SIGNALLING TO AND FROM TIGHT JUNCTIONS

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1 SIGNALLING TO AND FROM TIGHT JUNCTIONS Karl Matter and Maria S. Balda Tight junctions have long been regarded as simple barriers that separate compartments of different compositions, but recent research indicates that different types of signalling proteins and transduction pathways are associated with these junctions. They receive and convert signals from the cell interior to regulate junction assembly and function, and transmit signals to the cell interior to modulate gene expression and cell behaviour. APICAL DOMAIN The domain of an epithelial cell that faces the lumen of a cavity or tube, or the outside of the organism. BASOLATERAL DOMAIN The domain of an epithelial cell that adjoins underlying tissue. GAP JUNCTION A communicating junction (permeant to molecules up to 1 kda) between adjacent cells that is composed of 12 connexin protein subunits, 6 of which form a connexon or hemichannel that is contributed by each of the coupled cells. DESMOSOMES These patch-like intercellular junctions are found in vertebrate tissue, and are particularly abundant in tissues undergoing mechanical stress. The central plaque contains adhesion molecules, and is an anchorage point for cytoskeletal filaments of the intermediate filament type. Division of Cell Biology, Institute of Ophthalmology, University College London, London, UK. s: k.matter@ucl.ac.uk & m.balda@ucl.ac.uk doi: /nrm1055 Multicellular organisms have specialized cells, epithelial and endothelial, that form selective barriers between tissues and different body compartments. These cells are polarized that is, they have an APICAL DOMAIN and a BASOLATERAL DOMAIN and they adhere to each other through complexes that form junctions between the cells. These intercellular junctions not only carry out adhesive functions but also contain crucial components of the signalling pathways that regulate epithelial proliferation and differentiation. This review focuses on the signalling mechanisms that are related to tight junctions (TJs), which are one type of intercellular junction. Although the identification of the molecular mechanisms that mediate the signal-transduction processes that occur at TJs is far from complete, many recent observations indicate that TJ proteins are important components of numerous signalling pathways that regulate various processes, which range from epithelial-barrier functions to cell proliferation and differentiation. In vertebrates, epithelial cells are joined to each other by a set of intercellular junctions that consists of GAP JUNCTIONS, DESMOSOMES, ADHERENS JUNCTIONS (AJs) and TJs or the zonula occludens (FIG. 1). The latter three junctions are often referred to as the epithelial junctional complex 1. TJs generally encircle cells at the apical end of the lateral membrane. They form a paracellular diffusion barrier, or gate, that regulates epithelial permeability, and an intramembrane diffusion barrier, or fence, which restricts the apical basolateral diffusion of membrane components. AJs and desmosomes are adhesive junctions and are linked to the actin cytoskeleton and INTERMEDIATE FILAMENTS, respectively. Depending on the epithelium, AJ components can be concentrated close to TJs and colocalize with a prominent ACTIN BELT, whereas in other types of epithelial cells, they can be distributed over the entire lateral membrane as, for example, in cells of the mouse TROPHECTODERM 2. Desmosomes are not restricted to a particular site but are distributed along the entire lateral membrane. Gap junctions form intercellular pores that allow the exchange of small hydrophilic molecules between cells. Gap junctions are generally distributed along the lateral membrane but, in some tissues, they can be intercalated with TJs. Structure and composition of epithelial TJs TJs are detected easily in ultrathin sections of cells and tissues as very close approximations of two neighbouring plasma membranes (FIG. 1b), which, in certain types of preparations, might appear as focal hemifusions. In FREEZE-FRACTURE replicas, these sites of close contact are seen as a network of intramembrane fibrils. As the structure, composition and possible functions of TJs have been discussed in great detail in recent, comprehensive reviews 3 7, we will only briefly summarize these data. Consequently, we apply the same criteria as the authors of these reviews for accepting whether the published data are sufficient to conclude that a protein is a TJ component. As TJs and AJs can be very close to each other, such conclusions are ideally based on immunoelectron microscopy data. This technique is often difficult to apply, however, as many antibodies do not work for this technique and/or the investigated protein is not expressed at sufficiently high levels (which is the case for NATURE REVIEWS MOLECULAR CELL BIOLOGY VOLUME 4 MARCH

2 ADHERENS JUNCTION A cell cell adhesion complex that contains cadherins and catenins that are attached to cytoplasmic actin filaments. INTERMEDIATE FILAMENT A cytoskeletal filament, which is typically 10 nm in diameter, that is present in higher eukaryotic cells. a b Actin filament Intermediate filament TJ many signalling components, for example). Therefore, colocalization with TJ markers as viewed by confocal microscopy in cells with a clearly distinct distribution of AJs, such as, for example, mouse trophectoderm or Madin Darby canine kidney (MDCK) cells, combined with biochemical interactions with known TJ proteins, is often taken as sufficient evidence for the association of proteins with TJs. Epithelial TJs are composed of at least three types of transmembrane protein occludin, claudin and Apical Nucleus Basal Hemidesmosomes Tight junctions Adherens junctions Desmosomes Lateral Gap junctions Figure 1 Epithelial intercellular junctions. a A schematic representation of a polarized absorptive epithelial cell. The different types of intercellular junctions, as well as hemidesmosomes, a type of cell extracellular matrix adhesion, are shown. It should be noted that tight junctions (TJs) and adherens junctions (AJs) are linked to the actin cytoskeleton, and desmosomes and hemidesmosomes are linked to intermediate filaments. b An electron micrograph of TJs and AJs. The electron micrograph shows an ultrathin frozen section of the junctional region of retinal pigment epithelial cells. The section was labelled with an antibody specific for the TJ component ZO-1 followed by a secondary antibody that was conjugated to colloidal gold. Indicated are TJs and AJs. The latter junction can be recognized by the prominent electron dense subjunctional material that indicates the presence of a well-established junctional actin ring. Note the specific labelling of TJs by the anti-zo-1 antibody, illustrating the presence of biochemically distinct intercellular junctions. The electron micrograph was provided courtesy of C. Futter, Institute of Ophthalmology, University College London, UK. AJ adhesion proteins of the immunoglobulin superfamily, such as the junctional adhesion molecules (JAMs) and a cytoplasmic plaque consisting of many different proteins that form large complexes (FIG. 2).The transmembrane proteins mediate cell adhesion and are thought to constitute the intramembrane and paracellular diffusion barriers. The claudins and occludin are polytopic membrane proteins with four transmembrane domains. They are thought to assemble into heteropolymers that form the intramembrane strands that can be seen in freeze-fracture replicas. These strands have been proposed to contain fluctuating channels that allow the selective diffusion of ions and small hydrophilic molecules. In this model, the types and concentrations of claudins and occludin that are expressed by particular epithelia determine the ion and size selectivity of the paracellular diffusion pathway. The cytoplasmic plaque of TJs is formed by different types of proteins that include ADAPTORS, such as the zonula occludens (ZO) proteins and other proteins that contain PDZ DOMAINS, as well as regulatory and signalling components (FIG. 2). The adaptor proteins are thought to be connected to the transmembrane proteins and to recruit other cytosolic components, such as protein kinases, GTPases and transcription factors, to TJs. Several components of the cytoplasmic plaque, in addition to the transmembrane protein occludin, also function as cytoskeletal linkers that interact with the actin cytoskeleton. Although the physiological relevance of particular cytoskeletal interactions has not been determined, a large body of evidence indicates that signalling to the actin cytoskeleton is fundamentally important in the regulation of TJ assembly and function. Evolutionary conservation of TJ functions Although the architecture of intercellular junctions differs between vertebrates and invertebrates, many of the functions that are associated with intercellular junctions are conserved. In Drosophila melanogaster, the junctional complex consists of SEPTATE JUNCTIONS, AJs, and the marginal zone or subapical complex 8 (FIG. 3).As septate junctions often restrict paracellular permeability, it was assumed that they were the fly equivalent of vertebrate TJs. However, the composition of septate junctions is quite different, and the evolutionarily conserved components of vertebrate TJs are not associated with septate junctions but either with the subapical complex or AJs, which indicates that vertebrate TJs might have functions that are associated with different types of insect junction. Examples include ZO-1 (Tamou/Polychaetoid), which localizes to AJs in flies, or two recently discovered TJ-associated evolutionarily conserved signalling complexes (see below) that localize to the subapical complex/marginal zone in flies. So, although many junctional functions and signalling pathways have been conserved, they have been regrouped in different combinations during evolution; so, a component that is associated with TJs in vertebrates can be associated with AJs in flies. 226 MARCH 2003 VOLUME 4

3 Transcriptional and post-transcriptional regulators For example, symplekin, ZONAB and huash1 Regulatory proteins For example, Rab13, Rab3B, G proteins, apkc, PP2A and PTEN ACTIN BELT A ring of actin filaments that circumvents many absorptive epithelial cells (for example, intestinal epithelial cells) at the level of the junctional complex. TROPHECTODERM The outer epithelial layer of the blastocyst. FREEZE-FRACTURE A method of visualizing the interior of cell membranes. Cells are frozen at the temperature of liquid nitrogen in the presence of antifreeze and the frozen block is then cracked with a knife blade. The fracture plane often passes through the hydrophobic middle of lipid bilayers, thereby exposing the interior of cell membranes. The resulting fracture faces are shadowed with platinum, the organic material is dissolved away and the replicas are floated off for electron microscopy. Actin filaments Adaptors For example, ZO-1, -2, -3, MAGI-1, -2, -3, PAR3/6, cingulin, Pals1, PATJ and MUPP1 Transmembrane proteins For example, JAMs, claudins and occludin Figure 2 The composition of tight junctions. The biochemical composition of epithelial tight junctions (TJs) is outlined. For simplicity, the junctional components have been grouped into transmembrane proteins, adaptors, regulatory proteins, and transcriptional and posttranscriptional regulators. Although examples are given for each group, the list provided is not complete and only proteins that are discussed in the text are shown. A comprehensive list of TJ components can be found in recent reviews 6,7. It should be noted that some of the components that are thought to become recruited to TJs do not localize exclusively to TJs, but can also localize to the nucleus (for example, huash1 and ZONAB) or to other areas of the plasma membrane (for example, PTEN, PP2A and heterotrimeric G proteins). In addition, many TJ components interact directly or indirectly with actin filaments. apkc, atypical protein kinase C; huash1, human absent, small or homeotic discs 1; JAMs, junctional adhesion molecules; MAGI, Membrane-associated guanylate kinase inverted; MUPP1, multi-pdz domain protein 1; Pals1, Protein associated with Lin-7 1; PAR, Partitioning defective; PATJ, Pals1-associated tight junction protein; PP2A, protein phosphatase 2A; PTEN, phosphatase and tensin homologue; ZO, zonula occludens; ZONAB, ZO-1- associated nucleic-acid binding. Bidirectional signalling and TJs TJs are involved in two principal types of signal-transduction process: signals are transduced from the cell interior towards forming or existing TJs to guide their assembly and to regulate their function; and signals are transmitted from the TJs to the cell interior to modulate gene expression, as well as cell proliferation and differentiation (FIG. 4). The molecular mechanisms that mediate these signal-transduction processes have only recently started to become unravelled; consequently, our knowledge of them is incomplete and entire pathways have not yet been identified. In the next sections, we summarize what is known and, as far as possible, try to connect these observations. For the purposes of this review, we have divided the known signalling components and pathways into two groups: those that have been preferentially associated with signalling to TJs and those that have been linked to signalling from TJs. Nevertheless, it is clear that these signalling processes are intertwined: a component that has been associated with signalling to the junction (for example, during assembly) might also influence the transmission of signals to the cell interior once the junctions are fully formed. Signalling to TJs The intracellular signalling pathways that regulate TJ assembly and function have received much interest, but it is often difficult to differentiate between those pathways that regulate junction assembly and those that modulate selective paracellular permeability. This is due primarily to the fact that these two types of pathway overlap, and that the intensity of the stimulus seems to determine whether a pathway triggers selective increases in paracellular permeability or disassembly of intercellular junctions. Assembly of TJs can be studied in different experimental systems (BOX 1), but the processes and principles that govern epithelial junction assembly seem to be similar in all model systems. They have been most extensively studied in MDCK cells, in which calciumdependent E-cadherin-mediated cell cell adhesion functions as the initial signal that triggers assembly of all intercellular junctions After E-cadherin-dependent intercellular adhesion has been established, the first step seems to be the assembly of a primordial junction that contains AJ and TJ components. The junctional complex then matures and establishes distinct AJs and TJs. Several different types of signalling pathway and protein have been implicated to participate in the stimulation of TJ assembly 12,13. These include protein kinase A (PKA), monomeric and heterotrimeric G proteins and various protein kinase C (PKC) isotypes. Protein kinase A. Although stimulation of PKA prevents the disassembly of TJs after antibody-based neutralization of E-cadherin or the removal of calcium 9,14, it also inhibits TJ assembly in a calcium switch protocol, which is a model system for the de novo formation of intercellular junctions 12 (BOX 1). Similarly, the effects of PKA on TJ permeability are controversial 13, which indicates that various parameters might modify the response to PKA stimulation, such as strength of stimulus, cellular background and crosstalk with other signalling pathways. Heterotrimeric G proteins. Early pharmacological studies with PERTUSSIS TOXIN indicated that inhibition of inhibitory G-proteins (G i ) stimulates the assembly of TJs 12, and Gα i2 was found at cell cell contacts, where it colocalizes with ZO-1 (REFS 15 17).However,ectopically expressed α i proteins were shown to stimulate TJ assembly 17. Similar to PKA, the reason for this contradiction between the pharmacological and transfection experiments is not clear, but it might be caused by the inhibition of several different α i proteins by pertussis toxin. The involvement of many G proteins in TJ regulation is supported by the recent finding that the expression of Gα 12 increases paracellular permeability, which is an effect that might be mediated by ZO-1 (REF. 18). Protein kinase C. The PKC family of serine/threonine kinases has been divided into classical (cpkc), novel (npkc) and atypical (apkc) PKCs. The cpkc (α, β and γ) and npkc isotypes (δ, ε, η and θ) are activated by diacylglycerol (DAG) and phosphoserine. Both of these isotype classes are also activated by phorbol esters. NATURE REVIEWS MOLECULAR CELL BIOLOGY VOLUME 4 MARCH

4 Vertebrates Tight junctions Paracellular diffusion barrier PAR3 PAR6 apkc Pals1 PATJ Crumbs ZO-1 Adherens junctions Desmosomes Figure 3 Intercellular junctions in vertebrates and insects. A schematic representation of epithelial intercellular junctions in vertebrates and insects (Drosophila). Only adherens junctions (AJs) are structurally and functionally conserved between vertebrates and insect cells. By contrast, the functions of vertebrate tight junctions (TJs) are associated with different types of intercellular junction in flies, which indicates that particular junctional functions and signalling pathways might have been conserved during evolution but have been regrouped and linked to different types of intercellular junctions. As both TJs and septate junctions act as paracellular diffusion barriers, they have generally been regarded as functional equivalents. On the basis of their composition, however, TJs and septate junctions are very different and known insect homologues of TJ components that are components of conserved signalling pathways localize to either AJs, such as Tamou/Polychaetoid (the Drosophila homologue of ZO-1), or the subapical complex/marginal zone, such as the Bazooka PAR6 apkc (the Drosophila equivalent of PAR3 PAR6 apkc) and the Stardust Discs lost Crumbs (the Drosophila equivalent of Pals1 PATJ Crumbs) complexes. Note that Drosophila Crumbs, as well as the only analysed mammalian Crumbs protein, can spread over the entire apical membrane of epithelial cells 57,67. Another conserved junctional component is AF-6/afadin, which has been shown to localize to TJs in vertebrates and AJs in flies; however, the localization of AF-6/afadin to TJs is controversial, as it has also been shown to interact with nectins at AJs. apkc, atypical protein kinase C; Pals1, Protein associated with Lin-7 1; PAR, Partitioning defective; PATJ, Pals1-associated tight junction protein; ZO, zonula occludens. ADAPTOR PROTEINS Proteins that augment cellular responses by recruiting other proteins to a complex. They usually have several protein protein interaction domains. PDZ DOMAIN A protein interaction domain that is often present in scaffolding proteins and is named after the founding members of this protein family (PSD-95, Discs-large A and ZO-1). SEPTATE JUNCTION A junction that is basal to the zonula adherens in Drosophila epithelial cells. Insects Subapical complex/ marginal zone Bazooka PAR6 apkc Stardust Discs lost Crumbs Adherens junctions Tamou/Polychaetoid Septate junctions Paracellular diffusion barrier cpkcs also require calcium for activation, whereas npkcs do not. The apkcs (ζ, λ, and PRK; for PKCrelated kinases) are calcium insensitive and do not respond to phorbol esters 19. As potent activators of cpkc and npkc signalling pathways, phorbol esters have been shown to induce the disassembly of TJs in many different cell lines 13. However, inhibition of PKCs blocks both TJ assembly and disassembly, which implies that it is transient activation of PKCs that is important in junctional dynamics 12,20,21. The importance of DAG-regulated PKCs in junction assembly is supported by experiments showing that the cell-permeable DAG analogue dioctanoylglycerol can stimulate partial junction assembly even when E-cadherin-mediated cell cell adhesion is blocked 22. Several PKC isoforms have been localized close to TJs, but little is known about the molecular mechanisms by which different PKCs regulate junctional dynamics, with the exception of apkcs, which are calcium- and DAG-independent. The apkcs are part of an evolutionarily conserved signalling pathway that regulates junction assembly and cell polarity. They form a complex with PAR3 (which is also known as ASIP, for atypical PKC isotype-specific interacting protein) and PAR6 (REFS 23,24). PAR (partitioning defective) genes were identified originally in the nematode Caenorhabditis elegans, in which they regulate asymmetric cell division of the zygote 25. It is now clear, however, that homologues of PAR3 and PAR6 are evolutionarily conserved regulators of cell polarity in Drosophila and mammals 8,26. In mammals, PAR3 and PAR6 are PDZ domain proteins that localize to epithelial TJs. Recruitment to TJs is thought to be mediated by binding of PAR3 to the transmembrane protein JAM 27,28. The successful assembly of active apkc PAR3 PAR6 complexes at TJs is important for TJ formation and epithelial polarization PAR6 also binds to GTP-bound cell-division control protein 42 (Cdc42), a Rho-family GTPase that is essential for epithelial-cell polarity 32, and this is thought to result in the activation of apkc 29,30. So, one of the functions of Cdc42 during the formation of polarized epithelia is to regulate the activation of apkc PAR3 PAR6 complexes and, thereby, TJ assembly. Although the importance of recruitment of the apkc PAR3 PAR6 complex for the assembly of TJs has been established, it is not known how this complex actually regulates assembly. In wound-healing experiments, apkc activity is not required for the initial assembly of junctional components at sites of new cell cell adhesion to form a primordial junction, but for the maturation of the junctional complex into distinct TJs and AJs 33. This indicates that apkc might mediate junctional identity and that the apkc PAR3 PAR6 complex functions as a promoter for the assembly of functional TJs rather than cell cell adhesion as such. This is supported by the observation that overexpression of PAR3 results in a faster formation of monolayers that have increased transepithelial electrical resistance (TER); that is, they have decreased ionic permeability 34. Moreover, apkc activity is regulated negatively by PP2A (protein phosphatase 2A), which directly interacts with and dephosphorylates apkc 35. In vitro, PP2A can also dephosphorylate TJ proteins that have been phosphorylated by apkc, and the overexpression of its catalytic subunit in MDCK cells has been shown to result in dephosphorylation of TJ proteins and increased paracellular permeability, which indicates that PP2A is probably a negative regulator of TJs. These data indicate that the apkc PAR3 PAR6 complex and PP2A might represent opposing signalling pathways that regulate TJ assembly and disassembly. Taken together, these data favour a model for the regulation of intercellular junction assembly in which the apkc PAR3 PAR6 complex functions as a regulator at a late stage of junction biogenesis (FIG. 5). Assembly of intercellular junctions is generally triggered by the initiation of cell cell adhesion by E-cadherin and nectins (BOX 2), which results in the recruitment of numerous 228 MARCH 2003 VOLUME 4

5 components of AJs (for example, catenins and afadin/af-6) and TJs (for example, JAM, occludin, claudins, ZO-1 and apkc PAR3 PAR6) to these primordial junctions. Recruitment of these components is thought to be mediated by numerous protein protein interactions not only between proteins of the same type of junction but also between proteins of different junction types, such as ZO-1 and α-catenin. In addition, the activation of E-cadherin or nectin-mediated adhesion regulates activation of the Cdc42-dependent polarity pathway 36,37, which results in the stabilization of AJs as well as the activation of apkc complexed to PAR3 PAR6 and, consequently, maturation of the junctional complex into distinct TJs and AJs. As PP2A counteracts apkc function, it would be expected that initiation of cell cell adhesion downregulates PP2A activity; however, such data have not yet been provided. Rho family GTPases. Three classes of small GTPases have been linked functionally or physically to TJs: Ras, Rabs and Rho-family GTPases. The involvement of Ras GTPases in TJ dynamics is discussed later, and the function of the TJ-associated Rab proteins is still relatively poorly understood 38. However, as Rabs also regulate membrane transport, they might have a role either in TJ assembly or in regulating some aspect of cell cell junctions in membrane transport 39,40. Rho-family GTPases have been linked to both the regulation of junction assembly and the regulation of selective paracellular permeability. A role for GTPases in junction assembly was first implied by experiments using GTPγS.GTPγS inhibited the assembly of junctions during a calcium switch 12 (BOX 1). Furthermore, microinjection of C3 transferase, a toxin that inactivates Rho, inhibited the assembly of AJs and TJs When RhoA was activated in MDCK cells after transfection of a G-protein-coupled Cell interior Type of transmitted information TJ assembly and disassembly Regulation of paracellular permeability Gene expression Regulation of cell proliferation Regulation of differentiation Tight junctions Figure 4 Signal transduction to and from tight junctions. A schematic representation of the type of information that is transmitted from the cell interior to tight junctions (TJs) and from TJs to the cell interior. These signal-transduction pathways are a complex network of molecular mechanisms that we are only just beginning to understand. This review has been structured according to this scheme; it is clear, however, that certain signalling components might function in the transmission of signals in either direction. prostaglandin receptor, an increase in TER which indicates reduced ionic permeability paralleled by an increase in paracellular tracer permeability, was obtained 44. However, the expression of constitutively activated forms of RhoA and Rac1 has been reported to perturb TJ function in epithelia and endothelia 45 47, which implicates these proteins in the disassembly of TJs. Inactivation of Rho-family GTPases in brain endothelial cells by C3 transferase inhibits the ability of lymphocytes to migrate across them, which indicates that junctional dynamics requires Rho activation 48. Therefore, Rhofamily GTPase activities seem to be carefully balanced, and neither high nor low levels of Rho activity might be optimal for TJ integrity. Alternatively, the regulation of TJs by Rho GTPases might vary depending on the cell type and/or the ligand that induces the response, similar to the effect that Rho GTPases have on cadherin function in different cellular contexts 47. Box 1 Model systems to study junction assembly and epithelial polarization PERTUSSIS TOXIN A mixture of proteins that is produced by Bordetella pertussis. It blocks the function of G i proteins by catalysing ADP ribosylation of the α-subunit. GTPγS A non-hydrolysable analogue of GTP. Different experimental model systems and strategies have been developed to analyse TJ assembly and regulation. Many of these systems involve culturing an epithelial cell line on a permeable support 115. This allows the measurement of parameters that are characteristic of the integrity and functional properties of the paracellular diffusion barrier that is formed by TJs. Two parameters that are often measured are the transepithelial electrical resistance (TER) which is an instantaneous measurement of ionic conductivity that can be used to determine the integrity as well as ion selectivity of TJs and the paracellular permeability of hydrophilic tracers, which is a measurement taken over a longer period of time that allows the quantification of slow diffusion across TJs and determination of size selectivity of the paracellular diffusion barrier. The use of permeable supports has been combined with different experimental protocols to allow the manipulation of junction assembly. In the calcium-switch protocol, cells are plated in medium that contains a low concentration of calcium and, therefore, cannot form cell cell junctions; the addition of calcium to the medium then triggers junction assembly 10. In an alternative protocol, ATP is depleted in cells that have already formed monolayers, which results in the dissociation of cell cell junctions 116. In vitro wound-healing assays, in which confluent epithelial monolayers are wounded by scratching the monolayers with a needle or pipette tip and then the reformation of the monolayer studied, are popular assays for studying the formation of intercellular junctions. To study junction dynamics during leukocyte transmigration, epithelial cells are plated on large-pore filters, which allows transmigrating neutrophils to cross from one side of the monolayer to the other 117.Alternatively,de novo TJ assembly can be studied during early development 2. Although experiments with this model are still at an early stage, in which the sequential recruitment of components to the forming junctional complex is correlated with the development of functional intercellular junctions and epithelial differentiation, this is a promising model system that will allow the relevance of data that are obtained from tissue-culture cell lines to the development of epithelial tissues to be determined. 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6 PP2A Initiation of cell cell adhesion E-cadherin, nectin Recruitment of TJ components to primordial junctions (for example, PAR3 PAR6 apkc, JAM, and so on) Activation of apkc Maturation of junctional complex Formation of distinct AJs and TJs Stimulation of Cdc42 Stabilization of cell cell adhesion Figure 5 Signalling by apkc and assembly of the junctional complex. A schematic representation of the sequence of events that lead to the assembly of distinct adherens junctions (AJs) and tight junctions (TJs). Initial assembly starts with the formation of a primordial junction that contains components of AJs and TJs. On adhesion-mediated activation of cell-division control protein 42 (Cdc42), this results in stabilization of cell adhesion and the activation of atypical protein kinase C (apkc), which forms an evolutionarily conserved complex with PAR3 (which is also known as ASIP) and PAR6. Active apkc then stimulates formation of distinct AJs and TJs. Protein phosphatase 2A (PP2A) seems to be able to affect apkc as well as the phosphorylation of individual TJ components and can therefore inhibit apkc function and trigger junction disassembly. JAM, junctional adhesion molecule; PAR, partitioning defective. GUANINE NUCLEOTIDE EXCHANGE FACTOR (GEF). A protein that facilitates the exchange of GDP for GTP in the nucleotide-binding pocket of a GTP-binding protein. Rho effector proteins. Effector proteins that are activated by Rho GTPases and that regulate TJs have only recently started to be identified (FIG. 6). RhoA-dependent modification of paracellular permeability involves Rho-associated kinase (ROCK) 49,50. The actin cytoskeleton has a crucial role in the regulation of TJs through direct interactions between the actin cytoskeleton and certain TJ components such as occludin, cingulin and the ZO proteins 3,7,51. Given the importance of Rho-family GTPases in the regulation of the actin cytoskeleton 52,it is therefore probable that they regulate TJs by inducing changes in the actin cytoskeleton. However, Rho might also affect TJ proteins directly. For example, it has been suggested that Rho-stimulated phosphorylation of the carboxy-terminal domain of occludin regulates the interaction of occludin with the submembrane cytoskeleton and thereby regulates its function in selective paracellular permeability 50. As well as modulating the interactions between TJ proteins and the actin cytoskeleton, Rho might also influence TJs by mechanisms that involve the regulation of cortical actin contraction through the activation of the motor protein myosin 53,54. The activity of myosin is regulated by the opposing actions of myosin lightchain phosphatase and myosin light-chain kinase. This regulatory system of myosin-mediated actin contraction is modulated by ROCK, and this might be important for regulating paracellular permeability (FIG. 6). Alternatively, permeability could also be controlled by other Rho effectors and pathways, such as the mouse Diaphanous protein homologue (Dia) or regulators of actin polymerization, the roles of which have not yet been analysed in TJ function. Rho activation. Although a large body of evidence indicates that Rho and to a lesser extent Rac might be involved in the regulation of TJs, little is known about the mechanisms that control these GTPases. Heterotrimeric G proteins have been implicated in the activation of Rho GTPases as well as the regulation of TJs 12,17,18,55, but a direct link has yet to be found. Nevertheless, the activation of Rho by the prostaglandin E receptor that was described above seems to be regulated by G proteins 44. Activation of Rho GTPases generally requires a GUANINE NUCLEOTIDE EXCHANGE FACTOR (GEF), and a TJ-associated GEF for Rho has recently been identified. GEF-H1/Lfc has been shown to associate with TJs and to regulate paracellular permeability 56. The observations that are outlined here indicate that Rho-mediated regulation of the actin cytoskeleton is important for regulating junctional dynamics and paracellular permeability, but also indicate a potential involvement for actin-independent mechanisms. Although the regulation of Rho involves at least one junction-associated GEF, the signalling systems that activate such regulators and trigger Rho activation have yet to be discovered. The molecular identification of such regulatory pathways that target Rho in a TJ-specific manner will be one of the main challenges of the near future. Signalling from TJs Crumbs and epithelial organization. One of the most exciting recent developments is the recognition that components of the evolutionarily conserved Crumbs signalling pathway localize at, or close to, epithelial TJs. The Crumbs protein was identified in Drosophila as an apical membrane protein that is required for the polarized organization of ectodermal epithelia 57. Crumbs is not specific for epithelia, however, it is also expressed by various types of neuron and has been linked to the differentiation of photoreceptors In Drosophila, Crumbs functions in the organization of the apical membrane, and its expression level seems to correlate with the extent of apical-membrane biogenesis, as well as with the formation and positioning of AJs 61,62. The protein seems to be concentrated in the subapical complex/marginal zone, where it interacts with two adaptor proteins, Discs lost and Stardust 63,64. In mammalian epithelial cells, the TJ-associated protein Pals1, which is a homologue of Stardust, binds to the mammalian homologue of Discs lost PATJ as well as to transfected chimaeras that contain the cytoplasmic domain of a mammalian Crumbs homologue 65,66. Three human Crumbs homologues have been 230 MARCH 2003 VOLUME 4

7 Box 2 Interactions between tight and adherens junction components Although adherens junctions (AJs) and tight junctions (TJs) are distinct intercellular junctions, several of their components can interact with each other. The TJ component zonula occludens-1 (ZO-1) has the most variable distribution of the known junctional proteins and, depending on the cell type, has been localized to TJs, AJs and gap junctions. The association with AJs or gap junctions reflects the interaction of ZO-1 with α-catenin, a component of the cytoplasmic complex that interacts with E-cadherin, or with certain connexins, which are the transmembrane components of gap junctions Nevertheless, in cells that have TJs, ZO-1 specifically associates with TJs and not AJs or gap junctions. Another example is AF-6/afadin, which can interact with TJ proteins such as junctional adhesion molecule (JAM), but also with nectins, which are an important class of AJ protein 83,84,122. Although these interactions might initially seem surprising, they could reflect the evolutionary origin of intercellular junctions from a single simple intercellular adhesion complex such as the primordial junctions that are seen during junction assembly in in vitro model systems or early development that evolved into different types of intercellular junctions. Even though many of the interactions that occur between TJ and AJ components seem to be important during junction assembly, some of them might also be relevant for the transmission of signals from intercellular junctions to the cell interior. The best characterized junction-associated signalling system is based on β-catenin, which activates T-cell factor (TCF)/Lef-mediated transcription in response to Wnt growth factors 98,99. As ZO-1 can interact with α- catenin, a binding partner of junction-associated β-catenin, it is conceivable that ZO-1 influences β-catenin signalling. Indeed, expression of truncated ZO-1 in certain cell lines and manipulation of occludin, a transmembrane protein that interacts with ZO-1, can cause activation of β-catenin TCF/Lef-mediated transcription 91,93. However, the mechanisms of activation have not been identified; so, it is not clear whether these observations are due to direct or indirect effects. In addition, the domain of ZO-1 that interacts with α-catenin is not required for its anti-proliferative function 113.On the other hand, activation of β-catenin-signalling has been shown to downregulate ZO-1 expression 97.As both TJ components have been linked to the suppression of proliferation, it could be that β-catenin signalling inactivates the proliferation suppressive function of TJs. identified, but so far only Crumbs 3 has been localized in epithelial cells and shown to be distributed along the entire apical membrane 66,67. The three human Crumbs genes seem to be expressed in a tissue-specific manner, which indicates that Crumbs signalling in mammals might be more complex than in Drosophila, involving different types of activators and causing more variable cellular responses. However, these data do indicate that there is a well-conserved signalling pathway at the apical lateral boundary and that this coincides with the subapical complex/marginal zone in Drosophila and TJs in vertebrates (FIG. 3). Little is known about the functional roles of Crumbs and Crumbs-associated proteins in mammalian epithelial cells. Nevertheless, overexpression of PATJ has been shown to interfere with the recruitment of ZO-1 and ZO-3 to forming TJs, and this probably involves a direct interaction between ZO-3 and PATJ 66,68. This indicates that Crumbs signalling might regulate TJ assembly or participate in TJ-associated signalling systems that regulate epithelial proliferation and differentiation (for example, ZO-1-associated signalling systems, see below). An involvement of Crumbs in TJ assembly is supported by the recent finding that Pals1 links the Crumbs pathway to the PAR3 PAR6 apkc complex, which is known to function in TJ assembly 69. In addition, the network that is formed by TJ membrane proteins and associated adaptor proteins might function as a scaffold to recruit the Crumbs signalling complex. As the overexpression of Crumbs in Drosophila results in expansion of the apical domain 61, the pathway might then function in the recruitment of components that are involved in apical-membrane biogenesis, such as proteins that regulate apical-membrane traffic or the assembly of the apical cytoskeleton. Tight junctions and Ras signalling. Intercellular junctions are known to contribute to the regulation of differentiation. The loss of epithelial differentiation in cancers often correlates with mutations in the small GTPase Ras. Ras is known to mediate growth factor- and extracellular matrix signalling, but it also influences cell cell adhesion Many signalling pathways, including the Raf pathway, are activated by Ras and regulate cell-cycle entry 73. In addition, less well-characterized Ras effectors such as the junction-associated protein afadin /AF-6 are known to participate in differentiation 74. TJs have been linked to two Ras effectors. Raf kinases are common Ras effectors, the activity of which leads to the sequential activation of the extracellular-signal regulated kinase/mitogen-activated protein kinase (ERK/MAPK) pathway and the transcription factor Elk1. Expression of activated Raf-1, or constitutively active MAPK and ERK kinase 1 (MEK1), is sufficient to transform epithelial cells 75,76. Consequently, treatment of Ras-transformed MDCK cells with the selective MEK1 inhibitor PD98059 results in an increased expression of AJ proteins and the assembly of functional AJs and TJs 77,78. TJs seem to be connected intimately with Raf-1 signalling, as overexpression of occludin is sufficient to reverse Raf-1-mediated transformation of a salivary-gland epithelial cell line 76. The molecular mechanism by which TJs can counteract Raf signalling is not yet known, and it is not clear whether the inhibition of Raf-1-mediated transformation by occludin is direct or involves other signalling pathways. The PDZ domain protein AF-6 was originally identified as a Ras target but it seems to bind more tightly to the Ras-like GTPase Rap1 (REFS 79,80). It has been localized to TJs, but afadin, which is the rat homologue of AF-6, has also been reported to be recruited to NATURE REVIEWS MOLECULAR CELL BIOLOGY VOLUME 4 MARCH

8 MLCK MLCP Figure 6 Regulation of paracellular permeability by Rho. A schematic representation of the signalling proteins that have so far been implicated in the regulation of tight junctions (TJs), and how they might regulate paracellular permeability. Transmembrane components of TJs are shown in red. Of the known transmembrane proteins, only claudins and occludin are thought to participate directly in the formation of the selective permeability barrier. The submembrane adaptors of the junctional plaque are indicated in purple. Several of the adaptors function as linkers to the actin-based cytoskeleton. Regulation of the actin cytoskeleton by changing the activities of myosin light-chain phosphatase (MLCP) and myosin light-chain kinase (MLCK) seems to be an important mechanism of regulation of paracellular permeability. Although protein kinase Cs (PKCs) are shown as a single symbol, different isoforms of PKC regulate TJ assembly and function. One of the main pathways of TJ regulation is signalling by the small GTPase Rho. This Rho-dependent pathway probably involves Rho effectors such as Rho kinases as well as Rho-specific guanine nucleotide exchange factors (GEFs), such as GEF-H1/Lfc. Rho-stimulated changes in paracellular permeability might involve modulation of myosin activity or the mechanisms that involve direct modifications of TJ proteins such as phosphorylation of occludin. MAGUK PROTEINS Scaffold proteins that contain PSD-95 Discs-large A Zonula occludens-1 (PDZ), Srchomology-3 (SH3) and guanylate kinase domains. Rho kinases Rho Myosin GEF-H1/Lfc Stimulus PKCs Actin Submembrane adaptors Transmembrane components Paracellular pathway nectin-based AJs 81,82, indicating that AF-6/afadin might not be a specific component of TJs. It is not yet clear what the reason for these controversial results is. As AF-6/afadin can interact with transmembrane components of AJs (such as nectins) as well as TJs (such as JAM) 83,84, it might associate with more than one intercellular junction. It could also be, however, that the interactions with TJ proteins reflect transient associations that occur during junction assembly. Although the mechanisms by which AF-6/afadin mediates signalling are not known, this protein is known to be crucial for the establishment of intercellular junctions during mouse development 74,85. Regulation of gene expression. There is increasing evidence that TJs have a role in the regulation of gene expression and proliferation. Much of this evidence comes from TJ-associated adaptor proteins. The identification of the primary structure of the TJ plaque protein ZO-1 showed that it belongs to the same protein family as the Drosophila Discs-large tumour suppressor (DlgA), which indicates that it has a potential function in negatively regulating cell growth 86,87. As members of the Discs-large protein family are associated with membranes and contain a domain that is homologous to yeast guanylate kinase, they were named MAGUKS (for membrane-associated guanylate kinases). In addition to ZO-1, several other MAGUK proteins, such as ZO-2, ZO-3 and the membrane-associated guanylate kinase inverted (MAGI) proteins, have now been identified at TJs 6,7. A possible function of ZO-1 in the regulation of cell differentiation has been indicated by the finding that mutations in its Drosophila homologue, called Tamou/Polychaetoid, cause defects in dorsal closure, epithelial migration and cell-fate determination in sensory organs 88,89. Interestingly, Tamou/Polychaetoid colocalizes with Canoe, which is the Drosophila homologue of AF-6, at AJs, and the two proteins interact physically and genetically in the regulation of dorsal closure 90. Support for a function of TJ proteins in controlling epithelial proliferation and differentiation in vertebrates came from experiments in which TJs were manipulated either by the expression of truncated ZO-1 mutants or the addition of inhibitory peptides against an extracellular domain of occludin. Both treatments resulted in at least partial dedifferentiation Further evidence came from studies using tumour tissues that showed that the expression of ZO-1 and ZO-2 can be altered in certain tumours, and that ZO-1 is downregulated in colorectal cells when β-catenin is overexpressed β-catenin mediates Wingless/Wnt growth-factor signalling by regulating gene expression together with the T-cell factor (TCF)/Lef transcription factor, and activation of β-catenin signalling is seen in many cancers and generally promotes proliferation 98,99. Therefore, β-catenin signalling seems to inactivate possible TJ-associated growth suppressors. Moreover, it has recently been shown that the TJassociated adaptor proteins ZO-2, MAGI-1 and MUPP1 (for multi-pdz domain protein 1) can counteract viral oncogenes ZO-2 also interacts with the nuclear scaffolding factor, scaffold attachment factor B (SAF-B) 103 ; however, it is not known whether these different interactions are functionally related. Examples of other TJ adaptors that inhibit signalling along a proliferationpromoting pathway are MAGI-2 and MAGI-3. These two proteins interact with the tumour suppressor phosphatase and tensin homologue (PTEN), which is a lipid phosphatase. This interaction has been proposed to recruit PTEN to TJs and, thereby, to dephosphorylate phosphatidylinositol phosphates, which therefore inhibits signalling by protein kinase B/Akt 104,105. An involvement of TJ components in nuclear processes has also been proposed on the basis of reports indicating that some of them can localize to the nucleus. The nuclear localization of the MAGUK proteins ZO-1 and ZO-2 might be dependent on the proliferation state of the cells, as well as on other unknown parameters, as different laboratories disagree about the nuclear localization of ZO-1 (REFS 91,100,103, ). Furthermore, the only known effect of ZO-1 on transcription, which is regulation of the ErbB2 gene, does not require detectable nuclear pools of ZO-1, but instead, cytoplasmic sequestration of a transcriptional 232 MARCH 2003 VOLUME 4

9 Upregulation of TJ-associated suppressors of proliferation, assembly and stabilization of junctional components (for example, ZOs, occludin and MAGIs) Inhibition of proliferation and upregulation of differentiation markers Figure 7 Assembly of epithelial tight junctions and regulation of proliferation and differentiation. The schematic shows low-density epithelial cells with low expression levels of tight junction (TJ)-associated proliferation suppressors and high-density cells with fully assembled TJs that no longer proliferate and have high expression levels of differentiation markers. To the left of the arrow are junctional processes that occur when cells reach full confluence, such as the upregulation of the junctional protein zonula occludens (ZO)-1. On the right side of the arrow are signalling pathways or signalling components that have been linked to, or have been proposed to be regulated by, TJs. The red symbol represents TJ-associated transmembrane proteins, the purple symbol represents junctional adaptors such as ZO-1, and TJ-associated transcription factors such as ZO-1-associated nucleic-acid binding protein (ZONAB) are indicated by the orange circles. The pink symbol represents a differentiation marker. It should be noted that the assembly of TJs results in the inhibition of several proliferation-stimulating pathways, which indicates that TJs might have a proliferation-suppressive function. The accumulation of TJ components such as ZO-1 with increasing cell densities could function as a mechanism to sense and titre cell density. Please note that only TJ-associated signalling systems and not pathways that originate at other sites of adhesion are shown. CDK4, cyclin-dependent kinase 4; MAGI, membrane-associated guanylate kinase inverted; PTEN, phosphatase and tensin homologue. Modified with permission from REF. 13 CRC Press (2001). SH3 DOMAINS (Src-homology-3 domain). Protein sequences of about 50 amino acids that recognize and bind sequences that are rich in proline. Y-BOX A promoter element that generally contains a central ATTGG sequence and interacts with a family of transcription factors that are known as Y-box binding proteins. Sequestration and inhibition of ZONAB and CDK4 Recruitment of PTEN Inhibition of Raf signalling Inactivation of Rho repressor 108. Another TJ protein that can localize to the nucleus is symplekin 109, which has been linked to messenger RNA processing 110,111. Direct evidence for a role of TJs in the regulation of gene expression came with the discovery of two TJ-associated transcription factors. Human ASH1 had been cloned on the basis of its homology to Drosophila Ash1 (for absent, small or homeotic discs 1), a transcription factor that is involved in homeotic gene expression during development. huash1 was found to colocalize with TJ proteins at cell cell junctions 112, but at present it is not clear how TJs contribute to the regulation of huash1-mediated transcription. The second TJ-associated transcription factor is ZONAB (for ZO-1-associated nucleic-acid binding), which was isolated on the basis of its affinity for the Srchomology-3 (SH3) domain of ZO-1 (REF. 108). ZONAB is a Y-BOX transcription factor and binds to inverted CCAAT box sequences. ZONAB localizes to the nucleus, where it participates in the regulation of gene expression, and to intercellular junctions, where it binds to ZO-1. The relative distribution of ZONAB is determined by the cell density. ZONAB localizes primarily to junctions in cells that are grown to a high density, which contain high levels of ZO-1 and only a little ZONAB; however, in cells at a low density, which have low ZO-1 and high ZONAB expression levels, ZONAB accumulates in the nucleus 108. So ZO-1 and ZONAB provide epithelial cells with a mechanism to regulate gene expression in a celldensity-dependent manner. The interaction between ZO-1 and ZONAB is of functional relevance, as the two proteins interact in the regulation of expression of the proto-oncogene ErbB2, as well as epithelial proliferation and cell density 108,113. Regulation of ErbB2 expression does not require detectable nuclear accumulation of ZO-1, which indicates that ZO-1 does not participate directly in the regulation of transcription. Inhibition of ZONAB function by depletion, or cytoplasmic sequestration by overexpression of ZO-1, inhibits proliferation and reduces the cell density of mature MDCK monolayers 113. This reflects a regulatory role for ZONAB and ZO-1 in the G1 to S-phase transition during the cell cycle. In accordance with this, ZONAB forms a complex with the G1 to S-phase regulator cyclin-dependent kinase 4 (CDK4); consequently, experimental reduction of nuclear ZONAB expression also resulted in a decrease of nuclear CDK4 (REF. 113). Therefore, ZO-1, ZONAB and CDK4 are part of a cell-density-dependent signalling mechanism that regulates gene expression and epithelial cell proliferation. Suppression of proliferation. Although there have recently been many exciting observations of TJs and the regulation of epithelial proliferation and differentiation, the picture is far from complete, and connections to other signalling pathways are largely unknown. Much of the evidence indicates that TJs, similar to the AJ-associated protein E-cadherin, suppress proliferation and stimulate differentiation. TJs affect several signalling pathways in a manner that favours growth arrest and differentiation. So it seems that accumulation of junctional proteins at forming TJs is used to regulate signalling pathways that are involved in proliferation and differentiation. Although at present this has not been shown for many TJ proteins, both the half-life and the expression level of ZO-1 increase with cell density 108,114, and overexpression of ZO-1 in low-density cells inhibits proliferation 113. We therefore propose a working model in which the assembly state of TJs is used as a sensor for cell density (FIG. 7). In subconfluent cells, expression levels of TJ proteins are low, and so the inhibition of signalling pathways that stimulate proliferation is weak; with increasing cell density, expression levels of TJ proteins increase as the proteins become stabilized at the forming TJs. As a consequence, signalling proteins such as ZONAB and PTEN become recruited to TJs. Whereas the transcription factor ZONAB and the NATURE REVIEWS MOLECULAR CELL BIOLOGY VOLUME 4 MARCH