Platelet-derived Growth Factor-BB Activates Calcium/Calmodulin-dependent and -independent Mechanisms That Mediate Akt Phosphorylation in the Neurofibromin-deficient Human Schwann Cell Line ST88-14*

Background: Malignant peripheral nerve sheath tumor (MPNST) cells overexpress PDGF receptor-β, which increases intracellular calcium when activated. Results: Calcium/calmodulin (CaM) is involved in sustained phosphorylation of Akt and promotion of cell survival in an MPNST cell line. Conclusion: MPNST cells evade normal cell death through CaM-dependent sustained activation of Akt. Significance: Activation of CaM by abnormally expressed growth factor receptors may contribute to NF1 tumor formation. Neurofibromatosis type 1-derived Schwann cells isolated from malignant peripheral nerve sheath tumors (MPNSTs) overexpress PDGF receptor-β and generate an aberrant intracellular calcium increase in response to PDGF-BB. Using the human MPNST Schwann cell line ST88-14, we demonstrate that, in addition to a transient phosphorylation of Akt, PDGF-BB stimulation produces an atypical sustained phosphorylation of Akt that is dependent on calcium and calmodulin (CaM). The sustained Akt phosphorylation did not occur in PDGF-BB-stimulated normal human Schwann cells or ST88-14 cells stimulated with stem cell factor, whose receptor is also overexpressed in ST88-14 cells. The sustained Akt phosphorylation induced by PDGF-BB was inhibited by pretreatment of the cells with either the intracellular calcium chelator 1,2-bis(2-aminophenoxy)ethane-N,N,N′,N′-tetraacetic acid tetrakis(acetoxymethyl) ester (BAPTA-AM) or the CaM antagonist W7, whereas the transient portion was not inhibited. Akt also co-immunoprecipitated with CaM in a PDGF-BB-dependent manner, suggesting that direct interaction between Akt and CaM is involved in the sustained phosphorylation of Akt. Furthermore, we provide evidence that anti-apoptotic effects of PDGF-BB on serum-deprived ST88-14 cells can be inhibited by W7, implicating the PDGF-BB-induced activation of calcium/CaM in promoting cell survival, presumably through sustained Akt activation. We conclude that the activation of the calcium/CaM/Akt pathway resulting from stimulation of overexpressed PDGF receptor-β may contribute to the survival and tumorigenicity of MPNST cells.


Neurofibromatosis type 1-derived Schwann cells isolated from malignant peripheral nerve sheath tumors (MPNSTs) overexpress PDGF receptor-␤ and generate an aberrant intracellular calcium increase in response to PDGF-BB. Using the human MPNST Schwann cell line ST88-14, we demonstrate that, in addition to a transient phosphorylation of Akt, PDGF-BB stimulation produces an atypical sustained phosphorylation of Akt that is dependent on calcium and calmodulin (CaM). The sustained Akt phosphorylation did not occur in PDGF-BB-stimulated normal human Schwann cells or ST88-14 cells stimulated with stem cell factor, whose receptor is also overexpressed in ST88-14 cells. The sustained Akt phosphorylation induced by PDGF-BB was inhibited by pretreatment of the cells with either the intracellular calcium chelator 1,2-bis(2aminophenoxy)ethane-N,N,N,N-tetraacetic acid tetrakis(acetoxymethyl) ester (BAPTA-AM) or the CaM antagonist W7, whereas the transient portion was not inhibited. Akt also coimmunoprecipitated with CaM in a PDGF-BB-dependent manner, suggesting that direct interaction between Akt and CaM is involved in the sustained phosphorylation of Akt. Furthermore, we provide evidence that anti-apoptotic effects of PDGF-BB on serum-deprived ST88-14 cells can be inhibited by W7, implicating the PDGF-BB-induced activation of calcium/CaM in promoting cell survival, presumably through sustained Akt activation. We conclude that the activation of the calcium/CaM/Akt pathway resulting from stimulation of overexpressed PDGF receptor-␤ may contribute to the survival and tumorigenicity of MPNST cells.
Elevated expression of growth factors and their receptors is a common characteristic of tumor cells, including many of the Schwann cell lines derived from neurofibromin-deficient malignant peripheral nerve sheath tumors (MPNSTs). 3 These tumors are associated with neurofibromatosis type 1 (NF1) (1,2), which is a human genetic disorder caused by mutations in the tumor suppressor gene that encodes the GTPase-activating protein neurofibromin. NF1-derived cell lines have elevated levels of receptors, such as the EGF receptor (3) and c-Kit (4), that typically are not expressed by Schwann cells. These abnormally expressed receptors likely play a role in the development of MPNSTs. Alterations in growth factor receptor-mediated signaling may also be caused by the activation of receptors characteristically present on normal Schwann cells but overexpressed in MPNST cells, which is the case for PDGF receptor-␤ (PDGFR-␤) (5). Activation of PDGFR-␤ in MPNST cell lines induces an increase in intracellular calcium and phosphorylation of calmodulin (CaM) kinase II, signaling events that do not happen when PDGFR-␤ is stimulated in normal Schwann cells (6).
The serine/threonine kinase Akt/PKB is a central downstream component of growth factor receptor-mediated signaling and plays an essential role in controlling normal cell survival, proliferation, and migration (7). The question of how Akt signaling can mediate such diverse cellular functions may be explained in part by the three different Akt isoforms (Akt1 (␣), Akt2 (␤), and Akt3 (␥)) that make up the Akt family. These isoforms appear to play unique as well as overlapping roles in the cell (8).
Dysregulation of the Akt pathway can lead to tumor formation by altering critical biological outcomes within the cell. Akt activation occurs through both PI3K-dependent and -independent pathways. During PI3K-dependent activation, binding of a growth factor to its receptor tyrosine kinase recruits and activates PI3K, which then catalyzes the conversion of membrane phosphatidylinositol 3,4-bisphosphate to phosphatidylinositol 3,4,5-trisphosphate. Akt is translocated to the plasma membrane, where it is anchored through its pleckstrin homology domain to phosphatidylinositol 3,4,5-trisphosphate and becomes activated through phosphorylation in the kinase domain at Thr-308 by PDK1 (protein-dependent kinase-1) and in the regulatory domain at Ser-473 by mTORC2 (mammalian target of rapamycin complex 2) (9). The PI3K-independent pathways that activate Akt are less well characterized and include direct interactions between Ras GTPase-activating protein and Akt (10), as well as CaM-mediated activation, which can occur through direct association of Akt with either CaM (11)(12)(13) or CaM-activated CaM kinase kinase (14).
In this study, we examined the role of calcium/CaM in PDGF-BB-stimulated Akt phosphorylation in the NF1-derived MPNST cell line ST88-14, which overexpresses PDGFR-␤ and produces an abnormal increase in intracellular calcium as a result of PDGF-BB stimulation (6). We found that calcium/ CaM-dependent and -independent mechanisms act concurrently to influence Akt phosphorylation, but with different kinetics. Furthermore, we show that the calcium/CaM-dependent Akt phosphorylation induced by PDGF-BB supports survival under conditions that promote apoptosis, suggesting a potential mechanism by which these cells evade normal programmed cell death and promote tumorigenesis.

EXPERIMENTAL PROCEDURES
Cell Culture and Growth Factor Treatment-The NF1-derived MPNST cell line ST88-14 (obtained from Jonathan Fletcher, Brigham and Women's Hospital, Boston, MA) was grown in DMEM (Invitrogen) supplemented with 5% FBS. The day before an experiment, cells were plated at a density of 150,000 cells/35-mm dish (immunoblotting experiments) or 1.5-2 ϫ 10 6 cells/100-mm dish (immunoprecipitation experiments) and incubated overnight in DMEM and 5% FBS. Four hours prior to growth factor treatment, the serum-containing medium was replaced with DMEM without FBS to reduce the stimulatory effects of the serum.
Human Schwann cells were prepared from human peripheral nerve (obtained from Dr. Patrick Wood, Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL) by the method of Casella et al. (15). The epineurium was removed from the nerves, and the nerves were cut into 2-mm segments and placed on 35-mm tissue culture dishes containing DMEM and 10% FBS. The nerve segments were allowed to incubate for 2 weeks in the presence of 2 M forskolin (Calbiochem) and 10 ng/ml neuregulin ␤1 (a gift from Amgen, Thousand Oaks, CA). The fascicles were dissociated with collagenase, and the dissociated cells were placed on collagen-coated tissue culture dishes. The cells were grown in DMEM and 5% FBS supplemented with 10 ng/ml neuregulin ␤1. Differential adhesion was used to remove contaminating fibroblasts each time the cells were passaged and before the cells were plated for an experiment. Four hours before growth factor addition, the growth medium was removed from the cells and replaced with DMEM without serum, neuregulin ␤1, or forskolin to reduce the stimulatory effects of these agents.
Co-immunoprecipitation-At designated time points after growth factor treatment, ST88-14 cells (1.5-2 ϫ 10 6 cells) were solubilized in 1 ml of lysis/immunoprecipitation buffer (150 mM NaCl, 10 mM Tris, 1 mM EDTA, 1% Triton X-100, 0.5% Nonidet P-40, protease inhibitor mixture (Calbiochem), 50 mM NaF, and 1 mM Na 3 VO 4 ), centrifuged to remove insoluble material, and incubated with 2 g of rabbit anti-CaM monoclonal antibody (Epitomics, Burlingame, CA) for 1 h at 4°C. Protein A/G-agarose (15 l; Pierce) was added, and the mixture was incubated overnight at 4°C with mixing. The agarose pellets were collected by centrifugation and washed three times with lysis/immunoprecipitation buffer. After the last wash, 15 l of 2.5ϫ reducing sample buffer was added to the agarose pellets. The eluted proteins were separated on 4 -12% NuPAGE gels and transferred to PVDF membranes for Western blot analysis. The blots were immunostained for Akt and CaM. The protein bands on films were semiquantitatively analyzed by densitometry using ImageJ software.
Cell Survival Studies-ST88-14 cells were plated at a density of 150,000 cells/35-mm tissue culture dish. The following day, the medium was removed, and the cells were washed once to remove traces of serum before adding low glucose minimum essential medium (MEM; Invitrogen) without serum supplementation. The CaM inhibitor W7 or W5 or vehicle (Me 2 SO) was added 30 min prior to PDGF-BB stimulation. The cells were incubated for 24 h and then harvested in sample buffer. Cleavage of nuclear PARP was analyzed by Western blotting.
Statistics-All experiments were performed at least three times. Statistical analyses were done using GraphPad Prism software. Student's t test was used to compare between two groups with significance at p Ͻ 0.05. (6) suggested that the atypical increase in intracellular calcium resulting from PDGFR-␤ activation in NF1-derived Schwann cells may influence receptor-mediated signaling cascades, particularly the PI3K/Akt and MAPK pathways. Prior to examining PDGF-BB-induced signaling in NF1-derived ST88-14 cells, we assessed the basal levels of phosphorylation and expression of Akt and ERK1/2 to determine whether constitutively elevated Ras-GTP, inherent to NF1-derived cells, affects these pathways in unstimulated cells. ST88-14 cells were compared with normal human Schwann cells (nhSc) under serum-free conditions to remove contributions from serum-induced signaling. The ST88-14 cells expressed an undetectable level of neurofibromin ( Fig. 1) and had 4-fold more Ras-GTP than nhSc (data not shown), consistent with the original characterization of the ST88-14 cell line as well as other NF1-derived MPNST Schwann cells (16).

ERK, but Not Akt, Shows Altered Basal Levels of Phosphorylation and Expression-Previous work from our laboratory
The basal levels of both Akt phosphorylated at Ser-473 (pAkt Ser-473 ) and total Akt were comparable between nhSc and ST88-14 cells (Fig. 1). In contrast, ST88-14 cells had increased amounts of pERK1/2 (Fig. 1). Interestingly, the amount of total ERK protein was markedly higher in nhSc, even though pERK was greater in ST88-14 cells (Fig. 1). These data imply that, at least in unstimulated ST88-14 cells, the NF1 phenotype has no appreciable effect on the PI3K/Akt pathway, whereas the MAPK pathway shows a substantial increase in basal activity relative to nhSc.
Growth Factor Activation of Akt and MAPK Pathways-We analyzed the time course of Akt and ERK1/2 phosphorylation after activation by either SCF or PDGF-BB. Each of these growth factors has its receptor overexpressed in the ST88-14 cell line (4,5). Over a 2-h time period, maximum phosphorylation of Akt at Ser-473 occurred within 5 min following stimulation of ST88-14 cells with either SCF ( Fig. 2A) or PDGF-BB (Fig. 2B). However, pAkt Ser-473 returned to nearly unstimulated levels (0 min) within 1 h after SCF treatment ( Fig. 2A), whereas a high level of pAkt Ser-473 in PDGF-BB-treated cells was sustained for Ͼ2 h (Fig. 2B). A similar comparison between nhSc and ST88-14 cells after stimulation with PDGF-BB revealed a transient phosphorylation of Akt at Ser-473 in nhSc (Fig. 2C) relative to the sustained phosphorylation of Akt at Ser-473 in ST88-14 cells (Fig. 2D).
To determine whether sustained activation of the MAPK pathway also occurs in ST88-14 cells after PDGF-BB stimulation, the blots were immunostained for pERK1/2. Similar to the initial kinetics of SCF-or PDGF-BB-induced pAkt Ser-473 formation described above, maximum phosphorylation of ERK1/2 in ST88-14 cells occurred within 5 min. The initial phosphorylation of ERK1/2 was not as rapid in nhSc, which appeared to peak between 5 and 30 min (Fig. 2C). The PDGF-BB-induced increase in pERK1/2 levels in ST88-14 cells was sustained at least 30 min longer than that in ST88-14 cells stimulated with SCF (Fig. 2, A and B) or in nhSc stimulated with PDGF-BB (Fig.  2, C and D). However, by 120 min, the amount of pERK1/2 in PDGF-BB-treated ST88-14 cells had returned to unstimulated levels (0 min) (Fig. 2, B and D). These observations indicate that, relative to Akt, the MAPK pathway in ST88-14 cells is noticeably less susceptible to sustained activation by PDGF-BB.
Intracellular Calcium Chelator BAPTA-AM and CaM Antagonist W7 Inhibit Sustained but Not Transient Akt Ser-473 Phosphorylation-On the basis of our previous findings that PDGF-BB stimulation elicits an increase in intracellular calcium in NF1-derived Schwann cell lines, including ST88-14 cells, and that this intracellular calcium increase does not occur in PDGF-BB-stimulated nhSc (6), we designed experiments to determine whether the PDGF-BB-stimulated intracellular calcium increase was responsible for the sustained Akt Ser-473 phosphorylation. ST88-14 cells were preincubated with the intracellular calcium chelator BAPTA-AM for 30 min prior to PDGF-BB stimulation. Fig. 3A shows that BAPTA-AM treatment significantly inhibited the sustained (120 min) phosphorylation of Akt at Ser-473 without affecting the transient (  Total cell lysates were prepared from cells that were serum-starved for 4 h prior to harvesting and analyzed by Western blotting. The difference in neurofibromin expression between the two cell types was demonstrated by immunostaining with a polyclonal antibody whose epitope maps within the C terminus of human neurofibromin. Immunostaining for pERK1/2 and pAkt Ser-473 was done using appropriate phosphospecific antibodies. Peroxidase-conjugated secondary antibodies were used for visualization, after which the blots were stripped and reprobed with anti-Akt and anti-ERK antibodies. GAPDH was used as a loading control. Notice that there are similar levels of total Akt and pAkt Ser-473 for the two cell types but markedly different amounts of total ERK and pERK. The results shown are representative of three or more independent experiments. inhibited in the presence of W7 (Fig. 3B). For a control, we used the less potent CaM inhibitor W5, which appeared to have less of an effect (Fig. 3B). These combined data indicate that the sustained phosphorylation of Akt at Ser-473 in PDGF-BB-stimulated ST88-14 cells is calcium/CaM-dependent, whereas transient Akt phosphorylation is not.

PI3K Inhibitors Block PDGF-BB-induced Akt Ser-473
Phosphorylation-The dependence of PDGF-BB-induced transient (calcium/CaM-independent) and sustained (calcium/ CaM-dependent) Akt Ser-473 phosphorylation on PI3K activity was examined by preincubating cells for 30 min with 50 M LY294002 prior to stimulation with PDGF-BB. In the presence  of the PI3K inhibitor, there was almost a complete inhibition of Akt Ser-473 phosphorylation over the 120-min time period (Fig. 4). A similar effect was obtained with 0.2 M wortmannin (data not shown). These results indicate that both the calcium/ CaM-independent and -dependent components of Akt phosphorylation require PI3K activity.
Co-immunoprecipitation of CaM with Akt-Because both the intracellular calcium chelator BAPTA-AM and the CaM antagonist W7 inhibited only the sustained (120 min) component of PDGF-BB-induced Akt phosphorylation, we considered the possibility that CaM interacts directly with Akt to form a functional complex that could be involved in maintaining Akt in a phosphorylated state. To establish whether direct interactions between CaM and Akt occur in a PDGF-BB-dependent manner, we carried out co-immunoprecipitation experiments in which CaM was immunoprecipitated from ST88-14 cells treated with PDGF-BB for either 30 or 120 min. We consistently found that Akt was associated with CaM in unstimulated cells and that PDGF-BB stimulation increased the amount of this association over the 120-min time period (Fig. 5). These results indicate that PDGF-BB induces a direct and sustained association of CaM with Akt, which coincides with the sustained phosphorylation of Akt.
CaM Antagonist W7 Blocks the Anti-apoptotic Effect of PDGF-BB in ST88-14 Cells-Given that Akt activation promotes cell survival, we next investigated whether PDGF-BB stimulation could enhance ST88-14 cell survival under conditions that would be expected to drive the cells toward apoptosis and, if so, whether this survival stimulus is dependent on CaM. To induce apoptosis, cells were cultured in low glucose MEM under conditions of serum deprivation. Treatment with PDGF-BB alone or after a 30-min pretreatment with W7 or the control analog W5 was used to determine the dependence of PDGF-BB-induced cell survival on CaM. Cellular morphology (Fig. 6, A-F) and cleavage of nuclear PARP (Fig. 6, G and H) were used to evaluate the apoptotic status of the cells after 24 h. Relative to cells grown in medium containing serum (Fig. 6A), the cells maintained in serum-free/low glucose MEM for 24 h showed cell contraction and rounding (Fig. 6B, arrowheads), characteristic of cells undergoing cell death, with significant cleavage of PARP. PDGF-BB added to serum-free/low glucose MEM helped maintained normal cellular morphology (Fig. 6C) and prevented PARP cleavage, indicating that PDGF-BB promotes survival under these conditions. The anti-apoptotic effect of PDGF-BB was blocked by the CaM antagonist W7, which caused cell contraction and rounding (Fig. 6D, arrowheads) and produced PARP cleavage beyond that of the serumfree/low glucose medium alone. This result suggests that CaM may have an additional role in promoting survival that is independent of PDGF-BB stimulation. In contrast, cells pretreated with the control analog W5 (Fig. 6E) showed less cell contraction and rounding and PARP cleavage than the W7-treated cells. SCF, which produced only a transient phosphorylation of Akt at Ser-473 ( Fig. 2A), showed minimum effectiveness in reversing the outcomes of serum deprivation and low glucose, i.e. morphology associated with dying cells (Fig. 6F), and preventing PARP cleavage. Considered together with our evidence that W7 inhibits only the sustained portion of Akt Ser-473 phosphorylation (Fig. 3B), these results suggest that PDGF-BBinduced activation of CaM plays an important role in promoting survival of ST88-14 cells, most likely through sustained Akt activation.

DISCUSSION
Neurofibromin-deficient cells generated from NF1 tumors characteristically hyperproliferate as a consequence of their constitutively elevated Ras activity and subsequent activation of signaling pathways involved in the regulation of cell growth (1,(17)(18)(19). NF1-derived Schwann cells also have been shown to overexpress growth factor receptors (3)(4)(5), which, when coupled with aberrant intracellular signaling, can cause these cells to express phenotypic traits characteristic of tumors, such as , and 120 min (to represent sustained phosphorylation), and total cellular protein was subjected to Western blot analysis. Blots were immunostained for pAkt Ser-473 , pERK, and GAPDH (loading control), followed by peroxidaseconjugated secondary antibodies. Results are representative of three independent experiments. unregulated growth and survival. In this study, we focused on the atypical intracellular calcium signaling coupled to the activation of overexpressed PDGFR-␤ (6), and we have demonstrated that calcium/CaM plays a necessary role in a sustained but not transient Akt phosphorylation resulting from PDGF-BB stimulation. We also present evidence that PDGF-BB-induced activation of CaM has a prosurvival influence on ST88-14 cells placed under conditions that promote cell death, suggesting that PDGF-BB-induced sustained Akt activation may be a mechanism by which NF1-derived MPNST cells evade apoptosis.
In our initial characterization, we found that the extent of Akt expression and phosphorylation in unstimulated ST88-14 cells was essentially the same as in nhSc, indicating that constitutively elevated Ras-GTP was not affecting the basal (unstimulated) levels of pAkt and that there was no amplification or overexpression of Akt by the ST88-14 cells. In contrast and consistent with elevated Ras-GTP as an upstream activator of the MAPK pathway, pERK was significantly increased in the unstimulated ST88-14 cells relative to nhSc, which is in agreement with previous characterizations of the ST88-14 cell line (16,18,20) and other neurofibromin-deficient cell types (18,20). Interestingly, even though ST88-14 cells had levels of pERK that were constitutively elevated, the amount of total ERK protein was reduced compared with that expressed by nhSc. Thus, relative to nhSc, the levels of pERK were higher in unstimulated ST88-14 cells even though the amount of total ERK protein was lower. This result might suggest that chronic elevation of pERK in ST88-14 cells results in a negative feedback mechanism that reduces the expression of ERK protein in an effort to limit ERK activation.
Although nhSc typically do not express receptors for SCF, PDGFR-␤ is expressed by both nhSc and ST88-14 cells (6), which allowed us to compare PDGF-BB activation of the PI3K/ Akt signaling pathway between the two cell types. Our results show that the duration of PDGF-BB-stimulated Akt Ser-473 phosphorylation in ST88-14 cells extended beyond 120 min, whereas in PDGF-BB-stimulated nhSc, pAkt Ser-473 had returned to nearly unstimulated levels by 60 min. The longer duration of Akt phosphorylation was also specific to PDGF-BBmediated signaling in the ST88-14 cells because stimulation with SCF resulted in a time course for pAkt formation that was transient, similar to that for PDGF-stimulated nhSc. A previous study from our laboratory showed that there is an increase in intracellular calcium in response to PDGF-BB stimulation of NF1-derived Schwann cell lines but not nhSc and that this calcium response is associated with CaM activation as indicated by CaM kinase II phosphorylation (6). On the basis of this earlier work, we hypothesized that a calcium/CaM-dependent mechanism was responsible for sustained Akt phosphorylation.
Our studies with the intracellular calcium chelator BAPTA-AM and the CaM antagonist W7 demonstrate that the PDGF-BB-induced calcium activation of CaM is responsible for the sustained portion of Akt Ser-473 phosphorylation and that the transient phosphorylation of Akt at Ser-473 is a separate event independent of either calcium or CaM. This is a notable observation because it shows that Akt phosphorylation can be regulated concurrently by more than one mechanism, in this case, calcium/CaM-independent and -dependent mechanisms. Previous reports in which CaM was shown to be involved in Akt activation include CaM association with the SH2 (Src homology 2) domain of the 85-kDa regulatory subunit of PI3K (21) and CaM activation of CaM kinase kinase, which then proceeds to phosphorylate Akt directly (14). However, in our hands, experiments to co-immunoprecipitate CaM with the 85-kDa regulatory subunit of PI3K or to block sustained Akt phosphorylation with the specific CaM kinase kinase inhibitor STO609 provided no evidence for either of these two mechanisms occurring in PDGF-BB-stimulated ST88-14 cells (data not shown).
More recent studies with mouse mammary carcinoma and human breast cancer cell lines have provided evidence for an EGF-induced direct association between CaM and Akt that may serve to translocate Akt to the plasma membrane, where it becomes activated (12,13). Our finding that PDGF-BB increases the formation of a CaM and Akt immunoprecipitable complex in ST88-14 cells is consistent with this type of functional complex being formed between the two molecules, although it remains to be determined whether the PDGF-BBinduced formation of this complex serves to translocate Akt to the plasma membrane or other sites within the cell. Nonetheless, our co-immunoprecipitation results, together with the inhibition of sustained Akt phosphorylation by W7 and, to a lesser extent, by the weaker antagonist W5, strongly suggest that this PDGF-BB-induced physical association between CaM and Akt is responsible for its sustained activation.
A major difference between our results and those of Deb et al. (12) and Coticchia et al. (13) is that, in mouse mammary and human breast cancer cell lines, treatment with the CaM antagonist W7 blocked all of Akt phosphorylation, whereas in our studies with ST88-14 cells, W7 inhibited only sustained Akt phosphorylation without a discernible effect on the transient portion. Thus, their results indicate that all of the EGF-induced Akt activation occurred through one CaM-dependent mechanism, whereas our results clearly indicate that two separate mechanisms are involved concurrently in the activation of Akt.
Both the calcium/CaM-dependent and -independent mechanisms were sensitive to the PI3K inhibitors LY294002 and wortmannin, indicating that each is PI3K-dependent and requires Akt to associate with phosphatidylinositol 3,4,5-trisphosphate at the plasma membrane prior to activation by phosphorylation. It is worth considering in this context that two binding sites for calcium/CaM have been identified within Akt (11). One of these sites is at the N terminus of the kinase catalytic domain, and the other is within the first half of the pleckstrin homology domain, which also is the domain necessary for Akt to associate with phosphatidylinositol 3,4,5-trisphosphate at the plasma membrane. It is possible that calcium/CaM binds the pleckstrin homology domain of activated Akt, thereby releasing it from the membrane and preventing or delaying its inactivation by an Akt phosphatase (22).
Although we could not ascertain definitively that Akt plays a direct role in the PDGF-BB-induced survival of serum-deprived ST88-14 cells, our results do show that the PDGF-BB-induced calcium/CaM response is necessary for this survival. By blocking the CaM-dependent sustained Akt phosphorylation with W7 or by stimulating the cells with SCF, which produced only a transient Akt response, we showed that transient activation of Akt is not sufficient to counteract the apoptotic response (PARP cleavage) induced by serum and glucose deprivation. Given the suggested role of CaM in directing Akt to specific intracellular sites (12,13), together with recent evidence indicating that distinct subcellular pools of Akt are important for its specific functions (23), it is possible that, in ST88-14 cells, CaM may serve to target activated Akt to a particular intracellular site(s) where anti-apoptotic substrates for Akt reside.
It is not known whether there is an Akt isoform dependence for NF1, and information on this topic for other Ras-induced tumors is limited. One Ras-induced model in which Akt isoform specificity has been studied is mutant K-Ras-mediated lung tumorigenesis (24), in which Akt1 was identified as the only Akt isoform required for tumor initiation and progression. This study is consistent with Akt1 knock-out mice being growth-impaired (25). However, other studies have linked Aktdependent cell survival to Akt3 (26) or, in some tumor cell lines, all three Akt isoforms (27), suggesting that the survival function of an Akt isoform may be cell line-specific. Indeed, with respect to potential therapeutic targets, it will be important to ascertain whether a particular Akt isoform is responsible for its sustained phosphorylation mediated by calcium/CaM in NF1 tumor cells.
To date, emphasis has been placed primarily on how growth factors affect proliferation of NF1 tumor cells. Along this line, EGF has been shown to be the most potent growth factor for stimulating proliferation of NF1-derived Schwann cells (3), whereas PDGF-BB is only slightly stimulatory (5), and there is little if any stimulation of proliferation by SCF (4). Thus, PDGF-BB, which does not appear to have a major role in proliferation of MPNST cells, may enhance their survival by stimulating a calcium/CaM-dependent mechanism involved in maintaining Akt in an active state. We propose that PDGF signaling allows