Insulin-like Growth Factor-1/Insulin Bypasses Pref-1/FA1-mediated Inhibition of Adipocyte Differentiation*

Hongbin Zhang {ddagger}, Jane Nøhr {ddagger}, Charlotte H. Jensen §, Rasmus K. Petersen {ddagger}, Elin Bachmann §, Børge Teisner §, Leif K. Larsen ¶, Susanne Mandrup {ddagger} and Karsten Kristiansen {ddagger} ||

From the {ddagger}Department of Biochemistry and Molecular Biology, University of Southern Denmark, Campusvej 55, 5230 Odense M., the §Department of Immunology and Microbiology, University of Southern Denmark, Winsløvsparken 21-1, 5000 Odense C., and Rheoscience, Glerupvej 2, DK-2610 Rødovre, Denmark

Received for publication, January 2, 2003 , and in revised form, March 20, 2003.


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 EXPERIMENTAL PROCEDURES
 RESULTS
 DISCUSSION
 REFERENCES
 
Pref-1 is a highly glycosylated Delta-like transmembrane protein containing six epidermal growth factor-like repeats in the extracellular domain. Pref-1 is abundantly expressed in preadipocytes, but expression is down-regulated during adipocyte differentiation. Forced expression of Pref-1 in 3T3-L1 cells was reported to inhibit adipocyte differentiation. Here we show that efficient and regulated processing of Pref-1 occurs in 3T3-L1 preadipocytes releasing most of the extracellular domain as a 50-kDa heterogeneous protein, previously isolated and characterized as FA1. Unexpectedly, we found that forced expression of the soluble form, FA1, or full-length Pref-1 did not inhibit adipocyte differentiation of 3T3-L1 cells when differentiation was induced by standard treatment with methylisobutylxanthine, dexamethasone, and high concentrations of insulin. However, forced expression of either form of Pref-1/FA1 in 3T3-L1 or 3T3-F442A cells inhibited adipocyte differentiation when insulin or insulin-like growth factor-1 (IGF-1) was omitted from the differentiation mixture. We demonstrate that the level of the mature form of the IGF-1 receptor is reduced and that IGF-1-dependent activation of p42/p44 mitogen-activated protein kinases (MAPKs) is compromised in preadipocytes with forced expression of Pref-1. This is accompanied by suppression of clonal expansion and terminal differentiation. Accordingly, supplementation with insulin or IGF-1 rescued p42/p44 MAPK activation, clonal expansion, and adipocyte differentiation in a dose-dependent manner.


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 EXPERIMENTAL PROCEDURES
 RESULTS
 DISCUSSION
 REFERENCES
 
Adipocyte differentiation is a complex process that involves dramatic changes of cell morphology and gene expression (for review, see Refs. 1, 2, 3, 4, 5). Primary mouse embryonic fibroblasts and several established preadipocyte cell lines can be induced to differentiate into adipocytes when treated with an appropriate combination of adipogenic factors, including methylisobutylxanthine (Mix),1 dexamethasone (Dex), and insulin or IGF-1. Growth factors like EGF and platelet-derived growth factor (6) or cytokines, such as interleukin-11 (7, 8, 9), tumor necrosis factor-{alpha} (10, 11), and transforming growth factor-{beta} (11, 12, 13), can inhibit adipogenesis and cause reversal of the adipocyte phenotype. In addition, growth hormone has been shown to inhibit differentiation of primary preadipocytes (6), but it exerts a proadipogenic action on several preadipocyte cell lines, including 3T3-L1 (14, 15, 16).

Pref-1 cDNA was cloned from a 3T3-L1 cDNA library in a screening for genes that were differentially expressed during adipocyte differentiation (17). Pref-1 is abundantly expressed in preadipocytes, whereas expression in mature adipocyte is undetectable (17). In 3T3-L1 cells, pref-1 expression has been demonstrated to be down-regulated by a change from growth in normal calf serum to growth in fetal calf serum, and an element in the pref-1 promoter involved in this down-regulation has been identified (18). In addition, the proadipogenic action of dexamethasone has been related to a dexamethasone-mediated acute down-regulation of pref-1 transcription (19). Forced expression of Pref-1 was reported to inhibit adipogenesis, and accordingly, Pref-1 was suggested to play an important role in the maintenance of the preadipose state (17). In accordance with this hypothesis, a reduction in the level of pref-1 expression in 3T3-L1 cells by expression of pref-1 antisense RNA decreased the requirements for dexamethasone to support adipocyte differentiation (19), and a reduction of pref-1 expression in Balb/c 3T3 cells dramatically increased their ability to undergo adipose conversion in response to supraphysiological levels of insulin (20, 21). Finally, the generation of Pref-1-null mice demonstrated that lack of Pref-1 expression is associated with obesity and that pref-1 in mice, as in humans, is a paternally expressed imprinted gene (22).

Pref-1 belongs to the epidermal growth factor (EGF)-like protein family, the members of which are characterized by the presence of EGF-like motifs in their extracellular domains. Members of the EGF-like protein family can function as soluble or transmembrane proteins that exert their effects through protein-protein interaction and play important roles in cellular growth and differentiation. One well-characterized subclass includes EGF and transforming growth factor-{alpha}. These proteins arise by ectodomain processing and release from transmembrane precursors and exert their action upon binding to the EGF receptor. Interestingly, processing and release are not prerequisites for biological activity (for review, see Ref. 23). One of the best-characterized examples involving lateral protein-protein interaction of transmembrane proteins is provided by the Notch-Delta or Notch-Serrate/Jagged systems that play pivotal roles in cell fate determination during neurogenesis (24). Recently, Notch-1 was also shown to be implicated in adipocyte differentiation (25). The organization of the pref-1 gene and the structure of the individual EGF-like repeats strongly suggest that Pref-1 is most closely related to the Delta family (26).

Apart from its function in adipocyte differentiation, Pref-1 has been shown to be involved in the interaction between stromal cells and hematopoietic cells, in which dlk expression in stromal cells is directly correlated with their capability to provide a microenvironment allowing co-cultured hematopoietic stem cells to give rise to highly proliferative myeloiderythroid progenitors (20, 27). Of particular interest is a recent report describing a role for Pref-1 in thymocyte development (28). Surprisingly, a dimeric form of Pref-1 was shown to increase thymocyte cellularity in an HES-1-dependent manner even though Pref-1 is devoid of the DSL motif generally thought to be necessary for Delta-Notch-type interactions (20).

Prior to the cloning of pref-1, a soluble form of the human homolog of Pref-1, named fetal antigen 1 (FA1), was isolated from amniotic fluid (29, 30, 31), and subsequently, mouse FA1 was isolated from mouse amniotic fluid (32). Sequence comparison revealed that FA1, Pref-1, pG2 (a human adrenal specific mRNA) (33), and dlk (delta-like protein) (34) represent polymorphic variants of the same gene (30, 35). The presence of high levels of FA1 in amniotic fluid immediately suggested that Pref-1 might also function as a soluble molecule. Accordingly, it has been shown that a bacterially expressed GST-Pref-1 fusion protein could inhibit adipocyte differentiation of 3T3-L1 cells in a dose-dependent manner (36), and purified human FA1 was reported to inhibit differentiation of primary rat preadipocytes (37). It was furthermore reported that conditioned medium from COS-7 or Balb/c cells transfected with pref-1 could prevent 3T3-L1 cells from undergoing adipocyte differentiation (21, 36), and recently it was reported that only the large soluble form of Pref-1 was able to inhibit adipocyte differentiation (38). It is generally assumed that Pref-1 is processed and released from 3T3-L1 preadipocytes, but this in fact has not been directly demonstrated.

In this report, we show that mouse Pref-1 is released from 3T3-L1 preadipocytes as a 50-kDa heterogeneous protein that is indistinguishable from mouse FA1 purified from amniotic fluid. We show that processing is regulated in a growth/differentiation-dependent manner and that a significant fraction of the synthesized Pref-1 is processed and released from 3T3-L1 cells. We confirm previous findings that pref-1 expression is down-regulated during adipocyte differentiation and show that the ratio between membrane-bound and soluble Pref-1/FA1 is maintained during differentiation. Surprisingly, we found that forced expression of full-length Pref-1 or the soluble form of Pref-1/FA1 did not inhibit adipocyte differentiation of 3T3-L1 cells using the standard MDI protocol that includes treatment with Mix, Dex, and supraphysiological concentrations of insulin for induction of differentiation. However, in the absence of insulin or IGF-1, forced Pref-1 expression inhibited adipocyte differentiation. These results suggested that IGF-1/IGF-1 receptor (IGF-1R) signaling was compromised in the cells overexpressing Pref-1, thereby rendering the cells unresponsive to the low concentration of IGF-1 in the fetal calf serum. In keeping with this, we show that IGF-1 or insulin in a dose-dependent manner bypassed the inhibitory effect of Pref-1. Finally, we present evidence that forced expression of Pref-1 reduced the level of the mature form of the IGF-1R, inhibited clonal expansion, and severely curtailed IGF-1-dependent activation of p42/p44 MAPKs.


    EXPERIMENTAL PROCEDURES
 TOP
 ABSTRACT
 INTRODUCTION
 EXPERIMENTAL PROCEDURES
 RESULTS
 DISCUSSION
 REFERENCES
 
Plasmids and Cloning—The retroviral vector Akvbipe2 was generated by inserting retroviral sequences into the EcoRI/SalI site of pUC19. The retroviral sequences contain the long-terminal repeats and packaging sequence {Psi} derived from retrovirus Akv-MLV (39), and the encephalomyocarditis virus IRES (internal ribosomal entry site) (40) between the two long-terminal repeats. Mouse pref-1 cDNA was generated by RT-PCR from total RNA of 3T3-L1 preadipocytes using ExpandTM reverse transcriptase (Roche Applied Science). Different regions of rat pref-1 (41) and mouse pref-1 were generated by PCR and cloned into the polylinker site of Akvbipe2 to generate plasmids AkvrPrefFL, AkvrPrefSF, AkvrPrefET, AkvrPrefIC, AkvmPrefFL, AkvmPrefSF, AkvmPrefET, and AkvmPrefIC (Fig. 2A). The sequences of the plasmids were verified by sequencing.



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FIG. 2.
Forced expression of rat Pref-1/FA1 does not inhibit MDI-induced differentiation of 3T3-L1 cells. A, schematic representation of the retroviral vectors expressing different regions of Pref-1 used in this study. Numbers indicate amino acid residues in rat and mouse (in parentheses) Pref-1, respectively. The arrows indicate identified sites of glycosylation. JM, juxtamembrane region; TM, transmembrane domain; IC, intracellular domain; ET, extracellular plus transmembrane domains. B, 3T3-L1 cells were grown to 50% confluency and transduced with retroviral vectors expressing different regions of rat Pref-1. The transduced cells were cultured in the presence of 600 µg/ml G418 for 7 days and then pooled and induced to differentiate by addition of 1 µM Dex, 0.5 mM MIX, and 1 µg/ml insulin (see "Experimental Procedures"). On day 10 after initiation of differentiation, the cells were stained with Oil Red O. Whole stained dishes are shown.

 

Transfection and Transduction—BOSC23 packaging cells (42) were grown in 9-cm dishes in DMEM (Invitrogen, high glucose) containing 10% fetal calf serum (Sigma) until they reached 80% confluency and then transfected with 7.5 µg of Akvbipe2 or the Pref-1-expressing vectors using the 3{beta}[N-(N',N'-dimethylaminoethane)carbamoyl]-cholesterol procedure as described previously (43). Six hours after transfection, the medium was replaced with fresh medium, and after another 48 h of incubation, the virus-containing medium was harvested and either frozen down at -80 °C or used immediately for transduction. Before transduction, the viral suspension was mixed with 1 volume of fresh DMEM and 6 µg/ml hexadimethrine bromide (Sigma). The 3T3-L1 cells were transduced at 50% confluency, and the following day, the cells were split 1:6 and replated under selection of 600 µg/ml G418 (Sigma). Seven days later, the selected clones were pooled and replated for differentiation experiments.

Cell Culture and Differentiation—Following selection, the transduced 3T3-L1 cells were grown in DMEM containing 10% calf serum (CS) (Sigma) and 400 µg/ml G418 (Sigma) until they reached confluency, at which time G418 was removed. At 2 days postconfluency (defined as day 0), the cells were induced to differentiate as described earlier (44). Briefly, the medium was changed to DMEM containing 10% fetal calf serum (FCS), 1 µM dexamethasone (Dex, Sigma), 0.5 mM isobutylmethylxanthine (Mix, Aldrich). Insulin or IGF-1 (Roche Molecular Biochemicals) was added as indicated. Dex and Mix were maintained until day 2, and insulin/IGF-1 when added was maintained until day 4. At the time points indicated, media were collected, and the cells were either harvested for analysis of protein by Western blotting and ELISA, or stained with Oil Red O (Sigma). Non-transduced 3T3-L1 and 3T3-C2 cells were cultured and treated according to the standard MDI differentiation protocol (DMEM, 10% FCS, 1 µM Dex, 0.5 mM Mix, and 1 µg/ml insulin). 3T3-F442A cells were grown in DMEM containing 10% CS until confluency and then induced to differentiate by switching to DMEM containing 10% FCS, 10 nM insulin, and 2 nM T3. Medium was renewed every second day for both cell types. For the analysis of MAPK and Akt activation, the transduced 3T3-L1 cells were maintained in DMEM containing 10% CS until 2 days post confluency and then switched to differentiation medium (DMEM, 10% FCS, 1 µM Dex, and 0.5 mM Mix with or without 10 nM IGF-1) and cultured until the indicated time points when cell lysates were prepared for Western blotting.

Purification of Mouse Pref-1/FA1—Pref-1/FA1 was purified from medium conditioned by 3T3-L1 preadipocytes or from murine amniotic fluid by immunospecific affinity chromatography as described previously (32).

ELISA—ELISA was performed as described (32) with affinity-purified rabbit anti-mFA1 as the capture antibody. The plates were incubated overnight with test samples and calibrator (mouse amniotic fluid in 2-fold dilution series). Biotinylated affinity-purified rabbit anti-mFA1 was used as the detector antibody, and peroxidase-conjugated streptavidin, H2O2, and O-phenylenediamine were used to develop the reaction.

Triglyceride Measurement—mPref-1-transduced 3T3-L1 cells were lysed in Tris-Cl buffer by sonication. The triglyceride content was measured by using the GPO-Kit as recommended by the manufacturer (Sigma).

Multiplex RT-PCR—RNA purification, reverse transcription, and multiplex RT-PCR were performed as previously described (45). For PCR, 20 cycles were performed. The primer sets used were: Mouse TBP upstream: 5'-ACC CTT CAC CAA TGA CTC CTA TG; downstream: 5'-ATG ATG ACT GCA GCA AAT CGC. Mouse IGF-1R upstream: 5'-TCA GGC TTC ATC CGC AAC AG; downstream: 5'-CAA GGA GAC CAA GGC ATG AG.

Western Blotting—Whole cell extracts and conditioned medium from 3T3-L1-vector, 3T3-L1-mPrefFL, and 3T3-L1-mPrefSF cells were subjected to Western blotting. For cell extracts, 100 µg of total protein was loaded; for conditioned medium, 10 µl was loaded. The following antibodies were used: rabbit anti-mouse FA1 and anti-rat FA1 antibody (32), anti-mouse aP2 antibody (kindly provided by David A. Bernlohr), anti-mouse PPAR{gamma}2 antibody (Santa Cruz Biotechnology, sc-7273), anti-IGF-1R {beta}-subunit antibody (Santa Cruz Biotechnology, sc-713-G), anti-TBP antibody (Santa Cruz Biotechnology, sc-273), anti-MAPK antibodies (Cell Signaling Technology, #9102 for total MAPK p42/p44 and #9106L for phosphorylated MAPK p42/p44), and anti-Akt antibodies (Cell Signaling Technology, #9272 for total Akt and #9271L for phosphorylated Akt). Visualization was achieved by enhanced chemiluminescence.

Bromodeoxyuridine Labeling—3T3-L1-vector, 3T3-L1-mPrefSF, and 3T3-L1-mPrefFL cells were grown to 2-day post confluency in DMEM plus 10% CS and then treated with differentiation medium containing DMEM, 10% FCS, 1 µM Dex, 0.5 mM Mix, and different concentrations of IGF-1 as indicated. The cells were labeled with BrdUrd between the period from 12 to 24 h after the start of the treatment, and BrdUrd incorporations were carried out using the 5-Bromo-2'-deoxyuridine Labeling and Detection Kit I according to the instructions of the manufacturer (Roche Applied Science).


    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 EXPERIMENTAL PROCEDURES
 RESULTS
 DISCUSSION
 REFERENCES
 
Regulation of Expression and Secretion of Pref-1 in 3T3-L1— When the membrane-bound variants, Pref-1A and Pref-1B, are expressed in COS-7 cells they are processed to produce a soluble 50-kDa fragment of the ectodomain encompassing all six EGF-like repeats (36), and high levels of a similarly processed soluble form named FA1 is present in amniotic fluid and fetal serum (29, 30, 32). It is generally assumed that a similar processing occurs in preadipocytes, although this has not been demonstrated. In fact, it was reported that soluble Pref-1/FA1 could not be detected in the medium conditioned by rat primary preadipocytes treated with growth hormone even though expression of pref-1 mRNA was enhanced by the hormone (37). By using fused rocket immunoelectrophoresis we found that conditioned medium from the 3T3-L1 preadipocytes contained a protein that immunologically was indistinguishable from FA1 purified from amniotic fluid (results not shown). Western blotting revealed that Pref-1/FA1 present in the conditioned medium co-migrated with purified mouse FA1, and addition of brefeldin prevented as expected accumulation of Pref-1 in the conditioned medium (results not shown).

To examine the correlation between Pref-1 synthesis and Pref-1/FA1 release during differentiation, 3T3-L1 cells were differentiated according to the standard MDI protocol or treated with FCS only as control. Each day during preconfluent growth and during the differentiation period, conditioned medium was isolated and cell lysates were prepared for quantification of Pref-1/FA1 by ELISA (Fig. 1). This analysis first of all showed that the amount of Pref-1/FA1 released to the medium from 3T3-L1 cells was substantial reaching levels approaching 800 ng/ml at confluency. It is also evident that a significant fraction of the synthesized Pref-1 must be processed, although the lack of detailed knowledge of turnover rates of membrane-bound versus released Pref-1/FA1 prevents precise stoichiometric estimates. The levels of Pref-1/FA1 in cell lysates increased as cells became confluent, and they further increased when the cells were maintained in the confluent state for 2 days prior to treatment with adipogenic inducers. Interestingly, an increase in the level of released Pref-1/FA1 was observed between day 1 and day 2 of confluency (Fig. 1, a and b, from day -1 to day 0) suggesting a growth-dependent alteration in processing activity. Addition of FCS to confluent cells led to a marked decrease in the level of released Pref-1/FA1, whereas the level of Pref-1/FA1 in the cell lysates only declined modestly (Fig. 1, a and c). Following MDI treatment, the level of Pref-1 in the conditioned medium dropped rapidly. This was paralleled by a similar, although more gradual, decline in the level of Pref-1 in the lysates (Fig. 1, b and d). After 6 days of differentiation, ~80% of the 3T3-L1 cells had differentiated as judged by the accumulation of cellular lipid (results not shown), and by then the level of Pref-1/FA1 in the medium and lysate had fallen to ~13 and 20%, respectively, of the maximal levels observed prior to treatment with adipogenic inducers. It should be noted that our finding, that total Pref-1 in the lysate and Pref-1/FA1 in the medium decline in concert, does not support the suggestion of Garcés et al. (21) that differential expression of pref-1 splice variants, and hence processing plays an important role in the initiation of adipocyte differentiation. Rather, our results support the findings of Smas et al. (19) indicating co-regulated expression of all pref-1 splice variants.



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FIG. 1.
Alterations of Pref-1/FA1 expression in and secretion from 3T3-L1 and 3T3-C2 cells during growth and in response to treatment with adipogenic inducers. 3T3-L1 and 3T3-C2 cells were cultured and treated or not with adipogenic inducers as indicated (see "Experimental Procedures"). At the indicated time points, conditioned medium was collected, the attached cells were lysed, and the levels of Pref-1/FA1 in medium (a, b, e, and f) and lysates (c, d, g, and h) were determined by ELISA. The Pref-1 levels in both conditioned media and cell lysates were normalized to the total amount of cellular protein at the given day. Values shown are average ± S.D. from three independent experiments. CS, calf serum; FCS, fetal calf serum; MDI, Mix plus Dex plus insulin; I, insulin.

 

It has been reported that the differentiation-defective 3T3-C2 exhibited a 3-fold increase in Pref-1 expression compared with 3T3-L1 cells, and it was hypothesized that this increased level of Pref-1 expression is causally related to the inability of 3T3-C2 cells to undergo adipocyte differentiation (17). Using ELISA for determination of Pref-1/FA1 in medium conditioned by 3T3-C2 cells and in lysates, we were unable to confirm this observation. On the contrary, the maximal levels of Pref-1/FA1 in medium conditioned by confluent 3T3-C2 and in lysates were only ~30% of those determined for 3T3-L1 cells (Fig. 1, compare e and g with a and c).

When 3T3-C2 cells were treated according to the MDI protocol for induction of adipogenesis, a moderate decline in the levels of Pref-1/FA1 in both conditioned medium and lysates were observed. A nadir in the level of Pref-1/FA1 in lysates was observed around day 3, but the magnitude of changes was minimal compared with 3T3-L1 cells (Fig. 1, f and h). Without MDI treatment the level of Pref-1/FA1 expression remained essentially constant in the period from day 1 to day 4 and then declined.

Forced Expression of Pref-1/FA1 Does Not Prevent MDI-induced Differentiation of 3T3-L1 Cells—It was originally reported that forced expression of Pref-1 in 3T3-L1 inhibited differentiation (17), and this observation has been confirmed in several subsequent studies (17, 19, 21). Furthermore, it was reported that addition of the Pref-1 ectodomain or peptides corresponding to the individual EGF-like repeats 1, 4, and 5 inhibited adipocyte differentiation (21), and recently, it was reported that only the large soluble form of Pref-1 inhibited adipocyte differentiation (38).

We amplified different regions of the rat Pref-1 cDNA by PCR and inserted the fragments into the Akvbipe2 retroviral vector (Fig. 2A). After transduction with the relevant retroviral vector, the cells were selected with G418, pooled, and subjected to treatment with differentiation inducers according to the MDI protocol (44). On day 10, the cells were either Oil Red O-stained or harvested. ELISA quantification confirmed that the cell lysates and conditioned medium from Pref-1-expressing 3T3-L1 cells contained Pref-1/FA1 levels 2- to 13-fold higher than the vector control cells (results not shown). Surprisingly, the differentiation potential was maintained in all the pools of cells transduced with the different constructs as determined by cell morphology and intercellular lipid accumulation (Fig. 2B). These results indicated that forced expression of rat Pref-1 in 3T3-L1 cells did not interfere overtly with the MDI-induced adipocyte differentiation.

Because our results clearly contrasted previously published results, we speculated whether this was a result of species differences between rat and mouse Pref-1. Consequently, we cloned the mouse pref-1 cDNA and repeated the experiments using retroviral vectors that harbored the full-length mouse pref-1A cDNA (mPrefFL) or a cDNA encoding the soluble form of mouse Pref-1/FA1 (mPrefSF). As shown in Fig. 3A, 3T3-L1 cells expressing the full-length or the soluble form both achieved more than 80% differentiation, comparable to the vector cells. Western blotting (Fig. 3B) detected a high intensity band of 50 kDa in the conditioned medium from mPrefSF and mPrefFL cells on both day 0 and day 10, indicating high levels of ectopic Pref-1 expression. These bands co-migrated with FA1 purified from mouse amniotic fluid (results not shown), indicating that the transduced full-length Pref-1 was correctly processed and released into the medium. In the cell lysates, a broad band around 55 kDa, representing the full-length Pref-1, was detected in 3T3-L1-vector cells on day 0 and in 3T3-L1-mPrefFL cells on days 0 and 10. The heterogeneous nature of the bands particularly in the cell lysates is likely to reflect the different degree of glycosylation (46) and/or alternative splicing of pref-1 gene transcripts (26). In our Western analysis, we did not detect bands between 21 and 31 kDa in the conditioned medium of Pref-1-transduced 3T3-L1 cells as reported previously for Pref-1-transfected COS-7 cells (36). To exclude the possibility that our deviating results were related to a peculiarity of the 3T3-L1 cell line, the experiments were repeated using 3T3-F442A cells. Identical results were obtained (results not shown). Thus, we conclude that forced expression of Pref-1/FA1 does not ensure maintenance of the preadipocyte phenotype and that high levels of Pref-1/FA1 expression is compatible with adipose conversion using the standard MDI protocol.



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FIG. 3.
Forced expression of mouse Pref-1/FA1 does not inhibit differentiation of 3T3-L1 preadipocytes in the presence of insulin. 3T3-L1 cells were transduced by retroviral vectors expressing different regions of mouse Pref-1 (see Fig. 2A) and then induced to differentiate according to the MDI protocol. On day 10, the cells were stained with Oil Red O; protein extracts and conditioned medium were prepared and analyzed by Western blotting. A, the stained dishes and x200 microscopic fields. B, Western blot analysis of cellular and secreted mouse Pref-1/FA1, the adipocyte differentiation markers aP2 and PPAR{gamma}. In each lane 100 µg of total protein or 10 µl conditioned medium was loaded.

 

Insulin or IGF-1 Treatment Bypasses Pref-1-mediated Inhibition of Adipocyte Differentiation—Our results demonstrating that adipocyte conversion of 3T3-L1 preadipocytes proceeded in the presence of forced expression of Pref-1 contradicted previous observations and indicated that Pref-1 down-regulation, contrary to the general notion, is not a prerequisite for adipocyte differentiation. The MDI differentiation protocol involves combined treatment with Mix, Dex, and insulin, whereas the inhibitory action of forced expression of Pref-1 was observed in cultures not treated with insulin (17). In the MDI procedure, insulin is used at supraphysiological concentrations, and hence, insulin is able to initiate signaling also through the IGF-1R. Thus, one interpretation of our experiments would be that the level of IGF-1 normally present in fetal calf serum became limiting for adipocyte differentiation of the Pref-1 overexpressing 3T3-L1 preadipocytes. Consequently, we analyzed whether the requirements for exogenous insulin or IGF-1 to induce differentiation were increased in 3T3-L1 preadipocytes that overexpressed the full-length or the soluble form of Pref-1 in comparison with 3T3-L1 cells transduced with the empty retroviral vector.

Fig. 4A shows that a significant proportion of the 3T3-L1 cells transduced with the empty retroviral vector differentiated into fat-laden adipocytes even in the absence of added insulin or IGF-1. In contrast, 3T3-L1 cells expressing the full-length or the soluble form of Pref-1 differentiated very poorly in the absence of exogenously added insulin or IGF-1. Addition of insulin or particularly IGF-1 to the vector-transduced cells increased differentiation in a dose-dependent manner. In 3T3-L1 cells expressing the soluble form of Pref-1/FA1, addition of IGF-1 to a concentration of 100 nM almost completely restored adipocyte differentiation, whereas the same concentration only partially restored differentiation of 3T3-L1 cells expressing the full-length Pref-1. Insulin at 100 nM was less efficient in restoring adipocyte differentiation of cells expressing either the full-length or the secreted form of Pref-1, with adipocyte differentiation being most efficiently suppressed in the cells expressing full-length Pref-1. It should be noted that insulin was used at a concentration of 167 nM in the standard MDI protocol. The same pattern was observed when differentiation was estimated from quantification of lipid accumulation using the GPO kit (Fig. 4B). Accumulation of cellular lipid was severely reduced in the 3T3-L1 cells that expressed the soluble form of Pref-1; in cells expressing full-length Pref-1, the reduction in lipid accumulation was even more pronounced. In parallel with the results obtained by Oil Red O staining, the use of the GPO-kit also revealed that accumulation of lipid was most effectively restored by the addition of IGF-1. Part of this increased accumulation can be ascribed to the greater number of differentiated cells in the IGF-1-treated cells. It is noteworthy that the percentage of differentiated 3T3-L1-mPrefSF cells was higher than that of 3T3-L1-mPrefFL cells at the same concentration of insulin or IGF-1 (Fig. 4A), even though Western blotting indicated that the level of Pref-1 in the medium of 3T3-L1-mPrefSF cells was higher than that in the medium of 3T3-L1-mPrefFL cells (Fig. 4C). This finding was corroborated by ELISA quantification, which demonstrated that the concentration of Pref-1/FA1 in the medium conditioned by cells expressing the full-length form of Pref-1 was 2 µg/ml, whereas medium conditioned by cells expressing the soluble form of Pref-1 contained 3 µg/ml (results not shown). Western blotting revealed that expression of PPAR{gamma} and the adipocyte marker gene aP2 was decreased in the 3T3-L1-mPrefSF and 3T3-L1-mPrefFL cells. Addition of IGF-1 or insulin restored expression of the marker genes in a dose-dependent manner paralleling the IGF-1/insulin-dependent rescue of adipocyte differentiation (Fig. 4C).



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FIG. 4.
Insulin or IGF-1 bypasses Pref-1/FA1-dependent inhibition of adipocyte differentiation. 3T3-L1 cells were cultured and induced to differentiation with 0.5 mM Mix and 1 µM Dex in the absence or presence of different concentrations of insulin or IGF-1 as indicated. On day 5 after initiation of differentiation, cells were either stained with Oil Red O or harvested to extract protein for triglyceride measurement and Western blotting. A, the stained dishes and x200 microscopic fields. B, the triglyceride content was determined using the GPO-kit (see "Experimental Procedures"). Values are normalized to that of the vector at 0 nM insulin/IGF-1 and presented as -fold. C, Western blot analysis. In each lane 100 µg of total protein was loaded.

 

Forced Expression of Pref-1/FA1 Diminishes the Level of the Mature Form of the IGF-1 Receptor and Attenuates IGF-1-dependent Signaling—IGF-1 is essential for adipocyte differentiation (47). Given our observation that IGF-1 overcomes Pref-1-dependent inhibition of adipocyte differentiation, we asked whether Pref-1 expression altered IGF-1R expression. By using RT-PCR we detected no significant differences in the expression of IGF-1R mRNA in 3T3-L1-vector, 3T3-L1-mPrefSF, and 3T3-L1-mPrefFL cells (Fig. 5A). However, when protein extracts from 3T3-L1-vector, 3T3-L1-mPrefSF, and 3T3-L1-mPrefFL preadipocyte cells were analyzed by Western blotting using an antibody specific for the IGF-1R {beta}-subunit, we found that the level of the mature IGF-1R {beta}-subunit was markedly reduced in cells expressing full-length Pref-1, whereas a significant, but less pronounced repression was observed in 3T3-L1-mPrefSF cells (Fig. 5B). The reduction in IGF-1R {beta}-subunit levels was about 60 and 40% in cells expressing the full-length and the soluble form of Pref-1, respectively (Fig. 5C). The discrepancy between IGF-1R mRNA and protein indicates post-transcriptional regulation of expression possibly at the level of protein processing. Identical results were obtained in 3T3-F442A cells overexpressing the soluble form of Pref-1 or full-length Pref-1 (results not shown). In conclusion, our observation that Pref-1/FA1 overexpression down-regulates the number of mature IGF-1R molecules in preadipocytes suggests that forced expression of Pref-1/FA1, at least in part by reducing the number of functional receptors, might interfere with IGF-1-dependent signaling.



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FIG. 5.
Forced expression of Pref-1/FA1 decreases the level of processed IGF-1R in 3T3-L1 cells. 3T3-L1 cells transduced with the empty vector or vectors expressing the soluble form (mPrefSF) or full-length Pref-1 (mPrefFL) were grown to 2 days post confluency, and then RNA and protein were extracted and subjected to multiplex RT-PCR or Western blotting, respectively. A, expression of IGF-1R mRNA analyzed by RT-PCR and quantified by phosphorimaging. The values represent the average (± S.D.) of four independent experiments. B, Western blot analysis. In each lane 100 µg of total protein was loaded. C, the level of IGF-1R {beta}-subunit analyzed by Western blotting in B was quantified by laser scanning densitometry. The values represent the average (± S.D.) from four independent experiments. In A and B values were normalized to TBP mRNA or TBP protein expression, respectively, and the normalized value for vector-transduced cells was in each experiment set equal to 1.

 

Because forced expression of Pref-1 led to a reduction in the number of mature IGF-1 receptors, we hypothesized that this would impair IGF-1-dependent downstream signaling. IGF-1/insulin-dependent signaling plays an important role in triggering the phase of mitotic clonal expansion during adipocyte differentiation. Consequently, we examined whether forced expression of either the soluble form of Pref-1 or full-length Pref-1 affected mitotic clonal expansion of 3T3-L1 cells. Indeed, forced expression of either the soluble form of Pref-1 or full-length Pref-1 reduced BrdUrd incorporation substantially in the absence of added IGF-1 indicating that clonal expansion was impaired, and addition of IGF-1 restored BrdUrd incorporation (Fig. 6).



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FIG. 6.
Effect of overexpression of Pref-1/FA1 on mitotic clonal expansion. Two-day post-confluent 3T3-L1-vector, 3T3-L1-mPrefSF, and 3T3-L1-mPrefFL cells were treated with Dex/Mix and different concentrations of IGF-1 as indicated and then labeled with BrdUrd in the period between 12 and 24 h after the start of the treatment. Cells incorporating BrdUrd during this 12-h period were detected by incubating the fixed cells with monoclonal anti-BrdUrd antibody, followed by incubation with fluorescein isothiocyanate-conjugated anti-mouse antibody. The total number of cells was visualized by counterstaining with Hoechst.

 

IGF-1R-dependent signaling leads to activation of Akt/PKB and p42/p44 MAPK. Activation of Akt/PKB promotes adipocyte differentiation (48), whereas conflicting data on the role of p42/p44 MAPK in adipocyte differentiation have been presented. However, it appears that the initial phase of adipocyte differentiation, including clonal expansion, requires MAPK activity, whereas sustained MAPK activity blocks terminal differentiation (49, 50, 51, 52). In addition, it was recently shown that transient early activation of the MEK/MAPK pathway promotes adipogenesis by increasing expression of PPAR{gamma} and C/EBP{alpha} (53). To examine how ectopic expression of Pref-1/FA1 affected IGF-1R downstream signaling, we compared activation of MAPK and Akt/PKB in 3T3-L1 cells with forced expression of either the soluble form or full-length Pref-1/FA1 in response to treatment with standard differentiation medium (DMEM, 10% FCS, Mix, and Dex) with or without 10 nM IGF-1 (Fig. 7). Treatment with medium containing IGF-1 led to a robust transient activation of p42/p44 MAPK and a more sustained activation of Akt/PKB in vector-transduced cells. In cells expressing either the soluble form or full-length Pref-1 activation of Akt/PKB proceeded unabated, whereas activation of p42/p44 MAPK was clearly diminished, but still significant. In cells not receiving IGF-1 no activation of Akt/PKB was observed at the time points examined. In vector-transduced cells, activation of p42/p44 MAPK still occurred, but this activation was almost completely abolished in cells expressing either the soluble form or full-length Pref-1. Of note, not only the levels of activated p42/p44 MAPK were reduced in Pref-1-overexpressing cells, also the duration of the activation period was reduced. We conclude that the level of IGF-1 (insulin) in FCS is insufficient to activate p42/p44 MAPK in cells overexpressing either the soluble form or full-length Pref-1. Supplementation with supraphysiological concentrations of insulin or IGF-1 overcomes this deficiency, allowing a transient activation of p42/p44 MAPKs restoring clonal expansion and differentiation.



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FIG. 7.
Overexpression of Pref-1/FA1 impaired the IGF-1/IGF-1R signaling. 3T3-L1-vector, 3T3-L1-mPrefSF, and 3T3-L1-mPrefFL cells were grown to confluency and then differentiated with differentiation medium either with or without 10 nM IGF-1 (see "Experimental Procedures"). The cells were harvested at the indicated time points after the initiation of differentiation, and protein extracts were prepared. The p42/MAPK, p44/MAPK, and Akt/PKB phosphorylations were detected by Western blotting using antibodies both against total proteins and specifically against phosphorylated forms, visualized by enhanced chemiluminescence, and quantified by laser scanning densitometry. The phosphorylation activities of p42, p44, and Akt proteins were normalized to their total protein values. The value for the activation in empty vector-transduced cells at 0 h is set equal to 1. The results are average ± range for two independent experiments performed in triplicate. pAkt, phosphorylated Akt; pp42, phosphorylated p42 MAPK; pp44, phosphorylated p44 MAPK.

 


    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 EXPERIMENTAL PROCEDURES
 RESULTS
 DISCUSSION
 REFERENCES
 
Efficient Processing of Membrane-bound Pref-1 in 3T3-L1 Preadipocytes Leads to Accumulation of High Levels of the 50-kDa Ectodomain in the Medium—Substantial evidence has accumulated that the membrane-bound and the soluble form of Pref-1/FA1 play important roles in controlling cellular growth and differentiation. In this study we show that a significant proportion of the membrane-bound Pref-1 in 3T3-L1 preadipocytes undergoes proteolytic processing resulting in the release of high levels of the soluble form of Pref-1/FA1 to the medium. The released Pref-1/FA1 is immunologically indistinguishable from the form found in amniotic fluid and exhibits the same heterogeneity on Western blotting. A comparison of the amounts of Pref-1/FA1 in cell lysates and medium indicated that the rate of processing increased when cells were maintained at confluency, whereas no significant changes in processing and release took place during the ensuing period of adipocyte differentiation.

The heterogeneity of Pref-1/FA1 proteins is generated by differential glycosylation (31, 46), alternative splicing (26), and heterogeneous processing at the C terminus (31, 46). By transfection into COS-7 cells, it was shown that of the six mRNA splice variants only pref-1A and pref-1B gave rise to processed and released products of 50 kDa (36). This also led to the hypothesis that differential splicing during adipocyte differentiation might perturb the ratio between mRNAs giving rise to Pref-1/FA1 (here named dlk) isoforms capable of undergoing processing and mRNAs encoding proteins that remained membrane-bound (21). In addition, it was suggested that the membrane-bound form and the soluble form of Pref-1 played opposing roles in the control of adipocyte differentiation. However, data presented in this study and by Smas and co-workers (19, 38) do not support this hypothesis. Following ectopic expression of the pref-1A cDNA in COS-7 cells, processing of the ectodomain gave rise to additional soluble products with molecular masses between 24 and 31 kDa. We have been unable to detect similar products in conditioned medium from 3T3-L1 cells. This may be related to poor recognition of these processing products (38), or, alternatively, it may indicate that processing of Pref-1/FA1 exhibits cell type specificity.

It was originally reported that the differentiation-defective 3T3-C2 cell line exhibited a 3-fold increase in Pref-1 expression in comparison to 3T3-L1 cells, and it was suggested that this increased level of Pref-1 expression was related to the inability of 3T3-C2 cells to undergo adipocyte differentiation (17). Our findings do not substantiate this notion. We found that the levels of Pref-1/FA1 in medium conditioned by and in the lysates of our line of 3T3-C2 cells were only ~30% of those seen in 3T3-L1 cells, questioning whether Pref-1 expression is a decisive factor governing the lack of adipose conversion of 3T3-C2 cells.

Pref-1/FA1-dependent Inhibition of Adipocyte Differentiation Is Bypassed by Addition of IGF-1 or Insulin—The initial observation that forced expression of Pref-1 prevented adipocyte differentiation of 3T3-L1 cells, established a role for Pref-1 as an inhibitor of adipogenesis and led to the general concept that down-regulation of Pref-1 expression is a prerequisite for adipocyte differentiation (17, 38). In our experiment utilizing the widely used differentiation protocol based on treatment with Mix, Dex, and insulin (44), we were unable to observe any inhibition of adipogenesis by forced expression of Pref-1. Similarly, treatment of 3T3-L1 cells with medium from Pref-1-overexpressing cells did not prevent adipocyte differentiation in response to addition of adipogenic inducers (results not shown). In addition, we showed that overexpression of Pref-1/FA1 in 3T3-F442A cells was compatible with differentiation induced by combined treatment with T3 and insulin.

We noted that in the original experiments of Smas and Sul (17) differentiation was induced without insulin. Because insulin is known to enhance differentiation of 3T3-L1 cells in part by activating IGF-1R-dependent signaling, we speculated whether Pref-1 overexpression interfered with insulin/IGF-1 signaling during initiation of adipocyte differentiation. Indeed, when insulin was omitted from the differentiation mixture leaving only the IGF-1 present in the fetal calf serum available for initiation of adipocyte differentiation, overexpression of full-length Pref-1 or the soluble form of Pref-1/FA1 almost completely inhibited differentiation. Accordingly, we demonstrated that IGF-1 and insulin in a dose-dependent manner rescued adipocyte differentiation of 3T3-L1 cells overexpressing either forms of Pref-1/FA1, with IGF-1 being the most effective. Although the level of soluble Pref-1 in the medium was significantly higher for cells overexpressing the soluble form of Pref-1/FA1 than for cells overexpressing full-length Pref-1, a stronger inhibition was observed in cells overexpressing full-length Pref-1. This seems to be at variance with the recent findings of Sul and co-workers (38) showing that only the soluble form of Pref-1/FA1 was able to inhibit adipocyte differentiation. This conclusion was based on the inability of a mutant Pref-1 lacking 21 amino acid residues of the extracellular juxtamembrane region, including the major processing site to inhibit adipocyte differentiation. In contrast, our results indicate that forced expression of full-length Pref-1 more efficiently inhibits adipocyte differentiation than forced expression of the soluble form of Pref-1/FA1 even though the level of the soluble form of Pref-1 in the medium is lower for cells with forced expression of full-length Pref-1. The apparent discrepancy between our results and those of Sul and co-workers might be explained if subtle differences in processing would yield a more potent inhibitor of adipocyte differentiation when full-length Pref-1 is the substrate for processing rather than the truncated soluble version. Alternatively, deletion of the 21-amino acid region might abolish the functionality of the membrane-bound form of Pref-1 in processes involving protein-protein interactions with other membrane-bound or soluble factors. In a broader sense this is reminiscent of the Pref-1-mediated up-regulation of HES-1 expression in thymocytes that apparently required either membrane-bound or dimeric Pref-1 (28).

Forced Expression of Pref-1/FA1 Impairs IGF-1/IGF-1R Signaling Pathways—It is well established that IGF-1 is essential for initiation of adipocyte differentiation. The supraphysiological concentrations of insulin used in the standard differentiation protocols mimics IGF-1 by interacting with the IGF-1R (47, 54). In preadipocytes, IGF-1 binds to the archetypical IGF-1R, whereas in adipocyte the IGF-1R/IR hybrid receptor prevails (55). In our experiments significant differentiation of Pref-1/FA1-expressing cells was restored using 10 nM IGF-1, which fits well with a Kd of 5 nM for binding of IGF-1 to the IGF-1R. In contrast to primary preadipocytes, 3T3-L1 cells only express insignificant levels of IGF-1 before as well as after induction of adipocyte differentiation (55), and exogenous IGF-1 is required to initiate differentiation. In normal fetal calf serum used for differentiation, the concentration of IGF-1 is very low. Approximately 13,000 IGF-1 receptors are present per cell in 3T3-L1 preadipocytes (47). Interestingly, it was reported that 15,000–22,000 IGF-1 receptors per cell were needed to render mouse embryo fibroblasts responsive to IGF-1 (56). That the number of active receptors on the cell surface is critical in determining the differential downstream MAPK activation, and hence, the cell growth/differentiation has also been seen in other cell types (reviewed in Ref. 57). In our experiment, overexpression of Pref-1/FA1 in 3T3-L1 and 3T3-F442A cells resulted in a significant reduction in the level of the mature IGF-1R {beta}-subunit. Thus, it is conceivable that a Pref-1/FA1-dependent reduction in the density of functional IGF-1Rs on the surface of preadipocytes would result in impaired IGF-1/IGF-1R signaling. In Balb/c 3T3 cells expressing either sense or antisense pref-1/dlk1, no effect of Pref-1/FA1 on IGF-1R levels was observed (58). The reason for this discrepancy remains to be established, but it may be cell line-dependent.

IGF-1/IGF-1R-mediated signaling regulates pathways leading to activation of the PI3K/Akt/PKB and Ras/Raf/MEK/MAPK pathways. In 3T3-L1 cells, IGF-1/IGF-1R preferentially activates the Shc/Grb2/SOS-dependent pathway of MAPK activation, whereas insulin/IR activates the IRS/PI3K-dependent pathway leading to Akt/PKB activation (59). Our results indicate that forced expression of Pref-1 did not affect IGF-1-dependent Akt/PKB activation, whereas activation of p42/p44 MAPK was strongly inhibited in the early stage of differentiation. Inclusion of IGF-1 in the differentiation mixture rescued the differentiation of Pref-1/FA1-overexpressing cells and restored p42/p44 MAPK activation. These results suggest that the inhibition of differentiation by Pref-1 overexpression is associated with the down-regulation of MAPK activation. Our result complements the recent observation that down-regulation of Pref-1/dlk expression in Balb/c 3T3 cells enhanced IGF-1-dependent activation of p42/p44 MAPKs (58). The role of p42/p44 MAPKs in adipogenesis has been a matter of dispute. Antisense-mediated elimination of p42/p44 MAPK expression was reported to prevent insulin-induced adipocyte differentiation and DNA synthesis in 3T3-L1 cells (49), and similarly, terminal differentiation of 3T3-F442A induced by insulin/T3/EGF was shown to require p42/p44 MAPK activation (50). By contrast, administration of the MEK1 inhibitor PD98059 was reported to block insulin-induced p42/p44 MAPK activation without affecting adipocyte differentiation of 3T3-L1 preadipocytes, whereas overexpression of either a constitutively active MEK1 or p42 MAPK impaired differentiation (51). Recently, it has been shown that inhibition of the MEK1-p42/p44 MAPK pathway in 3T3-L1 preadipocytes significantly attenuated the expression of PPAR{gamma} and C/EBP{alpha} and inhibited adipocyte differentiation (53). Thus, although it is obvious that sustained activation of p42/p44 MAPK curtails adipocyte differentiation, transient activation of p42/p44 MAPKs seems to be necessary for initiation of adipocyte differentiation and clonal expansion.

As for the role of p42/p44 MAPKs, the question as to whether clonal expansion is a prerequisite for adipocyte differentiation is still controversial (60, 61, 62, 63). However, it appears that clonal expansion depends on activation of p42/p44 MAPKs, and the recent thorough studies of Lane and co-workers argue that clonal expansion is required for differentiation of 3T3-L1 adipocyte. Thus, the Pref-1/FA1-dependent impairment of IGF-1-mediated activation of p42/p44 MAPKs may inhibit adipocyte differentiation by inhibiting clonal expansion (63) and expression of PPAR{gamma} and C/EBP{alpha} (53). However, our results do not rule out the possibility that Pref-1/FA1 may exert its inhibitory effect on adipocyte differentiation through signaling pathways other than those involving the IGF-1R and the p42/p44 MAPKs.

In conclusion, we demonstrate that a substantial proportion of Pref-1 expressed in preadipocytes is processed and released as soluble Pref-1/FA1. We show that both forms of Pref-1/FA1 are capable of inhibiting adipocyte differentiation. However, contrary to the general notion, we provide evidence that down-regulation of Pref-1 per se is not a prerequisite for adipocyte differentiation, because adipocyte differentiation can occur in the presence of high levels of Pref-1/FA1. Our results show that overexpression of Pref-1 is accompanied by a reduction in the level of the mature form of the IGF-1R, an impairment of IGF-1R-mediated p42/p44 MAPK activation, and an increased requirement for IGF-1/insulin to induce adipocyte differentiation. Given the striking changes in Pref-1 expression during embryogenesis (17, 29) and the importance of IGF-1 signaling for cellular growth and differentiation, closer examination of the general effect of Pref-1 on IGF-1-dependent signaling seems warranted.


    FOOTNOTES
 
* This work was supported by the Danish Biotechnology Program, the Danish Natural Science Research Council, the Danish Medical Research Council, the Daloon Foundation, and the Novo Nordisk Foundation. Part of the work was conducted within the Center for Experimental BioInformatics, supported by the Danish National Research Foundation. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. Back

|| To whom correspondence should be addressed. Tel.: 45-6550-2408; Fax: 45-6550-2467; E-mail: kak{at}bmb.sdu.dk.

1 The abbreviations used are: Mix, methylisobutylxanthine; aP2, adipocyte P2; Dex, dexamethasone; FA1, fetal antigen 1; FL, full-length; IGF-1, insulin-like growth factor 1; IGF-1R, type I insulin-like growth factor receptor; Ins, insulin; PPAR, peroxisome proliferator-activated receptor; Pref-1, preadipocyte factor 1; SF, soluble form; EGF, epidermal growth factor; dlk, delta-like protein; GST, glutathione S-transferase; MAPK, mitogen-activated protein kinase; MEK, MAPK/extracellular signal-regulated kinase kinase; RT, reverse transcription; DMEM, Dulbecco's modified Eagle's medium; CS, calf serum; FCS, fetal calf serum; BrdUrd, bromodeoxyuridine; ELISA, enzyme-linked immunosorbent assay; MDI, Mix, Dex, and insulin; T3, triiodothyronine; PKB, protein kinase B; TBP, TATA-binding protein; HES-1, hairy and enhancer of split-1. Back


    ACKNOWLEDGMENTS
 
We thank Dr. David A. Bernlohr for the anti-aP2 antibody.



    REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 EXPERIMENTAL PROCEDURES
 RESULTS
 DISCUSSION
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