Abstract
Background/Aim
Adherence to an extracellular matrix (ECM) rescues hepatocytes from apoptosis, but how hepatocytes adhered to different ECM respond to apoptotic and cytoprotective stimuli is unknown.
Methods
Rat hepatocytes were plated on type 1 collagen (CI), laminin (LM) or polylysine (PL) and the amount of apoptosis induced by glycochenodeoxycholate (GCDC), deoxycholate (DCA), Fas ligand or serum withdrawal was determined by Hoechst staining. The response to cytoprotection by cAMP-guanine exchange factor (cAMP-GEF) activation was determined. Kinase activation was determined by immunoblotting with phosphospecific antibodies.
Results
Hepatocytes on LM and PL had more apoptosis in response to all apoptotic stimuli. GCDC increased c-jun-N-terminal kinase (JNK) phosphorylation 2-fold in hepatocytes on CI, but 15 and 30-fold in hepatocytes on PL or LM. SP-600125, a JNK inhibitor, prevented LM and PL potentiation of bile acid apoptosis. GCDC induced dephosphorylation of focal adhesion kinase (FAK) was prevented by cAMP-GEF activation. Cytochalasin B which decreased FAK phosphorylation prevented cAMP-GEF cytoprotection.
Conclusion
JNK activation augments apoptosis in hepatocytes plated on PL and LM. Decreased FAK phosphorylation as seen in cells treated with bile acids or attached to PL and LM promotes hepatocyte apoptosis.
Keywords: cAMP-GEF, exchange protein regulated by cAMP (EPAC), phosphoinositide 3-kinase (PI3K), bile acids, focal adhesion kinase, JNK, extracellular matrix, collagen, polylysine, laminin
Introduction
Hepatocytes require contact with extracellular matrix (ECM) to inhibit detachment-induced apoptosis (anoikis) (1–5). Although it is known that hepatocytes can be rescued from anoikis by re-attachment to a matrix, little is known about how hepatocytes respond to apoptotic stimuli when adhered to different ECM. Since profound changes in the composition of the ECM occur in liver disease (6–11), knowledge of how the ECM might modulate hepatocyte sensitivity to apoptosis could have application in the design of anti-apoptotic therapeutic strategies.
Hepatocyte adherence to the ECM is mediated by integrins. Integrins are heterodimeric cell surface proteins composed of unique α and β subunits that selectively bind to the ECM (12). Integrins serve as transmembrane linkers between their ECM ligands and the intracellular actin cytoskeleton. Although they lack intrinsic catalytic activity, integrins transduce signals through activation of integrin associated proteins which collectively assemble into focal adhesions. One important member of this signaling complex is focal adhesion kinase (FAK), a non-receptor protein tyrosin kinase. FAK is activated by integrin clustering, mechanical linkage to actin through actin binding proteins and autophosphorylation at tyrosine 397 and is responsible for integrin mediated survival in many cell types (13,14). In hepatic and bile duct carcinoma cells decreased FAK phosphorylation has been associated with increased sensitivity to apoptosis (15–16). Although it is known that FAK is activated in hepatocytes attached to integrin engaging ECM (4), the role of FAK in the survival of normal hepatocytes has not been studied.
During cholestatic liver disease, serum and tissue bile acid concentrations increase and contribute to liver damage by causing hepatocyte apoptosis and necrosis (17,18). Bile acid induced apoptosis involves activation of the pro-apoptotic stress activated kinase, c-Jun N terminal kinase (17) and in some instances activation of p38 mitogen activated kinase kinase (p38 MAPK) (19, 20). Emerging evidence suggests that bile acids may also modulate FAK. In the isolated perfused liver, choleresis associated with infusion of the cytoprotective bile acid, tauroursodeoxycholate (TUDC), is associated with FAK activation and, in colonic epithelial cells, the hepatotoxic bile acid deoxycholate (DCA) dephosphorylates FAK (21,22). The role of FAK in bile acid mediated apoptosis in hepatocytes has not been investigated.
Increases in cAMP have a protective effect against bile acid induced hepatocyte apoptosis (23, 24). The cytoprotective effect of cAMP is not mediated by protein kinase A, but instead requires the activation of cAMP-guanine exchange factors (cAMP-GEF)’s signaling through a phosphoinositide -3- kinase (PI3K)/Akt survival pathway (25). Although the role of cAMP-GEF’s in liver physiology is only beginning to emerge, the major function of cAMP-GEF’s in non-hepatic cells is the control of cell-cell and cell-matrix interactions (26, 27). Thus, it was of interest to explore whether the cytoprotective effects of cAMP-GEF activation might be dependent on ECM mediated events such as the activation of FAK.
The goal of these studies was to determine if adherence to different ECM could modulate hepatocyte sensitivity to apoptosis or hepatic cytoprotection by cAMP-GEF’s.
Methods
Rat hepatocytes were isolated by collagenase perfusion as previously described (25). These studies were conducted in accordance with the institutional animal care and use committee and NIH guidelines. Hepatocytes were plated at equal cell density on tissue culture plastic or glass coverslips coated with type I collagen (CI) (10ug/cm2), type IV collagen (CIV) (10ug/cm2), fibronectin (FB) (5ug/cm2), laminin (LM) (5ug/cm2), (BD Biosciences, Bedford MA) or polylysine (PL) (10ug/cm2, Sigma–Aldrich, St. Louis MO). Polylysine was used as a control for non-integrin mediated attachment (4). Hepatocytes were plated for 1 hour in modified eagle’s medium (MEM, Sigma–Aldrich, St. Louis MO) supplemented with: insulin (100nM), penicillin (100U/ml), streptomycin (0.1mg/ml), and 10% dialyzed fetal calf serum. Media was changed to unsupplemented MEM for 3 hours before experimentation. Hepatocytes maintained overnight were placed in MEM with 5% FCS and FCS withdrawn 1 hr before initiating experiments.
Whole cell lysates were prepared from hepatocytes plated on different ECM in lysis buffer as previously described (25). For immunoblotting, 50–100 µg of sample, as determined by Lowry protein assay, was electrophoresed on SDS polyacrylamide gels, and transferred to nitrocellulose membranes. Activation of protein kinases was determined using phosphospecific antibodies for pAktSer473, c-Jun N-terminal kinase (pJNK Thr183Y185), p38 mitogen activated kinase (p38MAPKThr180/Y182) or p44/p42 mitogen activated kinase (pMAPKThr202/Tyr204) (Cell Signaling Technology, Beverly MA), or focal adhesion kinase (pFAKTyr397) (EMD Biosciences, San Diego, CA). Equal protein loading was verified with phosphorylation independent antibodies. Blots were developed with chemiluminescence, digitized and results quantified using computer software.
Hepatocyte size was quantified as the area of attachment to culture plates, and measured from photomicrographs of hepatocytes plated on cover slides coated with ECM, fixed and stained with Hoechst. Measurements were made in a minimum of 50 cells per experiment by digitally photographing cells under phase contrast to accentuate cell borders; the background was digitally removed, and cell area quantified using computer software (28). Concurrent photographs were taken of a size standard for calibration of measurements.
Apoptosis on the different ECM was assessed following a 2 hr treatment with 50 uM GCDC as previously reported (23,25), 4 hr treatment with 100 uM DCA or 50 ng/ml Fas ligand (Axxora, LLC, San Diego, CA), or 6 hrs of serum starvation after overnight incubation in the presence of FCS. Apoptosis was quantified by examination of Hoechst stained cells for nuclear features typical of apoptosis (nuclear fragmentation, condensation and/or marginalization) and expressed as percent apoptosis seen in 500 randomly counted cells. Biochemical confirmation of apoptosis was performed by immunoblotting for the 17/19kd cleaved fragment of activated caspase 3 (Cell Signaling Technology, Beverly, MA). In some studies, hepatocytes were pre–treated for 15 minutes with the JNK inhibitor, SP 600125 (5 uM), the p38 MAPK inhibitor SB 203580 (5 uM), the PI3K inhibitor, wortmannin (50 nM), (EMD Biosciences, San Diego CA), or with cytochalasin B (1 uM) (Sigma–Aldrich, MO) or for 30 minutes with a specific activator of cAMP-GEF’s (20 uM) (8-(4-chlorophenylthio)-2’-O-methyl cAMP, (CPT-2-Me-cAMP, Axxora, LLC, San Diego, CA) before bile acid challenge.
Radiolabeled bile acid, 14C–glycocholate and 3H–taurocholate (Perkin Elmer, MA), accumulation was quantified at 30 minutes in cells attached to different ECM as previously described (25).
Statistical analyses were performed with computer software using a standard α value of 0.05 as a determination of significance, all experiments were repeated a minimum of 3 times and are reported as mean +/− standard deviation.
Results
Hepatocytes showed ECM mediated differential sensitivity to GCDC induced apoptosis (Fig 1A,B). Hepatocytes attached to LM and PL demonstrated the greatest amount of apoptosis while those on CI and FB had similar levels of apoptosis. A small survival effect was seen in hepatocytes plated on CIV after 60 and 180 min of GCDC exposure. The differential sensitivity to apoptosis extended for up to 3 hrs after GCDC exposure and could be appreciated by both morphologic (evaluation of Hoechst staining) and biochemical (cleavage of caspase 3) assessment of apoptosis (Fig 1A,B). We examined whether this ECM mediated differential sensitivity was relevant to other models of hepatocyte apoptosis by evaluating the amount of apoptosis occurring spontaneously after 6 or 16 hrs in culture (Fig 2A,D), following 5 hrs of serum withdrawal after overnight culture in FCS (Fig 2B,D) and after treatment with Fas ligand (Fig 2C,D). There was a significant increase in apoptosis induced by all 3 stimuli in hepatocytes plated on LM and PL compared to those plated on CI (Fig 2). Hepatocytes on FB had a survival advantage after 16 hrs of culture and those plated on CIV had a survival advantage after serum withdrawal and Fas ligand challenge.
In order to exert their toxic effects, bile acids must enter hepatocytes (29). To rule out an ECM effect on bile acid uptake, we measured accumulation of conjugated bile acids in hepatocytes plated on different matrices. The 30 minute accumulation of the radiolabeled bile acids, 14C–glycocholate and 3H–taurocholate was the same in hepatocytes regardless of ECM (Table 1).
Table 1. Extracellular matrix does not affect bile acid uptake in hepatocytes.
Uptake nmol/mg protein | ||
---|---|---|
ECM | TC (50 uM) | GC (50 uM) |
Type I Collagen | 19.0 (4.9) | 16.1 (1.9) |
Type IV Collagen | 18.7 (4.2) | 16.2 (2.3) |
Fibronectin | 19.3 (3.6) | 17.0 (1.6) |
Laminin | 21.4 (4.3) | 19.1 (3.2) |
Polylysine | 20.0 (3.8) | 18.1 (3.2) |
Integrin ligation leads to cell spreading which has been correlated with cell survival (30). Differential cell spreading occurs in hepatocytes attached to different ECM (2, 31), but the relationship between cell spreading and survival in hepatocytes is unknown. In our experiments, hepatocytes on CI, CIV and FB appeared larger assuming a more flattened spread morphology with increased cell-cell contact. We quantified cell spreading by measuring the area of at least 50 cells. Hepatocytes plated on CIV and FB were significantly larger, and those plated upon PL were significantly smaller than those on CI or LM (Fig 3A). There was, however, no significant linear correlation between cell spreading and susceptibility to apoptosis (Fig 3B).
ECM mediated activation of FAK controls cell survival in non-hepatic cells (13, 14). We examined FAK activation in hepatocytes adhered to different ECM by determining phosphorylation of FAKTyr397. There was no FAKTyr397 phosphorylation in hepatocytes in suspension culture just prior to plating (data not shown). Phosphorylation of FAKTyr397 was present in cells plated on all the ECM, but was significantly decreased in hepatocytes plated on LM and PL compared to CI (Fig 4A,B). In order to determine if FAKTyr 397 phosphorylation was necessary for the CI mediated survival effect, we used short incubations with 1uM of cytochalasin B to disrupt FAK activation. This concentration has been shown to inhibit FAK without affecting actin filament polymerization (32–35) Cytochalasin B had no effect on hepatocyte attachment, cell size or cell viability, but significantly decreased FAK Tyr397 phosphorylation on all 3 matrices by 40 to 50% (Fig 4C). Cytochalasin B pre-treatment resulted in significantly more GCDC induced apoptosis in hepatocytes plated on CI (Fig 4D). There were only minor increases in apoptosis in hepatocytes adhered to LM and PL, perhaps due to the fact that apoptosis was already maximally stimulated on these matrices (Fig 4D). The net effect of inhibition of FAK phosphorylation was to ameliorate the ECM mediated differential sensitivity to GCDC induced apoptosis.
Bile acids can modulate FAK dephosphorylation in colonic epithelial cells (22). We thus examined the effect of GCDC on FAK phosphorylation in hepatocytes plated on CI. Figure 4A shows the time course for phosphorylation of FAK Tyr397 after the addition of GCDC or the non-toxic bile acid, TUDC. While TUDC has no effect on FAK phosphorylation, GCDC treatment resulted in a significant 30 to 60% decrease in FAKTyr397 phosphorylation at 30, 60 and 120 minutes, (Fig 5).
In hepatocytes adhered to CI, cAMP protects against bile acid induced apoptosis by a cAMP-GEF mediated PI3K dependent pathway (25). Here we extend these observations to show that treatment with the specific cAMP-GEF activator, CPT-2-Me-cAMP, promotes survival from GCDC induced apoptosis in hepatocytes adhered to PL and LM. (Fig 6A,B). Since a major function of cAMP-GEF’s in other cells is to modulate cell-matrix interactions, we determined whether cAMP-GEF cytoprotection might involve FAK. Treatment of hepatocytes plated on CI with a CPT-2-Me-cAMP caused a small, sustained increase in FakTyr397 phosphorylation from 5 to 180 min (Fig 6C). Similar increases in cAMP-GEF mediated FakTyr397 phosphorylation occurred in hepatocytes plated on LM and PL (data not shown). Pretreatment with the PI3K inhibitor, wortmannin, prevented this phosphorylation event. Thus cAMP-GEF activation in hepatocytes is associated with PI3K dependent phosphorylation of FAK.
We explored the possibility that cAMP-GEF activation of FAK was involved in its cytoprotective effect against bile acid induced apoptosis Pretreatment with cytochalasin B prevented the cytoprotective effect of cAMP-GEF activation in bile acid induced apoptosis (Fig 6E). Then we determined if pre treatment with the cAMP-GEF activator had any effect on GCDC induced dephosphorylation of FAK. As seen in Fig 7 pretreatment with CPT-2-ME-cAMP restored normal levels of FAK phosphorylation in GCDC treated hepatocytes. When hepatocytes were pre-treated with wortmannin the ability of CPT-2-Me-cAMP to restore FAK phosphorylation in GCDC treated cells was partially blocked (Fig 7). These results are consistent with a cAMP-GEF/PI3K/FAK cytoprotective pathway in hepatocytes.
Since bile acid apoptotic signaling involves activation of the stress activated kinases, JNK and p38 MAPK (17,19,20), we examined whether adherence to different ECM influenced bile acid phosphorylation of these kinases. Hepatocytes plated on CI had a 4–5 fold increase in JNK phosphorylation in response to GCDC, while hepatocytes adhered to LM or PL had a 15 to 30 fold increase in GCDC induced JNK phosphorylation (Fig 8 A, B). In order to determine if enhanced JNK activation played a pro-apoptotic role in bile acid induced apoptosis, we evaluated the effect of the JNK inhibitor, SP 600125, on apoptosis induced by DCA. The JNK inhibitor protected against DCA induced apoptosis on all the ECM (Fig 8C). We could not evaluate the effect of the SP 600125 on GCDC induced apoptosis since the inhibitor at the concentration used, 5 uM, inhibited conjugated bile acid uptake (data not shown). GCDC phosphorylated p38 MAPK equally on CI, PL and LM (Fig 9A,B). Since p38 MAPK signaling has been implicated in both pro- (19,20) and anti-apoptotic bile acid signaling (29,36), we wished to clarify the role of p38 MAPK in GCDC induced apoptosis in our system. Inhibition of p38 MAPK with SB203580, had no effect on GCDC induced apoptosis in hepatocytes plated on C1, PL or LM (Fig 9 C).
Bile acid induced apoptosis has been linked to activation of the Fas and TRAIL death receptors, secondary to JNK dependent increased plasma membrane expression of these receptors and subsequent ligand independent activation (17). Thus, we examined whether JNK activation in hepatocytes on LM and PL might be associated with increased TRAIL DR5 or Fas receptor expression. Immunoblotting for TRAIL DR5 and Fas receptor protein in whole cell lysates from hepatocytes plated on LM, PL or C1 for 6 hours did not reveal any difference in protein expression (data not shown).
Discussion
The principal findings of this study relate to the ability of the ECM to control hepatocyte survival. In particular the study shows: 1.) hepatocytes adhered to PL and LM are more sensitive to apoptotic stimuli than hepatocytes on CI, 2.) in hydrophobic bile acid induced apoptosis this differential sensitivity is associated with augmented JNK and decreased FAK phosphorylation and 3.) cAMP-GEF mediated cytoprotection from bile acid induced apoptosis is independent of ECM but requires PI3K dependent phosphorylation of FAK.
We have demonstrated that hepatocytes adhered to LM have increased sensitivity to apoptosis. In the normal liver, hepatocytes are primarily in contact with CI, CIV and FB (2,7,11). During acute and chronic liver disease, the composition of the ECM is altered with increases in all ECM constituents (6). Of relevance to these studies, increased laminin deposition has been documented in cholestatic liver disease (8–11). Bile duct ligated rats and human patients with neonatal cholestasis, biliary atresia and primary biliary cirrhosis have increased laminin deposition that is primarily localized in the space of disse and contributes to capillarization of the sinusoids (8,9,10). Cholestatic hepatocytes also acquire expression of the alpha 6 integrin which is a receptor for laminin (11). Laminin-integrin signaling also triggers Mallory body formation in vitro (37). Thus in cholestatic liver disorders, hepatocytes may more commonly adhere to laminin and our results suggest that this binding may sensitize hepatocytes to apoptosis.
We show that the cytotoxic bile acid, GCDC, but not the cytoprotective bile acid TUDC, dephosphorylates FAK and that correction of this phosphorylation deficit protects against apoptosis. This suggests a role for FAK in modulating apoptosis accompanying cholestatic liver disease. Previous studies have substantiated a role for FAK in hepatobiliary cancer cell survival. FAK inhibition sensitizes hepatocellular carcinoma cells to TNF alpha mediated apoptosis (14) and is associated with imatinib mesylate induced apoptosis in cholangiocarcinoma cells (15). Furthermore, enhanced FAK expression in human hepatocellular carcinoma has been linked to decreased survival time (38). Collectively these studies indicate an important role for FAK in hepatocyte survival.
The mechanism(s) whereby hydrophobic bile acids interfere with FAK phosphorylation is unknown. Normally FAK activation requires binding of integrins to the ECM, mechanistic linkage to the actin cytoskeleton, and autophosphorylation at tyrosine 397 (13,14). In colonic epithelial cells, DCA activates the tyrosine phosphatase, ShP2, leading to FAK dephosphorylation at Tyr 576 and 925 (22). In separate studies in a colon cancer cell line, DCA altered plasma membrane lipid composition leading to increases in membrane cholesterol and decreases in membrane fluidity which resulted in tyrosine phosphorylation of the epidermal growth factor receptor (39). Presumably other membrane associated proteins could also be modulated by these membrane perturbations. Bile acids also interfere with cytokeratins and influence actin polymertization in hepatocytes (40–42) and thus might inhibit FAK phosphorylation by preventing the interaction of actin binding proteins with FAK. Further studies are needed to characterize how bile acids modulate FAK in hepatocytes.
We demonstrate for the first time that cAMP-GEF activation in hepatocytes results in phosphorylation of FAK. This is in accord with the role of cAMP-GEF’s to promote integrin-mediated and non-integrin mediated cell adhesion (26,27). We also present evidence that cAMP-GEF phosphorylation of FAK is necessary for its cytoprotective effect in bile acid induced apoptosis and that, at least in part, this survival effect is associated with prevention of hydrophobic bile acid induced dephosphorylation of FAK. In non-hepatic cells, FAK activation can prevent apoptosis through 2 main pathways: PI3K signaling and PI3K independent inhibition of p53 (13,14). We have previously demonstrated that cAMP-GEF can activate PI3K and that the cytoprotective effect of cAMP-GEF in bile acid induced apoptosis is PI3K dependent (25). FAK signaling can be either upstream or downstream of PI3K (13,14, 43, 44). In our experiments, cAMP-GEF mediated FAK phosphorylation is PI3K dependent placing FAK downstream of PI3K. Collectively our results suggest the presence of a cAMP-GEF/PI3K/FAK survival pathway in hepatocytes.
Our work does not exclude the possibility of additional cAMP-GEF/FAK survival pathways in hepatocytes, as we have identified PI3K independent cAMP-GEF mediated cytoprotection in hepatocytes (25). Since recent evidence suggests that p53 signaling is important in bile acid induced apoptosis and that the cytoprotective effect of TUDC is mediated, in part, by increasing interaction of p53 with its repressor Mdm-2 (45,46), it is possible that a FAK/p53 survival pathway is present in hepatocytes. This is an area of ongoing exploration in our lab.
Bile acid mediated JNK activation is pro-apoptotic in hepatocytes (17,19,20). In the current study, hepatocytes plated on LM and PL had profound increases in JNK phosphorylation in response to GCDC compared to hepatocytes plated on Type 1 collagen, and chemical inhibition of JNK activation prevented bile acid induced apoptosis on all the matrices. These findings suggest that the enhanced JNK activation may contribute to the ECM differential sensitivity to apoptosis.
In conclusion, our studies suggest that hepatocytes adhered to integrins that engage collagens and FB have increased tolerance to apoptosis while those adhered to LM may have increased sensitivity to apoptosis. The ECM can modulate hepatocyte apoptosis by promoting differential activation of JNK and FAK. In addition, non-ECM mediated mechanisms of increasing FAK phosphorylation, such as treatment with cAMP-GEF activators, promote survival independent of ECM. Integrins are accessible drug targets and integrin targeted drugs are in development as anti-inflammatory, anti-thrombotic and anti-angiogenesis therapy (48, 49) and have been employed in the liver to suppress growth in hepatocellular carcinoma cells (50) and to inhibit stellate cell migration and activation (51). In addition, low molecular weight inhibitors of FAK are in pre-clinical development as chemotherapeutic agents (52). Thus, knowledge of the role of integrins/ECM in hepatic physiology will be critical to the biological application of these compounds.
Acknowledgement
The advice and editorial assistance of Dr. M. Sawkat Anwer and excellent technical help of Holly Jameson were valuable in conducting the experimental work and preparing the manuscript.
Footnotes
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