www.elsevier.com/locate/ymcne
Mol. Cell. Neurosci. 25 (2004) 345–354
Blocked MAP kinase activity selectively enhances neurotrophic
growth responses$
Susanna Althini,a Dmitry Usoskin,a Annika Kylberg,a Paul L. Kaplan,b,1 and Ted Ebendala,*
aDepartment of Neuroscience, Unit for Developmental Neuroscience, Biomedical Centre, Uppsala University, Uppsala, SwedenbCuris Inc., Boston, MA 02138, USA
Received 5 June 2003; revised 3 October 2003; accepted 21 October 2003
Bone morphogenetic proteins (BMPs) 4 and 6 as well as MEK
inhibitors PD98059 and U0126 potentiate neurotrophin 3 (NT3)- and
neurturin (NTN)-induced neurite outgrowth and survival of peripheral
neurons from the E9 chicken embryo. Preexposure to BMP4 or
PD98059 was sufficient to prime the potentiation of subsequently added
NT3. Phosphorylation of Erk2, induced by NT3, was reduced by MEK
inhibition but unaffected by BMP signaling. Real-time PCR showed
that neither BMP stimulation nor MEK inhibition increased Trk
receptor expression and that the BMP-induced genes Smad6 and Id1
were not upregulated by PD98059. In contrast, both MEK inhibition
and BMP signaling suppressed transcription of the serum-response
element (SRE)-driven Egr1 gene. A reporter assay using NGF-
stimulated PC12 cells demonstrated that MEK/Erk/Elk-driven tran-
scriptional activity was inhibited by Smad1/5 and by PD98059. Thus,
suppression of SRE-controlled transcription represents a likely
convergence point for pathways regulating neurotrophic responses.
D 2004 Elsevier Inc. All rights reserved.
Introduction
Development, growth, and maintained functions of neurons are
regulated by neurotrophic proteins (Kaplan and Miller, 2000;
Patapoutian and Reichardt, 2001). One gene family involved
encodes the neurotrophins (NTs) that include nerve growth factor
(NGF), brain-derived neurotrophic factor (BDNF), and neurotro-
phin 3 and 4 (NT3 and NT4, respectively; reviewed by Huang and
Reichardt, 2001). Another gene family encodes GDNF receptor
ligands (GFRL) comprising the glial cell line-derived neurotrophic
factor (GDNF), neurturin (NTN), artemin (ART), and persephin
(PSP; Airaksinen and Saarma, 2002; Baloh et al., 2000). The
neurotrophins and the GFRLs activate receptor tyrosine kinases
1044-7431/$ - see front matter D 2004 Elsevier Inc. All rights reserved.
doi:10.1016/j.mcn.2003.10.015
$ Supplementary data associated with this article can be found, in the
online version, at doi: 10.1016/j.mcn.2003.10.015.
* Corresponding author. Department of Neuroscience, Unit for
Developmental Neuroscience, Biomedical Centre, Uppsala University,
Box 587, Room A2:203d, Husargatan 3, D1, Plan 4, 5, SE-751 23 Uppsala,
Sweden. Fax: +46-18-559-017.
E-mail address: [email protected] (T. Ebendal).1 Present address: Genzyme Inc., Cambridge, MA 02139, USA.
Available online on ScienceDirect (www.sciencedirect.com.)
(TrkA, TrkB, TrkC for NTs and Ret for GFRLs) in addition to
binding to accessory receptors (p75 and GFRa1–4, respectively).
A mitogen-activated protein kinase (MAPK) pathway used by
ligand-activated Trk and Ret leads to the phosphorylation and
activation of Erk1/2. Other receptors expressed by neurons include
serine/threonine kinases that are activated by members of the
superfamily of transforming growth factor-hs (TGFhs) includingbone morphogenetic proteins and growth/differentiation factors
(BMPs and GDFs; Ebendal et al., 1998; Massague and Chen,
2000; Mehler et al., 1997; Miyazawa et al., 2002).
We previously showed that BMP7 strongly potentiates neuro-
trophic responses to NT3 and GDNF, in line with the idea that the
tyrosine- and the serine/threonine-kinase receptor pathways coop-
erate to promote neuron survival and process outgrowth in neurons
(Bengtsson et al., 1998). The synergistic effects are now demon-
strated to occur in a range of different nerve cells indicating that the
observed reaction is widespread among neurons. Other observa-
tions also suggest that further members of the TGFh superfamily
have the ability to potentiate the neurotrophic actions of GDNF
(Farkas et al., 1999; Unsicker and Krieglstein, 2000).
The present paper describes an analysis of the pathways
involved in the synergistic actions of neurotrophic factors and
brain morphogenetic proteins (BMPs) using pharmacological
inhibitors of kinases. A general requirement of PI3K for neurite
outgrowth is demonstrated. A striking potentiation of NT3 and
NTN neurotrophic effects by MEK inhibitors is also shown. These
effects are mimicking the synergistic actions of BMP acting in
concert with these neurotrophic factors. Finally, it is shown that
BMP in addition to activating its cognate target genes Smad6 and
Id1 is suppressing transcriptional activation at the serum-response
element (SRE) of the Egr1 gene. This finding identifies a new
convergence point for MEK/Erk/Elk and BMP/ALK/Smad signal-
ing pathways.
Results
BMPs and MEK inhibitors potentiate neurotrophic activities
BMP7 was previously found to potentiate the neurotrophic
effects of NT3 and GDNF (Bengtsson et al., 1998). We now
extend the range of neurotrophic factors tested with BMPs to
S. Althini et al. / Mol. Cell. Neurosci. 25 (2004) 345–354346
include NTN (Creedon et al., 1997; Rosenthal, 1999). Moreover,
BMP6 belonging to the Gbb-60A subfamily of BMPs was added
(Miyazawa et al., 2002; see supplementary data material Fig. 1).
NTN gave a stronger outgrowth response than GDNF in both
sympathetic and ciliary ganglia in accordance with results from
Forgie et al. (1999). The NTN-induced neurite outgrowth in
sympathetic cultures was efficiently increased by BMP6. The
synergistic effects were obvious also in ciliary ganglia (supple-
mentary data material Fig. 2). Moreover, BMP4, a more distant
relative belonging to the Dpp-subfamily of BMPs (Miyazawa et
al., 2002), very efficiently increased the fiber outgrowth in com-
bination with NT3 or NTN (Figs. 1A–B) but did not stimulate the
neurons when added alone (supplementary data material Fig. 1D).
Fig. 1. Potentiation of neurotrophic responses. Darkfield micrographs of sympathe
fiber outgrowth. (B) BMP4 has no neurotrophic effect whereas it is in combination
in nerve fiber outgrowth in NT3-stimulated neurons with MEK inhibited by PD980
NT3-stimulated ganglia. (E) Scored fiber outgrowths in sympathetic ganglia confi
the NT3-stimulated cultures, even with a 1-day delay of the MEK inhibitor. Similar
PD98059. (F) Inhibition of Erk phosphorylation by PD98059 demonstrated by Wes
antibodies showed an increased signal with NT3 or with NT3 plus BMP4 90 min
Erk (p-Erk2) without affecting the level of total Erk2 protein (ratios of phosphoryl
graph below). Phospho-Smad1/5 antibodies demonstrate activation of these BMP
We next addressed the issue of signal-transducing pathways
from the Trk and Ret receptor tyrosine kinases being essential for
the BMP potentiation of neurite outgrowth. The role of the Raf/
MEK1/Erk1,2 pathway in potentiation of NT3 was tested by the
use of the pharmacological MEK inhibitors. In cultures with
sympathetic ganglia stimulated by NT3 and BMP4, PD98059 did
not inhibit outgrowth but rather appeared to further enhance the
fiber halo (not shown). This was the impetus to test the MEK
inhibitor with different neurotrophic factors but without the extra
addition of BMPs. Unexpectedly, PD98059 alone, when combined
with NT3, gave rise to drastically increased nerve fiber outgrowths
(Fig. 1C). The neurites were similar to those formed from sympa-
thetic ganglia stimulated by NGF. The increased NT3-induced
tic ganglia explanted to collagen gels for 2 days. (A) NT3 results in sparse
with NT3 strongly potentiates neurite formation. (C) Drastic improvement
59. (D) Inhibition of PI3K with LY294002 blocked the effect of PD98059 in
rmed significant increases in fiber outgrowth when PD98059 was added to
results were obtained testing GDNF and PD98059 as well as with NTN and
tern blotting of embryonic day 9 chicken sympathetic ganglia. Phospho-Erk
after stimulation. In contrast, the MEK inhibitor reduced phosphorylation of
ated over total Erk2 protein as determined by densitometry shown in the bar
Smads (p-Smad1/5) only in ganglia stimulated with BMP4.
S. Althini et al. / Mol. Cell. Neu
outgrowth in sympathetic ganglia with PD98059 was seen already
after 20 h of culture. The substantial reduction in neurite outgrowth
found upon PI3K inhibition by LY294002 was not reverted by the
MEK inhibition (Fig. 1D). In contrast to the positive effects of
PD98059 on NT3-stimulated ganglia, MEK inhibition did not
further enhance NGF-induced outgrowth, even when NGF was
given at suboptimal concentrations (not shown). The selective
inhibition of Erk2 phosphorylation by PD98059 and U0126
(Davies et al., 2000), as well as the reduction of Akt phosphory-
lation upon addition of the PI3 kinase inhibitor LY294002, were
confirmed by Western blot analysis of lysates of ganglia stimulated
by NGF (supplementary data material Fig. 3). In order to test
whether signaling from tyrosine kinase receptors other than Trk
could be potentiated by MEK inhibition, sympathetic ganglia were
stimulated by GDNF (Ebendal et al., 1995) or NTN, signaling by
activation of receptor tyrosine kinase Ret. PD98059 potentiated the
fiber outgrowth responses stimulated by GDNF and to some extent
also NTN (Fig. 1E). Thus, a striking similarity in potentiating
nerve growth between BMPs and a MEK inhibitor was found
among NT3-, GDNF-, or NTN-stimulated neurons.
The effect of PD98059 on NT3-induced neurite outgrowth
resembles the effects of the Trk kinase inhibitor K252b and its
derivative L753000 established previously (Knusel et al., 1992;
Pollack et al., 1999). We presently confirmed that K252b, like
PD98059, strongly potentiates the bioactivity of NT3 under the
current culture conditions (supplementary data material Fig. 4).
Fig. 2. Neuron survival as well as fiber outgrowth stimulated by MEK inhibition in
grown for 2 days in collagen gels in control medium or in medium with added
PD98059, NT3, or both. (B) Ciliary neurons responded to GDNF or NTN by incre
significantly. (C) U0126 increased NT3-induced fiber outgrowth in sympathetic (
explanted nodose ganglia stimulated for 2 days with NT3 (D), NT3 plus BMP6
Phosphorylation of Smad and Erk signal transducers
To examine whether signals from BMP and neurotrophic factor
receptors converge on the downstream Smad and Erk substrata, we
performed Western blot analysis of Erk1/2 (represented by the
single protein species MAP kinase Erk2/p42 in the chicken) and
Smad1/5 phosphorylation in explanted E9 sympathetic ganglia.
The results show that phosphorylation of Erk2 (at positions T193,
Y195 of chErk2; GenBank accession number AY033635) was
stimulated by NT3 after 90 min, and that MEK inhibitor
PD98059 effectively reduced phosphorylation of Erk2 without
affecting the amount of Erk protein (Fig. 1F). Addition of BMP4
did not reduce the levels of phospho-Erk compared to those seen in
controls or in the NT3-stimulated explants. Phosphorylation of the
C-terminal SSXS motif of Smad1/5 in these ganglia was strongly
increased by the addition of BMP4 but unaffected by the presence
of NT3 or PD98059. Thus, we obtained no evidence for crosstalk
between NT3 and BMP pathways at the level of activating
phosphorylation of Erk or Smad.
Specificity of MEK inhibitor-induced neurite outgrowth
We thereafter asked whether the MEK inhibition, like BMP
stimulation (Bengtsson et al., 1998; Farkas et al., 1999), potentiates
neuron survival supported by neurotrophic factors. This was tested
in a survival assay using dissociated sympathetic and ciliary
rosci. 25 (2004) 345–354 347
different types of neurons. Dissociated sympathetic or ciliary neurons were
neurotrophic factors. (A) Sympathetic neurons incubated for 2 days with
ased survival. PD98059 added together with NTN further enhanced survival
SYMP.) and nodose (NOD.) ganglia. (D–F) Darkfield micrographs of the
(E), or NT3 with PD98059 (F).
S. Althini et al. / Mol. Cell. Neu348
neurons. Increased survival was found when MEK inhibition was
combined with NT3 in sympathetic neurons (Fig. 2A) and with
NTN, but not GDNF, in ciliary neurons (Fig. 2B). Hence, inhibi-
tion of MEK like addition of BMP gave a strong burst to neurite
formation and increased neuron survival in various ganglionic
neurons stimulated by NT3, GDNF, or NTN.
A similar effect was found by applying the chemically unrelated
inhibitor U0126 that has a high degree of specificity for MEK
(Favata et al., 1998). U0126 was tested on sympathetic as well as
nodose ganglia (harbouring large sensory neurons) in the presence of
NT3 (Fig. 2C). At levels blocking MEK activity, U0126 distinctly
potentiated the fiber outgrowth response to NT3 whereas the vehicle
(0.1% DMSO with or without U0124, data not shown) lacked
influence. Thus, Erk inhibition by two different MEK inhibitors
(PD98059, U0126), like BMP stimulation, strongly potentiates
neurotrophic effects also in sensory neurons (Figs. 2D–F).
Fig. 3. (A–D) Sequential stimulation of sympathetic ganglia. (A) A 4-h priming pe
NT3 for 2 days. The resulting outgrowth is indistinguishable from that arising from
BMP4 before transfer to a collagen gel with NT3 resulted in stronger fiber outg
PD98059 also potentiated later fiber outgrowth stimulated by NT3. (D) Preincub
neurotrophic factors was not sufficient to elicit fiber outgrowth. (E) Results from qu
were dissected for immediate RNA preparation (start) or incubated for 4 h in contr
RNA preparation. Total RNA (10 ng of each sample) was used for one-step RT-
standards. TrkC was not upregulated by exposure to BMP4 whereas Smad6 and Id
Egr1 was upregulated in control culture medium whereas addition of either PD98
A brief period of BMP stimulation or MEK inhibition is sufficient
for neurotrophic synergy
Potentiation responses occurred after 1–2 days of simulta-
neous presence of BMP4 and NT3, irrespective of the order in
which they were added. If BMP4 is added to the sympathetic
ganglia when the culture is set up, NT3 can be given to the
culture after 1 day of delay and still give a dense outgrowth
during the next 1–2 days of incubation. Moreover, BMP4 added
1 day after initial NT3 stimulation robustly potentiated neurite
outgrowth during the following days of incubation. Full out-
growth potentiation occurred even when PD98059 was added to
the NT3-stimulated ganglia with up to 24-h delay (Fig. 1E),
indicating that timing of MEK inhibition in relation to onset of
neurotrophic stimulation is not critical to induce the growth
spurt.
rosci. 25 (2004) 345–354
riod in control medium before embedding the explants in collagen gels with
ganglia exposed to NT3 immediately upon dissection. (B) Incubation with
rowth than when preincubation was in control medium. (C) Priming with
ation with BMP4 followed by cultivation in a collagen gel without added
antitative real-time RT-PCR. Chicken embryonic day 9 sympathetic ganglia
ol culture medium (BME), with PD98059 or with BMP4 before subjected to
PCR. Values were normalized using averaged GAPDH and 18S rRNA as
1 transcripts were strongly upregulated by BMP4. The immediate early gene
059 or BMP4 resulted in significantly reduced Egr1 levels after 4 h.
S. Althini et al. / Mol. Cell. Neurosci. 25 (2004) 345–354 349
Considering the possibility that synergistic actions on NT3
depended on a limited priming phase rather than the continuous
presence of BMP or MEK inhibitors, we tested periods of
preincubation of the ganglia in BMP and PD98059 before
stimulation with NT3 (Figs. 3A–D). Four hours of preexposure
to BMP4 (Fig. 3B) or PD98059 (Fig. 3C) was found sufficient
for later enhanced outgrowth. A 1-h exposure period to BMP4 or
PD98059 did not substantially increase the later NT3 response.
Reversing the sequence of exposure so that the sympathetic
ganglion were first exposed to NT3 for 4 h and then stimulated
only by BMP4 for 2 days did not result in neurite outgrowth. It is
thus clear that the neurotrophic signaling must be maintained
active during culture whereas the synergistic effects by activating
BMP receptors and blocking MEK require only a limited priming
period.
The 4-h priming period necessary for later potentiation of
neurotrophic activity may be involved synthesis of new transcripts
in the ganglionic neurons. Actinomycin D was added to cultures
with NT3, NT3 with BMP4, or NT3 with PD98059 and consis-
tently resulted in total inhibition of fiber outgrowth (supplementary
data material Figs. 5A–B). In contrast, NGF with actinomycin D
gave a short but fairly dense outgrowth as noted before (Partlow
and Larrabee, 1971), indicating that suppression of RNA synthesis
does not totally inhibit neurite outgrowth in sympathetic ganglia
stimulated with NGF (supplementary data material Figs. 5C–D). It
took only a 4-h preincubation period with actinomycin D to impair
NGF outgrowth in this manner and to block BMP4 potentiation
(simultaneous incubation) of later NT3 potentiation. PD98059
priming for 4 h in the presence of actinomycin D resulted in lack
Fig. 4. Transcriptional transactivation by Elk1-Gal4 fusion protein measured by a
BMP4 reduced the NGF-induced ability of Elk1 to activate reporter transcription. (
activity of Elk1. This effect was blocked by U0126 at the concentration (1 AM) u
Like BMP4, expression of a constitutively activated BMP-receptor ALK2 reduce
alleviated when inhibitory Smad7 was added. Smad1 expression also reduced the
of later NT3 responsiveness. These observations support the idea
that new RNA need to be synthesized during the priming period
allowing for later increases in neurotrophic responses.
To examine the possibility that BMP4 or PD98059 directly
affects the expression of select genes in the primed sympathetic
ganglia, we turned to quantitative real-time RT-PCR (Fig. 3E and
supplementary data material Table 1). No differences in the levels
of TrkA (not shown) or TrkC transcripts were detected in
sympathetic ganglia incubated during 4 h in control medium
and in medium with BMP4 or PD98059 (Fig. 3E). Likewise,
RNA samples from sympathetic ganglia grown for 22 h with
NT3, NT3 plus BMP4, or with NT3 plus PD98059 did not shift
TrkA or TrkC mRNA levels (not shown). Smad6 mRNA was
increased significantly after 4 h with BMP4 but not when the
ganglia were incubated only with PD98059. Another BMP-
regulated gene, inhibitor of DNA-binding 1 (Id1), was found
strongly upregulated by BMP4, whereas the 4-h incubation in
culture medium (with or without MEK inhibition) lowered the
level significantly. The neurotrophin-regulated immediate early
gene Egr1 was upregulated after 4 h in plain culture medium.
Addition of either PD98059 or BMP4 both resulted in signifi-
cantly reduced Egr1 levels after 4 h.
BMP signals and MEK inhibition independently reduces
transcriptional activity of Elk1
Since mRNA levels for the neurotrophin-regulated early
growth response gene 1 (Egr1) were reduced in the ganglia after
4-h treatment either with PD98059 or with BMP4, it was consid-
µ µ
Gal4-luciferase reporter in PC12 cells stimulated by NGF. (A) Addition of
B) Constitutively active MEK plasmid strongly increases the transcriptional
sed here to stimulate neurite outgrowth and survival in ganglionic neurons.
d the Elk1-controlled reporter activity. The effect of ALK2 signaling was
transactivation, an effect that was inhibited by co-expressed Smad7.
S. Althini et al. / Mol. Cell. Neurosci. 25 (2004) 345–354350
ered to be of interest to examine events upstream of Egr1 but
downstream of Erk1/2. The Egr1 promoter is under strong control
of the MEK/Erk/Elk1 pathway (for a review, see Thiel and Cibelli,
2002) and contains several serum-response elements (SRE). In
order to examine the transcriptional activation by phosphorylated
Elk1, we turned to NGF-stimulated PC12 cells as a neuronal
model system and measured transcriptional activity of Elk1-Gal4
fusion protein by a transactivated Gal4-luciferase reporter in
transfected PC12 cells. Addition of BMP4 significantly reduced
the ability of Elk1 to activate transcription of the reporter (Fig.
4A). Transfection with a constitutively active MEK plasmid
strongly increased the transcriptional activity of Elk1 (Fig. 4B).
This effect was blocked almost completely by U0126 at the
concentration (1 AM) used here to stimulate neurite outgrowth
and survival in ganglionic neurons. Like BMP4, constitutively
activated BMP-receptor ALK2 reduced the Elk1-controlled report-
er. This effect was not seen when the inhibitory Smad7 was added
to the system. Transfection with a Smad1 expression plasmid also
reduced the transactivation, an effect reversed by co-expressed
Smad7 (Fig. 4B).
Discussion
The present results demonstrate a striking similarity among
BMPs on one hand and MEK inhibitors on the other hand in the
potentiation of neurotrophic activities of NT3, GDNF, and NTN.
The potentiation was found in embryonic autonomic and sensory
neurons using two structurally unrelated MEK inhibitors PD98059
and U0126 and raises the question of how signaling pathways and
downstream effector molecules interact when these neurons are
stimulated with neurotrophic factors in combination with BMPs or
MEK inhibitors.
MEK inhibition enhances neuron survival and neurite outgrowth
The synergies seen with BMPs and neurotrophins (NTs) or
BMPs and members of the GDNF-family-ligands are likely to
represent interactions at some level of signal transduction pathways
or transcriptional regulation. The major BMP signaling pathway
engages type II and type I serine/threonine kinase receptors
(BMPRII, ALK2, ALK3, and ALK6) to activate the cytoplasmic
receptor-regulated proteins Smad1, 5, and 8 (Massague and Chen,
2000; Miyazawa et al., 2002; Moustakas et al., 2001; ten Dijke et
al., 2000; von Bubnoff and Cho, 2001). In contrast, the neuro-
trophic factors examined here are signaling via the tyrosine kinase
receptors TrkA, TrkC, and Ret (Airaksinen and Saarma, 2002;
Baloh et al., 2000; Creedon et al., 1997; Kaplan and Miller, 2000;
Patapoutian and Reichardt, 2001). Binding of NTs to Trk activates
several different pathways including the PI3K/Akt kinase pathway.
The PI3K pathway is activating the downstream Akt kinase,
demonstrated to have a major function to enhance neuronal
survival (Brunet et al., 2001; Crowder and Freeman, 1998; Kaplan
and Miller, 2000).
Another tyrosine-kinase receptor pathway is utilizing the Ras/
MEK/extracellular signal-regulated kinase (Erk) cassette. Down-
stream substrates of the MAP kinase Erk2 (p42) include ternary
complex factor Elk and the Rsk kinase that might activate
transcription factors including CREB (Kaplan and Miller, 2000).
Application of MEK inhibitors utilized in the present study has
unexpectedly demonstrated that this pathway in many cases is
dispensable for neurotrophic factor-induced neuron survival and
fiber outgrowth. The synthetic, reversible inhibitors PD98059 and
U0126 readily pass the cell membrane and exhibit a high degree of
specificity for inhibition of MEK whereas some other tested
kinases are not blocked (Alessi et al., 1995; Davies et al., 2000;
Favata et al., 1998).
As noted above, the effects of the MEK inhibitors are similar to
the synergistic effects of neurotrophic activities exerted by BMPs.
NT3 by itself rescued about 50% of seeded sympathetic neurons
after 2 days in culture. We now find that adding PD98059 to the
cultures significantly increased the survival rate to over 80%,
which matches the previously reported 75% survival with NT3
combined with BMP7 (Bengtsson et al., 1998). Inhibition of MEK/
Erk signaling in response to NGF has previously been shown to be
without negative effects on sympathetic neuron survival (Creedon
et al., 1996; Virdee and Tolkovsky, 1996). Moreover, NGF
stimulated nerve fiber outgrowth in embryonic chicken sympathet-
ic and dorsal root ganglia were found to be unaffected by the
addition of PD98059 at doses inhibiting the chicken Erk2 (MAP
kinase p42; Klinz et al., 1996). The effect of inhibiting MEK seen
here is strikingly similar to the potentiation of NT3 bioactivity
earlier described for K252b (Knusel et al., 1992; Maroney et al.,
1997) or its analogue L753000 (Pollack et al., 1999) and ascribed
to the inhibition of TrkA kinase activity. Moreover, a previous
report noted potentiation by PD98059 and U0126 on NT3-stimu-
lated neurite outgrowth from explanted dorsal root ganglia from the
adult mouse (Wiklund et al., 2002).
Mechanisms involved in neurotrophic synergy
There are several levels of possible crosstalk between signals
arising from activated BMP and NT3/GDNF/NTN. Inhibition of
MEK may mimic BMP actions by influencing these signaling
cascades at one or several levels. A first level of possible
convergence points comprises of inhibited phosphorylation at
activating sites in Erk2 by receptor-activated Smads 1 and 5. This
would account for the similarity in potentiation of neurotrophic
activity found between added BMP and MEK inhibitors. Some
reports show that BMP may inhibit growth factor-induced Erk
activation (Ghosh Choudhury et al., 1999) and that TGFh has
inhibitory effects on Erk2 in epithelial cells that may be mediated
by activation of serine/threonine phosphatases (Giehl et al., 2000).
However, such a model is not supported by the present results from
Western blot analysis of phospho-Erk, showing that PD90859
effectively blocks activating phosphorylation of Erk but that
BMP does not affect the Erk phosphorylation.
Despite the rapid phosphorylation events upon receptor stim-
ulation, a priming period of 4 h with BMP4 or PD98059 was
required for later potentiation of responses to NT3. This argues
for the requirement of physiological changes in the cells, possibly
involving de novo synthesis of transcripts, for example, encoding
transcription factors, signal mediators, or receptors. This is also
supported by our observations on cultures treated with actinomy-
cin D.
We have previously given reasons why it is likely that the
activity of NT3 under the present conditions is mainly mediated via
TrkA rather than via TrkC (Bengtsson et al., 1998). Nevertheless,
potentiation of NT3 activity seen when BMP is added would be
easily explained by upregulation of the cognate NT3 receptors
TrkC and TrkA (and, in consequence, also upregulation of GDNF
and NTN receptors by BMPs to account for the potentiation of
Fig. 5. Model of the signaling crosstalk between neurotrophic factors
(NTFs) and bone morphogenetic proteins (BMPs) related to the effects of
MEK inhibition. Direct stimulatory modifications are indicated by straight
arrows while inhibitory actions are shown with an end bar. Transcriptional
regulations are shown by knicked arrows. The dotted line from Erk1/2 to
Smad1/5 indicate a putative inhibitory modification shown to have
marginal if any effects in the present system.
S. Althini et al. / Mol. Cell. Neurosci. 25 (2004) 345–354 351
these trophic factors). We now excluded this possibility by real-
time PCR, again failing to show any shifts in TrkA or TrkC mRNA
levels in the ganglia treated with BMP4.
We were interested to see whether BMP-regulated genes were
induced after addition of PD98059. Smad6 (Ishida et al., 2000) and
the inhibitor of DNA-binding genes Id1-3 are rapidly induced by
BMP (Hollnagel et al., 1999; Miyazawa et al., 2002; Miyazono and
Miyazawa, 2002). Although our real-time PCR data show that the
presence of BMP4 for 4 h induces the expression of Smad6 and
Id1, both documented as immediate early BMP-responsive genes,
these responses were not found upon addition of PD98059. This
finding argues against the possibility of an inhibitory action of
MEK/Erk on Smads 1 and 5. Precedence for such a mechanism is
found in reports showing that Erk phosphorylation of residues in
the linker region of Smad1 prevents nuclear localization upon
activation by receptor-mediated phosphorylation of C-terminal
serine residues (Kretzschmar and Massague, 1998; Kretzschmar
et al., 1997). Nevertheless, we did not see any major influence by
Erk on the activity of Smad1 and Smad5 in the studied ganglia.
Similar findings were previously made in NGF-stimulated PC12
cells where we demonstrated that U0126 did not increase Smad1 or
Smad5 transcriptional activity as measured in a reporter assay
using a Smad-binding element (Althini et al., 2003), nor was
increased transcriptional activity seen with U0126 in these cells
when Smad5 was fused with Gal4 in a transactivating reporter
system.
We now show that both BMP4 and PD98059 downregulated
the immediate early gene Egr1, encoding the zinc finger tran-
scription factor early growth response-1 (Egr1, also known as
NGFI-A, zif268, and Krox24; Milbrandt, 1987; Sukhatme et al.,
1988), which is induced upon Erk1/2 activation of Elk1. The
promoter region of Egr1 has several serum-response factor
elements (SRE; Thiel and Cibelli, 2002) that bind serum response
factor (SRF) and Elk1 (or other related Ets proteins) in a ternary
complex. It is thus expected that inhibition of the MEK/Erk/Elk1
pathway will reduce transcription of Egr1 whereas the mecha-
nism for a similar effect by BMP signals appear less obvious.
While on and off DNA interactions between Smad2/3 proteins
and the AP-1 family proteins c-Jun, JunB, JunD, and c-Fos have
been demonstrated to influence transactivation of various pro-
moter elements (Liberati et al., 1999; Verrecchia et al., 2001;
Zhang et al., 1998), no similar findings seem to concern the
BMP-activated Smads 1 and 5 and ternary complex factors.
However, the expression of several immediate early genes,
including Egr1, that are controlled by serum-response elements
are repressed by Wnt signaling (likely mediated by h-catenin)without reduction of Erk/Elk phosphorylation and without inter-
ference in formation of the ternary complex at the SRE (Tice et
al., 2002). By analogy, activated Smad1 and Smad5 may possibly
function in the sympathetic neurons to repress co-activators (e.g.,
CBP/p300) and thus reduce SRE-driven gene expression. Thus,
Egr1 expression represents one convergence point for BMP
signaling and MEK inhibition. Whether this is a critical step in
the increased neurite outgrowth and neuronal survival, demon-
strated here when BMP or MEK inhibitors are added to neurons,
remains to be proven. It may well be the case because Egr1,
among its several functions (O’Donovan et al., 1999), includes
pro-apoptotic properties (Thiel and Cibelli, 2002). Egr1 is rapidly
induced in brain neurons following electrostimulation (O’Dono-
van et al., 1998; Sgambato et al., 1998), and a dominant negative
inhibitor of Egr1-mediated transcription will reduce neuronal
apoptosis (Levkovitz and Baraban, 2001). Several downstream
events controlled by activated Egr1, including activation of the
p53 promoter, binding to c-Jun or transactivation of the lipid
phosphatase PTEN gene opposing the PI3K-Akt pathway, could
account for its apoptotic effects in neurons (Thiel and Cibelli,
2002).
A proposed model
Based on our findings, we suggest a model presented in Fig. 5
for the interplay between neurotrophic factor signaling and signals
from the BMP pathway. Inhibition of MEK activity by PD98059
and U0126 will result in reduced phosphorylation of Erk1/2. This
leads to reduced activation of Elk1 or other ternary complex
factors regulating transcription from genes containing serum-
response elements such as Egr1. Reduction of Erk activation by
MEK inhibitors may also alleviate inhibitory phosphorylation in
the linker region of BMP-receptor-activated Smad proteins, but
this was shown here to be of little effect to activate BMP-
regulated genes such as Id1. In contrast, BMPs by activating the
serine/threonine type I receptor ALK2 causes C-terminal phos-
phorylation and activation of Smads 1 and 5 that upregulates BMP
target genes like Smad6 and Id1. A further effect is an inhibition
of Elk1 transcriptional activation possibly by interference with
common co-activators like the histone acetylase p300 (Li et al.,
2003). Like upstream MEK inhibition, this will result in reduced
levels of Egr1 transcript that may subsequently alter gene activity
further downstream.
l. Neurosci. 25 (2004) 345–354
Significance for in vivo events
It is of note that both MEK inhibitors described here to strongly
support neurotrophic factors also have been shown to robustly
protect brain neurons from ischemic insults in animal models
(Alessandrini et al., 1999; Namura et al., 2001). In a traumatic
brain injury (TBI) model, Mori et al. (2002a) recently found that
phospho-Erk was upregulated while no changes were found in
JNK phosphorylation. Blocking Erk activity with PD98059
resulted in significant reduction of cortical lesion volumes whereas
the application of p38 and JNK inhibitor SB203580 did not
improve outcome of brain trauma. The specific effects of inhibiting
MEK/Erk are also supported by findings in this TBI model using
MEK inhibitor U0126 (Mori et al., 2002b). The possibility exists
that such protection is mediated by endogenous neurotrophic
factors potentiated by MEK inhibition. Such signaling pathways
could be future pharmacological targets and find therapeutic use
(English and Cobb, 2002; Swain et al., 1999).
S. Althini et al. / Mol. Cel352
Experimental methods
Bioassays
Sympathetic ganglia dissected from the E9 chicken embryo,
and in addition, ciliary, nodose, and dorsal root ganglia were
included in the assays according to established methods (Bengts-
son et al., 1998; Ebendal, 1989; Ebendal et al., 1980; Kullander et
al., 1997). The ganglia were placed in a small drop of culture
medium and subsequently embedded in a collagen gel having a
volume of 100 Al. Another 100 Al of culture medium (Eagle’s
Basal Medium, BME, supported with 0.5% fetal calf serum, FCS)
with additives such as double-strength neurotrophic factors or
kinase inhibitors were added over the gel matrix for incubation
in a humidified carbon dioxide incubator for 2 days. Scores were
set on a standardized scale from 0 (no outgrowth) to 5 (very dense
circular fiber halos around the explanted ganglia by two indepen-
dent observers using coded cultures. Experiments were repeated at
least twice with 4–20 ganglia scored in each group. For examina-
tion of dissociated neurons, ganglia were incubated with 0.5%
trypsin for 30 min and then suspended in culture medium for
inclusion in collagen gels (Bengtsson et al., 1998).
Growth factors and kinase inhibitors
The following growth factors were used at indicated final
concentrations: recombinant human BMP4 (100–200 ng/ml) from
R&D Systems, Minneapolis, MN, USA (cat. # 314-BP). BMP6
(tested at 200 ng/ml) was from Creative Biomolecules, Ltd,
Hopkinton, MA, USA. NTN and GDNF (both used at 50 ng/ml)
were from PeproTech Inc. (Rocky Hill, NJ, USA). Mouse hNGFwas prepared in our laboratory (Kullander et al., 1997). NT3 (used
at 10 ng/ml) was from Austral Biologicals, San Ramon, CA, USA.
Kinase inhibitors were dissolved in dimethylsulfoxide (DMSO)
and tested on ganglionic neurons. We used two substances inhibit-
ing MEK signaling: PD98059 at 50 AM (Calbiochem EMD
Biosciences Inc., La Jolla, CA, USA, #513000; Alessi et al.,
1995) and U0126 at 1 AM (from Promega Biosceinces Inc., San
Luis Obispo, CA, USA, Cat. #V1121 or Calbiochem #662005;
Favata et al., 1998). MAP kinase p38 inhibitor SB203580 at 10 AM(Calbiochem #559395) was also tested. For blocking PI3 kinase
signaling, LY294002 at 50 AM (obtained from Calbiochem
#440202) was applied. Kinase inhibitor K252b (Calbiochem
#420301) was tested at 0.1 AM considering its ability to inhibit
TrkA. Control cultures received either 0.1% DMSO in the culture
medium or the inactive derivatives U0124 (5 AM; Calbiochem,
#662006) or SB202474 (50 AM; Calbiochem, #559387) dissolved
in DMSO. To inhibit RNA synthesis, actinomycin D-mannitol
(Sigma Aldrich corporation, St Louis, MO, USA, cat. #A 5156)
was added at an effective concentration of 1 Ag/ml.
Immunoblotting and kinase assay
E9 chicken sympathetic ganglia were treated for 90 min with
control medium, NT3, BMP4, NT3 plus BMP4 or NT3 and
PD98059. After incubation, ganglia were washed in PBS and
lysed in 20 mM Tris–HCl (pH 7.4), 150 mM NaCl, 1 mM EDTA,
1 mM EGTA, 1% Triton X-100, 2.5 mM sodium pyrophosphate, 1
mM h-glycerolphosphate, 1 mM Na3VO4, 1 Ag/ml leupeptin, and
1 mM phenylmethylsulfonyl fluoride (PMSF). SDS-boiled samples
were run on a 10% polyacrylamide gel before being transferred to a
PVDF membrane and subsequently incubated with primary anti-
bodies overnight at 4jC. For detection of phosphorylated versus
total Erk2 and Akt, we used the Phospho-Plus Antibody Kits from
Cell Signalling Technology (Beverly, MA, USA; cat. #9110 and
9270, respectively). A rabbit polyclonal antibody was used to
detect phospho-Smad1/5/8 (pS1, diluted 1:1000, Peter ten Dijke,
the Netherlands Cancer Institute, Amsterdam, the Netherlands).
Secondary antibodies (anti-rabbit or anti-mouse IgG) conjugated
with horseradish peroxidase were used for enhanced chemilumi-
nescence detection (LumiGlo substratum, Cell Signalling). To
quantitate band densities, films were digitalized and analyzed for
average density using the Jandel Video Analysis system (JAVA,
SPSS, Chicago, IL, USA).
Real-time RT-PCR
In order to examine levels of specific transcripts, E9 chicken
sympathetic ganglia were subjected to RNA isolation using Qiagen
Rneasy (Qiagen Inc., Valencia, CA, USA). The Qiagen QuantiTect
SYBR Green RT-PCR kit for a one-step reaction (reverse tran-
scription at 50jC for 30 min) yielding amplified fragments of
about 100 base pairs was used with primers for chicken TrkC,
TrkA, Smad6, Id1, and Egr1 (seesupplementary data material Table
1 for primer pairs and GeneBank accession numbers). For normal-
ization of data, averaged expression of GAPDH and 18S rRNA
was determined. Quantitative real-time RT-PCR was run for 50
cycles (94jC for 15 s, 60jC for 30 s, and 72jC for an additional 30
s) using an iCycler thermal cycler (Bio-Rad Laboratories, Inc.,
Hercules, CA, USA) following a hot start (95jC for 15 min). After
completion of the cycles, melting curves obtained by increasing the
temperature from 55 to 96jC in increments of 0.5jC were
examined to ascertain specificity of the PCR-products.
PC12 cell transfection and luciferase assay
In order to evaluate effects of BMPs and MEK inhibitors on
substrata downstream of Erk2, we analyzed transcriptional activity
of an Elk1-Gal4 fusion protein by a luciferase reporter system
(PathDetect Elk1 trans-Reporting system, cat. #219005. Strata-
gene, La Jolla, CA, USA). Briefly, rat pheochromocytoma PC12
cells were seeded on a thin collagen film and grown under low-
S. Althini et al. / Mol. Cell. Neurosci. 25 (2004) 345–354 353
serum conditions (0.5%) for 1 day in the presence of NGF at 50 ng/
ml. The differentiating cells were then transfected using Lipofec-
tamin 2000 (Gibco, InVitrogen Life Technologies, San Diego, CA,
USA). The cells also received appropriate control plasmids (mock
transfections) or plasmids encoding Smad1, Smad7, constitutively
active ALK2, or constitutively active MEK1 (pFC-MEK1) as
detailed previously (Althini et al., 2003). After further incubation
for 2 days, the PC12 cells were harvested for determination of
luciferase activity (reporter lysis buffer and luciferase assay sub-
strate from Promega, Madison, WI, USA) in a Wallac Victor
luminometer (model 1420 Multilabel Counter) and the data nor-
malized to h-galactosidase encoded by a co-transfected pCMV-
hgal plasmid.
Statistical analysis
The SigmaStat version 2.0 software (SPSS, Inc) was used for
statistical analysis. Error bars indicate standard error of the mean
throughout the figures, *P < 0.1, **P < 0.05, and ***P < 0.001.
Acknowledgments
We are grateful for valuable discussions and help given by Peter
ten Dijke and Carl-Henrik Heldin. The Swedish Research Council,
The Swedish Foundation for Strategic Research, and Curis, Inc.
supported this work.
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