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Originally published In Press as doi:10.1074/jbc.M212430200 on May 1, 2003
J. Biol. Chem., Vol. 278, Issue 28, 25323-25330, July 11, 2003
Two New Substrates in Insulin Signaling, IRS5/DOK4 and IRS6/DOK5*
Dongsheng Cai,
Sirano Dhe-Paganon,
Peter A. Melendez,
Jongsoon Lee and
Steven E. Shoelson
From the
Joslin Diabetes Center and the Department of Medicine, Harvard Medical
School, Boston, Massachusetts 02215
Received for publication, December 6, 2002
, and in revised form, May 1, 2003.
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ABSTRACT
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We have identified two new human genes that encode proteins with tandem
pleckstrin homology-phosphotyrosine binding (PH-PTB) domains at their amino
termini. Because the other known PH-PTB proteins (insulin receptor substrates:
IRS-1, IRS-2, IRS-3, and IRS-4, and the downstream of kinases: DOK-1, DOK-2,
and DOK-3) are substrates of insulin and insulin-like growth factor (IGF)-1
receptors, we asked whether these new proteins, termed IRS5/DOK4 and
IRS6/DOK5, might also have roles in insulin and IGF-1 signaling. Northern
analyses indicate that IRS5/DOK4 is ubiquitously expressed but most abundant
in kidney and liver. IRS6/DOK5 expression is highest in skeletal muscle. Both
proteins are tyrosine-phosphorylated in response to insulin and IGF-1 in
transfected cells, although the kinetics differ. Insulin
receptor-phosphorylated IRS5/DOK4 associates with RasGAP, Crk, Src, and Fyn,
but not phosphatidylinositol 3-kinase p85, Grb2, SHP-2, Nck, or phospholipase
C Src homology 2 domains, and activates MAPK in cells. IRS6/DOK5
neither associates with these Src homology 2 domains nor activates MAPK.
IRS5/DOK4 and IRS6/DOK5 represent two new signaling proteins with potential
roles in insulin and IGF-1 action.
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INTRODUCTION
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To accomplish its pivotal role in maintaining in vivo metabolic
homeostasis, insulin binds and activates insulin receptors present on
insulin-responsive cells. Early cellular events initiated by insulin binding
include receptor tyrosine kinase activation and phosphorylation of the insulin
receptor substrates
(IRSs).1
Phosphorylated IRSs bind and activate SH2 domain enzymes to couple the
activated receptors to such downstream metabolic effects as glucose uptake and
glycogen and triglyceride synthesis and storage. IRS-1 is the prototype member
of the IRS family. Based on shared domain architecture and phosphorylation by
insulin and related IGF-1 receptors, the immediate family has been expanded to
include three additional IRS proteins (IRS-2, IRS-3, and IRS-4) and three
proteins referred to as downstream of kinase (DOK-1, DOK-2, and DOK-3). These
seven proteins have similar amino-terminal targeting domains comprising tandem
PH and PTB domains and carboxyl-terminal phosphorylation or ``activation''
domains which, when tyrosine-phosphorylated, dock SH2 domain proteins. The IRS
and DOK proteins are expressed differentially in varying tissues and appear to
have distinct but potentially overlapping cellular functions.
IRS-1 and IRS-2 are widely expressed, including in tissues thought to be
most important for glucose and lipid homeostasis
(1,
2). Both proteins are expressed
in muscle, liver, fat, and pancreatic islets, although IRS-1 appears to be
more important in muscle metabolism, whereas IRS-2 may play greater roles in
liver and islet cells. Phosphorylated IRS-1 and IRS-2 both bind and
activate the SH2 domain proteins PI 3-kinase, SHP2, and Grb2, although PI
3-kinase activation appears to be most important in insulin-mediated glucose
homeostasis. Irs1/ mice are small and
insulin-resistant (predominantly in muscle) but in general do not develop
diabetes (3,
4).
Irs2/ mice develop diabetes due to combined
insulin resistance (predominantly in liver) and a diminished insulin secretory
capacity (5); the females are
infertile (6). IRS-3 expression
in rodents is restricted primarily to fat, where it binds and activates PI
3-kinase and SHP2 (7).
Irs3/ mice appear normal. IRS-3 has not been
identified in the human genome. IRS-4 is expressed predominantly in brain and
thymus, where it may bind PI 3-kinase and Grb2.
Irs4/ mice appear normal with the exception of
reduced fertility (8).
Although the DOK proteins have similar domain architectures, they can be
distinguished from the IRS family based on sequence homology (see below) and
functional interactions. DOK-1 is phosphorylated prominently in v-Src, v-Abl,
and v-Fps transformed cells and in response to receptor tyrosine kinase
activation
(912).
These kinases are different from those typically associated with the IRS
activation. DOK-1 was discovered through its association with RasGAP, an SH2
domain-containing protein that does not associate significantly with the IRSs
and appears to interfere with MAP kinase activation downstream from B cell and
Fc RIIb receptor activation
(13). Less is known about
DOK-2 and DOK-3, although these too appear to associate with RasGAP and Nck
(1418).
All three DOK proteins appear to have functions in lymphocytes and myeloid
cells. Targeted deletion of DOK-1 in mice has no overt phenotype, possibly due
to a compensatory effect of DOK-2 or DOK-3
(13). Knockouts of DOK-2 or
DOK-3 have not been reported. We have identified two additional members of the
IRS/DOK family in the human genome data base, based on their having
amino-terminal PH and PTB domains, and we characterized these proteins in
terms of potential functions in insulin and IGF-1 signaling. The recently
reported DOK-4 and DOK-5 proteins may be the mouse orthologs
(19), although expression
patterns and potential biological functions appear to be distinct.
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MATERIALS AND METHODS
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cDNA Isolation and Plasmid ConstructionFull-length cDNAs
encoding the human proteins were amplified from a skeletal muscle cDNA library
(Clontech) by PCR methods using primers
5'-CGGAATTCATGGCGACCAATTTCAGTGAC-3' and
5'-CCGCTCGAGTCACTG GGATGGGGTCTTG-3' (for IRS5/DOK4) and
5'-CGGAATTCATGGCTTCCAATTTTAATGACATAG-3' and
5'-CCGCTCGAGTCAGTGCTCAGATCTGTAGG-3' (for IRS6/DOK5).
EcoRI and XhoI restriction sites were incorporated at the
5' ends. PCR products were purified by agarose gel electrophoresis and
sequenced. Vectors for expression of FLAG-tagged proteins in eukaryotic cells
were generated by inserting the IRS5/DOK4 and IRS6/DOK5 cDNAs into pCMV-Tag2
(Stratagene).
Northern Blot AnalysesIRS5/DOK4 and IRS6/DOK5 cDNAs were
used as probes for Northern blot analyses. cDNAs were excised from the cloning
vector, labeled with [ -32P]dCTP (PerkinElmer Life Sciences)
by the random hexamer method (Invitrogen), and purified by PCR purification
(Qiagen). Human multiple tissue Northern blots were purchased from Clontech.
Filters were serially hybridized with a human IRS5/DOK4 and IRS6/DOK5 probes
using ExpressHyb hybridization solution (Clontech) at 68 °C for 2 h.
Membranes were washed twice with 2x SSC containing 0.1% SDS at room
temperature for 20 min and twice with 0.1x SSC containing 0.1% SDS at 55
°C for 20 min, and exposed to x-ray film overnight at 80
°C.
Cell Culture and TransfectionsCHO-IR
(20) and CHO-IGF1R
(21) cells were maintained in
F-12 medium supplemented with 10% heat-inactivated fetal bovine serum (Sigma)
in the presence of 0.4 mg/ml G-418 and 2 mM glutamine under 7.5%
CO2 and at 37 °C. HEK293 cells were cultured in Dulbecco's
modified Eagle's medium supplemented with 10% fetal bovine serum in the
presence of 2 mM glutamine and penicillin/streptomycin under 5%
CO2. Cells at 5060% confluence were transfected with
pCMV(IRS5/DOK4), pCMV(IRS6/DOK5), pCMV(IRS-1), or salmon sperm DNA as a
control, using FuGENE 6 (Roche Applied Science). Cells were incubated for 24
h, serum-starved overnight, and stimulated with different doses of insulin and
sodium pervanadate (prepared by mixing 10 mg of sodium vanadate (Sigma) with
5.8 µl of 30% H2O2 in 535 µl of H2O).
Cells were washed (PBS containing 1.0 mM phenylmethylsulfonyl
fluoride, 3.0 µM aprotinin, 10 µM leupeptin, 5.0
µM pepstatin A, 25 mM benzamidine, 25 mM
sodium vanadate, 5.0 mM glycerol phosphate, 100 mM NaF,
1.0 mM ammonium molybdate, 30 mM tetrasodium
pyrophosphate, 5 mM EGTA) and lysed for immunoprecipitation and
Western blotting in lysis buffer (30 mM HEPES, 150 mM
NaCl, 1.0 mM phenylmethylsulfonyl fluoride, 3.0 µM
aprotinin, 10 µM leupeptin, 5.0 µM pepstatin A, 25
mM benzamidine, 25 mM sodium vanadate, 5.0 mM
glycerol phosphate, 100 mM NaF, 1.0 mM ammonium
molybdate, 30 mM tetrasodium pyrophosphate, 5.0 mM EGTA,
10% glycerol, and 1% Triton X-100, pH 7.4).
Immunoprecipitation and Western BlottingProteins were
immunoprecipitated by incubating cell lysates for 4 h at 4 °C with
immobilized anti-FLAG (Stratagene) or anti-IRS-1 and anti-IR antibodies
coupled to protein A-Sepharose beads (Amersham Biosciences). The beads were
washed extensively, and proteins eluted with SDS sample buffer were separated
by SDS-PAGE and transferred to polyvinylidene difluoride membranes
(Millipore). Blots were probed with the indicated antibodies, and proteins
were detected by chemiluminescence (Pierce). Protein bands were scanned using
a densitometer (Amersham Biosciences), and relative amounts were quantified
(ImageQuant 5.1). Antibodies were from Upstate Biotechnology, Inc.,
anti-phosphotyrosine (4G10); Stratagene, anti-FLAG; Santa Cruz Biotechnology,
anti-IR , anti-Src, anti-Fyn, anti-GAP, anti-CrkII, and anti-Erk1; and
Cell Signaling Technology, anti-pMAPK. Horseradish peroxidase- or alkaline
phosphatase-conjugated sheep anti-rabbit or sheep anti-mouse IgG (Amersham
Biosciences) were used as second antibodies for Western blotting.
SH2 Domain BindingEscherichia coli BL21 cells (Invitrogen)
transformed with GST-SH2 vectors were grown to optical densities (600 nm) of
0.60.8. Isopropyl-1-thio-D-galactopyranoside (0.1
mM) was added, and the bacteria were incubated for 4 h at 37
°C, harvested, resuspended in lysis buffer (PBS-CMF, 0.5 M
NaCl, 2 mM EDTA, 10 mM dithiothreitol, 1 mM
phenylmethylsulfonyl fluoride, 25 mM benzamidine, pH 7.4), and
sonicated on ice. Debris was removed by centrifugation, and the lysate was
incubated 60 min at 4 °C with glutathione-agarose (Molecular Probes).
After washing with PBS-CMF containing 10 mM dithiothreitol and 0.5
M NaCl, GST fusion proteins were analyzed on a SDS-PAGE by
Coomassie Blue staining. Equivalent amounts of the immobilized GST-SH2 fusion
proteins were incubated for 4 h at 4 °C with cell lysates prepared from
transfected, insulin-stimulated (107
M, 15 min) CHO-IR cells. Proteins were eluted from the washed beads
with Laemmli sample buffer, separated by SDS-PAGE, and detected by
immunoblotting.
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RESULTS
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Domain Architecture and Structural HomologyThe human genome
data base was searched for genes encoding new PH-PTB domain proteins with
potential roles in receptor tyrosine kinase signaling. Two genes, located on
chromosomes 16q13/21 and 20, were identified. The encoded proteins contain 326
and 306 residues, respectively, and have predicted molecular masses of 37.1
and 35.5 kDa (Fig.
1A). Both of the proteins have amino-terminal PH and PTB
domains and short carboxyl-terminal tails containing a few tyrosine motifs.
Because all known proteins with tandem PH and PTB domains have been
categorized either as IRS or DOK proteins, we wondered whether these new
members of the family functioned downstream from insulin receptors and whether
they were more related to IRS or DOK proteins.

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FIG. 1. A, structure-based sequence alignment of IRS and DOK proteins.
Secondary structural elements of IRS and DOK proteins, predicted according to
the IRS-1 structure (34), are
identified above the alignments. Residues in the vicinity of a
cationic patch at the base of the IRS-1 PH domain are noted by empty
triangles. Residues of the PTB domain that bind phosphate are also
identified by empty triangles, whereas other residues of the PTB
domain that bind the insulin receptor juxtamembrane domain are noted with
shaded triangles
(35). All are human sequences
except IRS-3, which is rat because there is no human homolog. The C-terminal
tails of IRS5/DOK4 and IRS6/DOK5 contain potentially phosphorylated tyrosine
motifs (shaded white on a black background) and a region of
high homology (boxed). B, sequence identities and
similarities between IRS and DOK proteins. Pairwise comparisons were made
using the computer program ClustalW
(36). Values for PH domains
are in the upper right and for PTB domains in the lower
left.
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The PH domain of the larger protein, referred to as IRS5/DOK4, shares 22%
identity with IRS-1 and IRS-2, 1519% identity with IRS-3 and IRS-4, and
1621% identity with DOK-1, DOK-2, and DOK-3
(Fig. 1B). The PH
domain of the smaller protein, IRS6/DOK5, shares 2025% identity with
IRSs and 1423% identity with DOKs. These levels of PH domain identity
are lower than those shared by the IRS (3358%) or DOK (4045%)
proteins within their own families (Fig.
1B). Because the PH domains of IRS5/DOK4 and IRS6/DOK5
are 60% identical, we conclude that on the basis of PH domain identity, these
two newly identified proteins are more closely related to one another than
they are to either the IRS or DOK families.
Similar comparisons were made between PTB domain sequences. The IRS5/DOK4
PTB domain shares 2022% identity with the IRS domains and 3034%
identity with those of the DOKs. The IRS6/DOK5 PTB domain is 2123%
identical with the IRS domains and 3137% identical the DOK domains. By
contrast, IRS PTB domain sequences are 4176% identical to each other,
and the DOK PTB domain sequences are 4353% identical. Therefore, based
as well on PTB domain sequence comparisons, the IRS5/DOK4 and IRS6/DOK5
proteins are more related to each other (74% identity) than to the IRS or DOK
proteins.
Another short region of homology is shared between IRS5/DOK4 and IRS6/DOK5.
The high identity of the PRSAYWHHIT (where Y is
Tyr269) and PRSAYWQHIT (where Y is
Tyr267) motifs of these proteins suggests a conserved function,
possibly binding by Tyr269 or Tyr267, respectively, to
SH2 domain proteins. Each protein contains additional tyrosines outside of
this shared motif. IRS5/DOK4 has a total of five tyrosines outside of its
PH-PTB targeting region within its putative carboxyl-terminal phosphorylation
domain: Tyr255, Tyr257, Tyr269,
Tyr286, and Tyr291. The EHYSYPCTP
sequence encompassing Tyr255 and Tyr257 resembles the
HEYIYVDPV sequence of the platelet-derived growth factor
receptor that binds the SH2 domains of Src and closely related kinases
(22). IRS6/DOK5 contains a
total of three tyrosines in its carboxyl-terminal phosphorylation domain,
Tyr282 and Tyr302 in addition to Tyr267. The
286YAGE and 291YGAA sequences of IRS5/DOK4 and the
282YRLQ and 302YRSE sequences of IRS6/DOK5 do not appear
to conform to ideal motifs for SH2 recognition
(23,
24).
Northern Analyses of IRS5/DOK4 and IRS6/DOK5
ExpressionPatterns of gene expression were explored using the
full-length cDNAs to probe multiple human tissue mRNA blots
(Fig. 2). The IRS5/DOK4 and
IRS6/DOK5 probes hybridized transcripts of 3.0 and 2.2 kb, respectively
(Fig. 2). IRS5/DOK4 expression
was greatest in kidney and liver, with low levels of expression in essentially
all other tissues. IRS6/DOK5 expression was very high in muscle, lower in
brain, heart, and kidney, and virtually undetectable in other tissues. These
are interesting expression patterns in terms of insulin action as muscle and
liver are two of the most important systemic targets of insulin.

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FIG. 2. Northern analyses of IRS5/DOK4 and IRS6/DOK5 expression. Membranes
containing mRNA from multiple human tissues were probed with
32P-labeled cDNAs encoding A, IRS5/DOK4 or B,
IRS6/DOK5, respectively, as described under ``Materials and Methods.''
PBL, peripheral blood leukocyte.
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Insulin-stimulated Tyrosine Phosphorylation of IRS5/DOK4 and
IRS6/DOK5To be categorized as genuine ``IRSs, '' the
proteins would need to be tyrosine-phosphorylated by IR in addition to having
the appropriate PH-PTB domain architecture. Because we have not yet been
successful in generating useful anti-IRS5/DOK4 or anti-IRS6/DOK5, we expressed
FLAG-tagged versions of IRS5/DOK4 and IRS6/DOK5 in HEK293 cells. Cells
transfected with pCMV(IRS5/DOK4) or pCMV(IRS6/DOK5) were exposed for 20 min to
10 nM insulin or 10 nM IGF-1, lysed, and FLAG-tagged
IRS5/DOK4 or IRS6/DOK5 were immunoprecipitated with anti-FLAG antibodies.
Western blots developed with anti-phosphotyrosine antibodies revealed
significant increases in tyrosine phosphorylation of both proteins, in
response to either insulin (Fig.
3A) or IGF-1 (Fig.
3B). Endogenous insulin and IGF-1 receptors in the 293
cells apparently phosphorylate IRS5/DOK4 or IRS6/DOK5.

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FIG. 3. Phosphorylation of IRS5/DOK4 and IRS6/DOK5 in HEK293 cells. HEK293
cells were transfected with pCMV(IRS5/DOK4) or pCMV(IRS6/DOK5). Cells were
treated for 20 min with 10 nM insulin (Ins) (A)
or 10 nM IGF-1 (B). Proteins in cell lysates were
immunoprecipitated with anti-FLAG antibodies, separated by SDS-PAGE, and
identified by Western blotting {IB) with anti-phosphotyrosine
(PY) or anti-FLAG antibodies.
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Additional studies conducted in CHO-IR cells determined the concentration
dependence for insulin phosphorylation. Cells transfected with pCMV(IRS5/DOK4)
or pCMV(IRS6/DOK5) were exposed for 15 min to 0 to
106 M insulin and lysed, and
FLAG-tagged IRS5/DOK4 and IRS6/DOK5 were immunoprecipitated with anti-FLAG
antibodies. Peak phosphorylation of both proteins was observed at
107 M insulin
(Fig. 4A), the same
concentration of insulin that maximally stimulated IR phosphorylation
(Fig. 4B). The
anti-FLAG antibodies failed to precipitate phosphoproteins from control cell
lysates (data not shown).

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FIG. 4. Dose-dependent insulin-stimulated phosphorylation of IRS5/DOK4 and
IRS6/DOK5 in transfected CHO cells. Insulin receptor-expressing CHO-IR
cells (20) were transfected
with pCMV(IRS5/DOK4) (A) or pCMV(IRS6/DOK5) (B). Cells were
treated for 15 min with varying concentrations of insulin. Proteins in cell
lysates were immunoprecipitated (IP) with anti-FLAG or anti-insulin
receptor antibodies, separated by SDS-PAGE, and identified by Western blotting
(IB) with anti-phosphotyrosine (PY), anti-FLAG, or
anti-insulin receptor antibodies.
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The time course for IRS5/DOK4 and IRS6/DOK5 phosphorylation was similarly
studied using CHO-IR cells transfected either with pCMV(IRS5/DOK4) or
pCMV(IRS6/DOK5). Amounts of the tyrosine-phosphorylated proteins were
determined in cells treated for 040 min with
107 M insulin. Phosphorylation of
IRS5/DOK4 increased quickly, reaching half-maximum within 25 min
(Fig. 5A, left
panel). By contrast, IRS6/DOK5 phosphorylation increased linearly over
the entire 40-min period (Fig. 5,
A, right panel, and C). IRS5/DOK4
phosphorylation more closely matched IR phosphorylation, which was near
maximal in these cells within 2 min (Fig.
5B), whereas IRS6/DOK5 phosphorylation proceeded more
slowly (Fig. 5C). The
expression of IRS5/DOK4 or IRS6/DOK5 did not affect IR phosphorylation.

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FIG. 5. Time course for IRS5/DOK4 and IRS6/DOK5 phosphorylation. CHO-IR
cells transfected with pCMV(IRS5/DOK4) (A) or pCMV(IRS6/DOK5)
(B) were treated for the indicated times with 100 nM
insulin. Proteins in cell lysates were immunoprecipitated (IP),
separated by SDS-PAGE, and identified by Western blotting (IB). C,
quantified data from A.
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Effects of Phosphatase Inhibition on IRS5/DOK4 and
IRS6/DOK5 PhosphorylationBecause net levels of
phosphorylation are balanced by phosphatases, which counter the actions of
kinases, we wondered whether the dissimilar kinetics for IRS5/DOK4 and
IRS6/DOK5 phosphorylation might be affected differentially by protein-tyrosine
phosphatase inhibition. To test this cells were treated with 1
µM pervanadate along with the insulin. In the case of IRS5/DOK4,
the kinetics of insulin-stimulated phosphorylation changed significantly,
becoming more linear over the 30-min time course studied
(Fig. 6). By contrast, there
were no discernible effects on IRS6/DOK5 phosphorylation (data not shown). The
low levels of pervanadate by itself, in the absence of insulin, did not
significantly stimulate the phosphorylation of IRS5/DOK4
(Fig. 6), although higher
concentrations (50100 µM) of pervanadate do increase
IRS5/DOK4 and IRS-1 phosphorylation in the absence of insulin (data not
shown). These findings suggested that IRS5/DOK4 might be particularly
susceptible to dephosphorylation by a pervanadate-inhibitable phosphatase.

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FIG. 6. Effect of pervanadate on IRS5/DOK4 phosphorylation. Serum-starved
CHO-IR cells transfected with pCMV(IRS5/DOK4) were treated with 1.0
µM sodium pervanadate, plus or minus 100 nM insulin,
for the indicated times. Cells were lysed, and proteins were
immunoprecipitated with anti-FLAG antibodies, separated by SDS-PAGE, and
identified by Western blotting (IB).
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Additional studies further evaluated the effects of pervanadate on
IRS5/DOK4 and IRS6/DOK5 phosphorylation in comparison with related effects on
IRS-1 phosphorylation. CHO-IR cells expressing IRS5/DOK4, IRS6/DOK5, or IRS-1
were treated with insulin (107 M, 15
min) and/or pervanadate (1.0 µM, 15 min). Phosphorylation of
IRS5/DOK4 and IRS-1 was significantly augmented
(Fig. 7A), whereas
phosphorylation of IRS6/DOK5 was unaffected
(Fig. 7B). Therefore,
insulin-stimulated tyrosine-phosphorylation of IRS5/DOK4 is countered by a
pervanadate-inhibitable phosphatase, analogous to the situation for IRS-1
(Fig. 7, A and
B). By contrast, insulin-stimulated phosphorylation of
IRS6/DOK5 accumulates more slowly (Fig.
5) and is much less prone to dephosphorylation by a
pervanadate-inhibitable phosphatase (Fig.
7B).

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FIG. 7. Activation of IRS5/DOK4, IRS6/DOK5, and IRS-1 in transfected CHO-IR
cells. CHO-IR cells transfected with pCMV(IRS5/DOK4) (A),
pCMV(IRS6/DOK5) (B), or pCMV(IRS-1) (A and B) were
treated for 15 min with 1.0 µM sodium pervanadate and 100
nM insulin. Proteins in cell lysates were immunoprecipitated
(IP), separated by SDS-PAGE, and identified by Western blotting
(IB).
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IGF-1-Stimulated Tyrosine Phosphorylation of IRS5/DOK4 and
IRS6/DOK5Another characteristic of the IRS proteins is
their capacity to be phosphorylated by the IGF-1 receptor (IGF-1R), which is
closely related to IR in terms of primary sequence, three-dimensional
structure, and mechanism. We already knew that IGF-1 stimulated the
phosphorylation of IRS5/DOK4 or IRS6/DOK5 in HEK293 cells
(Fig. 3). To establish further
similarities and differences between the IRSs and IRS5/DOK4 or IRS6/DOK5,
IGF-1 receptor-expressing CHO cells (CHO-IGF-1R) were transfected with
pCMV(IRS5/DOK4) or pCMV(IRS6/DOK5). Amounts of tyrosine-phosphorylated
IRS5/DOK4 and IRS6/DOK5 were determined in cells treated for 040 min
with 107 M IGF-1. Phosphorylation of
IRS5/DOK4 increased quickly, within 2 min, reached a maximum within 510
min, and dropped again following longer stimulation times
(Fig. 8). IRS6/DOK5
phosphorylation occurred rapidly as well and decreased correspondingly at
longer stimulation times.

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FIG. 8. Phosphorylation by the IGF-1 receptor. Time course for IRS5/DOK4 and
IRS6/DOK5 phosphorylation. CHO-IGF1R cells transfected with pCMV(IRS5/DOK4)
(A) or pCMV(IRS6/DOK5) (B) were treated for the indicated
times with 100 nM IGF-1. Proteins in cell lysates were
immunoprecipitated (IP) with anti-FLAG antibodies, separated by
SDS-PAGE, and identified by Western blotting (IB).
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SH2 Domain Binding to Insulin-stimulated IRS5/DOK4 and
IRS6/DOK5SH2 domain binding experiments were used to
begin delineating potential signaling pathways downstream from IRS5/DOK4 and
IRS6/DOK5. CHO-IR cells transfected with pCMV(IRS5/DOK4) or pCMV(IRS6/DOK5)
were exposed for 15 min to 107 M
insulin in the presence of 1 µM sodium pervanadate; cell lysates
were prepared, and phosphorylated proteins were precipitated with GST-SH2
fusion proteins bound to glutathione-agarose beads. Tyrosine-phosphorylated
IRS5/DOK4s were precipitated by isolated SH2 domains from Src, Fyn, and Crk
and by the SH2/SH3/SH2 region of RasGAP
(Table I). In each case
IRS5/DOK4 binding was insulin-dependent, as no protein was precipitated from
lysates of unstimulated cells. By contrast, tyrosine-phosphorylated IRS5/DOK4
was not precipitated by Grb2 or Nck SH2 domains or by tandem SH2 domains from
PI 3-kinase p85, SHP2, or phospholipase C
(Table I). Identical
experiments conducted with pCMV(IRS6/DOK5)-transfected CHO-IR cells
demonstrated that under these conditions, IRS6/DOK5 does not associate with
any of these SH2 domain proteins (Table
I).
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TABLE I SH2 domain binding
CHO-IR cells transfected with pCMV(IRS5/DOK4), pCMV(IRS6/DOK5), or salmon
sperm DNA (negative control) and were stimulated with or without 100
nM insulin and 1.0 µM sodium pervanadate. Lysates
were incubated with immobilized GST-SH2 domain fusion proteins for 1 h at 4
°C, and bound proteins were separated by SDS-PAGE and identified by
Western blotting with anti-FLAG antibody.
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Co-immunoprecipitation of IRS5/DOK4 with Src, Fyn, CrkII, and
RasGAPSubsequent experiments asked whether the SH2 domain
pull-down results translated into corresponding interactions in cells. CHO-IR
cells were transfected with pCMV(IRS5/DOK4) and stimulated for 20 min with to
107 M insulin in the presence of 1
µM sodium pervanadate. Cell lysates were prepared, and proteins
precipitated with anti-Src, anti-Fyn, anti-CrkII, and anti-RasGAP antibodies
were separated by SDS-PAGE. Western blotting with anti-FLAG antibodies
identified IRS5/DOK4 in all four immunoprecipitates. Insulin and pervanadate
stimulated the association in all four cases
(Fig. 9A), although
lesser amounts of IRS5/DOK4 were also present in the anti-Fyn and anti-RasGAP
immunoprecipitates from unstimulated cells. The SH3 domains of Fyn or RasGAP,
rather than their SH2 domains, could mediate such constitutive association,
although this was not formally tested. Western blotting with
anti-phosphotyrosine antibodies further demonstrated that the
immunoprecipitated IRS5/DOK4 was tyrosine-phosphorylated
(Fig. 9B), as expected
for SH2 domain-mediated interactions.

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FIG. 9. Binding of IRS5/DOK4 to endogenous SH2 domain proteins. CHO-IR cells
transfected with pCMV(IRS5/DOK4) or salmon sperm DNA (control (Con))
were stimulated for 20 min with 100 nM insulin and 1.0
µM sodium pervanadate. Proteins in cell lysates were
immunoprecipitated (IP) with anti-c-Src, anti-RasGAP, anti-Crk, and
anti-Fyn antibodies, separated by SDS-PAGE, and identified by Western blotting
(IB) with anti-FLAG (A) or anti-phosphotyrosine antibodies
(B).
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Participation of IRS5/DOK4 in Insulin-mediated Activation of
MAPKFindings from the GST-SH2 domain pull-down and
co-immunoprecipitation experiments prompted a further investigation of
potential cellular consequences of SH2 domain protein activation. Pathways
leading through RasGAP, Crk, Src, or Fyn could potentially feed into the MAP
kinase (MAPK) cascade. We therefore looked at MAPK activation in
insulin-stimulated CHO-IR cells that either were or were not transfected with
pCMV(IRS5/DOK4). There was a left shift in the insulin dose response of MAPK
activation, as well as an increase in its magnitude, in cells transfected with
IRS5/DOK4 compared with cells transfected with control DNA
(Fig. 10). These consistent
findings in multiple experiments further suggested that IRS5/DOK4 may play a
relevant role in insulin signaling.

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|
FIG. 10. Activation of MAP kinase. CHO-IR cells transfected with salmon sperm
DNA (A) or pCMV(IRS5/DOK4) (B) were treated for 15 min with
the indicated concentrations of insulin. Proteins in total cell lysates were
analyzed by Western blotting. C, data from several experiments was
quantified (±S.E.).
|
|
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DISCUSSION
|
|---|
Now that all proteins in the human genome with tandem PH-PTB domain
architectures are known, we can attempt to subcategorize the two new ones,
IRS5/DOK4 and IRS6/DOK5, as either insulin receptor substrates (IRS) or
downstream of kinase (DOK) proteins. The identification of IRS5/DOK4 and
IRS6/DOK5 brings the total to nine: four IRS proteins (IRS-14), three
DOK proteins (DOK-13), IRS5/DOK4, and IRS6/DOK5. We seriously doubt
that additional genes encoding PHPTB domain proteins exist in the human or
mouse genomes.
Our main reason for being interested in IRS5/DOK4 and IRS6/DOK5 was to
determine whether they function, like the IRS and DOK proteins, in insulin
action. Although the lack of useful antibodies left us unable to look at the
endogenous proteins, Northern analyses showed that the corresponding mRNAs are
expressed in relevant and interesting tissues. IRS5/DOK4 message is expressed
in highest abundance in kidney and liver. As major sites of in vivo
glycogen storage and glucose production, these tissues are responsible for
maintaining normal glucose levels during periods of fasting. A diminished
capacity of insulin to suppress hepatic glucose production in type 2 diabetes
contributes to hyperglycemia. IRS6/DOK5 message is strongly expressed in
muscle, with much less expressed in the other human tissues tested. Muscle is
the primary site of in vivo glucose disposal. Suppression of
insulin-stimulated glucose disposal occurs in insulin resistance and may
contribute to hyperglycemia in type 2 diabetes. Liver and muscle and possibly
kidney are important potential targets for regulating metabolic homeostasis
and important tissues that contribute to the pathogenesis of type 2 diabetes.
We were surprised to see that the mRNA expression patterns recently reported
in mice (19) are dramatically
different from what we had found in humans (see below).
We therefore asked whether IRS5/DOK4 and IRS6/DOK5 are actual insulin
receptor substrates. We would have preferred to answer this question by
looking at the endogenous proteins in vivo, in relevant
insulin-responsive tissues, but useful antibodies do not exist. Therefore, we
expressed epitope-tagged versions of IRS5/DOK4 and IRS6/DOK5 in cultured
cells. Both IRS5/DOK4 and IRS6/DOK5 were phosphorylated in HEK293 cells that
express endogenous insulin and IGF-1 receptors. We also expressed IRS5/DOK4
and IRS6/DOK5 in CHO-IR cells. Due to the robust signals we were able to ask a
variety of kinetic and functional questions about these proteins. Although
IRS5/DOK4 and IRS6/DOK5 were both tyrosine-phosphorylated in these cells in
response to insulin, the kinetics of phosphorylation were dramatically
different. IRS5/DOK4 phosphorylation was rapid and robust, and its time course
closely matched that of the insulin receptor itself. It rose rapidly within 2
min of insulin treatment and plateaued. By contrast, IRS6/DOK5 phosphorylation
was much slower and increased steadily over all times studied (up to 40
min).
To investigate further the relative rates of phosphorylation, and
dephosphorylation by relevant protein-tyrosine phosphatases, we treated cells
with pervanadate. Pervanadate is an established mimic of insulin action
(25), presumably mediated
through its actions on cellular protein-tyrosine phosphatases
(26). The results were
striking in that IRS5/DOK4 phosphorylation no longer plateaued but continued
to increase linearly to quite high levels. This is reminiscent of IRS-1
phosphorylation, which also intensifies in the presence of pervanadate, and
distinct from IRS6/DOK5 phosphorylation, which was unaffected by pervanadate.
Therefore, IRS5/DOK4 behaves more like an IRS in terms of its phosphorylation
kinetics.
Our studies with the human proteins suggest that they function in insulin
and IGF-1 action, based on tyrosine-phosphorylation by the insulin and IGF-1
receptors. Message for the mouse ortholog of IRS5/DOK4 is expressed widely but
at highest levels in lung, heart, and kidney and at a significantly lower
level in liver (19).
Differences in expression patterns are even more pronounced for IRS6/DOK5
(19). In mice expression is
restricted to the brain, but in humans message expression is far more
prominent in muscle. Grimm et al.
(19) used a complicated
strategy to tease out a potential biological function for the mouse proteins
in nerve development. Fusing the extracellular epidermal growth factor
receptor to an intracellular portion of c-Ret provides an epidermal growth
factor-dependent effect on axonal outgrowth
(27). When the DOK-4 or DOK-5
sequences, lacking their PH domains, were fused to the carboxyl terminus of
the chimera, axonal outgrowth remained
(19). These findings were used
to argue that DOK-4 and DOK-5 support neuronal differentiation and MAPK
activation, although it would be more conservative to conclude that the fused
DOK-4 or DOK-5 sequences don't interfere, i.e. that their presence
has no effect on neuronal development.
Human IRS5/DOK4 is potentially interesting in terms of insulin action, as
it is rapidly and heavily phosphorylated in response to insulin and, once
phosphorylated, binds a set of SH2 domain proteins. Many previous studies
(23,
28,
29) have indicated that the
metabolic effects of insulin are mediated largely through PI 3-kinase
activation. This is accomplished by the engagement of PI 3-kinase p85 SH2
domains with phosphorylated YMXM and YXXM motifs of the IRS
proteins. Neither IRS5/DOK4 nor IRS6/DOK5 contain these sequences, and they do
not appear to activate PI 3-kinase directly. In fact, because IRS5/DOK4 and
IRS6/DOK5 are significantly shorter than other IRS and DOK proteins, they
contain fewer potential sites for tyrosine phosphorylation: five in IRS5/DOK4
and only three in IRS6/DOK5 (Fig.
1A). Screens of a variety of SH2 domain proteins revealed
a subset that bound insulin-activated IRS5/DOK4 but not IRS6/DOK5, including
RasGAP, Crk, and the non-receptor tyrosine kinases Src and Fyn. The SH2
domains of RasGAP couple Ras to its GTPase activity, which returns GTP-bound
Ras to its inactive, GDP-bound state. Because the DOK proteins were originally
identified as RasGAP-binding proteins
(10,
11), this would suggest from a
functional sense that IRS5/DOK4 may be more similar to the DOKs. Crk is an
adapter protein that lacks intrinsic catalytic activity but couples
tyrosine-phosphorylated proteins to guanine nucleotide exchange factors of
Ras-like proteins. RasGAP and Crk and the Src family non-receptor tyrosine
kinases (30) all have the
potential to influence MAPK/extracellular signal-regulated protein kinase
signaling cascades.
PI 3-kinase and MAPK activation represent the two main arms of
``classical'' insulin receptor signaling cascades. Because IRS5/DOK4 and
IRS6/DOK5 have no apparent role in PI 3-kinase activation (data not shown), we
investigated the possibility of their inhibiting or activating MAPK,
predicting that if enhanced RasGAP activity predominated then MAPK activity
would decrease, whereas if Crk/guanine nucleotide exchange factor
(31) or Src-like activity
predominated then MAPK activity might increase. IRS5/DOK4 expression
reproducibly potentiated insulin's activation of the MAPK. This was evident in
both a leftward shift of the insulin dose response and an increase in maximal
activation.
We want to emphasize that since our experiments and those of Grimm et
al. (19) both utilized
overexpression approaches, additional studies will be needed to determine
further the functions of endogenous proteins under more physiological
conditions. Although our results indicate that IRS5/DOK4 plays a potential
role in the mitogenic actions of insulin, relevant animal models will be
needed to test this hypothesis. IRS6/DOK5 may play a role in insulin action as
well, although discrete mechanisms are less clear.
We were interested in determining whether IRS5/DOK4 and IRS6/DOK5 are
members of the IRS family or the DOK family of proteins. The answer depends in
large measure on how one defines IRS versus DOK families and on
whether they represent distinct groups. Historically, the IRSs were named
after their roles in insulin receptor signaling
(1), whereas the DOKs were
named more broadly for roles downstream from any kinase
(10,
11). By this definition, the
IRSs would be considered to be a subset of the larger DOK family. However, the
IRSs were discovered and named long before the DOKs, and based on their being
substrates of the insulin receptor, one could readily argue that the DOKs are
members of the IRS family (32,
33). We have taken a different
approach, which compares protein sequences, particularly in the targeting
domains where there is potential for extended homology. IRS-1 and IRS-2 are
highly similar; IRS-3 and IRS-4 are more distant relatives, and the 3 DOKs are
more distant yet (Fig.
1B). The DOKs are more similar to each other than to the
IRSs. By these criteria, IRS5/DOK4 and IRS6/DOK5 are much more similar to one
another than they are to other members of either the IRS or the DOK families.
Because IRS5/DOK4 and IRS6/DOK5 are phosphorylated by the insulin receptor,
they are certainly ``insulin receptor substrates,'' but should they be
classified as IRS or DOK family members? We remained sufficiently uncertain
that we chose slightly more cumbersome but middle of the road names.
Additional studies are clearly needed for a more complete picture to emerge of
the biological roles of these interesting proteins in growth, development, and
metabolism.
 |
FOOTNOTES
|
|---|
The nucleotide sequence(s) reported in this paper has been submitted to
the GenBankTM/EBI Data Bank with accession number(s) AK001350
[GenBank]
and AF466368
[GenBank]
.
* This work was supported by National Institutes of Health Grant R01 DK43123
(to S. E. S.), Joslin DERC Grant DK36836, a Mary K. Iacocca Fellowship (to S.
D.), NRSA Grant F32 DK61187 from the National Institutes of Health (to P. A.
M.), and the Helen and Morton Adler Chair (to S. E. S.). The costs of
publication of this article were defrayed in part by the payment of page
charges. This article must therefore be hereby marked
"advertisement" in accordance with 18 U.S.C. Section 1734
solely to indicate this fact. 
To whom correspondence should be addressed: Joslin Diabetes Center, One Joslin
Place, Boston, MA 02215. Tel.: 617-732-2528; Fax: 617-735-1970; E-mail:
Steven.Shoelson{at}joslin.harvard.edu.
1 The abbreviations used are: IRS, insulin receptor substrates; MAP,
mitogen-activated protein; MAPK, MAP kinase; IGF, insulin-like growth factor;
PI 3-kinase, phosphatidylinositol 3-kinase; SH, Src homology; PH, pleckstrin
homology; PI 3-kinase, phosphatidylinositol 3-kinase; GST, glutathione
S-transferase; PBS, phosphate-buffered saline; DOK, downstream of
kinase; CHO, Chinese hamster ovary; PTB, phosphotyrosine binding. 
 |
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[Abstract]
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Copyright © 2003 by the American Society for Biochemistry and Molecular Biology.
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