Endocrinology Vol. 140, No. 2 713-721
Copyright © 1999 by The Endocrine Society
1,25-Dihydroxyvitamin D3 Increases the Growth-Promoting Activity of Autocrine Epidermal Growth Factor Receptor Ligands in Keratinocytes1
Osnat Garach-Jehoshua,
Amiram Ravid,
Uri A. Liberman and
Ruth Koren
Basil and Gerald Felsenstein Medical Research Center (A.R., U.A.L.,
R.K.) and the Department of Physiology and Pharmacology (O.G.-J.,
U.A.L., R.K.), Sackler Faculty of Medicine, Tel Aviv University, Tel
Aviv 49100, Israel
Address all correspondence and requests for reprints to: Dr. Ruth Koren, Felsenstein Medical Research Center, Rabin Medical Center, Beilinson Campus, Petah Tikva 49100, Israel. E-mail:
rkoren{at}post.tau.ac.il
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Abstract
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Topical treatment of normal skin with 1,25-dihydroxyvitamin
D3 [1,25-(OH)2D3] or its
synthetic analogs results in enhanced keratinocyte proliferation.
Autocrine growth factors belonging to the epidermal growth factor (EGF)
family play a major role in controlling keratinocyte proliferation.
1,25-(OH)2D3 enhanced the autonomous
proliferation of HaCaT human keratinocytes in the absence of exogenous
growth factors. Autonomous and
1,25-(OH)2D3-stimulated proliferations were
inhibited by a specific inhibitor of EGF receptor (EGFR) tyrosine
kinase, an EGFR-neutralizing antibody, heparin, the heparin antagonist
hexadimethrine, and the proteoglycan sulfation inhibitor chlorate.
These results indicate the involvement of proteoglycan-dependent EGFR
ligands. The initial events in EGFR (i.e. ErbB1)
mitogenic signal transduction are dimer formation with another ErbB
protein and tyrosine cross-phosphorylation. By immunoprecipitation
followed by Western blotting we showed that ErbB1/ErbB3 heterodimers
are the major mitogenic signaling entity in
1,25-(OH)2D3-stimulated cells.
1,25-(OH)2D3 did not affect the levels of the
proteoglycan-dependent EGFR ligands amphiregulin and heparin-binding
EGF nor the synthesis of proteoglycans, as assessed by 35S
labeling and ion exchange chromatography.
1,25-(OH)2D3 caused a marked increase in the
cellular contents of ErbB1, ErbB2, and ErbB3 proteins. The increase in
ErbB proteins that mediates signal transduction by EGFR ligands can
account for the stimulatory effect of
1,25-(OH)2D3 on autonomous keratinocyte
proliferation.
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Introduction
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THE HORMONAL form of vitamin D,
1,25-dihydroxyvitamin D3
[1,25-(OH)2D3], affects the proliferation and
differentiation of skin. 1,25-(OH)2D3 is likely
to act in an autocrine manner in the epidermis, because keratinocytes
produce and respond to it. Many studies were devoted to the
antiproliferative effect of 1,25-(OH)2D3 on
keratinocytes (1). Recent studies, however, demonstrated a stimulatory
effect of 1,25-(OH)2D3 on keratinocyte
proliferation (2, 3, 4, 5). It was found that the direction and extent of the
effect of 1,25-(OH)2D3 on keratinocyte
proliferation are dependent on the specific growth factors present, the
cell density, and the concentration of the hormone. The
growth-promoting activity of 1,25-(OH)2D3 and
its analogs is also manifested in vivo. Topical application
of these compounds resulted in epidermal hyperplasia of human and mouse
skin (6, 7, 8, 9), enhanced cutaneous wound healing in rats (10), and
reversal of glucocorticoid epidermal atrophy in mouse epidermis
(11).
Growth factors acting in an autocrine manner play a major role in
controlling keratinocyte proliferation (12). These growth factors are
produced by keratinocytes in response to paracrine stimuli such as
fibroblast growth factor, keratinocyte growth factor, insulin-like
growth factor I, interleukin-1, and tumor necrosis factor (13). Of
paramount importance among these autocrine factors are members of the
epidermal growth factor (EGF) family, which include transforming growth
factor-
, amphiregulin, heparin-binding EGF (HB-EGF), and
betacellulin (14, 15, 16). Amphiregulin and HB-EGF bind to membrane
proteoglycans, producing a ternary complex with the EGF receptor (EGFR)
that is essential for transduction of the mitogenic signal.
In addition to EGFR (also called ErbB1 or HER1), three other
transmembrane proteins that belong to the same family, ErbB2, ErbB3,
and ErbB4, may cooperate in the signal transduction by EGFR ligands.
The members of the ErbB family, except ErbB4, are expressed in
keratinocytes (17). Upon binding to a ligand, EGFR forms a homodimer or
a heterodimer with another ErbB protein. Dimer formation is followed by
cross-phosphorylation of ErbB proteins by the respective receptor
tyrosine kinases (18). It is of interest in this context that ErbB3 is
almost devoid of tyrosine kinase activity (18). The formation of
specific dimer combinations is determined by the relative abundance of
the ErbB family members and depends on the specific EGFR ligand
available (16, 18, 19). The phosphorylated tyrosine residues on ErbB
proteins forming the signaling dimer serve as docking sites for
specific SH2-containing proteins. These interactions lead to activation
of the Ras-Raf-mitogen-activated protein (MAP) kinase as a main
signaling pathway and finally to transcription factor activation and
cell mitogenesis. The specific signaling routes are unique to each
dimer, depend on cell context, and determine the potency of the
mitogenic signal and its regulation (18).
In this work we used HaCaT cells, a line of spontaneously immortalized
and nontumorigenic human keratinocytes (20) that can proliferate in
culture in the absence of exogenous growth factors. This system
provided an appropriate model to study the stimulatory effect of
1,25-(OH)2D3 on the autocrine growth factor
network in keratinocytes.
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Materials and Methods
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Materials
Tissue culture media were obtained from Life Technologies (Grand Island, NY). Tissue culture dishes were
purchased from Corning Glass Works (Corning, NY). FCS was obtained from
Beit Haemek Industries (Beit Haemek, Israel).
1,25-(OH)2D3 was obtained from Hoffmann-La
Roche (Nutley, NJ; a gift from Dr. M. Uskokovic).
[Methyl-3H]thymidine was obtained from Rotem
Industries Ltd. (Beer Sheva, Israel). EGF was obtained from PeproTech,
Inc. (Rocky Hill, NJ). Tyrphostin AG 1478 was a gift from Prof. A.
Levitzki, The Hebrew University (Jerusalem, Israel). Porcine mucous
heparin, hexadimethrine, sodium chlorate, phenylmethylsulfonylfluoride,
aprotinin, leupeptin, and goat antimouse IgG-agarose were obtained from
Sigma Chemical Co. (St. Louis, MO). Human albumin was
obtained from KAMADA (Kibbutz Beit Kama, Israel).
35S-Labeled sodium sulfate was purchased from
DuPont-New England Nuclear, Inc. (Boston, MA). DE-52
cellulose ion exchange was obtained from Whatman
International Ltd. (Maidstone, UK). Rabbit polyclonal anti-EGFR and
anti-ErbB3 antibodies (Abs) and horseradish peroxidase (HRP)-conjugated
donkey antigoat IgG were obtained from Santa Cruz Biotechnology, Inc. (Santa Cruz, CA). Goat antihuman HB-EGF and amphiregulin
Abs were from R & D Systems, Inc. (Minneapolis, MN).
Rabbit polyclonal antiactive MAP kinase Abs were obtained from
Promega Corp. (Madison, WI). HRP-conjugated goat antimouse
Fab Abs were obtained from Jackson ImmunoResearch Laboratories, Inc. (West Grove, PA). HRP-conjugated swine antirabbit Igs were
obtained from Dako Corp. (Copenhagen, Denmark). Anti-ErbB2
monoclonal Abs (L87 and L96) and anti-ErbB3 monoclonal Abs (no. 252)
were gifts from Profs. Yosef Yarden and Michael Sela (21).
Cell culture
The human keratinocyte cell line HaCaT was provided by Prof. N.
Fusenig, German Cancer Research Center (Heidelberg, Germany). Cells
were maintained in MEM containing 0.075 mM calcium (MEM-75)
and 10% FCS, and were used between passages 3655. Cells were grown
in 5-cm petri dishes and subcultured every 34 days. At the initiation
of proliferation experiments, cells were seeded in 96-well microtiter
plates (7000 cells/well) in MEM-75 containing 10% FCS. Four or 24
h after seeding, the medium was replaced with fresh MEM-75 containing
human albumin (0.5 mg/ml) without serum and treated with vitamin D
metabolites, cytokines, Abs, or pharmacological agents. Ethanol, the
vehicle of 1,25-(OH)2D3, was added to control
cultures, and its concentration never exceeded 0.06%. Cell number was
assessed 5 days later. For proteoglycan determination and immunoblot
analysis, cells were seeded in 6-cm petri dishes (450,000 cells/dish)
in MEM-75 containing 10% FCS. Twenty-four hours after seeding the
medium was replaced with MEM-75 containing albumin. For proteoglycan
determination, the medium was replaced again after an additional
24 h with sulfate-free MEM containing albumin. Cells were cultured
for an additional 48 h in the presence of
1,25-(OH)2D3 or vehicle.
Crystal violet (CV) staining
HaCaT cell proliferation was assessed by staining with CV as
previously described (22). In brief, cells were stained for 30 min with
a 0.1% CV solution in 20% ethanol. The dye was rinsed with water and
extracted with 70% ethanol, and its absorbency was determined at 550
nm using a microplate reader. In a preliminary experiment we found a
linear correlation (r = 0.999) between CV staining and HaCaT cell
number over a wide range of cell densities (5,00040,000 cells/well).
Cell proliferation was assessed by subtracting the absorbency of CV
absorbed by the cells 24 h after seeding from that obtained at the
end of the experiment.
Thymidine incorporation
[3H]Thymidine incorporation into cellular DNA was
determined by incubating the cells with 0.5 µCi/well
[3H]thymidine for the last 16 h of culture,
harvesting with a cell harvester, and quantifying the radioactivity by
ß-scintillation counting.
Proteoglycan synthesis
Culture media were replaced with sulfate-free MEM 48 h
before harvesting. Cells were exposed to 35S-labeled sodium
sulfate for the last 24 h. Conditioned media were collected, and
the cells were scraped with a rubber policeman into PBS, centrifuged at
900 x g for 7 min, and resuspended in PBS containing
1% Triton X-100 for 1 h on ice. After centrifugation (16,000
x g for 5 min), supernatants were used for proteoglycan and
protein determinations. 35S-Labeled macromolecules from
cell extracts and media were subjected to ion exchange chromatography
on DE-52 (23). The samples were loaded onto the columns (300-µl gel
volume) and washed with 10 bed vol PBS. Columns were eluted with a step
NaCl gradient (0.251.5 M) in the presence of 0.5% Triton
X-100. Fractions (0.6 ml) were counted for radioactivity in a
scintillation counter.
Electrophoresis and immunoblot analysis
Cells were removed from the petri dishes by scraping in PBS
containing 10 mM EDTA. The cells were centrifuged at
16,000 x g for 1 min and resuspended in 200 µl
SDS-containing sample buffer. Samples were sonicated with a Heat
System-Ultrasonics, Inc. (Plainview, NY) sonicator (model W-375)
at setting 4 for 20 sec under ice, boiled for 3 min, and centrifuged
before electrophoresis. Samples were subjected to SDS-PAGE under
reducing conditions using 7.5% or 15% polyacrylamide gels. Proteins
were transferred onto nitrocellulose membranes by electroblotting, and
the membranes were probed with the appropriate Abs. Detection was
carried out by HRP-conjugated secondary Abs and enhanced
chemiluminescence.
Protein determination
The protein content of cell extracts in sample buffer and Triton
X-100 was measured as previously described (24).
Immunoprecipitation
Cells were lysed with a solubilization buffer (1% Triton X-100,
1 mM EDTA, 1.5 mM MgCl2, 10%
glycerol, 2 mM phenylmethylsulfonylfluoride, 10 µg/ml
aprotinin, 10 µg/ml leupeptin, 150 mM NaCl, and 50
mM HEPES, pH 7.5) for 30 min on ice. The lysates were
collected and clarified by centrifugation for 10 min at 16,000 x
g. One microgram of anti-ErbB2 (L96) or anti-ErbB3 (no. 252)
Ab was incubated for 1 h at 4 C with 20 µl antimouse IgG-agarose
in 500 µl PBS followed by incubation for 1 h at 4 C with cell
lysates. Immune complexes were collected and washed three times with
cold HNTG buffer (0.1% Triton X-100, 10% glycerol, 150 mM
NaCl, and 20 mM HEPES, pH 7.5). Bound proteins were
released by heating (5 min at 95 C) in sample buffer and subjected to
SDS-PAGE and immunoblotting.
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Results
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1,25-(OH)2D3
stimulates autonomous HaCaT cell proliferation
HaCaT cells proliferate in MEM-75 in the absence of serum and
exogenous growth factors. The doubling time of this autonomous
proliferation is approximately 5 days.
1,25-(OH)2D3 enhanced the autonomous
proliferation in a dose-dependent manner at a concentration range of
0.1100 nM as shown in Fig. 1
. Although small, the stimulatory effect
at 0.1 nM was observed in all experiments performed and was
statistically significant (P < 0.02, by paired
Students t test). The average enhancement of the
proliferation rate in cultures treated with 100 nM
1,25-(OH)2D3 was 241 ± 50% (mean ±
SEM) of that in control cultures. The effect of
1,25-(OH)2D3 on HaCaT cell proliferation was
also assessed by [3H]thymidine incorporation.
Seventy-two-hour exposure to the hormone (100 nM) elevated
[3H]thymidine incorporation by 82.3% (19,639 ±
2,509 cpm in hormone-treated cultures compared with 10,769 ±
1,651 cpm in vehicle-treated cultures, mean ± SD of
five replicate cultures).

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Figure 1. The stimulatory effect of
1,25-(OH)2D3 on HaCaT cell autonomous
proliferation. HaCaT cells (7 x 103/well) were plated
in a 96-well microtiter plate in MEM-75 containing 10% FCS.
Twenty-four hours later, the medium was replaced with MEM-75 containing
human albumin (0.5 mg/ml). Cells were then treated for 5 days with
1,25-(OH)2D3. Cell number was assessed by CV
staining. The extent of proliferation was determined by subtracting CV
staining of 24-h parallel cultures. During this period the number of
cells in untreated cultures increased by 120 ± 16% (mean ±
SEM; n = 11). Data are expressed as the percent
enhancement of proliferation compared with that in parallel cultures
grown in the absence of the hormone. Data points
represent the mean ± SEM of 11 independent
experiments.
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It is noteworthy that 1,25-(OH)2D3 did not
stimulate EGF-driven HaCaT cell proliferation (Fig. 2
). In addition, at 100 nM
1,25-(OH)2D3, the rate of proliferation of
1,25-(OH)2D3-stimulated cells was consistently
higher (by 34 ± 9%, mean ± SEM; n = 9
independent experiments) than the rate of proliferation in the presence
of a saturating EGF concentration (20 ng/ml). This result indicates
that the lack of a stimulatory effect on EGF-driven proliferation is
not merely due to the fact that the cells already proliferate at their
maximal rate.

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Figure 2. The effect of 1,25-(OH)2D3
on EGF-treated HaCaT cells. Cells were plated and cultured as described
in Fig. 1 . Cells were treated for 5 days with different concentrations
of 1,25-(OH)2D3 in the absence or presence of
EGF (20 ng/ml). The bars represent five replicate
cultures (mean ± SD). Similar results were obtained
in three additional independent experiments.
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Both autonomous and
1,25-(OH)2D3-stimulated
HaCaT cell proliferation are mediated by EGFR ligand(s)
Normal human keratinocyte proliferation in culture depends to a
large extent on autocrine growth factors that act via the EGFR (12, 14, 25). We assessed the possibility that the autonomous proliferation of
HaCaT cells and particularly its stimulation by
1,25-(OH)2D3 are mediated by such EGFR ligands.
To this end we used the specific inhibitor of the EGFR tyrosine kinase,
tyrphostin AG 1478 (26), and the EGFR-neutralizing monoclonal antibody,
Ab-225 (27) (Fig. 3
). As shown in Fig. 3A
, AG 1478 at 500 nM inhibited the autonomous,
1,25-(OH)2D3-stimulated, and EGF-driven
proliferation. At lower AG 1478 concentrations,
1,25-(OH)2D3-stimulated cells were less
sensitive to inhibition by the tyrphostin than untreated HaCaT
cells, but were of comparable sensitivity as EGF-treated cells. The
relative resistance of EGF-treated cultures is most likely due to the
higher occupancy of the EGFR. The reduced sensitivity of
1,25-(OH)2D3-treated cultures to inhibition by
AG 1478 may suggest the presence of a higher number of occupied EGFRs
in these cultures as well.

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Figure 3. The inhibitory effect of tyrphostin AG 1478 and
the anti-EGF receptor monoclonal Ab Ab-225 on HaCaT cell proliferation.
HaCaT cells (7 x 103/well) were plated in a 96-well
microtiter plate in MEM-75 containing 10% FCS. Twenty-four (A) or 4
(B) h later, the medium was replaced with MEM-75 containing human
albumin (0.5 mg/ml). Cells were treated for 5 days with AG 1478 (A) or
Ab-225 (B) in the absence or presence of
1,25-(OH)2D3 (100 nM) or EGF (20
ng/ml). Data are expressed as the mean ± SD of five
replicate cultures.
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In a preliminary experiment we found that the proliferation of HaCaT
cells cultured in the presence of exogenous EGF (3 ng/ml) was markedly
inhibited (mean ± SD, 65 ± 13%; n = 4) in
the presence of 0.5 µg/ml Ab-225. As shown in Fig. 3B
, Ab-225, added
4 h after seeding, at the lowest concentration abolished the
autonomous proliferation of untreated HaCaT cells. It inhibited in a
dose-dependent manner up to 74% of the proliferation in the presence
of 1,25-(OH)2D3. Under the same conditions, an
unrelated mouse IgG1 monoclonal antibody directed against human
ferritin had no effect on HaCaT cell proliferation, in the absence or
presence of 1,25-(OH)2D3, over a concentration
range of 0.55 µg/ml. It is of interest that Ab-225 added 24 h
after seeding, when cell clustering has already occurred, had only a
moderate effect on cell proliferation (data not shown). This indicates
the probable involvement of juxtacrine stimulation that is not
inhibited by the Ab due to steric hindrance or ligand-receptor complex
stabilization. Juxtacrine action was indeed shown to contribute
significantly to mitogenesis mediated by the autocrine EGFR ligands
(28, 29). Light microscope examination revealed increased cell
clustering in 1,25-(OH)2D3-treated cultures, a
phenomenon that could explain the smaller inhibitory effect of Ab-225
in these cultures. The residual proliferation in
1,25-(OH)2D3-treated cultures at the highest
concentration of the antibody could be abolished by the addition of 500
nM AG 1478. Taken together, the results depicted in Fig. 3
support the idea that autonomous HaCaT cell proliferation and its
stimulation by 1,25-(OH)2D3 are both dependent
upon ligand(s) of the EGF family.
Both autonomous and
1,25-(OH)2D3-stimulated
HaCaT cell proliferations are mediated by proteoglycan-dependent growth
factor(s)
The family of the EGFR ligands can be divided into two main
groups: proteoglycan-independent ligands (EGF and transforming growth
factor-
) and proteoglycan-binding ligands (amphiregulin, HB-EGF, and
betacellulin) (16). We used heparin, hexadimethrine, and sodium
chlorate to modulate the interaction of proteoglycans with growth
factors and their receptors. Heparin, a soluble glycosaminoglycan, and
hexadimethrine, a synthetic cationic polymer, are known to modulate the
formation of the ternary complex of EGFR, proteoglycan, and ligand (15, 30). The results in Fig. 4
show that
heparin inhibited dose dependently the autonomous and, to a slightly
lesser extent, the 1,25-(OH)2D3-driven
proliferation. As expected, heparin did not affect EGF-dependent
proliferation. The extent of inhibition by heparin at a concentration
of 10 µg/ml varied between experiments and ranged between 59100%.
The residual proliferation in the presence of heparin could be due to
the proteoglycan mimetic activity of heparin (31, 32). Hexadimethrine,
at nontoxic concentrations (up to 1 µg/ml), inhibited autonomous and
1,25-(OH)2D3-stimulated proliferation and had
only a minimal effect on EGF-driven proliferation (Table 1
). Supporting evidence for the
involvement of proteoglycans was also derived from the finding that
sodium chlorate, a competitive inhibitor of proteoglycan sulfation,
partially inhibited autonomous and
1,25-(OH)2D3-stimulated proliferation (Table 1
).

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Figure 4. The inhibitory effect of heparin on HaCaT cell
proliferation. Cells were plated and cultured as described in Fig. 1 .
Cells were treated for 5 days with heparin,
1,25-(OH)2D3 (100 nM), or EGF (20
ng/ml). Data are expressed as the mean ± SD of five
replicate cultures. Similar results were obtained in three additional
independent experiments.
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1,25-(OH)2D3
enhances EGFR-dependent tyrosine phosphorylation and MAP kinase
activation
The tyrosine phosphorylation pattern of cell extracts prepared
from autonomously proliferating and
1,25-(OH)2D3-stimulated cultures of HaCaT cells
was examined by immunoblotting with an antiphosphotyrosine antibody.
Treatment with 1,25-(OH)2D3 (100
nM) for 48 h enhanced tyrosine phosphorylation of two
closely migrating proteins in the 180190 kDa range (Fig. 5
). The relative intensity of tyrosine
phosphorylation of these two proteins varied between experiments. The
phosphorylation of these proteins was strongly inhibited by treatment
with the specific EGFR tyrosine kinase inhibitor AG 1478 (500
nM) for 3 h (Fig. 5B
) or by treatment with heparin (10
µg/ml) for 48 h (Fig. 5C
). MAP kinase activation is a major
event in EGFR-dependent mitogenic signaling. Indeed, we show here (Fig. 6
), using a specific antibody against
activated ERK1 and ERK2, that treatment with
1,25-(OH)2D3 increased the level of activated
MAP kinase in autonomously proliferating HaCaT cells. We also show,
using AG 1478, that in both control and hormone-treated cells
activation of MAP kinase is completely dependent on EGFR kinase
activity.

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Figure 5. Effect of 1,25-(OH)2D3 on
tyrosine phosphorylation of HaCaT cell proteins. Cells and cell
extracts were prepared as described in Materials and
Methods. Cells were harvested 72 h after medium
replacement. 1,25-(OH)2D3 (100 nM)
and heparin (10 µg/ml) were added 48 h before harvesting. AG
1478 (500 nM) was added for the last 3 h of culture.
Thirty minutes before harvesting, cells were exposed to sodium
orthovanadate (1 mM). Cell extracts were subjected to
SDS-PAGE and probed with antiphosphotyrosine monclonal Abs. A, Lanes 1,
3, and 5, Untreated cultures; lanes 2, 4, and 6,
1,25-(OH)2D3-treated cultures. B, Lane 1,
1,25-(OH)2D3-treated culture; lane 2,
1,25-(OH)2D3- and AG 1478-treated culture. C,
Lane 1, 1,25-(OH)2D3-treated culture; lane 2,
1,25-(OH)2D3- and heparin-treated culture.
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Figure 6. Effect of 1,25-(OH)2D3 on
the cellular level of activated MAP kinase in HaCaT cells. Cells and
cell extracts were prepared as described in Materials and
Methods. Cells were harvested 48 h after medium
replacement. 1,25-(OH)2D3 (100 nM)
and AG 1478 (500 nM) were added at different time points
before harvesting. Cell extracts were subjected to SDS-PAGE and probed
with antiactivated MAP kinase Abs.
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Taken together, these results indicate that treatment of HaCaT cells
with 1,25-(OH)2D3 enhances
proteoglycan-dependent autocrine EGFR-mediated signaling.
1,25-(OH)2D3 does
not affect proteoglycan synthesis or sulfation
The stimulation of autonomous HaCaT cell proliferation by
1,25-(OH)2D3 may thus be due to qualitative or
quantitative changes in cell-associated or secreted proteoglycans, the
levels of members of the ErbB family that mediate EGFR-dependent
signaling, or the levels of their ligands. The first alternative was
examined by assaying the incorporation of 35S-labeled
sulfate into the cell-associated and secreted proteoglycan pools in
control and 1,25-(OH)2D3-treated cultures. As
shown in Fig. 7
, 1,25-(OH)2D3 did not affect either the level of
35SO4-2 incorporation or the
elution profiles of proteoglycans from the ion exchange columns. These
results rule out an effect of the hormone on total proteoglycan
synthesis or secretion or a change in the relative abundance of
differently charged proteoglycan species. As expected, sodium chlorate
at the same concentration as that used in the proliferation assay
markedly inhibited the total proteoglycan sulfation and also shifted
the elution pattern from the ion exchange columns, increasing the
proportion of lesser charged fractions.

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Figure 7. The effect of 1,25-(OH)2D3
on the incorporation of 35SO4-2
into cell-associated and secreted proteoglycans. Cells and cell
extracts were prepared as described in Materials and
Methods. Cells were treated 48 h before harvesting with
1,25-(OH)2D3 (100 nM) or for
24 h with sodium chlorate (20 mM). Cultures were
pulsed for the last 24 h before harvesting with 50 µCi/ml
35SO4-2. Cell extracts (A) and
culture media (B) were subjected to ion exchange chromatography as
described in Materials and Methods.
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1,25-(OH)2D3 does
not affect the level of proteoglycan-dependent EGFR ligands
The major role of the proteoglycan-dependent EGFR ligands,
amphiregulin and HB-EGF, in the autonomous proliferation of human
keratinocytes is well established (12, 14, 15). Using immunoblot
analysis, we show (Fig. 8
) that both
ligands are produced in HaCaT cells, and that their levels are not
affected by treatment with 1,25-(OH)2D3. It
should be noted that this lack of effect was observed in the same cell
extracts where treatment with the hormone increased EGFR-dependent
tyrosine phosphorylation.

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Figure 8. Effect of 1,25-(OH)2D3 on
the cellular level of proteoglycan-dependent EGFR ligands. Cells and
cell extracts were prepared as described in Materials and
Methods. Cells were harvested 72 h after medium
replacement. 1,25-(OH)2D3 (100 nM)
was added 48 h before harvesting. Cell extracts were subjected to
SDS-PAGE and probed with antiamphiregulin and anti-HB-EGF Abs. Lanes 1,
3, and 5, Control cultures; lanes 2, 4, and 6,
1,25-(OH)2D3-treated cultures.
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1,25-(OH)2D3
increases the cellular level of ErbB family members
Having ruled out an effect of the hormone on either proteoglycan
synthesis or the levels of EGFR proteoglycan-dependent ligands, we have
proceeded to examine the effect of the hormone on members of the ErbB
family. Our first task was to identify the member(s) of the ErbB family
responsible for signaling in
1,25-(OH)2D3-treated HaCaT cells. We have shown
in Fig. 5
that treatment with 1,25-(OH)2D3
enhanced the tyrosine phosphorylation of two closely migrating proteins
in the 180190 kDa range. In Fig. 9A
, we
show that the high molecular mass band of the doublet comigrates in
SDS-PAGE with ErbB2 and ErbB3, and both proteins have a higher mol wt
than ErbB1 (i.e. EGFR). A similar electrophoretic pattern of
the tyrosine-phosphorylated proteins was observed in at least five
different experiments, and we never detected a tyrosine-phosphorylated
protein with a molecular mass corresponding to that of EGFR. It is thus
probable that EGFR-dependent signaling in autonomously proliferating
HaCaT cells treated with 1,25-(OH)2D3 is
mediated by a heterodimer of EGFR with either ErbB2 or ErbB3. It is
noteworthy that the level of ErbB2 protein in HaCaT cells is very low
(Fig. 9A
) and is similar to the level present in normal keratinocytes
(33). Moreover, we compared ErbB2 levels in HaCaT cells to those
present in MCF-7 breast cancer cells known to express very low level of
this receptor (34) and found that the level in HaCaT cells was at least
5-fold lower (data not shown). The composition of the major signaling
dimer in 1,25-(OH)2D3-treated autonomously
proliferating HaCaT cells was further examined by immunoprecipitation
with specific antibodies to ErbB2 or ErbB3 and probing the
immunoprecipitates with an antiphosphotyrosine antibody (Fig. 9B
). It
was found that ErbB3, but not ErbB2, is tyrosine phosphorylated in
these cultures. Thus, it may be inferred that the heterodimer
responsible for the EGFR-dependent tyrosine phosphorylation in this
system is ErbB1-ErbB3. This idea was further supported by demonstrating
that ErbB1 is coimmunoprecipitated with ErbB3 using an anti-ErbB3
antibody (Fig. 9B
), indicating physical interaction between these two
proteins. This conclusion explains our finding (Fig. 5
) that ErbB1 is
not tyrosine phosphorylated in
1,25-(OH)2D3-treated cultures, in accord with
the known lack of tyrosine kinase activity in ErbB3 (18). It is
noteworthy that in parallel cultures we established that 30-min
incubation of the cells with exogenous EGF (20 ng/ml) caused pronounced
tyrosine phosphorylation in a band comigrating with EGFR (data not
shown), suggesting that under such conditions the ErbB1 homodimer is
the major signaling molecule in HaCaT cells.

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Figure 9. Identification of the tyrosine-phosphorylated ErbB
protein(s) in 1,25-(OH)2D3-treated HaCaT cells.
Cells and cell extracts were prepared as described in Materials
and Methods. Cells were harvested 72 h after medium
replacement. Cells were treated with
1,25-(OH)2D3 (100 nM) for 48 h
before harvesting. A, Cell extracts were subjected to SDS-PAGE and
probed with antiphosphotyrosine, ErbB1, ErbB2, or ErbB3 Abs (lanes
14, respectively). B, ErbB2 and ErbB3 proteins were
immunoprecipitated from 1,25-(OH)2D3-treated
cell extracts, subjected to SDS-PAGE, and probed with anti ErbB1,
ErbB2, or ErbB3 or with antiphosphotyrosine Abs.
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We have proceeded to examine the effect of hormone treatment on the
cellular level of the proteins belonging to the ErbB family and found
that treatment with the hormone caused a time-dependent increase in
ErbB1 levels after 16-h incubation (Fig. 10A
). Forty-eight-hour incubation with
1,25-(OH)2D3 (100 nM) resulted in
an average increase of 100 ± 37%, as quantified by laser
densitometry (mean ± SEM; P < 0.05;
five independent experiments). In parallel experiments we also found a
smaller, but consistent, increase in ErbB2 and ErbB3 levels (Fig. 10B
).
The average increase was 53 ± 6% (P < 0.01;
n = 5) for ErbB2 and 69 ± 20% (P < 0.05;
n = 4) for ErbB3. As the ErbB1-ErbB3 heterodimer seems to be
responsible for the signaling induced by the autocrine EGFR ligands,
the increase in the levels of these two ErbB family after treatment
with 1,25-(OH)2D3 can account for the
stimulation of HaCaT cell proliferation.

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Figure 10. Effect of 1,25-(OH)2D3 on
the cellular level of the ErbB proteins. Cells and cell extracts were
prepared as described in Materials and Methods. Cells
were harvested 72 h after medium replacement.
1,25-(OH)2D3 (100 nM) was added at
different time points (upper panel) or 48 h
(lower panel) before harvesting. Cell extracts were
subjected to SDS-PAGE and probed with anti-ErbB1, -ErbB2, or -ErbB3
Abs.
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|
 |
Discussion
|
|---|
The most salient findings of this study can be summarized as
follows. 1) 1,25-(OH)2D3 enhances the
proliferation of HaCaT keratinocytes in the absence of exogenous growth
factors. 2) Both autonomous and
1,25-(OH)2D3-stimulated proliferation are
mediated by the autocrine network of proteoglycan-dependent EGFR
ligands. 3) The stimulatory effect of the hormone is probably due to
up-regulation of proteins belonging the ErbB family of tyrosine kinase
receptors.
The aim of this work was to study the effect of
1,25-(OH)2D3 on the autocrine network of growth
factors, which is a major determinant of keratinocyte proliferation
in vivo and in vitro (12). The addition of
exogenous growth factors and ill defined medium components such as
pituitary extract to normal keratinocyte primary cultures is obligatory
for their maintenance. This complex mixture includes mediators that may
activate major cellular pathways, including protein kinase C and
protein kinase A. Such activation may have quantitative and qualitative
effects on the mitogenic autocrine network (35, 36) and its regulation
by nuclear receptor agonists, including
1,25-(OH)2D3 (37). As the activity of this
autocrine network is sufficient to support HaCaT cell proliferation in
the absence of any exogenous active mediators, these cells provide an
appropriate system to study the regulation of the signaling pathways
that mediate the action of the autocrine growth factors. Using this
experimental system we found that 1,25-(OH)2D3
enhanced autonomous keratinocyte proliferation. In this system we found
no evidence for the inhibitory or biphasic effect of
1,25-(OH)2D3 observed in most studies with
normal keratinocytes (2, 3, 4, 5). It is possible that the manifestation of
the inhibitory potential of 1,25-(OH)2D3
depends upon the presence of exogenous active mediators in the culture
milieu. The growth-promoting effect of
1,25-(OH)2D3 was dose dependent and significant
at the physiological concentration of 0.1 nM. As
keratinocytes may produce 1,25-(OH)2D3 in
vivo, it is probable that local concentrations of the hormone in
the skin exceed those in the circulation.
Using pharmacological tools such as a neutralizing EGFR antibody
(Ab-225) and a specific EGFR-dependent tyrosine kinase inhibitor (AG
1478), we show that proliferation and mitogenic signaling in both
control and 1,25-(OH)2D3-treated cells are
mediated by EGFR. Our finding that Ab-225 inhibited proliferation only
when added before cell clustering has occurred suggests a major role
for juxtacrine signaling via the EGFR (28). Additional support for this
idea was gained by the absence of any detectable mitogenic activity in
a 10-fold concentrated conditioned medium of 5-day HaCaT cultures
treated or untreated with 1,25-(OH)2D3 (data
not shown).
The major role of the proteoglycan-dependent subfamily of EGFR ligands
in the maintenance of autonomous HaCaT cell proliferation was
established by showing that heparin, hexadimethrine, and chlorate (15, 30, 32) markedly inhibited autonomous and
1,25-(OH)2D3-stimulated HaCaT cell
proliferation. The finding that even at the highest heparin
concentration there was still residual proliferation in the cultures
treated with 1,25-(OH)2D3 may be due to the
proteoglycan mimetic activity of heparin (31), although a minor
contribution of a nonproteoglycan-dependent ligand to the proliferation
of hormone-treated cells cannot be ruled out.
As we have found no qualitative differences between the autocrine
mitogenic signaling in 1,25-(OH)2D3-treated and
untreated cells, the effect of the hormone is probably due to
quantitative differences in the cellular levels of proteoglycans, EGFR
ligands, or ErbB receptors. Mitogenic signaling by the
proteoglycan-dependent growth factors may be affected both by soluble
and cell-associated proteoglycans. The possibility that
1,25-(OH)2D3 modulates proteoglycan synthesis
or secretion was worth exploring, because these processes are affected
by the hormone in chondrocytes (38). We found that
1,25-(OH)2D3 did not affect either in HaCaT
cells. In addition, we did not observe any effect on the cellular
levels of amphiregulin and HB-EGF, the two main proteoglycan-dependent
EGFR ligands known to support normal keratinocyte proliferation in cell
and organ culture (12, 14, 15).
The tyrosine phosphorylation pattern of the autonomously proliferating
and 1,25-(OH)2D3-treated cells consistently
revealed two closely migrating phosphorylated proteins with molecular
masses of 180190 kDa. The phosphorylation of these proteins, which is
EGFR and proteoglycan dependent, was enhanced by
1,25-(OH)2D3. There was no apparent
phosphorylation at the molecular mass corresponding to the EGFR (170
kDa), although a 170-kDa band was strongly phosphorylated after 30-min
exposure to exogenous EGF (data not shown). Comigration and
imunoprecipitation experiments demonstrated that the ErbB1-ErbB3
heterodimer is the major signal transducing entity in this system. Such
a signaling pathway may also account for the lack of tyrosine
phosphorylation of the EGFR, as the tyrosine kinase of ErbB3 is
defective. It is commonly accepted that ErbB2 is the preferred
heterodimerization partner of all ErbB receptors (19). The absence of
detectable tyrosine-phosphorylated ErbB2 in HaCaT cells under our
conditions could be due to the very low expression of this protein
compared with that of the other family members.
We found that all three ErbB proteins are up-regulated after exposure
to 1,25-(OH)2D3. The modest, although
significant and reproducible, increase in the cellular level of both
constituents of the signaling heterodimer can account for the increased
efficiency of mitogenic signaling resulting in enhanced proliferation.
As shown previously, the increase in ErbB2 levels could also contribute
indirectly to the formation of an ErbB1-ErbB3 heterodimer (19). The
increase in ErbB1 levels results in more ternary
ligand-proteoglycan-EGFR complexes in
1,25(OH)2D3-treated cells and may thus account
for the reduced sensitivity of these cells to the inhibitory effects of
heparin, hexadimethrine, chlorate, AG 1478, and Ab-225. One intriguing
observation in this study was that the proliferation of
1,25-(OH)2D3-treated HaCaT cells was
consistently higher than that of HaCaT cells grown in the presence of a
saturating (20 ng/ml) concentration of exogenous EGF. This may be due
to the more efficient mitogenic signaling via the ErbB1-ErbB3
heterodimer compared with signaling via the EGFR homodimer (18), the
major species in the presence of exogenous EGF. In addition, juxtacrine
signaling via the EGFR seems to be more efficient and sustained than
signaling mediated by a soluble growth factor (39).
In previous studies 1,25-(OH)2D3 was shown to
increase, decrease, or have no effect on EGFR levels in various
cellular systems (40, 41, 42). The effect of the hormone may thus strongly
depend on the cellular context. It is noteworthy that most previous
evidence relies on binding assays with radiolabeled EGF that measure
the number of unoccupied receptors and cannot detect the receptors
occupied by autocrine and juxtacrine ligands. To our knowledge there
are no previous reports about the effect(s) of
1,25-(OH)2D3 on ErbB2 or ErbB3 levels.
Signaling via the EGFR is known to result in the activation of MAP
kinase (18). As shown in Fig. 6
, activated MAP kinase (ERK1 and ERK2)
is present in autonomously proliferating HaCaT cells and, as expected,
is markedly elevated in 1,25-(OH)2D3-treated
cells. Gniadecky (43) has previously shown that exposure of primary
keratinocyte cultures to 1,25-(OH)2D3 induced a
rapid and transient (lasting 60 min) activation of MAP kinase. We do
not know if and how this early event is associated with the long
lasting effects reported here. The increase in the levels of activated
MAP kinase in our system is time dependent, long lasting (at least
48 h), and totally dependent on the activity of EGFR tyrosine
kinase. Prolonged activation of MAP kinase, as described here, is
probably required for some events essential for cell cycle entry
(44).
In view of the critical role for autocrine signaling of
proteoglycan-dependent EGFR ligand in keratinocyte proliferation in
general and wound healing in particular (12, 45), our finding that
1,25-(OH)2D3 up-regulates this system may have
physiological and clinical implications.
 |
Acknowledgments
|
|---|
We thank Prof. Y. Yarden and A. Yayon of The Weizmann Institute
of Science for their assistance and helpful discussions, and Prof. A.
Levitzki of The Hebrew University for kindly providing us with AG
1478.
 |
Footnotes
|
|---|
1 This work was performed in partial fulfillment of the requirements
for the Ph.D. degree of Osnat Garach-Jehoshua, Sackler Faculty of
Medicine, Tel Aviv University (Tel Aviv, Israel). 
Received May 26, 1998.
 |
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