Endocrinology Vol. 141, No. 6 2098-2104
Copyright © 2000 by The Endocrine Society
Adrenomedullin Enhances Cell Proliferation and Deoxyribonucleic Acid Synthesis in Rat Adrenal Zona Glomerulosa: Receptor Subtype Involved and Signaling Mechanism
Paola G. Andreis,
Anna Markowska,
Hunter C. Champion1,
Giuseppina Mazzocchi,
Ludwik K. Malendowicz and
Gastone G. Nussdorfer
Department of Human Anatomy and Physiology, Section of Anatomy,
University of Padua (P.G.A., G.M., G.G.N.), I-35121 Padua, Italy;
Department of Histology and Embryology, Poznan School of Medicine
(A.M., L.K.M.), PL-60781, Poznan, Poland; and Department of
Pharmacology, Tulane University Medical Center (H.C.C.), New Orleans,
Louisiana 70112-2699
Address all correspondence and requests for reprints to: Prof. G. G. Nussdorfer, Department of Human Anatomy and Physiology, Section of Anatomy, Via Gabelli 65, I-35121 Padova, Italy. E-mail:
ggnanat{at}ipdunidx.unipd.it
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Abstract
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The effect of adrenomedullin (ADM) on the proliferative activity of the
rat adrenal cortex has been investigated in vivo, using
an in situ perfusion technique of the intact left gland.
ADM and other chemicals were dissolved in the perfusion medium, and the
perfusion was continued for 180 min. ADM infusion concentration
dependently increased the mitotic index and [3H]thymidine
incorporation into DNA in the zona glomerulosa (ZG; the maximal
effective concentration was 10-8 M), but not
in inner adrenocortical layers, where basal proliferative activity was
negligible. The effect of 10-8 M ADM was
equipotently counteracted by both the calcitonin gene-related peptide
(CGRP) type 1 receptor antagonist CGRP-(837) and ADM-(2252). The
adenylate cyclase inhibitor SQ-22536 (10-4 M),
the cAMP blocker Rp-cAMP-S (10-3 M), and the
protein kinase A inhibitor H-89 (10-5 M),
although counteracting the ZG proliferogenic action of
10-9 M ACTH, did not affect the
10-8 M ADM-elicited increase in ZG DNA
synthesis. Similar results were obtained using the phospholipase C
inhibitor U-73122 (10-5 M), the
inositol-1,4,5-trisphosphate antagonist
D,L-myo-inositol-1,4,5-trisphosphothiate
(10-4 M), and the protein kinase C inhibitor
calphostin C (10-5 M), which, however,
significantly inhibited the ZG proliferogenic effect of
10-9 M angiotensin II. The growth-promoting
action of 10-8 M ADM was not affected by the
phospholipase A2 inhibitor AACOCF3 (10-5 M),
the cyclooxygenase (COX) inhibitor indomethacin (10-5
M), or the mixed COX/lipoxygenase inhibitor phenidone
(10-5 M). In contrast, the ZG proliferogenic
effect of 10-8 M ADM was abolished by either
the tyrosine kinase (TK) inhibitor tyrphostin-23 (10-5
M) or the mitogen-activated protein kinase (MAPK)
antagonists PD-98059 and U0216 (10-4 M). ADM
(10-8 M) stimulated TK and p42/p44 MAPK
activity in dispersed ZG, but not ZF, cells, and the effect was
reversed by either 10-6 M CGRP-(837) and
ADM-(2252) or preincubation with 10-5 M
tyrphostin-23. Collectively, our findings indicate that 1) ADM
stimulates cell proliferation in the rat ZG, through CGRP-(837)-
and ADM-(2252)-sensitive receptors, probably of the CGRP1 subtype;
and 2) the mitogenic effect of ADM is mediated by activation of the
TK-MAPK cascade, without any involvement of the adenylate
cyclase/protein kinase A-, phospholipase C/protein kinase C-, and COX-
or lipoxygenase-dependent signaling pathways.
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Introduction
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ADRENOMEDULLIN (ADM) is a hypotensive
peptide, originally isolated in 1993 from extracts of pheochromocytomas
(1), which belongs to a peptide superfamily including calcitonin
gene-related peptide (CGRP) and amylin (for review, see Ref. 2). ADM
derives from a 185-amino acid prohormone called prepro-ADM, which gives
rise to another hypotensive peptide, pro-ADM N-terminal 20 peptide
(PAMP). ADM and PAMP are highly expressed in the mammalian adrenal
medulla and cardiovascular system (for review, see Refs. 3, 4, 5, 6).
There is general agreement that ADM induces vasodilation through the
activation of adenylate cyclase (AC)- coupled receptors of the
CGRP1 subtype (4, 6). Several investigations have also found that ADM
acts as growth modulator of many cell systems cultured in
vitro, but the results are conflicting. To summarize, an
antiproliferogenic effect has been reported in rat vascular smooth
muscle cells (VSMC) (7) and mesangial cells (8, 9). In contrast, other
investigators observed a clear-cut growth-promoting effect of ADM in
rat VSMC (10) and Swiss 3T3 fibroblasts (11, 12).
Binding sites for ADM have been demonstrated in human and rat adrenal
zona glomerulosa (ZG), and the bulk of the evidence indicates that they
are CGRP1 receptors (for review, see Ref. 13). ADM, like PAMP (14), was
found to inhibit angiotensin II (Ang-II)- and
K+-stimulated aldosterone secretion through a
mechanism probably involving the impairment of agonist-enhanced
Ca2+ influx (15, 16, 17, 18, 19, 20, 21). Despite the large mass of
data concerning the acute effect of ADM on adrenal cortex, in
vivo studies dealing with the possible modulatory action of this
peptide on adrenal growth are not yet available.
Hence, we decided to address this issue using the technique of in
situ perfusion of the isolated rat adrenal gland (22), because it
allows the delivery of ADM and other chemicals directly to the gland
and study of their effects in vivo without any possible
interference with other systemic mechanisms involved in the regulation
of adrenal growth, e.g. the kidney renin-angiotensin system
and hypothalamo-pituitary-adrenal axis (for review, see Ref. 23), which
are likely to be affected by ADM (5, 6, 13).
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Materials and Methods
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Reagents and animals
Rat ADM-(150) (hereafter ADM) and CGRP-(837) were obtained
from Peninsula Laboratories, Inc. (St. Helene, UK), and
ADM-(2252) was synthesized at the Peptide Research Laboratory of the
Department of Medicine of the Tulane University (New Orleans, LA).
H-89, calphostin-C, U-73122, the
D-myo-inositol-1,4,5-trisphosphate
(IP3) analog
D,L-myo-inositol-1,4,5-trisphosphothiate
(InsP3S3), AACOCF3,
indomethacin, phenidone, and tyrphostin-23 were purchased from
BIOMOL Research Laboratories, Inc. (Milan, Italy).
PD-98059 was obtained from Calbiochem (Luzern,
Switzerland), U0126 was obtained from Tocris Cookson, Inc. (Bristol,
UK), cAMP monophosphothioate Rp-isomer (Rp-cAMP-S) was purchased from
Roche Molecular Biochemicals (Bremen, Germany), and medium
199 was obtained from Difco (Detroit, MI). ACTH, Ang-II, SQ22536,
colchicine, protein kinase A (PKA) inhibitor, myelinic basic protein
substrate, poly(Glu4,Tyr1),
human serum albumin, BSA, and other laboratory reagents were purchased
from Sigma (St. Louis, MO).
[
-32P]ATP and
[3H]thymidine were obtained from Amersham Pharmacia Biotech (Aylesbury, UK), and antimitogen-activated
protein kinase (anti-MAPK) p42/p44 polyclonal antibody was purchased
from Santa Cruz Biotechnology, Inc. (Santa Cruz, CA).
Adult male Sprague Dawley rats (260 ± 30 g BW) were
purchased from Charles River Laboratories, Inc. (Como,
Italy). They were housed four per cage, kept under a 12-h light, 12-h
dark cycle (illumination onset at 0800 h) at 23 C, and maintained
on a standard diet and tap water ad libitum. The protocol of
the experiments described below was approved by the local ethical
committee for animal studies.
In situ adrenal perfusion
Rat were anesthetized with Nembutal, and the left adrenal gland
was perfused in situ, as previously detailed (24). Briefly,
perfusion medium was introduced, via a cannula inserted in the coeliac
artery, into an isolated segment of aorta from which the adrenal
arteries arise; after flowing through the adrenal gland, medium was
collected by a cannula inserted into the renal vein. Perfusion medium
[medium 199 and Krebs-Ringer bicarbonate buffer (2:1, vol/vol)
containing 0.2% glucose and 5 mg/ml human serum albumin] was gassed
with 95% air and 5% CO2, maintained at 37 C,
and delivered at a constant rate of 2 ml/10 min for 180 min.
The following chemicals were added to the perfusion medium: 1) ADM
(from 10-1010-6
M); 2) 10-8 M ADM in the
presence of CGRP-(837) or ADM-(2252) (from
10-910-5
M); and 3) 10-8 M ADM in
the presence of H-89, AACOCF3, indomethacin, phenidone, U-73122, or
calphostin C (10-5 M), tyrphostin
(10-6 or 10-5
M), SQ-22536 or
InsP3S3
(10-4 M), PD-98059 or U0216
(10-5 or 10-4
M), and Rp-cAMP-S (10-3
M). The concentrations of the chemicals used in the third
experiment, according to the current literature (see
Discussion), were approximately the maximal effective ones.
In the case of the first perfusion experiment, in some instances 0.1 mg
colchicine dissolved in 200 µl medium was injected into the perfusion
cannula at 120 min (24). The following experiments were also carried
out: 1) 10-9 M ACTH in the
presence of H-89 (10-5 M),
SQ-22536 (10-4 M), or
Rp-cAMP-S (10-3 M); and 2)
10-9 M Ang-II in the
presence of U-73122 (10-5
M), calphostin C (10-5
M), or
InsP3S3
(10-4 M).
Measurement of the mitotic index
Adrenal glands of colchicine-injected rats were removed, fixed
in Bouins solution, and embedded in paraffin. Adrenals were sectioned
at 6 µm, and sections were stained with hematoxylin-eosin. The
mitotic index (percentage of metaphase-arrested cells) was calculated
at x400 by counting 5000 cells in the ZG and zona
fasciculata-reticularis (ZF/R) of each adrenal gland.
Measurement of DNA synthesis
Perfused adrenals were immediately collected under sterile
conditions, gently decapsulated to separate capsule-ZG, hemisected,
demedullated under the dissecting microscope, and then quartered.
Adrenal capsule-ZG and ZF/R quarters were put in the perfusion medium
containing 200 U/ml penicillin, 10 µg streptomycin, and 2 µCi/ml
[3H]thymidine. The incubation was carried out
for 180 min in a shaking bath at 37 C in an atmosphere of 95% air-5%
CO2. At the end of the incubation, the medium was
removed, and the samples were washed twice with ice-cold Krebs-Ringer
bicarbonate buffer and frozen at -20 C. DNA was recovered from each
specimen without phenol extraction and ethanol precipitation (24),
using the Nuclei Clean Kit (Sigma), and its radioactivity
was measured in a liquid scintillation counter (model 1211,
LKB, Stockholm, Sweden). Results were expressed as counts
per min/100 mg tissue. Due to the very peculiar vascularization of the
rat adrenals, where arterioles have an almost exclusive extracapsular
location (25), VSMCs represent no more than 0.05% of the entire
cortical cell population. Consequently, they cannot significantly bias
the effect of ADM on parenchymal cell DNA synthesis.
Dispersed adrenocortical cells
Dispersed ZG (capsular) and ZF/R (inner) cells were obtained
from the adrenals of nonperfused rats by collagenase digestion and
mechanical disaggregation (14). The viability of dispersed cells was
checked by the trypan blue exclusion test and was greater than 92%.
ZF/R cell contamination in capsular cell preparations, as evaluated by
phase microscopy, was always less than 7%, and ZG or medullary
chromaffin cell contaminations in inner cell preparations were less
than 0.5% and virtually absent, respectively.
Dispersed cells were put in medium 199 and Krebs-Ringer bicarbonate
buffer with 0.2% glucose containing 5 mg/ml BSA. They were incubated
with 10-8 M ADM alone or in the
presence of CGRP-(837) or ADM-(2252) (10-6
M). Other ZG cell preparations were preincubated for 30 min
with 10-5 M tyrphostin-23, and then
exposed to ADM (10-8 M). The
incubation was carried out in a shaking bath at 37 C for 15 min and was
stopped by two quick washes with ice-cold PBS.
Cell extract preparation
Dispersed cells were rapidly lysed by the addition of ice-cold
extraction buffer containing 12.5 mM Tris-HCl (pH 7.4), 2
mM EDTA, 2 mM EGTA, 25 mM
ß-glycerophosphate, 2 mM sodium vanadate, 10
µM phenylmethylsulfonylfluoride, 1 µg/ml leupeptin, and
5 µg/ml apoprotin. Cells were Dounce homogenized (20 strokes; Kontes
Co., Vineland, NJ) on ice for 1 min, and homogenates were centrifuged
(at 4 C) at 800 x g for 10 min and then at 12,000
x g for 15 min (26). Supernatants were removed, the protein
concentration was determined by the Lowry method using BSA as a
standard, and supernatants were stored at -80 C.
Measurement of tyrosine kinase (TK) activity
The assay procedure followed with few modifications that
detailed by Nichols and Morimoto (27). Briefly, the cell extract (25
µg) was incubated with 1 mg/ml of the TK substrate
poly(Glu4,Tyr1) in the
presence of 20 mM HEPES (pH 7.4), 5 mM
MnCl2, 10 mM
MgCl2, 10 µM ATP, and 5 µCi
[
-32P]ATP in a final volume of 50 µl for
30 min at 30 C. The reaction mixture (40 µl) was pipetted onto
2.5 x 2.5-cm squares of Whatman 3MM Chr filter paper
(Clifton, NJ), which were washed four times with 10% trichloroacetic
acid and then dried. 32P incorporation was
measured in a liquid scintillation counter (1900 TR, Packard Instrument
Co., Meriden, CT).
Measurement of MAPK activity
MAPK activity was assayed by immune complex kinase assay as
described previously (26) with slight modifications. The cell lysate
was incubated with 2 µg anti-MAPK antibody (1:3000 dilution) for 120
min at 4 C. The immunoprecipitate was recovered by incubation with 30
µl protein A-Sepharose (Pharmacia Biotech, Uppsala,
Sweden) overnight at 4 C by centrifuging and washing three times with
cell lysis buffer and once with a kinase buffer containing 12.5
mM Tris-HCl (pH 7.4), 2 mM EGTA, 10
mM MgCl2, 1 mM
dithiothreitol, and 50 µg/ml PKA inhibitor. Immunoprecipitates were
incubated with 0.4 mg/ml myelinic basic protein substrate in a final
volume of 40 µl kinase buffer containing 50 µM ATP and
3 µCi [
-32P]ATP for 30 min at 30 C. The
reaction was stopped by the addition of 10 µl 25% trichloroacetic
acid. The reaction mixture (25 µl) was spotted onto 2.5 x
2.5-cm squares of Whatman P81 photocellulose paper, which
were washed four times with 75 mM phosphoric acid, and then
dried. 32P incorporation was measured by liquid
scintillation.
Statistics
Data were expressed as the mean ± SEM, and
statistical comparison was performed using ANOVA, followed by Duncans
multiple range test.
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Results
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Perfusion experiments
ADM infusion caused a concentration-dependent increase in the
mitotic index and [3H]thymidine incorporation
into DNA in the capsule-ZG (4.8- and 3.3-fold increases, respectively,
at a concentration of 10-8 M). In
the ZF/R, the mitotic index and DNA synthesis were very low, and ADM
did not alter these values (Fig. 1
). The
ADM (10-8 M)-induced increase in ZG
DNA synthesis was inhibited by both CGRP-(837) and ADM-(2252) in a
concentration-dependent manner; the maximal effective concentration was
10-7 M (Fig. 2
). The two antagonists were equipotent
(-log10 IC50 ±
SD, 9.4 ± 1.2 vs. 9.9 ± 1.4); the
efficacy of ADM-(2252) was slightly higher than that of CGRP-(837),
but the difference was not significant (percent decrease ±
SD elicited by the maximal effective
concentration, 92 ± 15% vs. 79 ± 11%;
P > 0.05; n = 5).

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Figure 1. Effects of ADM on the mitotic index (upper
panel) and [3H]thymidine incorporation into DNA
(lower panel) of the rat adrenal cortex. Data are the
mean ± SEM (n = 5). +, P <
0.05; *, P < 0.01 [vs. the control
group (C)].
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Figure 2. Effects of CGRP-(837) and ADM-(2252) on the
10-8 M ADM-induced increase in
[3H]thymidine incorporation into DNA of capsule-ZG of rat
adrenals. Data are the mean ± SEM (n = 5). +,
P < 0.05; *, P < 0.01
[vs. the control group (C)]. a, P
< 0.05; A, P < 0.01 (vs.
baseline).
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The ADM (10-8 M)-enhanced DNA
synthesis in capsule-ZG was affected neither 1) by
10-4 M SQ-22536,
10-3 M Rp-cAMP-S, and
10-5 M H-89 (Fig. 3
, upper panels), which,
in contrast, effectively counteracted the ACTH
(10-9 M)-induced
increase in DNA synthesis (Fig. 3
, lower panels); nor 2) by
10-5 M U-73122,
10-4 M
InsP3S3, and
10-5 M calphostin C (Fig. 4
, upper panels), which
conversely evoked a sizeable decrease in the Ang-II
(10-9 M)-evoked rise in
DNA synthesis (Fig. 4
, lower panels). A concentration of
10-5 M AACOCF3,
indomethacin, or phenidone did not alter the ADM
(10-8 M)-induced increase
in the [3H]thymidine incorporation into
capsule-ZG DNA (Fig. 5
). In contrast, the
effect of 10-8 M ADM was
concentration dependently blocked by either PD-98059 and U0216 or
tyrphostin-23 (Fig. 6
).

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Figure 3. Effects of the AC inhibitor SQ-22536
(10-4 M), the cAMP antagonist Rp-cAMP-S
(10-3 M), and the PKA inhibitor H-89
(10-5 M) on the 10-8
M ADM-induced (upper panels) and
10-9 M ACTH-induced (lower
panels) increase in [3H]thymidine incorporation
into DNA of capsule-ZG of rat adrenals. Data are the mean ±
SEM (n = 5). *, P < 0.01
[vs. the respective baseline (B)]. a,
P < 0.05; A, P < 0.01
(vs. the respective control group).
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Figure 4. Effects of the PLC inhibitor U-73122
(10-5 M), the PKC inhibitor calphostin C
(10-5 M), and the IP3 blocker
InsP3S3 (10-4 M) on
the 10-8 M ADM-induced (upper
panels) and 10-9 M Ang-II-induced
(lower panels) increase in [3H]thymidine
incorporation into DNA of capsule-ZG of rat adrenals. Data are the
mean ± SEM (n = 5). +, P <
0.05; *, P < 0.01 [vs. the
respective baseline (B)]. A, P < 0.01
(vs. the respective control group).
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Figure 5. Lack of effect of the PLA2 inhibitor AACOCF3
(10-5 M), the COX inhibitor indomethacin
(10-5 M), and the COX/lipoxygenase inhibitor
phenidone (10-5 M) on the 10-8
M ADM-induced increase in [3H]thymidine
incorporation into DNA of capsule-ZG of rat adrenals. Data are the
mean ± SEM (n = 5). *, P <
0.01 vs. the respective baseline (B).
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Figure 6. Effects of the MEK1 inhibitor PD-98059, the
MEK1/MEK2 antagonist U0126, and the TK inhibitor tyrphostin-23 on the
10-8 M ADM-induced increase in
[3H]thymidine incorporation into DNA of capsule-ZG of rat
adrenals. Data are the mean ± SEM (n = 5). +,
P < 0.05; *, P < 0.01
[vs. the respective baseline (B)]. a,
P < 0.05; A, P < 0.01
(vs. the respective control group).
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Dispersed cell experiments
ADM (10-8 M) increased TK
activity (
2-fold) and MAPK activity (
70%) in ZG, but not ZF/R,
cells, and the effect was abolished by both 10-6
M CGRP-(837) and ADM-(2252) (Fig. 7
). The preincubation of cells with
10-5 M tyrphostin-23 abolished the
ADM effect on TK and MAPK activities (Fig.
8).

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Figure 7. Effect of ADM (10-8 M) on
TK (upper panels) and MAPK (lower panels)
activities of dispersed rat adrenocortical cells. ADM enhances TK and
MAPK activity only in ZG cells (left panels), and its
effect is reversed by both 10-6 M CGRP-(837)
and ADM-(2252) (right panels). *,
P < 0.01 vs. the respective
baseline (B); A, P < 0.01 vs. the
respective control group.
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Discussion
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Our present results, obtained with two different technical
approaches, show that ADM exerts a mitogenic effect on rat ZG in
vivo, acting directly on the adrenal glands. Moreover, they
clearly indicate that the growth-promoting action of ADM involves the
activation of a CGRP-(837)- and ADM-(2252)-sensitive receptor,
probably belonging to the CGRP1 subtype (19, 28). These findings are in
keeping with the demonstration that ADM exerts a CGRP-1
receptor-mediated growth-promoting effect in some cell systems cultured
in vitro (10, 12).
Our study also provides insight into the mechanisms underlying the ZG
growth-promoting action of ADM. Our strategy was to employ selective
and potent inhibitors of the main signaling pathways currently known to
mediate the effect of the growth promoters and to study whether they
block the proliferogenic action of the maximal effective concentration
of ADM on rat ZG.
Neither the AC inhibitor SQ-22536 (29), the cAMP blocker Rp-cAMP-S
(30), nor the selective PKA antagonist H-89 (24) affected ADM-enhanced
DNA synthesis in rat ZG. The possibility that insufficient
concentrations of the inhibitors were used is ruled out by the finding
that these concentrations are able to efficaciously counteract the ZG
proliferogenic effect of ACTH, which is mainly, if not exclusively,
mediated by activation of the AC/PKA cascade (23, 31). These
observations apparently conflict with the reported involvement of cAMP
signaling in the proliferogenic effect of ADM on cultured fibroblasts
(11, 12) and human tumor cell lines (32). However, they agree with
findings obtained in rat VSMC cultures (10).
Other main transduction pathways involved in the ZG proliferogenic
effect of Ang-II and endothelin-1 are the PLC-dependent (24, 33, 34)
and PLA2-dependent (35) cascades. Our results indicate that neither of
these pathways underlies the proliferogenic effect of ADM. In fact, the
PLC inhibitor U-73122 (24), the PKC inhibitor calphostin C (21), and
the IP3 blocker
InsP3S3 (21), at
concentrations that significantly impair the proliferogenic effect of
Ang-II, did not affect the ADM-induced rise in ZG DNA synthesis.
Likewise, a complete ineffectiveness was observed for the PLA2
inhibitor AACOCF3 (36), the cyclooxygenase (COX) inhibitor indomethacin
(24), and the mixed COX/lipoxygenase inhibitor phenidone (24).
p42/p44 MAPKs are ubiquitous members of a family of serine/threonine
kinases that are known to play a crucial role in cellular proliferation
(for review, see Refs. 37, 38). MAPK cascade involves a series of
cytoplasmic phosphorylations, where p21-activated kinase (PAK or
MAPK kinase kinase kinase) activates Raf (MAPK kinase kinase), which,
in turn, phosphorylates MEK1/2 (MAPK kinase), which eventually
activates extracellular signal-regulated kinase-1/2. Activated
extracellular signal-regulated kinases translocate to the nucleus,
where they phosphorylate transcriptional factors that induce expression
of the growth-associated nuclear protooncogene c-fos,
leading to G0 to G1 and
G2 to M transition of the cell cycle. Receptor TK
plays a pivotal role in the MAPK cascade, because by binding to its
agonists it activates Ras, a peptide belonging to a family of low mol
wt GTP-binding proteins, which activates PAK and Raf.
Our present study provides strong evidence that ADM elicits rat ZG cell
proliferation by activating the above-summarized TK-MAPK signaling
pathway. This contention is based on the following findings: 1) the TK
inhibitor tyrphostin-23 (24), the MEK1 inhibitor PD-98059 (39), and the
MEK1/MEK2 noncompetitive antagonist U0126 (40) block the ADM-induced
rise in ZG DNA synthesis; 2) none of these antagonists per
se evokes any apparent effect on the basal rate of DNA synthesis,
thereby making unlikely a possible nonspecific toxic effect on ZG
cells; and 3) ADM selectively activates TK and MAPK activities in ZG
cells, and the effect is blocked by either CGRP-(837) and
ADM-(2252) or tyrphostin-23.
Compelling evidence indicates that, in addition to TK, G
protein-coupled receptors can activate MAPK cascade (for review, see
Refs. 41, 42). PKC activates MAPK through a Ras-independent
mechanism (43, 44), and PKA seems to exert an analogous action (45).
Accordingly, ET-1 and Ang-II stimulate mitogenesis and MAPK activity of
ZG cells through PLC/PKC-independent and -dependent pathways (24, 33),
and cAMP induces MAPK activation and cell proliferation in many cell
systems, including ZG cells (31), although the ability of ACTH to
stimulates MAPK in rat ZG cells has been recently denied (46). There is
also proof that cross-talk among TK-, PKC-, and PKA-dependent signaling
pathways occurs in the regulation of MAPK activity in bovine
adrenocortical cells (47, 48). However, our findings seem to rule out
the possibility that PKA or PKC cascades play a relevant role in the ZG
proliferogenic effect of ADM.
This contention agrees with the findings obtained by Iwasaki et
al. (10) in cultured rat VSMC, thereby suggesting a specificity in
the proliferogenic action of ADM compared with that of Ang-II, ET-1,
and other growth-promoting agents, e.g. GnRH (42). At
present, it is possible to provide only a tentative explanation for
this finding. The Ang-II-induced Ras-dependent Raf-1 activation in
bovine ZG cells has been recently reported to be negatively modulated
by Ca2+ influx (49). However, the involvement of
Ca2+ in GnRH-evoked MAPK activation has been
clearly demonstrated (50, 51). Moreover, the rise in intracellular
Ca2+ is known to play a role in the activation,
not only of PKC, but also of PKA (for review, see Ref. 52). Hence, it
could be hypothesized that the inhibitory effect of ADM on
Ca2+ channels of ZG cells (15, 16, 17, 18, 19, 20, 21) may impair the
activation of PKC and PKA, thereby making the growth-promoting action
of ADM exclusively dependent on the TK-activated MAPK cascade.
According to the cell migration theory (for review, see Ref. 23), ZG in
mammals is the cambium layer involved in adrenocortical cell renewal,
which suggests that ADM may enhance and maintain the growth of the
entire gland. The physiological relevance of the present findings
remains to be assessed. However, in light of the well recognized
inhibitory action of ADM on Ca2+-dependent
agonist-stimulated aldosterone secretion, they stress the complex role
played by this peptide in the regulation of adrenocortical physiology.
The possibility that ADM may act as an aldosterone secretion regulator
in adult growth-quiescent adrenals and, as previously suggested (32, 53), as a growth promoter in immature or tumorous glands merits
study.

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Figure 8. Effect of the TK inhibitor tyrphostin-23
(10-5 M) on ADM (10-8
M)-stimulated TK and MAPK activities of dispersed rat ZG
cells. *, P < 0.01 vs. the
respective baseline (B); A, P < 0.01
vs. the respective control group.
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Footnotes
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1 Present address: Department of Medicine, Johns Hopkins University,
School of Medicine, Baltimore, Maryland 21205. 
Received October 18, 1999.
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