help button home button Endocrine Society Endocrinology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS

This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Copyright Permission
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Possenti, R.
Right arrow Articles by Levi, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Possenti, R.
Right arrow Articles by Levi, A.
Endocrinology Vol. 140, No. 8 3727-3735
Copyright © 1999 by The Endocrine Society


ARTICLES

Expression, Processing, and Secretion of the Neuroendocrine VGF Peptides by INS-1 Cells1

Roberta Possenti, Anna Maria Rinaldi, Gian-Luca Ferri, Patrizia Borboni, Eugenia Trani and Andrea Levi

Departments of Neuroscience (R.P., A.M.R., E.T.) and Internal Medicine (P.B.), University of Tor Vergata, 00133 Rome; the Department of Cytomorphology, University of Cagliari (G.-L.F.), 09124 Cagliari; and the Institute of Neurobiology, National Research Council (R.P., A.M.R., E.T., A.L.), 00137 Rome, Italy

Address all correspondence and requests for reprints to: Dr. Roberta Possenti and Andrea Levi, Institute of Neurobiology, National Research Center, Via Carlo Marx 15, 00137 Rome, Italy. E-mail: r.possenti{at}in.rm.cnr.it alevi@in.rm.cnr.it.


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The neurotropin-inducible gene vgf is expressed in neuronal and endocrine tissues. It encodes a secretory protein that is proteolytically processed in neuronal cells to low molecular mass polypeptides. In the present report, we show that vgf is expressed in different insulinoma cell lines and in normal rat pancreatic islets. In the insulinoma-derived ß-cell line INS-1, vgf messenger RNA was transcriptionally up-regulated by increased levels of intracellular cAMP, but not by the addition of glucose (20 mM) or phorbol 12-myristate 13-acetate (100 nM). Furthermore, nerve growth factor failed to stimulate vgf gene expression. In INS-1 cells, the VGF protein was shown to be processed in a post endoplasmic reticulum compartment to produce a peptide profile similar to that seen in neurons. The release of such VGF peptides occurred at a low rate in the absence of secretory stimuli (<2%/h). A 3-fold increase in the rate of release was seen after the addition of glucose (15 mM), a 4-fold increase was seen after (Bu)2cAMP (1 mM), and a 6-fold increase was seen after phorbol 12-myristate 13-acetate (100 nM). These results indicated that insulin-containing cells produce VGF-derived peptides that are released via a regulated pathway in response to insulin secretagogues.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
ALTHOUGH it is generally assumed that the endocrine pancreas is derived from the endodermal, rather than the ectodermal, lineage (1), a number of neuronal markers have been detected in pancreatic ß-cells and insulinoma-derived cell lines. These cells express neuroendocrine-specific antigens such as 1) enzymes involved in neurotransmitter biosynthesis such as tyrosine hydroxylase, dopa decarboxylase, and glutamate decarboxylase (2); 2) secretory neuropeptides such as CRF (3); neuropeptide Y, substance P, galanin and peptide Y (4); dynorphin (5); peptide 7B2 (6); and chromogranin A and B and their proteolytic products (7, 8); and 3) structural neurospecific proteins such as neurofilaments, Tau, and neural cell adhesion module (9, 10). It has been proposed that the same transcription regulators are responsible for the common pattern of gene expression in pancreatic ß-cells and neurons (11). Primary cultures of fetal islet cells as well as insulinoma cell lines representing pancreatic ß-cells at various stages of differentiation were also shown to express neurotrophin receptors such as the tyrosine kinases trk-A, trk-B, and trk-C and the low affinity receptor p75 LNR. Functional responses to nerve growth factor and to neurotrophin-3 have also been reported (12, 13, 14, 15).

vgf, a gene initially identified as a nerve growth factor (NGF)-responsive gene in the PC12 cell line (16, 17), is specifically expressed in subpopulations of neurons and in a subset of neuroendocrine cells (18, 19). Although the physiological functions of the vgf gene products await clarification, a hint regarding their possible function may come from their intracellular localization. The VGF peptides are stored in dense core granules and are released in response to secretory stimuli, suggesting a neuromodulatory function. Recently, transgenic mice bearing vgf gene disruption were described, showing neonatal growth retardation, feeding abnormalities, and hypermetabolic state (20) as well as altered mating behavior and reduced fertility (21). Such findings may be consistent with an essential role of VGF in the hypothalamus-pituitary-gonadal axis, which would fit well with the abundance of VGF products in female rat gonadotrope and lactotrope cells and their considerable plasticity along the estrous cycle and after gonadectomy (22).

The primary translation product of vgf is a protein of apparent 90 kDa that in neurons is cleaved by the prohormone convertases PC1/3 and PC2 in a late compartment of the secretory pathway (Trani, E., N. Canu, A. M. Rinaldi, G.-L. Ferri, R. Possenti, and A. Levi, manuscript in preparation). The most abundant maturation products of VGF are polypeptides of 20, 18, and 10 kDa, respectively named VGF-20, VGF-18, and VGF-10 that are stored in dense core granules of neuronal and endocrine cells (22) and secreted upon cell depolarization (23). Such peptides are likely candidates for physiologically active species, endowed with neuromodulatory functions.

We have surveyed different insulinoma cell lines, ßTC-6, INS-1, RIN 1046–38, and HIT-T15, as well as primary cultures of pancreatic islets from 6-day-old rats. All of them express vgf messenger RNA (mRNA) (15, 24). We have chosen to further characterize the insulinoma cell line INS-1, a well established model system for studying ß-cell functions (25).

The aim of this study was to investigate modulation of the expression of vgf gene in the insulinoma cell line INS-1. In addition, we analyzed the processing and secretion of VGF mature peptides in response to stimuli that modulate secretion from pancreatic ß-cells.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
All chemicals and antibodies were purchased from Sigma Chemical Co. (St. Louis, MO) unless otherwise indicated. Media and sera were purchased from Life Technologies (Grand Island, NY). The enhanced chemiluminescence system (ECL) was obtained from Amersham International (Aylesbury, UK). NGF was provided by Dr. D. Mercanti. Two distinct polyclonal antisera raised against VGF were used in immunofluorescence and Western blot analysis with identical results. The first antiserum, rabbit anti-VGF609–917 (described in Ref. 22), is directed against a nonapeptide corresponding to the most COOH-terminal region of VGF; the second antiserum, rabbit anti-VGF573–617, was raised against a recombinant fusion protein in which the last 45 amino acids of VGF were inserted downstream of the 6-histidine tag of the pRSET vector (Invitrogen, San Diego, CA). The antiserum VGF573–617 was characterized by Western blots and immunofluorescent studies using different cell lines expressing endogenous or transfected vgf gene. In all experiments the two antibodies gave identical results.

Cell culture
The PC12 cell line was originally obtained from Dr. L. A. Green, RIN 1046–38 was obtained from Dr. C. Montrose-Rafizadeh, ßTC-6 cells were provided by Dr. S. Efrat, and HIT-T15 cells were provided by Dr. C. B. Wallheim.

The INS-1 cell line (25) was obtained from the laboratory of Dr. C. B. Wollheim at passage 72 and was used until passage 95 (at this passage the cells still retain the functional insulin secretion response to a physiological concentration of glucose). Cells were grown, as described, in RPMI 1640 medium supplemented with 10% FCS, 2 mM glutamine, 50 mM 2-mercaptoethanol, 1 mM sodium pyruvate, 10 mM HEPES (pH 7.4), and penicillin-streptomycin (100 U/ml and 0.1 mg/ml, respectively). The cells were incubated at 37 C in a humidified atmosphere with 5% CO2. Phorbol 12-myristate 13-acetate (PMA) was added to a final concentration of 100 nM. (Bu)2cAMP was used at 1 mM. Addition of forskolin at 10 µM plus isobutylmethylxanthine at 100 µM gave the same results as those obtained with (Bu)2cAMP, and these two treatments were used interchangeably. The fungal metabolite brefeldin A, an inhibitor of intracellular trafficking, was used at 2 µg/ml.

Pancreas islet immunohistochemistry
Samples of pancreas (adjacent to duodenum-jejunum or from body and tail regions) were taken from normal rats (males and females; Sprague Dawley, Wistar, and Long Evans; n = 8), killed by ether overdose or decapitation. Procedures were approved by the local ethical committee and conformed to European Union regulations. Samples were immersion fixed in 4% paraformaldehyde (3–8 h), washed in 7–10% sucrose-PBS (3–16 h), and frozen for cryosectioning (6–10 µm).

After the primary incubation (1:2,000–10,000 dilution, overnight) with anti-VGF609–617, sections of pancreas were treated with an affinity-purified, donkey, biotinylated, antirabbit IgG preparation (for 1 h), followed by Cy3-conjugated avidin (both from Jackson ImmunoResearch Laboratories, Inc., West Grove, PA). Blocking with unconjugated avidin and biotin was used to reduce background staining (Vector Laboratories, Inc., Burlingame, CA). Where appropriate, sections were also treated with guinea pig antiinsulin serum (Biodesign, Kennebunk, ME), followed by donkey fluorescein isothiocyanate (FITC)-conjugated antiguinea pig IgG antibodies (Jackson ImmunoResearch Laboratories, Inc.). Routine staining controls included substitution of each layer, in turn, with PBS as well as the use of nonimmune rabbit serum. Sections of pancreas slices were observed using an Olympus Corp. BX-60 microscope (Olympus Corp. Italia, Milan, Italy) equipped with custom-designed filter systems (produced to our specification by Chroma, Brattleboro, VT), which completely prevented cross-talk of FITC and Cy3 in visual observation (26). To provide maximum efficiency, the Cy3 filter system was centered on the yellow emission component of this fluorochrome; hence, Cy3 was shown as a bright golden-yellow signal. E100-SW film (Eastman Kodak Co., Rochester, NY) and a PM-30 system (Olympus Corp.) were used for photography.

Immunofluorescence
INS-1 cells were grown on poly-L-lysine coated coverslides, washed three times with PBS, fixed with 4% paraformaldehyde in PBS for 10 min, and permeabilized with 0.2% Triton X-100 in 50 mM Tris-HCl, pH 7.5, for 10 min. Cells were incubated with anti-VGF573–617 serum (1:2000 dilution for 1 h) and revealed with rhodamine isothiocyanate (TRITC)-conjugated goat antirabbit antibodies. Permeabilized cells were incubated with guinea pig antiinsulin serum (1:1000 dilution for 1 h) and stained with FITC-conjugated goat antiguinea pig antibodies. Confocal microscopy was carried out with a Leica Corp. (Heidelberg, Germany). TCS 4D system equipped with a 100 x 1.3–0.6 oil immersion objective. Images of double labeled samples were recorded with simultaneous excitation and detection of both dyes to ensure proper image alignment. To correct for possible cross-talk resulting from overlapping excitation and emission spectra of the dyes used, recorded images were corrected when necessary using the MultiColor analysis package software from Leica Corp. and compared with images recorded for single dye excitation and detection (27).

Northern blot analysis
Total RNA was prepared by the guanidinium thiocyanate method (28). Northern blot analysis was performed using as a probe a 1-kbp BamHI fragment from rat vgf complementary DNA. The amount of RNA was normalized by reprobing the same filter with a 0.6-kbp HpaII fragment from a mouse histone H4 complementary DNA.

Hybridization and washing were performed according to standard procedures. The Northern blots were exposed and analyzed using a Molecular Dynamics, Inc. PhosphorImager 400A (Sunnyvale, CA) with ImageQuant version 3.2 software. Data from two different experiments were averaged.

Cell transfection for chloramphenical acetyltransferase (CAT) assays
INS-1 cells were transfected with a vgf promoter reporter plasmid, previously described in detail (29). In this plasmid a 0.8-kbp long fragment, derived from the 5'-vgf promoter region, drives the transcription of the CAT reporter (VGF-CAT) in a tissue-specific, NGF- and cAMP-inducible manner. CAT gene driven by Rous sarcoma virus long terminal repeat (RSV-CAT) was used as a control. Briefly, the cells were plated the day before transfection at 50% confluence in 10-cm tissue culture dishes. Transfection was performed with lipofectamine reagent (Life Technologies) according to the manufacturer’s protocol. Twenty-four hours after transfection, the cells were divided into 10 35-mm dishes and exposed to the different agents; after an additional 48 h the cells were collected, and equal amounts of proteins were used for CAT assay as previously described (30). Data from different experiments (five for VGF-CAT and three for RSV-CAT, performed in duplicate) were averaged.

Immunoblotting
Cells were harvested in PBS and directly lysed in SDS sample buffer. Extracts were subjected to SDS-PAGE on a 10–18% polyacrylamide gradient. Proteins were transferred to nitrocellulose membrane (Amersham). The amount of protein loaded was verified by Ponceau protein detection (Sigma Chemical Co.). The membranes were blocked with 3% low fat milk in 10 mM Tris (pH 8), 150 mM NaCl, and 0.05% Tween-20 and incubated with VGF609–617 (1:5000 dilution). After extensive washing, the filters were incubated with horseradish peroxidase-conjugated protein A and developed with the ECL system following the manufacturer’s instructions. Scans of ECL-developed films were analyzed by Bio-Rad densitometer model 620 and quantified by Bio-Rad Program Manager software (Bio-Rad Laboratories, Inc., Hercules, CA).

Expression of the NGF receptors, the low affinity p75 and the high affinity trk-A, was detected in PC12 and INS-1 cells by wheat-germ agglutinin agarose precipitation and Western blot analysis. Approximately 107 cells were lysed in lysis buffer [20 mM Tris-Cl (pH 8), 150 mM NaCl, 2 mM EDTA, 1% Nonidet P-40, 0.5 mM phenylmethylsulfonylfluoride, 1 µg/ml aprotinin, and 10 µg/ml leupeptin]. Glycoproteins were absorbed to a 1:1 suspension of wheat-germ agglutinin agarose in lysis buffer and incubated for 4 h at 4 C. After separation on 7.5% SDS-PAGE gels, the proteins were transferred to nitrocellulose membrane and revealed with rabbit anti-p75 antibodies, obtained from Dr. M. Chao, and rabbit anti-trk-A antibodies, provided by Dr. L. F. Reichardt.

Stimulation of cell secretion
The regulated secretion of VGF peptides was measured in two different milieu according to the secretory stimuli employed: the response to different concentrations of glucose was measured in modified Krebs-Ringer-bicarbonate-HEPES buffer (KRBH buffer: 134 mM NaCl, 4.7 mM KH2PO4, 1.2 mM MgSO4, 1 mM CaCl2, and 10 mM HEPES, pH 7.4, without BSA). The responses to PMA and to an intracellular increase in cAMP were measured in serum-free RPMI. The cells were washed three times in serum-free medium for 10 min each time. Fresh medium containing the different secretagogues was applied and collected after 3 h of stimulation. A preliminary experiment demonstrated no adverse effect on cell metabolism due to nutrient deprivation for such a time interval. The medium was centrifuged for 5 min at 3000 x g to remove any detached cells, and the secreted proteins were then precipitated by the addition of trichloroacetic acid at a 15% final concentration and examined by Western blot analysis.

Insulin release was measured as described by Herbert et al. (31). Briefly, the cells were seeded in culture medium in 24-multiwell plates at a density of 105 cells/ml. After 48 h of growth, cells were washed twice at 37 C for 30 min each time with a glucose-free buffer containing 0.1% RIA grade BSA. Thereafter, cells were incubated for 1 h in the same buffer in the absence or presence of glucose, (Bu)2cAMP, or PMA as indicated in Table 1Go. Aliquots of the supernatant were collected and stored at -20 C for insulin RIA. Cells were extracted overnight at 4 C with a solution of acidified ethanol for assay of the intracellular insulin content. Insulin determination was performed by the dextran-charcoal method as previously described (31), using antiinsulin antibodies raised in guinea pig, porcine insulin standard, and [125I]insulin (NEN, Boston, MA). Two different experiments were run in quadruplicate and counted in triplicate.


View this table:
[in this window]
[in a new window]
 
Table 1. Effects of various stimuli on insulin secretion from INS-1 cells

 

    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
VGF protein is present in islet cells and different insulinoma cell lines
When extracts of insulinoma cell lines were examined by Western blot with anti-VGF antiserum raised against the COOH-terminus of the protein (VGF609–617), we detected immunoreactive bands of 90–80 kDa (Fig. 1Go, thick arrow), and the 20-, 18-, and 10-kDa peptides (Fig. 1Go, thin arrows). These low molecular mass species represent the mature products that are detected in extracts of primary cultures of cerebellar granule cells and are absent in PC12 cells (23). By RT-PCR we also detected vgf mRNA in primary cultures of pancreas islets and in the hamster-derived insulinoma cell line HIT-T15 (24). In this cell line we could not show immunoreactivity, probably due to the low affinity of the antisera raised against the rat protein with the hamster species (not shown).



View larger version (47K):
[in this window]
[in a new window]
 
Figure 1. Extracts from different insulinoma cell lines were analyzed for VGF expression in Western blot. INS-1, ßTC-6, and RIN 1046–38 cells were lysed in sample buffer and run in a SDS-PAGE gradient as described in Materials and Methods. Extracts of primary cultures of cerebellar granules cells and PC12 cells were run for comparative analysis. Western blot was revealed with VGF609–617 antibodies. The thick arrow indicates the 90-kDa VGF precursor form, and thin arrows indicate the 20-, 18-, and 10-kDa VGF COOH-derived peptides. Molecular masses are indicated in kilodaltons.

 
By immunocytochemistry, the various portions of the rat pancreas displayed many VGF-immunoreactive islets; only minor differences were found between animals. Many endocrine cells, including the whole central region of the islets, demonstrated weak to medium intensity immunostaining (Fig. 2AGo). Double immunostaining confirmed that VGF immunoreactivity colocalized with insulin in most cases (Fig. 2Go, B vs. C). VGF-immunoreactive nerve fibers were also visible and were apparently more abundant than in the surrounding parenchyma (Fig. 2Go, A and B). Confocal studies of INS-1 cells stained with anti-VGF573–617 serum resulted in a speckled localization of the immunofluorescent signal that is characteristic of secretory vesicles (Fig. 2DGo). These were the most abundant in a perinuclear region typical for the Golgi apparatus (Fig. 2GGo). Double immunostaining for insulin revealed a colocalized signal (Fig. 2Go, E and H) in most granules. Thus, when VGF and insulin immunostaining were shown as green and red (respectively) in the digital double images, the large majority of granules showed a composite yellow label, indicative of colocalization (Fig. 2Go, H and I).



View larger version (106K):
[in this window]
[in a new window]
 
Figure 2. Indirect immunofluorescent studies of pancreas islets and INS-1 cells. A–C, Rat pancreas islets. VGF609–617 immunostaining, detected with donkey biotinylated antirabbit IgG followed by Cy3-conjugated avidin (A and B), revealed medium intensity reactivity in most islet endocrine cells, including the whole central portion of the islets, and in a few nerve fibers. Insulin immunostaining, revealed with FITC- conjugated donkey antiguinea pig antibody, is shown for comparison in C (C shows the same islet as that in B; double immunofluorescence). Magnification: A, x150; B and C, x300. D–I, Confocal immunofluorescence studies of INS-1 cells. Two serial optical sections (0.6 µm) of fixed and permeabilized INS-1 cells were stained with rabbit VGF573–617 antiserum revealed with TRITC-conjugated goat antirabbit (D and G) and compared with guinea pig antiinsulin immunostaining, revealed with FITC-conjugated goat antiguinea pig (E and H). Both antisera revealed punctuated staining of secretory granules and Golgi apparatus. The higher magnification views (F and I) of the INS-1 cells, displaying the two chromophores with a green/VGF and red/insulin color scale, clearly show the intense colocalization of VGF peptides within insulin-containing granules (yellow color scale). The bars represent 4 µm for D, E, G, and H and 2 µm for F and I.

 
cAMP regulates vgf gene expression
Beside being a neurotrophin-responsive gene, vgf is up-regulated in neuronal cells by cAMP, PMA, and cell depolarization (29). We investigated whether these agents, which are known to induce gene expression of insulin (25), could also increase the level of vgf mRNA in INS-1 cells. Quantification of Northern blot analysis of RNA from INS-1 cells exposed for 16 h to different agents is shown in Fig. 3AGo and demonstrated that elevation of intracellular cAMP leads to a 6- to 8-fold increase in vgf mRNA. Activation of protein kinase C (PKC) with PMA or a high level of extracellular glucose (20 mM) showed no effect on vgf mRNA level in INS-1 cells (Fig. 3AGo). As previously described (15), we did not observe any significant effect of NGF on vgf mRNA levels in INS-1 cells. This may due to the low level of expression of the high (trk-A) and low (p75) affinity of NGF receptors. As measured by Western blots (Fig. 3BGo), these receptors are expressed in INS-1 cells less than 10- to 100-fold compared with those in PC12 cells.



View larger version (26K):
[in this window]
[in a new window]
 
Figure 3. vgf gene activation. A, Induction of VGF mRNA by different agents. The results are expressed as fold induction relative to that in untreated cells. The data, normalized with H4 mRNA, represent the mean ± SE of two independent Northern blots. B, Western blot analysis of NGF receptors in INS-1 cells. Approximately 107 cells were lysed and wheat-germ agglutinin-agarose enriched for glyocoproteins as described in Materials and Methods. For PC12 extract, only 1/10th of the absorbed material was loaded onto the gels. The presence of the high affinity receptor, trk-A, was detected with antiserum provided by Dr. L. F. Reichardt, and that of the low affinity receptor, p75, was detected with antiserum provided by Dr. M. Chao. C, Transient transfection of VGF promoter driving the CAT reporter gene in INS-1 cells. The data show the relative induction of CAT activity in response to different agents, measured as described in Materials and Methods. The values represent the mean ± SE of five independent experiments for VGF-CAT and three independent experiments for RSV-CAT.

 
To determine whether the induction of vgf mRNA in response to cAMP was due to increased transcription, we transfected INS-1 cells with a plasmid in which the expression of the CAT reporter gene is driven by vgf promoter sequences. As shown in Fig. 3CGo, the vgf promoter was stimulated about 3-fold by cAMP. No induction of the RSV-promoter was observed in parallel experiments, ruling out a possible nonpromoter-specific general activation of transcription by elevated cAMP. Stimulation of the transfected vgf promoter required an intact cAMP response element (CRE) element located 80 bp 5' to the transcription start, as deletion of this element negated the induction by cAMP (not shown). Neither NGF nor PMA had any significant effect on basal or cAMP-stimulated transcriptional activity of vgf promoter.

VGF protein is synthesized and proteolytically processed in INS-1 cells
For the level of vgf mRNA, treatment for 16 h with (Bu)2cAMP (Fig. 4AGo, lanes 3, 5, 7, and 8), but not with NGF and/or PMA (Fig. 4AGo lanes 2, 4, and 5), increased the amount of VGF peptides. When cells were exposed to brefeldin A, a fungal metabolite that inhibits the anterograde vesicular traffic from the endoplasmic reticulum to the Golgi, processing of the 90-kDa VGF (thick arrow) into the lower molecular mass species (thin arrows) was prevented, as shown in Fig. 4BGo. Inhibition of processing of VGF was visible after 6 h (compare lane 2 with lane 4) and was prominent after 16 h (lanes 3 and 5). These results demonstrate that the proteolytic cleavage of the VGF precursor form occurs in a late compartment of the secretory pathway.



View larger version (31K):
[in this window]
[in a new window]
 
Figure 4. Western blot analysis of VGF products in INS-1 cells. INS-1 cells were lysed in SDS sample buffer and run in a SDS-PAGE gradient as described in Materials and Methods. The equivalent of 5 x 105 cells was loaded per lane and analyzed in Western blots with anti-VGF609–617. The thick arrow indicates the 90-kDa VGF precursor form, and thin arrows indicate the 20-, 18-, and 10-kDa VGF COOH-derived peptides. A, Induction of VGF polypeptides. Western blot shows the up-regulation of VGF proteins by treatment of INS-1 cells with different agents for 16 h as indicated (lanes 1–8). Lane 9 shows brain extract for comparative analysis. B, Inhibition of VGF processing by brefeldin A (BFA). INS-1 cells were treated with 1 mM (Bu)2cAMP for 6 h (lanes 2 and 4) or 16 h (lanes 3 and 5) in the absence (lanes 2 and 3) or presence of 2 µg/ml of the BFA (lanes 4 and 5). BFA prevented the proteolytic processing of VGF precursor (thick arrow; 90 kDa) into the low molecular mass peptides (thin arrows; 20, 18, and 10 kDa). C, Time course of VGF protein induction in response to cAMP. INS-1 cells were treated with 1 mM (Bu)2cAMP for different time as indicated. The steady state level of protein was reached between 16–24 h.

 
The time course of the induction of VGF protein in response to elevation of intracellular cAMP is shown in Fig. 4CGo. The amount of the 90-kDa form steadily increased and reached a maximum between 16–24 h of (Bu)2cAMP treatment with a 10-fold increase with respect to the level in untreated INS-1 cells. Compared with that at time zero, we observed an initial decrease in the quantity of the lower molecular mass species after 1 and 3 h (Fig. 4CGo, lanes 2 and 3). This is the consequence of preferential depletion of the VGF-20, VGF-18, and VGF-10 species with respect to the VGF precursor form due to a secretory stimulus provided by cAMP (see next section).

VGF peptides are released from INS-1 cells in response secretory stimuli
To study the regulated secretion of VGF species, INS-1 cells were treated overnight with 1 mM (Bu)2AMP, washed extensively, and then exposed to secretory stimuli in either serum-free RPMI or KRBH buffer. Qualitatively similar results were obtained without overnight treatment with (Bu)2cAMP, which was used for convenience because it resulted in a strong increase (>10-fold) in the intracellular level of VGF (compare lanes 1 and 5 in Fig. 4CGo). Figure 5Go shows an example of Western blot analysis of anti-VGF-reactive polypeptides in cell extracts and media after 3-h treatment of INS-1 cells with 1 mM (Bu)2cAMP and 100 nM PMA in serum-free RPMI. Both treatments resulted in the preferential release into the medium of VGF-20, VGF-18, and VGF-10 relative to the high molecular mass form (Fig. 5AGo, lanes 4–6) and resulted in a parallel decrease in their intracellular levels (Fig. 5AGo, lanes 1–3). No cell lysis was observed during the depolarization stimuli, as confirmed by the absence of any detectable actin in the extracellular medium (not shown).



View larger version (32K):
[in this window]
[in a new window]
 
Figure 5. Effect of cAMP and PMA on VGF peptide secretion. INS-1 cells (2 x 106) were cultured in a 60-mm dish were incubated in serum-free RPMI or in serum-free RPMI containing 1 mM (Bu)2cAMP or 100 nM PMA. The medium was collected after 3 h and examined for released VGF species as indicated in Materials and Methods. A, Western blot of cell extracts (lanes 1–3) and secreted material (lanes 4–6) from INS-1 cells that were either untreated (lanes 1 and 4) or treated with (Bu)2cAMP 1 mM (lanes 2 and 5) and PMA (100 mM) for 3 h. The thick arrow indicates the 90-kDa VGF precursor form, and thin arrows indicate the preferentially released 20-, 18-, and 10-kDa VGF COOH-derived peptides. One fourth of the cell extract and two thirds of the precipitated medium were run for each lane. B, Semiquantitative assessment of VGF-20, VGF-18, and VGF-10 secreted peptides in response to cAMP or PMA induction for 3 h. Analysis was performed by densitometry scanning of ECL-developed films as indicated inMaterials and Methods. The values are relative to the constitutive secretion (unstimulated cells), and they are the mean ± SE of six independent experiments.

 
Densitometric analysis of Western blots allowed a semiquantitative assessment of the amount of secreted VGF peptides. Figure 5BGo shows the ratio between the quantity of the low molecular mass peptides (VGF-20, VGF-18, and VGF-10) secreted upon stimulation and the quantity of the constitutively released ones. Activation of protein kinase A (PKA) and protein kinase C (PKC) stimulated the secretion of VGF peptides about 3- and 6-fold, respectively. Up to 40% of the total content of VGF-20, VGF-18, and VGF-10 was released within 3 h in response to PMA. By comparison, less than 5% of the initial amount of low molecular mass VGF species were released into the medium in the absence of stimulation. The high molecular mass form of VGF (thick arrow) was also secreted, albeit to a much lower extent. The different ratios between the low and the high molecular species in the medium and in the cell extract (7.5 and 1.5, respectively) further supported the absence of cell lysis and suggested that the low molecular mass species are the ones preferentially secreted. Elevation of intracellular cAMP and addition of PMA had lower stimulatory effect in KRBH buffer (not shown), confirming that they were fully effective only when cooperating with other secretagogue nutrients such as glucose, glutamine, and other amino acids (extensively discussed in Refs. 32, 33). Stimulated secretion of VGF peptides was also observed in response to membrane depolarization with high extracellular potassium, but no significant secretory effect was observed upon NGF stimulation (data not shown).

Among the different insulinoma-derived cell lines, INS-1 cells, which retain the well characterized differentiative state of ß-cells, display a dose-dependent insulin release after exposure to a physiological range of glucose, cAMP, or PMA (25, 33). INS-1 cells were therefore stimulated for 3 h with glucose ranging from 0–30 mM in KRBH buffer, and the amount of secreted VGF low molecular mass peptides was semiquantified by densitometric analysis of Western blots. Figure 6AGo shows the ratio between the amounts of VGF peptides released in response to different concentrations of glucose, and the amounts released in the absence of glucose. The maximum stimulation was achieved between 10–15 mM glucose and caused a 6-fold increase over the basal constitutive level. In this condition up to 15% of total VGF initially present inside the cells was released into the medium. As show in Fig. 6BGo, secretion of VGF peptides in response to glucose was further stimulated by cAMP similarly to what have been described for insulin (25, 33).



View larger version (33K):
[in this window]
[in a new window]
 
Figure 6. Glucose-dependent VGF-secretion. A, Semiquantitative assessment of the secretion of VGF peptides (VGF-20, VGF-18, and VGF-10) in KRBH buffer upon stimulation for 3 h by different glucose concentrations. The values, obtained by densitometric scanning of ECL-developed films as indicated in Materials and Methods, indicate the mean ± SE from three different experiments. The values are relative to secretion in the absence of glucose (0 mM glucose). B, Western blot of VGF peptides secreted by INS-1 cells upon stimulation for 3 h with glucose in the absence (lanes 1–3) or presence of 1 mM (Bu)2AMP (lanes 4–6). Extract from cells not subjected to secretory stimuli is shown for comparison. The lower histogram shows the semiquantitative assessment of this specific Western by densitometry scanning of the ECL-developed films and indicates the fold induction of the secreted low molecular mass forms of VGF relative to unstimulated secretion (lane 1).

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In the present study, we demonstrate expression, biosynthesis, and processing of vgf-related products in different insulinoma cell lines and show that vgf mRNA and VGF immunoreactivity are present in pancreas islet cells of normal rats.

In the insulinoma-derived cell line INS-1, vgf expression is regulated by cAMP, and VGF protein undergoes a very similar maturation process, previously shown to occur in fully differentiated neurons (23). vgf is a tissue-specific gene whose cell type-restricted transcription is controlled by both positive and negative regulatory elements within 2 kbp 5' to the transcription initiation site (29, 34). It has been shown that vgf expression is induced by elevation of intracellular cAMP in INS-1 cells, which is related to the presence of a CRE element located at -80 from the transcription initiation site. We have previously shown that the CRE element is functional in a cell type-restricted way, as elevated cAMP activates vgf in neuronal cells but fails to do so in nonneuronal cells (34). The CRE was previously shown to be necessary for NGF induction of vgf transcription (35, 36), and here we have demonstrated that the CRE in itself is not sufficient, as in INS-1 cells, NGF failed to up-regulate the endogenous and transfected vgf promoters. It is possible that insulinoma cells lack part of the transduction machinery for NGF; alternatively, the expression of the NGF receptors may be too low to elicit a full biological response. The steady state level of vgf mRNA, as measured by Northern blot, is increased after 16 h by approximately 6-fold in response to elevated intracellular cAMP. By comparison, the transcriptional induction of the transfected promoter is about 3-fold. This may indicate either that motifs important for the induction are present outside the promoter region used in this study or that the stability of vgf mRNA is increased by elevation of cAMP.

We have previously shown that proteolytic maturation of VGF occurs in a cell type-restricted way; adrenal medulla and the derived cell line PC12 contain almost exclusively the high molecular mass forms (90 and 80 kDa). Conversely, the low molecular mass forms, VGF-20, VGF-18, and VGF-10, appear to be present in varying proportions in different neuronal populations (23). Much evidence suggests that maturation of VGF is the consequence of proteolytic cleavage by the tissue-specific prohormone convertases PC1/3 and PC2 (Trani, E., et al., manuscript in preparation). These convertases have been detected in insulinomas and pancreatic islets and are responsible for processing proinsulin (37). They are fully active in late compartments of the regulated secretory pathway. This is consistent with the inhibitory action of brefeldin A on VGF maturation. It is presently unknown whether the high molecular mass forms are endowed with a specific function other than being the precursors for the low molecular mass VGF polypeptides. These are considered the ones that might exert neuromodulatory functions upon secretion from neuronal cells. Here we demonstrate that in INS-1 cells, VGF-20, VGF-18, and VGF-10 are also released through the regulated secretory pathway. Pancreatic ß-cells are capable of regulated secretion in response to a number of stimuli. Glucose, amino acids, potassium depolarization, and activation of either PKA or PKC were shown to promote the secretion of insulin and neuropeptide Y (reviewed in Ref. 38). Activation of PKA and PKC is also responsible for VGF-derived peptides secretion, suggesting that the mature forms of VGF and insulin are stored in the same type of vesicles, as also shown by immunofluorescence costaining. Alternatively, different dense core secretory granules could be present in insulinoma cells and fusion with the plasma membrane of insulin-containing and VGF-containing vesicles may be controlled by the same transduction machinery (38). Electron microscopy studies are necessary to unequivocally establish this point.

The presence of VGF in endocrine cells and in nerve fibers of rat pancreatic islets and the regulated secretion of the VGF products in INS-1 cells suggest that these peptides, besides their role in the function of the hypothalamic/pituitary-axis, are involved in the function of the pancreas islets.

We are attempting to investigate the possible effect of VGF peptides in primary cultures of pancreas islets as well as in different pancreas-derived cell lines.


    Acknowledgments
 
The authors thank Dr. L. Castellani for confocal microscopy analysis and critical reading of the manuscript, and Drs. L. P. G. Marlier, R. Regazzi, and P. A. Halban for stimulating discussion. We thank Dr. S. Cicconi for technical analysis of insulin secretion. NGF was kindly provided by Dr. D. Mercanti, and the INS-1 cell line by Dr. C. B. Wollheim; ßTC-6 cells were obtained from Dr. S. Efrat, and RIN 1038–46 cells were obtained from Dr. C. Montrose-Rafizadeh. Dr. M. Chao provided anti-p75 antiserum, and Dr. L. F. Reichardt provided anti-trk-A antiserum.


    Footnotes
 
1 This work has been carried out under a research contract with NE.FA.C. within the National Research Plan Neurobiological System of the Ministero della Università e della Ricerca Scientifica e Tecnologica. This work was supported by Telethon-Italy Grant E830, and partial funding from MURST (to R.P. and G.L.F.). Back

Received August 10, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Madsen OD, Jensen J, Blume N, Petersen HV, Lund K, Karlsen C, Andersen, FG, Jensen PB, Larsson L-I, Serup P 1996 Pancreatic development and maturation of the islet B cell studies of pluripotent islet cultures. Eur J Biochem 242:435–445[Medline]
  2. Baekkeskof S, Aanstoot HJ, Christgau S, Reetz A, Solimena M, Cascalho M, Folli F, Richter-Olsen H, De Camilli P 1990 Identification of the 64K autoantigen in insulin-dependent diabetes as the GABA-synthesizing enzyme glutamic acid decarboxylase. Nature 347:151–156[CrossRef][Medline]
  3. Petrusz P, Merchenthaler I, Maderdrut JL, Vigh S, Shally AV 1983 Corticotropin-releasing factor (CRF)-like immunoreactivity in the vertebrate endocrine pancreas. Proc Natl Acad Sci USA 80:1721–1725[Abstract/Free Full Text]
  4. Waeber G, Thomson N, Waeber B, Brunner H, Nicod P, Grouzmann E 1993 Neuropeptide Y expression and regulation in a differentiated rat insulin-secreting cell line. Endocrinology 133:1061–1067[Abstract/Free Full Text]
  5. Vieau D, Seidah NG, Day R 1995 Mouse insulinoma ß TC3 cells express prodynorphin messenger ribonucleic acid and derived peptides: a unique cellular model for the study of prodynorphin biosynthesis and processing. Endocrine 136:1187–1196
  6. Gherzi R, Fehmann H-C, Eissele R, Goke B 1996 Expression, intracellular localization and gene transcription regulation of the secretory protein 7B2 in endocrine pancreas cell line and human insulinomas. Exp Cell Res 213:20–27
  7. Woussen-Colle MC, Gourlet P, Vandermeers A, Vandermeers-Piret MC, D’Haens J, Velkeniers B, Robberecht P 1995 Identification of a new chromogranin B fragment (314–365) in endocrine tumors. Peptides 16:231–6[CrossRef][Medline]
  8. Hutton JC, Nielsen E, Kastern, W 1988 The molecular cloning of the chromogranin A-like precursor of ß-granin and pancreastatin from the endocrine pancreas. FEBS Lett 236:269–74[CrossRef][Medline]
  9. Vidaltamayo R, Sanchez-Soto MC, Rosenbaum T, Martinez-Merlos T, Hiriart M 1996 Neuronal-like phenotype changes in pancreatic beta-cells induced by NGF, FGF and dbcAMP. Endocrine 4:19–26
  10. Lahr G, Mayerhofer A, Bucher S, Barthels D, Wille W, Gratzl M 1993 Neural cell adhesion molecules in rat endocrine tissues and tumor cells: distribution and molecular analysis. Endocrinology 132:1207–17[Abstract/Free Full Text]
  11. Atouf F, Czernichow P, Scharfmann R 1997 Expression of neuronal traits in pancreatic ß cells. J Biol Chem 272:1929–1934[Abstract/Free Full Text]
  12. Polak M, Scharfmann R, Seilheimer B, Eisenbarth G, Dresser D, Verma IM, Potter H 1993 Nerve growth factor induce neuron-like differentiation of an insulin-secreting pancreatic beta cell line. Proc Natl Acad Sci USA 90:5781–5785[Abstract/Free Full Text]
  13. Kanaka-Gantenbein C, Dicou E, Czernichow P, Scharfmann R 1995 Presence of nerve growth factor and its receptors in an in vitro model of islet cell development: implication in normal islet morphogenesis. Endocrinology 136:3154–3162[Abstract]
  14. Tazi A, Le Bras S, Lamghitnia HO, Vincent JD, Czernichow P, Scharfmann R 1996 Neurotrophin-3 increases intracellular calcium in rat insulin-secreting cell lines through its action on a functional trk-C receptor. J Biol Chem 271:10154–10160[Abstract/Free Full Text]
  15. Tazi A, Czernichow P, Scharfmann R 1995 Similarities and discrepancies in the signaling pathway for nerve growth factor in an insulin producing cell line and a neural crest-derived cell line. J Neuroendocrinol 7:29–36[CrossRef][Medline]
  16. Levi A, Eldridge JD, Paterson BM 1985 Molecular cloning of a gene sequence regulated by nerve growth factor. Science 229:393–395[Abstract/Free Full Text]
  17. Salton SRJ, Fischeberg DJ, Dong K-W 1991 Structures of a gene encoding VGF, a nervous system specific mRNA that is rapidly and selectively induced by nerve growth factor in PC12 cells. Mol Cell Biol 11:2335–2349[Abstract/Free Full Text]
  18. Ferri GL, Levi A, Possenti R 1992 A novel neuroendocrine gene product: selective VGF8a gene expression and immunolocalization of VGF protein in endocrine and neuronal population. Mol Brain Res 13:139–143[Medline]
  19. Ferri GL, Possenti R 1996 VGF, a neurotrophin-inducible gene expressed in neuroendocrine tissue. Trends Endocrinol Metab 7:8–13
  20. Hahm S, Mizuno T, Kelley KA Mobbs CV, Salton SRJ VGF knockout mice are hypermetabolic and have the neuroendocrine profile of fasted mouse. 28th Annual Meeting of the Society for Neuroscience, Los Angeles CA, 1998, p 442.12 (Abstract)
  21. Hahm S, Kelley KA, Salton SRJ VGF-deficient mice display decreased body size, reduced fertility, nurturing deficits and increased mortality. 27th Annual Meeting of the Society for Neuroscience, New Orleans LA, 1997, p 798.4 (Abstract)
  22. Ferri GL, Gaudio RM, Cossu M, Rinaldi AM, Polak JM, Berger P, Possenti R 1995 The VGF protein in rat adenohypophysis: sex difference, changes during the estrous cycle and after gonadectomy. Endocrinology 136:2244–2251[Abstract]
  23. Trani E, Rinaldi AM, Canu N, Ciotti MT, Ferri GL, Levi A, Possenti R 1995 Expression and processing of a tissue specific VGF protein. J Neurochem 65:2441–2449[Medline]
  24. Borboni P, Porzio O, Pierucci D, Possenti R, Cicconi S, Laudo D, Marlier LN Molecular characterization of neurotrophin receptors expression in insulinoma cell lines and effect of NGF on insulin secretion. 80th Annual Meeting of The Endocrine Society, New Orleans LA, 1998, p 2–94 (Abstract)
  25. Asfari M, Janjic D, Meda P, Li G, Halban PA, Wollheim CB 1993 Establishment of 2-mercaptoethanol-dependent differentiated insulin-secreting cell line. Endocrine 130:167–173
  26. Ferri GL, Gaudio RM, Castello IF, Berger P, Giro G 1997 Quadruple immunofluorescence: a direct visualization method. J Histochem Cytochem 45:155–158[Abstract/Free Full Text]
  27. Provenzano C, Gallo R, Carboni R, Di Fiore PP, Falcone G, Castellani L, Alemà S 1998 Eps8, a tyrosine kinase substrate, is recruited to the cell cortex and dynamic F-actin upon cytoskeleton remodelling. Exp Cell Res 242:186–200[CrossRef][Medline]
  28. Chomczynsky P, Sacchi N 1987 Single-step method of RNA isolation by acid guanidinium thiocyanate-phenol-chloroform extraction. Anal Biochem 162:156–159[Medline]
  29. Possenti R, Di Rocco G, Nasi S, Levi A 1992 Regulatory elements in the promoter region of VGF, an NGF-inducible gene. Proc Natl Acad Sci USA 89:3815–3819[Abstract/Free Full Text]
  30. Neumann JR, Morency CA, Russian KO 1987 A novel rapid assay for chloramphenicol acetyltransferase gene expression. BioTechniques 5:444–447
  31. Herbert V, Gottlieb CW, Bleicher SJ 1965 Coated-charcoal immunoassay of insulin. J Clin Endocrinol Metab 25:1375–1384[Abstract/Free Full Text]
  32. Poitout V, Olson LK, Robertson RP 1996 Insulin-secreting cell lines: classification, characteristics and potential application. Diabetes Metab 22:7–14[Medline]
  33. Sekine N, Fasolato C, Pralong WF, Theler J-M, Wollheim CB 1997 Glucose-induced insulin secretion in INS-1 cells depends on factors present in fetal calf serum and rat islet-conditioned medium. Diabetes 46:1424–1433[Abstract]
  34. Canu N, Possenti R, Rinaldi AM, Trani E, Levi A 1997 Molecular cloning and characterization of the human VGF promoter region. J Neurochem 68:1390–1399[Medline]
  35. Hawley RJ, Scheibe RJ, Wagner JA 1992 NGF induces the expression of VGF gene through a cAMP responsive element. J Neurosci 12:2573–2581[Abstract]
  36. Bonni A, Ginty DD, Dudek H, Greenberg ME 1995 Serine 133-phosphorylated CREB induces transcription via a cooperative mechanism that may confer specificity to neurotrophin signals. Mol Cell Neurosci 6:168–183[CrossRef][Medline]
  37. Neerman-Arbez M, Sizonenko SV, Halban PA 1993 Slow cleavage at the proinsulin B-chain/connecting peptide junction associated with low levels of endoprotease PC1/3 in transformed ß Cells. J Biol Chem 268:16098–16100[Abstract/Free Full Text]
  38. Wollheim CB, Lang J, Regazzi R 1996 The exocytotic process of insulin secretion and its regulation by Ca+ and G-protein. Diabetes Rev 4:276–297



This article has been cited by other articles:


Home page
J EndocrinolHome page
F. D'Amato, B. Noli, C. Brancia, C. Cocco, G. Flore, M. Collu, P. Nicolussi, and G.-L. Ferri
Differential distribution of VGF-derived peptides in the adrenal medulla and evidence for their selective modulation
J. Endocrinol., May 1, 2008; 197(2): 359 - 369.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
P. H. Jethwa, A. Warner, K. N. Nilaweera, J. M. Brameld, J. W. Keyte, W. G. Carter, N. Bolton, M. Bruggraber, P. J. Morgan, P. Barrett, et al.
VGF-Derived Peptide, TLQP-21, Regulates Food Intake and Body Weight in Siberian Hamsters
Endocrinology, August 1, 2007; 148(8): 4044 - 4055.
[Abstract] [Full Text] [PDF]


Home page
J. Histochem. Cytochem.Home page
C. Cocco, C. Brancia, I. Pirisi, F. D'Amato, B. Noli, R. Possenti, and G.-L. Ferri
VGF Metabolic-related Gene: Distribution of Its Derived Peptides in Mammalian Pancreatic Islets
J. Histochem. Cytochem., June 1, 2007; 55(6): 619 - 628.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
M. Dubois, P. Vacher, B. Roger, D. Huyghe, B. Vandewalle, J. Kerr-Conte, F. Pattou, N. Moustaid-Moussa, and J. Lang
Glucotoxicity Inhibits Late Steps of Insulin Exocytosis
Endocrinology, April 1, 2007; 148(4): 1605 - 1614.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
A. L. Garcia, S.-K. Han, W. G. Janssen, Z. Z. Khaing, T. Ito, M. J. Glucksman, D. L. Benson, and S. R. J. Salton
A Prohormone Convertase Cleavage Site within a Predicted {alpha}-Helix Mediates Sorting of the Neuronal and Endocrine Polypeptide VGF into the Regulated Secretory Pathway
J. Biol. Chem., December 16, 2005; 280(50): 41595 - 41608.
[Abstract] [Full Text] [PDF]


Home page
J EndocrinolHome page
C. Brancia, P. Nicolussi, P. Cappai, G. La Corte, R. Possenti, and G.-L. Ferri
Differential expression and seasonal modulation of VGF peptides in sheep pituitary
J. Endocrinol., July 1, 2005; 186(1): 97 - 107.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
P. Barrett, A. W. Ross, A. Balik, P. A. Littlewood, J. G. Mercer, K. M. Moar, T. Sallmen, J. Kaslin, P. Panula, S. Schuhler, et al.
Photoperiodic Regulation of Histamine H3 Receptor and VGF Messenger Ribonucleic Acid in the Arcuate Nucleus of the Siberian Hamster
Endocrinology, April 1, 2005; 146(4): 1930 - 1939.
[Abstract] [Full Text] [PDF]


Home page
J. Neurosci.Home page
J. Alder, S. Thakker-Varia, D. A. Bangasser, M. Kuroiwa, M. R. Plummer, T. J. Shors, and I. B. Black
Brain-Derived Neurotrophic Factor-Induced Gene Expression Reveals Novel Actions of VGF in Hippocampal Synaptic Plasticity
J. Neurosci., November 26, 2003; 23(34): 10800 - 10808.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Copyright Permission
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Possenti, R.
Right arrow Articles by Levi, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Possenti, R.
Right arrow Articles by Levi, A.


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Endocrinology Endocrine Reviews J. Clin. End. & Metab.
Molecular Endocrinology Recent Prog. Horm. Res. All Endocrine Journals