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Vol. 11, Issue 6, 1973-1987, June 2000

alpha 5beta 1 Integrin Protects Intestinal Epithelial Cells from Apoptosis through a Phosphatidylinositol 3-Kinase and Protein Kinase B-dependent Pathway

Jung Weon Lee, and R.L. Juliano*

Department of Pharmacology, School of Medicine, University of North Carolina, Chapel Hill, North Carolina 27599-7365

Submitted November 3, 1999; Revised March 27, 2000; Accepted April 3, 2000
Monitoring Editor: Joan Brugge

    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Renewal of the gastrointestinal epithelium involves a coordinated process of terminal differentiation and programmed cell death. Integrins have been implicated in the control of apoptotic processes in various cell types. Here we examine the role of integrins in the regulation of apoptosis in gastrointestinal epithelial cells with the use of a rat small intestinal epithelial cell line (RIE1) as a model. Overexpression of the integrin alpha 5 subunit in RIE1 cells conferred protection against several proapoptotic stimuli. In contrast, overexpression of the integrin alpha 2 subunit had no effect on cell survival. The antiapoptotic effect of the alpha 5 subunit was partially retained by a mutated version that had a truncation of the cytoplasmic domain. The antiapoptotic effects of the full-length or truncated alpha 5 subunit were reversed upon treatment with inhibitors of phosphatidylinositol 3-kinase (PI-3-kinase), suggesting that the alpha 5beta 1 integrin might interact with the PI-3-kinase/Akt survival pathway. When cells overexpressing alpha 5 were allowed to adhere to fibronectin, there was a moderate activation of protein kinase B (PKB)/Akt, whereas no such effect was seen in alpha 2-overexpressing cells adhering to collagen. Furthermore, in cells overexpressing alpha 5 and adhering to fibronectin, there was a dramatic enhancement of the ability of growth factors to stimulate PKB/Akt; again, this was not seen in cells overexpressing alpha 2 subunit and adhering to collagen or fibronectin. Expression of a dominant negative version of PKB/Akt in RIE cells blocked to ability of alpha 5 to enhance cell survival. Thus, the alpha 5beta 1 integrin seems to protect intestinal epithelial cells against proapoptotic stimuli by selectively enhancing the activity of the PI-3-kinase/Akt survival pathway.

    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Integrin-mediated interactions with extracellular matrix components play crucial roles in many fundamental aspects of growth and differentiation (Aplin et al., 1998; Giancotti and Ruoslahti, 1999). For example, integrins are key regulators of the coordinated differentiation of many epithelial tissues. The functions of the beta 1 subfamily of integrins are particularly well understood in mammary development (Faraldo et al., 1998; Bissell et al., 1999) and in the differentiation of the epidermis (Watt, 1998; Zhu et al., 1999). However, integrins clearly play a role in other epithelia as well. The self-renewing cellular lining of the gastrointestinal tract is an interesting and important model for epithelial differentiation. Both in the small intestine and in the colon, epithelial renewal is accompanied by directed migration of differentiating cells away from the stem cell-rich crypts and ultimately results in apoptosis and shedding of terminally differentiated cells into the lumen of the gut (Stappenbeck et al., 1998; Karam, 1999). A variety of factors, including soluble hormones and cytokines, interactions with mesenchymal cells, and interactions with extracellular matrix, have been implicated in growth control mechanisms in the gastrointestinal tract (Burgess, 1998; Kedinger et al., 1998). Integrins are clearly involved in the regulation of intestinal cell function and differentiation (Pignatelli, 1993; Beaulieu, 1999); however, their role in this tissue is not as well understood as it is in mammary or epidermal epithelia. A variety of integrin subunits are detected in normal human small intestine (Beaulieu, 1992) and colon (Pignatelli, 1993), including alpha 5beta 1 (Beaulieu, 1992), a key receptor for the matrix protein fibronectin (Ruoslahti, 1991).

Apoptosis plays a central role in the turnover of the cellular lining of the small intestine and colon (Stappenbeck et al., 1998). A number of recent studies have focused on the importance of integrins in the regulation of programmed cell death in various contexts, thus suggesting this possibility in the gastrointestinal tract as well. When epithelial cells are completely deprived of integrin-mediated anchorage to extracellular matrix, they undergo a form of apoptosis that has been termed "anoikis" (Frisch and Ruoslahti, 1997). Several signal transduction components have been implicated in the underlying mechanism of anoikis, including focal adhesion kinase (FAK) (Frisch et al., 1996b), phosphatidylinositol 3-kinase (PI-3-kinase) (Khwaja et al., 1997), and possibly c-Jun kinase (Frisch et al., 1996a; Khwaja and Downward, 1997). In addition to anoikis attributable to a general loss of cell-matrix contact, it is also clear that perturbation of specific integrins can contribute to programmed cell death. Thus, the alpha 5beta 1 integrin seems to have a unique function in regulating apoptosis triggered by serum deprivation in both Chinese hamster ovary (CHO) cells (Zhang et al., 1995) and HT29 colonic carcinoma cells (O'Brien et al., 1996). This integrin has also been reported to protect neuronal-type cells against apoptosis triggered by beta -amyloid peptide (Matter et al., 1998). In breast epithelial cells, the alpha 6beta 1 integrin, whose ligand is laminin, has been shown to cooperate with insulin signaling pathways to prevent cells from becoming apoptotic (Farrelly et al., 1999). In endothelial cells, inhibition of the functions of the alpha vbeta 3 integrin can lead to programmed cell death (Brooks et al., 1994). Thus, several individual integrins have been specifically implicated in protection against apoptosis in various cell contexts.

Becoming apoptotic depends not only on the action of death-effector molecules but also on resistance mechanisms that counteract proapoptotic signals (Granville et al., 1998; Schulze-Osthoff et al., 1998). Signaling molecules known thus far that promote cell survival include FAK (Frisch et al., 1996b), MAPK (Berra et al., 1998), nuclear factor kappa B (Van Antwerp et al., 1998; Wang et al., 1998), Bcl-2 and Bcl-2-like proteins (Gajewski and Thompson, 1998), and PI-3-kinase and protein kinase B (PKB)/Akt (Downward, 1998). Conversely, proapoptotic signaling and effector molecules include c-Jun kinase (Ichijo et al., 1997; Yang et al., 1997) and p38 kinase (Berra et al., 1998), Bad and Bad-like proteins (Gajewski and Thompson, 1998), and the caspase family of proteases (Green and Kroemer, 1998; Slee et al., 1999). Recently, increasing evidence has emerged showing that PI-3-kinase and its downstream effector PKB/Akt, a serine-threonine kinase, play a key role in the regulation of cell survival (Downward, 1998). For example, in the case mentioned above, survival in mammary epithelial cells involved activation of PI-3-kinase and PKB/Akt by coordinated signaling of insulin and alpha 6beta 1 integrin (Farrelly et al., 1999). In Madin-Darby canine kidney cells, PI-3-kinase signals through PKB/Akt to protect against apoptosis mediated by loss of cell anchorage or by radiation (Khwaja and Downward, 1997); PKB/Akt also protects fibroblasts from c-myc-mediated apoptosis (Kauffmann-Zeh et al., 1997).

After autophosphorylation of receptor tyrosine kinases by growth factor binding, PI-3-kinase is recruited to phosphotyrosine residues and then activated. The activated enzyme produces phosphatidylinositol 3,4,5-trisphosphate (PtdIns(3,4,5)P3 and phosphatidylinositol 3,4-bisphosphate (PtdIns(3,4)P2), which stimulate 3-phosphoinositide-dependent protein kinases 1 and 2; these kinases phosphorylate Thr-308 and Ser-473 on PKB/Akt, respectively (Alessi et al., 1997). PKB/Akt can also be phosphorylated at Thr-308 by Ca2+/calmodulin-dependent protein kinase kinase (Yano et al., 1998). Phosphorylated PKB/Akt in turn phosphorylates many different downstream substrates, including Bad, a death effector that functions in conjunction with Bcl-2 (Datta et al., 1997); phosphorylated Bad dissociates from Bcl-2 and binds to 14-3-3 proteins (Zha et al., 1996). Although the phosphorylation of Bad by PKB/Akt may play an important role in survival, it is likely that there are additional contributing factors. For example, in hematopoietic cells, PKB activation and Bad phosphorylation do not always correlate (Scheid and Duronio, 1998). Alternatively, activated PKB/Akt can phosphorylate caspase 9 and inhibit its protease activity, leading to cell survival (Cardone et al., 1998). Activated PKB/Akt can also phosphorylate FKHR, a Forkhead family transcription factor (Biggs et al., 1999; Guo et al., 1999; Kops et al., 1999; Rena et al., 1999). Phosphorylation results in retention of FKHR in the cytoplasm, reduced expression of proapoptotic genes such as Fas-ligand, and enhanced cell survival (Brunet et al., 1999; Tang et al., 1999). PKB/Akt was recently shown to induce nuclear factor kappa B, which also plays a role in cell survival (Kane et al., 1999). In addition, PKB/Akt was shown to prevent the release of cytochrome c from mitochondria by an unknown mechanism, thus contributing to cell survival (Kennedy et al., 1999).

In this study, we have examined the role of the alpha 5beta 1 integrin in regulating apoptosis in intestinal epithelial cells. We have primarily used RIE1 cells, a rat nontransformed line of small intestinal origin that has been widely used as a model to study signal transduction processes relevant to the intestinal epithelium (DuBois et al., 1994; Oldham et al., 1996; Winesett et al., 1996). In addition, we have also extended our earlier studies with HT29 human colonic carcinoma cells (O'Brien et al., 1996). In both of these cell types, overexpression of the alpha 5 integrin subunit provides dramatic protection against apoptosis induced by serum deprivation or by a variety of proapoptotic agents. This effect was not seen with overexpression of the alpha 2 integrin subunit, indicating a specific role for alpha 5beta 1. The antiapoptotic effects of alpha 5beta 1 could be reversed by treatment with a selective PI-3-kinase inhibitor. In addition, cells expressing the alpha 5beta 1 integrin displayed a dramatic enhancement of the ability of growth factors to activate PKB/Akt. Furthermore, a dominant negative version of PKB/Akt blocked the ability of the alpha 5beta 1 integrin to promote cell survival in the presence of apoptotic stimuli. This suggests that the antiapoptotic effects of alpha 5beta 1 seen in cells of the gastrointestinal epithelium may be due to a preferential interaction between alpha 5beta 1 and the PI-3-kinase/Akt signaling pathway.

    MATERIALS AND METHODS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Cell Cultures

Rat intestinal epithelial wild-type cells (RIE1 WT) were maintained in DMEM-H with 5% FBS. Stably transfected RIE1 cell lines such as pcDM control vector transfectant (RIE1 N12), alpha 5-tailless mutant transfectants (alpha 5/1-c3), full-length alpha 5 transfectant (alpha 5-c10), and full-length alpha 2 transfectant (alpha 2-P1) were maintained in DMEM-H with 5% FBS, 1 mg/ml G418, penicillin, and streptomycin. For serum deprivation experiments, cells were cultured in DMEM-H with 0.1% BSA for the indicated times. Wild-type colon carcinoma HT29 and alpha 5 transfectant HT29 c28 cells have been described (O'Brien et al., 1996). Wild-type HT29 cells (HT29 WT) were cultured in DMEM-H including 10% FBS, penicillin, and streptomycin, whereas HT29 c28 transfectants were cultured in the medium for HT29 WT supplemented with 300 µg/ml G418. All cells were seeded at certain densities (RIE1 at 4 × 105 cells, HT29 at 2 × 106 cells per 60-mm dish) in normal serum-containing medium, and treatments were performed 24 h later.

Stable Transfectants

The full-length alpha 5 cDNA sequence was subcloned as a NotI-XbaI insert into a pcDNA3.1 expression vector; the resulting vector was termed pcDMalpha 5. An expression construct for alpha 5/1 with a truncated cytoplasmic domain has been described (Bauer et al., 1993). An expression construct for the full-length alpha 2 subunit has also been described (Aplin et al., 1999). For stable transfection of integrin subunit constructs into RIE1 cells, appropriate plasmids were transfected with the use of Lipofectamine Plus (Life Technologies, Gaithersburg, MD). In the case of the alpha 5/1 construct, which lacks a neomycin selection marker, a pcDM plasmid with a neomycin gene was cotransfected to permit drug selection. Forty-eight hours after transfection, the transfectants were selected by culture in medium containing 2 mg/ml G418 for the first week, and then the concentration of G418 was reduced to 1 mg/ml and maintained in all cultures. In addition, one or two rounds of magnetic immunobead (Dynabeads M-450, Dynal A.S., Oslo, Norway) selections with the use of monoclonal anti-human alpha 5 (P1D6) or alpha 2 (P1E6) antibody were performed to accelerate the selection process. Western blot and/or flow cytometric analyses were done to check the expression levels of the integrin subunits in the transfectants. Clonal or pooled populations were chosen to have comparable levels of expression of the integrin subunits used.

Evaluating the Expression of Integrin Subunits

Western blots for integrin alpha 5 subunits in stable transfectants were made in a standard way, with the use of either anti-human alpha 5 mAb (Transduction Laboratories, Lexington, KY) or rabbit anti-alpha 5 cytoplasmic tail polyclonal antibody (a gift from Dr. R.O. Hynes, Massachusetts Institute of Technology, Cambridge, MA). For alpha 2 transfectants, lysates or immunoprecipitates (by anti-human alpha 2 mAb P1E6) were used in a standard western blot with the use of rabbit anti-alpha 2 cytoplasmic tail antibody (a gift from Dr. G. Tarone, University of Torino, Torino, Italy). Flow cytometric analyses for the expression of human alpha 5 or alpha 2 on the surface of the RIE1 cells were performed as follows. Cells were trypsinized, spun down, and counted. A half-million cells were washed with PBS/1% BSA. Pelleted cells were incubated on ice for 1 h with 100 µl of anti-human alpha 5 antibody (P1D6) or anti-human alpha 2 antibody (P1E6) solution diluted with PBS/1% BSA at a ratio of 1:50. Cells were then washed three times with PBS/1% BSA. Washed cells were incubated on ice for 45 min with 100 µl of R-phycoerythrin anti-mouse immunoglobulin G in PBS/1% BSA at a dilution of 1:100. After washes as described above, cells were fixed with 2% paraformaldehyde in PBS for 15 min at room temperature before analyses with the use of a flow cytometer (Becton Dickinson, San Jose, CA). As controls, cells were treated with only the secondary antibody.

TUNEL Assay by Flow Cytometry

A flow cytometry-based terminal deoxynucleotidyl transferase-mediated dUPT nick end-labeling (TUNEL) assay, which uses terminal transferase to label breaks in DNA strands, was performed with the use of the APO-BRDU kit (PharMingen, San Diego, CA). Sample preparations were made according to the manufacturer's protocols. In brief, cells on 60-mm dishes were used; in some cases, cells were treated with various drugs before analysis. Cells were trypsinized, collected, resuspended in PBS/1% BSA, and counted. One million to 1.5 million cells for each condition were spun down at 700 rpm at 4°C for 8 min. After one more wash with PBS/1% BSA, cells were fixed with 2% paraformaldehyde in PBS at 4°C for 15 min. Fixed cells were washed three times with PBS/1% BSA. The cells were then resuspended with 0.4 ml of PBS plus 4 ml of cold 70% ethyl alcohol and stored at -20°C (for at least 20 h) until all samples were prepared. All samples, including commercially available apoptosis-positive and apoptosis-negative control samples, were washed to remove alcohol. Washed cells were incubated with DNA-labeling solution (terminal deoxynucleotidyl transferase, Br-dUTP, reaction buffer, and distilled water) for 2 h at 37°C with occasional mixing. After incubation, cells were washed twice with a rinse buffer supplied by the manufacturer. Washed cells were incubated with FITC-labeled anti-Br-dUTP in the rinse buffer in the dark for 30 min. Then, 0.4 ml of propidium iodide/RNase solution supplied by the manufacturer was added before 30 min of additional incubation. The cells in propidium iodide/RNase solution were analyzed with the use of a flow cytometer (Becton Dickinson). The threshold for an event in cytometric analysis was kept at 5%. More than 2 × 104 events were counted for each sample.

Annexin V Assay

To further validate our apoptosis study, we also used annexin V staining followed by flow cytometric measurements. For this, we followed the manufacturer's protocols for the use of the annexin V-biotin kit (Trevigen, Gaithersburg, MD). Briefly, cells were treated and harvested as described above. One million cells for each condition were washed with PBS/1% BSA and then with ice-cold PBS. After centrifugation at 700 rpm for 8 min, cell pellets were resuspended with 100 µl of annexin V-binding buffer (10 mM HEPES-NaOH, pH 7.4, 150 mM NaCl, 5 mM KCl, 1 mM MgCl2, 1.8 mM CaCl2) containing 5 µg/ml propidium iodide and annexin V-biotin reagent diluted 1:100. The suspension was kept in the dark for 15 min at room temperature. Controls such as propidium iodide alone or annexin V alone were also prepared. Cells incubated with annexin V-biotin were collected by spinning at 700 rpm at 4°C for 8 min. The pelleted cells were further incubated with streptavidin-FITC reagent at a dilution of 1:100 (Santa Cruz Biotechnology, Santa Cruz, CA) for 15 min at room temperature in the dark. After incubation, 400 µl of the annexin V-binding buffer was added to each sample before flow cytometric analyses. The threshold for an event in cytometric analysis was kept at 5%. More than 4 × 104 events were counted for each sample.

Plating Cells on Fibronectin or Collagen, and Cell Lysis

Confluent cells were trypsinized, neutralized with soybean trypsin inhibitor (1 mg/ml), and spun down. Pelleted cells were washed with DMEM-H/1% BSA. Cells resuspended in DMEM-H/1% BSA were then held in suspension for 45 min at 37°C. Tissue culture dishes (60 or 100 mm) were precoated overnight with either human fibronectin (20 µg/ml; Collaborative Research, Bedford, MA) or rat tail collagen I (20 µg/ml; Biomedical Technologies, Stoughton, MA); these were washed twice and then blocked with DMEM-H/1% BSA for 30 min at 37°C. After incubation in suspension, cells were distributed equally to the dishes. Cells were then incubated at 37°C for the indicated times. In some cases, PDGF-BB (Upstate Biotechnologies, Lake Placid, NY), EGF (Upstate Biotechnologies), or LY294002 (Sigma Chemical, St. Louis, MO) was added at the indicated concentration to the culture medium. Immediately after treatments, dishes with cells were washed twice with 10 ml of ice-cold PBS. After removal of PBS, cell were lysed on ice with a lysis buffer (20 mM Tris, pH 7.5, 150 mM NaCl, 10% glycerol, 1% NP40, 10 mM NaF, 1 mM sodium orthovanadate, 10 µg/ml aprotinin, 1 mM serine protease inhibitors 4-(2-aminoethyl)-benzenesulfonyl fluoride (AEBSF), 1 µM microcystin-LR; Calbiochem, San Diego, CA) (King et al., 1998). Lysates were left on ice for 20 min before centrifugation at 14,000 rpm for 15 min at 4°C. The supernatants were removed to new ice-cold tubes and stored at -80°C until use. Protein was determined by the bicinchoninic acid protein assay (Pierce, Rockford, IL) to allow normalization of protein amount in each sample.

Assay of PKB/Akt Activity by Immunoblotting

Proteins (15 µg/sample) in lysates were resolved by 8% SDS-PAGE, electroblotted to polyvinylidene difluoride membranes, blocked with 5% nonfat dried milk in PBS/0.05% Tween-20, and probed with primary antibodies. To assay PKB/Akt kinase activity, the membrane was probed with antiphospho-S473-PKB/Akt antibody (New England Biolabs, Beverly, MA) overnight at 4°C. To normalize for the activity of PKB/Akt in each condition, blots were probed for total PKB with the use of sheep polyclonal anti-rat PKB/Akt antibody (Upstate Biotechnologies) overnight at 4°C. After washes with PBS/0.05% Tween-20 for 1 h, membranes were incubated with fluorescein-conjugated antiimmunoglobulins for 1 h at room temperature. After washing as described above, membranes were further incubated with alkaline phosphatase-conjugated anti-fluorescein antibody for 1 h at room temperature. After washing again as described above, the signals from membranes were detected with the use of a chemifluorescence-based kit (ECF kit, Amersham, Arlington Heights, IL), and quantitation of the band intensities was done with the use of a chemifluorescence scanner on a phosphorimager with Image-QuaNT software (STORM 840, Molecular Dynamics, Sunnyvale, CA).

In Vitro PKB/Akt Assay

Confluent cells were serum starved overnight before trypsinization. Trypsinized cells were washed with DMEM-H/1% BSA and kept in suspension for 45 min before being replated on either collagen I-coated or fibronectin-coated culture dishes. Cells were treated with LY294002 in some cases. EGF at 40 ng/ml was used for the last 5 min of the experimental period of 60 min. Cells were harvested as described above. The protocol for the in vitro kinase assay was adapted from a previous study (Aplin et al., 1999). Equal amounts of protein in an equal volume of lysate were precleared with PBS-washed protein G-Sepharose beads for 30 min. Precleared lysates were used for immunoprecipitation of PKB/Akt with 4 µg/sample of sheep polyclonal anti-rat PKB/Akt (Upstate Biotechnologies) by rocking for 2 h at 4°C. Forty microliters of protein G-Sepharose slurry (50%) was added to each immunoprecipitate before 2 h of incubation at 4°C. The kinase reaction was started by adding 40 µl of the kinase reaction buffer (20 mM HEPES, pH 7.4, 1 mM DTT, 10 mM MnCl2, 10 mM MgCl2, 5 µM ATP, 10 µg/100 µl of histone 2B, and 10 µCi of [32P]ATP per assay) and incubating for 30 min at room temperature. The reactions were stopped by adding 14 µl of boiling 4× sample buffer. The samples were then boiled before being resolved by SDS-PAGE (15%). Autoradiography was performed with a dried gel, and the band intensities were quantitated with the use of a phosphorimager with Image-QuaNT software. A portion of the reaction mixture was also used for Western blotting with the sheep anti-rat PKB/Akt antibody to quantitate the amount of PKB/Akt in each reaction mixture.

Cell Survival Analysis, Effect of Dominant Negative PKB/Akt

Cells at 60~80% confluence were cotransfected with beta -galactosidase cDNA (0.67 µg/60-mm dish) and 1.0 µg/60-mm dish of either wild-type PKB/Akt or kinase-dead PKB/Akt cDNA (kind gifts from Dr. J. Channing Der, University of North Carolina, Chapel Hill, NC) with the use of Lipofectamine Plus reagent (Life Technologies). In addition, 1 µg of pcDM (a control vector) was also cotransfected. Transfection with DNA/lipid complexes was performed for 3 h, and then cells were maintained in normal culture medium. At 24 h after transfection, cells were either maintained in normal serum-containing culture medium or serum starved. After 40 h of culture in the presence or absence of serum, cells were stained with 5-bromo-4-chloro-3-indolyl-beta -D-galactoside (X-gal) to count surviving beta -galactosidase-positive cells in each condition. For each 60-mm dish, positive cells in 12 random grids (each grid was 2 mm) were counted. Values were compared between samples with the use of means and SDs.

    RESULTS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Stable Expression of Integrin Subunits in RIE1 Cells

Intact human alpha 5, a cytoplasmic tailless mutant of human alpha 5 (termed alpha 5/1), and intact human alpha 2 integrin subunits were stably introduced into RIE1 cells. The transfectants underwent intensive G418 resistance and magnetic immunobead selections. Selected cells were checked for the expression of each integrin subunit by surface immunolabeling and flow cytometric measurements. Transfected cells showed significant but somewhat heterogeneous expression of each subunit compared with parental wild-type cells (Figure 1A). Western blots that used an anti-human alpha 5 antibody recognizing an extracellular region of alpha 5 showed significant expression of alpha 5 subunit in lysates from cell lines expressing either full-length alpha 5 or cytoplasmic tailless alpha 5 (Figure 1B, upper panel, lanes 2 and 3). In contrast, blots that used an antibody to the alpha 5 cytoplasmic domain reacted only with lysates from full-length alpha 5 transfectants (Figure 1B, middle panel, lanes 5 and 6). As expected, the anti-human alpha 5 subunit antibody did not cross-react with endogenous rat integrins in RIE1 WT cells (Figure 1B, lane 1), consistent with findings from flow cytometry analysis. Human alpha 2 integrin transfectants (alpha 2-P1) also showed significant expression, whereas RIE1 WT cells expressed a small amount of cross-reactive endogenous (rat) alpha 2 (Figure 1B, bottom panel). Transfectants expressing each integrin subunit to a comparable degree were chosen and used for further experiments. Both clonally derived cell lines (designated in text and legends with a "c") and pooled transfectants (designated with a "p") for alpha 5 and alpha 2 were used in various experiments. Similar results were observed with pooled and cloned transfectants.


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Figure 1.   Overexpression of integrin alpha  subunits in RIE1 cells by stable transfection. (A) Flow cytometric histograms showing the expression of intact human alpha 5 (alpha 5-c10), its cytoplasmic tailless mutant (alpha 5/1-c3), and an intact human alpha 2 integrin subunit (alpha 2-c5) in clonal RIE1 cell transformants. RIE1 WT cells and a negative control without primary antibody labeling (Control) are also shown. Anti-human alpha 5 or alpha 2 mAbs were used as primary antibodies. Other clones and pooled cell lines used in this study had similar levels of alpha 5 or alpha 2 expression as those shown here. (B) Western blot analyses of the stable transfectants for intact alpha 5, a cytoplasmic tailless mutant of alpha 5, and an intact human alpha 2 integrin subunit. Lanes 1-3 show total cell lysates that were blotted with an anti-alpha 5 mAb. Lanes 4-6 show cell lysates that were blotted with a polyclonal antibody that recognizes the alpha 5 cytoplasmic tail across species. Lanes 7-14 show cell lysates that were blotted with an antibody that recognizes the alpha 2 cytoplasmic tail across species: lanes 7-10 represent immunoprecipitates that use an anti-human alpha 2 mAb, and lanes 11-14 represent total cell lysates. Lane 1, RIE1 WT; lane 2, clone 3, which is transfected with tailless alpha 5; lane 3, clone 10, which is transfected with full-length alpha 5; lanes 4-6, the same lysates as in lanes 1-3, respectively; lane 7, RIE1 WT control; lane 8, pool 1, which is transfected with full-length human alpha 2; lanes 9 and 10, clones transfected with tailless and intact human alpha 5, respectively; lanes 11-14, the same lysates as in lanes 7-10, respectively.

Ectopic Expression of the alpha 5 Subunit Blocks the Apoptotic Effects of Serum Deprivation

TUNEL assays and annexin V assays followed by flow cytometric measurements were performed to quantitatively evaluate the apoptotic population in RIE1 WT cells and transfectants under various experimental conditions. As shown in Figure 2A (upper panels), serum deprivation for 3 d resulted in significant DNA strand breaks in RIE1 WT cells and RIE1 alpha 2-P1 cells (human alpha 2 transfectants), indicating the occurrence of apoptosis. An increase in DNA strand breaks in RIE1 WT cells was evident as early as 24 h of serum deprivation and was strongly evident after 3 d of serum-free culture (Figure 2B, left panel). In contrast, cells overexpressing alpha 5 (RIE1 alpha 5-c10) showed remarkably reduced DNA strand breakage under the same conditions (Figure 2A, upper panels, and 2B, left panel). These effects were evident for up to 4 d of serum deprivation (Figure 2B, left panel; our unpublished results). This resistance to apoptosis was not an artifact in a single clone of cells, because other alpha 5-positive clonal cell lines, as well as pooled cells expressing alpha 5 subunit, also showed increased cell survival during serum deprivation (see Figure 4D; our unpublished results). When the apoptotic population was evaluated by a different method (annexin V staining), the result was consistent with the data from TUNEL assays. That is, RIE1 WT cells showed increased annexin V staining upon serum deprivation compared with RIE1 alpha 5-c10 cells under the same conditions (Figure 2A, lower panels). Both the high level of TUNEL staining in WT cells and the lower level of staining in alpha 5-c10 cells induced by serum deprivation were significantly reduced by treatment with a general caspase inhibitor, BDfmk (Figure 2C). This observation indicates that the results from the TUNEL and annexin V assays represent true apoptotic events involving activation of caspase(s).


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Figure 2.   Apoptosis mediated by serum deprivation in RIE1 WT and its various transfectants. (A) Apoptosis measured by two different methods (TUNEL and annexin V staining). Cells were cultured for 72 h in serum-free conditions (DMEM-H with 0.1% BSA), harvested, and then measured for apoptosis. Upper panels, Apoptosis measured by the TUNEL method. The square in each histogram represents the area in which cells are considered apoptotic. The numerical percentage of apoptotic cells versus total cells is shown. Lower panels, Apoptosis analyzed by annexin V staining. The percentage values represent late apoptotic (upper right quadrant) and early apoptotic (lower right quadrant) populations versus total cells. alpha 5-c10 is a clone expressing full-length alpha 5; alpha 5/1-c3 is a clone expressing a tailless alpha 5; alpha 2-P1 is a pool expressing full-length alpha 2. (B) Trends for apoptosis attributable to serum deprivation in RIE1 cells (left) and HT29 cells (right). Apoptosis was analyzed by the TUNEL assay. (Left) black-square, RIE1 WT; black-triangle, alpha 5/1-c3; open circle , alpha 5-c10; , alpha 2-P1. (Right) black-square, HT29 WT; open circle ; HT29 c28, which expresses full-length alpha 5. Data shown are representative of at least two independent experiments. (C) Block of apoptosis by a general caspase inhibitor, BDfmk. Cells were serum starved for 48 h without (upper panels) or with (lower panels) treatment with 100 µM BDfmk before evaluation of apoptosis with the TUNEL assay. The inhibitor was replenished every 24 h. (D) Growth curves of RIE1 transfectants in normal (left) or serum-free (right) culture conditions. In the right panel, cultures were switched to serum-free conditions after 1 d in normal serum-replete culture. Cell counts were done in triplicate by hemocytometry. black-square, RIE1 WT; black-triangle, alpha 5/1-c3; open circle , alpha 5-c10.

Interestingly, RIE1 alpha 5/1-c3 cells (expressing a cytoplasmic tailless mutant of alpha 5) showed an intermediate level of apoptosis after serum deprivation for 3 d; the level was more than that seen in alpha 5-expressing cells but less than seen in wild-type cells (Figure 2A). In addition, alpha 5/1-c3 cells showed a delay in the initiation of apoptosis (Figure 2B, left panel; see also Figure 4B). At the beginning of the serum deprivation period (to 2 d), alpha 5/1-c3 cells did not show significant apoptosis, but after 3 d of serum deprivation, considerable apoptosis was detected (Figure 2A and 2B, left panel). This observation indicates that the extracellular and/or transmembrane domain of the alpha 5 integrin subunit can transduce a signal to support cell survival. However, the intracellular cytoplasmic tail of alpha 5 also plays a role, particularly in survival during longer periods of serum deprivation.

As with the RIE1 cells, HT29 human colon carcinoma cells were also protected against the apoptotic effect of serum deprivation by ectopic overexpression of the alpha 5 subunit, consistent with previous findings (O'Brien et al., 1996). After serum deprivation for 4 d, HT29 WT cultures contained 5~10% apoptotic cells, but alpha 5-expressing HT29 c28 cells showed a much lower level of apoptosis (<1.0%; Figure 2B, right panel). In general, the carcinoma cells showed less susceptibility to apoptosis mediated by serum withdrawal than the normal RIE1 cells; therefore, in subsequent experiments, we mainly used the RIE1 cell system.

These observations on apoptosis are consistent with survival and growth behavior in the presence or absence of serum, as shown in Figure 2D. Thus, alpha 5-c10 cells survived longer in the absence of serum than WT or alpha 5/1-c3 cells. However, RIE1 WT, alpha 5-c10, and alpha 5/1-c3 cells grew similarly in the presence of serum.

alpha 5 Expression Protects Cells from Apoptosis Triggered by Different Cytotoxic Stimuli

To generalize the concept that alpha 5 subunit overexpression can protect gastrointestinal cells from apoptosis, analyses were performed after treatment with different cytotoxic agents in cultures of RIE1 WT, HT29 WT, and their alpha 5 transfectants. The cytotoxic agents included aspirin (a cyclooxygenase inhibitor), staurosporine (a protein kinase inhibitor), and etoposide (a topoisomerase II inhibitor). As shown in Figure 3A, treatment with each agent resulted in significant levels of TUNEL staining in RIE1 WT cells but markedly lower levels of TUNEL staining in alpha 5-expressing alpha 5-c10 cells. The general antiapoptotic effect of alpha 5 expression was also substantiated with the use of HT29 cells. HT29 c28 cells, which express alpha 5, showed a low level of apoptosis after treatment with staurosporine (Figure 3B) and etoposide (our unpublished results), whereas the HT29 WT cells were substantially more apoptotic. Therefore, these observations indicate that alpha 5 expression can protect cells from a variety of apoptotic stimuli, possibly by communicating with signaling molecule(s) important for cell survival and/or by antagonizing molecule(s) in proapoptotic signaling pathway(s). As in the case of serum deprivation, alpha 5/1-c3 cells also showed intermediate levels of apoptosis as a result of each treatment with a cytotoxic agent (Figure 3A), indicating that a substantial part of the contribution of the alpha 5 subunit to cell survival may be independent of the cytoplasmic domain.


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Figure 3.   alpha 5-mediated protection of cells from apoptosis triggered by various cytotoxic stimuli. Each cytotoxic reagent was added to culture medium at the beginning of the experiment. The vehicle, DMSO, was maintained at <0.1%. Data shown are representative of two independent experiments. (A) alpha 5-mediated cell protection in RIE1 transfectants. Cells were treated with aspirin (upper panels) at 3.0 mM for 72 h, with staurosporine (middle panels) at 50 nM for 24 h, or with etoposide (lower panels) at 50 µM for 48 h before TUNEL analysis. alpha 5-c10 is a clone expressing full-length alpha 5; alpha 5/1-c3 is a clone expressing a tailless alpha 5. (B) alpha 5-mediated protection in HT29 cells. Cells were treated with staurosporine for 48 h at 0.4 µM before TUNEL analysis. HT29 c28 is transfected with full-length alpha 5.

Reversal of alpha 5-mediated Antiapoptotic Effects by PI-3-Kinase Inhibition

In an effort to understand how the alpha 5 subunit mediates cell survival and which signaling molecule(s) might be involved, cells were treated with LY294002, a specific inhibitor of PI-3-kinase. The increase in TUNEL staining in RIE1 WT cells induced by serum deprivation was not significantly affected by PI-3-kinase inhibition (Figure 4A, left panels). However, simultaneous treatment with LY294002 dramatically increased TUNEL staining in alpha 5-c10 cells subjected to serum deprivation (Figure 4A, right panels). RIE1 alpha 5/1-c3 also showed increased apoptosis in the presence of the PI-3-kinase inhibitor when cells were deprived of serum (Figure 4B). The effect of LY294002 was dose dependent in both the alpha 5-c10 cells (Figure 4C, left panel) and the alpha 5/1-c3 cells (Figure 4C, right panel). At early time points, the LY294002 effect in RIE1 alpha 5/1-c3 cells was particularly clear (Figure 4B, lower left panel). The effect of LY294002 was also seen in additional independent clones and pools of alpha 5 transfectants but not in alpha 2 transfectants, indicating its generality in alpha 5-expressing cells (Figure 4D). The LY294002 effect seen in RIE1 alpha 5/1-c3 cells (Figure 4C) suggests that the contribution to cell survival that is independent of the cytoplasmic domain of alpha 5 may also involve PI-3-kinase activity (however, the effect seen in alpha 5/1-c16 cells was quite modest [Figure 4D]). Results similar to those seen with LY294002 were observed when alpha 5-positive cells were treated with wortmannin, another PI-3-kinase inhibitor (our unpublished results). Reversal of alpha 5-mediated antiapoptotic effects by PI-3-kinase inhibition was also seen in the HT29 cell system. HT29 c28 cells that are resistant to serum deprivation showed increased TUNEL staining upon PI-3-kinase inhibition (our unpublished results). Together, these observations suggest that the protection against apoptosis conferred by the alpha 5 subunit involves a PI-3-kinase-dependent signaling pathway.


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Figure 4.   Reversal of alpha 5-mediated cell protection by PI-3-kinase inhibition. LY294002 was added to culture medium at the beginning of serum deprivation. The vehicle, DMSO, was maintained at <0.1%. (A) Reversal of alpha 5-mediated antiapoptotic effects in alpha 5-c10 cells by PI-3-kinase inhibition. Cells were serum starved for 72 h without (upper panels) or with (lower panels) 20 µM LY294002 before TUNEL assay. (B) Reversal of antiapoptosis effects in alpha 5/1-c3 cells by PI-3-kinase inhibition. alpha 5/1-c3 cells were serum starved for 20 h (left histograms) or 72 h (right histograms) without (upper panels) or with (lower panels) 20 µM LY294002 before TUNEL assay. Data shown are representative of at least two independent experiments. (C) Dose-response effect of LY294002 on apoptosis in serum-starved RIE1 cells. Open bars, WT cells; closed bars, alpha 5-c10 cells; cross-hatched bars, alpha 5/1-c3 cells. Data shown are representative of at least two independent experiments. (D) Serum deprivation-mediated apoptosis in additional cell lines. alpha 2-c5, alpha 5/1-c16, and alpha 5-P2 cells were maintained in the presence of serum (+), or were serum starved (-) for 72 h, in the absence or presence of LY294002 (20 µM) before TUNEL assay. Means and SEs are shown.

Specific Enhancement of PKB/Akt Activity in alpha 5-expressing Cells

To determine whether alpha 5 influences a PI-3-kinase signaling pathway, the activation of PKB/Akt, a downstream effector of PI-3-kinase, was measured upon adhesive interaction of RIE1 WT, alpha 2-P1, alpha 5/1-c3, and alpha 5-c10 cells with extracellular matrix proteins. In initial experiments, we examined the phosphorylation of S473 with the use of immunoblotting with a specific antibody; phosphorylation of this residue is usually thought to indicate activation of the kinase (Chan et al., 1999). RIE cells plated on either fibronectin or collagen I attached well and had similar morphologies when observed by phase contrast microscopy; this was true for WT cells and for the various integrin subunit transfectants (our unpublished results). This finding suggests that endogenous integrins also contribute to the adhesion and spreading of WT and transfected RIE cells on both fibronectin and collagen substrata. When alpha 5-c10 cells were plated on fibronectin (in the absence of soluble growth factors), PKB/Akt showed a peak of phosphorylation of S473 at early times (e.g., 15 min), which then declined to the basal level by 60 min (Figure 5A). Relatively little activation of PKB/Akt was noted in alpha 5-c10 cells plated on collagen or in alpha 2-P1 cells plated on either fibronectin or collagen. This suggests that direct engagement of alpha 5beta 1 with fibronectin results in the activation of PKB/Akt. We also analyzed whether overexpression of alpha 5beta 1 integrin could enhance PKB/Akt activity when cells were stimulated with growth factors. As shown in Figure 5B, treatment with EGF caused a dramatic activation of PKB/Akt in alpha 5-c10 cells adherent to fibronectin; this effect was blocked by LY294002 and occurred to only a limited degree if the alpha 5-c10 cells were held in suspension. Only a very modest increase in PKB/Akt activity was seen in alpha 2-P1 cells when plated on collagen or held in suspension. RIE1 WT cells behaved in essentially the same manner as the alpha 2-P1 cells when plated on either collagen or fibronectin (our unpublished results). An intermediate level of PKB/Akt phosphorylation was seen in alpha 5/1-c3 cells (Figure 5B). Other growth factors, such as PDGF, were also able to preferentially activate PKB/Akt in the alpha 5 transfectants (Figure 5C). In addition, Figure 5 shows that the WT and alpha 2-expressing cells did not effectively activate PKB/Akt when plated on fibronectin. To confirm that the observed changes in S473 phosphorylation reflect changes in enzyme function, an in vitro kinase assay was used to evaluate PKB/Akt activity (Figure 5D). As shown, a high level of EGF-stimulated PKB/Akt activity was found in the alpha 5-c10 cells on fibronectin, an intermediate level was found in the alpha 5/1-c3 cells, and little activity was found in the alpha 2-expressing cells; the activity was blocked by exposure to LY294002. These observations indicate again that alpha 5beta 1, but not alpha 2beta 1, is specifically implicated in signaling pathways that activate PKB/Akt. Thus, enhanced activation of PKB/Akt by direct signaling and cosignaling involving the alpha 5beta 1 integrin may contribute to increased intestinal epithelial cell survival in the face of various proapoptotic influences.


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Figure 5.   Enhancement of PKB/Akt specific activity by direct signaling or cosignaling of alpha 5beta 1 integrin. (A) Direct signaling. Blots for S473-phosphorylated PKB/Akt (p-PKB/Akt) or total PKB/Akt from alpha 5-c10 or alpha 2-P1 total cell lysates are shown. Cells were maintained in suspension (S) or were distributed to culture dishes precoated with either fibronectin (Fn) or collagen I (Cl) and then incubated at 37°C for 15 or 60 min before harvesting. The bar graph illustrates the relative activity (p-PKB)/(total PKB). Means and SEs of three experiments are shown. (B) Cosignaling of alpha 5 integrin receptor and tyrosine kinases. EGF (40 ng/ml) was added to culture medium for the last 5 min of a 60-min incubation period in the indicated samples. In some cases, the cells were preincubated with 20 µM LY294002. Cells were either maintained in suspension (Sus) or plated on fibronectin- (Fn) or collagen I- (Cl) coated dishes. Total cell lysates were Western blotted for S473-phosphorylated PKB/Akt or for total PKB/Akt. To determine the relative activity of PKB/Akt in each sample, the density of the phosphorylated S473 PKB/Akt band was divided by the density of the total PKB/Akt band for the corresponding sample. The resulting bar graph plot is shown below. Means and SEs of three experiments are shown. The open bars represent alpha 2-P1 cells in suspension or on collagen; the hatched bars represent alpha 5/1-c3 cells in suspension or on fibronectin; the closed bars represent alpha 5-c10 cells in suspension or on fibronectin. The bands were visualized with a chemifluorescence scanner after development of blot membranes with an ECF kit (Amersham), as explained in MATERIALS AND METHODS. (C) Cosignaling. This experiment was done essentially as in B, except that cells were treated with PDGF-BB (40 ng/ml) and the WT and alpha 2-expressing cells were plated on fibronectin rather than collagen. (D) In vitro PKB/Akt assay. Cells were serum starved overnight before replating and harvesting, as in B. Autoradiography was performed to measure 32P incorporation into histone 2B substrate (p-H2B) by PKB/Akt action. Total PKB/Akt in each assay was analyzed by Western blotting with the use of a polyclonal anti-rat PKB/Akt antibody, as explained in MATERIALS AND METHODS. The heavy chain of immunoglobulin G (IgG) is also shown in the blot for total PKB/Akt. The bar graph in the lower part of the figure represents the means of two experiments.

It is important to note that the alpha 5-selective effect observed in connection with PKB/Akt activation did not extend to other aspects of signal transduction. Thus, as shown in Figure 6, RIE cells displayed a clear anchorage dependence of MAPK activation in response to growth factors. However, growth factor activation of MAPK occurred equally well in alpha 5-positive cells plated on fibronectin and in alpha 2-positive cells plated on collagen, indicating a lack of selectivity with regard to the transfected integrin subunit. This seems somewhat at variance with results in other cell types: alpha 5 reportedly interacts with Shc to promote signaling to MAPK, whereas alpha 2 does not (Wary et al., 1996).


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Figure 6.   Signaling to MAPK. The experimental protocol was similar to that described in Figure 5B except that the lysates were blotted with either an antibody to activated phosphorylated MAPK (pMAPK) or an antibody to total MAPK. BB, XXXX; C1, collagen I; Fn, fibronectin.

PKB/Akt Is Essential for alpha 5-mediated Enhanced Cell Survival

To further evaluate the potential role of PKB/Akt in the phenomenon of alpha 5-mediated resistance to apoptosis, we used a dominant negative form of PKB/Akt. Both alpha 5-c10 RIE cells and alpha 2-expressing cells were transiently transfected with plasmids that expressed either wild-type PKB/Akt or a dominant negative (kinase-dead) version of the protein. The transfectants were marked by coexpression of beta -galactosidase. The transfected cells were then cultured in serum-replete or serum-free conditions, and the percentage of surviving cells was determined for each experimental condition. As shown in Figure 7, wild-type PKB/Akt had little effect on the survival pattern of alpha 5- or alpha 2-expressing cell lines; thus, the alpha 2 cells showed a sharp decline in survival in serum-free conditions, whereas the alpha 5 cells did not. When cells were transfected with dominant negative PKB/Akt, there was a modest reduction in survival for both alpha 2 and alpha 5 cells in serum-replete medium. Moreover, the presence of the dominant negative PKB/Akt completely blocked the ability of alpha 5 to enhance survival under serum-free conditions. Thus, PKB/Akt seems to play an important role in alpha 5-mediated protection from apoptosis, as originally suggested by the experiments with LY294002.


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Figure 7.   Effects of a dominant negative form of PKB/Akt. Cells were cotransfected with beta -galactosidase (beta -gal) plasmid and either WT PKB/Akt or kinase-dead (KD) PKB/Akt plasmids. After transfection and recovery, cells were maintained in serum-replete or serum-free conditions. After staining for beta -galactosidase, the number of surviving cells was counted by visual observation. Percent survival was calculated in comparison with control cells cotransfected with beta -galactosidase plasmid and WT PKB/Akt plasmid and maintained in serum. Means and SEs are shown.

    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

In this study, we describe a role for the alpha 5beta 1 integrin in regulating cell survival in normal rat intestinal epithelial cells (RIE1). We found that alpha 5 subunit expression allows the RIE1 cells to be more resistant to proapoptotic stimuli, such as serum deprivation and treatment with various cytotoxic reagents, including aspirin, staurosporine, and etoposide. The antiapoptotic effects mediated by alpha 5 subunit expression could be reversed by pharmacological inhibition of PI-3-kinase, indicating a role for this enzyme or its downstream effectors. Direct engagement of alpha 5beta 1 integrin with fibronectin, as well as cosignaling upon stimulation with growth factors, specifically enhanced the activity of PKB/Akt, a downstream effector of PI-3-kinase known to be important in cell survival. Finally, expression of a dominant negative version of PKB/Akt blocked the ability of the alpha 5 subunit to enhance cell survival. Thus, our findings indicate that expression of the alpha 5beta 1 integrin in intestinal epithelial cells selectively modulates the PI-3-kinase/Akt pathway to promote cell survival in the face of general cytotoxic insults.

These observations may have some interesting implications for the biology of the normal intestinal epithelium. Renewal of the epithelial lining requires a coordinated process involving stem cell replication in the crypts, development of several differentiated lineages, cell migration, and ultimately terminal differentiation, including apoptosis and cell shedding (Stappenbeck et al., 1998; Karam, 1999). To sustain this process, intestinal cell populations need to be protected against premature apoptosis. We have shown that the alpha 5beta 1 integrin can have an important antiapoptotic action in intestinal epithelial cells. This is consistent with the distribution of alpha 5beta 1 and fibronectin, its major ligand, along the crypt-villus axis. Thus, alpha 5beta 1 is found at the base of crypt and villus cells in the human small intestine in a patchy distribution (Beaulieu, 1992), whereas fibronectin is found along the crypt-villus axis except at the upper third of the villus in human and rat (Simon-Assmann et al., 1986; Beaulieu et al., 1991). This pattern of expression and the possible interaction of fibronectin and alpha 5beta 1 along the crypt-villus axis parallels to some degree the pattern of terminal differentiation of intestinal cells. This may be somewhat similar to the situation observed in the growth and differentiation of the epidermis, in which pluripotent stem cells and replicating transit cells display high levels of beta 1 integrins, whereas terminally differentiating cells lose expression of alpha 5beta 1 (Adams and Watt, 1990) and other beta 1 integrins (Watt, 1998). One cautionary note concerning our study is that we examined the effects of integrin subunits intentionally overexpressed by transfection. The impact of endogenous integrins, which are expressed at lower levels, may be less dramatic.

Because both small intestine and colonic cells display an effect of alpha 5 subunit expression on the regulation of apoptosis, our results may have important ramifications for colon tumor biology. However, the role of alpha 5beta 1 integrin in colon cancer is likely to be complex, and somewhat discordant results have been reported in the literature. In terms of the expression of alpha 5beta 1, one group (Stallmach et al., 1992) has reported a progressive loss of integrin expression (including alpha 5beta 1) with increasing neoplastic transformation, whereas another group (Gong et al., 1997) has found that highly invasive colon tumor lines express alpha 5beta 1 but poorly invasive lines do not. In terms of integrin function, our group (Varner et al., 1995) and another group (Stallmach et al., 1994) have found that overexpression of alpha 5beta 1 in HT29 colonic carcinoma cells resulted in a marked reduction in tumorigenicity. However, there is a report of increased tumorigenicity attributable to alpha 5 transfection in the GEO colon cancer cell line (Gong et al., 1997). The divergent results in tumorigenesis studies are paralleled by somewhat conflicting studies in cell culture formats. Thus, we found that overexpression of alpha 5beta 1 in HT29 cells led to reduced expression of genes associated with cell cycle traverse and increased expression of growth arrest-specific genes (Varner et al., 1995); however, full engagement of alpha 5beta 1 by its ligand fibronectin could reverse the growth-inhibitory effects. In contrast, another report indicated that disruption of fibronectin binding to alpha 5beta 1 would stimulate cell cycle-associated events in FET colon carcinoma cells (Gong et al., 1998). However, this same group found that overexpression of alpha 5beta 1 in breast carcinoma cells led to up-regulation of type II TGFbeta receptor expression, facilitating a negative regulatory pathway that led to reduced tumor growth (Wang et al., 1999). A negative role for alpha 5beta 1 in tumor growth was also reported in early studies with CHO cells (Giancotti and Ruoslahti, 1990; Schreiner et al., 1991). The differences observed in the effects of alpha 5beta 1 integrin on cell growth and tumor formation may indicate that signaling through this integrin is highly context dependent. It is important to note that alpha 5beta 1 is not the only receptor for fibronectin in gastrointestinal epithelial cells; thus, the alpha vbeta 6 integrin (Munger et al., 1999) has been shown to play an important role in regulating metalloproteinase expression in colon cancer cells (Agrez et al., 1999). It is also interesting to note that colonic epithelial cells are exposed to a fibronectin-containing matrix within the crypt and that fibronectin deposits increase in colorectal cancers (Hauptmann et al., 1995; Pujuguet et al., 1996). Thus, the opportunity exists for integrin-fibronectin interactions that may contribute to the survival, growth, or differentiation of both normal and malignant colonic epithelia.

In several instances, overexpression of alpha 5beta 1 integrin has been reported to reduce cell growth potential and to protect against apoptosis within the same cell type; this has been observed in CHO cells and in HT29 colon carcinoma cells (Giancotti and Ruoslahti, 1990; Varner et al., 1995; Zhang et al., 1995; O'Brien et al., 1996). These results are only superficially contradictory. Thus, it is well established that certain key signal transducers can have both progrowth and proapoptotic effects, depending on circumstances; good examples include the Ras and Myc oncogenes (Kauffmann-Zeh et al., 1997; Mayo et al., 1997; Prendergast, 1999). Conversely, it seems reasonable that integrin-dependent signals might have positive effects on cell survival in the face of stress but might also slow cell cycle progression under more favorable circumstances. In terms of colon tumor biology, our current observations, as well as previous findings (Varner et al., 1995), suggest that ectopic reexpression of alpha 5beta 1 may lead to the emergence of carcinoma cells that grow relatively slowly but that are highly protected against stress. This may allow the colon tumor cells to infiltrate inappropriate environments outside of the mucosal lining and to survive stressors such as hypoxia. This could confer an overall advantage in terms of tumor growth and invasiveness.

That integrins can interact with the PI-3-kinase/Akt pathway now seems well established. For example, PI-3-kinase has been implicated in direct integrin-mediated activation of Raf-1 (King et al., 1998). In addition, as mentioned above, anoikis resulting from complete disruption of integrin-mediated adhesion involves reduced signaling through the PI-3-kinase/Akt pathway (Khwaja et al., 1997). Here we implicate alpha 5beta 1 as having a selective effect on the PI-3-kinase/Akt pathway in intestinal epithelial cells, whereas other integrins, such as alpha 2beta 1, are not involved. The evidence for a specific connection between alpha 5beta 1 and the PI-3-kinase/Akt pathway includes the fact that alpha 5-mediated antiapoptotic effects are reversed by pharmacological inhibition of PI-3-kinase or by expression of a dominant negative version of PKB/Akt, and that activation of PKB/Akt is specifically enhanced by direct signaling from alpha 5beta 1 as well as by cosignaling through a growth factor receptor and alpha 5beta 1 integrin. In a parallel set of observations, it was reported recently that mammary epithelial cells display alpha 6beta 1-mediated cell survival that also requires the activities of PI-3-kinase and PKB/Akt (Farrelly et al., 1999). This finding suggests that there are integrin-specific linkages to the PI-3-kinase/Akt pathway but that the integrin specificity may vary in different cell types. Integrin alpha  subunit-specific signaling to MAPK has been described elsewhere (Wary et al., 1996); however, as shown in RESULTS, in RIE1 cells activation of MAPK was observed in cells anchored on either fibronectin via alpha 5beta 1 or on collagen via alpha 2beta 1. Thus, in the intestinal epithelial cell system, the integrin specificity seems to be primarily directed toward the PI-3-kinase/Akt pathway, in agreement with results in mammary cells (Farrelly et al., 1999). Although alpha 2beta 1 clearly does not interact effectively with the PKB/Akt survival pathway in intestinal cells, we cannot rule out the possibility that integrins in addition to alpha 5beta 1 may also link to this pathway. However, both our current observations and previous studies from another group (Zhang et al., 1995) suggest that alpha 5beta 1 may have a special role in protection against apoptosis. It should be noted that the current study, implicating PI-3-kinase/Akt in integrin regulation of apoptosis, is quite distinct from studies of "anoikis" (Frisch et al., 1996a,b; Khwaja and Downward, 1997; Khwaja et al., 1997). Here, both RIE WT cells and the alpha 5 transfectants were attached and spread during the period in which apoptosis occurred. Thus, it is the presence of a particular integrin rather than the state of cell attachment that is important, as opposed to the situation in anoikis, in which attachment is the key factor.

An interesting result from the current study is the finding that expression of an alpha 5 subunit with a cytoplasmic tail deletion conferred substantial protection against apoptosis. Furthermore, this antiapoptotic effect was at least partially reversed by PI-3-kinase inhibitors. Although the impact of the tailless mutant was less than that of full-length alpha 5, these observations indicate that activation of the PI-3-kinase/Akt pathway and subsequent antiapoptotic effects may not strictly require the cytoplasmic domain. This stands in contrast to previous observations concerning the antiapoptotic effect of alpha 5 in CHO cells (Zhang et al., 1995). In that study, truncation of the cytoplasmic domain abolished the effect, which seemed to be mediated through induction of Bcl-2. Because, in RIE1 cells, the cytoplasmic domain of alpha 5 was not required for effects on the PI-3-kinase/Akt pathway, the integrin may be interacting with another transmembrane protein to mediate its effect. A number