Endocrinology Vol. 140, No. 8 3826-3834
Copyright © 1999 by The Endocrine Society
Synergistic Role of the Phosphatidylinositol 3-Kinase and Mitogen-Activated Protein Kinase Cascade in the Regulation of Insulin Receptor Trafficking1
Toshiyasu Sasaoka,
Tsutomu Wada,
Hajime Ishihara,
Yasumitsu Takata,
Tetsuro Haruta,
Isao Usui,
Manabu Ishiki and
Masashi Kobayashi
From the First Department of Medicine, Toyama Medical &
Pharmaceutical University, Toyama, 930-0194 Japan
Address all correspondence and requests for reprints to: Toshiyasu Sasaoka, M.D., Ph.D., First Department of Medicine, Toyama Medical & Pharmaceutical University, 2630 Sugitani, Toyama, 930-0194, Japan. E-mail: tsasaoka-tym{at}umin.ac.jp
 |
Abstract
|
|---|
To examine the molecular mechanism of insulin receptor trafficking, we
investigated the intracellular signaling molecules that regulate this
process in Rat1 fibroblasts overexpressing insulin receptors. Cellular
localization of insulin receptors was assessed by confocal laser
microscopy with indirect immunofluorescence staining. Insulin receptors
were visualized diffusely in the basal state. Insulin treatment induced
the change of insulin receptor localization to perinuclear compartment.
This insulin-induced insulin receptor trafficking was not affected by
treatment of the cells with PI3-kinase inhibitor (wortmannin), whereas
treatment with MEK [mitogen-activated protein (MAP) kinase-Erk
kinase] inhibitor (PD98059) partly inhibited the process in a
dose-dependent manner. Interestingly, treatment with both wortmannin
and PD98059 almost completely inhibited insulin receptor trafficking.
The functional importance of PI3-kinase and MAP kinase in the
trafficking process was directly assessed by using single cell
microinjection analysis. Microinjection of p85-SH2 and/or catalytically
inactive MAP kinase ([K71A]Erk1) GST fusion protein gave the same
results as treatment with wortmannin and PD98059. Furthermore, to
determine the crucial step for the requirement of PI3-kinase and MAP
kinase pathways, the effect of wortmannin and PD98059 on insulin
receptor endocytosis was studied. Insulin internalization from the
plasma membrane and subsequent insulin degradation were not affected by
treatment with wortmannin and PD98059. In contrast, insulin receptor
down-regulation from the cell surface and insulin receptor degradation,
after prolonged incubation with insulin, were markedly impaired by the
treatment. These results suggest that PI3-kinase and MAP kinase
pathways synergistically regulate insulin receptor trafficking at a
step subsequent to the receptor internalization.
 |
Introduction
|
|---|
THE BIOLOGICAL action of insulin is
initiated by binding to cell surface insulin receptors, which results
in autophosphorylation of the insulin receptor ß-subunit and
activation of its intrinsic kinase activity (1, 2). Ligand binding also
triggers the recruitment of insulin receptors to clathrin-coated pits,
followed by internalization of the insulin-insulin receptor complex and
delivery to an acidic compartment where dissociation of the ligand
occurs (3, 4, 5). Then, insulin receptors can recycle back to the cell
surface, or can be sorted to the lysosome for degradation (4, 5, 6, 7). This
latter process results in the down-regulation of cell surface receptors
(4, 5, 8). By controlling the number of surface insulin receptors and
the degradation of insulin, this process plays a key role in the
regulation of insulin signal (4, 5). In contrast, some studies have
shown that internalized insulin receptors are phosphorylated and become
active to phosphorylate their substrates (9, 10, 11), indicating that
internalization of insulin receptors plays an important role in the
propagation of the insulin signal. Insulin receptor internalization as
an early step of the trafficking process has been shown to require
insulin receptor autophosphorylation and kinase activity as well as
intact juxtamembrane domain of insulin receptor ß-subunit (12, 13, 14, 15, 16, 17, 18, 19).
Thus, previous studies of insulin receptor trafficking have mainly
focused on the role of insulin receptor ß-subunit in insulin receptor
internalization (12, 13, 14, 15, 16, 17, 18, 19). Activated insulin receptors transmit signal
intracellularly (2). One of the earliest intracellular steps of insulin
signaling is tyrosine phosphorylation of insulin receptor substrates
(IRS) (20). IRS then interacts with various SH2 domain-containing
proteins including PI3-kinase (21). Shc is also tyrosine phosphorylated
following insulin stimulation (22, 23, 24). Tyrosine phosphorylated Shc
binds to the Grb2·Sos complex, which allows for activation of
p21ras and leads to the subsequent stimulation of
mitogen-activated protein (MAP) kinase cascade (24, 25). While an
importance of both PI3-kinase and MAP kinase pathways in insulins
mitogenesis (26, 27, 28, 29) and a key role of PI3-kinase in insulins
metabolic action have been reported (30, 31, 32), the exact molecular
mechanisms involved in insulin-induced insulin receptor trafficking
process are unknown.
In the present study, to examine how signaling may regulate
insulin receptor trafficking, we investigated the requirement of
PI3-kinase and MAP kinase pathways for the trafficking process
employing PI3-kinase inhibitor (wortmannin) and MAP kinase-Erk kinase
(MEK) inhibitor (PD98059) in Rat1 cells overexpressing insulin
receptors (HIRc). In addition, the functional importance of these
molecules was more specifically determined by using single cell
microinjection analysis.
 |
Materials and Methods
|
|---|
Materials
Porcine insulin was the kind gift of Shimizu
Pharmaceutical Co., (Shizuoka, Japan). Molecular cloning and
preparation of the GST fusion protein containing the N-terminal SH2
domain of p85 regulatory subunit of PI3-kinase was described previously
(26). [125I]insulin (2000 Ci/mmol) and enhanced
chemiluminescence reagents were purchased from Amersham Pharmacia Biotech (Uppsala, Sweden). Trans[35S]-label
(1022 Ci/mmol) was from ICN Biochemicals, Inc. (Costa
Mesa, CA). A catalytically inactive MAP kinase ([K71A]Erk1)
GST fusion protein was from Upstate Biotechnology, Inc.
(Lake Placid, NY). A monoclonal antiphosphotyrosine antibody (pY20) was
from Transduction Laboratories, Inc. (Lexington, KY). A
polyclonal rabbit and a mouse monoclonal antiinsulin receptor
antibodies were from Santa Cruz Biotechnology, Inc. (Santa
Cruz, CA) and Cosmo Bio Co. Ltd., (Tokyo, Japan), respectively. Mouse
IgG, fluorescein isothiocyanate (FITC)- or rhodamine-conjugated
antimouse, and antirabbit IgG antibodies were from Jackson ImmunoResearch Laboratories, Inc., (West Grove, PA). MEK
inhibitor (PD98059) was from New England Biolabs, Inc.
(Beverly, MA). Wortmannin, LY294002, and all other routine reagents
were purchased from Sigma Chemical Co. (St. Louis,
MO).
Cell culture
Rat1 fibroblasts expressing 1 x 106 human
insulin receptors per cell (HIRc) were kindly supplied from Dr. J. M.
Olefsky (University of California San Diego, San Diego, CA), and
maintained in DMEM/F12 containing 10% FCS as previously described
(13). For cell treatment, serum-starved cells were preincubated with
the indicated concentrations of PI3-kinase inhibitor wortmannin and/or
MEK inhibitor PD98059 for the indicated times at 37 C.
Microinjection
Cells were grown on glass coverslips and rendered quiescent by
starvation for 24 h in serum-free DMEM. GST fusion proteins
including 4 mg/ml mouse IgG were solubilized in microinjection buffer
consisting of 5 mM NaPO4 and 100 mM
KCl, pH 7.4, and then microinjected using glass capillary needles.
Approximately 1 x 10-14 l of the buffer was
introduced into each cell. The injection included about 1 x
106 molecules of IgG. Three hundred to 500 cells per
coverslip were injected. Immunofluorescent staining as described below
of the injected cells indicated that about 80% of the cells were
successfully microinjected. One hour after microinjection, the cells
were used for the following analysis (23, 26).
Immunostaining and confocal laser microscopy
Cells were treated with 17 nM insulin for 20 min at
37 C, and fixed with 3.7% formaldehyde in PBS for 20 min at 22 C. The
fixed cells were rinsed twice with PBS, permeabilized with 0.5% NP40
in PBS for 3 min at 22 C, and blocked with a solution containing 2.5%
BSA. The cells were incubated with rabbit polyclonal antiinsulin
receptor antibody for 90 min at 22 C. The cells were then stained by
incubation with rhodamine-labeled donkey antirabbit IgG antibody to
detect insulin receptors and FITC-labeled donkey antimouse IgG antibody
to detect injected cells for 1 h at 22 C. The samples were
visualized with immunofluorescence microscopy and examined with a
Carl Zeiss confocal laser fluorescence inverted microscope
(LSM 510, Carl Zeiss, Oberkochen, Germany) using
simultaneous lasers with excitation wavelength of 543 and 488 nm for
red and green, respectively, and detected using red and green narrow
band filters. Cells were observed through an oil plan-neofluar x 63/1.3
objective. The optical resolution (0.5 µm in the x-y
direction and 0.4 µm in the z direction) allowed the
reliable measurement of the fluorescence in the selected area of the
cell. Each cell was optically sliced into twenty sections in the
z direction through serial optical sectioning, and the
central three sections were selected for the image analysis. The three
series of individual two-dimensional image (slice) were analyzed by the
computer equipped Zeiss LSM software to determine an
average of image sequence in the selected areas. The obtained
fluorescence intensity throughout the cell was expressed as a function
of x-y direction (cell width). To judge the insulin receptor
trafficking, cells were scored as positive if the peak height of
perinuclear fluorescent intensity was 10 U above the peripheral
intensity of the cell. The percentage of cells positive for trafficked
insulin receptors was determined in each experiment by analyzing
approximately 300 cells.
Immunoprecipitation and Western blotting
Serum-starved cells were treated with wortmannin and/or PD98059
for 30 min and incubated with 17 nM insulin for 5 min. The
cells were lysed in a solubilizing buffer containing 30 mM
Tris, 150 mM NaCl, 10 mM EDTA, 0.5% sodium
deoxycholate, 1% Triton X-100, 1 mM phenylmethylsulfonyl
fluoride, 10 µg/ml aprotinin, 10 µg/ml leupeptin, 1 mM
Na3VO4, 160 mM NaF, pH 7.4 for 15
min at 4 C. The lysates were separated by 7.5% SDS-PAGE and
transferred onto polyvinylidene difluoride membrane by electroblotting.
The membranes were blocked with 2.5% BSA and probed with the
antiphosphotyrosine antibody (pY20). Enhanced chemiluminescence
detection was performed according to the manufacturers instructions
(Amersham Pharmacia Biotech).
Insulin internalization and degradation
Serum-starved cells were treated without or with 50
nM wortmannin and 50 µM PD98059 for 30 min at
37 C, and incubated with 36 pM [125I]insulin
in KRP-HEPES buffer containing 0.5% BSA, pH 7.6, for 2 h at 4 C.
The cells were then warmed to 37 C. At the indicated time points, cells
were washed three times with ice-cold PBS, then incubated for 6 min at
4 C in KRP-HEPES buffer, pH 3.0. After the buffer was aspirated, the
cells were rinsed once again with the acid KRP-HEPES buffer, and the
two buffer aspirates were pooled. Cells were solubilized in 1
N NaOH. The aspirated buffer (representing surface bound
ligand) and solubilized cells (representing internalized ligand) were
counted in a
-counter (13, 15). Degradation of
[125I]insulin in the medium was determined by
precipitation with 7.5% trichloroacetic acid (TCA).
Insulin receptor down-regulation
Serum-starved cells were preincubated without or with 50
nM wortmannin and 50 µM PD98059 for 10 min at
37 C, and further incubated with 17 nM insulin at 37 C for
the indicated times. Cells were then cooled to 4 C and acid-washed as
described above. After the acid wash, cells were washed three times
with ice-cold KRP-HEPES buffer, pH 7.6. The cells were incubated with
36 pM [125I]insulin in KRP-HEPES buffer, pH
7.6, for 3 h at 4 C. The cells were washed three times and
solubilized in 1 N NaOH, and solubilized cells were counted
in a
-counter (13, 15). In all binding studies, nonspecific binding
was less than 12% of the total bound.
Insulin receptor degradation
Cells were incubated in methionine-free DMEM containing
10% FCS and Trans[35S]-label (0.1 mCi/ml) for 18 h
and then in DMEM containing 10% FCS and methionine (0.3 mg/ml) for 45
min. Cells were then incubated with 17 nM insulin in the
absence or presence of 50 nM wortmannin and 50
µM PD98059 for the indicated times. The cells were washed
twice with ice-cold PBS, lysed in the solubilizing buffer, and purified
on a WGA column. The eluate was immunoprecipitated with the antiinsulin
antibody for 4 h at 4 C and analyzed by 7.5% SDS-PAGE.
 |
Results
|
|---|
Visualization and analysis of insulin receptor trafficking
Insulin-induced insulin receptor trafficking from cell surface to
cytoplasmic perinuclear portion was visualized by immunofluorescent
microscopy using antiinsulin receptor antibody followed by
rhodamine-conjugated second antibody. In the basal state, insulin
receptors were diffusely distributed throughout the cell (Fig. 1A
). Following insulin stimulation, the
staining pattern markedly changed to prominent intense staining
in the perinuclear compartment, accompanied by decreased peripheral
insulin receptor staining (Fig. 1B
), indicating insulin receptor
trafficking from the cell surface to cytoplasmic perinuclear region.
Thus, immunofluorescence staining clearly distinguished the cell with
trafficked insulin receptors from that with cell surface insulin
receptors. To more quantitatively assess the immunofluorescence stained
cells, the distribution of insulin receptors was further analyzed with
confocal laser microscopy. Confocal image analysis of a representative
cell demonstrated the diffuse distribution of insulin receptors
throughout the cell in the basal state (Fig. 2A
). After insulin stimulation, the image
analysis showed that insulin receptors were distributed in central area
with decreased distribution in peripheral area of the cell (Fig. 2B
).
The cells showing that the peak height of perinuclear fluorescent
intensity was 10 U above the peripheral intensity were determined as
positive for trafficked insulin receptors. Thus, this analysis
unambiguously distinguished the cell with trafficked insulin receptors
from that with cell surface insulin receptors. Using this analysis,
12.1 ± 3.5% of cells displayed trafficked insulin receptors in
the basal state. Following insulin stimulation, 79.0 ± 8.2% of
cells were positive for trafficked insulin receptors (Fig. 3
). This observation was not specifically
induced by the antiinsulin receptor antibody used in this study because
the same insulin receptor distribution was also observed by using a
different antiinsulin receptor antibody raised against different
epitope of the receptor. In addition, the results of immunostaining
with control IgG showed only a faint background staining, and insulin
treatment did not affect the background staining (data not shown).

View larger version (101K):
[in this window]
[in a new window]
|
Figure 1. Visualization of insulin-induced insulin receptor
trafficking. Serum-starved cells on glass cover slips were treated with
vehicle (A and B), 50 nM wortmannin (C), 100
µM PD98059 (D), or both (E) for 30 min at 37 C. After
stimulation without (A) or with 17 nM insulin (BE) for 20
min at 37 C, the cells were fixed, incubated with a rabbit polyclonal
antiinsulin receptor antibody, and stained with rhodamine-conjugated
antirabbit IgG. Cells with trafficked insulin receptors are shown by
arrows. Representative results visualized with
fluorescence microscope are shown.
|
|

View larger version (37K):
[in this window]
[in a new window]
|
Figure 2. Analysis of insulin receptor localization. The
localization of insulin receptors of a representative cell treated
without (A) or with (B) insulin was analyzed with confocal laser
microscope. The intensity of insulin receptor distribution is shown in
the y-axis, and the cell width is shown in the
x-axis.
|
|

View larger version (30K):
[in this window]
[in a new window]
|
Figure 3. Effect of wortmannin and PD98059 on insulin
receptor trafficking. Cells grown on glass coverslips were
serum-starved for 24 h, and treated with the indicated
concentrations of wortmannin (A), PD98059 (B), or both (C) for 30 min
at 37 C. After stimulation with 17 nM insulin for 20 min,
the cells were fixed, incubated with a polyclonal antiinsulin receptor
antibody, and stained with rhodamine-conjugated antirabbit antibody.
The cells were scored for trafficked insulin receptors with the
fluorescence microscope. Results are expressed as the percent of total
cells and are the mean ± SE of four separate
experiments.
|
|
Effect of wortmannin and PD98059 on insulin receptor
trafficking
We then used this system to determine whether insulin-induced
insulin receptor trafficking requires PI3-kinase and/or MAP kinase
pathway. Pretreatment of the cells with wortmannin alone did not
significantly affect insulin receptor trafficking at any concentrations
(Fig. 1C
and 3A
). In contrast, treatment with PD98059 resulted in a
partial inhibition of the process in a dose-dependent fashion. Insulin
receptor trafficking was inhibited by 40.3 ± 4.5% in 100
µM PD98059 treatment (Fig. 1D
and 3B
). Interestingly,
pretreatment with both wortmannin and PD98059 enhanced the inhibitory
effect. In the presence of 50 nM wortmannin, PD98059
significantly inhibited insulin receptor trafficking in a
dose-dependent manner (Fig. 3C
). Likewise, in the presence of 100
µM PD98059, wortmannin further enhanced the inhibitory
effect in a dose-dependent fashion (data not shown). Thus, treatment
with 100 µM PD98059 and 50 nM wortmannin
resulted in an effective inhibition of insulin receptor trafficking by
96.1 ± 3.4% (Fig. 1E
and 3C
). Employment of LY294002 as other
available PI3-kinase inhibitor gave the same results as treatment with
wortmannin (data not shown).
Microinjection of p85-SH2 and [K71A]Erk1 GST fusion
proteins
As with any other study involving the use of inhibitors, the
possibility exists that wortmannin and PD98059 may have direct target
other than PI3-kinase and MEK, respectively. Therefore, to directly
assess the relevance of PI3-kinase and MAP kinase pathways in
insulin-induced insulin receptor trafficking, we used single cell
microinjection analysis with p85-SH2 GST fusion protein of PI3-kinase
and catalytically inactive MAP kinase ([K71A]Erk1) GST fusion
proteins. Since previous studies reported that microinjection of the
p85-SH2 GST fusion protein inhibited insulin-stimulated both
mitogenesis and Glut4 translocation presumably by behaving as an
intracellular competitive inhibitor of the binding of endogenous
PI3-kinase (26, 30), and since microinjection of the catalytically
inactive MAP kinase ([K71A]Erk1) GST fusion protein inhibited
insulin-stimulated DNA synthesis in Rat1 fibroblasts (data not shown),
microinjection of p85-SH2 and [K71A]Erk1 GST fusion proteins is
useful approach to analyze the involvement of PI3-kinase and MAP kinase
in insulin receptor trafficking. In accordance with the results using
wortmannin and PD98059, microinjection of p85-SH2 GST fusion protein
again did not affect insulin receptor trafficking. In addition,
microinjection of [K71A]Erk1 GST fusion protein partially (42.1
± 3.2%) inhibited the process. Importantly, microinjection of both
p85-SH2 and [K71A]Erk1 GST fusion proteins inhibited insulin receptor
trafficking by 94.0 ± 2.6% (Fig. 4
).

View larger version (21K):
[in this window]
[in a new window]
|
Figure 4. Effect of microinjection of p85-SH2 and
[K71A]Erk1 GST fusion proteins on insulin receptor trafficking. Cells
grown on glass coverslips were serum-starved for 24 h, and were
microinjected with p85-SH2 GST fusion protein (6 mg/ml) and/or
[K71A]Erk1 GST fusion protein (6 mg/ml) including mouse IgG (4
mg/ml). One hour after microinjection, the cells were incubated with 17
nM insulin for 20 min. The cells were fixed and incubated
with a polyclonal rabbit antiinsulin receptor antibody. Insulin
receptors were visualized by staining with rhodamine-conjugated
antirabbit antibody and identification of injected cells was performed
by staining with FITC-conjugated antimouse antibody. The cells were
scored for trafficked insulin receptors with confocal laser microscope.
Results are expressed as the percent of total cells and are the
mean ± SE of four separate experiments.
|
|
Effect of wortmannin and PD98059 on insulin-induced tyrosine
phosphorylation of insulin receptor and IRS-1&-2
Insulin binding to cell surface insulin receptors results in
autophosphorylation of the receptor ß-subunit and subsequent tyrosine
phosphorylation of IRS-1&2. We examined whether wortmannin and/or
PD98059 affect these early steps of insulin signaling. Pretreatment
with either 50 nM wortmannin or 50 µM PD98059
did not affect insulin-induced tyrosine phosphorylation of insulin
receptors and IRS-1&2. Further, the treatment with both wortmannin and
PD98059 again did not significantly change insulin stimulation of these
tyrosine phosphorylation (Fig. 5
). Thus,
blockade of the PI3-kinase and MAP kinase cascade with wortmannin and
PD98059 did not affect the early events of insulin signaling.

View larger version (61K):
[in this window]
[in a new window]
|
Figure 5. Effect of wortmannin and PD98059 on tyrosine
phosphorylation of insulin receptor and IRS-1&2. Cells were treated
with 50 nM wortmannin and/or 50 µM PD98059
for 30 min at 37 C. The cells were then stimulated with 17
nM insulin for 5 min. Cell lysates were analyzed by
immunoblotting with antiphosphotyrosine antibody. Molecular masses of
insulin receptor ß-subunit (95 kDa) and IRS-1&2 (180 kDa) are shown
by arrows. Results are representative of three separate
experiments.
|
|
Effect of wortmannin and PD98059 on insulin internalization and
degradation
After insulin binding of the insulin receptor, several trafficking
steps are involved in targeting insulin receptors to perinuclear
compartment (4, 5). As an early step of the trafficking pathway, the
insulin-insulin receptor complex must clear from the plasma membrane
following insulin binding. Therefore, the observed diffuse distribution
of insulin receptors by inhibition of PI3-kinase and MAP kinase
pathways could result from a defect in the internalization step of
insulin receptor trafficking. To examine this issue, we studied the
effect of wortmannin and PD98059 treatment on insulin-induced insulin
receptor internalization by examing the labeled insulin
internalization. After cells had been warmed to 37 C, insulin-insulin
receptor complexes were rapidly internalized in a time-dependent
manner. By 20 min, the internalized insulin reached a steady state that
represented a balance of ongoing internalization, retroendocytosis, and
degradation. At 20 min, about 65% of the initially labeled insulin
appeared to exist in the intracellular compartment. Pretreatment with
both 50 nM wortmannin and 50 µM PD98059 did
not affect the step of insulin internalization (Fig. 6
). Internalized insulin-insulin receptor
complexes are transferred to endosomes in which the dissociation of
insulin from its receptor occurs. Following this step, a greater part
of internalized insulin is degraded. Therefore, the effect of
wortmannin and PD98059 on insulin degradation was next analyzed by
precipitation with trichloroacetic acid. After insulin-incubated cells
were warmed to 37 C, insulin was degraded in a time-dependent manner.
The kinetics of insulin degradation closely paralleled the time course
of insulin internalization. Pretreatment with both 50 nM
wortmannin and 50 µM PD98059 did not affect the step of
insulin degradation (Fig. 7
). Employment
of LY294002 gave the same results as treatment with wortmannin, and the
treatment of PI3-kinase and MEK inhibitors with either higher
concentrations or longer incubation resulted in no significant
inhibitory effect on these steps (data not shown).
Effect of wortmannin and PD98059 on insulin receptor
down-regulation and degradation
Previous studies showed that prolonged exposure of cells to
insulin led to loss of insulin receptors from the cell surface (4, 5, 8, 9, 10, 12, 13, 15). Time kinetics of insulin-induced down-regulation
was measured in HIRc cells. Incubation with insulin resulted in the
insulin receptor down-regulation in a time-dependent manner, and cell
surface insulin binding was decreased to 28.5 ± 4.6% of control
value after exposure of the cells to 17 nM insulin for
5 h as shown in Fig. 8A
. This
insulin-induced down-regulation of insulin receptors indicates that
once internalized receptors must move from the early recycling pathway
to the lysosomal pathway for degradation. Therefore, the unchanged
diffuse distribution of insulin receptors by pretreatment with
wortmannin and PD98059 could be due to an impairment in the ability of
receptors to proceed beyond the early recycling pathway. To explore
this possibility, we next analyzed the effect of wortmannin and PD98059
on insulin receptor down-regulation from the cell surface.
Serum-starved cells were treated with wortmannin and/or PD98059 for 10
min and then exposed to insulin for 5 h at 37 C. Pretreatment with
wortmannin did not significantly affect the down-regulation. In
contrast, PD98059 treatment partly inhibited the decrease of initial
binding to 45.2 ± 4.4%. Importantly, the decrease in insulin
binding was inhibited to 72.4 ± 6.4% of control value by
treatment with both wortmannin and PD98059 (Fig. 8B
). Furthermore, the
effect of wortmannin and PD98059 on insulin receptor degradation was
assessed by using independent approach. Treatment of cells with insulin
resulted in a time-dependent degradation of labeled insulin receptors
as shown in Fig. 9
. After the cells were
incubated with insulin for 6 h,
- and ß-subunit of insulin
receptors were degraded to 62.9 ± 3.2% and 64.1 ± 2.1% of
initial values, respectively. In accordance with the results of insulin
receptor down-regulation, pretreatment with wortmannin did not
apparently affect the degradation of insulin receptors, and employment
of LY294002 gave the same results as treatment with wortmannin (data
not shown). PD98059 treatment partly inhibited the decrease of
- and
ß-subunit of insulin receptors to 70.2 ± 2.8%, and 69.7
± 2.4%, respectively. The degradation was effectively inhibited to
83.8 ± 4.1%, and 85.0 ± 3.2% by treatment with both
wortmannin and PD98059 (Fig. 9
). Thus, PI3-kinase and MAP kinase
pathways are required for insulin receptors to be degraded and down
regulated from the cell surface.

View larger version (17K):
[in this window]
[in a new window]
|
Figure 8. Effect of wortmannin and PD98059 on insulin
receptor down-regulation. A, Serum-starved cells were incubated with 17
nM insulin at 37 C for the indicated times. B,
Serum-starved cells were treated with 50 nM wortmannin
and/or 50 µM PD98059 for 10 min at 37 C, and were further
incubated with 17 nM insulin for 5 h at 37 C. After
the incubation, cells were cooled, acid washed, and then incubated with
36 pM [125I] insulin for 3 h at 4 C.
After washing, cells were solubilized and cell-associated radioactivity
was counted in a -counter. After correction for nonspecific binding,
results are expressed as the percent of cell-associated counts obtained
without insulin exposure and are the mean ± SE of
four separate experiments.
|
|

View larger version (21K):
[in this window]
[in a new window]
|
Figure 9. Effect of wortmannin and PD98059 on insulin
receptor degradation. HIRc cells were labeled with
[35S]methionine and incubated with 17 nM
insulin in the presence of 50 nM wortmannin and/or 50
µM PD98059 for the indicated times. Radioactivity
incorporated into -subunit (A) and ß-subunit (B) of the insulin
receptor was analyzed by SDS-PAGE. The signal intensity was quantitated
by densitometer. The results are expressed as the percent of initial
intensity of insulin receptor subunits and are the mean ±
SE of four separate experiments.
|
|
 |
Discussion
|
|---|
Our results showed that insulin-induced insulin receptor
trafficking was inhibited by blockade of both PI3-kinase and MAP kinase
pathways. In yeast, the only known PI3-kinase is Vps34p, which
catalyzes the synthesis of PIns (3)P (33). This activity is essential
for the sorting of newly synthesized proteins, as well as for
endocytosis, into the vacuole (33, 34). Because the catalytic subunit
of PI3-kinase has a structural similarity to Vps34p (35, 36),
PI3-kinase is assumed to participate in the regulation of vesicular
trafficking in mammals. In fact, this enzyme is required for
insulin-dependent translocation of the glucose transporter Glut4 to the
plasma membrane (30, 31, 32), for PDGF-dependent trafficking of the PDGF
receptor to lysosomes (37, 38), and for transferrin receptor recycling
(39). In contrast to the previous studies showing that PI3-kinase has a
predominant role in PDGF receptor trafficking (37, 38), our results
showed that blockade of PI3-kinase alone by either wortmannin treatment
or p85-SH2 GST fusion protein microinjection had a minimal effect on
insulin receptor trafficking and degradation. Although the reason for
the differences between our results in insulin receptors and those in
PDGF receptors remains to be elucidated, it may be due to tissue
variation in signal transduction. Thus, previous results were obtained
from human HepG2 cells (37, 38), whereas our studies were performed
using Rat1 fibroblasts. Alternatively, it may arise from the different
signal specificity initiated from different membrane receptors. Along
this line, PDGF receptors directly bind to PI3-kinase with high
affinity (40), whereas insulin and EGF receptors poorly bind to
PI3-kinase (41, 42). Instead, insulin and EGF receptors effectively
transmit signals to PI3-kinase via IRS and ErbB3, respectively (41, 42). It is of note that blockade of PI3-kinase by wortmannin treatment
or p85-SH2 GST fusion protein had no effect on EGF receptor trafficking
(43). Thus, the relative importance of PI3-kinase in receptor
trafficking may depend on the association specificity of PI3-kinase
with receptors.
MAP kinase pathway also appears to be involved in insulin receptor
trafficking and down-regulation. MAP kinase cascade has been shown to
be important for mitogenic signal transduction initiated by growth
factors including insulin (28, 29). Thus, blockade of MAP kinase
cascade by either treatment with MEK inhibitor PD98059 or depletion of
MAP kinase using antisense strategy inhibited insulin-induced mitogenic
signaling (28, 29). Our studies clearly demonstrated that blockade of
MAP kinase pathway by either treatment with MEK inhibitor PD98059 or
microinjection of catalytically inactive [K71A]Erk1 GST fusion
protein partly inhibited insulin-induced insulin receptor trafficking
and degradation. These results further strengthen the important role of
MAP kinase pathway in insulin signal transduction. The molecular
mechanism by which MAP kinase pathway regulates insulin receptor
trafficking is unclear. However, 5-hydroxytryptamine (5-HT) has been
shown to induce clathrin-coated pit mediated endocytosis of apCAM in
sensory neurons (44). Blockade of MAP kinase pathway by either PD98059
or overexpression of dominant negative MAP kinase inhibited 5-HT
induced apCAM trafficking and down-regulation (44), indicating the
importance of MAP kinase in the process. MAP kinase-induced apCAM
interaction with cytoskeletal element has been suggested to be a
possible mechanism leading to apCAM trafficking and down-regulation
(44). Along this line, MAP kinase has been reported to enhance myosin
light chain kinase activity leading to phosphorylation of myosin light
chains which is an essential component of cytoskeleton (45). Taken
together, it is interesting to speculate that MAP kinase might be
involved in insulin receptor trafficking via affecting cytoskeletal
architecture.
Interestingly, blockade of both PI3-kinase and MAP kinase pathway by
wortmannin and PD98059 treatment effectively inhibited insulin-induced
insulin receptor trafficking and degradation. Support for the results
come from the employment of microinjection analysis using p85-SH2 and
[K71A]Erk1 GST fusion proteins, which gave the same results as
treatment with wortmannin and PD98059. Because recent studies have
suggested that PI3-kinase and MAP kinase pathways may converge at some
points before MEK activation (46, 47), it is possible that wortmannin
inhibition of PI3-kinase affects MAP kinase activation. However,
wortmannin treatment did not affect insulin-induced MAP kinase
activation in Rat1 fibroblasts (data not shown). In addition, the
inhibition of MAP kinase pathway alone by either PD98059 treatment or
[K71A]Erk1 microinjection only partly inhibited insulin receptor
trafficking and degradation, whereas the blockade of both PI3-kinase
and MAP kinase pathways effectively inhibited the process. Therefore,
to reconcile the above observations, it seems to be likely that
redundant pathways exist using PI3-kinase and MAP kinase. Although MAP
kinase pathway appears to be dominant, both inputs complement each
other to generate the efficient signal leading to insulin receptor
trafficking and down-regulation. Furthermore, we cannot rule out the
possibility that the observed effects on insulin receptor trafficking
might be indirect, resulting from global perturbation of other cellular
processes dependent on the two enzyme systems.
It is important to determine the crucial step at which insulin receptor
trafficking is regulated by PI3-kinase and MAP kinase pathways. After
insulin binding to its receptor on the cell surface, association of
insulin-insulin receptor complexes with clathrin-coated pits is
followed by the internalization of these complexes through the
formation of clathrin-coated vesicle. The complexes are then
transferred to endosomes in which acidification of the structure leads
to the dissociation of insulin from its receptor. Following this step,
the insulin receptor is either recycled back to the cell surface or
targeted to lysosomes for the degradation, whereas the greater part of
internalized insulin is degraded (5). Our results showed that treatment
with both wortmannin and PD98059 impaired insulin-induced insulin
receptor trafficking and down-regulation, whereas the early
internalization step of insulin receptors from the membrane was not
affected by the treatment. In addition, the wortmannin and PD98059
treatment did not affect the time kinetics of 125I-labeled
insulin degradation, whereas insulin receptor degradation measured by
metabolic labeling was again impaired by the treatment. Thus, the
effect of treatment with wortmannin and PD98059 on the intracellular
trafficking process appears to be confined to the insulin receptor, and
the treatment does not appear to impair intracellular insulin
trafficking. Taken together, the observed impairment of efficient
insulin receptor trafficking and degradation appears to be due to
deficient trafficking of internalized and insulin-dissociated insulin
receptors to perinuclear compartment including lysosome. Therefore,
PI3-kinase and MAP kinase pathways appear to synergistically regulate
insulin receptor trafficking at a relatively late step of the
trafficking pathway. The functional step of these kinases in the
trafficking pathway assumed from the present study is not specific to
the insulin receptor. Previous reports showed that lack of PI3-kinase
binding site of PDGF receptor cytoplasmic domain or wortmannin
treatment significantly impaired PDGF receptor trafficking without
affecting the step of PDGF internalization (37, 38). Likewise,
microinjection of p85-SH2 GST fusion protein did not affect, at least,
early stage of EGF receptor endocytosis (43). Therefore, although the
crucial step of MAP kinase in the trafficking process of other growth
factor receptors has not been investigated, PI3-kinase might affect the
trafficking step that is common to growth factor receptors.
In summary, MAP kinase cascade and PI3-kinase appear to
synergistically regulate insulin-induced insulin receptor trafficking
at the step subsequent to the receptor internalization. The elucidation
of signaling pathways that regulate insulin receptor trafficking would
lead to further insights into the regulatory mechanisms of insulin
signal transduction.
 |
Footnotes
|
|---|
1 This work was supported in part by a grant-in-aid for encouragement
of young scientists from the Ministry of Education, Science, and
Culture (to T.S.). 
Received October 19, 1998.
 |
References
|
|---|
-
Olefsky JM 1990 The insulin receptor: a
multifunctional protein. Diabetes 39:10091016[Abstract]
-
White MF, Kahn CR 1994 The insulin signaling
system. J Biol Chem 269:14[Free Full Text]
-
Marshall S, Olefsky JM 1979 Effects of
lysosomotropic agents on insulin interactions with adipocytes: evidence
for a lysosomal pathway for insulin processing and degradation. J
Biol Chem 254:1015310160[Free Full Text]
-
Carpentier JL 1989 The cell biology of the insulin
receptor. Diabetologia 32:627635[Medline]
-
Carpentier JL 1993 The journey of the insulin
receptor into the cell: from cellular biology to pathophysiology.
Histochemistry 100:169184[CrossRef][Medline]
-
Marshall S, Green A, Olefsky JM 1981 Evidence for
recycling of insulin receptors in isolated rat adipocytes. J Biol
Chem 256:1146411470[Free Full Text]
-
Fehlmann M, Carpentier JL, Obberghen EV, Freychet P,
Thamm P, Saunders D, Brandenburg D, Orci L 1982 Internalized
insulin receptors are recycled to the cell surface in rat hepatocytes.
Proc Natl Acad Sci USA 79:59215925[Abstract/Free Full Text]
-
Yamada K, Carpentier JL, Cheatham B, Goncalves E,
Shoelson SE, Kahn CR 1995 Role of the transmembrane domain and
flanking amino acids in internalization and down-regulation of the
insulin receptor. J Biol Chem 270:31153122[Abstract/Free Full Text]
-
Klein HH, Freidenberg GR, Matthaei S, Olefsky JM 1987 Insulin receptor kinase following internalization in isolated rat
adipocytes. J Biol Chem 262:1055710564[Abstract/Free Full Text]
-
Backer JM, Kahn CR, White MF 1989 Tyrosine
phosphorylation of the insulin receptor during insulin-stimulated
internalization in rat hepatoma cells. J Biol Chem 264:16941701[Abstract/Free Full Text]
-
Burgess JW, Wada I, Ling N, Khan MN, Bergeron JJM,
Posner BI 1992 Decrease in ß-subunit phosphotyrosine correlates
with internalization and activation of the endosomal insulin receptor
kinase. J Biol Chem 267:1007710086[Abstract/Free Full Text]
-
Russell DS, Gherzi R, Johnson EL, Chou CK, Rosen OM 1987 The protein-tyrosine kinase activity of the insulin receptor is
necessary for insulin-mediated receptor down-regulation. J Biol
Chem 262:1183311840[Abstract/Free Full Text]
-
McClain DA, Maegawa H, Lee J, Dull TJ, Ulrich A, Olefsky
JM 1987 A mutant insulin receptor with defective tyrosine kinase
displays no biologic activity and does not undergo endocytosis. J
Biol Chem 262:1466314671[Abstract/Free Full Text]
-
Carpentier JL, Paccaud JP, Gorden P, Rutter WJ, Orci
L 1992 Insulin-induced surface redistribution regulates
internalization of the insulin receptor and requires its
autophosphorylation. Proc Natl Acad Sci USA 89:162166[Abstract/Free Full Text]
-
Thies RS, Webster NJ, McClain DA 1990 A domain of
the insulin receptor required for endocytosis in rat fibroblasts.
J Biol Chem 265:1013210137[Abstract/Free Full Text]
-
Backer JM, Kahn CR, Cahill DA, Ullrich A, White MF 1990 Receptor-mediated internalization of insulin requires a 12-amino
acid sequence in the juxtamembrane region of the insulin receptor
ß-subunit. J Biol Chem 265:1645016454[Abstract/Free Full Text]
-
Rajagopalan M, Neidigh JL, McClain DA 1991 Amino
acid sequences Gly-Pro-Leu-Tyr and Asn-Pro-Glu-Tyr in the submembranous
domain of the insulin receptor are required for normal endocytosis.
J Biol Chem 266:2306823073[Abstract/Free Full Text]
-
Kaburagi Y, Momomura K, Yamamoto-Honda R, Tobe K, Tamori
Y, Sakura H, Akanuma Y, Yazaki Y, Kadowaki T 1993 Site-directed
mutagenesis of the juxtamembrane domain of the human insulin receptor.
J Biol Chem 268:1661016622[Abstract/Free Full Text]
-
Hamer I, Haft CR, Paccaud JP, Maeder C, Taylor S,
Carpentier JL 1997 Dual role of a dilucine motif in insulin
receptor endocytosis. J Biol Chem 272:2168521691[Abstract/Free Full Text]
-
Sun XJ, Rothenberg P, Kahn CR, Backer JM, Araki E,
Wilden PA, Cahill DA, Goldstein BJ, White MF 1991 Structure of the
insulin receptor substrate IRS-1 defines a unique signal transduction
protein. Nature 352:7377[CrossRef][Medline]
-
Myers MG, Backer JM, Sun XJ, Shoelson S, Hu P,
Schlessinger J, Yoakim M, Schaffhausen B, White MF 1992 IRS-1
activates phosphatidylinositol 3'-kinase by associating with src
homology 2 domains of p85. Proc Natl Acad Sci USA 89:1035010354[Abstract/Free Full Text]
-
Pelicci G, Lanfrancone L, Grignani F, McGlade J, Cavallo
F, Forni G, Nicoletti I, Grignani F, Pawson T, Pelicci PG 1992 A
novel transforming protein (SHC) with an SH2 domain is implicated in
mitogenic signal transduction. Cell 70:93104[CrossRef][Medline]
-
Sasaoka T, Rose DW, Jhun BH, Saltiel AR, Draznin B,
Olefsky JM 1994 Evidence for a functional role of Shc proteins in
mitogenic signaling induced by insulin, insulin-like growth factor-1,
and epidermal growth factor. J Biol Chem 269:1368913694[Abstract/Free Full Text]
-
Sasaoka T, Draznin B, Leitner JW, Langlois WJ, Olefsky
JM 1994 Shc is the predominant signaling molecule coupling insulin
receptors to activation of guanine nucleotide releasing factor and
p21ras-GTP formation. J Biol Chem 269:1073410738[Abstract/Free Full Text]
-
Myers MG, Wang LM, Sun XJ, Zhang Y, Yenush L,
Schlessinger J, Pierce JH, White MF 1994 Role of IRS-1-Grb2
complexes in insulin signaling. Mol Cell Biol 14:35773587[Abstract/Free Full Text]
-
Jhun BH, Rose DW, Seely BL, Rameh L, Cantley L, Saltiel
AR, Olefsky JM 1994 Microinjection of the SH2 domain of the
p85-kilodalton subunit of phosphatidylinositol 3-kinase inhibits
insulin-induced DNA synthesis and c-fos expression. Mol Cell Biol 14:74667475[Abstract/Free Full Text]
-
Chuang LM, Myers MG, Backer JM, Shoelson SE, White MF,
Birnbaum MJ, Kahn CR 1993 Insulin-stimulated oocyte maturation
requires insulin receptor substrate 1 and interaction with the SH2
domains of phosphatidylinositol 3-kinase. Mol Cell Biol 13:66536660[Abstract/Free Full Text]
-
Sale EM, Atkinson PG, Sale GJ 1995 Requirement of
MAP kinase for differentiation of fibroblasts to adipocytes, for
insulin activation of p90 S6 kinase and for insulin or serum
stimulation of DNA synthesis. EMBO J 14:674684[Medline]
-
Lazar DF, Wiese RJ, Brady MJ, Mastick CC, Waters SB,
Yamauchi K, Pessin JE, Cuatrecasas P, Saltiel AR 1995 Mitogen-activated protein kinase kinase inhibition does not block the
stimulation of glucose utilization by insulin. J Biol Chem 270:2080120807[Abstract/Free Full Text]
-
Haruta T, Morris AJ, Rose DW, Nelson JG, Mueckler M,
Olefsky JM 1995 Insulin-stimulated Glut4 translocation is mediated
by a divergent intracellular signaling pathway. J Biol Chem 270:2799127994[Abstract/Free Full Text]
-
Katagiri H, Asano T, Ishihara H, Inukai K, Shibasaki Y,
Kikuchi M, Yazaki Y, Oka Y 1996 Overexpression of catalytic
subunit p110
of phosphatidylinositol 3-kinase increases glucose
transport activity with translocation of glucose transporters in
3T3L1 adipocytes. J Biol Chem 271:1698716990[Abstract/Free Full Text]
-
Frevert EU, Kahn BB 1997 Differential effects of
constitutively active phosphatidylinositol 3-kinase on glucose
transport, glycogen synthesis activity, and DNA synthesis in 3T3L1
adipocytes. Mol Cell Biol 17:190198[Abstract]
-
Hiles ID, Otsu M, Volinia S, Fry MJ, Gout I, Dhand R,
Panayotou G, Ruiz-Larrea F, Thompson A, Totty NF, Hsuan JJ, Courtneidge
SA, Parker PJ, Waterfield MD 1992 Phosphatidylinositol 3-kinase:
structure and expression of the 110 kd catalytic subunit. Cell 70:419429[CrossRef][Medline]
-
Munn AL, Riezman H 1994 Endocytosis is required for
the growth of vacuolar H+-ATPase-defective yeast:
identification of six new END genes. J Cell Biol 127:373386[Abstract/Free Full Text]
-
Schu PV, Takegawa K, Fry MJ, Stack JH, Waterfield MD,
Emr SD 1993 Phosphatidylinositol 3-kinase encoded by yeast vps34
gene essential for protein sorting. Science 260:8891[Abstract/Free Full Text]
-
Stack JH, Herman PK, Schu PV, Emr SD 1993 A
membrane-associated complex containing the Vps15 protein kinase and the
Vps34 PI 3-kinase is essential for protein sorting to the yeast
lysosome-like vacuole. EMBO J 12:21952204[Medline]
-
Joly M, Kazlauskas A, Fay FS, Corvera S 1994 Disruption of PDGF receptor trafficking by mutation of its PI-3 kinase
binding sites. Science 263:684687[Abstract/Free Full Text]
-
Joly M, Kazlauskas A, Corvera S 1995 Phosphatidylinositol 3-kinase activity is required at a postendocytic
step in platelet-derived growth factor receptor trafficking. J
Biol Chem 270:1322513230[Abstract/Free Full Text]
-
Li G, DSouza-Schorey C, Barbieri MA, Roberts RL,
Klippel A, Williams LT, Stahl PD 1995 Evidence for
phosphatidylinositol 3-kinase as a regulator of endocytosis via
activation of Rab5. Proc Natl Acad Sci USA 92:1020710211[Abstract/Free Full Text]
-
Klippel A, Escobedo JA, Fantl WJ, Williams LT 1992 The C-terminal SH2 domain of p85 accounts for the high affinity and
specificity of the binding of phosphatidylinositol 3-kinase to
phosphorylated platelet-derived growth factor beta receptor. Mol Cell
Biol 12:14511459[Abstract/Free Full Text]
-
Backer JM, Myers MG, Sun XJ, Chin DJ, Shoelson SE,
Miralpeix M, White MF 1993 Association of IRS-1 with the insulin
receptor and the phosphatidylinositol 3'-kinase: formation of binary
and ternary signaling complexes in intact cells. J Biol Chem 268:82048212[Abstract/Free Full Text]
-
Fedi P, Pierce JH, Fiore PP, Kraus MH 1994 Efficient coupling with phosphatidylinositol 3-kinase, but not
phospholipase C gamma or GTPase-activating protein, distinguishes
ErbB-3 signaling from that of other ErbB/EGFR family members. Mol Cell
Biol 14:492500[Abstract/Free Full Text]
-
Wang Z, Moran MF 1996 Requirement for the adaptor
protein Grb2 in EGF receptor endocytosis. Science 272:19351939[Abstract]
-
Bailey CH, Kaang BK, Chen M, Martin KC, Lim C-S, Casadio
A, Kandel ER 1997 Mutation in the phosphorylation sites of MAP
kinase blocks learning-related internalization of apCAM in aplysia
sensory neurons. Neuron 18:913924[CrossRef][Medline]
-
Klemke RL, Cai S, Giannini AL, Gallagher PJ, Lanerolle
P, Cheresh DA 1997 Regulation of cell motility by
mitogen-activated protein kinase. J Cell Biol 137:481492[Abstract/Free Full Text]
-
Rodriguez-Viciana P, Warne PH, Dhand R, Vanhaesebroeck
B, Gout I, Fry MJ, Waterfield MD, Downward J 1994 Phosphatidylinositol-3-OH kinase as a direct target of ras. Nature 370:527532[CrossRef][Medline]
-
Lopez-Ilasaca M, Crespo P, Pellici PG, Gutkind JS,
Wetzker R 1997 Linkage of G protein-coupled receptors to the MAPK
signaling pathway through PI 3-kinase
. Science 275:394397[Abstract/Free Full Text]
This article has been cited by other articles:

|
 |

|
 |
 
S. Boura-Halfon, H. Voliovitch, R. Feinstein, K. Paz, and Y. Zick
Extracellular Matrix Proteins Modulate Endocytosis of the Insulin Receptor
J. Biol. Chem.,
April 25, 2003;
278(18):
16397 - 16404.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
R. He, D. D. Browning, and R. D. Ye
Differential Roles of the NPXXY Motif in Formyl Peptide Receptor Signaling
J. Immunol.,
March 15, 2001;
166(6):
4099 - 4105.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. J. Carrillo, B. Ibares, A. Esteban-Gamboa, and J. E. Feliu
Involvement of Both Phosphatidylinositol 3-Kinase and p44/p42 Mitogen-Activated Protein Kinase Pathways in the Short-Term Regulation of Pyruvate Kinase L by Insulin
Endocrinology,
March 1, 2001;
142(3):
1057 - 1064.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
K. W. Kang, J. H. Ryu, and S. G. Kim
The Essential Role of Phosphatidylinositol 3-Kinase and of p38 Mitogen-Activated Protein Kinase Activation in the Antioxidant Response Element-Mediated rGSTA2 Induction by Decreased Glutathione in H4IIE Hepatoma Cells
Mol. Pharmacol.,
November 1, 2000;
58(5):
1017 - 1025.
[Abstract]
[Full Text]
|
 |
|

|
 |

|
 |
 
F. Blanchard, L. Duplomb, Y. Wang, O. Robledo, E. Kinzie, V. Pitard, A. Godard, Y. Jacques, and H. Baumann
Stimulation of Leukemia Inhibitory Factor Receptor Degradation by Extracellular Signal-regulated Kinase
J. Biol. Chem.,
September 8, 2000;
275(37):
28793 - 28801.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
T.-j. Liu, H.-c. Lai, W. Wu, S. Chinn, and P. H. Wang
Developing a Strategy to Define the Effects of Insulin-Like Growth Factor-1 on Gene Expression Profile in Cardiomyocytes
Circ. Res.,
June 22, 2001;
88(12):
1231 - 1238.
[Abstract]
[Full Text]
[PDF]
|
 |
|