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1
Comparative study of ezrin phosphorylation among different
tissues: more is good; too much is bad
Lixin Zhu, Jason Hatakeyama, Cheng Chen, Aditi Shastri, Kevin Poon, and
John G. Forte*
Department of Molecular & Cell Biology
University of California,
Berkeley, California 94720
Running head: Turnover of ezrin T567 phosphorylation in different tissues
Key words: stomach, kidney, intestine, membrane-cytoskeleton, ERM,
phosphorylation
* Corresponding author:
John G. Forte
Department of Molecular and Cell Biology,
241 LSA, MC #3200
University of California,
Berkeley,
CA94720-3200
Tel: (510) 642-1544
Fax: (510) 643-6791
Email: [email protected]
Articles in PresS. Am J Physiol Cell Physiol (May 14, 2008). doi:10.1152/ajpcell.00159.2008
Copyright © 2008 by the American Physiological Society.
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ABSTRACT
In comparing three different tissues, the membrane cytoskeleton linker protein ezrin was
found to assume high levels of phosphorylation on threonine-567 (T567) in the brush
border membranes of renal proximal tubule cells and small intestine enterocytes, in
contrast to the apical canalicular membrane of gastric parietal cells. Together with an
earlier observation that increased T567 phosphorylation is associated with more elaborate
microvilli in parietal cells, this comparative study suggested a higher phosphorylation
level requirement for the denser and more uniform distribution of microvilli at brush
border surfaces. Using a kinase inhibitor, staurosporin, and metabolic inhibitor, sodium
azide, relatively high turnover of ezrin T567 phosphorylation was observed in all three
epithelia. Aiming to understand the role of phosphorylation turnover in these tissues,
detergent extraction analysis of gastric glands and proximal tubules revealed that an
increased phosphorylation on ezrin T567 greatly enhanced its association with F-actin,
while ezrin-membrane interaction persisted regardless of the changes of phosphorylation
level on ezrin T567. Finally, expression of Thr567Asp mutant ezrin, which mimics the
phospho-ezrin state but does not allow turnover, caused aberrant growth of membrane
projections in cultured proximal tubule cells, consistent with what had previously been
observed in several cell lines and gastric parietal cells. These results fit into a model of
surface plasticity, which posits that the turnover of phosphorylation on T567 empowers
ezrin to relax and reposition membrane to the underlying cytoskeleton under varying
conditions of filament growth or rapid membrane expansion (or depletion).
3
INTRODUCTION
The membrane-cytoskeleton linker protein ezrin is a major component of membrane
projections in many cell types (6). As a linker protein, ezrin is invested with two binding
domains: the C-terminal F-actin binding domain (C-term), and the N-terminal membrane
binding domain (N-term), which has also been called the FERM domain because of a
conserved membrane binding domain found in all members of the FERM (4.1,
ezrin/radixin/moesin) protein family (1, 10, 16, 17). It seems that the N-term can be
further divided into two subdomains because: 1) phosphorylation dependent and
independent membrane binding were observed for ezrin (49); and 2) ezrin can bind two
different types of membrane components: phospholipid PIP2 (32) and membrane
proteins. The binding of ezrin to membrane proteins was reported to be either direct or
through adaptor proteins, such as NHERF1 and NHERF2 (5).
The intramolecular interaction of the N-term with C-term provides a means for regulating
ezrin activity. In gastric parietal cells, where ezrin was first reported as a stimulation-
dependent 80K phosphoprotein (39, 40), N-C binding of ezrin was visualized by FRET
analysis in situ (48), complementing evidence from blot overlay experiments (14). Ezrin
in the N-C conformation did not show significant binding to other proteins, as co-
immunoprecipitation with anti-ezrin did not pull down any binding proteins from gastric
gland lysates (48). Phosphorylation of ezrin on T567 was found to break the N-C
binding, and turn ezrin into the active conformation, which allows F-actin binding and
4
stronger membrane binding (49). Similar observations were also observed with other
members of the ERM protein family, moesin (20, 30, 34) and radixin (21, 25).
The development of a specific antibody against threonine-567 phosphorylated ezrin
isoform (T567 in ezrin, T558 in moesin, and T564 in radixin)(25), together with the
introduction of the T567D mutant (15), greatly facilitated the study of the physiological
significance of this phosphorylation event. A common observation is that the
phosphorylation on T567 is often accompanied by enhanced cellular activity, for
instance, the translocation and activation of NHE3 in an intestinal cell line (36), and the
formation of microvilli, lamellipodia, and membrane ruffles in several other systems (11,
15, 33). Naturally, phosphorylation on T567 is regarded as an activation mechanism for
ezrin (12) and the phosphorylated ezrin is considered as an active form of ezrin (45).
The expression of ezrin T567D mutant also caused elongated projections on the plasma
membrane of cultured gastric parietal cells (47). However, the elongated projections and
the associated T567D mutant were not located on the apical membrane where the
majority of native ezrin is usually located. Instead, T567D mutant expression caused
abnormal growth of membrane projections on the basolateral membrane and thus
changed the polarity of gastric parietal cells (47). We attributed this phenomenon to the
blockage of dephosphorylation after our more recent discovery that there is a high
turnover of phosphorylation on ezrin T567 (49). FRAP analysis revealed that the ezrin
T567D mutant was tightly associated with its basolateral membrane/cytoskeleton locus.
5
Thus dephosphorylation is as important as the phosphorylation event for ezrin function in
gastric parietal cells.
Is this phosphorylation turnover mechanism for the regulation of ezrin activity also
present in other cell systems? We describe here surprising results, comparing the state of
ezrin phosphorylation in gastric parietal cells and other freshly isolated epithelial cells,
mainly renal proximal tubule cells and intestinal enterocytes, where ezrin is enriched in
the brush border microvillar membranes. We found that the steady state phosphorylation
level of ezrin T567 in the latter brush border systems is much higher than that in gastric
parietal cells; nevertheless, ezrin T567 phosphorylation is regulated by a turnover
mechanism in all these epithelia. In addition, we provide evidence to support the notion
that ezrin can bring membrane to filamentous actin binding sites, thus high turnover of
ezrin phosphorylation in the actin binding domain empowers ezrin to reposition the
membrane along the filamentous actin length and provide dynamic surface plasticity.
6
MATERIALS AND METHODS
Reagents
Phosphatase inhibitor calyculin A (CLA, Biomol international, L.P., Plymouth Meeting,
PA) and kinase inhibitor staurosporin (Alexis, corporation, Lausen, Switzerland) was
used at 1 μM final concentration. Stock solutions of these drugs were made in DMSO.
When CLA and staurosporin were used, control samples were mock treated with DMSO.
The monoclonal anti-ezrin (4A5) antibody used in this study was purchased from
Covance (Berkeley, CA). HRP-conjugated goat anti-mouse and HRP-conjugated goat
anti-rabbit were purchased from Jackson ImmunoResearch Laboratories, Inc., West
Grove, PA. FITC labeled phalloidin is from Sigma. Alexa555 conjugated goat anti-
mouse was a product of Invitrogen (Eugene, Oregon). Phospho-ezrin (Thr567)/radixin
(Thr564)/moesin (Thr558) rabbit antibody (anti-T567P) was purchased from Cell
Signaling Technology, Danvers, MA. Mouse monoclonal anti-moesin antibody is from
Santa Cruz Biotechnology, Inc (Santa Cruz, CA). Monoclonal anti-actin (clone C4) was
purchased from MP Biomedicals, Inc. (Solon, Ohio)
Recombinant adenoviruses rAD/EzWT-CFP, rAD/EzT567A-CFP and rAD/EzT567D-
CFP were produced and amplified in our lab as described previously (47). These viruses
express wild type ezrin, its T567A mutant or its T567D mutant, with a cyan fluorescence
protein (CFP) tag inserted at the carboxyl terminus.
7
Isolation of gastric glands, renal proximal tubules, renal proximal tubule cells and
small intestine organoids.
All procedures and treatments for handling animals were reviewed and approved by the
Berkeley Animal Care and Use Committee. Gastric glands were isolated from New
Zealand White rabbits [Oryctolagus cuniculus] as previously described (47). About 60%
of the mass of isolated gastric glands consists of parietal cells, and these contain virtually
all of the glandular ezrin.
Isolation of the renal proximal tubules was following the procedure of Mandel’s
laboratory with modifications (9). Briefly, a kidney was taken immediately after the
stomach was removed from the rabbit. After removing the renal capsule, the cortex was
trimmed from the excised kidney, minced and digested for 30 min at 37°C in Eagle’s
Minimum Essential Medium (MEM) supplemented with 20 mM Hepes (pH 7.3), 1
mg/ml collagenase, and 0.8 mg/ml bovine serum albumin (BSA). All solutions used for
mincing, collagenase digestion, and subsequent centrifugations were all gassed with
100% O2 in order to minimize hypoxia during tissue preparation. The digested mixture
was filtered through cheesecloth to remove large connective tissue and undigested
materials and sedimented by centrifugation at 50x g for 2 min at room temperature. The
brief centrifugation efficiently removed single cells, small fragments of tubules and other
small structures. The pellet was washed twice with oxygenated MEM (repeat
resuspension and centrifugation) at room temperature. The pellet was then resuspended
in oxygenated MEM supplemented 20 mM Hepes, 4mM glycine and ready for use.
Microscopic examination of the preparation indicated that about 80% of the preparation
8
is derived from proximal tubule. The remaining 20% consisted of other parts of the
nephron and connective tissue, which have much lower levels of ezrin expression (3).
To isolate single proximal tubule cells, the isolated proximal tubules were first subjected
to the same collagenase-enriched MEM described above. The digested materials were
then filtered through 40 μM nylon cell strainers (Becton Dickinson & Co, Franklin
Lakes, NJ) to remove large tubules. The cells in the filtrate were pelleted by
centrifugation at 200x g for 5 min at room temperature. Cells were washed twice with
MEM before plating onto Matrigel (Collaborative Biomedical, Stony Brook, NY)-coated
coverslips or dishes and incubated at 37°C in chemically defined culture medium A,
which consists of DMEM/F12 (Gibco BRL), 20 mM Hepes, 0.2% BSA, 10 mM glucose,
8 nM epidermal growth factor, 1× SITE medium (containing selenite, insulin, transferrin
and ethanolamine, Sigma S4920), 1 mM glutamine, 100 U/ml penicillin/streptomycin,
and 400 g/ml gentamycin sulfate, pH 7.4. After 5 hr of incubation the cells became
attached to the vessle surfaces and adenoviral infection was started.
Approximately 30 cm of small intestine was removed from the rabbit, cut open, washed
with saline, and the mucosa scraped. Fragments of mucosal scrapings were subjected to
the same collagenase digestion procedure described for isolation of renal proximal
tubules. The final pellet was resuspended in oxygenated MEM supplemented 20 mM
Hepes and consisted of small groups of villi that we call intestinal organoids.
9
Immunoblot analysis
Protein samples were separated by SDS-PAGE before transferring onto nitrocellulose
membranes. Membranes were blocked with 2% BSA in Tris-buffered saline (10 mM
Tris, pH 7.0, 150 mM NaCl) containing 0.05% Tween-20. The membranes were then
probed with primary and secondary (horse radish peroxidase conjugated) antibodies.
Results were then recorded by X-ray films with the Western Lightning
Chemiluminescence substrate (PerkinElmer Life Sciences, Boston, MA). When
reprobing was needed, the blot was stripped in (2% SDS, 1% 2-mecaptoethanol and 62.5
mM Tris-HCl, pH6.8) at 50°C for 30 min. The blot was then blocked and reprobed with
another primary antibody. The signals from anti-T567P and anti-ezrin probing were
found not to interfere with each other or subsequent western blot results.
Ezrin extraction analyses with Triton X-100 and digitonin
Triton X-100 extraction analyses were performed to evaluate the association of ezrin with
F-actin (9, 12). Freshly isolated gastric glands or renal proximal tubules were treated
with 1 μM CLA for 5 min to block protein dephosphorylation and thus maximize
phosphorylation levels, or treated with 10 mM sodium azide for 30 min to block
metabolism and reduce ATP (& phosphorylation) levels. The tissues were then extracted
with 1% Triton X-100 for 5 min at room temperature. After centrifugation at 100,000x g
for 15 min at 4°C, samples of supernatant extracts and cytoskeleton pellet were collected
and examined by western blots successively probed for T567-P, total ezrin and actin.
10
Digitonin was used to perforate cells by way of cholesterol extraction for the study of
cytosolic proteins with minimum interference to membrane proteins (24, 35). Freshly
isolated gastric glands were compared with an experimental set treated with 1 μM CLA;
control proximal tubules were compared with an experimental set treated with 10 mM
NaN3. The respective glands and tubules were permeabilized by treatment with 40 μg/ml
digitonin and extracted for 5 min, either in low salt buffer (250 mM sucrose, 1 mM
EDTA, 10 mM Hepes, pH 7.3) or normal phosphate buffered saline with 1 mM EDTA.
Samples were centrifuged at 10,000x g for 5 min at 4°C. Blots of supernatant extracts and
residual pellet fractions were probed for ezrin T567-P and ezrin. Additional gels were
run in parallel for Commassie blue staining.
Time course of the phosphorylation turnover on ezrin T567
Gastric glands aliquoted into individual tubes were treated with 1 μM CLA for various
time periods as indicated. Aliquoted renal proximal tubules were treated with a
membrane permeable broad-spectrum kinase inhibitor, staurosporin at 1 μM for various
time periods as indicated. Reactions were stopped by immediate boiling in SDS-loading
buffer. Samples were analyzed by Western blots probed for ezrin T567-P and ezrin.
Immunofluorescence microscopy
Proximal tubules and small intestine organoids treated with sodium azide and control
samples were attached to the poly-L-lysine (Sigma, P1399) coated coverslips, fixed by
3.7% formaldehyde and permeabilized with 0.5% Triton-X100. Samples were then
probed with anti-ezrin antibody. Afterwards, the cells were incubated with Alexa 555-
11
conjugated anti-mouse antibody together with FITC-phalloidin. Images of Alexa 555
(excitation with 543nm laser, emission from 590-655 nm) and FITC (excitation with 488
nm laser, emission from 505-580 nm) were collected at one airy unit pinhole with Plan-
Neofluar 40x/1.3 Oil DIC objective on a Zeiss LSM 510 meta confocal microscope.
Cells grown on Matrigel coated coverslips were fixed by 3.7% formaldehyde,
permeabilized with 0.1% Triton-X100 and then followed the same procedure as described
above.
Live cell imaging
Proximal tubule cells were grown on Matrigel-coated coverslips, infected with
recombinant adenovirus expressing CFP tagged wildtype ezrin, T567A mutant or T567D
mutant for 2 days. CFP images (excitation with 458 nm laser, emission from 473-515 nm)
were then collected with a water immersion objective Achroplan 40x/0.8W at one airy
unit pinhole on a Zeiss LSM 510 meta confocal microscope.
12
RESULTS
Ezrin T567 phosphorylation in renal proximal tubule and small intestine enterocytes
are higher than that in gastric parietal cells.
Two types of cells well known for the rich brush border microvilli on the apical plasma
membrane, renal proximal tubule cells and small intestinal enterocytes, are a rich source
of ezrin. Our first objective was to determine the relative phosphorylation level on ezrin
T567 (T567-P) in these cells and compare that with parietal cells. For this purpose the
relative levels of total ezrin and of T567-P ezrin were analyzed in isolated gastric glands,
renal proximal tubules and small intestine organoids by Western blot. In order to
approach maximal and minimal levels of T567 phosphorylation the various tissues were
respectively treated with the protein phosphatase inhibitor calyculin A (CLA) or the
metabolic inhibitor sodium azide. The expectation was that inhibition of protein
phosphatases by CLA would increase T567-P level if there were sustained kinase activity.
On the other hand azide shuts off ATP production by the oxidative phosphorylation, thus
depriving the protein kinases of their substrate and causing decreased phosphorylation
level. NaN3 has long been used to achieve chemical anoxia in physiological studies (22,
41).
Western blots of treated and control tissues were probed with anti-T567-P followed by
stripping and reprobing with anti-ezrin (Figure 1). Two proteins were revealed by T567-
P antibody. The band with higher apparent molecular mass (Mr) is T567-P ezrin because
13
it was recognized by a highly specific ezrin antibody. The other band is likely moesin
judging from its slightly lower Mr and subsequent tests. Interestingly, the results for
gastric glands differed markedly from those obtained for proximal tubules and small
intestine. For gastric glands the ezrin T567-P level increased greatly when incubated
with CLA, indicating that T567 phosphorylation level is low in the native condition;
whereas, azide did not produce any detectable effect on ezrin T567-P level, again
reflecting the fact that gastric ezrin carries a low level of T567-P in the steady state. A
contrasting result was observed with renal proximal tubules. CLA had virtually no effect
on ezrin T567-P level, while azide greatly depressed T567-P. The results for small
intestinal enterocytes were similar to those for proximal tubules, indicating that both of
these brush border-rich tissues have a higher steady state level of ezrin T567-P than that
of gastric glands.
Relatively fast turnover of ezrin T567 phosphorylation.
To determine the relative turnover of ezrin T567-P, time-course experiments were
performed to study the changes in ezrin T567-P after the addition of agents that block
phosphorylation or dephosphorylation. For gastric glands, CLA was used because the
phosphorylation level is low in the native state. Changes in the relative level of ezrin
T567-P after addition of CLA are shown in Figure 2A, where it appears that the time for
50% increase of ezrin T567-P was less than a minute for gastric glands. Since ezrin in
proximal tubules is normally highly phosphorylated, we used agents to block
phosphorylation (either azide or the membrane permeable kinase inhibitor staurosporin)
14
and subsequently observed the time course of T567-P depletion from ezrin. In Figure 2B
staurosporin was used to decrease the phosphorylation level. Staurosporin effectively
reduced the phosphorylation of ezrin, with the time required for 50% decrease in T567-P
being about 2-3 min. When doing the similar experiment with azide treatment, the half
time for depletion was found to be somewhat slower (about 4 min, data not shown).
Because of inherent problems with respect to permeation and multiplicity of action for
the various inhibitors these data cannot be taken as definitive values for reaction rates,
but they do indicate that the T567-P turnover is relatively fast in these tissues.
Since moesin existed in a similar amount as ezrin in the brush border of proximal tubules,
it was also of interest to examine the phosphorylation turnover of moesin in these
samples. Thus the blots with proximal tubules were also probed with anti-moesin
antibody. The result shown in Figure 2B indicated that moesin, like ezrin, assumed a
highly phosphorylated steady state in proximal tubule, and the phosphorylation level on
T558 dropped rapidly upon inhibition of kinases with staurosporin. The time required for
half decrease in T558-P being about 2-3 min, similar to that of ezrin T567-P.
Ezrin-cytoskeleton binding is enhanced by phosphorylation
To evaluate T567-P turnover as a regulatory mechanism for ezrin activity in tissues, two
extraction methods were used to study the interactions of ezrin with F-actin and plasma
membrane in renal proximal tubules and gastric glands. Extraction with TX-100 removes
soluble and membrane bound proteins, leaving behind the F-actin cytoskeleton pellet and
15
many actin bound proteins (15). Isolated gastric glands and proximal tubules were taken
fresh as control tissue, or treated with CLA to block protein dephosphorylation and thus
maximize phosphorylation levels, or treated with sodium azide to reduce ATP
phosphorylation levels. The tissues were then extracted with 1% TX-100 for 5 min at room
temperature. Samples of supernatant extracts and cytoskeleton pellet were examined by
Western blots probed for T567-P, total ezrin, and actin.
For gastric glands, total actin was predominantly distributed to the cytoskelton pellet over
the supernatant (~4:1) and was not significantly different between the various
experimental treatments (Figure 3C). This is consistent with previous findings that actin
in gastric glands is predominantly in the filamentous form (2). As expected, treatment
with CLA resulted a large increase (~4-5 fold) in T567-P level compared to control
glands (Figure 3B). Treatment with N3 produced no significant change in T567-P
compared to fresh glands (Figure 3B). For all treatments ezrin T567-P was always
predominantly distributed toward the pellet which was always about 4 times greater than
that extracted into the TX-100 supernatant (Figure 3B). In control glands total ezrin was
distributed between supernatant and pellet in approximately 60:40 ratio (Figure 3A).
Treatment with CLA greatly altered the TX-100 extraction so that the majority of ezrin
(>80%) remained with the pellet (Figure 3A). For glands treated with N3 there was very
little difference from control, either with respect to the relative amount of T567-P or in
the supernatant/pellet distribution ratio of total ezrin (Figure 3A).
16
As in gastric glands, proximal tubular actin was predominantly distributed to the TX-100
pellet for all treatments (Figure 3F). Treatment of proximal tubules with CLA produced no
significant change in the level of total T567-P ezrin (P > 0.05), although there was a tendency
for a shift in T567-P distribution from pellet to supernatant (Figure 3E). After N3-treatment
the levels of T567-P ezrin were significantly (P < 0.01) decreased in the supernatant and
pellet fractions (Figure 3E), and total ezrin was redistributed toward the supernatant
compared to control (Figure 3D). The distribution of T567-P ezrin was always predominant
in the pellet under all conditions for both proximal tubules and gastric glands (cf. Figures 3B
& 3E). The most obvious difference between proximal tubules and gastric glands occurred
in the respective control preparations where the proportion of total ezrin was predominantly
associated with the cytoskeleton for proximal tubules and reversed for gastric glands (cf.
Figures 3A & 3D).
For both gastric glands and renal proximal tubules T567-P ezrin was always more distributed
toward the cytoskeletal pellet than the TX-100 supernatant, consistent with studies on various
cell lines (15, 25) and supporting the notion that T567 phosphorylation exposes the actin
binding site on ezrin. The distribution data also predictably show that when T567
phosphorylation is high (e.g., CLA treatment in gastric glands and steady state control for
proximal tubules), total ezrin is also associated with the cytoskeletal pellet and these trends
are reversed on lowering phosphorylation with N3.
Ezrin remains bound to membrane in the nonphosphorylated form: biochemical evidence
17
In another extraction method we used digitonin to form pores in the plasma membrane
allowing soluble cytoplasmic proteins to exit while retaining cytoskeleton, membrane
proteins and large protein complexes associated with membranes or cytoskeletal structures
(24). Freshly isolated gastric glands were compared with an experimental set treated with
CLA; control proximal tubules were compared with an experimental set treated with NaN3.
The respective glands and tubules were permeabilized by treatment with digitonin and
extracted for 5 min, either in low salt buffer or normal phosphate buffered saline. Blots of
supernatant extracts and residual pellet fractions were probed for ezrin T567-P, total ezrin,
and actin. Additional gels were run in parallel for Commassie blue staining to ascertain that
cytosolic proteins did leak out after digitonin permeabilization (data not shown).
Similar to earlier experiments, control levels of ezrin T567-P were relatively low in gastric
glands and relatively high in proximal tubules; treatment of glands with CLA caused a large
increase (~4-fold) in T567-P (Figure 4B), and treatment of tubules with N3 caused a large
decrease in T567-P (Figure 4D). When control preparations of either gastric glands or
proximal tubules were permeabilized in low salt buffer relatively little of the total ezrin was
released to the supernatant, e.g., < 20% for glands and <5% for tubules (Figure 4A, C).
There was little change in the pattern of ezrin released from permeabilized gastric glands
after CLA treatment or the pattern of ezrin released by tubules after treatment with N3
(Figure 4A, C). These data contrasted sharply with those for TX-100 cytoskeletal extraction,
where low activity of T567 phosphorylation was correlated with a higher distribution of total
ezrin to the supernatant. Since control glands or N3-treated tubules demonstrate relatively
little ezrin binding to actin cytoskeleton when the bulk of ezrin is in the de-phospho state, the
18
general retention of ezrin in the digitonin-permeabilized preparations appears to be due to
another binding site, likely the N-terminal membrane binding site.
The pattern of ezrin release by digitonin-permeabilized glands was considerably altered when
the extraction medium included relatively high ionic strength (PBS). In PBS the majority of
total ezrin was released by the control glands and the distribution ratio was reversed by the
increased T567-P associated with CLA treatment (Figure 4A). On the other hand for control
proximal tubules with their high steady state level of ezrin T567-P the elevated ionic strength
medium accounted for only a slight loss of total ezrin to the supernatant and this was
reversed when N3 was used to lower T567-P (Figure 4C).
Ezrin remains bound to membrane in the nonphosphorylated form: imaging evidence
To study the localization of nonphosphorylated ezrin in an in situ setting, renal proximal
tubules were either incubated with nitrogen for hypoxia or sodium azide for chemical anoxia
before immunofluorescence staining with ezrin antibody. Phosphorylation on ezrin T567
was found greatly decreased by hypoxia treatment and further decreased by anoxia (NaN3)
treatment (Figure 5A). Nevertheless, proximal tubules in each of the three different
treatments were stained similarly (Figure 5B, C, D). There was always a high degree of co-
localization of ezrin with F-actin. Most of the staining was with the apical brush border
membrane facing the lumen of the tubule; a weak but clear staining of the basal membrane
was also detected; cytoplasm and lateral membrane were not stained. These results indicated
that ezrin is localized to a membrane surface regardless of the phosphorylation level on T567.
19
Similar experiments were performed with small intestine organoids. Samples of normoxia
and anoxia conditions (treated with azide) were compared after double staining for ezrin and
F-actin. Both stains were largely co-localized with the majority of the staining at the brush
border membrane (Figure 6A, B). While faint staining of F-actin is visible on lateral cell
membrane, ezrin seems exclusively localized on the microvilli at the brush border. No
staining was detected on basal membrane for both molecules. Again, no change of
localization occurred when ezrin was dephosphorylated by the azide treatment.
Unregulated membrane projections with the expression of T567D mutant ezrin
Although ezrin in renal proximal tubule is in a highly phosphorylated form, fast and high
turnover of the T567-P still exists. Thus, it was of interest to determine if this
phosphorylation turnover is required for its normal function. For this purpose, isolated renal
tubule cells were cultured on Matrigel coated coverslips and infected with recombinant
adenovirus expressing CFP-tagged constructs of ezrin, including wild-type, the T567A
mutant, or the T567D mutant. After 48 hr of infection, expression of the three CFP-tagged
ezrin constructs was directly examined by fluorescence microscopy. In addition, uninfected
control cells were stained for both ezrin and F-actin. As seen in Figure 7A, these control
cells maintain cell surface microvilli of about 3 μm length after two days in culture. Just like
the freshly prepared proximal tubules, the majority of ezrin and F-actin was found to be on
the microvillar membranes. The ezrin T567-P level in these cultured tubule cells was also
examined. As shown in Figure 7B, with similar amount of ezrin, the T567-P level in the
20
control sample is similar to that in the CLA treated sample; while the azide treated sample
showed a diminished level of ezrin T567-P. These results indicate that the ezrin activity is
kept similar in these cultured cells compared to the freshly isolated tubules.
Live cell imaging of CFP fluorescence (Figure 8A) showed that wild-type ezrin had a similar
staining pattern to that of native ezrin. A similar staining pattern was also observed for cells
expressing the ezrin T567A mutant (Figure 8B). However, the distribution and appearance
of the T567D mutant differed from wild-type or T567A mutant, although it was still
localized on cell surface membrane structures (Figure 8C). T567D mutant ezrin usually
tended to accumulate at one end of a cell, compared to wild-type or the T567A mutant which
had a more even distribution at cell surface. An even more marked difference was that cells
expressing T567D mutant often carried cell surface projections longer than 5 μm (many of
them longer than 10 μm) while cells expressing wild-type or T567A mutant carried
microvilli of the more normal 2-3 μm length.
21
DISCUSSION
The steady state of ezrin phosphorylation in renal proximal tubules and small intestinal
enterocytes is higher than that in gastric parietal cells.
Ezrin was identified as a major component on the apical canalicular membrane in gastric
parietal cells stimulated to secrete acid (18, 39). Studies with the ezrin gene knockdown in
mice demonstrated that ezrin is required for the stimulation-associated elaboration of the
microvilli on the apical canalicular membrane of parietal cells (38). Based on the relatively
high turnover of phosphorylation on ezrin T567 and the drastic change in its binding affinity
to filamentous actin associated with that phosphorylation, a rolling motor model was
hypothesized to describe how ezrin repositions membrane along the filamentous actin length,
thus maintaining appropriate tensile force between membrane and cytoskeleton during
dynamic membrane turnover associated with parietal cell secretion (49). At present no other
theory explains how ezrin works in other cells. Thus we tested the rolling motor model,
focusing on other microvilli-rich cells: renal proximal tubule cells and enterocytes of small
intestine.
Ezrin from both renal proximal tubule cells and intestinal enterocytes were found to be
highly phosphorylated, compared to the low steady state level of phosphorylation in the non-
secreting gastric parietal cells (Figure 1). Both the renal proximal tubule cells and small
intestinal enterocytes are known for the presence of their characteristic apical brush border
membranes, which are densely packed with uniformly sized microvilli. In contrast, the
22
microvilli found in non-secreting gastric parietal cells normally exist in various lengths and
sparse distribution (13). Upon stimulation, there is a massive membrane recruitment from
intracellular tubulovesicles onto the apical canalicular membrane, forming a much denser
distribution of elongated apical microvilli (13). Previously, we reported a significant
increase of ezrin phosphorylation (40), and specifically phosphorylation of ezrin on T567
(49), in gastric parietal cells when these cells were physiologically stimulated. Thus, a
higher steady state level of ezrin T567-P seems to be correlated with a denser distribution of
microvilli, whether from the same cell (e.g., the different physiological conditions of parietal
cell), or from different types of tissue.
T567 phosphorylation turnover is required for ezrin function in renal proximal tubule
cells.
The prompt decrease in ezrin T567-P with azide treatment in renal proximal tubule cells
and small intestine enterocytes indicates that continuous kinase activity is needed to
maintain the high level of phosphorylation on ezrin T567. The importance of T567-P
turnover for the regulation of ezrin function in renal proximal tubule cells is
demonstrated with the expression of the T567D mutant, which mimics permanent
phosphorylation of T567, not allowing the turnover of ezrin between phospho and
dephospho forms. When T567D mutant ezrin was over-expressed in primary kidney cell
cultures, surface membrane structures were abnormally long and tended to accumulate at
a small area on the plasma membrane, where the T567D mutant was localized. This
morphological change obviously affected the fine structure of microvilli and may even
23
disrupt the polarized distribution of the membrane proteins. Since the precise
localization of channels and pumps on the plasma membrane(s) is essential for the
functional transport of nutrients from the glomerular filtrate back into circulation, it is
conceivable that the abnormal morphology of the renal proximal tubule cells would result
in a decreased efficiency of function. Unfortunately, this experiment cannot be done with
the primary cultures of proximal tubule cells expressing T567D mutant since the cells do
not maintain their polarity in culture. However, experiments done with a polarized
kidney epithelial cell line NRK-52E demonstrated an abnormal relocation of Na,K-
ATPase onto the apical membrane upon treatment with RhoA (23), which is known to
induce phosphorylation of ERM proteins on the conserved T567/T564/T558 site (25, 33).
The T567-P high turnover mechanism for regulation of ezrin activity is thus not limited
to gastric parietal cells, but also applies to ezrin in renal proximal tubule cells and small
intestine enterocytes. In addition, moesin, which is expressed at relatively high levels in
renal proximal tubules, was also subjected to the high turnover regulation on the
phosphorylation of the conserved T558 (Figure 2B). Thus it may be that this high
turnover mechanism is a universal one for the regulation of all ERM protein activity.
Ezrin brings membrane to cytoskeleton
Studies with transformed cell lines often described ezrin as a diffusely localized, or
cytosolic, protein, in its inactive form (4, 5, 42). Since ezrin has increased membrane and
cytoskeleton binding affinity upon activation (by phosphorylation), the major function of
24
ezrin was believed to be “linking F-actin to membrane” (6). However, our examination
of the state and localization of ezrin in three freshly isolated tissues suggests a
modification of this concept. Phosphorylation on T567 was observed to induce tighter
membrane binding of ezrin in gastric parietal cells (49), as expected from many other
studies (12, 19, 45), since the membrane binding N-terminus is partially masked by the
C-terminus in the non-phosphorylated N-C binding conformation (14, 48). However,
ezrin in its non-phosphorylated form still localizes to the microvilli-rich apical membrane
of parietal cells as shown previously (49) and here in Figure 4A. Similarly, in renal
proximal tubule cells and small intestine enterocytes, the dephosphorylated form of ezrin
remains localized on the brush border microvilli-rich membrane (Figures 5 & 6).
Binding analyses showed that dephosphorylation by anoxia treatment would only slightly
shift the distribution of ezrin toward the cytosolic pool, which is very small (Figure 4C).
Severe alterations in the cytoskeleton and the repolarization of many membrane proteins
occurs rapidly after ischemia and reperfusion in the kidney (26-29). Although the
mechanism of these transitions is not completely understood, it is known that ischemia
alone does not cause the rearrangement of F-actin cytoskeleton. While reperfusion after
40 min of ischemic treatment caused significant decrease in F-actin, the remaining F-
actin signal still largely remained on the brush border membrane (7). Our procedures to
induce anoxia or hypoxia, and the observed results, were obviously similar to the renal
ischemia treatments without reperfusion.
The binding of T567 unphosphorylated ezrin to the membrane seems to be mediated by
phosphatidyl inositol-4, 5-biphosphate (PIP2). Tsukita and her colleagues (44) found that
25
treatment of two cell lines A431 and MDCK II with staurosporin could decrease the T567-P
without affecting the membrane localization of ezrin. However, when the PIP2 levels in
A431 cells were decreased by microinjection of C3 transferase (which blocks the activation
of Rho and PI4,5-kinase), ezrin was found dephosphorylated on T567 and diffused away
from microvillus membranes. The PIP2 level in MDCK II did not respond to C3 transferase,
but could be blocked with neomycin, which also caused a decreased T567-P level and
diffusive staining of ezrin. The dependence of ezrin function on PIP2 binding was also
reported by Arpin’s group (12). Their results with the LLC-PK1 cell line indicated that ezrin
binding to PIP2, through its NH2-terminal domain, is required for membrane localization and
T567 phosphorylation. It may well be that the membrane binding site on ezrin has some
dependence on ionic bonding as the depletion of ezrin in permeabilized glands and tubules
was increased by high salt (Fig. 3), consistent with previous observations in gastric glands
(18), and as might be inferred by cytosolic divalent ion competition for ezrin release in
glands (43) and in LLC-PK1 cells (12); however, in the latter case the authors have suggested
that increased cytosolic Ca2+ might catalyze PIP2 hydrolysis.
In contrast to the continuous binding to the membrane, the binding of ezrin to F-actin was
greatly enhanced when the C-terminal actin-binding site was unmasked by phosphorylation
at T567. Mandel et al. demonstrated that dissociation of ezrin from actin cytoskeleton
occurred in renal proximal tubules upon anoxia treatment (9). They later showed evidence
that anoxia treatment induced ezrin dephosphorylation by 2D electrophoresis (8). Very
likely this dephosphorylation occurs on T567, although we cannot exclude the possibility of
other Ser/Thr phosphorylation site(s). By F-actin co-sedimentation assays (49) and Triton
26
extraction analyses (Figure 3), dissociation of ezrin from F-actin was found to be induced by
dephosphorylation on T567 in gastric parietal cells. Similar data were obtained from many
other cell models (12, 20, 30, 31, 37, 45, 49).
A relatively constant membrane binding and the ever changing F-actin binding gives the
ezrin molecule the power to associate and re-associate membrane and cytoskeleton, thus
enabling a dynamic reposition of membrane along the filamentous actin length, in a fashion
similar to a rolling molecular motor attached to cell membrane. A cartoon depicting the
relaxation-reattachment hypothesis to promote dynamic rearrangement within defined
surface morphology is shown in Figure 9. Such a model is logical and essential for surface
plasticity in view of the growth and repositioning required for cytoskeleton expansion, as
well as the re-establishment of membrane surface forces as processes of recruitment and
endocytosis occur. This model also explains why blocking moesin dephosphorylation with
CLA caused the impairment of neutrophil motility (46), which is crucial to effective host
defenses against microorganisms.
In summary, higher steady state phosphorylation levels on ezrin T567 were detected with
freshly isolated renal proximal tubule cells and small intestine enterocytes, as compared to
gastric parietal cells. However, high levels of phosphorylation did not exempt ezrin in these
tissues from the high turnover regulation on T567-P, which assures a relaxation change in the
association of ezrin between the F-actin-bound and -unbound state, without necessarily
affecting the binding of ezrin to membrane. Interruption of the regulation of high turnover of
T567-P, such as introduction of the ezrin T567D phosphorylation mimic, has been observed
27
to cause abnormal growth and rearrangement of membrane projections (15, 33), sometimes
causing local changes in polarity (23, 47), and likely to interfere with the normal membrane
transport processes of the affected cells.
ACKNOWLEDGEMENT
The authors thank Holly L. Aaron of the Berkeley Molecular Imaging Center for her
professional assistance in obtaining confocal images with Zeiss 510 META LSM microscope.
GRANT
This work was supported by a grant from the National Institutes of Health, 5RO1DK10141-
42.
28
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32
FIGURE LEGENDS
Figure 1. Differential phosphorylation level on Thr567 of ezrin in small intestine
epithelial cells (SI), kidney proximal tubule cells (K) and gastric glands (GG). Small
intestine organoids, kidney proximal tubules and gastric glands were isolated from rabbit
by the collagenase digestion methods described in M&M. These tissues were mock
treated with vehicle (ctrl), treated with sodium azide (N3) or calyculin A (CLA). Western
blot analyses on these samples were done with anti-T567-P and then stripped and
reprobed with anti-ezrin. The arrowhead indicates the position of ezrin T567-P. The
band at the slightly lower Mr is moesin T558-P.
Figure 2. Turnover of ezrin T567 phosphorylation in gastric glands and renal proximal
tubules. A. Gastric glands were treated with calyculin A (CLA); B. proximal tubules
were treated with staurosporin. At various time points, as indicated on top of the lanes,
samples were taken and boiled in SDS-PAGE loading buffer. Samples were then
analyzed by western blot with anti-T567-P, stripped and reprobed with anti-ezrin. For
proximal tubule samples, the blot was further probed with anti-moesin antibody without
stripping.
Figure 3. Enhanced ezrin binding to F-actin upon phosphorylation on ezrin T567 in both
gastric glands (A, B, C) and renal proximal tubules (D, E, F). Control samples (ctrl) and
samples treated with calyculin A (CLA) or sodium azide (N3) were extracted with Triton
X-100 buffer for 5 min at room temperature. The extractions were separated from the
33
pellets by centrifugation. Supernatant (S) and pellet (P) fractions were subjected to
Western blot analyses with anti-ezrin (A, D), anti-T567-P (B, E), and anti-actin (C, F).
Ezrin data are presented as the % of total ezrin distributed between the S and P. The
T567-P data are presented as the % of T567-P compared to the S plus P in CLA-treated
sample for both gastric gland and proximal tubules. The actin data are shown as the
relative distribution of actin between S and P. Density data are plotted as the mean
±SEM; for gastric glands N = 4; for proximal tubules N = 5.
Figure 4. Obstinate binding of ezrin to membrane in gastric glands (A, B) and renal
proximal tubules (C, D). Tissues were treated with either CLA (gastric glands) or with
NaN3 (renal proximal tubules) to obtain phosphorylation levels different from the native
conditions (ctrl). Samples were then treated with digitonin at room temperature for 5 min
to permeabilize the cells. Permeabilizations were performed both in low salt buffer
(Sucrose) or normal phosphate buffered saline (NaCl). Samples were separated into
supernatant (S) and pellet (P) fractions for Western blot analyses. Blots were probed
with anti-ezrin (A, C) and anti-T567P (B, D). Ezrin data are presented as the % of total
ezrin distributed between the S and P. The T567-P data are presented as the % of T567-P
compared to the S plus P in CLA-treated sample for gastric glands, and compared to the
S plus P of the control sample for proximal tubules. Density data are plotted as the mean
±SEM; for gastric glands N = 3; for proximal tubules N = 5.
Figure 5. The pattern of ezrin immunostaining is unchanged in kidney proximal tubule
cells upon hypoxia or anoxia treatment. Proximal tubules from rabbit kidney were
34
incubated in nitrogen saturated media (hypoxia treatment, H) for 60 min or incubated
with sodium azide (chemical anoxia, N3) for 30 min. Control samples (ctrl) were
incubated in oxygen saturated media for 60 min. A fraction of each sample was analyzed
by Western blot with anti-T567-P, stripped, and reprobed with anti-ezrin (A). The rest of
the samples (control (B), hypoxia (C) and anoxia (D)) were stained with FITC-phalloidin
(left image) and mouse-anti-ezrin (center image); the right hand image is DIC. For each
treatment higher magnifications are shown for the area in the respective blue boxes. BL:
basolateral membrane; Cyt: cytosol; BB: brush border. Bar equals 20 µm.
Figure 6. The pattern of ezrin immunostaining is unchanged in small intestine
enterocytes after anoxia treatment. Small intestine organoids, both control (A) and
sodium azide treated samples (B) were stained with FITC-phalloidin and mouse-anti-
ezrin. The dephosphorylation of ezrin T567 was shown previously in Figure 1. BB:
brush border; CB: cell body. Bar equals 20 µm.
Figure 7. Characterization of cultured proximal tubule cells. A. For immunofluorescence
staining of ezrin, cells grown on Matrigel coated coverslips for 2 days were fixed and
stained with FITC-phalloidin (F-actin) and mouse-anti-ezrin (native ezrin). Bar equals
5µm. B. To examine relative ezrin T567-P level, cells were treated with CLA or azide
before Western blot analysis with anti-T567P and anti-ezrin antibodies.
Figure 8. Expression of ezrin T567D mutant produces irregular membrane projections on
the surface of renal proximal tubule cells in culture. Cells infected with recombinant
35
adenovirus expressing wild type ezrin-CFP (A), the T567A mutant of ezrin-CFP (B), or
the T567D mutant of ezrin-CFP (C) were directly imaged with CFP excitation. CFP
images were collected together with phase images. Bar equals 20 µm.
Figure 9. Cartoon of relaxation-reattachment hypothesis for ERM function. Plasma
membranes (thick lines) are shown with microvillar projections and underlying actin
microfilaments (thin lines) and ezrin molecules (red dots) in the membrane-filament
attachment mode. At any given site or time regulatory kinase and/or phosphatase activity
would relax membrane filament attachments. A. Filament elongation and growth of actin
cytoskeleton such as occurs with microvilli, filopodia, of lamellipodial extension. The
growth of actin filaments without insertion of new membrane imposes surface tension on
the plasma membrane. Dynamic ezrin-cytoskeleton dissociation and re-association
would occur via turnover of T567-P enabling relaxation of tensile forces and
reattachment to mold the new surface. B. Membrane recruitment provides increased
membrane surface area that is re-molded by the volatile turnover of ezrin T567-P,
promoting a dynamic reposition of membrane along the filamentous actin sub-structure.
CLA 0 0.25 0.5 1 5 10 15 30 min
Ezrin
9572
9572
A: gastric glands
Figure 2
Staurosporin 0 1 5 10 15 30 60 min
Ezrin, T567-PMoesin, T558-P
EzrinMoesin
9572
9572
B: renal proximal tubules
Ezrin, T567-PMoesin, T558-P
Figure 3%
of T
otal
Ezr
in
0
20
40
60
80
100
S P S P S Pctrl CLA N3
0
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% T
567P
in C
LA tr
eate
dR
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ive
actin
in
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and
Pell
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Gastric glands
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% T
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Rel
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e ac
tin in
Su
p an
d Pe
ll%
of Tota
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Proximal tubules(A)
(B)
(C)
(D)
(E)
(F)
S P S P S Pctrl CLA N3
S P S P S Pctrl CLA N3
S P S P S Pctrl CLA N3
S P S P S Pctrl CLA N3
S P S P S Pctrl CLA N3
Total Ezrin
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% o
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zrin
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7P in
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Total Ezrin
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zrin
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ontro
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Figure 4
(A)
(B)
(C)
(D)
S P S P S P S Pctrl CLA ctrl CLA
Sucrose NaCl
Gastric glands Proximal tubules
S P S P S P S Pctrl N3 ctrl N3
Sucrose NaCl
S P S P S P S Pctrl N3 ctrl N3
Sucrose NaCl
S P S P S P S Pctrl CLA ctrl CLA
Sucrose NaCl
Figure 7
FITC-phalloidin Anti-ezrin
A: ezrin localization B: ezrin phosphorylation
9572
9572
Ezrin, T567-PMoesin, T558-P
Ezrin
ctrl CLA N3