Anti-Differentiation Effect of Oncogenic Met Receptor in Terminally-Differentiated Myotubes

Activation of the hepatocyte growth factor/Met receptor is involved in muscle regeneration, through promotion of proliferation and inhibition of differentiation in myogenic stem cells (MSCs). We previously described that the specific expression of an oncogenic version of the Met receptor (Tpr–Met) in terminally-differentiated skeletal muscle causes muscle wasting in vivo. Here, we induced Tpr–Met in differentiated myotube cultures derived from the transgenic mouse. These cultures showed a reduced protein level of myosin heavy chain (MyHC), increased phosphorylation of Erk1,2 MAPK, the formation of giant sacs of myonuclei and the collapse of elongated myotubes. Treatment of the cultures with an inhibitor of the MAPK kinase pathway or with an inhibitor of the proteasome increased the expression levels of MyHC. In addition, the inhibition of the MAPK kinase pathway prevented the formation of myosacs and myotube collapse. Finally, we showed that induction of Tpr–Met in primary myotubes was unable to produce endoreplication in their nuclei. In conclusion, our data indicate that multinucleated, fused myotubes may be forced to disassemble their contractile apparatus by the Tpr–Met oncogenic factor, but they resist the stimulus toward the reactivation of the cell cycle.


Introduction
Skeletal muscle regeneration relies on proliferation, differentiation and self-renewal of myogenic stem cells (MSCs). In healthy skeletal muscle, MSCs remain in a quiescent state. Injury activates MSCs, which exit from the G0 status and enter the cell cycle. After a proliferative phase, MSCs exit the cell cycle, start terminal differentiation through upregulation of muscle-specific genes, such as myosin heavy chain (MyHC), and fuse with each other and with adjacent fibers to form multinucleated myotubes [1]. A number of factors have been identified as major actors in inducing the activation and proliferation of MSCs, including hepatocyte growth factor (HGF) and its Met tyrosine kinase receptor, which is expressed by both quiescent and activated MSCs and subsequently downregulated in mature myofibers [2][3][4][5]. Release of HGF ligand from injured muscle activates the Met receptor on MSCs, induces their activation and increases their proliferation and migration to the site of injury. Recently, it has been suggested that the quiescent state of MSCs is more complex than previously thought, being constituted by two phases (G0 and GAlert) characterized by distinct proliferation and differentiation kinetics [6]. Interestingly, HGF is one of the factors capable of inducing the alert state of MSCs after injury. Some activated MSCs can reenter mitotic quiescence and maintain the so-called self-renewed myoblast population required to fuel the muscle regeneration process. It has been shown that high concentrations of HGF can drive MSCs back into the quiescent stage by inducing myostatin expression and limiting MSCs proliferation [7]. Thus, HGF seems to have double and opposite effects on MSCs. Moreover, HGF has been shown to be effective in inhibiting myogenic differentiation of C2C12 [8] and satellite cells (SCs) [4,9] in vitro. Consistently, injection of HGF in injured muscle in vivo blocks the differentiation of primary muscle cells [10].
To investigate whether HGF/Met signaling could give an adequate stimulus to counteract the differentiation program in terminally-differentiated myotubes, we analyzed the effects of a constitutively-activated form of Met receptor (Tpr-Met) in primary myotube cultures. The Tpr-Met oncogene, generated following chromosomal translocation, encodes a chimeric protein with constitutive tyrosine kinase activity, produced by the fusion of the leucine zipper domain of TPR with the tyrosine kinase domain of the Met receptor [11]. This hybrid Tpr-Met protein is able to cause a block of muscle differentiation in C2C12 myoblast cells [8]. In this work, we expressed Tpr-Met under control of the muscle creatine kinase (MCK) promoter, which is specifically induced in terminally-differentiated skeletal muscle. Our results suggest that constitutively-activated Tpr-Met signaling in myotubes downregulates the MyHC muscle differentiation marker. Forced constitutive Tpr-Met signaling elicits the formation of aberrant myotubes with aggregated nuclei (myosacs). Pharmacological inhibition of either the Erk1,2 MAPK pathway or proteasome-dependent degradation attenuates the Tpr-Met anti-differentiation effect. Finally, we show that activated Tpr-Met is not able to stimulate the nuclei of myosacs to re-enter the cell cycle and proceed into the S phase. In conclusion, the activity of Tpr-Met is able to oppose terminal differentiation, while it is not sufficient to reactivate the cell cycle in myotubes. These results suggest that the forced hyperactivation of Met signaling could be exploited in the development of a therapeutic approach for regenerative medicine. In fact, in the future, the constitutive Tpr-Met activity could be used for the reversal of the differentiation program of mammalian muscle in combination with factors inducing cell cycle reentry.

Terminally Differentiated Myotubes from Tpr-Met Mice form Gigantic Myosacs and Collapse
We previously generated a Tpr-Met-TRE-GFP transgenic responder mouse [12], in which the Tpr-Met and the GFP reporter genes are under control of a tetracycline responsive element (TRE) composed of bidirectional artificial "minimal" promoters (Pmin1 and Pmin2) carrying multiple operator sites (TetO)7 responsive to tetracycline (tc) ( Figure 1A). Expression of the transgene requires the presence of a tetracycline-regulatable transcription factor (tTA), which specifically transactivates the TRE. In this Tet-off system, adding the tc-like compound DOX to the system reversibly inhibits binding of tTA to the promoter and blocks gene expression [13]. The Tpr-Met-TRE-GFP responder mouse has then been crossed with a mouse line carrying the tTA transactivator (Tet-off) under control of the MCK promoter [14] ( Figure 1B). The Tpr-Met-TRE-GFP/ MCK-tTA bitransgenic mice express the "responder gene" specifically in skeletal muscle in the absence of DOX ( Figure 1B). Only −DOX pups show green fluorescent muscles when examined under the appropriate light box and express Tpr-Met and GFP proteins in their skeletal muscles, as indicated by western blot ( Figure 1B). These pups exhibit a smaller size when compared to DOX-treated controls, because of the severe reduction of the skeletal muscle mass and MyHC sarcomeric protein ( Figure 1B). Mouse myogenic cultures were obtained through enzymatic dissociation from hindlimb muscles of bitransgenic animals kept in DOX from conception to repress transgene expression. Myogenic cultures yielded proliferating MSCs with a typical round morphology when cultured at low density in mitogen-rich growth medium (GM, Figure 2A, upper left panel). When MSCs were grown at high density and shifted into differentiation medium (DM), they fused to form multinucleated myotubes ( Figure 2D).

Induction of Tpr-Met in Myotubes Downregulates MyHC through Erk1,2 MAPK Activation and Proteasome-Dependent Degradation
Disassembly and collapse of Tpr-Met-positive myotubes suggested that degradation of muscle-specific cytoskeletal proteins occurred. We thus examined the quantitative levels of the muscle structural protein MyHC. MSCs were differentiated in DM for three days with and without DOX, and total protein extracts were probed by anti-myosin antibody (MF20) in the western blot. Tpr-Met-expressing myotubes (−DOX) showed a significantly reduced MyHC protein level, as compared with cultures grown in the presence of DOX ( Figure 3A). Since Tpr-Met is a powerful activator of the Ras/Raf/MAPK pathway [15], we investigated the activation state of Erk1,2 MAPK in uninduced (+DOX) and induced (−DOX) myotube cultures by western blot. Levels of phospho-Erk1,2 were found to be increased in myotubes with Tpr-Met induction (−DOX, Figure 3A). To assess the role of the MAPK pathway in MyHC downregulation, we used MAPK kinase MEK1 inhibitor PD098059 drug. The phosphorylation level of Erk1,2 MAPK was significantly reduced by the specific inhibitor in both conditions ( Figure 3A). In parallel, we found that MyHC levels were increased by inhibitor treatment in induced cultures (−DOX), as compared with the uninduced control (+DOX, Figure 3A). Next, we asked whether MyHC downregulation was due to protein degradation via the proteasome. Treatment of Tpr-Met-induced myotubes with the proteasome inhibitor Mg132 markedly increased MyHC protein levels, while myotubes differentiated in uninduced conditions (+DOX) were unaffected by Mg132 inhibitor treatment ( Figure 3B). Finally, we analyzed whether treatment with PD098059 inhibitor or with proteasome inhibitors (Mg132 and PS-341) could rescue the normal fusion and myotube integrity of Tpr-Met-induced cultures. MSC cultures were grown for 48 h after shifting to DM and then treated for a further 48 h with either inhibitors. As shown in Figure 3C (left and middle panels), both the formation of myosacs from Tpr-Met+ myotubes and their collapse were prevented by MAPK inhibitor. Exposure to PD098059 resulted in the shortening of myotubes also in uninduced cultures ( Figure 3C, middle panels), indicating that Erk1,2 activity is required for myogenic differentiation to enhance the fusion of multinucleated myotubes. In contrast, treatment with proteasome inhibitors was not able to rescue the elongated phenotype, while it prevented the collapse of Tpr-Met+ myotubes ( Figure 3C, right panels). Altogether, these results indicate an association between Tpr-Met-induced myotube collapse and protein degradation and suggest that the observed myotube rupture is likely due to the degradation of contractile proteins forming myofibrils.

Induction of Tpr-Met Fails to Elicit DNA Endoreplication in Myotubes
To investigate whether the expression of Tpr-Met oncogene in multinucleated myotubes could restore their ability to synthesize DNA and force their re-entry into the cell cycle, we performed BrdU labeling experiments in uninduced (+DOX) and Tpr-Met induced (−DOX) differentiated myotubes  (Figure 4). After three days in DM, myotubes were cultured for a further two days in DM or DM + 10% FBS and incubated with BrdU for a further 24 h to monitor cells undergoing the S phase. The double-immunofluorescence assay for BrdU and MF20 ( Figure 4A) showed that thin myotubes of uninduced (+DOX) cultures and gigantic myosacs of Tpr-Met-induced (−DOX) cultures did not incorporate BrdU into their nuclei, indicating that the large majority of nuclei in the myotubes were not driven into the cell cycle. On the other hand, we observed an increased number of isolated mononucleated cells characterized by BrdU incorporation in Tpr-Met+ cultures, compared with uninduced cultures (Figure 4A,B).

Discussion
Until now, much of the work on the role of HGF/Met in muscle has been concentrated on activated SCs [5,9]. Upon release from injured myofibers, HGF binds and stimulates the Met receptor, which is necessary to induce SCs to leave the quiescent state and enter the cell cycle [6,10]. Terminal differentiation of newly-formed myotubes requires the irreversible withdrawal from the cell cycle, coupled to the upregulation of muscle-specific genes [1]. In line with this idea, by promoting the cell cycle in myoblasts, HGF inhibits their differentiation [4,8] and reduces the number or size of regenerating fibers in vivo [10]. In this work, we investigated whether forced hyperactivation of Met signaling in differentiated skeletal muscle could induce the reversal of the differentiation and re-entry of myotubes into cell cycle.
We found that the expression of the Tpr-Met oncogene, the constitutively activated form of the Met receptor, in terminally-differentiated myotubes in vitro, promotes MyHC protein degradation through a proteasome-dependent pathway. Proteolytic degradation of muscle proteins may be significant in view of the reactivation of the cell cycle, since the contractile system represents a serious physical barrier for chromosome segregation and cytokinesis. Thus, a non-dividing cell, like the myofiber, must degrade proteins characteristic of the terminally-differentiated state, in order to specify itself to the identity of a local progenitor cell. Furthermore, degradation of already existing proteins must occur in a reprogrammed cell, in which the protein synthesis profile drastically changes. Myogenic cultures expressing Tpr-Met show strong stimulation of Erk1,2 MAPK signaling, concomitantly with downregulation of the MyHC protein. This is consistent with previous works showing that stimulation of the Ras/Raf/MEK/MAPK pathway is able to promote muscle proteolysis in C. elegans [16,17]. Accordingly, Tpr-Met in fetal and adult muscle leads to muscle wasting in vivo [12]. Interestingly, the proteolysis-inducing factor, a cytokine produced by cachexia-inducing tumors, is able to activate the ubiquitin-proteasome proteolytic pathway through Erk1,2 MAPK [18].
In Tpr-Met+ differentiating myogenic cultures, prior to myotube collapse, we observed numerous abnormally-fused myotubes. Fusion of myoblasts progressed to gigantic structures containing big aggregations of nuclei, which resembled myosacs, obtained through the overexpression of transcription factors that regulate myoblast fusion [19,20]. The formation of the myosacs was prevented by treatment with the PD098059 inhibitor, while it remained unaffected by treatment with the proteasome inhibitor. PD098059 treatment resulted in shortening of myotubes also in uninduced cultures, further suggesting a role of phospho-Erk1,2 in myoblast fusion. This observation fits with a previous study [21], which demonstrated that C2C12 cells failed to undergo appropriate cell-to-cell fusion to form multinucleated myotubes when Erk2 phosphorylation was inhibited by MAPK phosphatase-1 overexpression. Other studies have also shown that C2C12 myoblasts stably expressing small interfering RNA (siRNA) directed against Erk2 displayed severely impaired myoblast fusion [22]. Myoblast fusion is an early and essential step to the progression of the skeletal muscle differentiation program. The mechanisms and molecular actors implicated in myoblast fusion are fairly known. It thus remains to be understood the molecular determinants upregulated by the Erk1,2 MAPK pathway, through which Met hyperactivation promotes aberrant myotube fusion. Although a general role of the Erk1,2 MAPK pathway in the inhibition of muscle gene/protein expression (i.e., downregulation of MyHC) is well established, its function in myoblast fusion may be, at first sight, contradictory.
One hypothesis for this conflict may be that the balance between cell fusion and cell differentiation is required to dictate the biological outcome in response to MAPK activation during skeletal muscle differentiation.
Activated Met is able to induce cell cycle re-entry in quiescent SCs [23]. The Ras/RAF/MAPK pathway, strongly induced by activated Tpr-Met, is involved in driving the transcription of genes required for growth and cell division. By forcing the expression of a constitutively-active Met form in differentiated myotubes, we expected to push their nuclei back into the cell cycle and to revert their differentiation program. Our results demonstrate that terminally-differentiated myotubes mainly resist the mitogenic pressure of the Tpr-Met oncogene. The proliferation restricting mechanism must be very potent in post-mitotically-differentiated myotubes. Indeed, only viral oncogenes, such as SV40 large T antigen and adenovirus E1A, which are able to inactivate multiple checkpoint mechanisms [24], can reprogram post-mitotic nuclei in terminally-differentiated myotubes, inducing nuclear DNA synthesis without cell division [25][26][27]. In our work, we observed that DNA replication is induced by the Tpr-Met oncogene only in mononucleated cells upon DM shift. These cells could arise from fusion-defective differentiating cells during cell culture. It is notable that the BrdU+ myonuclei represent a low fraction of total nuclei (22%) in the Tpr-Met-expressing differentiated muscle cultures. In contrast, the majority of nuclei that remain aggregated in myosacs are prevented from re-entering the cell cycle. Constitutive activation of Met signaling in myotubes may contribute to mobilizing their nuclei and to stimulating their aggregation, as is observed in gigantic myosacs.
In conclusion, our data support the concept that multinucleated fused myotubes may be induced to disassemble their contractile apparatus by Tpr-Met. However, they are blocked from re-entering the cell cycle, even when forced by a powerful mitogenic oncogene, such as Tpr-Met.

Bitransgenic Mice
Mice harboring the MCK-tTA (skeletal muscle-specific) promoter construct were kindly donated by Dr. P. Plotz [14,28] and kept in a C57BL/6 background. MCK-tTA heterozygous mice were crossed with Tpr-Met-TRE-GFP heterozygous mice, and double-transgenic heterozygotes (Tpr-Met-TRE-GFP/ MCK-tTA) were identified in the progeny by PCR analysis of tail genomic DNA, as previously described [10]. Doxycycline (DOX, Sigma, St. Louis, MO, USA) was diluted in 3% sucrose in water to a final concentration of 200 μg/mL and supplied as drinking water with changes every 2-3 days.

Mouse Myogenic Culture Conditions and Differentiation Protocol
To isolate MSCs, we used the classical procedure, which involves the enzymatic dissociation of skeletal muscles with collagenase/dispase (Roche Applied Science, Indianapolis, IN, USA).
Myogenic cultures were isolated from hindlimb muscles of 17-day-old double transgenic mice (MCKtTA/Tpr-Met-TRE-GFP), kept in DOX. After removal of skin, fat tissue and bones, hindlimb muscles were digested with 1 μg/μL collagenase/dispase in D-PBS supplemented with CaCl2 and MgCl2 (Sigma) for 40-50 min at 37 °C with shaking. During the proteolytic digestion, tissues were occasionally fragmented by repeated pipetting. The digestion was stopped by adding 1:3 fetal bovine serum in D-PBS. The debris was removed by filtration through a 70 µm sterile filter, and cells were collected by centrifugation. Cells were then resuspended in complete GM growth medium (F-10 HAM (Sigma)) containing 20% fetal bovine serum (FBS, Euroclone, Pero, Italy), 3% chicken embryo extract and 2.5 ng/mL bovine fibroblast growth factor (Peprotech, Rocky Hill, NJ, USA). Cells were pre-plated overnight to remove contaminating fibroblasts, and then non-adherent cells were plated in GM on collagen (0.1 mg/mL, Sigma) -coated plates. Single MSCs started to be visible after 2-3 days of culture. Cells were passaged every 3 days, when they were about 70% confluent, using EDTA 0.5 mM in PBS for detachment. The cellular population underwent a proliferation crisis after 2-3 weeks, from which proliferating MSCs arose. Under such conditions, the purity of MSCs exceeded 99%. Proliferating cells were cultured in GM growth medium on collagen-coated plates. They were cultured for 20-25 passages at maximum. To obtain differentiation into myotubes, cells were plated at subconfluence on gelatin-coated (0.5%, Sigma) plates, maintained in GM for 24 h and then shifted to DM differentiation medium (DMEM (Euroclone) containing 5% horse serum (Euroclone)). Incubation was performed at 37 °C in a 5% CO2-water-saturated atmosphere, and all media were supplemented with 2 mM L-glutamine, 100 U penicillin and 0.1 mg/mL streptomycin. DOX was added to the culture medium at the concentration of 2 μg/mL.

Immunofluorescence (IF)
GFP fluorescence was monitored in living myotubes. For indirect immunofluorescence studies, myotubes differentiated on 24-well plates were fixed with 4% formaldehyde, permeabilized with 0.5% Triton X-100, incubated with primary antibody at the appropriate dilution (MF20 at 1:50; anti-α-tubulin at 1:1000 (Sigma; #T5168)), followed by incubation with Cy3-conjugated anti-mouse antibody (Sigma), then washed and briefly stained with DAPI (Sigma) to reveal nuclei. Samples were viewed under a fluorescence-equipped inverted DMRI (Digital Module R Inverted) microscope (Leica Microsystems, Wetzlar, Gießen, Germany). Pictures were taken with an Evolution VF color cool camera and Image-Pro software (Media Cybernetics, Rockville, MD, USA). Optical and IF experiments were analyzed in at least 3 independent experiments.

BrdU Incorporation Assay
To selectively detect BrdU incorporation in differentiated myotubes, MSCs were incubated for 2 days in DM; then, differentiated myotubes were cultured for a further 2 days in DM or in the presence of 10% FBS. Cells were incubated with 10 μM BrdU (Sigma) for a further 24 h. For the double-immunofluorescence assay, the cells were fixed with 4% formaldehyde, incubated with MF20 primary antibody followed by anti-mouse Alexa Fluor 488 conjugated antibody. After the secondary antibody incubation step, immune complexes were fixed with 95% ethanol, treated with 2 M HCl for 1 h and then incubated with BrdU-specific antibody-Alexa Fluor 546 conjugate plus 5 min with DAPI. The fraction of BrdU+ and DAPI+ nuclei was counted in double overlay pictures of red fluorescent BrdU and blue fluorescent DAPI. At least six fields of two different coverslips were reviewed in each experiment. All experiments were performed in duplicate in two independent experiments.