Abstract
Polymorphisms in αIIbβ3 are important genetic factors that alter platelet biology and have been associated with susceptibility to thromboembolic disorders. To define the molecular mechanisms that lead to variance in thrombotic diathesis dictated by the β3 polymorphism, we examined regulation of intracellular signaling by αIIbβ3, and studied the effects of a common β subunit PlA2 polymorphism. We found that PP2A regulates αIIbβ3 control of the ERK signaling in a polymorphism specific fashion. In CHO cells, exogenous expression of αIIbβ3 reduced ATP-stimulated ERK phosphorylation and more so for PlA2 than PlA1. Interestingly, reduced level of ERK phosphorylation correlated with an increase in PP2A activity, with higher activity associated with PlA2 than PlA1. We tested the effect of PP2A on αIIbβ3-dependent adhesion, and found that PP2A overexpression increased cell adhesion, while phosphatase inhibitors decreased cell adhesion. We propose that PlA2 alters cell signaling at least in part by increasing β3-associated PP2A activity.
Keywords: PlA2 polymorphism, integrin αIIbβ3, PP2A
INTRODUCTION
Platelet integrin αIIbβ3 plays a pivotal role in platelet mediated haemostasis and thrombosis. Sequence polymorphisms affecting αIIbβ3 are important genetic factors associated with susceptibility for immune disorders such as neonatal alloimmune thrombocytopenia, post-transfusion purpura, and thromboembolic disorders in adults. A common polymorphism of the β-subunit of αIIbβ3 termed PlA2, resulting from a single amino acid substitution (PlA2 Pro33/Leu33 PlA1), is associated with coronary events, arterial thrombosis and sudden cardiac death [1–3],. While many clinical studies have confirmed the association between PlA2 and susceptibility for arterial thrombosis, not all studies are consistent [3, 4]. Discrepancies among reports for the association of single nucleotide polymorphisms and phenotypes or traits are not unusual and in the case of PlA2 have been linked to various modifiers that promote phenotypic changes including age, lipids, smoking, and drugs like aspirin and other platelet inhibitors [1, 5].
To seek further understanding the PlA2 impact on thrombotic diathesis, we established a model of exogenous expression of αIIbβ3 displaying either the PlA1 or PlA2 variant in Chinese Hamster Ovary (CHO) cells. In this study, we sought to contrast the effect of the PlA2 versus the PlA1 of β3 on the regulation of the intracellular signaling pathway to define the molecular mechanisms by which PlA1 or PlA2 might contribute to arterial thrombosis.
MATERIALS AND METHODS
Materials
Monoclonal mouse anti-CD61 (clone Y2/51) antibody was from Dako (Denmark). Antibodies to phospho-p44/42 MAPK (Thr202/Tyr204), ERK 1/2, phospho-MEK 1/2 (Ser217/221) were from Cell Signaling (Beverly, MA). Antibody to pT183 MAPK was from Promega. Fibrinogen, fibronectin, poly-L-lysine, and protease inhibitors were from Sigma-Aldrich. The Fugene 6 transfection reagent was from Roche Applied Science (Basel, Switzerland). Human PP2A cDNA was subcloned into pcDNA4/HisMax (B) under the control of CMV promoter. All cloning reagents and cell culture media were from Invitrogen.
Cell adhesion assays
Cells were grown to 70–80% confluency, harvested by trypsinization and resuspended in Tyrode's buffer. Cell adhesion assays were carried out between 24 h-48 h post transfection in the phosphatase overexpression studies. Six-well tissue culture plates were prepared for adhesion assays by coating with fibrinogen (10 µg/ml) for 1–2 h at 37°C, blocked with 1% BSA for 1 h, washed , and then 0.8 ml Tyrode’s buffer was added to each well. Plates were placed on a shaker to introduce continuous motion at 58 rotations per min (rpm), and cells were allowed to attach for 25–40 min. Unattached cells were removed and adherent cells quantified based on nucleic acid concentration. In some experiments, cells were incubated with CA (2 nM) or OA (1 µM) for 30 min prior to the adhesion assay.
MEK1 kinase assay
Cells were starved for 16 hours in serum-free media. Resuspended cells were seeded on fibrinogen-coated plates. Adherent cells were treated either with or without 40uM ATP, washed once with PBS, and lysed in RIPA buffer supplemented with protease inhibitors and MEK1 protein was immunoprecipitated. MEK1 kinase activity was assayed following manufactory instruction provided by MEK1 immunoprecipitation kinase assay kit (Cat# 17–159) from Upstate.
Phosphatase assay
Phosphatase activity was determined using a non-radioactive serine/threonine phosphatase assay kit (Upstate Biotechnology). Cells plated on fibrinogen were lysed in phosphatase reaction buffer. Immune complexes were prepared using antibody to PP2A or β3, washed with TBS, and serine/threonine assay buffer. The immune complexes were resuspended in 60 µl of Ser/Thr assay buffer containing 60 ng of phosphopeptide (KRpTIRR), and the reaction incubated for 10 min at 30°C. After brief centrifugation, 5 µl- 25 µl supernatant was incubated with 100 µl of malachite green phosphate detection solution, and the reaction quantified at OD650nm using a plate reader.
RESULTS
Our experimental system consisting of polyclonal stable transgenic CHO cells that express equal levels of αIIb and β3 subunits of platelet integrin αIIbβ3, displaying either the PlA1 or PlA2 polymorphism of β3, has been characterized previously in a study that examined polymorphism specific regulation of αIIbβ3-dependent adhesion to fibrinogen [6]. Stable transformants of CHO cells with vector only were used as controls (LK cells). Flow cytometric analysis with an antibody (clone Y2/51) that specifically recognizes β3 of both PlA1 and PlA2 equally revealed equivalent levels of β3 expression on the cell surface of PlA1 and PlA2 cells and absence for LK cells (Figure 1A). By Western blotting, antibodies to β3 or αIIb subunit recognized the expected protein moiety at a molecular weight of 90 kD and 120kD, respectively in both PlA1 and PlA2 expressing cells (Figure 1B).
We developed an in vitro functional assay to assess the physiological impact of β3 polymorphisms on αIIbβ3-mediated cell adhesion. PlA1, PlA2 or LK cells were allowed to attach to plates coated with the αIIbβ3 ligand fibrinogen under continuous motion created by rotation of plates at 58 rpm and with a radius of 17.5 mm. In a typical experiment, few LK cells adhered to the fibrinogen-coated plates, compared to 30–80% of PlA1 and PlA2 cells (Figure 1C). Approximately 50% more PlA2 cells adhered over time than did PlA1 cells. These results confirm that the PlA polymorphism affects the adhesiveness of αIIbβ3 for fibrinogen and in the context of an assay where all other variables (cellular and extracellular) remain constant, suggest that PlA2 is a “gain of function” allele variant.
The Pro33 substitution of Leu33 (consequence of the PlA2 polymorphism) may alter the interface between an N-terminal PSI domain and EGF2 domain of this integrin and promote integrin activation [7]. However, previous studies showed that binding constant, for soluble fibrinogen, comparing PlA1 and PlA2 polymorphism, are not significantly different [6]. Hence, we hypothesized that polymorphism-specific changes in cell adhesion may result from differential regulation of signaling pathways downstream from αIIbβ3 engagement with ligands. We examined the effect of PlA1 versus PlA2 on the ATP-dependent activation of the ERK signaling pathway, which is known to be regulated by the ligand engagement of integrins [8]. Serum-starved cells were allowed to attach to either fibrinogen or fibronectin, and then assayed for ATP stimulated ERK activation. ATP-dependent ERK phosphorylation was intact in LK cells, but significantly reduced in PlA1 cells and nearly absent in PlA2 cells (Figure 1D). In cells attached to the non-specific charged substrate poly-L-lysine, ATP-dependent ERK phosphorylation does not vary significantly. ERK wasn’t activated in non-adherent cells. These results support the idea that binding of αIIbβ3 to a physiological ligand is required for αIIbβ3-dependent down-regulation of ERK phosphorylation. Importantly, PlA2 decreases the levels of phosphorylated ERK to a greater extent than does PlA1.
Inhibition of ERK phosphorylation could result from reduced upstream kinase activity or increased phosphatase activity, or a combination of the two. We found that PlA cells showed increased levels of MEK1 activity (Figure 2A) and active phosphorylated MEK1 (p-MEK1, Figure 2B) relative to LK; in contrast, PlA1 or PlA2 cells showed reduced levels of ERK phosphorylation relative to LK cells (Figure 1D and 2B). These results suggest that reduced ERK phosphorylation in αIIbβ3 expressing cells is not due to a suppression of upstream MEK1 activation by αIIbβ3.
The discrepancy between upregulated MEK1 activity and reduced ERK phosphorylation level in PlA cells lead to our investigation whether PP2A is critical to ERK phosphorylation status. PP2A inactivates ERK through selective dephosphorylation of the threonine residue on a TEY sequence in the ERK catalytic domain [9]. The effect of PP2A overexpression on ERK phosphorylation was assayed. Following stimulation with ATP, ERK dephosphorylation was more pronounced in cells overexpressing PP2A relative to that in cells transfected with vector alone (Figure 2C). ERK inactivation/dephosphorylation during αIIbβ3-mediated platelet aggregation is through the dephosphorylation of the Thr-183 residue [10]. We found that phosphor-Thr183 in ERK (pT-ERK) increases with time of ATP stimulation in LK cells, whereas in PlA1 or PlA2 cells, ERK phosphor-Thr183 accumulates to a far less extent than in LK cells (Figure 2D). These results suggest that ERK phosphorylation-reduction induced by αIIbβ3/fibrinogen engagement might occur via the upregulation of PP2A activity.
Endogenous PP2A expression levels were not detectably different among LK, PlA1 and PlA2 cells when assayed with WB (not shown) and IP-WB (Figure 3A). However, when assayed for PP2A activity, PlA cells on fibrinogen present a higher level PP2A activity relative to LK; furthermore, PP2A activity was significantly higher in PlA2 cells relative to that in PlA1 cells, increased by 9.5% and 26% in PlA1 and PlA2 respectively relative to LK cells (Figure 3B). However, when αIIbβ3 was not engaged to its ligands (cells in suspension), PP2A activity was not significant different among LK, PlA1 and PlA2 cells (not shown) which indicate that upregulation of PP2A activity was specific response to αIIbβ3-engagement. Consistently, PP2A activity was also upregulated by αIIbβ3 engagement in platelets treated with αIIbβ3 ligands (fibrinogen, integrilin). The addition of 50ng/ml fibrinogen and integrilin, a cyclic heptapeptide with strong affinity to αIIbβ3, significantly increased PP2A activity in platelets (Figure 3C). The integrilin effect on PP2A activation suggests that an integrin conformational change is enough to activate PP2A without requirement of integrin clustering mediated by divalent ligands, which integrilin does not permit.
We then tested for association of PP2A with αIIbβ3-organized complexes by immunoprecipitating the β3-subunit and then quantified associated PP2A activity. Same amount of β3 was immunoprecipitated using β3 antibody from PlA1 and PlA2 cells (Figure 3D). Equal amount of PP2Ac were detected in β3- immune complex in PlA1 and PlA2 cell (Figure 3E). Strikingly, while total PP2A activity was only marginally stronger in PlA2 cells (26% increase relative to LK) as compared to PlA1 cells (9.5% increase relative to LK), PP2A activity was twice as high in PlA2-immune complexes compared to PlA1 (Figure 3F). These results are consistent with the concept that for the observed αIIbβ3-dependent inhibition of ERK phosphorylation, where stronger inhibition is induced by PlA2 compared to PlA1, such differences could be accounted for, at least in part, by differential levels of associated PP2A activity (PlA2 greater than PlA1).
To assess whether PP2A regulates αIIbβ3-mediated cell adhesion, cells were transiently transfected with PP2A or treated cells with PP2A inhibitor, then subjected to adhesion assay using fibrinogen as immobilized ligand. Overexpression of PP2A in PlA1 cells increased adhesion by approximately 2.6-fold, whereas overexpression of PP2A in PlA2 cells increased adhesion by approximately 1.9-fold over that of cells transfected with vector alone (Figure 4A). Due to its rather poor cell membrane permeability, Okadaic acid treatment of cells and tissues was reported to require at 1uM concentration to inhibit PP2A specifically, and keep PP1 activity intact [11, 12]. Okadaic acid reduced adhesion of PlA1 cells relative to control by 40% and PlA2 cells by 14%. Likewise, calyculin A reduced adhesion of PlA1 by 35% and PlA2 by 17% relative to controls. Our data supports the concept that PP2A interacts with αIIbβ3, and that, in turn, affects the impact of inhibitors on phosphatase activity in a polymorphism-dependent fashion. Taken together, our data are consistent with a unique interaction between PP2A and αIIbβ3 that results in enhancing αIIbβ3-mediated cell adhesion, and that the associated phenotypes of PlA2 polymorphism may be attributable to a relative increase in associated PP2A activity to the PlA2 variant of β3.
DISCUSSION
PlA2 polymorphism is a genetic risk factor associated with immunoreactivity to β3 and with susceptibility for thromboembolic cardiovascular disorders. PlA2 polymorphism is also associated with increased cancer risk including breast cancer, ovarian cancer and melanoma, which likely reflects a functional modification of the αvβ3 integrin in endothelial cells or both αIIbβ3 and αvβ3 integrin expressed on tumor cells [13–15]. The PlA2 polymorphism of αIIbβ3 on platelets leads to increased aggregability compared to PlA2 negative platelets [16]. In patients with atherosclerosis, the PlA2 allele may confer heightened risk of thrombosis and sudden thrombotic death [5, 17]. Thus, we sought to refine our understanding of the molecular mechanism by which PlA2 contributes to thromboembolic disorders so that improved therapeutic strategies could be developed. Furthermore, studies of the PlA2 effect are likely to lead to an accrued understanding of the biology of this essential integrin.
The use of a reconstituted cell system, instead of platelets, allowed us to minimize variance inherent to platelet assays, and thus allows to quantify the polymorphism-dependent intracellular signaling changes with high precision. Central to our findings, while αIIbβ3 binding to its ligands increased the activation of phosphatase PP2A, the PlA2 polymorphism of β3 did so to a greater extent than PlA1 did. PP2A, in turn, plays a critical role in αIIbβ3-mediated cell adhesion Integrin mediated cell adhesion is known to induce changes in PP2A activity [18] and localization within integrin-organized focal adhesion complex through its interaction with paxillin [19]. Instructively, the activity of αIIbβ3 has been shown to regulate phosphatase PP1 [20]. The association of both PP1 and PP2A with αIIb and β3, respectively, highlights the importance of phosphatases in the regulation of integrin signaling. Actually, collectively our data and data from other laboratories suggest that control of phosphatase activity could be a major mechanism for “outside-in signaling” led by αIIbβ3.
Though the engagement of integrins usually promote the activation of ERK/MAPK, our data indicate that αIIbβ3 engagement, especially the PlA2 allele of this integrin, reduced ERK phosphorylation, with specific dephosphorylation of threonine 183 of ERK. This is consistent with previous report that association of αIIbβ3 with fibrinogen inhibits ERK activation in platelet [21]. It was reported that the increase in PP2A activity induced by EGF results in inhibition of ERK2 activity in A431 cells [9]. In our study, enhanced PP2A activity induced by either integrin αIIbβ3 expression or PP2A overexpression resulted in ERK dephosphorylation. While the specific physiologic impact of the strongest dephosphorylation of ERK upon engagement of PlA2-β3 remains uncertain, our data provide the first link between PP2A/ERK signaling and the PlA2 polymorphism of integrin β3. The functional and close spatial relationship of PP2A to αIIbβ3 indicates the importance of PP2A in the regulation of integrin in a PlA polymorphism-responsive manner.
Footnotes
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