Abstract
Achondroplasia, the most common type of dwarfism, is characterized by a mutation in the fibroblast growth factor receptor 3 (FGFR3). Achondroplasia is an orphan pathology with no pharmacological treatment so far. However, the possibility of using the dinucleotide diadenosine tetraphosphate (Ap4A) with therapeutic purposes in achondroplasia has been previously suggested. The pathogenesis involves the constitutive activation of FGFR3, resulting in altered biochemical and physiological processes in chondrocytes. Some of these altered processes can be influenced by changes in cell volume and ionic currents. In this study, the action of mutant FGFR3 on chondrocyte size and chloride flux in achondroplastic chondrocytes was investigated as well as the effect of the Ap4A on these processes triggered by mutant FGFR3. Stimulation with the fibroblast growth factor 9 (FGF9), the preferred ligand for FGFR3, induced an enlarged achondroplastic chondrocyte size and an increase in the intracellular chloride concentration, suggesting the blockade of chloride efflux. Treatment with the Ap4A reversed the morphological changes triggered by FGF9 and restored the chloride efflux. These data provide further evidence for the therapeutic potential of this dinucleotide in achondroplasia treatment.
Keywords: Diadenosine tetraphosphate, Dinucleotides, Achondroplasia, Chondrocytes, Chloride flux, Fibroblast growth factor receptor 3
Introduction
Achondroplasia is a disorder in which the gene that encodes for the fibroblast growth factor receptor 3 (FGFR3) is mutated, and in 97% of the patients the mutation a single glycine to arginine substitution at position 380 (G380R). FGFR3 is a tyrosine kinase receptor which is activated by the binding of fibroblast growth factors. This activation induces receptor dimerization and a subsequent receptor autophosphorylation in the intracellular domain, triggering a downstream activation of intracellular signalling. In achondroplasia, the activated mutant FGFR3 is resistant to down-regulation and internalization [1, 2]. Consequently, it remains constitutively active and over-expressed in the cell membrane, causing an excessive intracellular signalling, that produces critical changes in the biochemistry of chondrocytes. In particular, chondrocyte proliferation and differentiation as well as cartilage matrix production are disturbed, leading to a remarkably foreshortened epiphyseal growth plate cartilage [3, 4]. Processes altered in achondroplasia such as chondrocyte proliferation or extracellular matrix homeostasis can be influenced by factors such as changes in cell volume and ionic currents. In this sense, it has been shown that the modification of normal chondrocyte volume or ionic composition can affect the turnover (synthesis and degradation) of the extracellular matrix [5]. Moreover, a relationship between ion channel activity and proliferative behaviour has been suggested in normal chondrocytes [6, 7]. Despite these findings, little is known about changes in cell volume or intracellular ion concentrations in achondroplastic chondrocytes.
There is currently no accepted pharmacological treatment for achondroplasia, but it has been suggested that diadenosine tetraphosphate (Ap4A) could have a therapeutic potential. Ap4A belongs to group of dinucleotides termed diadenosine polyphosphates, which are formed by two adenosine moieties connected by a chain of phosphates of variable length (ApnA, where n ranges from 2 to 7). Their activity has been reported in the eye, central nervous system, cardiovascular system and many visceral organs (for reviews, see [8–11]), among other locations, suggesting not only a role in the normal physiology of these tissues and organs but also some interesting properties as therapeutic agents.
Achondroplastic chondrocytes present important amounts of metabotropic P2Y receptors, some of which can be stimulated by the dinucleotide Ap4A [12]. This naturally occurring dinucleotide is more stable than others such as ATP or UTP [9], thus indicating it might be a good candidate to stimulate some of those P2Y receptors, in particular P2Y1 and P2Y2 [10]. We have previously shown that Ap4A can ameliorate the FGFR3-induced over-activation in achondroplastic cells, reducing the expression of the achondroplastic FGFR3 receptor and reducing its presence in the cell membrane. FGFR3 receptors are not down-regulated in the achondroplastic state when compared with the wild type. Under these conditions, Ap4A stimulates the lysosomal and proteasomal degradation of FGFR3 permitting a reduction in p-ERK cascade and returning the achondroplastic cells to an apparent normal phenotype [13]. Indeed, Ap4A, was able to rescue achondroplastic chondrocytes by both, restoring extracellular matrix and avoiding rapid cell death [13]. Furthermore, in achondroplastic chondrocytes obtained from transgenic mice [14] Ap4A can restore the normal calcium signalling by fibroblast growth factor 9 (FGF9) [12]. All these actions are due to the existence of a variety of P2Y receptors in these cells that after stimulation can reduce the presence of the achondroplastic FGFR3 receptor in the cell membrane as previously indicated [12].
In the present experimental work, we studied whether FGF9, the preferred ligand for FGFR3, produces morphological changes in RCJ-FGFR3-G380R-tet cells and, since these changes might be due to a water load, we also evaluated the effect of FGF9 on the chloride flux, as an important anion facilitating water movement. Likewise, considering that Ap4A could be an attractive candidate for the treatment of achondroplasia, we analysed the action that Ap4A exerts on FGF9-mediated effects on morphology and chloride flux in these cells.
Materials and methods
Reagents
Tetracycline, minimum essential medium (MEM) alpha medium, heat-inactivated foetal bovine serum, antibiotics (penicillin, streptomycin and hygromycin) and N-(6-methoxyquinolyl) acetoethyl ester (MQAE) were purchased from Invitrogen (Carlsbad, CA, USA). Ap4A, FGF9, inhibitors of FGFR3 activity (PD173074) and mitogen-activated protein kinase pathway (U0126) were purchased from Sigma (St. Louis, MO, USA).
Cells
RCJ3.1C5.18-cells are a sub-clonal mesenchymal cell line that differentiate into chondrocytes and become chondrogenic [15]. They can be stably transfected with full-length human wild-type or the G380R mutant FGFR3 [1, 2] that is the characteristic of the most common achondroplasia. RCJ3.1C5.18 transfected with full-length human wild-type (RCJ-FGFR3-WT-tet cells) or with the G380R mutant FGFR3 (RCJ-FGFR3-G380R-tet cells) were kindly provided by Prochon Biotech (Israel). Expression of FGFR3 was regulated by a tetracycline suppression system; the receptor is expressed in the absence of tetracycline in the culture medium. Standard culture medium MEM alpha medium was supplemented with 15% heat-inactivated foetal bovine serum, 1% penicillin–streptomycin and 50 μg/ml hygromycin. Cells were incubated at 37°C with 5% CO2.
Microscopy and cell size relative quantification
Cells were observed and monitored by confocal microscopy using a Zeiss Axiovert 200 M microscope equipped with a LSM 5 Pascal confocal module (Zeiss, Oberkochen, Germany). All images were taken with the LSM Pascal Software, using ×20 plastic DIC objective also supplied by Zeiss, which permits interferential Nomarski contrast images of living cells plated in a plastic well.
Cell size was calculated and normalized by the LSM Pascal Software (Zeiss, Oberkochen, Germany). Briefly, cells perimeters were calculated at time 0 (100%). This value was originally expressed in microns by means of the “Physiology” software package. The cells were individually selected with the region of interest tool (ROI) and any single cell was analysed by means of the “distance” tool. The ROI tool allows you to select the threshold to differentiate the cells from the background. This permits an accurate profile (perimeter) of the cell under study (and its prolongations) that can be calculated into microns by means of the “distance” tool. The obtained value was 100%. At the indicated times (105 and 210 min), cell perimeters were calculated again (under the same threshold conditions) and the values (expressed in microns) normalized with the value obtained at time 0.
Pharmacology
For the concentration-response studies, FGF9 was assayed at concentrations ranging from 10−12 to 5 × 10−8 g/mL in order to display the corresponding dose–response curve. The pD2 value was taken as the −log(EC50), i.e. the (FGF9) that produced 50% of the maximal effect.
The effect of Ap4A was studied at a fixed dose of 25 ng/mL of FGF9 and graded concentrations of the dinucleotide from 10−11 to 10−4 M were used. The −log dose of Ap4A that inhibited the response to FGF9 by 50%, i.e. the pD2, was calculated by means of the computer programme MICROCAL ORIGIN 8.0 (Microcal Software Inc., Northampton, MA, USA).
MQAE measurements
Intracellular chloride concentration was measured using MQAE as a fluorescent indicator [16]. MQAE has a high sensitivity to chloride, which interacts with and quenches the dye in its excited state. Changes in MQAE fluorescence should, therefore, inversely reflect changes in intracellular chloride concentration. Thus, a decrease in intracellular MQAE fluorescence indicates an increase in intracellular chloride concentration [17].
RCJ-FGFR3-G380R-tet cells were grown to confluence in 96-well plates and loaded overnight with 0.8 mM MQAE at 37°C. Before the experiment started the medium was removed, and each well was washed three times with chloride-containing buffer. The composition of the chloride-containing buffer was: 2.4 mM K2HPO4, 0.6 mM KH2PO4, 1 mM CuSO4, 1 mM MgSO4, 10 mM Hepes, 10 mM d-glucose and 130 mM NaCl. The wells were incubated with chloride-containing buffer (to induce chloride channel activation) for 10 min at 37°C. The buffer was then removed and replaced by 100 μl of chloride-free buffer containing the different agonists (FGF9, Ap4A and FGF9+Ap4A) at the desired concentration. The composition of this buffer was identical to that with chloride except that the NaCl was replaced with equimolar NaNO3.
In experiments where inhibitors were used, these were added to both chloride-containing buffer for 10 min and chloride-free buffer with agonists.
The plates were then read on a Fluoroskan Ascent Fl (Thermo Systems) at 360 nm excitation wavelength and emission at wavelength 460 nm. Data are expressed as fluorescence variation (Ft–F0), where Ft is the fluorescence at final time recorded in the experiment and F0 is the initial fluorescence.
Statistical analysis
All data are presented as the mean ± SE mean. Significant differences were determined by two-tailed Student’s t test. The plotting and fitting of dose–response curves was carried out with the computer programme MICROCAL ORIGIN 8.0 (Microcal Software Inc., Northampton, MA, USA).
Results
Changes in RCJ-FGFR3-G380R-tet cell morphology
RCJ-FGFR3-G380R-tet cells challenged with FGF9 (25 ng/ml), changed their morphology as it can be observed in Fig. 1a (upper panels). Cells, after being challenged with FGF9 started to increase their size suggesting an inflow of water from the extracellular medium.
Fig. 1.
Morphology of RCJ-FGFR3-G380R-tet cells. a Cell were grown in wells and exposed to FGF9 alone (25 ng/ml), Ap4A (10−4 M) or FGF9 with Ap4A (10−4 M). Phase contrast images were taken at the indicated times with an objective magnification of ×20. Scale bars = 20 μm. b Relative quantification of the size of RCJ-FGFR3-G380R-tet cells treated FGF9 alone (25 ng/ml), Ap4A (10−4 M) or FGF9 with Ap4A (10−4 M). ***P < 0.0001; **p < 0.01
When the dinucleotide diadenosine tetraphosphate, Ap4A (10−4 M), was tested alone it did not modify cell morphology (Fig. 1a (middle panels)). When this dinucleotide was present in the medium together with FGF9, RCJ-FGFR3-G380R-tet cells did not change their morphology as when they were incubated with FGF9 alone (Fig. 1a (lower panels)).
Normalization of the size of cells can be seen in Fig. 1b. RCJ-FGFR3-G380R-tet cells were measured as described in methods to obtain the relative size changes in the presence of FGF9 (n = 156) as well as in the presence of, Ap4A (n = 118) and FGF9 + Ap4A (n = 125). There was a maximal change in size of 126% in the cells treated with FGF9 and a maximal variation of 105% in the case of FGF9+Ap4A, showing that Ap4A was able to prevent the change in size triggered by FGF9.
Changes in chloride flux
When tetracycline was present in the medium and consequently FGFR3 expression is inhibited, no variations in chloride flux were observed in neither of the cell lines RCJ-FGFR3-G380R-tet or RCJ-FGFR3-WT-tet (Fig. 2a).
Fig. 2.
Effect of FGF9 on chloride flux in RCJ-FGFR3-WT-tet and RCJ-FGFR3-G380R-tet cells. a Cells were examined pre- and post-tetracycline withdrawal as well as in the absence or in the presence of FGF9. Summary bar graphs show the changes in MQAE fluorescence. b Concentration-response curves obtained after treatment of RCJ-FGFR3-G380R-tet cells with graded doses of FGF9 (from 10−12 to 5 × 10−8 g/mL). Fitting was performed by means of the programme Microcal Origin as indicated in “Materials and methods”. Each data point is the mean ± s.e.m. of six independent experiments. ***P < 0.0001
Removal of tetracycline induced FGFR3 expression. Under these experimental conditions and in the absence of FGF9, an increase in MQAE fluorescence occurred in RCJ-FGFR3-G380R-tet, indicating an initial chloride efflux that produced a decrease in intracellular chloride concentration (Fig. 2a). In contrast, addition of FGF9 induced a decrease in intracellular MQAE fluorescence in RCJ-FGFR3-G380R-tet that reflected an increase in intracellular chloride concentration. Concerning RCJ-FGFR3-WT-tet no changes in chloride flux were detected with or without FGF9 exposure.
Exposure of RCJ-FGFR3-G380R-tet cells to varying concentrations of FGF9 permitted to create a concentration-response relationship (Fig. 2b). The resulting curve yielded a pD2 value of 9.3 ± 0.2 (n = 6). As expected, when G380R FGFR3 mutant was not expressed (medium containing tetracycline was used) any modification in chloride flux was found.
Effect of Ap4A on FGF9-induced chloride flux changes
The possible effect of Ap4A on the chloride flux was tested (Fig. 3). Ap4A alone did not modify the cytosolic chloride levels in RCJ-FGFR3-G380R-tet cells. At a fixed dose of FGF9 (25 ng/ml), diadenosine tetraphosphate reversed the FGF9-induced increase in intracellular chloride. As shown in Fig. 3, the behaviour of Ap4A was concentration dependent, the pA2 value being 7.9 ± 0.3 (n = 6).
Fig. 3.
Concentration-response analysis of Ap4A effect on changes in intracellular chloride concentration induced by FGF9 in RCJ-FGFR3-G380R-tet cells. The action of Ap4A alone or Ap4A together with FGF9 (25 ng/ml) were tested at doses from 10−11 to 10−4 M, creating a concentration-response curve which was fitted by means of the programme Microcal Origin as indicated in “Materials and methods”. Each data point is the mean ± SEM of six independent experiments
Effect of inhibitors on FGF9-induced chloride flux changes
To examine the role of FGFR3 and ERK1/2 phosphorylation in FGF9-induced chloride flux changes, selective inhibitors were used (Fig. 4). Treatment with Ap4A prevented the FGF9-induced reduction in MQAE fluorescence (indicative of cytosolic chloride concentration increase).
Fig. 4.
Effect of FGFR3 and pERK1/2 inhibitors on changes in chloride flux elicited by FGF9. RCJ-FGFR3-G380R-tet cells were treated with 25 ng/ml FGF9 alone or together with Ap4A (10−4 M). The FGFR3 antagonist PD173074 (100 nM) reversed the effect of FGF9, and the inhibitor of ERK1/2 phosphorylation U0126 (200 μM) also blocked the effect of FGF9. Data corresponding to treatment with Ap4A or inhibitors alone are also shown. Values represent the mean ± SE of six independent experiments. ***P < 0.0001
Pre-treatment of RCJ-FGFR3-G380R-tet cells with PD173074, which inhibits the FGFR3 autophosphorylation, abolished the FGF9-induced changes in chloride flux, confirming that the increase in the cytosolic chloride concentration is mediated by FGFR3 activation. On the other hand, treatment with U0126, a selective inhibitor of activation of mitogen-activated protein kinases (ERK1/2), prevented the FGF9-induced increase in intracellular chloride concentration pointing to the involvement of ERK1/2 signalling in FGF9-induced chloride flux variations. In the absence of FGF9, Ap4A and the inhibitors PD173074 and U0126 did not modify chloride flux.
Discussion
RCJ-FGFR3-G380R-tet cells have been widely used as a cellular model for achondroplasia and therefore they are an interesting tool to understand and find possible treatments for this pathology [2, 18]. It is necessary, nevertheless to be aware that these cells overexpress the FGFR3 receptor. The present work describes the effect of FGF9, ligand for FGFR3 on cell size and chloride flux in RCJ-FGFR3-G380R-tet cells, as well as the action of Ap4A on FGF9-induced processes.
Our data show that FGFR3 activation induced by FGF9 leads to an enlarged RCJ-FGFR3-G380R-tet cell size and an increase in the intracellular chloride concentration, presumably as a consequence of blocking chloride efflux.
Several reports have shown the existence of different chloride channels in chondrocytes [19, 20] as well as a Na+/K+/2Cl− cotransporter [21]. Chloride channels contribute to various cellular functions in non-excitable cells including regulation of cell volume, regulation of the intracellular pH in cooperation with other transporters, and setting the membrane potential [22]. Multiple signalling pathways have been proposed to control chloride channel activity. These include tyrosine kinase signalling pathways. In articular chondrocytes, using the protein tyrosine phosphatase inhibitor sodium orthovanadate, it has been shown that activity of endogenous protein tyrosine kinases is required for the regulation of chloride currents [23]. The precise role of protein tyrosine kinase seems to vary according to the cell type, and diverse protein tyrosine kinases can exhibit antagonistic effects [24]. In this sense, the receptor protein tyrosine kinase epidermal growth factor promotes a swelling-activated chloride current in cardiac myocytes whereas the non-receptor protein tyrosine kinase Src inhibits it [25–27]. In the present study, the activation of the tyrosine kinase receptor G380R mutant FGFR3 by FGF9 results in chloride flux blockade. This effect was inhibited by a selective inhibitor of FGFR3 autophosphorylation, confirming the link between mutant FGFR3 tyrosine phosphorylation and the decrease in chloride flux. Thus, our results provide additional data about the role of this tyrosine kinase receptor, mutant FGFR3, in chloride channel regulation.
Moreover, considering that the activation of mitogen-activated protein kinase pathway (ERK1/2 pathway) is one of the immediate downstream signal transduction events in response to FGFR3 autophosphorylation, the involvement of this intracellular pathway in FGF9-induced changes in chloride flux was also evaluated. The use of a selective inhibitor of ERK1/2 activity showed that ERK1/2 phosphorylation takes part in the decrease in chloride flux observed after FGF9 exposure. The relationship between mitogen-activated protein kinase pathway and chloride current modulation has already demonstrated in astrocytes and cardiac myocytes [28, 29].
The antagonistic effect produced by the ERK1/2 phosphorylation inhibitor, U0126, was not as great as that induced by the inhibitor of FGFR3 autophosphorylation, PD173074. The application of both compounds alone, in the absence of FGF9, did not significantly contribute to any change in the chloride efflux. Altogether these data suggest that the contribution of other downstream signal transduction pathways activated by mutant FGFR3 cannot be ruled out, but it remains elusive at present.
When the dinucleotide Ap4A was added to the medium together with FGF9 morphological changes were not observed in RCJ-FGFR3-G380R-tet cells and at concentrations from 1 nM to 100 μM Ap4A counteracted the FGF9-mediated intracellular chloride concentration increase. In particular, Ap4A reversed the effect of FGF9 on chloride flux in a similar manner to that provoked by the inhibitor of ERK1/2 phosphorylation. These results are consistent with our previous work [13], in which we described the ability of Ap4A to attenuate the sustained ERK1/2 phosphorylation elicited by FGF9. Thus, again, it would seem that ERK1/2 phosphorylation is associated with closure of the chloride ion channel.
Concerning the mechanism by which Ap4A produces the reversion of the FGF9 effect on chloride and cell size in these cells, it is very likely that it is related to the lack of internalization of the mutated receptor [1]. As it has been previously demonstrated, Ap4A is capable to modify the degradation rate of the receptor by activating both proteosomal and lysosomal pathways [13]. This means that the number of mutant receptors in the membrane after the application of the dinucleotide is reduced and therefore the effect on chloride flux is affected by that drop of receptors.
Our results have been obtained with a cell line and not with achondroplastic chondrocytes. This suggests that some differences in the results may occur between our cell line and the native achondroplastic cells. Nevertheless, this RCJ 3.1C5.18 cell line expresses differentiated and terminally differentiated chondrocyte phenotypes in a sequence that mimics chondrocytes in the endochondral growth plate [30, 31]. For this reason, RCJ 3.1C5.18 cell line has been widely used until now to analyse different aspects related to biochemical chondrocyte behaviour [32–34]. In addition, RCJ 3.1C5.18 cell line produces both collagen types II and X at different stages of their development. For all these reasons we think that our results may mimic what happened in the achondroplastic cartilage growth plate.
In summary, the changes in cell size and chloride flux observed after G380R mutant FGFR3 activation by FGF9 could contribute to the progressive dysfunction and hypertrophy of achondroplastic chondrocytes observed in this disease. These changes are mediated, at least in part, by ERK1/2 phosphorylation. Ap4A counteracted the FGF9-induced responses in RCJ-FGFR3-G380R-tet cells including changes in cell volume and chloride flux. Our findings indicate that Ap4A is a potential pharmacological agent to alleviate the biochemical and pathophysiological signs that occur in achondroplasia.
Acknowledgements
This work has been supported by research grants from Fundacion Ramon Areces (Acondroplasia 2010) and Fundacion Magar. We express our gratitude to PROCHON BIOTECH laboratories for the provision of RCJ-FGFR3-G380R-tet cells.
Footnotes
Fernando Huete and Ana Guzman-Aranguez contributed equally to this work.
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