- Research article
- Open Access
The expression and role of serotonin receptor 5HTR2A in canine osteoblasts and an osteosarcoma cell line
© Bracha et al.; licensee BioMed Central Ltd. 2013
- Received: 22 August 2013
- Accepted: 9 December 2013
- Published: 12 December 2013
The significance of the serotonergic system in bone physiology and, more specifically, the importance of the five hydroxytryptamine receptor 2A (5HTR2A) in normal osteoblast proliferation have been previously described; however the role of serotonin in osteosarcoma remains unclear. Particularly, the expression and function of 5HTR2A in canine osteosarcoma has not yet been studied, thus we sought to determine if this indoleamine modulates cellular proliferation in vitro. Using real time quantitative reverse transcription PCR and immunoblot analyses, we explored receptor expression and signaling differences between non-neoplastic canine osteoblasts (CnOb) and an osteosarcoma cell line (COS). To elucidate specific serotonergic signaling pathways triggered by 5HTR2A, we performed immunoblots for ERK and CREB. Finally, we compared cell viability and the induction of apoptosis in the presence 5HTR2A agonists and antagonists.
5HTR2A was overexpressed in the malignant cell line in comparison to normal cells. In CnOb cells, ERK phosphorylation (ERK-P) decreased in response to both serotonin and a specific 5HTR2A antagonist, ritanserin. In contrast, ERK-P abundance increased in COS cells following either treatment. While endogenous CREB was undetectable in CnOb, CREB was observed constitutively in COS, with expression and exhibited increased CREB phosphorylation following escalating concentrations of ritanserin. To determine the influence of 5HTR2A signaling on cell viability we challenged cells with ritanserin and serotonin. Our findings confirmed that serotonin treatment promoted cell viability in malignant cells but not in normal osteoblasts. Conversely, ritanserin reduced cell viability in both the normal and osteosarcoma cells. Further, ritanserin induced apoptosis in COS at the same concentrations associated with decreased cell viability.
These findings confirm the existence of a functional 5HTR2A in a canine osteosarcoma cell line. Results indicate that intracellular second messenger signal coupling of 5HTR2A is different between normal and malignant cells, warranting further research to investigate its potential as a novel therapeutic target for canine osteosarcoma.
Osteosarcoma is the most common skeletal tumor in dogs, sharing many characteristics with the disease in people. Surgery and adjuvant chemotherapy are the standard of care; however, poor outcomes often result due to pulmonary metastasis in the progressive stage of the disease. There is a pressing need for a better understanding of the pathophysiology of osteosarcoma, and the development of novel therapeutic targets for this disease.
An increasing body of evidence suggests an important role for five hydroxytryptamine (5HT) in bone physiology [1–4]. Osteoblasts, osteocytes, and osteoclasts express functional five hydroxytryptamine receptor (5HTR), and several functions exhibit a dependency on circulating 5HT [5, 6]. Furthermore, a correlation between chronic administration of 5HT reuptake inhibitors with loss of bone mineral density and development of osteoporosis has been described [1, 7].
Five-hydroxytryptamine, commonly known as serotonin, is produced by two enzymatic steps from the amino acid tryptophan, reactions that occur in the cytoplasm . The rate-limiting enzyme is tryptophan hydroxylase, which is expressed primarily in the gut and the central nervous system [9, 10]. Enterochromaffin cells, located in the gastrointestinal tract, are responsible for producing and secreting the majority of circulating serotonin. This serotonin is sequestered by platelets, which are the primary storage site in the circulation . The physiological roles of systemic serotonin include regulation of intestinal motility, platelet aggregation, and regulation of blood pressure [12–14]. A second reservoir of serotonin, produced in the central nervous system, is independent of systemic storage and exhibits a different overall function . The 5HT receptor (5HTR) superfamily is comprised of seven receptor types, most of which are G-coupled proteins [16, 17]. These transmembrane proteins have a ligand-binding domain at the extracellular amino-terminus and an intracellular carboxy-terminus which activates the intracellular subunits [16, 17].
Serotonin receptor type 2A (5HTR2A) is involved in a variety of physiological functions, including tracheal smooth muscle contraction and aldosterone production. The expression of 5HTR2A has previously been demonstrated on osteoblasts . Further examination of this receptor has shown a modulatory role in cell proliferation, directly regulating bone remodeling [3, 5]. Exposure of 5HTR2A to highly selective agonists activates downstream signaling via the ERK pathway, mediating osteoblastic proliferation and differentiation. The use of an antagonist on anaplastic osteoblasts resulted in decreased cell viability .
The regulation of bone remodeling by serotonin receptors, and more specifically the role of 5HTR2A in osteoblast proliferation, suggest that this receptor has potential as a novel therapeutic target for treatment of canine osteosarcoma. To date, the expression patterns and role of 5HTR2A in canine osteosarcoma have not been described. In the current study, we evaluated the expression and functionality of 5HTR2A in normal canine osteoblasts and an osteosarcoma cell line, and discuss its potential as a novel therapeutic target.
COS is a well characterized immortal canine osteosarcoma cell line . CnOb, non-malignant canine osteoblasts, were purchased from Cell Application Inc. (San Diego, CA). COS was grown in light-treated, serum-free RPMI-1640 media and supplemented with L-glutamine, sodium pyruvate, HEPES buffer and penicillin/streptomycin. CnOb was grown in proprietary media supplied by the manufacturer. MCF7 is a human breast cancer cell line, grown in 5% serum supplemented RPMI-1640 media and supplemented with L-glutamine, sodium pyruvate, HEPES buffer and penicillin/streptomycin. Cells were incubated at 37°C in an atmosphere containing 5% CO .
PCR and sequencing
Primers used for PCR of htr2a
Expected product size
Real-time quantitative reverse transcription PCR (real-time qRT-PCR)
The total reaction volume was 10 μL and contained 1.7 μL H2O, 5 μL Power SYBR (Invitrogen), 0.8 μL primer mix and 2.5 μL cDNA (pre-diluted 6-fold in water). Real-time qRT-PCR was run in triplicate on a MicroAmp® Optical 96-well reaction plate in a Step One Plus unit (Applied Biosystems). The protocol included a 10 min initiation step at 95°C, followed by 40 cycles of 95°C for 5 sec, 59°C for 30 sec, and 70°C for 35 sec. Relative htr2a expression was calculated by the 2−ΔΔCT method in relation to their endogenous expression of ywhaz and to CnOb [20, 21]. The housekeeping gene ywhaz was chosen based on previously published data, and also since no difference was found in mean CT between COS ywhaz and CnOb ywhaz (mean Ct value +/− 95% CI for mean) [20, 21]. Primers were designed to flank a large intron so that amplification of residual genomic DNA would be avoided: ywhaz 5′-AGCCTGCTCTCTTGCAAAGAC-3′ and 5′-GGGTATCCGATGTCCACAATG-3′, htr2a 5′-CCCATTCTTCATCACGAACAT-3′ and 5′-GGAGAGGTAACCGATCCAGAC-3′. Experiments were replicated three times for both CnOb and COS.
Confluent COS cell cultures were treated for 24 hours in media without FBS and then challenged with escalating concentrations of serotonin (Tocris) and ritanserin (Tocris), a specific 5HTR2A antagonist. The same protocol was followed for CnOb, excluding the starvation phase which could not take place due to the use of the commercial supplied media. Serotonin and ritanersin were dissolved in DMSO according to manufacturer’s instructions. The challenges were: serotonin (3.125, 12.5, 50 μM), ritanserin (3.125, 2.5, 50 μM), concurrent serotonin (12.5 μM) and ritanserin (3.125, 12.5, 50 μM), and vehicle carrier (DMSO). Cells were harvested after a 10 min exposure by washing twice with 1 × PBS, lysing in 500 μL RIPA buffer containing phosphatase and proteinase inhibitors, and centrifugation at 8,300 × g for 5 min. Protein concentrations were determined with the Pierce® BCA protein assay. Homogenate aliquots (containing 20 μg protein) were mixed at a volume ratio of 4:1 with 10 mM Tris–HCl buffer (pH 6.8) containing 10% glycerol, 2% SDS, 0.01% bromophenol blue and 5% β-mercaptoethanol, boiled for 10 min at 100°C, and electrophoresed on a SDS–PAGE gel at a constant current of 10 mA/plate. Separated proteins from COS, CnOb and MCF7 (positive control) were transferred to a nitrocellulose membrane, blocked for 45 min with 1% BSA dissolved in TBST [20 mM Tris–HCl (pH 7.4) containing 150 mM NaCl, and 0.1% Tween-20], followed by overnight incubation at 4°C with anti-5HTR2A goat antibody (Santa Cruz sc-32538) diluted 1:200 in blocking buffer . Proteins labeled with primary antibody were detected with donkey anti-goat secondary antibody conjugated to IR800 and scanned on an Odyssey Imager (Li-Cor, Lincoln, NE). The membrane was stripped and re-probed with anti-α-tubulin rabbit antibody (Santa Cruz sc-12462-R) diluted 1:1000 in block buffer, and detected with a goat anti-rabbit secondary antibody. A mouse monoclonal phosphorylated ERK antibody (Santa Cruz sc-7383), followed by secondary anti-mouse HRP-conjugated antibody (Santa Cruz sc-2005), was used to probe the same extracts. This membrane was stripped and incubated again with a primary ERK antibody (Santa Cruz sc-93) and detected by goat anti-rabbit secondary antibody (Santa Cruz sc-2004). This membrane was stripped for the third time and incubated with anti-α tubulin antibody (Santa Cruz sc-12462-R) detected by goat anti-rabbit secondary antibody (Santa Cruz sc-2004). Similarly, phosphorylated CREB (Cell Signaling 9198) and CREB (Santa Cruz sc-186) antibodies were used to probe new membranes and detected with goat anti-rabbit secondary antibody. Membranes were developed with Supersignal West Pico Chemiluminescent Substrate (Thermo Scientific) on radiography film. A-431 Whole Cell Lysate (Santa Cruz) was used as positive control for the ERK and P-ERK, while SK-N-MC (Cell Signaling) was used as a positive control for CREB and CREB-P.
Cell viability assays
Proliferation assays were performed using COS and CnOb cell lines; these experiments were replicated three times, with each experiment using three replicates for each sample. Proliferation was estimated using the CellTiter 96® Aqueous One Solution (Promega), which is a MTS tetrazolium assay. Cells were plated in 96-well culture plates at 20,000 cells per well and both cell lines incubated in light-treated media for 24 hours, followed by 24 hours of serum free media for COS, after which time the media was replaced by a fresh media containing serotonin, ritanserin, serotonin and ritanserin, or DMSO as a vehicle control. Each cell line was challenged with increasing concentrations of serotonin or ritanserin, ranging from 0-50 μM, for 24 hours. DMSO concentration (0.1%) remained constant for all samples [3, 23]. In addition, malignant cells were challenged with serotonin (12.5 μM) and escalating concentrations of ritanserin (0-50 μM). Cells were processed following manufacturer’s instructions and absorbance was measured at 550 nm on a microplate reader. Relative viability values were calculated using the formula: Viability Index = (mean absorbance of treated cells)/(mean absorbance of control cells).
Induction of apoptosis was evaluated by quantification of caspase 3 and caspase 7 activities in treated and untreated COS only. Caspase activity was determined by a commercially available luminogenic caspase-3/7 substrate assay (Caspase-Glo® 3/7 Assay, ProMega). Briefly, cells were seeded in 96-well plates at a density of 10,000 cells/well with serum-free RPMI media and permitted to adhere for 24 hours. This medium was replaced and cells were challenged with fresh, serum-free RPMI media containing the following drugs at the specified concentrations: serotonin (3.125, 6.25, 12.5, 25, 50 μM), ritanserin (3.125, 6.25, 12.5, 25, 50 μM), and concurrent serotonin (12.5 μM) and ritanserin (3.125, 6.25, 12.5, 25, 50 μM). In addition, cells were pre-incubated with the general caspase inhibitor Z-VAD-FMK (CalBiochem) at 25 μM for 60 min before being challenged with fresh RPMI containing ritanserin at 12.5 μM. For a positive control, cells were incubated with taurolidine (TauroPharm GmbH) at 125.0 μM, which has been previously demonstrated to induce apoptosis in COS . As a negative control, cells were incubated with the vehicle carrier DMSO. Cells were challenged for 12 hours and then the caspase activity assay was performed according to manufacturer specifications. Cumulative luminescence over a 1 sec interval was measured in a GloMax® 96 Microplate Luminometer (Promega). All drug challenge and control samples were performed in triplicate.
For the real-time qRT-PCR, the relative quantification of htr2a expression between COS and CnOb was evaluated with a two-tailed, unpaired T test with Welch’s correction. For the cell viability data, one-way ANOVA with Dunnett’s correction was utilized to compare the viability index at each concentration of serotonin, ritanserin, and serotonin + ritanserin to the vehicle control. One-way ANOVA with Sidak’s correction was employed to compare the proliferation index at each concentration of ritanserin to the equivalent concentration of serotonin + ritanserin. The 50% inhibitor concentration (IC50) of ritanserin for COS was calculated using non-linear regression of the log of the inhibitor versus a variable slope response equation, with constraints set at 100% for the top and 0% for baseline. A one-way ANOVA with Dunnett’s correction was used to analyze caspase activity at varying concentrations of serotonin, ritanserin, and serotonin and ritanserin, compared to the vehicle control. One-way ANOVA with Sidak’s correction was employed to assess caspase activity in response to increasing concentrations of ritanserin in comparison to the equivalent concentrations of serotonin and ritanserin. Assessment of caspase activity between ritanserin (12.5 μM) treated cells with and without pretreatment with the caspase inhibitor were compared with an unpaired Student’s T-test. Statistical significance was assigned for calculated values of p < 0.05. Comparisons were performed with a commercially available statistical software package (GraphPad Prism).
PCR and real-time qRT-PCR
Cell viability assays
Systemic 5HT plays an important role in normal bone remodeling by acting on osteoblasts via three receptor isoforms: 5HTR1B, 5HTR2B, and 5HTR2A [2, 3, 6]. The predominance of 5HTR2A in premature osteoblasts promotes osteogenesis . However, while 5HTR2A expression has been demonstrated in anaplastic osteoblasts, there is limited information about the expression and function of the serotonergic system in canine osteosarcoma cells, and whether this circulating signal performs similar roles in malignant versus normal cells. The 5HTR2B receptor is expressed only in differentiated mature cells and regulates proliferation . In contrast to 5HTR2A, 5HTR1B activation exerts a direct inhibitory effect on the expression and phosphorylation of CREB and thus cyclin D activity, consequently halting osteoblastic proliferation upon agonist binding . This has been demonstrated in an in vivo model exploring the role of 5HTR1B and its dependency on circulating 5HT, where osteoporosis was observed in 5HTR1B knockdown mice .
In the current study, we investigated the role of 5HTR2A on intracellular signaling and cellular proliferation in the canine osteosarcoma cell line COS. We found increased htr2a expression in COS compared to canine osteoblasts, an increase correlated with higher levels of 5HTR2A protein. Previous reports have shown expression of htr2a from early phases of the proliferative period throughout maturation in anaplastic osteoblasts, confirming a proliferative role of activated 5HTR2A in these cells [10, 22]. Our data are in agreement with these results, demonstrating increased cell viability of COS following serotonin treatment. Interestingly, the effect of 5HT is confined to malignant cells, as CnOb exhibited no increases in cell viability at any serotonin concentration. Further, while the highly specific 5HTR2A antagonist ritanserin significantly decreased COS cell viability at comparatively low concentrations, CnOb viability was unchanged at concentrations below 50 μM. In COS, this decreased viability appears to be secondary, at least in part, to induction of apoptosis rather than direct cell cytotoxic effects. These findings demonstrate a selective effect of ritanserin on the malignant cell line, while sparing the normal osteoblasts, highlighting the potential of 5HTR2A as an attractive therapeutic target for osteosarcoma.
While phosphorylated ERK was observed in both CnOb and COS in this study, the relative phosphorylation of ERK was augmented with increasing doses of both serotonin and ritanserin only in the malignant cell line. In contrast, CnOb demonstrated decreased phosphorylation following treatment with these drugs. Being a nonspecific agonist, serotonin may activate 5HTR2A, 5HTR1B and 5HTR2B, resulting a net effect similar to that of the antagonist. This discrepancy suggests that the traditional receptor signaling via 5HTR2A is altered in neoplastic cells. Interestingly, changes in the phosphorylation status of ERK did not correlate with cell viability of either COS or CnOb thus the role of ERK signaling in the serotonergic system in canine osteosarcoma remains unclear. However, in COS, higher doses of ritanserin correlated with increased CREB phosphorylation and decreased cell viability. Accordingly, caspase activity was found to reciprocate increased ritanserin doses. In normal murine osteoblasts, phosphorylation of CREB has been previously described to play a crucial part in apoptosis, with phospho-CREB reported to induce cell proliferation while its suppression through 5HTR1B activation resulted in decreased cell viability . However, induction of apoptosis through phospho-CREB has been observed in neuronal and endothelial tissues and with CREB over-expression [26–28]. Based upon our findings, CREB abundance and phosphorylation status in neoplastic canine osteoblasts appears to be associated with apoptosis, in contrast to what is observed in normal osteoblasts. Interestingly, CREB was not detectible in CnOb, highlighting possible interspecies differences when compared to murine osteoblasts.
In conclusion, this study revealed overexpression of htr2a in canine osteosarcoma cells and aberrant 5HTR2A signaling compared to normal osteoblasts. In COS, 5HTR2A antagonism induced CREB phosphorylation, a directional downstream signaling pathway that is not evident in normal osteoblasts. CREB phosphorylation status correlated with cell viability in vitro, with low doses of the 5HTR2A inhibitor selectively decreasing osteosarcoma cell viability, while having no significant effect on normal osteoblasts. This attenuated viability appears to be through induction of apoptosis. Together, these results suggest that pharmacological inhibition of 5HTR2A may represent a potential novel target in osteosarcoma therapy due to differential expression and altered signal coupling found in this cancer. Future studies targeting 5HTR2A in vivo as a novel therapeutic target and exploring species-dependency of these effects are warranted.
The authors would like to acknowledge Dr. Kenine Comstock, Dr. Kevin Marley, Dr. Vilma Yuzbasiyan-Gurkan and Jake Fischer for their help and support with this study.
- Diem SJ, Blackwell TL, Stone KL, et al: Use of antidepressants and rates of hip bone loss in older women. Arch Intern Med. 2007, 167: 1240-1245. 10.1001/archinte.167.12.1240.PubMedView ArticleGoogle Scholar
- Baudry A, Bitard J, Mouillet-Richard S, et al: Serotonergic 5-HT2B receptor controls tissue-nonspecific alkaline phosphatase activity in osteoblasts via eicosanoids and phosphatidylinositol-specific phospholipase C. J Biol Chem. 2010, 285: 26066-26073. 10.1074/jbc.M109.073791.PubMedPubMed CentralView ArticleGoogle Scholar
- Hirai T, Kaneshige K, Kurosaki T, et al: Functional expression of 5-HT2A receptor in osteoblastic MC3T3-E1 cells. Biochem Biophys Res Commun. 2010, 396: 278-282. 10.1016/j.bbrc.2010.04.078.PubMedView ArticleGoogle Scholar
- Collet C, Schiltz C, Geoffroy V, et al: The serotonin 5-HT2B receptor controls bone mass via osteoblast recruitment and proliferation. FASEB J. 2008, 22: 418-427.PubMedView ArticleGoogle Scholar
- Hirai T, Tokumo K, Tsuchiya1 D, et al: Expression of mRNA for 5-HT2 receptors and proteins related to inactivation of 5-HT in mouse osteoblasts. J Pharmacol Sci. 2009, 109: 319-323. 10.1254/jphs.08243SC.PubMedView ArticleGoogle Scholar
- Klein-Nulend J, Westbroek I, van der Plas A, et al: Expression of serotonin receptors in bone. J Bone Miner Res. 2001, 16: S176-S176.Google Scholar
- Westbroek I, Waarsing JH, van Leeuwen JPTM, et al: Long-term fluoxetine administration does not result in major changes in bone architecture and strength in growing rats. J Cell Biochem. 2007, 101: 360-368. 10.1002/jcb.21177.PubMedView ArticleGoogle Scholar
- Shields PJ, Eccleston D: Evidence for the synthesis and storage of 5-hydroxytryptamine in two separate pools in the brain. J Neurochem. 1973, 20: 881-888. 10.1111/j.1471-4159.1973.tb00048.x.PubMedView ArticleGoogle Scholar
- Zhang X, Beaulieu J-M, Sotnikova TD, et al: Tryptophan hydroxylase-2 controls brain serotonin synthesis. Science. 2004, 305: 217-10.1126/science.1097540.PubMedView ArticleGoogle Scholar
- Walther DJ, Peter J-U, Bashammakh S, et al: Synthesis of serotonin by a second tryptophan hydroxylase isoform. Science. 2003, 299: 76-10.1126/science.1078197.PubMedView ArticleGoogle Scholar
- Costa JL, Reese TS, Murphy DL: Serotonin storage in platelets: estimation of storage-packet size. Science. 1974, 183: 537-538. 10.1126/science.183.4124.537.PubMedView ArticleGoogle Scholar
- Chen JJ, Li Z, Pan H, et al: Maintenance of serotonin in the intestinal mucosa and ganglia of mice that lack the high-affinity serotonin transporter: abnormal intestinal motility and the expression of cation transporters. J Neurosci. 2001, 21: 6348-6361.PubMedGoogle Scholar
- Cerrito E, Lazzaro MP, Gaudio E, et al: 5HT2-receptors and serotonin release: their role in human platelet aggregation. Life Sci. 1993, 53: 209-215. 10.1016/0024-3205(93)90671-O.PubMedView ArticleGoogle Scholar
- de Jong W, Nijkamp FP, Bohus B: Role of noradrenaline and serotonin in the central control of blood pressure in normotensive and spontaneously hypertensive rats. Arch Int Pharmacodyn Ther. 1975, 213: 272-284.PubMedGoogle Scholar
- Mann JJ, Mcbride PA, Brown RP, et al: Relationship between central and peripheral serotonin indexes in depressed and suicidal psychiatric-inpatients. Arch Gen Psychiatry. 1992, 49: 442-446. 10.1001/archpsyc.1992.01820060022003.PubMedView ArticleGoogle Scholar
- Hannon J, Hoyer D: Molecular biology of 5-HT receptors. Behav Brain Res. 2008, 195: 198-213. 10.1016/j.bbr.2008.03.020.PubMedView ArticleGoogle Scholar
- Xia Z, Gray JA, Compton-Toth BA, et al: A direct interaction of PSD-95 with 5-HT2A serotonin receptors regulates receptor trafficking and signal transduction. J Biol Chem. 2003, 278: 21901-21908. 10.1074/jbc.M301905200.PubMedView ArticleGoogle Scholar
- Westbroek I, van der Plas A, de Rooij KE, et al: Expression of serotonin receptors in bone. J Biol Chem. 2001, 276: 28961-28968. 10.1074/jbc.M101824200.PubMedView ArticleGoogle Scholar
- Barroga EF, Kadosawa T, Okumura M, et al: Establishment and characterization of the growth and pulmonary metastasis of a highly lung metastasizing cell line from canine osteosarcoma in nude mice. J Vet Med Sci. 1999, 61: 361-367. 10.1292/jvms.61.361.PubMedView ArticleGoogle Scholar
- Gubern C, Hurtado O, Rodríguez R, et al: Validation of housekeeping genes for quantitative real-time PCR in in-vivo and in-vitro models of cerebral ischaemia. BMC molecular biology. 2009, 10: 57-10.1186/1471-2199-10-57.PubMedPubMed CentralView ArticleGoogle Scholar
- Bebas P, Goodall CP, Majewska M, et al: Circadian clock and output genes are rhythmically expressed in extratesticular ducts and accessory organs of mice. FASEB J. 2009, 23: 523-533.PubMedPubMed CentralView ArticleGoogle Scholar
- Sonier B, Arseneault M, Lavigne C, et al: The 5-HT2A serotoninergic receptor is expressed in the MCF-7 human breast cancer cell line and reveals a mitogenic effect of serotonin. Biochem Biophys Res Commun. 2006, 343: 1053-1059. 10.1016/j.bbrc.2006.03.080.PubMedView ArticleGoogle Scholar
- Ataee R, Ajdary S, Zarrindast M, et al: Anti-mitogenic and apoptotic effects of 5-HT1B receptor antagonist on HT29 colorectal cancer cell line. J Cancer Res Clin Oncol. 2010, 136: 1461-1469. 10.1007/s00432-010-0801-3.PubMedView ArticleGoogle Scholar
- Marley K, Helfand S, Edris W, et al: The effects of taurolidine alone and in combination with doxorubicin or carboplatin in canine osteosarcoma in vitro. BMC Vet Res. 2013, 9: 1-9. 10.1186/1746-6148-9-1.View ArticleGoogle Scholar
- Yadav VK, Ryu JH, Suda N, et al: Lrp5 controls bone formation by inhibiting serotonin synthesis in the duodenum. Cell. 2008, 135: 825-837. 10.1016/j.cell.2008.09.059.PubMedPubMed CentralView ArticleGoogle Scholar
- SAEKI K, YUO A, SUZUKI E, et al: Aberrant expression of cAMP-response-element-binding protein (‘CREB’) induces apoptosis. Biochem J. 1999, 343: 249-255. 10.1042/0264-6021:3430249.PubMedPubMed CentralView ArticleGoogle Scholar
- Versteeg H, Borensztajn K, Kerver M, et al: TF: FVIIa‒specific activation of CREB upregulates proapoptotic proteins via protease‒activated receptor‒2. J Thromb Haemost. 2008, 6: 1550-1557. 10.1111/j.1538-7836.2008.03091.x.PubMedView ArticleGoogle Scholar
- Jiang M, Zhu K, Grenet J, et al: Retinoic acid induces caspase-8 transcription via phospho-CREB and increases apoptotic responses to death stimuli in neuroblastoma cells. Biochimica et Biophysica Acta (BBA)-Molecular Cell Research. 2008, 1783: 1055-1067. 10.1016/j.bbamcr.2008.02.007.View ArticleGoogle Scholar
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