Endocrinology Vol. 140, No. 10 4779-4788
Copyright © 1999 by The Endocrine Society
Vitamin D Analogs, 20-Epi-22-Oxa-24a,26a,27a,-Trihomo-1
,25(OH)2-Vitamin D3, 1,24(OH)2-22-Ene-24-Cyclopropyl-Vitamin D3 and 1
,25(OH)2-Lumisterol3 Prime NB4 Leukemia Cells for Monocytic Differentiation via Nongenomic Signaling Pathways, Involving Calcium and Calpain1
Donna M. Berry and
Kelly A. Meckling-Gill
Department of Human Biology and Nutritional Sciences, University of
Guelph, Guelph, Ontario, Canada, N1G 2W1
Address all correspondence and requests for reprints to: Kelly A. Meckling-Gill, Department of Human Biology and Nutritional Sciences, University of Guelph, Guelph, Ontario, Canada, N1G 2W1. E-mail:
kmeckling.ns{at}APS.UoGuelph.ca
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Abstract
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Side-chain modified vitamin D analogs including
20-Epi-22-oxa-24a,26a,27a-trihomo-1
,25-dihydroxyvitamin
D3 (KH1060), and
1,24-dihydroxy-22-ene-24-cyclopropyl-vitamin D3 (MC903)
were originally designed to aid in the treatment of hyperproliferative
disorders including psoriasis and cancer. Here we demonstrate that
these analogs, as well as the 6-cis-locked conformer,
1
,25-dihydroxy-lumisterol3 (JN) prime NB4 cells for
monocytic differentiation. Previously, the action of MC903 and KH1060
was presumed to be mediated by the nuclear vitamin D receptor
(VDRnuc). Differentiation in response to all analogs was
shown to be inhibited by 1ß,25-dihydroxyvitamin D3 (HL),
the antagonist to the nongenomic activities of 1,25D3.
These data suggest that although MC903 and KH1060 may bind the
VDRnuc, that the differentiative activities of these agents
requires nongenomic signaling pathways. Here we show that
1
,25(OH)2-d5-previtamin D3 (HF),
JN, KH1060, and MC903 induce expression of PKC
and PKC
and
translocation of both isoforms to the particulate fraction, and PKC
to the nuclear fraction. The full differentiation response with
combinations of analogs and TPA was inhibited 50% by the mem-brane
permeable Ca2+ chelator,
1,2-bis(o-aminophenoxy)-ethane-N,N,N',N'-tetraacetic acid (BAPTA-AM) or
calpain inhibitor I. These data demonstrate that intracellular free
calcium and the calcium-dependent protease, calpain play critical roles
in monocytic differentiation. Intracellular calcium appears to be most
critical in the 1,25D3-priming stage of differentiation,
while calpain is essential in the TPA maturation response.
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Introduction
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THE ACTIVE FORM of vitamin D,
1
,25dihydroxyvitamin D3 (1,25D3), and
analogs of 1,25D3 have been shown to inhibit the growth of
cancer cell lines including breast (1, 2, 3, 4), colon (5, 6, 7), prostate (1, 8, 9, 10), and leukemia cells (1, 11, 12, 13, 14). Mechanisms of growth inhibition
may include induction of apoptosis or promotion of differentiation
(1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14). Until recently, much of the activity of 1,25D3 had
be attributed to the induction of signaling pathways dependent on the
binding of 1,25D3 to the nuclear vitamin D receptor
(VDRnuc) (review Ref. 15). More recently 1,25D3
has been shown to act through VDRnuc-independent signaling
pathways, including changes in intracellular calcium levels (16, 17),
rapid effects on phospholipid metabolism (18, 19), and the direct
activation of protein kinase C (PKC) (20, 21). To aid in the study of
the VDRnuc-independent effects of 1,25D3,
analogs of 1,25D3 that can activate nongenomic pathways,
but which have very low affinity to the VDRnuc have been
synthesized (22, 23, 24). There is some evidence for a second receptor for
1,25D3 that is associated with the plasma membrane and is
responsible for the rapid, nongenomic effects of 1,25D3
(18, 21, 25, 26).
The NB4 cell line was derived from a patient with acute promyelocytic
leukemia (APL) (27), and contains the characteristic 15; 17
translocation (27, 28). Studies have shown this cell line to be
bipotent, with potential to differentiate into neutrophils or monocytes
in response to all-trans-retinoic acid (27) or
1,25D3 plus 12-O-tetradecanoylphorbol-13-acetate
(TPA), respectively (14). Differentiation therapy using naturally
occurring retinoic acid has shown some success clinically (29) however,
one difficulty in applying 1,25D3 to clinical trials is its
relatively high toxicity due to the induction of hypercalcemia in
vivo (30). Noncalcemic analogs of 1,25D3, which are
effective inducers of monocytic differentiation may be safer in a
clinical setting. An understanding of the molecular mechanisms by which
1,25D3 and TPA act should provide insight into the
appropriate design of improved differentiation therapies for leukemia.
This information will also increase our understanding of the signaling
pathways involved in normal monocyte/macrophage development.
Previous studies in our laboratory have shown that NB4 cells, unlike
the myelocytic cell line HL-60, require both 1,25 D3 and
TPA to undergo monocytic differentiation (14). In addition, we have
shown that PKC activity is necessary for monocytic differentiation (31)
and that 1,25 D3 and a nongenomic analog
1
,25-dihydroxy-9,14,19,19,19-pentadeuterio-previtamin-D3
(HF), induce an up-regulation of both PKC
and PKC
and cause the
translocation of both these isoforms to the nuclear and membrane
fractions of NB4 cells (32). The 1
,25-dihydroxyvitamin
D3 molecule exhibits conformational flexibility, existing
as either 6-cis or 6-trans conformers. Recent
studies from the lab of Norman have shown evidence that the
VDRnuc and VDRmem are preferentially activated
by analogs in the 6-trans and 6-cis
conformations, respectively (24). The nongenomic analogs HF and
1
,25-dihydroxy-lumisterol3 (JN) are locked in the
6-cis conformation, and as such have very low affinity for
the VDRnuc. It has been shown in previous studies that HF
and JN activate the membrane-associated signaling pathways and have
very little effect on genomic pathways involving the VDRnuc
(22, 23) The nongenomic antagonist, 1ß,25dihydroxyvitamin
D3 (HL) (33), can inhibit both the monocytic
differentiation of NB4 cells (34) and the 1,25D3-induced
effects on PKC translocation (32). These studies suggest that
activities of 1,25D3, which are not dependent on the
VDRnuc, are important for monocytic differentiation of NB4
cells.
In this present study we examined monocytic differentiation of NB4
cells in response to TPA combined with 1,25D3 or one of
four analogs, each with a different calcemic index and affinity for the
VDRnuc (see Table 1
).
Induction of monocytic differentiation in response to all these analogs
is mediated by VDRnuc-independent signaling pathways
involving intracellular calcium and the calcium-dependent protease,
calpain, activity. All four analogs induce an up-regulation and
membrane-translocation of both PKC
and
, and translocation of the
isoform to the nucleus.
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Materials and Methods
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Cell culture
NB4 cells were obtained from the laboratory of H. Gronemeyer
(Strasbourg, France). NB4 cells were originally isolated from bone
marrow cells of an acute promyelocytic leukemia patient in relapse.
Cells were cultured in Iscoves modified Dulbeccos medium (IMDM)
supplemented with 10% FCS (Life Technologies, Inc.) and
50 U/ml of penicillin and streptomycin. An initial mycoplasma infection
with M. Arginini was treated with BM cyclin (Roche Molecular Biochemicals) and cells were subsequently screened for
mycoplasma on a routine basis. Cells were maintained at 37 C in a
humidified atmosphere containing 5% CO2 in tissue culture
flasks (722ml, Corning, Inc.). Stock cultures were
maintained in log phase of growth and passaged every 2 days. Cell
densities were determined using a Coulter Counter (model ZM).
Reagents
1
,25-dihydroxyvitamin D3(1,25D3),
20-Epi-22-oxa-24a,26a,27a-trihomo-1
,25-dihydroxyvitamin
D3 (KH1060), and
1,24-dihydroxy-22-ene-24-cyclopropyl-vitamin D3 (MC903)
were generous gifts of Dr. Laurence Fraher (St. Josephs Health
Centre, London, Ontario, Canada). 1ß,25-dihydroxyvitamin
D3 (HL), 1
,25-dihydroxy-lumisterol3 (JN) and
1
,25-dihydroxy-9,14,19,19,19-pentadeuterio-previtamin-D3
(HF) were generous gifts of Dr. Anthony Norman (University of
California, Riverside, CA). All analogs of 1,25D3 were
dissolved in ethanol to give stock solutions ranging from
10-6 M to 10-4 M, and
stored under nitrogen at -20 to -80 C. The cell permeable
acetoxymethyl (AM) ester derivative of
1,2-bis(o-aminophenoxy)-ethane-N,N,N,N-tetraacetic acid
(BAPTA) was purchased from Sigma, dissolved in
dimethylsulfoxide (DMSO) and stored at -20 C for no more than 4 weeks.
12-O-tetradecanoylphorbol-13-acetate (TPA) was purchased
from Sigma, dissolved in ethanol and stored at -20 C.
Calpain inhibitor I was purchased from Roche Molecular Biochemicals, dissolved in ethanol and stored at -20 C.
Treatment of cells
For differentiation assays NB4 cells were seeded at 2.5 x
105 cells/ml in 6-well plates, primed with
1,25D3 or analog for 8 h, then treated with TPA (200
nM) for 64 h, for a total treatment time of 72 h.
For the phase studies (Fig. 7
), cells were primed with 200
nM 1,25D3 with or without BAPTA (1
µM) or calpain inhibitor (2 µM) for 8
h, washed three times with PBS, incubated in drug-free media for 30 min
and then suspended in 200 nM TPA (± BAPTA or calpain
inhibitor) for an additional 64 h.

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Figure 7. Treatment of NB4 cells with BAPTA and calpain
inhibitor in the 1,25D3-priming phase (phase I) and TPA
phase (phase II), respectively, leads to optimal inhibition of
monocytic differentiation in response to 1,25D3 and TPA.
Cells (2.5 x 105) were treated in two separate
phases; 8 h of treatment with 50 nM
1,25D3, followed by 64 h of treatment with 200
nM TPA. The phases were separated by three washes in PBS
and a 30-min period of incubation in reagent-free media. BAPTA (1
µM) or calpain inhibitor (2 µM) were
introduced 30 min before phase I, II, or both phases to determine which
phases of differentiation required intracellular calcium or calpain
activity. Adherence, CD14 expression and esterase expression were
measured as described in Materials and Methods section,
and used as criteria for induction of monocytic differentiation. Shown
are averages of three separate experiments. Bars not sharing a
letter are statistically different (P <
0.05, n = 3).
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Measurement of adherence
The nonadherent population of cells was prepared by combining
the suspended cells with those collected after a gentle wash of PBS.
The adherent cells were then incubated with cold PBS containing 10
mM trypsin-EDTA for 10 min, lifted by a series of gentle
washes, and collected. This process was then repeated.
Cells were quantified with a Coulter Counter (Model ZM). Adherence was
calculated and expressed as a percentage of total cells in each
treatment.
CD14 assay
After each treatment the percentage of cells expressing CD14
surface antigen was determined using magnetic polystyrene beads
(Dyanbeads, Lake Success, NY) as we have previously described (31). In
brief, cells were washed three times with PBS and 2 x
105 cells were resuspended in PBS + 2% FBS with
approximately 10 beads/cell in a microcentrifuge tube. The cells were
incubated with the beads at 4 C on an orbital shaker for 2 h.
Cells were then exposed to a magnet for 2 min and the remaining CD14
negative cells were counted. The number of cells that were CD14
positive were calculated by difference and expressed as a percentage of
total cell number.
Nonspecific esterase assay
After each treatment, the percentage of cells expressing
nonspecific esterase activity was determined using a kit purchased from
Sigma as previously described (14). The assay was carried
out in 12-well plates and cells expressing esterase activity (with
black granules) were counted in a blinded fashion, with at least 250
cells counted in each treatment group.
Cellular fractionation
Samples of cellular fractions were prepared using a previously
described fractionation method (32) with a few modifications. Cells
were collected after 12 h of treatment, washed three times in
ice-cold PBS + complete protease inhibitors (Roche Molecular Biochemicals, catalog no. 1697498), a small aliquot was removed
for whole cell sample and the remaining cells were resuspended in
hypotonic lysis buffer (20 mM Tris-HCl, 5 mM
EGTA + protease inhibitors) and chilled on ice for 10 min. Cells were
then disrupted by Dounce homogenization, and the nuclear fraction was
collected in a 10 min centrifugation (500 x g). The
supernatant from the 500 x g spin was then centrifuged
at 100,000 x g to collect the particulate fraction.
The cytosolic proteins were precipitated from the supernatant of the
100,000 x g spin with 10% TCA (30 min, 4 C). The
precipitated proteins were solubilized by resuspending in hot 5M urea.
A 5'-nucleotidase(5'-ND) assay (Sigma) was performed to
determine the degree of plasma membrane enrichment of the particulate
fraction. Results of that assay showed that 5'-ND activity was
approximately 5 or 22 times higher in the particulate fraction compared
with the whole or nuclear fractions, respectively (data not shown). A
protein assay was performed on all samples by the method of Bradford
(35) using a kit from Bio-Rad Laboratories, Inc.
(Hercules, CA). The fractions were resuspended in Laemmli buffer with
protease inhibitors and stored at -20 C for subsequent analysis.
Western blotting
Proteins were separated by SDS-PAGE on 12% acrylamide gels and
transferred to polyvinylidene difluoride membrane (Gelman) on a semidry
transfer apparatus 2 h at 200 mA. Gels were loaded on the basis on
protein quantity and equal loading was determined by staining the
membranes with Fast Green. Membranes were blocked with 5% milk powder
in Tris-buffered saline (TBS), washed with TBS with 0.05% Tween-20
(TBS-T), and incubated with primary antibody for 1 h at room temp
(RT). The primary murine monoclonal antibody used to detect calpain I
was a generous gift from Dr. John Elce (Queens University, Kingston,
Ontario, Canada). The monoclonal antibodies used to detect PKC
and
PKC
were purchased from Transduction Laboratories
(Lexington, KY). Antibody dilutions used for PKC
, PKC
, and
calpain were 1:1,000, 1:1,000, and 1:2000, respectively. Membranes were
then washed with TBS-T for 30 min and incubated for 1 h at RT with
secondary antibodies conjugated to horseradish peroxidase. The
secondary antibody used for all blots was antimouse IgG at a
concentration of 1:25,000 (Sigma) in TBS-T with 5% milk
powder. Polypeptides were detected using the ECL kit (Amersham Pharmacia Biotech) and quantified by autoradiography and
densitometry.
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Results
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1,25D3, HF, JN, KH1060 and MC903 induce monocytic
differentiation when combined with TPA; differences in potency do not
correlate with affinity to VDRnuc
Markers of monocytic differentiation in response to 8 h
priming with each analog, followed by treatment with 200 nM
TPA, were assessed after a total of 72 h (Fig. 1
). Markers included measurement of
adherence, CD14 expression and expression of nonspecific esterase.
Treatment with 1,25D3, HF, JN, KH1060, or MC903 in the
absence of TPA did not induce differentiation (data not shown).
Dose/response curves were generated for each analog to determine the
approximate minimum concentration required for maximal differentiation
when combined with TPA. Potency was as follows: KH1060 (1
nM) > HF (10 nM) > MC903 (150
nM) > 1,25D3 (200 nM)
JN (200 nM). This order of effectiveness does not
correlate with the affinity of each analog for the VDRnuc,
as previously determined (15): 1,25D3
MC903
KH1060 > HF > JN.

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Figure 1. Monocytic differentiation in response to analogs
combined with 200 nM TPA. Cells (2.5 x
105) were treated with each analog for a period of 8
h, followed by treatment with 200 nM TPA for 64 h. The
degree of differentiation was determined by measuring adherence, CD14
expression and esterase expression as described in Materials and
Methods section. ae, Optimum concentrations of
1,25D3, HF, JN, KH1060, and MC903, are 200 nM,
10 nM, 200 nM, 1 nM, and 150
nM, respectively. Shown are averages of three separate
experiments. Columns not sharing a letter are
statistically different (P < 0.05, n = 3).
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Monocytic differentiation in response to 1,25D3 and
analogs involves nongenomic signaling pathways
To determine if nongenomic responses to the analogs were necessary
to induce differentiation, the nongenomic antagonist,
1ß,25dihydroxyvitamin D3 (HL) was used. Exposure to this
antagonist (100 nM) during the process of differentiation
resulted in a substantial reduction in three markers of differentiation
in response to all of the analogs combined with 200 nM TPA.
The addition of HL to the combination of TPA and one each of 200
nM 1,25D3, 10 nM HF, 200
nM JN, 1 nM KH1060, and 150 nM
MC903, reduced expression of differentiation markers nearly to the
levels observed with TPA alone (Fig. 2
).

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Figure 2. The nongenomic antagonist HL, inhibits
differentiation of cells treated with 1,25D3, HF, JN,
KH1060, or MC903 combined with TPA. Cells (2.5 x
105/ml) were treated with 200 nM
1,25D3(D3), 10 nM HF(HF), 200
nM JN(JN), 1 nM KH1060(KH), or 150
nM MC903(MC) combined with 100 nM HL or vehicle
for 8 h. Following the 8 h-priming period, all analog or
1,25D3-treated cells were treated with 200 nM
TPA for 64 h. Adherence, CD14 expression, and esterase expression
were measured as markers of differentiation, as described in the
Materials and Methods section. Data shown are averages
of three separate experiments. Bars not sharing a letter
are statistically different (P < 0.05, n =
3).
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Monocytic differentiation in response to all analogs involves
intracellular calcium and calpain activity
Calpain I inhibitor and BAPTA were used to determine if
calcium-dependent protease (calpain) activity or intracellular calcium
were necessary for the monocytic differentiation of NB4 cells (Fig. 3
) Suboptimal concentrations of
1,25D3 and analogs were used in this particular experiment
to allow low, nontoxic concentrations of BAPTA and calpain inhibitor to
be used. A toxicity assay was performed on the NB4 cells to determine
the maximum concentration of BAPTA and of calpain inhibitor, which did
not cause growth arrest or induce death in the cells. Results showed
that 1 µM BAPTA and 2 µM calpain inhibitor
were the highest concentrations which could be tolerated by the cells
(data not shown); these concentrations are much lower than those used
in other studies (36, 37). Chelation of intracellular calcium by 1
µM BAPTA inhibited differentiation by approximately 50%,
based on adherence, CD14 and esterase expression (Fig. 3
). Similar
results were found when 2 µM calpain inhibitor was
present in the media, inhibiting differentiation by approximately 50%
in response to TPA combined with each of the analogs (Fig. 3
).

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Figure 3. BAPTA and calpain inhibitor I, inhibit
differentiation in response to 1,25D3 or analogs combined
with TPA. BAPTA or calpain inhibitor (1 µM, or 2
µM) were introduced into the cell cultures 30 min before
treatment with analogs and TPA began. Cells (2.5 x
105/ml) were primed with suboptimal concentrations of
1,25D3 or analogs (50 nM 1,25D3, 1
nM HF, 100 nM JN, 0.1 nM KH1060, or
10 nM MC903) for 8 h and then treated with 200
nM TPA. Markers of differentiation were measured at the end
of the 72.5 h treatment period as described in Materials
and Methods section. Data shown are averages of three separate
experiments. *, Statistical difference from the same treatment without
chelator or inhibitor (P < 0.05, n = 3).
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Expression of calpain is increased in response to treatment with
1,25D3
A previous study showed that 1,25D3 treatment
increases the expression of calpain I in renal carcinoma cells (38). To
determine if 1,25D3 had effects on the expression of
calpain I protein in our model, Western blot analysis was performed.
Figure 4a
shows a time course of calpain
I expression after treatment with 200 nM
1,25D3. This time period correlates with the time NB4 cells
need to be primed with 1,25D3 to induce a maximal
maturation response to TPA (31). The increase in calpain expression
after 8 h of 1,25D3 treatment is blocked by addition
of HL to the culture media (Fig. 4b
), demonstrating that nongenomic
signaling pathways are required for this response to
1,25D3.

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Figure 4. Calpain I expression is up-regulated in response
to 1,25D3. Expression of calpain I protein was determined
at 0, 0.5, 1, 2, 4, and 8 h after treatment with 200
nM 1,25D3 (a) or 200 nM
1,25D3 and 100 nM HL (b). Whole cell lysates
were extracted and Western blot analysis was performed as described in
Materials and Methods section. A total of 4.0 x
105 cells were load per lane (to obtain detection within
the linear range), and equal loading of lanes was assessed by staining
membrane with Fast Green. Autoradiographs were developed after 510
min of exposure, using ECL detection. Shown are representative blots of
at least three separate experiments.
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PKC
and PKC
are up-regulated and translocated in response to
1,25D3, HF, JN, KH1060 and MC903
PKC
and PKC
expression were examined after 12 h of
treatment with 200 nM 1,25D3, 10 nM
HF, 200 nM JN, 1 nM KH1060, or 150
nM MC903. Figure 5a
shows the
expression of PKC
in whole cell lysates and the three cellular
compartments that were isolated. The expression of PKC
is increased
in the whole cell lysates after 12 h of treatment with
1,25D3 and analogs, when compared with vehicle-treated
cells (Fig. 5a
). In the nuclear compartment, PKC
is not detectable
in cells treated with vehicle but is translocated to this compartment
in response to 1,25D3 or each of the analogs (Fig. 5b
).
Similarly, there is an increased expression of PKC
in the
particulate compartment of the cells treated with 1,25D3 or
analog for 12 h (Fig. 5c
). Figure 5d
shows that there is little
change in the expression of the isoform in the cytosolic
compartment.

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Figure 5. PKC is translocated to the nuclear and
particulate cellular fractions and total expression is up-regulated in
response to 1,25D3, HF, JN, KH1060, or MC903. NB4 cells
(2.5 x 105/ml) were treated with 200 nM
1,25D3, 10 nM HF, 200 nM JN, 1
nM KH1060, or 150 nM MC903 for 12 h, after
which cellular fractionation and Western blotting were performed as
described in Materials and Methods section. Equal
quantities of protein were loaded in each lane. Forty micrograms of the
whole cell lysate and nuclear preparations, and 20 µg of the
particulate and cytosolic preparations were loaded. Fast Green staining
of membranes was used to assess equal loading of lanes. Blots were
exposed to film for 5 min2 h to achieve densities within the linear
range. Shown are blots representative of at least three separate
experiments.
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The expression of PKC
was similar to that observed for the
isoform. When NB4 cells were treated with 1,25D3 or
analogs, PKC
expression increased in whole cell lysates (Fig. 6a
) and was translocated to the
particulate cell fraction within 12 h (Fig. 6b
). Unlike the
isoform, PKC
expression was not increased in the nuclear
fraction after 12 h of treatment; however, we have previously
demonstrated nuclear association with 1,25D3 and HF after
24 h of treatment (32). Expression of PKC
did not appear to be
lower in the cytosolic fractions of 1,25D3 or
analog-treated cells compared with treatment with vehicle alone (Fig. 6c
).

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Figure 6. PKC is translocated to the particulate cellular
fraction and total expression is up-regulated in response to
1,25D3, HF, JN, KH1060, or MC903. NB4 cells (2.5 x
105/ml) were treated with 200 nM
1,25D3, 10 nM HF, 200 nM JN, 1
nM KH1060, or 150 nM MC903 for 12 h, after
which cellular fractionation and Western blotting were performed as
described in Materials and Methods section. Equal
quantities of protein were loaded in each lane. Forty micrograms of the
whole cell lysate and nuclear preparations, and 20 µg of the
particulate and cytosolic samples were loaded. Fast Green staining of
membranes was used to assess equal loading of lanes. Blots were exposed
to film for 5 min2 h to achieve densities within the linear range.
Shown are blots representative of at least three separate experiments.
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Intracellular calcium is required for the
1,25D3-priming stage of differentiation, while calpain
activity is required during the TPA-phase of maturation
Figure 7
shows the results of an
experiment conducted to determine which phase of the differentiation
was affected by chelation of calcium and inhibition of calpain
activity. All treatment groups were exposed to 50 nM
1,25D3 for 8 h (phase I, priming) and then exposed to
200 nM TPA for the remainder of the 72-h treatment period
(phase II, maturation). BAPTA (1 µM) or calpain inhibitor
(2 µM) were added to the media in phase I, phase II, or
both phases. The cells were incubated in media with the chelator or
inhibitor for 30 min before treatment with 1,25D3 or TPA to
allow them to accumulate in the cells. The results indicate that BAPTA
has its largest inhibitory effect when used in phase I of
differentiation, and results were not significantly different when the
chelator was applied in both phases. Exposing the cells to
BAPTA in phase II caused a significant inhibition of differentiation
when compared with control, but the effect was significantly lower than
when cells were exposed to BAPTA in phase I. Inhibition of calpain had
the largest effect on differentiation when cells were exposed to the
inhibitor in phase II, and results were not significantly different
when the cells were exposed to calpain inhibitor during both phases.
Calpain inhibitor in phase I also caused a significant decrease in the
markers of differentiation when compared with control cells, but the
inhibition was significantly lower than inhibition caused by calpain
inhibition in phase II.
 |
Discussion
|
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The NB4 cell line requires the synergy of 1,25D3 and
phorbol ester to undergo monocytic differentiation. Many leukemia cells
lines of different origins can be induced to undergo monocytic
differentiation in response to either of these reagents alone (11, 39, 40, 41). A previous report from our lab showed that the combination of
1,25D3 and TPA led to the greatest induction of
differentiation when NB4 cells were exposed to 1,25D3
before TPA, suggesting that 1,25D3 primed the cells to
respond to TPA (31). It is still currently unknown how
1,25D3 primes NB4 cells for monocytic differentiation. In
the present study we show that in addition to 1,25D3 and
the previously tested analog HF, JN, KH1060, and MC903 also prime NB4
cells for monocytic differentiation in response to TPA. The priming
effect of 1,25D3 and all of the analogs tested, appears to
be mediated through the regulation of PKC
, PKC
, and the neutral,
calcium-activated protease, calpain.
It has been shown in previous studies that analogs of
1,25D3, can induce monocytic differentiation in leukemia
cells lines other than NB4 with a greater efficiency than
1,25D3 itself (13, 42, 43, 44). The increased efficiency of
these analogs cannot be explained by increased affinity to the
VDRnuc, due to the fact that many of the analogs studied
have lower affinities to the VDRnuc when compared with
1,25D3 (13, 42, 43, 44). It should be noted that most of the
affinity assays were performed using VDRnuc protein
isolated from chick intestine, which may differ from VDRnuc
isolated from leukemia cells (15). Nevertheless, we provide further
evidence that pathways other than those mediated by VDRnuc
are critical to the activities of many vitamin D3 analogs.
For example we show that KH1060, an 20-epi analog with affinity to the
VDRnuc similar to that of 1,25D3 (45), can
induce differentiation equivalent to 1,25D3 at
concentrations 200-fold lower. Other studies have shown that 20-epi
analogs of 1,25D3, including KH1060, can induce
conformational changes in the VDRnuc, thereby achieving
greater transcriptional activity when compared with 1,25D3,
despite similar affinities to the VDRnuc protein (46, 47).
However, an hypothesis that binding to the nuclear receptor is not the
primary factor in monocytic differentiation of NB4 cells is supported
by the fact that the 6-cis-locked analogs, JN and HF, can
induce differentiation quite effectively when combined with TPA, and
these analogs have very low affinity for the VDRnuc (22, 23). In the case of HF, its affinity to the VDRnuc is
10-fold lower than 1,25D3, but it can induce
differentiation in NB4 cells at concentrations approximately 20-fold
lower than 1,25D3 (34). Clearly binding to the
VDRnuc does not determine the relative effectiveness of the
analogs. While VDRnuc could mediate some of the
differentiating activity of analogs such as KH1060 and MC903, the
observation that differentiation can be almost completely inhibited by
interfering with the rapid, nongenomic effects of 1,25D3
and analogs, using HL, strongly implies that nongenomic signals are
necessary for monocyte differentiation. One hypothesis would be that
the differences in effectiveness of these analogs is due to differences
in their affinity for the putative VDRmem. Until this
receptor is fully characterized it will not be possible to directly
test this possibility.
The use of 1,25D3 in clinical trials is often limited by
its high toxicity due calcemia induction in vivo (15, 30).
It is important to note that HF (22) and MC903 (48) have very low
in vivo calcemic indices when compared with
1,25D3, and in the case of HF can induce differentiation at
much lower concentrations than 1,25D3. In addition, while
KH1060 has calcemic effects similar to that of 1,25D3,
toxicity may not be a problem in vivo because it induces
differentiation at concentrations 2-orders of magnitude lower than
1,25D3.
Numerous reports have indicated that the PKC family of kinases is
involved in myeloid differentiation. The
, ß, and
isoforms are
among those shown to be regulated during the differentiation of
leukemia cell lines other than NB4 (49, 50, 51). Our lab has shown in
previous reports that PKC activity is necessary for induction of
monocytic differentiation of NB4 cells (22). We have also shown that
PKC
and PKC
are regulated, both by increased expression and
translocation, in response to 1,25D3 and its 6-cis analog
HF (32). Evidence that this regulation of PKC required the nongenomic
actions of HF was provided by showing that the nongenomic antagonist HL
could inhibit the translocation and increased expression of PKC (32).
In this report we show that JN, KH1060 and MC903 also regulate the
expression of PKC
and
, through increased expression and
translocation to the membrane fraction of the cells, and in the case of
the
isoform, translocation to the nucleus. We hypothesize that part
of the process of priming cells for monocytic differentiation in
response to 1,25D3 involves the translocation of PKC to
sites in the cell where its target proteins are localized, or where it
can be readily activated by TPA. It has also been shown that
1,25D3 can directly activate PKC (20), and a recently
described membrane receptor for 1,25D3 could be responsible
for this activation (21). A recent report from the lab of Norman has
shown that MAPK, a downstream target of PKC, is regulated in response
to either 1,25D3 or an analog with low affinity to the
VDRnuc (JN), suggesting that 1,25D3 activates
PKC in the absence of TPA, through rapid nongenomic mechanisms (52).
This information, combined with the fact that 1,25D3 does
not induce monocytic differentiation without TPA, suggests that
activation of PKC by 1,25D3 may be necessary, but is not
sufficient to induce differentiation. It could be that
1,25D3 and TPA act in synergy to induce differentiation by
activating alternate isoforms of PKC, as shown in other cell models
(53), or possibly by acting at different active sites on the same
isoform.
The role of intracellular calcium in the differentiation of leukemia in
response to 1,25D3 has been well documented (54, 55, 56). It
has also been shown that calpain, a neutral calcium-dependent protease
is involved in differentiation of muscle cells and inhibition of
calpain activity has been shown to limit differentiation of these cells
(57). Until our report, no one had shown that calcium and calpain were
important in the monocytic differentiation of NB4 cells. We show here
for the first time that BAPTA, a calcium chelator, and calpain
inhibitor can inhibit differentiation in response to 1,25D3
and TPA. By using BAPTA and calpain inhibitor in the different phases
of differentiation, we also show that calcium is necessary in the
1,25D3-priming of NB4 cells, and that calpain activity may
be necessary in the TPA phase of differentiation. The expression of
calpain increased in response to 1,25D3, a response that
has also been shown to occur in renal cells (38). 1,25D3
may prime NB4 cells for maturation by TPA through release of
intracellular calcium stores or by initiating the uptake of calcium
from the environment, as has been shown in HL-60 cells (56). It has
been shown in other studies that calpain is responsive to TPA (58,
reviewed in Ref. 59). 1,25D3 could prime cells for
differentiation by creating a calcium-rich environment for calpain
activation, or increasing the amount of calpain available for
activation. Some investigators have suggested that calpain dependent
proteolysis regulates PKC activity and thus controls muscle cell
differentiation (60, reviewed in Ref. 59). Further study is needed to
determine the exact role that calcium and calpain play in
differentiation induced by 1,25D3 and TPA.
In conclusion, 1,25D3 and the analogs HF, JN, KH1060, and
MC903 induce monocytic differentiation of NB4 cells when combined with
TPA. Nongenomic signals including PKC
and PKC
, calcium, and the
protease calpain play central roles in both priming and maturation
phases of this process. Further elucidation of the mechanisms by which
1,25D3 and its analogs modulate cell differentiation should
aid in the design of differentiation-based therapies for promyelocytic
leukemia and, possibly other neoplastic and hyperproliferative
disorders.
 |
Footnotes
|
|---|
1 This work was supported in part by a grant from the Natural Sciences
Engineering Research Council of Canada. 
Received March 2, 1999.
 |
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