Cancer Research Aziza Shad  Protein Translation and Cancer
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Cancer Research Clinical Cancer Research
Cancer Epidemiology Biomarkers & Prevention Molecular Cancer Therapeutics
Molecular Cancer Research Cancer Prevention Research
Cancer Prevention Journals Portal Cancer Reviews Online
Annual Meeting Education Book Meeting Abstracts Online

This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Song, M. S.
Right arrow Articles by Park, K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Song, M. S.
Right arrow Articles by Park, K.
[Cancer Research 61, 8322-8330, November 15, 2001]
© 2001 American Association for Cancer Research


Tumor Biology

Induction of Glucose-regulated Protein 78 by Chronic Hypoxia in Human Gastric Tumor Cells through a Protein Kinase C-{epsilon}/ERK/AP-1 Signaling Cascade1

Min Sup Song, Yong Keun Park, Je-Ho Lee and Kyoungsook Park2

Center for Molecular Medicine, Samsung Biomedical Research Institute and Molecular Therapy Research Center, Sungkyunkwan University, Seoul, 135-230 [M. S. S., J-H. L., K. P.], and Graduate School of Biotechnology, Korea University, Seoul, 136-701 [Y. K. P.], Korea


    ABSTRACT
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
The Mr 78,000 glucose-regulated protein (GRP78) can be induced by physiological stresses such as glucose deprivation and hypoxia. In solid tumors, hypoxia can promote malignant progression and confer resistance to irradiation and chemotherapy by altering gene expression. Here, we investigated the molecular mechanisms and signaling pathway involved in the late and prolonged induction of the GRP78 gene by hypoxia in a human gastric cancer cell line, MKN28. Nuclear run-on assays and mRNA stability measurements revealed that transcriptional activation, not stabilization of mRNA, contributed to the dramatic induction of GRP78 gene under hypoxia. Induction of GRP78 by chronic hypoxia was completely abolished by pretreatment with PD98059 [a specific inhibitor of mitogen-activated protein/extracellular signal-regulated kinase (ERK) kinase (MEK1)] or by overexpression of a dominant-negative MEK1 mutant, demonstrating a direct involvement of ERK in the induction of transcription at the GRP78 promoter under these conditions. Furthermore, hypoxia increased the transcriptional activity of a 12-O-tetradecanoylphorbol-13-acetate response element-like motif on the GRP78 promoter and increased the abundance and DNA binding activity of AP-1 complex composed of c-Jun and c-Fos. A selective protein kinase C (PKC) inhibitor, GF109203X, inhibited the induction of GRP78 gene expression as well as the activities of both ERK and Raf-1. Among six PKC isoforms expressed in MKN28 cells, PKC-{epsilon} expression level and kinase activity were increased by hypoxia. Transfection of MKN28 cells with a dominant-negative PKC-{epsilon} blocked the induction of GRP78 through ERK by hypoxia, indicating that PKC-{epsilon} directly participated in GRP78 induction under hypoxia. Taken together, this study shows that a PKC-{epsilon}-Raf-1-MEK-ERK-AP1 signaling cascade acts on a 12-O-tetradecanoylphorbol-13-acetate response element-like element to mediate hypoxia-induced GRP78 expression in human gastric cancer cells. We also confirmed in vivo the overexpression of GRP78 in surgical specimens of human primary gastric tumors.


    INTRODUCTION
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
GRP783 is a molecular chaperone that is constitutively expressed. In several culture systems, GRP78 expression is dramatically enhanced under a variety of stressful conditions including glucose deprivation, treatment with Ca2+ ionophores, blockage of glycosylation, oxidative stress, and hypoxia (1 , 2) . Induction of GRP78 is critical for maintaining the viability of cells that are subjected to such stresses. For example, induction of stress proteins in tumor cells was shown to protect them against programmed cell death, protect against immune attack, and confer drug resistance (3, 4, 5) . Transcriptional activation of the GRP78 gene is regulated by a complex interplay of several cis-elements and transcription factors that bind to the GRP78 promoter. This promoter contains a highly conserved region consisting of CCAAT-like sequences flanked by GC-rich motifs that are important for basal and enhanced expression of this gene by several chemical stresses; the promoter also contains other important motifs such as a CRE and TRE motif (1 , 2) .

MAPKs are serine/threonine kinases present in all of the cell types. They are the central mediators that transduce diverse extracellular signals, including mitogens, growth factor, cytokines, and hypoxia, from the cell membrane to the nucleus (6 , 7) . Activation of ERK via a Raf-1->MEK->ERK signaling cascade mediates biological responses by phosphorylating a large number of substrates including transcription factors such as Elk-1, c-Myc, NF-IL6, ATF-2, and AP-1 (8, 9, 10) . The AP-1 transcription factor complex is a major target of MAPK signaling pathways and consists of dimers of c-Jun/c-Jun, c-Jun/c-Fos, or c-Jun/ATF-2. The AP-1 complex binds to TREs with the consensus nucleotide sequence TGA(C/G)TCA present in the promoters of genes that regulate cell differentiation and proliferation (10 , 11) . Activation of MAPK is regulated by phosphorylation of several signaling protein kinases including Ras, Raf-1, and PKC. Activation of Raf-1 can be achieved in a Ras-dependent or -independent pathway (12) . PKC is a ubiquitous calcium- and phospholipid-dependent serine/threonine protein kinase and can be another upstream activator of Raf-1 (13 , 14) . At present, 12 isoenzymes of PKC have been identified and can be divided into the following three groups: (a) conventional PKCs or cPKCs ({alpha}, ßI, ßII, and {gamma}), which are activated by calcium or diacylglycerol; (b) novel PKCs or nPKCs ({delta}, {epsilon}, {eta}, {theta}, and µ), which are independent of calcium for activity but responsive to diacylglycerol; and (c) atypical PKCs or aPKCs ({zeta}, {lambda}, and {iota}), which do not require either calcium or diacylglycerol for activation (15) . Although these isoforms of PKC share highly conserved domains, they differ in substrate specificity, tissue expression, and cellular distribution, indicating that they play different roles in the regulation of important cellular processes (16) .

Hypoxia is a common feature of solid tumors and has the potential to promote malignant progression by altering gene expression. These alterations promote the expression of tumorigenic proteins, including cell-cycle-regulatory proteins, angiogenesis-regulatory proteins, metastasis-promoting proteins, metabolic enzymes, and transcription factors (17) . These changes in expression can occur at the transcriptional level through changes in transcriptional rates or at the post-transcriptional level through changes in mRNA stability (17) . Tumor hypoxia can also act as a trigger for enhanced growth, metastasis, radiation resistance, and chemotherapy resistance. Thus, understanding the induction of chronic hypoxia-inducible gene expression and the associated signal transduction pathways could provide clues to selectively preventing stress protein induction and selectively killing hypoxic cells in solid tumors.

Although adenocarcinoma of the stomach is the second most common cancer worldwide, little is known about stress responses in stomach cancers. In this study, we investigated the mechanism and signaling pathway involved in the induction of the GRP78 gene by chronic hypoxia in human gastric tumor cells. We demonstrate that GRP78 is induced in vivo in primary gastric tumors, and we show that transcriptional activation rather than mRNA stabilization contributes to the induction of GRP78 by chronic hypoxia. Furthermore, we demonstrate, for the first time, that a PKC-{epsilon}/ERK/AP-1 signaling cascade mediates the induction of GRP78 by chronic hypoxia.


    MATERIALS AND METHODS
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Sample Collection and Preparation.
Four tumor and paired normal tissues (whole biopsy fragments including epithelial and nonepithelial components) were obtained from surgical specimens of advanced gastric cancer patients. Informed consent was obtained from each patient. The study protocol was approved by the Institutional Review Board at the Samsung Biomedical Research Institute and by the Ethics Committee at Samsung Biomedical Research Institute and Samsung Seoul Hospital. Samples were collected and snap-frozen in liquid nitrogen and stored at -80°C until analysis.

Materials.
We obtained RPMI 1640, FBS, and penicillin/streptomycin from Life Technologies, Inc. (Gaithersburg, MD); actinomycin D, PD98059, GF-109203X, Gö6976, manumycin A, BAPTA/AM, GST-MEK1, and histone H1 from Calbiochem (La Jolla, CA); ß-actin monoclonal antibody, MBP, dexamethasone, and PMA from Sigma Chemical Co. (St. Louis, MO); anti-GRP78, anti-c-Jun, anti-c-Fos antibodies, anti-ERK2, anti-MEK1, and anti-Raf-1 antibodies from Santa Cruz Biotechnology (Santa Cruz, CA); antiphosphospecific ERK1/2 antibody, GST-c-Jun, GST-ATF2, and T4 polynucleotide kinase from New England Biolabs (Beverly, MA); PKC sampler kit from Transduction Labs (Lexington, KY); poly(dI·dC), protein G-Sepharose, [{gamma}-32P]ATP (specific activity, >5000 Ci/mmol), [{alpha}-32P]UTP (specific activity, 3000 Ci/mmol), and [{alpha}-32P]dCTP (specific activity, 3000 Ci/mmol) from Amersham Pharmacia (Uppsala, Sweden).

Cell Culture and Hypoxia.
Human gastric-tumor cell line MKN28, established from moderately differentiated adenocarcinoma (18) , was provided by the Korean Cell Line Bank (KCLB number 80102) and maintained in RPMI 1640 with 10% FBS, 100 units/ml penicillin, and 100 µg/ml streptomycin at 37°C in 5% CO2 humidified air. For all of the experiments, subconfluent cells were incubated in 0.5% FBS-containing RPMI 1640 overnight before exposure to hypoxia. Hypoxic conditions were generated by placing the cells in a Gas-pak pouch (Becton Dickinson, Cockeysville, MD). Oxygen deprivation is almost complete after 1 h of incubation.

Northern Blot Analysis.
Total cellular RNA was isolated from cells or tissues using TRIzol Reagent (Life Technologies, Inc.) according to the manufacturer’s instructions. Total cellular RNA (15 µg) was separated on 1.2% agarose gels containing 2.2 M formaldehyde. The cDNA probe for human GRP78 was amplified by PCR using the following primers: 5'-GCCACGGGATGGTTCCTTGCC-3' and 5'-GCGGATCCAGGTCGACGCCGGCCA-3'. After purification, this 1.38-kb fragment was labeled with [{alpha}-32P]dCTP using a PrimeIt II labeling kit (Stratagene, Cedar Creek, TX) according to the manufacturer’s instructions. Probe was hybridized to the membrane at 42°C overnight in 10 ml of hybridization buffer (50% formamide, 5 x SSC, 1 x Denhardt’s solution, 1% SDS, 9% dextran sulfate, and 0.1 mg/ml salmon sperm DNA). The blots were washed twice in 2 x SSC, 0.1% SDS for 20 min at 42°C and once in 0.2 x SSC, 0.1% SDS for 30 min at 65°C. The radioactive bands corresponding to the mRNA signals for GRP78 were quantified using a PhosphorImager (Molecular Dynamics). The blots were stripped of probes by washing in 0.5% SDS at 90°C for 20 min and then rehybridized with a cDNA probe to ß-actin. Signal intensities were calculated relative to ß-actin signals.

Nuclear Run-On Transcription Analysis.
Nuclei were isolated from MKN28 cells grown under normoxia or hypoxia for 24 h. Run-on transcription analysis was carried out as described by Greenberg and Ziff (19) except that radioactively labeled RNAs were extracted with phenol-chloroform and purified on a QIAshredder spin column (Qiagen, Hilden, Germany). RNAs were hybridized with GRP78 or ß-actin cDNA and blotted onto a nylon membrane (Hybond-XL; Amersham) with a slot blot apparatus (Bio-Rad). Blots were washed, treated with RNase to digest nonhybridized RNA, and autoradiographed.

Immune Complex Kinase Assays.
Immune complex kinase assays were performed as described by Derijard et al. (20) except that cells were washed twice with ice-cold PBS and lysed in Triton X-100 lysis buffer [50 mM HEPES (pH 7.5), 150 mM NaCl, 10% glycerol, 1% Triton X-100, 1.5 mM MgCl2, 1 mM EDTA, 50 mM NaF, 10 mM ß-glycerophosphate, 1 mM sodium orthovanadate, 1 mM phenylmethylsulfonyl fluoride, 7 µg/ml pepstatin, and 5 µg/ml leupeptin] for 30 min at 4°C. Insoluble material was removed by centrifugation at 12,000 x g for 10 min at 4°C. Protein from whole cell lysates (400 µg) was incubated with specific antibody to JNK, p38, ERK2, Raf-1, or PKCs, for 2 h at 4°C. After addition of Protein G-Sepharose, immunoprecipitation was continued for 1 h. Immune complexes were washed twice with Triton X-100 lysis buffer and three times with 20 mM HEPES (pH 7.4) and resuspended in 20 µl of kinase assay buffer containing 10 mM MgCl2, 2 mM DTT, 0.2 mM sodium orthovanadate, and 1 µg of substrate. GST-c-Jun, GST-ATF2, MBP, GST-MEK1, or histone H1 was used as a substrate for JNK, p38, ERK, Raf-1, or PKCs. The MAPK, Raf-1, or PKC activity assays were carried out in the presence of 20 µM of unlabeled ATP and 2 µCi of [{gamma}-32P]ATP for 30 min at 30°C, for 20 min at room temperature, or for 5 min at 30°C, respectively, and stopped by addition of 5 µl of 5 x SDS sample buffer [312.5 mM Tris-Cl (pH 6.8), 10% 2-mercaptoethanol, 10% (w/v) SDS, 0.5% bromophenol blue, 10% (v/v) glycerol] and boiling for 5 min. The reaction mixtures were separated on 10 or 15% SDS-polyacrylamide gels. Phosphorylated substrates were visualized by autoradiography.

Western Blot Analysis.
Cells were lysed in radioimmunoprecipitation assay buffer [10 mM Tris (pH 7.5), 150 mM NaCl, 1% NP40, 1% sodium deoxycholate, 0.1% SDS, 1 mM phenylmethylsulfonyl fluoride, 7 µg/ml pepstatin, 5 µg/ml aprotinin, and 5 µg/ml leupeptin] for 20 min at 4°C. Insoluble material was removed by centrifugation at 12,000 x g for 10 min at 4°C. Protein from whole cell lysates (25 µg) was separated by SDS-polyacrylamide gel and electrophoretically transferred onto an enhanced chemiluminescence nitrocellulose membrane (Amersham Pharmacia). Antisera used for Western blot analysis were anti-GRP78 monoclonal (1:1,000), anti-ß-actin monoclonal (1:5,000), anti-c-Jun and anti-c-Fos antibodies (1: 1,000), anti-p-ERK1/2 monoclonal, anti-ERK2 polyclonal, anti-MEK1 polyclonal (1:2,000), or anti-PKC antibodies (1:500). Horseradish peroxidase-conjugated IgGs were used as secondary antibodies. Rabbit antigoat IgG (Zymed, San Francisco, CA) was used against anti-GRP78 antibody (1:5,000), goat antimouse IgG (Zymed) was used against anti-ß-actin antibody (1:10,000), and anti-PKC antibodies (1:2,000) or goat antirabbit IgG (Amersham Pharmacia) was used against anti-ERK2 and anti-MEK1 antibody (1:5,000). Western blots were developed using the enhanced chemiluminescence detection kit (Amersham Pharmacia) according to the manufacturer’s instructions.

Transient Transfection and Luciferase Assays.
Cells were transiently transfected with reporter constructs (designed as pGRP78-Luc or pAP-13-Luc). pGRP78-Luc contains the 374-bp stretch of human GRP78 promoter (21) generated by PCR amplification (primers: 5'-CCCGGGGTCACTCCTGCTGGACCTA-3' and 5'-CCTCACCGTCGCCTACTCGGCTAT-3') and inserted into pGL3-basic vector (Promega, Madison, WI). The pAP13-Luc construct containing three TRE-like sites from GRP78 promoter corresponding to the region from nucleotides -180 to -163 was amplified by PCR (primers: 5'-TCGAAATGAATCAGCTGGGGGG-3' and 5'-TCGACCCCCCAGCTGATTCATT-3', with linker sequences shown in italics) and then inserted into pGL3 promoter vector (Promega). MKN28 cells in 60-mm dishes were transfected at 40–50% confluency with 1 µg of pGRP78-Luc or pAP-13-Luc using Effectene transfection reagent (Qiagen) according to manufacturer’s instructions. As an internal control to correct for variations in transfection efficiency, 50 ng of pRL-SV40 (Promega) was cotransfected. After 12 h of incubation, cells were given fresh medium containing 0.5% FBS and then additionally incubated for 12 h before exposure to normoxia or hypoxia. After 24 h, the cells were harvested, and luciferase activity was measured using a dual Luciferase Reporter Assay system (Promega) according to the manufacturer’s instructions. The assay was normalized for Renilla luciferase activity to correct for variations in transfection efficiency. To examine the functional role of ERK, MAPK, and specific PKC isoforms in MKN28 cells exposed to hypoxia, cells were transfected with either 0.5 µg of a DN-MEK1 (22) or 1 µg of a DN-PKC-{epsilon} or DN-PKC-{alpha} (23) .

Preparation of Nuclear Extracts, EMSAs, and Coimmunoprecipitation.
Nuclear extracts were prepared from cultured MKN28 cells by the method of Schreiber et al. (24) . EMSAs were performed with the oligonucleotides derived from the TRE-containing region of the human GRP78 promoter (nucleotides -180 to -163). Sense (5'-AATGAATCAGCTGGGGGG-3') and antisense (5'-CCCCCCAGCTGATTCATT-3') strands of oligonucleotides were annealed into double-stranded oligonucleotides and were 5' end-labeled with [{gamma}-32P]ATP (5000 Ci/mmol) using T4 polynucleotide kinase and then purified through 15% nondenaturing polyacrylamide gel. Dialyzed nuclear extracts (5 µg) were preincubated on ice for 15 min with reaction buffer containing 15 mM HEPES (pH 7.9), 100 mM KCl, 3 mM MgCl2, 1 mM EDTA, 10% glycerol, 0.5 mM DTT, and 2 µg of poly(dI·dC). A 32P-labeled oligonucleotide probe (0.5 ng) was added to the reaction mixture and then incubated at room temperature for 20 min. For binding competition experiments, the unlabeled AP-1 oligonucleotide competitor was added at 100-fold molar excess 15 min before an addition of 32P-labeled probe. Antibody interference assays were carried out by incubation with anti-cJun (sc-44X) or anti-cFos (sc-413X) for 20 min before an addition of 32P-labeled probe. DNA-protein complexes were resolved on a 5% nondenaturing polyacrylamide gel in 0.5 x Tris-borate EDTA buffer [45 mM Tris-borate, 1 mM EDTA]. AP-1 complexes in the nuclear extracts (200 µg) were coimmunoprecipitated with anti-c-Jun antibody (Santa Cruz Biotechnology) and protein G-Sepharose (Amersham Pharmacia). Proteins in the immune complex were separated by 10% SDS-PAGE and then analyzed by Western blot analysis with anti-c-Fos antibody.


    RESULTS
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Hypoxia Induces GRP78 Gene Transcription in Human Gastric Cancer Cells.
To investigate whether the GRP78 gene can be induced by chronic hypoxia, we used MKN28 human gastric adenocarcinoma cells. Northern blot analysis showed that GRP78 mRNA increased >10-fold after 24 h of hypoxia (Fig. 1A)Citation . The amount of GRP78 mRNA additionally increased after 36 h (data not shown). Increases in gene expression can occur at the transcriptional level by increasing the transcriptional rate or at the post-transcriptional level by stabilizing mRNA (17) . To distinguish between these possibilities, first, nuclear run-on assays were performed with MKN28 nuclei to determine whether hypoxia leads to an increase in transcription. 32P-labeled RNAs transcribed from MKN28 nuclei were hybridized to filter-immobilized human GRP78 cDNA and ß-actin cDNA (standard for quantitation). The transcriptional rate of the GRP78 gene was 7-fold greater after 24 h of hypoxic incubation, whereas the transcription of the ß-actin gene was only slightly greater (Fig. 1B)Citation . Second, to determine whether hypoxia leads to stabilization of GRP78 mRNA, actinomycin D was used to block transcription. Treatment of hypoxic MKN28 cells with actinomycin D (7.5 µg/ml) made no significant difference in GRP78 mRNA (Fig. 1C)Citation . These results demonstrate that transcriptional activation, not mRNA stabilization, contributes to the induction of GRP78 by chronic hypoxia.



View larger version (30K):
[in this window]
[in a new window]
[Download PPT slide]
 
Fig. 1. The GRP78 gene is induced by hypoxia in MKN28 human gastric adenocarcinoma cells. A, time course of GRP78 induction. RNA was extracted at the times indicated after exposure to hypoxia and analyzed by Northern blot analysis using a GRP78 cDNA probe. B, transcriptional activation of the GRP78 gene under hypoxia. A nuclear run-on assay of GRP78 transcription was performed using nuclei from MKN28 cells grown for 24 h in normoxia or hypoxia. After in vitro transcription in the presence of [{alpha}-32P]UTP, equal amounts of labeled transcripts were hybridized to GRP78 or ß-actin cDNA immobilized on a nylon membrane. Specific hybridization to GRP78 was quantified using a PhosphorImager and normalized to that of ß-actin. C, stability of GRP78 mRNA under normoxia and hypoxia. MKN28 cells were grown 24 h under normoxia or hypoxia, and then actinomycin D (7.5 µg/ml) was added to inhibit transcription. Autoradiogram shows mRNAs remaining after addition of actinomycin D and additional incubation for the indicated time. The same RNA blot was rehybridized with a ß-actin probe.

 
ERK Is Necessary for the Induction of GRP78 by Hypoxia in MKN28 Cells.
MAPKs are activated in response to stresses, including hypoxia. To understand the signal transduction mechanism involved in GRP78 induction, we examined whether the known MAPKs, p38 MAPK and JNK, are activated. MAPK activity was measured using immune complex kinase assays with whole cell lysates from MKN28 cells grown under normoxia and hypoxia. Whereas the activities of JNK and p38 MAPK were not affected by hypoxia, the activity of ERK in the hypoxic sample was ~3-fold greater than in the control (Fig. 2A)Citation . This activation of ERK was time-dependent and resulted in maximal activation at 16 h (Fig. 2B)Citation . The enhancement of the activity of ERK by hypoxia was additionally confirmed by Western blotting with a phosphospecific ERK antibody. A highly specific inhibitor of MEK1, PD98059 (50 µM), completely blocked the phosphorylation of ERK by hypoxia (Fig. 2C)Citation . When cells were pretreated with PD98059 (50 µM) for 1 h and incubated under normoxia and hypoxia, PD98059 completely abolished the induction of GRP78 mRNA and protein under hypoxia (Fig. 2D)Citation . Taken together, these results demonstrate that ERK is necessary for the induction of GRP78 by hypoxia in MKN28 cells.



View larger version (24K):
[in this window]
[in a new window]
[Download PPT slide]
 
Fig. 2. ERK MAPK is necessary for the induction of GRP78 by hypoxia. A, induction of ERK activity by hypoxia. MKN 28 cells were incubated for 24 h under normoxia (Lanes 1, 3, and 5) or hypoxia (Lanes 2, 4, and 6). Whole cell lysates were used to determine the activities of JNK, p38, and ERK by using immune complex kinase assay. Purified recombinant GST-cJun (Lanes 1 and 2), GST-ATF2 (Lanes 3 and 4), or MBP (Lanes 5 and 6) were used as substrates. B, time-dependent ERK MAPK activation during hypoxia. MKN28 cells were incubated for the indicated time under hypoxia and subjected to an immune complex kinase assay with MBP as substrate. C and D, MKN28 cells were incubated for 24 h under normoxia or hypoxia with or without pretreatment for 1 h with a highly specific inhibitor of MEK1, PD98059 (50 µM). C, PD98059 blocks ERK activity. ERK MAPK activity and the protein levels of phosphospecific-ERK1/2 and ERK2 were determined by immune complex kinase assay with MBP as substrate (top panel) and by Western blotting analysis with antibodies against phosphorylated ERK1/2 or total ERK2 (lower panels). D, inhibition of GRP78 induction by PD98059. Total RNA was subjected to Northern blot analysis to determine the level of GRP78 mRNA relative to ß-actin mRNA (top panel). Whole cell lysate was used to determine the protein levels of GRP78 and ß-actin by Western blot (bottom panel).

 
Activation of ERK Is Necessary for the Transcriptional Activation of the GRP78 Promoter by Hypoxia.
To investigate whether ERK has a direct effect on the human GRP78 promoter in MKN28 cells, transient transfection assays were performed with a reporter construct, pGRP78-Luc, containing a 374-bp stretch of the human GRP78 promoter. We observed a 4-fold increase in the GRP78 promoter activity by hypoxia (Fig. 3ACitation , Lanes 1 and 3). The role of ERK on the activation of the GRP78 promoter under chronic hypoxia was additionally evaluated with MEK1 inhibitor PD98059. Pretreatment of the transfected cells with PD98059 (50 µM) inhibited the transcriptional activation of the GRP78 promoter by hypoxia (Fig. 3ACitation , Lane 4). To confirm the significance of ERK activation in GRP78 induction, we examined the effect of a DN-MEK1. The overexpression of DN-MEK1 was confirmed by Western blot analysis (Fig. 3B)Citation . The increase in the transcriptional activity of GRP78 promoter by hypoxia was also inhibited by DN-MEK1 (Fig. 3ACitation , Lane 5). Taken together, these results demonstrate that activation of ERK is necessary for the transcriptional activation of the GRP78 promoter by chronic hypoxia.



View larger version (10K):
[in this window]
[in a new window]
[Download PPT slide]
 
Fig. 3. ERK is required for the activation of the GRP78 promoter by chronic hypoxia. A, MKN28 cells were cotransfected with 1 µg of pGRP78-Luc and 50 ng of pRL-SV40. The cells were then incubated for 24 h under normoxia or hypoxia with or without pretreatment with PD98059 for 1 h or transfected with 1 µg of pGRP78-Luc and 50 ng of pRL-SV40 plus 0.5 µg/plate of DN-MEK1 and assayed for luciferase activity. Data represent mean from at least three independent experiments; bars, ±1 SD. B, expression of DN-MEK1 was determined by Western blot analysis with MEK1 antibody. MKN28 cells were transfected with 0.5 µg of either vector (CMV) plasmid or an expression plasmid encoding a DN-MEK1.

 
AP-1 Is Involved in the Induction of GRP78 by Hypoxia.
To explore whether the transcription factor AP-1 is involved in the activation of the GRP78 promoter, we first examined whether AP-1 binding activity can be induced in hypoxic MKN28 cells. Nuclear extracts prepared from MKN28 cells grown under hypoxia or normoxia were subjected to EMSA using 32P-labeled TRE-like oligonucleotide probes derived from the GRP78 promoter. AP-1 DNA binding activity was dramatically elevated after 4 h of hypoxia, peaked at 8 h of hypoxia, and was sustained for up to 16 h (Fig. 4ACitation , Lanes 1–4). This induction of AP-1 binding activity precedes GRP78 induction. Because ERK activity is required for the activation of the GRP78 promoter by hypoxia, we examined the role of ERK on AP-1 DNA binding activity. Enhancement of AP-1 DNA binding activity by hypoxia was inhibited by pretreatment with PD98059 (50 µM; Fig. 4ACitation , Lanes 5–7). To confirm the binding specificity of the DNA-protein complex, a competition DNA binding assay was performed with unlabeled TRE-like oligonucleotide. The formation of the AP-1 complex was completely inhibited by the addition of 100-fold excess of unlabeled competitor (Fig. 4ACitation , Lane 8). Thus, the DNA-protein interactions were sequence-specific.



View larger version (34K):
[in this window]
[in a new window]
[Download PPT slide]
 
Fig. 4. In MKN28 cells, hypoxia increases both AP-1 DNA binding activity and transcription from the AP-1 binding site. A, nuclear extracts were prepared from MKN 28 cells exposed to hypoxia, and EMSA assays were performed with 5 µg of nuclear extract in the presence of 32P-labeled TRE-like oligonucleotide probes. The AP-1 binding activity increased from time 0 through 16 h of hypoxia (Lanes 1–4). This increase was prevented by pretreatment with PD98059 (Lanes 5–7). Addition of 100-fold excess unlabeled TRE-like oligonucleotide to the reaction mixture prevented the formation of the DNA-protein complex (Lane 8). Antibody interference assays with either c-Jun or c-Fos antibody revealed the presence of c-Jun and c-Fos proteins in the AP-1 complexes bound to the probe (Lanes 9–12). B, increase in the abundance of AP-1 components c-Fos and c-Jun during hypoxia. Nuclear extracts prepared from normoxic and hypoxic MKN28 cells were subjected to Western blot analysis with the indicated antibodies. C, coimmunoprecipitation of c-Fos and c-Jun. Nuclear extracts prepared from hypoxic MKN28 cells were used for coimmunoprecipitation with anti-c-Jun antibody and protein G-Sepharose. Immune complexes were separated by 10% SDS-PAGE, blotted, and probed with anti-c-Fos antibody. Control shows nuclear extracts without immunoprecipitation. D, inhibition of ERK activity abrogates the AP-1 binding site-dependent transcriptional activation of the GRP78 promoter by chronic hypoxia. MKN28cells were transfected with 1 µg of pAP-13-Luc and 50 ng of pRL-SV40. The cells were then incubated for 24 h under normoxia or hypoxia with or without pretreatment of 50 µM of PD98059 for 1 h and then assayed for luciferase activity. MKN28 cells were also cotransfected with 1 µg of pGRP78-Luc and 50 ng of pRL-SV40 plus 0.5 µg of MEK-2A/60-mm dish. Fold induction was calculated with respect to the corresponding normoxic controls. Data represent mean from at least three independent experiments; bars, ±1 SD. E, inhibition of AP-1 activity suppresses GRP78 gene induction. Cells were pretreated in the presence or absence of 0.5 µM of dexamethasone, an inhibitor of AP-1 activity, 30 min before incubating under normoxia or hypoxia. Total RNAs were subjected to Northern blot analysis of GRP78 and ß-actin mRNA.

 
To additionally identify the components of the AP-1 complex, antibody interference assays were performed with antibodies against c-Jun or c-Fos. Both antibodies interfered with the formation of DNA-protein complex induced by hypoxia, suggesting the presence of both c-Jun and c-Fos in the AP-1 complex (Fig. 4ACitation , Lanes 9–12). These results demonstrate that hypoxia-enhanced DNA binding activity of AP-1 is probably composed of c-Jun/c-Fos dimer, and ERK mediates enhancement of AP-1 binding activity. Next, the induction of AP-1 components was examined by Western blot analysis. A dramatic induction of AP-1 components c-Fos and c-Jun was evident in the nuclear extract prepared from cells grown under hypoxia (Fig. 4B)Citation . This induction was inhibited by PD98059. To demonstrate the interaction between c-Jun and c-Fos as a functional AP-1 complex, coimmunoprecipitation was performed. Direct interaction between c-Jun and c-Fos was evident (Fig. 4C)Citation .

Because changes in AP-1 DNA binding activity do not mirror the transcriptional activity of the complex, we next tested whether hypoxia-induced AP-1 was capable of transcriptionally activating an AP-1-dependent reporter gene. Transient transfection assays in MKN28 cells with a reporter construct, pAP13-Luc, which contains three TRE-like sequences from the GRP78 promoter, demonstrated that hypoxia increased the luciferase activity of transfected cell extracts by 3-fold (Fig. 4DCitation , Lanes 1 and 3). To additionally evaluate the role of ERK on the activation of AP-1 transcriptional activity, we again used PD98059 and DN-MEK1. Both PD98059 and DN-MEK1 completely prevented the increase in the AP-1-dependent transcriptional activity by hypoxia (Fig. 4DCitation , Lanes 4 and 5). These data prompted us to hypothesize that the overall transcriptional activity of the GRP78 promoter may be regulated by AP-1 during chronic hypoxia in MKN28 cells. The importance of AP-1 activity in hypoxia-induced expression of the GRP78 gene was confirmed by using dexamethasone, an inhibitor of AP-1 activity. Induction of GRP78 mRNA by hypoxia was completely blocked by pretreatment with dexamethasone (0.5 µM; Fig. 4ECitation ).

ERK-mediated GRP78 Induction by Chronic Hypoxia Involves Activation of Raf-1 and PKC.
We next examined the upstream signaling molecules that may activate ERK during chronic hypoxia. Because the activation of ERK by growth factors leads to the activation of Ras followed by recruitment of Raf-1 to the plasma membrane and then subsequent activation of MEK1 (12) , we explored whether Raf-1 and Ras are involved in ERK-mediated GRP78 induction. Chronic hypoxia induced Raf-1 activity >3-fold when measured by immune complex kinase assays using GST-MEK as a substrate (Fig. 5Citation , Lanes 1 and 2). In contrast, Ras did not act as an activator of Raf-1, because activation of Raf-1 and ERK was not affected by manumycin A (30 µM), a potent inhibitor of Ras (Fig. 5Citation , Lane 5).



View larger version (31K):
[in this window]
[in a new window]
[Download PPT slide]
 
Fig. 5. Activation of both Raf-1 and PKC isoforms is involved in ERK-mediated GRP78 induction by chronic hypoxia. MKN28 cells were pretreated with 10 µM GF109203X, 2 µM Gö6976, or manumycin A for 30 min before exposure to hypoxia for 24 h. Raf-1 and ERK activities were determined by immune complex kinase assay with GST-MEK1 and MBP as substrates, respectively (top panels). Northern blot of total cellular RNA shows the expression of GRP78 relative to ß-actin mRNA (bottom panels). Activities of Raf-1 and ERK and GRP78 mRNA were induced by hypoxia and inhibited by PKC inhibitor, GF109203X, but not by Gö6976 or manumycin A.

 
In addition to Ras, PKC is another important upstream activator of Raf-1 (13 , 14) . Thus, we next examined whether PKC was involved in ERK-mediated GRP78 induction by chronic hypoxia in MKN28 cells. We used two selective PKC inhibitors, GF-109203X and Gö6976. GF-109203X inhibits PKC{alpha}, ßI, ßII, {gamma}, {delta}, and {epsilon} isoforms (25) , whereas Gö6976 selectively inhibits Ca2+-dependent PKC{alpha} and ß, but does not affect Ca2+-independent PKC{delta}, {epsilon}, and {zeta} isoforms, even at micromolar levels (26) . Pretreatment with GF-109203X (10 µM) inhibited kinase activities of both Raf-1 and ERK as well as the induction of GRP78 transcripts during chronic hypoxia (Fig. 5Citation , Lane 3). In contrast, pretreatment with Gö6976 (2 µM) had little effect on ERK activity and GRP78 mRNA (Fig. 5Citation , Lane 4). These results demonstrate that ERK-mediated GRP78 induction by chronic hypoxia is dependent on specific PKC isoforms.

PKC-{epsilon} Is Necessary for ERK-mediated GRP78 Induction by Chronic Hypoxia.
To additionally identify the specific PKC isoforms responsible for the ERK-mediated GRP78 induction by hypoxia, the induction of ERK activity and GRP78 mRNA by hypoxia were examined during treatment with PMA or BAPTA. Prolonged treatment with PMA completely inhibited both hypoxia-induced GRP78 induction and the activity of ERK (Fig. 6ACitation , Lane 3). In contrast, pretreatment of MKN28 cells with BAPTA/AM (50 µM for 30 min), a membrane permeable calcium-chelator, did not inhibit the induction of ERK activity or GRP78 mRNA by hypoxia (Fig. 6ACitation , Lane 4). Taken together, these results indicate that PMA-sensitive and Ca2+-independent nPKCs (PKC{delta} and/or PKC{epsilon}) are involved in the ERK-mediated GRP78 induction by hypoxia. To additionally identify the PKC isoform responsible, we used immune kinase assays to measure the enzymatic activities of six PKC isoforms expressed in MKN28 cells. Hypoxia dramatically enhanced the activity of PKC-{epsilon} (Fig. 6B)Citation . This enhanced PKC-{epsilon} kinase activity was time-dependent and peaked at 4 h (Fig. 6C)Citation . On the other hand, PKC{alpha} kinase activity was inhibited (Fig. 6B)Citation .



View larger version (22K):
[in this window]
[in a new window]
[Download PPT slide]
 
Fig. 6. nPKC is involved in the ERK-mediated GRP78 induction by hypoxia. A, induction of hypoxia-induced GRP78 expression and ERK activity was inhibited by PMA and is independent of intracellular calcium concentration. Northern blot of total cellular RNA shows the expression of GRP78 relative to ß-actin mRNA in the presence of either PMA or BAPTA (top panel). ERK kinase activity was determined by immune complex kinase assays with MBP as a substrate in the presence of either PMA or BAPTA/AM. B, PKC-{epsilon} activity was induced by hypoxia in MKN28 cells. Specific antibodies to the indicated isoforms of PKC were used for immunoprecipitation and immune complex kinase assay with histone H1 as the substrate. C, time course of PKC-{epsilon} activation during hypoxia. MKN28 cells were incubated for the indicated times under hypoxia. PKC activity was determined by immune complex kinase assay using histone H1 as a substrate.

 
Function of PKC-{epsilon} Is Necessary for ERK-mediated GRP78 Induction by Chronic Hypoxia in MKN28 Cells.
To additionally explore the functional role of PKC-{epsilon} in the ERK-mediated GRP78 induction, we transfected cells with a DN-PKC-{epsilon} or a DN-PKC-{alpha}. The expression of each transfected DN-PKC gene was verified by Western blotting (Fig. 7A)Citation . In both cases, kinase activity was dramatically lower than in transfected cells, as expected from its dominant-negative property (data not shown). The induction of ERK activity, GRP78 mRNA, and AP-1-dependent transcriptional activity by chronic hypoxia was significantly blocked by DN-PKC-{epsilon} but not by DN-PKC-{alpha} (Fig. 7B–D)Citation . Taken together, our results demonstrate that PKC-{epsilon} is necessary for ERK-mediated GRP78 induction by chronic hypoxia.



View larger version (20K):
[in this window]
[in a new window]
[Download PPT slide]
 
Fig. 7. ERK MAPK-mediated GRP78 induction by hypoxia is PKC-{epsilon}-dependent. A, overexpression of DN-PKC isoforms in MKN28 cells. MKN28 cells were transfected with 1 µg of either vector plasmid or expression plasmid encoding DN-PKC-{epsilon} or DN-PKC-{alpha}. After 24 h of transfection, whole cell lysates were prepared and immunoblotted with anti-PKC-{epsilon} or anti-PKC-{alpha}. B–D, MKN28 cells were transfected with vector, DN-PKC-{epsilon}, or DN-PKC-{alpha}. After 16 h, cells were exposed to normoxia or hypoxia for 24 h. B, ERK MAPK activity was determined by immune complex kinase assay using MBP as a substrate. C, Northern blot shows dramatic elevation of GRP78 gene expression was inhibited by overexpression of DN-PKC-{epsilon} but not by DN-PKC-{alpha}. Blot was reprobed with ß-actin as a control for loading. D, dual luciferase assays were used to measure AP-1 dependent transcriptional activation. Overexpression of DN-PKC-{epsilon} inhibited transcription. Data represent mean from at least three independent experiments; bars, ±1 SD.

 
GRP78 Is Induced in Surgical Specimens of Human Stomach Cancer.
Solid tumors often contain substantial hypoxic regions and these hypoxic regions could induce the expression of stress proteins through the stress response signaling pathway. To test this prediction, we examined whether gastric tumors had elevated expression of GRP78 mRNA. Paired samples of malignant and normal stomach tissues from four advanced stomach cancer patients were subjected to Northern blot analysis. In all four of the cases examined, a major 2.7-kb GRP78 transcript was dramatically more abundant in tumors than in normal tissues (Fig. 8A)Citation . On the other hand, little or no GRP78 mRNA was detected in normal stomach tissues. After normalization with 28S rRNA, quantitation of mRNA bands revealed a 3–10-fold increase in GRP78 mRNA in gastric tumors compared with normal tissues of the same patient. In addition, paraffin sections of advanced gastric tumor specimens were processed for the induction of GRP78 protein by immunohistochemistry using a polyclonal GRP78 antibody. Strong GRP78 immunoreactivity was detected in tumor tissues, whereas little or no immunoreactivity was detected in normal gastric tissues (Fig. 8B)Citation .



View larger version (68K):
[in this window]
[in a new window]
[Download PPT slide]
 
Fig. 8. GRP78 protein and mRNA are overexpressed in surgical specimens of human gastric carcinomas. A, overexpression of GRP78 mRNA in advanced gastric carcinomas. Total RNA was isolated from paired normal (N) and gastric tumor (T) specimens and subjected to Northern blotting with a GRP78 cDNA probe. Ethidium bromide staining of Northern gel is shown as a control for equivalent loading. B, immunohistochemical detection revealed GRP78 protein in the cytoplasm of advanced gastric tumors. The formalin-fixed paraffin sections were stained for GRP78 protein using antihuman GRP78 polyclonal antibody and diaminobenzidine as the chromogen (brown staining). Slides were counterstained with Gills hematoxylin (purple staining). Gastric tumors had high levels of GRP78 expression in the cytoplasm (top panel), whereas normal mucosa contained only a basal level (bottom panel). Magnification, x100.

 

    DISCUSSION
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Our results demonstrate the induction of GRP78 mRNA and protein both in surgical specimens of human gastric adenocarcinoma and in human gastric adenocarcinoma cells exposed to chronic hypoxia. Hypoxia is a common microenvironment in many solid tumors including gastric carcinoma. In this study, we asked whether stress-inducible GRP78 could be induced in human gastric adenocarcinoma cells. And if so, what is the underlying molecular mechanism and associated signaling pathway that governs GRP78 induction? We demonstrated that delayed and sustained overexpression of the GRP78 gene by chronic hypoxia in MKN28 cells involves transcriptional activation rather than mRNA stability. The induction mechanism of GRP78 by chronic hypoxia presented in this paper contrasts with that of vascular endothelial growth factor induction because the transcriptional induction of vascular endothelial growth factor is primarily attributable to an increase in mRNA stability rather than transcriptional activation (27) . The relative contribution of an increased rate of transcription and of mRNA stability in the transcriptional induction of a given gene can be different depending on the gene involved.

Previous studies by other investigators have shown rapid and transient activation of ERK, JNK, and p38 MAPK during hypoxia (28 , 29) . In this study, we investigated which MAPK is involved in the signaling cascade of GRP78 induction by chronic hypoxia, because it occurs in gastric tumors. We showed that ERK activation is necessary for the induction of GRP78 in MKN28 cells by using both PD98059, a highly specific inhibitor of MEK1 and a DN-MEK1. Pretreatment of cells with PD98059 prevented the increase in the activity of ERK, the level of GRP78 mRNA, the level of GRP78 protein, and the transcriptional activity of the GRP78 promoter. Whereas pretreatment of MKN28 cells with BAPTA did not inhibit either the induction of ERK activity or GRP78 mRNA by hypoxia (Fig. 6A)Citation , treatment of MKN28 cells with Tg, an ER Ca2+-ATPase inhibitor, blocked the activation of ERK, and PD98059 could not block the Tg-induced accumulation of GRP78 mRNA and protein, even at a high concentration of PD98059 (150 µM).4 A recent report also demonstrated that GRP78 induction by Tg treatment was inhibited by chelation of intracellular calcium with BAPTA (30) . Taken together, these results support the notion that different signaling pathways mediate induction of GRP78 by Tg and hypoxia.

We hypothesized that AP-1 might be involved in the regulation of GRP78. Induction of AP-1 activity can occur either by an increase in the abundance of AP-1 components or by an increase in their transactivating potential without affecting their binding activities (11) . Our data revealed dramatic increases in the levels of AP-1 components of the c-Fos and c-Jun family during hypoxia and showed that these increases were strongly dependent on ERK activity (Fig. 4B)Citation . In addition, our transfection studies in human gastric cancer cells demonstrated that enhancement of AP-1 DNA binding activity also involves transcriptional induction of the GRP78 gene through a TRE-like motif (Fig. 4D)Citation . Inhibition of GRP78 induction by dexamethasone, an inhibitor of AP-1 activity, additionally supported the requirement of AP-1 activity for the induction of GRP78 by hypoxia (Fig. 4E)Citation . However, we did not address whether or not induction of AP-1 activity by itself, in the absence of hypoxia, was sufficient to mediate the induction of GRP78 transcription. The abundance of AP-1 protein is usually regulated by transcriptional regulation of the genes encoding AP-1 components (11) or by modulation of the stability of these components through ubiquitination (31) .

Chronic hypoxia leading to ERK activation can enhance the activities of other transcription factors. So we looked for other factors that might bind to the GRP78 promoter. One of the important motifs involved in responses to hypoxia is the HIF-1 binding motif (17) . However, HIF-1 does not appear to play a role in the induction of GRP78 under chronic hypoxia, because no recognizable HIF-1 binding motif is present in the sequence of the GRP78 promoter. Using the CRE, ER stress response element, or the core region of GRP78 as an EMSA probe, no specific protein-DNA complexes were induced by chronic hypoxia in MKN28 cells.4

Other investigators have found that several signaling pathways, including PKC, PKA, and p38 MAPK, are involved in the induction of GRP78 in a variety of cell culture systems (32, 33, 34) . The GRP78 gene was reported to be rapidly activated after treatment with okadaic acid followed by heat shock in rat brain tumor cells; a CRE element upstream of rat GRP78 was necessary for this rapid induction, and this activation involved the PKA signaling pathway and p38 MAPK signaling pathways (33 , 34) . However, the mechanisms for immediate response to hypoxia and chronic hypoxia can be quite different. Depending on cell type and stimulus, ERK activation may occur by either PKC-dependent or -independent pathways (12 , 35) and duration of ERK activation can be critical for determining signaling pathways (36) . In this study, we also showed that hypoxia specifically increases both the level of expression and the enzymatic activity of PKC-{epsilon} of six PKC isoforms expressed in MKN28 cells (Fig. 6, B and C)Citation . We used PKC inhibitors and DN-PKC isoforms to demonstrate that ERK-mediated GRP78 induction by hypoxia in MKN28 cells depends on the PKC-{epsilon} isoform. Catalytically inactive dominant-negative molecules are known to act by competing with the corresponding endogenous isoforms (37) . The essential role of PKC-{epsilon} in the ERK-mediated GRP78 induction as a delayed and sustained response to hypoxia in MKN28 cells was additionally confirmed by showing its inhibition by DN-PKC-{epsilon} but not by DN-PKC-{alpha} (Fig. 7)Citation .

This study did not examine whether hypoxia directly modulates the function of other signal transducing molecules (e.g., receptors, G proteins, and phospholipase) or leads to the release of soluble factors (e.g., angiotensin II and endothelin) that act on receptors to stimulate intracellular signal transduction pathways (38, 39, 40) . Earlier reports showed that phosphatidylinositol 3,4-bisphosphate and phosphatidylinositol 3,4,5-triphosphate generated by PI3k activity are potent and selective activators of nPKC isoforms and have little effect on cPKCs or aPKCs (41) . Furthermore, Moriya et al. (42) reported that both the PI3k and phospholipase C pathways can activate PKC-{epsilon} in a cell-specific and stimulus-specific manner. The specificity of the PI 3k pathway for PKC-{epsilon} suggests its involvement in the signaling pathway leading to the induction of GRP78 by chronic hypoxia. Our preliminary findings with PI3k inhibitors suggest the involvement of PI3k in GRP78 induction in MKN28 cells (data not shown).

In this study, we did not address why cancer cells induced GRP78 mRNA and protein under chronic hypoxia. However, studies by other investigators have reported evidence suggesting that endoplasmic reticulum resident chaperones, including GRP78, are involved in cellular survival during chronic hypoxia (43) . In addition, the induction of GRP78 was reported to protect cells by suppressing oxidative damage and stabilizing calcium homeostasis (44 , 45) . Furthermore, the degree of GRP78 induction appears to regulate Tg-induced apoptosis (46) . Usually, normal mammalian cells use the ERK signaling pathway to transduce survival signals for cell growth and development by hormones and growth factors. But cancer cells might modify the ERK signaling pathway to transduce signals that prevent hypoxia-induced apoptosis. Future studies will address the roles of GRP78 in the survival of cancer cells in a hypoxic microenvironment.

In summary, we demonstrated that GRP78 mRNA and protein are overexpressed in human gastric cancer cells exposed to chronic hypoxia as well as in surgical specimens of primary gastric tumors. Our results suggest that GRP78 induction has clinical importance in human gastric tumors. In addition, we also elucidated that sustained induction of GRP78 by chronic hypoxia is mainly attributable to transcriptional activation rather than mRNA stability, and we uncovered a novel signaling pathway involving a PKC-{epsilon}/ERK/AP-1 signaling cascade mediating the induction of GRP78 in human gastric tumor cells. To our knowledge, this is the first report to link chronic hypoxia to the induction of the GRP78 gene in human gastric tumors.


    ACKNOWLEDGMENTS
 
We thank Dr. Natalie Ahn at the University of Colorado, Boulder, CO, for providing the MEK1 expression plasmids and valuable comments, and Drs. I. Bernard Weinstein and Jae Won Soh at Columbia University, New York, NY, for their generous gifts of PKC-{epsilon} and PKC-{alpha} expression plasmids. We are grateful to General Director Jung-Don Seo at Samsung Biomedical Research Institute, Seoul, Korea for his support and encouragement throughout this work.


    FOOTNOTES
 
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

1 Supported by Samsung Grant SBRI B-98-024 and SRC Grant from Korea Science and Engineering Foundation. Back

2 To whom requests for reprints should be addressed, at Molecular Therapy Research Center, Sungkyunkwan University, SMC Annex B252, 50 Ilwon-dong, Kangnam-ku, Seoul, 135-230, Korea. Phone: 82-2-3410-3629; Fax: 82-2-3410-3649; E-mail: hannah05{at}dreamwiz.com Back

3 The abbreviations used are: GRP78, Mr 78,000 glucose-regulated protein; DN, dominant-negative mutant; ERK, extracelluar signal-regulated protein kinase; FBS, fetal bovine serum; MBP, myelin basic protein; JNK, c-Jun-NH2-terminal kinase; MAPK, mitogen-activated protein kinase; MEK, MAP/ERK kinase; AP-1, activator protein-1; Tg, thapsigargin; TRE, 12-O-tetradecanoylphorbol-13-acetate response element; PKC, protein kinase C; CRE, cAMP response element; EMSA, electrophoretic mobility shift assay; PMA, phorbol 12-myristate 13-acetate; PI3k, phosphatidylinositol 3'-kinase; BAPTA/AM, 1,2-bis(2-aminophenoxy)-ethane-N,N,N',N'-tetraacetic acid/acetoxymethyl ester; GST, glutathione S-transferase; HIF, hypoxia inducing factor 1. Back

4 M. S. Song and K. Park, unpublished observations. Back

Received 4/17/01. Accepted 9/16/01.


    REFERENCES
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 

  1. Lee A. S. Mammalian stress response: induction of the glucose-regulated protein family. Curr. Opin. Cell Biol., 4: 267-273, 1992.[Medline]
  2. Kaufman R. J. Stress signaling from the lumen of the endoplasmic reticulum: coordination of gene transcriptional and translational controls. Genes Dev., 13: 1211-1233, 1999.[Free Full Text]
  3. Liu H., Bowes R. C., van de Water B., Sillence C., Nagelkerke J. F., Stevens J. L. Endoplasmic reticulum chaperones GRP78 and calreticulin prevent oxidative stress, Ca2+ disturbances, and cell death in renal epithelial cells. J. Biol. Chem., 272: 21751-21759, 1997.[Abstract/Free Full Text]
  4. Jamora C., Dennert G., Lee A. S. Inhibition of tumor progression by suppression of stress protein GRP78/BiP induction in fibrosarcoma B/C10ME. Proc. Natl. Acad. Sci. USA, 93: 7690-7694, 1996.[Abstract/Free Full Text]
  5. Tomida A., Yun J., Tsuruo T. Glucose-regulated stresses induce resistance to camptothecin in human cancer cells. Int. J. Cancer, 68: 391-396, 1996.[Medline]
  6. Robinson M. J., Cobb M. H. Mitogen-activated protein kinase pathways. Curr. Opin. Cell Biol., 9: 180-186, 1997.[Medline]
  7. Seger R., Krebs E. G. The MAPK signaling cascade. FASEB J., 9: 726-735, 1995.[Abstract]
  8. Muller J. M., Krauss B., Kaltschmidt C., Baeuerle P. A., Rupec R. A. Hypoxia induces c-fos transcription via a mitogen-activated protein kinase-dependent pathway. J. Biol. Chem., 272: 23435-23439, 1997.[Abstract/Free Full Text]
  9. Yang X., Chen Y., Gabuzda D. ERK MAP kinase links cytokine signals to activation of latent HIV-1 infection by stimulating a cooperative interaction of AP-1 and NF-{kappa}B. J. Biol. Chem., 274: 27981-27988, 1999.[Abstract/Free Full Text]
  10. Whitmarsh A. J., Davis R. J. Transcription factor AP-1 regulation by mitogen-activated protein kinase signal transduction pathways. J. Mol. Med., 74: 589-607, 1996.[Medline]
  11. Karin M. The regulation of AP-1 activity by mitogen-activated protein kinases. J. Biol. Chem., 270: 16483-16486, 1995.[Free Full Text]
  12. Malarkey K., Belham C. M., Paul A., Graham A., McLees A., Scott P. H., Plevin R. The regulation of tyrosine kinase signalling pathways by growth factor and G-protein-coupled receptors. Biochem. J., 309: 361-375, 1995.
  13. Cacace A. M., Ueffing M., Philipp A., Han E. K., Kolch W., Weinstein I. B. PKC epsilon functions as an oncogene by enhancing activation of the Raf kinase. Oncogene, 13: 2517-2526, 1996.[Medline]
  14. Cai H., Smola U., Wixler V., Eisenmann-Tappe I., Diaz-Meco M. T., Moscat J., Rapp U., Cooper G. M. Role of diacylglycerol-regulated protein kinase C isotypes in growth factor activation of the Raf-1 protein kinase. Mol. Cell. Biol., 17: 732-741, 1997.[Abstract]
  15. Newton A. C. Regulation of protein kinase C. Curr. Opin. Cell Biol., 9: 161-167, 1997.[Medline]
  16. Newton A. C. Protein kinase C: structure, function, and regulation. J. Biol. Chem., 270: 28495-28498, 1995.[Free Full Text]
  17. Shih S. C., Claffey K. P. Hypoxia-mediated regulation of gene expression in mammalian cells. Int. J. Exp. Pathol., 79: 347-357, 1998.[Medline]
  18. Hojo H. Establishment of cultured cell lines of human stomach-cancer origin and their morphological characteristics. Niigata Igakukai Zasshi (in Japanese), 91: 737-752, 1977.
  19. Greenberg M. E., Ziff E. B. Stimulation of 3T3 cells induces transcription of the c-fos proto-oncogene. Nature (Lond.), 311: 433-438, 1984.[Medline]
  20. Derijard B., Raingeaud J., Barrett T., Wu I. H., Han J., Ulevitch R. J., Davis R. J. Independent human MAP-kinase signal transduction pathways defined by MEK and MKK isoforms. Science (Wash. DC), 267: 682-685, 1995.[Abstract/Free Full Text]
  21. Ting J., Lee A. S. Human gene encoding the 78,000-dalton glucose-regulated protein and its pseudogene: structure, conservation, and regulation. DNA (NY), 7: 275-286, 1988.[Medline]
  22. Mansour S. J., Matten W. T., Hermann A. S., Candia J. M., Rong S., Fukasawa K., Vande Woude G. F., Ahn N. G. Transformation of mammalian cells by constitutively active MAP kinase kinase. Science (Wash. DC), 265: 966-970, 1994.[Abstract/Free Full Text]
  23. Soh J. W., Lee E. H., Prywes R., Weinstein I. B. Novel roles of specific isoforms of protein kinase C in activation of the c-fos serum response element. Mol. Cell. Biol., 19: 1313-1324, 1999.[Abstract/Free Full Text]
  24. Schreiber E., Tobler A., Malipiero U., Schaffner W., Fontana A. cDNA cloning of human N-Oct3, a nervous-system specific POU domain transcription factor binding to the octamer DNA motif. Nucleic Acids Res., 21: 253-258, 1993.[Abstract/Free Full Text]
  25. Zhuang S., Hirai S. I., Ohno S. Hyperosmolality induces activation of cPKC and nPKC, a requirement for ERK1/2 activation in NIH/3T3 cells. Am. J. Physiol. Cell Physiol., 278: C102-C109, 2000.[Abstract/Free Full Text]
  26. Chen A., Davis B. H., Bissonnette M., Scaglione-Sewell B., Brasitus T. A. 1,25-Dihydroxyvitamin D(3) stimulates activator protein-1-dependent caco-2 cell differentiation. J. Biol. Chem., 274: 35505-35513, 1999.[Abstract/Free Full Text]
  27. Stein I., Neeman M., Shweiki D., Itin A., Keshet E. Stabilization of vascular endothelial growth factor mRNA by hypoxia and hypoglycemia and coregulation with other ischemia-induced genes. Mol. Cell. Biol., 15: 5363-5368, 1995.[Abstract]
  28. Seko Y., Tobe K., Ueki K., Kadowaki T., Yazaki Y. Hypoxia and hypoxia/reoxygenation activate Raf-1, mitogen-activated protein kinase kinase, mitogen-activated protein kinases, and S6 kinase in cultured rat cardiac myocytes. Circ. Res., 78: 82-90, 1996.[Abstract/Free Full Text]
  29. Seko Y., Takahashi N., Tobe K., Kadowaki T., Yazaki Y. Hypoxia and hypoxia/reoxygenation activate p65PAK, p38 mitogen-activated protein kinase (MAPK), and stress-activated protein kinase (SAPK) in cultured rat cardiac myocytes. Biochem. Biophys. Res. Commun., 239: 840-844, 1997.[Medline]
  30. Chen L. Y., Chiang A. S., Hung J. J., Hung H. I., Lai Y. K. Thapsigargin-induced grp78 expression is mediated by the increase of cytosolic free calcium in 9L rat brain tumor cells. J. Cell. Biochem., 78: 404-416, 2000.[Medline]
  31. Musti A. M., Treier M., Bohmann D. Reduced ubiquitin-dependent degradation of c-Jun after phosphorylation by MAP kinases. Science (Wash. DC), 275: 400-402, 1997.[Abstract/Free Full Text]
  32. Koong A. C., Auger E. A., Chen E. Y., Giaccia A. J. The regulation of GRP78 and messenger RNA levels by hypoxia is modulated by protein kinase C activators and inhibitors. Radiat. Res., 138: S60-S63, 1994.[Medline]
  33. Chen K. D., Hung J. J., Huang H. L., Chang M. D., Lai Y. K. Rapid induction of the Grp78 gene by cooperative actions of okadaic acid and heat-shock in 9L rat brain tumor cells–involvement of a cAMP responsive element-like promoter sequence and a protein kinase A signaling pathway. Eur. J. Biochem., 248: 120-129, 1997.[Medline]
  34. Chen K. D., Lai M. T., Cho J. H., Chen L. Y., Lai Y. K. Activation of p38 mitogen-activated protein kinase and mitochondrial Ca2+-mediated oxidative stress are essential for the enhanced expression of grp78 induced by the protein phosphatase inhibitors okadaic acid and calyculin A. J. Cell. Biochem., 76: 585-595, 2000.[Medline]
  35. Traub O., Monia B. P., Dean N. M., Berk B. C. PKC-epsilon is required for mechano-sensitive activation of ERK1/2 in endothelial cells. J. Biol. Chem., 272: 31251-31257, 1997.[Abstract/Free Full Text]
  36. Marshall C. J. Specificity of receptor tyrosine kinase signaling: transient versus sustained extracellular signal-regulated kinase activation. Cell, 80: 179-185, 1995.[Medline]
  37. Brodie C., Bogi K., Acs P., Lazarovici P., Petrovics G., Anderson W. B., Blumberg P. M. Protein kinase C-epsilon plays a role in neurite outgrowth in response to epidermal growth factor and nerve growth factor in PC12 cells. Cell Growth Differ., 10: 183-191, 1999.[Abstract/Free Full Text]
  38. Goldberg M., Zhang H. L., Steinberg S. F. Hypoxia alters the subcellular distribution of protein kinase C isoforms in neonatal rat ventricular myocytes. J. Clin. Investig., 99: 55-61, 1997.[Medline]
  39. Sadoshima J., Xu Y., Slayter H. S., Izumo S. Autocrine release of angiotensin II mediates stretch-induced hypertrophy of cardiac myocytes in vitro. Cell, 75: 977-984, 1993.[Medline]
  40. Yamazaki T., Komuro I., Kudoh S., Zou Y., Shiojima I., Hiroi Y., Mizuno T., Maemura K., Kurihara H., Aikawa R., Takano H., Yazaki Y. Endothelin-1 is involved in mechanical stress-induced cardiomyocyte hypertrophy. J. Biol. Chem., 271: 3221-3228, 1996.[Abstract/Free Full Text]
  41. Liscovitch M., Cantley L. C. Lipid second messengers. Cell, 77: 329-334, 1994.[Medline]
  42. Moriya S., Kazlauskas A., Akimoto K., Hirai S., Mizuno K., Takenawa T., Fukui Y., Watanabe Y., Ozaki S., Ohno S. Platelet-derived growth factor activates protein kinase C epsilon through redundant and independent signaling pathways involving phospholipase C {gamma} or phosphatidylinositol 3-kinase. Proc. Natl. Acad. Sci. USA, 93: 151-155, 1996.[Abstract/Free Full Text]
  43. Koong A. C., Chen E. Y., Lee A. S., Brown J. M., Giaccia A. J. Increased cytotoxicity of chronic hypoxic cells by molecular inhibition of GRP78 induction. Int. J. Radiat. Oncol. Biol. Phys., 28: 661-666, 1994.[Medline]
  44. Liu H., Miller E., van de Water B., Stevens J. L. Endoplasmic reticulum stress proteins block oxidant-induced Ca2+ increases and cell death. J. Biol. Chem., 273: 12858-12862, 1998.[Abstract/Free Full Text]
  45. Yu Z., Luo H., Fu W., Mattson M. P. The endoplasmic reticulum stress-responsive protein GRP78 protects neurons against excitotoxicity and apoptosis: suppression of oxidative stress and stabilization of calcium homeostasis. Exp. Neurol., 155: 302-314, 1999.[Medline]
  46. McCormick T. S., McColl K. S., Distelhorst C. W. Mouse lymphoma cells destined to undergo apoptosis in response to thapsigargin treatment fail to generate a calcium-mediated grp78/grp94 stress response. J. Biol. Chem., 272: 6087-6092, 1997.[Abstract/Free Full Text]



This article has been cited by other articles:


Home page
Cardiovasc ResHome page
J.-C. Chen, M.-L. Wu, K.-C. Huang, and W.-W. Lin
HMG-CoA reductase inhibitors activate the unfolded protein response and induce cytoprotective GRP78 expression
Cardiovasc Res, October 1, 2008; 80(1): 138 - 150.
[Abstract] [Full Text] [PDF]


Home page
Arterioscler. Thromb. Vasc. Bio.Home page
C. Rask-Madsen and G. L. King
Differential Regulation of VEGF Signaling by PKC-{alpha} and PKC-{epsilon} in Endothelial Cells
Arterioscler Thromb Vasc Biol, May 1, 2008; 28(5): 919 - 924.
[Abstract] [Full Text] [PDF]


Home page
Cancer Res.Home page
S. P. Ermakova, B. S. Kang, B. Y. Choi, H. S. Choi, T. F. Schuster, W.-Y. Ma, A. M. Bode, and Z. Dong
(-)-epigallocatechin gallate overcomes resistance to Etoposide-induced cell death by targeting the molecular chaperone glucose-regulated protein 78.
Cancer Res., September 15, 2006; 66(18): 9260 - 9269.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Cell Physiol.Home page
J. C. Ibla, J. Khoury, T. Kong, A. Robinson, and S. P. Colgan
Transcriptional repression of Na-K-2Cl cotransporter NKCC1 by hypoxia-inducible factor-1
Am J Physiol Cell Physiol, August 1, 2006; 291(2): C282 - C289.
[Abstract] [Full Text] [PDF]


Home page
CarcinogenesisHome page
M. Abdelrahim, K. Newman, K. Vanderlaag, I. Samudio, and S. Safe
3,3'-Diindolylmethane (DIM) and its derivatives induce apoptosis in pancreatic cancer cells through endoplasmic reticulum stress-dependent upregulation of DR5
Carcinogenesis, April 1, 2006; 27(4): 717 - 728.
[Abstract] [Full Text] [PDF]


Home page
Mol Cancer ResHome page
D. E. Feldman, V. Chauhan, and A. C. Koong
The Unfolded Protein Response: A Novel Component of the Hypoxic Stress Response in Tumors
Mol. Cancer Res., November 1, 2005; 3(11): 597 - 605.
[Abstract] [Full Text] [PDF]


Home page
Cancer Res.Home page
J. Choi, K. Choi, E. N. Benveniste, Y.-S. Hong, J.-H. Lee, J. Kim, and K. Park
Bcl-2 Promotes Invasion and Lung Metastasis by Inducing Matrix Metalloproteinase-2
Cancer Res., July 1, 2005; 65(13): 5554 - 5560.
[Abstract] [Full Text] [PDF]


Home page
Cancer Res.Home page
I. Papandreou, C. Krishna, F. Kaper, D. Cai, A. J. Giaccia, and N. C. Denko
Anoxia Is Necessary for Tumor Cell Toxicity Caused by a Low-Oxygen Environment
Cancer Res., April 15, 2005; 65(8): 3171 - 3178.
[Abstract] [Full Text] [PDF]


Home page
Cancer Res.Home page
K. Park, K. Kim, S. B. Rho, K. Choi, D. Kim, S.-H. Oh, J. Park, S.-H. Lee, and J.-H. Lee
Homeobox Msx1 Interacts with p53 Tumor Suppressor and Inhibits Tumor Growth by Inducing Apoptosis
Cancer Res., February 1, 2005; 65(3): 749 - 757.
[Abstract] [Full Text] [PDF]


Home page
JNCI J Natl Cancer InstHome page
H.-R. Park, A. Tomida, S. Sato, Y. Tsukumo, J. Yun, T. Yamori, Y. Hayakawa, T. Tsuruo, and K. Shin-ya
Effect on Tumor Cells of Blocking Survival Response to Glucose Deprivation
J Natl Cancer Inst, September 1, 2004; 96(17): 1300 - 1310.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Respir. Crit. Care Med.Home page
I. Fajardo, L. Svensson, A. Bucht, and G. Pejler
Increased Levels of Hypoxia-sensitive Proteins in Allergic Airway Inflammation
Am. J. Respir. Crit. Care Med., September 1, 2004; 170(5): 477 - 484.
[Abstract] [Full Text] [PDF]


Home page
Mol. Cell. Biol.Home page
K. R. Laderoute, J. M. Calaoagan, M. Knapp, and R. S. Johnson
Glucose Utilization Is Essential for Hypoxia-Inducible Factor 1{alpha}-Dependent Phosphorylation of c-Jun
Mol. Cell. Biol., May 15, 2004; 24(10): 4128 - 4137.
[Abstract] [Full Text] [PDF]


Home page
Mol. Cell. Biol.Home page
C. Koumenis, C. Naczki, M. Koritzinsky, S. Rastani, A. Diehl, N. Sonenberg, A. Koromilas, and B. G. Wouters
Regulation of Protein Synthesis by Hypoxia via Activation of the Endoplasmic Reticulum Kinase PERK and Phosphorylation of the Translation Initiation Factor eIF2{alpha}
Mol. Cell. Biol., November 1, 2002; 22(21): 7405 - 7416.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
A. Lu, F. Zhang, A. Gupta, and J. Liu
Blockade of AP1 Transactivation Abrogates the Abnormal Expression of Breast Cancer-specific Gene 1 in Breast Cancer Cells
J. Biol. Chem., August 23, 2002; 277(35): 31364 - 31372.
[Abstract] [Full Text] [PDF]


Home page
Sci SignalHome page
K. A. Seta, Z. Spicer, Y. Yuan, G. Lu, and D. E. Millhorn
Responding to Hypoxia: Lessons From a Model Cell Line
Sci. Signal., August 20, 2002; 2002(146): re11 - re11.
[Abstract] [Full Text] [PDF]


Home page
Mol. Cell. ProteomicsHome page
R. D. Edmondson, T. M. Vondriska, K. J. Biederman, J. Zhang, R. C. Jones, Y. Zheng, D. L. Allen, J. X. Xiu, E. M. Cardwell, M. R. Pisano, et al.
Protein Kinase C {epsilon} Signaling Complexes Include Metabolism- and Transcription/Translation-related Proteins: Complimentary Separation Techniques With LC/MS/MS
Mol. Cell. Proteomics, June 1, 2002; 1(6): 421 - 433.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Song, M. S.
Right arrow Articles by Park, K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Song, M. S.
Right arrow Articles by Park, K.


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Cancer Research Clinical Cancer Research
Cancer Epidemiology Biomarkers & Prevention Molecular Cancer Therapeutics
Molecular Cancer Research Cancer Prevention Research
Cancer Prevention Journals Portal Cancer Reviews Online
Annual Meeting Education Book Meeting Abstracts Online