Vol. 280, Issue 6, C1657-C1668, June 2001
SPECIAL TOPIC
Etk/Bmx activation modulates barrier function in epithelial
cells
Sarah F.
Hamm-Alvarez1,3,
Allen
Chang2,*,
Yanru
Wang1,*,
Galina
Jerdeva1,
H. Helen
Lin2,
Kwang-Jin
Kim2,3,4,5,6, and
David K.
Ann2,7
Departments of 1 Pharmaceutical Sciences, 2 Molecular
Pharmacology and Toxicology, 3 Physiology and Biophysics,
4 Biomedical Engineering, and 5 Medicine, 6 Will
Rogers Institute Pulmonary Research Center, and 7 Center for
Craniofacial Molecular Biology, University of Southern California,
Los Angeles, California 90033
 |
ABSTRACT |
Etk/Bmx is a member of the Tec family of cytoplasmic
non-receptor tyrosine kinases known to express in epithelial cells. We demonstrate herein that Etk activation in stably Etk-transfected epithelial Pa-4 cells resulted in a consistently increased
transepithelial resistance (TER). After 24 h of hypoxic (1%
O2) exposure, the TER and equivalent active ion transport
rate (Ieq) were reduced to <5% of the normoxia
control in Pa-4 cells, whereas both TER and Ieq
were maintained at comparable and 60% levels, respectively, relative
to their normoxic controls in cells with Etk activation. Moreover, Pa-4
cells exhibited an abundant actin stress fiber network with a diffuse
distribution of
-catenin at the cell periphery. By contrast,
Etk-activated cells displayed a redistribution of actin to an
exclusively peripheral network, with a discrete band of
-catenin
also concentrated at the cell periphery, and an altered occludin
distribution profile. On the basis of these findings, we propose that
Etk may be a novel regulator of epithelial junctions during
physiological and pathophysiological conditions.
signal transduction; adaptive response
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INTRODUCTION |
AN IMPORTANT
CHARACTERISTIC of the epithelium is that it forms a functional
barrier to prevent the permeation of noxious agents to the internal
milieu and, at the same time, to allow passive vectorial
transepithelial transport of nutrients, electrolytes, and small
solutes. Several disease-associated states, such as ischemic
and hypoxic injuries, effectively disrupt the permeability barrier as
well as enhance the movement of ions, large solutes, and inflammatory
cells across tight epithelial structures (7, 13, 17, 24,
48). Hence, a better understanding of the mechanism underlying
the regulation of epithelial barrier function is of potential
physiological and pharmacological significance. Although the structure
and function of junctional barriers have been extensively studied, the
molecular signaling pathways that modulate assembly, disassembly, and
maintenance of junctional integrity under various health and disease
states appear to be multifactorial and rather complex.
The epithelium contains at least four classes of intercellular
junctions: tight junctions (TJs), adherens junctions (AJs), desmosomes,
and gap junctions. Among these classes, TJs are the most critical in
forming barriers to the diffusion of solute through the paracellular
pathway, whereas AJs play a key role in the formation of tight
junctions (10). TJs are also essential for the
polarization of epithelial cells, since they form a boundary between
apical and basolateral plasma membrane domains. Structurally, TJs
comprise several transmembrane proteins, such as occludin and members
of the claudin family, and peripheral membrane proteins, such as zonula
occludens (ZO)-1, ZO-2, ZO-3, cingulin, 7H6, and symplekin (15). The peripheral membrane protein ZO-1 binds to actin
filaments, directly or through a linking protein, serving thus as a
candidate for coupling perijunctional actin to the paracellular barrier (15). The basic components of AJs in epithelial cells
include transmembrane protein E-cadherin and the cytoplasmic proteins
-,
-, and
-catenins, which link E-cadherin to the actin
cytoskeleton (9, 21). Among them, E-cadherin is
responsible for the correct establishment and maintenance of AJs
through a Ca2+-dependent homophilic interaction with
adjacent cells. Blocking the function of E-cadherin results in a
destruction of AJs and subsequent disassembly of TJs (31).
On the other hand, catenins tether the cadherin complexes to actin
cytoskeleton and have often been investigated as potential cytoplasmic
targets for regulation of AJs (19). Together, the
expression and modification of these TJ and AJ molecules determine the
permeability properties of epithelial barriers toward hydrophilic
solutes and plasticity of intercellular junctions.
In addition to the structural interdependence between TJs and AJs,
agents that disrupt the actin cytoskeleton can also lead to the
disassembly of TJs (2, 22). This observation is consistent with a model in which the establishment of appropriate actin
cytoarchitecture is a key factor in the formation of TJs
(15). This notion is further supported by the observation
that TJs appear to be tethered to the actin filaments
(12). Hence, both actin filaments and AJs appear to
participate directly or indirectly in the formation and/or maintenance
of TJs. While AJ complexes are primarily involved in maintaining
cell-cell adhesions between adjacent epithelial cells, TJ structures
modulate epithelial barrier function and paracellular permeability.
The results from many laboratories have suggested that a complex set of
signal transduction pathways is likely to target and control the
junctional properties of epithelial cells. The barrier function of TJs
is reportedly influenced by growth factors, extra- and intra-cellular
Ca2+ levels, protein kinase C, receptor and non-receptor
tyrosine kinases, and phospholipase C in different types of epithelial cells (3, 4, 6, 16, 19, 27, 28, 42, 54, 55). In terms of
AJs, significant tyrosine phosphorylation of
-catenin,
-catenin,
and p120-catenin is detected in proliferating epithelial cells
(35). As epithelial cells reach confluence and undergo the
process of contact inhibition, tyrosine phosphorylation of catenins
decreases. This observed decrease in tyrosine phosphorylation is
correlated with an increased tyrosine phosphatase activity (5,
11). Many receptor and non-receptor tyrosine phosphatases have
been coimmunoprecipitated with cadherin-catenin complexes. Thus
components of TJs, AJs, plasma membranes, and cytoskeleton are all
potential targets for these already-identified or to-be-identified kinases and phosphatases. The biochemical basis of these modulations by
signaling molecules is only beginning to be unraveled. The focus of
this study is the characterization of the effects of a novel epithelial
tyrosine kinase, Etk, on paracellular permeability and junctional
protein complexes of a model epithelial barrier, Pa-4.
Etk, also named Bmx, belongs to a new class of cytoplasmic non-receptor
tyrosine kinases, Btk/Tec, members of which are expressed in both
hematopoietic and nonhematopoietic cells. This family consists of Btk
(46, 50), Itk (18, 39), Tec
(30), and Etk/Bmx (34, 43) tyrosine kinases,
which share homologous structures, including the
NH2-terminal pleckstrin homology (PH) domain, followed by
Tec homology (TH), Src homology (SH) 3, SH2, and tyrosine kinase
domains. These Tec kinases have been demonstrated to
participate in signaling pathways involving a variety of cytokine receptors and antigen receptors. Etk, unlike other members of the Tec
family kinases that are mostly hematopoietic cell specific, is
preferentially expressed in epithelial cells (34). We have previously demonstrated that Etk directly activates signal transducer and activator of transcription (STAT) 1, STAT3, and STAT5 in salivary epithelial cells by using an estrogen (E2)-inducible Etk
construct (52). To date, the precise biological
function of Etk in epithelial cells has not been defined.
To better understand the molecular nature of salivary epithelial
cellular responses to the activation of Etk, we have established a
model system by stably transfecting rat salivary epithelial Pa-4 cells
with an inducible Etk-estrogen receptor (ER) chimeric construct
(
Etk:ER), which is activated in cells by the ER ligand,
-estradiol. Through a combined approach in search of Etk-mediated biological events, we identify here a series of effects of Etk on
transepithelial resistance (TER) in parallel with components of AJs and
TJs. We have demonstrated that Etk activation is sufficient to elicit
an increase in TER, a common gauge of junctional tightness between
epithelial cells, and have further shown that this increase was
sustained in response to hypoxic challenge. The increased TER elicited
by Etk activation was accompanied by changes in actin filaments
organization and in the recruitment and/or changes in protein
properties of several peripheral and integral membrane proteins
involved in TJ and AJ regulation. Together, we postulate that the
functional and biochemical modulation of TJ and AJ during normoxia and
hypoxia appears to be dependent on an Etk-mediated signaling cascade.
Moreover, our results shown herein suggest that the cells with stable
expression of
Etk:ER represent a unique and useful tool to elucidate
the role of Etk in modulating TJ/AJ assembly/disassembly and subsequent
responses to hypoxic challenge in salivary epithelial cells as well as
in other cell types. These observations are significant in
understanding the physiological regulation of epithelial permeability
and discerning the mechanism leading to epithelial permeability
dysfunction(s) associated with many disease states.
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MATERIALS AND METHODS |
Reagents.
Rhodamine-phalloidin, phenylmethylsulfonyl fluoride (PMSF), aprotinin,
pepstatin A, N-tosyl-L-phenylalanine
chloromethyl ketone, leupeptin,
N-
-p-tosyl-L-lysine chloromethyl
ketone, and N-
-p-tosyl-L-arginine methyl ester were all obtained from Sigma (St. Louis, MO). Goat anti-mouse horseradish peroxidase-conjugated secondary antibody and
enhanced chemiluminescence (ECL) reagents were from Amersham (Arlington
Heights, IL). The cell culture media, sera, and antibiotics were from
Life Technologies (Rockville, MD).
Cell culture.
The rat parotid epithelial cell line Pa-4, also known as parotid C5
cells (26), was plated on Primaria culture dishes (Falcon) in Dulbecco's modified Eagle's/Ham's F-12 (1:1) medium supplemented with 2.5% fetal calf serum, insulin (5 µg/ml), transferrin (5 µg/ml), epidermal growth factor (25 ng/ml), hydrocortisone (1.1 µM), glutamate (5 mM), and kanamycin monosulfate (60 µg/ml) and was
maintained in a humidified atmosphere of 5% CO2-95% air
at 35°C. The Pa-4
Etk:ER cells were established by stably
transfecting Pa-4 cells with
Etk:ER. The tyrosine kinase activity of
Etk:ER in Pa-4
Etk:ER cells can be further induced by the addition
of 1 µM estrogen receptor agonist,
-estradiol, to the culture
medium, as demonstrated by the autophosphorylation of Tyr-566 of Etk
(52). The Pa-4
Etk:ER cells were maintained with
geneticin (G418; 600 µg/ml) and Dulbecco's modified Eagle's/Ham's
F-12 (1:1, phenol red free) medium supplemented with 2.5%
charcoal-stripped fetal calf serum plus the aforementioned ingredients.
Madin-Darby canine kidney (MDCK)
Etk:ER cell clones were established
and screened as described previously (52).
Measurements of TER.
Epithelial cells were grown on permeable membranes (Clearwell;
Costar-Corning, San Francisco, CA) that allow visual monitoring growth
of polarized epithelial cells to confluence. Bioelectric parameters of
cell monolayers were monitored at predesignated time intervals with a
MilliCell ERS screening device (Millipore, Bedford, MA) that can
measure spontaneous potential difference (SPD; expressed in mV, taking
the apical aspect as reference) and TER (expressed in
k
· cm2) with chopstick-style electrodes.
Background potential difference (PD) arising from the asymmetry of
voltage-sensing electrodes and electrical resistance contributed by
both the bathing fluids and the filter membrane were measured and
averaged by using the values observed at the beginning and end of each
set of SPD and TER measurements from two blank filters bathed with the
same medium utilized in cultivation of epithelial cells. These
background PD and electrical resistance values were subtracted from the
raw data of SPD and TER, respectively. With the use of the corrected SPD and TER, equivalent active ion transport rate
(Ieq; equivalent short-circuit current) is
estimated as SPD/TER, assuming the prevalence of Ohm's law for a given
epithelial cell monolayer system.
Approximately 5-8 days after cell monolayers reached confluence, 1 µM estradiol (E2) was added 4 h before treatment
with drug or hypoxia. For hypoxic treatment, cells grown on Clearwell
were transferred to an exposure chamber, flushed with 1%
O2 balanced with 5% CO2-94% N2,
and sealed airtight. Measurements were obtained every 4 h during a
total of 24 h of hypoxia, followed by 8 h of reoxygenation
with 5% CO2 balanced with room air. Latrunculin B or
genistein was added to the bathing fluids of cells cultured on the
Clearwell. SPD and TER of these monolayers were measured at the
indicated time intervals during drug treatment.
Confocal fluorescence microscopy.
Pa-4 and Pa-4
Etk:ER cells were cultured and exposed to 1 µM
E2 for 4 h before they were rinsed with Dulbecco's
PBS (DPBS). For
-catenin detection, cells were processed by
following the procedures reported by Woo et al. (55).
Briefly, cells were fixed with 2% paraformaldehyde in PBS, followed by
exposure to PBS supplemented with 50 mM NH4Cl for 5 min,
and then permeabilized for 10 min in PBS supplemented with 0.5% Triton
X-100 (Tx-100) before being blocked and exposed to anti-
-catenin
antibody and an appropriate secondary antibody. Rhodamine-phalloidin
was used to detect actin filaments. For analysis of the effects of
hypoxia on F-actin and
-catenin, confluent Pa-4 and Pa-4
Etk:ER
cells were exposed to 1 µM estradiol for 4 h before being
exposed to hypoxia for 16 h. Cells were then fixed and processed
as described above for detection of F-actin and
-catenin.
For detection of occludin, cells were fixed with 2% paraformaldehyde
in PBS, exposed to PBS supplemented with 50 mM NH4Cl, and
then permeabilized for 10-15 min with PBS containing 0.2% Tx-100
before being blocked and incubated with anti-occludin antibody and an
appropriate secondary antibody (33). After processing, all
slides were mounted in Prolong Antifade (Molecular Probes) and examined
with a Nikon PCM Quantitative Measuring High-Performance Confocal
System equipped with argon and green HeNe lasers attached to a Nikon
TE300 Quantum inverted microscope. Images were acquired with Simple PCI
C-Imaging Hardware and Quantitative Measuring Software and processed
with Adobe Photoshop 5.0 (Adobe Systems, Mountain View, CA).
Isolation and Western blot analysis of soluble and insoluble
protein fractions.
Cells were cultured on petri dishes, exposed to 1 µM E2
for 4 h, and then washed twice with warm DPBS. These washed cells were incubated in a cell lysis buffer solution (pH 6.75) containing 0.1 M PIPES, 1 mM EGTA, 1 mM MgSO4, 2 M glycerol, 1% Tx-100, 1 mM PMSF, 1 µg/ml pepstatin A, 10 µg/ml
N-tosyl-L-phenylalanine chloromethyl ketone, 1 µg/ml leupeptin, 1 mM sodium orthovanadate, 10 µg/ml
N-
-p-tosyl-L-lysine chloromethyl
ketone, and 10 µg/ml N-
-p-tosyl-L-arginine methyl ester
for 10-15 min. Some experiments utilized the buffer above
containing 0.1% Nonidet P-40 (NP-40) in place of Tx-100 to isolate
detergent-soluble fractions (51). However, results were
comparable when either detergent was used to isolate cytosol and
detergent-soluble membranes. After the soluble (cytosolic and
detergent-soluble membrane proteins) fraction of cell lysates was
harvested by pipetting, the remaining cellular materials on the dish
representing the insoluble fraction were scraped into RIPA composed of
1% NP-40, 0.5% sodium deoxycholate, 0.1% sodium dodecyl sulfate
(SDS), 1 mM PMSF, 20 µg/ml aprotinin, and 1 mM sodium orthovanadate
in PBS. Unless indicated, equal amounts (between 10 and 30 µg) of soluble and insoluble fractions of cell lysates were diluted
with 2× SDS sample buffer, resolved on 7.5% polyacrylamide gels, and
electroblotted onto Immobilon-P (Millipore) or nitrocellulose
membranes. Immunoprecipitation of
Etk:ER with an anti-ER antibody
(HC-20; Santa Cruz Biotechnology, Santa Cruz, CA) was carried out as
described previously (25), followed by immunoblot
analyses using anti-phosphotyrosine antibody (4G10; Upstate
Biotechnology). Blots were probed with appropriate primary antibodies
(occludin, phosphotyrosine, or estrogen receptor) and goat anti-rabbit
or anti-mouse secondary antibody, where appropriate, conjugated to
horseradish peroxidase before visualization with an ECL detection system.
 |
RESULTS |
Activated
Etk:ER is translocated to a detergent insoluble pool.
The Btk/Tec family of kinases is so far the only known tyrosine kinase
family to carry an NH2-terminal PH domain. The versatile roles of Btk/Tec kinases are reflected by their protein-protein and
protein-lipid interaction through the PH domain (for reviews, see Refs.
29 and 58). Accumulating evidence has suggested that PH
domains of Btk/Tec family members are able to interact with F-actin
(59). The actin cytoskeleton plays an essential role in a
variety of cellular processes including cell division, shape, and
motility, to name a few. Hence, we explored the possibility of
translocation of
Etk:ER from the cytoplasm to the membrane upon its
activation to further study the role of Etk activation in epithelial
cell signaling.
It has been well established that Tx-100-insoluble fractions of cell
lysates are enriched in cytoskeleton-associated proteins (53). Hence, resolution of Tx-100 soluble and insoluble
fractions from Pa-4 and Pa-4
Etk:ER cell lysates offered an
opportunity to examine the partitioning of
Etk:ER between these two
fractions upon its activation. No Etk chimera was detectable in either
the Tx-100-soluble or -insoluble fraction from Pa-4 cells, as expected (Fig. 1, top). The
Etk:ER
chimera was detected in the Tx-100-insoluble fraction from unstimulated
Pa-4
Etk:ER cells; however, proportionally more
Etk:ER was
recovered in the Tx-100-soluble fraction, compared with the
corresponding actin levels, which served as an internal control for
extraction and sample loading (Fig. 1, bottom). After Etk
chimera activation, the partition of
Etk:ER into the insoluble portion was markedly increased. Hence, there was an enhanced
recruitment of
Etk:ER to the cytoskeleton and/or cytoskeletal
proteins upon Etk activation, compared with nonactivated Etk. Most
significantly, a substantial portion of the
tyrosine-phosphorylated
Etk:ER protein was found in the
insoluble pool of estradiol (E2)-treated Pa-4
Etk:ER cells (Fig. 1, middle). We reported previously that Etk
activation renders tyrosine 566 autophosphorylation of the Etk chimera
(52). Along this line, the Etk chimera detected in the
insoluble fraction was extensively phosphorylated, reflecting Etk
activation, compared with the corresponding
Etk:ER levels (Fig. 1,
top). The increased recovery of
Etk:ER chimera in the
insoluble fraction of stimulated Pa-4
Etk:ER cells was reproducible
and is probably due to the enhanced stability of the activated
Etk:ER, similar to what we reported previously (52).
Comparable redistribution of tyrosine-phosphorylated Etk chimera to the
detergent-insoluble pool upon estradiol treatment was detected when
NP-40 was utilized to resolve detergent soluble and insoluble fractions
(data not shown). These observations suggest the intriguing possibility
that the activated Etk in epithelial cells is translocated from the
cytoplasm to the membrane fraction and acts as a functional modulator,
in addition to governing proliferation and differentiation by gene
regulation via STAT activation (52), of epithelial cell
biology.

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Fig. 1.
Activation of an inducible Etk-estrogen receptor (ER)
chimeric construct ( Etk:ER) promotes translocation of the activated
chimera to detergent-insoluble fractions. Cells treated with a vehicle
( ) or 1 µM estradiol (E2) (+) were fractionated into
detergent-soluble (S) and -insoluble (I) fractions as indicated. Equal
amounts of fractionated lysates prepared from the same numbers of cells
were immunoprecipitated with an anti-ER antibody, separated by
SDS-PAGE, electroblotted to polyvinylidene difluoride membranes, and
immunostained by respective antibodies against ERs (top) and
phosphotyrosine (pTy; middle). The immunoblot with the
actin antibody is also shown (bottom) as a loading control.
Similar results were obtained from 6 independent experiments; 1 representative result is shown.
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Phenotypic manifestation of epithelial cells that express Etk.
To investigate the role of Etk in the regulation of epithelial cell
physiology, both Pa-4
Etk:ER and parental Pa-4 cells were grown to
form confluent monolayers on polyester Clearwell, and their TER values
were measured. As shown in Fig. 2, TER in
stably transfected and E2-stimulated Pa-4
Etk:ER as
well as MDCK
Etk:ER epithelial cells reached a higher
level than that in corresponding parental cells. The
corresponding Ieq for
E2-stimulated parental and Pa-4
Etk:ER cell monolayers
were 1.85 ± 0.08 and 1.08 ± 0.09 µA/cm2, respectively. Because the measurements of both
potential difference (SPD) and TER in MDCK cells were too low to give
reproducible calculations of Ieq, the calculated
Ieq values from MDCK and MDCK
Etk:ER cells are not shown. The observed difference in TER between parental and Etk-activated cells was persistent throughout an 8-day period of
measurement (data not shown). This suggests tightening of the paracellular seals upon Etk activation. The TER of parental Pa-4 and
MDCK cells are quite different in that Pa-4 cells exhibit intrinsically
higher TER than do the MDCK cells (Fig. 2). Thus Etk activation
enhances TER in epithelial barrier of either leaky or tight nature. The
epithelial barrier to the diffusion of hydrophilic solutes through the
paracellular pathway is afforded by TJ. Permeation across TJ is not
static but is dynamically regulated under physiological environment and
under pathophysiological conditions, such as hypoxia. In particular,
epithelial cells have been reported to respond to hypoxic stress,
rendering the depletion of ATP and causing the loss of TER
(12).

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Fig. 2.
Etk activation increases the transepithelial resistance
(TER) of Pa-4 and Madin-Darby canine kidney (MDCK) cell monolayers.
Cells were grown on semipermeable polyester Clearwell membranes until a
confluent monolayer was established. E2 was added to the
culture media at a final concentration of 1 µM 4 h before TER
measurements were performed. Results represent means ± SE of 4 independent measurements performed in triplicate of
E2-treated parental and Etk chimera stably transfected
cells, respectively.
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To probe the consequences of hypoxic stress in Pa-4
Etk:ER
cells that possess the property of an elevated TER compared with the
parental Pa-4 cells, we exposed both parental and Etk-activated Pa-4
cells to prolonged periods of hypoxia. During the first 8 h of
hypoxic treatment, TER increased by ~30% and 20% above the control
values in Pa-4 and Pa-4
Etk:ER cell monolayers, respectively (Fig.
3A). However, after 24 h
of hypoxia, TER decreased drastically to ~5% of the normoxic levels
in Pa-4 cells, whereas Pa-4
Etk:ER cells were able to maintain
substantially higher TER, which was comparable to their normoxic
controls. Even with the compromised TER, both Pa-4 and Pa-4
Etk:ER
cells were mostly viable after 24 h of hypoxia, since TER values
in both cells were restored back to the control levels at 4-8 h
posthypoxia. These data showed that Etk activation sustains TER in
epithelial cells under prolonged hypoxic conditions. The effects of Etk
on TER and subsequent protection against hypoxic injury were unlikely
to be unique to the Pa-4 cells, since Etk expression and activation in
MDCK cells resulted in an enhancement of TER in a similar fashion (Fig.
2). Moreover, enhanced TER was sustained, as was seen in Pa-4
Etk:ER
cell monolayers, in MDCK
Etk:ER cells over a 36-h period of hypoxia
(data not shown). These data support the notion that Etk activation may
be capable of augmenting tight junctional barrier function under
pathophysiological conditions through a universal mechanism, directly
or indirectly, in leaky and tight epithelial barriers. Because TJ
integrity is disrupted by hypoxia in both Pa-4 and MDCK epithelial
cells, it is suggested that Etk activation may prevent the
hypoxia-induced TJ disruption in epithelial cells.

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Fig. 3.
Relative changes in TER and equivalent active ion
transport rate (Ieq) of Pa-4 and Pa-4 Etk:ER
cell monolayers under hypoxic conditions. The Pa-4 and Pa-4 Etk:ER
cells were cultured and treated as described in Fig. 1. TER
(A) was measured, and the corresponding
Ieq (B) was estimated (see text for details) at
0, 4, 8, and 24 h after the beginning of hypoxia treatment (1%
O2). Data represent percentage changes compared with TER
obtained from time 0, which is designated as 100%,
normalized by the TER measured in the normoxia control. Results
represent means ± SE of 4 independent measurements of
E2-treated parental and Etk chimera stably transfected
cells, respectively.
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The Ieq of Pa-4 and Pa-4
Etk:ER monolayers was
also determined. As shown in Fig. 3B,
Ieq in Pa-4 cells decreased to almost zero after
24 h of hypoxia treatment, whereas ~60% of baseline Ieq remained in Pa-4
Etk:ER cells after the
same period of hypoxic exposure. This suggests a beneficial effect of
Etk on active ion transport. Because the measurement of TER is
generally believed to be a reliable gauge of the junctional tightness
between epithelial cells, we conducted further investigations utilizing
TER measurement as a means to elucidate the role of Etk activation in
epithelial cell biology.
Etk-induced enhancement of TER in response to hypoxia involves
regulation of the actin cytoskeleton.
One of the injurious effects of hypoxia on cells is to induce actin
depolymerization (23, 37). Because the ability of the TJ
to form a seal is dependent on the actin filaments organization (for a
review, see Ref. 15), we investigated whether the
hypoxia-induced reduction in TER might be mimicked by disassembly of
actin and, further, whether Etk activation could preserve TER under
conditions of actin filaments loss. Latrunculin B, an
actin-depolymerizing agent (20), was utilized for this purpose.
As shown in Fig. 4, during 24-h treatment
of latrunculin B, the TER values of E2-treated Pa-4 and
Pa-4
Etk:ER cell monolayers decreased with time. However, the
measured TER values from E2-treated Pa-4
Etk:ER cell
monolayers were reproducibly and substantially higher than those of the
parental cell monolayers after hypoxia treatment. Similar observations
were also made in Pa-4 and Pa-4
Etk:ER cell monolayers when higher
concentrations of latrunculin B at 0.1, 0.2, and 0.3 µM were used
(data not shown). This observation is an extension of our previous
notion that proper actin filament organization is essential for the
assembly of functional barrier junctions. Moreover, Etk activation is
capable of protecting Pa-4 cells from actin filament depolymerizing
agent like latrunculin B. The data presented in Figs. 3 and 4 together
suggested that Etk activation might in some way regulate the actin
cytoskeletal elements involved in the formation of TJs and/or AJs in
response to pathophysiological perturbations from hypoxia and/or
latrunculin B. To further probe the effects of Etk expression and
activation on the actin cytoskeleton, we characterized the organization
and distribution of the cytoskeletal and junctional proteins known to
mediate cell-cell contacts and paracellular seals in Pa-4 and Pa-4
Etk:ER cells.

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Fig. 4.
Differential effect of latrunculin B on TER of Pa-4 and
Pa-4 Etk:ER cell monolayers. The Pa-4 and Pa-4 Etk:ER cells were
grown and treated with estradiol as described in Fig. 1. Latrunculin B
(48 nM) was instilled into the culture media 4 h before the first
measurement was performed. TER was measured at 4, 8, 12, and 24 h
after latrunculin B was administered. Results represent means ± SE of 4 independent experiments performed in triplicate.
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First, we examined the AJ components. After E2-treatment,
Pa-4 and Pa-4
Etk:ER cell monolayers were fixed and processed for confocal fluorescence microscopy with the use of appropriate probes to
detect the AJ components,
-catenin and filamentous actin (F-actin). As shown in Fig. 5, the organization of
both AJ components was profoundly affected by Etk activation. In Pa-4
cells,
-catenin labeling (Fig. 5, green) was concentrated to a
relatively diffuse but continuous boundary at and near the cell
periphery. In contrast, Etk expression and activation resulted in
redistribution of
-catenin into a discrete network concentrated more
at the cell periphery. Staining with rhodamine-phalloidin, which binds
to F-actin (Fig. 5, red) demonstrated that F-actin in Pa-4 cells was
organized primarily in internal stress fibers with some banding of
filaments at the cell periphery. Pa-4
Etk:ER cells, on the other
hand, exhibited a pronounced redistribution of F-actin to bundles
localized at the cell periphery, an effect paralleled by an almost
complete loss of internal stress fibers. While little colocalization of the diffuse
-catenin network and the peripheral F-actin filaments was observed in the parental Pa-4 cells, coincident labeling of
-catenin and F-actin at the Pa-4
Etk:ER cell periphery was evident after Etk activation. This redistribution of F-actin and
-catenin was also accompanied by changes in shape of Pa-4
Etk:ER cells to a
more uniformly polygonal configuration.

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Fig. 5.
Etk activation elicits recruitment of -catenin and F-actin to
the cell periphery. Pa-4 and Pa-4 Etk:ER cells were cultured and
processed for immunofluorescence study as described in MATERIALS
AND METHODS. After fixation, cells were probed with a mouse
monoclonal antibody to -catenin, followed by a goat anti-mouse
secondary antibody conjugated to FITC. Rhodamine-phalloidin was used to
label F-actin. The distribution of -catenin (green) (top)
and the organization of F-actin (red) (middle), as well as
the colocalization of -catenin (green) and actin (red) (dual,
bottom), are shown in Pa-4 and Pa-4 Etk:ER cells. Bar, 10 µm.
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We also probed the effects of hypoxia on F-actin and
-catenin
distribution in cells with and without Etk activation. Hypoxia elicited
effects on both
-catenin (Fig. 6,
green) and F-actin (Fig. 6, red) in Pa-4 and Pa-4
Etk:ER cells in the
absence of estradiol.
-catenin labeling in Pa-4 cells exposed to
hypoxia exhibited a more uneven and disorganized labeling pattern
around the cell periphery, relative to the more continuous but broad labeling pattern seen in the periphery of the Pa-4 cells without hypoxia (Fig. 5). The abundant stress fiber network normally present in
Pa-4 cells was still detectable, although the filaments appeared truncated, and the intensity of F-actin labeling also appeared slightly
diminished. Likewise, hypoxia resulted in the formation of a more
discontinuous
-catenin labeling pattern at the periphery of the Etk
cells in the absence of estradiol. F-actin labeling also appeared less
intense in these cells after hypoxia. Exposure of Pa-4 cells to
estradiol before hypoxia did not change either of these labeling
patterns. However, activation of the
Etk:ER construct with estradiol
before the onset of hypoxia resulted in complete maintenance of the
discrete and continuous F-actin/
-catenin network concentrated at the
cell periphery, similar to that shown in Fig. 5. These findings suggest
that maintenance of the F-actin/
-catenin network in response to
hypoxic stress may be a major factor in maintenance of the epithelial
barrier properties of cells containing the activated
Etk:ER
construct. Together with the TER data, these findings establish a
correlation, albeit possibly an indirect consequence, between the
redistribution of AJ components and the maintenance of a tighter
epithelial barrier during hypoxia and latrunculin B insult in cells
with activated Etk.

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Fig. 6.
Etk activation prevents the fragmentation of peripheral actin and
-catenin elicited by hypoxia. Pa-4 and Pa-4 Etk:ER cells were
exposed to hypoxia and then fixed and processed as described in
MATERIALS AND METHODS for imaging of actin (red) and
-catenin (green). After fixation, cells were probed with a mouse
monoclonal antibody to -catenin, followed by a goat anti-mouse
secondary antibody conjugated to FITC. Rhodamine-phalloidin was used to
label F-actin. The distribution of these markers is shown in Pa-4 and
Pa-4 Etk:ER cells exposed to hypoxia in the absence of estradiol
( E2) (top) and those exposed to 1 µM
estradiol (+E2) for 4 h before hypoxia
(bottom). Arrows indicate regions of discontinuity or
disorganization of -catenin and F-actin at the cell peripheries.
Bar, 10 µm.
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Etk activation reduces the mobility of occludin on SDS-PAGE.
To investigate whether comparable changes in elements of TJs were
also elicited by Etk activation, we next examined the cellular distribution of tight junctional proteins, occludin, claudin, and ZO-1
in Etk-activated Pa-4
Etk:ER and parental Pa-4 cells. Immunofluorescence studies of these cell monolayers demonstrated that
occludin was localized at the cell membrane in a comparable manner in both monolayers (Fig. 7). The
tight junctional peripheral protein ZO-1 and the transmembrane protein
claudin also exhibited a similar distribution in both Pa-4 and
Pa-4
Etk:ER cells, where no marked changes in ZO-1 or claudin
localization were detected as a result of Etk activation (data not
shown). Hence, the localization of occludin, ZO-1, and claudin did not
appear to be significantly modulated by Etk activation.

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Fig. 7.
Etk activation does not alter occludin localization. Pa-4 and
Pa-4 Etk:ER cells were probed with a mouse monoclonal antibody to
occludin, followed by a goat anti-mouse secondary antibody conjugated
to FITC. Rhodamine-phalloidin was used to label F-actin. The
distribution of occludin alone (top) as well as the
colocalization of occludin (green) and F-actin (red) in Pa-4 and
Pa-4 Etk:ER cells (bottom) is shown. Bar, 15 µm.
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Although the distribution of occludin remained unaltered after Etk
activation, as shown by the immunofluorescence microscopy (Fig. 7), we
explored the possibility that Etk activation might affect occludin
properties, i.e., phosphorylation. Detergent-soluble and -insoluble
protein fractions were prepared from Pa-4 and Pa-4
Etk:ER cells
treated with 1 µM E2 for 4 h and resolved by
SDS-PAGE, followed by Western blot analysis with a monoclonal antibody
against occludin (Fig. 8). It has been
well established that the mobility shifts of occludin detected on
SDS-PAGE reflect occludin dephosphorylation/phosphorylation status
(53). We utilized this technique as a means to evaluate occludin phosphorylation and assemblage status of TJs in our system. The detected occludin distributed between detergent-soluble and -insoluble pools and the observed multiple forms of occludin, in each
pool, with different mobilities on SDS-PAGE would reflect effects
mediated by Etk-dependent pathway(s) on TJ organization.

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Fig. 8.
Occludin mobility on SDS-PAGE is increased as a result of
Etk activation. Equal volumes of fractionated Nonidet P-40
(NP-40)-soluble (S) and -insoluble (I) lysates from the same numbers of
cells were loaded onto a 7.5% SDS-PAGE gel, blotted onto
nitrocellulose membranes, and probed with an antibody against occludin.
One low-molecular-weight (LMW) form of occludin is present
predominantly in Pa-4, but not Pa-4 Etk:ER, cells. Clusters of
intermediate-molecular-weight (IMW) and high-molecular-weight (HMW)
forms of occludin are present in detergent-soluble and -insoluble pools
of lysates from Pa-4 and Pa-4 Etk:ER cells. Similar results were
obtained from 6 independent experiments; 1 representative result is
shown. Comparable effects were seen when detergent-soluble and
-insoluble pools were isolated using Tx-100 rather than NP-40 (data not
shown) and when samples were loaded according to equivalent protein
content.
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As shown in Fig. 8, occludin was present in both detergent-soluble and
-insoluble pools prepared from Pa-4 and Pa-4
Etk:ER cells, and
multiple forms of occludin were recognized by the occludin antibody, as
reported previously (53). Results shown are from soluble
and insoluble fractions resolved by NP-40; however, comparable effects
were seen when soluble and insoluble fractions were resolved by Tx-100.
Specifically, a low-molecular-weight (LMW) species at a relative
molecular weight (Mr) of ~52 kDa, an
intermediate-molecular-weight (IMW) species at an
Mr of ~60 kDa, and a high-molecular-weight (HMW) species extending from 62 to ~68 kDa that was poorly resolved were present in both lysates. In Pa-4 cells, both LMW and IMW species
were the primary forms of occludin detected in both detergent-soluble and -insoluble fractions. The HMW broad band of occludin, albeit less
in quantity, was also detectable in the insoluble fraction in Pa-4
cells. In contrast, a pronounced decrease in the LMW form of occludin
to almost undetectable levels was observed in stimulated Pa-4
Etk:ER
cells (Fig. 8). The pronounced reduction in the mobility of occludin
species detected in lysates prepared from treated Pa-4
Etk:ER cells
suggested that the Etk-dependent cascade might have induced occludin
phosphorylation, rendering slow-migrating forms of occludin on
SDS-PAGE. Moreover, a substantial portion of occludin was present as
the HMW mixtures between 62 and 68 kDa in the insoluble fraction of
Pa-4
Etk:ER cells. This observation suggested that occludin located
at the cell membrane might be mostly phosphorylated. Increased occludin
phosphorylation, as reflected by the reduced mobility of HMW species on
SDS-PAGE, has been linked to an enhanced assembly of occludin into
functional TJs (36). The different intensities observed
between the occludin recovered from insoluble fractions of Pa-4 and
Pa-4
Etk:ER cells may have resulted from different sensitivity of
individual occludin species to the antibody utilized in this study or
different stability of individual species. The exact cause(s) leading
to the increased occludin signals visualized in detergent-insoluble
fractions of stimulated Pa-4
Etk:ER cells remains to be determined.
However, our results unambiguously demonstrate that there is a marked
shift of occludin from the LMW to IMW and/or HMW species upon Etk
activation. Thus we propose that Etk activation may enhance occludin
phosphorylation and, hence, the possible recruitment and/or
stabilization of the existing occludin at the cell membrane to form
more functional TJs, and as a result, increase TER (Fig. 2).
Increased TER after Etk activation is dependent on tyrosine kinase
activity.
Etk is a non-receptor tyrosine kinase. To establish the mechanistic
role of Etk in the demonstrated enhancement of TER in
Etk:ER-transfected cells, as shown in Fig. 2, we utilized a widely used tyrosine kinase inhibitor, genistein (Fig.
9). Treatment of genistein caused
decreases of TER in Pa-4, Pa-4
Etk:ER, and E2-stimulated
Pa-4
Etk:ER cell monolayers over the 24-h measurements. The rate and
extent of genistein-induced TER decreases were barely distinguishable
between Pa-4 and Pa-4
Etk:ER monolayers in the absence of
E2-treatment. However, decrease of TER in
E2-activated Pa-4
Etk:ER cell monolayers in response to
genistein at both 1 µM and 50 µM was more pronounced than in those
cell monolayers without E2-activation (Fig. 9). Moreover,
genistein-elicited TER decreases in both Pa-4 and Pa-4
Etk:ER cell
monolayers, except for exposure to extremely high concentrations (e.g.,
200 µM) of genistein, were reversible after 16 h of treatment
(data not shown). Although genistein is not a specific Etk inhibitor , our results demonstrate that the catalytic activity of tyrosine
kinase(s) is necessary to maintain TER in both Pa-4 and Pa-4
Etk:ER
cell monolayers. The observation that Pa-4
Etk:ER cells (with
E2) are more sensitive to genistein than the parental Pa-4
and Pa-4
Etk:ER cells (without E2) is also consistent
with our hypothesis that Etk activation enhances epithelial barrier
function and that Etk may be the critical tyrosine kinase involved in
this signaling pathway in epithelial cells.

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Fig. 9.
Increased TER observed with Etk activation is diminished
by pretreatment with 1 µM (A) and 50 µM (B)
genistein. Pa-4 and Pa-4 Etk:ER cell monolayers were grown and
treated with E2 as described in Fig. 1. TER was measured at
4, 8, and 12 h after the indicated concentrations of genistein
were administered. Data represent percentage changes compared with TER
obtained at time 0, which is designated as 100%, normalized
by the TER measured in corresponding cells maintained in genistein-free
cultures. Similar results were obtained from 3 independent experiments;
1 representative result is shown. Values are means ± SE
calculated from triplicate data.
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DISCUSSION |
We sought to develop a cell system that could serve as a useful
model to provide insights into the function of Etk and to determine
cellular events following Etk activation in both physiological and
pathophysiological conditions. To this end, we demonstrated conclusively that Etk activation increases TER in both Pa-4 and MDCK
epithelial cells under normoxia (Fig. 2). We also showed that prolonged
hypoxia without reoxygenation results in a loss of TER and
Ieq in the parental Pa-4 epithelial cells (Fig.
3). By contrast, Etk activation resulted in an enhanced TER and, thus, cell protection against injury from prolonged hypoxia, allowing the
Pa-4
Etk:ER cells to maintain their TER and
Ieq under hypoxic stress (Fig. 3).
The increased TER shown in Pa-4
Etk:ER cells was associated with
changes in the organization and localization of components of AJs,
including actin filaments and
-catenin (Fig. 5). Moreover, the
hypoxia-induced changes in F-actin and
-catenin were prevented by
prior activation of Etk. Although no prominent changes in cellular localization of constituents of TJs, such as occludin and ZO-1, were
detected in Pa-4
Etk:ER (Fig. 7 ), the mobility of occludin prepared
from Pa-4
Etk:ER cells was markedly reduced on SDS-PAGE (Fig. 8),
suggesting that Etk activation renders increased occludin phosphorylation.
We also demonstrated that elements involved in the maintenance of TER
in both Pa-4 and Pa-4
Etk:ER cells are sensitive to the treatment of
a known tyrosine kinase inhibitor, genistein (Fig. 9). The literature
on the role of tyrosine phosphorylation in TJ and AJ
assembly/disassembly is somewhat controversial and inconclusive. For
example, as epithelial cells reach confluence and undergo the process
of contact inhibition, tyrosine phosphorylation of catenins decreases.
This observed decrease in tyrosine phosphorylation in catenins is
correlated with an increased association of tyrosine phosphatase
activity (5, 11). Considerable circumstantial evidence
also implicates tyrosine phosphorylation in the disassembly of
cadherin-mediated cell-cell adhesion. Specifically, expression of
constitutively activated v-Src oncoproteins, which induce tyrosine phosphorylation of
- and p120-catenins and E-cadherin, leads to the
loss or weakening of AJs (32, 41). However, very little information is available on the regulation of AJs by other tyrosine kinases such as Etk that may be more involved in the modulation of cell
function, rather than proliferation and differentiation afforded by Src
tyrosine kinase activation.
Occludin has been a prime target for a number of signaling pathways
involved in the regulation of TJs, and the level of occludin tyrosine
phosphorylation has been reported to be correlated with the TER level
(8, 47). In these reports, increased occludin tyrosine
phosphorylation is shown to be associated with the reassembly of TJs
after ATP depletion and TJ restoration following "rescue" from
Ras-mediated transformation in MDCK cells. We have now demonstrated by
functional, immunocytochemical, and biochemical analyses that Etk-activated cascades enhance TJ/AJ assembly under normoxia and hypoxia. However, it is plausible that other phosphorylation targets in
addition to occludin exist in the AJ and TJ complexes that may also be
putative. The positioning of these junctions is coordinated and
stabilized through an association with a continuous band of bundled
actin filaments, known as an adhesion belt (27). However, it is unclear how the expression and function of each TJ and/or AJ
molecule(s) are regulated to confer the overall epithelial barrier
function. A profound Etk-induced reorganization of actin cytoskeleton
into bundles of peripherally localized filaments may influence TER, as
has been previously suggested (12, 22). In fact, we
propose that reorganization and stabilization of actin filaments may be
one of the principal functions of Etk, whether or not additional direct
regulation of AJ or TJ components occurs. The proposal that Etk serves
as a major regulator of actin cytoskeleton is derived from the
observations of 1) the dramatically improved barrier
function against hypoxic stress (Fig. 3), 2) the observed reorganization of F-actin and
-catenin by Etk (Fig. 5),
3) the blockage of effects on F-actin and
-catenin in
cells exposed to hypoxia (Fig. 6), and 4) the preservation
of TER from latrunculin B-treated Pa-4
Etk:ER cells (Fig. 4).
Moreover, Btk, closely related to Etk, has been shown to colocalize
with actin filaments upon stimulation (49, 59). In a
separate study, the activated Bmx-green fluorescent protein (GFP) has
been demonstrated to be localized in the membrane, while the resting
Bmx-GFP is restricted to the cytoplasm (14), further
supporting our notion.
Several studies have explored the relationship between hypoxia and
disassembly of actin filaments. For instance, hypoxia induces dephosphorylation and activation of actin depolymerization factor (ADF)/cofilin, an actin regulatory protein that mediates cellular actin
dynamics (37). Cofilin dephosphorylation is associated with acceleration of actin exchange on filament polymerization as well
as loss of F-actin. Enhancing or preserving ADF/cofilin phosphorylation
is, therefore, one way of preserving cellular F-actin. Recent work has
implicated two LIM kinases in regulation of ADF/cofilin
phosphorylation and actin dynamics: LIM- kinase 1 via a Rac-mediated
pathway (1, 57) and LIM-kinase 2 via a Rho and/or
Cdc42-mediated pathway (40). If Etk-induced protection from hypoxic injury involves prevention of ADF/cofilin-induced actin
disassembly, this could occur either by direct activation of
LIM-kinases or indirectly through actions on Rho-, Rac- or Cdc42-based
signaling pathways. Etk may also act to alter effectors of actin
filaments assembly other than ADF/cofilin. The membrane association of
activated Etk also implicates the possibility that Etk is involved in
Rho/Rac/Cdc42-mediated signaling pathways.
Hypoxic injury results in a disturbance in intra- and intercellular
homeostasis ranging from the depletion of intracellular ATP to
development of intracellular acidosis, decreased redox buffer capacity,
and rearrangement of actin-based cytoskeleton (37).
Theoretically, such processes could compromise the integrity of many
epithelia, rendering an inability to function as an effective barrier
to prevent leakages of small solutes to HMW proteins and to modulate
the passage of inflammatory cells. For example, ATP depletion resulting
from hypoxia or through usage of metabolic inhibitors in polarized
epithelial cells has been demonstrated to cause perturbations in the
actin cytoskeleton as well as disruption of TJ structures
(38). Although several candidate genes and their
regulatory mechanisms identified in response to oxidative stresses
induced by intracellular oxygen radical production or cell penetration
by oxidants are known, eukaryotic signal transduction and gene
regulatory pathways that respond to hypoxia have only begun to unfold.
In addition to altering epithelial cell behavior and function, hypoxia
initiates a novel gene expression program (38) that
culminates in a variety of changes in downstream events. Presumably,
the balance between phosphorylation and dephosphorylation status is one
of the means to render the ultimate biological manifestation as a
result of hypoxia. However, little information on the kinase(s) or
phosphatase(s) involved in hypoxia-related responses is available to date.
On the basis of our results, we hypothesize that the Etk activation in
Pa-4 and also possibly in MDCK cells may "prime" these cells
against hypoxic injury. In particular, Etk activation may upregulate
the ATP-producing pathway(s) by improving their stoichiometric efficiency via phosphorylation/activation modalities or by inducing the
expression of genes for ATP-supplying glycolytic enzymes. Alternatively, Etk activation may repress the activity or expression of
the less required enzymes or pathways that consume ATP. These working
hypotheses are consistent with our observations that 1) Ieq was sustained under prolonged hypoxic
conditions in cells with activated Etk (Fig. 3B),
2) the injurious effect on TER elicited by latrunculin B was
rapidly ameliorated by Etk activation (Fig. 4), and 3) the
organization of actin-based cytoskeleton and the assembly of TJ were
altered concomitantly with the augmentation of sealing function of TJs
in the stimulated Pa-4
Etk:ER cells (Figs. 2, 3, and 8). Moreover,
our preliminary results demonstrated that Etk activation enhances
hypoxia-response element-dependent gene activation (C. Chau and D. K. Ann, unpublished observation), further supporting our notion. The
reported role of Etk/Bmx protein in cell survival and apoptosis
suggests rather complex functions for this protein. For example, Etk
was shown to be essential for interleukin-6-induced neuroendocrine
differentiation (34) and for protection against
therapy-induced apoptosis (56) in prostate cancer
cells. On the other hand, overexpression of Bmx in 32D myeloid
progenitor cells resulted in apoptosis in the presence of granulocyte colony-stimulating factor, while cells expressing a
kinase dead mutant of Bmx differentiated into mature granulocytes (14). Moreover, Bmx was shown to reconstitute
apoptosis in Btk-deficient chicken B cells (44)
and to link Src to STAT3 activation in Src-mediated cell transformation
(45). Together, these findings imply that Etk/Bmx is more
than likely to have distinct functions in different cell types, even in
the same cell lineage during stages of development and differentiation
or exposure to external environmental stimuli. In accordance with our
present results, Etk/Bmx activation may be involved in modulating cell
response to extreme environmental conditions, such as maintaining TER
during prolonged hypoxic condition, in addition to regulating cell
proliferation and differentiation.
In summary, this study provides the first direct evidence demonstrating
that activated Etk enhances TER under resting conditions and that it
sustains TER as well as maintains barrier function under prolonged
hypoxia. On the basis of the data presented herein, we envision two
potential signaling pathways by which Etk activation and its downstream
events enhance and stabilize epithelial barrier function. As depicted
in Fig. 10, we postulate that Etk
restores epithelial TER properties by preventing the disassembly of
intercellular TJ through a novel signaling pathway, even in the face of
hypoxic insult. In the first pathway, tight junctional seal and, thus, TER are enhanced and/or maintained by Etk activation via stabilization of the actin cytoskeleton, as noted above. In the second pathway, in
response to hypoxia, Etk acts directly on elements of TJs such as
occludin to enhance TJ integrity. To our knowledge, this is the first
report on a non-receptor tyrosine kinase, Etk, that enhances epithelial
barrier function by biochemical modulation of TJ/AJ components in
epithelial cells. Specific mechanisms and target proteins involved in
the possible regulation of actin filaments and in the regulation of TJ
by Etk activation remain future challenges.

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Fig. 10.
A putative model for protection against the injurious
effect of prolonged hypoxia on TER by Etk activation. A schematic
presentation shows possible roles of Etk signaling in the enhancement
of TER. At least 2 major pathways are involved: Etk activation leads to
actin polymerization and/or prevents the disassembly of intercellular
tight junctions under hypoxic conditions. The exact molecular mechanism
by which Etk enhances TER and the downstream effector(s) of Etk remains
to be established. TJ, tight junction.
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 |
ACKNOWLEDGEMENTS |
This work is supported in part by National Institutes of Health
Grants DE-10742, EY-11386, HL-38658, HL-64365, and DK-48522 and by
American Heart Association Grant-in-Aid 9950442N.
 |
FOOTNOTES |
*
A. Chang and Y. Wang contributed equally to this work.
Address for reprint requests and other correspondence: D. K. Ann,
Univ. of Southern California, PSC-210B, Health Sciences Campus, 1985 Zonal Ave., Los Angeles, CA 90033 (E-mail:
ann{at}hsc.usc.edu).
The costs of publication of this
article were defrayed in part by the
payment of page charges. The article
must therefore be hereby marked
"advertisement"
in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
Received 16 November 2000; accepted in final form 12 February 2001.
 |
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