Originally published In Press as doi:10.1074/jbc.M202351200 on April 17, 2002
J. Biol. Chem., Vol. 277, Issue 25, 22558-22565, June 21, 2002
Mechanism of 17-
-Estradiol-induced Erk1/2 Activation in
Breast Cancer Cells
A ROLE FOR HER2 AND PKC-
*
Venkateshwar G.
Keshamouni
§,
Raymond R.
Mattingly¶, and
Kaladhar B.
Reddy
From the Departments of
Pathology and
¶ Pharmacology, Wayne State University,
Detroit, Michigan 48201
Received for publication, March 11, 2002, and in revised form, April 16, 2002
 |
ABSTRACT |
Activation of mitogen-activated protein kinase
(Erk/MAPK) is a critical signal transduction event for estrogen
(E2)-mediated cell proliferation. Recent studies from
our group and others have shown that persistent activation of Erk plays
a major role in cell migration and tumor progression. The signaling
mechanism(s) responsible for persistent Erk activation are not fully
characterized, however. In this study, we have shown that
E2 induces a slow but persistent activation of Erk in MCF-7
breast carcinoma cells. The E2-induced Erk activation is
dependent on new protein synthesis, suggesting that
E2-induced growth factors play a major role in Erk
activation. When MCF-7 cells were treated with E2 in the
presence of an anti-HER-2 monoclonal antibody (herceptin), 60-70% of
E2-induced Erk activation is blocked. In addition, when
untreated MCF-7 cells were exposed to conditioned medium from
E2-treated cells, Erk activity was significantly enhanced.
Furthermore Erk activity was blocked by an antibody against HER-2 or by
heregulin (HRG) depletion from the conditioned medium through
immunoprecipitation. In contrast, epidermal growth factor receptor
(Ab528) antibody only blocked 10-20% of E2-induced Erk
activation, suggesting that E2-induced Erk activation is
predominantly mediated through the secretion of HRG and activation of
HER-2 by an autoctine/paracrine mechanism. Inhibition of
PKC-
-mediated signaling by a dominant negative mutant or the
relatively specific PKC-
inhibitor rottlerin blocked most of the
E2-induced Erk activation but had no effect on
TGF
-induced Erk activation. By contrast inhibition of Ras, by
inhibition of farnesyl transferase (Ftase-1) or dominant negative (N17)-Ras, significantly inhibited both E2- and
TGF
-induced Erk activation. This evaluation of downstream signaling
revealed that E2-induced Erk activation is mediated by a
HRG/HER-2/PKC-
/Ras pathway that could be crucial for
E2-dependent growth-promoting effects in early
stages of tumor progression.
 |
INTRODUCTION |
Normal mammary development and breast cancer growth are under
the influence of steroid hormones, particularly
E2.1 The effects
of estrogens are mediated primarily through interaction with the
estrogen receptor
leading to cell proliferation (1, 2). Estrogen
receptor
has an NH2-terminal domain with a
hormone-independent transcriptional activation function (AF-1) (3), a
central DNA binding domain, and a COOH-terminal ligand binding domain
with a hormone-dependent transcriptional activation
function (AF-2) (4, 5). In addition to steroid hormones, a host of
polypeptide growth factors may also play an important role in the
growth regulation of breast cancer by autocrine, paracrine, or
endocrine mechanism(s) (6-10). Several groups, including ours, have
confirmed that estrogen-dependent breast cancer cells
synthesize and secrete growth factors in response to estrogen
stimulation and that estrogen-independent breast cells secrete these
growth factors constitutively (11-13). Because breast cancer cells
have membrane receptors for several of the growth factors they secrete,
it has been proposed that secreted growth factors produced by the cells
can bind to receptors on the surface and activate Erk/MAPK by autocrine
and/or paracrine mechanisms (6, 8, 10, 13).
Cell transformation often results from activation of components in
signaling pathways that control cell proliferation and differentiation.
These pathways are initiated from various cell surface receptors, and
may converge on the MAPK cascade, a module consisting of MAP kinase
kinase (MEK) and MAPK (14, 15). Action of the MAPK cascade appears to
be necessary for cell growth. Growth factor-regulated gene
transcription and cell proliferation are blocked in mammalian cells by
inhibiting MAPK activity (16) or microinjection of dominantly
interfering mutants of MAPK or of antisense RNA complementary to MAPK
transcripts (17, 18). These studies indicate that MEK and MAPK are
necessary components of cell growth.
Many polypeptide growth factors exert their function by binding to cell
surface receptors that have intrinsic protein tyrosine kinase activity.
A large number of receptor tyrosine kinase subclasses have been
described, among which the type I/ErbB family of receptor tyrosine
kinases is of particular interest due to their frequent involvement in
human cancer. Four members of this family are currently known:
epidermal growth factor receptor (EGFR)/ErbB-1, ErbB-2/HER-2, ErbB-3,
and ErbB-4 (19-21). Co-expression of estrogen receptor
and ErbB
receptors is commonly detected in normal and breast cancer cells (22).
Aberrant expression of EGFR has been observed in various human tumors
(23). Overexpression of ErbB-2 in the presence or absence of gene
amplification is frequently found in tumors arising at many sites,
especially of the breast and ovary, where it correlates with poor
patient prognosis (24). Multiple lines of experimental evidence suggest
that overexpression of HER-2 confers antiestrogen resistance to breast
tumor cells. MCF-7 human breast cancer cells transfected with either a
full-length HER-2 cDNA or with ectopic heregulin-
1 (HRG), the
HER3/4 ligand that also activates HER-2, lose sensitivity to tamoxifen
(25-28).
Erk can also be efficiently activated by protein kinase C (PKC) (29,
30). The PKC family is comprised of at least 12 serine/threonine kinases that participate in signal transduction events in response to
specific hormonal and growth factor stimuli (31). Differences in their
structure and substrate requirements have permitted classification of
the isoforms into three groups: 1) conventional PKCs (
,
I,
II,
and
), which are Ca2+-dependent and
activated by both phosphatidylserine and the second messenger
diacylglycerol; 2) novel PKCs (
,
,
, and
), which are
Ca2+-independent and regulated by diacylglycerol and
phosphatidylserine; and 3) atypical PKCs (
and
/
), which
are Ca2+-independent and do not require diacylglycerol
for activation although phosphatidylserine regulates activity (32, 33).
The activity of PKC is several times higher in ER-negative breast cancer cell lines than ER-positive cell lines (34). Breast cancer biopsies exhibit higher levels of total PKC activity compared with the
surrounding normal tissue (35). PKC-
plays a major role in
12-O-tetradecanoylphorbol-13- acetate (TPA)-induced
Raf-MEK-Erk activation (36, 37).
In the present study, we have shown that HER-2 and PKC-
play a major
role in E2-induced Erk activation. The results indicate that E2 activates Erk by an autocrine/paracine mechanism
through activation of a HER-2/PKC-
/Ras signaling pathway. In
contrast, TGF
activates Erk by stimulating an EGFR/Ras pathway.
These findings indicate that HER-2 and PKC-
play a major role in
estrogen-mediated signaling leading to Erk activation and cell proliferation.
 |
EXPERIMENTAL PROCEDURES |
Cell Lines and Reagents--
The human breast carcinoma cell
line MCF-7 was obtained from the American Type Culture Collection and
maintained in Dulbecco's modified Eagle's medium, supplemented with
5% fetal calf serum, insulin, and antibiotics penicillin and
streptomycin (Invitrogen). MCF-7 cells that have been stably
transfected with full-length HER2 cDNA (MCF-7/HER2-18) or control
vector (MCF-7/neo) were generously provided by C. K. Osborne (Baylor
College of Medicine, Houston, TX) and have been described previously
(38). TGF-
was purchased from R&D Systems (Minneapolis, MN).
17
-Estradiol, cycloheximide, and TPA were purchased from Sigma. ICI
182,780 was purchased from Tocris (Ballwin, MO). UO126 was purchased
from Promega (Madison, WI). EGFR-specific monoclonal antibody
clone-528, bisindolylmaleimide, rottlerin, GO6976, and Ftase-1 were
purchased from Calbiochem (San Diego, CA). Herceptin (humanized
anti-HER2 antibody) was generously provided by Genentech. A mouse
monoclonal antibody to phosphorylated MAPK was purchased from New
England Biolabs (Beverly, MA), and a rabbit polyclonal antibody to
total MAPK was purchased from Zymed Laboratories
Inc.(San Francisco, CA). An anti-HA antibody (clone Y-11) was
purchased from Santa Cruz Biotechnology, Inc. (Santa Cruz, CA).
Isolation of Stable Transfectants--
MCF-7 cells were stably
transfected with full-length EGFR cDNA (pRCMV3 vector obtained
from Dr. Gordan, University of California, San Diego, CA) (39) or
with HA-tagged dominant negative PKC
cDNA with Lys-Arg
point mutation in the ATP binding site (Dr. Weinstein, Columbia
University) (40) by electroporation using a Bio-Rad gene pulsar at 950 microfarads and 0.22 kV/cm (t = 12-14 ms). Stable
transfectants were selected in the presence of 250 µg/ml G418
(Invitrogen) for two to three weeks. Individual antibiotic-resistant colonies were isolated and screened for the expression of the corresponding protein by Western analysis using anti-EGFR antibody (clone-528) or anti-HA antibody (clone Y-11). All cell lines were routinely tested for mycoplasma contamination and found to be negative.
Western Immunoblot Analysis--
Western blotting was performed
as described previously (16) using a standard protocol. Crude protein
extracts were obtained by lysing 5 × 106 cells in a
buffer (50 mM Tris-HCl (pH 7.6), 1% Nonidet P-40, 2 mM EDTA, 0.5% sodium deoxycholate, 150 mM
NaCl, 1 mM sodium orthovanadate, 2 mM EGTA, 4 mM sodium p-nitrophenyl phosphate, 100 mM sodium fluoride) supplemented with protease inhibitors (leupeptin (0.5%), aprotinin (0.5%), and phenylmethylsulfonyl fluoride (0.02%)). Samples containing 50 µg of total protein were electrophoresed on 10% SDS-polyacrylamide gels and transferred on to
nitrocellulose membrane by electroblotting. Membranes were probed with
antibodies as indicated, followed by horseradish peroxidase-conjugated mouse or rabbit secondary antibodies (Amersham Biosciences) and enhanced chemiluminescence detection (Amersham Biosciences). For quantification of Erk activity, band intensities of the phospho-Erk were quantified using Bio-Rad "Quantity one" software and
normalized to the corresponding total Erk1/2 levels.
Immunoprecipitation--
Cells were lysed as described above,
and HER2 and EGFR were immunoprecipitated from 1 mg of total protein
with 2 µg of herceptin (anti-HER-2) or clone528 (anti-EGFR) by
incubating overnight at 4 °C. Immunocomplexes were pulled down by
protein G- or protein A-coupled-agarose beads (Calbiochem) for 3-4 h
at 4 °C. The immunoprecipitates were separated on SDS-PAGE,
transferred to nitrocellulose and probed with an anti-phosphotyrosine
antibody (Signal Transduction labs) as described in Western immunoblot analysis.
Assay for Ras-GTP Levels--
The GTP-bound form of Ras was
isolated using a minimal Ras binding domain of Raf (41) coupled to
agarose beads following the procedure previously described (42). In
brief, proteins were extracted from 1 × 106 cells in
500 µl of lysis buffer (50 mM Hepes-sodium (pH 7.4), 150 mM NaCl, 0.5% Triton X-100, 20 mM
MgCl2) and supplemented with protease inhibitors (0.5%
leupeptin, 0.5% aprotinin, and 0.02% phenylmethylsulfonyl fluoride)
and 0.25% sodium deoxycholate. Affinity purification of Ras-GTP was
performed from 300 µl of cell lysate at 4 °C for 30 min using 50 µl of Raf-Ras binding domain beads (50% suspension). Raf-Ras
binding domain beads were pelleted, washed twice and resuspended in 20 µl of 2× SDS-PAGE sample buffer. An additional 150 µl of cell
lysate was precipitated with cold trichloroacetic acid (10%
final concentration). Precipitates were dissolved in 15 µl of 1 M NaHCO3 and 30 µl of 2× SDS-PAGE sample
buffer. The samples were then separated by SDS-PAGE and transferred to
nitrocellulose membrane and probed with anti-Ras monoclonal antibody
(Transduction Laboratories, Lexington, KY). Band intensities
were quantified as described in Western analysis and active Ras
(Ras-GTP) was normalized to corresponding total Ras levels.
Transient Transfections--
Dominant negative Ha-Ras (N17Ras)
(43) or wild type Ha-Ras cDNA was transiently transfected into
MCF-7 cells by LipofectAMINE (Invitrogen) according to the
manufacturer's protocol. After 24 h the cells were treated with
E2, TGF
, or inhibitors. Subsequent procedures for cell
lysis and western immunoblots were as described above.
Cell Proliferation Assay--
Cell proliferation was measured
using Promega's aqueous one solution cell proliferation assay
according to the manufacturer's protocol (Promega). In brief, 5000 cells were plated in each well of a 96-well plate in Dulbecco's
modified Eagle's medium with serum. After 24 h the medium was
exchanged with serum-free and phenol red-free medium, and the cells
were incubated for another 24 h. The cells were then pretreated
with the inhibitors or antibody 1 h prior to 24 h of
stimulation with E2 or growth factors. The reagent was
added and incubated for 2-3 h at 37 °C, 5% CO2. The intensity of the color was measured at 490 nm using a 96-well plate reader.
 |
RESULTS |
E2 and TGF
Induce Erk Activation by Different
Signaling Pathways in MCF-7 Cells--
Erk activity is tightly
controlled by dual phosphorylation of specific threonine and tyrosine
residues (Thr-183 and Tyr-185) by MEK, an upstream activator of Erk
(44, 45). Using a specific antibody that recognizes the active,
phosphorylated forms of p44/p42 MAPK (Erk1/Erk2), Western immunoblot
analysis revealed that activation of Erk in MCF-7 cells occurs after
treatment with E2 and TGF
. TGF
induced a rapid and
transient activation of Erk that peaked within 10 min and disappeared
by 2 h (Fig. 1B). In
contrast, E2-induced a slow activation of Erk starting at
2 h, which peaked by 4 h, and was sustained for at least
24 h (Fig. 1A). To rule out a role for non-genomic
E2-mediated signaling we treated MCF-7 cells with membrane-impermeable BSA-conjugated E2
(BSA-E2). MCF-7 cells treated with BSA-E2 did
not exhibit Erk activation at 15-min, 1-, 2-, 4-, and 24-h time points
(data not shown). By using antibodies that recognize total Erk we
showed that both TGF
and E2 modulate Erk phosphorylation
and activity, but total protein levels were unaltered. In all
subsequent experiments we used a 10-min time point for TGF
stimulation studies and a 4-h time point for E2-induced Erk
activation studies unless otherwise specifically stated. When MCF-7
cells were pretreated with the antiestrogen ICI 182,780 for 1 h
and then stimulated with E2, most of the
E2-induced Erk activation was inhibited, whereas
TGF
-induced Erk activation was maintained (Fig. 1C).

View larger version (47K):
[in this window]
[in a new window]
|
Fig. 1.
Time course of E2- and
TGF -induced Erk activation and selective
effect of antiestrogen to inhibit
E2-induced Erk activation. Cells
were serum-starved for 48 h and then treated with
10 8 M E2 (A) or50
ng/ml TGF (B) for different times as indicated.
C, the cells were treated with 10 6
M ICI 183,780 (ICI) 1 h prior to 4 h
of E2 or 10 min of TGF treatments. Cell lysates were
analyzed by Western immunoblotting using phospho-specific Erk
monoclonal antibody. The same blot was stripped and reprobed with
rabbit polyclonal antibody that recognizes total Erk1/2 (second
panel in each set). The data shown are representative of three
independent experiments.
|
|
E2-induced Erk Activation Requires Synthesis and
Secretion of New Proteins--
Different groups including ours have
previously shown that E2 induces synthesis and secretion of
peptide growth factors such as TGF
, EGF, HRG, etc. Because breast
cancer cells have membrane receptors for several of the growth factors
they secrete, it has been suggested that secreted growth factors
produced by the cells can bind to receptors on the cell surface and
regulate growth by autocrine and/or paracrine stimulation (7, 8, 12,
13). To investigate the possibility of such a mechanism in
E2-induced Erk activation we used cycloheximide (CHX), a
potent inhibitor of protein synthesis. When cells were treated with CHX
1 h prior to addition of E2 a complete inhibition of
E2-induced Erk activation was observed (Fig.
2A). However, when cells were
treated with CHX at different time points subsequent to
E2-stimulation, E2-induced Erk activation
gradually escaped CHX-mediated inhibition by 3 h (Fig.
2A). To further confirm that E2-induced proteins
such as growth factors mediate Erk activation by an autocrine/paracrine mechanism, we collected the conditioned medium after treating the cells
with E2 for 0, 1, 2, and 4 h. Phenol red-free and
serum-starved MCF-7 cells were exposed to the above conditioned medium
for 10 min (to avoid E2-induced Erk activation). We
observed highest Erk activation (~3-fold higher when compared with
control cells) in the cells exposed to conditioned medium from the 4-h
E2 treatment (Fig. 2B). However, conditioned
medium from cells exposed to E2 and CHX at the same time
did not stimulate Erk activity in MCF-7 cells. CHX did not inhibit
growth factor-induced Erk activity (Fig. 2A). Based on the
above data we conclude that E2-induced Erk activation is
mediated by an autocrine or paracrine mechanism.

View larger version (41K):
[in this window]
[in a new window]
|
Fig. 2.
Effect of CHX on E2-induced
Erk activation and the ability of the conditioned media from
E2-treated cells to induce Erk activation.
A, cells were serum-starved for 48 h and
treated with 25 ng/ml CHX for 1 h prior to 10 8
M E2 stimulation for 4 h or 50 ng/ml
TGF stimulation for 10 min. In some cases CHX was added subsequent
to E2 stimulation as shown. B, CM was collected
from MCF-7 cells treated with 10 8 M
E2 at different times as indicated or from cells treated
with 25 ng/ml CHX prior to 4 h of E2 treatment.
Freshly serum-starved MCF-7 cells were treated with the above CM for 10 min. Cell lysates from the above samples were analyzed for phospho-Erk
and total Erk as described in Fig. 1.
|
|
E2-induced Erk Activation Is Predominantly Mediated
through HER-2 Activation--
Previous studies have shown that MCF-7
cells express all four EGF growth factor receptors, EGFR, ErbB2/HER-2,
ErbB-3, and ErbB4 (46). To identify the receptors involved in the
E2-induced Erk activation, we used antibodies against EGFR
and HER-2 receptors. It was previously shown that EGFR antibody Ab528
can block the activation of receptor tyrosine kinases by EGF and TGF
and that anti-HER-2 antibody (Ab herceptin) can block HER-2 signaling
(47-50). Our data showed that E2-induced Erk activation
was only partially blocked (10-20%) by the EGFR antibody, but the
antibody against HER-2/neu significantly blocked E2-induced
Erk activity (60-70%) (Fig.
3A). In addition we have shown
that the EGFR antibody blocked Erk activation by exogenously added
TGF
and that herceptin antibody blocked Erk activation by
exogenously added HRG (Fig. 3A).

View larger version (63K):
[in this window]
[in a new window]
|
Fig. 3.
Effect of antibodies against EGFR, HER-2,
HRG, and TGF on E2-induced Erk
activation and activation of HER-2 and EGFR in response to
E2 treatment. A, after 48 h of serum
starvation cells were pretreated with 10 µg/ml monoclonal antibody
against EGFR (Ab528) or 10 µg/ml monoclonal antibody against HER-2
(herceptin) 1 h prior to 4h of 10 8 M
E2 or 10 min of 50 ng/ml TGF or HRG stimulation.
B, CM collected from 4 h of E2-treated
cells was neutralized by immunoprecipitation for 2 h with
antibodies against HRG or TGF and precleared with protein A-agarose
beads. Fresh serum-starved MCF-7 cells were then treated with the above
neutralized CM or precleared CM for 10 min. Cell lysates were analyzed
for phospho-Erk and total Erk as described in Fig 1. C, cell
lysates obtained from the cells treated with 4 h of E2
or 10 min of HRG, TGF , or ICI+E2 were immunoprecipitated
overnight with 2 µg/ml antibodies against HER-2 (herceptin) and EGFR
(Ab528). Immunocomplexes were pull down by protein A (herceptin)- and
protein G (Ab528)-agarose beads, separated by SDS-PAGE, and analyzed
for phospho-Tyr by Western immunoblotting.
|
|
To determine the role of HRG in E2-induced Erk activation,
we collected the conditioned medium from cells treated with
E2 for 4 h and removed HRG from the conditioned medium
with a neutralizing antibody. When serum-starved MCF-7 cells were
exposed to the conditioned medium that had been depleted of HRG, Erk
activity was significantly reduced (Fig. 3B). Similar
experiments with a TGF
neutralizing antibody did not inhibit Erk
activity, however. These results provide additional evidence to show
that E2-induced Erk activation is predominantly mediated by
the HER-2 receptor, possibly through interaction with HER-3 or HER-4
(51).
To further confirm that E2-induced growth factors bind and
phosphorylate the HER-2/neu receptor, we used HER-2/MCF-7 and
EGFR/MCF-7 cells. MCF-7 cells express low levels of EGF and HER-2/neu
receptors, and it is very difficult to identify receptor
phosphorylation by Western immunoblotting. To overcome this problem we
used MCF-7 cells that are stably transfected with EGFR (EGFR/MCF-7
cells) or HER-2 (HER-2/MCF-7 cells). Overexpression of either EGFR or HER-2/neu did not significantly alter estrogen receptor levels or
E2-induced signaling in these cells (data not shown). After 4 h of E2 treatment, cell lysates were prepared and
immunoprecipitated with either EGFR or HER-2/neu antibody and probed
with anti-phosphotyrosine antibody. E2-induced an
~2-3-fold increase in HER-2/neu receptor phosphorylation but had
little effect on EGFR phosphorylation (Fig. 3C). These data
further confirm that E2-induced growth factors bind to cell
surface receptors and activate signaling by autocrine and paracrine mechanisms.
PKC-
Mediates E2- and HRG-induced Erk
Activation--
Activation of Erk can be induced by a variety of
extracellular stimuli mediated through receptor tyrosine kinases and
cytokine receptors (52, 53). To further define the signaling molecules involved in E2-induced Erk activation, we investigated
whether the E2-dependent activation of Erk in
MCF-7 cells requires activation of PKC or Ras, which are downstream of
growth factor-induced, type I receptor-mediated signaling (54). When
MCF-7 cells were treated with E2 or TGF
in the presence
or absence of the nonspecific PKC inhibitor bisindolylmaleimide (Bis),
a significant inhibition of E2-induced Erk activation but
not of TGF
-induced Erk activation was found (Fig.
4A). To investigate the
specific PKC isoform(s) involved in E2-indued Erk
activation, we used an inhibitor of Ca2+-dependent PKC isoforms (G06976) (55) and a
PKC-
selective inhibitor (rottlerin) (56, 57). Rottlerin strongly
inhibited E2-induced Erk activation, indicating a PKC-
requirement for E2-induced Erk activation (Fig.
4B). However, the Ca2+-dependent PKC
inhibitor had no effect on E2-induced Erk activation. Neither of the PKC inhibitors was able to block TGF
-induced Erk activation (Fig. 4B), indicating that E2 and
TGF
induce Erk activation by distinct signaling pathways.

View larger version (29K):
[in this window]
[in a new window]
|
Fig. 4.
Effect of various PKC inhibitors on
E2- and TGF -induced Erk
activation. After 48 h of serum starvation cells were treated
with 5 µM Bis, a pan-PKC inhibitor, (A) or 5 µM rottlerin (Rot), a PKC- specific
inhibitor or an inhibitor of calcium-dependent PKC
isoforms, 10 nM GO6979 (G0), 1 h
prior to E2 or TGF stimulation (B). Cell
lysates were analyzed for phospho-Erk and total Erk as described in
Fig. 1.
|
|
To further confirm that PKC-
-mediated signaling plays a major role
in E2-induced Erk activation, we developed MCF-7 cells that
stably express a dominant negative mutant of PKC-
. Expression of
dominant negative PKC-
mutants was verified by taking advantage of
the observation that PKC down-regulation in response to TPA is
dependent upon an active kinase (56) and an HA tag by Western blotting
(Fig. 5A). In MCF-7 cells
transfected with a control vector, PKC-
was almost totally degraded
by a 24-h treatment with TPA. In contrast, PKC-
levels in three
independent cell lines expressing dominant negative PKC-
were only
marginally reduced in the presence of TPA, indicating that kinase-dead
dominant negative PKC mutants were expressed (data not shown). We
examined the ability of E2 and TGF
to activate Erk in
MCF-7 cells that express the dominant negative PKC-
. As expected,
the dominant negative PKC-
inhibited E2-induced Erk
activation in all three clones (Fig. 5B). Dominant negative
PKC-
expression did not, however, inhibit TGF
-induced Erk
activation (Fig. 5C), indicating that PKC-
plays a
selective role in E2-induced Erk activation in MCF-7 cells.
HRG-dependent activation of HER-2/neu signaling by
heterodimerization with ErbB-3 is well established in MCF-7 cells (51).
We investigated whether inhibiting PKC-
can block HRG-induced Erk
activation. All three PKC-
dominant negative-expressing clones
exhibited greatly reduced HRG-induced Erk activation (Fig. 5D). These data confirm that HRG-induced Erk activation is
mediated through PKC-
-mediated signaling.

View larger version (63K):
[in this window]
[in a new window]
|
Fig. 5.
Activation of Erk in response to
E2, TGF ,and HRG stimulation in
stable dominant negative PKC- /MCF-7 clones
(DN). A, three MCF-7 clones
stably expressing HA-tagged dominant negative PKC- . Expression
levels were analyzed by Western immunoblotting using a polyclonal
anti-HA antibody. After 48 h of serum starvation cells were
treated with E2 (10 8 M for 4 h) (B) or TGF (50 ng/ml for 10 min) (C), or
HRG (50 ng/ml for 10 min) (D). B-D, cell lysates
were analyzed for phospho-Erk and total-Erk as described in Fig.
1.
|
|
E2 Activates Ras through the PKC-
Signaling
Pathway--
Previous reports have shown that PKC can regulate the
Ras/Raf/MEK/ERK pathway either through direct activation of Raf
independent of Ras (58) or through phosphorylation of Shc upstream of
the Grb2-SOS complex (59), enabling Ras activation. We
investigated whether the activation of Erk in MCF-7 cells in response
to E2 and TGF
requires activation of Ras. When MCF-7
cells were treated with E2 or TGF
in the presence or
absence of an inhibitor of farnesyl transferase (Ftase-1), which should
prevent the maturation of Ras, both E2- and TGF
-induced
Erk activation was significantly inhibited (Fig.
6A). This indicates that both
E2 and TGF
induce Erk activation in a
Ras-dependent manner. To further establish the role of Ras,
we transiently expressed HA-tagged N17-Ras and wild type-Ras in MCF-7
cells and then treated these cells with E2 for 4 h and
TGF
for 10 min. As expected expression of a dominant negative Ras in
which amino acid 17 is changed to Asn (N17-Ras) significantly inhibited
both E2- and TGF
-induced Erk activation (Fig.
6B), confirming that E2-induced Erk
activation pathway operates in a Ras-dependent manner. The
efficiency of the transient transfection was monitored by Western
blotting for the HA tag (Fig. 6B).

View larger version (67K):
[in this window]
[in a new window]
|
Fig. 6.
Effect of farnesyl transferase inhibitor
(Ftase-1) and dominant negative Ha-Ras
(N17-Ras) on E2- and
TGF -induced Erk activation. A,
after 24 h of serum starvation, cells were treated with 10 nM Ftase-1 for 24 h prior to E2 or TGF
stimulation. B, after 24 h of serum starvation, cells
were transiently transfected by lipofection with N17-Ras or wild
type-Ras and then serum-starved for another 24 h before 4 h
of E2 stimulation or 10 min of TGF stimulation. Cell
lysates were analyzed for phospho-Erk and total-Erk as described in
Fig. 1. Transfection efficiency was monitored by probing for the HA tag
present on N17-Ras.
|
|
We also examined the effect of PKC inhibitors on Ras activation by
E2 to establish whether Ras is upstream or downstream of PKC-
in the Erk activation cascade. Ras activation was measured by
affinity isolation of Ras-GTP using a Ras binding domain of Raf coupled
to agarose beads (41, 60). When MCF-7 cells were treated with
bisindolylmaleimide (a general PKC inhibitor) or rottlerin (a
PKC-
-specific inhibitor) prior to E2 treatment, there
was a significant inhibition of E2-induced Ras activation (Fig. 7A). Similar experiments
with GO6976, which inhibits all calcium-dependent PKC
isoforms, had no effect on the E2-induced Ras activation.
These data suggest that Ras is down stream of PKC-
in
E2-induced signaling leading to Erk activation. TPA was previously shown to activate Ras in a PKC-dependent manner;
therefore, we used TPA-treated cells as positive controls in these
experiments. It is significant that the general PKC inhibitor, Bis, was
unable to block TGF
-induced Ras activation (Fig. 7B),
which further supports a distinct pathway for TGF
as compared with
E2 signaling. Pretreatment of cells with Ftase-1
significantly inhibited E2-, TGF
-, and TPA-stimulated
Ras activation (Fig. 7, A and B). Together, these
results provide strong evidence that E2-induced Erk
activation is predominantly mediated through HRG, HER-2/neu, PKC-
,
and Ras in MCF-7 cells.

View larger version (58K):
[in this window]
[in a new window]
|
Fig. 7.
Effect of PKC inhibitors on
E2-, TGF -, and TPA-induced Ras
activation. A, after 48 h of serum starvation cells
were treated with 5 µM Bis, a pan PKC inhibitor, or 5 µM rottlerin (Rot), a PKC- -specific
inhibitor, 10 nM GO6979 (G0), an
inhibitor of calcium-dependent PKC isoforms inhibitor, or
10 nM Ftase-1, 24 h prior to E2 or TGF
stimulation. B, cell lysates were analyzed for GTP-Ras
levels by pull down assay with agarose coupled to the minimal Ras
binding domain of Raf and total Ras levels were analyzed in a portion
of the lysates precipitated with TCA, as described under
"Experimental Procedures."
|
|
Cell Proliferation--
To investigate the effects of herceptin
and PKC inhibitors on E2- and growth factor-induced cell
proliferation, we examined its effects on MCF-7 cells. E2-,
TGF
- and HRG-induced a 2-3-fold increase in cell proliferation.
Anti-estrogens such as ICI-182,780 inhibited E2-induced
cell proliferation, but it had no effect on growth factor-induced cell
proliferation. An antibody against HER-2, herceptin, blocked both
E2- and HRG-induced cell proliferation, whereas an EGFR
antibody predominantly blocked only TGF
-induced cell proliferation.
Bisindolylmaleimide (a general PKC inhibitor) or rottlerin (a
PKC-
specific inhibitor) were able to inhibit E2- and
HRG-induced cell proliferation (Fig.
8A). However, GO6976, which
inhibits all the calcium-dependent PKC isoforms, was unable to inhibit either E2- or growth factor-induced cell
proliferation. The MEK inhibitor UO126 almost completely blocked all
E2- and growth factor-induced cell proliferation,
confirming that Erk activation is downstream of PKC and Ras signaling.
Together, these results provide strong evidence that
E2-induced Erk activation and cell proliferation are
predominantly mediated through HRG, HER-2/neu, PKC-
, and Ras in
MCF-7 cells.

View larger version (37K):
[in this window]
[in a new window]
|
Fig. 8.
Effect of PKC inhibitors on E2-,
TGF -, and HRG-induced cell proliferation.
MCF-7 cells were grown in the presence of E2, TGF , or
HRG with or without antibodies against HER-2, EGFR, MEK inhibitor (10 µM), or PKC inhibitors. Cell proliferation was assayed as
previously described using Promega's aqueous one solution cell
proliferation assay according to the manufacturer's protocol
(Promega). Bars, mean ± S.E. of triplicate
determinations.
|
|
 |
DISCUSSION |
Normal mammary development and breast cancer growth are under the
influence of steroid hormones, particularly E2. Despite accumulating evidence showing that the ER plays a central role in cell
proliferation (25, 61, 62), the signaling mechanisms responsible for
Erk activation by E2 are not fully characterized. The
current model is that E2 diffuses freely into the cytoplasm and enters the nucleus by passive diffusion (63). Upon activation by
hormone binding, the ER interacts specifically with a cis-acting DNA
sequence called the estrogen response element, which further facilitates the direct interaction of receptor dimers with promoter regions of target genes to enhance the synthesis and production of
growth factors and other proteins (6, 64). Consistent with this
classical dogma of steroid hormone action, we have shown that when
MCF-7 cells were exposed to E2, it leads to slow (after 2 h of E2 exposure) but sustained activation of Erk up
to 24 h. In addition to receptor-mediated (genomic) estrogenic
effects, which take place starting ~1-6 h following hormone
treatment, some effects of E2 occur within seconds to
minutes after E2 administration to cultured cells and are
thought to be mediated, at least in part, by non-genomic ER (65, 66). A
non-genomic estrogenic effect in our study was discounted because of
the delayed Erk activation in response to E2-stimuation of
MCF-7 cells. In addition BSA-conjugated estrogen, which prevents
E2 from entering the cell, was unable to activate estrogen
response element-Luc reporter activity (data not shown). Furthermore,
we have shown that E2-induced Erk activation can be blocked
by antiestrogen (ICI 182,780) and an inhibitor of new protein
synthesis, CHX.
Erk activation in response to growth factors such as EGF and
platelet-derived growth factor classically proceeds via a Ras-mediated cascade that involves Raf-1, MEK, and MAPK/Erk activation (16, 54). In
this study we have shown that blockade of HER-2-mediated signaling
inhibits E2-induced Erk activation by 60-70%, suggesting that HER-2 mediates most of the E2-induced Erk activation.
Removal of HRG from the E2-treated conditioned medium (CM)
significantly reduces the ability of CM to induce Erk activation. In
addition, we have also shown a significant increase in HER-2 receptor
phosphorylation when compared with EGFR phosphorylation in response to
E2 stimulation. Although ErbB2/HER-2 has no known ligand,
it participates in type I receptor signaling by heterodimerization with
ligand-bound members of the ErbB receptor family (67). Herceptin, a
monoclonal antibody-based therapy targeted to HER-2, is presently
approved for breast cancer patients and was shown to increase median
survival time in metastatic breast cancer patients whose tumors
overexpress ErbB-2 (68). The current study shows that normal or low
levels of HER-2 play a major role in E2-mediated signaling
and Erk activation. The overexpression of HER-2 or HRG in MCF-7 cells
leads to a hormone-independent phenotype, however (25, 69). It was
previously shown that while E2 increased TGF
expression
in cultured breast cells, blockade of EGFR with a panel of EGFR
antibodies failed to inhibit estrogen-induced growth of MCF-7, T47D, or
ZR75 cells (7). One of the reasons that EGFR antibody to block
E2 induced cell proliferation may be due to the fact that
E2-induced Erk activation and cell proliferation are
predominantly mediated through HER-2/neu-dependent signaling.
There are some data to show that E2-induces PKC activation,
and there are several studies that focus on PKC isoforms and their potential role in Erk activation (30, 58, 70, 71). There are apparently
inconsistent observations about the role of Ras in phorbol
ester-induced activation of Erk. For example in PC12 cells and NIH3T3
cells, TPA-induced activation of Erk involves Ras (70, 72, 73). On the
other hand, N17-Ras fails to inhibit TPA-induced Erk activation in Rat
1 cells, COS cells, and 293 cells (74-76). It should be noted that
these are all observations using TPA or other phorbol esters and not
E2-stimulation or direct examination of activated PKC
isoforms. In the present study, we have shown that inhibition of
PKC-
can block E2-induced activation of Erk. To
determine whether PKC activates Erk through Ras or by directly
activating Raf and independently of Ras, we blocked Ras activation by
either a dominant negative mutant Ras (N17-Ras) or a farnesyl
transferase inhibitor. Both the Ras inhibitors blocked E2-and TGF
-induced Erk activation suggesting that the
Ras/Raf/MEK pathway is involved in Erk activation.
In this study we have identified PKC-
as a critical and specific
element of E2-dependent activation of Erk.
Inhibition of PKC-
significantly blocked E2-induced Ras
and Erk activation, but not TGF
-induced Ras and Erk activation.
These data were further confirmed using stably transfected, dominant
negative PKC-
expressing clones of MCF-7 cells (DN-PKC-
/MCF-7).
Our analysis of Ras activation in the presence and absence of PKC
inhibitors shows that E2-induced Ras activation is
dependent on PKC-
in MCF-7 cells, suggesting that PKC-
is
upstream of Ras in the E2-induced Erk activation signaling
pathway. Interestingly, the DN-PKC-
/MCF-7 clones also showed a
significantly reduced Erk activation in response to HRG stimulation but
maintain their TGF
-induced Erk activation. These observations
support our hypothesis that E2-induced Erk activation is
predominantly mediated by HRG/HER-2/PKC-
/Ras/Raf/MEK. In contrast TGF
activates Erk more directly through activation of Ras/Raf/MEK signaling (Fig. 9). Ueda et
al. (30) have demonstrated, using constitutively active mutants of
PKC isoforms, that PKC-
but not PKC-
or PKC-
activates MEK1
and Erk. These results indicate that activation of PKC-
is
sufficient to activate the MEK-Erk pathway. However, at this time it is
not clear if activated PKC-
will be able to support cell
proliferation in the absence of E2 or alter antiestrogenic
effects in MCF-7 cells.
The interaction between growth factors and estrogen signaling is
complex and occurs at multiple levels. Previous work has implicated the
estrogen receptor itself as a target for growth factor signaling
pathways involving Erk (3). Conversely, activation of Erk by estrogen
and ER also occurs in various tissues and cell types, although the
exact mechanisms remain to be determined (77, 78). Even though previous
studies have shown a strong association of high levels of HER-2 and
PKC-
with hormone-independent aggressive forms of tumor cells, our
results show for the first time that HER-2- and PKC-
-mediated
signaling also plays a major role in E2-mediated signaling
in hormone-dependent, ER-positive tumor cells.
 |
FOOTNOTES |
*
This work was supported in part by the National Institutes
of Health Grants RO1 CA 83964-01 (to K. B. R.) and RO1 CA81150 (to
R. R. M.).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.
§
Present address: Dept. of Internal Medicine, Div. of Pulmonary and
Critical Care Medicine, University of Michigan Medical School, Ann
Arbor, MI 48109.
To whom correspondence should be addressed: 540 E. Canfield
Ave., Dept. of Pathology, Wayne State University, Detroit, MI 48201. Tel.: 313-577-6191; Fax: 313-577-0057; E-mail:
kreddy@med.wayne.edu.
Published, JBC Papers in Press, April 17, 2002, DOI 10.1074/jbc.M202351200
 |
ABBREVIATIONS |
The abbreviations used are:
E2, 17
-estradiol;
Erk, extracellular signal-regulated kinase;
MAPK, mitogen-activated protein kinase;
MEK, MAPK kinase;
EGFR, epidermal
growth factor receptor;
EGF, epidermal growth factor;
HRG, heregulin;
PKC, protein kinase C;
ER, estrogen receptor;
TPA, 12-O-tetradecanoylphorbol-13-acetate;
HA, hemagglutinin;
BSA, bovine serum albumin;
CHX, cycloheximide;
TGF, transforming growth
factor;
Bis, bisindolylmaleimide;
CM, conditioned medium.
 |
REFERENCES |
| 1.
|
van der Burg, B.,
van Selm-Miltenburg, A. J.,
de Laat, S. W.,
and van Zoelen, E. J.
(1989)
Mol. Cell. Endocrinol.
64,
223-228[CrossRef][Medline]
[Order article via Infotrieve]
|
| 2.
|
Dubik, D.,
Dembinski, T. C.,
and Shiu, R. P.
(1987)
Cancer Res.
47,
6517-6521[Abstract/Free Full Text]
|
| 3.
|
Kato, S.,
Endoh, H.,
Masuhiro, Y.,
Kitamoto, T.,
Uchiyama, S.,
Sasaki, H.,
Masushige, S.,
Gotoh, Y.,
Nishida, E.,
Kawashima, H.,
et al..
(1995)
Science
270,
1491-1494[Abstract/Free Full Text]
|
| 4.
|
Mangelsdorf, D. J.,
Thummel, C.,
Beato, M.,
Herrlich, P.,
Schutz, G.,
Umesono, K.,
Blumberg, B.,
Kastner, P.,
Mark, M.,
Chambon, P.,
et al..
(1995)
Cell
83,
835-839[CrossRef][Medline]
[Order article via Infotrieve]
|
| 5.
|
Weigel, N. L.
(1996)
Biochem. J.
319,
657-667[Medline]
[Order article via Infotrieve]
|
| 6.
|
Reddy, K. B.,
Yee, D.,
Hilsenbeck, S. G.,
Coffey, R. J.,
and Osborne, C. K.
(1994)
Cell Growth Differ.
5,
1275-1282[Abstract]
|
| 7.
|
Arteaga, C. L.,
Coronado, E.,
and Osborne, C. K.
(1988)
Mol. Endocrinol.
2,
1064-1069[Abstract]
|
| 8.
|
Dickson, R. B.,
and Lippman, M. E.
(1987)
Endocr. Rev.
8,
29-43[Medline]
[Order article via Infotrieve]
|
| 9.
|
Dickson, R. B.,
and Lippman, M. E.
(1995)
Endocr. Rev.
16,
559-589[CrossRef][Medline]
[Order article via Infotrieve]
|
| 10.
|
Sporn, M. B.,
and Roberts, A. B.
(1985)
Nature
313,
745-747[CrossRef][Medline]
[Order article via Infotrieve]
|
| 11.
|
Lippman, M. E.,
Dickson, R. B.,
Gelmann, E. P.,
Rosen, N.,
Knabbe, C.,
Bates, S.,
Bronzert, D.,
Huff, K.,
and Kasid, A.
(1987)
J. Cell. Biochem.
35,
1-16[Medline]
[Order article via Infotrieve]
|
| 12.
|
Reddy, K. B.,
Mangold, G. L.,
Tandon, A. K.,
Yoneda, T.,
Mundy, G. R.,
Zilberstein, A.,
and Osborne, C. K.
(1992)
Cancer Res.
52,
3636-3641[Abstract/Free Full Text]
|
| 13.
|
Normanno, N.,
and Ciardiello, F.
(1997)
J. Mammary Gland Biol. Neoplasia
2,
143-151[CrossRef][Medline]
[Order article via Infotrieve]
|
| 14.
|
Gomez, N.,
and Cohen, P.
(1991)
Nature
353,
170-173[CrossRef][Medline]
[Order article via Infotrieve]
|
| 15.
|
Sturgill, T. W.,
Ray, L. B.,
Erikson, E.,
and Maller, J. L.
(1988)
Nature
334,
715-718[CrossRef][Medline]
[Order article via Infotrieve]
|
| 16.
|
Reddy, K. B.,
Krueger, J. S.,
Kondapaka, S. B.,
and Diglio, C. A.
(1999)
Int. J. Cancer
82,
268-273[CrossRef][Medline]
[Order article via Infotrieve]
|
| 17.
|
Frost, J. A.,
Geppert, T. D.,
Cobb, M. H.,
and Feramisco, J. R.
(1994)
Proc. Natl. Acad. Sci. U. S. A.
91,
3844-3848[Abstract/Free Full Text]
|
| 18.
|
Pages, G.,
Lenormand, P.,
L'Allemain, G.,
Chambard, J. C.,
Meloche, S.,
and Pouyssegur, J.
(1993)
Proc. Natl. Acad. Sci. U. S. A.
90,
8319-8323[Abstract/Free Full Text]
|
| 19.
|
Gullick, W. J.,
Love, S. B.,
Wright, C.,
Barnes, D. M.,
Gusterson, B.,
Harris, A. L.,
and Altman, D. G.
(1991)
Br. J. Cancer
63,
434-438[Medline]
[Order article via Infotrieve]
|
| 20.
|
Lacroix, H.,
Iglehart, J. D.,
Skinner, M. A.,
and Kraus, M. H.
(1989)
Oncogene
4,
145-151[Medline]
[Order article via Infotrieve]
|
| 21.
|
Ullrich, A.,
Coussens, L.,
Hayflick, J. S.,
Dull, T. J.,
Gray, A.,
Tam, A. W.,
Lee, J.,
Yarden, Y.,
Libermann, T. A.,
Schlessinger, J.,
et al..
(1984)
Nature
309,
418-425[CrossRef][Medline]
[Order article via Infotrieve]
|
| 22.
|
Taverna, D.,
Antoniotti, S.,
Maggiora, P.,
Dati, C., De,
Bortoli, M.,
and Hynes, N. E.
(1994)
Int. J. Cancer
56,
522-528[Medline]
[Order article via Infotrieve]
|
| 23.
|
Gullick, W. J.
(1991)
Br. Med. Bull.
47,
87-98[Abstract/Free Full Text]
|
| 24.
|
Hynes, N. E.,
and Stern, D. F.
(1994)
Biochim. Biophys. Acta.
1198,
165-184[Medline]
[Order article via Infotrieve]
|
| 25.
|
Pietras, R. J.,
Arboleda, J.,
Reese, D. M.,
Wongvipat, N.,
Pegram, M. D.,
Ramos, L.,
Gorman, C. M.,
Parker, M. G.,
Sliwkowski, M. X.,
and Slamon, D. J.
(1995)
Oncogene
10,
2435-2446[Medline]
[Order article via Infotrieve]
|
| 26.
|
Liu, Y.,
el-Ashry, D.,
Chen, D.,
Ding, I. Y.,
and Kern, F. G.
(1995)
Breast Cancer Res. Treat
34,
97-117[CrossRef][Medline]
[Order article via Infotrieve]
|
| 27.
|
Kurokawa, H.,
Lenferink, A. E.,
Simpson, J. F.,
Pisacane, P. I.,
Sliwkowski, M. X.,
Forbes, J. T.,
and Arteaga, C. L.
(2000)
Cancer Res.
60,
5887-5894[Abstract/Free Full Text]
|
| 28.
|
Elledge, R. M.,
Green, S.,
Ciocca, D.,
Pugh, R.,
Allred, D. C.,
Clark, G. M.,
Hill, J.,
Ravdin, P.,
O'Sullivan, J.,
Martino, S.,
and Osborne, C. K.
(1998)
Clin. Cancer Res.
4,
7-12[Abstract]
|
| 29.
|
Qiu, Z. H.,
and Leslie, C. C.
(1994)
J. Biol. Chem.
269,
19480-19487[Abstract/Free Full Text]
|
| 30.
|
Ueda, Y.,
Hirai, S.,
Osada, S.,
Suzuki, A.,
Mizuno, K.,
and Ohno, S.
(1996)
J. Biol. Chem.
271,
23512-23519[Abstract/Free Full Text]
|
| 31.
|
Nishizuka, Y.
(1992)
Science
258,
607-614[Abstract/Free Full Text]
|
| 32.
|
Newton, A. C.
(1997)
Curr. Opin. Cell Biol.
9,
161-167[CrossRef][Medline]
[Order article via Infotrieve]
|
| 33.
|
Way, K. J.,
Chou, E.,
and King, G. L.
(2000)
Trends Pharmacol. Sci.
21,
181-187[CrossRef][Medline]
[Order article via Infotrieve]
|
| 34.
|
Fabbro, D.,
Kung, W.,
Roos, W.,
Regazzi, R.,
and Eppenberger, U.
(1986)
Cancer Res.
46,
2720-2725[Abstract/Free Full Text]
|
| 35.
|
O'Brian, C.,
Vogel, V. G.,
Singletary, S. E.,
and Ward, N. E.
(1989)
Cancer Res.
49,
3215-3217[Abstract/Free Full Text]
|
| 36.
|
Morrison, P.,
Saltiel, A. R.,
and Rosner, M. R.
(1996)
J. Biol. Chem.
271,
12891-12896[Abstract/Free Full Text]
|
| 37.
|
Hornia, A., Lu, Z.,
Sukezane, T.,
Zhong, M.,
Joseph, T.,
Frankel, P.,
and Foster, D. A.
(1999)
Mol. Cell. Biol.
19,
7672-7680[Abstract/Free Full Text]
|
| 38.
|
Benz, C. C.,
Scott, G. K.,
Sarup, J. C.,
Johnson, R. M.,
Tripathy, D.,
Coronado, E.,
Shepard, H. M.,
and Osborne, C. K.
(1992)
Breast Cancer Res. Treat
24,
85-95[CrossRef][Medline]
[Order article via Infotrieve]
|
| 39.
|
Davis, R. J.
(1993)
J. Biol. Chem.
268,
14553-14556[Free Full Text]
|
| 40.
|
Soh, J. W.,
Lee, E. H.,
Prywes, R.,
and Weinstein, I. B.
(1999)
Mol. Cell. Biol.
19,
1313-1324[Abstract/Free Full Text]
|
| 41.
|
de Rooij, J.,
and Bos, J. L.
(1997)
Oncogene
14,
623-625[CrossRef][Medline]
[Order article via Infotrieve]
|
| 42.
|
Mattingly, R. R.,
Felczak, A.,
Chen, C. C.,
McCabe, M. J., Jr.,
and Rosenspire, A. J.
(2001)
Toxicol. Appl. Pharmacol.
176,
162-168[CrossRef][Medline]
[Order article via Infotrieve]
|
| 43.
|
Mattingly, R. R.,
and Macara, I. G.
(1996)
Nature
382,
268-272[CrossRef][Medline]
[Order article via Infotrieve]
|
| 44.
|
Seger, R.,
Seger, D.,
Lozeman, F. J.,
Ahn, N. G.,
Graves, L. M.,
Campbell, J. S.,
Ericsson, L.,
Harrylock, M.,
Jensen, A. M.,
and Krebs, E. G.
(1992)
J. Biol. Chem.
267,
25628-25631[Abstract/Free Full Text]
|
| 45.
|
Robbins, D. J.,
Zhen, E.,
Owaki, H.,
Vanderbilt, C. A.,
Ebert, D.,
Geppert, T. D.,
and Cobb, M. H.
(1993)
J. Biol. Chem.
268,
5097-5106[Abstract/Free Full Text]
|
| 46.
|
Moasser, M. M.,
Basso, A.,
Averbuch, S. D.,
and Rosen, N.
(2001)
Cancer Res.
61,
7184-7188[Abstract/Free Full Text]
|
| 47.
|
Sato, J. D.,
Kawamoto, T., Le, A. D.,
Mendelsohn, J.,
Polikoff, J.,
and Sato, G. H.
(1983)
Mol. Biol. Med.
1,
511-529[Medline]
[Order article via Infotrieve]
|
| 48.
|
Kawamoto, T.,
Sato, J. D., Le, A.,
Polikoff, J.,
Sato, G. H.,
and Mendelsohn, J.
(1983)
Proc. Natl. Acad. Sci. U. S. A.
80,
1337-1341[Abstract/Free Full Text]
|
| 49.
|
Gill, G. N.,
Kawamoto, T.,
Cochet, C., Le, A.,
Sato, J. D.,
Masui, H.,
McLeod, C.,
and Mendelsohn, J.
(1984)
J. Biol. Chem.
259,
7755-7760[Abstract/Free Full Text]
|
| 50.
|
Miles, D. W.
(2001)
Breast Cancer Res.
3,
380-384[CrossRef][Medline]
[Order article via Infotrieve]
|
| 51.
|
Wallasch, C.,
Weiss, F. U.,
Niederfellner, G.,
Jallal, B.,
Issing, W.,
and Ullrich, A.
(1995)
EMBO J.
14,
4267-4275[Medline]
[Order article via Infotrieve]
|
| 52.
|
Blenis, J.
(1993)
Proc. Natl. Acad. Sci. U. S. A.
90,
5889-5892[Abstract/Free Full Text]
|
| 53.
|
Nishida, E.,
and Gotoh, Y.
(1993)
Trends Biochem. Sci
18,
128-131[CrossRef][Medline]
[Order article via Infotrieve]
|
| 54.
|
Beerli, R. R.,
and Hynes, N. E.
(1996)
J. Biol. Chem.
271,
6071-6076[Abstract/Free Full Text]
|
| 55.
|
Martiny-Baron, G.,
Kazanietz, M. G.,
Mischak, H.,
Blumberg, P. M.,
Kochs, G.,
Hug, H.,
Marme, D.,
and Schachtele, C.
(1993)
J. Biol. Chem.
268,
9194-9197[Abstract/Free Full Text]
|
| 56.
|
Lu, Z.,
Liu, D.,
Hornia, A.,
Devonish, W.,
Pagano, M.,
and Foster, D. |