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1 Department of Biochemistry, and 2 Department of Medicine, Division of Gastroenterology, Medical College of Wisconsin, Milwaukee, Wisconsin 53226
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ABSTRACT |
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We have analyzed the transport of newly synthesized mannose 6-phosphate (Man-6-P)-bearing proteins (i.e., lysosomal enzymes) in the polarized human colon adenocarcinoma cell line, Caco-2, by subjecting filter-grown cells to a pulse-chase labeling protocol using [35S]methionine, and the resulting cell lysate, apical medium, and basolateral medium were immunoprecipitated with insulin-like growth factor II/Man-6-P receptor (IGF-II/MPR)-specific antisera. The results showed that the majority of secreted lysosomal enzymes accumulated in the apical medium at >2 h of chase and that this polarized distribution was facilitated by the IGF-II/MPR selectively endocytosing lysosomal enzymes from the basolateral surface. Treatment with various agents known to affect vesicular transport events demonstrated that incubations at 16°C or incubations with brefeldin A inhibited the secretion of lysosomal enzymes from both the apical and basolateral surface, whereas treatment with nocodazole selectively blocked apical secretion. In contrast, incubation with NH4Cl or nocodazole had a stimulatory effect on basolateral secretion. Taken together, these results demonstrate that the sorting of Man-6-P-containing proteins into the apical and basolateral secretory pathways is regulated by distinct components of the intracellular trafficking machinery.
lysosomal enzymes; intracellular trafficking; insulin-like growth factor II receptor
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INTRODUCTION |
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THE SELECTIVE DELIVERY OF newly synthesized lysosomal enzymes to the lysosome is an essential process for the functional maturation of this organelle that involves a number of specific recognition and segregation events. In higher eukaryotic cells, newly synthesized soluble acid hydrolases acquire mannose 6-phosphate (Man-6-P) residues on their N-linked oligosaccharides by the action of UDP-N-acetylglucosamine:lysosomal enzyme N-acetylglucosamine-1-phosphotransferase. The ability of this phosphotransferase to recognize a protein determinant that is common to lysosomal enzymes provides the specificity required for the subsequent segregation of lysosomal enzymes from secretory proteins (5, 27). In the Golgi, phosphomannosyl residues serve as high-affinity ligands for binding to two distinct Man-6-P receptors (MPRs), the 300-kDa insulin-like growth factor II/MPR (IGF-II/MPR) and the 46-kDa cation-dependent MPR. The removal of acid hydrolases from the secretory pathway occurs when the receptor-lysosomal enzyme complex enters into clathrin-coated pits and vesicles for delivery from the trans-Golgi network (TGN) to an acidified late endosomal compartment. The acidic pH of this compartment induces the complex to dissociate. The released lysosomal enzymes are then delivered to lysosomes, whereas the receptors either return to the Golgi to repeat the process or move to the plasma membrane where, at least for the IGF-II/MPR, they function to internalize extracellular ligands via a recapture pathway (6, 26, 35, 48).
Most cells secrete a small percentage of their newly synthesized lysosomal enzymes. However, under certain physiological conditions, some acid hydrolases are overproduced and the majority of these enzymes are secreted instead of being delivered to the lysosome (12, 20). A number of mechanisms have been proposed to explain how acid hydrolases may be selectively targeted to escape transport to the lysosome, resulting in their secretion: 1) decreased binding to MPRs due to an altered Man-6-P content on the lysosomal enzyme (38), 2) decreased binding to MPRs due to noncarbohydrate effects on the acid hydrolase (28), 3) altered availability of the MPRs to bind ligand due to saturation, downregulation, or redistribution of the receptors to the plasma membrane (1, 39), and 4) involvement of MPRs in the delivery of lysosomal enzymes to the cell surface (2). However, the exact mechanisms by which these processes are regulated to mediate the delivery of newly synthesized lysosomal enzymes to the cell surface for secretion, rather than to the lysosome, are not known.
Polarized epithelial cells present a more complicated problem when it comes to the delivery of proteins to the cell surface in that their plasma membrane is divided into two morphologically, functionally, and biochemically distinct cell surface domains: an apical domain that faces the exterior of the organism and a basolateral domain that faces the internal environment. Polarized epithelial cells are able to selectively direct newly synthesized membrane or secretory proteins to either of these domains (44). To begin to evaluate how the secretion of lysosomal enzymes may be regulated in a polarized cell, we have analyzed the biosynthesis and transport of Man-6-P-containing ligands (i.e., lysosomal enzymes) in the polarized human intestinal epithelial cell line, Caco-2. Our results indicate that the majority of newly synthesized lysosomal enzymes accumulate in the apical medium. The enrichment of distinct Man-6-P-containing ligands in the apical and basolateral medium plus the differential effects displayed by various agents known to alter vesicular transport events indicate that entry into and passage through the apical and basolateral pathways are differentially regulated.
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MATERIALS AND METHODS |
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Materials.
The following reagents were obtained commercially as indicated:
EXPRE35S35S35S
protein labeling mix (1,200 Ci/mmol, NEN Life Science Products); fetal
bovine serum (FBS; HyClone Laboratories); DMEM and trypsin-EDTA (GIBCO
BRL Life Technologies); protein A-Sepharose, brefeldin A (BFA), and
Man-6-P (Sigma); nocodazole (Aldrich);
and endo-
-N-acetylglucosaminidase H
(endo H) (Boehringer Mannheim). Caco-2 cells were kindly provided by
Dr. Ward Olsen of the Veterans Affairs Hospital (Madison, WI).
Cell culture.
Caco-2 cells (passages 76-96)
were grown in DMEM (25 mM glucose) supplemented with 20%
heat-inactivated FBS, 4 mM glutamine, 100 U/ml penicillin, and 100 µg/ml streptomycin in a humidified atmosphere containing 5%
CO2. For polarity experiments,
cells were grown as epithelial layers by high-density seeding (1.5 × 106 cells/filter) onto
nitrocellulose membrane filter inserts (Millicell-HA, 30 mm diameter,
0.45 µm pore size, Millipore). The formation and integrity of
monolayers were assessed by the development of a significant
transepithelial electrical resistance of 250-300
/cm2 over the resistance of the
filter alone. Resistance readings were measured with a Millicell-ERS
voltohmeter (Millipore). All polarity studies were performed 14 days
after plating.
Metabolic labeling. Cells grown on filter inserts were starved for 15 min in DMEM lacking methionine and cysteine (GIBCO BRL Life Technologies) and containing 10% heat-inactivated FBS (DMEM-FBS). The cells were then incubated in DMEM-FBS containing EXPRE35S35S35S protein labeling mix (0.25-0.5 mCi/ml) (pulse medium) for 1 h followed by incubation for the indicated times with DMEM containing 20% FBS, 1 mM methionine, and 1 mM cysteine (chase medium). In some experiments, Man-6-P was added to the pulse and chase medium to a final concentration of 10 mM. Incubations at 16°C were carried out in chase medium supplemented with 20 mM HEPES, pH 7.2. In some experiments, BFA (10 µg/ml) or NH4Cl (10 mM) was added to the chase medium. Treatment with nocodazole was carried out by preincubating the cells for 2 h and 45 min in DMEM-20% FBS containing nocodazole (10 µg/ml) followed by the above labeling protocol with nocodazole (10 µg/ml) present in the starvation, pulse, and chase media. The apical and basolateral media were harvested. Unless otherwise indicated, the cells were solubilized for 1 h on ice in buffer containing 0.1 M Tris, pH 8.0, 0.1 M NaCl, 10 mM EDTA, Triton X-100 (1% vol/vol), sodium deoxycholate (0.1% wt/vol), aprotinin (1% vol/vol), antipain (4 µg/ml), benzamidine (20 µg/ml), and 2 µg/ml each of leupeptin, chymostatin, and pepstatin. The total amount of protein in the resulting cell lysate was determined using the Bradford protein assay as recommended by the manufacturer (Bio-Rad). In some experiments, the cells were labeled under serum-free conditions in DMEM lacking methionine and cysteine and supplemented with human serum albumin (0.05% vol/vol), insulin (5 µg/ml), transferrin (5 µg/ml), and selenium (5 ng/ml).
Immunoprecipitations. Cell lysates or medium were incubated at 4°C for 16-24 h with protein A-Sepharose plus anti-MPR polyclonal antibodies. In some samples, Man-6-P (10 mM) or purified IGF-II/MPR (0.27 nM), which had been isolated from bovine liver by pentamannosyl phosphate-agarose affinity chromatography (7, 18), was added. After recovery by centrifugation, the protein A-Sepharose beads were washed four times with buffer containing 0.1 M Tris (pH 8.0), 0.1 M NaCl, 10 mM EDTA, and 1% Triton X-100 and once in buffer containing 20 mM Tris (pH 8.0) and 20 mM NaCl. Bound proteins were eluted by the addition of Laemmli sample buffer and analyzed on 7.5% or 9% SDS polyacrylamide gels under reducing conditions. The radiolabeled bands were visualized by fluorography and quantified by using an Ambis radioanalytical imaging system or a PhosphorImager (Molecular Dynamics Storm 860) with ImageQuant (version 4.1) software.
Endo H digestion. Immunoprecipitated samples were eluted from the protein A-Sepharose beads by incubation with buffer containing 1% SDS and 10 mM Tris · HCl (pH 7.4) for 5 min at 95°C. The eluates were precipitated with acetone. Endo H digestion was carried out in a buffer containing 0.1 M citrate (pH 6.0), 0.075% SDS, 0.2% 2-mercaptoethanol, and 1 mU endo H for 16 h at 37°C. The samples were analyzed by SDS-PAGE as described above.
IGF-II/MPR-agarose affinity chromatography. A fraction of the dialyzed medium sample was passed over bovine liver IGF-II/MPR affinity columns (21). After washing, the columns were eluted sequentially with 5 mM glucose 6-phosphate in column buffer followed by 5 mM Man-6-P in column buffer. The eluates were precipitated with TCA, subjected to SDS-PAGE, and visualized by fluorography.
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RESULTS |
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Expression of IGF-II/MPR in Caco-2 cells.
To analyze the biosynthesis of the IGF-II/MPR in polarized Caco-2
cells, cells grown on filter inserts were metabolically labeled and the
cell lysate, apical medium, and basolateral medium were incubated with
IGF-II/MPR-specific antisera. The results of the immunoprecipitation
show the expected band of ~250 kDa, corresponding to the receptor, in
the cell lysate plus multiple lower-molecular-weight species (Fig.
1A,
lane 1). These
lower-molecular-weight species were also detected in both the apical
and basolateral media (Fig. 1A,
lanes 3 and
5) and in immunoprecipitations using monoclonal or affinity-purified antibodies specific for the IGF-II/MPR (data not shown). To determine whether these low-molecular-weight species represented newly synthesized lysosomal enzymes that were bound
to the IGF-II/MPR en route to the prelysosomal compartment, immunoprecipitations were carried out in the presence of
Man-6-P. Figure
1A (lanes
2, 4, and
6) shows that the
lower-molecular-weight species (i.e., major species of 124, 90, doublet
at 65, doublet at 53, and 46 kDa molecular mass) were completely
eliminated when the solubilized cell lysate or medium was incubated
with IGF-II/MPR-specific antiserum in the presence of 10 mM
Man-6-P. In contrast, the ~250-kDa species was efficiently immunoprecipitated from the cell lysate in the
presence or absence of Man-6-P. The
identity of the ~250-kDa species as the IGF-II/MPR was confirmed by
pentamannosyl phosphate-agarose affinity chromatography (data not
shown). Thus these results demonstrate that the multiple
low-molecular-weight species are
Man-6-P-containing ligands (i.e.,
lysosomal enzymes) that remain bound to the receptor and are
coimmunoprecipitated along with the receptor. The observed relative
molecular weight of these species indicates the size of the
Man-6-P-containing proteins rather
than the size of the receptor-ligand complex because of the
dissociation of the complex during the preparation of the samples for
SDS-PAGE. The results also show that no detectable receptor is secreted
into the medium (see also Fig.
2A).
Although a 250-kDa species is detected in the basolateral medium (Fig.
1A, lanes
5 and 6), this band,
which is highly abundant in the basolateral medium as determined by precipitating an aliquot of the medium with TCA (data not shown), is
nonspecific, since it is precipitated with preimmune serum (Fig.
1B, lanes
1 and 6, and Fig.
2A).
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Secretion of Man-6-P-containing proteins. To further examine the kinetics of association of lysosomal enzymes with the receptor and their rates of secretion into the apical and basolateral medium as well as the biosynthesis of the IGF-II/MPR, filter-grown cells were pulse labeled with 35S protein-labeling mix for 1 h and incubated in chase medium containing nonradioactive methionine and cysteine for various times, and the cell lysates and media were immunoprecipitated with IGF-II/MPR-specific antisera. The newly synthesized ~250-kDa IGF-II/MPR was completely endo H sensitive at 0 h of chase, indicating the presence of high mannose oligosaccharides, and gradually acquired complex-type oligosaccharides that were completely resistant to endo H digestion (half-life = 4 h) (Fig. 2A). The half-life of the receptor was 27 h, which is similar to that reported in several other cell lines (4, 17, 23).
Analysis of the Man-6-P-containing ligands revealed a transient appearance of these low-molecular-weight species in the cell, with no detectable intracellular ligands after 8 h of chase (Fig. 2). These results are consistent with the dissociation of newly synthesized lysosomal enzymes from the receptor when they reach the prelysosomal compartment where the acidic environment of this compartment results in dissociation of the receptor from its ligands (26). The detection of Man-6-P-containing ligands in the apical and basolateral media indicates that these proteins have entered the secretory pathway, having escaped interaction with the MPRs and the subsequent delivery to the prelysosomal compartment. The Man-6-P-containing ligands present in the cells and media were sensitive to endo H digestion (Fig. 2A), which is consistent with the presence of Man-6-P on high mannose-type, N-linked oligosaccharides (15, 47). Although each of the major species of lysosomal enzymes was detected in both the apical and basolateral media, the apical medium showed an enrichment of the 90-kDa species, whereas the basolateral medium showed an enrichment of the 65-kDa species at all time points (Fig. 2A), suggesting the existence of a selective mechanism for the entry of individual lysosomal enzymes into the apical or basolateral secretory pathways. Quantitation of the total phosphorylated population of lysosomal enzymes revealed that significantly more Man-6-P-containing ligands were observed in the apical medium than in the basolateral medium at >2 h of chase time, with ~60% and >80% of the total lysosomal enzymes detected in the apical medium at 6 and 36 h of chase, respectively (Fig. 2B). However, the presence of 10 mM Man-6-P in the pulse and chase media resulted in similar amounts of lysosomal enzymes present in the apical and basolateral media, with 42% and 48% of the total Man-6-P-containing ligands detected in the apical medium at 6 and 36 h of chase, respectively (Fig. 2B). Because the addition of Man-6-P to the medium of cells has been shown to inhibit the endocytosis of extracellular ligands by the IGF-II/MPR (22), these results implicate a role for the receptor in establishing the polarized steady-state levels of secreted lysosomal enzymes of Caco-2 cells.Apical and basolateral sorting pathways.
To determine whether the sorting of lysosomal enzymes into the apical
and basolateral secretory pathways may be regulated differently,
filter-grown Caco-2 cells were treated with several agents known to
affect vesicular transport processes. The results are summarized in
Table 1. Incubation of the cells at
16°C, which is known to block vesicular transport (31, 42),
resulted in the nearly complete inhibition of secretion of lysosomal
enzymes from both the apical and basolateral surfaces, indicating a
similar temperature dependence for transport to the apical and
basolateral cell surface. In addition, the low temperature
significantly decreased the amount of newly synthesized lysosomal
enzymes that associated with the IGF-II/MPR in the cell fraction (Fig.
3 and Table 1), suggesting that 16°C
either blocked the phosphorylation of lysosomal enzymes or prevented
the targeting of lysosomal enzymes and/or the IGF-II/MPR to the
compartment where the receptor normally binds its ligand. Similar
results were obtained with BFA, a fungal metabolite that is known to
interfere with the function of a membrane-bound guanine
nucleotide-exchange protein to prevent association of 20-kDa
GTP-binding ADP ribosylation factors (ARFs) with membranes (11, 16). A
significant decrease was seen in the amount of lysosomal enzymes that
associated with the IGF-II/MPR in the cell fraction as well as the
amount secreted at both surfaces, with a slightly greater impact on
apical secretion (Fig. 4 and Table 1).
Treatment of Caco-2 cells with nocodazole, which causes
depolymerization of microtubules (10), resulted in about a 50%
reduction in the amount of lysosomal enzymes secreted apically and a
twofold increase both in the amount secreted basolaterally as well as
the amount associated with the IGF-II/MPR in the cell fraction at the
6-h chase time (Fig. 5 and Table 1). These
results demonstrate the requirement for an intact microtubular network
for lysosomal enzymes to efficiently traverse the apical secretory
pathway. Treatment of the cells with the weak base,
NH4Cl, which raises the pH of intracellular organelles (9, 33), resulted in a selective threefold
increase in the secretion of lysosomal enzymes at the basolateral
surface with a slight inhibitory effect on the apical secretory
pathway. In contrast to that observed with nocodazole, the amount of
lysosomal enzymes associated with the cell fraction was unchanged at
the 6-h chase time (Fig. 6 and Table 1).
Taken together, these results demonstrate that the secretion of
lysosomal enzymes via the apical and basolateral secretory pathways is
mediated through distinct machinery.
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DISCUSSION |
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MPRs mediate the lysosomal targeting of Man-6-P-containing soluble acid hydrolases, a heterogeneous population of >40 enzymes that differ in size, oligomeric state, number of N-linked oligosaccharides, and extent of phosphorylation of their oligosaccharide chains. Although much information is available concerning the essential role of this phosphomannosyl recognition system in the biogenesis of lysosomes in nonpolarized cells (36), little is known about the trafficking of the receptor and its ligands in polarized epithelial cells. To analyze the biosynthesis and transport of newly synthesized lysosomal enzymes in polarized cells, we have used IGF-II/MPR-specific antisera to detect by coimmunoprecipitation the total pool of Man-6-P-containing proteins in the human colon adenocarcinoma cell line, Caco-2.
It has been reported that Caco-2 cells release the majority of their
secretory glycoproteins and lipoproteins (41, 46) as well as some
nonglycoproteins (40) into the basolateral medium, and it was suggested
(41, 46) that the basolateral pathway represents a default pathway for
exocytosis. Subsequent studies have revealed that the acid hydrolase,
-glucosidase, is secreted predominantly from the apical surface in
Caco-2 cells, whereas the other lysosomal enzymes tested, namely,
cathepsin D,
-glucuronidase, and
-hexosaminidase, are secreted
predominantly via the basolateral pathway (24). Our current studies
clearly demonstrate that the majority of secreted phosphorylated
lysosomal enzymes accumulate in the apical medium of Caco-2 cells. The
discrepancy between our results and those of Klumperman et al. (24) may
be due to the difference in the type of assay utilized: Klumperman et
al. measured the activity of selected lysosomal enzymes, whereas in the
current study IGF-II/MPR-specific antiserum was used to detect the
total endogenous pool of phosphorylated lysosomal enzymes, which
coimmunoprecipitate with the receptor. The observation that the
presence of 10 mM Man-6-P in the
medium resulted in an increase in the amount of lysosomal enzymes in
the basolateral, but not the apical, medium (Fig.
2B) is consistent with our previous
findings that, although present on both plasma membrane domains, the
IGF-II/MPR is capable of endocytosing phosphorylated ligands via the
recapture pathway exclusively from the basolateral surface (8).
Therefore, the presence of Man-6-P in
the medium would be expected to inhibit the uptake of lysosomal enzymes
only from the basolateral surface, as observed in the current report.
In addition, the observed decrease in the total amount of
phosphorylated lysosomal enzymes in the apical medium following
incubation with Man-6-P (Fig.
2B) suggests that inhibition of the
IGF-II/MPR recapture pathway at the basolateral surface by
Man-6-P partially inhibits the
delivery of lysosomal enzymes to the apical surface. Thus the
IGF-II/MPR plays a role in mediating the delivery of at least a portion
of lysosomal enzymes to the apical surface via an indirect secretory
pathway (Fig. 7). Taken together, these
results indicate that the IGF-II/MPR recapture pathway plays a critical
role in establishing the steady-state polarized distribution (i.e.,
apical enrichment) of phosphorylated lysosomal enzymes in intestinal
epithelial cells.
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The fungal metabolite BFA has been shown to interfere with various steps of intracellular vesicular transport. With respect to endoplasmic reticulum (ER)-to-Golgi transport, BFA treatment leads to an inhibition of anterograde vesicular transport, whereas the retrograde pathway seems to remain unaffected. At the morphological level, this results in an almost complete disappearance of the Golgi apparatus and relocation of Golgi constituents to the ER. These effects are caused by the inability of cytosolic coat components to bind to organellar surfaces: BFA inhibits GDP-GTP exchange on ARF proteins, which are key components for the recruitment of coat proteins (30, 34, 37). Our results show that BFA, as well as incubation at 16°C, inhibits both apical and basolateral secretion to a similar extent. In addition, little association of the enzymes with the IGF-II/MPR was detected in the cellular fraction (see Table 1 and Figs. 3 and 4). These results are consistent with BFA and low temperature blocking anterograde movement through the Golgi, thus either preventing the newly synthesized lysosomal enzymes from entering into compartments containing the phosphotransferase and/or preventing the phosphorylated enzymes from interacting with the MPRs in the TGN (Fig. 7).
The transport of brush-border enzymes to the apical membrane has been shown to occur in Caco-2 cells via either a direct pathway or an indirect pathway in which the proteins are first delivered to the basolateral membrane and then undergo transcytosis for delivery to the apical membrane (29, 32). Studies using nocodazole, a microtubule-depolymerizing agent, demonstrated that the delivery of membrane and secretory proteins to the apical surface was inhibited in the presence of the drug, whereas the delivery of basolateral proteins was unaffected (13). Consistent with these studies are our results that show that treatment with nocodazole resulted in an overall decrease in the amount of lysosomal enzymes secreted apically (see Table 1 and Fig. 5). The overall increase in the amount of lysosomal enzymes secreted at the basolateral surface and contained within the cell fraction in the presence of nocodazole (see Table 1 and Fig. 5) is likely due to an increase in the overall flux of the enzymes through the basolateral secretory pathway caused by an accumulation of the acid hydrolases in the TGN and/or endosomal compartments that results from the blockage of the apical secretory pathway (Fig. 7).
The targeting of newly synthesized acid hydrolases involves both the binding and release of ligand. The receptor-enzyme complex forms in the Golgi and is transported to a prelysosomal compartment. The low pH of this late endosomal compartment induces dissociation of the complex by causing a change in the conformation of the receptor (49). A change in the ability to dissociate ligand can have an overall impact in the targeting pathway. This is demonstrated in the treatment of cells with lysosomotropic amines, such as NH4Cl, which accumulate in acidic intracellular compartments, causing an increase in the intracompartmental pH and an impairment of receptor-enzyme dissociation. The inability to dissociate ligand results in constantly occupied MPRs, which stimulate the secretion of newly synthesized acid hydrolases (14, 45). Our results show that treatment of Caco-2 cells with NH4Cl had a slight inhibitory effect on the secretion of lysosomal enzymes at the apical surface but significantly increased (3-fold) the amount of secretion at the basolateral surface (see Table 1 and Fig. 6). A similar result was observed when cells were incubated in the presence of 10 mM Man-6-P: the amount of lysosomal enzymes in the cells, apical medium, and basolateral medium was 96%, 67%, and 348% of control, respectively, at >6 h of chase. These results indicate the involvement of an acidified compartment(s) in regulating the entry of lysosomal enzymes into the apical and basolateral secretory pathway, with the loss of acidified compartments having a selective inhibitory effect on apical secretion (Fig. 7).
In summary, we propose that targeting of lysosomal enzymes to the apical surface occurs in part via an indirect pathway: the IGF-II/MPR recaptures secreted lysosomal enzymes at the basolateral surface and the enzymes are subsequently delivered to an apical endosomal compartment (Fig. 7), a site where the endocytic pathways from the apical and basolateral surfaces meet (19, 25). The ability of the IGF-II/MPR to internalize secreted lysosomal enzymes solely from the basolateral surface (8) and the observed decrease in the accumulation of lysosomal enzymes in the apical medium in cells treated with NH4Cl or Man-6-P, two treatments that result in the unavailability of the receptor, support the role of IGF-II/MPR in generating the steady-state polarized distribution (i.e., apical enrichment) of secreted phosphorylated lysosomal enzymes in intestinal epithelial cells. Further studies are required to address the issue of how lysosomal enzymes are selectively segregated into the apical secretory pathway and whether the number and/or extent of phosphorylation of N-linked oligosaccharides present on an acid hydrolase plays any role in this process.
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ACKNOWLEDGEMENTS |
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This work was supported by National Institute of Diabetes and Digestive and Kidney Diseases Grant DK-44200. This work was done during the tenure of an Established Investigatorship from the American Heart Association to N. M. Dahms.
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FOOTNOTES |
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The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. §1734 solely to indicate this fact.
Address for reprint requests and other correspondence: N. M. Dahms, Medical College of Wisconsin, Dept. of Biochemistry, 8701 Watertown Plank Road, Milwaukee, WI 53226 (E-mail: ndahms{at}mcw.edu).
Received 7 December 1998; accepted in final form 28 May 1999.
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