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Originally published In Press as doi:10.1074/jbc.M203543200 on July 11, 2002

J. Biol. Chem., Vol. 277, Issue 39, 36509-36520, September 27, 2002
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The Role of cAMP-dependent Signaling in Receptor-recognized Forms of alpha 2-Macroglobulin-induced Cellular Proliferation*

Uma Kant MisraDagger , Gamal Akabani§, and Salvatore Vincent PizzoDagger

From the Dagger  Department of Pathology and § Department of Radiology, Duke University Medical Center, Durham, North Carolina 27710

Received for publication, April 12, 2002, and in revised form, July 2, 2002

    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

Ligation of alpha 2-macroglobulin receptors by receptor-recognized forms of alpha 2-macroglobulin (alpha 2M*) activates various signaling cascades and promotes cell proliferation. It also elevates cAMP in murine peritoneal macrophages. We now report that a significant elevation of cAMP-response element-binding protein (CREB) occurs in alpha 2M*-stimulated cells, and this effect is potentiated by isobutylmethylxanthine, dibutyryl-cAMP, or forskolin. An alpha 2M* concentration-dependent rapid increase in phosphorylated CREB at Ser133 also occurred, a necessary event in its activation. Inhibition of Ca2+/calmodulin kinase, protein kinases A and C, tyrosine kinases, ribosomal S6 kinase, farnesyl transferase, extracellular signal-regulated kinases 1/2, phosphatidylinositol 3-kinase, or p38 mitogen-activated protein kinase markedly reduce alpha 2M*-induced phosphorylation of CREB, indicating a role for the p21ras-dependent and phosphatidylinositol 3-kinase signaling pathways in regulating CREB activation by alpha 2M*. Finally, silencing the CREB gene by transfecting cells with a homologous gene sequence double-stranded RNA drastically reduced the expression of CREB and blocked the ability of alpha 2M* to promote macrophage cell division. We conclude that cAMP-dependent signal transduction as well as other signaling cascades are essential for alpha 2M*-induced cell proliferation.

    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

alpha 2-Macroglobulin (alpha 2M)1 is part of a large superfamily that includes proteinase inhibitors and complement components (1). alpha 2M is a homotetramer, and, like C3 and C4, each subunit contains a beta -cysteinyl-gamma -glutamyl thiolester (2, 3). Upon reaction of alpha 2M with proteinases, the thiolesters rupture, and the molecule undergoes a large conformational change (2, 3). This exposes a cryptic determinant located in the carboxyl-terminal domain of each subunit, which constitutes the receptor recognition site (2, 3). Direct reaction of the thiolesters with small nucleophiles, such as NH3 or CH3NH2 also triggers exposure of the receptor recognition sites (2, 3). alpha 2M* binds to the low density lipoprotein receptor-related protein and to the alpha 2M signaling receptor (alpha 2MSR), which appears to consist of a coreceptor complexed to lipoprotein receptor-related protein (4-11). Binding of alpha 2M* to alpha 2MSR activates a pertussis toxin-insensitive phospholipase C, which hydrolyzes membrane phosphoinositides, generating two second messengers, inositol 1,4,5-trisphosphate (IP3) and diacylglycerol (DAG). IP3 raises cytosolic free Ca2+, [Ca2+]i, by releasing Ca2+ sequestered in the endoplasmic reticulum, thus triggering the onset of several Ca2+-dependent signaling cascades (4-13). DAG, on the other hand, activates protein kinase C (PKC), thus triggering the activation of phosphorylation-dependent signaling components. Ligation of alpha 2MSR induces DNA and protein synthesis, which is Ca2+-dependent and requires participation of activated tyrosine kinases, p21ras-dependent MAPK, and PI 3-kinase signaling cascades (4-18, 12-17). Treatment of macrophages with alpha 2M* also causes a 2-2.5-fold increase in cell number (10).

cAMP-response element-binding protein (CREB) is a nuclear transcription factor which is a downstream target of cAMP signaling (18, 19). Protein kinase A (PKA) phosphorylates CREB at Ser-133 within the kinase-inducible domain (18, 19). This increases its transcriptional activity by promoting its association with CREB-binding protein, leading to activation of the transcriptional machinery. CREB also can be phosphorylated at Ser-133 by multiple signaling mechanisms including ERK 1/2, PKC, Ca2+/calmodulin-dependent protein kinases, p38 MAPK, and ribosomal S6 kinase (p70s6k) (18-27). MAPKs activate CREB kinase (p90s6k), which in turn phosphorylates and activates CREB. To elucidate the role of cAMP signaling in cellular physiology and homeostasis, several studies have used genetic manipulations in intact animals and cell systems. These include gene knockout and gene overexpression. In the last several years, the use of posttranscriptional gene silencing and RNA interference techniques have been employed to block protein expression in a variety of in vitro systems (28-36). The techniques of RNA interference employ sequence-specific post-translational gene silencing in animals and plants initiated by double-stranded RNA that is homologous in sequence to the silenced gene (28-36). The mediators of sequence-specific messenger RNA degradation are 21-23-nt small interfering RNA fragments generated by ribonuclease III cleavage from longer double-stranded RNAs (dsRNAs) (31, 32). To date, these techniques have not been employed with primary macrophages.

alpha 2M* binding to macrophages significantly raises cAMP levels (12); therefore, we examined the role of CREB in alpha 2M*-induced macrophage proliferation. We studied phosphorylation of CREB and the protein kinases involved in its phosphorylation, and analyzed Ras family members in murine macrophages treated with either alpha 2M* or cAMP-elevating agents. We report in the current study that treatment of macrophages with alpha 2M* elevated the levels of CREB as well as phosphorylated CREB and caused a 1.5-2-fold increase in macrophage cell number at 24 h of incubation. These effects were potentiated by dibutyryl-cAMP, IBMX, or forskolin. The maximal phosphorylation of CREB in alpha 2M*-treated cells occurred at ~10-20 min of incubation. alpha 2M* elevated phosphorylation of ERK 1/2 and other MAPKs as well as Rap-1, Raf-1, Raf-B, and p70s6k protein levels. These effects were potentiated by dibutyryl-cAMP or forskolin treatment of cells. Pharmacological intervention with agents that affect various protein kinases affected phosphorylation of CREB, [3H]thymidine incorporation, and cellular growth. To elucidate further the role of CREB, the target of cAMP signaling, in the proliferation of alpha 2M*-stimulated peritoneal macrophages, we have transfected macrophages with dsRNA homologous in sequence to the CREB gene and have measured various parameters of cell macrophage proliferation. To our knowledge, this is the first use of RNA interference in a primary cell line; we find that silencing of the CREB gene in these alpha 2M*-stimulated cells drastically reduces cell proliferation. We thus show here that the mitogenic and cell proliferative responses of murine peritoneal macrophages treated with alpha 2M* are primarily mediated by cAMP and cAMP-dependent signaling cascades.

    EXPERIMENTAL PROCEDURES
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

Materials-- Culture media were from Invitrogen. Dibutyryl-cAMP, fatty acid-free bovine serum albumin (BSA), and actinomycin D were from Sigma. Forskolin, IBMX, PD98059, SB203580, wortmannin, LY294002, chelerythrin, genistein, rapamycin, manumycin A, H-89, KN-62, and cycloheximide were procured from Biomol (Plymouth Meeting, PA). [3H]thymidine (specific activity, 71.5 Ci/mmol) was from American Radiochemicals, Inc. (St. Louis, MO). Antibodies against CREB, Rap-1, Raf-1, Raf-B, p70s6k, Grb2, Sos 1/2, and Shc were from Santa Cruz Biotechnology, Inc. (Santa Cruz, CA). Antibodies against CREB phosphorylated at Ser-133 and phosphorylated ERK 1/2, p38 MAPK, and JNK were procured from Cell Signaling Technology, Inc. (Beverly, MA). Antibodies against thymidylate synthase were procured from Zymed Laboratories, Inc. (South San Francisco, CA). LipofectAMINE was procured from Invitrogen. alpha 2M* was prepared as described previously (4-7). Other reagents of the highest available grade were procured locally.

Determination of CREB by Western Blotting in Macrophages Treated with alpha 2M* and cAMP-elevating Agents-- This protocol has been described in detail elsewhere (4, 5, 12). In brief, macrophages (2 × 106 cells/well) were incubated overnight in RPMI 1640 medium containing 0.2% fatty acid-free BSA. The cells were washed twice with HHBSS, and a volume of medium was added, followed by the additions of alpha 2M* (100 pM), dibutyryl-cAMP (1 mM), forskolin (20 µM), and IBMX (100 µM), either alone or in combination with alpha 2M* in separate experiments. The cells were incubated for 20 min at 37 °C in a humidified CO2 (5%) incubator. The reaction was terminated by aspirating the medium. The monolayers were washed once with cold HHBSS, and the cells were lysed in lysis buffer containing 20 mM Tris·HCl (pH 8.6), 0.1 M NaCl, 1 mM EDTA, 50 mM NaF, 30 mM sodium pyrophosphate, 1 mM sodium orthovanadate, 1 mM phenylmethylsulfonyl fluoride, 20 µg/ml leupeptin, and 0.5% Nonidet P40 for 10 min on ice (11). The DNA strands were broken by passing the lysate though a 27-gauge needle and syringe several times. The lysate was centrifuged at 800 × g for 5 min at 4 °C to remove cell debris. The supernatants were transferred to clean tubes, and their protein contents were determined (37). Equal amounts of all lysate proteins were used for electrophoresis according to Laemmli et al. (38). Proteins from the gel (10%) were transferred to Hybond P® membrane (Amersham Biosciences) and immunoblotted with antibody against CREB (1:2000) according to the manufacturer's instructions. CREB protein bands on the membrane were visualized by ECF (Amersham Biosciences) and quantified using a Storm® 860 PhosphorImager (Amersham Biosciences). Experiments were performed to determine the effects of modulating of alpha 2M*-induced CREB expression by actinomycin D (5 µg/ml, 10 min), a transcriptional inhibitor, or BAPTA/AM (10 µM/30 min), a chelator of intracellular Ca2+. For these studies, compounds were added to separate wells that were incubated for the specified time period at 37 °C before adding alpha 2M* (100 pM). Other details of quantifying CREB were as described above.

Quantification of CREB Phosphorylated at Ser-133 by Western Blotting in Macrophages Treated with alpha 2M* and cAMP-elevating Agents-- Phosphorylation of CREB protein at Ser-133 was measured using a specific antibody that detects CREB phosphorylated at this residue. Macrophages (2 × 106 cells/well) were incubated overnight in RPMI 1640 medium with 0.2% fatty acid-free BSA. The cells were washed twice with HHBSS, and a volume of medium was added, followed by the additions of alpha 2M* (100 pM), dibutryrl-cAMP (1 mM), forskolin (20 µM), or IBMX (100 µM), either alone or in combination with alpha 2M* in separate experiments. The cells were incubated for 20 min at 37 °C in a humidified incubator with CO2 (5%). Other details of cell lysis, electrophoresis, and membrane transfer were as described above. The membrane was immunoblotted with antibody against phosphorylated CREB (1:3000 dilution), and phosphorylated CREB spots on the membranes were visualized by ECF and quantified by a PhosphorImager. In experiments where the effect of time of incubation of cells with alpha 2M* on CREB phosphorylation at Ser-133 was examined, the cells (2 × 106 cells/well) were treated with alpha 2M* (100 pM) and incubated as above. At the specified times, the reaction was terminated by aspirating the medium, and the cells were washed with cold HHBSS and treated with lysis buffer as described above. Other details of quantifying phosphorylated CREB are described above.

Modulation of CREB Phosphorylation by Protein Kinases in Macrophages Treated with alpha 2M* and cAMP-elevating Agents-- CREB is the immediate downstream target protein of PKA, which phosphorylates it at Ser-133; however, CREB phosphorylation at Ser-133 is also brought about by other kinases as noted above (18-27). We have assessed the involvement of these kinases in the phosphorylation of CREB at Ser-133 in agonist-stimulated cells by using pharmacological interventions. Macrophages (2 × 106 cells/well) were incubated overnight in RPMI 1640 medium with 0.2% fatty acid-free BSA. The cells were washed twice with HHBSS, and a volume of medium was added, followed by the additions of the following in respective wells: H-89, a PKA inhibitor (10 µM/90 min) (39); KN-62, a specific inhibitor of Ca2+/calmodulin kinases (1 µM/15 min) (40); PD98059, a specific inhibitor of ERK 1/2 (50 µM/90 min) (41); genistein, a specific inhibitor of tyrosine kinases (40 µM/2 h) (42); SB 203580, a specific inhibitor of p38 MAPK (15 µM/15 min) (43); wortmannin, a specific inhibitor of PI 3-kinase (30 nM/30 min) (44); manumycin A, a specific inhibitor of farnesyl transferase (10 µM/60 min) (45); and chelerythrin, a specific inhibitor of PKC (200 nM/15 min) (46). The cells were incubated for the specified time at 37 °C in an incubator. At the end of the incubation, alpha 2M* (100 pM), dibutyryl-cAMP (1 mM), forskolin (20 µM), or IBMX (100 µM), either alone or in combination with alpha 2M*, were added to separate wells, and the incubation continued for an additional 20 min as above. Other details of cell lysis, electrophoresis, and membrane transfer were as described above. The membrane was immunoblotted with antibody against phosphorylated CREB (1:3000 dilution), and phosphorylated CREB was visualized by ECF and quantified by a PhosphorImager.

Measurement of [3H]Thymidine Uptake by Macrophages Exposed to Forskolin-- Murine peritoneal macrophages (4 × 105 cells/well) in 48-well plates, harvested as above, were allowed to adhere for 2 h in RPMI 1640 medium containing 0.2% fatty acid-free BSA, penicillin, streptomycin, and glutamine at 37 °C in a humidified CO2 (5%) incubator. The monolayers were washed twice with HHBSS, and a volume of RPMI medium was added, followed by the addition of [3H]thymidine. To the respective wells, alpha 2M* (100 pM) or forskolin (20 µM) either alone or together were added. In experiments where the effect of KN-62 (1 µM/15 min), rapamycin (50 nM/15 min), PD98059 (50 µM/90 min), SB203580 (15 µM/30 min), manumycin A (10 µM/60 min), genistein (20 µM/16 h), wortmannin (30 nM/30 min), LY294003 (25 µM/15 min), chelerythrin (200 nM/15 min), actinomycin D (5 µg/ml/10 min), cycloheximide (10 µg/ml/10 min), or BAPTA/AM (10 µM/30 min) were studied, these were added to their respective wells, and cells were incubated for the specified time before adding alpha 2M* or forskolin. The cells were incubated overnight in a humidified CO2 (5%) incubator. The incubations were terminated by aspirating the medium and washing macrophages twice first with 5% trichloroacetic acid (15 min/40 °C) and then three times with HHBSS. The monolayers were lysed with 1 N NaOH, and an aliquot was used for liquid scintillation counting and protein estimation (8, 10, 17).

Determination of Macrophage Cell Number-- Since increased DNA synthesis is generally associated with an increase in total cellularity, the number of macrophages present 0, 24, and 48 h after exposure to alpha 2M* (100 pM) or forskolin (20 µM) either alone or together was determined. Peritoneal macrophages were harvested and allowed to adhere in four-well plates in RPMI 1640 medium containing 5% fetal bovine serum for 2 h as described above. The adhered cells were carefully scraped, centrifuged at 1200 rpm for 5 min, and suspended in a volume of RPMI 1640 medium containing 0.2% fatty acid-free BSA, and 1-ml aliquots (3 × 105 cells) were pipetted into 15-ml siliconized polypropylene tubes. To the respective tubes, alpha 2M* (100 pM), forskolin (20 µM), or alpha 2M* (100 pM) with forskolin (20 µM) was added, and the contents were gently mixed and incubated for 24 and 48 h as above. After the specified period of incubation, an aliquot was removed from each tube, trypan blue was added, and the contents were gently shaken during incubation for 2 min. A 10-µl aliquot was then employed for counting the number of cells in a hemocytometer. The cell numbers were corrected for dead cells. Changes in the morphology and macrophage number before and after treatment with alpha 2M*, forskolin, or alpha 2M* with forskolin at 24 and 48 h were determined by phase-contrast microscopy. For these studies, an equal number of macrophages adhered for 2 h were pipetted into six-well plates and incubated as above. After the specified periods of incubation with the agents, the cells were examined under a phase-contrast microscope (20×) (10, 47).

Western Blotting of Phosphorylated ERK 1/2, p38 MAPK, and JNK in Macrophages Stimulated with alpha 2M* and Forskolin-- Freshly harvested peritoneal macrophages in RPMI 1640 medium containing glutamine, penicillin, streptomycin, and 5% fetal bovine serum were allowed to adhere in six-well plates (3 × 106 cells/well) for 2 h as above. The monolayers were washed twice with HHBSS; a volume of RPMI 1640 medium containing 0.2% fatty acid-free BSA was added; and the cells were treated with alpha 2M* (100 pM/20 min), forskolin (20 µM/20 min), or alpha 2M* with forskolin. The incubations were terminated by aspirating the medium. The lysis of cells, their electrophoresis, and Western blotting with respective antibodies against phosphorylated ERK 1/2, p38 MAPK, or JNK were performed according to the manufacturer's instructions. In each case, an equal amount of protein was used for electrophoresis. The detection of phosphorylated proteins by ECF and quantification of their distribution were performed as above (10, 47).

Western Blotting of Grb2, Sos, and Shc Proteins in Macrophages Exposed to alpha 2M* and Forskolin-- These studies were performed as described above. The detection of Grb2, Sos 1/2, and Shc by ECF and quantification of their distribution were performed by PhosphorImager.

Western Blotting of p70s6k, Rap-1, Raf-1, and Raf-B Proteins in Macrophages Exposed to alpha 2M* and Forskolin-- These studies were performed as described above. The detection of p70s6k, Raf-1, Rap-1, and Raf-B by ECF and quantification of their distribution were performed by PhosphorImager.

Western Blotting of c-Fos Protein in Macrophages Treated with alpha 2M* and Forskolin-- These studies were performed as described above. The detection of a c-Fos protein by ECF and quantification of their distribution were performed by PhosphorImager.

Chemical Synthesis of dsRNA Homologous in Sequence to the Target CREB Gene Sequence-- The chemical synthesis of dsRNA homologous to the target mouse CREB gene sequence nucleotides 324-344 (5'-AAGAGACAACAGAGAATGATA-3'; SWISS-PROT, entry name ATFB MOUSE, primary accession number 035451) was performed by Ambion (sequence ID 173; Austin, TX). For making dsRNA, the sense (5'-GAGACAACAGAGAAUGAUtt-3') and antisense (5'-UAUCAUUCUGUUGUCUCtt-3') oligonucleotides were annealed according to the manufacturer's instructions. Throughout the entire period of experimentation, handling of reagents was performed in an RNase-free environment Briefly, equal amounts of sense and antisense oligonucleotides were mixed and heated at 90 °C for 1 min and then for 1 h at 37 °C in an incubator. The dsRNA preparation was stored at -20 °C before use.

Transfection of Murine Peritoneal Macrophages, Stimulation with alpha 2M*, and Western Blotting of CREB and Thymidylate Synthase Proteins-- TG-elicited murine peritoneal (1 × 106 cells/well in a six-well plate) were lavaged as above and allowed to adhere for 2 h in RPMI 1640 medium containing 10% fetal bovine serum, penicillin (12.5 units/ml), streptomycin (6.5 µg/ml), and 2 mM glutamine at 37 °C in a CO2 (5%) humidified incubator at 37 °C. The nonadherent cells were aspirated, monolayers were washed twice with HHBSS, 2 ml of DMEM containing 10% fetal bovine serum and the above antibiotics was added, and cells were incubated as above for 16 h. For each transfection, 2 µg of dsRNA was diluted into 100 µl of serum-free DMEM in a tube. In another tube, 10 µl of LipofectAMINE was diluted into 100 µl of serum-free medium. The two solutions were combined, mixed gently, and incubated for 45 min at room temperature followed by the addition of 800 µl of serum-free and antibiotic-free medium to each tube. The monolayers were washed twice with serum-free DMEM, layered in each well with 1 ml of LipofectAMINE-DMEM (10 µl/ml) or lipid-dsRNA mixtures, containing different amounts of dsRNA, gently mixed, and incubated for 5 h at 37 °C in a humidified CO2 incubator. At the end of the incubation, 1 ml of antibiotic-free DMEM containing 10% fetal bovine serum was added to each well, and cells were incubated for 16 h as above. Microscopic observation of the monolayers did not show evidence of toxicity. The medium was replaced with DMEM containing antibiotics and 10% fetal bovine serum 24 h after the start of transfection. The monolayers were washed with the above DMEM once, and a volume of the same medium was added to monolayers, followed by the addition of 100 pM alpha 2M*. The cells were incubated for 15 min as above. The reaction was terminated by aspirating the medium, and cells were lysed in lysis buffer as above. The lysate was electrophoresed; the protein was transferred to membrane and CREB, phosphorylated CREB, and thymidylate synthase proteins on the membrane detected by Western blotting with the respective antibodies in separate experiments; and protein was quantified by a Storm® PhosphorImager as detailed above.

Measurements of Cell Proliferation of Transfected Cells Stimulated with alpha 2M*-- The details of cell culture (5 × 105 cells/well in a six-well plate), transfection, and stimulation of transfected cells with alpha 2M* were identical to those described above. At the specified periods of incubation at 37 °C in a humidified CO2 (5%) incubator, the cells were examined under a phase-contrast microscope (20×) for changes in cell morphology. The cells were detached with trypsin-EDTA (0.5%) and centrifuged, the pellet was washed with DMEM, and cells were suspended in the same medium. An aliquot was removed from each tube, trypan blue was added, and the contents were gently shaken during incubation for 2 min. A 10-µl aliquot was used for counting the number of cells in a hemocytometer. The cell numbers were corrected for dead cells (10).

    RESULTS
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

alpha 2M* and cAMP-elevating Agents Increase CREB in Macrophages-- CREB is a member of a family of factors that regulate transcription by binding to sequences in gene promoters (18, 19). CREB is a downstream target once cAMP is elevated, and it becomes functionally activated upon phosphorylation at Ser-133 (18, 19). alpha 2M* treatment of macrophages caused a 2-3-fold increase in CREB (Fig. 1). An additional increase in CREB levels occurred when macrophages were stimulated with alpha 2M* after pretreatment with dibutyryl-cAMP, IBMX, or forskolin (Fig. 1). Chelation of intracellular Ca2+ with BAPTA/AM or inhibition of transcription with actinomycin D markedly attenuated alpha 2M*-induced increase in CREB (Fig. 1).


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Fig. 1.   Levels of CREB protein in macrophages stimulated with cAMP-elevating agents. CREB protein levels were determined by Western blotting and quantified by a PhosphorImager as described under "Experimental Procedures." Bar 1, buffer; bar 2, alpha 2M* (100 pM/20 min); bar 3, dibutyryl-cAMP (1 mM/20 min); bar 4, dibutyryl-cAMP and then alpha 2M*; bar 5, IBMX (100 µM/20 min); bar 6, IBMX (100 µM/20 min) then alpha 2M* (100 pM); bar 7, forskolin (20 µM/20 min); bar 8, forskolin and then alpha 2M*; bar 9, BAPTA/AM (10 µM/30 min) and then alpha 2M*; bar 10, actinomycin D (5 µg/ml/10 min) and then alpha 2M*. A representative Western blot is shown at the bottom of the corresponding bar graph. Values are mean ± S.E. from three or four independent experiments performed in triplicate and are expressed as arbitrary units.

Ligation of alpha 2MSR with alpha 2M* Increases CREB Phosphorylation-- We next demonstrated that treatment of macrophages with alpha 2M* promoted phosphorylation of Ser-133 in CREB. The effect of stimulating macrophages with increasing concentrations of alpha 2M* (0-20 nM) on the levels of phosphorylated CREB is shown in Fig. 2B. The maximal phosphorylation of CREB occurred at alpha 2M* concentrations of 50-100 pM (Fig. 2B). Stimulation of macrophages with alpha 2M* after pretreatment with dibutyryl-cAMP, IBMX, or forskolin elevated the levels of CREB phosphorylated at Ser-133 significantly when compared with buffer-treated cells (Fig. 3).


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Fig. 2.   Effect of alpha 2M* concentration and time of incubation on the formation of CREB phosphorylated at Ser-133 in macrophages. The levels of phosphorylated CREB were determined by Western blotting and quantified by a PhosphorImager. A, effect of time of incubation with alpha 2M* (100 pM) on phosphorylated CREB (CREB-P) formation. B, effect of concentration of alpha 2M* on phosphorylation of CREB. Representative corresponding Western blots are shown below the respective line graphs. Values are mean ± S.E. from three independent experiments performed in triplicate and are expressed as arbitrary units.


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Fig. 3.   Levels of phosphorylated CREB in macrophages stimulated with different cAMP-elevating agents. The levels of phosphorylated CREB were determined by Western blotting using antibodies against Ser-133-phosphorylated CREB and quantified by a PhosphorImager. Bar 1, buffer; bar 2, alpha 2M* (100 pM); bar 3, dibutyryl-cAMP (1 mM); bar 4, dibutyryl-cAMP and then alpha 2M*; bar 5, IBMX (100 µM); bar 6, IBMX and then alpha 2M*; bar 7, forskolin (20 µM); bar 8, forskolin and then alpha 2M*. A representative Western blot is shown at the bottom of the corresponding bar graph. Values are mean ± S.E. from 3-4 independent experiments performed in triplicate and are expressed as arbitrary units.

Modulation of CREB Phosphorylation at Ser-133-- The maximal increase in cAMP levels in alpha 2M*-treated cells was observed between 15 and 20 min after alpha 2M* treatment (12); however, maximal CREB phosphorylation also occurred between 10 and 15 min (Fig. 2A). These data suggest that in addition to PKA, other protein kinases activated via IP3-dependent signaling cascades functioning before the levels of cAMP are elevated are involved in the phosphorylation of CREB (18-27). We therefore next studied the modulation of CREB phosphorylation. Chelation of intracellular Ca2+ with BAPTA/AM prevented agonist-induced CREB phosphorylation (Fig. 4A). Treatment of macrophages with chelerythrin, a specific inhibitor of PKC, with H-89, a specific inhibitor of PKA, or with KN-62, a specific inhibitor of Ca2+/calmodulin kinase, before stimulation with alpha 2M* nearly abolished alpha 2M*-induced CREB phosphorylation at Ser-133 (Fig. 4A). Likewise, treatment of macrophages with PD98059, a specific inhibitor of ERK 1/2, with SB203580, a specific inhibitor of p38 MAPK, with genistein, a specific inhibitor of tyrosine kinases, or manumycin A, a specific inhibitor of farnesyl transferase, before stimulation with alpha 2M* significantly inhibited CREB phosphorylation compared with buffer-stimulated cells (Fig. 4B).


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Fig. 4.   Effect of various protein kinase inhibitors on alpha 2M*-induced levels of Ser-133-phosphorylated CREB in macrophages. The levels of phosphorylated CREB were determined by Western blotting using antibodies against Ser-133-phosphorylated CREB and quantified by a PhosphorImager. Representative corresponding Western blots are shown below their respective bar graphs. A, bar 1, buffer; bar 2, alpha 2M* (100 pM/20 min); bar 3, chelerythrin (200 nM/15 min) and then alpha 2M*; bar 4, H-89 (10 µM/90 min) and then alpha 2M*; bar 5, KN-62 (1 µM/1 h) and then alpha 2M*; bar 6, BAPTA/AM (10 µM/30 min) and then alpha 2M*; bar 7, okadaic acid (50 nM/15 min) and then alpha 2M*. B, bar 1, buffer; bar 2, alpha 2M* (100 pM); bar 3, PD98059 (50 µM/90 min) and then alpha 2M*; bar 4, SB 203580 (25 µM/30 min) and then alpha 2M*; bar 5, wortmannin (30 nM/30 min) and then alpha 2M*; bar 6, LY294002 (15 µM/15 min) and then alpha 2M*; bar 7, genistein (20 µM/16 h) and then alpha 2M*; bar 8, manumycin A (15 µM/60 min) then alpha 2M*. Values are means ± S.E. from three independent experiments performed in triplicate expressed as arbitrary units.

alpha 2M* and Forskolin Treatment of Cells Elevates the Levels of Phosphorylated ERK 1/2, p38 MAPK, JNK, and p70s6k Protein-- Both alpha 2M* and forskolin raised levels of phosphorylated ERK 1/2 (Fig. 5A), phosphorylated p38 MAPK (Fig. 5B), and phosphorylated JNK (Fig. 5C) by about 1.5-2-fold. Cell stimulation with alpha 2M* or forskolin also raised the levels of ribosomal kinase p70s6k (Fig. 5D).


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Fig. 5.   Effect of alpha 2M* and forskolin on the levels of signaling cascade components downstream from Ras. See "Experimental Procedures" for details. The components were detected by Western blotting and quantified by a PhosphorImager. A, changes in the levels of phosphorylated ERK 1/2. Bars 1, buffer; bar 2, alpha 2M* (100 pM); bar 3, forskolin (20 µM); bar 4, forskolin and then alpha 2M*. B, changes in the levels of phosphorylated p38 MAPK. Bars 1, buffer; bar 2, alpha 2M* (100 pM); bar 3, forskolin (20 µM); bar 4, forskolin and then alpha 2M*. C, changes in the levels of phosphorylated JNK. Bar 1, buffer; bar 2, alpha 2M* (100 pM); bar 3, forskolin (20 µM); bar 4, forskolin and then alpha 2M*. D, changes in the levels of p70s6k protein. Bar 1, buffer; bar 2, alpha 2M* (100 pM); bar 3, forskolin (20 µM); bar 4, forskolin and then alpha 2M*. The values are expressed in arbitrary units and are mean ± S.E. from three individual experiments performed in triplicate.

alpha 2M* and Forskolin Elevate [3H]Thymidine Uptake into DNA-- We studied the contribution of cAMP signaling to alpha 2M*-induced cell proliferation and DNA synthesis by quantifying the incorporation of [3H]thymidine into DNA. We also determined macrophage cell number and studied the morphology of cells treated as above and incubated for 24 and 48 h under identical conditions. We compared these effects with those induced by forskolin, an established cAMP-elevating agent (Figs. 6-8). alpha 2M* stimulation of macrophages, like forskolin, increased [3H]thymidine uptake by about 2-fold as compared with buffer-treated cells (Fig. 6A). When macrophages were stimulated with both alpha 2M* and forskolin, the [3H]thymidine uptake was nearly additive (Fig. 6A). The [3H]thymidine incorporation into DNA of macrophages stimulated with alpha 2M* and forskolin was significantly reduced by pretreating the cells with KN-62, an inhibitor of Ca2+/calmodulin kinase (40); rapamycin, an inhibitor of p70s6k (48); PD98059, an inhibitor of ERK 1/2; SB 203580, an inhibitor of p38 MAPK; manumycin A, an inhibitor of farnesyl transferase required for membrane attachment of Ras; genistein, an inhibitor of tyrosine kinases, chelerythrin, an inhibitor of PKC; BAPTA/AM, a chelator of intracellular Ca2+; actinomycin D; and cycloheximide (Fig. 6B). These results suggest that cAMP-dependent signaling as well as the p21ras- and PI 3-kinase-dependent pathways (9, 10, 12) are involved in alpha 2M*-induced macrophage proliferation.


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Fig. 6.   Effect of cAMP-elevating agents on [3H]thymidine incorporation into DNA and its modulation by inhibitors of protein kinases. Experimental details are described under "Experimental Procedures." A, bar 1, buffer; bar 2, alpha 2M* (100 pM); bar 3, dibutyryl-cAMP (1 mM); bar 4, dibutyryl-cAMP and then alpha 2M*; bar 5, forskolin (20 µM); bar 6, forskolin and then alpha 2M*; bar 7, H-89 (10 µM/2 h) and then forskolin; bar 8, KN-62 (1 µM/1 h) and then forskolin. B, bar 1, buffer; bar 2, forskolin (20 µM/25 min); bar 3, rapamycin (100 nM/20 min) and then forskolin; bar 4, wortmannin (30 nM/30 min) and then forskolin; bar 5, PD98059 (50 µM/90 min) and then forskolin; bar 6, BAPTA/AM (10 µM/30 min) and then forskolin; bar 7, chelerythrin (200 nM/20 min) and then forskolin; bar 8, genistein (20 µM/16 h) and then forskolin; bar 9, actinomycin D (5 µg/ml/20 min) and then forskolin; bar 10, cycloheximide (10 µg/ml/20 min) and then forskolin; bar 11, SB203580 (20 mM/30 min) and then forskolin; bar 12, manumycin A (20 µM/60 min) and then forskolin. The values are means ± S.E. from two independent experiments performed in quadruplicate and are expressed as fmol of [3H]thymidine uptake/mg of protein. [3H]Thymidine incorporation in macrophages treated with various inhibitors only was either equal to the basal uptake or slightly lower.


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Fig. 7.   Effect of alpha 2M* and forskolin on macrophage proliferation. To an equal number of macrophages in suspension in respective culture tubes were added buffer (A); alpha 2M* (100 pM) (B); forskolin (20 mM) (C), and forskolin and then alpha 2M* (D). The cells were incubated, and cell density and cellular morphology were photomicrographed at 24 and 48 h of incubation as described under "Experimental Procedures."


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Fig. 8.   The effect of alpha 2M* and forskolin on macrophage cell number. Cells were incubated with buffer (bar 1), alpha 2M* (100 pM) (bar 2), forskolin (20 µM) (bar 3), and forskolin and then alpha 2M* (bar 4) for 0 h (open); 24 h (closed), and 48 h (stippled). At the respective periods of incubation, an aliquot of cell suspension was counted for cell numbers by hemocytometer.

[3H]Thymidine uptake may indicate enhanced DNA synthesis, but there are potential mechanisms of enhanced uptake independent of new synthesis of nucleic acids. We therefore also studied the effect of alpha 2M*, dibutyryl-cAMP, and forskolin on cell morphology (Fig. 7) and macrophage cell number (Fig. 8 and Table I) at 24 and 48 h of incubation. Like [3H]thymidine uptake, macrophages treated with alpha 2M* or forskolin showed a 1.5-2-fold increase in cell numbers compared with buffer-stimulated cells at 24 h (Fig. 8 and Table I). The decrease in cell numbers observed at 48 h of incubation was largely due to cell death as evident by increased trypan blue uptake (Fig. 7 and Table I). Pretreatment of cells treated with H-89 or KN-62 inhibited alpha 2M*- or forskolin-induced increase in cell number (Table I). The alpha 2M*- or forskolin-treated macrophages showed increased numbers, were enlarged, and exhibited a stellate morphology at 24 h compared with buffer-treated macrophages, but by 48 h the cell number decreased drastically, and morphology also changed (Figs. 7 and 8 and Table I).

                              
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Table I
Effect of cAMP-elevating agents on alpha 2M*-induced macrophage proliferation
Two studies were performed in triplicate.

alpha 2M* and Forskolin Induce Expression of the c-fos Gene-- Expression of c-fos is part of a mitogenic response that is required for cell proliferation. Transcription of the c-fos gene is regulated in part by CREB (18, 19). Increased [Ca2+]i can activate c-fos transcription through CREB phosphorylation. To understand the role of cAMP signaling in early response gene expression, we quantified the expression of the c-Fos protein by Western blotting in macrophages stimulated with alpha 2M* or forskolin (Fig. 9A). Both alpha 2M* and forskolin, which increased levels of phosphorylated CREB (Fig. 3), also increased the levels of c-Fos protein by about 2-fold compared with buffer-treated cells (Fig. 9A).


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Fig. 9.   Effect of alpha 2M* and forskolin on the levels of c-Fos, Grb2, Sos 1/2, and Shc in macrophages. A, c-Fos; B, Grb2; C, Sos 1/2; D, Shc proteins in macrophages. The proteins were detected by Western blotting and quantified by a PhosphorImager as described under "Experimental Procedures." All panels, bar 1, buffer; bar 2, alpha 2M* (100 pM); bar 3, forskolin (20 µM); bar 4, forskolin and then alpha 2M*. The corresponding gel blots are shown at the bottom of the respective bar graphs. The values are expressed in arbitrary units and are the means ± S.E. from two or three independent experiments performed in triplicate.

alpha 2M* and Forskolin Elevate the Levels of Grb2, Sos, Shc, and the Small G Protein Rap-1 in Macrophages-- Receptor tyrosine kinases propagate intracellular signals by coupling to multiple signal transduction pathways. Many of these pathways are mediated by interactions with SH2 and SH3 domain-containing proteins (49-51). Molecules implicated in signal transduction pathways containing the SH2 domain include phospholipase Cgamma , PI 3-kinase, and GTPase-activating proteins of Ras (51-53). Ras plays a central role in signaling a variety of cellular responses including cell proliferation and differentiation (51, 53-56). Ras is connected to receptor tyrosine kinase through adaptor protein Grb2, containing two SH3 domains and one SH2 domain, and Sos, a guanine nucleotide exchange factor (51, 53-56). The SH2 domain of Grb2 provides a site for interaction with tyrosine-phosphorylated proteins, and Sos functions as an activator of Ras (53-57). Another SH2 domain-containing docking protein, Shc, primarily a cytosolic protein that becomes tyrosine-phosphorylated and translocates to membranes in response to growth factors, associates with Grb2/Sos (58-61). Shc, therefore, could provide an alternative mechanism of coupling to Ras and may amplify or modulate the signaling input from receptor tyrosine kinases to Ras. To understand the mechanism of cAMP-induced proliferation of macrophages, under our experimental conditions, we assayed the levels of Grb2, Sos, Shc, Raf-1, Rap-1, and Raf-B by Western blotting (Figs. 9 and 10). alpha 2M* and forskolin either alone or in combination increased the levels of Grb2, Sos, and Shc (Fig. 9, B-D). We have shown earlier that exposure of peritoneal macrophages to alpha 2M* elevated the levels of RAS·GT32P by about 2-2.5-fold (16). In the next series of experiments, we quantified the levels of signaling components downstream to Ras, namely Raf-1, Rap-1, and Raf-B (Fig. 10, A-C). Treatment of macrophages with alpha 2M* raised the levels of Raf-1, whereas forskolin treatment either alone or with alpha 2M* decreased Raf-1 expression (Fig. 10, A and B). Since Ras and Raf-1 are physically associated, one possible explanation for the decreased levels of Raf-1 in the forskolin group may lie in the decreased stability of Raf-1 due its uncoupling from Ras as a result of PKA phosphorylation of Raf-1 (55, 62-67). Treatment of macrophages with alpha 2M* raised the levels of Rap-1 and Raf-B by about 1.5-2-fold, but forskolin either alone or with alpha 2M* raised the levels of Rap-1 by about 4-5.5-fold (Fig. 10, B and C). These results show that alpha 2M*-induced macrophage proliferation utilizes predominantly MAPK activation through Ras/Raf-1 signaling, whereas forskolin-induced cell proliferation utilizes largely Rap-1/Raf-B signaling for MAPK activation. Thus, alpha 2M* utilizes both the IP3/Ca2+-dependent signaling (early phase) as well as cAMP-dependent signaling (late phase) to achieve mitogenesis and cell proliferation.


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Fig. 10.   Effect of alpha 2M* and forskolin on the levels of Raf-1, Rap-1, and Raf-B in macrophages. A, Raf-1; B, Rap-1; C, Raf-B. The proteins were detected by Western blotting and quantified by a PhosphorImager as described under "Experimental Procedures." All panels, bar 1, buffer; bar 2, alpha 2M* (100 pM); bar 3, forskolin (20 µM); bar 4, forskolin and then alpha 2M*. The representative corresponding gel blots are shown at the bottom of the respective bar graphs. The values are expressed in arbitrary units and are the means ± S.E. from two or three independent experiments performed in triplicate.

Transfection of Cells with dsRNA Homologous in Sequence to CREB Gene Blocks alpha 2M*-induced Cell Proliferation-- At both concentrations of dsRNA (10 and 50 µg/ml) employed, expression of the CREB gene was significantly inhibited (70%) (Fig. 11), as was its phosphorylation (Fig. 12). Macrophages in which CREB gene expression was silenced no longer were responsive to alpha 2M* stimulation with respect either to CREB level or its phosphorylation (Figs. 11 and 12). Similar results were observed when forskolin was employed as a stimulant (data not shown). We next evaluated the role of cAMP-CREB signaling in alpha 2M*-induced cell proliferation in macrophages after silencing the CREB gene with sequence-homologous dsRNA. Cell number was determined 24 h after alpha 2M* treatment of transfected cells (Table II). Transfection of cells with dsRNA (10 or 50 µg/ml) nearly abolished alpha 2M*-induced cell proliferation (Table II). Microscopic examination of the cells as well as trypan blue uptake did not show toxic effects secondary to transfection. Cells transfected with LipofectAMINE alone showed no effects on cell morphology, cell shape, or spreading. In contrast, cells transfected with the LipofectAMINE-dsRNA complex were largely round and showed no spreading (Fig. 13). These changes in cell morphology are similar to those observed in other cell types transfected with dsRNA (29-36). These results conclusively demonstrate that CREB and cAMP signaling are of crucial importance in alpha 2M*-induced proliferation of murine peritoneal macrophages.


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Fig. 11.   Effect of silencing CREB gene expression by transfection with dsRNA on CREB expression in alpha 2M*-stimulated cells. Experimental details are described under "Experimental Procedures." Bar 1, LipofectAMINE plus buffer; bar 2, LipofectAMINE plus alpha 2M* (100 pM); bar 3, LipofectAMINE plus dsRNA complex (10 µg/ml) plus alpha 2M*; bar 4, LipofectAMINE plus dsRNA complex (50 µg/ml) plus alpha 2M* (100 pM). The proteins were detected by Western blotting and quantitated by a PhosphorImager as described above. The corresponding gel blots are shown at the bottom of the respective bar graphs. The values are expressed in arbitrary units and are mean ± S.E. from two experiments performed in triplicate.


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Fig. 12.   Effect of silencing the CREB gene by transfection with dsRNA homologous in sequence to the target gene upon phosphorylation of CREB protein (CREB-P) in alpha 2M*-stimulated cells. Experimental details are described under "Experimental Procedures." Bar 1, LipofectAMINE; bar 2, LipofectAMINE plus alpha 2M* (100 pM); bar 3, LipofectAMINE plus dsRNA complex (10 µg/ml) plus alpha 2M*; bar 4, LipofectAMINE plus dsRNA complex (50 µg/ml) plus alpha 2M* (100 pM). The proteins were detected by Western blotting and quantitated by a PhosphorImager as described above. The representative corresponding gel blots are shown at the bottom of the respective bar graphs. The values are expressed in arbitrary units and are mean ± S.E. from two experiments performed in triplicate.

                              
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Table II
Effect of LipofectAMINE/LipofectAMINE-RNA complex on alpha 2M*-stimulated macrophage cell number
Two studies were performed in triplicate.


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Fig. 13.   Morphological changes in macrophages before and 24 h after transfection with dsRNA. A, macrophages before transfection; B, macrophages transfected with 50 µg of dsRNA for 24 h and then stimulated with alpha 2M* (100 pM for 24 h). The images shown are representative of two independent experiments.

Silencing the CREB Gene Blocks Up-regulation of Thymidylate Synthase Induced by alpha 2M*-- To further examine the cell-proliferative role that CREB plays in macrophages stimulated with alpha 2M*, we quantified the levels of thymidylate synthetase, a critical enzyme involved in DNA synthesis under these experimental manipulations (Fig. 14). An appreciable amount of thymidylate synthetase protein is observed in macrophage, and alpha 2M* stimulation nearly doubles the amount of thymidylate synthase protein. However, thymidylate synthase protein is not up-regulated in alpha 2M*-treated macrophages upon silencing of the CREB gene with sequence-homologous dsRNA. Thymidylate synthase is clearly an important enzyme in regulating the intracellular thymidine pool necessary to provide precursors for DNA synthesis. These results further suggest that CREB signaling is involved in alpha 2M*-induced mitogenesis and cell proliferation.


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Fig. 14.   Effect of silencing the CREB gene by transfection with dsRNA on thymidylate synthase protein in alpha 2M*-stimulated cells. Experimental details are described under "Experimental Procedures." Bar 1, LipofectAMINE (10 µl/ml) plus buffer; bar 2, LipofectAMINE (10 µl/ml) plus alpha 2M* (100 pM); bar 3, LipofectAMINE plus dsRNA complex (10 µg/ml) plus alpha 2M*; bar 4, LipofectAMINE plus dsRNA complex (50 mg/ml) plus alpha 2M* (100 pM). The proteins were detected by Western blotting and quantitated by a PhosphorImager as described above. The corresponding gel blots are shown at the bottom of the respective bar graphs. The values are expressed in arbitrary units and are the means ± S.E. from two experiments performed in triplicate.

Silencing of the CREB Gene with Sequence-homologous dsRNA Inhibits alpha 2M*-induced c-Fos Expression-- In order to investigate the relationship between CREB and c-Fos expression, we examined the effect of silencing the CREB gene on the expression of c-Fos in alpha 2M* stimulated-macrophages. dsRNA treatment of macrophages profoundly reduced the expression of c-Fos protein in alpha 2M*-stimulated cells (Fig. 15). These results suggest that CREB modulates c-Fos-mediated cellular events.


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Fig. 15.   Effect of silencing the CREB gene by transfection with dsRNA on c-Fos protein in alpha 2M*-stimulated cells. Experimental details are described under "Experimental Procedures." Bar 1, LipofectAMINE (10 µg/ml) and buffer; bar 2, LipofectAMINE (10 µl/ml) plus alpha 2M* (100 pM); bar 3, LipofectAMINE plus dsRNA complex (10 µg/ml) plus alpha 2M*; bar 4, LipofectAMINE plus dsRNA complex (50 µg/ml) plus alpha 2M*. The proteins were detected by Western blotting and quantitated by a PhosphorImager as described above. The corresponding gel blots are shown at the bottom of the respective bar graphs. The values are expressed in arbitrary units and are means from two experiments performed in triplicate.


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

We have studied the role of cAMP-dependent signaling pathways in alpha 2M*-induced macrophage proliferation. The binding of alpha 2M* to its receptors causes a significant increase in CREB expression and phosphorylation of CREB at Ser-133. alpha 2M*-induced phosphorylation of CREB was reduced by inhibitors of PKA, PKC, Ca2+/calmodulin kinase, ERK 1/2, p38 MAPK, tyrosine kinases, PI 3-kinase, and p70s6k as well as by BAPTA/AM, actinomycin D, and cycloheximide. Binding of alpha 2M* to macrophages elevated the levels of phosphorylated ERK 1/2, p38 MAPK, JNK, and p70s6k, comparable with levels induced by forskolin. alpha 2M* and forskolin both increased the uptake of [3H]thymidine by macrophages as well as cell number. Like CREB phosphorylation, [3H]thymidine uptake was reduced by inhibitors of PKA, PKC, Ca2+/calmodulin kinase, ERK 1/2, p38 MAPK, tyrosine kinases, and PI 3-kinase, p70s6k, or BAPTA/AM, actinomycin D, and cycloheximide. Both alpha 2M* and forskolin elevated the levels of the docking proteins Grb2 and Shc and the guanine nucleotide exchange factor Sos. Both alpha 2M* and forskolin significantly raised the levels of Rap-1 and Raf-B either alone or in combination, whereas only alpha 2M* elevated the levels of Raf-1. These results demonstrate that alpha 2M* triggers both IP3- and cAMP-dependent pathways, culminating in enhanced mitogenesis and increased cell proliferation. By contrast, forskolin is known to act only through elevating cAMP (59-64). These observations are schematically depicted in Fig. 16.


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Fig. 16.   A schematic representation of the involvement of signaling cascades and CREB in alpha 2M*-dependent macrophage regulation.

Beginning, in 1993, we reported that binding of alpha 2M* to cells including macrophages activated signaling cascades (4, 5, 8, 10, 12, 14). These signaling events are mediated by alpha 2M* binding to alpha 2MSR, which consists of lipoprotein receptor-related protein in complex with a coreceptor (11)2; moreover, this signaling pathway requires a number of adapter proteins (68, 69). Based on these and other observations, we hypothesized that alpha 2MSR functions like a growth factor receptor and that alpha 2M* functions as a growth factor (10). Binding of alpha 2M* to alpha 2MSR induces tyrosine phosphorylation of phospholipase Cgamma (14), which is induced by the tyrosine phosphorylation of alpha 2MSR (70, 71). Tyrosine-phosphorylated receptor recruits docking protein Grb2 and Shc and guanine nucleotide exchange factor Sos (49-51). The Grb2-Sos or Grb2-Sos-Shc complex activates membrane binding and formation of Ras·GTP (51, 53-56), activation of Raf-1 by PKC (55), and phosphorylation of downstream MEK and MAPKs (55). The activated MAPKs translocate to nuclei and phosphorylate several genes involved in mitogenesis and cell proliferation. In addition, alpha 2M* binding to alpha 2MSR activates membrane phosphatidylinositol 4,5-bisphosphate hydrolysis by phosphatidylinositol-dependent phospholipase Cbeta , which raises [Ca2+]i, and DAG membrane PKC as well as several other Ca2+-dependent protein kinases are activated, culminating ultimately in the onset of several intracellular signaling cascades and cellular<