A method to increase the number of growth hormone receptors at the surface of cells.

The number of growth hormone receptors (GHRs) per cell are regulated and this feature plays a major role in the hormone responsiveness of the body. We previously observed in transfected Chinese hamster lung cells that GHR availability is determined by three factors: endocytosis (75%), shedding (10%), and other undetermined mechanisms (15%). The endocytosis depends on an active ubiquitin conjugation system. In addition, this process is ligand-independent. Here, we show that this principle is useful to increase the abundance of GHRs at the cell surface of cells using a combination of inhibitors. In theory, an inhibitor that targets the ubiquitin conjugation specific for the GHR, would suffice, as almost 80% of the removal rate depends on this mechanism. As the molecular mechanism is unknown yet, we used a general inhibitor of proteasome action. Unfortunately, such an inhibitor stimulates the shedding process severalfold. Our data show that the combination of a general proteasome inhibitor and a matrix metalloprotease inhibitor results in an almost twofold increase in functional GHRs at the cell surface, and generate new perspectives to increase the sensitivity of cells for growth hormone.