J Biol Chem, Vol. 273, Issue 17, 10436-10444, April 24, 1998
Mitogen-activated Protein Kinase Pathway Is Involved in the
Differentiation of Muscle Cells*
Eran
Gredinger
,
Anthony N.
Gerber§,
Yael
Tamir
,
Stephen
J.
Tapscott§, and
Eyal
Bengal
¶
From the
Department of Biochemistry, Rappaport
Institute for Research in the Medical Sciences, Faculty of Medicine,
Technion-Israel Institute of Technology, Haifa 31096, Israel and the
§ Clinical Research Division, Fred Hutchinson Cancer
Research Center, Seattle, Washington 98109
 |
ABSTRACT |
The differentiation of muscle cells is controlled
by the MyoD family of transcription factors. This family is regulated
by extracellular growth factors that transmit largely unknown signals into the cells. Here we show that the activity of extracellular signal-regulated protein kinase (ERK), a kinase that is part of the
mitogen-activated protein kinase (MAPK) cascade, is low in myoblasts
and is induced with the onset of terminal differentiation of C2 cells.
ERK activity is also induced in fibroblasts that were modified to
express MyoD, but not in the parental fibroblast cells. Thus, ERK
induction is an intrinsic property of muscle cells. A specific MAPK
kinase inhibitor (PD098059) that was added to C2 cells partially
inhibited the fusion of myoblasts to multinucleated myotubes without
affecting the expression of muscle-specific markers. This inhibitor
blocked the induction of MyoD expression that normally takes place
during terminal differentiation. Two lines of evidence suggest that the
MAPK cascade induces the activity of MyoD: 1) the expression of
constitutively activated forms of MEK1 or Raf1 enhanced the
transcriptional activity of MyoD in 10T1/2 fibroblasts; and 2) the
addition of PD098059 to fibroblast cells expressing a conditional
MyoD-estrogen fusion protein significantly inhibited the expression of
MyoD-responsive genes. Our results indicate that the MAPK pathway is
activated in differentiating muscle cells and that it positively
regulates the expression and activity of MyoD protein.
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INTRODUCTION |
The development of skeletal muscle is a multistep process in which
pluripotent mesodermal cells give rise to myoblasts that subsequently
withdraw from the cell cycle and differentiate into myotubes. Each of
these steps is subjected to positive and negative regulatory
mechanisms. The first stage, commitment of mesodermal cells to the
myogenic lineage, is induced by positive cues of extracellular
molecules like Sonic Hedgehog and Wnt family members secreted from
neighboring tissues (1, 2). These positive cues induce the expression
of two members of the MyoD family, Myf5 and MyoD. Cells that express
either MyoD or Myf5 are dividing myoblasts that are committed to the
myogenic lineage. However, these proteins are not functional in
myoblasts, and their activities are induced only upon withdrawal from
the cell cycle and during terminal differentiation. Once activated,
MyoD and Myf5 contribute to the arrest of the cell cycle, transcription
of muscle-specific genes, and terminal differentiation (3). Induction
of the activity of MyoD and Myf5 proteins may be a result of the
appearance of positive regulator(s) or, alternatively, the
disappearance of negative regulator(s). Extracellular growth factors
and intracellular proteins that inactivate MyoD proteins have been
studied extensively (3-5). Less is known at present about the
mechanisms that activate these proteins. Insulin and insulin-like
growth factors are the only extracellular growth factors known to
promote terminal differentiation of myoblasts (6, 7). Insulin and
insulin-like growth factors are involved in activation of
phosphatidylinositol 3-kinases and mitogen-activated protein kinases
(MAPKs)1 via tyrosine kinase
receptors within many cells. In muscle cells, insulin activates
different MAPK pathways as well as the phosphatidylinositol 3-kinase
(8, 9). However, the involvement of these kinase cascades in muscle
differentiation is largely unknown. A recent work has demonstrated that
phosphatidylinositol 3-kinase inhibitors suppressed morphological and
biochemical changes associated with L6E9 myoblast terminal
differentiation (10). Therefore, it is possible that these kinase
cascades participate in promoting terminal muscle differentiation.
A potential signal transduction pathway that might be involved in
myoblast differentiation is the MAPK pathway, which is known to play a
complex pleiotropic role in cell growth and differentiation of many
lineages. In fibroblasts, this pathway transmits mitogenic signals and
interferes with normal differentiation of hepatocytes. However, in
other lineages, such as neuronal cells, adipocytes, oocytes, T cells,
and photoreceptor cells of the fruit fly Drosophila, activation of this pathway promotes cell differentiation (11). The
simplest explanation for the different manifestations of the MAPK
pathway is that it affects the regulation of diverse target genes in
different cell lineages. However, other explanations are also possible;
in the rat pheochromocytoma PC12 cells that serve as a model for
neuronal differentiation, temporal parameters of MAPK activation are
critical for the definition of growth versus differentiation
signals (12). Sustained activation of ERK leads to differentiation,
whereas short-lived activation leads to proliferation. The effect of
MAPK on muscle cells is controversial; some suggest that it is
mitogenic and prevents differentiation, others believe that it is not
involved in differentiation, while still others consider that it may
promote differentiation (see "Discussion").
In view of the involvement of MAPK in the differentiation of various
cell lineages and its largely disputed role in myogenesis, we
investigated the involvement of MAPK in muscle cell differentiation. In
this study, we show that the MAPK pathway plays a positive role in
myogenesis. We report that ERK activity is substantially induced during
terminal muscle differentiation of C2 cells. The level of c-Fos
mRNA, a target of the MAPK pathway, was found to be elevated during
differentiation. The induction of ERK activity was specific to
differentiating muscle cells and did not take place in fibroblast
progenitors of these muscle cells. Activation of the MAPK pathway in
transfected cells or its inhibition by the specific inhibitor PD098059
suggests that the MAPK pathway is involved in the induction of MyoD
expression and activity. Therefore, we conclude that MAPK activity is
induced during muscle differentiation and cooperates with MyoD to
activate muscle-specific transcription.
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EXPERIMENTAL PROCEDURES |
Materials
PD098059 was a product of New England Biolabs Inc. Rabbit
polyclonal antibody raised against the C-terminal epitope corresponding to amino acids 245-258 of rat ERK2 was obtained from Santa Cruz Biotechnology. Rabbit polyclonal antibody against a synthetic phosphotyrosine (residue 204) peptide that corresponded to residues 196-209 of human p44 MAPK was purchased from New England Biolabs Inc.
Protein A-Sepharose, estradiol, and myelin basic protein (MBP) were
supplied by Sigma.
Plasmids
pEMSV-MyoD has been described by Tapscott et al.
(13). The 4R-tk-CAT reporter gene was described by Weintraub et
al. (14). Plasmids pGEX-Jun, CMV-act.MEK1, and
Raf1-CAAX were gifts from Drs. Ami Aronheim and Michael
Karin. The activated allele of MEK1 was originally described by Mansour
et al. (15), and Raf-CAAX by Leevers et
al. (16). The constitutively activated MEK1 used in this work was
S218E/S222D. The dominant-negative form of MEK1 used was K97M (15).
Cell Culture
C2 cells were a gift of Dr. David Yaffe (17). 10T1/2 cells were
obtained from American Type Culture Collection. 10T1/2-MyoD cells were
prepared by transfecting pEMSV-MyoD together with pBABE-puro into
10T1/2 cells. Cells were selected in the presence of 2 µg/ml puromycin (Sigma), and myogenic clones were isolated. The preparation of 10T1/2 cells that express MyoD-ER fusion protein was described previously (18). All cell lines were maintained in Dulbecco's modified
Eagle's medium supplemented with 15% calf serum (Hyclone Laboratories), penicillin, and streptomycin (growth medium). To induce
differentiation, we used Dulbecco's modified Eagle's medium supplemented with 10 µg/ml insulin and 10 µg/ml transferrin
(differentiation medium). 10T1/2-MyoD-ER cells were induced in
differentiation medium supplemented with 10
7
M
-estradiol.
Growth of Cells in the Presence of PD098059
PD098059 was dissolved in dimethyl sulfoxide to a concentration
of 20 mM and was added directly to differentiation medium to a final concentration of 20-100 µM. Control cells
were incubated with the same volumes of dimethyl sulfoxide without
PD098059. The medium was replaced every 12 h with medium
containing fresh PD098059.
Transfections
Transfections were performed by calcium phosphate precipitation
as described (19). Cells in 6-cm TC dishes (Corning) were transfected
for 12 h with a total amount of 10 µg of the following plasmid
DNAs: 1 µg of pCMV-LacZ, 3 µg of chloramphenicol acetyltransferase reporter gene, 3 µg of myogenic expression plasmid, and 3 µg of expression vector of activated MEK1 or Raf-CAAX. Following
transfection, the medium was replaced with either growth medium or
differentiation medium for another 24-48 h. Transfection efficiency
was tested in soluble 5-bromo-4-chloro-3-indolyl
-D-galactopyranoside assays as described (20), and the
amount of extracts used for the chloramphenicol acetyltransferase
assays was adjusted accordingly (21).
Immunohistochemical Staining
Cells were washed three times in phosphate-buffered saline
(PBS), fixed in 2% paraformaldehyde for 7 min, washed three times in
PBS, and permeabilized in 0.25% Triton X-100 for 10 min. Subsequently, the cells were incubated for 90 min with a primary antibody. The primary antibodies used were monoclonal anti-MyoD (5.8A), polyclonal anti-MHC (Sigma), and polyclonal anti-MCK. After three washings in PBS,
the cells were incubated for 90 min with a secondary antibody conjugated to fluorescein isothiocyanate or to rhodamine (Jackson ImmunoResearch Laboratories, Inc.). The cells were washed three time in
PBS, and the final wash contained 1 ng/ml
4',6-diamidino-2-phenylindole. The immunochemically stained cells were
viewed at a magnification × 200 in a fluorescence microscope
(Olympus Model BX50).
In Vitro Kinase Assays
Expression of GST Fusion Proteins--
Using the bacterial
expression vector pGEX2T-Jun-(1-223), the Jun protein was expressed in
Escherichia coli strain BL21 cells and purified from
extracts on glutathione beads as described (22).
Preparation of Cell Extracts--
To prepare cell extracts,
cells were washed three times in PBS and then extracted in lysis buffer
(25 mM HEPES (pH 7.7), 0.3 M NaCl, 1.5 mM MgCl2, 0.2 mM EDTA, 0.1% Triton
X-100, 0.5 mM dithiothreitol, 0.1 mM
Na3VO4, 2 µg/ml leupeptin, 100 µg/ml
phenylmethylsulfonyl fluoride, and 20 mM
p-nitrophenyl phosphate). The suspension was rotated at
4 °C for 30 min, and the extract was cleared by centrifugation at
10,000 × g for 10 min. Protein concentration was
determined by the Bio-Rad protein assay.
Solid-phase Kinase Assay (JNK Assay)--
Equal amounts of cell
extracts were collected at different times after the initiation of cell
differentiation and were mixed with 15 µl of GSH-agarose beads to
which GST or GST-Jun proteins were bound. The mixtures were rotated at
4 °C for 3 h, pelleted at 10,000 × g for
10 s, and washed extensively four times in 1 ml of HEPES binding
buffer (20 mM HEPES (pH 7.7), 50 mM NaCl, 2.5 mM MgCl2, 0.1 mM EDTA, and 0.5%
Triton X-100). The GSH-agarose beads were resuspended in 30 µl of
kinase buffer (20 mM HEPES (pH 7.6), 20 mM
MgCl2, 20 mM p-nitrophenyl
phosphate, 0.1 mM Na3VO4, and 2 mM dithiothreitol) containing 20 µM ATP and 5 µCi of [
-32P]ATP (3000 µCi/mmol). After 20 min at
30 °C, the kinase reaction was terminated by washing the beads with
HEPES binding buffer, and phosphorylated proteins were eluted in 30 µl of Laemmli sample buffer and resolved on SDS-polyacrylamide
gel.
In Vitro Kinase Assay for MAPK (ERKs)--
Cells were extracted
in lysis buffer. Equal amounts of protein from each time point of
differentiation were mixed with 10 µl of anti-ERK2 antibody (Santa
Cruz Biotechnology) for 2.5 h at 4 °C with rotation. Protein
A-Sepharose was added, and the mixtures were rotated for an additional
hour. Following removal of the supernatant, protein A beads were washed
in 3 × 1 ml of 0.5 M NaCl and 0.1% Triton X-100 and
in 1 × 1 ml of 10 mM HEPES and 10 mM
MgCl2. Complexes were then resuspended in 10 µl of
substrate (2 mg/ml MBP) and 10 µl of a solution containing 5 µCi of
[
-32P]ATP, 50 µM ATP, 10 mM
MgCl2, and 10 mM HEPES (pH 7.6) and incubated at 30 °C for 30 min. The phosphorylation reaction was terminated by
the addition of Laemmli sample buffer. The mixture was heated to
90 °C for 5 min and then separated on 12.5% SDS-polyacrylamide gel
to directly visualize MBP phosphorylation.
RNA Analysis
Cells were harvested, and RNA was extracted with Tri Reagent
solution (Molecular Research Center, Inc.) according to the
manufacturer's directions. Total RNA (5 µg) was used for Northern
blot analysis on 1.5% agarose gels containing 6.7% formaldehyde. Gels
were transferred to Magna nylon membrane by Micron Separations Inc. and
were UV-cross-linked. Blots were hybridized with probes for
myoD (pEMSV-MyoD), myogenin (pEMSV-myogenin),
mlc2 (pVZLC2), p21 (pcDNA-Waf1), and GAPDH (pMGAP) that
were prepared with random hexamers and the Klenow reaction. Hybridization was conducted overnight at 65 °C in a buffer
containing 0.2 M sodium phosphate, 1 mM EDTA,
1% bovine serum albumin, and 7% SDS. Blots were washed at 60 °C in
0.5× SSC (1× SSC = 0.15 M NaCl and 0.015 M sodium citrate) and 0.1% SDS, three times for 15 min
each time. Blots were stripped by boiling for 5 min in 0.1% SDS
solution.
Western Analysis
Cells were lyzed as described for the kinase assays, and equal
amounts of extracted proteins were loaded, separated by
SDS-polyacrylamide gel electrophoresis, and transferred to
polyvinylidene difluoride filters. Immunoblotting was conducted with
the anti-ERK2 (1:100 dilution) and anti-phospho-MAPK (1:100 dilution;
New England Biolabs Inc.) antibodies. Proteins were visualized using
the enhanced chemiluminescence kit (Amersham Pharmacia Biotech).
Reverse Transcription-PCR Analysis
Total RNA (200 and 500 ng treated with RQ DNase I (Promega)) was
incubated with Moloney murine leukemia virus reverse transcriptase for
30 min at 55 °C as described (23). Reverse transcription reactions
were used for PCR amplification of specific cDNAs. One-fifth of the
reverse transcription sample was added to the PCR buffer containing 10 mM Tris-HCl (pH 9.0), 50 mM KCl, 1.5 mM MgCl2, 0.1% Triton X-100, 0.2 mM each dNTP, 1 µCi of [
-32P]dCTP, 25 pmol of each primer, and 1 unit of Taq polymerase (Promega) in a total volume of 50 µl. DNA amplification was performed under the
following conditions: denaturation at 94 °C for 30 s, primer annealing at 62 °C for 30 s, and primer extension at 72 °C
for 1 min. One-fifth of the PCR sample was electrophoresed on 6%
polyacrylamide gel, and PCR fragments were viewed by
autoradiography.
To enable quantification, a cycle number was chosen for each primer
pair that maintained approximately exponential amplification with the
most enriched sample. Thus, for c-fos and the L7 ribosomal gene primers, 30 and 22 cycles were applied, respectively (18). The
following pairs of primers were used: c-fos,
5'-ACG TGT AAG TAG TGC AGC CC-3' and
5'-CAG AGT CTG AGG AGG CCT TC-3' (313 nucleotides); and L7, 5'-GAA GCT CAT CTA TGA GAA GGC-3' and
5'-AAG ACG AAG GAG CTG CAG AAC-3' (202 nucleotides).
 |
RESULTS |
ERK Activity Is Induced during Muscle Differentiation--
To
study the in vitro activity of the ERK pathway in
differentiating C2 muscle cells, extracts were prepared from cells that were grown in growth medium (15% bovine calf serum) and from cells grown in differentiation medium, as described under "Experimental Procedures," and collected at different stages of differentiation. ERK proteins were immunoprecipitated from these extracts using polyclonal anti-ERK1/2 antibodies, and the kinase activity of the
immunoprecipitates was measured by phosphorylation of MBP. The activity
of ERKs was induced concomitantly with the onset of muscle
differentiation (Fig. 1, compare the
activity of ERK with the expression of MLC2). To test the specificity
of the ERK pattern of induction, the activity of JNK, which belongs to
a separate MAPK pathway, was determined in the same extracts. As shown
in Fig. 1, in contrast to ERK, the activity of JNK was reduced during
muscle differentiation.

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Fig. 1.
Kinase activity of ERK is induced and JNK
activity is repressed during differentiation of C2 myoblasts. The
kinase activities of ERK and JNK were measured as described under
"Experimental Procedures" in extracts that were prepared from
myoblasts and from cells that were grown in differentiation medium
(DM) for different periods of time. The substrate of ERK was
MBP, and the substrate of JNK was the GST-Jun-(1-223) protein (22).
Differentiation of muscle cells was determined by the steady-state
levels of MLC2 mRNA. Total RNA was extracted from C2 myoblasts and
from C2 cells that were grown in differentiation medium for different
periods of time. RNA blots were hybridized to a 32P-labeled
mlc2 DNA probe. Equivalent quantities of RNA were loaded in
each lane, as was determined by hybridizing the same membrane to a
GAPDH-labeled DNA probe (not shown).
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To further verify that ERK activity is induced during muscle
differentiation, a phospho-specific ERK antibody was used to detect the
active forms of ERK proteins. Two phosphorylated forms of ERK, p42 and
p44, were detected, and their levels were found to increase during
differentiation (Fig. 2A). The
increase in the phosphorylated form of ERK was not due to an increase
in the total level of ERK proteins, as demonstrated by the similar
amounts of ERK proteins at different stages of differentiation that
were detected by antibodies to all forms of ERK (Fig.
2B).

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Fig. 2.
Phosphorylated forms of ERK are induced
during differentiation of C2 myoblasts. Protein extracts were
prepared from myoblasts (grown in growth medium) and from cells that
were grown in differentiation medium (DM) for different
periods of time. Proteins were separated by SDS-polyacrylamide gel
electrophoresis and analyzed by Western blotting. A, blots
were reacted with phospho-specific p42/44 MAPK antibody produced
against a synthetic phosphotyrosine (amino acid 204) peptide that
corresponded to residues 196-209 of human p44 MAPK. Phosphorylated p42
was used as a positive control (Pos. Cont. lane).
B, blots were reacted with p42/44 MAPK antibody that detects
total MAPK (unphosphorylated and phosphorylated). The antibody was
produced against a synthetic peptide corresponding to residues 245-258
of rat p44 MAPK. p42 MAPK was used as a positive control (Pos.
Cont. lane).
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Transcription of the c-fos gene is directly induced by the
MAPK pathway (24, 25). ERK participates in c-fos induction via phosphorylation of p62tcf, which is part of
the serum response complex activating the c-fos promoter
(24). To test whether induction of ERK activity in muscle cells is
followed by expression of the c-fos gene, c-Fos transcripts
were detected at different stages of differentiation. Transcripts of
c-Fos were barely detected by standard Northern analysis in C2 cells
(data not shown); therefore, a quantitative reverse transcription-PCR
analysis of c-Fos was performed (Fig. 3).
Levels of c-Fos mRNA were low in myoblasts and increased during the
process of differentiation (Fig. 3A). Induction of c-Fos
occurred concomitantly with induction of ERK activity in the same cells (Fig. 3B). It therefore appears that the induction of ERK
activity takes place simultaneously with the expression of the
c-fos gene. The similar pattern of expression suggests that
the transcription of c-fos may be induced in myotubes as a
result of ERK activation.

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Fig. 3.
Expression of c-fos is induced
during muscle differentiation. Steady-state levels of c-Fos
mRNA in cells at different stages of differentiation were
determined by reverse transcription-PCR (RT-PCR) as
described under "Experimental Procedures." A, to amplify
c-fos cDNA, two primers were used that were specific to
c-fos and that did not cross-react with other Fos family
members (see "Experimental Procedures"). The resulting amplified
fragment of 313 nucleotides was analyzed by polyacrylamide gel
electrophoresis. Amplification of an L7 cDNA ribosomal protein
fragment of 202 nucleotides was used as a control for the amount of
RNA, reverse transcription (RT) efficiency, and
amplification variability. In a control experiment, mRNA was
amplified without going through the reverse transcription stage.
B, extracts were prepared from duplicate plates of C2 cells,
and the kinase activity of ERK was determined as described under
"Experimental Procedures." DM, differentiation
medium.
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ERK Activity Is Induced Only in Muscle Cells That Undergo
Differentiation, and Not in Parental Fibroblast Cells That Do Not
Differentiate to Muscle--
Subsequently, we asked whether the
induction of ERK activity is an intrinsic property of differentiating
muscle cells or is a result of the transfer of cells to
insulin-containing differentiation medium. For this purpose, 10T1/2
fibroblasts were transfected with an expression vector of MyoD, and
clones were isolated that stably expressed MyoD and became myogenic
(10T1/2-MyoD). These cells, as well as progenitor 10T1/2 fibroblasts,
were grown in high serum-containing medium (growth medium) and then
transferred to medium that contained insulin (differentiation medium).
Protein extracts were prepared from myogenic 10T1/2-MyoD cells and from 10T1/2 fibroblast cells that were grown in growth medium and in differentiation medium for 48 h, and ERK activity was assayed. As
shown in Fig. 4A, ERK activity
was high in proliferating 10T1/2 fibroblasts and was reduced after
their growth in differentiation medium for 48 h. By contrast, ERK
activity in 10T1/2-MyoD myoblasts was low in proliferating cells and
was markedly induced in myotubes that were grown in differentiation
medium for 48 h. Levels of ERK activity in myoblasts of
10T1/2-MyoD clones and C2 cells were always lower than in 10T1/2
fibroblast cells grown in high serum-containing medium (Figs. 1 and 4).
The possibility that ERK activity is suppressed in the presence of MyoD
in proliferating myoblasts was tested. For this purpose, ERK activity
was studied in another cell line that originated from 10T1/2
fibroblasts. This cell line expresses a MyoD-estrogen receptor chimeric
protein whose activity is induced by the addition of estradiol to the
medium (18). The conditional MyoD protein is inactive in the cytoplasm
of cells that have not been treated with estradiol. Proliferating
10T1/2-MyoD-ER cells expressed high levels of ERK activity under high
serum conditions (Fig. 4B, lanes 1 and
4). Levels of ERK activity in this cell line were similar to
levels of proliferating 10T1/2 fibroblasts and distinctly higher than
levels of proliferating myoblasts (Fig. 4). However, when
differentiation was induced by the addition of estradiol and
differentiation medium, ERK activity remained high at the onset of
differentiation (48 h in differentiation medium) (Fig. 4B,
lanes 4 and 5). In the absence of estradiol and
in the presence of differentiation medium, ERK activity declined in
differentiation medium as seen in fibroblasts (Fig. 4B,
lanes 1 and 2). Hence, we conclude that
(a) ERK activity is significantly lower in dividing
myoblasts than in dividing fibroblasts and (b) the induction
of ERK is an inherent property of muscle cells, and not of the parental
fibroblast cells.

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Fig. 4.
Patterns of ERK activity in 10T1/2
fibroblasts and derived cell lines. A, the in
vitro kinase activity of ERK was compared between 10T1/2
fibroblasts and 10T1/2 cells that constitutively express MyoD
(10T1/2-MyoD) (see "Experimental Procedures"). ERK kinase activity
was measured in extracts from cells that were grown in the presence of
growth medium (time 0) and from cells that were grown for 48 h in
differentiation medium (DM) (time 48). The kinase activity
was quantified using a Fuji phosphoimager. ERK activity in 10T1/2 cells
in growth medium was set to a value of 100, and the relative activities
were calculated accordingly. B, the in vitro
kinase activity of 10T1/2 cells that constitutively express a
conditional MyoD protein (10T1/2-MyoD-ER) was measured. 10T1/2-MyoD-ER
cells were grown in growth medium (time 0); the medium was replaced
with differentiation medium; and cells were grown in the absence or
presence of estradiol. ERK kinase activity was measured in extracts of
cells treated as described above. The kinase activity was quantified
using a Fuji phosphoimager. ERK activity in cells that were grown for
48 h in the presence of estradiol was set to a value of 100, and
the relative activities were calculated accordingly. cont.,
control.
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Inhibition of the MAPK Pathway by PD098059 Prevents the Induction
of MyoD Expression and Reduces Fusion of C2 Cells--
The pattern of
ERK activity during myogenesis suggests a positive role for this
pathway in myogenesis. To test this possibility, we investigated
whether the inhibition of the MAPK pathway affects myogenesis. The
specific noncompetitive inhibitor of MAPK kinase (PD098059) blocks its
activation by Raf1 (26, 27). This inhibitor was shown to prevent the
in vivo activation of MAPK by growth factors and to reverse
the transformed phenotype induced by Ras overexpression or by nerve
growth factor-induced differentiation (27, 28). First, PD098059 levels
that inhibit ERK activity in C2 cells were determined. Differentiation
medium was added with PD098059 to C2 cells; 72 h later, the cells
were lyzed, and the activity of MAPK in the extracts was determined
(Fig. 5A). Treatment of cells
with 50 µM PD098059 inhibited >80% of ERK activity (Fig. 5A). Under these conditions, PD098059 did not affect
the activity of another MAPK, JNK (data not shown). Whereas untreated C2 cells differentiated and fused to form multinucleated myotubes, PD098059-treated cells differentiated to form less developed myotubes that contained fewer nuclei (Fig. 5C). Immunohistochemical
staining of MyoD (nuclear) and MCK (cytoplasmic) indicated that both
muscle-specific markers were expressed in drug-treated and untreated
cells. The reason why PD098059-treated cells did not fuse properly was
not due to a reduced density of these cells, as can be seen by the nuclear staining of all cells in the microscopic field (Fig.
5C, lower right panel). The inhibitory effect of
PD098059 was reversible; removal of the drug allowed the cells to fuse
and form multinucleated myoblasts (data not shown).

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Fig. 5.
Treatment of C2 cells with PD098059 inhibits
the expression of MyoD and the fusion of cells to form multinucleated
myotubes. A, C2 myoblasts were grown in growth medium, which
was then replaced with differentiation medium (DM) with or
without 50 µM PD098059. Cells were grown in
differentiation medium for 72 h, during which time PD098059 was
replaced with fresh drug every 12 h. Cells were harvested, and
extracts were used to determine the in vitro ERK activity as
described under "Experimental Procedures." The negative control
(Neg. Cont.) in the in vitro kinase assay was an
extract from cells that were grown for 72 h in differentiation
medium and incubated with protein A-Sepharose beads in the absence of
antibody to MAPK. B, RNA was extracted from cells that were
grown in growth medium and from cells grown in differentiation medium
for 72 h in the presence or absence of PD098059. The RNA was
separated on an agarose gel, and equivalent quantities of RNA were
determined by hybridizing the membrane to a GAPDH-labeled probe. The
same blot was separately hybridized to several probes as indicated.
C, shown is the immunohistochemical staining of
PD098059-treated cells. C2 cells were grown as described for
A and B. In the left panels, cells
were double-stained for MCK (green) and MyoD
(red). In the right panels, the same microscopic
fields in the left panels are presented with
4',6-diamidino-2-phenylindole staining of cell nuclei.
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Multinucleated myotube formation normally entails induction of the
expression of muscle-specific marker proteins. The effect of the ERK
pathway on the expression of several muscle-specific marker proteins
was investigated. None of the examined muscle-specific markers was
inhibited in PD098059-treated cells (Fig. 5, B, MLC2; and
C, MCK). Also, induction of p21 (Waf1), causing the exit of myoblasts from the cell cycle, was not inhibited in PD098059-treated cells. The expression of myogenin, a member of the MyoD family, was
induced to a similar extent in the drug-treated and untreated cells
(Fig. 5B). Myf5 expression was not detected in C2 cells using Northern analysis (data not shown). However, MyoD, whose expression was induced during differentiation, remained at low basal
levels in cells that were treated with the drug (Fig. 5B). Therefore, from the differentiation markers that were examined, only
MyoD expression was affected. We conclude that treatment of C2 cells
with PD098059 had a limited effect on differentiation; MyoD expression
was not induced, and cells did not fuse as efficiently as untreated
cells. We suspected that the decrease in cell fusion could be a result
of the reduced expression of MyoD in these cells. To test this
possibility, another myogenic cell line that does not express
detectable levels of MyoD was treated with the drug. Like C2 cells,
this cell line (L-8) differentiated to form multinucleated myotubes
when grown in differentiation medium. However, unlike C2 cells, the
fusion of L-8 cells was not affected by the drug (data not shown).
Differentiation of a Cell Line That Expresses a Conditional MyoD
Protein Is Inhibited by PD098059--
MyoD is known to activate its
own transcription during myogenesis (29). Treatment of C2 cells with
PD098059 prevented the elevation in MyoD mRNA (Fig. 5B),
an effect that could be due to the inactivation of the MyoD protein
itself.
To find out whether MyoD activity was affected by the MAPK pathway, the
above-described cell line that expresses a conditional MyoD protein
(10T1/2-MyoD-ER) was used (18). In this cell line, unlike in C2 cells,
only MyoD protein initiates myogenesis (18). Therefore, inhibition of
MyoD in these cells is expected to abolish myogenesis. The activity of
the chimeric protein was induced by the addition of estradiol to cells
that were grown in the presence or absence of PD098059. In these cells,
as in C2 cells, 80% of ERK activity was inhibited by 50 µM PD098059 (data not shown). Cells were grown in the
presence of estradiol for 36 h, at which time myogenin mRNA
levels were induced to detectable levels (Fig. 6, lane 5) (30). If cells were
treated with PD098059 during that period, the induction of myogenin
expression was severely affected (Fig. 6, lanes 2-4). In
this cellular system, myogenin expression is directly induced by the
MyoD-ER chimeric protein (18). Also, we found that in contrast to C2
cells, mRNA levels of another muscle-specific marker, MLC2, were
inhibited in these cells when treated with the drug (Fig. 6). The
seemingly general inhibition of the myogenic program in this
experimental system indicates that the existing MyoD-ER protein was
inactivated in cells treated with PD098059. These results suggest that
inhibition of the ERK pathway blocks the activity of the existing MyoD
protein and consequently the expression of its target genes such as
myogenin and mlc2.

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Fig. 6.
Activity of a conditional MyoD-ER chimeric
protein is inhibited by PD098059. 10T1/2 cells that constitutively
express a chimeric protein of MyoD and the estrogen receptor
hormone-binding domain were studied. MyoD activity was induced by the
addition of estradiol and differentiation medium to the cells. Some
cells were treated with PD098059 at different concentrations together
with estradiol and differentiation medium, and RNA was extracted
36 h later. A, shown are the results from Northern
analysis of total RNA extracted from untreated or estradiol-treated
10T1/2-MyoD-ER cells and exposed to different concentrations of
PD098059. The blot was repeatedly hybridized with labeled probes of
myogenin, mlc2, and GAPDH, which was used to control for
loading of RNA. B, levels of myogenin, MLC2, and GAPDH were
quantified by phosphoimaging (Fuji). The levels of myogenin and MLC2
RNAs were corrected according to the levels of GAPDH, which represented
the loading of mRNA in each experiment. The relative corrected
levels of myogenin and MLC2 are plotted against the concentrations of
PD098059.
|
|
Activity of MyoD Protein Is Up-regulated by the ERK
Pathway--
The effect of MAPK on MyoD activity was further studied
by transiently transfecting 10T1/2 fibroblasts with expression vectors of MyoD and active forms of kinases that are members of the MAPK pathway. The active form of MEK1 was described by Mansour et
al. (15) and Alessi et al. (31), and the active form of
Raf1 was described by Leevers et al. (16). Most 10T1/2
fibroblasts transfected with the MyoD expression vector also expressed
the differentiation marker MHC when grown for 24 h in
differentiation medium (Fig. 7B, lane 1).
However, if the transfected cells were continuously grown in high
serum-containing medium (15% bovine calf serum), only ~20-30% of
the cells that expressed MyoD also expressed MHC (Fig. 7B,
lane 2). Under these serum conditions, cells that were cotransfected with the activated allele of MEK1 or, alternatively, the
activated allele of Raf1 exhibited a higher proportion of MHC staining
in the cytoplasm of MyoD-expressing cells (Fig. 7B, lanes 3 and 4). Thus, activation of the ERK
pathway appears to contradict the inhibitory effects of serum on the
function of MyoD as judged by the activation of endogenous MHC
expression.

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Fig. 7.
MyoD activity is up-regulated by the MAPK
pathway when cells are grown in the presence of a high serum
concentration. A, 10T1/2 fibroblasts were transiently
transfected with either the MyoD expression vector or with expression
vectors of MyoD and constitutively activated MEK1 (Act.
MEK1) or Raf1 (Raf-CAAX). Transfected cells were grown
in the presence of high serum (growth medium (GM)) for
24 h, after which they were fixed and double-stained for MHC
(cytoplasmic staining) and for MyoD (nuclear staining). B,
shown is the quantification of the results presented in A.
Transfected cells were grown as described for A, except in
one case in which cells were grown in differentiation medium
(DM) for 24 h. The percentage of differentiation was
calculated by dividing the number of double-stained cells (MyoD and
MHC) by the total number of MyoD stained cells (single- and
double-stained). The value of each bar in the histogram
represents the analysis of ~100 transfected cells.
|
|
The transcriptional activity of MyoD was also studied by cotransfection
of the same expression vectors with a reporter gene whose expression
was driven by a minimal promoter that contained MyoD-binding sites. As
shown in Fig. 8, the transfected reporter gene behaved similarly to the endogenous mhc gene,
i.e. was specifically activated by MyoD in the
differentiation medium (lane 8). MyoD activation of the
reporter gene was lower in medium containing high serum (growth medium)
(Fig. 8, lane 2), and under these conditions, activated MEK1
or activated Raf1 induced the reporter gene activity to levels similar
to those observed in differentiation medium (lanes 3 and 4). Therefore, under conditions of high serum, in which
MyoD was only partially active, activated forms of kinases from the
MAPK pathway could rescue its activity. On the other hand, under media
conditions in which MyoD was fully active (differentiation medium), the
transfection of a dominant-negative allele of MEK1 inhibited MyoD
activity as indicated by the expression of the reporter gene (Fig. 8,
lanes 8 and 9).

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Fig. 8.
Activation of a MyoD-responsive reporter gene
by MyoD is affected by coexpression of different kinases of the MAPK
pathway. 10T1/2 fibroblasts were transiently transfected with
expression vectors of MyoD and different mutants of kinases of the MAPK
pathway. The transcriptional activity of MyoD was assayed by analyzing
the activity of a cotransfected reporter gene that contained the
chloramphenicol acetyltransferase (CAT) reading frame under
the control of MyoD-binding sites in the promoter region (4R-tk-CAT).
Protein extracts of the transfected cells were used in a
chloramphenicol acetyltransferase assay according to the transfection
efficiency that was measured as described under "Experimental
Procedures." The chloramphenicol products were separated by
thin-layer chromatography and quantified by phosphoimaging (Fuji).
Average results from two independent experiments are presented.
Act. MEK1, constitutively activated MEK1; D.N.
MEK1, dominant-negative MEK1; GM, growth medium;
DM, differentiation medium.
|
|
 |
DISCUSSION |
Several growth factors and hormones have been associated with the
growth and differentiation of muscle cells, but so far, little evidence
has accumulated on the participation of intracellular signaling
pathways in these processes. The results of this study strongly
indicate that the MAPK pathway is involved in the differentiation of
muscle cells. We have shown for the first time that ERK1/2 kinase
activity is induced concomitantly with the onset of muscle differentiation (Figs. 1 and 2). Induction of ERK activity was found in
C2 cells and in muscle cells derived from 10T1/2 fibroblasts (Figs. 1
and 4). ERK activity was not induced in 10T1/2 fibroblasts that were
grown under the same medium conditions as muscle cells (Fig. 4),
suggesting that the process of ERK induction is directly linked to the
differentiation process. To study the effects of ERK activity on the
differentiation of muscle cells, we used two approaches: activation of
or interference with ERK activity. To activate ERK in muscle cells,
constitutively activated forms of MEK1 or Raf1 were expressed in 10T1/2
fibroblasts. Expression of MyoD in 10T1/2 fibroblasts growing in a
medium containing a high serum concentration induced the expression of
endogenous MHC only in a subset of the transfected cells (Fig.
7B). Coexpression of the activated form of MEK1 or Raf1
increased significantly the number of transfected cells that expressed
MHC (Fig. 7B). Coexpression of each of these kinases
augmented MyoD activity as measured by the activation of a reporter
gene (Fig. 8). To inhibit ERK activity in muscle cells, a specific
noncompetitive inhibitor of MAPK kinase (PD098059) was used (Fig. 5).
The treatment of muscle cells with this drug repressed MyoD expression
and activity (Figs. 5 and 6). Based on these observations, we suggest
that the MAPK pathway modulates the expression and activity of
MyoD.
Can ERK Induction Be Involved in Promoting Muscle
Differentiation?--
Previous studies showed that overexpression of
an activated form of Ras (Ha-Ras61), Src, or c-Fos, all of which are
affectors and effectors of the MAPK cascade, prevented the
differentiation of myoblasts (32). On the basis of these observations,
how can one explain the distinct induction of MAPK activity at the
onset of muscle differentiation? A possible answer to this question can
be derived from two recent works that studied Ras-transformed muscle
cells (33, 34). In these studies, PD098059 used to inhibit MAPK
activity did not reverse the Ras phenotype. Therefore, it was concluded
that inhibition of muscle differentiation by oncogenic Ras occurred by
unknown pathways other than the MAPK pathway. However, these works did
not identify that the MAPK pathway promoted myogenesis. Ramocki
et al. (34) transfected activated forms of MEK1 or Raf1 into
10T1/2 fibroblasts and found that Raf1 inhibited the function of MyoD
and that MEK1 did not affect its activity, whereas we found that the
same kinases augmented MyoD activity in the same cells (Figs. 7 and 8).
This controversy may be explained by the different experimental
conditions used in the two works. Whereas Ramocki et al.
studied Raf1 and MEK1 under conditions that promoted differentiation
(differentiation medium), we studied their effects in high
serum-containing medium. We chose these conditions due to the low
endogenous activity of ERK in dividing myoblasts (Fig. 1). Ramocki
et al. measured the effects in cells that were grown for
48 h in differentiation medium. Under these conditions, the
endogenous ERK activity was high and could mask the effects of the
transfected alleles (see Fig. 1).
Opposing effects of the MAPK pathway on growth and differentiation were
suggested in analogous systems such as PC12 neuronal cells. These cells
either differentiate or proliferate in response to growth factor
stimulation. The "decision" to enter each of these pathways is
determined by the strength, duration, or both the strength and duration
of the stimulus (12, 35, 36). The mechanism of this phenomenon is
unknown, but it is instructive to consider how small quantitative
differences in signal duration or amplitude are converted into
remarkable qualitative differences in gene expression. By analogy, an
accurate temporal and quantitative induction of ERK activity might
explain its role in differentiation and not in proliferation. Inducing
the ERK pathway at different times and intensities could result in
either cell growth or differentiation. In fact, a recent work suggested
that the MAPK cascade functions at two stages of muscle differentiation
(37). At an early stage, MAPK activity inhibits the exit of myoblasts
from the cell cycle, whereas at a later stage of differentiation, the
same activity is needed for myotube formation. In this respect, it is
also interesting to note that the extracellular growth factor
transforming growth factor-
, whose signaling pathway is only
partially understood, plays both a positive and a negative role in the
development of muscle cells (38, 39). Transforming growth factor-
inhibits differentiation of cells that are triggered to differentiate
in differentiation medium (38), but augments differentiation in an
environment rich in mitogens (39). Also, insulin-like growth factors
were shown to have complex effects on the growth and differentiation of
muscle cells (40). At first, insulin-like growth factors activate
proliferation, and subsequently, they stimulate events leading to the
expression of muscle-specific genes.
Is c-Fos Directly Involved in the Differentiation Process?--
We
have found that c-fos expression is induced during muscle
differentiation (Fig. 3). Presently, we do not know whether the induction of c-fos expression is a consequence of ERK
induction, nor do we know whether c-fos participates in the
differentiation of myoblasts. However, a recent work suggested that the
serum response factor is indispensable for myogenic differentiation of
C2 cells (41). The serum response factor mediates the induction of
c-fos expression in response to serum and growth factors
(42, 43), and it is therefore possible that like the serum response factor, c-Fos is required for myogenic differentiation.
Activation of ERK Is Inherent to Muscle Differentiation--
We
suggest that the induction of ERK activity is an inherent property of
differentiating myoblasts. This suggestion is based on the observation
that ERK activity is induced in 10T1/2 cells that ectopically express
MyoD, but not in 10T1/2 cells (Fig. 4). The peak of ERK activity
usually appears 24-48 h after differentiation medium containing
insulin is added to myoblasts. It also appears concomitantly with the
expression of muscle-specific genes such as mck and
mlc. We therefore suggest that the transmission of the MAPK
signal is not a direct consequence of the exogenous insulin, but rather
that an autocrine loop that activates this signaling pathway is being
generated in differentiating muscle cells.
Another observation made in this study is that ERK activity in
proliferating myoblasts is very low compared with its high levels in
proliferating fibroblasts (Fig. 4). Very low levels of ERK activity
were observed in C2 cells and in 10T1/2-MyoD myoblasts. Unlike
10T1/2-MyoD cells, 10T1/2-MyoD-ER cells, which express the conditional
MyoD protein, maintain high levels of ERK activity (Fig. 4). Other
results of this work demonstrate that coexpression of MyoD and
activated MEK1 or activated Raf1 promotes muscle differentiation in
high serum-containing medium (Fig. 7). A selection against myoblasts
that maintain high ERK activity because of precocious differentiation
could be the cause for the low levels of ERK activity in myoblasts.
Alternatively, MyoD protein may suppress ERK activity in myoblast
cells. Campbell et al. (44) studied the signals transmitted
by basic fibroblast growth factor in MM14 muscle cells. In agreement
with our observations, they demonstrated that MAPK activity was not
induced in proliferating myoblasts. Basic fibroblast growth factor
stimulated the activity of MAPK only in committed myotubes. This work
further showed that the signal generated by basic fibroblast growth
factor did not progress downstream to MAPK in proliferating myoblasts
(44). Later, Campbell and co-workers (45) identified a novel dual
specificity protein-tyrosine phosphatase (rVH6) shown to
dephosphorylate activated MAPK. The phosphatase was highly expressed in
proliferating MM14 cells and declined rapidly during differentiation.
Bennett and Tonks (37) found that the expression of MAPK phosphatase 1, another phosphatase of MAPK, declined significantly during
differentiation of C2 cells. Therefore, the expression of known MAPK
phosphatases is in inverse correlation to the activity of MAPK as found
in this work.
The MAPK Pathway Augments MyoD Activity--
Two lines of evidence
presented in this work show that the ERK pathway affects MyoD activity.
First, treatment of C2 cells with the specific inhibitor of MEK1
(PD098059) repressed the induction of MyoD expression that usually
occurs during terminal differentiation (Fig. 5). In addition to its
effect on MyoD expression, the inhibitor also repressed MyoD activity
in cells expressing a conditional MyoD protein (Fig. 6). In these
cells, treatment with PD098059 inhibited the expression of
muscle-specific markers like myogenin and MLC. In a second set of
results, we noted that the expression of an activated form of MEK1 or
Raf1 increased significantly the activity of MyoD in transfected 10T1/2
fibroblast cells (Fig. 7). Whether the effect of MAPK is restricted to
MyoD only or other members of the myogenic family are also affected is
still unclear. However, the pattern of muscle-specific gene expression
and the phenotype of C2 cells that were treated with PD098059 suggest that its effect is probably restricted to MyoD. Similarly to untreated cells, these cells expressed all the muscle cell markers that were
examined: MLC, MHC, MCK, and p21. Moreover, the expression of the MyoD
family member myogenin was normally induced in the drug-treated cells.
The normal expression of myogenin in these cells suggests that it is
responsible for inducing the expression of muscle marker genes.
Fusion of C2 Cells Is Decreased by Treatment with
PD098059--
Surprisingly, C2 cells that were treated with PD098059
fused rather poorly under differentiation conditions. This is a
distinct phenotype, especially because these cells express normal
levels of several muscle-specific genes. An identical phenotype was
recently described by Bennett and Tonks (37) using a different approach to inhibit ERK activity in C2 cells. In their work, overexpression of
MAPK phosphatase 1 during differentiation prevented the fusion of cells
despite the appropriate expression of myosin heavy chain. We found one
distinct difference between Bennett and Tonks' results and our own: in
their work, Bennett and Tonks saw no effect of MAPK phosphatase 1 on
the expression of MyoD, whereas we found that PD098059 inhibited the
expression and activity of MyoD. The differences in expression of MyoD
could have been a result of a substantial difference between the
systems used; in their work, MAPK phosphatase 1 inhibited both ERK and
JNK, whereas in our work, PD098059 inhibited only ERK. Another possible
way to explain the difference is that we measured the steady-state
mRNA levels of MyoD, whereas Bennett and Tonks measured the protein
levels of MyoD.
The observed linkage between the specific inhibition of MyoD and the
appearance of the distinct phenotype indicates a possible involvement
of MyoD in the activation of muscle cell fusion. This idea is strongly
supported by a study of Brennan et al. (46) on the
BC3H1 muscle cell line. This cell line expresses myogenin and other muscle-specific genes, but not MyoD during differentiation (46). Also, the lack of MyoD expression in this cell line is correlated
with the cells' inability to form multinucleated myotubes during
differentiation. Expression of exogenous myoD cDNA in
these cells was sufficient, however, to induce a phenotype that forms multinucleated myotubes during differentiation. These results, together
with those of the present work, suggest that the effects of MyoD and
myogenin are not redundant and that MyoD may be required in these cell
lines to allow the fusion of muscle cells. These studies and others
suggest an independent segregation of cell fusion and activation of
muscle structural genes (47, 48).
Several recent works that studied the effect of PD098059 on muscle
differentiation arrived to different conclusions (33, 49, 50). Two
studies (33, 50) suggested that the drug had no effect on myoblast
differentiation. Another work (49) suggested that the drug caused
dramatic enhancement of differentiation. While our work suggests no
effect on the expression of differentiation markers, it does indicate a
certain inhibitory effect on cell fusion. The controversy may be
explained by the use of different cell lines in these studies. Coolican
et al. (49) studied L-6 cells, whereas we studied C2 and L-8
cells. In C2 cells, we found that the effects of PD098059 were probably
directed to the expression and activity of MyoD protein. MyoD protein
is not detectable in L-6 and L-8 cell lines. This may explain why
differentiation of L-8 cells was not affected by PD098059. The
unexpected stimulation of L-6 differentiation by PD098059 (49) could
have been a consequence of the antimitogenic effect of the drug that
induced earlier withdrawal from the cell cycle and consequently faster
differentiation (37). Therefore, different results could also reflect
the dual role of MAPK in muscle differentiation: mitogenic at early
stages and differentiation-promoting at later stages (37).
ERK1 and ERK2 may not be the only members of MAPK to activate
myogenesis. Recently, a newly isolated member of the family (ERK6) was
found to be highly expressed in human skeletal muscle cells and
appeared to function as a signal transducer during the differentiation
to myotubes (51). A comparison between ERK6 and ERK1/2 demonstrated
that they represent two separate pathways that do not share the same
activating signaling cascades or regulatory systems (51). Additional
studies are needed to determine whether or not ERK6 operates in
addition to ERK1 and ERK2 in mouse muscle cells.
In conclusion, it appears that like the multiple inhibitory pathways of
muscle differentiation, positive regulation of muscle development and
differentiation involves multiple pathways that regulate this multistep
complex process.
 |
ACKNOWLEDGEMENTS |
We thank Drs. Ami Aronheim and Michael Karin
for providing the pGEX-Jun plasmid and the expression vectors of
different kinases. We thank Drs. Uri Nudel and David Yaffe for the C2
and L-8 cells. We thank Drs. Michael Fry and Bianca Raikhlin-Eisenkraft
for critical reading of the manuscript.
 |
FOOTNOTES |
*
This work was supported by a United States-Israel Binational
Science Foundation (BSF) (to E. B. and S. J. T.), by an Israel Cancer Association grant (to E. B.), by the Rappaport Foundation for
Medical Research, and by the Foundation for Promotion of Research in
the Technion.The costs of publication of this
article were defrayed in part by the
payment of page charges. The article
must therefore be hereby marked
"advertisement" in
accordance with 18 U.S.C. Section
1734 solely to indicate this fact.
¶
To whom correspondence should be addressed: Dept. of
Biochemistry, Faculty of Medicine, Technion-Israel Inst. of Technology, P. O. Box 9649, Haifa 31096, Israel. Tel.: 972-4-8295-287; Fax: 972-4-8535-773; E-mail: Bengal{at}tx.technion.ac.il.
1
The abbreviations used are: MAPKs,
mitogen-activated protein kinases; ERK, extracellular signal-regulated
protein kinase; MBP, myelin basic protein; ER, estrogen receptor; PBS,
phosphate-buffered saline; MHC, myosin heavy chain; MLC, myosin light
chain; MCK, muscle creatine kinase; GST, glutathione
S-transferase; JNK, Jun N-terminal kinase; GAPDH,
glyceraldehyde-3-phosphate dehydrogenase; PCR, polymerase chain
reaction.
 |
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