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The Journal of Clinical Endocrinology & Metabolism Vol. 83, No. 11 4041-4046
Copyright © 1998 by The Endocrine Society


Original Studies

Expression of Peptide-23/Pancreatitis-Associated Protein and Reg Genes in Human Pituitary and Adenomas: Comparison with Other Fetal and Adult Human Tissues1

Catherine Bartoli, Nathalie Baeza, Catherine Figarella, Isabelle Pellegrini and Dominique Figarella-Branger

Laboratoire de Biopathologie Nerveuse et Musculaire, Institut de Biologie du Développement de Marseille, Université de la Méditerranée (C.B., D.F.-B.), and Groupe de Recherches sur les Glandes Exocrines (N.B., C.F.), Faculté de Médecine La Timone, 13385 Marseille; and Laboratoire Interactions Cellulaires Neuroendocriniennes, Unité Mixte de Recherche 9941 Centre National de la Recherche Scientifique, Université d’Aix-Marseille 2, Faculté de Médecine Nord (I.P.), 13916 Marseille, France

Address all correspondence and requests for reprints to: D. Figarella-Branger, Laboratoire de Biopathologie Nerveuse et Musculaire, Institut de Biologie du Développement de Marseille, Université de la Méditerranée, Faculté de Médecine La Timone, 13385 Marseille Cedex 05, France.


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Peptide 23, the rat homolog of the human pancreatitis-associated protein (PAP)/hepatocarcinoma-intestine-pancreas (HIP) protein, has been identified in primary culture of rat pituitary cells. Its secretion was shown to be stimulated by GH-releasing factor and inhibited by somatostatin in a similar fashion to GH. This observation led the researchers to speculate that peptide 23 does have a physiological hormonal role. We tested this hypothesis by screening by RT-PCR reactions the expression of the PAP/HIP gene in several human pituitary adenomas, especially GH-producing adenomas. Our results show a weak expression of the PAP/HIP gene in the pituitary gland and in most of the tumors, but independent of their origin. The significant homology of the PAP/HIP gene to the Reg gene family prompted us to study in the same pituitary adenomas the presence of the related Reg genes. Reg expression was never observed in the adenomas tested or in the pituitary gland. In contrast, the RegL transcript was observed in pituitary gland and in some subtypes of adenomas. We then extended our work to normal adults and developing human tissues to compare the expression patterns of the PAP/Reg gene family. We observed the presence of the PAP/HIP transcript in each tissue tested. In contrast, the Reg gene was expressed only in fetal pancreas and in some adult tissues, whereas the RegL gene was expressed not only in fetal pancreas but also in fetal colon and brain as well as some adult tissues. In conclusion, our results show that all of the human fetal and adult tissues examined express at least one of the different transcripts of the PAP/Reg family, suggesting that the regulation of these homologous genes is coordinately controlled.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
PEPTIDE 23 (P23) was originally identified in the culture medium of cultured rat pituitary cells (1). Its secretion was shown to be stimulated by GH-releasing factor (GRF) and inhibited by somatostatin in a similar fashion to GH, but the N-terminal amino acid sequence of P23 revealed no significant homology with rat GH (2). Molecular cloning of the protein has permitted confirmation of these previous data (3). The corresponding transcript of about 0.9 kb was observed in rat cultured anterior pituitary cells, but not in ribonucleic acid (RNA) extracted from rat anterior pituitary glands. Moreover, in situ hybridization with antisense P23 riboprobe failed to detect labeled cells in control rat pituitary glands, whereas many labeled cells were present in the anterior lobe of the pituitary from human GRF-treated rats. It was thus suggested by Bowers that somatotroph P23 does have a physiological hormonal role (4). In fact, the coding region of P23 showed a complete sequence identity with the rat pancreatitis-associated protein (PAP), a protein undetectable in normal pancreatic juice but secreted in a large quantity during experimental acute pancreatitis (5, 6). Rat P23/PAP was also constitutively present in the small intestine as well as in a closely related protein, the Reg protein, which, in contrast to rat P23/PAP, is also present in the normal pancreas and overexpressed in rat regenerating islets (7).

Homologous rat PAP and Reg genes have been found in humans with a similar tissue distribution as that in the rat (8). The sequences of their complementary DNAs (cDNAs) present around 50% homology between them and also with encoded rat proteins (9). In addition, human PAP messenger RNA (mRNA) has been found to be expressed in 25% of primary liver cancer (and is called HIP); thus, the gene is now named PAP/HIP (10, 11). In human pancreas a Reg-like gene (RegL) has been also identified as well as a Reg-related sequence described as a pseudogene (9, 12, 13).

No study has been performed until now on the human pituitary gland. We then decided to look for a peptide homologous to the PAP/Reg family in human normal pituitary gland as well as in different adenomas, especially in GH-producing adenomas. We compared their potential expression to that in other normal adults and developing tissues known to express some of the PAP and Reg family genes.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Tissues

Three plurihormonal adenomas GH-PRL and 30 monosecretant pituitary adenomas were selected: 8 chromophobes, 6 gonadotrophs (FSH, LH, or both), 8 prolactinomas (PRL), 4 somatotrophs (GH), 2 thyreotrophs (TSH), and 2 corticotrophs (ACTH). Tumor samples were collected in the surgical room. One part was frozen in liquid nitrogen and stored at -80 C before RNA extraction. The other part was put in 10% formalin for histological and immunohistochemical studies. All tumors were macroadenomas devoid of normal pituitary tissue. Normal adult and fetal tissues were provided from autopsies. Fragments from adult pancreas (3), stomachs (2), jejunums (2), colons (2), pituitary glands (2), frontal lobes (2), and cerebellum (2) were studied. Fragments from fetuses were pancreas (20, 34, or 37 weeks gestation), antrum (34 and 37 weeks), and 1 fragment each of jejunum, colon, pituitary gland, frontal lobe, and cerebellum (34 weeks gestation). In addition, total adult brain mRNAs and total fetal brain mRNAs (pools of mRNA from fetuses aged 14–25 weeks) were provided by Clontech (Palo Alto, CA).

Total RNA extraction

Total cellular RNA was extracted using the guanidinium thiocyanate method (14) followed by deoxyribonuclease I (20 U/sample) and RNAsin (40 U/sample) for 15 min at 37 C. Five micrograms were loaded in a 1% agarose-formaldehyde gel to determine RNA integrity.

Detection of Reg, RegL, and PAP/HIP mRNAs in the different tissues

RT was carried out on 1 µg total RNA (or 20 ng mRNA) using oligo(deoxythymidine) primer (Pharmacia, Saint Quentin en Yvelines, France) and the SuperScript (Life Technologies, Cergy Pontoise, France) reverse transcriptase according to the recommendations of the manufacturer.

First, relative RT-PCR amplification of the glyceraldehyde-3-phosphate dehydrognase (GAPDH) transcript was performed to homogenize the amount of cDNA to be used in each of the PCR reactions. Indeed, a limited number of cycles were used, and this allowed us to be positioned in the linear portion of the amplification curve. Intensity analysis of the amplified bands was performed with an imager (Appligene, Illkirch, France) and the appropriate computer program. The volume of RT reactions (or cDNA amount) was then adjusted to obtain equal amounts of amplification product for each case. The glyceraldehyde-3-phosphate dehydrogenase primers used (15) are described in Table 1Go, using the following program for 28 cycles: 1) denaturation at 94 C for 45 s, 2) annealing at 60 C for 45 s, and 3) DNA synthesis at 72 C for 2 min. An aliquot of the final amplification solution was analyzed after ethidium bromide staining of 1% agarose gel to assess the size of the amplified fragment (933 bp).


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Table 1. Primers used for PCR amplifications

 
In a second step, amplification of the PAP, Reg, and RegL mRNAs was performed with an equal amount of cDNA, 300 ng of each specific primer, 200 mmol/L deoxy-NTP, and 2.5 U Taq DNA polymerase in a solution of 10 mmol/L Tris-HCl, 50 mmol/L KCl, and 1.5 mmol/L MgCl2, pH 8.3. The primers described in Table 1Go were localized in different exons separated by almost one intron and selected so that their 3'-extremities did not cross-hybridize with the related sequences. Reg and RegL PCR product specificities were verified by enzyme digestions and transfer hybridization with a Reg cDNA probe. Thirty amplification cycles, ended by a last extension at 72 C for 5 min, were performed for each gene as follows: PAP expression, for 30 cycles: 1) denaturation at 94 C for 1 min, 2) annealing at 65 C for 1 min, and 3) DNA synthesis at 72 C for 45 s; and Reg and RegL expression, for 30 cycles: 1) denaturation at 94 C for 1 min, 2) annealing at 55 C for 1 min, and 3) DNA synthesis at 72 C for 1 min.

Controls included samples lacking cDNA as template, and RT reactions without reverse transcriptase were performed.

cDNA probes

Reg and PAP probes were synthesized by RT-PCR as described above and subcloned into a pGEM-T vector (Promega Corp., Lyon, France). They were used for dot and Southern blots. The Reg probe presents almost 90% identity with the Reg-related sequences described previously (9, 12); therefore this probe is not a specific Reg probe, but it recognizes all mRNA sequences related to the Reg gene.

Southern hybridization

Twelve microliters of PCR reactions were submitted to electrophoresis in a 2% NuSieve agarose gel (Tebu, Le Perray en Yvelines, France) in 1 x TAE buffer and transferred onto a Hybond-N membrane (Amersham, Aylesbury, UK). Probes were labeled with digoxigenin-11-deoxy-UTP using the digoxigenin oligonucleotide 3'-end labeling kit (Boehringer, Meylan, France). Hybridization was carried out overnight with about 300 ng labeled probe in 5 x SSPE, 0.5% blocking reagent, 0.1% lauryl sarcosine, and 0.02% SDS at 65 C. Washes were performed as follows: twice for 5 min in 2 x SSC (standard saline citrate) at room temperature and twice for 40 min in 0.5 x SSC at 65 C. The chemiluminescence was detected following the instructions of the digoxigenin luminescent detection kit for nucleic acid (Boehringer, Meylan, France).

Quantitative analysis of mRNA by dot blot hybridization

Sequential dilutions of total RNA were spotted onto nitrocellulose membranes using a manifold apparatus (Minifold I, Schleicher & Schuell, Inc., Ecquevilly, France). For hybridization with PAP/HIP and Reg probes, the dilutions were 15:0.468 µg for pituitary adenomas and the pituitary gland and 1:0.031 µg for other tissues. For hybridization with the 28S cDNA probe, the total amount of RNA was decreased 100-fold. After spotting, the filters were baked for 2 h at 80 C before hybridization. Prehybridization was performed at 42 C for 4 h in 50% formamide, 5 x SSPE, and 5 x Denhardt’s solution containing 250 µg/mL denatured salmon sperm DNA. Hybridization was carried out for 36 h at 42 C in the above-mentioned solution using 1 x, instead of 5 x, Denhardt’s solution and supplied with a [{alpha}-32P]deoxy-CTP-labeled probe (4.7 x 108 cpm/mg). Washes were performed twice with a 2 x SSC-0.1% SDS solution for 5 min and twice with a 0.1 x SSC-0.1% SDS solution for 30 min each time at 55 C. Quantification was performed as previously described (16). Briefly, mRNA concentrations were estimated from the slopes of the linear regression curves of the dots after scanning the autoradiographs at 490 nm using an optical densitometer (MR 5000, Dynatech Corp., Chantilly, VA). Differences in total RNA loading were eliminated by correcting the values obtained for PAP and the REG family, with quantification of the 28S RNA for each test. Results were calculated as the PAP/28S or REG/28S ratio and were expressed in arbitrary units (AU).

Immunocytochemistry

Immunohistochemistry was performed on six different adenomas (cases 52, 56, 57, 66, 178, and 213) and in adult and fetal pituitary glands using a monoclonal antibody (1:50 dilution) directed against the Reg protein (formerly called pancreatic stone protein; clone AbD4, Immunotech, Marseille, France). Normal adult pancreas was used as a positive control. Two serial sections from formalin-fixed, paraffin-embedded specimens were made. The first was used to react with the primary antibody, and the second served as a control and was incubated with irrelevant IgG mouse monoclonal antibody. After rinsing, the sections were incubated for 15 min with biotinylated antimouse Ig and then visualized by streptavidin-biotin peroxidase (LSAB K 680 kit, Dako Corp., Santa Barbara, CA).

Primary culture of human pituitary adenomas and RNA isolation

Three human pituitary adenomas [one chromophobe and two somatotroph (GH)] were removed, as described above, and sectioned. One part was immediately frozen; the cells of the other part were dispersed and resuspended in DMEM (Life Technologies) supplemented with 10% calf serum, 100 U/mL penicillin, 100 µg/mL streptomycin, and 50 µg/mL gentamicin (17). The cells were plated in tissue culture dishes (Costar, Brumath, France) coated with extracellular matrix from bovine endothelial corneal cells. After 10 or 30 days of culture, the cells and frozen tissues were harvested for RNA extraction by the method of Chomczynski and Sacchi (14) and used for RT-PCR and Southern blot analysis.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Gene expression of PAP/HIP, Reg and RegL in pituitary adenomas

All of the different pituitary adenomas (n = 33) were tested for the expression of PAP/HIP, Reg, and RegL by RT-PCR analysis followed by Southern hybridization with specific probes. The results are summarized in Table 2Go. Weak expression of PAP/HIP was observed in every type of tumor, but not in each individual tumor (in 5 of 8 chromophobes, 3 of 6 gonadotrophs, 5 of 8 prolactinomas, 2 of 4 GH, 1 of 3 GH-PRL adenomas, and 1 of 2 TSH and ACTH pituitary adenomas). RegL transcripts were also observed in some chromophobe, gonadotroph, PRL, and GH-PRL adenomas, but not in GH, TSH, and ACTH adenomas. Only 3 adenomas of the 33 studied [1 chromophobe (case 213), 1 prolactinoma (case 56), and 1 GH-PRL (case 214)] presented a concomitant expression of the PAP/HIP and RegL transcripts. In contrast, Reg expression was never observed in the tissues tested. The absence of Reg expression was further documented by immunohistochemical studies; no immunostaining for the Reg protein was observed in the 6 different pituitary adenomas tested [1 chromophobe (case 213, Table 2Go), 2 gonadotrophs (cases 57 and 66), 2 PRL-producing adenomas (cases 56 and 52), 1 PRL- and GH-producing adenoma (case 178), and 2 normal pituitary glands (1 fetal and 1 adult)].


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Table 2. Expression of PAP and Reg gene family by RT-PCR in various adenomas

 
PAP/HIP gene expression in human adenoma cell culture

Cultured cells and freshly frozen corresponding tissues of one chromophobe and two somatotroph adenomas were tested for PAP/HIP and Reg gene family expression. No expression was found in tumoral tissue, and primary cultures of tumoral cells did not induce the expression of any gene tested.

Gene expression of PAP/HIP and Reg family in fetal and adult tissues

The expression of PAP/HIP and Reg family has been looked for in different normal fetal and adult tissues, and Fig. 1Go shows the results obtained after specific Southern hybridization.



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Figure 1. Expression of the PAP/HIP (A), Reg (B), and RegL (C) genes after hybridization by specific probes of RT-PCR products. a, Fetal tissues; b, adult tissues. In A, B, and C: lane 1, pancreas; lane 2, stomach; lane 3, jejunum; lane 4, colon; lane 5, pituitary gland; lane 6, frontal lobe; lane 7, cerebellum; lane 8, total brain.

 
PAP/HIP transcript was observed in all fetal and adult tissues tested (Fig. 1AGo). Nevertheless, the level of expression depended upon the type of tissue studied; a high level was observed in adult jejunum and lower levels in other tissues. There were differences in Reg expression between fetal and adult tissues (Fig. 1BGo). In fetal tissues, Reg transcript was only observed in pancreas. In adult tissues, Reg transcript was also observed at a high level in pancreas and was present at a lower level in jejunum, stomach, and colon. As previously noticed for pituitary adenomas, there was no expression of the Reg gene in the normal fetal or adult pituitary gland. As shown in Fig. 1CGo, RegL expression was high in fetal pancreas and was present in fetal colon and total fetal brain. There was no expression in cerebellum or frontal lobe extract of the 34-week-old fetus, probably due to the older age of this fetus compared to those from which total brain mRNAs were obtained (14–24 weeks). RegL was also observed in all adult tissues tested, except stomach and brain. Expression of the Reg-related sequence was only found in fetal and adult pancreas (data not shown).

Comparison between PAP/HIP and Reg family mRNA levels in fetal and adult pancreas, normal pituitary gland, and adenomas

The different qualitative patterns obtained by Southern hybridization led us to quantify by dot blot analysis the mRNA levels of PAP/HIP and Reg family in tumoral pituitary glands and to compare the levels of expression with those in pancreatic tissues, where the genes are the most expressed.

The results are shown in Fig. 2Go. As expected, Reg family mRNAs were present at a high level in the adult pancreas (n = 3; 1632 ± 95 AU) and at an even higher level in the fetal pancreas (n = 4; 4894 ± 1430 AU). In contrast, Reg mRNA levels were more than 100 times lower in normal and tumoral pituitary glands, which presented roughly the same level (20.15 AU).



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Figure 2. Quantification of Reg family mRNAs (shaded boxes) and PAP mRNAs (striped boxes). Pf, Fetal pancreas; Pa, adult pancreas; Pit, normal pituitary gland; Ad, pituitary adenomas.

 
The PAP/HIP mRNAs levels followed the same pattern, but at a lower concentration (2023 ± 1580 AU for fetal pancreas and 685 ± 250 AU for adult pancreas). As previously observed with mRNA Reg levels, a very low expression of PAP/HIP was present in the normal pituitary gland (6.5 AU), and it was slightly higher in pituitary adenomas (27.3 AU).

As shown in Fig. 3Go in an extended scale, there is a great variability between the different levels of PAP/HIP and Reg in normal pituitary gland and different hormone-producing adenomas.



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Figure 3. Quantification of PAP mRNAs (striped boxes) and RegL mRNAs (shaded boxes) in various adenomas and normal pituitary gland (Pit). The case numbers correspond to those reported in Table 1Go.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We previously demonstrated that the (PAP/HIP)/Reg superfamily in humans consisted of four genes (including a pseudogene) presenting a tandem organization and localized on 2p12 over a region of 100 kb (18, 19). The three proteins encoded by these genes (PAP/HIP gene, on the one hand, and Reg and RegL genes, on the other hand) present about 50% identity, whereas the Reg and RegL proteins are homologous at 87%. These proteins show a significant homology with the carbohydrate recognition domain of C-type lectins leading many researchers to suggest that these proteins may play a role in cellular proliferation and/or differentiation (reviewed in Ref. 20). In the rat, Friesen and colleagues showed that the expression of peptide PAP mRNA appeared when the rat pituitary cells were placed in primary culture and in the pituitary gland when the rats were treated with GRF, leading them to speculate that peptide 23/PAP may have some role in pituitary cell proliferation (3).

Our results presented here using human tissues are different from those that Friesen found in the rat. From all 33 pituitary adenomas tested, a weak expression was only shown by RT-PCR followed by Southern hybridization with a specific PAP/HIP probe and not in each tumor. Specifically, in four GH-producing adenomas and in three GH- and PRL-producing adenomas, only three of seven were positive with the probe. In addition, no difference regarding clinical, biochemical, and pathological data was observed between adenomas expressing the P23/PAP/HIP gene and those that do not express this gene. In the subgroup of PRL-producing adenomas, however, PAP/HIP expression was preliminarily shown to be correlated with the resistance to dopaminergic agonists. A more extensive study, performed in 10 additional PRL-producing adenomas in which the sensibility for dopaminergic agonist was known, failed to confirm these findings. Moreover, in contrast to cultured rat pituitary cells (3), expression of the PAP/HIP gene in cultured human pituitary cells was negative (data not shown).

This suggests that the expression of PAP/HIP and the Reg gene family is not up-regulated when tumoral cells are placed in primary culture. Moreover, only a few GH-producing adenomas express P23/PAP despite the accumulation of GHRH mRNA transcripts in almost all GH-producing pituitary tumors as reported previously (21). All of these data show that in contrast to peptide 23 in rat, PAP/HIP in human is not GHRH-inducible pituitary protein.

The significant homology observed between the different genes of the human PAP/Reg family has led us to try to identify in the same pituitary adenomas the presence of the related Reg genes. We observed a weak expression of the RegL gene in 9 of the 33 pituitary tumors. In 6 of 9, RegL gene expression was found despite the lack of PAP gene expression, leading us to suspect a mutual exclusion of these genes. In the 3 remaining cases, however [1 chromophobe (case 213), 1 PRL-producing tumor (case 56), and 1 GH- and PRL-producing tumor (case 214)], a weak expression of both PAP and RegL genes was observed. Interestingly, using the same technique, the expression of the Reg gene (which is the more extensively studied Reg gene) was undetectable in all tumors tested. A quantification by dot blot analysis of the normal pituitary gland and various adenomas showed that the PAP/HIP and Reg mRNA levels in these tissues were effectively about 100 times less than those in fetal and/or adult pancreas and were irregularly dispersed.

As our data on human pituitary tumors represented the first example of a careful comparison among the expressions of the three members of the PAP/Reg gene family, we decided to pursue our study in different normal fetal and adult tissues. Interestingly, the different transcripts are unevenly distributed. The most striking result is the lack of expression of the Reg gene in all of the fetal tissues studied, except pancreas. In contrast, PAP was widely expressed in all tissues. The RegL gene was also observed in fetal pancreas, but unlike the Reg gene it was also expressed in fetal colon and fetal brain. The lack of expression of the Reg gene in fetal brain allows us to speculate that the enhanced expression of the Reg transcript previously observed by de la Monte et al. in the developing human brain (as well as in Alzheimer’s disease) (22, 23) was not due to an overexpression of the Reg gene, but was probably caused by an overexpression of the RegL transcript.

In conclusion, our results show that all human tissues examined express at least one of the different transcripts of the PAP/Reg family, suggesting that the regulation of these homologous genes is coordinately controlled. In pituitary adenomas (n = 33), only 9 of the 33 tumors tested were negative for all transcripts. Thus, the roles of these genes, if any, in human pituitary glands and adenomas will be clearer and more precise when there is a better understanding of the function of the encoded proteins, particularly at the physiological, cellular, and molecular levels.


    Acknowledgments
 
The authors thank Christine Cazeaux for her skillful technical assistance, Prof. Philippe Jacquet and Dr. Ginette Gunz for providing human pituitary cultured cells, Prof. François Grisoli for giving us fresh adenomas specimens, Prof. Jean-François Pellissier for his interest in the work, and Dr. Odette Guy-Crotte for carefully reading the manuscript. The authors are grateful to Julia Moody for helping to correct the English.


    Footnotes
 
1 This work was supported by Programme Hospitalier de Recherche Clinique 96–98 and Institutional Grant JE 2053. Back

Received May 6, 1998.

Revised July 1, 1998.

Accepted July 14, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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  10. Lasserre C, Christa L, Simon MT, Vernier P, Brechot C. 1992 A novel gene (HIP) activated in human primary liver cancer. Cancer Res. 52:5089–5095.[Abstract/Free Full Text]
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Endocrinology Endocrine Reviews J. Clin. End. & Metab.
Molecular Endocrinology Recent Prog. Horm. Res. All Endocrine Journals