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(The FASEB Journal. 1999;13:2105-2124.)
© 1999 FASEB

Specificity, diversity, and regulation in TGF-ß superfamily signaling

ESTER PIEK, CARL-HENRIK HELDIN and PETER TEN DIJKE1

Ludwig Institute for Cancer Research, Box 595, S-75124 Uppsala, Sweden

1Correspondence and current address: Division of Cellular Biochemistry, The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX Amsterdam, The Netherlands. E-mail: ptdijke{at}nki.nl


   ABSTRACT
TOP
ABSTRACT
THE TGF-{beta} SUPERFAMILY AND...
SIGNALING VIA TGF-{beta}...
INTRACELLULAR SIGNALING BY TGF...
CONCLUSIONS AND PERSPECTIVES
REFERENCES
 
Transforming growth factor-ß (TGF-ß) superfamily members are multifunctional cell–cell signaling proteins that play pivotal roles in tissue homeostasis and development of multicellular animals. They mediate their pleiotropic effects from membrane to nucleus through distinct combinations of type I and type II serine/threonine kinase receptors and their downstream effectors, known as Smad proteins. Certain Smads, termed receptor-regulated Smads, become phosphorylated by activated type I receptors and form heteromeric complexes with a common-partner Smad4, which translocates into the nucleus to control gene transcription. In addition to these signal transducing Smads, inhibitory Smads have been identified that inhibit the activation of receptor-regulated Smads. In contrast to the still growing TGF-ß superfamily (with ~30 members in mammals), relatively few type I and type II receptors as well as Smads have been identified. We will focus on recent insights into the molecular mechanisms by which signaling specificity between different TGF-ß superfamily members is achieved and regulated, and how a single family member can elicit a broad scala of biological responses.—Piek, E., Heldin, C.-H., ten Dijke, P. Specificity, diversity, and regulation in TGF-ß superfamily signaling.


Key Words: activin • bone morphogenetic protein • signal transduction • Smad • transforming growth factor-ß


   THE TGF-ß SUPERFAMILY AND ITS BINDING PROTEINS
TOP
ABSTRACT
THE TGF-{beta} SUPERFAMILY AND...
SIGNALING VIA TGF-{beta}...
INTRACELLULAR SIGNALING BY TGF...
CONCLUSIONS AND PERSPECTIVES
REFERENCES
 
TGF-ß superfamily: multiple factors with pleiotropic functions
THE TRANSFORMING GROWTH FACTOR-SS (TGF-SS) SUPERFAMILY is composed of many multifunctional cytokines including TGF-ßs, activins, inhibins, anti-müllerian hormone (AMH), bone morphogenetic proteins (BMPs), myostatin, and others. The highly similar TGF-ß isoforms TGF-ß1, TGF-ß2, and TGF-ß3 potently inhibit cellular proliferation of many cell types, including those from epithelial origin. Most mesenchymal cells, however, are stimulated in their growth by TGF-ß. In addition, TGF-ßs strongly induce extracellular matrix synthesis and integrin expression, and modulate immune responses (reviewed in refs 1 , 2 ). BMPs are potent inducers of bone and cartilage formation and play important developmental roles in the induction of ventral mesoderm, differentiation of neural tissue, and organogenesis (reviewed in refs 3 , 4 ). Activins, named after their initial identification as activators of follicle-stimulating hormone (FSH) secretion from pituitary glands, are also known to promote erythropoiesis, mediate dorsal mesoderm induction, and contribute to survival of nerve cells (reviewed in ref 5 ). Several growth factors belonging to the TGF-ß superfamily play important roles in embryonic patterning and tissue homeostasis. Their inappropriate functioning has been implicated in several pathological situations like fibrosis, rheumatoid arthritis, and carcinogenesis.

Distinct in vivo expression patterns of TGF-ß isoforms
TGF-ß1, TGF-ß2, and TGF-ß3 are highly similar in their biological activities in vitro. However, they differ in their in vivo expression patterns (reviewed in ref 6 ), which largely explains the unique isoform-specific phenotypes displayed by the TGF-ß knockout mice. TGF-ß1-deficient mice that are born alive undergo early postnatal death due to excessive infiltration of inflammatory lymphocytes and macrophages into several organs (7 8 9) . Half of the mice lacking TGF-ß1 die in utero due to defects in vasculogenesis and hematopoiesis (10) . It is thought that maternally supplied TGF-ß1, in combination with redundant expression of TGF-ß isoforms, contributes to normal development of the embryos. TGF-ß1 null mice born from TGF-ß1-deficient mothers display abnormal cardiac development (11) . TGF-ß2 knockout mice show multiple developmental malformations of tissues and organs, leading to perinatal death (12) . TGF-ß3 null mice die shortly after birth, displaying delayed pulmonary development and defective palate development (13 , 14) .

Analysis of the genes encoding the three TGF-ßs revealed that each isoform is controlled by differentially regulated promoters (reviewed in ref 15 ). The existence of different genes encoding functionally similar proteins, yet controlled by differentially regulated promoters, might provide an important mechanism to ensure tissue-specific and spatio-temporal expression patterns of the different TGF-ß isoforms, thereby resulting in proper embryonic development and tissue homeostasis.

In addition, posttranscriptional control mechanisms contribute to regulation of the production of TGF-ß. TGF-ß1, TGF-ß2, and TGF-ß3 that have long, GC-rich 5'-untranslated regions and intramolecular duplex loops located in close proximity to the transcriptional start site negatively modulate TGF-ß expression, possibly by binding cell type-specific cytoplasmic molecules (16) .

Control of TGF-ß bioactivity
Members of the TGF-ß superfamily are synthesized as large precursor molecules that are proteolytically processed in the Golgi apparatus by the convertase family of endoproteases, of which furin is a member. Furin cleaves the precursor into a mature TGF-ß and amino-terminal precursor remnant, also termed latency-associated protein, or LAP (reviewed in ref 17 and references therein; 18). LAP remains noncovalently linked to TGF-ß and prevents binding of mature TGF-ß to its receptors. These so-called small latent TGF-ß complexes are significantly more stable than bioactive TGF-ß. Within the Golgi, LAP covalently interacts with latent TGF-ß binding proteins (LTBPs) to form large, latent complexes (reviewed in ref 19 and references therein). Four different LTBP homologs, LTBPs 1–4, have been characterized, including several alternative splice variants (reviewed in refs 19 , 20 ). LTBPs function to enhance secretion and stability of the TGF-ß-LAP complex, ensure correct folding of TGF-ß, and target the latent TGF-ß complex to the extracellular matrix of certain cells and tissues for storage or to the cell surface where activation takes place (reviewed in refs 17 , 19 and references therein). LTBP-1, -2, and -4 contain RGD sequences that are integrin binding sites (20 , 21) . It has been shown that large latent TGF-ß complexes directly interact with integrin {alpha}v1 at the cell surface (21) , which may enable TGF-ß to activate integrin signaling. Activation of latent TGF-ß into biologically active mature TGF-ß is controlled by proteases like plasmin or cathepsin, which cleave LAP (Fig. 1 ), and by binding of LAP to mannose-6-phosphate receptors (17, 19 and references therein). Lipoprotein Lp(a) inhibits activation of plasminogen to plasmin and thereby negatively affects activation of TGF-ß (reviewed in ref 22 and references therein). Other mechanisms that have been implicated in activation of latent TGF-ß are deglycosylation of LAP (23) , exposure to reactive oxygen species (24) , or acidic cellular microenvironments (25) . In addition, an important activator of TGF-ß in vivo appears to be thrombospondin-1, which induces a conformational change of LAP and thereby activates TGF-ß (26) .



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Figure 1. Activation of latent TGF-ß. TGF-ß is synthesized as large latent complexes. In platelets the TGF-ß latent complex consists of mature TGF-ß that is noncovalently associated with a disulfide-bonded complex of a dimer of the amino-terminal propeptide of the TGF-ß precursor (also termed latency-associated peptide, LAP) and a third component, termed latent TGF-ß binding protein (LTBP). Active TGF-ß (capable of receptor binding) can be released from the latent complex by specific proteases, like plasmin. This process is likely to occur at the plasma membrane. Lipoprotein Lp(a) is structurally related to plasminogen, the precursor of plasmin. Lp(a) can inhibit plasmin generation, and inhibit activation of latent TGF-ß. An alternative mechanism for activation of latent TGF-ß is through thrombospondin, which appears to induce a conformational change in LAP (not shown).

Signaling diversity by generation of heterodimeric ligands
After proteolytic cleavage of the mature carboxyl-terminal parts, biologically active TGF-ß1, -ß2, or -ß3 homodimers are generated. Homodimers are most abundant, but TGF-ß1.2 (27 , 28) and TGF-ß2.3 (28) heterodimers have been identified in vivo. For activin, four different ß chains have been identified—ßA, ßB, ßC, and ßE (reviewed in ref 29 and references therein)—of which ßA and ßB are known to form homo- as well as heterodimers. Whether heterodimers can also be formed with the ßC and ßE chains and whether these different isoforms exert different biological activities is not clear. Inhibins, which are heterodimers of inhibin {alpha} chains and activin ß chains, are functional antagonists of activin signaling (reviewed in ref 5 ). In the case of BMPs, BMP2/7 and BMP4/7 heterodimers are much more potent in the induction of ventral mesoderm (30) , as well as in bone induction (31) than their respective homodimers. The coexpression of individual BMPs in several tissues suggests that heterodimer formation might occur in vivo, and heterodimers of BMP2 and BMP-7 have been isolated from bovine bone (32) . The mechanism underlying potentiated signaling by heterodimers compared to homodimers has not been investigated, but might be due to formation of receptor complexes consisting of, for example, two different type II and two different type I receptors, which may activate downstream signaling in a more potent manner.

TGF-ß superfamily binding proteins
After production of bioactive TGF-ß superfamily members, several extracellular proteins can bind and modify their activity (Table 1 ). The extracellular matrix proteoglycans decorin and biglycan have been described to inhibit TGF-ß activity (33) . Transgenic mice lacking biglycan expression show dramatically decreased bone mass, suggesting an important role for biglycan in the constitution of bone, possibly by its function as a source for storage of TGF-ß superfamily members (34) .


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Table 1. TGF-ß superfamily binding proteins

The serum protein {alpha}2-macroglobulin associates with circulating TGF-ß superfamily members; via its interaction with the {alpha}2-macroglobulin receptor, it takes care of clearance of the growth factors from serum (35 , 36) . Fibronectin can bind TGF-ß and promote its bioactivity, possibly by changing it from a latent to a bioactive conformation (37) , and collagen IV may store bioactive TGF-ß in the extracellular matrix (38) .

Factors known to play important roles during embryonic development are follistatin, noggin, chordin, and Short gastrulation (Sog), the Drosophila homologue of chordin (39) . These proteins are secreted by the Spemann organizer and compete with BMPs to exert opposing effects on developmental fates of mesoderm and ectoderm (reviewed in ref 40 and references therein). Mice deficient in noggin expression display excessive cartilage formation and failure of joint specification during skeletogenesis (41) . The TGF-ß superfamily member Xnr3 has been reported to interfere with BMP signaling in the Xenopus Spemann organizer via an intracellular antagonistic mechanism that prevents BMP synthesis (reviewed in ref 40 ).

Cerberus, DAN, and gremlin have recently been identified as antagonists of BMP signaling during early embryogenesis (42) . Cerberus can also counteract signaling by activin and nodal. These proteins, like noggin and chordin, have been shown to interact directly with the growth factors, thereby preventing interaction of the ligands with their signaling receptors (reviewed in refs 40 , 42 ). Follistatin counteracts activin signaling by a similar mechanism (reviewed in ref 36 ), whereas the mechanism by which follistatin interferes with BMP signaling is unclear; BMP–follistatin complexes were found to interact normally with BMP receptors (43) .

Interaction of chordin or Sog with BMPs is controlled by metalloproteases of the astacin family, to which tolloid, the Drosophila homologue of BMP1, Xenopus xolloid, and zebrafish Ztld, belongs, and they are able to proteolytically cleave chordin and Sog, thereby liberating bioactive BMPs (44; reviewed in ref 45 ).

An extensive number of membrane-bound or transmembrane TGF-ß binding proteins are known to interfere with TGF-ß action. The type I and type II serine/threonine kinase receptors, which will be discussed in detail below, are directly involved in TGF-ß signal transduction. TGF-ß receptor III (TßR-III; also known as betaglycan) and endoglin are transmembrane proteins that share high sequence homology in their short cytoplasmic tails rich in serine residues (46 , 47) . Betaglycan has several high-affinity binding sites for TGF-ß1, TGF-ß2, and TGF-ß3 (48) and facilitates binding of TGF-ß to their type II receptors, a property that is especially important for TGF-ß2, which has low intrinsic affinity for TßR-II (Fig. 2 ) (49 , 50) . In contrast, soluble betaglycan acts as an antagonist of TGF-ß bioactivity by preventing the interaction of TGF-ß with the signaling receptors (46 , 51) .



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Figure 2. Mechanism of TGF-ß receptor activation. Schematic stepwise illustration of the current model for TGF-ß receptor activation. A) TGF-ß1 initially binds the accessory TGF-ß type III receptor (TßR-III), which presents the ligand to TGF-ß type II receptor (TßR-II). B) Subsequently, TGF-ß bound to TßR-II, recruits TGF-ß type I receptor (TßR-I) into the complex, thereby forming a heteromeric complex of two TßR-IIs and two TßR-Is. C) The constitutively active TßR-II kinase phosphorylates TßR-I. D) TßR-I propagates the signal downstream through phosphorylation of particular R-Smads, i.e., Smad2 and Smad3. Recruitment of Smad2 and Smad3 to the TGF-ß receptor complex is achieved through the Smad anchor for activation (SARA). SARA is membrane associated and capable of binding both R-Smad and the TGF-ß receptor complex.

The role of endoglin in modulation of TGF-ß signaling appears to be different from betaglycan. In contrast to betaglycan, endoglin can interact with TGF-ß1, TGF-ß3, activin A, BMP-2, and BMP-7 and requires appropriate type I or type II receptors for efficient ligand binding (52) . Ectopic expression of endoglin in monocytes results in a selective abrogation of TGF-ß1-induced growth inhibition and fibronectin synthesis (53) . Furthermore, mutations in the genes encoding endoglin or ALK-1, a putative TGF-ß type I receptor in endothelial cells, form the basis for the vascular disorder hereditary hemorrhagic telangiectasia type 1 and type 2, respectively (54 , 55) , suggesting that endoglin and ALK-1 act in a common signal transduction pathway.

In many vascular endothelial cells and hematopoietic progenitor cells, TGF-ß1 and TGF-ß3 are equipotent in mediating signaling, but TGF-ß2 has weaker biological effects (47 , 56) . This difference in potency between different TGF-ß isoforms can be accounted for by the lack of betaglycan in these cells. Differential activities of TGF-ß isoforms in other cell types have been observed, but their modes of action have not been correlated to receptor binding properties (57 , 58) . Several cell membrane-associated TGF-ß binding proteins, including certain glycosyl-phosphatidylinositol (GPI) -anchored proteins (59 , 60) , have been identified that are endowed with specific affinity for certain TGF-ß isoforms, but their role in TGF-ß signaling is not clear. Furthermore, a 60 kDa TGF-ß binding protein has been characterized (61 , 62) that exhibits TGF-ß1 binding specificity and interferes with binding of TGF-ß to the signaling receptors (62) .


   SIGNALING VIA TGF-ß SUPERFAMILY RECEPTORS
TOP
ABSTRACT
THE TGF-{beta} SUPERFAMILY AND...
SIGNALING VIA TGF-{beta}...
INTRACELLULAR SIGNALING BY TGF...
CONCLUSIONS AND PERSPECTIVES
REFERENCES
 
TGF-ß superfamily members induce formation of heteromeric complexes of type I and type II receptors
Type I and type II serine/threonine kinase receptors are directly involved in signaling by TGF-ß superfamily members (Fig. 2) . TGF-ß1, TGF-ß3, and activins initially bind to their corresponding type II receptors, after which the type I receptors are recruited into the signaling complex. Type I and type II receptors have an intrinsic affinity for each other, which contributes to stability of the heteromeric complex (63) . TGF-ß2, which does not bind to TßR-II or TßR-I alone, can interact with and stabilize transiently formed complexes of TßR-I and TßR-II (64) . BMPs have low affinity for type II or type I receptors individually, and high-affinity binding requires formation of a heteromeric type I/type II receptor complex (65 , 66) . At present, only a few type I and type II receptors for the TGF-ß superfamily are known. However, depending on the ligand, multiple heterotetrameric complexes consisting of two type I and two type II receptor homodimers are possible (67) . In view of the existence of heterodimeric ligands, it is conceivable that two different type I and two different type II receptors constitute the receptor complex, thereby creating combinatorial signaling.

TGF-ßs form heteromeric complexes between TßR-II and TßR-I in most cell types (68 , 69) . In endothelial cells TGF-ß can bind and signal through activin receptor-like kinase 1 (ALK-1); ALK-1 has therefore been implicated as an endothelial-specific TGF-ß type I receptor (T. Imamura, P. ten Dijke, and K. Miyazono, personal communication). Activins signal via combinations of ActR-II or ActR-IIB and ActR-IB (68 , 70) . Activins have also been shown to interact with ActR-I (68 , 71) , although this receptor appears to play a minor role in activin signaling. BMPs interact with ActR-II, ActR-IIB, or BMPR-II, in combination with ActR-I, BMPR-IA, or BMPR-IB (65 , 66 , 72) . For AMH, only a type II receptor has been identified (73) . A potential AMH type I receptor is ActR-I, which is coexpressed with AMHR-II in the Müllerian duct and can mediate AMH-specific repression of FSH-induced aromatase activity (A. Themmen, personal communication). ALK-7 is an orphan receptor (74) . A novel type I receptor, designated zALK-8, was recently cloned and shown to be widely expressed throughout early zebrafish development (75) . Mammalian homologues of zALK-8 as well as of zebrafish TARAM-A, which is a type I receptor involved in induction of anterior dorsal mesoderm (76) , have not yet been identified. The ligands for these receptors have not been elucidated.

Activation and regulation of serine/threonine kinase type I and type II receptors
Type I receptor kinases become activated upon phosphorylation by the constitutively active type II receptor kinase (Fig. 2) . Thus, type I receptors act downstream of type II receptors (77) . Consistent with this finding, type I receptors were found to determine the specificity of the intracellular signals induced by different TGF-ß superfamily members, whereas the L45 region in type I receptors was found to be important in determining the specificity of type I receptors (78 79 80) .

The phosphorylation status of TßR-II has been shown to influence TGF-ß signaling. TßR-II is a constitutively active kinase that requires phosphorylation of Ser213 (located outside the kinase domain) to mediate its autocatalytic effect. Ligand-dependent autophosphorylation of TßR-II on either Ser409 or Ser416 differentially contributes to regulation of its activity, leading to stimulation or inhibition of TGF-ß signaling, respectively (81) .

Differential kinetics in biosynthesis, ligand-induced internalization, and down-regulation of type I vs. type II receptors have been attributed to differential modulation of TGF-ß signaling (82 83 84 85) . The half-life and processing of TßR-II in the endoplasmic reticulum are considerably shorter than that of TßR-I (82 83 84 85) . Furthermore, homo- and heteromeric receptor complexes have distinct endocytotic fates (84) . Rapid modulation of TßR-II expression levels as well as ligand-bound TßR-I/TßR-II complexes may be important for fine-tuning of signaling by TGF-ß.

Diversity in receptor availability might be provided by the existence of alternative receptor transcripts, as identified for ActR-IIA (86) , ActR-IB (87) , ActR-IIB (70) , AMHR-II (73) , and TßR-II (88) . In the case of ActR-IIB, differential affinity of activin for the alternatively spliced gene products has been observed. In addition, differences in the cytoplasmic domains offer possibilities for differential modes of signaling (70) .

Several growth factors are known to bind to the same type II receptor—for example, activins and BMPs, which share ActR-II and ActR-IIB (72 , 89) . This enables signaling by several growth factors via a limited scala of available receptor types, whereas it can lead to competition of different ligands for the same type II receptors, thereby fine-tuning signaling via type I receptors. This is the case for activin and inhibin, since inhibin is known to counteract many of activin functions by competing for binding to the activin type II receptor (90) . A similar mechanism has been suggested to underlie the inhibitory action of zebrafish antivin, most closely related to mouse lefty, upon activin signaling (91) , and appears to contribute to the functional antagonism observed between activin and OP-1 in Tera-2 embryonal carcinoma cells (89) . Whether different ligands might also compete for binding to common type I receptors is not clear at present.

Cytoplasmic TGF-ß receptor interacting proteins distinct from Smads
A number of cytoplasmic proteins are now known to interact with the kinase domain of type I and type II receptors, thereby manipulating or mediating their signaling capacities (Table 2 ). TRIP-1, a protein that contains five WD domains, is known to bind and become phosphorylated by TßR-II. The interaction requires a functional TßR-II kinase (92) . Overexpression of TRIP-1 attenuates TGF-ß-induced PAI-1 transcriptional response, but not TGF-ß-induced cyclin A response (93) . The WD domain-containing protein STRAP can associate with TßR-I and TßR-II. STRAP and the inhibitory Smad7 synergistically block TGF-ß-mediated transcriptional activation (94) . Another WD-40 repeat protein B{alpha}, a subunit of protein phosphatase 2A, has been reported to interact with and become phosphorylated by TßR-I. B{alpha} potentiates the antiproliferative effect mediated by TGF-ß (95) . TßR-I-associated protein-1 (TRAP-1) interacts specifically with the activated TßR-I. However, its functional role in TGF-ß signaling is unclear (96) .


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Table 2. TGF-ß superfamily receptor interacting proteins

The immunophilin FKBP12 interacts with type I serine/threonine kinase receptors (97) through an FK506-like Leu-Pro motif preceding the kinase domain (98) . FKBP-12 inhibits phosphorylation of the type I receptors by the type II receptors, possibly by sterical hindrance, and may function to prevent leaky signaling in the basal cell state (99) . FKBP12 dissociates from TßR-I after ligand-induced phosphorylation of TßR-I by TßR-II (97 , 98) .

Farnesyltransferase {alpha} (FT{alpha}) has also been shown to interact with and become phosphorylated by activin and TGF-ß type I receptors (99) . However, farnesyl transferase activity was shown to be dispensable for TGF-ß signaling (100) .

Type I receptors as determinants of downstream signal propagation
Activation of type I receptors by type II receptors occurs by phosphorylation of serine and threonine residues within a juxtamembrane region preceding the kinase domain of type I receptors that is characterized by repeats of glycine and serine residues (also termed the GS domain) (77) . Specificity of signal propagation to Smad molecules, the main downstream components in serine/threonine kinase receptor signaling, is determined by type I receptors (reviewed in refs 29 , 101 ). More specifically, a region flanking ß strands 4 and 5 in the kinase domain, designated L45 loop, confers a high degree of specificity in Smad interaction with the type I receptors (78 , 80) . The L45 loop is highly conserved among type I receptors with comparable signaling specificity, but differs significantly between BMP and TGF-ß or activin type I receptors (79 , 80) . Swapping the L45 loop between TßR-I and BMPR-IB, followed by ligand-stimulation, was shown to result in exchange of Smad1 vs. Smad2 recognition specificity, accompanied by a switch in transcriptional responses (79 , 80) . However, differential effects between the two BMP type I receptors have been described (102 103 104) . CDMP-1 and CDMP-2, which both interact with BMPR-IB and BMPR-II, differentially regulate osteogenesis (105 , 106) . Thus, in addition to a role for the L45 loop, other mechanisms must contribute to specify downstream signaling after activation of type I receptors.

It has been shown that the cytoplasmic juxtamembrane region of TßR-I is involved in specifying signal transduction, since mutations of certain serine or threonine residues within this region selectively impair TGF-ß-mediated growth inhibition, but do not affect TGF-ß-induced PAI-1 or fibronectin synthesis (107) . However, in vivo phosphorylation of these sites by TßR-II has not yet been reported. Mutation of Ser165, located amino-terminal of the GS domain, results in potentiation of TGF-ß-mediated growth inhibition and extracellular matrix induction but diminishes TGF-ß-induced apoptosis (108) . Thus, additional residues in TßR-I appear to modulate distinct pathways triggered by TGF-ß.

In certain cell systems it has been observed that the expression level of type I receptors correlates with extracellular matrix production and gene transcription, whereas the expression level of type II receptors correlates to the growth inhibitory response, suggesting participation of type I and type II receptors in different signaling pathways. However, the observations made are all compatible with an alternative interpretation, which is that all signals are initiated by activation of the type I receptor and that different activation thresholds of the signaling pathways leading to growth inhibition vs. gene transcription underlie the apparent differential modes of signaling by type I and type II receptors (109) .


   INTRACELLULAR SIGNALING BY TGF-ß SUPERFAMILY MEMBERS
TOP
ABSTRACT
THE TGF-{beta} SUPERFAMILY AND...
SIGNALING VIA TGF-{beta}...
INTRACELLULAR SIGNALING BY TGF...
CONCLUSIONS AND PERSPECTIVES
REFERENCES
 
Receptor-activated Smads and common-partner Smads as mediators of TGF-ß signal transduction
Genetic studies in Drosophila and Caenorhabditis elegans have led to identification of a conserved family of intracellular signal transducers for TGF-ß superfamily members. The founding member, Mothers against dpp (Mad) (110 , 111) , was isolated from a genetic screen for enhancers of a weak Dpp maternal phenotype. Subsequently, three Mad homologues, called Sma-2, Sma-3, and Sma-4, were picked up in C. elegans by searching for genes whose mutations caused the same small body-size phenotype as observed for mutant Daf4, a type II serine/threonine kinase receptor (112) . At present, eight different Sma- and Mad-related proteins have been identified in mammals, and are termed Smads (Fig. 3A ). They can be subdivided into three distinct subclasses: receptor-activated Smads (R-Smads), common-partner Smads (Co-Smads), and inhibitory Smads (anti-Smads). R-Smads and Co-Smads are homologous in their amino- and carboxyl-terminals, called the MH1 and MH2 domains, respectively. These domains are connected by a proline-rich linker region. R-Smads contain SSXS phosphorylation motifs in their own carboxy termini.



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Figure 3. The Smad family of intracellular signal transducers for TGF-ß superfamily proteins. A) A phylogenetic analysis of mammalian Smad proteins. B) The Mad homology (MH)1 and MH2 domains have affinity for each other; type I receptor-mediated phosphorylation of R-Smads at their carboxy termini may induce a conformation change, thereby relieving the autoinhibitory effect of MH1 on MH2 and vice versa. C) Schematic structure of R-Smad and Co-Smad and their functional domains. Direct DNA binding is mediated through the MH1 domain whereas MH2 has transcriptional activation activity. The sites of phosphorylation in R-Smads by type I receptors at the extreme carboxy terminus and by ERK in linker region are indicated.

Smad1, Smad5, and Smad8 are involved in BMP signaling and become phosphorylated by ActR-I, BMPR-IA, or BMPR-IB (113 114 115 116 117) . Smad2 and Smad3 are mediators of TGF-ß and activin signaling and interact with and become phosphorylated by TßR-I or ActR-IB (118 119 120 121) . Consistent with these findings, injection of BMP-Smads into Xenopus animal caps results in ventralization of mesoderm (115 , 116 , 122 , 123) , and ectopic expression of Smad2 in Xenopus embryos induces dorsal mesoderm and secondary axis formation analogous to activin/Vg-1-like responses (122 , 123) . Smad2 null mice lack anterior-posterior specification and fail to develop mesoderm (124 , 125) . The phenotype of Smad2 knockouts is strikingly similar to Nodal knockouts and suggests that they cooperate in regulation of gastrulation (124) . Mutant mice lacking Smad3 expression have been reported to be viable and fertile; however, Smad3 -/- animals were found to exhibit limb malformations (126) , have a defect in immune function (127) , and develop colon carcinomas 4–6 months after birth (128) . Smad3 null cell lines showed strongly impaired TGF-ß responsiveness and indicated an important role for Smad3 in TGF-ß-mediated inhibition of cellular proliferation (126) . The Smad3 knockout phenotype observed by Zhu and co-workers (128) classifies Smad3 as a tumor suppressor gene, although Smad3 mutations have not yet been detected in tumorigenesis (129) .

TGF-ß-mediated phosphorylation of Smad1 has been observed in breast tumor cells, but the receptor by which this phosphorylation is mediated has not been determined (130) . Smad5 phosphorylation in response to TGF-ß was detected in CD34+ cells (131) . ALK-1 has been shown to bind TGF-ß and to phosphorylate and activate BMP-receptor-regulated Smads (113, 114; T. Imamura, P. ten Dijke, and K. Miyazono, personal communication), and thus could possibly mediate TGF-ß-induced Smad phosphorylation in these cells.

Three Co-Smads have been characterized: mammalian Smad4/DPC4 (deleted in colon carcinoma; ref 132 ), C. elegans Sma-4 (112) , and Drosophila Medea (133) . Co-Smads play a critical role in signaling by TGF-ß superfamily members, illustrated by the absence of TGF-ß signaling and R-Smad functioning in Smad4-deficient tumor cell lines, as well as by the synergistic action of Smad4 with R-Smads in transcriptional activation of target genes and induction of mesoderm (121 , 134 135 136 137) . The importance of Smad4 functioning is also shown by its tumor suppressor activity; mutation or deletion of Smad4 is often associated with tumorigenesis (132 , 138 139 140 141) . Cell lines expressing Smad4-mutants found in human cancers failed to transcriptionally activate transfected luciferase reporters containing Smad binding elements (140) . Mice lacking expression of Smad4 show a BMP knockout phenotype, characterized by growth retardation and gastrulation defects (142) . However, the abnormalities in mesoderm development of Smad4 null mice could be overcome by the presence of wild-type extraembryonic tissue, indicating that Smad4 is not critical for early gastrulation (142) . Although several explanations are possible, one reasonable argument is that a yet unidentified Co-Smad is involved in mediating early embryonic differentiation induced by members of the TGF-ß superfamily. At later stages of development, Smad4 is important for anterior specifications (142) .

Additional indications for the possible existence of novel Co-Smads comes from studies in Drosophila where Medea, in contrast to Mad, is dispensable for oogenesis (143) . An explanation for the fact that Mad knockouts have a more severe phenotype than Medea knockouts might be that Mad is able to signal certain responses independent of Medea. Furthermore, mutations in Medea efficiently block signaling by Saxophone (Sax) but fail to fully suppress signaling via Thick Veins (Tkv), both of which are Dpp type I receptors (133). Although Medea might be abundantly present to allow Tkv signaling even when hypomorphic alleles are expressed, the inability to fully abrogate Tkv signaling might also reside in the fact that another, yet unidentified, Co-Smad is involved in Tkv signaling or that Tkv can signal independent of Medea. Besides the XSmad4 ortholog, another Smad4/Medea-like protein was recently identified in Xenopus (144, 145; C. Hill, personal communication)

Mechanisms controlling Smad activation
R-Smads occur as monomers in the cytoplasm (146) and, after ligand-induced type I receptor activation, specifically interact with the L45 loop in the kinase domain of type I receptors (79 , 80) . Recruitment of R-Smads to the TGF-ß receptors is promoted by the action of SARA, a FYVE zinc finger domain-containing protein that interacts with both TGF-ß receptors and Smad2 or Smad3 (Fig. 2) (147 , 148) . The highly conserved L3 loop of R-Smads, which protrudes from the MH2 core domain as observed in the Smad4-MH2 crystal structure (139) , is involved in specifying type I interactions with TßR-I and BMPR-I (150) . This loop varies between Smad1 and Smad2 in only two amino acids, and exchanging these residues between Smad1 and Smad2 enables their binding to TßR-I and BMPR-I, respectively (79 , 149) . The {alpha}-helix 1 of Smad1, located near the L3 loop in the 3 dimensional structure, has been shown to be important for the interaction of Smad1 with ALK-1 (114) .

After type I receptor interaction, R-Smads become activated by phosphorylation of their carboxyl-terminal SS(M/V)S motifs (Fig. 3B ) (119 , 150 151 152) , which triggers their homodimerization and heteromerization with Co-Smads (134 , 153) or other R-Smads (121 , 146) . This leads to the speculation that homomeric R-Smads, heteromeric R-Smads, and R-Smad/Co-Smad complexes might control different biological responses.

In contrast to R-Smads, Co-Smads do not contain the carboxyl-terminal phosphorylation motif SSXS and are not phosphorylated by the activated type I receptor (119 , 120) . Although the L3 loop of Co-Smads shares high amino acid similarity with the L3 loop of R-Smads, Co-Smads do not interact with type I receptors (120) ; instead, their L3 loops are important for heteromerization with phosphorylated R-Smads (139) . Resolution of the crystal structure of the Smad4-MH2 domain and analyses of Smad-deletion mutants (139) have indicated that the MH2 domains of R-Smads and Co-Smads are involved in formation of homo-and heteromeric trimers. After association of R-Smads with Co-Smads, the heteromeric complexes are translocated into the nucleus (see Fig. 5 ).



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Figure 5. TGF-ß superfamily signaling through signal-transducing Smad and inhibitory Smad proteins. After type I receptor activation, R-Smads become phosphorylated, form homomeric complexes with each other, and assemble into heteromeric complexes with Co-Smad, Smad4. Trimers are shown, but hexamers have not been excluded. The stoichiometry between the components is unclear. The heteromeric complexes translocate into the nucleus, where they regulate, in combination with other transcription factors, transcription of target genes. Smad2, Smad4, and FAST-1 are components of an activin-responsive factor that interacts directly in an activin-dependent manner with an activin response element of the Mix.2 promoter. Inhibitory Smads act opposite from R-Smads by competing with them for interaction with activated type I receptors or by directly competing with R-Smads for heteromeric complex formation with Co-Smad. Smad7 appears to be a general inhibitor of TGF-ß superfamily signaling whereas Smad6 preferentially inhibits BMP-induced responses.

Domains controlling nuclear translocation
Whereas ligand-induced nuclear translocation of R-Smads is not dependent on expression of Co-Smads (136) , Co-Smads require association with activated R-Smads in order to enter the nucleus (136 , 151) . A carboxyl-terminal truncation of Smad4, corresponding to a mutation of Smad4 found in pancreatic tumors (132) and identified in an inactive form of Mad in Drosophila (111) , dominant-negatively interferes with nuclear transport of all R- and Co-Smads (137) . In contrast, a comparable mutation in R-Smads does not affect their nuclear localization (137) . This indicates that the carboxyl-terminal part of Co-Smads is required for nuclear trafficking (137) , whereas phosphorylation of R-Smads, though required for their functionality, is not obligatory for nuclear transport. How these mutant Co-Smads interfere with the nuclear transport function of R-Smads needs to be further studied. Removal of the NH2 terminus and linker region of R-Smads results in strong, ligand-independent nuclear localization (122 , 137) , whereas an additional carboxyl-terminal truncation of the remaining MH2 domain results in cytoplasmic accumulation at the nuclear membrane (137) . Presumably, ligand-induced heteromerization results in a conformational change of the Smad molecules, thereby exposing nuclear translocation signals in R- and Co-Smads. Whether the cytoplasmic residence of R-Smads and Co-Smads in the absence of ligand is due merely to autoinhibition of the MH2 effector domain by association with the MH1 domain (154) , or whether a cytoplasmic tether exists that anchors R- and Co-Smads in the cytoplasm in the absence of ligand, is not clear (137) .

R-Smads and Co-Smads as sequence-specific transcriptional activators
Once in the nucleus, R-Smads and Co-Smads are involved in transcriptional regulation of target genes (Fig. 3C ) (reviewed in ref 155 ), and the MH1 and MH2 domains differentially contribute to this property. Direct binding of Smads to DNA was first shown by the interaction of the Drosophila Mad-MH1 domain with specific sequences in the promoter of the Dpp target gene vestigial (156) . A prerequisite for the interaction of Mad, Smad3, but not Smad4, with DNA is the dissociation of the MH2 domain from the MH1 domain, which is achieved by ligand-induced phosphorylation of the SSXS motif in R-Smads (154 , 156) . Thus, the MH2 domain can exert an autoinhibitory action on the MH1 DNA binding domain.

In several promoters of genes induced by TGF-ß signaling like type VII Collagen, JunB, and PAI-1 (157 , 158 , 160) , unique elements have been identified with which Smad3 and Smad4 physically interact. The sequences of the Smad binding elements (SBEs) in these promoters are highly related and indicate an AGAC-containing motif as binding site for Smad3 and Smad4. This sequence was also picked up in a random screening for Smad interacting DNA sequences (161) , and mutation of these SBEs in the PAI-1 promoter impairs TGF-ß responsiveness (160) .

Crystalization of the Smad3 MH1 domain bound to an optimal Smad binding sequence revealed that the so-called ß-hairpin loop, protruding from the MH1 core domain, interacts with DNA (162) . The ß-hairpin loop is highly conserved among R-Smads and Co-Smads. However, Smad2 contains an extra exon preceding this region, encoding 30 amino acids, that might interfere with the correct conformation of the ß-hairpin loop; in contrast to Smad3 and Smad4, Smad2 has not yet been shown to interact with DNA. Removal of exon 3 in Smad2 enables its efficient binding to DNA (163 , 164) .

In several TGF-ß target genes, multiple copies of SBEs can be identified, often located in close proximity to sites for other transcription factors (158 , 160 , 165 166 167) . Smads have been shown to mediate transcriptional activation by interaction with other regulatory promoter units, like the TPA-responsive elements (TREs)/AP-1 sites in the collagenase promoter, which actually overlap in sequence with SBEs (158 , 166) . Smads cooperate with the transcription factor TFE3 in the regulation of the PAI-1 gene (168) . The p21/WAF1/Cip1 and p15/INK4B gene promoters lack SBEs, but TGF-ß transcriptionally regulates these genes via the Sp1 site (169 170 171) . It has been suggested that the interaction of Smads with additional transcription factors such as AP-1 (Fig. 4 ; 166 , 172 , 173 ), forkhead activin signal transducers (FAST; 165, 167, 174), or Sp1 (169 , 171) confers additional DNA binding specificity to the Smad-containing transcriptional complex (see below).



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Figure 4. Smad interacting proteins. Overview of the interacting proteins for Smad3 and Smad4. All proteins that interact with Smad3 also interact with Smad2 except for c-Jun, c-Fos, and Evi-1. The interaction of TßR-I with Smad2 or Smad3 occurs through the L3 loop in the MH2 domain, and association of FAST-1 with Smad2 or Smad3 is determined by an exposed {alpha}-helix 2 in MH2 domain.

R-Smads and Co-Smads as transcriptional (co-)activators
Studies with Xenopus explants, in which injection of the Smad2-MH2 domain fully induced dorsalization of mesoderm and secondary axis formation analogous to activin signaling (122) , suggested an effector function for MH2 domains. Furthermore, transcriptional activation properties of R- and Co-Smads were shown by fusion constructs of Smad1-MH2 or Smad4-MH2 domains with Gal4-DNA binding domains (175) . Heteromerization of Co-Smads with R-Smads is obligatory for their transcriptional activation properties (136 , 153 , 176) .

Several domains in Smad4 have now been identified to contribute to its important role in signaling by members of the TGF-ß superfamily. As mentioned above, the MH1 domain enables the interaction of R-Smad/Co-Smad complexes with DNA, which is of particular importance for Smad2-Smad4 heteromeric complexes (136) since Smad2 is not endowed with DNA binding capacities. The MH1 domain autosuppresses the MH2 effector domain (154) , and heteromerization of Co-Smads with phosphorylated R-Smads has been suggested to release the inhibitory association (177) . Studies in which chimeras between Smad1 and Smad4 were tested revealed that the proline-rich linker region of Smad4 contains a domain that is important for its transcriptional activity mediated by the MH2 domain (178) . This Smad activation domain (SAD) cooperates functionally with the transcription coactivator MSG1 (178 , 179) . MSG1 strongly enhances Smad4 transcriptional activity, provided that Smad4 is present in a heteromeric complex with R-Smads (179) . Smad heteromerization possibly introduces a configuration that allows trans-activators to associate and endow Smad4 with transcriptional potencies (179) .

Smads interact with transcription factors
The first evidence that Smads interact and cooperate with transcription factors comes from the interaction observed between Smad2, Smad4, and Xenopus FAST-1 (XFAST-1), making a complex that interacts with the activin responsive element (ARE) in the Xenopus Mix2 promoter (see Figs. 4 , 5 ) (136 , 180 , 181) . Human FAST-1 and mouse FAST-2 (mFAST-2) have been identified as well, but share little sequence homology with XFAST-1 (165 , 167 , 174) . FAST-1 efficiently interacts with DNA, and Smad2 and Smad4 contribute in providing additional DNA interactions as well as essential transcriptional activation properties (136 , 167 , 174 , 180 , 181) . Phosphorylation of the Smad2 SSMS motif is required for interaction of {alpha}-helix 2, exposed from the MH2-trimer structure, with FAST-1 (136 , 167 , 180 , 181) .

Whereas Smad2/Smad4/mFAST-2 complexes drive transcriptional activation of the goosecoid reporter, Smad3/Smad4/mFAST-2 complexes were found to suppress promoter activation, presumably because Smad3 and Smad4 share the same DNA binding site (165) . This suggests that the relative expression levels of Smad2 and Smad3 in a cell might determine the outcome of certain biological responses induced by TGF-ß.

Additional evidence for differential roles of Smad2 and Smad3 comes from observations in human keratinocytes, where TGF-ß stimulates Smad2 and Smad3 to comparable extents while activin predominantly activates Smad3 (182) . In human lung epithelial cells, Smad3 more potently induces apoptosis compared to Smad2 (183) .

Cooperation of Smads with the AP-1 complex
Characterization of Smad binding sites in a collagenase promoter revealed that Smads can mediate transcription via 12-O-tetradecanoyl-13-acetate (TPA) -responsive elements (TREs; 120, 121, 158), to which the transcription factor AP-1, a dimer of c-Jun and c-Fos, binds. These AP-1 binding sites overlap in sequence with consensus Smad binding sites (158) . Smad3 directly interacts with TRE, and Smad3 and Smad4 activate the TGF-ß-inducible transcription of TRE-Luc reporter in the absence of c-Jun and c-Fos (166) . However, TGF-ß-induced reporter activity was further enhanced in the presence of c-Jun-c-Fos heterodimers (166) . After TGF-ß-induced Smad activation, Smad3 and Smad4 can interact with JunB, c-Jun, and JunD as well as with c-Fos (166 , 172) . By footprint analysis and electromobility shift assays, it was shown that c-Jun and Smad3 can bind simultaneously to overlapping sequences in the TRE (166) . Crystallographic analysis of the Smad3 MH1 domain bound to DNA indicated that a conformational change of the NH2 terminus of c-Fos would allow the multimeric Smad-AP-1 complex to interact with a single AP-1 site (162) . This cross talk might be an important level of coordination between Smads and MAPK/JNK signaling.

Interaction with the coactivators p300/CBP
Insight into how Smads mediate their transcriptional activating function was recently unraveled by the interaction of R-Smads with the coactivators p300 and CREB binding protein (Fig. 4) (CBP; 176, 184–187). These coactivators contribute to transcriptional activation by loosening the chromatin structure or by increasing the affinity of certain transcription factors for DNA through their intrinsic (or associated) acetyltransferase activity. In addition, they act as a bridging factor between transcription factors and the basal transcription machinery (184 and references therein). In view of the importance of Smad4 for transcriptional activation of the Smad-p300/CBP complex, Smad4 might function as a coactivator as well (176) . The interaction between the MH2 domain of R-Smads and CBP/p300 is triggered by ligand-induced phosphorylation of the carboxyl-terminal SSXS motif (176 , 184 , 186) . Phosphorylation most likely induces a conformational change in the R-Smad molecule, which then results in exposure of the CBP/p300 binding site; deletion of the NH2 terminus and part of the carboxy terminus, leaving the CBP binding site intact, enhances the affinity of Smad3 for CBP/p300 (184) . The carboxyl-terminal region of CBP is required for Smad interaction (176 , 184 , 186) and can associate with other transcription factors like the adenoviral oncoprotein E1A. E1A is known to interfere with TGF-ß-mediated signaling (188 , 189) and is shown to abrogate Smad-mediated transcriptional activation (176 , 184 , 186) , most likely by direct competition with Smads for binding to CBP/p300 (188 , 189) .

Negative regulation of Smad function
Activin and BMPs have been shown to compete which each other in Xenopus mesoderm development due to limiting amounts of Smad4 (190). In view of the limited amounts of CBP/p300 in the cell (184) and the observed competition between different signal transduction pathways at the level of coactivator availability (191), competition between members of the TGF-ß superfamily as observed in embryogenesis can also be expected to occur at the level of CBP/p300.

Interaction of the first zinc finger domain of the nuclear protein Evi-1 with the MH2 domain of Smad3 interferes with binding of Smad3 to DNA (Fig. 4) , thereby repressing transcriptional activity of Smad3 as well as growth inhibition (192). Evi-1 shows a spatial and temporal expression pattern during mouse embryogenesis, suggesting it could play a regulatory role during development (193).

Inhibitory Smads
Mammalian Smad6, Smad7, and Drosophila Dad have been characterized as inhibitors of TGF-ß signal transduction (Fig. 5 ) (194 195 196 197 198) . Whereas their amino-terminal domains are highly diverse and share only weak similarity to other Smads, they are homologous to the R- and Co-Smads in their MH2 domains. However, inhibitory Smads lack the carboxyl-terminal SSXS phosphorylation motif, which may enable them to stably associate with type I receptors and to interfere with receptor binding and activation of R-Smads. Phosphorylation of the type I receptors by the type II receptors is essential for inhibitory Smad association (194 , 196 , 199) and the MH2 domain of anti-Smads suffices in exhibiting the inhibitory effect (194 , 196 , 199 , 200) , as manifested by inhibition of R-Smad phosphorylation and abolition of their heteromerization with Co-Smad and nuclear translocation, as well as abrogation of growth factor-induced transcriptional responses and growth inhibition (194 195 196 , 198 199 200 201 202) . It has been reported that Smad6 can exert its inhibitory effect via an alternative mode that involves BMP-induced association of Smad6 with phosphorylated Smad1, thereby competing with activated Smad1 for heteromerization with Smad4 (200) (Fig. 5) .

The expression of the inhibitory Smads is quickly induced upon stimulation by TGF-ß superfamily members and thereby provides an autoinhibitory mechanism in TGF-ß signaling (196 , 197 , 201 , 203) . The human Smad7 promoter contains an SBE consensus site that, when fused to a luciferase gene, induces luciferase activity after TGF-ß stimulation (G. Brodin and R. Heuchel, personal communication). Thus, after receptor activation, R- and Co-Smads might be directly involved in transcriptional regulation of the Smad7 gene.

The MH1 domain of inhibitory Smads might play a role in specification of their inhibitory actions: Xenopus and mouse Smad7, which share 96% identity in their carboxyl-terminal domain but only 51% in the amino-terminal region, exert differential effects in inhibition of TGF-ß and activin signaling (199). Mouse Smad7 inhibits TßR-I-induced phosphorylation of Smad2 and Smad3 (194 , 196 , 199) , BMPR-IA and BMPR-IB-mediated phosphorylation of Smad1 and Smad5 (199), and ActR-I mediated phosphorylation of Smad1 (199); it therefore appears to be a common inhibitor of R-Smad activation. Whereas Smad6 has been implicated in inhibition of TGF-ß signaling (194 , 204) , it appears to play a more pronounced role in inhibition of BMP signaling (Fig. 5) (195 , 200 , 201 , 203 , 205 , 206) . The mechanism of action for inhibitory Smads in TGF-ß superfamily signaling is evolutionarily well conserved; it has recently been shown that Dad, which is a Dpp-inducible inhibitory Smad in Drosophila (197), interacts with Tkv and thereby prevents binding and phosphorylation of Mad by Tkv (198).

The in vivo relevance of Smad6 and Smad7 is shown in several systems. Smad6 and Smad7 were initially identified as genes induced by shear stress in vascular endothelial cells (204) . Smad7 inhibits activin-induced dorsal mesoderm formation and interferes with inhibition of activin-mediated growth arrest and apoptosis in B-cells (206) . Smad6 and Smad7 antagonize BMP-induced mesoderm development, have neural-inducing potencies in Xenopus, and inhibit BMP-induced growth arrest and apoptosis in B cells (200 , 205 206 207) .

Alternative functions for Smad6 and Smad7 may exist as well. In Xenopus, XSmad6 was found to be partially or completely restricted to the nuclei in most cells (207) . In mammalian cells, Smad7 has been located in the nucleus in the absence of ligand, but rapidly accumulated in the cytoplasm after TGF-ß stimulation (202) . In accordance with its importance for inhibition of R-Smad signaling, the inhibitory Smad carboxyl-terminal tail also harbors domains required for transport across the nuclear membrane (202) . A nuclear localization of inhibitory Smads might be required to allow phosphorylation of R-Smads after receptor activation; the mechanism whereby Smad7 is translocated to the plasma membrane after TGF-ß receptor activation is unknown. An interesting possibility, which remains to be elucidated, is that inhibitory Smads in addition function in transcriptional regulation. Differential compartmentalization of the inhibitory Smads, in combination with induction of their expression after signaling by TGF-ß superfamily members, and the fact that inhibitory Smads can selectively eliminate particular R-Smad pathways provide a tightly controlled cell-autonomous regulatory mechanism.

Modulation of Smad signaling by MAP kinase pathways
The mitogen-activated protein kinase kinase kinase TAK1 (TGF-ß activated kinase 1) has been shown to be phosphorylated and activated upon TGF-ß or BMP-4 stimulation (208) , and can mediate transcriptional activation of a luciferase reporter driven by a TGF-ß-inducible element of the PAI-1 promoter containing three AP-1 sites. This effect is strongly enhanced by the TAK1-activator TAB1 (209) . The in vivo relevance of the cooperative functioning of TAK1 and TAB1 was demonstrated in Xenopus mesoderm development in which TAK1 and TAB1 promoted ventral mesoderm induction and perturbed neural differentiation, thereby substituting BMP signaling (210) . The human X-chromosome-linked inhibitor of apoptosis protein (XIAP) can interact with both BMP receptors as well as with TAB1 and enhances ventralization of Xenopus embryos in a TAB1-TAK1-dependent manner (211) .

Using the transmembrane and cytoplasmic domain of BMPR-IA as bait in yeast two-hybrid screens, BRAM1 (BMP receptor-associated molecule) was identified. The carboxyl-terminal region of BRAM1 is responsible for specific interaction with BMPR-IA and does not associate with the kinase domain of TßR-I (212) . Furthermore, this region in BRAM1 is also responsible for interaction with TAB1 (212) . Expression of GST-coupled BMPR-IA, HA-tagged BRAM1, and myc-tagged TAB1 in COS7 cells showed that the three proteins form a ternary complex. BRAM1 might function as an adaptor protein for positioning TAB1 in close proximity of BMPR-IA kinase domain (212) . The role of BRAM1 in activation of the TAB1/TAK1 signaling cascade, as well as its possible effect on Smad-receptor interaction and Smad-activation is not clear at present.

A downstream phosphorylation target in the MAPK cascade triggered by TAK1 is mitogen-activated protein kinase kinase 4 (MKK4)/stress-activated protein kinase/extracellular signal-regulated kinase SEK1 (208 , 213) , which is involved in the stress-activated protein kinase (SAPK)/c-Jun NH2-terminal kinase (JNK) pathway, finally leading to activation of c-Jun. In that JNK activity induced by hematopoietic progenitor kinase-1 (HPK-1) can be perturbed by expression of a kinase inactive form of TAK1, there are indications that TGF-ß might exert JNK activation via the HPK1-TAK1-SAPK/JNK route (214) . The small Rho-like GTPases Rho, Rac, and cdc42, which signal via the SAPK/JNK pathway, have also been shown to be important for certain aspects of TGF-ß signaling (215 , 216) .

The SAPK/JNK pathway has been shown to affect TGF-ß signaling via the Smad-pathway, since overexpression of dominant negative members of the SAPK/JNK pathway prevent both TGF-ß- and Smad4-mediated transcriptional response (217) . The interface of SAPK/JNK- and Smad-signaling might be at the level of interaction between c-Jun and Smad3, since these transcription factors have been shown to associate after TGF-ß stimulation and synergize in activating a transcriptional reporter containing AP-1 binding sites (163 , 166) .

Other levels of interaction between MAPK pathways and Smad signaling have been elucidated. In the linker regions of R-Smads that connect the MH1 DNA binding domain with the MH2 transcriptional domain of receptor-activated Smads, several ERK recognition sites (PXSP, or PXTP motifs) (Fig. 3B ) and JNK motifs (X