating
possible links between changes in cell cycle and changes in tyrosine
phosphatase activity, which is also mediated by somatostatin, as
previously described in the literature (8, 10).
Our results indicate that the ability of some transformed and tumor
thyroid cell lines to respond to somatostatin is altered. Moreover, as
many of these cell lines proliferate independently of TSH, the
idea that somatostatin requires the positive effect induced by TSH to
modulate cell growth is further supported. Our observations are in
agreement with those previously reported (8) showing that
differentiated PC-Cl3 thyroid cells turned insensitive to somatostatin
when transformed with the E1a oncogene. These cells retain the
expression of SSTR4 (8), and in our assays we have detected the
expression of SSTR2 in both FRT and K-ras-FRTL-5 cells.
These data indicate that the expression of somatostatin receptors does
not directly correlate with the capacity of a given cell line to
respond to somatostatin. Rather, some other intracellular mechanism,
currently under investigation, is responsible for the interference with
the somatostatin effect in thyroid transformed and tumor
cells.
 |
Acknowledgments
|
|---|
We are indebted to Drs. J. F. Habener and M. Vallejo
(Massachusetts General Hospital, Boston, MA) for the somatostatin
promoter constructs. We also thank Dr. L. Cacicedo (Hospital
Ramón y Cajal, Madrid, Spain) for the somatostatin antibody, and
Dr. J. A. Fagin (University of Cincinnati, Cincinnati, OH) for the
thyroid carcinoma cell line ARO.
 |
Footnotes
|
|---|
1 This work was supported by Grants DGICYT (PM970065), CAM
(08.1/0025/1997), and Fundación Salud 2000 (Spain). 
2 Recipient of a fellowship from the Spanish Ministerio de
Educación y Cultura. 
Received April 29, 1998.
 |
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