UNIVERSITY OF ILLINOIS AT CHICAGO Department of Psychiatry Fifth Annual Research Forum – Extravaganza 2014 POSTER TITLE Ethanol activates Midkine and ALK signaling in neuroblastoma cells and in the brain DISEASE/KEY WORDS: Alcohol use disorders, signal transduction, amygdala AUTHORS: Donghong He, Hu Chen, Hisako Muramatsu , and Amy W. Lasek MENTEE CATEGORY: Research specialist BACKGROUND: Midkine (MDK) is a secreted growth factor whose expression is higher in the prefrontal cortex of chronic alcoholics and in mice genetically predisposed to consume large amounts of alcohol (ethanol). One of the receptors for MDK is anaplastic lymphoma kinase (ALK), a receptor tyrosine kinase that regulates behavioral responses to ethanol in mice. Although MDK and ALK activity appear to modulate behaviors related to alcohol abuse, it is not known whether ethanol activates signal transduction through these proteins. We investigated whether ethanol exposure alters MDK and ALK gene expression and signaling pathways in neuroblastoma cells in culture. To extend our studies to the brain, we determined if MDK and ALK are important for the ability of ethanol to increase phosphorylation of extracellular signal-regulated kinase (ERK), a downstream transducer of MDK and ALK signaling. The human neuroblastoma cell lines SH-SY5Y and IMR-32 were treated with various concentrations of ethanol and tested for gene expression changes using quantitative real-time PCR (qPCR) and protein expression using western blotting. Activation of ALK signaling was examined in IMR-32 cells treated with 100 mM ethanol in the presence and absence of the ALK inhibitor TAE684 or a small-interfering RNA (siRNA) targeting MDK. Phosphorylation of ALK, ERK, STAT3, and AKT were measured after ethanol exposure by western blotting. IMR-32 cells were also treated with recombinant MDK protein and examined for protein phosphorylation. To test if ALK is important for ERK phosphorylation in response to ethanol in the brain, mice were treated with 3 g/kg ethanol intraperitoneally after pretreatment with TAE684. Thirty minutes after ethanol treatment, brains were removed and processed for immunohistochemistry using antibodies to phosphorylated ERK. ERK phosphorylation in response to ethanol treatment was also examined in the brains of MDK knockout mice. MDK and ALK gene and protein expression increased in response to ethanol treatment in SH-SY5Y and IMR-32 cells. Ethanol also caused a rapid increase in ALK, ERK, and STAT3 phosphorylation in IMR-32 cells. Treatment of IMR-32 cells with recombinant MDK had a similar effect on protein phosphorylation when compared to ethanol. These effects were blocked by pretreatment with TAE684 or MDK siRNA. METHODS: RESULTS: RESEARCH MENTOR: Amy Lasek UNIVERSITY OF ILLINOIS AT CHICAGO Department of Psychiatry ERK phosphorylation in the amygdala was increased after ethanol treatment, an effect that was attenuated by pretreatment with TAE684 and in MDK knockout mice. CONCLUSIONS: These results suggest that ethanol activates signaling in the brain through the MDK and ALK pathways and that the MDK and ALK genes are ethanol-responsive. Since these genes are important for modulating behavioral responses to ethanol, targeting ALK and MDK signaling pathways may represent a novel therapeutic strategy for the treatment of alcohol use disorders.