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Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

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568<br />

Chapter | 18 Pituitary Function<br />

Pig SYSMEHFRWGKPVGKKRRPVKVYPNGAEDELAEAFPLEF 39<br />

Dog ------------------------------S-----V--<br />

Cattle ------------------------------S-Q------<br />

Sheep ------------------------------S-Q------<br />

Human ------------------------------S--------<br />

Rat -------------------------V--N-S--------<br />

Mouse -------------------------V--N-S--------<br />

************************* ** * * *** **<br />

Cattle FIGURE 18-6 Comparison <strong>of</strong> the ACTH<br />

sequences from various species using the<br />

Sheep<br />

one-letter code for amino acids. Identical<br />

Dog amino acids are given by a single line (-).<br />

Pig<br />

The asterisk (*) means an identical sequence<br />

for all species. The shaded box indicates the<br />

Human two pairs <strong>of</strong> basic amino acids prone to proteolytic<br />

cleavage. The insert shows a dendrogram<br />

indicating the mutual Mouse<br />

relationship.<br />

Rat<br />

1 . ACTH/ α -MSH<br />

a . Gene Expression<br />

The gene encoding POMC contains three exon areas.<br />

Exon 1 encodes a 5 untranslated region (5 -UTR), and<br />

exon 2 encodes the signal peptide and the N-terminal part<br />

<strong>of</strong> the POMC prohormone. The majority <strong>of</strong> the prohormone,<br />

including γ -MSH, is encoded by exon 3. After the splicing<br />

process, an mRNA <strong>of</strong> approximately 1150 nucleotides<br />

is formed in the pituitary <strong>of</strong> most species, including the<br />

dog ( Mol et al. , 1991 ). In many peripheral tissues, very low<br />

expression <strong>of</strong> shorter POMC mRNA sequences are found,<br />

whereas in nonpituitary tumors, an mRNA <strong>of</strong> 1350 nucleotides<br />

can be found ( Newell-Price, 2003 ).<br />

The presence <strong>of</strong> an unmethylated CpG island in the<br />

POMC promoter is a prerequisite for gene expression,<br />

whereas methylation completely blocks gene expression<br />

( Newell-Price, 2003 ). These methylation patterns are set<br />

during early development. Synergistic stimulation <strong>of</strong> gene<br />

expression requires binding <strong>of</strong> yet partially characterized<br />

transcription factors in the distal and central part <strong>of</strong> the<br />

POMC promoter. The expression <strong>of</strong> the POMC gene in corticotropes<br />

and melanotropes is regulated by the same promoter<br />

elements as shown by experiments with transgenic<br />

mice ( Tremblay et al. , 1988 ). Three important response elements<br />

act within the central promoter region. The pituitary<br />

homeobox 1 (Ptx1) protein, which is widely expressed in the<br />

pituitary, acts in synergy with the corticotrope/melanotropespecific<br />

factors NeuroD1 ( Newell-Price, 2003 ) or Tpit<br />

(Quentien et al. , 2006 ) to stimulate POMC gene expression.<br />

Binding <strong>of</strong> corticotropin-releasing hormone (CRH) stimulates<br />

POMC expression in the PD through stimulation <strong>of</strong><br />

cAMP within the cell ( Jacobson and Drouin, 1994 ). CRH<br />

acts synergistically with the leukemia-inhibitory factor (LIF)<br />

through binding <strong>of</strong> the cAMP response element binding protein<br />

(CREB) at the response element sites for NUR77 and<br />

STAT1-3 ( Mynard et al. , 2004 ). Nur77 is an orphan nuclear<br />

receptor that antagonizes the negative feedback <strong>of</strong> glucocorticoids<br />

on POMC expression ( Martens et al. , 2005 ).<br />

POMC expression in the IL melanotrope is also stimulated<br />

by cAMP. In vitro experiments in various species point<br />

to a possibility that CRH activates this signal transduction<br />

system. However, chronic infusion <strong>of</strong> CRH stimulates the<br />

POMC mRNA concentrations in the AL but inhibits mRNA<br />

concentration in the IL ( Hollt and Haarmann, 1984 ). IL<br />

POMC expression is also regulated by stimulation with serotonin<br />

and norepinephrine or GABAergic and dopaminergic<br />

inhibition ( Saland, 2001 ). Glucocorticoids inhibit AL POMC<br />

expression but have no effect on the IL expression <strong>of</strong> POMC.<br />

Extrapituitary POMC expression is found in many tissues<br />

( DeBold et al. , 1988 ), also in skin tissue <strong>of</strong> various<br />

species including the dog ( Kidney et al. , 2004 ).<br />

b . (Pro)hormone<br />

POMC prohormone sequences are known for a variety <strong>of</strong><br />

species and share a common structure ( Fig. 18-5 ). Among<br />

species a high sequence homology is found between the<br />

N-terminal site (N-POC) <strong>of</strong> the prohormone (including<br />

γ -MSH), the ACTH region, and the β -endorphin region.<br />

In contrast, the regions between γ -MSH and ACTH and<br />

the first part <strong>of</strong> β -lipotropin are rather heterogeneous ( Mol<br />

et al. , 1991 ; Numa and Imura, 1985 ). Species differences<br />

in the sequence <strong>of</strong> ACTH occur only in the N-terminal part<br />

( Fig. 18-6 ), whereas the ACTH(1-24) sequence, necessary<br />

for full biological activity, is identical among mammals.<br />

The specificity <strong>of</strong> immunoassays to measure ACTH<br />

concentrations is achieved by directing antibodies toward<br />

the ACTH (13-18) epitope, which is absent in MSH and<br />

corticotropin-like intermediate lobe peptide (CLIP). These<br />

antibodies do, however, cross-react with intact POMC<br />

and may result in apparent elevated ACTH concentrations<br />

( Goossens et al. , 1995 ). Two-sided assays are more sensitive<br />

to variation in the carboxy-terminal part and show<br />

insufficient cross-reactivity among the species.<br />

The proteolytic enzymes PC1/PC3 and PC2 are<br />

involved in the processing <strong>of</strong> prohormones in neuroendocrine<br />

cells. They cleave the precursor at pairs <strong>of</strong> basic<br />

amino acids, resulting in the formation <strong>of</strong> biologically<br />

active hormones. The PC1/PC3 enzyme present in the AL<br />

cleaves POMC to ACTH and β -LPH. PC2 generates the<br />

ACTH(1-13) fragment in both the AL and IL. The combination<br />

<strong>of</strong> both enzymes is present in the melanotropes <strong>of</strong><br />

the IL. In the hypothalamus, these enzymes determine also<br />

the availability <strong>of</strong> POMC-derived melanocortins, which<br />

play an essential role in the regulation <strong>of</strong> energy balance<br />

( Bertile and Raclot, 2006 ; Helwig et al. , 2006 ).<br />

In the melanotrope α -MSH is formed by C-terminal<br />

amidation and N-terminal acetylation <strong>of</strong> ACTH(1-13).<br />

Various degrees <strong>of</strong> acetylation <strong>of</strong> MSH result in the storage

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