Abstract
Hydroxmethylglutaryl (HMG)-coenzyme A (CoA) reductase inhibitors (statins) lower serum cholesterol but exhibit pleiotropic biological effects that are difficult to ascribe solely to cholesterol depletion. Here, we investigated the effect of lovastatin on protein prenylation and cell signaling. We show that high concentrations (50 μM) of lovastatin inhibit Ras, Rho, and Rap prenylation but that therapeutic levels of lovastatin (50 nM to 500 nM) do not. In contrast, depletion of cellular cholesterol by therapeutic levels of lovastatin increased Ras GTP loading and mitogen-activated protein kinase (MAPK) activation in human umbilical vein endothelial cells and rodent fibroblasts. Elevated Ras signaling was not seen in statin-treated cells if cholesterol levels were maintained by supplementation. Activation of Ras-MAPK signaling was a consequence of, and dependent on, activation of phospholipase D2 (PLD2). Expression of dominant interfering PLD2 or biochemical inhibition of PLD2 abrogated Ras and MAPK activation induced by lovastatin. In contrast, ectopic expression of wild-type PLD2 enhanced Ras and MAPK activation in response to therapeutic levels of lovastatin. Statin-induced cholesterol depletion also modestly activated the epidermal growth factor receptor (EGFR), resulting in downregulation of EGFR expression. These results suggest that statins modulate key cell signaling pathways as a direct consequence of cholesterol depletion and identify the EGFR-PLD2-Ras-MAPK axis as an important statin target.
Hydroxmethylglutaryl (HMG)-coenzyme A (CoA) reductase inhibitors (statins) are widely used for the treatment of hypercholesterolemia (39). These drugs block the conversion of HMG-CoA to mevalonate, a rate-limiting step in the cholesterol biosynthesis pathway (15). In addition to the cholesterol-lowering effect, there is extensive evidence for additional clinical effects. Statins improve endothelial function, promote vascular relaxation, and inhibit platelet aggregation in part by driving increased synthesis of nitric oxide (NO) (36). Statins therefore correct the reduced synthesis, release, and activity of endothelium-derived NO observed in hypercholesterolemic patients (39). Statins also promote atherosclerotic plaque stability (58), have anti-inflammatory effects (3, 60), and are associated with a reduced risk of Alzheimer's disease (39). Nevertheless, it has been difficult to mechanistically link many of these beneficial clinical effects directly to reduced cellular and serum cholesterol levels.
One class of signaling molecules that has been identified as putative cholesterol-independent targets of statin action are prenylated small GTPases (16, 17, 39, 42). Ras and Rho GTPases act as molecular switches to regulate cell proliferation, differentiation, apoptosis, and cytoskeletal reorganization (26, 31). The biological activity of these GTPases requires farnesylation or geranylgeranylation of C-terminal CAAX motifs (where C is Cys, A is aliphatic amino acid, and X is Ser or Met in Ras or Leu in Rho) (27). High concentrations of statins have long been known to block Ras and Rho prenylation (27) by blocking production of mevalonate, a precursor of farnesyl and geranylgeranyl pyrophosphates used for protein prenylation (15). However, it is unclear whether the therapeutic levels of statins that are achieved in patients are sufficiently high to do so (38, 56).
The plasma membrane is a complex, dynamic, and laterally heterogeneous structure, which imposes nonrandom distributions on proteins across different types of transient, nanoscale domains (23, 55, 59). The assembly of signaling proteins, including Ras GTPases and epidermal growth factor receptor (EGFR), into specific nanodomains and nanoclusters is essential for high-fidelity signal transmission (2, 30, 50, 52, 59). The spatial organization of signaling complexes on the plasma membrane is driven by lipid-lipid, protein-lipid, and protein-protein interactions. In consequence, perturbation of the lipid structure of the plasma membrane, as occurs following cholesterol depletion, can directly dysregulate signal transduction (12, 26, 46, 50, 51, 54). Here, we investigate whether Ras prenylation is affected by therapeutic levels of lovastatin and explore more broadly the effect of statins on Ras signal transduction. We identify a novel effect of statins on Ras signaling that is directly related to cholesterol depletion and involves remodeling of the lipid structure of the plasma membrane.
MATERIALS AND METHODS
Plasmids and reagents.
Green fluorescent protein (GFP)-tagged wild-type (WT) murine phospholipase D2 (mPLD2 WT) and GFP-tagged mPLD2 K758R, kindly provided by Mike Frohman (Stony Brook University, Stony Brook, NY), were subcloned into the pEF6/V5-His-TOPO plasmid (Invitrogen, Australia). Antibodies against extracellular signal-regulated kinase 2 (ERK2) (C-14) (no. sc-521), K-Ras2B (C-19) (no. sc-521), H-Ras (F235) (no. sc-29), and N-Ras (F155) (no. sc-31) were obtained from Santa Cruz Biotechnology (CA). Monoclonal antibodies anti-caveolin-1 (no. 610406), anti-Ras (no. 610001), and anti-Rho (no. 610990) were obtained from BD Transduction Laboratories (Lexington, KY). Rabbit phospho-p44/42 mitogen-activated protein kinase (MAPK) (ERK1/2) (Thr202/Tyr204) antibody (no. 9101), mouse phospho-p44/42 MAPK (ERK1/2) (E10) antibody (no. 9106), rabbit phospho-Akt (pAkt) (Ser473) antibody (no. 9271), rabbit Akt antibody (no. 9272), mouse anti-phospho-EGF receptor (Y1068) antibody (no. 2236), rabbit total EGF receptor antibody (no. 2232), and rabbit Rap1A/B (26B4) antibody (no. 2399) were from Cell Signaling Technology (Beverly, MA). Monoclonal anti-GFP (no. 11814460001) was from Roche. Tertiary butanol (no. 360538), lipoprotein-deficient serum (LPDS) (S5394), low-density lipoprotein (LDL) from human plasma (LDL cholesterol [LDL-C]) (L7914), lovastatin (M2147), and mevalonate (M4667) were purchased from Sigma Aldrich.
Preparation of active lovastatin.
Lovastatin was converted to an active form as described previously (35). Briefly, inactive lovastatin was dissolved in warm (55°C) ethanol, to which 0.6 M NaOH and H2O were added. The solution was incubated at room temperate for 30 min to complete the opening of the beta-lactone ring. The final lovastatin solution was adjusted to pH 8.0 with HCl and stored as a 10 mM stock at −20°C.
Cell culture.
Baby hamster kidney (BHK) cells were maintained in Dulbecco's modified Eagle medium (DMEM) (Gibco) supplemented with 10% donor calf serum (DCS) and 2 mM l-glutamine. Human umbilical vein endothelial cells (HUVECs) (CRL 1730; ATCC) were maintained in Ham's F-12K medium (Gibco) supplemented with 10% fetal calf serum (FCS), 2 mM l-glutamine, 0.1 mg/ml heparin (Sigma Aldrich), and 0.03 mg/ml endothelial cell growth supplement (ECGS) (Sigma Aldrich). The passage numbers of HUVECs used in this study were 3 and 4. All cell lines were grown at 37°C at 5% CO2. For cholesterol depletion experiments, DCS or FCS was replaced with LPDS, which was supplemented where indicated with purified LDL-C. To generate stable cell lines, BHK cells were transiently transfected with GFP-mPLD2 WT or GFP-mPLD2 K758R using Lipofectamine reagent (Invitrogen) according to the manufacturer's instructions. Following an overnight incubation, cells expressing the transfected protein were sorted using fluorescence-activated cell sorting (FACS) and maintained in BHK medium containing 1 mg/ml G418 (Geneticin; Sigma Aldrich).
Cholesterol assays.
Total cellular cholesterol levels were measured using an Amplex Red cholesterol assay kit (A12216; Invitrogen) according to the manufacturer's instructions.
Subcellular fractionation and Ras processing assays.
Subcellular fractionation into S100 and P100 fractions after hypotonic lysis was carried out as described previously (54). Triton X-114 (TX-114) partitioning was carried out exactly as described previously (22, 25). Lysates of cells were prepared in ice-cold, precondensed 1% TX-114 (dissolved in 25 mM Tris-Cl [pH 7.5], 150 mM NaCl), cleared by centrifugation, and warmed for 2 min at 37°C. Detergent and aqueous phases, containing hydrophobic and hydrophilic proteins, respectively, were separated by centrifugation and analyzed by quantitative Western blotting.
Western blotting.
Cells were washed in cold phosphate-buffered saline (PBS) and subjected to detergent lysis in a buffer containing 50 mM Tris (pH 7.5), 75 mM NaCl, 25 mM NaF, 5 mM MgCl2, 5 mM EGTA, 1 mM dithiothreitol, 100 μM NaVO4, 1% Nonidet P40 plus protease inhibitors. SDS-PAGE and immunoblotting with the specified antibody were performed using 20 μg of each lysate. Signal was detected by enhanced chemiluminescence (SuperSignal; Pierce, Thermo Fisher Scientific, Rockford, IL) and imaged by FluorChemQ (Alpha Inotech, San Leandro, CA). Quantification of intensities was performed using FluorChemQ software.
Ras RBD pulldown assay.
Ras-GTP levels were measured in a glutathione S-transferase (GST)-Ras binding domain (RBD) pulldown assay as described previously (54). Samples were analyzed by quantitative Western immunoblotting using pan-Ras or Ras isoform-specific antibodies.
PLD assays.
To assay the requirement for phospholipase D (PLD) activity cells were incubated for 4 h in 1% (vol/vol) n-butanol or t-butanol. PLD normally carries out a transphosphatidylation reaction using water as an acceptor to generate phosphatidic acid (PA). The enzyme, however, has a strong preference (1,000-fold) for primary alcohols over water, leading to the generation of phosphatidyl alcohols. The generation of phosphatidic acid by PLD is therefore efficiently blocked in the presence of low concentrations of the primary alcohol n-butanol but is unaffected in the presence of the tertiary alcohol, t-butanol (34).
Metabolic labeling and phosphatidic acid assay by TLC.
A modified version of a previously described method (63) was used. After 32 h of lovastatin treatment, BHK cells were labeled with [3H]palmitate (2 mCi/ml) for a further 14 h in the continued presence of lovastatin. The labeling medium was then replaced with fresh medium containing lovastatin for 2 h. Cells were then harvested with ice-cold methanol and vortexed with chloroform. After incubation at room temperature for 15 min, H2O was added, followed by centrifugation. Twenty microliters of the lower organic phase was used for scintillation counting to estimate the total labeled phospholipids. The remainder of the organic phase was dried by vacuum centrifugation and resuspended in chloroform-methanol (19:1) for spotting onto thin-layer chromatography (TLC) plates (no. 2855-821; Whatman LK5D). The plate was developed using the upper phase of a mixture of ethylacetate-2,2,4 trimethylpentane (isooctane)-acetic acid-H2O (110:50:20:100). The position of PA was identified by the synthetic 3,4-dihydroxyphenylalanine (DOPA) standard (840875C; Avanti Polar Lipids, Inc.) after iodine staining. The plate treated with Enhance spray (6NE970C; PerkinElmer) was then incubated with an X-ray film at −80°C for 48 h, and the bands corresponding to the phosphatidic acid standard were cut out for scintillation counting.
RESULTS
Effects of lovastatin on cellular cholesterol levels.
The clinical effect of statins in reducing cellular cholesterol is mediated by two mechanisms. First, statins have a major site of action in the liver, where the drug is subject to extensive first-pass metabolism. Reduction in cellular cholesterol synthesis elevates hepatocyte expression of the LDL receptor, leading to increased clearance of plasma LDL by the liver and a reduction in circulating LDL cholesterol (LDL-C) levels. Current clinical guidelines advocate statin dose escalation to reduce LDL-C levels to ≤70 mg/dl in high-risk patients and ≤100 mg/dl in all hypercholesterolemic patients (20, 57). Second, statins can also directly reduce endogenous cholesterol synthesis in all extrahepatic tissues.
To explore the signaling effects of statin-induced cholesterol depletion, BHK cells and HUVECs were chosen as model fibroblast and endothelial cell lines, respectively. Cells were cultured in medium containing 10% lipoprotein-deficient serum (LPDS) to mimic the reduced LDL-C level induced by statins. The plasma lovastatin levels 6 h after therapeutic doses of 40 to 200 mg are in the range of 50 to 250 nM (38); however, given that higher doses of statins may be prescribed, we evaluated cells treated with lovastatin in a concentration range of 50 to 500 nM to fully capture likely therapeutic levels.
Figure 1 a and c show that a major reduction in cellular cholesterol is achieved by growth in LPDS (reflecting the hepatic effect of statin in reducing plasma LDL-C levels), but this is modestly supplemented by a direct effect on de novo synthesis within the target cell, leading to a further decline in cellular cholesterol. The cholesterol content of LPDS is very low, equivalent to ∼3 mg/dl of LDL-C. Therefore, to more precisely model the clinical situation, we supplemented LPDS with purified human LDL-C to give levels of 240 mg/dl (high cholesterol level) and 100 mg/dl (normal) and reassayed cholesterol levels. Figure 1b and d show that BHK cells and HUVECs cultured in LPDS plus 240 mg/dl LDL-C closely mirrored the control cells grown in DCS and FCS, respectively, in exhibiting a high basal cellular cholesterol level with no significant decrease in the presence of statin. In contrast, cells cultured in LPDS plus 100 mg/dl LDL-C had significantly lower basal cholesterol levels than cells grown in DCS or LPDS plus LDL-C 240 mg/dl and showed a further 15 to 18% fall on culture in 300 to 500 nM lovastatin. In sum, Fig. 1a to d show that an effect of statin on de novo cholesterol synthesis is observed only if the exogenous supply of cholesterol is substantially reduced by growth in LPDS with low LDL-C levels.
Effect of therapeutic levels of lovastatin on the prenylation of Ras and Rho GTPases.
High concentrations of statins can prevent protein prenylation (37, 39, 53). To determine whether therapeutic levels of lovastatin inhibit prenylation of Ras and Rho GTPases, we examined steady-state levels of prenylated and nonprenylated Ras and Rho family proteins in lovastatin-treated cells by use of a Triton X-114 partitioning assay. This assay separates prenylated proteins from unprenylated proteins based on the increased hydrophobicity due to the farnesyl or geranylgeranyl anchor (22, 25, 27, 29). In control cells, the majority of endogenous Ras (farnesylated [6, 27]) and endogenous Rap1A/B (geranylgeranylated [4]) partitioned into the Triton X-114 detergent phase (Fig. 1e), and a substantial fraction of endogenous Rho (geranylgeranylated [1]) also partitioned into the detergent phase. The detergent fraction is lower because of the interaction of geranylgeranylated Rho with the chaperone protein RhoGDI (43). At all therapeutic levels of lovastatin, the detergent partitioning of endogenous Ras, Rap, and Rho proteins was nearly identical to that in control cells, suggesting that protein prenylation was not affected at these concentrations. In the presence 50 μM lovastatin, however, the partitioning of endogenous Ras, Rho, and Rap into the aqueous phase of Triton X-114 significantly increased. The increased aqueous partitioning of Ras, Rho, and Rap was reversed when cells were supplemented with mevalonate, the direct product of HMG-CoA reductase. Subcellular fractionation also showed no reduction in binding of Ras to cellular membranes in cells grown in lovastatin concentrations of ≤500 nM (data not shown). Taken together, these results show that therapeutic levels of lovastatin have no significant effects on Ras, Rho, or Rap prenylation.
Cholesterol depletion by lovastatin activates Ras signaling.
As therapeutic levels of lovastatin do not affect Ras prenylation, we investigated other mechanisms whereby lovastatin may modulate cellular signaling. We first examined activation of ERK and Akt as general screens for Ras signal output. Cells were treated with a range of concentrations of lovastatin in 10% LPDS for 48 h, and lysates were immunoblotted for phospho-ERK (ppERK) and phospho-Akt (pAkt). Control cells were grown in DCS or FCS with the same range of concentrations of lovastatin. In HUVECs and BHK cells, therapeutic levels of lovastatin in LPDS significantly increased the basal level of mitogen-activated protein kinase (MAPK) activity and reduced basal levels of pAkt (Fig. 2). A similar effect was also seen in cells grown in lovastatin in LPDS plus 100 mg/dl LDL-C (data not shown). Pooling the data sets from Fig. 1a to d with those of Fig. 2a and b reveals a striking inverse linear relationship between basal ppERK levels and cellular cholesterol content in both BHK cells and HUVECs (Fig. 2c and d).
To determine whether the increased MAPK activity was dependent on Ras activity, we directly measured Ras-GTP levels. These results showed that cholesterol depletion by therapeutic levels of lovastatin significantly activated Ras (Fig. 3 a). Further analysis showed that all three Ras isoforms, H-, N-, and K-Ras, were activated (Fig. 3b). Similar effects of lovastatin were observed on acute Ras activation in response to serum stimulation (data not shown). The addition of water-soluble cholesterol to cells treated with therapeutic levels of lovastatin in 10% LPDS returned the elevated Ras GTP levels to control values (Fig. 3a). Similarly, BHK cells grown in DCS plus lovastatin, which did not show any elevation of MAPK activity or change in cellular cholesterol levels, did not exhibit elevated levels of Ras-GTP (Fig. 2 and data not shown). Taken together, these data suggest that elevated MAPK activity due to lovastatin-induced cholesterol depletion is a direct consequence of enhanced Ras activity and that activation of the Ras-MAPK pathway in cells chronically exposed to lovastatin correlates closely with cholesterol depletion.
Lovastatin-induced activation of Ras signaling is mediated by PLD2.
We have shown that cholesterol depletion by therapeutic levels of lovastatin enhances Ras GTP loading, with a concomitant increase in ERK activation. Activation of the Ras-MAPK cascade could be at the level of receptors, such as the EGF receptor (EGFR), that couple to Ras, or the activity of RasGEFs or RasGAPs could be stimulated or inhibited, respectively. To discriminate between these possibilities, we examined the levels of EGFR and activated EGFR, monitored as Y1068 phospho-EGFR (2), in cells grown in LPDS with lovastatin. Figure 4 a shows that total EGFR levels were significantly decreased after 48 h of growth in LPDS with lovastatin; however, the specific activity of the EGFR was simultaneously increased (Fig. 4b). In contrast, no change in EGFR levels was seen in cells grown in lovastatin and DCS rather than LPDS (Fig. 4c), conditions that do not change cellular cholesterol levels. Similar results were observed in HUVECs (data not shown).
Phospholipase D2 (PLD2), which is localized predominantly to the plasma membrane (10, 33, 34), hydrolyzes phosphatidylcholine to phosphatidic acid (34). Recent studies have shown that phosphatidic acid generated by PLD2 is an upstream regulator of Ras activation in EGF- and T-cell receptor-regulated signaling pathways (24, 45, 65). Following EGFR stimulation, phosphatidic acid produced by PLD2 recruits Sos to the plasma membrane, stimulating Ras activation. We therefore tested whether cholesterol depletion induced by lovastatin stimulates the catalytic activity of PLD2, leading to Ras and MAPK activation. BHK cells were treated with lovastatin for 44 h and then incubated in 1% primary (n)-butanol or tertiary (t)-butanol. Previous work has shown that n-butanol inhibits the production of phosphatidic acid by PLD but that t-butanol does not (45). Treatment with n- or t-butanol had no effect on Ras-GTP or ppERK levels in control cells. However, the elevated Ras-GTP and ppERK levels in cholesterol-depleted cells were significantly reduced after incubation in n-butanol but not after incubation in t-butanol (Fig. 5 a and b).
If PLD activity is elevated as suggested by the data in Fig. 5, cells grown in LPDS and lovastatin would be expected to have elevated plasma membrane levels of phosphatidic acid compared to cells grown under control conditions. We first measured total cellular phosphatidic acid levels by metabolic labeling and thin-layer chromatography (63). Figure 6 a shows that there is a dose-dependent increase in phosphatidic acid levels in cells grown in LPDS and increasing doses of lovastatin. To verify that plasma membrane levels of phosphatidic acid are specifically increased by lovastatin-induced cholesterol depletion, we made use of a previously characterized, fluorescent-tagged phosphatidic acid-binding probe (mGFP-NES-Spo20). Electron microscopy (EM) analysis of intact plasma membrane sheets prepared from BHK cells expressing mGFP-NES-Spo20 showed a significantly increased level of anti-GFP immunogold labeling after treatment for 48 h in lovastatin and LPDS (Fig. 6b). Increased phosphatidic acid production on the plasma membrane was further confirmed by increased fluorescence resonance energy transfer (FRET) between mGFP-NES-Spo20 and mRFP-NES-Spo20 in cells grown in lovastatin and LPDS (Fig. 6c).
Lovastatin-induced activations of PLD2 and EGFR are independent events.
PLD2 is a downstream effector of the EGFR (45, 65); however, PLD2 activation also enhances EGFR clustering (2), which in turn might potentiate EGFR activation. We therefore explored the interplay between EGFR activation and PLD2 activation in cholesterol-depleted cells. Figure 7 a shows that EGFR downregulation in lovastatin-treated cells was completely reversed in the presence of the EGFR inhibitor, AG1478, whereas ERK activation (Fig. 7c) and Ras activation (Fig. 7e) were unaffected by AG1478. EGFR and ppERK levels in control cells grown in DCS and lovastatin were also unaffected by AG1478 (Fig. 7b and d).
To further explore the specific role of PLD2 in Ras activation mediated by lovastatin-induced cholesterol depletion, we studied the effect of ectopically expressing wild-type (WT) murine PLD2 (mPLD2) or a catalytically inactive mutant (K758R) of PLD2 that acts as a dominant interfering mutant (65). BHK cells stably expressing GFP-mPLD2 WT or GFP-mPLD2 K758R were treated with lovastatin for 48 h, and the levels of Ras-GTP and ppERK were measured. Figure 8 a shows that expression of mPLD2 WT significantly enhanced, and that expression of mPLD2 K758R blocked, Ras activation in response to lovastatin treatment. These changes in Ras-GTP levels were reflected in similar effects on MAPK activation measured as ppERK (Fig. 8b). Expression of mPLD2 K758R also abrogated the inhibition of Akt induced by lovastatin but did not prevent EGFR downregulation induced by lovastatin treatment (Fig. 8c and d).
Taken together, these results suggest that cholesterol depletion by lovastatin enhances the catalytic activity of PLD2, promoting phosphatidic acid production, which leads to Ras/MAPK activation and Akt inhibition. We further conclude that activation of PLD2 leading in turn to activation of Ras and the MAPK cascade and low-level activation of the EGFR leading to downregulation of EGFR levels are likely independent effects of statin-induced cholesterol depletion.
DISCUSSION
In this report, we examined to what extent Ras prenylation is affected by therapeutic levels of lovastatin and explored more broadly the effect of statins on Ras signal transduction. We show that clinically relevant concentrations of lovastatin (50 to 500 nM), which significantly lower total cellular cholesterol levels, do not affect Ras, Rap, or Rho prenylation. Cells preferentially use farnesyl-pyrophosphate for protein prenylation over cholesterol biosynthesis, as evidenced by an 50% inhibitory concentration (IC50) of 2.6 μM lovastatin for Ras farnesylation and an IC50 of 9.8 nM lovastatin for cholesterol biosynthesis (56). Thus, while nonphysiological, high-lovastatin concentrations (10 to 50 μM) inhibit Ras signaling by blocking farnesylation and membrane binding (27), this is not a mechanism that is likely to be clinically relevant. In contrast, we observed that cholesterol depletion induced by therapeutic levels of lovastatin enhanced Ras activation and stimulated MAPK activity. Several lines of evidence implicate PLD2 as the critical target of lovastatin action in the Ras signaling pathway: a chemical inhibitor of PLD and a dominant interfering mutant of PLD2 both blocked Ras/MAPK activation induced by lovastatin, whereas ectopic expression of wild-type PLD2 enhanced Ras/MAPK activation induced by lovastatin. Previous work has shown that PLD2 may be associated with cholesterol-dependent plasma membrane nanodomains, commonly called lipid rafts (10), and that cholesterol depletion leads to PLD2 activation (11). Collecting these data together with the new results presented in this paper, we propose that PLD2 is a cholesterol-sensitive regulator of the Ras/MAPK signaling pathway.
The exact mechanism by which cholesterol depletion activates PLD2 is not clear, but the subsequent molecular mechanism that leads to Ras activation has been elucidated. Activation of PLD2 remodels the lipid bilayer by hydrolyzing phosphatidylcholine to phosphatidic acid, and this drives recruitment of the Ras exchange factor Sos by direct binding of the Sos PH domain to phosphatidic acid (65). On the nanoscale, therefore, activated PLD2 will drive colocalization of plasma membrane-recruited Sos and plasma membrane-localized Ras, promoting Ras GTP loading (24). Protein- and lipid-based sorting of Ras proteins into nanoclusters on the plasma membrane is critically important for Ras signaling (28, 50, 51). Interestingly, neither K-Ras-GTP nanoclusters nor H-Ras-GTP nanoclusters to which Raf/MEK and ERK are specifically recruited from the cytosol for activation require cholesterol to form (49-52, 59). Cholesterol depletion induced by lovastatin therefore facilitates Ras GTP loading but does not impair the formation or assembly of active Ras-GTP signaling nanoclusters, resulting in increased MAPK output. Acute cholesterol depletion as a consequence of treating cells with methyl-β-cyclodextrin (MβCD) also increases ERK phosphorylation by inactivating an ERK-specific phosphatase (61). Potential differences between acute MβCD and chronic lovastatin treatment on cell signaling remain to be further investigated but indicate that cholesterol depletion regulates the Ras/MAPK pathway at multiple levels.
Statin-induced cholesterol depletion also resulted in downregulation of EGFR levels in both HUVECs and BHK cells. Furthermore, this downregulation correlated with low-level activation of the EGFR and was completely abrogated by treating statin-exposed cells with the EGFR kinase inhibitor, AG1478. Taken together, these results indicate that downregulation of EGFR levels is a direct consequence of statin-induced EGFR activation. We have shown recently that activation of PLD2 drives increased EGFR clustering but not increased EGFR activation (2). Consistent with these results, inhibition of PLD2 activity did not prevent statin-induced EGFR activation or downregulation of EGFR levels. Interestingly, blocking EGFR activity with AG1478 had minimal effect on Ras GTP loading and MAPK activation, indicating that the major input for Ras activation is through PLD2. This set of results also rationalizes the reduced pAkt levels we observed in statin-treated cells. Activation of PI3K is achieved by multiple inputs, and a major input is through activated tyrosine kinases such as the EGFR, whereas high-strength signaling from Ras-GTP is required to significantly enhance PI3K activity (21, 48). Therefore, in statin-treated cells, downregulation of the EGFR and possibly other GFRs will reduce PI3K activation and hence Akt activation, because the Ras activation induced by PLD2, while sufficient to activate Raf, is insufficient to activate PI3K.
In contrast to our results, lovastatin was reported to inhibit EGF-induced EGFR autophosphorylation; however, this required very high doses (10 μM) that would be expected to inhibit Rho and Ras prenylation (41). Previous studies have shown variable effects of statin treatment on MAPK activation, ranging from stimulation (9, 14, 62) to inhibition (5, 7, 47). One possible explanation of these diverse results is that cholesterol depletion by statins has different effects depending on cell type and experimental conditions (e.g., statin concentration, incubation time, and/or serum starvation/stimulation). Indeed, we have also observed that caveolin-1 expression is differentially regulated in HUVECs and BHK cells in response to cholesterol depletion by lovastatin (K.-J. Cho, unpublished data).
What mechanistic insights into the clinical benefits of statin treatment flow from these data? ERK activation directly stimulates NO production in many cell lines, including endothelium (8, 19, 64). Therefore, a direct consequence of statin-induced activation of the PLD2/Ras/MAPK signaling pathway may be improved endothelial function by increased synthesis of NO (36). In addition, the lovastatin-induced reduction in caveolin-1 levels that we have observed in endothelial cells would be expected to further increase endothelial NO synthesis, since caveolin-1 is a negative regulator of endothelial NO synthase (eNOS) (18, 44). The Ras/MAPK signal pathway also regulates expression of bone morphogenetic protein 2 (BMP-2), which promotes atherosclerotic plaque stability (13, 14, 58).
Our focus throughout this study has been on the ability of statins to reduce cellular cholesterol levels by a combination of reduction of LDL-C levels and a direct effect on cellular cholesterol synthesis. It is also clear from Fig. 1 and 2 that the major effect on cellular cholesterol is mediated at the level of reduced LDL-C. Very few clinical studies have rigorously examined cellular cholesterol levels in patients treated with statins; however, there are reports of significantly reduced erythrocyte and platelet cholesterol levels in statin-treated patients (32, 40). In these studies, the extent of cellular cholesterol depletion was similar to that achieved in our model in vitro system.
In summary, our results demonstrate that while therapeutic levels of lovastatin do not inhibit protein prenylation, cholesterol depletion induced by lovastatin promotes activities of PLD2, Ras, and MAPK by possible perturbation of cholesterol-sensitive nanodomains. Thus, our study strongly suggests that modulation of cholesterol-dependent membrane organization plays a major role in statin action and that certain pleiotropic “cholesterol-independent” effects of statins are, in fact, on target cholesterol-dependent effects.
Acknowledgments
We thank Mike Frohman for the PLD2 constructs and Sarah Plowman for helpful advice.
This work was supported by grants from the National Health and Medical Research Council, Australia, and NIH GM066717 and GM071475. J.F.H. is the present incumbent of the Fondren Chair in Cellular Signaling. M.M.H. is supported by a Career Development Fellowship (no. 569512) from the National Health and Medical Research Council, Australia.
Footnotes
Published ahead of print on 18 January 2011.
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