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Null Mice
Department of Molecular and Cellular Biology (T.M.P., F.J.D.,
M.M.M., S.Y.T., B.W.O.) Department of Pathology (M.M.M.), and
Department of Molecular and Human Genetics (M.M.M.) Baylor College
of Medicine Houston, Texas 77030
Schering-Plough Corp. Research Institute
(Y.W.) Kenilworth, New Jersey
07033
| ABSTRACT |
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/ß) wherein one of its subunits (ß) is
capable of homodimerizing to form its physiological antagonist, activin
(ß/ß). Inhibin is also expressed in two forms, A and B, as
determined by the subtype of ß-subunit that dimerizes with the
-subunit (
/ßA or
/ßB). To utilize the GeneSwitch system,
transgenic transactivator mice with liver-specific expression of a
mifepristone-activated chimeric nuclear receptor (GLVP) were
crossed with transgenic target mice containing a GVLP-responsive
promoter upstream of poliovirus IRES (internal ribosome entry
site)-linked sequences coding for the
- and ß-subunits of inhibin
A. This intercross produced "bigenic" mice capable of regulable
expression of inhibin A from the liver. Overexpression of inhibin A in
wild-type mice produced a phenotype wherein males had decreased testis
size and females had a block in folliculogenesis at the early antral
stage, findings similar to activin type IIA receptor (ActRIIA) null
mice. These phenotypes were most likely due to suppressed serum FSH,
confirming that the liver-derived inhibin A was secreted into the serum
to down-regulate pituitary FSH levels. Furthermore, the generation of
bigenic mice in the inhibin
null background allowed for the
induction of inhibin A in inhibin
null male mice with subsequent
rescue of these mice from their gonadal tumor-induced lethal phenotype.
This work demonstrates the in vivo production of a
heterodimeric hormone from a single inducible promoter to study its
therapeutic and physiological effects. In addition, these studies are
the first example of an inducible system being used to prevent a lethal
knockout phenotype in an animal model. | INTRODUCTION |
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-subunit is deleted in mice, inhibin-deficient mice form
gonadal sex cord-stromal tumors with 100% penetrance as early as 4
weeks of age (3 ). Soon after the development of these tumors, the mice
acquire a cancer cachexia-like syndrome and die (4 ). This syndrome, the
result of large amounts of activins secreted by the tumors (7 ),
consists of a block in gastric epithelial cell differentiation, severe
weight loss, hepatocellular degeneration due to apoptosis, and anemia
(4 7 8 ).
Inhibin and activin physiology are interwoven at several levels.
Molecularly, activins are homodimers of the ß-subunit, while inhibins
consist of
/ß-subunit heterodimers. In order for a cell to produce
the inhibin heterodimer without concurrent activin production, the
-subunit must be produced in excess of the ß-subunit (creating
a situation wherein the
-subunit monomer is also secreted in
substantial quantities from an inhibin-producing cell) (9 ). Inhibins
and activins also have been shown to have overlapping binding sites in
a number of tissues (10 11 ). This overlapping pattern and in
vitro data indicate that the inhibins, and in particular inhibin
A, may have a dominant-negative effect upon activin signaling via the
activin type II receptor (12 13 14 ). However, inhibin-specific binding
sites in the gonads, pituitary, and gonadal-tumor tissue of inhibin
null mice also have been observed (10 15 16 17 ). An especially
intriguing aspect in the study of inhibin function is that an
inhibin-specific receptor has not been elucidated in great detail
and so the mechanism by which inhibin transduces its signal and/or
antagonizes activins signal remains unknown (18 ).
The use of ligand-inducible systems has been very productive in the
study of protein function and the generation of animal models of
disease or disease therapy (19 20 21 22 23 ). One ligand-inducible system, which
can be used to address in vivo questions, is the GeneSwitch
system. This system utilizes a regulator protein, GLVP (a chimeric
VP16-GAL4-PR
42), whose gene is expressed from one promoter, that is
able to induce (in the presence of its activator, mifepristone) the
expression of another gene via binding to an upstream GAL4 (promoter)
response element. We successfully used this bigenic GeneSwitch system
to regulably express inhibin A from the livers of either wild-type mice
or mice with a knockout of the inhibin
gene. By using the liver, we
could determine the efficacy of our system in the delivery of hormones
into the bloodstream from "exogenous" tissues (i.e. a
tissue that does not normally express inhibins) and the potential use
of these "exogenous" tissues in future gene therapy protocols
involving the GeneSwitch system. In this manuscript, we show that we
can induce the production of inhibin A into the circulation from a
source (i.e., the liver) that normally does not synthesize
inhibin. In addition, we demonstrate an endocrine effect of the inhibin
A at the level of the pituitary (in wild-type mice) and at the level of
the testes (in inhibin
knockout mice). In the latter case,
regulable production of inhibin A blocks the development of testicular
tumors in the inhibin
knockout, confirming previous studies that
inhibin is a secreted tumor suppressor protein. The successful
generation of mice capable of producing bioactive inhibin A from the
liver in response to mifepristone treatment has broad implications in
the study of reproductive physiology and tumorigenesis, the development
of novel contraceptive technologies, and the further use of similar
inducible systems for gene therapy.
| RESULTS |
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42) that
binds and is activated by mifepristone (MFP), but not by endogenous
steroids (24 ) (Fig. 1
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-subunit, the poliovirus internal ribosome entry site (IRES), the
cDNA for the murine inhibin/activin ßA subunit, and an SV40 polyA
addition consensus sequence (Fig. 1
and ßA subunit cDNAs (28 ). This strategy would permit a
relative excess production of the inhibin
subunit in comparison
with the inhibin/activin ßA subunit, since the inhibin
subunit is
translated by a more efficient cap-dependent translational mechanism
whereas the inhibin/activin ßA subunit would be translated by a
less-efficient IRES-dependent mechanism. By biasing our translational
efficiency in this manner, our goal was to produce a ratio of the two
subunits (i.e.,
>> ßA) that would favor the formation
of inhibin A (
/ßA heterodimer) over activin A (ßA:ßA
homodimer) (9 28 ).
Mifepristone-Inducible Inhibin A Production in Tissue Culture and
in Vivo
Before induction of inhibin A from the liver of mice, transient
transfection studies in HepG2 cells were performed to test the
inducibility of the X3-inh transgene in a hepatocyte cell
line. In these assays we used another transactivator, GLp65, which
differs from GLVP in that the transactivation domain is derived from
the p65 protein (a member of the NF-
B family) (27 ). With all
functional assays the GLp65 works similarly to GLVP with the exception
that in transient transfections the GLp65 has a much lower basal
activity than the GLVP. The X3-inh was transfected into
HepG2 cells in the presence or absence of the GLp65 encoding plasmid.
Cells were subsequently treated with or without mifepristone. The
X3-inh-transfected cells expressed inhibin A only when both
the GLp65 transactivator and MFP were present. In contrast, there was
no basal level of inhibin A expression in the absence of MFP (Fig. 2A
). Thus, our bigenic system was
functional in transient transfection assays.
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The need to perform long-term studies facilitated the use of
mifepristone-containing time-release pellets. These pellets were
designed to release MFP in measured dosages over a 60-day period. Male
inh/glvp mice receiving pellets that released appropriately
6 µg MFP a day had inhibin A levels of 1,803 ± 258 pg/ml after
1 week of treatment. Eight weeks after treatment, serum FSH levels in
MFP-treated inh/glvp male mice were significantly reduced in
comparison to placebo-treated inh/glvp males [126.3 ±
22.1 (n = 4) vs. 197.8 ± 16.0 ng/ml,
(respectively; n = 5, P<0.02)]. These findings
demonstrate that inhibin A (
:ßA) secretion from the liver must
predominate over the activin A (ßA:ßA) levels (see below and Fig. 5C
). Thus, the GS system can regulate the expression of inhibin A in
cell culture and in vivo, and the induced inhibin A is
bioactive and capable of reducing serum FSH levels.
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Null Mice
knockout mice develop gonadal sex cord-stromal tumors
as early as 4 weeks of age (3 ). More than 95% of the
inhibin
homozygote knockout male and female mice will die by 12 and 17 weeks of
age, respectively, of a cancer cachexia-like syndrome due to high
levels of tumor-secreted activins signaling through activin receptor
type IIA in the liver and glandular stomach (4 7 8 ). Because of the
earlier death of male inhibin
null mice, we addressed whether
overproduction of inhibin A can rescue the male inhibin
null lethal
phenotype. Bigenic
(inh/glvp
-/-
mice) and monogenic
(inh
-/- or
glvp
-/- mice; called
monogenic
-/- controls
below) 18- to 21 day-old inhibin
knockout males were treated with
MFP or placebo timed-release pellets, which should be active over an
8-week period. Bigenic inhibin
null male mice treated with MFP did
not exhibit cachexia or tumors when examined up to 11 weeks of age.
Body weights for
inh/glvp
-/-
male mice given MFP were comparable to monogenic inhibin
heterozygote mice treated with placebo (Fig. 4A
-/-
male mice given placebo underwent weight loss, and many of these mice
died in a manner similar to monogenic inhibin
null male mice
receiving MFP or placebo
(monogenic
-/-
controls) (Fig. 4A
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knockout mice, morphological and histological analysis was
performed. Special attention was paid to the livers of these mice since
activin-induced hepatocellular necrosis is a major finding in the
inhibin
knockout mice (4 ). Livers from
inh/glvp
-/-
male mice treated with MFP were normal in appearance and weight in
contrast to the small, pale livers of
inh/glvp
-/-
male mice treated with placebo or
monogenic
-/- controls
(Fig. 4
-/-
mice treated with MFP exhibited normal liver architecture, while
inh/glvp
-/-
males treated with placebo had pale livers with extensive lymphocytic
infiltration and hepatocellular degeneration around the central vein
similar to monogenic null controls (Fig. 4C
knockout
mice.
We next determined the long-term effect of overexpression of inhibin A
on testicular tumorigenesis in the inhibin
knockout mice. Testes
from
inh/glvp
-/-
male mice treated with MFP appeared grossly tumor free in contrast to
inh/glvp
-/-
males treated with placebo or
monogenic
-/- controls,
both of which exhibited grossly hemorrhagic tumors (Fig. 5
, A and B). Male
inh/glvp
-/-
mice treated with MFP exhibited normal testicular cytoarchitecture and
had spermatozoa in the lumen of their seminiferous tubules (Fig. 5B
)
consistent with the normal fertility of these mice (see below). In
contrast,
inh/glvp
-/-
males treated with placebo and monogenic
-/- controls had testes
that had disorganized testicular cytoarchitecture, hemorrhage, and
tumor cells of sex cord-stromal origin (Fig. 5B
). Furthermore, male
inh/glvp
-/-
mice treated with MFP were fertile, while
inh/glvp
-/-
males given placebo and monogenic null controls were infertile. Thus,
high level production of inhibin A is sufficient to prevent testicular
tumor development in our inhibin
knockout mice.
In inhibin
null mice, high activin secretion from the testicular
tumors directly causes the cachexia-like syndrome (4 7 8 ). Consistent
with this data, serum activin A levels were undetectable in
inh/glvp
-/-
males treated with MFP and lacking testicular tumors, while
placebo-treated
inh/glvp
-/-
males and monogenic
-/-
controls with testicular tumors had similar elevated serum activin
levels (Fig. 5C
). These results confirm that gonadal tumorigenesis is
required for the elevation of serum activins in inhibin
null mice,
while also verifying that our system does not produce significant
amounts of activin A as a by product of the inducible inhibin A
expression.
Rescue of Inhibin
Null Male Mice Is Reversible
To determine whether the preventative effects of overexpression of
inhibin A on the tumorigenesis process is reversible, we analyzed the
inh/glvp
-/- after
cessation of MFP treatment. When the
inh/glvp
-/-
males are treated for 60 days with MFP, with subsequent cessation of
MFP treatment, the testicular tumors and the cancer cachexia-like
syndrome did not occur within the first 12 weeks after MFP removal.
However, by the 13th week after the MFP removal, many of these
inh/glvp
-/-
males began to exhibit the phenotypic characteristics of the cancer
cachexia-like syndrome and demonstrated obvious testicular tumors (Fig. 5D
). Thus, high level inhibin A from 311 weeks of age does not
preclude the eventual development of testicular cancer in these mice.
The reason why the tumorigenesis and the cancer cachexia-like syndrome
developed so slowly after MFP withdrawal is not clear (see below).
| DISCUSSION |
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In our studies, the poliovirus IRES was shown to be functional for the dual translation of a bicistronic mRNA in transgenic mice. This translation resulted in the production of the two subunits favoring the formation of heterodimeric inhibin instead of homodimeric activin. The inh/glvp male and female mice treated with MFP and overexpressing inhibin A phenocopy the activin receptor type IIA (ActRIIA) null mice (30 ). Both the ActRIIA null mice and the inhibin A-overexpressing mice have reduced serum FSH levels, which is the most likely cause of both phenotypes [i.e. both mouse models are reminiscent of a theoretical FSH hypomorph since the FSH null mice have a similar, but slightly more dramatic phenotype (31 )]. Alternatively, the gonadal phenotypic similarity of the inhibin A-overexpressing mice to ActRIIA null mice could indicate that inhibin A is functioning to antagonize signaling through this receptor and/or other receptors that interact with the ActRIIA. Unfortunately, the lack of adult phenotypes, due to embryonic or neonatal lethality, for mice deficient in other "activin" receptors [ActRIIB(32 ), ActRIA/ALK2 (33 ), and ActRIB/ALK4(34 )] or both activin ligands (35 ) does not allow for a comparison of these mice to the inhibin A-overexpressing mice. The phenotypic similarity of the ActRIIA null mice and the inhibin A-overexpressing mice could also be the result of a combination of effects at the level of the pituitary (decreased FSH secretion) and gonad (inhibin A antagonism of signaling via the activin and/or putative inhibin receptors).
Overexpression of inhibin A rescued the inhibin
null male mice from
their lethal phenotype. These results are relevant to the fields of
physiology, oncology, and gene therapy for several reasons. The induced
inhibin A was not expressed in the inhibin
null mice until 1821
days after birth and yet prevented testicular tumorigenesis. In
addition, when the inducing mifepristone is removed, these mice formed
gonadal tumors (albeit at a slower rate than untreated inhibin
null
mice). These results indicate that a lack of inhibin A in either
pubertal or adult male mice sets the testis on the pathway to
tumorigenesis. In contrast, exposure of inhibin
null mice to
inhibin A at 1821 days of age inhibits the formation of sex
cord-stromal tumors in these mice for a period coinciding with inhibin
A expression. The results also indicate that the system is reversible
and that early inhibin A exposure is not "curative" for gonadal
tumorigenesis in the inhibin
null background (i.e., loss
of inhibin A expression permits subsequent initiation of gonadal
tumorigenesis). This ability to delay the formation of the tumors could
be of specific and general value in the study of tumorigenesis. In our
case, factors affecting the progression of the gonads into
tumorigenesis can now be manipulated and evaluated in this background
to determine which factors regulate the rate of tumorigenesis after
inhibin A expression is terminated.
This study indicates the utility of inducible systems for the expression of therapeutic proteins. Even with a complicated scenario requiring production of a heterodimeric protein (each subunit of which must also be processed from precursors), the GeneSwitch system was capable of producing adequate amounts of the therapeutic protein to rescue a genetic disease. The regulable system was also capable of producing inhibin A in supraphysiological amounts so that concentrations in the gonad could approach normal local tissue concentrations to simulate the effects of the higher concentrations observed in paracrine and autocrine interactions. Because gene therapy vectors may not be capable of transducing certain cell types, the ability to express a protein under an inducible promoter in a different cell type, such as hepatocytes, may prove to be a common method of delivery and therapy. In summary, these results indicate the value of inducible gene systems in future in vivo physiology, tumorigenesis, and gene therapy research.
| MATERIALS AND METHODS |
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cDNA was isolated and subcloned into
the p17mer x 4 tk BC-1 construct (p17mer x 4 tk
). A
fragment containing the murine inhibin/activin ßA cDNA was cloned
into the pSBC-2 vector (pSBC2-ßA). p17mer x 4 tk
and
pSBC2-ßA were then combined to produce the X3-inh
transgene-containing plasmid. The GLp65 has been described previously
(27 ) and was placed into the pSBC-1 vector (pSBC-GLp65).
Transient Transfection of HepG2 Cells and Assay of Inhibin A
HepG2 cells (600,000/well) were cotransfected with 0.3 µg of
the pX3-inh transgene-containing plasmid and 0.2 µg of
pSBC-1 or pSBC-GLp65 using SuperFect reagents (QIAGEN
Inc., Valencia, CA). Sixteen hours later the media were removed, and
cells were exposed to DMEM (10% FBS) containing either 70% ethanol
vehicle or 10-8 M
mifepristone (Rousell-Uclaf, Paris, France) for 24 h. Conditioned
media were then collected and stored at -70 C. One milliliter of
conditioned media was then concentrated 10-fold with Ultrafree-4
Centrifugal Filter Devices (Millipore Corp., Bedford, MA)
and reconstituted to a 2-fold dilution with FBS. Inhibin A assays were
performed using a human inhibin A enzyme-linked immunosorbent assay
(ELISA) kit (Serotec Inc., Raleigh, NC).
Experimental Animals
All mouse studies were conducted in accord with the principles
and procedures outlined by Molecular Endocrinologys
instructions to authors under "Guidelines for the Care and Use of
Experimental Animals."
Generation of Target Transgenic Mice and Bigenic Mice
The glvp transactivator mice were produced and
screened as described previously (26 ). The X3 transgene was restriction
endonuclease released from pX3 and a 4.3-kb fragment isolated and
microinjected into the pronuclei of mouse embryos. Injected embryos
were transferred into pseudopregnant female mice and allowed to develop
to term. Mice were screened at 2 weeks of age by PCR using genomic tail
DNA. PCR analysis of tail DNA to detect the X3 transgene was carried
out with primers TT1 (5-CAAAGTGCAGTGTCTTCCTGGCTGTGC-3') and TT2
(5'-CGGAACCGACTACTTTGGGTGTC-3'). Nine founder X3 lines were generated,
with only one having inducible inhibin A expression (line
3065/inh) when crossed with glvp mice and treated
with MFP.
Generation and Analysis of inh/glvp Mice and
inh/glvp
-/-
Mice
Transactivator and target mice were mated, and bigenic
mice containing both transgenes were genotyped by PCR analysis.
Heterozygote inhibin
null mice were bred with both transactivator
and target mice to produce monogenic glvp or inh
inhibin
heterozygous mice. Crossing of these monogenic inhibin
heterozygotes would produce monogenic or bigenic inhibin
null mice.
PCR analysis was also used for determining the genotype at the inhibin
locus. PCR analysis of tail DNA using the primers E22
(5'-GGTCTCCTGCGGCTTTGCGC-3'), E23 (5'-GGCCTCCCGAGGAACCCGCTG-3'), HPRT
(5'-GGATATGCCCTTGACTATAATG-3'), and Intron
(5'-CCTGGGTGGAGCAGGATATGG-3') determined whether the mouse was wild
type, heterozygous, or homozygous null at the inhibin
locus.
Male inh/glvp mice had MFP or vehicle injected ip at the specified dosages or released from sc 60-day timed release pellets (Innovative Research of America, Sarasota, FL). Retroorbital or cardiac blood was collected at the specified time intervals before or after treatment and incubated at room temperature for 30 min before isolation of serum in Microtainer tubes (Becton Dickinson and Co., Franklin Lakes, NJ) and stored at -70 C. Inhibin A levels were determined by using a human inhibin A ELISA assay kit. FSH levels were determined with a rat FSH EIA assay kit (Amersham Pharmacia Biotech Inc., Piscataway, NJ).
Inhibin Long-Term Overexpression Studies and Rescue of Inhibin
Null Male Mice
Male and female inh/glvp mice(1821 days old) were
implanted with 60-day timed-release MFP or placebo pellets. In the
rescue experiments, bigenic and monogenic 18- to 21-day-old male
inhibin
null mice were implanted with 60-day timed-release MFP or
placebo pellets. MFP pellets released 6 or 12 µg MFP/day for 60 days
as specified. Mice were weighed weekly and killed after 8 weeks, and
blood, livers, and gonads were harvested. Blood was treated as stated
previously, while livers were weighed, sectioned, and stained with
hematoxylin and eosin. Testes were weighed, placed into 10% buffered
formalin, processed for histology, and stained as described (30 ).
Ovaries were treated similarly to the livers but not weighed. Tumorous
testes were sectioned and stained with hematoxylin and eosin. Inhibin A
levels were determined by using a human inhibin A ELISA assay kit.
Activin A levels were determined by using a human activin A ELISA assay
kit (Serotec Inc., Raleigh, NC).
| ACKNOWLEDGMENTS |
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cDNA; Drs. Mark M. Burcin, Sherry C. Cipriano, and Simona
Varani for helpful comments and excellent review of the manuscript;
Drs. T. Rajendra Kumar, Jason Yovandich, Dorit Elberg, and Steven Chua
for helpful comments and technical assistance; Blake Abbot, Mei-jin
Chu, Lei Gong, and Elizabeth Hopkins for technical assistance. | FOOTNOTES |
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These studies were supported by NIH Grant HL-59314 to S.Y.T. M.M.M. acknowledges the support of his NIH Grant (CA-60651). T.M.P. is funded in part by the Edward and Josephine Hudson Scholarship through the M.D./Ph.D. Program at Baylor College of Medicine.
Received for publication February 2, 2000. Revision received March 14, 2000. Accepted for publication March 15, 2000.
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