Abstract
Oestrogen produces diverse biological effects through binding to the oestrogen receptor (ER)1. The ER is a steroid hormone nuclear receptor, which, when bound to oestrogen, modulates the transcriptional activity of target genes2. Controversy exists, however, concerning whether ER has a role outside the nucleus3, particularly in mediating the cardiovascular protective effects of oestrogen4. Here we show that the ER isoform, ERα, binds in a ligand-dependent manner to the p85α regulatory subunit of phosphatidylinositol-3-OH kinase (PI(3)K). Stimulation with oestrogen increases ERα-associated PI(3)K activity, leading to the activation of protein kinase B/Akt and endothelial nitric oxide synthase (eNOS). Recruitment and activation of PI(3)K by ligand-bound ERα are independent of gene transcription, do not involve phosphotyrosine adapter molecules or src-homology domains of p85α, and extend to other steroid hormone receptors. Mice treated with oestrogen show increased eNOS activity and decreased vascular leukocyte accumulation after ischaemia and reperfusion injury. This vascular protective effect of oestrogen was abolished in the presence of PI(3)K or eNOS inhibitors. Our findings define a physiologically important non-nuclear oestrogen-signalling pathway involving the direct interaction of ERα with PI(3)K.
PI(3)K mediates the cellular effects of platelet-derived growth factor (PDGF)5, insulin6 and vascular endothelial growth factor (VEGF)7. The predominant form of PI(3)K comprises p85α, an adapter/regulatory subunit of relative molecular mass 85,000 (Mr 85K), and p110, a catalytic subunit8 of Mr 110K. PI(3)K catalyses the formation of lipid mediators9,10 which recruit signalling molecules containing phosphatidylinositol (PtdIns)-3,4,5-P3-binding or pleck-strin homology domains such as phosphatidylinositol-dependent kinases and protein kinase Akt11,12. The activation of Akt through phosphorylation of Thr 308/Ser 473 (ref. 13) mediates many of the downstream cellular effects of PI(3)K, including stimulation of glucose transporter-4 membrane translocation14, inactivation of glycogen synthase kinase-3 (ref. 15), and activation of eNOS16,17 and cell survival pathways18. Although oestrogen stimulates eNOS activity19 and promotes cell survival, it is not known whether PI(3)K mediates these effects of oestrogen.
In human vascular endothelial cells, physiological concentrations of 17β-oestradiol (E2) increased eNOS activity in a biphasic manner (effector concentration for half-maximal response (EC50) ≈ 0.1 nM) (Fig. 1a, b). The initial increase was mediated by mitogen-activated protein (MAP) kinases19; the second increase was completely blocked by the PI(3)K inhibitor, wortmannin. The increase in eNOS activity was also blocked by the ER antagonist ICI 182,780; and the inactive E2 stereoisomer 17α-oestradiol (αE2) had no effect. In murine fibroblasts transfected with ERα and eNOS complementary DNAs, E2 produced an eightfold increase in eNOS activity in wild-type but not in p85α-deficient (p85α-/-) fibroblasts20 (Fig. 1c). Furthermore, in p85α-/- fibroblasts co-transfection of p85α cDNA led to a fourfold increase in E2-stimulated eNOS activity, whereas in wild-type fibroblasts co-transfection of a dominant-negative p85α mutant cDNA decreased E2-stimulated eNOS activity by more than 50%.
In non-transfected human endothelial cells, E2 increased endogenous PtdIns-3,4,5-P3 levels in a time-delayed manner similar to the wortmannin-sensitive phase of eNOS activation (Fig. 2a). In contrast, insulin rapidly increased endogenous PtdIns-3,4,5-P3 levels6 and eNOS activity21. Increases in PtdIns-3,4,5-P3 levels correlated temporally with the ligand-dependent increases in ERα-associated PI(3)K activity (Fig. 2b); events that were blocked by ICI 182,780 and wortmannin (Fig. 2c). Consistent with a rapid, non-nuclear effect of ER on eNOS activation, E2-stimulated PI(3)K activity was blocked by another ER antagonist, tamoxifen, but not by the MAP kinase inhibitor PD 98059, or by the transcriptional inhibitor actinomycin D (Fig. 2d). Insulin, which uses the phosphotyrosine (p-Tyr) adapter molecule, insulin receptor substrate (IRS)-1, to interact with PI(3)K, increased PI(3)K activity in the p-Tyr and IRS-1 immunoprecipitate (Fig. 2e), but did not increase or augment E2-associated PI(3)K activity. In contrast, E2 did not increase p-Tyr- or IRS-1-associated PI(3)K activity (Fig. 2e). These findings suggest that ERα does not recruit PI(3)K that has been already activated by insulin, and that PI(3)K activation by ER and IRS-1 occurs through different mechanisms. Notably, the activation of PI(3)K extended to other steroid hormone nuclear receptors such as the thyroid hormone and glucocorticoid receptors (Fig. 2f). These interactions may explain some of the previously unrecognized functions of these nuclear hormone receptors.
ERα interacted with p85α in a ligand-dependent manner in both non-transfected endothelial cells (Fig. 3a) and p85a-/- fibroblasts transfected with ERα and p85α cDNAs (Fig. 3b). This ligand-dependent interaction was blocked by ICI 182,780 and was absent in p85α-/- fibroblasts transfected with ERα cDNA alone. However, the ER isoform ERβ, which is thought to mediate some of the cardiovascular effects of oestrogen4, did not interact with p85α or recruit PI(3)K activity after E2 stimulation (see Supplementary Information). The interaction of ERα and p85α also occurred in the absence of adapter molecules or accessory proteins, as human recombinant ERα could still interact with glutathione S-transferase (GST)—p85α fusion protein in a ligand-dependent manner in a cell-free system (Fig. 3c). This interaction, however, does not involve the src-homology SH2/SH3 domains of p85α (Fig. 3d) which interact with p-Tyr residues of growth hormone receptors and adapter molecules22,23. Heat shock protein 90, which binds and facilitates the function of ER24 and eNOS25, inhibited the interaction of ERα and p85α.
The generation of PtdIns-3,4,5-P3 leads to the recruitment and activation of Akt11,26. E2 stimulated Akt kinase activity in a time-delayed manner (Fig. 3e), similar to the increases observed in PtdIns-3,4,5-P3 levels and eNOS activity. To determine whether E2-stimulated eNOS activation is mediated by Akt, we transiently transfected bovine aortic endothelial cells with adenoviruses containing constitutively active (myr) and dominant-negative (dn) Akt mutants27. Transfection of these cells with myr-Akt produced a substantial increase in eNOS activity, whereas overexpression of dn-Akt decreased basal eNOS activity below baseline and completely abolished E2-stimulated eNOS activity (Fig. 3f).
To determine the physiological significance of this pathway, we used an established model of ischaemia and reperfusion (I/R) injury in the mouse cremaster muscle28. I/R leads to leukocyte recruitment to the vascular wall, an event attenuated by NO and exacerbated by eNOS inhibitors such as L-nitroarginine methylester (L-NAME)29. I/R reduced median leukocyte rolling velocity by 13.8 μms-1 (P < 0.003) and induced a 2.2-fold increase in the number of adherent leukocytes (P < 0.001) (Fig. 4a, b). Treatment with E2 increased eNOS activity 3.2-fold and prevented the subsequent changes in leukocyte accumulation and rolling velocity after I/R. When wortmannin or L-NAME was applied to the cremaster muscle, measurements of leukocyte rolling velocity and accumulation were not different between untreated and E2-treated mice after I/R, although L-NAME decreased eNOS activity below that of untreated mice (Fig. 4a—c). These findings indicate that the NO-induced vascular protective effect of oestrogen is predominantly mediated by PI(3)K.
Although the nuclear function of ER is clearly established, previous studies regarding the membrane and cytoplasmic effects of oestrogen remain inconclusive3. Linking the ER to PI(3)K suggests that the ER may be involved in a critical function outside the nucleus. In addition, the potential biological effects of oestrogen are considerably broadened because PI(3)K is known to mediate various cellular functions18. Although most of the ER is localized to the nucleus, we found that there is an increased level of membrane and cytoplasmic ER after E2 stimulation (data not shown). Indeed, a study has suggested that membrane-associated ER is involved in mediating NO release from endothelial cells30. Thus, it is likely that PI(3)K is being recruited and activated by a small subset of ligand-bound, membrane-associated ERs. It remains to be determined, however, whether oestrogen can also activate PI(3)K indirectly, and whether PI(3)K can account for other rapid, non-nuclear effects of oestrogen. Further studies characterizing the interaction domains of ERα and p85α should help clarify these issues.
Methods
Cell cultures
Human and bovine aortic endothelial cells were obtained enzymatically with Type IA collagenase (1 mg ml-1). They were cultured and stimulated under serum-starved conditions consisting of phenol-red-free Medium 199 (Gibco BRL, Life Technologies) with 0.4% charcoal-stripped fetal calf serum.
Immunoprecipitations
Cells were washed with ice-cold PBS and lysed with the following buffer: Tris-HCl (20 mM, pH 7.4), EDTA (10 mM), NaCl (100 mM), IGEPAL (1%), Na3VO4 (1 mM), NaF (50 mM), PMSF (0.1 mg ml-1) and aprotinin (0.3 mg ml-1). We added the immunoprecipitating antibody (1 μg) to equal amounts of cell lysates (0.5–1 mg) in 500 μl of lysis buffer for 1 h at 4 °C with gentle rocking. Afterwards, 40 μl of 1:1 Protein-A-agarose was added and the entire mixture was rocked gently for another 1 h at 4 °C. The mixture was then centrifuged at 12,000g for 5 min at 4 °C. The supernatant was removed and the immunoprecipitate was washed three times with 500 μl of washing buffer, which differs from the lysis buffer in having 150 mM NaCl instead of 100 mM NaCl. We then separated proteins in the washed immunoprecipitate by SDS-PAGE and immunoblotted them with anti-ERα (Ab-10: Clone TE111.5D11, NeoMarkers, Fremont, CA) or anti-p85α (Upstate Biotech., Lake Placid, NY) antibody.
GST fusion protein-affinity purification
Human recombinant GST—p85α fusion protein or GST (Sigma) bound to glutathioneagarose beads (1 μg protein per 20 μl beads) was suspended in 400 μl of Escherichia coli protein extract solution (10 mg ml-1) and incubated with 1 μg human recombinant ERα (Panvera, Madison, WI) for 1 h at 4 °C. We pelleted the samples, and washed the beads five times with a buffer containing 50 mM potassium phosphate, pH 7.5, 150 mM KCl, 1 mM MgCl2, 10 % (v/v) glycerol and 1% (v/v) Triton X-100 plus protease inhibitors. The beads were re-suspended in 50 μl of 2× Laemmli’s buffer and boiled for 5 min. Proteins were separated on SDS-PAGE.
Model of vascular injury
Ten-week-old, 24 g, male C57BL/6 mice (Hilltop, Scottsdale, PA) were subcutaneously implanted with 1.5 mg of slow-release E2 tablets (Innovative Research of America, Sarasota, FL) 3–5 days before experiments to ensure steady-state serum E2 levels and to avoid any effects of surgery on baseline haemodynamic parameters. Mice implanted with E2 tablets had a serum E2 level of 760 ± 30 pg ml-1 compared with that of vehicle-treated mice (24 ± 6pgml-1). Mice were anaesthetized and the cremaster muscle was studied under intravital microscopy28. Ischaemia was induced by applying pressure to supplying arteries just sufficient to stop blood flow for 30 min. In some experiments, wortmannin (100 nM) or L-NAME (0.1 mM) was applied to the cremaster muscle during the ischaemic period. The pressure was released for reperfusion, and the same vessels were recorded in each animal before and after I/R. The rolling velocities of 25 leukocytes were measured in each venule, sorted and averaged for each rank to construct cumulative histograms. The velocities of 3,750 leukocytes were measured in 150 venules before and after I/R. The number of firmly adherent leukocytes was measured before and after I/R in the same 200-μm long segments of venules. The following number of venules were studied for leukocyte adhesion: untreated, 15 venules; E2-treated, 20 venules; E2-treated with wortmannin, 25 venules; E2-treated with L-NAME, 15 venules. Cremaster eNOS activity was measured in three untreated, four E2-treated, five E2-treated with wortmannin and four E2-treated with L-NAME mice.
Supplementary Material
Acknowledgements
We thank T. Uchida, A. J. Prorock and K. L. Thomas for technical assistance; M. White for providing IRS-1/2 antibodies; M. Brown for ERa antibody; D. Fruman and L. Cantley for murine p85α-/- fibroblasts, GST—p85α and sub-domains; M. Kasuga for wild-type and dominant-negative p85α cDNAs; and K. Walsh for adenovirus Akt mutants. This work was supported by grants from the National Institutes of Health, the Mary Horrigan Connors Center for Women’s Health, the American Heart Association and the Scuola Superiore di Studi e di Perfezionamento “S. Anna”.
Footnotes
Supplementary information is available on Nature’s World-Wide Web site (http://www.nature.com) or as paper copy from the London editorial office of Nature.
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