Endocrinology Vol. 140, No. 6 2850-2858
Copyright © 1999 by The Endocrine Society
Mitogen-Activated Protein Kinase-Dependent Stimulation of Proliferation of Rat Lactotrophs in Culture by 3',5'-Cyclic Adenosine Monophosphate1
Shinichi Suzuki,
Isao Yamamoto and
Jun Arita
Department of Physiology (S.S., J.A.), Yamanashi Medical
University, Yamanashi 409-3898; and Department of Neurosurgery (I.Y.),
Yokohama City University School of Medicine, Yokohama 236-0004,
Japan
Address all correspondence and requests for reprints to: Dr. J. Arita, Department of Physiology, Yamanashi Medical University, Tamaho, Yamanashi 409-3898, Japan. E-mail: jarita{at}res.yamanashi-med.ac.jp
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Abstract
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Intracellular cAMP regulates cell proliferation as a second messenger
of extracellular signals in a number of cell types. We investigated, by
pharmacological means, whether an increase in intracellular cAMP levels
changes proliferation rates of lactotrophs in primary culture, whether
there are interactions between signal transduction pathways of cAMP and
the growth factor insulin, and where the dopamine receptor agonist
bromocriptine acts in the cAMP pathway to inhibit
lactotroph proliferation. Rat anterior pituitary cells, cultured in
serum-free medium, were treated with cAMP-increasing agents, followed
by 5-bromo-2'-deoxyuridine (BrdU) to label proliferating pituitary
cells. BrdU-labeling indices indicative of the proliferation rate of
lactotrophs were determined by double immunofluorescence staining for
PRL and BrdU. Treatment with forskolin (an adenylate cyclase activator)
or (Bu)2cAMP (a membrane-permeable cAMP analog) increased
BrdU-labeling indices of lactotrophs in a dose- and incubation
time-dependent manner. The cAMP-increasing agents were also effective
in increasing BrdU-labeling indices in populations enriched for
lactotrophs by differential sedimentation. The stimulatory action of
forskolin was observed, regardless of concentrations of insulin that
were added in combination with forskolin. Inhibition of the action of
endogenous cAMP by H89 or KT5720, a protein kinase A inhibitor,
attenuated an increase in BrdU-labeling indices by insulin treatment.
On the other hand, the specific mitogen-activated protein kinase
inhibitor PD98059, which was effective in blocking the mitogenic action
of insulin, markedly suppressed the forskolin-induced increase in
BrdU-labeling indices. (Bu)2cAMP antagonized not only
inhibition of BrdU labeling indices but also changes in cell shape
induced by bromocriptine treatment, although forskolin did
not have such an antagonizing effect. These results suggest that: 1)
intracellular cAMP plays a stimulatory role in the regulation of
lactotroph proliferation; 2) cAMP and insulin/mitogen-activated protein
kinase signalings require each other for their mitogenic actions; and
3) the antimitogenic action of bromocriptine is, at least
in part, caused by inhibition of cAMP production.
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Introduction
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PROLIFERATION OF LACTOTROPHS in the
anterior pituitary gland is regulated by interactions of extracellular
signals derived from three distinct levels. First, hormones
secreted by peripheral endocrine glands affect lactotroph
proliferation. Estradiol, in particular, has a remarkable mitogenic
action in vivo and in vitro on lactotrophs
(1, 2, 3, 4, 5). Second, substances that are secreted by hypothalamic neurons
and transported via hypophysial portal blood influence lactotroph
proliferation. Dopamine and its agonist bromocriptine
inhibit proliferation of normal lactotrophs and prolactinoma cells in
experimental animals and humans (6, 7, 8, 9), whereas TRH and vasoactive
intestinal peptide (VIP) have been reported to stimulate lactotroph
proliferation (10, 11, 12). Third, intrapituitary growth factors, such as
epidermal growth factor, insulin-like growth factor-1 (IGF-1), and
nerve growth factor, alter lactotroph proliferation in an autocrine or
paracrine manner (11, 13, 14, 15, 16, 17). Although extracellular signals
regulating lactotroph proliferation and their interactions have thus
been studied, little is known about the intracellular signal
transduction pathways leading to DNA synthesis and proliferation after
binding of these extracellular signals to receptors.
cAMP is a ubiquitous second messenger implicated in negative and
positive modulation of cell proliferation (for review, see Refs. 18, 19). cAMP inhibits cell proliferation in a number of cell types
(including fibroblasts, smooth muscle cells, adipocytes, and T
lymphocytes) and stimulates it conversely in certain cells (such as
Swiss 3T3 cells, thyroid cells, and somatotrophs). Although the
mechanism of protein kinase A (PKA) activation by cAMP is well
characterized, the mechanism by which PKA then induces arrest or
progression of cell cycle is poorly understood. Possible candidates
responsible for mediation of the mitogenic action of cAMP/PKA could be
cAMP response element binding protein (CREB) (20) and
p70S6K (21), in somatotrophs and Swiss 3T3 cells,
respectively. In contrast, based on the findings that, in fibroblasts
and adipocytes, cAMP inhibits the activity of a protein kinase cascade
(22, 23, 24), which consists of Ras, Raf 1, mitogen-activated protein
kinase (MAPK) kinase, and MAPK, in order (for review, see Ref. 25) and
mediates mitogenic actions of many growth factors (26, 27, 28), it has been
suggested that the antimitogenic action of cAMP is mediated by the MAPK
cascade.
The present study was undertaken to investigate whether agents that
increase intracellular cAMP levels affect proliferation rates of
lactotrophs in primary culture, and whether there are interactions
between signal transduction pathways of cAMP and insulin, a growth
factor that stimulates potently cell proliferation. Furthermore, the
site in the cAMP signaling pathway at which bromocriptine
inhibits lactotroph proliferation was determined.
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Materials and Methods
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Cell culture
Experiments were conducted under the guideline of the Ethical
Committee of Animal Experiments in Yamanashi Medical University.
Six-week-old female Wistar rats, purchased from Japan SLC (Shizuoka,
Japan), were used for primary pituitary cell cultures. Anterior
pituitary cells were dispersed as described previously (9). Briefly,
after decapitation, five anterior pituitaries were minced in MEM for
suspension (Sigma Chemical Co., St. Louis, MO), containing
NaHCO3 (0.35 g/liter), penicillin G (100 U/ml),
streptomycin (100 µg/ml), BSA (0.1%), and HEPES (20 mM)
(S-MBH) and were incubated at 37 C in S-MBH containing 0.01%
trypsin (TRL-3, Worthington Biochemical Corp., Freehold,
NJ) and 0.005% deoxyribonuclease, in a siliconized Spinner suspension
flask, with constant stirring for a total of 80100 min. The dispersed
pituitary cells were treated with 0.1% trypsin inhibitor and 0.025%
deoxyribonuclease and were subjected to cell counting and viability
test by trypan blue exclusion. A 100-µl aliquot of cell suspension,
containing 1.5 x 105 cells in DMEM, supplemented with
20 mM HEPES, was placed on poly-D-lysine-coated
35-mm culture dishes (Falcon, Becton Dickinson and Co.,
Bedford, MA), so that it spread to form a circle of approximately 10 mm
in diameter. The cells were subsequently allowed to attach to the
surface of the dishes in a humidified CO2 incubator for
1 h. The pituitary cells were flooded with 2 ml DMEM containing
HEPES, 8.3% horse serum, 1.7% FBS, penicillin, and streptomycin and
were cultured at 37 C in a humidified atmosphere of 5%
CO2-95% air for 12 days. After the culture with medium
containing serum, the cultured cells were washed with a 1:1 mixture of
DMEM and Hams Nutrient Mix F-12 without phenol red and containing 15
mM HEPES, 100 U/ml penicillin G, 100 µg/ml streptomycin,
1.2 mg/ml NaHCO3 (DMEM/F-12) and were cultured for another
3 days with serum-free, chemically defined experimental medium. The
serum-free medium was freshly changed 1 day after initiation of
serum-free culture. The serum-free experimental medium was originally
derived from medium described elsewhere (29), with some modifications
(DMEM/F-12 supplemented with varying concentrations of bovine insulin,
depending upon experiments, 10 µg/ml bovine transferrin, 40
nM sodium selenite, 30 µM ethanolamine, 100
pM triiodothyronine, and 5 mM ethanol).
For experiments using enriched lactotrophs, enzymatically dissociated
rat anterior pituitary cells were subjected to differential
sedimentation on a discontinuous Percoll gradient, as described
elsewhere (30). The gradient was constructed of four concentrations of
Percoll (Sigma Chemical Co.) with densities of
1.045, 1.065, 1.080, and 1.090. Two milliliters of Percoll solution
were layered on top of each other, starting with the highest density,
in a 15-ml conical centrifuge tube. Freshly dispersed pituitary cells
in 1 ml S-MBH were loaded on the top of the gradient and centrifuged at
400 x g in a swing-out rotor for 20 min at room
temperature. A lactotroph-enriched pituitary cell layer at the
interface between 1.045 and 1.065 was carefully collected with a
Pasteur pipette and washed twice with S-MBH. The enriched lactotrophs
were plated and cultured in the same manner as unenriched pituitary
cells.
Treatment of lactotrophs in culture
Forskolin (Sigma Chemical Co.) and
bromocriptine methylate (Sigma Chemical Co.)
were initially dissolved with ethanol at concentrations of 20
mM and 1 mM, respectively.
N-[2-(p-bromocinnamyl-amino)ethyl]-5-isoquinolinesulfonamide
(H89) (Biomol Research Laboratories, Inc., Plymouth
Meeting, PA) was dissolved with 50% ethanol at a concentration of 25
mM. PD98059 (New England Biolabs, Inc.,
Beverly, MA) and KT5720 (Biomol Research Laboratories, Inc.) were dissolved with dimethyl sulfoxide at concentrations
of 20 mM and 1.2 mM, respectively. These agents
were diluted immediately before use, the final concentrations of
ethanol and dimethyl sulfoxide in medium being 0.060.31% and 0.25%,
respectively. (Bu)2cAMP and 8-bromo-cAMP (Sigma Chemical Co.) were dissolved with the serum-free medium.
Cultured pituitary cells were treated with the above regents for the
indicated times and with 200 µM 5-bromo-2'-deoxyuridine
(BrdU) for 324 h before the end of culture, to label proliferating
cells.
After BrdU labeling, cultured pituitary cells were detached from
culture dishes and redispersed with trypsin, as described elsewhere
(9). Cells suspended with Earles balanced salt solution, containing
20 mM HEPES, were attached to
poly-D-lysine-coated glass slides by centrifugation with a
cytocentrifuge (SC-2, Tomy, Tokyo, Japan) at 105 x g
for 2 min. The cells attached on glass slides were fixed with ice-cold
methanol for 30 min, washed with distilled water, and stored in PBS at
4 C until immunostaining.
Immunostaining
The anterior pituitary cells, attached to glass slides, were
double immunostained for BrdU and PRL, as described previously (9).
Briefly, the slides were treated with 3 M HCl for 30 min
and 10% normal donkey serum in PBS for 15 min. Double-labeling
immunofluorescence staining was performed by three steps using the
following reagents: 1) a mixture of mouse monoclonal anti-BrdU
(Sigma Chemical Co.) at 1:200 dilution and rabbit antirat
PRL (NIDDK IC-5) at 1:4000 dilution; 2) biotinylated horse antimouse
IgG (Vector Laboratories, Inc., Burlingame, CA) at
1:50 dilution; and 3) a mixture of Texas Red-labeled streptavidin
(Amersham, Arlington Heights, IL) at 1:50 dilution and
fluorescein-isothiocyanate-labeled donkey antirabbit IgG
(Amersham) at 1:50 dilution. The cells were incubated with
100 µl of each reagent diluted with PBS containing 10% normal donkey
serum for 1 h, followed by a 20-min washing.
The immunostained slides were mounted with PermaFluor (Immunon,
Pittsburgh, PA) and were observed with a fluorescence microscope
(BX50-FLA, Olympus Corp., Tokyo, Japan) equipped with a
dual-band mirror unit for fluorescein-isothiocyanate and Texas Red
(U-DM-FI/TX).
Statistical analysis
A minimum of 1000 PRL-immunoreactive cells were examined, in
randomly chosen fields for each slide, to determine the BrdU-labeling
index, which was the percentage of pituitary cells immunoreactive for
both PRL and BrdU of total PRL-immunoreactive cells counted. Three
slides were analyzed for each treatment group derived from the same
cell preparations. Experiments were replicated three times with
separate batches of cell preparations. Differences between individual
groups were statistically analyzed using one-way or two-way ANOVA
followed by Fishers PLSD test.
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Results
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Effects of forskolin and (Bu)2cAMP on lactotroph
proliferation
The dose responses of BrdU-labeling indices of lactotrophs to two
cAMP-related agents that increase intracellular cAMP levels by distinct
mechanisms were determined. The mean BrdU-labeling index of lactotrophs
that were cultured in medium containing 10 ng/ml insulin and labeled
with BrdU for 24 h was 3.4 ± 0.8% (mean ±
SEM, based on six independent experiments). BrdU-labeling
indices of lactotrophs were increased 40 h after treatment with
forskolin, an adenylate cyclase activator (Fig. 1
, left). Treatment with 13
µM forskolin induced a 4.2-fold maximal increase in
BrdU-labeling indices, compared with vehicle treatment. Similarly,
(Bu)2cAMP, a membrane-permeable cAMP analog, was effective
in increasing BrdU-labeling indices with less potency than forskolin
(Fig. 1
, right). (Bu)2cAMP at 0.3 mM
induced a 2.6-fold maximal rise in BrdU-labeling indices, compared with
vehicle treatment. The increased BrdU-labeling indices, by
(Bu)2cAMP treatment, were found to be caused by cAMP moiety
itself, because butyrate, a potential degradation product of
(Bu)2cAMP, did not change BrdU-labeling indices at
0.1 mM or less, and it significantly decreased rather
than increased them, at 0.3 mM (P <
0.05) (Fig. 2
). This was further
supported by the result that another cAMP analog 8-bromo-cAMP, at doses
of 0.3 and 1 mM, was also effective in increasing
BrdU-labeling indices (P < 0.01).

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Figure 1. Dose responses of lactotroph proliferation to
forskolin and (Bu)2cAMP (db-cAMP). Anterior pituitary cells
that had been cultured in serum-free medium containing 10 ng/ml insulin
were treated with either vehicle or varying concentrations of forskolin
(left) or (Bu)2cAMP (right)
for 40 h and were labeled with BrdU for 24 h before the end
of treatment. BrdU-labeling indices of lactotrophs are expressed
relative to vehicle-treated control groups. Data are the mean ±
SEM of triplicate determinations from a representative
experiment that was replicated three times with separate batches of
cell preparations.
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Figure 2. Effects of (Bu)2cAMP, 8-bromo-cAMP
(8b-cAMP), and butyrate on lactotroph proliferation. Anterior pituitary
cells that had been cultured in serum-free medium containing 10 ng/ml
insulin were treated with vehicle, (Bu)2cAMP, 8-bromo-cAMP,
or sodium butyrate for 40 h and were labeled with BrdU for 24
h before the end of treatment. BrdU-labeling indices of lactotrophs are
expressed relative to vehicle-treated control groups. Data are the
mean ± SEM of triplicate determinations from a
representative experiment that was replicated twice with separate
batches of cell preparations.
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To minimize influences of other cell types that contaminate lactotroph
populations, we examined the effects of the cAMP-increasing agents on
BrdU-labeling indices of enriched lactotrophs. Differential
sedimentation with a Percoll gradient successfully enriched pituitary
cells for lactotrophs, from 4555% to 7581%. Forskolin and
(Bu)2cAMP, at 1 µM and 0.3 mM,
respectively, induced significant increases in BrdU-labeling indices of
the enriched lactotrophs that were cultured in medium containing 10 or
100 ng/ml insulin (P < 0.01) (Fig. 3
). There was no significant difference
in magnitudes of the forskolin-induced increases in BrdU-labeling
indices, between enriched and unenriched lactotrophs (data not
shown).

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Figure 3. Mitogenic actions of forskolin and
(Bu)2cAMP on enriched lactotrophs. Anterior pituitary cells
that had been enriched for lactotrophs by differential sedimentation
and cultured in serum-free medium containing 10 or 100 ng/ml insulin
were treated with either vehicle, 0.3 mM
(Bu)2cAMP, or 1 µM forskolin for 40 h
and were labeled with BrdU for 24 h before the end of treatment.
BrdU-labeling indices of lactotrophs are expressed relative to a
vehicle-treated control group cultured with 10 ng/ml insulin. *,
Significantly different from the corresponding vehicle-treated
groups.
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To see the time course of the action of forskolin, BrdU-labeling
indices were determined in lactotrophs treated with 1 µM
forskolin, for varying times from 636 h. Because BrdU incubation time
was shortened to 6 h to improve time resolution, BrdU-labeling
indices in Fig. 4
reflect the percent of
lactotrophs that were labeled with BrdU during periods of the preceding
6 h before the treatment times indicated in the abscissa.
Forskolin treatment did not affect indices until 12 h after the
initiation of treatment, but increased BrdU-labeling indices at 1218
h (P < 0.01, 2-way ANOVA). BrdU-labeling indices were
thereafter increased progressively, up to 36 h tested.

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Figure 4. Time course of the mitogenic action of forskolin
on lactotrophs. Anterior pituitary cells that had been cultured in
serum-free medium containing 10 ng/ml insulin were treated with either
vehicle or 1 µM forskolin for the indicated times,
ranging from 636 h, and were labeled with BrdU for 6 h before
the end of treatment. BrdU-labeling indices of lactotrophs are
expressed relative to the corresponding vehicle-treated control
groups.
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Dose response of lactotroph proliferation to insulin in combination
with or without forskolin
As insulin concentrations in medium were increased, BrdU-labeling
indices rose remarkably in a dose-dependent manner (Fig. 5
). BrdU-labeling indices of lactotrophs
cultured with insulin at 5000 ng/ml, a maximal concentration tested,
were 10.4-fold higher than those of lactotrophs without insulin
(P < 0.01). Treatment with 1 µM
forskolin for 40 h, in combination with insulin, increased
BrdU-labeling indices to significantly higher levels than did insulin
alone, at any concentrations (P < 0.01, 2-way
ANOVA).

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Figure 5. Dose response of lactotroph proliferation to
insulin in combination with or without forskolin. Anterior pituitary
cells that had been cultured in serum-free medium containing varying
concentrations of insulin were treated with either vehicle or 1
µM forskolin for 40 h and were labeled with BrdU for
12 h before the end of treatment, except 5000 ng/ml
insulin-cultured groups with 3-h labeling with BrdU. BrdU-labeling
indices of lactotrophs are expressed relative to vehicle-treated
control group cultured without insulin. *, Significantly different from
the corresponding vehicle-treated groups, based on two-way ANOVA.
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Inhibitory effects of PKA inhibitors on insulin-induced lactotroph
proliferation
To determine the optimum doses of PKA inhibitors for sufficiently
blocking the action of cAMP/PKA, we preliminarily examined the effects
of pretreatment with varying concentrations of H89 and KT5720, on an
increase in BrdU-labeling indices of lactotrophs induced by 1
µM forskolin. The effective doses of H89 and KT5720 in
blocking the action of forskolin were found to be 1 and 0.5
µM, respectively (Figs. 6
and 7
). The dose of H89 also blocked the
effect of 0.3 mM (Bu)2cAMP (data not shown).
Treatment for 28 h with H89 or KT5720 at these concentrations had
no effect on basal levels of BrdU-labeling indices when given into
medium without insulin. H89 did not change an increase in BrdU-labeling
indices induced by 100 ng/ml insulin but significantly attenuated that
induced by 5000 ng/ml insulin, by 56% (P < 0.01)
(Fig. 6
). KT5720 was effective in suppressing increases in
BrdU-labeling indices induced by 100 and 5000 ng/ml insulin, by 53 and
58%, respectively (P < 0.01) (Fig. 7).

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Figure 6. Inhibition of insulin-induced lactotroph
proliferation by the PKA inhibitor H89. Anterior pituitary cells that
had been cultured without or with 100 or 5000 ng/ml insulin were
treated with either vehicle or 1 µM H 89 for 28 h
and were labeled with BrdU for 12 h before the end of treatment,
except 5000 ng/ml insulin-cultured groups with 3-h labeling with BrdU.
Some groups cultured with 100 ng/ml insulin were treated with 1
µM forskolin 30 min after the H89 treatment.
BrdU-labeling indices of lactotrophs are expressed relative to a
vehicle-treated control group cultured without insulin. *,
Significantly different from the corresponding vehicle-treated groups.
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Figure 7. Inhibition of insulin-induced lactotroph
proliferation by the PKA inhibitor KT5720. Anterior pituitary cells
that had been cultured without or with 100 or 5000 ng/ml insulin were
treated with either vehicle or 0.5 µM KT5720 for 28
h and were labeled with BrdU for 12 h before the end of treatment,
except 5000 ng/ml insulin-cultured groups with 3-h labeling with BrdU.
Some groups cultured with 100 ng/ml insulin were treated with 1
µM forskolin 30 min after the KT5720 treatment.
BrdU-labeling indices of lactotrophs are expressed relative to a
vehicle-treated control group cultured without insulin. *,
Significantly different from the corresponding vehicle-treated
groups.
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Inhibitory effects of a MAPK kinase inhibitor on forskolin-induced
lactotroph proliferation
Based on the results of preliminary studies, a PD98059
concentration of 50 µM was chosen to block the activity
of MAPK kinase. Indeed, pretreatment with 50 µM PD98059,
30 min earlier, completely abolished a 3.1-fold increase in
BrdU-labeling indices by 200 ng/ml insulin (P < 0.01)
(Fig. 8
). Treatment for 28 h with
1 µM forskolin, in the absence of insulin, increased
BrdU-labeling indices to high levels similar to those achieved by 200
ng/ml insulin. Pretreatment with PD98059 had no effect on basal levels
of BrdU-labeling indices but significantly attenuated the
forskolin-induced increase in BrdU-labeling indices (by 59%).

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Figure 8. Inhibition of forskolin-induced lactotroph
proliferation by the MAPK kinase inhibitor PD98059. Anterior pituitary
cells that had been cultured in serum-free medium without insulin were
pretreated with either vehicle or 50 µM PD98059 30 min
before treatment with either vehicle, 1 µM forskolin, or
200 ng/ml insulin for 28 h and were labeled with BrdU for 12
h before the end of treatment. BrdU-labeling indices of lactotrophs are
expressed relative to a vehicle-treated basal group. *, Significantly
different from the corresponding vehicle-treated groups.
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Effects of (Bu)2cAMP and forskolin on proliferation and
cell shape of bromocriptine-treated lactotrophs
We have previously shown that treatment with dopamine and its
agonist bromocriptine suppresses proliferation of cultured
lactotrophs and changes cell shape from flat to round (9). We
investigated whether treatment with (Bu)2cAMP and forskolin
reverses these actions of bromocriptine on lactotrophs.
BrdU-labeling indices of lactotrophs, cultured in medium containing 50
ng/ml insulin, revealed a 74% and 182% increase, 30 h after
treatment with 1 mM (Bu)2cAMP and 1
µM forskolin, respectively (P < 0.01)
(Fig. 9
). Treatment with 1 nM
bromocriptine suppressed basal levels of BrdU-labeling
indices to 40% (P < 0.01). These
bromocriptine-treated lactotrophs showed a significant
increase in BrdU-labeling indices in response to (Bu)2cAMP
(P < 0.01), which was similar in magnitude to that
caused by bromocriptine-untreated control lactotrophs, but
no significant increase in response to forskolin.

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Figure 9. Mitogenic actions of (Bu)2cAMP and
forskolin on bromocriptine-treated lactotrophs. Anterior
pituitary cells that had been cultured in serum-free medium containing
50 ng/ml insulin were treated without or with 1 nM
bromocriptine in combination with either vehicle, 1
mM (Bu)2cAMP, or 1 µM forskolin
for 30 h and were labeled with BrdU for 12 h before the end
of treatment. BrdU-labeling indices of lactotrophs are expressed
relative to a vehicle-treated control group. *, Significantly different
from the corresponding vehicle-treated groups.
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Approximately 60% of pituitary cells cultured in medium containing 50
ng/ml insulin were phase-dark, flat, and polygonal (Fig. 10A
). Treatment with
(Bu)2cAMP or forskolin alone slightly increased the
percents of these cells and was accompanied by appearance of cells with
extended fiber-like projections (Fig. 10B
).
Bromocriptine treatment decreased percents of the dark and
flat cells and increased percents of refractive and round cells (Fig. 10C
), as described previously (9). These changes, induced by
bromocriptine, were not altered by forskolin treatment but
were reversed considerably by (Bu)2cAMP treatment (Fig. 10D
). The effects of bromocriptine alone and of a
combination of bromocriptine and (Bu)2cAMP on
cell shape were more remarkably observed in pituitary cells that had
been cultured in medium containing 5000 ng/ml insulin than 50 ng/ml
insulin (data not shown).

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Figure 10. Photomicrographs showing the action of
(Bu)2cAMP on changes in cell shape induced by
bromocriptine treatment of lactotrophs. Anterior pituitary
cells that were used in experiments shown in Fig. 8 were photographed
under a phase-contrast microscope before redispersion. Pituitary cells
were treated with vehicle alone (A), (Bu)2cAMP alone (B),
bromocriptine alone (C), and a combination of
bromocriptine and (Bu)2cAMP (D).
Magnification, x156.
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Discussion
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A number of studies have provided evidence for an important role
of cAMP in the regulation of lactotroph functions, such as secretion
and synthesis of PRL (31, 32, 33, 34, 35). Because intracellular cAMP regulates
cell proliferation in a variety of cell types (18, 19), it was quite
possible that cAMP is involved in the regulation of not only secretion
and synthesis of PRL but also proliferation of lactotrophs. We
therefore tested this possibility in lactotrophs in serum-free culture
using pharmacological means. Increased intracellular cAMP levels, by
treatment with forskolin (an adenylate cyclase activator) or
(Bu)2cAMP (a membrane-permeable cAMP analog) raised the
BrdU labeling index of lactotrophs, which is a cell-specific and
reliable parameter for DNA synthesis and, therefore, proliferation of
lactotrophs (36). Maximal stimulation of lactotroph proliferation in
response to forskolin and (Bu)2cAMP was obtained at 1
µM and 0.3 mM, respectively, with less
potency of (Bu)2cAMP. These maximally effective doses in
the present study are comparable with those reported in other studies
(23, 31, 33, 34). The mitogenic action of (Bu)2cAMP was not
caused by butyrate moiety of (Bu)2cAMP but to cAMP itself.
Time course experiments showed that the mitogenic action of forskolin
appeared at 1218 h after the initiation of treatment and became
progressively marked up to 36 h.
Forty-five percent of populations of cultured cells used in the present
study were lactotrophs, the remaining being other cell types, including
fibroblasts. Because the other cell types that contaminate lactotroph
populations may mediate or influence the actions of forskolin and
(Bu)2cAMP in a paracrine manner, their actions were
examined in populations of lactotrophs enriched by differential
sedimentation. Forskolin and (Bu)2cAMP were still effective
in stimulating lactotroph proliferation in the enriched populations,
suggesting little involvement, if any, of cell types other than
lactotrophs in their actions.
Insulin, one of the essential supplements used in serum-free cultures,
is a potent growth factor. Because the highest concentration of insulin
used in the present study is supraphysiological, and insulin receptors
are saturated at much lower concentrations, presumably the mitogenic
action of insulin found in the present study is mediated mostly through
the IGF-1 receptor (for review, see Ref. 37). Although insulin and
IGF-1 are known to be mitogenic in a variety of cell types, including
the PRL/GH-secreting cell line GH3 cell (11, 17, 38), the
mitogenic action of insulin on lactotrophs in primary culture was
confirmed for the first time in the present study. There has been
growing evidence suggesting a crucial role of the MAPK cascade in
mediating the mitogenic actions of growth factors, including insulin.
It has been well established that growth factors activate the MAPK
cascade in a variety of cell types (25) and that inhibition of the
activation of the MAPK cascade blocks the mitogenic actions of the
growth factors (26, 27, 28). Indeed, in the present study, PD98059, a
specific inhibitor of MAPK kinase (MEK1) (39), was effective in totally
abolishing lactotroph proliferation in response to insulin. Using this
inhibitor of MAPK kinase, we investigated the involvement of MAPK
cascade in the mitogenic action of forskolin on lactotrophs. PD98059
treatment suppressed markedly forskolin-induced lactotroph
proliferation at a dose sufficient to abolish insulin-induced
lactotroph proliferation with a similar magnitude to that by forskolin
treatment. These results suggest that stimulation of lactotroph
proliferation by increased intracellular levels of cAMP is highly
dependent on the activity of the MAPK cascade. This is the first report
demonstrating MAPK-dependent cell proliferation stimulated by cAMP
signaling. It remains to be investigated whether cAMP/PKA may induce
activation of MAPK cascade that, in turn, leads to stimulation of
lactotroph proliferation. Consistent with this view are the findings
that cAMP-increasing agents activate the MAPK cascade at a level
upstream of MAPK kinase in cell lines of PC12, insulin-secreting ß
cells, and preadipocytes, although the causal relationship between the
activation of the MAPK cascade and cell proliferation has been denied
or not clarified in these cells (40, 41, 42).
We next investigated the involvement of cAMP/PKA signaling pathway in
the mitogenic action of insulin on lactotrophs using PKA inhibitors
(43, 44). H89 and the more specific inhibitor KT5720 suppressed
lactotroph proliferation in response to forskolin, confirming PKA
activation in the cAMP-mediated stimulation of proliferation. The
inhibitors at the same doses had no effect on proliferation of
lactotrophs cultured without insulin but attenuated proliferation in
response to intermediate and high concentrations of insulin. These
results suggest that endogenous cAMP or activity of PKA is involved
somewhere in the signaling pathway that mediates the mitogenic action
of insulin via the IGF-1 receptor and MAPK cascade. Although it is not
elucidated how cAMP/PKA is involved in the insulin/MAPK signaling
pathway, it seems likely that the cAMP/PKA signaling pathway interacts
at a level downstream of the MAPK cascade. Hypothesizing the existence
of a convergence molecule that requires signals from both cAMP/PKA- and
insulin/MAPK-mediated pathways for stimulation of proliferation may
help explain not only the effects of the PKA inhibitors on lactotroph
proliferation in response to insulin but also the effects of the MAPK
kinase inhibitor on proliferation in response to forskolin. A possible
candidate for such a target molecule of interactions of the cAMP/PKA
and insulin/MAPK signalings is CREB. CREB was originally isolated as a
nuclear protein that is phosphorylated and activated by PKA, leading to
stimulation of transcription of a cAMP-responsive gene (45) and has
been implicated in the regulation of proliferation of somatotrophs by
studies using transgenic mice expressing a nonphosphorylatable CREB
mutant (20). The finding that CREB is phosphorylated and activated not
only by PKA but also indirectly by MAPK (46, 47) is consistent with
possible CREB involvement in the interactions. Further studies are
needed to determine whether CREB plays a critical role in convergence
of interactions of the cAMP/PKA and insulin/MAPK signalings on
lactotroph proliferation.
The extracellular signal that stimulates lactotroph proliferation, via
an increase in intracellular levels of cAMP, remains to be determined.
Among hypothalamus-derived substances, VIP and pituitary adenylate
cyclase-activating polypeptide may be potential extracellular signals
responsible for the cAMP-mediated mitogenesis. VIP and pituitary
adenylate cyclase-activating polypeptide, which increase intracellular
levels of cAMP in anterior pituitary cells, have been shown to
stimulate not only PRL secretion (48, 49, 50, 51) but also proliferation of
lactotrophs (12, 51). Conversely, intracellular cAMP may be negatively
involved in mediation of a well-known inhibitory action of dopamine on
lactotroph proliferation (6, 7, 8, 9), given that a decrease in intracellular
levels of cAMP caused by adenylate cyclase inhibition has been reported
in pituitary cells treated with dopamine or its agonists (32, 52). To
determine the site of the antimitogenic action of dopamine in the
cAMP/PKA system, we compared the effects of the dopaminergic agonist
bromocriptine on the mitogenic actions of
(Bu)2cAMP and forskolin. If bromocriptine
inhibits a signaling pathway downstream of PKA, leading to attenuated
response of cell cycle-regulating machinery to an increase in
intracellular cAMP levels, the mitogenic actions of both
(Bu)2cAMP and forskolin would be suppressed to the same
extent. However, in bromocriptine-treated lactotrophs, a
mitogenic response was still observed by (Bu)2cAMP but not
by forskolin that is capable of more potently stimulating proliferation
than (Bu)2cAMP in bromocriptine-untreated
cells. Therefore, these results suggest that inhibition by the
dopaminergic agonist of lactotroph proliferation induced by cAMP/PKA
signaling is mainly caused by an action at the level of adenylate
cyclase to suppress cAMP production.
We have previously shown that bromocriptine treatment of
lactotrophs in serum-free culture causes a remarkable morphological
change from flat phase-dark polygonal cell shape to round phase-bright
cell shape, and that D2 receptor-mediated inhibition of
lactotroph proliferation in serum-free culture is closely related to
the changes in actin organization and cell shape (9). Treatment with
(Bu)2cAMP that could reverse the antimitogenic action of
bromocriptine was also effective in antagonizing the
bromocriptine-induced changes in cell shape, although
forskolin treatment was not. These results suggest that the
bromocriptine action on cell shape of lactotrophs is
attributable to a decrease in intracellular levels of cAMP that is
capable of changing cell shape of lactotrophs.
In conclusion, cAMP is involved as a stimulatory second messenger in
the regulation of proliferation of lactotrophs in primary culture. The
present study suggests that interactions of cAMP/PKA and insulin/MAPK
signalings are required for lactotroph proliferation. Suppression of
cAMP production may be responsible, at least in part, for both
inhibition of lactotroph proliferation and changes in cell shape that
are induced by bromocriptine.
 |
Acknowledgments
|
|---|
The authors thank Dr. A. F. Parlow and the NIDDK for
providing PRL antiserum for immunocytochemistry. We are also grateful
to Dr. S. Atsumi and Ms. W. Takahashi for their expert technical
assistance.
 |
Footnotes
|
|---|
1 This work was supported by the Ministry of Education, Science and
Culture of Japan (Grants-in-Aid for Scientific Research 08670081 and
10670060). 
Received December 1, 1998.
 |
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