Norbert Prenzel,
and Axel Ullrich*
Department of Molecular Biology, Max Planck Institute of Biochemistry, D-82152 Martinsried, Germany
Received 28 October 2003/ Returned for modification 8 January 2004/ Accepted 6 March 2004
| ABSTRACT |
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| INTRODUCTION |
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Osmotic or oxidative stress stimuli trigger the autophosphorylation of a variety of receptor tyrosine kinases (RTKs) including the epidermal growth factor receptor (EGFR), which is particularly sensitive to stress-induced activation (29, 30, 39, 41). The EGFR controls a plethora of important biological responses including cell proliferation, differentiation, migration, and antiapoptotic signaling and has therefore been implicated in diverse human disorders (37). Both ligand-dependent and -independent mechanisms have been reported for stimulation of EGFR tyrosine kinase activity. Ligand-mediated receptor activation is initiated by binding of an EGF-like ligand such as EGF, heparin-binding EGF (HB-EGF), amphiregulin (AR), betacellulin, epiregulin, or transforming growth factor
(TGF-
) to the receptor's ectodomain. Subsequent dimerization triggers the receptor's intrinsic kinase activity, catalyzing autophosphorylation on intracellular tyrosine residues (45). In contrast, ligand-independent receptor activation has been proposed to occur via inactivation of phosphotyrosine phosphatases through ROS-induced oxidation of a critical cysteine residue within their catalytic pocket (30). Inhibition of negative regulation then results in an equilibrium shift from the nonphosphorylated to the phosphorylated state of the RTK. In addition, ligand-independent receptor activation has been suggested to involve nonspecific clustering and internalization of the EGFR (41). Furthermore, cytoplasmic nonreceptor tyrosine kinases such as c-Src and JAK2 have been shown to phosphorylate the EGFR (3, 50, 53).
Tyrosine phosphorylation of the EGFR is also induced upon stimulation of various G protein-coupled receptors (GPCRs), a conserved signaling process known as EGFR signal transactivation (12). Activation of this pathway was originally attributed to an exclusively ligand-independent mechanism. However, Prenzel and colleagues demonstrated that EGFR signal transactivation occurs via metalloprotease-mediated processing of active EGF-like ligand precursors and the involvement of the extracellular matrix (38). Very recently, members of the ADAM family of metalloproteases were identified as the sheddases required for GPCR-induced proteolytic processing of pro-HB-EGF and pro-AR ligand precursors. Several members of this enzyme family, such as ADAM10, ADAM12, and ADAM17 (also known as tumor necrosis factor alpha-converting enzyme), could be implicated in this signaling process (1, 21, 54). Aberrant signal transmission involving ligand-dependent EGFR transactivation has been implicated in the progression of various human disorders, such as head and neck squamous cell carcinoma, cardiac and gastrointestinal hypertrophy, and cystic fibrosis (1, 22, 28, 32). Furthermore, ADAM9 has been shown to process pro-HB-EGF in response to protein kinase C activation upon phorbol ester treatment (23), while cleavage of pro-TGF-
, pro-HB-EGF, and proamphiregulin by ADAM17 has also been reported (34, 36, 47) and was implicated in tumorigenesis in the case of TGF-
(5).
Besides RTK phosphorylation, environmental stress leads to the activation of mitogen-activated protein kinase (MAPK) signaling, which couples various extracellular stimuli to the activation of transcription factors in the nucleus. MAPK signal transduction cascades thereby control important processes such as proliferation, migration, differentiation, and stress responses (9, 25). Apart from activating transcription factors, the MAPKs extracellular signal-regulated kinases 1 and 2 (ERK1/2) and p38 can control transmembrane protein processing (15) by phosphorylating the intracellular domain of ADAM17 (14, 16). The mechanisms of MAPK activation by osmotic and oxidative stress have been intensely studied (31). Previous reports implicated the downregulation of antagonistic phosphatases as well as the regulation of scaffolding protein function in MAPK activation induced by stress agents (2, 13). Moreover, small G proteins have been demonstrated to play a role in the activation of MAPK by osmotic stress (13). The activation of MAPK by stress stimuli has severe consequences for the development and progression of human cancer, as increasing evidence implicates both ROS and stress-activated MAPKs such as p38 and JNK in cancer cell proliferation and susceptibility to apoptosis. Importantly, recent studies revealed that exposure to anticancer drugs triggers stress-induced signaling cascades (reviewed in reference 2). As the EGFR might be part of this drug-induced stress signaling, its cellular functions are likely to determine the therapeutic results.
The mechanisms of RTK and MAPK activation in response to oxidative and osmotic stress have been intensely studied, but so far, these regulatory pathways have been generally described as ligand-independent processes in human carcinoma cells. Recent advances in understanding the regulation of EGFR activation by ADAM metalloproteases prompted us to investigate the mechanisms of stress-induced EGFR and MAPK stimulation with respect to a potential involvement of EGF-like ligand processing.
In this report, we establish the proteolytic cleavage of pro-HB-EGF as the critical step for EGFR activation in response to osmotic or oxidative stress and identify members of the ADAM family of metalloproteases as components of this process. We further provide evidence that stress-induced EGFR triggers the activation of the ERK and JNK MAPKs, whereas EGFR activation itself depends on p38 activity, implicating this MAPK as an upstream activator of ADAM metalloproteases in the stress response of human carcinoma cells. Finally, we show that blockade of HB-EGF function strongly enhances tumor cell death upon exposure to the chemotherapeutic agent doxorubicin, which induces p38 activation. Our findings suggest a role of the p38-ADAM-EGFR pathway in the escape of tumor cells from chemotherapy-induced cell death.
| MATERIALS AND METHODS |
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Protein analysis. Cells were lysed and proteins were immunoprecipitated as described before (11). Prior to lysis, cells grown to 80% confluence were treated with inhibitors and agonists as indicated in the figure legends and then lysed for 10 min on ice in buffer containing 50 mM HEPES (pH 7.5), 150 mM NaCl, 1% Triton X-100, 1 mM EDTA, 10% glycerol, 10 mM sodium pyrophosphate, 2 mM sodium orthovanadate, 10 mM sodium fluoride, 1 mM phenylmethylsulfonyl fluoride, and 10 µg of aprotinin/ml. Lysates were precleared by centrifugation at 13,000 rpm for 10 min at 4°C. Precleared lysates were immunoprecipitated using the respective antibodies and 20 µl of protein A-Sepharose for 4 h at 4°C. Precipitates were washed three times with 0.5 ml of HNTG buffer, suspended in 2x sodium dodecyl sulfate (SDS) sample buffer, boiled for 3 min, and subjected to gel electrophoresis. Following SDS-polyacrylamide gel electrophoresis, proteins were transferred to nitrocellulose membrane. Western blotting was performed according to standard methods. The antibodies to human EGFR (108.1) and Shc have been characterized before (38). Phosphotyrosine was detected with the 4G10 monoclonal antibody (Upstate Biotechnology Inc., Lake Placid, N.Y.). Polyclonal anti-phospho-p44/p42 (Thr202/Tyr204) MAPK antibody and anti-phospho-JNK (Thr183/Tyr185) and anti-phospho-p38 (Thr180/Tyr182) antibodies were purchased from New England Biolabs (Beverly, Mass.). Polyclonal anti-ERK2, anti-JNK1, and anti-p38 antibodies were from Santa Cruz Biotechnology (Santa Cruz, Calif.). Polyclonal antibodies to ADAM10 and -17 were from Chemicon. The antibody to ADAM12 was provided by Beatrice Marg and was generated by immunization of rabbits with a fusion protein consisting of the extracellular domain of the protease aa 1 to 673 and an N-terminal GST tag. The polyclonal antibody against ADAM15 was produced against the peptide sequence CGTKSQGPAKPPPPKPL. Unless otherwise stated, the data shown are representative for three independent experiments. Quantification of Western blot experiments was performed using the Fuji LAS1000 system.
JNK activity assay.
JNK activity was assayed as described previously (46). Cultured cells were lysed in lysis buffer containing 20 mM Tris (pH 7.6), 0.5% Nonidet P-40, 250 mM NaCl, 3 mM EDTA, 1 mM dithiothreitol, 0.5 mM phenylmethylsulfonyl fluoride, 20 mM ß-glycerophosphate, 1 mM sodium orthovanadate, and 1 µg of leupeptin/ml. JNK was immunoprecipitated from lysates obtained from six-well dishes with polyclonal anti-JNK antibody. Immunoprecipitates were washed twice using lysis buffer and twice using kinase assay buffer (25 mM HEPES [pH 7.5], 20 mM ß-glycerophosphate, 20 mM p-nitrophenylphosphate, 20 mM MgCl2, 2 mM dithiothreitol, and 0.1 mM sodium orthovanadate). Kinase reactions were performed in 30 µl of kinase buffer supplemented with 1 µg of glutathione S-transferase (GST)-c-Jun (amino acids 1 to 79), 20 µM cold ATP, and 5 µCi of [
-32P]ATP at 30°C for 30 min. Reactions were stopped by addition of 30 µl of Laemmli buffer, and reaction mixtures were subjected to gel electrophoresis on 12.5% polyacrylamide gels. Labeled GST-c-Jun was quantitated using a phosphorimager (Fuji).
Flow cytometric analysis. Fluorescence-activated cell sorter analysis was performed as described before (38). In brief, cells were seeded, grown for 20 h, and serum starved for 24 h. Cells were treated with inhibitors and stimulated as indicated. After collection, cells were stained with an ectodomain-specific antibody to pro-HB-EGF for 45 min. After being washed with phosphate-buffered saline, cells were incubated with fluorescein isothiocyanate-conjugated secondary antibodies for 15 min and washed again with phosphate-buffered saline. Cells were analyzed on a Becton Dickinson FACScalibur flow cytometer.
TCA precipitation of HB-EGF. Cos-7 cells transiently transfected with pcDNA3-pro-HB-EGF-VSV were serum starved for 24 h. Prior to stimulation cells were washed, preincubated with BB94 (10 µM), and stimulated as indicated. After stimulation the supernatant was collected, sodium desoxycholate was added (100 µg/ml), and following incubation on ice for 10 min the solution was supplemented with trichloric acid (TCA) to a final concentration of 10% TCA. After incubation on ice for 30 min samples were centrifuged, the supernatant was discarded, and the precipitates were resuspended in Schägger-von Jargow sample buffer (4% SDS, 12% glycerol, 50 mM Tris-HCl [pH 6.8], 2% ß-mercaptoethanol, 0.01% Serva Blue G) (44). TCA was neutralized using Tris-HCl (pH 8.8), and samples were separated using the Tricine-SDS gel electrophoresis protocol (44).
RNA interference and reverse transcription-PCR (RT-PCR) analysis. Transfection of 21-nucleotide small interfering RNA (siRNA) duplexes (Dharmacon Research, Lafayette, Colo.) for targeting endogenous genes was carried out using Oligofectamine (Invitrogen) for NCI-H292 cells and 4.2 µg of siRNA duplex per six-well plate as previously described (14a). Cos-7 cells were transfected using Lipofectamine 2000 (Invitrogen) according to the manufacturer's protocol. Briefly, 8.4 µg of siRNA duplex per 6-cm-diameter dish was incubated with 10 µl of Lipofectamine 2000 in 1 ml of serum-free medium for 20 min. The transfection mixture was added to the cell culture medium containing serum, and after 6 h, cells were washed and incubated in medium containing serum overnight. NCI-H292 and Cos-7 cells were serum starved and assayed 2 days after transfection. The highest efficiencies in silencing target genes were obtained by using mixtures of siRNA duplexes targeting different regions of the gene of interest. Sequences of siRNAs used were AAUCACUGUGGAGACAUUUGCdTdT and AAACUUCCAGUGUGUAGAUGCdTdT (ADAM9); AAUGAAGAGGGACACUUCCCUdTdT and AAGUUGCCUCCUCCUAAACCAdTdT (ADAM10); AACCUCGCUGCAAAGAAUGUGdTdT and AAGACCUUGATACGACUGCUGdTdT (ADAM12); AACUCCAUCUGUUCUCCUGACdTdT and AAAUUGCCAGCUGCGCCCGUCdTdT (ADAM15); AAAGUUUGCUUGGCACACCUUdTdT, AAGUAAGGCCCAGGAGUGUUdTdT, and AACAUAGAGCCACUUUGGAGAdTdT (ADAM17); and CGUACGCGGAAUACUUCGAdTdT (control, GL2). The siRNA duplexes against ADAM12 and ADAM17 have been described earlier (21).
Specific silencing of targeted genes was confirmed by RT-PCR analysis. RNA isolated using the RNeasy Mini kit (Qiagen, Hilden, Germany) was reverse transcribed using avian myeloblastosis virus reverse transcriptase (Roche, Mannheim, Germany). PuReTaq Ready-To-Go PCR beads (Amersham Biosciences, Piscataway, N.J.) were used for PCR amplification. Primers (Sigma Ark, Steinheim, Germany) were as follows: ADAM9, 5'-AGT GCA GAG GAC TTT GAG AA-3' and 5'-TGC CGT TGT AGC AAT AGG CT-3'; ADAM10, 5'-TTG CTC ACG AAG TTG GAC AT-3' and 5'-TTT CCC AGG TTT CAG TTT GC-3'; ADAM15, 5'-GGC TGG CAG TGT CGT CCT ACC AGA GGG-3' and 5'-GGT GCA CCC AGC TGC AGT TCA GCT CAG TCC-3'. PCR products were subjected to electrophoresis on a 2.5% agarose gel, and DNA was visualized by ethidium bromide staining.
Apoptosis assay. TCC-Sup bladder carcinoma cells were seeded, grown for 20 h, and treated with 10 µM doxorubicin and Crm197 (10 µg/ml) or BB94 (5 µM) as indicated for 72 h. Cells were collected in assay buffer containing propidium iodide and incubated at 4°C for 3 h. Nuclear DNA staining was analyzed on a Becton Dickinson FACScalibur flow cytometer.
| RESULTS |
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Preincubation of Cos-7 cells with the selective EGFR kinase inhibitor AG1478 did not affect p38 phosphorylation in response to stress agents (Fig. 2A), demonstrating that p38 activation was independent of EGFR activity. To address the question whether p38 is located upstream of the EGFR, we used the p38-specific inhibitor SB202190, which is frequently used to interfere with p38 function, to investigate the effect of inhibiting p38 activity on stress-induced EGFR activation. As shown in Fig. 2B, preincubation of Cos-7 cells with SB202190 completely eliminated stress-induced EGFR activation while leaving lysophosphatidic acid (LPA) and EGF-induced receptor phosphorylation unaffected. In contrast, the MEK1/2 inhibitor PD98059 did not affect EGFR phosphorylation. Analogous results were obtained with the bladder carcinoma cell line TCC-Sup (Fig. 2C). Taken together, these results implicate p38 as an upstream mediator of EGFR activation in the stress-induced signaling response of Cos-7 and TCC-Sup bladder carcinoma cells.
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Furthermore, we investigated whether this ligand dependency is also observed at the EGFR substrate level. Shc adaptor proteins are well-characterized adaptor proteins linking the EGFR to activation of the Ras/Raf/ERK-MAPK signaling cascade. As shown in Fig. 3B, both Crm197 and BB94 pretreatment of Cos-7 cells strongly suppressed stress-induced Shc tyrosine phosphorylation, which matches that of the EGFR itself. Therefore, phosphorylation of Shc by stress stimuli critically depends on a ligand-dependent EGFR phosphorylation mechanism in Cos-7 cells.
Ectodomain shedding of pro-HB-EGF is induced in response to osmotic and oxidative stress in Cos-7 cells. To further substantiate the role of HB-EGF in this ligand-dependent EGFR stimulation mechanism, we directly investigated pro-HB-EGF processing by flow cytometric analysis of the amount of ligand precursor present on the cell surface of Cos-7 cells before and after stimulation with sorbitol or hydrogen peroxide. As shown in Fig. 4A, both stimuli lead to a rapid reduction of HB-EGF precursor detectable on the cell surface which is comparable to the decrease observed in response to EGFR signal transactivation (21, 38). Moreover, in accordance with the results presented in Fig. 3A, pretreatment with the metalloprotease inhibitor BB94 abolished pro-HB-EGF processing. In addition to the disappearance of HB-EGF precursor, we used Cos-7 cells ectopically expressing pro-HB-EGF to determine the amount of mature soluble HB-EGF released from the cell surface into the cell culture medium. As shown in Fig. 4B, treatment with either sorbitol or hydrogen peroxide induced an increase of HB-EGF in the cell culture supernatant as determined by immunoblot analysis. Again, HB-EGF release was blocked by preincubation with the metalloprotease inhibitor BB94, confirming the involvement of a metalloprotease.
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Activation of the MAPKs ERK1/2 and JNK in response to hyperosmolarity and oxidative stress is mediated by HB-EGF-dependent EGFR activation. Since the MAPKS ERK1/2 and JNK are activated by hypertonicity and ROS (13, 31), we asked whether the ligand-dependent EGFR phosphorylation contributes to the induction of these MAPK family members by stress stimuli. To investigate the overall dependence of stress-induced MAPK activation on the EGFR kinase activity, we used the selective EGFR blocker AG1478. Furthermore, we compared the effects of tyrosine kinase inhibition with the suppression of ligand-dependent EGFR activation by BB94 and Crm197. As shown in Fig. 6A (upper panel), both sorbitol and hydrogen peroxide significantly induced activation of ERK1/2, which is blocked by AG1478. Moreover, BB94 and Crm197 are almost as effective in blocking ERK1/2 phosphorylation. These data suggest that stress-induced ERK1/2 activation in Cos-7 cells almost completely depends on EGFR activation, which can be largely attributed to a ligand-dependent mechanism. The same experimental setup was used to address the question whether the same mechanistic concept is valid for stress signaling in human carcinoma cell lines. As shown in Fig. 6A, we found that hyperosmolarity- and oxidative stress-induced ERK1/2 activation in TCC-Sup and NCI-H292 cells was substantially blocked by AG1478, BB94, or Crm197 (Fig. 6A, middle and lower panels). Interestingly, although oxidative stress induces EGFR phosphorylation only partially through a ligand-dependent mechanism in NCI-H292 cells, ERK activation depends mainly on pro-HB-EGF processing in this cell type.
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Blockade of HB-EGF function strongly enhances doxorubicin-induced cell death. Treatment of tumor cells with chemotherapeutics has been shown to activate the stress kinases p38 and JNK (2). Similar results with respect to p38 activation were obtained with TCC-Sup bladder carcinoma cells after exposure to the chemotherapeutic agent doxorubicin (Fig. 7A). In this physiological context, p38-triggered pro-HB-EGF processing and subsequent EGFR activation might provide a cellular survival signal and thereby counteract doxorubicin-induced apoptosis. To test this hypothesis, we treated TCC-Sup cells with the specific HB-EGF blocker Crm197 and measured its effect on doxorubicin-induced cell death. Remarkably, Crm197 treatment significantly enhanced the apoptotic response to doxorubicin compared to that for doxorubicin alone, while Crm197 had only a minor effect on cell survival (Fig. 7B). This synergistic effect was also observed when cells were treated with doxorubicin and the metalloprotease inhibitor BB94. Thus, these results point to a physiological significance of p38-dependent EGFR activation involving metalloprotease-mediated pro-HB-EGF processing as a pathway employed by tumor cells to evade apoptosis upon exposure to chemotherapeutic agents.
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| DISCUSSION |
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We have provided various lines of direct evidence demonstrating that EGFR phosphorylation induced by both osmotic and oxidative stress requires a metalloprotease activity triggering the release of mature HB-EGF in Cos-7 cells and human carcinoma cell lines. Our findings significantly extend results from earlier reports, which indicated a role of mechanisms such as receptor aggregation, phosphatase inactivation, or the stimulation of intracellular kinases in stress-induced EGFR activation (4, 30, 41). These previously described mechanisms might contribute to the partially ligand-independent EGFR phosphorylation in NCI-H292 cells, whereas a ligand-dependent activation fully accounts for receptor phosphorylation by osmotic and oxidative stress in Cos-7 and TCC-Sup bladder carcinoma cells. Thus, the respective contribution of different routes leading to EGFR activation appears to depend on the cellular context. It is noteworthy that Chen et al. (8) attributed the hydrogen peroxide-induced EGFR activation in Cos-7 cells to a ligand-independent mechanism involving c-Src. In contrast to these earlier observations, we did not achieve inhibition of EGFR activation by oxidative stress with the Src inhibitors PP1 and PP2 in the same cell system (unpublished data).
Stress-induced signaling might also trigger a positive feedback loop, further enhancing ligand-dependent EGFR activation, since previous investigations revealed stress-induced expression of HB-EGF and amphiregulin (35). Interestingly, Zenz et al. demonstrated a functional correlation among c-Jun, a downstream target of the JNK family; the EGFR; and HB-EGF, as in c-Jun-deficient keratinocytes both HB-EGF and EGFR expression levels were reduced (55).
Although Frank et al. recently implicated HB-EGF in hydrogen peroxide-induced EGFR phosphorylation in vascular smooth muscle cells (19), the various components involved in this process have not been defined. We provide the first experimental evidence that ADAM proteases are responsible for shedding of pro-HB-EGF upon cellular stress. Interestingly, while GPCR-mediated EGFR transactivation occurs through distinct individual ADAM proteases (21, 54), we found that two or more ADAM proteases become active upon cellular stress. ADAM17 appears to be generally involved in stress-stimulated shedding events, while ADAM9, ADAM10, and ADAM12 also can contribute to different extents depending on the cell system and type of stimulus. All of these enzymes have been previously implicated in EGF-like ligand shedding (1, 23, 24, 32, 54). Our identification of stress-induced ADAM family members distinct from those regulated through GPCRs is corroborated by previous reports demonstrating that ADAM9 cleaves pro-HB-EGF in response to tetradecanoyl phorbol acetate (TPA) stimulation in VeroH cells (23), while in the same cellular system pro-HB-EGF processing after LPA stimulation is independent of ADAM9 (51). However, the relative contribution of the different ADAM proteases seems to be independent of their quantitative presence in cells (Fig. 5E). Taken together, these data suggest that pro-HB-EGF sheddases are defined by both the cellular context and the stimulus. Moreover, ADAM9-knockout mice lack an obvious phenotype and ADAM9/ fibroblasts display no defects in pro-HB-EGF processing (52), which strongly argues for functional redundancy among pro-HB-EGF-cleaving enzymes in vivo.
How are the metalloproteases of the ADAM family activated, finally leading to EGFR phosphorylation and downstream signaling responses? Previous reports demonstrated regulation of metalloprotease-mediated ectodomain cleavage of transmembrane proteins in response to growth factors and TPA by the MAPKs ERK1/2, while the basal level of ectodomain shedding has been attributed to p38 activity (15, 20, 40). Moreover, p38 has been implicated as an upstream mediator of the EGFR in the sorbitol-induced EGFR activation in human nontransformed keratinocytes (10). In contrast to our results, the authors of that report excluded a ligand-dependent mechanism based on medium transfer experiments. As the released EGF-like ligand may be retained in the extracellular matrix through binding to heparan sulfate proteoglycans (38), an involvement of ligand-dependent EGFR activation cannot be ruled out by this type of experimental approach. These reports and the finding that p38 activity in our systems is independent of the EGFR phosphorylation state prompted us to ask whether stress-activated p38 is the upstream signaling element that controls ligand-dependent EGFR activation. Indeed, we found that preincubation with a specific p38 inhibitor eliminated stress-induced EGFR activation, while blocking ERK1/2 activation left EGFR phosphorylation unaffected. In contrast, p38 activation itself in response to stress agents is independent of the EGFR as assessed by use of the EGFR selective inhibitor AG1478. Furthermore, time course experiments revealed that p38 activation precedes EGFR phosphorylation, which is a necessary prerequisite for p38 being located upstream of the EGFR, while ERK1/2 and JNK activation occurs even later. Together, these data suggest p38 as the upstream inducer of ligand-dependent EGFR activation and its subsequent downstream signaling. These results are in good agreement with the report by Takenobu et al. demonstrating p38-controlled shedding of pro-HB-EGF (49). Ruano et al. proposed in a recent publication the existence of a p38-controlled phosphotyrosine phosphatase, which becomes inactivated upon p38 stimulation, leading to EGFR phosphorylation (42). Since the researchers used unusually high concentrations and a very short time of incubation of the p38 inhibitor, these data do not exclude a ligand-dependent EGFR activation mechanism.
Activation of ERK1/2 and JNK in response to oxidative and osmotic stress represents an important step in the cellular stress response (reviewed in reference 31). Stress signaling via MAPKs is often increased in cancer cells, which frequently produce high levels of ROS per se (6, 48). Moreover, anticancer drugs or radiation therapy can further activate stress signaling cascades (2), which has also been attributed to the production of ROS caused by these agents. Here, we show that the stress-induced ligand-dependent EGFR activation is a prerequisite for subsequent ERK1/2 and, to a lesser extent, also JNK MAPK activation (Fig. 6). As ligand-dependent, EGFR-mediated MAPK signaling can control cell survival through induction of apoptosis regulators such as the Bcl-2 family (26), it might also play a role in the protection of bladder carcinoma cells from doxorubicin-induced apoptosis observed in our experiments. Consistent with this hypothesis, blockade of HB-EGF or metalloprotease function strongly enhanced doxorubicin-induced cell death (Fig. 7). As chemotherapeutic agents have been previously shown to activate stress signaling cascades (2, 33, 43), this signaling mechanism provides a molecular explanation for the ability of tumor cells to evade drug-induced cell death.
Increasing evidence implicates particularly ROS-induced oxidative stress in a variety of human disorders as diverse as cardiovascular, neurodegenerative, and hyperproliferative diseases and cancer. Therefore, our results are of special significance for the understanding of pathophysiological disorders and the development of respective therapeutic approaches.
Our findings emphasize the importance of ADAM family proteases and HB-EGF as critical mediators of the stress response in human cancer cells and suggest that cross-communication between different groups of MAPKs employs ADAM proteases and the EGFR as signaling intermediates. Future work will be necessary to substantiate the broad significance of the mechanisms elucidated here and to develop targeted cancer therapies on the basis of our findings.
| ACKNOWLEDGMENTS |
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O.M.F. has been supported by a Boehringer Ingelheim Fonds Ph.D. scholarship.
| FOOTNOTES |
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Present address: Department of Immunology, Genentech, Inc., South San Francisco, CA 94080. ![]()
Present address: U3 Pharma AG, 82152 Martinsried, Germany. ![]()
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