Minireview THE JOURNAL OF BIOLOGICAL CHEMISTRY Vol. 265, No. 14, Issue of May 15, pp. 7709-7712.1990 C 1990 by The American Society for Biochemistry and Molecular Biology, Inc.
Prrnted in U.S.A.
Epidermal Growth Factor*
Graham Carpenter and Stanley Cohen
From the Departments of Biochemistry and Medicine,
Vanderbilt University School of Medicine,
Nashville, Tennessee 37232-0146
Growth factors, a diverse group of polypeptides that modify
cell proliferation, constitute a distinct subgroup in endocri-
nology. The biology of these factors differs somewhat from
classical hormones as neither their site(s) of synthesis nor
site(s) of action is restricted to defined tissues. Many growth
factors probably operate in a paracrine fashion and, in certain
instances, their action may be autocrine in nature. The dif-
fuseness of sites of synthesis and location of target cells plus
the limited quantities of purified material available for studies
with intact animals have restricted progress in understanding
the normal physiological function of many of the growth
factors in growth and development. However, early studies
with EGF’ in the intact animal demonstrated its stimulatory
effect on epidermal proliferation (1) and inhibitory effect on
gastric acid secretion (2).
The application of biochemical and molecular biological
approaches has produced considerable information concern-
ing the structure of the growth factors and their individual
receptors, their classification into families of related mole-
cules, the relationship of receptors and growth factors to
oncogene products, and the plethora of cellular events that
constitute the mitogenic response. Also, some clues are avail-
able regarding the second messenger pathways that mediate
biological responses to growth factors.
The study of EGF has provided a framework for under-
standing the cellular and molecular events that underlie the
biological effects of a number of growth factors and hormones.
The intent of this article is to summarize this information
with reference to the most seminal discoveries and recent
advances. A recent comprehensive review (3) is available for
more detailed information.
Structure of EGF and Its Relatives
While the primary and secondary structures of EGF have
been known for some time (4, 5), three advances in this area
have been made in the last few years. First is the realization
that there is a family of EGF-like molecules, all of which are
encoded by distinct genes. The other members of this family
are TGFcu, the pox virus growth factors, and amphiregulin
(3). These EGF-like molecules are defined by three charac-
teristics: high affinity binding to the EGF receptor, production
of mitogenic responses in EGF-sensitive cells, and within the
primary structure of approximately 50-60 residues, 6 half-
cystines in the general sequence X,CX&X2_3GXC
X10.13CXCXZYXGXRCX,LX,. Interestingly, the motif of
half-cystine residues in this mitogen family is also found in a
* Financial support from the National Institutes of Health and American
Cancer Society is gratefully acknowledged.
1 The abbreviations used are: EGF! epidermal growth factor; TCFa, trans-
forming growth factor-a; GAP, guanme nucleoside triphosphatase-activating
protein; MAP, microtubule-associated protein; PLC-71,. phospholipase C-71;
PI-3 kinase, phosphoinositide 3:kinase; PI,phosphoinos~tide; PDGF, platelet-
t;;w;;,d growth factor; IP,, mosltol 1.4.5-trlsphosphate; SRF, serum response
surprising number of cell surface and extracellular proteins
that, while not agonists for the EGF receptor (3), do have
interesting properties in development, cell adhesion, and pro-
tein-protein interactions.
A second advance has come from NMR studies of EGF (6-
8) and TGFa (9-11). The results reveal that both polypeptides
have two sets of anti-parallel P-sheet structures, but little or
no cr-helical conformation. While attempts have been made
to synthesize biologically active peptides corresponding to
various portions of the EGF molecule, significant successes
have not been reported. However, it has been possible to
synthesize the entire EGF (12) and TGFa (13) molecules with
full biologic activity. The results of site-directed mutagenesis
indicate that all half-cystine residues are essential for biologic
activity (3).
The third advance in this area relates not to the structure
of the mature EGF molecule but to the surprising structure
of its precursor. cDNA cloning revealed that prepro-EGF
contains approximately 1200 residues (14, 15). The sequence
of this precursor includes not only the sequence of EGF but
also eight EGF-like units and, near the carboxyl terminus, a
hydrophobic sequence characteristic of an integral membrane
protein. Subsequent studies with transfected cells have dem-
onstrated that prepro-EGF can exist as a glycosylated mem-
brane protein (16). The means by which EGF is processed
from the precursor molecule is not known, and there is sub-
stantial interest in the other functions of the precursor.
Whereas in the mouse submaxillary gland the EGF precursor
is rapidly processed to the 53-amino acid form of EGF, in
certain cells of the kidney the precursor accumulates and does
not appear to be processed intracellularly to mature EGF (17).
The kidney is postulated to be the source of urinary EGF.
Interestingly, the intact EGF precursor, purified either from
mouse kidney* or cultured cells transfected with cDNA for
prepro-EGF (16), retains EGF-like biological activity.
Structure and Function of the EGF Receptor
As shown in Fig. 1, the mature EGF receptor, M, = 170,000,
is composed of a single polypeptide chain of 1186 amino acid
residues and a substantial amount (approximately 40,000
daltons) of N-linked oligosaccharide. A single hydrophobic
membrane anchor sequence separates an extracellular ligand-
binding domain from a cytoplasmic domain that encodes an
EGF-regulated tyrosine kinase (18, 24, 25). cDNA cloning of
the chicken EGF receptor has revealed approximately 80%
identity to the human EGF receptor sequence (31). The basic
organizational motif of the EGF receptor is not unlike that of
receptors for several other growth factors (PDGF, insulin,
insulin-like growth factor 1, colony stimulating factor 1, and
fibroblast growth factor). The cytoplasmic tyrosine kinase
domain of these growth factor receptors is similar to a sub-
stantial number of oncogene products. Tyrosine kinase activ-
ity, therefore, has a central role in the regulation of cell
proliferation.
The extracellular domain of the EGF receptor is character-
ized by its capacity to bind EGF and EGF-like ligands with
high affinity. Chemically this portion of the receptor contains
lo-11 N-linked oligosaccharide chains (26, 27), an unusually
*d. Breyer and S. Cohen, unpublished results.
7709
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7710 Minireview: Epidermal Growth Factor
-1
I
{-
100
-200
II:
(. 300
III -400
i
IT
(,I:
iti bu I- ..,.
m --
r-1
IaI -1wo
t
lx
ti llW 1lW
Domains1 Residues
NH
I s +
.
(u/I)P-a-- -T-p
(721) ATP- K-
:’ Y
.
(amp-s- --s-p
FIG. 1. Depiction of the known features of the mature EGF receptor.
The cross-hatched area indicates the single membrane anchor sequence, tree-
like structures indicate potential sites for N-linked glycosylation, FL&d dots
indicate cysteine residues, and the stippled area denotes w-like tyrosine kinase
sequences (18). P-Y designates tyrosine autophosphorylation sites (19, ZO),
P-T and P-S designate phos
II
hothreonine and phosphorserine residues (21,
22), respectively, and A’Z’P-K enotas a lysine residue critical for ATP binding
(23).
high content of half-cystine residues (10%) that could give
rise to as many as 25 disulfides, and, in several cell lines,
mannose phosphate (28). It is proposed that the region be-
tween the two half-cystine-rich clusters is involved in ligand
binding (29).
The hallmark of the cytoplasmic portion of this receptor is
the sequence defining the tyrosine kinase domain. This do-
main has particularly high homology to the avian erb B
oncogene products (18) which are, in fact, derived from the
avian gene for the EGF receptor (30). Near the carboxyl
terminus of the receptor are four sites of EGF-dependent
tyrosine autophosphorylation (19, 20). Present data suggest
that these COOH-terminal tyrosines define an autoinhibitory
region that can be relieved by autophosphorylation or trun-
cation (32, 33).
Treatment of intact cells with EGF produces a marked
increase in the formation of phosphoserine, phosphothreo-
nine, and phosphotyrosine on the EGF receptor. The non-
tyrosine phosphorylations are attributable to nonreceptor
kinases such as protein kinase C, suggesting that these kinases
are indirectly stimulated by ligand binding to the receptor
and, in a possible feedback loop, utilize the receptor as one of
their substrates. Seven non-tyrosine phosphorylation sites
have been identified bordering the tyrosine kinase domain
(21,22). Of these serine/threonine phosphorylation sites it is
clear that C kinase phosphorylates threonine 654 (21) and
probably one or more other sites that are not yet identified.
C kinase phosphorylation of the receptor produces attenuat-
ing effects on the tyrosine kinase domain and, in some cells,
on the ligand-binding domain (3).
A major point regarding the structure and function of the
EGF receptor is the molecular mechanism by which ligand
binding activates the tyrosine kinase domain. Evidence has
been presented for an EGF-induced oligomerization mecha-
nism (34) coupled with intermolecular phosphorylation (35).
The molecular details of this hypothesis remain unclear and
alternate concepts, ie. the mechanism is entirely intramolec-
ular, have been advanced.
Signal Transduction
Lysine 721 of the EGF receptor participates in ATP binding
and is essential for enzyme activity (23). Mutagenesis of this
residue has demonstrated that, although ligand binding prop-
erties are not altered, all measurable cellular responses to
EGF are abrogated (36, 37). Therefore, tyrosine kinase activ-
ity following ligand binding is essential and the first step in
the EGF signal transduction pathway.
Recently, substantial progress has been made in identifying
tyrosine kinase substrates that have known biochemical func-
tions. This permits construction of a potential mitogenic
signaling pathway (Fig. 2). This map depicts five proteins as
tyrosine kinase substrates (PLC--yl, PI-3 kinase, GAP, MAP
kinase, and raf kinase). Two others, lipocortin I (calpactin,
pp35) (39-41) and c-erb B-2 (38,42-44), are not represented.
The latter is an EGF receptor-like molecule that possesses
1 EFF ]
63 H / \?, -
J
0 )(IMSf.
t
FIG. 2. Tyrosine kinase substrates and potential pathways for signal
transduction.
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Minireview: Epidermal Growth Factor 7711
tyrosine kinase activity and an extracellular binding site for
an as yet unidentified growth factor. Lipocortin associates
with membrane phospholipids in the presence of calcium;
however, its physiological function is unknown.
The best characterized substrate of the EGF receptor is
PLC-rl, one of a family of isozymes that hydrolyzes PI 4,5-
bisphosphate to produce IPs and diacylglycerol (45). The
former acts as a second messenger molecule to liberate stored
calcium from the endoplasmic reticulum and thereby activates
calcium-requiring enzymes or processes, while the latter is an
activator of protein kinase C. Within 1 min after the addition
of EGF to cells, approximately 60% of the total PLC--rl
molecules are phosphorylated on tyrosine residues (46-48).
This growth factor-enhanced phosphorylation of PLC-71 oc-
curs mostly at tyrosine sites, but some increase in serine
phosphate, presumably catalyzed by an EGF-activated serine
kinase, is also produced. In uitro, the purified EGF receptor
phosphorylates PLC-yl on tyrosine residues but produces
little or no phosphorylation of phospholipases @ or 6 (49). In
contrast, the insulin receptor, which also possesses tyrosine
kinase activity, does not utilize PLC-71 as a substrate (48,
50). This is a striking level of specificity for tyrosine phos-
phorylation in vitro, suggestive of biologic significance (55).
PLC-~1 is a unique PLC isozyme in that it contains se-
quences shared with several cytoplasmic tyrosine kinases,
GAP, and the crk gene product. These sequences are referred
to as src homology regions, SH2 and SH3, and may have
regulatory functions in this diverse group of growth-related
molecules (51). Although sites of tyrosine phosphorylation of
PLC-71 have been identified (52,53), none of these phospho-
tyrosine residues lie precisely within SH regions or the major
regions of sequence conservation in the PLC isozyme family.
A second tyrosine kinase substrate involved in phosphoi-
nositide metabolism is PI-3 kinase. Though most phosphoi-
nositides do not contain a phosphate at the 3-position of the
inositol ring, a small pool of phosphoinositides bearing this
phosphorylation has been identified recently in growth factor-
stimulated cells (54). These uniquely phosphorylated phos-
phoinositides are not hydrolyzed by any known phospholi-
pase, and it has been proposed that these phospholipids may
serve an alternate function, perhaps as cofactors for mem-
brane-bound enzymes. Tyrosine kinase activation of the PI
3-kinase has been demonstrated for several growth factors.
Increased levels of phosphoinositol 3,4-bisphosphate have
been reported in one EGF-treated cell line (56). There is,
however, no clear demonstration that the enzymatic activity
of this PI-3 kinase is regulated by tyrosine phosphorylation.
GAP, an activating protein for the GTPase activity of ras,
is another tyrosine kinase substrate that functions at the
plasma membrane. Tyrosine phosphorylation of GAP in in-
tact cells is stimulated by several tyrosine kinases, including
the EGF receptor (57,58). Though the stoichiometry of GAP
tyrosine phosphorylation seems low (less than lo%), tyrosine
phosphorylation of GAP coincides with GAP translocation to
the membrane. Presumably, membrane-localized GAP is com-
plexed with rus. Two serine kinases have been reported to be
tyrosine kinase substrates. MAP kinase is subject to enhanced
tyrosine phosphorylation in EGF-treated cells (59). An inter-
esting substrate of MAP kinase is the S6 kinase, which
phosphorylates ribosomal protein S6. Phosphorylation of S6
kinase by MAP kinase increases the catalytic activity of the
S6 kinase (60). Both MAP and S6 kinases are serine/threo-
nine kinases, and their activities are increased in EGF-treated
cells (60, 61). Whether this cascade actually alters ribosomal
function has not been demonstrated, however.
There is substantial interest in the serine kinase rufi the
proto-oncogene of the transforming gene of murine sarcoma
virus 3611. This molecule is a tyrosine phosphorylation sub-
strate of the PDGF receptor (62), and data show that growth
factor-stimulated phosphorylation(s) increases the catalytic
activity of ruf (63). Since PDGF increases the level of phos-
photyrosine and phosphoserine on raf, it is not possible to
ascribe the activation of enzymatic activity to a particular
type of phosphorylation. In EGF-treated cells increased phos-
phorylation of raf has been documented (62), though identi-
fication of the phosphoamino acids was not reported. Phys-
iological substrates for raf are not known.
The notion that signal transduction involves a cascade of
protein kinases is not a new one. Of these kinases, casein
kinase II is of particular interest. While the mechanism of
EGF activation of casein kinase II (64-66) is not known, this
kinase has two properties of interest to nuclear events accom-
panying growth stimulation. Localization studies show that
casein kinase II is found in both the nucleus and cytoplasm
(82), and phosphorylation studies (in vitro) indicate that
casein kinase II phosphorylates an interesting spectrum of
nuclear proteins including enzymes that modify DNA topol-
ogy (73, 74) and several transcription factors: myc (68), E7
(78), large T antigen (69), SRF (70, 71), and c-erb A (72).
Phosphorylation in vitro of DNA topoisomerase II by casein
kinase II increases topoisomerase activity 3-fold (73), and
phosphorylation of SRF enhances DNA binding activity (70,
71).
The scheme presented in Fig. 2 is only a working model.
Critically, the transducing elements that activate the tran-
scription of early genes (fos, jun, etc.) are unclear. All of the
reactions shown in Fig. 3 occur very rapidly (less than 60
min), but EGF must remain in the extracellular environment
for nearly 8 h before increased DNA synthesis becomes com-
mitted (67). Also, one needs to recognize that EGF, like other
growth factors, elicits biologic responses unrelated to mito-
genesis (3) and signaling for these responses may involve new
pathways or some subset of the pathways depicted above.
Transfection of the EGF receptor gene into cells that do
not otherwise express EGF receptors or respond to EGF has
produced interesting results. Addition of EGF to these trans-
fected cells produces a mitogenic response (75). This indicates
that other than EGF and the EGF receptor all the necessary
signaling components for an EGF response are present. These
results would be consistent with a signal transduction path-
way utilizing the tyrosine kinase substrates described above.
It has been known for some time that the formation of
EGF-receptor complexes on the cell surface is followed by
rapid internalization and degradation of ligand (76) and recep-
tor (77). How this pathway relates to signal transduction
remains unclear. While it is possible to recover internalized
receptors that remain activated in terms of tyrosine kinase
activity (79-81), there are also data indicating that mitogenic
signaling is enhanced if internalization is slowed (33, 83, 84).
A short segment of the EGF receptor residues 973-991 has
been identified as responsible for mediating internalization of
EGF-receptor complexes (83).
Prospectus
EGF, its receptor, and the general scheme for signal trans-
duction are representative of a large number of growth factors.
Variations clearly exist in the structure of growth factors and
their receptors, but most all depend on tyrosine kinase activity
as the initial step in their mechanism of action. Of course, a
major point of interest will be those differences in signaling
that exist between growth factor receptors regulating normal
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7712 Minireview: Epidermal Growth Factor
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