Abstract
Cardiac myocyte erbB2 expression is required for maintenance of normal cardiac structure and function, though its role in cardiac cellular physiology is incompletely understood. We tested the hypothesis that erbB2 signaling modulates focal adhesion formation via activation of a src/FAK pathway using adult rat ventricular myocytes in primary culture. The erbB ligand neuregulin-1β (NRG-1β) induced phosphorylation of Src at Y416 and Y215, and FAK at Y861. Using antibody and pharmacological inhibitor strategies, we found that FAK activation was erbB2- and Src-dependent, but independent of PI3-kinase/Akt pathway. Furthermore, NRG-1β stimulated the formation of a multiprotein complex between erbB2, FAK, p130CAS and paxillin within 30 min, and induced lamellipodia with longitudinal elongation of the myocytes within days. The extension of lamellipodia resulted in restoration of cell-to-cell contact between isolated myocytes, allowing for synchronous beating. These effects of NRG-1β were prevented by a src inhibitor as well as an antibody to erbB2. These results suggest the potential role of NRG-1β/erbB2/Src/FAK signaling in the maintenance and repair of electrical and mechanical coupling in cardiomyocytes.
Keywords: Neuregulin, erbB2, Focal adhesion complex, Cardiac myocyte, src, p130CAS, FAK
1. Introduction
Neuregulins (NRGs) and the erbB family of receptor tyrosine kinases are required for tissue morphogenesis during cardiac development[1–3]. The expression of NRG-1, erbB2 and erbB4 persist in the postnatal heart [4] and disruption of this system results in impaired cardiac function [5–9]. The mechanisms by which this signaling system acts to maintain cardiac structure and function remain incompletely understood. In vitro, NRG-1β induces growth and survival in cardiac myocytes via activation of MEK/Erk and PI3-kinase/Akt pathways [10,11]. However, there are also effects of NRG-1β on myocyte structure both at baseline [10] and in response to injury [7] that are not fully accounted for by these signaling pathways.
Focal adhesion kinase (FAK) is a nonreceptor tyrosine kinase critical for the formation of focal adhesion complexes (FAC) and cell spreading, motility and survival [12]. FAK is a substrate of Src, and both FAK and Src are activated in cancer cells overexpressing erbB2 or stimulated with erbB ligand [13,14]. Furthermore, p130CAS is a FAK-interacting protein, and is frequently hyper-phosphorylated in erbB2 overexpressing or Src transformed cells [15,16]. In ventricular myocytes, FAK and p130CAS are known to be essential for the maintenance of sarcomeric organization [17–19] and for the regulation of cell survival [20]. FAK localization to the intercalated disks in freshly isolated ventricular myocytes [21] suggests that it may be critical for myocyte–myocyte interactions. Cardiac-specific inactivation of FAK results in cardiac failure, with marked histopathology of cardiac myocytes including myofibrillar disarray [22]. Collectively, these findings led us to hypothesize an erbB2/Src/FAK signaling pathway in ventricular myocytes stimulated by NRG-1β. Our results demonstrate that NRG-1β activates focal adhesion complex formation that leads to directional spreading initiating from the axial ends of myocytes. We propose that NRG-1β-induced cardiomyocyte “remodeling” may represent a mechanism by which myocytes maintain electrical and mechanical coupling in the heart, and restore such coupling after tissue injury.
2. Experimental procedures
2.1. Chemicals
The recombinant NRG-1β (glial growth factor 2) was kindly provided by Mark Marchionni (Cambridge Neuroscience, Inc, Arlington, MA). All other chemicals were purchased from Sigma and Calbiochem.
2.2. Cell preparation and culture
Adult rat ventricular myocytes (ARVM) were isolated as previously reported [4]. ARVM were plated at densities of 80–150 myocytes/mm2 on P60 plates or 40 × 22 mm glass coverslips precoated with laminin (Becton-Dickinson) and were maintained in serum-free ACCT (albumin, L-carnitine, creatine, taurine) medium with 100 μmol/L bromodeoxyuridine to inhibit nonmyocyte proliferation.
2.3. Cell treatment
NRG-1β was used at 10 ng/mL. Preincubation with PI3-kinase inhibitor LY294002 (10 μmol/L, Calbiochem) or Src-inhibitor PP2 (1 and 10 μmol/L, Calbiochem) was for 30 min prior to NRG-1β treatment. For signaling analysis, ARVM were cultured overnight at 37 °C before treatment.
2.4. Western blotting and immunoprecipitation
Anti-actin was obtained from Sigma. Antibodies against phospho-Src (pY416, pY527), phospho-FAK (pY925), phospho-Akt, Akt and phospho-Erk1/2 were from Cell Signaling. Anti-Src, FAK, erbB2 and Erk2 were from Santa Cruz Biotechnology. Monoclonal Src antibody was also purchased from Upstate Biotechnology. Phospho-Src (pY215), phospho-FAK (pY397, 407, 576, 577, 861) and paxillin antibodies were from Biosource. Anti-p130CAS was from BD Biosciences. ARVM were lysed with modified RIPA buffer (1% NP-40, 50 mmol/L Tris–HCl, 1 mmol/L EDTA, 0.25% DOC, 150 mmol/L NaCl, 1 mmol/L phenylmethylsulfonyl fluoride, 2 μg/mL leupeptin, 1 μg/mL pepstatin, 1 μg/mL aprotinin, 1 mmol/L sodium orthovanadate). Aliquots representing 30–60 μg of protein were used for western blot, and 200–350 μg for immunoprecipitation. Proteins were separated by SDS-poly-acrylamide gel electrophoresis and transferred to PVDF membrane (Bio-Rad). After membrane development with ECL-reagent (PIERCE), quantification was performed by densitometry (Molecular Analyst, Bio-Rad).
2.5. Immunocytochemistry
ARVM were washed twice with PBS, fixed with 4% paraformaldehyde for 10 min and permeabilized in 0.2% Triton X-100 before immunostaining. We blocked nonspecific binding with 4% Bovine serum albumin in PBS for 1 h at room temperature, and incubated cells overnight with anti-phospho-FAK (Y861) or anti-α-actinin diluted in the blocking buffer. After washing with PBS, secondary antibody conjugated with FITC antibody was added for 30 min, followed by co-staining with TXRD-conjugated phalloidin (Molecular Probe). Cells were again washed in PBS and mounted using Vectashield with nuclear staining by DAPI (Vector laboratories). We viewed cells with a Nikon Eclipse E400 fluorescent microscope. The percentage of lamellipodia positive cells/rod-shaped ARVM was determined by randomly counting 300 rod-shaped ARVM in each coverslip. Both myocytes with directional and random shape of lamellipodia were counted as lamellipodia positive cells.
2.6. Statistical analysis
Results are expressed as mean±SD of at least 3 different experiments. One-way ANOVA was used for multiple comparisons, with Bonferroni post-test analysis. Two-way ANOVAwas used for examining interaction between parameters as indicated. A value of P<0.05 was considered statistically significant.
3. Results
3.1. NRG-1β induces phosphorylation of Src at Y416 and Y215, and FAK at Y861
We tested the effect of NRG-1β on Src and FAK signaling using phosphorylation site-specific antibodies. NRG-1β induced rapid Src phosphorylation at both Y416 and Y215, known kinase activating sites for Src [23,24], and FAK at Y861 (Fig. 1). In contrast, we could not detect changes in FAK phosphorylation at other tyrosine-phosphorylation sites, although there was baseline phosphorylation at Y397, Y407 and Y925. We performed immunocytochemistry of myocytes to determine the localization of NRG-1β-induced FAK phosphorylation (Fig. 2). Interestingly, while there was some baseline immunostaining of anti-FAK (pY861) along the length of the cell (Fig. 2A and C), NRG-1β treatment induced an increase in staining that was most prominent at the axial ends of the cell (Fig. 2B and D).
Fig. 1.

NRG-1β activation of Src and FAK phosphorylation in myocytes. ARVM were stimulated with 10 ng/mL of NRG-1β for indicated time periods. Equal amounts (50 μg) of protein from myocyte lysates were blotted for (A) Src and (B) FAK phosphorylation. (A) NRG-1β induced increases in phosphorylation of Src at Y215 and Y416, with a decrease in phosphorylation at Y527. Apparent molecular weight of bands shown is 60 kDa. (B) Treatment with NRG-1β induced site-specific phosphorylation of FAK at Y861, but did not change degree of phosphorylation at other sites. Apparent molecular weight of bands shown is 125 kDa. (C) Densitometry of blots demonstrates activation of FAK at Y861 occurs within 2 min (*P<0.05 vs. 0 min, n=4). Blots are representative of 4 independent experiments.
Fig. 2.

NRG-1β activation of FAK phosphorylation is localized in myocytes. ARVM cultures untreated (A and C: CTL) or treated with NRG-1β (B and D, 10 ng/mL for 20 min) were fixed and stained with phospho-FAK (pY861: pFAK: Green). Cells were counterstained for filamentous actin (phalloidin, red) or DNA (DAPI, blue) (see Experimental procedures). Panels A and C show phospho-FAK staining alone, whereas panels B and D show overlay with actin and nuclear staining to demonstrate localization of phospho-FAK. Accumulation of phospho-FAK along the ends of myocyte is shown by arrowhead (scale bar=100 μm).
3.2. FAK activation at Y861 is Src-dependent, but independent of PI3-kinase
Using a pharmacologic strategy, we examined whether there were any interactions between Src and other signaling pathways activated by NRG-1β. We pretreated ARVM with Src inhibitor PP2 (1 or 10 μmol/L) or PI3-kinase inhibitor LY294002 (10 μmol/L), followed by NRG-1β treatment for 15 min. Pre-incubation of myocytes at 2 different PP2 concentrations clearly dissected NRG-1β-induced downstream pathways (Fig. 3A), while both DMSO and PP3, a negative control to PP2, had no influence on NRG-1β induced signaling (data for PP3 not shown). LY294002 did not affect Src (Fig. 3B) or FAK (data not shown) phosphorylation. Thus, NRG-1β-induced-FAK activation is Src-dependent, but independent of the PI3-kinase pathway.
Fig. 3.

NRG-1β induced FAK (Y861) is Src-dependent, but independent of PI3-kinase. (A) ARVM were preincubated with or without PP2 (1 and 10 μmol/L) for 30 min, followed by 15 min of NRG-1β treatment (10 ng/mL). Cell lysates were used for western blotting with phospho-Akt (pAkt), Akt, phospho-Erk1/2 (p-Erk), Erk2, phospho-FAK (pY861: pFAK) and FAK antibodies. Results were quantified by densitometry (*P<0.05 vs. NRG group, †P<0.05 vs. NRG, PP2 (1 μmol/L)+NRG groups, n=4). (B) ARVM were preincubated with LY294002 (10 μmol/L) for 30 min, followed by treatment with NRG-1β (10 ng/mL) for indicated times. Western blots were performed using antibodies to phospho-Src (pY416, pY215: p-Src; 60 kDa), phospho-FAK (pY861: 125 kDa), phospho-Akt (pAkt; 60 kDa), phospho-Erk1/2 (pErk: 44, 42 kDa) and Akt (60 kDa). Phospho-FAK (Y861) results were quantified by densitometry (*P<0.05 vs. 0 min, n=4).
3.3. NRG-1β-stimulated Src/FAK pathway is erbB2-dependent
ARVM express both erbB2 and erbB4 receptors [4], and NRG-1β binds to erbB4 and activates down-stream signaling through erbB4 homodimerization or hetero-dimerization of erbB4 with erbB2 [25]. To examine the role of erbB2 in NRG-1β/Src/FAK signaling, we preincubated myocytes with normal mouse IgG (1 μg/mL, Santa Cruz Biotechnology) or an antibody to erbB2 (1 μg/mL, NeoMarkers clone B10 without sodium azide) that causes erbB2 homodimerization and downregulates erbB2 signaling [7,26]. Overnight incubation of ARVM with anti-erbB2 or normal mouse IgG did not change baseline expression of Akt, FAK or erbB2 (Fig. 4). Interestingly, anti-erbB2 pretreatment completely blocked NRG-1β activation of Src and FAK, while there was no effect of control mouse IgG on NRG-1β signaling. NRG-1β treatment suppressed Src phosphorylation at Y527, a negative regulatory site of Src [27], and this was also prevented by anti-erbB2. In contrast, anti-erbB2 caused only partial inhibition of NRG-1β-induced phosphorylation of Akt, with no effect on Erk1/2 phosphorylation. The blocking effects of erbB2 antibody were very similar to that of PP2 (Fig. 3A). These results suggest that erbB2 is required for NRG-1β activation of the Src/FAK signaling pathway.
Fig. 4.

NRG-1β-stimulated Src/FAK phosphorylation is erbB2-dependent. (A) ARVM were preincubated with normal mouse IgG or anti-erbB2 overnight, and were treated with NRG-1β (10 ng/mL) for 15 min. Immunoblot analysis was performed for phospho-Akt (pAkt), phospho-Erk1/2 (pErk), phospho-Src (pY416 and pY527: p-Src), phospho-FAK (pY861: pFAK), Akt (60 kDa), FAK and erbB2 (185 kDa), respectively. Blots are representative of 3 different experiments. (B) The results of immunoblots were quantified with densitometer (*P<0.05 vs. others, #P<0.05 vs. NRG-1β treatment alone, n=3).
3.4. NRG-1β induces focal adhesion complex formation
We examined the effect of NRG-1β activation of Src/FAK on formation of FAC using a co-immunoprecipitation strategy in ARVM before and after NRG-1β treatment (Fig. 5A). At baseline, some interaction between FAK and p130CAS was detectable. After 15 min of treatment, FAK/p130CAS interaction increased. This complex included erbB2. While paxillin was only weakly detectable in this complex at 15 min, there was strong association by 30 min with increase in paxillin phosphorylation (data not shown). Thus, NRG-1β stimulation over 30 min induces a multiprotein complex that includes the erbB2 receptor. Furthermore, FAK/p130CAS interaction was completely suppressed by anti-erbB2 pretreatment, indicating that this NRG-1β-induced multiprotein complex formation is also erbB2-dependent (Fig. 5B). Interestingly, PP2 (1 μM) did not suppress NRG-1β-induced p130CAS–FAK interactions.
Fig. 5.

NRG-1β induces focal adhesion complex formation in ARVM. (A) ARVM were stimulated with 10 ng/mL of NRG-1β and lysed after the indicated time periods. Cell lysates (350 μg) were immunoprecipitated (IP) with antibodies to FAK, p130CAS, paxillin or erbB2, and immunoblotted (IB) after SDS-PAGE with antibodies to FAK (125 kDa), p130CAS (130 kDa), erbB2 (185 kDa) or paxillin (68 kDa) as indicated. Blots are representative of at least 3 independent experiments. (B) After the preincubation with PP2 (1 or 10 μmol/L) for 30 min, or with anti-erbB2 overnight, ARVM were treated with NRG-1β at 10 ng/mL for 15 min. Cell lysates were immunoprecipitated with p130CAS antibody, and immunoblotted with FAK (125 kDa), or p130CAS (130 kDa) antibodies. Blots are representative of 2 independent experiments.
3.5. NRG-1β leads to ARVM directional spreading and cell-to-cell contact
We assessed the effect of NRG-1β-stimulated Src/FAK signaling on ARVM lamellipodia formation. For this study, we treated myocytes for 4–6 days and examined the formation of lamellipodia. Upon isolation from the intact heart, a fraction of myocytes (usually 10–20%) will round-up due to cellular injury. As ARVM structure would be disrupted in these cells, they were excluded from the analysis. By the 4th day of treatment, NRG-1β-treated cells showed lamellipodia formation originating from the ends of the cells (Fig. 6A). Although lamellipodia were also observed in the untreated myocytes, these were in general smaller and occurred in a lower fraction of cells. Staining for pFAK (pY861) was obvious in the NRG-1β-treated cells, though it was not necessarily localized to the ends of myocyte as was seen acutely after NRG-1β treatment (data not shown). The effect of NRG-1β was more prominent by the 6th day of treatment, where extension of lamellipodia resulted in restoration of cell–cell contact. Under phase contrast microscopy of living cells at this time point, myocytes treated with NRG-1β were beating in synchrony, while asynchronous or no beating was observed in the untreated myocytes.
Fig. 6.

NRG-1β accelerates myocyte directional spreading and cell-to-cell contact through erbB2/Src signaling. (A) ARVM were cultured with or without NRG-1β treatment for 4–6 days. Culture medium was changed everyday, with new NRG-1β added into the medium after each change. Paraformaldehyde-fixed ARVM were stained with phalloidin (Red) and DAPI (Blue). NRG-1β-treated myocytes demonstrate lamellipodia formation that was evident at 4 days, and became more prominent by 6 days (scale bar=100 μm). (B) After PP2 or anti-erbB2 preincubation, ARVM were cultured for 4 days with or without NRG-1β. Inhibitors were refreshed every 2 days, while NRG-1β was added into medium everyday. Cells were fixed and stained, and counted under epifluorescence microscopy. The % lamellipodia-positive rod-shaped ARVM/total rod-shaped ARVM was calculated as described in Experimental procedures. NRG treatment induced a significant increase in lamellipodia-positive myocytes (*P<0.05 vs. others), that was significantly inhibited by treatment with anti-erbB2 (#P<0.05 for NRG+anti-erbB2 vs. NRG alone). PP2 caused a significant inhibition in lamellipodia formation that was independent of NRG-induced lamellipodia (P<0.05 for PP2 alone vs. control, PP2+NRG vs. NRG alone; P=n.s. for interaction between NRG and PP2 by two-way ANOVA; n=4).
Baseline lamellipodia formation was suppressed by pre-incubation of myocytes with [PP2]1μmol/L, but NRG-1β-induced lamellipodia was not suppressed (Fig. 6B). Cell death occurred with long-term treatment of myocytes with [PP2]10μmol/L (data not shown). In contrast, treatment with anti-erbB2 inhibited NRG-1β-induced formation of lamellipodia (Fig. 6B). Collectively, these results suggest that activation of Src/FAK pathway by NRG-1β induces cardiomyocyte coupling through lamellipodia formation.
4. Discussion
These results add a new dimension to our understanding of the NRG-1β/erbB signaling system in the heart. To date, the explanation for the absolute requirement of NRG-1, and the erbB2/erbB4 receptors in cardiac development [1–3] focused on the ability of this system to regulate myocyte growth and survival [4,28]. Our findings that NRG-1β/erbB2 signaling regulates FAK activation, FAC formation and directional spreading of myocytes demonstrate a novel function of NRG-1β/erbB signaling and suggest that NRG-1β regulates myocyte–myocyte and/or myocyte–matrix interactions.
NRG-1β binding and activation of erbB4/erbB2 receptor tyrosine kinases in myocytes induce activation of a MEK/Erk pathway, as well as a PI3-kinase/Akt pathway, leading to increased protein synthesis [10] and cell survival in the presence of cytotoxic stress [11,28], respectively. The NRG-1β/erbB2-dependent activation of Src/FAK observed here appears to be distinct from those pathways, as it was selectively suppressed by low concentrations of Src inhibitor or chronic treatment with an anti-erbB2 antibody. However, since higher concentrations of PP2 and anti-erbB2 partially inhibited NRG-1β-dependent phosphorylation of Akt (but not Erk), we cannot rule out the possibility that Src or FAK modulates PI3-kinase/Akt pathway in myocyte, similar to that reported in breast cancer cells and 293 cells [29,30]. The persistent activation of Akt and Erk in the presence of anti-erbB2 suggests that these pathways can be activated by erbB4 homodimerization alone.
NRG/erbB-dependent Src/FAK signaling has been observed in several contexts. In MCF-7 cells, erbB2-dependent phosphorylation of Src at Y215 and FAK Y861 has been observed and implicated in tumor metastasis and invasiveness [14]. In Schwann cells, NRG-1β rapidly induced a direct association of erbB2 and erbB3 receptors with FAK [31], similar to what we observed in myocytes (although at later time points). The ‘growth’ we observed in myocytes stimulated with NRG-1β is conceptually similar to glioblastoma cell growth where actin microfilament organization induced by FAK or p130CAS is also directional. FAK/erbB signaling induced by NRG-1β in Schwann cells similarly occurs at the leading edge of cell extension [31]. The activation of FAK via NRG-1b/erbB2 signaling is specific for the Y861, a phosphorylation site previously been shown to be a critical for coupling of FAK to p130Cas during transformation of NIH3T3 fibroblasts [32]. We observed high levels of baseline phosphorylation of FAK at multiple sites, likely due to integrin interaction and activation by the laminin matrix substrate that we use to plate myocytes upon. It is possible that these other sites, which are known to regulate FAK interactions with critical regulators of cell structure and motility (for recent review see [33]), are required for erbB2/FAK signaling. Collectively, it appears that NRG-1β/erbB/Src/FAK-Y861 signaling may function in many tissues to create, and perhaps repair, tissue architecture by orchestrating cell–cell interaction. There are obvious limitations as to what can be learned in cell culture, and a critical step in developing these ideas will be to find a way to study this system in the intact heart, in the presence of functional cell–cell connections.
While we have focused in this study on the role of NRG-1β-induced Src/FAK activation in lamellipodia formation, it is interesting that FAK and p130CAS both appear to be critical for the regulation of cardiac sarcomere organization. Mice lacking p130CAS die in utero with a failure of cardiac development [34], and overexpression of mutant p130CAS or C-terminal focal adhesion-targeting domain of FAK in neonatal cardiac myocytes disrupts sarcomere structure [17,18]. Thus, it is tempting to speculate that FAK and p130CAS interaction induced by NRG-1β/erbB2 signaling plays a role in the maintenance of sarcomere structure. Cardiac-specific deletion of FAK results in a loss of sarcomere structure over time, and a heart failure phenotype [22]. Further in vitro work, perhaps over longer time frames, will be needed to address whether this is a primary defect, or if the disruption of sarcomere structure is secondary to some other stress induced by disruption of FAK.
The effect of anti-erbB2 on NRG-1β activation of Src/FAK signaling suggests that conditions that suppress myocardial erbB2 expression or function will cause selective impairment of this signaling pathway. Mice with cardiac-specific erbB2 mutation can survive until birth with decreasing heart function and increasing susceptibility to stress [5,6]. Detailed histological examination of the hearts from these mice, in particular focusing on myocyte–myocyte and myocyte–matrix coupling, was not reported. Our present findings predict that these mice will show specific impairment in NRG-1β-dependent activation of Src/FAK signaling and FAC formation, particularly under stressed conditions. In preliminary experiments, we have found that the potent activation of NRG-1β/erbB signaling by myocardial ischemia–reperfusion injury [35] is accompanied by phosphorylation of FAK at Y861, and formation of a FAK/erbB2 complex (Kuramochi, Lim and Sawyer, unpublished observation). A morphological analysis of the erbB2 knockout mice during such a stress will help to elucidate the functional significance of the erbB2/Src/FAK pathway.
In patients treated with the erbB2-targeted cancer therapy trastuzumab, there is an increased risk of clinical heart failure, particularly in those patients receiving anthracyclines [8]. The mechanism for this toxicity remains incompletely understood, but occurs primarily in the setting of concurrent or prior administration of cardiotoxic anthracyclines. Based upon our present findings, we speculate that toxicity of trastuzumab occurs due to the disruption of myocyte erbB2 signaling along the src/FAK pathway, leading to an impaired ability of the heart to manage repair of cell–cell and/or cell–matrix coupling in the setting of a cardiotoxic stress (i.e. anthracyclines). The suppression of Src and FAK phosphorylation, FAC formation, ARVM lamellipodia and cell–cell contact by treatment with anti-erbB2, support this thesis. Further study that more definitively assesses the role of NRG-1β/erbB2/Src/FAK signaling in the maintenance and repair of myocyte coupling will help to explore this possibility.
Acknowledgments
We thank Mark Marchionni (Cambridge Neurosciences) for recombinant NRG-1β, and Chee Lim, Narine Sarvazyan and Adam Lerner for helpful discussions. This study is funded by HL68144 and N01-HV-28178, a grant from the Juvenile Diabetes Research Association, an investigator initiated grant from Roche Ltd. to DBS.
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