Abstract
Insulin regulation of hepatic gene transcription is a vital component of glucose homeostasis. Understanding the molecular regulationof thisprocess aids the searchfor the defect(s) that promotesinsulin-resistant states, such asdiabetesmellitus. We havepreviously shownthat the insulin regulationof hepatic IGF-binding protein-1 (IGFBP1) expression requiresthe signalling proteins phosphatidylinositol 3-kinase (PI 3-kinase) and mammalian target of rapamycin (mTOR). In this report, we demonstrate that activation of the mTOR pathway, without activation of its upstream regulator PI 3-kinase, reduces IGFBP1 expression. Therefore, mTOR activation is sufficient to mimic insulin regulation of this gene. However, longer exposure (>3 h) of cells to insulin reduces the importance of this pathway in insulin regulation of the gene, suggesting a temporal switch in signalling mechanisms linking insulin action to the IGFBP1 gene promoter. In contrast, the activation of PI 3-kinase is required for insulin regulation of IGFBP1 under all conditions tested. Therefore, an mTOR-independent, PI 3-kinase-dependent pathway becomes more important in IGFBP1 regulation after long exposure to insulin. This is a novel concept in insulin regulation of gene expression and demonstrates the importance of temporal analysis of signalling processes.
Introduction
Increased serum insulin level following a meal results in complete shutdown of hepatic glucose output (Granner & Pilkis 1990). This is achieved by turning off glycogen breakdown and endogenous gluconeo-genesis (Pilkis & Granner 1992, Nordlie & Foster 1999). The latter process requires transcriptional repression of phosphoenolpyruvate carboxykinase (PEPCK) and glucose-6-phosphatase (G6Pase), rate-limiting steps in gluconeogenesis and loss of this regulation contributes to the hyperglycaemia that characterises type 2 diabetes mellitus (Granner & Pilkis 1990, Granner & O’Brien 1992, Kahn 1994, Hanson & Reshef 1997, Sutherland et al. 2003). Much work is ongoing to understand the molecules and pathways that link the insulin receptor to these gene promoters. Indeed, an insulin-responsive DNA sequence, common to several gene promoters, including PEPCK and G6Pase, termed the PEPCK-like insulin receptor substrate (IRS) or the thymine-rich insulin-response element (TIRE), has been identified as the likely final target for this insulin-signalling cascade (for review, see O’Brien & Granner 1996, Sutherland et al. 2003). Insulin signalling includes activation of the lipid kinase phosphatidylinositol 3-kinase (PI 3-kinase) to generate the second messenger phosphoinositide 3,4,5, trisphosphate (PIP3) (Alessi & Downes 1998, Cantley 2002), the stimulation of the nutrient sensing mammalian target of rapamycin (mTOR) pathway (Raught et al. 2001, Fisher & White 2004), and a relatively weak induction of the Ras-p42/p44 mitogen-activated protein kinase (MAPK) pathway (Denton & Tavare 1995). We and other researchers have demonstrated a requirement for PI 3-kinase in the regulation of most if not all of the TIRE-containing genes (Sutherland et al. 1995, Dickens et al. 1998, Durham et al. 1999). Other molecules that influence the rate of transcription of these genes include the transcription factors, FOXO (Guo et al. 1999, Schmoll et al. 2000, Puigserver et al. 2003), SREBP1c (Becard et al. 2001), PGC1α (Puigserver et al. 2003), CBP (Zhou et al. 2004) and TORC2 (Koo et al. 2005), as well as the kinases protein kinase B (PKB) (Guo et al. 1999, Rena et al. 1999, Schmoll et al. 2000), glycogen synthase kinase-3 (GSK3; Lochhead et al. 2001) and mTOR (Band & Posner 1997, Patel et al. 2002). However, evidence is accumulating that the exact sequence, context and positioning of the TIRE in a gene promoter affects which insulin-signalling pathways will regulate it (Hall & Granner 1999, Patel et al. 2002, 2003, Gan et al. 2005a,b). For example, glucocorticoids and glucagon induce, while insulin represses, PEPCK, G6Pase and IGF-binding protein-1 (IGFBP1) gene transcription, with the effects of insulin dominant over those of the other hormones (O’Brien & Granner 1990, Unterman et al. 1991). All three of these gene promoters have related TIRE sequences, yet the regulation of IGFBP1 gene expression by insulin is the only one of these genes depend upon mTOR activation (Band & Posner 1997, Patel et al. 2002). Indeed, although PI 3-kinase signalling appears critical in the regulation of most metabolic genes by insulin, only a handful of these (e.g. IGFBP1, HKII and insulin) are sensitive to rapamycin (Patel et al. 2002). The activation of mTOR stimulates phosphorylation and activation of the p70 S6 ribosomal protein kinase (S6K; Thomas & Hall 1997, Dufner & Thomas 1999) and eIF-4E BP1 (Hara et al. 1998, Beugnet et al. 2003). These processes are well known to modulate insulin regulation of protein synthesis (see, for review, Shigemitsu et al. 1999, Gingras et al. 2001), but there is less evidence linking them to transcriptional control. We have previously demonstrated that the overexpression of active S6K is not sufficient to regulate the rapamycin sensitive IGFBP1 TIRE, and that regulation of IGFBP1 gene expression in an S6K1 and S6K2 double knock out (KO) animal appears normal (Patel et al. 2002). This suggests that S6K activation may not link mTOR to this gene or is not sufficient to repress it. Therefore in this work, we assess whether activation of the pathway upstream of S6K, without PI 3-kinase induction, reduces IGFBP1 expression. In the process, we identify a novel temporal switch from the rapamycin-sensitive to a rapamycin-insensitive signalling pathway connecting the insulin receptor to the IGFBP1 gene promoter.
Materials and methods
Materials
[α32P]UTP and [γ32P]ATP were obtained from Amersham. Insulin was purchased from Novo Nordisk (Crawley, West Sussex, UK), puromycin from Invitrogen, cycloheximide and dexamethasone from Sigma-Aldrich, rapamycin and LY294002 from Calbiochem (La Jolla, CA, USA) and the RNase Protection Assay Kit II from AMS Biotech/Ambion (Austin, TX, USA). All other chemicals were of the highest grade available.
Cell culture
The rat hepatoma cell line H4IIE was maintained in Dulbecco’s modified Eagle’s medium containing 1000 mg/l glucose, 5% (v/v) foetal calf serum, as described previously (Forest et al. 1990). Cells were incubated with hormones, at 37 °C, for the times and at the concentrations indicated in the figures.
RNA isolation and mRNA measurement
H4IIE cells were serum starved overnight and treated with hormone/inhibitor for the times and at the concentrations indicated in the figures. Total cellular RNA was isolated using TriReagent (Sigma) following the manufacturer’s instructions. An RNase protection assay was performed to determine the relative amounts of IGFBP 1 and cyclophilin mRNA in each sample (Patel et al. 2001). Band intensity was quantified on a phosphorimager (Fuji), data calculated as a ratio of IGFBP 1:cyclophilin mRNA and presented as percentage of IGFBP1 expression, where the intensity of control samples were set at 100%. Alternatively, real-time PCR was used to quantify IGFBP1 and cyclophilin mRNA levels. Briefly, cDNA was synthesised using Superscript II Reverse Transciptase Kit (Invitrogen). PCR analysis was carried out in a model 7700 sequence detector (Applied Biosystems, Foster City, CA, USA) with primers and probes as follows: IGFBP1 5′-GCTGGATAGCTTCCACCTCATG-3′ (sense), 5′-TCCATTTCTTGAGGTCAGTGATCTC-3′ (antisense) and 5′-CCCCATCCCGTGAGGACCAGC-3′ (probe); cyclophilin 5′-TTACTAGGTCTGGCAGGAAGATTAAAG-3′ (sense), 5′-CTGCATCTCTTGTCTCCAATGTG-3′ (anti-sense) and 5′-AGAGGACCAAGGCGTTATCGAACTCC TTC-3′ (probe).
Probes were synthesised with 5′-FAM (6-carboxyfluorescein) and 3′-TAMRA (6-carboxytetramethylrhodamine) modifications. IGFBP1 mRNA abundance is presented as a ratio to cyclophilin mRNA in the same sample.
Preparation of cell extract
H4IIE cells were incubated in serum-free medium with hormones and inhibitors for the times and at the concentrations indicated in the figures. Cells were then scraped into ice-cold lysis buffer (25 mM Tris–HCl (pH 7.4), 50 mM NaF, 100 mM NaCl, 1 mM sodium vanadate, 5 mM EGTA, 1 mM EDTA, 1% (v/v) Triton X-100, 10 mM sodium pyrophosphate, 1 mM benzamidine, 0.1 mM PMSF, 0.27 M sucrose and 0.1% (v/v) 2-mercaptoethanol). Cell debris was removed by centrifugation at 13 000 r.p.m. for 10 min and the protein concentration was determined by the method of Bradford, using BSA as an internal standard.
Immunoprecipitation and assay of p70 S6 kinase
Cell extracts (0.5 mg) were incubated for 1 h on a shaking platform with protein G-Sepharose conjugated to 2.5 μg anti-p70 S6K antibody (Upstate, Lake Placid, NY, USA). The immunocomplexes were pelleted and washed with 1 ml lysis buffer containing 0.5 M NaCl, and twice with 1 ml assay buffer (25 mM MOPS (pH 7.0), 0.4 mM EDTA, 0.1 M NaCl, 0.01% Brij35 and 0.1% (v/v) 2-mercaptoethanol). The immuno-precipitated p70 S6K was incubated at 30 °C for 30 min, in a total volume of 50 μl containing 25 mM MOPS (pH 7.0), 0.4 mM EDTA, 0.1 M NaCl, 0.01% Brij35, 0.1% (v/v) 2-mercaptoethanol, 10 mM MgCl, 0.1 mM [γ32P]ATP (0.5 × 106 c.p.m./nmol) and 1 mM Cross-tide. A unit of kinase activity is defined as the amount which catalyses the phosphorylation of 1 nmol substrate in 1 h.
Antibodies for western blot analysis
Antibody to β-actin was purchased from Sigma-Aldrich, total GSK3α/β from Upstate, while the phospho-specific Ser256 FOXO1, Ser9/Ser21 GSK3α/β, Thr308 PKB, Ser473 PKB, Thr202/Tyr204 p42/p44 MAPK and Ser235 S6 ribosomal protein antibodies were purchased from New England Biolabs (Hitchin, Hertfordshire, UK). H4IIE cell lysates were prepared following incubation with hormones as described in figures and analysed by western blot.
Statistical analyses
Student’s t-tests were performed to establish significant differences between two groups, and 5% confidence limits applied.
Results and discussion
Cycloheximide activates the mTOR pathway independent of PI 3-kinase, and reduces the expression of IGFBP1
Cycloheximide is a protein synthesis inhibitor (Siegal & Sisler 1963) that is known to activate the hepatic mTOR-signalling pathway in the absence of insulin (Kozma et al. 1989, Price et al. 1989). Therefore, we decided to use this agent to establish whether activation of the mTOR branch of the PI 3-kinase network was sufficient to repress the IGFBP1 gene. First, we characterised the effects of cycloheximide on the major insulin-signalling pathways in the H4IIE cell line (Fig. 1) in order to confirm the selective activation of this pathway. In these cells, mTOR signalling to ribosomal S6 kinase (as measured by phosphorylation of S6 ribosomal protein, Ser235) is activated by cycloheximide treatment (Fig. 1A). This occurs at concentrations similar to those that block protein synthesis (Beugnet et al. 2003), and increases in strength up to 35.5 μM (10 μg/ml). However, exposure of cells to puromycin, a structurally distinct protein synthesis inhibitor (Fig. 1A) has no effect on mTOR activity, suggesting that the regulation of mTOR by cycloheximide is not related to general inhibition of protein synthesis. The activation of mTOR is sustained for at least 6.5 h (Fig. 1A), while the degree of induction of the pathway with 35.5 μM cycloheximide, whether measured by S6 phosphorylation (Fig. 1B) or direct assay of S6K (Fig. 1C), is similar to that observed after insulin treatment. Importantly, cycloheximide induction of S6 phosphorylation or S6K activity is completely lost in the presence of 10 nM rapamycin (Fig. 1B and C), thereby confirming the importance of mTOR to cycloheximide, as well as insulin, regulation of this pathway. Cycloheximide (35.5 μM) weakly induces phosphorylation of PKB (Thr308/Ser473) as well as its downstream target GSK3, after 30-min treatment (Fig. 1B). These minor effects are insensitive to the presence of rapamycin, and are <10% of the stimulation of this branch of the PI 3-kinase pathway by insulin (Fig. 1B). Meanwhile, no increase in phosphorylation of FOXO1, a transcriptional target of PKB, is observed at any of the time points examined (Fig. 1B) suggesting that the PI 3-kinase–PKB pathway is probably not stimulated to a degree that initiates many (if any) downstream effects. Finally, cycloheximide strongly activates the p42/44 MAPK pathway to a far greater extent than obtained by insulin treatment, and this activation is insensitive to rapamycin (Fig. 1B). Again, this property of cycloheximide must be independent of protein synthesis inhibition since puromycin does not stimulate MAPK in the H4IIE cells (Fig. 1B). To our knowledge, this is the first demonstration that cycloheximide activates this growth-inducing pathway.
Cycloheximide (35.5 μM) treatment of H4IIE cells for 3 h represses IGFBP1 gene expression (Fig. 2). This inhibition is seen on both basal (63.7%, Fig. 2A) and glucocorticoid-induced (70.8%, Fig. 2B) IGFBP1 expression. This indicates that activation of mTOR, without PI 3-kinase activation, mimics the effect of insulin on IGFBP1 expression. However, this repression is less dramatic than observed with insulin (90%), consistent with the fact that insulin repression of IGFBP1 expression is not completely blocked by rapamycin (Patel et al. 2002). It should also be noted that we are measuring mRNA accumulation over a given time, therefore it is influenced by both the rate of transcription of the gene and the stability of the mRNA species. Cycloheximide has been reported to stabilise IGFBP1 mRNA (Ooi et al. 1993), therefore the true extent of transcriptional repression in response to mTOR activation by cycloheximide may be >60–70% observed in our experiments. In contrast, insulin represses IGFBP1 mRNA predominantly through inhibition of transcription (Orlowski et al. 1991) and does not affect the stability of mRNA (Unterman et al. 1991). Following 6 h incubation with cycloheximide basal IGFBP1 expression is still reduced compared to control, however, the effect of this agent is lost in the glucocorticoid-stimulated 6 h incubation (Fig. 2B). It is possible that the effects of cycloheximide on mRNA stability are more apparent in the longer incubations in the presence of glucocorticoid, thereby masking any gene repression. Equally, the loss of cycloheximide repression at the longer time points could be due to its effects on protein synthesis, reducing the level of a key transcription factor.
In the studies demonstrating stabilisation of IGFBP1 mRNA by cycloheximide, it was also noted that this agent inhibits basal transcription of the IGFBP1 gene (Ooi et al. 1993). This was assumed to be due to the inhibition of protein synthesis. However, we find that an alternative protein synthesis inhibitor, puromycin, which does not effect mTOR signalling (Fig. 1B), has a much small repressive effect (32.1%) on basal IGFBP1 gene expression (Fig. 2C). This small effect of puromycin is not observed on dexamethasone-induced IGFBP1 expression levels (Fig. 2C), but is similar to a reported slight decrease in IGFBP1 expression with a third protein synthesis inhibitor, anisomycin (Ooi et al. 1993). Therefore, it appears that the inhibition of protein synthesis can slightly reduce the rate of basal IGFBP1 transcription, but that an additional mechanism is invoked in the presence of cycloheximide. We hypothesised that this second mechanism requires the activation of the mTOR pathway (Fig. 1).
The major repressive effect of cycloheximide requires mTOR activity
The repression of basal or induced IGFBP1 gene expression by cycloheximide is inhibited by rapamycin, confirming the importance of mTOR activity in this effect of cycloheximide (Fig. 2). Also rapamycin completely blocks the action of cycloheximide, in contrast to its partial effect on insulin repression. Importantly, in a parallel analysis, cycloheximide was found to have no repressive effect on G6Pase expression (data not shown). This gene is repressed by insulin, independent of mTOR activation but dependent on PI 3-kinase activation (Dickens et al. 1998, Patel et al. 2002). As expected, the small effect of puromycin on IGFBP1 expression is not affected by rapamycin (Fig. 2C). Since cycloheximide also activates p42/p44 MAPK in these cells (Fig. 1), and this pathway has recently been linked to the regulation of IGFBP1 expression (Gan et al. 2005b), it was important to rule out this pathway in the actions of cycloheximide on the IGFBP1 gene. U0126, a relatively specific inhibitor of p42/44 MAPK activation, has no effect on the ability of cycloheximide to regulate IGFBP1 expression (Fig. 3A), yet completely inhibits cycloheximide induction of the p42/44 MAPK (Fig. 3B). Similarly, a structurally unrelated p42/44 MAPK inhibitor, PD98059, has no effect on cycloheximide repression of IGFBP1 gene expression (data not shown). Therefore, the cycloheximide regulation of IGFBP1 expression requires the mTOR pathway and not p42/44 MAPK activation. We have previously found that sustained activation of S6K1 is not sufficient to repress the IGFBP1 TIRE (Patel et al. 2002). This suggests that an alternative downstream component of mTOR signalling links it to the IGFBP1 gene promoter. Yeast contains an mTOR homologue (Tor), but not any S6K activity (Raught et al. 2001). Potential yeast proteins downstream of Tor, include Msn2p, Msn4p, Gln3p, Tap42p, Mks1p, Ure2p and Gat1p (Beck & Hall 1999; Chan et al. 2000, Schmelzle & Hall 2000, Shamji et al. 2000). Whether mammalian equivalents of these proteins, or other as yet unidentified mTOR targets, mediate mTOR regulation of IGFBP1 remains to be established. Meanwhile, it is known that inhibitors of GSK3 repress IGFBP1 gene expression (Finlay et al. 2004). There is a slight increase in GSK3α/β phosphorylation at inhibitory regulatory sites (Ser21/Ser9 respectively; Sutherland et al. 1993, Sutherland & Cohen 1994) in response to cycloheximide (Fig. 1B). However, the phosphorylation of GSK3 was not sensitive to rapamycin (Fig. 1B), and the relatively weak phosphorylation (in comparison to insulin, which inhibits GSK3 approximately 50% in these cells; Lochhead et al. 2001) dictates that inhibition of GSK3 is <25%. Taken together with the lack of effect of rapamycin, it seems highly unlikely that GSK3 inhibition mediates the effects of cycloheximide on IGFBP1 expression.
Time-dependent effects of rapamycin on insulin regulation of IGFBP1 expression
Insulin stimulation of H4IIE cells results in activation of mTOR and downstream signalling, as judged by increased phosphorylation at Ser235 of S6 ribosomal protein (Fig. 4) and S6K activity (Fig. 1C). Ten nanomolar of rapamycin is sufficient to completely block insulin-induced mTOR signalling between 0.5 and 6 h, and actually reduces mTOR activity below basal levels (Figs 1C and 4A). Full induction of mTOR signalling by insulin is maintained (and remains rapamycin sensitive) for at least 15 h following stimulation (Fig. 4B). In contrast, insulin-stimulated phosphorylation of PKB (Thr308) or GSK3 (Ser21/9) is insensitive to the presence of 10 nM rapamycin (Fig. 4B). Insulin inhibition of both basal- and dexamethasone-induced IGFBP1 expression is partially reduced when cells are incubated with rapamycin for 3 h (Fig. 5). Surprisingly, the effect of rapamycin on the regulation of the gene decreases substantially in cells incubated for longer periods with insulin (Fig. 5). This loss of rapamycin sensitivity with time is more pronounced when the gene is first induced using glucocorticoid (Fig. 5B vs 5A). That is, insulin repression of IGFBP1 is blocked by ~50% if measured after 3 h incubation with rapamycin, but ~30% after 6 h incubation and only ~15% after 15 h incubation (Fig. 5B, lower panel). This is despite the inhibition of mTOR signalling by rapamycin being maintained across the full 15 h treatment (Fig. 4). The decrease in the rapamycin block of insulin repression of basal expression is less pronounced but the trend is similar (Fig. 5A, lower panel).
Insulin repression of IGFBP1 is dependent on PI 3-kinase activity (Fig. 6). Since rapamycin sensitivity of the IGFBP1 gene promoter decreases with time (Fig. 5), we next examined the requirement for PI 3-kinase activity over the same incubation period. Insulin repression of basal (Fig. 6A) and induced (Fig. 6B) IGFBP1 is completely blocked by LY294002 (100 μM), a selective inhibitor of PI 3-kinase (Vlahos et al. 1994), at all time points examined. LY294002 increases IGFBP1 expression in H4IIE cells, suggesting some basal PI 3-kinase activity in this immortal cell line. This agent blocks insulin action of the mTOR pathway as well as activation of PKB (Alessi & Downes 1998). Therefore, the requirement for PI 3-kinase signalling for insulin repression of IGFBP1 expression is maintained. This result may explain previous reports that rapamycin has little effect on insulin repression of IGFBP1 expression, where mRNA levels were examined in relatively long incubations (Cichy et al. 1998). We have previously found that insulin repression of the isolated IGFBP1 TIRE is completely blocked in the presence of rapamycin (Patel et al. 2002). In those experiments, the effect of rapamycin on the isolated TIRE was measured following transient transfection of a TIRE-luciferase reporter construct, and the rapamycin sensitivity of this construct is apparent even after 18 h stimulation. This difference between isolated element and intact promoter suggests that additional insulin-response elements are present in the complete IGFBP1 gene promoter. The altered signalling may reflect a temporal switch in the insulin-response element mediating the repression of IGFBP1. Unterman and colleagues have recently reported distinct transcriptional complexes involved in insulin repression of this promoter (Gan et al. 2005a), although the identity of the novel DNA sequence is not yet elucidated. A time-dependent difference in rapamycin sensitivity of such complexes awaits further characterisation of these regulatory elements.
Summary
We show for the first time that activation of the mTOR pathway is sufficient to reduce IGFBP1 expression, although the effect is not as complete as observed with insulin. Therefore, this pathway acts in an additive manner with another PI 3-kinase-dependent pathway to completely repress this gene promoter. In addition, we demonstrate that the signalling pathway to the IGFBP1 gene promoter alters with the duration of stimulation. That is, the requirement for the mTOR component of the regulation declines with insulin exposure length (Fig. 7). We suggest that this may be a novel paradigm in insulin signalling and other rapamycin-sensitive actions of insulin require further study. Insulin resistance is thought to occur through reduced signalling capacity in one or more signalling pathways (Shulman 2000). Indeed, both the mTOR and PI 3-kinase pathways are implicated in reduced insulin action in muscle, fat and liver cells (Shulman 2000). The importance of the switch between mTOR-dependent and -independent pathways in insulin action is not clear. In the simplest scenario, loss of mTOR signalling but not PI 3-kinase signalling would delay insulin repression of IGFBP1 expression, while reduced PI 3-kinase signalling would have a more prolonged effect on this gene. Therefore, IGFBP1 gene expression may be a biomarker that would allow delineation of the signalling defect in an insulin-resistant subject.
This work was supported by the Diabetes UK Senior Fellowship (02/0002473). The authors declare that there is no conflict of interest that would prejudice the impartiality of this scientific work.
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