Abstract
Activation of leukocytes by proinflammatory stimuli selectively initiates intracellular signal transduction via sequential phosphorylation of kinases. Lipopolysaccharide (LPS) stimulation of human neutrophils is known to result in activation of p38 mitogen-activated protein kinase (MAPk); however, the upstream activator(s) of p38 MAPk is unknown, and consequences of p38 MAPk activation remain largely undefined. We investigated the MAPk kinase (MKK) that activates p38 MAPk in response to LPS, the p38 MAPk isoforms that are activated as part of this pathway, and the functional responses affected by p38 MAPk activation. Although MKK3, MKK4, and MKK6 all activated p38 MAPk in experimental models, only MKK3 was found to activate recombinant p38 MAPk in LPS-treated neutrophils. Of p38 MAPk isoforms studied, only p38α and p38δ were detected in neutrophils. LPS stimulation selectively activated p38α. Specific inhibitors of p38α MAPk blocked LPS-induced adhesion, nuclear factor-kappa B (NF-κB) activation, and synthesis of tumor necrosis factor-α (TNF-α). Inhibition of p38α MAPk resulted in a transient decrease in TNF-α mRNA accumulation but persistent loss of TNF-α synthesis. These findings support a pathway by which LPS stimulation of neutrophils results in activation of MKK3, which in turn activates p38α MAPk, ultimately regulating adhesion, NF-κB activation, enhanced gene expression of TNF-α, and regulation of TNF-α synthesis.
Introduction
Stimulation of human neutrophils by lipopolysaccharide (LPS) elicits functional responses that are central to the pathogenesis of a number of human diseases. However, the intracellular signaling pathways used by neutrophils in response to proinflammatory stimuli have only begun to be elucidated. The recent delineation of the mitogen-activated protein kinase (MAPk)1 superfamily provides a framework within which the response of neutrophils to LPS can be understood. MAPks are highly conserved signaling kinases that act to regulate cell growth, differentiation, and stress responses (1). At least three distinct families of MAPks exist in mammalian cells: the p42/44 extracellular signal-regulated kinase (ERK) MAPks, c-Jun NH2-terminal kinases (JNKs), and p38 MAPk (2–4). Our group and others (5, 6) have reported that p38 MAPk is activated in the neutrophil after LPS binding to CD14. In contrast, neither p42/44 (ERK) MAPks nor JNKs are activated by LPS stimulation of neutrophils under these conditions (5–7)
Activation of a MAPk is the final step in a three-part intracellular signal transduction cascade in which a MAP/ERK kinase kinase (MEKK) or Raf activates (through phosphorylation) a MAP/ERK kinase (MEK or MKK), which in turn phosphorylates a specific tyrosine and threonine residue on a MAPk (1). At least three members of the MKK superfamily are capable of activating p38 MAPk. When overexpressed in cell lines, MKK3 (also termed MEK3), MKK4 (JNKK1), and MKK6 (MEK6) can all phosphorylate and activate p38 MAPk (8, 9). Four distinct isoforms of p38 MAPk have been identified in mammalian cells. The originally described human homolog of the Saccharomyces cerevisiae HOG1 kinase and the mouse p38 MAPk (2) is now referred to as p38α. Subsequently described isoforms include p38β with 74% amino acid identity to p38α, p38γ (60% identity to p38α), and p38δ (57% identity to p38α) (10, 11). All of these isoforms share a common TGY motif in kinase subdomain VIII, where phosphorylation of a specific threonine and tyrosine residues is required for activation.
Once activated, the p38 MAPks appear capable of further signal transduction through phosphorylation of kinases, as well as by modulating functional responses through phosphorylation of transcription factors. MAPk-associated protein kinase-2 (MAPKAP-K2) and MAPKAP-K3 are activated directly by p38α MAPk, and they in turn can phosphorylate heat shock protein 27 (HSP27) (3, 6, 12). Transcription factors directly phosphorylated by p38α MAPk include activated transcription factor-2 (ATF-2), serum response factor accessory protein-1, and myocyte enhancer factor 2C (13, 14).
Most of our understanding of signal transduction in eukaryotic cells has risen from elegant transfection studies in cell lines. However, significant differences exist between the activation of signaling pathways in the neutrophil when compared with monocytes or cell lines (13, 15). As short-lived, terminally differentiated primary cells, neutrophils use rapid responses independent of transcriptional or translational mechanisms, as well as a limited repertoire of synthetic functions. Rapid responses to LPS include actin assembly and adherence. As a single stimulus, LPS is ineffective in evoking chemokinesis, chemotaxis, or the release of superoxide anion or granular enzymes. Functional responses to LPS that depend on de novo protein synthesis primarily consist of the release of cytokines (16).
We hypothesize that neutrophils use the p38 MAPk cascade to link proinflammatory stimuli to an array of functional responses. Additional specificity could occur through selective activation of MKK-family members and p38 MAPk isoforms. We studied the immediate upstream signaling events leading to activation of p38 MAPk, the relative activation of four p38 MAPk isoforms, and the functional consequences of p38 MAPk activation after stimulation with LPS. We report here that stimulation of neutrophils with LPS via CD14 initiates a signal that results in the activation of MKK3, which in turn phosphorylates and activates p38α MAPk. Stimulation with LPS failed to activate p38δ MAPk, and p38β and p38γ were not detected. After activation, p38α MAPk regulates at least three distinctly different functions: adhesion, activation of nuclear factor-kappa B (NF-κB), and the synthesis of TNF-α. Together, these results advance our understanding of an intracellular signaling pathway used by the human neutrophil in response to LPS.
Methods
Materials.
Endotoxin-free reagents and plastics were used in all experiments. Neutrophils were isolated by the plasma Percoll method (17) and resuspended in Krebs-Ringer phosphate buffer with 0.2% dextrose at pH 7.2, or in RPMI-1640 culture medium (BioWhittaker, Walkersville, Maryland, USA). All experiments were done in the presence of 1% human heat-inactivated platelet-poor plasma. Aprotinin, leupeptin, Tris-HCL, Triton X-100, Igepal, PMSF, EDTA, EGTA, NP-40, and protein A–Sepharose were purchased from Sigma Immunochemicals (St. Louis, Missouri, USA), and [γ-32P]ATP was purchased from Amersham Life Sciences Inc. (Arlington Heights, Illinois, USA). SK&F86002 and SB203580 were provided by SmithKline Beecham Pharmaceuticals (King of Prussia, Pennsylvania, USA). ATF-21-110 and recombinant human p38 MAPk (rhp38 MAPk) were prepared as described previously (5, 17).
Neutrophil functional assays.
Neutrophil adherence and actin assembly after stimulation with LPS were measured as described previously (17). Release of TNF-α was quantified by immunoassay (R&D Systems, Minneapolis, Minnesota, USA). In vivo inhibition of p38 MAPk was performed by incubation of neutrophils in a range of concentrations of SK&F86002 or SB203580 for 60 min at 37°C. Statistical analysis of the significance of concentration-dependent inhibition for each functional response was performed by group mean values compared by one-way ANOVA. Preparation of nuclear extracts and the electrophoretic mobility shift assay (EMSA) to determine activation of NF-κB was performed as described previously (18).
P38 MAPk isoform antibodies.
Specific antibodies against p38α, p38β, p38γ, and p38δ and recombinant proteins for each were a kind gift of H. Lichenstein (Amgen Inc., Boulder, Colorado, USA). Polyclonal antisera to the following peptides were prepared in rabbits: p38α (aa341–aa360), p38β (aa346–aa364), p38γ (aa321–aa339), and p38δ (aa262–aa280). Peptides were conjugated to keyhole limpet hemocyanin and injected with CFA. Rabbit polyclonal antisera were also generated to full-length recombinant GST-flag-p38δ. For immunoprecipitation studies, IgG was purified from antiserum using the ImmunoPure IgG (Protein A) Purification Kit (Pierce Chemical Co., Rockford, Illinois, USA).
Immune depletion and immunoprecipitation assays.
Neutrophils were stimulated and lysed (20 mM Tris-HCL [pH 7.5], 1% Triton X-100, 0.5% Igepal, 150 mM NaCl, 20 mM NaF, 0.2 mM sodium orthovanadate, 1 mM EDTA, 1 mM EGTA). P38δ was depleted from whole-cell lysates (500 μl) containing 100 μg cellular protein combined with 5 μg purified anti–full-length p38δ rotated for 6 or 12 h at 3°C. Immune complexes were bound by the addition of 30 μl of protein A–Sepharose and rotated for an additional 2 h at 3°C. Bound Sepharose was removed by centrifugation (14,000 g for 15 s). The cleared supernatants were submitted to Western blot analysis. The p38α and p38δ bound to Sepharose were washed twice with lysis buffer and once in PBS and then submitted to Western blot analysis. Blots were probed for p38α using an anti-p38α (C20) antibody (Santa Cruz Biotechnology Inc., Santa Cruz, California, USA) and for p38δ using anti-p38δ (peptide) antisera. Tyrosine phosphorylation of p38α and p38δ was determined by immunoblotting with an anti-phosphotyrosine antibody (clone 4G10; Upstate Biotechnology Inc., Lake Placid, New York). Kinase activity of p38α and p38δ MAPks was assayed from immunoprecipitated samples by the ability to phosphorylate ATF-21-110 as described previously (17).
MKK assays.
Neutrophils were lysed with extract buffer (5) and combined with anti-MKK3 or anti-MKK4 antibodies (Santa Cruz Biotechnology Inc.) for immunoprecipitation studies. Bound Sepharose was resuspended in 25 μl of kinase mix (17) with and without rhp38 MAPk. Reactions were terminated with 2× Laemmli buffer, and proteins were resolved with 10% SDS-PAGE and analyzed by phosphor screen autoradiography, with quantification of activity by ImageQuant (Storm Optical Scanner; Molecular Dynamics, Sunnyvale, California, USA) and qualitative analysis of kinase presence and phosphorylation by immunoblotting. Antibodies used to probe for MKK6 included MEK-6 (N-19) (K-19) (V-19) (Santa Cruz Biotechnology Inc.), anti–phospho MKK3/MKK6 (New England Biolabs Inc., Beverly, Massachusetts), and anti-MKK6 (full length), a kind gift of Amgen Inc. (Boulder, Colorado, USA).
Quantification of TNF-α mRNA by RNase protection assay.
RNA was isolated from 30 × 106 neutrophils with Trizol Reagent (GIBCO BRL, Gaithersburg, Maryland, USA), as recommended by the manufacturer, and further purified by precipitation with LiCl. The RNase protection assay (RPA) was carried out using a RiboQuant multiprobe kit (PharMingen, San Diego, California, USA). The RNase-protected duplexes were resolved on denaturing polyacrylamide gels and quantified by phosphorimaging and autoradiography.
Results
Coupled activation of MKK3 and p38 MAPk in LPS-stimulated neutrophils.
Because MKK3, MKK4, and MKK6 are each capable of activating p38 MAPk, we first determined which of these MKKs activates p38 MAPk in the LPS-stimulated neutrophil. Stimulated neutrophils were lysed, and MKK3 was recovered by immunoprecipitation. Activation of MKK3 was determined by its phosphorylation and its ability to phosphorylate and activate rhp38 MAPk. Simultaneous assessment of the activation of the rhp38 MAPk was determined through its ability to phosphorylate ATF-2. The immunoprecipitated MKK3 was incubated with rhp38 MAPk in the presence of ATF-2 and [32P]ATP, followed by separation with sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE). Neutrophils stimulated with LPS demonstrated phosphorylation of MKK3 (Fig. 1a) that corresponded to activation of MKK3, as assessed by phosphorylation of rhp38 MAPk (Fig. 1b). Activation of p38 MAPk requires specific phosphorylation of the Tyr182 residue. Thus, to prove phosphorylation of rhp38 MAPk by MKK3 was specific, assessment of activation of rhp38 MAPk was required. Phosphorylation of rhp38 MAPk by MKK3 resulted in its activation, as demonstrated by the ability of the phosphorylated rhp38 MAPk to in turn phosphorylate ATF-2 (Fig. 1c). Restaining of the immunoblot with an anti-MKK3 antibody confirmed that equal amounts of MKK3 were immunoprecipitated under each condition (not shown).
MKK4 and MKK6 do not mediate p38 MAPk activation in LPS-stimulated neutrophils.
Under identical conditions, MKK4 was immunoprecipitated from untreated and stimulated neutrophils. A detectable increase in phosphorylation of MKK4 was observed in neutrophils exposed to LPS when compared with unstimulated cells (Fig. 2a). However, no significant phosphorylation of p38 MAPk by MKK4 occurred, as determined by 32P incorporation into rhp38 MAPk (Fig. 2b). In turn, no significant increase in rhp38 MAPk activity was seen as determined by 32P phosphorylation of ATF-2 (Fig. 2c).
MKK6 is also capable of robust p38 MAPk activation; however, MKK6 (unlike MKK3 and MKK4) appears to have a high degree of cell-type specificity (9, 19). It has been reported (19) that in human leukocytes, MKK6 gene expression is undetectable, despite the fact that the cDNA encoding MKK6 was originally isolated from human T cells. Western blots performed on neutrophil whole-cell lysates using a panel of MKK6-specific antibodies (see Methods) failed to detect the protein when compared with myocyte and monocyte lysates (data not shown), suggesting that MKK6 is not constitutively expressed in human neutrophils.
LPS stimulation of neutrophils results in activation of p38α, but not p38δ, MAPk.
Western blots of neutrophil lysates were probed with antibodies against p38β, p38γ, and p38δ. Immunoblotting with antisera raised against a 19-base peptide of p38δ demonstrated a single band of the appropriate molecular weight. Identification of this band as p38δ was supported by selective immunodepletion analysis of the neutrophil lysate (Fig. 3a). In contrast, immunoblotting with antibodies against p38β and p38γ failed to reveal the presence of these isoforms (data not shown). Failure to detect p38β and p38γ supports earlier reports of tissue specificity, as expression of p38β and p38γ mRNA is negligible in peripheral leukocytes (10).
Activation and phosphorylation of p38α and p38δ were assessed simultaneously in lysates from neutrophils stimulated with LPS or H2O2. Both p38α and p38δ were immunoprecipitated from cell lysates after stimulation and were resolved by SDS-PAGE. A Western blot probed with antibodies against p38α and p38δ demonstrated equivalent amounts of kinase for each condition (Fig. 3b). The blots were then restained with an antibody capable of detecting tyrosine phosphorylation of both p38α and p38δ (Fig. 3c). As shown previously, stimulation with LPS or H2O2 resulted in significant phosphorylation of p38α MAPk. In contrast, LPS failed to phosphorylate p38δ MAPk. H2O2, a potent activator of p38δ when transfected into cells lines (10, 11) was seen to be capable of inducing phosphorylation of p38δ in the neutrophil. Activation of p38α and p38δ was determined by immunoprecipitating each isoform from stimulated and unstimulated cells and combining the kinases with ATF-2 (a suitable substrate for both) in the presence of [32P]ATP. Corresponding to the pattern of tyrosine phosphorylation, stimulation with LPS failed to activate p38δ, whereas H2O2 was shown to be a potent activator of the isoform (Fig. 3d). Together, these results suggest that under the conditions studied, p38α alone is activated in response to LPS stimulation of the neutrophil.
Inhibition of p38 MAPk selectively modulates rapid neutrophil responses to LPS.
The pyridinyl imidazoles, SK&F86002 and SB203580, have been demonstrated to inhibit p38 MAPk activity with insignificant effect on other mammalian signaling kinases (4, 11–13, 17). SB203580 is now recognized to inhibit only the α and β isoforms of p38 MAPk (11). To identify functional responses to LPS that depend on p38α MAPk activation, neutrophils were pretreated with SK&F86002 or SB203580 followed by stimulation with LPS. The ability of neutrophils to assemble F-actin appears to be largely independent of p38α MAPk activation, with no inhibitor effect noted except at the highest concentration studied (Fig. 4a). In contrast, pretreatment with the p38 MAPk inhibitors resulted in a significant, concentration-dependent decrease in neutrophil adhesion in response to LPS (Fig. 4b).
Inhibition of p38α MAPk activation downregulates TNF-α gene expression and release in LPS-stimulated neutrophils.
Inhibition of p38 MAPk by pyridinyl imidazoles has been shown to reduce TNF-α release in monocytes and certain cell lines (4). We therefore investigated whether p38α MAPk is a component of the signaling pathway leading to TNF-α release in neutrophils. Cells treated with a range of concentrations of either SK&F86002 or SB203580 were then stimulated with LPS, and subsequent quantification of TNF-α release was performed by enzyme-linked immunosorbent assay. Both p38 MAPk inhibitors reduced in a dose-dependent fashion the ability of LPS to elicit the secretion of TNF-α (Fig. 4c).
In view of the fact that the release of cytokines by activated neutrophils is preceded by enhanced de novo protein synthesis and gene expression (16), we next investigated the effect of MAPk inhibitors toward mRNA and TNF-α protein accumulation in LPS-stimulated cells. To determine whether inhibition of p38α MAPk activation might modulate TNF-α mRNA steady-state levels in LPS-stimulated neutrophils, the cells were suspended in the presence or absence of SB203580 and stimulated with LPS for 30 and 60 minutes. TNF-α mRNA was quantified by RPA. Stimulation with LPS elicited a significant increase in TNF-α mRNA, which could be detected as early as 30 minutes after LPS addition. Pretreatment of the cells with SB203580 caused a 50%–60% inhibition of the LPS-induced TNF-α mRNA accumulation at the 30-minute time point (Fig. 5, a and b). However, this effect of SB203580 on TNF-α mRNA was transient: it was no longer observed by 60 minutes (Fig. 5, a and b) or at later times (not shown). To determine whether inhibition of p38α MAPk resulted in a posttranslational block of processing or release of TNF-α, we quantified cell-associated TNF-α from LPS-stimulated cells after inhibition of p38α MAPk. Pretreatment of neutrophils with SB20580 did not result in an intracellular or membrane-associated accumulation of TNF-α (data not shown). Together these results indicate that inhibition of p38α MAPk downregulates TNF-α release by acting primarily at the level of (or before) translation.
Inhibition of p38α MAPk activation prevents NF-κB activation in LPS-stimulated neutrophils.
Stimulation of neutrophils with LPS has been reported to result in NF-κB activation (18), and this transcription factor is known to regulate TNF-α gene expression in many cell types. We therefore investigated whether p38α MAPk inhibition might modulate NF-κB activation in neutrophils. Cells were pretreated with SB203580 and subsequently stimulated with LPS before EMSA analysis of nuclear extracts. LPS-induced NF-κB activation was almost completely inhibited in neutrophils pretreated with the p38 MAPk inhibitor (Fig. 6a). The possibility that SB203580 might directly interfere with NF-κB binding to our NF-κB probe was ruled out because incubation of nuclear extracts from LPS-treated cells in the presence of SB203580 resulted in no difference in DNA-binding activity (Fig. 6b). Inhibition of LPS-elicited NF-κB by SB 203580 may contribute to the transient decrease in TNF-α mRNA accumulation observed in LPS-stimulated neutrophils after SB203580 pretreatment.
Discussion
Stimulation of human neutrophils with physiological concentrations of LPS in the presence of LPS-binding protein (LBP) is initiated through binding of CD14. Our group and others (5, 20) have demonstrated that LPS-induced activation of p38 MAPk and subsequent release of TNF-α can be nearly eliminated by blocking the binding of LPS to CD14. After binding of the LPS–LBP complex to CD14, the signal must pass through the plasma membrane via a companion membrane-spanning protein, because CD14 does not have an intracellular component. Human homologs of the Toll receptor in Drosophila are transmembrane proteins that appear capable of such a function. When transfected into cell lines, toll-like receptor (TLR) 2 promotes LPS signal transduction, which is enhanced by coexpression of CD14 (21). In the LPS-resistant C3H/HeJ and C57BL/10ScCr strains of mice, inability to respond to LPS has been attributed to mutations in the gene expressing TLR4 (22). The role of TLRs in the LPS-signaling pathway of human neutrophil has yet to be determined.
Although early intracellular signaling events in this pathway remain undefined, they are independent of protein kinase C and do not utilize Ras, Raf, MEKK-1, or MEK1/MEK2 (5). Instead, we now show that LPS-induced activation of p38 MAPk occurs via MKK3 (independent of MKK4 or MKK6). Only the p38α and p38δ MAPk isoforms were detected in the neutrophil, and only p38α was found to be activated in response to LPS. The activation of p38α MAPk contributes to functional responses including adhesion, NF-κB activation, and the synthesis of TNF-α. The exact role of p38α MAPk in the complex series of events that lead to neutrophil adhesion is not known, but because adhesion occurs independent of protein synthesis, this regulation is likely to involve the phosphorylation of different substrates than the ones affecting the release of TNF-α. A diagram depicting our present understanding of LPS-induced intracellular signaling in the neutrophil is shown in Fig. 7.
Through use of specific p38 MAPk inhibitors such as SK&F 86002 and SB203580, several functional consequences of p38α MAPk activation have been identified. These pyridinyl imidazoles have been shown in vitro to inhibit specifically the α and β isoforms of p38 MAP, with negligible effect on other important protein kinases and phosphatases (4, 11, 12, 17). Likewise, in vivo studies in whole cells demonstrated inhibition of p38 MAPk, with no effect on activation of JNKs and p42 ERK MAPks (4, 12). At higher concentrations, inhibition of certain JNK isoforms may occur; however, these kinases are not activated by LPS in the neutrophil under our experimental conditions (13). In human neutrophils, inhibition of p38 MAPk results in decreased superoxide anion production, reduction in adhesion and chemotaxis in response to fMLP (17, 23), and obstruction of interleukin (IL)-8 release in response to LPS (23).
Our data suggest that p38α MAPk activation may influence at least two regulatory steps in the synthesis of TNF-α. Inhibition of LPS-induced NF-κB may contribute to the transient decrease in TNF-α mRNA accumulation observed in LPS-stimulated neutrophils after pretreatment with SB203580. Thus, inhibition of transcriptional events might represent one of the mechanisms whereby p38α MAPk inhibitors block TNF-α release. However, it must be emphasized that the decrease in TNF-α mRNA levels resulting from p38 MAPk inhibition is only observed during the first hour of LPS stimulation. This suggests that the sustained inhibition of TNF-α synthesis resulting from p38α MAPk blockade must involve additional mechanisms, and it raises the possibility of a posttranscriptional role for p38α MAPk in the context of TNF-α production.
Consistent with our data, a number of studies have provided evidence for transcriptional and translational effects of p38 MAPk. In cell lines, p38 MAPk inhibitors have been reported to downregulate the expression of several genes. In particular, LPS-induced c-Jun mRNA in RAW 264.7 cells (14), TNF-α–induced IL-6 mRNA in L929 cells (24), and IL-1–induced prostaglandin endoperoxide synthase-2 mRNA in primary monocytes (25) are reduced by inhibition of p38 MAPk. It is noteworthy that the genes encoding IL-6, TNF-α, and prostaglandin endoperoxide synthase-2 all depend on NF-κB (albeit to varying degrees) for inducible expression (26) and that both p38 MAPk and ERK MAPk have been reported to downregulate TNF-α–induced IL-6 gene expression by interfering with NF-κB–dependent transcription in L929 cells (27).
Inhibition of LPS-stimulated IL-1 and TNF-α production by p38 MAPk inhibitors in THP-1 cells occurs at the translational level (4). In these cells, SK&F86002 had little effect on TNF-α mRNA levels but instead was found to inhibit TNF-α mRNA translation by inducing a shift of TNF-α mRNA from polysomes (actively translated) to free mRNA (translationally inactive) (28). One possible mechanism by which p38 MAPk could regulate translation could be through the activation of MAPk-interacting kinase 1, which phosphorylates eukaryotic translation initiation factor eIF-4E (29) and is known to play a key role in the regulation of translation in mammalian cells.
Significant differences appear to exist between monocytes/macrophages and neutrophils with respect to the role of p38 MAPk in TNF-α synthesis. Recent reports in LPS-stimulated RAW 264.7 cells have demonstrated a regulatory effect of p42/44 (ERK) MAPk on TNF-α transcription, and a significant role of the MEKK1/MEK4/JNK cascade on TNF-α translation (30). In the mast cell line RBL-2H3, production of TNF-α is linked to activation of p42 MAPk, but not p38 MAPk (31). However, in human monocytes, a role for p38 MAPk activation in the induction of TNF-α and IL-1β release has been proposed (4, 32). In contrast, we and others have shown that the p42/44 (ERK) MAPk are not activated in human neutrophils in response to LPS (5, 7) and that the ability to activate JNKs diminishes as HL-60 promyelocytic cells differentiate into neutrophils (15). These differences support the observation that MAPk cascades may serve a wide range of purposes, depending on the cellular context and upstream regulation (1). A growing body of evidence supports the conclusion that regulatory influences of p38 MAPk can occur independent of protein synthesis or at the site(s) of transcription and/or translation to varying degrees in a gene-specific manner. Further specificity is conferred by the ability of different cell types to use the MAPk cascades in distinct manners in response to identical stimuli. These results underscore the importance of defining signaling pathways under physiological conditions in primary human cells.
Acknowledgments
We thank Carl Manthey for technical advice and encouragement. The work was supported by National Institutes of Health grants K08 HL-03657, HL-40784, HL-34303, HL-09640, and GM-30324. P.P. McDonald is a Centennial Fellow of the Medical Research Council of Canada.
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