Endocrinology Vol. 141, No. 9 3156-3164
Copyright © 2000 by The Endocrine Society
Stimulation of Insulin-Like Growth Factor Binding Protein-1 Synthesis by Interleukin-1ß: Requirement of the Mitogen-Activated Protein Kinase Pathway1
Robert A. Frost,
Gerald J. Nystrom and
Charles H. Lang
Department of Cellular and Molecular Physiology, The Pennsylvania
State University College of Medicine, Hershey, Pennsylvania 17033
Address correspondence and reprint requests to: Robert A. Frost, Ph.D., Department of Cellular and Molecular Physiology, Penn State University College of Medicine, Hershey Medical Center: H166, Hershey, Pennsylvania 17033. E-mail: rfrost{at}psu.edu
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Abstract
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Insulin-like growth factor (IGF) binding protein-1 (IGFBP-1) is a
28-kDa plasma protein that binds to IGF-I and IGF-II with high
affinity. IGFBP-1 is elevated in the blood as a result of sepsis, AIDS,
excessive alcohol consumption, and diabetes and may, in part, be
responsible for the wasting observed during these pathophysiological
conditions. The liver is the principal site of IGFBP-1 synthesis, and
we have previously shown that proinflammatory cytokines can directly
stimulate IGFBP-1 secretion in a human hepatoma cell line (HepG2). The
purpose of the present study was to investigate the role of the MAP
kinase pathway in regulating IGFBP-1 synthesis by IL-1ß. We show that
IL-1ß stimulates the phosphorylation of ERK-1 and -2 in a time- and
dose-dependent manner. In addition, the MAP kinase-kinase MEK-1 and the
ribosomal S6-kinase RSK-1 are also phosphorylated in response to
IL-1ß. The transcription factor CREB, a potential substrate of both
protein kinase A (PKA) and RSK-1, is phosphorylated in response to
IL-1ß and cAMP in HepG2 cells. The ability of IL-1ß to stimulate
the expression of IGFBP-1 and the phosphorylation of the above kinases
was specifically inhibited by PD98059, a MEK-1 inhibitor. cAMP also
stimulated IGFBP-1 synthesis, but PD98059 failed to block the cAMP
effect. Conversely, a PKA inhibitor (H-89) inhibited the ability of
cAMP, but not IL-1ß to stimulate IGFBP-1 synthesis. The effect of
IL-1ß and cAMP on IGFBP-1 messenger RNA (mRNA) accumulation was
additive. IL-1ß, cAMP, PD98059, and H-89 had similar effects on the
accumulation of IGFBP-1 protein and mRNA. IL-1ß and cAMP did not
change the half-life of IGFBP-1 mRNA, but PD98059 and SB202190, a p38
MAP kinase inhibitor, destabilized IGFBP-1 mRNA and blocked the
phosphorylation of RSK-1 in response to IL-1ß. Our data demonstrate
that the MAP kinase signal transduction pathway plays an important role
in the regulation of IGFBP-1 synthesis by IL-1ß.
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Introduction
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INSULIN-LIKE growth factor (IGF) binding
protein-1 (IGFBP-1) is a 28-kDa plasma protein that binds IGF-I and
IGF-II with high affinity (1). Consequently, IGFBP-1 inhibits many
IGF-dependent processes including glucose and amino acid uptake and
protein synthesis (2). Expression of IGFBP-1 in transgenic mice
produces IGF-I resistance and results in an elevation in the plasma
concentration of glucose and amino acids (3). IGFBP-1 is elevated in
the blood in response to sepsis, AIDS, alcohol consumption, and
diabetes and may, in part, be responsible for the wasting observed
during these pathophysiological conditions (4, 5, 6, 7). An understanding of
the regulation of IGFBP-1 synthesis is therefore important because
overexpression of IGFBP-1 can reduce free IGF-I and inhibit
IGF-dependent processes (8).
The plasma concentration of IGFBP-1 is increased during sepsis and
inflammation primarily due to immune activation. IGFBP-1 is rapidly
elevated in humans and rats injected with gram-negative endotoxin (9, 10). In addition, the plasma concentration of IGFBP-1 is rapidly
increased after injection of cytokines such as interleukin-1ß
(IL-1ß) and tumor necrosis factor-
(TNF
) (10, 11). Prophylactic
infusion of an IL-1ß receptor antagonist completely prevents the
sepsis-induced increase in IGFBP-1. Administration of the
glucocorticoid receptor antagonist RU486, on the other hand, fails to
attenuate the increase in IGFBP-1 (4, 12). Endogenously produced
IL-1ß therefore appears to be a major regulator of IGFBP-1 synthesis
during inflammatory conditions.
The liver is the principal site of IGFBP-1 synthesis and IL-1ß,
TNF
, and IL-6 can directly stimulate IGFBP-1 secretion in the human
hepatoma HepG2 cell line (13). IL-1ß also markedly increases IGFBP-1
messenger RNA (mRNA) in HepG2 cells, but little is known about the
signal transduction pathway this cytokine uses to enhance IGFBP-1
synthesis (14). The IL-1ß receptor has no inherent enzymatic activity
but interacts with two interleukin receptor associated kinases. IL-1ß
treatment also activates kinases that phosphorylate a number of
downstream targets, including an inhibitor of the transcription factor
nuclear factor
B (NF
B) called I
B (15). Pyrrolidine
dithiocarbamate (PDTC), an inhibitor of NF
B activation, only
partially attenuates the IL-1ß induced increase in IGFBP-1 in HepG2
cells (14). This response suggests that IL-1ß may stimulate IGFBP-1
synthesis by additional signal transduction pathways, which may include
activation of protein kinase A (PKA) as well as phosphorylation of
downstream targets such as the cAMP response element binding protein
(CREB). Alternatively, IL-1ß may activate other kinases that affect
IGFBP-1 transcription, mRNA stability, or translation.
Many growth factors and cytokines elicit their physiological response
via mitogen-activated protein kinases (MAPK). Three independent MAP
kinase pathways have been identified including pathways that lead to
the activation of extracellular signal regulated kinases (ERK-1 and
-2), p38 MAP kinase, and jun N-terminal kinase (JNK). These kinases are
part of kinase cascades consisting of upstream MAP kinase-kinases and
downstream targets such as the 90-kDa ribosomal S6 kinases (RSK).
IL-1ß transiently activates all three of the MAP kinase pathways in
HepG2 cells (16, 17). Therefore, the purpose of the present study was
to investigate the role of the MAP kinase and PKA pathways in the
regulation of IGFBP-1 synthesis in response to IL-1ß.
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Materials and Methods
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Cell culture
A human hepatoma cell line (Hep G2) was used for all studies.
These cells were originally shown to synthesize and secrete IGFBP-1 by
Julkunen et al. (18) and have subsequently been used for the
majority of studies that have examined the regulation of IGFBP-1
synthesis by hormones and cytokines (18). Cells were grown in six-well
cluster dishes (Greiner, Lake Mary, FL). This allowed for the
simultaneous measurement of IGFBP-1 protein and mRNA. Cells were
cultured in minimal essential media (MEM, Sigma St. Louis,
MO) containing 5% new born calf serum, penicillin (100 U/ml),
streptomycin (100 µg/ml) and Amphotericin (25 µg/ml).
Cells were grown to 7080% confluence and switched to serum-free MEM
for all experiments. Experiments were routinely performed with IL-1ß
(Biological Response Modifiers Program, NCI, 50 ng/ml), dibutryl cyclic
AMP (dbcAMP; BIOMOL, Plymouth Meeting, PA, 2 mM),
theophylline (Sigma, 2 mM), PD98059
(Calbiochem, La Jolla, CA, 20 µM),
H-89 (BIOMOL, 30 µM), or SB202190
(Calbiochem, 10 µM). In some
experiments, transcription was inhibited with
5,6-dichloro-B-D-ribofuranosyl-benzimidazole (DRB, 75
µM; Calbiochem) for the subsequent
measurement of mRNA decay over a 9-h period.
IGFBP-1 immunoradiometric assay
Conditioned media was collected after 16 h incubation and
frozen at -70 C. Thawed samples were subsequently diluted in a
serum-based diluent and assayed with an IGFBP-1 immunoradiometric assay
(IRMA), as described by the manufacturer (Diagnostics Systems Laboratories, Inc., Webster TX).
Western blot analysis
Conditioned media or cell extracts were electrophoresed on
denaturing polyacrylamide gels and electrophoretically transferred to
nitrocellulose with a semidry blotter (Bio-Rad Laboratories, Inc., Melville, NY). The resulting blots were blocked with 5%
nonfat dry milk for 1.5 h and incubated with antibodies against
either human IGFBP-1 (Upstate Biotechnology, Inc., Lake
Placid, NY), phosphorylated or total CREB, MEK, RSK1, ATF-2, (New England Biolabs, Inc., Beverly, MA), phosphorylated or total ERK
or Elk-1 (Santa Cruz Biotechnology, Inc., Santa Cruz, CA).
Unbound primary antibody was removed by washing with Tris-buffered
saline containing 0.05% Tween-20, and blots were incubated with
antirabbit immunoglobulin conjugated with horseradish peroxidase. Blots
were briefly incubated with the components of an enhanced
chemiluminescent detection system (Amersham Pharmacia Biotech, Buckinghamshire, UK). Dried blots were used to expose
x-ray film for 13 min.
RNA isolation and Northern blotting
Total RNA, DNA, and protein were extracted from HepG2 cells in a
mixture of phenol and guanidine thiocyanate (TRI Reagent LS,
Molecular Research Center, Inc., Cincinnati, OH). RNA was
separated from protein and DNA by the addition of bromocholoropropane
and precipitation in isopropanol. RNA was subsequently washed with
ethanol and quantitated using a spectrophotometer (Beckman Coulter, Inc. DU640B, Fullerton, CA). Total RNA (10 µg) was
electrophoresed under denaturing conditions on a 1% agarose gel
containing 6% formaldehyde. RNA was transferred to a Zeta-Probe GT
membrane using the Turbo Blotting System (Ambion, Inc.
Austin, TX). The membrane was probed with a human IGFBP-1
oligonucleotide probe (Oncogene Research Products, Cambridge, MA) that
was end-labeled with [
32P] ATP. For
normalization of RNA loading, a human ß-actin oligonucleotide was
radioactively labeled using terminal deoxynucleotidyl transferase and
used to reprobe all blots. Membranes were baked, hybridized, and washed
according to the formamide protocol provided with the
-Probe GT.
Membranes were exposed to a phosphoimager screen (Molecular Dynamics, Inc., Sunnyvale, CA) and the resultant data were
quantitated using ImageQuant software.
Statistics
Values are means ± SEM. Unless otherwise
noted, each experimental condition was tested in sets of six, and each
experiment was repeated three times. Data were analyzed by ANOVA
followed by Students-Newman-Keuls test. IGFBP-1 mRNA half-life was
calculated from the slope of the regression line using the formula
t1/2= 0.5/m, where m
is the slope of the line in arbitrary units (AU) per hour. Half-lives
were compared by t test where
t=((m1-m2)/(
(SE12
+
SE22))
(19). Statistical significance was set at P <
0.05.
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Results
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ERK and p38 MAP kinase inhibitors block IL-1ß but not cAMP
induced IGFBP-1 synthesis
Because IL-1ß is known to activate multiple MAP kinase pathways
in HepG2 cells, we tested whether PD98059, a MEK inhibitor, and
SB202190, a p38 MAP kinase inhibitor, could prevent IL-1ß induced
IGFBP-1 synthesis. The two inhibitors displayed different effects on
the basal expression of IGFBP-1. PD98059 decreased the basal synthesis
of IGFBP-1 mRNA dose dependently (Fig. 1A
). Maximal inhibition occurred between
10 and 40 µM PD98059. In contrast, SB202190 exhibited a
biphasic effect on IGFBP-1 mRNA expression (Fig. 1B
). Low doses of
SB202190 (25 µM) stimulated the accumulation of IGFBP-1
mRNA. A dose of 10 µM or greater had no effect on the
basal expression of IGFBP-1. IL-1ß stimulated IGFBP-1 synthesis and
secretion, and this response was inhibited by both PD98059 (20
µM) and SB202190 (10 µM) (Fig. 1C
). IL-1ß
increased the concentration of IGFBP-1 by 50% in the conditioned media
of HepG2 cells, and this was inhibited dose dependently by PD98059
(Fig. 1D
). Complete inhibition occurred at a concentration of 40
µM PD98059.

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Figure 1. Effect of IL-1ß, PD98059, and SB202190 on
IGFBP-1 synthesis in HepG2 cells. HepG2 cells were grown to 80%
confluence in six-well cluster dishes. Cells were switched to
serum-free media and treated overnight with an increasing dose of
either PD98059 (a MEK inhibitor, panel A) or SB202190 (a p38 inhibitor,
panel B) for 16 h. Total RNA was isolated from the cells and
IGFBP-1 mRNA detected by Northern blotting. RNA from triplicate wells
is shown (A and B). Cells were also treated overnight with IL-1ß (50
ng/ml) and PD98059 (20 µM) or SB202190 (10
µM). Conditioned media from the cells was run on an
SDS-PAGE gel and probed for IGFBP-1 by Western blotting. Media from
triplicate wells are shown (C). HepG2 cells were also incubated with
IL-1ß (50 ng/ml) and an increasing concentration of PD98059. After a
16 h incubation, media was collected, and frozen for subsequent
measurement of IGFBP-1 by IRMA (D), as described in Materials
and Methods. Values are the mean ± SE (n
= 6 per condition). Groups with different letters are
significantly different from each other (P <
0.05). Groups with the same letter are not significantly
different.
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The expression of IGFBP-1 in HepG2 cells is positively regulated
not only by cytokines, such as IL-1ß, but also by agents that elevate
cAMP (20). Figure 2
illustrates that
IL-1ß and cAMP increased the synthesis of IGFBP-1 protein up to
3-fold and IGFBP-1 mRNA by 6-fold (Fig. 2
, top and bottom
panels, respectively). To determine whether the MAP kinase pathway
was necessary for IGFBP-1 stimulation by both agents, HepG2 cells were
coincubated with either cAMP and PD98059 or IL-1ß and PD98059. Figure 2
showed that PD98059 effectively inhibited IL-1ß- induced
IGFBP-1 synthesis. In contrast, PD98059 failed to inhibit the ability
of cAMP to stimulate IGFBP-1 synthesis. IGFBP-1 mRNA and protein were
coordinately regulated under these conditions.

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Figure 2. Effect of IL-1ß, cAMP, and PD98059 on IGFBP-1
protein and mRNA. HepG2 cells were grown as described in Fig. 1 and
treated with IL-1ß (50 ng/ml) or cAMP and theophylline (2
mM each), either alone or in the presence of PD98059 (20
µM). Conditioned media was collected after 16 h and
cellular RNA isolated from each well in TRI-Reagent LS, as described in
Materials and Methods. RNA was quantitated by analyzing
the signal on Northern blots with a phosphoimager and ImageQuant
software as described. Values are the mean ± SE
(n = 6 per condition). Groups with different
letters are significantly different from each other
(P < 0.05). Groups with the same
letter are not significantly different.
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IL-1ß and cAMP stimulate the phosphorylation of CREB through a
PKA-mediated pathway
Because IL-1ß has previously been shown to stimulate cAMP
synthesis in some cell types (21), we examined whether IL-1ß could
stimulate the phosphorylation of the transcription factor CREB, a
downstream target of PKA. Western blot analysis of HepG2 cell extracts
revealed that cells treated with either cAMP or IL-1ß showed a rapid
10- to 12-fold increase in the phosphorylation of CREB (Fig. 3
). PD98059 inhibited the ability IL-1ß
to stimulate CREB phosphorylation by 60% without altering the
stimulatory effect of cAMP. None of the treatments altered the total
amount of CREB in the cell extracts. Similar results were obtained for
ATF-1, a transcription factor that also binds to cAMP- responsive
elements (CRE) and shares carboxy-terminal homology with CREB (Fig. 3
)
(22).

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Figure 3. Effect of IL-1ß, cAMP, and PD98059 on the
phosphorylation of CREB. HepG2 cells were grown as described in Fig. 1
and switched to serum-free media for 2 h. Cells were pretreated
with PD98059 (or vehicle) for 30 min and subsequently challenged with
either IL-1ß (50 ng/ml) or cAMP and theophylline (2 mM
each). Cell extracts from triplicate wells were isolated in SDS-PAGE
sample buffer and run on a 10% SDS-PAGE gel. CREB phosphorylation was
analyzed by Western blotting for total CREB and CREB phosphorylated on
Ser 133 (pCREB). A representative blot is shown (top
panel). Phosphorylated ATF-1 (pATF-1) shares a phospho-peptide
sequence with pCREB and is also recognized by this antibody. A
quantitative analysis of this and additional blots is shown
(bottom panel). Values are the mean ±
SE (n = 6 per condition). Groups with different
letters are significantly different from each other
(P < 0.05). Groups with the same
letter are not significantly different.
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Elevated levels of cAMP are known to activate PKA, which subsequently
phosphorylates the transcription factor CREB (23). CREB has also been
shown to be a substrate of other kinases (23, 24, 25, 26). We examined whether
CREB phosphorylation was PKA dependent because IL-1ß might stimulate
CREB through multiple pathways. IL-1ß and cAMP stimulated CREB
phosphorylation, and the response to both agents was completely blocked
by pre-incubation of cells with a PKA inhibitor (H-89) (Fig. 4
). Similar results were found for the
phosphorylation of ATF-1. This suggests that both IL-1ß and cAMP
stimulate the phosphorylation of CREB through a PKA-mediated pathway in
HepG2 cells.

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Figure 4. Effect of IL-1ß, cAMP, and H-89 on the
phosphorylation of CREB. Cells were pretreated with either H-89 (30
µM, a PKA inhibitor), or vehicle for 30 min and then
challenged with either IL-1ß (50 ng/ml) or cAMP and theophylline (2
mM each). Cell extracts from triplicate wells were isolated
in SDS-PAGE sample buffer and run on a 10% SDS-PAGE gel. After
transfer of proteins to nitrocellulose, CREB phosphorylation was
analyzed by Western blotting for pCREB. A representative blot is shown
(top panel). A quantitative analysis of this and
additional blots is shown (bottom panel). Values are the
mean ± SE (n = 6 per condition). Groups with
different letters are significantly different from each
other (P < 0.05). Groups with the same
letter are not significantly different.
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Given that IL-1ß stimulated CREB phosphorylation through a
PKA-dependent pathway, we examined whether IGFBP-1 synthesis was also
PKA dependent. IL-1ß and cAMP both stimulated IGFBP-1 synthesis, but
the PKA inhibitor H-89 only inhibited the ability of cAMP to stimulate
IGFBP-1 synthesis (Fig. 5
). H-89 alone
had no effect on IGFBP-1 synthesis (data not shown).

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Figure 5. Effect of H-89 on the accumulation of IGFBP-1
protein in the media of IL-1ß and cAMP-treated cells. Cells were
grown as described in Fig. 1 and switched to serum-free media. Cells
were treated with either cAMP and theophylline (2 mM each)
or IL-1ß (50 ng/ml). Some cells also received the PKA inhibitor H-89
(30 µM). After 16 h incubation, media were collected
and run on a 12% SDS-PAGE gel. After transfer to nitrocellulose, the
blots were probed for human IGFBP-1. Two representative Western blots
are shown.
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IL-1ß and cAMP have an additive effect on IGFBP-1
synthesis
The above data suggested that cAMP and IL-1ß stimulate IGFBP-1
synthesis by PKA-dependent and -independent pathways, respectively.
Therefore, we predicted that IL-1ß and cAMP would have an additive
effect on IGFBP-1 synthesis. Addition of IL-1ß, cAMP, and
theophylline individually approximately doubled IGFBP-1 mRNA
accumulation in HepG2 cells (Fig. 6
). A
combination of each of the individual agents was additive. Cells
treated with a combination of IL-1ß, theophylline, and cAMP
demonstrated the greatest expression of IGFBP-1 mRNA. Theophylline and
cAMP have previously been shown to have an additive effect on IGFBP-1
synthesis by Suwanichkul et al. (20).

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Figure 6. Additive effect of IL-1ß and cAMP on IGFBP-1
mRNA expression. Cells were grown as described in Fig. 1 and switched
to serum-free media. Cells were treated with cAMP (2 mM),
theophylline (2 mM), IL-1ß (50 ng/ml) or a combination of
these agents for 16 h. Cellular RNA was isolated in TRI-Reagent LS
and the resulting Northern blot quantitated as in Materials and
Methods. Values are the mean ± SE (n = 3
per condition). Groups with different letters are
significantly different from each other (P <
0.05). Groups with the same letter are not significantly
different.
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IL-1ß stimulates a time- and dose-dependent increase in the
phosphorylation of ERK and potential ERK substrates
The selective inhibition of IGFBP-1 synthesis by PD98059,
demonstrated in Figs. 1
and 2
, suggested that IL-1ß might stimulate
the phosphorylation of ERK-1 and -2 in HepG2 cells. HepG2 cells
exhibited a constitutive expression and phosphorylation of ERK (Fig 7
, top panel). Maximal
stimulation of ERK-1 and -2 by IL-1ß occurred after 20 min and
returned to a basal phosphorylation state by 180 min. Additionally,
IL-1ß increased ERK phosphorylation in a dose-dependent manner (Fig. 7
, bottom panel). Maximal stimulation occurred at an IL-1ß
concentration of 1540 ng/ml (Fig. 7
, bottom panel).

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Figure 7. Stimulation of ERK phosphorylation by IL-1ß.
Cells were grown as described in Fig. 1 and switched to serum-free
media for 2 h. Cells were treated with IL-1ß for either various
periods of time (top panel) or with an increasing
concentration of IL-1ß for 20 min (bottom panel). Cell
extracts from triplicate wells were isolated in SDS-PAGE sample buffer
and run on a 10% SDS-PAGE gel. After transfer of proteins to
nitrocellulose, ERK phosphorylation was analyzed by Western blotting
and normalized for the total amount of ERK in each extract. Values are
the mean ± SE (n = 6 per condition). Groups with
different letters are significantly different from each
other (P < 0.05). Groups with the same
letter are not significantly different. Note that the
top panel demonstrates a time-dependent increase in the
phosphorylation of ERK, whereas the bottom panel
demonstrates a dose-dependent stimulation of ERK in response to
IL-1ß.
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The activation of ERK by IL-1ß suggested that additional downstream
substrates might be involved in the IL-1ß induced increase in IGFBP-1
synthesis. We examined the phosphorylation of MEK-1, ERK, and RSK-1
because the RSK kinases dock with ERK, and they have been shown to be
ERK substrates in other cell types (27). IL-1ß stimulated the
phosphorylation of MEK-1, ERK-1 and -2, and RSK-1 by 225%, 90%, and
290% respectively. The phosphorylation of all these proteins was
inhibited by PD98059 (Fig. 8
). The p38
MAP kinase also phosphorylates RSK isoforms. A p38 kinase inhibitor
(SB202190) inhibited the ability of IL-1ß to stimulate the
phosphorylation of MEK-3 and RSK-1. A combination of the PD and SB
compounds was more effective than either compound alone (Fig. 8
). This
suggests that part of the IL-1ß signal may be transmitted through
both ERK and p38. None of the compounds altered the total amount of
ERK-1, ERK-2 or RSK-1 in the cell extracts.

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Figure 8. Composite effect of IL-1ß, PD98059, and SB202190
on elements of the MAP kinase pathway. Cells were grown as described in
Fig. 1 and switched to serum-free media for 2 h. Cells were
pretreated with either PD98059 (20 µM) or SB202190 (10
µM) for 30 min followed by IL-1ß (50 ng/ml) for 20 min.
Cell extracts from triplicate wells were isolated in SDS-PAGE sample
buffer and run on a 10% SDS-PAGE gel. After transfer of proteins to
nitrocellulose, MEK-1 and -3, ERK-1 and -2, and RSK-1 phosphorylation
were analyzed by Western blotting with phospho-specific antibodies. A
composite figure showing the phosphorylation of each of these kinases,
and the effect of each kinase inhibitor is shown. The total amount of
ERK and RSK-1 in each extract is also shown.
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PD98059 and SB202190 alter IGFBP-1 mRNA stability
The IL-1ß induced increase in IGFBP-1 mRNA could be due to an
increase in IGFBP-1 gene transcription, RNA stability, or both. We
examined the ability of IL-1ß and cAMP to alter IGFBP-1 mRNA levels
in the presence of a transcription inhibitor (DRB). Both IL-1ß and
cAMP increased IGFBP-1 protein and mRNA after an overnight
incubation (Fig. 9
, A and B,
respectively). IGFBP-1 mRNA from IL-1ß and cAMP pretreated cells had
similar half-lives, and neither stimulus resulted in a significant
change in the half-life of IGFBP-1 mRNA compared with control values
(Fig. 9B
). Cells grown in the absence of DRB maintained a constant
amount of IGFBP-1 mRNA over the course of the experiment, whereas
DRB-treated cells showed progressively less IGFBP-1 mRNA over time,
confirming the ability of DRB to inhibit transcription in these
experiments (Fig. 9C
). PD98059 shortened the half-life of IGFBP-1 mRNA
from 2.5 h to 1.8 h in IL-1ß pretreated cells (Fig. 9D
;
P < 0.05). SB202190 also destabilized IGFBP-1 mRNA in
IL-1ß pretreated cells.

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Figure 9. Effect of IL-1ß and cAMP on IGFBP-1 mRNA
half-life. HepG2 cells were grown in triplicate wells of six-well
cluster dishes as described in Fig 2 . Cells were cultured either in
serum-free media alone (control) or in the presence of either cAMP and
theophylline (2 mM each) or IL-1ß (50 ng/ml) for 16
h. Conditioned media were collected, run on an SDS-PAGE gel, and probed
for IGFBP-1. A representative Western blot is shown (A). After 16
h, cells were treated with DRB to inhibit transcription and RNA was
isolated from triplicate wells at 3, 6, and 9 h. IGFBP-1 mRNA was
detected by Northern blotting and normalized to the amount of ß-actin
in the same sample. Arbitrary units (AU) determined by phosphoimager
analysis are shown (B). IGFBP-1 mRNA in cells treated with IL-1ß
followed by incubation with or without DRB to inhibit transcription is
shown (C). The effects of PD98059 and SB202190 on IGFBP-1 mRNA
half-life were determined by growing cells in the presence of IL-1ß
for 16 h followed by either DRB alone or DRB and PD98059 or
SB202190 (D). Note the ability of the PD and SB compounds to decrease
IGFBP-1 mRNA half-life.
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To determine if the PD and SB compounds affect the half-life of IGFBP-1
mRNA in unstimulated cells, we treated cells with DRB for 4h in the
presence of either PD98059 or SB202190. After 4 h, cells had 28%
(DRB alone), 17% (DRB + PD), or 11% (DRB + SB) of control IGFBP-1
mRNA levels remaining. Thus, both inhibitors decreased mRNA stability
by between 4060% (Fig. 10A
).

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Figure 10. Effect of PD98059, SB202190, and cAMP on the
half-life of IGFBP-1 mRNA. HepG2 cells were grown in presence of DRB
for 4 h to inhibit transcription. Some cells also received PD98059
or SB202190. RNA was isolated after 4 h and IGBP-1 mRNA
quantitated by Northern blotting (top panel). After
4 h approximately 28% (DRB alone), 17% (DRB + PD) and 11% (DRB
+SB) of the control levels (t = 0h) of IGFBP-1 mRNA remained.
Cells were also grown in the presence of cAMP for 16 h and then
treated with DRB in the presence or absence of additional cAMP and
PD98059. RNA was isolated from triplicate wells at 3, 6, and 9 h.
IGFBP-1 mRNA was detected by Northern blotting and normalized to the
amount of ß-actin in the same sample. The decay of IGFBP-1 mRNA in
cells treated with cAMP for 16 h followed by PD98059 in the
presence or absence of additional cAMP over the ensuing 9 h is
shown (bottom panel). Note the effect of additional cAMP
in blunting the ability of PD98059 to shorten the half-life of IGFBP-1
mRNA.
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Because the efficacy of cAMP and IL-1ß may be diminished after a
16 h incubation, we pretreated cells with cAMP and then added
additional cAMP to determine if this prevented PD98059 from altering
the half-life of IGFBP-1 mRNA. IGFBP-1 mRNA had a similar half-life
when cells were pretreated with cAMP overnight, and then treated with
or without additional cAMP during the half-life experiment (data not
shown). Additional cAMP added to the media during the half-life
experiment prevented PD98059 from altering IGFBP-1 mRNA half-life (Fig. 10B
). In contrast, PD98059 shortened the half-life of IGFBP-1 mRNA
regardless of whether additional IL-1ß was present during the
half-life experiment.
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Discussion
|
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This study demonstrates that IL-1ß and cAMP stimulate the
synthesis and secretion of IGFBP-1 by HepG2 cells. The effects of both
agents are additive, suggesting that they use different signal
transduction pathways to stimulate IGFBP-1 synthesis. The response to
IL-1ß can be prevented by PD98059 a specific inhibitor of the MAP
kinase-kinase, MEK-1. In contrast, cAMP-stimulated IGFBP-1 synthesis
was unaffected by PD98059. IL-1ß also activated multiple protein
kinase cascades in HepG2 cells, and this led to the phosphorylation of
transcription factors such as CREB, ATF-1, and Elk-1.
Little is known about how IL-1ß increases IGFBP-1 synthesis. Our data
suggest that the increase in IGFBP-1 mRNA is not due to an altered mRNA
half-life. Cells pretreated with IL-1ß or cAMP show an increase in
IGFBP-1 mRNA, but in the presence of DRB, all treatments exhibited
essentially identical decay kinetics. This would suggest that IL-1ß
increases IGFBP-1 transcription. Benbassat et al. (28) have
reported that IL-1
increases IGFBP-1 mRNA in HepG2 cells. Yet, these
authors found that IL-1
decreased IGFBP-1 promoter activity (28). It
is possible that an additional IL-1 responsive element might lie
outside of the region of the gene that these authors examined.
The effect of IL-1ß on IGFBP-1 synthesis may be tissue specific.
Frank et al. (29) have found that IL-1ß inhibits
IGFBP-1 synthesis in endometrial stromal cells. These investigators
did not examine the signal transduction pathway responsible for this
effect but did report that IL-1ß also impaired the synthesis of other
endometrial proteins and suggested that IL-1ß may influence the
differentiation of these cells. Gao et al. (30, 31) have
demonstrated the presence of an enhancer element in the IGFBP-1 gene,
and it is possible that this element responds differently to signals
generated by IL-1ß in a hepatic vs. a uterine environment.
Nuutila et al. (32) have also recently shown that a
prostaglandin E2 (PGE2) gel
can increase the cervical concentration of IGFBP-1.
PGE2 is an additional possible mediator of
IL-1ß action, but we were unable to demonstrate an increase in
IGFBP-1 synthesis in response to PGE2 in HepG2
cells (RAF unpublished observation).
The ERK and p38 kinases appear to be important for both basal and
IL-1ß stimulated synthesis of IGFBP-1. IL-1ß activates upstream MEK
kinase kinases as well as the downstream kinase RSK-1. This signal may
ultimately result in the phosphorylation of a transcription factor that
enhances the expression of the IGFBP-1 gene. This would be consistent
with a transient increase in ERK phosphorylation resulting in more
sustained changes in gene transcription (33). Potential transcription
factors would have to display the same positive regulation by IL-1ß
and negative regulation by PD98059, as do ERK, RSK1, and IGFBP-1.
ATF-1, ATF-2, and CREB display the same positive regulation in response
to IL-1ß, but the ATF and CREB responses were not blocked completely
by PD98059. In addition, IGFBP-1 synthesis remained robust when CREB
phosphorylation was inhibited with a PKA inhibitor. Our data suggest
that CREB mediates the stimulatory effect of cAMP, but not that of
IL-1ß, on IGFBP-1 synthesis. In addition, cAMP can prevent the
destabilizing effect on IGFBP-1 mRNA induced by inhibition of the MAP
kinase pathway.
SB202190 displayed a paradoxical ability to stimulate IGFBP-1
synthesis at low doses but this effect was absent at doses of 10
µM or greater. Another pyridinyl imidazole inhibitor
(SB203580) has recently been shown to inhibit the protein kinase B
kinase, phosphoinositide-dependent protein kinase-1 (34). Thus, this
class of inhibitors potentially has dual effects on basal and IL-1ß
stimulated IGFBP-1 synthesis. Inhibition of the PI 3-kinae pathway with
wortmannin has previously been shown to increase the transcription of
IGFBP-1 (35). Interestingly, we find that PD98059 also inhibits the
ability of wortmannin to increase IGFBP-1 mRNA, suggesting that the ERK
pathway is critical for the maintenance of IGFBP-1 mRNA.
A combination of MEK and p38 inhibitors was more potent than either
inhibitor alone at blocking the phosphorylation of RSK-1 in response to
IL-1ß. This response suggests that both the p38 and ERK pathways
contribute to phosphorylation of this substrate. We find that a
combination of the two inhibitors is also more potent at inhibiting
IGFBP-1 synthesis. Miwa et al. (33) have recently shown that
IL-1ß activates both ERK and p38 kinases in osteoblastic MC3T3-E1
cells. In these cells, IL-6 synthesis is inhibited by PD98059 and
SB203580, suggesting a critical role of these kinase pathways in
cytokine production. Because IL-6 also stimulates BP-1 synthesis in
hepatocytes (13), it is possible that paracrine production of IL-6 by
Kupffer cells may contribute to a positive feedback loop that
continuously promotes IGFBP-1 synthesis during inflammatory
conditions.
Initially, the MAP kinase pathway would appear to be a poor candidate
for the positive regulation of IGFBP-1 synthesis. It is well known that
insulin and IGF-I stimulate ERK phosphorylation, and both peptides are
negative regulators of IGFBP-1 synthesis. Yet, Cichy et al.
(35) have shown that insulin does not inhibit IGFBP-1 synthesis through
the MAP kinase pathway. Instead, insulin and IGF-I activate protein
kinase B to phosphorylate forkhead transcription factors (35, 36).
Under most circumstances, therefore, insulin and IGF-I are dominant
negative regulators of IGFBP-1 synthesis. Akt has recently been shown
to phosphorylate and inactivate the MEK kinase Raf by creating a
binding site for 143-3 proteins (37). Inhibition of the MAP kinase
pathway by Akt may be an additional mechanism by which insulin inhibits
IGFBP-1 synthesis.
The importance of the MAP kinase pathway in stimulating IGFBP-1
synthesis is consistent with a previous study in which epidermal growth
factor (EGF) stimulated IGFBP-1 synthesis (38). EGF, like IL-1ß, is a
well-known activator of ERK-1 and -2 (39). ERK and p38 MAP kinase are
also activated by protein synthesis inhibitors. Addition of anisomycin
or cycloheximide to cells results in a prolonged activation of the p38
MAP kinase pathway and phosphorylation of ELK-1 (40). Ooi et
al. (41), have also shown that cycloheximide dramatically
increases IGFBP-1 mRNA stability in H4-II-E hepatoma cells.
IL-1ß neither altered the half-life of IGFBP-1 mRNA nor prevented the
drop in mRNA stability that we observed in the presence of PD98059. The
PD compound diminished IGFBP-1 mRNA stability by 3040% in the basal
state as well as in IL-1ß pretreated cells. This suggests that flux
through the MAP kinase pathway is necessary to maintain the stability
of IGFBP-1 mRNA. PD98059 may alter the phosphorylation of factors that
bind to IGFBP-1 mRNA. The destabilizing effect of PD98059 can be
overcome by cAMP, but given its labile nature, this agent must be
present throughout the experiment. Flux through the MAP kinase pathway
is also required for maintaining the stability of mRNAs for the
muscarinic acetylcholine receptor (42) and macrophage inflammatory
protein-2 (43). In addition, transient transfection of MEK kinase-1
into HeLa cells has recently been shown to increase the stability of
IL-6 and IL-8 mRNA (44). Both mRNAs contain AU-rich sequences
similar to those in the 3' untranslated region of the IGFBP-1 message.
Progressive deletion of AU rich sequences in the IGFBP-1 mRNA have
recently been shown to dramatically stabilize the message (45).
In summary, the results of the present study indicate that IL-1ß
positively regulates IGFBP-1 synthesis via a MAP kinase signal
transduction pathway. This effect is specific because it can be
inhibited by PD98059, whereas this compound has no effect on the
ability of cAMP to stimulate IGFBP-1 synthesis. Transient
phosphorylation of a downstream kinase, such as RSK-1, presumably
activates transcription factor(s) that subsequently stimulate IGFBP-1
gene transcription and result in long-term changes in IGFBP-1 mRNA and
protein levels. Although IL-1ß does not alter the half-life of
IGFBP-1 mRNA, flux through the MAP kinase pathway appears to be
necessary for maintaining the stability of IGFBP-1 mRNA. Hence, IL-1ß
regulates IGFBP-1 synthesis in a manner that is unique from previously
studied activators, such as cAMP.
 |
Acknowledgments
|
|---|
We thank the Biological Resources Branch of the Biological
Response Modifiers Program Division of Cancer Treatment, National
Cancer Institute, for providing recombinant human IL-1ß.
 |
Footnotes
|
|---|
1 This work was supported in part by the National Institutes of Health
Grants GM-38032 and AA-11290. 
Received January 12, 2000.
 |
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