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Am J Physiol Gastrointest Liver Physiol 287: G334-G343, 2004. First published March 25, 2004; doi:10.1152/ajpgi.00517.2003
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LIVER AND BILIARY TRACT

Activation of cAMP-guanine exchange factor confers PKA-independent protection from hepatocyte apoptosis

Kimberly A. Cullen,1 John McCool,1 M. Sawkat Anwer,2 and Cynthia R. L. Webster1

Departments of 1Clinical and 2Biomedical Science, Tufts University School of Veterinary Medicine, North Grafton, Massachusetts 01536

Submitted 12 December 2003 ; accepted in final form 20 March 2004

cAMP has previously been shown to promote cell survival in a variety of cell types, but the downstream signaling pathway(s) of this antiapoptotic effect is unclear. Thus the role of cAMP signaling through PKA and cAMP-regulated guanine nucleotide exchange factors (cAMP-GEFs) in cAMP's antiapoptotic action was investigated in the present study. cAMP's protective effect against bile acid-, Fas ligand-, and TNF-{alpha}-induced apoptosis in rat hepatocytes was largely unaffected by the selective PKA inhibitor, Rp-8-(4-chlorophenylthio)-cAMP (Rp-cAMP). In contrast, a novel cAMP analog, 8-(4-chlorophenylthio)-2'-O-methyl (CPT-2-Me)-cAMP, which activated cAMP-GEFs in hepatocytes without activating PKA, protected hepatocytes against apoptosis induced by bile acids, Fas ligand, and TNF-{alpha}. The role of cAMP-GEF and PKA on activation of Akt, a kinase implicated in cAMP survival signaling, was investigated. Inhibition of PKA with RP-cAMP had no effect on cAMP-mediated Akt phosphorylation, whereas CPT-2-Me-cAMP, which did not activate PKA, induced phosphatidylinositol 3-kinase (PI3-kinase)-dependent activation of Akt. Pretreatment of hepatocytes with the PI3-kinase inhibitor, Ly-294002, prevented CPT-2-Me-cAMP's protective effect against bile acid and Fas ligand, but not TNF-{alpha}-mediated apoptosis. Glucagon, CPT-cAMP, and CPT-2-Me-cAMP all activated Rap 1, a downstream effector of cAMP-GEF. These results suggest that a PKA-independent cAMP/cAMP-GEF/Rap pathway exists in hepatocytes and that activation of cAMP-GEFs promotes Akt phosphorylation and hepatocyte survival. Thus a cAMP/cAMP-GEF/Rap/PI3-kinase/Akt signaling pathway may confer protection against bile acid- and Fas-induced apoptosis in hepatocytes.

bile acid apoptosis; death receptor apoptosis; phosphatidylinositol 3-kinase; Akt; Rap 1



Address for reprint requests and other correspondence: C. R. L. Webster, Tufts Univ. School of Veterinary Medicine, 200 Westboro Rd., Grafton, MA 01536 (E-mail: cynthia.leveille-webster{at}tufts.edu).




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