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Characterization of the intracellular signaling mechanisms activated by ghrelin through GHSR-1a: role of beta-arrestins

Lodeiro Pose, María

Abstract

La ghrelina, una hormona peptídica de 28 aminoácidos con una modificación post-traduccional de O-n-octanoylation en el residuo de la serina 3, es el ligando natural del receptor de secretagogos de hormona de crecimiento tipo 1a (GHSR-1a). Además de regular la secreción de hormona de crecimiento y la ingesta, la ghrelina también controla la homeostasis energética, la actividad pancreática, el metabolismo de la glucosa y procesos proliferativos y antiproliferativos. Algunas de estas funciones suponen la activación de diferentes rutas de señalización como la ruta de las MAPK (mitogen-activated protein kinase) o la de Akt, que están mediadas por las proteínas G. Sin embargo, los estudios recientes sugieren que los receptores acoplados a proteínas G (GPCR) se pueden acoplar a las β-arrestinas. Las β – arrestinas constituyen una pequeña familia de sólo cuatro miembros que fueron inicialmente descubiertas en los procesos de desensibilización de los GPCR. Actualmente, también juegan un papel importante en la endocitosis de los receptores y en la señalización intracelular, actuando como proteínas adaptadoras multifuncionales. Este trabajo pone de manifiesto que en la línea celular HEK-GHSR-1a, como modelo para estudiar la interacción entre proteínas, la ghrelina activa tanto la ruta de las MAPK como la de Akt a través de 2 vías de señalización diferentes, dependientes tanto de las proteínas G como de las β-arrestinas. En el caso de la activación de MAPK, ésta se consigue por la interrelación de 3 vías diferentes: la primera está mediada por las β-arrestinas 1 y 2 y requiere la presencia del GHSR-1a en un complejo multiproteico junto con las β-arrestinas, Raf-1, cSrc, ERK 1/2 y quizás otros componentes de la ruta de las MAPK. La segunda depende de una proteína Gq/11 e implica la activación de una PKC dependiente de calcio (PKC α/β) y de la proteína cSrc. La tercera ruta depende de una proteína Gi/o e implica la activación de PKC ε y cSrc. Respecto al mecanismo de activación de Akt, ésta se activa a través de dos rutas: una de ellas es dependiente de las subunidades βγ de las proteínas G e implica la activación de la PI3K; la otra está mediada por las β-arrestinas 1 y 2 y requiere la entrada del receptor en un complejo multiproteico. Hay que destacar por lo tanto, el papel de las β-arrestinas en los procesos de señalización, actuando como proteínas adaptadoras y transductoras de señales. También es destacable el papel clave que juega la proteína cSrc en la activación de ambas rutas. Asimismo se ha identificado a SHP-1 como uno de las proteínas reguladoras negativas de la activación de Akt mediada por la ghrelina. La activación de SHP-1 es dependiente de cSrc, lo que supone la interrelación de las rutas dependientes de proteínas G y de las β-arrestinas, y se ejerce a través de la defosforilación de la PI3K y cSrc. Se encontró también una expresión de SHP-1 en células 3T3-L1, tanto en preadipocitos como adipocitos maduros, y en tejido adiposo de ratones obtenido de mantenidos con dieta normal o dieta alta en grasa. Los resultados obtenidos muestran que el tejido adiposo omental muestra un aumento de la expresión de SHP-1 comparado con el tejido subcutáneo en condiciones normales. Sin embargo, en condiciones de dietas altas en grasa, hay una mayor expresión de SHP-1 en el tejido adiposo subcutáneo comparado con el omental. En base a estos resultados se puede especular que la acción de la ghrelina en el tejido adiposo está, al menos en parte, mediada por la acción de SHP-1: un aumento de expresión de SHP-1 en el tejido subcutáneo resulta en una atenuación de la señalización dependiente de Akt con la consecuente reducción de la sensibilidad de la ghrelina. Por contra, la down-regulación de SHP-1 en el tejido omental reforzaría la sensibilidad a la ghrelina, promoviendo el almacenamiento de grasa. Además, también se ha determinado una interacción funcional potencial entre la cortistatina 17 (CST-17) y el sistema de la ghrelina, proponiendo dos hipótesis. Por una parte, la CST-17 podría unirse al GHSR-1a actuando como un ligando potencial del mismo; por otra parte, la CST-17 también se podría unir al SSTR2, que formaría un dímero con el GHSR-1a, afectando de este modo a la señalización mediada por la ghrelina.

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    UNIVERSIDADDESANTIAGODECOMPOSTELA FACULTADDEMEDICINA DEPARTAMENTODEFISIOLOGÍA LABORATORIODEENDOCRINOLOGÍAMOLECULAR      Characterizationoftheintracellularsignaling mechanismsactivatedbyghrelinthroughGHSR‐1a: roleofβ‐arrestins      MARÍALODEIROPOSE  SantiagodeCompostela,mayode2011 ISBN 978-84-9887-794-6 (Edición digital PDF)        UNIVERSIDADDESANTIAGODECOMPOSTELA FACULTADDEMEDICINA DEPARTAMENTODEFISIOLOGÍA LABORATORIODEENDOCRINOLOGÍAMOLECULAR    Characterizationoftheintracellularsignaling mechanismsactivatedbyghrelinthroughGHSR‐1a: roleofβ‐arrestins    MemoriaqueparaoptaralGradodeDoctorenBiología porlaUniversidaddeSantiagodeCompostelapresenta:      MaríaLodeiroPose    SantiagodeCompostela,mayode2011            Lamemoriaadjuntatitulada“Characterizationoftheintracellular signalingmechanismsactivatedbyghrelinthroughGHSR‐1a:roleofβ‐ arrestins”queparaoptaralGradodeDoctorenBiologíapresentaDña. MaríaLodeiroPose,hasidorealizadabajonuestradirecciónenelÁreade EndocrinologíaMolecularyCelulardelInstitutodeInvestigaciónSanitaria deSantiago(ComplejoHospitalarioUniversitariodeSantiagode Compostela).  ConsiderandoqueconstituyetrabajodeTesisDoctoral,autorizamos supresentaciónenlaUniversidaddeSantiagodeCompostela.  Yparaqueasíconste,firmamoslapresenteenSantiagode Compostelaenmayode2011.      Dr.JesúsPérezCamiña InvestigadorSERGAS Prof.Dr.FelipeCasanuevaFreijo CatedráticodeMedicina SantiagodeCompostela,mayode2011        Gustaríameexpresaromeuagradecementoa:  ÓProfesorFelipeCasanuevaFreijo,directordestetraballo,pordarmeaoportunidadede iniciarmenocampodainvestigacióndentrodoseugrupo. ÓDr.JesúsPérezCamiña,co‐directordotraballo,polasúaaxudanarealizacióndomesmo. AMaryLage,polasúacalidezeapoioduranteestesanos,quefanaunsentirseagustoeque nonsempresevalora. AosmeuscompañeirosnolaboratorioMarco,Carlos,Maribel,María,BegoetaménaSara,cos quecompartínunpoucodetodoequesempreestiveroneestánaídispostosabotarunha man. ÓGrupodoDr.RoyGSmith,directordoDepartmentofMetabolismandAging,TheScripps ResearchInstitute,Florida,USA,poracollermenoseulaboratorio,eáxentequealícoñecín, especialmenteaJorgeeaKarimaquemefixeronsentircomoencasa. Ámiñafamilia. AJose,graciaspolatúaaxuda,ánimoeapoiodurantetodoestetempo. AIria,Elena,MónicaeAndrea,porestaraísempre,apoiándomeincondicionalmentee sabendoquesempresepoderácontarconvósparaoquesexa.Gracias. ALúa,Sabela,AbeleParcero….poraturarmetodosestosanos,coascousasboasemalas,por estarsempreaíeporapoiarmeeanimarmenosmomentosmáisdifíciles. AMerceeMaría,poresasquedadaseconversasnosas(surrealistasásveces),queespero continúenpormoitosanosmáis. Atodosaquelesquecoñecínólongodestesanos,quemeaxudarondunxeitoououtroeque merecentaménunrecoñecemento:Pedro,Ramón,Sabela,Bruno,Toño,Raquel,Leonor… gracias!                                        “Sinoestásdispuestoaequivocarte,nuncallegarásanada”.  KenRobinson           Abbreviations 17 7TM:seventransmembane 7TMR:seventransmembranereceptor AC:adenylatocyclase ACTH:adrenocorticotropehormone AG:acylatedghrelin Akt:serine/threoninekinase(ProteinkinaseB) AMP:adenosinemonophosphate AMPK:AMP‐activatedproteinkinase ANOVA:analysisofvariance AP‐2:adaptorprotein2 AT1AR:angiotensinIItype1Areceptor AT2R:angiotensinIItype2receptor ATM:ataxiatelangengiectasiamutatedgeneproduct β1AR:β‐1adrenergicreceptor β2AR:β‐2adrenergicreceptor BHK:babyhamsterkidneycells BSA:bovineserumalbumin cAMP:cyclicadenosinemonophosphate cGMP:cyclicguanosinemonophosphate CONA:concanavalinA CPM:countsperminute CPT‐1:carnitinepalmitoyltransferase1 CST:cortistatin DAG:diacylglycerol DEX:dexamethasone DMEM:Dulbecco´sModifiedEagle´sMedium DNAPK:double‐strandedDNA‐dependentproteinkinase Abbreviations 18 ER:endoplasmicreticulum ERK1/2:extracellularsignal‐regulatedkinases1/2 FAS:fattyacidsynthase FBS:fetalbovineserum FURA‐2AM:fura‐2acetoxymethylester GC:guanylylciclase GH:growthhormone GHRH:growthhormonereleasinghormone GHRH‐R:growthhormonereleasinghormonereceptor GHS:growthhormonesecretagogues GHS‐R:growthhormonesecretagoguereceptor GHSR‐1a:growthhormonesecretagoguereceptortype1a GHSR‐1b:growthhormonesecretagoguereceptortype1b GOAT:ghrelinO‐acyl‐transferase GPCR:G‐protein‐coupledreceptor GPR39:G‐protein39‐coupledreceptor GRB2:growthfactorreceptor‐boundprotein2 GRK:G‐protein‐coupledreceptorkinase HEK:humanembrionarykidneycells HFD:highfatdiet IBMX:3‐isobutyl‐1‐methylxanthine ILB:immunoprecipitationlysisbuffer ILK:integrin‐linkedkinase IGF‐1:insulin‐likegrowthfactor1 IHC:immunohistochemistry IP3:inositol(1,4,5)‐triphosphate IRS‐1:insulinreceptorsubstrate1 Abbreviations 19 KDa:KiloDaltons KRH:Krebs‐RingersHenseleit MAPK:mitogen‐activatedproteinkinase mRNA:messengerRNA MBOAT:membrane‐boundO‐acyltransferase MrgX2:massrelatedgeneX2 mTOR:mammaliantargetofrapamycin mTORC2:mammaliantargetofrapamycincomplex2 NO:nitricoxide NOS:nitricoxidesynthase PAM:peptidylglycineα‐amidatingmonooxygenase PAMP12:proadrenomedullinN‐terminalpeptide12 PC1/3:proproteinconvertase1/3 PCR:polymerasechainreaction PDK‐1:3‐phosphoinositide‐dependentkinase‐1 PH:pleckstrinhomologydomain PHLPP1:PHdomainleucine‐richrepeatproteinphosphatase1 PHLPP2:PHdomainleucine‐richrepeatproteinphosphatase2 PI3K:phosphatidylinositol3´‐kinase PI‐PLC:phosphatidylinositol‐specificphospholipaseC PKA:proteinkinaseA PKC:proteinkinaseC PMA:phorbol12‐myristate13‐acetate PP2A:proteinphosphatase2A PRL:prolactin PTH1R:parathyroidhormonetype1receptor PTP:proteintyrosinephosphatase Abbreviations 20 PTX:pertussistoxin qRT‐PCR:quantitativerealtimePCR RNA:ribonucleicacid RTK:receptortyrosinekinase SDS:sodiumdodecylsulfate SHP‐1:Srchomology‐2domaincontainingphosphatase‐1 SHP‐1dn:SHP‐1dominantnegative siRNA:smallinterferingRNA SST:somatostatin SSTR:somatostatinreceptor TCA:trichloroaceticacid UAG:unacylatedghrelin V2R:vasopressintype2receptor VMH:ventromedialnucleusofthehypothalamus VIP:vasoactiveintestinalpeptide WAT:whiteadiposetissue WORT:wortmannin WT:wildtype                             1. OBJECTIVES              Objectives 23 Theghrelin/ghrelinreceptor(GHSR‐1a)systemdirectsdiversearrayofphysiologicalresponses andhencehasbroadrelevancetonumerousdiseases,amongthemobesityandanorexia. RecentstudiessuggestthatsignalingthroughGPCRisfarmorediversethanoriginalthought, asGPCRcancoupletomultipleG‐proteinsaswellasotheradaptorproteins,amongthemthe β‐arrestinfamily.Basedonit,theworkhypothesisforthisThesiswasthat,forghrelin/GHSR‐1a system,β‐arrestinsconstitutearelevantandseparablesignalingarmfromtheclassical heterotrimericG‐proteinsinadditiontotheirroleintheendingofG‐protein/GHSR‐1a signaling. Theglobalobjectiveistodelineatetheβ‐arrestinsignalingfortheghrelinreceptorGHSR‐1a. Thisgeneralobjectiveisdividedintothefollowingspecificobjectives:  1.Todeterminetheproteinpartnersofbothβ‐arrestin1and2underbasalandghrelin‐ stimulatedconditionsintheregulationofmetabolism,apoptosis,transcriptionandcell‐cycle. Thispointisdividedin: 1.1.Todeterminetheroleofβ‐arrestinsonERK1/2‐dependentsignalingpathwaythat mediatetheeffectofghrelinoncellsurvival,growthandproliferation. 1.2.Todeterminetheroleofβ‐arrestinsonAkt‐dependentsignalingpathwaythat mediatetheeffectofghrelinonmetabolism,apoptosis,transcriptionandcell‐cycle. 2.TodefinethemechanismforregulatingGHSR‐1a‐associatedAktactivity,withemphasisin theimplicationofthecytoplasmicproteinSrchomology‐2domaincontainingphosphatase‐1 (SHP‐1). 3.Todeterminetheroleofβ‐arrestinsonAkt‐andERK1/2‐dependentsignalingpathwaysthat mediatetheeffectsofCST‐17throughGHSR‐1a.  ThesemolecularmechanismswereinvestigatedinHEK293cells,stablyexpressingtheGHSR‐ 1a(HEK‐GHSR‐1a)asmodelsystemtofollowtheinteractionofspecificproteinsandtheroles, ifany,playedbyG‐proteinsandβ‐arrestins.Inaddition,someresultswereconfirmedin3T3‐L1 cellsandwhiteadiposetissue.                                  2. INTRODUCTION        Introduction 32       Figure3.Post‐translationalprocessingandacylationofthepro‐ghrelinpeptide.Afterthesignal sequenceiscleavedbyasignalpeptidepeptidasetheacylationofpro‐ghrelinoccurs.Forthispurpose, GOAT,whichislocatedattheERcompartment,mediatesthetranslocationoftheoctanoyl‐CoAfrom thecytosolicside.Later,inthetrans‐Golgicompartment,thepro‐ghrelinprecursoriscleavedbyPC1/3 proproteinconvertase,packagedinvesicles,andreleasedtotheblood.Differentformsofghrelincanbe foundintothecirculation:acylated(AG),unacylated(UAG),andothershorterformswhoseroleisstill unknown.(FigureextractedfromEurJEndocrinol.2010;163:1‐8). Introduction 33 roleofGOAThasbeenstudiedunderdifferentconditionssuchasnutritionalstatus,age,sex andlactatingstatus.21,22Thissuggeststhattheghrelin‐GOATsystemactasalipidicsensorthat informsthebrainaboutthehighfatmealavailabilitytoachieveanoptimalenergeticstorage. 20Thisalsosuggeststhatthephysiologicalfunctionofghrelinmaynotnecessarily,oratleast notexclusively,beahungersignalreflectinganemptystomach.BecauseGOATistheunique enzymethatacylatesghrelininahighlyconservedmanner,itonlybindsandactivatesits receptorGHSR‐1awhenacylated,anditsinhibitionorstimulationwouldnotaffect physiologicalprocessesotherthanghrelinacylation.ItisalsoimportanttomentionthatGOAT hasimportantimplicationsintermsofdevelopingdrugstotargettheacylationprocessand, consequently,thephysiologicaleffectsofAG.19 In2005,usinggenomiccomparativeanalysisandbioinformaticpredictions,apeptideencoded bytheghrelingenewasdiscoveredanditwascalledobestatin,acontractionofobese,from theLatin"obedere,"meaningtodevour,and"statin,"denotingsuppression.23Thisnew peptidederivesfromproghrelinandithas23aminoacidswithaglycineresidueonthe carboxyterminaldomainthatcanbeamidated(Figure4).Itwasoriginallyisolatedfromrat stomach,showingtobeacirculatingpeptidewhosesecretionispulsatileanddisplaysan ultradianrhythmicitysimilartoghrelinandgrowthhormonesecretion,andthenitwasshown thatitwasalsofoundinothertissueslikeduodenum,pancreas,spleen,mammaryglandsand plasma.24,25ItwasoriginallyreportedtobetheligandfortheorphanreceptorGPR39,which belongstothefamilyoftheghrelinreceptorGHSR‐1aandthemotilinreceptor.24Despitethe initialenthusiasmaboutthepotentialofthismoleculeasaphysiologicalopponentofghrelin, severalobservationsrelatedtothispointhavesetitseffectivenessintoquestion.26,27   21GonzálezCR,VázquezMJ,LópezM,DiéguezC.InfluenceofchronicundernutritionandleptinonGOAT mRNAlevelsinratstomachmucosa.JMolEndocrinol.2008;41:415‐21. 22Al‐MassadiO,CrujeirasAB,GonzálezRC,PardoM,DiéguezC,CasanuevaFF,SeoaneLM.Age,sex,and lactatingstatusregulateghrelinsecretionandGOATmRNAlevelsfromisolatedratstomach.AmJ PhysiolEndocrinolMetab.2010;299:E341‐50. 23ZhuX,CaoY,VoogdK,SteinerDF.Ontheprocessingofproghrelintoghrelin.JBiolChem.2006;281: 38867‐70. 24ZhangJV,RenPG,Avsian‐KretchmerO,LuoCW,RauchR,KleinC,HsuehAJ.Obestatin,apeptide encodedbytheghrelingene,opposesghrelin'seffectsonfoodintake.Science.2005;310:996‐9. 25GrönbergM,TsolakisAV,MagnussonL,JansonET,SarasJ.Distributionofobestatinandghrelinin humantissues:immunoreactivecellsinthegastrointestinaltract,pancreas,andmammaryglands.J HistochemCytochem.2008;56:793‐801. 26NogueirasR,PflugerP,TovarS,ArnoldM,MitchellS,MorrisA,Perez‐TilveD,VázquezMJ,WiedmerP, CastañedaTR,DiMarchiR,TschöpM,SchurmannA,JoostHG,WilliamsLM,LanghansW,DiéguezC. Effectsofobestatinonenergybalanceandgrowthhormonesecretioninrodents.Endocrinology.2007; 148:21‐6. 27ZhangJV,JahrH,LuoCW,KleinC,VanKolenK,VerDonckL,DeA,BaartE,LiJ,MoecharsD,HsuehAJ. Obestatininductionofearly‐responsegeneexpressioningastrointestinalandadiposetissuesandthe mediatoryroleofGprotein‐coupledreceptor,GPR39.MolEndocrinol.2008;22:1464‐75. Introduction 34 Consequently,thestate‐of‐knowledgeonobestatinsuffersfromseriousgaps,especiallyfor thelackofreproducibilityofitscentralactivities.28,29    Figure4.Proposedpost‐translationalprocessingofpreproghrelintomatureghrelinormature obestatin.ThehumanGHRLgeneconsistsoffourexonsandthreeintrons.FormationofmRNAand furthertranslationyieldsapolypeptideof117aminoacidscalledpreproghrelin.Thispolypeptide containsasignalpeptideof23aminoacidsattheaminoterminus,whichisfirstcleavedbyaputative signalpeptidaseresultinginproghrelinwith94aminoacids.Furtherprocessingofproghrelintoghrelin involvesproteolyticcleavagebyproproteinconvertase.Thenghrelinisacylatedattheserine3byGOAT enzyme.Obestatinresultsfromproteolysisofproghrelinattwocleavagesites.Afterthecleavage,the carboxy‐terminalleucineresidueisamidatedbyabifunctionalenzyme,peptidylglycineα‐amidating monooxygenase(PAM).(FigureextractedfromJClinEndocrinolMetab.2007;92:3396‐8.)  28SeoaneLM,Al‐MassadiO,PazosY,PagottoU,CasanuevaFF.Centralobestatinadministrationdoes notmodifyeitherspontaneousorghrelin‐inducedfoodintakeinrats.JEndocrinolInvest.2006;29: RC13‐RC15. 29ChartrelN,Alvear‐PerezR,LeprinceJ,IturriozX,Reaux‐LeGoazigoA,AudinotV,ChomaratP,CogeF, NosjeanO,RodriguezM,GalizziJP,BoutinJA,VaudryH,Llorens‐CortesC.Commenton"Obestatin,a peptideencodedbytheghrelingene,opposesghrelin'seffectsonfoodintake".Science.2007;315:766. Introduction 35 Keepingasideitscontroversialanorexigenicactivity,therearedatasuggestingarelevant biologicalrole,likethemitogeniceffectdescribedin3T3‐L1preadipocyte,27humangastric carcinoma30,31andpancreaticβ‐cells.32Furthermoreobestatininducedc‐fosexpressionin gastrointestinalandwhiteadiposetissuesthroughbindingtoGPR39.27Ofinterest,GPR39 expressioninwhiteadiposetissueofratswasup‐regulatedduringfastingwhereasGPR39 levelsweredecreasedinculturedmouseembryonicfibroblastcelllinesduringadipogenesis.33 Inhumanadiposetissue,decreasedGPR39expressionwasfoundinpatientswithobesity‐ associatedtype2diabetesmellitus.34 Recentlyaroleforobestatinasaregulatorofadipocytemetabolismandadipogenesiswas proposed,pointingtoaputativeroleofobestatininthepathogenesisofmetabolicsyndrome throughanautocrine/paracrinemanner.35Itisalsoshownthatobestatinstimulates preadipocyteproliferation,adipocytedifferentiation,andfattyaciduptakemeanwhileit inhibitslipolysisin3T3‐L1adipocytes,suggestingthatobestatincouldstimulateadiposetissue hyperplasiaandhypertrophybyvariousmechanisms.36Itisalsoknownthatobestatinprotects cardiaccellsagainstmyocardialinjuryandapoptosisinducedbyischemia‐reperfusion.These effectsarelikelytobeinitiatedbyspecificobestatinbindingtoreceptorspresenton cardiomyocytesandinvolvetheactivationofPI3KandERK1/2pathways.Thisfactsuggests thatcirculatingobestatinalsomightplayacrucialroleinprotectingthemyocardiumfrom   30PazosY,AlvarezCJ,CamiñaJP,CasanuevaFF.Stimulationofextracellularsignal‐regulatedkinasesand proliferationinthehumangastriccancercellsKATO‐IIIbyobestatin.GrowthFactors.2007;25:373‐81. 31AlvarezCJ,LodeiroM,TheodoropoulouM,CamiñaJP,CasanuevaFF,PazosY.ObestatinstimulatesAkt signallingingastriccancercellsthroughβ‐arrestin‐mediatedepidermalgrowthfactorreceptor transactivation.EndocrRelatCancer.2009;16:599‐611. 32GranataR,SettanniF,GalloD,TrovatoL,BianconeL,CantaluppiV,NanoR,AnnunziataM,Campiglia P,ArnolettiE,GhèC,VolanteM,PapottiM,MuccioliG,GhigoE.Obestatinpromotessurvivalof pancreaticβ‐cellsandhumanisletsandinducesexpressionofgenesinvolvedintheregulationofβ‐cell massandfunction.Diabetes.2008;57:967‐79. 33EgerodKL,HolstB,PetersenPS,HansenJB,MulderJ,HökfeltT,SchwartzTW.GPR39splicevariants versusantisensegeneLYPD1:expressionandregulationingastrointestinaltract,endocrinepancreas, liver,andwhiteadiposetissue.MolEndocrinol.2007;21:1685‐8. 34CatalánV,Gómez‐AmbrosiJ,RotellarF,SilvaC,GilMJ,RodríguezA,CienfuegosJA,SalvadorJ, FrühbeckG.Theobestatinreceptor(GPR39)isexpressedinhumanadiposetissueandisdown‐regulated inobesity‐associatedtype2diabetesmellitus.ClinEndocrinol.2007;66:598‐601. 35Gurriarán‐RodríguezU,Al‐MassadiO,Roca‐RivadaA,CrujeirasAB,GallegoR,PardoM,SeoaneLM, PazosY,CasanuevaFF,CamiñaJP.Obestatinasaregulatorofadipocytemetabolismandadipogenesis.J CellMolMed.2010doi:10.1111/j.1582‐4934.2010.01192.x. 36MiegueuP,StPierreD,BroglioF,CianfloneK.Effectofdesacylghrelin,obestatinandrelatedpeptides ontriglyceridestorage,metabolismandGHSRsignalingin3T3‐L1adipocytes.JCellBiochem.2011;112: 704‐14. Introduction 36 prolongedandexcessivestress,havingpotentiallyimportantimplicationsinclinicalconditions ofcardiodegenerativediseaseand/orischemicinjury.37  2.1.2. Ghrelinreceptor  Thegrowthhormonesecretagoguereceptor(GHS‐R)wasoriginallydiscoveredin1997andit wasanorphanreceptoruntilthediscoveryofghrelin,itsnaturalligand.38Itismainly expressedinthepituitaryandhypothalamus,whereghrelinactsreleasingGHandmodulating foodintakerespectively.6Itisalsodetectedinotherorgans39andtissues40,41presentinga broaderexpressionasforexampleinthyroid,pancreas,spleen,myocardium,adrenalglands, testis,ovary,placentaandstomach.ThehumanGHSR‐1ageneislocatedonthecromosome position3q26.2.42TherearetwotypesofcDNAafteranalternativesplicingmechanism, namelyreceptortype1aand1b(Figure5).43Thetype1acDNAcodesa366aminoacids receptorwithseventransmembranedomains;ithasamolecularweightof41KDaand presentshighaffinityandspecifityforghrelinandthegrowthhormonesecretagogues(GHS). Ontheotherhand,thetype1bcDNAonlypresentsfivetransmembranedomainsand289 aminoacidsanditdoesnotallowligandbinding.44   37AlloattiG,ArnolettiE,BassinoE,PennaC,PerrelliMG,GhéC,MuccioliG.Obestatinaffords cardioprotectiontotheischemic‐reperfusedisolatedratheartandinhibitsapoptosisinculturesof similarlystressedcardiomyocytes.AmJPhysiol.2010;299:H470‐81. 38KarenKuljuMcKee,OksanaC.Palyha,ScottD.Feighner,DonnaL.Hreniuk,CarinaP.Tan,MichaelS. Phillips,RoyG.Smith,LexH.T.VanderPloegandAndrewD.Howard.Molecularanalysisofratpituitary andhypothalamicgrowthhormonesecretagoguereceptors.MolecularEndocrinology.1997;11:415‐ 423. 39GaytanF,BarreiroML,ChopinLK,HeringtonAC,MoralesC,PinillaL,CasanuevaFF,AguilarE,Diéguez C,Tena‐SempereM.Immunolocalizationofghrelinanditsfunctionalreceptor,thetype1agrowth hormonesecretagoguereceptor,inthecyclichumanovary.JClinEndocrinolMetab.2003;88:879‐87. 40GaytanF,BarreiroML,CaminosJE,ChopinLK,HeringtonAC,MoralesC,PinillaL,PaniaguaR,NistalM, CasanuevaFF,AguilarE,DiéguezC,Tena‐SempereM.Expressionofghrelinanditsfunctionalreceptor, thetype1agrowthhormonesecretagoguereceptor,innormalhumantestisandtesticulartumors.JClin EndocrinolMetab.2004;89:400‐9. 41KageyamaH,FunahashiH,HirayamaM,TakenoyaF,KitaT,KatoS,SakuraiJ,LeeEY,InoueS,DateY, NakazatoM,KangawaK,ShiodaS.Morphologicalanalysisofghrelinanditsreceptordistributioninthe ratpancreas.RegulPept.2005;126:67‐71. 42SmithRG,LeonardR,BaileyAR,PalyhaO,FeighnerS,TanC,MckeeKK,PongSS,GriffinP,HowardA. Growthhormonesecretagoguereceptorfamilymembersandligands.Endocrine.2001;14:9‐14. 43McKeeKK,PalyhaOC,FeighnerSD,HreniukDL,TanCP,PhillipsMS,SmithRG,VanderPloegLH, HowardAD.Molecularanalysisofratpituitaryandhypothalamicgrowthhormonesecretagogue receptors.MolEndocrinol.1997;11:415‐23. 44HowardAD,FeighnerSD,CullyDF,ArenaJP,LiberatorPA,RosenblumCI,HamelinM,HreniukDL, PalyhaOC,AndersonJ,ParessPS,DiazC,ChouM,LiuKK,McKeeKK,PongSS,ChaungLY,ElbrechtA, DashkeviczM,HeavensR,RigbyM,SirinathsinghjiDJ,DeanDC,MelilloDG,PatchettAA,NargundR, GriffinPR,DeMartinoJA,GuptaSK,SchaefferJM,SmithRG,VanderPloegLH.Areceptorinpituitary andhypothalamusthatfunctionsingrowthhormonerelease.Science.1996;273:974‐7. Introduction 37 GhrelinbindingtoGHSR‐1apromotesimportantchangesinthetransmmebranealpha‐helix, affectingtoitsconformationandfacilitatingtheG‐proteinbindingsiteanditsinteraction.10 WithregardtoGHSR‐1aexpressionlevel,bothGHandleptinhormonesinhibititsexpression meanwhileghrelinandgrowthhormonereleasinghormone(GHRH)increaseit.45,46Inthis way,ghrelinandleptinhavecomplementaryroleswithregardtofoodintakecontrolandbody energetichomeostasis.47     Figure5.Ghrelinreceptorsstructure.Afteranalternativesplicingmechanism,twotypesofcDNA encodingghrelinreceptoraregenerated,namedtype1aand1b.(Figureextractedfrom Neuropharmacology.2010;58:2‐16).  45BennettPA,ThomasGB,HowardAD,FeighnerSD,vanderPloegLH,SmithRG,RobinsonIC. Hypothalamicgrowthhormonesecretagogue‐receptor(GHS‐R)expressionisregulatedbygrowth hormoneintherat.Endocrinology.1997;138:4552‐7. 46NassR,GilrainJ,AndersonS,GaylinnB,DalkinA,DayR,PeruggiaM,ThornerMO.Highplasmagrowth hormone(GH)levelsinhibitexpressionofGHsecretagoguereceptormessengerribonucleicacidlevelsin theratpituitary.Endocrinology.2000;141:2084‐9. 47NogueirasR,TovarS,MitchellSE,RaynerDV,ArcherZA,DieguezC,WilliamsLM.Regulationofgrowth hormonesecretagoguereceptorgeneexpressioninthearcuatenucleioftheratbyleptinandghrelin. Diabetes.2004;53:2552‐8. Introduction 38 GHSR‐1alevelsarealsodown‐regulatedbyGHSinthepituitary,butinthearcuatusnucleus, ghrelinisabletoup‐regulatethereceptorexpressionlevels.48,49 ItisknownthatGHSR‐1aisinternalizatedafterligandbindingpromotingitsdesensitization. TheseexperimentswereshowninHEK293celllinestablytransfectedwiththeghrelin receptorthroughradioligandbindingassaysandconfocalmicroscopy.50Theresultsindicate thatGHSR‐1aismainlylocalizedattheplasmamembraneunderunstimulatedconditionsand rapidlydesensitizesafterstimulation.Theghrelin/GHSR‐1acomplexprogressivelydisappears fromtheplasmamembraneafter20minutesofexposuretoghrelinandaccumulatesinthe perinuclearregionafter60minutesviaclathrin‐coatedpits.InadditionGHSR‐1ashowslow recyclingandinthisway,itsinternalizationmayexplainthecharacteristicphysiological responsesmediatedbythisreceptor.50 TheghrelinreceptorbelongstoafamilythatincludestheGPR39aswellasreceptorsforthe peptidesmotilinandneurotensin.Forthesereceptorsahighagonist‐independentactivitywas displayedresultingfromspontaneousadoptionofanactivatedseventransmembranereceptor conformation(7TM).Forexampleghrelinreceptorsignalswith50%,dependingonthesignal transductionpathway,ofitsmaximalsignalingcapacitywithoutthepresenceofanyhormone. 51Thisphenomenonwasshownnotonlyinheterologousexpressionssystemsbutalsofor endogenousGHSR‐1a,detectedbyspecificantibodiesinbothcentralandgastrointestinal neurons,endothelialcellsandastrocytomacells.Constitutiveactivityhasbeendemonstrated formany7TMRinvitro,butwhetherornotconstitutivesignalinghasphysiologicalrelevancein vivoremainsunclear.52,53However,thisfactwasrecentlyclarifiedwiththeidentificationof naturallyoccurringhumanmutationswhichselectivelyeliminateitsconstitutiveactivity withoutaffectingtheaffinity,potency,orefficacyoftheghrelinhormone.Importantly,this   48BrescianiE,NassR,TorselloA,GaylinnB,AvalloneR,LocatelliV,ThornerMO,MüllerEE.Hexarelin modulatestheexpressionofgrowthhormonesecretagoguereceptortype1amRNAatHypothalamic andPituitarySites.Neuroendocrinology.2004;80:52‐9. 49KinemanRD,KamegaiJ,FrohmanLA.Growthhormone(GH)‐releasinghormone(GHRH)andtheGH secretagogue(GHS),L692,585,differentiallymodulateratpituitaryGHSreceptorandGHRHreceptor messengerribonucleicacidlevels.Endocrinology.1999;140:3581‐6. 50CamiñaJP,CarreiraMC,ElMessariS,Llorens‐CortesC,SmithRG,CasanuevaFF.Desensitizationand endocytosismechanismsofghrelin‐activatedgrowthhormonesecretagoguereceptor1a. Endocrinology.2004;145:930‐40. 51HollidayND,HolstB,RodionovaEA,SchwartzTW,CoxHM.Importanceofconstitutiveactivityand arrestin‐independentmechanismsforintracellulartraffickingoftheghrelinreceptor.MolEndocrinol. 2007;21:3100‐12. 52HolstB,MokrosinskiJ,LangM,BrandtE,NygaardR,FrimurerTM,Beck‐SickingerAG,SchwartzTW. Identificationofanefficacyswitchregionintheghrelinreceptorresponsibleforinterchangebetween agonismandinverseagonism.JBiolChem.2007;282:15799‐811. 53HolstB,CygankiewiczA,JensenTH,AnkersenM,SchwartzTW.Highconstitutivesignalingofthe ghrelinreceptor‐‐identificationofapotentinverseagonist.MolEndocrinol.2003;17:2201‐10. Introduction 39 mutation,whichselectivelyeliminatedtheconstitutivesignaling,segregatedwiththe developmentofshortstatureandthedevelopmentofobesity.54Thehighconstitutive signalingactivityoftheGHSR‐1aindicatesthatacompoundactingasanefficientinverse agonistcouldbeaninterestingantiobesityagentandmanyeffortsarefollowedinthisway.55 Becausemany7TMRundergointernalizationandintracellulartraffickingafteragonist exposure,ofteninitiatedbyreceptorphosphorylationandsubsequentrecruitmentofβ‐ arrestinproteins,isimportanttounderstandhowconstitutiveactivityaffectsGHSR‐1a signaling,andhowtheeffectsofagonistsandinverseagonistsareinfluencedbyprocessesthat regulatereceptoractivity.Inthissense,itisknownthatGHSR‐1aundergoesbothconstitutive andagonist‐inducedreceptorinternalizationandthemoleculardeterminantsofthetrafficking profilesresidewithinthereceptorC‐terminaldomainsandthatconstitutiveactivitydrives GHSR‐1aendocytosis,inpartbyβ‐arrestinindependentmechanisms.51 AnotherinterestingpointwithregardtoGHSR‐1aistheexistenceofalternativeligandsforthis receptor.TheGHSR‐1atransducesinformationprovidednotonlybyghrelinbutalsobythe groupofGHSnotrelatedstructurallytoghrelin.44,56Thisfactisexplainedbytheexistenceofa commonbindingdomaindemonstratedbymolecularmodelingandsite‐directedmutagenesis studiesdevelopedwithGHSpeptideandnonpeptideagonists.57Thisbindingsitemight determinethataconservedstructureofagonistsrecognizesacomplementaryconserved bindingpocketwhichdirectsthevariablepartoftheligandandinteractswithspecificagonist‐ associatedregionsdeterminingandoverlappingintheagonist‐bindingsite.58 AfewyearsagoaroleforadenosineasendogenousligandforGHSR‐1awasproposed, showinganintracellularcalciumresponseinHEK293andbabyhamsterkidney(BHK)cells whichexpressedtheGHSR‐1abutwithoutanyeffectwithregardtoGHreleasefrompituitary   54PantelJ,LegendreM,CabrolS,HilalL,HajajiY,MorissetS,NivotS,Vie‐LutonMP,GrouselleD,de KerdanetM,KadiriA,EpelbaumJ,LeBoucY,AmselemS.Lossofconstitutiveactivityofthegrowth hormonesecretagoguereceptorinfamilialshortstature.JClinInvest.2006;116:760‐8. 55HolstB,SchwartzTW.Ghrelinreceptormutations‐‐toolittleheightandtoomuchhunger.JClinInvest. 2006;116:637‐41. 56CassoniP,PapottiM,GhèC,CatapanoF,SapinoA,GrazianiA,DeghenghiR,ReissmannT,GhigoE, MuccioliG.Identification,characterization,andbiologicalactivityofspecificreceptorsfornatural (ghrelin)andsyntheticgrowthhormonesecretagoguesandanalogsinhumanbreastcarcinomasandcell lines.JClinEndocrinolMetab.2001.86:1738‐45. 57BennettKA,LangmeadCJ,WiseA,MilliganG.Growthhormonesecretagoguesandgrowthhormone releasingpeptidesactasorthostericsuper‐agonistsbutnotallostericregulatorsforactivationoftheG proteinGαo1bytheghrelinreceptor.MolPharmacol.2009;76:802‐11. 58BondensgaardK,AnkersenM,ThøgersenH,HansenBS,WulffBS,BywaterRP.Recognitionof privilegedstructuresbyG‐proteincoupledreceptors.JMedChem.2004;47:888‐99. Introduction 40 cellsinvitro.59,60Howeverthisideawasfinallyrejectedalthougharoleforadenosinesignaling incontrollingthereleaseofghrelinfromthemousestomachhasbeenrecentlyproposed.61 AnotherproposedligandfortheGHSR‐1aiscortistatin.62,63Cortistatin(CST)isahormone originallydescribedintherat,mouse,andhumancerebralcortexthatdisplaysstructuraland functionalsimilaritiestosomatostatin(SST).Itbindstoallfivesomatostatinreceptors(SSTR) and,differentlyfromSST,alsobindstoMrgX2,whichhasrecentlybeenidentifiedasitsspecific receptor.64Amongitsfunctions,CST inhibitsGHrelease fromhumanfetalandadenoma pituitarycellsandprolactin(PRL)secretionfromculturedprolactinomas.65CSTalsoposses otherendocrineactionslikeinhibitionofGHandinsulinsecretioninphysiologicalconditions andinacromegalyandasimilarinhibitoryeffectonPRLandadrenocorticotropichormone (ACTH)secretionwasshowninacromegaly,prolactinomaorinCushing'sdisease.66Recently,a roleforCSTastherapeuticagenttoautoimmunediseaseshasbeenproposed.67 AnothercandidateasGHSR‐1aligandisgrowthhormonereleasinghormone(GHRH).GHRH,a 44‐aminoacidhypothalamicpeptide,isakeyregulatorofGHsecretion(fromthepituitary glandtogetherwithsomatostatin)inwhichghrelinisalsoinvolved.68,69GhrelinstimulatesGH releasebothdirectly,actingattheleveloftheanteriorpituitarygland,andbyenhancingGHRH release.70TheGH‐releasingactivityofghrelinislowerthanthatofGHRHhoweverghrelinand   59SmithRG,GriffinPR,XuY,SmithAG,LiuK,CalacayJ,FeighnerSD,PongC,LeongD,PomésA,ChengK, VanderPloegLH,HowardAD,SchaefferJ,LeonardRJ.Adenosine:Apartialagonistofthegrowth hormonesecretagoguereceptor.BiochemBiophysResCommun.2000;276:1306‐13. 60TullinS,HansenBS,AnkersenM,MøllerJ,VonCappelenKA,ThimL.Adenosineisanagonistofthe growthhormonesecretagoguereceptor.Endocrinology.2000;141:3397‐402. 61YangGK,YipL,FredholmBB,KiefferTJ,KwokYN.Involvementofadenosinesignalingincontrolling thereleaseofghrelinfromthemousestomach.JPharmacolExpTher.2011;336:77‐86. 62DeghenghiR,PapottiM,GhigoE,MuccioliG.Cortistatin,butnotsomatostatin,bindstogrowth hormonesecretagogue(GHS)receptorsofhumanpituitarygland.JEndocrinolInvest.2001;24:RC1‐3. 63DeghenghiR,BroglioF,PapottiM,MuccioliG,GhigoE.Targetingtheghrelinreceptor:orallyactive GHSandcortistatinanalogs.Endocrine.2003;22:13‐8. 64AlliaE,TarabraE,VolanteM,CerratoM,GhigoE,MuccioliG,PapottiM.Expressionofcortistatinand MrgX2,aspecificcortistatinreceptor,inhumanneuroendocrinetissuesandrelatedtumours.JPathol. 2005;207:336‐45. 65RubinfeldH,HadaniM,BarkaiG,TaylorJE,CullerMD,ShimonI.Cortistatininhibitsgrowthhormone releasefromhumanfetalandadenomapituitarycellsandprolactinsecretionfromcultured prolactinomas.JClinEndocrinolMetab.2006;91:2257‐63. 66BroglioF,GrottoliS,ArvatE,GhigoE.Endocrineactionsofcortistatin:invivostudies.MolCell Endocrinol.2008;286:123‐7. 67Gonzalez‐ReyE,Delgado‐MarotoV,SouzaMoreiraL,DelgadoM.Neuropeptidesastherapeutic approachtoautoimmunediseases.CurrPharmDes.2010;16:3158‐72. 68MüllerEE,LocatelliV,CocchiD.Neuroendocrinecontrolofgrowthhormonesecretion.PhysiolRev. 1999;79:511‐607. 69TannenbaumGS,LingN.Theinterrelationshipofgrowthhormone(GH)‐releasingfactorand somatostatiningenerationoftheultradianrhythmofGHsecretion.Endocrinology.1984;115:1952‐7. 70AndersonLL,JeftinijaS,ScanesCG.Growthhormonesecretion:molecularandcellularmechanisms andinvivoapproaches.ExpBiolMed.2004.229:291‐302. Introduction 41 GHRHshowanadditiveorsynergisticeffecttostimulateGHsecretionwhenadministeredin vivo71.Moreover,ithasbeenreportedthatforthefullGH‐releasingeffectofghrelin,the vagusnerveisessentialandthatalsorequiresafunctionalhypothalamus‐pituitaryconnection. 72Thegrowthhormonereleasinghormonereceptor(GHRH‐R)isaseventransmembrane receptorof52KDathatbelongstothesecretin/glucagon/vasoactiveintestinalpeptide(VIP) subfamilyofGPCR.73ItstimulatesadenylylcyclasethroughaGsproteintoincreasethe productionofthecellularsecondmessengercAMPwhichwillstimulatePKAactivation.74In addition,inpituitarycellsfrompigs,ghrelinrequiresactivationoftheNOS/NOroute,andits subsequentGC/cGMPsignaltransductionpathway,asnecessarystepstoinduceGHsecretion. 75Recently,ithasbeenshownthatGHRHmaydirectlyactivatetheghrelinreceptor modulatingtheghrelin‐associatedintracellularsignalingpathways,whichopennew possibilitiesonthestudyofthemolecularcircuitsinvolvedintheregulationofGHreleaseand otherghrelin‐mediatedactions.76  2.1.3. Functionsoftheghrelin/GHSR‐1asystem.  Withregardtothesignalingsystemsevokedbyghrelin/GHSR‐1asystem,theGHreleaseisthe moststudied.Inthisparticularcase,itiswellknownthatafterligandbindingthe phosphatidylinositol‐specificphospholipaseC(PI‐PLC)isactivated,43,44producinginositol(1,4, 5)‐triphosphate(IP3)anddiacylglycerol(DAG).TheIP3activatescalciumreleasefromIP3‐ sensitivestoresattheERwhereasDAGinducestheactivationofproteinkinaseC(PKC)inthe plasmamembrane.ThisPKCinhibitsthepotassiumchannelscausingadepolarizationonthe plasmamembranepromotinganopeningofthevoltage‐dependentL‐and‐ T‐typecalcium channels.77LatelytheincreaseoftheintracellularcalciumpromotesthereleaseofGHtothe   71HatayaY,AkamizuT,TakayaK,KanamotoN,AriyasuH,SaijoM,MoriyamaK,ShimatsuA,KojimaM, KangawaK,NakaoK.Alowdoseofghrelinstimulatesgrowthhormone(GH)releasesynergisticallywith GH‐releasinghormoneinhumans.JClinEndocrinolMetab.2001.86:4552‐55. 72Al‐MassadiO,TrujilloML,SeñarisR,PardoM,CastelaoC,CasanuevaFF,SeoaneLM.Thevagusnerve asaregulatorofgrowthhormonesecretion.RegulPept.2011;166:3‐8. 73MayoKE,MillerTL,DeAlmeidaV,ZhengJ,GodfreyPA.Thegrowth‐hormone‐releasinghormone receptor:signaltransduction,geneexpression,andphysiologicalfunctioningrowthregulation.AnnNY AcadSci.1996;805:184‐203. 74 LabrieF,GagnéB,LefèvreG.Growthhormone‐releasingfactorstimulatesadenylatecyclaseactivityin theanteriorpituitarygland.LifeSci.1983;33:2229‐33. 75Rodríguez‐PachecoF,LuqueRM,Tena‐SempereM,MalagónMM,CastañoJP.Ghrelininducesgrowth hormonesecretionviaanitricoxide/cGMPsignallingpathway.JNeuroendocrinol.2008;20:406‐12. 76CasanuevaFF,CamiñaJP,CarreiraMC,PazosY,VargaJL,SchallyAV.Growthhormone‐releasing hormoneasanagonistoftheghrelinreceptorGHS‐R1a.ProcNatlAcadSciUSA.2008;105:20452‐57. 77ChenC,ZhangJ,VincentJD,IsraelJM.Sodiumandcalciumcurrentsinactionpotentialsofrat somatotrophs:theirpossiblefunctionsingrowthhormonesecretion.LifeSci.1990;46:983‐9. Introduction 48 arrestins,inadditiontodesensitizeGPCR,actasaintermediaryendocyticadaptorproteins thattargetGPCRtocoatedpitsviatheirassociationwithbothadaptorprotein2(AP‐2)and clathrin.97Theinteractionbetweenβ‐arrestin,clathrinandAP‐2andalsowith phosphoinositides,definestheplaceswhereclathrincoatedpitswillbemakeup.Inthelast step,theactionofdynaminisrequired.102 Theendocyticfunctionofβ‐arrestin1isregulatedbyphosphorylation,being dephosphorylatedwhenistranslocatedtotheplasmamembrane.Ontheotherhand,β‐ arrestin2isregulatedbypost‐transductionalsmodificationsafteritsbindingtothereceptor. 103Onceinternalizated,GPCRcanbedegradatedinlysosomesordephosphorylatedand recycledbacktotheplasmamembraneasfullyfunctionalreceptors.104Ithastobementioned thatthereexistatightrelationshipbetweenthisfactandβ‐arrestinsubiquitination.100β‐ arrestinsmodulatepost‐endocyticGPCRtraffickingpatternsandappeartobespecificinGPCR recycling;therefore,β‐arrestinsareinvolved,notonlyinterminatingreceptorG‐protein couplingbutalsoininitiatingprocessesthatregulatere‐establishmentofreceptor responsiveness.  2.2.2.3. Down‐regulation  Down‐regulationisaprocesscharacterizedbyadecreaseofthetotalnumberofbindingsites evokedbyprolongedexposuretoagonist.ThelatelypurposeofdownregulationistheGPCR resensitization,forwhichdephosphorylationandliganddissociationarerequired.Thereare evidencesthatinternalizationmayalsoberequired.105Inaphysiologicalapproach,itisnot probablethatcellsarecontinuouslyexposedtohormonesduetheexistenceofmechanisms thatavoidit.However,thissituationcanoccurinpathophysiologicalstates,ascontinuous hormonereleaseintumoralprocess.106Thedown‐regulationmechanisminvolvestwo   102Barki‐HarringtonL,RockmanHA.β‐arrestins:multifunctionalcellularmediators.Physiology.2008;23: 17‐22. 103ShenoySK,LefkowitzRJ.Traffickingpatternsofβ‐arrestinandGprotein‐coupledreceptors determinedbythekineticsofβ‐arrestindeubiquitination.JBiolChem.2003;278:14498‐506. 104AnborghPH,SeachristJL,DaleLB,FergusonSS.Receptor/β‐arrestincomplexformationandthe differentialtraffickingandresensitizationofβ2‐adrenergicandangiotensinIItype1Areceptors.Mol Endocrinol.2000;14:2040‐53. 105LuttrellLM.TransmembranesignalingbyGprotein‐coupledreceptors.MethodsMolBiol.2006;332: 3‐49. 106CollinsS,BouvierM,LohseMJ,BenovicJL,CaronMG,LefkowitzRJ.Mechanismsinvolvedin adrenergicreceptordesensitization.BiochemSocTrans.1990;18:541‐4. Introduction 49 differentmechanisms:pre‐existingreceptorsdegradationanddecreasingandblockingof receptorsfromdenovosynthesis.107  2.2.2.4. Signaling  Inrecentyears,apreviouslyunappreciatedmechanismhasbeenelucidatedforβ‐arrestins.In aβ‐arrestin‐dependentmechanism,receptorinternalizationinitiatesnewsequencesofevents fromreceptordesensitizationandinternalizationtoscaffoldingofkinasestocontrolling intracellulartraffickingofGPCRfollowingendocytosisandsignaling.Thatis,β‐arrestinswould actastransducerssignals(Figure8).102,108    Figure8.NewparadigmsignalinginGPCR.Thebindingofagonisttoitscognatereceptorinitiatesnot onlyclassicalG‐protein‐mediatedsignallingviasecondmessengers,butalsoGRKandβ‐arrestin dependentsignals.Newpathwayswithβ‐arrestinactivatingproteinssuchasERKandSrcaffectcell responsesincludinganti‐apoptoticsignalling,cardiaccontractility,anddopaminergicbehavioursamong others.TheserolesareinadditiontothehistoricallydefinedrolesfortheGRKandβ‐arrestinsin7TM receptordesensitizationandinternalization.(FigureextractedfromActaPhysiol.2007;190:9‐19).  107BöhmSK,GradyEF,BunnettNW.RegulatorymechanismsthatmodulatesignallingbyG‐protein‐ coupledreceptors.BiochemJ.1997;322:1‐18. 108GetherU.UncoveringmolecularmechanismsinvolvedinactivationofGprotein‐coupledreceptors. EndocrRev.2000;21:90‐113. Introduction 50 Itiswellknownthatβ‐arrestinscanformcomplexeswhitdifferentsignalingproteinsincluding cSrcfamilytyrosinkinasesandcomponentsofMAPKpathway.97,109Inthisway,β‐arrestinsact asadaptorproteinsthatprovideGPCR‐mediatedMAPKactivation,increaseefficiencysignaling betweenthedifferentkinasesofthepathwayandtheyalsodirectthemtospecificlocations insidethecells.Thisfactsupposesimportantfunctionalroles. Awelldocumentedexampleisthereceptortyrosinkinase–mediatedERK1/2activation.110In thisexample,afterligandbinding,thereceptortyrosinkinase(RTK)reclutesSosproteinto plasmamembrane,whereitactivatesRasandthisoneactivatesRaf‐1,beingtranslocatedto plasmamembrane.Lately,MAPKareactivatedandERK1/2istranslocatedtothenucleus, wheremitogenesiswillbestimulated,orwillberetainintothecytosol,whereitwill phosphorylatedifferentcytosolictargets.111Thereceptortyrosinkinaseactivationalso initiatestheclathrincoatedpitsformation,allowingtherecyclingofthereceptororits degradation.TherearemultipleexampleswheremanyGPCRactivateMAPKsignaling pathwaysandwhereendocytosisisamechanismrequired.112,113Nevertheless,therearealso otherreportswhereMAPKactivationcanoccurinanindependentwaytotheendocytosis mechanism.112Theexplanationtothisquestionisexposedbytwohypothesescloselyrelated. Thefirstonesuggeststhatendocytosiswouldaddanadditionalspecificinformationlayerto signalingpathwaysthroughitscompartmentalization.Thesecondoneproposesthat endocytosiswouldallowtransportingthesignalingcomplexestospecificlocationsinsidethe cells. TheG‐protein‐mediatedsignalingischaracterizedbyarapidandtransientmechanismwhich involvesnucleartranslocationofERK1/2.Ontheotherhand,β‐arrestin‐mediatedsignalingisa slow,persistentonewhichinvolvesthecytosolicretentionofERK1/2.Thissupposesdifferent physiologicalconsequences.102Inaddition,itiswellestablishedthatactivationofaGPCRcan promoteG‐protein‐independent/β‐arrestin‐mediatedsignaling,suggestingthatreceptorscan assumedistinctconformationalstatesthatinitiatemultiplesignalingpathways.Thisrepresents   109AhnS,ShenoySK,WeiH,LefkowitzRJ.Differentialkineticandspatialpatternsofβ‐arrestinandG protein‐mediatedERKactivationbytheangiotensinIIreceptor.JBiolChem.2004;279:35518‐25. 110FergusonSS.Receptortyrosinekinasetransactivation:fine‐tuningsynaptictransmission.Trends Neurosci.2003;26:119‐22. 111PeyssonnauxC,EychèneA.TheRaf/MEK/ERKpathway:newconceptsofactivation.BiolCell.2001; 93:53‐62. 112KimSJ,KimMY,LeeEJ,AhnYS,BaikJH.Distinctregulationofinternalizationandmitogen‐activated proteinkinaseactivationbytwoisoformsofthedopamineD2receptor.MolEndocrinol.2004;18:640‐ 52. 113QianH,PipoloL,ThomasWG.Associationofβ‐Arrestin1withthetype1AangiotensinIIreceptor involvesphosphorylationofthereceptorcarboxylterminusandcorrelateswithreceptorinternalization. MolEndocrinol.2001;15:1706‐19. Introduction 51 anopportunityfordevelopmentofnoveltherapeuticstargetingselectivebiologicaleffectsofa givenreceptor.Moreover,itnowappearsthat,forsomereceptors,multipleligandscan differentiallydirectsignalingdownβ‐arrestininsteadofG‐proteinsignalingpathways.4This conceptiscalledthebiasedagonism.Biasedagonismisapropertyoftheligand‐receptor complexandso,aligandorareceptormaybebiased.Abiasedligandfavorsoneresponse overanother(eitherG‐proteinorβ‐arrestin)comparedwiththeendogenousligand,whichis consideredtobeneutral.Abiasedreceptorisonlycapableofsignalingthrougharestricted subsetofpathwaysthataretypicallyavailabletothatclassofreceptor.102,114Forexample, somereceptorssuchasAT1R,severalchemokinereceptorsandμ‐opioidreceptorshave ligandsthatarebiased,thatis,compoundsthatstimulateonlyβ‐arrestin‐dependent pathways.115,116Suchligandsareofconsiderableinterestinphysiologicalandpathological settingsbecauseoftheirpotentialbenefittodrivereceptorsignalingindesireddirections. Althoughbiasedagonismwasrecentlyproposed,therearestillgapsintheunderstandingof biasandwithregardtothedifferentreceptorconformationsthatareresponsibleforsignaling toG‐proteinsandβ‐arrestins.SomehypothesispointtoaroleforGRKorcofactorscontrolling G‐proteinversusβ‐arrestinsignalingbutmorestudiesarerequired.117Theseoneswillserveto abetterunderstandingofthedifferentcontributionsofspecificpathwaystotheregulationof physiologicalfunctionsandalsoastargetedagentsforclinicaltherapies.4Inasimilarwayitis unclearwhethersuchselectiveG‐proteinuncouplingiscausedbyalackofabilitytointeract withG‐proteinsorratherbyanincreasedabilityofthereceptortorecruitβ‐arrestins(Figure 9).SinceuncouplingofG‐proteinsbyincreasedabilitytorecruitβ‐arrestinscouldleadto differentcellularorinvivooutcomesthanlackofabilitytointeractwithG‐proteins,itis essentialtodistinguishbetweenthesetwomechanisms.Thesefindingshaveimportant implicationsfordrugdiscoveryand7TMRbiologyandillustratethenecessityofuncoveringthe exactmoleculardeterminantsforG‐proteincouplingandβ‐arrestinrecruitment,respectively. 118   114ViolinJD,LefkowitzRJ.β‐arrestin‐biasedligandsatseven‐transmembranereceptors.Trends PharmacolSci.2007;28:416‐22. 115WhistlerJL,vonZastrowM.Morphine‐activatedopioidreceptorseludedesensitizationbyβ‐arrestin. ProcNatlAcadSciUSA.1998;95:9914‐9. 116WeiH,AhnS,ShenoySK,KarnikSS,HunyadyL,LuttrellLM,LefkowitzRJ.Independentβ‐arrestin2 andGprotein‐mediatedpathwaysforangiotensinIIactivationofextracellularsignal‐regulatedkinases1 and2.ProcNatlAcadSciUSA.2003;100:10782‐7. 117WhalenEJ,FosterMW,MatsumotoA,OzawaK,ViolinJD,QueLG,NelsonCD,BenharM,KeysJR, RockmanHA,KochWJ,DaakaY,LefkowitzRJ,StamlerJS.Regulationofβ‐adrenergicreceptorsignaling byS‐nitrosylationofG‐protein‐coupledreceptorkinase2.Cell.2007;129:511‐22. 118BondeMM,HansenJT,SanniSJ,HaunsøS,GammeltoftS,LyngsøC,HansenJL.Biasedsignalingofthe angiotensinIItype1receptorcanbemediatedthroughdistinctmechanisms.PlosOne.2010;5:e14135. Introduction 52       Figure9.Schematicpresentationofpossiblemechanismunderlyingdifferentialactivation. Hypothetically,areceptormutantselectivelyactivatingβ‐arrestininducedpathwayscouldeitherbe impairedinG‐proteincoupling(right)orshowverystronginteractionwithβ‐arrestins(left).(Figure extractedfromPlosOne,2010;5:e14135).                                     3. METHODS             Methods 55 3.1.Materials  HumanghrelinwasobtainedfromGlobalPeptide(FortCollins,CO,USA).Pertussistoxin(PTX), concanavalinA(ConA)andPhorbol12‐myristate13‐acetate(PMA)werefromSigma(St.Louis, MO,USA).Wortmannin,BAPTA‐2AM,calphostinC,Gö6976,PP2,PP3,genisteinand cortistatin‐17werepurchasedfromCalbiochem(SanDiego,CA,USA).Fura‐2 acetoxymethylester(FURA‐2AM)wasobtainedfromMolecularProbes(Eugen,OR,USA). Anti‐phospho‐p44/42MAPK,anti‐p44/42MAPKrabbitpolyclonal,anti‐phospho‐PKCα/βrabbit polyclonal,anti‐phospho‐PKCμrabbitpolyclonal,anti‐phospho‐cSrc(Tyr416)rabbit polyclonal,anti‐phosphocSrc(Tyr527)rabbitpolyclonal,anti‐pAktHM(S473),anti‐pAktA‐ loop(T308),anti‐Aktrabbitpolyclonal,anti‐Rictorrabbitpolyclonal,anti‐mTORrabbit polyclonalandanti‐pPDK‐1(S241)rabbitpolyclonalantibodieswerefromCellSignaling Technology(Beverly,MA,USA).Anti‐β‐arrestin1goatpolyclonal,anti‐β‐arrestin2rabbit monoclonal,anti‐GHSR(H‐80)rabbitpolyclonal,anti‐Raf‐1rabbitpolyclonal,anti‐cSrcrabbit polyclonal,anti‐PI3K(p85)rabbitpolyclonal,anti‐phospho‐PKCεrabbitpolyclonal,anti‐ phospho‐PKCδrabbitpolyclonal,anti‐phospho‐PKCζrabbitpolyclonal,anti‐SHP‐1(H‐65) mousepolyclonal,anti‐pSHP‐1(Y536)rabbitpolyclonal,anti‐actin(H‐300)rabbitpolyclonal antibodiesandproteinA/GagarosewerefromSantaCruzBiotechnology(SantaCruz,CA, USA).Anti‐phospho‐tyrosinerabbitpolyclonalantibodywasfromUpstateTechnology(Lake Placed,NY,USA).β‐arrestin1siRNA,β‐arrestin2siRNA,cSrcsiRNAandsiRNAcontrolwere likewisefromSantaCruzBiotechnology(SantaCruz,CA,USA).SSTR2siRNAwasprovidedby Dharmacon(CO,USA).RictorsiRNAwassynthesizedbyCellSignaling(Beverly,MA,USA).Anti‐ rabbithorseradishperoxidasewasfromGE‐Amersham(Buckinghamshire,UK),whileanti‐goat horseradishperoxidasewasfromSantaCruz(SantaCruz,CA,USA).Rabbitanti‐ratβ‐arrestin 1C‐terminal(A1CT)antiserumwasprovidedbyProf.R.J.Lefkowitz(DukeUniversityMedical Center,Durham,NC,USA). ProteaseandphosphataseinhibitorcocktailswereobtainedfromSigma(St.Louis,Mo,USA). Pro‐QDiamondphosphoproteingelstain,SYPRO®RubyandLipofecamine2000werefrom Invitrogen(Carlsbad,CA,USA). [125I]‐ghrelinandQuickPrepTMMicromRNAPurificationKitwerefromGEHealthcare AmershamPharmacia(AilingtonHeghts,IL,USA).[125I]‐CST‐17wasfromPhoenix Pharmaceutical(Burlingame,CA,USA).  Methods 56 3.2.Cellculture  HEK293cells,whichstablyexpressthehumanghrelinreceptor1a(HEK‐GHSR‐1a),were culturedin100‐mmdiameterdishesinhighglucoseDMEMcontaining10%(v/v)fetalcalf serumplus500μg/mlgeneticinG‐418to70–80%confluencefor3daysasdescribed previously.50NontransfectedHEK293wereseededin100‐mmdishesandculturedto80% confluencefor2daysinDMEMsupplementedwith10%(v/v)fetalcalfserum.Mediawere supplementedwithpenicillinG(100U/ml)andstreptomycinsulfate(100μg/ml).Cellswere grownunderahumidifiedatmosphereof95%air,and5%CO2at37°C. 3T3‐L1preadipocytecellswereobtainedfromAmericanTypeCultureCollectionand maintainedinDMEMcontaining10%calfserum,100U/mlpenicillin,and100U/ml streptomycin.Cellsweregrownunderahumidifiedatmosphereof95%air,and5%CO2at 37°C.Confluent3T3‐L1cellsweretreatedwith0.5mMisobutylmethylxantine(IBMX),25μM dexamethasone(DEX),and861nM(5μg/mL)insulinfor3daysandmaintainedinDMEM containing10%FBS,100U/mLpenicillin,100U/mLstreptomycinandsupplementedwith172 nM(1μg/mL)insulinfor10daysafterthebeginningofdifferentiationasdescribed previously.35  3.3.Immunoblottinganalysis  Serum‐starvedcellswerestimulatedfortheindicatedtimeperiodat37°C.Themediawasthen aspiratedandthecellswerelysedinice‐coldRIPAbuffer[Tris‐HCl(pH7.2),50mM;NaCl,150 mM;EDTA,1mM;NP‐40,1%(v/v);Na‐deoxycholate,0.25%(w/v);proteaseinhibitorcocktail; phosphataseinhibitorcocktail].Thesolubilizedlysatesweretransferredintocentrifugetubes andleftat4°Cfor15minutes,thenpre‐clearedbycentrifugingat13,000gfor15minutes. ProteinconcentrationwasevaluatedwiththeQuantiProTMBCAassaykit.Subsamples(same amountofprotein)ofeachsamplewereseparatedon10%SDS‐polyacrylamidegelsand transferredtonitrocellulosemembranes.Theblotswereincubatedwith5%non‐fatdrymilkin TBST[Tris‐HCl(pH8.0),20mM;NaCl,150mM;Tween‐20,0.1%(v/v);usedforallincubation andwashingsteps]for1hour.Next,blotswereincubatedfor1hourwiththecorresponding antibodiesaccordingtothemanufacturer’sinstructions.Blotsweresubsequentlyincubated withthecorrespondingperoxidase‐conjugatedIgGantibody.Afterwashing,signalswere visualizedusinganenhancedchemiluminescencedetectionsystem. Methods 57 3.4.[125I]‐ghrelininternalizationassays  ConfluentHEK‐GHSR‐1amonolayercells(70‐80%)wereresuspendedinbindingbuffer [containing,DMEM(pH7.4)plus1%(w/v)BSA],centrifugedat500gfor3minutesatroom temperature,washedtwiceandthenresuspended(1x100‐mmplate/1.5mL;5‐6x105cells peraliquot)inbindingbuffersupplementedwith100.000cpm/aliquotof[125I]‐ghrelinfor2 hoursat4°C.Themediacontaininglabeledghrelinwereremovedandcellswerewashedtwice withice‐coldbindingbuffer.Freshbindingbuffer(0.5mL)wasaddedandcellswereincubated at37°Cforperiodsfrom0to60minutes.Ateachtimepoint,cellswerepelletedandthe incubationmediumwastreatedwith10%(w/v)trichloroaceticacid(TCA)at4°Cfor1hour. TheTCA‐insolublematerialswerepelletedbycentrifugationat10,000gfor10minutesat4°C. Supernatantandinsolublefractionswerecountedtodeterminepostactivationreleasablelabel andTCA‐insolublematerial,respectively.Cell‐surface‐boundghrelinwasremovedby resuspendingthecellsinice‐coldacidbufferfor15‐20minutesat4°C.Thecellswerepelleted bycentrifugationandthesupernatants,correspondingtocell‐surface‐boundghrelin,were counted.Finally,thepelletobtainedwassolubilizedinlysisbuffer(NonidetP‐40,1%;TritonX‐ 100,0.5%andNaOH,1M)andradioactivity,correspondingtointernalizedghrelin,was measuredaspreviouslydescribed.50  3.5.AssaysinK+‐depletedmedium  HEK‐GHSR‐1acellswereresuspendedinHEPES‐bufferedsaline[HEPES(pH7.4),100mM;NaCl, 120mM;MgSO4,1.2mM;EDTA,1mM;CH3COONa,15mM;CaCl2,1mM;glucose,10mM] complementedwith1%(w/v)BSA.Intracellularpotassiumdepletionwascarriedoutby incubatingthecellsfor5minutesat37°Cinhypotonicmedium[HEPES‐bufferedsaline:water, 1:1(v/v)],followedby60minutesofincubationinHEPES‐bufferedsalinesupplementedwith (control)orwithout10mMK+at37°C.For[125I]‐ghrelininternalizationexperiments,cellswere thenwashedandresuspendedinHEPES‐bufferedsalinesupplementedwith100,000 cpm/aliquotof[125I]‐ghrelinfor2hoursat4°C.Afterincubation,cellswerewashedandthen incubatedat37°Cforvariousperiodsoftime.Ateachtimepoint,cellswerepelletedandthe internalizedghrelinwasmeasuredaspreviouslydescribed.50Forimmunoblottinganalysis, cellswerepreincubatedinmediumwithorwithoutK+andthenthecellswerestimulatedwith ghrelinat37°Cforthetimeperiodsindicated,lysedandanalyzedbyimmunoblottinganalysis.                                                                      CHAPTER1              Chapter1 67 Stimulationbyghrelinofp42/p44mitogen‐activatedproteinkinasethroughthe GHSR‐1areceptor:roleofG‐proteinsandβ‐arrestins.  SincethetemporalpatternofERK1/2activationisoneofthekeydeterminantsthatestablish itsbiologicalresponses,firstofallwewantedtoinvestigatethepatternofERK1/2activation inducedbyghrelinthroughthebindingtoitsreceptor,theGHSR‐1a.Forthispurpose,we examinatedthetime‐courseofghrelin‐inducedERK1/2activation(100nM)atdifferenttime pointsinHEK‐GHSR‐1acells.TheresultobtainedisshowninFigure1wherewecanobservea maximalERK1/2phosphorylationwithin5‐10minutesofghrelinstimulation,decreasingto approximately50%ofthemaximumby60minutesafterstimulation.Thisresultsuggestthe existenceofdifferentpathwaysbywhichghrelin,throughGHSR‐1a,activatesERK1/2,pointing toarolefortheG‐proteinsandtothereceptorinternalizationprocess. Toassesstheroleofreceptorinternalizationintheghrelin‐inducedERK1/2activationwefirst testedtheeffectofpotassium‐depletedmedium,aconditionthatsignificantlyaffectsthe formationofclathrin‐coatedpitsandinternalizationthroughthispathway.Figure2Ashows thisconditioninhibitedtheinternalizationprocessof[125I]‐ghrelin.Underthesameconditions theimpactofGHSR‐1ainternalizationonERK1/2activationwasalsoevaluated,showingan inhibitionofghrelin‐inducedERK1/2phosporylation(Figure2B),demonstratingthatthe internalizationprocesscontributesprimarilytothelatetimecomponentofERK1/2activation. Bysubtractingthecontrolcurve(withpotassium;blueline)fromtheinternalization‐ independentcurve(withoutpotassium;redline)anestimationoftheinternalization‐ dependentpathwaycanbeobtained(dottedcurve,greenline). Additionally,theimpactofinternalizationofGHSR‐1aonERK1/2activationwascheckedusing twoindependentexperimentaltreatmentspreviouslydemonstratedtoblockinternalizationby clathrincoatedpitpathways,pretreatmentwithhypertonicsucroseorConcanavalinA(ConA). Hypertonicsucrosepretreatmentwasanon‐viablestrategyinthiscellline,sinceitcausedERK 1/2activationwithoutghrelintreatment(datanotshown).Thesecondapproach, pretreatmentwithConA(250mg/ml,30min),whichblocksreceptorclustering,inhibitedthe ghrelin‐inducedERK1/2phosphorylation(45%inhibition;datanotshown).Theseresults suggesttheexistenceofatleasttwopathwaysbywhichGHSR‐1amightactivateERK1/2,one mediatedbyG‐proteinsandtheotheronerelatedtoGHSR‐1aendocytosis.   Chapter1 68                         Figure1.Time‐courseoftheeffectofghrelinonphosphorylationofERK1/2.Serum‐starvedHEK‐ GHSR‐1acellswerestimulatedwithghrelin(100nM)forthetimeperiodsindicated.Cellswerelysedand analyzedbyimmunoblottingusingspecificantibodiesagainstphospho‐ERK1/2andERK1/2.ERK1/2 phosphorylationwasquantifiedbydensitometryandexpressedasapercentageofthemaximal phosphorylation(mean±SE).Immunoblotsarerepresentativeofthreeindependentexperiments. Chapter1 69                       Figure2.Effectofpotassiumdepletionontheinternalizationof[125I]‐ghrelinandonthe phosphorylationofERK1/2.A.Cellswerepreincubatedwith[125I]‐ghrelinfor2hat4°Candthen incubatedat37°CinmediumwithorwithoutK+forthetimeperiodsindicated.Ateachtimepoint,cells werewashedandsurface[125I]‐ghrelinwasremovedbyacidstripping,andtheremainingcellswerethen solubilizedinNaOH([125I]‐ghrelininternalized).B.Cellswerepreincubatedinmediumwithorwithout K+,thenstimulatedwithghrelin(100nM)forthetimeperiodsindicatedandanalyzedby immunoblottingusingspecificantibodiesagainstphospho‐ERK1/2andERK1/2.ERK1/2 phosphorylationwasquantifiedbydensitometryandexpressedasapercentageofthemaximal phosphorylationofERK1/2(mean±SE).Immunoblotsarerepresentativeofthreeindependent experiments. A B Chapter1 70 AcandidateforamoleculeconnectingtheGHSR‐1ainternalizationtotheactivationofERK1/2 mightbeβ‐arrestins.Tothisend,weusedRNAinterferencetoreducetheexpressionof endogenousβ‐arrestinsinHEK‐GHSR‐1acells.IntheseexperimentssiRNAtargetingβ‐arrestin 1orβ‐arrestin2reducedtheirexpressionby48%and54%,respectively(Figure3A).Inthe presenceofanon‐targetingcontrolsiRNA,ERK1/2phosphorylationmeasuredat10minutes afterghrelintreatmentwasidenticaltothatobservedwithoutanytransfection(datanot shown).β‐arrestin1andβ‐arrestin2siRNAreducedERK1/2phosphorylationat10minutesby 65%and55%,respectively(Figure3B),suggestingthatpartoftheERK1/2activationrequires thesimultaneouspresenceofbothisoforms.Takingtogether,theresultsconfirmthatthe ghrelin‐inducedactivationofERK1/2involvesGHSR‐1ainternalization,andthattheobserved reductionintheghrelin‐inducedactivationfollowingβ‐arrestindepletionreflectsthe requirementofβ‐arrestinsforthisinternalization. Next,weevaluatedtheroleofG‐protein‐dependentpathways.Forthispurpose,wefirst investigatedthepossibleroleofGi/o‐proteinsbymeansofpretreatmentwithpertussistoxin (PTX,100ng/mL,12h).AsFigure4Ashows,PTXreducedtheghrelin‐inducedactivationofERK 1/2by50%approximatelyat5‐10minutesofstimulationwithghrelin,correspondingtothe earlytimecomponent.Wealsoobservedthatatlatertimepoints,theeffectofPTXonERK1/2 activationwasmoresensitive.Subtractionofthetime‐courseobtainedfromthestimulation withghrelininthepresenceofPTX(greenline)fromthecontrolcurve(blueline)predictsthe time‐coursefortheGi/o‐dependentactivationofERK1/2(dottedcurve;redline). Wealsotestedtheeffectsonghrelin‐inducedERK1/2activationoftheCa+2chelatorBAPTA‐ AM.Figure4BshowsthatthepretreatmentwithBAPTA‐AM(30μM,30min)reducedtheERK 1/2activationinducedbyghrelin(100nM,5min)by65%.TheeffectofthePI3Kinhibitor wortmanninwasalsoassayed.Figure4Bshowsthatpretreatmentwithwortmannin(1μM,30 min)decreasedtheghrelin‐inducedERK1/2activationby78%.       Chapter1 71       Figure3.EffectofsiRNAdepletionofβ‐arrestin1orβ‐arrestin2onghrelin‐inducedERK1/2 phosphorylation.HEK‐GHSR‐1acellstransfectedwithβ‐arrestin1orβ‐arrestin2siRNAwereserum‐ starvedandthenstimulatedwithghrelin(100nM,5min).Afterstimulation,cellextractswereprepared asdescribedinmethods.Equalamountsofproteinineachsamplewereusedtoassesstheexpressionof β‐arrestin1orβ‐arrestin2(A)orERK1/2phosphorylation(B)byimmunoblottinganalysis.Expressionof β‐arrestin1orβ‐arrestin2wasquantifiedbydensitometry.Valuesshownarepercentagesofthelevelof β‐arrestinsincontrolsiRNA‐transfectedcells.ERK1/2phosphorylationwasquantifiedbydensitometry andexpressedasapercentageofthebasalphosphorylationofERK1/2obtained5minafterghrelin additiontocontrolsiRNAtransfectedcells(mean±SE).Immunoblotsarerepresentativeofthree independentexperiments.*P<0.05. A B Chapter1 72    Figure4.A.Ghrelin‐inducedERK1/2phosphorylationintheabsenceorpresenceofPTX(100ng/ml,12 h).Serum‐starvedcellswerestimulatedwithghrelin(100nM)forthetimeperiodsindicated.ERK1/2 phosphorylationwasquantifiedbydensitometryandexpressedasapercentageofthemaximal phosphorylationofERK1/2(mean±SE).Dottedcurvepredictsthetime‐coursefortheGi/o‐dependent activationofERK1/2.B.EffectsofBAPTAandwortmanninonERK1/2phosphorylation.Serum‐starved cellswerepretreatedwithBAPTA(30μM,30min)orwortmannin(1μM,30min)beforeghrelin stimulation(100nM,5min).ERK1/2phosphorylationwasquantifiedbydensitometryandexpressedas apercentageofthebasalphosphorylationofERK1/2obtainedincontrolcells(mean±SE).Immunoblots arerepresentativeofthreeindependentexperiments.*P<0.05. A B Chapter1 73 NextweexploredtheroleofPKC,usingthePKCinhibitorsGö6976andcalphostinC.Ghrelin‐ inducedERK1/2activationwasreduced41%bypretreatmentwithGö6976(100nM,30min), aselectiveinhibitorofCa+2dependentPKCαandPKCβIisoenzymes,and67%bypretreatment withcalphostinC(10μM,30min),anon‐selectivePKCinhibitor(Figure5A).Todeterminethe temporalcontributionofPKCα/βonERK1/2activation,cellsweretreatedwithGö6976prior tostimulationwithghrelin.AsshowninFigure5B,Gö6976partiallyreducedtheearlytime componentofghrelin‐inducedERK1/2activation(30%,5–10min).Unexpectedly,thegreatest effectonthetime‐coursewasobservedonthesustainedERK1/2activationat20–60minutes afterghrelinstimulation.Subtractionofthetime‐courseobtainedfromtheGö6976treatment curve,tothecontrolcurve,predictsthetime‐coursefortheGq/11/PKCα/β‐dependent activationofERK1/2(Figure5B,dottedcurve).Takentogetherwiththepotassiumdepletion mediumandPTXdataabove,theseresultssuggestthatβ‐arrestin‐mediatedcomponentof ERK1/2activationisdependentof‘‘interrelated’’componentsactivatedbyGi/0‐andGq/11‐ proteins. Importantrolesofnon‐receptortyrosinekinases(RTK),forexamplemembersofthecSrc family,havebeenreportedduringGPCR‐mediatedERK1/2activationinvariouscelltypes. Ghrelin‐inducedERK1/2activationwasstronglyinhibitedbygenistein(2μM,30min)andPP2 (5μM,30min),aselectivecSrcinhibitor(Figure6A).Thisinhibitionwasspecific,since pretreatmentwithPP3(5μM,30min),anegativecontrolforPP2,hadnoeffectontheghrelin‐ inducedERK1/2phosphorylation(Figure6A),supportingaroleforcSrcproteininghrelin signaling.ToinvestigatetheactivationofcSrc,wecomparedthephosphorylationofbothcSrc regulatorytyrosines,namelyTyr527andTyr416.PhosphorylationofTyr416displayedan earlyincreaseat5minutesofghrelinstimulationandremainedgreaterthanovertwofold basalforatleast60minutesafterstimulation.Conversely,thephosphorylationofinhibitory Tyr527showedadecreaseconcurrentwiththedynamicofphosphorylationofTyr416(Figure 6B).Furthermore,PP2attenuatedthestimulatoryeffectofghrelinonphosphorylationofcSrc atTyr416(datanotshown).      Chapter1 80             Figure10.MechanismofPKCεactivationbyghrelin.Serum‐starvedcellswerepretreatedwith(A)PTX (100ng/ml,12h)or(B)PI3Kinhibitorwortmannin(1μM,30min)andthenstimulatedwithghrelin(100 nM,10min).PKCεphosphorylationwasquantifiedbydensitometryandexpressedaspercentagesof thebasalphosphorylationobtainedincontrolcells(mean±SE).Inmunblotsarerepresentativeofthree independentexperiments.*P<0.05. A B Chapter1 81 Afterdeterminethatβ‐arrestinsandcSrcplayaroleintheGHSR‐1a‐mediatedERK1/2 activation,wenextinvestigatedwhetherghrelininducesformationofacomplexincludingβ‐ arrestins,theinternalizatedreceptorandotherkinases.Toaddressthisquestion immunoprecipitationexperimentsweremade.Theresultsobtainedshowedthat immunoprecipitationofghrelin‐stimulatedcellswithantibodiestophospho‐ERK1/2co‐ precipitatescSrc,Raf‐1andGHSR‐1a.Similarly,immunoprecipitationwithantibodiestoβ‐ arrestin1orβ‐arrestin2co‐precipitatephospho‐ERK1/2andGHSR‐1a(Figure11). Withthepreviousdataobtained,wewantedtotestthehypothesisofcSrcbindingtoβ‐ arrestins,whichthenbindstoreceptor,toformthecomplexpreviouslydescribed.Tothis purpose,theghrelin‐inducedcSrcactivationwasevaluatedafterreducingcellularlevelsofβ‐ arrestin1orβ‐arrestin2bytransfectingwithsiRNA.Theresultsshowedthatinthepresence ofβ‐arrestin1siRNA(47%reductioninβ‐arrestin1expression);activationofcSrcbyghrelin (100nM)wasreducedby45%.Inthepresenceofβ‐arrestin2siRNA(57%reductioninβ‐ arrestin2expression)activationofcSrcbyghrelin(100nM)wasreducedby60%(Figure12).                 Chapter1 82            Figure11.EffectofghrelinontheassemblyofcomplexescontainingGHSR‐1a,β‐arrestins1and2, cSrc,Raf1,andphospho‐ERK1/2.Serum‐starvedcellswerestimulatedwithghrelin(100nM)forthe timeperiodsindicated,thenlysedandimmunoprecipitated(IP)withantibodiestophospho‐ERK1/2 (upperpanel)orβ‐arrestin1orβ‐arrestin2(lowerpanel),thenanalyzedbyimmunoblottingwith antibodiestocSrc,Raf‐1,GHSR‐1aandphospho‐ERK1/2.Immunoblotsarerepresentativeofthree independentexperiments. Chapter1 83         Figure12.ActivationofcSrcbyβ‐arrestins.Cellstransfectedwithβ‐arrestin1orβ‐arrestin2siRNA wereserum‐starvedandthenstimulatedwithghrelin(100nM,5min).Afterstimulation,cellextracts werepreparedandequalamountsofproteinineachsamplewereusedtovisualizeexpressionofβ‐ arrestins1and2(A1CTantibody)(A)andphospho‐cSrc(Tyr416)proteinband(B)byimmunoblotting analysis.Expressionofβ‐arrestinswasdeterminedbydensitometry.Valuesshownarepercentagesof thelevelofthecorrespondingβ‐arrestinsincontrolsiRNAtransfectedcells.Phospho‐cSrc(Tyr416) wasquantifiedbydensitometryandexpressedasthepercentageofthebasalphosphorylation obtainedincontrolsiRNA‐transfectedcells(mean±SE).Immunoblotsarerepresentativeofthree independentexperiments.*P<0.05. A B                              CHAPTER2                   Chapter2 87 cSrcregulatesAktsignalinginresponsetoghrelinviaβ‐arrestinsignaling‐ independentand‐dependentmechanisms.  Firstofall,thetime‐courseofAktactivationwasdefinedafterthestimulationofHEK‐GHSR‐1a cellswithghrelin(100nM).AsFigure1shows,ghrelininducedmaximallevelsofAkt phosphorylationinboththeactivationloopwithinthekinasedomain[A‐loop(T308)]andthe hydrophobicmotifintheC‐terminalregion[HM(S473)]within20minuteskeepingthe maximumby60minutes.                       Figure1.Time‐courseoftheeffectofghrelinonAktHM(S473)andA‐loop(T308)phosphorylation. Serum‐starvedHEK‐GHSR‐1acellswerestimulatedwithghrelin(100nM)forthetimeperiodsindicated. CellswerelysedandanalyzedbyimmunoblottingusingspecificantibodiesagainstpAkt(S473)and (T308).Aktphosphorylationwasquantifiedbydensitometryandexpressedasapercentageofthe maximalphosphorylationobtainedforeachresidue(mean±SE).Immunoblotsarerepresentativeof threeindependentexperiments. Chapter2 88 TheinvolvementofGi/o‐proteinswasevaluatedbymeansofpretreatmentwithPTX(100 ng/mL,12h).TheresultshowsthatPTXreducedtheghrelin‐inducedphosphorylationofthe AktA‐loop(T308).Surprisingly,theeffectofPTXontheotherresidue,(S473),wasincreased. Meanwhile,theeffectofPI3Kinhibitorwortmannin(1μM,30min)showedadecreaseof ghrelin‐inducedAktphosphorylationatbothresidues.Itwasalsocheckedtheinvolvementof theβγ‐subunitofG‐proteinsthroughtheuseoftheconstructβ‐ARK‐CT,whichalsodecreased theeffectofghrelinonAktphosphorylationatbothresidues(Figure2). AktphosphorylationwasstronglyinhibitedatbothresiduesbytheselectivecSrcinhibitorPP2 (5μM,30min)foralltimetested.Thisinhibitionwasspecific,sincepretreatmentwithPP3(5 μM,30min),anegativecontrolforPP2,hadnoeffectonghrelin‐inducedAktphosphorylation (datanotshown).ThesiRNAexperimentstargetingcSrcreduceditsexpressionby57±2%.cSrc siRNAdecreasedghrelin‐activatedAktphosphorylationwithrespecttosiRNAcontrolforall timetestedandforbothresidues[54±3%atHM(S473);and45±6%atA‐loop(T308)](Figure3).                 Chapter2 89                       Figure2.RoleofGi/o‐proteins,GβγdimmersandPI3KinAktphosphorylationinresponsetoghrelin. Ghrelin‐inducedAktphosphorylationintheabsenceorpresenceofPTX(100ng/mL,12h),PI3Kinhibitor wortmannin(1μM,30min)andβγsequesterβ‐ARK‐CT.Serum‐starvedHEK‐GHSR‐1acellswere stimulatedwithghrelin(100nM)forthetimeperiodsindicated.Cellswerelysedandanalyzedby immunoblottingusingspecificantibodies.Aktphosphorylationwasquantifiedbydensitometryand expressedasapercentageofthemaximalphosphorylationobtainedforeachresidue(mean±SE). Immunoblotsarerepresentativeofthreeindependentexperiments. Chapter2 96 Thenextstepwasdilucidatetheroleofβ‐arrestinsinAktphosphorylation.ThesiRNA experimentstargetingβ‐arrestin1orβ‐arrestin2(45±2%and55±4%reductionrespectively) showedthatβ‐arrestin1andβ‐arrestin2siRNAledtorapidAktphosphorylation,which decreasedafter10minutesofghrelinstimulation(100nM)withrespecttosiRNAcontrol [41±2%and39±3%atHM(S473)forβ‐arrestin1andβ‐arrestin2siRNArespectively;and 47±5%and40±4%atA‐loop(T308)forβ‐arrestin1andβ‐arrestin2siRNArespectively].This inhibitoryeffectstayedonbothresiduesforatleast60minutes(Figure8). Immunoprecipitationofghrelin‐stimulatedcells(100nM,10min)withantibodiestoβ‐arrestin 1orβ‐arrestin2co‐precipitatedpAkt(T308,S473)whilefailedtoco‐precipitatedpPDK‐1 (S241),RictorandmTOR(Figure9).Theβ‐arrestin‐dependentAktphosphorylationwas dependentoncSrcasnoimmunoprecipitationofpAktwasobtainedwithantibodiestoβ‐ arrestin1orβ‐arrestin2inghrelin‐stimulatedcells(100nM,10min)afterpretreatmentwith PP2(5μM,30min).Thisinhibitionwasspecific,sincepretreatmentwithPP3(5μM,30min) hadnoeffectontheβ‐arrestin‐dependentAktphosphorylationinducedbyghrelin(datanot shown). Figure10showsthatin3T3‐L1cells,ghrelininducedAktphosphorylationatbothresiduesand atdifferenttimepoints,reachingmaximallevelswithin20–60minutesofghrelinstimulation (100nM).Thistime‐coursewassimilartothetime‐courseobservedinHEK‐GHSR‐1acells.Ina similarway,theeffectofPP2(5μM,30min)reducedAktphosphorylationatbothresidues, meanwhilePP3pretreatment(5μM,30min),anegativecontrolforPP2,showednoeffect (Figure10). Immunoprecipitationexperimentsperformedonghrelin‐stimulatedcells(100nM,10minutes) withantibodiestoβ‐arrestin1andβ‐arrestin2co‐precipitatedfull‐activatedAktshowingan increaseontyrosinephosphorylationcomparedtounstimulatedcells.Inaddition,the activatedformofcSrc,pcSrc(Tyr416)co‐immunoprecipitatedwithβ‐arrestin1andβ‐arrestin 2(Figure11).       Chapter2 97     Figure8.EffectofsiRNAdepletionofβ‐arrestin1orβ‐arrestin2onghrelin‐inducedAkt phosphorylation.HEK‐GHSR‐1acellstransfectedwithβ‐arrestin1orβ‐arrestin2siRNAwereserum starvedandthenstimulatedwithghrelin(100nM).Equalamountsofproteinineachsamplewereused toassesstheexpressionofβ‐arrestin1orβ‐arrestin2(upperpanel)andAktphosphorylation(lower panel)byimmunoblotting.Expressionofβ‐arrestin1orβ‐arrestin2wasquantifiedbydensitometry. Valuesshownarepercentagesofthelevelofβ‐arrestinsincontrolsiRNA‐transfectedcells(mean±SE). Aktphosphorylationwasquantifiedbydensitometryandexpressedasapercentageofthemaximal phosphorylationatHM(S473)andA‐loop(T308)afterghrelinadditiontocontrolsiRNA‐transfectedcells (mean±SE).Immunoblotsarerepresentativeofthreeindependentexperiments.(*,P<0.05). Chapter2 98              Figure9.Effectofghrelinontheassemblyofcomplexescontainingβ‐arrestins1and2andpAkt. Serum‐starvedHEK‐GHSR‐1acellswerestimulatedwithghrelin(100nM,10min),lysedand immunoprecipitated(IP)withantibodiestoβ‐arrestin1(leftpanel)orβ‐arrestin2(rightpanel),and thenanalyzedbyimmunoblottingwithpAkt[HM(S473),A‐loop(T308),pPDK‐1(S241)],Rictor,mTOR, andβ‐arrestin(A1CT)antibodies.Immunoblotsarerepresentativeofthreeindependentexperiments. Chapter2 99        Figure10.EffectofthecSrcinhibitorPP2andPP3,ontheghrelin‐inducedAktactivationin3T3‐L1 preadipocytecells.Serum‐starved3T3‐L1cellswerepretreatedwithPP2(5μM,30min)orPP3(5μM, 30min)beforeghrelinstimulation(100nM)fortheindicatedtimeperiodsat37°C.Then,cellswere lysedandanalyzedbyimmunoblottingwithpAktHM(S473)andA‐loop(T308).Aktphosphorylationwas quantifiedbydensitometryandexpressedasapercentageofthemaximalphosphorylationatHM (S473)andA‐loop(T308)(mean±SE).Immunoblotsarerepresentativeofthreeindependent experiments. Chapter2 100              Figure11.Effectofghrelinontheassemblyofcomplexescontainingβ‐arrestins1and2andpAktin 3T3‐L1preadipocytecells.Serum‐starved3T3‐L1cellswerestimulatedwithghrelin(100nM,10min), lysedandimmunoprecipitated(IP)withantibodiestoβ‐arrestin1and2andthenanalyzedby immunoblottingwithpAktHM(S473),pAktA‐loop(T308),pYandpcSrc(Y416)antibodies.Immunoblots arerepresentativeofthreeindependentexperiments.                          CHAPTER3             Chapter3 103 SHP‐1proteintyrosinephosphatasenegativelymodulatesAktsignalingin ghrelin/GHSR‐1asystem.Implicationsinwhiteadiposetissue.  PhosphorylationoftheC‐terminalY536residueofSHP‐1[pSHP‐1(Y536)]afterghrelin stimulationinHEK‐GHSR‐1acellswasevaluated.AsFigure1shows,ghrelin(100nM)increased pSHP‐1(Y536),reachingmaximallevelswithin10minutes,keepingthisdegreebyatleast60 minutes.                   Figure1.Time‐courseoftheeffectofghrelinonSHP‐1C‐terminalY536residuephosphorylation [pSHP‐1(Y536)].Serum‐starvedHEK‐GHSR‐1acellswerestimulatedwithghrelin(100nM)forthetime periodsindicated.Cellswerelysedandanalyzedbyimmunoblottingusingspecificantibodiesagainst pSHP‐1andactin.SHP‐1phosphorylationwasquantifiedbydensitometryandexpressedasafoldof controlcells(mean±SE).Immunoblotsarerepresentativeofthreeindependentexperiments. Chapter3 104 TheroleofSHP‐1onghrelin‐inducedphosphorylationoftheAktA‐loop(T308)andHM(S473) wasevaluatedbymeansofoverexpressionofadominant‐negativeSHP‐1mutant(SHP‐1dn). Ghrelin‐inducedAktactivitywasincreasedinSHP‐1dn‐transfectedcells,withhighereffecton AktA‐loop(T308)phosphorylationthanthatobservedforAktHM(S473)phosphorylation within20minutesofghrelinstimulation(100nM)(Figure2).Aktphosphorylationatboth residueswasnotalteredafter20minutesofghrelintreatmentintheSHP‐1dn‐transfectedcells (Figure2). PI3KactivationwasevaluatedbymeansofoverexpressionofSHP‐1dn.Forthispurpose, controlandSHP‐1dn‐transfectedcellswereimmunoprecipitatedwithp85andthetyrosine phosphorylation(Y),underghrelinstimulationwasevaluated.ResultsinFigure3showedthat thelevelofp85‐tyrosinephosphorylationinducedbyghrelin(100nM,5min)wasmarkedly higherinSHP‐1dn‐transfectedcellscomparedwithcontrolcells. cSrcactivationwasalsoevaluatedthroughoverexpressionofSHP‐1dn.Ghrelin‐stimulatedcSrc phosphorylation[pSrc(Y416)]wasmeasuredincontrolandSHP‐1dn‐transfectedcells.As showninFigure4,thelevelofpcSrc(Y416)ismarkedlyhigherincellsoverexpressingSHP‐1dn comparedwithcontrolcells.Inaddition,theeffectofSHP‐1dnonPDK‐1phosphorylationatits conservedserineresidue,S241,wasalsoevaluated.OverexpressionofSHP‐1dnincreased ghrelin‐inducedPDK‐1phosphorylation[pPDK‐1(S241)](Figure4). TheeffectofsiRNA‐mediatedsuppressionofβ‐arrestins1and2expressiononthekineticsof pSHP‐1followingghrelinstimulationwasexamined.siRNAexperimentstargetingβ‐arrestin1 orβ‐arrestin2reducedtheirexpressionby50±2%and65±4%,respectively(Figure5).Inthe presenceofanon‐targetingcontrolsiRNA,ghrelin‐activatedpSHP‐1(Y536)wasidenticalto thatobservedwithoutanytransfection(datanotshown).β‐arrestin1andβ‐arrestin2siRNA decreasedghrelin‐activatedpSHP‐1(Y536)withrespecttosiRNAcontrol,withmaximal inhibitoryeffectatthelatertimepoints[34±3%and60±9%at10minforβ‐arrestin1andβ‐ arrestin2siRNA,respectively(Figure5)].       Chapter3 105           Figure2.Effectofoverexpressionofdominant‐negativeSHP‐1mutant(SHP‐1dn)onghrelin‐mediated Aktactivation.Serum‐starvedHEK‐GHSR‐1acellswerestimulatedwithghrelin(100nM)forthetime periodsindicated.Cellswerelysedandanalyzedbyimmunoblottingusingspecificantibodiesagainst pAkt(S473)and(T308).Aktphosphorylationwasquantifiedbydensitometryandexpressedasafoldof controlcells(mean±SE).Immunoblotsarerepresentativeofthreeindependentexperiments. ImmunoblotanalysisofSHP‐1expressionincontrolandSHP‐1dn‐transfectedHEK‐GHSR‐1acellsis showninthecenterofthepanel.(*,P<0.05). Chapter3 112                        Figure8.A.ImmunoblotanalysisofSHP‐1inextractsfrom3T3‐L1cells,WAT,skeletalmuscleandliver ofcontrolmice.Sameamountofprotein(40μg)wasusedforthisanalysis.SHP‐1wasdetectedby immunoblottingandnormalizedforactin.Resultswereexpressedasafoldofrespectivecontrol (mean±SE;n=10).Immunoblotsarerepresentativeofthreeindependentexperiments.B. ImmunocytochemicaldetectionofSHP‐1in3T3‐L1preadipocyteandadipocytecells(objective magnification40x).SHP‐1immunostainingwashigherinpreadipocytethanadipocytecellsbeingmainly concentratedinperinuclearcompartmentsinboth3T3‐L1cells. A B Chapter3 113                   Figure9.Time‐courseoftheeffectofghrelinonpSHP‐1(Y536)in3T3‐L1preadipocyteandadipocyte cells.Serum‐starved3T3‐L1cellswerestimulatedwithghrelin(100nM)forthetimeperiodsindicated. CellswerelysedandanalyzedbyimmunoblottingusingspecificantibodiesagainstpSHP‐1andSHP‐1. SHP‐1(Y536)phosphorylationwasquantifiedbydensitometryandexpressedasafoldofcontrolcells (mean±SE).Immunoblotsarerepresentativeofthreeindependentexperiments. Chapter3 114                          Figure10.ImmunohistochemicaldetectionofSHP‐1inomental(upperpanel)andsubcutaneous(lower panel)WATobtainedfromcontrolandHFD‐treatedmice(objectivemagnification20x).DecreasedSHP‐ 1immunostainingwasevidentinomentalWATcomparedtocontrolmice. Chapter3 115                          Figure11.A.Effectofghrelin(100nM,1h)onpSHP‐1(Y536)inomentalandsubcutaneousWATexplants invitrofromcontrol(A)andHFD(B)mice.pSHP‐1(Y536)levelswereexpressedasafoldofcontrol (unstimulated)WAT(n=10pergroup).InA,subcutaneousSHP‐1levelwasexpressedasfoldofomental WAT.InB,SHP‐1levelwasexpressedasfoldofWATfromcontrolmice.(*,P<0.05). B A Chapter3 116 TofurtherdefinetheroleforSHP‐1inmodulatingghrelinaction,GHSR‐1asignalingtoAktwas furtherexaminedinWATtissueexplantsinvitro.Ghrelin‐stimulatedAktactivity(100nM,1h) wasincreasedonbothA‐loop(T308)andHM(S473)regulatorysitesinomentalWATofHFD micecomparedtoomentalWATofcontrolmice(∼1.4‐and1.5‐foldhigher,respectively).In contrast,ghrelin‐inducedpAkt(T308)levelswere37%lessinsubcutaneousWATofHFD relativetosubcutaneousWATofcontrolmice(Figure12A).HowevertheextentofpAkt(S473) stimulationafterghrelintreatmentinsubcutaneousWATofHFDwasquitesimilartoits respectivecontrol(Figure12A).TotalAktlevelswerecomparableinallinstances(Figure12B). NochangesweredetectedinGHSR‐1aandp85levels(Figure13AandB,respectively)inall instances.cSrcexpressionwasmarkedlyenhancedinomentalandsubcutaneousWATofHFD comparedtoWATofcontrolmice(∼1.9‐and∼1.6‐fold,respectively;Figure14A).PDK‐1levels wereenhancedinsubcutaneousWATofHFDmicerelativetocontrol(∼0.9fold),although werenotalteredinomentalWATofHFDmice(Figure14B).Onthecontrary,mTORlevels wereincreasedinomentalWATofHFDmiceandwerediminishedinsubcutaneousWATof HFDmice(Figure14C).                Chapter3 117                 Figure12.Effectofghrelin(100nM,1h)onpAkt(T308)andpAkt(S473)(A)andAkt(B)inWATexplants invitroinomentalandsubcutaneousWATobtainedfromcontrolandHFD‐treatedmice(n=10per group).Proteinexpressionwasnormalizedforactinandresultswereexpressedasafoldofrespective controlasmean±SE.(*,P<0.05). A B  Chapter3 118                           Figure13.Effectofghrelin(100nM,1h)onGHSR‐1a(A)andp85(B)inWATexplantsinvitroinomental andsubcutaneousWATobtainedfromcontrolandHFD‐treatedmice(n=10pergroup).Protein expressionwasnormalizedforactinandresultswereexpressedasafoldofrespectivecontrol (mean±SE).   A B Chapter3 119                             Figure14.Effectofghrelin(100nM,1h)oncSrc(A),PDK‐1(B)andmTOR(C)inWATexplantsinvitroin omentalandsubcutaneousWATobtainedfromcontrolandHFD‐treatedmice(n=10pergroup).Protein expressionwasnormalizedforactinandresultswereexpressedasafoldofrespectivecontrol (mean±SE).(*,P<0.05).    B C A                              CHAPTER4        Chapter4 128           Figure5.ExpressionlevelsofSSTRinHEK‐WTandHEK‐GHSR‐1acells.AbsolutemRNAcopynumberof SSTR1,SSTR2,SSTR3,SSTR4,SSTR5,SST5MD5andSST5MD4measuredbyqRT‐PCR.Valuesindicate meanmRNAcopynumber±SEofeachtranscriptadjustedbyβ‐actinmRNAcopynumber. Chapter4 129                        Figure6.EffectofsiRNAdepletionofSSTR2onCST‐17‐inducedERK1/2andAktHM(S473) phosphorylation.HEK‐GHSR‐1acellstransfectedwithSSTR2siRNAwereserum‐starvedandthen stimulatedwithCST‐17(200nM)forthetimeperiodsindicated.Equalamountsofproteinineach samplewereusedtoassesstheexpressionofSSTR2(upperpanel)orERK1/2andAkt(S473) phosphorylation(lowerpanel)byimmunoblottinganalysis.ExpressionofSSTR2wasquantifiedby densitometryandexpressedaspercentagesofthelevelofSSTR2incontrolsiRNA‐transfectedcells (mean±SE).Immunoblotsarerepresentativeofthreeindependentexperiments.(*,P<0.05). Chapter4 130 Ghrelin‐induced[Ca2+]irisewasinhibitedafterpre‐stimulationwithCST‐17orCST‐14(200nM, 30sec)(Figure7A).Thisinhibitoryeffectwasdose‐dependent,exceeding50%atadoseof500 nMforbothCST‐17andCST‐14.HowevertheeffectdidnotsharewithSSTpretreatment(1.0 μM,30secbeforeghrelinstimulus)(Figure7A).HavingestablishedpreviouslythatCST‐17 exertsaninhibitoryroleinghrelinsignaling,theroleofSSTR2inthisinhibitoryeffectwas evaluated.Tothisend,wefirstinvestigatedthepossibleroleofGi/o‐proteinsbymeansof pretreatmentwithpertussistoxin(PTX,100ng/mL,12h).AsshowninFigure7B,PTX,which uncouplesGi/ofromreceptors,reversedtheinhibitoryeffectofCST‐17onghrelin‐induced calciumrise.TheinhibitoryeffectofCST‐17onghrelin‐inducedcalciummobilizationwasnot reversedafterapretreatmentwithPMA(1μmol/l,5minbeforeghrelinstimulus),a characteristicsharedwithghrelin‐activatedcalciummobilizationthroughGHSR‐1a(Figure7C). TheeffectofCST‐17onERK1/2phosphorylationcomparedtotheeffectofghrelin,wasalso evaluatedandisshowninFigure8.CST‐17pretreatment(200nM,30secbeforeghrelin stimulus)inhibitedghrelin‐inducedERK1/2phosphorylation(200nM,5min).However ghrelin‐inducedERK1/2phosphorylation(200nM,5min)wasnotmodifiedbySST(200nM, 30secbeforeghrelinstimulus).ItwasalsoshownthatinHEK‐GHSR‐1acells,SSTactivates phosphorylationofERK1/2(datanotshown).              Chapter4 131                               Figure7.A.EffectofCST‐17,CST‐14orSSTonghrelin‐induced[Ca+2]IinHEK‐GHSR‐1acells.Resultsare expressedas%ofmaximalghrelinresponse(200nM;mean±SE;n=3).B.EffectofCST‐17(200nM)on ghrelin‐induced[Ca2+]i(200nM)intheabsenceorpresenceofPTX(100ng/mL,12h).C.EffectsofPMA (1μM,5minutesbeforestimulus)ontheinhibitoryeffectofCST‐17(200nM)onghrelin‐induced[Ca2+]I (200nM).ForA,BandCresultsareexpressedas%ofmaximalghrelinresponse(mean+SE;n=6). A CB Chapter4 132                         Figure8.Effectofghrelin,CST‐17andSSTonbasal‐andghrelin‐inducedERK1/2phosphorylation.HEK‐ GHSR‐1acellswereserumstarvedandthenstimulatedwithghrelinalone(200nM),CST‐17alone(200 nM),SSTalone(200nM),ghrelinplusCST‐17(200nM,30secondspriortoghrelinstimulation)or ghrelinplusSST(200nM,30secondspriortoghrelinstimulation)for5minutes.Cellswerelysedand analyzedbyimmunoblottingusingspecificantibodiesagainstpERK1/2.ERK1/2phosphorylationwas quantifiedbydensitometryandexpressedasthepercentageofthebasalphosphorylation(mean±SE). Immunoblotsarerepresentativeofthreeindependentexperiments.                          5. DISCUSSION            Discussion 135 Sinceghrelindiscovery,morethanadecadeago,numerouspublicationshavebeenreported withthedifferentrolesofthisacylatedpeptidichormone,rangingfromregulationofappetite andfoodintaketothereleaseofdistincthormones,effectsonglucoseandlipidmetabolism, cardiovasculareffects,modulationofcellproliferationoreffectsonreproductivesystem.10 Onlyunderstandingindetailthebasicsmechanismsthatcontrolandregulatetheresponseof thishormonethroughitsreceptor,willallowusabetterknowledgetodevelopnewdrugs actingonGHSR‐1aorinitstargets.  Ghrelin/MAPKpathway  Withregardtotheroleofghrelinincellproliferation,theMAPKpathwayrepresentsthemain pathwayinvolvedinmitogenicprocesses. 10TheclassicalmechanismbywhichG‐protein‐ coupledreceptors(GPCR)activateMAPKisthroughheterotrimericG‐proteins.Thesereceptors stimulateG‐proteinsubunits,whichactivatetheRas‐dependentcascade,leadingtothe activationofRaf‐1andMAPkinasekinase1,aspecificactivatorofextracellularsignal‐ regulatedkinases1and2(ERK1/2). Forexample,in3T3‐L1preadipocytes,themitogeniceffectofghrelinismediatedviaactivation oftheMAPKandphosphoinositide3‐kinase(PI3K)pathwaysthroughapertussistoxin(PTX)‐ sensitiveG‐protein(Gi/o).84ThePI3K/Aktpathwayhasalsobeenimplicatedinthemitogenic effectsofghrelinonpancreaticadenocarcinomacells.121 Meanwhile,inhumanandratadrenal zoneglomerulosacells,themitogeniceffectofghrelininvolvesactivationofatyrosinekinase‐ dependentMAPKp42/43mechanismandseemstobeindependentofcAMP‐dependent proteinkinase(PKA)andproteinkinaseC(PKC).82,83Itwasalsoseenthatinhepatomacells, ghrelinmodulatesthedownstreamstagesofinsulinsignalingbystimulatingcellproliferation throughthetyrosinephosphorylationofinsulinreceptorsubstrate‐I(IRS‐I),leadingassociation ofIRS‐Iwiththeadaptormoleculegrowthfactorreceptor‐boundprotein2(GRB2)andthus activatingMAPKactivity.85 Thus,therearedifferentpaperswheretheghrelin‐inducedMAPKactivationhasbeen describedandtheintracellularsignalingmechanismshavebeenelucidated. RecentevidencehassuggestedthatERK1/2activationmayalsobeachievedviapathways involvingβ‐arrestins.Theβ‐arrestins,originallythoughtonlytobeinvolvedinreceptor   121DuxburyMS,WaseemT,ItoH,RobinsonMK,ZinnerML,AshleySW,WhangEE.Ghrelinpromotes pancreaticadenocarcinomacellularproliferationandinvasiveness.BiochemBiophysResCommun. 2003;309:464–68. Discussion 136 uncouplingandinternalization,serveasmultifunctionaladaptor,scaffoldsandsignal transducersthatconnectactivatedreceptorswithdiversesignalingmoleculeswithinthecell.5 β‐arrestin‐mediatedactivationofERK1/2appearstobelinkedtothefunctionofβ‐arrestinsin mediatingendocytosisofanumberofGPCR,inwhichtheyactasscaffoldsforthecomponent kinasesthatactivateERK1/2.5,122Inpathwaysmediatedbytheclass‐BGPCR,theβ‐arrestin scaffoldedsignalingcomplexpersistsforprolongedperiodswhileinpathwaysmediatedby class‐AGPCR,thescaffoldismuchlesspersistent.5,122Thesedifferencesaredeterminedby thestabilityoftheβ‐arrestin/receptorcomplexes.100,123,124Thesescaffoldingcomplexescan determinethesubcellularlocationandspecificityofactivatedERK1/2,promoting phosphorylationofdiversecytosolicsubstratesandtherebyhavingdifferentphysiological consequences,liketheangiotensinIItype1areceptor(AT1AR)forexample.116Thisisowingto thefactthatGq‐protein‐mediatedactivationisrapidandtransientleadingtonuclear translocationoftheactivatedERK1/2withconsequentmitogenicactivity.Incontrast,β‐ arrestin‐mediatedactivationischaracterizedbyretentionoftheactivatedERK1/2inendocytic vesicles,sothereisnoinductionofmitogenesis,asitwasreportedforthetype2vasopressin receptor(V2R).125Thus,itmaybeconcludedthatthephysiologicalconsequenceswere differentsincetheactivatedERK1/2poolsgeneratedbythetwopathwayswouldhave differentspatialandtemporaldistributionsandsubcellularlocations.Anotherimportantthing tomentionisrelatedtotheactionofthesepathways.Itisnotcleartheinterplaybetweenthe β‐arrestin‐dependentandG‐protein‐dependentpathways.ThereareexampleswheretheG‐ proteinandβ‐arrestin‐dependentpathwaysactsequentially125andcaseswhereboth pathwayscanactinparallel,asdescribedforAT1AR116andβ‐2adrenergicreceptor(β2AR).126 Itiswell‐knownthatERK1/2activationviatheGHSR‐1areceptorhasbeenreportedtoinvolve Gi‐mediatedsignalingandPI3K,PKC,tyrosinekinasephosphorylations.However,itisunclear howthisreceptorcoupletoMAPKsignalingpathwayand,furthermore,whetherthereare subtype‐relatedregulationsinthissignalingpathway.Theresultspresentedhereallowusto  122ReiterE,LefkowitzRJ.GRKsandβ‐arrestins:Rolesinreceptorsilencing,traffickingandsignaling. TrendsEndocrinolMetab.2006;17:159–65. 123FergusonSS.EvolvingconceptsinG‐protein‐coupledreceptorendocytosis:Theroleinreceptor desensitizationandsignaling.PharmacolRev.2001;53:1–24. 124LuttrellLM,LefkowitzRJ.Theroleofβ‐arrestinsintheterminationandtransductionofG‐protein‐ coupledreceptorsignals.JCellSci.2002;115:455–65. 125RenXR,ReiterE,AhnS,KimJ,ChenW,LefkowitzRJ.DifferentG‐protein‐coupledreceptorkinases governG‐proteinandβ‐arrestin‐mediatedsignalingofV2vasopressinreceptor.ProcNatlAcadSciUSA. 2005;102:1448–53. 126ShenoySK,DrakeMT,NelsonCD,HoutzDA,XiaoK,MadabushiS,ReiterE,PremontRT,LichtargeO, LefkowitzRJ.β‐arrestin‐dependent,G‐protein‐independentERK1/2activationbytheβ2adrenergic receptor.JBiolChem.2006;281:1261–73.  Discussion 137 delineatethepathwayofMAPKactivationinducedbyghrelininresponsetobindingtoGHSR‐ 1ainHEK‐GHSR‐1acells.Thesignalingmechanismsthatunderliethephosphorylationand activationofERK1/2arecomplexandresultfromtheinterplayofthreedifferentsignaling pathwayswhichdependonbothclassicalG‐protein‐regulatedeffectorsandβ‐arrestins‐ dependentmechanisms.OnepathwayisGq/11‐dependentandinvolvesaCa+2‐dependentPKC (PKCα/β)andcSrc.AsecondpathwayisGi/o‐dependentandinvolvesPI3K,PKCε,andcSrc.The thirdpathwayismediatedbyβ‐arrestins1and2andrequirestheentryofthereceptorintoa multiproteincomplexwiththeβ‐arrestins,cSrc,Raf‐1,ERK1/2,andperhapsother componentsoftheMAPKcascade.Inaddition,ithasbeenshownthattheGq/11‐andtheGi/o‐ proteinsarecruciallyinvolvedandconvergeintheβ‐arrestin1and2‐mediatedERK1/2 activation.AnotherpointtohighlightisthecrucialroleofcSrcplayingasanodelinkingboth pathways.Thus,thesefindingssupporttheviewthatghrelinactivatesdifferentERK1/2pools thatdifferintheirtemporalandspatialdistributions,andthusprobablyhavedifferent physiologicalconsequences. StartingfromthepreviousdatareportedwhereERK1/2activationviatheGHSR‐1ainvolveda Gi‐protein‐mediatedmechanismwecontinuedtoexploretheinvolvementofotherG‐proteins whichmightbemediatingERK1/2activation.ThediscoveryoftheGq/11‐dependentpathway wasachievedaftertestingtheeffectofBAPTA,whichpartiallydecreasedtheERK1/2 activationafterghrelinstimulation,pointingtoaCa+2‐dependentsignalingpathway.Itiswell‐ knownthatGq/11‐proteinsactivatephosphatidylinositol‐specificphospholipaseC(PI‐PLC)which generatesIP3andDAGfromphosphatidylinositol4,5‐biphosphatewiththesubsequent liberationofCa+2fromIP3‐sensitivestoresandactivationofCa+2‐dependentPKCα/β.In addition,theuseofaselectiveinhibitoroftheCa+2‐andDAG‐dependentPKCαandPKCβ isoforms,Gö6976,causedasimilardecreaseintheghrelin‐inducedERK1/2activation.Besides, thedataobtainedfromPKCαandPKCβactivationinresponsetoghrelinparallelthetime‐ courseofghrelin‐inducedERK1/2activation.ItwasalsodeterminedtheroleofcSrc, confirmingitsparticipationinthisroutedownstreamthePKCα/β,sinceGö6976pretreatment hadasignificanteffectoncSrcactivation. TheotherpathwaydescribedbelongstotheGi/o‐dependentandwasindicatedbythe inhibitoryeffectonERK1/2activationachievedafterPTXpretreatment,whichdisablesGi/o‐ protein.ItalsohasbeenshownthatcSrc‐tyrosinephosphorylationwasreducedbythis pretreatment,involvingthisnon‐receptortyrosinekinaseinthesignalingpathway.Similarly, thePI3Kblockerwortmannin,inhibitedcSrcphosphorylation.Inaddition,thetime‐courseof PKCεwascloselysimilarwiththedynamicsofghrelin‐inducedERK1/2activationandacontrol Discussion 144 domain,itwasproposedthatcSrcinteractswiththePXXPmotifofAkt176whichisconsistent withthis,thatis,AkttranslocatestotheplasmamembranethroughthebindingofitsPH domaintoIP3generatedbyPI3K.ThisallowstheinteractionofmembraneboundcSrcandAkt throughitsPXXPmotifintheC‐terminalregulatoryregionandtheSH3domainofcSrc.Then cSrcphosphorylatesAktattyrosineresidue(s),whichtriggersAktA‐loop(T308)andHM(S473) phosphorylationbyPDK‐1andmTORC2respectively.Altogetherthesedatasupporttheidea thatcSrcoperatesasa‘‘switch’’inconcertwithPI3KforactivationofAktinresponseto ghrelin. Ontheotherside,thedataobtainedshowaroleofβ‐arrestinsinghrelin‐inducedAkt activation,rolethatisrelatedtoreceptorendocytosis.Thisisclearsinceβ‐arrestindepletion usingsiRNAreducedthemagnitudeofAktactivationinresponsetoghrelin.Besides,theco‐ immunoprecipitationassaysshowedthatβ‐arrestins,actinglikeadaptorproteins,recruitAkt totheghrelin‐occupiedreceptor.AlthoughthemechanismofactivationofAkt‐associatedtoβ‐ arrestinsisnotclear,fromthedataobtaineditcanbeconcludedthatcSrcisessentialforAkt activationevenwhenisassociatedtoβ‐arrestins.Asitalreadywasdescribedpreviously,160it wouldbepossiblethatAktinteractswithcSrcassociatedtoGHSR‐1a‐β‐arrestincomplexas consequenceofcolocalizationatplasmamembranewhenPI3Kisactivatedinresponseto ghrelin.ThisAkt‐cSrcassociationispresumedtoinitiateAktphosphorylationbyallowing tyrosinephosphorylation.Furthermore,inlinewithitsfunction,β‐arrestin‐scaffoldedcomplex placesthedifferentcomponentsoftheAktcascadeincloseproximitytoeachother,ensuring substratespecificity.ThisfactissupportedbythedatashowingthatneitherPDK‐1nor mTORC2co‐immunoprecipitatedwithβ‐arrestins.Itisalsonoteworthythatbothβ‐arrestins seemtoberequiredtopromoteAktactivation.Thiscouldbeindicativeofaneedtoform heterodimers,asitwasdescribedforMAPKactivation.160However,thismechanismcannotbe generalizatedsinceinothersystemsβ‐arrestinsshowoppositeeffects.ThisisthecaseofD2‐ classreceptorswhereβ‐arrestin2facilitatesthedephosphorylationofAktbyphosphatase2A (PP2A)inresponsetodopamine.177,178OtherexamplesaretheprostaglandinE2,179IGF‐1,180   176JiangT,QiuY.InteractionbetweenSrcandaC‐terminalproline‐richmotifofAktisrequiredforAkt activation.JBiolChem.2003;278:15789–93. 177BeaulieuJM,MarionS,RodriguizRM,MedvedevIO,SotnikovaTD,GhisiV,WetselWC,LefkowitzRJ, GainetdinovRR,CaronMG.Aβ‐arrestin2signalingcomplexmediateslithiumactiononbehavior.Cell. 2008;132:125–36. 178BeaulieuJM,SotnikovaTD,MarionS,LefkowitzRJ,GainetdinovRR,CaronMG.AnAkt/β‐arrestin 2/PP2Asignalingcomplexmediatesdopaminergicneurotransmissionandbehavior.Cell.2005;122: 261–73. 179BuchananFG,GordenDL,MattaP,ShiQ,MatrisianLM,DuBoisRN.Roleofβ‐arrestin1inthe metastaticprogressionofcolorectalcancer.ProcNatlAcadSciUSA.2006;103:1492–97. Discussion 145 α‐thrombin181andβ‐1adrenergicreceptors182,183whichactivateAktpathwaythroughβ‐ arrestin1dependentmechanisms.Thus,itseemsthateachreceptordeterminetheβ‐arrestin‐ associatedfunctionsonbasisofthereceptor‐associatedisoforms. Asitisreportedinthebibliography,ghrelinregulatesAktactivitythroughtheGHSR‐1ain differentcellularsystems.156‐159Particularly,themitogeniceffectofghrelinin3T3‐L1 preadipocytesismediatedbythePI3K/AktandMAPKpathwaysviaaGi‐protein.84Inlinewith thepreviousdataobtainedinHEK‐GHSR‐1acells,co‐immunoprecipitationassaysperformedin 3T3‐L1cellsindicatedthatβ‐arrestinsrecruitAkt,leadingtoitsactivation.Inaddition,cSrcacts upstreamofAkt,asPP2experimentsabolishedtheghrelin‐inducedAktactivation. Furthermore,theco‐immunoprecipitationassaysalsoshowthatcSrcinteractswithAktin responsetoghrelin,allowingthephosphorylationofAktattyrosineresidue(s). Insummary,theresultspresentedhereshowthatAkttranslocatestotheplasmamembrane throughthebindingofitsPHdomaintothesecondmessengerIP3generatedbyPI3Kwhichis activatedthroughGi/o‐protein‐dependentsignalingpathway.Aktisphosphorylatedattyrosine bythemembraneboundcSrcviatheinteractionbetweenitsC‐terminalproline‐richmotifand theSH3domainofcSrc.ThistyrosinephosphorylationisfollowedbyphosphorylationofAktA‐ loop(T308)andHM(S473)byPDK‐1andmTORC2respectively.Oncethereceptorisactivated, asecondsignalingpathwayismediatedbyβ‐arrestins1and2involvingtherecruitmentof GHSR‐1a,cSrcandAktintoaβ‐arrestin‐scaffoldedcomplex.ThuscSrcfunctionsasaswitch thatinitiatestheAktpathwayassociatedtoboththeGi/o‐protein‐dependentpathwayandβ‐ arrestin‐scaffoldedcomplex.       180PovsicTJ,KohoutTA,LefkowitzRJ.β‐arrestin1mediatesinsulin‐likegrowthfactor1(IGF‐1)activation ofphosphatidylinositol3‐kinase(PI3K)andanti‐apoptosis.JBiolChem.2003;278:51334–39. 181GoelR,Phillips‐MasonPJ,RabenDM,BaldassareJJ.α‐ThrombininducesrapidandsustainedAkt phosphorylationbyβ‐arrestin1‐dependentand‐independentmechanisms,andonlythesustainedAkt phosphorylationisessentialforG1phaseprogression.JBiolChem.2002;277:18640–48. 182NomaT,LemaireA,NagaPrasadSV,Barki‐HarringtonL,TilleyDG,ChenJ,LeCorvoisierP,ViolinJD, WeiH,LefkowitzRJ,RockmanHA.β‐arrestin‐mediatedβ1‐adrenergicreceptortransactivationofthe EGFRconferscardioprotection.JClinInvest.2007;117:2445–58. 183MoriscoC,MarroneC,GaleottiJ,ShaoD,VatnerDE,VatnerSF,SadoshimaJ.Endocytosismachinery isrequiredforβ1‐adrenergicreceptor‐inducedhypertrophyinneonatalratcardiacmyocytes. CardiovascRes.2008;78:36–44. Discussion 146 Aktpathway/SHP‐1  Overthepastseveralyears,muchprogresshasbeenmadeinelucidatingintracellularsignaling eventsmediatingmetabolicactionsbytheghrelin/GHSR‐1asystem.However,themolecular processesthatmediatetheinactivationoftheseeventsremainlessdefined.Theresults obtainedhereofferthreemajorfindingsrelatedtotheregulationAktactivityinresponseto ghrelin.First,SHP‐1isoneofthenegativeregulatorsofGHSR‐1a‐mediatedAktactivation. Second,activationofSHP‐1iscSrc‐dependentandinvolvestheinterplayofG‐protein‐andβ‐ arrestins‐dependentsignalingpathways.Third,whiteadiposetissue(WAT)expressesrelatively highlevelsofSHP‐1andthisexpressionisdynamicallyregulatedinresponsetohighfat feeding.Thus,SHP‐1attenuatestheactionofghrelinbydephosphorylatingPI3KandcSrcand therebyinhibitingghrelinsignalingtotheAktpathway. TheproteintyrosinephosphataseSHP‐1playsavarietyofrolesinmultiplesignaltransduction events184bytyrosinedephosphorylation.185,186Thiseventscomprisesignalingofcytokine receptors,187,188GPCR119,189,andRTK.In theseandmanyothercases,SHP‐1regulates signalinginanegativemanner;inotherpathwaysSHP‐1exertsapositivefunction.190,191 TheresultspresentedhereareinfavoroftheroleofSHP‐1asanegativeregulatorof ghrelin/GHSR‐1asignaling.TheexpressionofcatalyticallyinactiveSHP‐1increasedghrelin‐ inducedAktphosphorylation,withgreaterrepercussiononAktA‐loop(T308)phosphorylation.   184NeelBG,TonksNK.Proteintyrosinephosphatasesinsignaltransduction.CurrOpinCellBiol.1997;9: 193‐204. 185NeelBG,GuH,PaoL.The'Shp'ingnews:SH2domain‐containingtyrosinephosphatasesincell signaling.TrendsBiochemSci.2003;28:284‐93. 186ZhangJ,SomaniAK,SiminovitchKA.RolesoftheSHP‐1tyrosinephosphataseinthenegative regulationofcellsignalling.SeminImmunol.2000;12:361‐78. 187KlingmüllerU,LorenzU,CantleyLC,NeelBG,LodishHF.SpecificrecruitmentofSH‐PTP1tothe erythropoietinreceptorcausesinactivationofJAK2andterminationofproliferativesignals.Cell.1995; 80:729‐38. 188KozlowskiM,LaroseL,LeeF,LeDM,RottapelR,SiminovitchKA.SHP‐1bindsandnegatively modulatesthec‐Kitreceptorbyinteractionwithtyrosine569inthec‐Kitjuxtamembranedomain.Mol CellBiol.1998;18:2089‐99. 189FengYH,SunY,DouglasJG.Gbetagamma‐independentconstitutiveassociationofGalphaswith SHP‐1andangiotensinIIreceptorAT2isessentialinAT2‐mediatedITIM‐independentactivationofSHP‐ 1.ProcNatlAcadSciUSA.2002;99:12049‐54. 190WishcamperCA,CoffinJD,LurieDI.LackoftheproteintyrosinephosphataseSHP‐1resultsin decreasednumbersofgliawithinthemotheaten(me/me)mousebrain.JCompNeurol.2001;441:118‐ 33. 191KrautwaldS,BüscherD,KummerV,BuderS,BaccariniM.Involvementoftheproteintyrosine phosphataseSHP‐1inRas‐mediatedactivationofthemitogen‐activatedproteinkinasepathway.Mol CellBiol.1996;16:5955‐63. Discussion 147 WhilemuchofthecharacterizationofSHP‐1iscenteredonitsfunctionasaPTP,192the regulationofitsactivationisconfused.193,194Despitesuchpuzzlement,itwasdemonstrated thattyrosinephosphorylation(Y)oftheC‐terminalY536inSHP‐1increasesitsPTPactivity.193, 195Thisisconsistentwiththeseresults,whichshowedthatghrelinisabletophosphorylate SHP‐1atC‐terminusY536inintactcellsandWAT.Additionally,theresultsshowthatablating cSrcbysiRNA,impairedghrelin‐stimulatedC‐terminusY536phosphorylationofSHP‐1.This resultlocatestocSrcasanupstreamsignalthatregulateactivationofSHP‐1.Indeedaprevious reportshowedthatcSrcphosphorylatesSHP‐1onYinvitro,leadingtoanincreaseinthe activityofthephosphatase.195ThisisalsoconsistentwithrecentworksinwhichangiotensinII type2receptor(AT2R)regulatesSHP‐1activitythroughcSrcactivation.189,196Thisdatasupport theideathatcSrcoperatesasa“switch”inconcertwithPI3KformodulationofAktactivityin responsetoghrelin. AnalysisoftheupstreamtargetsinghrelinsignalingforAktactivationundertheexpressionof catalyticallyinactiveSHP‐1revealedanincreaseofghrelin‐inducedtyrosinephosphorylationof p85regulatorysubunitofPI3K.Underrestingconditions,p85actstobothstabilizeand inactivatethep110catalyticsubunitPI3KoftheN‐terminaldomain.197Ourdataconfirmthat tyrosine‐phosphorylatedp85isatargetofSHP‐1andcellslackingSHP‐1increasePI3Kactivity asitwaspreviouslydescribedforotherfactors.198,199TheinhibitoryeffectofSHP‐1onPI3K activityisconsequenceofitstyrosinedephosphorylation(Y688),200aresiduethat,when phosphorylated,interactswiththep85N‐terminalSH2domainreleasingtheinhibitoryactivity   192LorenzU,RavichandranKS,PeiD,WalshCT,BurakoffSJ,NeelBG.Lck‐dependenttyrosyl phosphorylationofthephosphotyrosinephosphataseSH‐PTP1inmurineTcells.MolCellBiol.1994;14: 1824‐34. 193UchidaT,MatozakiT,NoguchiT,YamaoT,HoritaK,SuzukiT,FujiokaY,SakamotoC,KasugaM. InsulinstimulatesthephosphorylationofTyr538andthecatalyticactivityofPTP1C,aproteintyrosine phosphatasewithSrchomology‐2domains.JBiolChem.1994;269:12220‐8. 194ZhangZ,ShenK,LuW,ColePA.TheroleofC‐terminaltyrosinephosphorylationintheregulationof SHP‐1exploredviaexpressedproteinligation.JBiolChem.2003;278(7):4668‐74. 195FrankC,BurkhardtC,ImhofD,RingelJ,ZschörnigO,WieligmannK,ZachariasM,BöhmerFD. EffectivedephosphorylationofSrcsubstratesbySHP‐1.JBiolChem.2004;279:11375‐83. 196AlvarezSE,SeguinLR,VillarrealRS,NahmiasC,CiuffoGM.Involvementofc‐Srctyrosinekinasein SHP‐1phosphataseactivationbyAngIIAT2receptorsinratfetaltissues.JCellBiochem.2008;105:703‐ 11. 197CuevasBD,LuY,MaoM,ZhangJ,LaPushinR,SiminovitchK,MillsGB.Tyrosinephosphorylationof p85relievesitsinhibitoryactivityonphosphatidylinositol3‐kinase.JBiolChem.2001;276:27455‐61. 198ImaniF,RagerKJ,CatipovicB,MarshDG.Interleukin‐4(IL‐4)inducesphosphatidylinositol3‐kinase (p85)dephosphorylation.ImplicationsfortheroleofSHP‐1intheIL‐4‐inducedsignalsinhumanBcells.J BiolChem.1997;272:7927‐31. 199YuZ,SuL,HoglingerO,JaramilloML,BanvilleD,ShenSH.SHP‐1associateswithbothplatelet‐derived growthfactorreceptorandthep85subunitofphosphatidylinositol3‐kinase.JBiolChem.1998;273: 3687‐94. 200CuevasB,LuY,WattS,KumarR,ZhangJ,SiminovitchKA,MillsGB.SHP‐1regulatesLck‐induced phosphatidylinositol3‐kinasephosphorylationandactivity.JBiolChem.1999;274:27583‐9. Discussion 148 ofp85onthep110catalyticsubunit.198‐200Infact,activationofdownstreamPI3Ktargets,PDK‐ 1[pPDK‐1(S241)]andcSrc[pSrc(Y416)]areincreasedincellslackingSHP‐1underghrelin stimulation.Thisisalsoconsistentwiththeincreaseonghrelin‐stimulatedA‐loop(T308) phosphorylationofAktinthecontextofSHP‐1deficiency. Thepresenceofapathwayinvolvingreceptorendocytosisissupportedbythefactthatβ‐ arrestin1and2depletionusingspecificsiRNAreducedthemagnitudeofghrelin‐stimulatedC‐ terminusY536phosphorylationofSHP‐1.Co‐immunoprecipitationassaysrevealthatβ‐ arrestinsfunctionasadaptorsrecruitingSHP‐1totheghrelin‐occupiedreceptorthroughthe formationofβ‐arrestincomplexes.Thisisalsoconsistentwiththeincreaseonghrelin‐ stimulatedAktphosphorylationinthecontextoffunctionalSHP‐1deficiency.Themechanism ofactivationofSHP‐1‐associatedtoβ‐arrestinsisnotcompletelydelineated.Availabledata suggestthatcSrcisessentialforAktactivationevenwhenisassociatedtoβ‐arrestins.201Given thatcSrcisrecruitedtoGHSR‐1a‐β‐arrestincomplextoinitiateAktphosphorylationupon ghrelinstimulation,160itwouldbepossiblethatSHP‐1interactswithcSrcassociatedtothis complex,exertingamodulatoryroleoncSrcactivityasp85isnotassociatedtoGHSR‐1a‐β‐ arrestincomplex.160Interestingly,bothβ‐arrestin1andβ‐arrestin2arerequiredtopromote theactivationofSHP‐1.Therequirementofbothproteinsmightbeindicativeofaneedto formheterodimerstoactivatetheβ‐arrestin‐dependentsignalingpathwayforGHSR‐1a. PTPhaveemergedasmainregulatorsofkeymetabolicprocessessuchasinsulinsensitivity202, 203andglucosehomeostasis.204,205,206Fromthisgroup,themetabolicroleofSHP‐1has remainedunstudied,probablyasresultoftheobservationthatitismainlyexpressedin   201LodeiroM,TheodoropoulouM,PardoM,CasanuevaFF,CamiñaJP.c‐SrcregulatesAktsignalingin responsetoghrelinviaβ‐arrestinsignaling‐independentand‐dependentmechanisms.PLoSOne.2009; 4:e4686. 202ElcheblyM,PayetteP,MichaliszynE,CromlishW,CollinsS,LoyAL,NormandinD,ChengA,Himms‐ HagenJ,ChanCC,RamachandranC,GresserMJ,TremblayML,KennedyBP.Increasedinsulinsensitivity andobesityresistanceinmicelackingtheproteintyrosinephosphatase‐1Bgene.Science.1999;283: 1544‐8. 203KlamanLD,BossO,PeroniOD,KimJK,MartinoJL,ZabolotnyJM,MoghalN,LubkinM,KimYB,Sharpe AH,Stricker‐KrongradA,ShulmanGI,NeelBG,KahnBB.Increasedenergyexpenditure,decreased adiposity,andtissue‐specificinsulinsensitivityinprotein‐tyrosinephosphatase1B‐deficientmice.Mol CellBiol.2000;20:5479‐89. 204MaegawaH,HasegawaM,SugaiS,ObataT,UgiS,MorinoK,EgawaK,FujitaT,SakamotoT,NishioY, KojimaH,HanedaM,YasudaH,KikkawaR,KashiwagiA.ExpressionofadominantnegativeSHP‐2in transgenicmiceinducesinsulinresistance.JBiolChem.1999;274:30236‐43. 205GoldsteinBJ.Protein‐tyrosinephosphatases:emergingtargetsfortherapeuticinterventionintype2 diabetesandrelatedstatesofinsulinresistance.JClinEndocrinolMetab.2002;87:2474‐80. 206Asante‐AppiahE,KennedyBP.Proteintyrosinephosphatases:thequestfornegativeregulatorsof insulinaction.AmJPhysiolEndocrinolMetab.2003;284:E663‐70. Discussion 149 hematopoieticlineages.207However,SHP‐1expressionisalsofoundinperipheraltissues includinginsulintargettissuessuchasliverandmuscle,208,209suggestingamorewidespread involvementofSHP‐1.Infact,SHP‐1regulatesglucosehomeostasisthroughmodulationof insulinsignalinginliverandmuscle.208Furthermore,SHP‐1expressionwasalsofoundinother celltypesandtissuessuchasRPEandperivascularcells(glialcells)intheretinaandinrenal podocytes,suggestingtheinvolvementofSHP‐1indiabeticpathology.210Asreportedhere, WATexpressesSHP‐1albeittoalesserextentthanliver.ThesubcellulardistributionofSHP‐1 isprimarilycytosolicandconcentratedinperinuclearcompartmentsinpreadipocyteand adipocyte3T3‐L1cells.AccordingtotheresultsinHEK‐GHSR‐1acells,ghrelinstimulatedC‐ terminusY536phosphorylationofSHP‐1inboth3T3‐L1cellsandWAT.AnalysisofSHP‐1levels incontrolmiceexhibitedhigherexpressioninomentalthansubcutaneousWAT.Furthermore, thispatternofexpressionisinvertedinHFD‐treatedmice,suggestingaroleofSHP‐1in controllingghrelinsensitivityinthisorgan.Indeed,deficiencyofSHP‐1wasassociatedhere withanincreaseinghrelin‐evokedpAkt(T308)inomentalWATaswellasadecreasein activationofT308phosphorylationunderabundanceofSHP‐1insubcutaneousWAT. Intriguingly,theinhibitoryeffectofSHP‐1onpAkt(S473)showedlowerrepercussionasitwas describedinHEK‐GHSR‐1acellmodel.TheSHP‐1‐regulatedtargetsassociatedtothe phosphorylationofA‐loop(T308)andHM(S473)mightexplainthisdifference.Indeed,SHP‐1 attenuatesPDK‐1activitythroughPI3KwithnoapparenteffectonmTORC2.Thisisfurther supportedbythefactthatbothA‐loop(T308)andHM(S473)phosphorylationsare independent.201AnalysisofinitialstepsinghrelinsignalingtoAkt revealedmodifiedlevelsfor cSrc,PDK‐1andmTORinWATfromHFD‐treatedmicerelativetocontrolmice,whileno changeinAktandGHSR‐1aexpressionsweredetected.Howeverthisdifferentialpatterndoes notappeartoexplainthedifferencesofAktactivitydetectedbetweenbothgroups.Infact, enhancedcSrcandPDK‐1expressioninsubcutaneousWATfromHFDmicedoesnot counteracttheattenuationofghrelin‐evokedpAkt(T308).Basedonthisinformation,itis possibletoproposethatghrelinactioninWATis,atleastinpart,underregulationofSHP‐1.As   207YiTL,ClevelandJL,IhleJN.ProteintyrosinephosphatasecontainingSH2domains:characterization, preferentialexpressioninhematopoieticcells,andlocalizationtohumanchromosome12p12‐p13.Mol CellBiol.1992;12:836‐46. 208DuboisMJ,BergeronS,KimHJ,DombrowskiL,PerreaultM,FournèsB,FaureR,OlivierM, BeaucheminN,ShulmanGI,SiminovitchKA,KimJK,MaretteA.TheSHP‐1proteintyrosinephosphatase negativelymodulatesglucosehomeostasis.NatMed.2006;12:549‐56. 209NorrisK,NorrisF,KonoDH,VestergaardH,PedersenO,TheofilopoulosAN,MøllerNP.Expressionof protein‐tyrosinephosphatasesinthemajorinsulintargettissues.FEBSLett.1997;415:243‐8. 210GeraldesP,Hiraoka‐YamamotoJ,MatsumotoM,ClermontA,LeitgesM,MaretteA,AielloLP,Kern TS,KingGL.ActivationofPKC‐deltaandSHP‐1byhyperglycemiacausesvascularcellapoptosisand diabeticretinopathy.NatMed.2009;15:1298‐306. Discussion 150 isconsistentwithdatafromcellmodelstudiesofSHP‐1functions,deficiencyofSHP‐1is associatedwithenhancedactivationofPI3K,PDK‐1,cSrcandAkttherebyincreasingghrelin controlongrowthandmetabolisminWATandviceversa.211,212Thesedataareinlinewiththe attenuatingroleofSHP‐1onAktsignalinginliverandmuscle,whichdeterminesinsulin sensitivityandglucosemetabolism. Inconclusion,wehaveidentifiedtheSHP‐1tyrosinephosphataseasanegativeregulatorof ghrelinsignaling.Dataareconsistentwithamodelinwhichghrelin‐activatedAkttranslocates totheplasmamembranethroughthebindingofitsPHdomaintothesecondmessengerIP3 generatedbyPI3KwhichisactivatedthroughtheGi/o‐protein‐dependentsignalingpathway. AktisphosphorylatedattyrosinebythemembraneboundcSrc.Thistyrosinephosphorylation isfollowedbyphosphorylationofAktA‐loop(T308)andHM(S473)byPDK‐1andmTORC2 respectively.Oncethereceptorisactivated,asecondsignalingpathwayismediatedbyβ‐ arrestins1and2,involvingtherecruitmentofGHSR‐1a,cSrcandAktintoaβ‐arrestin‐ scaffoldedcomplex.InbothsignalingpathwayscSrcphosphorylatestheSHP‐1C‐terminus (Y536)whichexertsaninhitoryeffectontheactivityofPI3KandAkt.ConsequentlycSrc functionsasaswitchthatcontrolstheAktpathwaysassociatedtoboththeGi/o‐protein dependentpathwayandβ‐arrestin‐scaffoldedcomplex.Althoughfurtherstudiesarerequired, theresultsshowthatSHP‐1isexpressedinwhiteadiposetissue,oneoftheghrelintarget tissue,andthatitmodulatesghrelinsignalingtoAkt,determiningghrelinsensitivityinWAT, basedonadiposedepotdifferences.  Ghrelin/CST‐17  ElucidationoftheintracellularsignalingeventsmediatingGHSR‐1aactionsconstitutesan importantpointtoabetterknowledgeaboutghrelin/GHSR‐1asystem.GHSR‐1ashowsabroad bindingcapacitythatallowstheinteractionofpeptidic/nonpeptidicGHS,notrelated structurallytoghrelin,andothernaturalligandssuchasadenosine59,60,CST62GHRH.76 CST‐17isahormoneoriginallydescribedintherat,mouse,andhumancerebralcortexthat displaysstructuralandfunctionalsimilaritiestoSST,bindingtoallfivesomatostatinreceptors   211DaviesJS,KotokorpiP,EcclesSR,BarnesSK,TokarczukPF,AllenSK,WhitworthHS,GuschinaIA,Evans BA,ModeA,ZigmanJM,WellsT.GhrelininducesabdominalobesityviaGHS‐R‐dependentlipid retention.MolEndocrinol.2009;23:914‐24. 212WellsT.Ghrelin‐Defenderoffat.ProgLipidRes.2009;48:257‐74. Discussion 151 (SSTR).213,214Amongitsfunctions,CSTinhibitsGHandinsulinsecretioninphysiological conditionsandinacromegaly,66italsoinhibitsprolactin(PRL)secretionfromcultured prolactinomas65and,recently,aroleforCSTastherapeuticagenttoautoimmunediseaseshas beenproposed.67Becauseofthesedifferentbiologicalactivities,itwasproposedthe existenceofaCSTspecificreceptor.Infact,anorphanreceptorcalledMrgX2hasbeenshown tobindCSTwithselectiveaffinityoverSST.64,215However,MrgX2wasfoundtobindadditional peptidesasproadrenomedullinN‐terminalpeptide12(PAMP12)withsimilaraffinitytothat describedforCST.216 TheideathatCSTmightbealigandofGHSR‐1aemergesfrombindingstudiesthat demonstratesacrosscompetitionwithghrelinbindinginmembranesfromhuman hypothalamusandpituitarygland62,217suggestingapotentialfunctionalinteractionbetween CSTandghrelinsystem.Toconsideratrueligand‐receptorinteraction,tworequirementsmust befulfilled:specificbindingandbiologicaleffect.Inthepresentstudy,wehaveprovidedthat CST‐17sharedspecificbindingsitesinHEK‐GHSR‐1acells,bindingthatweredisplaceablewith unlabeledCST‐17andghrelin.Contrarily,WTcellsexhibitedanon‐specificbindingfor[125I]‐ CST‐17thatwasnotdisplacedbysaturatingdoseofCST‐17.Ontheotherside,[125I]‐ghrelin bindingtoHEK‐GHSR‐1acellswascompletelydisplacedinadose‐dependentmannerby ghrelinandtoalesserextentbyCST‐17.DespiteitspotentialbindingcapacitytoGHSR‐1a,CST‐ 17didnotshowghrelin‐associatedsignalingpathway.CST‐17failedtoinduceintracellular calciumreleaseforalldosetestedinHEK‐GHSR‐1acells.Howevertheghrelin‐induced[Ca2+]i risewasinhibitedwhencellswerepre‐stimulatedwithCST‐17,effectthatwasdose‐ dependentandnotsharedwithSSTpretreatment.Inaddition,CST‐17didactivateneitherERK 1/2norAktphosphorylationforanyofthetimeordosestestedinHEK‐WTcells.However,the effectinHEK‐GHSR‐1acellswasdifferent;sinceCST‐17activatedAktandERK1/2 phosphorylationreachingmaximallevelswithin20minutesofCST‐17stimulation.This activationwasdependentonβ‐arrestins,sincesiRNAtargetingbothβ‐arrestin1andβ‐arrestin 2abolishedcompletelythepatternofERK1/2andAktactivation.Besides,surprisingly,CST‐17   213VolanteM,RosasR,AllìaE,GranataR,BaragliA,MuccioliG,PapottiM.Somatostatin,cortistatinand theirreceptorsintumours.MolCellEndocrinol.2008;286:219‐29. 214BroglioF,PapottiM,MuccioliG,GhigoE.Brain‐gutcommunication:cortistatin,somatostatinand ghrelin.TrendsEndocrinolMetab.2007;18:246‐51. 215RobasN,MeadE,FidockM.MrgX2isahighpotencycortistatinreceptorexpressedindorsalroot ganglion.JBiolChem.2003;278:44400‐4. 216KamoharaM,MatsuoA,TakasakiJ,KohdaM,MatsumotoM,MatsumotoS,SogaT,HiyamaH,Kobori M,KatouM.IdentificationofMrgX2asahumanG‐protein‐coupledreceptorforproadrenomedullinN‐ terminalpeptides.BiochemBiophysResCommun.2005;330:1146‐52. 217MuccioliG,PapottiM,LocatelliV,GhigoE,DeghenghiR.Bindingof125I‐labeledghrelintomembranes fromhumanhypothalamusandpituitarygland.JEndocrinolInvest.2001;24:RC7‐9. Discussion 152 pre‐stimulationbeforeghrelinstimulusinhibitedghrelin‐inducedERK1/2phosphorylation, actionthatwasnotmodifiedbySST,establishingthatCST‐17exertsaninhibitoryrolein ghrelinsignaling.Inaddition,theimmunoprecipitationassaysdemonstratedthatCST‐17 promotesGHSR‐1aphosphorylationatthesamelevelthatghrelin,andtoagreatextentwhen iscombinatedtoghrelin.ItwasalsoprovedthatCST‐17promotesβ‐arrestinrecruitment, demonstratingadirectinteractionoftheseproteinsafterGHSR‐1adesensitization. Therefore,presentdataseemtoindicatethatCST‐17inhibitsthemechanismsofsignaling stimulatedbyghrelin,bothinitsG‐protein‐dependentpathwayandintheβ‐arrestin‐ dependentone.ThismightbeconsideredthebiologicaleffectoftheCST‐17. Toexplaintheabovediscrepancy,wedecidedtoexploretheSSTRexpressiononourcell model.SSTRexpressioninHEK‐WTandHEK‐GHSR‐1ashowedthatSSTR2mRNAis significativelypresentinbothcelltypes.ExperimentsofsiRNAtargetingSSTR2inHEK‐GHSR‐1a cellsaffectedtotheERK1/2andAktdynamicsstimulatedbyCST‐17andarealiketheobserved onesforthecaseoftheghrelin.ThisfactpointstoaroleforSSTR2subtypeinCST‐17signaling, possiblythroughadimerizationprocessbetweenbothreceptors.Theseresultsseemto establishreasonstoproposeCST‐17asamodulatorofghrelinsignaling,inhibitingtheghrelin‐ mediatedsignaling.Onthebasisoftheobtainedresultsitseemsreasonabletoproposetwo hypothesestoexplicatetheseresults.First,CST‐17mightbeconsideredasatrueligandforthe GHSR‐1aactingthroughthemodulationoftheghrelinactivity.Second,CST‐17actsasaSSTR2 ligandpromotingtheformationofdimmerswiththeGHSR‐1aand,therefore,modifyingthe actionofthisone.Accordingtothefirsthypothesis,bindinganddisplacementassayswould supporttheCST‐17uniontotheGHSR‐1a,fulfillingthereforeoneoftwonecessary requirementstoconsideratrueligand‐receptorinteraction.Inaddition,theeffectonthe activationofghrelintargets,asERK1/2andAkt,inHEK‐GHSR‐1arespecttoWTwouldassure thesecondpointnecessaryoftheligand‐receptorinteraction.Furthermore,thefactthatCST‐ 17modifiestheghrelin‐inducedAktandERK1/2activationrevealsthat,somehow,itconcerns thesignalingpathwaysofthisone.Thesefacts,togetherwiththeresultsoftargetingofβ‐ arrestinsandGHSR‐1aphosphorylation,pointtoCST‐17actingthroughthemodificationor modulationofthesignalingpathwaysmediatedbyghrelinthroughGHSR‐1a. TheresultsprovingtheexpressionofSSTR2inHEK‐GHSR‐1acellswouldsupportthesecond hypothesis.ItisknownthatSSTR2signalsthroughGi‐dependentproteins,soitwouldbe possiblethatCST‐17wouldexerciseitsfunctionsonghrelintargetsthroughthismechanism, whichwouldalsojustifythedataobtained.Inaddition,theintracellularcalciummobilization assaysinpresenceofPTXreversedtheinhibitoryeffectofCST‐17onghrelin‐inducedcalcium Discussion 153 rise(effectthatitwasnotreversedafterapretreatmentwithPMA).DataaboutGHSR‐1a phosphorylationandβ‐arrestinwouldalsoexplainthishypothesis,throughtheeffectthat SSTR2presencewouldcauseontheGHSR‐1adesensitization. Therefore,CST‐17mightbindtotheghrelinreceptor,actingasapotentialligandfortheGHSR‐ 1aasithasbeendescribedinothercasesasforexampleforGHRH,76theGABAβ2receptor218 orthenon–peptidylgrowthhormonesecretagogueL‐692,429.219Ontheotherhand,CST‐17 alsocouldbindtoSSTR2,formingadimmerwiththeGHSR‐1aandaffectinginthiswaytothe ghrelin‐mediatedsignalingasitwasdescribedforothercases.220 Insummary,CST‐17showstomodulateghrelinsignalingthroughSSTR2.Furthermore,CST‐17 showedthecapacitytoactivateGHSR‐1ainabsenceofSSTR2displayingapatternof intracellularsignalingdifferenttothatdescribedforghrelin,whichsuggestabiasedligandfor thisreceptor.          218BinetV,BrajonC,LeCorreL,AcherF,PinJP,PrézeauL.TheheptahelicaldomainofGABA(β2)is activateddirectlybyCGP7930,apositiveallostericmodulatoroftheGABA(B)receptor.JBiolChem. 2004;279:29085‐91. 219HolstB,BrandtE,BachA,HedingA,SchwartzTW.Nonpeptideandpeptidegrowthhormone secretagoguesactbothasghrelinreceptoragonistandaspositiveornegativeallostericmodulatorsof ghrelinsignaling.MolEndocrinol.2005;19:2400‐11. 220LeungPK,ChowKB,LauPN,ChuKM,ChanCB,ChengCH,WiseH.Thetruncatedghrelinreceptor polypeptide(GHS‐R1b)actsasadominant‐negativemutantoftheghrelinreceptor.CellSignal.2007;19: 1011‐22.