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Vol. 58, Issue 1, 145-151, July 2000
Department of Cell Biology, Vanderbilt University, Nashville, Tennessee (L.J.M.); Division of Environmental and Occupational Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota (S.L., E.V.W.); and Program in Pharmacology and Toxicology, College of Pharmacy, University of New Mexico Health Sciences Center, Albuquerque, New Mexico (M.B, J.H., L.G.H.)
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Abstract |
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Receptor tyrosine kinases are regulators of diverse cellular functions including cell growth, cell survival, differentiation, locomotion, and morphogenesis. Activation of the cAMP-dependent protein kinase A inhibits receptor tyrosine kinase-stimulated growth responses in a number of cell types. In this study, we investigated the consequences of elevated cAMP on growth factor-mediated keratinocyte migration and matrix metalloproteinase (MMP)-9 induction in a human keratinocyte cell line. We found that elevation of intracellular cAMP by forskolin abolishes epidermal growth factor (EGF)- or scatter factor/hepatocyte growth factor-dependent colony dispersion. Concentrations of forskolin that inhibit growth factor-induced motility also eliminate EGF- or scatter factor/hepatocyte growth factor-dependent induction of the 92-kDa gelatinase/MMP-9. In contrast to findings obtained in fibroblasts, elevated intracellular cAMP did not interfere with growth factor-dependent activation of the p42/44 extracellular signal-regulated kinases, indicating that cAMP-dependent inhibition of migration and MMP-9 induction does not occur through perturbation of the extracellular signal-regulated kinases/mitogen-activated protein kinase pathway. However, forskolin effectively inhibited EGF-dependent activation of c-Jun N-terminal kinase and p38, demonstrating that cAMP selectively interferes with a different subset of growth factor-induced mitogen-activated protein kinase signaling cascades than reported previously in fibroblasts. These findings illustrate that EGF concurrently activates multiple mitogen-activated protein kinase signaling cascades in keratinocytes and suggests that each pathway contributes to maximal EGF-dependent migration and proteinase induction.
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Introduction |
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Epithelial
cell migration is an important aspect of wound healing, embryogenesis,
and tumor metastasis (Lauffenburger, 1996
; Hudson and McCawley, 1998
).
Activation of receptor tyrosine kinases such as the epidermal growth
factor (EGF) receptor regulates many processes involved in cell
migration including dissolution of cell-cell contacts, local
proteolysis, and directional locomotion (Lauffenburger, 1996
; Hudson
and McCawley, 1998
; Wells et al., 1998
). EGF-dependent keratinocyte
migration requires de novo gene expression (McCawley et al., 1998
), and
among the many genes regulated by receptor tyrosine kinases are members
of the matrix metalloproteinase (MMP) family of extracellular matrix
degrading proteinases (Boyd, 1996
; McCawley et al., 1998
). Recent
findings illustrate that MMPs play important roles in a broad range of
cellular functions (Shapiro, 1998
), and we have shown previously that
92-kDa gelatinase/MMP-9 induction is important for EGF-dependent
keratinocyte migration (McCawley et al., 1998
).
The intracellular second-messenger cAMP has been shown to
modulate receptor tyrosine kinase-dependent signaling pathways and subsequent biological responses. cAMP has been shown to have a direct
impact on receptor tyrosine kinase signal transduction upstream of gene
transcription. Activation of cAMP-dependent protein kinase [protein
kinase A (PKA)] has been reported to phosphorylate Raf-1 and thereby
interfere with the extracellular signal-regulated kinase
(ERK)/mitogen-activated protein kinase (MAPK) cascade in fibroblasts,
resulting in inhibition of growth factor-induced DNA synthesis (Cook
and McCormick, 1993
; Sevetson et al., 1993
; Wu et al., 1993
; Huang et
al., 1994
). Thus, elevation of intracellular cAMP can result in rapid
attenuation of growth factor-induced signal transduction and gene
expression by disrupting the ERK/MAPK signaling cascade.
cAMP is additionally recognized as an independent regulator of many
cellular processes that are also modulated by receptor tyrosine
kinases. Elevation of cAMP levels governs a variety of cell functions
such as cell proliferation, survival, and differentiation, either
enhancing or inhibiting the response depending on cell type and context
(Daniel et al., 1998
). Furthermore, cAMP has been implicated in
modulation of cell migration and metalloproteinase expression in
certain cell types. Increased cAMP levels have been reported to inhibit
fibroblast motility (O'Neill et al., 1985
; Iwamoto et al., 1993
). In
addition, elevation of intracellular cAMP promotes collagen-dependent
dissolution of cell-cell junctions, but inhibits migration of
NBT-II rat bladder carcinoma cells (Morton and Tchao, 1994
;
Rodier et al., 1995
) as well as collagen-directed migration of
endothelial cells and colon carcinoma cells (Lampugnani et al., 1990
;
Ogasawara et al., 1997
). In contrast, cAMP fosters Lewis lung carcinoma
cell migration (Young et al., 1990
, 1993
) and dibutyryl cAMP has been
reported to slightly enhance collagen-directed keratinocyte migration
(Iwasaki et al., 1994
).
Because findings on the role of cAMP in cell motility are
contradictory and largely address extracellular matrix-driven
migration, we evaluated the actions of elevated cAMP on growth
factor-induced keratinocyte migration and MMP-9 induction. We found
that elevation of cAMP antagonizes EGF-stimulated responses, but cAMP
alone does not promote either colony dispersion or expression of MMP-9
in a human keratinocyte cell line [squamous cell carcinoma (SCC) 12F)]. We have reported previously that EGF and scatter
factor/hepatocyte growth factor (SF/HGF) activate the p42/44 ERK, c-Jun
N-terminal kinase (JNK), and p38 MAPK cascades and that sustained ERK
activation is required for growth factor-stimulated MMP-9 induction and
migratory responses (McCawley et al., 1999
). Previous studies have
established that the ERK, JNK, and p38 MAP kinases each contribute to
MMP-9 gene expression (Boyd, 1996
; Gum et al., 1997
; Himelstein et al., 1997
; Simon et al., 1998
; McCawley et al., 1999
), but it is currently unclear which MAPK pathway(s) are necessary for growth
factor-stimulated MMP-9 production. Interestingly, cAMP did not inhibit
growth factor-dependent activation of the p42/44 ERK/MAPKs; however,
EGF-dependent stimulation of JNK and p38 MAPK cascades was disrupted.
These findings demonstrate that cAMP inhibits a different subset of
growth factor-induced MAPKs in keratinocytes than in fibroblasts and
further identify human keratinocytes as one of a limited number of cell
types in which cAMP-dependent inhibition of JNK activation has been
detected (Hsueh and Lai, 1995
; Rao and Runge, 1996
; Shapiro et al.,
1996
; Li et al., 1997
). Furthermore, cAMP-dependent inhibition of p38 represents a novel observation in mammalian cells, although genetic evidence in yeast supports interactions between these pathways (Varela
et al., 1995
; Marquez and Serrano, 1996
; Siderius et al., 1997
).
Together with our previous work, the findings indicate that sustained
ERK activation may be required but is not sufficient for growth
factor-dependent keratinocyte migration and MMP-9 induction, and
provides additional evidence supporting a role for other MAPK pathways
in growth factor stimulation of these responses.
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Materials and Methods |
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Cell Lines and Cell Culture.
SCC 12F cells were originally
derived from a tumor of the facial epidermis and were generously
provided by Dr. William A. Toscano, Jr. (University of Minnesota,
Minneapolis) and maintained and treated as described previously
(McCawley et al., 1998
, 1999
). Murine EGF was obtained from Biomedical
Technologies Inc. (Stoughton, MA), and SF/HGF was a generous gift from
Genentech (South San Francisco, CA). Forskolin, 1,9-dideoxyforskolin,
dibutyryl cAMP, theophylline, H89, and SB202190 were obtained from
Calbiochem (La Jolla, CA) and dissolved in dimethyl sulfoxide. The
final concentration of dimethyl sulfoxide did not exceed 0.1% (v/v) in
any experiment.
Measurements of Cell Motility.
Evaluation of colony
dispersion (cell scattering) was performed as described previously
(McCawley et al., 1999
). Briefly, cells were subcultured and maintained
in growth medium until colonies of greater than 16 cells were
established. Cultures were deprived of growth factors and serum for
24 h before treatment with or without ligand at the concentrations
and times indicated in the figure legends. Colony dispersion or in
vitro re-epithelialization was documented by photography. Photographs
of cell cultures were taken using a Nikon N2000 camera mounted on a
Nikon Diaphot-TMD inverted phase contrast microscope. Results shown are
representative of at least three independent experiments.
Western Blot Analysis.
Activated MAPK species were detected
using phosphospecific phospho p44/42 MAPK (Thr-202/Tyr-204)
monoclonal antibody (New England Biolabs, Beverly, MA) directed against
the dually phosphorylated, active forms of the proteins according to
the vendor's instructions and as described previously (McCawley et
al., 1999
). SCC 12F cells were serum-deprived for 24 h before
stimulation with ligand at the concentrations and for the times
indicated in the figure legends. Detection of total ERK as loading
control was accomplished using a pan-ERK antibody (Transduction
Laboratories, Lexington, KY).
Kinase Assays.
JNK and p38 activity were measured by the
immunocomplex assays described previously (McCawley et al., 1999
).
Briefly, SCC 12F cells were serum-deprived for 24 h before
stimulation with ligand at the concentrations and for the times
indicated in the figure legends. Cell lysate (100 µg) was incubated
with either 5 µl of anti-JNK or 10 µl of anti-p38 (Santa Cruz
Biotechnology, Inc., Santa Cruz, CA) and 30 µl of either protein
A-agarose (JNK) (Life Technologies, Gaithersburg, MD) or protein
G-agarose (p38) (Sigma, St. Louis, MO) at 4°C for 1 to 2 h. The
immunocomplexes were washed and incubated in kinase buffer at 30°C
for 20 min with [
-32P]ATP (NEN Life Science Products,
Boston, MA) and either glutathione S-transferase
(GST)-c-Jun (JNK assay) or GST-ATF-2 (p38 assay). The kinase reactions
were terminated by the addition of Laemmli sample buffer. The proteins
were resolved using 10% SDS-polyacrylamide gel electrophoresis
minigels. Substrate phosphorylation was detected by autoradiography and
quantified using a Bio-Rad model GS-700 imaging densitometer (Bio-Rad
Hercules, CA). pGEX-2T-c-Jun(1-79 amino acids) was the gift of Dr.
Daniel Mueller (Department of Medicine, University of Minnesota).
pGEX-3X-ATF-2 was the gift of Dr. Benoit Dérijard (Center de
Biochimie, Nice, France). GST fusion proteins were expressed and
purified as described previously (McCawley et al., 1999
).
Zymogram Analysis.
SCC 12F cells were serum-deprived for
24 h before growth factor treatment in fresh serum-free medium.
Conditioned medium collected from control (untreated) and growth
factor-treated cell cultures was analyzed for proteinase activity by
substrate-gel zymography as described previously (McCawley et al.,
1999
). Briefly, equal amounts of total protein from experimental
samples was fractionated on 10% SDS-polyacrylamide gels containing
0.1% gelatin. After electrophoresis, gels were washed with 2.5%
Triton X-100 for 30 min at room temperature, then incubated with
substrate buffer (50 mM Tris, 0.2 M NaCl, 5 mM
CaCl2, 0.02% Brij 35, pH 7.6) for 24 to
48 h at 37°C. Proteinase activity is visualized as clear areas
in a Coomassie Blue-stained gel. Relative proteinase activities were
quantitated using a Kodak 440CF Image Station. Results shown are
representative of a minimum of three independent experiments.
cAMP Accumulation Assay.
[3H]cAMP
accumulation was measured in SCC 12F cells as described previously
(Witt-Enderby and Dubocovich, 1996
). Confluent SCC 12F cells plated in
a 12-well culture dish were labeled with 2 µCi/ml
[3H]adenine in Dulbecco's modified Eagle's
medium/Ham's F-12 for 6 h, then washed twice with 1× PBS. Cells
were stimulated for 10 min with the indicated concentrations of
forskolin or 10 nM EGF in the presence of 30 µM rolipram. The medium
was aspirated, and the incubation was terminated by adding 5%
trichloroacetic acid followed by incubation at 4°C for 16 h.
[3H]cAMP was isolated from [3H]ATP using
Dowex (Bio-Rad) and alumina columns (Sigma) and quantitated by liquid
scintillation counting. Recovery was normalized by spiking the columns
with a known amount of [14C]cAMP (52.3 mCi/mmol; NEN Life
Science Products).
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Results |
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Forskolin Enhances cAMP Accumulation and Inhibits EGF- and
SF/HGF-Dependent Colony Dispersion.
Increased cAMP levels
have been reported to inhibit fibroblast motility; however, there are
contradictory reports on the role of cAMP in epithelial cell migration
(O'Neill et al., 1985
; Lampugnani et al., 1990
; Iwamoto et al., 1993
;
Morton and Tchao, 1994
; Rodier et al., 1995
; Ogasawara et al., 1997
).
Therefore, we evaluated SCC 12F cell migration in response to cAMP.
First, we measured cAMP accumulation after exposure to EGF and the
adenylyl cyclase activator forskolin. cAMP levels were measured as the
amount of [3H]cAMP formed in response to
stimulation of SCC 12F cells labeled with
[3H]adenine. EGF stimulation did not alter cAMP
levels; however, forskolin promoted a concentration-dependent
accumulation of cAMP, with 100 µM forskolin increasing cellular cAMP
approximately 70-fold over basal levels (Fig.
1).
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Forskolin Inhibits EGF- and SF/HGF-Dependent MMP-9 Induction.
Because we have shown previously that growth factor-dependent
induction of MMP-9 is required for SCC 12F colony dispersion (McCawley
et al., 1998
), we wanted to determine whether increased intracellular
cAMP accumulation inhibited receptor tyrosine kinase-regulated MMP-9
expression. Conditioned medium was collected from SCC 12F cells
stimulated with EGF or SF/HGF in the presence or absence of increasing
concentrations of forskolin and analyzed by gelatin zymography (Fig.
3). Forskolin concentrations of 100 µM
modestly inhibited basal levels of MMP-9 (Fig. 3B). However,
pretreatment of SCC 12F cells with forskolin resulted in a
concentration-dependent inhibition of growth factor-stimulated MMP-9
induction (Fig. 3B). Near-complete inhibition of both EGF- and
SF/HGF-dependent MMP-9 induction was observed at 100 µM forskolin
(Fig. 3, A and B). Similarly, forskolin inhibited EGF-dependent
induction of MMP-9 in normal human keratinocyte cultures (data not
shown). In contrast, the negative control 1,9 dideoxy forskolin did not
inhibit basal or EGF-stimulated MMP-9 induction (Fig. 3C). The findings
illustrated in Figs. 2 and 3 demonstrate that forskolin alone does not
stimulate keratinocyte migration or MMP-9 induction, but does
effectively interfere with receptor tyrosine kinase-dependent
responses. Forskolin did not alter EGF-dependent tyrosine
phosphorylation (data not shown) as has been reported in fibroblasts
(Barbier et al., 1999
), suggesting that cAMP accumulation interferes
with downstream signal transduction cascades.
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Receptor Tyrosine Kinase-Stimulated ERK Activation Is Not Inhibited
by Forskolin.
Activation of PKA by cAMP has been reported to
impinge on the ERK/MAPK signal transduction pathway (Cook and
McCormick, 1993
; Sevetson et al., 1993
; Wu et al., 1993
; Huang et al.,
1994
). We have shown that receptor tyrosine kinase-mediated
keratinocyte migration and MMP-9 induction require sustained p42/44
ERK/MAPK activation (McCawley et al., 1999
); therefore, inhibition of
cellular responses by forskolin might be predicted to be attributable
to interference with growth factor-dependent ERK activation. To test this possibility, SCC 12F cells were incubated with forskolin before
growth factor stimulation, and ligand-dependent ERK activation was
evaluated. As shown in Fig. 4, forskolin
did not inhibit EGF-stimulated ERK activation at early or extended time
points (Fig. 4A). Similarly, SF/HGF-dependent stimulation of ERK
activation was insensitive to elevated intracellular cAMP levels (Fig.
4B). These results suggest that inhibition of receptor tyrosine
kinase-dependent keratinocyte migration and MMP-9 induction by cAMP
does not occur through perturbation of the ERK/MAPK pathway.
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Inhibition of EGF-Dependent JNK and p38 Activation by
Forskolin.
There is evidence that the JNK and p38 MAPK pathways
are involved in MMP-9 gene expression (Boyd, 1996
; Gum et al., 1997
; Himelstein et al., 1997
; Simon et al., 1998
; McCawley et al., 1999
).
Disruption of the constitutively activated JNK signaling cascade
inhibits high basal MMP-9 expression in UM-SCC-1 cells (Gum et al.,
1997
) and phorbol ester-stimulated MMP-9 induction is abolished by
inhibitors of p38 (Simon et al., 1998
). We have shown that EGF
activates both JNK and p38 in SCC 12F cells (McCawley et al., 1999
),
and in a limited number of cell types, cAMP has been reported to
inhibit JNK activation (Hsueh and Lai, 1995
; Rao and Runge, 1996
;
Shapiro et al., 1996
; Li et al., 1997
). Therefore, we wanted to
establish whether PKA-dependent pathways might interfere with growth
factor-stimulated activation of the JNK and p38 MAPK cascades.
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Discussion |
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The results reported in this study illustrate interactions between
growth factor- and cAMP-mediated signaling pathways with regard to
keratinocyte migration and MMP-9 induction. Activation of the EGF
receptor did not enhance cAMP accumulation (Fig. 1), consistent with
reports that stimulation of cAMP in response to receptor tyrosine
kinase activation is dependent on expression of adenylyl cyclase type
5, which is not detected in keratinocytes (Chen et al., 1995
).
Elevation of cAMP levels in the absence of growth factor treatment did
not stimulate colony dispersion or MMP-9 expression; however, cAMP
inhibited several EGF- and SF/HGF-dependent responses including
migration, MMP-9 induction, and DNA synthesis (Figs. 2 and 3 and data
not shown). A mechanism by which cAMP may interact with receptor
tyrosine kinase-mediated signaling pathways is through modulation of
MAPK cascades.
There is evidence that MMP-9 gene expression is regulated by the
ERK, JNK, and p38 MAP kinases (Boyd, 1996
; Gum et al., 1997
; Himelstein
et al., 1997
; Simon et al., 1998
; McCawley et al., 1999
). We have shown
previously that EGF-stimulated MMP-9 induction requires sustained ERK
activation (McCawley et al., 1999
). Our observation that forskolin
inhibits EGF-stimulated MMP-9 induction (Fig. 3), and reports that cAMP
inhibits ERK activation in fibroblasts (Cook and McCormick, 1993
; Wu et
al., 1993
; Mineo et al., 1996) lead us to investigate whether forskolin
inhibits EGF-stimulated ERK activation. Surprisingly, elevation of
intracellular cAMP did not inhibit ERK activation in SCC 12F
keratinocytes (Fig. 4). These results indicate that although sustained
ERK activation is required for EGF-stimulated MMP-9 induction, this
signal is not sufficient and suggests that cAMP inhibits other
signaling pathways that are important for MMP-9 induction. Accordingly, we found that elevated intracellular cAMP selectively inhibits EGF-dependent JNK and p38 activation in keratinocytes (Figs. 6 and 7).
Importantly, this inhibition is associated with loss of growth
factor-dependent MMP-9 induction and migratory response. Thus, JNK and
p38 appear to be involved in but not sufficient for growth
factor-stimulated MMP-9 gene expression. This is supported further by
the observation that keratinocyte growth factor stimulates JNK and p38
activity in SCC 12F cells but does not induce MMP-9 or promote colony
dispersion (McCawley et al., 1998
, 1999
). Additional evidence that
multiple MAP kinase cascades are required for keratinocyte migration is
provided by Zeigler et al. (1999)
, who reported that neither the ERK
nor JNK pathways alone were sufficient for growth factor-induced
migration of normal human keratinocytes.
The p38 MAPK pathway has been shown to be essential for phorbol
ester-stimulated MMP-9 induction (Simon et al., 1998
), and we find that
p38 activation by EGF partially contributes to growth factor-regulated
MMP-9 expression (Fig. 7B). SB202190 is a highly selective inhibitor of
p38 (Lee et al., 1994
) and did not disrupt EGF-dependent JNK activation
in SCC 12F cells (data not shown). Forskolin, which inhibits both JNK
and p38 activation (Figs. 6 and 7), disrupts EGF-stimulated responses
more effectively than does SB202190, suggesting that JNK activation may
be involved in growth factor-stimulated MMP-9 induction (Figs. 2 and
3). This suggestion is supported by the findings of others that JNK
activation stimulates MMP-9 gene expression (Gum et al., 1997
;
Himelstein, 1997
). Collectively, our findings demonstrate that EGF
concurrently activates multiple MAPK signaling cascades and suggest
that coordinate regulation of all three pathways is necessary for
maximal EGF-dependent migration and proteinase induction.
Inhibition of JNK by cAMP has been observed in a limited number
of model systems. Forskolin coordinately inhibited endothelin- or
thrombin-induced ERK2 and JNK activation in airway smooth muscle cells
(Shapiro et al., 1996
). In contrast, cAMP weakly impaired Raf-1
activation and did not inhibit ERK activation in T lymphocytes; however, cAMP significantly disrupted JNK activation, thereby illustrating selective inhibition of one MAPK cascade (Hsueh and Lai,
1995
). Similarly, in vascular smooth muscle cells, cAMP inhibited thrombin-induced JNK1 activation and c-Jun expression but did not
compromise thrombin-induced ERK activation and c-Fos expression (Rao
and Runge, 1996
). PKA-dependent inhibition of JNK, but not ERK,
activation was also detected in GN4 rat liver epithelial cells (Li et
al., 1997
). A calcium-dependent tyrosine kinase (CADTK/PYK2) pathway
implicated in JNK activation has been proposed as a target for
forskolin-dependent inhibition of JNK activation in rat liver epithelial cells (Li et al., 1997
). Additionally, angiotensin II- or
thapsigargin-stimulated, but not anisomycin-dependent, JNK activation
was cAMP-sensitive, leading to the conclusion that there is divergence
between the mechanisms of stress versus calcium-dependent stimulation
of the JNK cascade (Li et al., 1997
). Based on the difference in
sensitivity to inhibition by elevated intracellular cAMP, our findings
suggest that there is divergence between receptor tyrosine
kinase-mediated and stress-induced activation of JNK and p38 in
keratinocytes (Figs. 6 and 7).
Although examples of inhibitory interactions between PKA and JNK
have been identified in mammalian cells, evidence for similar interactions between the PKA and p38 pathways have to date been documented only in yeast. p38 is the mammalian counterpart of the yeast
high-osmolarity glycerol (HOG) MAPK. The Saccharomyces cerevisiae
HSP12 gene is induced by a HOG-dependent signaling pathway, and
mutations that result in high PKA activity inhibit salt- or heat
stress-induced HSP12 gene expression, thereby indicating interactions between these signaling pathways (Varela et al., 1995
;
Siderius et al., 1997
). Similarly, yeast PMR21ENA1 gene induction is mediated by the HOG MAPK pathway, and PKA negatively modulates expression of this gene (Marquez and Serrano, 1996
). Our
findings extend those described in yeast to directly identify cAMP-dependent inhibition of tyrosine kinase-stimulated p38 activation in mammalian cells (Fig. 7).
Based on our results, disruption of sustained ERK activation
(McCawley et al., 1999
) or concurrent inhibition of JNK and p38 activity by cAMP can interfere with growth factor-mediated MMP-9 induction and migratory response in keratinocytes. These findings indicate that multiple MAPK pathways are required for maximal stimulation of keratinocyte migration and MMP-9 production in response
to growth factors. Identification of the mechanisms that lead to
differences in cAMP interactions with specific MAPK cascades in various
cell types will be an important area for additional investigation.
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Acknowledgment |
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We thank Dr. Paula Witt-Enderby (Duquesne University) for assistance in performing measurements of cAMP accumulation.
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Footnotes |
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Received December 13, 1999; Accepted March 28, 2000
This work was supported by National Institutes of Health Grant RO1AR42989 (L.G.H.) and in part by NIH Grants CA72498 (E.V.W.) and RO1DE12458 (L.G.H.). L.J.M. was supported by NIH Training Grant T32GM08061.
Send reprint requests to: Laurie G. Hudson, Ph.D., Program in Pharmacology and Toxicology, University of New Mexico Health Sciences Center, 2502 Marble N.E., Albuquerque, NM 87131. E-mail: lghudson{at}unm.edu
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Abbreviations |
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EGF, epidermal growth factor; MMP, matrix metalloproteinase; PKA, cAMP-dependent protein kinase; ERK, extracellular signal-regulated kinase; MAPK, mitogen-activated protein kinase; SF/HGF, scatter factor/hepatocyte growth factor; JNK, c-Jun N-terminal kinase; GST, glutathione S-transferase; NGF, nerve growth factor; HOG, high-osmolarity glycerol; SCC, squamous cell carcinoma.
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