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Department of Obstetrics and Gynecology (N.V.B., A.T., S.F., A.I.A.), Baylor College of Medicine, Houston, Texas 77030; and Institute of Human Genetics (W.E., I.M.A.), University of Göttingen, D-37073 Göttingen, Germany
Address all correspondence and requests for reprints to: Dr. Alexander I. Agoulnik, Department of Obstetrics and Gynecology, 6550 Fannin Street, Baylor College of Medicine, Houston, Texas 77030. E-mail: agoulnik{at}bcm.tmc.edu.
| ABSTRACT |
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| INTRODUCTION |
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It was shown that synthetic INSL3 peptide (7) activates GREAT receptor in vitro. Closely related to INSL3, relaxin peptide also activates GREAT, as well as another GPCR, LGR7 (8, 9); whereas synthetic INSL3 fails to stimulate LGR7 receptor in vitro (7). GREAT and LGR7 receptors exhibit a high degree of homology and belong to the same subfamily of GPCRs as the glycoprotein hormone receptors (4, 5, 8, 9). Expression of two receptors overlaps in several tissues. Both LGR7 and GREAT respond to ligand stimulation through a cAMP-dependent pathway, distinct from that of the structurally related insulin and insulin-like growth factors. The indiscriminate character of relaxin interaction with both LGR7 and GREAT raises the question of specificity of hormone-receptor pairing in the relaxin-like group of peptides. To ascertain the possibility of redundancy of receptors for the INSL3, we designed the study where we examined the role of GREAT in the INSL3 signaling in vivo. It was shown earlier that transgenic overexpression of the Insl3 in females results in outgrowth of gubernaculae and descent of the ovaries into the low intraabdominal position (10). Here we demonstrate that the Great deletion rescues the phenotype caused by the Insl3 overexpression, indicating that the Great receptor is the only receptor for Insl3.
We have shown previously, that a unique T222P substitution in GREAT detected in a cryptorchid patient renders a nonfunctional protein, unable to respond to the ligand stimulation (5). Mutation analysis of the INSL3 gene in cryptorchid patients also revealed several unique variants with the single-amino acid substitutions (11, 12, 13, 14, 15, 16, 17, 18). Functional significance of these variants remained unclear to date. Our results indicate that mutant INSL3 (P49S) peptide in one of the cryptorchid patients fails to activate the GREAT receptor. Thus, mutation in INSL3 can be causative in the development of the cryptorchid phenotype in humans.
We have also demonstrated that whereas synthetic INSL3 peptide activates GREAT receptor in vitro, synthetic INSL4 and INSL6 remain ineffective. Together, these results demonstrate an exclusive role of INSL3 and GREAT in testicular descent.
| RESULTS |
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| DISCUSSION |
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Next, we demonstrated that the production of biologically active INSL3 can be achieved in cultured cells transfected with the INSL3 cDNA. It is generally recognized that members of the insulin superfamily are synthesized as preprohormones; cleavage of signal peptide followed by formation of disulfide bridges and C-peptide exclusion yields the mature hormone. It has been shown previously that the INSL3 peptide produced in vivo from the transgenic allele under rat insulin 2 promoter in ß-cells of pancreas is fully functional and complements the genetic deficiency of the endogenous alleles (10). Because the mode of the pro-INSL3 processing is believed to be similar to that of relaxin and insulin (23), we used an insulin-producing pancreatic ß-cell line (HIT) to generate recombinant INSL3 and to confirm that such recombinant peptide can stimulate the GREAT receptor in vitro. Our results indicate that INSL3 is converted to a mature biologically active form in HIT cells and secreted in the culture medium.
Given the significance of the INSL3-GREAT pathway in testicular descent, the functional analysis of naturally occurring mutations in the INSL3 gene was the next subject of our study. Mutation analysis of the INSL3 gene in almost 600 cryptorchid patients has been reported in several published studies (11, 12, 13, 14, 15, 16, 17, 18). Some of the described variants of INSL3 were found both in cryptorchid patients and in a control population of healthy males and, therefore, most likely represent functionally active hormones. Five INSL3 variants (P49S, P93L, R102C, N110K, and R73X) were found only in the cryptorchid patients (13, 15, 16, 18), whereas R102H substitution was found in a single control female, which, obviously, could not exert the mutant phenotype. Whereas nonsense mutation (R73X) obviously produces a defective peptide, the functional significance of other single-amino acid substitutions was not clear. These five missense mutations can be subdivided into three groups according to the location in pre-proINSL3 structure. The P49S and N110K substitutions are located in the B-chain and A-chain of mature hormone, respectively, whereas P93L and R102C/H are located within the C peptide, excluded from the mature hormone structure. As our data show, only P49S substitution severely reduces INSL3 ability to activate GREAT. A mutated amino acid residue is located in the C terminus of B chain within a highly conserved region of INSL3 (16). All INSL3 cDNA isolated from different mammalian species contain proline in the position corresponding to P49 in the human INSL3 (24, 25). Interestingly, proline 49 is located within two residues from tryptophan 51, which is critical for the receptor binding (26). Proline 49 is believed to be crucial for the proper orientation of tryptophan 51 because its substitution with D-proline reduces receptor binding 25-fold (26). Thus, the P49S mutation probably affects INSL3 interaction with the receptor.
The P93L substitution, located in the middle of C peptide, leads to a change of less conservative residues (13, 25). Taking into account that horse and rodent INSL3 peptides also carry leucine at the corresponding position, it is not surprising that the P93L mutant effectively activates GREAT. The R102C and R102H substitutions are located at the very end of C peptide in front of the endopeptidase cleavage site. Several mammalian INSL3 peptides contain histidine at the same position. Whereas arginine to histidine substitution does not alter the charge of the region, arginine to cysteine mutation could affect the stretch of positively charged residues necessary for the C peptide cleavage (15). Therefore, decreased efficiency of the R102C variant processing might account for the slight reduction of R102C peptide physiological activity found in our experiments. Despite the fact that N110 is conserved in all known INSL3 peptides, N110K substitution does not change the ability of INSL3 to activate GREAT. In summary, we have shown that at least one substitution (P49S) compromises INSL3 physiological activity, and, therefore, could be responsible for the undescended testes phenotype. Other INSL3 variants do not significantly alter the activation properties of the peptide. It should be noted, however, that other characteristics of the mutant peptides, such as cell-specific efficiency of transcription, translation, processing of the mature protein, or its stability, have not been analyzed in the current study. Nevertheless, taking into account a low frequency of the detected mutations in INSL3, we suggest that alterations in this gene could be responsible for only a small portion of the disease cases in humans.
Considering the promiscuity of the GREAT toward relaxin and INSL3 in the in vitro experiments, we analyzed the ability of other related peptides to activate GREAT. It has been reported that recently discovered relaxin 3 peptide (also called INSL7) does not stimulate GREAT receptor but was able to activate relaxin receptor LGR7 (27). Other two members (INSL4 and INSL6) of the relaxin subfamily have been identified recently (20, 21, 22). Expression patterns of INSL4 and INSL6 indicate that these peptides, together with INSL3 and relaxin, could be involved in the regulation of reproductive function in mammals. INLS4 (also known as early placenta insulin-like peptide or placentin) is abundant in the placenta (20). INSL6 is found mainly in the testes, specifically within the seminiferous tubules in spermatocytes and round spermatids (22). The endopeptidases cleavage sites in the INSL4 and INSL6 preprohormone sequences were predicted based on the homology with other members of the insulin/relaxin superfamily (20, 21, 22). We have demonstrated that neither INSL4 nor INSL6 peptides with the predicted structure activate GREAT receptor in our experiments. However, the inability to check the bioactivity of these peptides due to the lack of data concerning their cognate receptors and signaling cascades may require further experiments to prove this conclusion.
In summary, we have demonstrated that the GREAT receptor is the only cognate receptor for INSL3 in vivo. Identification of the specific interaction of the INSL3 with GREAT expands our understanding of the mechanism of testicular descent and cryptorchidism. We have developed an in vitro protocol to assess the physiological significance of different INSL3 mutations. Using this method, we have shown that the P49S mutation of INSL3, detected in the cryptorchid patient, renders functionally compromised peptide and therefore can be accountable for the development of the disease phenotype in the affected carrier.
| MATERIALS AND METHODS |
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Production of the cDNA Expression Constructs
Full-length wild-type INSL3 cDNA was amplified by RT-PCR from human testis RNA with primers 5'-(CCCAAGCTT)CCACCATGGACCCCCGT-3' and 5'-(CCCAGATCT)GTAGGGACAGAGGGTCAGCA-3'. The resultant cDNA was subcloned into HindIII/BamHI sites of the eukaryotic cell expression vector pcDNA3.1/myc-HisB (Invitrogen, San Diego, CA). Plasmids were purified using the Concert Midi-prep plasmid preparation kit (Life Technologies, Inc., Gaithersburg, MD). The sequence of the construct was verified by sequencing of both strands using gene-specific and vector-derived primers. To produce targeted mutations in the wild-type INSL3 cDNA we used the QuikChange Site-Directed Mutagenesis kit from Stratagene (La Jolla, CA). Resultant cDNA constructs were verified by sequencing of both DNA strands and recloned into pcDNA3.1/myc-HisB vector. GREAT cDNA expression vector was obtained previously (5). LGR7 cDNA was kindly provided by Dr. A. J. W. Hsueh (7).
Activation of the GREAT and LGR7 Receptors
Porcine relaxin was kindly provided by Dr. O. D. Sherwood, University of Illinois. Synthetic INSL3, INSL4, and INSL6 were obtained from Phoenix Pharmaceuticals, Inc. (Belmont, CA). According to the manufacturer, the peptides were synthesized using a previously described method (28); the polypeptide chain synthesis and disulfide bond coupling were verified by mass spectral analysis.
Recombinant wild-type and mutant INSL3 peptides were obtained by transfecting pancreatic HIT cells grown in a T-25 flask with 5 µg of the expression construct encoding corresponding peptide using Fugene 6 (Roche, Indianapolis, IN). Medium from cells transfected with pCR3.1 vector was used as a control. The exact concentration of INSL3 peptides in the media was assessed with the INSL3 RIA kit (Phoenix Pharmaceuticals, Inc.) utilizing rabbit polyclonal anti-INSL3 serum raised against full-length synthetic INSL3 peptide.
Activation of the LGR7 and GREAT receptors was assayed as described previously (5). 293T cells grown in 24 wells were transfected with approximately 0.5 µg/well of LGR7 or GREAT construct. After 24 h the efficiency of transfection was estimated by the analysis of the secreted AP activity (pAPtag-5 vector from GenHunter, Nashville, TN, was used for cotransfection) with p-nitrophenyl phosphate as a substrate (Sigma Chemical Co., St. Louis, MO). 293T cells were treated with porcine relaxin, synthetic INSLs, or with the HIT conditioned media containing recombinant peptides, in the presence of 250 µM isobutylmethylxanthine for 30 min. Cells were harvested, washed, and lysed with cAMP extraction buffer (Amersham Pharmacia Biotech, Arlington Heights, IL). cAMP level was detected using Amersham enzyme immunoassay system (Amersham Pharmacia Biotech). cAMP concentration in each well was measured in duplicate. All experiments were repeated several times using cells from independent transfections.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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Abbreviations: GPCR, G protein-coupled receptor; GREAT, GPCR affecting testis descent; INSL3, insulin-like 3 peptide; LGR, leucine-rich repeat-containing GPCR.
Received for publication March 19, 2003. Accepted for publication August 13, 2003.
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