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From the Department of Laboratory Medicine and
Pathology,*
Mayo Clinic and Mayo Foundation, Rochester,
Minnesota; and the Department of Neurosurgery,
Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan
| Abstract |
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| Introduction |
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Recent studies have demonstrated a relationship between PACAP and apoptosis. Arimura et al described a neurotrophic biphasic effect of low PACAP-38 concentrations on gp120-induced apoptosis in hippocampal cultures.7 Other studies have suggested that PACAP plays a role in preventing apoptosis in cerebellar granule neurons.8,9 Recently, all three major PACAP receptors were demonstrated in normal and neoplastic human pituitaries; however, the role of PACAP in regulating apoptosis in human pituitary adenoma has not previously been examined.10,11
Programmed cell death or apoptosis has been recognized as contributing to a range of developmental and remodeling events in tissues and to tumor regression in response to treatment with chemotherapeutic agents. In lymphoid cells, cellular signal transducers such as cAMP may stimulate apoptosis, and this molecule can substitute for glucocorticoids in triggering apoptosis.12 cAMP acts as a second messenger molecule that regulates the activity of protein kinase A (PKA) or PKA-related enzymes and a wide range of cellular processes.13,14 Protein kinase C (PKC), which is activated by diacylglycerol located on the cell surface membrane, is involved in the regulation of a number of cellular events, including growth and differentiation in a wide range of tissues. The levels of PKC activity and PKC mRNA expression were higher in pituitary adenoma cells than in normal human and rat pituitary cells,15,16 suggesting a possible role of PKC in pituitary tumor development.
Recent in vitro studies suggest that transforming growth factor-ß (TGF-ß) and related peptides may have important roles in pituitary cell proliferation and in hormone expression.17-19 Various isoforms of TGF-ß are expressed in rat18-21 and human22,23 pituitary cells. TGF-ß has an inhibitory effect on the cell cycle directed at the G1-to-S phase transition, and this inhibition is reversible after removal of this cytokine.24,25 Some of the actions of TGF-ß are mediated by cell cycle inhibitory proteins such as p27kip1 (p27) and p15.26-28 p27 in turn may function as a negative regulator of G1 cell cycle progression and may mediate TGF-ß-induced G1 arrest. p27 protein, which interacts with cyclin-cdk complexes, including cyclin E-cdk2,26-28 is expressed at higher levels in quiescent cells than in proliferating cells, which may implicate this cell cycle protein in cell death.
We examined the role of PACAP in modulating apoptosis in a human pituitary adenoma cell line. Our results show that PACAP is a highly specific inhibitor of TGF-ß1-induced apoptosis in this human pituitary adenoma cell line in vitro.
| Materials and Methods |
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An immortalized human pituitary HP75 cell line, developed originally from a nonfunctioning pituitary adenoma with a replication-defective recombinant human adenovirus with a SV40 early large T-antigen,29 was used in this study. The HP75 cells were maintained in Dulbeccos minimum essential medium (DMEM) with 15% horse serum and 2.5% fetal bovine serum with 1 µg/ml insulin and 1% antiboitics (all from Life Technologies, Grand Island, NY).
For the apoptosis experiments, the HP75 cells were plated onto 35-mm plastic dishes at approximately 0.5 x 106 cells/dish for 4 hours. After the complete medium was removed and the cells were washed twice with DMEM, the HP75 cells were incubated in a serum-free DMEM without insulin or dexamethasone for about 24 hours. The following reagents were used in cell culture studies, and the final concentration was obtained after preliminary titration experiments: porcine TGF-ß1 (1 x 10-9 mol/L; R&D Systems, Minneapolis, MN); PACAP38 and PACAP27-NH2 (2.5 x 16-7 mol/L; Peninsula Lab, Belmont, CA); PACAP 638 (PACAP type I receptor antagonist) and (p-chloro-D-Phe,6 Leu17)-VIP (PACAP type II receptor antagonist) (10-6 mol/L; Bachem, Torrance, CA); phorbol 12-myristate 13-acetate (PMA) (10-7 mol/L); and forskolin (10-6 mol/L) (Sigma Chemical Co., St. Louis, MO). After 24 hours of treatment, the HP75 cells were harvested, cytocentrifuged onto glass slides, fixed with 4% paraformaldehyde for 20 minutes, and used for analysis of apoptosis and immunocytochemistry.
Oligonucleotide Primers and Probes
Oligonucleotide primers and Southern hybridization probes were
synthesized with a DNA oligonucleotide synthesizer (Applied Biosystems,
Foster City, CA) (Table 1)
. Both primers
and probes for human PACAP30
and PACAP receptors,
including PVR-1,31
PVR-2,32,33
and
PVR-3,34
were synthesized on the basis of published
sequences as previously reported.10,11
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Total RNA extraction was performed by single-step methods (TRIzol Reagent Kit; Life Technologies) from HP75 cells.29,35
First-strand complementary DNA (cDNA) was prepared from total RNA with a first-strand synthesis kit (Stratagene, La Jolla, CA). The reverse transcriptase (RT) reaction was performed at 37°C for 60 minutes in a final volume of 50 µl with 5 µg total RNA, 300 ng oligo-dT primer, 1x RT buffer, 1.0 mmol/L of each deoxyribonucleotide (dATP, dCTP, dGTP), 40 U ribonuclease (RNase) inhibitor, and 50 U Moloney murine leukemia virus RT. The reaction product was then heated at 95°C for 5 minutes and immediately placed on ice.
The polymerase chain reaction (PCR) was performed in 100-µl final reaction volumes containing 5 µl RT reaction product as template DNA, corresponding to cDNA synthesized from 500 ng total RNA; 1x PCR buffer (Promega, Madison, WI); 1.5 mmol/L MgCl2; 0.2 mmol/L of each deoxynucleotide (Boehringer Mannheim, Indianapolis, IN); 300 ng of each sense and antisense primer for PACAP and PVR-1, -2, and -3; and 2.5 U Taq DNA polymerase (Promega). Programmed temperature cycling (Perkin Elmer/Cetus 480, Norwalk, CT) was performed with the following cycle profile: 95°C for 5 minutes, followed by 94°C for 1 minute, 60°C for 1 minute, and 72°C for 2 minutes (30 cycles) for GAPDH and PACAP, and 94°C for 1 minute, 60°C for 1 minute, and 72°C for 2 minutes (40 cycles) for PVR-1, -2, and -3, respectively. After the last cycle, the elongation step was extended at 72°C for 10 minutes.
A 20-µl aliquot of PCR product was analyzed by gel electrophoresis, using a 2% agarose gel, and was stained with ethidium bromide. PH0174 DNA/HaeIII digest (Boehringer Mannheim) was used as the molecular size marker. The separated PCR products were transferred to nylon membrane filters. Southern hybridization, with a single internal probe that hybridized to regions within the amplified sequences, was performed. Hybridization was performed with 1 x 106 cpm/ml [33P]deoxyadenosine diphosphate-labeled probes at 42°C for 18 hours. After washing with 6x SSC0.1% SDS at 23°C for 20 minutes and at 42°C for 20 minutes, autoradiography was performed at -70°C with Kodak Omat-AR film (Eastman Kodak, Rochester, NY) with intensifying screens. In the RT-PCR experiments, total RNA from the hypothalamus was included as a positive control for PACAP and PVR-1, -2, and -3.
Apoptotic Cell Detection
For analysis of apoptosis, an in situ cell death detection kit with terminal deoxynucleotide transferase (TdT)-mediated dUTP nick-end labeling (TUNEL) (Boehringer Mannheim) was used. The reaction product was visualized by reaction with nitroblue tetrazolium salt and 5-bromo-4-chloro-3-indolyl phosphate (NBT-BCIP) (Life Technologies). Cells were counterstained with nuclear fast red dye.
Negative controls consisted of omission of the TdT in the TUNEL reaction, which resulted in no staining. Positive cells were enumerated by counting a minimum of 500 cells/slide, and the results were expressed as an apoptotic index (AI) (number of apoptotic cells per 100 cells). Ultrastructural studies were done to confirm the presence of apoptotic cells. Cells were fixed in 2% formaldehyde in phosphate-buffered glutaraldehyde and processed for electron microscopy as previously described.29
Detection of Phospho-ERKs
HP75 cells were treated with TGF-ß1, PACAP-38, and TGF-ß1 plus PACAP-38 for 10 minutes, 30 minutes, 60 minutes, and 24 hours, followed by protein extraction and Western blotting. Aliquots of control, TGF-ß1-, PACAP-38-, and TGF-ß1 plus PACAP-38-treated cells were analyzed by Western blotting with antibodies against phospho-specific MAP kinase (phosphorylated ERKS) (1:1000) (Promega, Madison, WI) ERK1, ERK2 (1/500 each; Santa Cruz Biotechnology, Santa Cruz, CA), and actin (1:1500; Sigma Chemical Co.). The reaction product was detected by enhanced chemiluminescence (Amersham Life Science, Arlington Heights, IL), and the density of the bands was quantified by densitometry as previously reported.21,29
p27 Immunocytochemistry
Immunostaining for p27 on HP75 cells was performed as previosly reported, using the avidin-biotin-peroxidase (Vector Kit; Vector, Burlingame, CA) method.36 Monoclonal antibody to p27 (Transduction Laboratory, Lexington, KY) was used at a 1:1000 dilution. The slides were developed with diaminobenzidine chromogen. Positive cells were enumerated by counting a minimum of 500 cells per slide, and the results were expressed as the percentage of cells with nuclear staining.
Statistical Analysis
Each experiment was performed three to four times. Results were expressed as the mean ± SEM. Duncans multiple-range test and Students t-test were used for statistical analyses.
| Results |
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Results of RT-PCR and Southern hybridization studies are shown in
Figure 1
. Analysis of PACAP mRNA and
PVR-1, -2, and -3 mRNAs demonstrated the expected PCR products in the
HP75 cell line and hypothalamus. Both hip (303 bp) and hop (387 bp)
isoforms of PVR1 were detected in hypothalamus and in HP75 cells. PACAP
mRNA was detected in the hypothalamus, which was used as a positive
control, but not in the HP75 cells (Figure 1)
. PVR-1, -2, and -3 mRNAs
were detected in the hypothalamus and in HP75 cells (Figure 1)
.
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PACAP and TGF-ß1 Treatment
Apoptotic cells were readily identified by TUNEL staining (Figure 2)
. The negative controls without Tdt
were consistently negative (Figure 2)
. Ultrastructural studies
identified apoptotic cells in control dishes, and these apoptotic cells
were increased after TGF-ß1 treatment (Figure 3)
.
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To examine the specificity of the PACAP effect we used PACAP
antagonists in combination with TGF-ß1 and PACAP (Figure 5)
. PACAP 638 (PACAP type I antagonist)
and (p-chloro-D-Phe,6
Leu17)-VIP (PACAP type II antagonist) partially blocked the
effects of PACAP in reducing TGF-ß1-induced apoptosis (Figure 5)
.
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Western blot and densitometric analyses for MAP kinase showed that
TGF-ß1 induced phosphorylation of ERK1 and ERK2 at levels twofold
above control levels after 24 hours of treatment with an antibody
specific for phosphorylated ERKs (Figure 8
, A and B). PACAP-38 did not cause
any significant changes in phosphorylated ERKs compared to controls
after 10, 30, or 60 minutes of treatment.
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The percentage of cells showing positive nuclear staining for p27
in control cells ranged from 30% to 37% in different experiments.
After treatment with TGF-ß1, forskolin, and PMA, the percentage of
p27-positive cells increased significantly above control levels (Figure 9)
. PACAP-38 and PACAP-27 treatments also
significantly increased p27 expression in HP75 cells in three separate
experiments (control, 25.8 ± 1.9% positive cells; PACAP-38,
35.7 ± 1.3%* positive cells; PACAP 27, 37.5 ± 1.7%*
positive cells, with *P < 0.05).
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| Discussion |
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PACAP-27 or -38 did not have any direct effects on apoptosis, but TGF-ß1 stimulated apoptosis more than twofold above control levels. These observations agree with other model systems in which TGF-ß induces apoptosis in cultured cells.37-40 To determine whether PACAP could prevent TGF-ß1 apoptosis, we treated cells with PACAP-38 or PACAP-27 and TGF-ß1. Both PACAP-38 and PACAP-27 inhibited TGF-ß1-induced apoptosis in the HP75 cells. Further analysis with the PACAP receptor antagonists PACAP 638 (type I receptor antagonist) and (p-chloro-D-Phe,6 Leu17)-VIP (type II receptor antagonist) showed that the effects of PACAP were highly specific in inhibiting TGF-ß1-induced apoptosis.
The second messenger molecule cAMP regulates the activity of PKA or PKA-related enzymes1 and a wide range of cellular processes. cAMP binds to the regulatory subunit of the inactive cytoplasmic PKA complex and releases the catalytic subunit, which can rapidly and reversibly translocate into the nucleus.14 Recent studies reported that PACAP had a role in preventing apoptosis at high PACAP concentrations7-9 while inducing apoptosis at lower concentrations.7 Both forskolin, which is a direct activator of adenylyl cyclase, as well as PACAP, has been shown to protect cerebellar granule neurons from cell death.36-38 These observations in the brain agree with our results in the HP75 pituitary cell line, in which forskolin and PACAP prevented TGF-ß-induced apoptosis.
PMA, which is an activator of the PKC pathway, has been shown to stimulate apoptosis in renal carcinoma cells.41 However, PMA did not influence TGF-ß1-induced apoptosis in the present study. The human pituitary adenoma cell line HP75 has been shown to respond to PMA and to forskolin by increasing chromogranin A expression.29 These findings indicate that both functional PKC and PKA pathways are present in these immortalized cells. Although PACAP activates a dual-signal transduction mechanism in some cultured cells, the antiapoptotic effect is most likely mediated by cAMP stimulation, inasmuch as it was mimicked by forskolin but not by PMA. In recent studies with rat pituitary cells, the PKC inhibitor hypericin stimulated apoptosis in cultured rat pituitary cells, suggesting that PMA has an antiapoptotic effect in the pituitary.42 Because hypericin is not a specific inhibitor of PKC in the concentrations used in this study,42 it is not known if this effect was due to direct inhibition of PKC.
Recent studies have shown that PACAP protects cerebellar granule neurons from apoptosis by activating the MAP kinase pathway.43 In our studies, analysis of active MAP kinase and total MAP kinase proteins showed that TGF-ß1 but not PACAP-38 increased phosphorylation of MAP kinase, suggesting that PACAP did not inhibit apoptosis by activation of MAP kinase in the HP75 pituitary cell line. Villaba et al43 used a model involving primary culture of rat cerebellar granule neurons in which apoptosis was induced by potassium deprivation to show that PACAP-38 induced activation of MAP kinase through a cAMP-dependent pathway. In our model TGF-ß1 stimulated apoptosis, but PACAP-38 did not alter the phosphorylation of MAP kinase. Although pituitary cells and neurons are part of the diffuse neuroendocrine system, the difference between our studies and that of Villaba et al may be due to the fact that they studied primary cultures, compared to an established pituitary cell line in our model. The effects of TGF-ß1 in the activation of MAP kinase agree with earlier reports.44 More experiments are needed to elucidate the mechanisms involved in the PACAP inhibition of TGF-ß-induced apoptosis.
Cyclin-dependent kinases (CDKs) that control G1- and S-phase progression in mammalian cells are regulated by two families of CDK inhibitors, including the Ink4 family and the Cip/Kip family. Various studies have characterized some of the cell cycle-inhibitory proteins regulated by TGF-ß, including p27 and p15.26-29 p27 functions as a negative regulator of G1 cell cycle progression and may mediate TGF-ß1-induced G1 arrest. To determine the effects of PACAP, forskolin, PMA, and TGF-ß on the regulation of p27 expression in pituitary cells, we analyzed p27 expression in HP75 cells after specific treatments. The results showed that treatment with PACAP-38, PACAP-27, forskolin, PMA, and TGF-ß1 stimulated p27 expression in HP75 cells. The relationship between p27 expression and PKA inhibition of apoptosis is still unclear. Recent studies of breast carcinoma cell lines have shown that overexpression of p27 induced apoptosis in these cells, although this effect was not seen in the total cell population and may not occur in cells arrested in G1.45 Because chemicals that stimulated or blocked apoptosis in HP75 cells all led to an increase in immunoreactive p27 in HP75 cells, the effects of p27 on apoptosis in HP75 cells may occur by mechanisms different from that of TGF-ß1-induced apoptosis.
In summary, our studies show that PACAP is a highly specific inhibitor of TGF-ß-1-induced apoptosis in the HP75 pituitary cell line. This cell line can be used as a model to study the regulation of apoptosis in human pituitary cells.
| Acknowledgements |
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| Footnotes |
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Supported in part by National Institutes of Health grant CA 42951; by a Grant-in-Aid for Scientific Research (07670219 and 08671611) from the Ministry of Education, Science and Culture; and by a Parents Association grant from Kitasato University, School of Medicine, Japan.
Accepted for publication August 24, 1999.
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