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Vol. 60, Issue 5, 1049-1056, November 2001
School of Sciences (C.S.) and Radioisotopes Laboratory, School of Pharmacy and Biochemistry (N.F., B.L.L., F.M., C.D.), University of Buenos Aires, Buenos Aires, Argentina; Institute of Biology and Experimental Medicine, Buenos Aires, Argentina (C.S., N.F., A.M., A.B.); and National Research Council of Argentina, Buenos Aires, Argentina (F.M., A.B., C.D.)
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Abstract |
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The histamine H2 receptor (H2r) belongs to the heptahelical receptor family; upon agonist binding, members of this family activate a G protein and the downstream effector adenylyl cyclase. Like other G protein-coupled receptors, exposure of H2r to agonists produces a desensitization of the response. The present study focused on the desensitization mechanism of this receptor. Using transiently transfected COS-7 cells expressing tagged-H2r, the desensitization induced by amthamine, characterized by decreased cAMP production, was studied. Results show that the receptor was rapidly desensitized with a t1/2 = 0.49 ± 0.01 min. Because of the rapid nature of H2r desensitization, receptor phosphorylation was examined as a likely mechanism for signal attenuation. H2r desensitization was not affected by protein kinases A and C (PKA and PKC) inhibitors but was remarkably reduced by Zn2+, an inhibitor of G protein-coupled receptor kinases (GRKs). Cotransfection experiments using tagged H2r and different GRKs (2, 3, 5, or 6), demonstrated that GRK2 and GRK3 were the most potent in augmenting desensitization, causing a reduction in the maximal response to amthamine and a decrease of the t1/2 for desensitization, whereas GRK5 and GRK6 did not affect the signaling. Receptor phosphorylation correlates with desensitization for each GRK studied, whereas phosphorylation that is dependent on protein kinases A and C seemed irrelevant in receptor signal termination. These results indicate that in H2r-transfected COS-7 cells, exposure to an agonist caused desensitization controlled by H2r phosphorylation via GRK2 and GRK3.
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Introduction |
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Histamine
is an intercellular signal molecule that exerts its effect through H1,
H2, and H3 receptors (Leurs et al., 1995
). Molecular biology studies
indicate that H2r belongs to the large multigene family of G
protein-coupled receptors (GPCRs) (Gantz et al., 1991
). Structurally,
these receptors are characterized by seven transmembrane
-helices
and functionally by their ability to transmit signals to effector
molecules via G proteins (Dohlman et al., 1991
). It is generally
accepted that the H2r mediates activation of adenylyl cyclase (AC) with
subsequent increases in cAMP and protein kinase A (PKA) activation
(Nonaka et al., 1992
). A characteristic feature of these GPCRs is that
in the face of continuing stimulation, signaling becomes attenuated or desensitized. For a large number of related GPCRs, rapid
desensitization seems to involve receptor phosphorylation. G
protein-coupled receptor kinases (GRKs), and the second
messenger-dependent kinases PKA and PKC, are responsible for the
homologous and heterologous desensitization, respectively (Freedman and
Lefkowitz, 1996
). GRK-mediated phosphorylation of serine/threonine
residues in the carboxyl tail and/or intracellular loops of GPCR
increases the affinity for arrestin-type proteins, and this binding
prevents any further coupling between the receptor and G proteins. The
complex formed by the phosphorylated GPCR and arrestin targets the
activated receptor to clathrin-coated pits for subsequent
internalization (Pitcher et al., 1998
).
Recent studies have described that the H2r-mediated cAMP response is
rapidly desensitized in various cell types (Fukusima et al., 1993
; Smit
et al., 1994
). However, in contrast to other GPCR, the mechanism of H2r
desensitization is still not well understood. In the U937 promonocytic
cell line, we described H1 and H2 histamine receptors (Davio et al.,
1995
a
), and we recently showed that the H2r was specifically
desensitized by an H2 agonist with a t1/2
of ~20 min. This desensitization proved to be homologous and involved
the GRK family. Binding experiments showed that receptor internalization began just after 2 h, when total desensitization took place (Lemos Legnazzi et al., 2000
).
In an attempt to better understand the H2r desensitization mechanism, a transfection system that allowed the overexpression of the different GRKs was used. Results demonstrate that in COS-7 transfected cells, agonist-dependent H2r phosphorylation is coincident with receptor desensitization and involves GRK2 and GRK3 in both processes. A better knowledge of the molecular regulation of the H2r should contribute to the understanding and manipulation of the processes they regulate.
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Experimental Procedures |
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Materials. Restriction enzymes were purchased from New England Biolabs, Inc. (Beverly, MA), and Taq polymerase from Invitrogen (Carlsbad, CA). Isobutylmethylxanthine (IBMX), cAMP, famotidine, pyrilamine, protease inhibitors, and phosphatase inhibitors were obtained from Sigma Chemical Company (St. Louis, MO). Amthamine, N-(2-aminoethyl)-5-isoquinolinesulphonamide (H9), and 6[2-(4-imidazolyl)ethylamino]-N-(4-trifluoromethylphenyl)heptanecarboxamide (HTMT dimaleate), were from Tocris Cookson Inc. (Ballwin, MO). [3H]cAMP and [3H]tiotidine were purchased from New England Nuclear (Boston, MA), and [32P]orthophosphate from Amersham Pharmacia Biotech (Little Chalfont, Buckinghamshire, UK). All other chemicals were of analytical grade.
Expression Plasmid Preparation.
Oligonucleotides were
synthesized using the known cDNA sequence for human H2r, and a
full-length nucleotide sequence was amplified from the human cell line
U937 cDNA by polymerase chain reaction. The cDNA was then cloned into
the SpeI and EcoRV sites of the eukaryotic
expression vector pCEFL (pCEFL-H2r) (Teramoto et al., 1996
) or into the
BglII and XbaI sites of pCEFL-HA (pCEFL-HA-H2r), a modified pCEFL expression plasmid encoding the HA nonapeptide epitope. GRK2, -3, -5, and -6 cDNAs were subcloned into the pCEFL vector (pCEFL-GRK2, -3, -5, and -6). Plasmid purification was performed
using reagents from QIAGEN Inc. (Valencia, CA) according to the
manufacturer's instructions.
Cell Culture. COS-7 cells were cultured at 37°C in a humidified atmosphere with 5% CO2, in Dulbecco's modified Eagle's medium (DMEM) supplemented with 10% fetal calf serum and 50 µg/ml gentamicin.
Transfection. Transient transfections were performed by the DEAE-dextran technique. Cells plated in 35-mm dishes for cAMP production or in 100-mm dishes for protein phosphorylation were transfected at 80% confluence using 0.3 to 3 µg of each indicated plasmid. All assays were performed 48 h after transfection.
cAMP Determination.
Transfected cells were incubated 3 min
in DMEM supplemented with 1 mM IBMX at 37°C and exposed 9 min to the
agonist at the indicated concentrations. Cells were then washed with
PBS and subjected to ethanol extraction followed by 5-min
centrifugation at 3000g. The supernatant was dried and
resuspended in 50 mM Tris-HCl buffer, pH 7.4. cAMP content was
determined by means of competition with
[3H]cAMP for PKA, as described previously
(Davio et al., 1995b
) and expressed as the percentage of stimulation
relative to maximal response.
Desensitization Experiments. Pretreatment of COS-7 cells transfected with amthamine was performed in DMEM at 37°C in a humidified atmosphere containing 5% CO2. Cells were exposed to 10 µM (maximal response) amthamine for periods ranging from 5 s to 30 min in the absence of IBMX. Cells were then washed and resuspended in DMEM containing 1 mM IBMX and exposed for 9 min to 10 µM amthamine to determine whether the AC could still generate cAMP. Basal levels correspond to cells not rechallenged with the agonist.
To assay kinase inhibitors, cells were pretreated with 20 µM H9, 20 µM staurosporine, or 200 µM ZnCl2 for 20 min at 37°C, followed by desensitization assays carried out in the presence of inhibitors. Zn2+ showed a maximal inhibition on desensitization response in the range of 100 to 400 µM. Higher concentrations became toxic for the cells. cAMP production is expressed as the stimulus relative to basal levels.Radioligand Binding Assay. Triplicate assays were performed in COS-7 transfected cells in 24 multiwell plates. For saturation studies, increasing concentrations of [3H]tiotidine were incubated in the absence or presence of 1 µM tiotidine, in a total volume of 200 µl of 50 mM Tris-HCl, pH 7.4. After 40 min at 4°C, incubation was stopped by dilution with 3 ml of ice-cold 50 mM Tris-HCl, pH 7.4, followed by washes with ice-cold buffer. Experiments on intact cells were carried out at 4°C to avoid internalization of the ligand. Kinetic studies showed that equilibrium was reached after 30 min and persisted for 4 h (data not shown).
Western Blots. COS-7 cells were lysed in sample buffer (50 mM Tris-HCl, pH 6.8, 2% SDS, 100 mM 2-mercaptoethanol, 10% glycerol, and 0.05% bromphenol blue), and sonicated to shear DNA. The anti-HA immunoprecipitates were also analyzed. Samples were boiled for 5 min, and aliquots were electrophoresed in 12% SDS-polyacrylamide gels and transferred to nitrocellulose membranes. The residual binding sites were blocked with 5% nonfat powdered milk in PBS-Tween-20 (PBS containing 0.05% Tween-20), and membranes were incubated with 1 µg/ml of anti-GRK2, 3, 5, 6 or anti-HA (for the immunoprecipitates) rabbit antibody (Santa Cruz Biotechnology, Santa Cruz, CA), in PBS-Tween-20. All subsequent washes were performed with the same buffer. Reactivity was developed using an anti-rabbit polyclonal antibody linked to horseradish peroxidase and enhanced chemiluminescence reagents, according to the manufacturer's instructions (Amersham Pharmacia Biotech).
Phosphorylation Assays. Transfected cells were preincubated 1 h at 37°C in phosphate-free DMEM, and labeled 3 h with 100 µCi/ml of 32Pi at 37°C in fresh medium. H2 agonist was applied as indicated in figure legends. To assay kinase inhibitors, cells were pretreated for 20 min with 20 µM H9 or 200 µM Zn2+ at 37°C, and agonist stimulation was carried out in the presence of inhibitors. The reaction was terminated by placing the cells at 4°C and washing twice with ice-cold PBS, followed by the addition of 1 ml/plate of immunoprecipitation buffer (150 mM NaCl, 50 mM Tris-HCl, pH 8, 1% Nonidet P-40, 0.1% SDS, 0.2 mM EDTA, 10 mM FNa, 1 mM sodium vanadate, 1 mM phenylmethylsulfonyl fluoride, 5 µM aprotinin, 10 µM leupeptin, and 5 µM pepstatin). Lysed cells were centrifuged for 20 min at 12,000g and 4°C. The epitope-tagged H2 histamine receptor was immunoprecipitated from the supernatant by a 1-h incubation with the specific anti-HA antibody at 4°C. Immunocomplexes were recovered with the aid of Protein A/G-Sepharose (Santa Cruz Biotechnology) and washed 5 times with ice-cold immunoprecipitation buffer. Complexes were then dissociated by heating to 65°C for 10 min in sample buffer and separated by 12% SDS-polyacrylamide gel electrophoresis. Gels were dried and exposed to AGFA Curix RP1 films. 32P labeling was quantified by the Scion Image 2000 software (Frederick, MD). Parallel anti-HA immunoprecipitates were processed for Western blot analysis of the HA-H2r.
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Results |
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Functional Expression of the Tagged H2r.
The addition of the
HA epitope to the N terminus of the human H2r allowed the detection of
the H2 histamine receptor by immunoprecipitation (antibodies against
H2r are not available). The tagged H2r cDNA was efficiently expressed
when transfected into COS-7 cells, as judged by the immunodetection of
a 42-kDa band, using the anti-HA murine monoclonal antibody (Fig.
1). Bands of 58 and 25 kDa, respectively, corresponded to the heavy and light chains of the anti-HA used to form
the immune complex. Binding experiments with cells transiently transfected with the native and the N terminal HA-H2r cDNA showed an
important increase in the binding sites with respect to COS-7 cells,
with an identical Kd value for
[3H]tiotidine, an H2 selective ligand (Table
1).
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Desensitization of the HA-H2r in COS-7 Cells.
H2r
desensitization assays were performed in pCEFL-HA-H2r-transfected COS-7
cells. After pretreatment with 10 µM amthamine ranging from 5 s
to 30 min, a decrease in cAMP production was observed when cells were
rechallenged with the same agonist (Fig. 3A). Amthamine no longer induced a
response when cells were pretreated for 5 min, and half-maximal
desensitization was observed at 0.49 ± 0.01 min (mean ± S.E.M., n = 5).
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Role of G Protein-Coupled Receptor Kinases in H2r Desensitization
in COS-7 Cells.
The involvement of the different GRKs in the
signaling was studied by cotransfecting COS-7 cells with pCEFL-HA-H2r,
and GRK2, -3, -5, or -6. The overexpression of the different GRKs was
detected by Western blotting. The COS-7 endogenous GRKs expression was also detected, indicating GRK2, GRK3, and GRK5 expression (Fig. 4A). Signaling varied according to the
GRK subtype overexpressed (Fig. 4B and Table
3), whereas GRK2 and 3 caused significant signal attenuation, reducing maximal cAMP accumulation by 52 ± 11% (mean ± S.E.M., n = 3) and 52 ± 10%
(mean ± S.E.M., n = 3), respectively, compared
with COS-7 cells overexpressing only HA-H2r. However, GRK5 and 6 had no
effect on signal generation. A shift to the right in the H2 agonist
EC50 in GRK2- and GRK3-cotransfected cells was also
detected, but no effect was observed for GRK5 and GRK6 transfectants.
On the other hand, binding experiments with [3H]tiotidine in cotransfected cells showed a
decrease in the number of H2r in the cell membrane in GRK2- and
GRK3-overexpressing cells (Fig. 4C and Table
4). Furthermore, COS-7 cells
cotransfected with the pCEFL-HA-rH2 and GRK2 or -3 showed a shorter
half-time of desensitization than control cells (cotransfected with
pCEFL-HA-H2r and pCEFL). This is in contrast with cells overexpressing
GRK5 or GRK6, which showed no differences in cAMP response after the desensitizing stimulus (Fig. 5, Table
5).
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Role of G Protein-Coupled Receptor Kinases in H2r
Phosphorylation.
Because results indicated that GRK2 and -3 were
involved in H2r desensitization, this process was correlated with
receptor phosphorylation. Thus, COS-7 cells expressing the HA-H2r were labeled for 3 h with 32P and subsequently
treated with amthamine for different periods of time. The
electrophoresis analysis of the immunoprecipitates showed that there is
a clear agonist-promoted phosphorylation of the HA-H2r, which is
dependent of time. After 30 s of stimulus, a clear increment in
phosphorylation levels was observed that was maximal at 30 min (Fig.
6). When the phosphorylation assay was
performed in COS-7 transfected cells pretreated with kinase inhibitors,
Zn2+, but not H9, inhibited the phosphorylation
induced by the H2 agonist, indicating the involvement of GRKs in H2r
phosphorylation (Fig. 7). Phosphorylation
of H2r was also assayed in cells overexpressing each GRK. Cells
overexpressing GRK2 and -3 showed higher levels of H2r phosphorylation
(161 ± 7% for GRK2, 155 ± 4% for GRK3 cotransfections, compared with non-GRK-transfected, p < 0.01). In
contrast, levels of H2r phosphorylation were not modified upon
overexpressing GRK5 or GRK6. The expression of the HA-H2r in all
transfections was the same, as can be observed in the Western blot
(Fig. 8).
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Discussion |
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In this report, desensitization of the H2r in COS-7 transfected cells is shown to be mediated by phosphorylation. This desensitization seems to be homologous and induced by the G protein-coupled receptor kinases GRK2 and GRK3. Other GRKs assayed (GRK5 and GRK6) seem to play no role in this process.
As a first step, an N-terminal tag (HA) was incorporated to the H2r,
and expression and function of this receptor were evaluated. Transfection of COS-7 cells with the pCEFL-HA-H2r localizes the HA-H2r
in the plasmatic cell membrane, as judged by binding experiments. The
specificity for the H2 agonist was maintained, and, in a dose-response assay, the HA-epitope did not alter the EC50
value for cAMP response. It is interesting to mention that the
modification of the N-terminal portion did not affect receptor
signaling. Therefore, we considered the HA-tagged receptor a suitable
tool for desensitization and phosphorylation studies. Other reports
however, show that the presence of an N-terminal epitope could increase
or decrease signaling by unclear mechanisms, perhaps involving changes
in the receptor conformation (Shetzline et al., 1998
).
Cellular responses to agonists of G protein-coupled receptors are
rapidly attenuated. Mechanisms of signal attenuation include ligand
removal from the extracellular fluid, desensitization of receptor
function (uncoupling), endocytosis, and down-regulation. An important
component of desensitization, which occurs within seconds to minutes of
receptor activation, is the uncoupling of the activated receptors from
their G protein by receptor phosphorylation (Grady et al., 1997
).
In our experiments, the time course for the attenuation of the signal
of the H2r in COS-7 transfected cells was quite rapid (t1/2 = 0.49 ± 0.01 min), suggesting
the involvement of receptor phosphorylation. In previous experiments,
carried out in promonocytic U937 cells, a slower time of H2r
desensitization with a t1/2 = 20 min had
been described (Shayo et al., 1997
). In addition, promyelocytic HL-60
cells showed a slower time than COS-7 transfected cells (Sawutz et al.,
1984
), suggesting a dependence of the cellular environment on the
desensitization process.
Two lines of evidence support the concept that GRKs are involved in the desensitization mechanism in COS-7 transfected cells. First, desensitization was not affected by the presence of 10 µM H9, a PKA inhibitor, or 20 µM staurosporine, a PKC inhibitor, indicating that there was no heterologous component in the desensitization process described. Nevertheless, 200 µM Zn2+, a GRK inhibitor, seemed to inhibit desensitization. Second, in cotransfection experiments involving H2r and different GRKs (2, 3, 5, or 6), a decrease in the cAMP response and a rightward shift of the EC50 were detected when cells were overexpressing GRK2 or GRK3. In desensitization experiments, there was a significant decrease in the t1/2 of desensitization in cells cotransfected with the H2r and GRK2 or GRK3, although transfection with GRK5 and GRK6 showed levels similar to those of control cells. These results indicate that the GRKs involved in the process of desensitization are GRK2 and GRK3.
Binding experiments indicated that GRK2 and GRK3 overexpression decreased the number of H2rs in cell membrane. This evidence denoted a basal regulation of the H2r by GRK2 and GRK3 because of the high expression of these kinases.
Desensitization of histamine H2r has been noted in the human leukemia
cell line HL-60, the human promonocytic cell line U937, and the human
adenocarcinoma cell line MKN-45 (Sawutz et al., 1984
; Nakata et al.,
1996
; Shayo et al., 1997
). Homologous and heterologous desensitization
has been observed in the case of HL-60 cells. For U937, MKN-45, and
COS-7 transfected cells, homologous, but not heterologous, cAMP
desensitization was described.
Data have recently emerged suggesting the involvement of GRKs in the
desensitization of a receptor other than the well-characterized
2-adrenergic receptor (Benovic et al., 1986
;
Lohse et al., 1990
), as seems to be the case for the
1B-adrenergic receptor (Diviani et al., 1996
),
the
2-adrenergic receptors (Kurose and
Lefkowitz, 1994
), the
1-adrenergic receptor
(Freedman et al., 1995
), the m1 muscarinic
receptor (Haga et al., 1996
), the m2 and
m3 muscarinic receptors (Debburman et al., 1995
),
the thrombin receptor (Ishii et al., 1994
), the N-formyl
peptide receptor (Prossnitz et al., 1995
), the
-opioid receptor
(Hasbi et al., 1998
), and the secretin receptor (Shetzline et al.,
1998
). For many of these, a preferential participation of various GRKs
has been demonstrated (Pitcher et al., 1998
).
Finally, this study directly demonstrates the agonist-dependent H2r phosphorylation, by specific immunoprecipitation of an N-terminal HA-tagged receptor. Phosphorylation kinetics was time-dependent reaching maximal levels at 30 min after agonist treatment. We have routinely used 10 min of treatment for methodological reasons. To explain our results, we speculate about the existence of a mechanism of multiple phosphorylation within the H2r molecule that in turn evokes a progressive cascade response. Thus, the first phosphorylative event, at brief time, could preclude the receptor ability to increase cAMP levels. Subsequent H2r phosphorylation (as judged by the increment in 32P incorporation), could be involved in the internalization and recycling processing. At 0.5 min, we observed an increase of the basal phosphorylation paralleling the half-time of desensitization. Concomitant with desensitization assays, receptor phosphorylation was not modified in the presence of PKA or PKC inhibitors, whereas a GRK inhibitor abolished receptor phosphorylation. In the same way, overexpression of GRK2 and GRK3, but not GRK5 and GRK6, produced an enhancement of phosphorylation, indicating the importance of these GRKs in the H2r phosphorylation. On the other hand, Western blot of the immunoprecipitated fraction from COS-7 cells cotransfected with various GRKs showed no differences in the H2r level. This indicates that the decrease in the number of H2r in the cell membrane was a consequence of GRK2 and GRK3 overexpression, causing an augmentation in H2r internalization by basal phosphorylation. Even with the lower expression of H2r in membrane of GRK2- and GRK3-transfected cells, the phosphorylation induced by the agonist was drastically increased.
GRK substrate specificity is consistent with a number of key
differences among the mammalian kinases cloned to date. For example, these kinases seem to possess distinct mechanisms responsible for their
localization to the cell membrane. GRK2 and GRK3 contain binding sites
within their C termini for the 
subunits of heterotrimeric G
proteins (Koch et al., 1993
; Pitcher et al., 1995
), whereas GRK5 seems
to be constitutively associated with the membrane, possibly because of
a stretch of basic amino acids localized in its C terminus that
interact with phospholipid head groups (Premont et al., 1994
). The
mechanism for membrane localization of GRK6 seems to involve its
palmitoylation (Stoffel et al., 1994
). The substrate specificity of the
various kinases, as determined by peptide studies, has also been shown
to differ. Whereas GRK2 and GRK3 preferentially phosphorylate serine or
threonine residues C-terminal to aminoacidic acids (Onorato et al.,
1991
), GRK5 and GRK6 do not display such a preference. Another
difference among these kinases involves their regulation. Although GRK5
is autophosphorylated (Kunapuli et al., 1994
), probably leading to its
activation, GRK2, GRK3, and GRK6 are not (Loudon and Benovic, 1994
).
Mammalian cDNAs encoding six G
subunits (Watson et al., 1996
) and 12 G
subunits (Ray et al., 1995
) have been identified, combining to
form a multitude of potential G
combinations. GRK2 and GRK3
exhibit specificity for the distinct G
combination. In the MKN-45
cell line, GRK2 was described as responsible for the desensitization of
the H2r (Nakata et al., 1996
), whereas in COS-7 transfected cells, we have demonstrated the participation of both GRK2 and GRK3. This observation suggests that the H2r may be coupled with different combinations of G
isoforms in each cell line studied.
With the surfeit of receptors and relative scarcity of GRKs, it seems
that each GRK regulates innumerable receptors, probably in a
cell-type-specific manner. That is, regulation of a given receptor in
a particular cell will be determined not only by the GRKs expressed in
that cell but also by the relative and absolute expression levels of
each GRK in that cell (Pitcher et al., 1998
). In that sense,
2A and
2B-adrenergic
receptors (Jewell-Motz and Liggett, 1996
), m3 acetylcholine
receptor (Debburman et al., 1995
), and substance P receptor (Kwatra et
al., 1993
) are all regulated by GRK2 and 3.
Overall, our results demonstrate that rapid desensitization and phosphorylation of the H2r in COS-7 transfected cells seem to be controlled by protein kinase(s) belonging to the GRK family (GRK2 and GRK3) that are independent of PKA and PKC activities. These results emphasize the importance of GRKs in regulating GPCR function in a significant number of vital processes, suggesting that disorders of selected GRK-dependent functions could contribute to, if not engender, disease. Further studies are necessary to obtain more detailed knowledge of the molecular events occurring during the desensitization of the H2 histamine receptor.
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Acknowledgments |
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We are sincerely grateful to Dr. J. F. Benovic (Philadelphia, PA) for the GRK2, -3, -5 and -6 cDNAs and Dr. O. Coso (Buenos Aires, Argentina) for the expression vectors pCEFL and pCEFL-HA.
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Footnotes |
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Received January 4, 2001; Accepted July 27, 2001
This study was supported by grants from the University of Buenos Aires (JB52), the National Research Council of Argentina (PID 792/98), and the National Agency for Scientific and Technologic Promotion (PICT 1598).
Carina Shayo, Ph.D., Institute of Biology and Experimental Medicine, Obligado 2490 (1428) Buenos Aires, Argentina. E-mail: cshayo{at}dna.uba.ar
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Abbreviations |
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H2r, histamine H2 receptor; GPCR, G protein-coupled receptor; AC, adenylyl cyclase; PKA, protein kinase A; GRK, G protein-coupled receptor kinase; PKC, protein kinase C; IBMX, isobutylmethylxanthine; H9, N-(2-aminoethyl)-5-isoquinolinesulphonamide; HTMT dimaleate, 6[2-(4-imidazolyl)ethylamino]-N-(4-trifluoromethylphenyl)heptanecarboxamide; DMEM, Dulbecco's modified Eagle's medium; PBS, phosphate-buffered saline; HA, hemagglutinin.
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