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Instituto de Biomedicina de Valencia-Consejo Superior de Investigaciones Científicas (IBV-CSIC) (H.L., D.B., P.P.), E-46010 Valencia, Spain; Project on Cell and Molecular Biology and Gene Therapy (A.P., A.R., C.S., J.P., J.L.J.), Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), E-28040 Madrid, Spain; and Department of Animal Pathology (H.L., A.B.), Faculty of Veterinary Science, University of Santiago de Compostela, E-27002 Lugo, Spain
Address reprint requests and all correspondence to: Paloma Pérez, Instituto de Biomedicina de Valencia (CSIC), Jaime Roig 11, E-46010 Valencia, Spain. E-mail: paloma. perez{at}ibv.csic.es
| ABSTRACT |
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/PI3K in skin, resulting in decreased Akt and I
B kinase activity. GR activation by dexamethasone in normal mouse skin also decreased Akt activity within minutes, whereas cotreatment with the GR antagonist RU486 abolished dexamethasone action. Indeed, GR exerted a nongenomic action because keratinocyte transfection with a transcriptionally defective receptor mutant still decreased PI3K and Akt activity. Moreover, GR coexpression greatly reduced the accelerated growth of malignant tumors and increased Akt activity induced by Akt-transfected keratinocytes, as shown by in vivo tumorigenic assays. Overall, our data strongly indicate that GR/PI3K-Akt cross-talk constitutes a major mechanism underlying the antitumor effect of glucocorticoids in skin. | INTRODUCTION |
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B (NF-
B) or activator protein 1 (reviewed in Ref. 3). In addition, it has been recently demonstrated that some rapid, antiinflammatory effects of corticosteroids are exerted through GR interference with the phosphatidylinositol 3-kinase (PI3K)/Akt signaling pathway (4). This cross-talk is mediated by hormone-bound GR association with the regulatory subunit of PI3K, p85
, and does not require DNA binding (4, 5).
GCs are potent inhibitors of keratinocyte proliferation and effective antiinflammatory compounds, which have been widely used for the treatment of a broad range of hyperproliferative and inflammatory skin disorders (6). Using a transgenic mouse model that overexpresses GR under the control of the keratin 5 promoter (K5-GR mice), we have previously shown that GR overexpression inhibits epidermal proliferation and abolishes the induction of proinflammatory cytokines in vivo (7). Furthermore, we demonstrated that GR plays a tumor suppressor role during mouse skin tumorigenesis, because K5-GR mice are highly resistant to tumor development (8). We have also reported that the PI3K and its downstream target Akt/protein kinase B are sequentially activated during mouse skin tumor progression induced by the two-stage carcinogenesis protocol (9). In this work, our goal was to elucidate whether a cross-talk mechanism between GR and PI3K/Akt occurred in skin as well as its biological relevance in skin tumorigenesis. We have used the K5-GR transgenic mouse model as a setting in which GR is constitutively overexpressed in skin (7, 8) and found physical association between GR and p85/PI3K, which resulted in decreased Akt activity. The activity of the downstream I
B kinase (IKK) was reduced in GR-overexpressing skin, and this could be due, at least partially, to decreased levels of the regulatory subunit IKK-
.
The effect induced by GR overexpression was specific because topical treatment of normal mouse skin with the synthetic analog dexamethasone (Dex) also decreased Akt activity, whereas cotreatment with the GR antagonist RU486 abolished Dex action. This effect was nontranscriptional because down-regulation of the PI3K/Akt activity could be achieved by keratinocyte transfection with a transcriptionally defective GR mutant. Moreover, we have shown, by in vivo tumorigenic assays, that coexpression of GR along with Akt in PB keratinocytes was able to greatly reduce the increased rate of tumor growth induced by Akt alone, the reduction of Akt activity being a major mechanism underlying the antitumor effect of glucocorticoids.
| RESULTS |
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/PI3K in skin, as has been described previously for other tissues (4). By coimmunoprecipitation experiments, we showed that GR physically associated with the p85
subunit of PI3K in both transgenic and nontransgenic skin (Fig. 1B
, thus indicating that GR activation, elicited through GR-targeted overexpression, favors GR/p85 association. Total p85
levels were similar in nontransgenic and transgenic skin (Fig. 1B
, IKKß, and IKK
protein levels were analyzed by immunoblotting showing decreased IKK
protein levels in transgenic skin whereas IKK
and -ß protein levels were unchanged (Fig. 2A
B-binding activity of transgenic skin extracts as compared with nontransgenic samples in both newborn and adult skin (Fig. 2B
B-containing complexes were formed by p50/p65 and p50/p50 dimers, as determined by supershift experiments (Ref. 7 and data not shown).
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-PI3K/Akt in skin in vivo could be recapitulated in the keratinocyte cell line PB. We performed transfection studies using PB cells and expression vectors for wild-type GR or a C-terminal zinc finger GR mutant, defective in transcriptional activation (10) along with the reporter plasmid mouse mammary tumor virus-chloramphenicol acetyltransferase (MMTV-CAT) (Fig. 4
physically interacted in the absence/presence of the ligand in GR-transfected keratinocytes (Fig. 4B
antibody followed by immunoblotting with GR and observed that GR/p85 association was clearly increased upon Dex addition without changes in p85 protein levels (Fig. 4B
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protein levels in any transfectant (Fig. 5A
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To elucidate the molecular mechanisms underlying the antitumor role of GR on Akt-induced tumorigenesis, we analyzed the Akt activity in all tumors arising at different time points after cell injection (Fig. 5E
and data not shown). Our data show that 93% of tumors from Akt-transfected cells exhibited increased p-Akt levels as compared with controls (Fig. 5E
, lanes 35). Coexpression of GR along with Akt produced a marked decrease in p-Akt levels in 66.6% of tumors examined, and these results were consistently found throughout all time points of tumor collection (Fig. 5E
, lanes 68). Tumors that arose from vector- and GR-transfected keratinocytes showed undetectable levels of p-Akt at any stage (Fig. 5E
, lanes 1 and 2). We did not detect any changes in p85
protein levels in any experimental group of tumors (Fig. 5E
). Collectively, our data provide evidence that GR greatly decreased tumor growth elicited by Akt in skin, mechanistically acting through interference with the PI3K/Akt signaling pathway. Our results thus highlight GR/PI3K-Akt interference as a major player mediating the antitumor action of GCs in transformed keratinocytes.
| DISCUSSION |
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PI3K is a heterodimer composed of the 85-kDa regulatory subunit (p85) and the catalytic 110-kDa (p110)
- and ß-subunits. PI3K plays a pivotal role in several cell signaling networks, including cell cycle progression, differentiation, survival, invasion, metastasis, and angiogenesis (for a review, see Ref. 14). The mechanisms underlying p85/p110 PI3K activity are not fully known but involve the recruitment of proteins containing Src-homology 2 and pleckstrin homology domains to the cell membrane by the lipid product of PI3K, PIP3, where they are activated (reviewed in Ref. 15). Recently, the involvement of PI3K signaling in carcinogenesis has been highlighted not only by the well characterized activity of PTEN [phosphatase and tensin homolog (mutated in multiple advanced cancers 1)] as a tumor suppressor, but also because mutated forms of p85 have been found in human cancers (16).
Several biological effects of PI3K are mediated through activation of its downstream target Akt/protein kinase B. The serine/threonine kinase Akt is implicated in cancer progression because it stimulates proliferation and suppresses apoptosis. Our previous work has shown that PI3K and Akt are sequentially activated during mouse skin tumor progression induced by the two-stage carcinogenesis protocol (9). Akt can activate the transcription factor NF-
B (17) and, accordingly, we have also demonstrated that NF-
B is constitutively activated during mouse skin carcinogenesis, starting at the middle stage of tumor promotion (18). It is assumed that the antiinflammatory action of GCs is mediated mostly through GR interference with NF-
B and activator protein 1 transcription factors (19, 20). We have recently provided evidence of the tumor suppressor role of GR in skin tumor development by using an experimental model of ras-mediated tumorigenesis in a K5-GR transgenic background (8). One of the molecular mechanisms underlying the antiinflammatory and antitumor effects of GR involves cross-talk between this hormone receptor and NF-
B, resulting in blockage of NF-
B activity (7, 8). Remarkably, a number of reports demonstrated that Akt activates IKK, leading to I
B
degradation and NF-
B nuclear translocation (21), but also eliciting an alternative pathway that results in phosphorylation and activation of the NF-
B subunits p50 and p65 (22). In this context, we have shown that GR interference with PI3K/Akt signaling is able to modulate IKK activity, at least partially, through down-regulation of IKK
, concomitantly with reduced NF-
B activity (Fig. 2
). It is worth noting that we have recently shown in the K5K10 transgenic mouse model, which is also resistant to skin-induced tumorigenesis, that impaired Akt activation leads to decreased NF-
B signaling, partly through down-regulation of IKKß and IKK
(23).
The corticosteroid dose required to achieve therapeutic effects is probably dependent on the cell type, as demonstrated by recent reports (5). These studies have shown that only pharmacological concentration of corticosteroids stimulated PI3K through physical association between the steroid hormone receptor and p85
(4) and had neuroprotective effects, as reported for the estrogen receptor (24). When more physiologically relevant doses of Dex were used in similar experiments, they did not alter p-Akt levels and concomitantly had no protective effects (4, 5). It remains unclear how this nontranscriptional action of GR, although specific, is exclusively achieved through pharmacological doses of corticosteroids (5).
In the in vivo experiments reported here, we show that treatment with physiological doses of Dex reduced Akt-phosphorylated levels and overall Akt activity in skin, and this effect could be reversed by cotreatment with the GR antagonist RU486 (Fig. 2
), thus indicating the specificity of low-dose GC action. We have also analyzed the consequences of topical skin treatment by using high doses of Dex (40 µg) and found no effect on p-Akt levels as compared with untreated skin (data not shown). Our data strongly suggest that the corticosteroid doses required for GR interference with the PI3K/Akt pathway may depend on tissue-specific factors. In skeletal muscle, Dex blocked IGF-I-induced phosphorylation of Akt, a PI3K-dependent process, through transcriptional up-regulation and increased cellular abundance of the p85
subunit (25). Overabundant p85
monomer competes for IGF-receptor sustrate-1 binding with p85/p110 PI3K heterodimers, inhibiting approximation of the p110 catalytic subunit to the membrane surface and thus retarding PI3K activity (26). In our studies, we have not observed increased levels of p85 protein as a consequence of Dex treatment within the observed time course (up to 3 h) (Fig. 2
and data not shown). A potential drawback of this study is that GR overexpression may exceed the capacity of the chaperones and force the interaction with other molecules, such as PI3K. However, our results indicate that the association between GR and PI3K is physiologically relevant because it normally occurs in mouse skin and mouse keratinocytes. Moreover, either the skin-targeted overexpression of GR in K5-GR mice or the addition of exogenous hormone increased GR/PI3K association, as shown by coimmunoprecipitation assays (Figs. 1
and 4
).
Importantly, our experiments demonstrate that ligand-activated GR exerts nontranscriptional regulation on the PI3K/Akt pathway as shown by the time course and specificity of physiological doses of Dex on Akt function (Fig. 3
) as well as the outcome of the experiments using actinomicin D and the transcriptionally defective GR mutant (Fig. 4
), as recently reported (4, 5).
GCs have broad and often controversial effects, depending on the cell type and environmental context (26). In a number of cell types, GCs have been described as potent antitumor agents. In rat glioma cells, treatment with GCs leads to complete reversion of their transformed phenotype and loss of their tumorigenic potential (27). Moreover, the administration of Dex is a standard procedure for glioblastoma patients, and recent studies of retroviral-mediated gene transfer into experimental gliomas highlight the relevance of balanced GC levels for gene therapy protocols (28). In other endocrine types of cancer, such as prostate cancer, it has been reported that GCs potentiate the antitumor effect of 1,25-dihydroxycholecalciferol (vitamin D) (29). Recently, phase I and II clinical trials of vitamin D in combination with Dex have been initiated in patients with prostate cancer (30). At the molecular level, vitamin D targets several potential markers of the apoptotic pathway in prostate cell models and elicits the reduction of phosphorylated levels of Akt (29).
GCs are the most potent inhibitors of tumor promotion in mouse skin, when applied with a promoting agent at the early stages of promotion. By performing in vivo tumorigenic assays, we have addressed the specific interplay between GR and PI3K/Akt in a pathological setting. Our results unequivocally showed that GR overexpression was able to counteract the proliferative effects induced by PI3K/Akt, thus highlighting the importance of this biological antagonism in skin carcinogenesis. PI3K has been shown to be the target of various antitumor drugs, and specifically inhibiting Akt activity may be a valid approach to treat cancer and increase the efficacy of chemotherapy.
| MATERIALS AND METHODS |
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For in vivo tumorigenic experiments, pooled PB keratinocyte clones (>100 clones) were grown, trypsinized, and injected sc into outbred Hsd:Athymic 6-wk-old female nu/nu mice (Harlan Interfauna Iberica, Barcelona, Spain). Each mouse was injected in both flanks with PB/pcDNA3 (right) and PB/pcDNA3-GR (left), PB/Akt (right) and PB/GR-Akt (left) or PB/Akt (left) and PB/pcDNA3 (right). The number of mice injected was 1218 per transfection group, and the incidence and size of tumors were recorded twice weekly. Animals were killed at 69 wk (depending on tumor size). Tumors were harvested at 3964 d after animals were injected, and tumor volumes were estimated by the formula
/6 ab2, a and b being major and minor axis of the tumor, respectively.
All animal experimentation was conducted in accordance with accepted standards of humane animal care and complies with international guidelines.
Cell Culture, Transfection, and Treatments
PB keratinocytes were grown in DMEM (BioWhittaker, Inc., Walkersville, MD) supplemented with 10% fetal calf serum (BioWhittaker, Inc.). Transfections were performed by the calcium phosphate method by using the indicated plasmids (9). The C-terminal zinc finger mutant GR has been previously reported as a transcriptionally defective receptor by Helmberg et al. (10). For transient transfection, PB keratinocytes were transfected for 6 h with 5 µg MMTV-CAT along with 5 µg pcDNA3, 5 µg GR, or 5 µg mutGR (10). Cells were charcoal stripped for an overnight incubation followed by Dex treatment (1 µM) for 30 min or incubation with actinomicin D (1 µM) for 30 min before Dex treatment. Cells were washed, and whole-cell extracts were prepared and CAT activity was assayed by the CAT ELISA kit (Roche Molecular Biochemicals, Indianapolis, IN) according to the manufacturers recommendations. Transfection experiments were performed in triplicate, and mean value ± SD is indicated.
For stable transfectants, PB/pcDNA3 and PB/Akt clones were selected by using G418 (0.15 mg/ml). These cell populations were subsequently cotransfected with K5-GR and pGL-VP(H) plasmids, and transfectants were selected by using G418 (0.15 mg/ml) and hygromicin (0.3 mg/ml). Steroid hormones and growth factors were removed from fetal bovine serum by charcoal stripping. Cells were treated with vehicle, 1 µM Dex, or 10 µM RU486 for 1 h.
Immunoblotting
Whole-cell protein extracts were prepared as previously described (7), separated by SDS-PAGE, and transferred to Hybond membrane (Amersham Pharmacia Biotech, Arlington Heights, IL). Membranes were stained with Ponceau S (Sigma Chemical Co.) to verify equal protein loading and transfer. Bands were visualized using Amersham enhanced chemiluminescent reagent and Hyperfilm (Amersham Pharmacia Biotech). The antibodies against GR (sc-1004), Akt (N-19), IKK
(sc-7182), and IKK
(sc-8330) were purchased from Santa Cruz Biotechnology, Inc. (Santa Cruz, CA); p-Akt (ser-473) was obtained from Cell Signaling Technology, Inc. (Beverley, MA); p85 antibody was from Upstate Biotechnology, Inc. (Lake Placid, NY), and IKKß antibody was obtained from Imgenex (San Diego, CA) (IMG-19). Secondary rabbit, goat, or mouse peroxidase-conjugated antibodies were purchased from Amersham Pharmacia Biotech.
In Vitro Kinase Assays
Akt activity was determined in mouse skin after immunoprecipitation with anti-Akt antibody (1 µl/25 µg protein) using histone 2B as sustrate (H2B; Roche Molecular Biochemicals) as previously described (9). The Akt activity was quantitated using a phosphor imager (Bio-Rad Laboratories, Inc., Hercules, CA) and expressed as percentage of the activity. The phosphor imager values for control samples (normal skin) were arbitrarily set as 1, and the other experimental groups were expressed as relative to control values. IKK activity was assayed in mouse skin after immunoprecipitation with a mixture of different IKK
antibodies (Santa Cruz Biotechnology, Inc.) and using full-length I
B
(Santa Cruz Biotechnology, Inc.) as substrate, as previously reported (31). PI3K activity was determined in PB keratinocytes (150 µg whole-cell extracts) using L-
-phosphatidylinositol (Sigma Chemical Co.) as substrate, as previously described (9). After thin layer chromatography on Silica gel plates (Merck & Co., Inc., Rahway, NJ), 32P-labeled phospholipids were visualized by autoradiography, and PIP3 was quantitated using a phosphor imager and expressed as percentage of activity. The phosphor imager values for control samples (untreated mouse PB keratinocytes) were arbitrarily set as 1, and the other experimental groups were expressed as relative to control values.
EMSAs
EMSA were performed by incubating whole-cell extracts from newborn and adult mouse skin obtained from nontransgenic and transgenic mice with a labeled oligonucleotide corresponding to a palindromic
B site, as previously described (7). The sequence of the
B oligonucleotide coding strand was: 5'-GATCCAACGGCAGGGGAATTCCCCTCTCCTTA-3'. The composition of the retarded complexes was determined by supershift experiments, as reported previously (7).
BrdU Immunostaining
BrdU (Roche Molecular Biochemicals, 6 mg/kg of body weight) was injected ip 1 h before animals were killed. Tumors and surrounding skin were fixed in 70% ethanol before processing. Sections (4 µm) were deparaffinized and incubated with anti-BrdU monoclonal antibody (Roche Molecular Biochemicals) followed by antimouse peroxidase-conjugated antibody (Amersham Pharmacia Biotech). Immunostaining was visualized with the Avidin-Biotin-Complex (ABC) kit (Vectastain Elite, Vector Laboratories, Inc., Burlingame, CA) as previously described (7). Sections were counterstained with hematoxylin and analyzed by light microscopy. The number of BrdU-positive keratinocytes was calculated as percentage of more than 2000 cells counted per sample. The number of tumors analyzed for each transfection group was: six (pcDNA3), five (pcDNA/GR), 13 (Akt), and 11 (GR/Akt). The differences between values obtained for Akt and GR/Akt were statistically significant (P < 0.05) when compared by a Mann-Whitney (Wilcoxon) W test.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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H.L. and A.P. contributed equally to this work and should both be considered first authors.
Abbreviations: BrdU, Bromodeoxyuridine; Dex, dexamethasone; GCs, glucocorticoid hormones; GR, glucocorticoid receptor; IKK, I
B kinase; MMTV-CAT, mouse mammary tumor virus-chloramphenicol acetyltransferase; p-Akt, phosphorylated Akt; NF-
B, nuclear factor
B; PI3K, phosphatidylinositol 3-kinase; PIP3, phosphatidylinositol 3,4,5-triphosphate.
Received for publication September 12, 2003. Accepted for publication November 3, 2003.
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