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Circulation Research. 1997;81:176-186

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(Circulation Research. 1997;81:176-186.)
© 1997 American Heart Association, Inc.


Articles

Rapamycin Inhibits {alpha}1-Adrenergic Receptor–Stimulated Cardiac Myocyte Hypertrophy but Not Activation of Hypertrophy-Associated Genes

Evidence for Involvement of p70 S6 Kinase

Marvin O. Boluyt, Jing-Sheng Zheng, Antoine Younes, Xilin Long, Lydia O'Neill, Howard Silverman1, Edward G. Lakatta, , Michael T. Crow

From the Laboratory of Cardiovascular Science (M.O.B., J-S.Z., X.L., L.O., E.G.L., M.T.C.), Gerontology Research Center, National Institute on Aging, National Institutes of Health, Baltimore, Md; Département de Biologie Appliquée (A.Y.), Institut Universitaire de Technologie de Clermont-Ferrand, Aubière, France; and the Division of Cardiology (H.S.), Johns Hopkins Hospital, Baltimore, Md.

Correspondence to Marvin O. Boluyt, PhD, Laboratory of Cardiovascular Science, National Institute on Aging, Gerontology Research Center, 4940 Eastern Ave, Baltimore, MD 21224. E-mail marvinb{at}vax.grc.nia.nih.gov


*    Abstract
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*Abstract
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down arrowMaterials and Methods
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Abstract The 70-kD S6 kinase (p70S6K) has been implicated in the regulation of protein synthesis in many cell types and in the angiotensin II–stimulated hypertrophy of cardiac myocytes. Our purpose was to determine whether p70S6K plays a role in cardiomyocyte hypertrophy induced by the {alpha}1-adrenergic receptor ({alpha}1-AR) agonist phenylephrine (PE). PE stimulated the activity of p70S6K >3-fold, and this increase was blocked by rapamycin, an immunosuppressant macrolide that selectively inhibits p70S6K. When administered for 3 days, PE stimulated a 30% increase in total protein content, a 2-fold increase in the incorporation of [14C]phenylalanine (14C-Phe) into protein, and a 50% increase in two-dimensional myocyte area. Rapamycin pretreatment (>=500 pg/mL) significantly inhibited each of these PE-stimulated changes. Two days of PE treatment resulted in a 1.6-fold increase in total RNA yield per dish, a 2-fold increase in incorporation of [14C]uridine into myocyte RNA, and increases in relative mRNA levels of the hypertrophy-associated atrial natriuretic factor (ANF, 2.1-fold) and skeletal {alpha}-actin (SK, 2.2-fold) genes. Although rapamycin abolished the PE-stimulated increases in total RNA and incorporation of [14C]uridine, it had no effect on the induction of the ANF and SK genes. LY294002, a specific inhibitor of phosphatidylinositol 3-kinase (PI3-K) activity, inhibited PE-stimulated increases in p70S6K activity and the incorporation of labeled precursors into myocyte protein and RNA. These results demonstrate that p70S6K is activated by the hypertrophic agent PE and that a PI3-K or PI3-K–like activity is required for p70S6K activation and myocyte hypertrophy. The data suggest that p70S6K activation may be required for PE-stimulated hypertrophy of cardiac myocytes. Our results demonstrate that intracellular signaling pathways responsible for transcriptional and translational responses diverge early after {alpha}1-AR stimulation in cardiac myocytes.


Key Words: ribosomal S6-kinase • {alpha}1-adrenergic receptor • immunosuppressant drug • rapamycin • phosphatidylinositol-3 kinase


*    Introduction
up arrowTop
up arrowAbstract
*Introduction
down arrowMaterials and Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
Cardiac myocyte hypertrophy requires increased synthesis of cellular protein and is associated with increased capacity for and efficiency of protein synthesis.1 The mechanisms governing these events, however, are not well understood and have been the subject of considerable attention in recent years. Cell culture models of neonatal cardiac myocyte hypertrophy have proven particularly useful in elucidating intracellular signaling events involved in hypertrophic growth. Stimulation of {alpha}1-adrenergic receptors by PE results in an elevated rate of protein synthesis, altered gene expression, and myocyte enlargement.2 3 4 Intracellular signal transduction pathways activated by PE, other soluble agents,2 3 4 or stretch5 culminate in nuclear regulation of transcriptional events and activation of the protein synthetic machinery in the cytoplasm. Although numerous studies have investigated mechanisms regulating the transcription of specific genes, less has been learned regarding the regulation of protein synthesis during cardiac hypertrophy.

Recent work in other cell types has suggested that phosphorylation of the ribosomal S6 protein regulates the translation of mRNAs into proteins.6 Ribosomal protein S6 is uniquely positioned to regulate the protein synthetic machinery from its location at the tRNA-mRNA binding site of the 40S ribosome.7 It appears to play a role in the activation of protein synthesis and to regulate translation.6 Ribosomal S6 protein is phosphorylated on a number of residues by a family of 70- and 85-kD protein kinases, termed p70S6K.6 8 Phosphorylation of these residues results in a modest increase in the rate of serum-stimulated protein synthesis and a selective increase in the translation of mRNAs containing a polypyrimidine tract at the 5' terminus.6

Rapamycin is an immunosuppressive macrolide that inhibits p70S6K activity in fibroblast cells and inhibits the rate at which fibroblast cells and T lymphocytes enter S phase.8 9 The effects of rapamycin are mediated through its binding to FKBP, an intracellular immunophilin known to bind FK506.10 11 12 Inhibition of p70S6K activity by rapamycin in fibroblasts is accompanied by a modest inhibition of protein synthesis and a selective repression of the translation of "polypyrimidine tract" mRNAs that encode elongation factors and ribosomal proteins.6 13 14 Selective regulation of this class of mRNAs may be particularly relevant in cardiac myocytes, because an important early event in the hypertrophic growth of the heart is an accumulation of ribosomal subunits.15 16

Recently, it was demonstrated that rapamycin inhibits Ang II–mediated hypertrophy of cardiac myocytes.17 Moreover, it was demonstrated that rapamycin selectively inhibits hypertrophy but not hypertrophy-associated gene expression or sarcomere assembly.17 These findings indicate that distinct pathways regulate Ang II–stimulated changes in translation and transcription and suggest that p70S6K plays an important role in regulating Ang II–mediated cardiac myocyte hypertrophy. It is not known whether p70S6K plays a role in cardiac myocyte hypertrophy mediated by other stimuli, such as the {alpha}1-adrenergic receptor antagonist PE. p70S6K is regulated by an intracellular signal transduction pathway that is distinct from other well-delineated pathways. For example, rapamycin does not inhibit the mitogen-activated protein kinase cascade or PKC, the activation of which has been implicated in the changes in hypertrophy-associated gene expression.8 17 Upstream members of the p70S6K signaling pathway are not well defined, but there is evidence that a PI3-K is an essential link, at least in some instances.18 19 Whether PI3-Ks are involved in the hypertrophic growth of cardiac myocytes has not been examined.

In the present study, we investigated the role of p70S6K in PE-stimulated hypertrophy of cultured neonatal cardiac myocytes. Our purpose was to determine whether PE would activate p70S6K and whether inhibition of p70S6K activation by rapamycin would inhibit {alpha}1-AR–mediated cardiomyocyte hypertrophy. Furthermore, we examined the effect of rapamycin on the accumulation of total RNA and on the expression of specific hypertrophy-associated genes. Finally, we sought to determine whether p70S6K and hypertrophic growth were sensitive to inhibitors of PI3-K in cardiac myocytes.


*    Materials and Methods
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up arrowIntroduction
*Materials and Methods
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Materials
Rapamycin was a gift from Dr Suren Sehgal, Wyeth-Ayerst Research, Princeton, NJ. FK506 was a gift from Fujisawa Pharmaceutical Co, Deerfield, Ill. Rapamycin and FK506 were initially dissolved in ethanol and subsequently diluted in culture medium befoere addition. PE was obtained from Sigma Chemical Co and dissolved in ascorbic acid, such that the final concentrations in the cultures were 100 µmol/L PE and 100 µmol/L ascorbic acid. The synthetic peptide RRRLSSLRA and PKA inhibitor were obtained from Santa Cruz Biotechnology. Rabbit polyclonal anti-p70S6K antisera (C-2 and C-18) were obtained from John Blenis, Harvard Medical School and from Santa Cruz Biotechnology, respectively. Protein A conjugated to Sepharose beads was obtained from Sigma, and wortmannin was also obtained from Sigma. LY294002 was purchased from BIOMOL Research Laboratories, Inc.

Cell Culture
Neonatal ventricular myocytes were cultured as previously described.20 Heart ventricles from 1- to 3-day-old Wistar rats were removed, separated from the atria, trisected, and then digested with collagenase type II (0.5 mg/mL, Worthington Biochemical) and pancreatin (0.6 mg/mL, Sigma) for 20 minutes at 37°C. The cell supernatant was collected by centrifugation, and the pellet was resuspended in horse serum. The above steps were repeated 7 to 10 times until the hearts were completely digested. The cells from all digestions were combined, washed, and then subjected to centrifugation through a discontinuous Percoll gradient of 1.050, 1.062, and 1.082 g/mL, respectively. The band at the 1.062/1.082 interface was collected and used as the sole source of purified myocytes. These myocytes were resuspended in culture medium consisting of a 4:1 (vol/vol) mixture of DMEM containing high glucose and medium 199 (GIBCO Laboratories) supplemented with 10% preselected horse serum, 5% heat-inactivated fetal bovine serum, penicillin (100 U/mL), and streptomycin (100 mg/mL, GIBCO Laboratories) and then plated on gelatin-coated 100-mm plastic tissue culture plates or six-well culture plates at a density of 1.08x105 cells/cm2. Plating efficiency was such that cell-cell contact was minimal at the time the cells were harvested for various biochemical analyses. Myocyte cultures were maintained in serum-containing media at 37°C for 24 hours in humidified air with 5% carbon dioxide. The medium was then changed to serum-free DMEM/medium 199. All experiments were initiated 24 hours after the change to serum-free conditions and 48 hours after plating. The purity of the cultures was determined at this time by immunocytochemistry with antibodies to sarcomeric myosin (monoclonal antibody F59) or sarcomeric actin (Sigma).20 Only cultures consisting of >90% myocytes as determined 48 hours after plating were used for experiments reported here.

Immunoprecipitation and Assay of p70S6K Activity
Procedures were essentially as described by others,8 17 with minor modifications. Extracts were obtained from four or five 100-mm dishes of sparsely plated cultures of neonatal cardiac myocytes. Cells were stimulated with vehicle or PE for 20 minutes, followed by aspiration of the media, two ice-cold rinses with PBS, and addition of 200 to 250 µL of ice-cold lysis buffer. Lysis buffer consisted of (mmol/L) KPO4 10 (pH 7.4), EDTA 1, EGTA 5, MgCl2 10, ß-glycerophosphate 50, sodium orthovanadate 1, and dithiothreitol 2, along with 10 nmol/L okadaic acid, 10 µg/mL leupeptin, and 10 µg/mL aprotinin. The lysate was incubated on ice for 20 minutes, followed by centrifugation in a microfuge for 20 minutes at 4°C. Lysates containing 400 µg of protein were diluted with 10 vol of RIPA buffer (10 mmol/L Tris, pH 7.2, 150 mmol/L NaCl, 1% deoxycholic acid, 1% Triton X-100, and 0.1% SDS) and were incubated with 4 µL of rabbit polyclonal anti-p70S6K antibody on an oscillating platform for 2 hours at 4°C. Protein A–Sepharose (160 µL) was added, and the incubation was continued for an additional 30 minutes. After centrifugation, immunoprecipitates were washed three times with lysis buffer and then rid of any residual supernatant.

To the remaining immune complex ({approx}80 µL) the following were added: 50 µL of 2x kinase assay buffer (mmol/L: MOPS 50, pH 7.2, ß-glycerophosphate 120, p-nitrophenylphosphate 60, EGTA 10, MgCl2 30, dithiothreitol 2, and sodium orthovanadate 2, along with 500 nmol/L PKA inhibitor) and 25 µL of ATP solution (100 µmol/L ATP and 20 µCi [{gamma}-32P]ATP). The reaction was started by the addition of 5 µL of RRRLSSLRA (5 mg/mL) with mixing and incubated at 30°C. At 10, 20, and 30 minutes, aliquots of 40 µL were removed into microtubes containing 8 µL of 12% TCA. After centrifugation, the supernatant was spotted onto Whatman P-81 phosphocellulose paper and washed five times (2 minutes each) with 180 mmol/L phosphoric acid and once with 95% ethanol. Radioactivity was quantified by scintillation counting in Bio-Safe II scintillation cocktail.

Immunoblotting
Myocyte lysates prepared as described above were diluted with lysis buffer to achieve the desired protein concentration and then mixed 1:1 with 2x sample buffer (125 mmol/L Tris, pH 6.8, 4% SDS, 20% glycerol, 10% 2-mercaptoethanol, and 0.001% bromphenol blue). Protein (25 to 40 µg) was loaded into each lane of a 7.5% SDS-polyacrylamide gel and size-fractionated by electrophoresis at a constant current of 20 mA for 16 to 20 hours. Proteins were then electrophoretically transferred to PVDF membranes at 5 V/cm for 16 to 20 hours at 4°C. After incubation in blocking solution (PBS-T and 1% bovine serum albumin) for 2 hours, membranes were washed three times in Western buffer (50 mmol/L NaCl, 10 mmol/L Tris, pH 7.0, 1 mmol/L EDTA, and 0.1% Tween-20) before incubation with the primary antibody (rabbit anti-p70S6K and C-18) for 16 to 20 hours, followed by three more washes and incubation for 1 hour with a 1:10 000 dilution of the secondary antibody (goat anti-rabbit IgG conjugated with horseradish peroxidase). Antibody binding was detected using the enhanced chemiluminescence method according to the manufacturer's instructions (Amersham Corp).

Measurements of Protein-to-DNA Ratio, 14C-Phe Incorporation, and Cell Size
After cell isolation, the myocytes were cultured in serum-containing media and plated in six-well tissue culture plates at a density of 1x104 cells/cm2 for protein-to-DNA ratio experiments and 2.5x104 cells/cm2 for labeling experiments. To inhibit fibroblast growth, 10-4 mol/L bromodeoxyuridine (Sigma) was added to the cultures at the time of plating and was maintained in the culture medium throughout the experiment. After 1 day in serum-containing medium, the cells were cultured in serum-free medium (DMEM/medium 199 containing antibiotics) supplemented with 1 µmol/L insulin, 5 µmol/L transferrin, and 10 nmol/L selenium. After 1 day in serum-free medium, cells were treated with experimental agents and harvested 72 hours later. Protein-to-DNA ratios were determined by a modification of the procedure described by McDermott et al.21 After two rinses with PBS, cells were detached by scraping in 100 µL of 1x standard sodium citrate containing 0.25% SDS and frozen at -30°C. After they were thawed, the contents were vortexed extensively. Total cell protein and DNA content were determined by the Nano-Orange and PicoGreen reagents (Molecular Probes, Inc), respectively. Protein and DNA assays were conducted in 96-well plates according to the manufacturers' instructions. Quantification of signals was acquired using a STORM imager (Molecular Dynamics) in the chemifluorescence/blue fluorescence mode. Bovine serum albumin and calf thymus DNA were used as standards for protein and DNA determinations, respectively.

The incorporation of labeled phenylalanine into myocyte protein was assessed as described previously.22 After 1 day in serum-free medium, 14C-Phe (0.1 µCi/mL) was added to the cultures along with various drug treatments. Cells were then analyzed for changes in cell size and 14C-Phe incorporation into cellular protein 3 days later. For cell size measurements, two or three fields were randomly chosen and photographed at high power (x400), and 75 individual cell areas were measured by planimetry. For 14C-Phe incorporation into cellular protein, the amount of radiolabel incorporated into TCA-insoluble material was determined as described previously.22 An aliquot of SDS solution obtained from each well was used for measurement of DNA concentration using the PicoGreen reagent as described by the manufacturer (Molecular Probes, Inc).

Measurements of [14C]Uridine Incorporation and RNA Yield
[14C]Uridine incorporation was measured essentially as described above for 14C-Phe, except that cells were harvested 48 hours after the addition of 0.2 µCi/mL [14C]uridine (NEC 598; specific activity, 521 mCi/mmol; New England Nuclear) and the various drug treatments. Results were then normalized to total DNA content as described above.

RNA Blotting
Total RNA was isolated from cultured ventricular myocytes using the guanidinium isothiocyanate method23 as described in detail previously.22 After denaturation in formamide and formaldehyde, equal amounts of total RNA (10 µg per lane) were size-fractionated by electrophoresis through 1% agarose gels containing 3% formaldehyde. The fractionated RNA was electrophoretically transferred to nylon membranes (Duralon, Stratagene Cloning Systems) at 5 V/cm, cross-linked by ultraviolet radiation (120 mJ), and then hybridized at 63.5°C as described by Church and Gilbert24 with 32P-labeled oligonucleotide and cDNA probes. Probes for the translated region of rat ANF and the 3' untranslated region of rat skeletal {alpha}-actin were prepared as described previously.25 The probe for 18S rRNA was a synthetic oligonucleotide previously described.26 Complementary DNA probes were radiolabeled using the random priming method.27 28 Oligonucleotides were radiolabeled by terminal deoxynucleotide transferase with [{alpha}-32P]dATP.29

Statistics
Data are expressed as mean±SE. For the p70S6K activity assay, an independent-samples t test was used to compare the slopes of the phosphorylation rate regressions for PE versus control cultures.30 Comparisons between treatments and control for Northern blot analyses were made with a one-sample t test.30 Comparisons among treatments were made with an independent-samples t test.30 P values were corrected by the Bonferroni method.30 For the protein-to-DNA ratio, for cell size measurements, for 14C-Phe or [14C]uridine incorporation, and for RNA yield values, a two-way ANOVA and Tukey's procedure were used.30 A value of P<.05 was considered significant.


*    Results
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up arrowMaterials and Methods
*Results
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{alpha}1-AR Stimulation Activates p70S6K Activity
To determine whether PE activates p70S6K in myocytes, cultures of sparsely plated neonatal cardiac myocytes were harvested after treatment with PE (100 µmol/L) or vehicle (ascorbic acid) for 20 minutes, 24 hours, or 3 days. After immunoprecipitation of cell lysates with an antibody directed against p70S6K (C-18), incorporation of radiolabeled phosphate into a synthetic substrate (RRRLSSLRA) driven by the immune complex was measured serially at 10, 20, and 30 minutes in the assay tubes. For cells harvested after 20 minutes of stimulation, the rate of phosphate incorporation into substrate was >3-fold greater for PE-treated myocyte extracts than for those of vehicle-treated control cultures (Fig 1ADown). The rate of phosphorylation measured after incubating the antibody with a 10-fold excess of peptide antigen before immunoprecipitation was essentially zero (data not shown). Activation of p70S6K was sustained for at least 72 hours and was inhibited by rapamycin. The inhibitory action of rapamycin was reversed by FK506, a related macrolide that competitively displaces rapamycin from its FKBP binding site (Fig 1BDown).



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Figure 1. PE rapidly activates p70S6K in neonatal cardiac myocytes. A, Plot of RRRLSSLRA phosphorylation by immunoprecipitated p70S6K (n=3). Cultures were treated with vehicle (VEH) or PE for 20 minutes and then harvested as described in "Materials and Methods." Equal amounts of protein were immunoprecipitated with the anti-p70S6K antibody and used in the phosphorylation assay. The quantity of phosphorylated substrate was measured at 10, 20, and 30 minutes after initiation of the reaction. Regression analysis was used to determine the slope of each line representing the rate of substrate phosphorylation. The slope for PE-treated cells was 300±48x (mean±SE) vs 83±20x for control myocytes, indicating that the rate of RRRLSSLRA phosphorylation by the immune complex from PE-stimulated cultures was significantly greater than that of vehicle-treated control myocytes (P=.014, t test). B, Relative activity of p70S6K at 20 minutes, 24 hours, or 72 hours after administration of 100 µmol/L PE. Rapamycin (RAP; 500 pg/mL) was added 30 minutes before PE stimulation. FK506 (250 ng/mL) was administered 10 minutes before RAP. Data are for a single experiment at each time point and are from three independent preparations of myocytes. Activity of p70S6K was determined as in panel A. C, Detection of p70S6K by immunoblotting with specific antisera (C-2) or antibody preabsorbed for 2 hours with a 10-fold excess of peptide antigen. Serum-deprived myocytes were treated with agents for 20 minutes or 24 hours and harvested. Crude lysates (40 µg) were size-fractionated electrophoretically on a 7.5% SDS-PAGE gel and transferred to a PVDF membrane as described in "Materials and Methods." Myocytes were treated with PE (100 µmol/L) with or without pretreatment with RAP (500 pg/mL) in the absence or presence of FK506 (250 ng/mL). Antibody detection of p85S6K was also visible in some blots, and the bands detected exhibited a similar pattern of altered mobility as those at 70 kD.

Immunoblotting of whole-cell lysates with an antibody directed against p70S6K (C-2) detected a band at {approx}70 kD and up to four electrophoretically retarded bands that have been shown by others to be due to sequential phosphorylation of serine and threonine residues (Fig 1CUp).18 31 The specificity of the antibody used for immunoblotting was verified by preincubation of the antibody with excess peptide antigen, which eliminated the signal (Fig 1CUp). Stimulation of myocyte cultures with PE resulted in increased prominence of the electrophoretically retarded bands, consistent with phosphorylation and activation of p70S6K. Rapamycin pretreatment of vehicle- and PE-treated cultures eliminated the appearance of the retarded bands, consistent with dephosphorylation and inactivation of p70S6K. When a 500-fold excess of FK506 was added before rapamycin and PE, it abolished the inhibitory effect of rapamycin, restoring the ability of PE to induce the appearance of electrophoretically retarded bands. Another set of bands at {approx}85 kD exhibited a similar pattern of mobility shifts in response to PE, rapamycin, and FK506. These bands correspond to the 85-kD S6 kinase that is a second product of the p70S6K gene, identical in sequence to p70S6K but containing a 23–amino acid nuclear targeting N-terminal extension.32 33 In aggregate, these data indicate that both 70- and 85-kD products of the p70S6K gene are expressed in cardiac myocytes and that p70S6K is subject to activation by {alpha}1-AR stimulation through a rapamycin-sensitive pathway.

Rapamycin Inhibits PE-Stimulated Cardiac Myocyte Hypertrophy
To determine whether rapamycin inhibits PE-stimulated cardiac myocyte hypertrophy, three independent assessments of myocyte growth were made. Myocytes were treated with vehicle or PE in the presence or absence of rapamycin for 3 days. As we20 22 and others2 3 4 have previously shown, PE treatment induced myocyte hypertrophy, as evidenced by an increase in total protein content relative to DNA (Fig 2Down). Rapamycin exerted a significant independent effect on the protein-to-DNA ratio, as well as a significant interactive effect on PE-treated myocytes, indicating that rapamycin inhibits both basal and PE-stimulated myocyte hypertrophy.



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Figure 2. Rapamycin (RAP) inhibits the PE-induced increase in total protein in neonatal cardiac myocytes. Myocytes were cultured in six-well plates, as described in "Materials and Methods." After 24 hours in serum-free media (48 hours after plating), cultures were administered ascorbic acid (vehicle [VEH]), 5 ng/mL RAP, and/or the {alpha}1-AR agonist PE and incubated for 3 days. RAP was added at least 10 minutes before the addition of PE. Accumulation of total protein relative to DNA in the cultures was significantly increased by PE (two-way ANOVA, main effect for PE) and significantly attenuated by RAP (main effect). There was a significant interaction (INT) between RAP and PE, indicating that RAP inhibited the PE-stimulated increase in total protein. Values are mean±SE for duplicate determinations on each of nine independent preparations of myocytes. Values for raw protein content were as follows (µg/well [mean±SE]): VEH, 12.2±1.9; RAP, 9.2±1.4; PE, 14.9±2.0; and RAP/PE, 10.7±1.3. Values for DNA content are given in "Results."

DNA content was also significantly affected by rapamycin treatment (0.518±0.065 and 0.527±0.069 µg/well for rapamycin and rapamycin+PE–treated cultures, respectively, versus 0.652±0.085 and 0.617±0.082 µg/well for vehicle- and PE-treated myocytes, respectively; P=.031, two-way ANOVA). We considered three possible explanations for this effect of rapamycin, including proliferation of nonmyocytes, detachment of myocytes, and binucleation of myocytes. Myocyte purity as assessed by staining with myocyte-specific antibodies averaged 96±1% (n=13) at the initiation of treatment (2 days after plating). After the 3-day experimental period (5 days after plating), the percentage of myocytes in vehicle-treated cultures was 94±1% (n=13). Thus, if rapamycin inhibits this small degree of nonmyocyte proliferation, it may contribute to the lower DNA content in rapamycin-treated cultures. To assess the possibility of myocyte detachment, myocyte number was estimated by counting cells in a total of one to five randomly selected high-power fields per well from each of 15 separate preparations of myocytes. The average numbers of myocytes per field were as follows (mean±SE): vehicle, 24±3; rapamycin, 21±3; PE, 24±2; and rapamycin/PE, 29±3. There were no significant differences among the groups (two-way ANOVA), indicating that myocyte detachment could not account for the lower DNA values in rapamycin-treated cultures. In two other experiments, the percentage of binucleated myocytes was estimated by counting the number of mononucleated and binucleated myocytes in 10 randomly chosen high-power fields visualized by phase-contrast microsopy. At the initiation of treatment (2 days after plating), the number of binucleated myocytes was 3.7% of the total. After 72 hours of treatment, the percentages of binucleated myocytes were 8.1%, 4.1%, 10.6%, and 6.2% for vehicle, rapamycin, PE, and rapamycin/PE treatments, respectively. Thus, the most likely explanation for the slightly lower DNA content in rapamycin-treated cultures at 72 hours is a combination of small contributions from rapamycin-mediated inhibition of nonmyocyte proliferation and myocyte binucleation.

As an independent measure of the effects of rapamycin on myocyte growth, incorporation of labeled precursor into myocyte protein was determined. The progressive incorporation of 14C-Phe in myocytes resulted in a 2-fold-greater accumulation of incorporated label over the 3-day period relative to vehicle-treated controls (Fig 3Down). There were no significant differences in incorporation of label among the other three groups. DNA content in this set of labeling experiments was similar among the groups and did not change significantly over the 3-day treatment period (Table 1Down). It should be noted that this labeling approach is used as an estimate of myocyte growth and cannot be used to accurately assess rates of protein synthesis. In a separate set of labeling experiments in which raw counts (not normalized to DNA) were used as a measure of growth, rapamycin completely inhibited the PE-stimulated growth at doses of >=500 pg/mL, with the half-maximal effect observed between 5 and 50 pg/mL (not shown). This estimated half-maximal dose is similar to that observed for the inhibition of T-cell proliferation and the inhibition of S6 phosphorylation in 3T3 cells.8 34



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Figure 3. Time course of myocyte growth induced by PE in the presence or absence of rapamycin (RAP). Incorporation of 14C-Phe into cellular protein was measured as described in "Materials and Methods." 14C-Phe incorporation and DNA content were measured at 0, 24, 48, and 72 hours after addition of agents to four independent preparations of myocytes. Results of a two-way ANOVA showed significant main effects for PE (P<.001) and RAP (P=.021) and a significant interaction between PE and RAP (P=.027). VEH indicates vehicle.


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Table 1. DNA Content in Myocyte Cultures

As a third independent assessment of cellular hypertrophy, two-dimensional cell area was quantified in cultures of myocytes treated with vehicle, PE, rapamycin, or a combination of the two drugs. Rapamycin (500 pg/mL) had no effect on the size of control myocytes but completely inhibited the PE-induced increase in two-dimensional cell area (Fig 4Down, Table 2Down). To demonstrate the specificity of the rapamycin-FKBP interaction in the inhibition of myocyte protein accumulation, cultures were pretreated with various doses of FK506 before the addition of rapamycin and PE. Since FK506 and rapamycin both bind FKBP and are mutually antagonistic, it would be predicted that a high molar excess of FK506 would competitively reverse the rapamycin effect.34 35 The inhibition of the PE-stimulated increase in myocyte size by rapamycin was competitively reversed by coadministration of FK506. The reversal by FK506 indicates that the rapamycin effect was mediated by a rapamycin-FKBP complex and not through a nonspecific effect of rapamycin.



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Figure 4. Rapamycin inhibits the PE-stimulated increase in myocyte size. A, Vehicle-treated myocytes. B, Myocytes treated with rapamycin alone. C, PE-treated myocytes (20 µmol/L PE). D, Myocytes treated with rapamycin (0.5 ng/mL) and PE (20 µmol/L). E, Myocytes treated with rapamycin (0.5 ng/mL), PE (20 µmol/L), and FK506 (250 ng/mL). Photomicrographs were taken of randomly chosen fields at x400, 70 to 72 hours after treatment.


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Table 2. Rapamycin Inhibits the PE-Stimulated Increase in Two-Dimensional Myocyte Area

Rapamycin Inhibits PE-Induced Increases in RNA Accumulation
Since an increase in ribosomal RNA content,15 reflected in elevated levels of total RNA,16 22 is a common feature of cardiac hypertrophy in vivo and in culture, we examined the levels of total RNA 72 hours after treatment with PE with and without rapamycin. The p70S6K inhibitor rapamycin significantly reduced the increase in accumulation of total RNA by PE (Fig 5ADown). To further investigate this phenomenon, myocyte cultures were treated with vehicle, PE, rapamycin, or rapamycin+PE in the presence of [14C]uridine for 48 hours. PE-treated cultures exhibited a 2-fold increase in the incorporation of labeled uridine into cellular RNA (Fig 5BDown). Rapamycin effectively inhibited the PE-stimulated increase in incorporation of label into cellular RNA. Since the vast majority of RNA in the cell is ribosomal (>95%), it seems evident from these data that the PE-stimulated increase in accumulation of rRNA is abrogated by rapamycin treatment.



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Figure 5. Rapamycin (RAP) inhibits the accumulation of myocyte RNA stimulated by PE. A, RNA yield expressed in micrograms per 100-mm dish. Values are mean±SE for single determination on four independent preparations of myocytes. *PE indicates significant main effect for PE; {dagger}RAP indicates significant main effect for RAP (two-way ANOVA). B, Incorporation of [14C]uridine into myocyte RNA. Cultures were stimulated with 100 µmol/L PE, 500 pg/mL RAP, 250 ng/mL FK506, or combinations thereof for 48 hours in the presence of 0.2 µCi/mL [14C]uridine. Values are mean±SE for duplicate determination on four independent preparations of myocytes. *P<.05 vs VEH; {dagger}P<.05 vs PE (two-way ANOVA and Tukey's procedure).

Rapamycin Does Not Inhibit Expression of Hypertrophy-Associated Genes
To determine whether inhibition of hypertrophy by rapamycin also results in repression of PE-stimulated increases in expression of hypertrophy-associated genes, total RNA was harvested from myocyte cultures treated for 48 hours with 100 µmol/L PE, 5 ng/mL rapamycin, or a combination of rapamycin and PE. Rapamycin had no significant effect on PE-stimulated expression of either ANF or skeletal {alpha}-actin (Fig 6Down). This was true when ANF and skeletal {alpha}-actin signals were normalized to levels of either 18S ribosomal RNA (Fig 6Down) or to glyceraldehyde-3-phosphate dehydrogenase mRNA (data not shown). The effectiveness of the rapamycin aliquots used in Northern blotting experiments to dephosphorylate p70S6K was verified by its effectiveness in inhibiting the electrophoretic mobility changes of p70S6K on immunoblots (not shown).



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Figure 6. Rapamycin (RAP) does not inhibit PE-stimulated increases in expression of hypertrophy-associated genes. A, Northern blot showing expression of ANF and skeletal {alpha}-actin (SK) in response to a 48-hour exposure to PE with or without RAP treatment. RAP was added 10 minutes before the addition of PE. B and C, Graphical representation of Northern blot data (ANF [B] and SK [C]) from five experiments performed on five independent preparations of myocytes. *P<.05 vs vehicle (VEH) by independent-samples t test.

Potential Role of PI3-Ks in {alpha}1-AR–Stimulated Hypertrophy
Recent studies have implicated a PI3-K as an upstream effector of p70S6K in some cell types.18 To investigate the potential involvement of PI3-K in the PE-stimulated activation of p70S6K, two inhibitors of PI3-Ks, wortmannin and LY294002, were used. Both agents inhibited PE-mediated retardation of the electrophoretic mobility of p70S6K when cultures were harvested after 20 minutes of treatment (Fig 7ADown and 7BDown). Wortmannin also inhibited activity of p70S6K in the immune complex assay when cells were harvested at 20 minutes and 24 hours (data not shown) but required a higher dose in our myocyte cultures than was reported for its specific action on PI3-K. Wortmannin partially inhibited incorporation of 14C-Phe into myocyte protein (n=3 experiments), but results were variable, probably because of the lack of stability of this compound.36 LY294002, on the other hand, inhibited p70S6K activity completely at 10 µmol/L (Fig 7CDown), in keeping with its reported IC50 of 1.4 µmol/L for inhibition of PI3-K activity in vitro.37 We used LY294002 for longer-term experiments on 14C-Phe incorporation because of its efficacy in myocytes and its superior stability.37 To determine whether LY294002 would inhibit the accumulation of protein and RNA, experiments were conducted in the presence of radiolabeled protein and RNA precursors for 72 hours. LY294002 inhibited the incorporation of 14C-Phe into myocyte protein in a dose-dependent manner (Fig 8ADown and 8BDown). Similarly, LY294002 inhibited the PE-stimulated increase in [14C]uridine incorporation into cellular RNA in a dose-dependent manner (Fig 8CDown and 8DDown). Although LY294002 alone had no significant effect on the basal incorporation of labeled precursors into cellular RNA or protein, there appears to be a trend for it to do so, particularly for RNA (Fig 8CDown).



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Figure 7. The activation of p70S6K by PE is sensitive to inhibitors of PI 3-K. A and B, Immunoblot showing the effects of wortmannin and LY294002 on electrophoretic mobility of p70S6K. Cells were harvested 20 minutes after addition of PE. Cultures were pretreated for 1 hour with wortmannin or at least 5 minutes with LY294002 or their respective vehicle (dimethyl sulfoxide, ethanol). Immunoblots were prepared as described in "Materials and Methods." Total protein (25 µg) from cell lysates was added to each lane. Results are representative of three experiments. RAP indicates rapamycin. C, Effects of LY294002 on p70S6K activity. Activity of p70S6K was measured as described in "Materials and Methods" 20 minutes after the addition of 100 µmol/L PE. LY294002 was added to the dishes at least 5 minutes before the addition of PE. Values are mean±SE for three separate experiments on independent preparations of myocytes. Data are shown for the following concentrations of LY294002 (µmol/L): vehicle (VEH)-treated, 0; PE-treated, 0, 1, 10, and 100.



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Figure 8. LY294002 inhibits PE-stimulated increases in incorporation of labeled precursors into cellular protein and RNA. A, Effects of LY294002 (LY) on myocyte growth. Cells were harvested after 72 hours of treatment with vehicle (VEH) or PE in the presence of 14C-Phe. LY294002 was added at least 5 minutes before the treatment with PE. Values are mean±SE for duplicate determinations on four independent preparations of myocytes. *P<.05 vs VEH; {dagger}P<.05 vs PE (ANOVA, Tukey's procedure). B, Dose-response plot of effect of LY294002 on myocyte growth. Values are mean±SE for duplicate determinations on the following number of independent preparations of myocytes: 0, 1, and 10 µmol/L, n=4; 50 µmol/L, n=1; and 100 µmol/L, n=2. C, Effects of LY294002 on incorporation of [14C]uridine into cellular RNA. Cells were harvested 48 hours after treatment with VEH or PE. LY294002 was added at least 5 minutes before the addition of PE. Values are mean±SE for duplicate determinations on four independent preparations of myocytes. *P<.05 vs VEH; {dagger}P<.05 vs PE (ANOVA, Tukey's procedure). D, Dose-response plot of effect of LY294002 on incorporation of [14C]uridine into cellular RNA. Values are mean±SE for duplicate determinations on the following number of independent preparations of myocytes: 0, 1, and 10 µmol/L, n=4; 50 µmol/L, n=1; and 100 µmol/L, n=2.


*    Discussion
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
*Discussion
down arrowReferences
 
Cardiac hypertrophy is an adaptation to increased hemodynamic workload that involves autocrine, paracrine, and endocrine signals.1 2 3 4 5 38 39 40 At the cellular level, cardiac hypertrophy is manifested by the enlargement of cardiac myocytes and an accumulation of contractile and noncontractile proteins resulting from a positive protein synthesis-to-degradation ratio.41 42 43 44 Protein synthesis is a tightly regulated process involving translation of available mRNAs into nascent protein. In most cases, translation initiation is the rate-limiting step.45 Activation of p70S6K has been implicated in the regulation of translation in conjunction with phosphorylation of the ribosomal S6 protein6 and in the regulation of Ang II–stimulated hypertrophy of cardiac myocytes and vascular smooth muscle cells.17 46 47

The present results demonstrate that stimulation of {alpha}1-ARs by PE leads to a rapid and sustained elevation in p70S6K activity (Fig 1Up). Rapamycin, an immunosuppressant macrolide that selectively blocks activation of p70S6K (Fig 1BUp and 1CUp), markedly inhibited hypertrophic growth in cardiac myocytes induced by PE. The inhibitory effects of rapamycin were noted on three independent indexes of hypertrophy, including total protein content, incorporation of 14C-Phe into myocyte protein, and two-dimensional myocyte size (Figs 2 through 4UpUpUp, Table 2Up). The significant interaction between rapamycin and PE for each of the three hypertrophic indexes demonstrates that rapamycin does not simply reduce basal myocyte growth but specifically inhibits PE-stimulated growth processes. It can be concluded that these effects were not due to toxic or nonspecific effects of rapamycin because the results of protein content and labeling experiments were normalized to DNA content (Figs 2Up, 3Up, and 5Up) and because the effects of rapamycin were reversed by a high molar excess of FK506 (Figs 1Up and 4Up, Table 2Up), a macrolide related to rapamycin that competitively displaces rapamycin from its FKBP binding site.48 Thus, the present results indicate that a rapamycin-sensitive pathway is required for {alpha}1-AR–stimulated cardiomyocyte hypertrophy and suggest that inhibition of p70S6K activity may account, at least in part, for the rapamycin-mediated inhibition of PE-stimulated hypertrophy.

The role of rapamycin-sensitive pathways has been studied most extensively in proliferating cell lines, where the selective inhibition of these kinases by rapamycin prevents or delays the entry of these cells into S phase after stimulation by mitogens.6 8 9 34 Although rapamycin leads to growth arrest of these cells, its direct effects on incorporation of label are rather modest (<=20% inhibition by 20 ng/mL rapamycin).6 We report in the present study that rapamycin completely inhibits the increases in total protein, 14C-Phe incorporation, and myocyte size that are otherwise stimulated by PE. Similarly, rapamycin has been shown to completely inhibit the increase in protein synthesis induced by Ang II.17 These results suggest that rapamycin-sensitive signaling plays a larger role in protein accumulation during hypertrophic compared with hyperplastic growth and that the precise role of p70S6K in growth processes is cell-type dependent.

One way that rapamycin might exert its regulatory influence in hypertrophying myocytes is to participate in the accelerated synthesis of ribosomes, an early event in cardiac hypertrophy.1 15 This is plausible because many ribosomal proteins harbor polypyrimidine tracts at their extreme 5' end,13 rendering them susceptible to selective translational repression by rapamycin.6 Terada et al14 have proposed that the less pronounced effect of rapamycin on protein synthesis in cycling cells is due to the fact that cycling cells have more ribosomal "machinery" on hand and that, therefore, de novo synthesis of translational apparatus is not as crucial as it is in quiescent cells. Consistent with this notion are data in the present study showing that both accumulation of total RNA and incorporation of labeled uridine into RNA are inhibited by rapamycin (Fig 5Up) in cardiac myocytes.

Whether these effects are mediated directly via regulation of S6 phosphorylation by p70S6K is not clear, but it seems likely that they may involve other pathways that regulate translational control via phosphorylation of a protein termed PHAS-I (also referred to as 4E-BP1),49 since phosphorylation of PHAS-I (which disinhibits translation by releasing the translation initiation factor eIf-4E) by insulin is rapamycin sensitive.50 51 52 53 54 This would place PHAS-I downstream from rapamycin-FKBP, but whether PHAS-I is regulated by p70S6K or whether it represents a post–rapamycin-FKBP, p70S6K-independent bifurcation of the signaling pathway remains to be determined.

Rapamycin-FKBP is believed to act via its interaction with a family of proteins first identified in yeast and termed TOR. In yeast, rapamycin-FKBP complexes mediate their effects by interaction with two intracellular TOR proteins, TOR1 and TOR2. TOR2 mutations are lethal in yeast, since TOR2 is required for G1 progression.55 Both TOR1 and TOR2 display strong sequence homology with PI3-K. The targets of rapamycin-FKBP complexes in mammalian cells (variously termed FRAP, RAFT1, and mTOR) show significant homology with TORs, particularly in the region encoding the putative PI3-K catalytic domain.56 57 58 Brown et al59 have recently provided convincing evidence that FRAP regulates p70S6K activity in Tag Jurkat and Sf9 cells by a mechanism involving a kinase activity. FRAP is widely expressed in mammalian tissues, including the heart.56 We have observed that FRAP mRNA is expressed in cultured neonatal cardiac myocytes (authors' unpublished data, 1996). The fact that FRAP is expressed in myocytes, coupled with the data demonstrating the effects of rapamycin and FK506 on p70S6K activity in myocytes, suggests that FRAP regulates p70S6K in myocytes as it does in other cell types. The molecular link(s) between FRAP and p70S6K remains unidentified.60

Data derived from both in vitro and in vivo models of hypertrophy have demonstrated that fetal/neonatal genes, such as ANF and skeletal {alpha}-actin, are reexpressed in response to a hypertrophic stimulus.38 39 40 Because of the strong association between cardiac myocyte hypertrophy and induction of fetal/neonatal genes, expression of some of these genes has often been used as a marker of hypertrophy. It was recently shown that rapamycin is capable of dissociating fetal/neonatal gene expression from Ang II–stimulated growth of myocytes.17 In the present study, inhibition of p70S6K activation by rapamycin also failed to block the PE-stimulated induction of the hypertrophy-associated genes ANF and skeletal {alpha}-actin, while effectively inhibiting protein accumulation. These findings indicate that the signaling pathway(s) leading from the {alpha}1-adrenergic receptor to the transcriptional (changes in gene expression) and translational (changes in protein accumulation and cell size) effectors diverges at an early postreceptor stage. Furthermore, these data show that p70S6K and other putative rapamycin-sensitive translational control mechanisms are downstream from the point at which the signaling pathways separate in myocytes. Together with several other studies,17 20 22 61 these data demonstrate that the induction of hypertrophy-associated genes is not sufficient for hypertrophic growth of myocytes. Although induction of the hypertrophy-associated genes reported in the present study and elsewhere17 has been shown to be independent of p70S6K activation, it is possible that some genes relevant to hypertrophy may be dependent on p70S6K activation. It has been shown, for example, that the transcription factor cAMP-responsive element modulator (CREM) is phosphorylated and activated by p70S6K, although endogenous target genes directly related to this transcription factor have not been identified.62

The intracellular signaling pathway by which hypertrophic stimuli activate p70S6K in myocytes is not well delineated. Work in other cell types has implicated a ras-independent pathway involving activation of a wortmannin- and LY294002-sensitive PI3-K–like protein.18 In addition to the TOR homologues that contain a PI3-K domain, a wortmannin-sensitive PI3-K that is linked to G proteins via the ß{gamma} subunit has also been identified.63 This protein does not require association with receptor tyrosine kinases for activation, a feature that is particularly relevant to the mechanism of S6 kinase activation in proliferating fibroblasts by PDGF, since mutation of the PI3-K binding sites on the PDGF receptor has demonstrated that this pathway is not required for p70S6K activation.64 Which, if any, of these candidate PI3-Ks or PI3-kinase–like molecules is involved in the regulation of protein accumulation in cardiomyocytes undergoing hypertrophy is not known.

Because S6 kinases can be activated by phorbol esters via a pathway that is inhibited by rapamycin, but not by wortmannin,19 and because PKC is activated by {alpha}1-AR stimulation,4 65 it was a necessary first step to determine whether the activation of p70S6K and the increase in protein synthesis in cardiomyocytes by PE are, in fact, sensitive to inhibitors of PI3-K. In the present study, we show that in cardiac myocytes both basal and PE-stimulated p70S6K activation are inhibited by wortmannin and LY294002. Furthermore, LY294002 inhibited the incorporation of labeled precursors into cellular protein and RNA in a dose-dependent manner. The fact that wortmannin and LY294002 were effective in inhibiting PE-stimulated events suggests that a PI3-K or a PI3-K–like molecule plays an essential role in the transduction of signals from the {alpha}1-AR to p70S6K and other putative mechanisms regulating protein and RNA accumulation during hypertrophy of myocytes. Since some of the phorbol-sensitive PKCs are activated by PE,65 the present data point out a possible difference in signaling between cardiac myocytes and lymphoid cells, where phorbol ester–mediated activation of p70S6K is insensitive to wortmannin.19 Because the dose-response curve for the effect of LY294002 on PE-stimulated p70S6K activity (Fig 7CUp) differs somewhat from those for incorporation of labeled protein and RNA precursors (Fig 8Up), an alternative explanation may be that this drug inhibits multiple PI3-Ks with effects that both parallel and converge on rapamycin-sensitive pathways. Although FRAP has not yet been shown to exhibit PI3-K activity,66 it possesses a striking homology to PI3-K,56 57 58 and its kinase domain is required for autophosphorylation as well as its effects on p70S6K activation.59 Thus, the possibility that inhibitors of PI3-K may interact with this domain, thereby disrupting the conveyance of upstream signals to p70S6K, should not be overlooked.


*    Selected Abbreviations and Acronyms
 
{alpha}1-AR = {alpha}1-adrenergic receptor
ANF = atrial natriuretic factor
Ang II = angiotensin II
14C-Phe = [14C]phenylalanine
FKBP = FK506 binding protein
p70S6K = 70- or 85-kD form of S6 kinase
PDGF = platelet-derived growth factor
PE = phenylephrine
PHAS-I = phosphorylated heat- and acid-stable proteins regulated by insulin
PI3-K = phosphatidylinositol 3-kinase
PKA, PKC = protein kinase A and C
PVDF = polyvinylidene difluoride
TCA = trichloroacetic acid
TOR = target of rapamycin


*    Acknowledgments
 
This article is hereby dedicated to the memory of our esteemed colleague and friend, Dr Howard Silverman. His enthusiasm, intellect, resourcefulness, energy, and warmth will be sorely missed. The authors gratefully acknowledge Dr John Blenis for generously supplying the anti-p70/85S6K antibody, Fujisawa Pharmaceutical Co for the gift of FK506, and Dr Suren Sehgal of Wyeth-Ayerst for the gift of rapamycin. We also thank Jun-ichi Sadoshima for helpful discussions regarding the S6 kinase assay and Leslie Heckendorf for excellent technical support.


*    Footnotes
 
1 Deceased. Back

Received September 18, 1996; accepted May 16, 1997.


*    References
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
up arrowDiscussion
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