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Vol. 12, No. 22, pp. 3499-3511, November 15, 1998
regulates cyclin D1 proteolysis and subcellular localization
1 Howard Hughes Medical Institute and 2 Department of Tumor Cell Biology, St. Jude Children's Research Hospital, Memphis, Tennessee 38105 USA
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Abstract |
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The activities of cyclin D-dependent kinases serve to integrate
extracellular signaling during G1 phase with the cell-cycle engine that regulates DNA replication and mitosis. Induction of D-type
cyclins and their assembly into holoenzyme complexes depend on mitogen
stimulation. Conversely, the fact that D-type cyclins are labile
proteins guarantees that the subunit pool shrinks rapidly when cells
are deprived of mitogens. Phosphorylation of cyclin D1 on a single
threonine residue near the carboxyl terminus (Thr-286) positively
regulates proteasomal degradation of D1. Now, we demonstrate that
glycogen synthase kinase-3
(GSK-3
) phosphorylates cyclin D1
specifically on Thr-286, thereby triggering rapid cyclin D1 turnover.
Because the activity of GSK-3
can be inhibited by signaling through
a pathway that sequentially involves Ras, phosphatidylinositol-3-OH kinase (PI3K), and protein kinase B (Akt), the turnover of cyclin D1,
like its assembly, is also Ras dependent and, hence, mitogen regulated.
In contrast, Ras mutants defective in PI3K signaling, or constitutively
active mitogen-activated protein kinase-kinase (MEK1) mutants that act
downstream of Ras to activate extracellular signal-regulated protein
kinases (ERKs), cannot stabilize cyclin D1. In direct contrast to
cyclin D1, which accumulates in the nucleus during G1 phase
and exits into the cytoplasm during S phase, GSK-3
is predominantly
cytoplasmic during G1 phase, but a significant fraction
enters the nucleus during S phase. A highly stable D1 mutant in which
an alanine is substituted for the threonine at position 286 and that is
refractory to phosphorylation by GSK-3
remained in the nucleus
throughout the cell cycle. Overexpression of an active, but not a
kinase-defective, form of GSK-3
in mouse fibroblasts caused a
redistribution of cyclin D1 from the cell nucleus to the cytoplasm.
Therefore, phosphorylation and proteolytic turnover of cyclin D1 and
its subcellular localization during the cell division cycle are linked
through the action of GSK-3
.
[Key Words: Glycogen synthase kinase-3; cyclin D1; Ras signaling; proteolysis; nuclear transport]
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Introduction |
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A family of cyclin-dependent kinases (CDKs) cooperatively regulates
mammalian cell cycle progression (for review, see Sherr 1993
). During G1 phase, D-type cyclins (D1,
D2, and D3) are synthesized and assemble with either CDK4 or CDK6 in
response to growth factor stimulation, thereby generating active
holoenzymes that help inactivate the growth-suppressive function of the
retinoblastoma protein (Rb) through its phosphorylation (for review,
see Weinberg 1995
). Cyclin D holoenzyme complexes also titrate CDK
inhibitors, such as p27Kip1 and p21Cip1,
facilitating the activation of cyclin E-CDK2 and subsequent entry into
the DNA synthetic phase of the cell cycle (for review, see Sherr and
Roberts 1995
).
Ras-mediated pathways are important for cyclin D1 induction and its
assembly with CDKs. Overexpression of activated oncogenic Ras
alleles, but not wild-type Ras, initiates DNA synthesis
independently of growth factor stimulation (Feramisco et al. 1984
).
Conversely, microinjection of antibodies that inactivate Ras or
introduction of certain dominant-negative Ras alleles can block S-phase
entry induced by mitogens (Mulcahy et al. 1985
; Mittnacht et al. 1997
; Peeper et al. 1997
). Both cyclin D1 expression and assembly require the
sequential activities of Raf1, mitogen-activated protein kinase-kinases (MEK1 and MEK2), and the sustained activation of extracellular signal-regulated protein kinases (ERKs; Albanese et al. 1995
; Lavoie et
al. 1996
; Winston et al. 1996
; Aktas et al. 1997
; Kerkhoff and Rapp
1997
; Weber et al. 1997
; Cheng et al. 1998
).
In turn, cyclin D1 degradation is mediated by
phosphorylation-triggered, ubiquitin-dependent proteolysis (Diehl et
al. 1997
). Polyubiquitination of protein substrates involves the
sequential action of three distinct enzymes termed E1, E2 (UBC;
ubiquitin-conjugating enzyme), and E3 (ubiquitin ligase; Ciechanover
1994
; King et al. 1996
). Specificity of substrate recognition is
dependent on several factors including E2 and E3 selectivity (King et
al. 1996
; Skowyra et al. 1997
; Renny-Feldman et al. 1997
), recognition
motifs within the target proteins themselves (Glotzer et al. 1991
),
and, in some cases, a requirement for phosphorylation of specific
residues within the substrate (Deshaies et al. 1995
; Clurman et al.
1996
; Lanker et al. 1996
; Won et al. 1996
). Ubiquitin-dependent
degradation of cyclin D1 requires phosphorylation of a specific
threonine residue (Thr-286) located near the protein carboxyl terminus, and this phosphorylation is not mediated by cyclin D-dependent kinases
themselves (Diehl et al. 1997
). Because the kinase that phosphorylates
this residue has not yet been identified, it remains unclear whether
cyclin D1 proteolysis, like its synthesis and assembly, is subject to
mitogen regulation.
The subcellular distribution of D-type cyclins is also likely to be
regulated by cell cycle-dependent events. Cyclin D1 accumulates in the
nuclei of cells during G1 phase, but once DNA replication begins, it disappears from the nucleus (Baldin et al. 1993
), despite the fact that its level of synthesis does not decrease markedly during
S phase (Matsushime et al. 1991
). The mechanisms that regulate the
periodic subcellular redistribution of cyclin D1 during the cell
division cycle have also not been defined.
We now demonstrate that glycogen synthase kinase-3
(GSK-3
)
catalyzes the phosphorylation of cyclin D1 on Thr-286, thereby regulating cyclin D1 turnover in response to mitogenic signals. In
turn, GSK-3
-mediated phosphorylation of cyclin D1 redirects the
protein from the nucleus to the cytoplasm. Our results support a model
in which phosphorylation of cyclin D1 on Thr-286 by GSK-3
links
processes governing cyclin D1 subcellular localization with its
proteasomal degradation.
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Results |
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GSK-3
phosphorylates cyclin D1 on Thr-286 in vitro
Rapid turnover of cyclin D1 requires phosphorylation of Thr-286
(Diehl et al. 1997
), and its location adjacent to Pro-287 suggested
that this modification might be mediated by a proline-directed kinase.
Hence, we tested several known proline-directed kinases including
GSK-3
, ERK2, stress-activated protein kinase (SAPK, p54
1),
and cyclin E-CDK2 (Fig. 1) for their ability to
phosphorylate cyclin D1 on Thr-286. Previous work from our laboratory
indicated that cyclin D1-CDK4 complexes expressed in mammalian cells
were better substrates than D1 subunits alone (also see below). To prepare substrate, we expressed Flag epitope-tagged cyclin D1 in insect
Sf9 cells together with a catalytically inactive mutant (K35M) of CDK4
and recovered both free and CDK4-bound D1 subunits with M2 monoclonal
antibodies to the Flag tag. Kinase reactions performed in vitro
demonstrated that purified GSK-3
efficiently phosphorylated
wild-type cyclin D1 (Fig. 1A, lane 1), but not a cyclin D1 mutant
containing an Ala for Thr-286 substitution [D1-(T286A), lane 2]. In
contrast, ERK2 (lanes 3,4), SAPK (lanes 5,6), and cyclin E-CDK2 (lanes
7,8) all failed to phosphorylate cyclin D1, although each of the enzyme
preparations was highly active on other substrates (data not shown).
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To confirm that the site of GSK-3
phosphorylation was Thr-286,
radiolabeled cyclin D1 was electrophoretically separated on a
denaturing gel, transferred to membrane, and digested with trypsin. Labeled peptides were sequentially separated in two dimensions by
electrophoresis and ascending chromatography (Fig. 1B). The tryptic
fingerprint derived from GSK-3
-phosphorylated cyclin D1 (left
panel) revealed a single characteristic phosphopeptide. This peptide,
previously designated A, appeared qualitatively similar to the major
phosphopeptide derived from cyclin D1 phosphorylated in Sf9 cells
(middle panel), which we know contains Thr-286, the only site of cyclin
D1 threonine phosphorylation (Diehl et al. 1997
). Mixing of these two
phosphopeptides confirmed that they had indistinguishable mobilities in
both dimensions (right panel). Therefore, GSK-3
can specifically
phosphorylate cyclin D1 on Thr-286 in vitro.
To compare phosphorylation of cyclin D1 and D1-CDK4 complexes, Sf9
cells were infected with baculoviruses encoding cyclin D1 alone or
cyclin D1 together with CDK4 in the presence or absence of GSK-3
,
and infected cells were metabolically labeled with 32P-orthophosphate. Free cyclin D1 was isolated by direct
precipitation with a monoclonal antibody directed against D1 itself
(Fig. 2A, lanes 2,3), while cyclin D1 bound to CDK4
was isolated by precipitation with antiserum to the carboxyl terminus
of CDK4 (Fig. 2A, lanes 4,5). Under conditions such as those used here
in which CDK4 and cyclin D1 are expressed at similar levels, factors
mediating their assembly in Sf9 cells are limiting and only about
10%-20% of the D1 molecules form binary complexes with the catalytic
subunits (Kato et al. 1994
). Therefore, lysates were normalized to
yield roughly equivalent levels of D1 in each lane (bottom panel). In the absence of exogenous GSK-3
(Fig. 2A, lanes 2,4), both free cyclin D1 and CDK4-bound cyclin D1 were phosphorylated by endogenous insect kinases. Much of this background phosphorylation occurs on
Thr-286 (Fig. 1B, middle) with the remainder occurring on multiple serine residues (requiring longer autoradiographic exposures to visualize). As shown previously, the introduction of CDK4 resulted in
increased cyclin D1 phosphorylation (Fig. 2A, lane 4 vs. lane 2) on
both Thr-286 and serine residues (Kato et al. 1994
; Diehl et al. 1997
).
Coinfection with baculovirus encoding GSK-3
resulted in a further
threefold increase in phosphorylation of CDK4-bound cyclin D1 (cf.
lanes 5 and 4) without significantly affecting phosphorylation of
unbound cyclin D1 (lane 3 vs. 2). Mapping of tryptic phosphopeptides
again confirmed increased phosphorylation of D1 only on Thr-286.
Therefore, the cyclin D1-CDK4 complex is a better substrate of
GSK-3
than free cyclin D1.
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We also tested whether a kinase-defective GSK-3
mutant could
inhibit phosphorylation of cyclin D1 in intact Sf9 cells. Sf9 cells
were infected with baculoviruses encoding cyclin D1 and CDK4 together
with different combinations of wild-type and kinase-defective GSK-3
. Infected cells were labeled with
32P-orthophosphate and cyclin D1 was isolated by
immunoprecipitation (Fig. 2B). Cyclin D1 was again phosphorylated by
endogenous insect kinases (Fig. 2B, lane 2), but expression of
kinase-defective GSK-3
reduced background phosphorylation of
cyclin D1 about fivefold (cf. lanes 2 and 3). As before, expression of
wild-type GSK-3
with cyclin D1 induced an increase in cyclin D1
phosphorylation over background (cf. lanes 2 and 5). However,
kinase-defective GSK-3
again interfered with D1 phosphorylation
(lane 4 vs. 5), reducing it to a level below background (lane 4 vs.
lane 2). Two-dimensional tryptic peptide mapping and phosphoamino acid
analysis once again confirmed that GSK-3
phosphorylation occurred
on Thr-286 (data not shown). Together, these data indicate that mutant
kinase-defective GSK-3
can dampen phosphorylation of D1 by the
wild-type form of the enzyme, as well as by endogenous D1 kinase(s)
expressed in Sf9 cells.
One possible explanation of the latter results is that GSK-3
can
interact stably with the cyclin D1-CDK4 complex directly and that
binding of the kinase-defective mutant form of the enzyme occludes
phosphorylation by the catalytically active form. Sf9 cells were
infected with baculoviruses encoding cyclin D1, CDK4, and either
wild-type or kinase-defective GSK-3
, and lysate proteins precipitated with nonimmune rabbit serum (NRS) or with antisera to
GSK-3
, cyclin D1, or CDK4 were separated on denaturing gels and
blotted with antibodies to GSK-3
(Fig 2C). Both
baculovirus-encoded forms of GSK-3
were precipitated with the
cognate antibody (lanes 5,7), whereas no endogenous form of the enzyme
was recovered from uninfected insect cells (lane 3). A small but
significant fraction of wild-type GSK-3
(estimated at 3%-5% in
several such experiments) was coprecipitated with antibodies to cyclin
D1 (lanes 4 vs. lane 5), and, surprisingly, almost half of the
catalytically inactive form of the enzyme became stably associated with
the cyclin (lanes 6,7). This suggested that phosphorylation of D1 by
GSK-3
might destabilize the interaction, and consistent with this
idea, removal of ATP from lysates containing wild-type GSK-3
by
dialysis followed by addition of nonhydrolyzable ATP increased by
threefold the level of wild-type GSK-3
coprecipitating with
anti-D1 (data not shown). Catalytically inactive GSK-3
could not
associate with CDK4 subunits alone (lanes 8,9) but did coprecipitate
with unbound cyclin D1 subunits (lanes 10,11). Despite the ability of
kinase-defective GSK-3
to bind free D1 subunits, D1-CDK4
complexes are the preferred substrate of wild-type GSK-3
(Fig.
2A). Therefore, kinase-defective GSK-3
can interact with free or
CDK4-bound cyclin D1 and forms more stable complexes than its wild-type
counterpart, consistent with the ability of the mutant form to
interfere with D1 Thr-286 phosphorylation by catalytically active
GSK-3
(Fig. 2B).
GSK-3
is a major cyclin D1 kinase in
lysates of mouse NIH-3T3 fibroblasts
To verify that GSK-3
recovered from mammalian cells would also
specifically phosphorylate cyclin D1 on Thr-286 in vitro, endogenous
GSK-3
was immunoprecipitated from NIH-3T3 cell lysates, and
recovered immune complexes were incubated in kinase reactions with
GST-D1 fusion proteins plus [
-32P]ATP. In an attempt
to avoid complications of contamination of immune precipitates with
adventitious serine kinases, we used fusion protein substrates
containing only the carboxy-terminal 41 amino acids of cyclin D1. This
D1 domain contains only two serine residues at codons 257 and 258 and
two threonines at codons 286 and 288; as a control, we used a GST-D1
fusion protein containing the T286A mutation.
GST-D1 was efficiently phosphorylated by GSK-3
-containing immune
complexes recovered from NIH-3T3 cells, but GST-D1-(T286A) was not
(Fig. 3A, lanes 2,3). Immune complexes collected with NRS (lane 1) did not phosphorylate GST-D1. NIH-3T3 cells were lysed
and subjected to two rounds of immunodepletion with either a control
monoclonal antibody (9E10) or with the antibody to GSK-3
and
depletion of GSK-3
was confirmed by immunoblotting (data not
shown). When GST-D1 or GST-D1-(T286A) was added to the
GSK-3
-depleted or mock-depleted lysates together with
[
-32P]ATP, both fusion proteins still underwent
phosphorylation (data not shown). Because both fusion proteins contain
other serine and threonine residues, their phosphorylation by kinases
remaining in the lysates would likely obscure phosphorylation of
Thr-286. Therefore, we prephosphorylated the fusion proteins with
purified protein kinase A (PKA) in reactions performed with unlabeled
ATP. Thr-286 does not fall into a PKA consensus site and should not be
modified. Following removal of PKA by repurification of the fusion
proteins, the ability of the immunodepleted extracts to phosphorylate
GST-D1 or GST-D1-(T286A) was reassessed. Under these conditions,
GST-D1 was efficiently phosphorylated by the mock-depleted lysate
(Fig. 3B, lane 1), but depletion of GSK-3
reduced phosphorylation of GST-D1 by >90% (lane 3). GST-D1-(T286A) was not phosphorylated by either lysate (lanes 2,4). Therefore, GSK-3
is a major enzyme in NIH-3T3 cells that is able to catalyze the phosphorylation of cyclin
D1 on Thr-286.
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Control of cyclin D1 turnover via the Ras-PI3K-Akt pathway
The Ras-Raf1-MEK-ERK kinase cascade regulates cyclin D1
expression and its assembly with CDK4 (Albanese et al. 1995
; Lavoie et
al. 1996
; Winston et al. 1996
; Aktas et al. 1997
; Kerkhoff and Rapp
1997
; Weber et al. 1997
; Cheng et al. 1998
). However, Ras signaling
activates several other pathways, including one that inhibits the
activity of GSK-3
. Specifically, Ras and phosphatidylinositol-3-OH kinase (PI3K) collaborate to activate the c-Akt proto-oncogene product
(also designated protein kinase B; Rodriguez-Viciana et al. 1994
, 1997
;
Boudewijn et al. 1995
; Franke et al. 1995
, 1997
; Klinghoffer et al.
1996
; Kauffmann-Zeh et al. 1997
; Vanhaesebroeck et al. 1997
). In turn,
Akt down-regulates GSK-3
through site-specific phosphorylation
(Cross et al. 1995
; Dudek et al. 1997
; Vanhaesebroeck et al. 1997
),
which should inhibit the rate of cyclin D1 turnover. Because Ras
signaling depends on growth factor stimulation, the rate of cyclin D1
turnover in mouse fibroblasts should be influenced by serum
stimulation. Therefore, we compared the half-life of cyclin D1 in cells
rendered quiescent by serum starvation to that in cells proliferating
in the presence of serum. Because synthesis of cyclin D1 also requires
serum-derived growth factors, it was necessary to use NIH-3T3 cells
engineered to overexpress cyclin D1. The half-life of ectopically
expressed cyclin D1 in quiescent cells, as determined by pulse-chase
analysis, was about 13 min, as compared with a half-life of 24 min in
serum-stimulated cells (Table 1). Because of the
rapidity of cyclin D1 turnover under both conditions, we had not noted
this difference previously (Diehl et al. 1997
), but in a series of
independent experiments, the difference proved to be highly significant
(see, Table 1, legend). In agreement with results of others (Welsh et
al. 1996
), the catalytic activity of GSK-3
isolated from
serum-stimulated cells was reduced approximately threefold relative to
the activity of GSK-3
isolated from serum-starved cells (data not
shown), consistent with negative regulation of GSK-3
by mitogens
(see above).
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through its
activity on Akt, inhibition of PI3K should conversely accelerate cyclin
D1 turnover. We therefore examined cyclin D1 stability in NIH-3T3 cells
treated with wortmannin, a specific PI3K inhibitor (Ui et al. 1995
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signaling. Corollaries are that Ras mutants specifically defective in
PI3K signaling, or constitutively active Raf1 or MEK1 (acting downstream of Ras in a parallel pathway), should not be able to stabilize cyclin D1, even though they should still support cyclin D1
synthesis and assembly. To determine the ability of Ras itself to
modulate cyclin D1 turnover, we transfected NIH-3T3 cells with an
oncogenic Ha-Ras allele (RasV12), or with a double mutant (RasV12.S35) that cannot activate PI3K (Rodriguez-Viciana et al. 1994GSK-3
redirects cyclin D1 to the cytoplasm
Cyclin D1 is a nuclear protein during the G1 phase of the
cell cycle, but it exits the nucleus during S phase (Baldin et al. 1993
). Because GSK-3
positively regulates NFAT nuclear export via
site-specific phosphorylation (Beals et al. 1997
), we considered the
possibility that it might also affect the subcellular distribution of
cyclin D1. NIH-3T3 cells were transfected with expression vectors encoding Flag-tagged cyclin D1 (Flag-D1) and CDK4 together with different forms of GSK-3
. Both the wild-type and kinase-defective forms of GSK-3
were engineered to express an amino-terminal Myc epitope to enable their detection by the 9E10 monoclonal antibody. Thirty-six hours post-transfection, the cells were fixed, and the
cellular localization of Flag-D1 was visualized by immunofluorescent staining with the M2 antibody to the Flag tag. As shown previously (Diehl and Sherr 1997
), most of the ectopically expressed Flag-D1 concentrated in the nucleus when it was coexpressed with CDK4 (Fig.
5A, left panels). In contrast, coexpression of
wild-type GSK-3
with Flag-D1 and CDK4 resulted in the
redistribution of Flag-D1 to the cytoplasm (middle panels). Cyclin D1
was detected primarily in the cytoplasm in >50% of the cells
coexpressing wild-type GSK-3
, whereas it largely remained nuclear
in its absence (Fig. 5B). Flag-D1 also localized to the nucleus when
it was coexpressed with kinase-deficent GSK-3
(Fig. 5A, right
panels, and B), consistent with the idea that cytoplasmic localization
of cyclin D1 requires GSK-3
activity. In agreement, the D1-(T286A)
mutant remained in the nucleus and was unaffected by GSK-3
(Fig.
5B, and see below). Although kinase-deficent GSK-3
has the
potential to inhibit D1 phosphorylation in vitro by the wild-type
enzyme (Fig. 2B), it did not act as a dominant-negative mutant when
coexpressed with wild-type GSK-3
in mammalian cells. This may not
be surprising, as inhibition likely requires stoichiometric binding
whereas catalysis does not. Expression of either the wild-type or the
kinase-defective forms of GSK-3
was confirmed by immunofluorescent
staining with the 9E10 monoclonal antibody (data not shown). The dual
requirement for GSK-3
activity and integrity of Thr-286 in cyclin
D1 implies that its cytoplasmic localization is mediated by
GSK-3
-dependent phosphorylation of D1 on this residue.
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On the basis of these results, we considered the possibility that
phosphorylation of cyclin D1 at Thr-286 might account for its
relocalization from the nucleus during S phase. Therefore, we examined
the subcellular distribution of wild-type cyclin D1 and the D1-(T286A)
mutant throughout the cell cycle. NIH-3T3 fibroblasts engineered to
stably overexpress either Flag-tagged cyclin D1 or cyclin D1-(T286A)
were derived by coselection with puromycin and represented uncloned
populations of transfectants expressing variable amounts of ectopic
cyclin D1 per cell. The D1-(T286A) mutant does not act as a
dominant-negative to inhibit cell cycle progression (Diehl and Sherr
1997
), and like NIH-3T3 cells enforced to stably express wild-type D1
(Quelle et al. 1993
), transfected cells appear to have a modestly
contracted G1 interval and enter S phase about 2 hr earlier
than their parental counterparts. Cell lines engineered to express D1
were rendered quiescent by contact inhibition and serum starvation for
30 hr and were then restimulated to synchronously enter the cell cycle
by trypsinization and replating on glass coverslips in complete medium
containing serum. At various times thereafter, fixed cells were
examined by immunofluorescence with a monoclonal antibody to cyclin D1.
Cyclin D1 accumulated in the nucleus of cells as they entered S phase
(Fig. 6A; cf. 6 and 10 hr), but as S phase progressed
(12 hr), increased cytoplasmic D1 staining was observed (Baldin et al.
1993
). By G2 phase (18 hr), cyclin D1 was located almost
entirely in the cytoplasm. In contrast, cyclin D1-(T286A) was retained
in the nucleus throughout interphase (Fig. 6B). Thus, cell
cycle-dependent redistribution of cyclin D1 depends on the integrity of
Thr-286, presumably reflecting its phosphorylation status in response
to GSK-3
.
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Cell cycle-dependent localization of GSK-3
GSK-3
is thought to be a cytoplasmic kinase (Boyle et al.
1991a
) whose activity is down-regulated by growth factor stimulation. However, it has been reported to mediate NFAT nuclear export through direct phosphorylation (Beals et al. 1997
), implying that at least a
fraction of GSK-3
must be nuclear. To address this issue, NIH-3T3 cells overexpressing cyclin D1 were rendered quiescent by contact inhibition and serum starvation for 26 hr and then allowed to synchronously re-enter the cell cycle by replating on glass coverslips at low density in medium containing serum. Immunofluorescent staining revealed that GSK-3
was exclusively cytoplasmic during
G1 phase with predominant perinuclear staining (Fig.
7A, 6 and 8 hr). However, during S phase, GSK-3
staining was detected in the nuclei as well (16 and 18 hr). In
parallel, G1-phase (6 hr) and S-phase cells (16 hr) were
separated into nuclear and cytoplasmic fractions, which were blotted
for GSK-3
(Fig. 7B). During G1, <5% of GSK-3
was detected in the nuclear fraction (cf. lanes 1 and 2), but during S
phase, ~25% of GSK-3
was detected in the nuclear fraction (cf.
lanes 3 and 4). Thus, during S phase, a fraction of GSK-3
localizes to the nucleus, while cyclin D1 is redirected into the cytoplasm. Together, these data suggest that phosphorylation of cyclin
D1 on Thr-286 by GSK-3
may occur in the nucleus to accelerate D1
export and cytoplasmic proteolysis.
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Discussion |
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GSK-3
is a cyclin D1 protein kinase
The turnover of cyclin D1 in proliferating cells is rapid
(t1/2, ~20 min), whereas that of its catalytic
partner CDK4 is relatively slow (t1/2, ~4 hr)
(Matsushime et al. 1992
). This creates a dynamic equilibrium in which
regulatory cyclin D1 subunits exchange in and out of holoenzyme
complexes with CDK4 as mitogen-stimulated cells move through
G1 phase (Sherr 1993
). Maintenance of active D1-CDK4
complexes requires persistent mitogenic signaling (Matsushime et al.
1991
) through a Ras-dependent kinase cascade that utilizes Raf and MEK intermediates to target the ERKs (Albanese et al. 1995
; Lavoie et al.
1996
; Winston et al. 1996
; Aktas et al. 1997
; Kerkhoff and Rapp 1997
;
Weber et al. 1997
; Cheng et al. 1998
). In turn, mitogen withdrawal
cancels Ras signaling and cyclin D1 synthesis, and the fast turnover of
D1 ensures that D1-CDK4 complexes rapidly dissipate as cell
proliferation ceases, usually within a single cycle.
Cyclin D1 proteolysis is a regulated event that proceeds via the
ubiquitin-dependent 26S proteasome. Degradation is facilitated by
phosphorylation of a specific threonine residue located near the D1
carboxyl terminus, and elimination of this site through simple point
mutation (e.g., T286A) markedly stabilizes the cyclin (t1/2, 2-3 hr; Diehl et al. 1997
). Although the
identity of the D1 Thr-286 kinase has remained unknown, several lines
of evidence now indicate that GSK-3
can carry out this function.
First, purified GSK-3
or GSK-3
recovered from mouse
fibroblasts was able to phosphorylate recombinant cyclin D1 only at
this site in vitro. Second, immunodepletion of GSK-3
from
mammalian cell extracts prevented phosphorylation of recombinant cyclin
D1 on Thr-286. Therefore, not only can GSK-3
catalyze this
phosphorylation event, but it appears to be a major kinase regulating
this function, at least in lysates of NIH-3T3 cells. Third, a
Ras-initiated kinase signaling cascade that negatively regulates
GSK-3
activity in vivo was found to stabilize cyclin D1 in living
cells. Manipulation of any of the components of this signaling pathway
(Ras, PI3K, or Akt) affected cyclin D1 turnover in the predicted
manner. Finally, phosphorylation of cyclin D1 at Thr-286 appears to
facilitate its redistribution from the cell nucleus to the cytoplasm,
and overexpression of catalytically active, but not kinase-defective,
GSK-3
increased its cytoplasmic localization.
Although GSK-3
could phosphorylate Thr-286 in recombinant cyclin
D1 or in a GST-D1 fusion protein containing only the carboxy-terminal 41 amino acids of the cyclin, it appeared to phosphorylate cyclin D1 in
complexes with CDK4 more efficiently. This result is in general
agreement with previous observations that phosphorylation of the D1
subunit increases as cyclin D1-CDK complexes achieve maximal levels
and mammalian cells cross the G1/S boundary
(Matsushime et al. 1991
). Nonetheless, the rapid turnover of
ectopically expressed, unassembled forms of cyclin D1 in fibroblasts
rendered quiescent by serum starvation still requires their
phosphorylation on Thr-286 (Diehl et al. 1997
). Thus, the kinase that
phosphorylates unbound cyclin D1 subunits must be active in quiescent
cells. GSK-3
activity increases two- to threefold in cells
deprived of growth factors (Cross et al. 1995
; He et al. 1995
; our data
not shown). Under such conditions, we observed that ectopically
expressed D1 subunits were degraded more rapidly than those expressed
in proliferating cells or in serum-starved cells transformed by
oncogenic Ras (see below). Thus, although unassembled cyclin D1 appears
to be a poorer GSK-3
substrate relative to CDK4-bound subunits,
the increased activity of GSK-3
in growth factor-deprived cells
may compensate.
Phosphorylation of cyclin D1 on Thr-286 is dependent on the integrity
of Pro-287 (data not shown) suggesting that a proline-directed kinase
targets this site. Although cyclin D1 also contains a threonine at
residue 288, Thr-286 is the only site of D1 threonine phosphorylation in mammalian cells (Diehl et al. 1997
). GSK-3
can act as a
proline-directed kinase, and the ability of the purified enzyme to
phosphorylate a bacterially expressed, affinity-purified GST fusion
protein containing only the carboxy-terminal 41 amino acids of D1
supports the principle. Several other proline-directed kinases,
including ERK2, SAPK, cyclin E-CDK2, and cyclin D1-CDK4 itself were
unable to phosphorylate cyclin D1 on Thr-286. GSK-3
can also act
in a processive manner, requiring that its substrate first be
phosphorylated by another kinase for maximal activity. The serines
closest to Thr-286 lie some distance away at residues 257 and 258. Our
data do not formally exclude processive phosphorylation, as a fraction of the cyclin D1 molecules expressed in proliferating mammalian cells
(and in insect Sf9 cells) is phosphorylated on as-yet-unmapped serine residues.
An unexpected result was that recombinant GSK-3
and cyclin D1,
whether free or bound to CDK4, were able to interact physically with
one another in insect Sf9 cells. Only a small fraction of catalytically
active GSK-3
associated with cyclin D1, but binding was
significantly potentiated when GSK-3
was rendered catalytically inert. This suggested that phosphorylation of cyclin D1 by bound wild-type GSK-3
might destabilize such complexes, and in
agreement, depletion of ATP from Sf9 extracts facilitated net complex
formation two- to threefold (data not shown). Expression of the
kinase-defective form of GSK-3
together with cyclin D1 in Sf9
cells blocked Thr-286 phosphorylation of D1 by endogenous kinase(s) and
significantly inhibited the ability of ectopically expressed wild-type
GSK-3
to phosphorylate the cyclin. Preferential binding of the
inactive form of GSK-3
to cyclin D1 most likely accounts for its
ability to suppress D1 phosphorylation by the wild-type kinase.
Cyclin D1 turnover is regulated via the mitogen-dependent Ras-PI3K-Akt pathway
Stimulation of cells with growth factors such as insulin or
epidermal growth factor inhibits GSK-3
activity in a PI3K- and Akt-dependent manner (Saito et al. 1994
; Boudewijn et al. 1995
; Cross
et al. 1995
). If GSK-3
is a bona fide cyclin D1 kinase, then
increased signaling through the PI3K-Akt pathway should stabilize cyclin D1 and vice versa. Enforced overexpression of a constitutively active form of Akt resulted in a threefold prolongation of cyclin D1
half-life (t1/2, ~60 min) as well as a twofold
decrease in D1 phosphorylation (data not shown). Conversely, inhibition
of PI3K with wortmannin shortened the half-life of cyclin D1 from
~20 to 10 min. Therefore, mitogenic signaling through the
Ras-PI3K-Akt pathway can increase cyclin D1 stability by
extinguishing GSK-3
activity, but if GSK-3
activity is not attenuated, cyclin D1 is actually turned over more rapidly than thought previously.
Transformation of NIH-3T3 cells with an oncogenic Harvey-Ras gene
(RasV12) stabilized ectopically expressed cyclin D1 in cells deprived
of serum (t1/2, ~30 min vs. 13 min for untransformed
cells). However, enforced expression of a double mutant (RasV12.S35)
that is selectively defective in its ability to activate
PI3K (Rodriguez-Viciana et al. 1994
, 1997
; White et al. 1995
) had no
such effect (t1/2, 14 min). Ras independently regulates
the Raf1-MEK-ERK kinase cascade. Although an inducible,
constitutively active MEK1 mutant is able to trigger cyclin D1
synthesis and assembly with CDK4 in the complete absence of serum
stimulation (Cheng et al. 1998
), it was unable to extend the half-life
of cyclin D1 (t1/2, 11 min). Therefore, cyclin D1
synthesis, assembly, and turnover are all regulated through
Ras-dependent signaling, and while the Raf1-MEK1-ERK pathway
guarantees cyclin D1 synthesis and assembly, the PI3K-Akt-GSK-3
pathway selectively affects cyclin D1 stability. Importantly, the
identification of the latter pathway points to a previously unexpected
mode of regulation of cyclin D1 by mitogenic signaling, further
underscoring its role as a growth factor sensor.
Unlike oncogenic Ras alleles such as RasV12, the double mutant,
RasV12.S35, which does not activate PI3K, is attenuated in its ability
to transform established fibroblast cell lines. However, its
transforming potency can be rescued by other nontransforming Ras
alleles, such as RasV12.C40, that do activate PI3K (White et al. 1995
;
Rodriguez-Viciana et al. 1997
; Kauffmann-Zeh et al. 1997
). Given that
Ras transformation depends on cyclin D1 accumulation (Peeper et al.
1997
; Mittnacht et al. 1997
), stabilization of D1 may be necessary for
the protein levels to rise to a threshold that enables G1 progression.
GSK-3
activity links cyclin D1 stability and
subcellular localization
The critical functions of cyclin D1 during G1 phase,
including phosphorylation of Rb and titration of p27Kip1, are
nuclear events, and cyclin D1 is superfluous for completion of the
cycle once cells enter S phase (Matsushime et al. 1991
). Although
cyclin D1 progressively accumulates in the nucleus during G1
phase, it redistributes into the cytoplasm as cells move through S
phase, implying a periodicity of D1 function in proliferating cells
that is independent of its rate of synthesis (Baldin et al. 1993
). The
stable D1-(T286A) mutant, unlike wild-type D1, remained in the nucleus
throughout interphase, suggesting that redirection of cyclin D1 to the
cytoplasm is mediated by Thr-286 phosphorylation. Conversely,
overexpression of GSK-3
enforced cytoplasmic
compartmentalization of D1 and was dependent on the kinase's catalytic
activity. Therefore, cyclin D1 proteolysis and relocalization are
functionally linked through the status of Thr-286.
There are no amino acid sequences in cyclin D1 that show obvious
homology to canonical nuclear import or export signals (NES), so other
proteins likely play key roles in determining D1 compartmentalization (LaBaer et al. 1997
; Diehl and Sherr 1997
). One idea is that
GSK-3
-mediated phosphorylation of nuclear cyclin D1 triggers its
export to the cytoplasm, for example by facilitating an interaction
between cyclin D1 and an exportin. Reminiscent of these findings,
GSK-3
also phosphorylates the T cell transcription factor NFAT,
causing its cytoplasmic redistribution (Beals et al. 1997
).
Alternatively, GSK-3
might phosphorylate cyclin D1 in the
cytoplasm, preventing its association with proteins required for
nuclear import and thereby targeting its cytoplasmic degradation.
GSK-3
itself accumulates primarily in the cytoplasm of
asynchronously proliferating cells (Boyle et al. 1991a
). However, we
observed that a subpopulation of GSK-3
becomes nuclear during S
phase, the interval of the cycle in which cyclin D1 leaves the nucleus
and enters the cytoplasm. Treatment of NIH-3T3 cells with leptomycin B
(Nishi et al. 1994
), an inhibitor of CRM1-dependent nuclear export
(Fornerod et al. 1997
), resulted in accumulation of the majority of
GSK-3
in the nucleus (data not shown). Together, these results
suggest that GSK-3
actively shuttles between the nucleus and
cytoplasm and that its compartmentalization is cell cycle dependent.
Therefore, nuclear accumulation of GSK-3
may be necessary for the
relocalization of cyclin D1 observed during S phase.
Whether or not GSK-3
phosphorylates cyclin D1 in the nucleus, the
cytoplasm, or both, the data imply that cyclin D1 degradation occurs
preferentially in the cytoplasm. Proteasomes exist in both the
cytoplasm and nucleus (Reits et al. 1997
), but there are emerging precedents for compartment-specific degradation. For example, the p53
tumor suppressor is a nuclear transcription factor whose stability is
regulated through ubiquitin-mediated proteolysis. p53 degradation
depends on Mdm2 (Haupt et al. 1997
; Kubbutat et al. 1997
), which
shuttles from the nucleus to the cytoplasm and appears to direct p53 to
cytoplasmic proteasomes (Roth et al. 1998
). Interfering with nuclear
export of p53, either through mutation of the Mdm2 NES or through other
manipulations that affect transport per se, stabilizes p53. By analogy,
identification of proteins that interact specifically with the Thr-286
phosphorylated form of cyclin D1 will be necessary to enhance our
understanding of its compartmentalization during the cell cycle.
A role for GSK-3
in cancer?
Overexpression of cyclin D1 is a common event in various forms of
cancer. D1 can be overexpressed as a result of gene amplification or
because it is targeted through chromosomal translocations (Hall and
Peters 1996
). However, in certain tumors, high levels of cyclin D1
expression have not been explained by such mechanisms, and events
affecting cyclin D1 turnover might play some role. Although the
p16INK4a-cyclin D1-Rb pathway is disabled in many forms of
human cancer, colon carcinomas provide a conspicuous exception.
Inactivation of the adenomatous polyposis coli (APC) tumor suppressor
is the single most common event in colon cancer (Powell et al. 1992
). APC is a target of Wnt signaling (for review, see Kinzler and Vogelstein 1996
), and it regulates the proteolytic turnover of
-catenin in a manner that depends on phosphorylation of
-catenin by GSK-3
(Rubinfield et al. 1993
; Yost et al. 1996
).
-Catenin mutants that have lost GSK-3
phosphorylation sites
remain constitutively active as coactivators of
TCF/LEF-dependent transcription, and such mutations have
now been found in the major fraction of colon cancers that lack mutated
APC alleles (Korinek et al. 1997
; Morin et al. 1997
). The fact that
GSK-3
can also regulate cyclin D1 turnover suggests that
deregulation of Wnt signaling in colon cancer may target cyclin D1 in
addition to the APC-
-catenin complex.
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Materials and methods |
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Tissue culture conditions, cell lines, and transfections
NIH-3T3 cells were maintained in DMEM supplemented with 10% fetal
calf serum (FCS), antibiotics, and glutamine (GIBCO BRL). Insect Sf9
cells were grown in Grace's medium supplemented with 5%
heat-inactivated FCS (Summers and Smith 1987
). NIH-3T3 cells engineered
to overexpress constitutively active MEK1 under control of the sheep
metallothionein promoter were established previously, and their
characteristics are described in detail elsewhere (Cheng et al. 1998
).
Derivatives of NIH-3T3 cells engineered to overexpress Flag-tagged
cyclin D1, Flag-tagged cyclin D1-(T286A), RasV12, or RasV12.S35 were
generated by cotransfection using the calcium phosphate coprecipitation
protocol (Chen and Okayama 1987
) with expression vectors encoding the
appropriate cDNA plus the pJ6
-puro vector encoding the
puromycin-resistance gene (Morgenstern and Land 1990
). Transfected cell
lines were selected and maintained in 7.5 µg/ml puromycin.
Myc-tagged GSK-3
, expression vectors, and
GST-fusion proteins
For expression in insect Sf9 cells, the cDNAs encoding either
wild-type GSK-3
or a kinase-defective GSK-3
mutant (provided by Jim Woodgett, Ontario Cancer Center, Canada) were inserted into
pVL1393 (Pharmingen) as EcoRI fragments. Procedures for
manipulation of baculoviruses were described previously (Summers and
Smith 1987
; Kato et al. 1994
). For transient expression in mammalian cells, the cDNAs encoding either wild-type GSK-3
or a
kinase-deficient GSK-3
mutant were inserted into the pJ3M
expression vector (Sells and Chernoff 1995
) as
BclI-ClaI fragments, thereby creating an in-frame
fusion with the Myc epitope tag. The retroviral vector encoding MyrAkt
was provided by Philip Tsichlis (Fox Chase Cancer Center, Philadephia,
PA). For construction of GST-D1 and the GST-D1-(T286A) fusion
proteins, cyclin D1 cDNA was digested with XmnI and
NotI and ligated into pGEX4T-1 (Pharmacia) digested with
SmaI and NotI. This created an in-frame fusion
between the carboxy-terminal 41 residues of cyclin D1 and GST. A 6×
histidine-tagged ERK2 plasmid (NpT7-5-His-ERK2; Robbins et al. 1993
)
was provided by Melanie Cobb (Southwestern Medical School, Dallas, TX),
and the plasmid harboring GST-SAPK (p54
1; Kyriakis et al. 1994
)
was provided by John Kyriakis (Harvard Medical School, Boston MA).
Purification of recombinant proteins from bacteria
Bacteria harboring GST-D1 or the GST-D1-(T286A) fusion proteins
were induced to express recombinant proteins by addition of isopropyl
-D-thiogalactopyranoside (IPTG, 1 mM final
concentration) to exponentially growing cultures. Bacteria were lysed
in buffer containing 20 mM Tris-HCl (pH 7.5), 150 mM NaCl, 0.5% Nonidet P-40 (NP-40), and 1 mM
phenylmethyl-sulfonyl fluoride (PMSF) by repeated cycles of freezing
and thawing. GST-fusion proteins were absorbed to
glutathione-Sepharose beads (Pharmacia) and eluted with kinase buffer
[50 mM HEPES (pH 7.5), 10 mM MgCl2, 1 mM EGTA, 1 mM dithiothreitol (DTT), 1 mM
PMSF, 0.4 mM NaF, and 0.4 mM NaV04] containing 4 mM reduced glutathione. Expression and
purification of His-ERK2 (Robbins et al. 1993
) and GST-SAPK (Kyriakis
et al. 1994
) was performed as described by these investigators.
Immunoprecipitation, immunoblotting, and immunofluorescence
Infected Sf9 cells used for coimmunoprecipitation analysis were
lysed in 50 mM Tris HCl (pH 8.0), 150 mM NaCl, and
0.5% NP-40 containing protease and phosphatase inhibitors (1 mM PMSF, 20 U/ml aprotinin, 5 µg/ml leupeptin, and 0.4 mM
NaV04). Lysates were cleared by sedimentation in a
microcentrifuge for 5 min at 15,000 rpm and normalized for protein as
indicated in the text prior to immune precipitation.
GSK-3
-containing complexes were precipitated with either a
commercially available mouse monoclonal antibody directed to GSK-3
(Transduction Laboratories, Lexington, KY), a mouse antibody raised
directed against cyclin D1 (D1-72-13G, originally derived in our
laboratory), or a mixture of two CDK4 antisera (Rz raised
against a carboxy-terminal peptide and Ry, raised against
full-length CDK4; Matsushime et al. 1992
, 1994
). Immune complexes were
recovered with protein A-Sepharose (Pharmacia) or with protein
A-Sepharose precoated with rabbit anti-mouse IgG.
Cells metabolically labeled with 200 µCi/ml
L-[35S]methionine (1369 Ci/mmole;
ICN) for pulse-chase analysis were lysed in 50 mM Tris HCl
(pH 7.5), 150 mM NaCl, 1% NP-40, 1% sodium deoxycholate (DOC), 0.1% SDS, and protease and phosphatase inhibitors as indicated above. Radiolabeled cyclin D1 was precipitated with monoclonal antibody. For preparation of lysates containing active GSK-3
, cells were lysed in 50 mM Tris HCl (pH 7.5), 1 mM
EDTA, 1 mM EGTA, 0.27 M sucrose, 1% Triton X-100,
1 mM DTT, and protease and phosphatase inhibitors. GSK-3
was precipitated with the cognate monoclonal antibody. Subcellular
fractionation of NIH-3T3 was performed as described previously
(Schreiber et al. 1989
; Ostrowski et al. 1991
). Proteins were resolved
on denaturing polyacrylamide gels, electrophoretically transferred to
nitrocellulose membranes (Millipore), and blotted with the indicated
primary antibodies. Sites of antibody binding were visualized by use of
protein A-conjugated horseradish peroxidase (EY Laboratories, San
Mateo, CA) followed by chemiluminescence detection (ECL detection kit;
Amersham). Immunofluorescent detection of cyclin D1 was carried out as
described previously (Diehl and Sherr 1997
) except in Figure 7, in
which overexpressed cyclin D1 was detected with the mouse monoclonal
antibody directed to cyclin D1 (1:10 dilution in TBS containing 5%
FCS) rather than with the M2 monoclonal antibody.
Depletion of GSK-3
and detection of
GSK-3
activity in mammalian cell lysates
For immunodepletion of GSK-3
, 5 × 106 NIH-3T3
cells made quiescent by serum starvation and contact inhibition for 36 hr were lysed in 50 mM HEPES (pH 7.5), 10 mM
MgCl2, 1 mM EGTA, 1 mM DTT, 90 mM
-glycerophosphate, and protease and phosphatase
inhibitors as indicated above. GSK-3
was removed from the lysates
with a titered excess of mouse monoclonal antibody directed to the
protein. For detection of GSK-3
activity in these lysates, GST-D1
or GST-D1-(T286A) prephosphorylated with PKA (Sigma) in the presence
of unlabeled ATP was recovered on beads and incubated for 30 min at
30°C with lysate (corresponding to 2 × 106 cells)
plus 20 µCi of [
-32P]ATP (6000 Ci/mmole; NEN). Labeled products were denatured in SDS
sample buffer and separated on denaturing polyacrylamide gels prior to autoradiography.
For detection of GSK-3
activity in immune complexes, 1 µg of
bacterially expressed GST-D1 or GST-D1-(T286A) in 20 µl of kinase buffer was mixed with immune complexes containing GSK-3
. Reactions were initiated by addition of 10 µCi of [
-32P]ATP
(6000 Ci/mmole; NEN) and incubated at 30°C for 30 min.
Labeled proteins were denatured in SDS sample buffer and separated on denaturing polyacrylamide gels prior to autoradiography.
In vitro phosphorylation of cyclin D1
Recombinant cyclin D1-CDK4 complexes were precipitated from
programmed Sf9 lysates with monoclonal antibody to cyclin D1. Immune
complexes were diluted into 20 µl of kinase buffer and mixed with
recombinant GSK-3
(Calbiochem, La Jolla, CA), His-ERK2, or
GST-SAPK plus 10 µCi of [
-32P]ATP (6000 Ci/mmole; NEN). Reactions incubated at 30°C for 10 min
were stopped by boiling in SDS sample buffer. Phosphorylated proteins
were resolved on denaturing polyacrylamide gels, transferred to
Immobilon-P membranes (Millipore), and visualized by autoradiographic exposure. The activity of other kinases tested for their ability to
phosphorylate cyclin D1 was confirmed with other substrates. SAPK was
scored for autophosphorylation, whereas ERK2 activity was monitored
with myelin basic protein (Sigma) and baculovirus-produced cyclin
E-CDK2 was tested with histone H1 (Boehringer Mannheim).
Metabolic labeling and two-dimensional phosphopeptide mapping of cyclin D1
NIH-3T3 cells were washed twice with PBS and refed with
methionine-free medium containing 200 µCi/ml
[35S]methionine (1369 Ci/mmole; ICN). Cells
were labeled for 30 min except for detection of MyrAkt, in which cells
were labeled for 2 hr. Cells were lysed and labeled cyclin D1 was
precipitated with monoclonal antibody to cyclin D1 or with the M2
monoclonal antibody to the Flag epitope. MyrAkt was precipitated with
an antiserum specific for a carboxy-terminal epitope of c-Akt, provided by Philip Tsichlis. Alternatively, Sf9 cells infected with the indicated baculoviruses were washed with phosphate-free Grace's medium
followed by a 1 hr pre-incubation in Grace's phosphate-free medium
containing 5% FCS. The cells were then labeled for 2 hr with 1 mCi/ml 32P-orthophosphate (ICN). Phosphorylated
cyclin D1 was isolated by immunoprecipitation, resolved on denaturing
polyacrylamide gels, transferred to Immobilon-P membranes (Millipore)
and visualized by autoradiography. Membrane slices containing cyclin D1
were excised and subjected to trypsin digestion; phosphorylated cyclin D1 peptides were analyzed by electrophoresis in pH 1.9 buffer on a
HTLE-7000 apparatus (CBS Scientific, Del Mar, CA) in the first
dimension and ascending chromatography in the second dimension (Boyle
et al. 1991b
; Diehl et al. 1997
).
| |
Acknowledgments |
|---|
We thank Jim Woodgett for GSK-3
cDNAs, Philip Tsichlis for
MyrAkt cDNA and antibodies to the Akt protein, Melanie Cobb for ERK2,
Michael White for Ras plasmids, John Kyriakis for SAPK cDNA, Natalie
Ann for active MEK1 cDNA, and Jan van Deursen for a gift of leptomycin
B. We also gratefully acknowledge the excellent technical assistance of
Joseph Watson, Carol Bockhold, Esther Van de Kamp, Rose Mathew, and
Zhen Lu, and helpful suggestions and criticisms from other members of
our laboratory. This work was supported in part by National Institutes
of Health grants CA-56819 (MFR), Cancer Center CORE grant CA-21765, and
the American Lebanese Syrian Associated Charities (ALSAC) of St. Jude
Children's Research Hospital.
The publication costs of this article were defrayed in part by payment of page charges. This article must therefore be hereby marked `advertisement' in accordance with 18 USC section 1734 solely to indicate this fact.
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