Blood online
Home About Blood Authors Subscriptions Permission Advertising Public Access contact us
 

 
Advanced
Current Issue
First Edition
Future Articles
Archives
Submit to Blood
Search
American Society of Hematology
Meeting Abstracts
Email Alerts
Prepublished online as a Blood First Edition Paper on May 17, 2002; DOI 10.1182/blood-2001-12-0340.

This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
2001-12-0340v1
100/6/2138    most recent
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Right arrow Rights and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Sada, K.
Right arrow Articles by Yamamura, H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Sada, K.
Right arrow Articles by Yamamura, H.
Related Collections
Right arrow Immunobiology
Right arrow Signal Transduction
Social Bookmarking
 Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?

arrow to previous article Previous Article  |  Table of Contents  |  Next Article next article arrow

Blood, 15 September 2002, Vol. 100, No. 6, pp. 2138-2144

IMMUNOBIOLOGY

Regulation of Fcepsilon RI-mediated degranulation by an adaptor protein 3BP2 in rat basophilic leukemia RBL-2H3 cells

Kiyonao Sada, S. M. Shahjahan Miah, Koichiro Maeno, Shinkou Kyo, Xiujuan Qu, and Hirohei Yamamura

From the Division of Proteomics, Department of Genome Sciences, Kobe University Graduate School of Medicine, Japan.


    Abstract
Top
Abstract
Introduction
Materials and methods
Results
Discussion
References

Aggregation of high-affinity IgE receptor Fcepsilon RI induces sequential activation of nonreceptor-type protein-tyrosine kinases and subsequent tyrosine phosphorylation of cellular proteins, leading to degranulation in mast cells. A hematopoietic cell-specific adaptor protein, 3BP2, that was originally identified as an Abl SH3-binding protein was rapidly tyrosine phosphorylated by the aggregation of Fcepsilon RI on rat basophilic leukemia RBL-2H3 cells. Tyrosine phosphorylation of 3BP2 did not depend on calcium influx from external sources. To examine the role of 3BP2 in mast cells, we overexpressed the SH2 domain of 3BP2 in the RBL-2H3 cells. Overexpression of 3BP2-SH2 domain resulted in a suppression of antigen-induced degranulation as assessed by beta -hexosaminidase release. Even though overall tyrosine phosphorylation of cellular protein was not altered, antigen-mediated tyrosine phosphorylation of phospholipase C-gamma (PLC-gamma ) and calcium mobilization were significantly suppressed in the cells overexpressing the 3BP2-SH2 domain. Furthermore, antigen stimulation induced the association of 3BP2-SH2 domain with LAT and other signaling molecule complexes in the RBL-2H3 cells. Fcepsilon RI-mediated phosphorylation of JNK and ERK was not affected by the overexpression of 3BP2-SH2 domain. These data indicate that 3BP2 functions to positively regulate the Fcepsilon RI-mediated tyrosine phosphorylation of PLC-gamma and thereby the signals leading to degranulation. (Blood. 2002;100:2138-2144)

© 2002 by The American Society of Hematology.

    Introduction
Top
Abstract
Introduction
Materials and methods
Results
Discussion
References

Aggregation of the high-affinity IgE receptor (Fcepsilon RI) on mast cells mediates the allergic response by the release of inflammatory mediators by degranulation and production of cytokines and arachidonic acid metabolites.1 Fcepsilon RI signals by activating nonreceptor-family protein-tyrosine kinases (PTKs) Lyn, Syk, and Btk. On aggregation of Fcepsilon RIalpha subunits, the Src family PTK Lyn phosphorylates the associated Fcepsilon RIbeta and gamma  subunits on tyrosine residues in the immunoreceptor tyrosine-based activating motif. This leads to the recruitment of Syk to the plasma membrane, which is essential for Fcepsilon RI-mediated degranulation by phosphorylating downstream molecules.2 Similarly, Btk is membrane-targeted by phosphatidylinositol-3,4,5-triphosphate to its pleckstrin-homology (PH) domain. Two types of kinase Syk and Btk contribute tyrosine phosphorylation and activation of phospholipase C-gamma (PLC-gamma ) and calcium mobilization.1,3

Several adaptors and scaffolds lacking enzymatic and transcriptional domains have been identified in the immune receptor-mediated signaling pathway. Proximal adaptor proteins, which are the substrates of PTKs, have important roles in early Fcepsilon RI signaling. They have multiple motifs and domains that allow their binding to the other molecules. Activated PTKs phosphorylate the substrate adaptor proteins to assemble the cytoplasmic signaling molecules in the juxtamembrane region for effective interaction, presumably in glycolipid enriched microdomains (GEMs). Mice deficient in the adaptor protein linker for activation of T cells (LAT) SLP-76 (SH2-containing leukocyte phosphoprotein of 76 kDa) or Gab2 (Grb2-associated binder-2) were resistant to IgE-mediated passive systemic anaphylaxis.4-6 Analysis of bone marrow-derived mast cells (BMMCs) from mice revealed their essential roles in Fcepsilon RI-mediated degranulation and/or cytokine production.

3BP2 was originally isolated as an Abl SH3-binding protein of unknown function.7 In addition to the proline-rich region that mediates SH3 binding, it has PH and Src homology 2 (SH2) domains. 3BP2 was also identified as one of the Syk kinase-interacting proteins by a yeast 2-hybrid screen.8 C-terminal SH2 domain of 3BP2 is required to interact with Syk in yeast. Expression of 3BP2 has been reported in T, B, natural killer (NK), and monocytic cell lines. Transient overexpression of 3BP2 in T cells induces transcriptional activation of the interleukin 2 (IL-2) gene. In NK cells, overexpression of 3BP2 by vaccinia virus enhances cytotoxicity.9 Prior to these findings, a specific motif recognized by 3BP2-SH2 domain was examined by in vitro degenerated peptide library screening.10 The optimal sequence for the 3BP2-SH2 domain is Tyr-Glu-Asn (YEN) motif.

The present experiments demonstrated the expression of 3BP2 in mast cells and the functional importance of 3BP2-SH2 domain in Fcepsilon RI-mediated signal transduction. Overexpression of 3BP2-SH2 domains in the rat basophilic leukemia RBL-2H3 cells resulted in a dramatic suppression of the Fcepsilon RI-mediated tyrosine phosphorylation of PLC-gamma and degranulation, suggesting that 3BP2-SH2 inhibited the function of endogenous 3BP2, which positively regulates those signaling. Fcepsilon RI-mediated activation of mitogen-activated protein kinases (MAPKs) was not affected by the overexpression of 3BP2-SH2 domain. These findings raised the possibility that the adaptor molecule 3BP2 might be a new target for discovery of a drug to treat allergic diseases.


    Materials and methods
Top
Abstract
Introduction
Materials and methods
Results
Discussion
References

Materials and antibodies

Protein A-agarose, mouse monoclonal anti-dinitrophenyl IgE (anti-DNP IgE, clone SPE-7), and thapsigargin were purchased from Sigma (St Louis, MO). Anti-phosphotyrosine monoclonal antibody (mAb) 4G10, anti-PLC-gamma 1 mAb, and anti-LAT antibody were obtained from Upstate Biotechnology (Lake Placid, NY). Anti-hemagglutinin epitope (HA) (Y-11), anti-3BP2 (N-18 and C-19) and anti-PLC-gamma 2 antibodies were from Santa Cruz Biotechnology (Santa Cruz, CA). Anti-Fcepsilon RIbeta mAb was kindly provided by Dr Reuben P. Siraganian (National Institutes of Health, Bethesda, MD). Antigen 2,4-dinitrophenylated bovine serum albumin (DNP-BSA, 30 mol of DNP/1 mol of BSA) was from LSL (Tokyo, Japan).11 The HA-tagged expression constructs pMT3-HA-3BP2 and pMT3-HA-3BP2-SH2 (454-559) cDNA were kindly provided by Dr Amnon Altman (La Jolla Institute, La Jolla, CA).8 Point mutation of Arg486 of pMT3-HA-3BP2 cDNA to Lys (R486K) was prepared by the Site-Directed Mutagenesis kit from Stratagene (La Jolla, CA).

Cell culture and transfections

Rat basophilic leukemia RBL-2H3 cells were maintained as monolayer cultures in Dulbecco modified Eagle medium (DMEM) with 2mM L-glutamine, 100 U/mL of penicillin, and 10% heat-inactivated fetal calf serum. For stable transfection, 20 µg of linearized expression constructs and 2 µg of pSV2-neo vector were cotransfected into 5×106 RBL-2H3 cells by electroporation (950 microfarads [µF], 310 V) as described previously.12,13 Stably transfected cell lines were selected with 0.4 mg/mL of active G418 (Life Technologies, Gaithersburg, MD). Cell lines were screened by level of protein expression by immunoblotting of total cell lysates with anti-HA antibody and anti-Fcepsilon RIbeta mAb as an internal control. Two positive cloned lines transfected with different kinds of cDNA were selected for further analysis, in which the level of 3BP2 expression was the highest among the clones. For control cells, linearized empty pMT3 vector and pSV2-neo vector were cotransfected by electroporation.

Cell activation, immunoprecipitation, and immunoblotting

The cell monolayers cultured overnight with anti-DNP IgE (1:5000) were washed once with Tyrode-Hepes buffer (10 mM Hepes, pH 7.4, 127 mM NaCl, 4 mM KCl, 0.5 mM KH2PO4, 1 mM CaCl2, 0.6 mM MgCl2, 10 mM LiCl2, 5.6 mM glucose, and 0.1% BSA) and then stimulated with 10 ng/mL of antigen DNP-BSA in the same buffer for the indicated times. For the immunoprecipitation studies, cells were washed with ice-cold phosphate-buffered saline (PBS) twice and solubilized in lysis buffer (1% Triton X-100, 50 mM Tris, pH 7.4, 150 mM NaCl, 10 mM EDTA (ethylenediaminetetraacetic acid), 100 mM NaF, 1 mM Na3VO4, 1 mM phenylmethylsulfonyl fluoride [PMSF], and 2 µg/mL aprotinin). In some experiments, cells were solubilized in the denatured buffer (lysis buffer containing 1% sodium deoxycholate and 0.1% sodium dodecyl sulfate [SDS]). Cell lysates were precleared by centrifugation and then incubated with the indicated primary antibodies prebound to protein A-agarose. After rotation for 1 hour at 4°C, the beads were washed 4 times with lysis buffer. Immunoprecipitated proteins were eluted by heat treatment at 100°C for 5 minutes with 2 × sampling buffer. For preparation of total cell lysates, monolayers were rinsed with PBS and lysed by direct addition of 2 × sampling buffer. Immunoprecipitates and total cell lysates were separated by SDS-polyacrylamide gel electrophoresis (SDS-PAGE) and electrotransferred to polyvinylidene difluoride membranes (Millipore, Bedford, MA). The blots were probed with the indicated antibodies. In all blots, proteins were visualized by enhanced chemiluminescence (PerkinElmer Life Sciences, Boston, MA).12,13

Analysis of beta -hexosaminidase release

Degranulation of the transfected cells was determined by measurement of beta -hexosaminidase release. Cells (105) were seeded in a 24-well plate and cultured overnight with or without anti-DNP IgE. The cell monolayers were washed once with Tyrode-Hepes buffer and then stimulated with different concentrations of the antigen DNP-BSA, or thapsigargin calcium ionophore A23187 in the same buffer. After incubation for 1 hour at 37°C, the medium was recovered for analysis of beta -hexosaminidase release. Total cell lysates were obtained by addition of 1% NP-40 in the same medium. The medium and total cell lysates were incubated with 1.3 mg/mL of P-nitrophenyl-N-acetyl-beta -D-glucopyranoside (Nacalai, Osaka, Japan) in 0.1 M sodium citrate buffer (pH 4.5) for 40 minutes at 37°C. The reaction was terminated by the addition of 0.2 M glycine buffer (pH 10.7). The release of the product 4-P-nitrophenol was monitored by absorbance at 405 nm. The released beta -hexosaminidase activities were expressed as a percentage of the total.

Measurement of [Ca++]i

Intracellular free calcium concentration ([Ca++]i) was measured by means of fluorescent indicator fura-2 (Dijindo, Kumamoto, Japan). The cell monolayers of the different cell lines sensitized with anti-DNP IgE were detached from the tissue culture dish with 5 mM EDTA, washed twice with Tyrode-Hepes buffer, then loaded with 3 µM of fura-2 for 30 minutes at 37°C. After incubation, cells were washed twice and resuspended in Tyrode-Hepes buffer at 106 cells/mL. Cells were stimulated by either 10 ng/mL of antigen DNP-BSA or 1 µM thapsigargin. Fura-2 fluorescence was monitored with a fluorescence spectrophotometer (Hitachi F-4500, Tokyo, Japan) by the excitation wavelength at 340 and 380 nm and the emission wavelength at 510 nm.


    Results
Top
Abstract
Introduction
Materials and methods
Results
Discussion
References

Aggregation of Fcepsilon RI-induced tyrosine phosphorylation of 3BP2 in RBL-2H3 cells

Our preliminary experiments showed that cotransfection of nonreceptor-type PTKs with 3BP2 resulted in tyrosine phosphorylation of 3BP2. Among these PTKs, Syk predominantly phosphorylated 3BP2 in COS cells (data not shown). Syk is known to play an essential role in early signaling from Fcepsilon RI in mast cells. Therefore, we first tested the expression of 3BP2 in the mast cell line RBL-2H3. Expression of 3BP2 in RBL-2H3 cells was identified by immunoblotting of total cell lysate with anti-3BP2 antibody (Figure 1A, top panel). Since 2 kinds of anti-3BP2 antibodies (N-18 and C-19) were not working for immunoprecipitation, we generated the stable cell lines expressing epitope-tagged full-length 3BP2. The cDNA of HA-tagged 3BP2 was transfected into RBL-2H3 cells by electroporation. Stable clones were screened by immunoblotting with anti-HA and anti-Fcepsilon RIbeta antibodies. Two positive cloned lines (W6 and W12) were selected for further analysis in which the levels of 3BP2 expression were highest among all these clones (Figure 1A). Densitometric analysis indicated that transfection of 3BP2 resulted in a 2-fold increase over endogenous protein, which does not appear to be dramatic (data not shown).


View larger version (28K):
[in this window]
[in a new window]
 
Figure 1. Aggregation of Fcepsilon RI induces tyrosine phosphorylation of 3BP2 in RBL-2H3 cells. (A) Generation of cell lines expressing HA-tagged 3BP2 wild type. The RBL-2H3 cells were stably transfected with either empty pMT3 vector or pMT3-HA-3BP2, together with pSV2-neo, by electroporation (950 µF, 310 V). Clones resistant to G418 were selected and screened by level of protein expression. Two positive cloned lines with the highest expression were chosen for further analysis. Total cell lysates of the parental RBL-2H3 and transfected cells were analyzed by immunoblotting (IB) with anti-3BP2, anti-HA, and anti-Fcepsilon RIbeta antibodies used as an internal control. (B) Analysis of tyrosine phosphorylation of 3BP2. Cell lines expressing HA-3BP2 and vector-transfected control cells (pMT3) were cultured overnight with anti-DNP IgE and then stimulated with 10 ng/mL of antigen (Ag) DNP-BSA for the indicated times or incubated without antigen for 1 minute. Tyrosine phosphorylation of 3BP2 was analyzed by immunoprecipitation (IP). Cells were lysed in 1% Triton lysis buffer and cell lysates were immunoprecipitated with anti-HA antibody. Immunoprecipitates were separated by 10% SDS-PAGE and analyzed by immunoblotting with anti-pTyr mAb. The membrane was stripped and reprobed with anti-HA antibody. Similar results were obtained when the other lines were examined. (C) Tyrosine phosphorylation of endogenous 3BP2. RBL-2H3 cells sensitized with anti-DNP IgE were either unstimulated or stimulated with antigen for 1 minute. Cells were lysed in the denature buffer and cell lysates were immunoprecipitated with anti-pTyr mAb or control IgG. Immunoprecipitates were analyzed by immunoblotting with anti-3BP2 antibody. Molecular size markers are indicated at the left in kilodaltons.

Aggregation of Fcepsilon RI induced rapid activation of nonreceptor-type PTKs in RBL-2H3 cells. To examine whether 3BP2 is involved in the Fcepsilon RI-mediated signaling pathway, we examined tyrosine phosphorylation of 3BP2 by using these cells. Cells transfected with either HA-3BP2 or vector alone were primed with anti-DNP IgE and then stimulated with antigen DNP-BSA. Cell lysates were immunoprecipitated with anti-HA antibody and the immunoprecipitates were analyzed by immunoblotting with anti-pTyr and anti-HA antibodies (Figure 1B). Aggregation of Fcepsilon RI induced a rapid tyrosine phosphorylation of 3BP2 at peak time 1 minute. Subsequently, 3BP2 was dephosphorylated to the basal level by 10 minutes after stimulation. Furthermore, endogenous 3BP2 was precipitated with anti-pTyr mAb from antigen-stimulated cell lysate demonstrating that endogenous 3BP2 is tyrosine phosphorylated by antigen stimulation in RBL-2H3 cells (Figure 1C). Therefore, these results indicate that 3BP2 is regulated by PTKs and protein-tyrosine phosphatases (PTPases) that are downstream of Fcepsilon RI in RBL-2H3 cells.

Fcepsilon RI-mediated tyrosine phosphorylation of 3BP2 does not require calcium influx

Genetic studies have revealed that Syk is essential for Fcepsilon RI-mediated tyrosine phosphorylation of PLC-gamma , calcium mobilization, and degranulation in mast cells.14,15 Elevation of intracellular free calcium causes the activation of some PTKs, such as Pyk2, but not others. Therefore, we tested whether Fcepsilon RI-mediated tyrosine phosphorylation of 3BP2 is independent of calcium influx by depleting free calcium with EDTA pretreatment followed by receptor stimulation (Figure 2). As shown, Fcepsilon RI-mediated tyrosine phosphorylation and dephosphorylation of 3BP2 were similar in cells activated in complete medium and cells activated in calcium-free medium. Thus, antigen stimulation-induced tyrosine phosphorylation and dephosphorylation of 3BP2 are independent of the presence of extracellular free calcium.


View larger version (50K):
[in this window]
[in a new window]
 
Figure 2. Fcepsilon RI-mediated tyrosine phosphorylation of 3BP2 does not depend on calcium influx from external sources. Cell lines expressing HA-3BP2 sensitized with anti-DNP IgE were stimulated with 10 ng/mL of antigen DNP-BSA for the indicated times without or with the presence of 0.5 mM EDTA in medium. Cell lysates were immunoprecipitated with anti-HA antibody, and then immunoprecipitates were separated by 10% SDS-PAGE and analyzed by immunoblotting with anti-pTyr and anti-HA antibodies. Similar results were obtained when the other lines were examined.

Overexpression of 3BP2-SH2 domain suppresses Fcepsilon RI-mediated beta -hexosaminidase release

To examine the function of 3BP2 in Fcepsilon RI-mediated signaling in mast cells, we transfected the truncated mutant form of 3BP2 that had a dominant negative effect. The cDNA of HA-3BP2-SH2 domain was transfected into RBL-2H3 cells to generate stable clones. After the selection and screening of the clones expressing mutant protein, 2 positive clones (S14 and S15) that eventually overexpressed 3BP2-SH2 domain were selected for further analysis (Figure 3A).


View larger version (29K):
[in this window]
[in a new window]
 
Figure 3. Overexpression of 3BP2-SH2 domain suppresses Fcepsilon RI-mediated degranulation in RBL-2H3 cells. (A) Generation of cell lines expressing the HA-tagged SH2 domain of 3BP2. The RBL-2H3 cells were stably transfected with pMT3-HA-3BP2-SH2 (454-559) by electroporation. G418-resistant clones were screened by immunoblotting and 2 positive cloned lines with highest expression were selected for further analysis. Total cell lysates of the transfected cell lines were analyzed with anti-HA and anti-Fcepsilon RIbeta antibodies used as an internal control. (B) Analysis of Fcepsilon RI-mediated beta -hexosaminidase release. Control cells transfected with pMT3 vector alone and cells overexpressing 3BP2-SH2 domain were cultured overnight with anti-DNP IgE and then stimulated with the indicated concentrations of the antigen DNP-BSA (ng/mL) or with the calcium ionophore A23187 (µM). The antigen- or A23187-induced releases are normalized by expression as a percentage of the total beta -hexosaminidase activity. (C) Analysis of thapsigargin-induced beta -hexosaminidase release. Cells were stimulated with the indicated concentrations of thapsigargin (µM); releases are normalized by expression as a percentage of beta -hexosaminidase activity induced by 1 µM A23187. The results are the mean values ± SE from 3 independent experiments.

Using these stable clones, we analyzed Fcepsilon RI-mediated degranulation by measuring beta -hexosaminidase release (Figure 3B). The control cells transfected with empty vector and 3BP2-SH2 domain were stimulated either with Fcepsilon RI aggregation, the calcium ionophore A23187, or thapsigargin. Antigen-induced beta -hexosaminidase release in control cells was similar to that in parental RBL-2H3 cells (data not shown). Antigen-induced beta -hexosaminidase release in the cells overexpressing 3BP2-SH2 domain was dramatically suppressed compared with that in control cells. On the other hand, beta -hexosaminidase release by stimulation with A23187 or thapsigargin was similar in 3 cell lines. Thus, these results demonstrate that overexpression of 3BP2-SH2 domain results in a suppression of Fcepsilon RI-mediated degranulation.

Fcepsilon RI-induced tyrosine phosphorylation of cellular proteins is not affected by the overexpression of 3BP2-SH2 domain

3BP2 was originally identified as an Syk-kinase interacting protein in yeast.8 Aggregation of Fcepsilon RI in mast cells lacking the expression of Syk results in minimal tyrosine phosphorylation of cellular proteins.14 Therefore, we tested the Fcepsilon RI-mediated tyrosine phosphorylation of cellular proteins in the cells overexpressing 3BP2-SH2 domain (Figure 4). The pattern of protein-tyrosine phosphorylation induced by the aggregation of Fcepsilon RI was almost the same as in the control cells. Immunoprecipitation studies indicated that tyrosine phosphorylation of Fcepsilon RI, Syk, and LAT was not affected by the overexpression of 3BP2-SH2 domain in RBL-2H3 cells (data not shown). Therefore, this result suggests that overexpression of 3BP2-SH2 domain does not affect the Fcepsilon RI-mediated tyrosine phosphorylation of most of the cellular proteins, including LAT adaptor protein. The overexpression of 3BP2-SH2 domain has little effect on many of the tyrosine kinase substrates seen in cell lysates.


View larger version (91K):
[in this window]
[in a new window]
 
Figure 4. Fcepsilon RI-induced tyrosine phosphorylation of cellular proteins is not affected by the overexpression of 3BP2-SH2 domain. Control cells (pMT3) and cells overexpressing SH2 domain of 3BP2 were primed with anti-DNP IgE and stimulated with 10 ng/mL antigen DNP-BSA for the indicated times. Total cell lysates (105 cell equivalents per lane) were separated by 10% SDS-PAGE and analyzed by immunoblotting with anti-pTyr mAb. Similar results were obtained when the other lines were examined.

Positive role of 3BP2 in Fcepsilon RI-mediated tyrosine phosphorylation of PLC-gamma

The elevation of intracellular calcium is critical for Fcepsilon RI-mediated degranulation. PLC-gamma catalyzes the hydrolysis of phospholipids with the formation of diacylglycerol and inositol 1,4,5-triphosphate that is required for calcium mobilization. Transient overexpression of 3BP2 in T cells enhanced transcriptional activities of IL-2 promoter and its nuclear factor of activated T cell (NFAT) and activator protein 1 (AP-1) elements. This indicated that 3BP2 regulates calcium mobilization in T cells.8 Since Fcepsilon RI-mediated tyrosine phosphorylation of LAT was not affected by the overexpression of 3BP2-SH2 domain (Figure 4), we tested antigen-induced tyrosine phosphorylation of PLC-gamma . Fcepsilon RI-induced tyrosine phosphorylation of PLC-gamma 1 and PLC-gamma 2 was suppressed in the cells overexpressing 3BP2-SH2 domain (Figure 5A-B). This suggested that the overexpression of 3BP2-SH2 domain inhibits the function of endogenous 3BP2, which transmit the activating signal from Fcepsilon RI to PLC-gamma .


View larger version (28K):
[in this window]
[in a new window]
 
Figure 5. Overexpression of 3BP2-SH2 domain suppresses Fcepsilon RI-mediated tyrosine phosphorylation of PLC-gamma and calcium mobilization. (A and B) Cells transfected with vector alone (pMT3) and cells overexpressing 3BP2-SH2 domain were stimulated with antigen for the indicated times; then cell lysates were immunoprecipitated with either anti-PLC-gamma 2 (A) or anti-PLC-gamma 1 (B) antibody. The immunoprecipitated proteins were separated by 10% SDS-PAGE and analyzed by immunoblotting with anti-pTyr mAb. The membrane was then stripped and reprobed with anti-PLC-gamma 2 or anti-PLC-gamma 1 antibody. Similar results were obtained when the other lines were examined. (C) Intracellular Ca++ concentration ([Ca++]i) was measured by means of fluorescent indicator fura-2. Sensitized cells were loaded with fura-2 and then activated with either 10 ng/mL antigen (top) or 1 µM thapsigargin (bottom). The traces show the 340:380 fluorescence ratio. Similar results were obtained when the other lines were examined.

Moreover, Fcepsilon RI-mediated elevation of [Ca++]i was suppressed in the cells overexpressing 3BP2-SH2 domain (Figure 5C). The responses of these cell lines to thapsigargin were equivalent. Therefore, these results indicate that endogenous 3BP2 functions prior to calcium mobilization to positively regulate Fcepsilon RI-mediated tyrosine phosphorylation of PLC-gamma in the Fcepsilon RI-mediated signaling pathway.

Aggregation of Fcepsilon RI induces the association of 3BP2-SH2 domain with LAT

The 3BP2-SH2 domain is predicted to bind to the YEN motif when it is tyrosine phosphorylated.10 An adaptor protein LAT has 2 copies of the YEN motif (Tyr120 and Tyr226). To examine the mechanism of the cellular effect of overexpression of 3BP2-SH2 domain, we characterized the proteins that associated with 3BP2-SH2 domain in Fcepsilon RI-mediated signaling (Figure 6). Immunoprecipitation studies demonstrated that 3BP2-SH2 domain associated with LAT when cells were stimulated with antigen. 3BP2-SH2 domain also transiently associated with Fcepsilon RIbeta , indicating that 3BP2 may be complexed with other signaling molecules by binding with Fcepsilon RI and LAT in the GEMs (data not shown).16,17 In yeast, 3BP2-SH2 domain binds to autophosphorylation sites in the linker or kinase domain of Syk family PTKs.8 However, we could not detect the association of Syk with 3BP2-SH2 domain by immunoprecipitation studies or pull-down experiments using glutathione S-transferase (GST)-3BP2-SH2 domain fusion protein (data not shown). Therefore, this result suggested that 3BP2-SH2 domain associates with LAT in the Fcepsilon RI-mediated signaling pathway.


View larger version (59K):
[in this window]
[in a new window]
 
Figure 6. Aggregation of Fcepsilon RI induces the association of 3BP2-SH2 domain with LAT. Cells transfected with vector alone (pMT3) and cells overexpressing 3BP2-SH2 domain were stimulated with antigen for the indicated times and cell lysates were then immunoprecipitated with anti-HA antibody. The immunoprecipitated proteins were separated by 10% and 14% SDS-PAGE and analyzed by immunoblotting with anti-pTyr, anti-LAT, and anti-HA antibodies.

Expression of the mutant form of the 3BP2-SH2 domain (R486K) does not affect Fcepsilon RI-mediated signaling

A number of molecules involved in the Fcepsilon RI signaling pathway contain SH2 domain. Fcepsilon RI aggregation causes the activation of PTKs and phosphorylated tyrosines become the docking sites for SH2 domain-containing proteins, which then propagate the downstream signals. Introduction of Syk-SH2 domain into streptolysin O-permeabilized RBL-2H3 cells results in an inhibition of degranulation, leukotriene production, and tyrosine phosphorylation of cellular proteins.18 On the other hand, PLC-gamma 1-SH2 domain inhibits degranulation at lower affinity. Furthermore, Src-SH2 domain does not inhibit degranulation, indicating that there is specificity in the inhibition by the SH2 domain in Fcepsilon RI-mediated signaling. We have demonstrated that antigen-mediated tyrosine phosphorylation of PLC-gamma and release of beta -hexosaminidase were suppressed in cells expressing the 3BP2-SH2 domain (Figures 3 and 5). However, this suppression was not observed in cells expressing the mutant form of the 3BP2-SH2 domain (R486K) (Figure 7). Expression of the mutant form of 3BP2-SH2 domain does not suppress Fcepsilon RI-mediated tyrosine phosphorylation of PLC-gamma and degranulation. Therefore, these observations support the idea that overexpression of the 3BP2-SH2 domain specifically suppresses the Fcepsilon RI-mediated degranulation pathway in RBL-2H3 cells.


View larger version (38K):
[in this window]
[in a new window]
 
Figure 7. The mutant form of 3BP2-SH2 domain does not suppress Fcepsilon RI-mediated degranulation. Control cells and cells expressing 3BP2-SH2 domain or the mutant form of 3BP2-SH2 domain (R486K) were stimulated with 10 ng/mL antigen. (A) Cell lysates were immunoprecipitated with anti-PLC-gamma 2 antibody. The immunoprecipitated proteins were separated by 10% SDS-PAGE and analyzed by immunoblotting with anti-pTyr mAb and anti-PLC-gamma 2. Similar results were obtained when the other lines were examined. (B) Analysis of beta -hexosaminidase release. The antigen-induced releases are normalized by expression as a percentage of the total beta -hexosaminidase activity. The results are the mean values ± SE from 3 independent experiments.


    Discussion
Top
Abstract
Introduction
Materials and methods
Results
Discussion
References

These results demonstrate that 3BP2 is the substrate of PTKs that are activated by antigen stimulation. Moreover, although overall tyrosine phosphorylation of cellular proteins was not changed, overexpression of 3BP2-SH2 domain selectively suppressed Fcepsilon RI-mediated tyrosine phosphorylation of PLC-gamma , calcium mobilization, and degranulation in RBL-2H3 cells (Figure 3B, Figure 5). Fcepsilon RI-mediated tyrosine phosphorylation of overall cellular proteins, Fcepsilon RIbeta and gamma  subunits, Syk, and LAT was not affected (Figure 4 and data not shown). Although 3BP2 was originally identified as an Syk kinase-interacting protein in the yeast system, 3BP2-SH2 was associated with tyrosine-phosphorylated LAT in RBL-2H3 cells (Figure 6). These observations suggest that endogenous 3BP2 positively regulates the signals between Fcepsilon RI-mediated tyrosine phosphorylation of LAT, PLC-gamma , and calcium mobilization to induce degranulation in mast cells via its SH2 domain.

An in vitro binding study demonstrated that tyrosine kinase substrate that has YEN motif is optimal for 3BP2-SH2 domain. LAT has multiple tyrosine phosphorylation sites, and Tyr120 and Tyr226 are in this motif. Mutational analysis of LAT in T cells suggested that Tyr226 is one of the responsible sites that bind to Grb2.19 Furthermore, T cell receptor-mediated association of LAT with PLC-gamma is dependent on LAT Tyr132, and mutation of this site affects calcium influx and NFAT activation. Therefore, 3BP2-SH2 domain could bind to a distinct phosphorylation site that interacts with PLC-gamma -SH2 domain on LAT. This suggests that suppression of Fcepsilon RI-mediated tyrosine phosphorylation PLC-gamma by the overexpression of 3BP2-SH2 domain was not simply due to the competitive effect between the SH2 domains of 3BP2 and PLC-gamma (Figure 5).

Our preliminary experiments have shown that 3BP2 is tyrosine phosphorylated by Lyn, Syk, or Btk in COS cells. Among them Syk predominantly phosphorylated 3BP2 in COS cells (data not shown). Syk is mainly expressed in hematopoietic lineage cells and is essential for immune receptor-mediated cell activation during lymphocyte development and acquired immunity.20,21 In addition, recent findings provided evidence that Syk is expressed in nonhematopoietic cells.22,23 A phage display study revealed the requirement of Asp-Tyr-Glu (DYE) sequence for Syk substrate.24 3BP2 has 2 tyrosine residues in this sequence, Tyr174 and Tyr446. Presumably, these tyrosine residues are phosphorylated by Syk and interact with the downstream molecules to transmit the activation signals from Fcepsilon RI. In addition, it is possible that Syk phosphorylates the other tyrosine residues in 3BP2. However, it remains unclear which PTPase dephosphorylates 3BP2 after mast cell activation.

Aggregation of Fcepsilon RI induces translocation of activated Syk to the GEMs in RBL-2H3 cells. After cell activation, 3BP2 associates with LAT and Fcepsilon RI, suggesting that 3BP2 may be complexed with other signaling molecules in the GEMs (Figure 6).25,26 Recently, electron microscopic analysis revealed the membrane topography of Fcepsilon RI signaling in RBL-2H3 cells.16,17 Redistribution of cross-linked Fcepsilon RI in the membrane excludes Lyn and then accumulates Syk. Secondary LAT rafts are larger after Fcepsilon RI cross-linking, and it allows the interaction of signaling molecules to propagate downstream events. Although it is not clear which PTK phosphorylates 3BP2 in mast cells, tyrosine-phosphorylated 3BP2 may redistribute to LAT rafts to regulate tyrosine phosphorylation of PLC-gamma . Subcellular fractionation studies also provided evidence that 3BP2 translocated to the plasma membrane after Fcepsilon RI aggregation in RBL-2H3 cells (data not shown).

Our observations have shown that overexpression of 3BP2-SH2 domain only affects the Fcepsilon RI-mediated degranulation process leading to the release of inflammatory mediators, such as histamine. In contrast, antigen-induced activation of c-Jun N-terminal kinase (JNK) and extracellular signal-related kinase (ERK) were unaffected by overexpression of 3BP2-SH2 domain (data not shown). Therefore, rather than upstream PTK, adaptor molecules may selectively function for specific pathways. A selective inhibitor of intracellular signaling molecules might have therapeutic potential. It has been reported that the compounds inhibiting release of antigen-induced allergic mediators from mast cells suppressed Fcepsilon RI-mediated Syk activation. Hence, we propose that 3BP2 is a candidate molecule for developing the novel antiallergic drugs because of its selective function in mast-cell signaling cascades.


    Acknowledgments

We thank Dr Reuben P. Siraganian for providing the reagents and helpful discussion; Dr Amnon Altman for providing 3BP2 constructs; and Dr Chisei Ra (Nihon University) for instruction in beta -hexosaminidase release analysis.


    Footnotes

Submitted December 27, 2001; accepted April 16, 2002.

Prepublished online as Blood First Edition Paper, May 17, 2002; DOI 10.1182/blood-2001-12-0340.

Supported in part by the Uehara Memorial Foundation (K.S.); the AstraZeneca Asthma Research Award (K.S.); and a grant-in-aid for scientific research from the Japan Society for the Promotion of Science and the Ministry of Education, Culture, Sports, Science and Technology, Japan.

The publication costs of this article were defrayed in part by page charge payment. Therefore, and solely to indicate this fact, this article is hereby marked "advertisement" in accordance with 18 U.S.C. section 1734.

Reprints: Kiyonao Sada, Division of Proteomics, Department of Genome Sciences, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan; e-mail: ksada{at}med.kobe-u.ac.jp.


    References
Top
Abstract
Introduction
Materials and methods
Results
Discussion
References

1. Turner H, Kinet JP. Signalling through the high-affinity IgE receptor Fcepsilon RI. Nature. 1999;402:B24-30[CrossRef][Medline] [Order article via Infotrieve].

2. Siraganian RP, Zhang J, Kimura T. Regulation and function of protein tyrosine kinase Syk in Fcepsilon RI-mediated signaling. In: Razin E,Rivera J, eds. Signal Transduction in Mast Cells and Basophils. Berlin, Germany: Springer-Verlag; 1999:115-133.

3. Kawakami Y, Kitaura J, Satterthwaite AB, et al. Redundant and opposing functions of two tyrosine kinases, Btk and Lyn, in mast cell function. J Immunol. 2000;165:1210-1219[Abstract/Free Full Text].

4. Saitoh S, Arudchandran R, Manetz TS, et al. LAT is essential for Fcepsilon RI-mediated mast cell activation. Immunity. 2000;12:525-535[CrossRef][Medline] [Order article via Infotrieve].

5. Pivniouk VI, Martin TR, Lu-Kuo JM, Katz HR, Oettgen HC, Geha RS. SLP-76 deficiency impairs signaling via the high-affinity IgE receptor in mast cells. J Clin Invest. 1999;103:1737-1743[Medline] [Order article via Infotrieve].

6. Gu H, Saito K, Klaman LD, et al. Essential role for gab2 in the allergic response. Nature. 2001;412:186-190[CrossRef][Medline] [Order article via Infotrieve].

7. Ren R, Mayer BJ, Cicchetti P, Baltimore D. Identification of a ten-amino acid proline-rich SH3 binding site. Science. 1993;259:1157-1161[Abstract/Free Full Text].

8. Deckert M, Tartare-Deckert S, Hernandez J, Rottapel R, Altman A. Adaptor function for the Syk kinases-interacting protein 3BP2 in IL-2 gene activation. Immunity. 1998;9:595-605[CrossRef][Medline] [Order article via Infotrieve].

9. Jevremovic D, Billadeau DD, Schoon RA, Dick CJ, Leibson PJ. Regulation of NK cell-mediated cytotoxicity by the adaptor protein 3BP2. J Immunol. 2001;166:7219-7228[Abstract/Free Full Text].

10. Songyang Z, Shoelson SE, McGlade J, et al. Specific motifs recognized by the SH2 domains of Csk, 3BP2, fps/fes, Grb-2 Vol 14. Hcp, Shc: Syk, and Vav. Mol Cell Biol.; 1994:2777-2785.

11. Honda Z, Suzuki T, Kono H, et al. Sequential requirements of the N-terminal palmitoylation site and SH2 domain of Src family kinases in the initiation and propagation of Fcepsilon RI signaling. Mol Cell Biol. 2000;20:1759-1771[Abstract/Free Full Text].

12. Sada K, Zhang J, Siraganian RP. Point mutation of a tyrosine in the linker region of Syk results in a gain of function. J Immunol. 2000;164:338-344[Abstract/Free Full Text].

13. Sada K, Zhang J, Siraganian RP. SH2 domain-mediated targeting, but not localization, of Syk in the plasma membrane is critical for Fcepsilon RI signaling. Blood. 2001;97:1352-1359[Abstract/Free Full Text].

14. Zhang J, Berenstein EH, Evans RL, Siraganian RP. Transfection of Syk protein tyrosine kinase reconstitutes high affinity IgE receptor-mediated degranulation in a Syk-negative variant of rat basophilic leukemia RBL-2H3 cells. J Exp Med. 1996;184:71-79[Abstract/Free Full Text].

15. Costello PS, Turner M, Walters AE, et al. Critical role for the tyrosine kinase Syk in signalling through the high affinity IgE receptor of mast cells. Oncogene. 1996;13:2595-2605[Medline] [Order article via Infotrieve].

16. Wilson BS, Pfeiffer JR, Oliver JM. Observing Fcepsilon RI signaling from the inside of the mast cell membrane. J Cell Biol. 2000;149:1131-1142[Abstract/Free Full Text].

17. Wilson BS, Pfeiffer JR, Surviladze Z, Gaudet EA, Oliver JM. High resolution mapping of mast cell membranes reveals primary and secondary domains of Fcepsilon RI and LAT. J Cell Biol. 2001;154:645-658[Abstract/Free Full Text].

18. Taylor JA, Karas JL, Ram MK, Green OM, Seidel-Dugan C. Activation of the high-affinity immunoglobulin E receptor Fcepsilon RI in the RBL-2H3 cells is inhibited by Syk SH2 domains. Mol Cell Biol. 1995;15:4149-4157[Abstract].

19. Zhang W, Trible RP, Zhu M, Liu SK, McGlade CJ, Samelson LE. Association of Grb2, Gads, and phospholipase C-gamma 1 with phosphorylated LAT tyrosine residues. Effect of LAT tyrosine mutations on T cell antigen receptor-mediated signaling. J Biol Chem. 2000;275:23355-23361[Abstract/Free Full Text].

20. Sada K, Takano T, Yanagi S, Yamamura H. Structure and functions of Syk protein-tyrosine kinase. J Biochem. 2001;130:177-186[Abstract/Free Full Text].

21. Turner M, Schweighoffer E, Clucci F, Di Santo JP, Tybulewicz VL. Tyrosine kinase Syk: essential functions for immunereceptor signalling. Immunol Rev. 2000;21:148-154.

22. Coopman PJ, Do MT, Barth M, et al. The Syk tyrosine kinase suppresses malignant growth of human breast cancer cells. Nature. 2000;406:742-747[CrossRef][Medline] [Order article via Infotrieve].

23. Yanagi S, Inatome R, Ding J, Kitaguchi H, Tybulewicz VLJ, Yamamura H. Syk expression in endothelial cells and their morphologic defects in embryonic Syk-deficient mice. Blood. 2001;98:2869-2871[Abstract/Free Full Text].

24. Schmitz R, Baumann G, Gram H. Catalytic specificity of phosphotyrosine kinases Blk, Lyn, c-Src and Syk as assessed by phage display. J Mol Biol. 1996;260:664-677[CrossRef][Medline] [Order article via Infotrieve].

25. Field KA, Holowka D, Baird B. Compartmentalized activation of the high affinity immunoglobulin E receptor within membrane domains. J Biol Chem. 1997;272:4276-4280[Abstract/Free Full Text].

26. Zhang W, Trible RP, Samelson LE. LAT palmitoylation: its essential role in membrane microdomain targeting and tyrosine phosphorylation during T cell activation. Immunity. 1998;9:239-246[CrossRef][Medline] [Order article via Infotrieve].

© 2002 by The American Society of Hematology.
 

Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
J. Biol. Chem.Home page
T. Yamashita, R. Suzuki, P. S. Backlund, Y. Yamashita, A. L. Yergey, and J. Rivera
Differential Dephosphorylation of the FcR{gamma} Immunoreceptor Tyrosine-based Activation Motif Tyrosines with Dissimilar Potential for Activating Syk
J. Biol. Chem., October 17, 2008; 283(42): 28584 - 28594.
[Abstract] [Full Text] [PDF]


Home page
Mol. Cell. Biol.Home page
G. Chen, I. D. Dimitriou, J. La Rose, S. Ilangumaran, W.-C. Yeh, G. Doody, M. Turner, J. Gommerman, and R. Rottapel
The 3BP2 Adapter Protein Is Required for Optimal B-Cell Activation and Thymus-Independent Type 2 Humoral Response
Mol. Cell. Biol., April 15, 2007; 27(8): 3109 - 3122.
[Abstract] [Full Text] [PDF]


Home page
IOVSHome page
E. B. Cook, J. L. Stahl, A. M. Brooks, F. M. Graziano, and N. P. Barney
Allergic tears promote upregulation of eosinophil adhesion to conjunctival epithelial cells in an ex vivo model: inhibition with olopatadine treatment.
Invest. Ophthalmol. Vis. Sci., August 1, 2006; 47(8): 3423 - 3429.
[Abstract] [Full Text] [PDF]


Home page
Mol. Cell. Biol.Home page
M. A. de la Fuente, L. Kumar, B. Lu, and R. S. Geha
3BP2 Deficiency Impairs the Response of B Cells, but Not T Cells, to Antigen Receptor Ligation.
Mol. Cell. Biol., July 1, 2006; 26(14): 5214 - 5225.
[Abstract] [Full Text] [PDF]


Home page
JCBHome page
K. Nishida, S. Yamasaki, Y. Ito, K. Kabu, K. Hattori, T. Tezuka, H. Nishizumi, D. Kitamura, R. Goitsuka, R. S. Geha, et al.
Fc{varepsilon}RI-mediated mast cell degranulation requires calcium-independent microtubule-dependent translocation of granules to the plasma membrane
J. Cell Biol., July 4, 2005; 170(1): 115 - 126.
[Abstract] [Full Text] [PDF]


Home page
J BiochemHome page
X. Qu, S. M. S. Miah, T. Hatani, M. Okazaki, N. Hori-Tamura, H. Yamamura, H. Hotta, and K. Sada
Selective Inhibition of Fc{varepsilon}RI-Mediated Mast Cell Activation by a Truncated Variant of Cbl-b Related to the Rat Model of Type 1 Diabetes Mellitus
J. Biochem., June 1, 2005; 137(6): 711 - 720.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
I. Foucault, S. Le Bras, C. Charvet, C. Moon, A. Altman, and M. Deckert
The adaptor protein 3BP2 associates with VAV guanine nucleotide exchange factors to regulate NFAT activation by the B-cell antigen receptor
Blood, February 1, 2005; 105(3): 1106 - 1113.
[Abstract] [Full Text] [PDF]


Home page
GENES CELLSHome page
S. M. S. Miah, T. Hatani, X. Qu, H. Yamamura, and K. Sada
Point mutations of 3BP2 identified in human-inherited disease cherubism result in the loss of function
Genes Cells, November 1, 2004; 9(11): 993 - 1004.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
X. Qu, K. Sada, S. Kyo, K. Maeno, S. M. S. Miah, and H. Yamamura
Negative regulation of Fc{epsilon}RI-mediated mast cell activation by a ubiquitin-protein ligase Cbl-b
Blood, March 1, 2004; 103(5): 1779 - 1786.
[Abstract] [Full Text] [PDF]


Home page
Mol. Cell. Biol.Home page
S. M. S. Miah, K. Sada, P. T. Tuazon, J. Ling, K. Maeno, S. Kyo, X. Qu, Y. Tohyama, J. A. Traugh, and H. Yamamura
Activation of Syk Protein Tyrosine Kinase in Response to Osmotic Stress Requires Interaction with p21-Activated Protein Kinase Pak2/{gamma}-PAK
Mol. Cell. Biol., January 1, 2004; 24(1): 71 - 83.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
K. Maeno, K. Sada, S. Kyo, S. M. S. Miah, K. Kawauchi-Kamata, X. Qu, Y. Shi, and H. Yamamura
Adaptor Protein 3BP2 Is a Potential Ligand of Src Homology 2 and 3 Domains of Lyn Protein-tyrosine Kinase
J. Biol. Chem., June 27, 2003; 278(27): 24912 - 24920.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
I. Foucault, Y.-C. Liu, A. Bernard, and M. Deckert
The Chaperone Protein 14-3-3 Interacts with 3BP2/SH3BP2 and Regulates Its Adapter Function
J. Biol. Chem., February 21, 2003; 278(9): 7146 - 7153.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
2001-12-0340v1
100/6/2138    most recent
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Right arrow Rights and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Sada, K.
Right arrow Articles by Yamamura, H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Sada, K.
Right arrow Articles by Yamamura, H.
Related Collections
Right arrow Immunobiology
Right arrow Signal Transduction
Social Bookmarking
 Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?

 click for free articles
home about blood authors subscriptions permissions advertising public access contact us
  Copyright © 2002 by American Society of Hematology         Online ISSN: 1528-0020