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The regulatory influences of glycogen synthase kinase-3β (GSK3β) and lithium on the activity of cyclic AMP response element binding protein (CREB) were examined in human neuroblastoma SH-SY5Y cells. Activation of Akt (protein kinase B) with serum-increased phospho-serine-9-GSK3β (the inactive form of the enzyme), inhibited GSK3β activity, and increased CREB DNA binding activity. Inhibition of GSK3β by another paradigm, treatment with the selective inhibitor lithium, also increased CREB DNA binding activity. The inhibitory regulation of CREB DNA binding activity by GSK3β also was evident in differentiated SH-SY5Y cells, indicating that this regulatory interaction is maintained in non-proliferating cells. These results demonstrate that inhibition of GSK3β by serine-9 phosphorylation or directly by lithium increases CREB activation. Conversely, overexpression of active GSK3β to 3.5-fold the normal levels completely blocked increases in CREB DNA binding activity induced by epidermal growth factor, insulin-like growth factor-1, forskolin, and cyclic AMP. The inhibitory effects due to overexpressed GSK3β were reversed by treatment with lithium and with another GSK3β inhibitor, sodium valproate. Overall, these results demonstrate that GSK3β inhibits, and lithium enhances, CREB activation.
Glycogen synthase kinase-3β (GSK3β), an enzyme first characterized by its ability to phosphorylate and inhibit glycogen synthase (Embi et al. 1980; Rylatt et al. 1980), is now recognized as a key component of several intracellular signaling systems that, among other actions, regulates the activity of multiple critical transcription factors (Plyte et al. 1992; Kim and Kimmel 2000; Grimes and Jope 2001). GSK3β is perhaps best known as a component of the cell survival-promoting signaling pathway involving phosphatidylinositol 3-kinase (PI3K) and the kinase Akt (also known as protein kinase B) (Datta et al. 1999), and as an intermediate in the Wnt signaling cascade (Ferkey and Kimelman 2000). The PI3K/Akt signaling pathway is activated by many growth factors (Datta et al. 1999), including epidermal growth factor (EGF) and insulin-like growth factor-1 (IGF-1). Activated Akt phosphorylates serine-9 of GSK3β, which inhibits its kinase activity (Cross et al. 1995). Recent studies have revealed that this inhibitory control of GSK3β is an important component in the promotion of cell survival, and that hyperactive GSK3β contributes to cell death (Pap and Cooper 1998; Bijur et al. 2000; Hetman et al. 2000; Li et al. 2001a). The proapoptotic action of GSK3β may be attributable, in part, to the regulation by GSK3β of the activities of an array of transcription factors (reviewed in Grimes and Jope 2001), including β-catenin (Rubinfeld et al. 1996; Yost et al. 1996), AP-1 (Boyle et al. 1991), nuclear factor kappa-B (NF-κB) (Bournat et al. 2000), heat shock factor-1 (HSF-1) (Chu et al. 1996; Bijur and Jope 2000), and others, that control the expression of numerous genes and play prominent roles in the determination of cell fate.
One of the transcription factors that may be regulated by GSK3β is the 43 kDa phosphoprotein cyclic AMP response element binding protein (CREB). The activity of CREB is regulated by complex phosphorylation mechanisms that are not completely characterized. Phosphorylation of CREB at serine-133 is required for recruitment of the coactivator CREB-binding protein (CBP) and transcriptional activity (Gonzalez and Montminy 1989; Chrivia et al. 1993). Numerous signaling events can activate CREB through phosphorylation of serine-133, including activation of adenylyl cyclase, calcium mobilization, and growth factor stimulation (Gonzalez and Montminy 1989; Sheng et al. 1991; Chrivia et al. 1993; Ginty et al. 1994). Activation of CREB contributes to many vital processes, including cell survival (Walton and Dragunow 2000). For example, CREB null mice expressing functionally inactive CREB die immediately after birth (Rudolph et al. 1998), PC12 cells overexpressing CREB have decreased susceptibility to okadaic acid-induced apoptosis (Walton et al. 1996), and apoptosis is facilitated in human melanoma cells expressing dominant-negative CREB upon exposure to UV radiation (Yang et al. 1996) or thapsigargin (Jean et al. 1998). Additionally, multiple reports suggest that CREB promotes cell survival by up-regulating the expression of antiapoptotic proteins, such as bcl-2 (Ji et al. 1996; Wilson et al. 1996; Pugazhenthi et al. 1999; Riccio et al. 1999). These and other findings indicate that the regulation of CREB activity is critical for cell survival and other functions (Walton and Dragunow 2000).
Phosphorylation of CREB at serine-133 creates a consensus site for phosphorylation by GSK3β at serine-129 (Fiol et al. 1987; Fiol et al. 1994; Wang et al. 1994; Bullock and Habener 1998). Two studies have addressed the functional consequences of this hierarchical phosphorylation of CREB by GSK3β, but the two reached opposite conclusions. Fiol et al. (1994) reported that activation of CREB in response to cyclic AMP was potentiated in F9 cells overexpressing wild-type GSK3β, and was impaired in PC12 cells expressing CREB with a mutation in the GSK3β phosphorylation site, suggesting that GSK3β facilitated activation of CREB. In contrast, Bullock and Habener (1998) found that phosphorylation of CREB by GSK3β attenuated protein kinase A-induced CREB DNA binding activity. Thus, although there is a consensus that CREB is phosphorylated by GSK3β, the functional outcome of this modification remains to be clarified. Therefore, this study investigated the regulatory effects of GSK3β on CREB in human neuroblastoma SH-SY5Y cells. Using several experimental paradigms, the results show that GSK3β negatively regulates CREB DNA binding activity, and that lithium and sodium valproate, inhibitors of GSK3β, facilitate CREB activation.
Human neuroblastoma SH-SY5Y cells were grown on Corning 100 mm tissue culture dishes (Corning, NY, USA) in continuous culture RPMI 1640 medium (Cellgro, Herndon, VA, USA) containing 10% horse serum (Life Technologies, Gaithersburg, MD, USA), 5% fetal clone II (Hyclone, Logan, UT, USA), 2 mm L-glutamine, 100 U/mL penicillin, and 100 µg/mL streptomycin (Life Technologies). SH-SY5Y cells were differentiated to a neuronal phenotype as described previously (Sayas et al. 1999) by maintaining cells in Neurobasal medium supplemented with B-27 (Life Technologies) for 3.5 days. On the third day, B-27 supplement was withdrawn, and cells were maintained in Neurobasal medium without B-27 for 24 h. Stably transfected SH-SY5Y cells overexpressing HA-tagged GSK3β were described previously (Bijur et al. 2000), and were maintained in medium containing 100 µg/mL G418 (Geneticin; Alexis Biochemicals, San Diego, CA, USA). Cells were maintained in humidified, 37°C chambers with 5% CO2. For all experiments, cells were plated at a density of 105 cells per 100 mm dish, serum was withdrawn after 24 h (unless stated otherwise), and cells were harvested ~24 h later, following treatments described in the Resultssection. Cyclic AMP levels were measured using a kit according to the supplier’s instructions (Amersham, Arlington Heights, IL, USA).
Cells were washed twice with phosphate-buffered saline and were lysed with 500 µL of lysis buffer (20 mm Tris, pH 7.5, 150 mm NaCl, 2 mm EDTA, 2 mm EGTA, 0.2% NP-40, 1 mm sodium orthovanadate, 100 µm phenylmethanesulfonyl fluoride, 1 nM okadaic acid, and 10 µg/mL each of leupeptin, aprotinin, and pepstatin). The lysates were collected in microcentrifuge tubes, sonicated for 10 s, and centrifuged at 20 800 g for 15 min. Protein concentrations in the supernatants were determined using the bicinchoninic acid (BCA) method (Pierce, Rockford, IL, USA). The lysates were stored at −80°C until used for immunoblotting.
Cell lysates were mixed with Laemmli sample buffer [2% sodium dodecyl sulfate (SDS)] and placed in a boiling water bath for 10 min. Proteins were separated using 8% SDS—polyacrylamide gel electrophoresis (PAGE), and the proteins were transferred to nitrocellulose. Blots were probed with antibodies to Akt, phospho-serine-473-Akt, CREB, phospho-serine-133-CREB (Cell Signaling Technology, Beverly, MA, USA), GSK3β (Pharmingen/Transduction Laboratories, San Diego, CA, USA), or CBP (Santa Cruz Biotechnology, Santa Cruz, CA, USA) followed by incubation with horseradish peroxidase-conjugated secondary antibodies (Bio-Rad, Hercules, CA, USA). Immunoblots were developed using horseradish peroxidase-conjugated secondary antibodies, detected with enhanced chemiluminescence (Amersham-Pharmacia, Piscataway, NJ, USA), and analyzed with a PhosphorImager (Molecular Dynamics, Sunnyvale, CA, USA).
To measure levels of phospho-serine-9-GSK3β, cell lysates were incubated with 2 µg of phospho-serine-9-GSK3β polyclonal antibody (Biosource, Camarillo, CA, USA) overnight at 4°C and incubated with 60 µL of protein A sepharose beads (Sigma, St. Louis, MO, USA) for 1 h at 4°C with gentle agitation. Immune complexes were washed and incubated in a boiling water bath, proteins were separated by SDS—PAGE, and immunoblots were obtained using a GSK3β monoclonal antibody (Pharmigen/Transduction Laboratories).
For coimmunoprecipitation experiments, cell lysates were incubated with 2 µg of CBP monoclonal antibody (Pharmingen) overnight at 4°C. Samples were incubated with 60 µL of protein G sepharose beads (Amersham-Pharmacia) for 1 h at 4°C with gentle agitation. The immune complexes were washed three times with lysis buffer. Samples in Laemmli buffer were placed in a boiling water bath, proteins were separated by SDS—PAGE, and samples were immunoblotted for phospho-serine-133-CREB or CBP.
Cells were washed twice with 4 mL of phosphate-buffered saline and lysed with 500 µL of NP-40 lysis buffer (10 mm Tris-Cl, pH 7.4, 3 mm MgCl2, 10 mm NaCl, and 0.5% NP-40). Cell lysates were centrifuged at 4000 g for 5 min at 4°C. The pellet was resuspended in 50 µL of buffer (20 mm HEPES, pH 7.9, 20% glycerol, 0.3 m NaCl, 1.5 mm MgCl2, 0.2 mm EDTA, 1 mm dithiothreitol, 0.1 mm β-glycerophosphate, 0.5 mm vanadate, 1 mm phenylmethanesulfonyl fluoride, and 1 βg/mL each of pepstatin A, leupeptin, and aprotinin). After a 30-min extraction on ice, samples were centrifuged at 16 000 g for 15 min at 4°C. The supernatant containing nuclear extracts was transferred to a sterile microcentrifuge tube, and protein concentrations were determined by the method of Bradford (1976).
A 17-base-pair double-stranded oligonucleotide containing the consensus sequence for CREB 5′-TCGAGCTGACGTCAGAG-3′ was used for EMSAs (Integrated DNA Technologies, Coralville, IA, USA). Early growth response-1 (EGR-1) EMSAs were carried out exactly as described previously (Grimes and Jope 1999). Double-stranded oligonucleotide (200 pmol) was radiolabeled by incubating for 1 h at 37°C in 20 µL containing Reaction Buffer (Amersham-Pharmacia), DNA polymerase I (Klenow Enzyme; Amersham-Pharmacia), and 100 µCi of [α-32P]dCTP (Amersham, Arlington Heights, IL, USA). Following incubation, samples were diluted to 50 µL with sterile TE buffer (10 mm Tris-HCl, pH 8.0 and 1 mm EDTA), and free label was removed by centrifugation at 3000 r.p.m. for 2 min through ProbeQuant G-50 microcolumns (Amersham-Pharmacia).
DNA binding was measured by incubating nuclear extracts (10 µg protein) in 20 µL of binding buffer containing 20 mm HEPES (pH 7.0), 4% glycerol, 500 mm KCl, 1 mm MgCl2, 0.5 mm dithiothreitol, 1 mg of poly(dI-dC), and ~ 12,000 cpm of radio-labeled oligonucleotide for 30 min at 4°C. For supershift experiments, nuclear extracts were incubated with an antibody (0.5 µg) to CREB (Cell Signaling Technology), Fos (Calbiochem, La Jolla, CA, USA), or EGR-1 (Santa Cruz Biotechnology) for 30 min prior to incubation with binding buffer. Reaction mixtures were electrophoresed on 6% non-denaturing polyacrylamide gels in 0.25 × TBE (22.3 mm Tris, 22.3 mm boric acid, and 0.5 mm EDTA) for 1.5 h at 150 V. The gels were then vacuum-dried, exposed to a phosphorscreen overnight, and quantitated using a PhosphorImager (Molecular Dynamics, Sunnyvale, CA, USA). All experiments were carried out at least three times, and statistical significance was determined by analysis of variance.
The activity of GSK3β was measured essentially as described previously (Lesort et al. 1999). Cells were lysed in immunoprecipitation lysis buffer (20 mm Tris, pH 7.5, 0.2% NP-40, 150 mm NaCl, 2 mm EDTA, 2 mm EGTA, 1 mm sodium orthovanadate, 100 mm phenylmethanesulfonyl fluoride, 1 nM okadaic acid, and 10 µg/mL each of leupeptin, aprotinin, and pepstatin). The lysates were sonicated in microcentrifuge tubes for 10 s on ice and centrifuged at 20 800 g for 15 min. Lysates were precleared with 40 µL of protein G-Sepharose beads (Amersham- Pharamcia) for 15 min at 4°C, protein concentrations were determined, and 100 µg of protein (1 µg/µL) was incubated with 1.5 µg of monoclonal GSK3β antibody (Pharmingen/Transduction Laboratories) for 2 h at 4°C with gentle agitation. Lysates were then incubated with 60 µL protein G-sepharose for 1 h at 4°C. The immobilized immune complexes were washed twice with immunoprecipitation lysis buffer and twice with kinase buffer (20 mm Tris, pH 7.5, 5 mm MgCl2, and 1 mm dithiothreitol). Kinase activity was measured by mixing immunoprecipitated GSK3β with 25 µL of kinase buffer containing 20 mm Tris, pH 7.5, 5 mm MgCl2, 1 mm dithiothreitol, 250 mm ATP, 1.4 µCi [γ-32P]ATP (Amersham, Arlington Heights, IL, USA), varying concentrations of lithium (when indicated), and 0.1 µg/µL recombinant tau protein (provided by Dr Gail V. W. Johnson, University of Alabama at Birmingham). The samples were incubated at 30°C for 15 min and 25 µL of Laemmli sample buffer (2% SDS) was added to each sample to stop the reaction. Samples were placed in a boiling water bath for 10 min and proteins were separated in 8% SDS—PAGE. The gels were vacuum-dried, exposed to a phosphor-screen overnight, and quantitated using a PhosphorImager (Molecular Dynamics, Sunnyvale, CA, USA). The efficiency of GSK3β immunoprecipitation was determined by immunoblotting for GSK3β.
To determine if GSK3β has an inhibitory influence on CREB DNA binding activity, two treatment protocols were used to reduce the activity of GSK3β in wild-type SH-SY5Y cells. First, GSK3β activity was reduced indirectly by using serum to stimulate the activation of Akt, which inhibits GSK3β activity by phosphorylating serine-9 of GSK3β (Cross et al. 1995). Second, GSK3β activity was reduced directly by treating cells with lithium, a selective inhibitor of GSK3β (Klein and Melton 1996; Stambolic et al. 1996; Davies et al. 2000).
The activation state of Akt was modulated by maintaining cells in growth media containing serum to compare with results obtained in serum-withdrawn (24 h) cells. The phosphorylated, active form of Akt was 3.7-fold higher in cells maintained in medium containing serum compared with cells that were serum-starved for 24 h, although total Akt levels remained unchanged (Fig. 1a). The greater amount of active, phosphorylated Akt in cells in serum-containing medium was associated with more of the inhibited phospho-serine-9 form of GSK3β, which was 200 ± 12% of the level in serum-starved cells (Fig. 1b), and a level of GSK3β activity that was 38 ± 10% of the activity in serum-starved cells (Fig. 1c). In association with the decreased activity of GSK3β in cells maintained in serum, CREB DNA binding activity was 253 ± 23% of that in serum-starved cells (Fig. 1d). Thus, in cells maintained in serum, compared with serum-starved cells, Akt activity was higher, GSK3β activity was lower, and CREB DNA binding activity was higher. These results are consistent with the hypothesis that GSK3β is an inhibitory modulator of CREB DNA binding activity.
To test if the higher GSK3β activity contributed to the lower CREB DNA binding activity in serum-withdrawn cells compared with cells maintained in serum, GSK3β was inhibited directly by treating cells with 1 mm lithium for 1 h. In serum-starved cells, which contained greater GSK3β activity and less of the inactive phospho-serine-9-GSK3β, this treatment with lithium to inhibit GSK3β increased CREB DNA binding activity twofold (Fig. 1d). In contrast, lithium treatment did not have a discernable effect on CREB DNA binding activity in serum-treated cells in which GSK3β was already inhibited by the active Akt, supporting the conclusion that lithium increased CREB DNA binding activity through its inhibitory effect on GSK3β.
Supershift analyses were used to confirm the identity of the CREB DNA binding activity obtained with the EMSA (Fig. 2). Using cells from which serum was withdrawn for 24 h, an antibody specific for CREB completely super-shifted the CREB DNA binding activity to a slower mobility in nuclear extracts from both untreated cells and from cells in which CREB was activated by treatment with 1 mm lithium for 1 h. In contrast, Fos and EGR-1 antibodies did not affect the CREB DNA binding band intensity or mobility.
To examine if the inverse relationship between GSK3β and CREB DNA binding activity was maintained in nonproliferating cells, SH-SY5Y cells were differentiated for 3.5 days, as described previously (Sayas et al. 1999), followed by B27-withdrawal. Inhibition of GSK3β with lithium (1 mm; 1 h) increased CREB DNA binding activity in differentiated SH-SY5Y cells (Fig. 3), but had no effect in cells maintained in B27 supplement, indicating that these responses are not limited to proliferating cells.
Taken together, these results indicate that GSK3β has an inhibitory influence on CREB DNA binding activity, and that inhibition of GSK3β either by activation of Akt or with lithium increased CREB DNA binding activity.
In order to examine the modulatory effects of GSK3β in further experiments, treatments were identified that activate CREB using two assessments, the formation of complexes containing phospho-serine-133-CREB and CBP, and CREB DNA binding activity. Phosphorylation of CREB at serine-133 enables complex formation with CBP, and recruitment of CBP by CREB has been shown to be sufficient for transcriptional activation (Cardinaux et al. 2000). This complex formation was examined by measuring the amount of phospho-serine-133-CREB that coimmunoprecipitated with CBP. In serum-starved wild-type SH-SY5Y cells, treatment with EGF or IGF-1 increased the amount of phospho-serine-133-CREB that coimmunoprecipitated with CBP (Fig. 4a). Additionally, treatment with lithium (10 mm; 30 min) to inhibit GSK3µ increased the coimmunoprecipitation of phospho-serine-133-CREB with CBP (Fig. 4a). Measurements of CREB DNA binding activity demonstrated that treatment with EGF, IGF-1, or forskolin, an activator of adenylyl cyclase, increased CREB DNA binding activity to 314 ± 15%, 381 ± 18%, and 258 ± 19%, respectively, of the basal CREB DNA binding activity (Fig. 4b). Pretreatment with lithium (1 mm; 1 h) did not alter activation of CREB DNA binding activity induced by any of these stimuli (Fig. 4b). Incubation with an antibody specific for CREB supershifted the CREB DNA binding activity to a slower mobility in nuclear extracts from cells treated with each of the stimulants (Fig. 4c).
To complement the experiments that showed that inhibition of GSK3β was associated with increased CREB DNA binding activity, experiments were carried out to determine if increased GSK3β activity inhibits the activation of CREB. Since no specific activators of GSK3β are known, these experiments used stable lines of SH-SY5Y cells over-expressing GSK3β (Bijur et al. 2000). These GSK3β-transfected SH-SY5Y stable cell lines have been shown to have three- to fourfold higher levels (Fig. 5a) and activities (Bijur et al. 2000) of GSK3β than wild-type SH-SY5Y cells. Initial signaling induced by EGF and IGF-1, as deduced from measurements of stimulant-induced increases in Akt phosphorylation, were identical in control and GSK3β-overexpressing cells (Fig. 5b). Additionally, treatment with EGF, IGF-1, or lithium increased the level of phospho-serine-133-CREB in both wild-type and GSK3β-overexpressing cells (Fig. 5c) and increased the coimmunoprecipitation of phospho-serine-133-CREB with CBP in GSK3β-overexpressing cells (Fig. 5d). This is in accordance with the findings of Bullock and Habener (1998) that the inhibitory action of GSK3β should not influence the stimulation of CREB, but should inhibit CREB DNA binding activity. This was found to be the case, as in cells overexpressing GSK3β, EGF-, IGF-1-, and forskolin-stimulated CREB DNA binding activity was almost completely blocked (Fig. 5e). In order to ensure that the impaired responses in cells overexpressing GSK3β were not clone-specific, three additional SH-SY5Y cell lines overexpressing GSK3β were tested. In each of these cell lines, stimulation of CREB DNA binding activity by EGF, IGF-1, or forskolin was blocked (Fig. 5e). In contrast, EGF-and IGF-1-stimulated DNA binding activity of a transcription factor not regulated by GSK3β, early growth response-1 (EGR-1, also called zif268, Krox24, NGF1A) (Fig. 5f), was unaffected by the overexpression of GSK3β. These results further support the conclusion that GSK3β is an inhibitory modulator of CREB.
To confirm that the GSK3β overexpression-induced inhibition of growth factor-stimulation of CREB was not specific to one time point of treatment, the time courses of IGF-1- and EGF-stimulated CREB DNA binding activity were measured in wild-type, vector-transfected, and GSK3β-overexpressing cells. Treatment of wild-type and vector-transfected SH-SY5Y cells with EGF or IGF-1 resulted in robust, time-dependent increases in CREB DNA binding activity, which increased three- to fivefold within 15 min of treatment and remained significantly elevated for at least 60 min (Fig. 6a). In contrast, in SH-SY5Y cells overexpressing GSK3β, stimulation of CREB DNA binding activity in response to EGF or IGF-1 was completely blocked throughout 60 min of treatment. To further confirm that the impaired activation of CREB DNA binding activity could be due to inadequate inhibition of GSK3β following growth factor treatments, GSK3β activity was measured in GSK3β-overexpressing SH-SY5Y cells before and after treatments with EGF or IGF-1. EGF and IGF-1 treatment reduced GSK3β activity in GSK3β-overexpressing cells, but the activity of GSK3β remained well above the activity levels in control cells (Fig. 6b) This Finding is consistent with the conclusion that GSK3β negatively regulates CREB activity.
To test further if increased GSK3β activity caused the attenuation of growth factor-stimulated CREB activity in GSK3β-overexpressing cells, experiments were carried out with lithium to inhibit GSK3β. To determine the concentration of lithium necessary to reduce the GSK3β activity to below that present in wild-type SH-SY5Y cells, the lithium concentration-dependent inhibition of GSK3β activity was measured in GSK3β immunoprecipitates from GSK3β-overexpressing SH-SY5Y cells. As reported previously (Klein and Melton 1996; Stambolic et al. 1996), lithium directly inhibited GSK3β activity in these in vitro assays, and the percentage inhibition of GSK3β caused by incubation with 1–50 mm lithium was equivalent using wild-type SH-SY5Y cells or GSK3β-overexpressing cells (Fig. 7). The lithium concentration-dependent inhibition of GSK3β revealed that in GSK3β-overexpressing cells 20 mm lithium was needed to reduce the GSK3β activity to a level below that in wild-type untreated cells (i.e. the overexpressed GSK3β activity needed to be inhibited by approximately 75% to achieve an activity equivalent to that in wild-type cells). Based on this result, a concentration of 20 mm lithium was used to inhibit GSK3β activity in cells overexpressing GSK3β, although it is possible that the intracellular lithium concentration is less than 20 mm at the short incubation times used. Measurements of CREB DNA binding activity in cells overexpressing GSK3β revealed that stimulation by EGF and IGF-1 was restored by pretreatment with lithium (Figs 8a and b). These treatments had no effect on the nuclear level of CREB (Fig. 8c). These findings indicate that inhibition of GSK3β activity is necessary for optimal CREB DNA binding activity.
In contrast to the results obtained with EGF and IGF-1, lithium had no effect on the impaired forskolin-induced stimulation of CREB DNA binding activity in cells overexpressing GSK3β (data not shown), indicating that another mechanism accounted for deficient CREB activation induced by forskolin in GSK3β-overexpressing cells. To test if this could result from diminished production of cyclic AMP in these cells, cyclic AMP levels were measured in control and GSK3β-overexpressing cells before and after treatment with 10 µm forskolin. In control SH-SY5Y cells, cyclic AMP levels were increased 4.4-fold by forskolin, from 48 ± 4 to 213 ± 30 nmol/µg protein (n = 7). In contrast, in GSK3β-overexpressing cells the cyclic AMP level was only increased 2.1-fold by forskolin, to 79 ± 1 from a basal level of 38 ± 1 nmol/µg protein (n = 7, measurements made in clones 1, 3, and 7 of GSK3β-overexpressing cells). Thus, deficient forskolin-induced CREB activation in GSK3β-overexpressing cells resulted in part from impaired production of cyclic AMP, rather than solely from an inhibitory effect of GSK3β on CREB. Therefore, to examine if cyclic AMP-induced stimulation of CREB DNA binding activity is inhibited by GSK3β, the cyclic AMP analog, dibutyryl cyclic AMP (diBcAMP), was used in both wildtype and GSK3β-overexpressing SH-SY5Y cells to stimulate CREB DNA binding activity. DiBcAMP stimulated CREB DNA binding activity in wild-type SH-SY5Y cells to 224 ± 16% of the basal activity (Fig. 9). However, diBcAMP stimulation of CREB DNA binding was completely blocked in GSK3β-overexpressing SH-SY5Y cells, but pretreatment of these cells with 20 mm lithium restored diBcAMP stimulation of CREB DNA binding activity (Fig. 9). These findings support the conclusion that GSK3β inhibits cAMP-induced CREB DNA binding activity.
To confirm that the facilitation by lithium of CREB DNA binding activity in GSK3β-overexpressing cells was due to its inhibition of GSK3β, another inhibitor of GSK3β, sodium valproate (Chen et al. 1999) was utilized. In vitro, sodium valproate concentration-dependently inhibited GSK3β activity in GSK3β immunoprecipitates from SH-SY5Y cells overexpressing GSK3β (Fig. 10a). In accordance with the results obtained using lithium, pretreatment of GSK3β-overexpressing cells with sodium valproate restored EGF, IGF-1, and diBcAMP stimulation of CREB DNA binding activity (Fig. 10b). These findings support the conclusion that CREB DNA binding activity is negatively regulated by GSK3β, and demonstrate that this inhibition is reversible by two inhibitors of GSK3β.
CREB is a key transcription factor involved in several critical functions of the brain, including learning, neuronal plasticity, and cell survival (Davis et al. 1996; Deisseroth et al. 1996; Silva et al. 1998; Walton and Dragunow 2000). However, the complex signaling systems that regulate the activity of CREB are incompletely defined. Although CREB is known to be activated by several growth factors that activate the PI3K/Akt signaling pathway, which leads to inhibition of GSK3β, it was unclear if the inhibition of GSK3β by Akt contributes to the regulation of CREB. The results of the present investigation demonstrated with several experimental paradigms that GSK3β is an inhibitory regulator of CREB, that inhibition of GSK3β is necessary for optimal CREB activity induced by growth factors or cyclic AMP, and that inhibition of GSK3β by lithium can facilitate CREB activation.
Phosphorylation of CREB at serine-133 is required for complex formation with CBP, activation of DNA binding, and transcription, since mutation of this residue results in the complete loss of transcriptional activity and the mutated protein can act as a negative regulator of active phosphoserine-133-CREB (Gonzalez and Montminy 1989; Habener et al. 1995). Phosphorylation of CREB at serine-133 also creates the consensus sequence, SXXXS(P), for hierarchical phosphorylation by GSK3β of serine-129, whereas in the absence of phosphorylation at serine-133, CREB is not phosphorylated by GSK3β (Fiol et al. 1994; Wang et al. 1994). Many kinases, including protein kinase A, extracellular- regulated kinases, protein kinase C, Ras-dependent protein kinase, RSK2, and calcium-calmodulin-dependent protein kinase IV, have been shown to activate CREB by phosphorylating serine-133 (Dash et al. 1991; Sheng et al. 1991; Ginty et al. 1994; Xing et al. 1996), thus priming CREB as a substrate for GSK3β-mediated phosphorylation. This raised the question of what effect secondary phosphorylation by GSK3β has on CREB function. One possible function would be for phosphorylation of serine-129 of CREB by GSK3β to synergize with serine-133 phosphorylation to fully activate CREB. Another possibility would be for phosphorylation by GSK3β to act as a signal for termination of CREB activity. Evidence for each of these opposing actions has been reported in the only two previous investigations of the functional consequences of GSK3β-mediated phosphorylation of CREB. The results of Fiol et al. (1994) indicated that GSK3β-mediated phosphorylation of CREB at serine-129 is necessary for CREB function, since expression of CREB with a mutation of serine-129 to alanine in PC12 cells was refractory to stimulation by cyclic AMP, and activation of a Gal4-CREB reporter was greatly induced by cotransfection of GSK3β in F9 cells. The findings of Bullock and Habener (1998) also demonstrated the hierarchical phosphorylation of CREB by GSK3β, but they reported an opposite functional outcome of this phosphorylation. Phosphorylation of CREB by protein kinase A increased the DNA binding of CREB, whereas secondary phosphorylation of primed CREB by GSK3β attenuated protein kinase A stimulation of CREB DNA binding activity, a finding that was attributed to phosphorylation-mediated changes in structure and net charge of CREB (Bullock and Habener 1998). Bullock and Habener (1998) attributed the conflicting results of Fiol et al. (1994) to methodological differences, although this does not entirely explain the stimulatory effects of GSK3β that were observed. The results reported here support the conclusion of Bullock and Habener (1998), that phosphorylation of serine-129 by GSK3β provides inhibitory regulation of CREB DNA binding. This was evident in the present investigation from the increased CREB DNA binding activity that followed treatments that inhibit GSK3β, either indirectly through activation of the PI3K/Akt signaling pathway or directly by lithium, and from the decreased CREB DNA binding activity evident in cells with increased GSK3β activity, an attenuation that was reversed by inhibition of GSK3β. Thus, these results support the conclusion that phosphorylation of CREB by GSK3β causes inactivation of the transcription factor.
These findings indicate that stimulation of growth factor receptors and of receptors coupled to increased production of cyclic AMP each activate two signaling systems that regulate CREB activation. Each of these receptors activates a signaling pathway that stimulates kinases (e.g. RSK2, cyclic AMP-dependent protein kinase) that phosphorylate serine-133 of CREB, causing its activation. Each receptor also activates a signaling pathway that inhibits GSK3β, thus blocking its inhibitory effect on CREB. This is accomplished by growth factor receptors through activation of the PI3K/Akt signaling pathway, in which Akt phosphorylates serine-9 of GSK3β to inhibit its activity. Additionally, recent reports indicate that activation of cyclic AMP-dependent protein kinase can cause inhibition of GSK3β by two mechanisms, by direct phosphorylation and activation of Akt which can inhibit GSK3β (Filippa et al. 1999), and by direct phosphorylation of serine-9 of GSK3β (Fang et al. 2000; Li et al. 2000). Thus, dual pathways are recruited by these receptors, one to stimulate CREB phosphorylation and one to block the inhibitory influence of GSK3β, in order to optimize the activation of CREB.
In 1996, lithium, the primary agent used in the treatment of bipolar disorder (manic-depressive illness), was found to be a direct inhibitor of GSK3β (Klein and Melton 1996; Stambolic et al. 1996). Since lithium inhibits both GSK3β and the closely related enzyme GSK3α (Stambolic et al. 1996), it is important to recognize that many of the effects of lithium that are attributed to its inhibition of GSK3β may very well be due to inhibition of both forms of GSK. The specificity of lithium’s inhibitory effect on GSK3β was further validated by Davies et al. (2000) who reported in an extensive study of 24 different kinases that no other kinase was inhibited more than GSK3β by lithium, although mild inhibition by lithium of casein kinase 2 and mitogenactivated protein kinase-activated protein kinase 2 was noted. The finding that lithium selectively inhibits GSK3β provided a possible mechanism for the therapeutic action of lithium and initiated the now widespread use of lithium as an effective tool to identify specific actions of GK3β. The further discovery that GSK3β is directly inhibited by sodium valproate (Chen et al. 1999) provided a second agent with which the actions of GSK3β could be verified, and added further support to the possibility that inhibition of GSK3β may be therapeutically important in the treatment of bipolar disorder because sodium valproate is now widely used in the treatment of this illness (Li et al. 2001b). Thus, the findings that treatment of cells with lithium or sodium valproate facilitated CREB DNA binding activity support the conclusion that GSK3β is inhibitory. Previous findings of Ozaki and Chuang (1997) are in accordance with this conclusion, since they reported that lithium treatment increased CREB DNA binding activity in cerebellar granule cells, although based on the literature available at that time this effect was correlated to effects of lithium on protein kinase C. However, in a similar study Wang et al. (1999) did not observe increased CREB activation in SH-SY5Y cells treated with lithium. This difference is likely attributable to the use by Wang et al. (1999) of cells maintained in serum-containing media, a condition that maintains a low level of GSK3β activity and a condition in which we also found little effect of lithium. Thus, in the present study it was found that lithium increased CREB DNA binding activity only when GSK3β was not adequately inhibited, i.e. in cells maintained in serum-free media and in cells overexpressing GSK3β. Our findings that sodium valproate, which also inhibits GSK3β, also facilitated CREB activation further supports the conclusion that GSK3β is inhibitory towards CREB activity. This common action of lithium and sodium valproate further suggests that inhibition of GSK3β and the consequential facilitation of CREB activation may be of therapeutic relevance since it identifies an outcome common to the two most prevalently used agents to treat bipolar disorder.
The inhibitory effect of GSK3β on CREB should be considered in context with other actions of GSK3β and potential outcomes on cell function. GSK3β has been reported to negatively regulate, through phosphorylation, the activity of a diverse array of transcription factors, including AP-1 (Boyle et al. 1991), heat shock factor-1 (Chu et al. 1996; He et al. 1998; Bijur and Jope 2000), β-catenin (Rubinfeld et al. 1996; Yost et al. 1996), nuclear factor of activated T-cells (Beals et al. 1997), Myc (Henriksson et al. 1993), and NF-κB (Bournat et al. 2000), as recently reviewed (Grimes and Jope 2001). Thus, the control of GSK3β activity contributes to the regulation of many transcription factors in addition to CREB, and thereby must be a central figure in the regulation of gene expression. From this, it appears likely that GSK3β-induced down-regulation of these diverse transcription factors likely contributes to the multiple modes of apoptosis that are facilitated by GSK3β (Pap and Cooper 1998; Bijur et al. 2000; Hetman et al. 2000), and that the protective effect of lithium against a remarkably broad array of insults is likely to result, in part, from its inhibition of GSK3β (reviewed in Jope 1999; Grimes and Jope 2001). However, preceding cell death, inadequate inhibition of GSK3β likely contributes to neuronal dysfunction, a condition able to be ameliorated by lithium. Additional studies are necessary to further understand the role of CREB and other transcription factors regulated by GSK3β in the apoptotic-facilitating and neuronal function-impairing actions of GSK3β, in mood disorders, and in the neuroprotection conferred by lithium.
This research was supported by National Institutes of Health grant MH38752 and a grant from the Alzheimer’s Association. The authors thank Dr Gail V. W. Johnson (University of Alabama at Birmingham) for generously providing purified recombinant tau protein.