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Molecular and Cellular Biology, November 1998, p. 6711-6718, Vol. 18, No. 11
0270-7306/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Akt-Dependent and -Independent Survival Signaling
Pathways Utilized by Insulin-Like Growth Factor I
George
Kulik* and
Michael J.
Weber
Department of Microbiology, University of
Virginia Health Sciences Center, Charlottesville, Virginia 22908
Received 30 March 1998/Returned for modification 14 May
1998/Accepted 10 August 1998
 |
ABSTRACT |
Protein kinase B (PKB)/Akt is implicated in survival signaling in a
wide variety of cells including fibroblasts and epithelial and neuronal
cells. We and others have described a linear survival signaling cascade
used by insulinlike growth factor I (IGF-I) that consists of the IGF-I
receptor, phosphoinositide 3-kinase (PI3 kinase), Akt, and Bad.
Activation of this pathway can be sufficient to protect cells from
apoptosis. However, previous work had not determined whether
this pathway is invariably necessary for protection from
apoptosis or whether there are alternative survival
signaling pathways. In this communication, we report the existence
of two survival signaling pathways, one dependent on PI3
kinase and Akt and the other independent of these enzymes. We found
that survival signaling initiated by IGF-I treatment of Rat-1 cells
could be blocked by overexpression of a dominant negative
kinase-deficient Akt (K179A) as well as by wortmannin. This
demonstrates a survival signaling pathway dependent on PI3 kinase and
Akt. However, when IGF-I receptors were overexpressed in a Rat-1
background (RIG cells), an alternative pathway became apparent, in
which survival mediated by IGF-I was no longer sensitive to wortmannin
or to overexpression of dominant negative Akt, even though Akt
activation and Bad phosphorylation were still wortmannin sensitive.
Experiments with inhibitors of RNA synthesis showed that
transcriptional activation is dispensable for this alternative PI3
kinase/Akt-independent survival signaling. These findings demonstrate
the existence of a new survival signaling pathway independent of PI3
kinase, Akt, and new transcription and which is evident in fibroblasts
overexpressing the IGF-I receptor.
 |
INTRODUCTION |
The last several years have seen
remarkable advances in understanding the machinery of apoptosis
and the factors initiating the cascade of events leading to
apoptotic cell death (7). In contrast, only recently
has equivalent attention been paid to the ways that the probability of
apoptosis is regulated in response to cellular physiology.
Although it has been known for some time that cytokines and growth
factors such as interleukin-2 (IL-2), IL-3, nerve growth factor, and
insulinlike growth factor I (IGF-I) promote survival in various
experimental cell systems, it was not clear which signaling pathways
were used by these agents (3). One of the first reports on
survival signaling connected activation of the mitogen-activated
protein (MAP) kinase cascade with survival in PC-12 cells
(44). Another signaling pathway requiring phosphoinositide
3-kinase (PI3 kinase) activity was associated with
antiapoptotic signaling in neurons, fibroblasts, and
hematopoietic cells (30, 45, 46). Subsequently, the serine/threonine kinase protein kinase B (PKB)/Akt was identified as a
downstream component of survival signaling through PI3 kinase (11,
17-19, 24). Recently Bad, a proapoptotic member of the bcl-2 family, was found to be a substrate of Akt, identifying an
intersection point of pro- and antiapoptotic regulatory
cascades (8, 9).
Previously, we reported that PI3 kinase activity is necessary for
antiapoptotic signaling by IGF-I and that overexpression of
mutationally activated PI3 kinase or Akt is sufficient to protect cells
from UV-induced apoptosis (24). Here we present
evidence that kinase-deficient Akt (K179A) can interfere with
IGF-I-mediated survival, showing that the activity of Akt also is
necessary for antiapoptotic signaling by IGF-I. However, when
IGF-I receptors were overexpressed, the protective signal initiated by
IGF-I could no longer be attenuated by the PI3 kinase inhibitors or by
overexpression of dominant negative Akt. This revealed the existence of
a novel survival pathway independent of PI3 kinase and Akt that becomes more evident when IGF-I receptors are overexpressed. Bad seems not to
be the target of this pathway, since its phosphorylation remains
wortmannin sensitive even under conditions of IGF-I receptor overexpression.
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MATERIALS AND METHODS |
cDNA constructs and cell lines.
Cells and IGF-I receptor
constructs were as described previously (34). Vectors
expressing HA-Akt (wild-type, kinase-dead, and constitutively active
forms) were generously provided by Anke Klippel, Chiron Inc.,
Emeryville, Calif. Bad constructs were as described previously
(8).
Antibodies and other reagents.
Antibodies were from the
following sources: anti-ERK-2 from Upstate Biotechnology, Lake Placid,
N.Y.; anti-phospho-p38/HOG1 from New England Biolabs, Beverly, Mass.;
Texas red-conjugated goat anti-mouse immunoglobulin G from Jackson
ImmunoResearch Laboratories, Bar Harbor, Maine; antibodies against
p70S6 kinase from Kenneth Coker and Thomas Sturgill,
University of Virginia; and phospho-Bad-specific antibodies
(recognizing phosphoserine 136) from Sandeep Datta and Michael
Greenberg, Harvard. Rabbit antibodies against phospho-MAP kinase were
produced in this laboratory against a phosphopeptide corresponding to
the MAP kinase phosphorylation site.
Chemicals and reagents (unless specified) were from Sigma, St. Louis,
Mo. Tissue culture media and reagents were from GIBCO, Gaithersburg,
Md., and IGF-I was a gift from Thomas Sturgill.
-Amanitin was from
Boehringer Mannheim, Indianapolis, Ind., and rapamycin was from
Calbiochem, La Jolla, Calif.
Protein kinase assays.
In vitro kinase assays for
extracellular signal-regulated kinase activity and protein analysis
were as described previously (24). Akt activity was assayed
as follows. Cells transfected with HA-Akt constructs were starved for 6 to 12 h in serum-free Dulbecco's modified Eagle's medium (DMEM)
and treated with inhibitors for 15 min; this was followed by addition
of growth factors if required. After incubation for 15 min at 37°C,
dishes with cells were placed on ice and lysed in NLB (1% Nonidet
P-40, 0.5% deoxycholate, 150 mM NaCl, and 20 mM HEPES supplemented
with phosphatase and protease inhibitors). Insoluble material was
pelleted by centrifugation at 10,000 × g for 20 min, and the
supernatants were equalized for protein concentration (usually 1 mg/ml)
by the addition of NLB. 12CA5 antibodies prebound to protein G-agarose
beads (15 µg per 30 µl of beads) were used for immunoprecipitation
of HA-tagged proteins. After 2 to 3 h of rotation at 4°C, the
beads were washed once each with NLB, NLB plus 0.5 M LiCl, and NLB and
twice each with 20 mM HEPES, 10 mM MgCl2, and 10 mM
MnCl2. Kinase reactions were performed as described
previously (20).
Apoptosis.
Induction and detection of apoptosis were
as described previously (24). Experiments in which
apoptosis was induced by serum starvation were performed as
follows. Cells (4 × 105 cells per 6-cm dish) were
grown for at least 12 h in DMEM-10% calf serum, starved for
12 h in DMEM-0.2% calf serum, and then changed to serum-free
DMEM. Inhibitors were added at this point, and growth factors were
added after 15 to 30 min.
In Cos cells, apoptosis was quantitated by measuring caspase-3
activity with the fluorometric substrate Ac-DEVD-Afc (UBI or
Bio-Rad)
as specified by the manufacturer.
32P labeling.
At 12 h after transfection
with HA-Bad constructs, cells were put in phosphate- and serum-free
(PSF) medium for 1 h and then labeled for 5 h in PSF medium
containing 0.5 mCi of 32P-orthophosphate per ml. When the
labeling was finished, the cells were incubated for 15 min in PSF
medium-200 nM wortmannin and IGF-I was added to a final concentration
of 250 ng/ml for another 20 min. The cells were lysed on ice, and
immunoprecipitation was done as described for HA-Akt kinase assays,
except that the last two washes were with NLB.
 |
RESULTS |
Activation of Akt correlates with and is necessary for survival
signaling by IGF-I.
Although the serine/threonine kinase PKB/Akt
was recently shown to be activated by IGF-I and to be sufficient to
protect cells from proapoptotic insults, the existence of other
survival signaling pathways was not excluded. In particular, MAP kinase
activation has also been suggested to be antiapoptotic in
differentiating PC-12 cells (44). To examine the
relationship between activation of Akt, MAP kinase, and survival
signaling, we treated Rat-1 and Cos cells either with IGF-I, which
activates Akt, or with epidermal growth factor (EGF) or phorbol
myristate acetate (PMA), which are very effective activators of MAP
kinase. Figure 1 demonstrates that EGF
and PMA failed to activate Akt or to provide protection from UV-induced
apoptosis in Rat-1 and Cos cells, respectively. In contrast,
IGF-I was able to activate Akt and protect against apoptosis in
both types of cells (Fig. 1). Thus, in this system, survival signaling
correlates with activation of Akt and is unrelated to activation of MAP
kinase.

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FIG. 1.
Akt activation correlates with the ability of IGF-I to
protect from apoptosis. (A) Rat-1 fibroblasts were transfected
with HA-Akt cDNA. At 32 h later, the cells were serum starved for
16 h and 100 ng of EGF or IGF-I per ml was added for 15 min. Then
the cells were lysed and HA-Akt immunoprecipitated, and kinase assays
were performed as described previously (24). The presence of
equal amounts of HA-Akt in the kinase reaction was verified by blotting
with 12CA5 anti-HA antibody. A 25-µg portion of the cell lysate was
probed with phosphospecific anti-ERK antibodies to demonstrate the
signaling activity of EGF. (B) Rat-1 cells were irradiated for 1 min
with UVB, and IGF-I or EGF was added afterwards. At 15 h later,
the percentage of apoptotic cells was measured by propidium
iodide staining followed by fluorescence-activated cell sorter analysis
as described previously (24). Similar results were obtained
in three independent experiments. (C) IGF-I but not PMA can activate
Akt in Cos cells. Akt activation was assayed as in panel A. Cell
lysates were probed with phosphospecific anti-ERK antibodies to
demonstrate the ability of IGF-I and PMA to activate ERK. Wortm,
wortmannin. (D) IGF-I but not PMA protects Cos cells from UV-induced
apoptosis. Apoptosis in Cos cells was induced as described for
Rat-1. LY294002 (30 µM) was added immediately after irradiation,
followed by IGF-I (0.5 µg/ml) or PMA (200nM) 15 min later. At 12 h after apoptosis induction, cells were collected and lysed,
and apoptosis was assessed by measuring the caspase activity in
lysates containing 100 µg of protein.
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To determine whether Akt activation was necessary for IGF-I-induced
survival signaling, we examined the consequences on this
signaling of
overexpressing kinase-deficient Akt (K179A) in Cos
cells. Cells
expressing Akt (K179A) were no longer protected by
IGF-I (Fig.
2A), implying that Akt activation not
only is sufficient
but also is necessary for survival signaling
utilized by IGF-I.
This is consistent with a single linear survival
pathway downstream
from PI3 kinase and going through Akt.

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FIG. 2.
Kinase-deficient Akt blocks the antiapoptotic
effects of IGF-I. (A) Cos cells were transfected with HA-Akt and the
kinase-deficient mutant HA-Akt(K179A). At 36 h later, the cells
were irradiated with UVB and IGF-I (250 ng/ml) was added. After an
additional 6 h, the cells were fixed with formaldehyde. The cells
were stained for HA expression and subjected to terminal
deoxynucleotidyltransferase-mediated dUTP-fluorescein nick end labeling
assays, and the frequency of apoptosis in cells expressing Akt
constructs was estimated by counting at least 500 cells in randomly
chosen fields. Similar results were obtained in three independent
transfections. Differences in apoptosis levels between cells
expressing HA-Akt in the presence and absence of IGF-I were
statistically significant (P < 0.005), while no
IGF-I-mediated protection was observed in cells expressing
HA-Akt(K179A). (B) Activation of Akt in Cos cells by IGF-I. Cos cells
transiently expressing HA-Akt were pretreated with 100 nM wortmannin
(W) for 15 min and then stimulated for another 15 min with 250 ng of
IGF-I per ml. Then the cells were lysed, HA-Akt was immunoprecipitated,
and kinase assays with histone H2B used as a substrate were done as
described previously (24).
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Overexpression of IGF-I receptors renders survival signaling
wortmannin independent.
In Rat-1 fibroblasts and Cos cells
expressing physiological levels of IGF-I receptor, survival signaling
by IGF-I is wortmannin sensitive, arguing for an essential role of PI3
kinase (24). Thus, when Rat-1 cells were pretreated with
wortmannin, IGF-I failed to protect them from apoptosis (Fig.
3A, left). However when IGF-I receptors
were overexpressed in a Rat-1 background (RIG cells), IGF-I-mediated
survival became largely insensitive to wortmannin (Fig. 3A, right)
(although in some experiments wortmannin was able to partially
attenuate the protection provided by IGF-I).

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FIG. 3.
Survival signaling from overexpressed IGF-I receptors is
wortmannin independent. (A) RIG cells overexpressing IGF-I receptors
and parental Rat-1 fibroblasts were irradiated with UVB, and 100 nM
wortmannin (Wort), 10 nM rapamycin (Rap), or 50 µM PD098059 (PD) was
added. IGF-I was added to a final concentration of 100 ng/ml 15 min
later. After 15 h, the cells were stained with propidium iodide
and apoptosis was quantified by fluorescence-activated cell
sorter analysis. (B) Inhibition of MAP kinase activation by PD098059
and p70S6 kinase by rapamycin. RIG cells were serum starved
for 12 h and pretreated with inhibitors for 15 min, and IGF-I was
added. The cells were lysed 15 min later. MAP kinase activity was
determined in kinase assays as described previously (38).
Activation of p70S6 kinase was detected by observing the
electrophoretic mobility shift on Western blots. MBP, myelin basic
protein; Rapam, rapamycin.
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As in the case with Rat-1 fibroblasts, rapamycin (10 nM) and PD098059
(50 µM) did not affect IGF-I-mediated protection in
RIG cells (Fig.
3A, right), confirming our previous result that
neither MAP kinase nor
p70
S6 kinase is involved in antiapoptotic
signaling induced by IGF-I
(
24). To confirm that
PD098059 is biologically active in RIG
cells, we demonstrated that it
can inhibit the activation of MAP
kinase by IGF-I (Fig.
3B, left).
Similarly, the activity of rapamycin
was confirmed by its ability to
inhibit an IGF-I-induced mobility
shift of p70
S6 kinase
(Fig.
3B, right). It is noteworthy that in mouse embryo
fibroblasts,
late passages of Rat-1, and HER (Rat-1 cells overexpressing
human EGF
receptors), protection of cells by IGF-I was partially
resistant to
wortmannin, indicating that the wortmannin-insensitive
component of
survival signaling through IGF-I receptors can be
manifested even when
the receptors are not overexpressed (data
not shown).
RIG cells have an increased sensitivity to serum deprivation.
In the method we routinely used for induction of apoptosis,
cells were serum starved for 12 h and then irradiated with UV radiation. In contrast to the parental Rat-1 fibroblasts, cultures of
RIG cells deprived of serum displayed significant amounts of apoptosis even without UV irradiation. Therefore, in RIG cells the apoptosis observed after UV irradiation was in fact due to a combined effect of serum deprivation and UV irradiation. We suspected
that this complexity could underlie the variable sensitivity of
IGF-I-induced protection to PI3 kinase inhibitors. To test this, we
used serum deprivation as the sole inducer of apoptosis in RIG
cells and found that the reproducibility of the experiments improved
significantly. When apoptosis in RIG cells was induced by serum
deprivation, IGF-I-mediated survival was clearly insensitive to the PI3
kinase inhibitors wortmannin and LY294002 (Fig.
4).

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FIG. 4.
PI3 kinase- and Akt-independent survival signaling does
not require new transcription. RIG cells were starved for 12 h in
DMEM-0.2% calf serum and then for 14 h in serum-free (sf) DMEM.
Inhibitors (20 mM LY294002, 200 nM wortmannin, 20 µg of -amanitin
per ml) were added immediately after the cells were placed in
serum-free DMEM, and IGF-I was added 30 min later. After 14 h, the
cells were stained with propidium iodide, and apoptosis was
measured by fluorescence-activated cell sorter analysis.
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Requirement of new transcription for PI3 kinase-independent
survival signaling.
To determine whether new gene expression
induced by IGF-I was necessary for the antiapoptotic effects of
this agonist, we used
-amanitin, a highly specific inhibitor of RNA
polymerase II (23). Apoptosis was induced in RIG cells by
serum deprivation in the presence or absence of PI3 kinase inhibitors
and
-amanitin. We found no difference in the amount of
apoptosis between cells treated with IGF-I plus wortmannin and
-amanitin separately or in combination (Fig. 4). Therefore, we
concluded that the major component of PI3 kinase-independent survival
signaling does not require new transcription.
A novel survival signaling pathway independent of PI3 kinase and
Akt.
Since Akt is an effector of survival signaling downstream
from PI3 kinase, the phenomenon of wortmannin-insensitive survival signaling by overexpressed IGF-I receptors can be explained in two
ways: (i) Akt might be activated in a PI3 kinase-independent fashion,
or (ii) an Akt-independent pathway might be used. If the first
suggestion were true, Akt activation induced by IGF-I in RIG cells
would not be inhibited by wortmannin. However, we found that
IGF-I-mediated activation of endogenous or ectopically expressed Akt
was sensitive to PI3 kinase inhibitors regardless of the level of IGF-I
receptor expression (Fig. 5), which
favors the existence of an Akt-independent pathway in RIG cells, which overexpress IGF-I receptors.

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FIG. 5.
Wortmannin can inhibit IGF-I-mediated activation of Akt
independently of the level of IGF-I receptors. (A) RIG and Rat-1
fibroblasts transiently expressing HA-Akt were pretreated with 100 nM
wortmannin (W) for 15 min and then stimulated for another 15 min with
250 ng of IGF-I per ml. Then the cells were lysed, HA-Akt was
immunoprecipitated, and kinase assays with histone H2B used as a
substrate were done as described previously (24). To show
that wortmannin was not inhibiting protein kinase activation
nonspecifically, the activation of MAP kinase (MAPK) was assessed with
phosphospecific anti-ERK antibody (lower panel). contr, control. (B)
RIG and Rat-1 cells were pretreated for 15 min with 100 nM wortmannin
(W) or 20 µM of LY294002 (LY) and then stimulated with IGF-I for
another 15 min. Activation of endogenous Akt in RIG and Rat-1 cells was
assessed in the Western blot by using phospho-Akt (S473)- specific
antibodies (lower panel). To control equal loading of Akt, the membrane
was stripped and reprobed with Akt-specific antibodies (upper panel).
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Our experiments with Cos cells demonstrated that a kinase-deficient
mutant of Akt [Akt(K179A)] can function as a dominant
negative Akt by
inhibiting IGF-I-mediated protection from apoptosis.
To further
confirm that protective signaling from overexpressed
IGF-I receptors
can bypass Akt, we analyzed the effect of kinase-deficient
Akt(K179A) overexpression on IGF-I mediated survival in Rat-1
and
RIG cells. Rat-1 and RIG cells transiently expressing dominant
negative
Akt(K179A) were irradiated with UVB and incubated with
or without
IGF-I before being fixed with formalin and analyzed
for
apoptosis in a single-cell assay. Unlike Rat-1/Akt(K179A)
fibroblasts, RIG/Akt(K179A) cells can be protected by IGF-I (Fig.
6A, bottom). Thus, Akt activity is not
required for survival mediated
by overexpressed IGF-I receptors.

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FIG. 6.
Expression of kinase-deficient mutant Akt(K179A)
abolishes IGF-I-mediated protection in Rat-1 fibroblasts but not in RIG
cells overexpressing IGF-I receptors. Cells transiently expressing
HA-Akt(K179A) were fixed 6 h after UVB irradiation, stained
with anti-HA 12CA5 antibody, and subjected to a terminal
deoxynucleotidyltransferase-mediated dUTP-fluorescein nick end labeling
assay for DNA fragmentation. (A) Upper images were taken through a
neutral filter (nuclei stained with 4',6-diamidino-2-phenylindole
appeared blue); lower images show the same field photographed through a
red-and-green filter. Cells expressing HA-Akt(K179A) appear red;
nuclei with DNA fragmentation are green or yellow. Red cells with
yellow nuclei are scored as apoptotic. (B) The frequency of
apoptosis was determined by counting several hundred cells
expressing HA-Akt(K179A). Error bars reflect the standard deviation
between different coverslips from the same experiment. Similar results
were obtained in three independent transfections. In cells expressing
HA-Akt(K179A), differences between the degree of apoptosis
in the presence and the absence of IGF-I were statistically significant
in RIG cells (P < 0.01) but not in Rat-1 cells
(P = 0.72).
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Bad is not the target of PI3 kinase- and Akt-independent survival
signaling.
It was shown previously that phosphorylation of Bad on
serine 136 allowed Bad interaction with 14-3-3 and resulted in
inactivation of the proapoptotic function of Bad
(47). Recently Akt was identified as a serine 136 kinase for
Bad in circumstances where cells expressing Bad were protected from
apoptosis by platelet-derived growth factor or IL-3 (8,
9). To determine whether IGF-I can also induce Bad
phosphorylation, we expressed Bad containing a point mutation in the
Akt phosphorylation site (Bad S136A) and the wild-type Bad in RIG cells
as an HA-tagged protein. After the cells were labeled with
[32P]orthophosphate and then stimulated with IGF-I, only
wild-type (not mutant) Bad became phosphorylated (Fig.
7). Since phosphorylation was wortmannin
sensitive, it is very likely that IGF-I used the Akt pathway to
phosphorylate Bad; therefore, Bad is not the target of the PI3 kinase-
and Akt-independent survival signaling.

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FIG. 7.
IGF-I induces wortmannin-sensitive phosphorylation of
Bad. RIG cells expressing HA-Bad and HA-Bad(S136A) were labeled with
[32P]orthophosphate, pretreated with 200 nM wortmannin
(Wortm) for 15 min, and stimulated with IGF-I for 20 min. Then the
cells were lysed, and HA-Bad was precipitated with 12CA5 antibodies.
The presence of Bad in the immunoprecipitate was verified by Western
blotting with 12CA5 antibodies. HA-Bad blot was exposed for 1 h
and HA-Bad(S136A) was exposed for 5 h, since the phosphorylation
of Bad(S136A) in the nonstimulated cells was lower than that of the
wild-type Bad.
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DISCUSSION |
Roles of PI3 kinase, Akt, and Bad in survival signaling.
In
studies of the ability of IGF-I to protect cells from UV-induced
apoptosis, we previously reported that activation of PI3 kinase
was both necessary and sufficient and that activation of Akt was
sufficient for protection (24). Similar results were obtained in experimental systems where apoptosis was induced by different means including overexpression of c-myc,
interruption of contact between the cells and the extracellular matrix,
and withdrawal of survival factors (12, 28). In this
communication, we show that activation of Akt is not only sufficient
but also necessary for IGF-I-mediated survival in Rat-1 fibroblasts and Cos cells expressing endogenous levels of IGF-I receptors.
In the course of these experiments, we observed that inhibition of PI3
kinase activity by wortmannin or LY294002 sometimes
failed to
completely block protection. The resistance to inhibition
by PI3 kinase
inhibitors was particularly evident in Rat-1 cells
engineered to
express high levels of the IGF-I receptor, suggesting
the existence of
a survival signaling pathway that does not require
PI3 kinase
activation. Resistance of survival signaling to PI3
kinase inhibitors
was observed in cultured neuronal cells (
35),
hematopoietic
cells treated with IL-3 or IL-4 (
46a), and primary
mouse
embryo fibroblasts and late passages of Rat-1 cells treated
with IGF-I
(data not shown). This indicates that the PI3 kinase-
and
Akt-independent pathway is not generated solely by IGF-I receptor
overexpression but is more likely to have a more general function
in
normal cell physiology.
The molecular mechanism by which this alternative signaling pathway
operates is unknown, but the data reported here point
to a
posttranscriptionally regulated pathway that not only functions
independently of PI3 kinase but also does not involve Akt or Bad.
It is possible that overexpressed IGF-I receptors induced an activation
of Akt and/or phosphorylation of Bad without activation
of PI3 kinase.
Indeed, there have been reports of PI3 kinase-independent
activation of
Akt (
21,
22,
38) and phosphorylation of Bad
by kinases other
than Akt (
42,
47). Moreover, it is not known
whether Bad is
involved in all cases of survival signaling in
which Akt participates
and whether Bad is the only target mediating
the survival effects of
Akt. However, in this report we show that
no Akt activation or Bad
phosphorylation induced by IGF-I was
observed in RIG cells when PI3
kinase was inhibited. Therefore,
this novel survival pathway seems to
be independent not only of
PI3 kinase but also of Akt and Bad.
Survival signaling pathways independent of PI3 kinase, Akt, and
Bad.
Only a few survival pathways besides the PI3 kinase-Akt-Bad
pathway have been described so far. These include MAP kinase (33a, 44), NF-
B (29), calmodulin kinases (13,
41), and protein kinase C
(PKC
) (2, 10). In
PC-12 cells, survival effects were attributed to MAP kinase signaling
based on experiments with PD098059 (33a) and constitutively
active MEK (44). Since we and others did not find the
connection between activation of MAP kinase and survival in fibroblasts
or epithelial cells, the contribution of this signaling pathway to
survival may be restricted to neuronal cells. Because IGF-I-induced
survival signaling occurred in the presence of
-amanitin, we doubt
that a transcription factor such as NF-
B is involved. Moreover, we
did not observe phosphorylation of I
B in RIG cells treated with
IGF-I (data not shown).
A possible role of calmodulin kinases in IGF-I survival signaling was
suggested by the results of experiments with the inhibitor
KN93
(
41). Incubation of RIG cell cultures with this compound
increased the amount of apoptosis, but addition of IGF-I could
completely overcome this effect and also protect from UV-induced
apoptosis in the presence of KN93 (data not shown). Thus,
calmodulin
kinase II is unlikely to be the effector for PI3
kinase-independent
survival.
We also doubt that atypical PKCs play a role in IGF-I-mediated
survival. First, there is evidence for activation of PKC

by
products
of PI3 kinase (
32,
40), and insulin-induced translocation
of
PKC

is wortmannin sensitive (
16,
31). Second, the effects
of PKC

activation were found to be mediated through MAP kinase
and
NF-

B activation (
1,
27). We and others showed that the
MAP kinase cascade is not involved in survival signaling by IGF-I
(
8,
18,
24), and NF-

B can be excluded for the reasons
described above. Finally, inhibition of PKC

activity by the
UV-induced
protein Par-4 was recently suggested as a possible mechanism
of
UVC-mediated apoptosis (
10). Since we observed an
increase in
apoptosis when UV irradiation was performed in the
presence of
inhibitors of RNA synthesis, it makes PKC

an unlikely
candidate
for PI3K/Akt-independent survival.
Effects of IGF-I on stress kinase signaling.
Evidence on the
role of stress-activated kinase cascades in the regulation of
apoptosis is full of contradictions. Depending on the
experimental conditions, the activities of these kinases are seen as a
cause of apoptosis (6, 15), a consequence of stress
(5), or a survival force (33). Inhibition of p38
in cultured fetal neuronal cells was reported to be one possible mechanism of insulin-mediated survival (14). We did not find any inhibition of UV-induced p38 activation by IGF-I. On the contrary, IGF-I stimulated p38 activation in RIG cells to an extent comparable to
that achieved with UV induction (25).
Survival signaling pathways and resistance to cancer therapy.
Induction of apoptosis is widely believed to be the predominant
mechanism by which chemotherapy and radiation kill cancer cells. Thus,
there is considerable interest in understanding the cellular mechanisms
that regulate the sensitivity of cells to therapy-induced
apoptosis. For example, we previously reported that
overexpression of the EGF receptor allows it to activate PI3 kinase and
Akt, thus converting ligands of the EGF receptor into survival factors.
This could contribute to the poor prognosis associated with tumors
displaying elevated expression of EGF receptor family members. If this
hypothesis is correct, one would expect that inhibition of PI3 kinase
in these tumor cells would restore their sensitivity to therapy-induced
apoptosis. Although wortmannin failed to suppress the growth of
xenografts in nude mice (39), it will be of interest to see
if better results can be achieved by combinations of PI3 kinase
inhibitors with conventional antitumor agents.
The data presented in this report reveal an additional mechanism by
which cells can become resistant to apoptosis, namely,
by
overexpression of IGF-I receptors and engagement of a novel
survival
signaling pathway. The IGF-I receptor is reportedly overexpressed
in a
wide variety of tumors (
4,
26), including breast (
36,
37) and head and neck (
43) tumors. Inhibition of PI3
kinase
in these tumors should have little effect on their sensitivity
to chemotherapy and radiation, and experiments to test this hypothesis
are in progress.
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ACKNOWLEDGMENTS |
We thank Kevin Overman for technical assistance, Anke Klippel for
the Akt vectors, and Michael Greenberg and Robert Datta for vectors
expressing Bad, antibodies, and valuable discussions. G.K. acknowledges
Leonid Guzman, Inna Alesina, and Hans-Joerg Schaeffer, without whose
help it would have been almost impossible to complete this work.
This work was supported by USPHS NIH grants CA 39076 and GM 47332.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Department of
Microbiology, Box 441, University of Virginia Health Sciences Center, Charlottesville, VA 22908. Phone: (804) 924-8710. Fax: (804) 982-0689. E-mail: gak5g{at}virginia.edu.
 |
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