Endocrinology Vol. 140, No. 8 3602-3608
Copyright © 1999 by The Endocrine Society
Regulation of Glucose Transporters by Estradiol in the Immature Rat Uterus1
Roy D. Welch and
Jack Gorski
Department of Biochemistry, University of Wisconsin, Madison,
Wisconsin 53706-1569
Address all correspondence and requests for reprints to: Dr. Jack Gorski, Department of Biochemistry, University of Wisconsin, 433 Babcock Drive, Madison, Wisconsin 53706. E-mail:
gorski{at}biochem.wisc.edu
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Abstract
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A series of metabolic changes within the immature rat uterus begins
minutes after the administration of microgram quantities of estradiol
(E2). One of the earliest effects that has been measured is
an increase in the rate at which the uterus takes up glucose. To
characterize the effect of E2 on glucose transport
stimulation, whole protein preparations were examined for the presence
of mammalian glucose transport proteins Glut1 through Glut5.
E2-stimulated changes in the steady state levels of
messenger RNA (mRNA) and protein were measured for Glut1 and Glut4 by
quantitative competitive RT-PCR and Western blots. Both Glut1 mRNA and
protein increased approximately 3- to 4-fold within 48 h. This
increase in Glut1 mRNA and protein agrees with the maximal stimulation
of the glucose transport rate that was observed. No translocation of
either Glut1 or Glut4 was observed 2 h after E2
injection, indicating that translocation is not the mechanism
responsible for the initial E2-stimulated increase in
glucose transport observed in immature rat uterus. These data support
the conclusion that the prolonged increase in glucose transport rate is
due to either the transcriptional activation of Glut1 and/or the
increased Glut1 mRNA half-life.
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Introduction
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THE RATE OF glucose transport into cells is
known to be regulated by a wide assortment of both peptide and steroid
hormones, including but not limited to serum (1), epidermal growth
factor, fibroblast growth factor, platelet-derived growth factor
(2, 3, 4, 5), insulin (6), and estrogen (7). Early studies characterized the
glucose transport response to serum as being biphasic (1), with an
early phase that is not sensitive to cycloheximide and a later phase
that is sensitive. This type of regulation has been further
characterized for specific growth factors such as insulin-like growth
factor I. The mechanism of glucose transporter stimulation by
insulin-like growth factor I involves two responses. The first is an
early cycloheximide-insensitive response involving the translocation of
glucose transporters Glut1 and Glut4 to the plasma membrane, and the
second is a cycloheximide-sensitive response that involves the
synthesis of new transporter proteins (8).
Recent experiments have partially characterized the early (12 h)
estradiol (E2) effects on glucose transport, and the
results indicate that E2 is an important regulator of
Glut1. A sc injection of 100 µg/kg E2 2 h before
middle cerebral artery occlusion has been shown to reduce subsequent
focal ischemic damage in rats (9). E2-treated rats also
show higher Glut1 protein levels in the penumbral region of the
ischemic lesions than control animals. These data represent more than a
correlation, because rats transfected with Glut1 also show increased
neuronal survival after middle cerebral arterial occlusion (10).
Treatment with E2 also reduces the glucose transport
inhibition caused by chemical insults related to Alzheimers disease;
a 1-h E2 pretreatment of synaptosomes prepared from rat
cerebral hemispheres results in a reduced level of glucose transport
impairment caused by FeSO4 or amyloid B peptide (11). It is
important to note that the prepared synaptosomes lack nuclei,
suggesting that E2 may effect glucose transport without
affecting glucose transporter transcription.
One of the most carefully studied estrogen-responsive model systems is
the rat uterus (12). E2 treatment causes an entire series
of growth-related responses, including an increase in the uptake rate
of amino acids, nucleic acids, and glucose. The increase in the glucose
transport rate after a single injection of microgram quantities of
E2 was shown to be inhibited by the protein synthesis
inhibitor cycloheximide (7). The degree of stimulation was similar to
that of peptide hormones epidermal growth factor and fibroblast growth
factor, and the kinetics [an increased maximum velocity
(Vmax) and constant Km] suggest that
E2 regulation of glucose transport, like the second
response observed for peptide hormones, involves increased levels of
glucose transporter protein synthesis. These data are consistent with a
model in which stimulation of glucose transport by E2 in
the immature rat uterus is the result of increased glucose transporter
transcription and/or increased messenger RNA (mRNA) half-life,
resulting in the associated accumulation of new glucose transporter
protein.
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Materials and Methods
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Sample preparation
Nineteen-day-old female Sprague Dawley rats (Harlan Sprague Dawley, Inc., Madison, WI) were injected ip with 250
µl ethanolic saline (control) or with 250 µl ethanolic saline plus
1 µg 17ß-E2 (Sigma Chemical Co., St.
Louis, MO). Injections were performed at various intervals before
death. Death by decapitation was carried out simultaneously for all
animals. Uteri were removed, stripped of fat, and immediately frozen on
dry ice. Total RNA and total protein were isolated using Tri-Reagent
(Molecular Research Center, Inc., Cincinnati, OH), a
system based on guanidium thiocyanate/phenol-chloroform extraction.
Protein samples were recovered through dialysis against 0.1% SDS (3500
mol wt cut-off; Spectra/Por membrane, Spectrum Laboratories,
Laguna Hills, CA) at room temperature with three changes of 0.1% SDS.
Bradford assays were performed to quantify protein levels, and samples
were concentrated by trichloroacetic acid precipitation before
electrophoresis. RNA concentration and purity were determined
spectrophotometrically.
RT-quantitative competitive-PCR (RT-qc-PCR) control
synthesis
Primers for RT-qc-PCR were chosen that amplified both 124- and
137-bp fragments of rat Glut1 and Glut4, respectively. Construction of
the PCR control fragment was performed by a modification of the method
of Siebert et al. (13). Briefly, oligonucleotides
complementary to primers used to amplify Glut1 and Glut4 were
synthesized with 3'-overhangs. Each overhang contains a half-site of a
different restriction enzyme. These complementary oligonucleotides were
annealed with the PCR primers and were then ligated onto a DNA
restriction enzyme fragment possessing ends complementary to those
restriction half-sites encoded by oligonucleotide 3'-overhangs.
Products of the ligation reaction were amplified using PCR; the
resulting fragment was gel purified and inserted into pGEM-3Zf+
(Promega Corp., Madison, WI). Transcripts of the inserts
were made, and the reaction mixture was subsequently treated with
deoxyribonuclease I (Promega Corp.) until no amplification
could be observed without first reverse transcribing the samples.
Primers to Glut1 and Glut4 contained a single degenerate base, so the
control RNA was isolated with both forms of primer, and equal amounts
of both were included in the RT-qc-PCR reaction.
RT-qc-PCR
Large preparations of RT reaction mixture were made, aliquoted
into tubes containing serial dilutions of control RNA, and incubated at
42 C for 1 h. Primers chosen for the PCR reaction were from Sivits
et al. (14). RT reactions were amplified by PCR for 27
cycles (95, 55, and 72 C) with Taq DNA polymerase
(Promega Corp.). Mineral oil overlay was removed, and an
aliquot was loaded onto a 3.5% high resolution agarose gel (Amresco,
Solon, OH; and FMC BioProducts, Rockland, ME) containing 0.5 µg/ml of
ethidium bromide, electrophoresed at approximately 9 V/cm, visualized
by UV light, and exposed to Polaroid film (Polaroid Corp.,
Cambridge, MA). Quantification was performed with NIH Image 1.6
software.
Western blots
Equal amounts of proteins were separated by SDS-PAGE and
transferred to nitrocellulose membrane. Antibodies to glucose
transporters were provided by the following: antibodies against Glut1,
Glut2, Glut3, and Glut4 were from Charles River Pharmservices (Southbridge, MA), and antibody against
Glut5 was a gift from Charles F. Burant (University of Chicago,
Chicago, IL). All Glut antibodies were made either against rat protein
(Glut1, -2, -4, and -5) or against mouse protein (Glut3), and this
antibody was tested and found to strongly cross-react with rat Glut3
protein. Antibody against
Na+,K+-adenosine triphosphatase
(Na+,K+-ATPase) was obtained from Upstate Biotechnology, Inc. (Lake Placid, NY). Nitrocellulose membranes
were blocked with 50% horse serum in PBS containing 0.5% (vol/vol)
Tween-20, and all antibody incubations were performed in 10% horse
serum in PBS containing 0.5% (vol/vol) Tween-20. Antibodies were
detected by chemiluminescence (NEN-DuPont, Boston, MA).
2-Deoxyglucose uptake assay
Rats were treated at various intervals with a single 1-µg ip
injection of E2 and were killed together (except for the 15
min point, which was performed separately after the 8 h point).
Two rats were pooled at each time point. Rats were killed, and their
uteri were removed and placed into HBSS (Sigma Chemical Co.) with 0.1 mM [3H]2-deoxyglucose
([3H]2dog; ICN Pharmaceuticals, Inc., Costa
Mesa, CA) for 30 min with constant shaking. After the incubation, uteri
were washed twice in HBSS without glucose, and then immediately frozen
on dry ice. Glucose uptake was measured by determining the amount of
[3H]2dog-6-phosphate ([3H]2dog-6-P) that
accumulated in each sample. [3H]2dog-6-P was separated
from [3H]2dog by anion exchange chromatography. Briefly,
frozen uteri were homogenized in 6% perchloric acid, and solids were
removed by centrifugation. The supernatant was titrated to pH 11 with 3
M KOH, and the resulting potassium perchlorate precipitate
was removed by centrifugation. The supernatant was placed once over a
column of Ag 1-X2, 200400 mesh anion exchange resin (Bio-Rad Laboratories, Inc., Hercules, CA), and [3H]2dog
was eluted with five washes with 13 ml H2O.
[3H]2dog-6-P then was eluted with 1 M HCl.
[3H]2dog-6-P was measured with scintillation
counting.
Subcellular fractionation
Nineteen-day-old female Sprague Dawley rats (Harlan Sprague Dawley, Inc.) were injected with ethanolic saline or
E2 as previously described, or they were injected sc with
200 µl 150 mM sodium pyrophosphate plus 10 U human
recombinant insulin Novolin R (Novo Nordisk, Bagsvaerd, Denmark). Cell
membrane preparations were performed by a modification of the method
described by Hirshman et al. (15). Briefly, samples were
homogenized with a Tissumizer (model SDT-100N, Tekmar Co., Cincinnati,
OH) at 20,000 rpm for two to three bursts of 5 sec each in a buffer
containing 100 mM Tris (pH 7.5), 20 mM EDTA (pH
8.0), and 255 mM sucrose (pH 7.6). The homogenate was then
centrifuged at 1,000 x g for 5 min, and the resulting
supernatant was centrifuged again at 48,000 x g for 20
min. The pellet from this centrifugation was used for the preparation
of the membrane fraction, which was enriched in the membrane marker
Na+,K+-ATPase, and the supernatant was used for
the preparation of the microsomal fraction.
The membrane fraction was prepared by resuspending the pellet in 20
mM HEPES and 250 mM sucrose, pH 7.4 (buffer A).
An equal volume of a solution containing 600 mM KCl and 50
mM sodium pyrophosphate was added, and the mixture
was vortexed, incubated for 30 min on ice, and then centrifuged for
1 h at 227,000 x g. The resulting pellet was
resuspended in buffer A and centrifuged for 1 h at 135,000 x
g over a 36% sucrose cushion in buffer A. The resulting
interface and all of the buffer above it were collected, diluted in an
equal amount of buffer A, and centrifuged for 1 h at 227,000
x g. The resulting pellet was used as the membrane
fraction.
The microsomal fraction was prepared from the supernatant of the
initial 48,000 x g centrifugation. The supernatant was
centrifuged for 1 h at 227,000 x g. The resulting
pellet was used as the microsome fraction. Preparations were kept on
ice during the protocol, and all centrifugations were performed at 4 C.
Western blots were performed on the protein pellet from the sucrose
cushion and initial homogenate for both
Na+,K+-ATPase and glucose transporters to
confirm that membrane markers were being selectively isolated and
concentrated in the plasma membrane, and that no significant population
of either glucose transporter was contained in any fraction except the
plasma membrane and microsome fractions.
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Results
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Characterizing the effect of E2 with
respect to time and intensity
Glucose uptake was measured at various intervals over a period of
8 h (Fig. 1
). The rate of glucose
uptake into uterine cells is determined by measuring how much
[3H]2dog is converted to [3H]2dog-6-P by
hexokinase, the first step in glycolysis. Increased levels of
[3H]2dog-6-P were detected when rats were killed 30 min
to 1 h after E2 injection, and this increased level of
[3H]2dog-6-P reached a plateau when the time between
E2 injection and death was between 48 h. Although some of
the experimental conditions differed from earlier studies (7, 16)
(i.e. the age of rats, the amount of E2
injected, the uterine incubation medium and temperature,
etc.), these observations are in general agreement with
these previous data in that a single injection of microgram quantities
of E2 causes a stimulation of glucose transport that is
detectable within 30 min and that peaks within several hours.

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Figure 1. Measuring the effect of E2 on glucose
uptake. Nineteen-day-old female Sprague Dawley rats were injected with
1 µg E2 at various times and killed simultaneously.
Glucose uptake was measured after various lengths of E2
treatment: 0.25, 0.5, 1, 4, and 8 h. The rate of glucose uptake
into the uterus was determined by measuring the amount of
[3H]2dog-6-P in the uterus after a 30-min incubation in
[3H]2dog. A graph illustrates the results for each time
point, which are reported as the percent increase in
[3H]2dog-6-P above the control value (±SE),
where the control value is 136 ± 18 pmol/uterus·30 min
incubation. The numbers of independent measurements obtained for each
time point are 0.25 h (n = 3), 0.5 h (n = 4),
1 h (n = 6), 4 h (n = 4), and 8 h (n =
3). Each measurement represents a pooled sample of two rat uteri.
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Immature rat uterus expresses glucose transporter isoforms Glut1
and Glut4
As a first step to characterizing glucose transporter expression
and response to E2 in immature rat uterus, uterine tissue
was tested for the presence or absence of glucose transporters Glut1
through Glut5. At least one tissue known to express each of the glucose
transporters was also run as a positive control and as a reference with
respect to mol wt and relative levels of expression. Western blots were
performed for each of the transporters using equal amounts of protein
from brain, kidney, jejunum, skeletal muscle, and uterus (Fig. 2
). Of the tissues used as controls for
glucose transporter expression, Glut1 expression was highest in brain;
however, Glut1 was found to be expressed in most tissues. Glut2 was
found in kidney and jejunum, and Glut3 was found predominantly in
brain, although it was also detected in skeletal muscle. Glut4
expression was highest in skeletal muscle, and Glut5 expression was
highest in kidney, although it also was expressed in jejunum and brain
(17, 18). Analysis of whole protein preparations in these tissues
revealed the appropriate expression patterns in the various glucose
transporter target tissues.

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Figure 2. Glucose transporter protein level in untreated
immature rat tissues. Whole protein samples from 19-day-old female
Sprague Dawley rats were prepared from brain, kidney, jejunum, skeletal
muscle, and uterus. Proteins were separated by SDS-PAGE and transferred
to nitrocellulose membrane. Membranes were probed with antibodies to
Glut1, Glut2, Glut3, Glut4, or Glut5 (as indicated). Target
visualization was performed by horseradish peroxidase-linked
chemiluminescence. An arrow indicates the position of
the glucose transporter detected by each antibody based on the tissues
they are known to be expressed in and their mol wt (brain, Glut1 and
Glut3; kidney, Glut5; jejunum, Glut2; skeletal muscle, Glut4).
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With respect to uterine expression of glucose transporters Glut1
through Glut5, Glut3 and Glut5 were not detected in Western blots of
whole protein. In addition, no band corresponding to the mol wt of
Glut2 was detected in uterus. Antibody against Glut2 did specifically
detect the protein in other tissues, but with noticeable background
fluorescence. Glut2 protein has been reported at more than one mol wt,
depending on the tissue in which it is expressed (19); therefore, two
controls were performed to confirm that immature rat uterus did not
express Glut2. First, a second Western blot was performed to
demonstrate that no protein appears in the uterine sample that
corresponds to either the mol wt of Glut2 in kidney or jejunum (data
not shown). Second, RT-PCR was performed on uterine, kidney, and liver
RNA to amplify a fragment of Glut2 mRNA and determine whether any Glut2
mRNA could be observed in the uterine sample (Fig. 3
). Glut2 mRNA was not detected in
uterine complementary DNA, but Glut2 was detected in both liver and
kidney complementary DNA as expected. These data support the conclusion
that Glut2 is not expressed in the immature rat uterus.

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Figure 3. A measurement of Glut2 mRNA levels in the rat
uterus. RT-PCR was performed on total RNA isolated from uterus (lane
4). RT-PCR was also performed on total RNA from liver and kidney as
positive controls, as they are known to express Glut2 mRNA (lanes 5 and
6). Water controls for both sets of PCR primers were performed (lanes 1
and 2). A control for DNA contamination was performed in the absence of
reverse transcriptase enzyme (-RT) for all three tissues (lanes 79).
A positive control for mRNA-specific amplification was performed on the
uterine RT reaction with primers to Glut1 and Glut4 mRNAs, which have
been shown to be present in the rat uterus (lane 10). No Glut1 or Glut4
target was amplified in uterus without RT (lane 11), indicating that
the RT reaction was required. Mol wt standards of the 1-kb ladder
(Life Technologies, Inc., Gaithersburg, MD) are shown in
lane 3.
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Therefore, Glut1 and Glut4 proteins were the only glucose transporters
detected in the Western blots of whole protein samples from immature
rat uterus. The level of Glut1 protein in the uterus was higher than
the level in skeletal muscle, which expressed moderate levels of Glut1.
The level of Glut4 expressed in uterus was relatively low, far below
the level observed in skeletal muscle and approximately equal to the
level observed in kidney. This indicates that Glut1 may be the primary
glucose transporter in the immature rat uterus; however, no direct
comparisons were made between Glut1 and Glut4 expression levels in rat
uterus, so no conclusions can be drawn with respect to relative
expression levels.
Effect of E2 on Glut1 and Glut4 protein and
mRNA levels with respect to time
Having demonstrated that Glut1 and Glut4 were the glucose
transporter proteins detected in immature rat uterine tissue, uterine
RNA and protein samples were collected over a time course of
E2 treatment to determine whether either Glut1 or Glut4
expression levels change with E2 treatment. Western blots
measuring both Glut1 and Glut4 protein levels in immature rat uteri
were performed for a series of E2 treatments ranging from
112 h between injection and death (Fig. 4
). Glut1 protein levels increased
between the 2 and 4 h E2 treatments, whereas Glut4
protein levels did not change during the time course. These results
suggest that increased levels of Glut1 protein contribute to the
observed increase in glucose uptake after E2 injection.

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Figure 4. Glut1 and Glut4 protein levels after
E2 treatment. Nineteen-day-old female Sprague Dawley rats
were injected with 1 µg E2 at various times and then
killed simultaneously. The time points were 1, 2, 4, 6, 8, 10, or
12 h after injection (as indicated above each
lane). Three uteri were collected for each time point. Total
protein was isolated using Tri-Reagent (Molecular Research Center, Inc.). Bradford assays were performed to quantify
protein levels, samples were concentrated by trichloroacetic acid
precipitation, and equal amounts were analyzed by SDS-PAGE. Separated
proteins were transferred to nitrocellulose membrane. The blots were
probed with antibodies to Glut1 and Glut4, and visualized with a second
degree antibody conjugated to horseradish peroxidase and
chemiluminescence. The position of the protein is indicated. Control
rats (C) received vehicle. Blots probed with Glut4 were exposed for a
significantly longer time than in Fig. 2 to better visualize the low
levels of Glut4 in the immature rat uterus.
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E2 stimulation of glucose uptake is sensitive to
cycloheximide (7), indicating that new protein synthesis is a requisite
component. To determine whether increased protein levels of Glut1 might
be a result of increased Glut1 mRNA, steady state levels of Glut1 and
Glut4 mRNA were measured at times after E2 treatment.
RT-qc-PCR was used to detect changes in Glut1 and Glut4 mRNA levels,
because neither Northern blots nor ribonuclease protection assays were
sufficiently sensitive due to a low abundance of signal. RT-qc-PCR was
performed on Glut1 and Glut4 mRNA simultaneously as previously
described (see Materials and Methods). Total RNA was
isolated from rat uteri after E2 treatments for 110 h
(Fig. 5
). Glut4 steady state mRNA levels
did not change in response to E2 over the time course of
the experiment. This result is in agreement with the constant levels of
Glut4 protein that were measured after the same E2 time
course. Glut1 mRNA levels increased approximately 4-fold relative to
control values within 46 h after E2 treatment, coinciding
with the increase in Glut1 protein levels and glucose uptake.

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Figure 5. A graph of the RT-qc-PCR of Glut1 and Glut4 mRNA
levels in immature rat uterus. RT-qc-PCR reactions of rat uterine total
RNA treated for 1, 2, 4, 6, 8, or 10 h with 1 µg E2
in ethanolic saline or control. Three uteri were pooled in each sample
for a total of either six (2, 4, 8, and 10 h) or nine (control,
1 h, and 6 h) animals. Each sample was amplified in a series
of parallel reactions with increasing amounts of control RNA.
Quantification was performed with NIH Image 1.6. The level of Glut4
mRNA is represented as percentage of the control value (100%) for each
time point.
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Cycloheximide sensitivity, the observed kinetics, and both
the increase in the rate of glucose uptake (Fig. 1
)
and the increase in mRNA levels of Glut 1 (Fig. 5
) observed after an
injection of 1 µg E2 all correlate well with
respect to the percent increase, although the initial change in the
rate of glucose uptake suggests the existence of a second mechanism.
These data strongly suggest that E2 is up-regulating
glucose transport through the increased expression of Glut1. This
effect could be the result of E2 up-regulating
transcription of Glut1 mRNA, increasing mRNA half-life, or both types
of regulation.
Glucose transporters Glut1 and Glut4 in immature rat uterus do not
translocate to the plasma membrane in response to
E2 stimulation
Both Glut1 and Glut4 have been shown to translocate from
intracellular vesicles to the cell surface as a means of increasing the
rate of glucose transport (20). This type of up-regulation would result
in kinetics similar to those observed in E2-treated
immature rat uteri, an increased Vmax and a constant Km. To
determine whether the rapid increase in glucose uptake in response to
E2 could be due to translocation of either Glut1 or Glut4
to the plasma membrane, 19-day-old female Sprague Dawley rats were
injected with 1 µg E2 2 h before they were killed.
Within this time period there was a stimulation of glucose uptake (Fig. 1
), but Glut1 mRNA and proteins levels did not increase (Figs. 4
and 5
). Subcellular fractionations were performed on uterine tissue as
described in Materials and Methods. Western blots were
performed on equal amounts of proteins from membrane and microsomal
fractions of both E2-treated and control rats. Blots were
probed with antibodies specific for Glut1 and Glut4 to measure
translocation to the plasma membrane and, with
Na+,K+-ATPase as a membrane marker, to measure
the effectiveness of the fractionation.
Na+,K+-ATPase was detected exclusively in the
plasma membrane fractions (Fig. 6
) and
was concentrated relative to whole protein samples (data not shown).
There was no significant change in Glut4 distribution between the
plasma membrane fraction and the microsomal fraction in control
vs. E2-stimulated uteri. Glut1 was detected
almost exclusively at the plasma membrane in both control and
E2-stimulated nuclei. Neither glucose transporter
translocated to the cell surface in response to E2. As a
control for the protocol, subcellular fractionation was performed on
skeletal muscle that had been treated with insulin, a peptide hormone
that is known to cause the translocation of Glut4 (6, 20).
Translocation of Glut4 was observed in response to insulin, indicating
the effectiveness of the protocol (Fig. 7
).

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Figure 6. A Western blot of microsome and membrane
subcellular fractionation from E2-treated or control rats
to examine translocation of Glut1 and Glut4 proteins in immature rat
uteri. Microsomes (left) and membranes
(right) were isolated from groups of two rats as
described in Materials and Methods. Bradford assays were
performed to quantify protein level, and equal amounts were analyzed by
SDS-PAGE. Separated proteins were transferred to nitrocellulose
membrane; probed with Na+,K+-ATPase (a membrane
marker), Glut1, or Glut4 antibodies (as indicated); and visualized with
a secondary, or 2° antibody conjugated to horseradish peroxidase and
chemiluminescence. Fractions enriched for the membrane marker also
appeared to be enriched for the Glut1 and Glut4, and the Western blots
using these protein fractions therefore required shorter exposure times
than the blots in Fig. 4 . These data were reproducible.
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Figure 7. A Western blot of microsome and membrane
subcellular fractionation from insulin-treated or control rats to
examine translocation of Glut4 proteins in skeletal muscle. Plasma
membrane and microsome fractions from groups of two rats were isolated
as described in Materials and Methods. Bradford assays
were performed to quantify protein concentrations, and equal amounts
were analyzed by SDS-PAGE. Separated proteins were transferred to
nitrocellulose membrane, probed with either
Na+,K+-ATPase (a plasma membrane marker) or
Glut4 antibodies (as indicated), and visualized with a second degree
antibody conjugated to horseradish peroxidase and chemiluminescence.
These data were determined to be reproducible.
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Discussion
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In this study, the expression of glucose transporters Glut1
through Glut5 was examined in the immature rat uterus. Glut1 and Glut4
were the only two transporters observed, and they were characterized
with respect to both protein and mRNA steady state levels over an
E2 treatment time course; the same time course in which the
increase in the glucose transport rate was observed. Glut1 protein and
mRNA levels were found to increase in immature rat uteri treated with
E2, but the increase in glucose transport rate started
before Glut1 mRNA and protein levels changed. These data are consistent
with a type of biphasic response that is common to glucose transport
stimulation. To determine whether the translocation of Glut1 and Glut4
to the cell surface could be causing the initial increase in the rate
of glucose transport in response to E2, Glut1 and Glut4
protein levels were measured in subcellular fractions of immature uteri
from rats treated with E2. No accumulation of either
transporter to plasma-enriched fractions was observed.
Cellular responses to estrogen have been grouped with respect to time
as either early (rapid) or late, with early responses occurring only
minutes after estrogen treatment. Late responses are assumed to be the
result of estrogen altering target gene transcription. However, for the
early responses, the mechanisms of action are more difficult to explain
because of the time required for transcription to affect a cellular
response. The rapid effects of E2 on immature rat uterine
metabolism had been carefully measured by the early 1970s (12), and one
of these effects was a stimulation in the rate of glucose uptake into
the immature rat uterus after a single injection of E2.
This stimulation was observed to begin in less than 1 h after
E2 treatment (7), eventually reaching a plateau of
approximately 4-fold greater than the control value, and then
diminishing slightly (16). The stimulation was shown to exhibit
kinetics consistent with an increase in transporter number, and the
effect was sensitive to cycloheximide, indicating the need for new
protein synthesis.
These characteristics, cycloheximide sensitivity and the observed
kinetics, agree with the observed increase in Glut1 after
E2 treatment. The increase may be caused by direct estrogen
receptor (ER) activation of Glut1 transcription, or it may be a
secondary response. The standard mechanism of action through which
E2 can directly alter the transcription of a gene is well
characterized. E2 freely passes through both the plasma and
nuclear membranes and binds to the ER protein. ER then mediates the
transcription of target genes through nearby sequences collectively
referred to as ER elements (EREs). The consensus sequence to which ER
binds is the Xenopus laevis vitellogenin A2 gene (21), a
palindrome with the sequence AGGTCACAGTGACCT. A preliminary examination
of 666 bp from the 5'-upstream region of rat Glut1 (22) did not reveal
this sequence (data not shown), but rat Glut1 still may be
transcriptionally regulated directly through ER. Other genes, such as
progesterone receptor, are activated by ER through variations in the
consensus ERE or through ERE half-sites (23), and the rat Glut1
5'-upstream sequence does contain half-sites (22).
The increase in Glut1 protein in response to E2 agrees with
the previous cycloheximide and kinetic data, but the timing of the
initial increase in the rate of glucose uptake, before Glut1 protein
levels change, leaves open the possibility of a second mechanism.
Stimulation of Glut1 by peptide hormones, such as insulin, has been
shown to occur by at least two mechanisms, an increase in glucose
transporter expression through the activation of transcription and/or
protein synthesis, and glucose transporter translocation from
intracellular vesicles to the plasma membrane. Estrogen has been shown
to rapidly activate several components of signal transduction pathways
that are also associated with glucose transporter translocation,
such as cAMP (24), the release of intracellular calcium (25), and
mitogen-activated protein kinase (26). Glut1 and Glut4, the two
glucose transporters observed in the immature rat uterus, have both
been shown to translocate, and translocation would satisfy the observed
kinetics associated with E2 stimulation. Furthermore, the
time required for translocation of glucose transporters fits within the
same time window as glucose transport stimulation by E2.
However, in this defined system, neither Glut1 nor Glut4 increased in
plasma membrane fractions 2 h after a single 1-µg E2
injection. It therefore is unlikely that Glut1 or Glut4 translocation
has a role in the initial uterine response to E2.
Although they are atypical, these data do not represent a unique set of
conditions for the stimulation of glucose transport. Inhibitors of
oxidative phosphorylation, such as azide, have been characterized in
Clone 9 cells (a rat liver cell line that is not transformed and
contains only Glut1) as causing a biphasic stimulation of glucose
transport (27). The early phase is a rapid increase in glucose
transport of 8- to 12-fold in 2 h and a later phase at 812 h
that consists of another 1.6-fold increase above that obtained with the
2-h stimulation. Kinetics associated with the early increase indicate
an elevated Vmax with no change in
Km, but no increase in Glut1 protein or mRNA is
observed until 8 h after azide treatment. In addition, no increase
in Glut1 protein at the plasma membrane is observed (28), indicating
that the increase is not due to the translocation of Glut1. The authors
hypothesize that a fraction of the glucose transporter population at
the cell surface is inactive and becomes activated in response to
azide. In this way both the kinetics and the observed increase in
glucose transport can be satisfied. The discussion of these
similarities is not intended to suggest that E2 and azide
stimulate glucose transport by the same mechanism. It is important to
note that this is not the first description of an early glucose
transport response that works predominantly through Glut1, has kinetics
indicating an increase in transporter number, results in an eventual
up-regulation of Glut1 protein, and cannot be explained by either an
increase in Glut1 expression or translocation.
 |
Footnotes
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|---|
1 This work was supported in part by the College of Agricultural and
Life Sciences, University of Wisconsin-Madison, and NIH Grants HD-07295
and HD-08192 (to J.G.). 
Received September 2, 1998.
 |
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