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Molecular and Cellular Biology, April 2002, p. 2799-2809, Vol. 22, No. 8
0270-7306/02/$04.00+0 DOI: 10.1128/MCB.22.8.2799-2809.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
Cardiovascular Division,1 Division of Signal Transduction, Beth Israel Deaconess Medical Center ,3 Departments of Medicine,2 Cell Biology, Harvard Medical School, Boston, Massachusetts ,4 Department of Pharmacology, Columbia University, New York, New York5
Received 10 May 2001/ Returned for modification 10 July 2001/ Accepted 15 November 2001
| ABSTRACT |
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| INTRODUCTION |
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Akt, also known as RAC-PK (protein kinase related to A and C kinases) (37) or protein kinase B (21), is one of the best-characterized targets of PI3K lipid products (11, 72). Mammals have three closely related genes that encode the isoforms Akt1, Akt2, and Akt3 (72). Akt2 and Akt3 show 81 and 83% amino acid identity, respectively, with Akt1. All of the Akt isoforms show a broad tissue distribution. Akt is activated by a multistep process via a variety of signals (11). In the early steps of this process, D3-phosphorylated phosphoinositides generated by PI3K bind the pleckstrin homology domain of Akt and translocate the kinase to the membrane. On the membrane, Thr308 of Akt is phosphorylated by phosphoinositide-dependent protein kinase 1 (PDK1) (2) and Ser473 is phosphorylated by a complex mechanism that may involve autophosphorylation (69). Phosphorylation of Thr308 and Ser473 is critical for activation of Akt, since mutations of Thr308 and Ser473 to alanine inhibit the insulin- or IGF1-induced activation of Akt. Conversely, mutations of both residues to aspartic acid, to mimic negative charges of phosphorylation, produce a constitutively activated form of Akt (1).
Akt is postulated to promote cell growth by regulating protein synthesis through other potential effectors (11, 71, 72). Glycogen synthase kinase 3 (GSK-3) is a well-defined direct target of Akt, and phosphorylation of GSK-3 by Akt reduces the kinase activity of GSK-3 (24, 28). GSK-3 phosphorylates the GTP-GDP exchange factor eIF2B and negatively regulates initiation factor eIF2-directed methionyl-tRNA binding to the 40S ribosome (20). Thus, phosphorylation of GSK by Akt might increase protein synthesis by increasing the efficiency of translation. Another potential downstream effector is S6K1. S6K1 is a physiological kinase for the ribosomal S6 protein, whose phosphorylation increases the rate of initiation of translation of mRNA by ribosomes (18, 68). A highly homologous gene, which encodes S6K2, has recently been identified. (62). Akt alone is sufficient to activate S6K1 in some cultured cell lines (4, 10), although it is likely that activation of S6K1 is not solely dependent on Akt (28).
Another potential effector of Akt is the mammalian target of rapamycin (mTOR) (55, 60, 61). Rapamycin, a lipophilic macrolide, is used as a potent immunosuppressant (58). In a search for molecules affected by rapamycin, TOR was identified in yeast (reviewed by Gingras et al. [29]). Purification and molecular cloning of mTOR revealed a 290-kDa protein that is highly related to yeast TOR. The mTOR protein contains a carboxy-terminal domain with homology to phosphatidylinositol kinases. Rapamycin binds with high affinity to FKBP12 (FK506-binding protein; molecular mass, 12 kDa), and this complex then binds to mTOR, inhibiting the function of mTOR. Recent findings reveal that mTOR controls a diverse set of downstream effectors that are important for cellular growth (59). These effectors include S6K1 and eukaryotic translation initiation factor 4E-binding proteins, which are also potential downstream effectors of Akt (4, 10, 30). Although overexpression of constitutively active Akt (caAkt) leads to a modest increase in mTOR kinase activity and moderately increases mTOR phosphorylation (55, 60, 61), an mTOR mutant protein possessing an alanine substitution at a putative Akt consensus phosphorylation site retains the ability to activate S6K1 after growth factor stimulation (61). Thus, the role of Akt in the regulation of mTOR kinase activity is not clear.
Akt regulates Drosophila cell and organ growth (74). In mammalian cells, Akt has been implicated in the control of cell cycle progression and protein synthesis, as well as in the regulation of other processes that influence growth, including cell survival and glucose metabolism (11). Akt-encoding genes are amplified or overexpressed in several forms of cancers (15, 48) and have been implicated in tumorigenesis in mice (33, 35). Body size was smaller in mice lacking Akt1 (14, 17). Expression of caAkt1 in mouse pancreatic ß cells increased islet number and size, as well as individual ß cell size (70). Akt has also been shown to increase cell size or protein synthesis in cultured cardiac myocytes (32, 47). GSK-3, which is inactivated by Akt, inhibits hypertrophy of cultured cardiac myocytes (32). Rapamycin was shown to inhibit agonist-induced cardiac myocyte hypertrophy (9, 57).
Previously, we have made and characterized transgenic mice expressing constitutively active PI3K (caPI3K) or kinase-deficient PI3K (kdPI3K) in the heart (63). Transgenic mice expressing caPI3K had larger hearts. In contrast, overexpression of kdPI3K reduced PI3K activity and resulted in smaller hearts. The amount of activated Akt was increased in caPI3K-expressing mice and was decreased in kdPI3K-expressing mice. To examine the role of Akt in the regulation of organ size in mammals, we have made transgenic mice expressing caAkt or kinase-deficient Akt (kdAkt) specifically in the heart.
| MATERIALS AND METHODS |
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-myosin heavy chain (
MyHC) promoter construct (clone 26; a generous gift from J. Robbins) (31), and transgenic mice were generated as previously described (63). All of the aspects of the animal care and experimentation performed in this study were approved by the Institutional Animal Care and Use Committee of the Beth Israel Deaconess Medical Center. IGF1 injection into mice. kdAkt transgenic mice or nontransgenic (NTg) mice were anesthetized with intraperitoneal injections of 2,2,2 tribromoethanol (Aldrich). IGF1 (0.5 mg/kg) or the same volume of saline was intravenously injected via a jugular vein. In preliminary experiments, IGF1 was injected into NTg mice for 5, 15, 30, or 60 min. Since Akt activity was highest in heart lysates from mice injected with IGF1 for 5 min (data not shown), hearts from NTg and kdAkt transgenic mice were harvested 5 min after the injection and rapidly frozen in liquid nitrogen.
Administration of rapamycin. Rapamycin at 4 mg/kg/day was used in this study. The dose was determined on the basis of studies in which rapamycin was used as an immunosuppressant in mice (7, 13, 45). The solvent for rapamycin was 0.2% sodium carboxymethyl cellulose-0.25% polysorbate 80 in water. Rapamycin or solvent was intraperitoneally administered to NTg or caAkt transgenic mice from 3 weeks of age to 4 weeks of age. Mice were sacrificed at 4 weeks, heart weight (HW) was measured, and S6K1 activity was measured in heart lysates.
Protein preparation. Hearts were removed after cervical dislocation and immediately frozen in liquid nitrogen. Heart lysates were obtained by homogenization in ice-cold buffer (1% NP-40, 10% glycerol, 137 mM NaCl, 20 mM Tris-HCl [pH 7.4], 20 mM NaF, 1 mM sodium pyrophosphate, 1 mM sodium orthovanadate, 50 mM ß-glycerophosphate, 10 mM EDTA, 1 mM EGTA, 4 µg of aprotinin per ml, 4 µg of leupeptin per ml, 1 mM phenylmethylsulfonyl fluoride, 4 µg of pepstatin per ml). The lysates were kept on ice for 15 min and cleared by centrifugation at 15,000 x g for 20 min at 4°C. Protein concentration was determined by the Bradford method (Bio-Rad).
Western blot analysis. Cardiac tissue lysates were subjected to sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE), and proteins were transferred onto polyvinylidene difluoride (PVDF) membranes (Immobilon-P; Millipore). For analysis of transgene expression, the blots were probed with anti-Akt (1:1,000; New England Biolabs), followed by horseradish peroxidase-conjugated anti-rabbit immunoglobulin G (IgG; 1:10,000; Jackson). For analysis of S6 phosphorylation, the blots were probed with anti-phospho-S6 (1:5,000; gift from M. Birnbaum) (39) or anti-glyceraldehyde-3-phosphate dehydrogenase (GAPDH; 1:10,000; Research Diagnostics; to confirm equal loading of protein), followed by horseradish peroxidase-conjugated anti-rabbit IgG or anti-mouse IgG, respectively. For analysis of GSK-3ß phosphorylation, 0.5 mg of lysates was immunoprecipitated by using 1 µg of anti-GSK-3ß (Transduction Laboratory), separated by SDS-PAGE, blotted to PVDF membranes, and probed with anti-phospho-GSK-3ß (1:1,000; New England Biolabs) or anti-GSK-3ß (1:2,500), followed by horseradish peroxidase-conjugated anti-rabbit IgG or anti-mouse IgG, respectively. The probed protein was then visualized by the enhanced chemiluminescence system (Amersham).
Akt kinase assay.
Akt kinase activity was measured by using an Akt-specific synthetic peptide, AKTide-2T, as a substrate (51). Heart tissue lysates prepared as described above (1 mg of protein) were immunoprecipitated with an anti-Akt N-terminal antibody (Santa Cruz). Immunoprecipitated enzyme was incubated in a reaction mixture of 20 mM HEPES (pH 7.4), 10 mM MgCl2, 1 µM protein kinase inhibitor (Sigma), 10 mM dithiothreitol (DTT), 5 µM ATP, 50 µM synthetic substrate peptide, and 3 µCi of [
-32P]ATP at 30°C for 30 min. The reactions were terminated by adding stop solution containing 8 N HCl and 1 mM ATP. The reaction mixtures were spotted onto P81 phosphocellulose paper (Whatman) and washed five times with 180 mM phosphoric acid and once with 95% ethanol. Radioactivity was measured with a liquid scintillation counter.
S6K1 kinase assay.
Lysates (500 µg) were incubated with anti-S6K1 antibody (Santa Cruz) for 1.5 h and then incubated for an additional hour with 40 µl of a 50% slurry of protein A-Sepharose beads (Sigma) in phosphate-buffered saline. The beads were washed once with lysis buffer, once with buffer A (1 M NaCl, 0.1% NP-40, 10 mM Tris [pH 7.2], 1 mM sodium vanadate, 2 mM DTT, 4 µg of pepstatin per ml, 1 mM phenylmethylsulfonyl fluoride), once with ST buffer (150 mM NaCl, 50 mM Tris [pH 7.2]), and once with 20 mM HEPES-10 mM MgCl2. The kinase assays were performed by adding 30 µl of kinase buffer composed of 20 mM HEPES (pH 7.2), 10 mM MgCl2, 100 µg of bovine serum albumin per ml, 2 µM protein kinase inhibitor (rabbit sequence; Sigma), 30 µM ß-mercaptoethanol, 50 µM ATP, 10 µCi of [
-32P]ATP, and 2 µg of glutathione S-transferase (GST)-S6. Reaction mixtures were incubated for 20 min at 30°C, and reactions were stopped by adding 10 µl of 6x sample buffer. Samples were boiled for 5 min, and half of each sample was separated by SDS-12% PAGE and subjected to autoradiography. The other half of each sample was separated by SDS-7% PAGE, blotted onto a PVDF membrane, and probed with anti-S6K1 antibody.
PKC
kinase assay.
The kinase activity of protein kinase C
(PKC
) was measured by using a PKC
-specific synthetic peptide (50). Heart tissue lysates prepared as described above (1 mg of protein) were immunoprecipitated with an anti-PKC
antibody (Santa Cruz). Immunoprecipitated enzyme was incubated in a reaction mixture of 20 mM HEPES (pH 7.4), 10 mM MgCl2, 1 µM protein kinase inhibitor (Sigma), 10 mM DTT, 5 µM ATP, 50 µM synthetic substrate peptide, and 3 µCi of [
-32P]ATP at 30°C for 30 min. GST-PKC
(2 µg; gift from A. Toker) generated by a baculovirus system was used as a positive control for the reaction. The reactions were terminated by adding stop solution containing 8 N HCl and 1 mM ATP. The reaction mixtures were spotted onto P81 phosphocellulose paper (Whatman) and washed five times with 180 mM phosphoric acid and once with 95% ethanol. Radioactivity was measured with a liquid scintillation counter. Immunoprecipitated PKC
or GST-PKC
was separated by SDS-7% PAGE, blotted onto a PVDF membrane, and probed with the anti-PKC
antibody.
Histological analysis. Histological analysis of mouse hearts was performed as previously described (63).
Morphometric analysis of isolated cardiac myocytes. Cardiac myocytes were enzymatically dissociated from mouse hearts in accordance with the previously published protocol, with minor modifications (79). The hearts from 10- to 12-week-old female transgenic or NTg mice were retrogradely perfused and enzymatically dissociated with 0.3% collagenase. The dissociated myocytes were plated on laminin-coated dishes. After 1 h of plating, unattached cells were removed by changing the medium. Photographs were taken under a microscope. The long axis was determined by measuring the distance between the two points farthest apart at the edge of the cell. A perpendicular line was drawn across the middle of the long axis, and the short axis was determined by measuring the distance between the two edges of the cell where the perpendicular line cut. The cell area was measured by tracing the edge of the cell and determining the area inside the outline. Morphometric analysis was performed with IPLab software (Scanalytics, Inc.). Cell volume was calculated by the following formula on the assumption that the cell is cylindrical in shape: cell volume = (short axis/2)2 x 3.142 x long axis.
The mean value for each mouse was calculated by using the measurements of 100 cells isolated from an individual mouse. Next, the mean value (± the standard error [SE]) for each experimental group was calculated on the basis of the mean values of the individual mice, and this value is presented.
Echocardiography. Assessment of cardiac function using echocardiography was performed as previously described (63). The stroke volume and cardiac index were obtained by using the following formulas: stroke volume = (LV diastolic diameter - LV systolic diameter)3, where LV is the left ventricle, and cardiac index = (stroke volume x heart rate)/BW, where BW is body weight.
Statistical analysis. Results are presented as the mean ± SE. Differences between the groups were compared by using the two-tailed unpaired Student t test. P < 0.05 was considered significant.
| RESULTS |
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MyHC promoter was used to generate transgenic mice as described previously (63). In the atrium, this promoter is active in both embryonic and adult myocytes but in ventricular myocytes it becomes active mainly after birth (49, 53). To make transgenic mice expressing caAkt, the Akt(T308D/S473D) gene was cloned into the
MyHC promoter construct, and transgenic mice were produced. Six independently derived founders of caAkt were produced from 137 F0 mice screened by Southern blot analysis. All of the founders died within 6 months of birth. Three founders produced progenies. Progenies of two of the founders died within several weeks after birth. The progenies of the third founder survived to a mean age of 15 weeks, and this line was used for the subsequent analysis. In this line, most of the mice died after they showed signs of heart failure, such as labored respiration or reduced activity.
To generate transgenic mice expressing kdAkt in the heart, Akt(K179M), in which the critical ATP binding site was mutated, was cloned into the
MyHC promoter construct. Eight independently derived founders were produced from 63 mice screened by Southern blot analysis. Progenies from six founders expressed the transgene product in the heart as determined by Western blot analysis. Over a follow-up period of 1 year, three lines of kdAkt transgenic mice survived normally. Two lines died at a mean age of 11 weeks, and one line died at a mean age of 2 weeks. Kinase-deficient transgenic lines associated with lethality were lost during maintenance. One of the kdAkt transgenic lines that did not die was analyzed.
To compare the amount of transgene product with the endogenous Akt, cardiac tissue lysates from transgenic mice were serially diluted, separated by SDS-PAGE, and probed with anti-Akt antibody. In caAkt transgenic mice, the amount of total Akt was about 400-fold greater than that in NTg mice (Fig. 1A). In the kdAkt transgenic line we analyzed, there was approximately 120 times more transgene product (kdAkt) than endogenous Akt in NTg mice (Fig. 1A). To confirm the activity of the transgene products, the heart tissue lysates were immunoprecipitated with an N-terminal anti-Akt antibody and subjected to an in vitro kinase assay using an Akt-specific peptide substrate (AKTide-2T) (51). In caAkt transgenic mouse hearts, total Akt activity was increased 80.4-fold ± 2.9-fold compared with that in NTg mouse hearts (Fig. 1B). Akt activity in kdAkt mice injected with saline was 45% ± 8% of that in NTg mice injected with saline. Injection of IGF1 (0.5 mg/kg) for 5 min increased Akt activity by 3.18-fold ± 0.47-fold in the hearts of NTg mice. Akt activity in the hearts of mice injected with IGF1 kdAkt was 35.2% ± 0.9% of that of NTg mice injected with IGF1. Thus, overexpression of the kdAkt molecule significantly attenuated the activation of endogenous Akt in transgenic mouse hearts.
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To confirm our in vitro S6K1 activity measurements, the amount of the phosphorylated form of the ribosomal S6 protein in heart tissue was measured by using an antibody specific for phosphorylated S6 protein (Fig. 2C, top). Loading of equal amounts of protein was confirmed by probing the membrane with an anti-GAPDH antibody (Fig. 2C, middle). The amount of phosphorylated S6 was increased by 2.9-fold ± 0.3-fold in caAkt mice and decreased to 18% ± 3% of that of NTg mice in kdAkt mice. The amount of phosphorylated S6 normalized by the amount of GAPDH was increased 1.9-fold ± 0.2-fold in caAkt mice and decreased to 21% ± 5% of that of NTg mice in kdAkt mice (Fig. 2C, bottom). These results confirmed that S6K1 activity was increased in caAkt mice and decreased in kdAkt mice.
PDK1 phosphorylates Thr308 of Akt (2). It is possible that overexpression of the kdAkt transgene competitively inhibits phosphorylation and activation of the other targets of PDK1. To examine this possibility, we measured PKC
activity in the heart tissue lysates of NTg mice and kdAkt mice (Fig. 3). PKC
is a substrate of PDK1 (19) and is not likely to be downstream of Akt (41). The results of kinase assays from each group (three animals in each) are shown at the top, and representative Western blotting of immunoprecipitated PKC
is shown at the bottom. The kinase activity of baculovirus-generated PKC
(GST-PKC
) was about 10-fold greater than that of immunoprecipitated PKC
in heart tissue lysates from NTg mice (Fig. 3, top). Under the same assay conditions, PKC
activity in the heart tissue of kdAkt mice was not different from that in NTg mice (Fig. 3, top). The amount of PKC
was not different between NTg mice and kdAkt mice (Fig. 3, bottom). Thus, it is unlikely that suppression of S6K1 activity and GSK-3ß phosphorylation in kdAkt mice resulted from the sequestration of PDK1 by overexpression of kdAkt.
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Crossbreeding of PI3K transgenic mice and Akt transgenic mice. Akt is postulated to be one of the most important downstream effectors of PI3K. In Caenorhabditis elegans, an activated allele of Akt suppresses the daur arrest phenotype caused by a loss-of-function mutation in age-1 (a homolog of mammalian PI3K) (54). Although significant information about the biochemical relationship between PI3K and Akt in mammalian cells has been provided (72), genetic evidence that Akt functions as a downstream effector of PI3K in intact mammalian tissues is lacking. We have previously made and characterized transgenic mice expressing caPI3K or kdPI3K in the heart (63). To genetically determine the relationship between PI3K and Akt in heart growth, we crossed PI3K transgenic mice with Akt transgenic mice and examined heart size (Fig. 6).
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Effect of rapamycin on the HW of caAkt mice. The caAkt transgene may induce overgrowth of the heart through mTOR or the effectors of mTOR, such as S6K1 or eukaryotic translation initiation factor 4E-binding protein 1 (4, 10, 30). To examine this possibility, we treated NTg mice or caAkt mice with rapamycin, a specific inhibitor of mTOR (Table 4) (25). Vehicle or rapamycin (4 mg/kg/day) was administered to NTg or caAkt mice from 3 weeks of age to 4 weeks of age. After that, mice were sacrificed and HW was measured. S6K1 activity was measured to monitor the effect of rapamycin. At 3 weeks of age, the HW/BW ratio of caAkt mice was already increased 2.0-fold ± 0.0-fold compared with that of NTg mice (Table 4). Rapamycin at 4 mg/kg significantly reduced S6K1 activity in the hearts of NTg mice at 4 weeks of age (Fig. 7). Rapamycin, at the dose used in this study, did not affect the HW/BW ratio of NTg mice (Table 4). Rapamycin reduced S6K1 activity in the hearts of caAkt mice to a level similar to that of rapamycin-treated NTg mice (Fig. 7). The HW/BW ratio of rapamycin-treated caAkt mice was significantly smaller than that of vehicle-treated caAkt mice (8.44 ± 0.12 versus 9.96 ± 0.15; P < 0.0001; Table 4). The HW of rapamycin-treated 4-week-old caAkt mice was comparable to that of 3-week-old caAkt mice (137.0 ± 4.1 g versus 134.0 ± 7.7 g; P = 0.9532). This result suggests that caAkt-induced overgrowth of the heart was, at least in part, dependent on mTOR or targets of mTOR.
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| DISCUSSION |
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To examine the role of Akt in intact mammalian tissue, we overexpressed caAkt or kdAkt in transgenic mouse hearts. By using this strategy, it is possible that the highly overexpressed molecule could affect a biological process in which the endogenous counterpart is not normally involved. Alternatively, cardiac hypertrophy may be induced secondary to the nonspecific toxic effect of the transgene (34). However, we think the marked increase in heart size observed in caAkt mice is likely due to the increase in Akt kinase activity for the following reasons. First, systolic function of the heart, assessed by the fractional shortening of echocardiography, was preserved in 2-week-old mice even though HW was increased 1.9-fold. Second, caAkt-induced overgrowth of the heart was significantly attenuated by rapamycin, a specific inhibitor of mTOR. Third, Akt has been shown to increase cell size and protein synthesis in cultured cardiac myocytes (32, 47). Fourth, a 200-fold beta-adrenergic receptor increase in the heart modulates contractile function in a specific manner without causing cardiomyopathy in transgenic mice (56).
There is one Akt-encoding gene in drosophila, and deletion of the Akt-encoding gene is associated with smaller cells (74). In this study, inhibition of Akt activity with a kinase-deficient mutant was not associated with a decrease in heart size. It is likely that residual Akt activity in the hearts (45% of that in NTg mice) was sufficient to preserve normal organ growth. Body size was smaller in mice lacking Akt1 (14, 17). Insulin resistance and a diabetes mellitus-like syndrome were observed in mice lacking Akt2 (16). Growth retardation was not observed in these mice, possibly due to the compensation by other Akt-encoding genes. Heart-specific deletion of an Akt-encoding gene(s) is needed to determine if Akt is necessary to promote heart growth in a cell-autonomous manner.
Several studies have found that kdAkt mutants work in a dominant negative manner (27, 36, 38, 80). However, several other studies have found that kdAkt does not inhibit Akt activation (40, 73, 75). In this experiment, kdAkt overexpression inhibited the activation of endogenous Akt under basal and IGF-stimulated conditions. kdAkt also effectively attenuated caPI3K-induced overgrowth of the heart. The mechanism of action of mutant kdAkt proteins may be different in different cells and tissues.
In this study, an increase in total Akt activity was not associated with an increase in the amount of phosphorylated GSK-3ß in caAkt mice. This is not consistent with previous observations derived from experiments using cultured cell lines (24, 28). The same caAkt did not phosphorylate GSK-3ß in mammary epithelium in transgenic mice (35). GSK-3ß phosphorylation in intact tissue may be regulated by a mechanism different from that which operates in proliferating cultured cell lines. Alternatively, continuous expression of the transgene in the intact tissue may modulate the activity of potential downstream effectors in a different way from growth factor stimulation of cultured cells for a short period of time. GSK-3ß phosphorylation was decreased in kdAkt mice, which is consistent with a previous study in which kdAkt inhibited insulin-induced inactivation of GSK-3 (66).
caAkt was sufficient to activate S6K1 in this study. S6K1 activation by membrane-targeted Akt has been previously reported (4, 10). However, the Akt(T308D/S473D) mutant protein did not activate S6K1 (4, 28). Akt does not appear to directly phosphorylate S6K1 (3), and the intermediates between Akt and S6K1 are unknown. The mechanism of S6K1 activation in caAkt mice needs further investigation. Since rapamycin significantly attenuated caAkt-induced overgrowth of the heart and S6K1 is one of the effectors of mTOR, S6K1 may be one of the candidates for mediation of the growth-promoting effects of Akt in caAkt mice.
In our study, expression of kdAkt reduced S6K1 activity in the heart. A dominant interfering mutant form of Akt was shown to inhibit S6K1 activation (40), while another dominant negative mutant form of Akt did not inhibit insulin-induced S6K1 activation (28). Since overexpression of Akt may sequester PDK1, which is essential for S6K1 activation, it is possible that the kdAkt transgene attenuated S6K1 activity by preventing it from accessing PDK1 (72, 77). To examine this possibility, we measured PKC
activity in the hearts of kdAkt mice and found that PKC
activity was not different from that in NTg mice. Thus, it is unlikely that suppression of S6K1 activity and GSK-3ß phosphorylation in kdAkt mice resulted from the sequestration of PDK1 by overexpression of kdAkt. The 64% reduction in S6K1 activity in the hearts of kdAkt mice did not disturb developmental growth. It is likely that residual S6K1 activity was sufficient to maintain normal heart growth.
Growth hormone is an endocrine promoter of IGF-1 production. Patients with acromegaly, a condition of growth hormone excess, are associated with marked cardiac hypertrophy and reduced cardiac function (22). Cardiovascular mortality is increased in patients with acromegaly (52). Autopsies of hearts from acromegaly patients showed myocyte hypertrophy and fibrosis (43). These observations are similar to the findings in caAkt transgenic mice. We speculate that Akt may be involved in the pathogenesis of cardiomyopathy in acromegaly patients. We did not observe cardiomyopathic changes in caPI3K transgenic mice, probably due to the lower Akt kinase activity compared with that of caAkt (see below).
In our caAkt mice, the increase in HW (2.0-fold ± 0.0-fold) was associated with a comparable increase in cell volume (1.9-fold ± 0.2-fold), suggesting that Akt increased heart size by increasing cell size. This is in agreement with a previous study, in which overexpression of Akt resulted in increased cell size, but not cell number, in the Drosophila wing (74). However, an increase in heart size occurs postnatally, when the myocytes are postmitotic (64, 65), and the promoter used to generate transgenic mice in this study is active mainly after birth in the ventricles (49, 53). Therefore, interpretation of the present findings on the heart may be different from those on other mitotically competent organs, where there is a potential role for Akt in the regulation of cell number.
We previously reported that heart-specific expression of caPI3K in transgenic mice increased HW 1.2-fold ± 0.0-fold. Total Akt activity, measured by an in vitro kinase assay, was increased 2.2-fold ± 0.2-fold in caPI3K mice (Shioi et al., unpublished observation). In caAkt mice, HW was increased 2.0-fold ± 0.0-fold and total Akt activity was increased 80.4-fold ± 2.9-fold. Thus, the increase in heart size in caPI3K and caAkt mice appeared to be correlated with the increase in Akt activity in the heart. In addition, the mutant kdAkt protein attenuated the caPI3K induced overgrowth of the heart and the mutant caAkt protein circumvented cardiac growth retardation induced by a mutant kdPI3K protein. These results suggest that Akt is an important downstream effector of PI3K in promoting heart growth in the intact animal.
| ACKNOWLEDGMENTS |
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MyHC promoter DNA clone, S. Sehgal (Wyeth-Ayerst) for rapamycin, M. Birnbaum for the phospho-S6 antibody, A. Toker for GST-PKC
, L. Zhou and K. Converso for assistance in echocardiography, J. Hampe for assistance in cell size measurement, and C. M. Yballe and H. Aoki for helpful discussions. This work was supported in part by grant GM 41890 and a SCOR Grant on Atherosclerosis to L.C.C. and NIH grants AG 61716 and HL 65742 to S.I.
| FOOTNOTES |
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