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Volume 17, Number 5,
Issue of March 1, 1997
pp. 1660-1669
Copyright ©1997 Society for Neuroscience
Involvement of MAP Kinase in Angiotensin II-Induced
Phosphorylation and Intracellular Targeting of Neuronal
AT1 Receptors
Hong Yang2,
Di Lu2,
Gavin P. Vinson1, and
Mohan K. Raizada2
1 Department of Biochemistry, Queen Mary and Westfield
College, London E1 4NS, England, and 2 Department of
Physiology, College of Medicine, University of Florida, Gainesville,
Florida 32610
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
FOOTNOTES
REFERENCES
ABSTRACT
MAP kinase stimulation is a key signaling event in the
AT1 receptor (AT1R)-mediated chronic
stimulation of tyrosine hydroxylase and norepinephrine transporter in
brain neurons by angiotensin II (Ang II). In this study, we
investigated the involvement of MAP kinase in AT1R
phosphorylation to further our understanding of these persistent
neuromodulatory actions of Ang II. Ang II caused a time-dependent
phosphorylation of neuronal AT1R. This phosphorylation was
associated with internalization and translocation of AT1R
into the nucleus. MAP kinase also stimulated phosphorylation of
neuronal AT1R. The conclusion that MAP kinase participates in neuronal AT1R phosphorylation and its targeting into the
nucleus is supported further by the following. (1) MAP kinase-mediated phosphorylation of AT1R was blocked by the AT1R
antagonist losartan; (2) AT1R co-immunoprecipitated with
MAP kinase; (3) MAP kinase-kinase inhibitor PD98059 attenuated Ang
II-induced phosphorylation of AT1R; and (4) PD98059 blocked
Ang II-induced nuclear translocation of AT1Rs. In summary,
these observations demonstrate that Ang II-induced phosphorylation of
AT1R is mediated by its activation of MAP kinase. A
possible role of AT1R translocation into the nucleus on
persistent neuromodulatory actions of Ang II has been discussed.
Key words:
angiotensin II;
AT1 receptor;
phosphorylation;
nuclear receptor;
nuclear localization signal (NLS);
MAP kinase;
hypothalamic-brainstem neurons
INTRODUCTION
Angiotensin II (Ang II) exerts its neuromodulatory
actions on the brain by regulating the activities of neuronal enzymes
involved in the turnover of catecholamines (Steckelings et al., 1992 ;
Raizada et al., 1994 ). It binds to the AT1 receptor
(AT1R) subtype and stimulates tyrosine hydroxylase (TH),
dopamine -hydroxylase (D H), and norepinephrine transporter (NET)
(Lu et al., 1996a ; Yu et al., 1996 ). In fact, whereas acute stimulation
by Ang II involves post-transcriptional events, chronic exposure of
neurons with Ang II results in a persistent stimulation of these
neuromodulatory activities and involves transcription of TH, D H, and
NET genes (Lu et al., 1996a ; Yu et al., 1996 ). These observations are
intriguing and suggest that the neuronal AT1R, a member of
G-protein-coupled receptors (GPCRs), may be unique in that persistent
stimulation of neuromodulation by Ang II is independent from its
desensitization induced by Ang II. In view of this uniqueness of
neuronal AT1R, we set out to investigate the signal
transduction mechanism involved in Ang II regulation of
neuromodulation. These studies have revealed a distinct signaling
pathway for this GPCR involving Ras-Raf-1 and MAP kinase (Yang et al.,
1996a ), suggesting that AT1R interaction with the
heterotrimetric Gq would result in the dissociation of G from G . G , then, directly or
through the recruitment of one or more cytoplasmic or
membrane-associated factors, causes the activation of Ras, which leads
to the activation of MAP kinase (Van Corven et al., 1993 ; Burgering and
Bos, 1995 ; Inglese et al., 1995 ; Shaw, 1995 ). The role of the
pleckstrin homology (PH) domain in this communication between
G and Ras has already been proposed for other GPCRs
(Inglese et al., 1995 ; Shaw, 1995 ). Thus, it would seem that
G and not G plays a role in the
AT1R-mediated signaling process involving MAP kinase.
Phosphorylation of GPCRs by GPCR kinases (GRKs) is an important step
for termination of the signaling pathway stimulated by the interaction
of agonist to its receptor (Lefkowitz, 1993 ; Permont et al., 1995 ).
Because the AT1R signaling mechanism leading to the
cellular actions in the neurons seems to be unique, we decided to
investigate the phosphorylation of this receptor by Ang II and the
potential role of this phosphorylation on its persistent stimulatory
actions of Ang II on the neurons. Our observations demonstrate that Ang
II stimulates phosphorylation of AT1R and that this may be
mediated by MAP kinase. Phosphorylation is associated with
AT1R internalization and its targeting into the
nucleus.
MATERIALS AND METHODS
One-day-old Wistar Kyoto rats were obtained from our breeding
colony, which originated from Harlan Sprague Dawley (Indianapolis, IN).
DMEM, plasma-derived horse serum (PDHS), and trypsin (150 U/mg) were
from Central Biomedia (Irwin, MD). [ -32P]ATP (3000 Ci/mmol), [32P]-orthophosphate (1 mCi = 37 MBq), and
chemiluminescence assay reagents were from DuPont NEN (Boston, MA).
Nitrocellulose membranes were from Micron Separations (Westboro, MA).
Ang II and myelin basic protein (MBP) were purchased from Sigma (St.
Louis, MO). Losartan potassium (Dup 753) was a gift from DuPont/Merck
(Wilmington, DE). PD123319 was from RBI (Natick, MA). PD98059 was from
Calbiochem (La Jolla, CA).
[125I]-Sar1-Ile8-Ang II (specific
activity = 2200 Ci/mmol) was purchased from Dr. Robert Speth,
Washington State University (Pullman, WA). Polyclonal anti-rabbit-AT1R antibody (306, catalog number SC579) was
obtained from Santa Cruz Biotechnology (Santa Cruz, CA). It was
prepared by using a peptide corresponding to amino
acids306-359 of the AT1R. The antibody was
specific for AT1R and was mouse, rat, and human
reactive. No cross-reaction of the AT1R antibody with the
AT2R was observed. Monoclonal antibody to AT1R
was prepared by using a synthetic peptide corresponding to amino
acids8-17 of the AT1R and characterized as
described elsewhere (Barker et al., 1993 ). Anti-MAP kinase (C-14), a
polyclonal antibody that specifically recognizes ERK-2 and to a much
lesser extent ERK-1, and protein A/G PLUS-agarose were purchased from
Santa Cruz Biotechnology. An anti-rat MAP kinase polyclonal antibody
(ERK I-III) that recognized the p42 MAP kinase and p44 MAP kinase and
activated mouse GST-p42 MAP kinase were from Upstate Biotechnology
(Lake Placid, NY). All other reagents were purchased from Fisher
Scientific (Pittsburgh, PA) and were the highest quality available.
Hypothalamus-brainstem neuronal cells in primary culture
Hypothalamus-brainstem areas of 1-d-old Wistar Kyoto rat brains
were dissected, and brain cells were dissociated by trypsin. The
hypothalamic block contained the paraventricular nucleus and the
supraoptic, anterior, lateral, posterior, dorsomedial, and ventromedial
nuclei. The brainstem block contained medulla oblongata and pons.
Dissociated brain cells were plated in
poly-L-lysine-precoated tissue culture dishes (2 × 107 cells/100 mm diameter dish or 3 × 106
cells/35 mm diameter dish) in DMEM containing 10% PDHS, and neuronal culture was established essentially as described previously (Raizada et
al., 1984 , 1993 ). The cultures were allowed to grow for 10-15 d before
their use in experiments. Immunohistochemical analysis has indicated
repeatedly that these cultures contain 85-90% neuronal cells and
10-15% astroglial cells (Raizada et al., 1984 , 1993 ).
Immunoprecipitation
Neuronal cultures, established in 100-mm-diameter culture
dishes, were treated with Ang II. The cell lysates were prepared by
adding 1 ml lysis buffer [25 mM Tris-HCl, pH 7.4, 150 mM NaCl, 1% Triton X-100, 1% deoxycholic acid, 1 mM sodium orthovanadate, 10 mM sodium fluoride,
10 mM sodium pyrophosphate, 2.5 mM EDTA, 1 mM phenylmethylsulfonyl fluoride (PMSF), 10 µg/ml
aprotinin, and 0.8 µg/ml leupeptin] and scraping the cells off the
culture dish. Cell lysates were centrifuged at 6000 × g for 10 min at 4°C, and the protein content of resulting
supernatants was determined using a Bio-Rad (Richmond, CA) Bradford
protein assay kit. Lysates containing 400 µg of protein were
subjected to an immunoprecipitation protocol as follows. Lysates were
incubated with 1 µg of rabbit anti-AT1R or anti-MAP
kinase antibody overnight at 4°C. Immunoprecipitates were collected
on protein A/G PLUS-agarose, washed three times with lysis buffer, and
used in additional experiments (Yang et al., 1996a ).
Immunoblotting
Immunoprecipitates were suspended in 20 µl of Laemmli's
sample buffer in a boiling water bath for 3 min and then centrifuged. The resulting supernatants (10 µl) were electrophoresed in 10% SDS-PAGE, and proteins were transferred onto nitrocellulose membrane. The membrane was blocked by 5% nonfat dry milk in TBST (20 mM Tris HCl, pH 8.0, 150 mM NaCl, and 0.05%
Tween 20) for 1 hr followed by incubation for 1 hr at room temperature
with rabbit anti-MAP kinase antibody or rabbit anti-AT1R
antibody. Protein-bound antibody was detected by incubation of the
membrane with horseradish peroxidase-labeled secondary antibody and
enhanced by chemiluminescence assay reagents. The bands recognized by
the primary antibody were visualized by exposure to film (Yang et al.,
1996a ).
[125I]-Sar1-Ile8-Ang
II binding assay
Binding in AT1R immunoprecipitates.
Cell-free lysates were subjected to immunoprecipitation by
rabbit-anti-AT1R antibody as described above.
Immunoprecipitates containing AT1R were collected on
protein A/G PLUS-agarose and washed three times with lysis buffer and
once with binding buffer [PBS, pH 7.2, containing 1.0% bovine
serum albumin (BSA)]. Binding of
[125I]-Sar1-Ile8-Ang II to these
immune complexes was carried out as described previously (Abramowski
and Staufenbiel, 1995 ). In brief, immune complexes containing ~30
fmol of [125I]-Sar1-Ile8-Ang II
binding activity suspended in 0.5 ml binding buffer were incubated with
1 nM
[125I]-Sar1-Ile8-Ang II in the
presence of 10 µM PD123319 for 1 hr at room temperature to determine total binding. PD123319, an AT2R antagonist,
was used in all binding assays to block the binding of
[125I]-Sar1-Ile8-Ang II to
AT2Rs. In addition, increasing concentrations of losartan (1 nM-10 µM) were used for the
competition-inhibition experiments. All reactions were run in
triplicate. The binding reaction was terminated by filtration and
collection of
[125I]-Sar1-Ile8-Ang II bound to
receptors on Whatman GF/B filters presoaked with 0.3%
polyethyleneimine. Filters were washed three times with ice-cold PBS,
pH 7.2, to remove unbound radioligand, and bound radioactivity was
counted by a Beckman DP5500 gamma counter. Binding was expressed as
femtomoles of
[125I]-Sar1-Ile8-Ang II bound per
milligrams of cellular protein used to immunoprecipitate the receptor.
Specific binding was calculated by subtracting the [125I]-Sar1-Ile8-Ang II bound to
complex in the presence of losartan from that bound in its absence.
Scatchard analysis was carried out from the competition-inhibition
experiments for the calculation of Kd and
Bmax using the EBDA-ligand Program
(Elsevier-Biosoft).
Binding in intact neurons. Cell surface AT1R
levels were measured with the use of intact neuronal cells attached to
culture dishes. Neuronal cultures were established in 35-mm-diameter
culture dishes, and binding of
[125I]-Sar1-Ile8-Ang II to
AT1R was determined as follows. After treatment with Ang
II, growth medium was aspirated from culture dishes, and cultures were
rinsed with PBS, pH 7.2, with 2-5 min incubation between rinses. This
allowed for the dissociation of any unlabeled Ang II that bound to cell
surface AT1Rs during preincubation. Triplicate cultures
were incubated with 1 ml of reaction mixture containing 1.0 nM
[125I]-Sar1-Ile8-Ang II, 1.0%
BSA, and 10 µM PD123319 for the determination of total
binding. In addition, triplicate cultures that also contained increasing concentrations of losartan (1 nM-10
µM) were used for the competition-inhibition
experiments. Binding was performed at 4°C for 60 min; the dishes were
then washed three times with ice-cold PBS, pH 7.4. Cells were dissolved
in 0.1N NaOH (0.5 ml/dish), and data for the quantitation of cell
surface AT1R were analyzed essentially as described
previously (Yang et al., 1996b ).
Fractionation of neurons into nuclear fraction
Neuronal cultures, established in 100-mm-diameter tissue culture
dishes, were rinsed twice with PBS, pH 7.4, and cells were collected by
scraping the monolayer with the help of a Teflon scraper. Cells were
fractionated into total cell lysate, nuclear, and cell extract without
nuclear fraction, essentially as described elsewhere with minor
modifications (Abmayr and Workman, 1992 ). Briefly, the cell pellet was
incubated in a solution containing 10 mM KCl, 1.5 mM MgCl2, 10 mM HEPES, pH 7.0, 0.5 mM dithiothreitol (DTT), and 0.2 mM PMSF for 10 min at 4°C followed by homogenization with 15 gentle strokes using a
type B pestle in a Dounce homogenizer. A >90% lysis of neurons was
accomplished by this method, as evidenced by a microscopic examination.
Certain amounts of homogenates were saved and used for whole-cell
lysate fraction. The remaining homogenates were centrifuged at
3300 × g for 15 min, and nuclear fraction was
collected. This nuclear fraction was used directly for confocal microscopy to localize AT1R immunoreactivity. For other
biochemical determinations, the nuclear pellet was lysed by nuclear
lysis buffer (20 mM HEPES, pH 7.9, 25% glycerol, 1.5 mM MgCl2, 0.2 mM EDTA, 0.2 mM PMSF, 0.5 mM DTT, and 30 mM
KCl). The nuclear extract was collected by centrifugation at
25,000 × g for 30 min at 4°C. Both nuclear and cell
extract without nuclear fraction were dialyzed overnight against a
dialysis buffer (20% glycerol, 20 mM HEPES, pH 7.9, 100 mM KCl, 0.2 mM EDTA, 0.2 mM PMSF,
and 0.5 mM EDTA). Nuclear specific protein, lamin B, and
cytosolic enzyme aldolase were used to determine the relative purity of
these fractions (Clegg, 1984 ; Gerace, 1986 ). Nuclear fractions
contained 100% of immunoreactive lamin B, whereas 4-8% of the total
aldolase was found associated with this fraction. Aldolase activity was found predominately (96%) in the fraction of cell extract without nuclei, which contained no detectable lamin B. Distribution of these
proteins in these compartments is consistent with the presence of
traditional markers and shows that this fractionation yielded relatively pure nuclear preparation from neurons. Equal amounts of
proteins in both fractions were used to immunoprecipitate
AT1Rs as described above.
Measurement of MAP kinase activity by in-gel assay
MAP kinase activity was measured essentially as described
elsewhere (Yang et al., 1996a ). Briefly, neuronal cells grown in 100-mm-diameter culture dishes were rinsed three times with ice-cold PBS, pH 7.4, and lysed by incubation with 0.5 ml of lysis buffer (25 mM Tris-HCl, 25 mM NaCl, 1% Triton X-100, 1%
deoxycholic acid, 0.1% SDS, 1 mM sodium orthovanadate, 10 mM sodium fluoride, 10 mM sodium pyrophosphate,
0.5 mM EGTA, 1 mM PMSF, 10 µg/ml aprotinin, and 0.8 µg/ml leupeptin) for 10 min at 4°C. Cell-free lysates containing equal amounts of protein from triplicate culture dishes were
pooled and incubated with 1 µg of rabbit anti-AT1R
antibody at 4°C overnight. Immunoprecipitates were collected on
protein A/G PLUS-agarose, centrifugated, and electrophoresed on 10%
SDS-PAGE containing 0.5 mg/ml MBP. The gel was then washed twice in
20% 2-propanol, 50 mM Tris-HCl, pH 8.0, and twice in 50 mM Tris-HCl, pH 8.0, containing 5 mM
2-mercaptoethanol. Each wash lasted for 1 hr at room temperature with
gentle shaking. MAP kinase activity was measured by incubating the gel
with 40 mM HEPES, pH 8.0, 2 mM DTT, 10 mM MgCl2, 0.5 mM EGTA, 40 µM ATP, and 10 µCi [ -32P]ATP (3000 Ci/mM) for 30 min at room temperature, followed by autoradiography as described previously (Yang et al., 1996a ).
Phosphorylation of AT1R by exogenous MAP kinase
Phosphorylation of AT1Rs after their
immunoprecipitation from neuronal cell lysate by
anti-rabbit-AT1R antibody was carried out with the use of
exogenous MAP kinase by a protocol based on that described by Paxton et
al. (1994) . Briefly, neuronal cell lysates were prepared as described
above. Lysates containing 400 µg protein were incubated with 1 µg
rabbit anti-AT1R antibody overnight at 4°C, and
AT1R immunoprecipitates were collected on protein A/G
PLUS-agarose and rinsed three times with lysis buffer and once with
kinase assay buffer (50 mM HEPES, pH 7.5, 0.1 mM EDTA, 0.015% Triton X-100). Immunoprecipitates were
suspended in 10 µl kinase assay buffer. For measurement of
phosphorylation, 10 µl of AT1R immunoprecipitate (~30
fmol [125I]-Sar1-Ile8-Ang II
binding activity) was incubated without or with 0.3 U of MAP kinase,
0.1 mg/ml BSA, and 0.2% -mercaptoethanol in a final volume of 20 µl. The reaction was started by the addition of 10 µl of ATP
mixture (0.3 mM ATP, 30 mM MgCl2,
and 200 µCi [ -32P]-ATP in 1 ml kinase assay buffer)
and run for 0-30 min at 30°C. After the reaction was stopped by the
addition of phosphoric acid, samples were blotted onto Whatman GF/B
filter paper, and then the paper was washed four times with ice-cold
0.5% phosphoric acid and finally once with acetone, essentially as
described elsewhere (Paxton et al., 1994 ). The paper was allowed to
dry, and radioactivity was quantitated by liquid scintillation
counting. Reaction mixtures that contained 3 µg of MBP instead of
AT1R immunoprecipitate were used as the standard for
phosphorylation assays. In certain experiments, the kinase reaction was
stopped by the addition of 5× Laemmli's sample buffer instead of
phosphoric acid; samples were heated and centrifuged, and the
supernatant was electrophoresed in 10% SDS-PAGE. Proteins were
transferred to polyvinylidene difluoride membrane and subjected to
autoradiography. The same membrane was later probed with
AT1R antibody. [32P]-labeled AT1R
bands were quantitated using a UVP Imagestore 5000 system and
quantitated with the use of the SW5000 Gel Analysis program. Data were
normalized for equal loading by analysis of the densities of unlabeled
AT1R immunoreactivity.
Labeling of neuronal cells with [32P]-orthophosphate
and analysis of phosphorylated AT1R
Neuronal cultures were established for 15 d in
100-mm-diameter culture dishes. Growth medium was removed, and cultures
were incubated with phosphate-free DMEM containing dialyzed PDHS for 4 hr at 37°C followed by prelabeling the cells with 1 mCi/ml
32P-orthophosphate for 4 hr at 37°C. Ang II was added,
and incubation was continued for various time periods. Cultures were
immediately rinsed three to four times with ice-cold PBS, and lysates
were prepared in lysis buffer as described above. Cell lysates were centrifuged at 6000 g for 10 min. Proteins from 100 µl of
each cell lysate were precipitated by 10 µl of 100% trichloroacetic acid (TCA), and incorporation of [32P] was measured by
liquid scintillation counter. Samples containing the same amounts of
[32P] radioactivity were used to immunoprecipitate
AT1Rs, essentially as described above. Agarose beads
containing AT1R were collected at 3000 g for 10 min, washed three times in lysis buffer, resuspended in 20 µl of
Laemmli's sample buffer, and heated to 100°C for 3 min. Supernatant
was electrophoresed in 10% SDS-PAGE, and proteins were transferred to
PVDF membrane (Bio-Rad). The membrane was dried and subjected to
autoradiography at 80°C for 2-3 d. After autoradiography to detect
[32P]-labeled AT1Rs
([32P]-AT1R), the same membrane was probed
for total AT1Rs by immunoblot analysis. Densities of bands
in [32P]-AT1R and AT1R were
quantitated with the use of UVP Imagestore System and SW5000 Gel
Analysis program. Data were normalized for equal loading with the use
of total AT1R.
Immunofluorescence localization of AT1R
Neuronal cultures established in 35-mm-diameter dishes were
rinsed with PBS, pH 7.4, and fixed in 10°C methanol for 5 min. After preincubation with fetal bovine serum for 30 min at 37°C to
suppress nonspecific binding of the antibody, cells were incubated with
a mouse monoclonal anti-AT1R antibody at 1 µg/ml
concentration in PBS containing 0.5% BSA. After the cells were rinsed
five times with PBS at room temperature, they were incubated for an
additional 60 min at 37°C with rhodamine-conjugated anti-mouse IgG.
Cells were counterstained with DAPI to identify nuclear DNA and nuclei as described elsewhere (Lubke et al., 1994 ). Appropriate controls in
which either primary antibody was replaced by growth medium without
AT1R antibody or without secondary antibody were also run
in parallel to determine nonspecific staining. The cells were processed
for fluorescent microscopy as described previously (Lu et al.,
1996a ,b). DAPI-stained nuclei and rhodamine staining representing AT1R were examined with the use of a confocal microscope.
Data were collected by using a 40×/numerical Olympus IMT-2 inverted light microscope in which focal position, excitation lamp shutter, excitation and remission barrier filters, and digital camera shutter were under the control of a stand-alone computer (Hiraoka et al., 1991 ;
Swedlow et al., 1993 ). Two-dimensional images were processed as
described previously (Lu et al., 1996a ,b).
Data Analysis
Each experiment was conducted in triplicate culture dishes.
Cells in these dishes were derived from multiple brains of 1-d-old rats. Each experiment was repeated three times, unless indicated otherwise. Images from autoradiograms were captured in UVP Imagestore 5000 system, and radioactive bands were quantitated essentially as
described elsewhere (Yang et al., 1996a ,b). Data from at least three
autoradiograms were quantitated and corrected for equal loading by
quantitating total AT1R immunoreactivity or other standard protein. They are presented as mean ± SE. Statistical analysis was performed by using ANOVA and Dunnett's tests.
RESULTS
Effects of Ang II on AT1R phosphorylation
[32P]-orthophosphate-prelabeled neuronal cultures
were incubated with 100 nM Ang II to determine whether
occupancy by Ang II of AT1Rs stimulates its
phosphorylation. Figure 1A shows that AT1R antibody immunoprecipitated a radiolabeled band of
~49 kDa. Ang II caused a time-dependent increase in the radioactivity
represented by this band, and an approximately sixfold stimulation was
observed within 10 min. The molecular weight (MW) of this band
corresponded to the reported size for the AT1R by this
antibody (Paxton et al., 1993 ). Figure 1B shows that
Ang II-induced phosphorylation of the receptor was mediated by Ang II
interaction with the AT1R, because it was blocked by
losartan, an AT1R subtype-specific antagonist, and not by
PD123319, an AT2R subtype antagonist.
Fig. 1.
Ang II stimulation of AT1R
phosphorylation. A, Time course. Neuronal cultures were
prelabeled with [32P]-orthophosphate for 4 hr, and cells
were lysed in lysis buffer as described in Materials and Methods and
incubated with 100 nM Ang II for the indicated time
periods. Incorporation of TCA-precipitable [32P] was
measured, and ~4.3 × 106 dpm were used to
immunoprecipitate AT1Rs.
[125I]-Sar1-Ile8-Ang II (30 fmol/mg) binding activities were subjected to SDS-PAGE and
autoradiography, as described in Materials and Methods. The same
membrane was probed with AT1R antibody
(AT1R) after the development of the
autoradiogram to normalize for [32P] incorporated
into AT1R donated as [32P]-AT1R.
Top, Representative autoradiogram;
bottom, quantitation of radioactive band representing
AT1R from three separate experiments. Data from three
separate experiments were averaged (± SE) and presented as fold
increase by using zero time control as baseline. Single
asterisk shows significant (p < 0.05) difference from 0 time control. B, Receptor
specificity. Cultures were incubated without (1, 3, 5)
or with (2, 4, 6) 100 nM Ang II for
10 min in the absence (1, 2) or presence (3,
4) of 10 µM losartan or 10 µM PD123319 (5, 6). Data were
analyzed essentially as described for A.
Top, Representative autoradiogram;
bottom, quantitation of
[32P]-AT1R after normalization of densities
with immunoreactive AT1R. Data are presented as fold
increase by using control as baseline. Single asterisks
show significant difference (p < 0.05) from
1, whereas double asterisk shows significant difference
(p < 0.05) from 2.
[View Larger Version of this Image (32K GIF file)]
The effect of Ang II on AT1R internalization was determined
next, because studies have shown that phosphorylation of the receptor is key in the agonist-induced internalization of many GPCRs (Lohse, 1993 ; Freedman et al., 1995 ). Neuronal cultures were treated with 100 nM Ang II for 15 min, followed by measurement of
[125I]-Sar1-Ile8-Ang II binding
to cell surface AT1R. Figure
2A shows that Ang II caused a
significant decrease in the binding of
[125I]-Sar1-Ile8-Ang II to cell
surface AT1Rs compared with untreated cultures. The
decrease was the result of a decrease in Bmax
(60 ± 9 fmol/mg protein in Ang II-treated vs 86 ± 10 fmol/mg protein in control neurons) rather than changes in the
Kd values (6.0 ± 0.7 nM in Ang
II-treated vs 5.2 ± 0.8 nM in control neurons) (Fig.
2B). This indicated that phosphorylation by Ang II is
associated with internalization of AT1Rs.
Immunofluorescence combined with confocal microscopy was used to
determine the fate of AT1R after neurons were treated with
Ang II. Figure 3a shows that
AT1Rs were diffusely and uniformly distributed on the
plasma membrane of neuronal cell soma. Incubation with 100 nM Ang II for 30 min resulted in an AT1R
fluorescence accumulation into the nuclear region, as evidenced by
their colocalization with DAPI, a nuclear-specific stain (Fig. 3b). Conformation of the nuclear localization of
AT1R immunoreactivity was further achieved by
immunofluorescence staining in isolated nuclei with the use of a
monoclonal anti-AT1R antibody. Figure 3d shows
that nuclei isolated from 100 nM Ang II-treated neurons have significant AT1R staining. Nuclei from untreated
neurons lacked this staining (Fig. 3c). AT1R
staining on the plasma membrane and in the nucleus was specific,
because controls without primary antibody or secondary antibody showed
no staining. Specificity of nuclear staining of the AT1R
was further confirmed with the use of the polyclonal
anti-AT1R antibody. This antibody provided essentially the
same result as that seen with the monoclonal antibody, although the
latter antibody gave sharper staining with minimum background.
Fig. 2.
Effect of Ang II on
[125I]-Sar1-Ile8-Ang II binding
to cell surface AT1Rs in neurons. Neuronal cultures were
incubated with 100 nM Ang II for 15 min at 37°C. This was
followed by measurement of cell surface binding of
[125I]-Sar1-Ile8-Ang II to
AT1Rs, essentially as described in Materials and Methods. A, Competition-inhibition of untreated ( ) and Ang
II-treated ( ) neurons, with indicated concentrations of losartan.
B, Scatchard analysis of the data from Figure
3A.
[View Larger Version of this Image (15K GIF file)]
Fig. 3.
Effect of Ang II on localization of
AT1Rs in neurons after Ang II treatment. Neuronal cultures
were incubated without (a, c) or with (b,
d) 100 nM Ang II for 30 min at 37°C.
Samples a and b were used to conduct
confocal microscopy after immunofluorescent staining, essentially as
described in Materials and Methods. Samples c and
d were subjected to a nuclear isolation protocol,
essentially as described elsewhere (Abmayr and Workman, 1992 ). This was
followed by plating the nuclei on the slide, fixation,
permeabilization, immunofluorescence with the use of monoclonal
anti-AT1R antibody, and confocal microscopy as described in
Materials and Methods. Arrow represents an
AT1R negative neuron. Scale bars, 4 µm.
[View Larger Version of this Image (124K GIF file)]
Nuclear fractions of control and Ang II-treated neuronal cultures were
isolated, and immunoblotting was carried out to confirm the Ang
II-induced nuclear translocation of AT1Rs depicted by the
confocal microscopic data. Figure 4A
shows that the intensity of the immunoreactive band corresponding to
AT1R of the whole cells did not change after treatment with
100 nM Ang II. Its intensity, however, was increased in the
nuclear fraction of neurons treated with Ang II as a function of time
(Fig. 4C). This was associated with a decrease in
immunoreactivity in the extract from the rest of the cell (Fig.
4B). As a consequence, the nuclear fraction showed a
threefold increase in AT1R immunoreactivity in 30 min.
Fig. 4.
Ang II-induced redistribution of AT1Rs
in neurons. Neuronal cultures, established in 100-mm-diameter culture
dishes, were treated with 100 nM Ang II for the indicated
time periods. Whole cells (A), nuclear fraction
(C), and rest of the cell fraction (B) were collected (Abmayr and Workman, 1992 ).
AT1Rs from these fractions were immunoprecipitated and
quantitated essentially as described in Materials and Methods.
Top, A representative immunoblot; bottom,
quantitation of bands representing AT1R from three separate experiments. Data are presented as absorbance of and have been normalized with zero time absorbance for rest of cell fraction. Asterisk indicates significantly different
(p < 0.05) from zero time.
[View Larger Version of this Image (38K GIF file)]
Role of MAP Kinase in AT1R phosphorylation
We studied the identity of protein kinase, which may be involved
in Ang II-stimulated phosphorylation of AT1R. The role of MAP kinase was investigated in view of our previous observation that
Ang II stimulates this kinase in neuronal cells (Lu et al., 1996b ; Yang
et al., 1996a ) and that MAP kinase may be involved in the translocation
of proteins across the nuclear membrane. In addition, the role of this
kinase on phosphorylation of estrogen and epidermal growth factor
receptors has been reported (Morrison et al., 1993 ; Kato et al., 1995 ).
AT1R was immunoprecipitated with the polyclonal
AT1R antibody, and immunoprecipitates were incubated with
exogenous MAP kinase in the presence of [32P]-ATP. Figure
5 shows that a time-dependent phosphorylation of AT1R was seen in the immunoprecipitates, even in the
absence of exogenous MAP kinase. Phosphorylation was at low levels and
was the first indication that endogenous MAP kinase could be
co-immunoprecipitated with AT1R. Incubation with exogenous
MAP kinase significantly increased the incorporation of
[32P] into the immunoprecipitate in a time-dependent
manner. The phosphorylation reached a plateau in 20 min with 0.3 U of
MAP kinase, at which time it was fourfold higher than control samples without exogenous MAP kinase. MBP phosphorylation was used as a
standard for MAP kinase substrate in these experiments. SDS-PAGE of
in vitro phosphorylated AT1R immunoprecipitate
by MAP kinase showed a [32P]-labeled band that
corresponded to the molecular size of AT1R (~49 kDa)
(Fig. 6). Density of this band increased as a function of time, which paralleled the in vitro phosphorylation time
course (Fig. 5). Immunoblot with AT1R antibody showed a
single band of ~49 kDa, consistent with the reported size of the
AT1R (Fig. 6).
Fig. 5.
In vitro phosphorylation of
AT1Rs by MAP kinase. AT1R was isolated by
immunoprecipitation of neuronal cell lysates with the polyclonal
AT1R antibody as described in Materials and Methods. Immunoprecipitate containing ~30 fmol/mg protein
[125I]-Sar1-Ile8-Ang II binding
activity was incubated without ( - ) or with ( ) 0.3 U of MAP
kinase at 30°C for indicated time periods to determine the
incorporation of [32P] into AT1R, essentially
as described in Materials and Methods. MBP (3 µg) was used as assay
control ( ). Data are presented as picomoles of radioactivity
incorporated as a function of time and are mean ± SE of three
experiments.
[View Larger Version of this Image (14K GIF file)]
Fig. 6.
Immunoblot analysis of in vitro
phosphorylated AT1Rs by MAP kinase. AT1Rs were
subjected to MAP kinase-mediated phosphorylation essentially as
described in legend to Figure 5. Phosphorylated receptor preparation
was electrophoresed in 10% SDS-PAGE, and protein was transferred
to membrane and subjected to autoradiography. Top, A
representative autoradiogram; bottom, quantitation of
[32P]-labeled band corresponding to AT1R
after normalization with AT1R immunoreactivity for equal
loading. Data are mean ± SE (n = 3).
Asterisks indicate significantly different
(p < 0.05) from zero time control.
[View Larger Version of this Image (31K GIF file)]
A series of co-immunoprecipitation experiments using polyclonal
anti-AT1R antibody were carried out in Ang II-stimulated
neuronal cells to further confirm an interaction between the
AT1R and MAP kinase. Figure 7A
shows that MAP kinase immunoreactivity co-precipitated with
AT1R in Ang II-treated neurons. Maximal association was
observed in 5-10 min. In-gel kinase assay was carried out in
immunoprecipitated AT1R preparation isolated from Ang
II-treated neurons. Figure 7B shows a significant MAP kinase
activity in these immunoprecipitates: an approximately threefold
increase was observed in 10 min, and only one band was observed. This
is consistent with our previous observation that Ang II stimulates only
one isoform of MAP kinase in neurons (Yang et al., 1996a ). Ang II
receptor subtype specificity was determined in Ang II-induced
interaction of AT1R with MAP kinase. Co-precipitation of
MAP kinase with AT1R was blocked by losartan, an
AT1R antagonist, and not by PD123319, an AT2R
antagonist (Fig. 8). Further evidence for
co-immunoprecipitation of these two proteins was obtained by the
observation that immunoprecipitation of Ang II-treated neurons with MAP
kinase antibody contained a protein band of ~49 MW corresponding to
AT1R (data not shown).
Fig. 7.
Co-immunoprecipitation of AT1R
with MAP kinase in Ang II-treated neurons. A,
Co-immunoprecipitation of MAP kinase by AT1R antibody.
Neuronal cultures were incubated with 100 nM Ang II for
indicated time periods. Cell lysates were prepared and subjected to
immunoprecipitation with the polyclonal AT1R antibody as
described in Materials and Methods. Immunoprecipitates were
electrophoresed on SDS-PAGE and immunoblotted with MAP kinase antibody
as described in Materials and Methods. Membranes were also
immunoblotted with AT1R antibody to normalize for equal
loading. Top, A representative immunoblot depicting a
band corresponding to MAP kinase (P42); bottom,
quantitation of radioactive bands corresponding to MAP kinase. Data are
mean ± SE (n = 3). Asterisks
shows significantly different (p < 0.05)
from zero time. B, MAP kinase activity in co-immunoprecipitates. Immunoprecipitates, prepared essentially as
described in A, were used to run in-gel kinase assay to
measure MAP kinase activity as described elsewhere (Yang et. al.,
1996a).
[View Larger Version of this Image (31K GIF file)]
Fig. 8.
Effect of Ang II receptor antagonists on
co-immunoprecipitation of AT1R with MAP kinase. Neuronal
cultures were incubated without (1, 3, 5) or with
(2, 4, 6) 100 nM Ang II for 10 min in the presence of 10 µM losartan (3,
4) or 10 µM PD123319 (5,
6). Cell lysates were immunoprecipitated with
AT1R antibody, and the immunoprecipitate was subjected to
SDS-PAGE and immunoblotted with MAP kinase antibody as described in
Materials and Methods. Top, A representative immunoblot;
bottom, quantitation of bands corresponding to MAP
kinase. Data are mean ± SE (n = 3).
Single asterisks indicate significantly different
(p < 0.05) from control (2 and vs 1).
Double asterisk indicates significantly different from
Ang II-treated cells (4 vs 2).
[View Larger Version of this Image (26K GIF file)]
Next, neuronal cultures were pretreated with 10 µM
PD98059 for 30 min, a relatively selective inhibitor of MAP
kinase-kinase under these conditions (Alessi et al., 1995 ), to
determine its effect on Ang II-induced phosphorylation of
AT1R. Figure 9 shows that PD98059 completely
attenuated Ang II-induced AT1R phosphorylation. PD98059 by
itself had no effect. Figure 10A
shows that preincubation of neurons with 10 µM PD98059
also blocked Ang II-induced translocation of AT1R
immunoreactivity into the nucleus. In addition, confocal microscopy of
nuclei isolated from PD98059-treated neurons showed no AT1R
immunoreactivity after Ang II treatment (Fig. 10B).
Collectively, these observations suggest that Ang II stimulation of MAP
kinase may be involved in AT1R phosphorylation and its
translocation to the nucleus.
Fig. 9.
Effect of PD98059 on Ang II-induced
phosphorylation of AT1Rs. Neuronal cultures were prelabeled
with [32P]-orthophosphate for 4 hr and incubated without
(1, 3) or with (2, 4) 100 nM Ang II for 10 min in the absence (1, 2)
or presence (3, 4) of 10 µM
PD98059. Top, Representative autoradiogram;
bottom, data (mean ± SE; n = 3) were normalized for equal loading by immunoblotting of the membranes
with AT1R antibody, essentially as described for Figure 1.
Asterisk indicates significantly different from 1 (p < 0.05); # indicates significantly
different from 2 (p < 0.05).
[View Larger Version of this Image (22K GIF file)]
Fig. 10.
Effect of PD98059 on Ang II-induced
AT1R translocation into the nuclear fraction.
A, Immunoblotting of AT1R in nuclear
fraction. Neuronal cultures were incubated without (1)
or with (2, 3) 100 nM Ang II for 30 min at
37°C in the absence (1, 2) or presence (3) of 10 µM PD98059. Neurons were
collected, and the nuclear fraction was isolated and subjected to
immunoprecipitation with the AT1R polyclonal antibody.
Immunoprecipitates were analyzed on SDS-PAGE as described in Materials
and Methods. Top, Representative immunoblot;
bottom, data are presented as absorbance of
AT1R band density and are mean ± SE of three
experiments. Single asterisk indicates significantly
different from 1 (p < 0.05); double
asterisk indicates significantly different from 2 (p < 0.05). B, Confocal microscopic images of AT1R immunoreactivity in nuclei.
Neurons were treated without (1) or with (2,
3) 100 nM Ang II in the absence (2)
or presence (3) of 10 µM PD98059 for 30 min at 37°C. Nuclei were isolated, fixed on slides, and subjected to
confocal microscopic analysis with the use of monoclonal
AT1R antibody, essentially as described in Materials and
Methods.
[View Larger Version of this Image (27K GIF file)]
Finally, the effect of phosphorylation by MAP kinase on binding of
[125I]-Sar1-Ile8-Ang II to
AT1Rs was measured to determine whether phosphorylated receptors retain AT1 binding activity. Figure
11A shows that MAP kinase-phosphorylated AT1R had very little
[125I]-Sar1-Ile8-Ang II binding
activity compared with nonphosphorylated receptor. This lack of binding
was the result of a significant decrease in the
Bmax for phosphorylated receptors (79 ± 8 fmol/mg protein) compared with control (17 ± 5 fmol/mg protein)
(Fig. 11B).
Fig. 11.
Effect of MAP kinase-mediated phosphorylation on
binding of [125I]-Sar1-Ile8-Ang
II to AT1R. Neuronal cell lysates were used to
immunoprecipitate AT1R. Immunoprecipitates containing ~30
fmol 125I-Sar1-Ile8-Ang II binding
activity were used to incubate without ( ) or with ( ) 0.3 U of MAP
kinase, essentially as described in legends to Figures 5 and 6 and in
Materials and Methods. This was followed by determination of the
ability of phosphorylated AT1R to bind [125I]-Sar1-Ile8-Ang II.
A, Competition-inhibition of
[125I]-Sar1-Ile8-Ang II binding
in control ( ) and MAP kinase-phosphorylated ( ) receptors with
indicated concentrations of losartan as described in Materials and
Methods. Each point represented triplicate samples and mean ± SE
of three experiments. B, Scatchard analysis of data from
Figure 11A.
[View Larger Version of this Image (14K GIF file)]
DISCUSSION
Observations presented in this study demonstrate that
Ang II stimulates phosphorylation of AT1R, which is
associated with its translocation into the nucleus. Evidence is also
presented to establish that MAP kinase is involved in this
phosphorylation and nuclear targeting of AT1R.
Ang II stimulates phosphorylation of neuronal AT1R. The
site(s) of this phosphorylation could be localized in the intracellular domain, consistent with the presence of threonine, serine, and tyrosine
residues in this region of the receptor (Catt et al., 1993 ; Inagami et
al., 1993 ). Phosphorylation of neuronal AT1R was associated
with its translocation into the nucleus. The presence of nuclear
AT1R in neurons is consistent with earlier reports in which
nuclear Ang II receptors have been demonstrated in hepatocytes (Booz et
al., 1992 ; Tang et al., 1992 ). The precise mechanism involved in
AT1R phosphorylation remains to be worked out fully; however, our data strongly support the notion that MAP kinase plays a
crucial role. Ang II stimulates MAP kinase in a Ras-Raf-1-dependent process (Yang et al., 1996a ). Stimulation of MAP kinase leads to the
propagation of downward signals, which ultimately results in the
regulation of neuromodulatory actions of Ang II (Lu et al., 1996b ; Yang
et al., 1996a ). The data presented here suggest another important role
of MAP kinase activation by Ang II. They show that MAP kinase is
involved in the phosphorylation of AT1Rs. Evidence for this
includes the following: (1) exogenous MAP kinase phosphorylates
AT1R; (2) MAP kinase co-immunoprecipitates with AT1R; (3) endogenous MAP kinase, co-immunoprecipitated with
the receptor, also phosphorylates AT1R; (4) the
AT1R antagonist losartan blocks both co-immunoprecipitation
and colocalization of AT1R with MAP kinase; (5) MAP
kinase-kinase inhibition by PD98059 attenuates Ang II-induced
AT1R phosphorylation; and (6) PD98059 also blocks Ang
II-induced nuclear translocation of AT1Rs. Collectively,
these observations provide strong evidence for a direct role of MAP kinase in AT1R phosphorylation. Additional support for this
view is evident in the presence of a MAP kinase recognition sequence (amino acids232-233) in the AT1bR subtype,
which together with the AT1a subtype are shown to be
present in our neuronal cells (Raizada et al., 1993 ). It is pertinent,
however, to add a note of caution in our conclusion. Alternative
possibilities of the involvement of other GRKs, such as ARK1, also
should not be ruled out at the present time in Ang II-induced
AT1R phosphorylation. For example, it may be possible that
Ang II stimulates MAP kinase, which activates other GRKs that in turn
phosphorylate the AT1R. Such a hypothesis is supported by
recent data demonstrating AT1R phosphorylation by ARK1
(Oppermann et al., 1996 ). This is supported further by the lack of MAP
kinase recognition sequence in the AT1aR subtype. Thus,
whether MAP kinase indirectly (AT1a and AT1b
subtypes) or directly (AT1b) phosphorylates the receptor
remains to be elucidated.
Three questions arise from these observations concerning the role of
MAP kinase. First, is MAP kinase involved in the translocation of
AT1R to the nucleus? It is tempting to suggest that MAP
kinase, in addition to phosphorylating AT1R, also may
phosphorylate relevant protein(s) in the nuclear pore complex so that
the phosphorylated AT1R and other signaling molecules,
including MAP kinase itself, are transported across the nuclear
membrane. The following evidence supports this notion. (1) MAP kinase
is localized predominately around the nuclear membrane in the neurons
and is translocated into the nucleus after stimulation with Ang II (Lu
et al., 1996b ), and (2) MAP kinase plays a role in the translocation of
other neuronal signaling proteins such as Stat3 in neurons. Our studies have indicated that Ang II-mediated translocation of Stat3 requires activation of MAP kinase, because its depletion causes accumulation of
Stat3 in the cytoplasmic compartment (unpublished observation). (3) p62
and gp210, two proteins of nuclear pore complex that are involved in
nuclear translocation of cytoplasmic proteins, contain MAP kinase
phosphorylation motifs (Wozniak et al., 1989 ). This would suggest that
MAP kinase phosphorylation of these proteins may be significant in the
nuclear translocation of AT1R.
Second, is phosphorylation of AT1R necessary for its
nuclear targeting? Our observations showing that the MAP kinase kinase inhibitor PD98059 inhibits both Ang II-induced AT1R
phosphorylation and its nuclear translocation strongly support the role
of phosphorylation. Third, how does AT1R, a plasma membrane
protein, transport across the nuclear membrane? It has been suggested
that the presence of a nuclear localization signal (NLS) in many
peptide hormones and their membrane receptors plays an important role
in the translocation into the nucleus (Scearce et al., 1993 ; Jans,
1994 ; Radulescu, 1995 ). For example, it has been suggested (Radulescu,
1995 ) that the presence of NLS in the subunit of insulin receptor
is the key in the nuclear translocation of this receptor and in the
effects of insulin on gene regulation. Thus, we hypothesized that the AT1R may contain NLS consensus sequence, which could guide
this protein across the nuclear membrane. It was intriguing to find two
consensus sequences in this receptor that hold the potential for NLS
(Dingwall et al., 1988 ; Kang et al., 1994 ). They are amino acids
304-310 on the C-terminal tail (LGKKFKK) and 221-225 on the third
intracellular loop (ALKKA). This would confirm that, like the insulin
receptor, AT1R is translocated into the nucleus and that
the mechanism of this translocation involves these NLSs. Mutagenesis
studies involving this NLS region of the AT1R will be
needed to confirm this point of view.
Finally, the role of AT1R phosphorylation and its
translocation into the nucleus on persistent stimulatory actions of Ang II on neuromodulation needs to be examined. Our data show that Ang II
stimulates phosphorylation of AT1Rs, which is associated with their internalization. Also, phosphorylated AT1R lacks
Ang II binding activity. This would suggest that, like other GPCRs, Ang
II induces events associated with AT1R desensitization
(Boulay et al., 1994 ; Kai et al., 1994 ). Norepinephrine transporter and TH activities, however, are chronically stimulated by Ang II for 4-24
hr despite this desensitization (Lu et al., 1996a ; Yu et al., 1996 ). On
the basis of our data, it is tempting to suggest that a selective
targeting of certain populations of AT1Rs to the nucleus
where it may act as a transcription regulator may hold the key to
explaining the chronic neuromodulatory response of Ang II. Additional
experiments will be needed to clarify the relationship between Ang
II-mediated internalization-induced desensitization and nuclear
translocation of AT1Rs with chronic actions of Ang II in
the neurons. Nonetheless, these observations are relevant, because they
demonstrate three unique features of this GPCR. (1) Phosphorylation of
the receptor is MAP kinase-mediated; (2) chronic stimulation of
cellular response is not related to desensitization of the receptor;
and (3) the presence of NLS in the AT1R sequence may be the
basis of its translocation into the nucleus.
FOOTNOTES
Received Oct. 3, 1996; revised Dec. 9, 1996; accepted Dec. 10, 1996.
This work was supported by National Institutes of Health Grant HL33610.
We thank Jennifer Brock for preparation of this manuscript and
Elizabeth Brown for preparation of neuronal cultures. Expert technical
support from the Center for Structural Biology and the Interdisciplinary Center for Biotechnology Research, University of
Florida, is gratefully acknowledged.
Correspondence should be addressed to Dr. Mohan K. Raizada, Professor
and Associate Dean for Graduate Education, Department of Physiology,
College of Medicine, University of Florida, P.O. Box 100274, Gainesville, FL 32610.
Drs. Hong Yang and Di Lu have contributed equally to this
study.
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C. Suarez, G. Diaz-Torga, A. Gonzalez-Iglesias, J. Vela, A. Mladovan, A. Baldi, and D. Becu-Villalobos
Angiotensin II phosphorylation of extracellular signal-regulated kinases in rat anterior pituitary cells
Am J Physiol Endocrinol Metab,
September 1, 2003;
285(3):
E645 - E653.
[Abstract]
[Full Text]
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M. Seyedabadi, A. K. Goodchild, and P. M. Pilowsky
Differential Role of Kinases in Brain Stem of Hypertensive and Normotensive Rats
Hypertension,
November 1, 2001;
38(5):
1087 - 1092.
[Abstract]
[Full Text]
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H. Yang, X. Wang, and M. K. Raizada
Characterization of Signal Transduction Pathway in Neurotropic Action of Angiotensin II in Brain Neurons
Endocrinology,
August 1, 2001;
142(8):
3502 - 3511.
[Abstract]
[Full Text]
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J. Culman, J. Baulmann, A. Blume, and T. Unger
Review: The renin-angiotensin system in the brain: an update
Journal of Renin-Angiotensin-Aldosterone System,
June 1, 2001;
2(2):
96 - 102.
[PDF]
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O. S. Ruiz, R. B. Robey, Y.-Y. Qiu, L. J. Wang, C. J. Li, J. Ma, and J. A. L. Arruda
Regulation of the renal Na-HCO3 cotransporter. XI. Signal transduction underlying CO2 stimulation
Am J Physiol Renal Physiol,
October 1, 1999;
277(4):
F580 - F586.
[Abstract]
[Full Text]
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