Published ahead of print on September 29, 2005, doi:10.1165/rcmb.2005-0163OC
American Journal of Respiratory Cell and Molecular Biology. Vol. 34, pp. 182-191, 2006
© 2006 American Thoracic Society DOI: 10.1165/rcmb.2005-0163OC
Serotonin-Induced Growth of Pulmonary Artery Smooth Muscle Requires Activation of Phosphatidylinositol 3-Kinase/Serine-Threonine Protein Kinase B/Mammalian Target of Rapamycin/p70 Ribosomal S6 Kinase 1
Yinglin Liu and
Barry L. Fanburg
TuftsNew England Medical Center, Pulmonary, Critical Care and Sleep Division, Tupper Research Institute, Boston, Massachusetts
Correspondence and requests for reprints should be addressed to Barry L. Fanburg, M.D., Pulmonary, Critical Care, and Sleep Division, TuftsNew England Medical Center, 750 Washington Street, #257, Boston, MA 02111. E-mail: bfanburg{at}tufts-nemc.org
We have previously found that both mitogen-activated protein kinase (MAPK)- and Rho kinase (ROCK)-related signaling pathways are necessary for the induction of pulmonary artery smooth muscle cell (SMC) proliferation by serotonin (5-hydroxytryptamine [5-HT]). In the present study, we investigated the possible additional participation of a phosphatidylinositol 3-kinase (PI3K)/serine-threonine protein kinase B (Akt)/mammalian target of rapamycin (mTOR)/p70 ribosomal S6 kinase (S6K1) pathway in this growth response. We found transient activation of Akt (Ser473) and more prolonged activation of S6K1 by 5-HT. Inhibition of PI3K with Wortmannin and LY294002 completely blocked these activations, but not that of MAPK or the ROCK substrate myosin phosphatase targeting subunit. Similarly, inhibition of MAPK and ROCK failed to block the Akt activation. Inhibition of Akt with NL-71101 and downregulation of Akt expression with Akt small interfering RNA blocked 5-HTinduced S6K1 phosphorylation. Wortmannin, LY294002, and NL-71101 dose-dependently inhibited 5-HTinduced SMC proliferation. 5-HT stimulated mTOR phosphorylation and the mTOR inhibitor, rapamycin, blocked activations of S6K1 and S6 ribosomal protein, and inhibited 5-HTinduced SMC proliferation. Akt phosphorylation and cell proliferation were also blocked by the antioxidants, N-acetyl-l-cysteine, Ginko biloba 501, and tiron, the reduced nicotinamide adenine dinucleotide phosphate oxidase inhibitor, diphenyleneiodonium, and the 5-HT2 receptor antagonists ketanserin and mianserin, but not by the 5-HT serotonin transporter or 5-HT 1B/1D receptor antagonists. We conclude from these studies that a parallel PI3K- and reactive oxygen speciesdependent Akt/mTOR/S6K1 pathway participates independently from MAPK and Rho/ROCK in the mitogenic effect of 5-HT on pulmonary artery SMCs. From these and other studies, we postulate that independent signaling pathways leading to 5-HTinduced SMC proliferation are initiated through multiple 5-HT receptors and serotonin transporter at the cell surface.
Key Words: mammalian target of rapamycin p70 ribosomal S6 kinase phosphatidylinositol 3-kinase pulmonary hypertension serine/threonine protein kinase serotonin smooth muscle cells
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