Endocrinology, doi:10.1210/en.2003-1522
Endocrinology Vol. 145, No. 6 3023-3031
Copyright © 2004 by The Endocrine Society
Glucose-Induced Expression of the Cyclin-Dependent Protein Kinase 5 Activator p35 Involved in Alzheimers Disease Regulates Insulin Gene Transcription in Pancreatic ß-Cells
Mariano Ubeda,
Daniel M. Kemp and
Joel F. Habener
Laboratory of Molecular Endocrinology, Massachusetts General Hospital, Howard Hughes Medical Institute and Harvard Medical School, Boston, Massachusetts 02114
Address all correspondence and requests for reprints to: Joel F. Habener, M.D., Laboratory of Molecular Endocrinology, Massachusetts General Hospital, 55 Fruit Street, Wellman 306, Boston, Massachusetts 02114. E-mail: jhabener{at}partners.org.
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Abstract
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The deposition of amyloid within the insulin-producing islets of Langerhans in the pancreas is a common pathological finding in patients with type 2 diabetes. Its relationship with age and the progression of the disease resembles the pathological deposition of ß-amyloid in the brains of Alzheimers patients. Endocrine cells of pancreatic islets and cells of neuronal lineages express a shared subset of specialized genes. The hyperactivity of the cyclin-dependent protein kinase CDK5, involved in the development and differentiation of the nervous system, is associated with Alzheimers disease. Overactivity of CDK5 occurs by proteolytic cleavage and cellular mislocalization of its activator, p35. These alterations in p35/CDK5 signaling pathway may mediate, at least in part, the functional abnormalities characteristic of Alzheimers disease. In this study we report that both the p35 and CDK5 genes are expressed in insulin-producing ß-cells of the pancreas. We detect in ß-cells the formation of an active p35/CDK5 complex with specific kinase activity. Notably, elevations of the extracellular concentration of glucose result in increases in p35 mRNA and protein levels that parallel elevations of p35/CDK5 activity. Functional studies show that p35 stimulates the activity of the insulin promoter and that the stimulation requires CDK5 because stimulation is blocked by roscovitine, an inhibitor of CDK5 activity, a dominant negative form of CDK5, and small interfering RNAs against p35. Our findings indicate that the expression of p35 and CDK5 in insulin-producing ß-cells ensembles a new signaling pathway, the activity of which is controlled by glucose, and its functional role may comprise the regulation of various biological processes in ß-cells, such as is the case for expression of the insulin gene.
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Introduction
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DIABETES MELLITUS is an age-related disease manifested by glucose intolerance and premature vascular disease. Diabetes is increasing in epidemic proportions in populations throughout the world. Diabetes is due to a failure of ß-cells in the endocrine pancreas (islets of Langerhans) to produce insulin in the amounts required to meet the bodys needs. The major form of type 2, maturity-onset diabetes is obesity-related diabetes, so-called adipogenic diabetes. Individuals with adipogenic diabetes become insulin resistant and overproduce and oversecrete insulin (hyperinsulinemia). In time, a subpopulation of adipogenic diabetic individuals develop endocrine pancreatic failure, a failure of the ß-cells to produce adequate amounts of insulin, resulting in persistently elevated blood glucose levels (hyperglycemia). Hyperglycemia accelerates the deterioration of ß-cell functioning, by so-called glucotoxicity, of unknown mechanisms. Deposition of insoluble amylin fibers in the islets is implicated in ß-cell failure and is a pathological landmark of type 2 diabetes (1).
Alzheimers disease is an age-related form of dementia due to a progressive loss of neuronal functioning, also characterized by the deposition of extracellular amyloid throughout the brain (amyloid plaques) and a significant decrease in brain mass. An overactivity of the cyclin-dependent protein kinase CDK5 in the brain has been implicated in neuronal degeneration and the formation of neurofibrillary tangles due to hyperphosphorylation of essential neuronal proteins such as MAP and Tau (2). CDK5 is regulated by the neuron-specific and cyclin-related protein p35 (also known as p35Ncdk5a). During the development of Alzheimers disease, p35 is processed to a smaller protein, p25, which is a constitutive activator of CDK5. The generation of p25 disrupts CDK5 localization and substrate preferences (2). In addition, the expression of p25 in neurons results in a collapse of microtubules, neurite retraction, and apoptosis (2).
Despite their endodermal origin, pancreatic endocrine cells share many molecular and cellular characteristics with neural ectoderm-derived neurons. Several specialized genes are expressed in both the nervous system and insulin-producing ß-cells of the pancreas. Genes such as enolase, tetanus toxin receptor, and the A2B5 antigen initially found in the nervous system were later found to be expressed in ß-cells (3). Another group of genes normally expressed in islet of Langerhans has been shown to be present in the nervous system. Some of these genes are only temporally expressed in the developing brain, such as insulin and the transcription factor IDX-1 (islet and duodenum homeobox-1) [PDX-1 (pancreatic and duodenal homeobox-1)] (4, 5, 6, 7), whereas other genes are permanently expressed, such as the genes for ATP-sensitive K+ channel (8, 9) and the LIM (Lin-11, Isl-1, and Mec-3) homeodomain protein islet-1 (10).
Because of the similarities between neurons and pancreatic ß-cells and between the neural degeneration of Alzheimers disease and the deterioration of ß-cell functioning in adipogenic diabetes, we reasoned that p35/CDK5 may also be expressed in ß-cells and contribute to the pathogenesis of diabetes mellitus. This idea was reinforced by the recent findings of statistical correlations between Alzheimer-type dementia and diabetes mellitus in longitudinal population-based cohort studies (11, 12), and the fact that the yeast ortholog of CDK5, Pho85, is involved in metabolic control (13, 14). We further hypothesized that continuous elevation of serum glucose may dysregulate CDK5 activity and thereby may provide an explanation of how persistent hyperglycemia may contribute to the progressive failure of ß-cell functioning in diabetes. To determine whether the p35/CDK5 has a possible functional role on ß-cell activity we examined p35/CDK5 in ß-cells. Our studies comprise mRNA detection by RT-PCR, cDNA cloning, and kinase activity assays. Furthermore, functional studies in cultured clonal INS-1 cells as well as experiments to assure specificity were performed. Our findings indicate that 1) pancreatic islets and cultured ß-cells express both p35 and CDK5; 2) elevations of the concentration of glucose in the culture medium result in induction of p35 expression that is translated into activation of the p35/CDK5 kinase activity; and 3) the expression of p35 and the activation of p35/CDK5 enhance transcriptional activation of the insulin gene. This effect on the insulin gene promoter is specific because it is prevented by roscovitine, an inhibitor of CDK5 activity, by a dominant negative form of CDK5, and by the use of small interfering RNA (siRNA), which acts by destabilizing the p35 mRNA and thereby reducing the level of p35 protein.
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Materials and Methods
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Chemicals, antibodies, and oligonucleotides
DNA-modifying enzymes were purchased from New England Biolabs (Beverly, MA) and Roche (Indianapolis, IN). Tissue culture media, serum and other reagents were obtained from Life Technologies, Inc. (Grand Island, NY), and roscovitine was purchased from Calbiochem (San Diego, CA). Antibodies against p35 (C-19) and CDK5 (C-8) were purchased from Santa Cruz Biotechnology, Inc. (Santa Cruz, CA). Oligonucleotides were synthesized at the Molecular Biology Core Facility of Massachusetts General Hospital. siRNAs were purchased from Dharmacon Research, Inc. (Lafayette, CO).
Cell lines and tissue culture
Rat INS-1 cells (provided by C. Wollheim, Geneva, Switzerland; passages 99110) were cultured in RPMI 1640 medium containing 10% fetal calf serum, 10 mmol/liter HEPES, 11.1 mmol/liter glucose, 1 mmol/liter sodium pyruvate, 50 µmol/liter 2ß-mercaptoethanol, 100 µU/ml penicillin G, and 100 mg/ml streptomycin. HeLa cells and NIH-3T3 fibroblasts were cultured in DMEM containing 10% fetal calf serum, 100 µU/ml penicillin G, and 100 mg/ml streptomycin. Cells were maintained at 37 C in a humidified incubator gassed with 5% CO2. Cell cultures were passaged by trypsinization and subcultured every 5 d.
Animals and human tissue sources
Male Wistar rats, 89 wk old and weighing 200250 g (The Jackson Laboratory, Bar Harbor, ME), were obtained for preparation of pancreatic tissue sections for immunocytochemistry. Purified human islets were obtained from the islet distribution programs of Cell Transplant Center, Diabetes Research Institute, University of Miami School of Medicine (Miami, FL), and Juvenile Diabetes Foundation Center for Islet Transplantation, Harvard Medical School (Boston, MA). Thoroughly washed islets were handpicked before performing RNA isolation and protein extraction for Western blot and kinase assays. Animal experiments were conducted in accordance with NIH guidelines for the care and use of laboratory animals and with approval from the Massachusetts General Hospital institutional animal care and use committee.
Plasmid DNA constructs
A rat p35 expression plasmid was constructed by RT-PCR amplification of the rat p35 coding sequence from INS-1 cells total RNA, maintaining its own Kozak sequence and inserting it into the pCR3 vector by TA cloning. The integrity of the construct was verified by DNA sequencing and Western blot detection of the corresponding expressed protein after transfection. Once the sequence was confirmed the same amplified cDNA was inserted in-frame into the pCMV-tag2 vector (Stratagene, La Jolla, CA) containing a Flag tag in its amino-terminal domain. A similar approach was used to construct an expression plasmid for rat CDK5 and to create a dominant negative version of CDK5. The latter was generated by substituting the GAT codon at position 144 for AAT through the use of the QuikChange kit (Stratagene, La Jolla, CA) as previously described by Van den Heuvel and Harlow (15). The 410 rat insulin-1 promoter luciferase construct was provided by Dr. M. German (University of San Francisco, San Francisco, CA).
RT, amplification by PCR, and Southern blot analysis
Total cellular RNA (5 µg) dissolved in 10 µl H2O was combined with 0.5 µg oligo(deoxythymidine) (Life Technologies, Inc.) and heated to 65 C for 10 min, then cooled on ice. RT buffer, deoxy-NTPs (50 µM each), dithiothreitol (5 mM), H2O, and 50 U SuperScript II enzyme (Life Technologies, Inc.) were incubated at 42 C for 40 min in a 40-µl reaction. PCRs were carried out using 2 µl cDNA template, 20 pmol each of forward and reverse primers, 0.2 µM each of deoxy-NTPs, 1x buffer, and 2.5 U thermostable Taq polymerase (TaKaRa Biomedical, Inc., Berkeley, CA) in a 100-µl reaction volume. Amplifications were performed with 30 cycles of 30-sec denaturation at 95 C, 30-sec annealing at 55 C, and 1-min extension at 72 C. Sense orientation primer for the rat p35 were: RP35-1, 5'-CGCGCAGTGGCACCATGGGCACGGTGCTGTCCCTG-3'; and nested, RP35-12, 5'-TCCCCCAGCTATCGAAAGGCCACAC-3'. The sequence of the antisense primers was: RP35-2, 5'-GGAGCGGTCCACGCTGCGCAGCCAGAGCACGGGGT-3'; and nested: RP35-22, 5'-CGTTGGGGACAAGTGCTTCAGGCGG-3'. Confirmation of the identity of the amplified band was achieved by Southern blot analysis after transferring the amplified DNA onto a nitrocellulose filter and hybridization with a 32P-labeled internal oligonucleotide probe RP35-3 (5'-GGTTCTCATTGTTGAGGTGCGCGATGTTGCTCTGGTAGCTGCTGTTGGGCTGCGCCTTCTTGGAGTTC-3'). For the human p35 sequence, the sense primer was HP351 (5'-GCGCGCAGCAGCACCATGGGCACGGTGCTGTCC-3'), and the antisense primer was HP35-2 (5'-TGCTCACCGATCCAGGCCTAGGAGGAGCCGCTT-3').
Immunocytochemistry
Cryosections of 6 µm were prepared from rat pancreases and fixed with 4% paraformaldehyde in PBS. Sections were first blocked with 3% normal donkey serum for 45 min at room temperature. Subsequently, they were incubated with primary antibody at a 1:500 dilution overnight in a cold room (see Materials and Methods). The next day the sections were rinsed in PBS and incubated with the corresponding Cy3- and Cy2-labeled secondary donkey antisera for 1 h at room temperature. Slides were then washed with PBS and mounted using fluorescent mounting medium (Kirkegaard & Perry Laboratories, Gaithersburg, MD). Fluorescent images were obtained using a epifluorescence microscope (Carl Zeiss, Inc., New York, NY) equipped with an TEC-470 CCD camera (Optronics International, Chelmsford, MA).
Immunoprecipitation and kinase assay
We followed the protocol of Nikolic and Tsai (16) for immunoprecipitation and detection of p35/CDK5 activity. Briefly, the cells or tissues were homogenized in lysis buffer A, containing 20 mM Tris-HCl (pH 7.2), 2 mM MgCl2, 0.5% Nonidet P-40, 150 mM NaCl, and 1 mM dithiothreitol. The following protease and phosphatase inhibitors were also added: phenylmethylsulfonylfluoride (1 mM), leupeptin (2 µg/ml), aprotinin (1 µg/ml), NaF (5 mM), and NaVO4 (1 mM). For p35 immunoprecipitation, cellular extracts containing 1.5 mg protein were incubated with 3 µl of the corresponding p35 (C-19) antibody at 4 C overnight and then with 100 µl protein A-Sepharose (10 mg/ml) for an additional hour at 4 C. The samples were washed three times with lysis buffer and used for determination of kinase activity after two additional washes in kinase buffer. The in vitro kinase reaction was performed at 30 C for 30 min in kinase buffer [50 mM HEPES (pH 7.0), 10 mM MgCl2, 5 mM MnCl2, and 1 mM dithiothreitol] containing 1 µCi [
-32P]ATP and 5 µg histone H1 in a 50-µl reaction volume. A equal volume of Laemmli loading buffer was added to stop the reaction, and samples were loaded in a 10% SDS-PAGE after boiling for 5 min. Gels were dried and exposed for autoradiography.
Western blot assays
Protein extracts were run in a 10% SDS-PAGE gel (200 µg protein/lane) and transferred onto a nitrocellulose membrane at 4 C overnight. Blocking was performed for 1 h in 10% nonfat milk and 0.1% Tween 20 at room temperature. The membranes were then incubated for an additional 1 h in 1% nonfat milk and 0.1% Tween 20 with the primary antibody at a 1:200 dilution for p35 and CDK5 antibody and a 1:1000 dilution for insulin antibody. An additional incubation with a horseradish peroxidase-conjugated secondary antibody was also performed at room temperature for 1 h. After three consecutive washes of 15 min each, the reactive proteins were developed with the the luminescent enhanced chemiluminescence system from Amersham Pharmacia Biotech (Arlington Heights, IL).
Transfection experiments and luciferase assays
Adherent INS-1 cells grown to 8090% confluence in 28-well plates were transfected using Lipofectamine-2000 (Life Technologies, Inc.). Cells were rinsed twice in serum-free culture medium before the addition of the transfection cocktail containing 250 ng reporter plasmid DNA and 500 ng p35 expression plasmid (pCR3-p35). Cells were incubated in this mixture for 4 h before adding the normal growth medium and incubating them for an additional 48 h before harvesting for luciferase content assays. Roscovitine treatment was applied 24 h before harvesting the cells at the indicated concentrations. Firefly luciferase activity was determined using a luciferase assay kit (Promega Corp., Madison, WI). All experiments were carried out in triplicate on at least three independent occasions. Data (emitted light units) are expressed as the mean ± SE.
Inhibition of p35 expression with siRNA (double-stranded RNA) specific for p35
To specifically inhibit the expression of p35, we used small (21-bp) double-stranded RNAs designed with a sequence complementary to the p35 mRNA. These RNAs, also known as siRNA, were synthesized, HPLC-purified, annealed (Dharmacon Research, Inc., Lafayette, CO), and then cotransfected with the insulin promoter luciferase reporter (410 RIP luciferase) and the expression vector for p35. The sequence of the sense RNA strand was 5'-GAGGAUCGUGGCGGUGUCATT-3', and that of the antisense sequence was 5'-UGACACCGCCACGAUCCUCTT-3'. An additional siRNA with a nonrelated sequence was used as a control. To test for the effectiveness of this siRNA, it was cotransfected in the same cells with a Flag-tagged p35 construct, and the corresponding protein was detected by Western blot analysis (see Fig. 5C
). The final concentration of dsRNA during transfection was 200 nM, as recommended by the manufacturer. The addition of fresh medium after 4 h diluted the RNA interference to 100 nM. This concentration was maintained for 48 h until cells were harvested.

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FIG. 5. The expression of p35/CDK5 regulates insulin gene expression in insulin-producing ß-cells. A, Western blot performed with the p35 antibody shows that the expression of Flag-tagged p35 in INS-1 cells after transfection is inhibited by siRNA for p35, but not by siRNA complementary to an unrelated target mRNA (control). Arrows label p35 and Flag-p35 proteins. The asterisk indicates an unrelated protein detected in INS-1 cells, not affected by siRNAs. This protein band is not affected by siRNA treatment and therefore may also serve as an equal loading control. B, Transfection of p35 up-regulates the expression of a luciferase reporter construct driven by the Rat-1 insulin promoter (410 RIP LUC). This effect is prevented by siRNA for p35 and roscovitine (10 µM), a specific inhibitor of CDK5 kinase activity. ***, P < 0.001 vs. control; ###, P < 0.001 vs. p35-transfected values. C, Cotransfection of the dominant negative CDK5 mutant pCDK5-DN inhibits insulin promoter activity. ***, P <0.001 vs. control cotransfected only with the reporter and p35 vectors.
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Statistical methods
Data are presented as the mean ± SE. The significance of differences in the measured values within and between groups was analyzed using an ANOVA for repeated measures, followed by Fishers t test. P < 0.05 was considered statistically significant.
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Results
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Expression of the cell cycle-dependent kinase 5 and its activator p35 in pancreatic islets of Langerhans
To assess the expression of CDK-5 and its activator p35 in pancreatic islets of Langerhans, we performed immunofluorescence staining of frozen sections of rat pancreas with specific p35 and CDK5 antibodies. Positive immunostaining for p35 and CDK5 was observed in the pancreatic islets of Langerhans, but not in other areas of the pancreas (Fig. 1A
). Both p35 and CDK5 immunostaining colocalized with insulin staining in double-stained sections (Fig. 1A
). The pattern of staining was heterogeneous among different islets. The larger pancreatic islets showed greater p35 and CDK5 staining intensities compared with the smaller islets. Most of the small islets showed weak or negative staining. To confirm the presence of p35 and CDK5 in pancreatic islets of Langerhans, we used isolated human islets to investigate the presence of the specific proteins and mRNAs by Western blot analysis and RT-PCR, respectively. A specific amplified DNA product was obtained by RT-PCR. This product showed the predicted size when analyzed by electrophoresis in a 1% agarose gel, and its identity was confirmed by Southern blot analysis (Fig. 1B
) and by direct sequencing of the DNA after cloning in a TA pCRII system (data not shown). To detect a protein product for p35 and CDK5, isolated human islets of Langerhans were homogenized in buffer A (see Materials and Methods) and equivalent aliquots (200 µg protein) of mouse brain (positive control) and liver (negative control) were analyzed by Western blot. A p35-immunoreactive band was detected in the islet extract that comigrated with a control p35 protein in extract of mouse brain (Fig. 1C
). This protein was not present in the liver extract that served as a negative control (Fig. 1C
). After reblotting the membrane with a CDK5 antibody, widespread expression of CDK5 protein was also detected in human islets as well as in brain and liver extracts (Fig. 1C
).

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FIG. 1. Expression of p35 and CDK5 in pancreatic islets. A, Immunocytochemical localization of p35 and CDK5 in insulin-producing ß-cells of the pancreatic islets of Langerhans. Frozen sections of rat pancreas were double stained with antibodies that recognize p35 (1:500), insulin (1:1000), and cdk5 (1:500). The antiinsulin fluorochrome is Cy2 (green). The anti-p35 and CDK5 fluorochrome is Cy3 (red). B, RT-PCR amplification of p35 mRNA from human islets and confirmation of its identity by Southern blot. C, Detection of p35 and CDK5 proteins in human islets and control brain and liver extracts by Western blot analysis. After blotting with p35 antibody (1:1000), the filter was directly reblotted with the CDK5 antibody (1:1000). D, Detection of p35/CDK5 protein kinase activity in human isolated islets after immunoprecipitation with a p35-specific antibody (see Materials and Methods for more details on the assay). Under the conditions of this assay, phosphorylation of histone H1 by p35/CDK5 results in the detection of two isoforms or conformations in sodium dodecyl sulfate denaturing gels. This is a common finding throughout the literature. Data shown are representative of at least three independent experiments.
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Detection of p35/CDK5 protein kinase activity in human islets
To determine whether the p35 and CDK5 proteins detected in pancreatic islets interact with one another and form a functional complex, we immunoprecipitated the complex from human islets and determined its protein kinase activity as previously described (16). Immunoprecipitation with a p35 antibody, followed by kinase activity determination in the immunoprecipitate using histone H1 as a substrate, demonstrate that p35 and CDK5 form a functional complex capable of phosphorylating histone H1 (Fig. 1D
). No kinase activity was detected in the absence of antibody or in the presence of an unrelated control antibody (Fig. 1D
).
Expression of CDK5 and its activator p35 in ß-cells correlates with the presence of specific p35/CDK5 kinase activity
Additional experiments were designed to investigate the presence of p35, CDK5, and p35/CDK5 kinase activity in ß-cell lines. Biochemical characterization of CDK5 kinase activity was also investigated. Among the different cell lines tested, only INS-1 cells, an insulin-producing ß-cell line, showed expression of p35 (Fig. 2A
). These cells also contain protein kinase activity that can be immunoprecipitated with a p35-specific antibody (Fig. 2B
). Both p35 expression and p35/CDK5 activity were absent in other cell lines, such as HeLa and NIH-3T3 (Fig. 2
, A and B), although these cell lines expressed CDK5 protein (Fig. 2A
). We then investigated whether the kinase activity immunoprecipitated by the p35 antibody was due to its association with CDK5. We performed experiments with roscovitine, a relatively specific inhibitor of CDK5 activity (17). The p35/CDK5 activity in INS-1 cells was inhibited by roscovitine, but not by other protein kinase inhibitors, such as H89 (protein kinase A) and SB202190 (p38MAPK; Fig. 2C
). Also, the inhibition by roscovitine was dose dependent (Fig. 2D
), with a 50% inhibitory concentration of 128 nM, within the range of that previously reported for CDK5 (18).

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FIG. 2. Insulin-producing ß-cells in culture also expressed p35 and CDK5. A, Expression of p35 protein is detected only in INS-1 cells. CDK5 protein is ubiquitously present in different cell lines. B, p35/CDK5 kinase activity is detected specifically in insulin-producing ß-cells. C, Kinase activity after immunoprecipitation with p35 antibody in INS-1 cells is inhibited by the CDK5-specific inhibitor roscovitine. D, Roscovitine inhibition is dose dependent, with kinetics values equivalent to those previously reported for CDK5. Data shown are representative of at least three independent experiments.
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Immunoprecipitation experiments with cellular extracts from INS-1 cells demonstrate that the endogenous complex with kinase activity contains both p35 and CDK5 proteins
The p35/CDK5 protein kinase data described to date was obtained using a method described for brain extracts, with the assumption that in ß-cells both p35 and CDK5 exist in a complex such as occurs in the brain (19). The kinase assay is performed after immunoprecipitation of the complex with a p35 antibody (19). We therefore investigated whether the kinase activity detected in ß-cells could be immunoprecipitated with a CDK5 antibody. Our findings indicate that both p35 and CDK5 antibodies are capable of immunoprecipitating p35/CDK5-associated activity in INS-1 cells (Fig. 3A
). An immunoprecipitate obtained with an antibody reactive toward an unrelated protein (control) did not show kinase activity. The activity detected with the CDK5 antibody was weaker than that obtained with an equivalent amount of p35 antibody in both INS-1 cells and brain extracts. As both p35 and CDK5 antibodies were equally active in extracts from INS-1 and mouse brain, we considered several possibilities to explain the differences between the two antibodies. First, the CDK5 antibody may have a lower affinity for its protein target. Second, CDK5 antibody binding to the p35/CDK5 complex may partially interfere with the functional activity of the complex. Finally, as CDK5 protein is in excess with respect to p35, active p35/CDK5 complexes not only may be immunoprecipitated by the CDK5 antibody, but also may uncouple CDK5 without kinase activity. To provide further evidence that the immunoprecipitated kinase activity depends on the presence of CDK5 we performed Western blots with the CDK5 antibody on the immunoprecipitated material. Results from these experiments clearly indicated p35 and CDK5 associate in INS1 cells, resulting in the formation of a functionally active kinase complex (Fig. 3B
).

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FIG. 3. Expression of endogenous p35 and CDK5 proteins and forced p35 expression by transfection in INS-1 cells reconstitute functional p35/CDK5 complexes with kinase activity. A, Functional kinase complexes are immunoprecipitated from INS-1 cells with both p35 and CDK5 antibodies and with equivalent affinities to those obtained with brain extracts. B, Top, Western blot analysis with the CDK5 antibody in the immunoprecipitates performed with the p35 antibody demonstrates coprecipitation of p35 and CDK5 in both INS1 cells and brain extracts. A control extract from mouse brain was directly run for size comparison. Bottom, The same filter was reblotted with the p35 antibody to demonstrate its presence in the immunoprecipitates. C, Western blot analysis with the p35 antibody showing the expression of the p35 and Flag-tagged p35 vectors. The corresponding expression vectors were transfected in COS-1 cells and analyzed 48 h later. Asterisks indicate nonspecific bands unchanged by transfection. D, p35/CDK5 kinase activity was detected after immunoprecipitation with a Flag antibody in INS-1 cells that had been previously transfected with the pCMV-Flag-p35 vector. No activity was detected in cells transfected with the control empty vector.
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Forced expression of p35 by transfection reconstitutes an active kinase complex by associating with endogenous CDK5
To investigate further the functional role of p35/CDK5 signaling in insulin-producing ß-cells, we prepared expression vectors for p35 and Flag-tagged p35 by cDNA cloning using RNA from INS-1 cells. These vectors were sequenced and tested for protein expression in COS-1 cells (Fig. 3C
). We then evaluated the capacity of this expression vector to reconstitute an active functional p35/CDK5 kinase complex in INS-1 cells. As INS-1 cells already have endogenous p35/CDK5 activity, we used the expression vector coding for a p35 protein tagged with a Flag sequence and immunoprecipitated cellular extracts 48 h after transfection. Specific protein kinase activity was detected after immunoprecipitation with a specific Flag antibody, but not by using an unrelated control antibody (Fig. 3D
).
The concentration of glucose in the culture medium regulates p35 expression and p35/CDK5 kinase activity in INS-1 cells
We next investigated whether the expression of the CDK5 activator p35 in ß-cells may itself be regulated by glucose. Our results indicate that the level of p35 mRNA in ß-cells is stimulated by the extracellular concentration of glucose. RT-PCR experiments show a progressive increase in the p35 mRNA content of INS-1 cells when they are exposed for 24 h to increasing concentrations of glucose in the culture medium (Fig. 4A
). The increase in p35 mRNA levels is specific, because no changes were observed in the levels of ß-actin mRNA, which served as a control (Fig. 4A
). The increase in p35 mRNA is translated into a corresponding increase in the levels of p35 protein as assessed by Western blot assays (Fig. 4B
). No changes in the levels of CDK5 protein were observed in these experiments (Fig. 4B
), indicating that the CDK5 regulatory subunit p35, and not the CDK5 protein itself, is regulated by glucose. To determine whether the increase in p35 resulted in a functional elevation of p35/CDK5 kinase activity, we performed immunoprecipitation and kinase assays. The results of these experiments show a corresponding elevation of p35/CDK5 activity when the extracellular concentration of glucose was increased from 5 to 20 mM at different time points ranging from 224 h (Fig. 4C
). The time-dependent induction in p35/CDK5 kinase activity started between 1 and 2 h after glucose stimulation (Fig. 4D
).

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FIG. 4. Glucose concentration regulates p35 expression and increases p35/CDK5 kinase activity in INS-1 cells. A, Expression of p35 mRNA was detected by RT-PCR and was confirmed by Southern blot analysis using an internal oligonucleotide probe. Actin mRNA expression served as a control. INS-1 cells were maintained at the indicated concentrations of glucose (Glu) for 24 h before harvesting and isolation of total RNA. B, Western blot analysis detects p35 and CDK5 proteins in experiments performed in INS-1 cells cultured at different glucose (Glu) concentrations for 24 h. C, Time-dependent stimulation of p35/CDK5 activity in INS-1 cells exposed to high glucose (20 mM) or maintained in normoglycemic conditions (5 mM) for the corresponding periods of time. D, Induction of p35/CDK5 activity by glucose stimulation occurs between 1 and 2 h after glucose stimulation. Densitometric quantification of the data is shown in the bottom panel. The data shown are representative of at least three independent experiments with very consistent outcomes.
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Signaling through p35/CDK5 results in transcriptional activation of the insulin gene
Next we examined whether p35/CDK5 signaling is involved in the regulation of insulin gene expression. We performed cotransfection experiments in insulin-producing ß-cells (INS-1) in which p35, and therefore p35/CDK5, activity was raised by artificially transfecting an expression vector for p35. The expression of p35 was also decreased by the use of specific siRNAs for p35. siRNA have become a new tool for specifically inhibiting the expression of a particular gene. siRNAs catalyze the degradation of the mRNA to which the siRNA sequence is complementary. The cotransfection of siRNA for p35 (200 nM) not only prevents the expression of a Flag-tagged p35 protein in INS-1 cells, but also decreases the endogenous p35 (Fig. 5A
) without affecting the expression of other proteins not targeted by the siRNA. The effect of p35-siRNA in the suppression of endogenous p35 was less effective. siRNA needs to enter the cells via transfection, and the efficiency of transfection in these experiments was approximately 20%. The cotransfection of an expression vector for p35 with a luciferase reporter under the control of the insulin gene promoter results in a 3-fold activation of transcription (Fig. 5B
). Activation of the insulin promoter by p35 was significantly inhibited by cotransfection of a specific p35 siRNA as well as by the administration of roscovitine (10 µM), a CDK5-specific inhibitor (Fig. 5B
). Similar results were obtained in several preliminary experiments when the efficiency of transfection was corrected by cotransfecting an expression vector for Renilla luciferase (data not shown). In these experiments no effect on luciferase activity was detected when an unrelated siRNA control was used. In addition, a dominant negative mutant of CDK5 (CDK5-DN) containing a point mutation that affects its active site (15) inhibited p35-stimulated insulin promoter activity (Fig. 5C
). These observations indicate that the activation of the insulin promoter by p35 is specific and is a result of the formation of a functional p35/CDK5 complex with protein kinase activity.
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Discussion
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Here we report the expression of p35, an activator of CDK5, in insulin-producing pancreatic endocrine ß-cells. We also confirm the expression of CDK5 in ß-cells and the formation of a functional p35/CDK5 complex with specific protein kinase activity. Similar to other members of the cyclin-dependent kinase family, CDK5 protein-kinase activity is dependent on its association with activators. CDK activators are known as cyclins. However, in the case of CDK5, its activator p35 does not belong to the cyclin family, although both p35 and cyclins acquire an equivalent three-dimensional conformation that allows them to interact and activate CDKs (20, 21). Initially, the expression of p35 was believed to be restricted to the central nervous system, the lens (22), and recently in developing muscle, where it forms a p35/CDK5 active complex that regulates the expression of the acetylcholine receptor gene (23). Despite its name CDK5 does not affect the cell division cycle; it is expressed postmitotically, and its function is related to cytoskeletal dynamics, cell migration, cell differentiation, and exocytosis (14) instead of cellular proliferation. Recently, Pho-85, a yeast ortholog of CDK5, was shown to be involved in metabolic control by regulating different steps of glycogen and phosphate metabolism (13). Expression of CDK5 in insulin-producing cells is not surprising because widespread expression of this kinase has been described. CDK5 expression in ß-cells has also been reported (24).
Our findings demonstrate the expression of p35, the activator of CDK5, in insulin-producing ß-cells. Expression of p35 in the pancreas was not detected earlier in Northern blot testing for tissue-specific expression (19), probably due to the fact that only a small fraction of the total pancreas RNA is derived from islets. Also, the expression of p35 at a normal physiological concentration of glucose is very low in ß-cells, its maximal expression is only achieved after glucose stimulation. Our data also confirm the expression of CDK5 in ß-cells and demonstrate the existence of a functional p35/CDK5 protein kinase pathway in insulin-producing ß-cells.
Perhaps the most important finding in these studies is the fact that the expression of p35 and the protein kinase activity of the p35/CDK5 complex in ß-cells are tightly regulated by changes in the extracellular concentration of glucose. It is known that the expression of genes essential for the function of ß-cells, such as insulin, PDX-1 (pancreatic and duodenal homeobox-1), amylin, and glucose transporter 2, are closely regulated by extracellular concentrations of glucose. This circumstance suggests that the p35/CDK5 protein kinase pathway may play an important role in ß-cell function. In fact, our initial functional studies indicate that p35/CDK5 is involved in the expression of the insulin gene. Our data show that overexpression of p35 results in an increased activity of the insulin promoter in INS-1 cells, and that inhibition of the p35/CDK5 activity using several strategies, such as specific siRNA for p35; the use of roscovitine, a relatively specific CDK5 inhibitor (17); and cotransfection of a dominant negative mutant form of CDK5 (15), decreases the activation of the insulin promoter induced by p35.
In neurons, p35/CDK5 regulates not only cytoskeletal dynamics and cell migration, but also the cAMP-dependent protein kinase A and the calcium-mediated signaling pathway (14). It also regulates dopamine signaling through phosphorylation of DARPP-32, which converts it into an inhibitor of protein kinase A (25). Therefore, we anticipate that in ß-cells the presence of p35/CDK5 could be involved in the regulation of additional functional pathways. Our findings also indicate that in insulin-producing ß-cells, CDK5 activity is predominantly regulated by variations in the expression of its activator p35, which, in turn, is regulated by extracellular glucose concentrations. During brain development, the expression of p35 seems to be constitutive, and regulation of CDK5 activity is dependent on its subcellular localization, phosphorylation by other protein kinases such as Abl, and association with other regulatory proteins (Dab1 and Cables) (14). However, up-regulation of p35 at the level of transcription can also occur, as shown after stimulation by laminin in cultured neurons (26), nerve growth factor in PC12 cells (27), neuroregulin in cultured myotubules (23), and chronic cocaine administration to rats (28).
Our studies raise the possibility that overstimulation of the p35/CDK5 pathway by elevated glucose levels and mislocalization due to cleavage of p35 into a p25 form, lacking its myristoylation domain, may also be a pathogenic mechanism for the glucotoxicity of ß-cells. Overactivation and mislocalization of p35/CDK5 could translate the deleterious effect of a combination of different pathological signals, such as amylin deposition, high levels of plasma lipoproteins, and high glucose levels, as dysregulation of p35/CDK5 in the central nervous system has been associated with the pathological abnormalities found in Alzheimers disease (2, 29) and amyotrophic lateral sclerosis (30). It is possible that glucose-induced dysregulation of the p35/CDK5 pathway is a pathophysiological mechanism involved in the ß-cell dysfunction and the predisposition to apoptotic cell death associated with the progression of type 2 diabetes. Several population-based studies have shown that diabetes is associated not only with vascular dementia, but also with Alzheimers type dementia (11, 31, 32, 33). Furthermore, a recent longitudinal population-based cohort study of the Honolulu-Asia Aging Study has clearly demonstrated an association between type 2 diabetes and Alzheimers dementia and has shown that this association is significantly higher among carriers of the APOE
4 allele (12). These and other interesting possibilities await the results of further experimental studies.
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Acknowledgments
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We thank Linda Fucci for excellent experimental assistance, Melissa Fannon for preparation of the manuscript, and Marion Matzilevich for providing suggestions and helpful criticisms. We thank the Juvenile Diabetes Research Foundation Center for Islet Transplantation at Harvard for providing isolated human islets.
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Footnotes
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J.F.H. is an Investigator with the Howard Hughes Medical Institute.
Abbreviations: CDK, Cyclin-dependent protein kinase; siRNA, small interfering RNA.
Received November 11, 2003.
Accepted for publication February 9, 2004.
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