Its Role in Growth Factor Signaling and Cancer
First printed in R&D Systems' 2004 Catalog.
Contents
Growth factors, through receptor tyrosine kinases, recruit a large network
of signaling proteins to execute their cellular programs.
The first of these networks to be discovered was the Ras-Raf-ERK signal
transduction cascade, defined by extracellular signal-regulated kinase-1
(ERK1) and ERK2.1 One of four mitogen-activated protein kinase
(MAPK) signaling pathways, the ERK phosphorylation cascade's
importance in intracellular signaling has been compared to the role
of the Krebs cycle in energy metabolism.2 The ERK cascade functions
in cellular proliferation, differentiation, and survival, and its
inappropriate activation is a common occurrence in human cancers.
 |
| Figure 1. The activated membrane-spanning epidermal growth
factor receptor (EGF R) becomes a platform for the assembly of a signaling
complex that includes the cytoplasmic growth factor receptor bound protein
2 (Grb2) and son of sevenless (SOS), which activates the membrane-bound
GTPase, Ras.
|
Upstream from ERK
During growth factor stimulation, the ERK phosphorylation cascade is linked
to cell surface receptor tyrosine kinases (RTKs) and other upstream signaling
proteins with known oncogenic potential (Figure 1).3
RTKs
Membrane spanning cell surface receptors of the RTK family are endowed
with intrinsic tyrosine kinase activity, catalyzing the transfer of
the a-phosphate of ATP to the
hydroxyl groups of tyrosines on target proteins. All RTKs contain
a frequently glycosylated extracellular ligand binding domain, connected
through a single transmembrane helix to the cytoplasmic domain. The
cytoplasmic domain contains a conserved protein tyrosine kinase (PTK)
core and regulatory regions that are subjected to autophosphorylation
and phosphorylation by other kinases.4 Nearly all RTKs are
monomers at the cell membrane, with ligand binding or ectopic overexpression
resulting in receptor dimerization and tyrosine autophosphorylation
in trans.
As the first RTK to be discovered,5 the epidermal growth
factor receptor (EGF R, also known as ErbB1 from the v-erb-B
transforming protein of an avian retrovirus) has helped establish
many of the principles of RTK function.6 EGF R forms an RTK
subfamily with three other closely related receptors: the orphan receptor
ErbB2 (also known as HER2 and neu); ErbB3 (also known as HER3 and
characterized by an impaired kinase domain); and ErbB4 (also known
as HER4).7 Activating mutations and transforming overexpression,
mimicking receptor oligomerization of EGF R and its fellow family
members, have been implicated in numerous cancers, including mammary
carcinomas, squamous carcinomas and glioblastomas,3 and will
be our model RTK here for further analysis.
Adaptors
The EGF receptor contains at least nine tyrosine residues capable
of phosphorylation in its cytoplasmic domain, and seven of these are
autophosphorylation sites.8 Tyr autophosphorylation sites on
EGF R and other RTKs provide a mechanism for the recognition and assembly
of signaling complexes, functioning as binding sites for Src homology
2 (SH2) and phosphotyrosine binding (PTB) domains of a variety of
signaling proteins.4 Therefore, activated RTKs become a platform
for the recognition and recruitment of a specific complement of signaling
proteins. One such signaling protein is growth factor receptor bound
protein 2 (Grb2). Grb2, a cytosolic adaptor, contains a central SH2
domain flanked by two Src homology 3 (SH3) domains that allow it to
constitutively associate with the proline-rich regions of the nucleotide
exchange factor son of sevenless (SOS).9 Phosphotyrosine 1068
of the activated EGF R is a binding site for the SH2 domain of Grb2,10
either directly or through the assistance of another SH2 adaptor,
Shc.11 The recruitment of Grb2 from the cytoplasm to the plasma
membrane brings SOS near the membrane-bound product of proto-oncogene
c-ras. Through guanine exchange, SOS enhances GDP release and
GTP binding to Ras, converting this GTPase into its active conformation.
Ras
Ras is a notable member of the large family of GTPases, proteins
that bind and hydrolyze GTP. First discovered as transforming oncogenes
of murine sarcoma viruses, three highly related 21 kDa mammalian proteins,
Harvey-Ras (H-Ras), Kirsten-Ras (K-Ras), and Neuroblastoma-Ras (N-Ras)
have been identified.12 Activating mutations of these Ras isoforms,
which impair GTPase activity and stabilize the GTP bound state, are
found in nearly one-third of all human cancers, making these oncoproteins
among the most potent transforming polypeptides known.1
Ras family members are anchored to the cytoplasmic face of the plasma
membrane by carboxyl-terminal farnesylation. This localization to
the inner leaflet brings Ras into close proximity with SOS, stimulating
the exchange of GDP bound to Ras with GTP from the cytosol. This exchange
activates Ras conformationally, allowing it to interact with a number
of downstream effectors.13 Within the ERK signaling cascade,
active Ras functions as an adaptor that binds to effector Raf kinases
with high affinity, causing their translocation to the cell membrane,
where Raf activation takes place.14
 |
| Figure 2. The phosphorylation cascade regulates the core module,
including MAP3K Raf, MAPK kinase MEK, and MAPK ERK.
|
The Core Module
Activation of all MAPKs is regulated by a central three-tiered core signaling
module, comprised of an apical MAPK kinase kinase (MAP3K), a MAPK kinase (MEK
or MKK), and a downstream MAPK (Figure 2).
Raf
Like Ras, the MAP3K Raf was first discovered in the form of a mutant
retroviral transforming agent, v-raf.15 Raf is a Ser/Thr
protein kinase, catalyzing the phosphorylation of hydroxyl groups
on specific Ser and Thr residues.16 Mammals possess 3 Raf proteins,
ranging from 70 to 100 kDa in size: the ubiquitously expressed and
best studied Raf-1; the more obscure A-Raf, with high levels in muscle
and urogenital tissues;17 and B-Raf, present in multiple isoforms
and strongly expressed in fetal brain and adult cerebrum.18
In addition to their different cell-specific expression, the phenotypes
of raf knock-out mice also vary. A-raf deficient mice
survive birth with intestinal and neurological abnormalities,19
while mice with a targeted disruption of the B-raf gene die
of vascular defects during mid-gestation.20 Raf-1-/-
mice also die in utero with a number of developmental defects.21
These results indicate that Raf-1 may serve a general role in tissue
formation, whereas A-Raf and B-Raf fulfill more specialized duties.
Recruitment to the plasma membrane by GTP-bound Ras is the initiating
event in Raf activation. The effector domain of Ras binds Raf at two
locations in the MAP3K's N-terminus, the Ras-binding domain (RBD)
and the cysteine-rich domain (CRD), with binding at both sites necessary
for activation.22 Different Ras isoforms appear to activate
Raf with varying ability, despite binding in vitro with comparable
affinity. For example, K-Ras both recruits Raf-1 to the plasma membrane
more efficiently, and activates the recruited Raf-1 more potently
than H-Ras.23 It has also been suggested that B-Raf is the
primary target of oncogenic Ras isoforms.24 Recently, activating
mutations of B-raf were reported in 66% of malignant melanomas,
all within the kinase domain and most converting Val599 to Glu.25
Raf-1 has four activating phosphorylation sites that are Ras-inducible
and confer full Raf activation: Ser338, Tyr341, Thr491 and Ser494.
Mutation of these sites to phosphomimetic acidic residues results
in constitutive activity independent of Ras.16 Recently, p21-activated
protein kinase (PAK) family members have been shown to phosphorylate
Raf at Ser338 and induce activity,26 though these findings
have been disputed.27 Other kinases that phosphorylate these
activating residues have not been identified, and are the subject
of considerable speculation. Phosphorylation also inhibits Raf. Raf-1
phosphorylated at Ser259 by Akt isoforms appears to create an auto-inhibitory
conformation state maintained by 14-3-3 dimers,28 and mutation
of this Ser to Ala restores the basal activity of Raf-1. The Ser/Thr
phosphatases PP1 and PP2A target Ser259, thus promoting Raf-1 activation.29
Inhibition of these phosphatases increases inactive 14-3-3/Raf-1 complexes.
MEK
Phosphorylated Raf activates MAPK/ERK kinase 1 (MEK1) and MEK2,
also known as MKK1 and MKK2.30 Surprisingly, no naturally occurring
oncoproteins derived from MEKs have been found, although expression
of constitutively active forms transforms fibroblasts that produce
tumors in nude mice.31 Disruption of mouse mek1 is lethal
in utero, with mutant embryos dying from defective placental
vascularization, suggesting a role for MEK in angiogenesis.32
MEK1 and MEK2, about 45 kDa each, share 80% sequence identity. It
is unclear why two MEKs exist, although conservation of both forms
throughout eukaryotic species suggests non-redundant functions, as
does MEK1 gene disruption. Both MEKs are expressed ubiquitously in
mammalian cells at micromolar levels, although some tissue-specific
variation has been noted.33
Raf family activation of MEK1 and MEK2 occurs through phosphorylation
of two Ser residues at positions 217 and 221 found in the activation
loop.34 MEKs can be partially activated by phosphorylation
at either site, and substitution of these sites with acidic amino
acids enhances basal activity.31 While Raf isoforms are enzymes
of relatively low abundance, the high concentration of MEKs allows
for amplification of signaling.35 Different Raf isoforms activate
MEK1 and MEK2 differentially: A-Raf is a weak activator; B-Raf activates
MEK1 preferentially; and Raf-1 efficiently activates both MEKs.36
Raf-1 contains two separate MEK binding sites, with substrate interaction
greatly enhanced following phosphorylation of Raf-1 at Ser338.37
Two regulatory phosphorylation sites on MEK outside the activation
loop either positively or negatively regulate the MAPKK. The first,
at Ser298 and phosphorylated by PAK1, may help prime MEK1 for activation
by Raf-1.38 Conversely, in vivo phosphorylation by an
unknown kinase at Ser212, a site conserved in all MAPKKs, sharply
decreases MEK1 activity.39
ERK
Also known as MAPK3 and MAPK1, the MAP kinases ERK1 and ERK2 are
44- and 42-kDa Ser/Thr kinases, respectively, with 90% sequence identity
in mammals. Initially isolated and cloned as kinases activated in
response to insulin and NGF,40,41 ERK1 and ERK2 are both expressed
in most, if not all, mammalian tissues, with ERK2 levels generally
higher than ERK1. Knock-out studies in mice demonstrate that either
ERK may at least partially compensate for the other's loss, although
ERK1 has been found to specifically regulate thymocyte maturation.2
Dual Thr and Tyr phosphorylations activate both ERKs, at Thr202/Tyr204
for human ERK1 and Thr185/Tyr187 for human ERK2. Unlike MEK, significant
ERK activation requires phosphorylation at both sites, with Tyr phosphorylation
preceding that of Thr.42 As with MEK, no in vivo mutations
have been identified that activate ERK.
Because ERKs and other MAPKs require both Thr and Tyr phosphorylation
for full activity, dual specificity phosphatases (DSPs) that dephosphorylate
both sites are uniquely positioned to regulate MAPK signal transduction
cascades. At least 9 DSPs, also termed MAPK phosphatases (MKPs), have
been identified in mammalian cells.43 DSPs frequently associated
with ERK inactivation include MKP3, MKP4, and phosphatase of activated
cells 1 (PAC1). MKP3, also termed PYST1, is probably the best-studied
DSP, present in many tissues and most specific for ERKs versus other
MAPKs. MKP4, expressed in kidney, placenta, and embryonic liver, strongly
dephosphorylates ERKs but shows some reactivity toward JNK and p38
as well. The hematopoietically expressed PAC1 also shows limited reactivity
with JNK and p38 in addition to ERKs, and is upregulated transcriptionally
by p53.44 In addition to DSPs, the phosphatases PP2A and HePTP
have been implicated in ERK2 dephosphorylation at Thr185 and Tyr187,
respectively.45 The finding that multiple phosphatases inactivate
ERKs suggests that the duration and extent of ERK activation is controlled
by the balanced activities of MEKs and these phosphatases.
Recent studies have revealed scaffolding as a mechanism that helps
the ERK cascade transduce signals with both high efficiency and specificity.
First discovered in lower eukaryotes, experiments in mammals have
focused on two scaffolding proteins in particular, kinase suppressor
of Ras (KSR) and MEK partner 1 (MP1). KSR appears to tether Rafs,
ERKs and particularly MEKs, redistributing MEK from a soluble fraction
into a high molecular weight complex.46 Experiments with KSR-deficient
mice indicate that KSR is not absolutely required, but enhances signaling
from Ras.47 The scaffolding protein MP1 tethers MEK with ERK,
and has enhanced specificity for MEK1 and ERK1 over MEK2 and ERK2,
favoring the activation of ERK1.48 The physiological significance
of this differential activation is not understood, but reduction of
MP1 using RNA interference results in defective ERK signal transduction.49
Downstream from ERK
The ERKs are proline-directed protein kinases, phosphorylating Pro-neighboring
Ser or Thr residues. Docking sites present on physiological substrates confer
additional specificity.50 These docking interactions, through non-catalytic
regions on ERK, team with scaffolding proteins to ensure signaling fidelity
and enzymatic efficiency both to and from the MAPK. Downstream, activated
ERK regulates growth factor-responsive targets in the cytosol and also translocates
to the nucleus where it phosphorylates a number of transcription factors regulating
gene expression (Figure 3).
 |
| Figure 3. ERK1 and ERK2 feed back on the ERK signal transduction
pathway; initiate transcription directly or indirectly via phosphorylation
of ribosomal protein S6 kinases (RSKs), mitogen- and stress-activated
protein kinases (MSKs), and ternary complex factors (TCFs); and regulate
translation indirectly by inducing tRNA and rRNA synthesis.
|
Cytoplasmic Targets
Cytosolic substrates for ERK include several pathway components
involved in ERK negative feedback regulation. Multiple residues on
SOS are phosphorylated by ERK following growth factor stimulation.51
SOS phosphorylation destabilizes the SOS-Grb2 complex, eliminating
SOS recruitment to the plasma membrane and interfering with Ras activation
of the ERK pathway. Negative feedback by ERK has also been proposed
to occur through direct phosphorylation of the EGF receptor at Thr669.52
The physiological importance of this phosphorylation is currently
unclear, however. Finally, ERKs have also been demonstrated to negatively
regulate themselves by phosphorylating MKPs, which reduces the degradation
of these phosphatases through the ubiquitin-directed proteasome complex.53
MAPK-interacting kinase 1 (MNK1) and MNK2 are cytosolic Ser/Thr
protein kinases initially discovered using two-hybrid screens for
ERK-interacting proteins.54 Both ERK and p38, but not JNK,
activate MNK by phosphorylation at Thr197 and Thr202. Active MNK1,
and possibly MNK2, upregulates eukaryotic initiation factor-4E (eIF-4E)
in vitro, through phosphorylation at Ser209. This upregulation
under physiological conditions has been questioned, however.55
Phosphorylation of eIF-4E at Ser209 is believed to strengthen this
initiation factor's affinity for 7-methylguanosine cap structures,
directing ribosomes to the 5' ends of mRNAs and enhancing translation
efficiency.
ERK1 and ERK2 regulate transcription indirectly by phosphorylating
the 90 kDa ribosomal protein S6 kinases (RSKs), a family of broadly
expressed Ser/Thr kinases activated in response to mitogenic stimuli,
including growth factors and tumor-promoting phorbol esters.56
A highly conserved feature common to all RSK family members is the
presence of tandem non-identical catalytic domains, involved in both
exogenous phosphorylation and auto-activation.57 These domains
are activated in a sequential manner by a series of phosphorylations
following the binding of active ERK1 or ERK2 to an ERK docking site
located at the extreme carboxyl terminus of cytoplasmic RSK.58
On RSK1, these sequential phosphorylation sites include Thr573, Ser380
and Ser221. Active RSKs appear to play a major role in transcriptional
regulation, translocating to the nucleus and phosphorylating such
factors as the product of proto-oncogene c-fos at Ser362, serum
response factor (SRF) at Ser103, and cyclic AMP response element-binding
protein (CREB) at Ser133.59,60 Although RSK1 was initially
purified and named based on its ability to phosphorylate the ribosomal
protein S6 in vitro, this translational component is apparently
the physiological substrate for the p70 S6 kinases, and not the RSKs.61
Nuclear Targets
Upon phosphorylation, nuclear translocation of ERK1 and ERK2 is
critical for both gene expression and DNA replication induced by growth
factors.62 In the nucleus, ERK phosphorylates an array of targets,
including transcription factors and a family of RSK-related kinases,
the mitogen- and stress-activated protein kinases (MSKs).63
MSK1 and MSK2, activated by both ERK and p38, share the same tandem
kinase structure as the RSKs, and also appear to be activated by sequential
phosphorylation following MAPK docking. On MSK1, these sequential
sites include Thr581, Ser376 and Ser212. MSKs phosphorylate and activate
the AP-1 component ATF1 at Ser63,64 and may be more important
in vivo than RSKs in CREB phosphorylation at the activating
Ser133.65 Using knock-out mice, MSKs were also found to phosphorylate
Histone H3 at Ser10 and Ser28, and the high-mobility-group protein
HMG-14 at Ser6, facilitating the rapid induction of immediate early
genes following mitogenic stimulation.66
Probably the best-characterized transcription factor substrates
of ERKs are ternary complex factors (TCFs), including Elk-1, which
is directly phosphorylated by ERK1 and ERK2 at multiple sites, including
the activating Ser383.67 Upon complex formation with SRF, phosphorylated
TCFs transcriptionally activate the numerous mitogen-inducible genes
regulated by serum response elements (SREs).68 The SREs regulating
these genes are sufficient to confer inducibility to EGF, as well
as to serum and phorbol esters. TCFs Sap1 and Sap2 are also phosphorylated
by ERK, as are other Ets family members.69 Another direct target
of ERK, at least in vitro, is the product of proto-oncogene
c-myc, a short-lived transcription factor involved in multiple
aspects of growth control. Following phosphorylation at Thr58 and
Ser62 within its transactivation domain, Myc activates transcription
as a heterodimeric partner with Max.70
Finally, cellular growth and proliferation require protein synthesis,
and the ERK pathway has been recently demonstrated to directly link
growth factor signaling to ribosome biogenesis. Following serum induction,
ERK phosphorylates the BRF1 subunit of RNA polymerase (pol) III-specific
transcription factor TFIIIB, both in vitro and in vivo,
at an unknown site.71 As with MNK activation, phosphorylation
of this pol III subunit enhances translational efficiency, inducing
tRNA and 5S rRNA synthesis. Previous experiments demonstrated that
ERK also upregulates synthesis of ribosomal RNA by pol I through phosphorylation
of upstream binding factor (UBF) at Thr117 and Thr201 following EGF
treatment.72
Conclusions
With aberrations in the ERK cascade implicated in a high proportion of human
cancers, many emerging therapies target proteins in the pathway.73
Upstream, more than a dozen drugs, including humanized monoclonal antibodies
and small molecule inhibitors, are in clinical trials for EGF R family inhibition.74
One antibody, Herceptin, is approved for use in breast cancer patients overexpressing
HER2. Several Ras inhibitors have reached Phase I to III clinical testing,
including antisense oligonucleotides to limit expression and farnesyl transferase
inhibitors to prevent membrane anchoring. Although no downstream inhibitors
have reached trials, transcription factors have recently gained interest as
the most direct and mechanistically relevant targets of the ERK pathway.75
Within the core module, a number of small kinase inhibitors against Raf and
MEK have entered clinical development.76 This has occurred despite
several concerns, including the dilution of ATP site-directed inhibitors by
the high intracellular concentration of ATP, limited inhibitor specificity
due to a common catalytic mechanism and other structural similarities among
all kinases, and the importance of these kinases in so many processes unrelated
to cellular proliferation.73 Ultimately, as the pathway is further
revealed, novel components will provide the researcher with new therapeutic
strategies.
As these candidate therapies against ERK signaling components undergo
development and enter trials, reagents that monitor their targets'
inhibition are critical for future success.73,76 Unfortunately,
it is frequently unclear in oncology research if a poor response is
due to an inconsequential target or if the target was inhibited insufficiently.
Providing a "proof of principle" tool for both the laboratory
and the clinic, biomarker assays that correlate the extent of target
suppression with the efficacy of treatment are needed.
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