Endocrinology Vol. 142, No. 7 3098-3107
Copyright © 2001 by The Endocrine Society
Activation of the Insulin-Like Growth Factor 1 Signaling Pathway by the Antiapoptotic Agents Aurintricarboxylic Acid and Evans Blue1
Rachel Beery,
Michal Haimsohn,
Nadin Wertheim,
Rina Hemi,
Uri Nir,
Avraham Karasik,
Hannah Kanety and
Avraham Geier
Institute of Endocrinology, Sheba Medical Center (R.B., M.H., N.W.,
R.H., A.K., A.G.), Tel Hashomer 52621; and Faculty of Life Sciences,
Bar-Ilan University (R.B., U.N.), Ramat Gan 51905, Israel
Address all correspondence and request for reprints to: Dr. Avraham Geier, Institute of Endocrinology, Sheba Medical Center, 52621 Tel Hashomer, Israel. E-mail: geiera{at}bezeqint.net
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Abstract
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Aurintricarboxylic acid (ATA), an endonuclease inhibitor, prevents the
death of a variety of cell types in culture. Previously we have shown
that ATA, similar to insulin-like growth factor I (IGF-I), protected
MCF-7 cells against apoptotic death induced by the protein synthesis
inhibitor cycloheximide. Here we show that ATA and a polysulfonated
aromatic compound, Evans blue (EB), similar to IGF-I, promote survival
and increase proliferation of MCF-7 cells in serum-free culture medium.
This may suggest a common signaling pathway shared by the aromatic
polyanions and IGF-I. Therefore, the ability of these aromatic
compounds to activate the signal transduction pathway of IGF-I was
examined. We found that ATA and EB mimicked the IGF-I effect on
tyrosine phosphorylation of the IGF-I receptor (IGF-IR) and its major
substrates, insulin receptor substrate-1 (IRS-1) and IRS-2; induced the
association of these substrates with phosphatidylinositol 3-kinase and
Grb2; and activated Akt kinase and p42/p44 mitogen-activated protein
kinases. ATA and EB competed for IGF-I binding to the IGF-IR. ATA was
found to be selective for the IGF-IR, whereas EB also activated the
insulin receptor. Upon fractionation of commercial ATA by size
exclusion chromatography, we found that fractions that enhanced the
intensity of tyrosyl-phosphorylated IRS-1/IRS-2 also increased the
survival of MCF-7 cells in the presence of cycloheximide, whereas
fractions devoid of IRS phosphorylation activity had no survival
ability. Taken together, these results suggest that the
survival/proliferation-promoting effects of ATA and EB in MCF-7 cells
are transduced via the IGF-IR signaling pathway.
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Introduction
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INSULIN-LIKE growth factor I (IGF-I) and
the aromatic polyanion aurintricarboxylic acid (ATA) protect MCF-7
cells against death induced by the protein synthesis inhibitor
cycloheximide (CHX) (1). Both agents were found to prevent
cell death in a number of cell types caused either by growth factor
deprivation (2, 3, 4) or by treatment with various cytotoxic
drugs (5, 6, 7, 8, 9, 10, 11, 12). IGF-I was found to be a powerful survival
factor in renal (13), myocardial (14), and
neuronal (15) tissues after in vivo
administration. Likewise, in vivo administration of ATA was
shown to protect hippocampal rats neurons from
N-methyl-D-aspartate (NMDA) and
ischemia-induced toxicity (16) and to protect rat retina
cells from ischemic cell damage (17). Recently, it was
shown that ATA had not only a neuroprotective effect on axotomized,
adult retinal ganglion cells, but also enhanced the extent of axonal
regeneration in vivo (18). The molecular
mechanisms by which these different molecules prevent cell death are
not well understood.
IGF-I exerts its biological effects (cell proliferation,
differentiation, and survival) by binding to a tyrosine kinase
receptor, the IGF-I receptor (IGF-IR) (19, 20). This
binding results in a conformational change and cross-phosphorylation
between the ß-subunits of the receptor complex, leading to further
activation of the protein-tyrosine kinase activity (21).
This activation induces a rapid phosphorylation of insulin receptor
substrate-1 (IRS-1), IRS-2, and Shc, which are the major substrates for
IGF-IR. The tyrosyl-phosphorylated IRS proteins serve as docking sites
for numerous SH2 domain-containing proteins, including the p85
regulatory subunit of phosphatidylinositol 3-kinase (PI3K) and Grb2.
PI3K then initiates phospholipid turnover, and Grb2/SOS activation
results in initiation of the mitogen-activated protein kinase (MAPK)
signal transduction cascade. It has been suggested that both PI3K,
through its downstream target the serine-threonine kinase Akt, as well
as the MAPK pathways are involved in IGF-I inhibition of apoptosis
(4, 22). Recent results show that IGF-I, through Akt or
MAPKs, can promote cell survival by phosphorylating, and thereby
inhibiting, BAD, the proapoptotic member of the Bcl-2 family
(23, 24, 25). Furthermore, it has been demonstrated that MAPKs
induce phosphorylation of Bcl-2, which may stabilize the Bcl-2-Bax
heterodimerization and support survival (26).
The antiapoptotic effects of ATA were usually attributed to its ability
to inhibit the endogenous endonuclease activity involved in
fragmentation of DNA into 180-bp oligonucleosome integer fragments.
This assumption was derived from cell-free studies that demonstrated
that ATA inhibits many nucleic acid-binding proteins, including RNA
polymerase, replicase, exonuclease III, deoxyribonuclease I,
ribonuclease A, S1 nuclease, and various restriction nucleases
(27, 28). However, because of its charge, ATA seems to be
membrane impermeant (29). Indeed, ATA appears to block the
apoptotic death of trophic factor-deprived PC12 cells by acting at
points upstream of c-Jun kinase activation (30), which
contrasts the assumption that ATA acts as an endonuclease inhibitor.
Moreover, it was shown that ATA antagonizes NMDA binding to the NMDA
receptor (7), blocks the binding of gp120, the human
immunodeficiency virus coat protein to CD4 molecule (31),
and prevents the binding of interferon-
to its receptor
(32). These findings support the idea that the site of
action of ATA is at the surface of cells rather than on endonucleases
in the nucleus.
A similar mechanism was proposed for ATAs action in PC12 cells
(33). It has been suggested that activating a certain
growth factor receptor tyrosine kinase underlies the protective effect
of ATA, as MAPKs, Shc proteins, and phospholipase C-
were tyrosine
phosphorylated in ATA-treated PC12 cells.
An additional endonuclease inhibitor, the sulfonated aromatic polyanion
Evans blue (EB), was found to be a survival agent, and similar to ATA,
it was shown to protect renal tubular cells against DNA strand break
and death induced by H2O2
or hypoxia/reoxygenation injuries (6). To understand the
molecular mechanism by which ATA and EB mediate cell survival, we
investigated the possibility that activation of IGF-I signaling
underlies the marked cytoprotective effect of these drugs. Therefore,
we examined the effects of the polyanions on the activation of several
key proteins in the IGF-I signal transduction pathway.
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Materials and Methods
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Materials
Recombinant human IGF-I and epidermal growth factor (EGF) were
obtained from Roche Molecular Biochemicals (Mannheim,
Germany). Recombinant human insulin was a gift from Novo-Nordisk
(Copenhagen, Denmark). Recombinant NDF preparations were a gift from Y.
Yarden (Weizmann Institute of Science, Rehovot, Israel). IGF-I,
iodinated to a specific activity of 275 µCi/µg using the
chloramine-T method, was provided by Dr. A. Silbergeld (Felsenstein
Medical Research Center, Petach Tikva, Israel). CHX,
12-O-tetradecanoyl phorbol 13-acetate (TPA), ATA, EB,
suramin, and heparin were purchased from Sigma (St. Louis,
MO). Protein G- and protein A-Sepharose were obtained from
Amersham Pharmacia Biotech AB (Uppsala, Sweden).
Wheat germ agglutinin (WGA) coupled to agarose and all other reagents
were obtained from Sigma.
Antibodies
Monoclonal antiphosphotyrosine antibody was purchased from
Transduction Laboratories (Lexington, KY). Polyclonal anti-IRS-1 and
IRS-2 antibodies and the polyclonal antibody directed against the
regulatory subunit of PI3K were purchased from Upstate Biotechnology, Inc. (Lake Placid, NY). Polyclonal
antiphospho-specific Akt (Ser473) antibody was
obtained from New England Biolabs, Inc. (Beverly, MA).
Polyclonal anti-active MAPK antibody was purchased from Promega Corp. (Madison, WI), and monoclonal anti-MAPK (extracellular
signal-regulated kinases 1 and 2) antibody was obtained from
Zymed Laboratories, Inc. (San Francisco, CA). Polyclonal
anti-Grb2 and anti-IGF-IR ß-subunit antibodies, and polyclonal
antibodies to erbB1 and erbB4 were obtained from Santa Cruz Biotechnology, Inc. (Santa Cruz, CA).
Cell culture
Breast cancer cells (MCF-7) were grown in DMEM supplemented with
6% FBS (Biological Industries, Bet Haemek, Israel), as previously
described (1). Parental NIH-3T3 cells, NIH-3T3 cells
overexpressing the wild-type human IGF-IR (NWTc43), or the
kinase-defective receptor (NKR-1), a gift from D. LeRoith (NIH,
Bethesda, MD), were grown in DMEM supplemented with 10% FBS as
previously described (34). Breast cancer cells (MDA-231)
and rat hepatoma cells (FaO) were grown in RPMI 1640 medium
supplemented with 6% or 10% FBS, respectively, as previously
described (10, 35).
Phosphorylation/activation experiments
Subconfluent monolayers cells, grown in 60-mm dishes, were
deprived of serum for 20 h before each experiment. The medium was
aspirated, and cells were washed twice and incubated with the indicated
reagents in serum-free medium at 37 C under the experimental
conditions. The reaction was terminated by removing the medium and
freezing cell monolayers with liquid nitrogen. In some experiments
cells were preincubated with 50 µM sodium orthovanadate
for 3 h.
Survival and proliferation analysis
Subconfluent cells grown in 35-mm dishes were deprived of serum
for 20 h and then exposed to fresh serum-deprived medium in the
absence or presence of the indicated additives. After treatment, the
medium was recovered, and the cells were detached with trypsin. The
medium and the detached cells were pooled, and viability was estimated
by trypan blue assay, as previously described (1). In some
experiments cells deprived of serum for 20 h were exposed to 30
µg/ml CHX in the absence or presence of increasing concentrations of
fractionated ATA, crude ATA, EB, or IGF-I. Cell death was estimated as
described above.
Protein analysis
Cells were solubilized at 4 C with buffer A [50 mM
HEPES, 2 mM sodium orthovanadate, 80 mM
ß-glycerophosphate, 50 mM NaF, 10 mM sodium
pyrophosphate, 2 mM sodium EGTA, 2 mM sodium
EDTA, 1% Triton x-100, 10% glycerol, and protease inhibitor mixture
(Sigma), 1:1000, pH 7.4]. The solubilized cells were
centrifuged at 12,000 x g for 15 min at 4 C. Aliquots
of the supernatants were normalized for protein, mixed with
concentrated (5x) Laemmli sample buffer, and resolved on 7.5%, 10%,
or 12% SDS-PAGE.
For immunoprecipitation, cells were solubilized in buffer B (50
mM Tris-HCl, 1% Nonidet P-40, 0.25% sodium deoxycholate,
150 mM NaCl, 1 mM sodium EGTA, 1 mM
sodium orthovanadate, and 1 mM NaF, protease inhibitor
mixture, 1:1000, pH 7.4). Aliquots (0.51.0 mg) were
immunoprecipitated at 4 C with antibodies to IRS-1, IRS-2, IGF-IR, and
Grb2, coupled to protein A or A/G Sepharose beads. The immunocomplexes
were washed three times with buffer B and resolved on SDS-PAGE.
Electrophoretic transfer of proteins to nitrocellulose papers was
carried out as previously described (35). Blots were
incubated with the indicated antibodies, and proteins were detected by
enhanced chemiluminescence.
In vitro autophosphorylation of IGF-IR
IGF-IR from untreated MCF-7 cells was purified by WGA affinity
chromatography as previously described (36). Samples of
the resultant WGA-purified receptors were incubated without or with ATA
or IGF-I for 30 min at 22 C. Autophosphorylation was initiated by the
addition of 1 mM ATP in buffer C (50 mM HEPES,
10 mM MgAc, 4 mM MnAc, and 0.05% Triton X-100,
pH 7.4). The reaction was continued for 1 min at 22 C, then stopped
using Laemmli sample buffer. Samples were analyzed by SDS-PAGE,
transferred to a nitrocellulose membrane, and immunoblotted with
antiphosphotyrosine antibody as described above.
PI3K activation
PI3K activity associated with IRS-1 was measured as previously
described (4). Briefly, cells were stimulated with the
indicated additives, lysed, and equal amounts of protein from cell
lysates were immunoprecipitated with anti-IRS-1 antibody. The
precipitates were incubated in vitro in the presence of
phosphatidylinositol and [
-32P]ATP (3000
Ci/mmol; Amersham Pharmacia Biotech UK Ltd.,
Buckinghamshire, UK) for 10 min. The products of the kinase
reaction were analyzed by TLC. Detection of phosphorylated lipids was
performed by autoradiography.
IGF-I binding assay
Subconfluent cells, grown in 12-well plates, were deprived of
serum for 20 h. Cultures were rinsed twice with ice-cold PBS.
[125I]IGF-I (2 ng/ml) was then added in
combination with various concentration of ATA, suramin, or fuchsin
(01000 µg/ml) for 3 h at 4 C. Thereafter, the cells were
washed twice with PBS to remove unbound ligand and then lysed in 0.5
N NaOH. Released radioactivity was measured in a
-counter. Nonspecific binding, determined in the presence of unbound
IGF-I (1000 ng/ml), did not exceed 15% of the total binding.
Fractionation of ATA
ATA fractions were prepared as previously described
(37). Five hundred milligrams of commercial ATA were
dissolved in 2 ml buffer D (2 M KSCN and 10 mM
sodium phosphate, pH 7.2). The solution was applied to a 2 x 68
cm Bio- P-4 column (Bio-Rad Laboratories, Inc., Richmond,
CA) in buffer D. The void volume fractions from three preparations were
pooled and separated on a 2 x 68-cm gel column of P-10
(Bio-Rad Laboratories, Inc.) in buffer D. ATA polymers in
the elution fractions were precipitated by adjusting the pH to 3.03.5
and concentrated by centrifugation at 6000 x g for 15
min. The precipitated polymers were washed twice in 150
mM NaCl/3 mM HCl and
lyophilized to dryness.
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Results
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Survival and proliferation of MCF-7 cells
Previously we have shown that ATA, similar to IGF-I, and the
protein kinase C (PKC) activator TPA, protected the viability of MCF-7
cells in the presence of the protein synthesis inhibitor CHX
(1). Here we examined the effect of ATA and an additional
aromatic polyanion, EB, on the survival and proliferation of MCF-7
cells in serum-free culture medium. As shown in Fig. 1A
, MCF-7 cells die in the absence of
serum, leaving about 20% viable cells after 4 days in culture. ATA and
EB as well as TPA protected cell viability similar to IGF-I. Moreover,
in the presence of ATA and EB, but not TPA, MCF-7 cells continued to
proliferate, similar to cells in the presence of IGF-I (Fig. 1B
). Our
findings that ATA and EB mimic these effects of IGF-I and the
increasing evidence that the site of ATAs action is at the surface of
cells suggest that the aromatic polyanions and IGF-I may share a common
signaling pathway.

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Figure 1. Effect of ATA and EB on survival and
proliferation of serum- deprived MCF-7 cells. Cells were grown in
serum-free culture medium in the absence or presence of IGF-I (20
ng/ml), ATA (200 µg/ml), EB (300 µg/ml), and TPA (40 ng/ml) up to 4
days. On the second day in culture, medium was replaced by identical
fresh medium. Cell viability (A) and cell number (B) were estimated as
described in Materials and Methods. Results are the
mean ± SD of five independent experiments performed
in duplicate. As commercial ATA is composed of a mixture of polymers of
different Mr, we did not express the concentrations of ATA
and the other drugs in molar units.
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Protein tyrosine phosphorylation profile
As the protein tyrosine phosphorylation cascade is involved in the
initial steps of IGF-I signal transduction pathway, we compared the
profile of tyrosine-phosphorylated proteins in lysates of MCF-7 cells
treated with the diverse survival factors ATA, EB, TPA, and IGF-I. The
ability of two additional polyanions, suramin and heparin, to induce
tyrosine phosphorylation was also evaluated. As shown in Fig. 2
, the agents examined stimulated the
phosphorylation of several proteins, but only ATA and EB, similar to
IGF-I, enhanced tyrosine phosphorylation of 95- and 185-kDa proteins,
which may correspond to IGF-IR and IRS-1/2, respectively.

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Figure 2. Effect of ATA and EB on protein tyrosine
phosphorylation. Cells were treated for 5 min with 200 µg/ml ATA, 300
µg/ml EB, 300 µg/ml suramin (SUR), and 300 µg/ml heparin (HEP),
20 ng/ml IGF-I, and 40 ng/ml TPA or were not treated (CON). Total cell
extracts solubilized in buffer A were subjected to SDS-PAGE and
immunoblotted with an antiphosphotyrosine antibody as described in
Materials and Methods. Results are
representative of three separate experiments.
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Tyrosine phosphorylation of the IGF-IR
To examine the possibility that the 95-kDa protein may correspond
to (or contain) the IGF-IR, lysates from MCF-7 cells treated with ATA,
EB, or IGF-I were immunoprecipitated with anti-IGF-IR-specific
antibody, followed by blotting with an antibody to phosphotyrosine. As
shown in Fig. 3A
, ATA and EB, similar to
IGF-I, induced phosphorylation of the IGF-IR ß-subunit. Stripping and
reblotting with an anti-IGF-IR antibody confirmed that similar amounts
of the receptor were present in the immunoprecipitates.

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Figure 3. Effect of ATA and EB on tyrosine phosphorylation
of the IGF-IR. MCF-7 cells, were treated with 200 µg/ml ATA, 200
µg/ml EB, or 100 ng/ml IGF-I for 5 min (A) and with the indicated
concentration of ATA, EB, or IGF-I for 5 min (B); and for the indicated
times (C). Total cell extracts, solubilized in buffer B, were subjected
to immunoprecipitation with anti-IGF-IR antibody. The immunocomplexes
were subjected to SDS-PAGE followed by immunoblotting with an
antiphosphotyrosine antibody as described in Materials and
Methods. The membrane after enhanced chemiluminescence
detection (A) was stripped of bound antibody and reblotted with
anti-IGF-IR antibody. In vitro phosphorylation of the
IGF-IR (D) was performed on lysed untreated MCF-7 cells after affinity
purification with WGA. The WGA receptor preparation was incubated for
30 min with ATA (300 µg/ml) or IGF-I (100 ng/ml), and
autophosphorylation was performed as described in Materials and
Methods. Proteins were resolved by SDS-PAGE and immunoblotted
as described above. The results of two independent experiments are
presented.
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ATA and EB increased tyrosine phosphorylation of the IGF-IR in a
dose-dependent manner. As shown in Fig. 3B
, phosphorylation reached a
maximum after exposure to 100200 µg/ml of either ATA or EB compared
with 100 ng/ml IGF-I. At these concentrations maximal phosphorylation
was achieved after 2060 min of treatment with ATA, EB, and IGF-I
(Fig. 3C
). Interestingly, the phosphorylation induced by ATA and EB did
not decline up to 120 min, whereas the phosphorylation induced by IGF-I
decreased gradually, indicating a sustained activation of the IGF-IR by
the aromatic polyanions.
To determine whether ATA is capable of directly activating the IGF-IR,
WGA partially purified IGF-IR was employed in a cell-free
phosphorylation system. Figure 3D
demonstrates that ATA and IGF-I
stimulated phosphorylation of the WGA-purified receptor preparation.
The band observed at 95 kDa is consistent with the reported
autophosphorylation of the ß-subunit of the IGF-IR.
Tyrosine phosphorylation of IRS-1/IRS-2 and activation of
PI3K
The 185-kDa tyrosine-phosphorylated protein(s) depicted in Fig. 2
may correspond to (or contain) IRS-1 and IRS-2. To examine this
possibility, cells were stimulated with ATA, EB, or IGF-I. Solubilized
proteins were immunoprecipitated with anti-IRS-1 and IRS-2 antibodies,
separated by SDS-PAGE, and immunoblotted with antiphosphotyrosine
antibody. As shown in Fig. 4A
(upper panel), ATA and EB, similar to IGF-I, stimulated the
tyrosine phosphorylation of IRS-1. Similar phosphorylation of IRS-2 is
shown in Fig. 4B
(upper panel). IRS-1 and IRS-2 act as
docking proteins, which in their tyrosine-phosphorylated state
associate with and activate several protein molecules that transmit the
downstream signal of IGF-I. Thus, IRS-1 and IRS-2 immunoprecipitates
were tested for the presence of PI3K and Grb2. Lysates from treated
cells were immunoprecipitated with IRS-1 and IRS-2 antibodies, and the
immunoprecipitates were immunoblotted with an antibody directed to the
p85 subunit of PI3K. As shown in Fig. 4A
(lower panel), p85
precipitated with IRS-1 in either ATA- or EB-treated as well as in
IGF-I-treated cells. Similar results were achieved with IRS-2, as
demonstrated in Fig. 4B
(lower panel). Moreover, ATA and EB,
similar to IGF-I, increased the IRS-1-associated PI3K activity, whereas
suramin and heparin did not (Fig. 4C
). The association of IRS-1 with
Grb2 was evaluated in lysates from treated cells that were
immunoprecipitated with anti-Grb2 antibody and immunoblotted with
antibodies to either phosphotyrosine or IRS-1. As shown in Fig. 4D
, IRS-1 coprecipitated with Grb2 in ATA- and EB-treated as well as in
IGF-I-treated cells.

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Figure 4. Effect of ATA and EB on tyrosine phosphorylation
of IRS-1 and IRS-2. MCF-7 cells were treated with 200 µg/ml ATA, 300
µg/ml EB, or 20 ng/ml IGF-I for 5 min. Total cell extracts,
solubilized in buffer B, were subjected to immunoprecipitation with
antibodies to IRS-1 (A), IRS-2 (B), or Grb2 (D). The immunocomplexes,
precipitated with protein A-Sepharose beads, were subjected to SDS-PAGE
followed by immunoblotting with an antiphosphotyrosine antibody, an
antibody to the 85-kDa subunit of PI3K, and anti-IRS-1 antibody as
described in Materials and Methods. PI3K activity (C)
was assessed in the IRS-1 immunoprecipitates as described in
Materials and Methods. A representative
autoradiogram from two to four separate experiments is shown.
Arrows indicate the positions of radioactivity
corresponding to PI3-monophosphate (PIP) and the origin. SUR, Suramin;
HEP, heparin (each at 300 µg/ml).
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Activation of Akt and MAP kinases Erk-1 and -2
As IGF-I can promote cell survival by activating PI3K and its
downstream target, the serine-threonine kinase Akt (23),
we determined whether ATA and EB activate Akt in MCF-7 cells. The
activated form of Akt was detected by immunoblotting cell lysates with
a phospho-specific Akt (Ser473) antibody. As
shown in Fig. 5A
, ATA and EB, similar to
IGF-I, but not suramin, stimulated the phosphorylation of Akt.

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Figure 5. Effect of ATA and EB on activation of Akt and MAP
kinases (Erk-1 and -2). MCF-7 cells were treated for 20 min (A) or 5
min (B) with the indicated additives at the concentrations shown in
Fig. 2 . Cell lysates solubilized in buffer B were subjected to SDS-PAGE
and immunoblotted with an antiphospho-specific Akt antibody or an
antiactive MAP kinase antibody, respectively. The blots were
subsequently stripped and reblotted with anti-Akt or anti-MAP kinase
antibody, respectively. Results are representative of three separate
experiments.
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Another pathway by which IGF-I protects cell viability is by activating
MAPKs (24). MAPKs are known to be activated by
phosphorylation of specific tyrosine and threonine residues in response
to a variety of growth factors. Here we examined whether ATA, EB,
suramin, heparin, TPA, and IGF-I activate the MAP kinases Erk-1 and -2
in MCF-7 cells. The activated forms of MAPKs were detected by
antiactive MAPK immunoblotting in the MCF-7 cell lysates. As shown in
Fig. 5B
, the two phosphorylated isoforms, Erk-1 (p44) and Erk-2 (p42),
were clearly detected in blots prepared from cells treated with ATA,
EB, TPA, and IGF-I, but not in suramin- and heparin-treated cells.
ATA and EB compete for IGF-I binding
As ATA and EB activate the IGF-IR, we assessed their ability to
compete for IGF-I binding to the IGF-IR. Two additional polyanions,
fuchsin and suramin, structurally related to ATA and EB, respectively,
that did not activate the IGF-IR were also examined. A typical
concentration- response plot showing inhibition of
[125I]IGF-I binding to MCF-7 cells is
illustrated in Fig. 6
. ATA and EB
inhibited [125I]IGF-I binding in a
dose-dependent manner with IC50 of 45 and 130
µg/ml, respectively. The IC50 value for suramin
was 80 µg/ml, whereas fuchsin up to 200 µg/ml had only a minor
inhibitory effect. These data provide further evidence that ATA and EB
interact directly with the IGF-IR. Suramin interference with IGF-I
binding, could be explained by its interacting with IGF-I directly
rather than with its binding sites, as suggested previously (38, 39).

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Figure 6. Effect of ATA and EB on IGF-I binding. Cells were
exposed to 1 ng [125I]IGF-I and various concentrations of
ATA, EB, suramin, and fuchsin at 4 C for 3 h. Data are the mean
values for four determinations and are expressed as a percentage of
binding in the absence of added compound. Bars indicate
the SEM.
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ATA and EB are not phosphatase inhibitors
ATA and EB may enhance protein tyrosine phosphorylation either by
activation of tyrosine kinases or by inhibiting tyrosine phosphatases.
The possibility that ATA inhibits tyrosine phosphatases is unlikely, as
ATA did not augment the maximal phosphorylation of IRS proteins induced
by IGF-I (Fig. 7A
), in contrast to the
increase in phosphorylation induced by the potent phosphatases
inhibitor vanadate (Fig. 7B
). Similar results indicated that EB is not
a phosphatase inhibitor (data not shown).

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Figure 7. Effect of ATA and vanadate on the IGF-I-stimulated
phosphorylation of IRS proteins. A, MCF-7 cells were treated for 5 min
with the indicated concentrations of IGF-I in the absence or presence
of 200 µg/ml ATA. B, Cells incubated for 3 h in the absence or
presence of 50 µM vanadate were further incubated for 5
min with or without 200 µg/ml ATA, 300 µg/ml B, or 10 ng/ml IGF-I.
Cell extracts were analyzed by immunoblotting with antiphosphotyrosine
antibody as described in Fig. 2 . Results are representative of two
separate experiments.
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Tyrosine phosphorylation of ectopic overexpressed IGF-IR
Although it is tempting to suggest that ATA and EB bind directly
to the IGF-IR, the possibility that both polyanions activate a
putative, unknown tyrosine kinase capable of phosphorylating the IGF-IR
has to be investigated. Therefore, we examined the ability of the
aromatic polyanions to activate either an overexpressed wild-type or a
kinase- defective [lysine 1003 substituted to arginine
(34)] IGF-IR. As shown in Fig. 8
, ATA and EB, similar to IGF-I,
stimulated phosphorylation of the IGF-IR in NIH-3T3 cells that
overexpressed the wild-type human IGF-IR (NWTc43), but not in NIH-3T3
cells that overexpressed the kinase-defective receptor (NKR-1). These
findings support the idea that the aromatic polyanions interact with
and activate directly the IGF-IR.

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Figure 8. Effect of ATA and EB on tyrosine phosphorylation
of wild-type and mutated overexpressed IGF-IRs. NIH-3T3, NWTc43
(NIH-3T3 overexpressing wild-type human IGF-IRs), and NKR-1 (NIH-3T3
overexpressing kinase-defective human IGF-IRs) cells were treated with
200 µg/ml ATA, 300 µg/ml EB, or 20 ng/ml IGF-I for 5 min.
The immunoprecipitated IGF-IRs were assessed as described in Fig. 3A .
Results are representative of three separate experiments.
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Activation of other tyrosine kinase receptors by ATA and EB
To assess the specificity of the polyanions for the IGF-IR, we
tested the capability of ATA and EB to activate some other tyrosine
kinase receptors. As ATA and EB enhanced tyrosine phosphorylation of
185- and 95-kDa proteins, we tested the capability of ATA and EB to
induce the phosphorylation of members of the ErbB family proteins and
the insulin receptor. ATA and EB did not significantly enhance the
phosphorylation of ErbB1 (Fig. 9A
), ErbB4
(Fig. 9B
), or ErbB2 (not shown) in MDA-231 cells. ErbB3 was not
detected in these cells. In contrast, the highly homologous insulin
receptor was heavily phosphorylated by EB and only weakly by ATA in FaO
cells (Fig. 9C
), suggesting that ATA is a selective activator for the
IGF-IR.

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Figure 9. Effect of ATA and EB on tyrosine phosphorylation
of erbB1, erbB4, and insulin receptor. Cells deprived of serum for
20 h were incubated with or without 200 µg/ml ATA, 300 µg/ml
EB, 20 ng/ml EGF, 50 ng/ml Neu differentiation factor (NDF), and 600
ng/ml insulin for 5 min. MDA-231 cell extracts were subjected to
immunoprecipitation with antibodies to erbB1 (A) or erbB4 (B). Proteins
from FaO cell lysates were immunoprecipitated with antibodies to the
insulin receptor (C). The immunoprecipitates were analyzed by
immunoblotting with antiphosphotyrosine antibodies. Results are
representative of two separate experiments.
|
|
Correlation of IRS protein phosphorylation and cell survival with
Mr of fractionated ATA
Commercial ATA is composed of a mixture of polymers of different
Mr (37). To examine the relationship
between polymer size and cell survival or protein tyrosine
phosphorylation, ATA was fractionated into molecular fractions
containing polymers with a relatively narrow distribution of
Mr by size exclusion chromatography, as described
above (Fig. 10A
). The ability of the
various ATA fractions to induce the phosphorylation of IRS proteins
(p185) and to protect CHX-treated MCF-7 cells from death was
investigated. As shown in Fig. 10
, B and C, both the intensity of
IRS-1/IRS-2 tyrosine phosphorylation and the survival of MCF-7 cells
were increased by the high Mr ATA polymers. Low
Mr fractions (<1300) had neither the potency to
stimulate IRS protein phosphorylation nor the ability to inhibit cell
death when tested at a final concentration of 200 µg/ml (data not
shown).

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|
Figure 10. Effect of fractionated ATA on p185
phosphorylation and cell survival. A, Crude ATA was first separated on
a Bio-Rad Laboratories, Inc., P-4 column (data not shown).
The combined void volume was then gel filtrated on a column of P-10 as
described in Materials and Methods. The column was
calibrated with the following mol wt markers: DB, dextran blue
(2,000,000); CC, cytochrome C (12,400); INS, insulin (5,800); and B12,
vitamin B12 (1,350). B, MCF-7 cells were incubated for 5 min with the
indicated fractions of 200 µg/ml ATA (eluted from the P-10 column
shown in A), 200 µg/ml crude ATA, and 20 ng/ml IGF-I. Cell extracts
were subjected to SDS-PAGE and immunoblotted with antiphosphotyrosine
antibody. C, Subconfluent, 20-h starved MCF-7 cells were exposed to 30
µg/ml CHX in the presence of increasing concentrations of crude ATA
and fractionated ATA (0100 µg/ml). After 48 h, the percentage
of dead cells was determined as described in Materials and
Methods. In the presence of CHX only, 6070% of the cells
were dead after 48 h. IGF-I at 3 ng/ml inhibited 50% of the
induced cell death. IC50, The concentrations of
fractionated ATA and crude ATA that inhibit 50% of cell death.
|
|
 |
Discussion
|
|---|
Recently, it was demonstrated that small nonpeptidyl molecules are
capable of mimicking the in vitro and in vivo
functions of protein hormones by interacting with and activating their
receptors. Thus, Tian et al. (40) found that SB
247464, a molecule containing benzimidazole groups, is capable of
activating the granulocyte colony-stimulating factor signal
transduction pathway. The drug induced tyrosine phosphorylation of
multiple signaling proteins and stimulated primary murine bone marrow
cells to form granulocytic colonies in vitro. It also
elevated peripheral blood neutrophil counts in mice. Zhang et
al. (41) found a nonpeptidyl fungal metabolite
(L-783,281) that stimulated insulin receptor- mediated IRS-1
phosphorylation and activated other components of the insulin signal
transduction pathway. The compound stimulated glucose uptake in rat
primary adipocytes and lowered blood glucose levels after oral
administration in diabetic mice. As the major disadvantage of protein
drugs is that they cannot be taken orally, such nonpeptidyl drugs,
which mimic the effects of hormones, have great potential for
developing oral substitutes for hormone drugs.
In the present study we supply evidence to suggest that the nonpeptide
molecules ATA and EB promote cell survival and proliferation by
activation of the IGF-IR signaling pathway. We have demonstrated in
MCF-7 cells that ATA and EB, similar to IGF-I, stimulated tyrosine
phosphorylation of the IGF-IR and its major substrates, IRS-1 and
IRS-2, and activated central components of the IGF-I signal
transduction pathway. Both compounds increased phosphorylation of the
IGF-IR in a time- and dose-dependent manner, yet at higher
concentrations than the natural ligand. The generality of our
observation in MCF-7 cells is supported by the findings that IGF-IR was
activated by the two aromatic polyanions in NIH-3T3 cells
overexpressing the human IGF-IR as well as in MDA-231 and PC12 cells
(data not shown).
The mechanism by which ATA and EB activate the IGF-IR is still unclear.
ATA and EB are negatively charged molecules at physiological pH
(42). Because of their charge, they seem to be membrane
impermeant (29). Therefore, we assume that the negatively
charged groups in these compounds interact with positively charged
groups on the extracellular domains of the IGF-IR. This binding may
lead to a conformational change in the receptor, resulting in
activation of its protein-tyrosine kinase. Binding data, which
demonstrated a dose-dependent displacement of IGF-I by ATA and EB,
support the idea that the two polyanions act as competitive agonists.
However, these compounds bind with a lower affinity than the natural
ligand to the same binding region on the IGF-IR. Alternatively, the
polyanions may interact at a receptor site distinct from the
IGF-I-binding site, which, in turn, could induce a conformational
change such that IGF-I affinity to the receptor was reduced. The
possibility that ATA and EB inhibit IGF-I binding by interacting with
IGF-I directly, thus effectively lowering the available IGF-I
concentration, cannot be excluded. Suramin, which also inhibited IGF-I
binding (but did not activate the IGF-IR), has been shown previously to
inhibit the binding of various growth factors, including IGF-I, to cell
surface receptors, leading to a decrease in their biological
activities. It has been indicated that this inhibition occurs through a
direct action on the ligands, rather than on the receptors (38, 39).
Direct binding and activation of the IGF-IR by ATA are further
supported by our results in a cell-free system, which indicate that
ATA, similar to IGF-I, stimulated the phosphorylation of WGA-purified
IGF-IR. Activation of a putative, unknown tyrosine kinase capable of
phosphorylating the IGF-IR can be excluded, because neither drug
induced phosphorylation of an IGF-IR with a defective ATP-binding
domain. In support of this view are findings that the transforming
nonreceptor tyrosine kinase Src can directly phosphorylate the
kinase-defective IGF-IR in vitro (43). The
possibility that ATA or EB enhances tyrosine phosphorylation by
inhibition of tyrosine phosphatases is unlikely, because ATA did not
augment the maximal phosphorylation induced by IGF-I, in contrast to
the increase in phosphorylation induced by the phosphatase inhibitor
vanadate. Taken together these results suggest a common mechanism of
action shared by the aromatic polyanions and IGF-I.
ATA and EB are known to prevent the death of various cell types
(2, 3, 6). We have shown previously that ATA, similar to
IGF-I, can modulate apoptotic signaling and suppress apoptosis
(1, 10). Phosphorylation of IRS proteins and activation of
PI3K, Akt, and MAPK proteins by ATA and EB indicate the ability of both
aromatic polyanions to activate pivotal elements in IGF-I signaling
that are essential for cell survival (24, 25). Our
findings that ATA and EB mimic the effects of IGF-I may be of great
relevance to their antiapoptotic activity, as IGF-I is a major
cellular survival factor (13, 14, 15). The specificity of this
action is underlined by our findings that other aromatic and
nonaromatic polyanions, such as suramin and heparin, did not activate
this cascade. TPA, which was a survival factor in MCF-7 cells,
activated MAPKs probably by a different pathway, the PKC-Raf-1
mechanism (26), as the drug did not stimulate the
phosphorylation of IRS proteins. Thus, the enhanced cell survival and
the increased proliferation of MCF-7 cells induced by ATA and EB could
be mediated via activation of the IGF-I signaling cascade. In support
of this idea are our findings with fractionated ATA. Upon fractionation
by size exclusion chromatography, we found that fractions that enhanced
the intensity of tyrosyl-phosphorylated IRS-1/IRS-2 also increased the
survival of MCF-7 cells in the presence of CHX, whereas fractions
devoid of IRS phosphorylation activity had no survival ability. In
addition, we found that neither IGF-I nor ATA enhanced the survival of
parental NIH-3T3 cells treated with CHX. By contrast, in NIH-3T3
overexpressing a functional human IGF-IR, 15% and 8% of cell death
were found in the presence of IGF-I and ATA, respectively, compared
with 60% in the presence of CHX only (Wertheim, N., and H. Kanety,
unpublished observations). The idea that the protective ability of ATA
was mediated by the tyrosine phosphorylation cascade was previously
suggested by Okada and Koizumi (33). These researchers
found that MAPKs, Shc proteins, and phospholipase C-
were tyrosine
phosphorylated in ATA-treated PC12 cells. They speculated that ATA
activated a certain membranal receptor tyrosine kinase that was not the
nerve growth factor or EGF receptor. Our finding that the IGF-IR
signaling cascade is stimulated by ATA in PC12 cells (unpublished
results) offers a candidate for the speculated receptor tyrosine
kinase.
Recently, it was shown that ATA protected PRL-dependent Nb2 lymphocytes
against staurosporine-induced apoptosis (44). In these
cells ATA was found to activate the Janus kinase (JAK)-STAT (signal
transducer and activator of transcription) signaling pathway, but not
through the PRL or the interleukin-2 receptor. As IGF-I receptors were
detected in these cells (45), and IGF-IR was found to
activate the JAK-STAT pathway (46, 47), activation of the
IGF-IR may be one mechanism by which ATA affects the JAK-STAT pathway
in Nb2 lymphocytes.
In summary, the results of this study indicate that ATA and EB activate
the IGF-IR signal transduction pathway. ATA molecules are selective
activators of the IGF-IR, whereas EB also activates the insulin
receptor. The survival/proliferation-promoting effects of ATA and EB in
MCF-7 cells could be transduced via this pathway. Further understanding
of the molecular mechanism by which these compounds protect cell
viability may be useful in designing a novel class of nonpeptide
antiapoptotic drugs for treatment of a number of pathological
conditions, ranging from ischemia or drug toxicity in heart and kidney
to neurodegenerative disorders such as Alzheimers and Parkinsons
diseases.
 |
Acknowledgments
|
|---|
We are grateful to Prof. Derek LeRoith (NIH, Bethesda, MD) for
providing us the various NIH-3T3 cells. We thank Prof. Yosef Yarden
(Weizmann Institute of Science, Rehovot, Israel) for the
recombinant NDF, and Dr. A. Silbergeld (Felsenstein Medical Research
Center, Petach Tikva, Israel) for the labeled IGF-I. We also
thank Prof. Yehiel Zick (Weizman Institute of Science) for helpful
comments and discussions.
 |
Footnotes
|
|---|
1 This work was supported in part by a grant from The Leslie and Susan
Gonda (Goldschmied) Foundation (Los Angeles, CA to U. N., H. K., and
A. G.). 
Received November 20, 2000.
 |
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