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Cell Adhesion & Migration 5:2, 199-206; March/April 2011; © 2011 Landes Bioscience
SpeCiAL FoCuS: ACtin-Linked reguLAtory MoLeCuLeS SpeCiAL FoCuS: ACtin-Linked reguLAtory MoLeCuLeS; review
Introduction
Epithelial cells are characterized by a high degree of asymme-
try critical for their function. Cell-cell and cell-matrix adhesion
play a key role in the acquisition of structurally and function-
ally distinct domains of the plasma membrane and cytoplasm. In
particular, junctions between neighboring cells ensure the main-
tenance of distinct apical and basolateral compartments, whereas
adhesion to the extracellular matrix (ECM) defines the axis of
polarity. Cell-cell adhesion is initiated by homotypic interactions
between the membrane proteins, cadherins, which induce the
reorganization of the actin cytoskeleton and membrane proteins
on the cytoplasmic surface of the cells. Likewise, cell adhesion to
the ECM via the heterodimeric transmembrane receptors, inte-
grins, triggers the assembly of the actin cytoskeleton and regula-
tory proteins that altogether form a large multiprotein complex
named the adhesome.1 Through their association with the actin
cytoskeleton and signaling molecules, adhesion complexes create
*Correspondence to: Monique Arpin; Email: marpin@curie.fr
Submitted: 10/02/10; Accepted: 02/07/11
DOI: 10.4161/cam.5.2.15081
the highly related erM (ezrin, radixin, Moesin) proteins
provide a regulated linkage between the membrane and the
underlying actin cytoskeleton. they also provide a platform
for the transmission of signals in responses to extracellular
cues. Studies in different model organisms and in cultured
cells have highlighted the importance of erM proteins in
the generation and maintenance of specific domains of the
plasma membrane. A central question is how do erM proteins
coordinate actin filament organization and membrane
protein transport/stability with signal transduction pathways
to build up complex structures? through their interaction
with numerous partners including membrane proteins, actin
cytoskeleton and signaling molecules, erM proteins have
the ability to organize multiprotein complexes in specific
cellular compartments. Likewise, erM proteins participate in
diverse functions including cell morphogenesis, endocytosis/
exocytosis, adhesion and migration. this review focuses on
aspects still poorly understood related to the function of erM
proteins in epithelial cell adhesion and migration.
Emerging role for ERM proteins
in cell adhesion and migration
Monique Arpin,* dafne Chirivino, Alexandra naba† and ingrid Zwaenepoel
institut Curie-unité Mixte de recherche 144 (uMr144) Centre national de la recherche Scientifique (CnrS)/Morphogenèse et Signalisation Cellulaires; paris, France
†Current address: koch institute for integrative Cancer research; Massachusetts institute of technology; Cambridge, MA uSA
Key words: epithelial cells, membrane-cytoskeleton interface, morphogenesis, ERM proteins, cell adhesion
elaborate networks that control a variety of cellular processes
in normal and pathological conditions including cell morpho-
genesis, migration, proliferation, survival and also invasion and
metastasis. A family of closely related proteins, the ERM (Ezrin,
Radixin, Moesin) proteins, participates in the regulation of these
networks through their versatile interaction with membrane
proteins, the actin cytoskeleton and signaling molecules. This
review highlights the roles of ERM proteins in epithelial cell
morphogenesis with particular emphasis on the signaling path-
ways underlying their functions in cell adhesion and migration.
ERM Proteins Are Conserved through Evolution
The highly homologous ERM proteins2 belong to a superfamily
whose founding member is band Four point one (4.1). Within
this superfamily the members share a common domain, the
FERM domain (Four point one, ERM), which in most cases
mediates their association with the membrane. The genes encod-
ing ERM proteins are found in all sequenced metazoans, but
are absent from unicellular organisms such as yeast. Therefore
their appearance coincides with the apparition of multicellularity
and the generation of intercellular junctions. Whereas vertebrate
genomes contain three genes encoding the three paralogs ezrin,
radixin and moesin, only one ERM gene is found in the genome
of non-vertebrate organisms that have been sequenced. ERM
proteins from evolutionarily diverse species all share the same
structural organization. They are composed of an amino-termi-
nal FERM domain followed by a region rich in α-helices and
a carboxy-terminal domain containing the F-actin binding site3
(Fig. 1A). Moreover, ERM proteins are highly conserved in their
primary structure throughout evolution with the highest level of
identity observed in the FERM domains and the F-actin bind-
ing sites. Indeed these domains display ~76% identity between
human ezrin and their homologs Dmoesin from Drosophila mela-
nogaster or ERM-1 from Caenorhabditis elegans.
Regulated Linkage of ERM Proteins
to the Membrane and to the Actin Cytoskeleton
Biological and biochemical studies have provided important
insights into how ERM proteins interact with both membrane
components and the actin cytoskeleton. Expressing either full-
length ezrin or its N-/C-terminal domains in cells led to the
200 Cell Adhesion & Migration volume 5 issue 2
intramolecular interaction between the N-terminal domain and
the C-terminal ~100 amino acids called N-/C-ERMAD (ERM
Association Domain). In this closed or inactive conformation the
actin and membrane binding sites are masked.5
In addition to biochemical studies, considerable insights into
how the structure of ERM proteins contributes to their functions
have been provided by structural studies. The X-ray structures
of the FERM domains,6-8 the FERM domain of moesin com-
plexed with the C-ERMAD (inactive FERM domain conforma-
tion),9 and more recently the structure of the full-length moesin
from Spodoptera frugiperda (Sfmoesin),10 have been solved. The
FERM domain is composed of three subdomains, F1, F2 and F3,
that adopt a clover leaf-like arrangement. The structure of the
moesin FERM domain complexed to the C-ERMAD revealed
that the C-ERMAD adopts an extended structure that covers
a large region of domains F2 and F3 masking the F-actin and
membrane binding sites.9 Interestingly the structure of the full-
length Sfmoesin uncovered an extensive interaction of the cen-
tral α-helical region with the FERM domain, indicating that this
α-helical region contributes with the C-ERMAD to the masking
of a large area of the FERM domain (Fig. 1B). Moreover, it sug-
gests an unexpected role for this α-helical region in ERM protein
activation. Indeed, any partners of ERM proteins binding to this
α-helical region may contribute to conformational changes and
therefore to the activation process.
Activation through the release of the N-/C-ERMAD interac-
tion is therefore required for the unmasking of the membrane
and actin binding sites. Numerous studies have indicated that the
dissociation of the N-/C-ERMAD interaction is triggered by the
binding of the FERM domain to phosphatidyl-inositol-4,5-bi-
phosphate (PIP2) and phosphorylation of a conserved threonine
residue present in the F-actin binding site (Thr558, Thr564,
Thr567 in human moesin, radixin and ezrin respectively). Initial
observations showed that the association of ERM proteins with
the cytoplasmic tail of the hyaluronan receptor CD44 requires
PIP2 in vitro and in vivo suggesting that PIP2 binding induces a
change in the conformation that exposes the membrane protein
binding sites in the FERM domain.11,12 Comparison of the crys-
tal structure of the free radixin FERM domain with that in com-
plex with the head group of PIP2, inositol-(1,4,5)-triphosphate
(IP3), indicates that structural changes in the FERM domain
are associated with IP3 binding. It has been proposed that these
changes may contribute to the activation mechanism of ERM
proteins.7 The binding of ezrin to PIP2 has also been shown to
be a critical step in the activation of ERM proteins in vivo.13
However, the structure of Sfmoesin suggests that the PIP2 bind-
ing site is masked in the full-length proteins by the linker region
since IP3 is located in a basic cleft between subdomains F1 and
F3 in which three lysines and one arginine contact the phosphate
groups of IP3,7,10 (Fig. 1B). Therefore how ERM proteins interact
with PIP2 at the membrane remains an open question.
As indicated above, phosphorylation of the conserved thre-
onine residue present in the F-actin binding site has also been
implicated in the activation of ERM proteins. Moesin was found
phosphorylated at threonine 558 upon platelet activation14 as
were ERM proteins following stimulation of Swiss3T3 cells with
observation that ezrin interacts with membrane components via
its N-terminal domain and with the actin cytoskeleton via its
C-terminal domain.4 Moreover, whereas both full-length ezrin
and its N-terminal domain concentrate at the plasma mem-
brane, the C-terminal domain alone associates with the cortical
actin cytoskeleton and actin stress fibers, suggesting that regu-
latory mechanisms might exist that restrict the localization of
the full-length protein to the cell cortex. Biochemical studies
demonstrated that ERM proteins are negatively regulated by an
Figure 1. (A) domain organization of human ezrin and Sfmoesin. All
erM proteins display similar domain organization. they are composed
of a globular n-terminal domain (FerM domain) followed by a domain
rich in α-helices, a linker region and the C-terminal domain. the F-
actin binding site has been mapped to the last 30 carboxy-terminal
aminoacids.3 tyrosines 145 and 477 are phosphorylated by Src kinases
downstream growth factor stimulation.28,63 these two tyrosines are
not conserved in Sfmoesin. (B) Structure of full-length Spodoptera
frugiperda moesin; protein data bank (pdB) identifier 2i1J. the three
lobes that composed the FerM domain (F1, F2 and F3) are colored in
dark blue, the α-helical domain in turquoise, the linker region in red and
the C-terminal domain in yellow. in the closed state, the α-helical region
and the C-terminal domain make extensive interactions with the FerM
domain that mask the ligand binding sites.10 ip3 binds a basic cleft be-
tween domains F1 and F3 of the free FerM domain.7 phosphorylation of
threonine 556, highlighted in green, weakens the interaction between
the FerM and the C-terminal domains.
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without moesin show reduced cortical actin cytoskeleton, lack
junctional markers, detach from and migrate out of the epithe-
lium suggesting a role of Dmoesin in the stabilization of the
apical-junctional domain.29 Similarly, ERM-1 in C. elegans func-
tions in apical membrane morphogenesis of epithelial cells.30,31
In adult mammals, the expression of the three ERM proteins
is rather tissue-specific with ezrin found primarily in epithelial
cells, moesin in endothelial cells and radixin in hepatocytes and
hair cells. Inactivation of either ezrin or radixin has provided
insights into their function in the particular epithelial cell types
where they are expressed. Ezrin knockout mice die soon after
birth. Intestinal epithelial cells in these mice present a disorgani-
zation of both the terminal web and microvilli and the adhesion
complexes appear more elongated and twisted.32 Loss of ezrin
leads also to reduction in the apical microvilli of Müller cells and
in the microvilli and basal unfoldings of retinal pigment epithe-
lium with, as a consequence, a retardation in the development of
photoreceptors.33 In gastric epithelial cells, called parietal cells,
ezrin is a key regulator of acid secretion that occurs following the
fusion of H+, K+ATPase-rich tubulovesicles with the apical mem-
brane.34 Ezrin knockdown mice suffer from severe achlorhydria
due to a defect in the expansion of apical secretory canaliculi leav-
ing the cytoplasm with densely packed tubulovesicles.35 Radixin
inactivation causes hyperbilirubinemia likely due to a defect
in the localization of Mrp2 (Multidrug resistance protein 2,
a protein involved in the secretion of conjugated bilirubin) in
the bile canalicular membranes36 and deafness due to progressive
degeneration of cochlear stereocilia.37
In addition to these cellular defects in organisms lacking
ERM proteins developmental defects are observed in the for-
mation of epithelia that line tubular organs. Loss of the single
ortholog erm-1 in Caenorhabditis elegans impairs lumen forma-
tion of tubular organ epithelia.30,31 Luminal cysts are observed
in the epithelia upon depletion of ERM-1 due to incomplete
tubulogenesis. Moreover, intestine-specific phenotypes such as
constriction or obstruction are observed.30 It was suggested that
these phenotypes are not due to a defect in epithelial cell polar-
ization, but rather arise from premature arrest in the reposition-
ing of the apical junctions to the apico-lateral position during
lumen formation resulting in the obstructions observed in the
intestine.30 In this latter study, a genetic interaction was found
between ERM-1 and the cadherin and catenin homologs HMR-1
and HMP-1, respectively. A possible role for ERM-1 would be to
link the cadherin/catenin complex to actin cytoskeleton since the
enrichment in F-actin at the apical pole is lost in the intestine of
erm-1 (RNAi) embryos.
Similarly, deletion of ezrin results in defects in mouse intes-
tinal villus morphogenesis. Generation of individual villi occurs
during embryonic development when the stratified intestinal epi-
thelium is converted into a monolayer of epithelial cells covering
the villi. In ezrin-/- mice, villus formation is abnormal. Instead of
individual villi observed in wild-type mice, the intestine of ezrin-/-
mice displays fused villi. Therefore, the transition from a strati-
fied epithelium to a monolayer, which is initiated by a remodeling
of the cell-cell contacts, is altered indicating that ezrin plays a
regulatory role in the assembly of the junctions.32
lysophosphatidic acid.15 Several kinases were shown to phos-
phorylate this conserved threonine in vertebrates ERM proteins
including Protein kinase Cα (PKCα, θ), NIK (NFκB-inducing
kinase), LOK (Lymphocyte-Oriented Kinase) and MST4 sug-
gesting that the phosphorylation of ERM proteins may be
induced through different pathways.16-20 This threonine is buried
in the N-/C-ERMAD interface and its phosphorylation induces
steric and electrostatic hindrance preventing the N-/C-ERMAD
association.9,15,21 In vivo, the sequence of events consisting of
binding to PIP2 followed by phosphorylation at threonine 567
is critical for the proper activation of ezrin, since impairing one
of these steps alters its correct localization and functions in epi-
thelial cells.13
Numerous membrane or membrane-associated proteins have
been shown to bind the FERM domain when ERM proteins are in
an active conformation. ERM proteins interact with the cytoplas-
mic domain of several membrane proteins including the hyaluro-
nan receptor CD44 which mediates cell adhesion and migration.22
Other membrane proteins such as ion channels, transporters and
receptors can bind indirectly through the scaffolding factors
NHERF1 (also named EBP50 for ERM-binding phosphopro-
tein 50) or NHERF2 (Na+-H+ exchanger regulatory factor).23
These proteins contain two PDZ (Postsynaptic Density Protein)
domains known to mediate protein interaction followed by an
ERM protein binding site.24 Comparison of the crystal structure
of the radixin FERM domain complexed with a CD44 cytoplas-
mic peptide25 and of the moesin FERM domain in complex with
a peptide from the C-terminal domain of EBP50 indicates that
these two ligands bind to distinct sites of the FERM domain.26
So far few proteins have been shown to interact with the
C-terminal domain of ERM proteins. The regulatory subunit
RII of protein kinase A (PKA) associates with an α-helical region
in ERM proteins (amino acids 417–430 in ezrin). Recently, two
subunits of the HOPS complex (Homotypic fusion and Protein
Sorting) have been shown to interact with the α-helical domains
of ERM proteins.27 Both the regulatory subunit RII of protein
kinase A (PKA) and the subunits of the HOPS complex interact
with full-length ERM protein suggesting that their binding sites
are not masked. The structure of Sfmoesin also indicates that the
linker region in ERM proteins is likely to be accessible when ERM
proteins are in a closed conformation. Specific to ezrin is the pres-
ence in this region of tyrosine at position 477 which is phosphory-
lated by Src kinase.28 This linker region likely represents a site for
the docking of signaling proteins as discussed below.
ERM Protein Functions in Epithelial Cell
Morphogenesis: Insights from Genetic Analyses
Genetic analyses of ERM proteins in different model systems
have revealed that they have a crucial role in epithelial cell archi-
tecture and in the formation of tubular organ epithelia during
development. In all epithelial cell types analyzed a defect in the
organization of the actin-rich apical plasma membrane has been
observed. In D. melanogaster and C. elegans ERM proteins are
essential for viability. In flies, Dmoesin has an important role
in epithelial cell integrity and polarity. Imaginal epithelial cells
202 Cell Adhesion & Migration volume 5 issue 2
by antisense oligonucleotides affects cell-cell and cell-matrix
adhesion of epithelial MTD-1A cells.44 Likewise, ERM proteins
were shown to be required for the formation of focal adhesion
complexes and stress fibers downstream of Rho GTPases activa-
tion.45 Subsequently, ERM proteins were implicated in pathways
regulating the dynamic of cell-cell junctions, the Rho pathways
and growth factor signaling.
GTPases of the Rho family play important and complex
roles in the regulation of cell-cell and cell-matrix adhesion.46
ERM proteins have the potential to act either as effectors of Rho
GTPases45 or as regulators of their activity in cell adhesion regu-
lation. Thus, the loss of epithelial cell integrity and junctional
markers in dmoesin mutants correlates with excess Rho1 activity,
the fly RhoA ortholog29,47 suggesting that Dmoesin negatively
regulates RhoA activity. In mammalian cells, the GTPase Rac
has been shown to have both positive and negative roles in cell-
cell junction dynamics. The production of an ezrin mutant mim-
icking its constitutive phosphorylation on threonine 567 (ezrin
T567D) leads to the formation of lamellipodia in non conflu-
ent epithelial cells and to the disruption of cell-cell contacts due
to the activation of the small GTPase Rac.48 Not only does the
active form of ezrin disrupt the junctions, but it also prevents the
proper assembly of cell-cell junctions. Epithelial cells producing
this ezrin T567D were neither able to form hollow cysts when
grown in a type 1 collagen matrix and remained aggregated nor
were they able to organize into tubules, indicating that these cells
were not able to establish functional cell-cell contacts.49 Rounds
of activation and downregulation of Rac and Rho GTPases have
been observed during formation of cell-cell adhesion.50 A consti-
tutively active form of ezrin may prevent the downregulation of
Rac therefore perturbing the assembly of the junctions. How do
ERM proteins activate Rho GTPases? Rac activation may result
from the association of ERM proteins with regulators of small
GTPases including Rho GDP-dissociation inhibitor (GDI),51
Rho guanine nucleotide exchange factor (GEF),52,53 and Rho
GTPase-activating prot