Department of Biochemistry and Molecular Biology, Monash University, Victoria 3800, Australia,1 Cold Spring Harbor Laboratory, Cold Spring Harbor, New York 117242
Received 13 August 2002/ Returned for modification 18 September 2002/ Accepted 11 December 2002
| ABSTRACT |
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| INTRODUCTION |
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Protein tyrosine phosphatases (PTPs) have a prominent role in the control of insulin receptor (IR) signaling. PTPs dephosphorylate the IR and its substrates and thus serve to inactivate the IR and terminate signaling. The IR and IRS proteins are rapidly and transiently phosphorylated in response to insulin, with phosphotyrosine (pTyr) content in the IR returning to basal levels within minutes of stimulation (10, 16). It is probable that numerous PTPs participate in the dephosphorylation of the IR and the multiple downstream tyrosine-phosphorylated signaling proteins. Several PTPs have been implicated in the negative regulation of the IR, including the endoplasmic reticulum-associated PTP1B (6, 8, 49, 50) and the transmembrane PTPs LAR (34) and PTP
(30, 41). PTP
has been shown to inhibit insulin-induced prolactin gene expression without altering the phosphorylation status of the IR, IRS-1, or Shc (26). Similarly, LAR may not dephosphorylate the IR in vivo but may downregulate insulin signaling by dephosphorylating adaptor proteins such as IRS-2 (38, 42, 59).
Over the past several years, numerous reports have provided conclusive evidence for PTP1B's role in IR receptor signaling. PTP1B can dephosphorylate the IR in vitro, and with substrate-trapping mutants, several studies have demonstrated that PTP1B can recognize the IR as a cellular substrate (reviewed in reference 51). Moreover, ectopic expression of PTP1B in cells can inhibit insulin signaling, whereas impairment of PTP1B function stimulates insulin signaling (reviewed in reference 51). The most compelling evidence for PTP1B's role in IR signaling has come from Elchebly et al. (12) and Klaman et al. (28), who report that mice lacking PTP1B have increased insulin sensitivity and resistance to obesity induced by a high-fat diet. Although PTP1B-null mice exhibit enhanced IR tyrosine phosphorylation in muscle (approximately 1.75-fold at 2 min following bolus administration of insulin to the inferior vena cava) and sustained IR tyrosine phosphorylation in the liver (12), the IR is nevertheless eventually dephosphorylated (51). Moreover, insulin sensitivity in PTP1B-dificient mice is tissue specific, and although PTP1B has been implicated in the regulation of IR in liver and skeletal muscle, it does not have a role in the regulation of IR in adipose tissue (12, 28). Consistent with in vivo data, overexpressed PTP1B inhibits IR signaling and glucose uptake in L6 myocytes and Fao hepatoma cells but has no effect in 3T3-L1 adipocytes (11, 52). Thus, not only must additional PTPs participate in the downregulation of IR in liver and skeletal muscle, but an altogether different PTP must regulate IR tyrosine phosphorylation in adipocytes.
All PTPs have a conserved catalytic domain of approximately 280 residues sharing a sequence identity of approximately 35% (1, 4). Human TCPTP is the PTP most closely related to PTP1B (1), with 72% sequence identity and 86% similarity in the catalytic domain (residues 43 to 288). A comparison of the crystal structure of the TCPTP catalytic domain (residues 5 to 277) (25) to that of PTP1B (3) indicates that the two phosphatases have virtually identical catalytic active sites (25). Recently, the crystal structure of PTP1B in complex with the IR ß-subunit activation loop peptide encompassing the tandem phosphotyrosine (pTyr) residues at 1162 and 1163 was solved (39). In this structure, whereas pTyr-1162 was selected at the PTP1B catalytic active site, pTyr-1163 was bound to an adjacent pTyr recognition pocket and increased PTP1B's selectivity for the tandemly phosphorylated IR peptide (39). The side chains from Arg-24 and Arg-254 from this second pTyr recognition pocket formed salt bridges directly with the phosphate of pTyr-1163 (39).
Although Arg-254 is invariant within the PTP family, TCPTP and PTP1B are the only known PTPs that possess Arg-24. In addition, the crystal structure revealed that access to the second pTyr recognition pocket by pTyr-1163 was made possible by the small side chain of Gly-259. Gly-259 is present in TCPTP, but in most other PTPs, including all receptor PTPs, Gly-259 is replaced by amino acids with bulky side chains that would sterically hinder the access of pTyr-1163 (39). Given the conservation of the second pTyr recognition pocket (25), it is apparent that the TCPTP catalytic domain at least has the potential to recognize the tandemly phosphorylated IR similarly to PTP1B and moreover that such recognition of the IR may be unique to PTP1B and TCPTP.
Two forms of human TCPTP exist that have identical catalytic domains but different noncatalytic C-termini: a 48-kDa form (TC48) that is targeted to the endoplasmic reticulum by a stretch of hydrophobic residues at the extreme C terminus, and a 45-kDa variant (TC45) that lacks the hydrophobic C-terminal tail and is targeted to the nucleus by an atypical bipartite nuclear localization sequence (22, 33, 47). Although targeted to the nucleus, TC45 can exit the nucleus in response to specific stimuli to dephosphorylate distinct substrates and regulate specific signaling processes (45, 46, 48). Several cellular substrates of TCPTP have been identified. These include the epidermal growth factor (EGF) receptor, the adaptor protein p52Shc (29, 46, 48), the Janus family kinases (JAKs) 1 and 3 (43), and signal transducer and activator of transcription (STAT) 1 (44, 60). Previous overexpression studies have shown that the endoplasmic reticulum-localized TC48 can dephosphorylate the overexpressed IR in 293 cells (32). More recent studies have shown that the recombinant TCPTP catalytic domain can dephosphorylate the IR in vitro as well as PTP1B (53). Here we have used TCPTP substrate-trapping mutants and TCPTP-null cells and identified the IR as an in vivo substrate for both TC48 and TC45.
| MATERIALS AND METHODS |
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Plasmid constructs. TC48-pBluescript II KS(+), TC45-pWZL(Hygro), and pMT2 and pCG constructs encoding TC45 and TC45-D182A have been described previously (29, 31, 47). To generate the TC48-pWZL(Hygro) construct, human TC48 cDNA was excised with SalI and EcoRI from the TC48-pBluescript II KS(+) construct and cloned into the same sites of the retroviral expression vector pWZL(Hygro). The structure of the recombinant plasmid was confirmed by restriction endonuclease analysis.
Reverse transcription-PCR analysis. Total RNA from TCPTP-/- (EFM4-/-) or TCPTP+/+ (EFM7+/+) cells was isolated with the RNAeasy kit (Qiagen GmbH, Germany); 6 µg of RNA, oligo(dT)15 primer (Promega, Madison, Wis.), and avian myeloblastosis virus reverse transcriptase (Roche Diagnostics GmbH, Mannheim, Germany) were used for first-strand cDNA synthesis for 3 h according to the manufacturer's instructions. One fifth of this reaction mix was used for the amplification of TCPTP cDNAs by PCR with recombinant Taq DNA polymerase (Invitrogen, Carlsbad, Calif.) and 30 ng of each of the forward and reverse oligonucleotide primers in a 25-µl reaction. Amplification parameters were 5 min at 94°C, 40 cycles of 1 min at 94°C, 1 min at 50°C, and 1 min at 72°C, followed by an additional 10 min at 72°C. The forward primer for murine TCPTP was 5'-AGCAGTTGTCATGCTGAA-3' and the reverse primer was 5'-TGGACACTGCTTTTTCACTAA-3' for TC48 and 5'-AGGCCAAGATTGACAGACACCTAA-3 for TC45. ß-Actin primers were 5'-TGAAGTCTGACGTGGACATC-3' and 5'-ACTCGTCATACTCCTGCTTG-3'.
Cell culture. Chinese hamster ovary (CHO) cells stably overexpressing the human insulin receptor (CHO/IR) were cultured at 37°C and 5% CO2 in Ham's F12 medium containing 10% fetal bovine serum, 100 U of penicillin per ml, and 100 µg of streptomycin per ml. Human embryonic kidney 293 cells and the TCPTP-/- and TCPTP +/+ murine embryo fibroblast cell lines (EFM4-/- EFM14-/-, EFM7+/+, and EFM11+/+) were cultured under the same conditions in Dulbecco's modified Eagle's medium containing 10% (vol/vol) fetal bovine serum plus antibiotics. Where indicated, cells were serum starved in medium containing 0.1% (vol/vol) fetal bovine serum plus antibiotics. CHO/IR and 293 cells were serum starved for 20 h, whereas TCPTP-/- and TCPTP+/+ cells were serum starved for 4 to 5 h.
TCPTP reconstitution in TCPTP-null cells. Retroviruses encoding human TC48 or TC45 were generated as described previously (15). Briefly, the BING replication-incompetent virus packaging cell line was electroporated with either TC48-pWZL(Hygro) or TC45-pWZL(Hygro) DNA. Virus-containing supernatants were harvested and added to cultures of TCPTP-/- cells (EFM4-/-). Drug-resistant colonies were isolated after 7 days of selection in medium containing 100 µg of hygromycin B (Invitrogen, Carlsbad, Calif.) per ml and maintained in the same medium. All experiments were performed in the absence of hygromycin B.
Transfections and immunoprecipitations. 293 cells were electroporated as described previously (29) with either 20 µg of pCG vector control, TC45-pCG, or TC45-D182A-pCG or 40 µg of TC48-pMT2 or TC48-D182A-pMT2. The efficiency of electroporation, as assessed at 24 h by 5-bromo-4-chloro-3-indolyl ß-D-galactosidase (X-Gal) staining of pCMV-ß-galactosidase-electroporated cells, was routinely 75 to 90%. At 24 h posttransfection the electroporated cells were serum starved for 20 h and either left untreated or stimulated with 100 nM insulin for 15 min. Cells were then lysed in immunoprecipitation lysis buffer (50 mM Tris [pH 7.5], 1% [wt/vol] NP-40, 150 mM NaCl, 50 mM NaF, leupeptin [5 µg/ml], pepstatin [1 µg/ml], 1 mM benzamidine, 2 mM phenylmethylsulfonyl fluoride) and processed for TCPTP immunoprecipitation with the CF4 antibody in the presence of 5 mM iodoacetic acid as described previously (46).
pTyr-containing proteins from TCPTP-/- (EFM4-/-) and TCPTP+/+ (EFM7+/+) cells that had been serum starved or serum starved and insulin stimulated (10 nM, 45 to 60 min) were immunoprecipitated from 1 mg of total protein (as determined by the method of Bradford) in the presence of 1 mM sodium orthovanadate with anti-pTyr G104 antibody (10 µl of ascites) for 2 h at 4°C under constant mixing. Immune complexes were collected on protein A-Sepharose CL-4B (Pharmacia, Uppsala, Sweden) for 60 min at 4°C and washed four times with immunoprecipitation lysis buffer containing 2 mM sodium orthovanadate and once with 50 mM Tris, pH 7.5. Immune complexes were resolved by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and immunoblotted as indicated.
Immunofluorescence. CHO/IR cells were electroporated as described previously (56). Briefly, the equivalent of one 10-cm dish of 80 to 90% confluent CHO/IR cells was electroporated with 30 µg of pMT2 vector control, TC45-pMT2, or TC45-D182A-pMT2 plasmid (46) at 340 V and 975 µF in 0.4-cm cuvettes and seeded onto glass coverslips in a 6-cm dish containing 5 ml of medium. At 2 to 3 h posttransfection, cells were supplemented with fresh medium. After serum starvation and stimulation with insulin (100 nM, 30 min), the cells were fixed with 3.2% (wt/vol) paraformaldehyde in phosphate-buffered saline and processed as described previously (46) with the monoclonal anti-TCPTP antibody CF4 or polyclonal anti-TCPTP 6228 and monoclonal anti-IR ß-subunit antibodies.
| RESULTS |
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TC45-D182A substrate-trapping mutant accumulates in the cytoplasm following insulin stimulation. We have reported previously that under basal conditions, TC45 is nuclear, but in response to specific stimuli, TC45 can shuttle out of the nucleus to regulate cellular signaling in the cytoplasm (31, 46, 48). This change in localization can be visualized in cells overexpressing the TC45-D182A substrate-trapping mutant, which can form stable complexes with tyrosine-phosphorylated cytoplasmic substrates, resulting in accumulation of the TC45-D182A mutant in the cytoplasm (46). For example, in response to EGF stimulation, the TC45-D182A mutant forms a complex and colocalizes with the EGF receptor at the cell periphery (46, 48).
To determine whether TC45 exits the nucleus in response to insulin stimulation, we ascertained the subcellular localization of the TC45-D182A substrate-trapping mutant in CHO cells stably expressing the IR (CHO/IR). CHO/IR cells overexpressing the TC45-D182A mutant were serum starved and either left untreated or stimulated with insulin and then processed for immunofluorescence microscopy with antibodies specific for TCPTP or the IR ß-subunit (Fig. 2). Under serum starvation conditions, TC45-D182A localized to the nucleus (Fig. 2A). After stimulation with insulin, TC45-D182A accumulated in the cytoplasm (Fig. 2A) and in part colocalized with the IR ß-subunit at the cell periphery (Fig. 2B). These results indicate that TC45 can exit the nucleus and have access to the tyrosine-phosphorylated IR in the cytoplasm and at the cell periphery in response to insulin stimulation.
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42-kDa pTyr protein was identified as the mitogen-activated protein kinase ERK2 by immunoblotting with antibodies specific for ERK2 protein or the phosphorylated and activated ERK1/2 (data not shown). Based on molecular weight, we speculated that the other insulin-induced pTyr protein in the TCPTP-/- cell lysates might be the IR ß-subunit (95 kDa). Consistent with this supposition, we found that the IR ß-subunit comigrated with the
95-kDa pTyr protein (Fig. 4B). Similar results for the
95-kDa pTyr protein were acquired with a second independent pair of immortalized mouse embryo fibroblast TCPTP-/- (EFM14-/-) and TCPTP+/+ (EFM11+/+) cells (Fig. 4C). Here too the
95-kDa pTyr protein comigrated with the IR (Fig. 4C), indicating that IR-pTyr may be enhanced in TCPTP-null cells. In contrast, the
42-kDa pTyr protein was not observed in EFM14-/- cells (Fig. 4A), indicating that the enhanced ERK1/2 activation in EFM4-/- cells (Fig. 4C) may be attributed to cell line differences arising from immortalization rather than TCPTP loss. The TCPTP-/- and TCPTP+/+ cells expressed very small amounts of the IR, and by using two commercially available antibodies that otherwise immunoprecipitated the IR ß-subunit from differentiated 3T3-L1 adipocytes and HepG2 hepatocytes, we were unable to immunoprecipitate the IR ß-subunit from TCPTP-/- or TCPTP+/+ cells. As such, we could not investigate directly the tyrosine phosphorylation state of the IR ß-subunit in IR immunoprecipitates. To circumvent this technical difficulty, we monitored for the presence of the IR ß-subunit in pTyr immunoprecipitates from serum-starved and insulin-stimulated TCPTP-/- (EFM4-/-) versus TCPTP+/+ (EFM7+/+) cells (Fig. 4D). Similar amounts of the IR ß-subunit protein were present in the lysates utilized for the pTyr immunoprecipitations (Fig. 4D), and given the comparable levels of overall pTyr in TCPTP-/- versus TCPTP+/+ cells (Fig. 4A), we reasoned that any differences in IR ß-subunit association should reflect differences in IR ß-subunit pTyr status. We found significantly higher amounts of IR ß-subunit protein in pTyr immunoprecipitates from TCPTP-/- compared to TCPTP+/+ cells stimulated with 10 nM insulin for 5 min (data not shown) or 60 min (Fig. 4D). Taken together, these results indicate that the IR ß-subunit is hyperphosphorylated in TCPTP-null cells following insulin stimulation.
Insulin-induced signaling is enhanced in TCPTP-null cells. Tyrosine phosphorylation of molecules by the IR creates docking sites for the recruitment of SH2 and PTB domain-containing proteins for the activation of downstream signaling cascades (reviewed in references 5, 40, 54, and 55). These signaling processes include the phosphatidylinositol 3-kinase/protein kinase PKB/Akt pathway that can stimulate GLUT4 translocation and glucose uptake in muscle and adipose tissue (9, 21; reviewed in references 5, 40, 54, and 55). We determined the status of PKB/Akt activation in TCPTP-/- (EFM4-/-) relative to TCPTP+/+ (EFM7+/+) cells following stimulation with 1 nM (Fig. 5A) or 10 nM (Fig. 5B) insulin with antibodies specific for the phosphorylated and activated PKB/Akt (phospho-Akt) (Fig. 5A and B). When comparing TCPTP-/- to TCPTP+/+ cells, insulin stimulations were undertaken at the same time and proteins from the respective cell lines were resolved by SDS-PAGE and transferred onto the same membrane for immunoblot analysis.
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TCPTP reconstitution suppresses the enhanced and prolonged IR ß-subunit tyrosine phosphorylation and signaling in TCPTP-null cells. To provide further evidence that TCPTP loss results in enhanced insulin-induced signaling, we decided to reconstitute TCPTP in TCPTP-/- cells and assess whether IR ß-subunit pTyr and PKB/Akt activation were altered. However, first we determined whether TC48, TC45, or both were expressed in the TCPTP+/+ cells. Previous studies have reported that TC48 is not detectable in TCPTP+/+ cells (23, 43, 44). By immunoblot analysis with either monoclonal antibody 3E2 (which recognizes a region in the TCPTP noncatalytic C terminus that is common to both TC48 and TC45) (Fig. 3) or polyclonal 6228 antibodies (which recognize the TCPTP catalytic domain), we could only detect a single protein in wild-type cells that was not present in TCPTP-/- cells (Fig. 6A). This protein was approximately 45 kDa (Fig. 6A), and based on this molecular mass, it would be reasonable to conclude that the major TCPTP variant in TCPTP+/+ cells was TC45. To assess whether TC48 was expressed at all in TCPTP+/+ cells, we used reverse transcription-PCR and oligonucleotide primers specific for either murine TC48 or TC45 (Fig. 6B) and examined TCPTP mRNA expression. mRNA for both TC48 and TC45 was detected in TCPTP+/+ (EFM7+/+) but not in TCPTP-/- (EFM4-/-) cells (Fig. 6C). These results indicate that although TC45 may predominate in TCPTP+/+ cells, TC48 protein may still be present, albeit at significantly lower levels.
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95-kDa pTyr protein that comigrated with the IR ß-subunit and was detected in TCPTP-/- cells following insulin stimulation (Fig. 9A). Concordantly, TC48 expression suppressed the sustained activation of PKB/Akt in TCPTP-/- cells in response to 10 nM insulin (Fig. 9B). These results indicate that TC48 can also suppress the enhanced insulin-induced IR tyrosine phosphorylation and signaling in TCPTP-/- cells and therefore may also contribute to IR regulation in vivo.
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| DISCUSSION |
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In this study we have shown that the otherwise nuclear TC45 can exit the nucleus and gain access to the IR in response to insulin stimulation. As in the case of the EGF receptor (46), the mechanism by which TC45 nuclear exit may occur is not clear; however, it may involve suppression of TC45 nuclear import, as we have reported previously for the influence of cellular stress on TC45 localization (31). Nevertheless, with the possible exception of the STATs (2, 44), all other substrates identified to date for this "nuclear" phosphatase, including the EGF receptor, p52Shc (46, 48), the Janus-associated kinases (43), and now the IR, are in the cytoplasm.
One possibility is that the spatial isolation of TC45 in the nucleus may be essential for insulin-induced signal initiation, and TC45's nuclear exit may represent a negative feedback loop for the coordinated suppression of IR signaling. Such spatial isolation would also be pertinent to endoplasmic reticulum-localized phosphatases such as PTP1B and TC48. Presumably PTP1B and TC48 would only have access to the IR upon receptor endocytosis, and indeed this is the case for PTP1B and its recognition of the EGF receptor (13, 18). Notably, loss of PTP1B in cells has no significant impact on EGF receptor-mediated PKB/Akt signaling despite enhancing EGF receptor tyrosine phosphorylation (17). As such, EGF receptor-mediated PKB/Akt activation may occur predominantly at the plasma membrane. Consistent with this notion, we have shown previously that the overexpressed endoplasmic reticulum-localized TC48 does not suppress EGF receptor-mediated PKB/Akt activation, whereas TC45 does (48). In contrast, in the case of the IR, the effects of PTP1B loss on insulin-induced signaling in vivo (12, 28) and our data demonstrating that TC48 expression can suppress the enhanced insulin-induced PKB/Akt activation in TCPTP-null cells may indicate that IR-mediated PKB/Akt signaling occurs after endocytosis, whereupon TC48 and PTP1B would have ready access to the receptor. This is consistent with some previous studies indicating that a significant proportion of IR signaling occurs after endoyctosis and is associated with endosomes (27).
Despite our reverse transcription-PCR results indicating that TC48 message is present in the TCPTP+/+ cells, by immunoblot analysis we could only detect TC45 protein. One possibility is that TC48 protein is present at low levels and its detection may be beyond the ability of our antibodies. Another possibility is that the electrophoretic mobilities of endogenous TC48 and TC45 in the TCPTP+/+ cells overlap, possibly because of posttranslational modifications such as phosphorylation (19, 36). Irrespective, our data indicate that TC48 expression can complement the loss of TCPTP in TCPTP-null cells. Therefore, our studies demonstrate that both TCPTP variants have the capacity to regulate the IR and insulin-induced signaling in vivo. Although the TCPTP+/+ cells may express principally TC45 and thus the enhanced IR activation and signaling in these murine cells may be attributable largely to the loss of TC45, it is plausible that in some circumstances, TC48 may be more abundant than TC45 and there, TC48 may have a more prominent role in IR regulation.
Previous studies utilizing the immortalized mouse embryo fibroblasts from TCPTP knockout animals indicated that PKB/Akt activation is not altered in response to platelet-derived growth factor (23), demonstrating that PKB/Akt signaling is not enhanced in general in the TCPTP-/- cells. We found that insulin-induced IR tyrosine phosphorylation and PKB/Akt signaling were enhanced in TCPTP-null cells and suppressed upon TCPTP reconstitution, providing persuasive evidence that TCPTP can regulate IR activation and signaling. Although our studies are consistent with TCPTP's acting on the IR, we cannot formally exclude the possibility that at least part of the effects of TCPTP on insulin-induced signaling in the TCPTP-null cells may be attributable to TCPTP's acting on substrates downstream of the IR that were not detected in our pTyr immunoblots. For example, previous studies have indicated that the phosphatase LAR may suppress insulin-induced signaling by dephosphorylating IRS-1 (59). In this study, we did not detect IRS-1 in TCPTP-D182A substrate-trapping mutant immunoprecipitates from 293 cells, nor did we detect a hyperphosphorylated protein corresponding to the molecular weight of IRS-1 in TCPTP-/- lysates, indicating that IRS-1 may not be a direct substrate of TCPTP.
The crystal structure of the PTP1B catalytic domain in complex with the Y1162/Y1163 tandemly phosphorylated IR ß-subunit peptide revealed the existence of a second pTyr binding pocket in PTP1B that confers enhanced substrate binding (39). More recently, the crystal structure of the TCPTP catalytic domain indicated that this additional binding pocket also exists in TCPTP (25). Consistent with this, we had shown in early studies that TC45 recognizes p52Shc phosphorylated on Y239/Y240 in preference to Y317 (46). More recent data have indicated that both TCPTP and PTP1B recognize the doubly phosphorylated JAK protein tyrosine kinases (7, 35, 43). In this report we demonstrate that TCPTP can recognize the tandemly phosphorylated tyrosines 1162 and 1163 on the activation loop of the IR ß-subunit and thus may suppress IR activation and signaling in a manner analogous to PTP1B. However, our studies do not preclude the possibility that TCPTP may recognize additional sites on the IR (20, 24, 37) or even that it may recognize such sites with greater efficiency.
Whereas TCPTP-null mice succumb to hematopoietic defects within weeks of birth (57), PTP1B-null mice develop normally but exhibit increased insulin sensitivity and obesity resistance (12, 28) attributable to IR (12) and JAK2 (7, 58) hyperphosphorylation, respectively. These differential phenotypes indicate that at least in mice, PTP1B and TCPTP are differentially required, with TCPTP being essential for normal hematopoiesis. The early lethality and the complexity associated with interpreting metabolic results from ailing TCPTP-null mice have prohibited an in vivo analysis of TCPTP's contribution to IR signaling. A number of possibilities exist as to how TCPTP and PTP1B may regulate the IR. They may dephosphorylate the IR in the same cell, or they may act in different cells or tissues. Our studies demonstrate that loss of TCPTP, even in the presence of PTP1B, enhances IR activation and signaling, indicating that the two phosphatases may act in concert in the same cell to regulate IR signaling in vivo.
| ACKNOWLEDGMENTS |
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S.G. and M.K.-H. contributed equally to this work.
This work was supported by the NHMRC and Diabetes Australia (to T.T.) and the National Institutes of Health CA53840 (to N.K.T.). T.T. is an NHMRC of Australia R. D. Wright Fellow and a Monash University Logan Fellow.
| FOOTNOTES |
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