Abstract
The mammalian target of rapamycin (mTOR) serine/threonine kinase is the catalytic component of two evolutionarily conserved signaling complexes. mTOR signaling complex 1 (mTORC1) is a key regulator of growth factor and nutrient signaling. S6 kinase is the best-characterized downstream effector of mTORC1. mTOR signaling complex 2 (mTORC2) has a role in regulating the actin cytoskeleton and activating Akt through S473 phosphorylation. Herein, we show that mTOR is phosphorylated differentially when associated with mTORC1 and mTORC2 and that intact complexes are required for these mTORC-specific mTOR phosphorylations. Specifically, we find that mTORC1 contains mTOR phosphorylated predominantly on S2448, whereas mTORC2 contains mTOR phosphorylated predominantly on S2481. Using S2481 phosphorylation as a marker for mTORC2 sensitivity to rapamycin, we find that mTORC2 formation is in fact rapamycin sensitive in several cancer cell lines in which it had been previously reported that mTORC2 assembly and function were rapamycin insensitive. Thus, phospho-S2481 on mTOR serves as a biomarker for intact mTORC2 and its sensitivity to rapamycin. [Cancer Res 2009;69(5):1821–7]
Introduction
Mammalian target of rapamycin (mTOR) is a member of the phosphatidylinositol 3-kinase (PI3K)–like kinase family (PIKK) that plays an integral role in coordinating cell growth and division in response to growth factors, nutrients, and the energy status of the cell. mTOR is found in two distinct signaling complexes that are evolutionarily conserved from yeast to mammals. These complexes have differing substrate specificity that is determined by the unique mTOR-interacting proteins that are found in each complex. The rapamycin-sensitive mTOR signaling complex 1 (mTORC1) contains mTOR, Raptor, mLST8, and PRAS40 (1–4) and regulates cell growth and translation in part by phosphorylating S6 kinase (S6K) and the eIF-4E binding protein 1 (5). The rapamycin-insensitive mTOR signaling complex 2 (mTORC2) contains mTOR, Rictor, mSin1, mLST8, and Protor (6–10). In select tumor cell lines, mTORC2 is sensitive to prolonged rapamycin treatment, which inhibits mTORC2 assembly and function (11). mTORC2 regulates organization of the actin cytoskeleton through the phosphorylation of protein kinase Cα and also phosphorylates and activates Akt at the hydrophobic motif site, S473 (6, 12). Although several other kinases have been reported to phosphorylate Akt at S473, including the PIKK family members DNA-PK and ATM (13–15), genetic evidence from Rictor, mSin1, and mLST8 knockout mice shows that intact mTORC2 is necessary for maximal phosphorylation and activation of Akt in mouse embryos, suggesting it is the major S473 kinase under normal conditions (8, 16, 17). Nevertheless, DNA-PK may be an important regulator of S473 phosphorylation in response to genotoxic stress and DNA damage (15).
On activation, mTOR is phosphorylated on several residues, including T2446, S2448, and S2481. T2446 is phosphorylated in response to nutrient availability (18). Initially, S2448 was reported to be an Akt phosphorylation site because its phosphorylation is sensitive to PI3K inhibition, which reduces Akt activity. However, more recent reports have shown that S6K is the S2448 kinase (19, 20). S2481 is a rapamycin-insensitive autophosphorylation site (21). All three phosphorylation sites are in a region lying between the catalytic domain and the FATC domain near the COOH terminus of mTOR. Mutation of T2446 and S2448 to alanine has no discernible effect on the ability of mTOR to activate its downstream effectors. Nevertheless, the fact that internal deletion of residues 2430 to 2450 reportedly increases mTOR kinase activity suggests that this region is regulatory (22). At present, the functional significance of mTOR phosphorylation at these sites has not been fully explored and remains poorly understood.
We set out to analyze whether mTOR phosphorylation regulates the formation of either mTORC1 or mTORC2. We observed that the mTOR associated with mTORC1 and mTORC2 isolated from insulin-stimulated cells is phosphorylated differentially, with mTORC1 predominantly containing mTOR phosphorylated on S2448 and mTORC2 predominantly containing mTOR phosphorylated on S2481. We went on to show that S2481, which is specific for mTORC2, can be used as a marker to determine the rapamycin sensitivity of mTORC2 formation in several cancer cell lines that were reported to be insensitive to prolonged rapamycin treatment as deduced using phosphorylation of S473 of Akt as a marker. Our data show that S2481 phosphorylation of mTOR can serve as a biomarker for the prediction of rapamycin-induced mTORC2 suppression in particular cancer cell types. Because regulation of Akt S473 phosphorylation is rather complicated and not yet fully understood, we propose that phosphorylation of S2481 in mTOR is a better marker for intact mTORC2 and its sensitivity to rapamycin.
Materials and Methods
Antibodies and reagents. The following antibodies were purchased from Cell Signaling Technology: phospho-mTOR (S2448 and S2481), Akt, and phospho-Akt (S473) rabbit polyclonal antibodies. Phospho-S6K (T389) and mTOR (mTab1) rabbit polyclonal antibodies were purchased from Millipore. Rictor and mSin1 rabbit polyclonal antibodies were purchased from Bethyl Laboratories. The anti-Raptor rabbit antiserum was developed with the antibody service from Invitrogen using the peptide PHSHQFPRTRKMFDKG, amino acid sequence 918 to 933 of human Raptor. Rapamycin was purchased from Sigma. Insulin was purchased from Research Diagnostics, Inc.
Lentivirus-mediated gene knockdown. We obtained pLKO.1-based short hairpin constructs specific for mTOR (Addgene plasmid 1855), Raptor (Addgene plasmid 1857), Rictor (Addgene plasmid 1853), and mSin1 (Addgene plasmid 13483), as well as a scrambled control sequence (Addgene plasmid 1864) from the plasmid repository at Addgene. They have been described previously (7, 12).
Plasmids were cotransfected together with the lentiviral packaging (pMDL), envelope (CMV-VSVG), and rev-expressing (RSV-REV) constructs into actively growing HEK293T cells using the Effectene transfection reagent (Qiagen) per manufacturer's protocol. Virus-containing supernatants were collected 48 h after transfection. Cells were infected twice in the presence of 1 μg/mL polybrene, selected for puromycin resistance, and analyzed 48 to 72 h after infection.
Cell culture, cell lysis, and immunoprecipitation. All cells were cultured in DMEM/10% FCS supplemented with penicillin, streptomycin, and ciprofloxacin at 37°C. Where applicable, cells were cultured in serum-free DMEM for 24 h before growth factor stimulation.
Cells were rinsed twice with cold PBS and lysed in 1 mL of 50 mmol/L HEPES (pH 7.5), 150 mmol/L NaCl, 10% glycerol, 0.3% (v/v) CHAPS, 1.5 mmol/L MgCl2, 1 mmol/L EGTA, 100 mmol/L NaF, 500 μmol/L sodium orthovanadate, 10 μg/mL aprotinin, and 10 μg/mL leupeptin per 10-cm tissue culture dish. Lysates were rotated end over end at 4°C for 20 min and clarified by centrifugation at 12,000 rpm for 10 min at 4°C. Protein concentrations were determined using the Bio-Rad detergent-compatible protein assay kit according to the manufacturer's protocol. Lysates were either mixed v/v with 2× SDS sample buffer or subjected to immunoprecipitation.
For immunoprecipitation, lysates were incubated with the appropriate antibody while being mixed end over end for 1 h at 4°C. Protein A-Sepharose was added and the samples were mixed for an additional hour at 4°C. Immune complexes were isolated by centrifugation and washed four times with ice-cold lysis buffer. Samples were boiled for 5 min at 100°C in 1× SDS sample buffer.
Immunoblot analysis. Immunoprecipitates or whole-cell lysates (WCL) normalized for total protein concentration were resolved by SDS-PAGE and proteins were electrotransferred to polyvinylidene difluoride membranes. Immunoblotting was performed per manufacturer's protocol, and reactive proteins were visualized by enhanced chemiluminescence.
Results
mTOR has several phosphorylation sites in the 60-amino acid region beyond the catalytic domain in the COOH-terminal tail, and these sites are conserved in all vertebrates but not in invertebrates (Fig. 1A). In fact, the entire 60-residue region containing these sites is highly conserved among vertebrate species, suggesting it could be a vertebrate-specific regulatory element (Fig. 1A). Because the regulation of mTORC1 and mTORC2 formation is poorly understood, we set out to analyze whether mTOR phosphorylation has any effect on either complex formation. Rictor and Raptor immunoprecipitates from untreated serum-starved HEK293 cells and cells treated with 200 nmol/L insulin for 5 minutes were analyzed by immunoblotting with antibodies specific for either total mTOR, mTOR phosphorylated on S2448, or mTOR phosphorylated on S2481. WCLs were analyzed as controls to insure that insulin stimulation led to increased S2448 and S2481 phosphorylation. We were surprised to observe that mTOR phosphorylated on S2448 was mainly associated with Raptor, whereas mTOR phosphorylated on S2481 was predominantly associated with Rictor in HEK293 cells (Fig. 1B). The amount of mTOR associated with either Raptor or Rictor did not change as a result of insulin stimulation and concomitant mTOR phosphorylation. Rictor and Raptor immunoprecipitates from actively growing U2OS cells were also analyzed to confirm that this result was not specific to HEK293 cells. As in HEK293 cells, mTOR phosphorylated on S2448 was associated with Raptor and mTOR phosphorylated on S2481 was associated with Rictor in U2OS cells (Fig. 1C). However, because there was a low level of S2448 phosphorylation associated with mTORC2 in HEK293 cells that was not observed in actively growing U2OS cells (Fig. 1B and C), it is possible that phospho-S2448 is not an mTORC1-specific phosphorylation site in all cell types under all conditions. Although it has been shown that Rictor and Raptor binding to mTOR are mutually exclusive events (6), we wanted to confirm that the reason we detected a minor amount of mTOR phosphorylated on S2448 associated with Rictor was not due to a small fraction of mTORC1 bound to mTORC2. We performed Rictor and Raptor immunoprecipitates using lysates from several cell lines and blotted for the presence of both proteins. We failed to detect any Rictor in Raptor immunoprecipitates or any Raptor in Rictor immunoprecipitates, confirming that mTORC1 and mTORC2 do not associate (Supplementary Fig. S1).
Although our data showed that S2448 phosphorylation of mTOR is associated with mTORC1 and that S2481 phosphorylation of mTOR is associated with mTORC2, it was unclear if intact mTORC1 and mTORC2 complexes are required for these mTOR phosphorylations. To investigate this, short hairpin RNA (shRNA) sequences that specifically deplete endogenous mTOR, Rictor, or Raptor were expressed in HEK293 cells via lentiviral infection. Three days after infection, cells were serum starved overnight, control and insulin-stimulated cells were lysed, and WCLs were analyzed by immunoblotting with antibodies that recognize either phospho-S2448 or phospho-S2481. In cells in which Raptor levels were significantly reduced, we found complete ablation of insulin-stimulated S2448 phosphorylation without any effect on S2481 phosphorylation. Conversely, in cells in which Rictor had been depleted, insulin-stimulated S2481 phosphorylation was abolished without any reduction in S2448 phosphorylation. The data show that intact mTORC1 is necessary for S2448 phosphorylation and that intact mTORC2 is necessary for S2481 phosphorylation, further underscoring the specificity of these mTOR phosphorylation sites for the different mTORCs (Fig. 2A). Although the depletion of mTOR, Raptor, and Rictor was not as efficient in U2OS cells as in HEK293 cells, decreased Raptor expression led to diminished S2448 phosphorylation, and decreased Rictor expression led to diminished S2481 phosphorylation in actively growing U2OS cells (data not shown). To confirm that mTORC2 is necessary for S2481 phosphorylation, we used shRNA knockdown of the other major mTORC2-specific component, mSin1 in HEK293 cells. We found that depletion of mSin1 also reduced the level of Rictor, as previously reported (Fig. 2B; ref. 7). In cells with reduced levels of both mSin1 and Rictor, the insulin-induced phosphorylation of mTOR on S2481 was completely abolished, confirming that intact mTORC2 is necessary for S2481 phosphorylation (Fig. 2B). To definitively prove that S2481 phosphorylation requires intact mTORC2, we analyzed mTOR phosphorylation in Sin1−/− mouse embryo fibroblasts (MEF; ref. 8). Consistent with the shRNA results, the basal and growth factor–induced phosphorylation of S2481 was severely diminished in Sin1−/− MEFs compared with wild-type (WT; Fig. 2C). Genetic ablation of Sin1 seems to have less of an effect on S2481 phosphorylation than does shRNA-mediated knockdown of mSin1 (Fig. 2B and C). This is most likely due to the presence of a low level of Rictor in Sin1−/− MEFs (Fig. 2C; ref. 8).
Although insulin-stimulated S2481 phosphorylation remained unchanged in Raptor-depleted cells, basal levels of S2481 phosphorylation were higher (Fig. 2A). Careful examination of the data from several independent experiments shows that, in some cases, S2481 phosphorylation was less effectively abolished by serum depletion than S2448 phosphorylation, and this was independent of Raptor knockdown (e.g., compare the insulin-induced S2481 phosphorylation shown in Figs. 2A,, B, and D and 3A). However, others have reported findings that indirectly suggest that Raptor knockdown may have an effect on mTORC2, possibly as a result of freeing up more mTOR to interact with Rictor (9, 12). To test this, we performed Rictor immunoprecipitates from cells in which Raptor was depleted and Raptor immunoprecipitates from cells in which Rictor was depleted and compared the level of mTOR associated with each protein. Although there was a significant decrease in the level of S2448 phosphorylation, which indicates efficient Raptor depletion, there was no discernible change in the amount of mTOR associated with Rictor in cells with decreased Raptor expression (Fig. 2D). In Rictor-depleted cells, S2481 phosphorylation was completely abolished, yet the levels of mTOR associated with Raptor were unchanged (Fig. 2D). These data provide direct evidence that the relative amount of intact mTORC1 has no effect on the relative amounts of intact mTORC2 and vice versa.
The phosphorylation of mTOR on S2481 and the assembly and function of mTORC2 were initially reported to be rapamycin insensitive (6, 21), but more recent studies indicate that prolonged rapamycin treatment inhibits both mTORC2 assembly and function (11). Because S2481 phosphorylation requires intact mTORC2, we tested whether prolonged rapamycin treatment had any effect on S2481 phosphorylation. WCLs from control and insulin-stimulated cells treated with 100 nmol/L rapamycin for either 1 or 24 hours were analyzed for phosphorylation of mTOR on S2448 and S2481. As expected, we observed a marked reduction of S2448 phosphorylation in insulin-stimulated cells with either acute or prolonged treatment of rapamycin (Fig. 3A). In contrast, insulin-stimulated S2481 phosphorylation showed no discernible decrease after acute treatment with rapamycin but was completely absent after prolonged treatment (Fig. 3A). When Rictor immunoprecipitates from these same cells were analyzed for bound mTOR, we observed a slight decrease in the amount of mTOR bound to Rictor after 1 hour of rapamycin treatment, indicating that acute rapamycin treatment may have a minor, yet reproducible, effect on mTORC2 formation. However, after 24 hours of treatment, no detectable mTOR was bound to Rictor, indicating that prolonged rapamycin treatment inhibits the assembly of mTORC2 in HEK293 cells (Fig. 3A). In addition, both mTORC2 assembly and S2481 phosphorylation were inhibited by 24 hours but not 1 hour of rapamycin treatment in actively growing U2OS cells (Fig. 3B).
Intriguingly, U2OS cells were reported to be insensitive to prolonged rapamycin treatment when phosphorylation of Akt at S473 was used as a marker for mTORC2 function (11). This led us to analyze S2481 phosphorylation and mTORC2 assembly in response to prolonged rapamycin treatment in several other cancer cell lines in which S473 phosphorylation is reported to be insensitive to rapamycin (11). Analysis of mTOR S2481 and Akt S473 phosphorylation in WCLs of MDA-MB-231, MDA-MB-468, SKBR3, and A549 cells treated with 100 nmol/L rapamycin for 24 hours showed that mTOR S2481 phosphorylation was greatly diminished (Fig. 3C), whereas Akt phosphorylation remained unchanged or increased, as reported (Fig. 3C; ref. 11). However, when Rictor immunoprecipitates were analyzed for bound mTOR in parallel, the amount of mTOR was dramatically reduced, if not completely abolished (Fig. 3C). The decreased amount of mTOR bound to Rictor paralleled the reduction in S2481 phosphorylation. As a control, we analyzed the phosphorylation of mTOR on S2481 and Akt on S473 in C2C12 myoblasts and HepG2 cells, two cell lines that were reported to be sensitive to prolonged rapamycin treatment (11). As expected, both S2481 and S473 phosphorylation were sensitive to rapamycin treatment in these cells (Fig. 3D). Our data show that phosphorylation of S2481 on mTOR is a more direct marker of intact mTORC2 than is phosphorylation of S473 of Akt. We assert that mTOR S2481 phosphorylation is a biomarker that can be used to analyze the sensitivity of mTORC2 to rapamycin treatment in various cancer types.
Cells with rapamycin-insensitive Akt phosphorylation are reported to become sensitive to rapamycin treatment after partially reducing mTOR expression (11). One explanation is that even a small amount of intact mTORC2 can sustain robust Akt S473 phosphorylation in these cells and that prolonged rapamycin treatment is not enough to decrease mTORC2 levels below the threshold necessary for Akt phosphorylation. Another possibility is that, in certain cancer settings, mTOR can phosphorylate Akt independently of its association with either Rictor or mSin1. To test this, we analyzed whether partial knockdown of either Rictor or mSin1 could render cells sensitive to rapamycin treatment. mTOR, Rictor, or mSin1 expression was reduced by shRNA expression in MDA-MB-468 cells. Following rapamycin treatment for 24 hours, WCLs were analyzed for mTOR S2481 phosphorylation and Akt S473 phosphorylation. As expected, a decrease in mTORC2, either by shRNA, rapamycin treatment, or both, led to a reduction in the amount of mTOR phosphorylated on S2481 (Fig. 4). Partial depletion of Rictor led to a mild yet reproducible decrease in S473 phosphorylation on treatment with rapamycin (Fig. 4). Partial depletion of mSin1 had a much more profound effect on S473 phosphorylation on prolonged rapamycin treatment (Fig. 4). This is most likely due to a decrease in mSin1 protein levels leading to a concomitant decrease in Rictor protein levels, making mSin1 knockdown a more efficient way to diminish mTORC2 levels in the cell. Partial depletion of mTOR had the greatest effect on S473 phosphorylation on prolonged rapamycin treatment. This makes sense, as mTOR is the catalytic component of the mTORC2 complex. These results indicate that rapamycin treatment alone is not enough to completely disrupt mTORC2 formation below levels that are necessary for S473 phosphorylation and that mTOR still requires Rictor/mSin1 in these cells to mediate S473 phosphorylation.
Discussion
We have shown that mTOR associated with mTORC1 or mTORC2 is phosphorylated on different sites. The rapamycin-sensitive mTORC1 complex contains phospho-S2448, which is consistent with S2448 phosphorylation being sensitive to acute rapamycin treatment. The rapamycin-insensitive mTORC2 complex contains phospho-S2481, which is consistent with S2481 being a rapamycin-insensitive autophosphorylation site. In all the cell lines we tested, the amount of mTOR recovered from Rictor immunoprecipitates and the amount of S2481 phosphorylation of mTOR were reduced dramatically in response to prolonged rapamycin treatment. We have found a pharmacodynamic biomarker that directly monitors the effects of rapamycin on mTORC2 assembly and function. In several of the cancer cell lines tested, the amount of Akt phosphorylated on S473 either increased or remained unchanged, as previously reported (11). Thus, S2481 phosphorylation of mTOR is a better marker for the amount of intact mTORC2 in the cell than is phospho-S473 Akt. Because Akt activation is downstream of both PI3K and mTORC2, using S473 phosphorylation as a readout for mTORC2 does not differentiate between changes in PI3K activity and changes in mTORC2 activity. Phospho-S2481 serves as a useful biomarker that distinguishes mTOR2 activity from PI3K activity, which will make it an invaluable tool when evaluating inhibitors that are specific for mTORC2 only.
Because mTORC1-mediated activation of S6K can suppress Akt activation, long-term inhibition of mTORC1 by rapamycin can lead to increased Akt phosphorylation in some cell lines (23–25). We observed this in MDA-MB-231 cells (Fig. 3C). However, in all cell lines tested, rapamycin caused an almost complete disruption of the mTORC2 complex. Because the amount of S473 phosphorylation was either increased or unchanged in the presence of severely diminished levels of mTORC2, we looked for the presence of another S473 kinase in these cells. Following up on the report that DNA-PK, another PIKK, can serve as an S473 kinase under conditions of genotoxic stress (15), we have tested the effect of reducing DNA-PK expression in MDA-MB-468 cells and observed a significant reduction, but not complete ablation, of S473 phosphorylation.3
Unpublished observations.
mTORC1 is required for the activation of S6K (1, 2). When we inhibited mTORC1 formation either by rapamycin or Raptor shRNA treatment, we observed diminished S2448 phosphorylation. Therefore, our data support the finding that S6K is the S2448 kinase rather than Akt (because S6K is downstream of mTORC1). S6K that is associated with Raptor via its TOS motif may mediate phosphorylation of mTOR at S2448 once it has been activated by mTOR phosphorylation at T389 in a possible feedback loop. However, it should be noted that S2448 phosphorylation, although predominantly associated with mTORC1, is not completely specific for mTOR in mTORC1 because we have observed some S2448-phosphorylated mTOR associated with Rictor in HEK293 cells and in some other cancer cell lines. S6K mediates the assembly of the translation preinitiation complex through a series of ordered phosphorylation events, and mTORC1 association with eIF3 increases on insulin stimulation and is reduced on rapamycin treatment, indicating that this association is phosphorylation dependent (27). Because phospho-S2448 is predominantly associated with mTORC1, we are currently analyzing whether it has a role in mTORC1 interacting with eIF3.
It has been reported that S2481 is a rapamycin-insensitive autophosphorylation site (21). We have shown that phosphorylation of S2481 is dependent on intact mTORC2 and that this site is sensitive to prolonged rapamycin treatment. The sensitivity to rapamycin is most likely due to prolonged treatment inhibiting the assembly of mTORC2 (11). It is unclear why autophosphorylation of mTOR on S2481 requires the presence of Rictor and/or mSin1. These companion proteins may hold mTOR in a conformation that is amenable to autophosphorylation, perhaps in trans within a mTOR dimer. We are currently exploring why S2481 phosphorylation requires intact mTORC2.
Although the functional significance of mTOR phosphorylation at S2448 and S2481 remains elusive, the fact that these sites are highly conserved across vertebrate species points to phosphorylation having a role in mTOR regulation (Fig. 1A). Alignment of multiple mTOR orthologs reveals that, whereas present in all vertebrate species analyzed, both phosphorylation sites analyzed here are absent in invertebrates (Fig. 1A). In fact, the entire region between the kinase and FATC domains is extremely well conserved throughout vertebrate species but highly variable in other species, even closely related members of the same genus (Fig. 1A). This high and selective conservation indicates that this region may function as a vertebrate-specific regulatory element. The deletion of amino acids 2430 to 2450 within this region leads to an elevated level of mTOR kinase activity, supporting the idea that it is involved in regulating mTOR function, possibly as a repressor domain (22). In the AGC family of protein kinases, the COOH-terminal tail has evolved as a regulatory module that is necessary for catalytic activity through various interactions with the catalytic domain (28). The COOH-terminal region of mTOR could modulate catalytic activity in a similar fashion. More work needs to be done to understand the role that this region plays in mTOR regulation.
Our data show the existence and the identity of mTORC-specific phosphorylation sites on mTOR and that phospho-S2481 can be used as a specific marker to detect intact mTORC2 within the cell. Because S2448 and S2481 have evolved recently in vertebrate mTOR, they may regulate TOR activity in a manner not found in invertebrates. It is clear that mTOR phosphorylation is more complicated than previously thought, and further studies are needed to understand its role in regulating mTOR-mediated signaling.
Disclosure of Potential Conflicts of Interest
No potential conflicts of interest were disclosed.
Note: Supplementary data for this article is available at Cancer Research Online (http://cancerres.aacrjournals.org/).
Acknowledgments
Grant support: National Cancer Institute grants CA82683 and CA14195 (T. Hunter). J. Copp was supported in part by the American Cancer Society, Illinois Division-Linda M. Campbell postdoctoral fellowship and NIH training grant T32 CA 09370. T. Hunter is a Frank and Else Schilling American Cancer Society Research Professor.
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
We thank Dr. Bing Su for kindly providing Sin1−/− MEFs, Dr. Gray Pearson for many helpful discussions, and Jill Meisenhelder for comments on the manuscript.